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HomeMy WebLinkAbout1942 SANDERLING CIR - Building Permits _ CITY OF COSTA MESA - 4 BUILDING DIVISION F z,_iI a DEVELOPMENT SERVICES DEPARTMENT PER NUMBER J 'PERMIT, , 605-01252 � . (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.caa..UILDING PERMIT n FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1942 SANDERLING CI Status: ISSUED Suite: Applied: 07/28/2005 Vicinity: ROOF Issued: 07/28/2005 Primary Occ: R3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 13948121 Zoning: R1 Applicant: DICK DUFF ISSUED BY: ._ Address: 1132 W BARKLEY AVE 'Phone: (714)744-5996 ORANGE, CA Zip: 92868-1213 Owner: DUNNING, PATRICK L Address 1942 SANDERLING CIR Phone: 714-606-3838 COSTA MESA,CA Zip: 92626-4736 • Contractor: SOUTH COAST ROOF INC • Address: 1132 W BARKLEY AVE Phone: (714)744-5996 ORANGE,CA Zip: 92868-1213 - License: 365271 Arch - Eng: Address: - 'i Address: Phone: Phone: • Zip: • License: License: • • SCOPE OF PERMIT. TEAR OFF EXISTING WOOD SHINGLES AND INSTALL CLASS"A".30 YEAR COMP SHINGLES ON ATTACHED HOUSE AND GARAGE,APPROX 4519 SF.REPLACE AND REPAIR SHEATHING AS NEEDED.. - FEE SUMMARY • Plan Check: , . $0.00 _ Calc Valuation: $10,358.00 Permit: •$195.25 ' - - Claim.Valuation:- ' $10,358.00 SMIP Res: $1.04 SMIP Corn: $0.00 Other: S0.00 Inspection: $0.00 Total: •$196.29 ' • , . PLANNING & ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left ,0-0 Right 0-0 ACCESSORY Front 0-0 . - Rear ,0-0 • . . ; Left 0-0:-,�-,.� Right :;:#1:1;:0 PARKING Existing: 0 - Required: 0 .Proposed: 0 • • 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 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 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 2446-48(6N0) DECLARATIONS 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 sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the L,� �.ys�ork for which this permit is issued. _ pyr 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 Is issued. 'T\ Myry qq�nsption Insuran9°'gar ier d)policy number are: ^}� r.. Cartier=-"' TT C6D YYIQ \M.INPOLcY.Numhdr' ISI (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the wo. for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agr'\hat If I should become subject to the workers'compensation provisions of ectlon700 of the Labor Code,I shall forthwith comply wi . • - \\ Appikent Std :� . . Date: 7' ae�Q1c— WARPI G:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licfnssed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busin s arid Professions Cade,and my license is in full force and ett t„L(c. '?hi app —5 4Contract rQ e.SiJnature: 1D-ate� ai-4 nc' 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). Lenders 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.). O I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's 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 and 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 et 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 Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aEEermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? Yes u No (Section 65850.2 of the California Government Code requires that tho 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 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Coda). 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 California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If Nee,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 end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE 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. igna re t al Owner(s) Date LAnd/Or Authonzed.AppllicaNr--' Data) WOE I INSPECTION TYPE UTE MAI& SODER INSPECTION TYPE PEE MIIDM& 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final q 7��J 208 Final Plumbing 200 Final Re-Roof /S O5 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 4 `ayt11 MF 9 CITY OF COSTA MESA BUILDING DIVISION >:f ,r. t DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER s'.4. � PERMIT E02-00224 %,Poeirmiol. (X (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1942 SANDERLING CI Status: ISSUED • Suite No Applied: 03/20/2002 Vicinity: Issued: 03/20/2002 Parcel Nunmber: 13948121 /� Applicant: DUNNING, PATRICK L ISSUED BY: �1// `-- Address: 1942 SANDERLING CR Phone: 714-606-3838 , COSTA MESA,CA - Zip: 92626-4736 Owner: DUNNING, PATRICK L Address 1942 SANDERLING CR Phone: 714-606-3838 COSTA MESA,CA Zip: 92626-4736 Contractor: Address: Phone: Zip: License: SCOPE OF PERMIT ELECTRICAL TO INCLUDE: 1 POOL/SPA . REF: B02-00372 FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 , New Res(34-units) $0.00 0 . - Transformers up to 1 kva/kw $0.00 0 Pool/Spa $49.50 1 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 ' 0 Recept Outlets $0.00 • _ 0 up to 100 kva/kw -. $0.00 0 Switches $0.00 ' - 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 ' Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 - 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $73.00 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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 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 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 2446-46 WOO) DECLARATIONS 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. ❑ 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 is issued, My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (Thi section need not be completed it the permit Is valued at one hundred dollars($100)or less.) r I certify that in the •_••rmence of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation •ws of 'lifo la,a • .- e that If I shoulO•• - ject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with ihes•pro .Io 1�Ap��pucent Signature:• : I ,/ [iD��g te:-_ ?—' ZD ^ 02 - WARPING:FAILURE TO SECURE WORKERS'COMPENSATION COVE-• IS UNLAWFUL AND SHALL SUBJECT AN EMPLVYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF CO•PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic,# Class# Contractor's Signature: Date: 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: Lender's 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).): O 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 old 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) lic-•-_ • rsuant to the Contractors License Laws.). ❑ I am ex:•••t did' - . Business and Professions Code for this reason: Ignature: -' _ f-- Date:: - �-o — °-2— Wner ID ventieA 6y drivers license. `C 0 No river's License Nb." . ,Expires:�`r /g'D(o Verification of Ownership by(type of d••r en i.e.-property tax bill or dee : 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,Gm 2,Art 2,Sec. 341,Title 8,California Administrative Code). O 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 tile and certify a Business Plan for emergency response to release or threatened release of a hazardous materiel? 0 Yes 0 No (Section 25505 of the California Health end 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 and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑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 Code been fully complied with? 0 Yes 0 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? LJ Yes LJ No (Section 65850.2 of the Califomia Government Code 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? ❑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 Management Magement 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? ❑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 COMPLIANCE MID 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 o co ly with all state laws and city ordinatices relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described prop 1 in.•- purposes.I .• -- -- • • py or allow occupancy of any building authorized by this permit until final inspection. 3- 20- o z, Signe lire Of Legal Owner(s) - spate And/Or Authorized Applicant Date CODE# INSPECTION TYPE DATE INTTTIALS CODER INSPECTION TYPE PALE AM. 1616Fixed System Final Fire Prevention 206 Final Mechanical J 1266 Pool Spa Final 208 Final Plumbing te� 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place - 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - 250 , Final Building/Occupancy 44 p51111 Ms CITY OF COSTA MESA , BUILDING DIVISION C•�, 1, � DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 0•is PERMIT *�,,a ,t' 1 / P02-00164 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT • Job Address: 1942 SANDERLING CI Status: ISSUED Suite No Applied: 03/20/2002 Issued: 03/20/2002 Vicinity: Parcel Nunmber: 13948121 ISSUED BY: Applicant: DUNNING, PATRICK L Address: 1942 SANDERLING CR _ Phone: 714-606-3838 - , COSTA MESA,CA Zip: 92626-4736 - Owner: DUNNING, PATRICK L , Address 1942 SANDERLING CR Phone: 714-606-3838 COSTA MESA,CA Zip:' 92626-4736 • Contractor: Address: - . Phone: Zip: License: Arch / Eng : ' Address: Phone: Zip: . License: SCOPE OF PERMIT • PLUMBING TO INCLUDE: 1GAS(1-4 OUTLETS)FOR FUTURE USE • REF:902-00372 - - FEE SUMMARY , AMT QTY-- AMT :QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 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 $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $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 $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $6.15 1 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $29.65 COMMENTS/SPECIAL CONDITIONS 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 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 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 244648(6/00) DECLARATIONS 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. ❑ 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 is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (Thisaction need not be completed if the permit is valued at one hundred dollars($100)or less.) - Y I certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers' 4 ,,, compensati f C Iifomia,aR ree that If I syould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with ase r ' ns. Appllcent.Slg`nature:. Ca:2-. moi—Za --O-7-- WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COV GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($1)3,000),IN ADDITION TO THE COST OF MPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that Ufere is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: '00 . Lender's Address: Sigr6ture: �1 Date: OWNER-BUILDER DECLAMATIONS: 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 old 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 e Code:The contractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) licenW. ant I the Contractors License Laws.). ❑ I em exem nd sec. usiness and Professions Code for this reason: f�rSignature: Date:. 3- 2-iz ^ 0-z.+ -Owns D verified by drivers license. Yes o rrvefs;Li�eiNo+:- 'res_:. if- /9—OL Verification of Ownership by(type of docu e i.e. roperty 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.Gry 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? ❑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 and 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 then 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 Califomia 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 end Safety Code been fully complied with? ❑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? LJ Yes LJ No (Section 65850.2 of the California Govemment Code 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? ❑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 California Health and Safety Code Section 42303 been made? ❑Yes ❑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 COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is • - . agree to comp ,ith all state lawsand '. .rdinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a..ve-d:.cri.Q,prop for I pection. .5.I ag•.e not to occupy or allow occupancy of any building authorized by this permit until final inspection. —• .0. 3-20 - #* G v Sighed__OF Cepa .virier(s),_ - r"„DSte x And/Or Authorized Applicant Date r y00E/ IIISPECTIONUPE PAIS INTmAL$ G40EP INSPECTION TYPF� MI• 1616 Fixed System Final Fire Prevention 206 Final Mechanical1266 Pool Spa Final 208 Final Plumbing - sa�j 200 Final Re-Roof 210 Final Electrical I 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 .Final Demolition . • 250 , Final Building/Occupancy O CITY OF COSTA MESA FS; 4 ' BUILDING DIVISION %�s,r' 11nal let -t,• DEVELOPMENT SERVICES DEPARTMENT PERMIT ER Is I nil,l a I PERMIT ro �" 2-00372 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1942 SANDERLING CI Status: ISSUED Suite: Applied: 03/15/2002 Vicinity: Issued: 03/20/2002 Parcel Number: 13948121 Zoning: R1 R1 Applicant: DUNNING, PATRICK L ISSUED BY: Address: 1942 SANDERLING CR -Phone: 714-606-3838 COSTA MESA,CA - ' Zip: 926264736 Owner: DUNNING, PATRICK L • Address 1942 SANDERLING CR " Phone: 714-606-3838 COSTA MESA,CA Zip: 92626-4736 Contractor: 'OWNER-BUILDER Address: Phone: . Zip: License: 0 Arch : Eng: AARON COWEN Address: Address: 1201 N TUSTIN AV • Phone: Phone: 7114-630-6100 ANA,CA Zip: License: 92807 License: C58878 SCOPE OF PERMIT IN GROUND SWIMMING POOL AND SPA.SEE ATTACKED 1998 CBC,,Chi.31B DIV 2,SWIMMING POOL REQUIREMENTS AND CITY OF COSTA MESA, BLDG. DEPT. POOL REQUIREMENTS. FEE SUMMARY Plan Check: $353.11 Calc Valuation: $40,009.00 Permit: $543.25 Claim Valuation: $40,000.00 SMIP Res: $4.00 SMIP Com: $0.00 Other: $0.00 • Inspection: $0.00 Total: $900.36 PLANNING &ZONING SETBACKS • MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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 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 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 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: - • V. 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. ❑ 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 is issued. My workers'compensation Insurance carrier and policy number are: Carrier: JJ Policy Number: (Th' section need not be completed if the permit is valued at one hundred dollars($100)or less.) • I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensatio s alit nia,and ,• .= at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith complywith these- o isi pPIA icant'-Signature_'' \ r Dat e: = 'i � - Oz ARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAG UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMP. 'SATION,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 under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: 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 x 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) tic rsua to the C ractors License-Laws.). ❑ I am ex t r sec. Business and Professions Code for this reason: Srnature:-.- Fair. moi- ZU - o ,z Owner ID vended by drivers license. Yest 0 No igECs'hi n01055. '� $" � : z 7_j9-O76 Verification of Ownership by(type of dot ment, .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,Gry 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 and 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 tiling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit 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 LJ No (Section 65850.2 of the California Government Code 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 0 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 California 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 COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is orrect. 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 abve- scriFerty for inspe es.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 2 - 2p it. Sidnature rn- al'Owner(a)- - ('- t:ate,,.,y L An r Authorized Applicant Date CODE# INSPECTION TYPE DAFTIP. CODEI INSPECTION TYPE DTE )NTRIALE 1616 Fixed System Final Fire Prevention - ^ 206 Final Mechanical 1266 Pool Spa Final „a 2-- 11117 208 Final Plumbing _ 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention i 202 Final Factory Fire Place 220 Final.Planning Approval 203 Final Sign 222 Final Site _ - 204 Final Demolition 250 Final Building/Occupancy 3" . -_ At'_— A,i�- _dICAN TITLE LJMPANY Serving the American Dream • • 1440 N Harbor Blvd #600C • Fullerton, CA 92835 • (714) 446-1111 Issuing Agent for Chicago Title Insurance Company TITLE OFFICER: Sheila Moltoni TITLE OFFICER PHONE: (714)446-1111 TITLE OFFICER EMAIL: sheila.moltoni@atic.com TITLE OFFICER FAX: (714)446-6646 TO: PORT FINANCIAL • 2845 MESA VERDE DR#5 COSTA MESA, CA ATTN: JAIME YOUR REF: 585 ORDER NO.: 122621-17 PROPERTY ADDRESS: 1942 SANDERLING CIRCLE, COSTA MESA, CA DATED AS OF: October 24, 2001, 7:30am PRELIMINARY REPORT • In response to the application for a policy of title insurance referenced herein, American Title Company hereby reports that it is prepared to issue,or cause to be issued,as of the date hereof, a Policy or Policies of Title Insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception herein or not excluded from coverage pursuant to the printed Schedules, Conditions and Stipulations of said policy forms. The printed exceptions and exclusions from coverage of said Policy or Policies are set forth in Exhibit A attached. Copies of the Policy forms should be read. They are available from the office which issued the report, This report (and any supplements or amendments hereto) is issued solely for the purpose of facilitating the issuance of a Policy or Policies of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance,a Binder or Commitment should be requested.The Policy(s) of title insurance to be issued hereunder will be policies of Chicago Title Insurance Company. Please read the exception shown or referred to below and the exceptions and exclusions set forth In Exhibit A of this report carefully. The exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy and should be carefully considered. It is important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens, defects and encumbrances affecting title to the land. Aa T1TLF. O., AMERICAN TITLE COMPANY . to •° ;; , • JJ// O :_ 1988 0', t , t. SEAL ATTEST ',^/� Authorized Signatory YY The form of Policy or Policies of title insurance contemplated by this report is: American Land Title Association Loan Policy (10-17-92)with ALTA Form 1 Coverage The All-American Polley,an ALTA Homeowners'Polley of Title Insurance fora One-To-Four Single Family Residence,will be issued for an additional 10%of the published rate. Standard CLTA Owners is available upon request. 0027 ;.y.? ,�i'�..ci'#A •;A y tERENCE: 585 - ORDER NO.: 122621-17 SCHEDULE A . . / / THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO • COVERED BY THIS REPORT IS: A FEE TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: PATRICK L. DUNNING, A MARRIED MAN AS HIS SOLE AND SEPARATE PROPERTY THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE COUNTY OF ORANGE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF • Page 2 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. �__----- CITY OF COSTA MESA - PElzmIT NO. TRACT NO. LOT NO. BLDG.NO. - - CONSTRUCTION PERMIT allf Project Address�yj ' :i4iJhe r Ii r1q C? /re-J" TYPE OF CONSTRUCTION �� 3!09/e2 5.00 U. Owner 71rv,.AJo 1f/V e__i 'e.r, r Phoney _0'S[y^ ❑ NEW 0 ADD ❑ ALTERATION /- Address/LJi,12 S`/mA/%///ya L//r,p A. 0 REPAIR ❑.CONVERSION ODEMOLISH X�"'/ • ZONING REGULATIONS Arch/Eng. / License No. 0 OTHER DESCRIPTION OF WORK A.P. Address .ZONE PLNG. REF.of Contrecto ro F,a4.-5 42/4.44 Ai, ,, rthr Ph6ne?92 -35/7n TYPE OF PERMIT -- BUILDING .R� 1 $�,LINE // SETBACK C/L ST. P Address/S3 3 /e1 A/A./e2.4,4/ .- - - O GRADING 0 FOUNDATION- 0 STRUCTURAL ,LID TYA RD - - LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL PLUMBING ❑MECHANICAL SIDE YARD -- I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code, ntl mylicense is in full force and effect. REAR YARD(TO P/L) 1PROJECT DESCRIPTION License Class - 3 '9 ' License No. / c PKG.SPACE REQ. PROVIDED _ Date-/y 'rz- Signature .....:.-e .d-'r-, n/N2 SO. •FT. - - WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE 'STREET WIDTH PARK FEE$ • I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE 'ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or-a certified copy . . thereof(Section 3590,Lab. C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: • , Policy No. 4.el P-4/11 Company-P'p,-v,rr)S, - -4 - . - - . »Frt ifletl copy is hereby furnished. - - - REMARKS:' - c - _ 'r...rtified copy Is filed with the city Building Division. - . L`.a MPTION FROM WORKERS' COMPENSATION DECLARATION '- - " ' e - - - (This section need..not be completed if the permit is for one hundred - -- _ _ , ._ - .. , ($100) or less). . I certify that In the performance of the work for which this permit is _ Issued, I shall not employ any person in any manner so as to become ' PLUMBING , _PLAN CHECK ELECTRICAL PLAN CHECK - - sublact to the Workers'.Compensation Laws of California. - - -- uw ELL-IrvG t.H UHt.E Date - - 'Signature BATHTUBS SHOWERS SD FT SO FT r NOTICE: If after making this declaration, you should become subject TOILETS URINALS - GENERATOR 0-1 KW__1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - APPLIANCE 10-50 KW" 50+ KW revoked. .. - . _ - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS "0-1HP - 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ' ' SUMPS' (INC.SOLAR) 10-50 HP_-50+HP - formance of the work for which this permit is issued (Section 3097 •. •- • Civ. C.). _ tC - ‘ FLOOR'SINKS - FLO R 5 FIXTURES OUTLETS "SWITCHES ' - •I Lender's Name' . •• `e '.•. .. - . Lender's Address _ >- 1• DRINKING FOUNTAIPS - •1y. GAS TUBE SIGNS - OWNER BUILDER DECLARATION INTERCEPTORS CL IF 5 ,� \ POLE LIGHTS - - - I hereby affirm that I am exempt from She Contractor's License Law for /1\�`y the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL T S ` LUNO!Kula RJR • Any city or county which requires a permit to construct, alter, �/ - POLES METERED SUB - improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE A TERATION • PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he - - is licensed pursuant to the provisions of the Contractor's License Law GA5 SERV ICE OUTLETS . :SERVICE ' ' AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the - Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT a UQ -, basis for the alleged exemption. Any violation of Section 7031.5 by - •P applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS 4 more than five hundred dollars ($500). . • as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS - • - _ - , Sole Compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. ISSUE FEE .t Contractor's License Law does not apply to an owner of a property 7 - APPLICATION APPROVED BY who builds or Improves thereon, and who does such work himself or ISSUE FEE - J� - DATE through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK , SUMMARY OF FEES is sold within one year of completion, the owner will have the burden BUILDING of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU E I, as owner of the property, am exclusively contracting with AND DUCTINGPERMIT $ SMIP $ and ssionscontractors to nthe srLicet e(Section 7044, Buslness 100,000 +BTU PLAN CHECK $ PERMIT �+�. ..7� neof Code: TheorContractor's License Law does, not apply to �4 .w ISSUANCE $ an owner of chpropertyprwho builds improves thereon, and whoa con- REFRIGERATION 0-100,000 BTU PLUMBING $�°= tractshe from such projects with a contractor(s) Iicesned pursuant to SYSTEM - GRADING $ _ the Contractor's License Law). 100,000 +BTU PLAN CHECK $ • ❑ 1 am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $ reason PLAN CHECK $ MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$ d`' d•-'d I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ PLAN CHECK LESSAAD- informationrdinaesIs atrela agreeito comply with all cityand county $ VANCE PC $_ representatives and state this relating toconstruction, PLUMhereby upon the above mentioned • • , property for iUSQectlop purposes. C P-f/ Signature /90eJ 6l/P.ISS ISSUE FEE CMF 0865.46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor ”s, ,u---44— CONSTRUCTION AND PLANNING POOL& SPA .. APPROVALS Permit # Date Inspector •APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding. 5. Steel Reinforce 47. Rough Plumbing& Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑ Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. ❑ Undrgrn • 10. Structural Floor System - 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. _ Backwash & Receptor-Final 12. Street Sewer Connection . - • 54. Heater & Vent-Final 13. Rough Plumbing _ 55. Plumbing System - Final 14. Rough Electric-Conduit - .56. - Electrical-Final • • 15. Rough Electric-Wiring - • • -57. Solar System-Final 16. Rough Heating & Air Conditioning - b - Fencing & Access Approval • 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - . 21. Roof Sheathing rams' 22. Frame and Flashing NOTES: IV�O/�' �"�Ot• 1, !tr1 q� 23. Insulation a +�cd�� �&�Gv T • � 'iN�` 24. Lathing & Siding y(- '�' e !/ 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final l �. 28. Final Electric •/ 29. Final Heating &Air Conditioning 30. Final Gas Pipe-T- 31. Final Plumbi . • 32. Water Servi•--Final 33. Gas Service- - • 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation .. 37. Handicap-Regulations 38. FINAL STRUCTURE & BUI LDI NG 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESAPERMIT NO. TRACT NO. LOT NO. BLDG.NO. 2042 I /p6/84 5.00 TL CONSTRUCTION PERMIT P /64'2 0 .. . I • Project Address �9 V,- -�fA/f7F //VG TYPE OF CONSTRUCTION U NEW U ADD kd-ALTERATION U REPAIR aoc-e�1 P El CONVERSION El DEMOLISH El OTHER Applicant's Mailing Address ,. 1 o/n/non/ A.P.# • - I Zone Owner's Name /1,� L-/7V✓0 fit/���� Phone DESCRIPTION OF WORK S Main Building: Accessory Building: Z Address //�^�-�/b'A/Aff' L//i 6 TYPE OF PERMIT 0 GRADING D„.,POury DATION• U STRUCTURAL T -Front - . N Arch/Eng. License No. _ ❑ TENANT ❑ ELECTRICAL 'PLUMBING 0 MECHANICAL BA Rear • N Address Q El OTHER _ _ . Contractor's Name / rrgq pick Tjg-TJwLe,,,- Contractor's Phone c3,�1 .3IY/3 PROJECT DESCRIPTION SQ. FT.' OCCUPANCY C Right G Address(mailing) R0.0 U) , IOQ R7 GA/44 S,4f✓'n4_ TI•r - CON STRUCTION TYPE VALUATION$ S /Left - R E 5943 1 , ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park $ Q City License No. U LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: . E my license is in full force •ntl effect. qp License Cla s License No. 02)/�/n PLUMBING FEES Planning Notes: M Date -- l'" Signature PSI I W: /I A-.._ E ' 'JRKE• ' C.MPENSATION DECLARATION Bar Sink Showers T ereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S .n Workers' Compensation Insurance, or a certified copy thereof (Section - - 3800, Lab. C.) - Backflow Irr;gation Sewer Cap - ELECTRICAL FEES • Policy • /,,i39 Company ' titled copy is hereby furnished. , Bathtubs Sewer Connection Automatic Washer . Transformer 0 15.50 KW Certified c py i 'led with the city Bu ng lvi , 0 50+ KW Date Applicant Ar 1 ' g�c-F�- Clarifiers Solar Collectors • Construction Pole Sub. EXEM PTI FR M WORKERS'COMPENSATION DECLARATION / Dishwasher e/0 Solar Piping Or Cooking Unit Meter ❑up to 100'amps - ' . (This sects need not be completed if the permit is for one hundred ($100)or less). Drinkin Fountains I certify that in the performance of the work for which this permit is issued I 9 Solar Tank - Dishwasher Meter Dover 100 amps - shall not employ any person In any manner so'as to become subject to the - • Workers'.Compensation Laws of California. Floor Drains Swimming Pool w/Spa' Dryers ❑Gas ❑Electric Sub Panel . Date Signature , ' NOTICE: If,after making this declaration,you should become subject to the Floor Sinks • Urinal Fan Motors❑0.1 HP 0114-8 . Workers' Compensation provisions of the Labor Code, you must forthwith _ - _ comply with such -provisions or, this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ ' CONSTRUCTION LENDING AGENCY- . - I hereby affirm that there is a construction lending agency for the performance Interceptors. Water Heater Fixtures ' -Microwave ' of the work for which' this permit' is issued (Section 3097 Civ. C.) -• • , Lender's Name - Kitchen Sink • Water Service . Device Boxes Pole Light ' Lender's Address - Lavatories OWNER BUILDER DECLARATION Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p—Tra following reason (Section 7031.5 Business and Professional Code: Any city or PSwitches Sign 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 Roof Drains - - Garbage Disposal Standing Sections ' .Jo file a-signed statement that he/she is licensed pursuant to the provisions of k;?;e Contractor's License Law(Chapter 9(commencing with Section 7000)of .Generator ❑0.5 KW❑5-15 KW Trash Compactor {,;Vision 3 of the Business and Professions Code) or that he/she-is exempt - P $ trefrom 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 Reinspection Fee • $ 3 peenalty of not more than five hundred dollars($500). p I $25 Issue Fee LJ I, as owner of the'property or my employees with wages as their sole MECHANICAL Reinspection Fee ' $25 Issue Fee . $ 3 compensation, will do the work,and the structure is not Intended or offered l FEES for sale (Section 7044, Business and Professional Code: The Contractor's _ PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler • Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ Duct-Under Ground sale. If, however,wthe will have building dopro isg within one year of com- Application Approved By Date / r�- pletlon, the owner se of have the burden of proving he/she did not build or Im- Duct-Structural Refrigeration ( Date/4 e/ rove for the purpose of sale). System Application Issued By /Ai / 0 I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES F . The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ SMIP builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT y �,_,_ 0 l am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ©� SS UANCE $ �v Date Owner Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify-that I have read this application and state that the above 00.100,000 BTU 0100,000BTL GRADING $ Information is correct. I agree to comply with all city and-county ordinances - ELECTRICAL $ and-state laws relating t building construction,and hereby authorize repre- PLAN CHECK $ • MICROFILM $ sentatives of is ity enter upon the abve-mentioned property for Inspection p p• , . MECHANICAL $ TOTAL FEE $ (5;00 Signature ,I Date.427- Drivers' License or SS# / • Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ i CMF 0865-46 rev. 7/83 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - .4111 CONSTRUCTION AND PLANNING POt .SPA APPROVALS Permit -Pins lDate 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-Undrgrnd. 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,•D Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, E 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 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 0 Gas 0 Oil . 25. Roof Sheathing 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 PREV. 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing (-2o-8'i "tie 39. Water Service-Final 40. Gas Service-Final 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. Special Requirements Completed • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date OWNER LAVENDER, BERNE DATE 2-6-70 Z. JOB ADDRESS 1942 Sanderling Circle BUILDING PERMIT NO. 31361 \SLGENERAL CONTRACTOR Pat Roy Builders DESCRIPTION of WORK Enlarge Bedroom S Bath 4 D 139-481-21 LOT 6 TRACT 5289 FIRE ZONE VALUE $ 5 712.00 I1. ECTIONS Signature Date GROUP I TYPE V ZONE R-1 SOIL U� � �_�` `� p7 ikr �-l[Yh� SUBCONTRACTOR PERMITS ISSUED GAS �L Date Number Signature WATER uG- 1 /'l0 M - MS r � ROUGH PLUMBING $ /v�S3-?"--7)- a�a—„amu-a r=,na..t.:...-.......-/,mss ' PROP. SWR. LINE O HOUSE CON. 0 Z0/171.... A( . . .Q - ' Z -705é, SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND yr POWER El R 'I-f?-1e, ROUGH WIRING�” Y-/;.7 Heating and Vent. TRENCHES Vk FORMS ��.yy STEEL REINF. l//////JJx�JJ// FLOOR SYSTEM )/�� /V�J/9.� / �J,/� rJd, BOND BEAM Q STEEL REINFORCE n / //" '/ �� SHEATHING / 3-2r-712 FRAME ANO FLASHING ��gg�� y-151-7C LATHING - IN S OUT $K4'--.>-t.' 49 /y-TO PLATER, BROWN COAT n 6717 0 5 'URAL, FINAL / I- t ' HE....NG, VENT., REFRIG. AND A.C., FJNAL ,42r ✓�1 G7�! i. I Al -� PLUMBING, FINAL AND GAS TEST " 6-)- a / ELECTRIC, FINAL r ?-l- 71 RINI nING FINAL 2. L •7/ 36 FEB -6-70PAloOO 1'78* ****48.00 [MSA COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely p(� / //�, �/ RECEIIyj.,E.D�BY JSATE/RECE'I7V�EyD DATE I$SU AUILDING/ 7T� !Y'^- eC�Cx.Q/ .SAV//I sl `(P -/U /�_/ ,� �a BUIL IN U OWNER •`-rda u, Z A.P. NO./ 3 q 5/ 1—07/ '/ s 4J MAIL BUILDING /7,„„f/,.." „data /f : 4 Z ADDRESS 54 ni C. ��//jj//-gig ADDRESS ^ �� • L;(/j�'(,v a z CITY -�. �'�� NO.til Di Ip7G-JJp(O TRACT�v� I LOT BLOCK Z Q CONSTRUCTION - NEW J9JALTER REPAIR MOVING OFMOLISH O- I- L .4X LENDER O-c-rc- < am J co BRANCH /Y�/�”-0� -I / / � N OWNER 1�I�1J Q W ADDRESS•CO ARCHITECT //✓!� �� �./� ,,J ^/ p /),./,� mN OR ENGINEER Alf-•-��' /v—"/-4- NO LJY'S3�/ USEi4Gf.Gt• SC Ai �j� ( IcE.3 V) FIRE T w fL ADDRESS$a3. lJ ZONE TYPE . i GROUP aw APPROVED f] li „z-- d� 7O J O CONTRACTOR-Zr ‘15..4 -ZiY.�(/ BY CA yI /QQP--' DATE / t/ CO z CC ADDRESS,j7/ �L.4 W - W Lu n TEL.". ZO�I.J� NO.OF USE OF NEW " ' z= CITY\ 4t.A_t-!v✓ NO.p'/'�} os /�— PLANS BUILDINGCF�, -rte A &C y`, F r STATE / CITY OoZS YARDS APPROVED YARDS APPROVED LU O LIC. NO. /.5-50 7L/- LIC.NO. 07 MAIN BUILDING ACCESSORY BUILDING / i IF'•o / ST/ ' Ti SIZE NO.OF 4- - NOW ON LOT / FFl•r . OF LOT go' X / / O � T .- FT. USE OF EXISTING BLDG. -/&'-ese R SIDE 7 7 FT FT, I— SIZE OFyam{, NO.OF ....rZZ NEW BLDG.gti{./t 02_0 ROOMS •‘/ STORIES / L.SIDE 411.5F-7. FT. U EXTERIOR WA ROOF ,,ss���� ���� ' / COVERING _COVERING ge.404. /s-•- REAR ,45- FT. FT. -I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& dY ✓`a,' MAIN BLDGS. ACCESS. BLDGS. LP Q A' VAR.# DATE O s.yu� 7- �O- -s+✓ C.U.P.# APPROVED I- BY �' - •APPROV EI* N /'--c„<'-cc/�.--•-QP 7 DATE 02_6I 70 2 0 0 UI hereby acknowledge that I nave read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of V) the State of California. af . to e1 Z 471 I hereby certify that I am properly licensed as a contractor under 102:Q. FT. o the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY: • CC am exempt from the provisions of the State of California Business VALUATION and Professions islon.3,.Chapter 9. �� to PERMIT FEE $ Signature of C '••''''''j)) �7 _ /CD • m Permittee - N. I I -lei �7 $ i //_/ PLAN CHECK $ • t/-ri E LL Xry /, Authorized Agent ` TOTAL FEE $ U • (J"'� V 1 VYY arin sttVGIYLL'ftp Darult, LA"1"1'i 1/-J,-1-vJ JOB ADDRESS 191+2 Sanderli ng Circle BUILDING PERMIT NO. 24656 GENERAL CONTRACTOR Frank C. Palmer DESCRIPTION OF WORK .ComrmuiityBlouck Wall 1)' AP No. LOT 6 TRACT 5289 FIRE ZONE VALUE $ 150.00 .Iq I. iCTIONS Signature Date GROUP J TYPE SfI ZONE R-1 J Son PERMITS ISSUED Gas SUBCONTRACTOR Date Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con.I] Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power ID Rough Wiringr Heating and Vent. Trenches$' Forms El Steel Reinf. Z1----, ,..P.Aler Floor System Bond Beam 0 Steel Reinforce c Jam// 21r Arad Sheathing Frame and Flashing Lathing —In ❑ Out ❑ Plaster, Brown Coat S' 'ural, Final Electric h_ ..ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final ",VW 9y-..�/s'` L ?4656 I • P9 OF COSTA MESA COSTA MESA'BUILDING-SAFETY DEPARTMENT AUG 3 0 1965 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 For Applicant to Fill In Compltlely ANC ) II)PERM TYPE OR PRINT 2141:102: Fo►�. co Use Only /944 SAfs A>:e I.,.0C 0,eele_ RQt(��T�(1p�.RECEIPT NO. NO. ./4 V t/6 COSTA MESA. CALIFORNIA //I� R[C<tYEO BY ',L cb P gg q 7 owners-8ERNE LA✓EA) DER ����\\""��JJ (y 1 =gun / 19W SANS%el.,N(,Ci RC if ADDRESSBUILDING /�2 If06 k CITY \.} M ' o' APPS Ott! ROUP r—ARCHITECT TELAPPROVEDOR ENGINEER NO. 0/1 ��,,/J ZONING ADDRESSNO. Al "' --C(• ( E PLA E um(or NEW CONTRACTOR t'�1N 0 �RL.wL er ( I PLANE -1..H SU,I�LDIIxpa (��'�• c((�� DESCRIPTIONGAL d (G l /\ ' d"- 9 ADDRES(/'�I'ASS sag N O R CQ D K. " / CITY COM A.P.NO. �1 NOTE: NO!AVE OVERHANG SHALL BE LESS THAN L C.TNO. 6LC Sa.G.�E NQ .SC6r7SS2__ O'ETO SIDE&REAR e.L SIZE SIO 94 iN ('i /911i O .iI NO or rums. I EAVES ALLOWED (U.B.C.REQUIREMENT) OF LOT ! NOW ON LOT ` USE OFG ,, YARDS APPROVED YARDS APPROVED EXISTING BLD °<.CAQ(.-C Tri MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE IRON FRONT FT. CENTER OP STREET REAR YARD SIDE YARD I LEFT I RIGHT R.SIDE FT. — DESCRIPTION OF WORK L.Inn Fr. SFr— NEW ALTERATION ADDITION I REAR FT. 0 FT. DISTANCE BET. BET.MAIN R REPAIR _MOVING DEMOLISH - MAIN BL0G8. ACCESS.BLOCS. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.V.P•# APPROVED ...- ,- EXTERIOR EXTERIOR WALL ROOF APPROVED / �j//� ��- yyy q / (� COVERING COVERING eY ( `/I/�" /�n�TE ?-3 V _I(/J ySE OF BUILDING AND WORK TO BE PERFORMED V?A/57r 6. ( iA)STeocr 4 Blest ThUssi>=es `9 (o 4iG4 °fa �S EA� r7ILin,E- ffi SQ.P<. 1 I HEREBY ACKNOWLEDGE THAT-I HAVE READ This APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO co". PURPOSE OI ESTABUSHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORD NANCEs AND STATE REGULATINGVAWATION A BUILDING CONOTRU4T10 K) w SIGNATURE PERMIT FEE $ S P8RM17TBF € S 00 PLAN CHECK S W AUTHORIZED AGENT /50`- (Do - ' 2..;.. +C ..::il'•- -. . TOTAL FEE $ Lot.6.. rtt KtULIVED " ' 825' MAR 3 1 1984 COSTA MESA bvILDING-SAFETY DEPARTMENT FINANCE DEPT• P.O.BOX 917 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 1942 SanderlingO. Circle N RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 9 , 824-. RECIEIV 0 OY DATE R[CBJVED DATE N:21BD OWNER Pemba Subdividers Tne ✓qac-/ --7.--3/-4r APR 1 4 1964 ADBUILDING ;ZitPLRESH 2850 Mesa Verde Drive ADDRESSFIRE e/ C,, Costa Mesa No•5490395 ZONE TYPE y GROUPS"", ARCHITECT TEL. APPROVED DATE OR ENGINEER E•G. Kaltenbach ND, 5478046 1833 E. 17th St. , Santa-Ana ZONING l !• ADDRESS ZONA NO.OF USE OF NEW Si %l 1alUr R-1 I PLANE 2 I BUILDING W/ att gar. CONTRACTOR cy ej pi To T,. 6 LEGAL Lot Tract 5289 ADDRESS Dot O A.P.NO. none CITY - h 18 p TEL NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 1873 STATE 90"TO SIDE ft REAR P.L LIC.NO. NO. SIZE EAVES 7g ,g�. I NO.OPBLDGS.• 0 ALLOWED (U.B.C.REQUIREMENT) OF LOT 99 )/ Now ON LOT YARDS APPROVED YARDS APPROVED EXISTUSE ONGBLDG. 11q(J-e, x97. 9 Ox 9aay3 • MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM 42' 321 FRONT yarr. 74 FT. CENTER OF STREET REAR YARD SIDE YARD I LEFT 7' I RIGHT 7' R.SIDE 7 FT. FT. DESCRIPTION OF WORK L.HIDE / FT. Fr. NEW X ALTERATION _ ADDITION REAR ,32-FT. Fr. DISTANCE BET. BET.MAIN @ REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLOCS. BUVAR.# DATE SIZE' DING 2,481 NO.OF ROOMS 9 b�7I�ORI- 2 C.U.P.7i \ APPROVED EXTERIOR WA 1�.Li`�1_C�n,Op' ROOF �G}j7�"-'O APPRO``p.✓�'\1\I , j O_ G'L,_/ COVERING OLD LUCCV I COVERINGI+++lnble BY 1J urV V'✓� DATE .>'�� USE OF BUILDING AND WORK TO BE Pfi FO MED - }>ti Single family with attached garage. ` )[/ House 2,030 sq.ft. 'I D I/ Garage 451 sq.ft. Plan 54-CR �O3�q FT. a r6? a - Cle I HEREBY ACKNOWLBOGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 9 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LA REGULATING VALUATION $ Li BUILDING BUILDING CONSTRUCTION. .r// N •SIGNATURE OF q' PERMIT FEE C/ to PERMITTEE J i/�• l r sot 65/ PLAN CHECK $ 37'5-2:1 0 AUTHORIZED AG-^ V_ j I` / / \ TOTAL FEE $ / 03, 0 V