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Home My WebLink About895 DARRELL ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 895 DARRELL ST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 42235315 Zoning: Applicant CIFUENTES,MAURICIO - r � � " � ' StaWs: ISSUED Applied: 01/08/2003 Issued: 01/13/2003 %��' �: �✓ Address. 895 DARRELL S � - . -� _ _ `-�. '" }'�- - ' Phone: 949-646,�6634 - _ COSTA MESA, CA -" � Zip: 92627 . % _ Owner. CIFUENTES, SAMUEL . %� f � �r � �\ '� , . Address .'895 DARRELCST ` . - - - . � � ' ' � ^ A,` � ; � � _ : �,'/� � -� � � � �� Phone: ; '� - _,. ��. . � � � ' % COSTA MESA. CA . � Zip: 92627 � ..'��. V � �� / � ��-, .'� '� � :•�•- . :-i .��; �, '� � •: . �, - � �`:,�ti-''.A �°/� �� Contrector: OWNER=BUILDER ��j,_�,'� - , �� Addres3: � � � ��' � . � ��,A` :-�� . - - . , Phone:� , �' '-��. . - � � � � � � �� .� � Zip: � ' I License:s 000000 � � � " � -� � , , . . . . ' . ' � .� � `� A ArCh' : � Address: � , � � , , - - � � . � » Phone: i. J" � . ~� Zip. . � . �;, � - � -License: � j ' ,,-� - - � -� REROOF: T/O EXISTING ROCK ROOF, REPAIR/F �: SHINGLES." 1600�S4 FT � � � � ; Plan Check: . $0.00 .Permit: $57.05 ' � SMIP Res' �.: $0.50 SMIP Com: ,`°. $0.00 ;�- Other. � ,',;$0.00 `I`nspection:. ,$0:00 � � . .. � i . : � . ,� _ En9: " ' i ' - '. _ Address: � , �� - � � � �. ._ _�� ; �f',i �� Phone: _ . , i, �. •: ., �� License: . - ;� �\ � .il, .' ' �, �E OF-P-ERMIT.�.. ;_ �;., ;. ',� ' '? ', �S, NEEDED, FELT-PER MFGR'S SPECS, APPLY�"30=YEAR COMP �� - -—.."-.'. . . --�'L '; . FEE SUMMARY �';;^„ � �' � � -- - � �--� =; � -_��'�__ =-=CalcValuation r,'`r' _�`grsoo;oo� " � � ' ' �� ,� � Claim Valuation �,; = S�,soo.o,o � _r � �;j�' ( `_ %.< - • ' ��' � � '�' ; ,� %�� i , � 4'� l. i n ... . i.JI � � � �� , � � � � � ki;.: s . /-�%i . � Total. $57.55 � � _ � � ,;�` . /-;� � / .' i . � � � ;;�, - /� . , , � . �� l/� �; � ' PLANNING�& ZONING � : / � �''�,` ' � � =", i / �� SETBACKS� = .� �� a � �,'� � C� � ;� MAIN STRUCTURE Fronl 0- 0, � � Rear �� 0- 0 � -'Lefl 0- 0 � Right `�' , 0- 0' �� : i , _ -. � . �� ' - i .'�- . ACCESSORY Front � 0- 0 - �Rear 0--0 Left 0; 0�� Righh ` 0= 0 J; � . . . , , � ' � � • � ;i� �- PARKING Existinq: �'0 , �� Reauired: 0 ' Pr000sed: -0 , ' NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) - EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180'days, or if work is suspended or abandoned for a period o� 180 days. � INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-/B(8�00) WORKERS'COM?ENSAnQ�1DECLARAnON: � I hereby aHlrtn under penalty of perjury ona ot the following declarations: , , ❑ I have entl will mei�tain e certiticate of wnsent to setl-Insure tor workers' compensation, es providetl for by section 3700 of the Lebor Code, for Ihe peAormance of Ihe � work tor which this pertnit is issued. ❑ I hava entl will main�ain workers' compensation insurance, as required by section 3700 of tha Labor Code, for the pertortnanca of the work For which Nis permit is issuetl. My workers' compensation Insurence carrier and policy num�er ere: Cerrier. PoliCy Number: (This sec(ion need not bB �mplefed /l Me Oermif is veluetl a( one hundred dollars ($100) ar /ess.J �1 certiiy Ihet in the performance ot i�e work tor which ihis pertnit Is issued, I shell not employ any person in any manner so es to become subject to ihe workers' compensation laws oi Caltlomi ree that tl I should become subject to the workere' compensa[ion provisions ot Section 3700 oF the Lebor Cotle, I shall torthwith compty with Ihese p_ sion ApplicaniSignature: ��p ' /AG�r� Date: 6n�'�//�-3/�� WARNINO: FAILUHE TO SEC� WORKE ' COMPE TION ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL�PENALTIES AND GVIL FlNES UP TOONE HUNDFED TTIOUSAND DOLLARE (5100,�1. �N ADDIiION TO THE COST OF COMPENSATION, DMIAGES AS PROVIDED FOR IN SECTION 3�06 OF THE IABOR COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTOAS DECLARATION: I hereby aHirm that I am Il�ensetl under pmvisions ot Chapter 9(commencing wit� Section 7000) of Division 3 of ihe Business and Pmtessions Code, and my license is In tull force enC ettect. Lic. M Class N Contracrofs Signature: Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirtn that �here Is a construciion lentling agency for the peAormance of ihe work tor which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: LendeYs Atldress: Signeture: Date: OWNER-BUILDER OEC4NiAT10NS: I hereby ettirtn that undar penalty of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Cotle: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair eny sWcture, prior to its issuance, also requires the epplicent for such permit to file a signed slatement that he or she Is licensed pureuant to ihe pmvlsions of the Contrectors License Lew (Chepter 9(commencing wiih Sectlon 7000) of DlNslon 3 oi Me Business entl Prolesslon5 Gotle) or thet he or she Is exempt Iheretrom end the basis for tha alleged exemption. Any violation oi Sectio� 7031.5 by eny epplicant tor e permit subjects the epplicant to � civil penalty of not more then tive hundred dollers ($500).): ❑ I, as owner oi Ihe plaperry, or my employees wlih wagas es Iheir sole compensation, WILL DO THE WORK, and the structure is not intendetl or oHered for sale (Sec. 7044, Business and Profeuions Cotle: The Contractors Licensa Law dces not apply to en owner of property who builds or improves ihereon, antl who does such work �imseN or hersetl o! Ihrough his or her own employees, provided thet such improvemems are not Intendetl or oflered for sale. tl, however, the builtling or improvement �s soltl wit�in one year of completion, the owner-6uilder wiil heve the burtlen of proving that he or she did not build or improve tor purpose of sale.�. � ❑ I, as owner ot the proDerry, am EXCLUSIVELY CONTRACTING WI7H LICENSED CON7RAC70RS ro consWct ihe project (Sec. 7044, Business antl Pmtessions /Code: The comracmrs License Law does not apply to an owner ot property w�o 6uilds or Improves thereon, entl who coniracts lor such project with e contractor(s) license pursuant to the Contradors License Laws.). iem Owner ID v�Miet6y c�rfvut5 liCense. Venfication ot Ownership by (type of end Professions Code for this reeson: Yes ❑ No I.e. � properry tex blll or deed): DIVISION OF INDUSTRIA� SAFE7Y PERMR CERTFICA710N: Drive(s License No. oate: Expires: ❑ I hereby cartify Ihat no excavation Ilve (5) or more feet in depth into which a person is required to descend, will be matle in connac�ion with work authonzed by ihis permit, and that no building siructure, swttolding, falsework, or tlemolition or dismantling ihereof, will be more ihan ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e B, Celitomia Administrative Code). ❑ As owner-builder, I will not employ enyone fo tlo work which would require a permit irom the Division oi Indusirial Setety, as noted above, unless such person hes e permit to do such work fmm the division. Signatura: Date: Division ol Indusirial Safery Pertnit Num6er: CERTIFlCATE OF COMPI.�ANCE AND AUTMOHIZA710N OF EMAV: I certify under penalry of pe�ury ihat I have read this epplication antl state ihat ihe infortnation given is correct. I egree to comply with ell state laws antl ciry ordinances relating to building consWction, and euthonze representatives of the Ciry of Costa Mesa ro enter upon the ebove-descnbed pmperty for inspeciion puryoses. I agree not to occupy or aliow occupancy oi eny building authonzed by ihis permit until final ins0ection. CODE �. INSPECTIONTYPE 7616 Ficed SyStem Final Fire Preven�ion 1266 200 201 202 203 204 Pool Spe Final Final Re-Rooi Flnal BIocWRetaining Wall Flnal Fadory Fir6 Place Final Sign Final Demolition Applicant � on.e I[UIIlA6$ � � CODEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Pinal ElecMcal 212 Final Fire Preventian 220 Final Planninq Approval 222 Final Site 250 Final Building/Occupancy P9IE It�LS bECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS StreetAddress: � �� A'�� S � AP Number: 1. I(we), � AP-'t U� �--- C— � FJ E'JT�� , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: • Name: MAv�G�� ( �v��T �� Telephone Number. � g ��/ � �`"� — �� Street Address: /';�/ � / �Ciry: l�� S� /�rxJ � 'State: � A Zip: Z � �� to obtain pertnits in my behalf, as owner/builder, for at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Worker's Compensation Insurance coverage 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 California 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. I agree lo indemnify and hold the Ciry of Costa Mesa and its employees or o�cers 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 penalty of pery'ury.that the foregoing is true and correct. Executed this O�� day of �( GT /'L Uc �� 20 0,� , at Ci�-S �� , Califomia. , / O�19<6 (rev.11N0) Print Name: S d Yy/ U E�i L!� [/ E 1'1 �e S Signature: �l� � �_ � Date: � Note: This autlrwrva6on does not grant aufhoriza6on to perfortn ihe work as ovmer, it solely provides for limited power of attomey to secure this permit in any behaK. (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 895 DARRELL ST Suite No Vicinity: Parcel Nunmber: 42235315 Applicant: CIFUENTES, MAURICIO Address: 895 DARRELL ST � COSTA MESA, CA, �' � Owner: .�CIFUENTES, SAMUEL .. Address 89SDARRELL ST � � COSTA MESA, CA PLUMBING PERMIT Phone: 949-646-6634 . 2ip: 92627 � . Phone: Zip: 92627 Contractor: OWN ER-BUILDER Address: � - - � � � � - Phone: � � Zip: ' . License: 000000 Arch / Eng: . , T'. `: . �� , � -- Address: � �- " ' " " - „ Phone: Zip: -- - -- - -License: r Status: ISSUED Appl ied: 01 /29/2003 I ssued: 01 /30/2003 ISSUED BY: SCOPE OF PERMIT CHANGE OUT WATER HEATER LOCATED INSIDE THE RESIDENCE (HALLWAY CLOSET). FEE SUMMARY AMT QTY '� -AMT�- QTY ' AMT QTY ISSUE FEE $23.50 . Laundry Tub / Washer $0.00 . 0. Sump Pump ,$0.00 0 Backflow irrigation $0.00 0 ' " � - . - Landscape irrigation $0.00 0 ' �' Swimming Pool $0.00 0 Backflow Preventer $0.00 ��0 ` P-Trap $0.00 0 Trap Primer $0.00 0 BathNb .$0.00 0 ", Pressure Regulator $0.00 0 " Urinal 30.00 0 Clarifer System $0.00 � 0 � Process Piping (per 10 ft) $0.00 0 - Vacuum Brkr BkFlow(1-4) $0.00 0 Connect Qce,Soda,etc) $0.00 0 Receptors 50.00 0 Vacuum Brkr Bkflow(S+) $0.00 0 Dental Units �� .$0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 -. -Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Waler Closet (Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 WaterHeater/vent $12.30 1 Drinking Fountain $0.00 0- Sink, bar 50.00 0 Water Piping Qnst or Rep.) 50.00 0 Expansion Tank $0.00 0 - Sink, commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve 50.00 0 Sink, Floor $0.00 0 Water Service 50.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned ' for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons and (inal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2646-46(N00) WORKERS' COMPENSATION DECLARATION: � I here�y ettirm under penalry oi perjury one oi Ihe following declarations: ❑ I have entl will meintein a cenificate of consent to self-Insure for workers' compensetlon, es pmvitlad for by section 3700 ot ihe Lebor Code, for.ihe pertormance of the work for which this pertnit is issueG. � ❑ I have end vrill maintain workers' compensation insurance, es required by secGon ;700 oi the Labor Coda, for the peAortnance ot the work br which this permit is issuetl. My workers' wmpensatlon Insurance carrier antl policy number are: � Carrier: � Policy Number: (This sectlon need nof be comp/ered i/ the permit is valued et one hundretl dollers ($100) or IessJ .. . . ❑ I certity that in ihe pertormance of Ihe work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' campensetion laws oi CalHomia, antl egree that if I shoultl become sub�ect to the workers' compensetlon provisions oi Section 3700 of the Labor Code, I shall torthwith comply wit� these provisions. Appliwnt SignaWre: Date: WARNIN(3: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLURE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3�O60F THE LABOR COOE, IMEREST, ANO ATTORNEV'S fEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm ihat I am licensed under provisions of Chepter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, entl my license is In tull force and eflect. Lic. M Class k Contractofs Signeture: Date: CONSTRUCTON LENDING AGENCY: ❑ I hereby aHirtn Ihat Ihere is a construciion lending egency for ihe peAormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lentlefs Adtlress: SignaNre: Data: OWNER-BUILDER DECLARATIONS: I hereby aHirm that under penelry ot perjury that I am E%EMPT FROM TME CONTRACTORS LICENSE lAW for Ihe following reason (Sec. 7031.5, Business end Professlons Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires the applicant for such permit ro file a slgneC statement Ihet he or she Is Ilcensed pursuent b the D�aNsions of ihe Conirectors License Lew (Chaptar 9(commencing with Section 7000) ot Division 3 oi Ihe Busineu entl Profeuions Code) or that he or she is e:empt therefrom and Ihe hasis tor t�e allegetl eaemption. Any violation of Section 7031.5 by any applicant for e pertnit subjects tha epplicant to e civil penalry of not more than five �untlretl tlollare ($500).): ❑ I, es owner of Ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the siructure is not intanded or offered for sale (Sec. 7044, Business and Professions Code: The Conirectors License Law does not apply to an owner of properry who builds or improves thereon, end who tloes such work himself ar herselt or through his or her own employees, provided ihat such improvements are nat intentled or offered for sale. tl, howevar, Ihe building or impmvement is sold within one year ol completion, iha owner-builder will have the burden of proving that he or she did not build or improve tor purpose oi sale.). ' ❑ I, as owner of the property. am E%CLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Pmfeuions Code: The contractors License Ww does noi apply to en owner of property who bullds or improves Ihereon, antl who contracts lor such pmject with e contractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Bu5in855 end Prote55ion5 Code tor �his reason: Signature: Date: Owner ID venfied by tlrivefs license. ❑ Ves ❑ No Dnvefs Licensa No. Expires: Veritication of Ownership by (type of documem, i.e. - pmperry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I herehy certity ihat no exwvation fiva (5) or more feet in tlepth into which a pereon is required to descenQ will be made in connection with work euthorized by Ihis permi6 end that no building sirudure, swNoltling, talsework, or demolition or dismantling thereof, will be more than thirty-si: (36) teet high. (Chap. 32, Grp 2, ArI 2, Sec. 341, Ttle B, California Administralive Code). , ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division ot Intlustrial Safety, as noted ebove, unless such person hes e permit to do such work fmm Me tlivision. Signature: Date: Division of Indusirial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE ANo AUTHORVATION OF ENTRY: I certiry under penalry ot perjury that I have read this application end state that the infortnation given is conect. I agree to compty with all state lews end ciry ordinances relating to building consiruction, antl authonze representatives of the Ciry of Casla Mesa to enter upon the above-describetl properry for inspection purposes. I agree not to acupy or allow occupancy of any building authorized by this pertnit uniil final inspaction. [�77�1�CF'll(�F77��7� 1616 Fi:etl System Final Fire Prevention 1266 Pool Spe Finel 200 Final Re-Roof 201 Finel BIocWRetalning Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ' owner(s) P67F I 3O � (la�'� � Dai IMRIALS � � ��E A INSPECTON TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electnwl 212 Final Fire Prevention � 220 � � Final Planning Approval 222 Final Site 250 � Final Building/Occupency PAIE U�4S a-a�-o3 �N �� DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER, TO APPLY FOR PERMITS� � Bldg. Permit # ThisPermit# D��'��`�'� Street Address: /� ��`� —� n 2�—� � L S/ AP Number: 1. I(we), � � A u U�� U�uT�c� , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: Name: P'IAUe lC.� � �i' �'vE/��r�� TelephoneNumber. �� `— 6 �� — ��'3 %" Street Address: Cily: ! J'� � A�LiLis C�C_ S i TL� M �S A to obtain permits in my behalf, as owner/builder, for at the above referenced property. State: �-'`� z�P: �Z�Z � 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Worker's Compensation Insurance coverage and cause a certificale of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California 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. I agree to indemnify and hold the Ciry 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 Ciry of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. Executed this day of 0]]9-66 (rev.11/00) 20 . at Print Name: /� J� c� /v� c�Q � �i F UQ h�QS Signature: ��%ZC-c�X � l ��-C/ , i Date:� O/ /�30 /O Nole: This authorization does nol grant authonzation to perform the work as owner, d solely provides for limited power of attomey to secure this pertnit in any behalf. California. AOD� ESS OF BUILqNO: 8 9 S D A OWNEWSNRIIEIFRqNN: SAMUEL C � �oox�ss: 895 DARR • C.M. 92 646-6634 �vv�. uauxc woweu: , /JICNRECTOFEWiINFEN: �141CN.OXENG.'S GDDRE55: UNT: 92633 uc. xo: UNT: c«�mncrars wuE: ca+rn�aoRs�u�wc �no�u: uc. wo.: urrt: LICENSED COMHACTONS DECLRPATION: I hereby eAYm uMer pere�y d peQury Ilai I am IcemeE uMer protiabm ot Chepter 9 (cammandng wi�h Section ]000) d OrvLvon 9 d Ihe Businem end Prdeaeiona Code, eM my lioanse ia in lull lace end eHae. CITV LIC. NO.: LIG CL�55:� LIC. NO.: EXP ; Data: Conlreaor. OW NEF BUILDEP DECIAHATION: I Mreby e/firm u�Mar panely ot perjury ihal I em exemq fmm IM Comreaon Licenae Lew Iw �ha Idbwvp reaxon (�bn ]W 1.5 Busvresa ard PMeasiona Coda: Any ctY a oountY �� Vuiree e parmil lo oonsM1un. el�er, improre. Eemdah, w repei any sVuclure, pia �o ila'sauence, ebo repui� iha eppl'renl ta wch permil �o fik e aqired eletemanl ihel M a eM c IicenseE Wnuen� lo IM qovivms d Na�Conlretlors Limnse Lew jCheplm 9(wmma�xirq wilh $epon )OpO) d Orv'sbn 3 d IM eusinass ene a.dmsions cadal e, met na or sna e exemp maermm ene ine bavis �« m. elbaee eKemqo�. aiv �oldon a seaun 10�1.5 by any epplit�an� lo� e pe�mil suEpde �he epplicaM �o e civil penely d nd more ihen liva hunEreE Edlen �5500�). � I, ea oxner W Ihe prope�y or my empbyeae wvh wepea as ihei sole compenaetion, will do iM wwk, eM Ihe sl�udure b nd in�entlad or ollered fa eele (Saction ]006. Butinaes enE Probssions Cade: The ConlrecYors License Lew tloes ml epptyto en oxnarot properry who buida or improvea �hereon, end who doae cuch wmk Nmeett or hereeM or ihrough he a her own emqayeea, providetl thm auch 'mpavementa ere rot iniendad «dlered lor aeb. M. howaver, tha buiki�p or imqwemeM is soN wiihin me yeer d mmpbton, the owner-buiker will heve Iha burden d provinp M or aha tlid M Wik a improve iw �he Wm�e d eeb). ❑ i. ��, a me ao�,�v. ��d�ar o�iroa:m wan i�,�a wmremoA io �o�w�e ine wei°a (sea� �ou. a�.��..�e Pmleaiwu Code: TM Comraaon li:enx lew Eam rot epply io en oxner ot pmperly w1w WiW or imqovo the�eon ud who COMlBCb k! &lt�l yqBd9 xi111 e mnlfeqd�H) ICBnmd WR�I 10IM CAn�letlIXn �mB lnW�. ❑ i� e.�m �"da, sen�o�: e. a'v.c.. ro� mh ,e�: �'' o�a: o.,�,a,: I do hereby ceMity ihel I em ewere d enE undantenE �he reQuiremanis ol CelAwnie Heellh enC Sefety COEa Senbns 25505, 25533, end 2553a, end ihei I a eny Mure building oaupenl will / wYl nrn (dreb ane) neeE Io compN w�h aeid atem cadse vM Iha reyuiromenb la epermAformnel�uclqnormotlifiWimhomtMAr ueaTST�y anapeman�Dislna.RaeMenlielcans�rutlioneppYratbneenexemptiromthese pfON5Wf�8. Dele: Applcenc W NKER'S COYpENSATION OECL�RATION: I Mreby dfirm uMx penehy d pxjury are d tM Idbr.iep Eetlereliom: I hava enE wil meinlah e cenRka�e d mnaent �o aeX-inwre br workeie' compenWion, ee povideE Iw by Seaion 3N0 d �he lebar otla. iw �he pe�wmence of Ne xvA br wF'ch thie parmit ia isued. � I �eve end xiA manlein workers' canpanaeton inaurance, as reQuired by Sedim �]0p d the Lebar Cope, lor iM perbrmence ot iM woM la which I�ie parmit is imueE. My wakan' oompansalion insurenca cemer e�M poliry number ere: Cam . PdicyrNumber. � /mis senim neee na ee comdarad r rn. v�� a ro. �a n��dred ed�s Rrool w r.�.� ❑ 1 cMN � in Ihe pMormenca d the wak lar whch thia permn ia aeueE. I ehell ria empby enY Ge� in ury men�nr eo aa to becwne wbpa m tM wake�s' wmoemaiion bwe a cali/anie. eM pme Nel il I ehouk Eecome w4� to Ihe waken• ompena bn Pr rauna oi Sepion 3)00 d IM labor Code. I ah orlhwilh oom w ihme rovifbne'�� , . � e: naa�: ami : Fallvn ro��curo wotlrui rompaueHon roverays b vnbwlul, md siNll subN +� emplopr ro ctlMrx/ pena/Hu m0 c ros up h ons huntlrs! fMuasiM Jollen (5100,000). In mltl/Hon ro tl�� cwf ol ro.�,.non eam.yo n P.o.roea ro. �� Srotlon 9]O6 oI Ms La6oiCode, lntsnaq end ettornsy� lew. CONSTNUC110N LENDINO AQENCY: I Mraby etFrm unEer penelry d parjury iM1m �here ia a consl'upion bMi�q maricy 1« tM pMame� d �ne v.on 1« which �n's oeimi ia ewed (saeion aos), cv. cl. LENDEH'S NAME: LENOEP'S �DONE55: i oanM �ne� i na�e,eae mis evor �� d e�me ine� ine �e m��m� �a �o�rea. i aeree m�mqy �;m mi ar ene oou�rv ob��ce� end atme lexs releting �o building conrrunion eM hareEy amhmize repreeentetivae M �his dry b enter upon �M ebova-mentoned pmpeM forinspeclion purpoeee. SAMUEL CIFUENTES P m Neme �� 'J � ?� o�a � 9s' . Sqreture ApanVRppl VGo�lr a (5151d6 WP) WM1ne-Build'up 85efMy; Oreeo-Fle; Canery-AODh�anC %nk-Pevenue; GOltlanraE-Assmsor �� CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 073664 PLAN CHECK NO: 03118-95 L CONSTRUCTION TYPE: PERMIT TYPE: STR PERM NO: B 073664 GOVT: N SUPP: N PURPOSE: CON JOB DESCRIPTION ; CONST. 30" BLK WALL W/18" FENCE ON TOP SQ FT: 66 CLAIM VALUE: 1,100.00 CALC—VALUE: 1,320.00 GROUP OCC; R-3 / COMMENTS: BETWEEN 895 & 891 DARRELL ST BLK WALL W/ IRON FENCE ON TOP �t+e**�*itatetat��ititiEit*iE*et�it��at*��t**�****��tatat*atat��**�**it**ie+��**�at****ie*+�ie*+��**� *� at� �* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- 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; 42235315 ZNE: R1 REF NO: PLANNING NOTES> CONSTRUCT 60 LINEAL FEET OF 30" OF BLOCKWALL ON LEFT AND FRO > NT PROPERTY LINES. WALL WILL HE TOPPED W/18" OF WR. IRON. iE �E 1h 1E iFlE ik 1f fF �E 1E 3f 1f 1E 1E 1E 1ElE 181f 1ElElf iF 1E 1E 1E iE 1E iE if if 3E if iF jF if 1E 1E 1E dE �f 1ElE iE ik 1F ff iFlk 1E iE if 1f iE iE 1flf iE fE fE iE IElE 1E iE �F 1E if.1f� �ElE iE if if if if iElE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T'S ZONING APPROVED BY ��R (� DATE: � � HUILDING APPROVED BY : DATE: � APPLICATION ISSUED BY: DATE: � *�at�tat*ie*x itatitat*****it�* LEGALIZATION:N PERMIT BLDG PMT 33,00 PLAN 21.45 F E E 5 U M M A R Y I �],CiPuI;E�L�=�1 �IX�111i��L�uI �L�i:►:I� �� STRUCTURAL SEGMENT:Y FIRE SMIP•/RES GRADING �;� • 5� i SMbPi/NON—RES ISSUE FEE :� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ��l PAID DUE TOTALS----> 33.50 0.00 21.45 54.95 54:'95 ,00 �� i REVENUE DIVISION TOTALS--> COLLECTED: 54.95 OVER/SHORT:r✓�"� .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33,00 .50 � � 21.45 �,' '1(� �E fE iE 1E iE fE fE'1F'lE iE 1f 1E iF 1E 1E 1(� if iE IF iE ik 1(� fE fE 1h fE iE IF 1E IE 1E iE iE IE 1E 9E iE fE fE iE �E �IE iE i! iE 1! k'IE IE 1E iE 1E 1E �E iE �IE IE'lE if-�F 1E 1E 1E.iE�1ElE.1E 1E 1E fE IE IE iE 3E fE 1f �f ik I N D I V I D U A L F E E H R E A K D O"^W N� . j'? � TYPE QTY D E S C R I P T I O N UNIT COST � TOTAL COST (� �:' SFR 66 RES—CONCRETE BLOCK WALL / FT. 20:•00 r� 1,320.00 END OF FEES � r /• �� A 7 �l /' /,�' . � �;� ^ 1 %. � ei oaia��a<-co3a��eb -€'�e-r 5�,9s 6ATE: �J$/07/95 ?FCIE: l2:�JS CONSTRUCTION AND PLANNING '` .�' POOL & SPA __ APPROVALS Permit # Date Inspector qppROVALS Permit #' � Date Inspector 1. TemporavY Electrical Service or Pole � 52. Pooi & Equipment LocatiQn � • 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �� 3. �Hectrical Conduit Ut�lity-Undrgrnd. 54. Forms � � � .-�4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' . _ � _5_-Steei Reinforcement � /�lL�� pG�(. 56. Ro�gh Plumbing & Pressure Test � �� La �?'"6_ 'Etectricat UFER Grnd. 57. APPROVAL TO COVER=GUNITE -' � '=7. Footings a��ql6(�/�(l 58. Electrical Conduit�Undrgrnd. _ � R '-8 � Foundation _ 59. Gas Pipe, E7 Undrgrnd., Test . - 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap,.O'�Undrgrnd. - 70. Structura� F�oor System � 61. APPROVAL TO DECK 11. Property Sewer Llne & House Connection 62. Backwash & Receptor-Finai � . 12. �,Sewer Cap 63. Heater & Vent-Final -- ' 13. Roof Drains � .64. Plumbing System - Final � 14. Rough Plumbing 65. ElectricabFinai ' 15. Rou9h Electrical-Conduit ' 66. Solar SYstem-Final �- 16. Rough Eiectric Wiring 67. Fencing & Acce:s Approeal ' 17. Rough Wiring Sign 6B, qPPROVED FOR PLASTERING � 18. Rough Electrica6T Bar Ceiling 69. POOVSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ FLREDEPT.,REQUIREMENT i Z. r s 't X-- -r� �� i. r. ... 1 - C.: 2�.:E#oughFacto��Fir�piace ^��.r�. - _ :,��; APP�OV,g.S�S'�Peimit#�' ''� 7; 21. -0ucts, in SLrSEtur�C�'• . .. .. �- = * - � - * - ` ^ ^'-"' ' x . . - .r - � � r. ;�� 70.~tlnder'ground Hydro 22. .Duci^a, Ventilaiing �. '- - �, - F�°'.,w , 7�, Producz,Pipin9 �Q�Gas l•7 Qii 23. Gas�Pipe.Rough & Test �^� � �. • �+' ` 72, Undergro',vnd EI'vsM- r ^ --� � � r: - r �„ r � j r 24. Roof�Framing" t'7' -� ^'Y, : ti r.�y . 7� Underqr�jd.StoragCSank OGas ❑Oil 25. Roof-Sheathing �� - x � _%� 74.' Overhead Hyd g_ ' 26. T-Balf?Ceiling (Struc;ural) & Monocoat �; . y " T'� 7�,-pry<Chemicai ;,- r� �-- 27. Frame and Flashingx -� .r �.; _ -� � * ,• `� � �x 76. Dry Star�"pipe f� _ _ _ :� 28. Lathin & Si�n � ^-": �I tr z :� � � .. ...: �n < - 9 9-- r ��; �,-; w 77 FIXEDSI�STENJ'FINA•L , S 29. Insulatiott � x+. :� • �* x 7$. FIRE PREV. FIlVAL '�' -� T '� �r c �Y •:1 30. Drywall Nailidg ��'� ^ . ' r_, ,` ,ttEALT�! DEP,�T'. REQUIREMENT �' 31. Plaster BrowrfCoat. � � � ' -" � - 79. FINAL 4NSPECT•ION ` "= - .: �-, - � , 32. Electrica4Posver Njetet�Flinai _'� K`` � "'�' 8f� FOOD CERTIFICATE ISSllED ,� `1. - 33. -FinahEleLtric> . . ` � � � .'� Notes: " "' "' _ 34. �Final Heating.& Air CQniittiorllrg` T �" s ` V .k � -. � ' ', � r _ ' - n : ^� � '�� ;� o :l - - _; .J . . _ , �.� . 35. �Final GasPipe TesUr ` '�.- �, :, x C � i7 - riL, - '�. a r, � �r � 36. Hood or'CanoPv x; - . . '' ��' �_M `. •., . � .� ` •�." ' �', � �., '..� : z� « �, - 37. ,F.inai Fac2ory Fire`place ^ � �. �. -. �� - � i' � r: � - 38. Finai�Pluinbing `%^'' ^'t ' = ' . � f ~ _ ¢ _� � - r �i - 39. Wate� Sedvice_Pina6w L �" , -x � � _ � .t - �. _ -. 40. Gas Service-Final - • �"":' ' � � x ", ' �= . � �� ' :l F F : 7 �- � _ . c. . - � � = 41. Solar poEnestic-Fina� ' �` � �' '' , ,, �_ � � , r.. � t !-� 'r : 42. Backflow'�PreventeY ' � v `- 3 � � ' ` �T' �_.'^ ' � a u ; - �-. .., .,; . . ..r ♦ rr. m�;., _ 43. Backflow Irrigatioa � ; " �- . r :- �� c, ;�{_ _ _ _ . � S-18-�5 �- `.t�,�� 44. Landscape IrnOat' n.SYstem ��,;' ,_"',�� * `'" �' '�' ;� k ° -" �:. $ .` `-� ��'� -. iA , ,. , .t r, E . .. _ -�' ." _ ..' � "45:_Sound Attendation:� - � '� m ?] '.'r�7} �� -�-�y' %��(�O � �i�� 46. Handicap�Regulations - ��'_ � Kc •- ��'. ! � � �' �GGL^' �� 47. FINA'L STRUCTUR.E & BUILDING �n-j / : '� ` " -. . f - ��.�. ,. Y, 48. FINAL PLANNING' ' {� ^ , � �-� ' r - � ' �' . � x r. 49. �Electrie Felease to Edison ; � , . ' - ' r 50. Gas Release to Southern Cafifbr�ia Gas Co ` - ' =' �' ; ;' 51. CERTIFICATE OF OCCUPANCY � �� ' ` " No. Date � �,� I,r ',r '1s '� 3 .t; i CITY OF COSTA MQSA PLANNIt�K3 [77�T. W6lELT TO YD0. DBL OE0. `� � ;� DA $ S . o�tsao! a ne� 1 � �13 �� ti� ADDITIONS, DcLFTI^t!�, GR �0'n?EC7IDPJ� SHALL BE APPR04ED QY TiiE PLi1iVi:iPJu UtPARTh�ENT � � DIVISION OF BUILDING SAFETY CITY OF COSTA MESA APPROVED , sy � o� C� � S� This set ot plans and sDecitications MUST be kept on this job ai all times and it is uNawful to make any changes ot alteration on same without wrilten pertnissien �rom Ihe Division of Building and Safety, Ciry of Costa Mesa. The stamp�ng ol !hic plan and specifications SHALL NOT be held ro e� u�t, or to be an �a^.omvai ot the violation ot any provisions of any City of �sT�e' sa Cr�+�oarea ar,d,�nr Slate lavi. YI�`!l 7,ase L_::r. =.��.tl cermit shall e;pire by limitation and become null and vbtl tl f t� b�n!o�� y n� .,� r�n :5 noi �ommenceC and maintained active per UBC §303 � (( 1 withlf'i lap �a.. �1 �,SSti�ttC& W Y� N gq5 "'�ieioc�ce � 7 � I� eesiocNee D/�Rf�EL� STREET a r: �l � inea� �e-+ o-� �J� �ck u�al 1 w��I-h l 8" o-� �� r-I- I r� r� Ci rl -f-o P, c��erg �- � mi n i rnu m w i � � be s�-4-bQck �OVYI elrivew�vn�Pra� / � n-F-{- a }�, l aS-�r5 S l�a l� nc-f- �c Ceed� l 8'' � w id w��k ct Yn�ni �.,.,, �g�Ghq � 8 -�e-f . _, .�, ncsioiret � W � N � Cement Coping Ootional — Channel Block With 1-3I8� Horizo�tal Top of all Fences For Fences 5' or Less Vert. Bars 3/8"� at 4' -0" O.0 For Fences Higher 7han 5' Vert. Bars 3/8"� at 32" O.C. fill Cells Solid With Grout Where Steel Occurs Reinforcing Steel Shall Conform to Sec.A-15-39 A.S.T.M. AllSteelto be Lapped 24" or to Code NATURALGRADE TWO 3/e"Q eARS � CONTINUOUSTOP & BOTTOM HORIZ.STEEL MUST BE TIED IN P�ACE AT TIME OF TRENCH INSPECTION. TYPICAL i � o i a x �� u a xq� � ' �1 a ! � � . ! � W O U f 2 w n � ,. �' o - A 'p N u A - - D ' —WIDT SEE C� BELOW 6�� CONCRETE BLOCK FENCE FOOTING REQUIREMENTS CHART GENERAL- NOTES MORTAR; p�e parf Plastic Cement, and Th►ee Pa�ts Sond GROUT; One Part Cement TNee ond One Holf Parts S�and COPING: One Part Cement, Three Ports Sand CONCRETE: yyell Mixed 1:2-I/2:3-I/2 Max. of 7- I/2 Gol�ons of Water Per Sack of Cement GROUT MAV BE POUHED FROM THE 70P OF THE FENCE IN CELLS WMERE STEEL OCCURS. CELLS AND AREAS OF HORIZONTAL REIN• FORCEMENT SHALI. BE CLEAR, CIEAN & FqEE OF ALL MOHTAP DEBRIS, ETC. �H GF [4HTHTCO7H V3 THE HEiGTH OF FENCE �OW B0T70M OF FOGTING. WIOTH 14" . . . . . . . . . . . 14" . . . . 12",., . 7HICKNESS . . . . . 10'� . . . . . . . . . . .10" . . . . . . 8°. DEPTH OF EARTHTOOTH . . . 24� . . . . 20��7. . . . . . j . 16��. . SPACING OF EARTHTOOTH. . 12' . . . . . . . . � . .14� �. . . . . 16'. . City of Costa Mesa, California Building Department � ,. . . . . _. . k'=EVthED NOV.B:. SCALE: I/2��= 1� . . . :; . , CITY OF COSTA MESA _ . WALLS, FENCES AND LANDSCAPING STANDARDS AND SPECIFICATIONS RESIDENTIAL ZONES F � � c E c � �jHeight of walis, fences, and landscaping shall conform with figure 1 to allow for visibility at intersections and driveways. NOTE: ' Corner/street cutoffs may be increased or decreased by staff due to street design/configuration. ' Any walls or fences exceeding the specified height limits would require discretionary review by the Zoning Admirristrator or Planning Commission. ' Check with B�nkfcK� Division for any adcitional reqiiements. COMMERCIAL/INDUSTRIAL ZONES "No fence or wall shall obscure the setback landscaping required adjacent to a public right-of-way." � 8� FIGURE 1 NOTE: Wrought �n or other nonbpaque metal £encing (on top of a maximim 2'6" high opaque wall/fPnce) to a maxuman overall height of 6'0" is also acceptable within 10' setback. with a minuman spacing of 8'. �� @ J11G'�n'",• : (i.]' w�' C✓� �"�i(�1 � c.,—�,� s� �� ca �.7 r� sr? ��,:�_a �..:.�_;� . �,-�,roc.,;=� � �G,='�^ ��c:. ^. . -��t�� ,�r, t�C.�.G-=:"�n3C"—� !,.. itt.":a7 m t.�l cd P6:11J%4-h'• `T7 �� ;,%� �y �5��/ E:'�IJG'_'_..�.�� ..� ... 6Sw�+CJL1:11G'Cn:=4�;��C�*:, . �, a�$��uT��Mw. �_., i __ ._— SECTION A-A zs^ 76" � � � /. WALL/� V I �!/ I FENCE CLEAR FOR VISBILJTY � �— WALL/FENCE � ADOPTFD BY RFSO�UTION: 21 October 1991 # 9i - et J r. PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this �� day of _ _�/,1_�!�%��..�2 by and between ��7�1 �� 'v hereinafter referred to as "LANDOWNER;' and s"2�'r`// `�a^�/ hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between �i�r v ��t �`%/ J��;,.re/%Sf - �'os� /S/l�sg C'q 92 � a7 _ in the City of Costa Mesa, County of Orange, State of California, as per map recorded � in Book , Page _3b of Miscellaneous Maps, in the office of the County Recorder of said Counry. The party wall shall be permitted to encroach C�y[� �%/ ��a^��.5� r, � � .� C ��'a �a� �d e�cPP� /D IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOWNER ignaturej�� i i Sa�ve,l C�'i-ven ,Tes, Name (Typed or Primed) ADJACENT PROPERTY OWNER �..� �GC/�'.� d (Signature) S' �j e s^ r�// J� �-C/G � C� Name (Typed o Printed) 81S � ciYY E�� S 6. C�.2`s7 /�<s �. �S`�1/..l��t s^r F��S� (Address) 7 (Address) Cc%.j�. 4'o�o�T` �IDS7'r-r �"�PSS Cf1 �1aGa"� 190fi 46 NOTARIZATION REQUIRED CALiFORN1A ALl•PURPOSE ACKNOWLEDGMENT State of � �( ".J�/,I FD��/A County of �Q1j1�s� On l'�: %, /y%� before me, � ,!.% /_/ �pil�V ! EYUr� DATE � NAM0,717LEOFOFFICER- .G.,'JNNEDOE NOTARVPUBLIC personally appeared ��.�1i/��L C�I�U�iUT _ 5 , NAME�S) OF SIGNER(5) ❑ personally known to me - OR - L�proved to me on the basis of satisfactory evidence to be the person�,s'j"whose name�(.s'jis/afe- subscribed to the within instrument and ac- knowledged to me that he/� executed the same in his/+�e�eir authorized capacity(i�e,s�', and that by his�#e+F ��m signature(�'on the instrument the person�aj, COMM. 4978149 �-a ��,��_�a�� or the entity upon behalf of which the oanr,�ecour,rv person�,s'j acted, executed the instrument. AAy Comm. Exprea NOV Ib.1GC6 � WI ESS my hand and official,seal. SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL � CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ Al"fORNEY•IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR EMITV�1ES) 2�zeap � DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNEA(S) OTHER THAN NAMED ABOVE CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of — County of �J-� On ` before me, r � , IDATE ,,, NAME, TITLE OF OFFICER �.G.,'JANE OOE, NOTARV PUBLIC' personally appeared �J/�GKK�/.L . 1. (�[//�•C�D -T NAME(S) OF SIGNER(S) ' ❑ personally known to me - OR -,�proved to me on the basis of satisfactory evidence to be the person,(s'f whose name,(s'j is/ara subscribed to the within instrument and ac- knowledged to me that he/she/they executed the same in •His/her/.t#ei� authorized capacity,('�S , and that by I�+s/her/t#e+r �s� signature,(sj on the instrument the persor�(sf, �,�� or the entity upon behalf of which the ��a� person(�''acted, executed the instrument. W SS my hand an official seal. t .L�� CtiZf�C� SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPOAATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON�S) Ofl EMITV(IES) z+zasa DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE 395 D:�R�''? L ST�ErT The residence at the above ar.cress co�pl.ies kith nuildin, Code requitenents caith tti2 foll.o�.in� exceptions: 1. Glass lights are required in tc:o sections of kindo:as in front room. 2. Fire wall in gara�e ^�ust be repaired. 3. Front and rear doors need replace�ent. 4 5 6 7. Gas shut-off valve is required on gas line 6enind ran�e in kitchen. Toilets are da�a,r,ed and I�azardous. 3eplace_. Traps under basias and ki[chen si;t!< �ust Se repaired-or replaced. Both hot and cold water �:ust Se provided a[ bathroo� basins. Provide cold caa[er. � In addition to coCe requireaents, the roof appears in poor condition, floor [ile siiould he repaired, and windo�as should lie re-screened. ��-��-- RICH<1RD F?i�.`:li �Ri Building Safety Director January 15, 197�i OW NER Bristol �states � onTe �-1�-56 . JOB ADDRESS 895 Darrell St: BUILDING PERMIT NO. 2826 GENERAL CONTRACTOR $.V.H�saker VALUE $ 8,856.�� LOT 5� BLOCK TRACT 2873 Single Res. W�att gar GROUP I&'J TYPE V ZONE RJ.1 FIRE DISTRICT 2852 PERMITSISSUED INSPECTIONS DATE, SUBCONTRACTOR �/j- �'' -- DATE NUMBER Footing Trench �"�/J — � � / D �� Foundation Forms and Grade to Garag �/— o..n..6 c.e.n�n,. � /J .. h `-V�i�^i _p P � St. Tank Lathing, In Out Plumbing, Final, Fixtures Com Plumbing, Fin,al GasTest Wiring, Final Occupancy FONM 210 3M 10-55 i ii =:.�osta Mesa Bnilding Department � aIPPLICATION FOR PERMIT - . ' P.O.Boz3�� 8�� BUiLDING ' " COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. P¢rmit N Buildin9 GC� S Q L � I•(J �/ Address p � �� Costa Mesa, California Receiv Y ate Rec'd. Date Issu Nearest—i�,/ ��/�',�� %�� CrossSL Tl.�fiG��d)r//� (�� - euilding CitY. 1 ELLIDI.,c L l7'�4� No.l4-1 �r%-� Arohitect or Lic. Engineer No. Address City Lic. Contrector� •�� J�.! S/� �L�.� �vo. Z(o Address SD.l�� Legal Lot � I Z Description No. �� Block I Tract� (Attach Metes and 8ounds) � � No. of Bldga O SizeofLot �� K��d NowonLot l�se of ,�. I Na. of I No. of Existing Bldg. F�amilies Room� Setback line from � Rear Vard Yy Center of Street �O Side Vard S� I DESCRIPTION OF WORH New I� I Alteration I I Addition Repair I I Moving I I Demolish I Building t-� No. of Size � � � / Rooms � Stories � Exterior Wall � I Roof C� or Address Costa 1�Iesa, California Nearest � Cross St� Zone I No.of I Type G Plans Approved 6v Date _' p I A � 2 APPROVALS lation Loeation Inspecto ms, Materials, IervPinning , � � e: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the abwe is correct and agree to comply Lath. Int. with all City Ordinances and State Iaws regulating building construction. Lath. Ext. Signatureof � Permittee Plaster,lnt Autho�ized Agt. [/ Plaster, Ext Valuation Pe it Fee $'z Z. �Q Masonry Reintorced p� r-/�/ 00 Plan Check $ /�. � a ga�d Beam $ �i � �H Total Fee 3 3 . �� FINAL am xoa io.as o, v. n s.