HomeMy WebLinkAbout373 LA PERLE LN - Building Permitsf'
PflOJECTa �IESS: 3%9 LA �PEALE LN
,owNe� AME: WARD INVESTMENT'CO
aolREss: 2110 NEWPORT BLVD
•�. COSTA MESA,CA 92627
642-2000
AflCN/ENCMEEfl: . qEG.NO.:
AOOflESS:
uxiT:
UNIT:
PEPMITTEE: WARD INVESTMENT CO. ( 714 ) 642-2000
aooxess: 2110 NEWPORT BL
COSTA MESA � CA 92627
LICENSEO CONTANCTOB OECIAflFTION: I hereby alhrm Ihat I am licensetl untler provisions oi Chapler 9(commencing with Seciian
7000) o� �iv��sion 9 0l lhe 6usfne55 antl Pmiessions CoOe, and my license is in �ull lorce and el�ect. �
CITY LIC.: STpTE LIC.: CLASS:
�e: � Signa�ure:
BNEBS' COMPENSFTION UECtABRTION: I here�y aflirm that I �ave a cenificaie o� consent to sel4insure or a ceni�ica�e o� Workers'
Compensalion Insurance. or a cendietl copy Ihereol (Seclion 3800. lab. C).
POLICY NO.: E%P. OATE:
�OMPANY:
Certihetl copy is hereby �umished. ❑ Certilied copy is �iletl with �he ciry Building OiviSion.
Oa�e: Applicxni'� �
E%EMPiION FBOM WOPKEflS' LOMPENSRTION OECLl�BRTION: �(Thi55eciion neetl no� be comple�etl if the permit is larane huntlred (5100) or less�.
I certity Iha� in the pedormance ol �he work lor whic� Ihis permi� I5 i55ue0, I s�all nol employ a ersOn in any manner so as �o become
subleci lo the Workers' Compensation Laws ol Califomia. ,
� /�
Date: �' �� _ 9�� Signalure:._� lYvl �� l�[�_�Q, ;.
NOTICE: II, afler making �his declaralion, you 5�ou10 become sub�ec� to 1he Workers' Compensa�ian pmvisions o� Ihe Labo�
Catle. You mus� Iart�wiih comply wii� such provisions or Ihis permii shall 7e tleemed revoked.
CONSTFUCTION LENUING AGENCY: I hereby affirm �hal lhere is a cons�ruc�ion lending agency �or the pedormance ol lhe work �or
which Ihis parmil 75 issuea (Seclion 3097. Cia C)-
LENOEfl:
aooxess:
OWNEN BUILOEN UECLAHRTION: I hereDy a�hrm Ihai l am exempt imm t�e Contrac�ors' Slaie License Law lor (he tollowing reason
(Sec�ion 7031.5 Business and Pro�essional COAe: Any ciry ol counly w�ich requires a permi� to con5iruct, alter, impmve, demolish, or
�¢Oair any stmdure. Orior �o i�sissuance. also requires I�e applicant �or suc� permit ro �ile a signed s[a�emeni �ha� helshe is Iicen5e0
pursuam m ihe pmvisions ol the Coniracmrs' S�ate License Law (Chapler 9(commencing wi�� Section 7000) oi �ivision 3 oi ihe 9usiness
an0 Pmfessions Code) or �hal he/she is exempt there�wm and the Dasis lor Ihe allegetl exemplion. Any violalion ol Sec�ion 7031.5 by
any apPlican� tor a permi� su�lects ��e applicani b a civil penalty ot no� more Ihan �ive hundr¢tl d011ars �$500).
,
I, as owner ol I�e DmperlY or my employees wilh wages as �heir sole compensation, will tlo Ihe work, antl Ihe
❑ slmciure is no� intendetl or olfered for sale (Section 7044, Business an0 Pm�essional Cotle'. The Con�rac�ors' S�ate License Law
tloes nat apply to an owner of a pmperty who builds or improves ihereon, antl who aoes such work himSelVherself or [hrough
his or her own employees. D�ovide0 thai such improvemenls are nol intentled or ofleretl for sale. tl, however �he builtling or
improvemen� is sold wiNm one year of complelion, �he awner will have ��e buraen o� pmving helshe tlitl not builtl or impmve
'- for ine purpose ol sale�. � '
II �� I, as owner ol Ihe pmpetly, am exclusively conVacting wi�h licensed coN�aciors �o conslmcl �he D�olec� (Sec�ion 7044, Business
antl Pm�essions Cotle: The Cantracmrs' Slale Litense Law tlaes not apply m an owner o� pmperty who butlds or impmves ��ereon
anA who conirac�s �ar such pmlec�s wiih a conlracbr(5� license pursuan� to Ihe ConVactars' S�ale License Law),I am aware
Ihal proof of �heu Worker's Compensalion insurance 5houlA be provitle0 b me. ' ,
'� I am eKempl waer Section: B. 8 P. C.
tor Ihis reason: Q Qa - ' �� ,(� q �
Daie: ' I' � 1� l v Ownec A% �l.ii .
I Oo �ereby cenily thal I am aware ol ana un0ersiand �he requirements o� Califomia Heatlh and Sa�ety Coae Sections 25505. 25533, antl'
25534 anA Iha� I or any fuWre buil0ing occupanl willlwill noi �circle one) need �o comply wi�h saitl stale cotles antl Ihe requiremenis tor a
permil br conslmciion ar matlihcaiion Imm �he Nir �uahry Managemen� �i5tricl. Residenlial wnslmction applica�ions are eKempl imm
IAese pmvisions. '
�a�e'. Fpplicant:
I hereUy cetli�y I�at I have read lhis ap0lication and state that ihe above inlormation is mrrect. I agree to comply wilh all ciry antl county
ortlinances and state laws relaling to bwltling consimction antl nereby autharize represenlatrves af inis ciry to enter upon Ihe above�mentioned
properiy lOrinspec�ion OurpoSes. � --`*—
�ate:_��—��-1.�%_ Si9naWre'.
oriveYs License or Sacial Secuntv a:
1641-a6 Whi�e—Bvilding�, Green—Cotle EniorcemenL Canary—ApolicanL Pink—Revenue: Goitlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM N;
PERMIT NO: B 050104 PLAN CHECK NO: 06903-90 S O. ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION ;'RETAINING AND BLOCK WALL ON TOP SQ FT; 224
CLAIM VALUE; 10,000,00 CALC—VALUE; 6,720,00 GROUP OCC; M-1 /
COMMENTS; RETAINZNG WALL W/ BLOCK WALL ON T'OP �
***�*�r*�r*�***�**�***�**�*****�*�r***+�*�r*x�***�+��*���**�*x��***���**+�****�r***�r�***
Z O N I N GS ERTEB�AUCIKRSE M E N'T S ,
------------ MAIN BIIILDING ---------- --------- ACCESSORY BUILDING ------'---
FRNT; FT IN REAR: F.T IN FRNT; FT IN REAR; FT � IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT ZN
PARKING REQ• PROV: PARCEL; 42531115 ZNE• R2 REF NO:
PLANNING Nf5'1'ES> PROPOSED 18 IN. RETAINING WALL AND 6 F'T, HIGH BLOCK WALI,
> ALONG REAR AND 73.5 LINEAA FT, ALONG SIDE PROP. LINE.
k iE ifif if iF iF if if iF 1F 1F if iF �F if 1f M it �t 1k IEiE IE if if If iF if if �E iElk iE iF if k!E!F iF k iF if iE If if �Eif if iE IE iF3f if �E1F IE if iF if 1E iE �E �F if iFlk �f iF'1f ii iFlF K�f k if iF M
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 :�,�jA., ��� � DATE; ��7iGJ gi�
HQILDING APPROVED BY ; �
**�**�x*�*�**�****D*H** i�
iF iF iF iF�IE if iFik iF iPiFif M iE if iE 1F ik iF if iE if if 3E iE iE �E k�E 1F k fF if iF iF if it
LEGALIZATION;N F E E :
� 'HLDG PMT PLUMBING EL TR:
PERMIT . 90,�00 .
PLAN 58.50 }
DATE:
DATE:`
if if 3E iF * IF IF iE 1f iElF If iF if 3F IE �Eif 3F iE if 1F if iF iF iF �E IE iE k li iF iF iF 1F iF iE iE if iE 3E
U M M.A R Y STRUCTURAL SEGMENT;Y
C MECHANIC FIRE � SMIP/RES GRADING
.5� �
� SMIP/NON—RES
ISSUE FEE ' '
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS---->, 90.50 0.00 .# 58.50 149.00 149.00 .00
-� a
REVENUE DIVISION TOTALS--> COLLECTED: 149,00 OVER/SHORT: ,'00
. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 . � � ,50 58.50
iF iE iE iE iF If 1k iF 1k if IF iF Iflkif 1P M if if IE if if if �F iE iE if iE M �F iF iE if iE iE �E �E �k iflF iE iE M 1E 3E iF if k�)E iF 1k�f if iF iF if 3F iF lf if 3E 1FlE If iF iF 3F if iF iE iF �F * 3F * iE iF if if
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
SFR 229 RES—RET WALLS <= 3"FT W/SURCHG/ FT,
END .OF FEES
30.00 6,720.00
G. i700�.5:5n-DOti'S'±.5: Ys.3T '�t�.�i�
UFjTE� Ai�z�r�u TINE� 17�3.`•
Oi OQO7JiS2-+7ClO%J1St2 �i"P_7T d,�tl
Dni�: 11/29iSfl T�ME� i?=�c
�-� , , i
}� � � i .
� CO�ISTRUCTION AND PLANNING . � -� P0. y SP.9 �
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
Temporary Electrical Service or Pole � 52. Pool & Equipment Location _ --
i
2. Soil Pipe-Undrgmd„ , � 53. Steel Reinforcement . � `-'�
fS L I. I'. . I nl
4.✓' .
, ��3 H4ct�ical Condmt.Utility�Undrqrnd. - 54. Forms . '
;+ 4.YElectrical Conduif-Undrgrnd. 55. Electrical Bonding .i,
_ �- �•
,2�§��S�gel:Reinforc meni: 56. Rough Plumbing & Pressure Test ;�;
:�:B:�ECectrical UFERcGr�nd. 57. APPROVAL TO COVER�GUNITE �n
n- -
'" 7.`-Faotings � , ���C„ � � � 58. Electrical Conduit�Undrgmd. � -
_ ,�
' iBcyFoundation :-rly . 59. Gas Pipe, � Undrgmd., Test n.�
•� 9�Water Pipe�Undrgrnd. � � j 60: Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System � 61•. APPROVAL TO DECK - -
11. Property Sewer Line & �House Connection ' - � �' �', _ '�62. Backwash & Receptor-Final ��' ' - �
a w:
12. Sewer CaP ,,, � '. : _: 63. Heater & Vent-Final � '� '" j
13. Roof Drains �� � i; 64. Plumbing System - Final �
14. Rough Plumbiny " 65. Electrical-Final � - ." ' . -,
75. Rough Electrieal-Conduit 1 66. Solar System-Final �
16. Rough ElectrilWiring � 67. Fencing & Access Approval
17. Rough WiringSign 68..APPROVED FOR PLASTERING - .
18. Rough Electri�l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE�DEPT. REQIItREMENT
- '. � - - - ' - t �-�,��. .
20:�:Ro�u�,gh Factocy F.Ireplace � «;[�; -�" - J � �T�= ���-' •APPROVALS� ^peimit # �''
.r •; x `c'i^ S.ef .� .� I-i !"=n A . U: r::�i:-� �
t i� �^ i-: >.Y i=r ';S '.� - ^_r= s :>��^� t � ;�
21._Ducis, in,•St;uctute,� �.. .. ��5 � - � r.:.= x 1.70. F�ndergronn H,y31ro i.
22. Ducts, Ventilatirig�.� i GS e � S's �^ ::71, producl,fping O'�as �Oil
r� ..,r :'i x t- d ^.i a: +k . r .
23."Gas Pi e=Rou h &�.est � ' 'J:x :` `- '-'�� - ' `-k
.. _ P.., 9 t i rr„ ,; .t `.A :'• ,-72. Undergrognid Flu�%�,;7,: ., c... �,:
24:�Rocsf Framing *> � r�-- •i-- Y> � < A.: 7g? Undergmd. Storage_`}nk4<O Gas O 9il -
25. Ro`of S` athin ?� ` r' ^ �' `n � =`�' ' �'' = v `""`'' _
r, h� 9 ,y ;� � «:�, a. 74r,Qverhead Hydro�,' �
' �'* ''
26 _T-Bar Cei�ing (Stru¢tural) &�Monocoat7 �� : :.n _ �:. f 75;'Dry Chemical ` �-� � -
.� r.� .
27'^'frameand Pashin ` ��^� =.� .�: � " �' �� ���" `�� � �: � i�
.� o: �> �. �tCs � v lT .a:= , 76. bry Stanc�p�pe ,-,td
y:. � .� ,�. �J � . �. - . . . �,,._
:.;28�:.Lathing.& Sidingr,,. r ^v,x v;i� � k. ... .• . ••a. ? 77^ FIXED SYSTEM:€INAL v �� '"'
' i� � �
''29. Insulation '; -� `-' ,� " " ,-`-� `"- _I, � � ' t` �'� '7g� FIRE PREV. FIN(,1L � ^. a;
�30. DrywallSNailing i�� J ��� ��t �� , i� :r � tNEALTHtDEPT�. REQFIIREMENT
�
�31. Plaster � rown Cb'at"_` �. ! �r�� S;. :" . � i�r � � i �73�FINAL INS,PECTION ' '-' `'� '�"
� �Q � �.` . I��� fi I 1. �r 1 y4 -
'��32?Electric�l Power�Meter,-Final; ;. �t p: �t i : ^�SO.�FOOD CERTIF.ICATE ISSUED ..
�
�33:_Finel Eiectric ` �+ �� �� ��C--
j � • �. _ q ��I � ".'y ' : Notes � r� 'r.6: C -'Q"a �
� y .
.� 'r ' V, � � 4 1 -�.-i a, y w. .1' � . i � 'x . �:�.i a .>
,�34.�Fin�l Heatinq,& Ai�Copditioning -.t..,. T ''' , f , f� I�:l4 x � �L * :: ;,s ,._¢.;
�_._ -
�35:}7Firial Gas Pipe-TestF � � -: ?' r {, t r �'�� �s � :" ;��-
: x r-., �:��c y<.�; � � Fr - lr:o .�.�
36�`'Hood or Cano �� ` � :� ` 3; � � � '� . : � �� �`' -
;1t PY :.. �� I(r.-. r i� f I f� ' �./1 �' �r'� a �•�� „ .,�,r
'„I
-37f�Firiel Factory Fi�eplace � '�' `���Cn'F ?' ! { � � I "' :K � - i. - � -R `n
I x '
� ; :.�
h38. �Final Plumbing .k "'p; ' _ - •r �•; � .. ` ,i . t - i �.- . ib .
�.39^.Waier S�rvice-Final: `�� i ^+S � � ' � �� i�: % ,- . _,., .;. c�; a•
.- r <- i ^, r �, . i :e G, �
��40-Gas Service-f_inal ' �' fK . J .` �:; .
�:7 .� � i r �:� - �. 1*: c� '.�J
$,41%Solar pomesticPinel=� � J rn .� :=x � �s ._ �To � _
, .I .� :� ," Y '
F42i'�Backflow Prevente% `-- �' - ,� � � � .'� _ �" ":
� � �: c �_
43. Backflow Irrigation:•�� a"�� *-. a�. . '�'' .. �-'-:� ' ^ � �'
,x
i44. Landsca, e Irti atiQn S stem,;.�:: - �"' _, l-� �j �'
P 9 Y i, I�- � [� n�M. s. ti� i:. C
J t^ i ... �� .. {I .. ' . --. . �_:. < .
� 45., Sound �Attequation `�tr,� rr - � F f- - r=::. : - r�c,r o2-r, Y" �
- .r. �r � !-
`�46` .Handicap Regulations '- �'� ' - " �' �' "''' " '
r, �- 7�;. ',�: •� r�r. �.� �fr:
� 47..�FINAL STRl1CTURE & BUILDING �;y"•F � � e .F � `��c�' � -�
..
46;�FMALPLANNING �"��,.. a " ," -. ": � "�-. �_
� t �:r- '� 'v �� �4'° � �°' `Z k -
-.49.;�Electric ReleaSe to:Edison j :R ,�'I � �- . c, i " .
1 i. , r�
�'50.,Gas.Release to Southem California Gas Co �T. � � � �' '� = �; "'-�' ' .
:�- � �I I ;I! - • r.r:
�_�51. CERTIFICATEOF�OCCUPANCY :f: -" ^ i� � � _, �;� =i. ; ��
No. � Date
�
PflO1ECTR00flE55: 3%�j LA PERLE LN
OWNEfl'�NRME: WARD INVESTMENT CO
aooeess: 2110NEWPORT BL, C.M.
, , r
� 642-2000
�flq11ENCINFEB: ,
..tU0RE5S:
flEO.ND.:
UNR:
uxrt:
?` ENMITTEE: WARD INVESTMENT ( 714 ) 692-2000
nooxess: 2110 NEWPORT. HL
- COSTA MESA CA 92627
LICENSED COHTMCTOB UECIAMTION: I hereby aifirm t�at I am licensed untler pmvisions of Chapter 9(commencing with Saction
7000) ol Division 3 oi the Business anE Professions COAe, and my license is in full forca antl eifect.
CITY LI&: � ST�TE �C.: CUSS:
` Dale: � SignaNre:
`BI(EPS' COMPENSRTION OECIARATION: I hereby aifirm that I �ave a ceniticate al consent la sel4insure ar a certificate of Workers'
pensalian Insurance, or a certifie0 capy thereof (Sectian 3800, LaO. C�.
.ICY NU.: E%P. OpTE:
COMPRNY:
❑ Certi0e0 caOY is hereby tumisheA. ❑ Certifie0 coOY is file0 with ihe ciry Builtling Division.
�ate: �'�'Applicant - "
F%EMPf10N FHOM WOHNEHS' COMPEXSATION OECIAMTION:� •(1Ais sutian neetl not Ge wmpleteU il ihe permil is for one hunOreU ($100) or less�.
I cetliry ihat in tAe Oeh�rmance of the woB tor which t�is Oermi[ is issuetl, I shzllnot employ an rson in any manner so az ro become
suble�� �o ihe Workers' CompeTn5ation Laws ut Califomia. �����//� %� q) I
Date: - ��� � 9!/ � SiqnaNra: - �E� . W�
NOTICE: It, afler maldnp Ihis Eaclaration�you shoNA hecame sublact Ia the Workers' Compensaiion prodsions of Iha LaCor
CaOe, you must fotlAwith comply vntA such�provisians or t�is permit shall Ue AeemeA revoked. '
CONSTRUCTION LENUING �GENCY: I �ereby affirm that there is a wnstmction IenOinA apency for tAe peAormance of the work lor
wAicA Ihis Oermit Is isSueA (Section 3W7, Civ. C�. ,
IENDEfl:
1DONF38:
OWNEB BUIIDEB DECIAMTION: I hereby aKrm �Iwt I am exempt Imm the Contacmrs' Stata Licenu Law for the follovrinp 2ason
(Section 7031.5 Business anC Pmiessional CW e: My ciry ol wunry whicA requires a Dermit ta canstruct, alter, imDmve, Oemolis�, or
reDair any stmcNre, O�or ta iLs issuance, alw reQuires the aDO�icant lor such permit to file a sipne0 sWtemeni that he/she is IicenSeE
pursuant to ihe pm'visions ol the Contractors' State License Law (ChaOte� 9lcommencinA ��h Sectian 7000) oi Oivisian 3 oi t�e Business
and Pmleuions'Catle) or that he/she is eKemD� �herefmm antl t�e �asis tor ihe allepe0 exemption. Any violation of Seqion 7IXi1.5 hy
:°� ;u apD�icant for a permit su6ject5 t�e apDlicant ro a civil penalry of nat more Ihan five hunOred tlollars (5500�.
�.. ������� I, az owner�of Ihe D�oOerty or my employees with waAes as t�eir sole comDensation,�will tlo ihe work, and t�e
simmure is nm imenAeA or ottered for sale (Section 7044, Business antl Prafessional CoOe: The Contracrors' Stata License Law
Oaes not aDPty to an owner oi a pmperty,who hmlEs or imDroves thereon, an0 who Ooes such work �imself/herself or throupA
his ar �er own emDloyees, pmvided that such imOmvemenis are nat intenaetl or atlere0 lor sale. If, �owever the OuilJinp or
�imD�ovement is solE within ona year of comDletian, t�e owner will Aave ttie burtlen of proNnO ��she JiU not 6uiIG or impmve
.for Ihe purpou�ot sale�.
� I, as owner oi [he proper1y, am exclusively coniraRinp wiih licensetl camrac[ors to constmct the Dmjed (Sectlon 767d, Business
❑ an0 Pmfeuions Catle: The Cantactars' State License Law tices no[ apDly �o an owner oi pmperty wAo bmlAs or improves tAereon
an0,who cuntracis for such prolecis ci[h a coniractoqs) license pursuant ta [he Cantractars' State License Law). I am awam
Nat D�ooi oi their Worker'S CompenS.Fion insurence shoWA Ue proNUeO to me. '
� I am exempt unUer Section: , 8. & P. C.
tor th/is reuo-n:7 / /��y/�-�/ ) //////
Oate: b� ' / ^ / V ` Owner: �/"�/���
I Go �ereGy ceniy tliat I am aware oi anG untlerstand t�e apuiamems oi Califomia Health anC Safery CaOe Sec[ions 25505. 25533, anE
25534 antl t�at I or any IUNm buil0ing acupant vnll/will not (cirde one) nee0la campty with uitl state m0es an0 ihe requirements br a
permit for constructwn or rtw0ifiwtion imm Ne Nr Uualiry ManaOement 0¢trict. HesiOential constmctian applications are exempt imm
tA2Se pmvi5ion5.
Dafe: ADOlicant
�
I here6y cetliTy that 1 have reaA ihls appliwtion an0 state that iha a6ove inlormation is correct. I apree to comply with all city an0 caunry
ordinances anC state laws relatlnp to builtlinp c struction an0 here uf�onze representatives of �his c ro enter u0on ihe above-mentionetl
pmperry for in50eClian Oury0se5. � ��
Oate: _� 7"' ��� �iqnature: �(��Y��
onver's Licenu or Sacial Securiry x:
161/i8 W�ile-BuilEing; Grean-COGe Enforcemen�; Canery-Applicant; Pink-Revenue; GOltlenroE-Assessor
CZTY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 047658 • PLAN CHECK NO: 04352-90 A
CONSTRUCTION TYPE: PERMIT TYPE: STR , .
JOH DESCRIPTION : 2504SF RE5.,489SF GARAGE 6 150SF DECK
PERM NO: B 047658
GOVT: N SUPP: N .
' PURPOSE: NEW
i
SQ FT; 3,143
CLAIM VALUE: 120,000,00: CALC—VALUE: 183,305.70 GROUP OCC: R-3� /M-1
COMMENTS: � �
****�**�t**�r*�t**x �t********�t***+t*�r�r**�t�t�t�t+t�t+t*��r*x��t�x�***�t�t�t*�t�tx�****�t�t�t�+t�r***��t*�t�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 BUILDING ---------
FRNT: 20 FT IN REAR: 10 FT IN FRNT: FT IN REAR; FTti' IN
LEFT: 10 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT,___. IN
PARKING REQ: 2 PROV: 2 PARCEL: 42531115 ZNE: R2 REF NO: DR-90-02 �
PLANNING NOTES> NEW DETACHED, 3 BEDROOM, 2.5 BATA APARTMENT, LEFT SIDE SET—
>.,BACK.IS SEPARATION FROM NEW APARTMENT AT 381 LA PERLE:LANE. `'
iE iF iE if iE iE if ik it if i! if if i! j! i! if if it if if if if if it iE jf.if ik if if iF ik if if �E if iE if iF it ff iE �E i! iF 3E iF i! i! 1E iE iE if if af iE if it fE �f iE iE ik 1! �F iE �E iE iE iF 1f ik if iE if iE 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 �.����IL DATE; ��
BUILDING APPROVED BY : — DATE:
APFLICATION ISSUED BY: �� � S�— DATE• ����
ititat*ititiejEitititititiEititititiriEiE+t3F'iF3F3f'ifiFiFiFiFiFiFiFiF �FiF $3F�E'iblE'iF3F3F3F3F'iFiFiF'�F'iF3FiF�r*ftx*ititit�itiE i�i�
iF if iE if it iE it it if if if iE it if if iE if iE iE iF iE if it if iE if iE iE iE i! iE if iE if if iE iF iF iF iE if it ik it �E jk iE iE it it �f if iE i! iE iE ik if iE iE iE it iE ik aE �k 1E iE �E iE 3E iE iE iE iE iE iE iE iF
LEGALZZATION:N F E E S U M M A R Y ,STRUCTURAL SEGMENTcY
BLDG PMT PLUMBING ELECTRIC .MECIiANIC FIRE SMIP/RES GRADING
PERMIT 933.50 ' � 12.83
PLAN 151.70 �!:;,; SMIP/NON—RES
ISSUE FEE 1 _,1—� '
bUILDING—DIV—> PERMIT ISSUE PLAN=QHECK TOTAL PAID ' , DUE
TOTALS----> 946.33 0,00 _j�1�51.70 1098.03 1098,03 , ��.00
ftEVENUE DIVISION TOTALS--> COLLECT,ED: 1098,03 OVER/SHORT: .00
HLDG PMT PLUMBZNG ELECTRIC MECHA,�NIC FIRE SMIP/TOT GRADING PLAN—CHECK
933,50 ,:� �, 12.83 151.70
iE if iE iF if ik if ik ik it iE if iE iE 3f ff iE it iE ik iE if iElk k iE if �E iE if it ik ik ik �E iF'it k� ik k it if 4 iE k!E iE �f if iE k if �F iE i! it iE iE iE jE iF iF iE iE iE iE it ik'1E iF iF iE iE iE if iE iE iE iE
� I N D I V I D U A'L�" vF E E B R E A K D O W N '
tr
TYPE QTY D E S C R I P T I O� N:-_�, UNIT COST i TOTAL COST
C
SFR 2504 DWE—TYPE V—WOOD FRAME:S —GOOD 69.00 172,776.00
SFR 150 RES—BALCONY, EXTERI;OR;,.�STAIRWAY 13,80 2,070.00
SFR 489 RES—GARAGES TYPE V"` ` 17.30 8,459,70
END�=OF FEES '
oi �ooe?��o-ooaazava -a-�aT ii:e.ca
OATE=.Ub,'0;l9Q TiCtE: 13:43
CONSTRU TIO�AND PLANN�. � - _ ' JL & SPA _ '
Date Inspector Date Inspector
' APPFZOVALS �rmit # . , APPROVALS Permit #
! 1. Temporary Electrical Service or Pole ��� � 52. Pool & Equipment Location, - � � ,,_
�
�
2. Sdil Pipe•Undrgrnd. � 53. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. � � 54. Forms -
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -
5. �S[eel Reinforcement- Y O'p 56. Rough Plumbing=& Pressure Test � .- �
, 6. Electrical UFER Grnd. � - 57. APPROVAL TO COVER-GUNITE _
7. Footings � %�f�(o . , � 58. Electrical Conduit-Undrgrnd. � .
$. Foundation � ', ` " 59. �Gas Pipe, O Undrgrnd.,.Test � �_ -�
9. Water Pipe-Undrgrnd. � ' ' 60. Backwash Lines, P-Trap, O Undrgrnd. - '•
10. Structural Floor System . `�Q �('O 61. APPROVALTO DECK "
�;
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal . �. .r:"
12. Sewer Cap � " 63. Heater & Vent�Final . �
13. Roof Drains 64. Plumbing System - Final �� -�:
�
14. Rough Plumbing �_ _�- 65. Electrical-Final i; _ ,
75. Rough Electrical-Conduit : , 66. Solar�System-Final � � ' � � �
16. Rough Electric Wiring � • 67.'Fencing & Access•ApProval �
17. Rough Wiring Sign . � 68.!APPROVED�FOR PLASTERING . .
16. Rough Electrical-T Bar Ceiling 69. �POOL/SPA SYSTEMS FINAL � �
19. Rough Heating & Air Conditioning _ -� ..FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace _ � 7,; � � � APPROVALS; . Permit # - -
21. Dutts, in Structu�e � '• '� � - `70. Underground;Hydro
22. Duc[s, Ventilating " • � -71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test _ " -, 72. Underground Flush� �� .
24. Roof Fr,a'ming t� � - � . ..73. ,Undergrnd. Srorage Tank O Gas ❑ Oil ��-
25. Roof Sheathing �. 7 Pp ; 74. �Overhead Hydro �,
26. T-Ba� Ceiling �St�ucturaq & Monocoat'. F . � 75.,-Dry Chemical �
27. Frameand Flashing . 76. Dry Stand"pipe ` . .
28. Lathing & Siding .. � � , . � � � _ .77 � FIXED SYSTEM�FINAL
29. Insulation • - ' �' 78i-FIRE PREV. FINAL �
�30. Drywall-Nailing �- :,� � �j �- HEALTH�DEPT. REQUIREMENT
37. Plaster Brown Coat� - . �79. �FINAL INSPECTION � , -
32. Electrical Power Meter�Final ' , ' 80.`FOOD CERTIFICATE ISSUED _
. 33: final Electric- ' �-, Notes: ' r _ " b' _
�34. Final Heating�& Air Conditioning , ' . - - � '
35. ��Final Gas Pipe-T¢st � � � � � - - � .
36. Hood or�Canopv ' . - ' - . . - . . _ -
- . _ ., `�
37. Final Pactory Fireplace -
-38. final Plumbin9 -• , i: ,. - , ��'�.'. � .-� . ' -
39. Water Service�Final� - � • � -
t 40. Gas Service�Final � � . ''
41. Solar pomesticFinal � � ' ' ��_ � , �
42. Backflow Preventer - � �' : � � � --- � ' _
'+ - , � .
43. Backflow Irrigation �. -' � - , � '� • " +. . •
44. Landscape Irrigation System � � - ' • � . - � �
- � � .: - . .
' 45. Sound Attenuation .. .. - - . � • ,- '
46. Handicap Regulations ' � ' � ' -
47. FINALSTRUC7URE&BUILDING-- �,�j (, �r �` �' • x . �.
48�-FiA{Pk-Pt �G � ' : . .
49. Electric Release to Edis n ' "- .
50. Gas Release to Southem Califomia Gas Co � ''
51. CERTIFICATEOFOCCUPANCY - -
No. Date
City of Costa Mesa .
Development Services Department
Building Safety Division
P. O. eox 1200 '
Costa Mesa, California
;
,
CERTIFICATE OF OCCUPANCY No.
The Building located at 379�L Perle La�e
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R3�M1 Occupancy.
Use of Building
Legal Descriptio
ISee reverse side for Metes and Bounds)
Building Permit No B 47658 Electrical Permit No. E 48671 Plumbing Permit No. P 47Fi71
Mechanical Permit No. M 481�� Number of apartments and/or guest rooms '
ISSUED T0: BuildingOfficial 7bnV C'De Baca
Ward Investrtwnr C'mm�anv �-�!�
2110 Newport Boulevard bY �� ��" �-• --� _
Costa Mega. CA 92697
Dace Februarv 13, 1991
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
• Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. �
CMF lois-a6 rev. 1/83 ' White - Owner, Canary - Numerical File; Pink - Bldg. Permit File
�
FINAL GRA�ING CERTIFICATION
Pt'ojecl AddresS: 379 LaPerle Lane
Lot Number:
Permit Number: � � � 76 -� �
$y Civil Engineer.
I certify to the satisfactory completion of grading in accordance with the approved plans,
Specifications, local and state codes. All drainage devices required by the grading permit,
grading plan and grading ordinance have been installed. Adequate provisions have been made
for drainage of surface water from each building site.
The minimums are:
2% Fall from structures within 5 feet from exterior walis.
1% Fall for asphalt surfaces and landscaped areas.
0.5% Fali for concrete surfaces to approved disposal areas.
The final monuments as shown on the.recorded tract map w�ere set. All final grading eleva-
tions are within t 1/]0 of the designed elevations.
Supervising Civil Engineer �!1��A Reg. No. 31720
� � " (Signawrc)
Date `
��' ,
'y � 'cP Z
� dT m
, p �
�R ,t I
SfA+� and SIQI
1ne�.�q
THIS is ro c�x�r��
CONFORMANCF �I�H �H�
AUMINI3T�ATIVE COD�,
flUILDING LOCATED AT:
A� IN�ULA�26N HA9 ���N I���1LL�b tN
CU��$N� �N��tlY ��dULA�fO��s, CALIFOANIA
m2TL� z4, 9mAm� �x CALIfbriNIA, IN THE
�er�,,t N, , Q �7 � s'�E , .
SI1'F, AUDRFSS: 379, LA PEARLE LANE COSTA MESA 92627
Number Street City/State
AiR 1NFILTRA'I'ION: MANUFACTORER: MANVILLE
EXTERIOR WALLS
Manufac:turer FfANV1LL�
CEiLiNGS
'I'hickness/1'ype BATTS R/Value 3}" R-11
[3a.t;ts: Ma.nuf�.ct:urer MANVILLE Thickness/TypeBATTS R/Valuell" R-3U
GF.NFRAI., CON'1'RACTOH: (lJo.� �.�wi�w-�+.-V �o• Lic. #�
dY � 'rS�cr� �_ 1,��-�. �'itle �c�-Au�. �r.r . Uate /�/gl
INSULAI'ION CON'PRACTOR: WESTERN INSULATION, INC. Lic. H 481278
gy ����_�. .�ae/��_� Tftle AU1'HORIZED AGENTUate 1-11-91
Form 106 �
3/8q
PflqJFCT1DDHESS: 3�J9 LA PERLE LN
OWNEH'SNRME- WARD INVESTMENT CO .
•nnoeess, 2110NEWPORT BL, C,M.
` ` "642-2000
.pR�HIENGINEEP:'.•
i IIOUflESS: .
UNIT:
REO.NO.:
UNIT:
PEpMmEE: ELITE. PLUMHING (714)722-0374
,y. eooeess: 1760 MONROVIA •
`- = CM CA 92626 •
LICENSEO CONTRACTOB OECIAMTION: I hereby affirm t�at I am licensed unUer provis' s al C�apter 9(commencinp wit� Section
7000) of Oivision 3 oithe Business anA Pmfessions Cotle, anU my li e ' in fullfor tl ettect.
cmuc.:0465� �p���.:5�39786 �c C 3
, 1I,�
�a e: —_ � 1�l � Si naNre:
NKE C PENB�TIdIIO�ClAM710N: Iherebyaffirmihat hav aCerti�ltateo�t �tosell-in5ureoracehi�icaleotWOrkers'
nDen at n I s a e ce ifie DY ��ereai (Sedion 38 , La .
ucr .: ���6°���—�� FXP. RT �1 /01 /91
ornrnxr: STATE FUND
Ce ietl coOY is here �tumis�ed. � CertilieE coDY � fil t iry Bu' Ui ' ion.
Oate: v Applicant
IXEM iIIOM WO EI13' WMPEN&TION DFCIAMTION: ' uctl �neeA not be e0 ii the permt is fa o� huMreE (f1W) or less�.
I certi t t in Ihe pedormance of the work for wAich this per is iss �tl, I s�all nat em01oY any De��� �� eny manner so as to hecome
suhlece t8e Woders' Campensatian Laws oi Califomia. ''-'"
Datef' ' SipnaNre: -
NOTICE: II, aiter makinA lhis Oeclaration, you shoul0 �ecame suble�� �o t�e Workers' Compensation D�odsions ol Ihe Labor
Cotle, you must fotlhwit� comply wit� such provisions or this permit sAall 6e tleemeA revokeA. '•
CONSTBIICTION LENDINO �GENCY: I Aerehy alfi�m Ihat t�ere is a ioratmction lending aAency for Iha��paAormance of tAe xrork for
which �his permif is iuue0 (Sec�ion 3097. Civ. C�. '
' LENUEfl: � .
FOUflES&: ' ' -
OWNEB BUILOEB DECLAMTION: I Aereby aflirm that I am exemDt irom the Caniractors' State License Law br the tollowinp reason
(Section 7031.5 Busineu and Professional Cotle: My ciry of counry which aquires a permit to consimct, alter, ImDmve, Oemolish, or
reDair any simcWre, pnor ro its issuance, alsa requires the aDPlicant (or suc� Dermit to file a signetl statement ihat hUs�e is liunsed
pursuant to Ihe D�avisions ol Ihe Con[racrors' State license Law �ChaDter 9(commencinp with Section 7000) oi Division 3 oi the Business
anE Pmfessions'COUe) ur �hat he/she is exempt Ihe2irom antl the basis lar Ihe allepe0 exemptian. My violation of Section 7037.5 Cy
�applicant for a permi[ subl�ts ihe applicant to a civil penalry ot not mare than tive AunOreO aollars (5500).
I, az owner N ihe pmperry or my ¢mployees with wages az iheir sole compensation, will do the waM, antl t�e
simcture is not inrendeE or ottereE lor sale (Secnon 7094, Busmess anE Pmtessional CoOe: T�e Conhadars' State License Law
Eoes noI apDly �o an owner ot a property who huilEs or impmves t�ereon, anJ wAo does such work �imsetl/h¢rselt or ihroup�
his or Aer awn employees, proviGeA that such impmvemems are nat inten0e0 or ottered tor ule. If, however the huildinp or
imD�ovement is sold within one year oi completion, t�a ownar vnll have the EurAen oi pmvinp �e/sha tliE nm huilC or improve
for the puryose of sale�. � '� -
' I, as owner of ihe properry am exclusively coniractin0 wi[h licensetl contractors ro canstmct the prolect (Saction 7044, Busineu
❑" an0 Pm/euions CaEe: The Contactors' State License Law Uces not appy ta an owner a/ OropeM �+'ho bml0.s or imDmves thereon
and�who contracts br such pmjecis ci!h a coniractor(s) license pursuant to Ne Contractors' Stata License Law�. I am awara
�Aa40roui at their, Worker's Compens:aon insurance shoulE be O�oviAeE ro me. .
� I am exempt under Sedion: B. 8 P. C. '
lor tnis reason: i
oate: Ownec
I Oo hereby certiry tAat I am aware of an0 unUerstan0 tOe requiremenis ol Calitomia Mealth ana Safery Coae Sections 25505, 25533, anU
25534 an0 that I or any future builtlinp occupant wilUwill not (circle one) nee0 to comD�Y wiN saiU state cotles antl ihe requirements tor a
permB for constructbn ormo0ificatian irom ihe tir Qualiry Manapement Distnct. FeSiJential canstmction applications are exemD� �rom
these Drovisions. � - � • '
�aie: ' APGlicant
I �e2by certiry that I have reatl ihis apPlication antl sWte that t�e aEove information i�ortect. I aAree to compN ��h all ciry anE counry
ortlinances and sGte Wws relatlnp ro buildin0 cansiruction and he y r e represeAtjfives oi this ciry to enter upon Ue a0ova-mentioned
propeM �or sDection purposes. . �, / �� ,
Da�e: � ' / SiqnaNrO: �
onver's�ce eorSocia� u x:
6al-a8 Wnita—Buileinp; Graen—Cotla Enlorcement, Cana�
Pink—Fevenue; GOIEenroE-0.aqessor
� CITY OF COSTA MESA — HUILDING PERMIT PERM NO; P 047671
PERMIT NO: P 047671 . PLAN�CHECK NO; N GOV'T: N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION ; 2504SF RES.,489SF GARAGE 6 150SF DECK SQ FT: '
�, , i
CLAIM VALUE: � CALC-VALUE: GROUP OCC: R-3 '/M-1
COMMENTS:'RE: B47658 PRIMARY HLDG�. PERMIT.
*x�*�r**�r�r**��r���r**�r**�*��**��**�**��*�***x*+�**�**���*�r*x*****x**�r�**+�n��*��r*�r�e**
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
------------ . ----- --------- G ---------
MAIN BUILDING ----- ACCESSORY BUILDIN
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; 42531115 ZNE: REF NO.;
PLANNING NdTES> �
� . . . . . . ' . .
iE iE ik iE ik iE iE iF iE iE it it ik if iE iE iE iE iE iE iE if iE iF ik iE iE iF iF iE iE iE iE ik i! if iE iE if iE iE iE iE 3k ik i! if iF.1E.iE iE �k if iE it ik it dt �t if dF iE iE if it it if iF ik iE iE 3E if iE iE iF iF iE iE
D E V E L O P M E N T S E R V I C E S 1"R E Q U S R E M E N T S �
20NING APPROVED HY , , .i. , � DATE:
HUILDING APPROVED HY :
APPLICATION ISSUED
!f if i!� i! 1F if 1E'�E itlf k iF if k i! if if it
LEGALIZATION:N
� HLDG PMT
PERMIT �
PLAN '
ZSSUE FEE:
0
iFiEitiFiFiEiEitifiEiEiEifiEiEiEiEiEitiEikikik 9ElEjflE�E1k1l1klEik
'`'F E E S U M M R Y "
PLUMBING ELECTRIC MECHANIC FIR
39.50. �
25Y
3.00
HUILDING—DIV—> PERMIT ISSUfi PLAN—CHECK
TOTALS----> • 39..50� 3.00 0.00
AEVENUE DIVISION TOTALS--> COLLECTED;.
HLDG PMT PLUMBING BLECTRIC MECHANIC
42.50
TOTAL
42.50
DATE: �
DATE : G ^ €�
�iElEifiFiEiEiliEiE�3 %iE
fE it iE iE iE iElf iF if if� it 1E iE i! iE iE iE �)E iE �E if jE
STRUCTURAL SEGMENT:N
E SMIP/RES GRADING
SMIP/NON—RES ,
PAID DUE
42.5,0 .00
42.50 OVER/SHORT: 00 ,
FIRE SMIP/TOT GRADING PLAN—CHECK
if iE ik it ik if it iF if �t it iE 1klt �t it ik 1k it ik iF.it if 1F �f i! �k 1f iE �! ik k f! i! if it i! iF iF jf it iE i! i! �f ik if i! if if !! iE if ik it if if iE it iE it iE it iE ik ik'ik ik it iE it ik it 1E �f 9k ik if iE
I N D I V I D U A L F E E� B R E A K D O W N
TYPE QTY
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
,2
1
1
1
1
S
3
1
1
1
1
D E S C R I P T I O N '
BATHTUB '
DISHWASHER ' '
LAUNDRY TUB OR WASAER
SHOWER
SINK, KITCHEN
WASH BASIN
WATER CLOSET (TOILET)
WATER HEATER AND/OR VENT
WATER SERVICE
GAS PIPING SYS OF 1 TO 4 OUTLETS
GAS PIPING SYS 5+ OUTL-PER OUTLET
UNIT COST TOTAL COST
2.00 4,00
2.00 + 2.00
2.00 2.00
2.00 2,00
2.00 . ' 2,.00
2.00 10.00
2.00 6.00
2,�� 2,��
2.00 2.00
2,00 , 2,00
.50 .50
�]1 (300b2725-OGOti'1725 Ti %�!' s?,�4
oeTE: r,sia�iv� T���: ,4:;� .
� CONSTRUC710N AND�PLAN � ; & SPA , `
Date Inspector Date Inspector
APPROVA'LS �rmit # _ „ . , APPROVALS Permit #
1. Temporary Electrical Service orPole � � � . . 52. -Pool & Equipment Locatfom � ;. �
,2r Soil Pipe-Undrgmd. � � - � • . 53. Steel Reinforcement ' �{
3:� Electrical Conduit Utility-Undrqmd. � � 54. Forms � -� -
4. Electrical Conduit�Undrgrnd. �. - 55. Electrical Bonding . i-,
� 5. Steel Reinforcement . ' 56. Rough Plumbing & Pressure Test
6."Electrical UFER.Gmd. � 57. APPROVAI TO COVER�GUNITE �-"
7. �footings � � 58. Electrical Conduif�-Undrgrnd. ��
� 8. Foundation - - 59. Gas Pipe, Q Undrgrnd:,.Test . _ '' 1
9. Water Pipe-Undrgrnd. ' � -- �%�(�f Cr0 L� 60. Backwash Lines, P�Trap, O Undrgmd. ,�`
10. Structural Floor Sysiem -" ' 61. APPROVAL TO DECK � -.
11 . Property Sewer Line, & House Connection _ � 62. Backwash & ReceptorFinal .,;
12. Sewer Cap - f�� -''' 63. Heafer & Vent-Final �� .
13. Roof Oreins , • ,� 64. Plumbing Sysrem � Final � i
74. Rough Plumbin9 � „ Qd G�f7 65. Electrical-Final
75. Rough Elect�ical�Conduit � / 66. Solar SYstem-Final �
16. Rough Elenric.Wiring . 67. Fencing & Access ApProval
17. Rough Wiring Sign - '. . 68. APPROVED FOR PLASTERING
18. flough Electlical�T Bar Ceiling 69. POOL/SPA"$YSTEMS FINAL
19. Rough Heating & Air Conditioning . . . RRE DEPT. REQUIREMENT __. _
20.=Rough FactO�Y Fireplace '7 -- _ -APPROVALS �. Permit # - _ - , � _ �-
, . �
21. Ducts, in Structure '� ' "-'-70. Underground Hydro
r. �
22..Ducts, Ventilating � - . , 71. Product Piping OGas ❑Oil
23.•Gas Pipe�Rou9h & Test ' ' ! _ -�' ,;'72, Underground Flush' '
24.'�Roof Framing �„ �`J � � " , , �73. Undergrnd.Storage�Tank�OGas OOiI �
25. Roof Sheathing ' , - 74-. Overhead Hydro.: „ �
- �. a
26.` T-Bar Ceiling (Structural) &�Monocoat '. - 75rDry Chemical . - �; �-. �-.r.� . ' i; a,
27. �Frame and Flashing - � � � � -- 76. Dry Stand'pipe `' ` , � � - `_ � � � � . ' �,t _
28. Lathing.& Sidingy ' � s' � ��.` t 77•.- FIXED SYSTEM F.INAL - .� } _
29. Insulation � - ' ,.`r4� 78:�FIREPREV.FINAi `'� ' :� :,�'; �
30. Orywall Nailing ' , ' i �: � -: � ' ,�,HEALTH�DEPT. REQUIREMENT ., - � �
..31. Plaster Brown Coat• _' ' j��' � � 79.JFINAL INSPECTION ' - � - "-
:� +
i . . -
32:'.Electrical PoWer.Meter-Final' �" .��4 k'SO:yF000 CERTIFICATE ISSUED�. � �
� � r , r � - � � - -
'�33._`Final Eleciric � � r � Notes: "-1 : '1 � : ,v"
�1. r.l T
.34..FinalHeating�,&Air.�Conditioning� r. ' � $ �� �' : ',� - "_ .-
35. Final Gas Pipe-Test� �� . - , ,i �• � _ � �- -_ .
-36. Hood or-Canopv = `` ? ' • �
. �- _ -
37. Final FactorV Fireplace: ' - �� - ; - '
�
.38. Final Plumbing . ' � - ' - .
39. Water Service-Final � � _ ' " , _. � . � � � •
'40. Gas Service-Final �" _ "" - � '
. *
��41. Solar pomesticFinal � - , . , . � ^ --
42. Backflow Preventer' � = - -
� , , r •
43. Backflow Irrigation �a� � = ti - . � � � � � � • �
'-44. Landscape Irrigation System� ' ' ` ' � � . - - , - '; ' � � � � '
r '
45.�Sound Attenuation �,-�•. � -.7 . . �' ' � � �
46. Handicap Regulations - . ^ - � - -
_ f . .
-47. FINAL STRUCTURE & BUILDING ' ` �_ , ' - r
r
48. FINALPLANNING ,•' ' ,
49:,Electric Release to Edison . ' ; = . . �
c,: .
50. Gas.Release to Southem Califomia Gas Co � ' ' ' � , ' � '
51. CERTIFICATE OF OCCUPANCY
No. Date
aecrnoosess: 379 LA PERLE LN uxir:
OWNEH'SNRME: WARD INVESTMENT CO .
RODflESB:.�SSONEWPORT BL, C.M. .
RXCHIENGINEEfl: 6 4 z— 2 � � � ' pEC.ND.:
; , nooxess: . ' uxR:
PEflMITTEE:CHARLE.S SANDERS, INC. (714)630-1913
eooeess: 1441 RED GUM ST, . J
ANAAEIM CA 92806
OCENSEO fANTMCT00 DECIAMTION: I �erahy aBirm that I am licensed under pmvisions oi Chapter 9(commencinp witA Section
7000� oi Dinsion 3 of the BuLness an0 Professions CaOe, an0 rtry license is in Nllforce' �an%0 ttec1.
cm uc.: 17 9 4 srnTe uc.: 3 3 2 7 4 8�/,�� o��/Lj�/ F6 t'r� �'GJ
Date: �i J SignaNre: �6 ��
'F S' COM ENSRTION OECUMTION: I heahy aflirm [hai I h1�e a certi/icate ai consenno seli�insure or a cenificate ot Workers'
:nsation Insurance, ar a cetlitietl coDY t�ereoi (Sac[ion 3800, Lab. C).
�r No.: 119113 9— 9 0 E%P. DRYE: O,� I O 1 I 9 1
'OMPRNY: �^TATE FUND
� Certifletl copy is h¢6y fomishetl. � Cerlitietl copy is tiletl'Mi � he ciry B iMi� Divi'�n. �
Uate: � �/ D APDlicanC � ��
IXEMPf10 FROM PIIEHS' COMPENSITION OELWWTIOX: (TNs secVon neetl rot be complete0 if ihe permit is for ane hwAretl (5100) a leu�.
I ceniTy ihat In the pedormance ot tAe wark tor whic� [his Dermit is issued, I s�all not employ any Derson in any manner so u to become
suhlect to tAe WOBers' Compensation Laws ai Califomia.
Date: � � SiO�awre:
ROTICE: If, atler maltinq this declaratian, you should became sYhl�� �o Ihe Workers' Campensa�ion pmvisions of the labor
Coae, you must fotlAwtth comply with sucA D�ovisions or Nis pe�mit shall he AeemeO revoke0. '
CONSTPUCTION LEN�ING IGENCY: I h¢reEy affirm that Ihere is a conswction lendinp apency for the pedormance oi the woA for
whicti this pertnit is iuueU (Section 3097, Civ. C).
' LENDEP:
A�OAESS: - �
�
OWNER BUILUEB OECIAMTION: I hereGy aitirm [hat I am exempt trom the Coniractoa' State License Law for the followinq reason
(Section 7031.5 Business an0 Protessional Cotle: Any ciry ai caunry w�icA reQuires a permit ta consimct, alter, improve, tlemalish, ar
repair any slmcNre, pnor to its issuance, also requires Iha appliwm �or such permii to lile a siqned slaiemen� Ihat he/she is licensed
pursuant to t�e D�ovlsions oi [he Coniractors' State License Law (Chap�er 9(commencinp with Section 7000) oi Divisian 3 oi the Business
anE Pmfessions Cotle) ar that �Wsha is exempt Iherefrom and Ihe b9sis lor I�e allege0 exemption. My Nolation ol Section 7031.5 6y
�ap0�icant far a permit subjects t�e aOPlicant to a civil penalry ol nat more [han five hunaretl Oallars (5500).
'I, az owner of the D�oDertY oi my employees with waAes as Iheir wle'compensatian, wiil Uo t�e work, -anU [he
simcture is not inten0e0 or oifere0lor sale (Section 70A4, Bu4iness an0 Protessional Catle: T�e Contracrors' State Licenu Law
� Oces not aODN ro an owner af a pmpeM �o builQs or imOro�es thereon, an0 wlio Aoes sucA rmrk himull/herseli or throu0h
his or her own employees, O�ovlOetl tAat sucA imD�ovement5 are not inten0e0 or offereA tor sale. It, Aowever t�e EuilAinA or
. improvemenl is solA within one year of mmpletion, the awn¢� wlll have ihe DurUen oi O�a��A he/she Ei0 not bui10 or impmve
,for the purpou o1 Sale�. _
I, as owner oi ihe D�aDertY. am exclusively contractinp with 114e�sed contracmrs to constmct t�e D�qect (Sectian 7094, Business
❑ an0 Pmleuions CaAe: The Contractors' State License Law Eoes not appty ro an owner ol properrywAo hml0s ar im0«s mereon
'� an0 who contracis forsuch pmlects wit� a coniractoqs)licsnse pursuant to ihe Caniractors' State License Law�. I am aware
. that proof ol their Worker's Compensation insurance sAoultl he pmviAetl ro me.
�
� I am exempt untler Sec[ion: 8. 8 P. C. �
' /or IAis reazon: '
� Date: � Owner:
I Oo nere6y cenity that I am aware ol anE untlerstana the requiremenis ol Catitomia Health an0 Safery CoGe Sections 25505, 25533, anC
2553C anU that I or any future UuilAinA occupant wilUwill not (circle one) neetl to comDly wiN sai0 state co0es anU ihe repuiremenis for a
permit lor consimction or mo0i/ication from Ihe Air Oualiry Managament Oisinct. flesiGential construction applications are exemDt from
Ihese provisions.
�
� Date: � Applicant:
III herehy ceniy IAat I hava�reaA Ihis application an0 state tAat tAe aEo�e intorma[ion is correct I a0�ee �a compty vnth all ciry an0 counry
ordinances an0 state laxs relatinp to Uuiltlin0 conswc0on anA �ereq� honze r0prese U�ive ot this ciry to enter upon the abova-meniionetl
�. O�oDeM ior i ,pectio purposes.
i
II Date:' �� �� Sipna�ure: ���
Dnver's icen or Sacial Secunry x:
18C1-48 W�i�e—BuilOing; Grean—Cotle Enlorcemeng Cenery�MPlicenq Pink—Revenue: GolEanroE—Asseamr
C,ITY UF CUSTA MESA — HUILDING,PERMIT PERM NO: M 043107
� ,.
PERMIT NO: M 048107 PLAN CHECK NO: N GOVT: N'SUPP; N-
CUNSTRUCTION TYPE: PERMIT TYPE; MEC • PURPOSE; OTH
JOb DESCRIPTION , 2504SF kES „ 9895F GARAGE & 1505F DECK SQ FT:
rLAIM VALUE; CALC—VALUE; GAOUP OCC; R-3 /M-1
COMMENTS; RE: B97658 PRIMAkY BLDG. PERMIT. -
��tx�tx*��r���**�#x�t�r*x*�*�*********�t*�*+���t*�t�t****�+t�t�tx��r�******��tx�r�t�t+t�r****�r*�*��t�*
Z O N Z N G R E Q U I R E M E N T S
S E T H A C K.S -
------------ MAIA] BUI•LDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN,REAR: FT IN FRNT; FT IN REAR: FT IN�
LEFT; FT IN RGHT: FT IN LEFT: FT IN ftGHT; FT IN
PARKING REQ: PROV: PARCEL: 92531115 ZNE: 'REF NO:
PLANNING NOTES> _
: � _
=jf iF'jF'3E i! iE iE iE �lE iE?E iF iE if ik if iE ik iE iE i' iE if �]E iE jf 3! i( 3E �f iE iE',E iE?t?E iE 3E.ir'if iF �E ih �k,iF iE iE iF i' 1E j41f iE iE?E iE iE �)E iE 3E'.E iF i(� iE if iE �lE if iF iF iE iE iE iF iE 3E iE?f jE
'"-1 D E V E L O P M E N T 5 E R V�„I � C E: S. R E Q U I R E M E N T 5
' �" /
'ZONING'APPROVED BY ��%t DATE:
BUILDING APPROVED BY ;_ _ A,��%/.//J% �DATE:
APPLICATION ISSUED BY: �F��%/� DATE: �II R�J
iEiEiE'.EjEiE1Ei(�jEiF�EiEiEifikiEiEiEif�EiEit � . .. rr–if - � irf,f'if��- �iFiFiEifif-%iEiEiE�1t?EiE' riEiFifiE
iE�fiF1FiE',EiEifiEiFiEiEi41E�iE3FiE�iEiEaf�iElEiE#iEiEiEif�7f�iEafifjEiEitiFiEit3E9FjEiE - i6iEiE9Fif*jf3EiEiEiFiEiFiEiEdEififiEaf�3i�iEiEje?EjEifitiEiE3EiEa4jE
LEGALIZATION:N F E•E S U M M A R Y ST,RUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT .. 49'.50
, 25� SMIP/NON—RES
PLAN '
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE
TOTALS----> 94,50 . 15.00 0.00 59.50 59.50 ,00
REVENUE DIVISION TGTALS--> COLLECTED;. 59.50 OVER/SHOAT: .00
HLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
59.50 �
if if if * iE i(� 1f�lE :E ?f if iE fE 1E 3E iE',F ik iF iE if # if 9Elk iE if iE iF iE iE iE if # it ik jf iF iElF iE i4 it jE!(� �1E iE iE if iE if iE if'.ElF'h iE it if iE iE 1E i't ie iE 3E �E iE if h iE iE iE } iEiF,'.E iE Y,
I N D I V Z 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
MEC 1. INST FORC—AIR/GRAV FURN <= 100 R BTU 9,00 9.00
MEC 2 FACTORY FIREF�LACE ' 6,5G ' � 13,00
MEC S VENTILATION FAN CONN TO SINGLE DUCT 4.50 � 22,50
END OF FEES �
01 CQ�b5Q39—GQa6�0"s9 Tt"�"T
_ "�iTE: Oii!2/AQ 71i1E: 1ti:57
M
0
u
n
�9.5rt.
. CONSTRU6TION AND PLANA. - � $ SPA
APPROVALS � Permit # Date Inspector qppROVALS Permit # Date Inspector
1: Temporary Electr,ical Service or Pole ` � 52. Pool & Equipment Location
2.'Soil Pipe-Undrgrnd. . 53. Steel Reinforcement '
3. Electrical Conduit Utiiity-Undrgrnd. � 54.'Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. � Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Cqnduit-Undrgrnd. '
8. Foundation 59., Gas Pipe, � Undrgrnd;, Tes[ ,
9. Water Pipe-Undrgrnd. � 60. Backwash Lines,P�Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO �ECK �
1 t. Property Sewer Line & House Connection ' 62.. Backwash & Receptor�Final �
12. Sewer Cap 63. �Heater & Vent-Final
13. Roof Drains � 64. Plumbing System.- Final
74. Rough Plumbing 65. Electrical�Finai ' �
15. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring � • 67. Fencing & Access ApP�oval
17. Rough Wiring Sign ' � 68. .APPFiOVED FOR PLASTERING
18. Rough Electrieal�T Bar Ceiling 69.�POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � Z C� (�/� FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace Z' D /Gn APPROVALS Permit #
[iY/�l
21. Ducts, in StruCture 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75.. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sid�ng 77. FIXED SYSTEM FINAL
29. Insulation -,; 78. FIRE PREV. FINAL
30. Drywall Nailing v=, HEALTH OEPT. REQUIREMENT
31. Plaster Brown Coat 1 79. FINAL INSPECTION
32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric „ � Notes:
34. Final Heating & Air Conditioning Q� �
35. Final Gas Pipe-Test �,i •'�
�.
36. Hood or CanoPY �� �'`
, i.,.�
'9•. �
37. Final Factory Ftreplace Z! 9D
38. Final Plumbing �
39. Water Service-Final - �
40. Gas Service-Final
41. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
�/
47. FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING /'
49. Efectric fielease to Edison
f
50. Gas Release to Southern California Gas Co �� �
51. CERTIFICATE OF OCCUPANCY
No. Dace
Pfl0.1ECT ADOBESS: � �
. OWNEfl'8 N�ME: . , .
nooecssa
�RHCHIENGINEEN:
,.tt aooeess:
.
' " uxrt:
� . ' flE�.MO.:
uxR:
PEflMffTEE: �
� � nooeess: •
110ENSEU CONTMCTOP UECIAMTIOX: I Aerehy aKrm that I am licensetl under pmvisians oi Chapter 9(commancinp vnth Seclion
7000) of Oivision 3 of the Business and Pmfessions Cotle, antl my license is in full lorce anA effect ,
Cltt LIC.: ST�TE LIL.: ' CUSS:
Oate: Signa�ure:
SHKEBS' COMPENSIITION UEC WMTION: I hereEy aflirm I�a� I �ave a certificaie ol cansem to self-insure or a cenificate of Workers'
ipensatian Insurance, ar a cerlifieU caDY �hereoi (Sec[ion 3800, Lab. C�. .
.LICY NO.: � � E%P. ORTE: �
� COMPRNY:
❑ Certifie0 capy,is Aereby furnis�etl. ❑ Certitied copy is tiled wit� the ciry BuilOinp Oivision.
Date: PPOlicant: � �'
IXEMPfION FIIOM WOflI(F11S' COMPEN&TION OECtANATION: (INs stttion nee0 nOt 6e mmpleteE if Ihe permit ¢ lOr one hundre0 (5100) or less�.
I ceriiy ��a[ in I�e peiformance ot the wod for whic� this permit is issueQ 1 s�all not employ any Derson in any manner so as to Eecome
suhle�� �o the Workers"Compensatian Laws ot Calilomia. �`�
� '
Oate: ' - SipnaWre:
NOTICE: I�, atlePmakinp �his Ueclaratian, you 5�oulU b¢come SUEjeci ta I�e Work¢rs' COmpensation provisions of Iha LabOr
CoGe, you must�.tanMvith wmply with suc� pmvisians or this permit shall be'Aeemed revoke0.
CONSTPUCTION 1FN01N6 �GENCY: I �ereby aflirm Ihat Ihem is a conslruction lentliriq agency lor the DeAormanca al the work for
which this permii is i5suetl (Sec[ion 3W7, Civ. C). • , ",'
' lFNOER:� � � "..
RDOflESSi � � -
OWNEH BUIWEB OECUMTION: I hereby atlirm that I am exem0� �rom the Caniractars' State License Law for [he followinp reason
(Section 7031.5 Business and Profesvonal Co�e: My ciry of counry which reQuires a permil to consimct, alter, imOmve, Eemalish, or
reDair any stmdure, prior ta its issuance, also requires ihe aDPlicant for sucA Oermit lo file a signetl statement that he/she is licensetl
pursuant to tAe provisions bf the Contractors State License Law (ChaD�er 9(commencinp with Section 70W) of �ivision 3 ot t�e Business
an0 Pmfessions Cotle) ar thal he/she is exemD� �hereimm antl ihe �asis /ar the alleped exemption. My violation oi Section 7031.5 by
'�� aDP�icant for a permit su�jectsl�e applicant ro a civil penalry oi not mare than five hunOreO Aallars (5500).
� . �
I, as owner of the pmperty or my employaes vntA wa0es as their sale compensation, wiil Ao Ihe work, antl the
��.� stmcwre is not intended or oflereA for sale (Secuon 7094, Business and Protessional CoOe: T�a Contracrors' State License Law
� Aaes no� apply m an owner ot a propetly who builtls or impmves �herean, and wAo Eoes such nork himsetl/Aarsetl or tArouqh
� his or her own'employees, pmvided �Aai sucA improvemems are noi intenEed or oflereA far sale. tl, however �ha buildinp or
improvement is solA within one year at completion, the owner will have the hur0en of provinp hrJs�e Gid nat 6uiIE or impmve
'for the puryose of saie�. , .
I, as owner of ihe pmDehv, am exclusively comractinp with licensetl contractors to construct t�e pmject (SeCtion 7044, Business
❑. ana Prafessions Code: The Comracrors' SWte License Law Oces not appty �o an owner ot properry who huAEs or improves Nereon
and who con[racis for such prolects vnih a caniractor(s) license pursuant ta Ihe Coniractars' State License Law). 1 am aware
Ihat Droof of their Worker's CamDensation insurance sAONE he DmviAeO to me. '
� I am exemOt untler Section: � B. 8 P. C.
lar tAis reasan:
i
�ate: � I Ownec
I tla hereby certiy [hat I am aware of an0 un0erstan0 the requiremenls of Calitomia Health an0 Safery Code Sections 25505, 25533, anE
25534 and Nat I or. any fuNra �uilainA occupant will/will not (circle one) nretl ta comply vnth saiA state ca0es an0 ihe repuirements lar a
permH br consWc�ion or moAifiWtion irom [�e Nr Oualiry Management Dis�nct. flesidential wnsWction appliWtions aa exempt �mm
Ihese provisians. I
Date: Applicani:
I herehy cenity t�at I have reaA th¢ application antl stite ihat ihe a0ove information is correct. I apree ta comDly with all ciry anE counry
or0i�unces an0 state laxs relating ro 6uildinp conrtructiun ana hemUy authonze repruenta[ives of Nis cM �o enter upon Ne above-mentioneE
pmDerry for inspection puryoses.
Date: • SiAnature:
Onver's license ar Social Secunry x: '
164136 W�ite—Builtling; Green—Cotle Ento¢emant; Canary—Applicam; Pink—Revenue; GOIEanroE—Asseneor '
� --
PERMIT NO; P 047671 ' PLAN CHECK NO; 04364-90 N PAG£: 2
�r�r�r�r�r�r�r�**�r�r�r�r�*+�x��r*�r�r�r�r�r�rx��r�r�r�e�ex***�*+r*x*xx***��x��r�r�e**��r��e+r*��e�*�r**�r*�**+r**��r
TYPE QTY D E S C R.I P T I O N UNIT COST � TOTAL COST
PLU 1 SEWER, BUILDING / TRAILER 5.00 , 5.00
END OF FEES
CONSTRUCyTiON AND PLANM. _ � � ' �' '� SPA - �
,4¢PROVALS Permit # Date. Inspector APpROVALS Permit # Date Inspector'
.7, Temporary Electrical Service or Pole � 52. Pool & Equipment Location �
2.'Soil Pipe-Undrgrnd. - �� 53. Steel Reinforcement �'
3. Electrical COnduit Utiliry�Undrgmd. 54. Forms �
4. Electrical COnduit�Undr9rnd. � 55. Electricai Bonding �
5. Steel Reinfo�cement . �� � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. �� 57. APPROVAL TO COVER�GUNITE
7. Footings � 58.'Electrical ConduirUndrgrnd. .
8. Foundation . 59. Gas Pipe, � Undrgrnd., Test '
9. Water Pipe�Undrgrnd. �- ' • 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System ' � - 61. AFPROVAL TO DECK �
11. Property Sewer Line & House Connection �D � 62. Bacliwash & Receptor�Final
12. Sewer Cap ` 63. Heater & Vent�Final -
13. Roof Drains � - 64. Plumbing System - Final
74. Rough Plumbing _ 65. Electrical-Final . � , '
15. Fough Electrical�Conduit � 66. Solar System-Final '
-' 16. Rough Electric Wiring 67. Fencing & Access Approval !i
17. Rough Wiring Sign � � 68.� APPROVED FOR.PCASTERING ' .
18. Rough Elect�ical�T Bar Ceiling `'. 69. POOLlSPASYSTEMS FINAL � �
79. Rough Heating & Air Conditioning� FIRE DEPT. REQUIREMENT
20. �Rough Factocy Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24.�Roof Framing �73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling,(Structurall & Monocoat 75. Dry Chemical
27. .Frame and Flashing 76. Dry Standpipe
28. Laihing & 5iding 77. FIXED SYSTEM FINAL
29. Insulation = - 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31- Plasrer Brown Coat 79. FINAL INSPECTION
32. Electrical Po`�`ier Meter-Final 80. FOOD CERTIFICATE ISSUED
33.�Final Electric .� Notes:
34.,Final Heating & Air Conditioning .
35�Final Gas PiPe-Test
36: Hood or Canopy
37: Fina1 Factory F.ireplace
38. Final Plumbing
39. Water Service-Final
40. �Gas Service�Final
41.. Solar pomesticFinal
42. Backflow P�eventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47..FINAL STFiUCTURE & BUILDING
48. FINALPLANNING,
49. E�ectric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICA'fE OF OCCUPANCY
No. Date
PA0.IECT pDOqES3: 3 7 9 LA P ERLE LN
OWNEP'SN►ME:.WARD INVESTMENT CO
ROOPESS'�2110NEWPORT BL, C.M.
.i ' '
642-2000
RNCNIENGINEER: •
RODflES3:
REG.NO.:
UNI7:
uxrt:
, PEflMITfEE: CROSSWINDS ELECTRIC ( 714 ) 964-3117
aooxess: 9421 NEOLANI DR
HUNTINGTON HEACH CA 92646
IJCENSEU CONTMCTOB OECUIMTION: I �ere�y alfirm ihat I am Iicense0 unCer pmvisions of C�aptar 9(commencinq vnih Section
7000) ol Division 3 of ihe Business an0 Profeuions CoOe, anU rtry license ¢ in lullforce anE affect.
cirr uc.: 0 51219 STRTE OC.: S� 9 4 8 2 cuss: C 1
Date:����151pnaWre:�� v�� — - — �
'OBKEflS' COMPENSATION DECIAMTION: I �ereEy aflir �� I I �ave a ceniticate of conCen� m seli-insure ar a ceniticate oi Woders
mpensation s an i copy Ihereot (Section 00, LaD. �
oucv xo.: �� ������ ezr. o�1e: �$� 01 / 91
cornr�Nr: PEI /CIGNA ,y,
Certitied coOY is hereby Iumishe0. C9 rtifleA coDY is fil tl witA ihe ciry Bulldinp Di .
Date: � — � AOOlicant:�/���� /
FXEMYf10 iNOM WONKFHS' COMPENSRTION OECIANITION: R' on need not be complet�M i� �he permit is tor one huntlre0 (E100) or less�.
I certiry iha� in the pedormanca of tAa work for wAich tAis permit is issueA, I shall not employ any person in any manner so as to become
suElect to ihe Wo�rcers' ComDenution Laws ol Califomia.
Date: ' ' Siqnalure:
NOTICE: Ii, aRer making ��is tleclaraiion, you shoulE become sublaci to t�e Workers' Compenution provisions o� �he LaGor
Cade, you must fori�with comDN ��h such Drovisions or ihis permlt shall he EeemeE revoke0.
CONSTXUCTION LENUING 110ENCY: I hereby affrm ihat ihere is a consimction IenOinp aAency lor IAe petlormance oi the work lor
which'this permit is issued (SeciiOn 3097, Civ. C�.
IENDEfl:
noosess: - ,
. . ,
OWNEH BUILOEB UEClAMT10N: I here�y afArm tAat I am exempt from Ne Contracrors' Slate License Law for ihe follawinA �eason
(Section 7031.5 Business and Professional CoOe: My ciry oi counry which raQuires a permit ro consimcl, atter, improve, Oemolis�, or
reDair any stmcture, pnor ta its issuance, alm requires the applicant tor sucA Oe�mit to file a siAnetl statement that Ae/s�e is Ilcensed
pursuant ro lhe provisions af Ihe Contracrors' Sta[e License law (ChaD�er 9(commencing wiih Section 7000) of Division 3 al t�e Businew
and Professions CaOe) or Nat he/she k exempt therefrom an0 the basis lor ihe allepeA exemDtion. My violation ot Section 7031.5 Uy
y appticani for a permit sublects the applican[ to a cinl penalry of not more than five AunAred Eollars (5500�. _
i
I, as owner ol tha Omperry or my emoloyees wii� wapes as t�eir sole wmpensation, will do the work, and Ne
� stmcNre is not intende0 or offereU for sale (Section 7044, Business antl Pmfessional Code: The Contracrors' State License Law
tloes not aDDN �a an owner oi a praDerty who builtls or improves lhereon, an0 who tloes suc� work himsell/herself or ihrau0h
� his or her own employees, OroviEeO tha[ such improvements are not intende0 or oifereA for sate. If, hawever the huiltlinp or
. impmvemeni is soltl within one year ot completion, t�e owner will have I�a OurGen o� D�odng he/s�e tlid not 6uiIC or imDmve
rorine o��Pose of ule). _ � ' .
I, as owner oi tAe pmDetly, am exclusively coniractinp with Iicense0 coniractors ro construct tAe Omlect (Section 7044, Business
0 antl %afesvons Code: The Coniractors' SGte Licertse Law Ooes nat apply to an owner oi pmperry wha bmitls ar improves thereon
anU wha contracls for such prolects «t� a coniractoqs) license pursuant to the Contractors' State Licenu Law�. I am aware
that proof of their Worker's Compens:Uon insurance should be pmvided to me. , �
� I am exempt under S¢ction: � B. 8 P. C. •
tor ihis reason:
UatO: OwOOc �
I tlo herehy certity that I am aware af anA un0erstan0 tAe requiamenis oi Calilamia Healih an0 Safery CaOe Sections 25505. 25533, antl
25534 anA tha� I or any fuNre Guildinq occupant will/will not (circla one) neea to compry with saitl state coAes anE tAe requirements for a
permit for consimction or moAification imm the Nr Oualiry Manaqement Oistnct. flesitlential consimction apPlications are exempt tmm
these Drovislons. , ' � �
Oa�e: qpplican[
I hereby certiry tAat I have reatl ihis apDlication antl state that the abova informatian is correcL I aAree to comDly with all ciry antl counry
arJinances antl state Uws relating to �uilCinq const uon and Aem6y au[horis rzpreunutlres oi ini cily ro enter upon the a0ove-memioned
pmDeM �orinsD�ion putDoses. /
� � �� - ��'� ��� ,
Date: ipnature: �-�� � � �'�' �
oriver's �icense or sociai Secunry x: �
1841�48 Whita—Builtling; GraerCotle Enbmement; Canary—Applican�; Plnk—Ravenue; GoltlanroE—Assesmr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO; E 048671 PLAN CHECK NO: N
CONSTRUCTION TYPE; PERMIT TYPE: ELE
JOB DESCRIPTION ; 250,9SF RES.,489SF GARAGE & 150SF DECK
CLAIM VALUE: CALC-VALUE;
PERM NO: E 048671
. �:
GOVT: N SUPP; N,
PURPOSE: NEW
SQ •FT;
GROUP OCC; R-3 /M-1
COMMENTS; REFER TO #B47658 " •
***�r*�**�**�**��*x�**+r*����**�r�*�r��rx�r�r***���� ��r*��x�*�r���r�*�*��r�*�*�xi���****�r*�*
Z O N Z N G R E Q U I R E M E N T 5 �
S E T B A C K S
----------=- MAIN BOILDING ---------- -------- ACCESSORY BUILLING ---------
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 REp• PROV: PARCEL: 92531115 ZNE: REF NO:
PLANNING NtSTES>
>
ik if iE it iE if d! iE iE iE ik ik ik iE 3E iE iE iF jf fE iklh iF it iE iF jE if 1E jE it if 1E.* if;.iE it iE if 3E iE �E iE it iF iE if if iE iE iE if iF iE iE 3E if if �E it iE iElE iE ik �t if it �)E jE iE iE jE it iE 3! jE 3E iE
, D E V E L O P M E N T S.z'E"'R V I C E S R E Q U I R E M E N T S �
��.� �
20NZNG APPROVED BY U% DATE:
BUILDING APFROVED BY ; /i1 ;��' DATE:
APPLICATION ISSUED BY: 5 � ' r_(
*�-******�t**�*it*�x-*�-**** Jf x��r�rx�D***it'*3i��`��i�F��F��t
i! iF iE iE 3E iE iE it it it iE it �)t if iE i! i! if if iE �E iE iE 1t iE if if �F i! �R 1t iE 3E.if.iE iF 3t it iE ik iE 4 iF 3f i! iE it iF iE it 3EjE dk jE iE if iE k iF iE jE �E �F jf iE iE iE iE �E iE iE i(� iE iE iE i! 9E iE jE
LEGALIZATION;N � F E E S U M M A R Y STRUCTURAL SEGMENT:N
$LDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 87,64
50$ , SMIP/NON-RES
PLAN ,
ISSUE FEE 15,00
bUILDING-DIV-> FERMIT ISST7E PLAN-CHECK TOTAL PAID DUE
TOTALS----> 87,64, 15.00 0,00 102,69 102,64 ,00
REVENUE DIVISION TOTALS--> COLLECTED: �102,64 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
102.64
iE 1t 3F if it iE jf !! 3t iE if iF d! if it iE iE �t �E iF iE 9Elk jE iE iE iE iE iF if it �! i! 1f if iE iE iE iE iE iE ik ik if iE iF jE if iF �E iE iE iF it iE ik i(-ik tE 3k ik iE �E i(� iF dE it 1E iF iE �)E if iE 1E iE iF jE jE dk
I N D I V I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST
ELE 2504 NEW RES BLDG FOR 1 OR 2'UNITS/ SQ FT
END OF FEES '
03 87,64
ot aauasnas-�uo�tso�s `��T io_�.��
nar�: os,��irsa zir+z: is:sz �
—` _�—
CONSTRUCTION AND PLANNI • _ � & SPA -
, APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole - : 52. Pool & Equipment Location '
2. �Soil Pipe-Undrgmd. . �' 53. Steel Reinforcement
�3. Electrical COnduit Utility-Undrgrnd. 54. Forms "
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement ' ' . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNI7E
7. Footings - � 58. Electrical Conduit-Undrgrnd. '
8. �Foundation - ; 59. Gas Fipe, � Undrgrnd., Test
9. Water Pipe�U�drgrnd. _ 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System � 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. Plumbing System � Final
14. Rough Plumbing � 65. Electrical-Finai .
15. Rough Electrical-Conduit , � � 66. Solar SYstem-Final
� 16. Rough Electric Wiring _ 67. Fencing & Access ApProval .
17. Rough Wirin9 Sign , � 68. AFPROVED FOR PLASTERING Y
18. Rough Etearical-T Bar Ceifing `� 69. POOl/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT .
20. Rough FactorY Fireplace �� � . APPROVALS� Permit #
27. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush �.
24. Roof Framing -73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . 74:'Overhead Hydro �
26. T-Bar Ceiling (Structurall & Monocoat � 75. �Ory Chemical -
27. Frame and Flashing 76. Dry Standpipe -
28. Lathing & Siding . 77. FIXED SYSTEM FdNAL �
29. Insulation - � 78. FIRE PPEV. FINAL
30. Drywall Nailing . , HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat '- 79. FINAL INSPECTION �
32. Electrical Po`�`�er Meter�Final ! ly qp 80. FOOD CERTIFICATE ISSUED�
33. Final Electric , CL�� Notes: � �
34. Final Heating & Air Conditioning � •
35. Final Gas PiPe-Test � �
36. Hood or Canopy - � . -
37. Final Factory Fireplace � � �
38. Final Plumbing . '
39. Waier Service-Final� ..
t .
40. Gas Service�Final - � . - '
41. Solar pomestic-Final � - .
42. Backflow Preventer , �
43. Backflow Irrigatiori _
44. LandscaDe Irriqation SYstem � . _. �
45. Sound Attenuation � •
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. FINALPLANNING
49. Electric Release to Edison �
i 50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date
.. , _. _ _ _ .i .. ..... ., . . ..•v"�,'y ,r..' ; ......�.,.......
FIELD MEMORANDUM
Job No: �3�'C
Client: � %�J'�a,2t7 (^r.l�;mE�^^ Site: 3''f��3�5' t-p` �� �.�.✓ •
Cas-�a vr+e.Sa. c-A •
Engineer/Geologist/Technician: �' ��-�"-''��+ Date: �� ��I��
Time: In ��' ���v^ Out (2 �• �S P,^"� Travel I hr�
Scope of Work: '�'�"^�� �'�P`���^-� �bSE:-1�-c��'+�nk '�72�-Pc,�*c,F /�'o'?-ovs"S �C
��-�� Lc��A'�N� Q. Eia��+"'C+-E...r� t,.•�STb..•«-r..� 'i�Rcv�L.T`1 l..rr��-5.
Geotechnical Reports or Plans: � �o � - - � ��C. � 3�.� �+53��� - -
', _
Findings/Conclusions/Recommendations: �T� � 2�''-�-c � QcP-a�It` '�"-cv�1,..�+ �I�C�.c �F-S
�'�V'�./i ✓'.� E-� E'sc e v- J�ntS�S.:3 G�w�--� I'�.�72a F! 2 w. C��l f�E"�n rrR rl�i�,.�'C. So 1.t.$
PEZL '!it`E. ��SrLt.�cf✓J 5or d..s-- (Z.N'xNt„7 N^-,o �t<.. Svtiss-�w,,.�'�`���.�..`�
f�u_ �c rz nz ��� "�+�,2 '�or�'r nr4 (3�< c,�.v�r'tRn� r.+ YZ.c-G, r�e ..c-� �,✓tv 'T�-+C.
Pf�-✓+A,�r�dCm �_oc`.���.JC, T2�.tv�-E:,I-fC"r
Weather:
S
Equipment Used:
NOTES:
Any loose material, debris, mud, or ponded water should be removed from
excavaiions prio� ro casting cannete.
This approva! applies only to conditions exisiing on this date. Subsequent
changes in condition (eg., effects of rainfa/l, etc) may invalidate the approval.
This Field, Memorandum dces nat waive inspection by governmenial agencies
AGE 114
Signed�'' C-�
Verification By:
AAKOGEOTECHNICAL
FNGINEERING
CIXJSULTANTS. INC.
FIELD MEMORANDUM , . .
Job No: ���' C
Client: '�2,4��s7. %u,ti.�w��. e Site: 3'�9�� Bos �.,4 4%ee..� �N .
�os.: w a+��SA. . �,
Engineer/Geologist/Technician: h`1'``��'�� Date: 6�b�qo
Time: In �'�Sf'^^" Out iG��'°+� Travel � hr
Scope of Work: �zm^✓ti+ O�S6ss2-vfi'7��^� �G'c- 77'C ��t.or-�-�sc-c� �^'-c�e�C-. 'fv+�....��`t
p.�. S r�lL 6 5 �
Geotechnical Reports or Plans: ��� • • • ��"`�� i ' - ' -- ���'�a3�` C
Rc3"v t'� f++�«-+e�S, �'Gru�.r��.._,e, ��.s�.,r�� 'v,.ro�-rz�-a
Findings/Conclusions/Recommendations: '"���� c'd-s•'z m `�:`���'^^. ��`-t-y �o�:�`r°�"�,o
F'2tii1�7J� �hGft�IfYiTo-�./�, WK�Cr/ y„�S..�F �l1GAJA�y� �l(i1UyZ "Tb LNi 6��.��/AL W^'-SfTf-.
P�w �N^L 7�2E�.c+�ES PnlG�- E'�c..-✓rkrc-r� i�o �c2m G,s+a�46wJ5`", C�m-,�r�G%�-o
i•
N` tt _�'�e.���.._5 l�..-/`S> {4.�t$ 5�*�T.wtSt_.& �dG+ Ca.�/c.xE:rE f�-lkCiaviC��� W)�'7�+�� ?Th�
Fd �.wv✓�^�6 �.XG.6.�TT1mwlS �"�'FFE Ex�SrE�2.JYa�O�T Se�t:,o,�✓L r1.t,Ei�i:r+tE f�+'-tl�Jt"
F�os1�,.r6 '�-c-r�,..c�+ � 7?'E L�S�Z,.c.�.iww.r Str+'�. �+2Evn.ocE na� ov% K"ao-r�..Z �..c,+-i
wtiu ST En T� i'�^✓LcrvG !f AK.� rl � � '�'i P3� Fsa�r,�G`Cro i....rc Cnw.q=-'�-1+—
M�r'ti^�:z...z3-�.- 5v� �s i�-f. T7xE- �2t���f^M"eEO �I �:S p2.FY��..F�4' �(g�xGftJh-'�i..�
�,.v,�-r5, TH'�E �l�+r�2�+��5 �✓sr E,6� d�.s5c�z.ue.�; ati %irss �rt„�. �.c.Kvt
�7-� �dWL'iLC��� �twFi'�G�+-n6.v�.n'" 1`�2 .'�i✓f�'Jh'i�. �
WPAYF1Pf' <YlnJ'ti%�! F�2TL'� GIL+/IY'1 �4�.5 }��.f�'�.2i�'TC+.di'4.-T� �•av � S ��
Equipment
NOTES:
� Any loose
Used:
maierial, debris, mud, or ponded water should be removed from
�1,e�xcavations prio� ro casting mncrete.
�)c, Thrs app�ova/ app/ies onty to conditions existing on this date. Subsequent
changes in candition (eg, eNects of rainfa!l, efcl may invalidate the approval.
,�- This Field, Memorandum dces not waive inspection by governmental agencies
AGE 114
Signed�'�--Q- �J�
V
Verification By:
AAKOGEOTECHNICAL
ENGINEERING
CONSULTANTS.INC.
: ., .. .._. . _' •. . _.r. YY..P +. . .�.-.._�,.. ..",,,,+..wr .,. . _ " , �R:� •�.,v -•, r.. . �'v.y„� _y ,- ..�..
� ' ... i _ _ . .
■ ■�■■ .. gv,�v,.�b �.�veLv��-s
� __ � ..
■■ ■�■ L-ir r'�s.a�rcc� G�4N� ._
s;� ■��■
i �r ��� • � ' , „ INDEX PAGE N
..ky.�..
( , �,.1 6'O/s 4 3'�s
'#` ' 8LO6
� d=� - yo '.SH/P/G�✓N ,NAI%E.+2/ a-.�v.
� DATE CREW W '•, DESCRIPTION
� �� { i � . �� j ::
f t �.
, 1 , .....%p! I I( . '•q�
i I ����
� � � �
SHEET � OF �
1`
37�'j-38.� SZs:-90
CLIENTS J.N. J.N.
, , , , , , . .
_...... o
_ . �o� - ����:.
PH6IECT RODHESS� """ � � LA P ERLE LN
OWNEB'8NRM[}' INVESTMENT-
`PODflESS'. lO NEWPORT
'. COSTA MESA, CALIF
92627
714/642-2000
pflCH/ENCINEER:
. „ RDOflE88: ,
UNR:
flE0.N0.:
uxrt:
�qM�T�E WARD INVESTMENT ( 714 ) 692-2000
, nooness: 2110 NEWPORT BL ' -
COSTA MESA CA 92627
LICENSED CONiMCfOB OECLAMTIOX: 1 he2by aflirm thal I am Iicense0 untler Dmvisions oi Chapter 9(cammencinp with Sec[ion
7000) of Division 3 of t�e Business anU Professions CoOe, and my license is in full lorce antl eflect.
CITY lIC :. ST�TE L1C.: CUSS: ,
, Daie: � SipnaWre:
WOBKEBS' COMPENSRTION OELIAMTIOX: I �erehy aifirm that I have a certi/icate oi consent to seli-insure ar a certilicate ot Workers'
' Compenshtion Insurance, or a cerlifie0 copy thereoi (Section 3800, Lab. C�.
' POLICY NO.: E%P. O�TE: '
' COMPANY: . '
CertilieA copy is hereDy IumisheA. ❑ Certifie0 copy is tiletl with Ihe ciry,BuilAing DiNsian.
�ate: ' ' � pDPlicant
E%EMPfION FPOM VlOflKEN3' fAMPEN&1TIOX DECUMTION: (lhis sectlon neeA nat be compkte0 if ihe permt is fa ane huntlre0 �5100) or less�.
I certity ihat in tAe petlormance ol Ihe xrork for which Ihis Oermil is issue0, 1 shall no[ employ any person in any manner so as to become
subjec� to ihe Workers' ComDansation Laws oi Calitomia. �/-�\ '�
Date: ^S �S �"9O Sipna�ure: �1�-�
NOTICE: If, atler maldng tAis Oeclaration, you sAoultl become sublect to tAe Workers' Campensation provisions oi tAe La�or
CoOe, you must forthwitA comDly with such Omvisions or tAis Dermit shall be aeemeC revoketl. '
� fANSTRUCTION LENOINC RGENCY: I Aerehy aflirm ihat Nere is a constmction lending agency lor ihe Deho�mance of the wo�k for
wAic� this permiYis issue0 (Section 3097, Civ. C).
LENUEP:
' RUOBESS: ' ' '
� f .. ' ,
OWNFB BUIL➢EB UECUWITION: I hereby atlirm I�a� I am exempt trom the Contractors' State License Law tor ihe to�lowing reason
(Sectian 7031.5 Businew anA Professbnal Cotle: My ciry ai counry w�icA reQuires a Oermit ta consimct, alter, improva, tlemolish, or
' re0air any stmcture. Drior to its issuance, also requires the applicant tor such permit to lile a 5ignaE statement tAat Ae/she is IicenseU
pursuant to the D�ovisions ot t�e Contractors' State License Law (Chapter 9(commencinp vnt� Section 7UW) ol DiWsion 3 0l I�e Business
antl Prolessions Cade) or iha[ hUs�e is exempt therefmm and Ihe basis for tAe allegeE exemption. Any violation of Section 7031.5 �y
�, any aOPlicantior a permR suUlecis the apD�icantto a civil Denalry oi not more [han fve hunUreU Oallars (E500).
� I, as awner ol ihe OroPeM or my emplayees wit� waAes as their sole wmpensa0on, will tlo [he wark, and the
❑ simcture is nat intende0 or oflered for sale (Sectmn 70C4, Business anU Protessional Code: T�e Cantractors' State License Law
tloes not aDD�Y �o an owner oi a pmpeM �o huilds or imD�aves thereon, antl who tices such woB �imselt/Aerself or ihrauAh
his or her own employees, prodtle0 ihat such imD�'ements are nat intentleO or a11ere0 for sale. If, however the huiltlinp or
imDrovementis soltl within ane year ol wmDletion,the ownerwill have the OurOan of prodnp he/she CiE not build orimpmve
for the purpose of,sale). �
I, az owner ai ihe pmperry, am exclusively contracting witA IicenuA contractors to consirucl ihe D�alect (Sectian 7044, Business
� - an� Prohssions CoEe: The Coniractors' SWte license Law Uces not appry to an owner oi propeM who �wl0s or impmves Ihereon
an0 w�o wntracts for sucA prol�s xi!� a contractoqs�license pursuant to Ihe ConVaciors' State License Law),I am aware
ihat proof of Iheir Worker's Compens.fion insurance shoultl be Drovitletl to me.
� I am exempt untler Section: . B. 8 P. C.
far this reason: G /'� (/,��
'bate: '�T'�-1 �`� Owner: v✓mr.G.-Q�._,'n/• i
I tlo �ereby certiy IAat I am aware af an0 un0erstand Ihe requirements of Califomia Heatth anA Safery CoOe Sections 25505, 25533, anE
25534 an0 tAat I or any fu[ure DuilOing acu0an(wilUwill not (cirele ane) neetl ro compty with saiC state codes anA the reQuirements for a
permit for conslructwn or mo0i/ication imm the Air Qualiry Manapement Oisirict. Nesidential constmction applications are exempt imm
ihese�D�a�isions. �
�
Dale: Applicanl: �
I hereDy certiry Ihat I �ave read Ihis appliwtian anE state tAat the abave information is correct. I apree to comDly witA all ciry an0 counry
'artlinances an0 state Wws relatinp to DuilEinO construction anE hereEy auttronxe 2D��ntatives of Nis ciry ro enter upan e above-mendaned
pmperry for inspec�ion purposes �
� C ip� -p �
Date� ��_�-'J I I V SiBnature: _��M`� � ,
oriver's �icense or sociai Secunry x:
1641-48 Whito--BullEing; Grean—CoEa Enforcemanl: Cenary—Applican�; Pink—Revenue; GOIEanrotl—Auessor
•, CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: E 097503 PLAN CHECK NO: .N •
CONSTRUCTION TYPE: � PERMIT TYPE: ELE
JOB DESCRIPTION : POWER POLE FOR NEW CONSTRUCTION ' • SQ FT:
GROUP OCC:
PERM NO: E 047503
60VT: ;N SUPP: N
CLAIM VALUE;
CALC—VALUE:
PURPOSE: OTH
� �.
COMMENTS: ' � —'
***x�r�*�:***x*x��*�e**��*x�r�*�*�x�e*��r*�r**�r***+r*��r*�+r��x�+r+�*�r+r��r�r**�+r�r�*x�**�x�*�r�e**x�
Z O N I N G R E Q U 2 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: FT IN REAR: ' FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT , IN RGHT: ' FT IN ,
PARKING AE�• PROV: PARCEL; 42531115 ZNE: REF NO:, �'
PLANNING N TES> �
� > r. . . . _ . .. —
it�ritieitititx�at�itie+��at�et�titit*it�rt*etir�rit�titx'ieit*��itit�r****+rit+rie*+rieit*at�r*at*it*+r**ie*it�rjt*�tat��rie�t*itatat
D E V E L O P M E N T S%:E',"R V I C E S R E Q U I R� E M E N T S
�
20NING APPROVED BY, �' �' DATE:
BUILDING APPROVED HY : �ii. DATE: �
APPLICATION ISSUED BY: � � ^
1f 1F iF ik ik if iF 1f iF itlt ik if iF fF iE 1E iE 1f 1E 1t if
LEGALIZATION:N � F��E,-
� BLDG PMT ,PLUMHING BL
PERMIT .
�
PLAN
�ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE
TOTALS----> 15.00� 15,00
S U M M A R Y
ECTAIC MECHANIC
15�OY
15.00
PLAN—CHECK
0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMHING ELECTRIC MECHANIC
' 30.00
DAT E ; �'��� �
�iEkik%iFikiFififiE iEit
iE3F iE ik ik iP M if iF it if iE %iE iE ik iF iE ik iE 16 iE iE iE
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
�
TOTAL PAID DUE
30.00 30,00 ' ,00
30.00 OVER/SFIOAT: • .00
FIRE SMIP/TOT GRADING PLAN—CHECK
iE if 1F iF if iF 1t ik ik iF ik iE ik iF �k it ik iF iF iE iE ik ik if if jf iE i! iE if if iE iF ik iF if ik ik if ik ik if iF if iF ik it iEiE iE k 1E ik ik iE it iE iE±F * iF it iE ik it iF iF dE iE it ik jE iE iE iF if �F �E iE
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 Z P T I O N UNIT,COST TOTAL COST
ELE 1 TEMP SERV PWR POLE W/OUTLETS �EA. 15,00 15.00
END OF FEES
0
0
tlt �Q061756—�OU61i5b T��AT 3p,pG�
DAT'E: 05/25/90 TIME� 1:,.33 '
CONSTRUCTION ANDPLANNING �- POL .SPA ' .
APPROVALS Permit # Date ' Inspector AppROVALS � Permit # Date Inspector
� �
i. Temporary�Elettrical Service or Pole ool & Equipment Location �
il Pipe•Undrgrnd.l 53. Steel Reinforcement _ � , i
:_Hectrical Cond`u_itUtility-Undrgr�. - � 54. Forms .
� ,.
, ,�Electrica� ConduiYUndrgrnd. . 55. Electrical Bonding
�.t 5.'Steel Reinforcement' � � 56. Rough Plumbing & Pressure Test �., -
__.�.
_� 6'.'�Electrical UFER Grnd. _� 57..APPROVAL TO COVER�GUNITE
- 7i` Footings - 58. Electrica� Conduit-Undrgmd.
` 8l Foundation - 59. Ga5 Pipe, O Undrgrnd., Test -'
"' 9. Water Pipe-U�drgmd, 60..Backwath Linet, P�Trap, � Undrgrnd, t
70. Structural Floor System - 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. -Plumbing System - Final - � "`
74. Rough Plumbing ' - 65. �Electrical-Final � • � � _. -
75. Rough Electrica�-Conduit • � . 66. Solar System-Final � , " .- �
'16. Rough Electric Wiring i��. 67. Fencing & Access�ApP�o�al '•
17. Rough Wiring S�gn � - � 68..APPROVED,FOR PLASTERING'""�ry - �
18. Rough Electricdl-T Bar Ceiling . � " 69. POOL/SPA SYSTEMS F�INAL
79. Rough Heati�g & Air Conditioning C� *, _FIRE nEPT. REQUIREMENT r.:
: , �� . � -.'- • - � _. -: � ' ;,',
20.�Rou§h Factor�y Piteplace R_ `r� � " =� YR ,; ,-AppROVAL$;.=�CPermit # --
- - - -.:�
21rDucts, in=$tru`cture'� "" �= ' � �"' �' --70. Under roundjH tdro `
..� �: C) •a ;t.c . 9 _ Y i
� -i -. -, _.* ,��_ > .: r .: . ��. . .
22-�Ducts, Ventilating ,. . ., :-:n � y77. Product�Piping OGas �Oil
23. �Ga �Pipe-Rough & Tes2 � �n � :7 ;� � � � a -7z. Underqround Flush' �' _y
24:'Roof Fraining �, ' � ��r - � �. ;. SJ3 JUndergrnd�Stora9e;Tank.OGas ❑Oil
25. Roof� SBeathing �' ' '' - � �v' '� 7q.� Overhead Hydro-� "-
Y • - -,. � �c
� - Y _y � � a o r: �: + -� - _ -
26.'T�Bar Ceiling (Structurall &'Monocoat r� p. ._ * 75��Dry Chemical �� a. ~ ;n,
27.�Frameand Flashing: ' :;�^ '" - ��'' # 76. Dry Standpipe `" '� � -
- - +' ' '
"28. Lathin &Sidin9 . �" 1 `' • • ••� � M '�� y^ Y^ ��
9:, b�� ;, .> ,x 77.�,FIXEDSxSTENLF�INAL*�-, -, T
29. Insulation " ' ' �� y; 78�FIRE PREV. FINAL ;, �' F -
'30. Drywall'Nailing �� ,_ F; ��, y HEALTH=DEPT� REQUIREMENT
,. - _ _
�31. Plaster Browri�Coat• ;' T- _ �' �' . VFINAL INSPECTIO'N' �
i l I^C� +�i 1' '�
:'32 _ElectricaLPower Meter'-Final' + �' ap � ' ` ._FOOD CERTIFI,GATE ISSUED�, -;
. , . j ' ,.. . ' - _
L33.'�final Electric- �� �7 ' <t d �+ f'er.� `+' -'r � -'- -, "�'�1
.-.y: �. m �l #: � <-
`�34�Fine`I Heating�& Air'�Coriditionings ,� i ' � �; ' --�o� �-� ' '�
`35i-Final Gas Pipe�Testi - •. t , 's. ,. � �" � �o --
y ���
�36. HooC or,CanopY '; `• '� �� •-�' ` i s ~"� '�`r
i _ ,z k � q t ;n :CO . .. -'tT7
�-37.`•'Final Fectory Fireplace � =.�. - ±. �' -+• .r � " � .
�
�38. Fina� PlDmbing a } ' . � � ;' _� " = " -
1: -, � 'x: r_ "' f..
`39. Water Service-Finala, - ' . �, i ;-. , p~ s � �
a.
^40. Gas Service-Pinel �" -� ""r"' T� � " " ' �" ' � '
�• r I r�^• oF .�
�
�'_41. Solar pomestirFinal'' �� w J . K . - =;o . ': -
�� F
42. Backflow Preventer+� � � x = �' � � `�
1 ^ �.�-. - CnQ x -+
43. Backflow �rrigationx � "" + ,,, r x -�+ �: � �
_ '. .�
n44. Landscape tr7iqation System'" - �^ "� r _ " _ '- :�'. �" � �. `� ,'" �'
- c' .: - i 7: • � � t. 'J : � S i-
:�. :, . . > � .+.
`45.`Sound Attenuation� -y": .. : - y , _ , . `: � i
=46�•Handicap Regulations "� ' � ' ' ^ `z � - � - ,
,. - . '� x� a : n f .
„47 ;-fINAL STfiUCTURE & BUILDING . ; ��, r y' '`' ;" - y. _
s.
48=FINALPLANNING� ; "- i ' � r � �; !? � } �
;ti49.,Electric Release to Edison ' ; ' � ;. , ;� '� .; , : ' �
'.50.'Gas:Release [o Southem California Gas Co �'� • ` * `' ^ �'' ' ='' � �' '
�,., l. k r � �J i .-
51. CERTIFICATE OF'OCCUPANCY � • ` �� -' ^ �
No. Date
�arR+ecraooeess: 379 LA PERLE LN .. • uxiT: �
OWNEH'S NeME: DONALD' WARD `
aooxEs's: Z11.0 ,NEWPORT BL�/U. ; . �
�1. ,
COSTA MESA� CA. 92627 . �
714/642-20b0 �
.BBCH/ENGINEEP: . �. • � , ' �flEG.NO.:. " '
� -• RODNESS: : ' � .� . _ ' , . 'UNIT: �
' PENMITTEE: DONALD WARD� ' ' � ( 714 ) 642-2000 '
�ooxess: z110 NEWPORT HLVD: , �1 •-
' COSTA MESA - CA 92627 .
LICENSEO CONTMC70B OECUMTION: I here0y affirm that 1 am Iicense0 unAer provisinns of C�apter 9(coinmencinA witA Section
7000) of Division 3 of ihe Business anOPmtessions Cotle, an0 my Ilcense is in fulbiorce antl ettect ' , �
CITY 4C.: � ST�TE 11C.: . . CIASS: ' , �
Date: � SiA�aNre: �
WONKEBS'COMPENS�TIONOECUM710N: Ihere6yaftirmt�atl�0veacertificateafconsenttoseli-insureoracertifiwteofWorkers' ;
Compensation Insurance, or a ceitilie0 copY i�ereoi (Seclion 3800, La�. C�. � . . , �
POUCY NO.: , . � , ' E%P. DRTE: � ' �
COMPRNY: ' : � � �
� Certifiea copy is hereby fu�Msl�ea. ❑ Certifietl caDY,�s tiled whh the ciry,BuiWing Oivisioa. ' ,
�ate: � � " ADPlicant:
E%EMFfION FlIOM W08NEP5' COMPENSAiIOX UECWUTION: (ihis sect�on neetl nat be camDleteO if Ne permit is for one hunOreA (5100) or less).
I certiry that in the perfarmance of Ihe work for wAich Ihis permit is issue I shall nat emDloy any on in any manner so as t ecome �
w6ject �a Ihe Workers' Campensation Laws oi Calitomia. ,�:
Date: � " `"' Signaiure: ' �'� b/
NOTIC : If, atler makinq this declaration, you s�oNG become sUbject to the Warkers' ComDensatiOn pmvisions oi he Lahor `
' CoCe, you must fonMvit� compy vnth sucA pmvisions or tAis permit'shall be tleemetl revoketl.
CONSTBUCTION LFNUING AGENCY: I hereGy affirm that there is a consimction lentlinp agency for the pedormance of the work tor
which��his Dermit is issued (Sec�ion 3W7, Civ: C). •' !� . '
LEN�Efl: . . � , ' .���� . .
- - ROOflE33: . . .. • . - � .
OWNEfl'BUILOEB UECLAWITION: I herehy aBirm Iha�l am exemptlmm.ihe Contractors' State License Lawfor t�e fallowinq reason
(Section 7031.5 Business and Protessional Cotle: Any city ol counry which requires a permil ta c6nsimct,'alter, impmve, tlemolish, or
repair xny simcwre, pnor ro its issuance, also requires Ihe applicant 1ar such permit to file a siqne0 statement iha� �elshe is Iicense0 �
pursuantrothepmNsionsaitheConiroctars5tateLicenseLaw�Chap�er9�commencinpwithSection7000)of0ivision3oitAeBusiness �
antl Pmtessions Code) ar that he/she is exempt Ueretmm antl I�e bas�s for ihe alleAetl exemption. Any violation o1 Section 7037.5 �y �
any aODlicant for a.0ermit sublec[s t�e aODlicant to a'ciyjl,penary'oI not more t�an five hun02U tlollars (5500�. �
"I, as �owner ol Ihe praDerty �v � � �, will tlo ihe.wofk,�antl tAe
�� simcture is nat intentle0 or of1e2A for sale ( ction 70CC, Business antl Professional CoOe: T�e Cantractars' State License Law
• . Jaes not aDDty ro an owner oi a properry who huilas or improves thereon, ana who'Ooes sucA work himsell/hersell or NrougA
' his or her own-.employees, Omvide0 �Aarsuch impmvemen�> are not intenCeA or otter¢d tor Sale. It, hOwever Ihe 6uilAing or
, .impmvement is sold within one year, of completion, Iha own6r vnll have tha �urden of pmving he/sha tliU n0� build or improve
;lor the�purpose of sale).' � � ' ' � ' ' , '
.I, as owner ot ihe properry, am excWsively conirecfinp with Iicanse0 cantractors to constmct t�a O�olect (Section 70Cd, Business
❑�� antl Protassions CoOe. The Cont2ctars' State License Law dces nat apDry ro an owner of properry wha bwltls or im0�aves ihereon
.. an0 w�o contacts tor suc� Orolecis with�a caniractor(s) license pursuant ro the Contractors' State License.Law). I am aware
.Ihat prool of Iheir Worker's ComOensation insuance sAou10 be.pmvidetl to me. '
� I am exemD� under Section: B. 8 P. C. � ;,
, for this reason: ' , 1 � ' , � ^ ^� ,
/II /I'I
Daie: ' �� �� . - Ownec �.l �I��
I tlo �ereby certity that I am aware ol and understan0 the requirements al CaliPomia Healih anA Safery Cade Sections 255�5, 25533, an0
25534 and Ihai I or any 1Nure builtling accupant vnll/vnll nat (circle one) neeE to comply wit� saitl staie cotles an0 �he reQuiremenis �or a.
permd Por construction or:moEification imm ihe Air Oualiry Manapement Disinct PesiAential consimction applications are exempt fmm .
ihese proNsions. ' , � �
' CITY OF,COSTA MESA — HUILDING PEFtMIT ' PERM NO: HP ;046892 .
PERMIT NO: BP, 046892 'PLAN CHECK.NO;� N, GOVT: N SUPP: N�
CONSTRUCTION TYPE: �� .. PERMIT TYPEe PLU STR � P.URPOSE:,DEM
�JOB DESCRIPTION :'DEMO SFD & SEWEA CAP ; �.,SQ FT;
CLAIM VALUE: ''1;000.00 CALC—VALUE: 1,OOO.100. GROUP OCC: R-3 /'
COMMENTS: •. ' ;, , � ..: � . ' ".' ;' ::
*xxx�rx�r+�**��rrx�r*�er�r***x*�r�rr**�e�e*�e�r***�r**���r�rx*�x*******�r**�*x�rxx��r�e*�r�r*�e�r*�*���r
, Z O N I N�G R E� Q U I, A E M E N T S . =;
�� S E'T H A C K S , � -
-----------:— MAIN BUILDING =---=----- —=-----'-- ACCESSOAY;BUILDING ------=--
�FRNT; FT IN REAR: '. FT .� IN FRNT: FT. IN REAR:, ,�FT IN-
LEFT: FT IN AGHT; FT IN' LEFT: FT' IN AGHT; FT ,IN'
PARKING REQ• '�' PROV: '� PARCEL: 42531115 ZNE: 'REF NO:;'
PLAt1NING NZSTES>
" _ . . � . . . � . . . . . ... . . . . . � � ' L
!f iF iF iF iF iF if iF if k iF iF if il' 1k if if 1! 1f i4lk 1{' 1f if iF iF iF M 1F N' if it':6'if 1F if if i{' 1t i4 iF if 1f if if i! 1klk if i4 if 1F 1f iF �flF iF iF if 1F it'M' iF if M 1F iE ff']F ii�i%'IF i! if')k 1E it il�i4
D E V E L O P M E N T� 5 E R V_ I'C E S R E Q U�I R,E M E N"'T=S .
ZONING APPROVED BY�, DATEc
BUILDING APPROVED BY : � •DATE:
APPLICATION ISSUED.BY: ' � DATE- `. �� / Z1�
1fiFMiFlf�klkiElFifiFiFiFiFlFk1f1f1flfffk ifikiFifiEikltifff�l iF�if
±f �F iF iF iE if 1F iF it fklF iF iF ik iE iF if iF if ikif If M If K 1F 1k M M iF iF 1F M M if i6 iFif iF if if iF iF 1E 1E if ii if M iF ik iF if iF iF iF if iF ik * If iE 1F iF if iF ik 3f 1F iE 1E 1F fE iF ik iF i! fF iF
'LEGALIZATION;N ' '.'F E E' S U'M M'A' R Y. STRUCTURAL SEGMENT:Y
' BLDG PMT PLUMBING''ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ' � 25;00 ' 2.00" ' �
'PLAN . ., 25Y � SMIP/N50—RES ;
ISSUE FEE' ' � 3,00•-� -: ' '
�BUILDING—DIV—> PEAMIT �ISSUE PLAN—CHECK , TOTAL PAID , DUE
�TOTALS,---->' 27,50 3.00 0.00' 30.50 , 30,50 : .00
REVENUE DIV.ISION TOTALS==> �.�COLLECTED: 30,50� OVER/SHORT: � 00
�. BLDG PMT PLUMBING��ELECTRIC MECHANIC ;'FIRE SMIP/TOT GRADING PLAN—CHECK
- 25.00 5.00; . ' , ,SO ' :
. . i � . � ' ' � • � ' .a. . ; . . I I
TYPE
PLU'
Oaie: � - ApplicanC ,
I AereOy certiry ihat I have reatl t�is aDPlication an0 Slate Nat tAe abo+e informatian is correct. I aA�ee �o comDly with all city anA counry ,
oNinanres anG state laws relatlnA to building canstruction and hereby�����e re reuntatives of this ciry to anter upan t�e a�ove-mantionetl � - ��-
propeM �orinsDection Durposes. � ; / � � � ^�
, � • nt-,.. io �
�ate: ^ O-QO SiOnature: lJvvr� �� .� .
oriver's �icense ar sociai Sacunry x: � � � �
16a138 W�ite—BuilOing; Green—Catle Enlorcamen�; Canary—APPlicenl; Pink—Revenue; GolOanrotl—Assessor ' �- �
ikikltlFiFlkikif.iflFiEMiFM%MlfIkMMlFdFiFlFiFiFiFikillFlFiFMNMfEiflFMikiFikiflElklFifiEiflk�FiElFiFiflFiElElFltikikiEifiklEiflEiflfif -
' I N D. I� V I D U A L' F E E B' R E A, K D O W�N�
QTY D E S C R'I� P T I O,N , �.,, UNIT� COST TOTAL COST
1 SEWER CAP / DEMOLITION EACH 2.00 2.00
' ' ,END OF FEES ' ,
�
; .
_ � :. _' � . : '
1'
; 01 OOOS&?42-00053244 'i l+T 30.50
DATE: 04/10/90 TIME: 12:19 _ : '
� � t,
^� CONSTRUCTION AND PLANNING, � � ' � 990� d SPA : - �
APPROVALS Permit # Date I�spector APpqOVALS Permit # � Date Inspector -
1: Temporary Electrical Se:vice or Pole � 52.''Pool & Equipment Location � � � y-
�2}�il-�ipe-UndrgFnd� ' .� 53. Steel Reinforcement � -' �j
. �
�'�S.�EIecFffeal Cond"iiiT`tiGty-Undrgrnd. ;.� 54: Forms � - - � ' ��
°1��Fle i�al Condw�l�ndrgrn8. � 55. Electrical Bonding � �� `�'�'
�t�.�te¢hReinforce3ie7tn � � � 56. Rough Plur�bing & Pressure Test r�
M
V
�;.; 9�IecV`�cal UFE��,r�hd. ' � 57. APPROVA� TO COVER-GUNITE . �
-�=� 7.� Footings F: � 58. Electrical'Conduit-Undrgrnd. ' N
,_, 8.� ouridation '-,�� • ' 59. Gas PipeyO Undrgrnd., Test ;-.� �
�' 9. ate( Pipe-Undrgrnd. � (� �� 60. Backwash Lines, P-Trap, O Undrgrnd. . '�
.�
10. Structural Floor System � ;� 61. APPROVAL TO DECK � �. , `� �-
� �'
1 t. Property Sewer ���& House Connection . ' �. 62. Backwash & ReceptorFinal -" S-� `���
�
12. Sewer Cap c� • �� �jQ , 63. Heater & Vent-Final x; - '�
�
13. Roof Drains , � � � i ' 64. Plumbing �ystem - Final ` . <>��
i
14..Rough Plumbirtg . � � 65. Electrical-Final � � ��
15. Rough Electric�l-Conduit -�'' 66. Solar SYstem-Final , `��
16.� Rough Electrie)Niring . '! � 67. Fencing & Access'Approval �'s��
77. Rough Wiring �gn - , �' . 68. APPROVED F.OR PLASTERING �
� 18. Rough Electrio3l-T Bar Ceiling . '' 69. POOL/SPA SYSTEMS�FINAL ,' ��
19. Rounqh Fleating & Air Conditioni�nyq �� � � � � FIQ,E�1F PT.qF QUIREMENT � .
N (1 :lx 1 R'� C'-_ * �S7 * x O' �7e+ C� r.
S
20."�-�Ro�uh Fact r lace �' `� x �"'� �` � r ppR�Vl�S���er�it #* ��
�H Q. F`�. �P � S [�' cC �t * S t-s �J+1c �K . ! �-
21 r-DuCn, in Stiuctu � � •• " '�S :� S O r+�.� * � � �
s rr y: � SH ,� �;-� �;.* � 70. Qnderg%u^�n�H�ro �
22.sOuC�s, �%ent�'tirj�x � � * � Q �-� r.* * �77. Produci*ftrping OC^r�s �jOil � -
23.•GarPipe;RoGriFh &�est � m �n x`� Q �x * 7z. Undergro�d FI h�� � ;�
24�Rooi Fryming � � `"F" "`` �`'' � � ;..;* * ..73�Under rn�Stor~a �
t �r x g �grmTynk�Gas ❑Oil
25. RoOS Stieathing * 4 v *�� � � Nk * 74CJ0"verhead Hydro�� �
� ti T # .J i!
26`T•Bp�' Ceiling (Stru ural) &=Mqr�'coa[ �' � `� �� � � � �" `� `U
ro � .�e g p � px x 75.rff�y Chemical E.,� � �
^27�.Frame aod Fkshing: jxq �x c >+ �� * 76. Dry Stand�pipe `•-'�= v x �
� 8. Lathin¢$ SJding � � . OSr, x ,,��'`' ..� ..� ..q� * 77y FIXED S��Eiup��yAL* H n �; ' '
129. Insulatiaii v * <, S � � � � I , � � 78EFIRE PREV. FI��. *> `S C'
�30. Drywall'Nait�ng y�..� i �E., � I # Sov o��ALTFl=OEPTx�tEQ�01R�EMENT
031. Plaster Bro�R Coat+� S �:�'c* � * I � ��� 79�VFINAL IN$£fCTIC�N � [7
n u
�32�lectric� Po�er M�ie'�E�nal� W N I � y. TSO..MjF00D CERTIFI'vATE ISaS�ED�y O
E33 I irvl E�tectr�ri x z1 i � *�� I ! '�Nat4s: `7 '7t7 x*7 - O F+m
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���,34�firte� He��ptin�& Ai (T�prRlitidn55+gS n X T ',� �� S S �lT. #: S 00
r� � T�] R7 X> ,. �� � U � F C K S
� 35; inal Gas Pipo�Test* p�V' .. .� i-; � I � x � � � �o 'CJGH � * � ,J
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a%36.,}io or CanoPY x� � CT"'7 a Y: !l I * � C10 * tn .
� x n i S?� � i: I I x m zc r!� m
�37.`Fina Factory Fireplacex i i-,=� u X I I '� S � �K ��
i.
�8. Finy� Plumbi�g x TN � " * � � r �, x ,��. `:�
* m i " *
`39. WaCer Servic3Fina� � i z� ! I a o �'� �
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TAO. GatService-�inal f m C?'[^ S x tT! t� O� !vn� � .� '
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�47. Solar pomes"[,�cFinal ��,.'� .. y ; � '* ' z. yo . C• * � p
42. Backflow Preventer� � N � 1 � '� � � >F • * O �; .
x N :a F; k F� ** R: t'7 G�� �:� "r� - '
43. Backflow Ir�atior� � � y � * * u � " M '' �n . • �
_ .�
tTA4. Landsc�'e IFrigatidfi Syste �7n 'x �" o O d* * n' :" xCJ *, `'; � ,
r � x � 1t '6 K' 6 k� E i w t� C'. i� S %+
E f` ( i x H+m. i-i rn 7� H t+ r• a: i '-i r-� y
45,�ound _.Qtterwatior7- .� .. .. x m ;� h* * m c � • ;.d �
C46.•Handicap Regulatitlns �-�+ O * * * � � S • rJo S M . .
r. � � d� *. m Cv (J F
�37SFIhtAL STRl7CTU�E & BUI�DING � '/l,�'0i I p� " " � i E..
48�IPtAL PLANNIN� � �r � v �" �{' /� X ,- m . � * E-�
rn n � t s I r.'f EK ?: Cj :J S * 'Q �
a49`�,EleCjric Rel�seto�dison � * I �� * _: � '.� *
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'�SOSGas:.Release to Southern CaliiamiL Gas Co x � �' �*" �'�' ��• ��T? X O
' r i rn � 1 x ./i �[ ac • S � O Cl #' (ti 'J
✓51. CEiLTIFICATE OF`OCCUPANCY * � * �� - • �- .
No. Date
1��If,S S a E
Yfz�� B-W>cxJ -�.o Yv�-ct-ccr�n.o 6�l,� _ OKc .i
OWNER S$OWEIaL� Warren R. naTE 9-i4-62
JOB ADDRESS ��� L6 PETle I,eS12 BUILDING PERMIT NC
G�NERAL WNTRACTOA OWIleT-B1dT. VALUE $ 1310.00
AP No]1'�_2(1-l�j LOT TRACT FIR� 7.ONC DESCRIPTION OF WORK
I 'ECTIONS I Signature DAT� GROUPI TYPE V ZON�
Sou
r�a �_4z SUBCONTRACTOR ,�,,m�R'�
�'r�e+,,.�
OCCUPANCY
1�
- ��i88
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 CO6TA MEBA. CALIRORNIA
For Applicant fo Fill In Completely
TYPE OR PRINT
BUILDING
ADDRHSS . ' �Q.
COSTA MESA. CALIFORNIA
■ MAIL
=J1�»�
� BeTBMCK LINB FROM
■ e.
TEL.
.'.��
� Yv I NO. OP B1D69.
�i r
DING (� � • NO. OI
�y X � ROOM'
:RIOR WALL'�/dK 4 (ROOF
4RING 7 / COVE
OF B/U�I/{.DING AND WOR/�C T/Q'
'%Ho �i � CMOOQ /
�
t _ . _ �� f /f.
�.
F.E RECE1Vtu�
5EP 1 4 1962
. FINANCE OEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT '
BUILDING
For Office Use Only
neceirr No. rewartrNor.
��%�%A�A�
BY OATE RECEIVEO DAT! 198UHO
i� �%� iLF—/ :✓ I G�—/4—/ ��
C08TA MESA. CALIFORNIA
FIftE '�_ ,�
ZONE / TYPE � GROUP
APPROVED . L/ J/ . ......- � I��-
ZONING
=+/ ( NO. OF � I U98 OF N
V PLANS BUILDINO
YARDS
APPROVED
(CEMER L�NH BTJ
-1��6Y
A _
I HfiREBY ACKNOWLEDOE THAT 1 HAVE RE�D TH�9 APPLICATION TryQ AMOUNT BHOWN UNDER V�LUAT�ON 16 POR THH
wND BTATE THAT THE ABOVfi IS COARELT AND AGREE TO COM-
PIIRPOBE OF EBTABIJeHIN6 A PERMIT PEE ONLY.
PLY WITN ALL CITY OPOINANCEB AND 6TAT¢ OLATIN6
eu1Wln� CONeTxUcnoN. VALUATION _
SIGNATURE OF PERMIT FEE $ 9�OiJ
PERM117E '/
$'�' O' O O PLAN CHECK $%�O
AUTHORIZED AGENT � � . _ /�'%.1r'�4
OWNER FIiANK WriLKER QCT 2 DATE Jllri2 2 1..
7os annxrss 379 La Perle Place BLIILDING PERMIT NO. 6982 `
G�NERAL CONTRACTOR Charles M. Sutterfield ' vAi.UE $ 600.00 �
o. LOT 9 TRACT 11_%5 FIRE ZONE DFSCRIPTION OF WORK Garave T7at.arh
� UP J TYPE
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMBER
coa[
Finai Gas Test
.•i
6y82
COSTA MESA BUILDING DEPARTMEN
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CqLIFO{2NIA
ADDRE55 I � �
GITY
ARCHITECT
OR E' 'NEER
AOO. �
AODRE55 J V � I �
LE6AL LOT
ocscRiv.iorv No.
A. P. N O. II /^ � J�� �
SIZE • O /O �1
OF LOT V
USE OF /�
EXISTING BLDG. Q�
SETBtCH LINE FRO�I �
NEW
REPAi..
BUILDING'
SIZE
E%TERIOR WA
COVERING
USE OF NEW
BUILDING
TEL.
NO.
LIC.
NO.
TEL.
_ INO.OF BLDGS. /
NOW ON LOT
(
:ET REAF VARD fJ
RIGHT �9�� LEFT /'
DESCRIPTION OF WORK �
ALTERATION AODITION
MOVING OEMOLISH
NO.OF
ROOM� ' STORIES
�I
�= �E . REC��.i�� �
T �<�.. � �L4��S
FINRNC n�DA MESA
APPLICATION�'FFOR PERMIT
BUILDING •
FOR OFFICE USE ONLY
RECEIPT NO. P RMIT�NO
9EyE0 BY �OA F{E�CE DnTE 156 E
�� �i � �_ J(L
COSTA MESA. CALIFORNIA
FIRE �
ZONE
ZONE NO.OF TYPE /
� v nrvs /
� Y
APPROVER. �^�, DATE� L
BY �
. CORRECTION
m
CITY OF
A MESA
Li'� .
DErT. REG.
20 = rY0 �-� !L� Zs �
1 HEREBY ACHrvOwI[V4[ nni i nnvc ryF,pO in 5 nYYLICwIIVn nnu G O O
STnTE THAT THE ABOVE IS COFRECT PNO wGREE TO COMPIV WITX ALL
CITY OROINANCE$ AND STATE LPWS REGVLATING VILD�NG CONSTFUC-
iiorv. VA�UATION
SIGNATURE O PERMiT FEE $ r
PERMITTEE .
$���} � PLAN CHECK $ '
V
Al1TMORIZED AGENT. � TOTAL FEE $ y '�M�