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HomeMy WebLinkAbout235 23RD ST - Building Permits CITY OF COSTA MESA • BUILDING DIVISION )y .'�) DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER PERMIT 4. B -01403 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 235 23RD ST Status: ISSUED Suite: Applied: 08/06/2004 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 08/06/2004 Parcel Number: 42607408 Zoning: Applicant:ddress721SYCAMORE MIRANDA, YST ISSUED BY: Address: 7121 ST Phone: 1-800-560-8764 COMMERCE.CA Zip: 90040 Owner: FUHR, STANLEY D Address 235 E 23RD ST Phone: COSTA MESA,CA Zip: 92627 Contractor: AMERICAN HOME Address: 7121 SYCAMORE ST Phone: 1-800-560-8764 COMMERCE,CA Zip: 90040 License: 804843 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING COMP ROOF.REPAIR/REPLACE SHEATHING AS NECESSARY,COVER WITH FELT AND 30 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 Permit: $111.25 Claim Valuation: $5,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 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 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2448-46(8/00) DECLARATIONS ( .1 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 sell-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. Ove and will maintain workers'compensation Insurance,as required by section 3700 Win LOborrCode,for the performance of the work for which this permit Is Issued. My workers'compensation Insurance carrier and icy number are: Cartier: /I / Policy Number: (This section need not be completed e s va ed at one hundred dollars($100)or less.) ❑ I certify that in the pertov nce lh: ork • which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws• alifomi-,a •agr::that it I should become subject to the workers'compensation provisions of Section 37 of the :bor Code,I shall forthwith comply with the - •rovislons — , ;��` Applicant Signature: .�!/ Date: CQ () WARNING:FAILURE TO SECU- ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES •CIVIL Fl SUP TO ONE HUNDRED THOUSAND DOLLARS(SI 00,•••),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AN ATTORNEY'S FEES, LICENSED CONTRACTORS DECLAR' •• : 1 hereby affirm that I am licensed '•er provisi• •f C•:pier 9 com encin • Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lk.a �� : / 1 Class N Contractor's Signature: 11101rr 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). Lenders 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 subjects the applicant to a civil penalty of not more than live hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation live(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 B,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division, Signature: Date: Division of industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be 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 0 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 than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No ' '� .._.. .__ _.._..._.—........._...__ __.._ _.s.- _____..__ 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication appermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Government Coda requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pen of the facility to be constructed under this permit be within 1(00 feat from the outer boundaries of a school? ❑Ves 0 No (II yes',the facility must meet the requirement of Sections 25534 and 42303 of the Cafifomia 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? 0 yes 0 No _r..._.._ _ .icer—_._.__.._ _...__ __ 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: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to comply with all state :. : d city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for In •- Ion pu ••-e .I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ! e C6 :gal Owner(s) /'0„ , Date ,.�. • Or Authorized Applicant Date POE I INSPECTION TYPE MALE INTITIALS ODE* INSPECT10N TYPE MTh MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical . 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof $-1?1rOM - 'A A•• - 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 ADDRESS OF BUILDING: 235 23RD ST UHT: CITY OF COSTA MESA — BUILDING PERMIT wNE*bIaJIEIEKNowN: FUHR STANLEY D /PERM NO: B 076789 ADoREss: 235 E 23RD ST COSTA MESA,CA 92627 PERMIT NO: B 076789 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: REP ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : T/OFF AND RECOVER 6 SQUARE AREA /REPAIR SQ FT: 1 , 595 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 1 , 595 . 00 CALC—VALUE: 1, 595 . 00 GROUP OCC : R-3 /U-1 CONTRACTORS WE: GREATER PACIFIC ROOFING ( 714 ) 836-1966 coomuctoxs!Mlwc 1016 E. FIRST ST COMMENTS : REPAIR TO ROOF OF DWELLING ADORE55: SANTA ANA CA u4 ND_ 621368 ***Rr+E*********sE -x-SERERE+E -*****RE** - -RE***x-**-tE** -N+E*************** -********SE-tE - - -***** 92701 UMT. Z ONING REQUIREMENTS S LICENSED CONTRACTORS DECLARATION:I hereby aftim under penalty of perjury t I em licensed under provisions of Chapter 9 SETBACK (commencing with Section 7000)of Division 3 of the Business and Professions C " my Is in full force and effect. // cfmmLlc.No.:056858 uc.cuss: C-39 LIc.NO• 1368 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING � ��� /�� ^ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN XJ caw Contractor: �/ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER(s DE RATION:I hereby affirm under penalty of perjury that I sin exempt from the Contractors License Law for the ddmwmgreason(Senionyogi.5Beeitesaand Pwe.alsoCoda:AmCWaracuity v4idirequires epsintosnabuct,altar,improv, PARKING REQ: PROV: PARCEL: 42607408 ZNE: REF NO: lemeeh,or rept*any structure,prior its Contractors License theapplicantfor such permit tofibe signed slalomed dreg he or she PLANNING NOTES> - e licensed pursuant to the provisions of the she is exempt License few[Chapter 9(commencing with Section 7000)d Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the bele for the alleged exemption.Any violation of Section >-. 703t.5byany applicant for apermit subjects the applicant toacivil penalty of not more than five hundred dollars)S500]). *********************************************************************.W********* O I,as owner of the property or my employees with wages es their sole compensation,will do the work,and the structure is not intended D E V E L OP MENT SERVICES REQUIR EMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of properly ,--, )1 who builds or improves thereon, himself who does such work himsor 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 and within one year dcompletion,the ZONING APPROVED"BY DATE: //• owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). /. .. ❑ Les°ewer d the propeam exduaiecontradoe with licensed contreclaa to construct the prged(Sectio 7041,Business end BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner d who builds or improves thereon and who -/ contracts for such projects with a contractor(s)licensed pursuant 10 the a Law). / <// p Iamexempt u rSed' : B.SP.C..fortis APPLICATION ISSUED BY: DATE: / (Z ********************************************** *******************; *##. ** *** Da.: c3 A6 owe; _...11.4�_ LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby iy that am aware of end understand the requirements of Calaomie Health and Safety Code Sections 25505,25533,and 25534,and that l or any future building occupant will/wall not(circle one)need to comply with said atone codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING e permit for construction or modification from rheAir 0uality Management District.Residential construction applications are exemplfrom these PERMIT 37 . 00 50 provisions. Date: Applicant PLAN S M I P/NON—RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE o Ihave and will=intmaCe.Acetedconsent toself-insure for%%Mats'cpnpnation.as provided for bySedion3700othe labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,f«the p.d°rut.nC.dme work tor which Ms permiti.l.aued. TOTALS----> 37. 50 0 . 00 0 .00 37 . 50 37 . 50 . 00 cI have end v11 mainten workers'compensation insurance,as required by Section 3700 d the Labor Code,for the performance d the C work tor which miepantrisiocurd.Mywdken'STATEinn e�rrierenepwiCynumberare: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 37 . 50 OVER/SHORT: . 00 Cerner: Policy Number: ZU '3bUN11U0186 01 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK (This section need not be complered if the pemd is for one hundred dollars 151001 or less) 37. 00 . 50 ❑ I certify that in the performance o the work for which this permit Is Issued,I e mploy any person in any manner too es to become lauded to the workers'compensation laws of California, end t If ould bcame esbled to the workers' ******************************************************************************* I compensation s Section 3700 of the Labor Cada.I Mall IM gage provisions IND IVIDUAL F E E BREAKDOWN X Dpelt : /7 /yd Applicant: �,....../_,,, Lam/ / X Warning: Unto. InWO*0n'rompwwation 40snpe sunlawful, ndshall ofcosubject anmotoyxto e.a. penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars(3104000),In addltlon to the cost of compensation,WIMPS*es provided for In Section37DsoltheLaborCodsInterest,andattonreysfw. SFR 1595 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 595 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performance of the work for which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDERS ADDRESS: I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws reining to building construction end hereby aulhwrze representatives of the dry to enter upon the above-mentioned property for inspection W O°es' K VIN CROWLEY • Print Name hh//ll (/�actcym- r Ag Della: C 3 iC�yrl 11 '" —Sgne(0(e oTQwnei7Apen FsanVContrector JQ f r.[ I - r. f: -• (5151<6.WP) White-Building&Safely;Green-Rb;Canary-Applicant:Pink-Revenue;Goldenrod-Assessor , CONSTRUCTION AND PLANNING POC I SPA y 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 59. Gas Pipe, 0 Undrgrnd.,Test - 9. Water Pipe-Undrgrnd. • , 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO PECK 11. Property Sewer Line & House Conr{ection 62. Backwash & Receptor-Final 12. Sewer Cap r 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 - '3-/'7_4 y ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing _ 76. Dry Standpipe, 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79, FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED. 33. Final Electric - Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test . - ' 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • . . 40. Gas Service-Final 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backtlow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 7-1.02/6h- 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT 'S NAM5: 235 E3R17'ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 057607 OWNER'S NAME: FUHR STANLEY D ADDRESS: 235 E 23RD ST PERMIT NO: E 057607 PLAN CHECK NO: N GOVT: N SUPP; N COSTA MESA,CA 92627 CONSTRUCTION TYPE; V—N PERMIT TYPE; ELE PURPOSE: OTH ARCM/ENGINEER: flEG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : SERVICE UPGRADE SQ FT: PERMITTEE: REAAN ELECTRIC ( 714 )723-6320 CLAIM VALUE: 700 .00 CALL—VALUE: GROUP OCC: R-3 / ADDRESS: 3406 MARCUS AVENUE COMMENTS• SMOKE DETECTOR REQUIRED IN •THE HOME lAi..K•0-' • /- SSQSD4) NEWPORT BEACH CA 92663 ********�t****************** ****************** * **************** ************ LICENSED CONTRACT R DECLARA ION: 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 licens• - in co..ice and effect. CITY LIC.: 05 67 STATE LtC.:623150 /` C10 SETBACKS b-32 — 91— Signature: — —` -- MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I herebyaffinr;...... veaccrtlficate of co--en'to self-insure or&certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof( ec ion 3800,Lab.C). LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 42607408 ZNE: REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ********************************RE********************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need • . corny";if the permit is for one hundred MOO)or less). DEVELOPMENT 'SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued it.-I oy any person in any manner so as to become subject to the workers'Compensation Laws of California. ZONING APPROVED BY 6 — 1 — Li L. Signature: '—� DATE:• a eNOTICE: d .after making this declaration,you should becam¢subjebI to th .r Oorrpensalion provisions of the Labor BUILDING APPROVED BY14 DATE: Code,you must forthwith comply with such proviso•: r . + al be d' med revoked. - / ` CONSTRUCTION LENDING AGENCY: I hereby affirm t at there is a construction lending agency for the performance of the work far APPLICATION ISSUED BY• ! DATE• (,7 '- 3 r/ which this permit is issued(Section 3097.Civ.C). ************************. ***** ' **** ' **************************+E*********** UNDER: ************************************** ' ************************************* ADDRESS: LEGALIZATION:N F E E S U M MAR Y . 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 ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 . 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(commenting with Section 7000)of Division 3 of the Business 5 fit SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($501). ISSUE FEE 15,00 I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 18 . 50 15.00 0.00 33. 50 33. 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell 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 kas owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33. 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware ****************.*************************************************************** that proof of their Worker's Compensation insurance should be provided to me. ❑ lam exempt under Section: B.a P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ELE 1 SERVICES BELOW 60V & BELOW 201 AMP 18 . 50 18 , 50 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: 1 hereby certify that I have read this application and state that the above information is cr rect.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby aui . sof this city to enter upon the above-mentioned properly for inspection purposes. :' 1e 1.:^: , 6-3 - 9 L GATE; rt ':103/r2 f• . 1. `'—wafer Signature: r Driver's License or Social Security a: --..... 1641-46 White—Building',Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor J CONSTRUCTION AND PLANNING POC 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 -11._ ,,, 3.Electrical CondtiH Utility-Dndrgrnd. 54. Forms i: _ .4.•iElettrical Cond6it4Yodrgrnd. - 55. Electrical Bonding r < j. .-, m 5..St1 Reinforceent 56. Rough Plumbing & Pressure Test Ilk26t lcctricalUFERGrnd. •• 57. APPROVAL TO COVER-GUNITE '-:72. ,Fgotings cr, 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgf d. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System' ' 61. APPROVAL TO DECK • 11. Property Sewer Line_& HoGse Connection 62. Backwash & Receptor-Final it_12. Setter Cap `' 63. Heater & Vent-Final 13. Roof Drains r 64. Plumbing System - Final 14. Rough Plumbidg: i` 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough ElectricWiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - - - - -- 20.1 ough Factor Fi?eplace - x X ' (PPR©VACS'--'Irerfj�Srt# ' > ^ T. s , r rr • 5 •-I .7** 4. CX CVit, . - . .r; 21.'Du ts, in-Structure,** .. . J :`i z' '- ,. `• Y ;l e' S :+ 0. Undergruuadliydro ;. . , t y • 22. Duct& Vbhtil�ting-•' -�'S F S 3a + a^1. Productt•9rtirig O'Gis 0piI 23. as•Pipe, lough Sliest i i ,• a M .. .< '.72. Undergrovpd•Flush-. a V - • .). 24..RootFraming- `• - - T ," x ,.3;TUndergrnd',Stora�pcTank ©Gas 0011 . 25. Roo(Sh'eathing .,:._, '� ' • ^, -t' a + +'.-- x y �> o;y' + �14. 00verhead Hydro r .26.7t-Bir Ceiling (Strukwral) & Monocoat '� ''' 1 75.pry Chemical _ x -.T. .2:.: , * ti -• C,>". * s ... 2- . 27.1rame aid Flashiq - - >. • l:* ; 76.-Dry Stand{ o .. - t28.' Lathing`& Siding -: . 2 i• •'' T_ + * 77.`FIXED SfSEMNALT ^ .. l -rr 1 • 1 ti' z •� l' ... Y H T '729. Insulation •. i. 78.jf IRE PREY. FIPIAL+ .� > 's. 30. Drywall Nailietg 1 W _ , , I - !' " HE'&LTH:DEPT.'REQUIREMENT �K k C ]" ,-31. Plaster Brown Coif.: > I ' • tip!, »- :,79.•FINAL INS1p CTI.N' # '' ' 3 ;32.LEIectrica5Power Metter:Final I ` r$0.t- OOD CERTIFICATE-ISSUED y33. FinajElettric', _° n, i y '4 `''Notes:, ? ig D ro it it: e -. rti Is- ' ,,� . .x . <( •34.. -31 Air-Conditionigq_ C I L < •r - t •.S [is .S C S )e t .., --,r) c_] i •--t t ,Thp _ t o .-Ott O� m t r rC. 35. f lnal'Ga5 Pipe:Te ; I 1 !to i, • - - ; , .r ;36." iogdor Canopy z::: , 'r' ; �, i ; F Yo Y m ^m X97. -Final:Factory FirC,p lSce , •- ^ t - II' I F .4 S C ._ Xit I it i .i:' oi 38. FinaliPlumbing I h ♦ Ai: ,12 ..- r :39. Watuer Service-Final" " I I 6. * CI t. 7.. atC 1 r, w7 W ... .t 0. Gas Service-Final ' '' ii " x 7541. Solar Domestic-Final Sr i h; 4 ir, ,yip ; J PC 42.backflow Preventers • `.1i I I. . A - • v. .-I Y % ry r 43. Backflow Irrlgatioh � - • .r v I. ,l :• r J �• ty .r " " ` q4. Landscape IrigatioSysterru, - 'r �' * t-: L v :t c.... i a z -.• • - >: -45/Sound AteiDation` >- ' ' - .--• ....4 4* r ;16.-H'andicaq,Reg4latio�s Y y, ,y u; r' _ - .* ...•-a. i I r ' 47.-EINAI- STRt;ICTURE & BUILDING • 1 t • of S F. Ir i3' i .n i t- - 48..-EINALPLANNING; ,` ;..t .t ,, Yr rA9.Electric Release to Edison ,* r r. cg !, -- 50. Gas Release to Southern Califor.oia-Gas Co I i }. : .'. .: - r• z - ;51. CE VIFICATE OF bCCUPANCY - - r No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY QF COSTA ESSA CONSTRUCTION P MIT T PER NO. TRACT NO. LOT NO. UNIT NO. , Project Address (-135- L.� Yalta 9 r 3(0(0/7 1533 11 ) LIN°OCN TYPE OF CONSTRUCTION ❑ NEW ❑ ADD Li ALTERATION LI REPAIR ' Applicant's MailinO.A•ddress/� A P # �J U14/2 /(1_QG30. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Zone Owner's Name Phone v Address DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: Arch/Eng. E Z 9 License No. TYPE OF PERMIT ❑ GRADING R.-PLUMBING FOUNDATION ❑ STRUCTURAL T Front 0 Address • 1y1 ❑ TENANT ❑ ELECTRICAL L7 PLUMBING ❑ MECHANICAL B N Pr/,s �INCr Phone�/ • 0 OTHER A Rear N Contractor's Name p C Right Address(mailing) 633. ((^4). I ALa.00^7 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G City License No. 15 3 d I CONSTRUCTION TYPE VALUATION$ S Left • R LICENSED CONTRACTOR DECLARATION ZONE T ' / GRAD/ING CU.CNYDS.. A. �sACREESC /� Ping. Ref.4 Parking Req./Provided E Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks:' /�S/ aa-1 n W/T •L ` ea.r C /C Planning Notes: M with section 7000) of Division 3 of the Business and Professions�Code,r- and T my license is in full f. ce . . effect. Li•e se Non?l9(oS', =i RECEIVED DEC - 1 1988 $ Licens• CIa - Date slea.r Signature P. ilA� ' . .,, PLUMBING FEES \ WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES V•. I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' Compensation Insurance, or a ce d copy thereof (Section 3800, Lab. C.)�,. I1,I1(�/, Backflow Preventer .Service Sink Automatic Washer Transformer 0 15-50 KW O Policy No. l/Yd40 Company �UC'/'� 050+KW - Backflow Irrigation Sewer Cap Construction Pole Sub. ELigrt if ietl copy Is hereby furnished. \ rtilied cp cw4 filed with the city B'y'�I.y,Ino Di ylsf ort)/ r�7��f C Bathtubs Sewer Connection Cooking Unit Meter Dula to 100 amps Date /V-(-X'7 Applicant !� I"1 L•t[ . " • 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). i - 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 2 Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'/�-.8 Workers' Compensation Laws of California. • _ Date Signature Floor Drains Swimming /S a NOTICE:If,after making this declaration,you should become subject to the Pool wp F.A.U. • Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith • Floor Sinks comply with such provisions or this permit shall be deemed revoked. 'IUrinal Fixtures Microwave 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 /� CO the work for which this permit is issued (Section 3097 ,Civ. C.) Interceptors / Water Heater c4 l/ Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION • Sign 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 00-5 KW 05-15 KW Trash Compactor 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 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 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). $ 3 • LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee 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 is property who builds or improves thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: - employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletlon, the owner will have the burden of Proving he/she did not build or im- Duct- Under Ground Building Approved By _ Date trove for the purpose of sale). © J' U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat- �' 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 ❑0-100,000 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 thatBUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. Exhau St System 0 Multiple 0 System Repair/Alteration PLAN CHECK $ PERMIT 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG 4 Fire Dampers ISSUANCE $ PLUMBING $ S 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 ❑D-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 repro- MICROFILM $ sentatives of this city to tot upon the above-mentioned property ry'f}o,f(. PLAN CHECK 50% $ inspectiongnaturepurppsfy / IC A Date/012 r+V �s Signature N/T /V/ J'{ MECHANICAL $ TOTAL FEE 8•IOO Drivers' License or SS 4 • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ — CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor U1 UUU2lbSo-00021556 TOT 5.03 DATE: 12/08/28 TINE: 14:25 CONSTRUCTION AND PLANNING POC 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 C . 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 - 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: (2.27-W Lair- Cann L,EA) 34. Final Heating & Air Conditioning Y ,a [ter t� Ey�1 RLp AS Fit- 20.3-7-b 35. Final Gas Pipe-Test u.P.0 LGO • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final - 40. Gas Service-Final - 41. Solar Domestic-Final • 42. Backflow Preventer - - • 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 6. . • 51. CERTIFICATE OF OCCUPANCY • ' No. Date 4 r + - COUNTY OF ORANGE - BUILDING DEPT. ' S Permit No...� 636 No.Broadway Sahta Ana,CaliforniaApplication for Building Permit Phone:KI 2-6211 AND FOR A Certificate of Use and Occupancy A. Date f.. 2,2dPte'�X25-- S- 1. OWNER'S NAME 0770 /3>e ' ?- /e /PHONEEia:e..s..J7'Z MAILING__ADDDRESS_`"Yer e �y'31`s'• ; �9 CITYY04S.r.( ve/&'s• Name /Yome 0 Name/G ' '/-L�vns4( 'oat t'-r' (Architect or Engineer) (Contractor) Address Address/e/440447,4n/et ore, Srity City � 7'49r1 • State State Lic. No Nhone Lic. No..//>iv..Cf.6'P` /� Phone.Niw , -a PROPOSED USE:. cUeC '-? c. 4 CT 1,J (4 1'1- Che d Car`.ti e- . r 2. JOB LOCATION_-I. 3 S )..2-- `� �,^ee� 6 cas/v "feu a ( wase No.) Cne of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot....-...._ Block /�� 'e • Tractl✓PwPar/e/147l�1(Metes and Bounds Description— ev _ 11,. 4. CORNER LOT ( ) INTERIOR LOT (/) THROUGH LOT ( ) SLOPE OF LOT ( •, ad ' 5. SIZE OF BLDG -2SX 32 ' AREA• Ca 0 SIZE OF LOTS /AREA- ¢. i--z6 erre e r . r.v.6,r') •ASZ: 7 6. HEIGHT OF BLDG • /3 CEILING HEIGHT 0 NO. OF STORIES CAE N 7. NO. FAMILIES / Size of Smallest Bedroom- 9 it X/l 8 Size of Kitchen /019X.1a"6 H S. EXTERIOR WALL CONSTRUCTION:s524?CGS INTERIOR WA ' COVERING r"trier • (Frame, Stucco, Etc.) n / lasteer`'Dry 1r,Etc.) 9. SETBACKS: Front Yard From Center Line of Street l/ t ai Nearest Side Yard-'761--re. ..Rear Yard 9° 1.0,0Distance in Feet Between Bldgs"t5iname Lon e-2 e • 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH: r N N 11. For (a) Footing: Width l� Depth in Ground t2 Width of Wall C' Accessory ,, Bldgs. and Similar (b) Size of Studs• e.•• 4 Y ' Spacing L6..r0...C..."CC Material of Floor- nde-4ao0 Structures: e, /e a (c) Size of Floor Joists -? %'C Spacing "CC I, / (d) Size of Rafters- SPA' Spacing �7 "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $ S7,42111' !/� 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. ,�/ Signed:....�TT_Q eV Y'-L-../e' - Plans Filed• .7 - .2--. :57 (Owner) /� d1 G ygg (Authorized Agent) 0..... FOR DEPARTMENTAL USE ONLY • FEES: re �-� / CHEECKING BY Bldg. Permit - $ i ' 'tROUR. c ._. APPLICATION.a..e HEALTH Plan Check - $ 3, Ctl TYPE - ZONING !I FIRE Total - $ / 7. "''''' DIST. • R-5" PLANS AND MARSHAL Receipt No. • Z �.p MAP •,�� SPEC'S STATE Paid to - /p vv SHEET NO /---• CORRECTIONS ENGINEER Date • _JD'--13.t..17/.. VERIFIED CAL PERMIT ISSUED BY: • cOUNTY eUII_' NG �n ++nn'' INSPECTOR DATE ( y 4-' . l'ltt_Gy. tit T C/ HUE 5M-251 �/ TY 1 PROJECT ADDRESS: 235 23RD ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 055050 USNER'S NAME: FUHR STANLEY D ADDRESS: 235 B 23RD ST PERMIT NO: B 055050 PLAN CHECK NO: 02687-91 L GOVT: N SUPP: N COSTA MESA,CA 92627 • CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD 645-9636 iARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : 585SF RESID ADDITION, 194SF PATIO ENCLOS SQ FT: 867 ; ADDRESS: UNIT: CLAIM VALUE: 40, 000 . 00 CALL-VALUE: 49, 887. 00 GROUP OCC: R-3 / PERMITTEE: VERNON E. TITCOMB ( 714 ) 926-4905 y ADDRESS: 23333 HIGH POST RD COMMENTS: 88SF BATHROOM T• I, NUEVO CA 92567 **�Esr�E+ESE**�E+t�E�E�E*�E�E*�E�E*�E**�E*�E****************************+E***+E*+E*********+P******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in lull farce and effect. SETBACKS CITY LIC.: 4 7PA STATE LIC.:542 8 17 CLASS: B __)i Date. ��1i4 VV Signature. anal rMAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: 65 FT IN FRNT; - FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: 5 FT IN RGHT: 6 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ PROV• 1 PARCEL; 42607408 ZNE• R1 REF NO:1 71,Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. , PLANNING NOTES> FOR A NEW MASTER BDRM ( 4 8 5 SQ. FT. ) 6 ENCLOSED PATIQp, ( 19 4 SQ. 111 > FT..) �AEDDIT. .TO REAR OF EX RES• SOME INT WORK 6 NEW 'WINDOWS. EXEMPTION FROM WORKERS COMPENSATION DECLARATION: (TMs section need not be completed if permit is for one hundred($100)or less). • D E V E 'L ad-P---"M E--N. T S. E R ;•V I C E S'.', R E Q U I R E M E..?1)T S I certify that in the performance of the work for which this permit is i sued.I shall not employ any person in any man r so as to b come a .T • .• •, subject to the Workers'Compensation Laws of California..d/1 n %ZONING APPROVED- BY .. 'nee '� �"' DATE; :J1 , /2- 9/ ///� i.rw72 �, , Gr �� ( 9 Date Signature: t� .( X NOTICE:u.after making this declaration,you should b come subject to the Workers'Compensatiory provisions of the Labor „BUILDING APPROVED BY C-C. .. • T DATE: y 5;// ./iI Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. - • e. s, CONSTRUCTION LENDING AGENCY: I hCreby affirm that there is a construction tending agency for tlie.perlormance of the work for —APPLICATION ISSUED`BY• S ! 1 A--- _ .. arJd DATE.") .// 41-4(f/ / • which this permit is issued)Section 3097;Civ.C). Y..y "*******************�**iE . A.. _ . *********%**. ** ***** LENDER: '• *******************4************ ***'****************************************** ADDRESS: LEGALIZATION:N F E E S Uf M M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING 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 414 . 50 - 4 :99 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensetlSMIP/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 269 . 43 :, • 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 live hundred dollars(SSW). 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----> 419 . 49 0 . 00 2.6'9 . 4 3 688 . 92 688 . 92 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ` I his or her own employees,provided that such improvements are not intended or offered for sate.If,however the building orIll REVENUE DIVISION TOTALS--> COLLECTED• 423. 72 OVER/SHORT'r ,• • 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not bund or improve • ronne purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING-PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 414 . 50 ,;, 4 . 9 9 4 . 23 LJ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon •1 -• �iX and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License law).I am aware *************************************W******************************4i********** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F 'E E BREAKDOWN ' ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTION .,.') UNIT COST TOTAL COST Date: Owner. SFR 658 DWE-TYPE V-WOOD FRAME • -GOOD 69. 0045, 402 . 00 Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 325 DWE-INT. ALTER TYPE V—WOOD FR -GOOD 13. 80 ' % c 4 , 485 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES ' " permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. -4 rr Date. Applicant: s. I hereby certify that I have read this application and state that the above information is correct,I agree to comply with all city and county . ' ordinances and state laws relating to building construction an4ztwi y authorize representatives of this city to ent upon the above-mentioned ' property for inspection purposes. ^ .? a' Dale:-/./r /2 7/ Signature: �� _ l�; L)1rA t :. _ Driver's License or Social Security#: - Lill i1 .. _ 164t.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor - — r' - CONSTRUCTION AND PLANNING POCIIIIII4 D4 APPROVALS Permit# ate Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Servtee or Pole ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. t 53. Steel Reinforcement ,i ?. .' __£lsctrital Condaitiihility-Undrgrnd. - 54. Forms• -- 4-;iElrctrical CondpitJJpdrgrnd.-' 55. Electrical Bonding -7.55/2Sel F}einforcG�t ent / 2 -qy �` ,vb, 56. Rough Plumbing & Pressure Test "- ,..„'„,,,H`•--_,2, tctrical UFERtrnd. :. 57. APPROVAL TO COVER-GUNITE �: ?J'T.:Footings Fs x /(....2/4( gAvy 58. Electrical Conduit-Undrgrnd. S. Foundation ,. /j_2--t f) 6“.9--' 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-UncWnd. - • !!! 60. Backwash Lines, P-Trap, 0 Undrgrnd. - • 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line'& Hopse Connection 62. Backwash & Receptor-Final 12. Sever Cap 63. Heater & Vent-Final s 13. Roof Drains - 64. Plumbing System - Final ,.- 14. Rough Plumbing '- 11-1Y-94.-_, -, C AI& 65. Electrical-Final /I 15. Rough Electrical-Conduit,/ 66. Solar System-Final a: 16. Rough Electric-Wiring r x"40 � _ 114,467. Fencing & Access Approval cc.17. Rough Wiring jgn - 68. APPROVED FOR PLASTERING • - - 18. Rough Electrical-T Bar Ceiling 169. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _0_C(2, A kp FIRE DEPT. REQUIREMENT 20trRoaph Factocy F,jtoplace , trill -L`-. .. Li) CI*0 rAPPROVALS'n-Pei it# • °,. � � T Ly .r Y"* 1 Crr b'•? 'K \ - "Yx x - Le •" - •-' ti x,� Y l` -I I '�, TS , -, - I-4: Y: 'Z C - .r tn. .n 21:_DuEts,iri,St4ctu ,, .. ., ;r. S C' 1.7x . -170. dnderg5a nct Hyro s y. e4, I ^. •4 22. Ducts, \Fenttleting . I ,...-c * S Ca. ; t71. Product 1TJing O'Gas 040i1 23:Gai-Pipe^RoNgh &•Test '- • r c *• . 'T - * .. ,_ if-,� .c*. tr., ,t ,..)* .r. r72. Undergo;u4 F1051t;;_, 24.-Rodd- Fcaming cc� i r.- -4-. x > c .t > S73.cUndergrntf.Storege-Tank-CGas 0 011•I 25. Roof Stything `:. a ', , 1/L :P/K: s74,�d erflead•i -� • 26`j-ear Ceiling (Strpctural) &.ivlonocoat•ri •f�T co in* v 75tDry Chemical .+ .- ._ 'x 27:"'Frame and Flashr� 'yam� J_aO�, f€ ,tAt 76:- Ery Stancip'�e M '' 'S t" Li-` �.28`Lathin -& - -- -t- �-c x . >•:. * ', ...f.-1,.-i k v .0 - -1 9& Sid H'- a -].=:C tr.c; z .. ••z * 777 FIXED SYSTEMSINAla iS x'29. Insulat3•n • S •' -' > 3-!.ritj„ 40.41'. 78FIRE PREV. FI�J&L ., > - •" r30. Drywalhpai ng � c Sf x'....2 t Q` 'r�/ HEALYHrbEPT.. REQUIR4. ?r NT '_31. Plaster rownCoat: L`J' ,:e " 1,791=FINA LINSgECTI2N rz' �r., '-32.-Electric Po er Metet-Finalj r' •_ #//0.112,--I,,,4i . q8 „FOOD CER IF(Ei4TE IS$dED'- . 33':•Wirial Elictr1e- r c-13 �s 3/4 I --4. / ' Pies: - -.. .v x.r-,n ;•34:-Firi 1 Heating.& F,i.t.C•Onditiciri �Fs,�/,p1 'a{. f 2.t 36 Firtat Gas Pipe-Test- pr L C?I'V1. +. - • :411S x rJ- � ���///' .36."Hobd oLCanoPY " I %4 :t ♦ - ; 1 CT' . a ,O:x r. -•,.4. is s, - - tr I • 37:Firial Factory Fireplace 15.1, -0.1" 11 I I ` i s-. - ,,t--�' c38c.Final PlUmblpg • ,�„- n tr .9Y ft z G/kt'..:'' L - r o: •- ' ^39.cWaCc.r Service-Final. -' I . -t i I ^ rtr a tC COr ,a -r 1 1 .r . c40,'Gas Senuce-ftinal v-33.,! ♦it s . ' .r.. ? ♦ ,. , I eT '41,-Solar Domestic-Finals L.• 4. _ t +. .. .>7 f I 1J' 1 .+. n.. ; t •7h 42.-6ackflo v PreventeC `-- ''••• :5:` T . I :4 t - i - : r 7 S y .: ,_ v. �.- .1C,.. - e 43. Backflow Irrigation zSa- -u, ,:1c M t �:-1' :t C a,:.. _.• a -e iT . - ;1 74. Landscape Irligatia'n Syste 'J.u; C --r - - % f„:. _s nJ :r •_> 'J 7-- 14 111.: x * .* : L C. s45•^Sound Atteduatiori -..: tr L l+ '£ "f- - > ■ •� o t: irk T -546:-Handicap Rejulatigns � y ` L' 47�FINAL STRI.JCTLI1RE & BUILDC ING II1.P.0 E ftfl i`'&.-- 4",.• S 4.4.- •.-=-- ztay:'� t7 48 fIRAL PLANNINGi rt* i.•2 • • r yI q •L 049'-Electric Release to'Edison , n7 :; •:,. . I l; . _ '5 i' :- ,... � A. % 50._Gas Release to Southern California Gas Co I I_ j1 �,;,", (_ ....„'51. CERTIFICATE OF OCCUPANCY a ' ` " o C. lic. r' • No. Date W CERTIFICATE OF COMPLIANCE bV7y, PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant : S779A/L Address : 23 Zc3 �/� /c/ �'v�^ /f�FS Telephone Number : `T 4IA 23 cf- L 0Y and Lot Number(s) : Location of Project : x��2 Number of Square Feet of Gt' Residential Space J x $1 . 50 Total 8'7 7% 512 Number of Square Feet of Commercial and Industrial Space x $0 . 25 Total Commercial/Industrial Project is : (Check One) Mini-storage Motel Preschool Movie Theater Bank Auto Repair Racquet/Health Neighborhood Shops Hospital Warehouses R & D Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to ew rt-Mgsa4iniSied School District . Business Manager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate j City/County shall be notified . Date : //c9-/91/ � /a/9/ Onfr*%c 64-tee Developer/Applicant • CITY OF COSTA MESA CALIFORNIA 92628-1200 P.O.BOX 1200 Insulation Certificate oireC d �c7� 3s_ 23 rdos 749 e5'9 Numbs and Street City • County Subdivision Lot Number Description of Installation ROOF / / n/ Material Brand Name ((1../c U 51 • orr) / nQ Thickness(inches) Thermal Resistance(R-Value) / 7 v/ EXTERIOR WALL ' � - r a u/; �f_ 7 /5 (Cirri err Ply Material "7^a�ce.t�u-ll•s- 1-'. ber aSsBrandName l�/ Ov LD � Thickness(inches) - 3 % 4' Thermal Resistance(R-Value) J ) CEILING Batt or Blanket Type -Abet, Cn ca cs T"1t Brand Name tv\2ru V r l i e_ Thickness(inches) )bv Thermal Resistance(R-Value) 'R- 30 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material _ Brand Name Thickness(inches) 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. PA Qlia/U F 7Jltor18 b'' Sri/2p ? License Number /,��� meta ..o,�n,tr�e/y or Signature end Tit a Date Sub-Contractor(Insulation Installer) License Number. Signature and Title Date C_ jPROJECTADDRESOWNERS:'S 235 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 055054 NAME: FUHR STANLEY D ADDRESS; 235 23RD ST PERMIT NO: P 055054 PLAN CHECK NO: N GOVT: N SUPP: N • COSTA MESA,CA 92627 • CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH 645-9636 JOB DESCRIPTION ; 585SF RESID ADDITION, 194SF PATIO ENCLOS SQ FT: ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: VERNON E. TITCOMB ( 714 )926-4905 ADDRESS: 23333 HIGH POST RD COMMENTS; RE: B55050 PRIMARY BLDG. PERMIT, NUEVO CA 92567 **********�r�E�E�t�r*�E**�E�t+E+r�r***�r�r�E*err***�e�r�r*�r�t +t******iE**+t*****x•*****+E************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 5470 STATE tic.:542817 ,n,CLALASS B `- �— Date: l// 2- / Signature:—/�/�(elenO ` £ r Y.V�W' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.CI. LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY; PARKING REQ: PROV; PARCEL: 42607408 ZNE; REF NO: ` ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> te: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if lie permit is for one hundred(5100)or less). DEVELOPMENT S E R V I C E S' REQUIREMENTS I certify that in the pedormance of the work for which this permit is i sued,I shall not employ any person in any nner So as to become subject to the Workers'Compri cation Laws of California. J7 • c ZONING APPROVED BY DATE: -- Date: //a /2 ' / / Signature: C • i/.��� NOTICE:If,alter making this declaration.you should become subject to the Workers'Comp nation 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 therpenormance of the work for APPLICATION ISSUED BY: DATE• ////2 9/ which this permit is.issued(Section 3097,Civ.C). *.**************FF***.***** * * {p yE *{F ,**3F iir�Fr if it iF*riEE iF iF iF LENDER: *************************************** *** ********************************** ADDRESS: LEGALIZATION:N FEE •S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the lollowlTlason 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 22,00 i— repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25t _ SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE • 3.00 I. as owner of the property or my employees with wages as their safe compensation. will do the wore, 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 TOTAL S——--> 22. 00 3. 0 00. 0 0 25.00 25 , 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through •� his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or n improvement is sold within one year of completion.the owner will have the burden of proving he/she did nor build or improve REVENUE DIVISION TOTALS--> COLLECTED: 25. 00 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 25. 00 LJ and Professions Code: The Contractors'State License Law does not apply to an owner of properly 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 **************************************1***************************************** that proof of their Worker's Compensation insurance should be provided to me, i I am exempt under Section: B.a P.C. . I N D I V I D U Ali• , • F E E B R E A K D O W N for this reason, TYPE QTY DESCRIPTION • . UNIT COST TOTAL COST • Data. owner PLU 2 BATHTUB 2. 00 4 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and PLU 1 DISHWASHER ' 2. 00 2 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements fora PLU 1 LAUNDRY TUB OR WASHER permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from 2 . 00 2. 00 these provisions. PLU 2 SINK, BAR • - 2. 00 4 . 00 r PLU 1 SINK KITCHEN 2. 00 2 . 00 • Date: -- Applicant: PLU 2 WATER CLOSET (TOILET) 2. 00 4 . 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 HEATER AND/OR VENT 2. 00 2 . 00 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upo the above-mentioned PLU 1 GAS PIPING SYS OF ' 1 TO 4 OUTLETS 2. 00 2 . 00 j property for inspection purposes. J/ fZ n� �,- e Date Signature:%'U r y� - - - Driver's License or Social Securitya !` : S t64146 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor ?END OF FEES CONSTRUCTION AND PLANNING • . POOL APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector i 1. Temporary Electrical Servree or Pole 52. Pool & Equipment Location n 2. Soil Pipe-Undrgrnd._ � /� ,� 53. Steel Reinforcement • ,_,314E1ectrical Condylt lity-blidrgrnd. 54. Forms re.4' lgttrhal Conduit.l bdrgrnd. 55. Electrical Bonding r -2 ;$tLl Reintorcelieilt 56. Rough Plumbing & Pressure Test - '_ 6 c lectrical UFER 6rnd. .i 57. APPROVAL TO COVER-GUNITE •-7? Footingsx' 58. Electrical Conduit•Undrgrnd. 8' Foundation _io 59. Gas Pipe, O Undrgrnd., Test S 9. Water Pipe-Lind-r9`5)d. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ;, 61. APPROVAL TO DECK lz - 11. Property Sewer Lint&Hci se Connection 62. Backwash & Receptor-Final 12. Sewer Cap y. ,-' -r 63. Heater & Vent-Final L. 13. Roof Drains , t 64. Plumbing System - Final i 14. Rough PlumbirjQ V ` ?/>9/p� /1'1>' 65. Electrical-Final ` 15. Rough Electrical-Conduit 'f, 7 !L� ���I 66. Solar System-Final / '• .1. 16. Rough ElectrickViring - 67. Fencing & Access Approval i 17. Rough Wiring Sign ` ' . 68. APPROVED FOR PLASTERING i' • ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ r• C i _ e( -s-07 T " -u!'- b: x T _•�•,_ty• 20.ttRou]h F"actor3, F'Teplace I u:tr, -Cl' v 0 7x •k tt3tPPRCGVAL9]l7_perNtit # * ' u 'C S* c'1 „ .. ccr�S1.5 rt :- Tx. x S < u. 'F- > ,.. 7:j .r^]• i 't; 21:1hats,i -Str4 ur n' ' '' t '-• 7# y 0 > etcno r trl S x -• adrgis ;Hn 22,Juctt, Vdnti7atinggJ' ^S e y S 1•.r '* :71. Product'Pjipg OGds Q�OiI • 23..-baSPipr lou h &test x^ .t cr - x k ra , :JC x _ ,� i .rs a ,rt ? 1 at a.: ,..72. Underground Flush; ,. 24:-Roat Fr2ming * ' . -C- 1. 7 0 cr ! * S73 kUndergrnd,!Stora+q&Tank (]Gas ❑Olt-'^--•-e-,1 -`- 25. RO`-f $ thin £. ..-u ." " t_ ^) ?]: x q+ 9 ,L,, v , _ Ns. 3. ,.Overhead XlYdro� Y 4 ., �, ..,. . S,4 26_T-Bar Ceiling (Strudtural) &Yvlonocoat * V] C to* *. 75.2-Dry Chemical '] a --. " .e4-7cU0]�:I::7-,. '-. S c , rt -.. tiat s 5-- -, -1 .r_ .r -4 - rl ter.,r 27;=Frame apd Flashigg._ u _ Lv x . 76.t-Dry '+' "moo+ n - .0;,• 1: .. >11 .n:z YStandRlh,�,e f-r:�, c '�:L> r,:cr:rr ,_28.'Lathing& SidingTv -,{;.0 •cc x ••x * 77,7,'FIXEDSYSTEM ILIAL -''�.x •r.- W I ..t w r -r m^r r, mi'>.m•,-r%-r,p, • >"29. Insulation t S ..-1,1is 778117.E{RE PREV. FINI,Q_ :, > u at r - 0.<,,s- >.: .: t •ha ., t, .,. .:� / .T r. •.UL9 a ✓`� c LT..-.• ,1'�:,. .1130. DrywalkiJailing u:.,. x -'S- *- •u •HEALTHTDEPTt REQUIREMENT Mir,.r, ^31. Plaster (pawn Coat; ,S , rr,t• :. ^ ` a ,•79:'F'f10�,LYfV P- CTIE�N C T r `i„•K -32aElectricaiPower 0oeteraFinaIi xr,) , t y. y r$0ttfOODCERTIFI.O.fCTEISSUED` 3 C 33'... 14 Electr Fy ;cit ign�•git� * * -�� .t 35:Final Gal PijA-Test` x •� * I I• /I"` :- _ r .F t' J �_ x 0 .• ` - :t i. - r3-ti!_LL6?1:1 .O_(_G'O 7N •ZQ‘C •736. Hogd ot-Canopy` .' S� , ir• ..1. ; r •' Al - >' S / `�lr A Lf- 1 14. • d }Aa -Gy ‘--:1-:' 2` :A LTi t :t/2. -- " a�L D'_"_.'J ,37: in31 Ft:tory Fireptlate.�• ' `, x ,r - *, e_F�' ��7- �- / -- -38. Final Plumbing m ;0 �)� 9� ,/�/ffj?y.';•. • .�T�1/- �. :39. WateY SeEvice-Final" S r i.. t r L. '+ " M '^ z' , t IX n >. n ;.40. Gas Service-Final r t. I ' ,r .ry .�IT. n I 7 *• CN w ^41. Solar Domestic-Final ': :e 'r•• I }5 1 '<� ,. o x S. .r r' :r ,, y' "• 'D 42:Backflow,Prevente t• Co; 't Y t„)..., s o a: I I/ x ^.: >N * C 43. BackfloW Irration' 'x S5 v + r Ir•• * Cl. _ etc. •-sem �"-+LILA D. * t1 -t x / x 744 .' tL.'1, * Y. :k . Cu - :S 0 ..-....-10r...“..:2-4.-.1 R, . Landscape I'Trigation Systerm ,1 m ,r y ;r, C. C. *x S. >; .c .v :n.- x v o._:.:00C .e _ .t -t ,S i. . s: a-a': '45'Sound Attenuation ,-tr'- '- x u.. -t ^ -< rru Ck • -' •• •• a 1'1 rns s cr c e( • :-•,_'Sa • .46. Handicap R gulatia is " " x .f C uz t.".0p , -47.SFI1>FALSTRt9CTURE & BLE&DING I. I I iic 'v -. n` $ . ✓ .+ rc , - I !k , L ., ' 489lt4AL PLANNINCrj, "ir I u; ' t .r49_;fIeatric Release to:Edison , - f j %C. r4. > 's; * .7 .. 4 I I {r v t+ ti •- X - Release-fielease to Southern CalifoUlia Gas Co ; I {i_ S ' - q1• r n ,"',`',-1.,"•, . ',51. CERTIFICATE OF:OCCUPANCY • c.". ., to Cs ?' .. - .,a.e tjpr No. Date / y a- \- I PROJECT ADDRESS: 235 23RD ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 055053 OWNER'S NAME: FUHR STANLEY D ADDRESS: 235 E 23RD ST PERMIT NO: M 055053 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 • CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH 645-9636 ARCH/ENGINEER: REG.NO.: JOR DESCRIPTION : 585SF RESID ADDITION, 194SF PATIO ENCLOS SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: VERNON E. TITCOMB ( 714 ) 926-4905 ADDRESS: 23333 HIGH POST RD COMMENTS: RE: B55050 PRIMARY BLDG. PERMIT, NUEVO CA 92567 **************************************+t�P�P*************************r************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: qq5q 02 STATE LIG.:542817e/ CLASS: g Dale:// ' /4 a 9 / Signature: ��1 4' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cerlificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV; PARCEL: 42607408 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > ,e: Applicant •*****************************************k************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). r DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is i .tied,I shall not employ any person in any manner•/as to become subject to the Workers'Compensation Laws of California. , —. ...„ .s., . 'ZONING APPROVED BY you DATE: a // Date: ' 2 9/ NOTICE:I(.alter making this declaration,you t 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. re il CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for . APPLICATION ISSUED B Y: _ DATE: ;�, 1 which this permit is issued(Section 3097.Civ.C). 4'************************ ' ' **** ' *** * ** ******************* ** * **** . LENDER: **************************************** *********************iP************** ADDRESS: LEGALIZATION:N F E E SU MARY STRUCTUTAL 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 ELECTRIC MECHANIC FIRE SMI 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 22,50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 25% • SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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(5500). ISSUE FEE 15.00 I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 22. 50 15. 00 0. 00 37. 50 37. 50 . 00 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.If, however the building or REVENUE DIVISION TOTALS COLLECTED; 37, 50 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 or me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 37. 50 and Professions Code' The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the 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 AK DOWN ❑ I am exempt under Section: B.8 P.C. Ion this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 3 VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 13, 50 25534 and That I or any future building occupant will/will not(circle one)need to comply with said state codes and me requirements for a END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: 1 _ 'tL _ _- ''''.7 :Y1: 1 :--- 13. 50. __ , I hereby certify that I have read This application and state that the above information is correct.I agree 10 comply with all city and county Vii. ', '_:e: n _.I p ',L.' S, ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter up the above-mentioned property for inspection purposes.4 �a�//yE / Date:ij' /Z- / Signature:�y�/2/"ry�! a� Driver's License or Social Security 4: 1641-46 While—Owlding,Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor i .... -----m11111.‘„71. CONSTRUCTION AND PLANNING POCl�4 1- APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temvice porary Electrical Seror Pole 52. Pool & Equipment Location . ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ✓i . 1;a.`'Eteyctrial Concl(ut1 tility-Undrgrnd. 54. Forms' - tZ LI -s-Condokltndrgrne 55. Electrical Bonding 5'!-Stt el FteinforcemAt 56. Rough Plumbing & Pressure Test a, 6le;le .rctricalUFERj(nrnd. . . 57. APPROVAL TO COVER-GUNITE -o'T^Fobtings ai 58. Electrical Conduit-Undrgrnd. -. '8. Foundation •-"' - . 59. Gas Pipe, 0 Undrgrnd.,Test a' 9. Water Pipe-UndFgind. ' ' ., 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK ' 11. Property Sewer Line.& HobseConnection /' 62. Backwash & Receptor-Final 12. SeWer Cap 63. Heater& Vent-Final a. 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbic65. Electrical-Final 15. Rough Electrical-Conduit ; ' 66. Solar System-Final - °�' a. 16. Rough Electric-Wiring - _ 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling f •69. POOL/SPA SYSTEMS FINAL r. 19. Rough Heating & Air Conditioning 2113192 L EV FIRE DEPT. REQUIREMENT 20irflortgh Factory Ft;place : 'tl_ �._ ,'•r s r11PPFi�OVAtS'--Permit ->• �,m n .r sx i cn- " r :c 'K ti ITY Y' - u- .'ro -1'� r 'l •lr-•, • 21?Duct's, in.StiuctgSe i S '". �- y'' " =70. (7nd€i cv.ur{ Hydro �. 7 -1x x _ A. .. 22. Ducts, Ventiiatirtg :r i DS :t S "ta- 1'71. Producfi mg E�Ges DOil • ;c- C , - _x t ,,.-P. -. 23>-Gas_Pipe-Ropgh &'Test ;,-S t, .n J eC vY _72. Undergroajd Fl slr., , t_ [ T. - .# .J is 24,)jtoq Framing `.i : :-i.- `. E- ;: -• :- 4w s730-Undergrrb.Storage-Tank-O Gas ❑Oil_ I , •o .r '- •r t r .. - : 25. Rot3f Sheathing ' X X t'1 Cr: CD O5Z ' 'S ' r _. _ a; r •-Y C --, c0� * 74 Overheads-lydro y T 26."T-Bar Ceiling (Strticiuraq & opocoat y ,_n a. .. " _. _ _ _ G 75:, Dry Chemical '� 27=Frame and Flashitfgi c; 4 l '1' ° x 76!"Dry Stanpn�e 2r-i; Y ' '" r`' :.28:-Lathing& Siding,, ,. •-+ma„ c-.. ,, r .- .t t 77,. FIXED SYSTE• MFINAIr. v.) ^'n 5-29. Insulation ;yw .--1 " -. > r. m i ;: 1. 78„=FIRE PR EV. FINAL .,' .> • m;, ' cc*. S ,., . S , x 4` .-�. c' . _- x 30. Drywall:Nailing t[ .I -' r x: _ 'NEAL1H-DEPTx REQUIR NT p31. Plaster Brown Cgat' _.,2 : rrr K r x r,79 JFINAL IrfiSgECT(QN G kgc r_,32„Electrical PoweriMatgp-Final; ' . n; I w x n80:nFOOD CER'fIFtEATE ISSUED ;1 33-tFinal Electric 's • t=: t* M "-Notes: '7 _f =' 117 'r L 'r ' -'~' . K- 1 i-' S in!? .r 5.5 ,y34,�Firi�1 Heating& S.iy Ciipriition�g. �Y�31 JGf) �/J7, ,. ,� tri y S, _ C. 35rFinal Gas Pi Pe-Te"atr co h [!!'� 1`f 4 [r:`. • < Cr ,I0C 6si'rHo or_Cano I..1 C t tt. s J p, ,^0 :i 1n ..:3 013 t3cI pY t .D I t14 a i•�..k ry �_ Y 0 a s C ._ : r,: ' {. r - S_: -'37CFinS1 Factory Fireplace • So re +. ; I `rt• 4 r r' -•r r .. .. a r .e-. ifr- t TCS .• •_'•GLe r. r t:; Ia ;'i 44. s .0 -4,cal v: 0 r _. ;_ „ ..38. Final Plumbing • 1; $ •., c_. x ,. _ 'li z 39. Water Setvice-Finale i 1:4; Y o { fir. x cc,- ._t� . ' x t Y IV 'K I I .'t a- >. c,' `40. Gas Seruce-Final t °= s __1' - :n _ ,t. r,ctrtr. ..S. , ( r- c,-;-- 'Jru v .J.., f v41. Solar Domestic-Finals - -. ^x ! - ,.r •- . ,r• Cs tin, 0 c'42:'Backflow Preventers F !'! * I IV., II 9/ . ,S• • 43. Backflow Irrigation- x5'.5 x. a- * ''E- r 0 -.•a. * Y , tr Y' '. / A J " r CC .t. x .F - tU x 3 O U v t1j44. Landscape Irrigatitr Systemm tC c,a u; ,. = - .D7 ; �: ,S t it i,. Oe E :45QSound Attennuation -4tC. :T 4. 5 E-* :o 1-i r TI-- t^'3 :r a -. .. .. ti, 1.. 'rix 4 . v *_C . -.C x '46i•Handicap Re ulatidns - x "' "* 'r 7 ! ✓c -"' - :' 0 . O. s :r. 1; C U v K47,c,FII�L STRUCTUifE& BU LDING is r_. i . % x 7 Cu 'S x 48;2FIITP,L PLANNIN4 I trtr :1 f�, 7 13 12,- ' S i. I E•I-• * n) i ✓.f" : n ill ..- :r 049.-Electric Release to,Edison , I v .- $7. k-C a C.�_'50SGasRelease to Southern Cal;fozcia Gas Co E ! ! -, S G • ox » .-'51. CEIaTIFICATE OF;OCCUPAPICY .: .it _ .�, o0 No._ - Date P"0 235 23RD ST 0NIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 055052 °L' "AME: FUHR STANLEY D ADDRESS: 235 fr 23RD ST PERMIT NO: E 055052 PLAN CHECK NO: N GOVT: N SUPP: N _COSTA MESA,CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH 645-9636 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : r585SF RESID ADDITION, 194SF PATIO ENCLOS SQ FT: ADDRESS: UNIT: . CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: VERNON E. TITCOMB ( 714 )926-4905 ADDRESS: 23333 HIGH POST RD COMMENTS: RE: B55050 PRIMARY BLDG, PERMIT, NUEVO CA 92567 *+ESE**�E***RE***RE�E�E�E**Rr*RE*Rr*�E�ERE�ERE*Rr*4* *RP E**4�E *****RE**+t+E**+E***R ***********+t****+P* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Cade,and my license is in full force and effect. SETBACKS CITY LIC.: 05470) STATE LIC.:54281 7.,/ CLASS: B Date'.�/•�2 2L.„ STATE signature:_C(L 8. ' _ - MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42607408 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > ,e: Applicant: *****************************************************************************44* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in ny manner so as to become subject to the Workers'Compensation Laws of California. �,,x ,,�,, t ZONING APPROVED BY DATE: -- Date.- J/'/2' 21 Signature: '/lotto / r. N6TICE:II,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. iJ/ //// /q/ CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance dl the work for APPLICATION ISSUED BY• %!� DATE. *** ��E** which this permit is issued(Section 3097.Civ.Cl. =� *********************4** ** U**'###* * ***if *************** *3F *1f* LENDER: •/ ****************************************** ** ******************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 27. 75 ' repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business S O t $MIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1500- 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----> 27.75 15. 00 0 .00 42 . 75 42 . 75 . 00 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.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 42. 75 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 I forlnePurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 4 2 • 75 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon //- and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware ********************************. ********************************************** that pmol of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR EAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: OwnerELE 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 19 REC EPT/OUTLET 1 ST 20 EA, . 75 14 . 25 25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements lora ELE 8 R ECEPT/SWITCH 1 ST 2 0 EA. 7 5 6. 00 these p o construction or modification from the Air Duality Management District Residential construction applications are exempt from ELE 1 MOTOR/POWR APPARATUS 0 . 0 — 1 .0 HP 3. 00 3 . 00 these envisions. END 'OF FEES Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county d. ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. nL-���9.�� Date'. /�'/2 4 9i Signature.y �W�/ f.. `i. fir ' ICl�.:l - - Driver's License or Social Security a: 1645-46 White—Budding'.Green—Code Enforcement,Canary—Applicant;Pink—Revenue;Goldenrod—Assessor i CONSTRUCTION AND PLANNING POO., , liAPPROVALS Permit Date Inspector APPROVALSPermi* # Date Inspector` I. Terr:porary Electrical ServSce or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. f' . 53. Steel Reinforcement .r4` '❑ > -, D -'4�,Ei2ctrical Condyi jJfility-l7ndrgrnd. - 54. Forms S- ''4C:Elactrital Condtht•UHdrgrnd. 55. Electrical Bonding rt c: '1sa'`'gtaI finforceipOt 56. Rough Plumbing & Pressure Test • C.g:_E•t@ctrical UFER 6rnd. •a. 57. APPROVAL TO COVER-GUNITE ;''f'-'�optings x 58. Electrical Conduit-Undrgrnd. @i Foundation t _'' 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-UndRtjfid. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ., 11. Property Sewer Line. Horse Connection 62. Backwash & Receptor-Final 1 12. SLr:7ver Cap 63. Heater & Vent-Final 13. Roof Drains rai ✓. 64. Plumbing System - Final 14. Rough Plumbing i' j;. 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ,�' 16. Rough Electric-Wiring 2/10/72:,'hf.,ve 67. Fencing & Access Approval 17. Rough Wiring sign 68. APPROVED FOR PLASTERING , zi 18. Rough Electric-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r - _] •T '4Y. -_-.7.1 '7 -Wt- S - *,t-, 1- n 20.1.1304h F3ctozy Fleplace UZti 1m:',. -+ c c LT.,4, >. _APPRGVAt81DCPertfiit # ' r 'Y'- 'r+ t, 5:* Wil*' (Cit ? ,1 - tr* ' J U. • Cul-'.l- : :. Cr r:`n-qct '-" "�"Y I `C.S r. H ,•.l1. yp �c s -SIJ a7 1� s to 21..Dutles, irr,Stry_ctt *, .. .. ,.,S -t S C .-:a t ,70. UndergrOluid;Hygro * 'r- S; . 't (7 .-ii,. - i iJ C7 22. DuEt3, Vient Bathe „ ;,..,,is :: _ S •1 -* ;171. Producfn t�ijig O s C Oil 23:7Gas•'pipgiioOh 8i• est tins : ;rt cr < n}. :« -.72. UndergrOtA Fluse : 1- -t:•-*rr.+h.r. 3C. -la eC t. -i-, .I. .. '.> ., P- 24:rRoof Framing ill* r":- -' t > C - <. 4 S73!DUndergrn4:Stor3Ofl ank-E Gas ❑Or1°J titer ..:. 'V = :1: '-.r. �: - i C- c 25. Ron S athin * ' w 't t� :`t* :t S a '-F * f 9 rS* C 5 ;,J-, * 74.,,Overhead'i-iydrop .K 26:uT-Bar Ceiling IStnuatural) Sallonocoat x ' W C :fl4. = 759•Dry Chemical * -I -i ;rig Y: .. .. .--.-. -r , `Y '-1. , s L Y rr1 ,1 '• 27:=frame and Flash" g* -)ZU r m in. , 76:Dry Stand i iim.1 :.5: y S 'C -.4C-'-' - ' _28.`1Lathiny& SidingY n --*;:C :>; 4_ X •••t = 77;-' FIXED r--TE-InINA * Lt. t` -� ,_ �., :C' rico r-. .� t •� . Sr ;-„ •}t(1 k i� •1 ,p i ._ X29. Insulatitin •-.-, {< 1 78 .FIRE PREV. FINAL iK Cl.2 `� i. 'S J . w r .., .J: v :=30. Dr wall4Jailin t.C, x _ ff HEALTHtDEPT4 REQ:NIREMENT y B y. . .-- I �':�_ <, <' rem: .'lam * X31. Plaster �owitCgaw''; S ;r_r• � i •�. , .,•792FINA L IfVSPJCTILG'J; *i, C c S '?' V .g -i* r r w ♦ mom- -✓ iv-._J - '1 ii -flectricaj Power isiater-Final; + ,- I • r t 'BOnFOOD CERTIFI,C4cWE ISSUED- -S CC q _� 533�Fing�j El triC t^ i S (%/nJ •g rNoi�E " T :- C .r tu•34t'Fin. Heating,& A1hCogditioninga n1 ^t i. ! ET,' •v; tl:. F ;i _ _rl �-t • .0 - r :.-.r • ti .- 35'-rFinal Gi'i Piiie-Test .D * ' i 4 r ('r-'A 0., 'XI,S.. , .r C. r' . .C}. s s-. ) fir ., tiC :i V i-L--•*� .rr36rt.' Hood occanopy .i... :::)`C n•,- a 4' n I G• x 5: Y 0o `ry Y t-� air 'c .... -i- _-. '`ill--. • .i r y 1 �,1 •,-c' t n . +•- -n .37: Firfdl Fdcory Firela'ce,_ js`-� `I- !. _ ' �- '44 ` '0 I `-" i ti' aLg .. .. ✓ f- tU 1 JI _p '-.2. V. t' 4 ..38. Final Plumbing f: co .d. I Vi Sit-; v C, •-• 4. .- .t ;t. * Y .: .r + 39. Water f SeEvice-Finale cc g I lie x 0 --CC rr. c-, + >: -t _•. i .t * Y to "-MP.' •, r40. Gas Service-Final r.: r I 1 -r-. .t res • r �.'t�. - T v .h ,Sir.J., S :f i'i I 'if 4: ;�C/I :✓N * tt X41. Solar Domestic-Finals C . •• -' C" ( - *- �'✓ r' -t -1 c * re :r b. t rr J'v C * 'X ) `'•42.Backflo Prevente :- m. - {` ` Ni •, * S 0.: -1 :- ,r)C ' . 43. Backflow Irr•Ihatioria P.55 it * u::- 74 C :t -). . a: . > 0 i ir44. Landscjpe tYrigati i Systentur- tx 4: ',21C Q C* 4: r u' ro x- t tc 'Jilt,IO >45.CSound Atte¢uation 1-1'FE- it - E- t-* :* r1 i c.'1,4CC< t . . � . .. :f m to 1113. * - Cr C < . r..0 :a _46 •)-landicap, Regulatiofiis i-, G *- ... l- 7 4 C u; 5 ...zi 5._ ' 47sFlfyfWLSTRUCTURE & BUILDING -i • ' I 1; •"p ' CU S . ,s,„489t 1 .t'[r' :( .r t. v Q. J T V �-FINAL PI.A(VNING i I-F_ r n; ,• *, n to ..yf ,y, r.. X 49 rt,f l✓'etric Release to:Edison r a+� E i1: ii ;50.SGaf-Release to Sou{hern California Gas Co y: x; S _- . l;Py `' ":1 .". $1. CEs`rIFICATE OFJOCCUPAN�+ � ' x w sit ito T a. 'p^ No. Date OWNER BEDERBACH, J. R. DATE 2-214-58 _ JOB ADDRESS 235-A E. 23rd St. BUILDING PERMIT NO. 61i52 pGEENNERRALCONTRACTOR Geo Constr. VALUE $ 7,316.00 ll7\P`1Vo. 5 LOT 323 TRACT §.FIRE ZONE DESCRIPTION OF WORK Residence Watt gar. GROUP I Sc J TYPE V ZONE R14 PLAN NO. PERMITS ISSUED ir-"ECTIONS DATE SUBCONTRACTOR DATE NUMBER Tranches) Forms Steel asesir 3 w—dp Floor System Steel Reinforce Chimney Re-Rod Fanost=Beam ci 4441 Frame and FI shi Lathing, In Out 61/±g-CPlaster, brown � 5 /11-•;4— Underground soil^r/f,t' W/G Pipe Test Top Out iiii— Furnace AIMS' 3-20St kLaDa rCe ,- I- /a-sir i2 G 7t. Gas Vents V Rough Plumbing //4//.j' 3-10"SP" ,,eritat /ro, ,3.-ID -Sy /.24 7G, Cesspool Septic Tank ////JJJJ l t lit-Prop. Swr. LineC{(House Cor .3t. SwrO( 1't>Y 'W 3//rise 53'V .tiling System 0 Heating Final "WS 7-?-41( ill Plumbing Fixtures, Final 4114c $- -sr /// Final Gas Test /h- /H/fS S-,Y..-fi"� /I _C action Pole l/V` M. ,:ground Power ,. /' , , �/ Ir Rough Wiring - 3-2Gfg .e,,.cae✓ z-P ^ -ti-sr (amass-- • Fixtures, Final e-7'-rr' 0 t r 1. OCCUPANCY ,4i#S 5---b-.0/ Form 210-5M---1-57 / 61152