HomeMy WebLinkAbout979 TRENTON WAY - Building Permits(714) 754-5273 • Fa�c (714) 754-4856
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicank
Address:
CITY OF COSTA MESA
BI/ILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT.
PERMIT
979 TRENTON WY
14105243
LORIE GLOVER
Owner: HITT, WALTER E JR
Address 979 TRENTON WAY
COSTA MESA, CA
PLUMBING PERMIT
Phone: 714-241-1414
Zip:
Phone:
Zip: 92626
Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
Arch / Eng :
Address:
SANTA ANA, CA
WATER HEATER CHANGE-OUT.
ISSUE FEE
BackFlow irrigation
BackFlow Preventer
Baihtub
Clarifier System
Connect Qce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 ouilets) �
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
so.00
50.00
so.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
Phone: (714) 241-1414
Zip: 92704
License: 529127
Phone:
Zip:
License:
SCOPE OF PERMIT
FEESUMMARY
AMT
Laundry Tub I Washer $0.00
Landscape Irtigation $0.00
P-Trap 50.00
Pressure Regulator $0.00
Process Piping (per 10 R) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo 50.00
Sewer Connect 50.00
Sewer Private Line 50.00
Shower 50.00
Sink, bar 50.00
Sink, commercial $0.00
Sink, Floor 50.00
Sink, kiichen 50.00.
Sink, 5ervice/mop 50.00
Spa (private) $0.00
Spa (public) $0.00
orr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS I SPECIAL CONDITIONS
PERMIT NUMBER
P00-00171
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 04/11/2000
Issued: 04/11/2000
ISSUED BY: � !J.-
�
SumpPump
Swimming Poal
Trap Primer
Urinal
Vacuum Brkr BkFlow(t-0)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
TOTAL CALCULATED FEES
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
512.30
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
535.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
NO710E: The work authorized by this permit shall comply with all applicable handicap accass requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona end flnal approval must be obtained. Failure to obtain inspections end final epproval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
WORKERS' COMPENSATION DECLARATION: � �
I hereby ettirtn untler penelty ol perjury one ot the following declarations:
0 I heve antl wlll mein�ain e cetlificale ot consent to selbinsure br workers' compensatlon, as providad br by saction 3700 of the Labor Code, for the pertormance of tha
work for which this permit is issuetl.
,[� I have antl will meinlaln workers' compensation insurence, es raquirea Oy saction 3700 of the Lebor Code, for ihe pedortnance oi the work for which this permit is issuetl.
My workers' compens tlon Insu{ence carrier end policy number are: .
Camer. �0/✓1�1�1Y�-� PolicyNumber. N�IO$ R�O¢(
(This secfion ne , nat be comp/efed i! the pe if Is valued et one hundred dollars ($100J or less J
❑ 1 certify that In the peAormance of the work tor which ihis permit is issueq I shell not employ any person in any menner so es to become subled to Ihe workers'
compensation laws of Calibmia, end agree thet If I should hecome subject to Ihe workers' compensetion provisions of Section 3700 of ihe Labor Code, I shell forthwith
comply with �hese Orovisions.
ApplicantSignaWre: � ��^ Date: ��l�nlao
WARNING FAILUFiE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PE�NALTIES AND pVIL FMES UP TOONE HUNDRE�
THOUSAND DOLL4RE (510D,OD0), IN ADDIiION TO THE COST OF COMPENSATIIXJ, �AMAGES AS PROVIOED WR IN SECiION 3]Ofi OF THE LABOR CODE, If TEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aftirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Dlvlsion 3 ot tha Business antl Professions Code, and my license is in tull
force end eRect. Lic. N Class # �O
Comractofs Signature: �� � Date: ��' O 00
�
CONSTRUCTION LENDING AGENCY:
❑ I here6y aHirm that ihere is a construction lending agency tor the pedormence of t�e work for which Ihis pertnit is issuad. (Sec. 3097, Civil Code).
Lenders Name: Lentlefs Address:
Signature: Date: '
OWNER-BUILDERDECLARATIONS: �
I hereby atfirm ihet under penalry ot perjury Ihat I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair eny siructure, prior to its issuance, also requires tha applicaM tor such pertnit
to tile e signed statemeN tha� he or she is licensetl pursuant to ihe provlslons of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Professions Cotle) or that he or she is exempt Neretrom and the besis lor the elleged exemption. Any violation of Section 7037.5 by any applicant for a pertni�
subjects the appllcant to e civil penalty ol not more then five huntlretl tlollars ($500).):
❑ I, es owner ol ihe property, or my employees with wages as Iheir sole compensetion, WILL DO THE WORK, end the struciure is not intentled or oNered tor sale (Sec.
7044, Business and Protessions Cotle: The Comrectors License Lew tloes not appty to an owner of property who builtls or improves thereon, and who does such work
himself or herself or ihrough his or her owA amployees, provided that suc� improvements ara not intended or oHered lor sale. If, however, the huiltling or improvement is
sold within one year of comptetion, the ownerbullder will heve ihe burden of proving Ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner ol the property, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business antl Protessions
Code �The contractors License Lew does not epply to en owner of property who bullds or Improves Ihareon, end who contracts tor such project with a coniractor(s)
license pursuent to the Camractars License Lews.).
❑ I em eaemp� under se(
SignaWre: \"����'
Owner ID vanfietl by tlnvers
Venfication ot Ownership Dy
Business end Professions Cotle for t�is reason:
❑ Ves ❑ No Drivefs License No.
nent, i.e. � properry taz bill or deed):
Data:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certity Ihat no eacavation iive (5) or more teet in depth into which a person Is requiretl to tlescend, wiil be made in connection wiih work aut�onzetl by this
permit, end ihat no building simcture, scaflolding, felsawork, or demolition or tlismantling �hereot, wlll be more ihan thirty-six (36) teat high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7itle 8, California Atlminis�re�ive Cotle).
❑ As ownerbuiltler, I will not employ enyone to tlo work which would require a permit imm Ihe Division oi Industrial Safety, as notetl a6ove, unless such person has a
permit to do such work irom the division.
Signature: Date:
Division of IndusMel Safery Permit Number:
CERTIFICA7E OF COMPLIANCE AND AIfTHORIZATON OF ENTRV: I certity untler penelry of perjury ihat I have read this application and state Ihat the information given is
correct. I agree to comply with all stete laws end city ortlinances relating to builtling construction, entl euthonza represematives of the Ciry ot Coste Mesa to emer upon the
above-tlescribed property tor Inspeclion purposes. I agree not to occupy or allow occupancy ol eny building aulhonzetl by Ihis pertnit unlil final inspection.
-' �Signature OI Legel Owner(s) Data
cA Or Authodzed Applicant �/O/ �DOate
CODE �, INSPECTIONTYPE
1616 Fixed System Finel Fire Preventlon
1266 Pool Spe Finel
200 Final Re-Roof
201 Flnal Blxk/Retaining Well
202 Final Fectory Fire Plece
203 Final Sign
204 Final Demolltion
2dd&d6
ueiE
�
COUE 1 INSPECTION TYPE
206 Finel Mechanical
208 Final PlumDing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning ApDroval
222 Final Site
250 Final Builtling/Occupancy
� �
V� � ►
�.
i
�
�� <
�. �'� .. � . � . . ' . :'.
. ♦ �� :�� �� .R. � �
� ��`.
; ;, �. , . `� ./'
: h.i,•_f= =' l.3_'�(�i� /
�.,� .,. . . +p0� �/ ` - : .
r^ � -.,. ' �.f
�--�-�--r�.�-- ��
t ` �R ;
� txt�t � ��
� . �
6 � � I'�
I �
I Plub `,
1 �
�
` �.Je o✓�.-r+�t�.,no
� ts0 ��oa Lovct
1
�
+
�
�
MI�tmFs WA�-T /��
C� ?c� '(�,N1,,,J Lu ll y
�a,� MtsA
91��0�
9�9 - /80/
��;
K� r1�� � ��
�� . : r7� �,." . .
E •
• �A'"i' .
M � -.
I` '
so
�
i,v c,¢acui�
nxa
a
J::�
.. .•�.'i
- yC•n�. .. - '� - ' ?�.
CH � �
S
S.
�
.� �' ` . � �i� .
L�.�.,.o �z� � .
�.n��
,s�✓.r� .rr�.e�
B- B
sucE i'. nc'.
, ' -q'ri Lvi' 7 . i },5".
��1
v' '
_. �N.'�'-�.
7..�
0
A- A
c.v�cd�,ori�us
A/A!/(60LG�(/L\i�%Ei(�'..L(O�a �a iwQ'I6 G�/QT i
�
r� ot : 071Z�,ti
�K F,pC1q�R�.�LOFETYa �� _ �
,v� a.�a a .� ,
NAX IViILL GFOTiV1i•4CT/OV� dYl17LV1iO.�E.K�4�1�,G..�7.
7l�jws•
r�-� �'--�-- ---•^��a� ��.� � ��• -a�v� �w.- . iACT0.2 0f .��ETi's. /.CGIa2
�FLl� . . UIVli'J D G.v.V�J w ,t�.' . �— r /SL
OD� •OdOI�E G.�GY/.Lm /.rh7T.O.GCAT/O.f/J' 'b'��F�/ �scOE�..l57Z�FG4�i�F� f_� .
Fc.r �� —� NQVI.t?e�03f�Zcfl--7Ji.Q .Ll�
L6
B d�� C' w/ _ 37i�,ri
� i s�
�.oesrtt o�.sv«rr G�.ae
Y �� �
'i :.+: clreT�.vs oi%arrs.a
�.,,,,, .reE.vor� a
. � �� .
.
NScriwar oa.a�4�lErE . .
■Cas fLi1Gf
�1. .yyro.al aw. m� 1mlm. a�c. �
�h�tt�].� ACMTLIC eontlnuew cut t���t. POLI6m11d 12/OG r��ln
�SSE 20f �f w1Nt ef �lrinu QS�1Er+G Slll�r �rltG Ti1n W
Siller uaeima .itE 70{ elu� yrLus�. IMp }yy� 1. Np�ts��ay. �
Invmasleo�l y�oci�tlon of P1�OLy uW ��apy�al�l Oifiule �O � 0,��•�
(IUY01 crit�rl�� (t . s
7fl6ll2 Stnn6N 12EOG p: '� a '���
� 4 +'
�LIIO�I/J, str�n{[n lB000 p�i y� Q T]��
Li�� Lo�G 100 D�f or .7 pi • /•
A�a WaG 62.L pcI or .076 yci 1�� r. .•
i�
���� w1K �ooE �uypert�, Cuti� Pi�et�r �peulE p� iy�p bfw�n $Yc? ARGOSI DAIYE, NllNT:NC:UN �ACI!,C4 S��i
.eee �ne SP�
APPROVED
�HY � �ste Mesa Bulidfap Qe�'
BY— �-t L' e��a � -/ �L
THESE PLMNS MUST BE ON JOB Ai ALL TM9
MAKE NO CIiANGES WITHOUT pIU01t /�pPRpyAL
OF DEPT.
THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAL
OF PLAyS AND SPECIFICATIONS SHALL NOi BE CONSTRUED
TO BE A PERMIT FOR, OR AN APPROYAL OF, ANY YIOfAT10N
OF ANY OF THE PROVISIONS OF TNIS CODE. NO PERMIi PRE•
SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL iHE
PROVISIONS OF THIS CODE SHALL BE VALID, IXCFP7 IN SO
FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LAWFUL
THE ISSUANCE OF A PERMIi BASED UPoN PLANS AND
SPECIFlCqTI0N5 SHAIL N07 PREVEN7 THE BUILDING OFFlCU4L
FROM THERERFTER REQUIRING THE CARHECTION OF ERRORS
fN SAID PLqNS AND� SPECIFlCATIONS OR FROM PREVFMING
BUIIDING OPERNTIONS BEING GIRRIEO ON iHEREUNDER�WNEN
IN YIOLpTION OF THiS COOE OR OF pNY OTHER ORUINANCE ��
)f THE CITY. - '
. ��2iri !-?- �5u-�
"'. �,���
STRUCTURAL APPROVAL ONLY
SEPARATE PERMITS ARE REQUIRED
FOR ELECTRICAL, PLUMBING,
HEATING, VENTILATING AND
REfRIGERATION WORK
Permit # � �a-
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
FOR BUILDINGS 4YHEitE FER60N3 ARE TO
9L EMPlOYED WE flU06E8T TMAT THE
BTAiB Oi �AlIiORNIA DIVIOION OF
INDUBiRIAL BAiE91' BE CONBULTED FOR
d991fit(lrIAL
. . _ .. . - . ' �� . ': _ .. h..�. .;(i-� .'
- . . . � ..i. `''
, � ' . 'r..' . . ".;� �' ":'X:
. . . . - , . ,': . , ,r��I „J:..y_
. >'
- ` �,
,.; , t <
� � yFI:L t = ����
���-� � �nIS��CT f�� "_
_�' �'On� ,, ;k-z..
� a . ' . F,
- � p - � ���/� �,�v ��2� • .,.
an� �oc�rio�l �' � s' . t�`,
. � . � - _ �f . ,
. . , �
, :�,.
.. . - . _. � . . ,: , , . ��r � . . .�� _ . : ..
,
�. '
APP�
CITY OF COSTA MESA
CONSTRUCTION PERMIT
t to fill in all
PERMIT NC
Addrea �J'7q �.Fjl/fv',1
Arch/Eng. M/�— License No.
Addreis
Contracror �,�y �y�� (� Phoi
Address2%i5L C`bsl .✓e (`n..�.{.1M.i /A.�v.
within neavy eorEar lines antl sign all avorop�iate tleclaratlons.
TRACT NO. LOT NO. BLOG.NO.
affirm lhat I am Iicensetl untler provlslons ot Charter 9
with section 7000) of ,-DiviSion 3 of the Busines
is Cotle, a my Iicense Is in tYII tort�e pa�ntl� i�
�lass � �+iolnse No.11LL.L�
❑a[e � —� �a � $i9ndture �
WORKERS' COMPENSATION DECLARATION
f hereby aHirm [hat I have a certificate ot consent to self-Insure or a
certiflw[e ot Workers' Compensation Insuranca, or a certlfietl copy
thereof (Section 3800, Lab. C.).
Pollcy No. Company
❑ Cerlltietl copy Is hereby furnished.
❑ Certitietl copy Is tiletl with the city Builtlin9 Divislon.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
This soction neetl not be completetl if [he permit 15 Por one huntlratl
§SOOI Of IB55).
cert((y thdl in the performance ot th¢ work for whith thi5 p¢rmit IS
IssUetl, I sllall nOt ¢r11PlOy any p¢r5on in any mdnnel So as to become
5ubject to the Workers Compen5ation s California. '
Date 7—�—R� signature "
NOTICE: If attar making this.tleclaratlon, you shoultl etome subfocl
to the Workers` Compensation provisions of the Labor Cotle, you mu5t
lorthwl[h COmply wi[h Such provi51on5 or lnls permit hall Ee tle¢metl
revoketl.
CONSTRUCTION LENDING AGENCV . "
I hereDy affirm thaCthere IS a consLruction lentling a9ency for the per-
formance of tne worWfor whichdhi5 permib is IssueO (Section 3097
Clv. CJ. -
Lentler's Name
�ntler's Atlares�
OWNER BUILDE0. DECLARATION '
I hareby attirm lhat I am exempt from the Contractor'S License Law tor
Ihe following rea5on (Sectlon 7031.5 Businesi antl Professlons Code:
Any tlty or county which requires a permit to conslruc[, alter,
improve, tlemolisM1 or repalr any siructure, prior to Its Issuance, also re-
quires the applicant for sucn permit to file a si9netl statement that he
is IicenSed Dursuanl to the provisions ot tne Gontractor's License Law
(Chaptor 9(commencing with Sectlon ]000) of Dlvision 3 of tha
Business antl Professions Cotle) or [hat he is exempt therelrom antl the
bdSis IOr the dllegetl exemption. Any violallon Of SeCtiOn ]031.5 by
any appllcant for a permif subjects the applicant to a civll penalty
of not more tnan five huntlretl tlollars ($500).
❑ I. a5 owne� of the orooertv. or mv emolovees with waaes as [heir
antl
TVPE OF CONSTRUC710N
❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
TVPE OF PERMIT
❑ GRADING ❑ FOUNOATION ❑ STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑PLVMBING ❑MECHN
❑ OTHER
PROJECT DESCRIPTION
SQ. FT.
OCCVPANCV_CONSTRUCTION TVPE
VALUATION ZONE
GRADING CU. VDS. ACRES
PLUMBING
TOILETS
LAVATORIES
KIT. SINKS
SERVICESINKS
FLOOR SINKS
DRINKING FOUNTAINS
INTERCEPTORS
SWIMMING POOL
WATERSERVICE �
GAS SERV ICE
WATER HEATER$
$EWER CONNECTIONS
PLAN CHECK
URINALS
DOUBLELAV$
DISHWASHERS
SUMPS
FLOOR DRAINS
CLARIFIERS
PTRAP
ALTERATION
OUTlETS
BTU OUTPUT
COLLECTORS
)f's Licens¢ Ldw a0e5 nOt apply to dn ownef ot a pfopel[y
tls or improves thereon, antl wno tloes zuch work hlmself or ISSUE FEE
iiz Own ¢mployee5, providetl lhal such Improv¢men[s are not
or offerotl tor sale. If, howeveq the bWltling or improvement MECHANICAL P�AN CHECK
thin one year oi completion, the owner will have the burUen
tg he tlitl no[ bulltl or imProw tor Ihc purpose o/ sal¢�. HEATING SYSTEM 0-300,000 BTU_
owner of t�e property, am exclusively conVac[ing with qNDDUCTING
oontractors to construc[ [he prolect (Sectlon 7044, Business 100,000+8TU_
!ssiOnS Cotle: The Con[ractor's LlcenSe Law tloe5 not dppty to
� ot property who builtlz or improves thereon, antl wM10 con- REFRIGERATION 0-300,000 BTU_
�m'such projec[s with�a contrac[or(s) Iicesnetl-pursuant to SVSTEM
a<tor'S License Lawl. 300,000 i BTU _
Ll I am exempt untler Section B. S P. C. for this
BOILERS BTV
reason
SVSTEM REPAIR,ALTERATION
Date pwner
I hereby certity tnat I have reatl this applifztlon antl siate that tne aDove EXHAUST SVSTEM MULTIPLE
InPorTation is corte<t. 1 gree to comply with all Uty and county
ortlinanG¢5 antl sta laws la[ing to construction, antl ne�eby authOriie
rGpreSGntatives o, 1 ity to ente� upon tlte above mentlonetl
property for i p c �
Slgnature Date , . ISSUE FEE
Drh2rs' �icense or 55 �
CMF 0865-46 White-Bullding; Gnary-Applicant; Pink-Accountlng; Goltlenrotl-Assessor
7999 7/01/BI
A.P. �
20NE
REAR YARD (TO P/L)
PKG. SPACE REQ.
STREET WIOTH
SPECIAL CONDITIONS:
PLNG. REF. �
PROVIDED
PARK FEE $
ELECTRICAL vLAN CHECK
GENERATOR 0-1 KW_ 1-10 KW _
TRANSFORMER
APPLIHNCE 30-50 KW_50 a KW _
MOTORS 0-1 HP_1-30 HP _
(INC. SOLAR) 30-50 HP �50 * HP _
FIXTURES OVTLETS SWITCHES
GAS TUBE SIGNS '
POLE LIGHTS -
PANElS MAIN
SERVICE
APPLICATION APPROV ED BV
SUMMARV OF FEES
BUILDING
PERMIT g
PLAN CHECK $
PLUMBING E�
PLAN CHECK E
ELECTRICAL 5�
PLANCHECK S
MECHANICAL S
P�AN CHECK S
SMIP
PERMIT
ISSUANCE
GRAOING
S
5
8
IB<OQ TL
E
MICROFILM §
TOTAL FEE E
LE55 AD-
VANCEPC $_
FINAL FEE 5 ��•
CONSTRUCTION AND PLANNING POOL & SPA � -
APPROVALS Permit# Date Inspector qppROVALS Permit# _ �,�Date Inspector
7. Temporary Electrical Service or Pole 43. Pool & Equipment Location - � C�
2. $oil ipe-Undrgrn • - 44. Steel Reinforcement ---, �-�
3. Electrical Conduit Utility-Undrgrn 45. Forms ` �'
4. Electrical Conduit-Undrgrn 46. Electrical Bonding -s-�J
. tee ein orce 47. Rough Plumbin & Pressure Test - L C�
6, Electrical UFER Gm 48. APPROVAL TO COVER-GUNITE %- S-St
7. Footings 49. Electrical Conduit-Undr rn - V
. 8. . Foundation 50. Gas Pipe, �Undr rn, Test '�$' C>
9. Water Pipe-Undrgrn _ 51. Backwash Lines P-Tra ❑ ndr rn ---
10. Structural Floor SYstem 52. APPROVAL TO DECK '��- G ��
11. Property Sewer I.ine & House Connection 53. Backwash & Rece tor-Final �
� Street Sewer Connection � 54. Heater & Vent-Final
�. Rough Plumbing ' '
74. Rough ElectrioConduit - - �56. Electrical-Final �
15. Rough Electric-Wiring � 57. Solar System-Final
i 6. Rough Heating & Air Conditio�ing ' � encing & Access Approval
17. Ducts in Structure ' 5. APPROVED FOR PLASTERING �
18. Ducts, Ventilating . _ �
19. Gas Pipe-Rough $eTest 60. POOL/SPA�SYSTEMS FINAL �
20. Roof Framing -
ZL Aoof Sheathin - �? Z �
22. Frame and Flashin NOTES: � S e ,(�
23. Insulation
24. Lathing & Siding � '
25. Drywall Nailing '
26. Plaster Brown Coat '
27. Electrical Power MeterFinal �
"4. Final Electric
Final �Heating & qir Conditioning '
d0. � Final Gas Pipe-Test -
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final ` �
34. Solar pomestic-Final �
35. Landsca e S rinklin S stem
36. Sound Attenuation '
37. Handicap Regulations •
� 38. FINALSTRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41 . Gas Release to Southern California Gas Co. �
42. CERTIFICATE OF OCCUPANCY .�
No Date �
�
�noR�ssovem�wr+o: 979 TkENTON WY
OWNEWSNN/EIFIQpWN: HITT, WALTER E JR
��n HITT SHERYL A
979 'fRENTON WAY
� COSTA MESA,CA
1PVL.1Wl1N0 ADDHESL
I'
MCHRECTORENtlNEEH:
urcx on �c.�s �noxcss:
ss
urn:
FLUOU: X 97
92626
uc. xo:
unt:
coxrnp�1on'Sru�: SIERRA AOOFIDIG ( 714 ) 847-1773
coxrx.cro�rs�uie+c 16631 KETTLER LN
��Sg HUNTINGTON BEACH CA ue.ra.: 51172
92697 uxr:
IJCENSEU COHfNACTOHS UECIAHAPON: I Mreby eRFm uMm periely d pnjury Nm I em Icmd uMx prpabro d Cheqa 9
(mmmanorq wnh Saclion ]000) d Orviaun 3 d IM1e Buai�nv e�M Vmleavone Code, eM my liwnea u in lull larce uM �Iled.
c o.:045574 uc.cuss: C39 N0 5' 172 E' P: 00/00
o�a: G— 7— 97 ���,�:��9 a�-�..o
BUILDEN UECURATION: I hereby elfirm uMer penell at perj�ry ihe� I em emmq tmm �he C reqwa Lioame lew br ihe
Idbwiq ree+on (Seaion ]U31.5 &ceiima eM PMeavmv Code: AnY uY a mun1Y �✓� �Wuiiee e paimil to mrebuct. ella.'vnprme.
�'emolah, or repei em� elrucWre. p'v io ee ee��arce, e6o reQuima iM epd�� �« euch pe�mn ia Rb e mpmE etalement thm M tt eha
licerieed W�uanl lo Ihe provieiane d ihe c�vaaoa u��sa �. �Chepiar 9(mmmmd�q wnh Sequn )000) d D'vuion 9 d iM
.fuainess eM Prdmeuru CWa� or Ilat M a ahe is e�emp �harehom anC ihe Eavia la Ma ellapeE axempion. My violelion d Setlion
]OJ1.S W enY aCd��� �a e Vermil mM �s �he epW'ran io a avil G�Y d m� mws �hen (xa h�Mrad ddWa �55�011.
� I, m oxmr of Ihe propeity w my empbyeea wih wapes es Ihei wb mmpansetim. will do Ihe xork. ard Ihe ebuciure ia ml inlended
or oflered br eele (Section i040, Busiiwas eik Prdessiona CoCe: Tha COMredors License lew dma iat eppyto en ownerd propeity
wM buide n mpmves Iheraon. vd who daea auM wak IimwM m haneM a Mraph hb a her own empb/em, prwidad tIW euch
imqwemmn are in iMeMad v Wmad fa saN. tl. howe`er. iha buiNiep a inpovemeM ie wtl xithin meYw d mmWa�un, Iha
awner-0uitlm vnll heva �M buNen d provi�p M or eha dk iwl buik or improva lor �M Wrpwe of seb).
❑ I. m ovmer W ihe propeM. ��dwrvaly comredin0 �h li�nnaed mnVeclon W canstrud IM pqed (Sepion )01d. Buairss md
Prolevime COAe: TM ConVeppe L'eenm Lew doea iw epply ta an ownar d popMy wtw buiide a imqo:r iAereon uM who
conirecta la aM prqetls wilh e mnlieda(s) IicenseE Wnuenl to IM Canl�ayaa lioenfe lew).
� I em exemp unAar Seclion: B. d P.C., br Iho reevon:
Daie: Ow+ier
I do hereby cenM ihat I em ewere d arW wderslend ihe reQuirementa d CelLomie Hml�h eM Selery COEe Setliom R5505. 2553�. eM
25536, end ihet I a eny fNure buildi�p oaupent will / wdl nm (drcb me) rieed to eanply wih eeid mme mdr eed �M rpuiremeMe br
e0am�(weduvue�unnmodifmibnhanlMA'r�y ere9a��0iaiid.ResiEerJmla�vMeWionnppiulbmmewnqhompwee
a�,;��.
ova: Anvi�:
WONKER'S CONYENS�TION DECL�PATION: I hereby df uMx penMy d psjury ane d �hs Idbwi�p Eedarm'wn:
� 1 hew end wil meinmin e ee�Micata d eoneam to aeM inwre for woekan' wmpenvelian, m pmiEeE fa by Seelian �100 d Ihe leEor
Gotle, la �ne perlormeiwe W Ine xvA la whicn tnie permn ia ivued.
[7 in��ewm.on.�,��•�o�����...�.c��ewsea�a>oodu»i.n«coe..ro�mewn��an.
A wak la which tliu pa�mn ia iaueE. MY waken' mmpaiumbn insurenu famer eM poli�y number ere:
c�ar: �"iTATE FUND EXI�IRES
ra�rr+�mea: i itvavhti-va 07/O1 /98
,;n�:.:«r;�,�,.d �or w�aro�.a r w. w�� B�o, o,b n��a.d do�m,. rsiw/ a ro�,.�
❑ i �enM mm m ine rono�� a in..�,onc ror wnicn m�s wmm is u.�.d, i.n.n �a amWor �v v� m.�v m��e..o �, �o
�. q«f m ine woners• comw�emion m.�s d celilami.. ena ro� Nm il � diwk w4� w �ne .rorxen�
+.�� ww4m+ a smo�, a�oo a ine �e« coee. i�i �mn..en�µ wm,� /iny.�.
��— 4%� 'j`7 a�d:Am� �1A'�� /�/ /.il}»�19�
ana.M�� wDlscr.n «rpffips. ro eNMw pe�wuu and
Ms cvaf oI rnrrprw�lor5 Wnxps� u qvvMM br In
CONSTflUCf10N LENDING �6ENCY: 1 Mieby alfirm uMm penelly d perjury tlui Ihxe e e oonst�utlian bndirq qpwy M IM
perlormeMe d IM wwk IIX wAiW �he Os^�I 9'ssueE �Sepun ]09). Civ. C�.
LENDEF'S NAME:
LENDEP'S ADDPE55:
I cerliN �� I M1eva reed Nis epplcelion eM ame Ihel Ne ebove iMamelbn o mrreif. l epne to wmpM �h ell dry eM couMy ardineMea
arM stae lewe releling b Wilding consrudion eM hereby eu�horrze repreaentetivea M thie i ry to enter upon tM ebove�mentioneE pmpeM
lorinspedion purposae.
JACK GOODGP.ME
o�<:(�27 97
(5151db.WP) Whdo-BuiMiq d Sefey: Greer�Fb: Cenery-�pp5rant; Rnk-Re�enue; OoNmro�Aseeaeor
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B 08353e
PERMIT NO: B 083532 PLAr] CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/O SHEATH 6 REROOF W 23YR FIBERGLASS SQ FT: 5,920
CLAIM VALUE; 5,240.00 CALC-VALUE; 5,420,00 GROUP OCC: R-3 /U-1
COMMENTS: X
*�t�t*�*�***+�*x*�******�*��?�*��******�*****�c******�*�***********�*�t*x*******��**�
'L O N I N G R E Q U't R E M E N't S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IPd
PARKING REQ: PROV: PARCEL: 14105293 ZNE: REF NO:
PLANNING NOTES>
.�
if if')t it if ik if� iE fE if if 1f if iE if if df 1k �lE jE fF il' # if iE iE ik iE iF # ib iF if 1E if !t if iF iE if iE if iE if 3f iF iE �)E iE iF �E if iF iF 1f jh if iE')f iE # 1E f(� jE iE �IE fE'IE #'iE 3E iE if 3E �E iE �1f if jE
D E V E:L O P M E N T S E R �' I C E S R E Q U I R E M E N.T S
ZONING APPRQVED HY DATE:
BUILDING APPROVED bY � DATE: �`
AFFLICATION ISSUED BY: �� DATE; '
*��*�*****��*��****�*,����������������� � ������������*��������� 2 ��
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE�MENT:Y
BLDG YMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE5 GRADING
PERMIT 112.25 59
SMIP/NON-RES
PLAN
ISSUE FEE
bUILDING-DIV-> PERMIT ISSUE PLAN-CHECK
TOTALS----> 112.79 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
112.25
TOTAL PAID DUE
112.79 112.79 .00
112,79 OVER/SHORT; ,00
FIRE SMIP/TOT GRADING PLAN-CHECIS
.59
�*itat�***tt�**at*��r�*it*********��**itat*it�itit�r��*�t*it���*�x*�***��t*��***at�*�x�****�***
I N D I V Z D U A L F E E B R E A K D b W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFk 5420 REROOF BY VALUE RESIDENTIAL NOZONE 7.00 S,4'10.U0
END OF FEES
96-27-1997/117�9 pMH112.79
PERM I T sr�g3�
' POC BPA
CONS'T4tUCT�ON AND PLANNING j � � .
APPROVALS Permit # � / Date . lospector qppROVALS Permit �k. Date Inspector
1. T mporory Electrical Service ot Poie � 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. • 53. Steel Reinforcement � '�
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms � •
4. Elecirical Conduit�Undrgmd. 55. Electrical Bonding � �
5. Steei Reinforcemeni 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Gmd. � 57. APPROVAL TO COVER�GUNITE '
7. Footings 58. Electrirai Conduit�Undrgrnd, �
8. Foundation 59. Gas Pipe, Q Undr9rnd., Test .
9. Water Pipe•Ui�drgrnd. � � 60. Backwash,Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 67. APPROVAL TO DECK �
11. Property Sewer Line & House Cbnnection 62. Backwash & Receptor-Final �
72. Sewer Cap , 63. Heater & Vent-Final ���
13. Roof Drains 64. P1um6ing SYstem � Final .t
74. Raugh Plumbing � 65. E�ectrical-Final - � '
15. Rough Electrical�Conduii ' 66. Solar SYstem�Final •'
16. Rou9h Electric Wiring . 67. Fencing & Access Approvai "
77. Rough Wiring Sign � 68. APPROVED FOR P�ASTERING �
18. flough ElectricabT Bar Ceiling ' � 69. POOUSPA SYSTEMS FINAL • '
19. Rough Heating & Air Conditioning � PIRE DEPT. REQUIREMENT
20. Rough FactorY Fireplace APPROVALS Permit #
21 . Ducts, in StrUcture 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Tes2 72. Underground Flush
24. Roof Framing 73. Undergmd.StorageTank OGas OOiI
25. Roof Sheathing 7G/�7 74. Overhead Hydro
26. T-Bar Ceiling (Struciural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sid�ng 77, FIXED SYSTEM FINAL
29. �nsulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAL INSPECTION
32. Electricai Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Finat Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or CanoPY " �
37. Final Factory F�replace . -
38. Final Plumbi�g � �
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Pre�enter
43. Backfbw Irrigation -
44. landscape Ir�iqation System
45. Sound Attenuation �-
N �
46. Handicap Regulations � �
47. FINALSTRUCTURE&BUILDING � -�-
3 y� :, �
48t PINAL PIANNING "'s�„
. 49;. Elettric Release to Edison �. � ���
50�. Gas Release to Southem Ca4ifocnia Gas Co _ � -'�,.,, r�
.no. •
51. CERTIFICA7EOFOCCUPANCY _ -_ . � 4�
No. Date �
Lat zi 28
COSTA MESA BUILDING-SAFE7Y DEPARTMENT
P.O. BOX 1200 COSTA MESA� CALIFORNIA 92E26
For ApppcaM /o F(11 In Comp►�HIy
TYPE OR PRINT
DDRBYG -7 / � ��. ` l�`�W
COSTA ME6A. CALIFORNIA /
Front
2999 Randoloh Ave.
234399
r...... _
540-0960
BCTBACK LIN6 PROM ��
CENTHROPBTpCB{ Il6AR
i
61D YAR LlFT RIOXT
DESCWP710N OF WORK
ue¢ oP DUIIDINY M
C'n F
Attached �
� Heneer wcKxow�[u<
ANC BTAT6 TNAT TNi �
PLY WITN ALL CITY OR
BUILOINO COHdiRYCY��
\
HI6NATURE�Ol�_
PHRMITfB�
AUTHORIZ[D AO[NT
11C]
/
XI1V6 pGD TNI� APPLIGTON
COpR[CT ANO AOR68 TO CAM.
11�IO RAi[ MW� R[OYLIITINO
JUN 24-68�QD1999# �**99.00
A►PLICATION FOR PERMR
BUILDINfi
For Offin Un Only
ZONING
NO.OI U06
■un� euu
YARDB MPROVlD
MAIN BUILDING
VAR. �R
DH LC88 THAN
YARD9APPROV6D
ACC6H90RY BWLDINO
DAT6
a
W
�
d � '�
' 6 eo. �,. �
n�� wrouen axowr� uxnv� v��uwnoH �s vow n�e �
PURP09i O� fBTAGLIBXIN� A P61iMIT RH8 OHLY. �
VALUATION �
Po PERMIT FE6 � '� �
��(J��! / � w
TOT.RL PEE J �