HomeMy WebLinkAbout2365 LITTLETON CIR - Building Permits pM
4�� CITY OF COSTA MESA •
F 4 •,I1 BUILDING DIVISION PERMIT NUMBER
DEVELOPMENT SERVICES DEPARTMENT
°• PERMIT F99-00662
1;4. V
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 2365 LITTLETON CI Status: ISSUED
Suite No Applied: 11/17/1999
Issued: 11/17/1999
Vicinity:
Parcel Nunmber: 5 //��
��1-
ISSUED BY: ��11
Applicant: LORIE CLOVER
Address:
Phone: 714-241-1414
Zip:
Owner • DUVALL, ROY
Address 2365 LITTLETON CI
Phone: •
COSTA MESA, CA Zip: 92626
Contractor COAST ROOTER PLUMBING HEATING &AIR COND
Address: 2737 S.CRODDY#D
• Phone: (714)241-1414
SANTA ANA, CA • Zip: 92704
License: 529127
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE-OUT.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCU TED FEES: $35.80
COMMENTS/SPECIAL CONDITIONS
Ent
DAA
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
,®z I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensationInsurancecarrier and policy number are:
Carder: id• L52n4u / Policy Number: NO/ a'a 07
(This section need not be completed i/the permit is valued at one hundred dollars($160)or less.)
❑ I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions. /
Applicant Signature: ,�=� � Date: ! 1_/ —5 ✓
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100.000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section/4300)of Division 3 of the Business and Professions Code,and my license is in f
force and effect.Lic.ft Class k C3(,
cc? Contractors Signature: c / Date: ' !'-11-57 5
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes ❑No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature end pressure).
.. ...-. ..11.t.h_ pli t,op future .. cu .t... p. a.. _ __ _
3 Does or will the applicant or present or building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? uYes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
ature Of Legal Owner(s) - Date
And/Or Authorized Applicant Date
ODE I INSPECTION TYPE DATE EMU CODE* INSPECTION TYPE RATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
:a Applicant to fill in all spaces except those within heavy border lines and sign all appropriate DNata datlaratlons.
CITY OF COSTA MESE. - • 1 PERMIT NO. TRACT NO LOT NO, BLDG.NO. .•
• CONSTRUCTION PERMIT - ,3-/ 12_ a-n— - - - •
•
•Applicant's Mailing :d•re. 10 • 1 TYPE OFCONSTRUCTION ADD LI ALTERATION LI REPAIR CLO�ij III 2/`}.. I/ol. I.
Project AddressLI R� ' j ❑ CONVERSION 0 DEMOLI H ❑ OTHER,
• __..
'S �l 7 W!(PiJe DESCRIP I OF W R G It. .. V� -
Owner's Name 'hone /� P�'Z l% b . L_-O ,_ 1 s I s. _ 1_ _ : •1
Address • Lt , - ER 1 vv�ts
a l� TYPE OF PERMIT GRADING FOUNDATION �4 STRUCTURAL A.P.aa f, / ZONE ,
Arch/Eng. \ License No. ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL PLNG.REF.qW �� BUILDING •_-- •
Lia
Address 1 - f1LC ❑ OTHER ' TO BUILDING �--r� ' REAR YARD(TO P/L) • c-� /
•rtUe s S1 -64• O PROJECT •DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE �JJ
I Contractor's Nam—• r�'hone LEFT SIDE YARD q� RIGHT SIDE YARD
Address(mailing) F U J. CONSTRUCTION TYPF VALUATION$ 2 on g �A •
' -_ A_4 i(J Z� ZONE GRADING CU.YDS. ACRFS PKG.SPACE REQ. -�� PROVIDED ` '
`�I License No. T _I
LICENSED CONTRACTOR DECLARATION Remarks: STREET WIDTH , St)/ ,PARK FEES •--- •
I hereby affirm that I am licensed under provisions of Charter 9(commencing
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS:
my license is in full tome
Ucense Class ilkLicense No,4 M 2-k PLUMBING '
Date 'VIZ Signature MS - - -a •
Iger Sink Sewer Cap ELECTRICAL
WORKER COMPENSATION DECLAR • ION ..--1{ -
lereby affirm that I have a certificate of consent to self-Ins re ora certificate - Automatic Washer Meter Cover 100 amps
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Sewer Connection _ _
. 4800, Lab. r�,) Sub Panel.s 1, `i � -��Lo Beckfloiv Irrigatioh Solar_Collectors Construction Pole '�r;
Policy No-p/pm ../7 CompanyW - -- Cooking Unit Sub Pole
❑ CertifiedIs hereby turnlsant Bathtubs Solar Piping x}
rutted'op d with the city Build vision. Dishwasher Motors DO-1 HP 01'!,B
to o7 V Applicant Clarifiers Solar Tank
EXEMPT N F OM ORKERS'COMPS ATION DECLARA ION Dryers OGes ❑Electric In[.$Olay•09-15 HP 016-15+
(This se tion need not be completed if the permit is for one huh ed ($100)or Dish Washer Swimming Pool w/Spa
—
Ie certify tha the performance of the work for which this permit Is Issued I Drinking Fountains - Urinal Fan Microwave
shall'not empl ny parson in any manner so as to become subject to the - I F.A.U. 'Pole Light I
workers' Compensa Laws of California- Floor Drains Water Closet
Date ignature Fixtures -
NOTICE:If,after making th eciaratlon,you should become subject to the Floor Sinks Water Heater Range '
Workers' Compensation provis of the Labor Code, you must forthwith Device Boxes with, such provisions or is permit shall be deemed revoked. Gas Service Outlets Water Service Sign •,
CONSTRUCTIONLENDINGAGEN Outlets .�
I hereby affirm that there Is a construction Ing agency for the performance interceptors Standing Sections
Jof the work for which this permit Is I d (Section 307 Civ . C-) Switches%
• Lender's Name • Kitchen Sink Trash Compactor
•
- Lender's Address • - Garbage Disposal
J , OWNER BUILDER DECLARATION Lavatories
I hereby affirm that I am exempt from the Contractor's.License Law for the P-Tie Generator 00 5 KW 05-75 KW '
following reason (Section 7031:5 Business and Professional Code: Any city or P
T -
which requires a permit to construct,alter,Improve,demolish or repair Transformer 1015-50 KW • '
any structure, prior to Its issuance,also requires te applicant for such permit • Roof Drains ; .
to file a signed statement that he/she Is licensed pursuant to the-provisions of !05Q+KW
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Reinspection Fee $15•'
Vision 3•of the Business and Pro(eszlons Code)-or that he/she is exempt Shower Reinspection Fee $15
-
1 ,,,k,"-",T,,.-efrom and the basis for the alleged exemption, Any violationofSection Meter ❑u 't0 100 amps - _
U . P '.Issue Fee $ 3
. ilts any re aant for a permit subjects the applicant to a civil •
natty of not more than lira hundred dollars($500). Service Sink Issue Fee $ 3
Zoning Approved By �- Date 7 l I a(�_
I, as owner of .proparty or my employees with wages as their sole /
fomsale.(.(Section
will 0 the work, and the of scion Isnot intended Toffered MECHANICAL Application Approved By nate ! '
e.(Sac/Ion 7044, Business and Professional Code: The Contractor's
License Law does not apply to'an owner of a property who builds or Improves Boiler -•
Refrigeration System • r
thereon, and who does such work himself/herself or through his or her own • Application Issued By ' S Date -1/-1-2:1-
L
employees, provided that such improvements are not intended or offered for 00-100,000 BTU ❑100,000 BTU -
sale- If, however, the building or improvement Is sold within one year of corn- Duct-Under Ground SUMMARY OF FEES
pletien, the owner will have the burden of proving he/she did not build or im- //
rove for the purpose of sale), 1 Duct-Structural System Repair/Alteration /•BUILDING PERMIT $ �0'OU SMTP $ •$D
I, as owner of the property, am exclusively contracting with licensed con- _ � 1
I tractors to construct the project (Section 7044,Business and Professions Code: i Duct-Ventilating _ - • _ - - PLAN CHECK $ (- S • P
/ ERMIT .
The Contractor's License Law does not apply to an owner of property who ' - ISSUANCE ' $
• builds or Improves thereon,and who contracts for such projects with a con- ' Exhaust System 0 Multiple 0 - PLUMBING $
tractor(s) license pursuant to the Contractor's License Law): . GRADING $
0 1 am exempt under Section B.& P. for this reason Firepl/Fact.Bit. ICAO# ' r'' PLAN CHECK $
ELECTRICAL $ $
Date Owner • ' Heating System&Ducting ' - •
MICROFILM $
1 herebycertify that I have read this application and state that the above - - 00-100,000 BTU 0100,000 BI . • PLAN-CHECK $ -
, Information Is sorra •'roe to comply with all city and county ordinances • _ // TOTAL FEE ' $
and'state laws rel. ng to •uliding construction,and hereby authorize repre- — Hood or T • MECHANICAL $
sentatives of ithl •ty•to enter•upon the bove-mentioned pr paeLLty for YPB I 0
Inspection purpo -s, �/ �ary Canopy Type II 0 Reirttpdction Fee $15 PLAN CHECK $ LESS
q��IIG!!''rT ADVANCED PC $
Signature � II •ate /
Drivers' License or SS' _ Registers - • Issue Fee S 3 / ,
_^ FINAL FEE, $ /7.o 0
CMF 086546 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor . .-
-- -
'� ;CONSTRUCTION ANDDPL'ANNING 7 n : = m : - t - POOL : A - - . - - - - •
-y �_ 7 S7e}._ . Date '- ,:Inspector ; - Date - Inspector
PPROVALS Permits# APPROVALS Permit# -
1. Temporary Electrical Service or,Pole - - •i' . . 52: Pool & Equipment Location . _ '
, _ - - _ •
2. ,Soil Pipe-Undrgrnd} I ,r ; • -'- , -; _ 53. Steel Reinforcement - :- -
': 3: Electrical Conduit Utility-Undrgrnd: :� `, I.) :" 54; Forms - - -
:14. Electrical Conduit-Undrgrnc; • - , = LY - - 55. Electrical Bonding ,
-5: Steel Reinforcement I,T " _ . -= 56. RougumPressure h Plbing & Test • _- ' '
r 6. 'Electrical UF Grnd.: �' - 57.. APPROVAL TO COVER-GUNITE
7. Footings " 44 't J'prapei . .feel . 7/1543 e. 58.• Electrical Conduit:Undrarrrd. -
8. Foundation - _ 59. Gas Pipe;O Undrgrnd.,Test
i
9. Water Pipe-Undrgrnd. - _ r_ 6 ' '60. Backwash Lines, P-Trap, 0 Undrgrnd. .
ri
10. Structural Floor System ; ' c „ . 61. APPROVAL TO DECK -_ .
11. Property Sewer Line&!House:Conne tion _ - - ' 62. Backwash & Receptor-Final : -
12. Sewer Cap , . ! _ "i - - , 63. Heater &'Vent-Final -
13. Roof,Drains ! 64. Plumbing System - Final -
14. Rough Plumbing � - ' 65. Electrical-Final •-
-15.=Rough Electrical-Conduits ;:-4-1T 1"I '--;'I -- 1 ' i66. Solar System-Final - r -
.16. !Rough Eleric Wiring, I .: , I�'I 7! r-1 r f'"r Ir.-_ ' _;I 67- Fencing-81 Access Approval` - - - -
ct
• ?'17. .Rough Wiring Sign -',r I . • ( • ;.-^ I ' - i 1 68. APPROVED FOR PLASTERING •
I
18. 'Rough-ElectricaRT Ba"r,Ceiling, it I-r ; i I I , I': 69.' POOL/SPA SYSTEMS FINAL • - ,
19. 'Rou &
gh-Heating 'Air Cond / `itioning i� ; ' • I I FIRE DEPT-REQUIREMENT - '
I
..,, 20. Rough Factory Fireplace' I N II ( I ' i I I ' APPROVALS' Permit# •
21. -Ducts,in Structure ,.l ' I ' - I •
1
I I ', I 70. Underground Hydro
22. %Ducts, Ventilating - l l I I : 71. Product Piping O Gas 0 Oil
23. Gas Pipe-Rough &Test ; i , 1!.:, ' 1 I 1 ; 172.1 Underground Flush •
l24..,Roof Framing, I 1 0 , I•` ':- I • ' .) 1 p 1 r ' ; 73. Undergrnd.Storage Tank O Gas 0 Oil '
25. .Roof Sheathing , ;a I I i i Fn,_ 1-°' 74. Overhead Hydro - .
' 26. T-Bar Ceiling (Structural) & Monocoat; I " I ` I ' i t i I 75.. Dry Chemical
27. Frame and Flashing - I ' I 1 - 76. Dry Standpipe ' - ,
28. ,Lathing& Siding' , ' I• ' ;1 I I I ,`:; I 77. FIXED SYSTEM FINAL , ,
29. Insulation ' - •; " : I II i i i I I • 78. FIRE PREY. FINAL
30. Drywall Nailing ' , 1 I I I I . ,Notes:'
X31. Plaster Brown Coat - • 1 ' I r -� , I ! I ! Q ,`.,,,_ S-Qe' a� _S
j57C
I
32. Electrical Power Meter-Final r I
(Lig € - LJ �t n$-� L_gip y
• , 33_ Final Electric -L __. I L __ r+i �' �^ 1d ' D
34. Final Heating &-Air conditioning I i ' ' ' ' " m
9- 19-83' / W2LC
35. Final Gas Pipe-Test i _ - 1 - F• (/y�;,�
36. Hood or Canopya; � I '' I' I s%
/ e�1-,' e.'o ' _,6
37. Final Factory Fireplace .i, 1 I ,C„^A D e
38. Final Plumbing It ?i f li = I I , ,
39. Water Service-Final'' I : ;i ! ;, ! I I I -
40. Gas Service-Final' : I I , I ' I I 1 -
41. Solar Domestic-Final I 1 I 1 II - _:- -_'__.} . , - -
42. Backflow Preventers -i
43. Backflow Irrigation - I ;;I:- ,r; r= '' 1 .% •
44. Landscape°IrrigationSystem . , ! , r- 1 -
45. Sound Attenuation I . i I , , - I ' - -
46. Handicap Regulations I ' 's I" I
_ ; I l^ i ;•., I
47- FINAL STRUCTURE &iB�UILDING y „(/lea B ,
J
ae. Special Requirements Completed; i ;
49. Electric Release'to Edison , - - i I -
50. Gas Release to Solithern California Gas Co I I I I i -
51. CERTIFICATE OI;,OCCUPANCY i -�I ._'- ,_- _ ___ .
No I .C.'' Date I I ' I 1
RAL APPROVAL ONLY _
W p p R 0 u'1 SEPARRT PERMITS ARE REQUIRED -
,G,
iF TI '1G A 1D
City of Costa Mesa Building P HEW 'G v IOC C( l�Q�P �, S p
v • S 19 BF"RIGERA-i 101,1 •NORK
__,.__DAT __� APPROVED
BY..__._—_..— —• •
JOB T ALL TIMES '--'
THESE PLANS MUST BE ROpPROVAC - 3 /'/=
.;^:_ ,�,. Cu eucac wSIiREETPRIOR ,
1' — ",iParly CITY OF. COSTA MESA
OF D:PT, �, � G�`�� - :'F
4 j STS PLANNING DEPT.
T A (SAND SPECIFICATIONS OR A OOF L PNRMIT E NS'ROVAL' A fUUEQ TO BLDG. DEPT. REG
CF PI ONS ERM ORf- SHALL NOT ANYCOIOIAUIT€ON G;St• 'tIT' ,u siea T __ //
CO AFF A FERPc FOR, Ip f•N APPROVAL OF,
NO PERMIT PRE- Uii$ARUM �. DATE. L_EG
SU ANY CF Pc E AU' O"" " c •-, I;;AT M DgECTOI OP PLANNING
SUMI4C 10 GIVE AU' �ORITY TO VIOLATE OR Fy�EpT 1Nl S0 --
: U'. '.SRDN
TROY THE Of WORK 0 CGDE SN"' n )F F GOiiV MN Ca
T°4(3 THE 0; USE Vi HP H IT AUTHORIZES IS FAWFUF_ �L J .GE
THE ISSUANC . OF A PE MIT BASED LDING 0 FAC P'' lA� FIEl1l:REF°ENTS. 1
r -.CATIONS SHA : NUT FR VENT THE fi�� L.-
-..a.
T' ' 1tTERE".F1:R F SQUIRING IRE CURREC'BIN OF ERROR
ID FLANS f.\0 SPECIFIC TIO::. 01 Fh0•M PREVENTIP i
' �' ""0 OPERATIC' i BEING C .RRIEADON NY THEREUNDER CA LLWHI
t 1 1;r,v C` 1'4 ' CODE OR 0
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-STRUTI
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TYPICAL . 61� .CONCRETE BLOCK FENCE
Cement Coping Optional A ,,
•- - • • GENERAL- NOTES
Channel Block With 1.3/8 ,
0 Horizontal Top of all \ '
Fences , MORTAR One Part Plastic.Cement, and
�_ ' 'Three Parts.Sand
GROUT: ' ,. One Port Cement Three and
For Fences 5'or Less `> •' • f ' , -• One Half Ports and
Van. Bars 3/8" Oat 4' .0"O.C.. o ___
'``L,
= � COPING:. '. One Part Cement, Three
For Fences Higher Than 5' �� " u ' I 'I� Parts-Sand -
Vert. Bars 3/8" Dat 32" O.C.
Y w i CONCRETE: 'Wel Mixed 1:2-1/2: 3-1/2
r • Max. of 7-I/2 Gallons of
Fill Cells Solid With Grout_ ' > 2 i �'• .' ( Water Per Sack;of Cement
Where Steel Occurs l - - r
I�Reinforcin Steel ShallIl 4
f - , GROUT MAYBE POURED FROM THE TOP
B OF THEIFENCE IN CELLS WHERE STEEL
Conform to Sec.A-1539 w o ---- - - _
OCCURS._ ` _�...- .
A.S.T.M. • • ' Z ~mi • �,� -I CELLSANDAREASOFHORIZONTALREIN-
w n r FREE OF NT SHALL BE CLEAR,CLEAN&
All Steel to be Lapped 1[. ■ FREE OF ALL MORTAR DEBRIS,ETC.
15"or to Code
nal
NATURALGRADE ' _ -,
�f MOW _ 1 BONDS SHALL BEPROVIDETI BYLAYINGMOW.0 BLOCKS IN STRETCHER COURSES SO THAT
C'�';'�q 4/4, 1 0 e ' •_ - - 'VERTICAL JOINTS ALTERNATE IN EACH
�''TS'�. (...," p . e " . - e ' • COURSE.
TWO 3/8"0BARS '
CONTINUOUS TOP
&BOTTOM -....1 1.0—WIDTH - TO 16' 0.C. MAX.
SEE CHART 'e. n,
BELOW ' DEPTH OF EARTHTCOTH
•
--Iii 0I t• 1q/�3 THE HEIGTH OF FENCE
'a. . . . -OLLOW BOTTOM OF FOOTING.
°
10' 1 102,.� ,--- SCALE: 1/2" = I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' 5' 4' 3'
WIDTH 14" 14 12" 12"
•
THICKNESS 10" 1`0"_ 8 " 8 "
Th
DEPTH OF EARTHTOOTH . . . 24" 20 IS" 12"
SPACING OF EARTHTOOTH. . 12' L 16' 16'
OWNERS NAME:
City of Costa Mesa, California JOB PERM TODNUMBER
Building Department SIGNATURE: — — —
FOR... 01:29_261_A_(.}
170
PROJECT ADDRESS: 2365 LITTL ETON 'CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 069934
OWNER'S NAME: SPERLING MARY L TR
moms: 2365 LITTLETON CIR PERMIT NO: P 069934 PLAN CHECK NO; N GOVT: N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : REINSTATE EXPIRED PEMIT #PE7444 SQ FT:
ADDRESS: UNIT:
CLAIM VALUE; CALC—VALUE; GROUP OCC; /
PERMITTEE: MARY SPERLING ( 717 ) 751-1539
ADDRESS: 2365 LITTLETON CI COMMENTS: PERMIT FOR SWIMMING POOL SOLAR HEATING SYSTEM, IAPMO#S-2301
C. M. CA 92626 *************************************************************44 44*************4‘4444
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMEN TS
70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. S ETBACKS
CITY LIC.: STATE LIC.: CUSS: EXP '
MAIN BUILDING ACCESSORY BUILDING
Date: Signature: FRNT; FT IN REAR: FT IN FRNT; FT IN REAR ; FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE: PARKING REQ; PROV; PARCEL : 41913226 ZNE; REF NO;
COMPANY: PLANNING NOTES>
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
>
Date: Applicant: D E V E IL O P M E N T SERVICES REQUI REMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less).
I certify That in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ZONING APPROVED B Y
subject: to the(or���' mpensation Laws of inturDATE;
Date: d Signature: BUILDING APPROVED BY DATE:
NOTICE:y:II.alter ma g this declaration,lyh you should become 5pere t the Workers' mpensalbn prow ons of the Labor
Code.you must foNGnG I such firm at flys permit shall beendingdeemed revoked.
Mr APPLICATION ISSUED B Y ; �% DATE; `� t
CONSTRUCTION LENDING AGENCY: hereby1affirm that there is a construction lending agency for the performance of the work ler
which this permit i5 issued(Section 3097.Civ.C). *****'**'**'***i4x*****************+*******fi*** x*.**********x*******rx*** -x-*47.*****
*******************************************************************************
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT; N
OWNER BUILDER DECLARATION: I hereby affirm that tam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city 0f county which requires a permit to construct,alter,improve,demolish,or PERMIT 10 . 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% •
SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 20 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the TOTALS----> 10 , 00 20 . 00 0 . 00 30 , 00 30 . 00 . 00
❑ structure is not intended or altered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale.IL however the building or REVENUE DIVISION TOTALS--> COLLECTED : 30 . 00 OVER/SHORT; . 00
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
to;the purpose of sale).
30 , 00
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: TheContractors'State License Law does not apply to an Owner Ol property who builds or improves thereon *******,*******************************************;,a****************,M*x***+f*****
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAK D OW N
36 I am exempt under Section: B P 7044 B.8 P.C.
for this reaso : OWNER—BUILDEP. TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
—7 Date:/6/7 Owner: 44A, PLU 1 INSTALL/REPAIR WATER PIPING EQUIP. 7 . 00 7 , 00
I do hereby certify that I am ware 01 and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLO 1 SOL . COLLECTOR COMPL UP TO 1 00 0 SF 3 . 00 3 . 00\i/
25534 and that I or any future building occupant wilwnf not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 01 00171794-00271794 TE] : ;
Property for spec n�,purposes.(( DATE: 11, t&94 ;PIC: L'$.y*,
Dam'._ / r Signature:
Driver's License or Social Security e:
•
1641.46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POO. . SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical 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 UF ER Grnd. 57. APPROVAL TO COVER•GUNITE
_ 1
7. Footings 58. Electrical Condurt•Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12 Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED 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 #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping 0 Gas 0 Oil
23. Gas Pipe•Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
Heating Final Heating& Air Conditioning a-22
35. Final Gas Pipe-Test (�-�' '••�( -�
36. Hood or Canopy
37. Final Factory Fireplace �/
38. Final Plumbing
if
39. Water Service-Final 1r U/?�... !i"_�jd
e
40. Gas Service-Final
41, Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47, FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
St CERTIFICATE OF OCCUPANCY
•
No, Date
PBOJECTADOHESS: 2365 LITTLETON CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06993`_
OWNER'S NAME: SPERLING, MARY L TR
ADDRESS: 2365 LITTLETON CIR PERMIT NO: E 069935 PLAN CHECK NO; N GOVT; N SUPP : N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: 0TH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REINSTATE EXPIRED PEMIT #PE7444 SQ FT;
ADDRESS: UNIT:
CLAIM VALUE; CALC—VALUE: GROUP OCC : /
PERMITTEE: MARY SPERLING (717 ) 751-1539
ADDRESS: 2365 LITTLETON CI COMMENTS : PERMIT FOR SWIMMING POOL SOLAR HEATING SYSTEM, RE; #P69934
C .M. CA 92626 *+r*******+A****************+r+r******ar+r**********kr*********************+Fr***+e+r, ***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. S E TB ACK S
CITY LIC.: STATE LIC.: CLASS: EXP ;
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE:
COMPANY: PARKING RE : PROV: PARCEL ; 41913226 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
*******************************************************************************
Oat¢: Applicant: DEVELOPMENT S E R V I C E S REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need rot be completed it the permit is for one hundred($100)or less).
I certify that in the performance of the work for which this permit is issued.I shall not employ any Pers in any manner so as to become
subject to the Workers'Com enation Laws of California ZONING APPROVED BY ' DATE;
Date: F�'b�/ f. Signature: BUILDING APPROVED BY
NOTICE:If.alter making this declaration.you should become subje t to the Wo rs'Compensate provisions of the Labor : DATE
Cods you must forthwith comply with such provisions or this permit shall be deemed revoked. w
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: SA4N- DATE: [I Wo Co t4 G
which this permit is issued(Section 3097.Civ.C). ************************************************************************** *.x.**
LENDER: ********************************i(**********************************************
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: thereby affirm that I am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or P ERM I T 3 , 0 0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5()% SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500).
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 3 . 00 15 , 00 0 . 00 18 , 0 18 . 00 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself Or through
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 18 . 00 OVER/SHORT• . 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose dt sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
18 0
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon *******************************************************************************
and who contracts for such projects with a e License )license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR E AK DOWN
13 I am exempt under Section: H P 7 0 4 4 B.8 P.C.
for�this//eason: OWNER—BUILDER �r TYPE QTY DESCR IP T ION UNIT COST TOTAL COST
Dater/9r Owner: J ELE 1 MOTOR/POWR APPARATUS 0 , 0 — 1 . 0 HP 3 . 00 3 . 00
I do hereby certify that I m aware of and understand the requirements of California Health and Safety Code Sections 7.05,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
/
Dale: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction a hereby authorize representatives of this city enter upon the above-mentioned
property to inspect' n purposes.
/ 01 00171793-00171793 TOT 1E.06
Date. 161-�� Signature: 7f DATE: 11/16/94 TIME: 03:46
Driver's License or Social Security a:
1641-46 While—Building:Green—Cade Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POO. SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap. 0 Undrgrnd,
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Goat 79. FINAL INSPECTION
32. Electrical Power Meter-Final I �� 80. FOOD CERTIFICATE ISSUED
33. Final Electric �IV 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 Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING -_
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Date
UI bb if/ i .i ...j
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PE IT NO. ` [ c/ I. C'S'N�Q�,rl LOT NO. • BLDG.NO. I 0 •
164 12 e
NSt2UCTION PERMITn LvEsnio,uu . ps- 7T� T c tz / 2-- - •
-
�. /aC WEST eA 1
Applicant's Mailing Address , ` TYPE OF CONSTRUCTION .NEW•-td ADD H ALTERATION II REPAIR ,
Project Address �.t C7 • �'T'1�` �� ❑ CONVERSION D DEMOLISH ❑ OTHE• �F -
j T+�� - DESCRIPTIO F R 1 Ii �`�
Owner's Name •}-�•v - -��"ip�L a �' / �s fir.L-- V • re I ZONING REGULATIONS
Address r,. L-[ s' ` �N G!_&t- C;.M /L-J,• '_ ..
TYPE OF PERMIT GRADING FOUNDATION H STRUCTURAL A.P.99 ZONE
' Arch/Eng. - - • License No. ❑ TENANT L ELECTRICA PLUMBING ❑ MECHANICAL PLNG.REF. BUILDING •
•Address I - / z�` [) .❑.OTHER S ) TO BUILDING SPTg4Cv r•fi Sr
:"444(' PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE REAR YARD(TO P/L)
Contractor's Nam• A • 22•f • ' •j'��.a.r��hone -�/y1 s,Vrz/R�'7`
Addresslril8iling)4 CS 12.4 b-3eSttata_WC-SIM( CONSTRUCTION TVPF VALUATION$ ' LEFT SIDE YARD RIGHT SIDE YARD '
License No. 4--2--"".Car, �4/-7 •
ZONE GRADING CU.YDS. ' ACR S PKG.SPACE REQ. PROVIDED
•
�, LICENSED CONTRACTOR DECLARATION Remarks: /,4PM0 I S- 236/ STREET WIDTH PARK FEE$ ' -
I hereby affirm that I am licensed under provisions of Charter 9 (commencing . . - --
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS:
my license Islip!:force and effect- 7/��/�(J - -
License Class 'c•1 f"C License No.4z-a+' fid' r PLUMBING
Date • Signature r -"A
Bar Sink Sewer Cap - - ELECTRICAL
�• WORKERS'COMPENSATION DECLA ATION . - --
hereby affirm that I have a certificate of conseneto self4n cera or a certificate Backflow Preventer Sewer Connection Automatic Washer Meter Cover 100 amps
,1 Workers' Compensation Insurance, or a certified copy thereof (Section - _ Construction Pole
3800, Lab. An NS Backflow irrigation Solar Collectors I/' DO Sub Panel
Policy No �(Or frit � Company I & h - - -- - Cooking Unit _— Sub Pole
i.tCertified copy Is hereby furnished. • Bathtubs I Solar Piping I/ DO
Certyle o sJ�Ied with the city Buildl��Ivision. - Dishwasher Motors O-1 HP ❑t'h-e /},
Date /e+/(dy/-,�`3 Applicant - . Clarifiers Solar Tank I / w
EXEMPT ON PROM WORKERS'COMP' SATION DELL• -ATION Dryers ❑Gas ❑Electric Inc-Solar 09-15 HP ❑16-15+
(This section need not be completed if the permit is for one unfired($100)or Dishwasher , Swimming Pool w/Spa
less). Fan Microwave
I certify that in the performance of the work for which this permit is issued I Drinking Fountains • Urinal
shall not employ any person In any manner so as to become subject to the --- - - - -- - - - • F.A.U. Pole Light •
Workers' Compensation Laws of California.: Floor Drains Water Closet
Date Signature - • Fixtures
NOTICE:If.after making this declaration,you should become subject to the Floor Sinks Water Heater ' • - Range - -
Workers' Compensation provisions of the Labor Code, you must forthwith - - Device Boxes
comply with such provisions •or this permit shall be deemed revoked. Gas Service ' Outlets Water Service . - • Sign
CONSTRUCTION L DING AGENCY Outlets
I hereby affirm that then construction lend' agon for the performance Interceptors • Standing Sections
of the work for which WTII is ed (Sect 3087 Civ. C.) , -
Lender's Name • Kitchen Sink •
. . Switches Trash Compactor •
L'ender's Address -
OWNER BUILDER DECLARATION Lavatories. • Garbage Disposal
I hereby affirm that I am exempt from the Contractor's License Law for the p-Trap: - - Generator ❑0-5 KW ❑5-15 KW
' following reason (Section 7031.5 Business and Professional Code: Any city or pI -
county which requires a permit to construct)alter,improve,demolish or.repair ' - - _ Transformer 015-50 KW '
any structure, prior to its Issuance, also requires te applicant for such permit • Roof Drains. ❑SU+ KW c�
to file a signed statement that he/she is licensed pursuant to the provisions of - - T"
-`e Contractor's-License Law,(Chapter 9(commencing with Section 7000)of • • • - .Reinspection Fee .
•Ision 3'of the Business and Professions Code) or that he/she Is exempt Showers ' • Reinspection'Fee'
refrom and the basis for the alleged exemption. Any violation of Section _ Meter Duo to 100 amps issue Fee '$ 3 •
31.5 by any applicant for a.permit subjects the applicant to a civil "-. _ _
enalty of not more than five hundred dollars($500). Service Sink •- . , . . Issue Fee - $ '
r 3J Zoning Approved By Date
I, as owner of the property or my employees with wages'as their sole MECHANICAL ' /�O/
compensation will do the work,and the structure is not intended or offered Application Approved By nate 6 tP-3
for sale•(Secilon 7044, Business'and Professional Code:-The.Contractor's ---- - ------ - ------- --- --- -- --- i
License Law does not apply to an owner of a property who builds or improves Boiler Refrigeration System
I thereon, and who does such work himself/herself or through his or her own • Application Issued By Date' 6/��/i�Z
employees, provided that such Improvements are not intended or offered for Duct-Under Ground ❑0.100,000 BTU Dioo,000 BTU •
sale. If, however, the building or Improvement is sold within one year.of com- - SU MARY FEES
elation, the owner will have the burden of proving he/she did not build or im- - '
grove for the purpose of sale). • Duct-Structural • System Repair/Alteration. BUILDING PERMIT $ �SMIP $ :
U I,as owner of the property, am exclusively contracting with-licensed con- • r
tractors to construct-the project (Section 7044,Business and Professions Code: Duct.-Ventilating, -. `2 Lt) PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who • 8•�� ISSUANCE $
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 Q PLUMBING $
tractor(s) license pursuant to the Contractor's License Law). 'PLAN CHECK $ GRADING $
0 Pam exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# ' a Sb $
ELECTRICAL $ •
Date - - Owner Heating.System& Ducting PLAN CHECK $ -MICROFILM $
' I -hereby certify that I have read this application and state that the above • 00.100,000 BTU ❑100,000BIU
information Is correct. I agree to comply with all city antl county ordinances - • - TOTAL FEE $ '
and state laws relatin, to bulldin construction, and-hereti authorize repro- — Hood or MECHANICAL $
sentatives of this cit to enter g upon the a••ve-mentioned property for Type I ❑ • -
inspection purpose ` , Cane• T •e II ❑: Reinspection Fee $ •PLAN CHECK $ LESS
Signature ��..� ' r� date - , •
ADVANCED PC ' $ CO Drivers' License or'SS It IJS� .. Issue Fee $ 3 • FINAL FEE $ /2.JO
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod--Assessor
______
:r$ONSTRUCTION AND PLANNING' ° _ _ -' :_POOI PA-_ - _ - -
" - - -
.•'Date 'Inspector- - " L S - Date Inspector.
' APPROVALS Permit# . - - ,- _ --APPROVALS .. Permit•#
1( Temporary Electrical Service or Pole • - 52 Pool & Equipment Location - - -
-
- 2: Soil Pipe-Undrgrnd. - T.•, , . Jr: - . '5.3:'�Steel Reinforcement
-• 3! Electrical Conduit Utility,Undrgrnd. ' - ' 54'Forms ;? • - - ,
4. Electrical Conduit-UndrgrncP _.. - ' , 55.,Electrical Bonding -
5. Steel Reinforcement. -• = ; ' _` 56._Rough Phi;bing_& Pressure Test. -
6. Electrical UFER Grnd. 0 57.;APPROVAL TO COVER-GUNITE.
T.
7. Footings , . ' ; '= " 58: Electrical Conduit-Undrornd. ,
•
8. Foundation - - - 59. Gas Pipe,�D Undrgrnd:,Test
9. Water Pipe-Undrgrnd.-; - ..- • - , .:60. Backwash.Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System ,.61. APPROVAL-TO=DECK
11.. Property Sewer Line & House Connection rt' , ,62. Backwash&`Receptor-Final -
12. Sewer Cap ': . 63. Heater&:Vent-Final ' ,
13. Roof Drains T: . . �FA. Plumbing System -.Final _ - -
14. Rough Plumbing • - - 65. Electrical=Final - - - -
15. Rough Electrical-Conduit" 7 - , , 66. Solar System-Final- -� - - - '-
16. Rough Electric Wiring. - - , - `I- I. Fencing &•Access'Approval - - -
17: Rough Wiring•Sign. • I ' 7 • •_ i ! 68,1 APPROVED FOR PLASTERING -
. 18. Rough Electrical-T,BaF Ceiling, ; ' + ' ! .T c 69. POOL/SPA SYSTEMS,FINAL
19.'Rough Heating& Air Conditioning ; I FIRE DEPT. REQUIREMENT I i
I
20. Rough Factory Fireplace ' ' � 1 ' APPROVALS I Permit# '
- . 3 .
21. Ducts,in Structure, i + 70.1 Underground Hydro
`.22. Ducts, Ventilating 71. Product Piping Gas 0 Oil.
1123. Gas Pipe-Rough & Test t i IT , ' 72. Underground Flush
24. Roof Framing +^ A- 1 73.' Undergrnd.Storage Tank 'Gas 0 Oil t'. .
25. Roof Sheathing ' 174., Overhead Hydro
26. T-Bar Ceding (Structural).& Monocoat ' 14; _ 75. Dry Chemical -, ' - :;'
' 27. Frame and Flashing! , ' i ` 1 ,76. Dry Standpipe _
28. Lathing & Siding , ' i; 1 771 FIXED SYSTEM FINAL
' ' 29. Insulation - . - j ;78. FIRE PREY. FINAL . •- `�„ ,
30. Drywall Nailing Notes:(/Jrl �g Sa_di� - -
31. Plaster Brown Coat ! - ilse� ? Al A tag'
- • 32 Electrical Power Meter-Final ( ( e ' ' . li/J. ; 401....,
33. Final Electric , r •
34. Final Heating &'Air Conditioning . ' i
35. Final Gas Pipe-Test1
- . - '
36. Hood or Canopy '• (='• _ •+ s1 - •
'
37. Final Factory Fireplace . - . , .
38. Final Plumbing
39. Water Service-Final -
40. Gas Service-Final I .
41. Solar Domestic-Final ' I , I -'
42. Backflow Preventer , ' '
J i-1
I
43. Backflow, Irrigation - '
1
44. Landscape Irrigation System - • - -
45. Sound 'Attenuation s. , ' I ' •
46. Handicap Regulations : I , . ,
47. FINAL STRUCTURE& BUILDIING. ;•- - i • •
48. Special Requirements Completed I - { ' e
49. Electric Release to Edison ^; ,
\50. Gas Release to Southern California Gas Co • � � I i + i i . ,, ;
1. CERTIFICATE OF OCCUPANCY • r.,-.;4 -- 1 H. ;_+ I
Date _ I - ' I -
dr-
Gunite ( y�
REPORT OF INSPECTION ON Masonry ( )
Concrete ( )
BILL TO:
Address:
OWNER: J(!, /I _
PROJECT: Gtl�+wv / Reeire. wat 07_9
Address: a 365 /t Permit No. Ark: Y3 r6
Architect: Contractor: /tf...C.aLtit-2 U mot Apar.
Address : Address :
Engineer: , &4.—YnPi3� Subcontractor: l c, c ,
t
(Gun ite)��
Address: �2 Masonry or 5&(/ t�L
e/A, 71444-64/1412--'
^ Addresse)
Inspector: Uy(F}}�-`,',� (�(� Address:
Mix Used: H. 0.C61
silt/ Sal n
Admixture:
Designed Strength, PSI : 2 0 p 0 I
The following inspection was performed in accordance with the approved drawings:
Cu,Yds. No. of r.
DATES Placed Cyls. Remarks
42201
e&4,4Al71 CITY COSTA
BUILDING DIV'S'T J
1101 1 1`1 '171R1
r1.fh.-..41.11.19.1 .rs.9.A_rt .t
Copies of Reports to: (Indicate which Bldg. Dept. C. furnish address of any not listed)
2
Att2,d1►, .o TwiningLaboratories 0f Sout m California,, Ona.
E9
"2 ,III .III .�Il I-
. 3310 Airport Way/Mailing Address P.O.Box 47/Long Beach,CA 90801 /(213)426-3355/(213)636-2386/(714)8286432
TESTING BRANCH OFFICE: 1514-0 North Susan Street/Santa Ana,CA 92703/(714) 554-2645
June 30, 1983
EXAMINATION NO. 83-588 1
COMPRESSION TESTS ON UNITE CYLINDERS
Jack Hubbard
3106 Ostrom Avenue
Long Beach, California 90808
•
PROJECT SWIM POOL - I. Spirling
ADDRESS 2365 Littleton, Costa Mesa, California
ARCHITECT CONTRACTOR
Creative Pool Design
ENGINEER SUBCONTRACTOR
Reagan & Kramer McBee Gunite
SAMPLE FROM Shallow end, deep end, second beam
SPECIFIED
MIX 4.0 to 1 STRENGTH 2,000
DATE CAST 6/15/83 SLUMP SPECIMEN SIZE 6 x 12
DATE TESTED 6/22/83 6/22/83 6/22/83
SPECIMEN NO. 1 2 3
COMPRESSION 7 days 7 days 7 days
TOTAL LOAD LBS. 81,000 80,000 82,000
POUNDS PER SO. IN. 2,870 2,830 2,900
AREA. SO. IN. 28.27
7 Day Average: 2,870
7 Day tests comply with specifications.
COMPLIANCE
MADE BY: DELIVERED BY: RECEIVED ON:
SPECIMENS Lou J. OHubbard �,..���y�J�6/16/83(
DISTRIBUTION ��1a✓j�'-""""t"�"�,i&
Jack Hubbard - 3 C 6" Vet)
l/
Costa Mesa Bldg. Dept. °.:`COSTA MEJA
,o DonsiDid
AL JUL 05 ii33
f8roaUua?ilt2t3i415 6
ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS AUTHOHIZFTION OR PUBLICATION OF OUR REPORTS CONCLUSIONS OR EXTRACTS FROM OR
REGARDING THEM IS RESERVED PENDING OUR WPITlEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS THE PUBLIC AND OURSELVES
Saw gaW
IApplicantto fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY`OF COST •
A MESA I PERMIT rNO. i TRACT LOT NO. SLOG.NO. '
CONSTRUCTION PERMIT gL 3 'j 9721 '61p2/8� 2lhledu i
)''Applicant's Meilin, AddressL� ' r �-• EL TYPE OF CONSTRUCTION iii_•NEW ADD ALTERATION 0 REPAIR ,sem _ ' - -
Project Address •�-I�, S Li E $ / 1� ❑ CONVERSION ❑ DEMO_LIISH 4�OTH R T- VC
(vf'Il •
Owner's Nam�e1 •1 f-V j�� �+ se-t ' (� pPhonel�I-' q DESCRIPTION OF WORK L-f /mss • L�'y�•
:/'' /20NING REGULATIONS -
((�
Address
�'�`,d• ,3Q6S(L�It ( IJLTQN C_�F-�-LZ n • TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL A.P.#�{/9- /�—,Zrp ZONE RI '
vV Arch/En§�,J�yz/�f-7'�hw A?AQ'`,,•ry"" �Licaenfse No.�.I/07 El-TENANT ELECTRICAL PLUMBING ❑ MECHANICAL PLNG. REF.de - BUILDING /WOW' Cj/'t / J -
t i 4s-t s•--L0 „i sys O Q 6 ` et-i tz/ ' / ❑ BOTHER TO BVILDING a �/C� sntaerr r/r cT !C/
_/ y� i• - �N • ' - 6�,u 506 PROPERTY LIN (O.J REAR YARD (TO P/L) ,r/ .
Contractor's Na BOY-
4 'F='hone o PROJECT DESCRIPTION S/p,FT. ocCUPAry Y
' O BOK -1 CI of 'OEx)£ 7j'J CONSTRUCTION TVPE(U flute_ VALUATION$
O9!- LEFT SIDE YARDS-70 / RIGHT SIDE YARD 5 / •
Address(Tailing) L PKG.SP ACE REQ. �- PROVIDED ��
License No. __
L# , it ZONE • GRADING CU.YDS. ACRES • ,
LICENSED CONTRACTOR DECLARATION Remarks: . STREET WIDTH STD/ 'PARK TEE
. I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: . • •
my license is in full force an• e •
License CI ss se License No!••e • • PLUMBING . .
Date 7L MS. Signature ' a— � - -
WORKE ••MPENSATION DEC LA- •TION Bar Sink Sewer Cap ELECTRICAL _ -
i-hereby affirm that.I have a certificate of-consent to self-insure ora certificate - , BackfIow'Preventer' - Sewer-Connection - • - - . Automatic Washer _ _ 'Meter Dover 100 amps •
•
of Workers' Compensation Insurance, or a certified copy thereof (Section • - _ -
3800, Lab. )M Backflow Irri •
gation Solar Collectors Construction Pole Sub Panel
• • Policy NoL,.L,;l�� l Com DanY ul "Fte Irl i _ - - ' •
Date�Certified copy is hereby furnished. ' • Bathtubs , Soler Piping Cooking Unit Sub Pole
ertif 5qg�is filed with the city B Itll Division. Dishavasher 'Motor H $ • l
/J y�7', Applicant ^Clarifiers Solar Tank - -
EXEM O F O WORKERS'COM SATION DECLARA ION - Dishwasher Swimming Pool w/Spa / Oa Dryers ❑Gas ❑Electric Ilnc.Solar,❑9-15 HP ❑16-15+ • I
' (This section need not be completed If the permit is for one hund ed ($100)'or — O -
less). I DrinkingFountains Urinal Fan 'Microwave
I certify that In the performance of the work for which this permit is Issued I
-
shallnot employ any person in any manner so as to become subject to the - F• ,A,U. , Pole Light •
Workers' Compensation Laws of California, •' I ' Floor Drains Water Closet •
Date Slynature • , , - -• Fixtures ' ,
NOTICE:If,after making this declaration, you should become subject-to the , Floor Sinks -- - - - - Water Heater - - -• - Range - - -
Workers' Compensation' provisions-of the Labor. Code, you must forthwith ' - Device Boxes ' '
comply with. such .provisions or this -permit shall be deemed revoked. • Gas Service Outlets - WaterService - Sign ,
CONSTRUCTION LENDING AGENCY ' 7,Outlets Standing Sections
•
', I hereby affirm that there is a:construction lend 9 agency for the performance. Interceptors • _ - /, a•
' of the work for which this permit s ,I ed (Section 3097 Civ[ C.) ' - - -
' Lender's Name ' - /� - Kitchen Sink Switches . • Trash Compactor /�,1' '
O •
WNER' Address O S _ - odes " ' il Garbage Disposal t0L- t SI T • y �e.
OW NE R'BUILDER DECLARATION L/ayq- _ /
• I hereby-affirm that I am exempt from the Contractor's-License Law for the �/ , - Generator 00-5 KW 05-15 KW • ,
following reason (Section 7031.5 Business and Professional Code: Any city or " P-Trap
county which requires a permit to construct,alter,Improve,demolish or repair - .- Transformer ❑15-50 KW
any structure; prior to its issuance, also requires the applicant for such permit Roof Drains
to file a signed statement that he/she is licensed pursuant to the provisions of - �5U+KW' Reinspection Fee
tie Contractor's License Law,(Chapter 9(commencing with,Section 7000) of "' Reinspection Fee
!vision 3 of the Business and:Professions Code) or that'he/she is exempt Showers - Meter ❑u to 100'am s ^—
nerefrom and the'basis for the alleged exemption. Any violation of Section - PP Issue Fee $ 3
7031.5 by:any applicant for a permit,subjects the applicant to a civil ',�!
enalty of not more than five hundred dollars($500). ., - , ' Service Sink issue Fee $ 3 Zoning Approved By hke/r"`.' Date ��•/2/Q
U I, as owner of.the property or my employees with wages as their sole I MECHANICAL {.Si_compensation will do the work,and the structure is not intended or offered . . • Application Approved By �( Date /2./!Q-3
for sale (Section 7044, Business and Professional Code:.The.Contractor's ,
License Law does not apply to'an owner of a property who builds or improves ; Boiler ' Refrigeration System Application Issued By - - �� Date _
thereon,•and who does such work himself/herself or through his or her own ,
employees, provided that such improvements are not Intended or offered for Duct-Under Ground 00-100,000 BTU ❑100,000BTO
sale" If, however, the building or Improvement is sold within one year of com- • l SUMMARY OF FEES ,
pletion, the owner will have the burden of proving he/she did not build or im- //U /�Z
Love for the purpose of sale). Duct-Structural System Repair/Alteration BUILDING PERMIT S L SMIP , $
C I,as owner of the property, am exclusively contracting with licensed con- 7�.82
tractors to construct the project(Section.7044,Business and Professions Code: Duct„-Ventilating - - '_- •- . PLAN CHECK $ : PERMIT
' The Contractor's License Law does'not-apply to an owner of property who o0O I$$UANCE $ ,
builds or Improves thereon, and who contracts for such projects with a con- • Exhaust System 0 Multiple ❑ PLUMBING $ 7.
tractor(s) license pursuant to the Contractor's License Law):. • PLAN CHECK $ GRADING $
0 I am exempt under Section B:& P.C.,for this reason •• ' Firepl/Fact.Bit.ICBO# .7 $
- - ELECTRICAL $ 12.00 t '
Date t Owner' "I. Heating System& Ducting MICROFILM $
I hereby''certify.t.. rave read this application and state that,the-above- ' ' - 00-100,000BTU-0100,000BTL - - - -----. - - _ 'PLAN CHECK: $ - ,
information is corr.ct. I a• -e to comply.with all city and county ordinances : TOTAL FEE', $ '
and,state-laws rela in• to b 'Itling construction,and hereby authorize repre- Hood or Type I ❑ - 'MECHANICAL $ I • t
zentatives o to•e ter upon the ,above-mentionetl pr•perty for . yP ) r Reinspection Fee; $15 LESS -
. t l Cano !PLAN CHECKS $,
In gnatuon,purQo ' - ”, : - yr/ " i Canopy Type I I ❑' _ •
ADVANCED PC : $ •
Signature �� �/ ' Date - - ,/
�airk3_• / 1 Registers f Issue Fee �� •
$ 3 FINAL FEE $ 37
Drivers' Licehs ors $ I I -
CMF 0865-46 rev,12/82 White-Buildin-•Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - -
Pr
'-tlCONSTRUCTIONAND_PLANING � ` - ` e ' " -P-OO, --SP+-A . _ ..
-
/-73 • Date 'Inspector • Date Inspector.
• APPROVALS Permit# , . APPROVALS ` ' Permit
^ !I': Temporary EIet&ical Service or Pole"`` ' ' : - ..52- Pool &.'Equipment Location
I I; 2. Soil Pipe-.Undrgrnd_ '.7is !
Z, : ) ' + ; 53'. Steel Reinforcement _ - - - '
• 3: Electrical 'l.J
Conduit Otilitvridrgrnd., ✓ -. 4 ' '54.' Forms - - ' -
,,y
4 Electrical.Conduit-Undrgrnd: . 0 ' t- - ''-" Z • .' :"55. Electrical Bonding
5' Steel!Reinforeement ' ' ' ..• -- ; - 56^r Rough Plumbing i& Pressure Test •!t
6. .Electrlcal'UFER;Grnd: ., -I ,�_ _ 57:-APPROVAL-TO COVER-GUNITE • `_13_g3 C_ C.S
7. F,00tings,- ,'1•a -,� a - --i2 . _ 58 Electrical'Conduit-Undremd. '71g-‘) & .c . '
8. Foundation ' ' • j ' ' 59. Gas Pipe,.0 Undrgrnd.,Test .:4'
9. Water Pip�-,Undrgrnd. ' _ _ -:75, v. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. 54ructuralFloor System • 1� T. .61. APPROVAL:TO.DECK -
11. Property Sewer-Line &.House Connection' c .P .. i'_ : 62. Backwash &-Receptor-Final - •
-u-as 0.. .c....
12. Sewer Cap- r�:. ;ti, -A •' _ _ ' 63. Heater &Vent-Final _ - - •. 1-;1--15S C
13. Rol of,D-raink• p -t - yt - ,'F • 64. Plumbing Systems Final" .
-C _
14. Rough•Plumbing 1' `- •
'65. Electrical•-Final - \ ..
- 15:Rough Electrical-Conduit" --
I - I -1 , .----I-1-
• - 661: Solar Systteth-Final _ - /) -
16. :Rough Electric Wiring, • ,. 1 rtt.:1-6; ", -• j-- .. "67. Fencing.&,Access Approval .- - . '
17. Rough Wiring Sign'.' ti .r ' , •• . = I
_ _ 168. APPROVED FOR•PLASTERING ~-a3-
18. '�Rough Electrical-T;Ba`r Ceiling ! ' : I ' 69.E POOL/SPA SYSTEMSFINAL
`6- I•fr3 CSC
19. Rough"Heatinorq.& Air;Conditioning FIRE DEPT. REQUIREMENT.
,-20; Rough Factory Fireplace • APPROVALS Permit#
,21. 'D'ucts, in Structure '
_ ;`I I 70.' Underground Hydro
• `22`Dycts;lVentilating • 3:r 'i ' iI I ! '71., product Piping 0 Gas 0 Oil
23.-.Gas'Pipe-Rough&Tat -. I ' ill j , ,72., Underground Flush
24-Roof ' I , .
1F:raining:� .�•`• � • '� � , .73.1 Undergrnd.Storage Tank 0 Gas 0 Oil •
25. Roof Sheathing •7+ - - 1 : j • : ; ,74. Overhead Hydro _
• 26. T-Bar1Ceiling (Structural).& Monocoat : I , : 175 Dry Chemical •
27!)'frame and Flashing i " I 76.: Dry Standpipe •
28'. Lathing & Siding I i I ,77. FIXED SYSTEM FINAL -
29. .Insulation _ 1 - X78. FIRE PREV. FINAL •
• ..
30. Drywall Nailing a Notes:
31. Plaste-Brown Coat rt I , I I 1 . I 1
32. Electrical Power Meter-Final ; ' "` -
33. Final Electric I •
34. Final Heating &.Air Conditioning , 1 :.''
35. Final'Gas Pipe-Test . = ' i , '', , ', ! - , - '
36. Hood or Canony ' - ' -. ! - - -
37. Final Factory Fireplace - , I I l , - ..
•
38. Final Plumbing I l i - - _
39. WaterlService-Servicef
40. Gas Service-,Final ,=i' l j } l
41. Solar Domestic-Final.:� • ' I ' L _L-i- ' • , • • -
42. Backflow Preventer ' _ t ' I I I ' '
43. Backflow Irrigation - .1_i � _-, I `• i ; - ; -
44. LandscapeIrrigation Systemr
-
,I
r '
45. Sound :Attenuation - 1 -y
46. Handicap Regulations; . .< , ; • ( j ' I • ;, ,
• 47. FINAL STRUCTURE'& BUILDING,. , I ' j I .
48. Special Requirements Completed ,• $ ' 'I I 1 • ` '
If
49. Electric Releaselto'Edison . I - ,__f -- -" ! • -. - i- I , ._
50. Gas Release to Southern California Gas Co ; ' ' ; j • , , • ,
51. CERTIFICATE OF OCCUPANCY _ '_._ . ' ' .' '
No ' Date • 1 i
PROJECT ADDRESS: 2365 LITT'LETON CI UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05138: I
OWNER'SVAME: SPERLING, IRVING _ j
. ADEIREsS: SPERLING, MARY L PERMIT . NO: B 051383 PLAN CHECK NO: 00952-91 S GOVT: N SUPP: N
• 2365 LITTLETON PL
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; 0TH i
5491098
ARCN/ENGINEER: REG.NO.: JOB DESCRIPTION : CITY STD BLOCK WALL SQ FT: 140
ADDRESS: UNIT:
CLAIM VALUE: 2, 800 . 00 CALC—VALUE: 2, 800. 00 GROUP OCC; M-1 /
PERMITTEE: JIM JENNINGS ( 714 ) 645-8512
ADDRESS: 2136 NEWPORT COMMENTS: 140 L FT CITY STD BLOCK WALL
CM , lE1Etf Y'?E
92627 i!bekKK•1fN]E
- K*A'if3f)E?PTE**ifieitiE iE
KK'MK *iE*-X#''1Ei(iEa[*df,Yti!7E7kififif*it1E****JF1E*1(*k*df40iE9(#1EilE
fKif Kit7riEY.
LICENSED CONTRACTOR DECLARATION: I hereb affirm that I am tic nse• under'revisions of Ch.. ommencing with Section Z ONING REQUIREMENTS
7000)of Division 3 ul me Business and Prolessio s Code,and my tic •is in , force .nil of SETBACKS
CITY LIC.: 024547� ATELIC.:397707 I : -:C —of
nate: -3�a __ Signature: /_ _ ,� MAIN BUILDING ACCESSORY BUILDING
IRKERS'COMPENSATION ECLARATION: I hereby affirm that l have a certificate of consent to sell-insure or a certificate 01 Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR ; FT IN
,mpensation Qr insurance crtrtled copy thereof(Section 3800.Lab. LEFT: FT IN RGHT: . FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 1 18�2°7 6 8—90 EXP.DATE: 0 5/0 1 /91
COMPANY: STATE FUND I PARKING REO: PROV: PARCEL: 41913226 ZNE: R1 REF NO:
❑ cendlen opyishrebyfurnished. CH ceninedc yisfaedwit Build/it / PLANNING N' TES> 140 . 5 LF 6 FT. HIGH BLOCK WALL BUILT TO CITY STDS ,
t
I *******************143E**************************************************** *****
—s Date: 3� APPticant: � �
EXEMPTION*? MM NSATION DECLARATION: (This sectEm need not be completed if the permit is Mr one hundred(S7 W)or less). 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
I certify That in the of the work for which this permit is issued.I shall not employ any person in any manner so as to become '
tooled to the Workers'Compensation Laws of California. ZONING APPROVED BY /_,�- -- —..C __
_ — DATE: 03 1 fc3)
Dare: Signature:
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , DATE:
Cade.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work fou APPLICATION ISSUED BY: ��!."-4"` DATE: G '
which this permit is issued(Section 3697.Civ.Q. ********************** 5s.n , s a.s••�'-•—•---. • • • • . • • • • • • • {c. 1(..**..�.K..i4}{(. 14#
LENDER: ************************ ********* Y.K**)*1(-*34**1F****14**1F3EY.Y.-*********3F*1414***14
ADDRESS: LEGALIZATION: N F E F t U M M A R Y STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELEC 1 R IC MECHANIC FIRE SM I P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit t0 construct.alter,improve,demolish,or PERMIT 5 4 . 0 0 , 50
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 3 5. 10
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
ly appticanr for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(SSW). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 54 . 50 0. 00 35. 10 89 . 60 89 . 60 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS——> COLLECTED: 89 , 60 OVER/SHORT: . 00
improvement entis of sod s t.
is n one year of completion,the owner will have the burden of proving he/she did not build or improve
Mrthe BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
i ^
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
54 . 0`/ • 50 35 . 10
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves(hereon
and who contracts for such projectswifh acontractor(s)license pursuant to the Contractors'State license Law).I am aware *****************1e**********************************************14****7r**Y-*****11..
that proof of their Worker's Compensation insurance should be provided to me. I( N D I V I D U A L F E E BREAKDOWN
0 I am exempt under Section: B.8 P.C.
lorlhisreason: TYPE QTY S C R I P T I O N UNIT COST TOTAL COST
Date: Owner: SFR 140 /' E
ES—CONCRETE BLOCK WALL / FT, 20 . 00 2, 800. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and _ END OF FEES
25534 and that I or any Mute building occupant wdgwig not(circle one)need to comply with said stale codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. •
Dale: App., .nl.
I hereby certify that I have read this application' d slate That the ab. ' formatio• s c. re to comply with all city and county
ordinances and sb a laws relate to buildingcon.ruciionand hereby:a i'rtea2 r•• s'� ID •enter upontheabove-mentioned
properly for inspe lion PmPos, _ _ __� _ _
I/�-- x10 fr':.l io47.:- '2.n'47.1-:.
. —flaw—__21=4— Signature: - ..: YCr%'(1�!tui` 4_ (_f':-i. •)
CONSTRUCTION AND PLANI.. J ; &-S--P A
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
9t Temporary Electrical 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. ,Footings 58, Electrical Conduit-Undrgrnd.
- 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. . 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connection - .62. Backwash St-Receptor-Final
12. Sewer Cap -• • 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System -Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring - . 67. Fencing & Access Approval
17. Rough Wiring Sign 66. APPROVED 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#
21. Ducts,in Structure 70, Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing , 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28: Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78: FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final I 80..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 Service-Final -
41. Solar Domestic-Final '
42. Backflow Preventer -
43. Backflow Irrigation •
44. Landscape Irrigation System -
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING iikli i p
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
o
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this 2 7 day of F,g ,
191/, by and between Stat hOg hereinafter referred to as
"LAND OWNER", and 771/)f�//?'. hereinafter referred to as
"ADJACENT PROPERTY OWNER". -
It is hereby agreed that a party wall will be constructed on the property line
between 236 s L //Z 4 fl J e:/,ea
(Address of Adjoining Properties)
22¢ f_ 0YoL ,Q
in the city of C-05rA 4f4c 4 , County of Orange, State of California, as per map
recorded in Book , Page of Miscellaneous Maps, in the office of the County
Recorder of said County. The party wall shall be permitted to encroach
!/4LL.
IN WETNESS WHEREOF, the parties have entered into this Agreement the day and year
first above written.
LAND OWNER . ADJACENT PROPERTY OWNER
(Signature) sy nature)
/ieI14tl j Sn z/.cif L«sk i1 Cfl-1-.E(
Name (Typed or Printed) Name (Typed or Printed)
• 236E Znat err 2 2¢ Ze9 yCG,Q G'/P/
'(Address) (Address)
SUBSCRIBED AND SWORN •
•
TO BEFORE,'THIS
DAY OF ���� 1�. �..
met
�uai� P1-38 C
NOTARY .
OFFICL L SEAL
KATHERINE L F gLONG
'^ Nctac:itc:No
ORANCE COUNPf
`+mo o My Comnisslon Expires
May 7, 1994
(Individual) GLEPfl4LE FEDERAL
STATE OF CALIFORNIA }ss. SAVINGS AND LOAN ASSOCIATION
COUNTY OF I—nS Av\cc e`eS
On lN!.0 hj4, r1 \99 N before me,the undersigned, a Notary Public in and for
said State,personally appeared r\il ela r 'P c'\\t\ —rt.-(s Sck-c' e ,
personally known to me or proved to me on the basis of satisfactory evidence to be the person
whose name \s
subscribed to this instrument and acknowledged that .
S\1e executed it.
ti r CFFl.aq 1�+4
orkAAR EENs P. CORDERO
�-P�Q. - = wraav wwc.c.wromru
-„Ass,.._,);'7, PRINCIPAL QFFicE In
•
WITNESS my hand and official seal. \K....4;
c r li T!
MULES COUNT!
+r¢ssr Si9fnwam see Esa.hey 5.1991
Signature 114 igi I_) - (1)'1Jw
GFS FORM 1251 (L 6/82) (This area for official notarial seal)
J,
I
PARTY WALL AGREEMENT
TIIIS AGREEMENT, made and entered into this 2__7 day of 1'7..5.r-> ,
19G1t , by and between
,� .1 51.x-r��i�1� hereinafter referred to as
000"LAND OWNER", and -. -�C^)GU hereinafter referred to as
"ADJACENT PROPERTY OWNER" .
It is hereby agreed that a party wall will be constructed on the property line
between 'L'> ,S Al 2S'59 l�iTl l GTZng- rAer .r—
(Address of Adjoining Properties)
in the city of 5r7---- t----ekcSr -, County of Orange, State of California, as per map
recorded in Book , Page of Miscellaneous Maps, in the office of the County
Recorder of said County. The party wall shall be permitted to encroach
YC:- •--...4‹,t-c-c__
• IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year
first above written.
LAND OWNER ADJACENT PROPERTY OWNER
2f1er __'-,,L`"j e --- i ��� (C�8IS
l)11Y -J
(Signatur (Signature)
4.0/744- --5)na/ill Wake& d Vb4L/0
Name (Typed or Printed) • Name (Typed or Printed)
2 ' �i.rtusTonJ C-4- '\ 23 c9 C_t-r1ziz-1b,J e i--El '
'(Address) 1 (Address) )
SUBSCRIBED AND TH SWIM
TO BEFORE
DAY OF l/c/u �^19.l
NOTARY PUBLIC , •
;ec.;,A OFFICIAL SEAL
1€ 5J201
•o MY Comrrisslon Expire
- I \
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this 27 day of Ic2F23 ,
l9fL, by and between _577/4r,E[/A/f hereinafter referred to as
"LAND OWNER" , and • ...3,6W./21/41 hereinafter referred to as
"ADJACENT PROPERTY OWNER". -
It la hereby agreed that a party wall will be constructed on the property line
between z36,$ L/TfLG'7,A.l
(Address of Adjoining Properties)
22.o r zoynLA
in the city of 47,,5j74 /V&SA , County of Orange, State of California, as per map
recorded in Book , Page of Miscellaneous Maps, in the office of the County
Recorder of said County. The party wall shall be permitted to encroach
0 a/AL C
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year
first above written •
-
LANI) OWNER ADJACENT PROPERTY OWNER
) J
''9C
(Signature }Sig ture)
•
t-IF/AJf' -STS?the% /(/f VEoAy.E. 1f.EVL%
Name (Typed or Printed) Name (Typed or Printed
434.rZ/7779 0'?' zzt £aniz,4 e47
Address (Address)
Subscribed ans sworn to me this
6th day of March, 1991 in the County
SUBSCRIBED AND SWORN
TOBEFORE�METHIS of Orange, State of California
DAY OF1ucu , ? " b
Z.:,
// �/ 1 �` ' 197 N tar; Public
A.
NOTARY PUBLIC OFFICIAL SEALOFFICIAL SEAL.
, KATHERINE L.ARMSTRONG 9�� MURIEL C LIGER
'��; Notc,Y fL:-)IL� Cci,�brnlo
o s NOTARY PUBLIC - CALIFORNIA
tw��.�L ORANCS COMP ORANGE GOUTY
• My Comn ion Explicit � My comm. expires MAY 11, 1992
\�.,,, May 7, 1994 _ ._,.r
r
,4,.r' {14 '7 t: S 4937 3/13/79 • I.I'6.24. i
COSTA MESA BUILDING-SAFETY DEPARTMENT 4937 3/l3(79. I;T6:24_C_KT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 �!p4937 00004476 58 TQ
APPLICATION FRPSTRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only ..
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING
ADDRESS Lot 2 Tract 9787 . _ .
I PERMIT NO.
OWNER Michele C . d'Arlin A.P. No. / '
�9l7 —V ! .
MAIL BUILDING /
ADDRESS 2314 Fordham Dr ADDRESSp2365 G/ P Cir
CITY Costa Mesa No545-5370 TRACT91777 I LOT Z BLOCK
•
CONSTRUCTION NEW ADD ALTER REPAIR MOVING nFMOI ISH .
LENDER Wells Fargo Bank
'- BRANCH Westwood Village
OWNER Michele C . d'Arlin
ADDRess10850 Wilshire Blvd L . w ` -, ISA
VALUE •
ARCHITECT TEL SE rt 1
OR ENGINEER Will Foster Np63] —1762 - ' " ^-° - . . -^
• FIRE
' ADDRESS24O1 Narbonne Wv C .M. 92627 ZONE TYPE GROUPS$'i.
APPROVED
CONTRACTOR Jacques d'Arlin—M&M Devt . BY DATE
ADDRESS 2314 Fordham Dr
TE
ZONn PLAOS BUILDING OF USE ON NEW
PL
CITY Costa Mesa No�45-5370
#• STATE CITY YARDS APPROVED YARDS APPROVE
�y5 _ LIC. NO. 233151 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE i NO.OF BLDGS. (FROM C/L STREET)
B. OF LOT 1 NOW ON LOT 0 RONT .. S FT. FT.
Q USE OF 9
EXISTING BLDG. R.SIDE / FT. FT.
r/) G—
HSeparate permits are required for L.SIDE 0 FT. FT.
electric,plumbing and heating work.
WREAR FT. FT.
I.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
-41
MAIN BLOCS. ACCESS.BLDGS.
-
1 Residence w/attached VAR.# DATE
Q garage C.U.P.# APPROVED
�>4 /1M S APPROVED .- E
x r .,4 4?1/413DR:SPEG ki:tukSU112E1WENTS
OW.,
O , I hereby acknowledge that I have read this application and state n eN
g4 that the above information is correct and agree to comply with m
tat
L all laws regulating building construction, and I shall not employ
i
Z El r any person in violation of the workman's compensation laws of a i (m(
the State of Cacertify
h 3 O F /`�5 a ' "
I hereby certify that I am properly licensed as a contractor under /) Of_,`FJJN/z/) [
the State of California Business and Professions Code, Division 3, THE AMOUNT WN UNDER VALUATION IS FOR m ' `+
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California•Business VALUATION PERMIT FEE $ c^
and Professions Code, Division 3,Chapter 9./1// �,7 /,�t,t I�('./�/t r+� mIT
PermitteeI� e !J CA%W{"�-/ $ ��� [�/• TAX PLAN CHECK $$ 1//♦/�f 1 u.U�
Signature of 5 -
Authorized Agent TOTAL PAID $ / a
't7 6 Ste' 8564 7.1.25/7.9 2.23:00 TL
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APP ATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only , . DATE RECEIVED ,. ,�i,�
ADDRESSBUILDING Tr.9787, Lot 2 L36. aN '• ... ,.._� - . ,. � .�%/�:
PERMIT NO.
OWNER Michele C. d'Arlin A.P. NO.
MAIL BUILDING ! 40r
ADDRESS 2314 Fordham Dr ADDRESS��IDS _ ��• '.
' CITY Costa Mesa 92626 NOL.'545-5371 TRACT LOT BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
LENDER
BRANCH
OWNER M&M Development
ADDRESS
�,s /i. I/, VALVE
ARCHITECT TEL USE ^•�/>t . l(/L/f S
OR ENGINEER NO, "" "' vv.-
FIRE
FIRE 7
ADDRESS ZONE V Q/ TYPE GROUPJ
APPROVEDO/ s..
DATE { .�i 7
V L-
CONTRACTOR Jacques d Arlin—M&M Devt,
ADDRESS 2314 Fordha u 0ZONE NO.OF USE OF NEW
' CITY Costa Mesa
LAO45-5370 PLANS BUILDING
F• " STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. 233151 LIC. NO. MAIN BUILDING ACCESSORY BUILDING
NO.OF BLDGS. (FROM C/L STREET)
'LI SIZE
O. OF LOT 7024 sq.f t. I NOW ON LOT RONT FT. FT.
Q USE OF
N EXISTING BLDG. R,.SIQE FT. FT.
rA
F Separate permits are required for L.SIDE FT. FT.
cc electric,plumbing and heating work. REAR FT. FT.
14 USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET.MAIN&
'C MAIN BLDGS. ACCESS.BLDGS.
GIVAR.# DATE
Q Residence w/attached garage C.U.P.# APPROVED
7 APPROVED
>. .ATE
.]
a
w
O I hereby acknowledge that I have read this application and state t,
N
g that the above Information Is correct and agree to comply with
so
Q• ' all laws regulating building construction, and I shall not employ s:
Z any person In violation of the workman's compensation laws of
'a the State of California. m
• I hereby certify that I am properly licensed as a contractor under SQ. FT. tv
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEEnONLY: e
am exempt from the rovislons of the State of California Business VALUATION 2�3 CO N
and Professions Code, •ivislon 3,Chapter 9. PERMIT FEE $ ,
m
• r� PLAN CHECK $ en m
j U
Signature of k ' ' / \' / _\• S tz
o
Permittee \ efflf TAX $ �� tz
Authorized Agent � U
TOTAL PAID $ ZJ"o