HomeMy WebLinkAbout383 LA PERLE LN - Building Permits\;
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Pq0.1EC7pDOflES&: jH3 LA F�ERLE LN ,
OWNER'SNAME: WARD INVESTMENT
- RDOHESS: zSIO NEWPORT. BL, C,M,
y • .w .
642-2000
:pflCN/ENGINEEN: . . NEG.NO.:
- , ROOBESS: �
IINIT:
UNI7:
" PENMITTEE: WARD INVESTMENT ( 714 ) 642-2000
'� nnoeess: 2110' NEWPORT BL
COSTA MESA CA 92627
LICENSED CONTMC708 OECUHIITION: 1 herehy attirm that I am Iicense0 waer provisions af Chapter 9(wmmencing vn[h Section .
7000� oi Division 3 of I�e Business anG Pmfessions CoUe, antl my license is in tull forca and etlecl.
CRY UC.: STFTE OC.: CIASS:
Date: ' SiOnature:
WONNEBS' COMPENSATION DECLAMTION: I �ereby atlirm tAat I have a certiAcate oi consent to self-insure or a cenlficate oi WOAers'
"ompensation Insurance, ar a cetli/ie0 coDY �hereoi (Section 3800, Lah. C�.
LICY NO.: � E%P. U�TE:
wMrnxr:
Certifie0 copy is hereEy fumi5he0. ❑ CertitieA caDY is filetl with ihe ciry BuilAinp Oivision. _
' ' .Y
�ah: � NpDlicant: — -
ECEMPTION FIiOM WONKEIiS' COMPFASATON OECIAMTON:� (iles section neeE not he com0�e� ii tAe permit is lor one hwMretl (5100) a less�.
I ceriity �hai in �he OeNormance of Ihe work tor which Ihis permii is' , I shall no� employ an�y anner so as become
Subj¢Ct�O th0 W/o�cer5' Com0en5aiion LaNSP f Califomia. �
�ate: __.rl��\ SiAnature: F
NOTICE: If, atter makinp this Eeclaration, you shoulQ Decome subject ro ihe WaMers' Campensation pmWsions�e Labor
Cotle, you must fonhwith comply witq:sucRpmNsions ar this Oe�mi[ stull.be Oeemed revaketl.
CUNSTNUCfION LENDING �GENCY: I heieby aKrm IAat there is a consiruction IenAing apency for tAe pedormance oi tAe work tor
which ihis Dermit is iuueE (Sec[ion 3097, Civ. C).
lFNOEfl: '
anoeess:
OWNEB BUILUEP UECUMTION: 1 hereby affirm ��a� I am exemp� imm tha Contracrors' S�aie License law for Ihe follovnnq reason
(Section 7031.5 Business anA Protesslonal Code: My ciry af counry whic� requires a Dermit to consVuct, alter, im0��ve, tlemalish, m
reDair any stmcture, D�ar to its issuance, also repuires [he aDDlicant for such permit to file a sipnetl statemen[ tlwt helshe is licensed
pwsuant to the provisions oi Ne ConlractoM State License Law (CAaD�e� 9(commencinp witA Section 7000) ot Division 3 oi the Business
and Pro�essions Catl¢) or Ihaf he/She is ex¢mpt t�erehOm antl Ihe basis fof [he all¢p¢A ¢x¢mption. Any Vialaiian ol Seciion 7031.5 by
any apDlicant fur a permit subl�s t�e a001icant ro a civil penalry oi not more t�an five hundre0 Aallars (5500�.
I, as mvner o/ the pmperty or my employees witn wayes as t�eir sole.compensation, will Uo ihe woM, antl t�e
; stmcture is not intended or oflered tor ute (Saciion 7044, Business an0 Professional Cotle: The Contracrors' State License Law
ace4 not a- I ta an owner of a ro who builas or im roves thereon anE wha Oaes such work himuli/herself or throu A
OP Y 0 OeM P • A
his or her own employees, proWtletl that such imDrovemenis are notlntentle0 ar oRereU for saie. tl, hawever the Uuilaing or
�improvement is soltl within one year ai comDletion, ihe owner will have the hur0en oi DrovinB ��she Ai0 not builU or imD�ave
. tor [he purpose of sale�.
I, as owner oi Ihe pmperty, am exclusively coniradin0 with Iicense0 coniractors �o canstruct ��e prolect (Section 7044, Business
� and Pmtessions Cotle: The Cantractors' State License Law tloes not apDly to an owner af Oroperty wlw bwitls or imDroves Nereon
an0 who contracts for suc� Drajects cith a contractm�s) license pursuant to the Contactars' State License Law). I am awara
that proo� oi ��eir Warker's ComDens[lion insurance SAould De pmviAeA to me.
� I am exempt un0er Sectlon: 8. 8 P. C. .
� tor Ihis reason: '
Date: � �� � Ownec
I tlo herehy certiy ihat I am aware of anU un4erstan0 the requiremenis ot Cah omia Health and Safery CoOe Sections 25505, 25533, an0
25534 antl t�at I or'any future 6uilAinA occupant will/will not (circte one) nee0 ro comply wit� uitl state co0es antl ihe aquiremenis for a
permit 1or consimctwn or motlification Imm t�e Nr Ouality Management Oisirict. ResiJential consimction applications are ekempt Imm
these pmvisions. '
Oate: ApDlicanC _
I hereby certiTy ihat I have reaOlhis aOVlication and state [hat tl
Of010dnC¢5 dnd Sldi¢ IdW3 RldGnp 10 EWIUiOp CryISINC�10�11304 ilE
Droperry Ior insD�ion purposes.
Date: � Sipnatura: _
odver's �icenu or sociai secunry x:
I apree to comply wHh all ciry an0 counry
his chy to enror upon the a6ovamemionetl
1801-48 W�ita—Builtling; Grean—CoEe Enlorcament: Cenery—Applicant; Pink—Revenue; GolOanroA-0.vessor
0
—,
. �ITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 047660 PLAN CHECK NO; 04354-90 A
CONSTRUCTION TYPE; PERMIT TYPE; STR
JOb DESCRZPTION ; 2448SF RESID, 489SF GARAGE, 150SF DECK
PERM NO; B 047660
GOVT• N SUPP; N
PURPOSE: NEW
SQ FTr' 3,087 ,
CLAIM VALUE: 120,000.00 CALC—VALUE'; 179,441.70 GROUP OCC: R=3 /M-1 ,
COMMENTS: ,
**�*�r*��r��r�r**��rx�rx��x�x�rx�x�r*x�r**+rx***xxx�*****�r�r�r*x�*�r**x�**�r*+r**ir��r�***�r*�r�**�r
• Z O N I N G R E Q U I R E M E N T S ____ `
S E T B A C K S ' ` '.
---------=-- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------�
FRNT: 20 FT IN REAR: 10 FT IN FRNT: FT IN REAR: ' FT; IN .
LEFT: 10 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT; FT�,�� IN
PARKING REQ: 2 PROV: 2 PARCEL: 42531114 ZNE: R2 REF NO: DEt-90-02
PLANNING NOTES> DETACHED, 3 HDR, 2.5 BATIi APARTMENT. SIDE STBK IS SEPARTION ;
> FROM NEW AP,ARTMENTS PROPOSED AT 381 AND'385 LA PERLE LANE -
i! it iE iF iE if iE ik if if * iF if iE iE iE iE if ik if if iE.iE 1E.iE�iE iE jE it iE ik if iE it iE if iF if if iE it 1E k iF if iF iE iE i! iE iE 1t if i! if iE k 3F iE iF iE i! iE if ik it iE it 3E iE iE iE iE if if iE iF it iF
D E V E L O P-r 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 �"�'� o m"' �QL�- DATE: ��_
BUILDZNG APPROVED BY- :: `.' =.r DATE: ^'
• � _ � / 1
APPLICATION ISSUED�HY;!'' �7� � � DATE• ���
il�kiFillf�EiEffiEikiEiElEikiE*iFitikkitit�F3F3F'iF3f�F'iF3FiF3F 'iF if �iFif7f�iFifiElflfifilifiFikihik iEjE
it iF it it if it iF if iF iE iE iE iE iE it it ik i! ft it i! jF it if iE iE if iF it it ik it iF iF it ik i! i! if iE iE iE iE iF if iE 1f iE 1t if iE if iE it ik iE iE iF if iE iE if �E iE iE iF iE iE iE jt iE �E iE iE iE iE if iE iE
LEGALIZATION:N F E E S U M M A R Y� � STRUCTURAL SEGMENT:Y
BLDG PMT
PERMIT 919.50
'PLAN 149.42
a
E:lrllkl��C��l�ix�Illl:���y'E�Ia[:i:Pi�y
ISSUE FEE
HUILDING—DIV—> PERMIT IS5UE
TOTALS----> 932.06 0,00
REVENUE DIVISION TOTALS-->
HLDG PMT PLUMBING ELECTRI
919,50 .
TYPE
SFR
SFR
SFR
. .2�
I N D I V I D U A L_
��
� i
QTY D E S C R I P T I" O
2448 DWE—TYPE V—WOOD FRAA
150 RES—HALCONY, EXTERIC
489 RES—GARAGES TYPE V�.
0
FZRE SMZP/RES GRADING
' 12.56
SMIP/NON—RES'
CHECK TOTAL PAID DUE
49,42 1081.48 1081.48 • .00
ED; 1081.48 OVER/SHORT: � 00
NIC FIRE SMIP/TOT GRADING PLAN—CHECK
12.56 , 149.92
it 1t iE it iE iF iE if 1t iE iE if it if ik ih it iE iE iElE i! iE iE if �)E �E iE iF iE iE jF ik iE it ik iE iE iF ik iE
F E E B R E A K D O W N ,
� UNIT COST � TOTAL COST
—GOOD 69,00 Sfi8,912,00
STAIRWAY 13.80 2,070.00
17.30 8,459.70
OF FEES '
�1 �lQ052o34 O10b25F,6 'f+'���T �L'��•1,=3
DR'E: G�4!n';J9G 7SME: 13:42
� - � 3PA
COf�tSTR�JCTI�N AND PLANNINb - -
APPROVALS -Permit # Date Inspector AppROVALS Permit # Date Inspector
�-;.
i. -Temporary Electrical Service or Pole � - 52. Pool & Equipment Location ,� �
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement � �
3. Electrical Conduit•Utility-Undrgrnd. - 54. Porms � � ,��
4. Electrical Conduit-Undrgrnd. . � 55. Electrical Bonding �-
� 5. Steel Reinfarcement� -(e � Po _,Q (,� 56. Rough Plumbing & Pressure Test ' �
� 6. Electrical UFER Grnd. • 57. APPROVAL TO COV£R�GUNITE
7. Footings - 58. Electrical Conduit-Undrgrnd.
8. Foundation - . 59. Gas�Pipe, O Undrqmd., Test ' =/%';
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. •�.
10. Structural Floor System 4,91 90 � 67..APPROVAL TO DECK i
.,�.
1 t. Property Sewer Line & House Connection . 62. Backwash & Receptor�Final ' . ��
,
12. Sewer Cap - � � 63. Heater & Vent-Final .; �. ��
13. Root Drains �_ 64. Plumbing Sysiem - Final� � �l'�
14. Rough Plumbing � 65. Electrical-Final � .�y' , � r'
55. Rough Electrical-Conduit ' � 66. Solar System-Final � ,% � '��
16. Rough Electric Wiring 67. Fencing & Access ApP,roval � , , '
17. Rough Wiring Sign , 68. P,PPROVED�FOR PLASTERING ` �:
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL -� -
19. Rouyh Heating & Air Conditioning , FIRE DEPT. REQUIREMENS
'_' � , . - i . .r�.: �
20. Rough Pacio.ry Fireplace •- ,- ;. L ,� _� . �� �APPROVALS� '�'�Permit #
21.� Ducts, in Struiture' " ' �,F - - �70. Undergiound�Hydro '.
22..Ducts, Ventilatin ' - = :y: ' . J.`
9;- _ �71. Product�P.iping OGas OOiI
23. �Gas Pipe-Rou_gh & Test "r,� • _�y � . 72. Underground FI'utFi� � x ' _
24. Roof Framing '� ' �=: � :J3.�Undergrnd! Storage Tank`O Gas`� Oil�
25. Roof Sheathing " � - ,- '• % " 74 Overhead Hydro: „M -
26. T�Bai Ceiling IStructural) &"Monocoat : ;. `-� �; - 75--Dry Chemical � � �;r-i �
27.-:Frameand Flxshing � ;:'8' 'p > � � 76. Dry Stand.pipe �;� ' '
_ .� r :-7 n; �
r�• � . ^ ^� . i ^ . �. x:: :;
28. Lathin9&Siding , �" ,- ,,,y;y. � 77:- FIXEDSYSTEM�F,iNAL� �- ;� - -
29. InSulation • " � �, y, 78:-FIRE PREV. FINAL " �_ r
-30. Drywall�.Nailing ^ � -�,_; - - ' � .' �, - HEQLTH-DEPT; REQUIREMENT
� 37. Plaster BrowmCoatr � • -' - � r � T7g.lFINAL INSPECTION ^ � -
.32. Electrical Power Meter-Final ' �~'"� �� � '�' ��$O::FOOD CERTIFI,GATE ISSUED , ,~ �
• 33.:�Final Electric S ; • ' � `•��' ��Nofes b �p .'"_ _ �gl�TL"��
34._ Fin51 Heeting�& Air Conditioning` �h', . ;, .� - ; � - ,:, L ' A -F�R $�EC�. �Q�
35.-Final Gas Pipe-Test� � • � - �"� - *- " ^v ' - :� ;
� ,�
36. Hood or.CanoPY � - �'� 1 �` - `" � R r - __
� �., �v , . "n � � R^ .
�-37..Final Factory Fireplace:^ . � �K � � � � . ' �
; 38.�Fina( Plumbing � �k � ' ��= ,
r :� .7
39.'�WateF Service;Final � ,, a � , � ��: :- ; � � � c -, -� �
Y y ♦ h.
�40. Gas Service�Final �-. Q�"�� � . ' - :
41. Solar pomesticFinal � • �, , , , -_ � - ._ -
42. Backflow Preventer ' '� ' ` ' " '
y; _ - ., .
43. Backflow Irrigation � � �� . � �
44. Landscape Irrigation System '� � . � ", ' �' _
� _ ,
45.-Sound Attenuation. � , - • . ,
46. Handicap Regulations - -' ' ' . • "
47. FINAL STRUCTURE & BUILDING a( q( '
48. Ffidfc�Pt,4WP41tJG^ C. - . L .'J•C�(" . _ _ . �.
49. Electric Release to Edison ` _.. _ �
50. Gas Release to Southem California Gas Co • - '
. • .
51. CERTIFICATE OF OCCUPANCY
No. Date
Tttis Is To C��mi�Y fiHA� INSULA�IbN HA5 g��N INSmALL�b IN
coxFORMANcE V t�H� CUkH�N� �N���Y H�dt' `IONS, cALixo�N2A
ADMINI3TRATIO_ JObE, TITL� 24, $mAfiE bF . �I�ORNIA; IN THE
[3UIL,DING LOCATED AT: per�.,,;t A7o �'�n/660
SI'1'F AUllRESS: J83, LA PEARLE LANE COSTA MESA 92627
Number Street City/State Y
AIR INFILI'RA'I'lON: MANUFACTURER: MANVILLE -
EXTERIOR WALLS
Manufacturer MANUILLE Thickness/1'ype $ATTS R/Va].ue3}" R-ll
CEILINGS
Batts: Manuf.actttrer PLANVILLE Thickness/Type BATTS R/Valueil" R-30
(.ENERAL CONT'RACTOR: (,�k�r�( ='n»P5{�,v�e✓t�- �o, Lic. # �./3 .
BY �o-�, C�� (,C.�c,!'� Title �„x.e,� ��n , Date /-/8"i
INSULA'1'ION CONTRACTOR: W�STERN INSULATION, INC. Lic. # 481278
By �?�� J��,�J Title� AUTt10RIZEll AGENTDate 1-11-91
Form 106
3/89
THIS IS TO C�RTIFY THAT INSULATION HAS BEEN INSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA
ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: 379, 381(383J and 385 LA PEARLE LANE COSTA Mi
Number Street City/Sta
AIR INFI�TRATION: MANUFACTURER: t�ANVILLE
EXTERIOR WALLS
Manufacturer MANVILLE Thickness/Type BATTS R/Value3}" R-11
CEILINGS
Batts: Manufacturer MANVILLE Thickness/TypeBATTS RJValue ll" R-30
GENERAL CONTRACTOR: Lic. #
By Title Date
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
By %'Nu.�c.lSh., ���_.�, � Title AUTHORIZED AGENTDate 1-11-91
�_���
Form 106
3/89
FINAL GRA�ING CERTIFICATION
. ;
P�oject Address: 383 LaPerle Lane
Lot Number:
Permit Number: y 0�/7 6�0
By Civil Engineer:
I certify to the satisfactory completion of grading in accordance with the approved plans,
specifications, local and siate 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 Halis.
]% Fall for asphalt surfaces and landscaped areas.
-. 0.59� Fall for concrete surfaces to approved disposal areas.
The final monuments as shown on the recorded tract map were set. All final grading eleva-
tions are within ± I/]0 of the desi ned elevations:
Supervising Civil Engineer Reg. No. 31720
. , (Signa�ure) �
Date
l` \
QROF'ESS/p�,
�Q�e�N g, yA�F F�
�� �
� z
a . 720 m
E� 92 �
* " #
�T9TF�F CAUE���\Q-
STA� and SI(�1
�Wu6
"" . ' �
��
Pfl0.1ECT FOONESS: 3 S 3 LA PERL E LN �,.
OWNEH'SNAME: WARD INVESTMENT
aonness: 2110 NEWPORT BL, C.M,
UNIT:
� ' 642-2000
RflCHIENGINEEH: ' � REG.NU.:
110DNESS: . UNIi:
PENMIREE: CROSSWINDS ELECTRIC ( 714 ) 964-3117
noowEss: 9421 NEOLANI DR
'HUNTINGTON BEACH CA 92646
LICENSEO CONTMCTOP UECIAMTIUN: I here�y aflirm Nat I am �icenSeE unaer provisions of ChaD�er 9(commencinA ��� Sectian
7W0) of Oiasion 3�of the Business an0 Pmhssions CaEe, an0 my license is in full torca an0 eflect.
cirr uc.: 0 S 1219 srnTe uc.: 9 9 4 8 2 cuss: C i /
Oate: ' ' SiAnature: � � A
WOBNENS' COMPENSATION OECIAMTIOX: I here0y aRirm tlW I h0va a cetl�ficale ot ca en[ to setl-insure or a certilicata of Workers'
. ComOensation Llsyrancn„ brp 4ertifCd copy t�ereof (Secimn 38 , La�.�� .
IPOIJCY NO.: �1�V Y VLl,(JW �zr, oaTe: $/ 01 / 91
coMeaxr: P E I/ C I GNA ��/
❑ CenilleE coOY'�s hera6y tumishe0. � �Certifie0 eaOY'is YAeO �'M1h the ciq BUNamO b��o , /
Oate: � �,�L � � ApDlicant:
, E%EMVf10N FIIOM WOflKENS' COMPENSpTION OECWLITION: s seccl�on need not he compkteU � Ihe permii is for one huntlre0 (5100) or kss).
se
I cenity that in ihe DeMormance ol the work for whic� tAis Derm is i5sued, I shall no� employ any person in any mannar w as to become
su6lectta Ihe Workers' Compensation laws af Cali/omia. "
Da�e: " Sipnaiure:
NOTICE: Ii, ailer maNin9 this Aeclaration, you shaula become sUblect ro the Workers' ComOensation provisions o1 t0e Labor
Code, you must�orthwith comDly with such D�a�sions or Nis parmit s�all be tleeme0 revoked.
CONSTPUCTION 1FN01NG �GENCY: I here6y aflirm tAat the2 is a constmction IenAinp aAency for Ihe petlarmance ol ihe vrork for
w�icA�Ihis permit is issueE �Sectian 3097, Civ.,C).
LENOEB:
'RDONE53: .
OWNEB BOIL�EB OECIAMTION: 1 hareby alfirm Ihatl am exemptfmm ihe ConiraCtors' State Licensa Lawiorthe followinp reason
(Seciion 7031.5 Business an0 Pmteuional CoOe: My cRy oi counry whic� requires a Dermit to consimct, alter, imDrove, Oemolish, or
, repair any simcture, Drior to its issuanca, also mpuires ihe ap0licant ior sucA permit to tile a 5igneE statemem that he/she is IicenuE
pursuant to the proNsions of the Coniractors' State License Law (Chap�er 8(cammencinA w��� �ction 7000) of Division 3 al the Business
anG Pmiessions CaOe) or that �e/s�e is exempt Iherefrom antl ihe b9sis for the alleAea exemption. Any violation of Section 7031.5 6y
any apDlicant for a Dermit sublecls the aDDlicant ro a civil penatty a� not more tAan five hunOreO Oollars (5500).
I, az awner of the pmperty or �my employees vnih w2pes as t�eir sole comDensation, will tlo Ihe xroM, antl Ihe
I' ❑ stmcture is not intandetl or oHeretl tor sale (Section 704A, Bus�ness antl Pwiessional CoOe: The Contractars' State License Law
dces not aDDly to an owner oi a O�oOeM wha Uuilas or improves ihereon, an0 who tloes such work �imseltl�ersetl or t�muph
his or her own employees, Drovi�etl t�at suc� improvement5 are not intenUetl or oiferetl for sale. 11, however ihe builUinp or
impmvement is so10 within one year oi completion, tAe ownt� wlll have Ihe bur0en ot O�ovinq he/she Ai0 not huiltl or imD�ove
laf lh0 OUNOSe atsale). ,
I, as owner of the Droperty am exclusively conlractin0 with Iicense0 contracrors ro constmc[ [he project (Saction 7044. Business
I❑ and Professians Cotle: The Contractors' State Licensa Law Oo�.s not aODM �o an ovmer ol proDerty who buAtls or impmves thereon
an0 who contracts br sucA pmjects q[h a conUactoqs)license Dursuantta the Coniractors' State License Law),I am awara
t�at proal ol their Warker'S COmpens:tion msurante Should be pmviAeO Io me.
� I am exemD� untler Section: B. d P. C.
tor tAis reazon:
' Date: - Ownec
I Ao Aere�y certiry Ihat I am aware of anU untlerstantl IAe� reQuirements oi Calilomia HealtA and Safery Code Sec�ions 25505, 25533, ana
� 25534 anG t�at I or any INure buil4inA occupant vrilUwill not (circle one) nee0 to camply vnt� saia state coaes an� ihe requiremenis far a
permi� �or consWction or moGi�ication trom the Air �ualiry Managemenl District. flesi0enlial cons�mc�i0n applicatians are exempt fmm
t�ese proNsions.
Oate: Appliwni:
� I hereGy cerlity that I tuve reaOlhis apDlicatian antl state Ihat t�e a0o+e informalion Is correct I apree ta comDly witA all ciry anE counry
ortlinances an0 state Wws relatinq ro EuilOinp c struction an0 �ere6y au�honze 2D�senGtives of Nis ciry to emer upon t�e abovementlonetl
propeM �or inspection Duryoses.
Date: � — SiOnatu�`�='�'�`'� ���—�— /
onver's Licenu or Social Secunry x:
164t<fi White--Buil0lnp; Green—Code Enlorcemenk Canary—APPlicant Pink—Ravenua; Goltlanrotl—haqqysor
CITY OF COSTA MESA — BUILDING PERMIT
. o
PERMIT NO; E 048673 PLAN CHECK NO; N
CONSTRUCTION TYI�E; PERMIT TYPE; ELE
JOH DESCRIPTION ; 2448SF RESID, 489SF GARAGE. 150SF DECK
PERM NO; E 098673 �
GOVT: N SUPP: N
PURPOSE: NEW �
SQ FT;
CLAIM VALUE: CALC—VALUE; GROUP OCCc,R-3 /M-1
COMMENTS: REFER TO #B47660 '•
**-x�*+t�-�r**+�**��t*�x-************�t�*�t�t�c-�c-*�t�x-�x-**x��tat�r*-�*�c-***�r*ar***�*�t*at******at*�-**+t*�tx��r
Z O N I N G R E Q U I R E M E N T S .
s E r H A c x s
,
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ------
FRNT; FT IN REAR; FT IN FRNT: FT IN IiEAR: FT ' IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN,
PARKING REQ• PROV; PARCEL: 42531114 ZNE: REF NO:
�PLANNING NLSTES>
> .
iE it if i!� i!� 3E if iE # iF �7E i4 �I! it it ik �lf i! i! iE it jF �E if iE �lE iF iE ik it i(� iE it ik iF iE ik ik iE i! dt iE fE iE �]k �E jF ik iF it �1E iE iE i! �k iE �! iE iE 3E IE �1E iE il� �%dE�t �1(- iE iE iE if iE iE iE it iF it iF
D E V E L'O P M E N T SrE-;R V I C E S R E Q U I R E M E N T S
20NING AI�PROVED BY � / DATE: '
BUILDING APPROVED bY : i ' DATE:
IAPPLICATION ISSUED BY; ' � DATE• ;F�F3�r
if ik ik 1! ik ik it k af if ik ik iE it iklE it iE ik ik ik iE3F3F3F3F3F3fTifif �FiFiF3F3f�F�FiF�FiFif3F3F 3F3FiFiFiFiF �Fif3FiFiF iE it iE if iE it iE iE 1E iE jE if
�, iEiEitik�liEiEikitititiEifit9EiEit�k3EikiE�EltiF3EitiE�fjfjEikiF,iEifk3EifikilikiEiEiEihiEiEiFitikiFiE*iEiEif�EifiEiEffiEiFkitiE3fiEikiE9EiEjFiEiEifiFiEiEiE
ILEGALIZATION:N F fi�E� S U M M A R Y STRUCTURAL SEGMENT:N
�
BLDG PMT FLUMBING ELECTRIC MECHANZC FIRE SMIP/RES GRADING
PERMIT ' 85,68
503 SMIP/NON—RES
PLAN " '
ISSUE FEE 15,00
bUILDING—DIV—> PERMIT ISSUE F'LAN—CHECK TOTAL PAID • DUE
TOTALS----> 85,6fl 15,00 0,00 100.68 100.68 .00
REVENUE DIVISION TOTALS--> COLLECTED: 100.68 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
100.68
iE it iF i!'i! it �E iE if if dk ik ik if iE iE i! 3t iE �E 3F jE fE ik iE it iF if �F iE 1! iP iE±f iE jE jF iF 1E it iE if �k # iF iE i4 jh iE fE iE aE iE iE jf iE 3t iE 3f iE iF iE it 1! �E aE 3E iE 3k if iE iE iF i6 it iE dE 3F iF
2 N D I l� I D U A L F E E B R E A H D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 2448 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 ' 85.,68
.ENU OF FEES .
Oi OU�dE033-00068�333 �'�"f I.�G.d"<.
aaTt; os�.v9a rin�: ¢�:s�
�
CONSTFiUCTION AND PLANNING . . POOL .PA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
. 1.'Temporary Electrical Service or Pole " : 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgmd. � • ' 53. Steel Reinforcement
3. Electriwl 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�GUNITE
� 7. Footings _ 58. Electrical Conduit�Undrgrnd. -
8. Foundation . � .. 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap,�O Undrgrnd. '.
70. Structural Floor System � 61.. APPROVAL TO DECK .�
1 i. Property Sewer Line & House Connection . 62. Backwash & Receptor�Final
12. Sewer Cap ' 63. Heater & Vent-Final �
73. Roof Drains _ . 64.��Plumbing System - Final
14. Rough Plumbing - 65. ,Electrical�Final '_ �
15. Rough Electriral-Conduit • 66. Solar SYstem,Final : - �
- 16. Rough EleMric Wiring � ��_ _ 67. Fencing & Access ApProval �
17. Rough Wiring Sign ��. 68. AP,PROVED FOR PLASTERING -
16. Rough Electriwl-T Bar Ceiling . 69. -POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20..,Rough Factory F.ireplace . APPROVALS Permit #
21. Ducts, in� Structure 70. Underground Hydro
22. DuMs, Ventilating . 77. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test - ' . 72. Undeiground Flush
24� Roof Framing '- ^73. .Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro' �
26. T�Bar Ceiling (Structurall & Monocoat � 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe � �
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation . 78-. �FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat �' 79. FINAL INSPECTION �
32. Electrical Power Meter�Final /Z(�q90 80. FOOD CERTIFICATE ISSUED -
33. Final Electric �j� � Notes: � �. . '
34. Final Heating & Air Conditioning - -, ,
35. Final Gas Pipe�Test � _
36. Hood or.Canopy . _ � -
37. Final Factory Fireplace ' � � .
38. Final Plumbing .
39. Water Service-Final
40. Gas Service-Final � �
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation " '
44. Landscape Irriqation System � ,
45. Sound Attenuation " '
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Ed7so�
50. �as Release to Southem Califomia Gas Co
57. CERTIFICATE OF OCCUPANCY
No. Date
,
Pfl0.1ECTRODflESE: 3(j3 LA PERLE LN
OWNEfl'SN�MF:,WARD INVESTMENT -
�ooeess: z110 NEWPORT BL, C.M,�
�� ` 642-2000
RRCNIENGINEEfl:
�-'� RDONESS: . .
0
UNIT: '
REC.NO.:
UNR:
� r�RMiTTEE:.ELITE PLUMBING (714)722-0379
nooxess: 1760 MONROVIA
'� CM CA 92626
LICENSEO CON7MC70B UECIAMTION: I Aerehy alfirm Nat I a Iicense0 untler p a'sians ol Chapter 9(commencinq vnth Section
7000� a� �iVision 3 0� the BUSine55 ana Pro�e55ion5 COAe, an0 flce ,�B is in full of e and ¢fleci.
ciixu� r%a��uc.:539786 cu - /��
Date: �V_ Signature: ' v �
WOBKEBS' MPENSATIONDECUMTION: I�erebyaHirm hat Aaveacerti/icate conseniroself-insureoracetlilicateafWorkers'
Compensation Insura c certifie opy Nereoi (Section Lab. �.
eoucxxo.: 10�6G��9-�4 EX TE: L��l��il
cornvnxr: STATE FUND ,
❑ Certifie0 coOY �s nere0y fumishe0. � Certitie0 cooY �'? '' IAe i uil i p UNsion. ", /.
oa�e: � � noorcam:
�.
IXEMPTION F OM WOBNEflS' PENS�ITION �ELUMTION: (This fon neeA nat Ge wmpleteG if Ne permit is for one huMreU (E100) or kss).
I cenity that in the pedormance oi the work for which this rmit i issueQ I shall nat employ any person in any manner so as ro Oecome
sublect to ihe Workers' Compensation Laws a� Califomia. �: �(�"
Oate: Sipnature:
NOTICE: Ii, atter making this declaration, you should b¢come 5u01eit to ihe Workers' Campensation Drovisions ot the Labor
CoOe, you must forthwith comply wi[h such pravisions or this pe�mit shail Ce OeemeE revoked.
CONSiBUCTION LENDINO ACENCY: I hereUy attirm tAat tAere is a consiruction IenOing aAency lar the�perta�mance o1 the wark far
which tAis permitis issuea (Section 3097, Civ. C�. • '
LEN�ER:
'RUGHESB:' . - • • . .
OWNEB BUILOEN UEClAMT10X: 1 �eaby aKrm IAat I am exemD� irom Ihe Caniroctors' S[ate License Law for ihe IallowinA ieason
(Section 7031.5 Business 5ntl ProtessionaYCotle: My ciry of counry whicA requires a permit ro construcl, alter, improve, Oemolis�, or
repair any stmcWa, pnar to Rs iuuance, also�requires ihe aD0licant far such permit to file a si0ne0 statement that he/s�e is IicenseE
pursuant to t�e provisions of tha Contracmrs' State License Law (C�apter 9(commencinp wit� Section 7000) of Divisian 3 of Ihe Business
anJ Pmieuions CaOe) ar ihat he/she is exemD� �herefrom anA the basis far I�e alleAed exemption. Any violation oi Section 7031.5 6y
any apDlicant tor a permit suUlects ihe apDlicant to a civil penalry of nat more than five hundred dollars (5500).
I, as owner af ihe DroDeM or my employees with waAes as iheir sate compensation, will tlo the work, and Ihe
❑ stmcNre is not intentletl ai offerea far sale (Section 707d, Business antl Pmiessional Coae: The Contractors' State Licenx Law
dces not aDVly to an awner oi a pmDerty wlro �uilds or impraves t�ereon, and who Goes such wod himsetl/�erselt or thmugh
- his or her own emDloyees, provideA �hat sucA impmvements are not intenaed or ottereE for sale. If, howaver the Ouiltlin0 or
improvement is sold wit�in one year ol comple[ion, ihe owner vnll have the burden ot pmvinp he/she did not builU or impmve
lor the purpose of sale�. . • _ -
' I, as owner of t�e proDerty� am exclusiv¢Iy conVactinA wi[h Iicense0 contractors to cansimct the D�oject (Sectlan 704/, Business
•❑ and Prolessions Code: TM Coniractors' State License Law Uces not apDly to an axner of Droperty who bmlds ar imD�a�es t�e2on
anU w�a croniracts lor such pmle��s with a conirac�or(s) license Dursuant ro Ihe Contractors State License Law�. I am aware
Ihat praol bf ��eit WoAcer'S Compen5aiion insurance 5hou10 be pmvidatl �o me.
� 1 am exemD� untler Section: � B. 8 P. C.
for Illis reazon: ' � '
Date: Ownec
1 Eo herehy cenity that I am aware ot anU unOerstantl the reQuiremenis al Calilornia Healih antl Safery COAe Sections 25505, 25533, ana
25534 anU that I or any future Uuildinp occupant wilVwill not (circle one) need ro campy with said state cotles antl the requirements lor a
permit for constructwn or moEitiia[ion 1mm Ihe qir �uaiiry ManaAement Uistriq. Hesidential constmction aDP�icatians are exempt irom
the5e provisions. ,
Date:
I �ereUY ceniry that
or0inanus anA statE
pf0p2fiy �Of IIISPBLI
oate: �[1_ nn
isa�-a5
_ Apo�icant:_
iis applicatlan an0 state Na
�0 bU11d1110 LOfISINGUqIdI1C
� SiAnature: _
ecurity x:
Grean—Cotla Enlorcement;
m Is corre �. I agrea ro comply with all ciry anU county
;un�ativl5 ��AiStiry�O¢Mefuponlhea6ave-� f10E
/
��
Pink—Nevenue; GolEenrotl—Assessor �
CZTY OF COSTA MESA - BOILDING PERMIT PERM NO: P' 047668
PERMIT NO: P 097668 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5-N PERMIT TYPE; PLU' ' PURPOSE: OTH
JOH DESCRIPTION :�2448SF RESID, 489SF GARAGE, i505F DECK SQ FT:
CLAIM VALUE: • CALC-VALUE: GROUP ,OCC; R-3 /M-1
COMMENTS; RH: H47660 PRIMARY BLDG, PERMIT, - �
�r�r�r��r�r�r�r*�r��r*�r�rx�r�r��r**�r��***�r����rk+r�r+rx�e�*�x�+r�r�r��r**x**+�+��r�xx�r�r**����r�x�r���rx�r��r�r�
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 5
------------ MAIN HUILDING ---------- --------- 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 RE�• PROV; PARCEL: 42531114 ZNE; REF NO; .
PLANNING N TES> ' �
� • r• . _
iE iE it iE!! �! i! it 1Flf iE if iE iElF if ik iF if k iF if 1E 1! iE iE 1E if iF iE iE iE iE if if dE ik it iE if'lt jE 1f �F iE it il;i!'if iE 1f iE 3E 1E iE iE iE if iE iE ik �t iF iF iE iE iE iE iE if iF iE iF iE ib it 1k iE ih
D E V E L O P M E N T S E R V I C E S!�,R E Q U I R E M E N T S �
ZONING APPROVED BY' .
BUILDING APPROVED HY :
APPLICATION IS
ik'if iE i! i! 1E ik ik ik iE iE iE iE iE
dE 1t 1f iE iE 1t ik dF if i61f iE 1f iE
LEGALIZATION;N
BLDG PMT
PERMIT
PLAN
ISSUE FEE
BUILDING-DIV->
TOTALS---->
DATE:
DATE:
• � '-�. DATE:
��+� x�*�r**x**�r�r�F ^ �F�xx
1EiEiEiEiEiEiEiEifiEifiEifiEiEikifaEiEiFiE itiEitifiEiEififihififiEiEiFiEiEiEfliElFiEiEiEiEiflEiEiEifiEiFlFiElEiFifiF
F E E S U M M A R Y STRUCTURAL SEGMENT:N
PLUMHING ELECTRIC MECHANIC FIRE, SMIP/RES GRADING
39.50 • '
25Rc SMIP/NON-RES
3.00
PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
39.50 3.00 0.00 42.50 42.50 .00
�
0
u
REVENUE DIVISION TOTALS--> COLLECTED: 42.50 OVER/SHORT: .00
HLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
42.50
iE'lE iE iF 1k iE iE iE ik if # it i! iE ik if iE if iE iF if if ft iE if if iE iE if iF i!� if ik if iE iE iE if i! ik if if ik if iE ik it iE 1k 9E it if it if if iE it 9E iE jt 1f iE jF ik iE it it it �lF ik if it it iE if iE it it it
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
PLU 2 HATHTUB 2,00 4.00
PLU 1 DISHWASHER , 2.00 , 2,00
PLU 1 LAUNDRY TUB OR WASHER 2,0,0 2,00
PLU 1 SHOWER 2,00 2.00
PLU 1 SINK, RITCHEN 2.00 2.00
PLU 5 WASH bASIN 2,00 10.00
PLU 3 WATER CLOSET (TOILE'P) 2.00 . 6.00
PLU 1 WATER HEATER AND/OR VENT 2.00 2,00
PLU � 1 WATER SERVICE . ' 2,00 2.00
FLO 1 GAS PIPING SYS OF 1 TO 4 OUTLET5 2,00 2,00
PLU 1 GAS PIFING SYS 5t UUTL-PER oUTLET pl D�Ou�S'�6-�fl062T26 T�7T .50.,�,��
�A'E: 06I0?I9Q ?IitE: 14:�5
�
CONSTRIiCTIONAND PLANNING ' POOL & SPA �
. APPRQVALS Permit #- � Date. Inspector pppROVALS Permit # Date Inspector
i
i. Temporary Electrical Service or Pole. -� � 52. Pool & Equipment Location �
�2. Soil Pipe-Undrgrnd.-. ,� - . - 53. Steel fleinforcement
•3.� Electrical Conduit Utility-Undrgrnd: 54. Forms " '
4. Electrical Conduit-Undrgmd: • _ -" � 55. Electrica� Bonding --
�5: Steel Reinforcement � 56. Rough�Plumbing & Pressure Test -:
��6:. Electrical UFER Grnd. 57. APPROVAL TO GOVER�GUNITE
• 7. Footings �. � -�� ` 58. Electrical ConduirUndrgmd. �
8. Foundation � _ _ , � - -• ��_ ., � _ 59. Gas Pipe, O Undrgrnd.; Test 3
9. Water Pipe-Undrgrnd. '__. _~/ C� (�� 60. Backwash Lines, P-Trap, O Undrgrnd. ''--
li
70: Structural Floor System � � 61. APPROVAL TO DECK � --
11. Property Sewer Line & House Connection , 62._ Backwash & ReceptorFinal � �
72. Sewer Cap - , . 63. Heater & Vent-Final - - ' �
13. Roof Drains . -� � 64. Plumbing System - Final - "
14. Rough Plumbing . 'i ' QQ L�l7 65. Electrical-Final �_ _ !
15. Rough Electrical-Conduit ( ,� 66. Solar SY`stem-Fihal ' .
i 6. Rough Electric Wiring . 67. Fencing & Access ApProval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING "
78. Rough Electrical-T Bar Ceiling ' � � • 69.• POOI/SPA SYSTEMS FINAL �
19. Rougti Heating & Air Coriditioning FIRE DEPT. REQUIREMENT . .._ .,
-i • �
20. Rough Factor�y Fireplace � . -: a, ' ,. . APPROVALS ;_ Permit # - _ - . _ _
21. Duc(s, iri Str�ucture' ' - ' �, 70. Onderground Hydro �
22.�Ducts,Ventilating� _ - � . 71. Produc[PipingOGas ❑Oil
23. Gas.Pipe-Rough & Test � � " ' ' _72, Underground Flush' �
24. �Roof Framing , -. � . 73. Undergrnd. Stora9e Tank.O Gas ❑ Oil '
25. fioof Sheathing .- � � � � � 74. Overhead Hydro , .
26. T�Bar Ceiling (Structural) &�Monocoat - � �-'� 75.^Dry Chemical . ' ��,y = �
27.� Frame and F�ashing - _ - 76. Dry Standpipe � - • - � ' ,
- ,�
28. Lathing & Siding ;, ' -"'- - �� � 77.- FIXED SYSTEM FINAL . - � - '� �
29. Insulation _ �i` � 78:�.FIRE PREV. FINAL ' - " "' � ._� �-
'30. Drywall Nailing � � . i : ' � HEALTH DEPT� REQUIREMENT ":; ,- ,
- 31. Plaster Brown Coar - " �:��� - '79. �FINAL INSRECTION . '
�. �.. .,
32. Electrical Power Meter-E�nal, ,` 7 '�50. FOOD CERTIFICATE IS$U,ED �-
�-33:_Final Eleciric , � �� Notes: � � � � - � '
�
34i_Final Heating & Air'Conditioning> _, � ' � , ; - .' -• � � ' ";.;; .
'/
35: �-Final Gas Pipe-Test� _ � • - � `�j � - --� - �
_, ..., - - - -
36. Hood oiCanoPY ' , �� • - ,. • ;...t� ` :,, _ . .
- 37.`Final Factory Fireplace - � - e + � � : '
•� � r .
. 38. Final Plumbing ' ' � Q - +' ��
39. Water Service-Final _ � .. � - �
40. Gas SerJice-Final ' � . � �` - - - _ ,
41. Solar pomestic-Final � � � + , . _. � .
42. Backflow Preyenter , �- " , . " : - �
43. Backflow Irrigation. , ., T < • � . .�• • . • � •
44., Landscape lirigation System • � � � � ' . � , �� = � ' - -" -r
45 =Sound Attenuation . .. ' � �r ' . -
'46. Handicap Regulations - _ l;, . � - - . f
47. FINAL STRUCTURE & BUILDING � . " � -.
.. ��•• F "
48. FINAL PLANNING ' -' .. ' _
49. Eiectric Release to Edison � '� � � - . - ' ..
. ,
50. Gas Release to Southem California Gas Co '. -- ' - � ' ' ' � ' ' '
57. CERTIFICATE OF OCCUPANCY ' � �
No. Date
��
PB0.IECT AODBE58:-
OWNEH'S NIIME:
nooFess:
pflCNIENGINEER:
„� �' A��BFSS:.
PEBMITTEE:
'( �AODqE38:
� UNIT:
flEG.NO.:
UNIT:
�
!. . � �
UCENSEU CON7MC70B UECIAMTION: 1 �ereby amrm Ihat I am IicenseA un0er Dravisions af ChaO�er 9(commencing wiID Sectian
7000) af�OiNsion 3 af the Buvness an0 Pm�essions Cade, antl my license is in �ull lorce anA eflecL. �
cm uc.: sra� uc.: cuss:
Date: SiqnaWre:
WONNEBS' COMPEN311TION OECLAMTION: 1 hereby affirm tlut I �ave a certifcate ol consent to sel4insure or a certtticate oi Workers'
Compensaiion Insurance. or a certitieU copy thereof (Section 3800, Lah. q.
POUCY NO.: ' � E%P. 0117E:
fAMPqNY:
�] Certified copy is �ereby �umisheE. ❑ Cehified coOY is /ileE wit� I�e ciry BuilOinp Division.
�r ,: �� , � .
Daie: ' -' � Applicani: '�
E%EMPTION FROM WOHRENS' fAMVEN$ATION DEQAMTIOX: (Ihis uNan nee0 no� be compkied tt iha permi� is br one hunA20 (5100) or less�.
I C¢tlity I�at In the OeAarmante o� �he wark tof w�ic� �his permii is issuetl, I S�all not employ any per5on iu any manner w as t0 0¢come
subject ro tAe Workers'.Compensation Laws of Califomla. , ,
Date: SipnaNre:
NOTICE: 11, aher,m5kinp t�is tleclaration, you shoultl become su6ject to the Workers' Compensation provisions oi the Labor
Cdtle, you mus(Idtlhvnth comply wdh such O�ovisions ort�is permit shall he�0eemea revake0. ��
CONSTpUCTION 1EN01NG RGFNCY: I h¢f¢Oy aflifm �hat �Aere is a canslmtiion 1¢nCinA apency for [he'pertormanc¢ ol I�e woM fof
w�ich this permit is issue0 (Section 3W7, Civ. C). '
LENOEP: : �
' AOOflESS: " .
OWNER BOILDEB OECUM710N: I hereby atlirm Ihat I am exempt fmm the Contractors' State License Law tor the followinp reason
(Section 70315 Business antl Professional Cotle: Any ciry of counry which requires a permit to cansimct, alter, improve, Oemolish, or
repair any s�mcNre, prior ro its issuance, alm reQuires Ne aDP�icant for sucA permit to file a sipneE statement that he/she is liunsed
, pursuant to the pmvisions o/ ihe Coniractors' State License Law (ChaD�e� 9(commencinp wii� Sec[ion 7000) of Division 3 of the Business
, antl Professions Cooe) or ihat he/she is exempt t�ere/rom ana t�e basis for IAe alleqeA exem0��on. My Wolation of Sec[ion 7031.5 6y
. any aODlicani for a.permit subleCs t�e applicant to a civil penalry ot not more Ihan ilve �undretl Oollars (SSOU).
� I, as owner o/ t�e pmperty or my employees �with wa0es as their sale' compenution, vnll ao the work, antl the
�. � simc�ure is not intentletl ar ofleretl for sale (Section 70a4. Business antl Prolesslonal CoOe: TAe Contractars' State License Law
I- does not appty ta an owner of a propeM w� huiltls or imDroves therean, an0 who tices sucti work himseli/�ersell or [hrouqh
` his or �er own employees, pmvitleU that such imDmvemenis are not intenOeJ or oiferea lor sale. Ii, �owever t�a buildinp or
im0�a�ment is solE within ona year af completion, tAe owner will hava ihe �ur0en oi D�ovinq he/s�e Gitl no[ bui10 or improve
ifor��e Ourposa of sale).
I� �, yv owner oi t�e DmpeM, am exclusively comractinp wfth licensed coniractors to consimc[ the prolect (Section 7044, Business
'❑ yd Pmfessions Coda: The Contractms' State Liceme �aw tices not apDN �a an owner oi pmperty who AmlOs or imD�oves thereon
anA who contracis tor suc� projects �i�h a contactor(s) license pursuant la the Con[ractors' State License law). I am aware
�ryaLprooi of ��eir Worker'S Compens.Fion insuranca shoultl 6e O�avi0e0 to me.
� I am exempt untler Section: � 8. 8 P. C. '
ror tnis rea'son:
Oate: _ Owner.
I Eo he�by cehity that I am aware a/ and un0erstantl ihe requirements ot Calitornia Healih anE Safery CaOe Secuons 25505, 25533, and
p553E an0 t�at I or any future OuilAinp acupant vrilUwill nat (circle oue) nretl m comply vnth saia state caAes and ihe repuiremenis lor a
permit �a� canstmction or moCifiiation iram ihe tir �ualtty Manapement DisMce FesiOential consiruction appliwtions are exempt from
�h¢587�a�sion5. . -
� pe��Uy certity tAat I have rea0 t�is applicatian znE sWte tAat the above infarmatian is correct. I aqree lo camply with all ciry antl counry
orGina�ces anE state laxs relatinp Io builUinp cons[mction antl �eaby autlrodze represenUtives of t�6 cdy to enter upon Ihe ahove-mentloneC
prop�Y for insPec[ion purposes.
�
Oate: SlAnaiure:
p�r's License or SaciaFSecunry N: -
�gp�Afi W�i�e—BuilCing; Green—COEe Enlorcemant Cenary—Applicen�; Plnk— evenue: Goltlenrotl— aeo� —
�
, , . � . . i . . .
PERMIT NO;. P 047668 PLAN CHECX NO; 04362—,90 N PAGE;; 2'
***ie��*�*�*�****�r���r�r*�***�r�r**xx*��r��r�r*x�r*�+r*+r*�r*x�r+r+r�*�*x�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 ' � �
0
A
COJVSTRlSLYION QND PLANNING- � , P00. SPA . .
APPROVALS Permit#-- - Date Inspector qppROVALS Permit# Date Inspector
� t.%Temporary Electiiral Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgmd. �'!1'�v 53. -Steel Reinforcement " �
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms � �
4. Electrical Conduit�Undrgmd. � � 55. Electrical Bonding
5. Steel Reinforeement � � 56. -Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE �
7. Footings � 58. 'Electrical Conduit�Undrgrnd.
8. Foundation . 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. - r� 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Struciural Floor System � � 67. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final�
72. Sewer Cap 63. Heater & Vent-Final . �
13. Roof Orains 64. Plumbing System - Final
74. flough Plumbing _ . Qd (�� 65. �ElectricabFinal �
15. Rough Electriwl-Conduit ' 66. Solar SYstem-Final
16. Rough Electric Wiring � 67. Fencing & Access ApProval
17. Rough Wiring Sign �� 68. APPFOVED FOR PLASTERING �
18. Rough Electriw6T Bar Ceiling a � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough FactorV Fireplace APPRQVALS 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 Framirig 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. �T-Bar Ceiling �Structural) & Monocoat 75. Dry Chemical
27.-Frame and Fl3shing 76. Dry Standpipe
28. Lathing.& Sid�ng 77. FIXED SYSTEM FINAL
29. Insulation _ 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32...Electrical Power Meter-Final . 80. FOOD CERTEFICATE ISSUED
33.�Final Electric � Notes:
34. Final Heating�& Air Conditioning
35.-Finel Gas Pipe-Test
36. Hood or CanoPY
37.`Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41: �Solar pomesticFinal
42: Backflow Preventer
43. Backflow trrigation
44. Landzcape Iriipation System
45. Sound Attenuation
46. Handicap Regulations
47..FINAL STRUCTURE & BUILDING
48..�FINAL PLANNING
49..Efec'[ric Release to Edison
50:-Gas Release to Southem Califomia Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
PBOJECT RODflESS: 3 H 3 LA PERL E LN '
owxensNnMe: WARD. ?NVESTMENT
RODflE33: �IZO NEWPORT HL, C.M.'
� . ' --
.RXCN/ENGINEEfl: 6 4 z— 2 Q � Q
�
, . - nooeess: '
uxrt:
HEG.NO.:
UNIT:
PEHMITfEE: CHAR'LES SANDERS, INC. ( 714 ) 630-1913
- nooness: , 1441 RED GUM .S.T. S
ANAhEIM CA 92806
� LICENSEU CONTMCTOR �ECUMTION: I here�y affrm Ihat I am licensetl untler provisions ol C�apter 9(commencinA witA Section
7000� al �ivision 3 of the Business anE Pmfessions Cotle, antl my license is in full forca antl etFed.
ciTvuc::017894 ST^reuc.:332798 cQU�Ss_:C-20
�. Date: ���—� �— SiA�ature: ��w� � .�P� ���
�I WOBNENS' COMPENSRTION UECLAHRTION: I hertDy aHiim that I Aave a cehiticate ol wnsent to sel4insure or a cerliticate oi Warkers'
ICompensation Insurance, or a cenified copy theaol (Section, 3800, LaU. C�.
eoucr xo.: 11911 9 9- 9 0 �xP. o�rE: 0 3/ 01 / 91
coMraxr: sTATE FUND
7 CeNfied coOY ��5 TereDy tumishetl. � Certi6e0 caDY i�s }tile//0//y�n�th IDe ciry Builbnp
Wie: ` � // `r7 O ADDlicant: �/ ���L./�� LZ f �LL
IXEMFfION FflOM WOBI(FH8' COMPENSITION OECLIMTION: QNs stttion need no� he mmpleted i� Ne permit is for one hunOreO (E100) ar kss�.
I cenity f�at in the pedarmance at t�e work for which t�is De�mit is is5ued, I shail not emD�oY any person in any manner so as ro 6ecome
sublec� to ttie WOMers' Compenu�ion Laws af Cali�omia.
oate: Sipnamm:
NOTICE: Ii, atter maltinA �his tleclaration, you shoWE becoma subl� �a the Workers' Compenution provisions ol Ihe Labor
Coae, you must forthwith wmpty with such provisions or Ihis pa�mit shall he EeemeE revokeA.
CONSTBUCTION LENUING �GENCY: I here�y attirm that there is a�nsimction lenainp aAency for ihe Dehormance ai Ihe work tor
wAicA tAis permit is issueU (Section 3097, Gv. C).
LENUER: �
ROUBESS: ' - '
OWNEB�BUIWER UECIAMTION: I �ereby a/lirtn that I am exemD� ��om t�e Cantractars' State License Law (or ihe follovnnA �e�on
(Section 7031.5 Business an0 Protessional Code: My ciry of wunry which reQuires a permit to conSW ct, alter, improve, tlemolish, or
repair any strucNre, pnor ro tts iuuance, also reQuires t�e applicanl for such Dermit to file a siAnetl statement that he/she is IicenseA
� pursuant to tAe pmvisians af the ConVaclors' State License Law (Chap�er 9(commencinp with Section 7000) of Division 3 af Iha Business
and Professions Code) or Ihat he/she is exem0� ��e�efmm anA the 6asis tor ihe alle0e4 exemOtian. My Nolation al Sectian 7031.5 hy
any aODl,canlfor a Oermi� subjec[s Ihe applicanl m a civil penalry o� nOt more IAan five hunEreE Eollars (f500�.
I, as owner oi the D�oOeM or my employees with weAes is iheir sole,comDensation, will do the work, and Ihe
❑ simcNre is not intenGed or oflere0 �or sale (Section 707A, Business an0 Pmiessional Code: T�e Contracrors' State License Law
� Aoes not apply to an awner at a pmpeM who Uwlds or improves thereon, and who Oaes such erork himself/Irerself or throuAh
� his ar Aer own employees, D�a��4etl Nat sucA imD�a�ements are not inhnOeA or atlere0 for sale. If, �owever t�e huilEinp ar
imD�a�ement is sa10 within ane year ol completion, tAe owner will have tAe hur0en oi promnA he/she dIE not CuiIE or ImDmve
for tAe Durpose of sale�.
I, as ovmer of the properry. am exclusively contraclinp with IicenseU contractors to constmct the Omlect {Section 7044, Busines
� �antl Pmfessions Code: The Caniractors' State License Law OOes nat aOPN �o an owner at properry who �uAQs or imDroves Nereon
anA who contracts for such pmlects witA a coniracror(s�lic¢nse pursuanttotAe Contrectors' Sta�e License Law�. I am aware�
tAat�pmoi oi their Worker'S Compensation insuranw should be provided to me. •
� I am exemD� under Seclion: ^ B. 8 P. C.
far t�is reason: ' � � �
�a�e: � Owner:
I da here6y certiTy that 1 am aware ol an0 un0erstantl the reQuiremen�s of Califamia Health an0 Safery CoGe Sectians 25505, 25533, anU
25534'anU t�at I or any luture Uuildinp occupant will/will not (circle o0e) neetl to camply with saiA state cotles an0 [he repuirements far a
permit �ar consimction or moEification imm the Nr Oualiry ManaOement DisMct. HesiAential consiruclion applications are evempt imm
Nese D�ovisions.
Date: � NpD�icant:
I hereGy certity tAat I �ave reatl this application anA state ihat the abo�e infarmation is correcL I agrea to comply w%� all ciry anE counry
or0inances anE sGte Wws relatinq to buil0inp wns[ruction anG here uthonxe rep2sentat]]]i'''���s ol is ciry ro/pter upon Ne a6we-men6oneA
property forinspectian purposes. / � (/
y. // i .
Wte: ( `����,�Q . Sipnature� / � f�� �r✓
Dnver's License or $ocial Secunry M: �
1641<6 Whi�e—BuilUing; Grean—CoEe En/orcement; Cenery�Mplicenf, Pink—Revenue: GOIEanroC—Assassor
CITY OF COSTA MESA - BUILDING PERMIT ;PERM NO: M 048105_
PERMZT NO; M 048105 PLAN.CHECK NO; N GOVT:. N$UPP:.N
CONSTRUCTION TYPE; PERMIT TYPE; MEC PURPOSE; OTH
JOB DESCAIPTION ; 29485F RESID, 4895F GARAGE, 150SF DECK �Q FT:
CLAIM VALUE: CALC-VALUE: , GROUP OCC: R-3 /M-1 ;'
COMMENTS: RE: 847660 PRIMARY bLilG. PERMZT. • ' '
*�*�rat�*u��*x**�it*if**��*�r�ie�itit*�ir�ex�t*itieirifit**it**ie*+�it*at�*x#�**�*��****�*it*****�rrt*�
Z O N I N G R E E N T S
` S E T b A-C_R-S-
I R E
------------ MAIN BUILDING -I------- -- ACCESSORY HUILDING ---------
FRNT: FT IN REP.R; FT IN FRNT; FT IN REAR:�
LEFT; FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: FROV: PARCEL: 42537114 ZNE: REF NO: -
PLANNING NOTES> �
_ � � �.� .
i��t�?�***�t�c�t*�t*�t�c*#**�r*+t�t�**�*��*�c�r�****�**�t**��t'�t���*�*�**#**�t�r*�*�c��*�****�****x
:, .'• D E V E L O P M E N T S E R"C�=; I C E� �.S R E Q U I R E M E N T S�
`ZONING APPROVED bY � ��' DATE:.
BUILDING APPROVED BY ;'r DATE;
.Fn
'APPLICATION ISSUED BY; .� ' .�..`�� DATE: y����f U
dEiEiEiEifiEiPifiEiE?titiEiEifif3Eik�lf�iFiEjE r. �� i�e.�. . :i jEiEiEiEiEifiEifiEiE.: it3FiFiEYc
iFi6�fiEiE!FiEi(-3E?EaElEaEiEiEiEititififdEjEifitifif4l�jfiEifiEfEififif�E�f3E�jE�Fif�iF jEjf#�if3ElEiEiFiciEikiEififiEjfiEikiEi(-ifiEikifjEjE?E�E�EiciE3tiE
LEGALIZATION:N F£ E 'S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 44.50 '
25i SMIP/NON-RES
PLAN
ISSUE FEE � 15.00 �
bUILDING-DIV-> FERMIT ISSUE PLAN-CHECK TOTAL PAID : . DOE
TOTALS----> 44,50, 15.00 U.00 59.50 59.50 .00
REVENUF. DIVISION TOTALS--> COLLECTED: 59.50 OVER/SHORT:� .0,0
BLD^v PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
' S9,50
iC� iE iE #E it iE it?f jf ik'.E it'k iElf� jE iE iE iE if �t iE iE #!f 3E dF iE if if 3E ik'h'k � iE jE iE iE iE if if �E ik :�'-iE iE 1E'f iE iE ik if iE iE iE 1E iE?k if dE if iE iE iE iE iE iE i( iE i4?t i(� ic if iF it iE k�
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY
MEC 1
MEC 2
MEC 5
D E S C R I P T I O N�
INST FORC-AIR/GRAV FORN <= 100 K BTU
FACTURY FZREPLACE
VENTILATIUN FAN CONN TO SINGLE DUCT
END OF FEES
0
0
UNIT COST TO,TAL COST
9.00 9..00
G.50 13.00
4.50 22.50
c�i r,0065t�^g'or.�Cr�3E ttlT ,�.)�
CATE; C7/11fS0 ??l1:: 13:56
i !
CONSTRUC710N AND PLANNING .� � POO� ._ �PA �
Date Inspector �- Date Inspector
APPR�VALS Permit # � � �• . APPROVALS . Permit # -
� -
1.�Temporory Electriwl Service or Pole ' 52. Pool & Equipment Location '
i
2. Soil Pipe•Undrgmd.. � - 53. Steel Reinforcement ,-;�
3. Electrical CoPduit Utility�Undrqrnd. - ��- . - 54. Forms � ' �i`'
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 Conduit=Undrgrnd.
8. Foundation � - - � 59. Gas P'ipe, a Undrgrnd., Test '
9. Water Pipe-Undrgrnd. � . 60. Backwash Lines; P-Trap,.� 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-Final '
75. Fough Electrical�Conduit . 66.� Solar System-Final - �
16. Rough Electric Wiring - 67.-Fencing & Access Approval
17. Rough Wiring Sign � 68. �APPROVED FO(i PLASTERING
18. Rough Electrical-T Bar Ceiling '" 69.-POOUSPA�SYSTEMS FINAL ' �
19. Rough Heatin9 & Air Conditioning y�ZaJ•ro ji6l� FIRE DEPT REQUIREMENT
20. Rough Factory Fireplace �IZ�� �� APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducis, 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 (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe �
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation ./_, 78. FIRE PREV. FINAL
30. Drywall Nailing ✓�� HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat :� 79. FINAL INSPECTION
32. Electrical PoWer Meter�Final �, 80. FOOD CERTIFICATE ISSUED
33. Final ElectriC � / Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test f i'�
[�' ' -
36. Hood or Canopy =`/��
37. Final Faaory Fireplace � � �
38. Final Plum6ing �
39. Water Service�Final t -
40. Gas Service-Final �
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation �
46. Handicap Regulations � � .
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING i
49. Elearic Release to Edison .�
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date