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HomeMy WebLinkAbout366 SEVILLE LN - Building Permits 144 CITY OF COSTA MESA — BUILDING PERMIT a - ©D t ` ADDRESS OF swings 366 SEVILLE LN MT: l r� omERSNAMEIclwomc KEJSAR, MARJORIE ELAINE PERM NO: P 086297 ADDRESS; TR 366 SEVILLE LN PERMIT NO: P 086297 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 APDL.MARIIi ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER; uc.Nm JOB DESCRIPTION : WATER HEATER CHANGE—OUT SQ FT: ARCM OR ENGY ADDRESS; UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / cCNWACTarstime COAST ROOTER & PLUMBING ( 714 ) 241-1414 CONIPACTORSMMENO 2737 S CRODDY *O**IE(.***iE+E+NEO+EO+TE+HE1EEiRFifiWEO*iKf3EiAFKMTHEOiREiIE3ZE+EED#HIYFiEiTfiEihTHIS +r+PE1EEiRFiMt+piTEifiF#3E#fFiEKiFiE+E#jEiE+ElfiEiEif If K+E�E3fjfiEiFNa1K AppREgg: SANTA ANA CA uc.xo.: 529127 92704 UNIT: D ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby dfrm under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Sec4on 7000)of Division 3 d the Business and Professions Code,end my Mame is in lull lora and ailed. clnuc.No.:045140 uc.cLAss: C-36 UC.NO.: 291 7 EXP: 06/98 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN j' ode: /9/21 77 Colorado LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN gumNNER BUILDER DECLARATION:I hereby affirm under penally d jury that I am exempt from the Contradors License Law for the mes Pow:por reasons.+onToataSesames wPma�eacade:" ay«�ayw area:„.wmaro�mws.ax«,:epee, PARKING REQ: PROV: PARCEL: 43914230 ZNE: REF NO: doh, rear a y nudist.paid to be issuance.also melbas the applicant for such permit to file a signed statement that he or she licensed pursuant to the provisos of the Cdnr.dara Lions Law[Chapter 9(commencing with Soden 7033)d Derision 3 of the PLANNING NOTES> nad Professions Cordal d That he or she is exempt therefrom end the basis for the alleged exemption.Any violation dSedanSn > 7031.5 by any applicant for a pannitaublede the yolked to aavi penalty of not more than bee hundred dollen 155001). iElE3ElE1E1FiflfiFlEMiE1ElE1ElEIEMIFIliF1E#1ElElEIEMlEiklElEiElE1E1E#iE1E1E1E1EMIF1EiEiEififllfE9EiklEifiE3E1E1E1t Mdt1E1E1F1E1E1F1k1ERE3Eif1EiElflElkif ❑ I.as owner of the proany or my emPkwee°vdh wages ea their sole compenwion,will do the work,and the atmcure a zar intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to en owner of properly Q who bolds or inproves thereon.end who does such work himself or herself or through he or her own employees,provided that such improvements are not intended or offered for sale.It however,the building or improvement is sold within one yeas of completion,the ZONING APPROVED BY DATE: ` ownerbulder will have the burden of proving he or she did not build or improv for the purposed sale). ❑ Professso Code:TheprOContractors eonLalwddoose not ng‘4th a erapr whoo boltcantrud the s oca r improvvTesththreoonn w who BUILDING APPROVED BY t DATE; amen for stun projects with a contnead(s)licensed pursuant to the CdNadars License law). ❑ I am exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE- CZ Z-3L42 IkIFIFIrIFIFIktFSkltlk****#iFlk#**IF*IF****IE****#7Fik******IFIF*IF#IF IF IFIFItIFIFIFItIFiFIFIFIFIkik**If *Ik**IE* #ick Dam: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby candy that I am aware of end understand the requirements of Canaria Health and Safety Code Radices 25505.25533.end 25534,and that 1 or any future budding omnpnt will/will not(omit one)need to comply with said date codes and the requirements for a pennlfor mnslmcten or madifration ham the Ar Wally Management D'etnd.Residential const onappkalens me exempt hem these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING lwovisiom. PERMIT _ 11 . 00 Date: Applicant: 2 5i SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN a I haveadwl maintain acenecate d mneentm"[km"/awaken'compeneatdna° , pravided bSe icor y dien 00 d thelabon ISSUE FEE 22 . 00 ❑ Code,for thepedon cedmawedrforwlichthiPermhlsiesad. 37BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 3 !have and wumsides.works'compensation Marano*, 3700 dmeLaborCode.ldtheperformanceofthe TOTALS— — > 11 . 00 22 . 00 0 .00 33 . 00 33 .00 . 00 work for whirr this permit is issued.My workers'compensation insurance anier end policy number are: Carder: CAL COMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 33. 00 OVER/SHORT: 00 Policy Number. 09711T7BT4 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ' (This section need not be completed A the pard is for one hundred dollars/Stro)or less.) 33. 00 ❑ t certify that in the performance of the work for which the permit is issued.I shall not employ any person in arty manner so as to become erupted to the workers'compensation laws of California.and agee dun I slcdd beer"aubled to lb..endows' * FkFMFFFMFfFMkFliktkkkE ***MFkM FikttffEEFkf******* FEk4EttttIEEMNME • 4FIkEfk*** FFMikE compensation ions ofedion 3700 d the Labor CodeI wag fr� M1h comply ' those provisions. Dae: � 7AaN: ,.--1 INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers compensation coverage Is unlawful,and shall subject en employer to criminal penalUn and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Urns rpt to one hundred thousand dollars($100,000),In addition to the cost of compensations damages as prodded for/n Section sloe of the Labor Cods,Interest and atronrsy's/ors. PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under anally of perjury that there is a construction lending agency for the END OF FEES performance of the wont ler which the pent is issued(Section 3097,CN.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have reed this application end date that the above information is conedum .I agree to empty l city arid a with allcounty ordinances and state Taws remlag to budding oceaNtldn and hereby aandie representatees of the ay to enter ran the above-mentioned properly for inspection purpeese JOSH GLOVER 12-23-1597/02:53 Fut/S33.03 Pdni ame /'/?.f/1 PERMIT:08629 77 Meg d Gwner/AgendAppIcsnt Conndd ore.: � a (5151.4e.WP) White-Building&Safely:Green-Fle;Canary-Appkcanl;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING P00.. . SPA - APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service.or Pole 52. Pool & Equipment Location • • 2. Soil Pipe-Undrgrnd: 53. Steel Reinforcement _ • y 5.----Electrical Condttit,l)tility-Urlcdrgrnd. 54. Forms J • S 4.'€lectrical Conduit-Uddrgrnd. 55. Electrical Bonding ^'S._$[eel Reinforceinl?'rht- 56. Rough Plumbing & Pressure Test • :';;6.-ElectricalUF64Grnd. 57. APPROVAL TO COVER-GUNITE ...- ._-.25 7.4diotings st.y .0 58. Electrical Conduit-Undrgrnd. -;.8.-Foundation �� _-� T./ 59. Gas Pipe, 0 Undrgrnd.,Test m9. Water Pipe-Uncf-grnd.G 60. Backwash Lines2-Trap, 0 Undrgrnd. d i0. Structural FloonSystem 61. APPROVAL TO.DECK , , r1. Praperty SewerSLine'& HouseConnection 62. Backwash & Receptor-Final 12. Sewer Cap ''r ' 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final , 14. Rough Plumbi y : 65. Electrical-Final , 15. Rough Electrical-Conduit -.. 66. Solar System-Rh-all x-, 16. Rough Electric Wirings ,67. Fencing & Aces,Approval 17. Rough Wiring Sign v 68. APPROVED POR PLASTERING nin, 18. Rough Electric3TT Bar Ceiling 69. POOL/SPA SYSTtMS ANAL 19.-Rough Hgating &•Ajr Conditioning ..r..,. ,. 21 IM Z,: •- t EtRE.QSPT ZEOUIREMENT cl 20.410tiih Fatto& Fie lace S'- *. -a. 1-1 74 t '- APP,RO' S4-' Permit# . [7, J i_ 1-4 "Jr, T.S .1: r `7+< e^ 5'J I`5 II �L -r ♦ .. ... .1 V --it. . -1 711-0 7 ' 21.:bueis, inr�truttufg4 e•- k 0 n - 70.;-Undergeeuud Hydro * _ t..^ 22.'�uct's,VentilStinglt _0 'S CJ tiff 71. Prodt Piping as Oil y 23. Gas:Pipe Rough &-Test •• -' r .0 * '� - Sn 0 72. Underground etus`h 2 :-• .. C.,- fv' , .F C ;r � rri24. Roof Framing * % Tit~ ''-r;< 71. Undergrbd.Str&Wa e Tang D Gas D Oil 25.0ooE.Sheathing .`". y V� y " ri jX 741. Overhead Hydm,; a 26.3'-Bar'Ceiling (Strocwrall & M&tEcoat * O Ct 70. Dry Chemical $ - _ 27.-Frein`e an"d Flashi 7x.' .* t1' v (b,: -• t `"'�`.! * m -,trl t a: >,* 76. Dry Staollome:0-1 . ..: 7 .0 x , 28. Lathing'& Siding,: rata-- O x I I 771, FIXED SYSTEMpFiNA4L'4 f'' .-. -n 1 i •u x •., 29. Insulation ='* T. •• M i F7S 8,.FIRE�OREV. A AL t*. ? cc C .rT. S 30. Drywall-Nailing .-.x •4 c i- , 4: 1 -j :11HEALTH DEPT. REQUIREMENT - r N; -i•. , r,.; . r� * 0 rn ce 31. Plaster &own CoaS _ .". ht. `r 79. FINAL il$SPECT.TON . - r s ", ft. 5 • 32.-Electrical:Power Meter-Final t r, I y 80: FOOD CERTIFJCATE ISSUED+ 33. FinalElectric: �,m s. C. ;_ � n 0 x ., Ngtes: - <4. :CP* �ti_ M I • - _ • 34.;Fingr,Heating& �Centd.t.onm? r•„. ric; r I , -- . rt^t � 35.iFinal Ga;Pipe=Te D �" - ;� d` cirri cirri I. _ M ,---- a. . -j 36.�1oo¢orVCanopy .r.rri * 1: rr; co * n cy •. _ r s n + p1 t 37. Pinal'Factory Firee]p ce SC `" s * CO {Lr: 9 = N • Sak l�• �: -r' k • 38. FinZPlumbing .-r* rn I is I I l': r-4 I __ - ? '4 ., , 1 z1 x; m 39. Water Service-Final- T. t G ( it : ADDRESS OCBIALCOM: 366 SEVILLE LN __ _ CITY OF COSTA MESA — BUILDING PERMIT •OWNEasNAIIEimmiN: KEJSAR, MARJORIE ELAINE . _ PERM NO: P 081707 ADDRESS TR 366 SEVILLE LN .� PERMIT NO: P 081707 PLAN CHECK NO: N GOVT: N SUPP : N :OSTA MESA,CA 92627646-5539 S1 4 APPL.gAlWIG ADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT ORENONEEn: sae No: JOB DESCRIPTION : C/O DISHWASHER SQ FT: ARCH OR ENG'S ADDRESS: LOU: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / gppipAmrsi m NOCK PLUMBING ( 714 ) 895-1246 CaIIRACToas YMWIG 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT STANTON CA707775 sE*****Br*** ASE*sESE******sr+Estitx***+E+EiESExiFSE*yESE+rsE+E*SEs6*iE**+t*HESE***s6*x****iESE+ExsE***iE******* ADOREss. 90680 �� MT: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby mon under penaky drj Fel that I an.keeled weer provisions d Chager 9 SETBACKS (commencing wish Section 7000)d Division 3 of the Business and Prdeatiau Code,end m license b b face ce and effectCrryuc.No.:050 86 LA uc.css: C-36 u 707 75 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING FRNT: _ FT IN REAR : FT IN FRNT: FT IN REAR: FT IN ma: `t Coor _ mat ---11-EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN (A ?am: WNER BUILDER ECLARATION:I hereby affirm under penaly of perjury that I am esempr Itom the Contractors License Law la the ArmiArming reason(Section 7031.5 Diabase and Professions Doge:Any oily candy wfikh requires apmmit no construct,cher,impart. PARKING REQ(� PROV: PARCEL: 43914230 ZNE: REF NO: lm Rh.or rep&anyslruclure,prior to its issuance.abo requires the applicant as for such pee m to file a signed Ma ement Met she PLANNING NOTES> licensed purso uant PRelationsRelationsto IM provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)or Division 3 el Ike > neRelations Cadet or thatand u he eexempt therefrom and the bans for the alpr leges exembn.MY violationdSectionnSection 7031.5 by any applicant for a permit subjects the applicant to a dvi penalty of nor more than lie hundred dollen jS50o1 ******************************************************************************* ❑ I.a owner dlhe property or my era/wee.with wages as their sole compensation,will do dmwmk.and De structure utea intended DEVELOPMENT S E R V I C E Stf R E Q U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Connectors License Law does not apply to an owner of property who bolds or improves thereon.and who does such wait himself or hared or through his or her own employees.provided that such • improvements aremol Wended or offered forsale.b.however.the buibing or improvement b sold within ane year ofcomplrbn,the ZONING APPROVED BY _ DATE: owner-buille,wit have the burden of proving he r she did nor build or improve for IM purpose of sale). ❑ Laa"ref el the mweny.ars eteIT owndiy*en Eawued cenbeaaa f centime'the. d (Sen Tose.Business end BUILDING APPROVED BY : DATE: Professions Cab:The Caractos License Law does nor apply to an owner d NORMS who bwalls or inprwes nthereon and who contracts for such projects witha cereractor(s)licensedpesusm to the Contractors License Lew). ' AffrPX ❑ lamexempt under Sectim: El.AP.C.,for this reason: APPLICATION ISSUED BY: *�E DATE: - 7 *******************************************+E % *********** * ** ********* 9* ** Date: Govmer LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby candy that I am aware of and understand the requirements of Caliomia Health and Safety Code Sections 25505.25533.and 25530,and Mel for anyhnurebuikmg occpemwitywi1 nee oro)need to comply with and state codes and the rpenmeora for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a penis for consume:in or modificalianhan the Aria ananagement District Residential aonmnwion applications are exempt from these PERMIT 8 . 75 provisions. Date: Appkam: 25t SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby Winn under penally of prpey one of the blowing declarations: ISSUE FEE 22 . 00 ❑ I have and wil rnaintail a certilkate of consent io self-insure for workers'compensations provided for by Section 3700 et the labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE �l-'I Code,for the pedee amemoftheworkforwlichMispeamitisissued. TOTALS----> 8 . 75 22 . 00 0 . 00 30 , 75 30 . 75 . 00 /1-� I have end wit maintain workers'compensation'abreact as required by Section 3700 of the Labor Code.fordad the pemwnce the w°dla"hdMb°" d nb®a°d.Nwpn keaoteredpolio/number are: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 30 . 75 OVER/SHORT: . 00 Parent PofiAy Number. NPR_ 32114101 09 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK .his section need not be completed I the pmol S for ore hundred d011Ws plow)or leu.) 30 , 75 ❑ I eerily that in the ped of the work for which this permit is issued.I employ any preen in any manner 00 a 10 become subject to the pre taws d C • ree d I ehoWd become subject to the workers. **************************************************************************,***** compensation prwsbns pre 37 d red Nor Labor Code.I le comp& ' those pariwae. INDIVIDUAL F E E BR EAKDOWN Date: tib ( 'Gnus �a Waning:Failure to secure worker:compensation Coverage is unlash,end one anew ern/Mort to criminal penalties a��PE QTY D E S C R I P T I O N U rl 3D J "TO' COST civil fines rig to one hundred thousand della,.(SIU4000).In addition to the cost of compensation,amps•as provided fir In "„r' i Section 3]060/the Labor Coo,interest,and attorney's yes PLU 1 DISHWASHER sr 85 • lot 8 , 75 CONSTRUCTION LENDING AGENCY: I hereby affirm order penally of perjury gee there's a cceettechen leat sending new/i the END OF FEES ta 4 FEB 2 6 1997 t 2 performance of the work la which this permit is issued(Section 3097.Cy.C). LENDER'S NAME: LENDER'S ADDRESS: CITY OF COS.TA MESA I certify that l have read this application and ams that Dot above information is card.I agree to amply with a0 ay end coons,/ordinances CITY U J f1 MESA and state laws retsina to building construction end hereby authorize representatives of this dry to enter upon the aboe.mrgioned properly for inspecionpurleses.RON NOCK j ///I 0 d P [Nemo Dme: v/ 2-6 E 5/ Signature GwnerlAgent/Appbbnt ontrector LLL (5t51<6.WP) White-Balding A Saley:GreaHae:Canny-Applca.:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOI 'PA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrrd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8.•Foundation 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgmd. 60. Backwash Lines,P-Trap,0 Undrgrnd, 10. Structural Floor System 61. APPROVAL TO-DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater &Vent-Final I 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 Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electricat-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20.-Rough Factory Fireplace : - APPROVALS - Permit# 21.1:Ducts,in Structure. - 70.•Underground Hydro 22. Ducts, Ventilating- - 71. Product Piping-El-Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing - - _ - 73. Undergrnd.StorsgeTank OGas 00i1 25. Roof Sheathing - = - 74. Overhead Hydro - •26. T-Bar Ceiling (Structural) &Monocoat - 75. Dry Chemical - 27..Frameand Flashing _ - - • 76. Dry Standpipe r - , 28. Lathing&Siding` - - - ' - -- 77. FIXED SYSTEM FINAL - - 29. Insulation . 78. FIRE PREV. FINAL . 30. Drywall Nailing - : .t - HEALTH DEPT. REQUIREMENT 31. plaster Brown Coat' - - - 79. FINAL INSPECTION 32. Electrical Power Meter-Final • - 80. FOOD CERTIFICATE ISSUED 33. Fina) Electric . . • Notes: - - - 34. Final Heating & Air Conditioning 35..Final Gas Pipe-Test_ 36. Hood or Canopy . • _ • 37..Final Factory Fireplace - - ' r 38. Final Plumbing 8 39. Water Service-Final 40. Gas Service-Final - _ • 41. Solar Domestic-Final • . -- 42. Backflow Preventer - _ - - 43. Backflow Irrigation -- , - a -44. Landscape Irrigation System - , - -. 45. Sound Attenuation - - _ U, 46. Handicap Regulations - - - _ 47. FINAL STRUCTURE & BUILDING ` t 48. -FINAL PLANNING - • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date Id/DRESS OF BUILDING, 366 SEVILLE LN UMT: CITY OF COSTA MESA — BUILDING PERMIT pR¢RSNMlEIF'"' KEJSAR, MARJORIE ELAINE PERM NO: B 074455 ADORES&' TR 366 SEVILLE LN PERMIT NO: B 074455 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA 92627 APPL.MAIIIIW ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: 0TH ARCHITECT OR ENGNEEIh LK.NO.: JOB DESCRIPTION : T/OFF REROOF W/ 4PLY —GARAGE 25 SQUARES SQ FT: 1 , 505 ARCH.OR ENG.'S ADDRESS: UHT: CLAIM VALUE: 1 , 505 . 00 CALC—VALUE: 1, 505 . 00 GROUP OCC : R-1 /M-1 caNmACTORSNaE ROSS 6 BARROWS INC . ( 714 ) 557-7440 CDNTRACT0RS%SUNO 260 E. ALTON AV COMMENTS: GARAGE ONLY 25 SQUARES ADDRESS: SANTA ANA CA UC.NO.: 327802 + *+t*******fE****>E****************>E*****+t+ ***** !**+ *+ *************:<**********x-*** 92707 UNT: --- Z ONI NG REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby effrm under penalty of perjury that I am licensed under provisions of Chapter 9 SETH ACK S (commencing with Section 7000)of DiW ion 3 d the Business end Professions Code,and my license is in full force end effect. CITY LIG.No.: 0?09 4 IC.CLASS: C-39 UC.NO.: 327802 EXP: 11 /95 MAIN BUILDING ACCESSORY BUILDING ��f/ , / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: 10S� J` _ Contractor ai(( ,/.C�/+--Nc/f-•✓ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN h TWINER BUIL ER D LARATION:I hereby dam under Penalty of perjury Mai I em exempt fon the centrum License Law ter the Rowing reason Business and Professions Code:Any nay or owns which requires a permit toceomwt.akar.improve, PARKING REQ: PROV: PARCEL: 43914230 ZNE: REF NO: awash,or regi any structure,prior to Es issuance,also requires the appficaa for such permit to fib a signed statement that he or she licensed pursuant to the provisions al the Contractors License Law[Chapter 9(commencing with Section 7000)d Division 3 of the PLANNING NOTES>. Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section ;5 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than The hundred dollars j55W)1. ******************************************************************************* ❑ I,as owner of the properly or my wick/see well wages as thek sole compensation,will do the work,and the structure is not intended D E V E:-L O P M E N T SERVICES R E U I R E M E N T S or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not applyto en owner of propertyQ who bolds or inprcves thereon,and who does such soak himself or horse/or through his or her own employees,provided that such - - improvements ger-ddldr will hAOteven the Writ G irorip or she dinot dild or improveing or vel�improvement cis )e°°y°ardo3mpl°han,the ZONING APPROVED BY DATE: o I,as owner re the property,am°ecuively contracting with licensed contractors to construct the project(Section 7044,Business and professions Cam:The Contractors License Law does via apply to an owner d property who builm or improvesBUILDING APPROVED B Y licensedpursuant to the Contractors License Law thereon acrd who DATE: contracts for etch projects with a crurectaRs) ). ❑ Iamexempt under Sectiom B.APC.,for thsreason: APPLICATION ISSUED BY: DATE• . a-"95 DateOwner: LEGALIZATION:N F E E S U M MA R Y STRUCTURAL SEGMENT:Y I do hereby certify that I ani aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,and 25534.and halt or any future building occupant will/will not(dreb pure)need to comply with said state codes end the requirements ler r' a permit for construction or modification from the Ai Quality Management District.Residential construction ction applicationsare exempt Iron these BLDG PMT PLUMBING ELECTRIC -MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 37 . 00 r-" ' . 50 Date: Applicant: , • i SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of the following dedemra tio : PLAN I. ISSUE FEE ❑ I here frrdeJmeimane ofdoorwhich peroobSued.a'cornprntlbn,npwidMfor tr/Sedion37D0oltMLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance d the work for which this permit s issued. - ❑ Ihave and wimainlabworkers'compensation insurance,asrequiedbySection 3700oteLabor Code,fathe perfrmancedN, TOTALS > 37 . 50 0 . 00 0 . 00 37 . 50 37 . 50 . 00 A work for which this prate b wand issued.My workers'compensation insurance earlier policy number we: ' Carrier: FOUNDATION EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 37. 50 OVER/SHORT: . 00 Policy Number: Ta(Q S7'I71V-11 07/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be completed f the panne is for one hundred dollars($1 001 or less.) 37 . 00 50 ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner pas to e become subject to the workers'compensation laws of California, and agree Med if I should become subject to the workers' ******************************************i.************************************ compensation provisions of Section 3703 of the Labor Code,I shall forthwith comp with those provisions. j N D I V I D U A L F E E 'B R E A K D O W N Des: Applicant: • Waning: mww 'compensation coverage Is unlawfuand shahsubject an employer to criminal penalties red TYPE QTY DESCRIPTIO N n UNIT COST TOTAL COST chill finesfinesw to one hundred thousand dollars 0000.000).In addition toothe cost of comleewran damages as Provided for In / _a Section Jpeolthe LaborCode,Interest and ero ey+rwa. SFR 1505 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 505 . 00 CONSTRUCTION LENDING AGENCY:I hereby drum under penalty of perjury that there s a condnwbn lending agency for the END OF FEES performance of the work for which the pe / rms a issued(Section 3097,es.C). LENDER'S NAME: LENDER'S ADDRESS: / i I caddy that I have read this application and date that the above information is conea.I agree to comply with all city and county ordinances / V a. D and stab taws raising to wimple oonatruction and hereby authorize representatives d this my to enter upon the abwe.mentioned property % for inspection purposes. \\\ NANCEE KILBOURNE OCT 051995 Peru Name 77 a /fi,._ •- illi _ o Date: /pl3 Signaturea . of . .nt/Appicanl/Contractor / CITY.OF COSTA MESA (5151'46 WP) While-Building 8 Safety:Green-File:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor ' I __ CONSTRUCTION AND PLANNING S POC SPA . APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash& Receptor-Final 12. Sewer CaP 63, Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final .1 14. Rough Plumbing > 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73- Undergrnd.Storage Tank OGas ❑Oil 25. Roof Sheathing //,�j/9S trall 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ',,/ 33. Final Electric Notes: hi_3Q - y S ,J07 a77:6 34. Final Heating & Air Conditioning f/ 35. Final Gas Pipe-Test 36. Hood or Canopy ////7/for- Ary gsL- ,vs 7r e7 37. Final Factory Fireplace t414sem• 38. Final Plumbing 39. Water Service-Final - 40. Gas Service-Final ti 41. Solar Domestic-Final • - 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No Date OWNER DOYLE & SHIELDS Development Co. ,Inc. DATE 6-3-63 JOB ADDRESS 366 Seville BUILDING PERMIT NO. 19615 GENERAL CONTRACTOR Doyle & Shields Dev.Co. ,Inc. VALUE $ 19,1+17.00 AP No. LOT 91 TRACT 31+43 FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar. INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-2 Soil7-)3.'C PERMITS ISSUED Gas f /-/6-L3 SUBCONTRACTOR DATE NUMBER Water 44-fS /-a---6 Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating rnr/20 r JUL 2 2 1963 12 1• Rough Plumbing h!3--L !i�1 if / '+ 6-,' o - Miscellaneous / :. .• .9--a-4 �I7�'Ti / ! jam "44 ert j A i. a k Prop. Swr. Line v House Con. 18'St. Swr. 0 a ZV3 Cr3 .-. t tom' ' /a-a-63 e. . ' ,---,0Sprinkling System Construction Pole � ref p 1i4 � Underground3' Power 0Ci ¶¶-/6-Cd Rough Wiring Q /2Z.(p3 444.;.-, P�� P SI °6 r ,I11Q21_— Trenches fee- Forms Er Steel Reinf. 0 2./f -0 ' -? ^ / Floor System _r- At 7/f�j7 Of( Bond Beam 0 Steel Reinforce 0 LJ Sheathing I' , 2 Frame and Flashing �`_.l:�a( _ J '` / Lathing— In kr Out 20/ /� ./ y� , Plaster, brown coat ''� ),_„,,7 ^^�i/ 1 11/ Refrig. 0 Air Con. 0 Final p (4' I' Heating, Final +✓ Ye-3-6'Y i./1 / I, Plumbing Fixtures, Final � . --9-6y I 1 Final Gas Test/— r- S -9-fiy U Electric Fixtures, Final y I (,�_ Building, Final ...,;,:s - OCCUPANCY . Form BU4-5M-3-63—s-B P ___ _—— -mt. „T.ni YTTI NU MTC Ig��5 FEE RECEIVED • yin 3 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA J CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDI s S6s I I f For Office Use Only RECEIPT NO. pp�y��-75 COSTA MESA. CALIFORNIA I .`7D /a.) RE IVIED• DATE RECEIVED DATE ISSUED OWNER Doyle & Shields Dev.Co.Inc x-43 I„Ir � ,0C3 MAIL BU INS � -t "EJ {/ 7 ' ADDRESS 831 So. Manchester Ave. A ESS ��//zLLOO 1-2 l Anaheim, Calif No PR 2802 ZONE TYPE V GROUPc .4. A. TELT TEL BYPROVED DATE O (NEER Hai C. Tan NQ.971-281 ADDRESS 4100 West Commonwealth ZONING �]- ZOI PNO.OP� US0P Same UNS I EU I 8LDFi N N --• t CONTRACTOR / v LEGA ADDRESS Same DESCRIPTION Lot 91 Tract 433 CITY Same A.P.NO._ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO.151-25O-B-1 No. PR 28020 90'TO SIDE @REAR P.L. SIZE EAVES OF LOT 33 x 53.50 I NO.OF ALLOWED NOW ON LOT (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. � (FROM C/L STREET) SETBACK LINE FEOM 20.50 I �� FRONT D FT. FT. CENTER OP NE FRO REAR YARD //ff�� SIDE YARD I LEFT I RIGHT R.SIDE 11 FT. FT. DESCRIPTION OF WORK L.SIDE X0'1 FT. FT. NI. X ALTERATION ADDITION REAR /t / FT. FT. DISTANCE BET. BET.MAIN e MAIN BLOCS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH VAR.# DATE 5ZIE DINT�3X53. 50 ROOMS NO.OF 7 STORIES 2 C.U.P # APPROVED EXTERIOR WALL ROOF APPR COVERING 'Stec C4 COVERING Compo BY DATE (c ���� USE OF BUILDING AND WORK TO BE PERFORMED Rin Residence with attached garage , \( Model 42 1824 SO.Fr..• 2cfe N V Cl 7. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SH• UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF Sir A PERMIT FEE ONLY. EO PLY WITH ALL CITY ORDINANCES AND LAWS REGULATING VALUATION / 'T ry BUILDING CONSTRUCTION. n PERMIT FEE $ (��J SIGNATURE_.L� Zit leo •/ m AUTHOPERMITRIZED IZ L-w ` ls4J `l1 � ' $/Q` ll/7 PLAN CHECK $ 3�' 5-71p AUTHORIZED AGENT ! Y �uc1 /n�(,.. / 7 Q elle Y TOTAL FEE $ / co CITY OF COSTA MESA 1, SERVICE REQUEST & PUBLIC ASSISTANCE FORM Date /'J /c2 r't Time 600 Caller's Name (D1, Address g‘(O/ <-J �' Phone ‘4".6'5n Nature of Requesst:: (location, type, severity) (.04- Referred to • Call back El Service Only _-ki ea' / Information Only n Person Receiving Call G/�// , % , ,5 . j ic .w..:,-„, ir,.".;,-,..,;. .4._.,..rsqi,1,...-„,..„,,,.. -,,,,pti. ,;',;.';;:'.2.fliti, ..0'.•-- '"- '-54t '4 4'.,,.'",..1-4; ter -: '05:^:,t(4 t-,- •=g" -.'''" :: '' '' ' ''":: '' ..:,'1 it- r' ''fr....4-,,':-±:f.;irt.. .:'• I:, - 7 •1-' '..' ./ 3,±--'0,C.v ,..:- '1.1T;.' w 4-.,, - - ,,, . -,,'• 'a,t:ct.-. 'clia ' 16" ;„ '1- :',",l'.4'.3.", " '',',. '- ' ,1 \ ri,.. „ ,,tis..,,,—„,..? - FLT -------r- , -.Lt Pi r A"..,,-- - . -ti,z.--,..: , 1:--::„--= , .A•:',-,, lie,„,11 '2 g, i irt'--'-:- ---:::-±--, f--.;4_ 1 „ • . . t€411' --'4, , -':: -:'- CY2-'1÷43,'_';r:: ,":-'4, ••• r'''''"? 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