HomeMy WebLinkAbout2065 SWAN DR - Building Permits ��I ,
�� CITY OF COSTA MESA
scat.) BUILDING DIVISION•
DEVELOPMENT SERVICES DEPARTMENT
` o PERMIT PE NUMBER
B98-01677
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT •
Job Address: 2065 SWAN DR Status: ISSUED
Suite: Applied: 09/21/1998
Vicinity: Issued: 09/21/1998
Parcel Nunmber: 13953304 Zoning: R1 R1
Applicant: ISFELD, JOEL
Address:
Phone: 714-847-7663
Zip:
Owner DERNBACH, GEORGE E
Address 2065 SWAN DR
Phone: •
COSTA MESA,CA Zip: 92626
•
Contractor: CALIFORNIA ROOF LIFE
Address: 8941 MINT AVENUE
Phone: 847-7663
WESTMINSTER,CA Zip:- 92683
License:. 509623
Arch/Eng :
Address: -
Phone:
. Zip:
License:
SCOPE OF PERMIT
DO EXIST AND INST 50 YR CLASS A NATURE GUARD SHAKE SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $6,800.00
Permit: $124.75 Claim Valuation: $6,800.00
SMIP Res: $0.68
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.43
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 Existing: 0 Required: 0 Proposed: 0
NOTES:
•
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
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 clothe
w ich 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 worfcers penyNiorl Insurance carrier and policy number are: /a,2 7/5
Carrier. o 7
Policy Number: /
CI
(This section need not be completed if the 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 shell not employ any person in any manner so as to become subject to the workers'
co •, sation laws of California,and agr,' that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
a•-• •these 41 4!r 4
A.•Xeric Signature. / »'• � �7 Date:
TNG' -- O: RE WORKERS'CO•- • • COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLAR. W..000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed und- it.gs/of -a. = 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and . 'c.# l . Class# —
Co actor's Signatu : I/.7,1''> Date:
CONSTRUCTION LENDI A ' ENCY:
❑ 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.).
❑ I am exempt under sec. Business and Processions Code for this reason:
Signature: _ _ Date:
Owner ID verified by driver's license. ❑Yes ❑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).
❑ 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 WIII 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 end 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 Safely 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes ❑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? 0 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 es ❑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.
/�
�
Signal e Of Legal Owner(s)
Carl/✓� �►� 'C 'I r
A•i •WRIUMT•!''!. --.pl , t Date
ECTION TYPE DATE ItOIDALS DODF1 IBAPFOTInN TYPE DATE IN/MALa'
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final l/a- 208 Final Plumbing
200 Final Re-Roof /0/ql� 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
2446-48
•
' • Applicant to fill In all spaces except those within heavyborder lines and sign all appropriateJ 76 6/18%86 g.00. IL
p p 9 declarations. �`/�yaeat t (♦�/)/CI.s,,8
f� i / Laidig
.
CITY OF COSTA MESA CONSTRUCTION PERMIT
P. \/1, IT NO. TRACT NO. LOT NO. UNIT NO. 15751 BROOKHURST, STE. q
C �y�a� WESTMINSTER, CA 92683
Applicant's
Project Address _ - U REPAIR
Applicant's Mailing Address 5'75( u1�51-�Ic3 TYPE OF CONSTRUCTION U NEW U ADD UALTERATION
6:60 �-1� ejif3 ir/tHJ _ C��_B6 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone
Owner's Name lLi+ "-V��+���C+,1�1•TL7yrf3�[`ld..LPhona7 'J-=l-Lap7 DESCRIPTION OF WORK/USE OF BLDG.
Address 2C• . +_�!`Y�1�1—Y_s1 Ya- U
$ Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING FOUNDATION U STRUCTURAL T Front O
❑ TENANT ❑ ELECTRICAL X(I PLUMBING ❑ MECHANICAL
Address ,�•-i« B Rear N
I.. ca. , r : S r `4r ./ illIA ;j .� Is. •7 ❑ OTHER C •Right N
—1 - ♦ 4•� '`,1 o PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing) ISIS Com' riV� ��1�7 K G
0� CONSTRUCTION TYPE VALUATION$ 5 Left R
City License No. ZONE _ GRADING U.YDS. ACRES
LICENSED CONTRACTOR DECLARATION ,,,rrr' 1A A�d,. J..�• _ Ping. Ref.# Parking Req./Provided E
I.hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: . �H/w Ol/ / Planning Notes: Q
With section 7000) of Division 3 of the Business and Professions Code, and v . ' v+ V f `rse(� M
my license is in full force ., d • f L TIG - - - - - - - _ _, tGENCD MA`l 2 7 `s'QU T
Licen - Cl.ss . c. s+ N. $
Date 1T�� 4I. I A . - - 7�1.l �/Ip • PLUMBING FEES •� RE �, � �� - 6YJ86
'YORKERS'COMPS •ECLARATI. Bar Sink Showers
iereby affirm that I have a certificate of consent to self-insure or a certificate AL FEES
f Workers' Compensation Insurance, or a certified copy thereof (Section —
• Backflow Preventer Service Sink
3800, LatiC.)� q�n7�' ra
Automatic Washer • Transformer 0 15-50 KW
Policy NoY-ILS 09 Co panyBackflow Irrigation Sewer Cap Construction PoleSub. ❑ 50+ KW
❑ Certified copy is hereby furnished. .\ uSCertyie cop ed wi :u �'3lll athtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date `"7 s applicant -f ✓9 EXEMPTI N FROM WO KERS' PENSAATION Clarifiers Solar Collectors Dishwasher y. Meter ❑over 100 amps
(This section need not be .--- • if the permndred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas -❑Electric Sub Panel
\ I certify that in the performance of the work for which this permit is issued, I -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar TankFan Motors 00-1 HP 011/2-8
Workers' Compensation Laws of California. -
- t
—
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
1 V 'NOTICE:If,after making this declaration, you should become subject to the Inc.Solar ❑9-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. - Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater - . Outlets
Lender's NameRange
Lender's Address Kitchen Sink Water Service . Switches Sign
OWNER BUILDER DECLARATION •
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal '
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P ;Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW
any structure, prior to Its issuance, also requires the applicant for such permit '•'` /�.{�_aa�A�n Trash Opmpadtdr
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains / t's1 rEe SfYFIN /L Z.40c
.''e Contractor's License Law(Chapter 9(commencing with Section 7000) of
',. :...,,,,,e
%*/islon 3 of the Business and Professions Code) or that he/she is exempt , - '
•'$refrom and the basis for the alleged exemption. Any violation of Section • .
-2031.5 by any applicant for a permit subjects the applicant to a civil .
penalty of not more than five hundred dollars($500).
LI 1, as owner of the property_or my employees with wages as their sole .Reinspection Fee $15 Issue Fee $ 3 t'
compensation, will do the work,and the structure is not intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee - $ 3
License Law does not apply to an owner of a property who builds or improves •
FEES _
thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not Intended or offered for Boiler I Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By - Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground n Building Approved By Date
prove for the purpose of sale). 6 ,r7
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date (9 /O f7/"
tractors to construct the project (Section 7044,Business and Professions Code: •
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ' - 00-100,000 BTU 0100,000 BTU ♦ SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- -
tractor(s) license pursuarit to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ ^C
proof of their Worker's Compensation insurance should be provided to me. CHECK $ PERMIT
RMIT
❑ I am exempt under Section B.& P.C.for this reason Firepi/Fact.Blt. ICBG# Fire Dampers PLANPLAMBING $ 500 RMITISSUANCE $
Date Owner Heating System& Ducting Registers
PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 0o-100,000 BTU ❑i00,000 BT GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- MICROFILM $
sentatives of this city to enter upon t e above-mentioned property for PLAN CHECK 50% $ �� -
inspection our•.• MECHANICAL $
Signature ..SASSS V • •ate - ( a0 TOTAL FEE $
Drivers' License or SS — Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•
• CONSTRUCTION•AND PLANNING >f POC SPA
APPROVALS Pe'rmit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole" .- 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. '? 53. Steel Reinforcement
3.'1ElectricalwConduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit.Undrgrnd. ? 55. Electrical Bonding
5. Steel Reinforcement .,p 56. Rough Plumbing & Pressure Test
•n
6. ectrical UFER G'rrid. 57. APPROVAL TO COVER-GUNITE
7. ;F,00tirigs . -*".7 '' c 58. Electrical Conduit-Undrgrnd.
8. Foundation :1 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Bipe,-Undrg^d.-; - - 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 `y 63. Heater & Vent-Final
14
13. Roof Drains ,Y 64. Plumbing System - Final
14. RougS.Plumbing • 65. Electrical-Final
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. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough,& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydio
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 7
27. Frame and Flashing 76. Dry Standpipe --
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTI .!CATE ISSUED
33. Final Electric Notes: S' •(o-b'4 (so, L„o
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace tc
Final Plumbing 1rj 4'-7-V C40
ii
39.Water Service-Final Tji
40. Gas Service-Final r%? O'-
r:
41. Solar Domestic-Final r. In
42. Backflow Preventer }
r •
CY
v 43. Backflow Irrigation 0
L 44. Landscape Irrigation System ---
-t
-t 45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING.tT
cn
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
C 51. CERTIFICATE OF OCCUPANCY
No. Date
.[AL`WO. UVYYIV1YG1102 '11\V. •'• •• G-`r-W \
JOB ADDRESS 2065 Swan Drive BUILDING PERMIT NO. 25174
GENERAL CONTRACTOR Same DESCRIPTION,OF WORK Res. lett. garage
AP No. LOT 4 TRACT 5493 FIRE ZONE VALUE $31,45 6 00
INSPECTIONS 10,,e , I S'•..t e Date GROUP = & J TYPE V ZONE R-1
Soil —7-- aP ,!- ca,'ri/r.7 i!rig' . PERMITS ISSUED
Gas SUBCONTRACTOR I Date I Number I Signature
Waterfrl . ,4 4-5 s-/?-e,4 Fr E Plumb'
Rough Plumbing 41 - ��/ .. _ ./ i_4 -
Prop. Swr. Line House Con.2.--- - .' ..t. moi ,,,,,, //.,, ..9., 1. - - 7-.G ht
Sprinkling System
M
TmpoaryS Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
RoughWiring /;�1IG6 � /Heating and Vent.
Trenches Forms 51 Steel Reinf. -� .l`'. Zll 0.14/fiyy,i 3/(-GG 'f,9*'3
Floor System F 7 i7 /
Bond Beam 0 Steel Reinforce 0
Sheathing 7/50 W/ // C
Frame and Flashing /, 4/.7./Gg
Lathing —In Q{I Out E AA, P/3/Lc
Plaster, Brown Coat e ' ,-.4, 6G
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final Jr4 aW4 . e. I'4'Tarran T1 Ms�d d�ti
Plumbing, Final and Gas Test L9' •SaI/OJj�
Electric, Final �_e
Building, Final C 1 i-G-Cc
CT' . 5493 251 /4 CITY OF CISTA MESA
Lot 4 '
%COSTA MESA BUILDING-SAFETY DEPARTMENT FEB 2 1966
P.O.BOX 317 COSTA MESA,CALIFORNIA
For Applicant to Fill In Completely APPPT N P RMIT
TYPE OR PRINT "—BUILDING
For Office Use Only
BUILDING
ADDRESS 2065 Swan Drive
RECRUIT NO. 25 i 74
COSTA MESA. CALIFORNIA /
RHCl VED BY DATE RECEIVED DATE ISSUED
OWNER Pemba Subdividers, Inc. /1A6-64 <2--41-4
MAIL BUILDING 9O/ ,(. ,,, _ 1 knitAt
ADDRESS 2850 Mesa Verde Drive ADDRESS O� 19 l[J(,(/4/N
Fy FIRE ,/ n
CITY Costa Mesa, Calif. NW49-0395 ZONE TYPE {. GROUP L(
ARCHITECT T BYPROVED DATE
Np7
OR ENGINEER Kaltenbach 47-8046
ADDRESS 1823 E. 17th St.Santa Ana ZONING
ZO NO.OF USE OF NEWW/jl%/4f (LTJ
I PLANE I BUILDIND
CONTRACTOR Pemba Subdividers, Inc. "��� ''
LEGAL /
ADDRESS 2850 Mesa Verde Drive
DESCRIPTION-../Ar 7`- AIc .'', til'*;
CITY Costa Mesa, Calif. A.P.NO. 0
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SATE
LTC.NO. 187318 TEL 549-0395 30"TO SIDE ft REAR P.L.
EAVES
OFLOT 67 x 125 I NNOOWON.OFBLLOTDGS. O ALLOWED (U.B.C.REQUIREMENT)
USE OF Single Family Residence YARDSPROVED
MAIN YARDS APPROVED
EXISTING BLDG. with attachgd garage MAIN BUILDINGACCESSORY BUILDING
(FROM C,.._ TREET 1
SETBACK LINET FROM FRONT ) / FT. � / �1/� FT.
SCENTER TBACK F SEET 51 REAR YARD 46.75 \
SIDE YARD LEFT 7 - I RIGHT 8 R.SIDE FT. FT.
DESCRIPTION OF WORK L.SIDE / FT. FT.
NEW ALTERATION _ ADDITION REAR l " .c—
FT.
DISTANCE BET. BET.MAIN @
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS.
VAR.# DATE
BUNO.OF
ILDING 2393 ROOMS 13 STORIES 2 C.U.P.#, APPRQVED
EXTERIOR WAt ROOF Shingles & APP ' ' I 2'Sr--‘
COVERING LIt UC CO I COVERING sbji e_ ST �,U/1Nl DATE f�
USE� OF�BUILDING A/NNDWORK TO BE�,PERFORMED
'''///
ni
2_7,5 V SQ.FT. 1 ti - c
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. O
PLY WITH ALL CITY ORDINANC AND STATE LAWS REGULATING VALUATION (Ki I:li7 m
BUILDING CONSTRUCTION. /I N
SIGNATURE OF /I`(//////// PERMIT FEE $ ��
PERMITTEE 61' h 7� G
/ $ 3 1 I ✓(- PLAN CHECK S 4 7 0
AUTHORIZED AG! .. E
TOTAL FEE $ 14 3 '5
(/
W IN rat. LJrjLtLY.0113ifr UCUS gC Unit.' "v c V
,SOB ADDRESS 2065 Swan Drive BUILDING PERMIT NO. 26961t
'GENERAL CONTRACTOR Owner-B1dr. DESCRIPTION OF WORK B10C1SW811
4AP No. LOT 4 TRACT 51493 FIRE ZONE VALUE $ 300.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1
Soil SUBCONTRACTOR PERMITS ISSUED
Gas Date I Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con. C]
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground ❑ Power ❑ _
Rough Wiring Heating and Vent.
Trenches la, Forms 0 Steel Reini. j #06-, 03- y—)-s--67
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing— In ❑ Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refit. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final
Building, Final ¢ r--Z-67
- 2691_ API •67PAID
c s 001233 z :s;***3.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
• For Applicant to Fill In Completely _ APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS ,Lr)/ /i 2 02.34-n C)1-.
RECEIPT NO. E I n
COSTA MESA. CALIFORNIA • � ��
RICII • -Y DATE RECEIVED 18• -D
' OWNER CISDEP6t- F/'-1Z-1`-c itir j.j
MAIL BUILDING
ADDRESS
• ADDRESS . 9 41 •
ILL.
EL (i 7$' ZONE TYPE /LL_GROUPV
RE
CITY '//U� NO.�/5 /O .
APPROVED
' ARCHITECT TEL BY DATE
OR ENGINEER NO.
ZONING
t ADDRESS t6
��ff
ION HO.OP USE or NEW
/ PLANS BUILDING,`QL ip
CONTRACTOR It . I _ • PV &D . /�T/�/. •�,� 1(.
LEGAL •J ,)r 4 77zot �zj9 3
t. ADDRESS • DUCRIPTON UVJ
CITY A.P.NO.
'' NOTE: NO NAVE OVERHANG SHALL BE LESS THAN
STATE TEL . SO"TO SIDE&REAR P.L
LIC.NO. NZ.
h EAVES
SIZE /,� y' �j NO.OF SLOGS. ALLOWED .(U.B.C.REQUIREMENT)
OF LOT &a X I,PA-. NOW ON 1.07I
YARDS APPROVED YARDS APPROVED
• USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STRE
SETBACK LINE PROM FRONT ( 7 PR•�• Fr.
CENTER OF STREET REAR YARD
f
SIDE YARD LE1T I RIGHT • R.SIDE I, FT.
DESCRIPTION OF WORK L.SID FT.
.4
I; NEW TERATI ADDITI N REAR ,IF - . PT.
, DISTANCE Err. BET.MAIN&
MAIN BLON ACCESS.SLOGS.
REPAIR MQYYINQ EMOLISH
BUILDING NO.OF VAR.# DATE
.": SIZE ROOMS STORES C.U.P.# APPROVED
EXTERIOR WALL I ROOF APPROVED '/n/ 4 /�/�7
1} COVERING COVERING BY !!/� DATE /°-- 0.
USE F BSI LDINSAND WORK E PERFORMED _ _ TTT--- a
INC ti-
I • i Pil . .4 les'v9,
SQ.FT. '2
D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. iJ3,
PLY WITH ALL CITY ORDINANCES0 STATE LAWS REGULATING b
BUILDING RUCTION. _ I \ VAATION �J CO PI
D
l (�i`'A.KI(^.W/' r,VYJ._.D1�'/.1/_I/I( PERMIT FEE $ '7
PERMITTEE OF II q.��
C : poo V I+ O
E V v I PLAN CHECK S I"
IAUTHORIZED AGENT cc' Oa
tldaRftS)• :ay,j,„,'i L..•'ti,:-.: •.i:ed. TOTAL FEE $ 3