HomeMy WebLinkAbout998 TRENTON WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 998 TRENTON WY
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 14105251
Applicant: RAMEY, BJ
Address: 2428 NEWPORT BLVD
UNIT 5
COSTA MESA,CA
Owner: TYLER, JAMES J
Address 998 TRENTON WAY
. COSTA MESA, CA
Contractor: THE ROOFING SPECIALISTS
Address: 2428 NEWPORT BLVD
UNIT 5
COSTA MESA,CA
2ip: 92672
Arch :
Address:
Zoning: R1 R1
Phone: (949)722•8846
Zip: 92672
Phone:
Zip: 92626-2832
Phone: (949)722-8846
License: 734068
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: OS/29/2003
Issued: OSI29/2003
Phone: Phone:
Zip: � License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE: T/0 EXISTING SHAKE ROOF, 1l2' CDX SHTG, 1 LAYER 30# ASTM FELT, APPLY'30.YEAR
ELK RAISED PROFILE COMP SHINGLES' WITH NEW ROOF JACKS, FLASHING AND EDGE METAL.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$125.25
$0.52
$0.00
50.00
$0.00
$125.77
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0. 0
PARKING Existinq: 0
Rear 0- 0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Righl 0- 0
Righl 0- 0
$5,783.00
55,183.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calilornia statutes and related
regulations. (Ord. No. 92•2B, § 1, 12-21-92)
EXPIRATION: Thls permit shall automatically ezpire and become void il work Is not commenced vnthin 180 days, or II work is suspended or ebandoned
for a period of 1 BO days.
INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply wlth all applicable codes, and all
requlred Inepeetiona end finel epproval must be obtained. Feilura to obtain Inspections antl iinal approval will result in the expiration ol this permit.
FOR INSPECTIONS CALL: (714) 7545626
24d&48 (fl�00)
WOqKERS'COMPENSAnON DECLARAnON.
I her0by eHirm untler penelty of pe�ury one of the tolbwing tlede�etion5:
❑ I heve end wlll maintain a certi}icate ol consent ro self-Insure for workero' compensation, es provided br by section 37pp of the Lebor Code, tor the peAortnanca of Ihe
� work lor which this pertnit Is issuetl.
�� I have erW wlll meinWin work0rs' com nsation insurance, es requiratl by seclbn 3700 of the la6or Cotle, lor the pertortnance ot t�e work for which Uda pertnit is iuue0.
My wark rs' pensatlon Insuran wrrier arW pdiry number ere: —�J��7�
Camer. �'l G �(ti (/! � policy Number: + / / �
(This sec(ion need not be completed I! the pertrtil ls vaNed at one hundred tlWlers (S I00) or /ess.)
❑ I certify thet in the peAortnence of the work for whic� this pertnit is isSueC, I shell not employ eny person In eny manner so es to become subject to the workers'
crompensetion lews ot Califamle, and agrea t�at tl I should become sub�ect to the workere' compensatlon provlsions oi Sealon 3700 of the LaCor Cotle, I shall torthwlih
comply wlth thesa roNslo �j '7
APC��cantSigneture: ILl��y�gr.�.l��....s ��s� Dete:t �— %�7'Ql
WARNINO: FAILURE TO SECURE WORKERS' GOMPENSATION CW EMGE IS UNIAWFU� !WD SNALL SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES qND GNL FlNES UP TO ONE HUNDRED
THOUgpJJD Op1FRE (y100,000), IN AOdTION TO THE COST OF �MPENSATION, DANAGES �l5 PROVIUED FOR IN SECTION 3]000F THE LABOR CODE, IMEPEST, AND ATTORNEY'S FEES.
LILENSED CONTRACTORS DECLARATION:
I herBby aHirm t�at I em
brce entl eHect. Lic. M_
Contreclofs SlgnaWre:
of Chapter 9(commencing with Seaian 7000) of DiNsion 3 of t�e eusln�s� ryd_ Protessions Cade, enC my licenso Is in full
Ciass x � C, y
S /• oate:_ —2�1 —O
CONSTRUC710N IENDING AGENCV:
❑ I hereby ettirm thet Ihere is a wnswction lending agency for the peAormance ol the work for which t�ls permlt Is Issued. (Sec. 3097, Civll Cotle).
LendeYs Neme: Lender's Adtlress:
SignaWra: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettlrm that under peneliy ot parjury thel I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reeson (Sec. 7031.5, Busineu entl Prolessians
Cotl�: Any ciry ar counry which requires e permit ro canstruc6 eltor, improve, tlemolish, or repair any stmcture, prior to its Issuence, elso requires Ihe eOPlicant tor such pertnit
to lile e signed statement that he or she Is Iicensed pursuanl to Ihe proNslons oi I�e Contractors License Lew (C�apter 9(commendng with Section 7000) of Dlvision 3 of [he
Busineu entl Professfons Cotle} or thet he or she (s exempt there/rom entl tha besis for ihe allegatl exemption. Any v(olatlon o( Sect(on 7037.5 by any epplicant for e pertnit
su6jacis tha applicant ro e Gvil penfllry ot not more then live hundred dWlers ($500).):
❑ I, as owner oi Iha property, or my employees wlth wages es iheir sde compensalion, WILL DO THE WORK, and Ihe structura Is not intentletl or oHered tor sale (Sec.
7044, Business antl Professions Code: The Contrectors License Lew does not epply to an owner ot property who Duiltls or improves thereon, entl who does suc� work
himselt or herself or �hrough his or her own employees, provideC Ihet suth imprwements are not intended or ofleretl �or sele. If, however, the building or improvement is
sold within one year ol completion, the owner-builtler will have�t�e burden of O�oving Iha� he or she did not bui10 or imprwe for puryose of sale.). �
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITTi LICENSED GONTRACTORS to consiruct the project (Sec. 7046, 8usine55 and Pmfessions
Code: The contracmrs Lkense Law does not appty to en owner ol pmperty who builds or improves Ihereon, antl who contracts tor such projen with a coniractor(s)
license pursuant to the Contraciors Licensa Laws.j.
❑ I am e:empt under sec. Business antl Pmfessions Code for this reason:
Signature: Date:
Owqer ID veritied Dy tlnvefs liCense. ❑ Ves ❑ No DdveYs LicenSe N0. Eapirea:
Vedficetion of Ownership by (rype oi tlocumem, i.e. - pmparty tea bill ar deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenity Ihat no excavetlon flve (5) or more leat in tlepth Into which a person is required to descend, wili be mede in connection with work euthodzetl by thls
permit, end ihat no builtling swcture, sceHolding, lalsework, or demali�ion or dismamling thereof, will be more Ihan thlrry-six (36) leet high. (C�aD� 3.2, Grp 2, Ar12, Sec.
341, Ttle 8, Celitomia Administretive Cade).
❑ As owner-6uiltler, I wlll no� emplay anyona to tlo work which would reQuire e pertnit irom the Dlvision of Industrlel Satety, es noted ebove, unless such person hes e
permit to tlo SuUi work t�an ihe tlivisian.
Signature: Oate:
Division ot Intlustrlal Selery Pertnit Number:
CEpTIFlCATE OF COMPLJANCE AND AIJfHORRATION OF ENTRY: I certity under penalry ot perjury Ihat I have reaG �his eppliwtion and state ihat the infortnaUon given is
��ect. I egree to comply with ell stete laws entl ciry ordlnances releting to Duiltling construction, end authodze representetives of the Ciry oi Costa Mese to enter upon the
ebove-described property for insDection purposes. I egree not to occupy or ellow occupancy of eny building authorized by this permit until tinal inspection.
��fpneture Of Legal ner(s) � Da�7
.i . �.s..t/ ' �.biwi"' % '� z � '✓ 3
And/Or Authonzetl Appli ` Date
ScQL��, INSPELTIONTYPE
1616 Fixed SyStem Final Fire Preventlon
1266 Pool Spa Flnal
200 Final Re-Root
201 Final Blak/Retaining Well
202
203
204
Final Factory Fire Place
Finel Sign
Finel Demdition
Pdg U�lLB
� "� +u='�
COOE I INSPECTION TYYE
206 Finel Mechanical
208 Final Plumbinp
210 Final Elecirical
212 Final Flre Preventlon
220 Finel Planning Approvel
222 Final Slte
250 Finel BuilAing/Occupanq
PAiE ItlI�Lfl
V
PPOIECT AOOflE55: q g 8 TRENTON I3Y
OWNEN'SNAME: kICHARD PALAREA
nooaess: 998 TRENTON WAY
COSTA MESA,CA 92626
7515606–�
FflCHIENGINEEB:
ROUHESS:
renmineE: CRAFTSMAN BOILDER5
nooeess: S01 W ROWLANp
S.A.
io CONTBACTOfl OECLAflFTION: I �ereby affirm thai I am �icen
f �rvision 3 at t�e Business anA Pmfessions Coae my lic
�.; 056365 srnreuc.:4779z� �
UNIT:
NEG.NO.:
UNIT:
(714)540-1750
CA 92707
:r provisions of C�ap�er 9(tomm cing wi�� Section
u0 �orce antl et�eci. /'1 �
Date`��1�/ —�L� SignaWre'._ _ +!/_ �
WOBKEBS' COMPENSA710N UECLABATION: I �ere6y afhrm at I have a cenificate oi nsem m sel4insure or a ceniliwte of workers'
Compen5aiion 185�10� �r�lit�ea copy ieereoi (Section 9800, �an. �.8 � O 1. / 9 3
eoucv xo.: TRANSAMERICA EEP. DATE:
,}C,�OMPpNV:
"] Certi�i tl copy is hereby lumishetl. ❑ Certi�ied co ' lit �' � ui ing Div' -
�. Dale. � � Npplicanl
�� E%EMPTIONFflOMWOflREflS'COMPENSATIONOECLABFTION: (Thissec�ionneetlnot�eco Ie�eUi��hepermi�isioronehundre0�S1W)orless).
'� I cerlity Ihal in Ihe Oedormance oi the work for which this permit is issued. I shall not employ any person in any manner so as to become
' subleci lo Ihe Workers' Compensa�ion Laws ol Calilomia.
oate: signature:
NOTICE: If. aR¢r making Ihis a¢Claration. you S�oUitl betome Su�jetl to t�e Workers' Compensation pmvi5ion5 oi lhe Labor
CoEe, you mus� tanhwilh camDty wi�h suc� pmvisions or t�is permii shall be OeemeU revoke0.
CONSTPUCTION LENOING FGENCY: I �ereby atfirm tha� Ihere is a construction lending agency �or the pedo�mance ot the work for
which this permit is issuetl (Sectian 3W7. Civ. C)-
LENDEN:
aooness:
OWNEP BUILOEfl �ECLAHNTION: I hereby affi�m �hai I am exempt from Ihe ConVactors' S�a�e License Law b� �he tollowing reason
(Seciion 7031.5 Business antl Professional Code: Pny cily ot coun�y w�ich reQuires a Oe�mit to con5tmct, alter, improve, demolish, or
repair any 5�mtlure, D�ior lo iis issuante, also requires ��e applicant �or 5uch permi� ro lile a Signed Stalem¢ni �ha� �elshe is licensetl
pursuam 10 Ihe provisions ol Ihe Comracmrs' Siate License Law (Chapier 9(commencing with Sec�ion 7000) o� Oivision 3 oi �he Business
antl Pmfessions Code) or �hai he/she is exemp� �h¢refmm and the basis lor the alleged exemD�ion. pny violalion ol Section 7031.5 Cy
any applicant for a permit subjeqs t�e apDlitant to a civil penalty of not more ihan live hunOreO Aollars �5500).
I, as owner of Ihe Oroperty or my employees. with wages as iheir sole campensation, will tlo the work, antl ine
❑ slmcWre is na� imwded ar allered lor sale (Seclion 7044, Business antl Pmtessional Code'. The ConVacfors' S�a�e License law
does not apply to an owner o� a pmpeny who builOs or impmves �hereon, antl w�o does such work himseltlherself or Ihmugh
�is ar her own employees. pmuided Ihat such impmvements are not inlendetl or o��erea �or sale. I�, however Ihe buil0ing or
impmvement is soltl within one year o� campleiion. Ihe owner will have lhe �urden of pmving he/she Aid nol huild or impmve
' br Ihe purpose o� 5ale).
I.as ownero�the OroOetly,am exclusivery contrac�ing wi�hlicensed contrac�ors�o cons[mci�he pwlect�$ec�ion 7044, Business
❑ anU Prolessions CaAe: T�e Cantractors' State License Law Qaes no� apDly lo an owner of pro0erty who bwltls ar impmve5 ihereon
an0 who conlracts �or such prolec�s with a contrac�or(s) license pur5uant lo Ihe ConVactofs' State License Law�. I am aware
Ihal pmoi oi �heir Worker's Compensalion insurance should be pmvidetl to me.
� I am eKempl untler Sec�ion: B. 8 P.'C.
loi tliis reason:
Da1e: Ownec
I Uo hereby cenify Ihat I am aware ol and untlerslanU ihe requirements of Calilomia Healih and Safety CoOe Sections 25505, 25533, and
25534 antl iha� I or any �ulure building occupan� will/will not (circle one) neetl to comply wilh saitl s�ate cades antl the requiremen�s �or a
permii lorconslmclion or motldicaiion imm I�e Air Ouali�y ManaAemen� OistricL Residen�ialtons�mc�ion applica�ions are exemp� �mm
Ihese pravisions.
oa�e: AVPlicani:
I hereby cetlify�hat I have reaathis applica�ion ana state �ha�Ne above in�ormation is cortecL I agree to cam ith all ci�y ana coun�y
or4mance5and5iatelawsrelalinqlobuiltlingconsimc�ionan �ya ¢erepresen�ativeso�thisciiytoen u0 �heabove-menlione0
pm r inspectio u oses.
Oale. SignaNre:
Oriver's License m Social Security a; �
tbaba6 White—BUAdlnp: Green—Co�e EnlosemenL Canarv—Apolicant: Pink—Revenue: Goltlenrotl—Ascacwr
CITY OF COS'fA MESA – BUILDING PEkMIT rn ��vv: n .,���o�
PERMII' NO; B 059285 PLAN CHECK NO; N �vi: �v o�rr; rv
CONSTRLICTION TYPE; V–N PERMI'i TYPE; STR PURPOSE: A1,T
JOB PESCRIPTION ; WINDOW REPLACEMENT SQ FT; 1,20U
CLAIM VALUE; 1,200,00 CALC–VALUE; 1,200,00 GROUP OCC; R-3 /
COMMENTS: FRENCH DOORS IN EXTST OPENING
*�x��-x��*x*a��x-*�c�c�*�x-*x���x*���*��*x��c-*xx�-xa�*r�x*x��� x*�:���*�c�x��**��t�cx***�****��x
7 O N Z N G R E Q U I R E M E N'f S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT ZN FRNT; FT IN REAR; FT IN
LEFT: FT ZN RGHT: FT IN LEFT; FT IN RGHT: FT ZN
PARiCING RE � PROV: PARCEL: 14105251 ZNE: REF NO:
PLANNING N T'ES>
>
jf 3E if 3f 3F iF 3F iE iF iF iF iE iE Y� 3E 1E 3F i(� 3E jF ih if �iE 3f,3E 3f 3f�iE 3E 3k ih 3FiF if iE 3F iP iF 3F 9(� K df iE iF ik if fE iE ik iE if-jE )f � If x� IE �f IE i(� iF if 3f i(� 3F iF jf 3f jt N� jF ik IE iE iF iE �1F 3EiE
D E V E L O.P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY . DATE;
HUILDING APPRc�VED BY ; �'"�— DATE;
APPLICATION ISSUED $Y: t� DATE; -�,���
#i4iF3EiEiElEltiFiFi41EiF%��K-#iElFifi(�iFi(�. .. ��� r i�x 'E�3Fif�1FK��E1E!(�1f�if�if�-iF �� r+ t t t-
#1E3Ek3F3Fif-it3F�]f3E1fiE3FiElEiFlEIElElfitlEiE*iEiEihiEfF3E1ffE�7(�k3fi(�ie3FlEi fEifiFiFiEiF3EiFiE%3EkiEiFif�ififiF�EiE3Eik363(�#ifiFlFieiEieiEiEifiE3(-iF�F
LEGALIZATION;N fi E E 5 U�M M A R Y STRUCTURAL SEGMEN7';Y
BLDG PMT PLUMBING ELECTRSC N,ECHANIC FIRE SMIP/RES GRADING
PEkMIT' 29.00 ,50
SMIP/NON–RES
PLAN
ISSUE F'EE
BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE
TOTAL5----> 29,50 0.00 0,00 29,50 29,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 29,5U OVER/SHORT; ,OU
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
29.00 ,SO
14 iF iE �3E 1F iE jf it IF �E k i! iE 1E 1E iF iE �tif iE # 1E il� 3F aE ji iF 3k 1E i(� if i(�iE K� tE if !E K� iE R iE 1E iF if if if iE if iF iE iE 3F iE it iE �tlf iE If ik iF �F iE iE 36 iE iE jf if iE 1E iE 1f 3E k �f # if 3k
I N D I V I D U A L F E E H R E A K D 0 W N
TYPE QTY D E S C R Z P T I O N UNZT COST TOTAL COST
SFR 1200 ALTER BY VALUE RESZDENTIAL. N020NE 1,00 1,200,00
END OF rEaS
fl( J�1./"�j'°.�il. '(::.� '_ '
�`'.icP . ',� .. .. �_- : � .
CONSTRUCTION AND PLANNING ��� 'PA
� � "� Date Inspector Date Inspector
APPROVALS Permit #�- 1 APPROVALS Permit # �
i. Temporary Electrical Service or Pole i^� 52. Pool & Equipment Location '
2. Soil Pipe�Undrgrnd. � � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. � 54. Forms . �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bondmg
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. r'
8. Poundation ' ��� ' 59. Gas Pipe, O Undrgmd., Test
9. Water Pipe-Undrgrnd. } :� �� 60. Backwash Lines,P-Trap, O Undrgrnd. �
10. Structural Floor System '� ..� 61. APPROVAL TO OECK .��
11. Property Sewer Line & HouseConnection ': ` 62. Backwash & Receptor-Final -'�
12. Sewer Cap �� 63. Heater & Vent-Final -
13. Roof Drains .' `^� 64. Plumbing System - Final
14. Rough Plumbing � .�"� 65. Electrical�Final .
75. Rough Electriwl-Conduit � 66. Solar System-Final
i 6. Rough Elearic Wiring 67. Fencing & Access Approval
77. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Produc[ Piping OGas ❑Oil
23. Gas Pipe•Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Struc[ural) & Monocoat 75. Dry Chemical
27. Frame and Flashing � U/ � 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation Ct �u � 78. FIRE PREV. 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:
34. Final Heating & Air Conditioning • � �
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. final FaMory Fireplace
38. Final Plumbing
39. Water Service�Final '
40. Gas Service-Final �
41. Solar pomestic-Final � ! �
42. Backflow Preventer , ,
43. Backflow Irrigation
44. Landscape Irripation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ��6
46. FINALPLANNING ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ;�
51. CERTIFICATE OF OCCUPANCY
No. Date
Vi
PBOJECi RDOqESS: y 9 H TRENTON WY
.�a��ees'h�u�+e: RICHARp PALAREA
aooness: 998 TRENTON Wt1V
CGSTA MESA,CA 92626
7515606—�
UNIT:
RflCHIENGINEEfl: flEG.NO.:
ADOPESS: UNIT:
renn+mee: CRAFT5MAN HUZLDERS ( 714 ) 540-1750
aooREss: 501 W ROWLAND
S.A, CA 92707
IICEN5E0 CONTBACTOB OECLAHRTION: I hereUy a�lirm that I am IiCen5e0 und¢r provision5 0� ChaD�ef 9(Com p ing wi�h Sec�ion
�0001 oI Div,sion 3 of �ne Business anU Pmfessions Code, a my licens ' full lorce an0 eitect.
iTru.:056365 sraTEuc.:4��9� us
Daie'. � Signalure: _ _ _ .
WONNEPS' COMPENSRTION OECLAflRTION: I �ereUy ai rm at I have a cehilicate ol ( nsent to selbinsure or a certificate ol Workers'
Compensalian �s��nce� L�rebrii�d copy ihereoi �semion 7soo. �ab. �.8 � O 1/ 9 3
roucrNo.: •TRANSAN,ERICA E%P.OATE:
�OMPRNY:
/Ce]rtiliea copy is here6y fumiSheA. ❑ Certilied co y i filetl v h th ci'y Builtling �yie n.
/p r,��.3^� 1 i �
�a(h���`� `� Applicanl
E%EMPTION FBOM WOFHEPS'COMPENSRTION OECIAPRTION: QAissec�on neetl na�bec m0letetlil�hepermlisforone huMrttl�511p)orless�.
I certify �hal in the petlormance o� �he work lor wAich ihis permit is issueq I shall nol ¢mploy any person in any manner so as to 6ecome
sublect la ��e Workers' Compensalion Laws ol Calitomia.
�ate: Signaiure:
NOTICE: If, after making Ihis aeclaration, you should 6ecome sublect to t�e Workers' ComDensation D�ovisions of t�e Labor
Code. you mu5� �orlhwi�h COmply wilh SUCh pmvi5ion5 or �his permi� Shall be deemetl revOkeO.
CONSTPIlCTION LENUING AGFNCY: I �ereby al�irm �ha� there is a cons�mdion IenOing agency �or �he pertormance o� the work �or
which Ihis permi� is issued (Seclion 3097. Civ. C�.
LENOEP:
nooaess:
OWNEN BUILOEB OECLAHATION: I hereby allirm �ha� I am exempt irom �he Conlractors' Siate License Law for the �ollovnng r¢ason
(Seciion 7031.5 Business antl Pmiessional Coee: Any city of counry whic� requires a Oermit to consimct, alter, impmve. OemolisA, or
repair any s�mclure. prior Io A5 issuance. also requires the applican� lor such Oarmil to lile a 5igne0 slatem¢n� �hat he/s�e is lic¢nsetl
pursuam m ihe pmvisions oi the Comractors' State License Law (Chapter 9(commencinB wilh Section 7000) of Division 3 of Ihe Business
antl Professions COAe) or Iha� he/sne is e�empt iherefrom an0 the �asfs tor ine allegee exemption. Any nolation of Section �031.5 by
any applican� lor a permit sublec�s Ihe applicant to a civil penalry o� no� more Ihan tive hundred tlollars �5500).
I. as owner o� Ihe OwOerty or my employees wi�h wages as [heir sole compensa�ion, will tlo Ihe woB, antl Ihe
❑ simctureis notinienUeO or ofleretl forsale (seclion 7044. Business antl PwtessionalCode: Tne Contractors' S�a�e License Law
tloes not apply m an owner ol a OmDetly who builds or impmves ihereon. an0 who Ooes such work himseltlherself or Ihrough
his or her own emplayees, pmviJea Iha� suc� impmvemems are no� in�enAeO or oflered �or sale. I�, however �he builAing or
; impmvemem is sald wilhin one year al comple�ion the owner will have Ihe burden ol pmving he/she Jid noi builJ or imDmve
�or Ihe purpose a� 5ale�.
I. as owner of �he pwperty, am eeclusively conlracting with licensea conVac�ors m canstmci I�e prolec� (Section 7044, Business
❑ ana Pm�essions Cotle: The Contractors' Siate License Law aoes noi appry �o an owner af pmperry w�o builds or impmve5 ihereon
antl who caniracts �or such projecls wilh a conVaclaqs) license pursuan� lo the Coniractors' S�ale License Law). I am aware
Iha� proof of �heir Worker'S Compensation insurance shoultl be proviaetl �o me.
� I am exempl un0er Setiion: B. 8 P. C.
for ihis reasan:
Dale: Ownec
I Oo hereby cetlity inat I am aware of anA understand Ihe requiremenis al Califomia Healih an0 Safery CoUe Sections 25505. 25533, and
2553a antl Ihal I or any IUNre huilding occupant will/will not (circle one) need �o comply wiih saitl sta�e cotles and the requiremen�s for a
permit for consimction or matldica�ion Imm Ihe Nir Oualiiy Managemen� Dis�ricl. Resitlen�ial conslmction applica�ions are exem0� ��om
Ihese pmvisions
Date: Applicanl:
I Aereby certity Ihai I have read �his a0�licaiion antl state �A the above' torma�ion is corBct. I agree �o comply '�h i�y antl counry
ortlmancesantls�atelawsrelatingtabuil0ingcons�mclion A rebya or re esentalivesol ciryloenie D ea ve-menlioneU
prOp¢tl �or in5p¢L�ian pm 0525.
Oaie: SignaWr �
Driver's �icense or Socia� Secunty r: �
164La6 White—Builtling: Green—Coee Enlorcemen�-, Canary—Applicanf. Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT t i rvu; n �7tno
PERMIT NO: E 059286 PLAN CHECK NO; N � i; rv nu r; iv
CONSTROCTION TYPE; V—N PERMIT TYPE: ELE PURPOSE; AL'P
JOB DESCRIPTION : ADD LIGHT & SWITCH 5Q FT:
CLAIM VALUE; CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: REF B59285
i(-jf if 9F 1E i(� iE 9E iF �X�iE 9E ll-�%- fF �N �lf �Jf 3E * 3f df if �lf 3E iE j(-iE �%�K-iF 1E 3( 4E �i �� iF if �IE-)FiE if �E �fE iF %iE-1E �t �f if iF iE 3( %� jE# k� )f �%iF iE iF iE iE iE�1E i6 df Y� if -X� i! �� k dh iE �%
Z O N I N G R E Q U S R E M E N T S
S E T H A C K 5
------------ MAIN BUILDSNG ---------- --------- ACCESSORY BOILAING ---------
FRNT: F'f IN REAR: F'T IN FRNT; FT IN AEAR: FT IN
LEFT: FT' IN RGHT; FT IN LEFT; FT TN RGHT: FT I7J
PARKING RE • PROV; PARCEL; 19105251 ZNE; REF NO:
PLANNING N T'ES>
>
iE 3E iE jE it IE 3EiE i(� �)t �1P iE ih-lE iE it 3f #E ie iE �p 3f iF iF 1E iE 3f iE It ih if iFiE it-Ji� jE 3F 1E �Elf 1E 1t iE iF iE 1f� �E �41(� if # if iElh 3E iF# #if if iE iFif if if if �%iE it!E �Ih # if iF jF iE IE ik �
D E V E L O P M E N T S� R V I C E S R E Q U I R E M E N T S
ZONZNG APPROVED HY
BUILDING APPROVED bY ;_
APPLICATION ISSUED $Y:
�E�hlE iF iE 3P iF�f iE jE 3f� 3E iF iE 3E IF iF�1E !F!F iE iE iriF
3f iE �f 1E if iE if 1F 3h 3E %� iF iF 3F 3F if 3f ?E iE IE 1E iF 3E 3E
LEGALIZATION;N
F' E fi
BLAG PMT PLiIMBING
PERMIT
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE
TOTALS----> 1.50 15,00
DATE;
DATE;
�
DATE • � �'3���
... -w.e .� r�r � r � a i� � rxififlE-%1E�fii�iF�lEiE fCi43f�
3E 3i� iE 3E 1E' . if �E 1E )k iF iE 1E iE IE 3F dE 3E N� dE iP iE iE %� i't iF 3E 3E �F iE iF iE iF iF aE iE iP if iFiF iF aE fF
S T M N, A R Y STRUC.TURAL SzGMENT: N
RI MECHANZC FIRE SMIP/RES GRADING
SO
508 SMIP /NOt�t—RES
15,00
PLAN—CHECK
0,00
REVENUE DIVISION T'UTALS--> COLLECTED;
BLDG PMT FLUMBING ELECTRIC MECHANI�
16,5�
TOTAL PAID DUE
16.50 16.50 ,00
16,50 OVER/SHORT; ,00
FIRE SMIP/TOT .GkADING PLAN—CHECK
iE iE iF iF if-iE iF iE iE iE if if iE 1F�1E if !E fk 1k iE 3E iE 3F iE i(� # iE iF 1F iE if iF IE ik �)E �1F iF ik �lE 1f 3E iE iE iE iE iE i4 iElk if iE iE fE # iE iE �1E 7E if 1f� iE #f aF i(� iE i(� i(� if i!� 3F iF if'i.� iE iE # if iE k
I N D Z V I D U A L F E E B R E A K D O W N
TYPE (jTY D E S C R I P T I O N UNI7' COST TOTAL COST
ELE 1 rIXTURES LIGHTING 1 ST 20 EA. .75 ,75
ELE 1 RECEPT/SGJITCH 1 ST 20 EA. ,75 .YS
END OP FEES
+
01 Ql�!�:�1!'�l±.L.SQiI . ... , �
QATE: n','3'!il TI�c'c. ��G:t,
>
� CONSTRUCTION AND PLANNING � POOL ;PA
'Date Inspector Date Inspector
� APPROVA�S Permit # �- APPROVALS Permit # �
< �
�. Temporary Electrical Service�or Poie �:� 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. � - 53. Steel Reinforcement
3. Electrical Conduit Utility-Upd�grnd. t"� 54. Forms �, ��
4. Electrical Conduit�Undrgmd. 55. Electrical Bonding
5. Steei Reintorcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Elecirical Conduit-Undrgrnd.
8. Foundation �"��'� . j 59. Gas Pipe, O Undrgrnd., Test '' ;,1
9. Water Pipe-Undrgmd. � _;'� 60. Backwash Lines, P�Trap, O Undrgmd. �
10_ Structural Floor System � � 61. APPROVAL TO DECK -
i i. Property Sewer Line & HoQseEonnection' � 62. Backwash & ReceptorFinal =
12. Sewer Cap �� �� 63. Heater & Vent-Final ' �'
13. Roof Dreins �" 64. Plumbing System - Final
,l
14. Rough Piumbing �� " 65. ElectricabFinal �"�
15. Rough Electrical-Conduit '" � 66. Solar System-Finai ��
i 6. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts, in Sttucture , 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping �Gas ❑Oii
23. Gas Pipe�Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oi�
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 1 � ' 78. PIRE PREV. FINAL
30. Drywail Nailing � HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat �� ' � 79. FINAL INSPECTION
i
32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric O�S� �yd�. Notes:
34. Finai Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
i
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Service-Final �
40. Gas Service-Final , -
41. Solar pomesticFinal
42. Backfiow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FWALSTRUCTURE&BUILDING �
48. fINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,
51': CERTIFICATEOFOCCUPANCY
No. Date
:. . ... .•---t--... .... ......--- =-�--•--- -" •-•'-_--: .«_ .. _...•- ..... . . ... . . .. . .
' , . I � ' . � ' � ' I ~ , i� • � '
, .
�.. .-. '�'- ---- ;- --•--�- . -r•--»------•-----. . - . -- .. . .
,.. ... _ -:-.�.
.. .
. . . � . . .
. , � ; � � � .. i� . . .
. .
' •�.--'..____�>_..._.--"- ' .
.. ..__-.....--.,..._..:.._. �._.._ �_..�. � __._�___.-- '... .... ........ ..___ .. . �
�
. ' I I I i ' � i � I r.J ' �� i • • t
... ._ ._.._.......... .
• i • � n
� ,
, � . �
.
.. . . ....... . . ........_ _.-�--- .... _.....-- - ---...-- - - - -- - - - . ... _... .. . .. r
, ` ; . �
�
,
.__.._ ' ,
.�
, . ;,. �
, --� � - ' --
;
_ _ . .. . .... .. ....... ....... .. ..:_._:.:_._�.__._._.... .._.-.-•-..5--=-•- •- - - . ... --- . . ... ...
, � . . . I i ' , , T I �� ' . , .
_. � ..
... ..„-_.....___^..� ."-' -•�--`� --__"'---.... ,.—_—'..'--.!—'�"_-'._.,.._......__ . .._.._.__._.._ ._. __.. _ ...
• I ' t � i i ( � . � . • ' .
� � � .
. �
—'"... _..._.." ^'____ '.." .�.._._�..._..... .._.._ "". .... ............ _...
�.��...... .__ _—�"""_" ' _'
. . , .
.
, ,
:
. .
.__t_..._.."""_ _""�.._ ' . _ '._ .�._"""" ..."_.._._ _. . _ .. .. . ...
: : . � .
, :
���._..
. . . � . ,
. ; . ,
i
.
. . . � ' _.�� �.: _ . �
"".� '
...... . :... .:. . .� �._ . . , _.._: _ . _ �_-.--._.�._" ... ....... ... _. _ .... _. ..
.
. � ...-.
• i . . . . �' . i i .
. ;
:
:_.
. . •
.
� .
'_..... -.__...""'"•"'_..._.. ._..._�._.....""'"_..7" '_+_�—"'_�_""""— � ..
� : � � . . "'__...._'_"� .._ .." "._,. .. . ..
a ' ' I � - j � ' � � , . . i � � ,
. .� � � �
. . � . . . � . �
y.. _.« ....1...�...__ ...... __.�..... �_ _ .."_._' _�.._.._-..._ . «.__...._. i.' __'_'_'..."'_"- ... ... .......
: . � . . i � � . _ _. . . . . . .
. � - � • . ' '. . . ' .
. . , . . i : , i . _ .
�
• ! ,�.�+, (�� �/��y
i
_._.._.�.._... ' " ' .. .. .. . ..�.,.
.
_'"""'_'"'. ._.. _.__..._--_.__."...� ..__"'w"'"""�......»..'_'""
. .... ',. .__.; .. .
. ... ... � ... ..
....... .-.... � '. . _..._.... � 1 . ' ...:."""_.�V!.v�.�..1,�+�,RV3V��. ._ '..
' . , , , ' �� . . . ,
_. ..,.. . . . . . _ ::..�......... ..'.:..:....--• • '—•--.._r� . C�t�S_.. . , � —
.
. ._ ..... _ . . .: ... . : ... . .. .... ... . .. .. ..
.
.
. �
__. __. ..., _._.,..._..---�--- - — �— — — — --�--._.. .. .
.._.; ..._..:_...1 ..;_:._: _.: __� �_..:. —.--- _:— -- —..:.____ .....:.. : ..: . . .� .... . . . ._
a � �
._: .
. ;.
. .. :�.. ..... ..t ' ":_.. ...._...L.,_' ._ !_. . 'i.__._.._...._.._...........,..._.._. _ ....._.. . . . . ._
�'
. � ;- : : � � '�
. . _ , _, . . . _.. ._..---:,-- : __�_ .. . . ... ...... . . .. . .
, ; ,.
.. .. ...
.�
.
.
....
.
. . , -- . . .
. .
.
, . . . . ....,__.. _._. _._ _. ._ :---.._...__ . --. -- --_ .. .. - . ---._ . . _ .. . . . .
.
.
.
.,
.. .� _... _:- : . - : : --- - : - --:-. :--... _�_... � : _.. __. . . . _ .
.:
;
. : . �: . _
. . .
. -.---,�.. . , . __ . ___. --�---. __ . _ - - - - .- ._ ..---_ _.- - --. --- . _ _ _ .__._ ... _ _ _. _. .
� -- �,i.:: . �...: ..:�� .�_. ; . __:._ : --:._.. _._..._ . . . _. . _ �.
: f � -r� �
.. ._. _
.
. , : . ..,._ _ _ . �
,� :
. . _ . _. . ._ : - _ _ .
_. . __.�. .. ... . -- ,_ .. - -- - -.._...--- ------..._-___ _.. _ ._.. . _ . _ . _ ...
...
..
--1 :. .
. . ,
. . , .
.
.. -----.--.- -- .. . .._. ___.._�_ _ . _..-- --... __------ _ .-----.__.. ... _ __
, �
� . . . . , -----;-,-- ;-- , , .
. ,
. : _.. _.---- _�_ � � ; ; . ---- �
, : -
. . .... .. ....._.._ . .._. .. . . - -�- - -- -- - -._.._ - ---- ---� - - ....._... . _ .
. .
� .:..
�
: _ , .: . .
._;
..�:. ...:
� , . , � �
.
, . . .
...... ....-�---�- --........._....-�----.,__......� _.. -- -.___-- -......_... ..._ .
; ... . . ' - ---:__:_- - � ' ' •- --��^-'- - --��--- - -�-- --� � •
,
. . ,
..:. .
.. _. _. ._ -- - -
,�
. , � -�-�-
:
. . . � ,
. . . , . : � ; :
, , . , . .
;.. ...._--...:....., _::_... ---_____�__:-�-•--�--�-�- ---=--- --•-- -._... . _.._
. ,. ��- � �
. , � � , , i � ; �
. ._.___._._......,.. _:._....; _..._ . , _.-�-- - - - - --� , --._.. _ ...._� . .
, � - . � � '_�
.
. � � . . � � : �� I .
i i
. .
. ` 1
, .. . . . . i � .
:.
.
:
�
ii ... . ........ . .� ... ... """'_._.... . . .....'"".�.""'^� '_"" '_ " _"'� ... .. _ __ .. . . . .
: �
. , . � •
.
, � ,
�
I'
,_ .. �
� i
� i
�
`T
. � .
.
- -.. .. . � �_. 1-�•--�•-- --- . _..._----..... __ � .. ... ..
.... ........ . ... _....
, . :i- ..
` .
; _ . , � � • �
: ._ ..............._:..,- ..----- ---� -------.._._,.��----,_._..�___._.....-- - ---.._.._ ..... ._ ...
� �
. i .
�__ _ �
, � • • � .
. . . � ,
_.. .�_,.................. __-------- -- ---._ --- ._.--- -._.. __. .._ _.. ._ ._.:.
� ;
�
� . : . . •-- � - '
. . . . . � . . . �
. . , j i
_�
_ :. _ . .
.
• : i
� , . �.
..._......_.._...--'--•---.._.�._ ___._�_._i__., ___..._._��....._. _ _... .... . _. . ._ _ ... ..
� ' � � . . : . � j ' i . � ' � ',
.
._... .. . .. _. . . � . . . . ....... _... .. ___ � .. -
.
, � . .
��..._.. . . .._""'_.._.._...""•'______"_.'..._._' _ �._.__' �--._ _..._ _"_'v ..._ ...... . . ... . . .. �
',. '� � ' , � � � � .
. . , . , i
. . �
�. .
.
,,..... _.,_._ . _._...... ._..,_. _ ..._.. - - - - - ! -- --.� - _ .._.._.. _ .. .. I ,� .
.
. ._;.. ;-- �
. � -
.
.. , _
. �
. ' � � � :_
. �,�: ,
..,;:: :,, - .
.
. ... .
_. ____.. . . � � -- - -- .... .
._. _._......__........._....__._----�•----.,_..-...-��--------.. __.
�------------- ......... ...... _ .
, , . � . . , . � ,...
, • : ,
_ ... .... . . ....... ......_..__._._ ..... .-----...... .._... .. .._. _.. . . . . _
. _ ._. _.. ,.�. _ , ,
. .. . .
.
.
-- . ._........ _.. .... ._....� - - ..-- . . .... . ...... . .. . . . .
E
. .
..
__
, , :
. . ��.�1�. 1�/�' (� �.
_�__ T...-.---_.--r- ._ -:__. _ _ .. _.._. . .. _ _ . . . _ . . ... .
: j ; i � . . _�...
.
; . .
,. : •
.
...__ .- --_._._ ..,._-�- - - �-- - --___._.... _.......,....__..._.....__...._.. .--... .._.
_.... .. _�
.
...
. . . � . .
, , .
_ .
. � ;T
.
. , �
� .. ._.._..�..�_._ _........ ._ , ._.. _.-- EQ-` - ---___....._.__.�.__. . _ . �. .__. _.... _.... ... . . ...._
..::..:....,.....!.._.;....1.._..._..i_..._...,_ .-- ----L_�....._,___._........ . _..... .. ...:_.. _...._.
� �. ,
i
. . . . . ! f � � . .
- -r - - i -' -
. • . . • � : ,
.
.
. �
... .. ............_,_..-:--._..�.__..__.-._-_:.u___._.�._;-___..,..------:_.._..._.. .--- . ._..... .._.._
, . , . . •
. � . .
; , �
.. . .. .. ...� ... ... ...... ..._. .. ... ...... • ---._..... �... _, , .. . . . . . . . . .---�
.
��...�....�...... �.�.�.��.� .� .r�.�J��....�.�.. .
• ' . ' . ' . � ' � . :� i : � � .
.-.... .. _... �....... .. . _I. . .
� \ '
......� .. .. ����.r._�_�f�.. r_...�_.. .. . ....._._... . �. .�... ..
0
Lot 10
C05fA MESA BUILDING-SAFETf DEPARTMEPR
P.O. BOX 7200 COSTA MESA. GALIFORNIA Y262E
Fo► AppI1mM ro Fill In Compl�ly
TYPE OR PRINT
suao�No CC�� ��.�-
ADGRHDG
COSTA MESA, CALIFORNIA
GIi7
HTATE TCL
LIC. NO. NO.
SIZE S`!v t� no. or etDW.
OF LOT ^rC . Y /70 NOW ON LOT
USE OP •
rnor !t0 as�e rwn �'
i.rr
LFFT �C7 / RIQMT
i�'
DESCRIPTION OF WORK
BUILDINO NO.OP
SIZE ROOM6 8TOR1[D
eXTEH10PWAL4W�� ROOP Sjylake—
COVERINO {]I.'iCfPt' COV8RIN0 `�{n..l..
UY[ OF DUILP�NY AND WORK TO B[ P[RFORM[D 7'�
1 NLi6GY ACRqOWL[DYt TXAT.1 NAVR 11fI1D TNI� A�RIWTON
AHG pTAT[ TNAT Tll AOOV[,IG EORR[CT AHD A011tt TO CAY.
PLY WITN ALL'CITY OROINANCO AMD tT i[ LAY/� 6[OYLATINO
SUILOINOCOHRMY oH. jj
H16NATO ep � �j�,Y �J
PBRMITT
AUTXORIZ[D AO[NT
�Ux 2q-68��,—s`AOOt987• ****99.00
AfPLiGATION FOR PERMR
BUILDING
For ONIn U» Only
nccnrtno. �cnMrtxo.
FlR[ q
ZONR � lJ
��•
YARDB MPROVlD
MAIN BUILDINO
f FROM C/L RR[lT �
rrs Hr
R.�YIO[ J A'_
v�re. u
ZONING
sr��u ee �ese rriwn
fU.B.G.RBGUIRBMHNTI
YARO9APPROVHD
AGC6880RYBUILDINO
owTs
,��Ro� � .�� _� g
�_ DAT[ _
�j] a
v� m
S ys 0� C,D �
/57/ �. �. °'� �
TN[ AMOUHT BMOW UND[R VALUATION 19 IOR Tf6 �
TU11MG1 OI iRML1OHIN0 A P6pY1T I86 ON1.Y. �
��.�,,,T�oN ,�6 — '
PBRMIT F88 �
s� /�'%�� �3— w
TOTRL PH6 �