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Home My WebLink About453 LENWOOD CIR - Building Permits� �I � UNIT: � owNExsxanie: MATHEW S_ ^INDY BENESCH noosEss: 953 �ENW�D CIR ^ •� ._� COSTA'NESA,CA 92627 � 646-9433 AflCHIENGINEEH: , NEG.NO.: � AOOflE55: I1NIT: PENMITTEE: HENESCH CONSTRUCTION ( 714 ) 640-7456 ADDflESS: 16F1S PLACENTIA AV COSTA MESA CA 92627 LICENSEU CONTPFCTOfl OECLAflATION: I hereby aflirm that I am licensetl unaer provisions oi C�apter 9(commencing with Section 7000) of Oimsion 3 0l Ihe Business antl Pmlessions Cotle. ana my license is in �ull torce and eflecl. uTruc.: 025386 sTnreuc.:354055 cu��ss: �B,�� ' Da�e: � �� Signamre: �'�%�� `^""�z�' WOflNEBS' COMPENSATION OECLAl1ATI0N: I herehy aifirm �� I �ave a cetlificate of wnsem m sell-insure ar a cenilicaie o� Workers' Compensalion Insurance, or a certi�ietl copy Ihereo� (Seciion 38W. Lab. C�. POLICY NO.: E%P. DATE: 'OMPANY: , Cerlitied coOY is hereby furnis�etl. ❑ Cetli�ietl topy is �iletl wi�� Ihe ciiy BuilEing �ivision. [; I Date', ApDlicant: E%EMPTION FflDM WOHREBS' COMPENSATION DECIAPPTION: (This section neM noi be completea i� �he permii i5 �or one hundretl �E700) or less�. I cetlify Ihat in Ihe pedormance ol �he work for which ihis permi� is i55ued. I shall no� employ any pers0 � n any manner 5o a5 io become subjecl m ihe Workers' Campensation Laws ol Calilomia. _,,' Daie: � �� Signalure: '� r NOTICE: II. a�ter making �his tleclara�ion, you shoula be � e 5 c� to th Workers' Compensafion�provisions af �he Labor Code, you mus� �ohAwilh comply wi�� such provisions or �his permii shall �e deemed revokea. ' CONSTBUCTION IENDING PGENCY: I hereby affirm lhal Ihere is a consVuclion lentling agency for lh pe�ormance of ��e work tor whith Ihis permii is i55ue0 �Setlion 3097. Civ. C�. �' LENOEfl: • nooness: OWNEB BUILOEB DECLRflRTION: I here6y afiirm �ha� I am exemp� imm the Coniractors' Stale License Law lor ihe follovnng reason �Seciion 70315 Business and Pro�essional Cotle'. Nny ciry o� coumy which requires a permi� to cons�mc�, alter, impmve, demolish, or �¢Oair any simcture, priorto its issuance. also requires ihe applicant for such permit ta file a signeU statement t�at Ae/she is Iicense0 pursuam Io Ihe provisions o� I�e Con�ractors' S�ale License Law (Chap�er 9(commeuing wi�� Seciion 7000) ol �ivision 3 ot ihe Business anA Pm1e55ion5 Code) Or �hai �e/S�e is eKempt ther¢trom and Ne ba5is �Or tAe allegeA eK¢mption. Any violalion o� 5¢C�ion 7031.5 by any apDlicanl for a permii sublecis the applicanl to a civil penalry o� not more �han five hunOretl Aolla�s ($500). I. as owner ol the pmpetly or my employees wi�h wages as Iheir sole compensation, wi0 Jo �he work, anJ �he ❑ stmcWre is nol intentletl or offeretl for sale (Sec�ion 7044, Business antl Professional Cotle: The Contracl0r5' Siate Licens¢ Law tlo¢5 noi apply �o an owner 0� a D�ope�y w�0 buiids 0� impwves Ihereon, antl who tloes Suth work �im5elf/hersel� or ��roUgh his ar her own employees, pmvided Ihat such impmvemenis are not inten0ed or oftere0 for sale. If, however ihe builtling or improvemem is solA wilhin one year ol completioq t�e owner will have �he hurden o� pmving he/she di0 not builtl or impmve for Ihe ourpose oi sale). I, as owner of ihe pwpeny, am ezcWsively contracling with licensetl coniractors to conslNcl the prolect (Section 7044, Business ❑ and Pmiessions CoOe: The Comracmrs' State License Law Ooes not apply to an owner of Dwperty who builOs or improves ihereon antl who coniradsfor sucn pmiects with a contracrorls)license pursuantto the Coniractors' State License Law). I am aware ihal pwol ol Iheir Worker's ComDensation insurance shoWU De D�ovide0 to me. - � I am exemp� under Semion: B. & P. C. lor ihis reason: ' Date: Owner; I Ao Aereby ceniry ��at I am aware ol antl untlerstantl Ihe reQuiremenis o� Calitomia Health antl Safery Cotle Sections 25505, 25533, ana 25534 antl Ihal I or any IWure builtling occupant will/will nol (circle one) need Io comply wi�h SaiA state cotles an01�e requiremen�s br a permil lor constmction or motlifica�ion �mm Ihe Air Ouahry Managemem Disirici. ResiAeniial conslmciion aDPlicalions are exemp� imm Ihese pmvisions � �ate: ApplicanL ' ' I hereby cerlily Ihal I have reaa ��is applica�ion antl siate Ihat the abave intorma�ion is correc�. I agree �a compty with all ci�y antl counry ortlinances antl s�atelaws relaling�o Dudding con5lruciion antl �ereby au�hor¢e represen�aliveso�ihis cilyioenleruponihe ahove�mentionetl pmperty for inspeclion purposes. .. � Daie: '� � � � Signamm G'��'6-°^�-��A^'1'>'�'� oriver's license or Sociai Secuntv x: 164�-46 W�ite—Bmltling�, Green—CoEe EnlorcemenC Canary—Appllcanf, Pink—Revenue', GalCenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT , PERMIT NO; P 063515 PLAN CHECK NO: N , , CONSTRUCTION TYPE: V-N PERMIT TYPE; PLU - PURPOSE: OTH JOB DESCRIPTZON ; ADD 6 REMODEL SFD SQ FT: CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 / *�*****�*��D**��r*****�D*****D�r****H*��*��r��****�*�+�e*�**�r****�+�e***�D�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; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARICING REQ• PROV; PARCEL: 42515228 ZNE; REF NO; PLANNING NiSI'ES> � / if �f if �f if �f 1k if if if 1F �f iE if iF 1f if it iFiF if it if 3k if if if if �k if ak iF�f it if if �t if ikiif iF i! if ik ik �E �F.if iF ikif iFif k 1E �f if �kif iF 1E if if �f iF 1f �F k it ik iF if if iF if itit iF iF D E V.'E L O P M E N T S E R V�S C E S•� R E Q U I R E M E N T S 20NING APPROVED BY '� ��i DATE; `' :�' BUILDING APPROVED BY ; � DATE: APPLICATION ISSUED BY; ��: DATE: ��r13 iFMk kikikiF�liE�t�F3tiEiEiE�fiE�fiFiFlfiE�fiF3FiFiF3FiE�FiFiFifif�F'iFiF'�iFiF�FiFif�if�iFiF�IEiE�flk�kif�tlEifik�3FiFiFiE3F if ik if k k �F i! �f k �f ff if iE af if if k if it k iFik k 1F k 1F ik ff if ikik k ikik iE±E �Eif ik i6 iF M ik 1k iF if ik kiF it �f ff iF if iF �f �k 1f iE if iF �kit �f �E �k 1F �f iE �f �t iE iE iF ik �f if iF �f LEGALIZATION;N F E E StU M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 6B 00 15S SMIP/NON-RES PLAN ISSUE FEE 20,00 BUZLDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 68.00 20.00 0,00 88,00 88,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 88,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 88,�� 1E ilit it iE i! if if if if iE if iE if 1E if if ik iF �1F ik k!f if ik if it if iF it iF �)f if if iF if iF 1E if iF iF iF iF i! if iF iF if if if if i! 3F if iE i! if �F iF iF iF if iF it iF if if iF ik ik �lF if i! ik # if ik if �IF I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU PLU PLU ' gLu PLU PLU PLD PLU 1 1 1 1 1 1 2 1 1 BATHTUB � DISHWASHER SHOWER SINR, RITCHEN WASH BASIN WASH BASIN (SET) WATER CLOSET (TOILET) WATER HEATER AND/OR VENT GAS PIPING SYS OF 1'TO 9 OUTI:ETS END OF FEES 7,00 7;00 7.00" - 7.00 . ..7.�� ' . .. . �.0� 7,00 - 7,00 7,00 ' ' 7,'00 7.00 14.00 % , � � % , � � 5.00 5,00 oi oA145�84-001450a4 T rJ T . gg,pr� DATE: Q3l.1'•/?3 7:ME: 16�IU i � y. �, � CONSTRUCTION AND PLANNING . � P0, . SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Servece or Pole 52. Pool & Equipment Location I2. Soil Pipe�Undrgmd. _ 53. Steel Reinforcement . - � '3. Eiectc�cat Conduii Utftity-tJndrgmd. 54. �Focros �'�;Efectrical Conduit-l�ndrgmd. � 55. Electriwl Bonding � 5.�Steel'Reinforceme� 56. Rough Plumbing & Pressure Test "' •��Hectrical UFE�%Gr,�d. v � � 57. APPROVAL TO COVER-GUNITE ' �7 600tings � � 58. Electrical Co�duit-Undrgrnd. s� a `B.�Foundation '�,� ' , _ 59. Gas Pipe, O Undrgrnd., Test :^�9� Water Pipe�Undrqrnd. - 60. Backwash Lines, P-Trap, O Undrgmd. c I�EJ. Structura� Floo'r SYstem � 61. APPROVAL TO DECK .. �1•l. P,roperty Sewer Lin1 & House Connettion 62. Backwash & Receptor-Final 12. $ewer Cap ,y 63. Heater & VenrFinai . 73. Roof Drains %^ . 64. �Plumbing System - Final 14. Rough Plumbtng � a'i�1� �� 65. Electrical-Final 15. Rough Electriqal-Conduit . - 66. Solai System-Fina� I 16. flough ElectricWi�ing � 67. Fencing & Access ApProval s• 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL I 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ I .. . . �: _ . _. _ -. 7 J •� -s- _ _ _' JaCC_ 20r RoD9h ��actory Ficeplace � t�n� d M C �.x •. , 7qppROVAL'S.. � Pevmit # -"" c" � S '� �r :. S w � •• > L 3' ^' .!�--�- 'J � 27 y0u��ts. in Stsuct�iiet .. .. � � � ; ; Y ;. ; 70. �Undi9`rourtd Hvdro . �r I 22. Dacts,.V.enlilating �- � ::S x , � �LY 4;:77, Produc� 'ping O'6as OOiI + 23iGas,Pi e-Rou h �i�Tesi ' '� �' '�'*"� '^ ' ' ' : ;� P 9 n , �_ns f'+7 .� ;�z a-. 72. Undergroand Fru;h 24; Rovf Fiaming `, •. < <-a- -r�Y � � ^ _ ' x u , ; 73U Undergrrid. Storage Tank-O Gas ❑ Oit-' '- -'�+� - 25. Rotlf S athin ` OJ x r. �r± _�J �� ..: ; v - . � 9 y_ K ,� ., �� ' _-,;> �; � 74 � Overhead Hydro � - . 26.�T-Bar Ceiling (St7ucturaq &�iNonocoat �u ' !a � • 75"; Dry Chemical � -- �- �7�'. • :s.3 :f - .. .T ... 2T.-Frameand Flashin� �e - � ..,, � .��;_ y 78 Dry StandP�'pe � �a. . "' w,=�:c;cs�_ << �'• ,28.'La�in`g,&Siding ... `_rj; �� as; 77- FIXEDSYSTEM`FfNAL y ='�'= 's"^�� r -m 29. Insulation •n�" ..�.. _ 7' � k; � 78::E�RE PjtEV. FINAL � � ��: �_�_i��;t - , .. � ' ... �. :-30. Drywaf4;Nailing �. � z. �: x -_� V�M,EALTH DEPT. REQUIREMENI� � tr,;� � =- ��•� - ' 31. Plaster�rown Coa�. t '�,,, i �` �T; �. 79? FINAL''I[�LS�PECTIDN -' � �'; ` _" 32r Electrical Powerjvl�eter-Final '' 4 V � � �- ,. :•80. FOOD CERTIFiCRTE ISSUED' -,,,, � �,•33�zFinal Erectric r� ' � �'� ' k r"(�IOteS: "�; x r�� r I � 34-. Fi�31 Heatin� &;Air Conditior�ing �^ F ^ 1 i �:: .� :� ` �''t' •- ' -• ; r v ;. _ � 35rFinal Gas Pi e Test� •'/ i � C � �, P x � /y�,� � �`r! -rC ,a � �� . I �38.'Ho`5�'d or Canopy . �. � �'R � � ?-;o �tr _ i - -�37:'Finel Factory FiFr'ePlace, ;�;T ^, _'T I j� �'': � s `,;� "38. FinalPlumbing� ..F� � .•.. ` ,�/l� J ��,�i.. S : i. a {- - - ' �! �; 39. Water Service-Finai � ' x � � �� " �� • ^� � � � „v�t � '.• - - "40. Gas Service-FinaL Y r E, ,;• `, _, - :; ' ;� t c' I j _ -.a , , Y: 4 ' � 41. Solar pomeeticEinah •• • _. � � - Y ^ i � : - �.s � 42:�Backflow Preventej' �- '' �. :� � � � .f '.� � . .' . 43. Backflow Irr.iga{ion c�5 i , • - •s' ' 1-:-� .- •-= !. �� .•• r._ .... y44. Landsca elrri ationS stem,�� ` - � •� s "'"�=.='�`."' P 9 Y 1' :,. �" i N ��' . O:.-:�. _..p00 � 45��Sound 'AtteDua[ion �tK; i� : - - F+ . � _ � _ ",r - � � �.s� n r�•^ J, .��-, �46;"Handicap Reg�lali�ns _ �' ` �� _ - _ � ��47.,FINALSTRUCT_U�E&BU7LDING� -�+. � + I'', y Y . •.0 ti � 48,�-FIjfAL PLP;NNIt�� ; �- T �'� � % _n . ' . ,, � � ..t; :. �49=Elac[ric Release�to�Edison i � ��'� � � ' � • . �i. xi, f � 50 .Gas. Release to Southem Cafifornia Gas Co F ' I N p , ' �_ - . . :� t ` .` •` •' ' .".' -'. ;51. CERTIFICATEOFyOCCUPANCY :: Y ; ,=, :�� - �� ._ -._ "" No. Date r-- �I 41'RVVnCJd: OWNEfl'S NAME: 4 S 3 LENWOOD CI aooeess: �ATHEW & CINDY HENESCH 453 iENWOOD CIR COS?A MESA,CA 92627 ANCHIENGINEEP: 6 4 6— 9 i 3 3 qEG.NO.: ROUPESS: UNI1: UNIT: PEHMITTEE: aooness: PA7B3RNEWTONR�Y ( 714 ) 548-9457 r(�cTp N � LICENSEO CONTqpCT01i bFCIAflATION �FY�re6y afiirm Ihat I am licensea untleCr pvisi ns o Ch' pler 9 �commencing wi�A Section 7000) ol �ir�sion 3 0� �he Business antl Pro�essions Cotle, antl my I¢ense is in full lorce an0 efle . CITY LIC.: STRTE IIC.: C S: 039.02 477902 C �ale'. Signamre: WOflNEflS' COM ATIO OE NATION: I hereby aftirm �hat I have a rUlic f consent to selbinsure or a certiticate oi Workers' Compensa�ion Insurance, or a cetlifieG copY �hereo� (Seciion 3800, a6. POLICY NO.: EXP. OR : COMPANY: � Cetlilietl copy is herehy �umishetl. ❑ Cehitietl capY is �iietl with Ihe city Building Oivision. Oa�e: Applican�: _ E%EMPTION FpOM WOflNEB3' LOMPENSATION DECIAIiATI�N: (This I ceriily I�al in t�e pedormance of Ihe work for which �his permit i sub�etl to I�e Worke ' Compensa2lion Laws of Califomia. oate'. � / SignaNre: _ NOTILE:II. aR r making this Aeclara�ion. you shoultl �econ Coae. yau musi fort�wil� complY with such provisions or �I CONSTflOCTION LENUING AGENCY: I hereby aliirm ��at Ihere which �hig permi� is issuaa (Sec�ion 3097, Giv. C). , LENOEN: ROOPESS: no� empryy any person in any manner so Io t�e Workers' Campen5aiion pmvisions ot �Ae La�or Shall be OeemeU revoketl. mciion lending agency for Ihe pedormance of the work �or OWNEP BOILOEB UECLABATION: I hereby allirm ��ai I am exemp� �wm �he COnirat�ors' State License Law for ihe followinA reason (Section 7031.5 Business antl Pmfessional Cotle: Pny ciry o� Coun�y which requires a permit lo cOnstmc�, alf¢r, impmve, demolish, or repair any s�mcWre. prior lo i�s issuance, also repuires �he apDlicant lor such permil ta tile a signed statement ihat he/sAe is licensea pursuam m the pmvisions ol the ConVaclors' S�a�e License Law (ChaD�er 9(commencing wiih Section 7000) of Oivision 3 0l �he Business an0 Professions Code) or �hal he/she is eremp� there�mm antl Ihe �asis �or the allegeA exemp�ion. Any violation ol Section 7031.5 by any appliCan�for a Oermi� 5u6jeCi5 Ihe applican� m a civil penally oi no� more than �ive hundre0 dollars ($500). '� I, as owner oi Ihe proDertV or my employees wi�h wages as �heir sole compensa�ion, will do ihe' work, and Ihe ❑ SINC�YfCi5110�1I1�COd¢tl Of0�1Cf¢d IOfSdIC ($¢Lt10117�4, Bp5111¢55 dlltl PfO�¢$$101131CODC: ThQ �.011�fd[IOfS $l3IC LICCIIS¢ LdW does not apP�Y �o an owner ol a pwperty who builds or improves t�ereon, an0 who tloes such work �imsel�/hersel� or �hmugh �is or her own employees, provi4e0 t�at such impmvemenis are not inlendetl or oflere0 for sale_ If, however the builtling or improvemenl is sotd wilhin one year of comple�ioq the owner will have Ihe burtlen of pmving he/she tli0 no� bui10 or improve for ihe purpose of sale). I, as owner o� Ihe pmp¢tly, am exclusivety con�racling with.licensetl conlractors to construc� �he pwject (Section 7044, Business �❑ antl Pmlessims CoCe: The Comraciors' S�ate Licenu Law Ooes not apply lo an owner of O�opehy who builas or impmves Ihereon antl who conlracis Ior Suth pr01e��5 with a tOn�raCi0r�5) licen5e purSUanl �o �he Con�raCbrs' Slate License Law). I am aware Ihat pmoi o� I�eir Worker's Compensation insurance 5hoW4 �e prouidetl to me. � I am exemp� untler Section: B. 8 P. C. for �his reason: Date: Owner I Do here6y certity thai I am aware of and �ntlerstantl ihe requiremen�s ol Calibrnia Healih and Safe�y Cotle $ec�ions 25505, 25533, ana 2553a antl �ha� I or any �Nure building occupam will/will nal (circle one) need to comply with said slale co0e5 and �he reQuiremen�s for a permit �or c�ns�mclion or moAiticalion �mm t�e Air Ouali�y Management Oislrict. Resid¢n�ial consfmction applications are exemp� �mm these pmvisions. Date: Applicani' I hereby cerlify I�ai I �ave read �his applica�mn an� slaie t�at ihe a ortlmances antl Slaie laws relaling to �uilding conslmdion ana hereby pwperty fo/� �inspeqi n purposes. ]�— -4 oate: v � Signature: �river's License or Social Securiiy @: *� to comply vn�h alt ciiy antl counry to enteruponthe above�mentione0 1641-46 Wh�te—Buildmq: Green—Cotle EnlorcemenC Canary—Applicant: Pmk—Revanue: Goleenro0—qssessor CITY OF COSTA MESA - BUILUING PERMIT PERM Nv: E 053396 PERMIT N0: E 063396 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTIOU : ADD 6 REMODEL SFD SQ FT: CLAIM C�ALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: ADD TO 6 REMODEL SFD / RE: B6Z724 iE iE iF iF �IE if iE 1E iE it iE 3f iE if iE 1E �IE iE !E if iE iE �E �lE if iE iF �lE �)f iE iE iE iF iE iElE jE # 3t iF it �1F if iE i(� iE 3E 3F iE iFiF it i! 1E iE iE!(� �)f iE i(� iF 1E iElf iE ft # lF itlE it ie if 1h i4 iF ir iE iF Z O N I N G R E Q U I R E M E N T S sErsacxs ------------ MAIN BUILDZNG ---------- --------- ACCESS'ORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REt1R; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT T_N PARKING REQ• PROV: PARCEL; 42515228 ZNE; REF NO: PLANNING NC7TES> _ > - *�x�**��**+�*�****�r**�r�r*x��rxx**+rx�r*x��*�x�xx��xx�u**xx*x+�***�r**��u�t�x+�x x x�i�*��t**�rx•�r��r�+� 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 �.l I7ATE: HUILDING APPROVcD BY : � _ DATE: APPLICATION ISSUED BY • ° t . 9�t �-+�� 6 DATE; $ 3 iE�1F�fiEiEiE±EiEiEiEifiEiFiEiEihitiEifitiFiE�t"Fx�iF�rx rlFi�rir ��> >r�r f f •�r efr , efi��F'�3€�iEiEiE�lE�E3Fif3EiEAf. .. �x-x xyrfr ikiE if3E3Elf3EiEifkiFiFiEildEiE�E�kitiPikiE3E�tiEiEltfEiFlkiEiElEiEi�iEir iElEiEiEiElEifiEiFiFiF � �iFiEiE�E1EiE�16ffiEiEjEififitikiE*iEiEifitifiFlkiP#if�EiE1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAI. 5EGMENT:N BLDG PMT PLUMBING ELECTRiC MECAANIC FiRE SMIP/RES GRADItiG PERMIT 33,00 SOR SMIP/NON-RES PLAN ISSUE cEE 15.00 HUILDZNG-DIV-> PERMIT ISSUE PLAN-CAECK TOTAL PAID DCiE TOTALS----> 33,00 15,00 0.00 48,00 98,00 .00 REVENUE DIVISION TOTALS--> COLiECTED: 48.00 OVER/SHORT: .00 BLDG PNT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN-CHECK 48_00 -lE IF iE iE !(� iE iE 1F if if if 1f �If �3E IE if fF if !E iElE iE �1f iE iF iE iF �If iE iElF iE i(-iF �)f �K�lf if ik if ik iF iElt iE ik iElE 1E 1Elf iE 1F if # 3E iE iE iF iElE iE iE-1F iE if� i! #f iE iFlE iF �(� if i(� if 1ElflF 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 TOTAi, COST ELE 19 FSXTURES LIGHTING 1 ST 20 EA. HLE 20 RECEPT/Of]TLET i ST 20 EA, ELE 10 RECEPT/SWITCH 1 ST 20 Ea. END OF FEES �'� ,75 10.50 ,75 15,00 .75 7,50 �1 G0144479-OOI44479 T OT 48,fl0 DASE: OEi04/S3 TIME: ib:13 CONSTRUCTION ANDPLANNING APPROVALS Permit # �1. Temporary EleCtrical Service or Pole .7 I2. Soli Pipe�Undrgrnd. _� 3. E�ectrical Conduit Utility-Undcgrnd. 4. Electrical Condait�Undrgrnd. , _ � 5. Steel Reinforcement I6. Electrical UFER Grnd. �7. Footings I 8. Founda[ion - 9. Water Pipe-Undrgrnd. 10. Struct�rel Floo� System . _ 11. Property Sewer Line & House.f�onnection 72. Sewer Cap �' 13. Roof Drains _ ..;, , 14. Rough Plumbin9 15. Rough Electrical-Conduit 16. Rough Electric Wiring 77. Rough Wiring $ign t8. Rough Electricsl-T Bar Ceiling . 19. Rough Heating & Air Condi:ioning 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 (5tructural) & Monocoat 27. Frame and Fiashing 28. Lathing & Siding , 29. Insulation 30. Drywall Nailing 31. Plaster Brown. Coat 32. Electricai Power Meter-Final 33. Final Electric . 34. Finaf Heating & Air Conditioning 35. Final Gas Pipe-Test. 36. Hood or CanopY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�F�nal 40. Gas Service-Final 47. Solar pomestio-Final •� 42. Backflow Prevanter 43. Backflow Irrigetion 44. Landscape Irrigation System 45. Sound A[tenuation 46. Handiwp Regulations 47,. FINAL STRUCTURE & BUILDING 48, FINAL PLANNING 49. Elec[ric Release to Edison 50. Gas Release to Southern California Gas C 51. CERTIFICATE OF OCCUPANCY Date Date Inspector � � 1 � � � � POl SPA APPROVALS Permit# 52. Pooi & Equipment-Location � 53. Steel Reinforcement 54. Forms 55. Electricai Bonding 56. Rough Piumbing & Pressure Test . 57. APPROVALTOCOVER-GUNITE 58. Electrical Conduit-Undr9rnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-TraR, � Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor�Final 63. Heater & Vent�Final 64. Piumbing System - Final 65. Electrical-Final 66. Solar SYsterr-Final 67. � Fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. POOI(SPASYSTEMSFINAI �� FIRE DEPT: REQUIREMENT APPROVALS ' 'Permit # '70. Underground�Fiydro 77. Product Piping OGas OOiI i 72. Underground.Flush • 73. Undergmd. Srorage Tank rJ Gas ❑ Oil - �74. Overhead FlYdro � 75. Dry Chemical 76. Dry Standpipe � � 77. FIXED SYSTEM FINAL 78. FIRE PREV. FIIVAL � HEALTH DEPT. REQUIREIVtENT 79. FINAL INSPECTION . 80. FOOD CEftTIFICATE ISSUED Notes: . . , . 9 Date � Inspector 6 O1ECT�ROOflESS: 4 S 3 L ENWOOD C I OWNEB'SNpME:MATHEW & CINDY BENESCH aooeess:453 LENWOOD CIR COSTA MESA,CA _ 92627 nncxieNcixeen: 6 4 6- 9 4 3 3 pODflESS: flEG.NO.: UNI�r (D I1NIT: PEflMITTEE: Bt.NESCH CONSTRUC'CION ( 714 ) 640-7456 aooeess: 1665 PLACENTIA AV COSTA MESA CA 92627 LICENSEO CONTNACTOX OECtABFTION: I hereby afhrm ihai I am licensea untler pmvisions ol Chapter 9(commencing with Seciidn 7000) ol �ivision 3 0l Ihe Business an0 Pmfessions Cotle. antl my license is in full lorce and e��ecL . ciTvuc.:025386 sTnrEuc.�54055 cuss: — Oale: � ` Z3 � �3 SignaWre:_ WOflNEflS' COMPENSATION OECLABRTION: I hereby affirm Ih I avi ceni�icate ol onsen insure or a certilicale ot Workers' Compensalion Insurance. or a cerliliea copy I�ereo� (Sedion 3 . La�. C). POLICY NO.: E%P. DRTE:� COMPPNY: � Ceriilietl copy is hereby �umi5he0. ❑ Certihe� copy is tiled wiih �he ciry Building �ivision. oale: Applicant ESEMPTION FpOM WOBREflS' COMPENSIITION OECUMTION: �This seclion neeA noI be complele4il � ii1 is far ane haMrea (S Olq or le ). I cenify Ihai in ��e pedormance o� Ne work for w�ich ihis permi� is issuetl, I shall not employ abq 5 in any manR r so as o become sublect Io t�e Workers' Compensalion Laws of Caltlomia. -� Oale: � � L3 ' 9� Signamre: = N NOTICE: If, afier making Ihis tleclaralion, you should beco ubje o Ihe Workers' Compensation provisions o� e Labor Coda you must forlhwilh comply with such pravisions ort� permi� shall be aeemeC revoked. � CONSTflUCTION LENDING FGENCY: I nereby aflirm �nal there is a construction lending agency lor Ihe performance of Ihe work for . which Ihis permil is issue� (Seclion 3097. Gv. C). LENOEfl: aooxess: OWNER BUILDEB �ELUNATION: I hereby a��irm I�al I am exemp� Imm the Conirac�ors' Siate License Law �or �he tollowing re M (Seciian 7031.5 Business antl Pmfessional Code: Nny ciry oi counry w�ich requires a permi� to cons�mct. aller, improve. Oemolish or re0air any slmc�ure. prior to its issuance. also requires Ihe apPlican� br such permit �o lile a signetl statement thal he/s�e is licen a pursuani lo I�e pmvisians a� Ihe Comramors' Siale License Law (Chapter 9(commencing with Section 7000) oi Division 3 of �he Busine an� Pwfessons Cotle) or tha� helshe is exempi Iherelrom antl ihe basis lor ��e allegetl exemption. Any uiola�ion o� Section 7031.5 b any applicantlor a permi� subjecis ��e applicanl �o a civil penal�y o� not more I�an �ive huntlrea dollars �$500). I. as owner ol �he pw0erty oi my employees vnih wag¢5 as ��eir sole compensa�ion, will Oo Ihe work. an0 �he ❑ simcture is noi intentletl oroileretl forsale (Section 7044. Business antl Pm�eSsionalCotle: The Contraclors' S�ate License Law OoeS n0� aDPty t0 an owner ol a OmDeny who Uuilas Ot improve5 �hereon, antl w�o tlo¢5 5uch wOM himsel�/hersel� or thmug� his or her own employees. Dmvide0 t�at such impmvemenis are not intentled or offeretl far sale. If, �owever t�e builaing or imOrovemen� is soltl within one year of comple�ion, Ihe owner will have ihe 6ur0en ol pmving he/s�e Oitl not builtl or impmue fo� Ihe purpose o� sale�. I, as owner ol l�e pmperty. am exclusively conirac�ing with Iicense0 conlractors m constmtl Ihe D�olect (Seclion 704a, Business ❑ antl Pwlessions Coae: The Contractors S�a�e License Law Ooes no� appty to an owner ot pmpeM who builtls or impmves ��ereon and who cantrac�s �ar such pmlects wi�h a conlracior�s) license Dursuant �o ihe Conlraciors' State License Law). I am aware ihat pwol af Iheir Worker's Compensa�ion insurance shoulU be pmvitletl to me. � I am e�empi under Sec�ion: 8. 8 P. C. tor lnis reason: oate�. Ownec I tlo here�y cendy Ihat I am aware ol antl untlers�antl Ihe reQuiremenis of Cali�omia Heal�h antl Sa�ery Code Seciions 25505. 25533, an0 25594 anU I�at I or any IUNre builtling occupanl will/will no� (circle one) neeU to comply wi�h saitl state co0es antl �he requiremen�s �or a permii lor constmction ar mo0ificalion imm ihe Nir Oualily Management DiSirict. NeSiUential con5imc�ion apPlications are eKempt �mm mese piovisions. ' �aie: Applicanl', I here6y wtlitylM1al I have reaU Ihis applicali0n and Stale�halihe aboveinfOrma�ion is correcL I agreeto tomply with all Cily and tounry ortlinances and Stalelawsrelaling�o builemg consimc�ion an� hereby aulhorizerepresentalives o�ihis cily�a enteruDanthe above�meniianetl properiy for inspectian purposes. �aie'. �O Z� 4� SignaWre: �4"'� �' — "'^ "t Drlvcr 5 Llcense or Sociel Securily i64La6 Whae.-9mltling�, Gmen—Cotle EnlorcemenL Canary—Applicanl; Pmk—Revenue: Goltlenmtl—Assessor CITY OF COSTA MESA - BUILDING PEkMIT PERMIT NO; H 062724 PLAN CHECK NO; 01868-93 L PERM NO; B 062724 GOVT; N SUPP: N CONSTRUCTION TYPE; V-N PERMIT TYPE; STR PURPOSE: ADD JOB DESCRIPTION ; ADD 6 REMODEL 5FD cBQJ� /��'() SQ FT: 13, 394 d-b w i w b�t�"r- CLAIM VALUE: 15,000,00 CALC-VALUE: � 15,000,00 GROUP OCC: R-3 / COMMENTS; ADD TO & REMOAEL SFD ��q.'i'�� ,r�o ov.�� ci�t. .,,� itit�9�.rL—^ x**�**x�+e*��****��****�+ta��***x�r*�* *��**+�**x*�r*�x� **�r x� * � Z O N I N GS ERTEB�A�JCIKRSE M E N T S ��*�� ' ��Q��F�� ------------ MAIN HUILDZNG ---------- --------- ACCESSORY HUILD --------- FRNT; 20.FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT; 10 FT IN RGHT; 19 FT IN LEFT; FT IN kGHT; FT IN PARKING REp • PROV: PARCEL; 42515228 ZNE; R1 REF NO; PLANNING N(iTES> 22 SQ, FT', AUDITION OF BATHROOM AREA IN FRONT OF EX, RES, �>. ALSO 2;' PROJ, OF HAY WINDOW INTO FRONT SETBACK, '" �r**�r�**x*�r**+�'ir**��*x�*x �+E****��r*x�***�t*�x fr�tx*� �� *****��**�*� **��rx�*'*i�**�**�** 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 'LONING APPROVED� BY :" SC � DA'1'E; � i �%-3 BUILDING APPROVED BY :' � C DATE� `6 3 r'. f • ii .. APPLICATION ISSUED BY;' �'Sc�� DATE: '�`. �--.3 3 1EIE1E1fif1flFifiEiEiEiFlhik'1t�tiFiEkiflFiE�FiF3F� 7Fif 7FiF'Fi i'6FiF3Fif7f 7f if7F�iFiFiF�Fi�3FiF1FiEil��EitiFlF�lEif - 7FiF i! iEiE IE iE i! 3f iE IE iE ik iF iE jE iE iE 3F 3F iE 1E jFi! if if iE iE IF iE 1F iE jf if iE iE �F iE if k ik K� if ihiF if jF 3f }f it iF if.iE j! �E-7! iF1f iFiE iE ik it iF iE iF iEi! iE iF iF.iE iE iF fE iF iFiF N- iE dk LEGALIZATION;N F E E S�U,M�M A R Y' STRUC7'URA�I, SEGMENT;Y � '`r. �: . - ' �. BLDG PMT PLUMBING ELECTRZC MEQHANIC - ;FIRB��JSMIP/RES GRADING PERMIT 162 , 00 ' � • ' ,.- ,, % 1 . 50 ;-, % SMIP/NON-RES PLAN 105.30 � ISSUE FEE `' _ .} BUILDING-DIV-> PERMIT ISSUE PLAN��CHECK �TOTAL: � PAZD DUE TOTALS----> 163,50 0,00 ' 105,3'0 �, 268,80 "r 26A,80 ,00 REVENUE DIVISION TOTALS--> COLLECTED; ��l 163,50 OVER�/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC �, FIkE SMIP,./TOT. GRADING PLAN-CHECK 162. 00 ,� ., . , ;d . �0�,', iF ik k ik it iE 1E it 1E if 1E if iE 1F 3f iE if iE if 1f iE iF iE jf !E fE iFlE iF ik iE if iE it iE iF 1E iF 3k if iPlFiE,1tlF 1FiE it 1f'7FiE ikltlE 1t �F �! iF 1! 3f 3E iE 1E �F iE iE iF 3F iF if iE iE iE iF ie fFlF �lE iE I N D I V I D U A L,� �^F E�E " H R-E A�K D O. W N TYPE QTY D E S C R I P T I.O�,N� ip ', UNI,ti�COST TOTAL COST ..% " SFR 22 DWE-TYPE V-WOOD FRAME ,':, ':. -GOOD , J9...'00 1, 628 , 00 SFR 13372 ALTER BY VALUE RESZDENTIAL'_:NOZONE P;00 13,372,00 END OF EEES " r; - • � !i r_ ' � /.r . �; � f".. �, : �i .:; "�. �'S. -�ji Jr��'',.' , .,,. y /.— _ .. !' l t A'"' +s �.'�7.00;41552-np1.c,?553 'T�JT � 'jDAT�? Ga,'2%.i4� ?;!Ic= 15'2.`.� ,/ �� 15?.iU ICONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Servicebr �Pole' 2. Soii Pipe-Undrgrnd. - 3. Electrical Conduit Utility�Undrgrnd. 4. Electrical Conduit-Undrgrnd' 5. $teel Reinforcement ' � 6.. Electrical UPER Grnd. - 7. Footings • 8. Foundation , 9. Water Pipe�Undcgrnd. � . 70. Structural Floor SYstem �; � 11. Property Sewer Line & HOLse Connectior 12. Sewer Cap ' 13. Roof Drains � ', 74. Rough Plumbing 75. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electriwl-T Bar C¢iling 19. Rough Heating & A�r Conditioning 20. Rough Facto.ry Fireplace , -- , ' 21. Ducts, in Structure � 22. Ducts, Venxilating . , � 23. Gas Pipe-Rough & Test � 24. Roof Framing , - � 25. Roof Sheathing � 26. �T-8ar Ceiling (Struckural) & Monocoat 27. Frame and Fiashing• . . 28. lzthing & Siding , ' 29. Insulation � • 30. Drywall Nailing . � 37. Plaster B�own Coat . _ _ _ 32. Electrical Power MeierFinal 33. Final Eleciric . , , 34. Final Heating & Air'Condtioning ' 35. Final Gas Pipe-Test , 36. Hood or Canopy - 37. Finai Fattory Fireptace 38. Final Plumbin9 39. Water Service�Final' 40. Gas Service-Final . 41. Solar pomestic-Final ' 42. Backflow Preventer . 43. Backflow Irrigation� � 44. Landscape Irriqatior�System . '45. Sound Attenuation.�- 46. Handicap Regulations� - 47. FINALSTRUCTUEtE&BUILDING 48. FINAL PLANNING ; . � 49. Electric Release to Edison 50. Gas Release to Southern Cz�ifornia Gas C ■� Date Date ,� � �� 93 PG 4 SPA Inspector qppROVALS Permit # Date 52. Pooi & Equipmznt location 53. Steel Reinforcement 54. Forms 55. E�ectricai 6onding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVEii�GUNITE 58. Electrical Conduit�Undrgrnd. 59. �Gas Pipe, O Undrgrnd., Test 60. Backwash Lines,P-Trap, O Undrgrnd. � � 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Finai 65. Electrical�Final 66. Sotar SYstem-Finai 67. Fe�cing & Access Approval 68: APPROVED fOR PLASTERING 69: POOLIS?A SYSTEMS FINAL FIRE DEPT. REQUIREMENT � . , ^ APPROVALS Permit � � . � � ,� 70. Underground Hy¢ro . . � 71. Product Piping C Gas G'-Oil • - 72. Underground Fl�sh_ � � �73. Undergrnii. Storage 7ank O Gas ❑ Oil 74: Overhead Hydro - � 75. Dry Chemical � - 76. Dry Standpipe �, ' �., 77. FIXED SYSTEM F1NAL � �78�FIRE PREV. FINAL � HERLTH DEPT: REQUIREMENT '� . �79. FINAL INSP£CTION �_ .-_ �� -80. FOOD CERTIFICATE ISSU/E�D �/� i � NQSCS: %,/r_ /lJ..� .� / / _'A/ .1/ n �(.o5c�0 � � Inspector a � � � —remiccrnuuncsa: 4_3 iEVI^j�1�J11 Cl un��: OWNEfl'SNFME:NAIT S C1NJY B`NLSC: , AU�flE55:(�S3 L`�t'S17�T) �1try. - COSTA MESA,CA 5262/ (7i4)643-?778 flEC.NO.: �_ ABCHIENGINEEB:NILLSAVS L�LbT:+�1 V��^ aoosess ��&�7 AVENiDA ARNiJU uxir: iAGJNA NIGJ�L CA 92655 PENMITTEE:L7��Y gt,yEsCH (71S)696-9433 aooxess: q53 i,ENY30VU CIRCLE CCISTA MESA Cea 92627 LICENSEO CONTHACTOfl �ECLAHRTION: I hereby a��irm I�a� I am licensea unAer pmvisions of ChaD�er 9(commencing with Section 7000) ol �ivision 3 0l lhe 6usiness antl Professions Cotle. antl my license is in full force and eflecl. CITY LIC.: STATE LIC.: CLA55: Oa�e'. Signa�ure: WOflNEBS' COMPENSATION DECLAflFTION: I nereby affirm that I have a cehilicate ol consent ta sel6insure or a cehificate ot workers' ICompensalion Insurance, ar a certilietl copy ihereal (Seaion 3800, lab. C) POLICY NO.: E%P. OPTE: �� Cerlifie0 copy is hereby lumished. ❑ Certi�ietl copy i5 �ileA with �he City 9uilding Oivision. Oaie: Ap0licanL f�� E%EMiTIONFPOMWOPNENS'fAMPEN5ATI0N0ECLARATION: (ThisseclionneeAnotUecompleteUifthepermitis�oronehuntlreA(5100�orless�. I cenify ihat in ihe pedarmance of the work lor which ihis permit is issue0. I snall not employ any person In any manner so as to become su0lea Io Ihe Workers' Compensation Laws of Calitomia. '.� w' r Date'. SignaWre: NOTICE: If. al�er making ihis tleclaration, you should become sublecl Io IAe Wofkeri Compensation pmvisions ol �tle Labor Catle. yau must totlhwiih camply wiih such provisions or �his Dermil shall be deeme0 revoketl. � yf WNSTXOCTIDN LENOING RGENCY: I �ereby allirm I�at �here is a constmction iending agency �or the pedormance oi the work for which Ihis permil is.issuetl (Semian 3097. Civ. C�. '' r �� IENDEP:' � RDOflESS: OWNEB BOILUEB OECLABATION: I AereDy a�hrm ��at I am exempt imm ihe Contraciors' Staie License Law lor �he foliowing reason (Sec�ion 7031.5 Business and Pmiessional Code: Any ci�y ol coun�y whlch requires a permi� to constmc�, alter, impmve. demalish, ar repair any SimcWre. prior lo ils issuance, also reQuires Ihe applicant for such permi� Io �ile a signed 5tatemen� Ihal he/she is Iicen5e0 Dursuam Io 1he pmvisions of ihe Convacmrs' Sta1e Liwnse Law (Chapter 9(commencing with Seclion 7000) at Division 3 at t�e Business and Pmtessions Cotle) or ihai he/she is exempt �herelmm antl the basis lor �he alleged exemption. Any violation of Seciion 703L5 by any apP�ican� tor a permi� su�jec�s �he applicantto a civil penalry ol not more Ihan five hunOreU dollars (5500�. I, as owner ol �he pmperty or my employees with wages as �heir sole compensa�ion, will Oo ��e woB, and Ihe ❑ s�mcWre is no� intenaetl or allerea lor sale (Seclion 7044, Business an0 Pmlessional Code: T�e Conlractors' State license Law tloes nal apply �o an owner ot a property who builtls or impmves thereon, an0 who tloes wch xrork Aimseli/hersell or Ihmugh his ar her awn employees. pmvidetl �hal suc� impmvemen�s are noi in�en0ed or oHereO lor sale. tl, however �he OuilOing or impmvemeni is soltl wil�in one year o� completion. �he owner will have �he burden oi pmving he/she did noi build or impmve lor I�e purpase ol sale�. I. as owner o� �he DroDeriy. am exclusively conlrac�ing with licensetl conlractors �o conStNc� ��e D�olec� (Sec�ion 7040, Business ,Q antl Professions Code: The Contraclors' Slate License Law Aoes not apply to an owner of propehy who builtls or improves Ihereon antl who conlracls far such pmlec�s with a conlrac�or(s) license Dursuanl �o �he Contrac�ors' S�a�e License Law). I am aware Ihal pmol ol ��eir Worker s Compensation insurance should be pmvidea to me. � I am ezempt untler Setlion: 9. 8 P. C. lor Ihis reason: . e'- � ��'�� Ownr: I da hereby cetlity ihat I am aware ol antl untlerslantl �he reQuiremenis of Califomia Heaith 0 Saiety Coae Sections 25505, 25533, antl 25534 an41M1a� I or any lulure builtling occupanl will/will no� (circle one) neetl ta comply wi�� saitl sta�e codes and �he requirements for a permil lar mnsimclion o� motlifica�ion imm �he Air Ouali�y Manaqemen� �istricl. flesitlential consimc�ion apDlicaiions are ezempi Imm ��ese pmvisions �me: I hereby cenily ihai 1 have read Ihis oNinances antl slalelawsrelaiingto propeny fai inspection pur0oses. �nver's License o� Social Sewnty p: ApplicanP. n and 5tatethai aboveinlormalion is correci. I agree ta comply with allci�y antl counry msimc�ionan er yauthorizereprese allhiscirytoenteru0onlheahove�men�ionetl Signalu e. � 0�� ; � t6at-46 White-6uiltlmg', Green—Cotle Eniorcement; Canary—ApplicanC Pink—Revenue: GOldenro0—Assessor �_?Y OF COSTA .�iEsA - 3iiliJING t�ER�K:T P?A� VC>; P 05?SO9 ?:.R�'eI: Ivf�; p 052? �? ?-A:v C'r_=CF NC1: N GUVT: N SIIPP: N CO*iSiRi:�=7IO�i TYP=: 5-ti ?E?u=T =YPE: Pi:U P7BPOSE: ADU i �03 UESCR2PT=uN .�XT�ND ,�^'.P.s"T �ED RM, 3AT'r., 2ND ErD r�.M LBATH SC� PT: ' C�Ai�! VA��3E: CAliC-VP.:,uE: GROUP OCC; R-3 /M-1 CONMEi�TS: nEr'.-'ctr'�.�� if if .i� iE iR iE � ie af � 3e iE 3E 3f iF?f �lf 3f iF'%?E 3E {: �r jf iF iE ie t?f ±F 3E if 3E 3E �1Ef 3'r:� iE jE } iE if if � 3e if if �1E iE if if iE # 34 iE if iE if iE?{ ic?f if ii- �I'r �f iE # iE lf M' YF * if #+E?e Z O N I N G R E¢ iJ � R E M E ti T S stT3'Acxs ------------ MAIN Bi.iIi,DltvG ---------- :RtiS: cT IN REAR• ri ;N LEFi: :T Iti RGAT: PT IN --------- ACCESSt�RY 3iJILDSNG --------- :RNi: tT ZN REAR: rP ZN LEFT: cT IN RC�HT: FT IN PARKING REp: PROV: PARCEL: 42515228 Z,Ic: R?r' ,yn; PiANtiiNG N6TES> i ?E?i ic it' 3e if 3i * 1F iF iF iE iF'1E')E iF 1c iE iC' ic'IE'1Fi: �?} 3i")E if iF iE iE i.' ?F Y)F?f ?!'.�<'1E iE 1F'.Y'!E ik iE 3E ?f IE 1E iC if ±!' 1! �%i't iE W-If i!�'Y' if' i� {'� iE iE iE fE i%iF iF iF 3F iE IE iE?� iE 7 E �T E L O P M c!v i S� R �V.' I C E S R E�? i.i I R E.vi c id T 5 iONItiG APPROCJED 3Y . �'^ �AiE. ��l�U�r;c Ax�PROC'EL� �Y : AP?LI�AZiOU ZS;UED SY: > �i usF}::ua:ji?Eif?E?�?E?fiE�EiEiE?EiF?'ie: rtt �. . �% e �.x r, t. f?F s::.. 3e?F iE?f f if b: 4 ie+.` if iE±E i; 3E iE 1f 3F 3f df ie E)f � 3f �# iE if iF if x''�x iE ��GALiZAiSON:ti F E E �S ' 'u�L�G Pf?T P�iiMbiNG ciECTRIC ?�RMIT 76.OG ?J� P i: A.*i ZSSU£ ?cE �O.GO �USLL1�11.�—:J_�T—> �.`_?�S1 S�.`��U�. TUaA�S----> 56.00 2G.00 DATE: UATE : �� _ lflt it)tlt�RRIEYiEiF'1FiE?E'k3EiE ii-R' <t'A..ft�i'�[ (iE �* iE JE 3E jf i: iE 3t :t 36 X� # if iE K� i'+E # 3f ?E-1k?E x% X if iE i( If # 3E [� iE if }{E M,+1 A R Y aTnCiCiURAi SEG,�'tNT:N M=C[?ANiC FiRE SM?P/R£S GRADie4G .SN2�3��:VOV—i`�=.5 ��n.h-c�•Fcx � , � � REVENJ= DiVISZGN TGiAi,S--> CuL�ECi=D: 3LJG PMT P?:i.iM3IN> �L2CiRIC MErga,NSC 76.OU iOiA� PATP Dti= 76.00 76.00 .00 75.OG vVEk/��iURY: .UO �IRE SMIP/TOT GRADING PLaN-C:?EC?{ iE ie iE i' ?E i'r?e?E if ii # iE %%if iE iE iE K?E iE f i's �3E i�?c 1E �lc 1f iE?E :r iE if } if iE iI� if ie �E if ie ie iE?f je � i£ i(� iE?E !(�!E !F if iE iE ic if ie if ?'t iF if !F ie # iE 3e if iE iE 3E �If f��?'r i4 ?E I N L1 I V i D iJ A L .__ 3?= A K D O iJ N 3YPc QTY D E S C R I U T Z O Ai Jti_T COST TOTAL C05? t�LLi ? BAii?TliB 7,G0 7,00 PLO i UISHWASHrR 7,00 7.00 2�i�U 1 Sii�tJJ�—'h 7,�� %,�Q P:J 1 S� NK, kITC?-iEN 7, GO 7. 00 �Lv ? was:i �Asa� 7.00 �.oa ?r.0 1 WP.Sh BASIti (SE3) 7.00 7.00 IPLu 2 YdAT�R CLGSET (TOIiET) 7.00 19,00 C'JLI 17t � �=$ O1 D01338�5-0�13835$ T GT 76.04 DATEt O5/10/93 TINE: 14:24 CONSTRUCTION AND PLANNWG APPROVALS Permit #� t. Temporary Electrical Servica or Pole 2. Soil Pipe-Undrgrnd. 3. Elecvlwl Conduit UtiirtvUndrgrnd. 4. Electrica� Conduit•Undrgrnd. i 5. Steel Rein'orcement 6. Electrical UFER G�nd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Struaurol Floor Svstem 17. Property Sewer Line & House Connec[ion 12. Sewer Cap 13. Roof Drains 74. Rough Plumhir.g 15. Ro�gh Electrical-Contluit i6. Rough Electric Wiring 77. Rough Wiring Sign 78. Rough Electrical-T Bar Ced�ng 19. Rough Heating & Air CondiLon�ng 20. Rough Factory Fireulace 27. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Test 24. Roof framing 25. Foof Sheathing �� 26. T-Bar CeJing (Strncturall & Morocoat 27. Frame and Flashing 28 lathing & Sid�ng 29. Insula[ion 30. Drywall yailing 31. Plast�r 8ro�vn Coat - � 32. E!ectncal Po+-rer :SeterF�r.a� 33. Finai Electnc 34. F;nal HeaUn9 & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. F;nal Factory Fireplace 38. Final Plumbing 39. LVater Service�Fina� 40. Gas Serv�ce-Finai . 41. Solar pomestic-F�nal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irngation Syscem ' 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Reiease to Southern Cafitornia Gas Date Daia PG & SPA � Inspector APPROVALS Permic # 52. Pool & Equipment Location _%'�� 53. Steel Reinforcament . 5A. Porms 55. Elecirica! 8ondi�g � 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE � 58. Electricai Conduit�Undrgrnd. 59. Gas Pipe, � Undrqrnd., Tes[ 60. Backwash Lines, P-Trap. � Undrg�nd. - 67. APPROVALTODECK fi2. Back1vash & Receptor�Final " 63. �Heater & Vent-Finai 64. Piumbing System - Fina! ��I�L_�R5. Electrical•Final . 66. Solar System-Final 67. Fencing & Access AnPruval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEta7SFINAL FiRE DEPT. REQUIREMENT , �APPROVALS .. Permit,-� r „ 6 Date I lnspe�tor 70. Underg�ound Hy�dro 71 . Product Pipin9 D Gas C' Od 72. Underground Fl�zh 73. Undergmd. Stora„e Tank � Gas ', Oii 74, Overhead Hydro 75. Dry Chem�cal 76. Dry StandRiPe 77. � FIXED $�',STEq9 FfNAL 78. FIRE PREV. FINAL � ' HEALTH pEPT. REQUIREfv7ENT 79. FINAL �NSPECTiO� � 80. fOODCERTIfICA7EISSUED Notes: I OWNEfl'S NFME: CLANC Y,�N, I LD R ED j G aooeess: y 5 3 LENTROOD C I R COSTA MESA,CA 92627 � APCHIENGINEEX: HEG.NO.: nooRess: uNiT: � —_ PENMIiTEE:E, C. N,ORLON ( 714 ) SEO—? 593 aoonEss: 30�3 TAYLOR YtY C.M. CA 92625 LICENSED CONTBACTOfl UECLABATION: I hereby aifirm thal I am licensetl untler pmvisans of Chap�er 9(commencing wi�h Section 7000� ol Drvision 3 of the Business antl Prolessions Cotle. antl my license is in full lorce and ellec�. cirruc.:0?9325 sTareuc.:575335 ��?01 � oaie: 4-39 — �l � s�y�aw�e: __��I.I WOflKE85' COMPENSFTION OECLAflFTION: I here�y af�irm ��at I have a cerlificate oi ronseni lo sell�insure or a certiticaie oI Workers' Campensaiion Insurance. or a ceriifiea copy ��ereo� �Sectmn 3800, La�. C�. POLICY NO.: EEP. UATE: COMPANY: .� Cetlihe� copy is here0y lumished. ❑ CerUlietl copy is liled wilh Ihe ciry Builtling �ivision. Date'. ApDlicanl: E%EMPTIONFXOMWORKEHS'COMPENSATIONUECIAflATION: �Thi55ec1ionnee0no�becomple�ediflhepermiti5lorone�un4re0�3100�ar1e55�. I cerlily ��at in t�e petlormance ol �he work lor w�ich Ihis permii is i55ue0, I s�all no� employ an person in any manner so as �o become su�iect m the Workers' ComDensaiion Laws of Califomia ,EJ Oa�e: � � �d '�3 Signaiure: �` — NOTICE: IL af�er making I�is tleclaralion. you s�ould hecome suhleci to �he Workers' Compensa�ion provisions o� Ihe labor Code, you must �orthwilh comply wilh such pmvisions or Ihis permi� shall be Oeemea revoked. � CONSTNUCTION LENOING AGENCY: I hereby a�hrm tha� there is a cons�mciion lending agency lor�he Dedormance oi Ne work for which this pe�mil is issued (Seclian 3W7. Civ. q. LENDEN: FOOHESS: OWNEB BUILOEB OECIABATION: I hereby atfirm Ihai I am eMempl fmm �he Contraciors' Sta�e License Law for �he following reason (Seclion 7031.5 Business antl Professional Code: Any ciry o� counry whic� requires a permi� to cons�mc�, al�er, impmve, demolish, or re0air any s�mcWre. prior lo ils issuance. also requires Ihe applicant for such Dermil �o file a 5igne0 sta�emenl that he/she is licensetl pur5uani m the pmvisions ol lhe Comracmrs' Slale Licenre Law (Chapter 9lcommencing with Section 7000� o� Division 3 0� Ihe Business antl Pro�essions Catle) or Ihal �e/she is exempt thereimm an0 �M1e 6asis for I�e allegeU exemp�ion. Nny violalion of Section 7031.5 by any applicani �or a permit sublecis the apPlicant �o a civil penally ol no� more Ihan live �unered tlallars ($500�. I. as owner a� ihe pmpeny or my employees wii� wages as ineir sole compensation, will Oo Ihe wark, and Ihe ❑ stmcmre is not Imen�ea or o�ferea �or sale (Semion 70aC. Business an0 Pmfessional Code: The Contracmrs' S�a�e License Law Ooes no� apply �o an owner ol a Orapetly w�o builds or impmves �hereon, anA w�o does such work himsel�/hersel� or �hmugh his or her own employees, pmvitletl iha� suclr impmvemen�s are no� in�entletl or offere0 lor sale II, however ihe builtling or impmvemen� is soltl wilhin one year oi com0le�ion. tAe owner will have the hurden oi pmving he/5Ae Oitl not build or impwve for Ihe Durpose of sale�. I, as owner o� I�e prapetly, am e�clusively conlracting with licensed con�ractors �o constmcl �he pwlec� (Sec�ion 7044, Business ❑ antl Pmfessians Coee'. The Conlractors' S�ate License Law Ooes no� aDPty lo an owner oi proDenY w�o builtls or impmves therean ana who conVac�s �or suc� prole��s with a conVactor�s) license pursuani �o �he Contractors' Slate Licenre Law�. I am aware Ihat proo� o� �heir Worker's Compensa�mn insurance sM1OWd be proviUed �o me. � I am exempl untler Seciion: B. 8 P, C. lar �his reason�. oate: owner. I ao hereby cenify Ihal I am aware oi antl underSlanU �he requiremenls o1 Cali�ornia Healt� antl $a�ery Cotle Sec�ions 25505, 25533, and 25534 antl ��a� I or any IuWre building occupan� will/will not (ciicle one) neetl lo comply wiih saiA s�ale co0es antl ihe requirements �or a permit for conSVuction or motltlication Imm Ihe Air Oualily Managemen� OiSVic�. Besitlen�ial mnsimclion aDPlications are exemp� irom Ihese pmvisions. Da�e: NpPlicanl: I hereDy cenifyihal I have read Ihis application and 9ale ihai the a�ove inlormaiion is cortecl. I agreeto comply wi�h all cily antl couniy ortlinances and siale laws relaling Io building conslmciion an� hereby aNhonm represen�aiives o� this cily to enter upon Ihe above�men�ionetl propetly �orin50eclion purpo5es. �/� � G C �� alc'. �'�0 � �\ � SignaWrP. oriver's �icense or Socia� Securiry n: �%$( 16a1�46 W�ile—Builtlingl Green—Cotle EnlorcemenC Canary—Applicanl: Pmk—qevenue: Goldenrad—Assessor C_TY �P CUSTA MESP. — BUILDZNG PEkMIT PERMiT NO: N, 061972 PLAN CHECK NO: N COt�!STRUCTION iXPE: V—N PERMI3 TYP£: MEC J03 7?ESCRIPTION : INSTA�L NEW ?iORIZONTAL FUR�ACE CLA"s,�I VALUE: CALC—C'ALiJE : PERM NO; � 061972 GOVT: N SUPP: N PURPOSc: OTA SQ FT: GROUP OCC; R-3 /M-1 COMMENTS: NO PRIMARY BUiLDING PERMFT. ��x-+�+;*�c�+�**��c�c�c*�x�**x��x��c.*-�+rr�*�*�*��x��*+��xxx�c#x.-��**��*x��a�x*�xx�x ��z Z O N I N G R E Q U T_ Ft E M E N T S S E T H A C K S ------------ MA_N BJILUZNG ---------- --------- ACCESSORY BUILDING --------- PRNT: FT. IN REAR: �T IN �RNT: FT iN REAR; FT IN �SFT: r'T IN RGHT: FT IN LEFT: £T ZN RGHT: FT FN PARKING REp: PROV: PARCEL: 4251�22R 'LNE: REF NO; Y�ANN_NG Nt5T�5> i +-Y.� 3f ��1t id }E 1't iE if iF iE iE iF ie %dF if iE i6 if 3F �7'r iE iE iF IE 1E 3E iE je � iE �)E 3E if if iE {. �1E �)E �li !E% 3f 3F �lE if i43E jf K�lh �E �If 3F jf iF 3E # if 1E if if 3f jE iF ik # 1E iE if �E iF ##�lE IE iEie ; D c V E � O P M E N T S E R,V I C E S R E Q U I R E N E N T S NG APPROVED BY DATE: 9iTILiIING APPROVED BY D'ATE: APPLzrATiO�� ISSUED BY: _ �— UATE ��_ �fif�ifif*iE�E?('?fifiFirii�iElf3EiEiEiF`IF-�it%�YF;Ei�hiFit�itff,itlt�iftiF'}f'lt'1t��;t'M�i�)titfiifihiEiF'X'K'1FiE-lEifT'atA'itT:XiC� RiEiF 3F iE -1E Y.� iE?e if iF iE iF �E iE # iE jE �x� iF 3f jE iF if iE iE if 1FlE �7F fF *'re �%if :�f� 7E iE if iE iE if #�lF�3E �fE if fE�iE-)h iF �( iF i4 iF �1f 3f 3f iF # IF iF if �Y.Y iE iF iE 3f �% 34 �1f� if if iC� iE iE # rt#)f jf?E LEGALIZATZON:N F E E 5 U M N A R Y STRUCTURAL SEGMENT;N a7:. BLDG PMT PLUMBiNG ELECTRIC MECHADiIC FIR£ SMIP/RES GRADING PERM3T 9,00 , J' 25t SMI?/NON—RES PiAN , I55UE FEE ' �j 15.00 3UZi,DING—UiC�—> PERM2T ISSUE Pi,AN-'CHECR ZOTAi, PAID DLL iOTALS----> 9.00 15,00 0.00 24.00 29.OQ .00 r REVENvE DIVISIUN TOTALS--> COLLLCSED: ?d,OO OVER/SHORT: .00 3i�G PMT PLUMBING c'LECTRIC M:CHr1VIC rIRE SMIP/TOT GRADING PLAN—C?iECK � ' 2.`4 . 0 0 3E 3f iE?E 3F iE �E!f iE?E iE if !E felE iE fF ik iE # Y!k It if 1f iE ik iF if ie iE i:� ie iE?C� fElf )EiF iE iF iE if �)f iF?6 iElE if iF �lE �f%-)E iE iE *% ie iF 1h±F # �f-?E iE # if iE ## 3E 1f �1(- )F ii� � ii� t I N D i ll I U U A r �F E E H R E A K D U W N e A TYPE UTY D E S C R I P T: r�.Nr UNZT COSY TOTr1� COST MEC 1 INST FORC—AIR/GRAV—,FU.�N <= 100 K HTG 9,00 9.U0 END OF F�'ES . � " v'�' �' : �� Di 00138254-00133234 T C�T 2y,pQ OATEs 04/30/93 TIt1E= 13:48 �� , � CONSTRUCTION ANDPLANNING APPROVALS Permit �k 1, Temporary Electncal Serviceor Pole 2. Soil Pipe-Undrgrnd. � 3. Electrical Conduit Ut�7itY-Urid�grnd. 4. Electrical Conduit-Undrgrnd: 5. Steet Reinfarcement ' 6. Etectrical UFER Gmd. 7. Footings 8, Foundation 9. Water Pipe�Undrgrnd. 10. Structural Floor System ✓ 11. Praperty Sewer Line & HoUSe�Co�neCtion 12. Sewer Cap 73. Roof Drains 14. Rough Piumbing 15. Rough Electrical•Condu�t 16. Rough Electric Wiring 17. Rough Wirir,g Sign 18. Rough Electrical�T 8ar Geiling 19. Rough Heating & Air Cnr.dit�oning 20. Rough Factory FirePlace 21. Ducts, in Structure 22. Ducts, Ventllating 23: Gas Pipe-Rough & Tesc 24 Roof Framing 25. Roof Sheath�ng 26. T•8ar Cedmg (Structura�l & (v�onocoat 27. Frame and Flashi�,� 28. Lathing & Siding 29. Insulation 30. Drywall Naihng 31. Plaster Brown Coat 32. Electncai pa.tier ,Seter-Fina! 33. Final E!ectnc 34. Final Heating & An Coodrtioning 35. final Gas Pipe-Test I36. Hood or Canopy 37. Final Factory Firepiace � 38. Finzl Pfumbing �� 39. lVater Service�Final 40. Gas Serv�ce-Final 41. Soiar pomescfo-F�nal 42. Backflow Preventer 43. Backflow 44.� Landscape�irriqation System 45. Sound Atten�ation 46. Handicap Regulations 47, fINALSTRUCTURE&BUILDING 48. FINAL PLANNING 49'. Eiectric Release to Ed�san 50. Gas Release to Southern California Gas No. Date Date PO b SPA Inspector APPROVALS Permit # 52. Pooi & Equipment Location 53. Steel Reintorcement 54. Forms � 55. Elecuical8onding 58. Rou9h Plumbing & Pressure Test 57. APPROVAL FO COVER-GUNITE 58. Electrical CAnduit�Undrgrnd. 59. Gas Pipe, G Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Rccepmr�Final 63. Heaier & Vent•Finai 64. Plumbing SYstem - Finaf 65. Electrical-Flnal 66. Solar System-Fimal � 67. Fencing & Access App�oval 68. APPROVEp FOa PLASTERING 69. POOI/SPASYSTED.7SFINAL � �%'„' S , . FIRE DEPT. REQUIREMENT APPROVALS Permit •r 70. Underground Hydro 71. Product Piping t7 Gas ❑ Oil 72. Undergroun'd Fiush . 73. Undergmd. Storgc Tark p Gas .� 0�1 74. Overhead Hydro 75. Dry Chemical 76. Ory StanQR+Pe 77. FIXED SYSTE�A FINAL � � 78. FIRE PREV. FINf.L � , HEAI.TH DEPT. REQUIREMENT - . � 79. FINAL INSPECTiflN r - , 80. FOOD CERTIP�CATE ISSUED Not�s: $'�G-43 N,o� ►Z,arw't - t.�� Date :nspector � � � -rno�ce -nuuncaa: — . " NII: OWNEH'S NAME: 9 S 3 LENWOOU C? / aooeess:�TT F CINDY BENESCA b 953 LENTROOD CIR COSTA NESA,CA 92627 l714)643-1778 RflCM/ENGINEEfl: WILLSAMS DtJr'l�+l�l REG.NO.:NOI��F nooness: z�8�z AVENIDA AANIJO uxiT: PEFMITTEE:LAGUNA N?GUEL CA 92656 � BENESCH CONSTRilCTION (714)640-79�6 noosess: 1665 Pi,ACENTIA' AV COSTA MESA CA 92627 UCENSED CONTflACTON UECLABATION: I �ereby af6rm Ihal I am Iicen5e0 under provisions of Chapter 9(commencing with Section 7000� of �iNsion 3 of Ihe Business and Professions Co�e. antl my license is in full brce antl effec�. c�rr uc.:0 2� 3 8 6 STRTE LIC.:3 J 4 O S S CLASS: H Daie: ''� Z � q� Signa�ure: (""'�"�'r� WOHREHS' COMPENSATION DECIANATION: I �ere�y aftirm Ih I have a cetlifica�e oi consen� Ia sel6insure or a ceni�ica�e o1 Workers' Compensation Insurance, or a certifietl copY �hereol (Seciion 3800, Lab. C). POLICY NO.: E%P. OPTE: Cetlified copy is �ereby Wmi5�e0. ❑ Ceniliea copy is hletl with ihe ciry BuilAinA oivision. Date: ApDlicant E%EMPTION FROM WORRENS' COMPENSNTION OECIAflATION: (This seclion need no� be tOmpl¢IeU ii �h¢ permit i5 for One hunarea ($700) or Ie55�, I certity �hat in Ihe petlormance ot �he work �ar which �his permi� is i55ue0. I shall no� employ any person in any manner so as �o become sublect lo Ihe Warkers Compensaiion Laws of Calibmia. Oate:'`'� �- �3 SignaWre: �- NOTICE: Ii. alter making �his tleclaration. you shoulA 6eco e su �ect �o Ihe orkers' Compensation pmvisions o� the Labor Coee. you must fonhwitn camply with such pmvisions or ihis Dermit shall be deemetl revoketl. CONSTBUCTION LENOING AGENCY: I hereby aflirm Ihat there is a canstmc�ian lending agency for lhe pedormance o� ihe work for which this permit is issuetl (Section 3097. Civ. C�. LENOER: nooRess: OWNEP BOILOEB OECLAHATION: I hereby ailirm Iha� I am exempl �mm Ihe Contrac�ors' Slate License Law for the tollowing reason (Seciion 7031.5 Business ana Pmfessional Co4e: Any ci�y oi counly which re0uire5 a permi� to canstmc�, al�er, impmve. Oemolis�, or fCp21f 211y S�NLI�fB, pf101 �0 I�5 ISSU2�CB. 2150 fCqWf¢5 �11¢ 3ppIIC3ftl �01 SOCh pEfmil IO �i10 d SIBOCd 5(2�CrtIBfIi Ih3t hBIShB IS IICBfI50tl pursuan� 10 �he pmvisions oi �he Comracmrs' Siale License Law (C�apter 9(commencing wi�� Sec�ion 7000) of Division 3 oi Ihe Business antl Pm�essions Cotle) or that he/she is exemp� I�eretmm antl Ihe basi5 for Ihe allegetl ecem0iion. Nny violation ol Sec�ion 7031.5 by any applicani �or a permil su�le��s ihe applicant ta a civil penalry ot not more than five hundretl tlollars (E5W�. I, as owner o� ��e pwpehy ai my employees with wages as �heir sole compensalion, will tlo Ihe work, antl I�e ❑ stmctureis nolin�endetl orof�eretl�orsale�Section 704A. Business anU Pmie55ionalCotle'. The Coniraclors' State License Law tlaes no� apply lo an owner o� a pmpeny w�a 6uiltls or impmves iherean, ana who does such work himselll�erself or Ihwup� his or her awn employees, pmvitletl Ihal such impmvemems are not intentled or o�lered lor sale. I�, however the building or impmvement is 5oltl wi�hm one year af cample�ion. �he owner will have �he burtlen o� pmving helshe ditl no� 6ui10 or imD�ove lor Ihe purpase o� sale). I. as owner ol ihe propeny, am exclusively contracting with licensed contraclors to conslNct the Oroiect (Section 709A, Business ❑ and Pwfessions Cotle: 7he Coniraclors' Stale License Law Ooes not appty ta an owner of D�aperty who builOs or impraves ihereon dfld wh0 CO�I�dCIS 10� SOCh pf01¢Cl5 wiih d CO��fdC�0l�5) IiCC�S¢ pUfSWnt IO IhC COIIIfdtlOfS' $IdIC LiC205C Ldw). I drti dwdfC Ihai pmof of Iheir Worker's Campensa�ion insurance shoultl be provi0ed Io me. � I am exemp� unUer Sec�ion'. B. 8 P. C. lor �his reason: �a�e'. Owner I Oo hereby certity Iha� I am aware of and untlerslana the requiremenls ai Califomia Healih and Salety Cotle Sec�ions 25505, 25533, and 2553d antl �hat I or any Iuiu�e 6uiltling occupant will/will not (circle one) neetl to comply with said s�a�e codes and Ihe reQuiremen�s for a permu lor conslruciion or moddica�ion �mm I�e Air Ouality Managemenl �isirict. Residenlial cons�mction applications are exempt �mm Ihese provisions. „ �ele: Applicanl'. I here�y cerlily �hal I have reatl Ihis applica�ion anA sta�e Ihal ihe above inlormation is correci. I agree �o comply with all ciry and counry or0inances anU s�ate laws relating �o builtlmg consimclion and here0y authorize represen�atmes ol t�is ci�y to en�er upon ��e a0ove�menlione0 properry lorinspec�mn purposes. Oale: y Lv �'j Signature: ��r+�.e Orivur's Lmenso or Sociai Securiry n: 16ai�a6 White—Bulltling; Green—Cotle Enlorcemem; Canary—Ap0licanL Pmk=Revenue: GOldenro0—Assessor CiTY OP COSTA MESA - BUSLUING PER,yIT PERM NO: B 061923 P�RMiT NO; B U61923 P�AN CHECK NO: 00132-93 i GOUT: N SUPP: n CO�is'TRUCTION TYPE: 5-N PBRMIT TYPE: STR PURPOSE; ADU JOB DESCRIPTION : EXTEND MAST BED RM,Bi�,TH,2ND BED RM SBATH SQ FT; 9,137 Ci,AIM VAL'vE: 2�,000,00 CALC-VAiUE: 25,015,92 GROUP OCC; R-3 /M-1 COMMENTS• ?ERMdT INCLUDES INTERIOR ALTERATIONS S FOUR NEW BAY W3NUOTAS. �** ��*��*�+��*�****�*�****��***�*+��***�r****�r*�r+�*�*�***� x�*�r��*****�*�**+�*+�**�*�*� Z O N I N G R E Q U I R E M E N T S stTaacxs ------------ MAiN Bi;ILUING ---------- ACCESSORY BUILDING --------- FRNi: 20 rT SN REAR: 27 FT IN FRNT: FT IN REAR: FT :N LEFT: 10 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN PAitRING RE�: PROV: PARCEL• 42515228 ZNE; R1 REF NO: FLANNING N TES> MODZFICATIONS FOR A ROOM ADDITION AND BAY WINDOWS,. i ��****�**�*�**�r�*****�rx *x*�*s�**��***��r*x*��*x ��x �*�x �c �*�,�*��*x��*��*x#x+��c��r±�** --' i: �._. i, � N S E R 0 Z C E S R E Q U S R E M E A] T S BONLn '�APP�C�DE� � �O ` �• DAT�: � � 3 7� � DATE: APPLI�.ATIOV ISSUED BY: V i DATE• -�� 3 ifiElE*if ?3E�E�F1EifiE* �t��E �+E c�-7[�iE�'t'i?.r � - � ir yti t�i t xtt �ifiEiEic#IF+EiE#iEirtr .e xx ir�riE�li �lEi2iEif3f '��s�E'Jr�M 2or >/3o•�Chk�* � F.�uxx..xu =x��x�*x�*�*��rir�.*�t*�ae*��t�r****��-��**x�t+��**�**x•*�* LEGAL ��rT_^".=i �'�'�' 4�� S 0 M M A R Y STRUCTURAL SEGMENT:Y �Y `� �gj� _T n* *reg, �rn r* ^r o� C MECHANIC c Ir2E SMZP/RES GRr1DI,vG PERMIT �'��8.�v 9 �' 2.35 PLAN 168.03 �� SMIP/NON�-RES ISS(JE FEE /! BUIiDING-DIV-> PERMIT iSSJE �P�AN-CHECH TOTAL PAID DUE �TOTALS---> 261.35 0.00 `- 168.03 4[9,38 429.38 ,00 � ..' REV^cNUE DIVISION TOTALS--> CO�iiECTED: 261.35 OVER/SHGRT: ,00 HLDG PMT PLUMBZNG EI,ECTRSC i�tCHANIC FIR� SMIP/TOT GRADING PLAN-C3ECK 258, 50 ' + -�._2.85 fE iE iE �E iF if 1E'1f ±f ?f ?E 1f if iE if 1E iF iE if �E if if if 3F if iE 3t' Y{E iE if if if !E jF-1E if 3f if if if !F if if if if if 1f iE 1E iFif if ii' 1%if iE�IE if if 1f if if'7E 1E iE iE l�'H� if iP ii' if if �lf if if if ?f I N D Z V S D U A �'T� F E E B R E A FC D O W N TYPE QTY D E 5 C R E P T I'•�O N UNIT COST iOT'AL r05T SFR 237 DWE-iYPE Cr-WOOD FRgME -GOOD 74,00 17,538,00 SFC 237 EQJ-RESIDENTIAL AZt3 COND -AVER 2.65 675.95 SFC 1163 EpU-ALT COMM, AIR COND -AVER .69 802_47 SFR 6000 AliTER 9Y VAi,UE RES.�DENTIAL N020NE 4.00 6,000.00 �Nn oF �s,s 01 00138112-0013&113 T�]�T ?61.35 DATE: 04/23/93 TIttE: 13:OD CONSTRUCTION AND P{.ANNING APPROVALS Permit � . t: Temporary Electrical Serwce or Pole 2. So�I Pipe-Undrgrnd. 3. Electrical Conduit Utdrty�Undrgmd. 4. Elecirical Conduit�Undrgrnd. 5. Steel Remforcemen[ 6. Electrical UFER Gmd 7. Footings $, Foundation 9. Water Pipe�Undrgrnd. p0. Struaural Floor SYstem 1. Property Sewer Line & House Connection � 2. Sewer Cap , 3. floof Drains 4, Rough Plumbing l�. Rough Electrical-Conduit 76. ��Rough Electric W�ring 77. Rough lViring Sign 18. Rough Electrical•T Bar CEi��n9 11g. Rough Heating & A�r Coadit�oning i20. flouqh Factory Firepiace i � 21. Ducts,in Structure � �22. Ducts, Ventitating Gas Pipe�Rough & Test Roof Framing � Roof Sheathing T•Bar Ceding lStruct�rap & :So,ocoat Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 37 P!aster Brown Coat 32. E�ectncal Power �,fieter-Fina� 33. Final Electric 34. Fin31 Heanng & A❑ CocGit!on:cg - _. . ___------- 35. Final Gas Pipe•Te;t 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic•Final 42. Backf�ow Preventer 43. Backflow Irrigation 44. Landscape irriqation Sys[err. 45. Sound A[tenuation 46. Handicap Regulati0ns 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Elactric Release to Edison 50. Gas Release to Southern California Gas Date 9 PC & SPA Date Inspector APPROVALS Permit # Date Inspector 52. Pooi & Equlpment Locaiion 53. Steet Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & P�essure Test 57. APPROVAITOCOVER•GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas P�pe, O Undrgmd., Test 60. Backwash Lines, P-Trap, � Undcgrntl. 67. APPRaVAL TO DECK 62. Backwash & Recepmr�Final 63. Heater & Vent-Fi�al 64. Plumbing SVstem - Fi�al 65. Electtical-P�nal 66. Solar System-Final 67. Fencing & Access ApProval 68. APPROVED FOR PLASTERING 69. P40LISPASYSTEMSFINRL FfRE DEPT. REQUIREMENT � APPROVALS � Permit � � 70. Underground Hytlro �" - 77. Product Piping C Gas ❑ Oil - -� �72. Under9rouno Plush - ,73. Undergrnd.StorageTank �Gas ❑Oil ' � ` , 7�4. Overhead Hydro - : '- 75. Dry Chemica� -- - ' 76..Dry Standpipe ' -� 77. � FIXED SYSTEhR'riNAL � . -� 78. :FIRE PREV. FINAL . . HEALTH OEPT. REQUIREMENT : 79. CINA� INSPECTIO� ' i 80. FOOD CER71FiCATE ISSUED � � - -� ---' Plote;s-' /%T�4� � ,�C.� F/�. C" � n ;I " - �, I 1 t OWNER K T•� unr r"uST CA �� DATE 6-6-57 ._ JOB ADDRESS �i '� LP� .�d Cirr.le ;UILDING PERMIT IVO. 5263 GENERAL CONTRACTOR Sama _ VALLIE $ ��],j.0O0.00 AP. No. LOT l� TRACTq1,�7 FIRE ZONE DESCRIPTION OF WORK Res w�det. ear GROUP , I,2,. J TYpE �J ZONE R� PLAN NO. 5295 INSPECTIONS I DATE I gUBCONTRACTOR I___ PERMITSISSUED CiaS ; Costa Mesa Building Department "�/' « COSTA MEOS. R^x ALIFORNIA 5295 FOR APPLICANT TO FILL IN Building Address 4 3 Len*.vood Ci-re,l.e Costa Mesa, California Nearest CrossSt. 'li.iS'1�1Y1 E P ow�e� �. 1�1, Koll Cor_�trL:etion Co. � Inc. Mail Address 2F?'?_6 Ive�.mort Bl vA_ _ n Arcnitect or Engineer j�7i Address ?_02 Contractor � No. Lic. City Lic. No. Legal Lat Description No. ].% 81ock (Attach Metes and Bounds) Size of Lot 7/+.00 :{ 87_.15 � Naw oi l�seof I No.of Existing Bldg. F�amili Setback Line from 5 Rear Center of Street ?!r Side' Exterior Covering I hereby acA and state th; with all Cit building con SignatureoT Pe�mittee _ No. of Tract No. Stories 1 �IPPLICATION FOR PERMIT �IJiLD1NG ' FOR vFFICE USE ONLY Receipt No. Permit No. 526 ;eived by Date Rec'd. Date Issued u..�� _,�<-�I ...., �.� Cross St. Costa li'Iesa, California of � Type & Stuc�COovering Shakes App$,QVtjj��' l.� =EST:�1 Tae'lin FoundationLocation Inspector Forms, Materials, .(�.0 Under-Pinning Frame: Fire Stops, Bracing, Bolts ;e that I�have read this Application ome is correct and agree to comply �ath. Int. iances and State Laws regulating �• _ Lath. Ext. Valuation � Permit � $ 2 Plan Check $ $ �J/ O � � _ Total Fee $ RM 204 10�55 O. P. h 5. � masonr — Bond B� �� FINAL O � � Z D r �•"u' c' J 0 a` Street PLOT Pi.AN 8how 7ocatlon and dtstances trom property Iine and 6Mween bulidinga t 0 �, , i ;�� . , .;a� i ` �,. -.� ' - . ; ` 1 �. : 1 . i - 'i , � ^ 4 1 , � / . i \ �1� '1`1 , �, l � . � , '— a �V . - i .