HomeMy WebLinkAbout336 TOURS LN - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 336 TOURS LN
Suite:
Vicinity: 1 ST FLOOR
Parcel Number: 43914203
Applicant: ANDERSON, JOANNE
Address: P O BOX 1983
NEWPORT BEACH, CA
Owner: ANDERSON, JOANNE
Addres� P O BOX 1983 �
Contractor
Address:
Zip:
Arch :
Address:
NEWPORTBEACH,CA
Phone:
Zoning:
Phone: 949-574-1641
Zip: 92659-0983
Phone:
Zip: 92659-0983
Phone:
License:
En9:
Address:
Status: ISSUED
Applied: O6/O6/2001
Issued: 08/07/2007
ISSUED BY: l� �
Phone:
Zip: License: License;
SCOPE OF PERMIT
CONSTRUCT 268 SQ. FT FAMILY ROOM ADDITION WITH THREE SKYLIGHTS ON THE FIRST FLOOR OF A TWO STORY
RESIDENCE.
EXISTING 196 SQ.FT. FAMILY ROOM WILL BE DEMOLISHED TO ACCOMMODATE THIS NEW CONSTRUCTION.
PROPERTY IS PART OF A LARGER, SMALL-LOT DEVELOPMENT-. 12' REAR SETBACK TO INDIVIDUA� LOT'S PROPERTY
LWE, WHICH IS TOWARDS INTERIOR OF OVERALL PROJECT. � -
Plan Check: $254.31
Permit: $391.25
SMIP Res: $2.45
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $648.01
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 12-0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Lefl 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
$24,453.00
so.00
NOTICE: The work authorized by this permit shall comply with alt 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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlons and final approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaas�as �sioo�
WORKERS' COMPENSA710N OECLARATION: � " i '
I �ereby aHirtn under penalty ot perjury one of ihe following declarations: ,
❑ I have antl will malntain a certificate oi consent to self-Insure tor workars' wmpensaHon, es provided for 6y sectlon 3700 ot the Lebor Code, lor Ihe pertortri�nce ot the
work tor which this pertnit is iuuetl.
❑ I heve and will mainiflin workers' compensation Insurance, as requiretl by section 3700 of ihe Labor Code, tor Ihe peRortnance of Ihe work for which Ihis pertnit Is Issued.
My workers' compensatlon Insurance carner and policy number ere:
Cartier: Pollty NumDer.
(This secfion neeC not be canp/ete0 i/ fhe permif is valued et one hundred dallers ($100) ar less.)
❑ I certify thet In the performance of the work for which this permit is issuetl, I shell not employ eny person In eny manner so es to become subject to the workers'
wmpensetlon laws of Calitomia, end egree that it I should become su��ect to the warkers' compensatlon proWsions ol Sectlon 3700 ot the Labor COCe, I shell forthwith
mmply with IheSe provl5lons.
Applicent Signature: Dete:
WARNINQ: FAILURE TO SECURE WORKERS' OOIAPENSATIqJ COVERAGE IS UNLAWFUL AND SFIALL SUBJECT Ml EMPLOYER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOIXJE HUNDRED
iHOIISFND DOLLARE (5100,000�. IN AODITION TO THE CQST OF COMPENSATION, �AMAGES AS PROVIDED FOR IN SECiION 3)OB OF THE UBOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby eNirtn that I em licensed under pwvisions of Chapter 9(commencing wilh Section 7000) ol Division 3 ot the Business enC Professions Cotle, and my license is in full
foma antl eHect. Lic. x Clau M
Contracbfs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHiim that there is a construction lentling agency for the peAortnance of iha work lor whiCh Ihis pertnit is issued. (Sec. 3097, Civil CoCe).
Lentlers Name: Lentler's Adtlress:
Signeture: Oate:
OWNER-BUILDER DECLARATIONS:
I hereby eNirtn Ihet under penalry oi perjury Ihat I am El(EMPT FROM THE CONTRAC70RS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Business en0 Protesslons
CoAe: Any ciry or counry w�ic� requires a pertnit to consWct, alter, improve, demolish, or repair eny strucWre, pdor to Its issuance, elso reduires the epplicant tor such pertnit
to file e signed stetement ihat he or she Is licensed pursuant to the provisions of the Contrectors Llcense Lew (Chepter 9(commencing wit� Sectlon 7000) ot DlNsion 3 of t�e
Busine55 en0 Professions Code) or that he or she is exempi therefrom and the besis for Ihe elleged eremplion. Any violation ot Seclion 7031.5 Dy eny epplicant for e pem+'
sub�ects the eppliceM to a civil penalry of not mora then five hundretl dollars ($500).):
❑ I, es owner ol iha property, or my employees with wages as thelr sole compensatlon, WILL DO THE WORK, entl ihe sWc�ure is not Intended or oMeretl lor sale (Sec.
7044, Business and Professlons Code: The Contractors License Law tloes not apply to an owner of ptoperry who builds or improves Ihereon, and who does such work
himself or herself or through his or her own employees, provided that such improvemenis are not Intended or offered for sele. If, howevar, Ihe 6uil0ing or improvement is
sold within one year ot complation, ihe owner-builder will have the burden of proving ihet he or she did not build or improve for purpose oi sale.).
�I, es owner of the property, em E%CLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, 0usiness and Protessions
Coda: The contractors License Lew tloes not apply to an owner of property who builtls or Improves l�ereon, ena who contrects for such project wlih e coniractor(s)
license pursuant to Ihe Coniractors License Laws.).
❑ I em e mpt under sec. Business and Professions Code for ihis reason:
a r . - Dat . ' ��'-ZO�/
O er ID rilied by tlrivar's license. es � No rivers Licens . xpires: �i ��/lJ�i
Venficati n of Ownership hy (type oi dwument, i.e. - properry tax �ill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify �hat no excavetion live (5) or more leet in depih into which a person Is required to descend, will be made in connection with work eut�orize0 by thls
permit, end ��at no building strucNre, scallolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B. Califomia Administrative Cotle).
❑ As ownerbuiltler, I will not employ enyone ro tlo work which would require a Derml� tmm the Division ot Indusirial Safery. as noted ebove, unleu such pereon �es a
pertnit to do such work Irom the division.
Signature: Date:
Division ot Industnal Satery Partnit Num6er
CERTIFICA7E OF COMPLIANCE AND AUTMORIZATION OF EMRV: I cenity under penelry of perjury that I have read ihis epplication end state thet the inlortnetlon given Is
correct. I egree to comply wlih ell tete lews end ciry ordinances relating �o building constmction, antl emhorize represemetives oi ihe Clry ot Coste Mesa to enter upon the
ebov escriDed property for ins ction pi oses. I egree not to occupy or allow occupency of eny building authorized by this permit until tinel inspection.
r� ��� ,9,-li-aoo/
Signet i Legal Ow r(s) �
Antl/OrAuthonzed Applicant Date
CODE �. INSVECTIONTYPE
1616 Fi:ed System Final Fire Prevention
7266 Pool Spe Finel
200 Flnel Re-Root
201 Final BIocWRetaininq Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
[�gjE IMITIRLS
CODE� INSVECTIONTYPE
206 Final Mechenicel
208 Final Plumbing
210 Flnal Eleciricel
212 Finel Fire Preventian
220 Final Planning Approval
222 Final Site
250 Finel BuiltlingiOccupanq
PAg It�L$
INSULATION CERTl CATE
County
Description of Installation
l. ROOF
Material
Thickness (inches)
2. CEILING 7
Batt or Blanket Type � a�
Thickness (inches)
Loose Fill Type
���_ o� S��
__,�
C�, M .
�ry
Subdivision Lot Number
Brand Name
Thermat Resistance (R-Value)
Brand Name
Thermal Resis[ance (R-Value)
Brand
Contractor's min installed weight/fr' _lb Minimum thickness iilches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
EXTERIOR WA�'�j
Frame Type r _ "' � � •
A. Cavity Insulation
Material
Thickness (inches)
B . Exterior Foam Sheathing
Material
Thickness (inches)
4. RAISED FLOOR
Material
Thickness (inches)
5. SLAB FLOOR/PERIMETER
Material
Thickness (inches)
Perimeter Insulation Depth (inches)
6. FOUNDATION WALL
Material
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thertnal Resistance (R-Value)
Brand 1Mame
Thermal Resistance (R-Value)
IC-1
[ hereby certify that the above insulation was installed in the building at the above location in confortnance with the curten[
8nergy E�ciency Smndards for residential buildings (Title 24, Part 6, Califomia Code of Regulations) as indica[ed on the
Certificate of Compliance, where applicable. .
' �/OIN E�v��uc�—
Item #s Signa[ure, Date Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Item Ns
Item Ns
Signature, Date
Signamre, Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Revised March 1, 1996
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
336 TOURS LN
KITCHEN AND DINING ROOM
43914203
App�icant: ANDERSON, JOANNE
Address: P O BOX 1983
NEWPORTBEACH,CA
Owner: ANDERSON, JOANNE
Address P O BOX 1983
Contractor:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lightin9 Fixts
Recept Outlets
Switches
Non Res Appl '
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motore to 50hp
Motors to 100hp
Motors over 100hp
Communiwtion drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
NEWPORT BEACH, CA
ELECTRICAL PERMIT
Phone: 949-574-1647
Zip: 92659-0983
Phone:
Zip: 92659-0963
Phone:
Zip:
License:
ISSUED BY:
Status: ISSUED
Applied: OS/16/2001
Issued: OS/16/2001
SCOPE OF PERMIT
LEGALIZE ELECTRICAL WORK DONE IN KITCHEN AND DINING ROOM. OK TO ISSUE PER RANDY. NO
9N�ER WORK AUTHORIZED BY THIS PERMIT. �
O�n�
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
827.11
$24.19
$15.40
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
27
23
14
0
0.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft �
Standing Section �
Misc Electrical Equipment
�� � Transformers up to 1 kva/kw
................uP to 10 kva/kw
..........:......up to 50 kva/kw _
.................up to 100 kvalkw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit �
Misc. Conduclor
Circus ( gen or ride) .
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Eleclrical Fee "
Investigation Fee
Plan Check Fee
Reinspedion Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $90.20
COMMENTS / SPECIAL CONDITIONS
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 1 BO 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 and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aas-as (rvoo�
WORKERS'COMPENSAnONOECLAHAnON: �
I here6y aHirtn under penelty af perjury ana af the tollowing declaratians:
❑ I heve entl will maintaln e certilicate of consent to self-Insure far workers' compensetion, es praWtleC tor by section 3700 of the Lebor Caaa, tor the pertormence of the
wark for which Ihis pertnit is issuetl.
� I have end xNl maintain workers' canpensatlon insurance, as required by secllon 3700 of Ne L�or Code, for Ne peAortnance of Ihe work lor which Nis permlt is iswed.
My workers' compensatlon Insurance wrrier antl pdicy number ere: ..
Carrier: Policy Number: _
(This sectlon need not be comp/eted i/ the permit is velued ef one hundred dollars (S/00J or IessJ
�I certiy t�at in t�e peAartnance oi Na work tor which this pertnit is issued, I shell not employ eny person in eny manner so as to become sub�ect ro t�e workers'
compensation laws of Califomle, enA egree that if I should become suDject to the workars' compensation proWslons ot Sectlon 3700 01 the Lebor Code, I shall torthwith
camply with the r visions. � �� �/� n4D/
Wpplicent Sipneture: � 9 Data: �� �S
WARNINO: FNLURE Td6ECURE WORKERS' COMPENSAiION COVERAGE IS UNUWFUL AND $MALL SUBIECT AN EMPLOYER TO CRIMINALWENALTIES AND CNIL FlNES UP TO ONE HUNDRED
T}IWSM'D DOLLARE (5100.000), IN ADOITION TO iHE COST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SEGTION 3lOe OF THE LABOq CODE, IMEPESi, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy eNirm Ihat I em licensed under provisions of Chapter 9(commencing with SSctlon 7000) of Divislon 3 of Iha Businass antl Professions Code, antl my Ilcense is in full
torce and eflect. Lic. x Class a
ContractoYs Signewre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm ihat ihere is a consiruction lentling agency tor the pertortnance of the work for w�ich this permit is iuued. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrm t�et under penelry ot perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Protessions
Cotle: My dry or counry which reQWres a permit to wnstruct, alter, impmve, tlemWis�, or repair eny stmcWre, Orior to its issuance, elso requires the epplicant for such pertnit
to tile a signed statemen� that he or she is Ilcensed pursuant ta the provisians ol the Contrectors License Lew (Chapter 9(wmmencing with Sectlon 7000) af Divislon 3 of the
Business and Professlons Coda) or thet he or she is exempt Ihereirom and Ihe basls for the alleged exemption. Any violation of Section 7031.5 by eny applicant for a pertnit
su6jacts tha apD�icant to e cNil penalty of not more than five hundretl Aollare (5500).�:
❑ I, as owner of Ihe properry, or my employees with wages as their sole compensatlon, WILL DO 7HE WORK, and ihe strucWre is not intendetl or oHeretl br sale (Sec.
7044, Business end Prolessions Code: The Coniractors License Lew tloes not apply to an owner oi Droperry who builds or improves Ihereon, and who does such work
himself or herself or ihrough his or her own employees, provided lhet such improvemenis ere not intendetl or oHered for sale. Ii, however, the building or improvement is
sold within one year ol complation, ihe owner-builder will have tha burden ol proving thet he or she did not �uild or improve for purpose oi selo.).
�I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 704d, Business end Prolessians
��� CoCe: Tl�e contractors License law does not appry m an owner of property who builtls or Improves thereon, and who comracts for such projea with a comractor(s)
license pursuani to the Contractor5 Licensa Laws.�. yy�j��� p O
❑ I am ea t under sec. �- Business end Pmfessions Code br this reason: �-� �""�:f� �O of DD �
Signalure: �%�1(//ti�__- !�ii%�/ Da�
Owner ID v lied by drivers license. ❑ Ves ❑ No Drivar's License No. Expires:
ot Ownership 6y (rype of tlocument, i.e. - property tax bill or dead):
DIVISION OF INDUSTRIAI SAFETY VERMIT CERTIFICATION:
� 1 hareby cartity ihet no exwvation tive (5) or more faet in depih into which e person is required to descenq will be made in connection wit� work authorizetl by this
permit, and ihat no building structure, scaflolding, falsework, or demolition or tlismantling thereol, will be mora than thiny-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Calilarnia Administre�ive Code).
❑ As owner-builder, I will not employ enyone to do work which woultl require e permit from t�e Oivision of Industnal Safety, as notetl above, unless such person has e
pertnit to do such work Irom ihe aivision.
Signa�ure: Date:
�ivisian of Indusinal Sefery Permi� Number:
CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I cenify under penalry ot perjury that I have read this application and state lhet the information given is
correct. I egree to comply with all stete laws and ciry ordinances relating to huilding conslruction, end euthorize representatives of the Ciry ot Costa Mesa ta enter upon the
above-descnbed property tor inspec' n puryoses. I agree not to occupy or allow xcupency ot any buildinq authorized by this permit until final inspection.
il�a���,vJ �� `--�mr� /9 ��a /
S gnawre Of Legal Owner(s) �� Date
And/Or ANhonzed Applicant Date
LOpEN, INSPECTIONTYVE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Root
201 FInaI BIocWReteining Well
202 Finel Fectory Firo Place
203
204
Finel Sign
Finel Demolition
O�TE
INTRIALS COUEX INSPECTIONTYYE
206 Final Mechanical
208 Final Plumbing
_ __ 210 FinalElectrical
272 Final Fire Preventian
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
OATE INTRI�LS
2s 3 �
September 12, 2003
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
Joanne Anderson
P. O. Box 1983
Newport Seach,CA 92659
PERMIT NUMBER (S):
FOR:
PROJECT ADDRESS
BUILDING DIVISION
NOTICE OF PERMIT EXPIRATION
601-00840, E01-00389, P01-00503
Addition
336 Tours Ln., Costa Mesa
Our records indicate the above listed permit(s) were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your last
inspection for the project and additional fees may be required to finalize expired permits.
According to our records, the permit(s) listed above have not had an inspection for a period
exceeding 180 days, If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this office so we may
correct aur records.
A time extension may be granted if you intend to commence work and complete the project.
Requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above
address, detailing circumstances and listing an estimated date of completion. If you need to
request an inspection please call our Inspection Request Line at 714.754.5626. If you do not
contact this office within 10 days, your permits will expire on September 29, 2003.
If you have any questions, please contaci the Building Divisron at 714-754-5273, between 8:00
a.m. and 4:30 p.m., and a staff inember will be happy to assist you. The accurecy of records
affecting your property is our goal and we appreciate your working with us to resolve this matter.
Sincerel�
�
Mary Jane Weidenkeller
Office Specialist II
Building Division p14) 754-5273 • Code ENorcement (77a) 754-5623 • Planning Division (714) 754�5245
FAX p14) 754�4856 • TDD (774) 754-5244 • wvnv,ci.wsta-mesa.ca.us
attributes : Costa Mesa Parcels
Property Aq ,ss
Address 1 336 TOURS LN
Address 2 COSTA MESA CA 92627
Parcel Information
Assessor Parcel Number 43914203
Legal TR 3433 LOT 64 UNIT 64 OF PRO]ECT LOCATED ON
Range
Township
Section
Quarter Sedion .
Area
Acres
Owner
Owner Address 1
Owner Address 2
Year Built
Building Square Feet
euilding Count
Stories Number
Parking Spaces
Number of Units
garage Square Feet
Front Footage
Depth Footgae
Bedrooms
1765.5464400000001
4.00000000000OOOOlE-
Owner Information
ANDERSONJOANNE
PO BOX 19$3
NEWPORT BEACH CA 92659
Property Specs
1965
1746
1
2
2
0
0
0
0
4
Page 1 of 1
AP119-381-32(TOGETHER WITH AN UND .62INTIN
http://mesagis2x/website/costamesa/parcel/default.asp?opt=attributes&sessid= {2DDA2A24-C 12F-4523-... 09/11 /2003
(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRNE, WSTA MESA, GA 92626
Job Address: 336 TOURS LN
Suite No
Vicinity:
Parcel Nunmber: 43914203
Applicant: ANDERSON, JOANNE
Address: P 0 BOX 1983
NEWPORT BEACH, CA
Owner: ANDERSON. JOANNE
Address P O BOX 1983
NEWPORT BEACH, CA
Contractor: OWNER BUILDER
Address:
Arch / Eng :
Address:
PLUMBING PERMIT
Phone: 949-574-1641
Zip: 92659-0983
Phone:
Zip: 92659-0983
Phone:
Zip:
License: 000000
Phone:
Zip:
License:
SCOPE OF PERMIT
REF: B01-00840. PLUMBING PERMIT FOR RELOCATION OF HOSE BIB.
ISSUE FEE
Backflow irrigati0n
Backflow Preventer
Bathtub
Clarifer System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drein, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptore (Grease, Oiq
Interceptors (Sand Auto )
AMT
$23.50
50.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
AMT
Laundry Tub I Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap tor Demo $0.00
Sewer Connect $0.00
Sewer Private Line 50.00
Shower $0.00
Sink, bar $0.00
Sink, commercial 50.00
Sink, Floor 50.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) 50.00
Spa (public) $0.00
�TY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: OB/21/2001
Issued: 08/27/2001
ISSUED BY: �
Sump Pump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
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 Sokener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
89.80
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: E33.30
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aasas 16�ooI
WORKERS' COMPENSATION DECLARATION:
I hereby affirtn under penalry of perjury one oi t�e tollowing tlecleretlons:
❑ I heve end wlll maimain e certificate at consent m self-Insure br workers' compensatlon. es proNtled br by section 3700 ot the Lebor Code, far Ihe peAormence of the
work for whic� thls pertnit Is issuetl.
❑ I have and will maintain workere' compensatlon Insurance, es requiretl by saction 3700 of the labor Code, tor ihe pertortnance of ihe work tor which this pertnit is Issued.
My workers'� rppenge�lan� ce er entl pollcy number ere:
Carrier: � YiA� P Pollcy Number:
one
or less.)
�I certity ihat In �he pedormence ot the work for which this Dermit is issued, I shall not employ eny person in eny menner so es to become subject to Ihe workars'
compensation laws of Celifoym�ia�, e,n,�tl �egree t�e ' I sho Itl become su �ect to Ihe workers' compensatlon proWsions of Section 3700 oi ha Labor Code, I shell forthwit�
compy with Ihesp7 ��o'�f9U/UyCi I
�ApplicantSigneture: �f/" � oa�a: gI2� 0
WARNINO: FAILURE TO S URE WORNERS' COMPENSATION COVERAOE I$ UNLAWFIIL AND SMRLL SUBIECT AN EMPLOVER TO CFIMINAL PENALTIES D GVI� NES UP TOONE HUNORED
T}fOUSM1D OOLLARE (5/00,OW). IN AODITION TO TME C0.ST OF COMPENSATIIXJ, DAMAGES AS PROVIDED fOR IN SELTION 3IOB OF THE LPBOR COOE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn thet 1 em licensed under prwisions of Chepter 9(commencinp wlih Sectlan 7000) of Division 3 ot the Business and Professlons Code, end my license is in full
fome end efled. IJc. N Class tt
Gontrectors SignaWre: Date:
CONSTRUCTON LENDING AGENCV:
❑ I heraby attirtn that ihere is a wnsiructlon lending egency lor the peAormence ot the work tor which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lendels Name: Lenders Address:
Signeture: Data:
OWNER-BUILDER DECLARATONS:
I heraby ettirtn thet under penalry of perjury that I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry w�ic� requires e permit to consiruct, elter, improve, tlemolish, or repair any strudura, Prior to its Issuance, also requires the flpplicant far such pertnit
to Ole a signetl stetement t�at he or s�e Is Iicensetl pumuent to the proWsions oi Ihe Contreqors LJcense Lew (Chepter 9(commencing with Section 7000) of OMslon 3 ot ihe
Business and Prolessions Code) or thet he or she is exempt therelrom end Iha basis lor Ihe ellegetl exemption. Any Noletlon ot Sectian 7037.5 hy eny applicant for e Derm�'
subjects the applicant to e civil penalty of not more than five hundred dollars ($500).):
❑ I, es owner of Ihe pro0erty, or my employees with wages as t�elr sole compensatlon, WILL DO THE WORK, entl t�e siructure is not Intended or oHeretl for sale (Sec.
7044, Busineu flntl Protessions CoCe: 7he Cantractors License Law tloes not aDO�Y �o an owner of property who builtls or improves ihereon, end who tloes such work
himself or herself or through his or her own employees, provlOetl ihat such Improvements ere nol Intended or oNeretl lor sele. It, however, �he building or Improvemen� Is
soltl wit�in one year of completion, the owneo-builtlar will heve Ihe burtlen ot Dmving thel he or she did not build or improve tor purpose of sala.).
I, es owner ol lhe proDerty, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS lo construcl the prqect (Sec. 7044, Business antl Protessions
Code: The wntrectore Llcense Law tloes not eppty to an owner al pmparry who Dulltls or Imprrnes ihereon, entl who contracts for such pmject wit� a contrector(s)
licensa pursuent to the Contraaors License Lews.).
❑ I em e er sec. Business and Professions Coda for this reeson:
Signature: Date:
Owner I��fieA bydrivers license. ❑ Yes ❑ No DrNels License No. Expires:
Verificetion of Ownerohip 6y (type of tlocument, i.e. - pmpeny tax bill or tlaetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT GERTIFICATION:
❑ I hereby cenify Ihat no exwvation tiva (5) or more teet in depth inro which e person is required to tlescend, will be mede in connection with work authorizetl by Ihis
permit, and lhat no building sWctura, scaflolding, talsework, or demolitlon or dismantling �hereol, will be more Ihan ihlrty-six (36) tae� high. (Chep. 32, Grp 2, Atl 2, Sec.
341, Ttle B, Califomia Adminisiretive Code).
❑ As owner-builder, I will not employ enyone to tlo work which would require e Dermll Irom Ihe Division of Intlustnal Safery, es noted ebove, unless such person has e
permit to do such work fram the division.
Signature: Dele:
Division of Industrial Salery Pertnit Number:
CERTFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMRY: I ceniy under penalry of Oerjury that I �ave reatl t�is epplication antl state that Ihe infortnetion givan is
correct. I agree to comply wilh ell state lews antl ciry ordinances relating to bulltling constmction, end euthorize representellves ot I�e City ol Coste Mesa to enter upon the
ebove-tlescribed property for insp on pu ses. I egree not acupy or allaw occupency ol eny building euthonzetl by t�is pe t until line inspection.
�vrr�z� ���u.�yr/ro r3%�i O/
ignature Oi Legal Owner(s) � Date
AnNOr Authonzed Applicent Dete
COOE I. INSPECTIONTYVE
1616 Fixetl System Final Fire Preveniion
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Faciory Fire Place
203 Final Sign
204 Final Demolition
Qd¢, �Q �,QpEl INSPECTIONTYPE
206 Final Mechenical
208 Finel Plumbing
210 Finel Electricel
212 Finel Flre Preventlan
220 Finel Planning Appraval
222 Finel Site
250 FinalBuilding/Occupenry
PAg 1I�4S
� ._ • �71�
PflOJECT AOONE55: j 3 6 TUURS LN
OWNEfl'S NAME: HAYES, JAMES R
aonRess: HAYES. FINOLA M
336 TOURS LN
COSTA MESA,CA 92627
756-9127
APCM/ENGINEEfl: PEG.NO.:
AUGHESS:
UNIT:
I1NIT:
reeminee: DELUNA CONSTRUCTION ( 714 ) 649-3159
noosess: 1067 STAR ROUTE
ORANGE CA 92667
IICEN5E0 CONTflACTOfl UECLAFATION: I hereby al�irm �hat I am licensed under Omvisians oi ChaD�er 9(commencing wilh Section
7000) ol Oiv��sion 3 0� Ihe Business an0 Pmfessions CoOe, and my license is in lull force an0 elfecl.
cirruc.: 053338 sTpTEuc.:453305 cuss:
�a�e'. �— Z�— q� Signa�ure: _�_ LT/
WOflNEHS' COMPENSATION OECIANAiION: I hereby affirm Ihal I � a certilicaie oi consent �o selbinsure or a certificate o� Workers'
Compensaiion Insurance or a certilietl covY �nereol ISection 3800. L. C.
POUCYNO.: 6622�I.�.-91 EXP.OATE: �2�OiI9Z
comraxv: STATE FUND
0 Cetlified copy is hereby furnished. � Certilietl copY �5 filetl wi�h �he city Builtling Division.
Da�e: _I —i �1 — °� \ Applicam: � DC � �-- `-----
E%EMPTION FROM WOFREflS' COMPENSNTION OECIAflATION: Qhi55etiio ee noi b¢ cample�ea il Ihe permi� is �or One huntlretl ($100) or less�.
I cetlify Iha� in �he petlarmance oi Ihe work lor which I�is permit is issuetl. I shall na� employ any person in any manner so as �a became
sub�ec� to ihe Nlorkers' Compensation Laws o� Calilomia.
Daie: Signa�ure:
NOTICE: I�, ailer making this tleclaraiion, you should become su�le�� �o the Workers' Compensation pmvisions o� the Labar
Code, yau must �otlhwilh comply wilh such provisions or this Dermit shall Ue Oeemed revoketl.
CONSTNUCTION LENOING pGENCY: I M1ereby affirm I�at ihere is a cons�mc�ion IenJing agency lor the Oedormance of ihe work �or
whic� Ihis permi� is i:suetl (Seclion 3097. Civ. C�. .
LENOEN:
ADOflESS:
OWNEfl BUILOEfl OECIAPATION: I hereby af�um t�a� I am exem0� �rom the Coniracbrs' Slale License Law for �he tollowing reason
(Secuon 7031.5 Business ana Protessional Code: Nny ciry ol counry which requires a Dermii Io consiruct, al�er, impmve, tlem0lish, or
repair any slmc�ure. prior Io iIs issuance, alsa repuires Ihe apDlicant for such permit �o �ile a signed s�a�emenl lha� he/she is Iicen5e0
pursuanlloihe pmvisions ollhe Coniraclors' S�a�e �icense Law�Chapter9(commencing wi�h Seciion 7000) o�Division 3 ofthe Business
and Pmlessiore CoOe) or that he/she is eMempt theretmm and Ihe basis lor the allegetl eKempiion. Any violation of $ecGon 7Q3L5 by
any apDlicant �or a Oarmit su�le��s ihe applicanl �o a civil penalry o� no� mare ��an �ive hundred dol�ars (E500�.
I, as owner of ihe propeny or my employees with wapes as iheir sole compensation, will do ine work, antl �he
❑ slmqure is noi imenaea or of�eretl �ar sale (Seclian 7044. Business antl Pro�essional Cotle: The Conirac�ors' Slale License Law
tlaes not apply lo an owner of a pmperty w�o builds or improves �Aerean, antl who Ooes such work himseli/herseli o� thmugh
' his or her own employees. O�ovide0 ihat suc� impmvemenis are not intentled or aHeretl for sale. II, however the huilding or
impmvement is sold within one yearof completion. the awner vnll have I�e 6urden of proving he/s�e tlid no� build or impmve
lor Ihe purpose ol sale).
I, as awner ol the pmperly, am exclusively coniracling wiih licensetl conVactors ta cons�mc� �he pmlec� �Section 7044, Business
❑ anU Professions CoOe: T�e Con(rac�ors' S�ate LiCense Law tloes no� apply �o an owner o� pmDetly who Uui105 or impwves lhereon
and who conlracls for such Orole<�5 wilh a[ontractoqs) license pursuant lo the Contrac�ars' Siate �icense Law�. I am awa�e
Ibal prooi o� Ineir Worker's Compensalion insurance shoWa �e pmvitle0 �o me.
� I am exempl untler Sec�ian: B. 8 P. C.
br this reason:
CITY OF COSTA Mr:SA — HiIILllING PERMIT PERM NO: B U54199
PERMIT NO: H 054199 PLAN CHECK NO: U3800-91 S GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERM3T TYFE: STR PURPOSE: REP
JOB DESCRIPTION : REPLACE DAMAGED DECK RAILING SQ FT: 500
CLAIM VALUE: SUO.OU CALC—VALUE: 500.00 GROUP OCC: R-3 /
COh1MENT5: DECFC RAIL REPAIR/FIELD VARIFY
���+e�**�K*x ���r*�xx***��***�*�+�**r�*�x+��*�*�**x*rt���t***+�***+��**�ex�*x�� **��*#r�*�-�er-
7. U N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT TN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGi3T; FT IN
PARRING REQ• PROV: PARCEL: 43914203 ZNE; R2 REF NO:
PLANNING NiSTES> REPAIR AN EXISTING HALCONY RAILING.
>
iE if iE it iF If if iE iF � iF iE 3F if if if if 1E 3FiF iF iE.iE iE iE iE iF if K�36 if aE 3E 1F 3E iE if aFiF ik �F IE jF 3t 3f iE if i63F iE �t iE If iF iF if if af �1F iF aF iF # 1F iE iF 16 iE iF�E if iE 3f iF iE if iF i(� iE
D E V E L U•;,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' .: in.�.� �L'—'— 'j—� DATE: �
BUILDING APPROVED B,Yf :• DATE: �
APPiICATION ISSUED B: DATE: ��'�
iFlFififiElfiEifiElEjEiEltlfiEiEiF3Fi4jf �7 � iEiEiElEiFiEiE�Eiflf r iEif
�
N�iEaEiflfiEiEiFjEiEdfiEif�f3ElfififiFiFiE3F1EiEif iE1FlfikitlE3'tifif3EiFi� 3fitiflFiF�haE3F3EiEiE�FifiEafifiEifaf�iFik�iliEiE1E1FIFiEiEie3F3EiF)fi�lEif
LEGALIZATION:N F E E S M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 15.00 � ,50
SMIP/NOA3—RE�
PLAN 9.75
ISSUE rEE
BDILDING—DIV—> PERMIT ISSUE PLAN—CHECE: TOTAL PAID DUE
TOTALS----> 15.50 0,00 9,75 25.25 25.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 25.25 OVER/SHORT: 00
BLDG PMT' PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
15.00 .50 9,75
ff # iE � 3f i� iF iE 3f if jF if 3E �F ik if IE 41E if if iE if iE iE # if 1f if �F i6 k iF iE if 1f � iF i6 if if iP iP iE 3f a6 iF 3f iE 3E iE 1E IE iE 34 3F iP iF iEiF 1E if iF iE iF 3ElE iF aE if 1E if 3E � 1E iF iE iF iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE �,iTY D E S C R I P T I O N UNIT COST TOTAi COST
Da�e: Ownec I $FR
I tlo nereby cenity tnat l am aware ol anA un0ers�antl �he requiremenis ol Calilomia Healih antl Safery Cotle Sections 25505, 25533, an4
25534 antl iha� I or any luture bulltling occupan� wlll/will nol (circle one) neetl ta comply wiih saitl siale codes antl the requiremen�s �or a
permil for con5imclion or motlihcaiion imm �he Air Oualiry Managemenl �istricL Fesitlen�ial canslmction apPlica�ions are exempl hom
IAese provisions.
Oale'. NpPlicanl:
I hereby cetlify Ihai I have rea� ihis application an� state thai Ihe above intorma�ion is correct. I agree lo comply wi�� all ciry antl county
ortlinances and staie laws relating lo bml0ing constmclion and hereby au�horrze representa�ives ol Ihis ciry ro en�er upon �he above�men�ionetl
property brinspeclion purposes. / l` /
oaie: q—Z'J — i � Signa�ure J L�� ` —
oriver's license or Social Sewriiy a:
t64b46 WM1ne—BUAtlmg; Green—Cotle Eniorcemem; Canary—Applicant: Pink—Revenue: Goltlenro0—Assessor
500 ALTER BY VALUE RESIDENTIAL N020NE 1,00
END OF rEES
500.00
�. �:1)U�; �m.�_L'�1�'ii,?tio � !' J " '.
r�t��r,` I�r�; �.'r' rii E7 f�.'. ,>
i
f--, ' � --
CONSTRUCTION AND PLANNING P�"�'PA
APPROVALS Permit# - Date Inspector p�ppROVALS Permit# Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. � - 53. Steel Reinforcement ,
3. �Electrical Conduit Utility-Undrgrnd. � - 54. Forms
4. Electiical Conduit-Undrgrrtd. . � 55. Electrical Bonding
5. ,Steel Reinforcement 56. Rough Plumbing & Pressure Test
� 6.-Electrical UFER Grnd: 57. APPROVAL TO COVEF�GUNITE
}. Footings 58. Eiectrical Conduit-Undrgmd.
S.��Foundation -- � . 59. Gas Pipe, � Undrgmd., Test . �
9. Water Pipe-Undt9rnd. 1�,_, 60. Backwash Lines, P-Trap, 0 Undrgrnd. �'
10. Structural Floor System �� � 61. APPROVAL TO DECK �
11. Property Sewer Line & Hou�e,Connection '� � 62. Backwash & Receptor-Final �
12. Sewer Cap " �, 63. Heater & Vent-Final r
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical-Conduit 66. Solar System�Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wirinq 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 Factocy Fireplace � � � � . " APPROVALS ' Permit #
21. Ducts, in Stwcture. . '. ' 70. Undergr.ound Hydro
22. Ducts, Ventilating . .� � ,71. Product Piping �'Gas ❑ Oil
23. Gas Pipe�Rough & 7est - � 72. Underground Flush , �
24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ 011
25. Roof Sheathing . � ' ' �7q,- Overhead Hydro -�
26. T�Bar Ceiling (S[ructural) & Monocoat i - 75. Dry Chemical �
27. Frame and Flashing , 7��� A/ ��� 76. Dry Standpipe - � ' ,
'rr r-
28. Lathing & Siding�� � ^ i _ /��_qf .u�i 77, FIXED SYSTEM FINAL
(
29. InsulaIion .� � ,� - 76. FIRE PREV. FINAL .
30. Drywall Nailing �� • � HEALTH DEPT. REQUIREMENT
'31. Plaster Brown Coat: , ���� �4� � 79.' FINAL INSPECTIQN
32. Electrical Power Meter�Final ' � 80. FOOD CERTIFICATE ISSUED
33.'Final Electric - � � � ' Notes: ,
34, Final Heating & Air Conditioning � , � , � � � /'� � • �
35._�Final Gas Pipc-Test` ' � 1 „ ' � -
� 36. Hood or-CanoPY t.._ 1 . p � . � ,
37. Final Factory Fireplace ' �'� , " ,�� � � �" ,. ' �,
38. Final Ptumbing ' . � �. � , -
39. Water Service-Finaf - ' " � -
� � „ ,
40., Gas Service-FSnal � „ " - , i �
41. Solar pomesticFinal� . � � , ; � • � ' :
42. Backflow Preventer. ; .�/,
43. Backflow Irrigation �' • � - _
.44. Landscape Irrigation System ,'. � ! _ - . -
45. Sound Attenuation ' • • � ' .
-46.. Handicap Regulations � � . , ,
47. FINALSTRUCTURE&BUILDING (�..g:Q/��// - ., � � •
l
48. FINAL PL.ANNING ; � , . , .
49. Electric Release to Edison � � -
50. Gas Release to Southem Califomia Gas Cv , � .-� ��
:51. CERTIFICATEOFOCCUPANCY � -
No. Date
�9^�� R H¢,�� s � � : �
3.7 � ? �r:. s L �� �
CU.$%q %'7s5R C9 �I.2C27- /Y35!
Sru « o-
EX�S�i�S �
�
�,
. �
`i
i i !
� i : j
� ��
SMOKE DETECTOR
REQUIRED
. �_•
A "71d���E�'�� R�ORRECTI ONS SHALC
BE APPROVED BY THE PLANNING DEPARTMENT
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'i C:F'FFAiiCC:SC iUE t)Fi O��QNY �L� - j�`
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� I -, �...pd�i-,g D p II
��ty ot Cbsta i�1c��. f'','
j..._ ,._ !I
� �,:,, � _
I �y ---�J �AAKE i'
� �^C V4L �F DEPT. { �
�" PIA��';���� OU7 PR VJV.,.} HLLiI
----- - - .1_,:Tµr:nAWG:., TH �OR P.;
; :a r � a vn� oE ` � -
�� •� � ISSUi.:dC � CR �;R �( �cf �LLN `� P.7 C^N`-� ,.F t�:( - I'.
I �� e�.�SFi:!ftC:,f101''.'.,�sOF. NrV'w^t(l� �rr;v `2
� . �.i.1i f'C:;..J r�� � �Crc•c......RO., ..).''; C:' � .I
p�OVi°o-: SOFity-`.CC9[.� �ME Y .., -::cRUSE
� i1R CwNCf:�- �R 15
�� �.C`'',.Y� VICli7 "v.^�:'� l SG F• .
".'r�Y Ai: bYltyl v.,; F �
I � •Ti li :, �
iCR,' =iF'NFU!. �y 4ND'
L_ �� L- �y � ,�� h Pt(7!AIT n,��Fn :�Z.�„FFICIAL
�' r ii,S:i1HJ.� ��:��;r,f'E:7POn��� �
/� ��•i>Tt�:;: 1HA�l N^T PHE�tGOFl1c.,�r.
F/ Q wt INS � Y4Ti� .'C�'U�F;IN�'� JS �p FtiC.1e PkieVE�H N
F. A' �. l,` .' ..
, ' Sr„D YLA�:� At1D .Fr.C1FICAfk:�
. . � ' . GU!LUING OFEPATlO:':5 �1c.h'C CAfiP. A�� �rFi£flt`C'"iD:a�M��E CF
� IN VIOLAtVUN O�° THIS COUE OR OF
��{[ p1Y.
aB'"�°i"�' 336 TOORS LN
� °""F"s"""E"'°'av": LEKAS, DEMETRIA A
� AD°"�' 336 TOURS LN
COSTA MESA,CA 92627
646-9748
JPPL. YAIt1N0 ADDRE55:
'r
'•�
41CXIfECT OH FNtlNfEI:
IICN. OP ENO.'S /iDDNE55:
uc. w.:
UNT:
UNT:
wxm�cTp+9""wE: WEST COAST CUSTOM ROOMS ( 714 ) 599-7547
CU7fflACTOR4MY1W0 786 PINE FALLS AV
�o� WALNUT CA ucNo.: 471619
91789 uxr:
LICENSED CONTRRCTOq9 OECLAN�TION: 1 henEy ellkm untler pnetly d pee�ury Ihel l em Ikamed undar provieione of Cheplar e
(commencrp Milh Sac�ion ]OW) d DHiebn 3 d Ihs Bu�inen eM PMa��bn ode, erd my Ikanae h In lull bra eM alleq.
cmuc.No.:O 40 S uc.cuss: B u. o.: 1 1 EXP: 00/00
ome: c��aa:
OWNEfl B ILOEF DECUPITION; I �enby eMim uMer penelly M perlury � am q Irom IM Comretlm LJoenee Lew Iw IM
lolbw'up neson (�� ]031.5 Busmme and Profasebns Coda: Mry c1Y a eountY ro0uiras e permil lo cmabuc1. ellar. Impova.
hmd'nh, n repei eiry avudure. pbr io ne eeueme, ebo �puim �he epplimm br wc parmit to file e aipnsE nmamem �hel he a�M
limmed punwnl m tM pavuiom d Ihe Comrwon Lioenae Lew IChepr 9(oomma�np xdh 9apion IOW) W Orv'vion 9 d Ihe
�r�m end Pratmiwu Colel a �het M u eM is uamq iharehan end �M bmn tn Na NbO� ewemqion. AM vcW ion d Ssaian
�IXit.S by eiry eppliuni lu a perme wbpa� IM epplicenl to e mN penaAy d no1 mas ihen 1'va huMietl Edlen �SSWII�
❑ I, es owror diM popenY w my smployeee wuh wepea av thei ede mmpenulion. will Eo Ihs wak. enE iM ewciuro u np imeMeA
a oflmad la eele (Sectbn ]Oaa, 8usiroea end Prdeeaiona Code: The Coniredan Lianse Lewdoea no� epqylo en oxnerd prtpeM
w1w Wide a mpwee �hemon, erd Ma doae ewh wak IimeeX w henetl a ihrouph hu a Mr oxn empbyees. pmvided �het wch
impv+emmua are rot'vueMd a dle�ad In eeb. tl, however, �M buitliiq w inpwamaM b sold wilhin me yaer d mmpbtion, tM
owror�Wilds wiY have Rw bvden d pwiiq M v eM did ml WJE a vnpova lu �M qupoea M mM�.
� I. m awror d iM PrW�Y, em uWvvNY aonlrean0 xeh lioeneed cani�anas b wweud Ihe P�q� (5eabn ]Oat. Bwmma eM
Pmlemone COEe: Tha Caurmua licenx Lew Eoea nol aONY �o m owiw W PW^�Y x1ro WiIC� a imP�+m ihreon enE who
conlrazta fa srJi piqMr xi�h e mmreeu(e) Icenaed punueM lo iho Convmore Lioenaa lew�.
� 1 em eaemp uMer °,ection: B. 8 P 4, lor Nu �eeaon:
� ao I�br unM ��� e.� a ene �uw«.w,a ub Ammemenn w cd�oun. He.an .�e s.�mr coe. seaian. zssos. zssaa. ene
?5.53C. eM Mel I a mY Mun Wikiiq ooc�eni will / wil rql (erck wr) neeE lo comdY wM �eiE pms ooEp enE IM n0��remann IQ
apeimniamromxiionamoEA'rslionhwn�MAi ue�y arupemenlDistrid.Resdemielconmivaioneppiraianaenuemplmmiheae
pwisions.
o�e: nod�n:
W OXKEH'S COYPENSATION DECLAFATION: I heroby effvm wdar pmWy d ps�ury ane d IM to0ovrirp dWumuro:
❑ I M1ew eM W meinivi e can�rsia W mneent io veXirwn M xakers' compereetun. m ywidad la by Saaion J)00 d tM LeEa
coao, i« ma ven�a a�n� ..on� io..m�m m� o� m��„e.
fl in�,.�aw�m,:�wnw.�oo�o����..,�ea�u.eMs«a�a�aowm.�n,.coa.a.meoen«�am.
JC wak la whiN No 0� u iaueE. MY waken' mm0e�umion imureerw reee'w enE D�Y rwmEw me:
c�.: CNA EXPIRES
Pdcyrmmn«: Wf 1(1da7fiqS75 Q1/Q1/9%
m;s searo� �eaa �w aa ca�e�ed i m. w�e;, ro. a�a n�w�.e douen Isiaol a ies..) /
❑ I cenry Riet in Ure perlwmerca d �M worF 1« whcA �hu pmmn e�ell m� emqa/ ury penon in enY memror eo m to
become wbjeeeqqq to e xwMnn' mmpe�ueiion lewe d GeIE aM ep as ihet ' I� iuk Eecanw eiApa to tM xaMen'
�' /io'ro d Seraion 3i00 d tM Lebor CoEe. I lat�v.a a N ih i�a qwimu.
Date: � • Apqisru:
Wamlip: F un ro x�n woilr�n' campxuetlon rovenp� l� unl� l, an ahl/ f�n mploy�r ro a/Mrol pm�ltlu ene
c/vll flrisa ap h s h,nlrsd fhouunL ao/Gn (SIOQOW), M atltl/fbn b fh� cwf �omo.�.,xon am.o.. u pa.mn ro. ��
Ssetlon ])O6 0l IM LaCor Cotls, InHTsS anC ettomsy i/na.
CONSTNUCTION LENDING �GENC1': I hereby eH uedx peneMy d perj,ry ihm iMn o e oorutwion MMiiq epercy Iv Ne
DaefamaMe d iM wak lor xfi'rA ihe Wmd'n eeuW (Sedion 909]. CM. CI.
LENDEF'S NANE:
LENOEfl'3 AODflESS:
I eenily IM1et I heve read Nia epd�� � g�e IM1ei �he ebove infoemelion u mrtan. I epme lo canply wi�h ell wY ��ntY mEinentta
eM sWe lewe rNeiiq �o buikvq eonarupion ud hmeby eWwrixa �qxaeenimrvea d iNa my io eeux upon �M eEv+a�memionod propariy
lainspeqpn Wrpmas.
�1 RALP�[ JAMES
(5151-46WP)
Pnnl Neme
� Dete:/
�etlRpenU�ppYcanUGonitetlor
d Selety:Oroen-FIe:Cenery-Appiceni: Pink-Rsvenue;GolAenroJ-Neew
CITY OF COSTA MESA — HUILDING PERMIT
,FPERM NO: E 075879
PERMIT NO: E 075879 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD
JOB DESCRIPTION : 210 SQ FT RESIDENTIAL ADDITION SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: PATIO ENCLOSURE I.C.B.O. 3515P / REF H-75878
***�***x�*+�����rx����*****+��r��****���**��x*****x��r*�***��r*x�**�*+�***+��r**�**�x*�r��*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 43914203 2NE: REF NO:
PLANNING NOTES>
i
7E iE fE 1E 1E 1E 1E iE 7E iE 1E iE �E IE 1E fElE �E 1E 1E iE iE 1E �)E �E fE fE iE iE IE �E 1E iF IElE �)E 1E If 161f 1E if 1E iE iE if if if if iE 1E iE ff iF 1E 1f IE iE iE iE 1E iE iE 1E 1E �E iE 1E �E 1FlF 1E 1f iE iE 16 iE iE iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . � DATE•
BUILDING APPROVED BY ;
APPLICATION ISSUED BY:
*ieie�ieieiE*it*�*****iE*ieie*�
LEGALIZATION;N
A
F E E S U M M A R Y
DATE;
DATE: / — X—
i�-it- �f i[- it it it� iE��FiifF�PSFiFiE iE
STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 17.75
503 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 17.75 15.00 0.00 32.75 32.75 .00
REC�ENUE DIVISION TOTALS--> COLLECTED: 32.75 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
32.75
iF k if ik 1f iE 1t iklF i%iF 3ElE iE iE iE iE 1f iF iE ii' iE iE 3E if iE Il' iE 1f if' if iI' fE iE fE iE IE')f if iE 1E if 1E 1f- if 1E iE if fE if ii' ih iE ik if 1E if if if iI' ik 1E iE iE 1E IE 1h fE iF if'If 1E if if iE if if ih ii'
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST
ELE 3 FIXTURES LIGHTING 1 ST 20 EA. ,75 2.25
ELE 4 RECEPT/O�TLET 1 ST 20 EA. .75 3.00
ELE 2 RECEPT/SWITCH 1 ST 20 EA. .75 1.50
ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11.00 11,00
END OF FEES
GI '�1 i �]' 'ri� �'-7-,r�.- .
� i�i:: fl t �� i r�' ". _ •' -
� �
�
CONSTRUC710N AND PLANNING
APPROVALS Permit #
1. Temporary Electrical Service or Pole�
2. Soil Pipe-Und�gmd. '
3. Electrical Conduit Utility-Undrgrnd._
4. Electrical Conduii•Undr9rnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7.� Footings
8. Foundation
9. Water Pipe-Undrgrnd.
70. Structural floor SVstem ^'
71. Property Sewer Line & House Connection
12. Sewer Cap . �
73. Foof Dreins
14. Rough Plumbing
15. Rough Electrical•Conduit �
i6. Rough ElectricW�ring
77. Rough Wirin9 Sign
18. Rough Elect�ica6T Bar Ceiling
79. Ro�gh Heating & Air Conditioning
20. Rough FactorY Fireplace '
21. DLcts,�in Structure
22. Ducts, Ventilating
23. Gas Pipe•Rough & Test
24. Roof Framing
25. Roof Sheathing ,
2fi. T�Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing . .�
28. Lathing & Siding - .-
29. Insulation • - .
30. Drywall Nailing
31. Plaster Brown Coat . � .
�32. Electrical'➢ower Meter-Final
33. Final Electric •
34. Final Heating & Air Conditioning
35. Final Gas Pipe;Test '
36. Hood or CanopY •
37. Final Factory Fireplace _
38. Final Plumbing
39. Water Service-Final '
40. Gas Service-Final �
�41. Solar pomestic�Final "
42. Backflow Preventer
43. Backflow Irr��9ation � �, -
44. �andscape Irripation System ��
45. Sound Attenuation ��
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electrie Release to Edison
50. Gas Release to Sou[hern Califor�ia Gas Cc
51. CEflTIFICATE OF OCCUPANCY
Date
Date � Inspector
.,.. ,
POOL ?A
APPROVALS Permit # Date Inspector
52. Pool & Equipment Location. ;
53. Steel Reinfo�cement ' ' �
54. Forms �/.'
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash �ines, P-Trap, O UrWrgrnd.
61. APPROVALTODECK
62. Backwash & Receptor-Final � .
63. Heater & Vent�Final � �
64. Plumbing System - Pinal �
65. Electrical�Final
66. Solar SYstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT ,
APPROVALS ' Permit#
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Undergrouhd Flush
73: Undergrnd. Srorage Tank � Gas O Oi!
74. Overhead Hydro.
75. Dry Chemical . '
76. Dry Standpipe �
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL �
HEALTH DEPT. FiEQUIREMENT
79. FINAL INSPECTION
80.- f00� CERTIFICATE ISSUED .
Notes:
R
�
�
aooxeuavem�axo: 336 TOURS LN
°"'"Eas""'"E"'°+a'�": LEKAS, DEMETRIA A
.00ness: 336 TOURS LN
COSTA MESA,CA 92627
646-9748
APPL. MpIl1NG ADOXE55:
A1ICNRELT OP �NEFX:
1NCN. OH FNG.'S AODHE55:
uc. no.:
UNT:
IINT:
CONLNACtOf1'SNAME: WEST COAST CUSTOM ROOMS ( 714 ) 594-7547
coxmncTorcsMauxc 786 PINE FALLS AV
��p� WALNUT CA ��� 471619
91789 uNT:
110EN5E0 COMPACTOHS DECLANRTION: I hereby altirm under pane/y W parjury ihel I em Ikensed undar D�a'isia�s d Chepter e
(cammendnp xilh Section ]ODO) d Oiviabn 3 of ihe Businese aM Pmlesaona Cade, erd my licens ia in lull force end eHeci.
cmuc.No.: yq �5 uc.cuss: B uc. .. 716 9 EXP: 00/00
Deie: � (/ Convamc
OWNEH BUILOEfl OECLANATION: I hareby �rm untlar penapy d perN Ihet I n exe from Ihe ConVedon Liceme Lew for I�e
following reeson (Sedion ]031.5 Busiiwse eM PrWessbns Cade: Rny cny a caunry whi u rea e pa�mn lo romVud, ellar, imprwre,
;;�ymolreh, w repeir any slmcWra, o�� �a na ssuen�, ebo reQuires ihe applirant for auc il to fila e ti8�� sle�emenl thm he w aha
�, licensed pursuen� lo the povisions W �M Con�redors License Lew �Chep�er 9(mmmenarq wnh Sedion )000) d Drveion 3 M �he
?, usinaw eM PrMessone Cade� rn thel M a aha ia exemq th>ahom anC ihe besia la Iha elleped exempton. Airy vulatun o( Sedpn
)031.5 by eny eppli�ent for a permil subpde Iha epplieenl to e dvil penelry ol nd mom �han iva hueMred dollen �$500��.
� I.esawnarWthe O�openya myempbyeas xfh wages estheiade wmpensalbn,willEolhe work.endlhesl�ucl�re e notintentled
or oXereE br sale (Section ]od0, Busines enE Professions COEe: The Con�renors License Lew does nrn eppyto en oxner of properry
wno builds w imv�'� �nereon. and who does auch work Nmaen or nenerc «inrouen he w ner own amqoyees, v��eetl �nm auch
improvemems ere ral inlenEed w oHered Iw sele. H, hawavaq the buiNing w improvemant ia aoN wnhin me yeer W mmpbfwn, the
ow'wr-buiNer will hava tha buNen M proviig M or sM1e Ek rot builE or improve iw Iha Ourpose of mle).
❑ I. es ovmer d �M vrooeM, em exduaveN mn�rectine wnn licensed mnvectora m cmmrua tna vmiea (seeion'loa, Buainsa ena
Professions COEe: The ComreCorm License law Eoes nW epply b an ownar d pmpenY �o buiNa w imqaves thereon ark who
<oniracm for audi prqecls wnh a mn�redw(s) Icenaed pursuent to �he Conlradon Licame Lew).
� I em esemq unEer Section: � B. 8 P.C., fcr Ihis reason:
Date: Owner:
i m n�.eW <enrcv inm i� e.a,e m ene uoeersw�e me �awremenn w cxinom�a Heenn ene se�e�y coae senion: zssas, zsssa. ene
25506, end the� I or any iNure buildinB �0�� �II / will nM (drcb one) naed m compty wuh seid etme codea vM the requiramenm lar
eparmilformnawnionormodAicetbnhaniheRi ue�Inyl.�anegemamDiatnd.ResiEentielconstiud'nnepplirelionsereasempttromlheae
provisbne. �
oaia: nvoi�c
WONKEF'S COMPENSATION UECIARATION: I hareby etfirm uMer penelty d perjury one W tha bllovnrg dedarefnna:
� I heve end xil mamain e cerlifcate d mnmm to aeM-inaure Iw wurkeis' wmpenselion, es providetl fa by Sedion 3100 d ihe Lebor
coda, ror me �no�ca a me �� ta, wm�n m�a �n re �m�ee.
n I heva end xip meimen workere' oompensatun inaurenca, sv rpuiraE by SeGim 3)OU d Ihe laEor COEe. M ihe peilormence d iM
f� woM for wAich ihis parm� ie iaued. My wakers' mmpensetion inwrenca fartier vd pdiry number are:
c�a,: rNA EXPIRES
PaikYN�me��: wrtnaa9FqS75 01/O1/97
�m�:.�xw� ��d �r na romc��ad a me va�a n ro. o�a n��d.ed eo��� fsionl o� re.�.l
❑ i�nM mm m ma v�ormence a me .o� m..,n�n m�a ��i�i d�i �w amvi r a,r aare�, m�v m��e. ��s m
become s jad the wnMers' compemation laxs W Celil a, enE ree ihe� if I s oultl become wbl� �o Ihe wn�lcen'
compen bn Y�s�s a sea�� a�oo w me �« coea, i hetl bnh ' c p ilA ose provisiore.
ome: % nvaii`a�m.
Werning: Fal n ro sxuro worken' compeiuetton covenps /s unb l, entl aMll Jsct an emp/oyer to crlrMne/ perr/tlss antl
clvll flMa up ro one huntlre0 fMuaeiM doll+n (SIOq000), In e!0/tlon ro fhs cwf rompewtbn, tlemepes as provltls! br In
SxOan 3106 0l tlie L�Eor Cotle, Infenaf, entl ettomey'a Isef. -
CONSTHUC110N LENDING AGENCY: I hereby eifirm unAer penelry oi parlury that there is a mnslrudion lending egancy br ihe
paAormanca W tM xnrk br whiM Ih's permn ia ssued (Sedun 309). Civ. CI.
LENDEN'S NAME:
LENUEfl'S AODPESS:
I cenity thet I heve reed thie epd��ion enE 9ma ihet the ebove informaiion is cnrteq. I egrae lo compty wilh ell dry enA county oNinancea
enE s�alelaws rela�inglo building wnsv dion azM M1ereby eulhor¢ereprasentalives oi�hia dtymenteruponthe ebova�mantoned properry
ro. ��sa +mo o�.w�s.
�1 RALP JAMES , ,
(5151-46WP)
Dete:
8 Sefe�y, GraerrFle; Cenery-ApPlicanl: Pink-Fevenue; Goldanmd-Asxsxr
CITY OF COSTA MESA — BUILDING PERMIT ✓
PERM NO: B 075878
PERMIT N0: H 075878 PLAN CHECK NO: 05300-95 L GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : 210 SQ FT SQ FT: 10,000
CLAIM VALUE: 10,000.00 CALC—VALUE: 10,000.00 GROUP OCC: R-3 /M-1
COMMENTS: PATIO ENCLOSURE I.C.B.O. 3515P
****+�*+�*�***�*at**+�**�tie**i��t****ft**at***�*��-�x-�t-**i�*it*�-******it*at�r���it�t*�*�t-*****�-*-�-i�*
Z O N I N G R E Q U I R E M E N T S
S E T H A C K 5
------ 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 IN
PARKING REQ: '� PROV: PARCEL: 43914203 ZNE: R2 REF NO:
PLANNING NOTES> ADD.A SUNROOM/PATIO ENCLOSURE TO THE REAR OF AN EXISTING
> CONDO. UNIT LOCATED IN THE MIDDLE OF PHE PROJECT. '
*x�t****�*�*****���r�**�**�x***���***�***��***x���***�******���*�*+��t��t*i�**x***�**�
D E V E L O �P�M E N T 5 E R V I C E S R E Q U I R E M E N" T S
ZONING APPROVED BY �: wak DATE: I-���
BUILDING APPROVED BY': SQ DATE: (�S- 96
APPLICATION ISSUED�BY: DATE: 1''
iE iE 3E 1E iE 1E if 1E �lE 3E iE iE iE 1F if� iE if jE if aF if iF iE-lE iE iE iE iE 1E iE iE iE if iF��1E iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT li"J.00
PLAN 76.05
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 118.00 0.00 76.05
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
117.00
1.00
SMIP/NON—RES
TOTAL PAID DUE
194,05 194,05 .00
118.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
1.00
3EiEiEfEfE3E3ElEiEiEiE�E3E�F9Ejf3EifjflEjfifiElFjE�E�E1E1FjE1EiElFiEiEfEiE*lEiElEiEiEiElEfFiE�E1E1E1FjEiEiFjEi4iElfjFlE�EiE1EiEiEiEikiEiEfElE1EfE�E�E3E3E�EiF
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 10000 ALTER BY C'ALUE RESIDENTIAL N020NE 1.00 10,000,00
END OF FEES
C�' uG1Y>Cr,a—`�{rI4'^73 i�t7"�' iW_.)�
CATE: C7.: ,.: jO; 1'Zr�� :4'+�,"�, .
��
�
CONSTRUGTION AN6 P�ANNING � POOI .PA (
APPR6VALS Permit � Date inspector AppROVALS Permit # Date Inspector
1. Temporary Elecirical Service nr Pble 52, Pool & Equipment Location_� � "'
2. Soil Pipe-Undrgrnd. '• 53. Steel Reinforcement �� _.; ,i
3. E{eetricai Conduit Utility�Undrgrnd. 54. Forms � .
i
A. Electrical Conduit•Undrgrnd. 55. E(ectticai Bonding �-�� �
5. Steel Reinforcemen;� � 56. Rough Ptumbing & P:essure Test
�fi. �Eiectrical UFEft Grnd. 57. APPROVAL TQ COVEft-GUNiTE �
7.;Footings ' 5&. Eleciricai Conduit-Undrgmd.
8. Found2tion -� f� 59. Gas Pipe, t� Undrgrnd., Test
9. Nlatet f'"spe�Un,dsgr,nd. , - fi0. 8ackwash Lines, P�Trap; � lSndrgrnd.
14. S:ruciural Ploor SVstem � 61. APPROVAL TO DECK! ;.
11. PropertY Setver Line & House Gonnaction 62. 8ackwash & Receptor-Final .- � �
�
12. Seu�er Cap � �' 63. Heater & Vent-Fina! i
13. Roof Drains - � 64. Piumbing Syttem � Fiiiai
14. Rough Flumbing'_ 65. Eieccrical�Fina! • �
15. Rough Electrica6Conduit � 66. Solar System-Final � '
16. Rough Efectric bVving' 67.. Fencing & Access Approvai � ' �
17. RoughV}'iring5ign - . 6$. APPROVEDFORPI.ASTERiNG
18. Ro�9h E(ectrica;;7 Bar Ce�ling 69. POOLISPA SY57EMS FINAL
79. Raugh Heating & Air Conditioning �IftE DEPT. REQUIREMENT i
.. .. . � r � ; u
2D. Rough Factory`=Fireptace _ _ � � . APPROVALS -�; Permit # ��
2t Ducts, �n Szcucture -, � - " '70. Under9round Hycira �
22. pucts;�Veqtiia#'jng ` •� - . 71, Product Piping uGas ❑Oil
23. Gas Pipe-Rough & Tzst - 72. Underground Fiush
24. Roof Framing - 73. � Undergmd. Stora,y� 7ank C Gas ❑ Oil �
25. Roof Sheathing - ' - � 74. Overhead Hydro"
2&. T-Bar�Ceiling ;Structural) & Monocoat - - 75. Dry Ghemicai _ - _ �
27. Frame and Flashirq , �£�(,�`� ��( �L �i, 76. Dry Standpipe � '
� 28. Lazhing & Siding - .: �' 77, FIXED SYSTEh.� FINAL_ ,
29. Insulation _� � � � 78. PIRE PREV. FINAL .
� 30. Drywall Nailing -;� "- � . HEALTH.DEPT. REQUIREMENT �
31. Plaster Brom�n Coat - ��- 79. FINAL INSP.ECTION
�32. ElectriCa( Power Nieter-F(na# 80.'FOOD CEFlTI�I,eATE 15S1lE� �
- 33. Final.Eiectric ' -- A Notes: � - .
34. Finai-Heating &� Air Conuiiioning; _' . - .- ' . ' - �
.'35. Final Gas Pipa-Tesf' ` , . , �
36. Hood�or Canopy - . ' ' � •
_37. Fr,a� Factory Fireplace�"
' - - � � ._-�_.I
36. Pinal Piumbtng� � . - �- �
39. bVater'S�rvice-Final � � � _, . �
40. Gas 5ervice-Final , � � � • _ - ' �
, �> ,
47. Sbiar Oamestic•Final' - _ _ .. ''
42. Backfle4vPreventer ,. .. ' �
43. Backf,Iow irriaation � J
44. l.andscape ksigation System _ - , � _ ', _ 9
45. Sound Aitenuation - •- . _
46. Handicap Regutations �
� 47. FiNAL STRUCTURE & BUILDING �� � _
A8. PINR-LPLANN3NG - �, .
49. Electria Release to Etlison _� - -
50. Gas Re�ease to Southern Callfornia Gas G� •
5L CERTlFiCATE OF OCCUPANGY
No. Date
�i
soopEssoFem�wxc: 336 TOURS LN
OWNERSNNIEIFpqWN: HAYES, REGINALL C
�o�u HAYES, SARAH F
2134 CONTINENTAL AVE
COSTA MESA,CA 42627
I�VVL. WIIINC Ii0DflE53:
nxcxrtecr on �ax�n:
nwcx on �•s �ooness:
uc. xo.:
UNT:
UNT:
ca+m�crarswue: ROSS & BARROWS INC. ( 714 ) 557-7440
carn�crorzsuuuxc 260 E. ALTON AV
aoowess: SANTA ANA CA uc.ra.: 327802 �
92707 uNT: ---
LICENSED COMPACTOHS OECL?FPTION: I hereby elivm uMer panelly d pe�ury thm I em I'eaneeE unEer O�eions d Chepter 9
(mmmmaiq wiih Section'l000) d Division 3 d iM1e Buainam enE Pmhasions Coda, arq my Ibenx u in lull force eM elietl.
cmuc.r+o.: pZ gZ�-I/ uc.cuss: C_39 uc.No.: 3 7802 EXP: 11/95
oda�,____�Hy�,T,L� cam�aor �/��-�/r"t��-...0
OWNEF BUILU DEC1aP4?ION: I heieby elfiim undx perely d parjury ihel I em exemq Iran tM Convedwa Licenae Lew Iw �he
lolbw'up reazm (Sedan )03t.5 Bus'vwss end Professions COEe: RnY �nY a mun�Y which requirea e pa�mX to owm�ct. elter. improve.
�moleh, or repei any swcwre, pbr lo Ba eeuence, ebo reQuiree iM appliranl la auch permG m fila e eipneE atelemenl ihal he or eha
IicenseE W�uent m the prwiaiom d Ihe Conlreqom Liceme Law �Chepur 9(canmandnp xnh Seqbn ]OW) d Dvoion 9 d ihe
.uainms eed Prdeseions Cotlej a �net he « ehe is exemq iherehwn end �he besn in ihe ellpeE exemqion. My vidmion d Sedion
]0�1.5 by anY e0dicani iw e partnil wbpds �M epd�� lo a tivil perally d ml more Ihen Ixe huMreE Edkn �550011�
� �.B90N110fC�111BVNCAII`JIXTYBT�YBB9W111W8IjB909��1BV8O�BCOT�IB119811M,WI����hBWO1�l.B11d1�I0NNMYfB611MI11�Bf1'�BQ
m oHeeed la eele (Seeiion )Oad, Buaineae end PrMansbna Code: Tha Conlrenora Lieenaa Lawdoev not epplymen ownerol propeely
wlw Wide or inprores Ihereon. end Mw dres euch wo�lclimeell or hersatl a ihrwqh hu or twr own empbyee�. o�ded ihet euch
imryvremmb era nd imeMed a Wered la sela. tl, howarer, lhe Wiki�p rc'vnpwemanl e edd xilhin me yeer d oompbtion. Ne
owmrbuiNx xill heva ihe Wrden d proviip M w she Ek � WiN w impove iw IM WN�e d aele).
� I, ea oxiwr W the properly, em ecduaivety mntreaing wi�h licensad cronireclon to cannrua �he prajeq (Sedon 10a4, Businme enE
Pmiessiona COEe: ihe Conlrapan Licenu Lew doea iwtepply b an ownard pmpeiry xfa WiMe wimpwpthereon arq who
convazb la wxi� prqeaa wnh a conlreGor�allicenxE Wnuenl lo tM Conirmon Limnsa law).
� I em eeemp uMer Sxtun: B. d G.C., Im ihie reeaon:
Deta� Ownar:
i eo nereM canM �nm i em e.m. a ene unae�sww in< reaunemem. a cmeomy Heenn .�w smey coee smim� uws, zssaa, .�e
?SStC, eM Net I or eny Mwe Wikmp aavpent vnll / wil na (arcb one) rieed to eomply wYh veid nma mdes aed �he requiremenle la
e permn Imwnetrudion or modifice�bn hamlheAir�6liiyT.iana9emenl Dislnct. RmidemW mnslrud'on eppAratbm ere exampt Irom theee
praneions.
Date: Applieem:
WOPKER'S COMPENSATION OECLARATION: I MroEy elfiim under peneXy W perjury ona o/ �M /Nlowinp dedemtione:
� I heve arM xil meinlein a ceM1ifctle d mnwni to esll-inwn br vroAe�e mmpanatlbn, n prwkad lor by Ssqbn �100 d ihs Lebor
Code. la IM pmlamarica G ihe xark la wkc� this parmn u isaued.
Q I have enE wil meinlei� workeA campenaelion inaurance, v rpuireE by SeUim 3]00 of the Labor Code, br IM perbrmeMe ol ihe
n wwk iw which ihia perm'il ie ivueE. My warkere' compenealion inwrenca fartier eM poliry number are:
carrier: FOUNDATION EXPIRES
awcy N�mb«: W '�+ i+ 0 7/ O 1/ 9 6
(Ihia se vion nes! na be camplefed / tM prmA is lor ons hundrM ddlen (SfOJI w Ima.J
❑ I cerlity ihel in Ihe pmlomunce W the wo�1c br xfikh ihie psimn le iuued, I ahdl nd empby eny peiwn in eny mennar eo u lo
become wblea lo itw xohers' comV��ion lawa d Calilortue. eM e0roe ihtl A I ehouk bewme wbjetl to iM xoMn'
wmpenwbn �mnaione I Se 'on 3'!W d iM Lebar COEe. I ehell tMhwnh xilh Ihw/Jey_�+_�uo�na�.�� �
Date: AOOIceM: � T /� ��7 �J"V �'-"
�
Weminp: F�ll n ro�e n woMxi rompxwtlon eovxps h unNwNl, mtl I�uD/K'� en �mp/opr ro MMKI pxultlu nW
elvll flrru tp b om �u�ErW Hauurd ColMn /SIPq000), In ��itlon b fh� cwt ol rompxwtlon, Gmq�u u qoHJW bi In
Sxtlon 3106 0l tlrs Le6or CoOs, InMss4 and ettom�y'� fss�.
CONSTqUCTON LENDINO AGENCY: I hereby elfirm unEm penelry d perywY Ihm IMn ie e conetmdion bMinO epermy br ihe
perlormeMe d IM �.ork im wM1icn tho parm� ie oeued (Seaion 3a9]. Civ. C).
LENDEfl'9 NI1ME:
LENOEX'S 1DOPE55:
I eenAy �tbt I �eve reed �hb epdkmion end wete thel the ebove iniwmmion ia merep. I epeae Io eomON ��h ell dry enE munry oMiiunees
e�M atale IeMa nle�'vp to WiN'vq mnW Wian eM hereby eWwrize mpesen�e�ivee d Ihb my �a entar upon iM ebove.mantioned qope�fy
lainspeaion purposes.
NANCEE KILBOURNE
/�_ Pdm N�ema�J �� � �,{�
_�fat/(�__��iCiC-//7�'LL�^�� Deta:��/7'L�
_, __ � s�s���re a o.,��ounonr� uco �maor `
(5151<6.WP) WAne-BuiNiq 8 Selery; QraemFle: Canery-App@ant: Fnk-Revenue: GOltlenmEAsseawr
CITY OF COSTA MESA — 13UILDING PERMIT
PERM NO: B 074458
PERMIT NO: B 074458 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
SOB DESCRIPTION : T/OFF REROOF W/ 4PLY 6 ROCK SQ FT: 1,690
CLAIM VALUE: 1,690.00 CALC—VALUE: 1,690.00 GROUP OCC: R-1 /M-1
COMMENTS: SINGLE UNIT IN 4 PLEX / SMOKE DETECTORS REQUIREL PER 1991 UBC
x ***�*****�����iF�**�***�+�ir��c *� ��*****+eit**�*x ***��*�***�*at**�+e�*+f*****+��**+�**�**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
---------- MAIN BUILDING ------- -------- ACCESSORY BUILDING -------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT TN
PARKING REQ: PROV: PARCEL: 93914203 ZNE: REF NO:
PLANNING NOTES>. ,
i - -.
iF IE 1E iE iE iE 1E 3ElE jE �E 1E if !f iE iE 9E if �)E jf !E!f ik 1E 1E 1E 3E if if 9f 1E 3E iE k 3E iF 1E 1E iE iE iE iE if iF jE iE iE 3f 3E iE k!F k iF 1E �E �)E iE iE 3E iE iE �E iE * fE 3E iElEjE 3ElE jE 1E 3E 3E iE 1E iE
D E C� 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 yT S
�-' . .
ZONING APPROVEIJ BY DATE:
BUILDING APPROVL�D BY : DATE: ��"'
/� .
APPLICATION IS�-�UED BY: � DATE: �� ��
iE�1E3E1ElEiEiE1ElEIE�IFiE1Elf#iC-iEif�lFiEif3F a �r �ts ' 3E�EiEiE#lfiEiEiE1F i�"i� iE�Yf
LEGALIZATION�t�i F E E S U M M A R z STRUCTUAAL� SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/I2ES GRADING
PERMZT 39.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
HOILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE
TOTALS----> 39.50 0.00 0.00 39.50 39.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 39.50 OVER/SHORT: .00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
39.00 ,50
if iE iE iElf if iE if if iE �k iE 3E dE iE if �f �E �E iE �ElE 3E dE 1E iF iE iE k if iE if iE iE iE iE 9! dE 1E iE 3E �E �E iE �E �E �f iE iE iE 1f �E iE iE 9f iE IE 3E 9E iE �E iE iE if iE �E jf iElE k iE 3E jE if iE iE if aE 3f
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY ll E S C R I P T I O N UNIT COST TOTAL COST
SFR 1690 REROOF HY VALOE RESIllENTIAL NOZ�NE 1.00 1,650.00
END OF FEES
D ��
��
OCT Q�51995 w, J
CITY. OF COSTA �9�A
CONSTRUCTION AND PLANNMG POO� SPA � �
APPROVALS permit # Date Inspector AppROVAIS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location' � /,
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement f! , �
3. Electrical Conduit Uiility-Undrgmd. 54. Forms '
4. Electrlcal Conduit�Undrgrnd. - 55. Electrica! Bondiny "
5. Steei Reinforcement 56. Rough Piumbing & Pressure Test .
6. Electrical UFER Grnd. 57. APPflOVAL TO COVER-GUNITE
7. Footings 58. ElectricalConduit�Undrgrnd. ,'
8. Poundation 59. Gas Pipe, O Undrgrnd., Test � �
9. Water Pipe-Undrgrnd. • 60. Backwash �i�es, P-Trap, D Uc�drgrnd.
10. Structural Floor SYstem � 67. APPROVA� TO DECK '
1 t. PropertY Sewer L�ne & House Conriection 62. Backwash & Receptor-Final �
72. Sewer Cap � 63. Heater & Vent-Finai
13. Roof Orains ' 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electricai-Final -
75. Rough Elecirical-Conduit � 66. Solar System-Final .
76. ROugh ElecTric W�ring 67. Fencing & Access Approval '
t7. Rough W�ring Sign 66. APPROVED FOR PLASTERING "
18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
74. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duc;s, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough P� Test 72. Underground Fiush
24. Roof Framing �7 73. Undergmd. Storage Tank �7 Gas ❑ Oii
25. Roo� Sheathing �//�j/9'�i�I��r 74. Overhead HYdro
26. T-Bar Ceiling (St�ucmral) & Monowat 75. Dry Chemical
"[7. Frame and Flashing 76. Dry Standpipe
28. Lathing & Slding � J7. FIXED SYSTEM FINAL
29. Insulation 7$, FIRE PREV. FINAL
30. DrYwali Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINA� INSPECTION
32. Elearical Powzr Mecer�Final 80. FOOD CERTIFICATE ISSUED
33. Fina! E�ectric Notes:
34. Fina! Heating & Air Conditioning '
35. Fi�ai Gas Pipe-Test
36. Hood or Canopy
37. Final FactorV Firepiace
38. Finai Plumbing
39. Water Service-Final ' (
4Q, Gas Service-Final � .
41. Solar DomesticFinal ' � ;.,.�� ., i
c_ s -
42. Backfiow PrevenCer � - � '"+•�
43. Backfiow Irngation /s.` ,"_
f::•
44. Landscape Grigation System 1�� ' �� �
45. $ourtd Attenuation , �
46. Handicap Regulat�ons . °,
47. FINAL STRUCTURE & BUILDING ��9/p'.6 -
4$. FINAL PIANNING r ,
49. Electric Release to Edison �
; �
50. Gas Release 2o Southern California Gas Co "�
57. CERTIFICATE OF OCCUPANCY
No. Date
ApPlicant to Iill in all spaces except those within heavy borOer lines antl si9n all appro0/iate tleclaratlons.
CITY OF COSTA MESA CONSTRUCTION PERMIT PEF�IT NO. _ _ TRACT NO. LOT NO. UNIT NU.
Project Address n �
Applicant's Mailing Address �{sLCL � C
Owner's Name c/� `S Phone � �
Addreu �?�
Arch/Eng. License No.
Address p!
Contrac�or's Nam Phone �Qqnos
Address (m�'i'�nl � � �
�,�Y ��«��. N� . �3f
LICENSED CONTRACTOR DECLARATION
1 hereby alfirm thal I am Iicen5e0 untler provisions of Charte� 9(commencing
wifh section ]000) ot Division 3 of the Business antl Profezsions Cotle, antl
my license is in tull e ntl etiect.
License I ss Lice se
Date Si9natur
WORK S' C MPENSATION DECLARHTION
' hereby atfirm that I have a certi(icate ot mnsent to selt-insure or a certificate
Workers' Compenzation Insurance, or a rertifietl mpy ihereot (Section
�oo. �b.�GliG�3y �� �5�1.�P. F�.�hi�
Policy No. � Comoany
n,y ertitietl coOY is nereby turnishetl.
�d Cer}' 1�(�fy iletl wi[h the tity�6filtlj�i '� J//�� ,/� , �
Date_L�H%�1` .�_ APPlicantGL � I/'"'�`/
EXEM �iION ROM WORKERS' COMPENSATION �ECLARATION
(Thizseclion neetl not Ge com0letetl if the permit is tot one huntlretl (E300) o�
less).
I tertify lhat in the pe�fo�mance o( Ih¢ work fo� which this perm�t is issuetl, I
shall nol employ any person in any manne� so as to become subject to the
Workers' Compensation Laws of Calitornia.
Date Si9nature
NOTICE: If, afte� making this tleclaration, you shoultl become subject to the
Workero' Compensation provisions of the t1bo� Gotle, you must forthwitM1
comply with such provisions or this permit snall be deemetl revoketl.
CONSTpUCTION �ENDING AGENCV
I hereby ai(irm that there is a mnstruction lendin9 agency for the peitormance
of the work for which thi5 permit is is5ue0 (Section 309] Civ. CJ
Lentler'z Name
Lentler's FOEress
OWNER BUILDEN DECLARATION
I tle�eby affirm Iha[ I am exempt from Ne ConVactor's License Ld'.`� for the
following reason (Section ]031.5 Business antl Professional Cotle: Any ciry or
wunty which �equires a Oermit to con5truct, al[et, improve, tlemoliSh m �epair
any structure, prior [o its issuance, alm �equires Ne applicant fo� suCh permit
to fi�e a signetl statement that he/she is licensetl pursuant to tM1e provisions of
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
Diviiion 3 of tM1e Business antl Professions Cotle) or that he/She is exempt
ierefrom antl Ih¢ basis for the alleqetl exemp[ion. Any violation ot 5¢ction
031.5 by any applicant for a permil zubjects the appllcant to a civil
�nalty of nat more than five huntlretl tlollaro (E500).
LJ I, as owner oi the prooerty or my employees with wa9es as their sole
compensation, will tlo the work, antl the structu�e is not intentletl o� offeretl
for sale (Se<tion 7044, Business antl Professional Cotle: The Contractor's
License Law tloes noi apply to an owner ot a properly who builas or improves
thereon, antl wM10 Coes such wo�k himself/herself or throuqh his or her own
employees, provltletl tM1at sucli improvemen[s are not in[entleG or offeretl for
Sale. If, however, the builtling or improvement is sold within one year of com-
Oletion, the owner will have Ihe bu�tlen of proving he/she tlitl not builtl or im-
prove tor tne purpose of sale). -
❑ I, a5 owner of the pro0erty, am exclusively cont�acting wifh IicenSetl con-
tractors to mns[�uct the projec[ (Section ]044, Business antl Profe55ion5 Cotle:
The Contractor's �icense Law tloes not apply to an owner ot property who
builtls or improves thereon, antl who mntracts for such projects wlth a con-
tractor(sI ucense pursuant to tne ConVactor's License Law). I'am aware that
prooi o( their Worker's Compensatlon insu�ance shoultl be provitletl to me.
❑ I am exemp[ untler Sec[ion B. & P. C. to� this reason
Date Owner —
I hereby certify that I have reatl tM1
informalion is correcL I aqree to con
antl stale laws relating to builtling c<
sentatives ot this cily to enle� p
inspectlon p o
Signature
Drivers' �itense ar 55 �
te that the abave
county ortlinantes
y authorize reo�e-
netl property for
TYPE OF CONSTRUCTION 1J NEW U ADD LJ ALTERATION LSd'REPAIR
❑ CONVERSION ❑ OEMOLISH ❑ OTHER Ap #
DESCRIPTION OF WORK/USE OF BLDG.
S Main Building:
E
TVPEOFPERMIT GRADING�/ FOUNDATION STRVCTURAL T Front
❑ TENANT ❑ ELECTRICAL LfGPI.UMBING ❑ MECHANICAL B R¢af
❑ OTHE(3 %�
C Right
PROJECT DESCRIPTION SQ. FT. OCCUPANCV K
CONSTRUCTIONTVPE VALUATION$ g Left
ZONE GRADING CU. VDS. ACRES Ping. Rt.(. #
Remarks: Planning Notes:
Sink
Prevenrer
Irrigation
tubs
Drinking Fountains
Floor Orains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspectian Fee
$15
Boiler
Duct- UnderGround
Duct - SVuctural
Duct - Ventilating
Exhausc System ❑ Multiple
Pirepl/Fact. BIL ICBO #
Heating System & Ducting
❑0-100,000 BTU 0700,000
Reinspec[ion Fee � $15
CMF 0865-46, rev. 10/H4 Whi[e - Building; Canavy - Applicanh Pink - Accounting; GoltlenrOtl - A55¢55or
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
�Water Closet
Water Heater
Wa[er Service —
Auto�Wash
Laundry Trays
Issue Fee
Hood or Type I ❑
Canopy TYPe I I ❑
Refrigeration System
❑0-100,0008TU ❑100,000
System Repair/AI[eration
Fire Dampers
Regiscers
ISSUB F8B
FEES
5473 9/17/B7
ZOnO
Parking Req./Provided
5a00 TL
ELECTRICAL FEES
Automatic Washer Transformer 0 15-50 KW
Construction Pole Sub. � 50 + KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Meter ❑over 100amps
Dryers ❑Gas ❑Elecnic Sub Panel
Fan Motors �0.1 HP �7'rS - 8
F.A.U. Inc.Solar �9-15 HP �16�75+
Fixtures Microwave
Device Boxes Pole Light
Outlets Ranae
awiccnes Sign
Garbage Disposal Standing Sections
Generator �0�5 KW 05�15 KW Trash Compactor
Z
O
N
I
N
G
R
E
Q
M
T
S
$ 3 f
� Reinspection Fee $15 Issue Fee $ 3
FEES
DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approvad By Date
Building Approved By Date—�—�
Appliwtion laued By Date �7 / /� /
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ � PERMIT
PLUMBING $ ISSUANCE 5
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL S GRADING $
PLANCHECK 50°h $ MICROFILM S �jy/>
MECHANICAL $ TOTALFEE $ �__
$ 3 PLAN CHECK 25% $
CONSTRUCTION AND•PLANNING POOL & 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 �i
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure`iest "
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-6lYNITE
7. Footings r. _, 58. Electrical Conduit-Undrgrnd.
8. Foundation� �, �,� 59. Gas Pipe, � Undrgrnd.,'l�,�si
9. Water Pipe-.VJndrgrnd. 60. Backwash Lines, P-Trap,��Undrgrnd.
10. Structural Floor Sysiem . 61. APPROVAL TO DECK 1+ '
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. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
20. Rough Factory Fireplace APPROVALS Permit # _ �
21. Ducis, in Structure 70. Underground Hydro
22. Ducts, Ventilatin9 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 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 �ZdY-a% L�9 • . '
39. Water Service-Final � � � �
i
40. Gas Service-Final � ' -
. �
'41. Solar pomestic-Final ' ' �
�,42. Backflow Preventer � � , �
43. Backflow Irrigation . � � � � �
�4'4. Landscape Irriqation System � ' ' ' ' � '
45. Sound Attenuation . _ � ' � , ' .
,46. Handicap Regulations ' ' . ; ,
47. FINALSTRUCTURE&BUILDING � � ,
� I
' i i
48. Special Requiremenis Completed - , � �
49 �Electric Release to Edison ' , ' � �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date � ' ' �
PHOJECT AOONESS: 3 3 6 TOURS LN
owN[nsr+nme: REGINAL HAYES
aoonEss: 336 TOURS LN
C.M. 92626
719> 631-2361
AHCMIENGINEEP:
AD�NESS:
1 {� � UNIT:
�/
HEG.NO.:
UNIT:
PEflMITTEF: ORANGE COUNTY SERVICES (714)591-9753
ADOPESS: 3OZi N. HESPERIAN WY 101
SANTA ANA CA 92706
LICENSED CONTflRCTOP �ECNNATION: I hereby allirm t�al I am licensee untler pmvi5ions ol C�aO�et 9(commencinp with Sec�ion
7qp� ol Drvi9on 3 al I�e Business an0 Pmiessians Coae. anG my license is in lull bme ana etiect.
�ciT c.: 060568 sTnTeuc.:6798�� cuss: C— '0�
,� - � td -4 4 Signatu — _ . —
WOBKEB$' COMPENSATION UECLANATION: I hereby a�hr Iha� I have a cetltlicaie of consen� lo II-insure or a certilica�e oI Warkers'
ComDensalion 1n5y�dqce, pr �cy/IilieU Wpy Itlereal (Sect�o 00. Lab. f.�.l / � 1 / 9 S
POLICY NO.: W 7 311 V 9 9 U E%P. DATE: V
comenr+v: CA COMP .
� nilie0 coOY is Aere6y Iumis�e0. ❑ CenilieE capy' ile n�� the cily Bui10' g �ivision.
�i0at � Applicant:
EXEMPiION FNOM WONREHS' CUMPENSATION OECLANATION: T�is sec�ion nee0 not Ue campletetl i� Ih permi� is forone �undretl (E1W) oNess�,
I cmtily Ihal in Ihe Dedormance ol IM1e work br which Ihis permi is issued, I shall no� employ any person in any manner 5o as to become
sub�ect lo Ihe Workers' Compensalion laws ol Califomia.
�aie: Signa�ure:
NOTICE: It, alter maNing t�is declaration, you shoultl become su�lec� �o ��e Workers' Compensation Dmvisions ol ��e Labor
COAe. you musl Iotlhwii� comply with suc� provisions or �Ais permi� shall be tleemed revoke0.
CONSTNUCTION LENOING AGENCY: I herehy allirm Ihat Ihere i5 a consimction lentling agency lor Ihe Dedarman[e ol I�e work lor
wnich Ihis permii is issue0 (Section 3097. Civ. CI.
IEN�Efl:
AOONESS:
OWNEfl BWLOEB OECIAXRTION: I nereby a�lirm that I am exem0� ��om t�e Coniracmrs' Slaie License Law lor t�e lollowing reason
(Seclion 7031.5 Business an0 ProleSSionalCoae: Any city o� county which reduires a permitio Consimci, aller, impmve, Oemolish, or
repair any s�mcture, prior lo ils issuance, alsa r¢puire5 i�e applican� br suc� permii ro lite a sipnetl stalement Iha� �e/sAe is licensetl
pursuanl lo ine D�ovisions ol l�e Com�aclors' Slate License Law �Cnapier 9(commencing with Seclion 7000) ol 0ivision 3 0� Ihe Business
an0 Ptol¢Ssions Code) or thai he/s�e i5 exempt Iher¢Imm antl Ihe Eavs tor I�e allegetl eMemp�ion. Any violaiion ol Section 7031.5 Gy
any applicanifor a Dermit SUGl��S t�e applicanl to a civil penaliy oi not mor¢ Itun �rve hunOreO Aollars (5500).
I. as owner o� �Ae pmDeny or my employees wilh waAes as �heir sale compen5aiion, will Oo the work, anA ��e
❑ svucmre is not imentlea or oflereU lor sale (Secuon 70aa. Business antl Pm�essional Code: The ConVac�ors' Slaie License Law
tloes not apply lo an awner ol a pmDeny wlw builtls or imD�oves thereon, ane who Joes such work himselVnerself or ihmuAn
�is at �e� Own emDlay¢es. pmviAea I�al SUth impmv¢menls are noi inlenUed Or ofl¢red �ar 5aie. 11. twwev¢r l�e OuilGing or
impmvement i5 sold wit�in one year oi complelion, ��e owner will have ��e burUen o� proving he/she Oi� not 6uiltl or improve
tor ihe purpose of salel.
I. as owner ol I�e propeny, am exclusively comracting with licensetl caniracmrs m consimct Ue prole�� (Section 70aa, Business
❑ ana Pro�essions CoOe: The Conlratlors' State License Law Ooes not apOW �o an owner ol D�operty who bm105 or impmv¢S iherean
anG who [oniracls lor Suc� pmlec�s with a wnlrac�oq5�license pursuant to the Cantractor5' SIaIe License Law�.l am aware
Ihal o�oaf of Ineir Worker's Compen5alion insurance shoNa oe provitle0 la me.
� I am exempl un0er Seciion: B. 8 P. C.
lor �his reason',
Oa�e: Ownec
I tlo here�y cenily I�ai I am aware ol and understantl I�e reQmremems o� Calilomia Healih anU Salery Cotle Sec�ions 25505, 25533, antl
25534;md iha� I oi anY �uWre builtling uccupant willlwill naI (circle one) neetl �o comply with saitl s�a�e codes antl Ihe reQuiremenis �or a
permit for constmclion or modi�icalian imm �he Fir Ouali�y Managemen� �isVic�. Resitlen�ial cons�mction aOD�icalion5 are exempi Imm
�hese pmvisions.
�a�e'. FpPlicant:
I here�y cerlily��at I havereatl I�is applicalion an0 state��at�he abave informationis correcL I agree�o comDly wil� all ci�y and couniy
orainances antl slalelaw5relaiinglo DWltlmg tonsimclian and �ere aulhorrze represenlaii s of�hisGtyto enlerupWl�e a0ave�men�ion¢tl
eny loi insp/ection Durposes.
Oate � '1lOr � y Signalur .
��er's License oi Souai Secuniy x:
�6at-ab WM1ne—Boiltling: Green—COJe EnlorcemenC Canary—AOP���anl: Pink—Revenue; Golaenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 06642C
PERMIT NO: M 066420 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMZT TYPE: MEC PURPOSE: OTH
JOB DESCRIPTION : R S R WALL FiEATER 60000 BTU SQ FT:
CLAIM VALUE: CALC—VAL[JE: GROUP OCC: R-3 !
COMMENTS: MECAANICI�L WORK ONLY
�*-�**�x-*u��t��t�t�-*�t�+cat-�-x�*x--+t+F���***�t-�--�f�*�t+F#*��t�x�x--x�*+t**-�**x-+t�rir�f*�x-*�t�f**�tx�*�t+r*�t ��*arx-�e�it�x-#-�-
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILL�ING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL; 43914203 ZNE; REF NO:
PLANNING NOTES>
> I/�
ik 1E iE iE iE iE �f iE if iE if 3f iE # iE iF 1E 1f iE 1E if 1E if fE iE iF if iE iE tE 1f if if if it iFiF iE if� it iE iE if iF �1E iE?E iE iF iE 1E iE #E �lf it 1E iF K i�-iF if i! if iE iE if if iF �E i4 iF iE iE iE iF �lf iP iE 4E
D E V E L O P M E N T S E RI/V I C E S R E Q U I R E M E N T S
l
ZONING APPROVED BY .
BUILDING APPROVEP BY :
DATE:
DATE:
APPLICATION ISSUED BY; ' DATE;
**�**��**��**,��*��***� x�� *�*�,�����*�--1=b�.���-
it+tit*fter***ir*�*it*�r�tirx�itif*#x�t�rft+t��ieit�-x�it*ir*��r*tt�#**x��*���r+t+tx-�*�-�r*ft*itir�r**ft�*�r#. �ar*it.r***
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTF2IC MECHANIC FIRE SMIP/RES GRADING
PERMIT - 9,00
258 SMZP/NON—RES
PLAN ��
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 9.00 15.00 ' 0.00 "19.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SFIORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24.�,�
iF jE iE ff ff �f if iF 1E * fE fE �E iF iE iE fE iE iE iE if iE jE 3E iE ff if #!f if if 1E iE i! if i! i(�iE iE if if # iE if iE 1E �E iF �t �Y if iE i� iE+E ik iP iE il-iF iF jE �f iR * jf i� K if +f iE?c {E iE 9f if 1f 1! *
I N D I V I D U A L� F,-E E B R E A K D O W N
TYPE QTY D E S C R I P T I U N UNIT COST TOTAL COST
MEC 1 IN5T FORC—AIR/GRAV„}FURN;1<= 100 Y, BTU 9.00 9,00
END OF FEES
- . �
� T
Y
!'
01 00157267-00157267 T�] T 24.00
DATE: 08/16/94 TIfiE: 11�35
CONSTRUCTION AND PLANNING POO� � SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & EquiOment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit UtiHty-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Pootings 58. Electrical Conduit-Undrgr�d.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water PIpe�Undrgrnd. 60. Backwash Lines, P-Trap, � U�drgrnd.
70. Structural Floor System 67. APPROVAL TO DECK
t t. Property Sewer line & House Connection 62. Backwash & Receptor�Fi�ai
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Droins 64. Plumbing System � Final
14. Rough Plumbing 65. Electricai-Final
15. Rough Electricai-Condult 66. Solar System-Pinal
76. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Ro�gh Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Eiectricai-T Bar Ceiling 69. POOLISPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firep�ace APPROVALS Permit #
21. Ducts, in Strutture 70. Underground Hydro
22. DuMs, Ventilating 71. Product Pipin9 O Gas ❑ Oii
23. Gas Pipe-Rough & Test 72. Underground fiush
24. Roof Framing 73. Undergmd.5torageTank �Gas ❑Oii
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiti�g (Structural) & Monocoat 75. Dry Chemicat
27. Freme and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINA�
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH OEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal S0. F000 C,ER7IFICATE ISSUED
33. Final Electric Notes: '' -.j%% ^ [�
-t � �_tS�O 1fC'.��.55_ / �Z . _
34. Final Heating & Air Conditioning •� � � . ?�-Z! _CL�-- !f � _
L L��- �
35. Final Gas Pipe•Test �� ./,q�n,
s ..�.�'�-fi� �n.Z �c� 'L'�J
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING .�. ` � .
49. Electric Release to Edison -,
50. Gas Release to Souihern California Gas Co �
51. CERTIFICATE OF OCCUPANCY , _,
No. Date _. _
� � ,F
� ���
� J���{-� � �.�;an�
� �,,,-,: i�R
_f.
__
- - �"� � ,�u^-��,
_ � ,
_ - -� � �;� ,�,�
��j�� .
,�le•r��" � _
7 � � ^� .� ��/� 4` '
� ��,,,,{:w� � �„A,i, }
��� ,.^,� ;�„',,a-��-�
�;�t y ��A� � :i��
�
; �� � I ��,�,,�,�,�
,
� � t� � � �.�,,,,��-�
�� �
� � � �� �v�f�
OWNEti DOYZ.E & SHIIELDS Develo�ent Co.,INc. Dp� 6-
JOB ADDRESS �� TOUTS BUILDING
K�Y�'E!
INSPECTIONS
ZONE DESCRIPTION OF WORK neS. W
DATE I GROUP 1&.1 TYPE V ZONE
SUBCONTRACTOR
's��2 FE ECEIVED
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 81] C08TA MCHA. CALIFORNIA ' JU N, 3�963
�{��(��E DEPT.
For Applicant to Fill In Complately CIL+pPlIZg7J(a�FF��ERMR
TYPE OR PRINT �y �f `�{lr ING
For Office Use Only
BUILDINQ
ADDRE69 � � nece�'r Ho. vex i� No.
COSTA MESA, CALIFORNIA �
H�VEDCT OAT[pHCHIVQO OATHIBBIIlD
OWNER 0 G .sr 'Q. �1 � a G JUN 3 1963
�y LDINO ��/ ��7 .
MAIL V /. �y� G GJ � r J DR6S8 v/
ADDR55 O
� � / � FIRE
��� n� e n, o-r. rTi 01a Z°Ne TYPE oRou
ARCHITECT � —� TE{� �ry BYPROVED DATE
OREN6INEER �� ILC✓1 NOC1 I^JO�O --�
y�/� /'/ �{-//'�, ZONING
ADDRE88 //V`7 w' I W�Mp�t WQ 1 �
v/ �LA Or !U LD NN8 ~_
CONTRACfOR � � �� �
LBowL c�-- / �/
A�DRE88 �ll.v+.. Q_� DHacnlvnoN 1 V rd �73-?
CITY A. P. NO. Jd'"-
6TATE / J TE�/(�/^/� 90'r TO 61DE @ REAR p. L~G SHALL BE LESS THAN
LIC. NO.( �'- �/ N. r Vl. �'�""'O
OFL0T33 Ks3•.s� I MO.ORBLOG9- ALLOWEO fU.B.C.RE�UIREMENT)
NOW ON LOT
YARDSAPPROVED YARD4APPROVED
USE OF � '� MAIN BUILDIN6 ACCESSORY BUILDIN6
EXISTING BLD6.
f FROM C/L t�TREET)
SETBACK LINH FPOM �]� r7i � � FRONT � T FT. Fi.
CENTER OF BTREBT O� V � REAR YARD
SIOEYARDI LfiFT � I RIGHT / R.81D8 � Ff. �.
DESCRIPTION OF WORK L.SID � Fr. Fr.
i
NEW ALT6RAT10�'1 AOOITION AEAR FT. Ff. "
OISTANGE BEf. BET. MAIN 8
REPAIR M VIN6 DEMOLISM MAIN BLOGS. ACCESS.BL�6S. .
BUILDIN6�J '` ^� NO OF VAR.# DATE
SIZE S� 7 J� � ROOMS STORIfi9 � C. U. P. APPROVED
EXTERIOR WALL ROOF /� . APPRO / r6 �
COVERING _ p COVERIN6 l�0 O BY DATE
USE OF BUILDIN AND WORK TO BE PERFORMHD
�S G2hc � �% fcc.F (c� (`7t�ra Ci p
��. —C �O }',3 sa. Fr. �`f� a � ^
I HEREBY ACKNOWLHGOH TH�T I HAV6 RHAD TH�e �PPLICATION THE �MOUNT BN IINOBR VALUATION 19 POP THE
/.ND BT1T8 THAT TH[ ABOV[ IS COqqECT ANO AOHBQ TO COM. PUHP08E Op e BL�eH�NO A PERMIT PEH ONLT. , Q
PLY WITH ALL CITY OFOINANCHB AHC YT�T[ L�WB P24YUTIXO ypLUATION / �
BUILDINO CONBTpUCT10N. G % � ry
SIGNATl1REOP �/[ ) PERMITFEE S J� m
PERMITTE -`� �� � � � $ /� s5�e � PLAN CHECK 8 �/ Z
O
AUTHORIZE� AOENT � tiL�1 � �+- s� 4
TOTALPEE