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Home My WebLink About609 SHASTA LN - Building Permits City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive Costa(714) Mesa, 556-5California245 92626 CUIJIUI F; REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. x 2 Y/ Date cP /1- 77 Lot No. /6 5 Address 6o 9 ,!J{ „ / ,e t . 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) �Sifo (was er-were) G(/a o 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. By �ti�.v�.>✓ Qwv�,�, P chaser +' By a. o-,elo••• "nd/•r Au,rized Representative By T r CO WELL Cll"'. P ANY 17731 IRVINE BOULEVARD, SUITE 210 CMF 0569-26 TUSTIN, CALIFORNIA 92680 City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive Qtnr i n Costa 5M5e6a52C4a5lifornia 92626 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. (// Date q --20 - 7 7 Lot No. ,../O6 Address 67( _yel et. ��QJ C 9'2616 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 (be,-slae, they) �(w�.-o -were) GrrggQ advised that this tract has not been given final 'nspection 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. • f ' Byre - _ u rchaser B �� •31,1.� Dev-.per' t o :,l.ri�, izer - Represents MI17 B ,/ By Len e NE COLWELL COOPWRI CMP 0569-26 11731 IRVINE BOULEVARD, SUITE-210 • aattcfD1.te 0680 • City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive itid Costa Mesa, California 92626 I o Jilh%d (714) 556-5245 • REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. C? r` Date �7 1 Lot No. Address 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 1t ( - they) Lajas_ grinwere L.4-- 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 MESA 4 AUC... 9 1977 By .4.1k 4. Dev- Rep esentativer an./or he AM PM 71849110111112111213141516 THE I WELL COMPANY By 11131 IRVINE BOULEVARD, SUITE 21d TUSTIN, ALI NIAA�92t5811 CMF 0569-26 „L%,ed/t • — PROWW ADDHEIS UNIT: OWNEWS NAME: 609 SHASTA LN CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063349 ADDRESS:BROOKVIEW CONDOS HOMEOWNERS ASSOCIATION PERMIT NO; B 063349 PLAN CHECK NO: N GOVT: N SUPP; N 630 PAULARINO - COSTA MESA CA CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: ALT ' 587-0399 ADDRESS: UNIT: / ARCM/ENRESS' REG.NO.: JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE 30YR COM SQ FT: 8, 645 1 PERMITTEE: CLAIM VALUE: 8, 645 . 00 CALC—VALUE: 8,645, 00 GROUP OCC : R-3 / • ADDRESS: MESA ROOFING ( 714 ) 548-3012 843 W 17TH COMMENTS: PERMIT INCLUDE 609 611 613 SHASTA LANE rM CA 000)LICENSEDfCONTRACTOR DECLARATION:uadhereby ssion affirmothat I am licensed under provisions a hooter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S 70001 of Division 3 of the Business and Prolessions Cade.and my license is in full force and effect. -' CITY LC:�' r STATE LIC.:564151 LA> 4 � SETBACKS ease: 823 Signature:_ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby aflirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT 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.:PWC 24167500 EXP.DATE: 07/01 /94 CDMPANY:GOLDEN EAGTE PARKING REQ: PROV: PARCEL; 93405165 ZNE: REF NO: ¢3 Certified copy is hereby furnished. ❑ Certified col i with the Ill w . r / PLANNING NOTES> 8-6- 9 3 �i___ °" .: Applies �' *********#***************#*#**##**###****%*#************###***##*************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SER VICES `R E Q U I R E M E N :1.T. 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' B Y •. Dale: Signature. DATE: NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : /� N DATE; , -, 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 , i' which this permit is issued(Section 3097.Civ.C). APPLICATION ISSUED BY: - DATE; LENDER: ****#*******BE-#**********************.- **************************##*#�*OE********* ADDRESS:• LEGALIZATION:N F E E SUMMARY STRUCTURAL` SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I 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 108 . 00 8 6 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 SMIP/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 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees 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----> 108 . 86 0 . 00 0 . 00 108 , 86 108 . 86 . 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 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--> COLLECT ')• 108 . 86 OVER/SHORT; . 00 fpr the purpose of sale). BLDG PMT PLUMBING ELECTR C MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 108 , 00 , 86 ❑ 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 am exempt under Section: B.a P.C. IND I VII UAL F E E BREAKDOWN tor this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certlly that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 8645 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 8,. 645 . 00 25534 and that I or any tuture building occupant wit/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 Ouahty 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 agree to comply with all city and county ordinances and state laws relating to building construction and hereb a hi representatives of this city to enter upon the above-mentioned property for inspection purposes. fq-� 93 1ie e.e !!' sigoaw 0100144411-00144412 TOT 108.86 Driver's License or Social Security DATE: 07/06/93 TIME: 14:53 ,\ 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor I06 AND PLANNING PO. & SPA M APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Se-vice or Pole 52. Pool & Equipment Location 4 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. I 54. Forms I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Rainforcement 56 Rough Plumbing & Pressure Test I 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE I 7 Footings 58. Electrical Conduit-Undrgrnd. i I 8. Foundation , 59. Gan Pipe, 0 Undrgrnd., Test ' i , 9. Vater P+pe•Undrgrnd. � 60. Backwash Lines, P-Trap, :1Undrgred. i 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. Root Drains . 64. Plumbing System - Final 1 14. Rougn P.0 mbm9 55. Electrical-Final __ '5 Rough Electrical-Condu t 66. Solar System-Final . - 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough 1,Viring Sign 68. APPROVED FOR PLASTERING 18. RrLgh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ! 19. Rcuyh Heating & Air Conditioning --iii FIRE DEPT. REQUIREMENT 2C. Rough Factory Fireplace APPROVALS Permit 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,Ventilating 71. Product Piping E7 Gas C Oil 23. Gas Pipe•Rough & Test 72. Underground Flush J 24 flout Framing 73. Undergrnd.Storaga Tank 0Gas :On 25. Roof Sheathing 0" /, 74. C.erhead Hydro 26. T Bar Ceiling (Structural) & ivionocoat ! 75. Dry Chemical _ 27. 27. Frame and Flashing 76. Dry Standpipe 2�8. Lath.ng & Siding 77. FIXED SYSTEV FINAL I ' ! 22. Inswatlon i 78 . FIRE PREV. FINAL _-_ ( _ 1 33. Dryo.a'I nailing HEALTH DEPT. REQUIREMENT 31. Plaster 0;own Coat l� 79. FINAL INSPECT ION I - - - I 32 Electrical Power Meter-Final I. 80. FOOD CERTIFICATE ISSUED 33. 2in„I Electric Notes: 34. Eire,' Heating& Air Corditionmg - a 35. Ftnai Gas Pipe-Test I 36. Hood or Canopy i 37. Final Factory Fireplace I 38. Final Plumbing ,I 39. Water Service-Final • 4 40. Gas Sen:ce-Final I -� 41. Solar Domestic-Final ' I i 42. Backflow Preventer I 43. Backflow irrigation `-_i 44. Landscape Irrigation System J 45. Sound Attenuation 46. Handicap Regulations / 47. FINAL STRUCTURE & BUILDING 3/�!,1i t 48 FINAL PLANNING 49. Electric Release to Edison 5C. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date "^"�^ RGLILL'R P.lVLrdtrRLaE1O r "' O GV—/V JOB ADDRESS 609-613 Shasta Lane BUILDING PERMIT NO. 42522 GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK 3 Unit Condo AP No. 418-071-01 LOT TRACT FIRE ZONE VALUE $ 117,000.00 INSPECTIONS Siggnature Date TYPE v GROUP T F. T ZONE R1—CP SOIL Y✓16 If C7L SUBCONTRACTOR P WAITS ISSQED 7F�` -.- GAS 'T9( /ja 5-77- 7 Date I Number Signature WATER ' 6 S 1/ .9.74 Plumbin • ROUGH PLUMBING'`'77 2 /0•/9-7(e 70 gl,sr— PROP. SWR. LINE ❑ HOUSE CON. ❑ it z$ �• /0-14-74 ?^Y4E .-- SPRINKLING SYSTEM MISCELLANEOUS p ROUGH HEATING AND AIR CONDITIONING G.5 3.2.77 • TEMPORARY SERVICE OR POLE UNDERGROUND [] POWER ❑ ROUGH WIRING Heating an Vent. TRENCHES cg FORMS V STEEL REINF. ® 44.5 //r4 ZL /i-3626 13Li3Cr- FLOOR SYSTEM f yL /FL"-`j,( ALTO /-at-77 13s- rr BOND BEAM n STEEL REINFORCE 7 SHEATHING f /_14tH7 FRAME AND FLASHING • a-3- 9C. 2 LATHING — IN OUT � 11•7", K PLASTER, BROWN COAT ._ �/f o, '�f — STRUCTURAL, FINAL L El ctric HEATING. VENT., REFRIG. AND A.C., F AL dp-T Mae C MI-?` 4/1y 1 PLUMBING. FINAL AND GAS TEST I> /'a4.17 ✓ ac ,. c //-9.? 41419wa,.'-- ELECTRIC, FINAL ` 44.:g �/�/6^ rnN-v Mac (: , //-9 W. LI/y79/ BUILDING, FINAL . fr-i:-,, eorriei omni,,ncururc �/1 ya,tcei 1/0/77 6;4 ofeoel} Fcr 422 •ll^ 7(1-7677(-7001531 "1 ***523.AZ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use�I1nk/Only 976//411 574.1t410,1/6 RECEIVED BY D7-7--TE C & np- �-E4 BUILDING / 77 77 77((//OO.- 8 ADDRESS r OWNER mg/1 • E /�/ - 1/.�_ /E/(/ A.P. No. // -o7/- o P /:!' ta MAIL. /�/s n BUILDING 609 6l/ 613 - . ADDRESS 7¢0 ga - t/LFn ADDRESS i /f CITY Z4, faaIh" NOTE. TRACT AZ�/ LOT (/ BLOCK CONSTRUCTION '/ �sr , NEW ADD ALTER REPAIR MOVING DFMOI ISH LENDER M 'v LI fQ' to BRANCH ` a A//y /� �+ .{ L ii ___III OWNER /V C/ ZC2 ADDRESS / A yl ARCHITECT TEL. S 3 motor [OAlLOVALUE / coo OR ENGINEER NO t✓ FIRE ADDRESS / ZONE TYPE GROUP �� dein nen APPROVED // i-�/J/7�. CONTRACTOR /J/BGG BY / DATE v� ADDRESS TEL. (��j��lei-tY' IPLANS 2 BUILDING `a 0 Iy STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. 220/ 9S LIC.NO. MAIN BUILDING ACCESSORY BUILDING i SIZE NO.OF SLOGS. (FROM C/L STREET) a. OF LOT NOW ON LOT FRONT /FT. FT. Uat SE OF S C CA EXISTING BLDG. fl �F'.SIDE / � I t// FT. (i/ H Separate permits are required for L.SIDE FT.. FT. 6 electric,plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN Q MAIN BLDGS. ACCESS. BLDGS. ..I 9 UA/it #104(7250#104(7250CURP,qr+ 73q/ DATE APPROVED a Y�7 � APPROVECa. 4 J PATF rL/ �T� ce HOLD FOFTSPEC! EL REQUIREMENT:, 0 I hereby acknowledge that I have read this application and state N CC that the above Information is correct and agree to comply with m 0. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of e the State of California. I hereby certify that I am properly licensed as a contractor under SQ. FT. a 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 VALUATION PERMIT FEE $ 3�2 5"o in 9. and Professions Code,Division 3,Chapter e Signature of PLAN CHECK $_,2173.4.9 ^I 0 dee „at 4 e e Permittee TAX S $ //7o°0 el/at- E Authorized Agent TOTAL PAID 5 61'21 ,1/