HomeMy WebLinkAbout2010 SWAN DR - Building Permits 3 CITY OF COSTA MESA
o F, BUILDING DIVISION P
F;' 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
� WO FOR INSPECTIONS CALL: (714)754-5626
^^^�"° PERMIT NUMBER: M10-00135
PERMIT TYPE MECH STATUS: ISSUED
APN: 13947717 DATE ISSUED: 11/29/2010
ISSUED BY: KJB
JOB ADDRESS: 2010 SWAN DR CM Suite/Unit:
Vicinity:
SQ. FT: 0
SCOPE OF WORK: CHANGE OUT FURNACE SAME LOCATION.
OWNER: FERNANDEZ,NELIA Address: 2010 SWAN DR Unit:
PHONE: 818.735-7876 City/State/Zip: COSTA MESA,CA •
APPLICANT: JACOBY,ERIC - Address: Unit:
PHONE: 818-735-7876 City/State/zZip:
CONTRACTOR: PACIFIC AIRE INC License No. 613652
Address: 4730 CALLA CARGAUnit: PHONE: 805-650-4803 xt 221
City/State: CAMARILLO,CA ZipCode: 93012 CELL:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE#. INSPECTION TYPE DATE INTITIALS CODE# INSPECTION TYPE DATE IN1111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical /` 12 - 1 10 M f (7
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
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204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv, .tense. 9 Yes 9 No
I hereby affirm under penaltyale� of perjury one of the following declarations: Drivers License No. ( 4.4Expires:
Q I have and will maintlyn a ceftificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by Section 3700 of the Labor Code, for the
perfor ce of the work for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by• .DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:.
section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. My workers' compensation Insurance carrier and policy 9 I hereby certify that no excavation five(5)or more feet in depth into which a
number rer�are: p person is required to descend,will be made in connection with work authorized
vcg f'5 r N 4-re_ 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
(This section need no(be completed tithe permit is valued at one hundred dollars(5100)or less.)
2,Art 2,Sec.341,Title 8,California Administrative Code).
fPhticr'Nbrite r^'76o.0200 S 0`j /10 /
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued;I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Code)shall fort ith comply with these provisions.
\4 /1 ea e-- ' Division of Industrial Safety Permit Number:
Rcan aM�' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO ECURE WOR ERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 9 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force andel effect. a registration form for acutely hazardous materials? 0 Yes 0 No
-c.#,/,4 7 — -a TA.– a Tic) (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
f / /24//V each business which at any one time has on hand a quantity of acutely
- acrossi wren f1D'ate 7 hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
G I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 9 Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penally of not more than (If"yes', the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
q I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
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' 8. (If"yes ", attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to constrict the project(Sec. 7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
• C3 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
'gnature.I Legal•wner(s) /-' ale
Signature Date
3057-46(3107) / ..;:`�� //
�De e /r: J
Simplified PtiescripiNe Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-A!..T-HVAC
Climate Zones I and 3-7 •r-�
Alto - 00/3c
Site Address: Enforcernenr Agency: Dale: Permit#:
2010 SWAN DRIVE COSTA MESA B&S 11/29/10
Conditioned Duct insulation
Equipment Type' List Minimum Etliciency2 Floor Area requirement Thermostat
❑ Packaged Unit Over 40 II of ducts
El Furnace ®r\FUI:95 o r ❑COP EISetback
❑ Indoor Coil ❑SEER 0 I-ISPP Served by system added or replaced in from o/rrudr present,must he
❑Condensing Unit 0 EER 0 Resistance 0 sl' unconditioned space inanlled/
❑Other ❑ R 6 (CZ 1. 3-5)
/. Ii(liii Pill Cot type:Choose.the equipment being installed: if more than one system.use another CRI R-AI:f-I I VAC lin'each system.
2.AIlithiu m Equipment Efficiencies: 13 SEEK 78%AWE 7.711SP1'Ior typical residential systems.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
• I ccniIA'that this Ceni licatc of Compliance documentation is accurate and complete.
• I ant eligible under Di skion 3 of the California Business and I'rotessions Code to accept responsibility lir the design identified on this
Certificate of Compliance.
• I cenite that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements aline 24. Parts I and 6 of the Cal ilitmia Code of Regulations.
• the design features identified on this Certificate of Compliance arc consistent with the information documented on other apphcable
compliance forms.worksheets.calculations.plans and specifications submitted to the enforcement agate for appros al with the permit
application. '
Name: ERIC JACOBY Signature:
Company:
PACIFIC Dat l/ 2-g�J
Address:4730 CALLE CARGA 1X1°'`613652 �
Cit'/Stale/Zip, CAMARILLO, CA 93012 Phone: 805-650-4802
c
2008 Re.sidemial Compliance Forms A/arc'h 20/0
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1
PROJECT ADDRESS: 2010 SWAN DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069588
•
OWNEIL's[JAME: HANSEN M D TR FLOOD; AE-46
ADBk—Ss: 2010 S4AN DR PERMIT NO; B 069588 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH
540-2665
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; T/O RESTH S REROOF W/COMP , SQ FT: 6, 490
ADDRESS: UNIT:
CLAIM VALUE: 6, 490 , 00 CALC—VALUE; 6, 490 , 00 GROUP OCC : R-3 /M-1
PERMITTEE: FOUNTAIN VALLEY ROOFING ( 714 ) 775-1947
ADDRESS: 16549 MT SHERROD CI COMMENTS : SMOKE DETECTORS ARE REQUIRED
FOUNTAIN VALLEY CA 92708 *************** ****+r*******«aE**.O****+r**********.r*err*********+r Or*************+r**
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
CITY tic.: 06Q84 STATE LIC.: 675241 uss: C 39 EXP: 12/94
Date:_ER(—/ Signature:�L_rO�f MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirml t l have a cenificat of consent to Sell-Insure or a certificate of Workers' FENT; FT IN REAR; FT IN FENT; FT IN REAR: FT IN
Compensation lyysu� ay yycpDilia cpymereoi(Sec0on3800,Lab. LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT ; FT IN
POLICY NO.: 1]fl c ti �� EXP.DATE:
0'/01 /95 J
COMPANY: REF FUND PARKING REQ• PROV; PARCEL: 13947717 ZNE; REF NO;
0 Certified copy's hereby rnished. [tc Certified copy is with city Building D 'on. PLANNING NOTES>
>
Date: 9 Applicant: *******************************************************************************
EXEMPTION"OM WO: ERS'COMPENSATION DECLARATION: (Th section need not be complet if the permit is for one hundred WOO)or less) DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the pi ormance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: BUILDING APPROVED BY •
NOTICE:II,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor 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 APPLICATION ISSUED BY: DATE: e
which this permit is i=_sued(Section 3097.Civ.CI. * * *******'*'*" *'**'**'***DATELENDER: *
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;Y
r
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 90 .00 , 65
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 al the Business p LAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7001.5 by
any applicant for a permit subjects the applicant to a civil penalty al not more than five hundred dollars(S500). ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL • PAID DUE
1, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the TOTALS 90 , 65 0 , 00 0 , 00 90 , 65 • 90 , 65 , 00
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 90 , 65 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not bund or improve
for the purpose of Sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 90 . 00
6 5
❑ 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. INDIVIDUAL F E E BREAKDOWN
O I am exempt under Section: 8.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 6490 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 490 . 00
I do hereby certify that I am aware of and understand the requirements of Catifornia Health and Safety Code Sections 25505,25533,and END OF F EES
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
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permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: 2
I hereby certify that I have read this application and state that the above intormation is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby aurtwriz epresentalNes of this to er upon theabove-mentioned 01 00170323-00170324 TOT 50,65
property for MO true pm Dies. DATE: 10/27/94 TIME: 15:37
Date: sign,.
Drivers License or Social Security a;
`
1641-46 White—Building:Green—Code Entorcemen1;Canary—Applicant:Pink avenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
\Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
31 Electrical Conduit Utility-Undrgrnd. 54. Forms
- 4. Electrical Conduit-Undrgrnd 55. Electrical Bonding
5. Steel'Reinforcement 56. Rough Plumbing & Pressure Test
> 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation . 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Floor System 61. APPROVAL TO DECK
It. Property Sewer Line & House Connection 62. Backwash 8i Receptor-Final
12. Sewer Cap 63. Heater& Vent-Final
13. Roof Drains - •
64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final r.
11
15. Rough Electrical-Conduit 66. Solar System•Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING {!
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
.
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.
20..,Rough Factory Fireplace .. - APPROVALS Permit #
21:'Duets, in Structure -70. Underground Hydro
22. Ducts, Ventilating i • -. 71. Product Piping OGas DOil
23. Gas Pipe-Rough& Test 72. Underground Flush '
24.• Roof Framing • . 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 69.Z.tr- yq a4' . 74: Overhead Hydro
26. T-Bar Ceiling (Structural) &.Monocoat 75z.Dry Chemical
27. Frame and Flashing •
. 76. D'ry Standpipe
128. Lathing & Siding_ . • 77._ FIXED SYSTEM FINAL •
29. Insulation 78.-FIRE PREV. FINAL .30. DrywallNailing - HEALTH DEPT. REQUIREMENT
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31. Plaster Brown Coat i 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric _ - ' Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy . `,--' a .•. . r t
37. Final Factory Fireplace i
38. Final Plumbing T - j
39. Water Service-Final .
-
40. Gas Service-Final - .• `
41. Solar Domestic-Final . I , • •
42. Backflow Preventer - .
43. Backflow Irrigation /a-2 2_9 ' -f1c A
44. Landscape Irrigation System - - - - -V t
45. Sound Attenuation - ..
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 11,,_!6_let 64,v -.
48. FINAL PLANNING .' .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY ..
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No. Date .. '
i
VwNrtt PEMBA SUBDIVIDERS, INC. DATE 2-4-66
JOB ADDRESS 2010 Swan Drive BUILDING PERMIT NO. 25209
GENERAL CONTRACTOR Same DESCRIPTION OF WORK Res. w/att. garage
AP No. LOT 19 TRACT 5493 FIRE ZONE VALUES 27,539.00
INSPECTIONS Sig ature Date GROUP I&J TYPE V ZONE 11-1
PERMITS ISSUED
Soil l �6 SUBCONTRACTOR Date Number Signature
Gas ��?-/i-44 �ae . -0 iff
Water Plumbing
Rough Plumbing " . Ar 3O �.• rhs• w oh- . / - -//-rfih 6Tri9
Prop. Swr. Line QYHbuse Con. iii .{ — < /!iv 4.i `.w• 0, -- a_ 4A)7(5 /Lf S
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning .3j J
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring Heating d Vent.
Trenches LEI Forms ® Steel Reinf. ® 2 ff Gr' / .3
Era
Floor System 161 :,4g/6E aillilIMI
Bond Beam 0 Steel Reinforce 0
Sheathing egg 3X /
Frame and Flashing /173( 3/a, GF
Lathing— In 0 Out.la • ',y• //e/66
Plaster, Brown Coat /4 / .1•/n.Tec
Structural, FinalElectric
Heating, Vent., Refrig. and A.C., Final A'aiaf ,6 -� l'/_ . . : - 2 ... Ls7/3
Plumbing, Final and Gas Test G .-5-2
Electric, Final I'U«-5Yit( CL
Building, Final '/!t rt16,Cc
Tr,')5493
l0t1 3t 25209 CITY OF COSTA MESA
"COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA FEB -2 1966
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT Fo ,Okill tB�Iy
BUILDING
ADDRESS 2010 Swan Drive RECEIPT NOL
25PFRHIT JIG.
COSTA MESA, CALIFORNIA 2 LL00
RECIEHO BY DATE RECEIVE FDTLT4ISSURIDC
OWNER Pemba Subdividers, Inc.
/1 -v�d !p(o LL iinnn �W�44JJVG
MAIL BUILDING CRWO �1 /-•110 I,0
ADDRESS 2850 Mesa Verde DriveFIRl
ADDRESS CRWO -�V
cY Costa Mesa, Calif. 2549-039'p49-039` ZONE . TYPE GROUP 4.
IT
APPROVED .,/!J /
•
OER Kaltenbach N0�47-804( BY `!
R ENIGINEDATE
ADDRESS 1823 E. 17th St. SantaAna_ ZON NG OP
ZONING
NHWRif/)I�Q�
/ I PLANS �G/. EUILDI l ../
CONTRACTOR Pemba Subdividers, Inc. rC ///JJJ /�/y 71LLit
LEGAL. � % - /✓!'o ,•:f V9
ADDRESS 2850 Mesa Verde Drive _DEecRlmon
CITY Costa Mesa, Calif. A.P.NO. O
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.NO. 187318 No' 549-0395 30'70 SIDE B REAR P.L.
EAVES
SIZE I NO.OF BLDOD. ALLOWED (U.B.C.REQUIREMENT)
OF LOT 70 x 104 NOW ON LOT 0
YARDS APPROVED YARDS APPROVED
USE OF Single Family Residence MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. with attar P.
(FROM C/LLSTREET)
SETBACK LINE FROM FRONT PT. FT.
CENTER OF STREET 50 I}(J�REAR YAR 6.75 Ipy
SIDE YARD I LEFT 14 I RIGHT 8 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE
•A`8 1(/FS. FT.
NEW _ ALTERATION _ ADDITION REAR 2C'7JFT. FT.
DISTANCE BET. BET.MAIN 8
MAIN SLDGS. ACCESS.BUDGE.
REPAIR MOVING DEMOLISH
BUILDING 2081 NO.OF VAR.# DATE
11 2
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL,. _I ROOF Shingle & APPROVE r'' /
COVERING JtuCCOI COVERING Shn1ceG - BY `/ GATE / J O la
USE OF BUILDING AND WORK TO BE PERFORMED V
�a�. • c yaa . ala4 . ss" pp ,,// �/
O(-4Q.FT. 1111/9 ...e,"zr ti
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. .RSD
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION 00 �n(`r` J�m
BUILDING CONSTRUCTION. . V V N
SIGNATURE OF PERMIT FEE $ o
PERMITTE" _ . d H A ,,..r ,/ 1t x
IF 7 cJ 3 9 PLAN CHECK $ -4� .�` 0
I��ff ten} .L.J Y
AUTHORIZED
� NEMMIIMMEMML TOTAL FEE $ 1 PL V
'. nNIYOVry' 1A11Y �" "" u G W
JOB ADDRESS 2010 Swnn Drive BUILDING PERMIT NO. 26088
GENERAL CONTRACTOR Continental Collect DESCRIPTION OF WORK Commun. 111(Irk Wall
AP No. LOT 39 TRACT 511.•3 FIRE ZONE VALUE $ 500 00
INSPECTIONS Signature Date GROUP ,T TYPE Til ZONE pal
Soil PERMITS ISSUED
SUBCONTRACTOR
Gas Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. 0
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole _
Underground o Power 0
Rough Wiring Heating and Vent.
Trenches ® Forms o Steel Reinf.
Floor System
Bond Beam 0 Steel Reinforce 0
Shea thing
Frame and Flashing
Lathing— Ino Out
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final 4014 y-c-46
AUG 29-66 001119 7*****5.00
26088
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to nil /n Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDINGFor Office Use Only
ADDRESS 2010 Swan Costa Mesa, Calif.
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA 2AnR8
RZGtIY[p,4{' 7 Te / T616,4
OWNER Don Hanson //�/�� Tea Od :�iC�IY`///T
MAIL BUILDING ''nn
ADDRESS 2010 Swan ADDREBS/'�l� (J•d.�
CITY Costa Mesa No ° 066E FIRE ZONA ' I`/ GROUP/
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ARCHITECT TEL BY DATE D(7
OR ENGINEER NO.
ZONING
ADDRESS
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PNLoA.oSP 2 I BUUSELDNNQ ffisterob®
CONTRACTOR Continental Const. Co. LEGAL LF71-3 Q np
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ADDRESS 1224. East Pomona DESCRIPTION
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CITY Santa Ana A.P.NO.
)gyp �/� /� NOTE/ NO RAVE OVERHANG SHALL BE LESS THAN
STATE N 202) 7 TEL
54.7-5868 SO'TO SIDE 6t REAR P.L
CNO,
SIZE 78 X 1.00 I NO.OF SLOGS. 1 EAVES
LLL WED (U..B.C.REQUIREMENT/
OF LOT NOW ON 4.1 YARDS APPROVED YARDS APPROVED
USE OF block wall MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
- (FROMC/L STREET)
SETBACK LINE FROM FRONT FT. FT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT I RIGHT R.SIDE PT. v Fr.
DESCRIPTION OF WORK L.SIDE PT. FT. / IP
FP
NEW FX
REAR PT. FT. /
ALTERATION ADDITION
DISTANCE BIT. BET.MAIN ft
H PAIR MOVINQ _DEMOLISH MAIN BLDQS, ACCESS.BLOCS.
BUILDING NO.OF VAR.# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL I ROOF APPROVED
1411:147.44 �' -Z.�--`C
COVERING COVERING BY DATE
USE OF BUILDING AND WORK TO BE PERFORMED IL
block wall al
SQ.FT.
O
1 HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
ANO STATE THAT THE A.•V IS CORRt••' AND ORES TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. I}?S,
PLY WITH ALL GIT O N COR.
S REGULATING
BUILDING CONBTRU _ VALUATION O /AQ M
PERMIT FEE $
SIGNATURE OF A/ _
PERMITTEE •""
/ W
a E / l d PLAN CHECK $ 00
AUTHORIZED • NT �J
TOTAL FEE s