Loading...
HomeMy WebLinkAbout227 23RD ST - Building Permits • • `0 ' M 9 CITY OF COSTA MESA 4 BUILDING DIVISION Fy. t' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT / / B01-01101 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. �LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 227 23RD ST Status: ISSUED Suite: Applied: 07/16/2001 Vicinity: SIDE PROPERTY LINE Issued: 07/16/2001 Parcel Number: 42607407 Zoning: Applicant: SHEFLIN, STEVEN ISSUED BY: Address: 227 E 23RD ST Phone: (949)642-0792 COSTA MESA,CA Zip: 92627 Owner: SHEFLIN, STEVEN W Address 227 E 23RD ST Phone: (949)642-0792 COSTA MESA,CA Zip: 92627 Contractor:• OWNER-BUILDER Address: Phone: Zip: License: 0 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT CONSTRUCT 27 LINEAL FEET OF NEW BLOCK WALL; 10 FEET 36 INCHES IN HEIGHT(WITHIN SETBACK)AND 17 LINEAL FEET 6 FEET IN HEIGHT(BEHIND SETBACK). FEE SUMMARY Plan Check: $17.26 • - Calc Valuation: $540.00 Permit: $26.55 Claim Valuation: Moo SMIP Res: $0.00 SMIP Corn: $0.00 Other $0.00 Inspection: $0.00 - Total: $43.81 - 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 Existing: 0 Required: 0 Proposed: 0 NOTES: 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 fora 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) • 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. ❑ 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 carrier and policy number are: Carrier: 'I Policy Number: (This section need not be completed it the permit is valued at one hundred dollars($100)or less,) ❑ 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 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 comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL-AND SHALL.SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,ODD),IN ADDITION TO THE 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.Lie.a Class x 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: Lenders 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 and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit ubjects the applicant to a civil penalty of not more than five hundred dollars($500).): - I.as owner of the property,or my employees wit wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code: •, Co rectors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or • ous his or h: own': loyees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one ye"El • elation, a ow e builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of th • ••rty,am EX LU'V LV CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contrLicense La d.:s of apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuantr:Co acto . ce e Laws.). ❑ I am axe .•t u -: . Business and Professions Code for this reason: - — - - "Signature: . 4 , r-- - - - . L.Date:_ 2 0 7—/ 6 re, ( J __Owner ID ve 'ed by driver's tic: se. Yes ❑No Driver's License No. _ ___ Expires: 172LJ fir- ' Verification of Ownership by ype of document,i.e.-property tax bill or deed): J 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 Cade). ❑ 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 Safely 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? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions, that a Business Plan be filed 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? ❑Yes ❑No (Section 25533 of the California 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 then 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 application apermit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? LJ Yes Ll 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? 0 Yes ❑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: Date: CERTIF1CA : OF ••MPLIANCE • 'IZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct I ad,: ,amply with al a la . d city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov: descry'=•F•roperty or ins.- on p Art: es.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspeption. r _, - 07� e�o1 A n atu ./ :I'l-Legal Owner(s) j Date ) And/Or Authorized Applicant Date ;ODE I INSPECTIONTYPE PATE IfIIALS CODES CISPECNON TYPE PAIS INmTALS 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 204 Final Demolition 250 Final Building/Occupancy •THIS SKETCH I5 FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN T-'&9 IN HEIGHT SHALL ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBAOC AT LEAST 10 FROM FRONT PROPERTY LINE AN ACCURATE REPRESENTATION OF Det PROPERTY IN CASE TILE SHAPE AND SIZE W NOT CORRESPOND •SOLID WALIS/FENCES SNAIL NOT Dann V IN HEIGHT WITH THE INFORMATION PROVIDED ON T70SSHEET. WITHIN 10'OF INE FRONT PROPERTY LINE a4OT CURB 124E). •VERWY DISTANCE FROM CURB TO PROPERTY LINE 7� I b I1 I AND SHOW ON PLAN. VERIFICATION FROM THE CUTS D iVi ION OF DUILDINNG SAFETY ENGINEERING DD/5/0NtSREQUIRED.CALI.(ni)mime CITY OF COSTA MESA FOR INFORMATION. APPROVED rOe v� J� ^rsbet o1plansa spe aalia�stUSTHiekeptenthisjabata8tinesartdItistriatM10 • take my• : •- abetalionansame%tutwi tenpemissionhamthe DAsbno Suiting a.MSafetyI't/o? Pug. • ibaslarrr` :0.d planndweidosSHALL NOT beheld topemmtatobe avowal of the ria' 'n of or ovr' . • .`. . " •.. . einem and/ Stale law. These on mid m"04!c pia Ey enit..al!on and blame and void It building or emtkisn21 .17. .ai�xnd .. asKuaairx 50,39304 hht00daye fissuanoe. _ f3D1 Oa. iqx V� +� ' S . 'tall s 1 'V D _ _ • CITY 0 COSTA MESA • P . NING DIV. I SUBJECT TI' BLDG. DEPT. REG gt BY 4/(41-- DATE 7 . i • a la V • . a ‘. i ' g 1 1 RESIDENCE 4[90[X¢ t3SIXM¢ NC51¢M4 F 22-7 W •. V 6 ' ii -r .•MEN piooK fly, gr eA4X 236E STREET BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION ) • 't•i.1,-,:•$,,7;c 4:::(1.1.;i: • • . . • • . ntu iC re Om.)pg ti 600 x 1 2.00.0t77524b 3Peq),;v7atn.4..&...:.-giig.t.;;tefcigtzt•,,,:!......1..gr-glaritacc.t? „„tiliMi‘v IL9H-g.r:itf.5472.rictiL.tfrifis • picture •,.riMbirtrn7. -,-;..7•4'4,-7,c-'4 ;74. ,L•r-.4•::.21••.4-••14-12.7;i247;47:.-4a.,74:7.7-4->i<CfP.???.'';', 7 lt:.7""1'4u".:4•ArrKi,t$W1-1>B•44-C,"e;La.:?7•4)::•:'•--!''.•7AFLtt'Ll.7.•":-9.L.c4116,G):ArtVitilf4i 1; LIZ14.4,P.;ibt, ,f47q-7,4••W47.417-7-•2:n...'*--.5.71"-et- •,-: Lir.7••••••• -•;••=m--..•.7SCA'.74a1;1144..1.`f.0' . ' C.:'''‘3171 '':L 144;:"LX 'F4C4:rr''.••.1447-7,-;d1;;L:c .L;;.•L''';4 '•77.'S.:1e ;-..it'::".:1-...-I-cc:7t1'.(g-e; e ....ar.;?gi-;_-..t.; Sza,t1;II%ag,> erfpirA...cy 1. Ite:2..0:141?:.' ‘L."‘•:,•,-'1'r, " 4;7*-Actrit4.tttjciit17::: .-?:::: g-:. ggigl:Alkj/4-f-th vifstcli-',...V(4-":":: , 1201-4.i e;s it„74:, •• ,••ri2.:itt 2:,...1:tr...!..}I...etc:kg. :„.:pitct.)e-..;;;;,:jr.tr-c44%-:::_z.t.;•"?..".5.,:,---,..:.;."-::jr:S..M-:gig...51-2,-..,7-r,. .. tki-4:•:: f.,-,- 0,4,!,,,:7 . ' .. z.,,-;i4.:4,1 ..ma,:isi.,A7,vY.4,..t.•!');„.:;,:ti4 ':•-..2.- 4-liF 1:,..a i•vs. . ::4P,...k.ir. ..':...... i, ,,,q.r.,-..3r.bilyikg.' ..'4`;:',..,i'go'ci4i-eif:-1, -.•:::',--If- ,cA-,-,-,-;:44..--•ii•-,-..vir.,,,:- , I' g tr *'6.7.i........;,_:;.fr,A!:,t i • ..: . :":".-g.:Wol; '.I 2i; .31 .ilek..:Liqs:'3$-::-.-1"4, -" . ..- . . :ttri.;q5-147:at'rz-t‘'Ilti: . tt?....:.2;•-, -..'.g ;..1 Li E:'1ig'le:C... 1:.igz-:.. ir,r,....I7.-zg,*31...? c "..:- 7.,;;:ttgg::.,..-ett..32i;:r:.;.k. g:titc,-.42;: .. .'.::,?.f.:L-.:, • ":;::.:...' •' ; . 1!: i'Vr:I:::. L"-;:gr- i "1., . ..V.;c• * .....:,,47.1-2.:. ....,-:',.- .;'.. .-- ..- .. A• - ' --..,_' --A, ..v ?.it--.;,....!(;-..,-- ,..':.- ',' . g rx:-•,.. . -.:".;.,&- ,....'< rgrf-i:• •:•-‘"-LL • '71/2. 4•77.; li"'"••4.1,V...••1-:-`. • LL,---..-..•'' •-f`t';`"-••./.. - 7, `a40,. 45•••‘..L.,117tgd-4t.,4r14•"47'• >141;1•• :ii711.'.4_2-% ..^-i:R.L4.1W.: • :f 1 ' -..• L;L‘. '‘L;LICI•-•.-7- -'••-•. -- :L..- .....,, :11-;2..T•i.....• • 7' - . 44'•':',.. .•.;s4k 1'". ilL'521:1'44. ---- ,Sr t '." ..44.7.4",!!7•..t.. • ....,Lagglii717r. „,,.„. re71.,,,, ,,,-..,....... •„,7%..ly ..:if?'' ,', -.1:L:' r:.--.- '-;I :,7,::c,:::::•-).1:7 e:2;,...ott.•:,';--riot4,-;:trtirz.V-Z, -- p.L:...:-..,-..,:-.::,•:-.,". ‘,711.:•;;.: .r. ...• ..,-.),-;',..,-.. -4-.-.-:-•,--,...---• •-• t •••yi,::-.'icryl•tios--.7 ::;--tes-t.:-•:-::-/-_•;;_,,,,7:-..-: •,-F...,:::;, ,;4,....,.:,.;',..-iti., ,,.„L.to.,..." . .: :: .::,. ',,•,,.x,i,...,:. x.:...,•-••••-•••4------rek , . • •-• ..:•• .L.-.,,,...i•••,4,;,.4f. f..--.76.12•5; • 'Olt ',.',..:,:;i:::"E't 2:..1::-....,7::::'4,h2.335.::t.: . . ,,-.b ., ' :-.4:4,„...- :,... ' ...., - . ..... -i- t— .1 ,.,-7,—:r•s, .•`AL Ltritt7-:::7".t57: t illuJS. Li.?'"3 t"•••&-.^."4'167.1•11%tia."-ta...:-..Y 'ii}/}it44:aff". '. s : -VI- • I'' ,PP?:::!V 224 •-•177';7;114 37-ti,,4 r VrIg•einta 1-- •-.-ErelE 4.1 1,1 Mil.icif,:th t-"zt •••. .1 ... ., ,•, •, ..-;:i!:•..., .1 ....,••• •- •- .- • '.-:,..:. ''•',„.... ! 1:1,•; ''.. ;. ., -...'i; . ', '•'...:'"4: ir4-4,s''''.,C..- -- : -. ....''',. , :-..'.',., ...- -.... -,•'•4 ..-0-r--.-:,.‘27%;„A,..-. ,.• t.n,„-- I ikt..3.7.1c...• '..----‘4r*-:?-,....''';:t;`-‘-•(•""q•:-k-.-.3/4.- ct. ,,....tlz--,,,..", 2ttr4giaitaiNh,age.7:,.sztt”,-,--..,,,. I :40dt ,7 e t •7-tre.,..._.... --•-,,,4-. ;"'•- -„nr„rh`eg,t;:t.,v,k..i.-.C.....;•jvi. c"--",-,..V.4.-ag•-‘,:•t -,04-•,1"‘14,xf,e..,..•.w.-1"."eg. • Piir4 .0 i ie.'.' --: 4--440% ---.-..c>-• . ...wiret‘p....-4 ,-,....5-4"...n-ni,..y.d.r.n.-4.:.-.,?,.-.,..:-.....,... ........-”,... , ....trs...etigt--4441:gaiirtr1c. rtgagg--4.,:7,4...L42-....gt.4A Tit.:%•.g.,:e.ga -.-.." 74q.e.tliEvcAll.p.ivc.S.`c--.010. r‘F.--zetre-rg-r:g •c•-•,..,.----,,,,,,,v;,-- -,••:„.•2,.•-...,, a......-:, -..• ...- 1/4-...1.:,‘,1,•-.4.„•,,,, ..,,,,...:..-.•4:1•;,.1/4_at,A-,...„4,-.:-.4..y.,,,,,,:.,-,ts...-1,---;‘,•,-,95..: . t:114ii:47:40Vgi:---rOirata''‘.:V;t314c4r.rg-LVfv--4:"- t',..ti .11‘:stet g'4fi"-IZ:m;:e.Igikg-4%-.gr.j.site.-,r-rr-5i.irgw..-1,7:;;;Ag::::.:17124.,c tgl:;:gAtrLir;411:1:“ - .51C4T,Pii'egl.4":"Ig... .k.iM.X.41:/:":71..4214 ,-Se1gtcggfn-Iff3:24:14;t::-A7;- "i-g.I.,:;e1ti.-Asr.gg,44rg'.._,..:11.S.: g".gt-iaa I t:f.:ZA:Itti,ggc):::K't.i:?-;;s1-giVrti'l-14•419keiteitte2.A.S.J.,:2;44111.#114,gfgr,?:11;:13,-;t:rnrar..;,fri/$,Zit!Wtig.:CtriS; #2:4=""tt=Ser.g.-5.-CV:-,,,,, 0_,4‘41,....t.5,:trit::Teigrieti:44,14.igrill'grAl- r, .:.4:T1g1},:41'4.- ?;; 1 ,k44441; .r;4tirefASiC4C.." 44.r3C.:474/24,74.0-4N.:7ACI:ki-74741;Zteg*fie.1761.4;714ZitY4.4.:**2:5'0444.sC•Cita•Vir•Latt .?„&4.41:.:.cOiat.130;14:t: f•iicts::.?. .14,..,1•4_:;414:2,,si.e.74412.g..tinr.i..,.:K.5.tt,r40..f.i.a4T4:571,:h.**14._,t•°;ISZ.,-14;ptsrlicit',-....$4.-41:46,35,, ,..- •-•Tattl,4524.47...4inALT,1741'...4Li '72'':LL'Alit•Y;Z:•: ::•#:4(42Vtaa.".f4fritc7irf,;LVV04],3,,,..1••#..i..,,Alritt•ciat_1/4,41/7:%4;:b•P‘AISf.4".7WrreLi,;!LS.NIftT4(41.V4.042 •%1P:=A•..-et•.1.%4Cr.,€),...4*(4-,:p3:•zci.r.yi:444::41414?4,.r.*;ci...i.cs-,,,;:ti:Qt:51,4,nfk!-'.fiar.'0.§-&t,-;:';;:, &.2..- ,74`4.n42:-CL&P-4'-:1:',-!?.5-':ft..P-!,;2?‘")-.C:i'Vibt'W-13tn.,..:4'14114f4Ifjrc..:W4M;kitc:.-t.irck,- -"ii1`;';'k.k2---1`.3qP;:24,4-rnANttrl'''.yrA70.-:.AkAliii‘Nst.KliArl.Vie.1.----s -....1,,..---- - ',11-trr'ez.t.:.#:.:.4;1:4i,:v;v4.4in•'::',t-44,3„Te.-;tri44,gr-:r4r4D(44.1?"-9,4 t•-. 't - i1, 4;A:4-...%7'fictSv-i't,e;*.t:V.F.)!i.,it..il..A.-,...4..4. . '? L.q7.7.-. et.N.; elgo^. • • PROJECT•ADDRESS: 227 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 049951 4, OWNER'S NAME: SHEFLIN STEVEN W AD,RESS: 227 E 23RD ST PERMIT NO: B 049951 PLAN CHECK NO: 06081-90 S GOVT: N SUPP: N COSTA MESA, CA 92627 • • CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD 692-0792 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 345SF ROOM ADDITION SQ FT: 345 ADDRESS: UNIT: CLAIM VALUE: 24 , 000. 00 CALC—VALUE: 23, 805. 00 GROUP OCC: R-3 / PERMITTEE: PETER S . RODGERS PROPERTY ( 714 ) 631-2345 ADDRESS: 985 W 18TH ST COMMENTS: X CM CA 92627 ********EL****x**>F*********************>t******+r****x*******fr•******************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 023672 STATE LIC.: 337169 CLASS: B / Date'. .//'/Y•5 d Signature: 9�-4. e'r-ti"!, MAIN BUILDING ACCESSORY BUILDING FRNT: 32 FT IN REAR: 61 FT IN FRNT: FT IN REAR: FT IN ------ WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' LEFT: 5 FT 6 IN RGHT: 12 FT 6 IN LEFT: FT IN RGH'P: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY SOMPANY, EXP.DATE: PARKING RF.Q• PAOV: PARCEL: 42607407 7.NE• R1 REF NO: PLANNING N(0)TES> PROPOSED BDRM AND BATH . PROPOSED TOTAL345 SQ FT Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. ***********************************************)f*********************.********** Date. Applicant: D E V E L O P M E N T SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed d the permit is for one hundred($100)or less). 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 ZONING APPROVED BY sublet(to the Workers'Compensation Laws of California. DATE: Date: �/'/51-9.0 signature: 4:c7- 4 n-Z-5-i BUILDING APPROVED BY NOTICE:If.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. I ^' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B`� - -—- DATE:• # -24 which this permsisissued(Section 3097.Civ.C) ********************** * *** -- *'*'** '**'**'******* **' * *** LENDER: ***********************************.* . ..***************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y if OWNER BUILDER DECLARATION: I hereby affirm matt am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL' CTR 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 243. 00 1 . 67 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 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 PLAN 157. 95 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant tor 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, 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—---> 244 . 67 0 • 0 0 • 157. 95 402 . 62 4 0 2 • 6 2 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 1 his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 244 . 67 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK for the purpose of sale). 243 . 00 1 . 67 I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: TheContractors'State License Law does not apply to at owner of property who buildsorLaw).oves thereon ******************************************************************************* and who contracts for such projects with a eLice License )license pursuant to the Contractors'State License I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D .O W N ❑ I am exempt under Section: B.S P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 345 DWE—TYPE V—WOOD FRAME —GOOD 69 . 00 23, 805. 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 for a 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 1 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. // • Date: // Y • / • P --A?# Signature: � 4 /p.4— 01 0007421t•'CC'Y4 17 1 u!7 14. ._ Driver's License or Social Security=: DATE: 11/14 Sir ' t;c; 15:1: 1641.46 White—Building;Green—Code Enforcement;Canary—Applicant Pink—Revenue;Goldenrod—Assessor ► r • `CONSTRUCTION AND PLANNING ( POtPA I APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1.hTemporary Electrical Service or Pole 52. Pool & Equipment Location 2. •Soil Pipe-Undrgrnd_ r= , 53. Steel Reinforcement - 3 "Elect ical ConduiLUtility`Undrgrnd. 54. Forms 4:;Electrical Conduit-Undrgrnd. 55. Electrical Bonding r.. ' 5`.Sieel'fieinforcerpent //7•t[50 Pa 56. Rough Plumbing & Pressure Test r • :6:_EIectrical UFER•Grnd. ff //�� ''//LL 57. APPROVAL TO COVER-GUNITE - 7: Footings .� �Ilyl/y,0 40/14 58. Electrical Conduit-Undrgrnd. 8. Foundation y , 111 (( " 59. Gas Pipe, 0 Undrgrnd., Test ,9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor System iI/2t/O ,.D� 61. APPROVAL TO DECK 11. Property Sewer-Line & House Connection 111111 62. Backwash & Receptor-Final 12. Sewer Cap .,- 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 1 14. Rough Plumbing " 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval 1 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 20.1 RoGgh Factory Fireplace I :71 I C ' I ; ' 'APPROVAVS' ' -Permit # * 1 �.'t` ::C H 1"} 4 :'1 _ ,i - . i 21. Ducts,in Structure. ! .-• • --4 ---- r`, ..! -- _70. Underground Hydro - 22. Ducts, Ventilating 4 C' i+ _4 :.4 t ;-71• Produd Piping 0Glas Boil 23.:Gas-Pipe-Rough & Test : ' - '`,-i. - t 'r ,- < :;44- a ' 52. Underground Flush: ' 24. Roof Framing i H14 ••• - _I : - '_ ' 4 `:73:'Undergrrid'.StoraggTank'0Gas 0 Oil 25. Roof Sheathing r, , ly1746 - pil. ; - 74,?,Overhead'Hydro_ ic ; 26.- T-Bar Ceiling (Structural) & Monocoar^ I. -r i_ ,r,p t 754:_tty Chemical '"! ` 1-1 ' t' 272 Frame and Fliashiny r - Ilt2' .^^A; ; 76', Dry Standpipe '" , ; 28. Lathing& Siding i • 17� '�i' .^.1t 4. ,y J-r4 77c FIXED 'YSTENi1FINAL • 1-4;14, . - ..l ..I . •r, - • * , '29. Insulation . '- '- • - "...j '...7 Pi , PC tri 714 FIRE PREY. FINAL ' ;. I. .' 30. Drywall-Nailing _ n•-1 r' i I 14:1',1:11 t. i !HEALTH DEPT. REQUIREMENT 4. - 31. Plaster Brown Coat4 ,..Ir I /1 I: a .479:'FINAL INSPECTION : c2 32. Electrical Power Meter-Finah ' 'r .0 ' n ri , g80.-FOOD CERTIFICATE ISSUED .33:Final Electric •o r ' ,r ( i,1 tI. Notes: /per 1 of ejlkg 1434.-Final Heating& Air.Copditioning, �II. ; f /o f v/7�-/ �_5_ /_ ttt � b ._4/147 /Lf' ii • 35.'-Final Gas Pipe-Test' -a ' .. ,'4 I ,�'�j 4. x '� 'y r c36. Hood or Canopy 14 1 i . _ i f 1 I y r :!. 1- 'n �t f1'= ell -4 1; fl"q 37. Final Factory Fireplace, ' " ,-' .! 1141 I IVI_J1I .; ..,,/ r Q �/d Y „ ' (11 Nt/ t ) 4*-,1 1.�/�/i 384:Final Plumbing v pt i 5. •+ I , 1 ! x . .: • . ,. •- _ `39. Water Service:Final t !-.2 I III ;4: t '1 40..Gas Service=Final - .r T. J :j- 1 I f 1 I{ :: ; `. - 41.. Solar Domestic•Final ' i . :c I I 414 ' . 42. Backflow Preventer ` I � ,,43. Backflow litigation 1 ,l ' ' 44. Landscape Irrigation System - ; r _ .• -- -• 45. Sound Attenuation 4, - ` -46. Handicap Regulations - 4 47. FINAL STRUCTURE & BUILDING �4(1 Pei 48: FINAL PLANNING . . „ I I -fir ' 49.•Electric Release to Edison ' I -11 1. ' 50. Gas Release to Southern California Gas Co : 1 ( - I; ; , • •• - . ,.j 51. CERTIFICATE OE OCCUPANCY i- , i. to -. No. Date CITY OF COSTA MES ' -.IIFORNIA 92628.1200 P.O.BOX 12vu • • Insulation Certificate 227 23rd Street Costa Mesa Number and Street City Orange County Subdivision Lot Number Description of Installation ROOF Material Gold fiberglass insulation Brand Name Manville Thickness(inches) b.. Thermal Resistance(R-Value) R-19 EXTERIOR WALL Material Gold fiberglass insulation Brand Name Manville Thickness(inches) -9 z" Thermal Resistance(R-Value) R-11 CEILING Ban or Blanket Type Bat t- Brand Name Manville Thickness(inches) 6 Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Manville Contractor's minimum installed weight/hi lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material 6 sack Redi Mix Concrete Brand Name Gell Thickness(inches) 4" Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Peter S. Rodgers Proeprty Improvement 337169 B-1 General Contractor(Builder) license Number E3, (o,,,,..,.) 01-23-91 Signature and Title Date N/A Sub-Contractor(insulation Installer) License Number Signature and Title Date PROJECT ADDRESS: 227 23RD /ST-- 'a UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EMP 049951 OWNER'S NAME: SHEFLIN STEVEN W AQDRESs: 227 E 23RD ST PERMIT NO: EMP 049952 PLAN CHECK NO: N GUVI; N SUPP: N COSTA MESA, CA 92627 . CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PLU PURPOSE: ADD 692-0792 7 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION 345SFT'ROOM ADDITION SQ FT: ADDRESS: UNIT: • CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / PERMITTEE: PETER S. RODGERS PROPERTY ( 714 ) 631-2345 ADDRESS: 985 W 18TH ST COMMENTS: REF B49951 CM CA 92627 *****+ERF******>F* ****r******+FRP**+F* *RF*DE>Ex***+F:P>F7E**+E*>E*>F>FSE*****>E*x*AE>E>E>E*>E*>E**>E**+E LICENSED CONTRACTOR DECLARATION: I hereby affirm 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 lull force and effect - SETBACKS CITY tic.: 0 2 3 6 7 2 STATE LAC.:3 3 716 9��' CLASS: B �- Dale' /// y-w Signature:_ s Ar. `p✓1jA- FRNTMAIN BUILDING ACCESSORY BUILDING : FT IN REAR: FT IN FRNT: FT IN REAR; FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certihcate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ• PROV: - PARCEL: 42607407 ZNE: REF NO: COMPANY: PLANNING N 1'ES> Cenilietl copy is hereby famished. ❑ Certified copy is filed with the city Building Division. > ******************************************************i(************************ Date: Applicant: • DEVELOPMENT S E R V I C E S ,• R E Q U I R E M E N T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). - I certify that in the perform-at-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. q "0:4, ZONING APPROVED BY DATE: Date: ./././1/•90 Signature: N e' 4BUILDING APPROVED BY : DATE: NOTICE:IT after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor 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 tending agency for the performance of the work for APPLICATION ISSUED B Y• cam. �—ae DATE: I1 14-9 r which this permit is issued(Section 3097.Civ.C). ********************** _4e - ********** ******* ** LENDER: *************************************** ****************************if********* ADDRESS: LEGALIZATION:N F E E UMMARY 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 EL EC ' ' IC MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 6 00 5- 00 9 ,•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 2 5$ 50% 25% SM I P/NON—RES pursuant to the provisions of the Contractors'State license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Protessions Code)or That he/she is exempt therefrom and 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 live hundred dollars($500). ISSUE FEE 3,00 15 ,00 15 . 00 I. as owner of the property 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 3 3, 00 0 . 00 6 3 . 0 0 63 . 00 , 0 0 does 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. Ii.however the building or REVENUE DIVISION TOTALS--> COLLECTED: 63 . 00 OVER/SHORT• 0 0 improvement is sold within one year of complelian,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK for the purpose of sale). I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7544,Business 9 . 00 30, 00 24 . 00 ❑ and who ProfessionsCode: TcojeState seLaw does purot suly atoo towner ontrctors' tale icensor improvesIathereon re ***************************************N*************************************** and whocontractstheifor such projects with a contractor(s)ebee ovidedto the Contractors'State License Law). am aware I N D I V I D U A L F E E BREAKDOWN that roof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.8 P.C. torthisreason: TYPE QTY D E S C R I P T I O—N—'-- ----` UNIT COST TOTAL COST Dale: Owner: ELE 6 FIXTURES LIGHTING 1 ST 20 EA. . 75 4 . 50 . I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 7 REC EPT/OUTLET \ 1 ST 20 EA, . 75 5 . 25 25534 and that l or any future building occupant willwilt not(circle one)need to comply with said state codes and the requirements for a ELE 7 REC EP T/SWITCH 1 ST 20 EA, . 75 5 . 25 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 9 , 00 9 . 00 these provisions. PLU 1 BATHTUB 2 . 00 2 . 00 Date: Applicant: PLU 1 WASH BASIN 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 PLU 1 WATER CLOSET (TOILET) 2 . 00 2 . (:)0 ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned END OF FEES property for inspection purposes. Date• 1/•/Y- S p Signature: i•• Drivers License or Social Security if: 01 00074218-00074220 TOT -3 LC DATE; 11/14/90 TIRE: 1F:122 1641.46 Whne—Building:Green—Code Enlorcemenl Canary—Applicant;Pink—Revenue:Goldenrod—Assessor / • 4T CONSTRUCTION AND PLANNING PO SPA • APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. temporary Electrical Servide or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrtgrnd. lode c..ai 53. Steel Reinforcement • • 3. Electrical Conduit,Utility-Undrgrnd. 54. Forms 4.•Electrical Condbit-Undrgrnd. 55. Electrical Bonding 5: Sieel,Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFE_ rR Grnd. • 57. APPROVAL TO COVER-GUNITE , 7: Footings 58. Electrical Conduit-Undrgrnd. .8. Foundation - - 59. Gas Pipe, 0 Undrgrnd.,Test - 9. Water Pipe-Undrgrnd. (i/Ztit) t•iQ 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 t - 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 _ /4'i/Qd �Eo FIRE DEPT. REQUIREMENT 20•Bough Factory Fireplace I • t' . > _ - I + • . APPROVALS - Permit # - - 21 Ducts, in Structure i t • , 4 . • ' ` n III 7 i - _ v70. Underground Hydro 22. Ducts, Ventilating- •-' ( , ;. ! 71. Product Piping EIGas OOiI a-Rough h &Test t'' • t ' '` ' 'I ' ' 23.;Gas Pi p 9 ;,,,i.l- • ,,c - •- - 4. .; 72. Underground Flush. • 24. Roof Framing I G '" y ; 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Rdof SheathingiO'' - ' .. '+ . , :, i '74,r Overhead'HYdro'-,t • , 26. T-Bar Ceiling (Structural) & Monocoat: '-' 1,14 + 757 Dry Chemical ' f ' ' ' -' ". •'•- 27. Frame and Flashing 1.•-• . rt t 76. Dry Standpipe - _, ',:,L'' 28. Lathing & Siding lc:.;_ i- . ••I ••l ^• ir I 77. FIXED SYSTEM FINAL •, • _ • ', •-• 29. Insulation I 1; 78. FIRE PREV. FINAL t ' 30. DrywalNailing t ' ' t' • ...HEALTH.DEPT. REQUIREMENT l' '' 31. Plaster Brow" Coal , t,,,,. t I I ' It : „79'. 'FINAL-iP;ECTION, ; '• ' '2 ' ' ' 32: Electrical Power Meter-Final- • •• I I tc::oø_ / ' 'i80; FOOD CEATE ISSUED-U (I 34.- Final Heating & Air Conditioning - _ 35. Final Gas Pipe-Test _ - ' t I ' - ' •_ - 36. Hood or Canopy - - ,, , 37-Final Factory Fireplace .. - , - "' ' I ' I' ' . 'r :'O' i • 38. Final Plumbing �O '/ •; 0,-�. ' 39. Water Service-Final :_ • • [ I 14 __ """ o r :-40. Gas Service-Final . - _ . +,t I I. - - . . . . -t` • 41. Solar Domestic-Final ' ''' I It ; - 4 f.. r- 42,Backflow Preventer I r• 43. Backflow Irrigation 4 ' ' ` ' . . . . 44. Landscape Irrigation System I. - '• . • 45. Sound Attenuation •• - - , :, .t . . - - • , . 46. Handicap Regulations ,-, e 47. FINAL STRUCTURE & BUILDING ' I : `' 48. FINAL PLANNING ' . : , i i ;_I - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , I I •-1: ; , .-. - - • : 51. CERTIFICATE OF OCCUPANCY ; , ii. • , . t• r • - ' . - No. Date • PROJECT ADDRESS: 227 23RD ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0b092_ OWNER'S NAME: SHEFLIN STEVEN W ADDREss: 227 E 23RD ST PERMIT NO: B 050923 PLAN CHECK NO: N GOVT: N SUPP: Y COSTA MESA,CA 92627 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: 692-0792 REG.NO.: JOB DESCRIPTION : REROOF "MAXI-TILE" COMPOSITE SQ FT: 5,000 ADDRESS: UNIT: CLAIM VALUE: 5, 000 . 00 CALC-VALUE: 5, 000 . 00 GROUP OCC; R-3 /M-1 fig PERMITTEE: PETRONELLA ROOFING ( 714 ) 548-1645 ADDRESS: 2626 NEWPORT •OMMENTS; RE: B49951 PRIMARY BLDG, PERMIT. COSTA MESA 92627 **************************�E+EdE+EiE�E�E**�E�E* ¢�E�F**�E*�E*****�E�¢�E*�¢***�F*****�E�E*�E+E�¢x�E�E*+¢SEs¢* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a nse der provisio .1 ha. •- g with Section ZONING R EQUIREMENTS 70001 of Division 3 of the Business and Professions Code,an liven .is in full force and e ect. SETBACK S CITY LIC.: 032605q STATELIC.:O04 ! 07 cuss: C 39 -F:_3-4 -qt si• .ature: C' FRNT: FT MAIN INS REARING FT IN FRNT: ACFTCESS INYREARLDING FT IN / HIKERS'COMPENSATION DECLARATION: I b ' . at I have a certificate o con.' to sell-insure ora certificate of Wor.• .' -ompensation syy((�Pp0.�paLaA,ca{obe5p Wpythereof(Section 3800.Lab. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: �V 778 /-7V EXP : v7/0, 91 coMPANy: STATE FUND PARKING REQ: PROV: PARCEL : 42607407 ZNE: REF NO: o Certified copy is hereby furnished. Cg Ce ' i copy is ti•.with the city Building Division. PLANNING NOTES> > Dale:_!, L. I Applicant: DEVELOPMENT SERVICES R E Q U I R E M E N T S EXEMPTION FROM WORKERS'COMPENSATII OECLARAT fir . re complet• .the pe • ••ted(MOO)or less). I certify that in the performance of the work ,.. ic Ons permit is issued.I shall not eml'.y any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: BUILDING APPROVED BY : DATE: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor ' Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �,1 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY' <'� TFAilDATE• " Z*o 'afiE which this permit is issued(Section 3097.Civ,C). ************************* .� *It* * ' * * ** LENDER: ****************************************** ** 'i-******************************** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law far 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 7 2 . 0 0 . 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 SMI P/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN s.3d Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by -` `r applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE •-•• -P=-'° I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 72 . 50 0. 00 0 ,00 72 . 50 72 . 50 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law 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 REVENUE DIVISION TOTALS--> COLLECTED: 72 . 50 OVER/SHORT' 00 improvementis sold within one year of completion.the owner will have the burden of proving he/she did not build or improve or Me purpose of sale). BLDG2 PMMTT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING PLAN-CHECK lar th I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'state License Law does not apply ttothe1 property who builds or improves thereon ******************************************************************************* and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR E AKD OWN ❑ I am exempt under Section: B.&P.C. for his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: SFR 5000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 5, 000 . 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 for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant: Air. .AddllOW ar I herebycertifythat I have read this application and state ti.•,.e above in . ation is correct.I agree o e. ..- a all cityand countG ordinanesanstate laws relatin to buildingconstruclin ..d herebya,•'roe representatives of this citytoe. ria n the above-mentioned 01 OODuDD24-n(��PQQ2�J ➢�� property for inspectiontiiopurposes. p DATE: 02/06/91 TIME: _1:135 Date' 1)"m `-' ^c_) Siignaturee: { 1641.45 white-Building;Green—Code Enforcement:Canary-Applica :P' -Revenue:Goldenrod-Assessor • CONSTRUCTION AND PLAN .a IDOL & 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 UF ER Grnd. - / 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. , :8. Foundation i 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 Cap63. Heater & Vent-Final '/ Y i • 13. Roof Drains 64. Plumbing System - Final ,• i • 14. Rough Plumbing '" ' /' / l 65. Electrical-Final . • 15. Rough Electrical-Conduit ; ,' 66. Solar System-Final 16. Rough Electric Wiring• •r! 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 0Gas 0Oil 23. Gas Pipe:Rough & Test , 1 * .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 ' . •• • I ••I'• ' 77. FIXED SYSTEM FINAL 29. Insulation ' I 78. FIRE PREV. FINAL 30. Drywall Nailing • • *;` ` HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I ; ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final I I 'I• i 80. FOOD CERTIFICATE ISSUED 33., Final Electric I : .; Notes: . . .-34. Final Heating& Air Conditioning, . j ' • 35. Final Gas Pipe-Test' ' I �. i II r 1.. „ s 36. Hood or Canopy • ' • I , I .,.I- 1J, JO,411 61k _�)) .71437,61/ ' '37. Final Factory Fireplace . 1 1. 38. Final Plumbing 'I 39. Water Service:Final - I '-_i , 40. Gas Service-Final • . 1 ' ! I 41. Solar Domestic-Final I It • • 42. Backflow Preventer I I I- .- 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ` . 47. FINAL STRUCTURE & BUILDING LIQ j4 ' 48.'FINAL PLANNING `t I,;l l 49. Electric Release to Edison l �- i 50. Gas Release to Southern California Gas Co I I • "1- 51. CERTIFICATE OF OCCUPANCY , No. Date Pro .. PROJECT ADDRESS: 227 23RD ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05087E OWNER'S NAME: SHEFLIN STEVEN W ADDRESS: 227 E 2RD ST PERMIT NO: B 050878 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH ARCM/ENGINEER: 692-0792 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : WINDOW 6 DOOR CHANGE •, SQ FT: 1 , 400 CLAIM VALUE: 1 , 400 . 00 CALC-VALUE: 1, 400. 00 GROUP OCC: R-3 / PERMITTEE: STEVE SHEFLIN ( 714 ) 642-0792 ADDRESS: CM 227 23RD STST CA 92627 COMMENTS- REF 849951 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LW.: STATE LIC.: CLASS: 1 Date: Signature'. MAIN BUILDING ACCESSORY BUILDING fORHERS'COMPENSATION DECLARATION: I hereby affirm that l 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 ompensation 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: PROV: PARCEL: 42607407 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> • Date: Applicant: **************************3F****************)E***)e***)f****kE********************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEV EL OPMEN T SERVICES R EQUIR E M E N •T S 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 subject to the Workers'Compensation Laws of California ZONING APPROVED BY • DATE: Date: Signature: NOTICE:If.after 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 ISSUED BY: 02.-40 / . which this permit is issued(Section 3097.Civ.C). . .i_i___ �,a Tri DATE. V Z,O !91 *****1Elfif lF iF lE lF if lE 3E iE 1E lE 3E lE 3t 1E. - 1E 1E i(•)f1E1f 1E#1fDf iF if7FiF iE iF iF iF iE I** lE LENDER: *****************:******3E*****#****** **********IE*******************)E***%******* ADDRESS: LEGALIZATION:N F E E SUMMARY 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 E 'CTRIC 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 33 . 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 71100)of Division 3 of the Business 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 ay 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, 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----> 33 . 50 0 . 0 0 0 . 00 33. 50 3 3 . 50 . 00 does not apply to an owner of a properly who builds w 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 : 33. 50 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 A .truct the project(5: to)7044,Business 33 . 00 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an ov i property who bu .s orf proves thereon and who contracts far such projects with a contractor(s)license pursuant toth• . rMors'State l ense�.w).I am aware *************************************************%******m.************* .*.*..***.*..** that proof of their Worker's Compensation insurance should be provided to m INDIVIDUAL F E E BREAKDOWN ER I am exempt under Section: BP704 4 B.8 P.C. for this reason: A�L Wm�� OWNER 4 . TYPE QTY DESCRIPTION UNIT COST TOTAL COST �. Dale'. owner: SFR 1400 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 400 . 00 I do hereby certify that I am aware of and understand the requirements of ornia Health and S. •ty Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(circle one) ed to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District. residential construction r ilications are exempt from these provisions. , ' Date'. Applicant: �,� herebycertifyand have read this application c and state that the above Infl n is correfives o. aa er y wupon all city and boned ordinances and state laws to building construction and hereby ini esentcliees of this er upon tha above-mentioned co n ty 01 OOD"r?725-OtD74726 T(�" property for inspectionp� purposes / DATE: 02/02/91. TIME: 11:43 �^ Dale: Peg g / //�C.[ Signature'. Abs— I_ Driver's License or Social Security It: 1641.46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor r � CONSTRUCTION AND PLANNII.d- JOL & SPA - APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .` J ✓ 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .1.../.•• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE.• - f. 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 I / 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 I i 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 . - . ;- i i . • 72. Underground,Flush . 24. Roof Framing- ' 73: Undergrnd2Storage Tank S 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 • tc•i• 77. FIXED SYSTEM FINAL; 29. Insulation - I I 'i 78. FIRE PREV. FINAL 30. Drywall Nailing ' ;it • HEALTH DEPT:REQUIREMENT 31. Plaster Brown Coat . I ,79. FINAL INSPECTION 32. Electrical Poveer Meter;Final j . ,. 1: • 80. FOOD CERTIFICATE ISSUED 33. Final Electric- - - (�;,: I, ; Notes: ' 34. Final Heating& Air Conditioning. _ I ( ii f • 35. Final Gas Pipe-Test • I . ; ' '1;. "'I , /n� ./4 , ' A' ,/./. .^ Ji / 36. Hood or Canopy _ 1 ' t, w,...)-0k1(/ �d'VYf `i- _4L2L 47e- Q l '37. Final Factory Fireplace r 11 .38. Final Plumbing - 39. Water Service-Final . I • , , r 40. Gas Service-Final I ! j 41. Solar Domestic-Final • - - • - f Ij • '42. Backflow Preventer - I i j - . • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • ' .. 47. FINAL STRUCTURE & BUILDING ill i AI 48. FINAL PLANNING: I - I I , 'j • .49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • I ---r- , - , 51. CERTIFICATE OF OCCUPANCY' - . No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -CITV-Ofr COSTA MESA CONSTRUCTION PERMIT P RMIT NO. TRACT NO. LOT NO. UNIT NO. s? ? 7 ?fin./ ,r BE- 26 227 L•�.a�' 3 6881 I I/07/66 x69.97. TL Project address It . Applicant's Mailing Address' fl .7.58' -. �.,,,ez.. lir TYPE OF CONSTRUCTION U NEW It ADD ALTERATION Li REPAIR 5'11j/< a 0f S�CdeLAkiD Phone if5r2, 0?Pet CI CONVERSION CI DEMOLISH El OTHER A.P.# 1�—Q� 7-p7 /p'7 Zone . r\ Owner's Namp s DESCRIPTION OF WORK/USE OF BLDG. On Roo A+ Ze i-r Sid&4. /�1111�' Address 227 •73..A. petae 7.....!- G1 rr�� e S Main Building: S`.G��-1 Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING 1d FOUNDATIONI�i IN STRUCTURAL E Front 10J/IQ 0 Address ❑ TENANT © ELECTRICAL ❑ PLUMBING LJ MECHANICAL n� A Rear 7- N Contractor's Name'PE>t/Z t 1�e D0FRS Phone �giA3YS El OTHER .A_' O Righty V���--�� / N • Address(mailing) 7f& 7Y/ -/5 .�C, At: Ca 3Tp MESA. PROJECT DESCRIPTION SQ. FT. _���2� f� OCCUPANCY 'i�`-7Q"' /X`V; / CONSTRUCTION TYPE TR�/7r VALUATION$ IP J$.e. S Left G City License No. eiZ 3b 72 ZONE --. GRADING CU.YDS. ACRES �� Z,Q R LICENSED CONTRACTOR DECLARATION �" Ping. Ref.# Parking.Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: . a, r^ s��Q� M with section 7000) of Division 3 of the Business and Professions Code, and my license is in full for e and effect. ' ' PC• c5) /'7 2 - �S S License Class_D.- License o. 7/ - �7rA. PLUMBING j FEES Date/.0.-7- Signature .6- 'WORKERS' COMPENSATION DECLARATION Bar Sink Showers 1 hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • Automatic Washer. Transformer ❑ 15-50 KW 3800,oy(OCdvt./F-( . fy.Uu�/pf� Are rUd/9 Backflow Irrigation Sewer Cap • 0 50+ KW y 2Cfie Tb Vrn Ifi 9 Construction Pole Sub. Certified copy Is hereby furnished. Certified copy Is filed with the city Buil ng Division. Bathtubs Sewer Connection Cooking Unit Meter. Duo to 100 amps \ Date 7• ` Applicant -rrat ! EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the permit Is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel - ' 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 subject to the Drinking.Fountains Solar Tank • Fan - Motors 00-1 HP ❑1'/h-B • Workers' Compensation Laws of California. Date Signature - Floor Drains Swimming Pool w/Spa F.A.U. • Inc.Solar 1:19•15 HP 016-15+ NOTICE: if,after making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 4 Fixtures .9 Microwave © , comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance _ / 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater G Outlets A Range / Zp Lender's Name - • Lander's Address U� Kitchen Sink Water Service 2 Switches 2 • Sign - 0 Vo OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash , following'reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal StandingSections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Lau ndr Trays any structure, prior to Its issuance, also requires the applicant for such permit .. y y Generator 00-5 KW 05.15 KW Trash Compactor file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - • . e Contractor's License Law(Chapter 9 (commencing with Section 7000) of - .� - Awision 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 any applicant for a permit subjects the applicant to.a civil penalty of not more than five hundred dollars($500). I 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee l $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or'offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 Hood or T e I 0 - DEVELOPMENT SER7(10ES RO}{1fiNENTS: �/ employees, provided that such improvements are not intended or offered for yin Zoning Approved By V�sr� � L Date sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By 'Date prove for the purpose of sale). ❑.l, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date ///7/ ' tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who - Duct-Ventilating 00100,000 BTU 0100,000 BTUSU MARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ -/70•Spe SMTP , _ $ t proof of their Worker's Compensation insurance should be provided to me. PLAN $ /I rV Z PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBINGCHECK $ ISSUANCE $ Date Owner Heating System& Ducting Registers. PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above . 00-100,000 BTU 0100,000 BTL. - ELECTRICAL $ GRADING $ information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $. 2 MICROFILM $ sentatives of this city to enter upon the above-mentioned property for . • Inspection pur s. MECHANICAL $ pQ -7 Signature -rat -1 u.• Date//•7. F� TOTAL FEE $ v /• 9/ Drivers' Liceris¢or SS 9f ��+ Reinspection Fee " $15 Issue Fee $ 3 PLAN CHECK 25% $ • CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor INN 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 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. pff7 8() .0/.1 57. APPROVAL TO COVER-GUNITE 7. Footings �54s� ((/t1 QG p 58. Electrical Conduit-Undrgrnd. ` -/7 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System tJ1 /__7 93 at' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 1 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 yJ�ti 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 1 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing i(F3Fr Jar* 74. Overhead Hydro 26. T-Bar Ctliling (Structural) & Mo-nocoat (� 75. Dry Chemical ' • 27. Frame and Flashing 176 4304 76. Dry Standpipe 21, 1. Siding ��} 77. FIXED SYSTEM FINAL . I- nsulation /116. Pi° 78. FIRE PREY. ANAL 30. Drywall Nailing /ga pedd" HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat i /& pie 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning t(St D/G Jgir .? )t7 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 r 46. Handicap Regulations • / /� 47. FINAL STRUCTURE & BUILDING ` f•yf - 48. Special Requirements Completed r 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co • ' 51. CERTIFICATE OF OCCUPANCY " t- No_ - Date I' a r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 8159 J/'�)/, / I „(7 CITY OF C STA MESA TNSTFitti �OnI PER �,MIT ,E_JR I�T�J`1QX- /��1T//Rt)ACT N LOT NO. /� ^� I UNIT NO. Project-Addd ess ��.�rJJ11 Cx--���`G ) •�` T`+5 3? '`dQ _ f'U r, /"LN"/-{ �— Applicant's Mallin Address �a.� .�a.5 rel S TYPE OF CONSTRUCTION Lf{I rv,EW ADD ILJ ALTERATION U REPAIR • ^, `n ^ 111 CONVERSION ❑ O/USEOH OT / q,p.# `/Z/ +-O 4/�O Zone / Owner's Name 1-�`-+/e+^ " C Phone DESCRIPTION OF WOR EM OF BLDG. yMt -7 K7 r ''1� ^L.� -,,E- Main Buildings a-yygQ, /s Accessory Building: totY�) Z ArAdcdhlEng._Q!ress '`� •—,(���'L`__ Lien's°No. \(0\� TYPE OF PERMIT ❑ GRADING FOUNDATION TRUCTURAL T Front g'a t[j-;'�'r_f �jn• � -�/ '�st,frI] b� O Address \ k11.-- )---4-- `yCra {G.-• C � N{ pC_ ❑ TENANT �ECTRICAL PLUMBING ECHANICAL B Rear . 23, ' (-` ' 4-p 1, ,L f I 1 IJ�''S�.(:\ ❑ OTHER A - Contractor's Nam- • , - - Phon! C Right est N Address(mailing)'4S\� ' riC't VeA • 7',11-L� PROJECT DESCRIPTION SQ. FT. �S OC PANG/V K g 3 /TU 0 G La oo rs J CONSTRUCTION TYPE VALUATIO $ b rV C�� § Left 1J- LI-� R City License No. _ O ''J ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION y, .{� l Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Pre.- 51 e 1N Spet.bs O�'1 Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and +7 T my license is In qI I. ce and effect. ,�u�l-J ,Q�. 2- G; - S / $ T Lice • las ✓. Ink Bose rvo. PLUMBING FEES '.��\ Date Signature . No WORKERS' COMPENSATION DECLARATION Bar Sink Showers , I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ' 3800, Lab.''�j) Automatic Washer Transformer 0 15-50 KW as•etU �. 'Policy ified OSS]sgtl7 Company r'� Ca Tyr Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW \ entified copy Is hereby th the furnished. S`M'L / ertifie cpy_Ishere with the city Buil Di is n. UsaJ Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps ate 11 l "G Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLAR T> N Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hun ($100 on less). ) r - Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the - Drinking Fountains Solar Tank Fan Workers' Compensation Laws of California. '« Motors 00-1 HP Dish-8 DateOSignature ^ Floor Drains Swimming Pool w/Spa F.A.U. Workers' Compensation making thisv ions of h, should becomesubject to ith Inc.Solar ❑9.15 HP 016.15+ Workers' Com such fpr provisions of the Labor Code, you et forthwith oked. Floor§inks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave , CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for wfrL'ch this permit* is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name 1�1 J'j+L�l Lender's Address \\\\ Kitchen Sink Water Service - Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9Standing Sections county which requires a permit to Construct,alter,improve,demolish or repair P-Trap Laundry Trays I any structure, prior to Its issuance, also redtires the applicant for such permit Generator ❑4$KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9_(commencing with Section 7000)of / P�L- arch/ Cl.9 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 //"'C)ly 4 r�1�- • 4 t '31.5 by any applicant for a permit subjects the applicant to a civil LM' _ - laity of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 "compensation, will do the work,and the structure is not intended or offered - Reinspection Fee f $15 Issue Fee 5 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves oy, andwho does such work ovem lf/s arelf or through Sir or her own Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUy employees, ever, that such improvements are not intendedhin offered for sale. If, however, the building or improvement is sold within one year of Com- Canopy ' Type II ❑ Zoning Approved ByDate pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). Building Approved By Date �/ 1 S ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By PC tractors to construct the project (Section 7044,Business and Professions Code: Date -1 9-S' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU builds or improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware thatstSystem BUILDING PERMIT $ 6, '-so SMIP § ' SL proof of their Worker's Compensation insurance should be provided to me. Exhau0 Multiple 0 System Repair/Alteration ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK 5 44. t3 PERMIT _ PLUMBING $ 6.09 ISSUANCE $ Date _ Owner _ Heating System& Ducting Registers PLAN CHECK 25% $ ' 1 S ENERGY P.C. $ I hereby certify that I have read this application and state that the above • ❑0.100,000 BTU ❑100,000 BTL. information 0 GRADING $ information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws r- .ting to building construction, and hereby authorize repre- sentatives of enter upon the above-mentioned Pr'pe y for /361'21- Drivers' �7 ignatinspecre our ` MECHANICAL $ TOTAL FEE $ 361' 1- Signature Data I Drivers' License or SS# ' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ _ a CMF 0865.46,rev.10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor / CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit Date Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '/�� �� I 'JJ, 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 1 3. Electrical Conduit Utility-Undrgrnd. 54. Forms \�IIV/ SElectrical Conduit-Undrgrnd. 55. Electrical Bonding •7:7-fi - t C. teel Reinforcement 56. Rough Plumbing & Pressure Test 777 .,4r6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' Ar 7. Footings • 58. Electrical Conduit-Undrgrnd. -7-7-97J C. 8. Foundation 59. Gas Pipe, ridrgrnd.,Test - - /&%y 159 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 7/•% �� 10. Structural Floor System 61. APPROVAL TO DECK .1, ; • - dd 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final %/224.04 12. Sewer Cap 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final • 7DM14. Rough Plumbing 65. Electrical-Final "V Q� 15. Rough Electrical-Conduit 66. Solar System-Final f 16. Rough Electric Wiring 67..Fencing & Access ApprovalIl o,( 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING rf lcgt 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL e' 1116- 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 1 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 PREY. 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: ,S� 6a.13._ Arc y .css 34. Final Heating & Air Conditioning Ta e/n__t //1 n ` 35. Final Gas Pipe-Test ct Q-_-�r h/^ l I 6,/0 I/` 8-7 rof • 36. Hood or Canopy B ,� t b/1 1 37. Final Factory Fireplace !• 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • 43. Backf low Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . 48. Special Requirements Completed . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co . :r 51. CERTIFICATE OF OCCUPANCY - No._ Date _ - S. - • A • . ° WW211- ,dh► °M Twining Laboratories of c%utizan Caeifotnia, u,:c. - - - 3310 Airport way / Mailing Aodress P.O.Bog 47 / Long Beam.CA 90801 / (2131 428.3355 / (2131 838-2388 / (714)828.8432 TESTING BRANCH OFFICE: 1514.0 Non"Susan Street / Santa Ant CA 92703 / 1714)554 2845 July 20, 1987 Examination: SC87-6861 COMPRESSION TESTS ON GUNITE CYLINDERS Max Sitter P.O. Box 3454 Fullerton, California 92637 PROJECT SWIMMING POOL & SPA ADDRESS 227 E. 23rd St. , Costa Mesa ARCHITECT CONTRACTOR Swan Pools Swan Pools ENGINEER SUBCONTRACTOR B.C. Adams Vern Anthony Gunite, Inc. SAMPLE FROM Spa SPECIFIED MIX 4.2-1 STRENGTH 2,000 psi DATE CAST 6-26-87 SLUMP SIZE 1: 5" x 12}" 2: 5-1/8"x12}" DATE TESTED 7-6-87 SPECIMEN NO. 4 5 6 "HELD IN FIELD" COMPRESSION 10-Day 20-Day TOTAL LOAD. LBS. 34,000 67,000 POUNDS PER SO. IN. 1,730 3,250 28-DAY AVERAGE. PSI COMPLIANCE 20-Day test complies with specified strength. MADE BY DELIVERED BY RECEIVED ON SPECIMENS Ray Max 7-1-87 DISTRIBUTION: Max Sitter - 3 Ges4a..Mesa Bldg. Dept./Scott Priegel L Rick Hyden (_ =LL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS AUTHORIZATION FOR PUBLICATION OF OUR REPORTS.CO CLUSIONS.OR EXTRACTS FROM OR REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC AND OURSELVES. 330-12 H.E.Manning 1 120 N Atlantic. L.A. 22, California. � [8 9 Mr Michael Bingham, Building Official VFFB QFCar0% City Of Costa Mesa in °h,of C 7o 11 lo " i ifres Dear Sir:: Z 110 Inre : your letter of January 31, 1961. pertaining to my property at 227 East 23rd St Costa Mess. As per your request for me to contact you I can either come down to Costa Mesa or if the matter can be takeh care of by letter phone: I would naturally rather do it in that manner. I have already been to the city hall in 6osta Mesa and was given to believe that due to, the circumstances I would be in no jeopardy- if I waited until the Street was put in in the rear of the property so all the util- ities could be taken care of at one time. If this would be OK I thought that when the street was in perhaps if the rental picture in Costa Mesa got better I could build a few more units on that property and the old house could be torn down the utilities taken care of and the new whits built all at one time. B1 doing this whoever built the units could be equip- ed to save time and money in this manner. Please inform me as to what you want, me to do. Sincerely„ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA_ CONSTRUCTION PERMIT - PERMIT NO.pTRACT NO.. LOT�jNO. UNIT NO. Prot?<Address 2 J ) t a_7& -- � B a In.o 9 Meth _c 5 Pan. Z /. / y TYPE OF CONSTRUCTION U NEW CJ ADD U ALTERATION U REPAIR S l? t-s. I i 1 F v..h. Y' ❑ OTHER /3 ( O C.V W a"1 +� I ❑ CONVERSION ❑ DEMOLISH ` A.P.Ye 074 My Zone gJ Owner's Name S}o v e .S�t� I N Phone �� V I J^ I _ ` DESCRIPTION OF WORK/USE OF BLDG. Address Z 1 E 5 .3Y a•G S'f? I'r‘C-Csl S Main Building: Accessory Building: Z Arch/Eng. `` License No. TYPE OF PERMIT U GRADING Si FOUNDATION L^J STRUCTURAL E Front }�, , -� O Address �.U. ' L`\� `e t.211‘ -`.-1 ,It (� J i0 ty�'"� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear •10 It, N Contractor's Name fl 0 h e , \ I T••s1S ,-'h, Phone J 4 & 1549/ ❑ OTHER � 3 C Right ✓ C� �' N Address(mailing) Zy L.V E IS- �`� N. Si. PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G .CONSTRUCTION TYPE VALUATION$ ISO0•U J $ Left al City License No. n 1 Cab 9 R ZONE GRADING CU.YDS. - ACRES Ping. Ref. # Parking Req./Provided E LICENSED CONTRACTOR DECLARATION O I hereby affirm that I am licensed under provisions of Charter 9 (commencing • .Remarks: 1 Y PlanningNotes: r with section 7000) of Division 3 of the Business and Professions Code, and •_ STD. [3L1C Lo/}L.l. q s—fes L,F. Ap ,{gyp^ �+ ekA1'S Loi / hl-esop M my license is in full force and effe�}t. s .0 T License Clap_Si"% C--.*-1- " -ijerase(�q 334 l "1 Z. IMO '��-�^J 9- - Q �� S Dale S - C." ? 7 Signature J'�•-•--r"'-^11.. - PLUMBING FEES • [(/\ �,(/L.�[Tv�- WORKERS'COMPENSATION DECLARATION V Bar Sink Showers. f7 ELECTRICAL • FEES I hereby affirm that I have a certificate of consent to self-insure ora certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink )0, Lab. C.) - Automatic Washer Transformer 0 15-50 KW Policy No. - Company Backflow Irrigation Sewer Cap • ❑ 50+KW Construction Pole Sub. 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection _ Cooking Unit Meter Dun to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or - less). - Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 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 subject to the Drinking Fountains Solar Tank Fan Motors❑01 HP ❑1) -8 Worke�{ Cpmpensation Laws of Cali - ynla) T_ ppp ppp ��_ Date - -Q �" Signet urea t1+'e..� ,-7,.7' ' (r Floor Drains Swimming Pool vv/Spa F.A.U. NOTICE:If,after making this declaration, you should beco subject to the _ Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water HeaterOutlets • Lender's Name - Range • Lender's Address Kitchen Sink . Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator DO-5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt ✓efrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to'a civil nalty of not more than five hundred dollars($500). O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 . compensation, will do the work,and the structure is not intended or offered - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves _ - _ _-....-..m. thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQ REMENTS: R ('� employees, provided that such improvements are not Intended or offered foryp ZoningApproved Byv��-1f•/ sale. if, however,the building or improvement is sold within one year of com- Canopy Type II 0 pP Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). g _11_11 ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ as'. SMIP $ • 5D proof off their Worker's Compensation insurance should be provided to me. PLAN CHECK $ I b- a7-C PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ERM(ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above El 0-100,000 BTU 0100,000BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- MICROFILM $ sentatives of this y(y o ent upo -the above-mentioned property for PLAN CHECK 50% $ _ inspection purpoyp.{ I) �y Ce") ) r&•,i MECHANICAL $ 41• 1� Signature •f/ Lr^�4'�-•1 a•-"^t-t1""' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ C I f 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 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 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 !d`/i7,f� &./v/&./v/ 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 C Gas C Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank 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: If iG�./2y .mor- .44 j Gam, 34. Final Heating & Air Conditioning ;Cop // A//L to ,/'�"' ' t 35. Final Gas Pipe-Test Ct to 36. Hood or Canopy Iw • 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 r/ 47. FINAL STRUCTURE & BUILDING ek 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co - ,y 51. CERTIFICATE OF OCCUPANCY No. Date 1 PARTY WAS. AGREEMENT THIS AGREEMENT, made and entered into this �f�/4,/, � day of Arse , 19W by and between /.1141,04.1L_ SA162uer-hereinafter referred to as "LAND G IER", and hereinafter referred to as "ADJACENT PROPERTY OANER". It is hereby agreed� that a party wall will be constructed on the property line between O(2//y ;95 ,4- acA i4 34, ss oLfe /ing Properties) in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach ,do /ileeztadeffit, Ae412 i 0 IN WITNESS )(HEREOF, the parties have entered into this Agreement the day .and year first above written. LAND / ER ADJACENT PROPERTY G NER A4 •�Iv _a I_�"J CfC V /(Signature) / .i (Signature) 5 04841 5; f¼ 2'/k CS> ; A Name (Typed or Printed) Name (Typed or Pri '. ) 2/7 ?3 d 4, . d 3 s (Address C/n -),Le,oet...._ (Address) Vim_ CoS ' (NOTE: Please see reverse side for notary's statement) 4 �1 Eo STATE OF CALIFORNIA ) ss. COUNTY OF ORANGE ) On before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS my hand and official seal. (SEAL) Signature Name (typed or printed) STATE CF CALIFORNIA ) ss. COUNTY OF ORANGE ) On , before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS }[y hand and official seal. (SEAL) (Signature) Name (typed-or printed) 1 • t�pp ��y NOTE ��� % '_ _ APPRO$>L®� ADDITIONS, DELETIONS, OR CORRECTIONS SHALL j APPROVED (Y A,,�{�` Can,ci.c.-t CITY OF COSTA MESA :z BE APPROVED BY THE PLANNING DEPARTMENT City of Costa Mesa Building Dept. PLANNING DEPT. • 1 O SUBJECT TO BLDG. DEPT. REO B'! r`""� DATE /�! 197 1 l'-i " =.:JS Mtt.LT BE ON JOB AT All TIMES MAKE DY eel) 8-1/4? SES 'V'.:`::.,,. . . RIOR APPROVAL OF DEPT. DATE 1 r:; L c. DIRECTO! OP PLANNING • 111 ?• "F. ' Cort!:' r:; ;]F e P'". ;: :. :.F':-^`:Al Of .f=: .:, gl,::'C, :: '}SrAI; T 0:.CON ?PCLi) it SE A I. 77••"I .. i :'.t :: .JU`.At C.F. AbNti.-1-CHOF ANT OF CVL ;.i Na^:G TOONE, -GT- OR -,o . `:S Or THIS r:CE OT .o U?r,, P 'S AND SP,C.P r,. SHALL t-0 P1. '/Ni 7NE 3t1:i:1:cG OFn;cIAI FROt.1 In:REA`TIER CEOU!RING The CO?SECTION O, ERRORS IN S:.;l: PLANS AND : ECIFICAT!ONS OR PROM PREVENTING BUILDING OPERATIONS pEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY GTHER DRDINA.NCE OF THE CITY, JH . • 7 Litflsnua RISIDINC! R[SIDENCI 11101102110l • -f" i I. w :.3 S I� a�� z • 91 e • . „ '4o y „ o ;.3 `r-.a_. STREET -Sr I TYPICAL 6" CONCRETE BLOCK FENCE • Cement Coping Optional en; ChaI aGENERAL— NOTES Minns!Block With Ore 3/8 $ ' 1 Horizontal Top of all• ` Fences11. It MORTAR: One Part Plastic Cement, and 0 I I I Three Ports Sand GROUT: . One Part Cement Thee and For Fences 5'or Lass i i 2 One Hol} Ports Stand Von.Bars 3/8'0 at 4'-0"O.C. set e° = 1 I COPING: One Port Cement, Three For Fences Higher Than 6' ;�i I` 3 I I I a. Ports Sand van.Ban 318"5 at 32" O.C. / Y W CONCRETE: Well Mire I: 256 : 31h a = • Moa. of 7/2 Gallons of Fill Cells Solid With Grout > Z I i I Water Per Sock of Cement Where Steel Occurs II )- Reinforcing — Reinforcing Steel.Shall tut 4 i Io I I GROUT MAY BE POURED FROM THE TOP a[ OF THE FENCE Conform to Sec.A•15-39 u o A.S,T.M. , Z CELLS AND AREAS OF HORIZONTAL REIN. UI All Steel to be Lapped r��I n I 1 II -� FORCEMENT SHALL BE CLEAR,CLEAN d j FREE OF ALL MORTAR DEBRIS,ETC. IS"or to Code ff I I I NATURAL GRADE ' sit 1 1 1 BONDS SHALL BE PROVIDED BY LAYING III=TIE = a 111=111. t III_ BLOCKS IN STRETCHER COURSES SO THAT .d f VERTICAL JOINTS ALTERNATE IN EACH __ .o 'p . i ,� . , . - . . ' • COURSE. TWO Le" BARS 'nag O CONTINUOUS TO • P &BOTTOM .O O WIDTH o,, TO 16' 0 C. MAX. pe • .. e SEE CHART p, 0 c. o aI10 BELOW do ^ ; DEPTH OF EARTHTCOTH • • n b p. I/3 THE HEIGTH OF FENCE O •L ' L i . "Mow BOTTOM OF FOOTING. • lo• ' z•.s SCALE: 1/2" = I' •�-- FOOTING REQUIREMENTS _ WALL HEIGHT I6 . I 5' 4' 3' • WIDTH OF FOOTING 14 14" 12" 112" THICKNESS OF FOOTING 10r 10" 8 " 8 " DEPTH OF EARTHTOOTH 24" 20" 16" 12" SPACING OF EARTHTOOTH 12' • 14' 16' 16' OWNERS NAME: _SE t e S k 1/4- i..\ Int 4Ste``.1 17s-•V - City of Costa Mesa, California JOB ADORE SS: _kl..Z E 23-•a d 1,33" Building Department 4 '1" set.` ko..- 235 5;� Q.,_ . From the Desk of. . . F. M. BINGHAM ....t..-r- __- "Te-s -ele.-• ._ C-en,,, .4 Co-Ce, 5.0?--4-.....,, l'i-Z-7-‘ea 0 00 Pas-...- y. 4 h--.--`. V .--ct... —IW l.0 Q-L\ sir,. (/ Lam.-4�•„ �/L.�G.or ` il /Gyro, r-y ,�.�_. i -1--,--k 0)--44.-44-4“.... 44%., (2).-c CI< AA. 31-4_ i,Cc_ tett,. CITY OF COSTA MESA PARK FEES Fee Payment Receipt N2 032 Project Address 2r"--72J( E- 2'32? l't Park Area '3 A. P. No. /(8 — / — / Building Permit No. 38Ot c/ Owner's Name CL412e (3U / `t aa3 (N c • Mailing Address ( 750/ OW/Ng Pc - So Jim- .to FEE Single Family * No. of Units ( @ $338.27 = 338'2) Multiple Family ** No. of Units @ $238.78 = p L/ /� Total Fee 33,72/7/n Planning Department Approval Date —O/i%'�- -Y By /far l�a- CSN Applicant's Signature 7 �� J . * City Ordinance 72-44 / Gilt.•• City Ordinance 72-45 ni 1ll �t1 � • City of Costa Mesa INSULATION CERTIFICATION Building Safety Division a 7 02 3 / 00_s re. Mf.A. ORS v!'L. Number and Street City County Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Ff3SR CLASS Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material 42 6.L.ASS Brand Name JG.6"ti /'1 fryUjiL Thickness (inches) 3 z Thermal Resistance (R Value) .e-// CEILING Batt or Blanket Type tIA/ de Brand Name .�o641./ ArA,t'Sa,42 Thickness (inches) 7. Thermal Resistance (R Value) R- 3° Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag lb. Area Covered (ft2) Thermal Resistance (R Value) FLOOR, ELEVATED Material Brand Name Thickness (inches) Thermal Resistance (R Value) FLOOR,SLAB Material Goficx 1rI Brand Name Thickness (inches) 'r' Thermal Resistance IR Value) Width (inches) FOUNDATION WALL Material - Brand Name Thickness (inches) Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). 9�rle s t v,cFQ S '-/ 33 7119 General Contractor(Builder) License Number CO , . ) /oa. 2 3• C- ignature and Title Date Sub Contractor(Insulation Applicator) License Number Signature and Title Date CMF 1106-46 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF ebSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 227 Fast 23rd Street b QZOta &i /c2 -e — 3975 6/03/85 c5.35 IL Applicant's Mailing Address 227 Fast 23rd Street TYPE OF CONSTRUCTION LI NEW Ll ADD LI ALTERATION ❑ REPAIR Owner's Name Steven w. Sheflin Phone 642- 07. 2 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# {.�a (,2- p2/-f-p - Zone CjI DESCRIPTION OF WORK/USE OF BLDG. T Address —227 Rant-23rd Street S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL T Front n/ 0 Address ❑ TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear r N ❑ OTHER p' / �� Contractor's NamP Phone C Right ��R"`[[[��� .0 N O.1 `y�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY �, Address(mailing) A ) K &xt#'GO Ir_ CONSTRUCTION TYPE VALUATION S �/ �S� $ Left I `?] City License NO: ZONE GRADING CU.YDS, ACRE$ R LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking Req./Provided E I herebyaffirm that I am licensed u'• r D p: vis ons and Prefer i (commenting Remarks: Planning Notes: I(/4 Y/W(M' M with section 7000) of Division 3 •�e :list ss Professions Code, and 5 my license is in full force and effect /o f 2.6 7 in T License Class - nse No. / S Date Signature PLUMBING FEES A • WORKERS'COMPENSATION DECLARATION • • I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers E CTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink " 1800, Lab. C.1 Automatic Washer Transformer ❑ 15-50 KW olicy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW aCertified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection Cooking Unit Meter Dup t0 100 amps Date Applicant • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or •Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel ' I certify that in the performance of the work for which this permit is issued I • shall not employ any person In any m her so to"no a ct the Drinking Fountains Solar Tank Fan Motors❑0.1 HP Di 4-8 Workers' Coqs�pen3. ion Laws of Cal' /i/ �/ Date J�'J'/-o �1 Signature Le! Floor Drains • Swimming Pool w/SPa F.A.U. Inc.Solar 09.15 HP❑16-15+ /� 'NOTICE:If,after making this deet ration, you should become subj t to the Workers' Compensation provisions of the Labor Code, you must orlhwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets' Water Closet Device Boxes Pole I hereby affirm that there is a construction lending agency for the performanceLight of the work for which this permit is issued (Section 3097 Cly. C.) Interceptors Water Heater Outlets Lender's Name Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - Garbage Disposal ;Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or • county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains s the Contractor's 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 any applicant for a permit subjects the applicant to a civil - _ • penalty of not more than five hundred dollars($500). 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee S 3 compensation, will do the work, and the structure is not Intended or offered - - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law 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 DEVELOPMENT SERVIC S REOUI ENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 /� .. sale. II, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date 4'345 elution, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground �� Building Approved By Date 3-�5 prove for the purpose of sale). r ��� L 3-0f 0 I, as owner of the property,am exclusively contracting with licensed con• Duct-Structural Refrigeration System ,I/ Application Issued By. Date tractors to construct the project (Section 7044,Business and Professions Code: i The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ 17'St7 SMIP $ O proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ I- 34'� PERMIT S..- � 0 I am exempt under Section • B�&]P. for h s real n• Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ \ fv (4 - �,4x ' Heating System& Ducting Registers ENERGY P.C. $ Date .11:1,-- OwnerPLAN CHECK 25% $ i hereby certify that I haverres ts application all and state that above ❑0.100,000 BTU 0100,000 BTI. ELECTRICAL $ GRADING $ Ind state information is correct. I agree todi comply with all city and y county ze repro- ' and state laws elating to building const uction,and hereby authorize repro- i PLAN CHECK 50% $ MICROFILM $ inspection of is city o ente po [ a ve-mentioned property for inspection p es. -2/�ixC' MECHANICAL $ TOTAL FEE $ zi " - c-1 Signature Dale✓' A :J $ Drivers' License or SS �- ()- Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% „ma ' CMF 0865-46,rev. 10/84 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor / ' ' / CONSTRUCTION AND PLANNING POOL& "'APPROVALSrPermit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -I ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. L. 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 • f�/�C t' 58. Electrical Conduit-Undrgrnd. 8. Foundation - - r 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 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: �' �y/�S ,:,,e. &QdT 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test '. • 36. Hood or Canopy .;,! 37. Final Factory•Fireplace .,• 38. Final Plumbing; ' y • 39. Water Service-Final , . 40. Gas Service-Final `./ • 41. Solar Domestic-Final • 42. Backflow Preventer •- ' 43. Backflow Irrigation .to! 44. -Landscape Irrigation System.)Vc • . 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING ///X• • 48. Special Requirements Completed 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co •� 51. CERTIFICATE OF OCCUPANCY .' I No. Date G A ,„ t ,. ,, Ali? t slTape \ A , 0 OF COSTA MESA PLANNING DEPT. WIJECT TO BLDG. DEPT. RIO Byrtaga...C-- DAT -E-..;.----L-- 15— DIRECTOR OP PLANt4ING 131.251 REIDENCE 2,2'7 , 1 It 5-3 pi—4-- --------Ctgegl- t 4L 1 - a wet-1614 —11.- -11 t3. .> VIEw A-A okp ii.) < - i < C V 2 SittzkEY ---ig--1L SEPARATEegtimirs ARE REQUIRED i ' — CC ki Fp t5:tfit isiTAREEr I \.. 1 Z 5 i 1 i:.; IEiFiCi t.;E\If.E1,441.7 1 1157-iyi\vfiri;crq , , Z C II ericit I . I1 i I 1 I . i I 1 ALL .:3 ! i , EmPtuIs V.. nrYFtibliGt,F-,7 -.) 7 'LL; Cn 1.,C tq / I I. LIFOceit laIVISIIII: ',IF INtio.,1-7111.1 S,If Er!' I b.... BE 4ONSEJLTED FOR , ' Z..: ;,..-0,-, 10 So- 11342194.146,1fREMENTS _ 1 ----i 1 1 ' I- ----1;-b\CG14:C°CSC RET_BLOCK c.• t• PLAsTra_ , t :W ALL• _PLASTERED W111-I __:A._t3RICIC CAP. _ _ _ . 21 41 ' SI-ITFI. 22-1 Z31; s-rReetr_________ — COSTA NaisANCA qui-? ' S/DEIdACK. tl I VIEWTA=Pc 1 , . ----I PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this 24th day of 5 May , 198,4, by and between Steven W. Sheflin hereinafter referred to as "LAND CW4ER", and Dortha L. Lamb hereinafter referred to as "ADJACENT PROPERIY OWNER". It is hereby agreed that a party wall will be constructed on the property line between 227 East 23rd Street and 225 East 23rd Street (Address of Adjoining Properties) in the City.of Costa Mesa, County of Orange, State of California, as per map recorded in Book ,'4 . , page 83of Miscellaneous Maps, in the office of the County Recorderof said Canty.: 'The party wall shall be permitted to encroach landowner's property only IN WITNESS ?HEREOF, the parties have entered into this Agreement the day an9 year first above written. LAND" R / ADJACENT PROPERLY OWNER f,_ A A X9AAti-ia_ oeda72-2-a- /( —.nature) (Signature) Steven W. Sheflip Dortha L. Lamb Name (Typed or Printed) Name (Typed or Printed) 227 East 23rd Street 2321 E. 16th Street, Npt. Bch. 92663 (Address) (Address) (NOTE: Please see reverse side for notary's statement) STATE or CALIFORNIA ) ss. COUNTY OF ORANGE ) On May 24, 1985 before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared Steven W. Sheflin and Dortha L. Lamb known to me to be the persone s) whose nams) ascesubscribed to the within instrument and acknowledged to me that abefska/they) executed the same. WI 7 S my hard a • official seal. (SEAL) prgnature I OFFICIAL SEAL. } x SHIRLEYPU -CISDN Shirley Lawson t, G ;a OTisRYEY IA/SON YIA 1 C.:L. Name (typed or printed) ,i ,��� ORANGE COUNTY \ c,,.:• My Comm.Expires March 31, 1989 STATE CF CALIFORNIA ) ss. COUNTY OF ORANGE ) On , before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged to me that (he/she/they) executed the same. WITNESS my hard and official seal. (SEAL) (Signature) Name (typed or printed) r CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner•builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 6 I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 Yes D( No I (have/have not) have signed an application for a building permit for the ® proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name D.W. Richard Concrete Contractor, Inc. Address 1116 N. Harbor Boulevard City Santa Ana Phone ( 714 c57-6487 Contractor's Lic. No. 324591 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone - Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California He th and Safety Code and have completed the above information to the best of my personal knowledge, ' compliance with this Sta e I - Signed: id Date: May 31 , 1985 \/X/` Name: Steven W. Shefli (Printed or Typed) C.D.L. #or S.S. # 754-5273 CMF 1042-46 1 :1/ OWNER MANNING; H. E. DATE 6-20-62 JOB ADDRESS 227 E. 23rd St. BUILDING PERMIT NO. 17391-4 GENERAL CONTRACTOR Owner-Bldr. VALUE $ 140.00 AP No.118-1214-10 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Demol.Res. I' 'ECTIONS Signature DATE GROUP - TYPE - ZONE R-1 $. PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Ref rig. 0 Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous° c9uncz✓ �i -ao-r v 33._66.3 Prop.Swr.Line ❑ House Con. ❑ St. wr. ❑ Sprinkling System Constructioole Underground 0 Power 0 Rough Wiring Trenches ❑ Forms 0 Steel Rein . 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out 0 P4-ester, brown coat 1 g. 0 Air Cond. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final / Building, Final E. SM R))-11-`1, ,7 .-1� OCCUPANCY FORM BU4.5M — 7.61 17394 FE RECEIVED 17394 JLJnzo 1962 COSTA MESA BUILDING-SAFETY DEPARTMENTFINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA - CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING�I A7- 23-4/_ ADDRESS of {�/� r COSTA MESA. CALIFORNIA For Office Use Only /Let. ' ,/: /h1V/V i N G- I RECEIPT NO. PE�MI�f{Oy4 OWNER ,rLfJLr• ,/ //"LLfjJ�[(`TT'] /J RECEIVE R BY DATE RECEIVED I DATE ISSUED ADDR/ES�S 9.J~S1/ 'U p. eon/ ./F4 i/! 7- /I� //6 "-,'6. /-�L^aY ^ x(61 '�.?{V''�'JY ^ITLIIR'RDr,N( av NO.f'r / � ADDRESS LDIN6/ a .71 / J'�l _`i-�!� CHITECT T_,. TEL. ..a COSTA MESA. CALIFORNIA at ENGINEER NO. r-- FIRE ADDRESS ZONE TYPE -GROUP " y" CONTRACTOR tnt-Ce-, By222 � e����t�//// PROVED � DATE C - - ADDRESS i ZONING ppp J�,4,Qy _ Z E NO.OP UBE OF NEvry n(�/• CITY �.�� I PLANE 0///III I,,JJBUILDING VW STATEIGN TEL. DEDAR Pv„ Y'1'. ` i ya 64 SIG.NO. ��{{ ••// NO. DESCRIPTION P. C�.xi,/^� s SIZE OF LOT y{! 7C. 13.s I NOWOFN LOTS / A.P.NO. I / - I qE - l0 USE OF /rI��// 'l,,- ` EVES EXISTING BLDG. V 8 , LI/Yc APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE BT.) CENTER OF STREET REAR YARD ^'-"' FRONT FT. IN. SIDE YARD I LEFT I RIGHT —. R.SIDE FT. IN. DESCRIPTION OF WORK (5-- L.SIDE FT. IN. ha./ I IIIALTERATION I V ADDITION I REAR • FT./, IN. I�=' REPAIR I II MOVING I II DEMOLISH I� APPROVED / ,( // DATE 6 - . o -6 - BUILDING • NO. OF /��— /��V SIZE ROOMS v STORIES / (.74/ EXTERIOR WALe OOF COVERING t ANDG COVERING 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 CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONBTRUCTIO VALUATION OC SIGNATURE OF %/���//� BG PERMIT FEE S N PERMITTEE V / B S• l�v PLAN CHECK S AUTHORIZED AGENT PI O° E TOTAL FEE t J. y ''jOWNER CLARE Builders, Inc. DATE 5-8-/4 {0B ADDRESS 227 East 23rd Street BUILDING PERMIT NO. 38019 GFMERAL CONTRACTOR Hood S. Associates DESCRIPTION of WORK Res.w/att.RaraRe • 118-124-10 LOT TRACT FIRE ZONE VALUE $ 27,030.00 'INSPECTIONS t Signature Dote TYPE v GROUP rp c' ZONE R-1 kSOIL'i 4.-1 Ste Y7-)U I PERMITS ISSUED GAS SUBCONTRACTOR WATERSG1 c--7[r - - LQ �lum inti Date Number Signature ROUGH PL BING (0 4-4-74 b6 PROP. SWR. LINE (HOUSE CON. V '� p s2it.- N Cj %: �"a O jj./� h SPRINKLING SYSTEM �r o ��, MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING ..A IS-r-74 TEMPORARY SERVICE OR POLE //%r] 5 A3-74, UNDERGROUND ID POWER 0 ROUGH WIRING i++ 0 -/7 a He.}in. and Vent. TRENCHES 0 FORMS [J STEEL REINF. (ii'7 j ra i i 7.3/7j" //a a.5%---- FLOOR SYSTEM^ // 44.0't- BOND BEAM ' 1 STEEL REINFORCE n tb SHEATHINGME �2'� FRAME AND FLASHING LATHING — INOUT — C PI 'ER. BROWN COAT iy`J7/'jt / — 51 iURAL, FINAL ElectriC HEATING, VENT., REFRIG. AND A.C., FINAL s \ 0^8:1-) 4 , =a .-� 3>s a ,. PLUMBING, FINAL AND GAS TEST ¶.p /6.4.4•7 p7. . ' 7_90-7,/ 3727 f er- ELECTRIC, FINALnail BUILDING, FINAL ' /1)-21-7ti ?R0 1 9 rcg 75-7111 001oo1•= ****50.14 • i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING ERMIT For Applicant to Fill in Completely RECfyI V BY DA EIV D E ISSU BUILDING ��(f Ol 7n[ 7 ADDRESS 777 Rant 91r4 Street ' V ' / OWNER CLARE BUILDERS INC. A.P.NO.I1� 124— Q PE.y h5 ,Q/� MAIL BUILDING /1 ��jj(/ ADDRESS 17501 IRVINE BLVD. SUITE LO ADDRESS t d Street za U CITY TUSTIN, CALIF, NO.838 -4355 N TRACT S V�LOT-a"-J BLOCK H Z Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING oFMOI ISH - I- LENDER COMPANY FUNDS o- m x 7 BRANCH 1 OWNER CLARE BUILDERS INC. L ADDRESS m m VALUE -�`'� {� J Q OR ENGINEER BILL PHELPS TEL USE ntaal,i.i G /� /LGG $, /1 vt/O UV) FIRE W CC ADDRESS 1095 N. MAIN STREET. ORANGE ZONE TVP GROUP).- 4 �^/ - dw APPROVED II/ ..s>x ; LU O CONTRACTOR HOOD ASSOCIATES BY DATE / Z -i cr ADDRESS 17501 IRVINE BLVD- SUITE 10 'L w TEL. ZON NO.OF USE OF NEV V7742,/ = PLANSZ BUILDING4../ ����y.// Z)- CITY TUSTIN, CALIF. NO 838-4955 C r r -O STATE CITY YARDS APPROVED YARDS APPROVLU ED ' In x LIC.NO. 272186 LIC. NO.�6o MAIN BUILDING ACCESSORY BUILDING sem` r O (FROM C/L STREET) SIZE I NO.OF BLOCS. `CO LOT 701 x 131.25' NOW ON LOT none FRONT J FT. FT. USEOF /Z rr EXISTING BLDG. FT. /\ EJ l- SOF NO.OF 2 NIEW ZE BLDG.40 I x 59'2" ROOMS 7 STORIES 1 L.SIDE / [''7 FT. '. FT. EXTERIOR WALLROOF I r ICOVERING Seller° I COVERING Campo. REAR 5-2-FT. / FT. x_ USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& fx- a one family dwelling with arterhed MAIN BLOCS. ACCESS.BLOCS. Q VAR.# DATE O gp rage. New Construction. C.U.P.# APPROVED ` ��1N APPROVED'j/ /p� DATE J oF5 2 HOLD FOR"/SPECIAL REQUIREtTENTTE 1~ hereby acknowledge that have read this application and state ' 1 \ D that the above information is correct and agree to comply with 6 �1A-z Td{ / CC all laws regulating building construction, and I shall not employ �"V any person in violation of the workman's compensation laws of a1/4, TA, /the State of California. �_ mZ i��v �� I hereby certify that I am properly licensed as a contractor under SO. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full f rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from tPe provisions of the State t Calif orn' usinass VALUATION ly and Professions Cone ivisi /3,Chapter . (A at l\ PERMIT FEE $ l N Signature of / `� Permittee ✓ /� $2771/450 N CHECK $ % r E Authorized A nt u ` TOTAL FEE $ p _4.0173 i1Rf 24-75� 5°002894* ****18.50 .r COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 i For Applicant to Fill in Completely AP LI ATION FOR BUILDING PERMIT _ ��, � R E eV DATE RECEIVED! ^E IgSeE/5 BUILDING A��/ eJp 1 /(f] 7 ADDRESS ! 'h iii A/ / � /�/ '/ 7 OWNER 7 .SC //t. lid (az/ �.1 S':_NO. /r O --JI X- 7 -- PERMIT NO. AMAIL DDRESS a31; ADDRESSBUILDING �� / a23 �� 5� Z _ W W TEL. 6.f`� 6 0 CITY �� NO. TRACT LOT BLOCK F Z CONSTRUCTION O N W A D TER REPAIR MOVING nEMnI ISH OCA- LENDER D BRANCH ti—k ) II `` l OWNER Vv S14 E F LI tJ ADDRESS to J _ m ARCHITECT TEL. USE frliftfiralatlainS1 eD 11.0v`'l J Q OR ENGINEER NO WCC ADDRESS / y ,I- , ZONE (I TYPE Ire GROUP �//��-,{J JOCONTRACTOR — ` C- .!4- APPROVEDBV / �/ •! DATE Ohl (S Ca Z ///��'��Ili J cc ADDRESS ('''�,,,{{{}...����' W ZONE ) NO.OF USE OF NEW O/ f Z1- CITY NO. /�/ PLANS L BUILDING lA1C{S W- O STATE CITY YARDS APPROVED TAROS APPROVED y K LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING DO —' (FROM C/LST ETI SIZE NO.OF BLDGS. ;ij�. OF LOT NOW ON LOT FRONT ���17Y� FT. USE OF �^ EXISTING BLDG. R.SIDE /7 FT. FT. I SIZE OFi'1 NO.OF 2 NEW BLDG r V ROOMS STORIES L.SIDE �3 FT. FT. Q EXTERIOR WALL ROOF COVERING COVERING REAR ,2O FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS BLDGS. Q . Th. VAR.# DATE C.U.P.# APPROVED OAPPROVEDI il r� ' —1.5.-.- CO JSP CO i(.rl moi[' ( L i BY �Il Q DAT Mt Z 0 UI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with �L,//��(J�_ CC all laws regulating building construction, and I shall not employt1/4 —i♦px i I— any person In violation of the workman's compensation laws of _ CO the State of California. / ^ CO I hereby certify that I am properly licensed as a contractor under Q/f l/SO. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in ful.force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: tC am exempt from the/Provisions of the Ste of California Business VALUATION and Profession Cotl', Division 3, haps 9. /trat N PERMIT FEE $ Signature of / '�r m Permittee /' Siler PIAN CHECK $ E n�{ `o Authorized Agent I V LL TOTAL FEE $ OWNER SBEFISN, S. W. - DATE 6-24-75 JOB ADDRESS 227 E. 23rd Street BUILDING PERMIT NO. 40173 GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Patio Cover lo.118-124-32 LOT TRACT FIRE ZONE VALUE $ 1,200.00 IL.ar'ECTIONS Signature Date TYPE V GROUP J ZONER 1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 17 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS fl STEEL REINF. ❑ 1,4 •J 6'27-n FLOOR SYSTEM - BOND BEAM 0 STEEL REINFORCE n SHEATHING FRAME AND FLASHING - LATHING - IN ❑ OUT PL "-'ER, BROWN COAT S rURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ❑ ELECTRIC, FINAL BUILDING. FINAL !A - F L OWNER SREFLIN R. DATE 9_8-75 JOB ADDRESS 227 East 23rd Street BUILDING PERMIT N0. 40533 IL GENERAL CONTRACTOR Rey Sand o. of WORK B].ockwall o. 118-124-32 LOT TRACT FIRE ZONE VALUE $ 650.00 •i'INSPECTIONS Signature Date TYPE III GROUP J ZONE R-1 SOIL PERMITS ISSUED SUBCONTRACTOR DateAI Number Signature WATER Plumbing GAs ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING }}J� Heating and Vent. TRENCHES FORMS n STEEL REINF. In h rr 0• FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PI -ER. BROWN COAT S_ rURAL. FINAL Elertric HEATING, VENT.. REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST n ELECTRIC, FINAL ///� _ BUILDING. FINAL / . 4/f� /r� _r 4 PAIL( . in_, 053, SEP —8-75c00 370* *****7.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use I k Only HED BY TVECH 7TE SUED BUILDING7 _ E 23 � O - ADDRESS a44I OWNER / 2jR -A.2 FL; ni A.P.NO. / p —/27 -3 Z * co. MAIL �c�'+ BUILDING 22 �7 _ ADDRESS p51G,0/N.. -41.) ADDREESS� / E 23 CITY C, `� , NO.TENE�TTR CT .7E=`NTT LOT Afit 3'j� BLOCK CONSTRUCTIONJ(� NEW ADO ALTER REPAIR MOVING DFMOLISH LENDER /t//A' / �/r BRANCH OJJ , / OWNER v ADDRESS ///,/////�}�..��/ VALUE /v/// ARCHITECT . ^ TEL. USE gW S . OR ENGINEER AVA- NO, _i2se.FIRE ADDRESS ZONE TYPE GROUP //'— APPROVED CONTRACTO' 97 r' nen/bo t//C}. ` BY DATE ADDRESS avo AiD , W4' M--teoei, 0 // TEL. ZONE z NO.OF USE OF NEW CITY NOcS:3)_///3 L I\ I PLANS 2 BUILDING $WC4 11/4W F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. . a'9g0 7 c% LIC. NO. MAIN BUILDING _ ACCESSORY BUILDING _ SIZE INO.OFBLDGS. (FROM C/L STREET) ^ 0. 2 OF LOT NOW ON LOT FRONT FT. 2 FT. Q USE OF 8 it .N. EXISTING BLDG. R,SIDE FT. FT. VI FSeparate permits are required for L.SIDE FT. Ar/Gy FT. electric,plumbing and heating work. .Z REAR FT. /03 FT. F USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& AMAIN BLDGS. ACCESS. BLDGS. .J / VAR.# DATE Q /��,!/ r�/�-�[ - C.U.P.# APPROVED GGG If Q Q � / ,Q & ! / g'7_6 ROVED— NR t r DATE / r/ 25 IX /� it W 0 I hereby acknowledge that I have read this application and state n t. C4 that the above information is correct and agree to comply with m 4 all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of a the State of California. ^; I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; us am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ /J ere e and Professi ode, D vision 3,C alter 9. /. V m Signet a $ /^(^0� PLAN CHECK $ ro e TAX $ i�f� LL "NIPC/ Perml ee .► .�f ((J�f f U ���...yyy Authorized Agen TOTAL PAID $ 6-0 ( 1lf1YY Litt VVli11 -'•'- Y 1' /V JOB ADDRESS 227 East 24th Place BUILDING PERMIT NO. 41732 GENERAL CONTRACTOR nun„/n1 dr DESCRIPTION of WORK nprarhgd,Qar�g- G A" ',. 119-101-09 LOT TRACT FIRE ZONE VALUE E t IU°•U It, £CTIONS Signature Date TYPE V GROUP J ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date I Number 1 Signature WATER Plumbing \ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER 0 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS ❑ STEEL REINF. er/ Q 5: /14 -Jair FLOOR SYSTEM BOND BEAM fi STEEL REINFORCE r O�^_ SHEATHING n� 1 4' 0 -r-:4 1-2 a FRAME AND FLASHING rtit// /7 i.WA H CS:Z 5 LATHING - IN n OUT fl PLASTER. BROWN COAT 1 TURAL, FINAL Elertric / H- .INC. VENT., REFRIG. AND A.C., FINAL 0cLMQ.t_,/ad4 i. .at 74 4d0//7� PLUMBING, FINAL AND GAS TEST l J 7 ELECTRIC, FINAL jG 7-17- BUILDING, FINAL `, 8-t}+'L SPECIAL REQUIREMENTS . . 1 ! c ._ ,91? 6Yz-o29z _y- aS- • BUVER/OWNER/S ADDRESS CITY RES.PHONE CONTRACT DATE s i— e i _ Y C(-08z? MAP BOOK PAGE LEGAL DESCRIPTION-LOT TRACT JOB PHONE •'At Contractor acknowledge that PLAN AUTHORIZATION ..soonsible lot the following __ Contrector/Owner' 1 -_ _ �- --- • ..p caetrk;nl - r./ �C<C i ��[,Ci '• V 13S � ro c �LL . , 11< 4-in by . . ii t I I i i �. -r:dl by ✓ 1 . g y ^ I I; b �i21 0� Ta �`r>Z R i vac j�vK ; j ' -E�:S' Ill Joints by v l_-:_ ;. i wwalbys by v earl )(15 FoG c o CC.-1/64.G i i-- gotsoy v I ! : ` i iI { : . i � tri_ I I _ i �CeV- O�� fir,. ,,,IESMAN MUST INDICATE LOCATION I ' �' ON THIS SCALE DRAWING OF ALL ITEMS - - - . - --- - ; -- - /1-7. AS, SSS-- O � -Q --� LISTED BELOW AND THE FOLLOWING j I IF THERE ARE ANY CHANGES FROM 1 �7��, �-}-iw,< 1 LOCATIONS ON THIS DRAWINIL THERE • I I " , : '/y-- .- . • I : — WILL BE ADDITIONAL CHARGES. i ;It Ori - :J,\. ',1— srvot t_ l' ; Pool v „ +F=.::' , : I ; :i )'.. • \k Wlnin-Jisuimum cp.=®2"et toe 1 �'. ,. r;;-Z.-- r. Wk71n- Minimum - - - =, . 'em- - - - .._-. I I •-- 1..I_ /' atter . Ltagm- Maaimum �1 I cm - �i ® i ;�� l - `\ . �: Y • Length- Minimum ---).- 3- ",o ^ l re, a—' "n. � � ! S.; 1 ac. racoon- Maximum Q 5 a x m m a �, 1b rela 111% . .n titlnllllUm b 1 T _ RI ov -re co ml. c 7C• ( _ _N` Ikg' \ • I i ` '_J .:wauon ✓ s, isosF -r S (-(cation Cr N o '—^ `, s o '1 ® ,.• —� -- . -, .• •__. Z o n. r- !L>ard Lgcdtion i 0 ftfil o n z -i .e r W r ? i • VS '`IH. • ® N I _ r1�HlI�,:AM//l�•�.• • I r Lk;elion t....--' 2 K a o o -t A I • J• e I ` ,�_ �� of Location v IE .1 n xi m o i 1- !�(t , -J- rte _::1:1: J"� .:.iu0f1 1 sx zn c c �7 V' :I T I G 1. t . 01 Steps r./ ¢ v on iso O -_I 2 • •bj I 1 I_I . '111 - las 01 slopes t/ Ill sn'a' o_ mfr c T o ' -.--. . _- • A111 \1 ..ng Walls ✓ m ] I I , z a m rn i 1 r • I t �' f I-'' I i :bald Pant vu , F t ., xm ;y aD� I ( (� .a1 Pa110 v J Iv a2 A t"• �p i i • . ' I + I ,e Dox v t• i 6N Metirr V: o t i `1 I _ i , ` i •. ll no::e Bib v , --......1 ' ' _ . �.. Ulstance Pod from ' (/ a -- I T 1 • ' I • � I I i. • nddie 8 Prop_llnes a T O ..-- '''.•.\ j li 0 .vr/need Utdily Lines V F, v) ,.. .� -r' ! I I '^1 j • i -: r r • .:..rc Uh(ity Easements V a (T y„ / ( ='\ r , i I ' : ! 4 wg structure a _ �a F v� •,., .r �• I i j • , I , . :'I„µ,si-11 Strutt on Plop _ lid (Tt n w -^? . . . I I �`� r--i..u..I -'f.7-1=+ .: I-. J ACCESS DAMAGE OR UNDER- -"� i '.:POtWp OBSTRUCTIONS: v • C. .1:'TivAC OP will nni eavrmo.roepcnal- ..•• �. 4 _ II' ,4 kW accuse Jamage such as,Oalnaoe to IA. ,), ` 'lV ... _ I. - _ i. ' "�1 alnowaa.a dMCwaY. cement slab. •f' . W FI . W` !-._ -4r1.. lawns,thetrees, shrubsort leerCeerouting lain' ` ; \ I • 1 / .e lir other utility lines les. pippdeny C • n.uad or undergroumW Met PIPee Carr H , ` v ` I ' or dl aineps Customer warrants all Iota- --I3 0 .._, I .un Ina drawing ern within thea proper ) \J 1 J� "'f/� .Men access Is made thrgUI a neigh: V + CS ;�� l.J '..I y / ..Airway.It H unaanl000 mat you.the ., • .. -1 r'.9 C9 ' • + r ` . Inl.a trial neighbor's permission and e- '' V r ' . Imo responsibility.No sod.rocks.de- P t • ._ removed or brought in eaCept on Ia - ; 1 ,'ill Day. l �' 4. . . . I uWTRACT PRICE IS BASED ON I t 01LOWING MUTUAL ASSUMP- ' - -' - ---_- -'--'-•- -- - - - UI' ACTS. Ias -- - ---- ' ------ • . . • Ir• sol agsmaat bedrlra Cada'no I' On O.110 hard or r ..I rash a`a••a`aS'n�'e ,w 1an4�11N art n asp oma `y�� • .1.4C1,00 . .un til d o ace ,r I r r COrallli will interlace ere with thew \ • - .. ei A1' . . .r try Otjac hammerrprkbrqulred;IMI _ - •. •,� _z �..• - . ..—- deo power equipment must have iso ' ._._._—_-.- _._ .0 Into site and that said amen is ads r8 , nnusunstanllsl aro lwsTNt that tiler 4 av/ 1 .wale electrical and water supply en, , , . , ,y n IIIb property til constructbn ut p ], ._— ' VL Coil soot shall not be liable lot Ibla .�17 r I ' ' ' ' i ,- 01...)1 all or pleding caused by extern ekl I . - . . ...rang in Pool area only. limited 10 9¢ •v • I r r unless otherwise spooled Cutter 1 I r 10 IA' -.....11.1.....•1..S.: m'.nl.ra•,naMaaaaeaer •�_,_ eleranon er • mrorwppdd.pl,. = I t- (�l I"' . . .r - I `. .r i.t i - .:•J wafq sed deriking m not guaranteed T C I •• a • l i I : 1 ' . ..a.,Inel Crag:WM d•Cigre,ralwbg settling o. I ^^n y I I r wY.dpatlon pile is adP wasne aspabna I . . ?r, -\I CO p O I , .Ii S.010rat alll,Wining.ciwud g a crocking I V ' r^ O . •. •I re ...ch Werner colada generally result Iron O ' '� r n _ .4� L. '_ ...o reser rgMltana lmproparused dernf o 1 ..la.or eck a p improPerreaaangd mepool ' wp 4,.,walls or grading not speallcally on copy ' I 0 N • •. • . n.,L u owner's IMppHipdny. __ - • __ _ • -_ _ ___ .. rn o _. _ ! • O . . O Z 0. ro _?1 µ ..__r. -. Contractors naddty for variance In pod �a :at snail be limited a 53.00 a quare bol O > va ? n�, •ZI :,r,....w uelbrlsdcustomer deeyopnttr ot. l rn Z -a O El O adanlprel owes Incurred by contractor. I 1 9 -1 1 l h 0 Cl nnunlosuendeeyasre be bom.bycustomer. , . rr0 / - m ' _ ITo pen audlori:atn n bdrYaalbrwith rrl e VI . r Ire,contract.co'tut$ s a ns agreement _ �. m(pd Inn Partes 0 ' fc,... _____1_,.___,_____.,__I I.• -- 'IiERAPPRr 'LANANUfF - ` o I[IONS • c TLINED L IN, z i� = , - iiAS • EDACOPY j HImzrvt 1 1i ��. I SIGNAT •E - rn rn m = I SIGNATURE coot r ��� / (G n, 4. u .d, r'.=1 gr' '3/ �' ����i►� -�� r lar 1'4.SW 1.,. Ga Sur ` ,r(/rDEEP L3/2- rp::�' . 11 i 1/J• END ( • Yip: •.f h _Tr.r� /�.1 L '••n \ ' SHALLOW Stale liGarse Na 021014 \\`+--i/ ENO 1 • 1