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Home My WebLink About984 AZALEA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 984 AZALEA DR Suite: Vicinity: � Parcel Number: 41217105 Zoning: R1 R1 Applicanr. LU, DAVID DUC AND LU, THANH Address: 984 AZALEA DR � � ' � - - � - . ISSUED BY: Stalus: ISSUED Applied: 07/26/2002 Issued: 07/26/2002 , ,- �%. � Phone: 714-088-0406 � COSTA MESA„CA :"� � � � , � Zip: 92626 ' , � ;'-. � � �, . � �.;', Owner. LU;'DAVID DUC AND LU, THANH - �\ �. �r �� ,� Address .984 AZALEA�DR _ - - , A: ; � � ! ' � ;' ' � - � Phone: 714-488 0406- - ` A , ��A�� , '- . - ,'COSTA MESA, CA - Zip: 92626 � � ' - ��,`,=. � � � � � ' - '` i� � �`� .�� ; Contractor. ' �.,��: �A,j � j �� \ �Address> � � �� ;A� � � Zip: . . Arch-. _ , ' ...� . Address: , � � „ ,, Phone: Zip: . � � . , License: Phone:.c � � � ', � � �<;. � ; `\ �� , .: ��, ' License:> . _ - . \ � �' \ " � � `. , �- '. . � '': , Eng: � � Addiess:� - � �� , . r i � �,. ` Phone: .\ . ��License: � ' SCOPE OF PERMIT _ � ` ;� �. .;.,.;, ;. � � TEAR OFF�EXISTING WOODSHA E. INSTALL NEW SHEATHING. APPLY��LIGHTWEIGHT MONIER TILE. LESS THAN 8.0 -� LBS PER SQUARE FOOT.. � _� - " . . _ '-_ - - - - - . _ . .. _. . _ .� . , ;" ' - _ ,. . . ',Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 - $167.25 $0.88 $0.00 $0.00 ,$0.00 �$168.13 � FEE SUMMARY ,�%, "- � _ _ � ' �; � _ - � �, - - . /; =. . �� - Calc Valuation: '�� ' _ �Sa,aoo.00- � � j , �� " Claim Valuation: ; ��" � $e,eoo,00 � � . �: , i�r, -� � , �:": ' �, , _,:: �, ; �.. , . - SETBACKS � � MAIN STRUCTURE Front 0- 0 � � ACCESSORY Front - 0- 0 PARKING existinq: `'o � NOTES: ; � PLANNING & ZONWG � � � � � � � . � ; i' fteai 0- 0 _ ' ' Left 0- 0 Right � � 0-�0. � , ��, � -' � = Rear �0-,0 Left 0-0-= � , Right " 0-�0,: � „ � = ii : Re uired: 0 Pr000sed: .0 ` _' , : _ , _ , �. ; %' . _ II NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremeMs under Califomia statutes and related � r�gulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permil shall automatically expire and become void if work is not commenced within 180 tlays, 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 codas, and all requlred Inapaotiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 26<&db (flN0) WORKERS' COMPENSATION DECLARATION: � � I hereby aHirm under penalty of perJury one of ihe following dacleretions: • �- ❑ I heve antl will meintein e certificete of consent ta self-Insure for workers' campensation, es p�ovided tor 6y sectlon 370� at the Labor Cade, irn ihe paAortnance o� Ihe wark for which ttiis pertnit is issuetlJ . . I Q I have e� will maintain worke`s' compensallon insurance, as required by secNun 3700 of fhe Labor Code, for the perfortnence oF the work t wti h Mis pertnit is issued. M workers' co s /a/� nsurence c r and olic number are: , Carner.Y � ,_Y � P Y ' PolicyNumber: O his ction n�ed not be com e ed i/ the rmi is velued ef one bundred dollers ($700) ar less.) I cetlity thet in ihe performance of thla work for which this peRnit is issued, I shall not employ eny person in eny menner so as to become subject b the workers' compens9tlon laws of California, and agree ihat If I shoultl 6ecome subied to the workers' compensetion provisions of Section 37 of Ihe Leb r Cotle, I shell forlhwith comply with these provisions. � �/ _�� Applicant Signature: Date: � WARNIN(3: FAILUqE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T10USAN0 DOLLARE ($100,000), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIqJ 37080F THE LABOR CADE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLAR I hereby ettirm Ihat I am licensed under force and eftect. LiC. # _ CoNrectofs Signature: CONSTRUCTION LENDING AGENCY:" ❑ I hereby 9Hirm that there is e consti Lenders Name; SignaWre: of Chapter 9(commencing with Section 7000) ot Division 3 oi lhe 8usiness and Protesslons Cotla, end my license is in full _ _. _ ._ Clessp . lending agency for the performance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Address: Date: OWNER-BUILbER DECLARATIONS: � I hereby aBirm �hat untler penalry of perjuryl� [het I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Pmtessions Code: Any ciry or couny which reqmres a permit to ConsWct, alter, improve, demWish, or repelr any structure, pJia to its issuance, also requires the appUcent �or such pertnit to tile a signed statement thet he or she is licensed pursuant to lhe provisions of tha Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) ot Dlvision 3 of the Business and Professions Code) or that he or she is exempt therelrom and lhe besis for the alleged exemption. Any vlolation of Section 7031.5 by eny applicant tor e pertnit cis ihe epplicent to a clvil penalty of not more than five hundretl dollars ($500).): i I, as owner of the properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and lhe structure is not intended or oltered for sele (Sec. 7044, Businass and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves Iheraon, and who does such work himself or herself or through his or hei own employees, provided that such impravements are not Intended or ottered far sele. I�, however, the building or improvement is sold within ane year of completion, ihe ownerbuiltler will heve ihe burden ot proving thet he or she did not build or imprwe for puryose ot sale.). ❑ I, as ownef of ihe Droperty, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct �he projec[ (Sec. 7044, Business antl Professions Cotle: The coniractors License Lew does not epply to en owner of pmperty who bullds or Improves ihereon, end who contracts for such projeq wNh e conirector(s) ticense pWsuent to the Cantrectors License Laws.). ❑ I am exempt under sec. � Business end Professions Cotle for ihis reason: Signeture: I Date: Owner ID venfiecl by driver's license. Ves ❑ No Driver's License No. Ezpires: Vedfication of pwnership by (type of document, i.e. - property tax blll or tleed): DIVISION OF INDUSTRIAL SAPETY PERI ❑ I hereby certify ihet no excevatlon fivi pertnit, and that no building structure, 341, 71tle B, Califomia Administretive ❑ As owner-bullder, I will not employ e permit to do such work irom the divisi SignaNre: Division of Industnal Sefery Permit Number: 5 ARDOUS MATERIALS AND EMI53101 WIII the epplicant or present or future b matedal? ❑ Ves ❑ No (Section 25505 of the Celifomia Health business which has at eny one time du or 200 cubic teat of compressetl gas at .............................................................................. . ...... Does or will the applicent or present or I (Sectlon 25533 of the Celitomia Health one time hes on hand e quentity of e compresse0 gas ef sfandertl lemperefm ............................................................................ . ........ Doas or will the applicant or present or I ❑ ves ❑ No (Section 25534 of the Californie Health Depenment of en RMPP by businesses ..................................................................................... If en RMPp is presenUy required, has S ...................................................................................... Does or WIII the applicent or present or trom ihe Soutn Coest Av �ualiry Mena( (Seclion 858502 of the California Gove ............................... ...................................................... Will any part o+the faciliry to he wnstru� (If'yes", ihe faciliry must meel the requi ..................._................................................................, If e pertnit from the South Coest Air ( aoolication. heve ell of the disclasures [ ;ATE OF COMPLIANCE: Hezardous Materials and Signeture: CERTIFICATION: - or more teet in dapih into which e person is required to tlescend, will be made in connection wlth work euthoAzed by this �Holding, falsework, or demolition or dismamling thereof, will be more ihen thirry-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. to do work which would require e parmit from the Division of Industrial Sefery, es noted ebove, unless such person has a Dete: acupant need to file entl cerlity a Business Plan for emergency response to release or threatened release of e hazerdous th some exceptlons, t�et e Business Plen be filetl with ihe Costa Mesa Fire Depertment by every of hazardous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, e building occupant need to tile a registration form for acutely ha�rdous meterialsl ❑ Ves ❑ No Sefery Code, with Some esceplions, requires reglstretion with ihe Costa Mese Fire Depariment by eech Duslness which et eny ly herardous meterlals equal to or greater ihen e weight of 500 pounds, or e volume oF 55 gellons, or 200 cubic feet of occupanineea ro prepare an end Safery Code provides that the Costa Mesa Fire Depertment may require I :h are required to register ecutely hazerdous matenels with the Fire Departi ... .. .. ... ................................................................................................................................................ �n 25534 ot the Celifornia Heelth end Safety Code been fully complied with � .......................................................................................................................................................... . ...... �e building oCcupant fequire tor ihe work which is ihe subject ol this e plic int Disidd or from any other air pollution conirol disinct or egencyt � Ve dnt Code requires that ihe reQuested information be fumished an applicatioi ......................................................._.........._...................................___....._.._............................._.... untler this pertnit he within 1000 feet from lhe outer boundarles of a school �nt oF Sections 25534 antl 42303 of tha Califomia Health end Safery Cotle). ................................................................................................................................................................. ry Manegement Disirict or other eir pollution control district or egency is rihwd bv Celifomia Hnfllih and Sa�eN Code S8C1Ion 42303 been made? [ �tion Program tor acutely hazeMous meterials)7 preperation, certificatlon antl filing with the Fire nt. ............._._._._...............................,............................................... ❑ Ves ❑ No ........................................................................................................ �n a Pertnit lor such ConsVuctlon ar modlflcetion LI No for non-residentiel builtling permits). ......................................................................................................... ❑ Yes ❑ No ........................................................................................................ aulretl for the work whlch Is Ihe sublec� of this that under penelty of perjury the infortnation given above is corred. I agree to comply with all state lews and ciry o�dinances Dete: CERTFICATE OF COMPLJANCE AND AUiHORIZATION OF ENfAY: I cenify under penelry of perjury Ihat I have read this applicetion entl stete thet the information given is correct. I egree to comply with ell siete laws end ciry ortlinences relating to building conslmctlon, and euthorize represenlatives ot the Ciry of Costa Mesa to enter upon the ebova-described prope for inspec n p i es. I agree not to acupy o� ellow occupancy of eny building authori e b ihls pe t until fin I inspection. ��- � ��n`�c�� i��nn..o.�.F-- . . T Date COUE �, INSPEr.T�ON7YPE 1816 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Flnal Re-Roo� 201 Final BIocWRetelning Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PA� ItQIIIELi i � COOE� INSVECTIONTYPE 206 Finel Mechanical 20B Finel Plum6ing 210 Final Electncal 212 Final Fire Prevan�ion 220 Final Planning Approval 222 Final Site 250 , Finel BuildinglOccupancy Date P9IE II�EL� Applicant to fill in all spaees except CITY OFCOSTA E� C NSTF�UCTIO� PERMIT Project Address � lJ�' Applicant's Mailing A dress � Owner's Name ��/' Q Phone-S� Address �� G� -r' � Arch/Eng. License No. Address � Contrector's Nam � hope Address(m �� /� �� City Licen N � �l . � LICENSEO CONTRACTaR DECLARATION I hereby atti�m that I arn litensetl untle� p�ovisions of Chdrte� 9(commencing wilh section 7000) ot Division 3 oi the Busine55 antl Protessions Cotle, antl my license is in fu f c antl effect. Llcense CI i n No Date � ' S�9�ahre WORKERS' COMPENSATION DECLARATION I hereby affirm tnat I haVe a certificate of consent to self-insure or a tertificate �f Workers' Compensation Insurance, or a certifietl copy thereof (Section .800, Lab. C.i� q Policy No. � Company � � M(PTION ROS hWORKER5CaC0 B�T�DECLARAT� ' (This section neetl not be �ompletetl if the permit is for one huntlretl ($100) or less). I certiry that in the performance of the work for which this permk is issuetl, I shall no[ employ any pB/son in any manne� so as to become subject to th¢ Workers' Compensation I-aws ot Cali(ornia. Date Si9nature NOTICE: If, after makin9 this tlecla�ation, you shoultl beCome subjCct to the Workers' Compensation provisions of the Labor Catle, you must forihwith [omply with such p�o��sions o� this permit shall b¢ deemetl �evoketl. CONSTRUCTION LENp�NG AGENCV � I hereby affirm Ihat tM1ere �s a construction lentling agency for the petfiormance oi the work for which thi5 permit is issuetl (Section 3097�.Civ. CJ Lentler's Name Lentler's AtlG�ess � OWNER BUILDER dECLARATION 1 M1ereby aftirm that 1 art� exempt from the Contractor's License �aW for the tollowina reason lSeciion �031.5 Business antl Protessional Cotle: Any city or ermrc to consvuct, aite issuance, also requlres that he/she is licensetl ,•�heretrom antl the basis for the allegetl exemption. Any violation oi Section 031.5 by any applicant far a permit subjects the appli<ant to a civil �enalty of not more than tive huntlretl tlollars ($500). ❑ I, as owner ot the Property o� my employees with wages as their sole compeniation, will tlo tPe work, antl the StrUctU�e i5 not ��tentletl or otteretl for sale (Section �044, Business antl Protessional Cotle: The Contractor's License Law tloes not apPly to an owner of a property who builtls or improves the�eon, antl who tloe5 such work himseli/he�selt o� tivOugh his o� her own employees, provitletl tha? such improvements a�e not int¢ntletl or ofteretl for sale. It, howevar, the bu�ltling o� imptovement is soltl witnin One year of com- � pletion, the owner wlll nave the burtlen ot proving he/she tlitl not builtl or im- prove for the pur0ose of sale). ❑ I, as owner of the property, am exclusively cont�actin9 with Ilcensetl mn- tractorstd construct [he P�o�ett (Seation J044, Business antl Pro5e55ion5 Cotle: The Contractor's License Law tloes not apply to an owner oT property who builtls or improves therCon, antl who contracts for such projects with a con- tractor(5) license pu�SUaq[ to the Contractor'S License Law). I am aware that proof of their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Se�tion B. & P. C. tor this reason Date Owner I hereby certify that I have reatl tM1is appli<ation antl state that the above information is correct. I aqree to comply with all city antl county ortlinances antl state laws relatin9 to builaing wnstruction, antl hereby authorize repre- sentativ¢s of is dty [o enter/� 9P the above-mentionetl property fo� inspectlon p J $�/� /en //�j/�� .—/�/^� Signature / j[9�G" ��:�WC� oai� U Driver5' LicenSe or 55 "` �� within heavy bortler Iines antl sign all aOP�opriate tleclaralions. tACT NO. LO'f NO. UNIT NO. TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION �IYF ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PEFMIT ❑ GRADING FOUNDATION ❑ STRVCTURAL ❑ TENANT ❑ ELECTRICAL PIUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTIOPf SQ. FT. - OCCUPANCY— CONSTRUCTION TYPE VAIUATION $ ZONE GRADINGCU.YDS. ACRES— Remarks: Bar Sink Backflow Preventer Backflow Irrigation ' Bathtuhs Clarifiers Dishwasher Drinkin9 Fountains Floor Drains Flaot Sinks Gas Service Outlets Inte�ceptors K�itchen Sink Lavatories Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust SYstem ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0�700,000 BTU 0700,OOOBTi Reinspec[ion Fee � $75 CMF 0865�46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Isue Fee Hood or Typel ❑ Canopy Typell ❑ Pefrigeration Sys[em ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee IR FEES $ 3 $ 3 A.P. # S Main Building: E T Front B Rear A C Right g Left Ping. Ref. # Planninq Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Oryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device eazes Outlets Switches Garbage Disposal Generator DO-5 KW 05-15 0230 II/24/B7 Accessory Parking Req./Provided 5,00 Tl Zone _ .�. .. . ELECTRICAL � , Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over700amps Sub Panel Motors �0-1 HP O i'f, - 8 Inc.Solar �9-15 HP 016-15+ Microwave Pale Light Standing Sections Tiash Compactor � ReinspeMion Fee �$15 � ' Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Appliwtion Issuad By � FEES $ 3 Z O N 1 N G H E Q M T S SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT ' PLUMBING $ � ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $- , ELECTFiICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL $ TOTALFEE $ � PLAN CHECK Z5% $ CONSTRUCTION AND PLANNING � POOL & SPA � . • � , APPROVALS Permif# I� Date Inspector ' Date: Inspector � APPROVALS Permit # � � . 1' Temporary Electric8l-Service or Pole 52. Pool & Equipment Location ' ' 2. Soil Pipe-Undrgrnd. ' ' 53. Steel Reinforcement _ , � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms r" � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i, •k�. � , 5. Steel Reinforcement � 56. Rough Plumbing & Pressure,Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GIlNITE � 7. Footings �.� 58. Electrical Conduit-Undrgrnd:,'� 8. Foundatiod t�. •� � 59. Gas Pipe, � Undrgrnd., Test" • � t : 9. Water Pipe,-Undrgmd. , 60. Backwash Lines, P�Trap, �'Undrgrnd! 10. Structural Floor System ' 61. APPROVAL TO DECK �} . 11. Property Sewer Line & House Connection 62. Backwash & Recepior-Final ' 12. Sewer Cap 63. Heater & Vent-Final ', � � . - 13. Roof Drains 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 ApAroval. ' 17. Rough Wiring Siqn - 68. AP.PROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling ' � 69. P.00USPA SYSTEMS FINAL >, 79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# � _ - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas D Oil - 23� Gas Pipe-Rough & Test 72. Underground Flush '. 24. Roof Framing, , , 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro � � '' � 26. T-Bar Ceiling (Structural) & Monocoat � ,75. Dry�Chemical � � 27. Frame and Flashing -' - � 76. Dcy Standpipe � . . � 28. Lathing & Siding 77. •F.I�XED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIF.ICATE ISSUED . !�'" 33. Final Eleciric Notes: . � � - � (�'� �� 34. Final Heating'& Air Conditioning � . . �� .� 35. Final Gas Pipe-Test - � ' , 36. Hood or Canopy - 37. Final Factory Fireplace ' � • 38. Final Plumbing 3•� � 4�p � , , • 39. Water Service-Final ' � . , �, �. � -. 40. Gas Service-Final � • ' . � • .41. Solar pomesticFinal - . � ' � � ' 42. Backflow Preventer � ' � . I . , 43. Backflow Irrigation � - . ' - 44. Landscape Irrigaiion System . � � � 45. Sound Attenuation � � . � , ' � ` 46. Handicap Regulations �� _ , �- �. - - , . 47. FINALSTRUCTURE&BUILDING " " � � � • , i � 48. Special Requirements Completed , � ' - ' � " 49.� Electrie Release to Edison � � � � � ' �' , _ 50. Gas Release to Southern Califomia Gas Co ; - ' .- � 51. CERTIFICATE OF OCCUFANCY "' . - No. Date � � ' � .. � - . . � ' . �. _ .i ;.. / � �Y - 36912 COSTA MESA BUILDING-SAFETV DEPARTMENT ZOZ B P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ADDRESS owNeaI,piRWIN SOUTHERN CALIFORNIA ADDRESS 16255 Ventura Blvd. TEL. ciTv Encino, California No. CON5TRUCTION Larwin Southern Ca LENDEfl BRANCH 16255 Ventura Blvd. nooRess F.n�inn� Califnrnia 9147 ARCHITECT _ . _ _ . . _ TEL. JUL-5-73c�sq�0 2st� ***139.04 APPLICATIOIV FOR BUILDING PERMIT '�EIVEDBV DA EIVED D'�/�y/TEISSU J / �� . A.P. NO. BUIIDING AODRESS FIFE aooaess 9100 Wilshire Blvd., B.H. ZONE APPq CONTRACTOR Larwin Southern Calif. Inc. ev AODRESS 16255 Ventura Blvd. TEL. cirv Encino, Ca}ifornia No• 986-889 STATE CITV uc. No. 191311 LIC. NO. B�1 OF LOT NOW ON LO O 60 X1�0 USE OF EXISTING BLDG. SIZE OF 1436 sf NO.OF 1 NEW BLOG. ROOMS STORIES EXTERIOR WALL ROOF COVERING stuCCO COVERING WOOd shing USE OF BUILDING AND WORK TO BE PERFOFMED , Rea. I he�eby acknowletl8e that I have-reed this applicetion antl state that the above intormation is correct and agree to comply wlth all laws regulatin8 builtling construction, and I shall not employ any pe�son in violation ot the workman's compensation laws of the State of California. I hereby certify ffiat I am prope�ly licensetl as a contrectar untle� Me State ot California Business antl Professions Code, Divlsicn 3, C�epter 9, entl thet such licenses are In full force and eftect, or I am exempt trom U:e prOvisiOnz Ot the S[ate of California Business entl Professions Cp7p7ne, Division 3, Chapter 9. signature��l/,��i�V/f//!� D. DOWR3 Parmittee 7 �6 Authorized Agent TRACT /.�S /I " LOT ` NO.OF USE OF NI PLANS � BVILDING VARDSAPPROVED VAFDS MAIN BUILDING ACCESS( � � - Z/r'- %� THE AMOUNTSHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTAB�ISHING A PERMIT FEE ONLV: VALUATION ��SD � PE MIT FEE $ aa�,�G�o r,�,s � $ ��e PLAN CH CJ$ W � 0 i ¢ 7 m E `o LL a� , ��.+:�$ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 F!IG 15-75�A�oOO 914# �*�**5.50 CMSF APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only A � RECEIV DATE RECEIVED DATE ISS D ADOR�SS � I %�'Z /YL F" �' ' OWNEF ��G�� / � "` �Gt A.P. NO.K ��_� //�D � RMI NO. MA I L BUILDING r, ADDRESS ��h`C ADDRES$ �f y C(}� � C �,'/ o�, TEL TRACTlS�� LOT BIOCK CITV Of /-� � No. SY6 !bz CONSTflUCTION S4 EW AD LENDER BRANCH � I/ OWNER L 0..�'(� ADDflESS ARCHITECT TEL S ��eE �a�VALU$ �� OR ENGINEEfl N . FfRE ADDRESS ZONE E GRO P APPROVED � CONTRP.CTOR QCO�Z'Ph�jG�� ,pf;� gy DATE ADDRESS ZONE NO.OF USE OF NEW CITV NOL � P�� BUILDING p ��Q STATE CITV VAflDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSOflV BUILDING SIZE NO.OF BLDGS. (FROM C/L STFi ET /+ p� OF LOY NOW ON LOT FROM �fi /J FT. USE OF 5 / •.i^ EXISTING BLDG. F . FT Separate permits are required for L. SIDE /✓ FT. electric, plumbing and heating work. �O ,/- fiEAR FT. FT. USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & �p , ,/ MAIN BLDGS. ACCESu. BLDGS. SIC( � ��U Y��"�{�I � AJ�L VAR.# DATE C.U.P.� Q APPROVED APPROVED �" �/�� /�� %a-� d iV I hereby acknowlatlge thet I have reatl this applicat(on entl state theT the ebove Informetion is correct and agree to comply with ell laws �epuletinB building construction, antl I shall not employ any person In vlolation of the workman's compensation lawa of the State of Celifornle. I hereby certify that I am pro0erly licensed as a eontractor under SQ. FT. the State of California Business and Professions Cotle, DIvlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Cheptar 9, entl thet such Iicensas ere in full force antl effect, or I THE PURPOSE OF ESTABIISHING A PERMIT FEE LV: am enampt from the provlsions of the Stete of California Business VALUATION PERMIT FEE $ entl ProiessionsCode, Division 3, Chapter 9. Signeiure cf �� PLAN CHECK $ ��'� Permlttee ,� I�il _ ��'�— $ 2�� f7 TAX $ D / •�v AuthoriYed Agent TOTAL PAI D $ Q ER I{IIif',, Richard M. DATE � GAS � WATER � FOOGH PLUM6ING �PROP. $WR. LINE SPRINNLING SVSI MISCELLANEOUS CON. ROUGH MEATING AND Alq CON�ITIONING UN�ERGROUND U POWER U ROUGH WIRING � TRENCHES � FORMS STEELf FLOOR $VSTEM ' BONO BEAM � STEpL REINFORCE SHEATNING FRqME PND F� L<THINf. — IN PI 5 VENT., REFRIG. AN� A.C., F . FINAL FNO GAS TEST rI EIECTRIC, FINAL I A I_ _� ouii niur. r�uei >- � SUBCONTRACTOR �tA: TRACL N0. s � IAT N0. � � �� ✓. I.JA:ii Pu1S2. V.4�Y.�. :(J(< Vi.GJ � i�, . • . �i t. _ . . � � ' ' . . -,��w,4..� : %. e . . . `. . . �.k'i' . - ,',; :,.: , �: ' (:.JJ'l.� .f' ♦ 9 The developer of the above entitled tract desires to sell the above aet forth lot prior to�tha time that the tract has been,completed and its streets accepted,'by the City of Costa Mesa. , . , The unde igned, by executing this agreemen:, acknowledgea that �e—ei�e� (c,�.1sF were) %J� advised that this tract has not been given inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City, at the time the final tract map was approved: The City assumes no liability for the enforcement of the conditions necessary for appzoval other than thoae conditions protected by aurety bond. The undersigned agrees to'indemnify and hold the City harmlesa from any claim resulting in damage or personal injury to the undersigned by reason of.the aforementioned uncompleted condition. R c . � BY Purchaser �/�,_ . �. �(�/'� � BY �_,�.2tir"�c.z�cn �ll��_,"L�R�'C? Developer and/or authorized • . representacive ' $Y ��is�fci� /1!/�: �ru T nder � � �'� c f ��vQ � ,, � �� n � .Q �� ' . ��t �� a.,- , � 0 .. i � .�"Q �� `� � � �? � 3S 3on A PATIO COVER DETAIL 6/1/67 �STATE--r��r, SPA�� SPA� SIZE � � OVERHANG e� , .. RAFTERS:� ' r� SLOPED FOR DRAIN MAXIMUM %TS AN `BEC C STATE 3/�gX2° � � � z f .^ POST % POST-BEAM CONNECTION 3/g x 5 Logs 32% Predrill Ledqer � � Predrill Exi�tin9 Y4'3 D JOIST HANGEF or other appro� ot suppurf a ti ALL LUMBER OOUGLA CONSTR(/CT/ON' GRA. �� SHOW SIZE SHOW SPACING . ' ' SHOW LOCATION ON REVERSE SIDE, �— SLOPE ro t e f�'`�, :��`. a� :.:-'PUDD�E�D.. T ' •.. � aiN D FIL DROP PATI 13 �� : Remove Grass And Weeds Down To Notural Grode � 12� � ��'�` � CONCRETE MIX 1:3�4 MAXIMUM WATER CONTENT POST ANCHOR �1�a�..��:' 7t GALLONS PER SACK CEMENT. For Pipe Post. Embed r12� ' Provide 26 Ga G.I. Flashing At Wood Floor Co Pipe In Footinq. � Provide Flmg¢ Or Weld Plate Scre�xed Or Bolted To frome. � FORM BU-�0 oF . .�1Ja18CI TO e�'u�.R � , �ti�� _ �OPR REQ01 l��c�a�� 'l l�C�v�� STA MESA IG DEPT. 16. D6PT. , „�7l i -�� I�� . . .._. ._. � - . roje��"�A�PR�VED Ci of Costa Mes 8uilding PLANS MUST BE�ON JOB AT ALL CHANGES W� OUT PRIOR APF OF DE . TH ISSUANCE OR GRANTI OF A PERMIT OR APP OVRL DF PLA S HND SPECIFICATION SNALL NOT BE COhS UED TO 8� -PEft+N1T-FOR,-Oft-AN- PPROYAL-OF,-ANY-VIO TION. . OF qN THIS CODE. NO PERMIT PRE- SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCE THE PROVISIONS OF THIS CODE SHALL BE VPLID, EXCEPT SO FAR AS THE WORN OR USE WHICH IT AUTHOkIZFS IS lA fUl. TNE ISSUANCE OF h PERMIT BASED UPON PLAN AND T PREVENT THE BUILDING 0 ICIpL FROM THEREAFTER REQUIRING THE CQRRECTiUR"�F,E i. SAID P NS AND S�ECIFICATIONS�OR FROM PREV /Gj' UILOIN �idQNS EtlQP,+�ARRIF,pA►I�7HEREUNDER ` N v�OLATI N OF THIS CODE OR OF ANY OTNER ORDI � OFTHE�ITY. Co��7 -er4 ENTING WXEN NANCE