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Home My WebLink About3487 SAN RAFAEL CIR - Building Permits� > .n:� . '�1 CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Faa_nn�na ✓ PERMIT NUMBER (714) 754-5273 • Fa�c (714) 754-4856 . 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 3487 SAN RAFAEL CI Suite No Viciniry: Parcel Nunmber: 41205124 Applicant: Address: owner: Address New Res (1=2 units) New Res;(3+units)� Pool /'Spa ( ,.- GREER,JASON STI Phone: 714-937-1333 .�,.' �,,"" . � � � R�� L 01327�5 LEWIS' � //�/ Phone ANAHEIM CA � Zip ��-�"''� • •�License � J ( �' �o �Si£=�"f_ `�i�"f ., ..._ Recept OuUets �`\ swltcnes��i � Non Res Appl �'� ResAppl \�� Service to 20� Service to 1000a� Service over 1000a� Molors to thp �� Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole I�;, $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 Status: ISSUED �U Applied: 07/02/1998 Issued: 07/02/1998 U_�� .. ��`\ �� `�..1 �� .. MECH- 1 FAU 800008TU, 1 AIC 48000 BTU. > ` ;�{r�, FEE SUMMARY�� o �(0�(�� i, c�� iw�� li�r;IliSul�1'� 1�',1'�I�l�� ntity ---- ___ -- Temp Dist System'/_L'ighting .............. �up to�10 kva/kw ...........'"E"up,to 50 kva/kw ..........! up�.to-100 kva/kw .....over 100 kva/kw Low,Voltage Equipment �Low;VOlt Wring System / Ckt I �0 �"'�"`'`~-t'"-�"�..;<OthecElect�ical`Fee'"� 1` C I O� -�= _�.-- J � C`�� OLJ �_ Imestigation�Fee L� v �0��L__�� Rens'ectonF 1�� / \"��1'� -- _ ..� , �� ;.� P ,... ... �... «�...xi' � � _=.�^`�-=�i�;�--y_'y_�'�' COMMENTS / SPECIAL CONDITIONS �';YI;�� f' JI Quantity �, `� � $0.00 0� i�'i�i r�- �_� � $0.00 0',,.;•;; $0.00 0,'�il�i� �_ �-� $0.00 0 , J�/! . so.00 a�:r 1_> $0.00 0�/�� $0.00 �01� h�f I $0.00 �0 �� /' $0.00 � 0 � /� $0.00 / 0 $0.00, 0 � $0:00�0% � $o'oo oa,r jr� $0:00 � 0 . /,�� $33.00 EICPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 780 days. INSPECTIONS: In order for tha work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlons end flnel epprovel must be obtainetl. Failure to obtain Inspections end final approval will result in tha expiration ot this permR. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMVENSATION DECLARATON: � � I hereby etfirtn under penelry of perjury ona of the following declerations'.' . . ' ' , ❑ I have entl will maintaln e certHicate af consent to sett-Insure for workers' wmpensation, as provided for by section 3700 ot Ihe LaDor Cotle, ior the pertartnence of ihe �� work for which ihis permit is issued. . . -p i neve end will maintain workere' compensetlon insurance, as requiretl by section 3700 of the Labor Code, for the pertortnance of the work for which this permit is issued. My work%e�` comp nse on Insurence er end liq number are: Certier. ( J'"� � �/I i//_'� � � _ PolicyNumber �� s3�3 �� y (Thls section need not be cromplete l! the pe /f i eNe ef one hundretl tlollers ($100) or /ess.) ❑ 1 certtly that In the performance of t�e work tor which ihis pertnit is issued, I shall not employ any person in eny manner so as to becoma sub�ect to Ihe workers' wmpensetion laws ai CalHomi end egr thet it 1 shoultl hecome sub�ed to the workers' compensetlon proNsions of Sedlan 3700 af the Lebor Coda, I shell forthwlth comply with these provisians. ^— 'j �j�/ Applicent Signature: �� O Date: ��/f —` b WARNINO: FAILURE TO SECURE WORKERS' COAIPENSATION COVERAGE IS UNLAWFUL ANO SMALL SUBJEGT AN EMPLAVER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TO ONE HUNDRED THOUSFND DOLLAFE (Et00,OW). IN ADDRIIXJ TO TME COST OF COMPENSFTION, DAAWOES AS PROVIDED FOR IN SECiION 3108 OF THE 1A80R CODE, INfERE$T, M1D ATTORNEI"5 FEES. LICENSED COHTRACTORS OECLARATION: I hereby ettirm that 1 em license tler r�siy�sPt Chepter 9(commendng with Section 7000) of Divisian 3 oi the Business end Prof ions Cotle, and my license is in tull force antl eflect Lic. M 5(� Class N C a��5 Contractor'sSignewre: Date: 'i�if- GONSTRUCTION LENDING AGENCY: ❑ I hereby aifirtn thet Ihere is a construction lending agenry for the perfortnance ot lhe work for which Uis permit is issued. (Sec. 3097, Civil Coda). Lendefs Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn Ihet untler penalry of perjury thet I am EXEMPT fROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any ctiry or wunry wNch requires a permit ro conshucL elter, Improve, demolish, or repair eny sirucNre, pnor to ils Issuance, elso requlres tha epplicant for such permit to flle e signed stetement thet he or she is Iicensetl pursuant to ihe provisions of the Contractore Licensa Lew (Chepter 9(commencing with Sactlon 7000) of Division 3 of ihe Business end Protasslons Cotle) or ihat he or she is exempt theretrom antl t�e basis for ihe allegetl exemption. Any violation ot Seclion 7031.5 by any applicant tor e pertnit sub�ects ihe epplicant to e dvil penelry of not mora than five huntlretl dollars ($500).): ❑ I, es owner o1 the property, or my employaes with wagas es iheir sole compensetion, WILL DO THE WORK, and the siructure is nat Intentletl or oflered far sele (Sec. 7044, Business entl Professions Coda: The Contrectors License Law tloes not appty to an owner of property who bullds or improves ihereon, end who tloes such work himself or herseli or through his or her own employees, provided Ihat such improvemenis ere not intended or ofleretl for sale. If, however, the hullding or improvement is soltl within one year o1 completion, the owner-bullEer wlll hava the burtlen of proving that he or she tlitl not bulltl or improve tor purposa of sale.). ❑ I, es owner of the properry, am EXCLUSIVELY CONTRACTING WRH LICENSED CONTRACTORS to construd the proleci (Sec. 7044, Business end Professions Code: The comreclars LJcense Lew does not appty ta en owner of pmperty who bullds or improves thereon, and who contrecls for such project wlth e contrector(s) license pursuant to ihe Contractors LJcense Laws.). ❑ I am axempt under sec. Business and Professions Code for this reason: Signeture: Date: Owner ID vanfied by tlnvefs license. ❑ Ves ❑ No Dnve/s License Na. Expires: Vedficatlon of Ownership by (rype oi tlacumem, i.e. - properry te�c bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: - ❑ I hereby certity that no ezcavetlon five (5) or more feet In tlept� inro whic� a person is requiretl to tlescentl, will be mede in connedlon with work authorized by Ihis pertnit, end thet no bullding strucNre, scaRolding, talsewark, or demalitian ar dismantling thereof, will be more then thirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Cellfomia Adminisiretive Cotle). ❑ As owner-builder, I wlll not employ anyone to do work w�ich woultl require e pertnit from the Division of InOustnal Safery, as nated above, unless such person has e pertnit to do such work irom the division. SlgneNre: Date: Dlvision ot Indusirial Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE•AND AUTHORVJITION OF ENTHY: I certify untler penalty ot perjury that I have read ihis epplicetion and state tha� ihe information given is correcl. I egree �o comply wlth all siate laws end city ordinances relatlng to building construclion, and authonze representfltives of t�e City of Costa Mesa to enter upon t�e above-descnbed property tor inspection purposes. I egree not to occupy or allow occupancy of any building euthorized by this permi� until final Inspection. I �� naWre Of Legel Owner(s) � � nNOr Authorized Applicant COOE �. INSVECTONTYVE 1616 Fixed System Flnel Fire PrevenUon 1288' Pool'SDa Final 200 � ' Flnel RaRaof ' 201 FIneI8locWRetaining Wall 202 Final Fadory Fire Place' 203 Finel Sign 20C Finel Dem 2408 48 Odff II�dL4 � ^� �� Date yQf)f,l INSYECTION TYPE 206 Finel Mechanical 20B Finel Plumbing ' 210 FinalElectncal' � 272 Final Fire Prevention 220 Finel Planning Approvfll , _ , 222 Final Site 250 Final Building/Occupaniy �.1 JIII. - �i n�%� � v--�. CITY OF COSTA MESA - _.� ° BUILDING DIVISION � + � � � DEVELOPMENT SERVICES DEPARTMENT M98-00290 � PERMIT PERMIT NUMBER �P (714) 754-5273 • Fax (714) 754-0856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 3487 SAN RAFAEL CI Suite No Vicinity: Parcel Nunmber: 41205124 App�icant: GREER, JASON Address: Owner: STI Address: STII I Inst Inst Inst / I Refrig Gas Piping�Ul �--' Factory Fireplace, . ,� Hood w/Mech�Ezliaust ,�. VAV Box �� Vent Fan / Single Duct Appliance �` Fire Dampers � _ Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater �� i"-- �Zip:---� �� \ __�-- — stat�s: iss�Eo �'n� Applied: 07/02/1998 �l Issued: 07/02/1998 �/ � �^="� �� \ �- � � �-`'"�\� � �� . :License: �500236 � �(j$! I . �-��;. 9��. ..! 1' 8 ��„i�-�"1 .�:.�,�":,('y..� t �, �PFione:'- 5.��,i',...�' Zip: � �y License: � SCOP-E-OF PERMII n(.-_ _ _ �t 4HP MOTOR! M�ECH- 1�FAU 80000BTU?�1tNC ( �Il1UL� �1�W6�uV \ 1M` FEE SUMMARY $22.00 I"`ntity�.X�ry4�ia ..1-1, P ;� �^�r,s�__ f��\..R $1325 �—"^�--i �Repair� $0.00 Ventilla 0 0 1 0 0 0 0 � 1 .i /�$O.Ob"`�0 �'��.�....'.:1.-. �$o:oo'�o � —`-� _ `� \�o.00Jo � 1 �$o_oo o�;ro� +�1—�� $0:00\0 �r 'f ��);"-1� $0.00�0.'�. � ��1 ' ~ �" '� G�-S :rna �_t•.+, r.cn �.. �rr� evapora_nve,cooier ,, Commercial.lncineretor � Domestic Incinerator � � %�'� �+ ; ��'t �. _. �r � i L�� G l;: .- � ; 50 000 k BTU J��/ ��,�' drtoiuyj/ � 1,75U�.BTU � � �\ �� / , �v �"`.; %�% Yi�]�_\t9_1Sfl111_\i��7y��9 COMMENTS / SPECIAL CONDITIONS ;o:oo� o $0,00 ) 0 $0.00� 0 $0.00 0 $0 00�0 $0.00��0 $0;00� 0 80;00 0 �.00 0 $0.00 0 $0.00 0 so.00 0 $o ao 0 $0.00 0 �o.00 $0.00 $0.00 548.50 EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and au requlred Inepeetlons end flnal epproval must be obtained. Failure to obtein inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 I hereby eRirtn under penelry ot par�ury one of Ihe fdlowing Ceclaretions: �� .- � ❑ I heve and will melnleln a certiticete of consent ta seM-Insure for warkers' compensation, es providetl for Dy section 3700 of the LeDor Code, for the pertormence ot the wy rk lor which Ihis pertnit Is Issued. 9/I have end wll aintain workers' compenseGon insurence, as required by section 3700 oi t�e Lebor Code, for Ihe pertormance of ihe work for which this pertnit is issued. My workers' o pens tio Insurance ca e d policy�mber ere: ��—v� ��G, '/ Certier. . . � � �� Policy Number. �.% y (Th!s sect/pr neetl not be com0�eted l/ Me permit is va/ d et one bundred dollars ($700) or /ess.) . ❑ I certiy that in Ihe peAortnance of the work for whlch �his pertnit is issued, I shall not employ any perwn In eny manner so es to become subJect to ihe workers' compensetlon lews ot Celitomia, entl egpr e thel if I should become sub�ect to tha workers' compensation provisions of Seclion 3700 of the Lebor Code, I shall fonhwith comply with these Drovlsions. / � �� Applicant SlBneture: �� l �— Date: WAANINO: FNLURE TO SECURE ERS' COAIPENSATIIXJ COVERAGE IS UNLAW FUL ANO SHAtI SUfl1ECT AN EMPLOYER TO CRIMINAL PENALTIES Ml� CIVIL FlNES UP TO ONE HUNDREO TIqUSAND DOLLARE (5100.OW). IN ADDITION TO THE CQST OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECfIIXJ 3]O60F THE LABOR CODE, INTERE5T, AN� ATTORNEI"5 fEES. UCENSED CONTRACTORS DEGLARATION: I hereby eRlrm t�et I am licensetl untle�visio�ol�h§pter 9(commencing with Section 7000) oi Divislan 3 of the Business enQ Pjpia551ons Gode, end my license is In full force and ettect. Lla N \ S U<� (o Class x C d- �� Contrec�ots Signeture: �—� ' _ _ _ _ Date: �%' — CONSTRUCTION LENDIN6 AGENCY: ❑ I hereby eMrm Iha� there is a consiruction lentling egency fo� the pertortnence of Ihe work tor which ihis pertnit is issuad. (Sec. 3097, Civil Cotle). Lenders Neme: Lentlels Atldress: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby eHirtn that under penalry of per�ury thet I em EXEMPT FROM TlIE CONTRACTORS LICENSE LAW tor the fallowing reason (Sec. 7031.5, Business end Professions Cotle: My city or county which requires a permit to consiruM, alter, improve, tlemolish, or repair any structure, pnor to I[s issuance, elso requires Ihe applicant for such permit �o flle e sipnetl statement Ihet he or she is Iicensed pursuant to the proWsions af Ihe Contrectors Licanse Lew (Chepter 9(commencing with Section 7000) of DlNsion 3 of iha Busineu antl Professions Coda) or ihat he or she is eaempt therefrom and the besis for ihe alleged exemption. My violetlon ot Section 7031.5 by any epplicent tor a permit sub�ects the epplicant to e civil penelry of not more Man five hundred dollare ($500).): ' ❑ I, as owner of t�e D�operty, or my employees with wages as thelr sole compensatlon, WILL DO THE WORK, and t�e strucNre is not intendetl or oftered lor sale (Sec. 7044, Business and Prafessions Cotle: The Conirectors lJcensa Law does nat apply ta en owner of praperry who builtls or Improves tharean, end who tloes such work himself or herselt ar ihrough his or her own employaes, provided Ihat such Improvements ere not intentletl or oXeretl for sele. If, howevar, the bulltling or Improvement Is sold wit�in one year o1 completion, the ownerbullCer wlll have the burden ot proving Ihat he or she ditl not build or improve for purpose of sele.). ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CON7RACTORS to construct ihe project (Sec. 7044, Business and Protessions Cotle: The contrectors License Lew does not appty to an ownar ot property who builCs or improves ihereon, end who conireMs tar such project wlth e contiactor(s) Ilcense pursuant to ihe Contraclors License Lews.). ❑ I am exempt under sec. Business and Profeuions Cotle for this reason: Signature: Date: Owner ID veritled by drivars license. ❑ Yes ❑ No Dnver's License No. Expires: Vedticatlon ai Ownership Dy (rype o1 document, I.e. - property tex bill or deed): OIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICA710N: ❑ I hereby certity Ihat no excevetion five (5) or more teet in depth Into which e person is required to descend, will be metle In connection with wark euthorized by t�ls permit. enC thet no building struclure, scaflolding, falsework, or tlemo0tion or dismentling thereoi, witl be more Ihen ihirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle B, Callfomia AtlmlNstrellve Code). � ❑ As owner-builtler, I wlll not employ flnyone to da work which would requlre e pertnit trom Ihe Division ot Industrial Safery, es notetl ebwe, unless such person has a pertnit to do such work from the division. � Signature: Date: Division of Industdal Satety Permit Number. CERTiFlCATE OF COMPLIANCE AND AUTHOROATION OF ENTRV: I certify under penalry ot parjury that I have read this application end state thet the informetion given is cortecl. I egree to comply with all state lews end ciry ortlinences releUng ta building construdion, and euthonze representatives of the Ciry ot Costa Mese to enter upon the above-described properry for inspection purposes. I egree no� to occupy or allow occupenq oi any building authonzed by ihis permit until tinal inspeclion. Signature Of Legal Owner(s) ate � '�'— � AnQ/Or Authanzed Apphcant Date� , , CQOE I. INSPECTIONTYVE 1816 Flxetl System Flnel Fire PrevenUon 1268 200 • 201 202 . 203 204 24464fi Pool Spa Final Finel Re-Root Final BIocWRetalning Wall Final Fedory Fire Place Final Sign Fnel Demolition , _ _ _ �ff �� i LQ(�El INSVECTION TYPE 206 Final Mechanical 200' Final Plumbing 210 Final Electriwl � 212 Fnfll Fire PrevenGon 220 Finel Plenning Approvel 222 Final Site 250 Finel Building/Occupanc 7 � �g . 0 — — . . �ooecssaem�axo: 3487 SAN RAFAEL CI uNT: r�m�Asru�EiF�m: STINSON, EDWARD A �ooxess: STINSON, DARLENE L 3487 SAN RAFAEL CIR OSTA MESA,CA 92626850-1745 �vr�.wuur�owonEss: SAME( ARCNRECT OP E71C�NFEB: urcx on Exo.•s �oo�ss: uc. ra.: urR: corirn�crarseu�: MESA ROOFING ( 714 ) 548-3012 cam�croxsMuuxo 843 W 17TH �ooxEss: COSTA MESA CA ucxo.: 564151 92627 uxr: LICENSEO COHfppCTOflS DECLAflAT10N: I heraby ellirm uMar paneXy d perjury ihm I em licensad uMer prwiaiom d Chepim 9 (canmeriaiq wilh Sectbn ]000) W Division 3IN ihe Buairren end PMeevons Code, end my liceme ia in /uA brce eM e/led. c.no.:035681 uc.cuss: C— /96 �_ !7�_?i_ r� - _��i� �EY/NEfl BUILDEN OECLAHATION: I hemby ��m untler peneMy d perjury IMI I em ezemq irom ��a Canveqwe Licenae Law /a ihe lolbv,mg reeson (Senion ]03�.5 Buaineac end PMaseuns Goda: Any cry ar munty xfiirh reyuirea a parmA lo ownvuct, el�ar, impwa, Eemd'sh, or repeir eny awc�ura, prbr to ils eweMe, elso reQuirm ihe ep0lirent for auch permn �olb e aiqmd slelemenl Met he or eM is licemed pureueni ia tM Wovisions d Ita Con�reaore License Lew [Chepter 9(cwn noip wnh Sedion )Ooo) d DNoion 3 d �he Bu.+inav arN Prdeuions CoJe� or Ihei M a she ia exemq Iherehom eM tha basis fa iM ellepeE eKamqon. My violelbn ot Seeian 1os1 s M any evW�cem �w e oe.mn wd� ��» evd�m m e iivil oeneMv w �ro1 mne �nen frve nuMred aa�ere Is5ouI1. � I, es ovmer d IM prope�y w my emDbYeae weh wepas as Ihav sola mmpenseiim, xill Co �he wk, eM iM svuciure a rpl inleMed oroflered lor eele (Sxtion ]OCC, Busirosv enE Prolessiona Code: The Conlreclas License lewdoea rwt eppl�to en ownerM propelly . who budds ar vnpmves Ihereon, enE who tloea ¢uch waA MmaeM a heraelt w throuph hc or her own empbyeea, pmrkaE �hm euch improvemenre ere mt inienEed or dlered lor sab. p, howevx, tM buitliip a impro�emenl ia aoltl wil�in me year M wmpMion, the ownerW iker uill heva iM buNen d pavieq M or ahe did rwt DuiM a impiora fa iM purywe d mb�. � I, es oxrier ol iha properry. em exduvrvery mnlreairp �timh licensed convm�om b cantrud Na qopa (Sxfion )01I, Buainms end a,�i<.��oo� coae: rna co�vmoB u�� w aoa oa aodv �o ��« a wooa+y wno adaa «�wa� �n� �,e wno convecis /w eudi prqeas �mh e caNreUoha) Icansed pureuent to �M Conlred«a Lirensa law�. � I em ezampl uMer $ecfwn: 8. 8 P C., Iw ihia ree¢on: De�e: Owner i ao nareW �en�ry mm i� ewara a e� u�wers�ene ina rea�iremenre d cairom�e Heenn e� sme�v coe. saa�ao usos, usv, �d zs55C. eM tliel 1«erry iNure buikiip ocwpen� will / wJl not (c�b me) neeE lo canpty weh aeid mete codea eM iM requiremena br epermnlwcvnsvucinnamodifieiionhanlMRv u�0�yl�anepemam0imrid.Rasdenlielmn9rwlbneppireliauueexemq/romlhms a�sp�a. ome: nvdK�n: WONKEP'S COMPENSATION DECLAF�TION: I hereby �rtn under penally d pa�jury ane d tha blbwirq dedve�iom: �InaveaMwilmeimvieronifcmadmnxntioaW.ivu�abr�wrken'comPammion,umwieetlfwbySeaion3)OOdiMlabor coae. �o. ine oadormance d me .vwk r« wh'rm m� v�n is iee�ee. I heve arM wi/ manlain workan' companselion inaurarice. m required by Seeim 3)00 d ihe Labor Code. br iM perlormence d the work Iw which �hie paimn ia iaued. My worke% com f inwrence �arrier enE pdicy number ere: c�,: CI�A INS. COMP. EXPIRES aw� N�mn�= 0 7/ 0 L/ 9 6 /!Th sepian neeC rwt Oe complered / �he peimrt is /a one hunLred dollen (Sf0p1 w Iacv.1 �: I cenity I�m in �he peAamence d IM wwk /or v.hc� Ihp permil u ifsued, 1 WII nq empby a�ry �aon in arry menner eo ea lo tBCp110 911b1Bd 10 IhB N91FB19� COTVm��1011 IBWB 01 {�.8�1�p1110. 011d �h01111 911Wb bBCWIG W�`I!d 10 ��IB NOf�IBIH compenxlion p�vvisions W Sec�ion �)00 W Ihe LebwSWnrt9i6A1i('I�IIII A� .,_._. l?� .. � /_ 6i:-� � —_—� — � Wamlrp: Felluis ro exuro woA'xi romperuef/on emoraps Is unbwAul, erW sNll �WJsef en xnp/oysr fo erlMro/ pens/ele� an0 clvll Hro� up ro wro hi.naretl rMuynC tlNlan (SIOQOOOA �� eWlWn ro Ms caat ol compxuatbn, demeyss u pov/tletl ror In Sxuon J106 0l Ms Le6or COM, Inronaq end ettorney'a Iwx CONSTHUCTON LENOIN� AOENCY: I hareby alfirm uMer peneM� d perNrv �� here u e mnatrud'wn bMinq epancy Iw �M paAormarKe W tna wark Iw wliic� t�e pumi is ssued (Seaon 309]. Crv. C). LENDER'S NRME: LENOEX'S �UUflE53: � CBIIIIY �� h6V0 fBOd Ih19 9�C911IXI91b p8101hB� 1%9 BbOVB III�IXIIIB�M1119 CORM. ��fOB �O Cq11pF� Wi�h e�� Oly yld [Wll�y p1d111811CB9 end ewa bvn rele�in8 �a buildiip conmudion erd hereby eulhorrze rapresanimires d Ihc dty b anlar upon tM ebwa�men�ioned qoperry r�� 0��' °��D�'� R I CHARD MAR I ON r.nn�� . . � � (5151�Cfi.WP) While-Buildiiq 8 Sefaty; Greem�e; Genery-qpp6cenl; Pink-Revenue; Gokemo�Raeasmr CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 074938I PERMIT NO: B 074938 PLAN CFIECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : T/OFF RESTH SLOPED SIDE ONLY SQ FT: 4,600 CLAIM VALUE: 4,600.00 CALC—VALUE: 4,600.00 GROUP OCC: R-3 / COMMENTS: REROOF SLOPED SIDE W/COMP. SHINGLES 6 FLAT SIDE W/ROCK ROOF ��**+��r�*x �*�r+�x�*x�*��*�*�+�**��r**+�*rtx�x x x�*******�r�***+�*�****��*� **�*��x *�+�* Z O N I N G R E Q U I R E M E N T S S E T-B A C K S ------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT.: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN —�EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE�• PROV: PARCEL: 42627310 ZNE: REF NO: PLANNING N TES> i " ,��*��,�«,�,�,�,�,�*��,�x��*,�*,��*+�,�,�*�x *�,�**�*x ��,�,�,��,�,��«�*,��,�,�***« �**,��,�;�,�,�*�+��,�+�* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N.T�S ZONING APPROVED BY . ' DATE� � BUILDING APPROVED BY : APPLICATION ISSUED BY: 1E iE IE iE iE 9F if 1E 1E 1E'IF'N' 1E iE if 1E k iE if 3E 3E � LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 72.00 PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 72.50 0.00 0.00 DATE: �,,, DATE: .-0 1 iFiEiEiElFiEiEiE . if3f STRUCTUAAL; EG N1':Y FIRE SMIP/RES GRADING .50 SMIP/NON—RES TOTAL PAID %. DUE 72.50 72.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIPYTOT GRADING PLAN—CHECK 72.00 .50 if if 1E'lE if 1E fE 1E 1E IE 1I' 1E iE ii' i4 if 1f iE 1f if i4 i4 i4 if if iE 1f ib 1E IE if if 1E IE'lE iE if aE 1E If iE ii-'lE iE if if 1E iE 1f 1E iElf if iE iE iF iE 1E iE IE iE iE iE')E if if 1f ii"1F 1h 1I' 1f iE if- ih if if iF IE I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C K I P T I O N UNIT COST TOTAL COST SFR 4600 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,600,00 END OF FEES �NIOKE DET�C�UR caTF`�snio'��ois�=��. i s4;r 7..;c 1-?F.�.�LI��G.� . � ! CONSTRUCTION AND PLANNING .' �� Date APPROVALS Permit # K 1. Temporary Electrical Service or Pole 2. S�i,l Pipe-Undrgrnd. _ _ _��a..Electrical Condyii Uiility�Und[gmd.' ' `Ad Elect7ical Conduif�l�nqrgrnd. _�1 r ..a ��6 �Sieel Reinforcemegir " 6._ Electrical UFERTGrnd. • t��ns;rnunaauon - n":�•.1r. 7,�3'' Water Pipe�Undrgrnd. T • � 10. StrUctural floor SYstem 11. Property Sewer Line & HouseµConnectic 12. Sewer CaP `. �. I �, 13. Roof Drains 14. Rough Plumbing, -; f • 15. Fough Electrical-Cortduit :i'� � , c. .r . 76. Rough Electric Wiring � r, 77. Rough Wiring Sign � 18. Rough Electrical f Bar Ceiling' ' 19. Rough Hea[ing & Air Conditioning 20. ;8ough Fattor� Fice�lace ' �' � { c M . 27. VUCIS, in�$ifllGLUB' f •. •. -' � , 22. Ducts, Ventit�,ing;: � ; ' � 23. Gas Pipe�Rough & Tesi - 24. Roof-�Framing:. �, � '. . 25. Roof�Shea'thin `'' r 9 G� 26. T�Bar�Ceiling (StrC�c.tvral) & tN'd/tQPoat 27. �Frame and PlaShin� : - . 28. Latfimg & Sidj3ng �? *" �, ��- J ro - � :, .. .. � 29. Insulation • ;ti;: �• ' 30. Drywall �3ailing ,C�. �, c. �, 31. Plaster B�pw�-Coa^,; � ; � � 32.'Electrical'�Power A�at�r'-F�r�al . , � . � r 33. Final Ele`�tric� _ �r, v : 34. .F�inaLHeating�& Air GOnditioning=' �� m T ' 35. Fina`�Gas_Pip'e.;ieSt `. .: ' 36. Hood or.Qnopy .,� • ' � � '`'" � 37, F.inairFactory Fire,'pldCe ; _ i� , - 38. Final'Pluinbing �' � . r �. �39. �Vater Service;Final.,. � -,40. GasService•Final �r r•, ' � �- 41. Solar pomestic•Finai', = �� 42. Backflow Preventeii i � :1� r ,- �' .-��.a .43. Backflow Irri@ation" K �,'"S J 4,4. Landscapelrr.iqatiorrSystem_��^ ' 45. Sound Attenu2tion ` "'" ` ' 46. Mandicap•Regulatio�s '- ' 47. FINAL STRUCTURE & BUI�DING 48. E�NAL PLANNING r � � - 44. EIeC[rie R€lease xo Edison , i0. F�as Belease to Southem Califomia-Gas C 7. CERT.IFICATE OF OCCUPANCYT Date .�� SY Inspector -AppROVALS Permit # 52. Pool & Equipmeni Location ' 53. Steel Reinforcement � � . 54. Porms ' 55. Electrical Bonding 56. Rough P�umbing & Pressure Test - 57: APPROVALTOCOVER�GUNITE 58. Electrical Conttuit'-Undrgrnd. 59: Gas Pipe, 0 Undrgrnd., Test ... � � 60. Backwash �ine's��,�,R=Trap, G Undrgrnd. 61. APPROVAL TO DECK . - �. - 62. Backwash & Receh,tor-Finai �I 63. Heater & Vent-Final � 64. Plumbing System � Final I�' 65. Electrical�Fina� ' 66. Solar SYstem�FiPa� � x 67. Fencing & Access✓.Approval � 68. APPROVED F�R pIASTERING u �. 69. POOL/SPASYSTEMSFINAL � r F�RtE DEPT. REQUIREMEN,T * :J -. �•`'.APPCiOVAL$;`�Pfl�{nit# � s - r;•� -. - _' �° ' � 70. � ndergr'oup� HXdro - ' - -� ._ :., i, _�' � r.. �; :� � � �;�;,, 77. Produet?iBing �fas ❑Oil e-! v' ? :`�4 - 72, Underground FtuinL- T �� _ , '., t--. -+ - a. " `� � �,� `: 73� Undergrnd. Stora�e�nl� O Gas O Oil ,., - a� '� 74:'Overhead HYdro� V � c r i: � .� r � , ' rp � - � -� � 75� .Dry Chemical �•� , ;� n� �-. � . ,� . _ .. '+ C � •' ! 76. Dry Stan�lpipe r� ' ; ,r � n� �'*'-� ••i ';,; 71�i FIXEDSYSTEM'FINAL� i. . '� � , � ��" 78: FIRE PREV. FIfV�L `=' 2' %' � � ' `�, itiEALT�''k�DEP7.`REQUIR�MI � I � �* �'J9.� FINAL INSPECT'taN x-Y-T _�- - Y�" i � it � 80 i FOOD CERTIFI.CATE I�SUEq ,^ :r ;�7 . ! l 1 C^ ..- � -�� .� � �+ Notes: - �i�*+ ; O n�r.. �. i �� y _ ('` Y �4 _ L' [_-' . , � i � - --f� A i . 1�,�'r 7-. Ct�-� .i � � �! `�. ' s_ � . � y. � � n � Y ' I '! .1 "".l t T 'I . S I•� •. .'. h n i � 1 "1 � t, • r ' �' != ; , . d � � M ! 4 (. ' ;1 ' .-. F- • - K {'� ' fi. l a 'n -'_ ' `� � �ti 'T� r H ' �� r. !. � I' 1T i� 1' � R v ''tir�- �� - x':' X{ j f i�' • .. -�. C .:7 i : iJ ^• 'fi `� C3 C ,r •r: ' ��T, 4 S n � _ - -�Y: t . -� !� � •v: . � i? . trl Y: E + G ' • ( +� y � _ _ ' Y tt ♦ i=iiV.. ^ �� • �� r. =. _, ; lb' p s � u% • - ♦ . i � = � t ', 07 .+" "" e: :�i (' � T # l T . • ,i - . f " � •- . -.m , . > � � " � � : � � � � K . �!= -� .. � �. : �. . 49 COSTA MESA BUILDING-SAFETY DEPARTMEHT P.O. BOX 1T00 - CO6TA MESA� CALIFORNIA 928M For Applicant to Fl11 In Complefefy TYPE OR PRINT MAIL COSTA MESA, CALIFORNIA 1336 E. iPT �S � � R16FIT DESCRIPTION OF WORK JAN -7-69-PA;°00 179' l OB.i)l, cr;�, ,. ,t,t,t APPLICATION FOR PERMIT BUILDING For Offlee Use Only er APPROV6D ZONING NO.00 - YD60AN1 �LANB sU1LDIN0 NOTE: NOHAV60ViR 90' TO SIDB ! RBAR F EAVES f O ALLOWHD YARDS MPROV ED MAIN BUILDINO d FHOM W L CTR6LT ) 15 � FRONT �I FT. t R. HIDQ /P'I'. L YID J RT. R6AR RI'. DI3TANC[ liT. MAIN BLD VM• �j wood shingle ! HER6eY ACKNOWL8D06 TXAT 1 MAV[ ReAD TXIO APPLICATION AN� BTAT6 TXAT TN6 ABOV6 li CORRECT�ANO AOqe[ TO COY. PLY WITM ALL CITY ORDJfUNCO AND BTAT/ LAWY RiGYLATIXO BWLO�NO CONBTROGTION. SNALL BE LEBS THAN YARDSAPPROVEO ACCEHSORY BUILDINO DATB UI' � i r �- a w � /6 90 84. �.. 3-i.3 � � � 0 TH6 AMOUNT BHOWN lINDBp VALUATON 19 !OR THB j lYaP08H OP [BTABLI6HIN6 A PERMIT PH8 ON�Y. 1� VALUATION �� PERMIT FEH p s��? �y�� sd - � TOTALFEE S /d�