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Home My WebLink About616 SHASTA LN - Building Permits • • I City of Costa Mesa PlanningDepartment • Post Office Box 1200 77 Fair Drive CU'�I�jq j� (�t� Costa Mesa, California 92626 JUg3l�nJd (714) 556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. ,a V/ Date a 1.-� 3/ 7, Lot No. / //p� � /� Address [o /' 2-i/� 4. -Pi %s1 �-7/GQ , 44..9.- 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 (hc, sho, ��¢ (was or . /642.C..—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 Condit I RECEIVED CITY OF COSTA P �11 ,Q t q \ y \ e fLPLANNING4EPT.T. By "' 66.25- Purchaser P.0 G 5 1977 a I ,I MA PM • B `'f jfril. X61819110111112111213141516 D •toper and or A j onz:+ nepresentati'e mor THE OLWEt[tIMPANY 17731(` IRVINE BOULEVARD, SUITE 210 GMF 0569-26 TUSTIN. CALIFORNIA 92AR0 • City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive ®FSJij �jJ9'!'] /111d Costa(714) Mesa, 556-5245California 92626 REQUEST FOR OCCUPANCY (Single Family Residential or • Condominium Units) Tract No. fa 9// Date f- /&- 77 Lot No. /f' /' ' Address 6 o? ,--) �?ei n_4J �Glo2igl, tefh GnJ 292a0,-2/ 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) a22.-ti---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,cgndition. t),_i/wy llJ\` By' �C /' ser III, it By cam` SC De -lope .' .7% orlLd epresentative .11 By r (�1., -. LO TU OL JELL Cl7rTI�ANY CMF 0569-26 17731 IRVINE BOULEVARD, SUITE 210 TU.TIN CAIIFORNIA 92680 City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive CO� I'�Qn Costa Mesa,California 92626 7 e 1I d (714) 556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. St/it, Date s l 977 Lot No. 777.S.--- Address Address �� GLJ V4f _ems 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 a sha, they) �il (war were) 7iL -A-�Cadvised 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. 1,/ ' RECEIVED By Ayr -- a CITY OF COSTA MESA A1,i6 n 1977 By ania..��2.1:4 AM PM • Develop- and ore'or� 71819110111,12111213141516 asentat've By Arill r 17731 IRVINE BOULEVARD, SUITE 210 CMF 0569-26 TIJSTIN, CALIFORNIA 92680 City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive Goat (71'f rr'' Costa4) Mesa, California556-5245 92626 ll�re tl REQUEST FOR OCCUPANCY • (Single Family Residential or Condominium Units) Tract No. Q o7`7�' Date X—070 — 77 Lot No. /,f4 ��QQ /� �j / / Address In n eyyLGu IG�E L . /i/• 9,626 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) �,2_ (was or—were}- CYczo 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 LiArlits—GCHP // Y.:ser By , INNi- developer an. or i/Cr-zed Representative 17731 IRVINE BOULEVARD, SUITE 210 CMF 0569.26 TUSTIN, CALIFORNIA 92680 or/, • City of Costa Mesa Planning Department Post Office Box 1200 77 Fair Drive -U j�QQ limo r� Costa Mesa, California 92626 IK RHiD (714)556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. �1a-- (/ Date g / - / J Lot No. / is 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 ( • they) I # (was - 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. RECEIED CITY OF COSTAAMESA MESA By j,�n PL'\,ilNIN =.? . Purc aser AUG 2 9 1977 le PM Mak 7fa►911�111112111213141516 By elo. d� Represent.A ativ. By CyCsiab.2_d17,416-0(THE COLWELL COMPANY 17731 IRVINE BOULEVARD, SUITE 210 CMF 0569-26 TUSTIN. CALIFORNIA a9aan PROS;T AG UNIT: OWNEWS NAME: 616 SHASTA LN CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063347 ADDRESS: BROOKVIEW CONDOS HOMEOWNERS ASSOCIATION PERMIT NO: B 063347 PLAN CHECK NO: N GOVT; N SUPP: N 630 PAULARINO COSTA MESA CA CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT ARCH/ENGINEER: 587-0399 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE 30YR COM SQ FT: 8, 645 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 616 618 620 622 624 SHASTA LANE CM CA 92697 rEtf*( *** :6***, *** -***** ***:rSEkx **IFt6 *4***{E*x**** ** ****rt**a6*x*xk6Sc:t***********x LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O R I N G R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. C SETBACKS CITY LIC.: 3r 6P" STATE LIC.:564157 Be'LIC.: r3 Signature: _Vii/ ! • MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm I at I have a certificate of consent to self-insure ora certificate of Workers' FRNT; FT IN REAR: FT IN FR N'I'; 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 RCHT: FT IN POLICY NO.:PWC 24167500 EXP.DATE 07/01 /94 CDMPANY:GOLDEN EAGT E PARKING REO: PROV: PARCEL: 93405182 ZNE: REF NO: •� Certified copy is hereby furnished. ❑ Certified copy' uilr's• kn. a PLANNING NOTES>, CMZ /�i >. _�TPdle. (53-6 —/J Applicant' ' — —�_ _� ***************************************1F****if***********************e**-1(****** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less) D E V E- I+ O P M F N T SERVICES R E Q U I R E M E N 'It 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: i 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 such provisions or this permit shall be deemed revoked. I �/•/� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: T DATE: y which this permit is issued(Section 3097. Civ.C). *************k************** **, -:4 ' R'*'x'*x•*******ie***x**************fr****ic -*h** LENDER: *****x-**********************************3f***************************'aY�*********?E ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTUIFAli 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 . 86 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 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 properly or my employees with wages as their sole dompensation, will do the work, and the BUILT)I NG—D IV—> 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--> COLLECTED• 108 , 86 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK I.as owner of the property,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 f contractsfor ch projectswith a contractor(s)license pursuant to the Contractors'State License Law).I am aware **,**,*********************************************************-****x•************* that proof of their Worker's Compensation insurance should be provided to me. D I am exempt under Section: B.Si P.C. INDIVIDUAL F E E BREAKDOWN for his reason. TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner. I do hereby certify madam aware of and understand the requirements of California Hearth 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 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 Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and her-. . : . •.esentatives of this city to enter upon the above-mentioned property for inspection purposes. -------Bate:R 6 93 Signet .. �� 01 00144409-00144410 TOT 108.86 Drivers License or Social Security a: DATE: 07/06/93 TIME: 14:53 1641-46 White—Building,Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor PrJ CONSTRUCTION AND PLANNING POOL & SPA 'ti APPROVALS Permit #_ Date Inspector APPROVALS Permit # Date Inspector l 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-Undrgrrsd. 55. Electrical Bonding -Y } 5. Steel Reinforcement Y 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 1 57. APPROVAL TO COVER-GUNITE i 1 7. Footings _ 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgmd., Test 9. 1/4Iater Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, 0 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. Root Drains 64. Plumbing System . Final '14. Rough Plumbing -77 65- Electrical-Final 15 Rough Electrical-Conduit I l I g 66. Solar SYstzm�Fina I � 16. Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .15. Rough ElectricalT Bar Coiling 69, POOL/SPA SYSTEMS FINAL 19, Rough Hearing & Air Conditioning FIRE DEPT. REOUIREMENT 20. Rough Factory Fireplace APPROVALS Permit 21. Ducts, in Structure 70. Underground Hydra 22. Ducts, Ventilating F 71. Product Piping Ci Gas GOA 23. Gus Pipe-Rough & Test v 72, Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank F.3 Gas 0 OP 25. Roof Sheathing t9717 , 74. Overhead hydro ! 1 25. 7-Bar Ceiling (Structural! & Manocoat ///�� 75. Ory C,hernical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 1. 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30.. Drywall NailingIIHEALTH DEPT. REQUIRE 1ENT2. _ T 31. Taste: Brown Coat ' >' 79. FINAL INSPECTION 1 32. Electrical Power Meter-Final _ • 80. FOOD CERTIFICATE ISSUED 1 ....� �.�.. _ ._..._ _.. .1_ -. 33. Final Electric Notes: 34. Final Heating & Air Conditioning '1 35. Final Gas Pipe-Test , 36. Hood or Canopy _ 37. Final Factory Fireplace { r T ,�____._-. �.�.-._� _______._ 1 36. Final Plumbing • i 39. Water Service-Final ( i I 40. Gas Service-Final ! , i 41. Solar Domestic-Final 42. Backflow Pi eventer --- _ 43. Backf ow Irrigation ; . I I 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations I 47. FINAL STRUCTURE & BUILDING 3ateny• --------------- 48. FINAL PLANNING j -. -J 49. Electric Release to Edison I50. Gas Release to Southern California Gas Co / 51. CERTIFICATE OF OCCUPANCY Na, Date -'"'-'• ItKI IZKR FN'1tXW1-L "'"` 8 ZU !6 JOB ADDRESS 616 -624 Shasta Lane BUILDING PERMIT NO. 42515 . GENERAL CONTRACTOR Damarini lr DESCRIPTION of WORK 5 Unit Condo 7 AP No. 418_071_01 LOT TRACT FIRE ZONE VALUE $ 195_000.00 \ i INSPECTIONS Si nature Date TYPE V GROUP I & S ZONE F3_63\ , SOIL t (CrZt j SUBCONTRACTOR PERMITS ISSQED ;; GAS Dote I Number I Signature • ROUGH wATEut4u ft NN 95 7/-4094 Plumbin tf$ 3- 7-77,6e-d ��, /o-19•')6 Toy "ax .— PROP. SWR. LINE ❑ HOUSE CON. 0 �,r�5 3'23. 7f ,�,}d. 4-.-- to•(Q.7L 704153 SPRINKLING SYSTEM MISCELLANEOUS 7 ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 1 // ROUGH WIRING r--� ,fid 5 5,7�r77 Heating and Vent. • TRENCHES FORMS Lam' STEEL REINF. a / //3-(6 7,6 (t' 11- /.•? /3L/ l ---- FLOOR SYSTEM �/ I/lG 7/e le, .A.i 33/-7 I375Q' BOND BEAM n STEEL REINFORCE n SHEATHING r FRAME AND FLAS HIN - .e 1 .n-1G-?7 LATHING - IN.IP�OUT PLASTER, BROWN COAT ri15 /7- STRUCTURAL. FINAL rr11 E esti' HEATING, VENT., REFRIG. AND A.C., FINAL 54.) p-z�7^ et- '� ( - 1•, (1-'. _ I . r- PLUMBING. FINAL AND GAS TESTA%) cF� y-77 1 I , ELECTRIC, FINAL L • ' . V✓ MTU/r- BUILDING, FINAL 5 Pr i�7 +^^U__7 / i r Icn'ia (gt3 I :•-•' 1)1 SPECIAL REQUIREMENTS . • A-7. aa A I -.a St I/ -7G. i•(/v. 4 .---- w vIV alS Jaz �� 41. frfraf 7 4°4 Att fro ce ' 4251.5 PAIa _. 'lI; ?U-7GL1—.001538r ***722.33 • 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 D TE RECEIV D D,¢�TE ISSUED RUILDING 7 ADDRESS Gid,6/BGto62�ba¢ SSrA- 23'0 -76 IA tie ' P-14'9. -J4,9 ' OWNER . [rent -.' z Lfff- • l.:, A.P. NO. � 0 ._ Q BUILDING MAIL ADDRESS 74 ( ,♦ LA zre2eA ADDRESS616-‘2 Q/QiJsz�2N CITY ZiA, 90Qlor TEL. TRACT Q`( / LOT BLOCK CONSTRUCTION (/e )C:ne NEW ADD ALTER REPAIR MOVING OFMOI ISH LENDER BRANCH A/4 - OWNER 404/67-7.2,/2.--- ADDRESS I,/EGy2E/L ADDRESS �^- �I / VALUE /JS�000 ARCHITECT TEL. USE J u,V�I D $ .J� OR ENGINEER NO - ��r FIRE T V�Ir' ADDRESS ZONE al-- CONTRACTOR //7�j ATYPE GROUP afr•' CONTRACTOR Eo &cr2e2. B• AVPROVED /�,///� DATEP.-24)-X ADDRESS %/X� TEL. E NO.OF USE OF NEW S C.V-U/r- CITY NO. .-cp PLANS& BUILDING c.45/J7,0 F STATE 77O � CITY YARDS APPROVED YARDS APPROVED LIC. E L yr LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OFBLDGS. (FROM C/L STREET) 0. OF LOT NOW ON LOT FRONT FT. FT. a USE OF L c,. EXISTING BLDG. R.SIDE E4. FT. F Separate permits are required for L.SIDE i FT. FT. electric,plumbing and heating work. CT _REAR FT. FT. 14 I... USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& '0 C , / ./.- //�� , / - MAIN BLOCS. ACCESS. SLOGS. DATE n 5 ait / (i Ot/25O C URP.. .23:77 APPROVED Q .>.1 —BY ROVE •�// /.s.G.. x Tll`OLD FUU'_ 777GWG 1}Jr cit ' ecu,r.a:.Lc:4 t a w . O. 0 I hereby acknowledge that I have read this application and state n ge that the above Information is correct and agree to comply with w 60 all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of • m .. the State of California. m I hereby certify that I am properly licensed as a contractor under SO. FT. CV the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR so 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 qy OO 'p and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $TZ45o N �• m / PLAN CHECK $ '7 co Signature of /r �`�7s�2 /. /9e �� o Permittee G jj>r7j $/��vOD TAX $ �3 6S" U. 2 Authorized Agent TOTAL PAID §'�71 1 + 9'