HomeMy WebLinkAbout355 WESTBROOK PL - Building Permits� �, � � s ,
CITY OF COSTA MESA
B��II,�ING DIVISION .
��� � 77 FAIR DRIVE, CO� M�$!� ~�^�[1"(�` 4) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ca.us .
� ,^ �1 �J�' F,Qjt(I�iPFf�fIONS CALL: (714) 754-5626
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A�4��i� � PERMIT NUMBER: BC08-00493
L� �
PERMIT TYPE: B COMBO � 3, STATUS: ISSUED
Sub Type: RES_RRIP �S DATE ISSUED: 12I0112008
��Q\� ISSUED BY: BJK ���� �j��
.1L
�oe nooRess: 355 WESTBRQOK.PL'CM Suite/Unit: �. OATE q"30 ��D �—
APN: iat38503 - � � Zaning: , , � � . - � .
Vicinity: �' ` PrimaryOcc: R-3
Const Type: V-B '��' ' SQ: F,T: 495 .� � Valuation: E105,000.00
��..�•�'" , . . . . ...
SCOPE OF WORK: CONSTRUCT, 495SF,�NEN/ MASTER BEDROOM/BATH PLUS AN ADDI'fIONAL BEDROOM AND CREATE A
LAUNDRY ROOM IN THE EXISTING SFD. WORK INCLUDES 3 NEW WINDOWS AND BAT,HROOM REMODEL. ELEC: 14 LIGHT
FIXTURES, 10 OUTLETS, 10 SWITCHES; MECH: 1 REPAIR/ALT COOUHEAT, 7 VENT FAN; PLUMBING:�1 BATHTUB, 1 SHOWER,
2 WASH - . . � � -
BASINS, 1 WATER CLOSET 2 BEDROOM/2BATH SFD TO BE 4 BEDROOM/3 BATH DWELLING "
y'.% �'.' �:� . . �
� � ,_ ,
• .. . .
OWNER: PALMA, ALBERTO �" Address: 355 WESTBROOK PL '. �' Unit:
Ph�d11C" . CitylState/Zip: COSTA MESA, CA . '
APPLICANT: PALMA, ALBERTO
Phone: 949-9393525
CONTRACTOR:
Phone:
Cell:
ARCHITECT:
ENGINEER:
OWNER-BUILDER
Address:
City/Slate/zZip:
Address: Unit:
City/State: •
Lltense No.
License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: � � $664.14
Building Fees: $1,021.75
Electrical Fees: $60.90
Mechanical Fees: $qq,qs
Plumbing Fees: , � ' - . $7p,5p
SMIPResidential: ,. � . •- $10.50
SMIP Commercial: � . . $0.00
TOTAL FEES: $1,874.24
"Refer to fee reccipts for all /ees pald for proJecl
License No. 000000
Unit :
ZipCode
PHONE:
PHONE:
NOTICE: The work authorized by this permit shall comply wilh all applicable hantlicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28. § 1, 12-21-92) � �
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � �
INSPECTIONS: In ordei tor 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 oblained. Failure lo obtain inspectlons and final approval vrill result in the expiration of this permit.
CODE t. INSVECTION TYVE .
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final .
200 Final Re-Roof
'q� iximn� CODEI INSPECTIONTYPE
208 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place . 220 -Final Planning Approval
203 Final Sign 222 Final Sife
204 Final Demolition 250 Final Building/Occupancy
D�TF INi1M1�
� �
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm untler penalty of perjury one of the following declarations:
❑ I have anC will main[ain a certificate of consenl to self-Insure for workers'
compensation, as providetl for by section 3700 oF the Labor Cotle, for Ihe
peAormance of the work for which Ihis permit is issued.
❑ I have and vnll maintain workers' compensation insurance, as required by
section 3700 of the Wbor Code, for the peAormance o( Ihe work for which this
pertnit is issued. My vrorkers' compensation Insurance carrier antl policy
number are:
Carrier.
(Thu secfion neetl rot Oe mmpetetl Jlhe pe�md is valuetl al one huntlretl �Ilars (Ef LG) a IesSJ
Policy Number:
❑ I certify that in the pedormance of the work tor which this permit is
issued, I shall not employ any person in any manner so as to 6ecome subject
lo the workers' compensation laws of Califomia, antl agree thal if I should
become subject to ihe workers' compensa[ion provisions o( Section 3700 0(
the Labor Code. I shall foRhwith comply vrith these provisions.
ApplionCs SignaWre
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS�UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLL4RS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE L460R CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrtn tha[ I am licensed untler provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( Ihe Business and Protessions Cotle, antl
my license is in full force and effect.
Lic. # Class #
Conlraclor 5 Signa Wre
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn ihat there is a construction lending agency for the
perfortnance of the aork fa which this permit is issued. (Sea 3097, Civil Code).
lenders Name:
Lentler's Atldress:
Da�e
OW NER-BUILDER DECLARATIONS:
I hereby aKrm ihal under penalty of perjury that I am EXEMPT FROM THE
CON7RACTORS LICENSE lAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any ciry or county which requires a permit to
consUuct, alter, improve, demolish, or repair any slructure, prior to its
issuance, also requires ihe applicaM for such pertnit [o f le a signed statement
thal he or she is licensed pursuaN [o the provisions of the Conlractors
License Law (Chapter 9(wmmencing vnth Section 7000) o( Division 3 of ihe
Business and Professions Code) or ihat he or she is exempt therefrom antl
the basis for the allegetl exemption. Any violation of Section 7031.5 by any
applicant for a permi� subjects the applicant b a civil penalty of not more Ihan
fve hundred dollars ($500).):
❑ I, as owner o( the property. or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
oflered for sale (Sec. 7044, Business and Professions Code: The Cont2ctors
License Law dces not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended or oHered for
sale. If, hovrever, ihe building or improvement is sold within one year of
completion, the owner-builder will have lhe burden of proving that he or she
d�id �not build or improve for purpose of sale.).
c. .,� I, as ovmer ot Ihe property, am EXCLUSIVELY CONTRACTING WITH
LI�ENSED CONTRACTORS to constmct the project (Sec. 7044, Business and
Professions CoOe: The contractors License Law dces not apply to an owner of
property who builds or improves lhereon, and wfio cont2c15 (or such project vnlh
a tont2cta(s� license Dursuant to Ihe COntractors Ucense Laws.).
❑ I am exemp� under sec.
Business and Pro(essions Cotle (or this reason:
2 . .r_ ' QO �
Sip�uWre-' �D e�-.>
JO ).a J/0]�
� 1
Owner ID verifietl by Oriver Yes ❑ No
Dnver's License No. Expires: �2,�f3
Verifiwtion o! Ownership by pype o� documenl, i.e. - pmDerty tax bill or deed�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceAify Ihat no excavatbn frve (5) w mae feet in depth into wfiich a
person is required to descend, vrill be made in connection with wnrk authorizetl
by Ihis pertnil, antl that no builtling stmcture, scaHdding, /alsework, a demolition
or dismantling thereof, will he more lhan thiAy-six (36) feet high. (Chap. 32, Gry
2, Fvt 2, Sec. 341, Title 8, Califomia Adminisiralive Code).
❑ As ovmer-builder, I will not employ anyone to do vrork which would
require a permil lrom the Division ot Induslrial Safety, as noted above, unless
such person has a permit to do such work from the division.
ApO�iwn1's SignaWre
Division of Industrial Safety Permit Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to Ne and
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous matenal? ❑ Yes ❑ No
(Section 25505 0( the Cali(ornia Heall� antl Safety Cotle requires, with some
ezceplions, l�at a Business Plan be filed with ihe Costa Mesa Fire
Department by every husiness which has at any one time during a repoRetl
year a quantity of hazartlous materials equal ro or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperaWre and pressure).
2. Does or will the applicant or present or luWre building occupant need to fle
a registration (orm (or awtely hazardous materials? ❑ Ves ❑ No
(Section 25533 of the Califomia Heallh antl Safery Code. with some
exceplions, requires registration wi[h the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal lo or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre and pressure).
3. Does or vnll the applicaN or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or aculely
hazardous materials)? � Yes ❑ No
(Section 25534 0( the California Health and Sa(ery Code provides [hat ihe
Costa Mesa Fire Department may require the preparation, certifcation and
filing wilh Ihe Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials wi�h lhe Fire Department.
4. If an RMPP is presently iequired, �as Section 25534 of the California
Health and Safely Code been fully complied with7 ❑ Yes ❑ No
5. Does or vrill lhe applicant or present or fuWre building occupant require for
Ihe work which is the subject ot this application a permil for such construction
or motlifcalion from the South Coast Air Qualiry Managemenl Dis[rict or from
any other air pollution comrol OisMct or agency? ❑ Yes ❑ No
(Secfpn 650502 ot the Calilomia Govemment Code requires lhat the requested
in(ortnalion be fumished on applicatbns fa nomresidential building pertnits).
6. Will any part of the (acility [o be wns[ructed under this pertnit be within
7000 (eet from the outer boundanes of a school7 ❑ Yes ❑ No
(I('yes". lhe facility must meel l�e requirement of Sections 25534 and 42303
o! the Califomia Health antl Safely Code).
7. I( a permil from l�e Soulh Coasl Air Qualiry Management Dislrict or o[her
air pollution control district or agency is required for the work which is the
subject of this appliwtion, have all of the disclosures prescribed by Califomia
Health and Safery CoOe Section 42303 been made? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from the appropriate air pollution
control oKcer�.
CERTIFICATE OF COMPLIANCE: I certify thal under penalty o! perjury Ihe
infortnation given above is wrtect. I agree to comply with all state laws and
city ordinances regarding Hazartlous Matenals and Emissions. .
SiB��ure Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cerlify untler penalry of perjury that I have read this application and sWte that
the information given is wrrect I agree lo comply with all state laws an0 city
ordinances relaling to building construction, and authorize representatives of
the City of Co Mesa to enter upon the abrne-describetl property for
inspection pu ose g not to oc or allow occupancy of any building
authorizetl thi � it ntil final 5 ion.
Z i ZGp
Si naWre af. mw(s) �- Da e�
And/WPu1�Oriz¢OAppliWnl Dale
Dec 02 OS 12:44p Baby Babaloo 94958��44� P'3
. ' , '
J
�i�X "7f4�/7�'�— ��5�
CITY OF COSTA MESA
V.O. BO% 1200 • 77 Pql+i ORIVE • CFLIFOItNIA 8ZB2l-1200
DEVELOGMEhtT SEiIVICES �EPMY�xi
New State Law:
Swimming Pool $afety Act of 2006 (Assembly Bill 2977)
Effective January 1, 2007
California Health and Safety Code Sectinn 115928 "(d) VJhenevcr a building�ercnit is issued
for the rertwdel or modiflcation of a siagle family homc wifi an existin¢ swimmine 000l_
�oddlcr aool. or gpa. the permic ehall requ've that the suction oullec of the existing swimming
pooi, toddles pool, or spa be upgraded so as to be equipped wirh an aati-entrapmenc cover
meeting the current ssandards af the American 5ociety Eor Testing anci Ma�erials (ASTM) or
the American Sociery of Merhanical Engineers (ASME)."
- 3ss d�c.sf6,ca�. �'Q f.�� l� � �3
Permit Apvlieant or Contractor's Affida�it (Please check approvriate boxl:
❑ There is aa adstinB awimming Poo4 spe, or tod�er pool on t6i5 property. I will
ias�all an anti-eattapmenc device that conforms to this law, and E undecstand that the
installazioa of this device is required prior to fwa) building inspection approval.
� There is ao swimming pool, spa, or toddlet pool an this property.
✓ Lt3�=� � o �4�A
N� j � �
,� ; J2 2 �a'
��
e✓�mnporat�0�p�sasm • coaeenaRo�icru»s.�z� • au�wnooi�o,•���sa.s
FAl[ R�a) 75..4E5B • 1LD pt�) 75a-6xu . w....G.GOitamkp.m u:
C00/l00 � 95849�iLOlt XV� BS�4l 800Z/l0/Zt
PflQIELT p00NES5: 3 S S WES TB ROOK P L I/ � uxiT:
OWNEfl'SNAME: ��5, ROBERT J �
aooaEss: p�p�,�S, DORSEY ANN
1856 PAROS CIR
COSTA MESA,CA 92626
AHCN/ENGINEEA:
RUOflE55:
nFc.xo.:
UNIT:
PEPMITTEE: JOE CARLOS PLUMBING (719 ) 598-5558
nooness: 1675 SUPERIOR
COSTA MESA CA.92627
UCENSEU CONTNRCTON OECLAHPTION: I tl¢reEy al�irm ��a� 1 am IicenSeA untler provisions oi C�aplef 9(commencing with Seciion
7000� oi Div��sion 3 of Ihe Business anA Pmlessions Coae. ana my licens is in �ull brce antl ellecL
cirvuc.: 025793 sraTeuc.:3859 S5 C-36
�"6at¢` — Sipnat re:—. _
COMPENSATIO ECUNF710N: I�erebyaifirmt� I�aveacertilicatealconsenttosel6insureoracenificateoiWorkers'
Compensa�ion Inmrance. or a ceddieG cOpy Ihereo� (Sec�io�00. LaD. C�.
roucrNo.: 1200281-93 r.oaTe: 06/O1/99
camradr: STATE FUND
-,� Ceniliea coOY �s he�eby Wmis�e0. � Cenilied copy is filetl wi the tity Buildinp Oivision.
�::
r
Dale — Applicant:
E%EMPTION FPOM WOHKEHS' COMP NSATION UELUPATION' (ThiS Setlion neeE no� �e compleleG if I�e permi� is tOr one hu�reA (570� Or 1¢ss�,
t cartlty that in tRe Oertnrma�ce ol ��e work lo! whic� I�i permil Is i55ueA. I 5hall not emplor any person In any manner so as to Eecome
subjecl Io Ihe Workers' Cam0en50�ion Laws of Cahbmia.
Oaie: SignaWre:
NOTICE: If. after makinA i�is aeclaraiion, you should become sublect to the H'o�ers Compensa�ion provisions of the Labor
Coae. you must fonhwith comply with such provisions or Ihis permit shall �e tleemea revoked.
CONSTflUCTION LEN�ING pGENC�: I here6y allirm Ihai there is a construc�ion lentlinp agency lor �he perlormance ol the work for
whiCh �M1is permil is i5sued (SeC1i0n 3097, Civ. C�.
LENOEP:
AOONESS:
�I OWNEP BNlDEB DELLABRTION: 1 here�y allirm Ihat I am exem0� �rom �he ConVactors' Sla�e License Law tor Ne lollowinp reasan
� �Seaion 7031.5 Business antl Professional CoOe: Any ciry oi counry which requires a permit m canstmct, alter, impmve, aemolish, or
reoair any simcture. priar to its issuance. also requires Ihe aoo��nt lor sucn oermii to file a siAnetl siatement iha� ne/she is Iicense0
pursuam to tAe pmhsions of I�e COntracrors' State License Law (CIUD�er 9(wmmenunp vnth Section 7000) ol Divivon 3 0l Ne Buvness
ana Pmleision5 CoOe) or ��al h¢/S�e is ecemD� Iher¢Irom an0 Ihe Oasis for ��e allege0 ¢Memp�ion. My violation Ot SeCtiOn 7031.5 by
any aODlitantlOr a Dermii 5u61et15 lhe apD�itan�io a tivil penalfy o� nOl mOre iM1an IrvE AunGreG EOIIaR (E500).
I, as owner of ihe oropeny or my employees with wages as their sole compensation, will do ihe work, and ihe
❑ simcture is noi imentletl ol o�fere0 for sale �Section 7044, Business antl Pmlessional CoOe: T�e Coniraciors' State Littnse law
does not aDPly to an owner ol a D�oDehy who UuilOs or im0�oves ihereon. antl wha tloes suttl wofk �imseli/hersell or I�rauAh
his or her own emD�oyees. P�oviQeA ihai such impmvemems are not intentle0 or oifered far sale. II, however t0e �uiltlinp ar
impmvemem is so10 withip one year ol completioq t�e owner will have ihe hurUen ol pmvinA �e/she Ai0 not UuilA or imDmve
lor t�e purpose ol sale�,
I. as owner ot I�e pmpeny, am exdusively conVacting wi�h licensed conVacmrs m cons�mc� �he prolec� (Section 7044, Business
❑ antl Pm�essions Cotle'. The ConVatlors' State License Law tloes no� apply Io an owner Ot OrOp¢rty who hmltls or impmves ther¢on
antl w�o contracis lor suC� O�ojetls wil� a conVactoqs)license pur5uani lo Ihe Coniractors' Slaie Litense Law�. I am ewar¢
Ihal prool of iheir Worker'S Campen5aiion insurance 5hou10 Ee pmvitletl �o mC.
� 1 am exem0i unAer Seaion: B. 8 P. C.
for Ihis reason:
oate: Ownec
I do �ereEy cendy ��a� I am aware 01 anG untl¢r51anA t�e requirements ol Calilornu M¢aIIA anG Sat¢ry CaOe Seciions 25505, 25533, aiM
2553C anA I�al I or any future UuilOing acu0ant wilVwill not �circie ane) neetl to mmDN ��� �iA state COOes and ihe reQuiremenis �or a
permit lor con9mction or moailic8�ion Imm Ihe Air Ouality ManaAemenl Uistlicl. Fesiaenlial cansimttion apDlications are evempt tmm
�nese pmvisions.
Oate: Appiicam:
I here�y cer�i�y iha� I have rea01hi5 aDP�icalion anU state iha� Ihe above inlormation is wrreci. I aAree lo compty wiih all city an0 counry
oreinances ana slatelawsrelalinplo builaing consimction antl here�y aulnofjzerepresentatives ofihis cityto enter uponine above�mentioneC
pmperiy loi inspeclion purpos�t _ _ / /�
Dri�er's ticense or Sociai S�cudiy x:
�
16aLa6 W�ite—Building; GreeP—�o0e Enlomemem: Canary—ApplicanL Pink—Reven�e; GolOenrotl—Assessor
CITY OF COSTA MESA — HUZLDING PERMIT
PERMIT NO: P 066918 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; PLU
JOB DESCRIPTION : GAS REPIPE OF ENTIRE HOME
CLAIM VALUE: CALC—VALUE:
PERM NO• P 06691
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /M-1
COMMENTS: NO 'B' PERMIT INVOLVED / GAS REPIPE ONLY
*�+r*+r*�t*+�+�*�rx�**+r*****�r**it�r+rx�*****+�+t*x�*��r�i��r�r+�*rt�r��*�i��r***i�*x�**+�*x*+r***f��r***fr*�rx�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 14138503 ZNE: REF NO:
PLANNING NOTES>
>
�r*�r**�r***+�x�x-�r+�x�*x****�**�*x��+t�r*�r+�+t�*****r+tf�***��t*xi��r***+�*�r*x�r�*x�x�**�*******+t�t�r*
D E V E L O P M E N T S E R V I C E S R E Q 0 I R E M E N T S
ZONING APPROVED BY
BUILDING APPROVED BY ;
APPLICATION ISSUED BY:
iE iF iF iE iE 1f iE if iF iE iF iE if iF �E iF 1F if if 1F if 1f
�fiFifififiklFiflFifiFiFiEiF9ElElEifiFKiFiE9EiEKiEiFiEiEiEiEiEiFiFiFikiflFiFififiEiEfflFiE iFiF
LEGALIZATION:N F E E S U M M A A Y
BLDG PMT PLUMBING ELECTEtIC MECHANIC
PERMIT 7.00
PLAN z5Y
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 7,00 20.00 0,00
DATE:
DATE:
1E iE iF if �f if �E If if if iF iF 1E 1E aE iE �F if iE jf M 1F 1f 1f if M if iF if
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
27.00 27.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CIiECK
i%,oa
fk if 1F i! 1E 1E 1t iE 1E if iE iE iE 1E fE {E if 1f iE if if iE ft �f 1f iF 1f iE if i! 1E 1F M if if iE if if 1f 1f 1f fE 1t �E 1Elf �F if 1E it iE if jE iE �F if iE %1! if iE iE iE if jE if 1E fE iE if 1E iE 1E if if j! if if 1f
I N D Z 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 O N UNIT COST TOTAL COST
PLU 1 GAS RE—PIPE
END OF FEES
7.00
Oi 00159391-00159391 T�] T
DATE: 04l22/94 TIt1E: 13:44
7.00
.7.%.Da
CONSTRUCTION ANDPLANNiNG POO. .SPA �
APPROVALS Permit#`r Date Inspector p�ppROVALS Permit?k Date laspector
7. Temporary Eiectrical Service or Pole 52. Pooi & Equipment Location �
2. Soil Pipe-Und�gmd. 53. Stee� Reinforcement
3. Electrital Conduit UtilitY-Undrgrnd.� 54. Forms
4. ElecFrical Conduit-Undrgrnd. � 55. Elec[rical 8onding
5. Steel Reinforcemenc 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. � 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrncl., Tesc I
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, l.7 Undrgrnd. �
10. Structural Floor System 67. APPROVAL TO DECK
11. Property Sewer line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � 63. Heater & Vent-Final
73. Roof Drains � 64. Plumbing System - Finai
14. flough Plumb�ng 65. Electrical�Fina�
15. Rough Electrical-Conduit 66. Solar System�Final
16. Rouc�h Electnc Wiring 67. Fencing & Access Approval �
77. Rough Wirin9 Siyn 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Canditionin9 FIRE DEPT. REQUIREMENT I
20. Ro�gh Factory Fireplac= • APPROVAIS Permit �
2L Ducts„ in Structure� ' ".' . ' 70. Underground Hydro
22. Ducts, Ventilaiing-+'� -� .. . 77, Produc[ Piping rJGas ❑Oi1
23. Gas Pipe�Rough & Tes . �2. Underground Flush
24. Roof Framing � � � 73.� Underymd. Storaye Tank O Gas ❑ Oil
25. Rooi Sheathing � 74. Overhead Hydro
i
26. T�Bar Celing (Structur;il & Monocoat • 75. Dry Chemical I
27. Frame and Flashing ,� 76. Dry Standpipe .- �
28. Lathing & Siding � .• � • 77. . FIXED SYSTEM FINAL '
29. Insulation �' ' 76. FIRE PREV. FINAL
30. Dry�vall Nailfng ' • HEALTH DEPT. REQUIREMENT
37. Piaster Brown Coai .. . 79. FINAL INSPECTION �
32. Electrical Power MeterFnai 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � Notes: ��
34. Final Heating & Air Conditioning � �_-� � rj �f �� ��•. 1
L�� _�-- � h�! ; ii� /� �l ., i4 ;
35. Final Gas Pipe�Test � GS -
36. Hood�or CanopY , , � �
37. Final Factory Fireplace � �
38. Final Plumbing � rf� �` �'�!
39. Water Service�Final "
40. Gas Service-Final �,�
' . ��'
41. Solar pomesticFinal .
42, Backflow Preventer - - .
43. Backflow Irrigation ' �
44. Landscape irrigation System � � -
45. Sound Attenuation �
�
46. Handicap Regulations � � - •
47. FINAL STRUCTURE & BUILDING i�
48. FINAL PLANNING '
49. Electric Release to Edison �" .
50. Gas Release to Southern Callfornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
i'
6
Ii0DPF550FBNLqNG: jSS WESTBROOK PL
ow asxweiFuaxH: JOHN CASEY
�°o"Eu: 355 WESTBROOK PL
' C,M 92626
3103520077
�vr�. uuw+c �oo�ss:
�qCNRECTOfl ENtlNFEN:
AXCX.ON FN0.5,IODXE55:
COMPACTON'S NII�:
carn�croxs�uimo
/iDDPE55:
UNT:
IlG ND:
UNT:
IlG ND.:
urrt:
LICENSED CONfPACTOPS OECIAH�nOH; 1 M1a�sby elfkm uMx penely d per'ryry thm I em ficenseE uMa powona d Cheqm 8
(mmmar�ci�q xilh Section )000) d Orvienn 3 d �he Bueinero eiM PMeaeians COAe, erd my licenae b in lull lorce eM aMer�.
cm uc. xo.: uc. cusa: uc. No.: EXP :
De1e: CaNreaa:
OWNEP BUILDEfl OECLANATION: I M1�by alfiim under penetly W perjury Ihtl I em emmq Imm Iha ConirWon License Lew la ihe
� Wbwing reeeon (Section'l031.5 BusnMe enA Proleaeione Code: Any cAy a munry xfiich rr�uiim e pertnil to oonamict, eller, improve.
emdah, a repei eny eVucNre, pior �0 4� bwer�ce, a6o rpuiroe �he epplimnt la wch pem�n io fila a oyrod �tnlemenl Nei M q eM
e IiceneeC pureueni �o Iha provisiom d �M1s ��beuors Lioenee lew �Cheqer 9(mmmmaiq wilh Sed'on ]000) d Diruion 3 d tho
Buaineo anC %olessiom Code� w ihV M w eM1e ie eeemq iheroirom end ihe be�ia la IM elbpetl axemqbn. My voleton M Ssd'an
]031.5 by eny epplimnl lor a permn wbl�s �M epplieent io a dril penelry ot rwi moee �hen Ixe huMreE Edlen �5500�).
Q 1, m owner W ��e propeny or my ampbYem wnh wepee ae Ihe'x ede mmpeneetion, will do Ne work, enE ihe eVudure o nM inleMeA
or oXered lor eela (Seclbn ]Oaa, Bud�wm eM Proleeaione Code: The Conireaas LicenSe Lewdaea rol epply lo en ownar M propery
who WiM w inpimea �herean, ud'Ma Aoee auc� work IimeeM a Mne! a Wwpli M1e a hm own employeee, pwitlsE Ihet wch
' prwemeMs ere na imaedeE n�e�� Iw eale. X. Mwevar, ihe DuiMiip a vnpewemaM ie edtl wilhin me'yaer d oomdN�. �hs
ownar-0uildar ll Mre Iha WNen d provin0 he or eM dld ml WIM or'improva ta IM Wrpoee M Wely .
❑ �. a. m.n« a �ne ww«n. ��e�r.�a.awo •vn uow,.ea w,o-mn. ro mwrua n,. waea �seaun �a.. a,.vr..m
PeWewpna �oCe: 7�y Conireqp� lieense lew Eoes nol appy io en oxner d p'ape�y who buiMe w impwp Iheraon uW who
wnvacbla suN prqed� wnh e mmreUMv)Icanaed queuenik �
❑ 1 em azemp uMx Sxvion: 8. d P.G.. br Nb i
�: - /'1 / / %J� pwrrer. _
v
I do Mreby cenA' iM1et I em awme a vM uMenWM Ne rc9uimn.rue o
2551a. vM Net I a env Mure Wikiiq �Pu� N+II / wil rwi (d�cb me
HmXh ud Sd
xnpFy wi� feiE
WOflKER'S COMPENS�TION UECLAPATION: I haroby elfirm uMer penelly d ppjury orq d �M Idbwinp Eatlernum:
❑ I Ma eM wil meinten e cwN�e d m�wnt to wMimun br xakwi compenaetbn. m prwiME la b/ Swfion 3100 W IM lebor
CoEe. iw �M prlormena ol tM w� lor MicA thh permil n iveueE. -
❑ I have arW wiA meinten waken' ePmpenation inwraMa. u rpuirsd by Sedian 3)UO of tM labor CoCe. M IM psilormenn d iM
work lu rfiirh Mis pemid'u lousd. MY waVan' compamaiion inwnnn carriar ud pdiry number ars:
Cemae
Polcy Number:
�(Thia exYion nesd na M cwnplsroE / ths prm] is M wro hundie0 Ldkn (SfOJ) a Iw.)
� I ceMM �hel in �ha prlormexa d IM xroM lor whkh thie paim� le hsiwE, 1 ehell nd empby eny Po�� �� �Y menn�r p n to
bscma eubjad lo Ihe worken' canGonwbn 4w d Cdibmu. aM pree thm M 1�MuIE bewme wb�W io IM xoM1an'
compenmlim pmvnon+ d 6epbn �)00 d Iha Labor COEa, I ehell lonhxvlh compfy wi0i 1Mea poWsions.
Wom/np: F�Nun ro��cvn wvMn�' nmpMutlon romry� b unNx?W, entl �hUl Wtlf1cf m�mployx to etlMml p�n�Mu mG
dHl flnu w ro m. nuid..d �rouwro awx/.n l+�al�A m.emrron ro m. cm� o� rompxu.rron d.m.w..+ pAHaa ror a
91ctlon J1PB ol M� LMor Cab, Irrt�M4 ��tl �ttom�y'� f�u. -
CONSTNUC710N IENDINO AOENGY: I hanby efFrtn uMo paiWry d pmary Uut iMn w e mnn�uabn MMlrp ep�nry br IM
Vsrlormwro W �M �wk tar whirli Ih's Wmii I�'swsd (SMion JOB]. CM. C).
LENDER'8 N�ME:
LENDEN'H AOOPE59:
I ce�ity Ihet I heva read �his apWkNim Y�d tltle ihel ihe abova inlormetian ia corixf. I ep�es lo romDN �h ell dty uM couMY �Inenps
end npe lexs nWnp lo Wik'vp ooiutrW✓� ��nby eWw¢e repr�aentetivsa d Ihq cryro eNar upon IM ebove�nwnibned poprty
����'��w� JOHN CASEY
(5151d6.WP) W�As-Buildvq
o�e: �y�i �i��
Cenery-A 1: Pink-fievenue:(ioldenraE-Mwacr
CITY OF COSTA MESA — HUILDING PERMIT
PERbt NO: H 075539
PERMIT NO: B 075533 PLAN CHECK NO: 05070-95 L GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOF,E: CON
JOB DESCR'IPTION : CONST. 313'X 6' HIGH HLOCK WALL SQ FT: 313
CLAIM VALUE: 4,000.00 CALC—VALUE: 6,260,00 GROUP OCC: R-3 /M-1
COMMENTS: HLOCK WALL ON 355 WESTBROOK PL ONLY
it itlt iEit et it 1f 1E it it it it it it �F i4 ic it if iE iQ iE if it iE it # iF iFitik i: if iFif 1f �t if �lc it iF+t i4 it it iQ iEiF iF+t iF+tiFif if it itiEiF�iFitiE iE 9tii+t th+[�iF#etiEttif iFih iiit
Z O N I N G R E Q U T A E M E N T S
ssrBAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: FT IN REAR: FT IN FRNT; 13 FT 6 IN AEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14138503'ZNE: R1 REF NO:
PLANNING NOTES> CONSTRUCT UP TO A 6' HIGH BLOCK WALL ON REARISIDE PLS &
> 2'/6' PILASTERS 13.5' STBK ET PL W/ WROUGHT IRON.
#'If 1f 1f 1Fif 1f iE iFlE 1E IE 1E iE 1E1E 1E # 1f df 1f 1f # 1E 1f 1F if 1f # ik ii 1f IF iE 1E f('1f'1l1E 1f 1k k"IF i@1f 1f 1f� 1f 1f 1f 1flFiE 1FlF')(' liif 1F 1E #E 1iiE iE 1EiE 1E if' 1f'lf ih if iE 1f� iE 1f ## 1E
D E V E L O P,M E N T S E R V I C E S R E(j U I R E M E N T S
ZONZNG'APPAOVED 8Y � DATE;
HUILDING APPROVED BY : � � � DATE: / �,
APPLICATION ISSUED BY: �� DATE:
iE1E#iE1E1FiE1F9fiflf1f1E1EiEi41ElElflEiFll�7f�iF7F7F7F�Fif'�'�3FiFTf�7F7F�iF�f�f�fif �'$f��f$�FifiE�F7F11'1E'IF1Eik# iF
LEGALIZATION:N ' F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMIT 90.00 .63
SMIP/NON—RES
PLAN 58.50
ISSOE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 90.63 0.00 58.50 149.13 149.13 .00
AEVENUE DIVISION TOTALS--> COLLECTED: 199.13� OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADZNG PLAN—CHECH
90.00 .63 58.50
iFlE 1i iE iElE iE iE 1E iElE iF iF if 1f if 1f IF if 1E # 1f iE 1E1E #!F 1f Ik iE # if if� iF iE it#iEik # it 1E 1Fif IE 1F iPiE if iE 1ElF iF iF if it i@ iE 1E ff !F iF iFiE iE 1f 1Eif 1E # if iF #iF 1F iE 1F If #
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY
313
D E S C R I P T I O N
AES—CONCRETE BLOCR WALL / FT.
END OF FEES
UNIT COST TOTAL COST
20.00 6,260.00
�
O1 OU196190-0019b192 'ti iy'Y 149.13
DATE: IZ/11/95 TIttE: 09:03
�
M a�`°P1G 355 WESTBROOK PL
an""�11E11°'0°'": JOHN CASEY
% '�pE�' 355 WESTBROOK PL
� / C.M 92626
_ •3103520077
• .vx. w.vxc �no�sa
urcxnenon��nn: LARRY ENGWALL
APCN.OPFNO.'S/i0DPE54: S31 N LINWOOD AV
S.A.
CWliHACTOR9 NAME�
CONfNACTORSMNWIO
/i0DflE44
u�r: CITY OF COSTA MESA — HUILDING PERMIT
PERM2T NO: B 078220 PLAN CHECK NO: 02460-96 S
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
°GNOa 53121
UNT:
CA 92701
ue ra:
uxr:
IJCEN4E0 COMN1GTaA9 OECLAX�TION: I Mnby d6m uMv pnaly W pe�ury Ihp I vn Ik�m�tl wMx pv.idoro d Cheq�r V
(ownm�^dM xil� 6�c� ]000) al D'M�en J af N� BWro�s uM PMp�bm Cotl�. W mY IWru� b In hN bm aM Mfq.
emuc.No.: P (a�Iyuc.eues: H ue.No.: �14/y332ry EXP:
o.nv. wA. comreaa�. Cs �( Y — 7�
��NEX BUILDEP C6CLAflRTION: I hx�by eMrm unMr penNy d prWry IIW I un swamq Imm iM CanVetlae Llwm� lew la ih�
oNyp �sy�n (��°^ )�1.5 Bus'vw� uM Pmlaabm CaEa: AnY cYy a aouMY �� �9ulm e psrmil lo aomVucY, Nu. ImDrov�.
u�md'sh, a npv eiry ���uro, prior b ro's�wnu, Wo nCuim �M epplken� Ip wch pxmX lo fiN e npnW swam�nl tlut M or �M
o no.�..e w�.�u �a �n. n�s a ins caur.aa, tke�+. i.w Icn.qr e I�,m.�d�o wnn aw�, �000l a ow:w� a d �ns
BuNron and PrWpaiorm Cods� a �he� M a dro e uemq iherahan and iM Es» la IM dbpsd usmqion. My vuW ion W Ba4ion
)W 1.5 by ury eppFren� �or e prtnq wbjW� tM epplicanl lo a dvd peroAy d ml moro ihen fNs huMrad ddlen �f50p��.
�1. ee oxner M �M popenYa my employsae wYh wpee av IMi eda oompmetqn. Mill do IM xork. eiM ihe elrucluro w ria inls�eE
a dlereE M eeb (�� ]�. Busmeserd ProtmaionaCode: The Conlretlas Lioenea Lewdoea not xppl�ban ownard pmpa�ly
who WiOa a inpwes Ilaiean. eM wM10 dw� �utli v.ark IvmaeX a henel a thrpph he a Mr oxn amployw, poWdaE Ihel wch
impo+emyqa arp nal iNendeE a Waad la ub. tl.lawwer, tM Wiki�p or inqwpnaM u�dd wi1Nn one yev d wmplNion, ihe
avnarbudder wiV here ihe buNm d V�'�q M a eM did nd W�d p impwa lar Ne W�Va^ d eele).
❑ 1. m ovmx at tl.e Y�Y. em e�'inhetf mMreGM wh 4�eeE oonl�enon io ow�up Ne P9� (5eaion 101�. Bu+uass and
Pmlowions GoOo: TM Conlrafm Licenm Lew tloee na epply m en owner d papany xfio buitle a'vnpwm Osaon vq who
cm�re[If Iw pM Pbl�a wilh e mNretlor(s) Icensetl W9� lo �M Conlreppe lioenle law�.
❑ i em ,.,mm �ma, san�o�: e. a a.c. i« m�..�oo:
I do Mraby cenily Nm I em ewva d eM uMentaM Ihe'e4�remema d Cd/omie HeeEh eM Sdety Gotle Setliau 45505, 2SSU, end
255J�. vd tlut I a anY Mwe builNnO ocaD�� wi9 / wil M(arcb awI'weE to compy wi� �ek aete mEn erd the nCuimmaNf lar
aD�elammvursa�amoAdmunhantMlir u�BTiyl.i+^e9��0imr'vf.RodtletlmlmwvfioneppiutiaroareuemqlromNaa
pa+ama.
Dele: Appfrant:
WONKEH'S COMVENg�T�� DKL�fl�TION: I Mreby df uMer penMy d parjury ms d IM lolbwi�q dedvmuns:
� I heve and wJ mdinten e cenXicete d caneeni to vaMinaure br waMers' campemelbn, u pavided I« by SeGion �)0p d iM lebor
coea. �« �ne wname�e a Ne wak �« wlrcn me pamil o muee.
1 i new ene wi� mao�e:i wwka.� mmw�� �,,.rce. m ma���.e M s.aia, a�oo d in. lem, code.l« me oe�«meno. d me
wak lor whidi N� pe�mn c asued. My wpkeie' mmpenamion inaurariee farriee yq pWiey numEm ere:
. c�a:
Pdwy Numbar:
�m;, ,an;� �„d �a ns �o.,�Wxee i m. a�,ma;, ro. � n��e�e ea�� Riwl w ro�./
❑ � unh' � m ms o�wmence a ine won� �a .nicn mi. aeimn u u.use. �.�wi na emdw �v o� �� .�v memw. vo m �o
bxam wqetl to iM �wAxa' canpeiuetion levn a Ce4lanu. erM epiee Ivhyel d I ehouN bxwre wbjed lo IM woAma'
�„o/,9�;o„ wo.�a[�. d sea�/�V_oo a in, �nor com. i.nw—�Y�� wo.a�.
Dete: b —' � V � � �CJ AP4��: � ��
Wam/n0� Fellvn bW��n woilesri ro��tlon eovenps li unl�MNl, �ntl �lu/l s�tlNe( �n �nrployw ro eMMiul p�nattlu en0
c/rll Ilr�a �.p ro on� h�tliMlMuvM Epl4n (5100,OWJ, M atl01lbn ro 111� co�f oI romp�/u�IbR d�p� �s pvvltlW M/ In
9xHon 0106 0l M� L�bor CaAr, Intx�sq entl �Mmsy's /sea.
CONSTHUCTION LEN�NO AGENCY: I Mreby eKrm vnder penelry ol perjury �hel IMrt ie e mrMmaun bMinp epenq br iha �
plf�Of1118114M 0�1�1G MOI�(Ip W111f�11h19 pGIT� I! C�IMd ($MAfI 309�/.�iM.(�i�.
�ENOER'9 NMIE:
LENDBR'S AD�XE54:
I cenity ihm I hew reed Nis eppfcetion enE aeb It� �he ebove iMummion b oonaa. I pne lo canqy xilh M ary enE muniy ordinenma
eM eltle kvn relelfq lo WiMiq conW�ion md Mreby eiNwrza �qfreaenlelives d Ihif aty lo aNar upon tM ebv.e-men�oneE popnTy
lorinapetlion purpoee9.
MARK AMMERMAN
Pnnl Nams
. �_ o�.: �—�g-RG
SqreWred /Apew�ppfunUGonVm«
(4�5��ae WP� Whno-Buildvp 8 Selmy: Oreeo-Fie; Canery-ppµceni; Rnk-Revenue: GolEenroE-Rsaeaw
PERM NO: B 078220
GOVT: N SUPP: N
PORPOSE: OTH
JOB DESCRIPTION : INSTALL ROOF MOUNTED HVAC UNIT SQ FT: 100
CLAIM VALUE: 300.00 CALC—VALUE: 300.00 GROUP OCC: R-3 /U-1
COMMENTS: NO OTHER WORK AUTHORIZES ITY THIS PERMIT
***�*x+�+�****�*****�*******�*�*+�*****x�*+r*****����r**�r+r+r*r***�r�r*****��+rx x��*�****�*
Z O N Z N G R E(j U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ----------
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
--------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
PAAKING REQ: PAOV: PARCEL: 14138503 ZNE: REF NO:�
PLANNING NOTES> • '
i
1E 1F 1E 7E 1E iE 1E 1E iE 1E if iF 1E 1f iE iflE if 1f if 1i if IE IE 1E 1E if if iE IE 1F 1E iE 1F 1E iE Ih 1E if 1F 1E IE 1E iE If if if ik If If IF 1F iE M 1f IE iF 1E if IF 1E iE IF IF If 1f 1f /E 1E �IE IE IE 1E if 1E �E fE 1E IE
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: L
BUILDING APPROVED HY : DATE:
APPLICATION ISSUED'HY: DATE: �., �� �l�
�ieit****it�r+�ieie*�itat*it+�*itie *iE�ifiE*�tiaaf* +�at
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 21.00
ISSUE FEE 13.65
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 21.50 0.00 13,65
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANIC
21.00
SMIP/NON—RES
TOTAL PAID DUE
35.15 35.15 .00
35.15 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.SO 13.65
16IF if 1E 1f IF iE 1E iE iE 1E iF iF 1E IE 1E 1f 1f 1! if 1E if if IE 1f IEiE 7E 1f if 7E if if IE if 1E K 1F IF 1F IE 1E 1E 1E IE if iP 1f IE 1E 1E IE iF 1f iE 1F 1E ff If iE If 1i li if 1f 1E if iE 1F IF 1E 1E fE 1E 1E 1E f! 1f if
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
SFR, 300.. ALTER HY VALUE RESIDENTIAL NOZONE 1.00 300.00
END OF FEES
, � / -
RUCTION AND PLANNING � � . & SPA
I .' Date Inspector Date Inspeaor
PPROVALS Permit # APPROVALS Pe�mit #
�
1. Temporary Electrical-Service oi l�ole 52. Pool & Equipment Location ,` -
2. Soil Pipe-Undrgmd. ' � 53. Steel Reinforcement -• � �
� _ :. .
���E�ectrical2pnduit Utility•Undigrnd. 54. Forms •
�: �4.,E�e�trical �qt�duit�Undrgrnd. • � 55. Electrical Bonding 3- � -
���`, �Steel Reirrfqrrement , 56. Rough Plumbing & Pressure�Test �
,:,r,6.: E'{ectricals'HF�ER Grnd. ' S7. APPROVAL TO COVER-GUNITE �; �
� 7�Footings ='� 58. Electrical Conduit�Undrgmd. �,
�= BPFoundationa 59. Gas Pipe, O Undrgrnd., Test
_ 9. Water P�pe�l�ndrgrnd. 60. Backwash Lines, P-Trap, L�. Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer_ Line & House:Connection 62. Backwash & Receptor�Final
� 2• Sem'e� CaP �� � 63. Heater & Vent-Final �
I3. Roof Dreins ,�' , 64. Plumbing System - Final •'
14. Rough Plumbiag r± 65. Electrical�Final �
15. Rough Eleetrica6Conduit ' 66. Solar SYsxem�Final � �
i 6. Rough Electric Wiring � 67. Fencing & Access Approval � �
77. Rough Wiring Sign 66. APPftOVED FOR PLASTERING �
.- .
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating.& AirxConditioning T i � _ _FI�{E DF,_PT.$EQUIREMENT
20. (3oughFa`E,fory:Firepiace G`� G µ - ,;,;� PPfibVlb'L�S�r:.;Pe�rhit# ' '' r�
21. Ducti; in StruAura?.> , .. .. H * �. .. ,-' = r - x
�_ �, t - ,_ ,- � �70. Underfiour� Hvdro
22. Ducts;'Ve�itilat�"n9~:,. � i': 4 . FK �1. Produce; ing��as f�0il
23. Gas Pipe-RougD & Test + r-: - - G*;-7Z. Undergroehtl Ffas�i'-' ` _
T � t �c
24. F�oof�fra�iin9F� � r" ' �,. *•J3.-Gj Undergrnd. Storpgg F�nk� Gas ❑ Oil
25. Roof 5he�hing r=�e a �� �! �� _ � cu.x 7q.?04ertttad Hydrq� _ '��,
M ^l Y.
26. �Bar'Ceiling (StruCi al) & N�ra`o`coat ' '
,Ua.l y` ,:� � � * 75=PrY �her�ical �.= �; � -
27. FrarttQand.Flashingy; _ .:�;;; ^� q WL T `' �
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t _. c
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'28. Lathing &�id'p�g �, r� Y d� � r'- .. 77.;y FIXED SY�,�TE(vJ;�INAI;� �-, n cr
�29. Insulatiorr: •�a:.. J 5 • "' � �y� 7�FIRE PREV. FIN�L f� r �
'"30. Drywall Nai�i g' �x ,_,� * r, � 'y; �. iF16ALTF�DEPT�u REQGIR6NIENT
� : �. ._ � -�. � . � - _ _
G31. Plaster Br�vn,eoaC^�r. S , mr s '.� .�7g,✓FINAL IIASQECTfpN Y� :T:
�32. E`I�ctrical�ower M�tn���in�l ' Y N � �' �80..r'y�F00D CERTIFE�X�TE IS,SUED,., ,�
J . 1 . ' . {�� y '
�:33. Fgnal.�Elec,�ric � .k m ¢ a . �� .�Notes: ^ "t': 'r - _, .�_r
`34. Finala-leating �'AiN �on�Ffoninc� `-' r. '�' ' � ;�+: � S �^x '_ - = r
;T �!` _ I I � -' �- �." *
T,
35. Ftinal Gas Pipe�Ses�fi ^ • . H � ��; _ ��,,, C�r-� fi -m
�36. Hoodtx GSnoPY :"'' = ' `i'tt; <. " n i �* � ��' ; � `=r"
G, k (� # K !'7
�j37.FinalFaaoryFirepgce�T i'e-. ,a s�� ' s n:
� T
�38. FinalPlumF5,ing ^� R.�- -'' . j . y' � 5 _r K 7 � -
"'39. V4ater'Ser�ice�Fina ' i E � � x ' ' .;!r .-� � � � � ' � =
Y T T
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i �41. $dlar pomesti�inalx S � ��� � � ;r 7-� p� =: r
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42. 8ackflow Preventer t• � I ,x T, ;�F � M C� r-
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� 43. Backflow Irriga�ion : y,� ` �� - *,; �" J *� r -
�
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� Q�. Handicap Regulation9i� -+ - `K � 'T ^. � •S '-�'1 S �
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47�. F�NAiSTRU�TUR�,&BUICDING �`_3��7] , ��_ ' ' � * �
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'� 48. PtNALPLANNING * -- � - � '"• '"t � `'
.-.. r• w ., a': i.. :U 5 = 4.
� 49. Ei'ectric Release.to E�ison * * ` " ' - �
Ir '�' - if �P � Y
50. Gee Release to�-Southem California 6asCo '" ����'� � - � • ��� ' = '
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57'. CERT#ICATE OF OCCUPANCY ' � > >- • ' � -
No. Date
�
ENGWALL ENGINEERING
531 N_ LINWOOD AVENUE
SANiA ANA, CA 92701
CALCULATiONS FOR ROOF JOIST AT _
355 W ESTB OK ��IONi OF BUILDWG SAFETY �
Cf�Y OF COSTA MESA
APPROYED
COSTA MES CA �� �'I g��
Ab.
'Rdi ae! d P� e� �b� MUST be kept on mis pb at all 11mes
pk) RIltlrdex'M M make any changes ar aReration on same wifhan wrqt�
pert�slon ham tlre Oh�slaf of 8uilding arM Satety, Gity ot Costa Mesa.
'�h9 gtemph�p ot tl�3 plan atM specificalions SHALL N07 be held to pem+q
pr m be an approval ot the violaiion ot any provisions ot any City ot Costa
dfesa OrOh�at�ce anNar State Iaw. --1 Sc 2��
CJ
QROF E SSIp d+�3 end Demtit shail ex9�re [ation arM become nuf! and wid N
A�Q�,O y G. E�c !he ing�a�� o�nso� �menced ;;nd maintaineG �.! „F :sr U8C §303
No.'121 ��'z'
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APPROVED ; i t -� �
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� � gy . . . • Date ' '
i This sei ot 01ans and specifications MUST be kepl on Ih�is job al ail tirros
. ard k Is �mlawfut lo make any changes or alteration on sam� withou� e•rifl=n �-
Dermk.dot� Irom tlie DNsion ot Building and Safety, Ciry ol Costa Mesa. ,
The stamping ol Uds plan and specifirafions SHALL NQT be held tn permit
violaGon of airy pro�risions of any Gty of Cesia -=---
Mesa Ord'riance aM/w Sta(e Ww. � � ' I . �
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AD�FESSOFBVIlqNO: 3SS WESTBROOK PL uxT:
OWNERSN�INEIFqqNN: fOHN CASEY
woxcss: 955 WESTBROOK PLACE
COSTA MESA
CA� ' 92526 (310)352-0077
�rv�. xuuNc �ooaess:
ANCHRECT ON EIKtlNEEX: t1C. NO.:
AIiCX.ON FNG.'S AUOPE55: UN7:
caxmAcrars x.u¢:
ca+m.croasyuuxo
�nnxess: uc. xo.:
uNr:
IJCENSED COMXACTOFS DECL4pAT10N: I hereby efl'am uMm penely W pa�ury thm I em IcenaeE under poviaioen o( Cheqm 9
(wmmendiq vni� Seclion )0�1 d Oivision a d Ihe Buainea entl Proleaeiana Gotle, eM my licensa b in lull lorca eM etled.
CITY LIC. NO.: LIC CLASS: LIC. NO.: E X P:
o�a� comreua:
OWNER BUILOEN DECIAHAnON: I hareby eifi�m uMer penelly d parNrY �� I em emmq Imm tM CpNredwe licerea law la iha
IdbWvq �maon I�� ]0'l1.5 Busiwsa eM Prdessbng Code: p�ry eIY p oouny xfi'rh eaCuirea e pe�mn �o wreb�el. eller. impo�e.
tlemdsh, w repei eny aVUGure, pior lo ib'ssuaMe, ebo requ'vas tM epplimM la weh pwmu �o file e eigneE e�atameeu ihat M a ehe
iy lieamed pumuenl to IM 0�°�°^s d IM Contrmwa Lieenae lew �Cheqm 9(oommerxieq wnh Sepon ]W0) d Diveion � d Ihe
Business end Vrdeaeoru CWe� «that he « ehe o eaemq ihxeham vM ihe beaia lw IM elleped uemqon. My videtun d Sepion
]031.5 Ey any epd��� for a Dermn subptls tln epplicant lo e civil peneliy al ml mora �hen iva hunCreE dollen �5500j).
Q I, es owner ol lhe prope�Y or my emDbyeee wiih wepm as Ihe'v wb mmpeneetion, will do ihe vrork, end the eWclure e nM imended
or dtered lor seb (Seclion �Oas, Buaineaa end Prdessiona Code: Tha Contra ton License Lew doea � eppyto en awner af propaily
who bulds a'vnprovee thereon, end afio doea euch xoA Mmsatl a henell or Ihraqh h's a her ovm ampbyeae, D�aE �het such
impovamenla ere iw in�aMad or otlereE lor eale. H, Irowever. ihe buiNinp w vnprwemen� ia edtl wilhin aro year d compbton, tM
owmrbuJder xill heve �Iro WNm d pro+inp M or sM did mt buik a imqwe Ia Ihe WN�e d We).
❑ I. m ow�wr d �M M�1'. em mtlufively ooniree�q xi1M1 IicenseE conveclas �o conmue tlre M9eC (Seaion J011. &rmiresa eM
PMeavona COCa: The �maaan Licenx law doen M appty to en oxiwr d papeny who builda w imprwm tl�neon ard who
wnlrecla lar uW� prqWa wnA e mmreaoKel IicenseE Wrsuent ta ihe Con�red«a Lis�e lawl.
❑ I em exemq uMer $e4tim: B. 8 P.C., lar iho reemn:
Deie: O.mer:
I tlo heraby cerliy ihel I em 6wem of end uMersiarM the reQuiremenu at Celvomie NeeXh end Sefery Code Sediom 25505. 25593, enE
25534, eM Ihm I or eny Mu�e buiWi�p aaupent will / wNl rw� (vrcb one) neadia comply wIh aeiE sme cadea enE Ihe requiremenb /w
epem�ufwmruWtlionormcdifirelbnhomlheAi�6u it11—eneqamenlDimrie.RmiEemieleanm�ueuneppY�aioneereezemptlmmiheve
povniona.
Deta: Appliram:
WONKEN'S COMPENSRTIOM DECIAN�T10N: I hereEy dfirm unEar penMy d perjury one W �he lolloxi�p Eetlumum:
❑ I have eiW wil mvntem a cerlilcale d mneent io aeM-inaun fa worken' wmpenmbn. av 0�� la by Saaian 3]OD d iM Lebar
coaa, r« in� a•no�en=a d m, �� io, wn�n m�. ae�a re �.,�ea.
❑ I hew end wip manidn ��Mare camDeneelon insurenca, m reQuired by 3eclion 9'!Op M the lebor Code, lor IM pe�larmence d iM
waek lor whieh I�ie parm� �s �ueA. My worke�a' eampenaazion ineureewe famer vd poliry numbar ere:
c�,m=
aawv N�m�,:
is section neeE iror bs romMmeC i Ue pmmi is /a me huMred ddlers R��1 a/en.)
I eandy �hel in tha perla�a d ihe work /a xfich ihh peemn b ieaueE, I ahell M emplq a�ry pareon in eny men�wr eo m to
eu4w io �he v.ohan• comroneeibn lexe d eeli/wna. arM pres ihm il I ahould become wbpa m tM xvrken•
re�wa� o��so�s a sea� s�oo ar me �n« caee. i a,e�i ionnwn W� mo� o�i�,..
ma /p � ! y nvoice�c v
K'+����D� Fenun ro�curo �+ken'romp�rwUan cmxeps b unbwNl, �lull wb/�ct an xnployx Mml perutt/u mG
clv/I flro� up ro o�1 �untlNdllauuM 0W/an (S10q00p1. /n atltlltlon • rn�t o1 romp�nwtMn, u P.ohaw ro. m
Sxtlm 3]P6 0l tlr� Lebor Cob, /n(srolt, entl ettomsy'� Isu.
CONSTAUCTION LENDINO �GENCY: I MreEy elfi�m YMB! �IB119II)' W jIBlN�Y �� ��re 19 9 m11HIlYQW11 IGMlfla 90BM/ Ipf Ne
��o�� w ine wwk i«..n� ms w�� rc m.�,ea �s«aun aw�. c�. cl.
LENOEP'S NANE:
LENDEfl'S A�DNE55:
I ceniy �het I heve raeE thia epd�e�ion eM bde �hel ihe above inlormmion ia cortea. I eprea b canpty wil� ell dy eM munty aNinances
enC slete lews releiin0 to building consvunion erd hereby euilwrrza repreaenteiivea o/ihis cnyto enter upon Ihe ebwe-mentioned propeM
lorinspenion W�poses.
JOHN CASEY
�a
�
(5151-46.WP) Whne-6uildinp 8 Selely;Oreer�Fle;Ganery-ApWicani;
oma:
CITY OF COSTP. MESA — BUILDING PERMIT
PERM �10: B 074543
PERMIT NO: H 074543 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: i'—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF ROCK ROOF 6 REROOF W/COMP. SQ FT: 2,000
CLAIM VALUE: 2,000.00 CALC—C�ALUE: 2,000,00 GROQP OCC: R-3 JM—].
COMMENTS: X
*��*****+�rt��*****rtie*��****+��**iF**iF*****+e�***�**�*��***�*�***�****�*��****��*�*rt
Z O �] 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; 14138503 ZNE: REF DIO:
PLANNING NOTES>.
7
if 1E iE iE dF 9E 3E 9E 3F �1E if if 3f 1F9G9E 1k iF 9f k iE 1E jE iE 3E 3F iflE iE iflE 1(' 9E 1E jE iE fElE 1E iE 1E if iE iE jE if 9E iE 1E 1F 9E �)F iE if 3E if # 9E 9E 3E �E �E iE �k 9E 9E jE iS-iE if� 3E 9E fF jE �E �)E iE �E iE
D E V E;•L O P M E N T S E R �� I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPRO��T'�D BY : DATE:
�. �
APPLICATION IS/SUED BY: /' � DATE: I� I�Lfs�
iElEiE3FlEiEiFlEif�9E3Eif9EfF�EiEiE3EiE3E9EiE . n .�xxie�fiF��FiF�i��FTE1EiEiE3f1E3EiE3E1E�iEiE#�{Fi����t�'�TikiE
LEGALIZATION:N F E E S U M T4 A R Y STRUCTURA'L S£GMEI3T:Y
BLDG PMT PLUMBIDIG ELECTRIC MECAANIC FIRE SMIP/RES' GRADING
PERMIT 45.00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE:
BOILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 45.50 0.00 0.00 45.50 45,SQ .00
REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHORT: .60
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIDIG PLAN—CHECK
45.00 .50
!f!E dE 9E 9F 9E iE if !f 3E 3F IE iE dE 3E IE 3E fE IE if if 1E 1E 9E if 1E IE �E �E iE iE 9f 3E 3E 9k jE �)E 3E if if iE iElf iE 9E 1E �E iE 1E 1E iF 3E if if jE iE jF 9E if iE 1f iE fElF 3E jE 3E 3E Y� iFlE dE fE �E if iE if !f iE
I N D I C' 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 O N UNIT COST TOTAL COST
SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE 1.U0 2,000.00
END OF FEES
C7? OU19125?_Q�7o,c�3 Tt:'r
�A'E: SL� �, �- -�ii_, - :ti,
S
�
r�
CONSTRUCTI6N AND PLRNNING r„JL & SPA
APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
i. Temporary Etectrical Service or Pole 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. � 53. Steei Reinforcement �
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE � I
Z Footings 58. Electrical Conduit�Undryrnd. '
8. Foundation 59. Gas Pipe, L� Undrgrnd., Test
9. Water Pipe-Undrgrnd. 6p. Backwash Lines, P�Trap, G Undrgrnd. •
10. Structurai Floor System 67. APPROVAL TO DECK '
t t. Property Sewer Line & House Connection � 62. Backwash & Receptor-Finai "
12. Sewer Cap 63. Heater & VenFPinal �
73. Roof Drains � 64. Plumbing System � Finat ,
14. Rough Plum6ing 65. Electrical-Final �-.
15. Rough Electricai-Conduit 66. Solar SVstem�Final ,,.�. ��
16. Rough Electric �Niring ' 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duccs, in Struczura 70. Underground Hydro '
22. Oucts, Ventilating 71. Product Piping O Gas ❑ Oii
23. Gas Pipe�Rough & Test 72. Under9round Flush
24. Roof Framing � 73. Undergrnd.StorageTank 7Gas ❑Oii
25. Roof Sheathing �e�lrr 74. Overhead Hydro
26. T�Bar Ceiling {Structural) & Monocoat 75. Dry Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. t,athing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 7$. FIRE PREV. FINAL
30. Drywall Nailing NEALTH DEPT. REQUIREMENT
37. Piaster Brown Coat 79. FINAL INSPECTION
32. E�ectrical Powzr fvleter�Finai 80. FDOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Nood or Canopy ,
37. Final Factory Fireplace
38. Final Plumbi�g
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Finai
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape trrigation System
45. Sound Attenuation
46. Handicap Regulations ///
47. PINAL STRUCTURE & BUILDING Z/�� ��
48. FINALPLANNING ,
A9. Electric Release to Edison .
50. Gas Release to Souihern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
sceeuaa�c: 355 WESTBROOK PLr
s"""+11Q101'" JOHN CASEY
"o°"Eu: 355 WESTHROOK PL
C.M 92626
• 3103520077
AVPI, pAll1N0 ADDPESu:
' -.
/�RCXRELi Ofl EMiNEFX:
CONINACTORS NAYE:
car�mncroxswuunc
�noxess:
UNT:
UC. NU.:
UNf:
uc. no.:
I uNr:
IICENSED COMFRCTOFS OECLAFATION: I Mreby Mim uMer penery d peejury iM1m 1 em I'cenaed uMs prwlebne d Cheqm 9
(wmmanGnB �� ��a^ ��) d Diviebn 3 W I�e Bmineas enC Profeeeions Code, erd my licanae ia in hll forca end eHacl.
cm uc. No.: uc. cuss: uc. No.: EXP :
' De1e: Gomreeu:
, OWNEN BUILOEH OECIAFRTION: I he�aby efirm undx penely d perNrY �� 1 em e*amq from IM Contretlaa licema lew ta ihe
' .'olbwiq reexon (`�� ]091.5 &aiwss eM Pmlessione CoEe: Am� ciY a�+ny xfiich rpuiree e permn lo awntrutl. ellx. improve.
EamolisM1, or wpe'v eny eWdura, pnor io ne oauance, eleo reQuirea the applirant for euch pe,mn m fle e eipned eietement the� M or eM
In IicenaeE W�s�a�� lo �M poviaiona d Ne Conlredon Licenx Law (Chepter 9(odnmeritirq xilh Sad'on ]000) d Divuion 3 d the
Buainav vM Prdeaiona Code� w thn ho a ahe c examq �h>almm end Ihe bavu la IM elbpeE exemption. My videtion d Sedion
]P'l1.5 by any appli anl lor e permil eubptle iha epplicenl lo e rnil panely d m� mara �hen IHa hundred dolleea �SSOpJ�.
n I, ea owner dtM propeny or my empbyeas wIh waBea av �hei sob mmpanaqbn, xill do Ihe �wrk, end iM eUucture o �wl in�endad
ar rvMlarMfmawlwfSwrlinn]OMBuvnwasnrdVmlxaeinnxCMxTM1wCm�rwrlmelirann�lavrlronmm�nnlv�nnnnwu�MnrivrM
improvememc ere not intarded a oilereE for aele. tl. �owever, lhe buitling a'v
ownmbuiNm will heve Iha buNan d provinB ha a eM did � build ar improv
❑ I. av o�mer d IM propeM. ��duervaly cont�edip wnh IicerueE wnVeclon
PMmwone Coda: TM Conlreclon Lcense lew doea � epply lo an owrwr �
convena Iw au h piqeds wiih e wn�redor�ellicanxE Wnuenl lo IM Conire
� I am exempt undx Seciion: B. 8 P.G, br ihb ro :
a � 2 �/ i /�j� ownar:
� ���
I do �ereby cenily Nat I em ewere d eM uMers�eM �M mauiremeMs /oma
255J0, eM thm I a eny M1nure buildinp accupem will / will nrn (circb eed to ci
epeimillwmutructionwmatlMimtionhomtheAr�6ueTyl�erepeman� atrid Resi�
mam ie eaN xilnin one year d comdbb�. IM
�� WN�e d eeb).
neVua iM Prolea (Seeun ]000. Binir�se vd
pany who WiHs ar impovea ihareon end w1a
4ieeeue lew�.
Nmhh
ome: nod�m:
WORKEF'S COMPENSRTION OECLAPATION: I Mreby alfirm undx pe�aliy d perjury oro d Ihe lollovriiq Eede�etone:
� I have ad xiN meintein e cenJieia d mnsent io aelirnsun br xmken compenealion, m prm�deE Iw by Seebn 3100 d Iha lebor
Code, iw ihe p�lormeMe of iM vroA lor which ihia partnn n isaued.
r] i na.�. �,d m� �,.�m.m.�re �vm.mu� m.�,�,.� „ym�ed M s<aim a�ao d m. iem, coee, ro, ina w�m� d me
wwk Iw xMich �hia parmi� is isaued. My workara' mmpenulion inwrenca femer eM paliry number va: _
Cemar:
Pdky Numbar:
(This secYion neetl � De romdmedY �IreGd�md 'n lor aro huMreE ddlers Rf001 a/en.)
❑ i�nr� inm �o ms �rto��. a in� won� ro� whch Ihis permit ie imued, I ahell nd emplq eny pemn In eny menner vo av to
beeoma wbjw io �M vmfkeee' eanvammbn lewa d celttana. uM epree ihm if 1 ehouM beeome abjM io �M Mofkeia•
compenaetion proviaon� W SeGion 9]00 af tM Lehar Cotle, I shdl lorlhwil� mmpy wnh ihoee proWaione.
Dele: Applicent
W�m/np: F�IIu� ro��curo wortw�' mmpauatlon rovx�p� b unbwNl, mE sMll �ubJ�cNn �mp/qw ro ctlMn/ pnuMu mJ
C/VllllM/ Il�1h OII/�IWItlfI' f�IOYHIIj 00/�LII (.f1000NA �I11!/j�1�0I1 b(�10 CO/f Olro/IIfINIfbI� ei/IYQl� /1 plpV�!/N/ /pI/II
Swtlon 9)O6 0l Ms L�borCOW, Inhn�f, entl ettornsyl In�.
CONSTAUCTION LENDINO �GENCY: I hereby elfirtn uMar peneXy W perjury Ihm ihan ia e mnmmaion Isndinp eqanty br �M
peAamarce W IM wM la xfiiM thu partnl ia oaued (Seqon �09]. CN. CI.
LENDER'S NRME:
LENDER'S ADDRE9S:
I cerliy Ihet I heve reed ihia epplcelion eM elele ��al Iha ebove inlormetion ia corteq. I epree lo compfy wnh ell dly eM munty ordinencea
end ete�e lewa rale�ing lo build'vp conetruUion end hereby e�nhorue rapreeenletrvm d Ihis rdy to enter upon ihe ebova�mentionad proparry
�Of IM�IBGpl1 plllp09B8.
JOHN CASEY
De�e:
/E. i� 4�
(StS�<B.WP) Wh�e-BuiIE'uq 8 Sefety: �reerrFle; Cenery-Apptirant: Pink-Reranue; Oddenmd-Aceeawr
, CITY OF COSTA MESA — BUILDING PERMIT
PERM NO; B 075533
PERMIT NO: B 075533 PLAN CHECK NO: 05070-95 L GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: CON
JOB DESCRIPTION : CONST. 313'X 6' HIGH HLOCK WALL SQ FT: 313
CLAIM VALUE: 4,000.00 CALC—VALUE: 6,260.00 GROUP OCC: R-3 /M-1
COMMENTS: BLOCK WALL ON 355 WESTHROOK PL ONLY
****�*ititie��r**if*�rt��*atit+�ieitit*+��*� *ir*it*���rt*itatit**at*x it�itit*atx�*it�r**x �r*�*iex��crt*rt�*it+�ie�*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: 13 FT 6 IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14138503 ZNE; R1 REF NO:
PLANNING NOTES>. CONSTRUCT UP TO A 6' AIGH BLOCK WALL ON REAR/SIDE PLS S
> 2'/6' PILASTERS 13.5' STBK FT PL W/ WROUGHT IAON.
1E 1E iE iE!(� 1E if�lE iE 1E 1! fElf 1E 7I� iE 1E 1E 1f 1f iE 1F if if if'1F iE IE 1E 1E IE 1E 1E 1f iP if if iE 1E 1F 1E iE if 1flf IElF if iE 1f iE it 1f ik iE 1f iE iE'1t 1E 1F 1E fE iE if !F IE it iE iE 1E 1E 1F 141F 1f iE K'fE
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 —'—�C �R I� DATE: '
BUILDING APPROVED BY : —� � DATE: ' �
APPLICATION ISSUED BY: O� DATE: �
1fiFiflFiEifiElflElf1E1E1E1E1k1E1EiEff1E'lE1E�±F�f�F�i€�if��i�����F�f�f�F3f7f iFif7F�F7F�E�F1E�EiElEiEiE1E1E1EiE1f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 90.00 63
SMIP/NON—RES
PLAN SB.50
ISSUE FEE
'BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 90.63 0.00 58.50 149.1 149.13 .00
TYPE
SFR
E DIVISION TOTALS--> COLLECTED: 149.13 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 .63 58.50
i(� iE iE 1E 1E1E 4 iE fE 187E IE IE If 1E 1F ik 1F iF IE If iE 1E iE iE k iE IE if 1f iE iE k iE 1E 1E 1E 1E 1k iE 1h ii iE 1E 16 if k 1F 1f i! 1E 1E if �IE 1E 1E 1E 1E 1E iE 1E 1E 1E 1h ik iE iE fE iE IE iF iF 1E
I N D I V I D U A L F E E B R E A K D O W N
QTY
313
D E S C R I P T I O N
RES—CONCRETE BLOCK WALL / FT.
END OF FEES
UNIT COST
20.00
TOTAL COST
6,260,00
�� .
V�
ONSTRUCTION AND PLANNING '` F, �& SPA
APPRiIVAIS Permit # Date tnspector AppROVALS Permit # Date inspector
<
1. Temporary Elec[rical Service or Pole ,• 52. Pooi & Equipment Location
2. Soil ?ipe-Undr9rnd. 53. Steet Relnforcement
�'3:,Eleetric�l Conduit Utility-Undrgrnd. � 54. Porms - �
�^`�4�..Electrical ConduibUndrgrnd. 55. Electrical Bonding - .
.�`r.,�&teel Reinforcement .' 56. Rough Plumbing & Pressure Test
����Elc�ctrical UFER Grnd. 57. APPflOVAL TO COVER-GUNITE
; 7`Footings 58, Electrical Conduit�Undrgrnd.
� B�Foundation 59. Gas Pipe, O Undrgrnd., Test .
J 9.'4Vater Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgmd.
� 70. Structural Floor System 67. APPROVAL TO DECK
11. Property Sswer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap . 63. Heater & Vent-Final
13. Roof Drains 64. Plumbinq System - Final
74. Rough Piumbing - , 65. Elecxrical-Final .
15. Rough Electrica6Conduit � � $6. Soiar SYstem-Final
76. Rough EleCtric 4Viring 67. Fencing & Access Approvai �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .'
78. Rough Electciral�T Bar Ceiling 69. POOL/SPA SYSTEh9S FINAL
ig.' Rough Heating & Air Conditionin� FtRE,OEPT.�?EQUIF�EMENT „
� r � v l. rv c^ r. �7 '�..`x b
20.'�tn' Faztor Fi ' lace � �"'' , �t �� .-, r, , �n -i' �.- m M i.. _
,^ u�i . Y t�,q, t�;n ;r�� k S �•. 'APPF{OVAL-� _ Pe�mit # .
21. Quct"s; in'9truc`3ure�'�� �•� ^ ` S'' �, 70.'Under�rouq�il Fi;;dro �
�T' ' < 'f' -� '-1 F- J _
22. QuctF: V2qtildYingF�s ! . _ r: r � - ^ � r . ., , ::
.S i� � 71. Product��pingCl��fias t:�0i1
23. �es Pipe-Rnugh & Test - m � +: -� - � ��'+ � 72 Undergr nd F,�us =' �� r'
r., m�-- r,r s� � e� �� : )�
c. � --�:<. c..[-, ..F ,K7 'l C� •. > -:C-✓ • u
24. Roof=fra�n�ng" `;.; .�, Y�• 73�,; Undergrnd. Stora�3,�nk�O Gas O�iI
25. RoobSheffihing '^x ; �' •: «" _ �n ;u R 74��",J�'verhead HYdrp1�. t
26. x:8a'rTCeilin {Struttural) & M �"'ocoat ^ ~ � '� ` y � Y- ~
9 �« �� i� .: � r c 7�£��Yr�hemical c., � tT±
27. �Ia e and Fiuhin + � - L t -
Rl � �tr:w rnL r.,�i T >� 76. Dry Sta��P!PQ i� � r, �,-,
28. Lathmg &SSicfing '� x � � [E r� � tr,x ` .. ' ,t: 7� FIXEp S,Y.$T�fi'�INA� H ,� �.�
�
29. Insulation• y�-x =•.. -: l+ � j ! � 7$� FIRE PREV. F�I� � '' � � �,T;
- y �, r �
30. Drywall Nailing `�` ,� - F.�_ „ i � � S �iEALT�',DEP'�. RE�UIREMENT
'. 31. Piaster Bro�wn:Coa �w � , ;Y�: '_ !T. � �w '' 79� FINAL �AIISFECTIDN * � -
- �»
� 32. �lectrical Power fvfi�r'-F�nal � Q.��y "� �k '$Q:� FDOO CERTIF.+CATE IS`SUE4, J
- -` � �.. .. � � < <., -
� 33. Jnal,Etectric-� t' i <t,rt y.�. . j .x No"tes: '- �,r�. r�' :.
- r ,,,. -. � r -
�34. Fina�`lieat�ng;&Air�Cordt`.ioninj= �' '' ��.,; � � = .,.� * S �,,`
.= R �:^ :� t H i .. n' W
��i. � •4 �'.�� � r •. .. ���. .� -�
' 35. Finat Gas�Pipe.Tesiy+�. p ..,-, F,x r. '� � !M ¢�_= �.--�. :x � ��.
r.,
� Y.' �7 � C -� -^ TY i � �a � G'.i :i M
=� 36. �oodvr Qnopy � fi �„� � e '�� x r• .- n
.
. „-
�-37. F.inaLEactprV Firepiace -� i= F, u;: �-- + a- �- x � �!
r. x
38. FinaFPluriiping ' r ' -' �". _ � = .. ~ ' --'
Z. 1 I r� x
""39. 4VatePService_Final � i � ' �,.;x � r'+ - - � r
- : , v �-
^40. GasService'Fral �" �' a.'; �' =- ..' ,� �� �' .'�� �" �
* r. r�- T-, , i, 4_ ': _ x¢
' 41. $oiar pomestis;Flnafr `�' r �,_,�x `� i � •,- -,,, - . - -
r � ":
42. Backflow Preventer '� ��� ` '�, � •t S ?,c-+ . * �7
�1 v� �7 ^. H �- ` lT :i: t' %-I !' :*7 T •'?'J Y� - �i.
� :.�5 a�.r - :..
43. Backflow I�rigetion :� �, ? r x�: � �. K y C+
44. Landscape�irnqation�System��1,z Sr"rt � � ?k: � � �« ;�r' rt� �'
4� � � r_� .. �-. ,'� :� • r� r � z-, : . �-,
5. $ound AF,isnuation , . .. . �. ` n; ^; + � c -'.:W F �'+ +�
r
46. Handicap�Regulations - ` ' � " �' '� `�'-' -� �
� « � � � "�� r� � G �:. �
47. FiNAL STRUCTUflE & BUItDING '�` � �. �
- � 3m -`l7 ��� , • � -, t
48. EINAIPLANNING > ' E�- �'�� " ��� �" 'D
Y i� 1^ iV V� .
49. Etactrie Release to E�lison � ' i� ' �� � .,,.,� �. =
�
50. GasBeleaseto-SoutflemCaliforniSasCn � � • ��. ' ' - ' -?„� � ,_'
51. CERIIPICATE OF OCCUPANCY ' � � ��� -� � -
No. Date
SURVEY OF LOT LINE
11�AY 6� REQUIRED
15533
�;ri� � � �-
;�; �� :� ...
�1DDIT10NS, DELETI�,?:;:, =�
�E APPROVED (3Y 7ht + �_.
DIVISION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
ey �'/?�� r� ��� � I 4�
This set oi Olans and specifkatbr�s MUST bg kept on tlds jop at gp ffitre�
and it is unlawful to make any changes or alteration on samy y�roUt pf�(gp
permissien trom Ne D' 'sion af 8uilding and Safety, Gty u( C,o� (u�sg
The stamping ol this pl. n an0 speaficatiorns5 SHALL NOT be held tp pefr�
or ro he an approval of he violation of (NV proyi5ipn,y p} g�y q'(y p� �
Mesa OM�nznce an(llo� iWte law. �
TheseC '>=:�d0errt
(he bm!amg or arork i5
(d) wilhm 18D �ays of
�
�
W
�
N
maintained acfive per UBC
RE/�D[YC[
J
�
(p�-F L F
3�
■
� y
� ,, ,,,.,�... I
��I3i�aa�
-� A�PR.O�//DP/
��� c�itr �S co�r���K`"
f . Pwnr:u.� D@PT.
BUWECT TO OLDG. DEPT. REG
.�L.i / .2. ���il ��
�TQO OP PlANNI�i
CLI�I Z,v�-�.l.G� ,,�. ���L.o.ca�,�, � L.:�
y ��� �
�
J
�
m
.—.
ril d���Wr'�'
IIE61D[NC[
��� �„�. I cU' u� �-w�,� �wp-w�- ..
,_,�y�,�, � 3Cy � � �u c� ' � Li�.4" 3 '
(� ' l�u ,�� � �, k�-a �.� - , a�c-�-
c� � �u J�:, � aot� �7�, ,Z�
ln-�'C(l� � �U u.�-�- I;�tux-Q�v`. [.vt.�.G�
:�C,� �--dLi'�t�" �C..�v`� D�'�- f ��
_ STREET � _
GJr.�Ti3.?oc�.� p�.
RE610EMC[
:�
F-
W
�
N
C
TYPICAL 6�� �ONCRETE BL�C� �ENCE
Cement Coping Ootional -'
Channel Block With 1-3/8�
Ho�izontal Top of all
Fences
For Fences 5' or less
Vert. Bars 3/8"¢ at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing S�eel Shall
Conform to Sec.A-15�39
A.S.T.M.
AllSteelto be Lapped
24" or to Code
NATURALGRADE
TWO 3/B"¢ 0AR5 LI
CONTINUOUSTOP �
fL BOTTOM
HORf2.5TEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
R S
��
�
Y w
a z
a
> Z
>
a
i �
w O
u t-
LL
yo =\ '
n -p N e .
e n - -
D ' � o
F�—W�IDTH �`�
� SEE CHART
D���9 BE�OW e:�ee.���
L
. .p�.'4�' e
♦
��:
GENERAL- NOTES
MORTAR: pne Port Plastic Cement, and
TAree Parts Sond
GROUT; One Port Cemenf Three antl
' One Half Ports S'and
COPING: One Part Cement, Three
Parfs Sand
CONCRETE: Well Miaed 1:2-I/2:3-I/2
Mar. of 7-I/2 Gal;ons oi
?�.��, "';,,,,;,,.`,ti �Wa`fy�� P,e�wa�rcl�of-Cement
QGROUT'M!i �BE'POURED FROM THE TOP �
OF THE FENCE IN CELLS WHERE STEEL ��
ocCUHS."�,°''' " '�
� CELLS ANO AREASOF HORIZONTAL REIN- �
FORCEMEN7 SHALL BE CLEAH, CLEAN & �
�:�FREE.OF.ALL.MOR7AR�DEBRIS, ETC.-- .
.�n..-•,.��-,:......_ �__ _. ,.. . T �
--�M;�. - .,. �' . : - 1
!',�"�37: ,_ . _,
N%�'� 11'� .���.r.�-. --. ,r i
',�JG�_.-.. -� �
� i .: ..-. ,. . ..,, .
�07 ;'l _7r� . .
-v ri ._.. .i.. . , . .
- D[PTH OF EARTHTCOTH
� I � `—�i/3- iHE HEIGTH OF FENCE
�, L� I ��COW BOTTOM OF FOGTiNG
I � _I
Z,. SCALE: i/2��= I'
FOOTING REQUIREMENTS CHART
WIDTH 14" . . . . . . . . . . .14�� . . . 12��. . 12.�
THICKNESS . . . . . . 10'�. . . . . . . . . . . .10" . . . . . . , . . . . 8';. 8.�
DEPTH OF EARTHTOOTH . . . 24" . . . . 20�� . . . . . . . . . . 16'�. . . . 12"
SPACING OF EARTHTOOTH. . 12' 14� ... 16�. . 16�
� C.ity of Costa Mesa, California
. , Building Department
.- . . . . _. . F�Ev15EA Nov. B2
c._ ..=-.
�
PARTY WALL AGREEMENT
7HIS AGREEMENT, made and entered into this �� day of
—�Z=��Q�'-Q1��Cy-�i� � by and between
hereinafter referred to as "LANDOWNER;'
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between
� i�,��n» �
�- -
/ "'
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Boak �, Page _l � of Miscellaneous Maps, in the office of the County Recorder
/ i�
of said County. The party wall shall be permitted to encroach (r�
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
I /�o�� i3 �i�3rcJ�
Name (Typ or Printed)
3�? S C�C i �31�az>� ��n si t��arL��— °
(Addressj (Address)
NOTARIZATION RE�UIRED
t90646
fw � �
�
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this 1_/ day of
_��k_(.s�t'i_C.,� by and between ______ (�/��7��2_ J ^ - -
hereinafter referred to as "LANDOWNER;' and ��!"��� �N __ �% f
hereinafter referr�cf to as "ADJACENT PROPERTY OWNER:'
It is hereby agreed that a party wall will be constructed on the property line
between
3SL-/03Z
of
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book ��� , Page �� of Miscellaneous Maps, in the office of the County Recorder
� ii
of said County. The party wall shall be permitted to encroach CO
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LqNDOWNER
ADJACENT PROPERTY
�� .'7 L-. - % _�� �� �� ��� �� ,
(Address) (Address) � �
19p5d6
NOTARIZATION RE�UIRED
,. y
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this
�;'7�%�� , by and between ��_�� ���-�
i
day of
hereinaft�r referred to as "LANDOWNER;' and C���L �L�%�"y ����
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between JJ � �f_/c.Cdl�� " CTI�CLL�S
� _ (Address.of_Adjoining Properti
� 'v
� � ..
in the City of Costa Mesa, County of Orange, State of California, as per map\ecorded
in Book _L�� , �
Page 3 of Miscellaneous Maps, in the office of the County Recorder
�
/i
of said County. The party wall shall. be permitted to encroach � �
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LAN
�� V v l
�.%0� C��.S�'/ -C�Cr�/�/��N _��2..
Name (fyped or Printed) � Name (Typed or PriNed)
3� ".� �G� i i3%Tf�Of��L� ���' ��'��" �'�U=���
(Address) (Address
19Wa6
NOTARIZATION REDUIRED
�
�� �noxessaem�m+o: 355 WESTBROOK PL uxr:
OIMER9WWEIFqlUttl: JOHN CASEY
�o� 355 WESTBROOK PLACE
COSTA MESA
:A •92626 (310)352-0077
uv�. ��ifa+o.00acss
urcxnecron�xui�x: JOHN CASEY uc.xo.: NONE
ANCX.OHFHO.'BADDflE55: 3SS WESTBROOK PLACE uHr:
COSTA MESA CA 92626
CONTXACTORS N�IIE:
CONfX1CTOR4 W1111�lG
�oo�ss
uc. ra.:
��:
110ENSED COMRACTOflS DECLAflATION: I hamby dfim uMx peneAy d pa�ury rt� I em Icenrotl uMer poviebru d Cheptar e
(cpnmana�p wil� Seclion ]000) d Orvision � d ihe Buainen erd Prdesdom Cale, arq my limnw is in lull lace uM aHarf.
cmuc.No.: uc.cuss: uc.No.: EXP:
' Dma: Cameeea:
WNER BUILOEP DECLANATION: 1 Mreby etfum uMu panNy tl perjury IMI I em uemq Imn tM Canvaqon Lioenee Lew /a tM
AbwnB res�on ISetlion )W 1.5 Bueiw�a ud Adevaum CoEe: �M �Y a mun�y xfiirn reVuirea a Pertn� to mrobun. Ma. impwa.
damdeh, w repei eny evueture, prior lo nf cauerco, abo mQui�es iM epplira�t I« weh parmG Io fib e aqeqd Nalemenl Ila� M u aM
e I'eenaeC W��� to �ha povidma d Ne Caqrepae Liceiue law ICheqv 8(�mandiq w�h Sedan 1000) d Onrr'vbn 3 d �hs
Buaineae vd Rolmure Codel a iAet te a�he ia eumq ihsehom end the bme 1« tha e0eped azemqion. Arty violmion d Seaion
]W I.5 by eiry eppticanl i« a permE ailjetls iha epplicenl Io e tlW perely d ml mae ihan INe IwnEreE EoOen �SSOOp.
� I.eaownerWiMpuO�YamYemdoi�xi�wWe�eatheiedammD���.wiOEothev.ak.eMNesi�ucWnindiMenEeE
w olimed Ia eab (Seeuon )Oa�. Busrwn eM Prolaaeona Code: The Comrerfon Lrceeus lewaaee nd epptylo en ownerd propaM
who buiEa ar inpovea �Mreon, end xM Eoee vuM xwk Nmutl w hanel w �hrough hb a her own employre, pwketl thm e�ch
improvemenb ere rol inieMeE a oHared lar ede. II, howavar, lha buiNinp w vnpovemenl ie soM vrithin one ymr d cwnpleton, tM
owner-0uiNer vnll heva the burEen W provinB � or eM Aid irot build or imD� fa IM W?�e M eela�.
❑ I. ai ox+wr d ihe property. em e�Nu�iveM ��reaiq xiih IicenuE conVenaa to canatruq the papq (Setlion tON. &nirims eM
Prdesweu Code: The Cantrmm lieerue lew dooa nd epply lo en owner N qopeny who buiNa a impwm I�ereon anA vfio
conirern fa miM pqeda xilM1 a mqredor�a) IcemeE punueni to �M Caniraqon ikenae lewl.
p i.m...maMe,s«i�:B 7044 e.av.c.,i«mH� OW •R HY OWNER
� i
o�,: y �,,.:
i ao n.,anr �.n�� �w i� e., a d�e ��e u,s �oa��,«�� a ma ��en.�a sdmr eo ,ao�. zssos, zzsa�. �e
YS.SiI. enC UW I or enY Muro Wikuq om+P�� xiA / wll ml (ercb ne lo comC�Y wIM1 veiC alele es enE IM rcGuiiemmM1 b
eP�laovuvuctianamod'RmionhanlheAi�i Lei y�%mpensuU d.RmideMialoumivaioneG rstianarsuanqlmmlMee
pmiaum.
Dete: ApqicW:
WOHKEN'3 COMVENS�TION OECLIIN�TON: I horeby eMim unEer pereliy d paijwy me d IM Idbvrirp Aetleiv'wn:
❑ I hero uM W mamen. cenil'reis d mmmt to ssll�inwro br Mwk«c' comVe��, m pwiEeA I« M Setim J]00 a IM lebar
CoM. iv iM pe�imea�ca d tlw r.wk la wlieh Nu psmA a 6sued.
'J in�e.�e.,a�m���.•oomw�o���w��.mna��.aMsea�,mooam.�e«coe..bm.w�.�am.
work lor whiN Mu partnii ia inueE. MY waken' oompemetion inwrarice fartiar aM pofiry riumber ve:
c�:
Pakr n�mn�,:
,(Thia ion rreeC nat be mmpbfeJ /!M1e permt is br aro hundred ddlan (51001 w lesv.)
,.� t I eenry �hei in iM peAormeewe d ihe work br v.Tc� Ihe peimu u mued, 1 Ma11 rw1 empby eny penon in eny menrw eo m to
Decome wEptl to iha uoM1m' wmpeneetbn kvn d CdA«nie. eM e r thet' �hwk beco�aEpU lo IM MOMen'
mmpanation pwi iona d Se ' n �)00 d IM Lebor CaEa. I ahel.l lathqil m p!� ' �Inss po '
i �l--�� Deta: Z � AppliunP
W�m/ny: F�Ilun swun w kni rompmutlon cw�r�p� b unle , e alu0 subHc! �n xnploy�r ro ctl tl p�n�ltl�� �ne
c/vll flroi ,p (o on� �untlretl tMuuM dal/an (SIOO,OPDA M�Wltlo • cost ol romp�w�roR • prov/dM br In
Sxtlon 9]O6 oI IM Lebor COJn, Inlxuf. �nC ettom�Y � Iwi.
CONSTIiUC110N LENDINO AQENCY: I he�eby � uMa penetry d pei�.cy ihm iM�a u a orneeueion bMvq epenry lor tM
D�mmerce d IM wak br v.TiN IM1u D�Y u nwed (Seeion J09]. CN. C).
LENDEfl'S NIW E:
�ENUEH'S ADDRE55:
I cenity tAm I hme ned N'n eppi:a�ion ud nma tAei iM ebova iMamalon o carrae. I epfae �o canply xilh M tlry erd muruy ardinv�ms
yM eWe IewB IB�dITg 10 bVik�lg Cql%Mlql BM IKKBby BNhOlQB Iape9M�qivM d Ih6 bly b M�M IlpOn IhB e�pp�RqNifMllC pfp0lly
la irepeuion pue ^
. � �� � / ��
o�,: 9' L � �
,—�__ ---+_.i
�'�"'—��ievenue: (3alEenro�Mmw
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H 073951 PLAN CHECK NO: 03429-95 S
PEAM NO: B 073951
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : REPLACE 3 WINDOWS W/DOORS & REPLACE DOOR SQ FT: 3,000
CLAIM VALUE: 3,000.00 CALC—VALUE: 3,000.00 GROUP OCC: R-3 /M-1
COMMENTS: INCREASE HALLWAY WIDTH TO 6.5`/MISC. REPLACEMENT OF DOORS,W{I��NDOWS �++{
iE1EiE1kiE1E1Eif1Elk1Eik1EfflE�fiE�EihiElElElFiEiEiE1E1EiEfEiEiEfE�flFiEfElEifiE1E1E1E1EiElFihiEikiElFihjElE1E1E11�1F1flEj�i� jEjEi:i��,J(- V�.ifY�i�il�/''�! 1�:
Z O N I N G R E Q U I R E M E N T S SMUK�:. C I C v
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUIL��U�RE D_
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 RE • PROV;, PARCEL: 14138503 ZNE: R1 REF NO:_.-.
PLANNING N TES> REliOCATE WATER HEATER TO SIDE OF HOUSE; REPLACE DOORS�WITH
> FRENCH WINDOWS; MISCELLANEOUS WINDOW/DOOR REPLACEMENT.;
aE �ElE fE fE iF If 1ElElf !E iF if if 1f 1E iF iE iE 3E9E iE iF 3f iE iElf iE iE 1E fE iE iE iE IE iE k 1E if 1E If 1f 1E iE iE jE iE if iElE If if 1f if !f iE i! iE �E iE 1E iE iE k IE jE iE iE jE 1f iE iE �F if 3F jE iE iF 1E
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 �'~ : �v-E DATE: ��
BUILDING APPROVED BY.; � DATE: ��
APPLICATION ISSUED •B•Y: DATE: ��5��
*�**��****�*+�+��*****�* +�*+�x���**� *+�
LEGALIZATION:N E E S M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTR�IC.— MECHANIC FZRE SMIP/RES GRADING
PERMIT 54.00 , .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIC�—>
TOTALS---->
35.10
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
54.50 0.00 35.10 89.60 89.60 .00
REVENUE DIVISION TOTALS--> COLLECTED; 89.60 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRIC MECHANPC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 1 ,50 35.10
i�
iE iE iElF iE fE iE fE iE fE IE fE iE fElf f! k IE 1E �E iElE 3E fE fE �E if jE �E iE iE 3E iElE a! * iE iE IE 1E iF 1E jE 3E iE iE iE 1E ik ik if if * 1E if IE IE fE IE IElE IE iE IE IE 3f if if �E iF iElElk 1E iEjE fE aE iE
I N D Z 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
SFR 3000 ALTEA HY VALUE RESIDENTIAL NOZONE 1.00 3,000.00
END OF FEES
O1 �D1s9uSh�ry�j.89D8b Y �9$ £9.bC
SATE= 08.�r5��5 TftES i47I,'
CONSTRUCTION AND PLANNING
, APPROVALS Permit #
1. Temporary Electriral Service or Pole
2. So:1 Pipe�Undrgrnd,
3. Electrical Conduit Utility-Undrgrnd.
� 4. Electrical Cond�it�lindrgrnd.
5. Steel Reinforcement
6. Electrital UFER Gmd. �
7. Footings
8. Foundation '
9: Water Pipe�Undrgrnd.
10. Structural Floor System
71. Property Sewer Lina & House Connection
12. Sewer Cap
13. Roof Drains
14. Rough Plumbi�g
75. Rouqh Electrical�Condu�t '
76. RoughElectric4Viring
77. Rough Wiring Sign
18. Rough Electrical�T Bar Ceiling
19. Rough Heat�ng & Air Conditioning
20. Rough Factory FireP�ace
21. DuCts, in Strutture '
22. Ducts, Ventilating ,
23. Gas Pipe•Rough & 7est
24. Roof Framing
25. Roof Sheathing
26. T-8ar Ceiling (Structurai) & Nlonocoat
27. Frame and Flashing �
28. Lathing & Siding
29. Insulation • �j
30. Drywall Nailing
37. Plaster Brown Coat
32. Electrical Power Meter�Final
33. Final ElecVic � -�
34. Final Heating& Air Conditioning �
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace -
38. Finaf Pfumbing •
39. Water Ser.�ice-Finai �
40. Gas Service-Finai
41. Solar pomestic-Fin21
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigatiort �£tem
45. Sound Attenuation `}
46. Handicap Regulatio�Y� � =-
�`�� 1.
47. FiNAL STRUCTUfl� BL'itDING
r- L_
48. FINAL PLANNING i �� �Z
49. Electric Release to Ejfison'_ �
50. Gas Release to SouThern California Gas Q
51. CERTIFICATE OF OGCUPANCY
!o. Date
Date
inspector
u
� _&SPA
APPROVALS Permit #
52. Pool & Equipment Locacion
53. Steel Reinforcement •
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical ConduirUndrgmd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK � �
62. Backwash & Receptor-Final '
63. Heater & Vent�Final '
64. Plumbing System - Final
65. Electrical�Final '
66. Solar SVstem-Final . ,
67. Fencing & Access Approval '
68. APPROVED FOR PLASTERING
69. POOI/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMEfVT
APPROVALS Permit #
70. Underground Hydro �
�1. Product PiPing O Gas ❑ Qil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM F�NAL
78. FIRE PREV. FINAL
. HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
P
��I�i'L/�'�n�dL�11�
o'i'�! %P•ou-S d �Gn.O ✓
Date �inspector
insulation Certificate
� � ��0 C � � f O D � ��, - _
,� Number and S¢eet
��
Coun Subdivision
Description of Insta{lation
ROOF
Material
Thickness (inches)
- l3 ����-� �
.
� Cry P S ' ' •
i
L.oc �umber
Brand Narne
Thermai Resistance (R•Value)
CEi,� p� %�,,��- ��
`BacidrBlanketType �—� / BrandName__���L�
m cicness (inches) � � � 'Ihermal Resistance (R-Value) _
I.00se FillType Brand Narne
Contractor's minimum ins[alled weighJh` Ib Minimum thickneu inches
;vlanufacturer's ins[alled weight per square (oo[ to acheive Thermal Resistance (R-Value)
EXTERIOR WALL /
Material �A-� SrandNarne �GviC/iE`!�'�
Thickness (inches) l��_ Thermal Kesistance (R-Value) -/ 3
RAISED FLOOR
Material
'Ihickness(inches)
SLAB FLOOR
Material
'Ihickness(inches)
Width (inches) _
FOUNDATION WALL
lvtaierial
Thickness(inches) _
Declaration
Brand Name
Thermal Resis�ance (R•Value)
Brand Narne
Thcrmal Resistance (R-Value)
Brand Narne
Thermal Resistance (R-Value)
I hereby cenify that the above insula[ion was installed in the bui]ding at the above location in confomance vri��
the Current Building Ener�y Efficiency Standa;ds for new residential buildings contained in Tide 24 of the
Califomia.4dminisvative Code.
Signanue and Title
License Number
�� a - ��
�
License Nw-iber
Date
Compliance Forms . J�uary� 1, 1995
� .
'�'� ' .'o5t�ssaFsm�mm 355 WEST
ONMER9IUYEIFp![IMNaTOHN CASEY
�ooxcss:355 WESTBR
COSTA MESA
A 92626
« �rv�. wmwc �uoxEss:
i( AIiLXREtT ON QqNHA:
� urcx on erv�•s �noxess:
�I
„
K PL
PLACE
(310)352-0077
uc. xo:
CONiPACTqfS WWE:
CONiRACTON3 MAlIMO
dUGFESS IJC NO.:
uNr: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 077121 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
UNT:
UNT:
UCEHSEO COHrN�CTOFS OECUN�TON: I MnDy etlim uMm psnaly d pmjury ihet I em IironeeE under poviebn� W CMqm 9
(oommsmnp xilh Seclion ]000) d Orvubn J ol Iha BuNnsw uM Prde�dom Cotla. W mY �� u in lull lorca uM aMsd.
CT' UC. NO.: LIG CLA88: LIC. NO.: EXP :
Date: ConVetlor.
OWNEN BUILUEN OECLAX�TION: I Mnb/ dfirm unEx pmYy d per�ury Ihtl I em �xemq /mm iM Canlretlm lbsew lew Iv IM
IaOox'mB �anvon (Setlion ]W 1.5 Buaiaea erd Prdasiona Cods: Any W a muM' whidi reV��M a V�L to muWCY. Mr. �mDea+.
'undeh. a repei am� siNCNm, pria b Ya uwuca, ebo rayu'vM IM eppliuM la euch ppmil �o fib e epnsd MatamaM tlut M a�M
IiwnwA W� lo the pwnione d tM Comroqon Liams lew �Cheqr B(commendnp x4� Sedian ]000) d D'x'sian 3 M IM
,�rwas eM Prdmebm Codsl a thm M a Ms b exemq �hsshpn eM iM buu la the eAeped uemqion. My v'dqion d Saaion
)aat.5 by vy epplirent 1« e permt subpae Ihe applcem lo e dvi panatly d m� mae Ihen Me huMmE Edlen �Ssooll.
� I. es awrer W �M qopenY a my empbyem w1� wepes n �hei ede compenselion. WI Eo �M waM. enE Ne nruciure i rwl inteMed
w MmeE br ub (�� ]p1d.8ueiMv eed PMsee'aia Code: Tha Contreqwa Lieense Lew Eoea not xpply loanowrierd popeM
who buldn a inpmroa tMreon. and Wa Eoe� �uM xwk IimM a MnN a Nraph he a Mr own emplqsn. pwideE tIW ach
impovemew ere nol WenEeL rc WaeE ta eaM. tl. Mwever. tM buJCinp or'vnp��emen u eold rmhm ar Y� d[anybtbn. IM
owmr-0uitler r.i0 heve the buNm d pminp M a ehe dd np WYC a imprvn /a the pwpme d veb�. '
❑ I. m ow�r d IM D�WSM. em ud�awN oarurad'nY wCh 4ansd convactwa b canstrua Ne MN� (Seaion )WI,''&n"vina aM
PMasvms Gode: The Canireaaa Licrw lew aoee nd ePON to en owror d o�w�Y who builda a impwa �Ae�ean xd who
wnvana i« e h pqeaa wnh reda�e) IcemeE punuem to IM Com aon '
Xp �,,,,,,,mq , pP�1�44 ,RP(�t �'Wt��t Y 06iNER
ia}! B. 8 P.C., Iw Nie ro
oe�.: '�% owne.: � � �C�L�
I Ao nereby cenrty Ine I em ewara d arN uMenie�M iM mauirement C dwnu HeeAh eM Sefey Cotle Setlia 2�5 O5, 25SV, ard
25531, ard Mei I a eny Mu�e Wikinp ocapen� xill / wll rwi (arcb ro mnpy wih ead aeta mdea t�f m�ui�mnenb lar
Dela: Applicenl:
WOPKER'S COMPENS�TION UECL/�PATION: I Mreby eifirm uMer peneXy d perjury ana d the bllowi�p Eedarmnm:
� I heve eed wil meinmN e eenE'rate d mneent lo setlinwn br xvrken wmpananion, n povMad ta by Saqion 3100 0l �hs Lebar
Code. (a �he pe�ormeMe d Ihe xM Iw w1i:h Ihia pamin w mud.
❑ � neve ana �.i� meio�en..a�ken• oomo�:� ��w,vice..� f.a�a W smim s]ao d �ne Lwn. cae. br ine oM«mence a �n.
wak t« Wudi Mu V�e e mued. MY woFen' wmro�ian'viwrerca uerix end D�Y rwmber ve:
c�:
Pdry Numbar:
nis a«rian nee! mt 6e mnd�ei l tM O�x e ror are hvriemd ddie�a Isirol a hn.)
❑ I ranty Uel in I!a perlormerce d �M work fa xfic� t�u permd'a muetl. I ehell nal emplo� erry peiaon in ury menmr o m �o
becmro wbjeif to tM woMn' canpen�etbn lewe d LaWarva. antl epiee tlm J I ehouk bsmr wbjetl lo IM xa4en'
canP�+vion P�ure W Seaun J)OU d iM lebor CoEe. I Ne0lonhwnh mmMV xvh itve pw�m�.
o�.: �wpsw:
Wemlrp: FaYun ro uc�n workxi comp�rwtlon cov�rap l� unlnvNl, �ndslall rbHct an w�vlayn ro crlMiulOM�bu eM
clH/ Anea up ro a�e n1ntlred rAo�unG GMI�n lSIP4000A ��Ifbn ro M� coat ol rompmutbn a�p� �� prvvlWE ror In
Sxtlon 3]OS o/ Me Labor Catle, InM1nat, �iM �mrnsY'i lsa.
CONSTFUCTION LENDINO ROENCY: I MreCy aHrm uMer peneMy d perjury iM1q iMre ia e const�udion bndirp epeiwy la �M
peA«mance d �he xoM tw wl�ich tha paimi e owed (Seaion �09]. C'v. C�.
9
LENDEH'S NAME:
LENUEH'S AODPE55:
I cenM �� I heva reatl inia epplicelion eM pme Ihm ihe ebove iniwmmion ie coned. I�ree to comply wnh ell ay vq ewnry orCineMea
end etele laws releime �o buikvp wnprunion uM Inreby eulMrize repreumetivas o/ Ihc aly to anlar upon Ihe ebova�mamionod proporry
'°""s°°"'°"P"'0°°°'JOHN CASEY
o�e: '� O
Whne-Build'vq 8 SelotY:Omon-FIAOSnery-Rppirani: Fnk-Revenue:Gddanro�/uam
OB DESCRIPTION : ELECTRICAL FIXTURES REPLACEMENT
LAIM VALUE: CALC—VALUE:
PERM NO: E 077121
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /U-1
OMMENTS: ELECTRICAL FIXTURE REPLACMENT ONLY
iE if iF iE K 1E 1E 1E 1E If �E If iE iF iE 1E 1E iE iE if 161P ik 1E iF 1f 16 ib 1E 1E if iE iF iE iF iF if if 1E �E 1f 1E if iE iE iE i61F iF 1f �f iE if If 1f if 1E ik 1f iF iE if 1E 3E iF iE if ik iE iE iE aF iE if iE K 1E 1F
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
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
EFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
ARKING REQ • PROV: PARCEL: 14138503 ZNE: REF NO:
LANNING N6TES>
i
1E 1E iE 1E if if 1f iE 1E iE 1E if 1E iE 1ElE 1E iE 1E if iE iE ff 1F fE 1F 1E if'JE 1F 1E 1f 1E 1E if if 1f if 1f 1E IE 1f iE 1E 1E 1! fE k fE 1F 1E M 1f iE iE 1E 1E fE 7E 1E iE iE �IE iE iE fE ff if 1F 1k 1f if iF if if 1E iE 3f
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
E i � [e� Z'l'l :[�YL � I �7 :1'J
UILDING APPROVED HY :
El� [�1� IF �[i1�E �'�'iil�l ��;1'1
EGALZZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
ERMIT 40.65
SOt
LAN
SSUE FEE 15..00
UILDING—DIV—> PERMIT ISSUE PLAN—CHECK
OTALS----> 40.65 15,00 0,00
EVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
55.65
QTY
2�
2
2�
5
10
I N D I V I D U A L F E E
D E S C R I P T I O N
FIRE
DATE:
DATE:
DATE: IO
�EiEiE3E7EiE�EiE ikiE
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
55.65 55.65 .00
55.65 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
FIXTURES, LIGHTING 1 ST 20
FIXTURES, LIGHTING ADDITIONAL
RECEPT/OUTLET 1 ST 20
RECEPT/OUTLET ADDITIONAL
RECEPT/SWITCH 1 ST 20
END OF FEES
1E 1E 1E IE IE 1E iE 1E if iE'1E if �IE 1E iE 1E iE �E iE'lE �)F 1f if If IE IE IE �f if 1f 1f ib i8
B R E A K D O W N
EA
EA
EA
EA
EA
UNIT COST
75
45
75 .
45
75
TOTAL COST
15.00
.90
15.00
2.25
7.50
r, _1n. . I , ,'L. .)�� J .�, ..
t _...�, _.���
„ �� � CONSTRUCTION AND PLANNING � POOI PA .
'� APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspettor
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
2. SoilPipe•Undrgmd. �� 53. SteelReinforcement
.3.'Elactricai Conduit Utility�Undrgmd. 5A. Forms
4, Electrical Conduit-Undrgmd. �- 55. Electrical Bonding
, 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test
�6. £lectrical UFEfi Gmd. 57. APPROVAL TO COVER-GUNITE
7. footings 58. Electrica� Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undr9rnd., Tes[
� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. �
10. Stcuctural floor System , 61. APPROVAL TO DECK
11. ProPerty Sewer Line & House Connection ' 62. Backw2sh & Receptor-Final
12. Sewer Cap � 63. Heater & Vent�Final
13. Rvof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical•Condu�t �• 66. Solar SYstem-Final
76. Rough Electric Wiring �j �: 67. Fencing & Access Approval
77. Raugh Wiring Sign / 3� 68. APPROVED FOR PLASTERING �
18. Rou9h Elettrica6T Bar Ceiling 69. POOUSPA SYSTEMS PINAL
19. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • ' � APPROVAL$ ! Permit # �
a
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventileting '- 71. Product Piping O Gas ❑ Oil
23. Gas Pipe•Rouqh & T@st ' � 72. Underground Flush •
24. Roof Framin9 - - .' 73. Undergmd.StorageTank L�Gas ❑Oii
25. Roof Sheathing " . 74. Overhead Hydro .
26. T�Bar CeiGng (Structuraq �& Monocoat � 75. Dry Chemi�al
. 2). Prame and Flashing' �� � .. � . � 76. Dry Standpipe � , -
28. Lathing & Siding � _ � 7Z. FIXED'SYSTEM FINAt '
29. Insulation � �� � � 78. FIRE PREV. FINAL
30. DrYwall Nailing - - ' ' HEALTH DEPT._REQUIREMENT
37. Plaster Brown Coat , 79. FINAL INSPECT.ION •. . -:
32. flectriwi Power Merer-Final � I �, j 80: FOOD CERTIFICATE ISSUED �
fl L ,
33. Final Electric _ � 1" )( q6 ����Y` Notes:, . _�
34. Final Heating & Air Conditioning �/� ,��� �j� 2
/
35. Final Ga5 Pipe•Test � , � � '-
36. Hood or Canopy • � -
37. Finai Factory F�replaSe � ' .
38. Final-Plumbing , + �
39. Water Service-Final . � '.
40. Gas Se�vice-Final * � � , � -
41. Solar pomestioFinal �' � �• ' �
42. 8ackflow Preventer , . , ' . ' ,
43. Backflow Irrigation � �
� . . .
44. Landscape Irripation System - � � � . � _ -
45. Sound Attenuation " • " ` � ' - .
46. Ha�dicap Regulations � �
47. FINAL STRUCTURE & BUILDING - � - ,
48. FINALPLANN�NG _.,
49. Electric Release ro Edison �
50. Gas fielease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
.� I
�� �
wonEssaeaiooc: 355 WESTHROOK PL uNr:
wmursw.�eivaiavn: JOHN CASEY
ADDRE54 355 WESTHROOK PLACE
COSTA MESA
CA 92626 (310)352-0077
�er�. xuunc �ooness:
ARCXRECTOXENtlNFER: JOHN CASEY ����� NONE
MCN.OXEt10.'SAUURE54: 3SS WESTBROOK PLACE uNr:
COSTA MESA CA 92626
COMflACTqI'S NRNE:
ca+mncToxswuuac
wo�ss:
uc xo:
UNT:
UCENSEU COMNACTONS UECLRNATION: I heroby edrm under peneMy d perjvry ihel I em Ibenaed under proviaiona W Chepter e
(mmmenc�p wilh Sectbn ]000) d Oivisun � at ihe Buainan vM Probeume CoEe, enE my license ia in lull larce vM eHec1.
cm uc. No.: uc. cuss: uc. xo.: EXP :
Dete: COm�aan:
OWNEN BUILDEF DECLANRTION: I Mreby effirm uMef pe�elY a G��N�Y �� I em ewmq Irom ihe Comretlas lironae lew la the
'dbwiq reswn 1�1ion ]031.5 Bua'vreaa eM Proleanona Gode: RnY c1Y a�+nry which �equiree e pertnn to mrutruct. ellm. imqove.
md'uh, m repei eny stiucture, qior io tls osueMa, eleo �eCuirea �he applirent br euch Po�� �o file a egmE stelemem thei ha w ehe
licenaed pursuem ta tM prwisiona d �M Contreawe 4�ae lew �Cheptr 9(cwnmmoip wil� SeGon ]OW) M Drv'vion 3 d �ha
�usiners eM Prdxsoece COEaI a �he� M a ehe a ueMp tAerelmm eeM IM bsve lor Ne albped uemqon. MY violetion d Seuion
)W i.5 by eiry epWirani Iw e permn wbjwe the eppli�am �o a dvil panalry d ml mare �Mn fNe huMreE ddlen �5500]). '_
� I.esaxmrd�IrepopaMwmymmpbyaeexihwepmmiM1eiedecompeneelion:WIEOIMwM.endNasvunuiebmlinteMeE
�mc�«oams �<�a �m�aae «oneree �« sw. n. now.wc m. w�nmo « mw�em 4 aae.nn� o� v.a,.d �d��. u»
owrerbuilder xill heva �M WNen d wa'iire M or .he d'd �wl Wik « imV� t« iM WR�e a eeb). ...�
❑ I. es oxnar M �M YWa�Y. em uduaiveH conVed'n0 Mh lioenead conlreclaa to cautrua ihe pqeG (Setlion )OM. &niriess aM
Prdesvona Coda: Tha Gonlredae L'cense law Eope ria epply to en owiror W propeM � a+iNe a imqoves iherean ad x1a
convec�s M arh prqma wnh e mmretla(e) Icensed W�s�+ent to iM Contnpon License Lew).
� ���amq��d� Oa�:B 7044 B.dPA..falhiaroea . O OW l�R BY OWNER
o�a: r � � ow�«:
I do hareby cenity m I em e ara d ud uMera�eM iM requiremenb a omu Neeilh eM Salary Co diona 25505.2U533. eM
255a4. enE Ihe� I a any Mura WilEinp arupem will / wtll �M (drcM eC io campN ww�+� Nde codee e�W iM reQuiremann ror
ode: nvd�c
WONKER'S COMPENSATION DECL/�PAAON: I hereby elfirm uMer peneXy d pmjury aie d tha Idlowiip daderetone:
� I heve end xiY manlen a canAketa d mneenl lo fell-ineure lor woMen' wmpaneetpn, u prwked lor by Sed'wn 3]00 ot Iha labor
Code, br tM pe�loimence ol ihe wark lor which �hie ps�M ie iaued.
� I heva end witl mvn�en vrorken' cwnpenu�on ineurM�. ee roVuired by Sapim 3]00 d ihe Lebor CoEe, br Iha peilormance d Ihs
wmk Iw which I�ia permtl is iesuW. My worken' mmpe�ealion ineurenca cartier eM poliry number ere:
c�a,:
Golky Numbar:
,m;� i��a.d,�mwcomdorodern.w�x;,b,o,ronundreeea�.nlsroolwi.se�
I canty thm in Ure parlormenu d �he woA for whkh thie psimil ie iewed, I ehdl iwl emdW �Y 0a� in vry menne� eo es to
bacome aubjed to IM uorkere' compenee�ion kwa ol CeliMnie, end ap�q Ihel A' I ehould be��coopp��e eubjetl to IM vrorken'
mmpanselbn provis�s M SeU� 910U M Iha lebM Cods, I ehdl /MhqtlM�q/mpy�fM ilwro prv�6�n.
� i �ii ii
oma:
ro
m.cwt
,. c+o.w.e ro. �n
CONSTFUCTION LENDING AOENCY: I heraby elfirm �Mer penelry d parjury IMt IMre u e oonnrvaion bMiip eper�cy lor tha
periormeMe d tM xwk fa nfiicM1 �he pertni u ewed (5�� �). C'v. CI.
LENpEN'S NAME:
LENDEP'S AODHE55:
I eenity ihet I heve reed thu epd�� eM 5eie Ihet Ihe eCo'�e iMormetion is roneq. I ep�ae lo cwnply v.il� all ary eed munN �inenme
eM sU�e lax5 relaing to Wibmg construtlion ard hereby eNMr¢e repesantalivea d this olyto emer upon Ihe abwa-menloned propeity
lorinspeaion Purposes. / _
�5151-CB.WP)
oma: � �S� /
Whno-Buildn0 8 Se/ely; Greeo-Rle�. Cenery-Applicenl: Rnk-Revenue; Galdenrod-Assessor
CITY OF COSTA MESA - BUILD'1NG PERMIT
PERM NO: E 073952
PERMIT NO: E 073952 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : REPLACE 3 WINDOWS W/DOORS & REPLACE DOOR SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
COMMENTS: RE: B73951
*�x*�*�***�*iE**��it**�*at*****�**�*�****�it*�at***���******�**iE�*��*+F��*��*�t�*��***
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
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT I[J FRNT: FT IP! REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL: 14138503 ZNE: REF NO:
PLANNING N TES>
�
3E fE iE aE 1F 3E iE iE iE 1E if ik iE if eElElE iE iE �E 1E 1E k iE aE jE jF 3F iF 1f if iE if i6lf IE 1E iElE fFlE 1E �ElE if if iE 1E 1E if iE iE iE if iE iE ff 1E 3E jE 1E iF 1E 3f 1E if iE fF iE iE aE If �)f iE jE iE iE IE if
D E V E L O P M E N T S E R C' I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPRO�'ED BY : - DATE:
APPLICATION ISSUED HY: . � DATE: ���
x****�*****�****��**** ��********�� **
LEGALIZATION:N F E E� S U M M R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 19.50
S0� SMIPlNON-RES
PLAN
ISSOE FEE 15.00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAIA DUE
TOTALS----> 19.50 15,00 0.00 34.50 34.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 34,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
34.50
iE 1F 1f if !E iE if 1E 1E iE 3E iE 1E 1E iE 1E iE if if iE iE iE iE 9E iF 3f iE 3ElE 1E 1E IE iE 1E 1E 1E �f jElFlF 1E If IE 1E k�E fE iE ik �E iE iE iE 1E 9E 3E 1ElE iE iE 3E iE 1E �E �E fE 1f ik 1f 1E if iE iE 1E IF jE �)E!F jE
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 0 N UNIT COST TOTAL COST
ELE 6 FIXTURES, LIGHTING 1 ST 20 EA
ELE 10 RECEPT/OUTLET 1 ST 20 EA
ELE 10 RECEPT/SWITCH 1 ST 20 EA
END OF FEES
75
75
G1 4lU?39Q92-JCiE40T? � t!�'
CG?�: OZ/?5; 9_' T:r'E: .�::15
4.50
7.50
%.50
34e4b
� :7:
J
CON5TRUCTION ANDPLANNING POC SP.A
� >• Date Inspector Date I�spector
APPROVAIS Permii #� APPROVAIS Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement .
3. E�ectrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. 55. Electrical Sonding
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE (
7. Footings 58. Electrical Conduit�Undrgrnd.
S. Foundation 59. Gas Pipe, C Undrgrnd., Test
9. Water Pipe�Undr9rnd. 60. Backwash Unes, P-Trap, O Undre�rnd. �
10. Structural Fioor SVstem 67. APPROVAL TO DECK �
i t. Property Sewer Line & Nouse Connection 62. Backwash & Receptor�Fina�
12. Sewer Cap 63. Heater & Vent-Fina!
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing � 65. Electrical-Final '
15. Rough Electrical-Cond�it � 1 / 6. Solar System-Final .
16. Rough Electric Wiring �/�3/ 6�. Fencing & Access Approval .
!
, 17. Rouqh Wiring Sign 68. APPROVED FOR PLASTEFi1NG'
78. Rough Electrical�T Bar Ceilin9 69. POOIISPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rouqh Factory Fireplace .- APPROVALS Permit#
21. Ducts, in Structure � 70. Underground i-�ydro
22. pucts,Ventilating 71, PcoductPip[�g�Ga: ❑Qil
23. Gas Pipe-Rough & Test � ' 72. Underground Flush
24. Foof Framing - � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead HYdro
26. T-6ar Ceiling (Structuraq & Monocoat 75. Dry Chernicai
27. Frame and Flashing � • 76. Dry Standpipe
� 28. Lathing & Siding . 77. FIXED SYSTE41 FINAL
29. Insulation '� 7$, FIRE PREV. FIN'Al .
30. Drywall Nailing ' HEALTH DEPT. REQUIRfiMENT
31. Plaster Brown Coat 79. F�NAL INSPECTION
32. Electrical Power MeterPinai ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric '�(1'3���j Notes:
4 � _-_--____�
34. Final�Heating & Air Conditioning� , r'Z �'7. 6
35. Final Gas Pipe-Test �
36. Hood or C�anopy .. � . . __` . �
37. Final Factory Firepiace .
38. Final Plumbing ' '
39. Water Service-Final '
40. Gas Service-Final � � '
� 41. Solar pomestic-Final �., . � �
42. Backflow Preventer _
43. Backflow Irrigation � �
44. Landscape Irripation System � ' ., � . � _
45. Sound Attenuation ��.. - • � � �
46. Handicap Regulations ' '
47. FINA� STRUCTURE & 8UtL0lNG � �
48. FINAL PLANNING .
49. Electric Release to Edison .
50. Gae Release to Southern Califomia Gas Co ' '
51. CERTIFICATE OF OCCUPANCY
No. Date
goonessaew:ooa: �55 WESTBROOK PL
°""E"s"""E'°'�'°`"T': JOHN CASEY -
"°°"Es': 355 WESTBROOK RL ,.
C.M 92626
3103520077
AYPL.WJWlO AUOPE53:
AIICNRECTON ENfd1FFA:
�xcx on ¢r+c•s wo�ss:
car+m�aars xu�:
carm.croas uuiwo
mox�ss:
uxT:
uc w:
uNr:
uc xo:
UNT:
�ICENSED COHTAACTOAS UECLI.PJ�T1pN'. I Mrebi mfim uMm peroty d pee'ryry tM 1 em 1'cmm0 �Mar porisiw d CMqr 9
(wmmeruiiq wilh Saction ]000) d Divnion 3 d Ne &mness eM Pideaabna Code, eM my licema'p in lull I«ce eM aHep.
cmuc.No.: uc.cuss: uc.No.: EXP:
oaia: convaao,:
OWNEP BUILOEX �ECIANATION: I henby dfirm ueMer penetly d perjury ihel I em eRemq fmm Ihe Coniredon Lkenea Lew lor �he
'ylovmg reeaon (SeGion'l031.5 Bueinoe� enE P��eaniona Cade: My cily a ooun�y which roQuiree e peimil lo mn5Wc1, eller, improva,
md'nh. a repei eny eUucluro, priat b Ya e��eze. ebo repuiree iM eppl'renl ta eu[h pmmE Io fib e epME s�etemam �hel M a eM
licaneed punuanl lo IM powiom W Na CoMredon licenae lew �Cheqm e(mmmenatp wil� SMion ]000) d Divebn 3 d tM
Husinass ard Prdeae'ua CoEe� or Ihd ho a�e is exemq ��xeimm erd �M bdie lor IM elbpad eaemqion. My vole�un ol 5epion
�osis M�r avd�+� �w e w� w4� in^ avd�� �� a �w oa�eM a na mo�. in.n rHe nuner.e edi.�. �ssoop.
f.l I. av oxner d the puGenY a my «nVMM x'vh wW%+n Ihei sde mmPs���. xill Eo Ne wM. ard Na ebucfun c na inteMed
�r ppryereElpseb�SxYani0ld.BueirossendFrdeesionsCode:TheConlretlonlimnaalawtloetlwlapplytoenownerdpopa�ly
who Wide a inprow IMreon. eed Mp does auM xork htin9etl w MnN a Wpq� he a Mr own ompbeea. po+keE Ihe� ax�li
�ma�.v. me �w imemee v on..e �o,.da. u. nowmx. me wlufrro « inwor«oen e.da wnnin o�e v� a oomdaun. the
ownerbuiltler xill hew Ihe WNen d pP'i�q M w she Eid m� buiM a improve In iM WT�e M sele�.
� I. m o»n.r tl tne nW�v..m ��'eN mm.ae�ro wan fimmee mntrenaa m cmwua Ne pqM (seavi Nu. Bwinas a�d
Gmlasvioro Code: The Cantreem liMb lew daea m� eOdY ro en oxmr d popMy wM buY� « unpwes thnsan end who
onVatla la wcM1 prqed� xilh e amre�for�s) IicemeE Wnueni �o �ha Coniraraor Licmma w�.
I m uemp urd Seeiio � B. 8 P.C.. be Nia eeesm:
o�,: 3 G �.,,�, -�.1
1 eraby ttniy iM1e� I em ewere d uM uMaeienE IM requiramenn d C o' Heetlh vM Sdety CoEe Seabna 25 , ud
. enE thel I or eny M1num buikin0 �upd�� vnll / will na (dmla one) n o�omqy.m �a mma �e� .�e ma,�ati menh Iw
ome: ncd�:
W OflNEfl'S COMGENSATION OKL�F�TION: I hereEy eff�m uMer perehy d psjury aw W ihs bllox+iq dedveliom:
❑ � nm» a�e w me�nen, cenc�s. a wn.m m..n:�ue ror �aken ewnw�mbn. m wwid.d �a M seom mao a m. �ee«
coae. �« �nn c.�ormenc. a m..uk ta.M1�n �h. v� b mwe.
❑ i neve ane w mwne.� wo��.• o�w�m� �,w.�ce. m reau�rcd M s«abn a�ao a m. imo, ceda. w. me o�«menm a m.
wak ta wh"rh �hu V� u iasueJ. MY wakua' eamPetmlun ireuearce wna ud W4Y numbe/ ue:
c�,:
Pdwy Number:
(mb uaim need �a bs mmMxed � �n. w*^�i o ro. ons wimmd eaaers Rioo/ a. rm )
� i cenly iliei in 11w peRormarice d iAe Me* la whch thu permu ie i»ued, I WII m1 employ eny psmn in e�ry mennm w u io
bacmie w4� m tM workere• comW"°'�ion lexs a Gefdorttie. ard apree Nm tl I Nwk become aM� m iM hoibn•
�re��� w�+�. w seaion �10o a me lmor code. �.hen �onnwnn oomWr wan ino.. povieforu.
o�e: nod�:
Weminp: Fellun ro��cvn worken' compswhon roverey� l� un/awNl, mtl alvll �ub/In m�mp/oys� ro Mminal psn�ttlu �M
clvll Hriss up N ons I�undretl fhouurq Gd�+i� (5100,000), In sloltlon ro tlrr cwt ol compxuetbn, Wnap� as prov/GW br In
Sxtlon 9]O6 0l tlro Le6or Cods, /nronsS eM attomsy i/su.
CONSTPilCT10N LENDINO A6ENCY: I hafeM �� under panely d parjury iM1et I�en ia e consl�udion bMinB W<��Y �or tM
�.rormace d ina .m i« .na, ine w�+ b mn,ad (see� ws�. cr.. cl.
LENDER'S NANE:
LEN�EH'S �DDqESS:
I cenih �� I heva meC Ihis eppficeiion ud ne�a ihm the ebv.a inlormetion c correC. I epne io rompy xnn eil ory eM coumy pdinvnea
�e sima b.. �mm m nda�o �ww� w�a na,aw awwRe,awe�i�. a�w mr�o �i� �vw� in. eeore-�uo�,d ao�,y
�« inv.aia+ w.vwea.
_JOHN CASEY _
�(5151d6 WP)
GreerFFle: Genery-RppMani; Pink-ibronw: CialdanroE-Asaeswr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: P 077034
PERMIT NO: P 077034 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : REPLACE GAS LINE FROM METER TO HOUSE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: X
�r**it*at�**�****if ***atatit****x **+�*�ft*****+c*ititit�it*�*it*it�**�ftit�***at*�r�**�r�t*+tat�*��rx�*�*
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
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT SN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING AEQ: PROV: PARCEL: 14138503 ZNE: REF NO:
PLANNING NOTES>
i •
1E if iE IE 1F iF iF iF if 1f if iE 1F iF iF 1F iE If K Xr 1F if If 1f iF �f iE iE iE iE iE iE iE 1E IE 1E iE 1f ik 1f iF iE if iE 1E iE iF iE iF iE iE aE iE iE iE if iE if if iF iE iE 1f if iF if aF iF iF aE if IE iE iF if iF iF 1f ii
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:
i•
APPLICATION ISSUED BY: � DATE;
*�+��,«���,�,�,r,���**�*�«*,«,� ��,�+�«�,���* *
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL E MENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7,00 ' -
z5x ,.
PLAN '
ISSUE FEE 20.00 ,� - � '
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 7.00 20.00 0.00
REVENUE DIVISION TOTALS--> COL'LECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
27.00 .
SMIP/NON—RES
TOTAL PAID DUE
27,00 27.00 .00
27.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
IE iE iE 1E 7f if if 1E 1f iF 1E 1E 1E iF 1E 1E IE IE 1E 1E 1f 1f 1E if iE iF 1E iF II� i(� 1(� 1(� ik iE 1E if 141F if 1E 1f� 1E IE 1(� 1E ih if 3Eif 1F 1F 1k 1f 1E If 16 if 1f 1f iE �E 1E if 1F 1E if if if iE iE fF %1f iE If iE if 1E i(�
I N D I V I D U A I:; '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
PLU 1 GAS RE—PIPE. 7.00 7.00
END OF FEES
L
�
� CONSTRUCTION ANp PLANNING . POt SPA
APPRQVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
t. Temporary Elettrica) 5ervice or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3� Electrical Conduit Utility-Undrgrnd. 54, forms
4. Electrical ConduiFUndrgmd. ' 55. Eleariwl 8onding •
-.,.5.'Sieel Reinforcement 56. Rough Piumbing & Pressure Test
'� c6rElectrtcal UFER Grnd. 57. APPROVAI TO COVER-GUNITE
- 7�.:Footings 58. Electrical ConduirUndrgmd.
�. 8.`Foundation 59. Gas Pipe, O Undrgrnd., Test �
" �c
9.1Nater Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. y5tructural Floor SYstem 61. APPROVAL 70 DECK
11. Property Sewer Line & House Cnnnection 62. Backwash & Receptor-Final
12 Sewer Cap � � 63. Heater & Vent�Final
13. Roof Drains 64. Plumbin� Sys[em � Final
74. Rough Plumbing 65. Electricai-Final
15. Rough Electrical-Conduit �- 66. Solar SYstem-Finai
16. Rough Electric Wiring 67.) Fencing & Access Approval
17. Rough Wiring Sign , 68. APPROVED FOR PIASTERING
18. Rough Electricai�T Baf Ceiling 69. POOUSPA SYSTEMS FINAL
}g_ Rough Neating & Ai� Conditioning � FIRE DEP7. REQUIREMENT
- - t
20. R'oucJh Factor`�Firgpj8ce _ . ' � APPRdVALS-_ _Permit #T_
21. Ducts, in 82ru�ure--� �� _ + . <� � 70. tlndergiound Hydro �
,
22. Ducts; Veptilai�,ng-� ' �- _ 71. ProduCL 1?fping O Gas ❑ Oii
23. Gas P.ipe-BouQR & Test 72. Undergr6und Flnsli � --
24. Roof-Framing��• � � � , 73�. Undergrntl.Sroragg'Tank OGas ❑6i1
25. Roof•$heathing < , o . 74.` Overhead Hydro' � '
26. T�Bar-Ceiling (Structdral! & Mbt,�y,�pat ' . ' 75.L.Dry Chemical . _ �� ' ' ;
27. Prame and�Flashing .� _�, . 76` Dry Standpipe r� u�� � �
- 28. Lathing &'Siding � ' - _ ' 77.. FIXED SYSTEM�INAL -
��29. Insulation� ;; ' � � � 78: FIRE PREV. PINAI �
30. DrywatlNailing + . ° � � 4.,_=: HEAITHDEPT.REQUIREMENT
'�31. Plaster Brown Coat -;., 79` FINA� IN6PECTION .
- 32.'Efectrical Povl�r Mece(��nal 80.'FOOD CERTIFtCATE ISSUED
.
33. FinaLEleCjtic_ � . 'Notes: S -Z"3��L_ �'T,�,�`Lr'
.84. FinahWeaiing & Air COnditioning" � '+ b- � • "
_ x _ _ 2/_�'���--�� Y_L
35. F,inalGaz.Pipe'-Test ` - . .q ,,,��c.�/ - - .���Z_-- - -
• • L- t
- 36. Hoodror �jnoPY ' � . �"- ` - , -jz,' 1�.3 /� y, - C�-cfca-�
: .� r �
_ .y . _ �-�
_ 37. Final-factory FirePiaGe ._ - ` ' � '. -
38. Final:Plum6ing � � � " ' '
_ iz-��i
39. Water-Service-Final ' _ � -
F '
=.�40. Gas Service-Fine1 . - - � "' - '"
- F. � - r
-41. Solar Oomes[io-Final% - ' r ' � .
42.BackflowPreventer �� � � ..•r r` �- '
1
43. Backflow Irrigation � hS-' ' , '. y ' `- v ' . -
44. Landscape Irngation $ystem = T �` ' � - _ ' ' " • �
T� �� < <
45. So�nd Attenuation �� � � _. - ;`�, � _
� . �
46. Handicap Regoiations � - � � + � - _ " . - �
47. FtNAL STRUCTURB & BU1I:OING � - _ "
/. .
48. F1NAL PLANNING .:
49. 6lectrie Release to Edison ' -� �,
50. Gas Release to-Southem Califomia�Gas Co �� - ` -
57. CERT.iFICATE OF OCCUPANCY -
No Date
'J
�ooaEss av sunon+c:
I�ODNESi J J J n
COSTA
A 92626
�cv�.iww+a won[ss:
APCNRECT OP ENtlNFEN:
WICH.OP ENO.'S /i00flE54:
STHROOK PLACE -
MESA '
(310)352-0077
11C.N0:
uxr:
UNT:
PERMIT NO: P
CITY OF COSTA MESA - BUILDING PERMIT
077122 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLO
JOB DESCRIPTION : PLUMBING FIXTURES REPLACEMENT
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 077122
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /U-1
corrm�crareN,ua: COMMENTS: PLUMBING FIXTURE REPLACMENT ONLY
eam�croas�u�o x�*at*�ie+��at+tir�*ftfE���*��tat�x+r�it�ritft�atat*��*�*it*�+�itatit*��*itx��****+eit+r*+�irit�+tit*�x�*ie+t***��t
AOOHE49: 11C.W:
�� Z O N I N G R E Q U I R E M E N T S
UCENSEO COMfl�CTOP4 OECLIHATON: 1 Mrtby M� undx psiWy d psr'ryry tlut I em liunesd unEx pwiwn� ol Clup�er Y S E T B A C K S
(canm«+�na vmn Seciion )000) a oivoun 3 al ms a,a�.0 and Pmtaaa'vu Wds. w mr Gwna u in rw �ace ud sned.
cmuc.ao.: uc.cuss: uc.xo.: E}CP: ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
ome: c«�..a« LEFT: FT IN RGFIT: FT IN LEFT; FT IN RGHT; FT IN
OWNEPBUILDEFUECIANAiION:IMnb/efArtnuMa�D�Ydporjuythellemesemptrom�MComrtlmLiamalewlaiM pARKING REQ: PROV: PARCEL: 14138503 ZNE: REF NO:
lollow'xp raeaon (�1ion ]OJ1.3 Buairoaa vW Adwaul�� �e: AM cry or oouMy wliidi npuim e pemin io eoneVuct. ellx. Improw.
'�mdeh, p rqvi ury �vuewro: pna b os'swance, aba �au� � eGq� �a ach pamil lo fib e epME �utpnanl ihel hs or �M p LANN I NG NOT ES >
. liunwd W�� �o iM proviewns d �M CoNeeCw� �� �w �Cheqr 9(evmmandnp xnh Sedqn ]000) d DHYbn � d IM �
Bueinea eM Prolauiona CaEe� a ihn M a Me u uemq Iharehan eM �hs beria Ip tM elbpad uemqun. My voletbn al6epM ��
1W 1.5 M enY Wp4um /« e W�� abP� �M WM�iuN 10 e dN P�M d nd mm ihen Ma hundnE dalluv I'3+'JOII. 1E aE IE fF 1E 1i 1F if IE if I[=!f if iE if if if if if 1k iE iE 1E fE 1E 1E 1f 1E 1E 1f 1E if iE iE iE iE iE iE iE iE 1E iE iE iE fE iF iE iE�1E IE 1Flf It 1E 1E 1E 1E 1E iE if 1F i4 iF iE iE iE aE 1E iF 3f- if 1f 1F 1F 1E if 1E �E iE
❑ I,uowrord�MpvpMyamywnpb/sa�wl�wepaniMistleoompmNion,w9EOIMw�k,uqjlr�wi,yun's,w1'vNaMad 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
«dl�reE ror We (Sectian ]ou. Bue"urn W Pro1s+Noro Coda: Tha Cmhmaon Lloenea Lawdoes nd eVW to en ormer d popany
wM Wk� a:nwww thwson. W Ma doa euch .ak Fimatl a hanel a Waro� h's «har ovm amv�M�. arovided ihet such Il � _
oo�°r."�n�iwr�n�i°�wd«iwpRaie°wo+��M«�n+�ed`abufidwunpovalp�n�iMWN�edwl°My°�`doomqr�.me ZONING APPROVED BY �- DATE:
❑ �... wme. a �n. wov.m. em urlutivalv oomiee'va wen r�aiwd oomrmw. ro oa,mw uie o� (9.a�on tou. anu,...�d
r'aww�. coa.: nu comnaon ucan. �.. eo« m mch ro.n o«n.r a ww.�r .no wnd. ar �mwo+« �n«.m w wno
mntrecb t« wM pajae� wqh a mmreeal�) fcam�d qmuw m Ns GonVedon Lkwa ta d
�,j i.m...mp��w.� �P7044 B.FP.C.,bNuna . R WNE�[t� Y OWNER
od.: � G o..�. .
I tlo Mnby c�rli l em a vs d end undanWd IM ��Mb Is Hsetlh eM 8e1ary Cads Bsp 2559�. eM
255�1. uM Nn I n�nY Mun dWdvq 000mw �xT / a6 nd (ere4 ) m mmDN wih qid qets aodp �,pWnm�nb br
•pamqlamvVucuanamoEifimibnkantMlv�i b.RrNwWmnY'uCionepplmbm u�mqfmnNaa
wwiwn�.
Dua: ADD��:
WOPRER'8 COYPENlATION OEC WI�TON: I hrW/ �+ �dr pwtly d prpry pw M �M b0ow4p E�tluubro;
❑ �n.»wwm.�n:n.nnaiut.am,.mw..ntmn.ro..wko�wrowawaon�d.er«Mawona�aodm.�.eo.
CoG.lv �M p�rlamuc� d tlw Mak la wNch NN D�e u Wwd.
❑ i n.V..�e w�� �m.:�.aw.r oomo.�� ��.w.a.. u�.a�d�.a w sw� mo a m. i.na cm., iw m. v«io��ww. a in.
wk la Wikl� tlJw M�4 b owd. MY waFen' mmD�� bviuu�n artiw entl W�Y wmMr a�:
c.�:':
Pa:r ra,me.:
� iAls nabn md m� M canoM�N / �IwW'mt u b dw hwWnd dotlen Isiaul n IasJ
❑ I dnN IM In IM oMamenc� d IM wark br YfiiU� Ihb P� b bauM. I NeE m �ndM �^Y w� In �nV muinr n u m
bcana �uqae m tM xaFan' compwraqn 4M d CeNarie. od piw Ntl Y I Ywk barnn� wb�q �o tM r.oM1an'
�o.�nn wwba�. a s.ao, e�oo a u» �.n« cue.. i wn eonn.'vn aomvh �•m� mn. pm.i.wn.
oei.: Mprriv: �
W�m/np: F�llun b ucun roM1w�'rompwu�tlon co�'MW 1� unNwM1q �M �NII ub/�ef �n Nnplqp to cMMnl p�n�lllu �nC
nro nn.. w ro ar. n�nmw rnou,w aaVn lnaqOwA a���n ro m. co.r o� aenq.n..rwn am�pr .. povw.e ror �n
9�ctlen ]108 el M� LNar CW, lirtwt �M �Irom�y'� !wa
CONSTIiUCf10N LENDINO �OENCY: I IarMy �ffi�m �dx pwtly d pwjvy ifW IMn h e apmrupbn 4Mqp epenry br iM
pMarmvw d IM wvk la wlikh thu pami u'vw�d (Sb� �). CM. CI.
LENDEN'8 NMIE:
LENDER'9 �OOFE99:
I tenJy ihet I heva road Nu epqketion W tlN� Ihtl IM ebw'a udamubn u mnW. I epna to campy wi�h etl ory xk mwXy ord4unne
enE e�ata kwe relel'xp b Wik'vq construpion ud hxaby aNM1a¢a Rprsasnletrvae d Ihie cly to enlx upon IM ebo.a�mantqnad popaR/
'«'"'pstl1Onputp0t0'JOHN CASEY
Whda-BuiW'vq 8
Cenery-Appirant: Pink-Revenue; (blEan�olNemen
i �
-
BUILDING AP�ROVED BY
+i�
APPLICATIONJISSUED BY
x�+r*�*�+r+�*+r��x�+�**�*x�***
LEGALIZATION:N
BLDG PMT
PERMIT
F E E S U M M A R Y
PLUMHING ELECTR C� MECHANIC
41.00 ti.
DATE:
+r +� * � * * * � ������'�� � �
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
25Y ` " SMIP/NQN—RES
.'�_
PLAN � � �� �
ISSUE FEE 20,00 �- T '
BUILDING—DIV—> PERMIT ISSUE PLAN—tHECK ,� TOTAL PAID DUE
TOTALS----> 41.00 20.00 0..00�- 61.00 61.00 .00
G % -
REVENUE DIVISION TOTALS--> COLLECTED: • 61.00 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECH.4NIC ' FIRE SMIP/TOT GRADING PLAN—CHECK
61.00 � .., ,
� .. �
IE iE IE IF IE 1E 1E iE ff 1f 1f if �f iE if 1f iF iE IF iE fE iE �f fE 1E IE 1E 1E If ff 1F iE IF if K iE iE ifAf"IE 1f 1F �E��(' �E 1f 1E iF iE 1E M 1F if if iE If iF 1E 1E iE 1E ik 1E iE k if �F 1f 1F 1f if 1E if iF iF iE IE iP 1E
I N D I V I D U A L�. �F Ei E' <B R E A K D O W N
TYPE QTY D E S C R I P T I O�ty,.7 � -'. UNIT COST TOTAL COST
PLU 2 SHOWER �+' '� 7.00 14.00
PLO i SINK, KITCHEN �" �. �.. 7.00 7.00
PLU 1 WATER HEATER AND/OR.VENT�; '
PLU 1 GAS PIPING SYS OF /19�T0, 4�OUTLETS 5.00 5.00
PLU 1 GAS PIPING SYS 5+ '(JUTL'=PER OUTliET 1.00 1.00
PLU 1 WATER RE—PIPE /�.<'� ' 7.00 7.00
EIJp� OF fFEES
"' � "f '� -
CONSTRUCTION ANDPLANNING POC SPA
APPROVALS Permit# Date Inspector qppROVALS Permit,$ Date Inspector
1. Temporary Electrical Ser�ice or Pole 52. Pool & Eyvipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
, 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical ConduibUndrgrnd. 55. Electrical Bonding
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test
6. Elect�icalUFERGrnd. 57. APPROVALTOCOVER�GUNITE
7. Footinqs 58. EleMrical Conduit�Undrgrnd.
8: Foundation 59. Gas Pipe, O Undrgrnd„ Test
9. Water Pipe�Undrgrnd. • 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Struaural Floor SYscem - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Piumbing System � Final
14. Rough Plumbing � �`_,Q_ I � 65. ElectricabPinal
!
15. Rough Electrical•Conduit 66. Solar Svstem-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sig� 68. APPROVED FOR PLASTERING
78. Rouqh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cond�tioning . FIRE DEPT. REQUIREMENT
20.`Rough Factory Fi�eplace - , - APP80VALS Permit,-$
21. Ducts, in Structure � 70. Underground Hydro
22.Ducts,Ventilating _ - 77,Produ�'tPipingOGas �Od
23. Gas Pipe•fio�gh & Test C/,�.� 72. Underground Flush
24. Roof Framin � � '
9 . '� , 73. Undergrnd. Storage Tank O Gas :7 Oil
25. Roof Sheathing • �� 74. Overhead Hydro
26. T-Bar Ceiling (Structurall &(vlonocoat • 75. Dry Chemical
27. Prame and Flashing �. 76. Dry Standpipe -
28. Lathing & Siding •� � � 75. FIXED SYSTEM FINAL � -
29. Insulation .' - 78. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT, REQUIREIVIENT
31. Plaster Brow� Coat .� 79. FINAL INSPEC710N
32. Electricai Power Meter�Fina� 80. F000 CER7IFICATE ISSUED �
33. Fina��Eiectric ' _ Notes: _ Z3 � _��,�, u Y- �/
� 4 L -,
34. Final Heating & Air Conditioning /� `,{_C%[ n n„r}'q,� i�✓1 i' �
C� `7 � c ��_-� �...�.i L7fn
35. Final Gas Pipe-Test ,f ' �� / � ]��_ ,���_,A ���
� 36. Hood or Canopy . w (��{
s-��h,"`'�-��r_i '��� �C_.��J`
37. Final Faaory Fireplate . � . '
- r_�_Z� g��rz2 �- -
38. Final Plumbing � 2 �[t` (z_(�,�6-�l /�!R(_Z��
39. Water Service-Finai -� j�Z3 '�� �,L,LQ -,-�
.
40. Gas $ervice-Pinal . � �
41. Solar pomes[ic-Final . _ ' ,
42. Backflow Preventer - � +
43. Backflow Irrigation - ,
44. Landscape Irrigation Systam �. � � �
�.
45. Sound Attenuation � _
A6. Ha�dicap Regulations . .
47. F WAL STRUCTURE & BUILDING
48. FINALPLANNING . �
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
v�'1
RUUFESSOFBVILqMi: 3JS WE5TBROOK PL uNT:
OWNEASNMIEIFpMMN: JOHN CASEY ..
ADURE55: 3SS WESTBROOK t?L�AC� t�
COSTA MESA
�A 92626 (310)352-0077
�vc�.ewuNc �ooxess:
/JMNIIECTOPFNtlNFEF: SOHN CASEY uc.r�o.: NONE
�xcxonu+os�oo�ss: 355 WESTBROOK PLACE UNT:
COSTA MESA CA 92626
CONfNALTON'8 N11�:
cwm�crortawuura
�oo�ss:
uc. xo.:
UM:
4CENSED COMX�CTORS DECLAF�TI6N: I Mnby Mkm uMx psroly M psrjury i1W I un I'canwE uMr prmieione d Cheplm D
(commaritl'q wil� Sactbn )OW) d D'rvnion 3 W Ns BUNrwv W Pmla�iom COEs. uM mY Ibems is in NA Iwcs vM efled.
cm uc. No.: uc. cuss: uc. No.: EXP :
Dme: Comretla:
OWNEN BUILDEP DECLAflATION: I Mreyy yfi� undx pndy d perNry ihet I am eaemp Irom IM CoMretlon Licenes law la tlw
Ibw'vp �eeron (Setlion )OJ1.5 Busmn� yy Prpiwiom COEe: Airy cAy n munty whirA nq�iree e permil to mmtruct, eller, improvs,
molsh, w repei ury evunuro. qia b ns uwerce, ebo reQuim IM epplimnl la eueh peemil to fib e apr�eA nalemenl �hel M tt sM
, IicenaeE W�uen� �o tM povieions d �M Conlredon Limnae Lew [Cheqer e(cammendiq xilh Sepon ]OW) ot Diruion 3 d the
Busiiwea vM Prdaeeione CoCs� a �hm he or ehe ia ezemq �hael�an eM ihe baeis /w Ne elleped exemplion. My vidmion d Sedion
)031.5 by eny eppliwil /ar e permil wbjede �M epplicen� to e mil penelry d� moro Ihen Ma hundred Eolkn �5500�).
❑ i,�.o..,b�amav�renro.mv.mnw+,,,wn.e�...in...we�w��a,,�ndo�woM,�,emaswn��o�m�meoaea
or oflereE lor eele (Saction i0i0. Bueiryp¢�y p�seiana CaEe: TM Conlredon Licenae lew Coea nM eppyto en owner of propeM
wno buide a'vn0�� �heraon. end v�p d�e euch wark kmeeH w hereel or NrouBh he «her oxn employees, pmMeE ihel wch
impeovameme are not intaMeE a d1AeE lor ede. H, Irowever, �he buiNinp or'unprwement ie eold wnhin o�re yeer d mmplelion, tM
ownerouitler will heva iha burAen d p�vieq M or eM did nd Wild a improva la Ihe W�e d eala�.
❑ I. m owner W iM propeM. � e�duaiVyy �nlredinp wiih limnaed wnireclore lo cw�arue iha projerf (`�� ��. Businma uM
Proleasione Cab: The Conlree�on Leenx Lew doea nd eppy to en owewr d pmpeM � buiNa or impovm lhereon end wlw
mnlracb (w eud� prqens wuh a conlrxmr(s) IkanxE punuenl to iha Conlrect«a Limnna Lew).
� �ema:am��od«s io�:BP 044 B.BP.C.,brlhiare /�:)!6FG`-----'ER� OWNER
i
o�a. G , 4 o�.,�a, �.�L
I do hereW ce�ily i�at I em ewere ol enE uMeroiend tM reQuiremenla W ' ie Haellh enE SaMy CoEe Seqiona 2 , 25533, eM
25534, end I�et I or any fulure buiWinp aa�p�� vnll / will nal (circk ma) nead lo wmpty w1h eeid siate codee eM IM reQuiremanle br
eparmnlormnevunionwmodificetionlrom�heAir ue�6Tyl�enepemeMDiatrid.HeaiEen�ielconatiud'pnapD��ianaereuempliromihesa
y,wisbrre.
Dete: ApDlcenL
WONKER'S COMPEN5�110N OECLRPAT�ON: I hereW elfirm under pandiy d perjury oin W Ne /dbxirq detlereliom:
� I heve arM �il meimein e cenHira d����� ia aetlinwra Ia wokca' compenee�ion, m O�a+ded 1ar by Sedian 3)OO W �M Lebar
coCe.lor �ne DaRormence M iM wwk lor wNcn Inia rorm� ie iaued.
❑ i neve e�a �;e �m�.,on�n m��e,nmon �n,�.e�ce... �w���d M sea� a�oo d m. i.e« c�, i« ine ae�rorm�ce a �ne
WOM IIX WIIIEI IM119 pBlRih 19188YpA. MyWWFBIf compenaelbn ineurence mmer eM poliq number va:
c�a,:
Polcy Number:
�m� �oee�rna�dareermeouma;aro,�an��d,.eddwsrs,00lwi.....�
g I cenAy Uw in iha pMormence d �M wwk la whch �hia peimn is i�sued, I Mell M employ any pareon in vry menrrer w o to
bacome suqed b tM xoikera' mr�pa�pn lewe d Celiiwnie. vM eprae i A I ehouk bacoma wbjan to iM xo�lceis'
COIIIP0�9BIMfl �pI^�M'I! 9 M$B�/%p] 00 d 1�1! �BbJf CiOdl. I B�1B�I �011 - Y1�11 I�q9B;� I
Dete: O�� S/ l i RVd'ceM:
CONSTRUCTION LENDINO AGENCY: I �yreby eifiim uMer penelry d perlNiY �� �� a e oona'ud'pn bMieg eparcy 1« the
perlamaioe d ihe xwk Im whiM tha pe�� y ewed (Smon �09), Civ. C�.
LENDEN'3 NAME:
LENDEfl'S ADUflE55:
� CBIVH ��18� � hOVB R9d �hR B�IP�CB�1C118114 GBIB 1�10� ��18 B�WB 111�pTBIMl119 COIIBtl. ��2! 10 C(M11P�Y WIIh B�� MY � WIIIIIY OIdY1BM69
ene steie �exa rewng �o e� uro eo�svueid, ena neeeq.mnoriz. rereeemeiivae d m's my io axer uwn �ne ebwe-mn,�imea VroDa,b
fa inspeqion purpo3ye�, " "
,Q
o�e: Y
(St5t�d6 WP) While-BuiWvp 8 Sefely; Oreeo-Fle: Cenery-Appliram; Pink-Revenua; GOIEenrod-Aassmr
CITY OF COSTA ME5A - BUILDZNG PERMIT
PERMIT NO: P 073953 PLAN CHECK NO: N
CONSTRUCTION TYPE: C'-N PERMIT TYPE: PLU
PERM NO: P 073953
GOVT: N SUPP: N
PURPOSE: OTH
JOH DESCRIPTION : CHANGE OUT K,SINK, TOILET & WATER HEATER SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
COMMENTS: PLUMBING FIXTURE AEPLACEMENTS / CHANGE OUTS ONLY
*��K����x*atx�*��****��t****�it�+�*+�*�x********�*�+��****��**at*x*rt*iE+��*****�*******x
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
------------ MAZN 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: 14138503 ZNE: REF N0:
PLANNING N6TES>
i '
dE iE 9f iE iFlE �E 3E 1ElE iElf if !E if If iElE if 1F jF 1E �E iE 3E 3E iE 1f 9f 1E iE iE iE iE iElE �E �E 3E �E 3E 3f 1E iE dE dE 1F �f 1E iE iE aE 3E iE �F jE if iE iE IE if IE 9f 1E 1FlE iE �E 1E iE if if iE jF iE 3E jE iE 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 .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:��
+�*+�****� **�***********
LEGALIZATION:N F
HLDG PMT PLUMBING
PERMIT
PLAN
ISSUE FEE
HUILDING-DIV->
TOTALS---->
ZL�QX
2�.00
PEAMIT ISSUE
21.00 20.00
i�.
DATE:
DATE:
DATE:
� E S U M M44 R Y STRUCTURAL SEGMENT:N
ELECTRIC {�MECII�ANIC FIRE SMIP/RES GRADING
� + "� SMIP/NON-RES
. � i.�
� / •
�(�, ~ ' ' „' �
PLAN=CHECK " "' TOTAL PAID DUE
'• 0.00' ; , 41.00 41.00 .00
REC'ENUE DIVISION TOTALS--> COLLECTED: _ ,41,00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANPE �-FIRE vSMIP/TOT GRADING PLAN-CHECK
41,�� , _ ...
* iE iF iE �F iE 3E 9E 1E iE iE iE if iE iE iE iF 1E IE iElE 3f iE iE 1E iE iE iF iE 1E iE fE �E iE iE.iE iE iElf jf iF 3E i�,iE i(-�f iF if'3E �E 3E iE iE if iE K IE iE 1E 1E if !E 3F iE �E iE iE iE aE iF iE iE iF jF aE jF iF iE aE
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 O^N -� UNIT COST TOTAL COST
PLU 1 SZNK, KITCHEN ��' � • 7.00 7.00
PLU 7 WATER CLOSET (TOILET) '� �,.-,�+ 7.00 7.00
PLU 1 WATER HEATER AND/OR VENT� ���,.•• 7.00 7.00
ENI1rOF FE�ESy ,
� '� . -�
,.'/�.}��•�
,'
i� '7SS33 �z-i���S—' =�� �;� .
�3 �`�- S'�3 ra -� Z s— rz '<
-� o-� � �. , , ..
np 't' Gi c�...% . -"Gi�'[" l _, .- t�t,p.l
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1
I , ' : `
CONSTRUCTION AND PLANNING PO� . SPA
APPROVAI.S Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement '
3..Electrical Conduit Utility-Undrgrnd. ' 54. Forms
' 4. Electrical Conduit�Undrgrnd. 55. Electrical Bondiny .
5. Steel Reinforcement - 56. Rough P�umbing & Pressure�Te:t �
6. Electricai UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit�Undrgmd. )
8�'roundation 59. Gas Pipe, O Undrgrnd., Test '
9: VJater Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
tO.�Structural Floor SYstem 61. APPROVAL TO DECK '
1.. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final �-
12. Sewer Cap 63. Heater & VenFFinat
73. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing 65. Electrica��Final . '
15. Rough Electricel-Conduit 66. Solar System-Finaf .
16. Rough Electric 4Viring 67. Fencing & Access Approval � ,
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTENiS FINAL
79. Rough Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT
20. t�ough Factory Fireptace . , � APPROVAIS Permit #
21. Ducts, in Structure ��� � ' � 70. Undergiound Hydro
22. DuMs; Ventilating � .� . 71. ProductPipingOGas ❑Oil
23. Gas Pipe-Rough & Test - 72. Undergro�nd Flush
,
24. Roof Framing � . 73, Undergrnd. Storage Tank � Gas r OiI
25. ftoof Sheathing � -' 74, Overhead HYdro
26. T�Bai Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Prame and Fiasfiing �- 76. Dry Sxandpipe '
28. Lathing & Siding � '- � 77. FIXED SYSTEM FINAL
29. insulation - � �' 78. FIRE PREV. FINAL -
30. Drywall Nailing � . HEAITH DEP'�. REQUIREMENT
31. Plaster 8�own Coat • _. 79. FINA� INSPECTION
32. Electrical Power Me[erFinal '' 80. F000 CERTIFICATE ISSUED �
33. Final Electric, Notes: G_- �� C�� ' I
( � �1(� _
� 34. Final Heating & Air Conditioning �_Z� .�
/r /'�,
35. Final Gas Pipe�Test � �;/�p
C,-��L6-� �.c�ca,c-2� a�:�
36. Hood or Canopy . �
_ L'_D'�-�4_�-�v�d W_�kC�y`--�, -
37. Finai FaMory F"vepiace � ' f-b� ' /�(( /�
�b�- '�� G� - �/�V
38. Finai Ptumbing _ c�,6
� 2 �- Ll_Z2--�=C1��.
39. Water Seivice�Final �
Z'-/c/ - � �� . �
40. Gas Service-Final : Z_ 23 ,y� � q/�,Q,�,�J �
41. Sola� Domestio-Final -' , .
42. Backflow Preventer' . " -
43. Backflow Irrigation � .
44. Landscape Irrigation System _ ' -
45. Sou�d Attenuation - . ` . � � .
46. Handicap Regm�lations
47. FINAL STRUC7URE & BUILDING -
48. FiNAL PIANNING ,
d9. Electric Retease to Edison ' ;
50. Gas Release to Southern California Gas Co " . �
51. CERTIFICATE OF OCCUPANGY
No. Date .
�
��
1
y
�I
AODflF540iBULqNG: 3SS WESTBRdOK PL
°""`"s""'E"w"w": JOTiN CASEY
woncss: 355 WESTBROOK PL ..
C.M 92626 �'
�vtt. uuura �ooneu:
3103520077
urcxnecronv+m+�+: LARRY ENGWALL
urcK on era�s aoowEss: 5 31 N L I NWOOD AV
S.A.
wam�crars w�:
COlIN�CTOASY4Wq
�oo�ss:
UNT:
�"� S3121
uxr:
CA 92701
uc. r».:
Y
unr:
110ENSEO COMfNACTORS OECIAF�TION: I Mreby eflim undar penelly d per'ryry Nei l em li:enaed uMa pwiaoru d Cliepler 9
(commantiM v.i1M1 beclion ]000) d Divivion J d Ne Buwrom uM Pmlmdme Code. vd mY f a in IuA Iwtt aM oMoq.
cmuc.No.:066012 uc.cuss: B uc.No.: � q 32 EXP: 30/96 .
om,: �—i st-96 ��,� �A„� � �,.._-----
OW NER BIIILDEN DECIARRTION: I Mmby e1Nm wNer penaly W per'µy �hel I em eRemp Imn iM Comreeon L'rense lew Iv Un
'QYowiq iaaton ISetlon ]W 1.5 Bwibat end Prolmecna Code: Am/ c�Y a mwiY xfiich �eV�mm a Dann! lo canW[t. eAa. imVb*.
wnde�. a repar enY s�ure. prior io ie ueuence. e6o repu"vea tM eppiuN Iv ach permu to Ne e aiprcd swemeN Net M a aM
i lioensed W�� lo the pmmons d iM Comrmon limma law ICheqer 8(�mendip xi�h Seaun )000) d Deieion 9 d iha
Buai�wa vd Prdaseiona COEe� a IAM M a Me o uemp tlixMmm end ths beda la Ne elbpeE exempon. My vio4�on d SeQion
]OJ1.5 Ey eny pqifant Iw e peemn wbjetls �he epd� �o e wil penelry d nd mae �han Iwe huMred ddlen �SSW��.
n I, ea ownar d Ihe prope�y or my empbyaes wIh wepea m �M1ei ede mmpametion, xill do the work, eM IM nVuclum u rw� imendeA -
1� orollamdl«aele�5ection]OI�,BuaimneMPrMessionsCoae:ThaCon�retlwelicemelawdoeanotepplyioanoxnerdpropeM
wro w�a. « mo� m„�, ,�e .mo aooe a�m � �:m.�n «n�ne� «m,�n ns «ns, o�.,� �dw�.. o�o�esn mm.�n
imqwemenb ere iwl in�anEetl a o11ereE Im ede. H. Mwever. �he WiMinO a mpw'emem n aald xnhin wre Y� a�m0le�bn. Ne
awMr-0uiMar xill heve iM Wrdan d pv+i�p he or she dk iwl Wild or impim�e tor IM puryme d aeb�.
❑ 1, ea owror d IM1e V W�Y, em uduuvsly oonireaM vrith 4eemeA wnveetas ro eonstrua Ne pM� (Seaion )OLI. Bwimea eed
Proleavane GoCa: TM1e Coniredon Licenae law Eoae rw1 nppy w en owror d popenY ��iNa a imyv.•m thneon uq who
mnvecu lor arh pqeea wn� e aomreqw(s) Icemed Wnuw �o Itw Contrmare licrosa Lew�. .
� I em e�emq urdm SMion: B. 8 P G., lor ihie reeaan:
�ab: Owner
I do hereby cenity Ihet I em ewero W enE undenteM ihe requiremente o/ Callomie HaeXh ard Sdery Cada Seqione 25505. ?SSt3. end
25530, end Ihel I or eny INure Wiki�p oxupenl will I wil nM (dreb oM) med lo camply w1� eek stela wEes enE �M requirameMa la
eparmilbrmneVuclimwmodilicetionham�hoR'v u�0-Tyl�erepemantDinnd.Reaidentialoonavud'wnepp4�ionaareeaempl/romlMse
o�oNslone.
Deia: Applicenl:
WOHNEN'S COMPENSATION DECLAFATION: I Mroby elfrtn uMer pmAy q psjury one d Ne Idbr.inp detivatvp:
� I Mve en0 xil meiwn e candi�ate d ooruent io eetliruun br xaken' oompemeion, n pwided fa by Sadion 3100 d Ilw lebor
CoM, la iM pa�imnuice d Na wh la wlich Nc pe�mu u esued.
❑ in...�emi�m:.�.,�a.•o�w���,�.m,.a�.easea�,a�ooame�e«coe..b.m.w�+�K.airo
wM fa wM1ieh iM Ve� u mued. MY wvken' mmP�ion ineururw wrier eed W�Y �wmber ue:
c�,:
•, rawvN�me«:
(TM1ia aecfion rreeC rrot be compble.f / tM pemil b M one hunMeE ddlen /Si001 oi bae 1
❑ i ce�N �he� I� iM De�wmerwe d tlw wwk Iw wfich �hie peimn ie i»uad, I ahdl m� empby erry pe�von in eiry menner eo m �o
become eubjea to tM wiken' camperoetian lew� d Cdilanu. erq pne IMI QQQI�Mutl Eeconia �ubpa ta �M xvM1aa'
wm � I 1—�� ion �)OO W tM ��e. I NWI Ionhyit�A oq/� � �p�v+�m.
ONe: /% R� � % �`� —
Wemlrp: F�Nun ro rc�n �oikai romp�nutlan rov�rp� l� unNwN( �rMWll �pJM �n rrp/oysr ro cllMrW pw/tlp uM
4NI flMa �q ro arro h�nO�M eMuautllelYn lJ�a{omA N���n ro m. ew� e� rnn�o.n..ran, e.myp. u pevlMe ror In
$KI/M �1� 0/ 1�N (Jb0/ ri0�� /IIiM�I� I/Id �ROTO)"I iNA
CONSTHUCIION LENDINO �6ENCY: I Mnby elfi�m unEer peroRy d perjury IMt �Iwe u e can9iuuion Mdiry epency b tM
pMormenoe d tM xak la xfiidi ih's pami b ewed 1`�� �. Crv. Cl.
LENOEH'S NAME:
lENOEH'S ADUPESS:
1 cenih IM1et I heve roaE Nia epplicetion aM pma ilal Ihe ebove inlamvion ia oonatl. I eprte lo comqy xiih ell irty eM ooun7 adiww:ea
arM eiete lewe nWip �o buikvp eonmrwion eM Mraby eullarixe repeaenieiivas d ihis dry io emx upon tM abwa.meniionetl peopeM
ip impedion W�Wses.
MARK AMMERMAN
Prvn /' ��/1
Dab: (O — � � — { �
SpneWeea qmorllpmn/AppleenUGOMreda
(S151iB WP) While-Buildip d Selely; Orean-Flla; Cenery-RppFrent; Pink-Revanua; Oddenm�Raaemor
�
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: M 078222 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
PERM NO: M 078222
GOVT; N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : INSTALL ROOF MOUNTED HVAC UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: NO OTHER WORK AUTHORIZES BY THIS PERMIT, RE:#B78220
iE 1F 1E 1F 1f 1E IE iF iF iE iF 1E IE IE 1E iE 1f 1f if If If 1f if iF iE 1f iE iE iE iF iF if iE iE 1f IE K iE iE if 1E 1E 1E 1E 1F 1E iE iE if iE If iE 1P K 1f 1f 1E iF 1E 1E 1E iE iE if iF IF iE 1E iF IE iF 1F iE IF iE iF IE iE 3f
Z O N I N G R E Q[J I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------
FRNT: FT ZN 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: 14138503 ZNE: REF NO;
�PLANNING NOTES>
i
� ik 1E iE if fi M 1E fk IE 1f 1E ff 1k if if K 1f 1F 1f iF IF iE fE iE iE 1E iE IE iE IE iE 1E 16 iE IE iE 1E IE 1E 1E 1E 1E IE 7E 1E iE 1E 1E iE ik 1! iF iE if 1f 1f 1k 1E 1F iF 1E 1E 1E 1t if IE iE 1E 1P i61F iF 1F 1E 1E fE iF if IE
,' 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
�r�r****��r***�r�*x *****x�
LEGALIZATION:N
BLDG PMT PLUMHING
PERMIT
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
�
�
F E E S U M M A R Y
ELECTRIC ✓ MECHANIC'
•�� 26,50
��; �- .1� r 25Y
U 'J � � . ZZ.O�
PERMIT ISSUE
26.50 22.00
REVENUE DIVZSION TOTALS-->
HLDG PMT PLUMHING ELECTRI
TYPE
MEC
MEC
DATE:
DATE: �P I I� Ic1�-
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
PLAN-CHECK TOTAL PAID DUE
, � 0.00 48,50 48.50 .00
�� r .
COLLECTED;: 48.50 OVER/SHORT: .00
C MECHANIC ' FIRE SMIP/TOT GRADING PLAN—CHECK
i -� � JL
M if fF 1E ik 1E IE IF 1f IF �k 1f �E iE 1E 1i 1E iE 1flk 16IF iF 1E 1E 1E fE.�F�E 3ElE fE 1f IElE iE 1E 1f if iF iF fE ik iF IF 1k IE �F Ik 1F 1E Ik fF iE 1E 1F 1E k IF 1k 1E 1E 1E 1k ik IE 1E 1E 1F iE iE
I N D I V I D U A Lv tF E E H R E A K D O W N
(jTY D E S C R I P T I 0-N N UNIT COST TOTAL COST
ri li
1 INST FORC—AIR/GRAV EURN <= 100 K 8TU 13.25 13.25
1 REFRIGERATION SYSTEM �:< <�1'00 K BTU/H 13.25 13.25
END OF�FEES
� �: ��
ti
�
� �
✓�
Fi �
' ��
CONSTRUCTION AND PLANNING � �` POl � SPA
APPROVALS Permit # Date Inspector qppROVALS Permit �`r Date Inspector
i. Temporary Electrtcal Ser�ice or Pole 52. Pool & Equipment Location '�
• ' _
2. Soil Pipe�Undrgrnd. .= � 53. Steel Reinforcement �
`3`�Electrical Conduit UtilitY�Untlrg�nd. 54. Porms .
�,
`�4.-EleCtrical,�,p,�duit�Undrgmd. 55. Electrical Bonding
�-6t'3te:1 Reir�ccement 56. Fough Plumbing & Pressure Test
ti`,`�Ele�trical�{EERGrnd. 57. APPROVALTOCOVER�GUNITE •'
� 7s`jFootings y3 58. Electrical Conduit•Undrgrnd.
� S�,Foundation`,-; 59. Gas Pipe, O Undrgmd., Test
� 9."4'vater Pipe-l�ndrgrnd. '- : 60. Backwash �ines, P�Trap, O Undrgmd.
i0. Structural Floor Syscem 61. APPROVAL TO DECK �
11. �Property Sewer� Line & House Connection 62. Backwash & Receptpr-Final �
72. Sewer Cap - � 63. Heater & Vent-final '
13. Roof Drains � - 64. Plumbing System � Final
14. Rough Plumbim� ', ' 65. Electrical•Final '
15. Rough ElectricabConduit „ 66. Solar SYstem-Final � -
76. ftough Electric Wiring - 67. Fencing & Access Approval .
77. Rough Wiring Sign � 68. APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling /� 69. POOL/SPA SYSTEMS FINAL
19. Rough He tin ,& 9�r Conditioning, Gc� / /�/J�\ ,..., F��'�T.�REQUIREMEN� �{
� i� � . s �� �/ /� -,. 7�pc •
L t i „'�7 � Q n �. ;� - r,
20. �du `qA Fa�oryi�Firgp7ace _ - r S ..; �-r ,{\PP�VRj,�tlrFPe�nit # � :�.�
r � r
21. l�ct�;in,�tru�urery ' ' - � S � _'* '70. �ndergr�(r� H�1ro �
22. 6uct�Veeitila{�n9;3i c n a, �- �-> .71. ProducFP'ni ing CjH'as C?Oil
23. Gas Pi,�e-Rnu� & T9st _ n, '�� T ���* 7z, Undergro�Rd F�si`�i ..K, 4
24. RDof'Fre�ing �� � � * # ' ^ rx �-, • 73-. Undergrnd. Storaga:Tank30 Gas ❑ Oil
25. Roof.SheSthing �;x �'' F, � �� 7�Overhead Hydr�,�, r
26. %:Bar'Geilin9;Stru,§?yrall & fvYorweoat r ` � ' '-< 7�Dry Cheroical r-= - � �i
_2�. FrarriF�and�Fiashin� r ��� r� 7 ` ;� 76. Dry Stan�D7pe � y x^ N�"�
� ^ � � `� CC� (` �'G � 7 �.' : ••x ^ .y�., -' - � : .�,
-28. laihmg �'Sidin9 ,.y: _. =.h �, ti :r 77 ; FIXED SYSTEt�3;i;i1fVAL= �•
29. Insulation �n �, _ � �'� 78`� FIRE PREV. FI.�I�L ,�','� � 'Y4,
T30. Drywall N�iling _ e�• 7 E. � � c +I�ALTHj�EPir REQUIRErv]ENT
�. .. �� _ = `_
-31. Plaster Brown a4^� = '�� k I ���'79^ FINAI I��ECT(i�3N �_ -r.
Y'� J
�32. �ectricalFow� A�ter F�!�al * n' � y, '80:r'FOOD CERTIF�`ATE ISS4i�0.,
<'.33. F9hak+EleCZrit� Ja lT' �� ti � `' `� y�i; t � yt-lt^.
: x N,Stes: 7i �1 LQl'i�- el.
� � _ b- �,.�.� -�-,_�_�..s
�34. F,�hal�iea.�'}rg8lAif'���n„[�i'tionirrg'- �, +,-, �� r w �_.
I'G�I�II' _ � '; ��-�kC S�'L<2.�i G'�? . _ . -i'.CZ�c�
35. F,inal Gas Pipe Tesc a C• • �^� � (t 'I�-5 -� !�? ��
� . O �-' -,*-
536. Hooc�Por �noPY f�� �n �.r � � � � p L��'•Z��6x� � +f�L_�- - . D
_ >
-37. Final�Faaory Fire�tace � . �� � � . ��! /��3 �p� C%d� .. . . _-.
� � , � a--
�38. Final.Plumbing �-�� °- - � ' "Y �v- o �:, * .:p
�39. Water Service-Final •a. :•� � x.- � � ' r r� - ra�
- �-n '�:] ni
T-00. Gas Service-Pinal s•. r C.'"^ S � t- ! iK �c� _ c_ .�-
- r ,� � : .•� , � f. . � a,
�41. Solar pomestic-Finalx -� - *� � � ! - -ic ' �c -
_ ti . -
42. Backflow Prevente',r+ * n' ; � 'K ^ ' � r ` " _ `
. � _ � N �� �, �-. � rr, , ; C r c,
43. Backflow irrigation" �. � �< ¢' * . - � �. �� -. .
' _ x ic '.:./
•.. "..' CJ G t"' C C G.1: '; N N ^' q " P.. :l J
Q�. li.andscape.�irrigation'$ystem ��^ �; � Q ,,Z.� £ � 4 �� �.
�
45. Ssund Attenuation .. • * c*. �.'. � c e� a� -
-- - - ..r� � r;v �
46. HOndi,�.2p Regul2tion3� �. . ,, � � i� � ,� - =c y
47. FINAiSTRUL`TURfr&BUILbING :a'. � _•c - r �
48. FINAL PLANNING w `'� +: �� i . '" �'' a �; �.
49. Electric Retease to Edison .� , ,. = ¢ ,� ' -�-.
� �i 'J:..
50. �s Release to Southem Califordfa"Gas Co .'�, 'r � c ' - : ` ` � '
_ J K �L. ;�� r: C� .n
�rt. CERTi'fICATE OF OCCUPANCY �^ • � ^
No. Da[e
OW NER COLLEGE PARK- -�- oare 12-27-56
JOBADDRESS �55 Westbrook Place BUILDINGPERMITNO. . i�'��j,C�
GENERALCONTRACTOR HdTUOT COriS'C. CO. VALUE a L�L�ZOO�OO
��t 3� e�ocK TRACT 2726 Res, w/det, gar.
INSPECTIONS
Foating Trench
Foundation Forms and Grade to G
Rough Framing
Plumbing, Rough to Slab IA)g�
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
(/�ewer, House � C.. Sewer, St.
Septic Tank or Cesspool
I �na.ln Out
Plumbing, Fin�al, Fixtures
Plumbing, Fin.al GasTest
Wiring, Final
Occupancy
FORM 210 3M 10�•v5
lete
DATE
7
SUBCONTRACTOR
i
PERMITS fSSUED
I NUMBER
- Costa Mesa Bailding Department APPI.ICATION FOR PER �
r COSTA MEOSA,�CALIFORNIA d1'70 B U I 4 D 1 N G
FOR APPLICANT TO FII.L IN FOR OFFICE USE ONLY
. Reeeipt No. Permft No.
Building t�/� J
Address NIEST9ROOK PLACE � E�
Costa Mesa, California Received by Date Rec'd. Date Issued
�vearest �W\1"ti� I j — - S� /1-�-7�5�
CrossSt. fiARBOR BLVD. Building
Address '
Owner C O L L E G E P A R K N o. 2 Costa Mesa, California
M �11
Size of
or
Line fram Rear Vard
Demolish
Nearest
Cross St.
PP
CORRECTIONS
erior Wall I Roof
ering Covering APPj;,QV�,s
� oT New Foundation Location Inspeetor I � Date
Iding RESIDENCE & DETACHED Forms,Materials,
G AR A G E Under-Pinning
Frame: Fire Stopa,
I hereby aclrnawledge that I have read this Application
and state that the abwe is correM and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building constntction. Lath. Ext.
Signature of
Perm�ttee HARBOR CONSTRU.TION CO. Plaster.lnt
Valuatlon Pe�mitFee$ ��b/'�-- MasonryRe
Plan Check $% 7— Bond Beam
$ � � �2�0, Total
Fee a- FINAL
vm xoa imee o. r. o- s.
a
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y
a
c.s
0
0
t�l
YLV'1' YLALV
6how locatlon and disWncea trom
property Ilne and between 6uildinga
:i.
y
2a
=-t
J:'
OWNER MORRIS�JN, Melvin �.
DATE
10B ADDRESS 355 Ylestbraok Place BUILDING PERMIT NO. 5%09
GENERALCONTRACTOR O[Jl'18T'-B17.1dBZ' VALUES 11?_.00
AP. No. LOT TRACT FIRE ZONE DESCRIPTION OP WORK Fen �
! f1p TYPF. ZONE Pi.AN Nn. KAnn
INSPECTIONS I DATE I SUBCONTRACTOR I' __ PERMITSISSUED
L mal Gas Test
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F-
W
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F
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J m
C) �
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ST.
COSTA AAESA �UIi.DING DEPARTNIENT �
P. 0. BOX 317
COSTA MESA CALIFORNIp
C.L. OF STREET I . ,.,.�
' ��PROP. TINE _
r 10 FT. FOR 60 FT. STREET
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
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FOR APPLICANT TO FILL IN
BUILDING ADDRESS 3sS�� �� J
Mail
City�� i`� _Ph. No�—S—a1�
Contractor� Ph. No.
City Lic. No. State Lic. No.
Size of Lot �/O � �� AP No. ��3 ' -3 � � —�
Setbacks: C/L Sireet .J � Rear ���
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Side Yard - Righ �� LeE �
Type of Fence �� � u'^+�QR-��� ��
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature .�/ �y '
of Permittee ��[. %�'i� _
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VALUATION
FOR OFFICE USE ONLY
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Permit Fee $ a- —
� � Plan Check $ J
II TOTAL FEE $ � �
U$E REVERSE SIDE FOR DETAILS