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Home My WebLink About1085 STONEBROOK LN - Building Permits `SW CITY OF COSTA MESA - < BUILDING DIVISION > • 1i DEVELOPMENT SERVICES DEPARTMENT PER NUMBER 4 PERMIT o eF • M03-00589 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1085 STONEBROOK LN Status: ISSUED Suite No Applied: 11/12/2003 Issued: 11/12/2003 Vicinity: • Parcel Number: 42201226 ISSUED BY: _Kik._ Applicant: PHILLIPS, MIKE Address: 8884 WARNER ' _ SUITE 116 Phone: 714-962-6900 • " - - - FOUNTAIN VALLEY,CA Zip: 92708 ' N Owner: ,BLOOM, ALAN M - , Address: 1085 STONEBROOK LN Phone: - COSTA MESA,CA Zip: 92627 • • Contractor: EFFICIENT AIR SYSTEMS LTD • Address: 8884 WARNER -SUITE 116 Phone: 714-962-6900 - FOUNTAIN VALLEY,CA , Zip: 92708 ' License:520089 .. SCOPE OF PERMIT CHANGE OUT FAU ONLY. NO RELOCATE OF FAU PROPOSED. " ' - FEE SUMMARY - - Quantity . Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit . $0.00 0 Inst FAU<100 k BTU $14.80 1 . Repair/Alt Refrigeration Unit , $0.00 - 0 Inst FAU>100 k BTU $0.00 0"- - Ventillation System ' $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 lnst/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 0Up to 3 hp/100 k BTU Factory Fireplace $0.00 0 " ..• - 3 To 15 hp/500 k BTU $0.00 0 ,- Hood w/Medh Exhaust . . $0.00 0 15 To 30 hp/1,000 k BTU $0.00 ' 0 VAV Box $0.00 0 30 To 50 Fip/1,750 k 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 $38.30 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)754-5826 2446-46(6/00) DECLARATIONS fl ('1 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ' • ❑ I have arid will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Cada,for the performance of the wrk for which this permit Is issued. have and will mai rain wo rs' tion insuran as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My worker ' p cation ante ca 'er and policy umber are: /� 7 g f..Z- Carrier Policy Number: I' (This section need not be completed if the pe if 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 that if I should become subject to the workers'compensation provisions of action 3700 of the Labor Code,I shall forthwith comply with these provisions. f � r Applicant Signature: f�.� r �A L Date: IA I OD WARNING:FAILURE TO SECURE W 5'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENAL ES 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 under pr o encing with Section 7000)of Division 3 of the Business and Professions Tie,(A,Lny license is in full foContceractor's andeffect.t Lic.atu# 1 Class# t I (2 j�—(/U Signature: Date: CONSTRUCTION LENDING AGENCY: . ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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 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,An 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 Califomia 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 Flre 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 aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? .p Yes 2 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 California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is 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. ?Le al Ow`nna/yt�(s) _ /L�]J�'j�) Date ik Aut rized pA plic3dt'�� ' `I I%l]/ `/ Date CODE t INSPEC1I0NTYPE RAIL IMBUES CODE' INSPECTION TYPE RAM ,Tar- 1616 Fixed System Final Fire Prevention 206 Final Mechanical )n-S-071 sejV 1268 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 CITY OF COSTA MESA 0ii BUILDING DIVISION ). Era-WsI I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER • PERMIT 'dP ✓P01-00604 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1085 STONEBROOK LN Status: ISSUED Suite No Applied: 10/15/2001 Issued: 10/15/2001 Vicinity: WATER HEATER ISSUED BY: Parcel Nunmber: 42201226 _,, . _ . , . ,• ,. . , , , , Applicant: SCROGGINS; MARK-. - Address: 7229 VARNA AVE;- ' , ' - - Phone: (800)444-8865 NORTH HOLLYWOOD,CA , • - Zip: 91605 - Owner:' ' BLOOM, ALAN M Address '1085 STONEBROOK LN Phone: COSTA"MESA, CA Zip: 92627 , Contractor: ALAP ASSOCIATES GP ' - Address: 7229 VARNA AVE. ' Phone: (800)444-8865 - , NORTH HOLLYWOOD,CA Zip: 91605 , License: 771905 Arch / Eng : - , . .. . _ - - .. - - • Address: _ ' Phone: , Zip: • , - License:- - SCOPE OF PERMIT / WATER HEATER CHANGEOUT -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 Bknow(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 N . $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 I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS (r )' { 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 Dave 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 Insuranceccarrier and policy number are: Carier: 14710N�R L 1 I��= Policy.Numbec.L 21is t8962.7 (This section need not be completed if the permit is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance of the work fo ich 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,an ree if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi c _Applicant Signature: �LY Dates ‘(-) � )S/ 62 WARNING:FAILURE TO SECURE WORKERS' PENSATI ERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTI AND CIVIL RNES 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 than 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.Llc-a-1 7?L I 0_ Casa F— cBC Hi C Contractors Signature: - ._ i. Date:. Iet fc/7 n 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 perrr4 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 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? 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 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 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 - ❑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. Signatur t Le I Ow aid/ay4r9 56/5A/ate O/5 Dlate nd/ rAuthoriz:^p• cont_ v' to CODE if fNspacTlDNttPE PAIS INTITIALS CODE( INSPECTIONTYPE PATE IKRf1AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing /t3/2S-Al 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 /, CITY 9F COSTA MESA f/`./ BUILDING SAFETY DEPARTMEN POST IN .i CONSPICUOUS PLACE , ON THE JOB . i A.P. NO.. i I BLOCK e,e NEW ADD ALTER REPAIR MOVING DEMOLISH M . OWNER - _ �. • hi:o:-D 1:'ca r27.., 5, ;Nit.fzaZ.''-......:.v.ka; . ,1 SETBACKS Front Yd 8' Side Yd.R 0' L 2' Rear 10' Side Yd. R L Rear - . BUILDING INSPECTION RECORD 1 TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- ., • MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS. AT LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. STRUCTU7AL n DATE - ,. Trenches 5 Forms 'NWWICa! :fi,��a Floor System ' �I ' Steel Reinf Zia7411 � Sheathing • a2�e��7.ff1~1I�� a Promo and Plwhing - a' :107:1•�•� Insulation r`;�IMAM��c �at Laming I`/J.riy��%a�n •. Dry Wall Nailing IV�ier1�J�zl�]�l�1 9,.7 fr'� ' s Plaster,Brown Coat Bear! ngSI17s�1; Sound Attenuation - - '•`a ' , Handicap Regulation ,' o FINAL ''� �, T-n-7l ^. PLUMBING r�� r��rr_��p Soil. e a rYiC-]IltLu��..- ; Underground Water Filerf3aREIMWA1 Rough Plumbing . (��V�I,-_ O Q. Prop.Sewer Line and House Conn ��'��/m r -fib r Street Sewer Conn. % i a /- ''' Water Service ��f= ° - Sprinkling System �f� B GaTest Gas Test . , FINAtrIEM. I \ • HEATING, AIR-COND.AND REFRIG- •ATION . ' Ref r. Lines,Pressure Test ) Ducts, Underground . C ii (3-C-.7. • Ducts,in Structure / /&-/0-7„ , �+� Ducts,.Vant.lating 6--1 7 . .i ' Rough Heating and Air-Cond. ' 2—14.79- - /i FINAL ,99 3—/2-jy. . I ' - ELECTRICAL Temporary Service or Pole • A Underground I2$ . /I-t6--IOP Power Meter Rough Wiring 1— r'{ -) i LS , FINA # C� , ?7Qq Do not occupy this project until final insp tign has J ls'/ been made and occupancy has blpun/approved ; Building Final C4e7 7-3'7///ppp��'III Special Requirements � "r/ Occupancy - t i7G 1v 7- 7-79 NOTICE /T 24-hr, notification required when the job-is,ready for inspection. You • must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH i RESUCTIVEINSPECTION.,;cA.LL-556.5273.. ; AL• - cm ii.:}1ppS PVED PI.ANS SHALL BE OM JOB AT ALL TIMFS dr i 4534 lise4O91/05/78 �110;8)9t r ' COSTA MESA BUILDING-SAFETY DEPARTMENT CALIFORNIAP.O.BOX 1200 COSTA MESA,CA92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ,oC �w/, ADDRESS` O afc ��£ �!K ' • C ��/� OWNER the gregory company A.P. NO.//J7 ,0-1a PEF}jv1S1344 MAIL 'i rl-p BUILDING�D� �n�E 44 r•l!Cid ADDRESS 18 b airwayave ADDRES -I G/\/ CITY costa mesa N5?-3850 TRACT 10018 I. LOT 75 BLOCK CONSTRUCTION NEW I ADD I ALTER I REPAIR MOVING DFMOI ISH LENDER 1 BRANCH (39#1,9a . the gregory company ADDRESS ARCHITECT harrlson orenzin#EL/51-i854` USE w/att garAti 42100./X OR ENGINEER NO. FIRE ADDRESS 3187-g airway ave ZONE TYPE V GROUP I&J APPROVED CONTRACTOR gregory construction cc By DATE ADDRESS 3187-g airway ave TEL. O E NO.OF USE OF N CITY COata mesa NO. 751-384c,' 'mnLANSZ BUILDING F STATE CITYYARDS NAPPROVED YARDS APPaiVE LIC. NO. 285981 LIC.NO. MAIBUILDING ACCESSORY BUILDING (FROM C/ EET) W SIZE 427 t x992 t NO.OF NOW ON LOTS 0 FRONT EFT. FT. C.. OF LOT C USE OF EXISTING BLDG. J3—SIDE O _FT. _ FT. FSeparate permits are required for L.SIDE Z FT. FT. electric,plumbing and heating work. 2 • W- REAR [[� FT. FT. [.,• USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 'C MAIN BLOCS. ACCESS. BLDGS. 0 ..1 C.U. .R DATE 77 Q p C.U,P.#Is� APPROVE 4 Eta had garage �� tJt/2D SATE , i/(O /7 CC a. I hereby.acknowledge that I have read this application and state HOLD FOR svcCi,CI N Od that the above information Is correct and agree to comply with 0+ all laws regulating building construction, end I shall not employ m W4 any person in violation of the workman's compensation laws of the State of California. 1562SO, FT. 626 garage co 3 II hereby certify that I am properly lice • as a contractor under el the State of California Business and Pr -sions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such linen •s are ull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: vt am exam: r• the provlsi• '- - tate of California Business VALUATION PERMIT FEE $ v and Pr. essions .ode, Divisie / ,,pter 9. _ JI ��I�� I m Signature //� ///...JJJ /s PLAN CHECK $ {t ,ve# mo Permittee WAS a $/jJ /l i7 00 TAX $ J a �� U .... ' II FPI f/V 7 TOTAL PAID $ /10. 46:41/ 7265 3/13/78 166.00 Ti. y COSTA MESA 6CA DEPARTMENT 7265 3/13/78 166.000KT7 P.O. 1200 COSTA MSA,CALIFORNIA 92626 7265 00004453 45 IA APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely—Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING i - ADDRESS /Oair i • - PERMIT NO. OWNER illi /s A.P.NO. n MAIL / BUILDING 5 //�{//LC`P,Y�/f[/J ADDRESS / - ADDRESS MIN �► TEL. CITY NO. TRACT I. LOT BLOCK CONSTRUCTION NEW I ADD ALTERI REPAIR MOVINri nEMOI MRH LENDER • BRANCH ' . OWNER� j i � • a ADDRESS ALU-/ 17 ARCHITECT TEL. USE/lfeVe [4a1./• 41./ OR ENGINEER NO. FIRE 7 ADDRESS ZONE TY'E GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING .F.. STATE CITY - YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE INO.OF BLOCS (FROM C/L STREET) 0. OF LOT NOW ON LOT FRONT FT. FT. Q USE OF .4. EXISTING BLDG. R.SIDE_ FT. FT. rn al FSeparate permits are required for L.SIDE FT. FT. • electric,plumbing and heating work. REAR FT. FT. E.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& G MAIN BLOCS. ACCESS BLDGS. /��/t/ VAR.# DATE Q _A O• u C.U.P. APPROVED "',�� y APPROVED 1. )1•17 _DATE ATE OC W 0I hereby acknowledge that I have read this application and state m Pg that the above Information Is correct and agree to comply with C m 04 all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of 2 SWSSS. the State of California. I hereby certify that I am properly licensed as a contractor under SO.FT. ti the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR up Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b am exempt from the provisions of the State of California Business g�e W //-�� VALUATION PERMIT FEE E and Professions Code, Division'3,Chapter 9. / • m PLAN CHECK E m Signature of m Permittee tz 4 TAX y U Authorized Agent TOTAL PAID $146a pp CITY OF CJS:A i=A ?S^'=S. F23 Q� C/7j TPACT NO. / 00/ O DATE LOT NO. 'T 3 ADDRESS /0 kSr .'tt.0 CK9-44 08Y) . 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) (vas 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 ::ere irposed'cby„ 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. ,UN 91919 Purchaser �� $,g`�,�, ,i`� �,5�6 BY Developer and/or authorized representative BY Lender • '., CITY OF CUL J ., MLUA IlLttUL 1' Full t,CUUI fdiCY TRACT 1i0. IYl/�MM/I� DATE � 'Z-1 Z1 LOT NO. / - Stt . . • ,6 ADDRESS 100rn^tY W JiC The developer of the above entitled tract desires to sell the above. set forth lot prior to the time that the tract has been completed and its streets • . accepted by the City of Costa Mesa. ' is The undersigned, by executing this agreement, acknowledges that (he-she-they) r. (was or were) advised that this tract hes li i- not been given final inspection nor has it been accepted by the City of Costa • Mesa es having complied with the conditions of approval which were imposed by I- the oity at the time the final tract map was approved. T ' it, y' • J•' 1 , The City assumes no liability 'for the enforcement of the conditions necessary A, for approval other than those conditions protected by surety bond. .. . • The undersigned agrees to indemnify and hold the city harmless from, any claim , resulting in damage or personal injury to the undersigned by reason of the ._ I' 1,,; aforementioned uncompleted condition.' The undersigned acknowledges that this ' agreement io made solely for the benefit of the city and does not inure to w the benefit of the undersigned or any of them. . BY . P...7.141' ,.� AY . PA Y BY 4. 1, . Developer a r or authorised r, • ! repteaentat' vs GR BY Sn+flNn1 g,EAT IRAN AE$WESTERNOCIATtON LAW9FrASLSHIBE BOULEVARD - UEVLRLY HILLS, CALIF, 80211 { • �1 GtrCiS.s at,/ k ` A LLit rl{Lol4uV. OWNER THE GREGORY CO, DATE 3-3-78 JOB ADDRESS " 1085 Stone Brook Lane BUILDING PERMIT NO. 45344 GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att. Garage AP No. LOT 75 TRACT 10018 FIRE ZONE VALUE E 42.700. li CTIONS Signature Dote TYPE • V GROUP I & J ZONE PDR-MD sL PERMITS ISSUED GAS SUBCONTRACTOR Date Number umber I Signature WATER • `j//J� PIU ROUGH PLUMBING . 5 �f / PROP. BW R �iy. LINE � HOUSE CON. � iKA��s 7(� 7 SPRINKLING SYSTEM juj 3 a.T''7 /75'7'13 MISCELLANEOUS (V� ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND CI POWER 0 ROUGH WIRING Ne In a �FLOOCHES Li FORMS J STEEL REINF. G , /ff 3y /FLOOR SYSTEM • •/5G " e^, BOND BEAM rSTEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN n OUT n PLASTER. BROWN COAT STP",,TURAL, FINAL Electric NI i. VENT., REFRIG. AND A.C., FINAL PLL...eING. FINAL AND GAS TEST f ELECTRIC, FINAL BUILDING, FINAL ye4',, 7-3-77