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Home My WebLink About2017 SWAN DR - Building Permits r CITY OF COSTA MESA A 4y BUILDING DIVISION F; �; PE IT NUMBER i DEVELOPMENT SERVICES DEPARTMENT '� PERMIT • '"*+•'a�.,m�� B99-00681 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT • Job Address: 2017 SWAN DR Status: ISSUED Suite: Applied: 05/17/1999 Vicinity: HOUSE&GARAGE Issued: 05/17/1999 Parcel Nunmber: 13953316 Zoning: R1 R1 Applicant: BURR, STEVE ISSUED BY: Address: Phone: Zip: Owner JENNINGS, JAMES & KAREN E. Address 2017 SWAN DR Phone: (714)645-8512 COSTA MESA,CA Zip: 92627 Contractor: STEVE BURR Address: 711 WEELO DR Phone: (714)548-2965 COSTA MESA, CA Zip: 92626 License: 635586 Arch : Eng: Address: Address: Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF,T/O, INSTALL 1/2"CDX PLYWOOD, 1 LAYER 30#FELT&40 YEAR CELOTEX PRESIDENTIAL COMP. SHINGLE ROOF&1 LAYER 28#BASE,2 LAYERS 11#&LAYER 72#CAP SHEET. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,000.00 Permit: $112.25 - Claim Valuation: $6,000.00 SMIP Res: $0.60 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $112.85 PLANNING &ZONING 'SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existinq: 0 Required: 0 Proposed: 0 NOTES: EXPIRED DATE 02/01,1 /01 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL (714)754-5626 DECLARATIONS ( ) ' 4WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: o 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 have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensatippJnsuran carrier and policy number are: / 41 Carrier: ti -✓tb Fel WNumber ®y6 Policy — 05-7 y (This section need not be completed it he permit 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 Calif o .,-,and ogre: that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these prl'"'`/ _ Applicant Signature: 1. . .. ` .4.— Date: 5-/7`57 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am lic nsed under royisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business andProfessionsCode,and my license is in full force and effect.Lic.# _4' b Class# C '-3 I Contractor's Signature: Date: r_i 7-5"i 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 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.). o 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,Art 2,Sec. 341,Title 8,California Administrative Code). o As owner-builder,1 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? ❑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 0 N (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 It an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑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? ❑Yes U No (Section 65850.2 of the California Govemment Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any pan 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? ❑Yes ❑No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer)..YcrS'rr: CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjurytheintorimatioon.giv1emqabove is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. 4l.n_l..Yc`,)s• c3 Signature: �.,6)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 abgye- cribed. arty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. /r1! . Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE# INSPECTION TYPE RATE INTg1ALS CODE INSPECTION TYPE 261E INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention • 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition , 250 Final Building/Occupancy r 2446-46 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PEWIT NO. /--q TRACT NO. LOT NO. ••BLDG.NO. CONSTRUCTION PERMIT P— &SJ 11670 2/04/82 5.00 TL Project Address a0/1 7 S.://AA/ .41/ ' ` TYPE OF CONSTRUCTION `9 -, ' Owner (1 0 `-3e K-I.-. e 'l-(-t Phone51�j/.1.4157( 0 NEW 0 ADD 0 ALTERATION it {' Addressc Q/1 .. -4',,,/c..a) �r 0 REPAIR 0 CONVERSION ❑DEMOLISH /[•(tomxx ZONING REGULATIONS Arch/Eng. License No. 0 OTHER DESCRIPTION OF WORK A.P.# Address ZONE PLNG. REF.46 Contractor y� V R �1 ' //lj„ Z P Phone,/722 3Y7n TYPE OF PERMIT . - BUILDING TO BU1ILDING SETBACK C/L ST. PROPERTY LINE Address/lS 3 //) 1 /n l(dJJ/3 0 GRADING 0 FOUNDATION 0 STRUCTURAL LIDFT YARD LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL &(-PLUMBING ❑MECHANICAL SIEIDE YARD I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code, and my license Is in full forceandeffect. PROJECT DESCRIPTION REAR YARD(TO P/L) License Class y G' License Nor ?//ó r7 PROJECT SPACE REQ. PROVIDED Date / 1/ ''f�-- Signaturey4 A- -/If .r -f-- -Pans1 SQ. FT. WORKERS'COMPENSATION DECLARATION OCCUPANCY-CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY DATE fcertificate of Workers' Compensation Insurance, or a certified copy thereof(Section 3800, Lab. C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: Policy No.-n Lff-L.1/1 Company 22P'4"14. ..". /S 'ertified copy is hereby furnished. - REMARKS: . .ertlfied copy is filed with the city Building Division. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed If the permit Is for one hundred ($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 PLUMBING - ' PLAN CHECK - ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. DWELLING GHHHGt Date Signatur¢ BATHTUBS SHOWERS SO FT SO FT NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW revoked. _ CONSTRUCTION LENDING AGENCY 'KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP ' I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS ' ' (INC.SOLAR) is-so HP 50 +HP formance of the work for which this permit Is issued (Section 3097 Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNSI RULIIUN • Any city or county which requires a permit to construct, alter, POLES METERED SUB ' Improve, demolish or repair any structure, prior to Its'Issuance;also're- WATER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he , Is licensed pursuant to the provisions of the Contractor's License Law GAS SERV ICEOUTLETS SERVICE - AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT . ca 00 basis for the alleged exemption. Any violation of Section 7031.5 by - ' applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS ' • . )t more than five hundred dollars ($500). _ , as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - - - ' sole compensation, will do the work,and the structure is not intended ' ' • or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property 'O who builds or Improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY DATE through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES Is sold within one year of.completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). BUILDING ❑ I, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP .' $ AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000 - +BTU PLAN CHECK $ PERMIT. and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ - �"Lr an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ - 0--0 tracts from such projects'with a contractor(s) Iicesned pursuant to SYSTEM100,000 +gTU PLAN CHECK S - GRADING S the Contractor's License Law). . ❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $ reason PLAN CHECK $ MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ PLAN CHECK $ LESS Information is correct. agree to comply with all city and county - VANCE PC $_ ordinances and state laws relating to construction,and hereby authorize • representatives of this city to enter upon the above mentioned - °--.6 property for spection purposes.n,� ri�AS �", YJ Signature 'n�5 Date /---1--Lfl_' FINAL FEE $ Drivers'License or SS# < ISSUE FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANN G POOL& SPA APPROVALS Permit# - 5.5 Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrqrn 8. Foundation 50. Gas Pipe, 0 Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. ❑Undrorn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 55, Plumbing System - Final 14. Rough Electric-Conduit -56. Electrical-Final 15. Rough Electric-Wiring _ 57. Solar System-Final 16. Rough Heating & Air Conditioning b8. Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat • 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation • 37. Handicap Regulations 38. FI NAL STRUCTURE& BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date ;7UWNEt BEBRETH„ C. 0. DATE ti-lt3-bb JOB ADDRESS 2017 SW92Ta iVe BUILDING PERMIT NO. 260147 1 GENERAL CONTRACTOR D & S Landachaping DESCRIPTION OF WORK Comm. Block Wall r1 AP No. LOT 36 TRACT 5493 FIRE ZONE VALUE $ 500.00 \),I'" TECTIONS Signature Date GROUP ,T TYPE TTT ZONE 12-1 t. SUBCONTRACTOR PERMITS ISSUED x Gas I Date I Number I Signature `� Water Plumbing V Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous • Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring and Vent. Trenches a Forms 0 Steel Reint p an-0 ej,/G6 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out 0 Plaster, Brown Coat Structural, FinalElectric F Ig, Vent., Refrig. and A.C., Final P1_..1bing, Final and Gas Test 0 Electric, Final Building, Final al r'419./4 AUG 18-66 00 845A3*****5.08 26047 nuc 18 66 00 8 15A3*****5.00 7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1209 COSTA MESA, CALIFORNIA 92920 - For.Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDINGa �j ^ For Wks Use Only ADDRESS D / / C(.(J f}-/I/ ID lr RECEIPT NO. a PERMIOT NO. COSTA MESA. CALIFORNIA .�''1� ((//!V"/�'MIT e._ � REC[I / rings Li DAVE . O. "3�,1-rQ7'N '7 i MAIL /� ^ ADDRESSBUILDING C r 61-44_ ADDRESS .PLO / 1 SWAN /)/r ' ...PLO JrTL C'O-2•+a_ ZONE FIRE "r GROUP/f? ARCITY f e1 APPROVED ARCHITECT TEL. BY' DATE _O�NOINEER NO. �' j r\} S ZONING 6 .._.REES ✓ /L/J tL C C. .n f/Y / ZONEn NO.FLANS MUNNUSE or [W� /I` PLANE EUI LDI Ma CONTRACTQRLEGIAL =NIA ` %JJ y/ D ESCRIPTIO/ ' ,r�/ .� ADDRESS 1 3 z G > p Jm i.,/.a,P i(rt , I CITY �/}k•4.,✓ �(')f�0 C"L A.P.NO. STATE THL // q �yTRHLN• O SHALL BE LE88 THAN LIC.NO. ... ..0 l aob3 r NO. s - ys.2� SOTO SIDE a REARP SIZE I NO.of lim • VES os./ ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW OH LOT USE OF {1 YARDS APPROVED YARDS APPROVED EXISTING BLDG. � MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) OflACK LINE FROM FRONT CENTER OF STREET REAR YARD ,/�1 /� p FT. SIDE TARP I LEFT I RIGHT R.BIDE FT. -�-S F� �7-7� IR'R�O'� '�- DESCRIPTION OF WORK L BIDE (9 IR. F—�-j/—• //�. /t t ALTERATION ADDITION REAR ' (/r' (7SlR' r DISTANCE BET. !/J{ BET.MAIN a REPAIR MOVING DEMOLISH MAIN 8008. ACCESS.SLOGS. BUILDING NO.OF VAR.Jt DATE SIZE ROOMS STORIES C.V.P.# APPROVED` I �y //, EXTERIOR WALL I ROOF COVERING IT FW[ 64 f. fJ7DATE 4 -1 'Q _�"' COVERING USE OF BUILDING AND WORK TO SIPEIIFORMED � p 0, /////� L/C cvh L/,(/+ — /•/ 2 '' Y 6 ' x V " Q4-t� f < L��c� //) on,D S l0 sQ.4. x ti et I HEREBY ACKNOWLEDGE THAT.' HAVE READ MIR APPUCATION THE AMOUNT SHOWN UNDER VALUATION 6 OR THE Oy AND STATE THAT THE ABOVE.IS CORRECT' A PURPOSE OF ESTABLISHING A PERMIT I ONLY. gIj PLY WITH ALL CITY ORDINANCES AND STATE VALUATION BUILDING CONSTRUCTION. /��bb SIGNATURE OF �//,/J/��, PERMIT FEE S 5 W PERMITTEE /y e� 0 /GE s 5-700 PLAN CHECK S AUTHORIZED AGENT TOTAL PEE 8 LP nivel rL''I+l19.1. e7Ut5D1V.UJ 1by lin ;• Ll11L' 4-4-00 JOB ADDRESS 2017 Swan Drive BUILDING PERMIT NO. 25186 GENERAL CONTRACTOR Hamm. DESCRIPTION OF WORK Res. w/att. garage AP No. LOT 16 TRACT 51I.93 FIRE ZONE VALUE $ 31,780.00 I :{ ECTIONS Signature Date GROUP ;E&J TYPE V ZONE il-1 s..' *.''' � 3 7S I PERMITS ISSUED G SUBCONTRACTOR Date Number I Signature Water ',-,mg t • Plu' ' • Rough Plumbing L- '/r /� J�dSgI_ • / ce5 6.� Prop. Swr. Line kg-House Con. e- ✓ _ •t5�gcr a'_ .. t ✓n/ . . < ,'e . 441S- Sprinkling System i Miscellaneous Rough Heating and Air Conditioning 5/-Z07:4 : Temporary Service or Pole Underground 0 Power O Rough Wiring, ,� �/J </ 1- -G Heating and Vent. Trenches p� Forms i Steel Reinf.`o "--4/x2-/3/14 , ,,,,,L„ - (1,y, J4 -6 4 ele49.5-- Floor Systeke- r e.• 'A1 Bond Beam Steel Reinforce Sheathingi Frame and Flashing I i 6 y/ y/C! as Lathing— Ina Out El3-44 Plaster, Brown Coat /1 r/sc<CS Structural, Final Electric F ig, Vent., Rettig. and A.C., Final Po / ��-, , _ )S �'�./ � 7 i P.. _Ding, Final and Gas Test Jr %� jg ,7, Electric, Final F�'�(� ji Building, Final Z/ 7-,/-//" Tr. 5493 25186 - CITY OF COSTA MESA 'apt 26 ft OSTA MESA BUILDING-SAFETY DEPARTMENT FEB 2 1966 F P.O.BOX 317 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely c APFOCPERMR TYPE OR PRINT ��::// For Office Use Only BUILDING Do ENS° S 2017 Swan Drive RECEIPT NO. 25788O. COSTA MESA, CALIFORNIA L}�j RICH V[D BV DATE RECEIVEDT5 ISSUED OWNER Pemba Subdividers, Inc. J--,A-66F 4 1966 MAIL BUILDING /]O,7 L AWL ADDRESS 2850 Mesa Verde Drive ADDRESS 8 EL FIRE CITY Costa Mesa,Calif, NN.49-0395 ZONE TYPE y GROUP • ARCHITECT T PROV HD DATE ? OR ENGINEER Kaltenbach a47-8046 BY AL .S8 1823 E. 17th St. Santa An ioTNHT floor Z/1ONINGDFNEW,d.1.n,��•u �trnl /G-/ I FLANS �/ I BUILND/R /L LCONTRACTOR Pemba Subdividers, Inc, Ln� /,, '// DESCRIPTIONESCL ,..6--t ��L/_ a. 5773 ADDRESS 2850 Mesa Verde Drive DESCRIPTION - CITY Costa Mesa, Calif. A.P.NO. O NOTE: NO EAVE OVERHANG SHALL BE LESS THAN uc.NO. 187318 TEL 549-0395 30-TO SIDE II REAR P.L. EAVES SIZE I NO.OF BLDG'S. ALLOWED (U.B.C.REQUIREMENT) OF LOT 65 x 109 NOW ON LOT 0 USE OF Single Family Residence YARDSAPPROVED MAINBUILDING YARDS APPROVED EXISTING BLDG. with attached garage MAIN (((((( ACCESSORY BUILDING l FROM C/L STREET SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 39 FRONT Fr. SIDE YARDI LEFT 8 I RIGHT 7 R.SIDE 7 FT. FT. DESCRIPTION OF WORK L.SIDE inry FT. FT. NEV" ALTERATION ADDITION I REAR FT. FT. DISTANCE BET. BET.MAIN @ REF..,R MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING NO.OF VAR.# DATE SIZE 2404 ROOMS 17 STORIES 2 C.U.P.# APPROVED / EXTERIOR WAIS ROOF shingles & APPROV D AA,,. 7 6/ COVERING otuee° I COVERING shakes BY / "_'� DATE /-(N �J O USE OF BUILDING AND WORK TO BE PERFORMED klebaJw/fa . ate. -6 3d O SQ.Fr. t t?9 a- ,Iia I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE X' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. O BUYLOIINOH CONSTRUCTIONINA CES AND STATE LAWS REGULATING VALUATION e{•j 44>e q PERMIT FEE $ �V N SIGNATURE OF ��'/��/,,�,,.,�../// -I ,[j1 PERMITTER S 'y`^'" $3 l / 50 PLAN CHECK $ " s 7 " / / 1/�1, J]S 4 AUTHORIZED AG TOTAL FEE $ 1 71/