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Home My WebLink About2753 SAN JUAN LN - Building Permits N. - 'L CITY OF COSTA MESA 4 ' BUILDING DIVISION • • ••j �1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER ra • PERMIT44*Portarso.4% / P06-00744 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2753 SAN JUAN LN Status: ISSUED Suite No Applied: 09/13/2006 Issued: 09/13/2006 Vicinity: Parcel Nunmber: 14164307 • Applicant: ROBIN ANDERSON 10 ®le ISSUED BY: Address: 560 LIBRARY ST - .Phfijc: 800-806-7374 ' SAN FERNANDO,CA/ ip: 91340 Owner: ,DETREN,PATRICK AND ANNA_ Address 2753 SAN JUAN LN ", - - - - / Phone: 707-815-9228- - -��\- f _ �/ COSTA MESA;CA Zip: 92626-5615 - • . / i . :� /Contractor: MASTERSERV INC . - ' ,,!Address;! 560 LIBRARY ST Phone: - 800-806-7374 . SAN• .FERNANDO,CA Zip:' 91340 •!-- . ' License: 580017 \ . . ' _.. SCOPE OF PERMIT . , 'COPPER RE-PIPE FOR S.F.D. ` C FEE SUMMARY - - AMT QTY ISSUE FEE - $23.50 - Laundry-Tub/Washer(- - •_•$0.00.:. 0 . - '.. Sump Pump $0.00 0 Backflow irrigation $0.00 0 - Landscape Irrigation' r- $0.00 0 - Swimming Pool $0100 0 +Backflow Preventer $0.00 0 P-Trap, $0.00 ' 0 Trap Primer , , $0.00 0 Bathtub _ $0.00 0 Pressure Regulator - $0.00 0 Urinal l $0.00 0 Clarifier System 50.00 0 - - Process Piping(per 10 ft)- . $0.00 1f 0 - : Vacuum Brkr Bkflow(1-4) -$0.00 0 Connect(Ice,Soda,etq) $0.00 0 - ' ReceptoFs--' -r - $0.0.0' 0 - Vacuum Brkr Bkflow(5+) $0.00 .0 Dental Units $0.00 0 "' Septic Tank -r- --$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 Water Closet(Toilet)-., , $0.00 ' 0 Drain,Roof '• $0.00 0 Shower $0.00 0 Water Heater,/vent $0.00. 0 Drinking Fountain . '>$0.00 0 Sink,bar :,t4- $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank ' ,$0.00 0 Sink,commerci•al '';$0.00 0 Water Re-pipe $9.80 1 Gas Earthquake Valve $0:00- 0 Sink;Floor - $0.`00.- 0 Water Service ' $0.00 0 Gas(1-4 outlets) $0.00, , 0 •. • Sink,kitchen $0.00 ,-10 - - _ Water Softener ' $0.00 0 Gas(Over 4 outlets) ' $0.00 ,,,,,C'0,1.: " Sink,service/mop •. $0.00 • 0 - ' '-- OTHER .. '$0.00 Gas Repipe . '$0 00 --,:t-, -, Spa(private). ' $0.00 0 VIOLATION $0.00 Gas Service v',, x $0.00 . '0 ,Spa(public) "' $0.00 0 ',PLAN CHECK � . " $0.00 Interceptors(Grease Oil)-x,$0.00 - �0 -:-[<--',..- - ' REINSPECTION�, ,% $0.00 0 • Interceptors(Sand`Auto-). $0:00/7"--u-. ''- �� _ v�-.^ ' v '/ - �'' - - TOTAL CALCULATED FEES: $33.30 • COMMENTS I SPECIAL CONDITIONS - l _ ,- _ .. 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 aperiod 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 Inspections 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)754-5626 244646(6/00) L .► i DECLARATIONS U U _ WORKERS'COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the ..----work for which this permit Is issued. C _j '^I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit I ued. My wo co enStion Insuranct carrier and policy number are: y,� �j "Calder. omp.7C\CA. Policy.N ,,3 / /g�QD - -(7h/s section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the perfo . . •:of the work for whic this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws o elite. la,a d agree that If I hould become subject to the workers'compensation provisions of Section 3700 of the abor Code,I shall forthwith comply with these p r•vi r i• 0 /� Applicant Signature:-S'.t , l 0f Data 9 /3 \ lG rWARNWO:'FAILU O SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALIZES AND IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm.that I.am licensed„)ro ' ions of Cha rJ9((ccom ncing with Section 7000)of Division 3 of the,Business and P .fess'•ns Code,and my license is in full force and effectrLict#s`�u"" ��i � INC kms Class.#,. 4 _ ' ' js.Signature:='-' t `� - Date: - 97 IS _ \ CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature end pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Cade been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 8 No (Section 65850.2 of the California Govemment Cade requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Legal Ow(s) ��D}/at S O.' An Or'Authorized Applicant; ‘ _ /�"t to -- - CODE t INSPECTION TYPE DATE INTITIAL5 CODE t iNSPECTION TYPE DAM MUM , ' 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing ...• - #Jr r J J.,.'' 200 Final Re-Roof 210 Final Electrical , A t. ,redir �! 201 Final Block/Retaining Wall - • 212 Final Flre Prevention - 202 Final Factory Fire Place . • - 220 Final Planning Approval • 203 Final Sign 222 Final Site 204 Final Demolition " 250 ' • Final Building/Occupancy. . 1A Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 7-CITYOF-COSTA'MESA; _,. .._r R - TRACT T-- O - L. I • PERMIT NO. RAC NO LO NO. - BLDG N j i .:CONSTRUCTION PERMIT :.- ' «- i 7 t t ;: ( < <? ' " ` - I - ? 746 . 4/2p e83; .' > :Pio �l Da= .. e - '5;OIl• I T1 MApplicant's Mailing Address/57-1,34.1 v inch}Cfibt- ..•c. C r TYPE OF CONSTRUCTION, `U NEW UU ADD U ALTERATION-!U REPAIR _ t I • f it ' I ' , 1 i 1 CkiProject Address r/.Z..S'i -i ALJ '� ��-��' ❑ CONVERSION ❑ DEMOLISH ❑'OTHERt _r - 1 u_+ ; I '• ( . t • I,,, Owner'slName 7/'/•1 ti LIJC.✓t? (a- d- 6, DESCRIPTION'OF WORK • ! '14 ' • 1 _ - -Phon .;_. I , -R - I - •ZONINGREGULATIONS" I. Address f JLI'.Y P • • _ - - .. - - ,7 • i TYPE OF PERMIT U GRADING FOUNDATION LI STRUCTURAL 1 'A.P7sW� 'ZONE ` Arch/Eng - r - r License No { 1 j i ID TENANT; ❑rELECTRICAL PLUMBING ❑'MECHANICAL I + j PLNG. REF 1W : BUILDING 1 ' -' ' ` CFT A K /t-CT + 4 Address - - - - TO'BUILDING' ! , 1' ' :✓ f // t - // ,4-3 I ❑,OTHER " •• I t I t t, PROPERTY LINE REAR VARD(TO P/L -1 , T °C ' Contractor;s Name? f •64x7 '�/)M24/,.J.r Phone:,,) ?'/70 I PROJECT DESCRIPTION SQ. FT. I. 'OCCUPANCY ' - ' - - ` . 4 " i - I I i /J-'/, O I l 1 1 •CONSTRUCTION TYPE 1 i '' • VALUATIONS' ' .. I I - ' f LEFT SIDE YARD • • RIGHT SIDE YARD .I I : � y ' Address(Mailing) �S 3 9i. `fir/ /IA// A / . I, •- "' 1• i , I s ZONJ= ( f "' GRADING CU.VDS:' ACRES f - • PKG.SPACE�REO. PROVIDED ,..'1 i"/ ' Cl ' License No. "2i 1c'S f _ r _ . LICENSED CONTRACTOR DECLARATION I . tr 1 1 •' .. i . j : ISTREET " ! v: i` Remarks: { w i , t ` WIDTH ; '! iPARK FEE$ ' I ' bhereby'affirm that I.am licensed under provisions of'Charter 9(commencing "' - - . . ' -with sectIon 7000) of Division 3 of the Business and Professions Code,and ' I t _ ! ; I 1 - SPECIAL CONDITIONS: •-• �, ( :WY license"Is in full force and-effect. -• I F /'-�. - - 1 • `' - - ,_ '._-nse Classy 6, ',3 e.r I i• License No/0-1 Oa'el- .a CONSTRUCTION AND PLANNIN, c,•-' 0.• s_- z...• p --' :o -"&SPA - r - �_- .+ c - •• ;APPROVALS ;PeFmit# '" ` ^ - • a cs- -• Ie. -Inspectore _> APPROVALS,. Permit# ' `'' i Date Inspector' - 7 �1 .1TemPoa ry Electrical Servie'eror:Pole si'• �a 1{ ;E._ I J;52:!Pool.&�Equip'm_ent,Location'�- • - , ;. ; • I 9 - i I = .. t ,. ,Pipe Undrgrnd; 3 I 1 ^c E 1 , �� .:27-'5',.) , 1, X53 SteelReinforcement c , , • ,3.1Electrical Conduit Utilitv�Undrq nd. N;; _ T,_ ;= ,54 <Forms;a IY.'- ` z _ , I „ . z r� 'I i 1 '4 ` - a E. f 1: .55' Electrical Bonding.; • - - .;Electrical Conduit-Undrgrnd.--c h ; _ - _ . -,5.ISeel'Reinforcement , ^ I - _ - ,_ _ "56. S Rough Plumbing&-Pressure Test: : _ c :6.I Electrical OF'ER' i ' ° ,� r I. ,. '>^ '�Lt. , '"^ 1 >57:;APPROVALTO'COVER-G:UNITE r 7.'Footings ` • ; I k v` 1 ' ° ' •; cr " v58.tElectiical:Condutt-Undrernil.•1 - - , ` I + u-'.4 _ i-'• 59 Gas Pipe ❑ Undrgrnd <Test". I 8"IFounda.i I. : t t= , 9.IWater Pipe-Undrgrnd. : ( _ I! 't60. :Backwasli Lines-P-Trap, 0 Undrgrnd. _ 1 ' 10.1Structural �Floor'System 4 I ' s I - ii, ,- 1 "'61•'APPROVAL�TO'DECK" : ' , ,? 11.!Properly Sewer Line & HouseConnectiorr _ I • -• - I '62.'Backwash &•Recetor-Final.': = ? t - 12.ISewer CaP1 $ , i ,_ --' I;'63. Heater&;Vent-Final. • . P.c :i = 13,I Roof, Drains ' i I ' _I ' ' o U 1;164. Plumbing System.-Final'!- n ' tl c 14.IRough Plumbing 1 I . ,7--•o ' ' 1 _ ' s 41 465. Electrical-Final.- - - -° ' - . 4 ; 14 `=15:;Rough-Electrical=Conduit'-j--+- - ' --,- 7,66:-Solei --, -1 `-r.. ---- -- - I R 9 Ii I -1-1-j --i---1 .SYstem-Final 1 i I o 1•9Rough^Elenricit Wiring ,. I F: I 11 Iiim1-% 1- :Vi- 1-,.• „-t,4i- X67' Fencing&Access Approval,- "__ _. ` � 1 1.7y7Rough Wlr'ngSlgn' n I ! ` c - I -C ; '68 APPROVEMk.D/FOR PLASTERING ' 1 C ' = °18 5Rough.Electrical'-T,`Bar Ceiling Il l; ! . %f"; F fit' !69. 'POO,LVSPA'SYSTEMS FINAL ' 'u _ •-: ' ' si 19. bough Heating & AirlColntlitioning 1. l 1 ' i - ; , I Il FIRE DEPT:REQUIREMENT r t r t ' • I 26.aBough:FactoFy Fireplace ( I I I , { : APPROVALS I Permit# !• r •- j " 1 1 , I 21.r'Ducts2infStructure; ' 1 ' I I� I. I ', I I - 'y 70i Underground Hydro !. - - I t I • '22.1 Ducts, Veniilatinglt t : I I iI I! I I II '.71 P'rod'uct Piping❑Gas ❑Oil I I _223.4GasPipe-Rough& Test-; 1 I in.' , I • T - ..-- -- - - --y--' . I , � � 1i : 72. Underground Flush u' Roof Framing I I i '' I • i I;rr C I.y i'( , I . ;-' I"S 1::.` .7• 3 ! Undergrnd.Storage;Tank.O Gas_OOil 1 I I • 1 g tr5.T. !4Roof Sheathing 1 1 i I ;Ii• ;' c, r, t -. , I - I ;74' Overhead Hydro N , ' I I I I • -26.•'T-Bar Ceilingr(Structurally& Monocoat 1 1a, 1 `' "1 'I ' y I • ri , , . 1 r I, ,. , : 1 - ' I :, 31 i75; Dr Chemical I q. <'27.iFramean`d`Flashing 1 11 I 1i I I i I i' 'I ,76i Dry Standpipe( a- ; - ' ; I 1 U 1 1 • II ^^ 1 , 1771- r i , I t , , i 28. Lathing &,,Slding' n 1 I I ,I I I I I- ' 1 771- FjIXED SYSTEM"FINAL... 7. ' -• ; t I I J c n , t - ' ". 1" A ' }. II I / , I r , m , •. 29.' Insulation , ' i , rtr, 1 1 I . 1 H -1 i 78. FIRE PRE\/. FINAL ' 1 1 ' • v 30.r'Drywall Nailing I . ,.l• I 1 L" i) I [ I I - I i I Notes I p 1 I • 1 ._ I _31. Plaster1Brovvn Coat, I ( ! it it I I I fir• ,424"."-P. 2 , i-r i I, . . I 444'9; x . 5 Y'32�Electrical Power Meter-Final 11I1 I I I ', 33.1..Final Electric r ! I4j4�.I. II_ lI-J_ JI..I 1 I , I 1 .<BM/ 34. FinalHeatirigt&,Ai'r•Conditioninre1"' I ' 1 ' 1 I I 1 _ 0 Y i :, r. m ,s r . I I _ I I I 1- I 11 r '3- ' 35. Flnalt :, , eTest `. h. I�f .I 'I ' - I: I'.c'. I IT :=�. •'2i :'� ' L;; +' a - rI - r1 ' s 36. Hood'ror.Ca�opyc':Iv'' I ,4 - , , r `r , r - _- l;, 1 1 = I I � IFc I. ` . h 1- 37. Final Factory Fireplace - 171 t; ° 1 -f 1 1 ! , -1 38. Final Plumbing: I 1 1 1 I' T II i : 1`- I I j..34 I , , I- I.,„ _ - I , 39. WatertService-Final I . I I �' Ii I I I " 1 1. 1 j 1' 1 1 ? • i e + 1 , 1 1 n i ,• 40. Gas Service-Final I I I ! y 1 1 1 11 I r • ' I I .I. _ 41. Solar Domestic-Final I I I ' 1' ! -- 1-4--1---;.- j ' ' I ' ' ! '';! , '' • 42. BackflowPrleventer : I i I FSI - I , .i-1 !_ 4__i_____4_,_ _L_..._1 _. -I , ' 'l- 'i; c "I . i _ 43, Backflow Irrigation, I _ 1 ; i •- I ; , I -- 4 G >I 'i : I • I 44. Landscape Irrigation SYstem1 I it2: . I e, : k 1 I �.. : I . ' 'h r •.'„-.-.1 - . - 45. Sound.Attenuettion?!o 'sl 'i- ' ' 1 1 " ' • ' I • '• - - � !I �-ro . ,', : , . s1 I ,, I I 121 aI ' 1 't ^1 I Ie :_ ' '� - ' t :, 46. Handecap Regulations I I ; 1t Iv Q" 1 _I I I "I I 1 t s ? ? 1 ., 47..FINAtSTRUCTUREI& BUILDING; It. ; I ' - l. I I ' ' I , 1 IRI • , 48. Special Requirements Completed ,, - ' ?i, ' "I I I 1 • • II -..• !1 A • , I I l t , F r I I I W I .I I 1 I 1 „ ,, : ae V 'w % 49. Electric Release'to'Edisori I 1 iI ' I I �I I 1 i ' +-. -!---• L"j 1 c tr n I - I q t ,• ..; 50. Gas Release to Southern California Gas Co I I I II I I I I I I l t. .,'"'1,t, ri i ( /i 1 - , 51. CERTIFICATE OF OCCUPANCY •: I ' i '_-.L '__I 1 ' I _ I_ _1 _ _ . 71 1 F' . I ' I ' t . No u 11 ' I 1 (Date I I k ` t I I I I t I - ! I_ � _ t it ! ! r,-, NJJyY inns OZA UIY, XLrillaLll "n+"' raJ—i1 ...JOB ADDRESS 2753 San Juan Lane BUILDING PERMIT NO. 27636 ,1/44iGENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Pvt. Block Wall AP No. 141-643-.07 LOT 46 TRACT 4808 FIRE ZONE VALUE $400.00 _ INSPECTIONS Signature Date GROUP III - TYPE J ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR I Date 1 Number 1 Signature Water Plu4kbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 _ Sprinkling System Miscellaneous _ Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 (jJj S'6 7 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In ❑ Out 0 Plaster, Brown Coat _ Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final �-�p Building, Final l:/• ',r ' °✓ , JUl'/� 3-1n -65' 27636 .75°C-OSTA MESA BUILDING-SAFETY DEPARTMENTI SEP 25-67f/ OO 7?_9 v* I >' 'S.�;� P.O. BOX 1200 COSTA MESA, CALIFORNIA 9202E For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 1 �) // r1 -For Office Use Only ' BUILDING ;i 7sa S.Mj d/UAN/L4N6, ADDREBII p( RECEIPT NO. PER27636 ('�/COSTA MESA. CALIFORNIA J R// k ReC[IV}p Y� W R'8�5-z Itimint-47 OWNS EfJ,P/_D eC �!J}/TNF �/-`XT0 �7 / BUILDING ADDRHSS 7.53 .SgN Jai,/.4ive- ADDRESS Z Dine oSTA / /ESIC //FTOL. �JJONE TYPO:- GROUP 1 ARCHITECT TEL APPROVED By DATE OR ENGINEER NO. • ZONING ADDRESS ZONE No.01 a I unt oP NEW cow.. 73,acc /� y� PUNS BUILDING FEKCE CONTRACTOR ✓��E r� ' ' l ,, I /_ yI- 1, l tl,�n ADDRESS - DESCRIPTION L-1��I ( '4V-'/�I -7TI-A LI (052 4808 CITY A.P.NO. 141 - 04 7 -- 07 NOTE; NO HAVE OVERHANG SHALL BE LESS THAN STATE - TEL. B0'TO SIDE&REAR P.L LIC.NO. NO. SIZE I NO.of ELDOS. ALVES LOWED (U.B.C.REQUIREMENT/OF LOT NOW ON WT . YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. - (FROM C/lL STREET/ SETBACK LINE/ROM FRONT'3.2_6 FT. & Sf FT. CENTER OF STREET REAR YARD el SIDE YARD LEFT I RIGHT R.SIDE 2- FT. 1 FT. DESCRIPTION OF WORK taro' I2: FT. 1- FT. NEW II ALT[RATIQN ADDITI N REARV 3I"IJ pT. FT. IIIlII DISTANCE BET. BET.MAIN& REPAIR MOVINQ EMOLISH MAIN BLDGS. ACCESS.BLDGS. • BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF APPROV (.0R9-15=67 COVERING COVERING BY �� T DATE USEE;;eegg SU',LOINS ANDORK TO BE PERFORMED (1. YR/t/A7E ,Htoe K W.4L.6 f 10011 . 1 . g I NEREBr ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE 0 COM. PURPOSE OF ESTABLISHING A PERMIT FEB ONLY. .At PLY WITH ALL CITY ORDINANCES AN ATE LAWS q LATINO VALUATION ___ Y DG BUILDING CONSTRUCT N. 3 SIGNATURE OP ' 011€ PERMIT FEE $ PERMITTER !!!// ra ��LLLFFF99YJZK��/// �/ Go $ 6 / PLAN CHECK $ W AUTHORIZED AGENT •--_ sht.. '•.,a1-Gr1[,.. TOTAL FEE $ _..g • COST 18908 "13 -64-111777. 'n62 ***11250 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 2753 San Juan Ln. COSTA MESA. CALIFORNIA For Office Use Only - 1 RECEIPT NO. P�RµIy.lA OWNER Mesa net Mar Development Co. PIM MAIL REDS}YEp BYDATE ECEIV! DATE ISSUED ADDRESS 3800 East Coast Highway �(' j, I °�, , --in —k- I MAR R 1963 CITY Corona del Mar MOR 34220 ADD eIN ORCENGI EER Macco Realty Co. No.OR 34220 COSTA MESA. CALIFORNIA C/ , ADDRESS Same as above FIRE TYPE PE GROUJA9cJ_1-1 CONTRACTOR Macco Realty Co. • APPROVED BY DATE ADDRESS Same as above ZONING ZONE�f/j NO.OF .2..........31 SE OF N 11-1 � r', - CITY Same as above K V� I PLANSIUILDING �) /y] 'et LEGAL uc No?07343-A-SB-1 0; OR 34220 DESCRIPTION ///Lot 46 Tract 4808 II L SIZE 6045 S.F. I NO. OF BLOTS.norm OF LOT f NOW ON LOT A.P.NO. USE OF YARDS EVES EXISTING BLDG. none APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET S0' REAR YARD 31'611 FRONT S k- FT. IN. _ SIDE YARD I LEFT 61 I RIGHT 51 R.SIDE CRT. IN. DESCRIPTION OF WORK L.SIDE j • C FT. IN. NEW I X II ALTERATION II ADDITION I REAR I / PT 4 ( IN. REPAIR I II MOVING I ( DEMOLISH BBAPPROVED* qq� DATE �> -‘2) illBUILSIZEDINc541X41'-611 ROOMS 7 STORIES NO. OF 2 1(J�1_ - EXTERIOR WALL.Sttgccoldoor Wood Shake & COVERING Cc W°O COVERING ROC USE OF BUILDING AND WORK TO BE PERFORMED Single Family Res. w/att. Gar. Ilan #500-B Living Area: 2266 S.F. Gar. Area: 460 S.F. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATTETURE PERMIOF Mesa Del Mar Development CO. PERMIT FEE $ 7^ 4' N By: / $ 23,925.00 PLAN CHECK $ 37. ) AUTHORIZED AGENT _0 at r.�tµ.4E, /07".5-2:3 � $� o . _ __ . ,- - TOTAL FEE ". r LL 1