HomeMy WebLinkAbout385 LA PERLE LN - Building PermitsPH0.IECT AODHESS: 3 S S LA P ERL E LN I
owNen�sxnrnE: WARD INVESTMENT �
,,. nooxe;s: z 110 NEWPORT HL , i. M.
�642-2000
FB%AIENGINEEB: � . �
-. � . ROONESS:' . .
flEG.NO.:
UNIT:
UNR:
•� PEflMITTEE:,WARD INVESTMENT � (714)642-1000
anoxess: 2110 NEWPORT HL �
COSTA MESA CA 92627
LICENSED CONTMCTOB OECIAMTION: I Aere6y attirm t�a[ I am licensetl unEer pravisions al Chapter 9(commennnp with Section
70W) ot Division 3 of the Business antl Professions COAe, an0 my license is in lull lorce antl ettec�.
CITY 11C.: - - STATE UC.: . CLA83:
Date: SipnaWre:
WOBNENS' COMPENSRTION OECLAMTION: I here�y allirm ihat I A9�e a centliwte of consent ro selFinsua or a ceNticate ot Warkers'
Compensation Insurance, or a cetlified coOY �hereof (Section 3800, La6. C).
i PoIJCY HO.: ' EYP. ORYE: �
"OMPANY: . '
] CertifieQ copy k hweby fumis�W. Q GertifieA capy is filed with the ciry BuiWing Uivivan.
Date: �Npplicant '
IXFMFfION FHOM WORKEHS' COMPENSRTION OECUMTI0�1_ (lhis secpon nee0 not be mm0leted N ihe pemit is lor one hunOrW (5100) or less).
I cenity that in Ne pedormance of t�e work for wAlcfithis Oe�mit is is , I sAall nat emDloy any pergeqi� ny ma ner, s'�
suDject ro the WOBers' ComDensation Laws oi Calitomia. � �
. Q � �C
Oate:'� "' � Sipnature: �� �
XOTI E: It, afler ma unA �his Aeclaratian, yau 5houl0.be�ubl�� �o Ne WOBers' Compensation D�ovisions o1 the Labor
Code, you must forthwith campty with suc� pmNsians or this Ve�mit sAill�he DeemeA revokeU.
CONSTPUCTION IFNDIN0ICENCY: I h¢reDy aflirm that I�ere is a cons[mction lendinp agency for Ihe Dertormanca of the work for
whic� fiis permit is iuueA (Section 3097, Civ. C�.
'� IFNDEp: � '
' RODBESS: ' ' - -'
OWNEP BUIIDEN DECLAfl11710N: I hereby aflirm tha� I am exemp! irom the Canirat�ors' State License Law tOr ihe �ollowinp reason
(Section 7IXit.5 Business an0 Pralessianal Code: Any ciry oi caunry which reQuires a Oe�mit [o cans[ruct, alter, imprma, demolisA, ar
aDair any stmcNm, prior to its issuance, alw repuires �he applicant �or such permit to file a slpned sta�ement ihat he/sha is licensed
pursuant to the pmnsions of the Contracrors' State Licenu Law (CAaOter 9(commencing with Sedian 7000) oi Division 3 of the Business
antl Pmtessions CoOe) ar t�a[ Ae/sAe is exemp� I�erefrom an0 t�e basis 1ar t�e allegetl exemption. Any violation ot Section 7031.5 by
any apDlicant tor a�permit su�lects Ne aDP��canl ta a civil Denatry o� not more than tive �undred tlollars (5500).
' I, as owner oi ihe OmDeM o�� my emDloyees un[h waAes as their sole com0ensa[ion, will tlo [he waM, an0 [he
�-� stmclureis notintentletl arotteretliorsale�5ection 70ad, BuSiness and ProtessionalCode: The Contractors' State License Law
Eoes not apptyto an owner oi a O�oDeM �o builAs orimpioves Nereon, anE wAo Aoes such xrork himself/hersetl or NmuOh
� his ar her own employees, pmvided that such improvaments are not inlen0ed or oflered for sale. Ii, Aowev¢r the huilUinp or
, 'imD�ovemeni is soltl within one year oi complation, �he owner vnll have the burden oi provinq he/sha Oitl not 6uiltl or impmve
� lor t�e'puryase of ule�. '
- I, as owner of t�e propeny, am eKclusively cantractinp with liGensetl contractars to consiruct iha proleci {Seclion 70G4, Business
❑ anE Professions CoOe: The Contactors' State License Law Eoes not apply ro an owner of D�a7e�y who buA0.s or impmvu t�ereon
antl who wntracis tor suc� projects with a con(racror(s) IicBnse Oursuant to [he Coniracrors' S[ate License Law). I am aware
ihat proof ol their Worker's Compensa[iominsurance shaultl �e Drovitled Io me. '
� I am exempt unGer $ection: ' B. d P. C. /� .• //''��
fo� lh/is��eason: � � ��-y l,^^'v' .�
Date: ' �1� 7 ` � Owner: �_
I Eo AereEy certity that I am aware af an0 unaerstand ihe requirements ol Califomia Health anA Satery COEe Sections 25505, 25533, anA
2553d antl ihat I or any fuWre 6uilding acu0ant wilUwill nat (circle one) neetl to comD�' ��h said state co0es an0 the requirements for a
pe�mi� fo� consimc�ion o/moAi�ica�lon �mm ��e Alr Ouall�y Manapement District. Resieential cons�mction apDlications are exempt tmm
tAue pmvisions. ,
Dale:� Applicant
I hereby ceniry tAat I �ave rea0 t�is application �antl sWte I�at Ihe a6a�e intormation is correcL I aA�ee lo comply Wit� all ciry antl counry
ardinances an0 state Wws relaWp ta huil0inp constmction anA here�y �onze repreSenGtives this ciry to enter upon Ne above-mentione0
prapeM iarinspec[ion purposes.
. i I
Date: � � � — �_ Siqnature: _ � � ^
oriver's �icense or Socia� secunry a:
18a1d6 W�ite--BuilEing; Green—COEa Enforcement; Canary�MGlicent; Pink—Revenue; GOIEenroE—Assessor
' CITY OF COSTA MESA - HUILDING PERMIT PERM NO;_B �047661
PERMIT NO; B 047661 PLAN CHECK NO: 04355-90 A GOVT: N SUPP: N
CONSTRUCTION TYPE: � PERMIT TYPE: STR •, PURPOSE: NEW
JOB,DESCRIPTION : 2463SF RESID, 489SF GARAGE, 150SF DECH SQ FTc 3,�1,02
CLAIM VALUE: 120,000.00 CALC-VALUE: 180,476.70 GROUP OCC: R-3','/M-1
I
COMMENTS: • . f
�r*x *�r***x �r*�r�r�r*x �r*�r*+r��*�*+r***�*�*�r�r+r�r�rx*x ��r*�e*�r**�r*+e�r�rx��*��r***�r�r+�**x�x+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: l0 FT IN FRNT; FT IN REAR; FT-. IN
LEFT: 5 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT; FT� IN
PARKING REO• 2 PROV; 2 PARCEL• 42531114 ZNE: R2 REF NO:� DR-90-02
PLANNING Nf3TES> NEW DETACHED, 3 HEDRM, 2.5 BATH APARTMENT, RIGHT SIDE STBK'
>..I5 SEPARATION FROM NEW APT PROPOSED AT 383 LA PERLE LANE:
if if iE ik if ik iE iE iE iE iE iE if iF.i!'ik iE iE iE ik iE ik'iE'iE,1F if iE�if it ik if a! it ik ik iF i! k iE iF iF iE if it it iE iE it k iE if it it iE iE it i! it ik it if iF iE iE iE iE dE iE iE iF 1f iE if iE iE i! iP 3E 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 ;' ' "-` ' •'. � � LL DATE: '� _ �-- v
`
BUILDING APPROVED HY ; -- .r DATE:
APPLICATION ISSUED HY:'� ? :-- (��') 1 � �
�itiFir**itit+rit**it�titiritit***itiF"iF3F'i�iFTF'iF"iFiFiF3F�FiFiF�F'iFiF�3F �iF�iFiFiFi}3f3F�iFitititrtD�*�itit���fFii�'iFatiF
3f if 3E iF iE iE �)E iE iP �E iE iE if if iE iF iE iE iE iE it jE iF iF ik i: iF iE 9E jE iF if iE i! �E iE iE if iE iE it iE iE iE jE iE iF it iE 3E iE iF iE iE if i! if iE iE iE iE ik iE if iE if iE M� iE if if iE if iE iE �)E iE 3E ik
LEGALIZATION:N F E E -S.0 M M A R Y S1'RUCTURAL SEGMENT;Y
/` •
HLDG PMT PLUMBZNG. ELECTRI•C. MECAANIC FIRE SMIP/RES GRADING
PERMIT 923.00 12.63
-k`� SMIP/NON-RES
PLAN 149.99 ' � � � �
ISSUE FEE
BUILDZNG-DIV-> PERMIT ISSUE PLAN GHECK TOTAL PAID DUE
TOTALS----> 935.63 - 0.00 ;e�.'•.149,99 1085.62 1085.62 � ,00
� .,.. .
REVENUE DIVISION TOTALS--> COLL'ECTED; 1085.62 OVER/SHORTe .00
HLDG PMT PLUMBING EL'ECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
923.00 !��'.;• 12.63 149, 99
� ��' �l � `, ,
ih iF if ik ik it it iE if if it iE iE �E dE if �f fk if it fk iF i! ik iE iE iE ik jk �! ik iE iE if 7E iE it.it iF if it iE if it it if it ik it iF ik if �E if 1E iE 1f i! iE i! iF iE if ik iE if jE if it �Ih i(� iF iE iE iE iE �E iE if
I N D I V I D U A I:�"' F E E B R E A K D O W N
:�. ' �
!�.
TYPE QTY D E 5 C R I P T I O.-;N".� UNIT COST TOTAL COST
`P i•
SFR 2963 DWE-TYPE l�-WOOD FRAME -GOOD, 69,00 169,947.00
SFR 150 R£S-BALCONY, EXTERZOR STAIRWAY � 13.80 2,070,00
SFR 489 RES-GARAGES TYPE V= 17.30 8,459,70
END OF FEES
Q1 QQCb2693=U0Qb?bS5 T�� T
oH�r:! a�im«a ?tn�: sa:�;
t�
i
�
�
? CS: . �S�
CONSTRUCTION AND PLANNING
, APPRO�SCLS Permit#� '
' 1. Temporary� Electrical Service or Pole
, '
2 ` Soil Pipe-Undrgrnd.- : -
3. EI@ctrical Conduit�Utility-Undrgmd.
� ' 4. Electrical Conduit-Undrgrnd.
:� 5�.;5[eel ReinforcemenY �
. -�' 6.�.Electrical UFER Grnd. .
7: Footings -
$. Foundation ' ' - �
- , PO� s SPA .
Date ' Inspector qppROVALS Permit # , Date Inspector
, -. • - •
� 52. Pool & Equipment_ Location
+ r
- 53. � Steel Reinforcemenf � � � � �'-
, � � 54. �Forms' - � 'y�', -
' � � 55. Electrical Bonding - V
O� � 56. Rough Plumbing & Pressuie Test
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd.
'" _ 59.,Gas Pipe, O Undrgmd., Test
. - � 60. Backwash �ines, P,-Trap,�O Undrgrnd. � �
10.`�Structural Floor System ;(a � 61. APPROVAL.TO DECK '
11 . Propertv Sewer Line: &• House C4nnection 62. Backwash & Receptor�Final / �•
72. Sewer Cap �. � � 63. Heater & Vent-F.inal _ �
13. Roof Drains _, - . 64. Plurribing System : Final �^
14. Rough Plumbing � � /. 65. Electrical-Final � ="
i
15. Rough Electrical-Conduit •• � �.� � - 66. Solar SYstem-Final � � � �
16. Rou9h Electric Wiring - � 67. Fencing & Access Approval ��%
�,�
17. Rough Wiring Sign � . 68. APPROVED�FOR PLASTERING' .� '
78. Rough Electrical�T Bar,Ceiling� � � 69. POOL/SPA SYSTEMS FINAL �' "
19. Rough Heating & Air Conditioning �� � i �-�_ _ FIRE DEPT. REQUIREMENT _
20: �Rough Facto'ry Fireplace ' _ _ ' '� : :� y APPROVAL&;" Permit # r �
21.�Dutts,in�Structuie' . � ' � "'- +�
_ .-� 70. Underground' Hydro '
22..Ducts, Ventilating;', . " . . - ' ;ji, Product.Piping OGas ❑Oil
23.��Gas Pipe-Rough & Test +- __ -� 72. Underground Flush � -' ' �� -
24. Roof Pr'a'ming '. � � �� ' ' ,,;,' ;73: Undergrnd.Storage�Tank�OGas'OOiI. �`
25. Roof Sheathing f . � ,id � - - 74: Overhead Hydro = _, '
26: T-Bar Ceiling �Structural) & Monocoat'-�' ; �� _ ���, � 75.. Dry Chemica_I �ti -
27.�.Frame and FleshingF - c ., � � 76. Dry Standpipe 'r'
_26. Lathing & Siding � - ,`` ' _ -� �,q - ' 77,..;FIXED SYSTEM�FINAL . .
29. Insulation • � •• � 78r.,FIRE PREV. FINAL � �
30. Drywall Nailing ; , �" ��'� � (�J , i '-� HEALTH•DEPT. REQUIREMENT
�`31. Plaster Brown Coat� .� �•� , +'�79. �FINAL INSPECTION � �''" ^
`.32: -Electrical Power Metei'F,inal . � �' `' ,; y ��80.-'FOOD CERTIFI6ATE ISSUED,� .;;
.'33..�Final Electric� .. � �NoYes: `-� - ' + •'
. �..
-34r Final Heating:'& Air�Conditioning' .•'- ' , ` �- "�-'` �•-..1;'
_ . . 20 a /'�`
l�
35.; Final Ga; Pipe-Test . ,� _ �' - � .. . -_� ��+ � � � �
r36.rHood or'Canopy � � ' � •
: �. -
37. �Pinal Factory Fireplace , � � � _ � �: �
.38.`Final Plumbing ' , •
� ,
39.�N/ate� Seivice�Final� 5_ - � = , � ..,
40. Gas Service-Final .. " - � '
`41.-Solar pomesticFinel ' ' '
42. Backflow.Preventer' � ' -•_ - �
43. Backflow Irrigation: _ � _
44. _ Landscape Irripation System= ��,-; ; ' ,
'-45.-Sound Attenuation. �. . � - � . .
.46. -Handicap�Regulations • J } �
.� 1
47.�FINAL $TRUCTURE & BUILDING r� = I?I
49.� Electric.Release to Edi ���
50. Gas�Release to Southern California Gas'Co '
1 I No. Date
n �7 i� �+ �i/�;� %
�
�
. :
��
�
FINAL GRA�ING CERTIFICATION
PCojCCI Address: 385 LaPerle Lane
Lot Number:
Permit Number: � d � % � � �
$y Civil Engineer;
I certify to the sausfactory completion of grading in acrordance 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%o Fall from structures within 5 feet from exterior walls.
1% Fall for asphalt surfaces and landscaped areas.
0.5% 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 t 1/10 of the desigi elevations.
Supervising.Civil Engineer Reg. No. 31720
� ' . (Signawre) -
Date
C7 0. � � '.
� 3r�zo �
�_ / /92 %
* �
STA� and SIQI
1891�6
THIS IS TO CERZ ! THAT INSULATION HAS BEE NSTALLED IN
CONFORMANCE WITH THE CURRENT ENERGY REGULA._�NS, CALIFORNIA
ADMINISTRATZVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE
BUILDING LOCATED AT:
SITE ADDRESS: 379, 381,383, and 385 LA PEARLE LANE COSTA MESA 92627
Number Street City/State
AIR INFILTRATION: MANUFACTURER: MANVILLE
EXTERIOR WALLS
Manufacturer MANVILLE
CEILINGS
Batts: Manufacturer MEINVILLE
GENERAL CONTRACTOR:
�
Thickness/Type BATTS R/Value3}" R-11
Thickness/Type BATTS
Title
R/Value 11" R-30
Lic. #
Date
INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278
By_����/ 1. �-� Title AUTHORIZED AGENTDate 1-11-91
��
Form 106
3/89
THIS IS TO CE' `FY THAT INSULA�IoN HA� ��F�I TNSmALLED TN
CONFORMANCE N TNE CURREN� $N�RaY �E4U='�;��IbNS, CALIFORNIA
AllMINISTRATIVE CObE, TITLE 24, 31'ATE OF 1.�:_%�I�'Ot2NIA; IN 'fHE
IIUILDING LOCATED AT: /�
Prrvn�f �vo. P,��66�
SITE AllDRIsSS: °"'' 385 LA PEARLE LANE L'OS1'A MESA 92627
Number Street City/State
AIR 1NFIL1'RA'1'lON: MANUFACTURER: MANVILLE
EX'P�RIOR WALLS
Mantifacturei� MANViLLE 'i'hickness/Type BATTS R/Value3}" R-il
CEILINGS
I3atts: Man�iflctui•er MANVILLB '1'hicknese:/Type BATTS R/Value 11" R-30
GENGRAI� (;ON'I'ItAC1'OR: (,�ro� 1o,�eS�'v�nen� �o , L�ic. #�
r3v ��4�__1��'� 'r;.t1F, Q�„�,� ,' , nite /- -9
INSULA'I'ION CON'I'RACI'OR: W�STERN INSULATtON, INC. Lic. # 481278
gy �f7���� <� Title AUTHORIZED AGENTUate 1-11-91
Form lOfi
3/89
„1
PH6IECT AODflESS: 3$ S LA P ERL E LN
OWNfR'SN�ME: WARD INVESTMENT �
' RUGHEBS: ZSSO NEWPORT. BL, C.M,
. 642-2000 ,
' RBCHIENGINEEfl: � - - '
�- ROURE58: �
NEO.NO.:
UNIT:
UNIT:
_ PEHMRTEE: ELITE PLUMHING • (714)722-0379
euoxess: 1760 MONROVIA
� CM. CA 92626
IICENSEU CONTMLTOB OECIAMTION: I hereby aflirm that I am IicenseE untler pr � isions ol ChaDter 9(wmmencinq with Sec[ion
7000) at Division 3 ot tAe Business anA Pmlessions CaUe, anA my licensa is in full r e an0 effect. �
cmuc.:09656 sreTeuc.:539786 � — ,
Wte: Sipnature: �
' WOBKEHS' C PENSATI01 OECUMTIUX: I here�y affirm th I ha a cehiticate sent to sell-insure ar a certificate a/ Workers'
ComOensation Insurance or a cetlifieA copy t�ereof (Section , L . C�.
, voucrxo.: �106�i304-89 ex onh: 01 /O1 /91
cornr�xr: STATE FUND
� Certifietl r,opY �s hereby lumishetl. � Certifie0 copY is i�ed wit e ciry B IQjnA � is n. ,
Oate: v Applicant: • `�
IXEMPfION F 0 WOBNEfl3' fAMPEXSRTION UECUMTION: R is ion nged nat Oe omplele0 i e permii is tar ane hunOreA (5100) or lew�.
I cetlity that i a Oe�ormance oi t�a work for which Ihis Oer n is i sued, I shall not amploy any person in zny manner so as ro become
sublec� to �ha orkers' Campensaiion Laws of Calitomia. .-� 'J,,'�
Date: ” SipnaNre:
XOTICE: Ii, atler makinq this Oeclaration, you shoultl become sublect to [he Workers' Compensation,provisions af tAe Labor
Cotle, yau must lorthwitA camDh with such Drovisions or Ihis Derinit shall be OeemeO revoketl. '!
CONSTBUCTION 1FN01N6 RGENCY: I Aeahy attirm Nat the2 is a cbnstmction IenAinp a0ency lor IAe DeAormance af t�e work tar
w�ich �his permi� is issuetl (Seciion 3W7, Civ. C�. .
lENOEB:
' -' RDOHESS: � - -
CITY OF COSTA MESA — BUILDING PERMIT PEI2M NO: P 047667 '
PERMIT NO: P 047667 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; PLU �PURPOSE�TH
JOB DESCRIPTION .: 2463SF RESID, 4895F GARAGE,.1505F DECK �SQ FT: ,
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: RE: H47661 PIiIMARY BLDG. PERMZT, . � '
x*���r��r�r*+r*x*�r�rx�*x**x��rx�r���r�*�r*xx�r�e�r�r�**�x�*�r*���x*+r*�*+��r�*�e-r��*�**�*+r**x�***�
Z O N 2 N G R E Q U I R E M E N T S �
s E T B a c x 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 RG T:• � FT IN
PARKING REQ • PAOV; PARCEL: 42531114 ZNE: _ REF NO:
PLANNING NOTES>
� . � _ .
iE �k iE M iF if iE i! ik if if if if iE 1E iE iE it iE iE iF �E iE iE iE iE ft iE it it iF iF iE i! iE iF iE if iE iE iE.iF if iF iE iE iE.iEit ik if if if it jE it iE �E ik iE i! iE iE iF it it i! iE iE if if it iE iE iF * iE iE if
D E V E L O P M E N T S E R V I- C E S!,' R E Q U I R E Ml E N T S
ZONING APPROVED BY -;'r�~ � ns DATE:
'J . f/ . . . . , . . _.
BUILDING APPROVED BY : �:A / ,DATE; .
APPLICATION ISSUED BY:
it iE iE 1E �f iE ib i! ik iE �E dk fE 1E iE iE if 1E fE 3E 1E 1E3F
1k �E i! it �k K it 1!l��iFif1E 1f �f !E 3ElE iF i(� �E �1(� f(� iE
LEGALI2ATION:N
� � oi�� � i
DATE; � � % G
iflEiEiEifiFitifitiE iEiE
lEiE1E itlflfillEl fj{i i(�iEfFiEiEiEifiElElElfifiElkif�1F1F3EifififiEiEiE1ElEifiEifjFiF�lEiEjEjf-
F E E S U M M A R Y STRUCTURAL SEGMENT:N
OWNEBBUILOEBOECIAMTION: I�ereDyatfirml�allamexemptfmmtheContactors'StateLicenSelawforthetollowinAreason HLDG �PMT PLDMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Busineu an0 Pmiessional Cotle: My ciry oi counry which requires a permit to constmct, alter, imprme, aemalish, ar p ERM Z T - � 3]. 5 � '
repair any stmdure, prior to its issuance, also reQuires t�e aOVliwn[ tor suc� permit to tile a 5ipneE statement �hat �e/she is licenud �
pursuant ta IAe pmvisions of tAe Cantracrors' State Licenu Law (Chapter 9(commencinA ��h Section 7000) oi DiNsion 3 0/ t�e Business 2 S$ ' S M I P/ NON —R E S
and Protessions Coda) or t�at he/sAe is exempt therefrom and t�e Dasis far Iha alle0etl axemp[ion. My violation ol Sec[ion 7tti75 hy PI+AN - � .
any aOPlicant for a permit suUlecis the apDlicant to a civil penalry of nat more IAan,five hunOred tlollars (5500). ' I S SUE FEE - 3, � 0 �-
I, as owner m the pmverry or my em iayees wi�h waAes as ineir sale compensatian, wiii oa ihe wark, antl tne HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
�❑ simcmre is not intendea or onered for saie (�ecuon �O4o, eusiness antl Pm�essional Caae: 7na Contracmrs' State License Law TOTAL S-- -->'� . 3 9, S 0 3. � 0� . �. � � 4 2, S � 4 i. S � , � �
_ Ooes not apply4o an owner of a Oroperty who builtls or imD�a�s tAereon, anA w�o Uoes suc� wark himseli/herseli or thmugh � •
�his or her own employees. Drovitlea that such improvements are not intenaee or onerea ror sale. Ii, however me 6uildinp or REVENUE D IUIS ION TOTALS--> �GOLLECTED • 4 2, S � OVER /SHORT' � � �
. improvament is so10 withm one year oi comDletion, ihe owner will have the burden oi pmvinp he/s�e tlid not build or improve
�orteepurposea�u�e�. HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I, as owner o� �he pmDerty, am axclusively conVac[ing wi�h licensetl conlraciors to conSlmcl �he pmlec� (Sedian 7044, Business ' 4 Z, S O • �
❑ antl Professions CoEe: The Con[ractors' Siate Lkense Law dces not appty to an owner of pmperry wlio bwltls ar improves [hereon - ' � �
anEwhoconlraclsforsuchDrojeciswithaconiractor(s)IicensepursuanlrotheCantracrors'SlateLicenseLaw).lamaware ******�F*******dFikiEiEiE�1Ejl�E�lEiEiEffltikitiEifitititifititiEititiEiEiEiEitiEififikltitifiEiEitiEifiEiEiEiEifiEifiEitiEitkiEiFikitiEitiE�kiEiE
that proof of t�eir Warker's ComDe���ion-insurance shaultl be Drovietl to me. ' - , I N D I V I D U A L F E E B R E A K D O W N
� I am exempi untler Section: B. d P. C. �
for �his reawn: ' �
Date: Owner.
I Oo hereby cetliy ihat 1 am aware ol antl unOersWntl the reQuirements af Califomia Healt� anG Salery CoEe Sections 25505, 25533, an0
25534 anE tAat I or any tuture UuilAinA acupant willhnll not (circle one) neetl ro compty �ih saitl state coUes anOlAe requiremen[s for a
permi� for conslmciian ar moEificaiion irom t�e Nr Uualiry Management Dis�nct. fle5i0Ential constmction applications are exemDt imm
these Omvisions.
Oate: qpplicant _
I here6y cetliTy tAat I have 2a0 t�is appliWtion and state that
ortlinances and state laws re1311np to builAinO construclion antl �
pmpeM �or inspecti^on pur/p�oses'.
Date� ��1� SignaWre:
7T'r"
Omer's Ncense or Sa al Secunry x: :
Y
is correc��pree Io compty wilh all ciry and counry
�tative5 tAk cNnto enteruoanthe above-mentionetl
W�i�e—BuilEing; Green—Cotle Enlorcemenl: Canery—Appliwn�; Pink—Ravenue; GOICanrotl-Aaseswr
TYPE QTY
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
I�LU
D E S C R I P T I O N
BATHTUH .
DISHWASHER
LAUNDRY TUB OR WASHER
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—FER OUTLET
ONIT 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
2.00 , 2,00
2.Q0 ' 2,00
2.00 2,00
. 50 ', 50
0 i �Jt;06:724—p0�6`??24 T i +'f . ��2. ^..L
QRTE: Oo/�?!9(1 7Ii9E: 24t44
f —
J
CONSTRUCTION AND PLANNING - _ . �OU� & SPA
� APPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
-� 1. Temporary Electrical Service or Pole. •� - _, � ' 52. Pool & Equipment Location - /�
J.
2. Soil Pipe-Undrgrnd.� + �z' ', 53.:Steel Reinforcement '- '-
_ 3. Electrical Conduit Utility�Undrgmd. 54. Forms - -
` 4. Electrical Conduit�Undrgrnd. � ,- � 55. Electrical Bonding
5: Steel Reinforcement 56. Rough Plumbing & Pressure Test -
,6.�ElectricalUFER�Gmd. . 57. APPROVALTOCOVER�GUNITE
- 7. Footings - � � 58. Electrical Conduit-Undrgrnd.
$, �Foundation , ' - � _ - } • 59. Gas Pipe, O Undrgrnd.; Test ' _; �`: ,='�
9. Water Pipe-Undrgmd. '" - (� �� (�� 60. Backwash Cines, P-Trap, O Undrgrnd. ��+ �
10. Structural Floor Svstem �� �� 61. APPROVAL TO DECK � i
11. Property Sewer Line & House Connection--- ��- - 62. Backwash & Receptor-Final �
72. Sewer Cap __-, - 63., Heater.& VenbFinal ..
13. Roof Drains . � � . - 64. Plumbing SYstem - Final • �.
14. Rough Plumbing - . [�j 65. Electrical-Final ' . � �
�
15. Rough Electrical-Conduit ' �_ _ � � 66. Solar System=Final - . ?�
16. Rough Electric Wiring . 67. Fencing & Access Approval • � �
17. Rough Wiring Sign . , 68. APPROVED FOR PLASTERING � . �
78. Rough Electrical-T Bac Ceiling '� . 69. POOUSPA SXSTEMS PINAL -
79. Rough Heating & Air Conditioning � � � ,.,FIR,E DEPT. REQUIREMENT. _ __,
..: i', i - , � `. � � -: " . �; � � � �
20. Rough Factory Fireplace ,- - - , -_� �'APPROVALS, ", �Permit # _ -• .� -- • ,
21. Ducts, in Structuie' •� • - � 7Q. Underground Hydro �
22. Ducts,Ventilating;, . � _� . ��.i; �,�7�. ProducfPipingOGas ❑Oil
23.•Gas Pipe-Rough & Test . �' � " �� ^7z, Underground Flush'
24. Roof Framing ' �' �i;1 _ ; • . �'.73r �Undergrnd. Storage Tank �� Gas ❑ Oil � �' �
25. Roof Sheathing -•: : � ' 74 :Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat � 75�_Dry Chemical . �� - - - .�i� .�.�.�,., ;
27.�FrameandFlashing• - '� ; Y_ 76. DryStandpipe -_ -� - . � -': ���; �"_
28. Lafhing�& Siding` �' �� ': � - '� � ' ' ", 77,�,FIXED SYSTEM FINAL� .� ` � � -
29. Insulation = • ,'. i"� � 78rFIRE PREV. FINAL � ' _ : z �'
30. Drywall Nailing ' . . , ;; � � � � -�HEALTH DEPT`. REQUIREMENT -; � - , „
-.31. Plaster Brown Coat ' � %�u ' : 79. FINAL INSPECTION - � �
/
' 32. Electricaf Power Meter-Final� ' ��'i ��`� BO:.FOOD CERTIFICATE ISSUED ., , •
' 33.. Final Electric - � � �-�1% � �Notes: �-� '� • � � �
.,
34._ Final Heating�& Air, Conditioning` � ` , . - ' �� - �' . -
i � /5 -
35. Final Gas Pipe�Test � ''� �� _ - .. - -
Q
36. Hoodor'Canopy "' �. -� � .•ir�;', t�' �,_� � ;, ��
" Y
-37. Final Factory Fireplace.- -�. � � � . �;''•. � � '
38. Final Plumbing � - ; Q � �, j. �' ' '` -
39. Water Ser,vice-Final ., � � �. • � • '
� � �
"40. Gas Service-Final � . � ' - �' ' ' - ' -' �
; �. �
47. Solar Oomestic-Final � . ,� . . , _
42. Backflow Preventer ' ' � ' ' '�
�r, a �
43. Backflow Irriyation. . ' ' ., � • . �� � � � � • • � • �
.: . . ... � .: _. -
� 44. Landscape li�igation SYstem y : � - ,� '; _ t . _- � ' '
�45. Sound Attenuation , . �. � ' � , � •-- ��- -- . _ .
46. �Handicap Regulations - - � " ' � - - � ',
47. FINAL STRUCTURE & BUILDING , � ' '
48.�FINALPLANNING � - �; � ; - "
49. Electric Release to Edison - � ' .
' 50. Gas Release to Southern California Gas Co ' -- ' � ' � " " ' '
- - t,�_ . .. _� .
51. CERTIFICATE OF OCCUPANCY �� '
No. Date
PH0.IECT RDUflE33:
OWNER'S NRME:
' nooeEss:
RNCH/ENGINEER:
pDONE33:
PEBMITTEE: �. �
-- eooxess:
UNI7:
HEO.NO.:
UNI7:
IILENSEU fAN7MCTOR UEClAlU1TI0N: I hereby attirm that I am Iicense0 under provisions ot ChaD�er 9(commencing with Section
7000) ot Division 3 of Ihe Business an0 Pmfessions Code, and my license is in lull torce and effect. -
CITY UC.: BT�TE LIC.: � CIA88: � '
I Date: Signature: -
WOBKENS' COMPENSATION DEIXAMTION: I he2Uy aifirm ihat I have a certificata oi consent ro ulFinsure or a certiticata oi Workers'
ComDensation Insurence, or a cetlifie0 copy thereof (Sectian 3800; Lah. C�. �
� PoLICY NO.: ' � E%P. DRiE:
COMP�NY:
� Cetlitied copy is Aere6y fumisheU. ❑ Certitietl copy is filetl with the ciry BuilOinB Division.
" ' :',
Date: ' %' ADDlicant: ' �
�
F%EMPTION FflOM WOflCEN3' COMPENSRTION OEClAHI1Ti0N: (Iliis secuan nceA no� he�wmDle�ed if ihe permii is �or one hunArea (5100) or lest).
I certiry t�at in t�e Oetlormance al t�e woM1 /or whicA ihis DermA is issue0, I shall not employ any Derson in any manner so as ta become
sublect to lhe Wnrkars%Campen5aiion Laws Of Calilomia. ,.^
f-
Data: Slpnaiure: '
NOTICE: If, atler.maltinq this Oecla2tion, you sAau10 became sublect [o ihe WuMers' Compensation Drovisions af the La�or
Cotle, you must fotlfivntA camDly with such Dmvisians or ihis permR s�all be �Oeemetl revoke0.
CONBTNIICTION LENOING RGENCY: I hereUy attirm that the2 is a consiructlon lentling aAe�cy for ihe DeRormance ai the work for
which.this permitis issue0 (Section 3097, Civ. C). , ' �^«
LENOEP:� ' � �
' RODBESS:" 'i' - � ' � -
OWNEB BUILOEB OECUMTION: I h¢reEy affirm [hat I am exemD� ��om tAe Coniractors' State License Law tor the followinA reason
(Section 7031.5 Businew an0 Pmfessional Cotle: My ciry oi wunry which reQuires a Dermit to canstruct, atler, imOmve, demolish, or
repair any stmcNre, pnor ro ifs issuance, also requires Iha ap0�ican� for such permit to lile a 5igneC statement that �e/5Ae is Iicense0
pursuant to 1he D�onsions oi ihe Cantractors' State License Law (ChaD�er 9(commencin0 with Section 70W) ot Division 3 of IAa Business
ana Pmfesslons Code) or that he/she is erempt I�erefmm an0 the basis for the altepeE exemption. My violation of Settion 7IX11.5 Uy
any applicant lar a permit subjects [�e appliWni [o a civil penalry oi not mora than live �unaretl tlollafs (5500).
� I, az awner of the properry or my employees vntA waqes as iheir sole comDensation, will Ea the wark, an0 the
�❑ simcture is not inten0e0 or offereA for sale (Section 7044, Business anA Pmhssional COAe: The Contactors' State License Law
does not appy ro an owner af a pmpeity who buittls or impmves thereon, anE who Cces such xroA �imult/�erseli ar ihmuph
- ' his or her own employees. provitle0 Ihat such improvamanis are notintende0 or otlereE for sale.lt, howeverthe builOinA or
,imDmvement is soltl within ona year oi completion, �Ae owner xill have Ihe burden ot provinq he/she Ei0 not bui10 or impmve
for Ihe purpose�of sale). , i ,
� I, as awner of the properry, am exclusively mntrac[inp with IicenSeE contractors to consimct the prolect (Sectian 7041, Business
❑ an0 Professions CoEe: The Con[ractors' Slate Liunse Law tloes w� apDN �o an owner ot propeM1y who EmIAs or improves Ihereon
anU who coniracts lor such projects ci�h a coniractoqs)license Dursuanito t�e Coniractars' &Wte Licensa Law�.l am awaa
that p�oot oi iheir Worker's CamD?ns:Fion insurance shoWU be OroviCeO ta me. '
� I am exempi unEer Sec�ion: ' . B. d P. C. ,
for this reason: . �
oate: ' trwner.
I do AereDy ietliy �hat I am aware ol an0 understantl t�e aQuiremenis of Califamia Heatth antl Safery CoUe Sections 2550.5, 25533, anG
25534 anG that I or any fuWre huiltlin0 accupant will/will not (circle one) need to comDty with sai0 state coaes an0 the repuiremenis for a
permit for constmction or moGification tmm t�e Air Oualiry Manaqement OisMct. Hesidential construction apDlications are exemD<«om
�hese Dmvisions. ' '
Oate: ' ' Applicani: I' '
I Aere6y ceniry t�at I Aave reatl t�is aDDlication antl state Ihat Ne above information is wrrecL I aA�ee ro UomDly wuh all ciry anE counry
ortlinances anA state laws relatinq ta �uil0ing canstruction an0 hereby autAorize reD�untatives af [his ciry to �nter upon t�e above-mentione0
pmDeM �orinspection purposes. �
� i
�ate: Siqnature: �
Oriver'S Licenu or Social Seanry M:
16a1-46 W�i�e—Builtling; Green—Cutle Eniorcemen�; Canery—AVPllcan�; pink—Revanue; GolEenroE—Aueswr
PERMIT NO: P 097667 '., PLAN CHECK NO; 04361-90�N�, PAGE:. 2 '
*it�tatit*�rat*at��**itit+e*it�at**xit+ritirxit*�*x �r�r�r�ritie+��e*at�eit*it*atxat�rit*+ritit�r� *ititat�r***itit�it*'*� *�*+�
TYPE QTY D E S C R I P T I O N � " UNIT COST TOTAL COST
PLU 1 SEWER, CONNECTION TO BUILDING • EACH
� END OF FEES
;5,00
�
� ��
. CONSTRUCTION AND PLANNING ' . NOGa. & SPA _
• APPROVALS Permit # ' Date Inspector AppROVALS Permit # Date Inspector
1. TemperarY Electriwl Service or Pole . - � 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � _ � � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement � � - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings • - � ' 58. "Electrical Conduit-Undrgrnd.
8. FoundatiOn - 59. Gas Pipe, O�Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P: Trap, O Undrgrnd.
10. Structural Floor System ' 67. APPROVAL TO DECK �
71. Property Sewer Line & House Connection �6 62. Backwash & Receptor-Final
12. Sewer Cap - '� 63. Heater & Vent-Final � .
13. Roof Drains ' 64. Piumbing System - Final-
14. Rough Plumbing � 65. .Electrical-Fina�� ��
15. Rough Elactrical-Conduit 66. Solai System-Final '
� 16. Rough Electric Wiring � • 67. �Fencing & Access ApP�oval �
17. Rough Wiring Sign ' � 68. �APPROVED FOR PLASTERING
18. Rough Electrical�T Bar�Ceiling ' . 69. POOL/SPA SYSTEMS FINAL
� 79. Rough H¢ating & Air Conditioning � � FIRE DEPT. REQUIREMENT
20.-Rough factory Fireplace APPROVALS Permit #
21.-Ducts, i� Structure 70. Underground Hydro
22..-Ducts, Ventilatin9 71. P�oduct Piping O Gas ❑ Oil
23 �Gas�Pipe-Rough & Test 72. Underground Flush
24.'Roof Framing 73. Undergrnd. Stora9e Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26.�T$qar Ceiling�IStructurall & 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. Dry,wall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32...Electrical PooJer MeterFinal S0. FOOD CERTIFICATE ISSUED
33. Final EleCtric � 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'Servite-final
41.�Solar pomesticFinal
42.-Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FItVALS7RUCTURE&BUILDING
48.� FINAL PLANNING '
49. Electric Release to Edison � -
50. Gas Fetease to Southern Caiifornia Gas Co � "
51. CERTIFICATEOFOCCUPANCY
No. Date '
.�J
Pfl0.1ECiRODPESS: 38S LA PEkLE LN . uxrt:
OWNER�SN�ME: WARD INVESTMENT -
noowEss: 211 U NEWPORT FiL , C. M.
b42-2000
1flCH/ENGINEER: - pE0.N0.:
. �DONESS: � ' � UNR:
�
PEpMinEE:rHARLES SANDERS, INC. (714)-630-1913
eoosess: `1441 ,RED GUM ST. ,7
ANAHEIM CA 92806
tICENSEU CONTIIARON OECUp0.TI0N: I �ereby affirm Ihatl am Iicense0 un4erDrovisions of ChaD�e� 9(�ommencing with Section
� 7000) Of Divisian 3 of the Business and Protessions Coae, and my license is in fulliorce and eHect.
cirr uc.: 017 Ei 3 4 STATE LIC.: 3 q 17 C� $�� iu,/s,g� �� ��l
Date: � � Si nature: h� 6A�
WOBKE S' C01 PENSATION �ECIAMT10N: 1 herehy affirm that I have a certificate oi consentto sell-insure or a certilicate oi WOAers'
Compensation Insuranca, ar a certitieA copy ihereof (Seclion 3800, Lab. C).
voucr xo.: 1191 13 9— 9 0 exr. o�Te: 0 3/ O 1/ 91
carnrnxr:STATE FOND
� CertifieC copY is here6y fumishetl. � CertifieE coDY is,til wlth ihe ciry Bu' inq '�isian. ,
Oate: � � APDlicant: �� / � �4J
E%EMPfION Ffl0 VlOHNEflS' COMPEN311TIOX DFCLAM110N: (Tha sttvan nee0 nol be comple�eE if tice pemii b fa one huMreE (E700� or kss).
I certiry that in ihe perlormance oi t�e wad far which t�is Dermit a issueE, I shall not emDloy any person in any manner sa as to become
' suEle�t Io the Warkers' Campensation Laws of Calitamia. .
Date: ' SiAnaNre:
NOTICE: II, atler makinp this declaration, you SAould 6ecome suhject ta ihe Workers' Compensatlon proNsions of t�e Labor
CoOe, you muSl fort�vnih compty with such pronsions or Nis permit shall Ee 4eeme0 revakeU.
CONSTBUCTION 1FN01NG RGENCY: I hereUy aifirm IAai [here is a consiruc[ion lentlinp aAency for Ihe pertormance ot Ihe work for
. which Ihis Dermi� is issuetl (Seciion 3097, Civ.�C�.
LENOEB: ' � i� �, ' .
' RODRESB: . .. . .
OWNEB BUIWEB OECIAIUTIONi I here�y aKrm IAat I am exemD� �mm [he Coniractors' State License Law far [he follovnn0 �eason
�(Section 7031.5 Business anE Pmfessional Cotle: My ciry oi wunry which repuires a Dermit to constmct, alter, impmve, Cemolish, or
repair any simcNre, D�or to its issuance, alsa requias the apDlicant for such Dermit to file a siAneO statement that Ae/she is Iicense0
� pursuan[ to the O�ovisions of IAe Caniractors' S[ate Licenu Law (Chapter 9(wmmencinp with Sec�ion 7000) oi Division 3 oi Ihe Business
' and Pmieuions Cotle) or Nat �rJs�e is exem0� thereimm an0 t�e basis lor the allege0 exemD�ion. Any violation oi Sedion 7031.5 by
any applicantfor a permit suhlects the aDPlicant to a civil penalry oi not more than iNe �unOreE Uollars (5500).
I, as owner af tAe proDerty or my employees wit� wapes as their sole compensation, will Oo t�e work, and tha
' ❑ SimctUr¢is nOlinlen0ed of ofletetl f01 5ale(5¢clmn 7044, BuSlneu an0 Pmte55ionalCotle: The Conlfac�ol5 Sta�e LiCen58 Law
_ tlaes nat aODN �a an owner af a Droperty who hu110s or imD�a�es IAereon, antl w�o tloes such work himsell/herself or throupA
his or her own emDloyees, O�oviOeU ihat such imprmements aa not inten0etl or oifere0 lor sale. tl, however ihe �uilAinO or
„ impravement is wld within one year oi wmpletion, the owner will have the 6urden ot pmving Ae/she tli0 nat Uui10 or impmve
Jor the pur0ose oi sale). _
I, as owner of the OroDerty, am exclusively conirectlnp with IicenseA contractars to construct [he praiect (Section 7044, Business
� an0 Pm(euians CaOe: The Cont2ctors State License Law Aaes not appty ta an owner of Droperly who buAds or imD�'� �e�eon
anE who cuntracts for such Dmjects ci!h a contractor�s) license pursuant to tAe Contractors' State License Law�. I am aware
that Droof ot Iheir Worker's Compansebon insuranca should Ee DroviAeU ro me.
� I am exemD� under Sec[ion: B. 8 P. C. '
/ar ihis reason: . ,
Date: ' � Owner:�
I Eo herehy certiry ihat I am aware of an0 understanA tAe requirements oi Califomia Healih anE Safery Code Sedions 25505, 25533, an0
2553<anA t�at I or any future OuilUinq occupaM vnll/vnll not (circle one) neeE to comON ��h saitl slate cotles anE the requiremenis for a
permit tor construciion or moAification fmm tha Nr Uualiry Management District. pesi0ential constmction aODlications are exempt irom
I�ese D�a��sions.
Uate: Appliwnt
I hereby certiry that I �ave reaa tAis appliwtion anE state that t�e ahove information is wrtect I aA�ee to comply with all city an0 counry
ortlinances antl state Wws relatlnA �o builtlinB �nstrudion anE he2byA uthonze ropresenWyy'��as o� ciry to enter uDon the ahave�mentionetl
pmperty lor insDection pufpOses: /`� q� �
Da�e:'� �/ v Sipna�uriE� �niGl /4'/- .
Dnver's icenu or iai Secunry x:
186L66 W�i�e—Builtling; Green—COEe Entorcement: Ceoery—Npplicanl; Pink—Ravenue: GWEenroC—Avesaor
Q
CITY UF CUSTA MESA — EUILDING PERhiIT
PERMIT NO: M?,�.Q4�104 PLAN CHECH NO: td
CONSTRUCTZUN'TYPE; PEkMIT TYPE: MEC
PERM NO: td 0�8104
COVT: N SUPP: N
PURPOSE; OTH
JOB DESCRIPTION : 2963SF RESID,.439SF GARAGE, 1SOSF DEGFC SQ FT; '
CLAIM VALOE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: RE: B4'7661 PRIMARY HLDG. PERMIT. •
*****�*�r�t?��*�*��t��***x*�t*xx��****��ti�x*�r**x� x �x�**��****��*�***�r*�r*�*�t*+��t�;*�**�**
' Z O N I N G R E Q U I R E M E N T S'
FRNT: FT �lAIINHREARING --FT S EIN B AFRNT S FTCESSORY�HUILDING ---------
IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT ' IN
PARKING REQ: PRUV: PARCEL: 42.531114 2NE: REF NO:
PLANNING NOTES> � '•
' � ,; , . . . " ' _
�# iF if iP iE iE?f� iE iE it iE'�E jf i4 i(� iE iE it'Y.� iF iE iF iE ## iE iF iE it i! if iE iE iF iE iE jF * 9tr iE i! if #-1E * 141E �4 iE if iE iE ih iF iE k if iF iE iE iE iE �A if iE IE iE jE iE?t iE iE if � iE iE i' iE iE
` D E V E L O P M E N T S E R V I C E'S R E Q 0 I k E M E N T 5
'�ZONING APFROVEP BY �� ' "�� DATE-
BUILDZNG APPROVED BY : ..t �;, DATE: �
'APPLICATION ISSUED BY: .:� � DATE: % 1 � �
iEiff".h§EiE�1E�iE'.E!E±FiEifiEiElEjEiFjFiE1f . c , f rfE FT. Rir E�F3e i.. ., i it, fF.'�?F1ffEjfiE�fiElEiFiEif ik?E
!f iE 1!� iE #?', !f i: !f'lf :E i:� # iE #',ElE+f ik?E iE # tF'k it iE iF i:1t �'.E?E!E'f iE ih # iE �iE iE?( if # if ., iElf'k� iE if ih iE iE iE i!?! iE fk iE # fE rt iE i:�'.F iE 1E iE 1E 1E if # iE �E-H� if iF iE
LEGALIZATION:N P E E S U M h, A R Y STRUCTUkAL SEGMENT:N
➢LDG F�MT PLDMBING ELECTRIC MECHANIC FIRE St4IP/RES GRADING
PERMIT
PLAN
ISSUE FEE
99.50
258
15 00
!SMIP/NON—RES ' , �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 44.50 15.00 0.00 59,50 59.50 � .UO
REVENUE UIVISION TOTAi,S--: �'OLLECTED: 59.50 OVER/SHORT: .00
bLDG PMT PLUMBING ELECTRIC MECHANIC F•IRE SMIP/TOT GRADING PLAN—CHECK
59.50
!E iE iE #'fi iF if #�iF iE 3E iE iP i!� �!E # iE �lE # iE iE it iE iE 1t'iF iF iE if if it �1F fE iE'.E iE 1E iE If if ?E if ik iE!(�?(� iE 1E i(� iElE iE 1E 1E if iE iE ik� iE �k # �E jf iElE IE iE !E iE it if it 7E iE jf Y?!� iE iE
I N D I V 2 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? Z O N ' UNZT COST� TOTAL COST
MEC 1 INST FOkC—AIR/GRAV FUkN t= 100 K BTU
MEC 2 FACTORY FIREPLACE
MEC 5 VENTILA:ION FAN CONN TO SINGLE DUCT'
END OF FEES
6.50 13.00 �
4.50 22,50-
� � 1
01 �?�]b`,0�7—L�JOG:iU37 '{'e_1B' Si,50'
D�+TE:.O?/11f9f; 7il1c: t3:.5.5
CONSTflUCTION AND PL'ANNING �, POO� & SPA
' APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
1. Temporary Electriral Service or Pole 52. Pool & Equipment Location • �
2. Soil Pipe-Undrgrnd. .� '� ' � 53. Steel Reinforcement �
3. Electrical Conduit Utility�Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement , � 56. �Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO GOVER-GUNITE
7. Footings - 58. Electrical ConduibUndrgmd. ,
8. Foundation . 59. �Gas Pipe, O 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
72. Sewer Cap . 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System'- Final - .
14. Rough Plumbing - ' 65. Electrical-Final
15. Rough ElectriCal-Conduit r . � 66. Solar System�,Final .
16. Rough Electric W�ring � _ 67. Fencing & Access Approval '
17. Rough Wiring Sign - - � 68. APPROVED FOR PLASTERING � .
18. Rough ElectriWl�T Bar Cei�ing � � 69. POOL/SPA SYSTEMS FINAL - �
19. Rough Heating & Air Conditioning b. � QU (�(Q FIRE DEPT. REQUIREMENT
20. Rough FactorY Fireplace ' � � �� APPRQVALS Permit#
21. DuMs,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathin9 � 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & 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 '_ ';� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ',` 79. FINAL INSPECTION
32. Electrical Power Meter�Final /-� S0. FOOD CERTIFICATE ISSUED
33. Final Electric !, :'� 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 i
l
40. Gas Service-Final `
41. Solar pomesticFinal
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 Relea3e to Edison ,..� -
50. Gas Release to Southern California Gas Co �t
51. CERTIFICATE OF OCCUPANCY
N0. Date
i
%
PH0.IECT•RO9HESS: �, j 8 S LA P ERLE LN
�OWNEfl'SNRME: WARD INVESTMENT
RODflE3$: zISO NEWPORT HL ,CrM
� 642-2000
RflCHIENGINEER: '
�ooxess: .
' UNIT:
HEO.NO.:
uxi1:
:= PENMITTEE:CROSSWZNDS ELECTRIC _ (714)964-3117
�one¢ss: g q z 1 NEOLANI DR
HUNTINGTON BEACH CA 92646
IICENSED CONTMC70q OECIAMTION: I hereby affirm t�at I am IicenseA untler Drovisions oi ChaO�er 9(commencinq witA Section
7000) of Division 3 oi the Business anA Pmf¢ssions Coae, and my license is in full forca an0 effect.
cmuc.:pS�.sT� nr��9482n cuss: p .
Date: — �— Sipnawre�— I I � �� _ /
WOBNEBS' COMPENSIITION �EClAN11TI0N: I hereEy aPor t I have a cetlillcah oi c sent to setl-Insure or a certificate of Workers'
Compensation Insu2nce, or a certitietl coOY �hereot (Sectio 00, Lah. C).
rouer xo.: TO FOLLOW ezr. o�Te: 08 / 01 / 91
� •aMraxr: PEI /CIGNA
, Certifie0 copy is Aere�y IumisheE. � Ceriitied copy is tileA with the ciry Buil0in0 Divisi .
Oaie: � =--2 / — �` l //�' ApplicanC �
IXEMPIION FIIOM WOflNEfl3' COMPENSIITION OECWIATION: (TNs '�eE not 6e mmple� if tl�e permit is �a ane huMaE (f100) or less�.
w
I certity that in the De�ormance oi tAe work for w�ich this permit is uetl, I shall nat employ any person in any manner so as ta became
subject to t�e Workers' Compensation Laws af Calilamia.
�ate: Sipnama:
NUTICE: If, atler maltlnA �Ais Oeclara[ion, you ShoNE hecome suhlect ro the Workers' Compensation provisions oi tAe LaUar
CoOe, you must fortAwith comply with such provisions or tAis De�mit s�all he tleeme0 revoketl.
CONSTINCTION LENUING �CENCY: I Aea6y aKrm that Ihere is a consiruction IenUinq aqen�y lor the Dedormance oi tAe work tor
, which this permit is issue0 (Section 3097, Civ. C). '
LENOER:
" �DORE58:
OWNEP BUILUEN OECIAMTION: I hereby aifrm Ihat I am exempt irom Ihe Coniractors State License law for �he followinq reason
(Seclion 7031.5 Business and Professional Cotle: My ciry of counry which repuires a permit ro constmct, alter, impmve, Uemolish, ar
repair any stmcfura, pnor ro fts issuance, also roquias ihe aDDlicant far such,permit to file a signetl sWtement ihai he/she is licenutl
�, Oursuanl to Ne pmvisions ot the Con[racrors' State Licenu Law (CheO[er 9(commencinp with Section 7000) ol 0ivision 3 oi t�e Business
an0 Pmfessions Cotle) or that he/she is exempt Ihereirom an0 [he basis far IAe alleAeO exemOtion. My violation af Section 7031.5 Oy
any ap0�icanl lor a Dermit subjecls the aDW�cant ro a civil penalry ot not more than five huntlre0 Oollars (5500�. �
I, as ormir of t�e D�oPenY or my employees with wa0es as their sole compenution, will tlo the work. antl the
.. � stmcWre is not intenUeU or ofleretl (or sale (Sectmn 7b14, Business and Pmfessional Cotle: The Coniractors' Stata License Law
Aoes not applyto an ovmerol a O�aPeM' who huilAs arimproves iherean, anA who Ooes such work �imseldhersalf orihrou0h
�is or Aer own emDloyees, pmvi0e01ha� such improvemenis are not intenAeO or o(lered for sale. II, hawever [ha�builEing or
impmvement is solU wit�in ane year of comp@tion, tAe or.ner will have the burAen ol provinB he/she Uitl not �uild or improve
lor the Duryose oi sale). � �
I, as awner of Ihe pmDerty, am exclusively contractinp with Iicense0 contractars to constmct Ihe D�olep (Section 7044, Business
❑ an0 Protessions Cade: The Cantractors' State License �aw Oces not apDM �o an owner ot Droperty wM buAds or improveSlhereon
anE who contracts tor such pmlecls wit� a wntractoqs)license Dursuant ro the Contractois' State License Law�. I am aware
thai proof ot t�eir Worker's Compensation insurance shoultl be pmvideE ro me. "
� I am exemD� unUer Section: , B. 8 P. C.
for ihis reason:
Oate: P.mec
�
I do AereAy certity tAat I am aware of and understan0 the requiremenis oi California Health an0 Safery CaEe Sections 25505, 25533, an0
2553<antl t�a[ I or any future buil0inp occuDant wilUwill not (circle one) neeA ro comply wit� sai0 state cotles an0 Ihe reQuiremen�s for a
permil for consiructian or maEilication from tha Air Oualiry ManaOement District. Hesidential consiruction aD0lications are exemp[ fmm
these pmNsions. �
Daro: Fpplicant: �
I hereEy ceniy t�at I have rea0 tAis apD�icatian anE staie Ihat tAe above information is correct I aAree to comply wit� all cfly anU counry
orEinances an0 state lavrs relatlnp to 6uilAinp constmction an0 �ereby authanze repreuntatives af [his city ro enter upon t�e a�ove-mentioneE
prope,M tor�inspection D�u/rposes/. i .
Date: - �-�C�`7� �nature: �L�L���^�' /
„ o „-
Driver's �icenu or Socia� securiry x: �
1661�48 White—BuOEing; Graen—Cotle Enforcement: Canary—Applicant; pink—Revanue; GolEenroE—Asswwr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT Iv�': E� 048674 PLAN CHECIC NO: N
CONSTkUCTION TYPE; PEkMIT TYPE; ELE
JOB DESCRIPTION ; 2463SF RESID, 489SF GARAGE, i505F DECK
CLAIM VALUE: CALC-VALUE:
PERM;NO: E� 048674
GOVT: N SUPP: N
, ;,PURPOSE: NEW
� . ,
SQ FT: �
GROUP'OCC; R-3 /M-1
COMMENTS: REFER TO #B47661
*��***�r��r� ��**�� ���r�* �� **�+� �*���r*�r� *�r��r�*��r� *��r��� �r�r+r� ��r�r*�r�r�r�x *��r� ** �**�**�t�*�
Z O N I N G R E Q U I R E M E N T S '�
S E T B A C K 5 , ,
------------ MAIN BUILDING ---------- -----.---- ACCESSORY.BUZLDING ---------
FRNT; FT IN REAR; FT IN FftNT: FT IN REAR: FT , IN
LEFT; FT � IN RGHT; FT IN LEFT: FT IN RGHT; FT . IN,
PARKING REQ• PROV: PARCEL: 42531119 ZNE; REF NO:
PLANNING Nt3TE5> .
/ > _ ' ' ' � _' -
iE if if iF ik;t ik 1k if �F it iE ik fE if iE 1f iE iF if 3! if if iE ik 1F ik it ik if iE it'1F�it iE if it iE iF it ik iE iE iE i! iE it iE if iE iF k �E iE if iFlt iF iE it it �F it it i! 1Eik iE i! jE ff i! i! �E �E 14 i! iE ik
D E V E L O P M E N T S;E �k V I C E S R E Q U I R E M E, N T. S
ZONZNG APPROVED BY ' �;i DATE:, `=� •
HUILDING APPROVED HY :
r
DATE:
APPLICATION ISSUED BY: ' DATE: �
ikiE�E�1EaEiklflkdElkifititititiFit3FifiE�kiE � ikiEiE�F9E�1E�FiEiE�)f � .. � iE�(-
ik iE iF 1E it it it it �F if 3! iE i! 9E iE iE 1E i! iF iE iE iE iE it it if it iE �f iE iE iE i(ik�9k iE ik if iE if iE iE iE iE jE iE jF jE if ik 3E 3E if iE iE iF iF if 1f �)E if ik iE ik if iF iF iE 9E iF iE ik 1k iE iE �k iE if if
LEGALIZATION:N - F E E S U M M A R Y STRUCTURAL S£GMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT , 86,21
� 50$ SMIP/NON—RES' �
PLAN
ISSUE FEE 15.00 �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 86.21 15.00 0.00 101.21 101,21 �,.00
REVENUE DIVISION TOTALS--> _COLLECTED: 101.21 OVER/SHORT: .00
bLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECIC
1 � 1, 2 1
I.1t iE iF it i! if iE k if iE it it it if 1E iE iE ik iE if iE iE iE �E iE iE iE if ik iE if iE �f if iE if iE iE iF if iF �f 1f �f i! iF 3E if iE iE iE iE ik it iE it �E �E iE �E iE iF dE 1E i! iF 3E iF iE iE 9E iE jF iE �)E 3F if� i(� 3F
, 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 U N UNIT COST TOTAL COST
I
ELE 2463 NEW RES HLDG FOR 1 OR 2 UNITS/ SQ FT �,03 86.21
END OF FEES
f
o� aoobvaaa-000baua� �-r�-r
L�atE: oaizti�c� i?r�: i�:=4
�
n
/
�� CONSTRUCTION AND PLANNING � NO�_ & SPA , -
APGROVALS Permit #' � � Date Inspector AppROVALS Permit # Date Inspector
'.1. :TemporarY Electrical Service or Pole 52. Pool & Equipment Location
i
2. Soil Pipe•Undrgrnd._ " � 53. -Steel Reinforcement '
3. E�rctrical Conduit Utility-Undrgrnd. , 54. Forms
4. Electrical Conduit-Undrgrnd.- 55. Electrical Bonding . - '
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO�COVER�GUNITE
7. Footings 58. Electiical Conduit�Undrgrnd. �
8. Poundation � � 59. Gas Pipe, O Undrgrnd., Test � �
9. Water Pip¢-Undrgmd. _ � 60. Backwash Lines, P-Trap,-O Undrgmd. •
10. Struaural Floor System �- � 61. APPROVAL TO DECK � •
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap ", • 63. Heater& VenrFinal �
13. Roof Drains �- � 64. Plumbing SYstem - Final� �
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical-Condult '. 66.-Solar SYstem=Final • �
16. Rough Electric Wiring . � . 67. Fencing & Access ApProval .
17. Raugh Wiring Sign " 68.•P,PPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA�SYSTEMS FINAL '� '
19. Rough Heating & Air Conditioning �FIRE DEPT. REQUIREMENT
20. Rough factory Fireplace • . . APPROVALS� Permit # l
21. Dutts, i� Structure � . �� ,70. Underground Hydro
22,Ducts,Ventilating � . '77. ProductPipingOGas ❑Oil
�23� Gas Pipe�Rough & Test . � .72. Underground Flush � �
24.tAoof Framing ' � �73..=Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof SheOthing � - 74. Overhead Hydro •.
26. T�Bar Ceil�ng (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. Electricai Power Meter-Final �Z �qp 80: FOOD CERTIFICATE ISSUED
33. Final Electric � �y�,�.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 pomesticFinal �
42. Backflow Preventer . -
43. Backflow Irrigation '
44. Landscape Irrigation System � -- � ' �
45. Sou�d Attenuation �• , '
46. Flandicap Regulations ,
47. FINAL S7RUCTURE & BUILDING i3 �� �'
48. FINAL P4ANNING " ' � �
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFIGATE OF OCCUPANCY
No. Date
�
�ECTRODflESS: � 3$S LA PERLfi �I.N �� �
owxee�s xnMe: DONALD WARD �
�. noowess: 2110 NEWPORT HLVD,;
COSTA MESA CA; 9-2627
. '714/,642-20b0.: , ` ; ,
RflCN/ENGINEEN: . � ' . , , � , -
RDDHESS: • . �
.. uxiT: p -'.
_ .
'r. . NEG.NO.: + '
' • � ' � , ONIT:
PEHMITTEE: DONALD WARD� � ' � ,( 719 ) 642-2000
: aooxess: Z 1 f 0 NEWPORT HLVD ., #1 ;
COSTA MESA CA 92627
LICENSEU CONTMCTOB OECIAMTION: I here�y aifirm Iha[ I am IicenseU hnUer provisions of Chapter 9(commencing unth Sectian
7000) ai DiNsian 3 oi ihe Business antl Pmiessions Cotle, AnG my license is in fu0 torce anA eHecL . ,.
CITY LIC.: � ' SiRTE LIC.: ' C1A53: �
Oate: - � - � � SiAnature: � � � � �`
WOBNEBS' COMPENSPTION �ECUIMTION: I herehy attirm ihat I have a certificate of consent�io self-insure or a cetlificate of Workers'
Compensation Insurance, or a certifieU coOY thereoi (Section 3800, Lab. C). � '
PoLICY NO.: ' EXP. ORTE: '
��rnvexr: ' .
�-� -�CehifieA copy.is �ereby Iumishe0. ❑ Cetlifietl w0Y is file0 wit� ihe ciry BuilGing Division. ,
� . _ . ' ' ' _ _ ; J . . _. . : .
Oate: PpDlicant:
E%EMPf10N FPOM WOflKEl1E' COMPEN&1TION OECUMTION: (Ihis uction neeA not �e wmpletea if ihe permit is for one �uMrea (f1 W) ar less�. '�
I cenity that in the pertormance af the work for wnich this permrt is uetl, I snall not employ.an person in any manner so as to Decome
suDlect ro the Workers' CCampensation Laws oi Califomia. � '� ' _
Date: y—���/t% Sipnature: R �'��� '
NOTICE: tl, atler makinp this Geclaiation, you shoNA hecome suUle� �o the Workers' ComOensation Drovisions ot tAe Labor
Coae, you must tortAwith compty with such pmvisions ar Ihis Oermit sAall he deeme0 revoked.
CONSTBUCTION IFNDING �GENCY: I hereby aBirm ihat there is a constmction IenAing agency for the peRormance of the work tor
which �his permii is issu¢C (Section 3097, Civ. C�. � ' �
' lFNOEB: � � • /:•�i .
ROOflES3:' ' ' - . . • � '
� .
OWNFfl BUILDEfl �ECUMTION: I hereby aflirm I�a[ I am exempt imm Iha Coniraqors' Sta[e Licens¢ Law tOr IAe followinp reason
(Section7Q31.5.Business an0 Pmlessiorial Code: � My cRy oi county which requires a permi[ ro constmct, alter, improve, Oematish, or
repair any simcture, prior•ro its issuance, also requires tAe aDPlicant for such permit to file a signea statement t�at he/she is�licensetl
pursuant ro the pmvisions ot tha Contractors' State License Law,�CAapler 9(commencing with Section 7000) ot Division 3 ot t�e Business
antl PmfessionsCotle) or that he/she is'exempt Ihe2imm antl'Ihe basis for the allege0 exemption,Fny violation of Section 7031.5 hy
any aODlicani for a permit suhle�ts tAe applicant to a civil penat oi not more ihan tive Aun�retl tlollars (5500). �
I, 2s owner of ��e' pmperiy ��inelien,' will Jo �he woln, anA �he
� s�mcWre is not intenOeG or ottereE for sale ( ection 7044, BuSinesS and Protessional Code: The Contracior5' State Licensa Law
Eces nat apply Io an owner of a pmperty.who builas ar impmves t�ereon, antl who tloes suc� xrork himself/hersell or IDrouqh
�,his or �er own emDloyees, �Dmvi0e0 that such imD,rovements are not intentletl or offere0 for sate. I�, however Ihe buil0ing or
� impmvemem is soltl mt�in one year oi comDletion, t�e owner will have ihe �urden ut praving Ae/she tli0 nat Uuiltl or improve
� tor ihe Ouryose of sale�. ' � . . ' . . ' -
" I, az owner oi tAe pmperty am exclusively coniracting unih IicenseU coniroctors ta consimct [he project (Section 7044, 6usiness
❑ ana Pmfessions Cotle: The Contractors' State License Law tices not apDly to an ovmer of proDenY who �wlQs or im0�oves t�ereon
an0 who coniracis for such prolects witA a contracror(s) license Dursuant to tAe Contracrors' State License Law),I am aware
[hat Di�� ot iheir Worker's Compensalion insurance s�ou10 be proviAeA lo me: ''
�' � I am enempt unCar Sectian: � B: d P. C. - � � � ',
�
�or Ihi�eason: p ' . ��—,�/ `/� ,' �/
Date: ' ^ �D �7 D � Ownec �
I Oo �ereGy certity ihat 1 am awam oi anE untlerstantl Ihe reQuirements ot California Heali� antl Safery CoOe Sections 2550.5, 25533, antl
2553d antl that I or any fuWre builCing occuDant vnlUvnll not (circle ane) need ro wmply with sai0 state co0es anA the repuirements for a
permii �or ionslructian or moEificatian tmm t�e Air �ualM ManaAemeni Distnci. flesidmtial consiruction appliwtions are exempt imm
tnese pmvisions. .
Oatei � � ADPlicant: ' •
I AereOy certity that I have read t�is ap0lication'antl state IAat t�e above information is correcL I agree to comply with all ciiy antl counry
orAinances antl state laws relatinA �o buil0inp constmction antl hereby aut�oriza representatives of ihis ciry to enter uDon ihe a�ove-mentionetl
property lo'lrinspectian Duryoses. /� ///��� /� •
Date>+ 7'IO^QD SiAnature: �A/���,�" ' ,
Driver's License ar Saciat Secunty x: $ � - i '
1801-a6 White-Buikin4: Green—COEe Enlorcemem:
GOIEenroE—Assessor
/ �
CITY OF COSTA MESA -,HUILDING PERMIT � PERM NOc BP 046891
_PERMIT NOc BP� 046891 � PLAN CHECK NO: �` N' � GOVT: 'N. SUPP; N
� r, . � . . .. , � , . ;
CONSTRUCTION TYPE;� .. PERMI.T TYPE: BLU,STR. ,PURPOSE DEM
JOB DESCRIPTION ; DEMO SFD �6�SEWER CAP'' �_ �.'� SQ-FT:, ; _ �
�CLAIM VALUE; 1,000,00 CALC-VALUE: 1,000,,00 +GROUP OCC: R-3 / �;
COMMENTS: • . �• . ' • '
�tit*�t**it�t�t��tit�r�t*�t*�t**irx�t�t�t�t**r**�tft��t�t�ie�t*�t**x**�tit*it**xrir�t�t***�t�t*itx�t**�t***ir�t***�t*
Z O N I. N G R E Q U T A E M E N T S • ' ' •
� • S E T B A C K S � • ' � � =.� . '
i
FRNT;� FT MAIN HUILDING --------z- --------- ACCESSOAY'.BUILDING -----'---
IN.REAR': ' FT IN FRNT: FT IN REAA: FT; IN �
LEFT:, FT , IN RGHT; FT ; IN ,LEFTc �FT IN RGHT: � FT IN= ',
• � ' �
PARKING RE • PROV:' PARCEL:.42531115 ZNE: �REF NOe' '
PLANNING N�TES>. E • � � � ,
. . � . ' - , ' _ ' . ._ .
lfiklklklf�fiflFiFiFifititikikiFlkikififlFlflliFikNifklflklklflflfiflF�FlFiFiFiFiFMiFitifiFkkiliFifif-ifiF1FMlF,ifkiliFiEiFiEififikMk1F3f1F1Ekif1liFif � .
D E V E L O P M E N T S E R V I C E$ R�E Q U I R�E M E N T''S
ZONING APPROVED BY ' DATE: " �..
BUILDING APPROVED BY ; ' " i DATEc '
� �' '
APPLICATION,ISSUED•HY; � DATE• ��
1k-ifiklf�ldfiklFiFfEitiFltitiFlFifiFlflFkiF M'ik%MiFikiflkiflf ikiF
iF M M iF iF ik ik if if if iE if iE if iF if k if iF ik k!k!k ik ff 1klf N M M M iF iE iF 1F 1F iF jt iF 1k if 3f 1t if k if M ikif iF if iE iF jt iE 4 it 1F if M M iF ik ik iE iF M iF iF ik ik 1E ik ik ik ik iF �k it
LEGALIZATION':N -" F E E S'U M'M A R Y '�STRUCTUAAL SEGMENT':Y
BLDG'PMT�.PLUMBING� ELECTRIC MECHANIC FIRE SMIP%RES GRADING
PERMIT, 25.00 ' ; '2.00 .
� -:25Y � ;SMIP/NON-RES.
PLAN. . � ,.SO
ISSUE FEE. ' +'3,00 �
HUILDING-DIV-> PERMIT ISSUE 'PLAN-CHECK TOTAL PAID � DUE
TOTALS----> . 2Z;50 3.00 0,00 30.50 � 30.50 .00
REVENUE DIVISION TOTALS--> � COLLECTED: 30.50. OVER/SHORT: .00 �
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
25,.�0 ' S,�� „SO .
iF M iF iklf if 1F iE iE it iE if iF if iF if iE it iiitit iF iE ik iE if if if it iF if M iklk 1klE ik if IF iE iF if if iE iE 1F iFif iF iF iF iE iF iF if if ik M KiE ik ik if ik iF M if if iE ik if iF if iF iF {� * if iF
' � I N D I V I D U'A L, F E E: B R E A` K.D O W N , `
i' �
TYPE QTY D E S C R I P T Z O N , :,' UNIT COST , TOTAL COST
PLU 1.� SEWER CAP / DEMOLITION f EACH �. 2.00 � � 2.00 -
, END OF FEES
. • i
01 Q00`824`-OD05324i TCrT I
UA7E= 04i 10l9Q TII7E: 1'2:2p
' . � �
30.SCi .,.
�: � - -= = ; ' ; PnEll . SPA � - '
CONSTRUCTION AND PLANNING� � ' �� ' . � - - �
'�. APPROVALS Permit #� �' � Date Inspector � qppROVALS Permit.# Date Inspector
�
1. Temporary Electrical Seivice or Pole � � 52. Pool & Equipment Location !y' � J
�
U7�So�P�e-Undr.grnd,.� � . � - 53. Steei Reinforcement - p� � ��
J�"�'J -
, w�r.EleCi�k'al ConcSiit+biility�Undrgmd. t ° - - 54. Forms • � - � '!
"���Ele�r`�al Condnf'Y-�ndrgrnd. � � � 55. Electrical Bonding =�
�Z�i�Ste Reinforcgm�enti �� - - 56. Rough Plumbing & Pressure Test n;.
�ti
, ,`�',��E�eFTr�'cal UF .��$`��`i�id. ' � • 57. APPROVAL.TO COVER�GUNITE N
=� 7. FoQ`ings � � - 58. Electrical'Gonduit-Undrgrnd.. ��
.� 8'��Foundation y � � `' : 59. Gas Pipe,..O Undrgrnd., Test F/.r,� y•
, 9.`"lNa�r Pipe�Undr�nd. � f• � 60. Backwash �ines, P-Trap, O Undrgrnd. �
10. Str" ttural Floor ' �
System �; 61. APPROVAsL TO DECK ; � �`,�
11. Property Sewer �Frt� & House Connection , � , 62. Backwash & �Receptor�Final "' � � � �"'
12. Sewer Cap c� � �/�.� � � 63. Hea[er & Vent-Final '' �;�
� �; ,
13. Roof Drains � � � � � !'
�� a 64. Plumbing SYstem - Final �, �
14. Rough Plumbirg � /i'-, 65. Electrical-Final �� ��'�
15. Rough ElectriC�al�Conduii � �' 66. Solar System�-Final . �-
16. Rough Electric�Niring _ � 67. Fencin9 & Access ApProval � '
17. Rough Wiring�ign � � �68. APPROVED FOR PLASTERING -
� �18. Rough ElectricJ-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
� 19. Rough Heating & Air Condifioning � - � � FI�,E D,yErT. �EQUIR�EMEN,.T �
I++ /l tl • t.+,.•- X fi. � L" k'l: T ,-1.
20�Ro0�ngh F,dct�'Y F" lace 1'^" C^ � � `' �'' APPF�VALrS��Pe" it #; � y
r � �� i St^ yd .� S H �^� # .,...NF � �---�
2�HD1f�45, tG'SS�ECtU(BX t�•• •• �-+S * S C� Hx *_70. t7nderg7oer�'a H�iro *
�� �X r-i f� �-1 C1X y: .-i . �k
22��U�,�S. VEnt'A�yatin_`g *' I �l�_J � C7 S �x �: ;n �
� � �-..�: � �71. ProductnF{r,ping C��as �Oil
.� _ -
23 ��Gas�Fipe,Rozigh & iest i t*fS � m c* �Q Ox *�7Z. Undergrounii FFvsf�� * 4^
n t r.. c � r. � y
24�Roof F�aming � � `s"' "m *' � � ti} * „73�yUndergrn�.Storage�'Fjnk�Gas ❑O�il
25. Ronf S�athing x � v x� v : n:� � 7q^p�verhead Hydro'� *
v � �� cr+ v�
26a'T�B�r Ceiling (Stru�tural) &�t�coat '� m � ``7�' * 7�pJ'y �hemical � * �' � N
rD �K � O i� �7?f :i( F J * ITJ
27vFrame and Flashin& �q,- ,x T y� cox �; 76. Dry Stan�B�'ipe Ft7v * t-�a
� �
r'+28. Lathin�R in * y '7'Q� � �' = "� � 77�=" FIXED�+��`fEy �A,��K
[-+ :J � 9* O�".E^ O K ••� j.+- � "7 ?Jv ;�JtYS� 4: t-+ Cl Cl
�29. Insulatidn V * S � •• � � � I � * 7� FIRE PREV. FIN7iL � > � �
�
��30. Drywall-Naihng �. N i y H � ' � x S�� ��3E�ALTFi�DEP� �{'EQ�OIR'�MENT
�31. Plaster Brown Coatk S i^[�'� > I' �* 79. FINAL I��EECT�N * v i
� _32?�Electric� Pos�er M@,ter-�jnal! ?` � � � � x •80mF00D CERTIF(��i'E ISSUED. . C
Ess,_riraei cceccrB * r. � �y
_ � i t
��34C�Firial He�tir�& Ai;CrnditionFn� �
w H r.
i 351Fi al Gas Pip�-Testx p.� ..
�36. Hoad or Canopy *� � R"� a
� v� :x n i zm :.�
�37...Fin��a'I Factory Fireqlacex i FF ..�i
�38. Fir y1 Plumb�ng �`^� i y
Solar
42. Backflow PreventeKK
/� Y
43. Backflow Ir�etior�
�!■tn�i
���
I N
i I k C'.
m �,,+;, s � �r
nc.• x
� r� .. x n
r.�,....C7..,....,yt .� .. ..
cap Regulations �+
L STR�ICTU'�iE & BUFLDING
L PLANNING i e-F
w
y, ' K ; T
' t'
� � � 1
tr. x>
X � �
x ^ x K
# t*1 .�7 G G� s iJ (ti
YC - �"' N' Cf k'x. i
� i e+ F i-� Y: � i--� y
� ' tTi i*i CTi% :t: ["i l^
s:�� �a S S
w-r � � � ., �r r ,.. n
ic Release to�dison � *
i �
elease to Southern Califanmie Gas Co �
IFICATEOFMOCCUPANCY �
Date
';R7 �*'7 O FC*7
�
ns x s o0
c-'Q W S
O V �-i �K � lT'
- . t .
o * ` c•�
o � m tT:
H � �
� *
�
O M�
O N N k ~,
. p g r: �
ti � �
o *x
�
� t� • * �
!'�]Or� r
� :'y
i t
:,:---v
xr *
ti • F
�,_
00
•n *
�
om *
�
c
a
a j.
�
�'
4
WARD INVESTMENT CO.
J«ne 12, 19np
City of Costa Mesa
Building De�t.
77 Fa i r DI-i ve
C�sta Mes�, CA. 92627
ATT: Mr. Dava Hartke
2110 NEWPORT BLVD., COSTA MESA, CALIFORNIA 92627 (714) 642-2000
,DE: S'OILS' 1KEM0 ' S �+� BClILDIN.�; COPNERS
---------------------------
Pzar Dave:
Please .f�nd enclosed as pe� your request, the originals vf two
footiny memo's fi-om the soils engineer. Aclditionally, the letter
certifyinc7 iive foot aff-sets ot the buildin_q corners fz�om the
civil enqineEr, Rob Hammer-s.
I look forward to wurkin_q with you on this job. As you know I arn
alw,sys askinc� questions durin_q thr projert tr further my building
.knowledge. I appreciate your help an�1 friendshi� wl�ich has
evolved c+ver the past four Years.
Thanks a_qain I'1l see you next week prior to slab pour.
91 rrcere 1 y Y'ours,
War-d Investment Company
D�����L%��E�
L>�r��ld D. Ward
Vice President
� ROBIN B. HAMERS
6 ASSOCIATES, INC. z3a e. a�TH sr., su�Te zos
COSTA MESA, CA 9262�
CIVIL ENGINEERS • PLANNERS • SURVEYORS p�a� 5ae-iis2
June 12, 1990
Mr. Dee Ward
Ward Investment Co.
2110 Newport Blvd.
Costa Mesa, CA 92627
RE: 379 & 385 LA PERLE LANE, COSTA MESA
Dear Dee:
The building corners on subject property were staked five feet
off the buildings on 6/1/90.
If you have any questions, please do not hesitate to call.
Si cerely,
��
�
Robin B. Hamers
RBH/jp/laperle
AOP���ant to fill in all spaces except tnase witnin heavY eortler lines ana sign all apvropriate aeclarations. \�
CITY OF COSTA MESApr CONSTF�UCTION PERMIT � � PERMIT NO� ' TRACT NO. LOT NO_ : ' UNIT•N6. . - - ��I9� � 6/05/65 ' ���G1� TL
Prolect�Address ��d.l iu'A /�pr/P .(a�: . � . , . . . . `- - _ . : � . ..... . . _ . . .
AppliCdnYS Mdiling Addr¢55 ' ' TVPE OF CONSTRUCTION , NEW /�DD �A�TERATION REPAIR ' ' �
' � �,m. ' '� ❑ CONVERSION ' ❑'DEMOLISH . ❑ OTHER ' - A P # . , . . . ' . , ' � - Zp�e -
Owner's Name S Phone� -DESCRIPTION OFTWORK/USE OF BLDG.`� � � � �
Addreu '� � ' ' ` � � - ' � ' S Nlain Buildin9: ' �Acce3sory Building: . ' �
- . . _ � _ . . . . ._ . : . �. .. . . . . ' E = Z
Arch/Eng. � � � LicenseNo; �� TVPEOFPERMIT ❑ GRADING OUNDATION � STRVCTVRAI. _ T Front � � " ' � � . p.
Address � ' � • � ❑r ENP.NT.❑ ELECTRICAL • .PLUMBING � NIECHANICAL � B Rear ' � � - � ! ' � N
. � . - .. � . '_��OTHER.:. '. , i : i', i .. . E. f A � , `' ..
ConVacmr'sName • '�Pho e� � � � 'C Right � � _ . � _ ;T N�
' PROJECT DESCRIPTION �5q. F7. ,- � oCCUanrvcr ' � � ,
Address (maihng) � ` � . ,, , � , , K' � , � . _ �
��� , .. . CONSTRUCTION;TYPE : ' ��' � 'VALUATION$ g Left � . � - j - R'
City Licen52 NO. �,��� ZONE GRADING CU. VpS. ' ' ACRES • ` i'
LICENSED CONTRACTOR DECLARATION - Plpg. R2F. # � Pa�king R¢q:/Prov�d¢d � {- E
I hereby af(irm lhat 1 am licensetl untle� provisions ofCharte� 9(commencing ,. Rema�rks: ' � � �� � � , , Planning Notes: - ' E � � � M
with Section ]000) ot'Dlvision 3 of fhe Bu5ine55 antl Professions Cotle; antl � � � �
T
my license is In tu � toryc antl effect. ' ' . � , , � � . . ' � � , : . � , . � S , ,
Cicense CIaSs�� �ce�ys��' � � , �
Date � _��� ' ' S'g t � ' � uc:_[-//<[ � �� : , : � . � PLUMBING � ' � 'FEES . . � . , ; .� ' � ' _ i
1 � 'NOf2KER� COMPENSATION DECLARATION " ' � B3r Sink , ShOw¢f5 • ' - �
\ hereby afiirm tnat I have a certificate o� consent to zeli-insure or a certificate � � � . ELECTRICAL � � FEES �
� �t WOBe�s' Compensatiod Insurance, or a, certifietl copy the'ieot (Section.. gackflOw Preventer --- Service Sink. � - ' - . ' - " f
�3800, Lab. C/�)/'C � i � Automatic Washer - Transformer � 15-50 KW - -
� I.
1 Poucy No. �Li..2 I�q ln 1 Company � Backflow Irrigation Sewer Ca � � ' � , ' ❑ 50+ KW �
rLtietl co P Construction Pole Sub.
py is he�eby fumishetl. �
Certif�i�GpfiQ[�' is filea with the ciry� mi qrv}§io // j�� � ( Bathtubs � Sewer Connection Cooking Unit • Meter ❑up to t00amps � +
� D��lf� APPlicant�l�Lt,(t� �!L6�L(l�. , .. � ' ' P ' ' _
EXEMPTIpN FROM WORKERS'�COfJf�ENSATION DECLARATION Cld�ifi¢�5 Solar Collectors � Dishwasher Meter ❑over:100am s' ..�
-(Thi55e�tion neetl not be completetl If the permit.is for'One'huntl�etl ($300) o�
� less). ' , . . Dishwasher � . . Solar Piping' � Dryers ❑Gas ❑Electric Sub Panel . � - " '
I c¢r[ify that in the pertormance o( the work for which thi5 pe�m�t i5 issuetl, I � '
snall not employ any person in any manner so as to be<ome subject to the ' Drinking Fountains Solar Tank . � Fan Motors �0.1 HP �1'h- 8 '
Workers', Compensation Laws of California.; � i . '
. Date � Signature • � ' Floor Drains Swimming Pool w/Spa^ � F.A.U. � Inc.Solar �9-15 HP 016-15+ l �
'NOTICE: If, after making this tleclaration, you shoultl become subject to the � . -
WOlkers' Compen5dtion provisions of the Ldbor Cotle, you must forthwith ' FI00! Sinks' � Ufindl � FiztUf¢5 MicfOwdv2
mmply �with such provi5ions or��fhiz" perml[ � Shall be; Oeemetl �evoketl. • � - - ' - '`' ' t' "' - ' ' ' -
CONSTRUCTION� LENDING��AGENCV ' • " • Gas $ervice , Outlets� Watef Closet � �� � -
1 hereby atfi�m that the�e is a mnst�uction lentling agency for the performance . D2viC¢ BOzes , � ' POIC Light
ot the work (or which this permit 15 issuetl (Section 309] Civ., CJ ' � .
�- Intercepmrs Water.Heater � Outlets Range �
Lenaer's Name" - � �
Lentler's Atlaress � � ' � � Kitcheri Sink •' -- - Water Service - � - - ' ' , �
OWNER BUILDER DECLARATION� -- - . " ^ � Switche5 gj9� i
� I hereby alfirm that 1 am exempt from the Contractor•5 Cicense Law for the Lavatolie5 . ' Auto-Wash' ' `
followin9 reason (Section 7031.5 Business antl Protessional�Cotle: Any ciry or ' Garbage Disposal ; Standing Sections ; . .
count wM1ich requires a e�mit to Construct, alter, improve, tlemolish or re air � _ - ` � � i
Y P P P—Trap 'WundryTrays' Geoerator �0-5 KW �5-15 KW Trash Com actor • '
_any st�ucture, prior to it5 iz5uance, also �equires the applicant fo� such permit ' P
: to file a signetl ztatement that he/she is licensetl pu�suant to the provi5ion5 of � .ROOf D�dinS ' � � '
Ihe Contractor'S License Law (Chapter 9(commencing with Section 7000) ot _ '('� '
Division 3 of [he Business antl Professions Cotle) or that he/she is exempt . , , _
therefrom arttl the basis for the allegetl exemption. Any violation ot Section - ' -. �- ,y - - - - ' '
'7031.5 �by any applicant fo� a pe�mit Subjects the apPlicant to a civil � '
. penalty of not more than five hundretl tlollarv($500). . ' . ' ' ' . . . ' . ,
❑ I, as owner ot the Droper[y or my.emo�oyees with wages as their sole i Aeinspection Fee $15 ' ' ISSue Fee ., ' $ 3 �� -,' � ' - ' �
� compensation, will tlo the work, antl the structure is'no[ in[entletl o� ofteretl - � �
t for sale (Section �O4a, eusiness antl Profezsional Cotle: The Contractor's' MECHANICAC FEES ' Reinspectian Fee $15 luue Pee i' $ 3
� liGense Law tloes not apply to an owne� ot a properfy who builtls o� imp�oves '
thereon, antl who tloes such work.himselt/herselt or tnrough his or her own � . . DEVELOPMENT SERVICES REQUIREMENTS: ' i
employees, provitletl that such.'improvements are not intentletl or offeretl fo� BOil2� � � . HOOd Of Typ¢ I ❑„ , . , .
sala Ii, howeveq me tiuilainq�or improvement is sola within one year of com-' : � Canopy Type II ❑ . .; Zanirig Approved By Date
pletioq the owne� will have the bu�tlen of proving he/she tlitl not builtl or im- � UUct - Unde� G�Ound ' � � Builtling Approved By Date '
�Ove for the purpose of sale). - � . •. ' ' ' • ' � I
!r . /
LJ I, as owner of [he property, am exUusively contracting with licensetl mn- Duct - Structural Refrigeration System Application Issued By �� Dat y�
- tractorsto construct the project (Section 7044, Business antl Prolessions Cotle: � ,
The Conbactor's License law does not apply to an owner ot property who • Duct � Ventilating � � ❑0-100,000_BTU'�100,000 BTU %�/. � ' ' . SUMMARV OF FEES . -
' builtls or improve5-thereon, antl who'contracts for such�projects wifh a con- � ����' J , l' q'. ,
tractor(s} license pursuant to the Contractor's License Law). I am aware�that� ' ' _ +" � i'BUICDING PERMIT $ SMIP $�
i Exhaust System ❑ Multiple �• System Repair/Alteration a � �
proo/ of thei� Worker'S Compensation insuranGe shoultl be provitletl to me.., �- P,LAN,CHECK � �$� PERMIT� I � �
❑ I am,exempt untler Section , e. & P. G. for this reason : Firepl/Fact BIt. ICBO # Fire Dampers � i JpL+UMBING �$ ISSUANCE $
Date � ' owner � � Heating System & Ducting ' � ) Fegisters . � �� �p�,qN CHECK � 25%, $ � ' ENERGV, P.C. $ ,
i hereby certi(y that f have read this aoolication and sEate that the abbve ❑0.100,000 BTU �100,000BT - . '. . �. _ �'- . ELECTRICA� �$� GRADING $.
information is correct. I agree to compty with all city antl county ortlinances '' � �
antl State laws relating to builtling construction„antl hereby authoriie �ep�e- . / � �MICROFILM $�
sentatives of this�city to.enter upon the above-mentionetl�oroperty for '. , ��PLANCHECK �50%. $' �r�—/,
inspection pu os � � � � MECHANICAL $� � TOTAL F,EE V V�
Si9nature Date� ' peinspection Fee $75� Issue Fee $ 3 jPLAN CHECK 25% $� �$�
Driver5' Litense or 55 � ' � '
CMF 0065-46, rev. 30/84 White - Builtling; Canary - A�P��cant; Pink - qc<ountinq; GOltlenroG - Assessor �" ' ' " - - ' - - -- � �
CONSTRUCTION AND PLANNING
APPROVALS Permit #
� 1.'Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. � ,� �
3. Electrical Conduit Utility-Undrgrnd.
'�4. Electrical Conduit-Undrgmd.` -
5. Steel Reinforcement ..
; 6. Electrical UFER Grnd.'
� 7. Footings .
� `8. Foundation � ' _
9. Water Pipe-Undrgrnd.
10. Structural F.loor SYstem
, 1�1. Property Sewer Line & House Connection
, 12. Sewer Cap . ,
. 13. Roof Drains '
� 14. Rough Plumbing
= ' 15. Rough Electrical-Conduit
•,-16. �Rough Electric Wiring
17. �.Rough�Wiring Sign .
18. Rough Electrical-T Bar Ceiling
' 19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts,.in Structure
. 22. Ducts, Ventilating
' 23. Gas Pipe-Rough & Test
-24. Roof Framing � �
25. Roof Sheathing "
26. T-Bar Ceiling (Structural) & Monocoat
' 27. Frame and Flashing �
28. Lathing & Siding �
� 29. Insulation �
30. Drywall Nailing
31. �Plaster Brown Coat
32. �Electrical Power Meter-Final .
33. Final Electric ,
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 Irrigstion System
45. Sound Attenuation
46. Handicap Regulations � = ,
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed ,
49. Electric Release'to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY ' '
No. Date
►�1
. . � . POOL & SPA ,
Date Inspector - ,p,ppROVALS P �t# .Date Inspecmr
ermi
52. Pool & Equipment Location � �
53. Steel Reinforcement ' .
54. Forms_ . '
55. Electrical Bonding
56. �Rough Plumbing & Pressure Test
- 57. APPROVAL TO COVER�GUNITE
_ 58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, 0 Undrgrnd., Test
- 60: Backwash Lines, P-Trap, O Undrgrnd.
67. APPROVAL TO DECK �
62. Backwash & Receptor-Final.
63. Heater & Vent-Final
64. Plumbing System - Final
'65. Electrical-Final ' �
66. Solar� SYstem-Pinal �
� 67. Fencing & Access Approval
68. APPROVED FOR PLASTERING �
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Undergraund Hydro � �
71. Product Piping � Gas ❑ Oil �
72. Underground�Flush � �
73. Undergrnd. Storage Tank � Gas ❑ Oil .
74. Overhead Hydro
75. Dry Chemical �
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL -
HEALTH DEPT. REQUIREMENT
' 79. FINAL INSPECTION '
80. FOOD CERTIFICATE ISSUED
Notes: (a 2 7(�S- %�.[�7 (�iQ2D G�
9�//-��7 �-- ' � ,;, ,� _
0
I
r-.
� � ' �
, I
�
e
u�
CARPENTER, C,L.'
JOs ADDREss j�57 La
GENERAL CONTRACTOR
8-22-60
VALUE
PERMIT N0.
AP-Noll�(-lb1-14 LOT TRACT FIRE ZONE DESCRIPTION OF WOAK Add Kit.&�Aath t0
If ECTIONS {��A/ I oATE I GROUP I TYPEV ZONERIi Re�
SUBCONTRACTOR
OCCUPANCY
��i
Form 210-SM-11-59 5-B P . 1Z733
,� _ . - ��`733
��� '
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIRORNIA
For Applicanf io Fill In Compleiely
CALIFORNIA
�E�����6�
' TEL.
� O.
� /j EL.
F-t NO.
9di.i��G`��
�� �. �,.,._..
��AUG 2;'.196�
°'I�:, .';�_ -, .
r.���, n= ''� ;;'c!?
:,
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
RECEIM NO. Pe MIT .
2 3;
B D RECHIVE9 DAT6 189UC
�2Z-bnI � '�-.'-^�U
� O .� �V��'�"�/�
COSTA MESA. CALIFORNIA
ZONE � 1 NO.OP U6H OP NEW/L�
� PLANe BUILDING � �
TEI.. LeOwL //. �- �.
NO. DESCRIPiION 0
��� NO, OP BLDOB. � ` /
NOW ON LAT / A. P. NO. �� L
_ f1 � .".___ _."__
■ BHTBACK LINH FROM
DESCRIPTION OF WORK
OF
EXTERIOR WALL
COVERING
USE 4F�QIJy1NG AND
�CCNTLR LINE
e
1 HEREBY ACKNOWLEDGE TXAT 1 HAVE REAO TH18 APPLIGTION THE AMOUNT 6HOWN UNDER VALUATION 16 POR THE
AN� eTAT¢ THAT TME ABOVE IS CORRECT AND AGREE TO COM- pURP08E OP, EBTFBLI6HIN6 A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCEe AN� AiE LAWB REOU 21NG �
amLolNo CONBTR/UCI1911. � VALUATION �
SIGNATURE 06� r �J /% � PERMIT FEE $
PERMI u }'//� � � w
y /
$ / �� � / PLAN CHECK $ �
AUTHORIZED AGENT a �- 0
TOTAL FEE LL
otvN�.R CARP�DITER, C.L. "' MAH `' '�` DnTE 1�-24-61
JOB ADDRESS 38S La P2r12=1I,8ri2 � BUILDING PERMIT NO. 1I1335
P""*ERAL CONTRACTOR Owner-Bldr. VALUE § 1��•��
!oI�7- LOT TRACT FIAE ZONE DESCRIPTION OF P'ORK Ornamental 311
INSPECTIONS I DATE I GROIIP TYPF. 7.(1NF. RI1
SUBCONTRAGTOR
Bc :am
�, In Out j
, brown coat /
na FivM1�rac Final I
` �:"� :���s3J .
�„ -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 97'f COBTA MEBA. CALIPOIiNtA
For Applicant fo Fill In Complefely
TYPE OR PRINT �,
� COSTA MESA CALIFORNIA
■ MAIL
■ AI
STATE
LIC. NO. •
81ZE
OF LOT
USE OP
EXISTING BLDG.
BHTBACK LINB FROM
CENiER OP eTfieET
SIOE YARD ILEF7
DES�
r �
REPAIR I
BUILDING
SIZE
EXTBRIOR WALL
TEL.
NO, OP BlDG6.
PTIOM OF WORK
NO. OF
FEE �ECEI��.i7
C�'aPR z 4 �sst
FINANCE DEPT.
CITY OF L'OSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
R6LEIPT NO. PERMIT NO.
� ; � / `f � 3-s
BUILOING� �i �'�Jj� y,���
AODRESS ri-•—
� COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUPf
APPROVED � Iyt / � .'•�/Z,
BY /if�DATE
ZONING �
zorve� , / No. or use oP new
�,4/ �I I I PLAN9 7� BUILDINO �
f ~
DEBCRIPTION �� � a � . -�R U �`
i/
A. P. NO. � I� ��(�/' I�
YARDS EVES
APPROVED ALL�
fCENTeH LIN¢ 8TJ iii L
FRONT �� FT. �'
��
1 HER6BY ACKNOWLEOGE THAT i MAVE PEAD T1119 MPLIWTION
AND SiATe THAT THH ABOVE IB CORRECT RNO AGREE TO COM- THE AMOUNT BHOWN UNDER VALUATION IB FOH TH[
PURP08E OP, EBTABLIBHINO A PERMIi FEE ONLY.
PLY WITX ALL CITY OADINANCE AND 6TAT6 LA EGULATING
Bu1tDINo CONeTRu VALUATION r
SIGNATURE �- ,�) PERMIT FEE $ �X • ��
PERMITTE / �� �
' $ / s�� PLAN CHECK $
AUTHORIZED AGENT - �T R-Q
rnru eee c
F
�
�
G.
a
M
h
S
F
�
7
L�
.�
Q
�
r
a
a
w
a
�
�i
1
z
W
.T.
3
�'. �• � , ��68�3J
COSTq MESA BUILDING-SAFETY DEPARTMENT
P.O. 60X 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING lJ� % � ]��rl` L�-�e
ADDRESS jl L— Y
'OWNER �4 eNe W. rveK b,,y,.�l
ADDRESS D�/ /r R �(�/�' ` I // "
TEL.
CITV NO.
CANSTRUC,`710N '—
LENDER
BRANCH
ADDRESS
ARCHITECT .� TEL.
OR ENGIN�Efl NO.
ADDRESS
rnnirraenrno // WY/tw. / �tl��
AODRESS
TEL.
CITV � NO. . -
STATE ,_ CITY
LIC. NO. LIC. NO.
SIZE � NO.OF BLDGS. t
OF LOT �O �( � a � �- `% NOW ON LOT (
/ /�
USEOF �Q�) ��.T l/
EXI5iING 9LDG.
Separate permits are required for
electric, plumbing and heating work. .
U�B�UIf�DIf�� ND W�K_T�9E PERFi OR:�D_
X�4. C/�J�lCt� l�Pili-...._�
� % �r' �C�
R
BUILOING
ADDRESS 2
TRACT
6931 ID/i377B 21.50 ,TL
"-- - ' n I/ i
niy�
FOR STRUCTURAL PERMIT 1�
DATE RECEIVED nGTF ISSUED
---- oare U �
)NE NO.OF USE OF NEW
Q PViKS 2 BUILDING
VARDSAPPFOVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDIN
ROM GL STREET�.
REAR V
DISiANCE BET.
MAIN BLD('aS.
VAR. �
I heraby ecknowled0e thet I have reatl this application and state
that the ebove information is corract and agrea to comply with
all laws r¢gulating builtling consttuction, antl I shall not employ
any person in violation of the workman's compensation laws ot
the State pf California.
I he�eby certify that I am properly licensed as a contracto� untler O S(
the State of California Businass and Professions Code, Dlvlsion 3, THE AMOU
Chapter 9, antl that such Iicenses are in full force and�effect, or I THE PURPpE
am exempt from the provisions of the State of Calltornia Buslnecs VALUATION
antl Professions tle, Division 3, Chapter 9.
Signature bf /� /j^'J�
Permittee �� � $ ,�' �
Authorizetl ABent. _ �/f"�`�� � (,s J /' (J (
BET. MAIN &
�
n
m
i
m
m
N
JN U ALUATION IS FOR m
'ABL PERMIT FEE ONLV � "
e
PE FE `�
N
m
PLAN CHECK $ "�
0
TAX § LL
f
/ u
TOTALPAID E