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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 r�90 � g �� _�J�'�r�oos� ����� . wwNir�o ccrr. � , �wecr � roo, oer. aa I �, werae a r�,wwiNo �,�..r 6 y J��C. � � ; , .! � � �, .i � 'i � , j 3�„ ; i 0 p/yw��� , ;' � ` '� � � ����Ra�ED r �„�i: �.tna Dept. I 1 "���y of ,�.,.- - n �TE C59�Z� s `� I_ "—""� TI;d,ES P1,A':�E n�� ,�,Oii �T �LL F pEf'T. ,a:;E � �. > pQ�,P.L I .�-: • ��..nN" T �,. �r��.,� � ��.� �� , o , �. ,i�N,<,1 � �;.�.o: / ! �� �IJ . � �:`L / / ,..-..,: �,� '. �'�� V K!,/ QI� OI° �'?'l;�G'.o'IN�y'. 4Ja � c.,:•r.� .�.u+ � • �c�l��•N�',F.GR r,. Tr.�. .,.in� i,:` � ., r, ,. LI.IJO ... ... ; �� p .;{i`ICAI IOVc cl' Vi ANY VIC� ";1 ` .. ' ,�1��%0;%j;•oN�rn�•��:4-��=rT:�.inL/.N��'C..I4o�i�.S �.: r � �.r r', � ;:.�;.F� ^,ie + sr � - .; oF� u:, � - ^n0\il::•';i� VIGLi�7i. f �f << i, .U�q AS `,:_ d;L ,: " .:f'n-a;'pc�(�n+:,sxo ,,ai. S7a�teo. I �I ;y .,r:ior�ct_,�..i.^ _n,as ;.r:o � . ;r:. ��u � ��;:•,:; � ,r ; o� q:l:Y BA..' „_ . . pF=1C1AL ..�c �AhCP. l.� . .VEN;"fN£ S' '�iRy"'�S 1 1 �Nki_� � �T �/.i7cC�%q��Y.YEtii1NG .�A;i:��: � Fr. ::�r-.^..nf��U'yQ�:lF1�n:}ION_ ,NIHGNE!l,:i?ERWNEN i �li�.l;? :•,' -ua� CA:iR1EU ppryANC�OF 'i C:F'FFAiiCC:SC iUE t)Fi O��QNY �L� - j�` ` � . : L:.(�ON OF THi� J % I , . �', , � � S2- C4`'6c'� bdl�s (f /¢c. �< !j 9 y G o.. �rrf 3so-a IP,vi�..c pr�`.� Co57t il�YS4 �IQ. p 'H y y ' �C.��IFD �' I �- e , � 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