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Home My WebLink About1093 SEA BLUFF DR - Building Permits t atMFCITY OF COSTA MESA .1,w' ►I, BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT 'est Ant 1. PERMIT PERMIT NUMBER °"^�^�°� . M98-00572 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1093 SEA BLUFF DR Status: ISSUED Suite No Applied: 12/15/1998 Issued: 12/15/1998 Vicinity: • Parcel Nunmber: 42201204 Applicant BELL, RALPH Address: • Phone: Zip: Owner: REYNOLDS, JAMES DEAN Address: 1093,SEA BLUFF DR - Phone: COSTA MESA,CA Zip: 92627 ' , Contractor CRYSTAL AIR Address: 11801 MAC ST ,. Phone:: 534-2593 GARDEN GROVE Zip: 92641 ' License: 655036 Arch/Eng: Address: Phone: , Zip: - License: ' • SCOPE OF PERMIT REPLACE FAU UNIT. FEE SUMMARY Quantity _ -- Quantity ISSUE FEE $22.00 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $13.25 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 Ventillation System .. $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler • $0.00 0 Inst/Rep. Recess Wall Htr $0.00 0 • Commercial Incinerator - $0.00 0 Refrig Sys<100 k BTU $0.00 0 . Domestic Incinerator $0.00 ' 0 Refrig Sys>100 k BTU - $0.00 0 Compressors/Absorption Systems Gas Piping . $0.00 0 Up to 3 hp/100 k BTU - $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 • 30 To 50 hp/1,750k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 . Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee • Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $35.25 COMMENTS/SPECIAL CONDITIONS 49 AEP Ck S 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 I ) (r 1 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. O 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: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) O I certify that in the performance of the 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 law o mia,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 pr s. Applicant Signature: rDate: p ( ) WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am license u der provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: (,I Date: P- /''-r( 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: 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 ❑No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-properly 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? ❑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 a plication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (II 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 agrato 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 provpperty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. e r1v Signature 01 Legal Owner(s) Date And/Or,Authorized Applicant Date CODE L INSPECTION TYPE "?j r. DATE HUMS CODES INSPECT10N TYPE DATE Di1IDAlS 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 2446-46 Stn / CITY OF COSTA MESA ,4n � „ , BUILDING DIVISION """. ' DEVELOPMENT SERVICES DEPARTMENT PERT NUMBER o%%mos°it• PERMIT B99-01565 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1093 SEA BLUFF DR Status: ISSUED Suite: Applied: 09/29/1999 Vicinity: Issued: 09/29/1999 Parcel Number: 42201204 Zoning: `T� Applicant: KLAKOVICH, DAVE ISSUED BY: `/ 729 Address: 7045 RITES COVE CA Phone: 209-742-5779 MARIPOSA Zip: 95338 Owner SEABLUFF HOMEOWNERS Address Phone: (949)631-9086 COSTA MESA,CA Zip: 92627 Contractor: PONDEROSA ROOFING Address: 7045 HITES COVE CA Phone: 209-742-5779 MARIPOSA Zip: 95338 License: 615531 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING 4 UNIT RESIDENTIAL BUILDING.TEAR OFF EXISTING SHAKE WITH EXIST.SHEATHING TO STAY. INSTALL 1 LAYER OF 3OLBS UNDERLAYMENT&REROOF WITH CLASS B WOOD SHAKE. UNITS 1093-1099. FEE SUMMARY Plan Check: $0.00 CaIc Valuation: $22,000.00 Permit: $349.25 Claim Valuation: $22,000.00 SMIP Res: $2.20 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $351.45 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 DECLARATIONS ' ( C _ . • i . •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 wo or which this permit is issued. 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 Insurancgcarrler,}nd policy number are: Carrier: .57q/,' /"U/w 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 wo or 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 Calif• •ia,and agre that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply these provoir Applicant SiSignature: i 14— Date: 9-?7-09 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed unOer provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and ProfessionsnCode,and my license is in full force and effect.Lic.it r-ls / Class# C. —c�J-9 Contractor's Signature:—X�Z /Date: - Z5- 9., CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the properly, 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 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: 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? ❑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). __for- te_ - _Doesacu 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? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ppermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? lLI Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will anyfacilitypermit part of the to be constructed under this be within 1000 feet from the outer boundaries of a school? CI ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No B (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. Owner(s) �Va{/e / — `ure eget Owne9-2 5 -L4— And/Or Authorized Applicant Date CODE I INSPECTION TYPE I» INTrnALS CODE I INSPECTION TYPE PATE, INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof l0.-g/i7210 Final Electrical 201 Final Block/Retaining Wall �T 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 ('1 `-) f CITY UF' CULL,„ J4EUA IU QUE:'L' I u! I,000I'fdJCY TRACT NO, 1 DRf1 rSune5 �Q LOT NO. l �j�j /�� ADDRESS LO "'1 6Ou U`fta The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the • aforementioned uncompleted condition. The undersigned acknowledges that this agreement is made solely for the benefit of the city and does not inure to the benefit of the undersigned or any of them. BY RECEIVED PALL . RYA,' 0 PA Y • CITY OF COSTA MESA BY // PLANNING DEPT. Developer ay,or authorized representat ve JUN 6 1915 AIA •PM GREAT WESTERN 7+8'9110'11112111213141516 BY I I all i .. ! . , 4 twit WILSHIRE BOULEVARD BLVERLY HILLS, CALIF. 90211 11,14. Litt."..:..st • CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 10018 DATE April 12. 1979 LOT NO. 4 ADDRESS 1093 Sea Bluff Drive, Costa Mesa, Ca. The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement , acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. Purchaser BY Developer and/or authorized representative 124 BY ender 1,1 is E 4 53 ,0 . 3871 110.89 IL COSTA MESA BUILDING-SAFETY DEPARTMENT lief P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ST yh� APPLICATION FOR_ RUCTURAL-,PERMIT , , r .jI For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATERECEIVED u -' S DATE ISSUED BUILDING AA „, ADDRESS 0- - 3L ZIFF A �/� OWNERCompany // 360 -1Z PE: FR •. "' The Gregory A.P. No. c ,-_ MAILUILDING ADDRESS 3187—G Airway Ave.AeLrt ADDRES/Q9q ?CUFF 2>..e..... (> ` CITY Costa Mesa NO.r51-385C TRACT 1001]8 I LOT 4 BLOCK CONSTRUCTION NEW 7 ADD I ALTER 1 REPAIR I MOVING r)FMOI LSH LENDER BRANCH OWNER The Gregory Company ADDRESS VALUE� p. +2lrXraay ARCHITECT,'" 751-38� USE watt ara OR ENGINEER`` • FIRE ADDRESS 3187—G Airway Aye. C.M. ZONE TYPE V - GROUP I&J CONTRACTOR GREGORY CONSTRUCTION' CCI BYPROVED DATE ADDRESS 3187—G Airway Aye, CM - TEL. J9]Ny� NO.OF�j USE OF EW. CITY Costa Mesa NO. 751-384c � L �! BUILD! �,/t,[E/D /- it STATE 285981 CITY 008177 YARDSA BUILDING ACCESSORY Ar LIC.NO.285981 LIC.NO. W SIZE11 NO.OF SLOGS. (FROM C'/7L ST.f�ET) G. OF LOT 42 7 f x992 t NOW ON LOT V FRONT //D FT. FT. USE OF y. EXISTING BLDG. R SInF 0 FT. FT. V1 H Separate permits are required for L.SIDE L FT. FT. electric,plumbing and heating work. �( W- ,REAR to FT. - FT. I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& QO BUGS. BLOCS. ACCESS.BGS. Qnr �• CV.AURP3W .#PD DAAPTER o / attached garage APPROVE �✓ _flUDATE 3'G-76 w },I.,t n FOR SPFrTAl, RFOUIREMENTS 0 I hereby acknowledge that I have read this application and state n N IX that the above Information is correct and agree to comply with m 6. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of • C m the State of California. 1162 SQ. FT. 626 garage m .v I hereby certify that I am properly licensed contractor under the State of California Business :ntl Prote.- Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licen- - are in f orce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to • am exempt f the provisio of •<S A of California Business / VALUATION PERMIT FEE $ o and Prate - isio- 3,C-ap - 9. n Famines u • � r -- E�� PLAN CHECK $ /O�Ja�Q ^I f 7/ o • Permittee 70p —e TAX $ �1 a U Authoriz-��—R �_ TOTAL PAID $ //Ds E r 7230 3/13/75 166.00 TC 1‘..1497230 3/13/78 166.000KTD COSTA MESA BUILDING-SAFETY DEPARTMENT 7230 00004453 10 IA - 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 DATE ISSUED N /�� ADDRESS /D ;�((�z, G OWNER A - A.dP. NO. PERMIT NO. BUILDING AD / / - ADDRESS Q # In i . / �� ADDRESS CITY NOL TRACT LOT /OCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER BRANCH `-�Q�� / OWNER �/'s� / 6,4 • ADDRESS .40 I//� LUE ARCHITECT TEL. S _ _i . ��/�� $ // • OR ENGINEER NO. FIRE __ ' ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE INO.OF USE OF NEW ' PLANS BUILDING CITY NO. F STATE CITY . YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLOCS. (FROM C/L STREET) • p. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF e) EXISTING BLDG. B.SIDE FT, FT, CM F • Separate permits are required for L.SIDE FT. FT. electric,plumbing and heating work. W- REAR FT. _ FT. [.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& QMAIN BLDGS. ACCESS. BLDGS. VAR.# • Q ��. tor t C.U.P.# DATE APPROVED APPROVED • 1-1 _$Y DATE — LU W 0 I hereby acknowledge that I have read this application and state n m rx that the above Information is correct and agree to comply with m • Cr all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of e Wi•, the State of California. • • SQ. FT. m -I hereby certify that I am properly licensed as a contractor under N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLlSH1NG A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business o VALUATION PERMIT FEE E and Professions Code, Division 3,Chapter 9. / m m PLAN CHECK Si0 Signature of • ��{/ C Permittee S /// �rTAX E U ///(/ F Authorized Agent /4 , U TOTAL PAID $ HOW FOR SpEC1AL REQUMEINE• -; CITY OsrCOSTA MESA BUILDING SAFETY DEPARTMENT • POST IN CONSPICUOUS PLACE ON THE JOB DATE IS UED .5. A.P. NO. PERMIT NO. 115-360-12 45310 BUILDING ADDRESS 1093 Sea Bluff Drive TRACT LOT BLOCK 1001.8 4 NEW ADD ALTER I REPAIR I MOVING DEMOLISH X OWNER THE GRDGORY.CCIr(PAMY USE Res w/att. Garage FIRE ZONE TYPE GROUP PDR-MP V I & SETBACKS Front Yd 25 .Side Yd.R O L 2 Rear Side Yd. R L Rear BUILDING INSPECTION RECORD TO KEEP BUILDING PERMITS VALID, WORK MUST BE CC MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. •UCTU- • rril DATE Trenches ti Forms \r Floor System fa..'421 Steel Reinf - -7) Sheathing '�9a - �- Frame and Flashing r1r,7a // Insulation 'ice"� ft-t Lathing WORM Dryer, Nailingo 'IMAM - -� Plaster,Brown Coat 'I�/,i� Sound Attenuation —� Handicap Regulation FINAL Ali 3' /- PLUMBING • //]]��► Soil C,'.'S of // Mail L-.3- Underground Water -u T Rough Plumbing , a f 4.t 16 Prop.Sewer Line and Heuse Conn IOWA //-Ls-7 Street Sewer Conn. we Pi i 't Water Service Man 3- C.-- Sprinkling Sprinkling System Cal Gas Tett rcr is FINAL , ` • (. HEATING,AIR-COND.AND REFRIGERATION Refr. Lines,Pressure Test Ducts, Underground ( / Ducts.in Structure /DVI-7 Ducts. Ventilating f Rough Heating and Air-Cond. , Z/S . FINALpey) S-f07f ELECTRICAL Temporary Service or Pole ��/ Underground _toY'I(/ pi/4L J� Power Meter Rough Wiring FINAL Mb d. •((`ff Do not occupy this project until final inspection has been made and occupanc h.s be .p;�ed Building Final.— ""cla Finn nts Special Requir:s nts Occupancy NOTICE 24-hr. notification required when the job is ready for inspection. must furnish PERMIT NUMBER and the JOB ADDRESS FOR EA RESPECTIVE INSPECTION. CALL 556-5273. APPROVED PLANS SHALLJIE ON JOB AT ALL TIMES CMF 055946