HomeMy WebLinkAbout354 WESTBROOK PL - Building Permits�oonFssaeu�ove 354 WES't'BROOK PL
QYNERSILYEIfRA1Ylk COOLEY WILLIAM GLEN TR
� GOONE54 354 WE�TBROOK PL
COSTA MESA,CA 92626
' IPVI.WIUNO �OOXESS
I NCNrtECTORFNCdlffA: IIC.NO.:
I urcx on u�c.�s �ss:
urR:
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caam�cTarsw� NOCK PLUMBTNG ( 714 J 895-1246
caxrn�crars wuuwc 1 1610 S EAB OARD C I R
�ooxEss: STANTON CA ucxo.: 511971
90680 uxr:
LICENSED COMNRGTONS DECLAR�TION; I laroby allkm unEer penely d perjury Net I em Icenaetl urMx pa�iviwia d Cheqer 9
(mmmemnp x�Ih SecYan 1000) ol Drvieion J d ihe BvY�eee eM Proleaeiana Cade. eM my licerue is in hll Iwce vd eHecl.
cmuc.No.: 050386 uc.c ss: C-36 uc.No.: 51 971 EXP: 02/96
'- �Joc� �� v,�-1r3 � �-
Dae: i� '� 1 G�Ueaw:
i '%
OWNEF BUIL�EX OECIAPRTION: I heieby elfiim uMe� pare�Y d perN�Y �� �� e�mmq fmm IM ContraGore licenaa Lew tor the
lolbwip reeeon (�� )0]1.5 Bueiim� eM ProleffitMs �: �nY cIY w counlY �� reGuiree e pe�mil lo carotrud. eller. impove.
'�moleh, a repei vry eVudure, qiw lo ee ewerce, ebo repuires IM eppli�ani lor wch peimil lo file e epireE atmmrom �IW M a aM
IiceneeA W��� �o Ihe povisionv d Ihe Gonlraqoro �imnsa law �Cheptm 8(commemiip wnh Sedion ]ODO) d Dvoion 9 d iha
�uaineva eM Prdeniona Code� w Ihv he ar ehe ie examq thxehom enE Ihe baaia 1« Ne allapaE eeamplion. My voletun N Sed'on
]0�1.5 by eny ep0limm lor e permn mbjedv ��e npplicent to a civil penelry W nq more i�en liva hundrad dollere �SS00�).
� I, ee owner ol lhe propeny or my omD�e wIh wAOee es ihe'v eale compeneelion, xill do iM vrork, end �he eVucluro e nM inlended
w ollered lor ule (Section ]Oa�, Buaineu end Pmlmebne Code: The Comreaan Licenee Lew Eaea �wt epplyto en aw�w W property
who WtlEs a vnprovae IAe�eon, eM v.ho doea eucn �M �+meeH or henep a IMouph he or har awn emplvyeee, D�deE ihel wch
impovemenia ere nol ixeMed a dimed la sele. d. however, iM buikiiq a'unprovemem e sold wi�hin arc ym d mmda�ion. �M1e
owrwr�builier xill heva �M Wrdan d pmvi�p M a dia d'd ml WiIE or impwa Iw the WN�e d eeb).
❑ I. u ox�w d tM WaPoM. em e�d�dY eomreqi9 xilh IicenuE eanvMon ro wuUutl Ihe V�9� (5eaun JOM. Buairisa erd
v�a.,.�. coe.: m. cwreaa. k.�.. �. ao.. �a .00ro �o � o.,.. a aroenv wno w�m « Mo�a. �n«.o� .�e .no
conirew br wM pqeea wnh e coNretlor(e11iM� Wnuem to iM Conumas liceroe lew�.
� I em e�amq wder Section: B. 8 P.G.. br Nu �eeaon:
Dale: O.mer.
� eo n«eW ceniN u,u � em erere d e�e ww«neiw �ne �eaulremenn d cm�anu Heenn end Setani coda seaiom zssos, uva. aw
255J1, eM Ow I a eny Mun WilEiry oa�peni will / wPl nm �d2b ons) rieM to wmply wih aeiE dete mEec eM iM iepuiremmp lor
ePo��lormnelrudionwmoEififalunhanlM�'x u�y e�e0emamDipAd.Reudeniielmrw�udionappYmtippyeezempltmmiheas
wwivons.
Deta: AVG��a:
WOHKEP'S CONPENSATION OECLANATON: I MraW dfirm imdx paneEy d parjwy ans d ihe IOGow'vp Esduuom:
� 1 hevs ud xY maiman e ceM'r.tl� d aonssnt io senvpun M xaken' mrosnWion. m p'wided In by Semon 3)00 d tM LeCor
COM. ta iM pa�lmiwca M IM woek la w1ieA Ihi+ Po�� b u�ued.
C7 � n....�d.0 meim.�.onfen• mmo«iwon inw�.... Aa�.e M s.abn a�ao a m. �en« coa.. ao. �ne w�«menca a me
7C work 1a whidi tlJe G�a u ivued. MY waken' cOmWmmion inwrerca ums W D�Y numbar u�:
cd.�«: OLDEN EAGLE EXPIRES
aa�N�mn.,: ��Iff3T6�— 09/O1/96
.�ia esctian rro.e na w comdWa r �n. w�e u ro, a» n�ne�.d ed�u. Riao� o. waa
❑ 1 canly Ihet in IM pMnmenca d iM wak la whth thb pimil b uwW, I ehdl np peiam in eiry menrw eo n �o
Eecome wbpa to tM xakeri campanWion le�+ d Cef�omu. IIW ! I wbjeq to IM woMn'
ca*v«nm/:n ww�.00 a s.ai�na�ao cod..� onn,vn W.m,uvae �.
Dme: / O � yS ' A�qium: �� � _
W�mbp: F�Nun ro uevr� woiRwi rompwv�tlon e0+��tp� Is unYwNl, �ntl11Wl ud/�cf �n �rrplqw roWM�ul pMWtlu �nG
elvll nnu ,p ro om n'nentl rhouuM Gell�n lriP6�A b md/tlan ro N. ew� o/ rnmpwuetbn Mm�Yu .. PwvIW! ror In
S�etlon 3�6 0l tln l�6or Coa, IntNu4 �� ��mIY'� fMs.
CONSTPUCTION IENDINO AOENCI: I MnEy tlfim� uMar psnaAy d per'Fuy �Mt tAere u e mW�upion bMirp epenry M Ne
peAormema d Ihe wak lor whieh Ihu p�em1 i� e�wd (Sed'on 309]. CN. C).
LENDEN'S NAME:
LENDEfl'S 100FE94:
I roNiN ��� I heve reeE ihis epd�ion and qNe �hal �he aEove inlamMion le carreq. I epiae lo campy wn� NI ary aM oounry ordineMea
aM �tala lex� Matmp lo buik'vp conzruebn ud hereby eWqr¢e �epeaenletiva� ol lho ay �o en�x upan IM ebow�memioned propaM
����"��W"� RON NOCK
Pn % �
T �� Dma: ` a Z
Sipnetum r/p enVAp R �ontrena
(5151��6 WP) Whns-Build'vp 8 Selery; OreemFle; Cenery-AppGcenl; Pink-Reronua; Ooldenro�,leeeaaor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: P 074724 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : C/O DISHWASHER
PERM NO: P 07472
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO BUILDING PERMIT REFERENCE
�*it�r�ir*****itr**�e�e�r**�r*�*��*it�t�r*�r*�tat�tat*�rat**�itatatat�r�t*�r�***x*�e�e�*itif�at+r�*itit�rat�**+rit**
Z O N I N G R E Q U I R E M E N T S
S E T H A C R S
------------ MAIN HUZLDING ---------- --------- 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: 14138407 ZNE: REF NO:
PLANNING NdTES>
i
1E iE iE IE 1E 1F 7E 1E 1E 1f 1f 1E i! if IF 1k iE 141E if 1E 1E 1E iE iE 1E 1E ik 1E 1E 1E 1E 1E if iE iElE iE 1f� 781E 7E 1E 1E 1E 1E if iEiE 141f iE if 1i 16 if 1f 1f 1E 1E 1E iE fk iF 1(� 1F 141E iE 1E iE 14 iE iE iF ik iE 1f� 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
ZONING APpROVED BY . ��� DATE:
BUILDING APPROVED BY
APPLICATION ISSUED BY
1E if 1F iE 1f if 1E 1F iE if ii 1E if IE If ik iF 1E K iE iE
LEGALIZATION:N
F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
*
STRUCTURAL SEGMENT:N
PERMIT 7.00 SMIP/RES GAADING
25Y SMIP/tJON—RES
PLAN :
ISSUE FEE 20.00
BUILDING—DIV—> pERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27.00 ,00
REVENUE DIVISION TOTALS--> COLI:'ECTED: 27.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00
1f 1E iE 1F 1f K iE IE iE 1E iE 1E if 1E if IE 1f IF 1E 1E if� 1E if iE if iE if 1E 1F 1(� iF 1k 1(� IE iE IE iE 1E if if 1E if if iF IEiE 1(� IE If if iE 1EM ik iE if 1E iE iF 1F if 1E 11� iE if iE 1E M 1f 1E IE 1F 1E 1Eif 7E 1F IE i!
I N D I V I D U A L� F E E B R E A K D O W N
�R8 QTY D E S C R I P T I O�.N UNIT COST TOTAL COST
PLU 1 DISHWASHER 7.00 7.00
END OF FEES �
,/i
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�._�� tl1 OQ2925.':-�Jt9''Y?2 Tc�. ,' :?.:.'
oHrE: ir.;�.,:vs r7�r-• �.::�s
CONSTRUCTION AND PIANNING P9� 'PA
APPROVALS Permit # Date InspeMor AppROVAL$ Permit # Date inspector
t. Temporery Electrical $ervice or Pole 52. Pool & Equipment location
2. Soil Pipe�Undrgrnd. 0 53. Steel Reinforcement
U3.' gfectrical Cond�t�-WHlity-Undrgrnd. 54. Forms c'
„�-¢��ectrical Condvn-7J,'J�drgrnd.� 55. Electrical Bonding s
- ".5.•. teel Reinfarcem �'
$, RUCS 56. Rough Plumbing & Pressure Test ,�
.'��' IectriwlUFE,fF�-�nd. 57. APPROVALTOCOVER-GUNITE
��`7� Footings ��r '� 58. Electrical Conc�yr?�'Undrgrnd. '
i
��18. Foundation � O�y 'c 59. Gas Pipe, O U+iplt,�md., Test �
^��� Water Pipe�Undrg�'d.Q �" 60. Backwash Lines P".`Trap, O Undr9rnd. �
_iTl. Structural Floor System 61. APPROVAL Tf�'SECK
E7 i. ��operty Sewer Line.& HousN'Connection 62. Backwash & R�e`ptor-Pinal
•�e"ve� CaP i- 63. Heater & Ven[-Fina� • �
73. Roof Drains ' 64. Plumbing System - Final
14. Rough Plumbing �:. ' 65. Electrical-Final •
75. Rough Electricaf�Cohduit tr' ' 66. Solar System-F��1
16. Rough Electric� iri�g o 67. Fencing & Acc�SvApproval
77. Rough Wiring Sign ✓' 68. APPROVED F��PLASTER{NG
18. Rough Electrica,�l" Bar Ceiling 69. POOUSPA SYSYEMS FINAL
19. Rough Heatin & Air Cond�tioning F�(jiE_AEPT�EQUIREMENT �
t�.-. M rY fi] -' Q' i--� w!- f r T
20. � ough F,��!.to Fi^�lace ' ^�_ `�y ;. `' � �� ~ APp�OVA1'�; � PArmit # { � -
� 'I% � �� � S_ G'6 S � C�t �,, r., .� �
27. �BucFs, ir+Str�tur�t ...• �S r 5 O �+:s 70.`Elnde�rD�r�rJ �dro � -
L. -� Y <; ar Mi h L' r-.
22. nucts; V�til ing"': n� x " Y 71. Prod rYi�. m"
S � i �l xC :' io FY ye}�,;R�ng as �Oil
23. �6as kipe,Rough & Tesc i �i S*' c� c' •S ^�. � � r h
� �,• n 72. Undergr6ahd F`tilsli x
24.�oo�Fr�ing" �* � `� "� �`.? � q ,y*` 7,� UndergrF�'jd.Stq�eyeTan('t�Gas ��il
25. Roo�Sh�thing aw r`,�, v•. s�� O 7 c3 � 7$; Overhead Hyd� '�
m
•
26. 4-Ba��Ceiling (Strtt�Jf{'Ural) & rfl��'toat * � � �' ��-Tj'a. 7Cr Dry Ch�mical c..; � � - `-�
27. ��rame arM Fiashiry< ��rs �; a• �- .�r 76. Dry StaiSdhiPe�-d� '* y ,• '�
n n
' 28. Latti+ng &iSiding,� � "' �a^ v K � ..� ..�* 7� FIXED�$`X�T�i'�NFp,L� ; � N
~ 29. Insulation c'x � ^ � � � h� 7$' FIRE�'REV. FIf�yAL �* = � �
' 30. Orywall Nailing �_` � � � r, l'� '",�ti o�ALT�! DEPxi.`l�2EQ711REMENT
�� 37. Plaster Browr;'Coas;s 4 ;�r•' �. � � 79. FINAL �SAECTGDN s V
'" 32. lectrica�o��r �r•F�pal � �'�' � I �* " Sf� FOOD CERTIF�IEATE l�S�JEGL
� ..... � r� �-` // -
, 33. F�in�};,Electri� D;.; ,;, . y M. � NBtes: �� _ ,.t-�'�.�"-/�/`�'lJ_�Z� �G� _
s� � _
�� 34. �PinaEHeating,�'& /kia'6oniYitionidyS "' r � ` � S ��= * S r
�-1'� r .^•7 �K 7 `g ,� i 'r c x
� 35. ikinal Gas Pip�Test a ,�T .. »: r, � �t ` � �o Cr, � � t+�
36. Hoo�or CanopY x v � � T"" '� � 1 I � � E n� �` T
� - i xm a a {K m �o r� m
j 37. Eina�Factory Fireplace � , �.�-. ,.� ��� � S M r�
38. Fina'�Plumbing * U - � ' � '� � "'' x �
y -. � f �l `'l,� .. � x
" 39. Water Service-Final r F i �' * x � ' (* ` - �
� � r.
, 40. Gas Service-Final �- Ct^:*' c' x n'i ' �� , C% OL- Olti 'A:
�% : . � c.. h� � e-� • O E % �
= 41 . SOlar pomestioFina� S , y �� ;� " � � �� �:. =o _ X fi D
n~
42. ��ackflow Preventer ,. � cU � ! rt G `•`^ * h �
n i� :., .r �-, �1 m G x
a � � xs� + . �. �
43. 8ackflow Irri@ation , �, �; � ;* i' �; ,-� •
,4A. Landscape IrrtqatiomSystem^'�� a * � 7 � '-� �' 1i r^�-' * �`` "
�. 'S �' a' �'. _ S_ � vt C Q' ♦ 5 F
45. Sbund Atienivation� 'JGE: � �r ` �� � M, �' , ,.�;'� - -- T
46. }dandicap•Regulations V O F~ r = �� = �`
r i - U n ;
,4]. �IN,Qy1, STRl7�CTUF�t & BUIL�ING .,`. �,., � � i � r
i -
48. E'INALPLANNING� �--F� x �� ' � `•'
i , ..�r� n m � � �
49. Elec[rle Release to �ison * ' ' " '
i y I � f�� �C •,'� a.
�
50. L'aas Release to Southem CaliforrriaGas Co � `'�� � o� �'^ � �y G
bt. CER.T.IFICATEOFOCCUPANCY '� � � • • �
No. Date
�
-s
R
�
� �' ��' CO
1
- TION CERTIFICATION
_ � �sy 21/ f �� Go�f4 o���,a'�/r�h
NumD<r �n0 Suee[ CIIY Co�
lot N�mo<r
DESCRIPTION bF INSTALLATION
ROOF �� _ o
Maierisl � TJ �n-Gaflit✓t� �
T�rckness I��d+esl Z/
EX7ERIOR WA�L/J
Maferiel _FiA�.r/ /.1�.
/ �
Thicknesf (inches) � /7
CEILING
Batl or Bqntet Type G�/.ZGl4 �
T�ickness linchesl
loose Fill TYPe
Min�mum Thickness l�nchesl
Area Covved Ifi�l
FLOOR,ELEVATED
Matvial
T�ickness lincnesl
FLOOR,SLAB
h:Er•rial
T�ickness Gncbcsl
Widt� (incixsl _
FOUNDATION WALL '
Ma�eria� -
T�ickness lincnesl
�
Brand Name • �
Thermal Resistancc IR Vslue)
Brend N�me dl�.Pif�� - C-�'t = � -: •�
Therrru� Rea�itaMe IR Ya�ur! �� ��
Brsnd Name
Tnermal Resisunce IR Valoel '
Brand Name
Number of bags WeigAt per bag
Thermal Rurstance IR Va�ue)
Brand hame
T�ermal Resistance (R Va�ue)
1
`Brand Kamt
Tnermal Resista�ce (A Va�uN
Brantl Name
Tnerm�l Resls[a�ce (R Vaiue)
�
tl
� �- , DECLARATION j
1 �ereEy eenity ihai tne a�ove' insulelion was inscalle0 �� the Deiid�9 er ��e above low�ion im m�lormance wit� the �
cu�rmt mqu�atioro setiing E�ergy Con�ervari�n Standa�dt !or new �es%denxial hui7d��S: Ilocatetl :� Tnle 7d o! tne �
California 4dminisvac ve Code�. �
� I
1 ./�' �v3ssss
_ . I 1�S! /4 GTi4H �
Gene�+� Contractor �Buiroe�) ' Licrose NumUer �
1
�
_ ���-/_-� ����,� y-/a -S'3
$�qn�tere a�a Tine D�te
Sue Con�u<tor �Imalltion ApDliutor) Liceme �+umprr I
"- ' Siqn�twe mG ime 1 ^ Dale
}
F�gv.e a-1 E��mDle o� a eompfanu uryilicCF
'��J
0
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ANCH/ENCINEEH:
RD�PFSS:
354 WESTBROOK PL
COOLEY WILLIAM GLEN TR
354 WE�TBKOOK PL
COSTA MESA,CA 92626
NEG.NO.:
uxir:
UNIT:
vERMiTTEE: WILLIAM COOLEY ( 719 ) 545-8105
aooaess: 354 WESTBROOK
C.M. CA..92626
LICENSEO CONTBACTOP OECIAHRTION: I �ereEy aflirm Ow11 am Iicen5e0 unCer pror5�on5 of CAapter9�comm¢ncinp wiih Section
70�0� ol Division 3 ol Ihe 6usine55 anA Pw�essians Code, anA my license is in �ull lorce anC efleci.
CITY LIC.: STATE LIC.: ClASS:
Daie: Signa�ure:
wOHKENS' ComPENSATION oECIAPRTION: I here�y aflirm thaU nave a certiliwte of mnsem to selbinsure ar a ceniticate of Workers'
Compensalion Insurance, or a cetlifiea coDY �hereol �Section 3800. Lab. C).
POLICY NO.: EXP. OATE:
COMPANY:
❑ CenAied coDY �s �ere0y �umis�etl. ❑ Cenitie0 coDY is liletl vn�h the ciry Buildinp Division.
Da�e: Applicani:
El(EMP710NFHOMWOflNEflS'COMPENSA710NDECUM710N: (ihisuctionneeO�rotDecomDletetlilNeperimtisforonehunOreA�5100�orless�.
I certify that in Ihe peAormance ol the work lor which this permrt rs yi� e�A. I s�a o� plo�ny er5on in any manner so as to �ecome
subject ty�tt kers' fmpensation lavrs of Calitomia. �
�
Oaie: � z 6 Siqnawre: 2v
NOTILE:If, after making ihis Ueclaration, you shoWa Decome subjectto ihe Workers' Comp nsation provisions ai the Labor
Code. you mu5� brt�wnA tamplY wit� 5uch D�ovision5 Or INS p¢rmii S�all he OeemeO revoke0.
CONSTPUCTION LENDINC FGENCY: I hereby allirm t�at t�ere is a constmction lentlinp agency for the performance of ihe work lor
whicA Ihis Oermit is i=5ued �Section 3097, Civ. C�.
LENOEP:
FUDflESS:
OWNEN BUIIDEN OELLANATION: I �ereDy atlirm t�at I am eremD� �mm the Contractors' State License Law lar ihe following reason
ISectian 7037.5 Business and Pmlessional Coae: Any city of county which reQuires a Dermil to cons�mct, alter, impmve, Aemolish, or
repair any stmcWre, prior to ils issuance. also repuires ine ao0�icant for such permii Io file a Agnea statemenl ihat he/she is licensed
pursuam lo I�e provisions of the Coniracmri Slale License Law (C�apter 9(cammencinA wi�� Section 7000) oi Oivisian 3 0l t�e Business
ana Prolessions Coae) or inat he/she Is eeempt inerefmm antl ihe Eazis for �ne aliepea eKemption. Any dolation al Section 7031.5 Uy
any apDlicant for a permit subie[�s Ne applicant lo a civil Oenaliy of nol more ihan live Oundretl tlollars �5500�.
I, as owner ol Ihe propeny or my employees with waAes as t�eir sole compensation, will tlo ihe work, an0 ihe
❑ stmnure is noi intenUetl ar ollere0lor sale (Stttion 70a4. Busineu an0 Pmlessional Cade: The Coniractars' Slaie license Law
tloes not apPly to an owner of a o�ooeny who builas or impmves ihereon, antl wno Ooes such work Aimsell/Aersell or Ihrougn
his or �er own employees. D�oN�etl �Iwt Such improvemenls are nol intenUeO ar ollereC br Sale. II, haweve� �he building or
impmvemen� i5 SOIG wii�in one year oi camplelion, Ihe owner vnil �ave �he Ourden ol pmvinq �¢/5�e GiE nol 6uild o� Impwve
br Ihe purpose ol Sale�.
c� I, as owner ol I�e pmpeny, am excWsively coNraciinp wilh licensetl comracmrs Io constmct lhe Dmle�� {Sec�ion 7044, Business
yy antl Pmlessions CaOe: ihe Comractars' State Lkense Law tices rw� appty to an owner oi pmperty who bwl0s or improves tAereon
anU who canlrac�s tor such O�olecls wil� a coniracloqs)license pursuant Io �he ConVacrors' Slaie License Law�.l am aware
ihal pmol ol Neit Workefs Compensation insurance 5�oW4 be pwviCeO lo me. lIlTf/ "
� I am exemp� under Seclion: B. B P. C. � ^
lar I�is reasore/ yY� � ` �
oaie: � / 2 �'�9 I Ownec
i eo �ere0y ceNty t�at I am aware ol and untlersian0 �ne reQuiremenis ol CaliPomia HeaIN an0 Safery CoOe Seciions 25505, 25533, antl
2553a ana Ihal I or any fuiure buil0ing occupant willlwill noi (circle one) nee0 �o comply vn�h saiE staie coCeS antl �he requiremenls tor a
permil loi consimpion or modilicaiion Imm Ne Air Oualily Manap¢meni Oisinc�. PesiOential consimction applitations are exemp� irom
IheSe DrOvisions.
Oa�e: Ap0licanl:
I �¢reby rerlitytha� I �ave reatl Ihis aDVlicaiion antl Slale�hal��e ahoveinlormatian is correct. I agre¢ to comply wilh all cily an0 county
ordinances ana state laws relating Io builaing consimction and �ereby autlnrize represenlaiives o� i�is � en�er u n t�e above�mentioned
pmper�y lor inspetlion pU�pases. � �./ �'" "' 1
/q /�,. li
Date: ZG/ 1 � Signamre: ��y
i .
�rivefs License or Social Securiiy <: �.
164Ln6 White—Builtling; Green—Cotle EnlarcemenC Canary—Fpplicam; Pink—Fevenue; Golaenrotl—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06695
PERMZT NO: B 066955 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION ; T/OFF REROOF W/COMP SHINGLESl�f11R-�DhMKG�SQ FT; 2,200
CLAIM VALUE; 2,200.00 CALC—VALUE: 2,200.00 GROUP OCC; R-3 /M-1
COMMENTS; REROOF 2250SF RESID W/COMP, SMOKE DETECTORS REOUIRED PER 91 UBC
f�+�*�ri��r***x�**�r�r**�r�r******��+rx��-***x�i�x�x��r****��-�x�*�r***+��r�ci��riFfrx+t*x�rw+ri�*�r***x�*�r****
Z 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
------------ HAIN BUILDING ---------- --------- ACCESSORY BUILL�INV ---------
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; 14138407 ZNE: REF NO;
PLANNING NOTES>
>
**�r+t*�***+rx�****+�*rt�rx��r*�**�r+�****+r*+�*�tx�****�r+t***********x�***�r****+r*+�****�rx�**�r****
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 : DATE: '
APPLICATION ISSUED BY: DATE; C(�
�lEififiElf�fifif�lEif�E1flE�lE�ffiflf�lEfl�lEifiE . iE1f7f1F9Eif1kiE7E1E . �t k1f
it iE if 1E iE 1F 1F 1E if 1E if 1Elf if 1E k if if iF 1E if if iE iF 1F 1E ik if ff iE if 1E iE 1E if 1E if if i! 7f ff iE M iE 1f if iE ff it iE 1E 1tlf iE k it M 1! 1k 1E if 1ElElE if �f 1f ii 11� iE iE iF iE 1E 7t if 1F 1f� k
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC �id�Qj�F�lyT� D�—��_i_, SMIP/RSS� GRADING
PERMIT 54.00 ���Y����n �y—�p�NON—RES
PLAN p�QUIRED
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 54.50 0.00 O,QO 54.50 54.50 .00
AEVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
54,00
54.50 OVER/SHORT; ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iE fE iF if i! if 4 k 1E i! if fE if 1E 1F if k iF 1F if it if k if 1f 1E 1E if iE k 1t iE 41f if 1f if �f 1f ik k ik 1E iF 1f it 1E iE if if k 1E iE 1E iE fklf 1f if k!! if i! ik if if iF if fF if af if iElE 1E ff 1E iE iE
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST
SFR 2200 AEROOF BY VALUE AESIDENTIAL NOZONE 1.00 2,200.00
END OF FEES
1�
�ll 00159Sp1-00159SE2 T�] T 54.50
DATE: 04/26J9S 7ItiE: 14:44
�L- ` POOL & SPA
�� `NSTRUCTtON AND PLANNING
VPROVALS Permit � Date Inspector AppROVALS Permit # Date Inspector
Temporary Electrical Service or Poie 52. Pool & Equipment Locaiion
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Eiectrical Cqnduit•Undrgrnd.
8. Foundation 59. Gas Pipe, I7 Untlrprnd., Test
9. Water Pipe�Undigmd, 60. Backwash Lines, P�Trap, O Undrqrnd.
10. Structural Floor System 61. APPROVAL TO DECK
i t. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal i
72. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical�Fina�
15. Rouyh Electrical-Condu�t 66. Solar SVstem•Final
16. Rough Electric Wiring 67. Fencing & Access AnP�oval
17. Rough Wiring Sign 68. APPROVEO FOR PLASTEflING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEhQS FINAL �
19. Rough Heati�g & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. P�oduct Pipin9 OGas ❑Oil
23. Gas Pipe�Rough & Tes: 72. Underground Fiush
24. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � z�y y G �,,� 74. Ovenc�ad FlYdro
26. T•Bar Ceiling (SLrucWrap & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. I.aihing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PflEV. FINAL
30. Drywall Nailing HEALTH DEP7. RE�UIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Finai Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe•Test
36. Hood or Canopy (L
37. Final Factory Fireplace ` ti
38. Final Plumbing
/'�
39. Water Ser�ice�Finai . . � :
40. Gas Sen•ice-Final ..) -'�
, r �.-.
41. Solar �omestic-Final . ;�
42. Backflow Preventer ' S r.
' •. r '
43. Backflow Irrigation �_ ���
�' 4,4. Landzcape Irrigation Syscem � '
45. Sound Anenuation `
46. Handicap Regulacions
47. FINAL STRUCTURE & BUILDING ��7�� �W�
48. FINAL PLANNING �
49. Electric Release to Edison
I 50. Gas Reiease to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCV
No. Date
� � f/NA�
. . . �., � Appli
'-+ ', CITY OF COSTA MESA
CONSTRUCTION PERMIT
� ' Project Address 3�
.w�--�—��.- .,
Address
Contracror
Address
wilhin
�
bortler lines an0 sign all appropriato tleclaralions.
� TqqCT NO. LOT NO. BLDG. NO.
(l TYPE OF C�O/NSTRUCTION
Phon �. O ❑ NEW JaADD ❑ ALTERATION
❑ REPA R ❑ CONVERSION ❑OEMOLISH
License NO. Q ❑ OTHER
.,... _ ., .. DESCRIPTIONOFWORK .—. _A,
.I hereby affi�m th:.t I am licensetl untl¢r provl51o05 01 Cha�tet 9(com-
man<in9 with section 7000) of Division 3 of tha Business antl
Professions Cotle, •antl my Iicense is In 'full �orce antl et(ect.
License Class Licenia No.
Date Signature -
WORKERS' COMPENSATION OECLARATION
I hereby aftirm [M1at I have a certHicate of cOnSent to selt-Insure or a
certlticate ot Workers' Compensatlon Insuranca, or a certlfletl copy
tnereof (Section 3800, Lab. G.).
Wlicy No. Company
.� Certlfietl copy Is hereby iurnishetl. �,
❑ CertifieA copy Is flletl with the city Builtling Divislon.
EXEMPTION FROM WORKERS' COMPENSATION DEGLHRATION
(This sectiOn neetl nOt be Completetl if the permit is for one huntlretl
(5300) or less).
I CErtify lhat i0 t�e De�lo�mance of [he work for whith t�i{ permit Is
issuetl. 1 s�all not employ any pers n in anyqman er so es [o bemm¢
subject to t e WOrkers' Com enSdU ��w�J��i�i U�II( �nia� ����Vy �
Oate �Z���'�d�L" Sl9nature��-�wH""' �'�F"'� '"�
NOTICE: It after making tnis tleclaration, you shoultl become subject
to tha Workers' Compensation provisions of the l.abor Cotle, you must
torthwlth�'comply with suth provi5ions or this pe�mit Shall b¢ tleemetl
fevOk¢tl. _ .
CONSTRUCTION LENOING AGENCY
1 hereby affirm that there is a cons[ruction lentling a9enty for the per-
formance of the work tor which this permit is issuatl (Sec[ion 909]
Civ. C.1., _
Leneer's Name
L•entlerY Atltlress '
OWNER..BUILDER DECLARATION
I hereby atti�m [hat I am exempt from the ContraG[Or'S License Law to�
the followin9 reason (Section 7031.5 Business antl Professions Cotle:
Any city°o� county whiCh �equires a pe�mit tO�COnSlrucq alter,
Improve, tlemolish or repair any stractvre, prior to its Issuance, also re-
quires the ap� Iitan[ fOr SUGh permit to file a si9n¢tl Statement that he
Is Iitensetl �Dursuan[ to lhe provisions of the'Contractor's License Law
tlU51p255 d00 YfINC5510O5 CO48) OI [Yldt tlC Is exempt therefrom antl the.
��._�sls for the allegetl exemptlon: Any violation of SectionJ031.5 by
�*+.y applicant for a permit SUDjectS the appllCdnt to a civll penalty
�f, not more tnan fivc huntlretl dollan (5500). ' �
L� 1, as owner o( the property, or my employees with wages as thelr
Sole compensation, wlll Go lhC work, antl Ihe 5[ructure is not intentletl
ar otteretl fo� sale. ($ection �044, Business antl Professions Cotle: The
ContraGtor'S Licenze Law tloei not aOPly to an owner ot a property
who builtls or improves lhereon, antl who Coes suCh wOrk himself or
througM1 M1ls own ¢mployees, provitl¢tl ihdt Suth improvements are nOt-
int¢ntletl o� off¢r¢tl for sale. It, however, Ine bulltling o� improvemen[
is Soltl within one year OI Complelion, lhe owne� will have [he bu�0en
o/ p�ovin9 ne tlitl not builtl or improve (or the-purpose of sale).
❑ I,:as owner ot the properiy, am ¢xcluzively mntracling with
liG¢n5etl mn[ratlor5 to conSVuci lhe projeG[ (Section 1044, Bu5ine5s
antl Professions Cotle: The Contractor's License Ldw tloes not apply to
an owner of'prope�ty wh0 builtls or imprOves the�eon, antl who con-
Iracts from such prolects wlth a contrac�or(s) Ilcesnetl pursuant to
Ihe Contracto�'S Li<en5e Law�.
❑ I am exempt untler Sectlon B. $ P."C. /o� this
reason '
Oate Ownar
I h¢rBby Certify iha[ I. have reatl this application antl Ttale thal the above
TVPE OF PERMIT �
❑ GRADING � FOUNDAT�IO`N I�STRUCTVRAL
❑ TEN/iNT� �IECTRICAL y�LUMBING ❑MECIiAI
❑ OTHER � `
PROJECTDES R� q_�T��N .
SQ. FT. _.�_ �yys
OCCUPANCV�jpq CJO�NSTRUCTIONTVPE�JC.
VAWATION�LS�ZONE �
GRADING CU: JOS. ACRES
PLUMBING
BATHTUBS
'TOILETS
LAVATORIES
KIT. SINKS
SERVICESINKS ' '
FLOOR SINKS
DRINKING FOUNTAINS
INTERCEPTORS
$WIMMING�POOL
WATER SERVJ�
SYS. ,
Pl_AN CHECK
( �
1 796 I P! I.,l :� �. �. i,
ZONING REGULATIONS —I,
A.P.9f � I�' i7 ��%i% i
ZONE �I PLNG. REF. �g - - 1
�L�_ _.. __- w�rdi.rF48UILOING_.,` '. . I .
REAR VARU (TO
PKG. SPACE REO.
ZONING APPROVED BV
SPECIA� CONDITIONS:
ELECTRICAL
PROVIDED
PARK FEE $
PLFiN CHECK
URINALS GENERATOR 0-I KW_1-lO.KW
TRANSFORMER.
DOVBLELAVS APP�IANCE 30-SOKW_50'+KW
DISHWASHERS ' MOTORS. 0-1'HP_1�10 HP -_
SUMPS O/J (INC.SOLAR�-" '10-50HP �SO+HP'
FLOOR DRAINS � FIXTURES" OUTLET SWITCH[5
GAS TVBE SIGNS �
[ ARIFIFRsOQ ` i9<'�i nA POLELIGHTS
P
MECNANICAL>� PLANCHECK
HEATING SVSTEM� Od00,000 BTV _
AND DUCTING 300,000 t BTV _
REFRIGERATION •0-300,000 BTU_
SVSTEM - 300,000 1 BTV _
BOILERS ' � , BTU
''SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM - MULTIPLE
intormation is correct. I agree to Wmply with•all Nty antl county .
ortlinances antl 5[dte laws relalin9 [o construction, antl her¢by autho�iie
represen[atives [his/�city lo �nter �j'pon tha above mentioretl
property. •fo n¢f �t a�0. �pur seb. "
Si9nature /�'� _" � "� Date �L� 6�dZ
ori�e.s• uce�se or ss ,v / �SSUE FEE
CMF 0865-46 White-Builtlin9; Canary-Hpplicant; Pink�Accountin9: Goltlenrotl-Assessor
SERVICE
MAIN , , SUB
AM
APPLICATION APPROV E�
- S MMARV OF FEES � .. •--
BUILDING G �y 7
. PERMIT f ('�'^'�J'v.�� 'SMIP � � E' �� 7
- PLAN CHECK E �LL � PERMIT � '
IS$UANCE b
� �PLUMBING §� .
GRAOING E
PLANCHECK b -� '
, ELECTRICAL E� $ �
PLAN CHECK S MICROFIIIN E
MECHANICHL E ' TOTAL FEE y_
PLAN CHECK S LE55 AD-
VANCEPC b_
G
FINAL FEE §
_�.Costa Mesa Bnilding Department :1PPLICATION FOR PERMI :
-1 .,.,, P.O.Box3�� a�+80 BUILDING �
- • _ COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building L//3 /
Addrosa 7 (�
Costa Mesa, Ci$�01711a, Received by Uate Rec'd. Date Issued
Nnarnef � �. ��—i%% V � / %-'�%'�.J
Owner Co��ECE PARK No 2
Mail
Address 2 � I 6 SO. MA i N ST. rvearest
7e�, Cross St.
City SANTA ANA CALIF No.Kj 2one�
Arohitect or Ltc.
Engineer No. Approved
b
Address
ci�Y ���. 61
ContrectorFiARBOR CONST.CO No.
Addross JADAE
De cr�ptlon I No. 41 I Block I Trac�726
(Attach Metes and Bounds).
� No.ofBldgs
Size oi Lot 6� X � 2 I Now on Lot
4seof I No.of I No.oT
Existing Bldg. Familles Rooms
Setback linefrcm Rear Vard
Center of Street � Side Vard
DESCRIPTION OF WORH
New I X I Alteration I I Addition I
use
Costa Mesa, California
Plans
APPROVALS
Foundatfon Location I Inspector
Farms, Materials,
Under-Pinning
Frame: Fire Stops,
I hereby acknowledge that I have read this Application
and state that the abwe is correM and agree to comply Lath. Int.
with all Clty Ordinances and State Laws regulaIIng
building construction. Lath. Ext
Signature of
Permittee _. _ Plaster.lnt
Valuation PermitFee$ �O �
vlan check S l5 �
S I 2 � �.00 • Total �— �
Fee
aM zoa io.ee o. r. 8 5.
Bond Beam
O
9
�
PLOT PLAN
Show locatlon and tlistances from
property Iine and between 6uildinpa
- �.
- �, , � .
0
o ,
u.
r� 5..
� ` •
� __ . .
OWNER COLLEGE PARK " DATE ],Q-Z%-Sb
JOBADDRE53 a 35l� Westbrook Place BUILOINGPERMITNO. �%cµ 6
(` ERAL CONTRACTOR Harbor COR8t. CO• VALUE S ZZ�IlOO.00
LOT 1i7 BLOCK TRACT �7?fi RBS.— ia�ait gar
GROUP I& J TVPE V ZONE cuy FIRE DISTRICT � 18Q
� PERMIT$ I�S`SUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Footing Trench
Foundation Formsand Gradeto
Rough Framing
Plumbing, Rough to Slab �
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
y
s�cc
(/Sewer, House L Sewer, St. Y/'1 � S � "'1,7'�j'% �,�� .�M.�. ��:„ �
: ; Tank or Cesspool
Lathinq.ln Out ��
Final, Fixtures
Fin.al Gas Test
Occupancy � � �9/l� �$'y1
FOflM 310 JM 10�'J!