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Home My WebLink About2274 FAIRVIEW RD - Building PermitsOWNER McKinnon-Ri6b DATE 7_30-80 JOB ADDRESS 2274 Fairview Road BUILDIN6 PERMIT N0. 50435 GENERALCONTRACTOR gp�l f.onctructinn f.n_ DESCRIPTIONofWORK 11Pmn 71 Ruil(�9n�_c._�iComm-R7�(j, APNo. aiq_m�_io LOT �a �o an TRACT G� FIREZONE VAWEf iQ nnn nn � SUBCONTRACTOR NUU4M YI.UMtlINIi [Q 7', JOW/� Q��' �(n1q.T � �/ �a'0 � ••/• PROP. $WR. LINE � MOUSE CON. � // /I �. SPHINKLIHG SVSTEM _�� UNOERGROUNO � POWER ROUGN WIHING BONO BEnM [� STEEL� $XE�THING FqAME RND FLRSHING LRTHING — IN OUT PLASTER. BROWN COAT Y BUILOING. FINRL SPFfldl FFOIIIRFMFNTS LICATION FDR A BUILDING PERN" �� / BUILDING PERMIT NO. Eiectrtca� � W Tract �O �S�p Block Lot ��' y Parmit No. � Bulltlin9�� 2�j� Plumbing , a Ntltlrass Permlt No. �p D Crozs �� Mechanital n qrea , Sveet Permlt No. 'm Go>eoc•✓ Ps',e-ic U��c,�� Owner�,- p�N�O�� TVCe ot Prolach ❑ rvew ❑ Altar ❑ Aatlltlon AtlGress a�I) L� ��,q.y ❑ Repair ❑ Convert ❑ Demo ❑ Ottupancy Pmt. CItY Gb ZiP�J�Pnone�ZS �s A.P. SUP. Dist./ Insp. Ar¢a A�chit¢c[/ �0 �Q Desi9ner /�J a License No. �� Zona SPI. Pmt. No. Atltlress f'� y�- Setbacks P/L Front C/L SL Streat Witl[h .C./ Clty ��o[—�j��. Z�D9�6p PhOne �_� Va�tls Left igh ea� .y �� av! o�. e g « En9lneer m1 �S'� LICGnSe No. �� 3 .• . C /� ! ng5PaC85 Bpule fOv 8 ovefe p, Aatlresso% %dC � �(/LC 1% �' m City UG — O� Z� 6 PhoneB7o_ H,elgh[ Stoles Femly v LICENSED CONTRACTOR'S UECLARATION Pa�k Faes ves Fee m 1 haroby atlirm that I am licensed und¢r provisions of Chepter 9 Requiretl No C.T. RBCeipt (commencing wlth Saction 7000 of DivisiOn 3 ot t�e Busineas end t Zonln9 APprovetl BY: Date w P�ofessions Cotlo, n tl my license is in tull forte and effactl. e ?� �ic¢nee CI s icense Nu ar 5� G7/�� T Date Contr�ertpl � Mlsc. E Atltlross /o S Ei �iX�./�� 3�/`lEsss+.-- Roposetl U5e LL City antl Zip ��+ L-� �� 7 Phone of $t�utturA N CONSTRUCTION LENDING AGENCY � I hereby affirm that thare is a construc2ion 1¢nCing agency 7or tha a performance ot t�a work tor whic� 2his permit is issuod (Sec. 3097, Occ. TYPe Cotle ' Civ. CJ. Clasz Const. Year y Lentler's Nama USE/OCCUPANCV SIZE SQ. FT. � Lender'a AAdrass � OWNER-BUILDER DECLARATION r I her¢by offirm that I am axempt from the Contractor's Licanse Law 1� � for the followlnB ruason: � ❑ 1, as owner o( tha property, or my amployeas with wages ai their 2. � sole compensetion, will do the work, antl the sb�ct�re is not �L„ intentletl or offarnd ior sale. � ❑ I, as owner of the property, am exclusively conttacting with 3' IiCensetl COntfBCtOI5t0 C011rtfuctth8 prOjlct. .d, ❑ I am azempt untlar Sec. , 8&PC for ihis reason 4� m a Date Owner E WORKERS' COMPENSATION DECLARATION Totai valuatlon � I hareby atfirm Ma[ I heva a certifica[e ot consent to self-insure, Envoachmanl Permlt Requiretl- ❑ Vas ❑ No or a certi/icate of Workers' Compensation Insuranca, or a certi(ietl C eopy tharaof. Gratling Pmt. GraCing r�i Policv No. Company ReQuiretl ❑ Ves ❑ No Pmt. No. �a ❑ Ca�tifietl copy is hareby furnishetl. Rough Gratling � 6 ❑ Certliied copy is filetl with Orange County, EMA. �p Q Approvetl by: Date Date APPliwnt 3 CER7IFICATE OF EXEMPTION � FROM WORKERS'COMPENSATIONINSURANCE Z (This section nead not be complated if permit is for $100 or lescl. � I certHy that in Iha parformnnce ol the work for which Ihis parmit is P issuetl, I shali not employ any perwn in eny manner so as to becoma �p subjeg /Sye Brker%Compansatioy�Le.w�f C�L7for�� PERMIT FEES Dat <O S O APPlicant /%� ��I/ NOTICE TO APPLICANT: If, atter making this Certiticate of Struc[ural E Plan Check ,5 ExempBon, you should become su0ject to the Workeri Compensation . provislons ot tha Labor Coda, you must forthwith comply with such SGetial provisions or this Oermit ahnll be deemetl revoketl. EletlAcal S InveSt. s 1 CEflTIFY THAT I HAVE READ THIS APPIICATION AND STATE plumbin THAT THE INFORMATION IS COFiRECT. 1 AGREE TO 9 $ COMPIV H A COUNTV DINANCES AND STATE LAWS RELATI TO B LDING CO T VCTION, ANO HEREBV AUTH� MeC�anlwl E OR12E EPR NTATIVE O HIS COUNTV TO ENTER UPON TME MEMTION OPERTV FOR I�PECTIO PVR- qe-Gratle POS . � g InsPection s Pre-Gratle Permit Signatora ot Applican� or Agent te Re0. No. E issm E %�oa �, �'jE�� ?rint Applicant's/Agan['s Name All spaces within thif box must be rnmpleted to proCess P�an Issuance C�eck By: Approvetl: CMF 0335-46 (BV-28) rav. 6/80 � 1u'1P F � W 0. Q y � .�'. F G F � 6380 7/30%AO 127.26 COSTA MESA BUILDING-SAFETY DEPAHTMENT APPL TION FOR'STRUCTURALPERMIT' "- P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEI ED B PERMIT For Applicant to Fill in Completely — Use Ink Only N° � 5 Q 4 3 5 ADORESS ��7 iLI%Fl✓%`%(J .��p A.P.NO —DI� �J'�ZZ OWJNnErR OR MC�� j� /: . 1� ��g. ADDRE55 pCd /"�' i .. yryc�N UNIT OR ADDRE 5.�''37 „�� dSj��W SPACENO. TR. O LOT . � � � BLK. TEL. CITV G �/� NO.�OIS'�'�� NEW ADD ALTER REPAIR MOVI G DEMOLISH CONSTRUCTION LENDER BRANCH OWNER AODRESS VALUE M AfiCHITECT TEL. USE - S/ �V, OR ENGINEER N ADDflESS ZONE TYPE GROUP fZ�L f /!N�/ BVPROVED OATE CONTRACTOR �J CL� ADDRESS /OS L.; �(� r—� SJ TEL!. CITV �S/� N�S� NO.[p�� STATE CITV APPROVED SETBACKS IIC. NO. ��Q,Fj �� LIC. NO. SIZE �[ � NO.OFBLOGS. (FPOMC/LSTREET) OF lOT 2 /'�`�� NOW ON LOT I� FFOfYT FT. USE OF EXIS7ING BLDG. Separate permits are required for L SIDE electriq plumbing and heating work: REAR USE OF BUILDING AND WORK TO BE PERFOFMED pLqryNlfV ACTION / � DATE APPROVED APPROVE D_@/� C�LJ I heraby acknowletl0a thet I have reatl this application antl stata that the above info�mation is c��rect antl agrea to comply with ell iews regulating b�iltling contt�uction, and 1 shall not amploy any parson in violation of ihe workman's compensation laws of t�e State of California. I hereby certify that I am properly licensetl as a concractor under SQ. FT. the State of California B tl Professions Cotla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that su licenses re in full forc tl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt trom the rovisio f the5tata of ali rnia Business VALUATION PERMIT FEE $ � antl Profassions Cod , Di '' 3, Ch ter 9. � Signature of K 1_ /� �� PLAN CHECK $ O � G. Perminee �r7� S n TAX g / �/ or Y� wy+ A�tho�izetlAgent Date �� TOTALPAID $ /2ry ��6 TL� m n i m m 7 m � m m 0 f u 'pPLICATION FOR A BUILDING PEf 'T /n85� E�e«,�� Tract e�ock ' �ot BUILDING PERMIT NO. pe�m�t r�o. �, a Builtlin9 /� ^ � A �w�'2 �/C_�� }-� : � Plumbin9 . • Atltlress Y1�f �f ��. �./ (jJ./"�J Pormit No. `p Cross �C��ry�/��4J � � I `� Mechaniral a Area Strcet A�Q �� a � Pormit No. � � Owner�� .-��pJ� ��y� ��/` _ TYpe ot Praject: ❑ New ❑ Alter ❑ Atltl' ion Atltlress � 7� � ��y � ^ �� ❑ Repair ❑ Convert ❑ Demo ❑ O<cupan Pmt. qtY Z�P /�`'� Phone • r A.P. SUP. DISt./ G � ,� �rp.,Z,�/ InSD. Area Architect/ Zone Spl. Pmt. No. Destgner License No. Setbacks P/L Front C/L SL Street Witlth Atltl�ess Vartls Lett R gh ear City Zlp Phone � ave ro�. e g . . « En9lneer License No. � Parking Spacez equ re rov e overa p. Atltlress m City 21p Phone Struct No. o/ No. ot Haight Sto�ies Family � LICENSED CONTRACTOR'S DECLARATION Park Fees Ves Fee �0 � ReqWretl No GT. Recelpt m I he�eby affirm that 1 am licensed untler provisions ot Chapter 9 L (commencing with Section 7000 ot Division 3 of the Business antl Zonln9 %�GProved By: Date �, Profassions Cotle, antl my license is in full force antl effectl. �j licensaClas=� �y��dG LicensoNu er ��✓%8%� ✓ `r Daie Contractor ��1' ay�`% Misc. E aadress %oS C/B�3 .�T Proposetl Vse LL c�iv a�a z�o Ce�r/+ /H�sC 9'2Jo:2 7' ano�e �T-4�7.Y ot svuc�ure y CONSTRUCTION LENDING AGENCY � I hereby affirm that there is a construction lending agency tor the a performance of the work for which this permit is issuatl (Sec. 3097, Occ. TYPe Cotle ' Civ. C.). Class Const. Year y Lender's Name USE/OCCUPANCV SI2E SQ. FT. C Lender's Address '� OWNER-BUILDER DECLARATION Y 1 hereby affirm that 1 am exempt irom tha Contractor's Licenze Law 1� � for tha following reason: ❑ I, as owner of the property, or my amployaes with wages es thair Z. C sole compensetion, will tlo tha work, antl tha structure is not y intentletl or offerad torsale. � ❑ I, as owner ot the proparty, am exclusively contracting with 3� licensed conttactors to consvoct t�e projact. �d., ❑ I am exempt under Sec. , B&P.0 fOr this reason a' d a Date Owner E WORKERS' COMPENSATION DECLARATION Total Valuation � I nereby affirm xhex I neve e certiiicave ot consent to zalf-inwrq Encroachment Permit Re uiretl ❑ ves ❑ No or a certificate af Workers' Compensation Insuranca, or a certitietl C copy thereof. ,� /-�,��, Gratling PmL Gratling � Policy NoL�'x NS FA�Company � Requiretl ❑ Ves ❑ No Pmt. No. �Q ❑ Certifietl copy is heraby furnishe . /J Q ❑ Certifietl copy is tilatl with Or gs o nj,y! Ef�fy'�/ � Rough Gratling � L C r/' � t' APProvetl bY: Date . � Date T'�`8� APplicant— �% � � e--' 3 CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE Z (This saction need not be completetl it permit is tor $100 or less). � 1 certity thet in the partormanca of the work tor �yhich this permit is Q issuetl, I shali not employ any person in any mennar so as to become ry subjact m the Workers' Componnetion Laws of Califomie. PERMIT FEES Data Applicant NOTICE TO APPLICAN7; If, attar making this Certiticate ot Struttural E Plan Check E Exemption, you shoultl become subject to the Workers' Compensation provisions of the Labor Code, you must torthwith comply with such Electrical $ SPecial E provisions or xhis permit shall ba daemetl revoketl. Invest. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE p�umbin S THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY ALL COUNTV ORDINANCES AND STATELAWS RELATI G T BUILDING C TRUCTION, AND HEflEBV AUTH- Mecha ical $ ORIZ REP SENTATIV O THIS COUNTY TO ENTER UPON TH A E MEJpTlO OPERTV FOF INSF CTION PUR- pre-GFatle PO S. !'� / - � �v B� Insoection $ Z/ Signature ot Appliwnc or Agent ate Pre-Gratle E Permil E Rec. No. Issue Print ApplicanYs/Agent's Name Plan Issuance All spaces within this bo: must be completed to proceu Chetk ey: Approvetl: CMF 0335-46 (BU46) rev. 6/80 �