HomeMy WebLinkAbout784 VICTORIA ST - Building Permits�oonessoceuaura: �84 VICTORIA ST uNr:
°""E"s"'WEi`a�w": CHURCH SOUTH COAST � -- — `
°D0"� CHRIST�LAN
784 VICTORIA ST
:j�„Sa,�{,,,,�,�4,CA 92627(714)548-3468
AqCNRECT OR FlANEEN:
u¢x an �•s �noaess:
uc. wo:
UNT:
`a"""`T°"°"'u�` FOUST CONSTRUCTION ( 714 ) 675-7337
LONiPACTOR9 MAlIlNO 3 0 8 ANAD E AV E,
''D0"� NEWPORT BEACH CA 14N0i 621989
92661 uxr:
LICENSEO COMRRCTON9 OECLAHRTION: I hanby M'rm urdar psiuly d p�ury Net I em IiceneeE uMer proNtlme W Cheqer B
(wmmeivnp xilh Saction 1W0) d Divieion J N dro Budriw end PMa�om Cada, W my Ilnma u in hA bru vd ellsp.
cmuc.xo.: uc.cuss: H uc.no.: 621 XP:
Dms: UJ' I n_� � ConlreUw: �
OWNEP BUI�OEP DECIARATION: I haWy eNum undar paWy d parjwy �hn I wmp Irpn �M Corqrtlm lkenee Lew la Iha
IOAovnq isevan (5ad'an ]W t.5 &niw�� W Protseaiau Goda: A^Y NY a caunb xfiidi nW'um e D+�n io mmuun. Ma. Lnpn++.
md'mh, or ropai eny at�uctura, qur to u� uwenoe, ebo rpuim IM eppl'vanl tw wch partM to fib a upiwC Mlamenl tIW M ar �M
liqmad W��t to �M po�biona tl tM Canretlon Linma lew �CMp�or B(aommamnp wBh SWion lap) W Diielon � d Ihe
.uunm eM Pedn�'vu CaEel a �hd M a ehe b usmq �MNmn W �M buu ta Ne dbpod uemqbn. My vialetion d Saaion
]W 1.5 b/ vry app4uni Ip e pamn whjea� �M eppfram to a cri pe�uM1y d nal maa �Mn Iwe AunEnA doAen �5500�.
❑ I.moxiwdlhepapeMamyemplv/sesxfhwepmmihei�aleoomperombn.vnlldoNexvrk.vd�MNnxYuneMinlenEed
w afle�ad la eeb (Sec�ion i011. BUNroa eM PMmebnsCoda: The Conlradon L'zenae lew doee not eGONtoen owner ol poWM
wlq WiM a inpwee Ihmean. aM xfio tloes tucM1 xak Nmsetl n Mnal a Nrpqh he a Iwr own empb)ee�. povitleE IMt w[h
impnwanema me nd inteMad aWeisE fa eab. tl,lrowmer, tM WJdi�q a inpwemW b vold wilhin ar ymr d completion. tlr
owrwbuiNa xi0 hm iM burden d D�'�0 M or Ns did m� bu�ld a impm+la iM W�Dae d eebl.
� 1. es o.�wr d Il�e pWeM. em e�tlueivah oonirm�q wnh liceneed comractore io car�ruq the D�9� (Sepion )Ou. Bueiroee eM
v�a� coae: Tn� com�.aa. ��. a�. �a .� w� o.,�,., n w�r .no w�w «�mww« m� .m .ro
canvam br wN W4�a wuh e owretlMa) IicansE Wnuem to tha Ca4retlae Liroros Lervl.
� I em eaemq uMm SMian: B. a P.C.. In No ieewn:
o�.: o«„«:
i m n«env «�m u� i�,..a.. a.�e �w,a me ���,«�.w a cw�:. H.mn �e smw cm. s.e� ssws. zss�..�e
25594. enE Nd I a ury fNun buJdinp awpen� win I wil ml (mcb mel �� �o canply wlM1 uid pe�s wtlsa W IM �eQu'vemenb M
epeminlaaxnviction«modifrmionhantMAi u�ty �enepememDiarid.RmNenlielompiwJioneppfretipnuee�emqlmmthe�a
pwiaiana.
Dete: Apqiwq:
WONNEF'S COMPENSATION DECL�H�TION: I heroEy elfiim uMer perol�y d ppjury me d Ihe Idbwi�p Eetleruim:
❑ � ne�e.�e xi� mainien a o.na�t. a ooneix m..a;nsu. ro, w,k.n• comw�+mion. m awdee �« W s.uion a�ao d me �ee«
Code, la �M peAm�wice d Ne wM la wNch Nia pemW u iauad.
❑ in.re.�e.a��.on�no�w���.�.m�.m��.aMsee�ooa�aoao»�n«coe..w.m.wN«�dn»
work /a xfiich I�o pe�mX ia isued. My worke1e' canpenaetbn ineurenca wrier ud pdiry number me:
Gema:
Pofcy Number.
,/his extion need na be canplemC / tM pemid is b aro huMm! dd/as /SiOp/ a ba.1
�I ceMty Ihel in Na parlamence ol ib wwk Ia wficM1 Ihia pe�mn ia ueued, I ahell rw� amply� any peieon in eny manner eo m to
becmia w4ea to �M workera' canroneeibn levn a ce4tanie. aria wree Nm il � ahauk becoma eu4� io ihe ha1 n'
canCen/W' ion pm+eiov d� jSeeion J900 d tM laEa Coda. I ehell f � oomON .�� q0y.w.wo
Dele: L/'—�� " L G Applirare ���//
Weminp: F�Ilun ro wcvn workn�'romp�wtlon cov�reps 4 unbwNl, mE �NII subJ�cf �n �mp/oyw fo MMiul pon�ltlo entl
cnn nnu w ro m. mndr.e rrouuro ewrn (r�aloaax xr .m�uon ro m. co.� or ro�rosnuuon wm.w� u povia.e ro. �n
s.cnon s�a a� n. beo, coa, �o�«.n, .ne.rcem�r. �»,.
CONSTRUCTON LENDINO AOENCY: I heroby eHi�m unEer penelry M parNrv �hel Ihero ia e conelrud'an IeMiip egency la IM
oeno�mence a ine .oa ror .mkn ino ro�� h a.�ad Is<ao� aoe�, ca. cl.
LENDEP'S NAIAE:
LENDEF'S AODNE%:
I canity Ihet I heve reeC Nia epqkPoim enE Nma tlw ihe ebwe inlormmpn ia rorixf. I eprae to camply wnh dl vry uM caunry wdinercee
eM ewa lewe rele�ip to Wikeq consvuabn eM hmeby euhorixe repreaenimivee oI lhe alY ro enim upan Iha ebae-menlianeE propeiry
�Of If V pKAq11 plllppBB9.
HA�RY FOy,ST
Dme: ` ` y [
(St51de WP� WAne-0uildiq d Sdaiy:OmemFb; Cenery-Appirent: Fnk-Rsaenue; Goldevo�Avsaeaw
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 078233 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
PERM NO: B 078233
GOVT: Y SUPP: N
PURPOSE: OTH
JOH DESCRIPTION : CHANGE OUT WINDOWS (SOUND ATTENUATION) SQ FT: 3,375
CLAIM VALUE: 3,375.00 CALC-VALUE: 3,375.00 GROUP OCC: R-3 /
COMMENTS; THE "ACOUSTICAL INSULATION MITIGATION PROGRAM"� SLIDR. WINDOWS
*�r�r**��r��*���x�r�***�r*r*�*+r+r�r**�r+r*+r*�x�**x*x�*x�*�**�r*�r**�r*� �***�r +r*�r�rx��*x�*x***�r*
Z O N I N GS ERTEB�AUCIKRSE M E N T S����c(L
b
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42241236 ZNE: REF NO:,,.
PLANNING NOTES> •
i
it�t�t�t�t**ft�tit�t�t*�tit�t�tit�tft�titx��tfrx��tf��t�t**x��rr*f��rx�x��r**�r�*x��t*it�tit*xx��t�t*�tw***x�x�it+tx�*+rit�t*�tx�*+t*x�
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 ; r. � DATE: ..
APPLICATION ISSUED BY: v DATE: ��
�t�t�t�t*�t�t***�t�t�t*�t�tr�r*x-�t�t *�t*****+r** **
LEGALIZATION:N F E E S U M A Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 87.25 .50
SMIP/NON-AES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 0.00 0.00 0.00 0.00 .00 .00
REVENUE DIVISION TOTALS--> COLLECTED: .00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
1F 1E 1f 1E IE If iF If iE iE iF if if iF 1E if if If iE 1f 1F Ik if IE If if Ik if if If If iF iE iE 1E iE iE iE if iE 1E k 1i iE 1F 1E 1E 1f if 1E iF 1E iE M iE 1E IE iE iE If 1E 1E 1E iE 1E if �E if 1f iF 1E iF iF 1E 1F iE ik IF 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 3375 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 � 3,375.00
END OF FEES
CONSTRUCTION AND PLANNING POO �P.A
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
.�
1. Tergporary Electrical Service or Pole 52. Pool & Equipment Location �'
2. Soi'�Pipe-Undrgrnd. •� 53. Sreel Reinforcement �
�.`�falFtrical ConduerUiiTjty•Undrgrnd. 54. Forms �
�`4! lectrical Cond�if'Un9rgrnd. 55. Electrical Bondiny � •
Gi .�' r�Tif
�'5�.:�,igel fleinforcemer�F. 56. Rough Plumbing & Pressure Test
r�=-'1 ctrical UFER���11d' S7. APPROVALTO COVER-GUNITE � `-�
L• r'I -. � ..�
( Y• FooZings y°''`� a' 58. Electrical ConduirUndrgmd. ,' i
:' 8. Fdandation (�. �� - 59. Gas Pipe, � Undrgrnd., Test ��
� _ �:,
F;�. Water Pipe-Undrgxnd. ,� 60. Backwash Lines, P�Trep, O Updrgmd.
7�9. StrmCtural Fioor System . 61. APPROVAL TO DECK �•'
11. Pro�perty Sewer �ine $� Nouse �nnection 62. Backwash & Receptor�Final ;�
�z. Sem'R� CaP x" 63. Heater & Vent-Pinal �:
7;,. Ro6.� Drains _ - 64. Plumbing Sys[em � Final
7�1. Rough Plumbing- �r,: � 65. Electrical�Final �'
16. Rough Eiectrical•C�on�Uii '7' 66. Solar Svstem•Final ��
76. Rough ElectricV�;in� 67. Fencing & Access ApProval
n .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERWG ��,''
18. Rough ElectricallT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Condi:ioning FI�,E �pT. fj,EQUIREMENT
^ ' ."� �' .T rl r y. T C i
20. Fi'flug Fa' ry� ir�pl`ce '��' 'i X _ Q'T • PP V � e it# �' �' �
�S �° � sr• a .�+ � � � �' _
21. Ddct�-in �rucEUre� x '.. .. �' � G H* -70. tJhderg ohn� Hy�ro ' .
22. Dytts:�Ve�Yilaq�g �; � � � c � r,� 71. ProducFfj-rping L�1'�s urvil
23. G'�aa P�e�RougFy�& Tesi �-: r. tr, Q G'� �72, Undergrot�nU Flash� ` r �-�
24. ft£of'Frarrt�Png " �=� � "" "t ' * � � �; * „73yUndergrn"o. Storzge Tank C7 Gas ❑ Oil
25. Roof $he�ing c r i ��•� a�� � � n; * 74F!f'1'verhead Hydro= � '
<
26. TBar"Ceiling {Stru�tl�all & AhSr�o�'oat `� � � � x 75gDiY Chemjtal �,� y ' .M�`-
27. F,fameand-Fla,c}�ing`;r �G�: K�' ��r 76. DryStanc�i�e �'z
,�
-28. Lathi�9 8(§idirtg n* y �`.^F ` � E . ..� ..i; 77� FIXED `,51�TEhtF„Ff NAL: � � c,
.�29. Insulatio � V •1h _ ^..... � � , { �.
ryzf ;:. � s � � !+ 7$�FIRE PREV. FIN�L `T' ,�
�'30. Drywall Na'Iing' �* � � * t, � � � Ef€ALTFLDEP7x REQIjIRE'�MENT
;;31. Plaster Bro n�oat�* S ![*R' !� � •+s �79.�FINAL IR*SQ£CTI�N Y � r'
n- -
�. ,
^32. 2T�ctrical Qpw�M�tel�F+rha1 i� '' `l ; ��-' - SO�OOD CERTIFI'�yATE IS$t1ED_. _
g33. Fsal�lec�ac ,7 �: r. i � n � � . I: �NciSes: � - -_ ^ _
!i34. Funalkleatt�g�Air�qndt��-ionin�� �� i7 � ! �� , ,~'y S FS � � rn
35. �`nal {�,as �pe TPstF;; ,7. . x ri i � (� � � " '7 - �r � -�!
'�36. Hood or C3noPY �'" � � ".-• •- r � : � � �a C�o r ~ rC[:�
<- r. :-i • c: �. .: .s. , b: - r Y _ r'
� r:
�' �1! N �a • /. 1 1 , 4: '
-y37. Fihal f,actory Fireq�j¢e �; ; �.�., a, r ,� ' � �; N
_ 4.=r . , .. . .
; ,38. Finai f'lunibing =" � ti � �. i '�' S ^ ' � -
k. � I--� C�
`��39. Water �Serdice-F�al� W _' � '� * ,w � , .� .,, ' x �" �
r m.
T40. Gas ServicecFirtel '�- � r" S t?' � � � ".� '�G �
_ y_ � l•t . x �
F41. Solar porr�"e�ti�fin`al.' ' C�~ k �. f ~ � � * ` -
�: , t*• # � T e' x' �
42. Backflow �aeventer.: :• � � � µ 'F � F � 7 -
',. -.F, x�-, r �� "C �t F
43. Backflow Irriga�iorY-�;� 1 ^"S x� u� ',r �� -
-� :
44t Landscape,lrriij'dtiori8ystem �-���'�� �=• �* cT7 '% O� � N N r: �� ;. c.: _
.. v.�: r-1 ^:k � i E ^. Cr 's S !-
45. Sound Attenuaiion' : .,� .. T * � � ,z`�. .-. � F. c• _
4$? Handicap Regulatid+�.� � � O �� � i �.r T�s r_.c r h
47. FPNA;L'STRU�UE�£j&BUILDING � �''R6 rG �� n"`" `
, _ .L%_� �,�y(L., " � � ^.
_ ,
l
48. FtNAC�PLANNIN�-` --� � ^� � `�� �T% �T• `" :" - `�
- �,- � ;.. ; n n: x d -
43. Electrv"� Rglease to Ed�son � x . �. �.� � y .,� .; �
50. Gas RElease�to Southern CaGfornia 6as Co � � ���+ F� '-'' •= m %r G •
�' •- �r. - Dc f1 �c n,
51�. CERTLFICATE OF OGCUPANCY '° � >' •� ��- •� �� ' '
No. Date
i ��
'
monessaew�owo: 784 VICTORIA ST 01T�
°""ERs"'°'E"'°,ow": CHURCH SOUTH COAST •—. — �
"D°"�u' CHRIST'IAN
784 VICTORIA ST
C�S�(�A,CA 92627(714)548-3968
,wcxrtEcr on ��+: uc. ra.:
u�ex on �++a.•s �ooe�ss: uNr:
coxrnacrarsxu�: FOUST CONSTRUCTION ( 719 ) 675-7337
ca+m�croRsx,vuxo 308 ANADE AVE.
�oonEss: NEWPORT BEACH CA ��� 621989
92661 ��
LICENSED CONTH�CTOqB OECLAN4TION: I Mroby s��m undx psnelly d per�ury ihet I em 1'r»need uMer proviebiu d CMqar B
(G.VliI11Mq110 Mllh $!C(MII %�) O� QMOIOII � C� I�N BUPINO Glb PIC�pWfl� (�.OdG. YIb 111% ��IM i III �II�� idCB 414 OI1Bd.
cmuc.No.�:t uc.eusa: B uc.xo.: 6�{11989 EXP•
ome: /i J�d � �rfo cami.aw:�^/Lt��.✓1 ��
OWNEN BUILDEP OECLAq�TON: I MraOy elfvm wWr Dwuly al psrjury �hn I em wmq lrom IM CamreCan L�iums Lew la tM
idbwnY remon (Seeion ]W 1.5 Bu�iros� ud Rdreion� COEa: �M eYY a cauniY wliidi nVuirse e W�mu �o oone0ud. Mx. improw.
'�mo4eh. a npei eiry etructwe. pia b iN'swerca, abo �qW� iM epplitam Im wch pemiil m fib e uproE eWamsN Ihtl M a �M
4oeroeE W� lo Ihe prwiwm d iM Conlretla� lbenu Vw ICheplx 9(mmmandnp xilh Sed'nn ]OW) tl D'nebn J N �hs
.iu�wa vd Prdeaiona COEeI a Ilw M a eM I� usmq Ihereham uW IM beaq Iv Ns allped wemqion. My v'Netnn d 6auion
'l031.5 Ey eiry eppYnnt fa a permE abjetl� �M eppli eM lo e cril pnMy d nol more then INa hundrsd doAu� �SSWp.
� I.nownerd�MP!W!�YamYamV�W+nwl�h?0°!nihei�decan0+��!,MiOEoNsxdk.WtMatructu�aenalinlentl�E
impwnmeM� ua nd imxtlM a at1aM la uN. tl, �'�. ��+a+�qlnp a mpawnam u wtl �mnin pN yw d mmpbllon. tM
ownmbuitler wiil hew �M buidsn d qw'up M or �s dk rol builtl a ImD� �a IM WToee d seb).
� I. m owMr d �M pWMY, em ud�mwly canlrodAl w4h fiunnE oontracton ro mmtrutl Ne p9a (Swion NM. Bw'vim end
PMmiom CaEe: Tha Conlradan liconw lew doe� �w1 apply to en owror d qopeR/ w}a Wilde a impovr ihe�am vd who
convecn la arh pqsm wnh e mroretlor(�) IcanNd Wnwnl to IM CaM�r]a� Liowa lex�.
� I am e�emq uMer Saclim: B. 8 P.�.. � Nh neun:
Dma: 0.�:
I do MnW cenily tIW I am awua o1 W unCenlenE Ne roQulnmsma W CNAanla HaeM1A erd Sdery Code 3ation� 25505, a.553�. eM
2ii'f1, uM tlet 1 a arry Mun buikirp pwpn� will / wil �wl (dab ms) naed W comply wih uitl pat� mEn vd tM rpulnmaN br
apimnluconevunanamoEifvzlionhanlM�i ue-OT��YamomDisirip.R»iEamielm�eiivaianeppWlnnsanexemqlmmNa�
�els: AV�IkeM:
WOFKEN'S COMPENSATION DECLAN�710N: I hxsby �Ifirtn �nEx panelly al pxjury ms d IM blbwirp Eetle�etbm:
� I hew end witl meimen eutlHluls d mnwnt lo �eN�imuro lor whed wmpanWbn, u providaE br by Bsqion �]00 d Ihe labor
coe.. �n in. wnun,.nc. a N. wnx �« wNcm m� o«me b �euw.
❑ I hevs end wll meinlaln xeAen' oompenwM IneurMa. n iequirW Ey 6aAnn ]]oo d ilw Lebor Coda. br iM parbrmenw d �M
work Iw whiN I�is pomiil ie a�usd. My worluii comMnWbn Iruurencs avnm erk pd4y numbr vv.
Certisr:
Pdicy Numbx:
.Ns eMia rieed rrot b cand� / iMW�f b lar aN �unCnd EW/en �51001 a No.J
�I oulty thel in Ne ps�wmene� d IM work fa xfibh �hl� pemX b ipwd, I Ndl iwl smplry ury paren N ury maviu �o m to
bacams wWoa m iM xaNan' canp�nWbn Ievn d Ce41am4, aM pns Nu J I 4qiM becm� wbjW to iM v.wYa�'
compa ion qovieion� d BWion �lW d Ih� lnbOr Col�. I tlull IoyMlh canpl� h' �� pmisia .
/
_ om. - � y-9l ,��:—�„-�
W�minp: N/lun ro usun wrtwi rompwu�tlen mJMp� l� un4�MTIl, IM I I/le /CI N Nlp/OyM b MMMI pIIIINM 1I14
dm nnu w ro am nu,end ueus.na eaw. ltiaqP�A a���n m m• o.� er rome.ru.�an e+�.p.. u povwa ror m
S�ctlon JIOB o/ tli� L�bor Co6, Intrul, �nE �Romry'� hu.
GON4TAUCTION LENdNO AOENCY: I hwary �flum uMx p�nMy ol parjvy rtW �Mn b e mnprudion MndLp yarwy b �M
psrtamuva ot �M work far whiM t�'s paml u'sw�d (�=°^ �. CN. CI.
LEN�EP'S NMIE:
LENOEN'8 AOOXE89:
I ceNNthei I have nW No epplicNion ud tltl� Ihel �Iv �bm'e IMormNbn b cartrl. I yme la arnpy v.ith eA'ey enE ooumy adinuww
eM eteta 4x� rtlelip w WiNnB �ebu.lion ud Mreby pulhwhs np1amntaMq o1�hu alyto �Mer upan iM ebovs�meMionad propany
/orimpedim purpooee.
,
Otle: '�/ �
Whns-Build'vp 8 Sdsry; QreeMFle: Cenery-ADG���: Pink-Revenua; Oddenro6-Pswew
CITY OF COSTA MESA — BUILDING PERMIT
34
PERMIT NO: B 078234 PLAN CHECK NO: N GOVT: Y SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : CHANGE OUT ONE WINDOW 6 ONE SLD. DOOR SQ FT: 1,700
CLAIM VALUE: 1,700.00 CALC—VALUE: 1,700.00 GROUP OCC: R-3 /
COMMENTS: THE "ACOUSTICAL INSULATION MITIGATION PROGRAM"/1WINDOW/1 SLD DOOR
*******�� x�****x �*x��r��*�r�***+�******���r+r+t*********x����**�r�r� ***�*��r*�rt���*��r***+t�*
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 HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: - FT IN LEFT: FT IN RGHT: FT IN
PARKING RE(j: PAOV: PARCEL: 42241238 ZNE: REF NO:
PLANNING NOTES>
%
1E 1k iF if 1E 1k 1i 1E 1f 1f M 1k iE 1E 1k �k 1f 1E If 1E 1E 1F IE if fE iE IE If 1E if 1E if iE IE IE 1E 1E 41F 1f ik IE 1E 1E 1E 1E �k 1f 1f IE k 1E 1E iE iE 1E 1E ik 1E 1F 1E iF iE 1E IE IE 1E k 1E If IF iF iE 7E 1E IE 1ElE 7E
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:
HUILDING APpROVED BY : DATE: r%
APPLICATION ISSUED BY: DATE: ��
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LEGALZZATION;N F E E S U M M A Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 ,50
SMIP/NON—AES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0,00 0.00 0,00 0.00 ,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: .00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
1E 1E 1E 1F iF iF 1F if if if iF iF iE 1f iE'lE IE 1E IE 1k iE 1E 1E iE ib if If 1E 1f 1f iE if 1E Ik 1E k 1f if 1f 1f if 1F if ik 1F iE 1E MiE 1E �f'M1f if 1f 1F iE it 1E IE iE 1EiE IE 1f iE fE iE 1E 1E iE 1E iE iE iE 1E i(� iE 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
1700 ALTER HY VALUE RESIDENTIAL NOZONE 1.00
END OF FEES
1,700,00
�
CONSTRUCTION AND P�ANNWG , POO. bRR
APPROVAIS Permit # Date Inspector APPROVALS Permit # Date Inspector
a
t. Te�orary Electrical Service or Po'le 52. Pool & Equipment Loca[ion
2. So�-Pipe-Undrgmd. � 53. Steel Reinforcement .
.3:.�Elettrical ConduiT Ut4tity-Undrgrnd. 54. Forms -
-� '�d��lectrical Condu�;-�. tlrgrnd. � 55. Electrica� Bonding � %' ' �-'
1�5� $teel Reinforcert,refrC:, 56. flough Piumbing & Pressure Test n�
l�6.`-���pctrical UPER����. 57. APPflOVAL TO COVER�GUNiTE �
=��. F,Qolings �' �' 58. Elecirical Conduit-Undrgmd.
� 8. Rliusidation =• �- 59. Gas Pipe, O Undrgrnd., Test
,-� ^ m u
'";9. Wa�r Pipe-Undrgrnd. a 60. Backwash Lines, P-Trap, G��odrgrnd.
fQ. Strcictural Floor SVscem ' 61. APPROVA�TO DECK :
7 i. Property Sewer line & House`Connection 62. Backwash & Receptor-Final -�
1 p.. Sewer Cap � r.� 63. Heater & Vent-Final �
13. Rod'f Drains 64. Plumbing System - Final V
14. Rough Plumbing � -'� 65. Electrical-Finai �j ��
15. Raugh Electrica� Conduit - � 66. Solar SYstem-Final •
76. Rough Eleccric �ring .'% / 67. Fencinc� & Access Approvai
17. Rough Wiring Sign 68. APPFOVED FOR PLASTERING �•''��'
18. Rough Electrical�,T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough-Heating_& Air Conditioning F E pF�PT. ftEQUIR�MEI�T
- � -r v� .� c. �C c+ �.- ,., :�
n n .-'+, � cc;n, .y � -x � ..� m'K �`��,^ [- �Y i- C
20. R�ugh.FacjorytFir�p�ace cr, w � r., irx�,%aPPF{�V�;S��Per,�mit# � �
21. [9na4^inStru�urP•:�� , ..'.. �'_ ' n '"'x '70. t7nder�oynd H�ro '�
cr R: x A� i'i y ^. t �. s
22. DuctY; Ventilat�ing i r �� x G c. C:,.� i-� �. ^.77. Produqi; ing p Czas C�1.Qii
23. Ges RSPe-Rough & Test r •?; � x?; � O��.72. Undergro�n� F(�ikt* � l
24. Roof �Framing" �"` �E *-� J e� ''r..' m �� r-'�+ 5V�
_ �x * c; r-� •73.+Undergm�l.Storpn,,e•Tank.t�JGas ❑Uil
25. Roof-Sheaifiing =� �S '� x M ti F� 74�1�'verhead Hydr �%� �
26. TyBafiCeiling (Strdct�rall & Mv�coat � ' "
v.. � J c C�z 7�ery CherLtical � � �" `
27. F�amFanct;Flashing;». - i'- � �� 76. Dry Stan�pe � ro F u � �
�y� . r
y28. Lathii�g &°Siditjg ,-`* � rC..r�^, �=. -� ` "� ��� 77��.T,,� FIXED Sx�TEj�,T, INA� ;-� �'� �
��29. Insulatiom; • 7x l 5 • � . �,; 7� FIRE PREV. F�N�L � ' `" �
' r-!c ^ v ^ ' _ {� �, +-• y-'
~�30. Drywall Nailintj r;� ,.,, � �..., � 'k,; � �flE�1LTF,%pEP�,. REQUIR�MENT
v =�_
_�37. Plaster BrowniCoaG* � i!^:- r �• ^79.�FINAL IW&�ECTt�N j,� 4 !'�
Y ���
- 32. Electrical�pwer M�,_,t�r-'F�iqal ' r ��;,..'r "`80'TFO00 CERTIFICrATE IS�tfEQ-. ,;;
� � r� " I M . � �� %�
,_33. F3nalr�lecIIic: �E [' • K �K � ..�* N6tes: '7 `=c" x - _ P�'.
- � -
'34. FInal�leaEj{�9�AiiC�,ond'S'Yioning`•�=' � +. : r,y „ <- ��; �« � �p
> j "-r. .. �. �
35. F��inal Gas_2ipe Tes�-..: J = �r �+ ' � . � ._ "7�+ r :^C'
_ ,y
�36. Hood"�-t�, r C.znoPY � : � _ _ � �i �'� I ' .ir z- ,-, t �;m
- � K �, . 'S' ':>: r �:V .
--37. Finai`F.acttrry Firep7aee �x , N�- v. � � � �- `.',i; ! T � :�3
,38_ Final�Flur�bin9_ �'� ��' ` ;'`' '� ^ � �� ,,y � � �„ �:
' 39. Water�5erwce-�Fina�y g , " r: t� � � r}; . � � � � • S
� Y T
�4Q. Gas Service-Fin81 ��* �'" �'+'�: c r: �.y I , , e po -:3 x.
- G • - k �k F • O � * C;
=41. Soiar pomestic-Fin�l� = ,,:� � `' I '� `� T � T.
_ �
42. Backflow Preve�te�'r: ` N " ^ ! : `^ = <" �" O �'"
...> -, r-� r-: ;,-, .r : � r C M H
43. Backflowirriga.ior�,�. -;.'-"� xa' x� - � M ^ •
_ �
4�'. landseape��(rrie,�a[iol?�System - u � * �' � � c * tti fo .^qfJ a ±� ��
.: -r - m �c �; �x i E .�"' �. r
� . � : r fi - - x ... r r • . i . . �- � ,
45. So�und A4ten48tio!T�;�: .�.. ' +: r: h- t+±x c T c� .-�t7 *'
46. Handicap Regulations' - O K� , �' a: •S vo S �'
r�w a c i .:F �TvC CJ i
47� ffNA�STRUCTU�RE�&BUIL`DING _ � � �v i �,. �� n
_ - _ 8P %.-�l'6 �;�'� .
48. FTNA_CPLANNINU�',: `'�^ '"-` � - �n ': `f + `" `.
n i I '"� J U;� r. � .
49. Etect� F Re(ease to�dison ' w ����� , � ',� '
� �'��'1 ,-,
50. Gas ReleaSe to Southern Cafiforrtia�fjas Co r � ��_v" � ` "' ' �� ' � '
� ��r. +• s �o n � c`�
5t: CERFFFICATE OP O'CCUPANCY �' , .�' „ , - _
NO Date
PflOJECT AOOflE55: % Q q VICTOR IA ST
OWNEP'S NAME: CHURCH SOUTH COAST
nooness: CHRISTfAN
784 VICTORIA ST
COSTA MESA,CA 92627
548-3468
RHCMIENGINEEN: NEG.NO.:
ADOPESS:
UNIT:
UNIT:
PEPMITTEE: �(S ELECTRIC ( 714 ) 641-3550
aooness: 1315 EAST ST. ANDREWS PLACE C
SANTA ANA CA 92705
LICENSED CONTPAC70B DECLABATION: I hereby alfirm Ihat I am licensetl untler pmvisions ot Chapter 9(commencinA with Section
7000� ol Oivision 3 of the Business antl Prolessions Code, an0 my license is in iNl force antl eifect.
aTvuc.: 046 90 STATELIC.:4BOZZ�I 'L�155: t
f�y}p` � Signature: _ ---
WONNEflS'COMPENSR IONUECIAflRTION: I�erebyallirm � �aveacetlilita�e01ton5en o5¢ -insUt }gO�Worker5'
camoenution ��S�a�eO�a4cr�t��4 c$py t�ereoi �Section 3800. Lab. �,.
POLICY NO.: W U U E%P. UATE: Z O/ O 1/ 9 2
comrnNr: FIREMANS FrUvND
� Cenifiea c OY is �er �y tumis�e0. t2 Ce�ifietl copy i-etl wit� t�e ciry Building Oivision.
//
e: 0 Applicant:
E%EMPiION FPOM WOflKEflS'COMPENSp710N OECLNBATION: (Thissection neetl not�e complete0iithe permi�is bra un�rea(5100) �.
I cetlify Ihat in the pedormance ol �he work lor which Ihis Oermi� is issued, I s�all nol employ any person in any ecome
subl¢tl to t�e Warkers' ComOensa�ion laws o� Cabbmia.
Date�. Sipnamre�.
NO7ICE: If. afler making this eeclaration, you snould become suUiect to ine WorkeR' Compensation provisions ot �Ae La6or
Cod¢. y�U musl �otlhwil� camply wil� SUCh pmvi5ion5 or Ihis permit S�all be tleemetl revoketl.
CONSTqUCTION LENDING RGENCY: I hereey allirm ihatihere is a conswction leneing apency for the Oertormance of ihe work for
wnic� Ihis permit is f=5ued (Section 3097. Civ. C�.
LENUEN:
POUNESS:
OWNEfl BIIILOEfl UECLl�flRTION: I hereby alliim ��at I am eeempt Imm ��e Comractors' SIa1e License Law for �he �ollowing reason
(Setiion 7031.5 Business anC PmIe55ional CODe: Any cily ol counry w�ic� reQuires a DQ�mii lo Conslmc�. alter, impmve, tlemdish, or
repair any simaure, D�ior lo i�s issuance, also reQuires Ihe applicant lor suc� permit to lile a signetl sialemem I�a� hel5he is litensea
pursuam m t�e pmvisions ol Ihe Comraciors' Siale License Law (Chapler 9(commencinp wi�h Section 7000) of �ivision 3 oi ihe Business
and Pmlessions Coae) or IAa� he/she is exemp� I�erefmm anG the ba5is �or I�e aileBed edempiion. Pny vialatian ol Seciion 70.31.5 6y
any apPlicant �or a permit subjecis �he applicant lo a civil penalry o� no� more ihan live �undred dollars (5500).
I. as owner ol IAe pmpeny or my emplayees wilh waAes as tAeir sole comDensation, will Oo ihe wark, and ihe
❑ slmciure is nol imenaetl or allereE lor sale (Secuon ]Oaa, Business and Pmiessional Code: The Comrac�ors' Siate License Law
does noi apO�Y �o an ownef o� a OroperlY who builds ar impmves lhereon, an0 who d0e5 Such work �imself/hers¢II o� I�roUq�
hii or �er own empl0ye¢5. D�oviUetl ��al Suth imprOvements ar¢ n0I int¢ndetl or of�ere0 �or sale. If, however �he builtling Or
impmvemeni is solA wilhin one year ol complelion, Ine owner will nave the burtlen ol pmving he/she ditl not buile or imorove
for ine purpose ol 5d1e1.
1, as awner o� the pmpetly. am e�tlu5ively Conlracfing wi�h IiCenSeJ tonlratlor5 io ton5lmcl ihe pmleCt (SeClion 7044, Busine55
❑ anG Pwfessi0ns Cotle: T�e Comractors' Siare Lkense Law does wi appty m an ovmer Of pmpeM w� bm1As or impmves Ihereon
antl who conirac�s lor such pwlecis w�h a contractor�s) lirense pursuant Io t�e Conira[lors' Siate License Law�. I am aware
t�al prooi ol their Worker'S Compensa�ion insurance should be pmvitlea lo me.
� 1 am exem0� under Seclion: B. 8 P. C.
for Itlis reason'.
Oale'. Ownec
I Oo �ereDy cenity Ihat I am aware ol anU underslan0 ihe reQuiremenis ol Calilomia Healih antl Salely Code Sections 25505, 25533, and
2557a and ihat I or any fuWre builomg occupant willlwill not (circle one) need la comply wilh sai0 slale co0es and ihe reQuiremenls for a
permil lor conSVuclion or moailicalion Imm Ihe Air Oualily Management Distric�. flesitlen�ial eonsimtlion applica�ions are exempt �mm
I11e5c D�oviSions.
Daie'. Ap0litanl: •
I he�eby ceridylhat I�ave read I�is appliWtion ana s�a�e I�ai Ihe aboveinformationis cart¢tl. lagtee lo comply with allci�y anA counly
o�dina�rces an0 sta�e Wivs �eWiing Io �udaing consimc�ion anE he�eby autMrrze 2pre5¢nlatives ol Ihis diy ro enter upon ihe above�men�iontd
OioOerly lor insper i n purpases �� -�`����R��%�
.�- � %i�i S�9 � �
Driver's license or Swial Securily x:
i6Gb<6 Wlme—BUAtling; Green—Cotle Enlorcemenl; Canary—ApplicanC Pink—Revenue:
,
• CTTY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05999
PERMIT NO; E 054995 PLAN CAECK NO: N GOVT: Y SUPP: N
CONSTF�UCT2�N TYPE; V—N PERMIT TYPE; ELE PURPOSE; OTH
JOB DESCRIPTION : SERVICE CHANGE 6 CONNECTION SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS; **� CITY PAOJECT NO. 91-07 ***
�r�t*�r**�*�t*�r**�e�r�t��e�**�***�r*�r�t�t�t�t*�e****�t*�t**�t*�x*+t*�r***�*******�**x***�**+t*�r*+r�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 HUILDING ---------
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: 92241238 ZNE: REF NO:
PLANNING NLSTES>
)
�f �f if 1k �F iE 1E 3f �E M M IE IE k IF M�k 1E k IE k iE iE aF IE IE 1F iE k 1F K iF if M 1f iF if �E if �f iF iF IE �t if it if M k It if if iF if if 3F M M iF M if iF iE iF iE iF fE if if �7F iF iF iF iF if if if k �F
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:
r
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: � DATE: '���
ifkMkaf3FifiFkilkifiFiFiFiFMiFit�kk±k iFjfiFMifMifif4iF ltif
M3fifififiEiFaFiEiFifMikifiFifikifMiklfifiF�flElkklflflfkkiFMiEifitiEaf3E �EifltikifafkMkiEiFiFifiFifiFiFifMifiFiklF�fjEMkiFiFiFitififMif
LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
B1.�1)r PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 18 SO
�O! SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0.00 0.00 0,00 0.00 .00 ,00
REVENUE DIVZSION TOTALS--> COLLECTED; .00 OVER/SHORT: .00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
iF if K iE iF iF iF if K if if if if iE if if iF i4 iF �F iF iF If if if iF K iF K%N if iF iF�F 3F iF 3F if iE if iF if iF iF iF 3F if iF M iE if �F3f if if 3f IF iF if if �f K 1F if 3F if if iE K iF iF if iF K if iF iF 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 5 C R I P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V& HELOW 201 AMP iB,50 18.50
END OF FEES
�
��:il .' -. i ;" , "_
CONSTRUCTION AND PLANNING POO 3PA �
APPROVAIS Permit # Date Inspector AppROVALS Permit # Date Inspector
i. Temporary Electrical ServtGe or Pol� r 52. Pool & Equipment Location
2. $oil Pipe�Undrgrnd. T �� 53. Steel Reintorcement
,'��i��Cal Con�Y i�ity��)ndrgm8; E 54. Forms
a; .n}�IycLry�al CondaR,L}ndrgrnd. �iv 55. Electrical Bonding
7 54 ee`TReinforc¢ e 4 '��'" 56. Rough Plumbing & Pressure Test ��
'-; cr ,�}'.J -<
�'i.�.,r�' E'�rical UF���Gr d. 4 'CS, 57. APPROVAL TO COVER�GUNITE
t^�7�. FacStings :l[u 58. Electrical Conduit-Undrgrnd.
�
�,9. F`.'Qundation " `_' 59. Gas Pipe, O Undrgr�d., Test �
��
. Water Pipe-Undr�hd. 60. Backwash Lines, P�Trap, O Undrgrnd. v
t0. StructuralFloor,�System � 67. APPROVALTODECK
it. Property Sewer Cy'ne,& Hqrise Con�ction 62. Backwash & Receptor-Final
12. SeWAr Cap 'r �' % 63. Heater & Vent-Final
^? �: c.
13. Foof Drains ;^v � . 64. Plumbing SYstem - Final
74. Rough Plumbi� ^- 65. Electrical-Finai
75. Rough Electri�]�Conduit ' 66. Solar System-Final
76. Rough ElectriaWiring 67. Fencing & Access Approval
�
17. Rough Wiring,$ign 68. APPFOVED FOR PLASTERING
16. Rough Electrite�l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20;,;Ro h Facto lace i `r.��r " � �� - .: ' ' � r`r:�� � '. ' tn
i7D GY FJRP �t x G ' e'�. t. ��PPROVhi,9pQPe�mit # t 1.�-�
�•� m c-� �
21Y�Du�ts, n,St�ct� i;;F; �;s y;. S r' .�:r s=70. �de�g�i{�`�jc H�y�`�Jro � �r,
22: D�..S�iis, i?entj�.iting�t i ^S _i_ � S�t'K w� ��71. ProduoT'Puing Q6ms C1'Oil
23:.Ga�k"Pip�Ro"' h&Test ' R' * � ^ �"'��'� 7Z. Underg7b�u,n�J F�sb Y -
� '� i .n:� x t� � Q O* x.
24..;Rogf Framina '� x. ; FF- ��F x> O ^� a x 73. Undergrrtr�.Stor ,Tank:i�Gas ❑9+1
25. Rd,brt S�athing ,� K � v, �'� `` j N y x�• ~ .r
...� 74: Overhead'HydrO-,'
y' a .
26: �T-�ir Ceiiing (Stuictural) 8y�yipppcoat x i,� n;.�v� w 75: Dry Chemical � rr �„ ���
� 27��Frame and Flashing 'by �� ^ '� �� '� 76: Dry Stan�e �'� � � t� `x
[u :� U rr x :Y C �+ tA y" :Y �.. . !-. tD :t �
;l n_ ,r,x r;[•^, � T x Y��. t • r a .
28. La�in� Sidin�v� ;� ,.y;t a r£ ••�. �n 77: FIXED Y9TE� �,glNAkz
?�29. Insulat�8n ��� Q ""'•" > s"' .� r 7B�y- FIRE PREV. FI�L ��, z i�
�r30. Drywall�Vailing ��-�., s "� y� � k i A ;liEAL�HjDEP��.3iEQUIR MENT ,
�31. Plaster� owp CeaP� �.. �� t� .;� 79:� FINAL IP'},$PECT�N ?� ��' p
�'J x t" H * - � t :� ✓ :+ L � �
'_32� ElectriQe) Po�✓er�fyipt�r� Fina� -e i,80�„FOOD CErR�'IF}£ATE ISSCIED' ;p
_33:�:Fin�l Electric � * � � � . , _ + Najes; J' -=� ��` ~ . . �
.�, �] �n „I t . x ti^ v^ n
`� ^:r t� Y �T, t. w - ��Jrt l^^ � � �
� j34,,-�Fin�l Fle�[ir� &'X:�k CLOSlitibr�7'fg. r .� r��:,� •S .x .x S
35: �Fidel Gg Pi�e•TEsa� G _ a� �-. a:� .`o� o; . m:S �t t� ~.:,
w. rt a I .f. iD�r
y- { _�.
�;35.'H6�J �CanOPY x�d Ir � a i C` � k m0 ���' +� '.�jn.
a , .
-37CFihEI Fattory Firepl3ee � S[T' cn .� �T; a' i �r ��n
�. _ �. i . �,_
=,38• Fiq I Pt�mbin r r� i .. .. * n� � i �. �w �r �n ----
,P, 9 v �ti i ... � � ::v. .`� x'z+ C
�39. Water Service-Finak �� i :a x � j i�. tsi a Cr,
'� r .Y
' 40. Gas Service-Final '� �� � � fi � �'' ' a '-� :
m �� �t!^tr 5 r ir; : . �. p:� o:u :r
. . �-- .-
;-41. Solar pomesticFina{;�' r .• .. a � � �♦ � r ¢o � .r
`'42SBackflow Prevent �' N x o r:K + O� 'r� S
� ��; •r � � t .i. i:, �� ;- w � : �
:� - . - .
43. Backflow Irrrtgation �.SSS �r .r �t �xt= x
^.: �a r v . � i x ' :
s,
T44. Landsc�a�e �Lrigatiqn Syster�j�n�� �� �: ny �-; -� � '� ,,� 'zn T 3 � �
I L •
;45jSound �itteDuation �trE- tr t: 3 F - h:r � � . � �- C c[d :? J
- , z. Y. .� �- c' �
.. : .� .. .. - .
546: Handic� R�ulatibns � � '� [n .. ..}r ;� � i �10 ••H ..
;� ♦ 1-i /� i �%F�� � �O s
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