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HomeMy WebLinkAbout230 15TH ST - Building Permits CITY OF COSTA MESA BUILDING DIVISION r • •- ,1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER IrraPERMIT `4.o.gto B05-00441 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 230 E 15TH ST Status: ISSUED Suite: Applied: 03/17/2005 Vicinity: GARAGE Issued: 03/17/2005 Primary Occ: U-1 Private Gar/Carport/Shed Type of Construction: V-N Parcel Number: 42533107 Zoning: / Applicant: ALAN!, PAM ISSUED BY: v�_ /x l '14 Address: 230E 15TH ST Phone: 949-338-3667 COSTA MESA,CA Zip: 92627 ; Owner ALANI,'DOUGLAS D • Address , 230 E 15TH ST Phone: COSTA MESA,CA Zip: 92627 , Contractor: OWNER-BUILDER Address: i Phone: Zip: License: 000000 • Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT - RESTORE ILLEGAL GARAGE CONVERSION BACK TO GARAGE PER CODE ENFORCEMENT.REPLACE GARAGE DOOR&REMOVE STOVE AND OTHER ITEMS FROM GARAGE. • FEE SUMMARY Plan Check: $0.00 __- - Calc Valuation: $3,000.00 Permit: $83.25 Claim Valuation: $3,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $83.25 Inspection: $0.00 • Total: $167.00 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 - Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existinq: -0 - Required: 0 Proposed: 0 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections 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)754-5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carder and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) itSflJ-'f'c rtify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comp) th thes CL /j S • Iicant.Signature: kaS . 'rti�,4 dale. ., 11 'U WARNING:FAILURE TO SECU WORKERSPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER`TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TdT HE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# _ _ _ Class# Contractor's Signature: __ Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: _ Lender's Address: Signature: • Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ` Jrcbfas'cwner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. ;j/7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). O I am exempt/,�arfqer sec. Business and Professions Code for this reason: _ Signature;_5-47' 'd "A NV._z J., CUrc>n� LDate:-�t.z^3T'- 17 —O 4 Owner ID verified by drivers license. ❑.Yesr 0 No Dfre7(GCense,No' '- Expires' 07/07 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication a_aPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Dale: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws end city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descrbedparty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SIgriaturerOttegel Owners)-;--z - (.Date R'- And/Or Authorized Applicant Date CODE E INSPECTION TYPE DALE INTITIALS CODES INSPECTION TYPE DATE INTITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site p ` , 204 Final Demolition 250 Final Building/Occupancy VY It.PRU¢CT ADDRESS: E • UNIT: - - ownEpDDREss:S NAME: DOUGOALANITH ST ` �Zdc;rw CITY OF COSTA MESA. '- BUILDING PERMIT • PERM NO: EMP U45II$0 SAME • L PERMIT NO: EMP 045$$0 PLAN CHECK NO: N GOVT: N SUPP: N i• talq CONSTRUCTION TYPE: ' V—N PERMIT TYPE: ELE MEC PLU PURPOSE: OTE ' axcxrtNDiNEER: "E "D• JOB DESCRIPTION : ADDING TO' EXISTING GARAGE SQ F'T: ADDRESS: UNIT: - . CLAIM VALUE: CALC-VALUE: GROUP OCC; M 1 / • PERMITTEE: DUOG ALANI . • ' AODRESS: 230 E 15TH ST COMMENTS: RE: B44792. PRIMARY BLDG. PERMIT. C.M, ' CA 92626 ######***************####*#####*********##*##*##*#aE####*######**********###*4*# LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section • Z ON ING R EQU IR EMEN TS - • 7(100)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITY LIC.: STATE LIC.: CUSS:• S. F T• B A C K S Date: Signature: -- MAIN BUILDING -- ACCESSORY BUILDING -- WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ' IN • .; Compensation Insurance.or a certified copy thereof(Section 3810,Lab.C). .LEFT: FT IN RGHT; FT • IN LEFT: FT IN RGHT: - FT . IN' --$11.ICY NO.: - EXP.DATE: ' OMPaxr: PARKING REQ• PROV: PARCEL ; 42533107 ZNE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: **#**##**************************16*.iF*)6*ie*******if-!E*)E**#*****#*#*#**##*****#***#* IceMPTIOa FROM WORKERS'COMPENSATION the oDECLARATION:this (Thisiis issued. sail botcompleted in);the permit n am onehundredso(sto lossD E .V F. L O P 'M F•. N T. S ,E R V Iy-C E S "1 R EQU IR E: M EN 1' v certify that in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become •, subject to the Workers'Compensation Laws of Califomia. ZONING APPROVED BY ,,."�y r: ''• _ DATE: — Date: • Signature: • NOTICE:If,after making this declaration,you should become subject to the.Workers'Compensation provisions of the Labor BUILDING APPROVED DY : f�/� DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. _ 7 j CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: '' �'�'�', -te.-... DATE:� �F yR�i� which this permit is issued(Section 3097,Civ.C). *************************** ***** - 1 7T ' **% ** **** ************ ** UNDER: * *******************************4 41(4******** **#*#**#************##*#*#*#***• _ ADDRESS: • LEGALIZATION ;N F E E ' SUMMARY STRUCTURAL SEGMENT:N • • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason . BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,orP ERM I T 2 , 00 11 . 25 9 . 75 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - 2 5% 508 2S% SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 3 . 00- 15 . 00 15. 00 I, as owner of the property'or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV--> PERMIT' ISSUE PLAN—CHECK TOTAL PAID • .DUE ❑ structure is not intended or offered for sale(Section7044.Business'andProfessional Code: The Contractors'State License Law TOTALS----> ` • 23 . 00 33 . 00 0 . 00 56 ,00 56 . 00 . . 00 does not apply to an owner of a property who builds or improves thereon,and who does such wont himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building o( . ' improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED :. 56 . 00 OVER/SHORT: 00 for the purpose of sale). . . BLDG PMT PLUMBING ' ELECTRIC' MECHANIC FIRE- - SMIP/TO1' GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 . 0 0 26 . 25 .2 4 . 7 5 gf] and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - andwhocontractsforsuchprojectswithacontractor(s)license pursuant to the Contractors'State License Law).l am aware #*.*..**.*.***..**.#*.#******.*#***.**.*#****#*.***.******#{o{o***.****-*.***.*.#***#*.*-#*-.N.*#*.*.j(..*#**.*. that proof of their Worker's Compensation insurance should be provided to me. . ❑ I am exempt under Section: B.&P.C. IND• IV IDUAL F E E B R E AK DOWN for this ason: ' n /�����^��� TYPE QTY D E S C R I- P T I O N UNIT• CUST TOTAL COST Date: / a 7 re" Owner °(/ l.l.�[ x I do hereby Certify that I a aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and • ELF. ' 5 FIXTURES, LIGHTING 1 S T 2 0 EA. . 75 3 . 75 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE I.E _ 5 _ R EC E P T 10U'TL E T "L ST ''0 F.A. . 7 5 3 . _7 5 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE `i R E C EP T/SWITCH 1 S T 2 0 EA. . 7 5 3 . 7 5 these provisions/Date: � / 0 Applicant: �/✓✓ NEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 9 . 00 (/q e NEC 1• GAS PIPING SYS 5+ OUTLETS PER OUTLET . 75 . 75 � l PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 . 00 • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county . END OF FEES ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned • ' property for inls ection purp G°s. ,k . 9 Date: Il l lam© Signature: :CIMki,, 04m.; C g C • • 01 00052693-'00052395 T 0 T Driver's License or Social•Securiry#: ,• DATE: 01/29/90 TIME: 14 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor ' - ' CONSTRUCTION AND PLANNING; PO SPA Y Date Inspector Date Inspector. APPROVALS. ' Permit# APPROVALS Permit # 1. Temporary Electrical Service or:Pole 52. Pool & Equipment Location 2.-Soil Pipe-Undrgrnd:. 53. Steel Reinforcement ,_. . -' 3.:Electrical Conduit Utility-Undrgrnd. 54. Forms •4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test ' '6. Electrical UF ER Grnd. 57. APPROVAL TO COVERGUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. - B. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains _ 64. Plumbing System : Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final T6. Rough Electric Wiring. 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19..Rough Heating & Air Conditioning t, _ FIRE DEPT. REQUIREMENT _ . _ 20. Rough Factory Fireplace r: ; r APPROVALS -...Permit# -. - - 21.-Ducts, in Structure ` ' - ., •- ' 70. Underground,Hydro 22._Ducts, Ventilating • - 4 t -71. Product Piping 0 Gas 0 Oil 23. Gas:Pipe-Rough & Test --:::': ',I ` 'I + -72. Underground Flush 24. Roof Framing - - - '73.-1,Undergrnd.StorageTank 0 Gas 0 Oil 25. Roof Sheathing " - ' ; 74. Overhead Hydro-. , , T & 4 -Bar Ceiling (Structural) -Monocoat _:.. 75 _ .Dry Chemical 26. t_ - .27. Frameand Flashing' - - - - 76. Dry Standpipe - - ~' �' 77 FIXED SYSTEM•F,INAL- - '28. Lathing& Siding- _ - _ - 29. Insulation C ^ - a _ :'r 78,-_FI,RE PREY. FINAL , •' _ _ • - 30. Drywall Nailing T _ - „ I ...- _'HEALTH-DEPT. REQUIREMENT- - 31. Plaster Brown Coat' 3 79. FINAL INSPECTION' ' - '- 732.:Electrical Power Meter-Final ` ' . '80.:.-FOOD CERTIFICATE ISSUED - t33._Final Electric ^. /r � � Notes•• _ - _ _ = / . :34. Final Heating.& Air Conditioning - 35.•Final Gas Pipe-Test' 3/ % _ _ - - - _36. .Hood or Canopy 'I` r - 37.-Final Factory Fireplace- - -. ';ii'• -- 38. Final Plumbing "t ." - ', 39. Water Service-Final j, :' 0 ' 140. Gal-Service-Final -" _ I r.. "- • ::41. Solar Domestic-Final - «, • - 42. Backflow Preventer . 7•- 43. Backflow Irrigation. • - -44. Landscape Irrigation System; i' ` r': - ' 45.:Sound Attenuation 7 _ '"46. Handicap Regulations ' ' I . . - -47.'FINAL STRUCTURE & BUILDING ' - r48:=FINAL PLANNING r _ , ct 49. Eleric Release to Edison - :�;% t ` ' - '50:Gas-Release to Southern California Gas Co :- f• ` * .- - _ . =51. CERTIFICATE OF`OCCUPANCY No. Date ADDRESS OF BUILDING 230 E 15TH ST WIT: CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IEIWOIIN: ALANI, DOUGLAS D PERM NO: B 083161 ADDRESR 379 LA PERLE LN I. COSTA MESA,CA 92627 PERMIT NO: B 083164 PLAN CHECK NO: 02170-97 L GOVT: N SUPP : N APPL.MktII ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: CON • ARCHITECT OR EMINENT UC.NO.: JOB DESCRIPTION : 49 ' X 6 ' HIGH BLOCK WALL BACK OF HOUSE SQ FT: 49 ARCH.OR ENG'S ADDRESS: WV: CLAIM VALUE: 2, 500 . 00 CALL—VALUE: 980 . 00 GROUP OCC: R-3 / CONTRACTORSNAME COIWRACTORSMNLING COMMENTS : ENCLOSED AREA WITH TOP OPEN UP TO 6 ' HIGH . ADDRESS: TIC NO.: *******************************************1!*********Ib************************* DM: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Nim under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my scene a in fug force and ilea. CITY LIC.NO.: LTC.CUSS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Mac Contractor: "a°"« LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN '•NER BUILDER DECLARATION:I hereby affirm under Peaty of perjury that I em exemq from the Comadon License Lew for the %Ig reason.wish.ep any Sinatra Business as issuance, rq he applicant city or Unty forr eachpermit10 Ne Permit siged statement uwa'he or she PARKING REQ: PROV: PARCEL : 42533107 ZNE: R2MD REF NO: m licensed pursuant to the provisions of the Connemara License Law(Chapter 9(commening with Sedan 70:0)d Dvaon 3 d the PLANNING NOTES> CONSTRUCT 50 LINEAL FT OF 6 ' HIGH BLOCK WALL IN FRONT OF HOU Business and Prdes°uns Codeiorlhat heor she a exempt therefrom and the base l«the alleged uempton.My videlion d Seder+ > SE TO CREATE A COURTYARD. MINIMUM 10 ' SETBACK FROM FR. P/L/ 031.5 by end epploerd tor s epermsubjects the eppoerdn°ctvl penally of n not mothan fin hundred em rslss09D. ****************k**************************************1E*********************** 9 I.as owner d tMptopenyor my employees with wages as thee sole compensation,wM do the work,and the striae enad intended 7C «offered for sale(Secion7aa,Business end PrelessionCode:The Contractors License Law does rorappytoan°Yawni Prwerty DEVELOPMENT SERVICES REQUIREMENTS who hoed,a inproves thereon,and who does such work lvnseB or Iwai or through he or her own employees.provided that such improvements ere not intended or offered 1«sale.11,however,the building or inpoernem is sold within one year of completion, Tlave the budonaproving he«she and not build orimpmvef«the purpose of sale), ZONING APPROVED BY DATE: ,02' ❑ I.as owner of the property.am exclusively contreaig•vh licensed contractors to=UMW the propd(Section 7044,Business and �� Professions Code:The Contnpm LiweLaw does not apple a an Domes of Properly who Wade or inpmvee Memo and who BUILDING APPROVED BY : /'/!�L DATE: contracts Nr wdt projects with a mmador(e)tcerteed pursuant to the Contractors License Law). V 1�• e= section: B:A P.C.,fothisreason: APPLICATION ISSUED BY: DATE: °e Mirt its amen G -y-qi R /Waft., ****************************.*************************************>E*.************ Idoc«MythatIamawanaaMndrsandtheequiremermaCallon'.HealtandSafelyCodeSwiaa25505,per'n.w LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y coq that I or any Mae bdtig occupant will r wit not(circle one)need to manly with said state codec and the requirements for a prone lot mnsmclion«modification from the A: enagemem District.Reaieemel construction appkmime re erempl from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 34 . 75 . 50 Dale: Applicant SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirmunder Araby of perpry one d the followed dedreton,: PLAN 22 . 59 o I have and wmei taina certificate of of consentto eenirraufor e workers' pmWoprd oomn,as provided for by Seth 3700 the Labor ISSUE FEE M Code.)«the pedorm°oceapermit neworkforwtichthispesued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ Ihave and nil m°h„anendears'compensation insurance,asrequired by Section 3703SMe Laker Code,mr the perromancea the TOTALS----> 35 . 25 0 . 00 - _ 22 . 59 57 . 84 57 . 84 . 00 which N work for which permit u Sued.My workers'compensation insurancecarrier nter end policy number are: ' Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 57 . 84 OVER/SHORT: . 00 r PafryNumbr: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN—CHECK (me section need mer be competed d to permk is or One hundred dollen(droit cies lass.) 34 . 75 r . 50 22 . 59 ❑ I caddy that in the performance of the work for which This panne is issued,I shall not employ any person in any manner so as to become subject to the workers'compensation laws ofCaflomla.end woe that B becomeI should subject to the workers' ***************************************)E*************1ick************ick*IF***H**** om ceensatin provvce oof Sewn 3100 of the Labor Code.I shallfonhweh comply with those provisions. Dam: Applicant. INDIVIDUAL F E E BREAKDOWN Warning:F.Runmroas workers'compne°Doncownw Is unlawM,and sldl rains an employee to criminal penaltiesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Brea up to one hundred thousand dollars($100000),lel addition to the cost of compensation,damages as provided for In Section 31°l°1the Labor Cods Intone.and aN° sf°°` SFR 49 RES—CONCRETE BLOCK WALL / FT. 20 . 00 980 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury That there is a construction lending meow for the END OF FEES perl«mroe of the work for which the perms is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: T {�''�c F� I certify that I have read this application and rate that the above id«mrion a coned.I agree I0 comply with a0 city and county ordinances r i r\Y and state laws mimic to badig construction and hereby authorize representatives of this city to enter upon the above-mentioned property i for inspection paposes. E PAMELA ALANI DARE �1� (i6-C4-1997/1::11 R;/357.84 n...nD P Name — / /U:1:',°.1-'-,,C7..] �. Dere: "9'7 PERMIT 083161: Signature Appfunil«urraa (5151-46.WP) Where-Boldly 8 Safety,Green-Ale:Canary-Appkum:Pink-Revenue:(OMrvod-Assessor CONSTRUCTION AND PLANNING PC' -& SPA APPROVALS Permit# �_ Date Inspector /APPROVALS . drmit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. til Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. _ . 55. Electrical Bonding 5. Steel Reinforcement _ • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57 PROVAL TO COVE R-GUNITE 7. Footings Jf /77 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing& Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /-7/ ', �xt l� /D � 34. Final Heating& Air Conditioning 111//// e �.v��/ 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer -43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date _ • • TYPICAL 611 CONCRETE BLOCK FENCE • Cement Coping Optional :7j I. Channel GENERAL- NOTES Channel Block With 1-3/80 'i' Horizontal Top of all I I - Fences One Part Plastic Cement, and Three Parts Sand 11 For Fences 5'or LeuaGROUT: One Part Cement Three and s �- f • P I I One Half Parts Sand Ven .Bars 3/e"¢at 4' -D" O.C. d 0 COPING: One Part Cement, Three n: x q et Parts Sand For Fences Higher Than 5' 9 Vert-Bars 3/8"¢ at 32" O.C. Y w - -- - - CONCRETE: Weil Mined 1:2-1/2: 3-1/2 Fill Cells Solid With Grout 11 ce x > z II ,I-I Max. of 7- 1/2 Gallons of Water Per Sack of Cement Where Steel Occurs ill > - Reinforcing Steel Shall ill f 1O �-' - GROUT MAY BE POURED FROM THE TOP • 1IIIYYYY�QQQ OF THE FENCE IN CELLS WHERE STEEL Conform to Sec.A-15-39 u o --- -- - OCCURS. A.S.T.M. 1 ISECELLS AND AREAS OF HORIZONTAL REIN. All Steel to be Lapped '�� w VII _ CELLS A ENT SHALL BE CLEAR,CLEAN& 24"or to Code �� �. �- FREE OF ALL MORTAR DEBRIS,ETC. NATURAL GRADE - - - I TWO 3/8"0 BARS [•Sr r -��.. • • in • • • • CONTINUOUS TOP &BOTTOM • -4 I-0,—: WIDTH L . 'i L1K MPS iO 16' 0 C. MAX. t.• tL ':SEE-.CR[ Ft *11 -• . . • HORSTEEL MUST BE TIED IN BELOW—.' rMy • DEPTH OF E ARTHICOTH PLACE AT TIME OF TRENCH ' '' :4 e • •• !. I/3 THE HEIGTH OF FENCE INSPECTION. - -tLOW BOTTOM OF FOOTING IIF' ,-',r o� 7•71:7,7: I. 10° (— SCALE: 1/2" = I. r_r 4 2.. _ . FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5r----.--r4 3' I WIDTH 14" 14" 12" . . . . . . . . 12" THICKNESS 10" 10" . . . . . . . . . 8 " . 8 " DEPTH OF EARTHTOOTH . . . 24" . . . . 20" . . 16" . . . . . . . 12" SPACING OF EARTHTOOTH. . 12' . . . 14' . . . 16' . 16' City of Costa Mesa, California . Building Department Cavnen Nov.82. - Mq��Y OF -- __ FRFPU T��N APPROVED NOTE RFo F • CITY OF COSTA MESA ADDITIOTIS, DELETIONS, OR CORRECTIONS SHALL BE At/PROVED BY THE PLANNING DIVISION PLANNING DIV. SUBJECT TO BLDG. DEPT. REG. - BY 14DATE Ich(” r1 3`22 e u Cf So /iatt, (--471-- ( 5.\ (QC\ DIVISION OF BUILDING SAFETY' CITY OF COSTA MESA$ 7 ' /� 6 to e cva (( APPROVED • ev__._.,.0 C o e vea�e C (Ciur and this set of plans and specifications MUST be s //� � h JL •nd n.s.upla''Rul•o maize any changesn ! erm.__co',am 2 Division cl Buildinge4 Safety on a piny a8TId Safely,Cay of** a to„v ar a, ., " onu apeatxav SHALL NOT 6D held 60111._ , !r isa Crr•^. Of the VIOIalIDn Of '! . ancc,, :dlur Slate law. �yfuOYLdC'18dWIJ�a� TI ese t, =.:d a rmit shall expire by lintation and Id�m huilrmi 0/w.:.: rsnc .,N.w,r, and ma: ta111E,yaddeper UBC wdhinISO y- ,l!ss ante. b • lei R[gD[RC[ RESIDENCE RESIDENCE RESIDENCE s W W W W Q IR NI. N c1/4-Ci& 2it.in• p to r DUc Tro hL r /'4J //t STREET 4 PROJECT ADDRESS: 230 E 15TH ST 0NIT` CITY OF COSTA MESA - BUILDING PERMIT PERM NO: IE 05006E OWNER'S NAME: DOUGALANI L. ADDRESS: SAME PERMIT NO: IF 050066 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE OTH PURPOSE: OTH ARCH/ENGINEER. • REG.NO.: JOB DESCRIPTION : ADDING TO EXISTING GARAGE SQFT:AOD"E55: UNIT: PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC: M-1 / ADDRESS: DUOG ALANI ( 714 ) 631-8245 230 E 15TH ST COMMENTS: RE; EMP45880 C,M, CA 92626 1f B41F)Eifi41(1(.\'X•Ylf.".p(.YKdc BFx-%#if9K;E#Y-Y.3fi!.x*.7E.N..y.%.Yi6dKg6V-i(Y.#-V,%X1FIfif YT!M.•)Fd(K*-0EYNd4i(MV,.*ifY.1E7Fi(•."•%..N.k.y,.yy..lf#.y. LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 N .I N G REQUIREMENTS 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: _ Signature: ------------ MAIN BUILDING - - --- --- --- ACCESSORY BUILDING ---------- WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR : FT IN FRNT: FT IN REAR : F'1 IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT ' IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: EXP. DATE: oMPANY: PARKING REQ: PROV: PARCEL: 42.533107 ZNE; REF NO: J Certified copy is hereby furnished. Certified copy is Med with the city Building Division. PLANNING NOTES> > •r:, Date: Applicant: iA B(-4f ie-if x x x'a aA aA X 7t'X k'k x x 4f iE 1E Bf 1A BF x x'x*1f***B(,BF'4E+E 9E BP 1f j(-1(-TF x?E iH)f Y Jf?f Y Y.*1F Y Be-x-iA{1-:a le is**x-aE*Rf**x-BE x-44 4f 9F RA if 4f Bf EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TMs section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT 5 F''B. V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become sublecl to the Workers'Compensation Laws of California. q ZONING APPROVED 12Y i � /A-�Y �� / DATE: JI Z-7 /D Dale: Signature: GiivvLe.r•u c.Le-lw�,. NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION I SS U EDLJ '—. DATE: it Z 7 4,D .. which this permit is issued(Section 3097.Clv.Cl. i(.x*a.*x x***1h x X k*'•.4-:4: a '+'.R'— 4. • - • - **** *i(**?!„it N. x.y** LENDER: Wx** SE ******+6**)F**%)Edt%Y.Y)f- -' 3fi(-iflkY1?Ex±Fif?f-lElE±f#iE1f#x.?E?EiP+E±f+c3c±f?E?E?F#lflfl4!f9r.+tiM1?f±f?fif+f-#Y-±fx#x)E# ADDRESS: LEGALIZATION:N F F E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLIC:BING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 30 , 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0 t SMIP/NON--RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV '> PERMIT' ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 30 , 00 0 00 0 . 00 30 00 30 . 00 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION •fO'fALS--> COLLECTED; 30. 00 OVER/SHORT; . 00 for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK YY I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 30 . 00 and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the ContractorsState License Law).l am aware yx.3fx-x,k.rfy.Mi(.y.3F.}x )f?FifiF?f-?f1E#?E#%1E#!@if1E#xxikx-x.N#1Ex-?Fie-ibx)fxlhlflf{Fi(•1!Y,-T6##3EiE16)E 1F IP xx4)E!E%x?(-xR(xfF4fxxx-if?f that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.8 P.C. I N D I V I D U A Lr F E E B R E A K D O W N for theason: /nj ��]J TYPE QTY DESCRIPTION UNIT COST TOTAL COST � Date: Owner: w V` K(n...� - I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and E L E 1 ELECTRICAL RE-INSPECTION FFF 30 . 00 3Q , QQ 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit tot construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. ^,,_ yn Date: • Signature:_ _"'- C` Driver's License or Social Security a: BI 0,0073033-[C07:0:iJ TO , .7::WC, 1641-46 White-Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 11/27/70 :itrE: 15:3I • • . - CONSTRUCTION AND PLANNING i POt. . SPA APPROVALS Permit# _ Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pip,-Undrgrnd. 53. Steel Reinforcement 3. Electrical'Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.• Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace I _ APPROVALS ' Permit# 21. Ducts, in Structure .- . 70. Underground Hydro 22. Ducts', Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush -• a. 24. Roof Framing • ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing . • - 74..Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical ' 27. Frame and Flashing r*,'' 76. Dry Standpipe 28. Lathing& Siding- - :i 77. FIXED-SYSTEM FINAL •29. Insulation - Ir V ; 'y 78:1IRE PR EV. FINAL 30. Drywall Nailing : "1 f i ../ HEALTH DEPT.!REQUIREMENT 31. Plaster Brown Coat h ) r'f' , 79..FINAL INSPECTION . 32. Electrical Power Meter.-Final i , ' , I 80. FOOD CERTIFICATE-ISSUED 7 33. Final Electric ` ! p "Notes: 34. Final Heating & Air Conditioning ' i I. - 35. Final Gas Pipe-Test ' I' - , 36. Hood or Canopy I ' ;-1 I � I: - 37. Final Factory Fireplace ti/? (I ' I, I; 38. Final Plumbing j: i. 39. Water Service-Final t I 1: • I . • 40. Gas Service-Final '; 41. Solar Domestic-Final , - 42. Backf low Preventer I • fi 43. Backflow Irrigation • ' 44. Landscape Irrigation System , . . . 45. Sound Attenuation• • • 46. Handicap Regulations ' - I 47. FINAL STRUCTURE & BUILDING 1 /( :• � I • 48. FINAL PLANNING. i ' i- I � 49. Electric Release to Edison • J I I; 50. Gas Release to Southern California Gas Co JI I 1, . 51. CERTIFICATE OF OCCUPANCY i' I , . No. Date • PC # / 27/ - , 9s 230 'E 15TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 044792 )DUG ALANI ' • ;AME PERMIT NO: B 044792 PLAN CHECK NO: 01271-89 S GOVT: N SUPP : N • CONSTRUCTION, TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW ARCH/CNGINi REG.NO.: • JOB DESCRIPTION : ADDING TO EXISTING GARAGE SQ FT: 119 :kDDR UNIT: t‘ CLAIM VALUE : 8 , 000 . 00 CALL—VALUE: 2,023 . 00 GROUP OCC: M-1 /_ • • - - PERMITTEE: DUOG ALANI - - , • ADDRESS: 230 E 15TH ST COMMENTS : i C.M. CA 92626 #***+r*#a * #*yr##*******+ #* ************#*yr*N-#*##*#*ar****# *#***********>E#* * ** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I 'R EMENTS • 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ------- ----------- ACCESS() BUILDING ------- -- WORKERS'COMPENSATION DECLARATION: Ihereby affirmthat Ihave acertificate ofconsent tosel-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: 12 FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 38W,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: 10 FT IN RGHT: 5 FT IN POLICY NO.: EXP.DATE: ' oMPANY: PARKING REQUIRED : PARKING PROVIDED : PARCEL : 42533107 ZONE: R2 , Ceninedcopylshereby famished. 0 Certified Copy isfi(edwith the city Building Division. PLANNING NOTES> ADDITION TO AN EXISTING TWO CAR GARAGE —. EXPANSION OF GARAGE > AND LAUNDRY ROOM AREA - Date: Applicant: *******************************************aE*iE*#st********#****#*#*IE***lE*****iEN-3E EKEMPDON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S ERVICES REQUIREMENTS _ I certifyact thattin the performances'Cp of the work for f which this permit is issued.I shall not employ any person in any manner so as to become VV i / �5L`%�= subject to the Workers'Compensation Laws of California. ' ZONING APPROVED BY uL^�i/ DATE: // / Date: Signature: - NOTICE:It,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ��� _DATE. ,4� _ Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: �z • , `// k`9 which this permit is issued(Section 3097,Civ.C). �.— ��rrJ� � DATE ' Z` UNDER: ******************************************* +t ********************************** ADDRESS: • LEGALIZATION: N - FEE SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 54 , 00 . 50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—R E S and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 35 . 10 any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($580). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING PERMIT ISSUE PLAN—CHECK ' TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S--——- ' 54 . 50 0 . 00 35 . 10 89 . 60 8 9 . 6 0 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ` his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE D.IVISION TOTALS —=> COLLECTED : 89 . 60 OVER/SFIORT:. . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with hcensed contractors to construct the project(Section 7044.Business 54 . 00 . 50 35. 10 gi and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)keens¢pursuant to theContractors'State License Law).l am aware *****#**###*******#****iE****************************i(.*.*#*#.#.N..)f*..k.**.N..N..N.********.*3t# that proof of their Worker's Compensation insurance should be provided to me. ' o I am exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N for this reason: 0 rye TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: /(/�-'! ' Owner: I GMVLa.G E/!.(.Ewsn I do herebycertifythat I am aware of and understand the requirements of California Health and Safe Corte Sections 25505,25533,and SFR 1 1 9 RES—GARAGES TYPE V 17. 00 c, 0"l 3 , 0 0 25534 and that r any future building occupant wiNwill not(circle one)need to comply with said state codes and the requirements for a END OF FEES • permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from • these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • - ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned — property for inspection purposes. ,L/ A,. Date: Ltl�$/G /� „Signature: —" ' (1IbA4A w Driver's License or Soda!Security e: - 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor . r' UCTION AND PLANNING PO SPA ALS Permit# Date Inspector APPROVALS Permit Date Inspector 1111 . A �. or�,•y Electrical Service or Pole 52. Pool & Equipment Location j /� litPipe-klndrgrnd. • 53. Steel Reinforcement ' 3..Electrical Conduit Utility-Undrgrnd. 54. Forms -. ,�' 4.. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TOCOVER-GUNITE 7. Footings I Tref-#(- t t tin f . y1/61/4 58. Electrical Conduit-Undrgrnd. 8. Foundation rt 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. / /�, 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System Llw2f 9* 61. APPROVAL TO DECK 1 11. Property Sewer Line & House Connection , /� +Q/� MO 62. Backwash & ReceptorFinal 1' 12. Sewer Cap (f !! /��7 63. Heater & Vent-Final •'S 13. Roof Drains 64. Plumbing System - Final 1 14. Rough Plumbing 65. Electrical-Final 52 15. Rough Electrical-Conduit 66. Solar System-Final "' 16. Rough Electric Wiring 67. Fencing & Access Approval . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _. . - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . - APPROVALS „ Permit #_ 21:Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating / 71. Product Piping 0 Gas ❑Oil • 23.'Gas Pipe-Rough & Test - . 72. Underground Flush 24. Roof Framing 73. 'Undergrnd.Storage Tank 0 Gas U Oil • 25. Roof Sheathing • r Z� � �7 '74. Overhead-Hydro 26.-T-Bar Ceiling (Structural) & Monocoat 6• / 75. Dry Chemical 1 27: Frame anti Flashing - r 76. Dry Standpipe _, :28. Lathing •& Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78y-FIRE PREV. FINAL 30. Drywall Nailing • -"/,r HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • ^ '�" - 79. FINAL INSPECTION 32: Electrical Power Meter-Final ' .i.' '' 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' 1 Notes: ,34. Final Heating & AireConditioning '��' . . 35. Final Gas Pipe-Test -. _ - - _36. Hood oiCanopy • ..�. ; , -- - - • • 37. Final Factory FireplaceJ•.% • 38. Final Plumbing .. . , C , 39. Water Service-Final - - "40. Gas Service-Final ' .41. Solar Domestic-Final - - i:, 42. Backflow Preventer- •"i"' ' 43. Backflow Irrigation • - 44. Landscape Irrigation System • •• • _ 45. Sound Attenuation - • ' • 46. Handicap Regulations J - 47. FINAL STRUCTURE & BUILDING 3/� ' ;:pil- 48. FINAL PLANNING _ `''j �" • 49. Electric Release to Edison 1r' ..!- , . . 50.-Gas Release to Southern California Gas Co - _ 51. CERTIFICATE OF'OCCUPANCY No. Date PROJECT ADDRESS: 230 E 15TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO, 18 0.:0061- OWNER S NAME: DOUGALANI ADDRESS: GAME PERMIT NO: IB 050065 PLAN CHECK NO: N GOVT: N SUPP; Y CONSTRUCTION TYPE: V-N PERMIT TYPE; DTH STR PURPOSE; ADD ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ADDING TO EXISTING GARAGE SQFT; ADDRESS: ' UNIT: - • CLAIM VALUE: CALL-VALUE: GROUP OCC ; M--1 / • PERMITTEE: Do OG ALANI ( 714 ) 631 -9245 ADDRESS: 230 E 15TH ST COMMENTS : REF 844792 C.M. CA 92626 *x***,>'**YEac.M.****favdc.ky,.vgS.********?CdEY***??a!* *ac.)<x.)L******Ky:***v****?yxrrv,—*w, Ess Mv.kcs;s.r.i>: LICENSED CONTRACTOR DECLARATION: I hereby altirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS ' 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date. Signature: _...----._---..- MAIN BUILDING --- ---- •----- ACCESSORY BUILDING ---•------- WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenilicate of consent to self-insure or a certificate of Workers' FRNT: FT TN REAR_: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereat(Section 3800.Lab.C). LEFT: FT IN RGH9 : FT IN LEFT: FT IN RGH T; FT IN POLICY NO.: EXP.DATE: diCOMPANY: PARKING REO PROV: PARCEL: 42533107 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: ****.***+(***x.*************************3Fi41fiE ******if**?EiF+f?f*?EifiFlf*******4E****xif***If* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($tut)or less). DEVELOPMENT S E R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issue I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. 0.1 ZONING APP ROVED BY - e ' DATE: // Z q 7 / D Date: Signature: 0.444.4,4 NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING AP PROVED BY : DATE: - Code.you must tonhwlth comply with such provisions or this permit shall be deemed revoked. / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B 7— DATE. /4 Z 'o • which this permit is issued(Section 3097,Cw.C). *******x-Y.)Fx)f*******. ' - —' r-i•�-s'u„r' - .- • : • • • '-TF7*****.****** ****acap*** �."** LENDER: ***:*x*********************** - '** ,)E±F**. .*?t i(•***?t** **?f+E?fac+f***?f*+F*Y..fE*-Y?f?E*.*v.* ADDRESS: LEGALIZATION:N F E E C U MMA R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 30. 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM IP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING 'DIV'-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS-----> 30 , 00 0 . 00 0 . 00 30 . 00 30 . 00 . . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. IL however the building or REVENUE DIVISION TOTALS-"> COLLECTED• 30 . 00 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30. 00 oc and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts tor such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***%****-x****if**************.****NI-*********.**********i4*if**.***I+********.)L.*if******* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.8 P.C. for reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner ' e -'0 ecINS 1 BUILDING RE-INSPECTION FEE 30 . 00 30 . 00 I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements tor a permit fur construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: • ' I hereby cerlily that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ' 01 06075032-0007 property for inspection purposes. �q032 TOT "..l tt0 Date: Signature: C.,. ....�i 0E7iL: 11/27/90 TINE: 13(71 'IN Driver's License or Social Security 0: 1641.46 While—Building:Green—Code Enforcement-:Canary—Applicant.Pink—Revenue:Goldenrod—Assessor lit CONSTRUCTION AND PLANNING POL SPA APPROVALS Permit# _ Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pjpe-cindrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, D Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace _ - ' APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping D Gas 0 Oil 23.'Gas Pipe-Rough & Test . , 72. Underground Flush" - 24. Roof Framing • ' ' . 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74.-Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75:-Dry Chemical 27. Frame and Flashing ._ 76. Dry Standpipe 28. Lathing & Siding - .; • 77. FIXED SYSTEM:FINAL 29. Insulation , - „ i i (; 78. FIRE PREV. FINAL - „ ' 30. Drywall Nailing I I- + HEALTH,DEPT. REQUIREMENT 31. Plaster Brown Coat .- Ci , 1 : 79. FINAL INSPECTION 32. Electrical Power Meter-Final , 4 I, fir, , SO. FOOD CERTIFICATE ISSUED , 33. Final Electric ' - i I �,I; ' ' Notes:_, , r' , 34. Final Heating & Air.Conditioning • . I IJ,: , f - - , r , . • 35. Final Gas Pipe-Test ' li 36.'Hood or Canopy . i '. . ';/'. s- • 37. Final Factory Fireplace ,I . 38. Final Plumbing - j 'I� 1 Il • 39. Water Service-Final . I % 1$ Il' I., 40. Gas Service-Final ,, il, , , 41. Solar Domestic-Final - i j I ' 'h . . 42. Backflow Preventer. I , , 43. Backflow Irrigation: - 44. Landscape Irrigation System - - - i •, • . • 45. Sound Attenuation- 46. Handicap Regulations - - .. ' 47. FINAL STRUCTURE & BUILDING YO -+48. FINAL PLANNING • .' Al !1�/L All , 49. Electric Release to Edison .r. � , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ; , , No. Date , , PC# /�7/, gds PROJECT ADDRESS: 230 E 15TH el' • UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 044934 OWNER'S NAME: DOUG ALAN I • ADDRESS: SAMEPERMIT NO: P 044934 PLAN CHECK NO: N GOVT: N SUPP• : ' N . • CONSTRUCTION TYPE: - V=N PERMIT' TYPE: PIU ' • PURPOSE: NEW ARCH/ENGINEER: " 'REO.NO.: JOB DESCRIPTION : ADDING TO EXISTING GARAGE r#B44792 •SQ FT: ADDRESS: UNIT: - , CLAIM VALUE: CALC—VALUE:' • GROUP OCC: M--1 / { PERMITTEE: DOUG ALANI . • ADDRESS: 230 E 15TH ST COMMENTS: 'PERMIT FOR PLUMBING FIXTURES ONLY NO STR • ' • C.M. • CA 92626 * EN *** _ UCQENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I " R E M E N T S • 700)of Division 3 of the Business and Professions Code,and my license is in full force and effect. • SETBACKS s CITY LIC.: ' STATE LIC.: CLASS:- • Date: Signature: MAIN BUILDING ACCESSORY BUILDING • WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self:insure ora certificate of Workers' FRNT:• FT IN REAR: FT -I N FRNT: FT . IN REAR: . FT IN' Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: • FT IN LEFT: FT' IN RGHT: FT I IN POLICY NO.: - EXP.DATE: , COMPANY: PARKING REQ: • PROV: • PARCEL : 42533107 ZNE: REF NO: • • Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES> • , Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V' I .C E S', , R E Q U I R E M E N T S I certify that in the performance of the work for which this permit is ued,I shall not employ any person in any manner so as to become • subject to the Wo er5'C pensation Laws f California. DATE: /(k n^,,_ O /� �J ZONING APPROVED BY ,J-. Date: E:/// `y this r'you shouldure: ✓bj I•�"W L' cny' / . NOTICE:If(after m king declaration,you become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: • Cade,you must forthwith comply with such provisions or this permit shall be deemed revoked. ;: , CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: 0 A c " ILS' ' which this permit is issued(Section 3097,Civ.C). *.*.*.**.*********.********.****************.*****************************-.iF ' F3F7FiF�, *, LENDER: **********************************************I1!*******************************4 ADDRESS: • LEGALIZATION • :N - ' FEE • S U M M A R Y ' STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES • GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 8,00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—'RES • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • and Professions'Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). I S S UE FEE ` • .3 . 00 • , I, as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILDING—DIV—> • PERMIT ' ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——>, 8... 00 3 . 00 0. 00 11 . 00 • 11 . 00 . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or • improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build ar improve REVENUE DIVISION TOTALS--> COLLECTED: 11 .'00. OVER/SHORT: • 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT 'GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 11 . 00 ' RI and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • . and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ********************************.********************.**************.**..k********** that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A lr F E E BREAKDOWN . ❑ I am exempt under Section: B S P.C. for thisr7n: ''///� TYPE QTY DESCRIPTION UNIT COST • TOTAL COST • Date: / 1/� (owner:' Cwt�L.4% L-�C�/4..nan �pLU 1. BATHTUB 2 . 00 2 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 SINK, KITCHEN 2 . 00 2 . 0 0 '25534 and that I or any future building occupant wil/will not(circle one)need to comply with said state codes and the requirements for a p L U 1 WASH BASIN . ' permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from 2 . 0.0 2 . 00 these provisions. PLU 1 WATER CLOSET ( TOILET) 2 . 00 2 . 00 • • END OF FEES • Date: . _ Applicant: I hereby certify that I have read this application and state that the above information is correct.1 agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned _ .. . property for inspection urposes. a.....14411"14' l.�VV Date: ' bgnature: v✓VVWf if � 0'y7.y.i . :4;4i-es? (\ Driver's Licen a or Social Security A: i i.c. . .b . • 164146 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor S CONSTRUCTION AND-PLANNING 7 PO SPA APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - • r24-,Soil Pipe-Undrgrnd. �!/t� 53. Steel Reinforcement • -" 3=Electrical Conduit Utility-Undrgrnd. • 54. Forms '-;4. Electrical Conduii Undrgrnd. 55. Electrical Bonding . • 5. Steel Reinforcement -- 56. Rough Plumbing & Pressure Test j F- 6. ElectricalUFERLGrnd. 57. APPROVAL TO COVER-GUNITE t4 -. 7. Footings 58. Electrical Conduit-Undrgrnd. f H 8. Foundation i--- • 59. Gas Pipe, 0 Undrgrnd.,Test - .... ct 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • T) 10. Structural Floor System 61. APPROVAL TO DECK :a) z 11. Property Sewer Line& House Connection • 62. Backwash & Receptor-Final _, 12. Sewer Cap `;• 63. Heater & Vent-Final T./ 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • . - 19._Flough Heating &Air Conditioning t.-1.:34n 7.. , it: -FIRE_DEPT. REQUIREMENT, _ _ 4 20..Rough Factor',y Fireplace -• .. z APPROVALS Permit # - -. • - - . ' 21.-Ducts, in,Structurre, "� .- - ` ..70. Under round Hydro r r. _ •c F-. .c C: �-. fl V. -h 9 - 22_Ducts, Ventilating'I. _'• r C' . , r t; c ;71. Product-Piping D Gas 0.Oil ", 23.'Gas-Pipe.Rough &Test `7-7C 1 "" Ti 'r'' t' :72. Under round Flush ' - (ir : rig ^r r;C` /.. t' g _ - • � - A d' 24:Roof Framing - K ._, _ I -I ., r ..73-:Undergrnd.Storage:Tank 0 Gas 0 Oil 25.aRoof Sheathing J'' a - 4 n F 74.•Qverhead Hydro:,.. ` 26714T-Bar Ceiling (Structural) &'Moriocoat , _ -.. - `^i• . 75�Dry Chemical � . _ . . _ c _ - -_ i 271-Frame arid Flashing - _=' - - >s 76. Dry Standpipe 3- , . _ r28. Lathing:& Siding .. , ,- ; .:: x 77::FIXED SYSTEM-FINAL- • ' r.29. Insulation Sy * '77z. 7$; FIRE PREV. FINAL - X30. Drywall-Nailing c r, _ r.. Ir xc,' 7HEALTH DEPT', REQUIREMENT -31. Plaster Brown Coat% -r " if: ii' s 7-79. FINAL INSPECTION ' _ - '✓. 4 K• a. - - r- %32.-Electrical Power Meterri-Final ,r. p 80.400D CERTIFICATE ISSUED -- :e:33.:Final Electric. 7x n _ '-C 1 r Notes: - ^' .7; _ - +f "•,k C T 1: P I t - .71__ •- _ ''34:FFinal Heating & Air Conditioning ti (.44 44 35T-Final Ga6 Pipe-Testi --i•. 1 a• x So "^ ,: l36`Hood of Canopy;' _ , "•'7 a "l h: e.. �c c a • ^37. Final Factory Fireplace:: - • , I 1 .h: • = ^ !38. Final Plumbing ,- r. /��h+// S _ ' -139. Water Service-Finale is t .- r -.- c r 740. Gas Service-Final + "•"r _ r `i ' • Z.- ,37: n. •=41. Solar Domestic-Final'- Y _ 1 L. -,c• _ 42 Backflow Preventers 2 a ` .... J i " (-Jr...-. r: 4 :{: .. . .- - 43. Backflow Irrigation- e: ac * V - r44. Landscape lirigation System;'" .o-; ' ` _ - �� - . e _ - it - i745.-Sound Attenuation 1 _ Y-46. Handicap Regulations - , a - c -47:F INA L STRUCTURE & BUILDING r -- ,e: 4 48:=FINALPLANNING `- -- r ' ` ,49:.Electric Release to Edison : w; • '• S0:-GacRelease to Southern California Gas Co i.: ,' -' - ' -51. CERTIFICATE OF OCCUPANCY - - ' - - No Date PROJECT ADDRESS: 230 E 15TH ST UNIT` CITY OF COSTA MESA - BUILD.ING PERMIT PERM NO: IP 050065 OWNER'S NAME: DOUG A.LANI ADDRESS; SAME PERMIT NO: IP 050069 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V-N PERMIT TYPE: OTH PLU PURPOSE: 0TH ARCMIENGINEER: _ REG.NO.: JOB DESCRIPTION : ADDING TO EXISTING GARAGE - SQFT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: M-1. PERMITTEE: DUOG ALAN( ( 714 ) 631-8245 ADDRESS; 230 E 15TH ST COMMENTS: RE: EMP45880 C .M. CA 92626 xx�E>E�E *x�E>F***r.- x�E�E*x ,��E�F* 4**�F>E•x*i *•�Ex>ETE�E�c-�E�Ex>E*:L�E�P*+6+ **>!**�E ***.m.+6�Ex�6***>F+Eu*%***>F�; LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000(of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S CITY LIC.: STATE LIC.: CLASS: J Dale: Signature• ------------ MAIN BUILDING ---- -- -•- ACCESSORY BUILDING ------------ WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNC: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: . COMPANY: PARKING REQ' PROW: PARCEL: 42533107 ZNE: REF NC): Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ******************x*********df**x*******-)E******iF.%*******lh T(********14Y*********xx* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). ' DEVELOPMEN S E R V I C E s' & Q U I R EMENTS I certify that in the performance of the work for which this permit i issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY _ - _ —� �'- �— DATE: /C/ Date: Signature: u �n+.. , NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED IS Y : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r�� . CONSTRUCTION LENDING AGENCY: I hereby affirm that(here is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; _ ,—�� — DATE: � L.�7 / O which this permit is issued(Section 3097,Civ.CI. ****************x*Y.)r%'iR*#F**. ia,i.i.ss-"'�.-4-�:-- - " '-'_ " " - ' ******?f***"iiFF ********** LENDER: ************************ *** ' "Er �, ******dE**********************************?E* ADDRESS; LEGALIZATION:N F E S U M MAR Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING F ECTR IC MECHANIC FIRE SMTP/RES ' GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT - 60,00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 ' pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by P LAN • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILD ING 'D 1V > PERMIT ISS E PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS---- -> 60 . 00 0 . 00 0 . 00 60. 00 60 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS COLLECTED ; 60 . 00 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK W I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 60 . 00 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the Contractorrs Slate License Law). l am aware *********u*******x.X.:t x.***********************x?E*4E*****?P********************>E**Of* that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: 8.a P.C. I N D I V C D U A I. F E E BREAKDOWN for this reason: / TYPE QTY D E S C R 'I P T I O N UNIT COST TOTAL COST ..� Date'. Owner. /WWCG alCM... Ido hereby certify that I am aware of and understand the requirements of Califa nia H�ealth and Safety Code Sections 25505.25533,and PLO 2' PLUMBING RE-INSPECTION FEE 30 . 00 60. O O 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned • property for inspection purposes. © // -rr- Date:' Signature: C c€A4L�v' �""`' 01 Ot)D7.`'(131-I}Jv7�JL 31 y Ci J �:,J:] DATE: 11/27/90 TINE: 15; Driver's License or Social Security x: 30 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 1 I / -• CONSTRUCTION AND PLANNING POL . SPA ' APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ///���... 64. Plumbing System - Final 14. Rough Plumbing 3/ Z"f/ > yy j 65. Electrical-Final 15. Rough Electrical-Conduit 1`��v 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace •- _ APPROVALS ` Permit# • • 21. Ducts,in Structure - . 70. Underground Hydro 22. Ducts, Ventilating • - I ' i ' 71. Product'Piping O'Gas ❑Oil 23. Gas Pipe-Rough & Test , : 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing '� _ ' 74. Overhead Hydro • ' 26. T-Bar Ceiling (Structural) & Monocoat ' c 75.-Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • , 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation • �' ' . ' 78. FIIRE PREY. FINAL • ' 30. Drywall Nailing • i' t HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . ' }„ k �• . 79.` FINAL INSPECTION ; • • 32. Electrical Power MeterFinal •` • II ' • 80..5,000 CERTIFICATE ISSUED s • 33. Final Electric - � �' '.Notes: . 34. Final Heating & Air'Conditioning :'; (' ' .. 35. Final Gas Pipe-Test • II IL'. li ' • • ' • 36. Hood or Canopy • ,- tl I•• • kt., . 37. Final Factory Fireplace ' -• � I I I: .(-1 ' s• ' ^ 38. Final Plumbing TI&'I � / r ' . • •µ39. Water Service-Final . i s+ t /I[•(• III I; ! • • '-' 40. Gas Service-Final . 'i I' I; , 41. Solar Domestic-Final I I 't : � • - • ' t ii 42. Backflow Preventer. I i- ` 43. Backflow Irrigation• - • _ • 44. Landscape lgigation System . _ - • 45. Sound Attenuation i i : 1 . 46. Handicap Regulations - i l - 47. FINAL STRUCTURE & BUILDING I I .i I. • , • 48. FINAL PLANNING' i • 49. Electric Release to Edison + i I r Ii r 50. Gas Release to Southern California Gas Co r) II 4� , 51. CERTIFICATE OF OCCUPANCY !/ ; 1, ; . . No. Date PROJECT ADDRESS: 230 E 15TH ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: LM 050068 ` OWNER'S NAME: DOUGALANI ADDRESS: SAMEPERMIT NO: CM 050068 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: 111\1 PERMIT TYPE: MEC OTH PURPOSE: OTH ARCH/ENGINEER: . REG.NO.: JOB DESCRIPTION : ADDING TO EXISTING GARAGE SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC: M-1 / ADDRESS:TTEEDUOG ALAN ( 714 ) 631-8245 a 230 E 15TH ST COMMENTS; RE: EMP45880 C-M. CA 92626 ****•********4** E***4E**%r*M*************%****%4r*******r.-***;6 . ,*.*..**.*.*.*:%ac(****-***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: •SS: Date: Signature: e_'b AI i 1401. • MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT : FT IN REAR; FT IN FRNT: FT IN REAR : FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY ND.: EXP.DATE: COMPANY: PARKING REQ: PROV; PARCEL: 42533107 ZNE; REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division, PLANNING NOTES> > Date: Applicant: ********************r.*XX XXX*********************************%*X.**************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). 0 E V !i I.. O P M E N T S E R 'V I C E S ' REQUIREMENTS I certify that in the performance of the work for which this permit is issue I shall not employ any person in any manner so as to become - S subject to the Workers'Compensation Laws of California. q ZONING APPROVED 33 Y' `- - - / I • Z7 •90 GAY a DATE: Date: Signature: Z NOTICE:If,atter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must fonhwith comply with such provisions or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ' / 7 n which this permit is issued(Section 3097,Civ.CI. APPLICATION ISSUED BY;=- - D***• ** �#*- " LENDER: *********************X X•X1.1'X******* • R.* ' *******?6*******?E3E1(****************?f* ADDRESS: LEGALIZATION:N F E E S MMARY STRUCTURAL SEGMENT: N • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRI MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 3 0 00 repair any structure,prior to its issuance.also requires the applicant far such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUIL DING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----'-> 30 .00 0 . 00 0 . 00 30 . 00 30 . 00 . 00 ibdoes not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOlf\I,:x ' '> COLLECTED: 30. 00 OVER/SHORT': . 00 for the purpose of sate). BLDG PMT PLIIMIi I:NG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 30 . 00 gc and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with aconlractor(s)license pursuant to the ContractorsState License Law).I am aware ***X.*.***r*XX*Y.•X**!FrN****%****************r***********************?4;IE**if*****iE*** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for his mason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: OyKulL 0-4,-...., I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 MECHANICAL RE-INSPECTION FEE 30 . 00 30 , U 0 25534 and that I or any future building occupant will/wilt not(circle one)need to comply with said state codes and the requirements for a ENI) OF FEES permit for construction or modification from the Air Quality Management District,Residential construction applications are exempt from these provisions. • Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 0: 0007z.:5.30-:Orr i"C T;`Y ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned DATE: 11/2(/QO TIME: 15.24 7:.0AJO property for inspection purposes. �] • Date: • Signature: a • �� � I C/�e-.f'.G/L.4. c' Driver's License or Social Security#: Applicant:Pink—Revenue:Goldenrod—Assessor 1 CONSTRUCTION AND PLANNING POO�SPA,. • i APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector r- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.• Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE -7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final " 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS . Permit # 21. Ducts,in Structure _ _ 70. Underground Hydro 22. Ducts, Ventilating ' ' 71. Product,Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test ; ; 72. Underground Flush- 24. Roof Framing • ' I. 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' • 75. Dry Chemical 27. Frame and Flashing , . 76. Dry Standpipe • '28. Lathing & Siding• 77. FIXED SYSTEM FINAL ; 29. Insulation • • ` r. 78. FIRE PREV. FINAL 30. Drywall Nailing t,; ,•.,• HEALTH DEPT. REQUIREMENT '31. Plaster Brown Coat • i . �� 79. FINAL INSPECTION •32. Electrical Power Meter-Final •• • , . r-'t! I 80. FOOD CERTIFICATE ISSUED Il 33. Final Electric ' 1-' / 1 I :l ;.d ' Notes: - , I , t 34. Final Heating& Air Conditioning - /41 35.-Final Gas Pipe-Test ' t •' - - , ' . ' . 36. Hood or Canopy 11 I :1 6 • ` ` - 37. Final Factory Fireplace ) , ;j{: ; . 38. Final Plumbing (151.W1 .1 ' 39. Water Service-Final + • 'i I )1 I r , . , 40. Gas Service-Final I � , � I, ; • _ . 41. Solar Domestic-Final 1 I I ••- j4 } • I 42. Backf low Preventer . 1 I; ; • 43. Backflow Irrigation - ' 44. Landscape Irrigation System . , , - 45.•Sound Attenuation ' • ' r 46. Handicap Regulations - 4 47. FINAL STRUCTURE & BUILDING ,.� • ,-ii •' • • 48.'FINAL PLANNING . ' I ' 49. Electric Release to Edison 1 ; •h 1 50. Gas Release to Southern California Gas Co - ; .,!...7: ' • 51. CERTIFICATE OF OCCUPANCY . No. Date AUTHORIZATION TO DUPLICATE OFFICIAL PLANS (Owner) C _ 1, �cDu L (An t. , hereby declare as follows: (Check One) I am the original owner of the building(s) or structure(s) located at Costa Mesa, California. I am the currentowner_of the building(s) or structure(s) located at Z-3° 1.;, /S el" Si , Costa Mesa, California. I am the authorized agent of the board of directors or governing body of the association established to manage the common interest development located at , Costa Mesa, California. I hereby give my permission to the Building Official of the City of Costa Mesa to copy, or cause to be copied, the Official Plan(s) for the building(s) or structure(s) hereinabove described pur . - .t to Section 19851 of the Health & Safety Code. \\ s/ kS---c_ Date: /6 2 3 Type or Print Name ,I l 1) AFFIDAVIT RE: /� PLAN DUPLICATION I,�U.4 /-�Ci'w1 [ , hereby declare that I am the person requesting duplication of the official copy of the plans maintained by the City of Costa Mesa Building Division for the building(s)/structure(s) located at 2.2;3 C , /Sm sf%ceef I Costa Mesa, California, and: (1) That the copy of the plans shall only be used for the maintenance, operation, and use of the building; (2) That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record; and, (3) That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also a proximate cause of the damage. I certify under the laws of the State of California that the foregoing declaration is true, accurate, and complete to the best of my knowledge and belief. s/ (To �be signed in presence of Notary) To 1 Jl`J LAS SI:b• Ali‘-v1 Full Name (Print) 233 E. / 7M Sue r- Street Address 4„. CSI . Cit and tate 1 ~ , 1 NOTARY State of California County of Orme Subscribed and sworn to before me this „�rj / day of nhau" 19 2 By J&sIkzr. (k ck—AcMGt' // ///��� �) ' > (SEAL) ��s{( ( .yr/ Nota 's Signature S BETH 1 wgnwi *.** NOTMYR81lC•S�IfQCM _ef lige=Oates Dal 21.1.. (MISC89. 008) 2 OWNER MORI, MR.A.R. DATE 10-11-60 JOB ADDRESS 230 E. 15th St. BUILDING PERMIT NO. 13033 GENERAL CONTRACTOR Martin Steigner VALUE $ 2,.53 ,00 AP.No. 117-1141z-56 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add Redrm.W Rath INSPECTIONS A,fryDATE I GROUP I TYPE V ZONE Underground So' .G. Water if.//-T PERMITS ISSUED Underground Gas SUBCONTRACTOR .(+i /p.,rfv DATE NUMBER Overhead Water and Gas Rough Heating h 1A/ /$../-G8t -a7_, 60, is-/Q-6 a ol (6 a y•"" Rough Plumbing 1 ./ I /9 ^l.CA (26,,,cv ,.... ,e)--/g-i, „9 6 6o y /.- Miscellaneous '”` Prop. Swr. Line Rouse Con. St. Swr. /� Sprinkling System ,.V Heating, FinalM- R.' Plumbing Fixtures w 12.01)05-Y ' Final Gas Test #s .4 er)0M' 0.7' " Construction Pole --- Underground Power //II Rough Wiring _ ([,p Z-}J-Cocize 4.44_, eg,./%./P-be) 1._Sd ✓ Trenches f 134j-FormstWW k:Steel to-pi-t,19 Floor System fSreg 4 /0"-ZQ-6a Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing pA'j 11-1 -t,' Lathing, InpY®V— Out /M/MY- /7 ../5"-6,8 - Plaster, brown coat A/U'- ,2-20- be Plumbing Fixtures, FinalElectric Fixtures, Finl ' pi,' Building, Final it--i.-' yo' OCCUPANCY Lam'7C! Form 210-5M-11-59 5-8 P 13033 7.3033 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT /�1 P. O. BOX 917 COSTA MESA. CALIFORNIA V ‘ //--ba-9 e P For Applicant to Fill In Completely APP'�F��GCME RSA T TYPE OR PRINT BUILDING BUILDINGA ADDRESS V O a-- 15 LE Sl- COSTA -r COSTAMES�AA. CALIFORNIA For Office Use Only OWNER 13/441', AA . 1_ ort RECEIPT NO. I 2 '� 3 MAIL l RE�H yy6p '? DATE RECEIVED DATE SUED ADDRESS 'z-AO E. IS—5 % S• '�✓"'1�P /1Q -//6Z //I, J TEL. BUILDING� F y Tr.V CITY Co t& MCS A NO. ADDRESS �o V ARCHITECT TEL TA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE (//) ZONE j\LJ V /TYPE �f GROUP Fes. CONTRACTOR/ MA/1ih S lEIS'Act AP BY YE ` c/ I ( DATE/O�/ /A ADDRESS LD ori W. at RPMkI AVE tt H �k IRONING ZOI NO.OF USE OF NEW CITY OVA[ Q I PLANSBUILDING STATE LC.NO. I ([ 426rtlTEL. NO. Ula 2•(t�44 LEGAL DESCRIPTION POR Lot CJ \\}}}L fi l SIZEOF LOT 6 Q Y 13 Co I NO. OF BLOGB. I / 0 (� f i , /I ` 0 / NOW ON LOT A.P.NO. ,/ L/(. h USE OF �n YARDS EVES EXISTING BLDG, r C S Ib r ni r APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.)/� /4/ /yam CENTER OF STREET p�oY REAR YARD 2 QY FRONT aAd •,Fi // --""--21( IN. / SIDE YARD I LEFT n- 4II I RIGHT I O , R.SIDE /OFT. T IN. DESCRIPTION OF WORK L.SIDE . IFT. IN. NEW I II ALTERATION II ADDITION I 21REAR .. 4 FT.r /J IN. ' REPAIR I II MOVING I V DEMOLISH I BYPROVED/ „VEW DATE BUILDING ' NO. OF n ,}'� SIZE ri .F -Z C)I ROOMS /. STORIES I '.A/l J ( /0 - //ih EXTERIOR WALL ROOF C I J V 1 COVERING °ST°CC C1 COVERING J u IIU CLC. USE OF BUILDING AND WORK TO BE PERFORMED ”r Ly Atb laic '13Fd4 nosl, &Mb 911 A aj4 it,Aitl I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATIONAAO SIGNATURE OF '"'" i i I PERMIT FEE $/U N PERMITTE A -A p0 pp R 1 S 7 5 4- PLAN CHECK $ p AUTHORIZED AGENT TOTAL FEE $ /' a