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HomeMy WebLinkAbout778 SCOTT PL - Building Permits CITY OF COSTA MESA ,�xr BUILDING DIVISION 4.F u 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL:(714)754-5626 %I.4-mm PERMIT NUMBER: P08-00128 PERMIT TYPE PLUM STATUS: ISSUED APN: 42417107 DATE ISSUED: 05/19/2008 ISSUED BY: RMD JOB ADDRESS: '7„78 SCOTT PL CMSuite/Unit: Vicinity: LAUNDRY ROOM SCOPE OF WORK: WATER HEATER CHANGE OUT FOR AN APARTMENT BUILDING, LOCATED IN LAUNDRY ROOM. OWNER: PIMENTAL, LUCILLE _ Address: 17901 HARVEST AVE PHONE: City/State/Zip: CERRITOS,CA APPLICANT: MORGAN,GEORGE Address: 6809 S VICTORIA AVE : PHONE: 323-753.2541 - - City/State/zZip: LOST ANGELES,CA CONTRACTOR: GENERAL INSTALLATION CO License No. 151839 Address: 6558 WEST BOULEVARD PHONE: 213-753-2541 City/State: LOS ANGELES,CA ZipCode:-90043 • •CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. - PHONE: • PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $35.80 , •• — NI TOTAL FEES: $35.80 6 e EXPIRED III e _•• DATE I-13-11 eiLLJ 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE A INSPEC11ON TYPE 0� IN1111ALS CODE A INSPECPON TYPE GATE INTMALE 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1286 Pool Spa Final 208 Final Plumbing 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 WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's Iicen; .,Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): ' 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • 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 0 I hereby certify that no excavation five(5)or more feet'n depth into which a number are: /�'i�(Operson is required to descend,will be made in connection with work authorized Lamer: ' //C� $ 45 ✓o by this permit,and that no building structure,scaffolding,fafsework,or demolition or dismantling thereof,will be more than thirty-s&(36)feet high.(Chap.3.2,Grp (Thus sedan need nal be cormOMM l e+eperm*is va°re0 an an Nonmed dssars(s100)orbcs) 2,Art 2,Sec.341,Title 8,California Administrative Code). lP.olicy Number: 0/DK (lin I Z.O 00 <ft 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California. and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor •.':,I shall fowith comply with these provisions. ' g1 ' Division of Industrial Safety Permit Number: .. .mss Signature - Data HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No LIEN- /..11 r 3 9 Ctass i C 3L' (Section 25533 of the California Health and Safety Code, with some ` .Si9 _.• r� exceptions, requires registration with the Costa Mesa Fire Department by !J) each business which at any one time has on hand a quantity of acutely C•(dors Sig .m e " Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business.Professions Code:Any,city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct.litter,"improve, demolish;jr repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires th^etapplicanl for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or4'pe.is licenseed7puns- to the provisions of the Contractors License Law(Chapter 9(oemmen th Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business Pn rofessios ) or th 1 he or she is exempt therefrom and 6. Will any pan of the facility to be constructed under this permit be within the basis cillo afeged exerhPfisestlAny violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hurtled dollars($500).): ''�*{+9 of the California Health and Safety Code). ❑ I, as owner of thoperty, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No (hereon,and who does such work himself or herself or through his or her own 8. (If"yes-, attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I. as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. . LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)(cense pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. ignature of L al Owner(s) Date Signature Date . r-79 /9'mad' 305746(3/07) l_ Authorized AP b —_ Date • CM CITY OF COSTA MESA BUILDING DIVISION - f4:y �r DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 1„. t 4. OKs . PERMIT B06-01148 `e 1 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.MALDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 778 SCOTT PL Status: ISSUED Suite: Applied: 07/10/2006 Vicinity: Issued: 07/10/2006 Primary Occ: R Type of Construction: V-N . Parcel Number: 42417107 Zoning: Applicant: RON OSSENBERG Address: 8111 COMMONWEALTH Phone: 800-400-7692 ISSUED BY: BUENA PARK,CA — -- - --Zip:.... 90621 Owner PIMENTAL, LUCILLE?2- ' :'''-',7"--- .\ Address 17901 HARVESLAVE�j•c - i : • / -"-';,-,=- � / Phone: ` / / ; '�� ,: � CERRITOS;CA N Zip 90703 /--- Contractor.! ROYAL ROOFING COQ ` C „ \ Address://8111�COMMONWEALTH- ��'N' / _ \\\'--,:z..--.•.:-,:',..„ /� Phone 800-000-7692 ; N // �A/i / i j/ r// BUENA PARK,CA� N � ��� AS A \� v / 71/Zip: 90621 ', „.' License: 678705 wv \./, \ 1 . .---//////// :\\'>,v Arch, •/'S/ s Eng: . Address: Address: Phone: •. _' . ;,yhon'e ' -A\ �. .Zip: - ,,� License: 'eN \ License:- T'N ' - .. s' - " ' — SCOPE OF'PERMIT_ - , TEAR OFF EXISTING ROOF.INSTALL 3 PLY BASE,ROCK ROOF FOR APARTMENT BLDG.2,600 S:F.. , N A / FEE SUMMARY N v ' , Plan Check:7 , $0.00 ,; _ - Calc Valuation: ' $6,000.00 r? ___:„..r„, -.v. .,� Permit: $125.25 I. =/ -q \N Claim Valuation: $6,000.00 SMIP Res: - $0.60 2: (-cit, i SMTP Com: $0.00J Other: • $0.00 ; Inspection.', ' $0.00 - _ . _ `_ __ --/,',,,4 . r, , '_ / � i Total: $125.85 ' ; , PLANNING&ZONING SETBACKS :.A Z';t /;,/ r i / '/ MAIN STRUCTURE Front. --,0-0 Rear 0, 0.-7 - - Lehi,.:0-0 Right 0-Oy %� • ACCESSORY , Front\0;0 Rear `0-0 Left 0 0 - ``'�. Right ,0 0% , / i / / PARKING - Existing :0`.* Required:.. 0 -- Proposed: .0 ./././ / v / i/ 7,- C// / V 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 244e-4e(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: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) r I certify that in the perto •• i .: .1 be ork for hich this permit is Issued,I shall not employ any person in any manner so est ecome subject to the workers' L ____--compensation laws of uI',a d anise the if I should become subject to the workers'compensation provisions of Section 700 o the Labor Code,I shall forthwith comply with these• • is,F. �licant SlgneWie:' S A�•� - i_/ _Date: D / /O I'D & `WARNINOrFAILURE'TO'SECURE WORK RS'COMPENSATION COVERAG:IS UNLAWFUL AND SHALL SUBJECT Nt, MPLOYER TO CRIMINA PENAL S AND CML FINES UP TO ONE HUNDRED THOUSAND DOLIARE($1o0.000),IN ADDITION TO THE COST OF COMPEN• TION,DAMAGES AS PROVIDED FOR IN SECTION 3706-OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby that)amlicensed oder pr•vislons of Chapter 9(commencing with Section 7000)of Division 3 of the Busbies and Pro, sions Code,and my license Is In full -force end effect.Lic.q a I �Class N -Contractor's Signature:_ �fllaW `„D a= I Mr 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: ' Signature: Date: Owner ID verified by driver's 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,wilt 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: I 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 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 Califomia 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes jJ 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). Management ti.t. other pollution n 7 Ifa a permit athe South Coast res prescribed by Heal or nd airpollution control district3 agency is required for the work which is the subject of this application,have all of the disclosures by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (if'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF 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 s and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspectio. • ..ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspe•tion. V: ,n! trirjrr— rrr/p ./.a.;rt D- `• • ;ODE 6 INSPECTIONTYPE PAIL INRTII4L5 pODE1 gISPECTIONTYPE EAE I( 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /' 208 Final Plumbing 200 Final Re-Roof " ,Z , &.,AH' 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 ' M CITYOF COSTA MESA `p 4 , BUILDING DIVISION >. g DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER iI, !C PERMIT B04-00911 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mes2.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 778 SCOTT PL Status: ISSUED Suite: Applied: 05/18/2004 Vicinity: APARTMENT BUILDING Issued: 05/18/2004 Parcel Number: 42417107 Zoning: Applicant: POWDERLY, PAUL ISSUED BY: Address: 8111 COMMONWEALTH Phone: 800-400-7692 BUENA PARK,CA Zip: 90621 Owner: PIMENTAL, LUCILLE Address 17901 HARVEST AVE • of • Phone: • • • CERRITOS,CA Zip: 90703 ` -- - to&ri te�� Contractor: ROYAL ROOFING CO • • 0` • • Address: 8111 COMMONWEALTH Phone: 800-400-7692 BUENA PARK,CA Zip: 90621 License: 678705 Arch : - Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING HOT MOP ROOF.INSTALL NEW BUILT UP ROOF. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,500.00 Permit: $13925 Claim Valuation: 36,500.00 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.90 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(MO) • • DECLARATIONS ° WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally 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: (This section need not be completed II the permit is valued at one hundred dollars($100)or lets. ❑ I certify t tin the pe rmance of the wo for No this permit Is issued,I shall not employ any person in any manner so as o becom ubject to the workers' compensa laws alifomla and re hat If -hould becom subject to the workers'compensationprovisions of Sec 3700 o eeLLLabor e,I shall forthwith �( p I 6 comply with t provision ��AA pp Applicant Signature: -1 A.-.)-(--e-... Date: WARNING:FAILURE TO SECURE WORKERS' SATION WVERAGE IS UNLAWFUL SHALL SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CML Fl ES UP TO ONE HUNDRED THOUSAND DOLLARE($100,003).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm IC-CI license, under provision.of• 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In lull force end etect'tic..# — + .+ Class 0 Contractor's Signature: L ? t% tV' Date: 40 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 undei,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 whlch'requlres 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 properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No 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 then thirty-six(38)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 end 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 filing with the Fire Department of en 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? 0 Yes 0 No ._. require tor ..— ___...._ _ rii.__ti_ 5 Does or willothe toAir present or future busting o from at other aur the work which is the subject this,0,.p esilon a ermii for such constmctlon or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes �Na (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? ❑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 Coe;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 prescnbed 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 end city ordinances regarding Hazardous Materials and Emission. Signature: [[[ ��� Date: CATE Uh OrMPiLIANCE AUTHOR TION 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 mpty with 15 a laws d dry ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon NB a e ' pr for in T poses.I agree not to cop low occupancy of any building authorized by this permit until final inspection. • �C Si et a eg Ow r(s) / D. e Q v t l.L..�A nit D. �la And/Or Authorized Applicant \ rate CODE r I$SPECTIONTYPE PALE UIIMALS CODE• INSPECTION TYPE PATE MALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof S?`e 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 6 CITY OF COSTA MESA • • BUILDING DIVISION > .,,.•. , DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER f �ti . PERMIT .01411 B04-01847 (714)754-5273 • Fax(714)7544856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 778 SCOTT PL Status: ISSUED Suite: Applied: 11/01/2004 Vicinity: BLD.1 CARPORTS Issued: 11/01/2004 Parcel Number: 42417107 Zoning: • Applicant: POWDERLY, PAUL ISSUED BY Address: Phone: Zip: Owner: PIMENTAL, LUCILLE ' Address 17901 HARVEST AVE 4 a Phone: �,AelLISO CERRITOS,CA Zip: 90703 R WO'. Contractor: ROYAL ROOFING CO :k►`� Address: 8111 COMMONWEALTH Phone: 800-400-7692 BUENA PARK,CA Zip: 90621 License: 678705 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF-CARPORTS ON EACH SIDE BLDG. 1 ONLY:T/O EXISTING BUR, INSTALL 20 SOR'S OF BUR AND 25 SQR'S OF R&R TILE AROUND PERIMETER OF CARPORTS. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,200.00 Permit: $139.25 Claim Valuation: $6,200.00 SMIP Res: $0.62 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 • Total: $139.87 • • 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 • 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(8/00) , DECLARATIONS ~, • WORKERS'COMPENSATION DECLARATION: • • . I hereby affirm under penally of perjury one of the following declarations: 0 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. 0 1 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: (This section nnnrl not be completed i/the permit is valued at one hundred dollars($100)or less.) ❑ IIly that In the•=rfornanco• the work • which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' scomp ation la .of Califomla,a - agree •.t if I should become subject to the workers'compensation provisions o Section 700 of the Labor Code,I shall forthwith comply wit •. e provisions. 1 Applicant '.net]-:e S 4,— ,. ' ' Date: ii1 0l O Lt WARNING:FAILURE TO SECURE WO-•t'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PE TIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS(Stoo.000),IN ADDI • TO THE COST OFCOMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENyEDrcTRAOTGE)amECLARATION: / I hereby eNlnam icond under provl •ns of Chap r 9(commencing with Section 7000)of Division 3 0l the Busi :s and • • . s Code,and my license is in full force and effClass 4 Contractors SlgnaNre: '_� 1111 ,= Date: r ' it _a 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). z '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 live hundred dollars(5500)): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044.Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership Dy(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 then thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title e,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 s25505 of the Califomia Health and efely Code requires,quan,with some exceptions,matri that a toinr Plan lad with the Costa Mesa Fire Department every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight 01500 pounds,ora 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 ❑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 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 Califomia Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building ax:upant require for the work which is the subject of this*Application agermit for such construn ction or modification from the South Coast Air QualityManagement District or from any other air pollution control district or agency? U Yes U 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 Califomia 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 6 (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 correct. I a•ree to comply with all s: - city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the -•• e-•escn•:. : operty for insp. •.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. t �(at'ref Legel dJl Owner(s) i''-1. rigri ::t 1�nd/•r Authodz•d Applicant t Date CODE I INSPECTION TYPE PAIL II®ELS CODEI INSPECTIDN TYPE • QM IIiTIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root SIJs210 Final Electrical 201 Final Block/Retaining Wall LLI 212 Final Fire Prevention 202 Final Factory Fire Place T ' 220 Final Planning Approval ' 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ' CITY OF COSTA MESA4 1111tH DIVISION :j f I III DEVELOPMENT SERVICES DEPARTMENT PER NUMBER O. PA i PERMIT I.tbibostan^°e PO4-00624 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 778 SCOTT PL Status: ISSUED Suite No Applied: 09/09/2004 Issued: 09/09/2�0/04 • Vicinity: G ISSUED BY: - Parcel Nunmber: 42417107 Applicant: NOE MALDONADO • Address: 6558 WEST BL Phone: (213)753-2541 LOS ANGELES,CA Zip: 90043 Owner: PIMENTAL, LUCILLE Address 17901 HARVEST AVE Phone: CERRITOS,CA Zip: 90703 Contractor: GENERAL INSTALLATION CO Address: 6558 WEST BL Phone: (213)753-2541 LOS ANGELES,CA Zip: 90043 License: 151839 Arch / Eng: -Address: - - - • Phone: Zip: • License: SCOPE OF PERMIT • CHANGE OUT WATER HEATER • 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 50.00 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 $12.30 1 Drinking Fountain $0.00 0. - Sink,bar $0.00 0 Water Piping(Ins(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 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: O 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. L. -34-.0 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. y workers'compensation Insurance carrier and policy number are: �^ �7 ^,� �r^''7 CCertie�: ? Policy Number ( ) L,) \ �V! liSy .(7hls 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' compensation laws of lifomia,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these ovist ns. ` p Oplicani - - slgnature: _t`lt✓� l"\4,,j c1 ' n (�1 ---r) rDate: ti 0 / ^ y WA.: W AANIIJOtFA1L1XiET0 SECURE WORKERS'COMPENSATION COVERAGE IS 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 COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereb that.l.am.li under rovisions of hapter 9(commencing with Section 7000)of Division 3_oLthe.Business apd Pr ess' n Code, d my)" nse Is in full rforce'and effect.Lic.# `-671— Q Class a_ �r /7/ 3 r `Contra'cttoe Signature: 1 / ��/� .�.a o /�Oate 0 7 "O 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 requireddhe 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 properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's 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: O 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 Califomia 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? ❑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? ❑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 aEermit 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 0 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? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 II 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 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. Ig Lure Of L gel Owners) Date X- /Mr/ ,tune J _ q-a ( OOr Authorized Applicant - tn.Date CODE P INSPECTION TYPEGAIL INTIALS CODE1 INSPECTION TYPE 991E INTtTtALS • 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing '7- - C)¢G 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 r/.. - CITY OF COSTA MESA -_ 4, a W. BUILDING DIVISION o,r. � , -1 ((( h • • � I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT B00-01882 ro (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 778 SCOTT PL Status: ISSUED Suite: 2 Applied: 11/20/2000 Vicinity: Issued: 11/20/2000 Parcel Number: 42417107 Zoning: Applicant: SAELEE, SURIN ISSUED BY: Address: Phone: Zip: Owner: PIMENTAL, LUCILLE w�� Address 17901 HARVEST AVE li.{_ Phone: t�CERRITOS,CA Zip: 90703 Contractor: CENTRAL ROOFING COMPANY ON— Contractor: Address: 19113 S HAMILTON AVE Phone: (310)527-6770 GARDENA,CA Zip: 90248 License: 684960 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT RE-ROOF BUILDING 2 TO INCLUDE APTS 51-56. FLAT ROOF W/ROCK. BUILT-UP ROOFING. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 Permit: $111.25 Claim Valuation: $5,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 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 1 2446-46(6/00) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 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 performance of the yv6rk for which this permit is issued. I have and will maintain workers'compensation ins once,rrs required by section 3700 of the Labor Code,for the performance of the work for which this it 15 Issued. My workers'compensation In ce carrier an. .olicy Cue: -{,^ Carrier: �-• Policy Number: (,A' \ (This section need not be completed I the permit i- :lued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work • which this permit is issued,I shall not employ any person in any manner so as to become subje to the workers' compensation laws of California,and agree hat if I yid becom ubject to the workers'compensation provisions of Section 3700 the Labor Code,I shall forthwith `pig wltu.these provisio %/ o � I„� !Applicant Signature:, y ��` GdP' �-e/• Data: / CJ WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI FINES UP TO ONE HUNDRED THOUSAND DOLLARE($1 W,OW),IN AODRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Cha.t.r 9(com .•ncing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full foCocentractors and effect.Sig Lac.N J Classat : k Cohtiactors Signature: , ��� ' Date: x i 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: c. Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of peijury 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 penult subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feel 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? ❑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 Cost.,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? ❑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(Duality Management District or from any other air pollution control district or agency? Yes L.1 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). e_..t_ boundae_..ofa._.c___._._ 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 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 slate 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 correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. •Signature L al Ow s) ^� \ f r /e:118 /to • CAnd/Or Authorized Appllcant-1 I V " 7 J / Dat ;ODE/ INSPECTION TYPE VilIE IIaIIIEL.1 \\\\ CODE( INSPECTION TYPF PATE MOW 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final BIocWRetalning 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 Received: 26.Sep.00 01:24 PM From: 13105276777 To:2085678583 •i$i Powered by aFa%.COT Page:2 of 3 •24/26/00 11:13 FAT 131,E:';;::.;16777 CENTRAL-ROOFING str-,a,.; b o::SPi1 rtt"+. . '_ERic. INC. r•ro.a96 P.3 X02 • • • :. I NETCLERK PRE- REGISTRATION AUTHORIZATION I,the undersigned.give perniseton m aaeept any oftter baiter atgnat ns on a permit eppticstioa In ffru of an in petaOn signature Furthermore.)Dire permtsxjon to theme to the credit card listed below the Mas associated with the permits applied for In @t•company name by tee below Wed employees. I hamay certify under the civil penalty of perjury,l wig comply with aN dodo. :. It,and trgr••emonts on the gannet sppfketierr, Vise a MasterCard - Cedit rd No. ---------.7---------.7rJ.KIA-TIO013 19 L11U5 1,I - le 1 Name on Credit Cam 1 Si. - rsExpiration Daae The following emp4aye•and their authorised re• asnta vee have my parrot I apply for con len permits In the my/company \ c--ZCf -.i 1 a-1111- '41 3( — —a Contractor Name("Type-Punt) / �+`gen' .c s:•• / St� Scott Waterbury _ iron..,' NetCleric Name(Type.Prim) NetCtedc Si••.• r_" Joel 0 Oaouean NetClerkName(TypP, Prim) NeClerk Signature( ) COaQ,Q2 J'gP VISE CoCtR,E,2 .7n Poce -� VELoeiry &r'ne9s %'— j -CXM/gt. DIE re?AK, U oralgned Contra nformation: Com"'''' " �/ . O CI4-11N40 I B u/Aif3k/X J•.t.�,ad 09 Cote actor'f Name ! errs - Date Claud Town ley Inc,DBA Central Rog 3101276770 Company Name FlumeNtrmjmt 19119 S.Hamilton Avenue 90248 3106276777 • Cempgay Address 'Sax Nva' . State Compensation 1645021-00 • Worlds Cotopeaxecan Insurance Cosier Polley Number City' Lccrue Expiration Data City EleeoiLal iJcrnae Expiration Data 1 OFFICE use ONLY: Approved r'?y Dare Pile No. CITY OF COSTA MESA Mt BUILDING DIVISION F ____ I DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER PERMIT J SKS Itbaf^ariv,F 801-01867 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 778 SCOTT PL • Status: ISSUED Suite: Applied: 11/27/2001 Vicinity: Issued: 11/27/2001 Parcel Number: 42417107 Zoning: Applicant: SANFORD,SHANE ISSUED BY: Address: 1081 SHEPERD ST SUITE H Phone: 714-632-7297 ANA,CA Zip: 92806 Owner: PIMENTAL, LUCILLE Address 17901 HARVEST AVE Phone: CERRITOS,CA Zip: 90703 Contractor ALL COUNTY RECONSTRUCTION Address: 1081 SHEPERD ST SUITE H Phone: 714-632-7297 ANA,CA Zip: 92806 License: 764543 Arch : Eng: Address: • Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REPAIR DAMAGED WALL AT END OF BUILDING B CARPORT AREA. FEE SUMMARY Plan Check: $0.00 Calc Valuation: si,loo.00 Permit: $41.80 Claim Valuation: s1,1o0.00 SMIP Res: $0.00 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $41.80 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 244648(6/ ) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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. P�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 Nlv permit is issued. y workers'compensation Insurance carrier and policy number ere: Carrier: Policy Number: (This section need not be completed it the permit is valued et one hundred dollars($100)or less.) o t ce• : . -.•ormance 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' •.•• :tion laws of .ifornla,and agree that If I should become subject to the workers'co n provisions of Section 3700 of the Labor Code,I shall forthwith comply wit •: . •ovist,ns. _ / Applicant Signatur:• —� -- Date: /(/26 @ ,.... WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT MPLOYER CRIMINAL PENALT S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($1 W,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SE Itm ,a OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed underly"rovislone of Chapter 9(commencing with Section 7000)of Division 3 the Business and Professions Code,and my license is in full PI force and effect.Uc.a 76 t/Ty 7 Class# Ti /\Contractor's Signature: .......— ^ Date: l'/Zc.-/ v. 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 Ucense 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 appy 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 properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's 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 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 akar-mit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes 0 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? ❑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? 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 end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penally of perjury that I have read this application and state that the information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Le�gallOOwwnerr(s) f/Date miTizevnPpllcant. /!/�--__rafar P CODE i INSPECTION TYPE IMMO CODEC INSPECTION TYPE PAIL INTmAL5 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 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 147 Z. O� M • CITY OF COSTA MESA sy � � BUILDING DIVISION PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT / � PERMIT t/ P99_00594 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 778 SCOTT PL Status: ISSUED Suite No Applied: 10/20/1999 Issued: 10/20/1999 Vicinity: IN LAUNDRY ROOM AT REAR OF BUILDING Parcel Nunmber: 42417107 ISSUED BY: Applicant GERINGER, JIM Address: 6558 WEST BL CA Phone: (213)753-2541 LOS ANGELES Zip: 90043 Owner: PIMENTAL, LUCILLE Address 17901 HARVEST AVE Phone: CERRITOS,CA Zip: 90703 Contractor: GENERAL INSTALLATION CO Address: 6558 WEST BL CA Phone: (213)753-2541 LOS ANGELES Zip: 90043 License: 151839 Arch l Eng: Address: Phone: Zip: License: • SCOPE OF PERMIT REMOVE&REPLACE WATER HEATER FOR EXISTING APARTMENT BUILDING. 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 $12.30 1 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) $0.00 0 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: $35.80 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 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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. Q?-Chave and wit maintain workers'compensation ins ce,as required by section 37Q0 of the Labor Code,for the performance of the work for which this permit is issued. My work compensation!paw nce carrier and• y nu ger are: G reacher ed not bei Qom. Bohcy.Number.% (This section need not completed if the permit is val.,d at one hundred doll; ($100)or less.) ..t=rxnrc..(y" O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of!:lifomia,and agree that i I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these• • ions. t. s .. ;y..7,mAent Signature:' 'i`ji/7D(/ nivrP Date:y=- '��"Z O 'L 5' WARNING:FAILURE TO SE •°E WORKERS'COMPENSATION COVF,E(GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIINA � L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($t .'u),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that yam fiord d under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and P ofessions Code,and my license is in full force and effect.19c pawl'"O l'7 / 7 6 Qlaes,N-- C 3 G ContractorfsSlgriature: „ `•i Daie`:�'• in r• ) . —9 9. - 1st. t CONSTRUCTION LENDING AGENCY: O 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).): ❑ 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.). O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑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.......... illl..th .t-or present utur .__u .........l.. ..tion.. acutely .....N-... ............ .................. 2 Does or will the applicant or present or future building occupant need to file a registration form for acuehazardous materials? ❑Yes ❑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 Califomia 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 a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any pan 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 Califomia Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 61"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 correct. I agree to comply with all state taws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Own Date Chorize6`PI � lG Z.U.: s f _ n• OdAutfiodzi: icant � � + Date.."',;:., � CODE t L. T• A• DATE NMI/04 CODE 1 INSPECTION TYPE DATE JNTITIAL$ 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 4 ) 1266 Pool Spa Final 208 Final Plumbing /0/Z 7/9 / 2 2 200 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 2446-46 O f CITY OF COSTA MESA ,- ,o. y. ►� BUILDING DIVISION r � , ':. ' DEVELOPMENT SERVICES DEPARTMENT 4. PERMIT PERMIT NUMBER "'Pogomm P98-00909 7 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 778 SCOTT PL Status: ISSUED Suite No Applied: 12/18/1998 Issued: 12/18/1998 Vicinity: Parcel Nunmber: 42417107 Applicant GERINGER, JIMMIE Address: C/O GENERAL INSTALLATION CO Phone: 213/753-2541 Zip: Owner: PIMENTAL, LUCILLE Address 17901 HARVEST AVE . Phone: CERRITOS,CA Zip: 90703 Contractor: GENERAL INSTALLATION CO Address: 6558 WEST BL Phone: 213 753-2541 LOS ANGELES,CA Zip: 90043 , License: 151839 Arch/Eng: Address: _ Phone: . Zip: License: SCOPE OF PERMIT WATER HEATER INSTALLATION CHANGE-OUT FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $22.00 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 $11.00 1 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) $0.00 0 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: $33.00 • COMMENTS/SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned fora 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 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 carder and policy number ere: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 1 certify that In the p rformance 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 laws California,and agree th t If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these r Wsions. Applicant Signature: l�'.!?4'�O (,6,.n.Q„R , Date: J1 --- /F-9 J' WARNING:FAILURE TO SE E WORKERS'COMPEN TION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(St ),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed 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 N Contractor's Signature: ..yi....tp --d--d-$4.4.14 n ,L.v— 4 , Date: /Z - /Q— P.?' 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 end 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 fore permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's 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 WIII 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 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 Califomia Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plicaper mit a it for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes j0 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 Califomia 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 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. / Signator eget Owner(s) Date And/or Authorized Icant Date COD E IH,SPFOTION TYPF DATE Iti1mdLS CODE I INSPECTIONTYPE DATE IttalaLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical z��1 1266 Pool Spa Final 208 Final Plumbing 1`91, I Oo` 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 2446-46 Fq CITY OF COSTA MESA Ey ►1) BUILDING DIVISION f' 144. '4' DEVELOPMENT SERVICES DEPARTMENT ft 1y`� Ob PERMIT PERMIT NUMBER"'MIRO P98-00854 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT 1/0 Job Address: 778 SCOTT PL Status: ISSUED PI • Suite No t Applied: 11/16/1998 Issued: 11/16/1998 Vicinity: Parcel Nunmber: 42417107 Applicant GERANGER, JIMMIE Address: Phone: Zip: Owner PIMENTAL, LUCILLE Address 17901 HARVEST AVE Phone: CERRITOS,CA Zip: 90703 Contractor: GENERAL INSTALLATION CO Address: 6558 WEST BL Phone: 213 753-2541 LOS ANGELES,CA Zip: 90043 License: 151839 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT CHANGE OUT EXISTING WATER HEATER. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $22.00 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 $11.00 1 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) $0.00 0 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: $33.00 COMMENTS/ SPECIAL CONDITIONS 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 • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penally 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'cpmpensation 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: Carver: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree t at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr visions. / Applicant Signature: .wnssiu/ F,-. Date: t/ `1'-/(a- c WARNING:FAILURE TO SEC WORKERS'COMPENSATION CO�YERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE($t00 ),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS 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.N I '} Class k r Contractor's Signature: �� �N._ .y� ..sf /,�/on,,.., . Date: .1 //-- /.— 0 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).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑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(38)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 ❑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 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? L I Yes ❑No (Section 65850.2 of the California Goverment 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 end 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 penally 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 cohstruction,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. Signal re Ot Legal Owner(s) Date Pr b44 A ✓ //- /6 -n And/Or Authorized'Applicant Date CODE 6 INEPEOTIDNTYEE DATE aflQIALS LnnF! lMSPFrTION TYPF DATE 1616 Fixed System Final Fire Prevention 206 Final Mechanical .A' 1266 Pool Spa Final 208 Final Plumbing /1/23 /18 l�rr 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 2446-46 I ADDREssaauRD0f0: . _ - . _ ,,.,r. . �, _ , , ,C,I,T,Y—OE:_C.OS,TA_MESA._=,BUILD.ING -PERM.T.T__ __, OWNERS NAME IF IggNB. LA MANCHA STMENT. _ _.�__ _. - ___.._�.._...,.___. _._,_,_. ____ _ ,_— __ __.__ . . . _ PERM NO: P 081794 778 SCOTT ADDRESSCOSTA MESA, A• 92626 v... - © ,- •. PERMIT, NO: _ P_ •. . 081794_ _.PLAN CHECK NO: - ' - N .- . GOVT: N SUPP: . N 642-5073 d'— .. _ APPL.SWUNG ADDRESS: - ... CONSTRUCTION TYPE: 5.7.N.. . PERMIT_ ____ ..PERMIT TYPE: PLO_ _ .. . ._PURPOSE:_ ALT _ ARCHITECT OR ENGxEER: UC.NO.: JOB DESCRIPTION_ :. WATER HEATER REPLACEMENT IN LAUNDRY ROOM SQ FT: ' ANcx OR ENG.'S ADDRESS: UNIT: CLAIM VALUE;, ___- CALC—VALUE: GROUP OCC: U-1 i CONTRACTOR'S NAME: ALLEG,IS..SERVICES ( 714 )646-3299 3.4,5__UNIVERSITY DR COMMENTS.: NO_ OTHER �tWORK AUTHORIZED BY THIS PERMIT aRMMU NG wuc COSTA_.MESA CA 674731 ****ititaE�EiEiEit�E�E�t�t_x-**4********* itat�t�riE�tiEitititifit****•;frit Stit�tiEitit*rtiE,ttlt,traE;'E*ititit**�EaE********** mma 92626 °C•NG, C 1 _ Z ONING R E Q U I R. E M E N T S UNIT: SETBACKS LICENSED CONTRACTORS DECLARATION:I hereby affirm under pa : perj that I am licensed und. ovisions of Chapter 9 (commencing%ith bR Mil Division 3oflhe BuyRasear CPo. .� .. einI ... Cf7/9 ........ MAIN BUILDING • ACCESSORY BUILDING CITYDale NO.: V�77YlI uc:cuss: ` 3b •c.No/ / FRNT: - ,__-FT - IN REAR: FT IN FRNT: . FT IN REAR: FT IN Delco 7 -?�,S--�i? cpm :... _�j/ LEFT-: . _._ .FT_,._ ,. IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under pa :. n perjury that l am exemprl:yl�.Contractors Limns. :w for the PARKING REQ: _ PROV: PARCEL: 42417107 ZNE: REF NO: following reason(Section 7031.5 Business and Professions Code:Any city or county which .•..I'1s�' a permit to construct,!erhat,improve, Q • t,lienedw�nttt"oteproisi�aameConrlee Comrade's w[Chpter9(cmm...•lwithsciin7i000)• Dvisiion3aib PLANNING .N TES>.__, _ dusiness and Professions Code)orlhal M or slits exempt therefrom end the bars for t alleged exemption.Any c POOH. of Section ***,**********,**, ******************,********************************************* 1031.5 by any applimnl for a permit subjects the applicant to a civil penalty of not more than Me hundred dollars ISSOD)). O I,as owner of the properly or my employees with wages as tha sole compensation,will do the work,and the structure is not intended DEVELOPMENT SERV I C E S i REQUIREMENTS or offered ler sale(Section 7044,Business and Professions Code:The Contractors License Law does not app to an Miner of propertyPh f who bolds oimproves thereon,and who does such work mnaelfo herself o through heorher own employees.provdedthat such ZONING APPROVED BY •tl• - DATE: improvements are not intended a offered for sale.a,however,the building or improvement is sold within one year of completion,the •owner builds will have the burden of proving he or she did not build or improve for the purpose of sale). 0 I.as owner of the property.am exdudvey contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY : r ' DATE: Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who t ^ - contracts for such projects with a contrada(s)licensed pursuant to the Contractors License Law). APPLICATION ISSUED B Y: DATE- 0 L I am exempt under Section: • B.5 P.C..ler this reason: *********************************************** ***************** ********** Date: Owner LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware of end understand the requirements of California Health end Safety Code Sections 25505,25533,and 25534.and thal t orany future building occupant sell/will not(dmleone)need to comply with said stele codes end the requirements ler BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit foramsiruction or modification from the An u-6T�agement District.Residential construction applications are exempt from these PERMIT 11 .00 provisions. - enliven,: 25$ SMIP/NON—RES Dale: PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declaration: ISSUE FEE _ 22 . 00 -:, ❑ Ihave and wilmaintain acertificate oconsent toself-insure for workers'wmpensation,as provided for bySection 3700ofthe Labor BUILD INGD 1V > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for theperormanceoftheworkforwNchthispermitisinued. TOTALS----> , 11 .00 22 .00 0 , 00 33 ,00 33 .00 . 00 ❑ I have end w ll maintain workers'compensation insurance,as required by Section 3100 of the Labor Code,for the performance d the work for permit this peis issued.My wokencompensation insurance and policy number _REVENUE DIVISION TOTALS--> COLLECTED: 33 , 00 OVER/SHORT: , 00 n Ca "` BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK Policy Number: 33 . 00 1'%'. 4,ITN section need nor be completed I the permit is dor one hundred dolls' :1001, lass.) 1' Icendy that in the pedolmence of the work for which this perm einuad, shell hofs I. any pe m man mss to — **********************************.********************************************* """'''JJJJJJ become subject to the workers'compensation laws of Cali• is, end -•nn that a L,+=• M bas••v to compensation provisions of 3100 d the Labor Cade awl f/ nonpyyT I N D I V I D U A` L t F EE BREAKDOWN (/ Dale: -2 -ZS-- 7 Apq ff •�1 _•TYPE,�,__QTY D E S C R I P T I7Ot•W UNIT COST TOTAL COST Warning:Failure to secure wodrers'compensation coverage Is unlawful,and shall sub/act a loysr to criminal pane and— • - j,- ' dull tines w to one hundred thousand dollar.($100,000),In addition to the cwt of campy tion,dameps as prowl form PLU. . __,. _ _ L. _ . WATER HEATER AND/OR VENT 11 .00 11 , 00 Section 3106 of(he Labor Coda,Interest,and attorneys lees. / CONSTRUCTION LENDING AGENCY:I hereby affirm under penaltyd perjury that . d a construction tending sex the - .?END OF FEES performance d the work to which this permit is issued(Section 3097,Cb.C). 3■{ LENDER'S NAME: -" � jt LENDER'S ADDRESS: nll.s� i'' t£ �r f� 4.11 F E.B 2 51991 I certify that l hay: :ad this application and stele that the above information is coned.I to campy with all oily and countyedroperly and stale le. _: g to boiling construction and hereby as nepresentaMes"d t dry to enter upon the above-mentioned property q� farina.:.. par..-:-. ANDREW IG DA6t Of COS't0. MESA • n arse te C�� ....-11....-11 Dale: -ZS ' /G _ Signature of / ppicantContractor r / ✓ - (5151 de WP) Whiff-Building A Safety:Oreen-tile:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POD SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement . ,-:,,3.,Efectrical Conduit Utility-Undrgrnd. 54. Forms ,� •• S,It4i Electrical Conouit-Ohdrgrnd= 55. Electrical Bonding t' 5✓Stieel Reinforc2me4 • -56. Rough Plumbing & Pressure Testg • - :_cL- t. 2`6nElectrical UFERZrpd. 57. APPROVAL TO COVER•GUNITE 3 9:.:t-,e_ .v•-o-, rr rr�' - • 58. Electrical ConduleUndrgrnd. c 4Foutings r•nFoundation i w - 59. Gas Pipe, 0 Undrgrnd., Test< a.• :::2-2. P* Water Pipe-Unrd'tcrndt:,,' 60. Backwash Lines,P-Trap, 0 Undrgrnd, '10:7-4Structural Floor'Syst'eim • 61. APPROVAL TO DECK , • 11'Property Sewer Line & House Connection 62. Backwash & Receptor-Final J 12.`Sewer Cap 63. Heater & Vent-Final 13. Roof Drains i 64. Plumbing System - Final 14. Rough Plumbifjg 65. Electrical-Final 15. Rough Electrical-Conduit. "-j 66. Solar System-Final • 16. Rough Electric-WitLi g •• 67. Fencing & Access Approval - 17. Rough Wiring Sign i-- 68. APPROVED FOR PLASTERING - 18. Rough Electrical-T Bar CeilitSg 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT I 207Rotigh Factory 6.11place i 72--_.:1 tea.. * Cl CR AP!!O `§ Prmit#t r :7 c.". ,„1 21 Ducts, ..../ •-.. , -r xS 4 ,- ~ 'Irq 7caUn17eic,7fbttnd7lydro T Ir 22!--Durcis, 9rentjlati xS '� `• _ 4. ci 71.-Produc_PibiniQGas ,JOil 23._Gas.Pipg Rough est .:� n _ o• •-.c 72. Undergeound'EIOt;h x 0 - - T =v y 24_Roaf Fuming - -" �_ s 7 Q r_"2 `--i c 73, UndergVd.Stege Tarlo OGas 0,011 r n r+.. .. .2 s. 25. Ropf S.teathing .,* .' * r p C cat s Qi. Overhead Hydro-. * 26-T-Bgr Ceiling (S!ttural) BrMonocoat `k ' r1 =M pDry ChemicalS� "` 27,-Frame and Flashing S" z �'' 'r lc -'z • ggC * c 9 * t _r. Ni. Dry St Cgdpipe_$c:. s S m 28.-Lathin * Sidin@ tir{v 7• s N r n '7 ra r 9t 4'.x r: r- s r .. ..,; p. FIXE6_--Sy'S' �1.EINAL C ' • * :-t fLB. FIRE PR47 EV.aFINAL r v. F r - 29. Insula rt ti g ♦ w _ + ;ri - • 30. Drywal�lailing_P S r S P; Y`� HEALTr,N DEPT. REQUfREMENT 31. Plaster BYown C�§tsH. x I h. .ir13aFu-NF:1-il. 15PECrT10N x ID G - 32. ElectriC31 PaWer'Meter-Final - `-x 80. FOOD'-ERTI,E1 ATE'ii i l,156UL�D S 337:cinal EY�ctric r A n1 I I lit r 'Cr: ANote�.9:4,117:cCO'fBicc_vc/w ((O(/Cr ail 34-Final Heating&rAir Conditioning• * F' %7 Qty eA R r„."019/1/ (t r le -1 'I,* F- , c c :1 IC t I ^F -/_L/S >7-7 _1-�L'.h - �'v! - 35EFiria'I Gas PITe LR "y r I i M N 0 , E"IC, a th .. t L4 -• r r- T ....- 7- 4. 36.,Hood or,,Canopy-1 K a; -t •J ri - r . . .-' n. 1.+ - I ,x_S .o m - 37 Final Factor F' rl^A ' Zr: '- {+• .r, A. (T1 Cr; _ y leapec . 3r' are ( Y. i, et - 38. Final PtIImbing `�' G. <. m _ .- ti JR7ER [� T ER i.. x 39. Water Setvice-FiriaJ r:. c c " I ' tr. c `"'r. a + � 40. Gas Sererce-FinalJ : r. z r-. . * r• r .-. I ly 41. Solar Domestic-Firjal! -fiM_ •• r x t ' 0:2: "4 C G i .�. 42_Backflow PreventeF. x D [; 17 )a 43. BackfloMr kitgatior '- s SS • '-' k '` CF .,; C_- , `- r-44. Landscape (._rigatien System i _: C, ra '� ^ C' -- r-- _. . _ �> r ,, r; n; c t: _45CSound Attepuatiosi :;•= "S a < `' . z: S E E . ' i- Cr ': 2 C-• c- E-ii i '- I-, C':, „�^ .,i-46Handicab Regulatons .. r - • • ya. 2'.. ih°te• � A_ .-r .r 47^FINAL STRUCTURE & BUULDING ' z: S {r ' ' Cr •G a - `' t CC ti Ct. S -48.-f II$AL PLANNING % u n . . "re ` c• 494.Electric Release tolEdison = kQ G C n; S 4 C: :...50. Gas Release to Southern California Gas Co ti: t. r. -- . N. 1.1. �. 1- `Y -. - 51. CERTIFICATE OF. OCCUPAt$G3` •• t L_ .s- No.No. - • Date t: X ' . CITY OF COSTA MESA, CALIFORNIA .ti August 10, 1964 • Robert Forbes and George B. MYuehlingA 1 2052 Newport Boulevard Costa Mesa, California Gentlemen: This is to advise you that : • • •n' to No. 20706, 20707, and 20708 have been cancelled this date • • activity. The last enten- sion granted on these permits expired ';`. , 1964. The plans connected with this job, address given as r; Sc. ' . e, are being returned to you under teparate cover. rill\ Under the provis of Sectio 302 (d) of the Uniform Building • Code, 1961 Edition, these if rmits can M renewed at one-half of the original fee within a year from.t.r , .te of t.- •riginal issuance, provided the plans J have not been altered in . .c 0 • Yours truly, MICHAEL BINGHAM Building Official MSB:dh 1 N. I I �1' • d wport and Bay Cent ' _, • • ac. . AMR - ¢la N' - utAatalili:lidt, te L. 2052 NEWPORT BOULEVARD • COSTA MESA, CALIFORNIA • MIDWAY 6-1252 Robert Forbes and George S. Fruehliag, Developers February 9, 1965 Costa Mesa Building-Safety Department Costa Mesa, California Attn: Mike Bingham Due to construction not having started to this date, we reppectfully request a 60 day extension from February 15 to April 16, 1965 on your building permits numbered 23332,23333 and 23334 issued to cover our development of 54 units located at 778 Scott Place in the city of Costa Mesa. Yours very truly, ROBERT FORBES & GEO. S. FRUEHLING By Geo ruehling GSF:DF 2 ,, ', ' Midway 6 - 1252- ROBERT FORBES — Builder 2 0 5 2 NEWPORT B L V D . Suite 12 - A COSTA MESA , CALIFORNIA April 15, 1965 Mr. Frank Hruza Costa Mesa. Building Dept. Costa Masa Re: Permit #23332A Dear Mr. Hruza: 23333A 23334A Due to circumstances beyond our control, namely weather and delay in loan committment, we have been unable to start construction on the 54 apart- ment project on/Sc Scotts Place covered by, the above named permits and do hereby respectfully request a 60 day extension of our permit. Very truly yours, p Robert P. Forbes nif 4 ' bICEE!VE0 George S. Fruehling APR le 1965 "• City of Costa Al Building Dagra % • . .May 20, 1965 Mr. Robert Forbes •• 2052 Newport Boulevard - Suite 12A Costa Mesa, California Dear Mr. Forbes: Upon your request.dated April 15, 1965, Buil Permits No. 23332, 23333, and 23334 were extended to June 15, 1965. We wish to take this opportunity remind you tha se permits were renewed at half fee on February 17, 1965 an, this is the second sixty day ex- tension which has been granted. You are hereby advise in view of th- a.•ve facts, we feel that no further extension of time can be ted. If construction is not started on or before June 15, 1965, Building ermits No. 23332, 23333, and 23334 will be automatically fled. Yours very truly, • FRANK J. HRUZA Building Official FJH:dh - • - • •• • 1,ewport and Bay ,Cent..,r •" :tea gu 7" — . iallaMir F .�cc• �� S •. 4 �.._ Lae { �._... n,<MY IM - - - 2052 NEWPORT BOULEVARD • COSTA MESA, CALIFORNIA • MIDWAY 6-1252 Robert Forbes and George S. Fruehling,Developers June 14, 1965 Honorable City Council City of Costa Mesa Costa Mesa, California Re: Building Permits, Nos. 23332, 23333, 23334 Gentlemen: Due to the economic conditions that have existed for the past 6 or 8 months, namely the reluctance of lending institutions to make a sufficient construction loan for the above projects, it is necessary to respectfully request an extention of the permits listed above. We have been assured that these conditions will ease within the next few months. We have expended a great deal of time, effort and money to plan this project and feel that it's completion will be an asset to the community. The lending picture changes so rapidly now days that we wish to keep ourselves in a position to be able to start immediately upon receipt of a qualified loan committment. We therefore ask your favorable action to our request. Very truly yours, Robert Forbes & Geo. S. Fruehling ��� GSF.DF At moo — JUNof 1606.1 1965 City % Bwlding Depep t 40 9 10 CITY OF COSTA MESA California P. 0. Box 1200 TO: Robert Forbes and George DATE: June 25, 1965 Fruehling 2052 Newport Boulevard RE: Costa Mesa, California Variance No. Conditional Use Permit No. FROM: OFFICE OF THE CITY CLERK Subdivision No. Rezone Petition No. CC: Tentative Tract No. Building Final Tract No. Building Moving No. Communication of e_yte'ision on Rutlding Pc+rntts 23332, 23333, 23334. At the regular meeting of the Costa Mesa City Council, held on Monday, June 21, 1965 , the above was considered and following action taken: On Building Permits, an extension of time vas granted to December 3, 1965. 4 RfCE�IVEp " , ~ JUN 25 1965 Y of Costa Mesa s Building Dept, tea., -; \/ tilit 01 6 Yours very truly, C. K. PRIEST City Clerk CITY OF COSTA MESA, CALIFORNIA November-29,. 1965 Summary of events in connection with permits issued Robert Forbes and George Fruehling for construction at 778 Scott Place Building Permits #20706 (54 unit apartment building) , 20707 and 20708 (detached garages) were issued December 3, 1963. Extensions were granted on the above building permits ; final extension period expired August 1 , 1964 and permits were cancelled by letter dated August 10, 1964. Time lapse eight months with no construction being started. December 15, 1964, the above permits were renewed at one-half fee by Building Permit Applications #23332, 23333, and 23334. Permits were issued February 17, 1965. On February 9, 1965, Mr. Fruehling requested a sixty day extension to April 16, 1965 while the permits were still in the application state. This ex- tension was granted. April 15, 1965, another letter was received requesting another sixty day ex- tension to June 15, 1965. In answer to this request a letter was directed to Mr. Forbes advising him that if construction was not started by June 15th, the permits would be cancelled, due to the great lapse of time without activity. The City Council granted an extension of time on Building Permits 23332,33,34 until December 3, 1965 at their regular meeting held on Monday, June 21, 1965. • �. S • November 2, 1966 Mr. George S. Furehling 2052 Newport Boulevard Costa Mesa, California Dear Sir: It is my understanding that you wish a further time extension on Building Permits 23332 through 23334. The present time extension is scheduled to expire on December 3, 1966. We wish to point out the following .facts. The original building permits (20706 through : ,708) were issued December 3, 1963. Extensions were granted on these t iding permits; final extension period expired August 1, 1964 and the. emits were cancelled by a letter dated August 10, 1964. Eight months time had . expired without construction being start d. December 15, 1964, the above permits \ * renewed at one-half fee by Building Permit Applicatio , 23332, 23333, and 23334. On February 9, 1965; a request Was made fora ixty day extension while the permits were still in the application state. This was granted and the Building Permits were issued ebruary 17, 5. April 15, 1965, a letter was received requesting other sixty day extension to June 15, 1965. In answer to this reque a letter was. directed to Mr. Forbes advising him that if construct n was not started by June 15, 1965, the permits would be cancelled. On June 21,. 1965, the City Council granted an ex- tension of time en these building permits to December 3, 1965. On November 29, 1965, another extension was given by the City Council, �' carrying these permits through to December 3, 1966. Due to the fact that building code requirements and the Zoning Ordinance have changed considerably since these Plans were first checked in December, 1963, I feel that it would not be feasible to grant any further extension of time on these permits. Yours very truly, RICHARD NANHART • Director of Building Safety RH:dh cc: A. R. McKenzie, City Manager Roy June, City Attorney William Dunn, Director of Planning /7707,4 fr CITY OF COSTA MESA California P. 0. Box 1200 TO:Robert Forbes and DATE: November 30, 1965 George S. Fruebling, Developers 2052 Newport Boulevard RE: Costa Mesa, California I Variance No. Conditional Use Permit No. FROM: OFFICE OF THE CITY CLERK Subdivision No. Rezone Petition No. CC:Building Tentative Tract No. Final Tract No. Building Moving No. Communication of J Freehling and Forbes extension of building permits At the regular meeting of the Costa Mesa City Council, held on Monday, November 29, 1965 , the above was considered and following action taken: Your request for extension of time on Building Permits 23332, 23333 and 23334 was granted for the period of December 3, 1965, to December 3, 1966. Yours very truly, la C. K. PRIEST City Clerk • 77f4&7 • • • December 5, 1966 • Honorable City Council City of Costa Mesa California \ • Gentlemen: The request by Mr. Freu ing for a refund or an . extension cannot.be recommended for a proval by this de- partment since the original building rmits were taken out three years ago and, to date, no onstruction has started. • We feel that, sin Mr. Freuhling has invested such a relati a large amo t of monies in this project, we would have objection to a six months extension pro- vided that a co ition of extension be that Mr. Freuhling revise his plans o conform to all present Zoning and Building Ordinance . Yours very truly, RICHARD HANHART Director of Building Safety RH:dh • CITY OF COSTA MESA California P. 0. Box 1200 TO: Mr. George 8. Yruehling DATE: December 6, 1966 Mr. Robert P. Forbes 2052 Newport Boulevard RE: Costa Mess, California Variance No. Conditional Use Permit No. FROM: OnaCE OF Tat CITY CLERK _ Subdivision No. Rezone Petition No. CC: Planning _ Tentative Tract No. Bulldi Final Tract No. Building Moving No. Communication of itatension on lfuildin= Permits 23332 through 23334 At the regular meeting of the Costa Mesa City Council, held on Monday, December 5, 1966 , the above was considered and following action taken: Building Permits 23332 through 23334 aro tote extended for a period of six months an the condition that the pians an brought qp to date to meet the current &Wiling Code and Zoning Lee requirements in • thirty-daffy period. Yours very truly, C. K. PRIEST City Clerk le . / tp M`o Fs CITY OF COSTA MESA 4 "o CALIFORNIA 92626 P.O. BOX 1200 V,40/0 FROM THE OFFICE OF THE PLANNING DEPARTMENT yt4RPOAuro eye June 2, 1972 Mr. Louis N. Murphy 777 Center Street Costa Mesa, California 92626 Dear Mr. Murphy: Mayor Jack Hammett has referred your letters regarding the development at 778 Scott Place to me. This property was rezoned by a previous owner to R4, Multiple Residential District, in 1961 with the exception of three lots facing Scott Place, which were rezoned to R3 in 1961 and deed restricted to parking only. Mariner's Savings and Loan Association , the new owner, is developing this property according to the density, setback and parking requirements for these zones; therefore, this project did not require Commission or Council approval as there were no deviations. The new owner is retaining a 15' rear yard setback next to your property and, according to the ordinance, he could have built to within 10' of your property. Two story structures can be built anywhere in the City except where lots are deed restricted to a single story. There were 14 developmental conditions placed on this project and a representative from Mariner' s Savings and Loan Association signed that he agreed with these conditions. Two of these conditions deal with the problems which you anticipate, as follows: Condition No. 11 - Drainage of the project shall meet the approval of the Department of Building Safety. Condition No. 13 - That a 6' high wall (concrete block) be constructed across the rear 182' of the property to separate the R1 usage from the R4 usage. • Condition No. 11 comes under the jurisdiction of the Deoartment of Building "afety and the Director of that Department will assure you that this project will drain away from the properties facing Center Street. Since there is considerable more work remaining to be done on this project, the determination of the drainage and wall cannot be made at this time. No final occupancy will be approved by this Department until all of the City's requirements have been fulfilled. We hope this letter helps to clarify any questions you may have on this project. We have found Mariner's Savings and Loan Association to be very cooperative and we certainly do not anticipate any problems. (1) • CIT,' OF COSTA MESA, CALIFO1,..1A . You are most welcome to come to this office and examine the building plans and read the developmental conditions. Thank you for calling this to our attention. ((-) Very ruly yours t William L. Dunn am / Director of Planning cc - Mayor Jack Hammett Dept. of Bldg. Safety Mariner's Savings and Loan Ass'n (2) July 13, 1972 Mariners Savings & Loan 1515 Westcliff Drive Newport Beach, California Gentlemen: A building permit has be issued to Madrid Custom Pools to construct a semi-private wimming pool on your new apartment site located at 778 Scott Place. In order that r pool will be a safe one and for the purpose of advising y of your responsibility regarding the requirements of the Cos a Mesa Municipal Code, we refer you to Section 8107, a copy of which is attached. This 1 er is directed to you in order that you will be aware of ordinances and can make a complete safety check of you pool area. Sincerely yours, RICHARD HANHART Building Safety Director RH:dh IN.(ECTION E TESTING ENGINEERS RESEARCH E ENVIRONMENTAL TESTING CHEMICAL 8 PHYSICAL ANALYSIS CORROSION ENGINEERING 8 ANALYSIS RADIOGRAPHY X-RAY GAMMA RAY ULTRASONIC MAGNETIC 8 PENETRANT P.O. Po. .3 • 3310 Airport W., TWinincr Laboratories 151 .-0 North H.rp.r 51x.•1 Long Beach, C.rl. 90101 T•.�� '�% �.Ike-IPA,,, S.... Ana, California .2703 1213) .163155 1213) 836-238A • (714)828-6432 714) 531.2045 Since 1898 July 31 , 1972 Examination: SC72-4508 COMPRESSION TESTS ON GUNITE CYLINDERS John R. Chambers 3443 Del Monte Drive, #3 Anaheim, California 92804 PROJECT Swimming Pool for MARINERS SAVINGS E LOAN ASSOC. ADDRESS 778 Scott Place, Costa Mesa .SAMPLE FROM 81-1A Deep End: #2-2A Bond Beam: #3-3A Shallow End ARCHITECT CONTRACTOR Madrid Custom Pools Madrid Custom Pools ENGINEER SUBCONTRACTOR J. W. Reagan Grove Gunite Co. SPECIFIED MIX Gunite STRENGTH 2,000 psi DATE CAST 7-24-72 CYLINDER SIZE DATE TESTED 7-31-72 7-31-72 7-31-72 4 "HOLD" CYLINDER NO. i 2 3 5 "HOLD" 6 11HOLD" COMPRESSION 7-Day 7-Day 7-Day TOTAL LOAD, LBS. 144,000 128,000 108,000 POUNDS PER SQ. IN. 5,3111 4,530 3,820 COMPLIANCE 7-day test complies with specifications. MADE BY DELIVERED BY RECEIVED ON CYLINDERS J. Chambers JC 7-25-72 DISTRIBUTION, -Caste-Mesa Bldg. Dept. BUILDING SAFETY DEPT Mariners Savings 8 Loan Assoc. 1515 Westcliff Dr. , NB 92660 Alli 1 1972 Madrid Custom Pools 11801 Cardinal Circle "E", GG 92643 Grove Guntie Co. F 1924 E.Edinger, SA 92705 J. Chambers - 2 r���' '' / .. . v _ y .- ♦ c.r • ♦. ♦ • + ... r Es 5 • .. .. • n .'.0 v 8. . • r`. a of Y/lo r5 C[1 NC. 5 •l. 09 !. \ • _ - • '4.-14,4- 4626 ! nch s', 5u66 /23/7,8 I6.5J .*: 'COSTA MESA BUILDING-SAFETY DEPARTMENT - • 1.1 y _4." ' Jr • ‘......e• P.O„gOX 7200 COSTA MESA,CALIFORNIA 92626 _ - �j.,?1. APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—,.Use Ink Only -BUILDING RECEIVED BY DATE RECEIVED ����///l /D/,�,TE�I}7SrS�UE D• ADDRESS t' ,I)t.P ♦ ' /9�'' /— O — sP3 PERMIT NO.” ppm. 1AP �J 7X� �n ' 7J. OWNERjest74.4cglitatt i_ / !7 �.J�lA � ``�t �j BUILDING awe p MAIL r �fS f I•/ %/ , ADDRESS •' "�'Ci< e It‘ ADDRESS J„��6/,�(� 2 ^� tg[tg ���y 'TEL. TRAC 1 LOT�G' BLOCK CITY V�rTFt4AL ,// NO... : {- COASTRik 0N4- Cl — .3�•' 1 ) , c NEW ADD ALTER 'R AIR MOVINR npMn16N LENDER ., f •. •-7/ • q , BRANCH sr - �, ( / / i" _ - OWNS dl • Lit. Rnn. ' ft. f. ' ADDRESS - ._ . _ ( /'. .. ^ YALOE // _ ARCHITECT' - T �. ' _ t n-CI6J•COTT $ (/ OR ENGINEER N [' -- - FIRE•." T t ADDRESS ZONE T 'E GROUP .... • e- �, A''� !� / APPROVED AC DATE 6--Z37% CONTRACTOR wl< `✓o""*l'w """"6� (� By �t l7 v ADDRESS �ivi ' • 2 NG OF T.� USE OF NEW �, CITY .5.4..0.1...........c._. fcaj... NOL„t m/). MCS ' NO.O BUILDING SL G NO, �fe LIC. O. —__•WV YARDSCITY MABUILDING ACCESSORYOVED . G {y SIZE aa++ NO.OF Bi.t (FROM C/L STREET) ,�,`` . OF LOT _. • NOW ON LOT FRONT FT. FT. •. - - W ca at USE OF . � - L EXISTNG BLDG ` tt R.SIDE FT. FT. Separate permits are required for L SIDE �////yFFF777/J FT: 0 electric,plumbing and heating work. REAR / FT. FT. C •F. USE OF BUILDINGy� AND WORK TO BE PERFORMED DISTANCE BET. - BET.MAIN& Q /II')t ,-J,�- Y MAIN BLDGS. ACCESS. PPROV BLDCS. •r' {/�t Vrr••r/ r VAR.'Lf OWTE "... e /, _ D • C.U.P.st r APPROVED It JGt ` v pr AP1'RUVEnv DIJ .-t L'•� DATE G/2^3/ 1 ! F.i. : • 0 1 hereby acknowledge that I have read this application and state m Lift the above Information Is correct and agree to'eompI with - C m ell laws on In ln0 building construction, and I ehsll not employ • ; Z any Derbn In California.on of the workman's wmpenntlon laws of • tL3tTii �e Stats oflHorn k. I hereby certify that I am properly licensed as a contractor under ' SQ.FT. r I the State of California Business and Professions Cod., Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m i Chapter 9, end that such licenses ere In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMrT FEE ONLY: I' am exempt from the provisions of the State of California Business VALUATION PERMIT FEE 5 f a �U -. and Professions Code,Division 3,Chapter et.' w Sipnetury of -`)'� - PLAN CHECK 5 /, a- D o .;: Perm/tree a "]- : pay+v $ p�V`� - - TAX $ _ 'Z f a. Jyr `—� U t,' AuMoriz.d Agent - - TOTAL PAID $ I , , 7 ) {Yl.^....-. • - _ - a.,uirw,ii�,y+F-1".� r..._...Y %?41+SSi.•6M1"V�YM..�W3��Y Yl—:w'rr_•'.�:.... . i t __ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ _ ,,,,.../.1.' �. .CIT COSTA MESA; PERMIT NO.. _ '/ TRACT NO. LOT NO. BLDG.NO. _ C0 UCTION PERMIT/ � S 707Jt ' 8092 5/03/83 6.00' TL Applicant's Mailing Address-'�`f'/ �NGdtAI" .�S UG�NA- ISA-�-K TYPE OF CONSTRUCTION U NEW IJ ADD U ALTERATION 'REPAIR - • - • Project Address 779 Sd O"fr.- PL.4t1E • '❑ CONVERSION 0 DEMOLISH 0 OTHER - - Owner's Name �3' 'A/>F�Lj Lt/C''LL� Phone DESCRIPTION0F W //'./- • ' �Or - ' ZONING REGULATIONS - - . (•!� .5 4O7,e. ' - _ /WO y 1J - . Address - - TYPE OF PERMIT / GRADING FOUNDATION t� STRUCTURAL A.P.qW ZONE ' j Arch/Eng.' License No. • ❑ TENANT I�XIIELECTRICAL ❑ PLUMBING ❑ MECHANICAL 'PLNG.REF.yk - BUILDING - T Address - 1 C�J\ _ 0 OTHER - TO BUILDING - ,OFTB C C/ S I Contractor's Name//��'A` Cacti-' • phpolr S21-*S•5 - PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE REAR. YARD(TO PI . , Address(mailing)Rc,/r�/ Lt.WoL�1/ #/� / oe,e- - P/}, 5'O/r ZO 'CONSTRUCTION TVPF - VALUATION$ LEFT SIDE YARD ' , RIGHT SIDE YARD , ZV &, 6Ss ZONEGRADING CU.YDS. ' ACRES PKG.SPACE'REQ. PROVIDED License No. __ I - l - - - LICENSED CONTRACTOR DECLARATION Remarks: I ,F•/ //s ; p- •t t n 7"r//-./ STREET WIDTH - PARK FEE$ I hereby.affirm that I am licensed under provisions of Charier9(commencing - c5-.l (` ' 'J' 745e _ -. with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: ' my license Is In ful rce and effect. 1 ' acense Class _ License o.4R ' a ct' PLUMBING .. Date AEA- a, Signature .. l/ .w� - p i •, WORKERS'COMPENSATION DECLARATION i Bar Sink Sewer Cap ELECTRICAL , ' '•ereby affirm that I have a certificate of consent to self-Insure or a certificate • - ' Backflow Preventer Sewer Connection • -- - Automatic Washer-, ------. -Meter Dover 100.amps . . - Workers' Compensation insurance, or a certified copy thereof (Section - Backflow Irrigation Solar Collectors Construction Pole JO, Lab. - - - --• Sub Panel • Policy No. C.)CP 3ZU3c/O Company�Re''4 - 4CS ' •� c' -- "- - - - - - 8 Certified copy is hereby furnished. Bathtubs Solar Piping Cooking Unit 'Sub Pole Ce I�$tl Cppy Ib flled with the city Bu Ing DivJslon.�'�}/y.---,-�y Dishwasher Motors 00-1 HP 01�-B Date /'¢'r 1r Applicant �/'�"`"i•`h c✓rl Clarifiers _ , Sotar Tank ` _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION I Dishwasher Swimming Pool w/Spa . `�,. Dryers OGas ❑Electric , (This section need not be completed if the permit Is for one hundred($100)or _ Inc.Solar 09-15 HP 16-15+ , Iecertify that in the performance of the work for which this permit is issued I Drinking Fountains Urinal - - Fan • 'Microwave y' shall not employ any person In any manner so as to become subject to the i• F,A,U. Pole Light f, Workers' Compensation Laws of California., , Floor Drains Water Closet ...• , Date ' ' Signature • -- _ Fixtures ' NOTICE:If,after making this declaration,you should become subject to the - Floor Sinks - - - • Water Heater - - - - _ Range - - - - -- • Workers'. Compensation provisions of the Labor Code, you must forthwith i • Device Boxes!, comply with, such provisions or this permit 'shall be-deemed revoked. Gas Service • Outlets ,Water Service .- Sign CONSTRUCTION LENDING AGENCY . Outlets • I hereby affirm that there is a construction lending agency for the performance . . Interceptors - 1 '' Standing Sections:' of the work for. which this permit is issued (Section 3097 Civ. C.) . - . - - • - Lentler•s Name - - - Kitchen Sink I r Switches, • r' ,Trash Compactor t' . tende'r's Address ' • - •' . OWNER BUILDER DECLARATION, , - . . - Lavatories _ f •,-Garbeg¢.Disposal r i. . I hereby,affirm that I am exempt from theiContractor's License Law for the , - - 1 . Generator 00-5 KW 05-15 KW . i,! s sI -fi following reason (Section 7031.5 Business and Professional:Code: Any city or P-Trap, , „ - , . .- I i . county which requires a permit to construct,alter improve;demolish or-repair - ; Transformer 015=50 KW • ! a ,. , any structure;prior to Its issuance, also requires the applicant for such permit Roof'Diains - , I.- •' , • 1.4; �. i to file a signed statement that he/she is licensed pursuant to the provisions of t• -� 050+KW i ' • the Contractor's License Law(Chapter 9 (cpm mencing.with;Section 7000) of - n ;• 4 Reinspection Fee , Vs ^`gvision,3 of.the Business and Professions Code)-or that'he/she Is exempt - Showers •. Reinspection'Fee ; ,$15 �r a '_lefrom and the'basis for the alleged exemption. Any,violation-of Section I • - I -Jlj Meter Sup to 100 amps , ".Issue Fee , , $ 3r 'ra sty ofynot more tlhannfive hundred dollars(Iects$500). . ;applicant to; a civil Service Sink• . Issue Fee 'f •$ 3 "Il Zoning Approved'By ° • -Date • - E , 'L-J I,-as owner oft the(property or my employees with wages as their sole -- - - .� - - ' , compensation' will do the work,and the ure is not intended or offered MECHANICAL a .� for sale'(Sec/Ion 7044; Business;and l Professional Code: The Contractor's I - -- ---. -- -.- Application Approved Byyl '/ _ Date / / f . License Law does not apply to an owner of a property who builds or Improves . Boiler , ' '- Refrigeration System A Notion Issued 8 ,-( ,' `"' �' S/3 / £J thereon,lantl who does such work hl mself/herself or through his or her own PP Y _ • , Date !!! employees, provided that such improvements are not intended or offered for Duct-Under Ground 00-100,000 BTU 0100,000 BTU - - sale. if, however,the building or Improvement is sold within one year of com- , SUMMARY OF FEES • • ' pletion, the owner will have the burden of proving he/she did not build or Im- , - .1 // 1 rove for the ur ossa of saley. - - Duct-Structural System Re air/Alteration '1i-/•0� 1l ' $ -- P P ) I P ' BUILDING PERMIT $. ' SMTP ' LJ I.as owner of the properly,am exclusively contractingwithilicenked con- - . . tractors to construct the project (Section 7044,Business and-Professions Code: Duct-Ventilating, _',,,, ._ . - .. __ • " PLAN CHECK $ _ PERMIT~ rThe Contractor's License Law does not apply to an owner of property who ISSUANCE' $ ' builds or Improves thereon,and who contracts for such projects with a con- I . Exhaust System 0 Multiple❑ ,, PLUMBING $ •4- - ' tractor(s) license pursuant to the Contractor's License Law).- • PLAN CHECK $ s GRADING' $ • 0 I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. ICBG' , .I. r $ 1 •• I r • ELECTRICAL .. • $' • • ' /1 Date ' ( owner,' Heating System& Ducting I - MICROFILM $ ' I hereby certify that 11have read thistapplication and-state that the above- - 00-100,000 BTU 0100,000 BTL - - - -- ' PLAN CHECK $ . Information is correct. I agree to comply with all cIty-and county ordinances • • TOTALF EE $ • and state laws relating to building construction,—and hereby authorize repre- , MECHANICAL _ $ sentatives of t s city,to ante pon the above-mentioned property for Hood Or Type I ❑! , dr -,' , Reinspection •Fee $15' I LESS ' f Inspection o see_s,- 6 ✓77 y p / . Canopy' Type II 0: 'PLAN CHECK' $- ADVANCED PC I $ • ' Signature \• F'�Lr FINAL FEE $ CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - . (�/n4t-I itt_- r,1, indONSTRUCTION AND--,PL-ANNINO : = POOL A „ - - - -. PPROVAL-S ' Perm` it /�'E'7oa� 'Date Inspector Date Inspector - s APPROVALS Permit# 1.: emporary,Electrical Service or:Pole • ',.--•"- o l °n :52. Pool &•E uiPment Locanon R q i,•2: Soil Pipe-Undrgrnd. F : I a'. `a '53., Steel Reinforcement- - : 3: Electrical Conduit Utility-Undrgrnd. M1.= - 1 ,54; Forms - " .� • . 4 Electrical Conduit-Undrgrndl - ' ''s �o 55. Electrical Bonding - 5. Steel Reinforcement - -- , ' _ _ .:-: 2:1: -_ _ 56. Rough Plumbing& Pressure Test . .- - 6: ,'Electrical OF ER Grnd.j 4: - - 1 . , - t p- 57.;APPROVAL TO'COVER-GUNITE - ° 7. Footings 5 , a; - l" ' 58. Electrical Conduit-Undrgrnd• ._ - - 8. Foundation1 } _ r 59. Gas Pipe, E Undrgrnd.,Test , ,• 9. Water Pipe-Undrgrnd. , ' i ''60. Backwash Lines .P-Trap, 0 Undrgrnd. - . 10. Structural Floor System 1 `�° rT_, 61. APPROVAL.TO•DECK ' . _ 11. Property Sewer Line&'HouseConnection 7_ • ‘ . 62. Backwash &.Receptor-Final '' ' 12. Sewer Cap l •I n" • , . - e •'63. Heater&:Vent-Firial ; ,' , ' I _ 13. Roof'Drains ; 64. Plumbing;System •• Final - • ✓ 14. Rough Plumbing : ' .' ' - - 65. Electrical:Final - - - •- - 15. Rough-ElectricalConduit Ti----- i - -I-- y .r "• "� - _ (-,- T 66.; Solas S stem-Final - 16. 'Rbu h Electric Wirin ' 1 ' '-"1"'-' - ' - '"- - - - 9 9 1 I. ;:4, "67. Fencing&`Access Approval , _ 17. Rough Wiring Signi_ : ' - • , I i 1 • I 58. APPROVED FOR PLASTERING ; • 18. Rough:Electrical-TBa7Ceiling -- ' I I - 69. POOL/SPA SYSTEMS"FINAL - . ' 19.•Rough Heating&'Air Conditioning i • _ ` I FIRE DEPT. REQUIREMENT, I ' 20. 'Rough Factory Fireplace s I APPROVALS Permit# j 5 7 21. Ducts„in Structure ° • ' '! Il I I •, i ,70. Underground Hydro > x..22. Ducts, Vehtilating .' ,4 i 1 I I , 71. Product Piping D Gas ❑Oil 23. GasPieRouh & Tesi ' ° ;Iv ,, -T- ' - : - . . _ _ L. __ .. - _ .1I P - ,g l , 72 .' UndergrouunddFlush ,. . 24. 'Roof Framing ',; j '.C.l' , I . 0 4, r_ I , ' 1• 73.'• Undelrgrnld.Storage Tank 0 Gas,-D Oil 1 , 25. Roof Sheathing . i , l .1 " , ; ; ' 1, __ t._ , 1 '-i X74,' Overhead, Hydro „ - 26. T=Bar-Ceiling (Structural).& Monocoat ' . - ': i 75. Dry Chemical , •"27. Frame and Flashing, .-., 76 ' Dr I . y Standpipe . . ' ' 28. 'Lathing'& Siding' ; Y '.: • t � (; : 77.1 FIXED SYSTEM FINAL ' 'h 29. •Insulation -, ; - • 1 i I '78.1 FIRE PREVI. FINAL - : '`.30. Drywall Nailing , . Notes: __ _ 44 ,- " "31. Plaster Coat , i ' , , j 1 i 1 -� i�� - z � 1 cati , 32. Electrical Power Meter-Final'' ' I c.�,q - i 1 C�B / --• ..�fb a CCi1rn m n �t� - 33. Final Electric---.._ . _- . %'__ _ 15"31 t,.I A ,vwZ.cQ /�'[�buT ��it• . ,ecyun;op . 34. Final Heating &'Air'Conditioning i I I "' / -den, - �5,_ .Co 35. Final Gas Pipe-Test; . •' !--.• i i ?.1 I ar• et... gni .aC.c� r r�_ 36. Hood or Canopy °.I= I - ,c , c '7 - • 37. Final Factory Fireplace. ` l 5, . i- . •• iTI_3,_ %_3 • < w�v r, - 38. Final Plumbing i i i u, 1 I I I I ! I ( • I G>..+-uOt U it 1 1- 39. Water Service-Finall 11.I 4 I i �. �� L.e3 a 1� 1 ' 1 I i , 1 !/ k !� � 40. Gas Service-Final• I l 41. Solar Domestic-Final l - -_Y- ' _ "_ .. L_ - • I . © 42. BackflowPreventen I ' i ._ L_ r_ 43. Backflow Irrigation! '1 ! • ''n'• IV ' - i ` - zu 1 ` - - 44. Landscape Irrigation System l •�: m • 4---S-4rmer_...- 1, ..--64-^-10-441 45. Sound*Attenuation ;a1L., i' " - ..r 3/- tt-3 46. HandicapRegulations f I k �r j'- ' ' I ' ' ; - 47. FINAE STRUCTURE & BUILDING " gj 9,,, ', I 1 48. Special Requirements Completed' ! 1 : ,`1 1 - 49. Electric Release,to Edison; I II. I._I. - __I_ f.__'._, _ !- ,. :_ - ' • . 50. Gas Release to Soutihern California Gas Co ! ; 1 ' l ' I, , , ) , - . 51. CERTIFICATEOF,OCCUPANCY ' ' ' ` -_ i- -_-_ _" f ' No, I, I . I Date ! 1 s' �- _- -I . , •a ," �-• - 1- �- -1 , - � - - -1- --- - " - 0728 18/03/07 fioL� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTAyMESA CONSTRUCTION` PERMIT PER NyNQ„/�� TRACT NO. LOT NO. UNIT NO. Prr' Address ( i3 SCO�t PL CIM `LJ "<J Apth ant's Mailing Address SAvn A S 'EIAs W E_ TYPE OF CONSTRUCTION ❑ NEW U ADD LI ALTERATION REPAIR 1uc, t\c C y. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone Owner's Name l \ \M@1rNA�A� Phone DESCRIPTION OF WORK/USE OF BLDG. Address /1?t 5C0i rL. C r.` S Main Building: Accessory Building: r�jj�� ' 2 Arch/Eng. License No.38-CYy l TYPE OF.PERMIT IE GRADING U FOUNDATION U STRUCTURAL T Front 0 Address ` /1�• ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N Contractor's Name Soc y'.r,05 PhoneS'1i8—S'SS ❑ OTHER C Right N Address(mailing) l(�17 s 5D cu.10 IL C IDA- PROJECT DESCRIPTION SQ. FT. OCCUPANCY Left p t CONSTRUCTION TYPE _ VALUATIONS S G City License No. ��` ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning'Notes: a with section 7000) of Division 3 of the Business and Pr a ,•„fw - my license is in f •rce an• effect. 7 T % T License Class •,,,, r t � Li se No. ",-...1''''a•• S Date/-Z-S' s7 Signatu �� r ... to PLUMBING FEES i 1 WORKERS'COMPENSATION DE • RATION Bar Sink Showers ELECTRICAL I FEES O],e hereby affirm that I have a certi tate of consent to self-insure or a certificate )2 _ rl Workers' Compensation Ins ran a certified copy thereof (Section Backflow Preventer Service SinkI V 1 3800, Lab. C.) C�18 f� Automatic Washer Transformer 0 15-50 KW I Policy No. Odl n7 Company '.57-117-€ • G "5? Backflow Irrigation Sewer Cap 0 50+KW Tire Cf g Construction Pole Sub. 1 1{�{Certified copy is hereby furnished. XS�Cer ified copy is filed with the ' iltling Division Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date/' _3 — p 7 Apphcan EXEMPTION FROM WORKERS'COM NSATION DECLARAT N Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if a permit i for one hundred ($100)or shall rsrr€� DishwasherikingSolar kg Dryers ❑Gas DElectric Sub Panel I certif t the performance of the wo ch this permit is Issued, I ort n y any person ws any ma r o s to become subject to the Drinking Fountains Solar Tank Fan Work a anon Laws of Cali _ Motors 00-1 HP 01%-8 J Dat Signature -- - Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTI : 11,after making this declarat• n, you should ecom subjec to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY ` Gas Service 40 Outlets Water Closet 3 DO - Device Boxes Pole Li ht I hereby affirm that there is a construction lending agency for the performance g of the work for which this permit is issued (Section 3097!Civ. C.) Interceptors Water Heater Outlets Range Lender's Name _ • Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit - y Generator ❑0.5 KW❑5.15 KW Trash Compactor to file a signed statement that he/She is licensed pursuant to the provisions of • Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt 1 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 malty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within ono year of com- Canopy Type II 0 Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose 01 sale). .Z ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP S proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason ` Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ �D.0 U ISSUANCE S Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING S information is correct- I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S Id sentatives of this city to er upon the above-mentioned property for inspection .•r ., s. L / a. , , y p p MECHANICAL $ TOTAL FEE S (9,90 Signature �- Datef�J -t7 Drivers' Lice e or 5S# � Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ - CMF 0865-46,rev.10/84White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement 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 Grid. • 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 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 O Gas ❑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 r.nl 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat et 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: No mane_ 0€4.444e tic. catn 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 24-$$ G4eO 36. Hood or Canopy . 37.' Final Factory Fireplace • ' 38' Final Plumbing Z„$-f8 &Co t 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 1• • J 51. CERTIFICATE OF OCCUPANCY . No. Date I 'ROJECT ADDRESS: 778 SCOTT PI. UNIT: 6 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B046307 OWNERS NAME: LUCILLE PIMENTAL - • ADDREss: SAME AS ABOVE PERMIT NO: B 046307 PLAN CHECK NO: N GOVT: N SUPP: N • CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT 714/642-5078 • ARCN/ENGINEEP: REG.NO.: JOB DESCRIPTION : REROOF FLAT ROOF W/3—PLY & NAIL SQ BASET: 1 , 453 ADDRESS: , UNIT: • CLAIM VALUE: 1 , 453 . 00 CALC—VALUE: 1 , 453 . 00 GROUP OCC: R-3 - / • PERMITTEE' PRO—TEC ROOFING ( 714 ) 534-0144 ADDRESS: 9776 KATELLA AVECOMMENTS: REROOFING 2 BLDGS OF •APT. COMPLEX - ANAHEIM CA 92804 ************+eeF**+¢*e¢****************e¢ar*iE+r+earyE**************erer***eritir** ********eF** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN TS - 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.- SETBACKS - ' CRY LIC.: 49 65 TATE uc.:572559 . —��yb -------------- MAIN BUILDING -- ACCESSORY BUILDING — • Dale: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of cone o sell-insure certificate of Workers' ' Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). . LEFT: FT IN RGHT: FT IN LEFT: .FT IN RGHT: FT IN PoucYNO.: 1143333-89 EXP.GATE: 07/01 /90 Cowner: STATE FUND PARKING REQ PROV: PARCEL : 42417107 7,NE: REF NO: I Certified copy is herebyfurnished. IX Certified copy is Med wit he city. ildin Di PLANNING NOTES> - 3 —I / O > •*************************************************** **************************** •Dale: ADDlican EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit i or one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENT 'S 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'Compensation Laws of California. ZONING' APPROVED BY DATE: Date: Signature: BUILDING APPROVED BY : DATE: _ NOTICE:II,atter makingthis declaration,with you should become spbrt Workers' rempensatron provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: ( / DATE: 9 which this permit is issued(Section 3097, (/�C). *********************************** 3f if*******************fe******* 31 ** LENDER: *******************************************3e*********************************** ADDRESS: LEGALIZATION:N • F E E S U M - M All Y STRUCTURAL SEGMENT:Y • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Cede: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 35 . 00 - . 5 0 ' repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 o1 the Business PLAN SM I P/NON—RES and Professions Code)or that he/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). ISSUE FEE I, as owner of the property or my em loyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—--•—> 35 . 50 0 . 00 0 . 00 35 . 50 35 . 50 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS-—> COLLECTED: 35 . 50 OVER/SHORT: 00 Improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve , for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • 35 . 00 , 50 . ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. 'I'IND I V I- D U A L • FEE B R E AK DOW N o I am exempt under Section: B.8 P.C. ' for this reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: Owner SFR 1453 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 1 , 453. 00 • I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES ' 25534 and that I or any future building occupant will/v411 not(circle one)need to comply with said state codes and the requirements for a . permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' these provisions. , Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I ree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of city to enter upon the above- on . - - property f Inspection purposes. . Date: 3- 1 90 Signature: 01. 00055140-00055141 TOT 35.50 Driver's License or Social Security 4: DATE: 03/01/90 TIME: 10:12 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor ' • . t CONSTRUCTION AND PLANNING- PO(. 4 SPA APPROVALS Permit# Date Inspector APPROVALS Permit # • Date Inspector '. , 1. Temporary Electrical Service,or Pole--„ '••1 52. Pool & Equipment Location t . 1 2.,Soil Pipe-Undrgrnd.} ;r.. :` 53. Steel Reinforcement -- 3.7-Electrical Conduit Utility-Untlrgrnd: _ 54. Forms '�' ,4.`Electric-al Conduii-Undrgmd. ,x v '7.3 '55. Electrical Bonding 5. Steel Reinforcement x 56. Rough Plumbing & Pressure Test :6.`Elecuical UF ER Grnd, 1.� 57. APPROVAL TO COVER-GUNITE - 77•.::Footings r 58. Electrical Conduit-Undrgrnd. 18. Foundation '-.< 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrhd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System '`, L r 61. APPROVAL TO DECK „ 11. Property Sewer Line'& House Connection', 62 / . Backwash & Receptor-Final : 1 . 12. Sewer Cap ~ i" 63. Heater & Vent-Final ' .i::- .- . e 13. Roof Drains - =V ',, 64. Plumbing System •- Final / -, • r 1 14. Rough Plumbing e-{ J 65. Electrical-Final •(LO 15. Rough Electrical-Conduit % rj 66. Solar System-Final 4...," _16. Rough Electric Wiring •r, • 67. Fencing & Access Approval i 17. Rough Wiring Sign 1' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &.Air Conditioning __, t _ _ _FI RE DEPT. REQUIREMENT ' 20.,Rough Factory Fireplace : .• . - -APPROVALS.C.,_Permit # - - - 21^Ducts, in Structure: _'i> e r �70, Undergrour)d Hydro '` ^ 22_Ducts, Ventilating ,,� -, - .- - , - X71. Product'P,iping O Gas 0 Oil 23.•Gas_Pipe-Rough & Test _ -*L.-, a r- 1 _ '72. Underground Fl`uih‘:- .- - 24. Roof = `'- - , "..z - _73.,Undergrnd,Storage_Tank O Gas ❑Oil 25..Roof Sheathing F. • _ - - ' _ 74•, Overhead Hydro:_,-, • 26�T-Bar Ceiling (Str:ucturall &-Moriocoat .. r- : • - . - , 751;--Dry Chemical _ 27.-.Frame and Flashing _ _ _ - > : 76. Dry Standpipe -_ _,28. Lathing`& Siding;: " PFs 77- FIXED SYSTEM;F_INAL 29. Insulation • _ . _. .k 781-i---FIRE PREY. FINAL ' 30. Drywall Nailing : _ . +; - HEALTH-DEPT. REQUIREMENT 031. Plaster Brown Coat" :> _ * T *79. FINAL INSPECTION _ - "32._Electrical "c -Final a x 80: FOOD CERTIFICATE ISSUED_ Z33_Final Electric • • _ �. ' x Notes: .7 _1 x - '11'34:-Final Heating& Air,'Conditioning ' • r g r" -' inal Gas Pipe-Test �. -1 .. - , .•r >T ,36.,-Hood or Canopy. - ° y , Z ncc - 37.--Final Factory Fireplace- r r - t- 4 _' .=38. Final Plumbing ' � ' _ r i1' S _ - '.39. Water ServiceFinali t ; _ * - v . - - _. .. _ v . _. , - r 40. Gas Service-Final ' c:i' e x C-- :41_ Solar Domestic-Finart . _ ti. *- - .- 42. Backflow Preventers _. ^ F x _ r ,--,. -` ' F ,- t -4 ' v r rn 43. Backflow Irrigation. _ �_ s a'. • x :t - _ _• 144. Landscape Irrigation System' ` ,r,+ T. r..T, ;-..--1: x _ r'' ^'� "45!Sound Attenuation - 72 ,; - C . t`:c' t 46.-'Handicap Regulations .D '+; .. y F X x "o r • .47F FINAL STRUCTURE & BUILDING 3 r,.2•6/5 6e - - 487-.FINAL PLANNING ti 1,r . _ •;,497. Electric`Release to'.E• dison F i _ x - crr ,50.7.Gas1Release to Southern California Gas Co T ;- '-'T _' = 51. CERTIFICATE OF OCCUPANCY .r 4 ` " ' - . No. Date PROJECT ADDRESS: 778 SCOTT PL UNIT: 2 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 046308 y` OWNER'S NAME: LUCILLF PIMENTAL • ADDRESS: SAME AS ABOVE _ PERMIT NO: B 046308 PLAN CHECK NO: N GOVT: N SUPP : N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT 714 /642-5078 ARCH/ENGINEER: REO.NO.: JOB DESCRIPTION : REROOF FLAT ROOF W/3-PLY 6 NAIL BASE SQ FT: 2 , 932 ADDRESS: UNIT: CLAIM VALUE: 2, 932 . 00 CALL-VALUE: '2, 932 . 00 GROUP OCC: R-3 / PERMITTEE: PRO--TEC ROOFING ( 714 ) 534-0144 ADDRESS: 9776 KATELLA AVE COMMENTS: REROOFING 2 BLDGS OF APT. COMPLEX ANAHEIM CA 92804 *****+E*******cast***********N•x*******N********+r*************************N******** UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is In tun force and effect. • SETBACKS case: J =5 7TA uc.:5 7 2 5 5 9 /% roars: / ZC/ Signature' — MAIN BUILDING ACCESSORY BUILDING ------ WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of c ft to self-insure ora Tutors of workers' FENT: FT' IN REAR: FT IN FENT: FT IN REAR: FT IN compensation r rtili �Qpythereof(Section 3800,Lab. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: ' 1 �J EXP.DATE: VI/01/90 oMPANY; STATE FUND PARKING REQ: PROV: PARCEL: 42417107 ZNE: REF NO: J Certified co is hereby furnished. INI Certified copy is filed with the city Building r''. . PLANNING NOTES> Date: � O I LApplicant w% / i i/� ************** • ******************************************************If********** EAEMPT10N FROM WORKERS'COMPENSATION DECUBATION: 1 .section need not ....,N the.. one hundred(5100)or less). D E V E L O. P M E N T SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I that of employ any Person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY D• ATE: -_ __- Date: Signature' BUILDING APPROVED BY : DATE: NOTICE:y:If,gust making f o declaration.you should become this werm t s a be Workers' rvoked.Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall deemed revoked. CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED' B Y : DATE: al which this permit is issued(Section 3097,Gv.C). LENDER: ************M****************************************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 . 50 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement Nat he/she Is licensed SM I P/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penally of not more than five hundred dollars(S500). ISSUE FEE . I, as owner d the property or my employees with wa0es as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ' ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himselfinerselt or through • his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: .00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG4PMTT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GRADING PLAN-CHECK •I as owner of the property,am exclust,ely contracting with Licensed contractors to construct the project(Section 7044.Business . 50 ❑ and Professions Cede: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon andwho contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* - that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAK D O W N ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner SFR 2932 REROOF BY VALUE RESIDENIAL NOZONE 1 .00 2, 932 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wiNwill not(circle one)need to comply with said state codes and the requirements for a • permit for construction or modification from the Air Duality Management District.Residential instruction applications are exempthom these provisions. • Date: Applicant: • I hereby certify that I have read this application and state that the above information is correct.I a.ee to comply with all city and county ordinances and state laws relating to building construction and hereby a representatives of city to enter upon Ne above-mentioned grocery f n rypses0 �/ /e Date: 1_(G/ Signature: - (i(.Q/ Al/ Driver's License or Social secudy 0100055142-00055143 TOT 54.50 e: DATE: 03/01/90 TINE: 10:12 164148 White—Building;Green—Code Enforcement;Canary—MPlicant:Pink—Revenue;Goldenrod—Assessor iy f I "t CONSTRUCTION AND PLANNING PC & SPA - APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •' 2.. Soil Pipe-Undrgrnd., .-. !. 53. Steel Reinforcement 7.5--'''Electrical_. Conduit-Utility-Undrgrnd.1- 54. Forms el- 4 Electrical Conduit-Undrgrnd'I c. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - r4 - -4!-6 Elect cal UFEfi Grnd. ' 57. APPROVAL TO COVER-GUNITE r •-=7='Footings -,:� 58. Electrical Conduit-Undrgrnd. _ ,8. Foundation L 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. y % 60. Backwash Lines, P•Trap, 0 Undrgrnd. 10. Structural Floor System 2, - •,j 61. APPROVAL TO DECK • :/% • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap - ! 63. Heater & Vent-Final . 13. Roof Drains . c , . '7 / ' 64. Plumbing System - Final '6.. 14. Rough Plumbirrg •" " 65. Electrical-Final ,�j 15. Rough Electrical-Conduit / ;�1 66. Solar System-Final 1.. 16. Rough Electric_Wiring 'F: rl- 67. Fencing & Access Approval I 17. Rough Wiring Sign ,f, 68. APPROVED FOR PLASTERING i•' 18. Rough Electric-all- Bar Ceiling . ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &"Air Conditioning -_ - K - _ FIRE DEPT. REQUIREMENT_ L 20 Rough Factory Fireplace =4_ 'r...--T.:..7; _ _ r4. APPROVALS= _Permit# - - 21'^Ducts, in Str`uctt e': •• " _ -. 70. Underground Hydro • 22-Ducts, Ventilating•: T. - _ ' . .�71. Product-Piping0Gas ❑Oil 23.•Gas-Pipe-Rough & Test -. .r.. '> • 22._ - •-•a72, Underground Flush'• - - 24�Roof Framing - - - - _.� :73 Undergrnd.Storage-tank OGas ❑Oil 25. Roof Sheathing T. : 4, _ - _ 74-Overhead Hydro- _ 26±T-6ar Ceiling (St1 ctural) & Monocoat PM , •- _ • . 75;_Dry Chemical _ - 27 .Frame and Flashing Cc; - - - "-- 76. Dry Standpipe ' ';28. Lathing Siding1. "' 2-15E7fx ..j ' - •1., 7774 FIXED S.Y,STEMFINALi .' ,- 29. Insulation - • _ -.. - r ,'U • 78; FIRE PREY. FINAL - - �' J30. Drywall Nailing X r _ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • - - - "79. FINAL INSPECTION �32_Electrical Power'Meter.Final 2.t, 80 FOOD CERTIFICATE ISSUED_ r- 33zFinal Electric • • _?[ x • : r Notes: _- - C• - -34'aFinal Heating& Ai;Conditioning _ "'S ' 7 -• `r - - 35; ;Final Gas Pipe-Test:: .> •1 .*.:. 2-, v2 _ - + =36_Hoodor•CanoPY,' cr•, /`£ -- -.37; • •Final Factory Fireplacex - * + r • - ::.38. Final Plumbing ` - 39. Water Service-Final', r - " - i ' _ _'40. Gas Service-Final , r-, - • - + • r , x X41. Solar DomesficFinal" :.. 'v s -_ 42..Backflow Preventer- 4 A ' 0 ~ 43. Backflow Irrigation' :5 ., . .. • j - - 1 44. Landscape Irrigation SysterW r.7...1• X 7, %a tv _ - -* r' 0 -45:-Sound Atten'uation :-• . •k cn n,* - - r= c; ; - 46:•Handicap Regulations n c _ 4: ' C.T. y- Y'=' • �--47FFINAL STRUCTU-RE & BUILDING .Rj b(,U1 - ' "r ' tr 48.--.FINAL PLANNING • t--c '' ��^ M . •4' 2'• - 49 •Electric;Release to Edison f % - `� <_ •- ,y 50::Gas:Release to Southern California Gas Co • . * - ' - -;51. 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 MESA 1 .-. PE IT NO. !TRACT NO. LOT NO. BLDG.NO. ' - ✓CQNSTRUCTIONPERMIT o - 6 o7 . / 4 l/JI /,,; ,.;/ Applicant's Mailing A(f��lessys AGI f A •�pe���, e• Al/ - TYPE OF CONSTRUCTION . Li NEW U ADD U ALTERATION/:4 REPAIR - - - • ProjectAddress >ilv�(G . ' ❑ CONVERSION ❑ DEMO ISH 0 OTHER • ��ww ' DESC- PTI vN OF •RK ��/ �' r tleHJ� Owner's Nam, �U�-�«t �- /Mf�'6r�LPhone�i'aCXdILLJ /' d `--. %r n ) 20NINGREGULATI ONS - ' ArNEtt.do�i„_ e E/K.4 e� - —•S7 - G/�d/E• � x TYPE O PERMIT GRADING FOUNDATI v lis U'AL _ A.P.N" - ZONE - - " A • fth/Eng. ense No. . ❑ TENANT ❑ ELECTRICAL' ❑ PLUMBING . MECHANICAL PLNG.REF. BUILDING t CPTRerk'Cil ST ' • Address /7� A-7-&LL�y ""P,P.4-1u��L ' ❑,'OTHER ' TO BUILDING - •- - • //rI// e� PROPERTY LINE 'REAR YARD(TO P/L) Contractor's Name Ow N e 2 "Phone6C/2-gu7..i PROJECT DESCRIPTION• SQ. FT, OCCUPANCY .� ,LEFT SIDE YARD RIGHT SIDE YARD ,� ' n-'t • • ' CONSTRUCTION TVPF .VALUATION$ 'I OnO. ' Address(mailing/ ' / - • . , ZONE • GRADING CU.YDS. ' ACRFS PKC.SPACE REQ. PROVIDED License Nb. - - LICENSED CONTRACTOR DECLARATION Remarks: I STREET WIDTH PARK FEE$ • I hereby,Mflrm that I am licensed under provisions of Charter,9 (commencing . _ , . with section 7000) of Division 3 of the Business and Professions Code,and ' SPECIAL CONDITIONS: my license is in full force and effect. I - - • License Class • ' License No. - • t • PLUMBING ' - •' Data ' Signature gar Sink Sewer Cap ELECTRICAL ' 5'.,aRKERS'COMPENSATION DECLARATION - - - -- • -"'Tzreby affirm that I have a certificate of consent to self-Insure or a certificate - ' Preventer Sewer Connection - _ Automatic Washer • Meter [Dover 100 amps' S Workers' Compensation Insurance, or a certified.copy thereof (Section - - _ - 3800, Lab. CJ 1 Backflow Irrigation • Solar Collectors 1 Construction Pole Sub Panel I • Policy No. ' Company STA UN `� - ' "• Cooking Unit Sub Pole . 8 Certified copy is hereby furnished. W/CL. 9& S E,fd r 4, 2 G p r . Bathtubs ' , Solar Piping I i ; - Certified copy is filed with the city Building Division. Dishwasher 'Motors 00-1 HP 011/2-8 • Applic Date - ant Clarifiers ; Solar Tank • I ' .. , EXEMPTION FROM WORKERSICOMPENSATION DECLARATION • Dishwasher Swimming Pool w/Spa ? • Dryers❑Gas ❑Eledtric ' Inc.Solar ❑9;15 HP 016115+ ` (This section need-not be completed If the permit is for,one hundred($100)or — • less)! > DrinkingFountairis - Urinal ' - Fan, Microwave • I certify that in the performance of the wink f b'ar .: it is Issued I - shall note ploy ny person in any ma .r {0.a to be cam ject�-tile , - i F.A.U. • Pole Light ers5 rd� I ,Laws of Cantor •. / , ,/ • ' Floor Drains , Water Closet, date not o - a. • ..___,.G Fixtures Ran e - NOTers.. /,df er ma Ing this dell o ,you sr Code, subject to the ` Floor-Sinks - - - - Waters Heater - - - - - - - • -- Range. - .. Workers. Cth-such atlon provisions of the Labor Cotle, you must forthwith _ • - • comply with- .provisions or this permit shall be deemed revoked:, _ Gas Service. ' Outlets Water Service _ ) f Device Boxes - Sign I ' CONSTRUCT,ION,LENDING AGENCY ' • Outlets I hereby affirm that there is a,construction lending agency for the performance ' - ' Interceptors, s' -- - , Standing,Sections • of the work for which. this permit is'issued .(Section 3097 Civ. C.) , ' - - - - ' " - - u Lender's Name - ' I Kitchen Sink' - ' • .. Switches Trash Compactor , • Lender's Address' - ' r • - - _. - I OWNER BUILDER DECLARATION , ori - - Lavates • „ • - • , Garbage Disposal I hereby'affirm that I am exempt from the:Contractor's License Law for the _ - � • Generator❑0-5 KW 05-15 KW '-' � - , following reason (Section'7031.5 Business and Professional Code: Any city or 1,3,-Trap .. r - ' •- • - , r r county which requires a permit to construct,alter Improve,demolish or repair . - • Transformer 015-50 KW !.'r any structure; prior to its Issuance, also requires the applicant for such permit Roof Drains - - •' - - - - • • - tq file a signed statement that he/she is licensed pursuant to the provisions of _ - - • r • _. •' I ❑5U+KW. Contractor's,Llcense Law,(Chapter 9(commencing with-Section 7000)of -• -' i Reinspection Fee • $15 ision 3'of the Business and Professions Code) or.that-he/she is exempt • Showers , Reinspection Fee' $15 k 're/rim and the basis for the alleged exemption: Any'violati carrot,Settlors - _ _ - Meter C• lop to 100,amps i 7l . - , Issue Fee $ 3 •)`031.5 by.any applicant for a.permit' subjects the'applicant to a civil - • - - _ ally of not more than five hundred tlo ars($500). Service Sink _ { Issue Fee $ 3 Zoning Approved By • - -- Date 1- I, as ow r of. the.property or my(pmployees with wages as their Tole • - . ' - B co pensatiernl))win.do the work,and the�tructure is not intended or offered - r I I • MECHANICAL , - Application Approved By -2- T - -h Date t--a/- as for sale'(Secfl on 7044, Business and Professional Code: The Contractor's - License Law does not apply town owner of a property lwho builds or improves goiter -', Refrigeration System „ thereon, and who'does,such work himself/herself or through his or her own ' • I Application- Issued By _ • '�' Date • employees, provided that such-Improvements are not Intended or offered,for ❑0-100,000 BTU ❑100,000 BTU, . , sale. If, however,the building or improvement is sold within one year of com- � Duct-Under Ground, ' j ,1 • I SUMMARY OE'FEES - • pletion, the owneriwlll have the burden of proving he/she did not build or im- S i �+ • move for the purpose of sale). i 2 1 • Duct-Structural , System Repair/Alteration •- d UlLDING PERMIT $ / 7 S� . 'SNIP - $� ,Co o-- U I, as owner of the property, am exclusively contractinglwith'•Iicensed con- ' Duct-Ventilatin I i PLAN CHECK $, ��' 7 PERMIT I \ tractors to construct the project (Section 7044,Business antl.Professions Code:. �- -_ g- .. _-< __. -_ • _- -_ ' PIR , The Contractor's License Law does not apply to an owner,of property who I , _ ISSUANCE e . builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑: c PLUMBING $ tractors licensepursuant to the Contractor's License Law _ IfICOf oiete ID..(70Ct1O b • e O ) ;PLAN CHECK $ ' GRADING ' $ - ,❑'I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG nob ! $ Date . Owner' • • I Heating System&Ducting i I !)diel �tg - - - -ELECTRICAL $ , (PLAN CHECK ' $ • MICROFILM $ :I-hereby mation'certify that I have.reac this application and-state-that the above '- - D0-100,000 BTU•C1100,000 BTL - - - - - .--^s, ; Information is correct. I agree to comply with all city and county ordinances . . . - ' I' ECHANICAL $ , TOTAL FEE $ 1 andwtate laws relating to build onstructlon,and hereby authorize repfe- Hood Or Type I ❑ l ' I ' ' sentauves of his cit to •n the �gpv mentioned pro arty r YP Reinspection Fees $15 ;P AN CHECK $' LESS ' Inspection o cases. • �' ,'71n // �� C' Canopy Type II ❑1 - .R I - ADVANCED PC . $ - Signetuf �/ct�• Date e I L��CSS /J. �/ Drivers'•License or 55 9P �/ (� Registers Issue Fee $ 3 ' I ' FINAL FEE ' $ ,,X 7•,r' CMF 0865-46 rev.12/82 White-Building;Canary-Appllcanh Pink-Accounting;Goldenrod-Assessor _ - -- - - - - - • - - t • 'C - -- - • - - _--- -_ - - -__ _.__ - --'__ - ' 'c C:CONSTRUOTION AND PLANNING• -. ` - - - - POC SPA• •- - ,, -•' " - 2 ' : . Date •Inspector - Date - Inspector �- -APPROVALS - Permit#: ' L - 'APPROVALS Permit# '' 1: Temporary Electrical Service or Pole =- y 2, '_ - - 52 Pool & Equipment Location - - - . - 2: Soil Pipe-Undrgtnd.' ` _ • ; ' = r . rt. `53• Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. ' " ., I., •L?-,' .54: Forms - • •?. 4: Electrical Conduit-dndrgrnd. ' ! .' _ - 55. Electrical Bonding • ' 5: Steel'Reinforcement -; . j .r , . -Z _ " `. 56. Rough Plumbing &Pressure Test t. - , - ; 6: ElectricalUF.ERGrnd. " . ' is •• 57. APPROVAL TO COVER-GUNITE r .( 7. Footings i . ; i t 'u. - : ''s • - f 58: Electrical Conduit-Undrurnrf.• - ' 8. Foundation' ' 1 1 - q ' 1 f. , • 59. Gas Pipe, O'Undrgrnd.,Test - - . 9. Water Pipe,Undrgrnd. •• ' '60. Backwash Lines,P-Trap,❑ Undrgrnd. - ' +1 10. Structural Floor System „ , _ - , • 61. APPROVAL TO'DECK , 11. Property Sewer-Line &House Connection - '-62• Backwash& Recetor-Final - ' • c.; p _ 12. Sewer Cap ;,..07 - - ,-63. Heater&Vent-Final • ' - • - 13. Roof Drains ; ' ' _ - - 64. Plumbing System- Final '. _ 14. Rough-Plumbing I , ' - - 65. Electrical-Finar - - i 15. -Rough-Electrical:C6nduit-• - n- ".1 '-"-. ; - - - -- 66.�SolarSystem-Final ' - - '16. • iRough-Electric Wiling i r ! , I' _.1 i? : 13` _, % t -i' 67: Fencing &Access Approval - '' 17. Rough Wi'rilig'Sign; ` � . r ' ' • 68. APPROVED FOR PLASTERING . '' 18. Rough:Electrical-TiBac Ceiling - . 69. POOL/SPA SYSTEMS FINAL 19.- Rough-Heating& Air'Conditioning • I ' , - ' FIRE DEPT. REQUIREMENT - - ' 20. RoughYactory Fireplace' II , - � I t ; : APPROVALS. Permit# - , 21. -Ducts,in Structure P I I I 70.1 Underground Hydro - .22. ;Ducts, Ventilating i n I ' X71. Product Piping 0 Gas ❑Oil , ,23.:Gas-Pipe-Rough& Test ' . c , ' - 72. Underground Flush . -24. Roof Framing. I : i ' rw i : I, --s ; -. _ 33.14 Undergrnd.Storage Tank ❑Gas ❑Oil . , 25. Roof Sheathin - 9 � I : ' - 74. Overhead Hydro ".'r' 26. 'T-Bar Ceiling (Structural),& Monocoat ( " . 1 •• . i , , • 75. Dry Chemical - • . , ' i 27. Frame and Flashing . ; , x-3-83 „S711 76. Dry Standpipe 4. ! 28. 'Lathing & Siding, i r: !i I i ; ' ' 1 i 77: FIXED SYSTEM FINAL rte 29.-Insulatlorl '' _ 6 I i 1' � I 1 X78. FIRE PREY. FINAL • 30. Drywall Nailing I, I , , I Notes: , ' 31. Plaster Brown Coat ' • ' ' _I -- - _ -- N " 1 ; 32. Electrical,Power Meter Final i I. I l . . ' I _ '� • . 33."Final Electric ' - I' {: I . I . I 34. Final Heating&,Air Conditioning i 35. Final Gas Pipe-Test .: , - I 35. Hood or. Car&Sy:- - , I - • 37. Final Factory'Fireplace - . J{ 38. Final Plumbing - - i 39. Water Service-Final -- 40. Gas Service-Final _ ' 41• Solar Domestic-Final I i . ` _ T i ' 1 42. Backflow Preventer , i ' ,l , - EXPIRED 43. Backflow Irrigation • - ' . ' - Incomplete Inspections i 44. Landscaprrigation System ..-!, - e I _ IU2t2 / SI$ - 45. Sound ;Attenuation' , .i - / I - _ - . I iFT46. Handicap Regulations ' - I .1.. 47. FINAL STRUCTURE!& BUILDING, p t 48. Special Requirements Completed l 49. Electric ReleasetoiEdison .. _ -_._ 1 50. Gas Release to Southern California Gas Co • - j 1 51. 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 MESA P MIT NO. .TRACT NO. LOT NO. BLDG.NO. ' CONSTRUCTIONPERMITI'- J07. 733 " r 8575 4/13/84 11 .50 TL -Project Address 1?7 TYPE OF CONSTRUCTION 1:11 NEW LI ADD Li ALTERATION�/ LI REPAIR fa ❑ CONVERSION ❑ DEMOLISH OT ER £OOGIMC + Applicant's Mailing Address �(/oJ[/'G AL�t�M�Z7 AUS' �/� � ff �/ A.P.# �Zone Owner's Name C//./.0 I mit-Air-AL - Phone(Y2'�7 .DESCRIPTION OF WORK aPM a-lr-. Bp /�'�L iC-�. (CA FLArr- p O, - S Main Building: Accessory Building: Z ., Address -�O �COTr CU`s r TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front N Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALB I A Rear N Address ❑ OTHER Contractor's Nam- - - - •• '•''•one 0-16-5`200 PROJECT DESCRIPTION SQ. FT. /100 OCCUPANCY C Right G Address(mailing) // CONSTRUCTION TYPE VALUATION$ '17� S Left E R r[/ �p _ ZONE GRADING CU. ACRES Q City License No. x ! Ping. Ref.# Park.Fees $ LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided UI 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 and effect. 2 License Class C- 19 - Lie se No.28'2263 PLUMBING FEES Planning Notes: M Date /x n� - _ N y� Q Signature Bar Sink Showers WORKERS'COMPENSATION DECLARATION • T I hereby affirm that I have a certificate of consent to elf-Insure or a certificate Backflow Preventer Service Sink .. S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. Company • 8 Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certified copy is filed with the city Building Division. 0 50+ KW Date Applicant • Clarifiers Solar Collectors Construction Pole Sub. _ - . EXEMPTION PROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Pi m (Thissection need not be completed if the permit Is for one hundred ($100) or • Piping Cooking Unit Meter ❑up to 100 amps less). Drinkin Fountains I certify that in the performance of the work for which this permit is Issued, I g _ Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person In any manner so as to become subject to the • Workers;¢y7pe lien Laws of Floor Drains Swimming Pool w/Spa • Dryers ❑Gas ❑Electric Sub Panel • Date �77 77((YY''�/ Signature California!,!! • NOTICE:if,,after making this declaration,yobshould b ome subject to the - Floor Sinks- . - • Urinal e • - Fan Motors 00-1 HP'01%-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 ❑9-15 HP ❑16-15+ 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 -p reason (Section-7031.5 Business and Professional Code: Any city or p - Switches Sign ' county which requires a permit to construct,alter,improve,demolish or repair - - - 1 any structure, prior to Its Issuance, also requires the applicant for such permit i Roof Drains .. - Garbage Disposal • Standing Sections ' to file a signed statement that he/she Is licensed pursuant to the provisions of _ , the Contractor's License Law(Chapter 9(commencing with Section 7000)of • - - Generator ❑0-5 KW ❑5.15 KW Trash Compactor • llvlsion 3'of the'Business and Professions Code)'or that he/she is exempt - p nerefrom and the basis for the alleged exemption. Any,violation of Section ' /031.5 by any applicant for a permit subjects the applicant to a,civil Reinspection Fee $25 Issue Fee • $ 3 penalty of not more than five hundred dollars($500). I as owner of the property o'r my employees with wages as their sole . MECHANICAL Reinspection Fee $25 Issue Fee I $ 3 compensation will do the work,and the structure is not Intended or offered - 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 Duct-Under Ground Canopy : Type II' ❑ sale. I however,the building or Improvement is sold within one year of com- Building Approved By elation,the owner will have,.the burden of proving he/she did not build or im- Date prove for the purpose of sale). , - Duct-Structural Refrigeration System i Application Issued By A) r /id r' Dat U I, as owner of the property,am exclusively contracting•with licensed con- _tractors BTU ❑100,000 BTU • _tractors td construct the project (Section 7044,Business and Professions Code: _ , Duct-Ventilating - - _ SUM ARY OF FEES , The Contractor's License Law does not apply to an owner of property who - BUILDING PERMIT $ /her, SMTP $ • ,so builds or Improves thereon, and who contracts for such projects with a con- ' Exhaust System 0 Multiple❑ System Repair/Alteration • ' tractor(s) license pursuant to the Contractor's License Law). • PLAN CHECK $ PERMIT ❑ I'am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# PLUMBING $ ISSUANCE .$ • - ne! Date owner Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $ • _ • I hereby certify that I have read-this-application•and state that the above 0o-100,000 BTU 0100,000 BTL -. -- - GRADING �$ - ' information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction,and hereby authorize repro- PLAN CHECK 50% $ MICROFILM $ assentatives of this city to enter upon the above-mentioned property for • Inspection pufye5,-- LO 973/2 MECHANICAL $ TOTAL FEE $ �� -5-v Signature c• y��;rf� Date • + Drivers' License o SS qp � •. Reinspection Fee •$25' Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46 rev.12/83 White-Building; Canary-Applicant;Pink-Accounting:Goldenrod-Assessor • • CONSTRUCTION AND PLANNING POOL SPA - - : ,•,--it - - Date Inspector • - - • - i-bate •- In'spector APPROVALS Permit# APPROVALS Permit# - - • • t 1. Temporary Electrical Service or Pole - 52.. Pool & Equipment Location _ ` I. • _ ,`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 Tell `- ; ' -• 6. Electrical UFER Grnd. 57. APPROVAL TO:COVER-GUNITE • • " _ ' 7. Footings - . 58. Electrical Conduit-Undrgrnd. . 8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test ` - - • '" 9. Water Pipe-Undrgrnd. 60. Backwash Lines,'P-Trap, 0 Undrgrnd--. ^= , I 10. Structural Floor System 61. APPROVAL TO DECK - c : j i . , 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 r . . : 15. Rough Electrical-Conduit - 66. Solar.System-Final -" - '" " _ - 16. Rough Electric Wiring - 67. Fencing & Access Approval 7- - -"- . -- ' _ 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 i • • - I L2. Ducts, Ventilating 71. Product Piping O Gas ,0 Oil I �, ' I j° 23. Gas Pipe-Rough & Test 72. Underground Flush ' I 24. Roof Framing - 73. Undergrnd.Storage Tank 0Gas=0Oil . ;' , ' • 25. Roof Sheathing 74. Overhead Hydro - i • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - - i - 27. Frame and Flashing _ . 76. Dry Standpipe - - : , • Y 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL F •. ' i 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 1 . • 39. Water Service-Final ,. ' - - - • 40. Gas Service-Final ., ( - • - 41. Solar Domestic-Final - - -- - 42. Backflow Preventer - __ n , 43. Backflow Irrigation •- - 44. Landscape Irrigation System - - i - 45. Sound Attenuation - _ 46. Handicap Regulations . - 47. FINAL STRUCTURE & BUILDING - ;i. • - • 48. Special Requirements Completed I ;1.. <` i' ,I,. - 49. Electric Release to Edison t - - i - - -� 1 50. Gas Release to Southern California Gas Co i . , 51. CERTIFICATE OF OCCUPANCY - - - - - ' I No. Date _ - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PE• IT NO. TRACT NO. LOT N?. LINT 1 1 44 4/15/85 54,02 TL CITY OF COSTA M S ONSTRUCTION PERMIT 5 �� A Z • ! Projcit Address T / �: I! - AppliCaht's Mailing Address •• /� ,, TYPE OF CONSTRUCTION • NEW N ADD S ALTERATION U REPAIR 2 • �,1 S ,ate ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.*+ 4Z4 - 1. -1( —o'7 I Zone �../ • 'Owner's Name einf? c4///q Ars Phone�j /`fT DEWTION O WORK/USE OF BLDG. Address 99c �kC'�j y � � _ Pea/C. Ser p�C" a$'z -,cs S Main Building: Accessory Building: • Arch/Eng. License No. ., TYPE OF PERMIT Li GRADING LJ FOUNDATION 0 STRUCTURAL E Front ZO Address • .�. _ _ a !� ...-• ❑ TENANT 0 ELECTRICAL ❑ PLUMBING El MECHANICAL - B Rear N KA �/► I_ 7-MD"O ❑ OTHER A I Contractor's Nam- ...11....24,S,------ - Phone (( `"•Q�166 t/9 PROJECT DESCRIPTION 50. FT. OCCUPA CY0 C Right G Address(mailing) - S/�cj J q �y _{,/,/ CONSTRUCTION TYPE VALUATION^.�) 00 S Left City License No. • , — —' " )Q- ✓(J ZONE GRADING CU.YDS. ACRCS R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E XI hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: C 1 n /f? (R O Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and W,1 •v 7 mtlicense l n fu ••rce and effect. $�yw�� T Ucens- its O. ce " 'No- `t / .; / S Date /Q N" Signati�$" - PLUMBING FEES - WOR ERS CO -PENSATION DECLAR TATA IO s 1 �. Bar Sink Showers I ' I hereby affirm that I have a certificate of consent to selflnsure or a certificate ELECTRICAL FEES X.Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventers Service Sink • - Automatic Washer • Transformer ❑ 15-50 KW Sopolicy Lab. C.Lo WPtfae37i2& �9Ss'• leo• fla No, moony _ Backflow Irrigation Sewer Cap0 50+ KW n . /Construction Pole Sub. M1 Certified copy is hereby the furnished. sj�� • • : Certif'etl/ c s filed with the city Building .a S - l„__. Bathtubs Sewer Connection Cooking Unit Meter asp to 100 amps I Date ! Applicant (SNS I lON (.LJ�j - I EXEMP ION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . Dishwasher Meter Clover 100 amps - I (This section need not be completed If the permit Is for one hundred ($100)or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel • I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Drinking FountainsSolar Tank Fan Motors 00-1 HP ❑1'/a-8 • Workers' Compensation�Laws of California. - • Date Signature Floor Drains Swimming Pool w/Spa F.A.U. 'NOTICE:If,after making this declaration,you should become subject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - comply with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY Gas Servide Outlets • Water Closet Device Boxes - PoleLi ht I hereby affirm that there is a construction lending agency for the performance - 9 of the ;work for which this permit Is issu (Section 3097 Civ. C.) interceptors Water Heater Lender's Name- P Outlets Range - . Lender's Address Kitchen Sink - Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,Improve,demolish Of repair P-Trap Laundry Trays Generator ❑0-$KW❑$-1$KW Trash Compactor •- .any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of ' Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 31 of the Business and Professions Code) or that he/she is exempt - . herefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant-to a civil - - • penalty of not more than five hundred dollars($500). C I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered -- .Reinspection Fee I $15 Issue Fee - $ 3 . for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own _ -- DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler i Hood or Type I 0 e ,II / sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By • P•• _yi,,. ' Date 'J�/� pletion, the owner will have the burden of proving he/She did not build or im- Duct- Under Ground Building Approved By a Date ///Ls1•a is prove for the purpose of sale). ,��' r - ❑ I, as owner of the property,am exclusively CO ng with licensed con- , Duct-Structural Refrigeration System Application Issued By -Doh I tractorst6 construct the project(Section 7044,Business a Professions Code: The Contractor's License Law does not apply to an own of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTUSUMMARY OF FEES 1s builds or improves thereon,and who contracts for such pr jects with a con- tractor(s) license pursuarit to the Contractor's License Law). ham aware that Exhaust S to Multiple 0 System Repair/Alteration BUILDING PERMIT $ S4• •SO SMIP $ • 0.SO proof o// their Worker's Compensation insurance should be prbvlded to me. 2!J^• O PLAN CHECK $ Z PERMIT 0 I am exempt under Section 6.8. P.C.for this-reason__Firepl?Fact.Blt. IC80' , Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby.certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct. I agree��pp comply w sly and county ordirffflWWW�nces ' and state laws relalingtpdaRffQfn9 co•.Wagon,a ereby authorize PLAN CHECK 50% $ MICROFILM $ sentatives of�,p isat1ty to e ter upo -'e above"m nliooed pr pe Y f [L inspectio ,purposes: t,.. - - _ . = [/q r MECHANICAL $ 6T. 07 \ i Signature -- - l� �`- �' Oate .7. A TOTAL FEE .$ �( Drivers' License or SS - � - Accounting; Goldenrod - Assessor 4 CONSTRUCTION AND PL NI G - . POG_ 0/ SPA 4 94 S' Date Inspector .APPROVALS Permit # - Mae p 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 x 56. Rough Plumbing & Pressure Test i 6. Electrical OF ER ,Grnd. 57. APPROVAL TO COVER-GUNITE al-e-- 7. Footings x 58. Electrical Conduit-Undrgrnd. v. . r W 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test A 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. .. 4 10. Structural Floor System `'� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connbction 62. Backwash & Receptor-Final ' 12. Sewer CapEA A • 63. Heater & Vent-Final t 13. Roof,Drains 64. Plumbing System - Final l 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 Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • , 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, ih;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 ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-bar Ceiling (Structural) & Monocoat / 75. Dry Chemical 27. Frame and Flashing lija r 1A- 76. Dry Standpipe 28. Lathing:& Siding ` { 77. FIXED SYSTEM FINAL 29. Insulationx� 78. FIRE PREV. FINAL 30. Drywall Nailing ,;? y/3ag 1 eHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat '3 [" '-L 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED F 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 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 Thor @r 48. Special Requirements Completed 49. Electric Release to Edison '50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' I . , I- Iti 0 REPORT OF INVESTIGATION Variances: • Assigned to: �e No.: ��� ❑ Building Division C.U.P.'s: ❑ Planning Division Assigned to: I3 fIA- ❑ Joint Investigation i /�S Date: Received by: (7)/\ Complaint Address /1_,C.9--e. 2 �.. sem_ Complain , Name of Tenant (if applicable) 778 5� a 4, P7` �' 7 i �„,z-, 6`1� 5t 2e Address ame of Property Owner Telephone 4, 3/- 62x7 Telephone Number Owners Residential Address ` / Ir- Nature of Complaint: c,....5-1 �.��� Fes_' �.' r _.�.� ` . SLI " t Investigation by: _ Time of Day (if applicable) Inspector Building Permit Files Reviewed: `V/rs/ss— Zoning Files Reviewed: I itial and Date Initial and Date Assessor's Parcel No. Map No. Violation of C.M.M.C. Section (s): - Findings: Y `v2�ie�-�.on ' �. • BI 94/6'S— - N/Z Jsr F. 240 a jE to-` V, Cid, , y/3 o/s �� 7- x wQ. /1 779-1-‘401 071 ` 4,jf• /�� ---1k; 3 - • 1 ,s / S'r_ �l �/ NOTICES: 7 1( 1st Given: Time Allotted for Correction Date 2nd Notice: 5-day maximum time Date Certified letter advising that if violations are not corrected, the complaint and all supporting data will be forwarded to the City Attorney's office with request for prosecution. Date Mailed Date Received 7-day recheck of site Files forwarded to City Attorney's office with request: Initial and Date CMF 0829-30 rev.4/83 August 26, 1983 Lucille Pinental 778 Scott Place *2 Costa Mesa, California 92627 Re: Zone Exception Permit ZE-83-30 778 Scott Place Dear Ms. Pimental: City Council approved 2E-83-30, a variance frau parking to allow the conversion of a three-bedroan apartment to one bachelor and one two- bedtu n apartment, subject to six Conditions of Approval. One of the Conditions of Approval required a parking management plan to be sub- mitted to,4 and approved by, the Director of Development Services. The goal of the parking management plan is to provide equal on-site access • to all tenants and t4 provide six open parking spaces for guests. Some • sugguestions for the'parking management plan include stickers for ten- ants tenants, marking of guest spaces "for guest parking only", assign- nent of extra spaces toy tenants who have more than one car, etc. A written dooment•vtill}th ve to be submitted outlining the proposed plan. Additionally, in researching the case, Staff finds that only one of the Conditions have been conpleted. As the improvements for which the variance was required were made illegally, the Conditions of Approval should be canpleted as soon as possible. Therefore, it is requested that you contact Staff and initiate the building permit process for the conversion of the apartments no later than September 12, 1983. Should you have any questions or concerns, please do not hesitate to call ne at 754-5153. Sincerely, WILLA I300WEt5 Assistant Planner WB:hwm (C-3-8) cc: Burt Morgan 6y ` P ECT ADDRESS: - UNIT: . - . NER'S NAME: 778 SCOTT PL 11 CITY OF COSTA MESA ' BUILDING PERMIT PERM NO: B . Q454G7 ADDRESS: LUCILLE' PIMENTAI, A778 SCOTT PL .PERMIT NO: B. 045467 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA ' ' CA 9262.7 CONSTRUCTION TYPE: 5 -N - PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: 714 ) 642-5073 - REc.No.: ADDRESS: UNIT: JOB DESCRIPTION : RESIDENTIAL RE-ROOF (APTS) SQ FT: 2, 500 ' PERMITTEE: • CLAIM. VALUE: 2, 500 . 00- CALC-VALUE: 2.,500 . 00 GROUP OCC : R-1 / . ADDRESS: PRO-TEKROOFING • ( 714 ) 534 -1044 9776 KATELLA AV 0 COMMENTS : SMOKE DETECTORS REQUIRED IN ALL UNITS .. • ANAHEIM : CA 92804 ***************** sc*-K*s¢sro¢*;E** -***x-* ¢-x*io;r**x******s;-x-***iE** ¢N*sc**x-+¢ -*********sa*.** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS 70W)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • SETBACKS • - ' CITY UC.: 049465 STATE LIC.:5 7 2 5 5 9atCUSS: - Date: i, .^2-0 .--t7 Signature: 'IF /`.�/C.-- ' -- MAIN BUILDING --- •-•-- ACCESSARY BUILDING ---------=-- WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a ce ate of consent elf-insure or a certificate of Workers' FRNT n I'T IN REAR: FT IN FRNT: FT IN REAR: FT IN • Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: - FT IN - ' POLICY NO.: 1 1 43333-89 EXP.DATE: 07/01 /90 • I . cOMPANY: STATE FUND PARKING REQ: PROV: . PARCEL : 42417107 ZNE: REF NO: ' Certified copy is hereby famished. ❑ Certified copy is fit the city Building I' 'on. PLANNING . NOTES> , , .ate: / Z - )-at'-- c& 1 Applicant: ********************************************************************at**:********* • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: fills section n--• .t be comptet ' epermit a for one hundred(5100)or less). DE V EL OPM EN T S E R V I .0 E S R E Q U I. R E M E N,-'i'.- S - 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'Compensation Laws of California. ZONING APPROVED BY ___• •_ __ ___ —• DATE : Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ' • DATE Code,you must forthwith comply with suchprovisions or this permit shall be deemed revoked. r . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y:_ DATE: /�p-,7� • which this permit is issued(Section 3097,Civ.C). *.******.y.***************** *.** :* *****.* *i��E", k3f )*** * **********W**Q -*.+p* LENDER: • ***i(-*************************************** - ***********************'* ***** *** ADDRESS: LEGALIZATION:N F E E SUMMARY • S'LRUCTURAL 'SEGMENTcY - OWNER BUILDER DECLARATION: I that exempt from the Contractors'State License Lawfor the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES . GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve,demolish,or PERMIT 5 4 . 0 0 5 0 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - . .• . , pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business _ .' . ' SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN I any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE 'FEE • I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING-'D IV--> PERMIT ISSUE PLAN-CHECK TOTAL - ❑ 54 . 50A structure is not intended or offered for sale(Section 7044 ,Business and Professional Code: The Contractors'State License Law TOTALS- -7—>- '- -> 5 4 . 5 0 0 . 0 0 0 . 0 0 5 4 . 5 0 5 4 5 0 D 0 0 does not apply to an owner of a prdperty who builds or improves thereon,and who does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or �' f improvement is sold within one year of completion,the owner-will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC- MECHANIC . VIRE SMIP/,TOT GRADING PLAN-CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business . ' ' 54 . 00 - . 5 0 ❑ and Professions CodeThe Contractors'State License Law does not apply to an owner of property who builds or improves thereon ,' ' and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *****.*****************************aE iL******************************************* that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.S P.C. I N D I V I' D U A L? F E E B R E A K D 0 W N for this reason: • , TYPE QTY DESCRIPTIO' UNIT COST , Date: Owner: - • Itlghereby certify that lamaware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 2500 REROOF BY VALUE RESIDENIAL cNOZONE 1 . 00 2 , 500 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES . - • permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from - , these provisions. - t Date: Applicant: • . I hereby certify that I have read this application and state that the above information is correct.I agree comply with all city and county • , ordinances and state laws relating to building construction and herebyepresentatives •of to enter upon the above-mentioned ... lauthorize - Date Ifor inspection purposes. • , 1 • 01 nnn50173-6n05n174 TOT `54.511 Date � %�—✓�—$7 signature: �� � DATE: 11/20/89 TIME: 11�3b Driver's License or Social Security M: ' 1641-48 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor . - - m / . CONSTRUCTION AND PLANNING POOL ?A APPROVALS Permit# - _Date Inspector APPROVALS Permit # Date Inspector ,.r 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, 0 Undrgrnd., Test• 9. Water Pipe-Undrgrnd., j •� 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System % % ,,� 61. APPROVAL TO DECK 11. Property Sewer Line & House'Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final , , 14. Rough Plumbing ` • 65. Electrical-Final ' 15. Rough Electrical-Conduit 11 - 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 , !Y/ 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 r Notes: /24,z/s7 4,4> 4106-Xs34. Final Heating& Air Conditioning !. 35. Final Gas Pipe-Test !.' 36. Hood or Canopy 37. Final Factory Fireplace -' 38. Final Plumbing ji • 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. FINAL PLANNING rl! 49. Electric Release to Edison / • 50. Gas Release to Southern California Gas Co -% 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No. ui-!nii -7 R 9 F. 20 Bldg. Permit No. 53892 - 33902 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 778 Scott Placz=. . Colin Met::: Owner's Name flur.L%er3 ' ravings and Loan Association Bachelor or 1 - Bedroom Units 23 @ $25.00 = 575.00 2 - Bedroom Units 25 @ $40.00 = 1,000.00 3 - Bedroom Units 3 @ $55.00 = 165.00 4 - Bedroom Units 4 @ $70.00 = 260.00 5 - or more Units @ $75.00 = Total Fee 12,020.00 Total number of Dwelling Units 55 Planning Department Approval Date l.'3-72 Park Area No. _ By A.iiorris Applicant's Signat e cam{ PA! CITY OF COSTA MESA PLANNING DEPARTMENT1A7 -6-7?E,,c:QQ 19"ri d'h"?,!'?, A. P. No. 31f:-10l-7 R q E 9n Bldg. Permit No. 33692 - 33902 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 778 Scott Place, Costa Mesa Owner's Name Mariners' Savings and Loan Association Bachelor or 1 - Bedroom Units 23 @ $25.00 = 575.00 2 - Bedroom Units 25 @ $40.00 = 1,000.00 3 - Bedroom Units 3 @ $55.00 = 165.00 4 - Bedroom Units 4 @ $70.00 = 280.00 5 - or more Units @ $75.00 = Total Fee $2,020.00 Total number of Dwelling Units 55 Planning Department Approval Date 1_3__ Park Area No. 9 By A.I!orric Applicant's Signa •r- e-I'y I 0 ll t- City of Costa Mesa ` Building Safety Department v ,' CERTIFICATE OF OCCUPANCY feyy ��}} ((�� P.O. Box 1200 u I r. ���J.' �0�{� . Costa Mesa,California • The Building located at 77i, t.-..re d 1:1-,,.-. _ - • has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto ii i for a Group k r—t Occupancy. it ., i Use of Building 99 r,nnr4tr. pr, .rhte.1. .....v.% / ..,.._. . 11 it ' II _ Legal Description=: " l ' '(See reverse side for Metes and Bounds) Building Permit No szao'1_I720n't Electrical Permit No. Q6cec_ 'r1 f. PlumbinglPermit No. - li - Number-of apartments !� l_ em and/or guest rooms 1' ISSUED TO: . ' . Building Official I e- ' by;' r , • it ,=.1:.Llis SA.VS,NCS +. L-7A7.l _ ;CfCt.'t fil3':II t, Date �tinv i:^1hs,' t t tit', This Certificate of Occupancy SHALL BE posted in a 'I' onspicuous place on the premises and SHALL NOT BE removed except by the ' ' Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. - 't Form BU 34 Rev. 11/70 . • . 'u i .1 I vYY a ra1Uaua.u.u0 v. sin.0 .-L.L. -v_ JOB ADDRESS 778 Scott Place - Carport B BUILDING PERMIT NO. 23333 GENERAL CONTRACTOR Robert P. Forbes DESCRIPTION OF WORK 32 sp. Det.Garage AP No. 116-101-07,OUT TRACT FIRE ZONE VALUE $ 00.00 INSPECTIONS 09 & 18 Signature Date GROUP ,7 TYPE V ZONE p.../ & R-a_ ' Soil _ _ 'PERMITS ISSED Gas SUBCONTRACTOR Date j Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Rein!. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out ID Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final Special Requirements • . 23333 FEE RECEIVED • COSTA MESA BUILDING-SAFETY DEPARTMENT DEC 18 1964 P.O.BOX 317 COSTA MESA,CALIFORNIA rr��77FIN((A��NC;E�(j ��DppEP��T.. • For Applicant to Fill In Completely APPLICk'TI16NFFOK FRMI SA TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 778 Scott Place RECEIPT NO. PP9j'+yyrr 77QQ��jj COSTA MESA, CALIFORNIA .] .]'7 NECRI D SY 'Err,' � `oeV :::7_77,4 l OWNER Robt.Forbes & Geo. S. Freehling MAIL BUILDING •-7 / 8- se F�LADDRESS ADDRESS 2052 Newport Blvd. / T CITY Costa Mesa TEL. ZONE9 ,)TYPE, GROUP �Jj/1/ ARCHITECT J.L. Langworthy TEL BYAPPROVED ,-.{ /-/--DATE ��///� OR ENGINEERNQ. 52 ` , �✓ ADDRESS 2052 Newport Blvd. 1 NTNG H. ACa USE OF NEW C.r ae K T Ne l�_Y I PLANS I BUILDING N CONTRACTOR Rnbt.P. FnrhPS - def- r.. Vi 2.1- >1y a9LY ADDRESS 2052 Newport Blvd. LEGALR 'p'1 44-7 7o3 rer-#y TT DESCRIPTION CITY Costa Mesa, Calif. A.P.NO.//'�" '-'/O/-- tY, od', 09 , 6' NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. 115759 141-.64-6-1252 30'TO SIDE S REAR P.L EAVES OF LOT 225 X 415 • I No;°ON LOT6n ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING- ACCESSORY BUILDING EXISTING BLDG, (FROM C/L STREET) ',J / SETBACK LINE FROM 1.T 16Ii g.t.t FRONT FT. '// FT. (� CENTER OF STREET Yl REAR YARRat SIDE YARD I LEFT918" I RIGHT 1818" R.SIDE FT. /C5' FT, 6 7 DESCRIPTION OF WORK L.SIDE FT. 9 FT. 8 "' ` NEW X ALTERATION _ ADDITION REAR FT. `T. DISTANCE BET. BET.MAIN B MAIN SLOGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH BUILDING NO.OF VAR.# DATE SIZE 14-4X40 ROOMS STORIES 1 C.U.P.# APPROVED COVERING EXTERIOR WA1STiUCCO .1 COVERING gravel pYROOF PRO a`(AOr1- DATE / 4'/46/Cr USE OF BUILDING AND WORK TO BE PERFORMED (/! 7 / !y *4/d 4c fid ny Pho 32 Space Detached Garage /7G ,..-rr y,, ...w.L /Z_////j% N SQ.FT. G i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S AND STATE THAT THE ABOVE/S CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ORD)NA ES AND STAT LAWS REGULATING VALUATION i Fee �' 71-5-43 B BUILDING CONSTRUCT' �J / -PERMIT FEE 5j SIGNATURE OF / /1/ etS/ 7�+/J / 00.00 S PERM ITT EF (r, L / S PLAN CHECK $Fee �{ j,/,/,[� o AUTHORIZED AGENT ;O AL FEE $ Gap-i/0 LL OWNER MARINERS S & L Assoc. DATE 1-6-72 JOB ADDRESS 778 Scott Plece,Bldg• K BUILDING PERMIT NO. 3R901 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK Garages APNo116-101-07,OSLOT TRACT FIRE ZONE VALUE $ 7.260.00 INSPECTIONS 09 & 20 Signature Date GROUP F-1 TYPE V ZONE R-9&R-14 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER p y ROUGH WIRING Are, r/ Heating and Vent. TRENCHES 0 FORMS • STEEL REINF. kV VlWa, FLOOR SYSTEM „mows BONO BEAM n STEEL REINFORCE nj. SHEATHING �`% f�/�jj FRAME AND FLASHING / c_S/J^J22 /.1 LATHING - INi n OUT 1-7-,/‘7.- l B-- C -2.x0--- PLASTER, ro 7Y PLASTER, B OW COAT Ad 7/9i >� , lex/1/ICl,QW 72-' egftlg HEATING, VENT., REFRIG. AND A.C.. FINAL �� /vCav, 0-g-7 ,.�3.1g-/ PLUMBING, FINAL AND GAS TEST f^ a -7 ELECTRIC, FINAL IJ /0 lo-n, RUII nIUG FINAL ��SS c In//l I2 - ./ 33901 Hy: -6-77 Pn,;'00 con r, COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC ED Y DATE RECEIVED DATE ISSUED BUILDING 778 Scott Place CeAL /-4-2 ADDRESS PERMIT NO. OWNER Mariners Saw. & Loan Assoc. A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS 0-W TEL. 1- CITY NO. TRACT LOT BLOCK ZZ CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DEMO!ISH OI- LENDER am J D BRANCH J CO OWNER CO _i ADDRESS VALUE -CO ARCHITECT TEL. USE $ Q OR ENGINEER NO, V Q FIRE W 2 ADDRESS ZONE TYPE GROUP 0-W APPROVED J O CONTRACTOR Owner BY DATE En .cr ADDRESS W W TEL. ZONE NO.OF USE OF NEW O r CITY NO. _ PLANS BUILDING ZI W O STATE CITY YARDS APPROVED YARDS APPROVED to 2 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/L STREET) SIZE I NO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF 2 NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. .J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 1 MAIN BLDGS. ACCESS. BLDGS. Q Garages VAR.* DATE 0 C.U.P.it`, APPROVED F APPROVED (I) ABY GATE Z 0 UI hereby acknowledge that I have read this application and state 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 (n the State of California. ea ? I hereby certify that I em properly licensed as a contractor under SD. FT. c the State of California Business and Professions Code. Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION m PERMIT FEE $ 38.00 N Signature of ___ B re Permittee $ 00.00 PLAN CHECK $ E 0 Authorized Agent 38.00 u. TOTAL FEE $ . - .. •• 33901 . P .. "GV ?3-7 �lI All 00„3a ,J:. :.. ,: n1 . r ` COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 - APPLICATION FOR BUILDING PERMIT s�T�� A-For Applicant to Fill in Completely +'Y RECEIVED BV DATE RECEIVED BUILDING �"� 1�1 IA 1),7 2 -7) DATE.ISSUED 2 ADDRESS 77 R Scor /..ofe / N ,,��/ // p PERMIT NO. OWNER/S/`2//✓/c�' .S1/ H.Isoe. A.P.NO. j�Io—IO/-7, A J-O��///////777 3390 MAIL `,�/ n BUILDING 7 syr////. Z ADDRESS/S/S )'X4S7GL/T%- ji ADDRESS ���0"`�ylrv`y(r a` _ � / / Li,U CITV NOL +,',r�1JL=.`//I TRACT ,LOT7V' BLOCK Z /�/6l3/f o2T f3C//. 6•0Z-44"0 Z C CONSTRUCTION EW ADD ALTER EPAIR MOVING DEMOLISH O CD LENDER /VCAJ " / 0- J D BRANCH ����11 � � //�,� ” `y J N OWNER/2261441 rir,// O_ Q W ADDRESSVALUE �J CO m ARCHITECT 7 --tine TE LS'S/k SLS USE ...a.€742" ." ' $ /7, / 4.6 UN OR ENGINEER.Ctt o IX/e4VeR/ NO. ���//� �// FIRE w 2 ADDRESSZ// /YRCl/ •..'yC + QT S ocs. ZONE TYPE GROUP CL 1-1,1 /�' APPROVED LU2 CON A CTOF[.te c W//7i4Ti-f41fic .l0 �`e•P• BY DATE Z Jx ADDRESS/t kre/�SP CC//Cite / LU wTEL. ZOn/� NO yyam, N .OF USE OF NEW I O= CITY a NO. /f� Y"F�:J PLANS . BUILDING _6�u / Z w 0 STATE CITY YARDS APPROVED YARDS ABPROVED j O LIC. NO. .2j 7C/T LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE ^_ �/ / 1NO.OF BLDGS. OF LOT (FROM C/L STREET) A Ll� K G4 O NOW ON LOT.-p RONT FT. i '---- FT. USE OF EXISTING BLDG. R.SIDE 0 FT. -- FT. F— SIZE OF / / NO.OF �` / Z NEW BLDG. .f•9`1C a..3 ROOMS — STORIES / L.SIDE (J I FT. - „----7 FT. Q EXTERIOR WALL ROOF //' �^ a C.1 COVERING,Skfcco COVERING/&T'�QA 6 REAR 6 FT. S ( .Q.1, -yFT. J /t/SE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CI- 0- a y CS 72 A L - ca r-• ( .4.4.5 T"' MAIN BLDGS. ACCESS.BLOCS. Q VAR.#` ^y �r DATE O C.U.P.#n„.��y•-N p, APPROVED F3-71 F en o HOLD FOR SPE 'IAL R:•U;:EMENTS 7~ I hereby acknowledge that I have read this application and state _ I• al.-,../ / that the above information is correct and agree to comply withif /r ./ CC all laws regulating building construction, and I shall not employ r any person in violation of the workman's compensation laws of h the State of California. //enSQm zI hereby certify that I am properly licensed as a contractor under . FT. o.- the the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: IC am exempt from the provisions of the State of California Business VALUATION and Profess'ons Code, Division 3,Chapter 9. w PERMIT FEE $ N /ter D Signature o 44-4.-11-t1/J U Q 11/29 / /� m Permittee $ ,r� /F PLAN CHECK $ �t E -r / j v U.Authorized Ag' 'Z��� 0-te 'JvV r� u TOTAL FEE $ 4 OWNER FORBES ROBT. & FRUffi,ING DATE DEC 3 1963 JOB ADDRESS 778 Scott Place BUILDING PERMIT NO. 20707 - GENERAL CONTRACTOR Robt. Forbes VALUE $ 8,511.00 11 AP No116-101-7–% 18LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK 17 Det.Gar. # INSPECTIONS Signature DATE GROUP J TYPE V ZONE 1:13&R4 Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER - = Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con..{] St. Swr. 0 Sprinkling System Construction Pole Underground Power 0 _ Rough Wiring Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ _ Plaster, brown coat Refrig. 0 Air Con. 0 Final Heating, Final % • Plumbing Fixtures, Final are, —S /-/ Final Gas Test Electric Fixtures, Final _ Building, Final //— , ,�/ OCCUPANCY 210A4/ 1141/f /t/e-e-o / A'/f4�/ Form BU4-5M-3- -B P C.' _ 20707 • 20 0 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT T 1 1001 P.O.BOX 317 COSTA MESA,CALIFORNIA NCE DEPT. For Applicant to Fill In Completely A .; • t IT pr ti TYPE OR PRINT " -UI DING For Office Use Only ADDRESS 778 Scott Place RECEIPT NO. PE MIT NO. COSTA MESA, CALIFORNIA .- L7U7 RECEIBY DATE RECEIVE" DATE ISSUED OWNER Robt. Forbes & Geo. S. Frue ling k /0-/6EIEC 3 1963 BUILDING MAIL ADDRESS 2052 Newport Blvd ADDRESS -:;.-..6±g2 2 FIRE ZONE TYPE GROUP 212 Mesa, Calif. NO. 444JJ �(�/ �+///�'//�/ J ARCHITECT T T,,.,,� TEL. BGq APPROVEDBY /-`vL DATE/ J d3 OR ENGINEERJ.LB TannaworthNO. v 544 ONING ADDRESS 2052 Newport Blvd. - ZONE NO.OF UBH OF NEW �^II Robt. Forbes -R3¢'R4.A�I PUNK 2 BYILDIND CarpBr H CONTRACTOR LEoAL(yfr Roe/ / al r'P a9eq ADDRESS 2052 Newport Blvd. DESCRIPTION ( £.r 703 � 't firY ii1' CITY Costa Mesa, Calif. A.P.NO. ii6 -. /0/ -a7 d9 69 $ /8 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.NO. 115759 X 646-1252 30'TO SIDE Q REAR P.L. EAVES SIZE • NO.Or BLDOS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 225 x 415 NOW ON LOT - O YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ' (FROM C/L STREET) 7 T 6C�4'dP SETBACK LINE FROM' FRONT FT. 2 FT. CENTER OF STREET REAR YARD I �j SIDE YARD I LEFT I RIGHT R.SIDE FT. / FT. DESCRIPTION OF WORK L.SIDE FT. 'y/lcc FT. NEW I ALTERATION _ ADDITION REAR FT. ! 7 FT. DISTANCE BET. BET.MAIN& REPAIR MOVING _DEMOLISH - MAIN BLDGS. ACCESS.BLDGS. VAR.# DATE !SIU-DING 28 x 20 ROOMS STORIES 1 C.U.P.# APPROVED EXTERIOR WALL. ROOF APPROVED / � / COVERING Stucco ( BY [LCOVER IND gravel � DATE OO/ USE OF BUILDING AND WORK TO BE PERFORMED t IAn _ 17 Garages -(det) - 31D9.0 6Q.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE. B CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINA ELAND STATE' REGULATING - BUILDING CONSTRU�CJTIry }/f��� �y/y� 1 / VALUATION N PERMITTEE O / ni ar•/�! //// PY/7 PERMIT FEE 5 3d B S iS/�'' Q PLAN CHECK $ / 0 AUTHORIZED AGENT C.l c' 4 TOTAL FEE $ / J _ 1 . • • • • • • • • • • • _• . ;. • b !4CC ili bi • r.�. p. : Y e ? LL - N' OWNER FORBES, R. & FRUEHLING, G. DATE DEC 3 1963 l JOB ADDRESS 778 Scott Place,Units 101-217,201-229 BUILDING PERMIT NO. 20706 GENERAL CONTRACTOR Robert P. Forbes VALUE $ 360,713.00 7 AP No.116-101-7-5 1111,OT TRACT FIRE ZONE 3 DESCRIPTION OF WORK 51I Untt_Apt.Bid, INSPECTIONS Signature DATE GROUP H TYPE V ZONE R3&R4 Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. 0 \ Rough Heating Rough Plumbing • Miscellaneous Prop. Swr. Line 0 House Con. ❑ St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power ❑ Rough Wiring Trenches ,0 Forms ❑, Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing • Lathing— In 0 Out ID Plaster, brown coat Refrig. 0 Air Con. p Final Heating, Final _ Plumbing Fixtures, Final Final Gas Test _ G'�`� Electric Fixtures, Final _ Building, Final � /J/f� Jf OCCUPANCY /p .IJit • Form B1.14-5M-3-63-543P V / �mn 20706 �)'� FEE tU p ET i i sa. eei$ MESA BUILDING SAFETY DEPARTMENT ��o t,.0_\d$FINANCE DEPT. .P.O.OBOX 517 COSTA MESA,CALIFORNIA i tiln ��TY OF COSTA MESA . For Applicant to Fill In Completely ("npAPPLI ION FOR PERMIT TYPE OR PRINT LSo77 �- BUILDING ADDRESSILDING 778 Scott Place %�.,,,;c '' elf For Office Use Only F, c� RECEIPT NO. P RMIT O. COSTA'MESA. CALIFORNIA d-0/ 2 a2"/ .:7•72., L/ L'c RECEIVED IP 23717 DATE ISSUED Robt. Forbes & Geo. S. Fruealing e" 3 Q��I t „o, OWNER BUILDING ivQ3 ADDRESS 2052 Newport Blvd. • • ADDRESS 646- FIRE DIT„ Costa Mesa, Calif. T1• 1252 ZONE TYPE GROUP ARCHITECT • Lb46- APPROVED DATE/a��G OR ENGINEER J. L. Langwort 6852 ADDRESS 2052 Newport Blvd. oNING ' • (]•/y�N v NO.OF USE OF NEW3y 4n, / CONTRACTOR Robt. P. Forbes IIJ �- PIANS Z I BUI`DING Apt p! /y, ADDRESS 2052 Ne DESCRIPTION The �L P X703 Ay Hg 9�vn et Newport-Blvd. _ CITY Costa Mesa, Calif. A.P.NO. /i6 -- /0/ -- 07 09 0/9 C /f9 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE 115759 LIC.NO. NTEL•O. 646-1252 30"TO SIDE @REAR P.L. EAVES SIZE 225 x 4l 5 I NO.OF ELDDS. O ALLOWED (U.B.C.REQUIREMENT) OF LOT 41.. .La NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM aG'//LL STF�J QE E/Jf� SETBACK LINE FROM A 1 , 6" 114' FRONT'I„`c .v CENTER OF STREET `Sl REAR YARD 14 SIDE YARD I LEFT 91 - I RIGHT 19, 611 ` R.SIDE&yFT. 8 DESCRIPTION OF WORK L.SIDE 2' FT. __1.p�@ FT• NEW X ALTERATION _ ADDITION REAR a 7 FT.be� \ FT. DISTANCE BET. BET.MAIN @ REPAIR MOVINGDEMOLISH MAIN SLOGS. ACCESS.SLOGS. B ILDING 37882 sr ROOMS 179 STORIES 2 c.U.P.# APPROVED EXTERIOR WALLROOF gravel APPROVE&Kg 2474.2 COVERING st eCal COVERING BY ieQ)e DATE USE OF BU ICING AND WORK TO BE PERFORMED residential 54 Unit Apt.Bldg. & cs - %1 - ?g, /40 //uu`�,, I I 600 so.FT. L-ev 4. G• 7/o9 4' / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE.S CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORD(NA ES AND STATE WS REGULATING VALUATION ' 7`57..35° ' q BUILDING CONSTRUCT( ' / ¢ N SIGNATURE OF p ,/ n�� PERMIT FEE $ ��✓d.D PERMITTEE / �li// • ;:edn''''.-- . 7/2— (���77 m S � ) PLAN CHECK S _/01 .g�re'L' o AUTHORIZED AGENT ` TOTAL FEE $ l(e'y 52 E� 0 OWNER FORBES, R. & FRUEHLING, GEO. DATE DEC—}_Ig63— p JOB ADDRESS 778 Scott Pl. BUILDING PERMIT NO. '20703 .-. . GENERAL CONTRACTOR Robt. p. Forbes VALUE § 17,600.00 1 AP No116-101-7-S 18LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK 32 Det. Gars. A.INSPECTIONS Signature DATE GROUP J TYPE V ZONE R3 & R4 ,g Soil PERMITS ISSUED kr Gas SUBCONTRACTOR DATE NUMBER Water Rough Com. Refrig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground ❑ Power ❑ _ _ Rough Wiring _ Trenches❑ Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 _ Steel Reinforce ❑ _ Sheathing Frame and Flashing Lathing — In ❑ Out 0 Plaster, brown coat Refrig. ❑ Air Con. 0 Final _ Heating, Final Plumbing Fixtures, Final L- -- Final Gas Test Electric Fixtures, Final OCCUPANCY 0/ -(_/am_ G/ Li c .,,7a r. /2t—� i Form BU4-5M-3-63—S-B P orrtnfj 20708 FEE RECEIVED DCT 1 1963 COSTA MESA BUILDING-SAFETY DEPARTMENT DEPT. P.O.BOX 317 COSTA MESA,CALIFORNIA FINANCE 1f�•Tyy ���9OMESA For Applicant to Fill In Completely APPLCA FOR SIA PERMIT TYPE OR PRINT BUILDING For Office Use Only ADDBUILDRESSING 778 Scott Place I RECEIPT NO. M%T N A COSTA MESA, CALIFORNIA C 7e, YQ� OWNERRobt. Forbes & Geo. S. Frueb<ingRECHY - /e)-/-6-3 U ,�EIUEUED19E3 BUILDING j ADDRESS 2052 Newport Blvd. ((��MAIL ADDRESS CITY Costa Mesa THL.b X7552 ZONE TYPE GROUP NO. SCG, p� GROUP))p ARCHITECT J T T angworyli��O.b 52 APPROVED •/ 1 DATE/1/5 �� OR ENGINEER •L. L HL{)'1'I lJ(l//LL(ONING ADDRESS 2052 Newport Blvd. -DSONeE�pL NO.OF USE OF NEW �/,/. (( CONTRACTOR Robt P. Forbes n3r F T I PLANSa I BUILDING CQrPpr� 8 LEGAL LO* Zo z1 F zz TN 29E9 ADDRESS 2052 Newport Blvd. DESCRIPTION ref' °t 703 tilt- yrs 1W CITY Costa Mesa, Calif. A.P.NO. //6 — /D1 — 0708 09 % '8 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN uc NO. 115759 T+E. 646-1252 30'TO SIDE a REAR P.L. EAVES OSIZE LOT 225 x 415 I NO.OF BLDG*. G ALLQWED (U.B.C.REQUIREMENT) NOW ON LOT . YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) [� SETBACK LINE FROM 471 FRONT FT. %/ PT. 6 C CENTER OF STREET - REAR YARD o SIDE YARD I LEFT 191 RIGHT 19' R.SIDE FT. // 9 FT. IS DESCRIPTION OF WORK - L.SIDE Fr. /q/���9-`r9/ FFT. & NEW a� ALTERATION ADDITION REAR FT. �"�" E . DISTANCE BET. BET.MAIN e REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. ,1,14 VAR.* DATE BUILDING SIZE 141x40 I ROOMS STORIES 1 C.U.P.*.4/.% APPROVED EXTERIOR WALL - I ROOF APPROVED/,T ?Jiff COVERING CLIC • COVERING . ( - BY YR�1 DATE USE OF BUILDING AND WORK TO BE PERFORMED A Seafatinket "B" APProveA by 4126n n/+y Gm.rr.;- SOccj 32 Garages (Det.) Ac4th oxi 8/a/60 3 N y dos4.Fr. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE E AND STATE THAT THE ABOVE,I* ORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY OR ND STATE LA S qqqHHHOULATING BWLDIN°CONBTRUCTI �/ ) VALUATION )7 N SIGNATURE OF �.T<i /q G�� 1�,A/ //' PERMIT FEE $ �J /T� m PERMITTED C !f 17 (/� $ / ‘°0___ PLAN CHECK $ e2 O /SaQ 6 AUTHORIZED AGENT �' (�' TOTAL FEE S ✓/ •/ O YYlY^v^ rV=0 P• CO r11V1'uw11Yu u. ••• �• --+� -..�. JOB ADDRESS 778 Scott, Place, Carport A BUILDING PERMIT NO. 233311. GENERAL CONTRACTOR Robert P. Forbes DESCRIPTION OF WORK 17 sp. d et.garage - AP No.116-101-07,08WT TRACT FIRE ZONE VALUE $ 00.00 INSPECTIONS 09, & 18 Signature Date GROUP J TYPE V ZONE R-9 & R-1F Soil PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line-0 House Con.-0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning • Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce ❑ • Sheathing Frame and Flashing Lathing—In p Out�(] Plaster, Brown Coat Structural, Final Electric _. Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final Special Reouirements 23334 FEE RECEIVED DEC 16 1964. COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING For Office Use Only BU778 Scott Place RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA 3 3 REC[I MY DATE RECEIVED TE IBS H OWNER Robt.Forbes & Geo.S. Fruehling 1 12 tf7cc/- €.7110,4 /%`� MAIL. 2052 Newport Blvd. ES ADDRS 17 E( $C_{p`1'! Ac CITY Costa Mesa, Calif. TE�6y1} -„52 ZONE TYPE L� / GROO9U//P/Q ARCHITECT TEL- "�_00)C APPROVED / y �C,�DATE '// /1� - ORENGINEER J.L. Langworthy NQ. BY �1 /// ZO ING ADDRESS 2052 Newport Blvd. ONETT JJ yJI NO.Or I USE OF NEW CdrparC ]j y r-4j Puns I BUILDING "A'' CONTRACTOR Rnht_}I'nrhes - ZOAL � F.,_ nn 77? yg22c., g ADDRESS 2052 Newport Blvd. LDESCRIPTION Ar ALT 0 j MA- clrY Costa Mesa, Calif. A.P.NO.//d —/0/ '— O3' 08 U? 5 18 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE T TNLID. 115759 NQLL-1252 90'TO SIDE @ REAR P.L • EAVES OF LOT 225 X 415 I NNOW O.OrON BLDGSLOTf ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. 1 FROM C/L STREET) /L� SETBACK LINE FROM FRONT PT. a 7 Fr. bc' "C5F1 CENTER OF STREET 271 REAR YARD 4'7C 1 SIDE YARD I LEFT 181 I RIGHT 191 VIIR.SIDE 19 FT. G DESCRIPTION OF WORK /B FT. — REAR FT. y 7 Fr. = NEW X ALTERATION ADDITION DISTANCE BET. BET.MAIN @ MAIN BLOCS. ACCESS.BLOCS. REPAIR MOVING DEMOLISH DATE S ZIE DING 28 X 20 ROOMS ' STORIES 1 APPROVED EXTERIOR WALL ROOF /Coli 6 Gy COVERING stucco I COVERING gravel - DATE d. USE OF BUILDING AND WORK TO BE PERFORMED 17 Space Detached Garage07.0 7 � N reeliO 7 Kt. r. O 7. I HEREBY ACKNOWLEDGE THAT I HAVE READ T APPLICATION tHE AMOUNT SHOWN UNDER VALUATION IS FOR THE 8 AND STATE THAT THE ABOVE - CORRECT AND GREE TO OM. PURPOSE OP ESTABLISHIN A PERMIT FEE ONLY. G PLY WITH ON CITY ORDL A• ;S AND STATE WB REG • / BUILDING CALL CITY OR ' VALUATION �� to.. p / v ER FEE $ �� j SIGNATURE OF G PERMITTE' _ i• . /fir ?IAA CK $ G AUTHORIZED AGENT ©D/&0 ? PEE $ i -_ L OWNER MARINERS S & L Assoc. 201-204 DATE 1-6-72 JOB ADDRESS 778 Scott Place, Bldg. B, Units 101-104, BUILDING PERMIT NO. 33893 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK 8 Unit Apt.Bldg. N AP No. 116-101-07,08QT TRACT FIRE ZONE VALUE $ 69,700.00 INSPECTIONS 09 & 20 Signature Date GROUP H TYPE V } hr. ZONE H SOIL It-1 C'>,.-g 7L I SUBCONTRACTOR PERMITS ISSUED GAS - '"`"/t'l.S2 2,i Date Number Signature WATER ..aik1,c-L-6 C� nnAA Plumbing ./ ROUGH PLUMBING A4 i- - -t,,, U ' ���f/f e- /.�W jr�' - t, PROP. SWR. LINE ❑ HOUSE CON. ❑ _I///' �` SPRINKLING SYSTEM 'Z MISCELLANEOUS (J.ea-. t4/j.nc ._S-4(p Y / ROUGH HEATING AND AIR CONDITIONING s.L TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ROUGH WIRING S- Heating and :37:11r TRENCHES E�FORMS STEEL REINF. �,Q ;1//9{,/17',�,r,nad IL yfr' 7 &r7*/FLOOR SYSTEM G ! lt2 /� BOND BEAM [1 STEEL REINFORCE R SHEATHING ^ + FRAME AND FLASHING .,., / G '�/�J��%n.'\ // V LATHING - IN (-4---' OUT R `I {� )0- � /?� 7/ - STER, BROW C A {■�,1 le-W.,�-Y � d��YEI tric 4 HEATING, VENT., REFRIG. AND A.C., FINAL ' " ",..� ) / PLUMBING, FINAL AND GAS TEST l J /I-5n v (f / ELECTRIC, FINAL 4 4, 722,20-, BUILDING, FINAL /jY`w` i.e 77� 33893 PAH' '0773TT,; O3112i, c. • •. .: COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT [/...061,6 B For Applicant to Filrl/'n Completely O I �O r RECEIVED B DATE RECEI ED DATE ISSUED BUILDING ,0 d ` JJa4 Za�/ /—L--7? ADDRESS 7 -� �J Co 77- is- • I v / �}� " / `^ /J PERN(.53893 OWNER///,,,2,,+�S si-f . .JY.Jic.e. A.P.N .l�G'_(O/_-7, 'trc (J v MAIL �r BUILDING �jf/ S/)rl / B"lol/d/ ADDRESS �V 7f eSPC-Z., ��z�—� ADDRESS,7"77 7 V • I $. 4p(, z C U TEL.67- ''�9 c//> a J O ,n.-2.i"_ 7 CITY N� NO. '7pD C) • Sty.4 TRACTl2t(, L �, G , fLOT70$ BLOCK H 2 Z< CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFM01 ESH —m LENDER A/OA/E • ix- J r BRANCH s J to OWNER /12C414?214o, ,'s+' W ADDRESS mQ ARCHITEC Oy#t'nrt TELsS_L( USE � ALU$`Q w0_ U OR ENGINEER. - Wewc.P, NO,/.Tt•f5� ' C3/ FIRE W ADDRESS .ZI/ W�ONU)— /y 6, ZONE TA, ROUP / p-W APPROVED LB J ZO CONTRACTOR _ A �,' .y BY 8 614- DATE :JK ADDRESS /•/iCW sft r.=r 4 , tIyLE' /� NO.OF USE OF NEWP� � 7� A Z f CITY ^//d, NO. L��pn is 'T 1\ ? PLAKS BUILDING Q (+✓/'L�`w —0 STATE /'` CITY YARDS APPROVED YARDS APPROVED Ln O �� LIC .NO. 7 Y//' 6 O LIC.NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SIZE L f IBLOCS. ON LFRONT ASFT. FT. USE OF LOT ...t,i y Ill et 11 — EXISTING BLDG. R SIDE � �N FT.Op 7 4 • FT. _ I-' SIZE OF !. • F - L,SIDE -5FT. FT. DD. /�FT. Y FT. • REAR• : • • DISTANCE BE ,A, IBET.MAIN& MAIN BLOCS.3j (-�� ACCE .CLOGS. VAR.* DATE a C.U.P.# APPROVED I- E� ZHy /Yr , 0- DATE ! —3 �— O I . $ • ( • ^'.',I R-• T-v„FL UI hereby acknowledge that I have read this application and state DAL_A___ • - ,� ,,�/J / D that the above information Is correct and agree to comply with �^”— kL/ V'N Y' fila// CC ell laws regulating building construction, and I shall not employ V F-, any person in violation of the workman's compensation laws of CO the State of California. �S/`ter CO ZI hereby certify that I am properly licensed as a contractor under �/ �.7 SO, FT. o the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business C VALUATION and Professions Code,Division 3,Chapter 9. CO PERMIT FEE $ el D Signature of ryl 75- m Permittee $•�• ^\ PLAN CHECK $+�/ /� E 6(//f % o Authorized Agent / TOTAL FEE $ /ii . . 33893 PAi,. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI V B V DATE RECEIVED DATE ISS ED BUILDING ADDRESS 778 Scott Place Bldg. B �� PERMIT NO. , OWNER Mariners S & L Assoc. A.P. NO. MAIL BUILDING Z ADDRESS ADDRESS W W TEL. 0-0 CITY NO. TRACT I LOT BLOCK zZ Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH O LENDER _� am 1 J J BRANCH J to OWNER m J ADDRESS VALUE ARCHITECT TEL. rUSE $ J Q OR ENGINEER NO. V Q FIRE W ¢ ADDRESS ZONE TYPE GROUP tl APPROVED W Z CONTRACTOR Owner BY DATE —10 mZ JCC ADDRESS W W TEL. ZONE INO.OF USE OF NEW o r CITY TE PLANS BUILDING Z I— W-d STATE CITY YARDS APPROVED YARDS APPROVED NCC LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O 512E NO.OF BLDGS. (FROM Ch.STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT, I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. t<.1 EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d MAIN BLOCS. ACCESS. BLOCS. 0- < Q 8 Unit Apts. CU.P,# DATE APPROVED 0 - I— APPROVED V) _EY DATE Z 0 VI hereby acknowledge that I have read this application and state 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 CI) the State of California. 0a b zI hereby certify that I am properly licensed as a contractor under SO. FT. 0 the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o CC am exempt from the provisions of the State of California Business VALUATIONm and Professions Code,Division 3,Chapter 9. 00.00 PERMIT FEE $ 181.50 W D Signature of m Permittee $ PLAN CHECK $ E `o O Authorized Agent 81.50 IL ` TOTAL FEE $ OWNER MARINERS S & L Assoc. DATE 1-6-72 JOB ADDRESS 778 Scott Pl., Bldg. D, Units 101-104,201-205 BUILDING PERMIT NO. 3 894 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK9 Unit Apt.Bldg.w/gar.& Laur'^y AP Nou6-101-01,08i0T TRACT FIRE ZONE VALUE $4,400.00 INSPECTIONS 09 TSC 20 Signature Date GROUP d & H TYPE 1 ZONE R4-R,3 SOIL AiC2 -/1-72 SUBCONTRACTOR PERMITS ISSUED GAS /j Date Number Signature WATER/PLUMBING -!'j'�7i'-S.�.ay}AS /1 .Plumbing tty. O /-✓/� l� ROUGH. SWR. LINE 14g4-9-7-Z /,/1`/Gw't�f•/Y�//(1 tatty OI, s J PROP. SWLINE ❑ HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS ` ROUGH HEATING AND AIR CONDITIONING M dJr T7-72- TEMPORARY JZTEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING A. re' Jy Heating and Vent. J/J TRENCHES FORMS EEL REINF. [St /;:�/'�' ,/ S fr� ifilatt�YJV k'l/0pt 6479 •4° FLOOR SYSTEM Ci- J7 '7 BOND BEAM n STEEL REINFORCE n �" SHEATHING t-� ? -- FRAME � FRAME AND FLASHING / t '31 LATHING - IN OUT I(.T y/� �y 'b7 1� _ PLASTER, BROWN COAT !7�I 9r / — STRUCTURAL, FINAL _ HEATING, VENT., REFRIG. AND A.C., FINAL n AQS/, 7/7b./ 10-41Y1"'"Elo IC f // 3- -7 ( 00 PLUMBING, FINAL AND GAS TEST 11 ELECTRIC, FINAL /PL , Y/ �// 01111 niur. Lintel 1O 0 �/7"/ • 1 33894 PATI •z" 'IN 23 71 ,.,..U01127 F41', �• iii:.1.:i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 a6nr-B129 r APPLICATION FOR BUILDING PERMIT A �// or Applicant to Fill in Completely / RECEIVED ggg���((( DgTE RECEIVED DATE ISSUED BUILDING I'` D- /D/-IDaf SJR i/_7.y—t) Y^ ADDRESS 777 Scor f L;oCep ao!-�a5 �1 / (! 7,2 � ..) / r( ) / PERMIT N•. OWNER //I,47/?t t,c4 'S' „rgi Scsca A.P. 1d �(T IUI�7 • -;0-->-0 = • MAIL � y� BUILDING / t �/y�y.y�' 0-/Ol-(0I-� ADDRESS/SS VV2Cr-C1/'C/t= ,� ADDRESS � t/I tr�r0-3D6�oS z 9a � 9D,a/ r- . W W TEL.(.. Ct.U CITY Nr A , NO. O pCj -v:' f TRACTf LOT` Cii BLOCK ZQCONSTRUCTION NVEDEMOLISHD{AI TFR REPAIR MOVING DEMOLISH O-N LENDER /✓e/,/e am JCO BRANCH 144- cp # (il - CIOWNER CN wY'wV! TsZ CO -I ADDRESS s / VALUE95/ JIOG JJ�� � TEL.vS S S_ • 7 m ARCHITECT C / 2 ..IY S J Q OR ENGINEER %-� INEA'/E/2. NO. 3<p i/ Q 7 f FIREair d. (1/ aW ADDRESS��/ t/(74L/t/U7-- Al fE/ . ZONE / GIRO D APPROVED (/J� f ILI CONTRACTOR66/4 tir.,,,-4.74.../c4BY do E 0 1N, iYla J ir ADDRESS If -ir h+I7i L/NN An / p[� Lit it' Wee. TEL./. i� (L E(� 3 PLANS ..„,n . BUILDING USE OF EWA i's� ZI- CITY /V fy NO. CIgQ y 1 , ` w-0 STATE CITY YARDS APPROVED YARDS APPROVED cn O LIC. NO. 0•t,(7 4270 LIC. NO. MAIN BUILDING - ACCESSORY BUILDING SIZE / / NO.OF BLDGS. (FROM C/L$�REET) , OF LOT 7,e A/�/ I NOW ON LOT FRONT / FT. FT. USE OF /t EXISTING SLUG. __p( / R SIDE J"1FT. f/ FT. I- SIZE OF Z NEW BLDG//S(X 3K ROOMS `C'Q STORIES 2 L.SIDE SFT. FT. Q EXTERIOR WAl'L ROOF �J U COVERINGJ7C/CCO COVERING rale REAR ..-2 / FT. // FT. . J OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.,-,.( BET.MAIN& y .[/�iT.S- CO�J 7'. y��-��/✓� MAIN BLDG$. at #37( ACCESS. BLDGS. Q �U,.Ll)r y 7 ^' % ^ VAR.# DATE O `p^' _`I O.U.P.k# APPROVED F KAPPVC ' f (f ( —3 —7 -�cn - TE O HOLD FOKygn_� "L R"QU:REMENTb VI hereby acknowledge that I have read this application and state a �, //_J that the above information Is correct and agree to comply with �-2-P Yf<-C6 DF../ cc all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of fA the State of California. 9YyS/ ,5�� co / J j Z I hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE6AALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OFESTABLISHING A PERMIT FEE ONLY: 2 am exempt from the provisions of the State of California Business VALUATION and ProfessioCode Division 3,Chapter 9. co Signature of GvLcrtea.p • Ol"”' PERMIT FEE $ 01.s V m Perm Ittee /y,,I / $ Cr-, PLAN CHECK $ JD 9, E Authorized q r //J�- aIt1. t .*24 TOTAL FEE $ a . . . 1389•,' ,�P_A.. .,.V -F-7iFtron 1c3 d .. ..'':, O ny� . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE Q� BY/ DATE RECEIVED DATE IS UED —7 ADDRESS BUILDING 778 Scott Place Bldg. D & Dl 4 j/U'- V% PERMIT NO. OWNER Mariners S & L Assoc. A.P. NO. MAIL BUILDING Z ADDRESS ADDRESS W W TEL. a U CITY. NO. TRACT I LOT BLOCK ZCONSTRUCTION ADD ALTER I ,REPAIR (MOVING DEMOI ASH III O F- LENDER NEW am J D BRANCH J N OWNER m J ADDRESS VALUE m ARCHITECT TEL. USE $ J Q OR ENGINEER NO. U Q FIRE W 2 ADDRESS ZONE TYPE GROUP aW APPROVED W Z CONTRACTOR Owner BY DATE J CO Z J cc ADDRESS W W TEL. ZONE NO.OF USE OF NEW 0 r CITY NO. PLANS BUILDING ZH W-O STATE CITY YARDS APPROVED YARDS APPROVED N CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/L STREET) SIZE I NO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF Z NEWBLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 O. MAIN SLOGS. ACCESS. BLDGS. 9 Unit Apts. C.V.P.sic APPROVED 0 I— APPROVED N BY DATE Z 0 0 I hereby acknowledge that I have 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 Cr) the State of California. m b Z I hereby certify that I am properly licensed as a contractor under SO. FT, o the State of California Business and Professions Code, Divisicn 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: s. CC am exempt from the provisions of the State of California Business VALUATION OO CO and Professions Code. Division 3.Chapter 9. `2191 PERMIT FEE $ J• w D Signature of 00.00 as Permittee $ PLAN CHECK $ E o Authorized Agent • 219.00 u. .. TOTAL FEE $ OWNER MARINERS S & L Assoc• DATE 1-6-72 JOB ADDRESS 778 Scott Place,Bldg.E, Units 201-207 BUILDING PERMIT NO.33895 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK 7 Unit Apts.w/garages • APNo116-101-07,08LOT TRACT FIRE ZONE VALUE $ 82,300.00 INSPECTIONS 09 & 20 Signature Date GROUP H & F-1TYPE V ZONE R-k & R-3 SOIL /11 5 2-/-) 2- PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER SI �wf.Plumbin• ROUGH PLUMBING i,§w� -, a " ig,`��alb�M��!Caflire?: PROP. SWR. LINE ❑ HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONDITIONING int S et--M--W TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER EI ROUGH WIRING e J" _ Haatin• and V t. TRENCHES 0 FORMS 0 STEEL REINF. EV- 'J7 .'Aif � ,&im gism FLOOR SYSTEM !!!////lll�itL�'t .W��LTLMrINAIMIllaill BOND BEAM IN STEEL REINFORCE M SHEATHING i- n'.�•/T�© FRAME AND FLASHING , Lf/rig.. I Ir LATHING - IN a7 OUT ariag ikW PLASTER, BROWN COAT ry ���i�f STRUCTURAL, FINAL /� / E > / n / HEATING. VENT., REFRIG. AND A.C., FINAL O i�• 7/ .O�/% 4/•/ V^ i/35 7 PLUMBING, FINAL AND GAS TEST n glilYriPlet- ELECTRIC, � v1 FINAL Pill! nINf FINAI -.. ,1 • 33895 P„: COSTA MESA BUILDING-SAFETY DEPARTMENT – IIV, -F-7' -ni .�,1 . • 7e P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI;yD DATE RECEIVED DATE IS/S,UED BUILDING ..CC//-,�//(( // /^(9 —77• ADDRESS 778 Scott Place Bldg. D PERMIT NO. OWNER Mariners S & L Assoc. A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS W W TEL. TRACT LOT BLOCK a O CITY NO. Z ZQ CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH O- N LENDER am J O BRANCH ) J(n OWNER _ m J ADDRESS VALUE -CO ARCHITECT TEL. USE $ J < OR ENGINEER NO. O Q FIRE w eC ADDRESS ZONE TYPE GROUP d IL/ APPROVED W Z CONTRACTOR Owner BY DATE J O 03 J IL ADDRESS W W ZONE NO.OF USE OF NEW 0= CITY NO. _ PLANS BUILDING ZF O STATE CITY YARDS APPROVED YARDS APPROVED tWn CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/L STREET) SIZENO.OF BLDGS. OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. __El sips FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF COVERING COVERING - REAR FT. FT. ...J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C. a MAIN BLDGS. ACCESS. BLDGS. Q VAR.+ DATE 0 C.U.P.# APPROVED I— APPROVED N _ BY DATE — Z 0 ~.1 tI hereby acknowledge that I have 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 shell not employ F„ any person in violation of the workman's compensation laws of m V) theState oCalifornia. g/ zI hereby certify that I am properly licensed as a contractor under SQ. FT. O the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b tt am exempt from the provisions of the State of California Business and Professions Code, Division 3,Chapter 9. VALUATION 201.00 r PERMIT FEE $ D Signature of MOO m Permittee $ PLAN CHECK $ E Authorized Agent 201.00 u. TOTAL FEE $ OWNER MARINERS S & L, Assoc. DATE 1-6-72 JOB ADDRESS 778 Scott Place,Bldg. F, Units 201-204 BUILDING PERMIT NO. 33896 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK 4 Unit Apts.wfgarages AP No. 116-101-07,08QT TRACT FIRE ZONE VALUE $ 68,500.00 INSPECTIONS 09 & 20 Signature Date GROUP H & F-1TYPE V ZONER-4 & R-3 SOIL .Ii 52 In --IL-- SuPERMITS ISSUED GAS BCONTRACTOR Date I Number I Signature WATER ,�+ Plumbin• yyyyyy ROUGH PLUMBING Al S U 7g7n .__ �C(. • _ • _ ' _) . :4C-Tjf�Ly ------ PROP. PROP. SWR. LINE Q HOUSE CON. ❑ -7-e / /J'yY SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING Iv' n o S4-1g.>Y TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING i4 •3-- '6 '-,yHeatin• and Vent, TRENCHES ❑ FORMS 0 STEEL RE INF. A G Q -, ___i g frarzys irtva! FLOOR SYSTEM ,M2107IIIWAII BONO BEAM • STEEL REINFORCE • d wj� SHEATHING fr���y///�v/ 9 - FRAME AND FLASHIN ' /A'S.f 7W J/ . LATHING — IN Er OUT ar�k§,, '.�ka`` - PLASTER. BROWN COAT .4SSvSA /' — STRUCTURAL, FINAL . 4 HEATING, VENT., REF R IG. AND A.C., FINAL . ♦ Film92Al:TMSAMPAIMES 'P,1 r' PLUMBING. FINAL AND GAS TEST U Jjf''t>'Ar •Z- ELECTRIC, FINAL y ' PO YO.7 Z- .9' -- BUILDING, FINAL O- to l•7 fl 33896 PLIC COSTA MESA BUILDING-SAFETY DEPARTMENT IL r3-7,cl.. Q� ?� " ^ ' ,I P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT / i 0`41 FFor Applicant to Fill in Completely AEGEI VE Y D 7E RECEIVED BUILDING , y ,\ c.....30 ...i . moi! I�?z�f'/ DAT ISS/�/ED�-r ADDRESS 7 !7 'Sam- Amex• .$ .'a( l/� �Y / (lj I' ,,��yy)) // 1 pp PERMIT,N OWNER4//AQ/A/F TLS h A , 4-sJb e, A.P. NOi/G'IOF7.X`F/c_•y0 4.348.9f BUILDING I7 FaoI- MDIL ADDRESS / 7� _ z ADDRESS /.r/f J`7�IiFF , �� �� 0.0 CITYNS�,T- Oy�.i'ae7t NO.TE •<fano %: TRACT .,CJL / / LOT 7Oe BLOCK z z EW DEMOLISH ALTER REPAIR MOVING DEMOLH -N CONSTRUCTION LENDER /tQA/E / a m _Jr BRANCH -J V) OWNEA),44_,‘L/L.L.10a-,C.:41S 5"--47/1 CO J ADDRESS / VALUE -CO • J Q OR ENGINEER Ie WFA UR? NOL ` USE t may}.(({ $‘4P:57)0�/s/91 Ua i S/ FIRE � /)/ • 9/ W w ADDRESS,2/ / �AL A//'/'� 64/ Or ZONE TVP GROUP a APPROVED J ZQ CONTRACTO `�/Fi`Tj=J)Q1A Y ,AQrrikoz-Vet BY DATE m z �// Jcc ADDRESS //2vO /IS.I':CLi A/C. ./7/a..4-42--d• W W TELnZO E NO.OF USE OF NEW ZF CITY N ry 'V p.� 11�I �-�� � 4. PLANS /BUILDING //j i;�jy� / lllO STATE CITY T YARDS APPROVED YARDS APPROVED N 2 LIC.NO. °Fn(7 L(re LIC.NO. MAIN BUILDING ACCESSORY BUILDING O O SIZE (FROM C/L STREET) G- OFLOT2 /Jl sir ICY / I NOW ON LOT S FRONT �? FT./ N" FT. USE OF EXISTING BLDG. R.SIDE_ 3 or T. r/ FT. I- SIZE OF '// NO.OF Z NEWBLDG./U Y V7.e. ROOMS 2$ STORIES Z L.SIDE 7 FT. f / FT. tel EXTERIOR WALL ROOF � '/ COVERINCs_ ,WC,r1 I COVERINGV-47-A* REAR 7FT. // rA/Y✓/ FT. J FUSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a /' Stir-S.- (-MACS 7; MAIN BLOCS. ACCESS BLOCS. # DATE O Ca VeJ:/) aede2V,- /7 C UUP.�#yJ ^/ APPROVED I-N �y"`i'CI��Wf�• _ DATE I — .5 - 7 Z L Lr�(. O HOLD FOR SPE = .( R-4L"z r*"pDlT$ / VI hereby acknowledge that I have read this application and state '7 n 4 it /1 -Y- _ $,�,�'',,'_�,'`,'/ D that the above information is correct and agree to comply with u-I/t"L-A-"�'' fr all laws regulating building construction, and I shall not employ any person in violation of the workmen's compensation laws of N the State of California, 57 457° 3o5 q -) m ZI hereby certify that I em properly licensed as a contractor under / SO• FT. !/ T o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full forco and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e rc am exempt from the provisions of the State of California Business VALUATION 0antl Professions Code,Division 3,Chapter 9. PERMIT FEE $ N • _ D Signature of s at)/ ' E Permitter '1/Oj46--),,,,-c.1 `/ $'� /'�� PLAN CHECK $ LLAuthorized Ager /JG E>aye,40L47tQ ((�`A/7 J TOTAL FEE $ _ . 33896Pa,. IAN -B-7?&, 00 lir; " - - Ir'. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEe XX. DATE RECEIVED DAT ISS ED BUILDING d— ��b. — ADDRESS 778 Scott Place - '3'" PERMIT NO. OWNER Mariners S & L Assoc. A.P.NO. MAIL BUILDING Z . ADDRESS ADDRESS W W TEL. a 0 CITY NO. TRACT LOT BLOCK ZZ CONSTRUCTION NEW ADD ALTER REPAIR MOVING f1FMOl ISH O N LENDER 0. m J D BRANCH J(.n OWNER CO J ADDRESS VALUE m ARCHITECT TEL. USE $ J< OR ENGINEER NO. O Q FIRE WCC ADDRESS ZONE TYPE GROUP aW APPROVED W Z CONTRACTOR Owner BY DATE Jp 03 J fr ADDRESS W W ZONE NO.OF USE OF NEW O= CITY NO. PLANS BUILDING ZF WO STATE CITY YARDS APPROVED YARDS APPROVED NCL LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O I (FROM C/L STREET) SIZE - NO.OF BLDGS. OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIOF FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. l USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a- a MAIN BLDGS. ACCESS.BLDGS. Q VAR.# DATE O 4 Unit Apts. C.U.P.# APPROVED I— APPROVED N _BY , DATE Z 0 UI hereby acknowledge that I have read this application and state D that the above Information is correct and agree to comply with ¢ all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of fA rho State of California. e ? I hereby certify that I am properly licensed as a contractor under SQ. FT. 6 the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Business E and Professions Code.Division 3,Chapter 9. VALUATION 80.00 N 00.00 PERMIT FEE $ J.VD Signature of co Permittee $ PLAN CHECK $ E — 0 Authorized Agent 180.00 A TOTAL FEE $ OWNER MARINERS S & L Assoc. DATE 1-6-72 JOB ADDRESS 778 Scott Place, Bldg.C,Units 101-103,2014.202. BUILDING PERMIT NO.39897 GENERAL CONTRACTOR George W. Maschmeyer ' DESCRIPTION of WORK 5 Unit Apt.w/garages APNo116-101-07,08 .0T TRACT FIRE ZONE VALUE $ 59.900.00 INSPECTIONS 09 & 20 Si nature Date GROUP H & J TYPE V 1 hr. ZONE R-4 & R-3 SOIL / 51' 4-72". SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER(/414<-3--I--27j 1�1 /Plumbing /- y ROUGH P UMBING /i SLy-z7'- -' 4(.U•A?f.{C t ..[` i_.3J7 € 7'4 , _- PROP. SWR. LINE El HOUSE CON. ❑ Cf / SPRINKLING SYSTEM t� ( P ar, MISCELLANEOUS stieN' l/ AIMS/t a ��2//�1 ROUGH HEATING AND AIR CONDITIONING �,'v�J7j WE G//2.,"-- TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER n ee ROUGH WIRING S- 4 t Pleatiwng�and Vent.a TRENCHES 1—FORMS STEEL REINF. t ���C,�t� B,`(�,,-,S,7701. /,��/.�/��j� �JA yr )-- FLOOR SYSTEM .r.'�,.r�_et v "7Y,/e,a Sr "/ "//T #51.557, e" BOND BEAM n STEEL REINFORCE n SHEATHING c-,...5--2/1 "---- FRAME -�r /17/FRAME AND FLASHING I� d, LATHING — IN OUT 0- „1_..2.--Er PLASTER, BROWN COAT J ((t' n. STRUCTURAL, FINAL Electric svHEATING, VENT., REFRIG. ANO AC., FINAL j &2Q_72.. Lif� my . V-g-70 On i PLUMBING, FINAL ANO GAS TEST n / QELECTRIC, FINAL 71.1// Ruu nING FINAI ifi IA +'7 )/ - 33897 POI(' n Mt (73-77'civ; Ol ' 13 E .- - . _y, .r_ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 yrs APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC VED 8 DATE RECEIVED DATE ISSUED BUILDING p C-IO(- log � //-2 / 27-9) / /- 7J - ADDRESS 776 • /SCO_ (J` LFLGt C-�o}+-,7.o� �Y //^ PERM(OI OWNER,Vfle,/146,2as J V. Apse,e. A.P. NO: /6-(0/- f - . .2z) a• MAIL ` L_ BUILDING frr /� ' 7 C-/p/-1O ADDRESS 5/5 A _ y Cl/ ' ADDRESS o - _ Z / sr. 0/ a Lu u.i a.L) CI TY - Nj� NO. �Oo f TRACT LOT 7C)„7_-: BLOCK Z C CONSTRUCTION - /jC rya, ALTER REPAIR MOVING DEMOLISH O-N LENDER 4 2 _ C- CC I ,J O BRANCH JN 441&-1.2-44-4-0'OWNER (r j/ m J ADDRESS Tia �� % r LUE ''7r9 9DQ -co OR ENGINERR. r`2/ TEL . � VA $ f U N OR ENGINEER R. Wer.,//1✓.E 2 N• t_ . WCC ADDRESS _2// VVRL.I/r./T ?/,�. FIREO 1 4a7.174. ' �/ Z ZONE OA , GROUP* U C-w APPROVED J O CONTR ACTT /c26 3 Wigf/ACr/JM,c/Ff? BY DATE CCI Z J cc ADDRESS /'[7,r 4//_$-CL //C/= � 2��" '� W W ' / ^ ZONE NO.OF USE OF NEW .fr -7, CITY N A✓- NOL La /h K� PLANS ILDING O W-O STATE CITY1-1f-I.5JtI1•fl5'.b YARDS APPROVED VI CC LIC. NO.-� C/re LIC.NO. MAIN BUILDINGACCESSORY BUILDING 0O - (FROM C/L STREET) SIZE / INO.OF BLDG& OF LOT ..2.2 ICS/© NOW ON LOT '--- -• FT. USE OF / EXISTING BF LDG. ,�},'y/'� C�/ • FT: NO.OF 2 NEW BODC35 7 a Ni�` ROOMS Z� STORIES z • �_' / FT. Q EXTERIOR WALL {ROOF U COVERING.$.}K/CCU LCOVERING/(O7//1o/° - •- FT. J OFFI BUILDING! AND WWORK TO BE PERFORMED • BET.MAIN& d ..L/V/T'S' Co/ILLS T •.. ACCESS.BLOCS. IL Q4at p. O DATE O ••". [ m✓AJt) �pIA)X.z j o7. 0- APPROVED N t4/trTh ••CC , `• DATE / —3 --2 "--- O _,.r, R-ntr7PTIFMTC VI hereby acknowledge that I have read this application and state Gl-_ -f, (V}/-GFr /•/J•,.t+ - D that the above information is correct and agree to comply with � CC all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of I- the State of California. ���// / �y� to ? I hereby certify that I am properly licensed as a contractor under CV SO. FT. W/ 9 / o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER LUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING PERMIT FEE ONLY; • CC am exempt from the provisions of the State of California Business VALUATION co and Professions Code,Division 3,Chapter((''� 9. //JJ PERMIT FEE $ co Signature of sVU4t.VL 5--mAlai-eld'G e.t.a. �(� D Permittee �W $� rill?, PLAN CHECK $ (J✓' E Authorized Aga2 �.-/,Q/t � , .� /-1 /L !/- \\l' LL ...___......"'///��_"`iii OTAL FEE $ . . , . 33897 ail -F-7 'j..pduOn .r, J.... , rete COSTA MESA BUILDING-SAFETY DEPARTMENT " rt . to• I . .. . P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIV BV DATE RECEIVED DATE I SUED BUILDING r2 J-6 �-79- / — -7 ADDRESS 778 Scott Place Bldg. C ���VVV PERMIT NO. OWNER Mariners S & L Assoc. A.P.NO. MAIL BUILDING Z ADDRESS ADDRESS a U TEL.CITY NO. TRACT I LOT BLOCK ZZ Q CONSTRUCTION NEW IADD ALTER REPAIR MOVING DEMOLISH O y LENDER am J 0 BRANCH J to OWNER m J ADDRESS VALUE -CO ARCHITECT TEL. US_E $ Q OR ENGINEER NO. V Q FIRE w M ADDRESS ZONE TYPE GROUP 0_ Ly APPROVED W Z CONTRACTOR Owner BY DATE J Q CO Z J K ADDRESS W w TEL. ZONE NO.OF USE OF NEW 0 r CITY NO. PLANS BUILDING Zi-- STATE CITY YARDS APPROVED YARDS APPROVED in 2 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZE I NO.OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FL FT, I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d Ct. MAIN SLOGS. ACCESS.BLOCS. AR.# DATE 5 Unit Apts. c P .# 4. APPROVED 0 I— APPROVED N _HY DATE 2 O U I hereby acknowledge that I have reed this application and state O that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of fA the State of California. mm Z I hereby certify that I am properly licensed as a contractor under SQ. FT. O the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. 166.50 m PERMIT FEE SN D Signature of 00.00 to Permittee $ PLAN CHECK $ E 0 Authorized Agent 166.50 LL r TOTAL FEE $ OWNER MARINERS S & L Assoc. DATE 1-6-72 JOB ADDRESS 778 Scott Place,Bldg. G, Units 101-105,201-205 BUILDING PERMIT NO. 33898 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK 10 Unit Ant.Bldg• APNo.116-101-07,08,OT TRACT FIRE ZONE VALUE $ 103,400.00 INSPECTIONS 09 & 20 Signature Date GROUP 11 TYPE V ZONE R4 & 11-3 SOIL M'S -14 -72 PERMITS ISSUED GAS SUBCONTRACTOR Date I Number Signature wATERaa/14c1-70"72. lumbinq ROUGH PLUMBING Al Sal-la-7-2-92— IIL O-L!�(rf f�1 ../Ji' /r Jit(`-�� wl a PROP. SWR, LINE Q HOUSE CON. 0 i a' JJJ SPRINKLING SYSTEM MISCELLANEOUS l ROUGH HEATING AND AIR CONDITIONING 4.4 t—1)-9 y TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER O ROUGH WIRING ___./ p ES 5-, (/ Z + 7 - _ Heotin. and Ve . TRENCHES FORMS STEEL REINF. u . //e - rj,I'ntdd It — .h A 72. 7 FLOOR SYSTEM C- .3 7�� BOND BEAM • STEEL REINFORCE IIS SHEATHING SIAI if 'ice FRAME AND FLASHING £0` S' ,- LATHING — IN L7 OUT y—ritMilWaIV.S. PLASTER. BROWN COAT M�nja �l j STRUCTURAL, FINAL L HEATING, VENT., REFRIG. AND A.C., FINAL '_4/01.-.-1 .E 711,41.6", 446? tr i V-�74 ' 'S j PLUMBING, FINAL AND GAS TEST n //" C-71-• LI ..ff!/W/ ELECTRIC. FINAL 1 /a jet 77- BUILDING. FINAL M`.-- Zia//7/79e' rw--- _ 33898 PAI' :JY 23-71 001131 vy. il', 11:.i: COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT ezoggiff For Applicant to Fill in Completeli_101_I DS RE EIVE V DATE RECEIVED BUILDING „ d.-�D! 3°5 1.7 //-2-z -7 J 1 DAT ISSUED ADDRESS 77 a Scop- ACC/Cc -2 ) DAT ISSUED /J�r, -� PERMI3t389` OWNER,R Q/.✓R/?.c JT Cj 441 4CS, BUILDING NO./H0—/0/-74i izt r .JJC7/7F` MAIL - !/ / V - lOS ADDRESS/�er �(�/e}-TC'C/Jya >l _• ADDRESS / C p /}, •TEL.tsa`/z �y _.rn-r%'�✓ Ia�/t aj�` �S Z ww ,TRACT LOTT,0 FZ CITV�f_•rYffl/?T �4n/ NO. SLOon 'I Z Q CONSTRUCTION �/`� EW ADD ALTER REPAIR MOVING DFMOI ISH O N LENDER /M04C/r / 0 m J ) BRANCH / t J N OWNER c{/J /note ✓1 Q w ADDRESS ttbb VALUE c,/ CO ARCHITECT:� ^-t rEea, TEL52d7 SE - '6 $ /D3, /6C�._ OR ENGINEER Lt/ERt/Ee NO.J'Z'J� tea, UN / FIRE sy' '�L/ W w ADDRESS .2/J �[,/f,./ Aires ZONE TYPE IL. GROUP /1 d w ,�/ APPROVED J O CONTRACTOF Cnpw2 r(Y. nA-!Cu{ryle=./� BY DATE CO 2 J or ADDRE "/Jr AfCjrCC /'t 1C / Lu w TEtL 11 ZONE NO.OF USE OF NEW _ /� ,/.f R 3 PLANS BUILDING / D / ZI- CITY A/0 NO. 1/2411 43 /�l3 l w-0 STATE V CITY YARDS APPROVED YARDS APPROVED D O LIC. ,Z.,5— LIC. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE J / NO.OF BLDGS. (FROM CIL ISTREETi //_ OF LOT .2 2 5�. C�/p I NOW ON LOT ` FRONT e20 FT.C-as"/` FT. USE OF EXISTING BLDG. '7 R.SIDE /0 FT. FT. H SIZE OF/2J 2'ez /ceg3,>r I NO.OF yyir pp�� , - yn Z NEW BLDG. ROOMS...7401 STORIES Z L.SIDE ,/��v FT.e/i. FT. Q EXTERIOR WA'I�L ,„ ROOF / �J 0 COVERING,,. atYe I COVERING Xer."7JpQ REAR J FT. II FT. -IOBUILDING .AND BUILDINAND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 ...L),TS ^ L Pn".„57MAIN BLDGS. ACCESS. BLDGS. Q VAR.# DATE O C.U.P.sib y-1�e APPROVED I- _B.V U/VCZ' � 0 r cn DATE � .�3 ���-- zo HOLD F 0 I hereby acknowledge that I have read this application and state C _ O _ n f-r�. �f --'/ that the above information is correct and agree to comply with v�--Q��l -y�-eu-✓`--1-0. CC all laws regulating building construction, and I shell not employ H any person in violation of the workman's compensation laws of l CO the State of California. co�j°J/�D Q7 Z I hereby certify that I am properly licensed as a contractor under SQ. FT. O the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business ¢ and Professions Code,Division 3,Chapter 9. VALUATION [0 PERMIT FEE S N n D Signature of JAY/ - • a+Riay ` iris `C m Permittee �/ --/ e if - dam/ $ �('v PLAN CHECK $ ° f E ,/�/ e/„« d2 /03, Dy r \\ Authorized Age t L/y / ��/ a OTAL FEE $ / • 33898 Pal, n t :, , al, - -„- r on , t COSTA MESA BUILDING-SAFETY DEPARTMENT P.O,BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI�V% BV DATE RECEIVED DATE ISSUED BUILDING 778 Scott Place Bldg. G �` 1%6-7 ADDRESS PERMIT NO. OWNER Mariners S & L Assoc. A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS W U CITY NOL TRACT i LOT BLOCK Z < CONSTRUCTION NEW [ADD ALTER [REPAIR MOVING DEMO!ISH O N LENDER am J D BRANCH J to OWNER m J ADDRESS VALUE •m ARCHITECT TEL. USE $ J < OR ENGINEER NO U Q FIRE W CC ADDRESS ZONE TYPE GROUP p_ w APPROVED J Z CONTRACTOR Owner BY DATE CO J m ADDRESS W w TEL. ZONE NO.OF USE OF NEW 0 r CITY NO. PLANS BUILDING Z 1— al 0 STATE CITY YARDS APPROVED YARDS APPROVED to a LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D0 SIZE I OF BLOCS. (PROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDF FL FT. I— SI2E OF NO.OF Z NEW SLOG. ROOMS STORIES L,SIDE FT. FT. U EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. _ FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& M MAIN BLDGS. CL ACCESS BLDGS. DATE a0 10 Unit Apts. VAR.* u P# APPROVED I— APPROVED CI) —SY DATE Z 0 UI hereby acknowledge that I have read this application and state 7 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 N the State of California. m b Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: EC am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION 230.50 j PERMIT FEE $ Signature of 00.00 ro Permittee $ PLAN CHECK $ p q E 16 Authorized Agent 230.50 u. i.. TOTAL FEE $ OWNER MARINERS S & L Assoc. DATE 1-6-72 JOB ADDRESS 778 Scott Place, Bldg. H, Units 201 & 202 BUILDING PERMIT NO. 33899 GENERAL CONTRACTORGeorge W. Maschmever DESCRIPTION of WORK 2 Unit Apt.Bldg.W/garage AP No. LOT TRACT FIRE ZONE VALUE $ 28,200.00 Stora„e INSPECTIONS Si nature Dote GROUP H & F-1 TYPE V ZONE R-4 & R-3 SOIL Mc-:7---1-c7--7v PERMITS ISSUED GAS SUBCONTRACTOR Date I Number I Signature WATER Aly, lum/b�in /J� y, may+/�j/ ROUGH PLUMBING Al 5'1 z -- n/ J am/ //rit /�f��-(/� i-91'70 ✓7cYe PROP. SWR. LINE ❑ HOUSE CON. ❑ (�/] SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /A Cr 4-'-c)-22TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING �JZY ` 9 Heating and Ven).. TRENCHES 13 FORMS 0 STEEL REINF. 0 C�C• ,Z/ _ natt 091-/-1 r o �'�/7A O egg''"d- FLOOR ' FLOOR SYSTEM e 7 470.0-- BOND 0P_ CC BOND BEAM n STEEL REINFORCE n 1 SHEATHING ) 4_n Yrich/c_ V- rich FRAME AND FLASHING Ay,. uuIt_ . -Y LATHING - IN OUT / ' q' ' './ - PLASTER, BROWN COAT - T1 v STRUCTURAL, FINAL j94tfr72_g / [/ ,//IA' P/ttrii ,( (� Q ^ ,j HEATING, VENT., REFRIG. AND A.C., FINAL /1/1'�-S/-/ �"� I ' �1- I-701 Nd5,s1� PLUMBING, FINAL AND GAS TEST n 0la'7Y Y/ ELECTRIC, FINAL /010-72- e. 0 jC•7 2. e. le 1.,. An--- . , PAW J . * !.11`..5,0 338`3 TN' 23-71 1.., 001132 ct:•'• COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT goz.6,./ For Applicant to Fill in Completely R ECCE II V{EDI DATE RECEIVED DATE ISSUED BUILDING /� �r��/'l-�l2'B�` VXI /.1Z-7) /-6 -?y ADDRESS 771 Scorn FC/y{�.[� U / PERM3389 OWNER�A�j/n/ rzd 2tz al/ grree, A.P. NOj/�'/o%7 p` 0 MAIL ��1'/' '`A BUILDING /�7,..2 r� •` lrl-ao/- ADDRESS / /.S{'.[c:STC!/FA'bef ADDRESS / / ,Y !a`� ^10e�C Z y2� f—V NO. 'lOr2-l�7- ,"//Lti NEL. TRACT LOT 70 BLOCK I- CITY /V EYL//� n t�T �F c rl �oSi2•yoCe�1 Z EW ADD ALTER REPAIR MOVING DFMOLISH LENDERNRCTION . c / z- cn �V / a m a/ / 9 J D BRANCH ,/ f y) _J kn OWNER mLIJ J ADDRESS rr�� VALUE ' ARCHITECT t}' el _ TELands2� USE ��i Sa��2ec7-� OR ENGINEER f{t/7; .( NO. ���fff U kn FIRE / wIL ADDRESS k2,/,,/ �q/,V/L/T - A/S a ZONE TYPE GROUP °-w �t� APPROVED LB 2 CONTRACTOR n 7c/e. Y//l2CCi-,(//1'�'�� BY DATE - Z r J aiz./ J m ADDRESS /V / "pet I rA )Z �{I W W TEL n ',{$O Eo NO.OF USE OF NEW C�-`i4B-/Ltl 2= CITY Ai �� NO.& $42• SIOOa ' ` �1`'b PLANS �-- BUILDING Z H al p W STATE CITY YARDS APPROVED YA DSA ROVE co O LIE. ... .1 LIE. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE ,NO.OF BLDGS. (FROM C/L STREET) / OF LOT 2 2.SSC eje-0 NOW ON LOT — FRONT �97FT. 5 r/ I p.. / FT. USE OF // EXISTING BLDG. ..//'--• R.SIDE ,ST. 6 C 1.--• FT. I- SIZE OF�7r9/LT • ag, NO.OF r //,/ ( ( fl Z NEW BLDG. Y ROOMS/IC STORIES L L.SIDE °A FT. 4/ 4---3 5 IL7r. a Q EXTERIOR WALL ROOF - V COVERING -cr /JCre, COVERING ny-atea REAR I „2-FT. // FT. -A ..92,OF BUILDING AND WORJI.TO BE PERFORMED DISTANCE BET. BET. MAIN& {/4 tj7� r-- ea.-yr-Sr MAIN BLDGS. ACCESS.BLDGS. 07 VAR.# DATE CI CO3` Vee aie/ 4 - 5 C.U.P.y* APPROVED/ coI- �94. ir11./ RYPf,1/E� lam- �, , DATE ( �.3 �"". Z ((///// HOLD FOR SPi�._,',L R:QUmEMFNTS 0 UI hereby acknowledge that I have read this application and state ,9 6- -s�1--�=✓ ,e6„ ....„.4_,//) .� D that the above information is correct and agree to comply with C.� CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of N the State of California. Ic / // �1 //�� o ? I hereby certify that I am properly licensed as a contractor under 3�-sG. FT. / G 3� ^T, o the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m CC am exempt from the provisions of the State of California Business and Professions Code, Division 3,Chapter 9. VALUATION m //�1� PERMIT FEE $ N S ignatu re of /a/,an A . ,•,, ///J S.Se /il U m Permittee /IA lrS�/,K>'c- //�y�// $ \ PLAN CHECK $ �V �� E Authorized Ageeill.„, IGf I6fLl "g� alerAfri r u. TOTAL FEE $ 33899 II,l, -6-7" ." 00 101 : . . .fin n COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECElyfEVSY DATE RECEIVED DATE ISSUED BUILDING 4 /—�0`7�' ADDRESS 778 Scott Place PERMIT NO. OWNER A.P.NO. MAIL BUILDING ADDRESS Z ADDRESS Mariners Say. & Loan W W TEL. TRACT LOT BLOCK d U CITY NO. ZZ < CONSTRUCTION NEW ADD ALTER REPAI MOVING OFMOI ISH a co LENDER J D BRANCH J to OWNER m J ADDRESS VALUE J ED ARCHITECT TEL. USE $ < OR ENGINEER NO. U cn FIRE w 2 ADDRESS ZONE TYPE GROUP n-Ly APPROVED J Z CONTRACTOR Owner BY DATE c0 J m ADDRESS w w TEL. ZONE NO.OF USE OF NEW Cr CITY NO. PLANS BUILDING Zi— LU O STATE CITY YARDS APPROVED YARDS APPROVED to Q LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 70 SIZE ANO.OF BLDGS. (FROM Cit.STREET/ OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SAIF FT. FT. H SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. aCt EXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& a a 2 llni t. MAIN BLOCS. ACCESS.BLOCS. DATE Q Apartments, Covered Parking & Storage C Air P,,# O APPROVED I— APPROVED V) _11Y —DATE Z 0 I- I hereby acknowledge that I have read this application and state 0 ✓ that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ H any person in violation of the workman's compensation laws of CO the State of California. to ZI hereby certify that I am properly licensed as a contractor under SO. FT. - the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a IC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. 99 X00 CO PERMIT FEE $ w 3 Signature of m Permittee $ 00 00 PLAN CHECK $ E 0 Authorized Agent 99.00 u. TOTAL FEE $ OWNER MARINERS S & L Assoc. DATE 1-6-72 JOB ADDRESS 77$ Scott Place Bldg J. Units 101-103x201-203BUILDING PERMIT NO. 33900 GENERAL CONTRACTOR George W. Maschmeyer DESCRIPTION of WORK 6 Unit Apt. Bldg. AP No.116-101-07-0&OT TRACT FIRE ZONE VALUE $ 53,900.00 INSPECTIONS 09 & 20' Signature Date GROUP if TYPE ZONE R-4 & R-3 SOIL /.1 --7 1.1 SUBCONTRACTOR I PERMITS ISSUED GAS Date I Number I Signature WATERROUGH LUMBING —?;L— /[ g Plumbing-) ,lu/mlbi nY�1111//� A 7� y�J / ROUGH PLt/M//B''ING 44<L1�7 J 2— lI�L10•Z�/.f//ICICCOF �Y! } /�1!/ V1(7/o�C....- PROP. SWR. LINE 9 HOUSE CON. 9 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING /V<4 12-Ji TEMPORARY SERVICE OR POLE UNDERGROUND 9 POWER 9 ROUGH WIRING ,,2....��'111 ._S/ Heating and Vent/• /// /// FLOOR TRENCHES SYST❑EM FORMS I] STEEL RE INF. TY fi//a�e_ 0// �9�ff l.eit ,646/�y by/ I BONO BEAM n STEEL REINFORCE 9 i/ 2 SHEATHING r e- 2- / FRAME AND FLASHIN FF�i Q- ,{�///' l� LATHING — IN OUT y) e `j/�� PLASTER, BROWN COAT ' %/9.2.71/ '- STRUCTURAL, FINAL /7 Ele riC _ HEATING, VENT., REFRIG. AND A.C., FINAL 4/D yo--)2. z/, LE,rr C ?J--7,1 /�35 • - PLUMBING, FINAL AND GAS TEST 9 di /D 7'd—72.ly / ELECTRIC, FINAL O• BUILDING, FINAL d" • ., 7 • 33V00 P PA103-71Ec.001137 J.;....{.is ft ' r COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT size IT For Applicant to Fill in Completely RECEIVED By DATE RECEIVED DATE IS$UED S to l- I BUILDING 0") /T/ /1—.22-7.) /—/ -7 y ADDRESS 7i. .1Qm 77- II044ca20I2oE FERMI NO. OWNER,ngeuse S^d at Soc.- A.P. NO))6-ID -7, 8)9 —' PO )90C MAIL ��//� LQ BUILDING 7 �f-- -C ADDRESS/.S/� I/I/.SS%LC/Pa ADDRESS X ...���A�LLL+++���� �^ Z ' � / �� b4 t/2- 20t24•'3- dTEU CIT V.Nu.1 tli /EYS/ACP/' �F/%o NOL 6'fcon tTRACT I.OT7n BLOCK Z 2< CONSTRUCTION „(/Y/O�� EW ADD ALTER REPAIR MOVING DFMOI ISH a m LENDER i-. • _JD BRANCH < / IL J to OWNS- �y� C W ADDRESS / m J VALUE t. s� -CO ARCHITECT2d "/rte TEE 8-.7- 5z USE 0 I $ �.J , 9oe JN OR ENGINEER - •I ,..• . ,rte ,/_F N•. �/ FIRE W 2 ADDRESS o2//' �rA�urt/U r e. ZONE TYPE GROUP 2w - ,,/ APPROVED J O CONTRACTOR�.jt ..,,46 Y/'.4'9 Ncwm 5,14/[, BY DATE MI _r 6- � Jcc ADDRESS/74 Was rCL//=/= W W jtOrl€ . NO.OF USE OF NEW 0= TEL. 'f y�`r ,� PLANS 7— BUILDING Z F- CITY A/,S_ NO. (fOFST STATE CITY YARDS APPROVED YARDS APPROVED W / n.�..s r Or LIC. NO. MAIN BUILDING ACCESSORY BUILDING J O LIC. NO. / (FROM C/L/ST NO.OF BLDGS. //REET) I^{ ,, OF LOT Z.'CX�/a SIZE / I NOW ON OTT—C— FRONT 4^/AFT. S/ 13-a%Y' ' FT. USE OF EXISTING BLDG. R,SIDE /£FT. FT. Z NEW BLSIZE DG/S 5(IY 30''NO. �i4 STORIES 2 L.SIDE c,ST. aefl" FT. Q EXTERIOR WALL ROOF V_ COVERING Stucco COVERING/5/'T.O100. REAR '-12T. r( FT. J USEJOF BUILDING AND_,..BLQ,BK TO BE PERFORMED DISTANCE BET. BET. MAIN& o- a VA,/-71-S- dte.('.7"; MAIN CLOGS. ACCESS.BLDGS. Q VAR.#` DATE 0 C.U.P.# APPROVED toAPPR--/- DL,Or (Q r / 5 —7Y 0 HOLD FOR SPE::...L R=QtJIREMENTS VI hereby acknowledge that I have read this application and staten a r that the above information is correct and agree to comply with �s (,-�-'^ -"�-r^'i 492--1- 0 el-etN-C�+t'0� CC all laws regulating building construction, and I shall not employ V I- any person in violation of the workman's compensation laws of Z the State of California. 'Jf/�� m 1�7 co I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: • CC am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3, Chapter 9. co PERMIT FEE $ N Signature o)) 0wm/c-w-7 . r�/ nn —" ro Permittee $� PLAN CHECK $ E 5 3J / N `LLAuthorized A 1 ✓/ C/mer.VY' x. 'TOTAL FEE $ • )AN -6-72=L 00 19P <t: ..,. i) l.,, 33`900 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVE: DATE RECEIVED DATE ISSUED BUILDING 778 Scott Place Bldg. J / j_6 _7y ADDRESS PERMIT NO. OWNER Mariners Say. & Loan A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS W W TEL. TRACT LOT BLOCK 0-U CITY NO. Z NEW ADD ALTER REPAIR MOVING DEMOLISH Z Z CONSTRUCTION O N LENDER D- CO J D BRANCH J to OWNER •gC ill c0 J ADDRESS VALUE - CO ARCHITECT TEL. USE $ < OR ENGINEER NO. U cn FIRE WQ ZONE TYPE GROUP 2 ADDRESS 0- W APPROVED W Z CONTRACTOR Owner By DATE J 0 CO JCC ADDRESS W W TEL. ZONE NO.OF USE OF NEW 0= CITY NO. PLANS BUILDING ZI W-O STATE CITY YARDS APPROVED YARDS APPROVED to Ir LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZENO.OF BLDGS. OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. F— SIZE OF NO.OF 2 NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. ..J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& d 0 MAIN BLOCS. ACCESS.BLDGS. DATE Q 6 Unit Apts. CU.P.# APPROVED 0 I— APPROVED to RY _DATE 2 0 I- I hereby acknowledge that I have 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 F any person in violation of the workman's compensation laws of CO the State of California. m 0 Z I hereby certify that I am properly licensed as a contractor under SQ. FT. ti the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: iii am exempt from the provisions of the State of California Business CC VALUATION and Professions Code, Division 3,Chapter 9. m PERMIT FEE $ 157.50 N Signature of 00.00 m Permittee $ PLAN CHECK $ E `o Authorized Agent TOTAL FEE $ 15C 7.5C 0 u. • . ; 23332 FEE RECEIVED 'COSTA MESA. BUILDING-SAFETY DEPARTMENT DEC 16 1964 P.O.BOX 317 COSTA MESA.CALIFORNIA //��''77FINANCE ;(��ee77DppEPMMT..��pp For Applicant to Fill In Completely APRICATIOt f P012-PR7aiT TYPE OR PRINTUU1tS 101-127 BUILDING BUILDING & 2A01-229For Office Use Only ADDRESS 778 Scott Place RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNI2 3 34 z RECEIVED BY OATyAHC D DATE ISSUED OWNER Robt.Forbes & Geo. Fruehling (z//h/ / o2—/7-46 2 /-7/.S MAIL 2052 Newport Blvd. ADDREISS 7 7 & Sc ATT ilt ^f a. ADDRESS 646_12y2 FIRE �[� CITY Costa Mesa, Calif. TEL. ZONE TYPE - 1/ GROODUUPP/;J IS— NQ. t"I ARCHITECT J. L. Langworthy TEL.e BAYPROVED / �V L ATE // // (,� OR ENGINEER r y N ""S2 V `/ !! /f ADDRESS 2052 Newport Blvd. ✓ ZO ING wets NO,OF USE OF NEW IS-y t- Robt.P. Forbes R-3 $R-y PLANS BUILDING/4W- CONTRACTOR LEGAL/417C. 'Zm L> f LL cl/(Z 92-Y ADDRESS 2052 Newport Blvd. DESCRIPTION /a 6r• 703 /Fid /tr.- r/ CITY Costa Mesa, Calif. A.P.NO.//G— /O/ -07, 08, a7 f /8 • NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE 115759 no 646-1252 90'TO SIDE a REAR P.L. LIC.NO. SIZE L F OT 225 x 415 I 0 NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT/ EAVESO NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM CA.4t'S'4t' SETBACK LINE TM 1141 l q( CENTER OF STREET 4� I 11 REAR YARD(�1141 FRONT FT. SIDE YARD LEFT 91 I RIGHT 191611 R.SIDE ��FT, 8 FT. • DESCRIPTION OF WORK L.SIDE 7 FT. Fr. NEW X ALTERATION ADDITION I REAR z 7 FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.SLOGS. VAR.# DATE SIZE BUILDING 37882 NO.OF ROOMS 179 STORIES 2 C.U.P.jF APPROVED EXTERIOR WALLStuccoI ROOF Gravel APPROVE. rl.A /Z///p/(P y COVERING COVERING BY aft DATE USE OF BUILDING AND WORK TO BE PERFORMED I H .0ORZWECI EIPA S ENTS 54 Unit Apt.Bldg: enew Permit # 20706 . C. SQ.FT. B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE LT,.QJJO PLY WITH ALL CITY ORDIN ES AND STATE WS REGULATING VALUATION 1 •r(L,i�faJ_-�1 BUILDING CONSTRUCT! e /. �7` - RMI H SIGNATURE OF /•/ PERMIT FEE $ D PERMITTEF a S 00.00 PLAN CHECK $ e AUTHORIZED AGENT 1p a TZTAeP LE $ al3t9,00 • ` 4626" 6566 6/23/78 18.50 TL COSTA MESA BUILDING-SAFETY DEPARTMENT "' -" P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED D•TE S Es BUILDING / '7 ADDRESS ' l-as_i' YY . _� _tea.- JA P - / / n / / , -ER IT NO. OWNER IMAIL YA}:� s /� q ,, ADDRESS /. tY LC O'(.L/ -4/ ADDRESS LING �� _ ', '^-CX/ / ^^..p.r�- -221•140‘1"-. TEL. TRACY �`j'1 LOT BLOCK CITY -221.140, 1 � TE CONSTRUCTION NEW ADD ALTER REPAIR MOVING nEM01 ISH LENDER BRANCH .�yy//��OWNER .'' ^,,,t n ,, ADDRESS VV �� /� ALUE '/ ARCHITECT TEL. USE .4 •I • oeuu0 $ . o OR ENGINEER NO. FIRE C--- C� / ADDRESS ZONE T 'E /4-GROUP v • APPROVED ,� -23 7 CONTRACTOR s a • 4`. ,a •r at • BY / / DATE 6 /� ADDRESS lo16 ) -1-P.>., , f� .rEL / ZQ{/�1'� NO.OF USE OF NEW CITY �.L A.'t. Dom. f&A_A... NO. �0)/_ A� '�+-� PLANS L BUILDING, F• STATE CITY YARDS APPROVED YARDS A ROVED gLIC.NO. 028-3 3� LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OFBLDGS. (FROM C/L STREET) 0. OF LOT NOW NOW ON LOT FROM- FT. • FT. Q USE OF FLI EXISTING BLDG. l _R.SIDE FT. i ,r�(-.) FT. y FSeparate permits are required for L.SIDE .' C FT. w electric,plumbing and heating work. REAR _ FT. FT. E.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& MAIN BLOCS. ACCESS.SLOGS. 0Q e / L / p VAR.# DATE _ C.U.P.# APPROVED /J , er / APPROVEle �n G� (.0/0 'J �• •t/•/![ YC/ —BY l�t�/1L DATE lh r+ l7 . ix W 0 I hereby acknowledge that I have read this application and state N N CC that the above information is correct and agree to comply with m L all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of u Mthe State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: - am exempt from the provisions of the State of California Business VALUATIONPERMIT FEE $ l �A o and Professions Code,Division 3,Chapter 9. O t/ n �/ /J PLAN CHECK $ f0 Signature of // (/_`_ _ / _ _ r�- �`/'� -\ " O 0` / Permittee /�/➢P'r'MG/: QL/CjY/A( $ 11 sate V V TAX E ii" / 1� Authorized AgentU TOTAL PAID $ 33892 COSTA MESA BUILDING-SAFETY DEPARTMENT C„:1- ° n r, P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 p APPLICATION FOR BUILDING PERMIT ./4 A For Applica t to Fill in Completely -y i�� �/,JQ//( RECEf VEDB D/q)TE RECEIVED DATE ISSUED7...)- ,.... ADDRESS 7/ � cry -acit r�9/'�/) //�Z 2�� ,....6- /� y-/ PERMIT NO. OWNER sd , 4 ,p , A.P.NO.//G"/C1 7 '/I - • fir/ / �`��/' BUILDING • - Of // ADDRESS/J/„r [ e-O-cL,,r/= Ae e ADDRESS , i' MAIL Z . moo '. i. 4,aL r'YY W W TEL(C Sit / HZ CITY _ N.� NO. p00 17% TRACTyjpt d/ p7 LOT 7c3 BLOCK Z Q CONSTRUCTION i /O�E NEW AOD ALTFR REPAIR MOVING DEMOLISH O u LENDER /�f tL m / BRANCH /,( �,, yw,. /!/ Jtn OWNER &- W/s.L4e i1 m J ADDRESS --)) ��.�L •LVE A- -03 ARCHITECT4 ,y,e, retie TEL.rzr USE tyr Tf $ ` V 700( co OR ENGINEER f, . TCO NO.12u-$' J UQ FIRE r• '�[1 wm ADDRESS�J( wAL,,(� A/.& ZONE T PE 'OUP / / ' a.1-1;1 APPROVED IL Z CONTRACTOgeW BY a+ I •ATE m- Z J Q ADDRESS (J C J— G(/,r.c.:(fc,z W W /� -� ;,ONE�j NO.OF USE OF NEW • ZCITY �r /cl NO. Lfn.Q J ) 7'F 1\ IPLAPISi. BUILDING {f W0 STATE K/ . CITY YARDS APPROVED YARDS APPROVED cn O LIC. NO. .,`r 4 r.nLIQ NO. MAIN BUILDING ACCESSORY BUILDING r s (FROM C/L STREET) SIZE r NO.OF BLOCS. Tj OF LOT-�- Ivs,/n I NOW ON LOT -- FRONT SR FT. 1•234. FT. USE OF ���( EXISTING BLDG. -� R SIDE_ m/1/ FT. II FT. F- SIZE OF / r+ f NO.OF a S Z New BLDGd7 t( 1 { ROOMS 2! STORIES�y ` L.SIDE SFT. FT. F U COVE RANGRIOR .jJ1rrc, I COVERINGL V ?(p7yicp/d REAR )SFT. S3- • FT. 1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET (81 Sf BET.MAIN& LL +(/ -- r1)44-1 T MAIN BLOC'S. S> -rl ACCESS. BLDGS. Q VAR. # DATE O 7 'il.YJ C.U.P. yAPPROVED APPRqv a_2 —BY W ED(� I la r DATE / - 3 - 7 Y Z . o N Wnt.n FORS '.CLL Fcou::: MENT:, PI hereby acknowledge that have read this application and state �_f I t__---A ` Z _r - /' ' / that the above information is correct and agree to comply with ! A/��L-.R�e"� Wil_/ CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of cn the State of California. 3� m Z 30.2SOI hereby certify that I am properly licensed as a contractor under . FT. m ti the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and affect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business 2 VALUATION CO and Professions Code,Division 3,Chapter 9. PERMIT FEE $ N D Signature of ,.. ///j�� Qa . m Perm Ittee // -�����[M/�J/,,�� `"`^'er� , /{/JI $�,7r/ '/n PLAN CHECK $ V F r E Authorized A9B5/1 ba rti r+t 64,,,c4.1"L'` v- 6/ / O� o LL / `7 / TOTAL FEE $ - - 33892 PAIi. MESA BUILDING-SAFETY DEPARTMENT 1. /AN -6-r� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely BUILDING .z� RECEEIIiV"j"et DATE RECEIVED DATE ISS D ADDRESS 118 Scott Place Bldg. A � / PERMIT NO. OWNER A.P.NO. MAIL BUILDING Z ADDRESS ADDRESS cL TEL. CITY NO. TRACT LOT BLOCK ZZ < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMDI ISH O I- LENDER am J 0 BRANCH _ J In OWNER < J ADDRESS VALUE m ARCHITECT TEL. USE $ —I Q OR ENGINEER NO Uu) FIRE WQ ZONE TYPE GROUP 2 ADDRESS a Ly APPROVED WZ CONTRACTOR Owner BY DATE m Z J Q ADDRESS LU tic ZONE NO.OF USE OF NEW 0 r CITY NO. PLANS BUILDING Zi— U.1-0 STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 512E NO.OF BLDGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL. ROOF _ COVERING COVERING REAR FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS.CLOGS. * DATE Q 4 Unit Apts. c U.P w APPROVED 0 I— APPROVED U) RY DATE Z 0 UI hereby acknowledge that I have read this application and state ✓ 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 In the State of California. co to Z I hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a cc am exempt from the provisions of the State of California Business 8co and Professions Code, Division 3,Chapter 9. VALUATION 178.00 N PERMIT FEE $ 7 e' 7 Signature of 00.00 to Permittee $ PLAN CHECK $ E 178.00 o u. Authorized Agent TOTAL FEE $ . .., 33 /U2 P,1C , Jr '; , .t, - • j• OpV la'- Ii;lc O ? I tJ •. :•7 ._ -1-. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O,BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT y 'f`.Z For Applicant to Fill in Completely !VEDA DATE RECEIVED DA E ISSUED BUILDING , .2Z-7 77 ADDRESS C ,1J L ,�,�s ('` / �/ « PERMIT NO. OWN ERO7/Q,dF • S` d s- 4r /yJ'J0 C A.P. NO. O - �/• " �'"O MAIL �J�t�/ BUILDING �/ D i�' AD DRESS in-5- yy G-S'TCe/C/� ADDRESS 1 - Z = q ..-47 2-0,�/,fl -U CITY Ai6 NO. Vona p IL.I TRACCjItjA-,a , LOT 0 BLOCK ZEW ADD AL - FAIR MOVING DFMOI LSH Z< CONSTRUCTION v /0A&.. 0 w LENDER �K. J D BRANCH d PC/ t � �i J N OWNER /0riG�L0.fle.yI Q Lu ADDRESSco �J J Q ARCHITECT`s 7-St TEL. e VALU$ / O 06; U N •ENGI EER a . Na / Rnalli W cc ADDRESSa/ / d/ /V.&. • MFA - 0_wAPPROVED w2 ' Ere DATE • , - J 0 m Z LU cc • • • •len d. TEL. Z1- CITY 411 ,„8_ NO. 1.,‘o0O -0 STATE CITY YARDS APPROVED • •�ROVED Cl)al Cr LIC. NO,34-/ 44/re, LIC.NO. MAIN BUILDING •- BUILDING SIZE NO.OF SLOGS. (FROM C/L STREET) OF LOT cQ. S/J[ it/O 1 I NOW ON LOT ^ RONT FT. USE OF /:�� � EXISTING BLDG. �- R SIDE FT. is�7-FT. '�� 1" SIZE OF p /e / NO.OF q ZZ NEW BLDGn •i ){ L.() ROOMS STORIES / L.SIDE FT. r/ FT. IC EXTERIOR WALL I ROOF / 0 COVERING COVERING REAR FT. Sg FT. f J USE OF BUILDING AND WO XjTO BE PERFORMED DISTANCE BET. °' y 4Q -ca S— 0,/i5Y.a MAIN BLOCS. ACCESS.BLOCS. RDATE O CU173.LG4.tlt- # APPROVED 2_3-71 CO .(/ O` L / DATE / -3 - -7� O _ • __ •n _n•-.• '.♦ r-nr,^r.•qr- t _ F" I hereby acknowledge that I have reed this application and state o 0• / ✓ that the above information is correct and agree to comply with — �- CC all laws regulating building construction, and I shall not employ F, any person in violation of the workman's compensation laws of IA the State of California. /J //� m (7 tB Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: [b am exempt from the provisions of the State of California Business VALUATION and Professions Code,Oivisio hapter 9. PERMIT FEE $ N SO Signature of '/,/,,'I` " fr., ^2 N Permittee 71�1t2 fae4I�y/V1 4 $/� / PLAN CHECK $ a3a ''" E / / o Authori Agent J a OTAL FEE $ 33902 ;IT -o-79-- ,OC! ?U�I ;.. , II • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE/I/�� B DATE RECEIVED DATE ISSUED BUILDING BUILDING K / / 77- /L -7 ADDRESS 778 Scott Place PERMIT NO. OWNER Mariners Say. & Loan Assoc. A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS W W TEL. TRACT LOT BLOCK 0- 0 CITY NO. I ZZ Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO'ISH OI- LENDER • d m J 7 BRANCH J to OWNER m LU J ADDRESS VALUE I m ARCHITECT TEL. USE $ J Q OR ENGINEER NO. UQ FIRE w cc ADDRESS ZONE TYPE GROUP o W W Z APPROVED J Z CONTRACTOR � � BY DATE mz J W ADDRESS W Lu TEL. ZONE NO.OF USE OF NEW C I CITY NO. PLANS BUILDING Z I— — W O STATE CITY ' YARDS APPROVED YARDS APPROVED NCL LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING DO (FROM C/L STREET) SIZE I NO.OF BLOCS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. _ ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d a MAIN BLOCS. ACCESS.BLOGS. Q Garages VAR.# DATE 0 ag C.U.P.# APPROVED r APPROVED CO , BY ()ATF Z 0 I I hereby acknowledge that I have read this application and state 0 D that the above information is correct and agree to comply with C all laws regulating building construction, and I shall not employ 1— any person in violation of the workman's compensation laws of V) the State of California. to m — I hereby certify that I am properly licensed as a contractor under SQ. FT. ti the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CI CC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. 03 PERMIT FEE $ 7•°° N 3 Signature of m Permittee $ 00.00 PLAN CHECK $ E is Authorized Agent 47.00 u TOTAL FEE $ 3t �-PAI. 935" x,39.28 • ti6. -64 34949 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely ADDRESS 79 gj SCO- Pfac .F RECEI F;ty' DATE IV p ,C�O ,- /�/1 7 PERMIT jNO. OWNER as e✓ aV/k•3' A f1• A.P.NO. aria o8 bC7 Z MAIL I �.(`// /� a � Op BUILDING -7 co-n L ADDRESS (jJ / 1' ADDRESS �I / S , 1 is,La Neil) � 1 /J // TEL. 1 1 Ani./in 1U CITY /Y/IL) gars//- fr10ALh NO. iyd-1006 TRACT,' �T_.t LOT*94) BLOCK ZZ V < CONSTRUCTION / NEW ADD ALTER REPAIR MOVING DEMOI LSH O CO LENDER /AV)cO 0. m / J D BRANCH C ` / _Ito OWNER /tA&&A%4A -1 d- L. Q W ADDRESS CO ARCHITECT t� / // TEL. >Q USE ��rv-t rin ln.G �v�VALU$ /J9�l' J Q OR ENGINEER /C/aQ�N F-SR�itkil -t NO. 8�'IV'a I /�t U in / Q FIRE Sw ADDRESS L/�" 0/ Cdlnync 4e hear ZONE TYPE GROUP ,,�/ � APPRO E•' �j W Z CONTRACTOR i /3dy L•I sit p , /J BY . /. ../// DATE/-/(-7� J O m Z / • c J m ADDRESS l/Ral rel et lntl/ ice,0. �.G. W w TEL. ZONES VZ3 NO.OF USE OF NEW SLUiMN ton ZF CITY 61,..)vi .s7 (,Jt yr.)p NO. ,S13 I/-/Oj/0 tI'f�l{ PLANS BUILDING POOL_ W-O STATE / CITY YARDS APPROVED YARDS APPROVED tom c LIC. NO. do ( d'O1s LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) Y SIZE NO.OF BLOT •.--tI--�ll OF LOT n NOW ON LOT FRONT FT. dF FT./ //�� EXISTING BLDG. S(,Vy 1...• /" R.SIDF FT, at' FT,4 r' a i01 H SIZE OF .fl,e,/ f NO.OF /y Z NEW BLDG. f X At D V ROOMS STORIES L.SIDE FT. I FT/ UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. /.3 FT. s -J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- a MAIN CLOGS. ACCESS. BLOCS. 2DZ- Q nRSLu i 44 an( ki C Io O C-- CUP.4k APPROVED 1 CO S eAl I _ Pv - APPROVED / l�I/1 DATE 7/11/? Z Z vv O STA, VI hereby acknowledge that I have read this application and state (� that the above information is correct and agree to comply with U�1 CC all laws regulating building construction, and I shall not employ • I- any person in violation of the workman's compensation laws of T N the State of California. �ro aY to ZI hereby certify that I am properly licensed as a contractor under SQ. FT. ti the State of California Business and 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 PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION �7 Ay, PERMIT FEE $ 076 - N T�j`-, en, ce (/ 3 Signature of t/ �'y/„-Lt to Permittee ' 111 $ / DDa PLAN CHECK $ /3 E Q� o` Authorized Agent / 39—.. u TOTAL FEE $ .. 35063 l,..1, 1i I COSTA MESA BUILDING-SAFETY DEPARTMENT it P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 0.rf.29 APPLICATION FOR BUILDING PERMIT i For Applicant to, ill in Compl,-ly 5. gECEI V BY Kay_E//RF,CnEnIVED [AIS/fir` 1 - ADILDINGDRESS s �/ 0 L:..I O/ •Y lT•• ' Dy- 7p - BUDRENS 7 i j! pi OWNER I/. A.P.NO. BUILDING MAIL ( ADDRESS7� Z� C9-n _ �_ADDRESS Z y O� „ '/ -- CITY NOL dU ?Q 2140 ^Crit � -7-0,...1 r LOt'r, BLOCK ZQ CONSTRUCTION NEW 1 AOD I ALTER I REPAIR MOVING DEMOLISH O N LENDER V//I o_ CO J0 BRANCH �� .,,, J LA OWNEn/,n....4..--"t/`—,..-- „r/ 5 ‘f' co J ADDRESS j1q [ VALUE J 03 ARCHITECT TEL. USE 07K (2.--+J)jE _GROUP $ N OR ENGINEER NO. Z Q FIRE ����}}..t��t�� Z CC ADDRESS ZONE W Z ` , `. .. .�/. - APPROVE DAT'- -72 J • ci,O CONTRACTOR / �/ VVV /� r J ADDRESS �,i / —ta/'/. //� // D Iii. : , 1 .........1. r W W TEL. ZONE NO.OF US r OF NEW // /� Z. CITY i ./..,,, / NO.j_ /^ �J��� PLANS 'BUILDING = r` W O STAT. / CITY YARDS APPROVED YARDS APPROVED to IX LIC 0. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM CO..STREET) SIZE INO.OF BLDYS. OF LOT NOW ON LOT FRONT FT. " -- FT. USE OF EXISTING BLDG. R SIDE FT. 0 FT, I- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. D FT. UEXTERIOR WALL ROOF k. COVERING COVERING REAR FT. O FT. 1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a VAR.# DATE (j D,s ' �qr/ //v MAIN BLDGS. ACCESS. BLDGS. M.-- ..IF-ek-be./7 I/X/l --- "--4 `1 / C U.P.# p^/ APPROVED ']� z A-7-miliot-• /hJc_ c _BYry a , 4 DATE �� 1_7/ O (fes VI hereby acknowledge that I have read this application and state Item) FOR SPECI.4L RFhii'' --:-' D that the above information is correct and agree to comply with STAFt' - tY all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of $ V V) the State of California. • m 2 I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VAL •1.01)$ IS '•R Chapter 9, and that such licenses are in full force and effect,or I .,,THE PURPOSE OF ESTABLISHING A PER• - LV: la am exempt from the provisions of the State of California Business VALUATION Jr,Professions Code, Division 3,Chapter 9. Y al 08 PERMIT FEE $ CCJJ �-O N D Signature of . . \/ (�/_ m Permittee i]-snA�-/V /c $ �� PLAN CHECK $ J 1. a-0 E ! `p Authorized Agent (� ry n u ` TOTAL FEE $ 4 r t-e