HomeMy WebLinkAbout3242 WASHINGTON AVE - Building Permits���a) �sa-sz�s • Fa: (»a) �sa-aass
CITY OF COSTA MESA �-
BUILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 3242 WASHINGTON AV
Suite:
Vicinity: SIDE PROPERTY LINES
Parcel Number: 13909408
Applicant: OKEY, BRIAN
Address: 3242 WASHINGTON AVE
COSTA MESA, CA
Owner: OKEY, BRIAN
Address 3242 WASHINGTON AVE
Contractor:
Address:
Zip:
Arch :
Adtlress:
COSTA MESA, CA
BUILDING PERMIT
Zaning:
Phone:
Zip: 92626
Phone:
Zip: 92626
Phone:
License:
- Eng:
� �� Address:
Phone:
PERMIT NUMBER
B00-00792
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 02/14/2000
Issued: 02/14/2000
ISSUED BY:
�
Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 76 LINEAL FEET OF 6 FOOT HIGH SLUMP STONE BLOCKWALL ON SIDE PROPERTY LINES.
Plan Check: $37.08
Permit: $57.05
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $94.13
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0-0
s�,szo.00
$i,s2o.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § i, 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
requlred Inspectlone and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (�14) 7545626
WORKERS'COMPENSAnON DECLARATION:
I hereby attlrm under Oenalry ot perjury one of the lollowing declarations: � . , ' �
❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as pmvidetl for by sectlon 3700 of the Lebor Cotle, for ihe pertortnance of ihe
work for which [his permit is issuetl.
❑ I have antl will maintain workers' compensation insurance, es raquiretl �y section 3700 of Ihe Labor Cpde, for the peAortnance ot Ihe work tor which this permit is issuetl.
My workers' compensation Insurance carner and policy number ere:
Carrier. Policy Number.
(ihis section neetl not be camp/etetl it the permit is ve/ued af one hundred dollers ($100J or /ess.)
❑ I cetlity that in the peAormance o1 Ihe woM for which Ihis permit is issued, I shall not employ eny person in any manner so as lo become subject to the workers'
compensation laws of Califomia, and agrea that if I should become sub�ect to the workers' compensation provisions of Section 3700 of iha labor Code, I shall torthwilh
comply wilh these provisions.
Applicant Signature: Date:
WAFNING: FAILUFE TO SECURE WORKERS' COMPENSATION COVEflAGE IS IINLAWFUL AND SHALL SUBJEGT PN EMPLOVER TO CRIMINAL PENALTIES AND CIVI� FINE$ UP TOONE HUNDRED
THOUSAND OOLLARE (5100,000), IN ADOITION TO THE WST OF COMPENSNTION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3106 OF THE LABOR CADE, IIJrEREST, ANO ATTORNEY'S FEES.
LICENSED CONTRACTOR6 DECLARATION:
I hereby aMirm ihat I am licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in full
force and ettacL Lic. # Class q
Gontraaors Signature: Date:
CONSTRUCTION LENDING AGENCY: .
❑ I hereby attirm that the�e is a consWction lentling egency for Iha pedormance ot the work tor which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lentler's Neme: Lentler's Atltlress:
Signawre: Date:
OWNER-BUILDER DECLApq710NS:
I hereby aHirm ihat under penalry of perjury t�at I am EXEMP7 FROM TME CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl ProFessions
Code: Any ciry or counry which repuires a pertnit to consiruci, alter, improve, demolish, or repair any sirucWre, pnor to its iuuance, also requires the epplicant for such permit
to tile a signetl statemant Ihat he or she is licensad pursuant to t�e provisions of ihe Con[ractors License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 of the
Business antl Protessions C�e) or that he or she is e:empt therefrom end the basis for the allegetl ezemption. Any violation of Section 703L5 Dy eny applicant br a permit
subjects the applicant to a civil penalry of not more than live �untlred dollars (5500).):
❑ I, as owner ol tha property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not intentled or offered tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner oi property who builds or improves thereon, antl who tloes such work
himselt or hersel! or through his or her own employees, provided that such improvements are not interided or ottered tw sale. I �, however, the buNding or improvement is
within one year ot completion, the owner-builder will heve the burden of proving that he or she tlid not build or impmve for purpose ot sale.).
I, 5 owner of the pmperty, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conSWct the pmject (Sec. 70G6, Business and Professions
otle: The contractors License Law tloes not apply to an owner of property who builds or improves ihereon, and who contrecis for such pro�ect with a comractor(s)
license pursuant to the Contractors License Lews.).
and Pmfessions Cotle for this reason:
driver's license. ❑ Yes
Venfication of Ownership by (type of daument i.e. - property laz hiil or deed):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CER7IFICATION:
❑ I hereby cenity thai no ezcavation tive (5) or more leet In tlepth Into which e person is required to descend, will be matle in connection with work authorized by this
permit, and that no bullding structure, scaHolding, falsework, or tlemolition or dismantling thereof, will be more ihan thirry-siz (36) feet �igh. (Chap. 32, Gry 2, An 2, Sec.
341, T�le B, California Administrative Code).
❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit trom the Division oi Indusirial Safety, as noted above, unless such person has a
permil to do such work from the division.
Signe�ure: Date:
Division of Industnal Safery pertnit Numher:
CER7IFICATE OF COMPLJ4NCE AND AUTHORVATION OF ENTRV: I certity under penalty of perjury ihat I have read this application antl state ihat Ihe information given is
co trt�gree to com ly with all state laws and ciry ordinances relating to building conswction, and authorize representatives of Ihe Ciry ot Coste Mesa to enter upon ihe
ove- �scri6a r�� � fOr i ction purposes. I agree not to occupy or ellow occupancy of any builtling authonzed b is pa mi� until final inspection.
� � - �l!`�1 �2 d�— y
Rin aturd�OG � a -Owned5l _ - �e�+'
CODE y,
1616
1266
200
Fixotl System Final Fire Prevention
Pool Spa Final
Finel Re-Roof
201 Final8locWRelein{ng Wall
202 Final Fectory Fire place
203 Final Sign
204 Final Demolition
2aa8d6
INTRIR�S
7 D GtJu /�.r
� ��
CO�EY INSPECTIONTYPE
206 Final Mec�anical
200 Final Plumbing
210 Final Electrical
272 Final Fire Pravention
220 Final Planning Approval
222 Final Site
250 Final Building/Oaupancy
Q�
I TIN TIALS
„
•'[HIS SICEI'�I IS FOR INFORMA7iONAL PURP066
ONLY. APPLICANC LS RFSPONSBI.E FOR PROVIDING
AN ACCURA7E REPRESENfA'f10N OF T}�Qt PROPER7Y
IIJ CASE Tf� SHAPE AND SIZE DO NOT ODRRESPOND
N77H 7HE INFORMAI70N PROVIDID ON THIS St�Ef.
.�DD • D O L � �-
L. .:�;i'+^ �iF ut': .:.v �,-,rci r
CI i � OF ;051;4 MESA
APPRdVED
�,u�1 �.._ �•
se� m pl��s andspeaficmibnsNUs7beke�lmihis
e plans
i; nc+c
��
la unlawtA ���
• SOLID WALLS/FEN�S BEIWEETI2'�6' k 6' A1 FIDC}{T SIiALL
BE SE7'BAIX A7 LFASf 30' FROM FRONi PROPERTY I.INE.
• SOLID WALIS/FI�NQ�S SHAI.L NOT �(�Y b• IN FffIGFfi
WfhIIIJ 1V OF 17iE FRONf PROPERTY UNE �10T CURB I.Wf).
• VERhY DSCAN� FROM CURB TO PROPER7Y llNE
AND 9iOW ON PIAN. VERIF7G110N FROM THE QIYS
ENGIN�tIIJG DIV670N LS REQUQtED. GLL (714) 7545349
POR INPORMA'RON.
u� vuwa �ww. ' _ _ _ ' ' ' ' —
thhplan M �bnsSHALLNOTbeheldW arobeeneppro�.
of eny p vlab s o�ny C y o esa nance an or Stete laH
1 per.nit s ell e pire�y Nm� ion and become null and vaid i Ihe build'mg o
nenced a d ma nir� acti per UBC @8@�4dC�dhin 180 ot issuance „�„�
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eM i
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� RE9DCNCE p[90ENCE pCmpUZ RE90EMCE
I
i 1
1
�•�.._.._.._.'..._
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��_—
STRE
BLOCK WALL LAYOUT FOR
,� � � ,�3/�c.� r�.� i/
G•
Ctj ���F� ��. RE
,..�T ta �` n n n\,a\�
PLANNING DIVISION
PERMIT
T;Y P_I,
, �� _
Cement CoPing OPtiOnal_ P -
Channel Bbck With 1�3/8��„ 1
Horizontal Top ot all � � � ��
Fences
For Fencea 5' or Less
Ven. Bars 3/8"yS at 4' �0" O.C. �
For Fences Higher Than 5' ', �
Vert. Ban 3/8"� at 32" O.0 �
Fill Cells Solid With Crou1 �^
W�ereSleelOccurs r
< J h.
qcinl�rci�g Slvel $hall;,
Conlorm to Sec.A-15�39 , �
A.S.T.M. �
AIISleelto be Lapped �
24" or to Code _ 1 ;
NATURAIGRADE -� :��
'c'� L
\i�/. . ���\� � • \:�1
�
� TWO]/8"dBARS - >�
CONTINUOUSTOP f
6 BOTTOM r_�
L
MOQI3.STEEL MUST BE TIED IN I=
Vl4CE AT TIME OF TRENCH
INSPECTION. p
CAL� 6�� CONCRETE BLOCK
�
FENCE
j - �
->
Z.
-,�'
�W O
:u '- _
2'
�W Nf
�LL -
C
� N
fI--
I-� K IOTM
SEE LMt
BE LOw
GENERAL- NOTES
MORTAR: pna Parf Plastic Cemenl, and
GROUT; Three Parts Sond
One Pa�t Cement TMee ontl
One Nolf Parts S�ond
COPING: One Port Cemenf, T�ree
Parts Sand
CONCRETE: We�l M�aed CZ- V2: 3- V2
Mc� ol 7- I/2 Gallcns ot
Water Per Sack of Ceme�t
GROUT MAV BE POUREO FROM THE TOP
OF TME FENCE IN CELLS WNERE STEEL
OCCVRS.
CELLSANO AREASOF HORIZONTAI REIN
iORCEMENT SIiALI BE CLEAR, CIEAN 6
FREE OF pLL MORTAP DEBRIS. ETC.
H C�" C4RTNTCOTH
V! ir�E HEiGTH OP FENCE
B�LOW BOTTOM Oi �OGT�NG
, SCAL.E: 1/2�� = I'
FOOTING RE�UIREMENTS CHART " , , .� - � '
WALL HEIGHT G� 5 4� � . 'J ll
wiorr+ io" ia" . i2', :,; -. i2�
TNICNNESS , . .10'� . . . . .10" . . . 8�' �r.� "" ' �6'"
DEPTH OF EARTHTOOTH 24� . . 20� 16�� � �-1�2��
SPACING OF EARTHTOOTH. IZ' . . 14� . . . 16� ��16�
� . . ""T:�t��1, � e
BUILDING DIVISION
�
�
�
PflOdECTR�OflESS: 3z42 WASHINGTON FiV
owxeesxame:SCHIFFER, DAVID H
nooeess:SCHIFFER DEBBIE
3242 WAS{iINGTON AVE
COSTA MESA,CA 92626
AflCH1ENGINEEP: 4 3 5— 9 5 5 1
aooness:
flEG.NO.:
UNIT:
uxiT:
PENMITTEE:PRIMO ROOFING (714)841-4456
noonEss:17066 PALMDALE ST
HB CA 94627
LICENSE� CONTPACTOP DECLARATION: I �ere0y aifirm Iha� I am licensetl under pmvisions ol C�apler 9(cammencing wi�� Section
7000) ol Divsion 3 0l ihe Business antl Pm�essions Coae. an0 my fcense is in lull force anA eifect.
c�Truc.:0076393 sT"TE"c33112Q�y�� cus�,,,SC �9
oate: _C9— 2l —9 Signamre: _(� Zi��pl�_
WOflNEflS' COMPENSA7ION DECIAflATION: I nere�y aflirm tnat I nave a ceniiicate of consent to self-insure or a ce�ificate of workers'
Campensation Insurance, or a cerlilictl copy Ihereo� (Section 3800. Lab. C),
roucvxo.:0662523-93 EXP.�ATE:OSIO1�94
comraxv:STATE FUND
❑ cen�rea caov �s nereoy mrmsnea. f(7 cert�rea wpy �s nee w�m me cny e�a/a�9�/ o���son.
Oate: U` '��� `� AppliCdni: � -�""'^Y
'� EXEMPTIONFROMWOPI(EBS'COMPENSA710NOECUBATION: QAi55ecli0nneeUnolUetOm01e�e0il�heperm�i5toronehunGr¢G�510�Or1e55�.
�� I cenity I�at in I�e Dei�armance al the work �or w�ic� Ihis permil is i5sue0, I shall not employ any permn in any manner so as lo Decome
subjecl lo �ne Workeri fAmoe�3�tion Laws ol Califomfa.
Oare: SignaNre:
NOTItE: Ii. afler making ihis Oeclara�ion, you s�oultl betome suEjeci Ia I�e Workers' Compensa�ian provisions o� ��e LaEor
Cotle. you mu5i IOrihwilA tOmply with 5uth pmvi5ion5 or Ni5 De�mi� Shail be tleemetl revoketl.
CORSTHULTION 1EN01NG FGENCY: I �ereby allirm iha� there is a cansimction 1¢nainA aAency fo( ��e pehormance of t�e woB br
wnicn mis vermii is issuetl ISection 3097. Civ. C�.
LENOEH:
RO�HE55:
OWNEB BWIOEN OECLAHATIDN: I hereby allirm �hal I am eeempt imm the CanUactors' S�a�e License Law br lhe �ollowinB �ea5on
(Sec�ion 7031.5 Business antl Pmlessional Code: Any city ol counry which reQuireS a permii �o cons�mct, al�er, im0�ove, demolis�, or
repaii any slmclure. prior lo its issuance. alm requires ihe aD�licant lor such permit lo lile a signed statement t�at tle/she is licensea
pursuam Io Ine pmvisions ol tne Comraclors' Sta�e License Law (ChaO�er 9(commencinq vnl� Seclion 70W) o� Oivision 3 0l ��e Business
and Pmlessions Cotle) or Iha� he/she is exempi thereirom ana Ihe ba5is �or I�e alleqe0 exemplion. Any violalion of Seclion 7031.5 Oy
any aDolicanllor a Oermil su6jec15 Ihe appliwn� to a civil penal�y ol no� more I�an live hunOreA Oollars (5500).
I, as owner ol I�e propeny oi my empinyees with wages as I�eir sole compensalian, wiil tlo ��e work, and Ihe
❑ 9maure i5 nol inlenCeO ar oil¢r¢O ior Sale (SeClion 70Cd. Bu5ine55 anA Pmlessionai COUe: T�e Can�raCfOfs' Sia�¢ Litense Law
Ooes nol apD�Y lo an owner ol a OropetlY �'/ho bufltls ar imprOv¢5 Ih¢r¢on. anG w�o EOM sucA wark himself/heRelf or �hroug�
his or ne� mvn employ¢es. D�ovi4e0 ��ai such impmvemems are nai intenaeE or Ofleretl for Sale. II, Mwever 10e buil0ing or
imD�ovemeni is 5010 �Ihin one year oi wmD�elion, �he owner will have �he OUrEen al pmving he/s�e tliE noi builA Or improv¢
for Ine OurD�e ol sale�.
I. as owner o� Ihe pmperty, am exclusively canVac�ing wilh liCenSed conlraCtorS i0 COnSimCl the Dmjet� (SeC�iOn 7044, BuSiness
❑ antl Prafesvons CoCe: T�e Coniractors' Sla�e License Law does not aDDty Io an owner ol DmpeM �o Omlds or impmves thereon
anA wh0 conVatls br Suth projett5 wiih a taniractor�S�IicenS¢ purSuaN lo Ihe Cantratlor5' Staie LicenSe Law�. I am awafe
Ihat Drool al Ihcir Workefs Compen5aiion insurance s�oultl be pmvidetl Io me.
� I am exempl un0er Seclion: B. 8 P. C.
�or I�is reason:
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; H 062670
PERMIT NO: B 062670 PLAN CHECK NO; N GOVT: N SUPP; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/OFF REROOF W/COMP SHINGLES SQ FT: 5,711
CLAIM VALUE: 5,711.00 CALC—VALUE: 5,711,00 GROUP OCC; R-3 /M-1
COMMENTS: SMOKE DETECTOR(S) RE�UIRED REROOF 2700SF RESIDENCE 6 GARAGE
�*�**�*�**��*�****�*��.�****�*� **#������**��,�*������**���*'��I��*C��i`�t��`�R
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S ��(��� �j�
------------ MAIN BUILDING ---------- --------- ACCESSORY BUII;flI7�"'���-+� --
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN '
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARRING REQ • PROV; PARCEL; 13909408 ZNE: REF NO;
PLANNING NZST'ES>
%,
iE iF iE ff ih i! k 1f iF k i! jF iE iE iF �F iF ik iF1F 1Fit if 1F if !F!! ik �f !f iF it iE iE 1k 1flE 1k ff 1k fF 1E if ff 1E �F 1t iElF if 1FIF )f fE iE if 1Elf If if k ik iP IE it iElE iE iE.lE iE iE ik 1F i! iF if if 1F
D E V E.L O P M E N T S E R V I C E S R E Q U I R E M E N T,S
20NING APPROVED BY DATE; .
BUILDZNG APPROVED HY ; DATE; �
^\
APPLICATION ISSUED BY; DATE; � Z
ififififiFifiFifilkiFifk�lkiFifkikiEifif 3f3FiF'iFiF'iFiF 3F�F{FiFifkiE�IfifiEifiFiFik iFik
1f k 1F if k if iF 1E iFiE �E ft if �F k it iE if if �F k iF k i! iF if 1! iE 3F if if 1E 1E if iE 1k iElk if i! i! ik �1F iE iE 3Flf iEiF3F if iFlf k k ik 3f if k if if iE 1F iE iF iFlF iF ik 1f i! if If iF iE IE 1E k ik
LEGALI2ATION;N F E E S 0 M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING EI,ECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81,00 ,57
PL� ;y, SMIP/NON—RES
ISSUE FEE
BUZLDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81,57 0,00 0.00 81,57 81,57 ,00
REVENUE DIVISION TOTALS--> COLLECTED• 81,57 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC� FIRE SMIP/TOT GRADING PLAN—CHECK
81,00 ,57
k ik iF ik iF iF if iE iF if !F 1f iF if ik if 1F if fF 1E ik'k if 1k if if 11� iE iE iF 1f !! 1f if 1F'�E IF ff'If if iE iE'!f fE'M if if iF iF iE iF iE 1f if �E 1f iE ik iF iF 1F if 1klf if 1E k if if 1E IE i! if 1E if 3flF if �t
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O'"N UNIT COST TOTAL COST
oate: Owner: I S�,R
I tlo here�y cetlity Ihal I am aware ol anA untlerStanE the repuirements a� Calibmia Heallh and $atety Code Seclions 2550.5, 25533, ana
2553d and ��al I or any Iuiure Uuiltlmg occupani vnll/vnll not (circle one� neea Io cam0ly vnlh 5ai0 state cotles an0 the repuiremenis lor a
permil br conSimtli0n or moailitaiion Imm �he Air Oualiiy Managemeni DislriCi. FeSiUCniial tonstmc�i0n ap0litaiions are exemD� ��om
Ihese provisions.
Daie: Apvlicanl:
I he�eUy c¢mIY ��at I have reaG Ihis applitation antl stale �ha11Ae abOv¢ iniotmalion is COrre[I.
o�einances ana slatelawsie�alinglo Oudding conSlmciion and hereAy auihorizerepresentalives ot
pmperly �or inioection pqurpos¢5.
Date: 6 — �'� — / � Signalure:
OriveiS License or Social Securiiy x:
campty wit� all ciry antl wunty
enieruDonllM ahOve�menlionetl
i64i�d6 Wlule—Bwlping; Green—Cade Enlorcemenl: Canary—AppliwnC Pink—Revenue; Goltlenroa—Assessor
5711 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
f �
1,00 5,711,00
O1 00141290-0�141291 T C�T �1.57
DATE: 06/21/93 TIriE: !?:13
CONSTRUCTION ANp PLANNING
APPROVALS Permit #
t. TemOorary Electrical Service or Po1e
2. Soil PiPe-Undrgrnd. -
3. Electrical Conduit Utility•Undrgrnd.
4. Electrical Conduit•Undrgrnd.
5. Steel Reinforcement
6. Elect�ical UFER Grnd.
7. Footings � ,
8:•Foundation '
3. Water Pipe�Undrgrnd.
10. Structural Floor System
17. Property Sewer Line & Hduse�Connecti
72. Sewer Cap �� �
73. Roof Drains
14. Rough Pivmbing �
15. Rough Electrical-Condutt
16. Rough Electric Wiring
77. Rough �Viring Slyn
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. flough FactocY Fireplace �
21. Ducts, in Structure �
�
22. Ducti, Ventilating �
23. Gas Pipe-Rough & Test i
24. Roof Framing' � � �"`
25. ftoot Sheathing � =.
26. �T�Bar Ceiling (Structural) & iNonocoat
27. �rame and Flashing-. � ,
28. Lathing & Siding. • �
29. Insulation � � � •
'90. Drywall Naihng '.'
31. Piaster grown Coat . . . �
32. Electrica� Power M�tEr=Final
33. Finai ElectriC � •
� 34.� final Heating & Air Conditioning�
35. Final Gas Pipe�Test, , ,
36. Hood or Canopy , _
37. final Factory Fireplace _
_38. Final Plumbing � '
39. Water Service=final
40. Gas Service-Final �
-'41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow irrigation , � � '
44. Landscape Irrigation�System.
45.�ound Attewation=.� ,
46. Hardicap Regulations _ � • �
47. FINALSTRUCTUR',�&BUILDING
48. FINAL PLANNING� � •--
49. Electric Release to Ei{i4on�.�
50. Gas Release to Sou[t�iern Gaiifornia Ga�
No. '�Date
Date
Inspector
�c��
��i
i :
P00� oPA
APPROVALS Permit #
52. �Pooi & Equipment Location
53. Stee� Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAI.TOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe. O Untlrgrnd.. Test
60. Backwash Lines, P-Trap, � Undrgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor�Fina�
63. Heater & Vent-Final
64. Plumbing System � Final
65. Electrical�Final
66. Solar System•Final
67. Fe�cing & Access ApP�oval
68. APPROVED FOR PLASTERING
69. POOVSPASYSTEMSFINAL
FIRE DEPT. RE�UIREMENT
APPROVALS '-Permit #
Date � Inspector
70. Underground Hydro
�71. P�oduct?ipin9�Gas OOii
�72. Undergrodnd Plush � � �- -
-73. Undergmd: Storage Tank O Gas ❑ Oil
74: Qverhead Hydro
75. Dry Chemical �- '
76. Dry Standpipe � '
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL -
- HEALTFjDEPT.REQUiREMENT
_ 79. FINAL WSPECTION �
' 80:`FOOD CERTIFI'CATE ISSUED
Pfl0.1ECT FOONESS: 3 Z 4 Z WASH I N TON AV
OWNEfl'SNAME: SCHIFFER, DA�ID H
nooeess: SCHIFFER DEBHIE
3242 WAS{iINGTON AVE
COSTA MESA,CA 92626
PflCN/ENGINEEN:
flEG.NO.:
UNIT:
AOOflESS: UNIT:
PEHMITTFF: NOCK PLUMBING ( 714 ) 895-1246
AODNESS: 1 S G S O S EABOARD C IR
STANTON CA 90680
LICENSED CONTBRCTOH OECUMTION: I �ereEy allirm Ihai I am Iicen5e0 untler prmitions ol CIwO�er 9(commencinp wilh Seclion
7000� ol OiuFi�c ,ld,!,�CFusiness an0 Prolr�r.ipniCul� yi� icense is in fu�lor� 6tl eile t.
V7V.70b 71 7 1 l..
CITY LIC.: �% STqTE UC.: LlASS:
Dale: � � � � — ` � Sipnaiure: _ �'�—
WOANENS' CO �PE�NjAe7710�N O�E�U�NQ ION: I �ereby aflirm that 1 �ave a coe 3 i�te01c �s9enlro seu-insure or a cemficaie a� workers'
Compensalian s�:�y c topy I�ereOi �Set�ion 3800, la0
, roucr No.: STATE E%P. ORTE:
COMPRNY: ,�{
❑ Cenifiea capy is nereUy IumisneU. LJ Certifietl copy is fil�h t�e ciry BuilOing Divisian.
I Oate: � � ' � ` ` v Appliwnl: ��7
EXEMPTION FNOM WONREBS' COMFENSl1➢ON OECUflRTION: (ihis sxAon nettl mt be mmplelM il Ihe perm� is lor one AmMreO (510�) or less�,
I certiiY thal in Ihe O¢��ormaMe ol I�e work lar w�kh Ihis pumit ¢ issued. I 5ha0 not employ any persOn in any manner w a5 io become
SUG�e[1 to ihe Worker5' Compensalion Laws of Calilornu.
Dale: SiqruWre:
NOTICE: li. alier maMing iNs Ceclaratiw, you s�ou10 Oewme suEl�� �o t�e WnrYsrs' Compensa�mn Dmvisbns ol tAe LaEor
COEe. you musl ton�witn tAmO�Y ��� suc� provisions or iNs permit 5liall �e deemeA rtvoked.
CONSTHUCTION LENUING PGENLY: I hereUy aifirm Owt I�ere is a consiructian IenEinq agen�y �or I�e petlormance oi t�e work br
w�ic� IMs permil is SsuM (Stttion 3W7. Liv. L�.
LENOEfl:
nooeess:
OwNEP BUIIDEB oECUBAiION: I nereDy atlirm inat I am erempt imm ine Contractars' Staie Lice�rse Law lar t�e lollawing reamn
(5¢tlion 70.37.5 Busine55 ana Vmlessbndl fAtle: Any city of munty wNcn reauires a ce��� lo fAnsirut6 alter, improve, tlemolisn, or
�eDair any SltUtlure, prior �o ils issuant¢, aIW r2puire5 Ihe appliWni IOr SUCh p¢rmii l0 lile a Siqned Slaiemenl I�ai �PJS�e is liCensed
pursuant io ine pmvisions ot t�e Convacmrs' Slaie License Law (ChaO�er 91�ommencinp vnt� Sepion 7000) ol 0ivision 3 0� I�e Business
an� Pmlessions Cotle) a� I�ai he/s�e is eeempt i�eretmm anE t�e Oasu for ihe alleAeO exemption. qny doWtion al Section 7031.5 Cy
any applicant lo� a permii SUEIe��s i�e aOV����� �o a nWl Oe�liy oi not more itun five �unOreO tlollars (5500�.
I, as owner ol Ihe propetly or rtry employees wit� wages as t�eir mle compeination, will Ao ihe work, an0 tAe
❑ s�mcture is noi intenUetl or olferetl for ule (Sectian 70a4, Busines5 ana Pmiessional Code: The Contractors' Siaie License Law
does no� apply lo an owner oi a pmp¢rly who �uilAs or im0�oves lhereon, and who tl0e5 SUCh wOrk himsell/�erSeli or Ihmup�
Ais oi Aer own employees, provi�ea Ihat sutA improvemenis are nol inlentle0 or ollered lor sale. II, �owever ihe builtling or
' impwv¢ment is soltl vnihin one year ol complelion, IAe owner will have Ihe 6urtlen ol pmvin0 he/s�e Uitl nol builtl or imD�ove
lor Iho Durpose ol sale).
I, as awner af t�e OmDenp, am exclusively contrac�inp vnlh Iicen5e0 contractOrS to consirucl �he prolett (Seclion 704A, 0usine55
❑ and Pmlessions COGe: TAe Contracmrs' SIa10 License Law Oce5 nol ap01y l0 an owner ol O�Operiy w�o OUilas or improves ��ereon
ana wno contracts br sucn pmiects witn a contractoqsllicrose oursuantta Ine fAniractars' Stale License Law�.l am aware
Inat Dmol ol inei� Worke�'s Compen5dlion insuranre snoNA De D��4� �o me.
� I am eeempt un0e� Seciion: B. 8 P. C.
for Ihis reason:
Dale: Owner.
I Oo hereoy ce�tily Ina11 am aware ol and unaerstan0lne repuirements a1 Calilornia Healih ana Saiety fAae S¢ctions 25505, 25533, ana
2553a anC t�at I ar any Iutme buil0ing occuoant vrilVwill not (ciale one) nee0 m comDN ��� �b state co0es an0 Ihe mQuirtmems far a
permii Ior ConSlruClion or mo0ilicalian Irom I�e Au aLiy Marugemeni USMCL fl¢4Eeniul COnSIruCIiOn ap0liwli0n5 are exempl Imm
Ih¢Se D�Ovisions.
Dale: Applitant:
I�¢re0y Ceriily I�ai I �ave rea0 I�is apDlitaii0n and Slatelhait�e a0oveintormalion is tOrretl.IaAree lo wmply wilh allCiiy antl coUnry
mainancesanes�atelavrsrelalingtobuilaingconsirupianan0�ere0yaut "erepresemativesoli�istiryroe rupontheahove�memianetl
prope�lY��o�r inspe�[I{ion pur(p�osel5.
Oate:��'V
oriver's L¢ense or Sociai Security x:
t64L46 W�ne-0utlamg; Green—Cotle Eniarcemenc Canary—ApO��cam: Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT �ER�A. 9-�^--�i ra-i-�
PERMIT NO: P 050115 PLAN CHECK NO: N � 6Ad'f. !i SH�—;r
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION ; REPLACE DISHWASHER S(J FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS• REPLACE DISHHASHER -**MAIL IN PERMIT**
�e�r+t***+r****�r*�t�t*�r�rx**r�t*r�r*+r*�r*�r*�rr�r**�r**�***�t�t�r*�t�r�rx*�****�r**�rx��r***�t+t�t�*�t*�e*�r�t
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 13909408 ZNE: REF NO:
PLANNING Nt51'ES>
�
3f if iF if 1f it if if If 1Fif iE iE If �k If if 3E iF if if if if iF if M if if iE if �f iflf IE �F i! 7F iE 1E �f 1f iFif K iE if �k IE af iE �E iE if K if iE IFif iF iE if M iF iE IE af 3ElF IE iE iF i! M iF iE �f IF if if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY :C��� DATE: -�
APPLICATION ISSUED HY; //�• DATE: �C �
MlfikiF3FkifiFMlflk�filifiFlEiFiFifiEiEK iPkiflFiEikiEiFif�F M1F
If�ffFififlFlFiFfflFiFklfMMMM1fiF*lfif�flE�tififMifiFiFlfifMiF1 ikififiFjfifkkklflEilkifiFlffEifitifiEitiEilkklkiFlFkltiEM�F1EiFikifiElFiFiflf
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT BLDG PMT PLUMZI00 ELECTRIC MECHANIC FIRE SMIP/RES GRADING
�St SMIP/NON-RES
PLAN
ISSUE FEE 3,00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 2,00 3.00 0,00 5.00 5,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECiiANIC FIRE SMIP/TOT GR.MT.NG PLAN-CHECK
5,��
if 1f fF if iF iF ff if if It if �E �t k k iF k 41F �F Ik k if IE M iE if IF It 1f iE k If �f !f �tlE IE fE Ik k k if iE IE IE If if �E M 1E IflE k k IE iE if it IE iE IElE lE if 1F 1E fE iE af 1E if iE 1F iF iE if M 3t
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLQ 1 DISHWASHER
2.00 2.00
END OF FEES
QS QGWS`31-C1Cli5c�1 Z :d'Y = �^
✓�;iE; 1?!04/4Q ?'�T_: i2:s? -- `
! i
CONSTRUCTION AND PLANNING POO� & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Ser.`�ce or Poye�; 52. Pool & Equipment Location
2. Soil Pipe�Undr�qrnd: .. �` ' 53. Steel Reinforcement
z,
".:3:`Electrical Co duit' Utilit'y�Undrgrn�.'� 54. Forms
r4c EleGtrical Conddit-Undrgmd. c 55. Electrical Bonding
� �
•. `_5'.:'S�teel Reinforcem'ent 56. Rough Plumbing & Pressure Test ��
� �.
6..Electrical UFER Grnd. •- 57. APPROVAL TO COVER�GUfdITE ��
• �7�i�'ootings �?'� � 58. Electrical ConduiFUndrgmd. "
� �n� J:
, n: � .
�=�. -Foundation ' � 59. Gas Pipe, O Undrgmd., Test ..
J�S.;Water Pipe�Undr rnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
�
� 10. �Structural Floor System � 61. APPROVAL TO DECK
11. Pr.operty Sewer Line & Flouse Connection 62. Backwash & Receptor�Final
r_ c
12. SEY+,er Cap '� �
n: , cv 63. Heater & Vent�Final
13. Roof Drains �c 64. Plumbing System - Final
14. Rough Plumbing =' 65. Electrical�Final
15. Aough ElectuLal-Conduit 66. Solar SYstem-Final
16. fio�gh Electrie Wiring 67. Fencing & Access ApProval
17. Rough Wiring�Sign 68. APPROVED FOR PLASTERING
18. Rough Electn�c�al-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- ' ' - - - - o' m �- t: .� S
20. Fnugh_Factoryifiireplace ��.�: <'� ::� C-* �� T APPFROV'AI:S'= P�Imit#�' �
�n .i s � �� S . . r, �. � C .r, �S:�J - -
21'.� Ducts,JnSt�uct�rB ' .F. •�-� � '� � �'"'-"' '. � �^
- 1. , t � .�S \ - �• .. 70. Un ergroupd Hydro
2� DUcts,�YenTilatirg i ��S + n ;� G� r u 71, produkt�piping'�L7�Gas OOiI
231 G s Pi Rp�9h'&�Tes[ � ",� �. r '�.i. 'r .� n� I n � _+f
. P.g- i i�._ �. ;n � `y �.�. ,_ 72. Underground Fl�sh
�. �. ,- ( . .. �N �.
24� Rnof Etaming �r, a �- F� ^�- •� �::� ��+ �`_ 7•3. Undergmd. Stora�e TanR O Gas O'Oil •
--s n � : n
c �
25. R'oof �ieathing ; : � N � ; ' � ' � ' j ; � ' 7;� Overhead Hydro" a
28, T•Bar Ceiling ($trWct�raq &�Moaocoat ��i+- �• 76. Dry Chemical +�+ �
� �
27: FSame and Plasfiirtg U= c '' "' 76. Dr Sta"tl i e ` s "
� � -.[ : u;�• .,, Y p,.P P �' �- � �t
' 28. Lpthirig& Siding: �,� ye=s � � F � 7•,7y. FIXED SNSTEjv1,FINA'L � •'�
' 29. Insulaikn '� -� ; ~ '� ' n �, ; 7g. PIRE PREV. 51N�L . � � ;q
� 30. Drywa I Nailing�. }" �� P�� �:. •4. L•• +HEALTH DER7rRE9UIREMENT
-, -
,. 31. Plaste��Brown Coat _ � rr t_ � � 79 �1NAL:1'�1�SPECTiION ; �' '�
�, 3�c Electnpl Ppwec Metgr�Finsl �' �V �•6 � 8Dt FOOD CERTIF�ICATE ISSUED
33 Fi'nral Ljectr'ic Kr _� � - "`� ' .; r N21tes: � �� , 7 _ ,,
� 34, Ffn'al F}eatirt,g &�f1ir`Conditioging 'r �� x �' - . � _
39: Ffnal Gas Pipe-T!s[��3� 7 r r Cl ('. � S �• i�' J
.'l. ., a. : :T.� - t
38: H�d or Cano c A � _ I , n. •� � •:, .
PY'.. ;7 �:� • fi t. s� > :10 t.'
3T-.• Firial Factory FyiBplatY ' ST � ..� �..� � � - i:�
. �
� 38' Final PlumbingE_ � ��tts � � - ( ;S - t ,z
' 39. Water Service�Finel� � � - ( � � f� .n - �%
s
� 40. Gas Service�Final i` r =�r�r .`�G� . �r7 1 . ;�� i -i,, - �
' 41. Solar OomesticFinat: ' � •• ' C+ � � ' t" �- �
+ •�• :a R -r
4P. Backflow Prevente`r'--' "' ' � ' '
i, . .;� o: 7. , n -
43. Backflow Ir.rigation� X�: � � ** � '�� ^ r� �+
�. s � nr q ^
Y x ti
44. Landscape�lirigatjon Syste,,m;� ;' ti ' _,� ' ' i _ , ;t • - ' ° '' ., r,
�. - , _ �. . �' _
45. Sound AttOnuation - . - T r 2" - � �' �1 •� �:
r �n . . - 7 - f. �
- < c i1 .. .< y i � .. .
> 46: Handi�ap Regulat�ons ' � � � , ,� :. - _ __
� 47, FMAL STRUCTFJRE & BEIILDING -,� s +
t-
46[ FINAL PLPCNNIP{G � ��'`_ •. ��i I . � i � ' . ��
:n
, : 49: Ele;ctric Release to Edison ' . � � �i . i
r
'. � 50. Gas Release to Soythem Califqr�ia Gas Co � I I f; �• � ., �� '•
, 51. CEFiTIFICATE 0 OCCUPA Y � ; � r �,, �t� ; , ,
0
No. Date
;� g�f.3:io
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MEBA. CALIFORNIA
For Applicanf to Fill In Complefely
TypE OR PRINT
BUILDING 3242 Washin ton Avenue
ADDRESS g
COSTA MESA, CALIFORNIA
OWNER Trojan Land Co. .
A�DRE55 1533 Baker St.
■ ARCHITECT
Dike & Colegrove, Inc.
1533 Baker St.
arr Cost� Mesa Calif.
s?�TNo. 167293 No: KI 9-1151
SIZE __ 60 ]L lOQ I NO. OF Blpi
FIRE
ZONE
L6GAL
FEE RECEiVED
S�SEP 16 }960
� FINANCE DEPT.
APPLICATIO�,FOR�PERTvl1T ��
sua�iN�
For Offiee Use Only
aece�rr xo. -� pe,j�sr��l
FyC9.
BY I DAi£ RECE�VED I DATE 168UHD
COSTA MESA,
ZONING
NO. OF uee,oF n
PLANe 7 BUILDINO
LIN6 PPON p [CtNTER I.�we 9TJ
iperxeer SO� REARYARD ZV� FRONT
RD I LEPT S� I RIGHT �, R. 61DE
DESCRIPTION OF WORK
L. SIDE
� X �� .. _�e._.,,.. � �� ..,..._.,... �
'BUILDIN�465 SQ.ft• NO. OF C 1
SIZF_ ROOMS V STORIES
USE OF BUILDING AND WORK io 6E PERFORMED
Single £aznily residence with
�
attached ara Plan llB
1 HEREBY ACKNOWLEOQE THAT I HAVE REAO THI6 APPLIGTION
AND BTATE THAT THE ABOVE i6 CORRECT AND AGREE GOM-
PLY WITH ALL CI��NCEe ANO ,. E LAWB �. TINO
BUILDINO CONBTRU
SIGNATURE OF �
' AUTHORIZED AGEN7 D1Ke & Colegrove, Inc.
APPROVED
THE AMOUNT 6XOWN IINGER VALl1AT�ON 18 FOR THE
PURP08E OF EBTqBL19HIN6 • PERMIT FEE ONLY.
VALUATION
PERMIT FEE $ 3S�OO
� ZJ,139• P�AN CHECK $ y���Q
T(fTAI. FFF R����O
S
4