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HomeMy WebLinkAbout253 23RD ST - Building Permits • CITY OF COSTA MESA 4�esCpMFs BUILDING DIVISION Fa,. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754.5626 • PERMIT NUMBER: B11-00308 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42608403 DATE ISSUED: 09/19/2011 ISSUED BY: KJB JOB ADDRESS: 253 23RD ST CM Suite/Unit: Vicinity: Squares: 1800 Valuation: $6,000.00 SCOPE OF WORK: TEAR OFF WOOD SHAKE OVER GARAGE.APPROX 1800 SQ FT. INSTALL 30 LB FELT AND COVER WITH 30 YEAR COMP SHINGLES. ROOF PITCH IS 3:12.GARAGE ONLY NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector.See Attachment w/lnspection Card OWNER: MENK, BRUCE Address: 253 23RD ST Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: HARMS, RUSTY Address: 8111 COMMONWEALTH AVE - Unit: : PHONE: 1800-501-1811 City/State/Zip:)BUENA PARK,CA v_\ N CONTRACTOR: ROYAL ROOFING CO License No. 678705 Address: 1220 E ORANGETHORPEUnit: PHONE: 1-714-521-0100 City/State/Zip: FULLERTON,CA 92831 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 • Reroof Permit Fee: $125.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $126.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day, Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE P. INSPECIION TYPE DATE INIIIIALS CODE k INSPECTION TYPE DATE INIITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / p 208 Final Plumbing 200 Final Re-Roof 111 Y \ 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 WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: • O I have and will maintain a certificate of consent to self-Insure for workers'. Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the rmance of the work for which this permit is issued. ave and will maintain workers'compensation insurance,as required by n 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: /�/ NAT- person is required to descend,will be made in connection with work authorized C 4-sr Z t� / r / `v / ifs caw by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier - V or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This sectkin need not be completed ethe ppeerrrmits/yaks()fi-o}��(hhyy/A)dr dollars(5100)or less) 2,Art 2,Sec.341,Title B,California Administrative Code). Policy Number tu12- /'77): %01 b / C.7� r • 0 As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should . become subject to t e workers' compensation provisions f Secti n 3700 of Applicant's Signature Date th bor Code,I�h I forthwith comply with these prot�1 o s. (_/ Division of Industrial Safety Permit Number: pp ram's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or'present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN'SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire •ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of Ow Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in f ILO fgmeirfd a ecct-/ a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# 1 rtin /(/// Class# - (Section 25533 of the California Health and Safety Code, with some r fir �y /1�� exceptions, requires registration with the Costa Mesa Fire Department by 4(� "' .�■ each business which at any one time has on hand a quantity of acutely o: signawre Dale 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No• applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the • did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ❑ 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 Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. G ��jSii nnaaatur�(,oI Leg1t Ot Pegs) or, e Signature Date Ywl t� V / 005)-46(3/01) Andlor thonz d Applicant r to ampIBMLurla: 253 23RD STS We: CITY OF COSIA MESA - BUILDING PERMIT 45T7.-a076Y OwraRsr plDiam: MENK, BRUCE HAYNES TR PERM NO: 8 085943 mcm253 E 23RD ST COSTA MESA,CA 92627 PERMIT NO: B 083943 PLAN CHECK NO: uiu - i L GOVI : N SUPP: N L.MMl94D ADDRESS: CONSTRUCTION TYPE; V-N PERMIT TYPE: 5111 PURPOSE: ADD ARCNITECT OR EN5NEE5: Lx.NO.: JOB DESCRIPTION : 2 STORY ROOM ADDITION & COVERED PATIO SQ FT: 1 , 033 ARMOR EMI ADDRESS: WIT: CLAIM VALUE; 120, 000 . 00 CALC-VALUE: 45,928 . 00 GROUP OCC: R-3 / CONTRACTOR'S NAM: '"-- BEDROOM -' - ' -' -• ROOM _ CONTRACTOR'S MARINO COMMENTS: ADD 1fEDROOM rAMILY ROOM 6 COVERED PATIO ***ire............................ ... ........................... ... . . . ....... ....... ........... . ... ADDRESS UC Pa: xxxxxxxxxxxxxxxxicx xxxxx xxxxxxxx xxikxwxxxxx xxx xxxxxxxxx -rtxxxir+rwiF it if iF vi if if orewRit it xsf#x mar, ZONING R E_Q U I_ R_E M E N T S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S E 1 b A L iS S (commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. Cm UC.NO.: UC.CLASS: UC.FiO.: - EXP: MAIN BUILDING --- ACCESSORY BUILDING FRNT : FT IN REAR: 76 F1 IN FRNT: FT IN REAR: 11 IN Dale: Contadoc V LEFT: 14 FT 6 IN RGHT : 5 FT IN LEFT: FT IN RGRI : Y1 IN OWNER BUILDER DECLARATION:I hereby affirm under penny of perjury that Tam exempt from the Conlradas license Law for IM , following reason(Section 7031.5Runless and Professions Code:Aoy city or county requires a peon to canted.alter.imprint PARKING REQ: PRUV: PARCEL: 422608403 ZNE; lit REF NO: rdemdeh,«nyer aw etrwae.Par'al°Sara a °'alvs'Ma 'am° «coon penal toN °Sae°°lanai Mm M a the PLANNING NO i ES.>. ONE TWO STORY ATTACHED ADDITION TO SFR INCL. COVERED PATIO a finned pursuant to the amnions d the C ntadas license Lew(Chapter 9(commencing with Section 7000)d Division 3 d the Business end Professions Code]or that hes she exemptrhaeMm and IM basely the alleged exemptonanY volalbn d Swot .>.„..- STAIRS AT RIGHT SIDE HAVE 2 . 5 ' SETBACK. BLDG HT MAX 26 1031.5 any applicant la a pamdl sante the applicant to a dvi d not man then km hadad doges ..... .-.. ... ....................... ......... .. by penalty ]5`N . xxxxx xxxxxxxxxxxx xx xxxxxxxxxxxxxxxxxxxx xx xxxdtxxxrt xxxx)Yxxxdvx x�Fxxxxxx Axrrx xx**jinn ❑ 1.eeowner d the nanny a my employees with wages as their ableoompelmian.en do the work,and tMwucture lona intended D E V E .L V P. M E 'N T S E R V I C S REQUIREMENT " or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property - whe brdds or improves thereon,and who does such work/emote a Mise.cc through he Or het own emplolese,Provided th meth / 2L -1 improvements aero intendedburde dldnd lasale. he didri the jbugding d orknaknaovernweenM sale one yeadcornPleron,tlrs ZOivlivG APPROVED By • - DATE: (' �J owneamier wig have the burden of pawing he or she w buil or improve for the aepoea d sale). I.ssotaer dtheprppeny.amesdus*owrwn°ahlcawed.. " . . •the aged(Swion 7O41.Bus' BUILDING _ '�, '7 Professions Cede:The Contractors literal Law does of ePph'b. • ., .... who sIXi es who tlUILDI1Vl1 APPROVED BY DATE II contracts ler such projects with a contrwor(e)loaned Wn • t• he;•v License _ ._ �r I am axe r i. 's B.A P.C.,M�` )/ APPLICATION ISSUED BY : �I itot {/ LATE.: !M:N7 ; eiiii ”...nsifikiiieieii w/vwttl wwmxft x'Rxxxxxxxxxxltxlt'lt%tlit1YR14x 1 do here cern/that I aware of and understand the requirements of Calianie Health and Safety Code Sections 25505,25533.and 2553.and that I or any future bulking occupant will/will not(drcb ane)need to comply with and state codes and the requirements ler BLDG- -• - - PLUMBING U I --• - E- - ', MECHANIC - apermitforconetactionamodibratonhomtheAiOuntyManagementDistrict.RaNdentiel construction enplaning are exempt from these t1LOl1 YM1 YLUMH INt7 ELEL TF(1L _ ME.LHAIVlI. FIRE SMlP%lits GRADING provisions. PERMIT 538 . /5 . 4 . 59 Dalt App neat: SM I P%NON-RES PLAN 350 . 19 - , WORKERS COMPENSATION DECLARATION:I hereby affirm Leder penalty of peaty one or the mowing de di eatom: ISSUE FEE o Ihare andsil maintain a certificate d consent to self-insure for natters'oompaamion,as provided for by Section 3700 o the labor BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for the performance d the work for which this permit is issued. ElIhave and Mnm lmaintaworkers' nperadae. onimuraesrequiredbySectoof n3703thelaborCods.fathepert« aof performance TUTALS____7 543 . 34 V . UV »0. 1y 2133 . 53 893 . 33 . 00 - work for whidr the peNand.al a Nand.My waken'mmPensation insurance Denier end Po&y number are: " Carrier; REVENUE DIVISION TOTALS--) COLLECTED: 543 . 34 UVER/SHUi<1 : . 00 Poky Numlur. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMlP/111T GRADING PLAN-CHECK t -(Thisswion need not be completed I the remit is loan hundred Oakes 0lw)«lost) 538 . 75 ' I - 4 . 59 ❑ 1 certify that in the performance of the work fa which this permit is Suet I shall not employ any person in any manner so 55 ' becometuned to the endows'compensation taws d California.and agree gut d I could become wand to IM workers' ie ie ie ii ii ie ii is id icic is ie i'is it;ii ie ie Mt ie ii iiiii(xiiiciricicicid is x sir'ire'ieie*ieiriiieiiieii•ieieieiEiertiekieieiiieieleieieiiieieieis ie lir ie iF ie x ii ii ii.ii compensation tannins d Section 3700 d the Labor Code.I shall forthwith campty with those provisions. INDIVIDUAL " FEE B \R E A K 0 O W N Date: Applicant: I QTY _ ._ — _ - ._ UNIT . __ _ _ War dye fie up onehundredthous nddlla (S1cCOCA In auitionand costlfsubject menemploys:Ia as pPendMforand In TYPE. U E S L 1< 1 Y 1 1 Vic.N UN11 lVSl TOTAL 1.1./ST c/vll fines up to thousand dollars(5100,000), addition to the cost of compensation,damages sof provided ler In , Section 3706 of Me Labor Code,Interest,and attorney's fees. SFR 678 DWE-TYPE V-WOOD FRAME ! ".-AVER 59 . 30 40, 205 . 40 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d perjury that then e e construction Finding agency for the SFR 355 RES-PATIO COVER-POST & SOLID ROOF 16 . 12 5, 722 . 60 performance o the sock fa Medi the pemii is issued(Salon 3097.Civ.C), END OF FEES / LENDERS NAME: LENDER'S ADDRESS: vie I certify that I here read this application and dale thin the above iMameton is coned.I agree to comply with all thy and county ordinances w w and state laws minim to bulling construction end herebyathorize represent ' d this dry to enter upon the above-mentoned property Ty -T •• f«'vaeeaian RUCE ENii i��!� li'1WraL •; /C /)//� -• n 11-26-1997/62: a. 543.34 .. P Yl_ / one: // LSC DATE /�.; • i i PERh1ITPI@ e3 Signature of Owner Age nt/APpfunt/Corurwa (5151-46.WP) White-Building&Safety:Green-Vie:Calory-Applcaal:Pink-Revenue:Goldenrod-Assent CONSTRUCTION AND PLANNING POG.. s SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • . 53. Steel Reinforcement / 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement l u-t (p1,4,41 56. Rough Plumbing & Pressure Test . ' 6. Electrical UF ER Grnd. I 57. APPROVAL TO COVER-GUNITE _, 7. Footings 1-P--elf f (pat- 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. - ' • I, 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System -rthf-„r,C _ (`Lr-71 uAfr-': 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 I 67. Fencing & Access Approval - • 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 16. Rough Electrical-T Bar Ceiling I 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 OGas 0Oil 23. Gas Pipe•Rough & Test • - 72. Underground Flush 24. Roof FramingT, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 514. A i< 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 7 75. Dry Chemical • 27. Frame and Flashing t�zT Z'" CA4C. 76. Dry Standpipe P1 1 28. Lathing & Siding 77. FIXED SYSTEM FINAL �1.•••qI 29. Insulation . Y---yl-7, &Lac 78. FIRE PREV. FINAL �+ti 30. Drywall Nailing • S 17_77 44,- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION el i 32. Electrical Power Meter-Final . t 80. FOOD CERTIFICATE ISSUED 33. Final Electric 3.j2 11_Rd Notes: I.20 "tc r4L___i j 34. Final Heating& Air Conditioning" - 35. Final Gas Pipe•Test `-i?-et r. -- .-L-44.- 5 6,-/"" 36. Hood or Canopy t -e - u .triin�i / � G6:: 37. Final Factory Fireplace ., . 04- trail al---- 38. Final Plumbing '/.l4"-_7f- P-IC .7 It4-273. 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Final 42. Backflow Preventer 0 43. Backflow Irrigation • 44. Landscape Irrigation System ' - • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING • - 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date 2325 NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: (x) City of Costa Mesa District Receipt No. CR ( ) City of Newport Beach (�/� ?rj4 ( ) County ofOrange � � Plan Check N"�(rf� Applicant. Ydr&Ce_ i��� /CiJ%" Address: 25 3 22 / ( "• £ 1 9,2‘,), 7 Telephone Number: (/,�� Tract/Parcel and Lot Number(s): � I Location of Project: (S A /L- Number of Square Feet of: / .y y1{ / Residential Space t0 / 8 x $1.84 Total j .2 7. sta. Residential/ Sr. Citizen Space x $ .30 Total • Commercial and Industrial Space x $ .30 Total Commercial/Industrial Project is: (Check One) Warehouse Motel Preschool R & D Bank Auto Repair Movie Theater Neighborhood Shops Hospital Mini-storage Racquet/Health Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial , Office Park Fast Food This project is exempt because (&—i_ ctc./ �j t.br,✓7‘1AtLPLD'ua/1oQ.yv ) This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this . ".posed development may now be issued by your jurisdiction. Checks are to be made payable to Newport-Mesa Unified School D.- rict. By: ' :or-c t:Authorized Representative .i.' The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not true,then this certificate shall automatically terminate and the d ity/County shall be 'fled. "...• Pea' 7 Date: • ` Applican ADDRESSOF BUILDING: 253 23RD ST °NT CITY OF COSTA MESA - BUILDING PERMIT 91 -vBUILDING: OWNERS NAME IFCCVIN MENK, BRUCE; HAYINES TR PERM NO: M 087814 ADORE53: 2 5 3 E 23RD ST COSTA MESA,CA 92627 PERMIT NO: M 087814 PLAN CHECK NO: NGOVT:• N SUPP : N APR.MAIUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOE DESCRIPTION : INSTALL ONE FACTORY FIREPLACE SQ FT : ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCCf R-3 / CONTRACTORS NAME COMPACTORS MAILING COMMENTS : RE: B85943 / "MARCO" MODEL B36CF ICB0#2578 FACTORY FIREPLACE ADDRESS: CC NO.: ******************************************************************************* DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under penely of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)a Division 3 d the Business and Professions Code,and my license is in full lett end°led. CITY LIC.No.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: caarea« FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby elfirm under penaly of perjury that I am exempt from the Contractors License Law for the lobovethg reason(Section 7031.5 emboss and Professions Code Any city or°aunty which requires a coma to comm.*agar,improve, PARKING REQ: PROV: PARCEL: 42608403 ZNE: REF NO: femdah.a repel any saunas',prior to its issuance.also requires the applicant for won permit to file a signed statement that he or she •tensed pursuant to the provisions of the Contractor.License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code]or that he or she is exempt therefrom and the basis fa the alleged exemption,Any violation d Sections > 7031.5 by ayapps ot iram fore permbjects e applicant to a civil penalty da at nmore than the hundred dollars MOOD- *********************** ******************************************************* ❑ I,eaowxrd the property or my employees with wages as thee este compensation,will do the work.and the structure a rot invaded - or offered for sale(Section 7044,Business and Professions Code:The Contractions License Law does not epplytoaOwner ofProperly DEVELOPMENT SERVICES REQUIREMENTS who builds or improves thereon.and who does suds work lensed or hersel or through his a her own employees.provided that such ownepr rbu wements ili9ll ae avve thea budenaprovinpoffered for M«an did the building «i�mlpa��.lpt the'ent is sold m)cne ria completion, � ZONING APPROVED BY • DATE: L ee owner of the property,an seamen*contracting with licensed contractors to construct the project(Section 7044.Business and Professions Code;The Contractors License Law does nal apply to at owner of properly who bolds or improves thereon and who BUILDING APPROVED BY : a DATE: contracts for such projects with a contractor(e)licensed pursuant to the Contractors License Law). .,y �_ - /9 ❑ I am exempt under Section: B.A RC..wr this _ APPLICATION ISSUED BY: S / DATE: 'It —el 8 **********************. . . *. . . . . . . -* " " k* R**** **3*******3/12- -> * d* ** Dae; pa: LEGALIZATION:N F E E U M M A R Y STRUCTURAL SEGMENT: N I do hereby certify that I am aware of and understand lbs requirements of California Health and slay Code Sections 25505.Patna.and 25534,and that I or any Assure building occupant will/will not(circle one)need to comply with said date codes end the requirements for e permit faeonatnldion or modificelionIrantheAir Qualify Management amt.Residenlialeonaadin applications are exempt Irom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING nomi91One. PERMIT 9 , 50 Date: Applicant: 25% SMIP/NON-RES WORKERS COMPENSATION DECLARATION:I hereby efrum unders paiy el Wiwi ane ol the following declarations: PLAN ElIhave and wllmaintanacerilkatedmnsenttosenirnurefar wake&compens°oSection ISSUE FEE 22 . 00 Code.la performance miepermit is issued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I have and WI maiMein workers'compensation insurance.as required by Section 3700 of the Labor Code,for the rerforinandi Of the TOTALS----> 9 . 50 22 . 00 - 0 . 00 31 . 50 31 . 50 . 00 work for whim this permit is issued.My waken'compensetion Steams carrier and policy number are: .- Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 31 . 50 OVER/SHORT: . 00 Pdxy Numbers BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I the genet is for one hundred dollars MOO]or let) 31 . 50 9 I certify that in the performance of the work for which this pelma is Sued,I shall not employ any person in any manner so es to become subject to the workers'compensation laws d Cahoon and agree that it shadd become subbed to the wodan' • **********************************_*if******************************************* compensationA.-provisions a Section 3700d the Labor code.I Mal 1 with comsat wdn those prgson, INDIVIDUAL: F E E BREAKDOWN Wareing:Failure mnen workrat'conwJsdoncOva,NelsunlsWft4atdshall MtIeCtanwlWloyrroe.lrNnSPmsWesand TYPE QTY DESCRIPTIO. W. UNIT COST TOTAL COST dull gnu rpt to one hundred thousand dollars on coverage In sddllbn to the cost of compensation,ctan employer damages u provided for In Secdon 3706 of Nelabor Code,Interest,and artomAy'a feet MEC 1. FACTORY FIREPLACE 9 . 50 9 . 50 CONSTRUCTION LENDING AGENCY:I hereby SMa under penalty d perjury that there e a conatnldpn lending agency ler the END OF FEES performance d the work for whim the permit is issued(Section'3097.Ce.C). LENDER'S NAME: LENDER'S ADDRESS: +� I certify that I have read this application and state that the above information is coned.l agree to comply with°I city and county ordinances - e d state laws relating to building consvuction and hereby authorize representatives d this city to enter upon the above-mentioned property - faitwpedionpuryoses. 64-21-1996/11:24 R.1/631.5 BRUCE MENK/LQN)ZI C?p0� r t AAAA, P' rime �j RCPT;9.21-pp22748 aeSDate: +1.-4--1 PERM' T:X878 grature d Owner/Agent/Applicant/Contractor (5151-46.WP) White-Building A Safety:Greet-RS Canary-Appkcent;Pink-Revenue;Goldenrod-Assessor 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 r 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE k. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, 0 Undrgrnd-, Test -I. 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 „ki,zgI(1 /t�4�n/ APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0011 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 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: / sn_gg COMtc-T�oly rLcL rBW • 34. Final Heating & Air Conditioning - RDOG_12 LI 1 Ot! 1_n/ 35. Final Gas Pipe-Test "T t 99 I` ' 36. Hood or Canopy 37. Final Factory Fireplace li2/ s Pra 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • 43. Backflow Irrigation 44, Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47-. FINAL STRUCTURE & BUILDING • 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51,. CERTIFICATE OF OCCUPANCY No Date J PROJECT ADDRESS: 253 23RD ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 048111 OWNER'S NAME: BRUCE MENK ii ADDRESS: 23RD ST PERMIT NO: B 048111 PLAN CHECK NO; 04823-90 S GOVT: N SUPP : N COSTA MESA • CA 92627 CONSTRUCTION TYPE: 5 N PERMIT TYPE: STR PURPOSE: 0TH ARCH/ENGINEER: ( 714 ) 631 6166 REG.NO.: JOB DESCRIPTION : LEGALIZE 65 ' LN FTOF 6 ' HIGH CMU WALL S FT: 65 ADDRESS: UNIT: Q • PERMITTEE: CLAIM VALUE: CALL-VALUE; 1 , 300 . 00 GROUP OCC : R-3 / ADDRESS: BRUCE MENK ( 714 ) 631-6166 253 23RD ST COMMENTS : SMOKE DETECTOR(S) REQUIRED IN HOME, COSTA MESA CA 92627 ****+ *********** *****x**********************+r***iE**********SLY***** *** ****#* 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 full force and effect. CITY LIC.: STATE LIC.: CLASS: SETBACKS Signature: MAIN BUILDING ACCESSORY BUILDING AKERS'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 ,mpensation 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 : 42608403 ZNE: R1 REF NO: ❑ Certified copy ishereby furnished. 0 Cemfiedcopy isfiled with the city Building Division. PLANNING NOTES> 15 LF, 6 ' HIGH BLOCK WALL LEFT SIDE P/L; 50 LF, 6 ' HIGH > BLOCK WALL RIGHT SIDE P/L TO EX. SF RESIDENCE Date: Applicant: ******************************************************************* -*********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N ;Ti 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 ' i'{% DATE: - 7- t-to Date: Signature: 0 NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : ,4� % , DATE: _2.„1/----PC,) Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDINGed AGENCYY 30I h6 Civ.C). affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ��. /_ �_ DATE: {J /G{/'/� ****1E********'M'***********.... . Y. ' rx, 1t. ********* e* *"W***YX1t�1[* LENDER: , ADDRESS: • LEGALIZATION:Y F E E S_, U 'M N 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 t ' ' • (Section 7031.5 Business and Professional Code: Any city of countywhich requires a permit to construct,alter,improve,demolish,or BLDG PMT PLUMBING ELECTRIC ',MECHANIC FIRE SMTP/RES �' GRADING repair any structure,prior to its issuance,also requires the applicant for such permit to lite a signed statement that he/she is licensed PERMIT 6 2 , O O 1� • . 50 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - SM'Z 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 40 . 30 " y applicant for a permit.subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or.my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK . - ' TOTAL C''PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 6 2 . 5 0 0 . 00 12 O ;'1.5 ' --' 82 . 65 82 . 65 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COL-LEC TED r - - ,82 -. 65 OVER/SHORT : . 00 for the purpose of sale). ' BLDG PMT PLUMBING ELECTRIC MECHANIC FIE 'SMIP/TOT GRADING PLAN-CHECK • I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 62 . 00 , 5 O - 20 . 15 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - - \ A) and who contracts for such projects with acontractor(s)license pursuant to the C•' ctors'State License Law) am aware **************34,*****************,+*.a1.,,E*0..N.*.*.y,*.*,**-*.***,.***-**..N*.*,*,*- ,****,*-***,*,**,***,*,X* that proof of their Worker's Compensation insurance should •• provided to me -e) I am exempt under Section: e.8 P.G / I N D I V I D U A L'' :F:E E - B R E A''K D 0.'W N ormisreason: /�/3 /' TYPE QTY D E 5 C R I P T I Q" N UNIT COST} TOTAL COST Date: "7- (f ( o Owne.�// / � C ' I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,2CC33,and SFR 6 5 RES-CONCRETE BLOCK LiAl'L / FT, 2 0 ;O Q�' 1 , 300 . 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._O F FEES . permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from . r these.provislons, Date: Applicant: •\ , •r I hereby certify that I have read this application and s e that the.•'v- nformation is rrect.I a roe •comply with all '• and county ordinances and state laws relating to building construe; and her:-.y a orize represen fives of �, to enter upon the. ''ve-mentioned , property for inspection purposes. , Date: `7"- !I` 70 Sign. •,/./ _7 //' 6/ -Y / Dnver.'s License or Social Security#: 01 00065050-00065052 T CL T 32.65 164145 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor DATE: 07/11/90 TIflE: 14:33 CONSTRUCTION AND PLAt,.....0 POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # _ Date •Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location V Y• 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, ❑ 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 ..te • i 78. FIRE PREV. FINAL 30. Drywall Nailing f� -• HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat '• ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final / 'i. 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:r Aide/ Attaat7cta ' ,X / 34. Final Heating & Air Conditioning s 4r c4 /e / ok �d fine �Pl • P't.!V 35. Final Gas Pipe-Test _ / r • 7/(t r�2// 36. Hood or Canopy - �• ! �'��/y�j'/ 37. Final Factory Fireplace - 7-'2 Ott" / (a0" 38. Final Plumbing, ! ' 39. Water Service-Final ` 40. Gas Service-Final p 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ,,//�� ,�/v// 44. Landscape Irrigation System S,/d1„ r�� di 45. Sound Attenuation !�•' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ! 91 l r 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ,7 '^ 51. CERTIFICATE OF OCCUPANCY No. Date • \ AVr10.tELT DRESS: 253 23RD ST UNIT: CITY OF COSTA MESA — BUILD-NG PERMIT PERM NO; B 053471 OWNER'S NAME: BRUCE & LINDA MENK ADDRESS: 253 23RD ST PERMIT NO: B 053471 PLAN CHECK NO; 04697-90 L GOVT; N SUPP: N COSTA MESA CA 92627 CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ADD ( 714 ) 631-6166 ARCH/ENGINEER: DENNIS BROWN, ARCHITECT REG.ND.: C-51386 JOB DESCRIPTION ; 1ST & 2ND STORY ADD 'S iO EXiS:ING SSD SQ FT; 1 , 364 ADDRESS: 3190 AIRPORT LOOP DR DIRT' J PERMITTEE: COSTA MESA CA 92626 CLAIM VALUE: 140, 000 . 00 CALC—VALUE; 87, 768 . 00 GROUP OCC: R-3 / N.ENK ( 714 ) 631-6166 ADDRESS: 253 23RD ST COMMENTS; NONE CM CA 92627 *******s:***iE;'Ex+ ********** ** vac******x**,;*+ ********r:* ******** 164*** r********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 til the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date_ Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: 26 FT 6 IN REAR; 68 FT IN FR NT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: 7 FT 6 IN RGHT: 14 FT 6 IN LEFT: FT IN RGHT: FT IN POLICY ND.: EXP.DATE: COMPANY: PARKING REQ: PROV; PARCEL : 42608403 ZNE; R1 REF NO; .5 _' Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N T ES> 1249 SQ.F T, ADDITION — ONE & TWO STORIES. RECORDED LAND USE > RESTRICTION REC, B/C OF EXTERIOR STAIIRCASE. date: Applicant: *************x************iF****** *******************ii*ac** ******1E*****•'**#r D.#** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less), DEVELOPMENT S E R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become �J subject to the Workers'Compensation Laws of California. ZONING APPROVED BY G7 `—_' ` DATE: Date: Signature: + NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor • BUILDING APPROVED BY : IL— a aNlk. DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. — q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED 1] i��— DATE• C7UZQ which this permit is issued(Section 3097.Civ.C). ***************** - *WIF -YY. — s:__— a—rr: ><rcit£********if*3t w,v it#4�,.' .** LENDER: ************************************** ************* >r*******4.*******L;.***{:*?f*** ADDRESS: LEGALIZATION:N F E E ; U M M A c "44---- 1 STRUCTURAL SEGMENT;Y OWNER BUILDER.5 DECLARATION: hereby that yam o exempt from the Contractors'State License Law for pr fallowing reason BLDG PMT PLUMBING . ',EC '6: I( :.:" yu� Tv 4;" -,' lE SMTP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 585 . 50 !cy.,. c: t` %�,"' 6 . 14 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed '•S: I r, ' 4.'Z 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 •1pL. i, 4a°S, t:: t �' t.' 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 380 . 58 pA ��+ yg.V..'- ` •G"'y' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE '" - L as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUI1,1)INC—D.1V—> PERMIT ISS' ,E }•., TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 591 . 64 0 0 180 , 58 �� '4`'2 , 2' 972 . 22 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided That such improvements are not intended or offered for sale.If,however the building or , improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> L (,T 1 `I : a , b 4 n T= /SHORT• 00 for the purpose of sale). BLDG PMT PLUMBING ELEC TRI :�r�/lN T F I a° Z,-,se/TOT/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 585 . 50 6 , 14 and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ***..7a************************************************g.* -:r********11************4* that proof of their Worker's Compensation insurance should be provided to me i— N D I V I D U A L F E E BREAKDOWN o am exempt under Section: B.8 P.C. for thisson: / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST i r � w i , - i C d1e i °v SFR 1249 DWE—TYPE V—WOOD FRAME —GOOD 69 .00 86, 181 00 Ido he eby cendy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and SFR 115 RES—BALCONY, EXTERIOR STAIRWAY 13, 80 1 , 587 . 00 25534 and that I or any Suture building occupant Air l 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 END OF FEES these provisions. Data Applicant: I hereby certify that I have read this application and state t the above ormation is corre I agre' .comply with a sty and county Cy 'J/` y _ of Ar Kft -e ordinances and.tate fav relating to building construction a),'Bert ant, rite representat : of ilii o enter upon "above-mentioned `/ / H propert for sewn purposes. Oaf... A' Ar Signatur, _ . . ��.� 1 Dover's License or Social Security+: eneh2 _ = r "_ _ 164146 White—Building:Green—Code ei___ C jnJc:T' .' •^jr,•� g. Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor 171-. 6•r't�.�l .IiL• t..•',' • I a . CONSTRUCTION AND PLANNING POO' PA 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 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 OGas DOil 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 ' tr 31. Plaster Brown Coat • 79. FINAL INSPECTION -1 32. Electrical Power Meter-Final 80tOOD CERTfjIFttA-T-6_lrtSSUED 33. Final Electric Notes R- 34. Final Heating & Air Conditioning i ace..„.??...-- • aalE 35. Final Gas Pipe-Test ' f 36. Hood or Canopy 1 e/ 37. Final Factory Fireplace - .r4' / . • •• :Ys 38. Final Plumbing t _ r. I i 39. Water Service-Final St-.7 t- C." 40. Gas Service-Final 41. Solar Domestic-Final 11: /-'fI I 1 42. Backflow Preventer ^-' � 9 4.:1 I 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date t l CERTIFICATE OF COMPLIANCE C PAYMENT OF SCHOOL FACILITY FEES O///l/ I Q-9-I NEWPORT-MESA UNIFIED SCHOOL DISTRICT 7/ 7- Developer/Applicant : ( ‘Ce /;S1/2/ Address : O753 023/(7731 / C/`/• Telephone Number : 3/�jj1�p Tract/Parcel and Lot Number(s) : Location of Project : Number of Square Feet of / /p (�`l l°� �Kdy,. a 65oh) p 2 Residential Space /2.367 L S / x $1 . 50 Total' � O IJ . Number of Square Feet of Commercial and Industrial Space x $0. 25 Total Commercial/Industrial Project is : (Check One) Mini-storage Motel Preschool Movie Theater Bank Auto Repair Racquet/Health Neighborhood Shops Hospital Warehouses R & D Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office - Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . Business Manager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically term nate and the appropriate City/County shall be n. fied . Date : ��(J h - ..(s24 �, Deve oper/Applicant (3cuce M&$K ADDRESS OFBUILGINO: 253 23RD ST' LINE CITY OF COSTA MESA — BUILDING PERMIT I` -to--07`6Sa ONNERSNMEIFIQIONTI: MENK BRUCE HAYNES TR PERM NO: P 087647 ADDRESS 2 5 3 E 23RD ST COSTA MESA,CA 92627 PERMIT NO: P 087647 PLAN CHECK NO: N GOVT: N SUPP: Y APPL.LI.UIDIO ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD ARCHITECT OR ENGINEER: DC.NO.: JOB DESCRIPTION : SUPPLEMENTAL TO P-87530 SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 / CONTRAcrarsNAME BAYSHORE PLUMB ( 714 ) 723-0806 CGNRACTOWS IMMNO 454 COSTA MESA ST COMMENTS: ADD BEDROOM FAMILY ROOM & COVERED PATIO, RE :B85943 ADDRESS: COSTA MESA CA UC.ND: 584702 ############################################################################### 92627 LINT: Z ON ING REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under pr,rmmw of Chapter B SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. CITY LIC : 51397 UC.C1ASS: C 36 LIC.NO.: 58470022 EXP: 09 /98 MAIN BUILDING ACCESSORY BUILDING /p y-7-7 9 conceder. //l1ILiX FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN / LEFT: ' FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN N BUILDER DECLARATION:I hereby affirm under penalty of ry that I am exempt from the Contractors License Law for the 'ng reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct.alter,improve, PARKING REQ: PROV: PARCEL: 42608403 ZNE: REF NO: gmoleh,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she . _.licensed pursuant to the provisions d the Connector°License Law Chapter 9(commenting with Section 7000)of D'weion 3 d the PLANNING NOTES> .j-+Juan°ae and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemplion.Any violation of Section > 7031.5 by any applicant for a permit subjects the applicant to a coil penalty of na more than Me hundred dollen 1S5001). ###############irk##############################,#.################################ ❑ Las owner ofthe propedy or my employees wih wages as their sole compensation,will do the work,and the structure is not intended DEVELOPMENT V E L O P M E N T S E R V I C E S ' R E U I R E M E N TS or offered for sale(Section 7006,Business and Professions Code:The Contractors License Law does not sooty to an owner of property .% Q 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 set intended or offered for sale.If,however,the building or improvement is sold within one year of completion,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). Q^ ❑ 1,as owner of the property.am exclusively contracting with licensed contractors to coon the project(Section 7006.Business end V Professions Code:The Contractors License Law does not apply to an owner of ppeny who builds or improves thereon and who BUILDING APPROVED BY : i DATE: contracts for such projects with a contradorts)licensed pursuant to the Contractors License Law). o Iern exempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: (—_yl ### # #### Dat ` LEGALIZATION:N F E E SUMMAR Y STRUCTURAL SEGMENT: N I do herebycertify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.end 25534 and that t or any future building occupant will I will not(circle one)need to comply with said state codes and the requirements for a permit ler construction a modification fromtheAy Dankly Management District.Residential mmdntlion&peacetuare e exemplfmm Mees PERMIT BLDG PMT PLUMBI5G ELECTRIC MECHANIC FIRE SMIP/RES GRADING Provisions. Date: Applicant 2 5% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedarelions: IS IUSUE FEE 6 . 50 ❑ I have Code,l the eaimaamc ofthetwofcowhicto heeiinsureforwurkaricamPensaten.mprovidedforbySeldian3700dtMlabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE code.lorthepudomaweoflMwakfor wNchthis permit leissued. TOTALS----> 5 . 50 -6 . 50 0 . 00 12 . 00 12 . 00 . 00 ❑ I have and wilt maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit iscomer is issued.My workers'compensation insurance and policy number are: REVENUE DIVISION TOTALS--> COLLECTED: 12 . 00 OVER/SHORT: . 00 Poloy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK This section need nor be completed 1 the pemtt is for one hundred dollars MOO]or less.) 12 . 00 �❑ I lfY Net in the perlommence 01 the work for which this permt c issued,I shall miller d employ any penin in any manner so m to e a bjed to the workan'cernpunsstion laws of Cdifomia, end spree that i should hecanhe abject to the waken' ########################################################irk###################### coat �i/on provisions of Section 3700 of the Labor Code.I shall forthwith tmay with Isom I N D I V I D U A L F E E B R E A K D O W N ate: '�j —7-9 O Applicant /./j� �iL/.( Ing:Faffure to secure workers'compensation coverage Is unlawful, nod shall sub/act en employer tocdrMml penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars($004000),In addlson to the cost of compensation,damages as provided ler In Section 3706 of the Labor Cods,lntsnsL and atfomeyl toes PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 . 50 5 . 50 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Cir.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application end stale that the above information is coned.I agree to comply with all city erd county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes.JIM MAESE <Print Name 04-88-199S/84:05 Ikt2.e'c Date: /i ,Lie RCPT0:6 yc5,183 Sign re n endAppu�mCI1. - PERP1ITe0$ o 7 (5151-06 WP) White-Building 8 Safety:Green-File:Canary-Applcent:Pink-Revenue:Goldenrod-Assessor ' CONSTRUCTION AND PLANNING ; - POO SPA APPROVALS Permit# - Date Inspector APPROVALS Permit # Date Inspector r ' 1. Temporary Electrical Service or Pole 52, Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. :8. Foundation 59. Gas Pipo, 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 O 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: 34. Final Heating& Air Conditioning 35. Final Gas Pipe;Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing fp/p 9 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison . -- 50. Gas Releafe to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date nlllrtssaemLDlflD: 253 23RD ST UMTt CITY OF COSTA MESA - BUILDING PERMIT O.yNERSNAMEW O#?I: MENK, BRUCE HAYNES TR PERM NO: E 087816 ADDW 253 E 23RD ST COSTA MESA,CA 92627 PERMIT NO: E 087816 PLAN CHECK NO: N GOVT: N SUPP : N AP PL•MA1UNTADDRESS' CONSTRUCTION TYPE: V-N PERMIT TYPE : ELE PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : INSTALL ELECTRICAL APPARATUS SQ FT: ARCH.OR END.'S ADDRESS: UMT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / CONTRACTORS NAME: • CONTRACTORSMAILRNG COMMENTS: RE: B85943/ TwTOP o S / R S -P 40i not, ADDRESS: LIC NO.: ********4*********** iflE***1E1E3EdEiEik3E i ***7EikiFi(-lE**********iE *****#3Eaf-aEi(-ifdFif***)f7E1E1fdE3fiE* UNIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty ci perjury that I am licensed under provisions of Chapter 9 SETBACKS (commenting with Section 7000)ci Dealer,aion 3 of the Business and Professions Code,and my license is in lull force and effect. CITYLIC.NO.: LIC.CLASS: LIC.NO.: EXP; MAIN BUILDING ACCESSORY BUILDING Date: ContractorFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law he the following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,after,improve. demolish,or repair any structure,prior to its issuance,also requires the appliraM for such permit to file a signed statement that he«she PARKING REQ: PROV: PARCEL : 42608403 ZNE: REF NO: ' s licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Diviion 3 of the PLANNING NOTES> Jusiness and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation ci Section > _ 7031.5 Many applicant(ore permit wbpcta the applicant toacivil penally of not more than Me hundred dollars(SSDDII. *********************************3(34******************************************** ❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure a nor intended C or offered for sale(Section 70N,Business and Professions Code:The Contractors License law does n«appy to an owner of property DEVELOPMENT S E R V I C E S REQUIREMENTS who bolds or improves thereon.and who does such work himself or herself or through he or her own employees,provided That such improvements ere not intended or offered for sale.ff,however,the building oimprovement is sold within one yew ci completion,the ownerbuilder wig ry have the burden al proving he or she did not build or improve for the pucee of sale). ZONING APPROVED BY DATE: :Q I,as owner of the propene,are exclusively contracting with licensed contractors to construct the project(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of propene who builds or improves thereon and who BUILDING APPROVED BY : DATE: Contracts/or such projects with a contractors)licensed pursuant to the Contractors License Lew). / ❑ APPLICATION ISSUED BY: t�E�c I DATE: ' * I am exempt under Section: B.8 P.C..M reason: '& �. Data: .4 Zf - qns Y ow : 12.1=14---- /• ************************* r*** x ** *ii*******************- ** Idohereby certify that Iamaware of and understand the requirements of CaliforniaiaHealthandSafetyCodeSections25505,25533, d LEGALIZATION:N F E ,'E S U M 'M A r( Y STRUCTURAL SEGMENT:N 25534,and That I or any future building crocupanl will/will net(circle one)need to comply wih said state codes end the requirements for apermit lorcoucrnonromficationn«ntheAir anagen District.Residential aon"mdfonapplteti«wate exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING prowa'oAs. PERMIT 407 . 60 Date: Applicant: 5 0% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one 44 the following declarations: PLAN ' ❑ I have end aintain a certificate of consent to selinsure for workers'compensation,as provided for by Section 3700 of the Later ISSUE FEE T 22 . 00 W m Code.for the perfomwceofthe work tor which thepemitisissued. BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Iham and will maintain worlier,'compensation insurance,asrequiredbySection3700oftheLab«Code,fortheperformanceofthe TOTALS----> . 407 . 80 22 . 00 0 . 00 429 . 80 429 . 80 . 00 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: • Cam. REVENUE DIVISION TOTALS--> COLLECTED: 429 . 80 OVER/SHORT: . 00 poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK This section need not be completed I'the permit is for one hundred dollars(51°0/or less.) 429 . 80 I caddy that in the pedormence of the work for which this permit is issued,I shall not employ any person In any manner to as to ome subject to the workers'compensation laws of CaN«nu.and agree that t I should become subpd to the workers' ******************************************************************************* compensation psubject to the of Section 3700 d the Labor Code,I shag I nhwnh mm those Date. 4 •24 ' 1F( Applicant:nd will maF E E BREAKDOWN Warning:Failure m secure workers'compensation coverage Is unlawful,and shall subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tines up to one hundred thousand dollars(3104000),In addition to the coat of compensation,damages as provided for In Section 3706 of the Labor Code,/ntaresL and attorney's leu. CONSTRUCTION LENDING AGENCY: I hereby affirm underELE 20 FIXTURES, LIGHTING 1 ST 20 EA. 1 . 00 20 . 00 CONSTRUCTION penalty d Perjury that them is a consm'dian lending agency for the ELE 23 FIXTURES, LIGHTING ADDITIONAL EA. . 65 14 . 95 performance of the work for which this perml is issued(Section 3097,Civ.C). LENDER'S NAME: ELE 20 RECEPT/OUTLET 1 ST 20 EA. 1 . 00 20 . 00 LENDER'S ADDRESS: ELE 32 RECEPT/OUTLET ADDITIONAL EA. . 65 20 . 80 I ceniy that l have read this application and dela that the above information is coma.]agree to complywHh afi dry end countyordinances ELE 20 RECEPT/SWITCH 1 ST 20 EA. 1 . 00 20 . 00 end state laws relating to building construction end hereby authorize representatives of this city to M to enter upon the ave-mentioned propeELE 17 RECEPT/SWITCH ADDITIONAL EA. . 65 11 . 05 for inspection purposes. ELE 2 MOTOR/POWR APPARATUS 0 . 0 - 1 . 0 HP 4 . 25 8 . 50 BRUCE MENK/Lvot 200'r ELE 18 MISC CONDUCTOR NOT LISTED �(�[''T✓/ RE Q PERMIT 16 . 25 _ m� END OF FEE rt 1ig of er/ApentlAPPIranvCantredor Date: `•-21-�y (5151-46WP) White-Buildig 8 Safely Green-Ric Canary-Appicant:Pink-Revenue:Goldenrod-Assessor gqP-2E1R1M98I/RE1TL9R10BA73E4b29146 9 Wa CONSTRUCTION AND PLANNING • - • POOL ,PA APPROVALS Permit# • Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2: Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - .- 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement : 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ` 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 1/ 30 93 , 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 � 1' P: Notes: 34. Final Heating& Air Conditioning • 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Pirerilace • 38. Final Plumbing -t 39. Water Service-Final 40. Gas Service-Final. 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47', FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison -' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date NOTES SUBJECT: JOURNAL/ INSIGHT y-23--`,9 /UEEb Cffl?., Shy 't ar 1137146 .r 25 ADDRESS a awLwlD T ultra ' " ' �� — " `� /D I C' v_WNERaK EIPKNonN: MENK3 BRUC SHRYNES TR CITY OF COSTA MESA - BUILDING PERMIT S ADDRs: 253 t 23RD ST -PERM TO: !4 ( P756w COSTA MESA,CA 92627 PERMIT NO: M 087565 PLAN CHECK NO: N GOVT: N SUPP : N APDL AIAIUND ADDRESS: - CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: ADD ARCHITECT OR ElArIEER: `)`'ND'` JOB DESCRIPTION 2 STORY ROOM ADDITION & COVERED PATIO SQ FT: ARCS OR END'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / cOIImACrarSNAIE RKM HEATING AND AIR CONDI ( 146) 453-6406 CallRACTORSUMLNG 1043 CENTER ST COMMENTS : ADD BEDROOM FAMILY ROOM & COVERED PATIO REF:N-85943 ADDRESS:COSTA MESA CA uc.ND-: 405194 *+E+ESE+ ******+E****StSESE**********+t***+ESE**********sE*st*+E**si**sESE*****St*i<-**ill***+E******* 92627 'mu' A2 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty. perjury that I em r . •under provisions of Chapter 9 SETBACKS (..„mend.. :,h Section 7000)of Division 3 d the Business and Profession Code,end my• in fug force end effect. Ard UC.CLASS: UC N•.: ACCESSORY BUILDING r5 v C 20 • � 'r 9 y Contractor. / EXP : 09/98, FRNT: FT MAIN BUILDING IN REAR: FT IN FRNT: FT IN REAR: FT IN BUILDER DECLARATION:I hereby affirm under penalty of perjury thai I am exempt from the Contractors License Law for the LEFT: FT IN RGHT: FT IN LEFT: Fly IN RGHT: FT IN following reason(Section 7031.5 Baleen end Professions Code:My cry or county which regueee a perm to construct eller.improv, m wfeh,or repair my structure.prior to is issuance. requires appint for such permit to Na a signed that heorshe PARKING REQ: PROV: PARCEL : 426084.03 ZNE: REF NO: licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of D'vbion 3 d the PLANNING NOTES> .using end Professions Code]or that he ar she is exempt therelro m and the baa for the alleged exemption.My violation d Section 7031.5 by aapplicant for a permpenallysubjects the applicant toe duepenallyn y of not mothen live hundred dollen j550Dj). > m ''.. ,..t ❑ I.as owner dthe properryamy employees with wages nlhei sole compensation.Wldothe work.and the smMurebmimeMad ********************************************************************.*********** or offered for sale(Section 70se,Business and Prolesdmhe Code:The Contractors Lieenm apply Lienee Law dopy m to Owner of property DEVELOPMENT S E R It-I C E S REQUIREMENTS who bolds or improves thereon.end who does such work himself a herself or through his a her own employees,provided thesucher ,, improvements era not intended or offered for salt B.however.the building or improvement is sold within one yew of completion,the owwixdder wig have the burden proving her she did m build orimn prala the purpose of sae). ZONING APPROVED BY DATE: o I.a owner of the properly.em azalea/4.4y m11radeg with licensed contractors to construe the project(Section 704e,Bunn and 'I Professions Code:The CtmteaasDeme Law mar rat MOO lo en owner d M0Peny wig SAW a improvas thereon and sum BUILDING APPROVEDBY : ' �- / DATE: ' contracts for aft project.with a rot a tor(s)licenseded pursuant to the Contractors License Law). //� ❑ Iemexempt under Section: B.A P.C..for this reason: APPLICATION ISSUED BY: DATE: U2 , - e Date: Owner ***************************************** * *frY I do hereby certify the l amewers d end understand the requirements d Calera.Health and Safety Code Sections 25505.25533.and LEGALIZATION:N F E E $ U M STRUCTURAL EGMENT: N 25534,and Mel I or any Mum building occupant will/wil not(circle one)need to comply with said nate codes end the requirements for -� - apermit for construction or modification Iran the Ai uJsly enegemenfDitrid.Re.lWmrwructionappimonswsexemphomthese BLDG PMT PLUMBING ELECTRIC ' MECHANIC FIRE SMIP/RES GRADING owasions. PERMIT ' ' 13 . 25 PIP Dale: Applicant: 25% SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under d penally papery one d the following declarations: PLAN ❑ I have and w maintain a taicertificated consent to seffimure forn3700 workers'compensation,as provided for by Section of the Labs ISSUE FEE 22 . 00 Coda,for the pedamenceathe work for wfichthipencttsbsued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I have and wil rimintain workers'compensation insurance.ea recryired by Satan 3700 of the Labor Code.kr the performance of the TOTALS----> 13 . 25 22 . 00 '•0 . 00 35 . 25 35 . 25 . 00 work for which this permit is issued.My waken'compensation insurance carrier and poky number are: - Ca""r: REVENUE DIVISION TOTALS--> COLLECTED: 35 . 25 OVER/SHORT: . 00 Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK • This section need nor be completed i the permit is Mr one hundred dollars MOW or .) 35. 25 >] I Gerdy that in the performance of the work for which this permit.lamed,I I employ any y manner so es to become subject to the workers compensation love of California.lnd I i I Id b- the workers' ************************_****************_*.************************************** compensation• ions d •'y 700 d me Labor Code. shall to /�wd o . -'d I Applicat:/ ellunro workers' edonovanas • untone shall Woyo criminal rTYPE q to one hundred thousand dollars(5104000),in serltion to the costofcompensation.damages as provided for In QTY INDIVIDUAL:- FEE DESCRIPTIO. N5' _ - BREAKDOWN UNIT COST TOTAL COST Sect/on 3706 of the Labor Code,Interest and afrcmey s fees. CONSTRUCTION LENDING AGENCY: I hereby affirm ander penally d perNry that them. constructiona lending agency for the NEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 13 . 25 13 . 25 performance of the work for which this perm is issued(Section 3097,Cb.CI. END 'OF FEES LENDER'S NMIE: LENDER'S ADDRESS: I , I certify that I have reed this application and state the the above information le correct.I agree to comply with al city and county ordinances • ,P1 7719 to buildiig constructkm end hereby authorize representelive.of this city to enter upon the abbove.mentioned prpertyfA],-r+e�_�.`•poses. q f „ ips” T` "5KEN ATTOX Date: lir APP 0 2 Ingfilipnel 0.. ped nada -� r (5151-46.WP) White-Building A Safety:Green-File:Canary-Appicent:Pink-Revenue:Goldenrod-Assessor t -; - POO SPA CONSTRUCTION AND PLANNING APPROVALS Permit # i 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. g8. 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 r 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 "7 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 - (-L a�+2 n� FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace �-O �„�1V 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 yy�� 33. Final Electric Notes:.�_a_C?a Rouerr /1VAC 1 OK 34. Final Heating& Air Conditioning /�,a /lig - UU t / �/ / 7(T u=�YQS Cc2RR.EC(_/_oNN_oil� �f ON 35. Final Gas Pipe-Test I -to- (g �`O�(I�l ?OMt Ft X Vp „LW y 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System - • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - ' 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY - No. Date ADORESSDF9MLMN0: 253 23RD ST UNT CITY OF COSTA MESA BUILDING PERMIT /� � �� ✓ tMWsti."EIFIm0wh1;MENK, BRUCE' HNINES TR PERM NO: P 087530 ADDRE5s: 253 E 23RD ST COSTA MESA,—CA 92627 PERMIT NO: P 087530 PLAN CHECK NO: N GOVT: N SUPP : N APP..SWUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD ARCHITECT ORMINES: UC.NO.: JOB DESCRIPTION : 2 STORY ROOM ADDITION & COVERED PATIO SQ FT: ARCH.OR ENG.'S ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / commACTOWSNIAUE:BAYSHORE PLUMB (714 ) 723-0806 CONTRACTORS MAILING 454 COSTA MESA ST COMMENTS: ADD BEDROOM FAMILY ROOM & COVERED PATIO, RE:B85943 ADDRESS:COSTA MESA CA uC.NO.: 584702 ****************at**at-***NEiE***SE*****Nc**SE***ja*********St*********NE***************** 92627 INT: Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section]000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Cf'Y UC.NO.: LIC.CLASS: LIC,NO.: 051397 C 36 8--4702 EXP: 09 /98 MAIN BUILDING ACCESSORY BUILDING Date: YContractor:/—/'?I? Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of per ry that I am exempt from the Contractors License Law for the followhq reason(Section 7031s Business and Professions Code:Any c y o county whid)requires a perms to construct after.improve. P RO V: PARCEL : 42608403 Z N E: REF NO: bmolish,or repel any structure,prior to its issuance,also requires the applicant for such permit to file a signedPARKING REQ:statement that he or she Q licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> • /usinese and Professions Code]or that he or she is exempt therefrom and the basis fa the alleged exemption.My violation 04 Section > .% ,., ti„ 7031.5 by any applicant for epermh subjects the applicant taadvh penalrydmt more than live hundred dollars]55001). ******************************************************************************* ❑ I.as owner of the properly or my employees with wages as Ther sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan owner of property DEVELOPMENT S E R Vt1I C ES 'iR E Q U I R E M E N T S who builds or improves thereon,end who does such work himself dr herself or through he or her own employees.provided that such /•;r improvements me not intended or offered for sale.ff.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY ✓ DATE: owner-builder will have the burden of proving he or she did not build or improve for the pomcee of sale). ❑ I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and /.,'/ Professions Code:The Contractors License Law does not apply to owner of properly who builds or improves thereon and who BUILDING APPROVED BY : :, -• . :x DATE: contracts for suchprojects with a contrectorls)licensed pursuant to the Contractors License Law). _ 7. h ❑ I am exempt under Section: B.dP.C..for this reason: .2' APPLICATION ISSUED BY: d.y DATE: ' 1 (1/C Date: Owner: **********************3E**************************ore******************** ******** Ido hereby certify that I am aware of arnd understand the requirements of California Health and Safely Code Sections 25505,25533,ane LEGALIZATION;N F E E SU, M M A R Y STRUCTURAL SEGMENT:N 25534,and that I or any tenure building occupant will/wit not(circle one)need to comply with said state codes end the requirements for iyti ` - apermit for construction ormodification front the AgNan�anagementDistrict.Reslderielconstruction applications are exempt from these BLDG PMT PLUMBING ELECTRIC : MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 144 . 50 Date: Applicant: 25% :_ SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of penury one of the following declarations; PLAN . '-+i . '1 ❑ Ihave and withmaintand acertificateconsenttoselfinsureforworkers'compensation.esprovdd provided ISSUE FEE 22 . 00 Code,(ortheperformanceofthewrkforwhichthispermitisissued, BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE o I have and MN maintain workers'compensation insurance,as required by Section 3700 of the Labor Code.Icy the performance of the TOTALS----> 144 . 50 22 . 00 0(:00.'; -7 166 . 50 166 . 50 . 00 wok for whish this permit is Sued,My workers'compensation insurance carder and policy number are: . J. Carrier REVENUE DIVISION TOTALS--> COLLECTED ' '..: .2- 166 . 50 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC: F-IRE SMIP/TOT GRADING PLAN—CHECK .itis section need not be completed d the permit is for one hundred dollars/Stool or less.) 166 . 50 IT I cents an that in the performance o the work ler which this permit is Ssea issued.I shell employ any person in any manner so as to VVV--- become subject to the workers'compensation laws of California,and agree that if I should become subject to the workers' In ] compensationprovisons of Section 3700 of the Labor Code,Ishan fon hwith comply with those ***********************************'***'***************************************** Date: 9—/-93 Applicant f/'/ retia .—. IND I V I D U A L-: ``F E' E_' -B R EAKDOWN Warning:Failureto secure workers'compensation coverage/s unlewfu and shall subject an employer to criminal penalties end TYPE QTY D E S C R I P T I 0,,N , ' UNIT COST TOTAL COST civil fines up to one hundred thousand dollars/310(030).In d le addition to the cost of compensation,damages es provider in - Section 3706 of the Labor Code,Interest,and attorney's fees. r CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of penury that there ie a construction lending agency for the PLU 2 BATHTUB i' • - 8 . 75 1 7 . 50 pedomhanceoftheworkforwhichthispermitisissued(Secton3097.Civ.C). PLU 1 DISHWASHER 8 . 75 8 . 75 LENDER'S NAME: PLU 1 LAUNDRY TUB OR WASHER - 2 — -..C," 8 .75 8 . 75 LENDER'S ADDRESS: PLU 2 SHOWER �,^ _ — — 8 . 75 17 . 50 I certify that have read tSapplicmd. ian and state that the above information is correct agree to comply with dlrity and county ordinances PLU 1 SINK, KITCHEN ( _. 8 . 75 $ 75 end slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propeM PLU 4 WASH BASIN " f•nl /�" ' .ef8 . 75 35 , 010 for inspection purposes. PLU 3 WATER CLOSET (TOILET) ., t 8 . 75 r2 5 JIM MAESE PLU 2 WATER HEATER AND/OR VENT 11 . 00 04—©1-1998/E@_45 1.69. @ a END OF"FEES' RCPT#:B —ilEi)(3 Dab ti 11/ r 9-/ -Y�' �rERNIT:@8?5 0 1 A Signature• s •r/AgenVApueca^UContrecto t 7 15151 46.WP) White-Building 85efely:Green-Fite;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor _ -.-- /r: CONSTRUCTION AND PLANNING POO. SPA Date Inspector Date Inspector t APPROVALS Permit# .._ -_ APPROVALS Permit # • - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2, Soii Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Un6rgrnd. 55. Electrical Bonding 5. Steel Reinforcement : 56. Rough Plumbing & Pressure Test 6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE 1 7:Footings - 58. Electrical Conduit-Undrgrnd. ?8, Foundation • 59. Gas Pipe, 0 Undrgrnd., Test 1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, i_: 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 • 3. Roof Drains ^ 64. Plumbing System - Final ' 14. Rough Plumbing _O_ct� 8 linr 65. Electrical-Final 15. Rough Electrical-Conduit [[ ` h r 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign • • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air,Conditioning- • FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace • ' .APPROVALS Permit # • 21. Ducts, in Structure' • . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough &Test 72. Underground Flush • 24. Roof Framing . ' 73: Undergrnd.Storage Tank 0 Gas 0Oil• 25. Roof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I - 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 ,t/ (.� n/ 33. Final Electric • Notes:7 z93 CoRRECt/oiv fvDT/Cf 1_If t. 34. Final Heating& Air Conditioning 1 /Oft9�4, /a c--4- 2 CoRRE6:00N Noiri�c{,E I 35. Final Gas Pipe-Test r it-9 18 Root H w ums]syG (2)iic '_Y 36. Hood or Canopy t.-_t3_92 vor RE-40K r_1(3 i 37. Final Factory Fireplace •l 7v t 38. Final Plumbing 41, / 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 - i • 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS OF BUILDING: 253 23RD ST DMT` CITY OF COSTA MESA — BUILDING PERMIT oWSNAMEIPM(GwN:BRUCE & LINDA MENK PERM NO: E 080606 ADDRESS' 253 23RD ST • COSTA MESA PERMIT NO: E 080606 PLAN CHECK NO: N GOVT: N SUPP : N :A 92627 ( 714 ) 631-6166 APPL.IMAM DRESS CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH ARCKRECPOR ENGINEER: UG NO.: JOB DESCRIPTION . REMODEL DEN, DRYWALL, INSULATE CEILING SQ FT: ARCM.OR ENI'S ADDRESS: UMT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 / cmNRACTgrSNAME:C .G.R. CONSTRUCTION ( 714 ) 571-7144 CONTRACTOR'SMMUNG 1301 KINGS RD COMMENTS : ADD 2 CEILING FANS, MISC ELECT WORK, RE#B80605 ADDRESAN.B . CA uc.NO.: 484495 IP*iFl(-it-*+t*�rxx**�tltiE*+flit***�P*x*�EIEN-iE1tiE*iF+t+t*******************DE*********************** 92663 INT: Z ON INC R EQU IR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter e SETBACKS (commenting with Section 7000)of Division 3 of the Business Aly Professions Code.and my license a in full force end effect CITY LIC.NO.: UC.CLASS:B sect.N0.: 484495 EXP: MAIN BUILDING ACCESSORY BUILDING Dae: canreaa: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby drum under penalty of perjury that I am exempt horn the Contractee License Law for the following reason and Professions Cole:Any city or county which requires a permdla Convect,alter.unprovs, PARKING REQ• PROV: PARCEL: 42608403 ZNE: REF NO: demolish,or repair any structure.prior to is issuance,also requires the applicant la such permit to fib a signed statement that he or she licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> eines'and Professions Code)or that he or she a exempt therefrom and the basis for the alleged em111P0011.MY violation d Section > Y31.5 by any applicant fix epermit subjects the applicant to ednl penally dna more than rise hundred dollen 1$5001). *************************************** .---"It : ********************************** ❑ I.es owner d the properly or my employees with wages as their sole compensation.will do the work,and the structure i not intended D E V E L O P M E N T S E R t R E U I R E M E N T S or offered fa sale(Section 7044.Business and Professions Coda:The Contractors License law does not applyto en owner of propend Q who bolds or improves thereon,and who does such wade inset or herself or through he 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 M..completion.the ZONING APPROVED BY Y /_� DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). Ile ▪ I.as owner of the properly,Co am eocusicely contracting with licensed contractors to construct the project(Section 7 ,Business end tali) Professions Code:The Contractors License Law does not spent to an owner of property who builds or arson end who BUILDING APPROVED B Y : DATE: (f ItraM for such projects with a mmracale)licensed pursuant to the Contractors License Law). [� ` ' • Ism exempt under Section: B.SP.C.,fa reason:thin O `. APPLICATION ISSUED BY: v DATE: 1 Date: 1 Owner: / ***************************************************-E*************************** Idohotel*certify lhatlamaware of and understand the requirements dcallorr iv u ions 25505.25533, LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N 25534.end Nal I or any future building asepant will/wit not(circle one)need to `. and the requirements b • aper forcorelructionormoddmio.ROM the ArCaragementDisric, Le.. =iwateexempthemmen BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provision' PERMIT 14 . 5 0 Date: Applicant: 50% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby afr under penalty y y of perjury one of the following declarations: PLAN m ❑ Ihave and wmaintanacentlkateofconsenttosetia nsureforworkers'compensation, provided for by Section 3700oftheLabor ISSUE FEE 22 .00 it Code for the perfornanceoewororwliipermit isissued, BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Ihaveand willmaintain workers'compensationinsuranoe,as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 14 . 50 22 . 00 0 . 00 36 . 50 36 . 50 00 1 work for which the permit is issued.My waken compensation insurance canter end policy number are: - Carer: STATF FIINn EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 36 . 50 OVER/SHORT: . 00 Policy Number: 1/141082—QF 07/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 'a section need not be completed it the*mil is for one hundred dollars f$fOOJ or leas.) 36 . 50 J I certify that in the pedamance of the work for which the permit is iaued,I shall not employ any person in any manner so as to la" ******************************************************************************* compensation provairw of Section 3700 of the Labor Code.I shall lonhwuh comply with those pmwmons. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:FeNu,eb secure workers'conperaauonmynas ls unlawful,and shed subject an employer toahNnal genet*and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Mit rpt to one hundred thousand dollen(5/04000),In addition to the cast of compensation,denapaa as provided for in Section 3706 of Me Labor Co*/ntens4 and attorneys fep, ELE . 6 FIXTURES, LIGHTING 1 ST 20 EA. 1 .00 6 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a mnarudian laying agency la the ELE 2 RES APPLIANCE NOT OVER 1 . 0 HP 4 . 25 8 . 50 performance of the work for which the perms a issued(Section 3097,Civ,C), LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I stale thatIhrwing to building conrhand statnthe)teea uthe imaeprsentties t wes to complywith ell drystycountne roncey and slate laws relatingt isitdng coonrandlre and hereby they above representatives come of this ery too enter upon theabove-mentionedcity ed tranproperty for inspection purposes. CHARLES REYNOLDS ` Print Name Dee: Signature dva Oar/AgenUApplrenVContrecta L ,,S1-46.WP) _ - - White-Buldng&Safety:Green-Ale:Carwy-Appkent:Pink-Revenue:Goldenrod-Assess . /---- CONSTRUCTION AND PLANNING - POOL ' A' Date Inspector Date inspector APPROVALS Permit# its _ APPROVALS Permit#• • , 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement a. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding 5. Steel Reinforcement • - 56. Rough Plumbing& Pressure Test 6. Electrical UFER.Grnd. -57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit,Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test. 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, O Undrgrnd. • 10. Structural Floor System - 61./// APPROVAL TO DECK 11. Property Sewer Line & House Connection ckwash & Receptor-Final • 12. Sewer Cap ater & Vent-Final 13. Roof Drains * Plumbing System - Final 14. Rough Plumbing © . Electrical-Final • 15. Rough Electrical-Conduit. �_� ))) `` 66. Solar System-Final - 16. Rough Electric Wiring )-1/I,�yg6 ry,?may 67. Fencing & Access Approval 17. Rough Wiring Sign P� . ��"`� 68. APPROVED FOR•PLASTERING 18. Rough Electrical-T Bar Ceiling - ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT• �. 20. Rough Factory Fireplace APPROVALS Permit# /,� • 21. Ducts,in Structure 70. Underground Hydro 22. Ducts,Ventilating 71. Product Piping 0 Gas ❑Oil (C F • 23. Gas Pipe-Rough & Test 72. Underground Flush dl, 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: 34. Final Heating& Air Conditioning �` J) 35. Final Gas Pipe-Test t 36. Hood or Canopy • \ 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 1 (05/11 /98) 'ILDING PERMIT SYSTEM (08:49: 00) BP74 L ,1JSE INSPECTION RESULTS J NUMBER:' 253 STR: 23RD ST UNIT: PERMIT NO: E 080606 PLAN CHECK NO: 9604926-PARCEL: 42608403 OCC: R-3 / NOTES: PERMANENT CERT. OCCUP: DATE: TEMPORARY CERT. OCCUP: EXP DATE: CODE DESCRIPTION DATE INIT Y/N 0000 ROUGH 12/13/96 RB P 0000 FINAL 01 /06/97 RC P FUNCTION: F:FORWARD N:NEXT T:TOP U:UPDATE X:EXIT NEXT CODE: MSG: NO MORE RECORDS FILE: ACT PRINTER: REM re ADDRESS OF aMLl1N0: 253 23RD ST uNR: CITY OF COSTA MESA — BUILDING PERMIT ONNERSNAMADOO*1h BRUCE & LINDA MENK 1/ PERM NO: E 080606 ADDRESS: 253 23RD ST IS COSTA MESA PERMIT NO: E 080606 PLAN CHECK NO: N GOVT : N SUPP : N CA 92627 ( 714 ) 631-6166 APPI.MARgq ADDRESS CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE : OTH ARCHITECT OR ENGINEER: M.NO JOB DESCRIPTION : REMODEL DEN, DRYWALL, INSULATE CEILING SQ FT: ARGIL 011 FNO.•b ADDRESS: uM: CLAIM VALUE: ,CALC—VALUE: GROUP OCC: R-3 / CONIRACTORSNAIIe C.G.R. CONSTRUCTION ( 714 ) 571-7144 CGARACTORSUMU)C 1301 KINGS RD COMMENTS : ADD 2 CEILING FANS, MISC ELECT WORK, RE#B8060S ADDRESS: N.H . CA uCNO.: 484495 *****************************AE�F�E*+ESE**�L***+E -*�E*+t************ac-* - -**********HESE**** 92663 inn Z ON IAN G REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby ell=under penalty d perjury that I am licensed under provisions of Chapter 9 S E TB AC K S (commenting with Section 7000)of Division D d the Business and Professions Code,and my license ie in lug force and effect CITY UC.NO.: uacLASS: B ucN+O.:/J484.495d, XP• ,A MAIN BUILDING ACCESSORY BUILDING rr — z�—�L co... �(/LQ V , �/Y' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN Dm: LEFT: FT ' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN • OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt horn the Contractors License Law for the Meowing reason(Swion7031.5 Business and Profession Code:Any wyor county which requirese permit to construct after,improve, PARKING 'REQ: PROV: PARCEL: 42608403 ZNE: REF NO: demolish,or repae any structure.prior ro m Samara echo minims the applicant for such permit to file a signed statement that Mor she is licensed petsuam to the provisions of the Contractor,License Law(Chapter 9(commencing with Section 00)S s DNo (Mn 3 of PLANNING NOTES> Business end Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Seen i > 7001.5 by any applicant for a permit subjects the apptcerg toit civil penalty of not mon than Peds hundred doges lS.5001). ******************************************************************************* ElI,as owner o the laopenyormy ampmyees with mega.a Nei sole compensation.will do the work.and the structure is not inleneed' DEVELOPMENT S ERV I C :E S REQUIREMENT S or offend for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of property who beide or inproves thereon.and who does such work Iimself or head or through his or her own ennploye®,provded that such improvements we not intended or clewed for sale.tl,however,the building or inprovernerf is sold within one year of complaton,the ZONING APPROVED BY DATE; owner'buider will have the burden of purring he Or she did riot brill Or improve On the Purposed sale). ❑ Pratam�onsCodte:The«co«ontracm Lem'enseeLLen doewith es not apply owner 0contractors4 emptily who condi=ero Ssds or imprrovesthhew Business BUILDING APPROVED BY DATE: convects for nth projects with a wntredor(s)licensed pursuant to the Contractors License Law). t ❑ I am exempt under Section: B.&P.c.,for this reason: APPLICATION ISSUED BY: . DATE; 11 ` � �r' Dae: Owner . LEGALIZATION; N F FIE SUMMARY STRUCTURAL SEGMENT: N I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,Poona,and 25534,and that I or any future building occupant will/will not(circle one)need locampy with said state codes andtM requirements for BLDG PMT PLUMBING ELECTRIC . MECHANIC FIRE SMIP/RES GRADING pro mote construclon ormoddicalioneem the Ai OuadyManagemenl District.Residential oonetrudon eppiutions ass exemptfrom these PERMIT 14 . 50 Date: Mortars50* SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby Mem u der penally of perjuryone of the lolowng declarations: IS ISSUE FEE i 22 , 00 ❑ IhaveandwMmauraenecen[x:at'Scan«'loan;rmaekr*stare ornperoeMna.prpvidedlarbyS.diota7COathe Lain BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code f«the p.d«m.n<.a the work lc.wed.wdt this permit„a p ,nee. TOTALS----> 14 . 50 22 . 00 0 . 00 36 . 50 36 . 50 , 00 Q I have and sill maintan waken'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the work for which this perm'is Sued.My warless'compensationll insurance canter epolicy number are: Carrier: AE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 36 , 50 OVER/SHORT ; 00 Policy Number 144108[— e 07/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC• FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the pelmet S M one hundred dollen($1001 or less.) 36 . 50 o I ce.iy that in the pedamence of the work for which this pence'is issued,I shell not employ any person in any manner so as to become subject to the workers'compensation laws of California.end agree Nat' I should become subject lot workers' ******************************************************************************* compensation provisions of Section 37000 d the Labor Code•I s I l hwith comp" Nope INDIVIDUAL F E E BREAKDOWN 4 Dae: II-2A0- c/ Applicant: AQ�tiyt-. 2 Waning:Failure to secure sorters'compensation coverage Is unlawful,end shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ones up to one hundred thousand dollars($101}000),M addition to the cost of conpwroetlon,densps as provided for In Section 0106 of the Labor Code,Interest,and attorney's Ina ELE 6 FIXTURES LIGHTING 1 ST 20 EA. 1 . 00 6 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d perjury that then la conseconservation a conservation lending agency for the ELE 2 RES APPLIANCE NOT OVER 1 . 0 HP 4 . 25 8 . 50 performance of the work for which the panne is issued(section 3097,Civ.C), END OF FEES LENDER'S NAME: LENDER'S ADDRESS: /,.r I certify that I have read this application and state that the above information is coned.I spree to comply with all ay end county ordinances and state laws relati g to needing conmuSan and hereby authorize reprasentetiws of this city to enter upon the above-mentioned property for inspection purpoeae. CHARLES REYNOLDS 1L f P Nana . -i �In O_ p. tYII Date: t1-1 Li 9� . 01 00219901-00219901 TOT 36.50 t�� srocoaeaownnAgeAlAppwa cwnada DATE: 11/26/95 TIME: 09:57 (5151-ee.WP) While-Building&Safety:Green-File;Carry-Appicant;Pink-Revenue:Goldenrod-Assessor 1 . 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 UFER Grnd. I 57. APPROVAL TO COVER-GUNITE •- 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test . - 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,0 Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater& Vent-Final • 13. Roof Drains 64, Plumbing System - Final 1 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit l -� 66. Solar System-Final • 16. Rough Electric Wiring -, Tv i y� 67. Fencing & Access Approval • 17. Rough Wiring Sign �=1�(! 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final FOOD CERTIFICATE ISSUED 33. Final Electric ffe:177 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. Backflow Irrigation 44. Landscape irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING -' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date .• . 7 BUILDING PERMIT LOG EMPLOYEE: ADDRESS: 3 Y. 6t S6 PERMIT NUMBER: 096(6(0 TYPE OF PERMIT:' VALUATION: Q g36(95SQUARE FOOTAGE: PERMIT FEES: DATE: TIME IN •TIME OUT ACTIVITY RI') IL-IZ-9k nifg airTr fit, /=un a w /op, �(f � f Ua rnc¢� � e 6eiiz' oho • ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES • A1a9wLarxi 253 23RD ST u�' CITY OF COSTA MESA - BUILDING PERMIT JYNERSNAMEIPMgNN: MENK, BRUCE HAYNES TR PERM NO: B 080759 ADDRESS: 253 E 23RD ST COSTA MESA,CA 92627 PERMIT NO: B 080759 PLAN CHECK NO: 05054-96 S GOVT: N SUPP : N APPL.MAIUNO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STA PURPOSE: OTH ARCHITECT ON ENGINEER: LC.No: JOB DESCRIPTION : INSTALL MASONRY FIRE PLACE SQ FT: 6, 852 ARCH OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 6, 852 . 00 CALC-VALUE: 6, 852 . 00 GROUP OCC: R-3 / CONRACTORSNAME: FRANK C PALMER INCORPORAT ( 714 ) 642-8442 CONTRACTORS MAIM 2672 NEWPORT BL COMMENTS : MASONRY FIREPLACE ADDRESS: COSTA MESA CA uc.ND.: 679138 *********+E*********************************************')E #M#PS+"4'K* 92627 uMT: ZONING R E Q U I R E M E N •E,H/ UCENSED CONTRACTORS DECLARATION:I hereby Minn under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS RQD B R E D (commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license is in lull force and effect. CITY LIG.NO.: 027 66 UC.CLASS: C 29 uc.NO.: 7}9138 EXP: 07/97 MAIN BUILDING ACCESSORY B L ING —71 Dae: /2 96 Contractor: Pad 1/219491./ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the '.Ilowng reason(Section 7031.5 Busirwas and Professions Coda:Any city"county shill requires a permit toconstruct,Met,improve, PARKING REQ: PROV: PARCEL : 42608403 ZNE: REF NO: mash.or repel any structure,prior to its Issuance,also requires the applicant for such permit to fib a signed statement that he or she ,licensed pursuant to the provisions d.the Contractors License Law[Chapter 9(commencing with Section 7000)of Dekker 3 of the PLANNING NOTES> Business end 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 permitsubjects the applicant to a civilpenahy of no more than fivehundred dollars IMOD, ***************4444*4**4444444*444444*44444444*****44*****4***4*******444444444 El1,as owner ofthe property or my employees with wages as then sole compensation,will do the work,and the structures not intended DEVELOPMENT SERVICES R E Q U I R E M E N 'T S • or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does vol appytoan Owner of property who builds or improves thereon,and Wer does such work himself or horsed or through he or her own employees,provided that such ri improvements are net intended"'tiered finale.If'however,the building or ove imprment is sold"Mae°I.°yearct completion,the ZONING APPROVED BY DATE: burdend or ownerbuilder will have the proving he or she did nor buildimprove tor the purpose of sale). o Las owner ameproperly,amexclusively°mewling with licensed contractors to construct the prdect(Section 7044.Business and BUILDING APPROVED BY DATE; Professions Code:Th.Contractors License law does not apply MIns,an owner of propy builds«'Mimesthereon end she • . contracts for such projects with a corractor(s)Icensed pursuant to the Contractors License law). t •T(' El am exempt under Section: >..- Bra P.C.,for reason: APPLICATION ISSUED BY: DATE: L ` eth *********************4**********************4*4 ******6f********4************* Dale: (3.... wa` LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and undersand the requirements of Caldomia Heath and Sally Code Sections 2555.25533.and 25534,and that I cr any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction orodificatch n frail tAity anegemeru District. m Residential applcatiasen exempt Nese BLDG PMT PLUMBING ELECTRIC M mECHANIC FIRE SMIP/RES GRADING provisions PERMIT 124 . 75 . . 69 Dale: Applicant: 4 SMIP/NON-RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN 81 . 0 9 l• ISSUE FEE o I have and ffil maintain a cedificate of consent to se-insure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN CHECK t TOTAL PAID DUE the performance of ormeetne w"kfar which this permit is issued. TOTALS----> 125 . 44 0 . 00 . : 81 . 09 _ 206 . 53 206 . 53 . 00 QI have and era workers'mainte:,worke 'compensation insurance,es required by Section 3703a 3703 the Labor Code,for the performance the J� wok for which this permit is issued.My workers'compensation insurance carrier and policy number are: Carrier: GOLDENEAj{GLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : - • 206 . 53 OVER/SHORT: . 00 Policy Number. NWC11791701 07/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE- SMIP/TOT GRADING PLAN-CHECK (This section need not be completed/the permit is town hundred dollars($100)or less) 124 . 75 ,;, I. ' . 69 81 . 09 • ❑ I certify that in the performance of the work for witch this permit is issued,I shall not employ any person in any manner so as to l 41 • become subject to the workers'compensation laws Of CalRomia, agree that h l show bemme%bled lo the workers* ********4*******4*****4**********4**4'**********4*************4***************** compensatioorn hlens a Section 3700 a the Labor Cade,I shall fort comply Dal,mase I N D I V I D U A L F E yE BREAKDOWN yDate: / - /- 9$ ApplicaCdidnt: .i .. r Warning:Failure to secure workers'compesa0(n coverage le unlawful,and shell subject an employer to criminalodlds end TYPE QTY D E S C R I P T I ,O N UNIT COST TOTAL COST Orli fines up to one hundred thousand dollars($103000),in adbtlnn to the cost of compensation,damages as Provided for in r. s«don 3706otthe Labor Code,Interest,end aromey'elees. SFR 6852 ALTER BY VALUE RESIDENTIAL ( NOZONE 1 . 00 6, 852 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END' OF FEES performance of the work for which this permit is issued(Section 3097.CO.CI. • , LENDER'S NAME: f C. C LENDER'S ADDRESS: t - I certify that I have read this application and stale that the above information is cored.I agree to comply with all thy and county ordinances and stale laws relating to building construction and hereby authorize representatives of this dry to enter upon the above-mentioned property - for inspection purposes. DIANE PETERSON ,Fi 01 00220444-00220446 TOT 206.53 DATE: 12/04/95 TIME: 15:16 n Print Nara .%-.1 Obit ?Fie n� Date: !0? 4 9As. Signature of Owner/Agent/Applicant/Contractor t/Contrad« (5151-46.WP) White-Building&Safety:Green-Rte:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor Illitei CONSTRUCTION AND PLANNING . POI' SPA iAPPROVALS 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 /2-9-16 6ca`f 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings /Z- ?- 96 6 G.,6f- 58. Electrical Conduit-Undrgrnd. 8. Foundation _ 59. Gas Pipe, 0 Undrgrnd-,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor-System , 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap - • 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING , 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS_ . Permit# 21. Ducts, in Structure = 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test ' • - - 72. Underground Flush 24. Roof Framing ' . - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat t .- - 75, Dry Chemical 27. Frame and Flashing 76. Dry-Staridpipe - 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:/2.0 5' .A�Gc a45 e• E In, 34. Final;Heating& Air Conditioning-- f7, - 9t o�� 'f' yf'7 ACLC /2t_ 35. Final Gas Pipe-Test- - f 36. Hood or Canopy , : x - `2-7o- 96- #5717 t 5zre.#yes S- • 37. Final Factory Fireplace 38. Final Plumbing /Z--Pf-- JA • 39. Water Service-Final i - - - 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 / �/2�& �(�t 1�/ , 48. FINAL PLANNING lam' (f_/ `Y 49. Electric Release to Edison -50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY - No Date ADORE%Of GIRDING: 253 23RD ST IM: CITY OF COSTA MESA — BUILDING PERMIT OHNEWSNAME IF MOM BRUCE & LINDA MENK PERM NO: B 080605 ADDRESS: 253 23RD ST COSTA MESA PERMIT NO: B 080605 PLAN CHECK NO; N GOVT: N SUPP ; N CA 92627 ( 714 ) 631-6166 APPL.LWURO ADDRESS: CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH ARCNTECTORENGINEER: UC.NO.: JOB DESCRIPTION : REMODEL DEN, DRYWALL, INSULATE CEILING SQ FT: 2, 500 ARCH.OR ENG:S ADDRESS: INT: CLAIM VALUE: 2, 500 . 00 CALC—VALUE: 2, 500 . 00 GROUP OCC: R-3 / comUACTORSHAME: C,G,R, CONSTRUCTION ( 714 ) 571-7144 cOTRACTORsuuuNO 1301 KINGS RD COMMENTS : ADD 2 CEILING FANS, MISC ELECT WORK ADDRESS: c.H N .B , CA uo.: 484495 ************if*Nig*i<*******rt*******SE** -->F -*******->Fst -* -fE*****************ac-#***ft**** 92663 uIT: ZONING R EQU IR EMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commandng with Section 1000)of Division 3 of the Business and Professions Code,end my license is in lull force and effect. CITY tic.No.: tic cuss: B tic.No.: 4 4495 EXP : MAIN BUILDING • --- ACCESSORY BUILDING ( I_ Z�_q C FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dae: S. °°""a°° LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lew for the ',Denying reason(Section 70315 Business and Professions Code:Any city a county which requires a permit to cacehud,alter,improve, i :mofeh,or repel any structure.prior to is issuance,also requires the applicant for such permit to file a signed statement that he or she PARKING REQ: ,.PROV; PARCEL; ZNE: REF NO: .licensed pursuant to the provisions d the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 d the PLANNING NOTES> 'kJ Business and Professions Code]or that he or she is exempt therefrom end the basin for the alleged exemption.Any violation d Section > 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not MOM than five hundred dollars ls500B. *******************,************************************************************ ❑ 1,as owneroftheprolanormyempfoyeeswithwagesasIhe'asolecompensation,w11dothwork,andtheatmdureisrotintended D E V E L 0 :P M E N T SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:TheConhactors License Law does not appy to an iswner of property -, who builds or improves thereon,and who does such work Nmsef or herself or through his or her own employees..provided that such L'improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY ' ' ^ DATE: ownerbuider will have the burden of proving he or she did not build or improve for the purpose of sale). -- ---- ❑ I.as°weer of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED ED B Y DATE: _ Protracts a Code:The Contractors License Law does not apply to an owner d property who builds or improves thereon and who _ _ contracts for such projects with a cpmredord)licensed pursuant to the Contractors License Law). ❑ lamexempt under Section: B.AP.C.for this reason: APPLICATION ISSUED!BY. _ DATE; k ( 2C ( `L(O ********************** ***********************'*TF*4'* ** Detre °e^an LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and 25534,and that I or any future building occupant will/will not(circle one)need to comply with said state codes end the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING apermt for construction Cr modifcationfromtheAi Quality Management Ojeda.Reaidembl construction applrafions are exempt from these provisions. PERMIT 74 , 75 . 50 Date: Applicant SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE ❑ I have and wit maintain a certificate of consent to seHAnsure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance d the work for which this permit iissued. TOTALS----> 75 , 25 0 , 00 0 , 00 75, 25 75 , 25 . 00 I have and wit 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: a- carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 75 , 25 OVER/SHORT : , 00 Policy Number: 1441082-9b 07/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need net be completed jibe panne is for one hundred dollars($100)or less.) 74 . 75 . 50 ❑ I certify that in the pedamance 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 othe workers' ******************************************************************************* d compensation provisions 3700 d the Labor Code,I shall fo h corn y wdh those p cions. INDIVIDUAL F E E BREAKDOWN —' Data: I I —7 L—C(O Applicant: 0 a 1, Westing:Failure to secure workers'compenaaon coverage is unlawful,and shall subfect an employer to criminal pealges and TYPE QTY DESCRIPTION UNIT COST TOTAL COST clvii lines op b one hundred thousand dollars($104000),In addition to the coat of contpanssfion,damages as provided for in Section 3706 of the Labor Code,Interest,andattomey's fes SFR 2500 ALTER BY VALUE RESIDENTIAL NOZONE 1. , 00 2, 500 . 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 this permit is issued(Section 3097,CN.C). LENDER'S NAME: r LENDER'S ADDRESS: TLrH-.X ��tJp �"t s I codify that I have read this application and stale that the above information II correct.I agree to comply with all dry and county ordinances Yi+��` X • and state laws relating to building conudion and hereby authorize representatives of this cry to enter upon the above-mentioned progeny 'q (� w V for inspection purposes. CHARLES REYNOLDS . DATE — /� (� nit Name /,� t l �/ +� Date: ( I'--Lie '� 01 00219902-00219903 TOT 75.25 —� signatereofownsd envAM a Dontrader DATE: 11/26/95 TIME: 09:57 (5151-43.WP) White-Building&Safety;Green-File:Canary-Applicant;Pink-Revenue Goldenrod-Assessor 'r CONSTRUCTION AND PLANNING POI' SPA - 1 APPROVALS Permit #_ • Date Inspector APPROVALS• Permit # Date Inspector H 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 Condult'Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 'r • 56, Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE • I 7. Footings • 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. ` 60. Backwash Lines,P-Trap, Q 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 I i • 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING • 1 { 18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1 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 Cl Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I27. Frame and Flashing /Z,-/�..q %n. !G 76. Dry Standpipe t 28. Lathing & Siding t L �C�"�"� 77. FIXED SYSTEM FINAL 29. Insulation (2.-/5- Gir/�'78. FIRE PREV. FINAL 30. Drywall Nailing U._2(j-96 e/ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat e 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /2. c_qC -- -fj - L ,�. f 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. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date J Lodi and Dna?'A OA • .2,53 f:z311Jynrct, Oda A1o1I , GUIjU1w? 9 617 Jan. 3, 1991 City of Costa Mesa 77 Flair Drive'' P.0 Box 1200 Costa Mesa, CA 92628-1200 Attn: Burt Morgan - Plan Checker Bldg. Dept. Subject: Request for Plan Approval Extension Reference: Plan Check 114697-90L I.D. #903753 Dear Mr. Morgan, I am requesting a 180 day extension for the referenced plans. This has been necessitated due to personal financial matters and a family illness. As of today, we are now ready to proceed towards pulling permits within the next 180 days to begin our remodel. If you have any questions, you may call me during business hours at (714) 549-1343. We would appreciate your granting the request. Thank you. Since =1y, • 4-°7 Bruce Menk APPROVED • ?-$a i ;.7 � Q/� CC''�� // et3on aLJidEribuEori, rac. `y" 2800 SIERRA PINE AVENUE (Corner East 26th St.) LOS ANGELES, CA. 90023 • (213) 264-2320 a TO WHOM IT MAY CONCERN: THIS LETTER IS TO ADVISE ANY INTERESTED PARTY THE THE FIREPLACES INSTALLED AT: 253 E 23rd St, Costa Mesa ARE MODEL NO: L36B , AND MANUFACTURED BY THE MAJESTIC COMPANY. THEY ARE APPROVED BY U.L. , AND I .C.B. 0.. ADD- ITIO'!ALLY THE UNITS ARE APPROVED FOR Z:P.0 CLEARANCE FROM COICUSTABLE MATERIAL TO THE SIDES , a AR AND BOTTOM. . THE CHI!"7.''Y C0RPONETS ARE. APPROVED FOR (I" 02 2" ) CLEARANCE TO COMBUSTABLE MATERIALS . 9.7.(11L5-.9 . • 7. -74 r^7 RECORDED IN OFFICIAL RECORDS y ^t ORANGE COUNTY, CALIFORNIA • ✓' ,When recorded mail . ' City of Costa Mesa `14. Planning Division $11.00 'il90 AM AUG 20 90 OP P.O. Box 1200 I C5 r�J�S Costa Mesa, CA 92628-1200 + 0.96+a L RECORDER 49 NOTICE AND DECLARATION Not ComMED COP ). p T Pared with Original OF LAND USE RESTRICTION OWNER: Bruce Menk, Linda Menk SUBJECT PROPERTY: 253 23rd Street, Costa Mesa, California 92627 LEGAL DESCRIPTION: The southeasterly 60 feet of the northwesterly 150 feet of Lot 324 of Newport Heights, as per map recorded in Book 4 , page 83 . of Miscella- neous Maps, in the office of the County Re- corder of said Orange County. CITY FILE NUMBER: OWNER declares and says, under penalty of perjury, as follows: 1. OWNER is the true owner of record of that certain real property described herein and referred to as SUBJECT PROPERTY. 2.. OWNER has applied for and requested of the City of Costa Mesa, a Municipal corporation, the right to construct, develop and use on SUBJECT PROPERTY within said City in an R1 zone (Single-Family Residential) for an approximate 1, 250 sq. ft. addition to a single-family unit which has an exterior stairway to the second floor addition. • 3 . The City approved said addition but as one of the conditions required that no portion of the single-family unit may be divided into a second living unit. 4 . OWNER therefore covenants, agrees, and declares that subject property shall not be used contrary to the above condition, and he shall not permit, allow, or condone others to so use said property including his tenants, heirs, assigns, or successors in interest. 5. OWNER hereby grants permission for appropriate City officials to enter the premises from time to time for the purposes of determining compliance with the conditions and restrictions contained herein. Such inspections shall be conducted during normal working hours and after reasonable notice to the owner or tenant of the premises. 1 j 6. OWNER intends that this covenant, condition, and restriction shall run with the land and be binding upon Owner, his heirs, assigns, and successors in interest for the benefit of the City of Costa Mesa and the adjoining landowners and users and be a burden on SUBJECT PROPERTY so long as said property is zoned Ri and unless approval for a granny flat or accessory apartment is received from the City. 7 . This covenant, condition, and restriction may be terminated by recording with the Office of the Orange County Recorder a Release of Land Use Restriction duly executed on behalf of the City of Costa Mesa indicating the restriction is no longer necessary. 8. OWNER further covenants and agrees that he shall execute this restriction and notify any subsequent purchasers or tenants or SUBJECT PROPERTY of this restriction and execute all - documents necessary to effectuate the intent hereof. Any use of SUBJECT PROPERTY inconsistent with this restriction may be enjoined and abated and the owner of the SUBJECT PROPERTY at the time of any inconsistent use shall be liable for the expenses to the City for the enjoining and abating, including reasonable attorney fees. EXECUTED in the C my of Orange, State of California on this 3rd day of 6-1/I 9,1,64 , 1990. FOR THE CITY OF COSTA MESA ► ? OW R 54;:z:// , i Pe y L. Valantine Bruce Men / /J Cinda /YIG(ai 1 �Q /.f'C Lenk • 2 r __ STATE OF CALIFORNIA ) ' ss. COUNTY OF ORANGE ) On August k . 1990 , before me, the undersigned, a Notary Public in and for the County of Orange, State of California, personally appeared Bruce Menk and Linda. Menk , known to me (and proved to me on the basis of satisfactory evidence) 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 . 0Q.,e.cOL:),_ c` 0-Dji 4 r .(SEAL) OFFICIAL I:.•;.17 ,, `'. GIWA h�� ny Sign re •4-„T„ y Morwrwau •uuvacaA 0_77-ctLLA —i CuLAiIQ lyCom.bares kw37,1992 Name (typed or printed) STATE OF CALIFORNIA ) ) ss. COUNTY OF ORANGE ) On August a' _ 1990 , before me, the undersigned, a Notary Public in and for said State, personally appeared Perry L. Valantine, Asst. Dev. Svs. Dir./Ping. for the City of Costa Mesa, on behalf of the City c'f Costa Mesa, known to me to be the person whose name subscribed to the within instrument and acknowledged to me that he executed the same. lGOVERNMENT CODE 27361.7 I certify under penalty of perjury that the notary seal on the document to which this statement is attachedreads as follows: Name of Notary (ee/�A/ i/ 5 e/if//' Date Commission Expires tv/ ii/ County where bond is fled I ,A>� C • /i..)74/ - I' Place of Exe ution / i Late.' (1 ____ c \ //s, a-(3, LI SIGNATURE F 0662-1 'PPLICATION FOR A BUILDING PEr JT Electrical m Tract Block Lot BUILDING PERMIT NO. Permit No. Building Plumbing 0. Address 253 E23 sI-- CI 09 Permit No. to Cross Mechanical c Area Street Permit No. • ; Owner --BK X& M w J_ type of Project: CI Need CIAlter CIAddition R Address 'ZS3 E. Z3pe( --sU , ❑ Repair ❑ Convert ❑Demo ❑ Occupancy Pmt. City r OS/G Mc Se zip Z-- Phone 547-13 Insp.Area Drsignert/. if Sr' a.N' ' Zone SPI.Pmt.No. Designer License No. ` Z D 4 1 ! as Dn. - Setbacks P/L Front C/L St. Street Width Address ,� 1I - (� !t'1 ,1 CI U.�L/"!�(.'�' Yards Left Right Rear City f U Zip ./ Phone Eave Proj. Left Hight F,P. i+ Engineer _— License No. C Parking Spaces Required Provide Covered C Address is Struct 1 No,of No.of m City Zip Phone Height Stories Family mFee LICENSED CONTRACTOR'S DECLARATION Park Fees Yes C.T. Receipt E I hereby affirm that I am licensed under provisions of Chapter 9 Required o (commencing with Section 7000 of Division 3 of the Business and L Zoning Approved By: Date ... Professions Codeyand my license is in fury force and rI/ License Class rD/ Licen. Number •1J�+ � _T Date Con'traft9r Mk./DS" (_Or�3Ged"N isc. E Address 71251 C. `LtJ e,' 1tS - / Proposed Use ly City and Zip ti� �� Phone 77/-2-74G. of Structure is CONSTRUCTION LENDING AGENCY In E I hereby affirm that there is a construction lending agency for the YPe P- performance of the work for which this permit is issued (Sec. 3097, Clas kons Coder Civ-C,). /� ,1 - Class Const Year gj Lender's Name '✓ 'e O &4-72-i e.g.!£P.- C Lender's Address /UP.b-)fl on* Ce,; USE/OCCU NCV SIZE SQ.FT. —1 OWNER-BUILDER DECLARATION Y I hereby affirm that I am exempt from the Contractor's License Law 1. ra for the following reason: 0 I, as owner of the property, or my employees with wages as their 2. sole compensation, will do the work, and tho structure is not ".E intended or offered for sale. • « 3, 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. d 0 I am exempt under Sec. , ©&PC for this reason 4• ' et a Date Owner E WORKERS'COMPENSATION DECLARATION Total Valuation 3 I hereby zffirm that I have a certificate of consent to self-insure, Encroachment Permit Required CI Ye CI No « or a certificate of Workers' Compensation Insurance, or a certified C copy thereo .0)1,0D.7N7¢Ip T.:ee o,"b./ Grading Pmt- Cr ding r5 iglicy No Company FGr i Required ❑Yes ❑No P t.No. a 'INertified copy is hereby furnished. Rough Grading -V Cs ❑ Certifi co is filed with Oran ou t Approved by: Date re C Date Z Applicant i 3 CERTIFICAT O EXE FROM WORKERS'COMPENSATION INSURANCE Z (This section need not be completed if permit is for $100 or less). C I certify that in the performance of the work for which this permit is c issued, I shall not employ any person in any manner so as to become ry subject to the Workers'Compensation Laws of California. PERMIT FEES Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $ Exemption, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such Electrical § Special provisions or this permit shall be deemed revoked. Invest. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE. THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plumbing $ COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS I RELA ING TO BUILD! CONST-. CTION AND HEREBY AUTH- Mechanical $ °RITHE - VE ESENT• ir • 'f R Y FOR ENTER UPON THE • :•VE MEN • r P:aPEISC FOR INSPECTION/ PUT- \ POSE' /�_ /zl ! Inspection $ 4/i,a- ` Inspection Si. a/ re of Applica :.lira ' , > ! All spaces within this box must be completed to process Plan issuance Appr Check By: Approvetl: CMF 0335-46(BU-28) rev.6/80 , -AP-•. 'Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. `� CITY OF COSTA MESA :Ski'7 ,.--� TRACT NO. LOT NO. -BLDG.NO. CONSTRUCTION PERMIT �FKJG /S Project Address " , 7``r C So-T. 756110/28/81 71 .23. TL' Owner ' i'.t/Ce. i1/4-151.i •L Phone 5 ■ • •• ■ • \` •. -... .• • _ _ . _ _•• Address ,:'--c E • i it. Sired/" ■ REPAIR ■ CONVERSION ■DEMOLISH REGULATIONSZONING Arch/Eng.' License No. -- ■ OTHER Address '2,50 + I HOS 310:1(.., LII�ILE . • • • • • , A sip _y'!� ZONE PLNG. REF.Br Contractor FP!_l?ctD orJ aY•.)=`TY_tr Phone /- SETrACK T. • TpOPELp LINE ) Address •711-6 (.il1.-15152,,A.IEr S 0:11-A‘4-76. ■ GRADING ERFOUNDATION1: SLI YARD _' LICENSED CONTRACTOR DECLARATION 0TENANT 11 ■• ■ SIDE YARD -Cr I hereby affirm that I am licensed under provisions of Charter 9 (Corn- RIGHT mencing with section 7000) of Division 3 of the Business and ■ OTHER Professions Code, d my lice se is In full force and effect. _ REAR YARD(TO P/L) .c ' License Class 1_ ucens¢/fNo. - fl�c ' • • ON PKG.SPACE REQ. PROVIDED Dale 10/7ff/hi Signature -14-64, m7- _'/ FT- • • STREET WIDTH P RK FEE$ WORKERS'COMPENSATION DECL RATION I hereby affirm that I have a I of consent to self-Insure or a VALUATION • ZONING APPROVED�t7_,,d DATE„ ce e o! Workers' Compensation Insurance, or a certified cora �� / I (A'7�� isk,,,,,,,rof(Section 3800, Lab,'Cr, . GRADING CU.YDS. ACRES SPECIAL CONDITIONS: ':yNo.dcopyishLi1/Y mpany 1-" "PC.."1 -VIcib!.s•l f3`Certitietl copy Is hereby furnished. REMARKS: , = , �•Certitied copy is filed with the city Building Division. [ HOLD FOR SPECIAL REQUIREM.E SS EXEMPTION FROM WORKERS' COMPENSATION DECLARATION paras/,'' ,S1 0/p� . • • (This section need not be completed If the permit is for one hundred J $100 or less). I certify that in the performance of the work for which this mit is issued, I shall not employ any person any mannp§so ar' ecome PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject..toot�th�ee Workers'Compensation ws of Ca11 ornlar UW/CLING GA HA(at q a. M Date •'•'rtr/: Signature 1'.--1 l� y BATHTUBS SHOWERS I. ` P pa NOTICE: If after making this declar Ion, you should /moonlit subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS • APPLIANCE 10-50 KW 50+ KW revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS • , `-• • (INC.SOLAR) 10-50 HP 50+ HP formance of the work for which this permit is Issued (Section 3097 ' Civ. C.). FLOOR SINKS -.FLOOR DRAINS FIXTURES OUTLETS , SWITCHES Lender's Name CZ.- i.1t'� -� ` ' • v LenderY'Address - DRINKING FOUNTAINS GAS TUBE SIGNS• ' OWNER BUILDER DECLARATION2 - INTERCEPTORS••',N CLARIFIERS' POLE LIGHTS I hereby affirmsthat I am exempt from the Cohtractof'siLicense Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL )P TRAP • POLES KUL I IUN METERED SUB Any city or county which requires a permit to construct, alter, Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB S'" ♦O quires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS ' .SERVICE AMP /chapter 9 (commencing with Section 7000) of Division 3 of the 'ness and Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS • sole compensation, will do the work,and the structure is not Intended C34)or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property •APPLICATION APPROVED BY DAT �sJ who builds or improves thereon, and who does such work himself or ISSUE FEE • a.Q A through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECKSUMMARY OF FEES Is sold within'one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). LDINHEATING SYSTEM 0-100,000 BTU PERMIT BUIG $ 49. 2C SMIP $ 0.86 • ❑ 1, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ an owner of property who builds or Improves thereon,and who Con- REFRIGERATION 0-100,000 BTU- PLUMBING $ _ tracts from such projects,with a contractor(s) licesned pursuant to SYSTEM GRADING $ the Contractor's License Law). 100,000 +BTU •- - PLAN CHECK $ _ ❑ I am exempt under Section B.& P.C.for this BOILERS BTU . - ELECTRICAL $ 2/•l2 $ reason PLAN CHECK $ ,MICROFILM E Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$ I hereby-certify that I have read this a Ilcatlon and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E AD- information i51 correct. I agree t o I all cityand count PLAN CHECK $ LESS 9 P e - VANCE PC $ rep ordinances and stat laws city ng o c0 r•,and hereby authorize ��'`y c representatives o this city t ' t• he above mentioned -- �..E/556/E asr7E`- property for I ¢C[lon purp -z. Signature . -4 4-•� •ate f`/T y�/ {-c-ewrvr�T' • (Aso FINAL FEE $ •iJ - Drivers'Licen or 55 -.� ISSUE FEE _■ /3.P /'�E({GD -,0.,4 7 2 CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor z✓ CONSTRUCTION AND PLANN G POOL& SPA APPROVALS . Permit # Date Inspector APPROVALS Permit# -� Date _ J pector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - • ^}:- 3. Electrical Conduit Utility-Undrgrn - , 45. Forms - . ' '.' - 4. Electrical Conduit-Undrgrn //- 12_51 (� 46. Electrical Bonding , 5. Steel Reinforce 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE 7. Footings /Fig-Si Ilk 49. Electrical Conduit-Undrgrn 8. Foundation - /f-/q-5/ (77t.1 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash'Lines, P-Trap. 0 Undrgrn • 10. Structural Floor System - • 52.-- APPROVAL TO DECK - 11. Property-Sewer Line & House Connection 53. Backwash & Receptor-Final _ - - 12. Street Sewer Connection ' . - 54. Heater & Vent-Final ' 13. Rough Plumbing 55. Plumbing System - Final - 14.. Rough Electric-Conduit 56. Electrical-Final 15. Rough Electric-Wiring - • /a--/•�"-&1 . a.c.... 57. Solar System-Final • • • 16. Rough Heating & Air Conditioning68. Fencing & Access Approval 17: Ducts, in Structure S9. APPROVED FOR PLASTERING 18. Ducts, Ventilating - . 19. Gas Pipe-Rough &Test - 60: •POOL/SPA SYSTEMS FINAL - 20: Roof Framing • /2451 & 2 21. Roof Sheathing /2-.74>-9/ . 3 22. Frame and FlashingNOTES: , T2.4 5 Tb r-�,,N-� v, -o Qi4C ,-7' opt �z. no a s. G?-/5 R/ g�'1A y h 23. Insulation (was tf P-c,Gzuired - - F,c-r-ER;cp-• wan Wltav,o b r i j e c-77t-eira/ c-e/%viq 24. Lathing & Siding wy)- J 1LL k /A-37 37)2 c,)ccuj-c ars_ 'ILin r1-¢r.-e on -e c4 stud • RM /z=-2/-Rj 25. Drywall Nailing /A/3948/ A'1 A// ri-i..1 IA y r.,.-.^«f.'or,s AAJ-0 • •o h Ce ,•.-rP0,49 26. Plaster Brown Coat /-/1`32,.. _R'-7 Vi-1-Z • a. 1'- /2-<5"--S/ 27. _Electrical Power Meter-Final 28. Final Electric 1-/2 _wa C Ce 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. FinalPlumbing - • 32. Water Service-Final - . . ' 33. Gas Service=Final 34. Solar Domestic-Final 35. Landscape Sprinkling System •• 36. Sound Attenuation . • 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING f3'7+� Odia 39. Special Requirements Completed ( 40. Electric Release to Edison . _ 41. Gas Release to Southern California Gas Co. - -• - - - - 42. CERTIFICATE OF OCCUPANCY • No Date - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER IT NO. TRACT NO. LOT NO. BLDG.NO. - - - CONSTRUCTION PERMIT /s// 8646 I I /24/81 16.00 TL Project Address K r� J,S� P.3 Sr TYPE OF CONSTRUCTION Owner 13 Q if Gr //7s- ,K Phone - 0 NEW $ADD 0 ALTERATION - ,- Address 3 . ?3 ii� 67- 0 REPAIR 0 CONVERSION 0 DEMOLISH a... -- ZONING REGULATIONS v -Arch/Eng. ' License No. 0 OTHER DESCRIPTION OF WORK RF-57. g00.,-..-t A.P.$ Address q I ZONE PLNG. REF.7 syr Contractor Pz�Q e-rc i no Phonefl7-.37,v TYPE OF PERMIT -BUILDING Tp BUI LpIryG •I /s'a SETBACK C/L ST. PROPERTY LI NE Address /Z 017 w. Co//,NS 0Q ,44;,,B 9 a 449 0 GRADING - 0 FOUNDATION 0 STRUCTURAL SIDE YARD -s- , • LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL sIDE YARD I hereby affirm that I am licensed under provisions of Charter 9 (com- mencing with section'7000)-of Division 3 of the Business and 0 OTHER Professions Code, and y license is in full force and effect. REAR YARD(TO P/L) PROJECT DESCRIPTION License ass �3 - License o. 5 (- PKG.SPACE REQ. PROVIDED Date / signature ��_ /4 Sq. FT. _ - -WORK-RS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK DED 1 hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY FEE $ DATE certificate of Workers' Compensation Insurance, or a certified-copy (Section 3800, Lab. C.). • GRADING CU.YDS. ACRES SPECIAL CONDITIONS: 7\v, Policy No. Company y t 0CertifiedCopyisherebyfurnished. ' - REMARKS: ri/ce /Si, ! ) Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - (This section need not be completed if the permit Is for one hundred _ ($100) or less). 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 PLUMBING PLAN CHECK -ELECTRICAL PLAN CHECK - subject to the Workers'Compensation Laws of California. _ • UWELLINIa bHHHbE BATHTUBS SHOWERS Date Signature - - SO FT SO FT NOTICE: If after making this declaration, you should become'subject TOILETS , , / URINALS ..4- 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES i DOUBLE LAVS - 3 - APPLIANCE 10-50 KW 50 + KW - revoked. -- - . CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS il, - SUMPS - - — (INC.SOLAR) 10-50 HP +HP formance of the work for which this permit is Issued (Section 3097 - Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name ---- - - - - Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS 'POLE LIGHTS - ' I hereby affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL 13 TRAP c.UNS I KUL I ION Any city or county which requires a permit to construct, alter, POLES METERED SUB Improve, demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION , PANELS MAIN SUB quires the applicant for such permit_to file a signed statement that he - ' Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE j OUTLETS — SERVICE AMP B &Chapter 9 (commencing with Section 7000) of Division 3 of the usiness and Professions Code) or that he Is exempt therefrom and the WATER HEATERS J BTU OUTPUT ' On— Ibasis for the alleged exemption. Any violation of Section 7031.5 by --v applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS lot more than five hundred dollars ($500). I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS . sole compensation, will do the work,and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - . - - Contractor's License Law does not apply to an owner of a property . . . who builds or Improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES Is sold within one year of Completion,the owner will have the burden , of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING - ❑ I, as owner' of the property, am exclusively contracting with PERMIT $ SMIP $ ANO DUCTING • and contractors tors rnthe project e(Section enot Buslness 100,0001 BTU PLAN CHECK $ PERMIT - and ersof pCode:perThebuildorContractor's License Law does, not apply to 14 of, ISSUANCE $ _ tracts sowner of uch y who builds s improves thereon, and whoa con- REFRIGERATION 0-100,000 BTU PLUMBING $ tincC from lush projects with a contractor(s) Il tesnetl pursuant to SYSTEM - GRADING $ the Contractor's License Law). 100,000 +BTU - PLAN CHECK $ ❑ 1 am exempt under Section B.& P.C.for thisELECTRICAL $ - .$ BOILERS BTU' reason PLAN CHECK $ MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION Hereby certify that I have read this applicationMECHANICAL $ .TOTAL FEE$ I and-state that the above EXHAUST SYSTEM MULTIPLE PLAN CHECK $ LESS AD- Information is correct. I agree to comply with all city and county VANCE PC $_ ordinances andjWte laws relating to construction,and hereby authorize property nta for'' so this city' t e enter upon the above mentioned • /4 representative tiv o ethic p 96 Signature A Date ////z/-gy FINAL FEE $. _ Drivers'License or SS$ . ISSUE FEE . CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • • CONSTRUCTION AND PLANNI G POOL&SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing& Pressure Test 6, Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings - 49. Electrical Conduit-Undrgrn 8. Foundation t 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap, Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater &Vent-Final 13. Rough Plumbing ( infter-ar 55 Plumbing System- Final 14. Rough Electric-Conduit .56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final • 16. Rough Heating & Air Conditioning b8. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing _ 21. Roof Sheathing /- �� 22. Frame and Flashing NOTES: p CtKa O cr l�t l$t4 23. Insulation 24. Lathing &Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final • 28. Final Electric - 29. Final Heating &Air Conditioning 30. Final Gas Pipe-Test (2,0 / r2-'-z__:, 31. Final Plumbing r)..s> I- 32. Water Service-Final • 33. Gas Service-Final . 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations • 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No_ Date OWNER WILL/S, Alice DATE 10-17-57 JOB ADDRESS 253 B. 23rd St, BUILDING PERMIT NO. 5892 �E(�RA ONTRACTOR Marehhall Welty VALUE $ 200.00 _ Ivo. LOT 3214TRACT Ri-;s,FIRE ZONE DESCRIPTION OF WORK Repair Fire-damaged rpm in - UP I TYPE V . ZONE 1114 PLAN NO. 5918 eB Dence INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod BondBeam g 3'J `ki Frame and Flashing Lathing, In Out (/ / t Plaster, brown coat CA Underground soil W/G Pipe Test r.11' /, Top Out _ �i�%` S Furnace Gas Vents 7,_ yy vj�j�j�,j(�JJJ Rough Plumbing g , tas-to jf—'21 57 %1%a_L 11 Cesspool Septic Tank _(fes Prop. Swr. Line House Con. St. Swr. Sprinkling System 1-14.1 ;`�,g Final 4 1 g' 5ing Fixtures, Finalpi ort hh S ti_1¢-..ti= / Final Gas Test �3' 4f#< t -2G-S7 Construction Pole Underground Power Al: Rough Wiring Fixtures, Final - OCCUPANCY I Form $10-5M—I-57 5892 / . -�' 591s EEE ECEIVED COSTA MESA BUILDING DEPARTMENT 6, \rel 14\5�. R P.0.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. • FOR APPLICANT TO FILL IN APPLICAOJflUAW t i APERMIT BA 253 1 y-3 s.-t • BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY iiin-f. illIME`/ RECEIPT NO.FIT PERMIT-p OWNE' //� ADDRESS 2. - -.••.. A.. -....0MAIL / IO�RECEIV� I TEL. CITY ♦ ,A -LAS NO. ARCH -Cr uC.O, COSTA MESA. CALIFORNIA OR E IEER , dr NO. FIRE ADDRESS' =j•.-t_ ZONE }''% ' ZONE/' A PLANS CONTRACTOR9 '+ /.. -.,I I-, i'. __ L��A 1/l�♦(` //yy "^ 33q_ APPROVED ADdRESSJ/ Y` / jean. EO /J BY DATE r`E`"` j�/� .QTi�f��I CORRECTIONS DESCRIPTION A.P. NO.✓ I V�Cq - /LJ o a . SIZENO.OF BLOCS. ■ •'.i+�i1 I :I a`�/�/'1� OF LOT NOW ON LOT USE OF CITY OF �� A •MESA EXISTING BLDG. _ _ 4 __L,...„0„,,„ _ _ _ / A ' SUBJECT TO MDO.♦DEPT. REG. J SIDE YARD RI G T _ / LEFT -11111-/ . DESCRIPTI• OF WORK . i 'ssisitari� D• Lail -_, NE' • ALTERATION ■I ADDITION ■ REPAIR 0MOVING aDEMOLISH MI BUILDING NO.OF SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF NEW /._ V_ air BUILDING L��GL4-- _�11 • /%i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REG ATING 'UILDING •'•NSTRUC- TION. / / yf(L,U{ATION PERMIT FEE -D� . SIGNATURE OF / / - /�0 ♦ - PERMITTEE �� - OC .- > PLAN CHECK S /[/1! S 00 °Y AUTHORIZED AGENT TOTAL FEE S Ma'f I OWNER CHATHAM, LESLEY G. DATE 2-10-60 i ossa JOB ADDRESS 253 23rd St. BUILDING PERMIT NO. 11444 GENERAL CONTRACTOR Uwner/Bldr. VALUE $ 950.00 AP. No.118-16o-24 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Att. Carport Ir. `ECTIONS DATE I GROUP J TYPE V ZONE x-4 I. rground Soil U.G. Water PERMITS ISSUED Underground Gas —" — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas -- Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel t4-t _Zs—. ea Floor System Steel Reinforce Chimney Re-Rod Bond Beam y Sheathing /c , Q 3 - -" - (.;_oF e and Flashing r5yy/Cr 3 _q L.. .ng, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final „jr _ _ Building, Final 'War ' nr 1i. – r OCCUPANCY Form 410-5M-11-59 5-B P 1111/414 „ .r =4 FEE RECEIVED 5 • - r 8.,.. 1' t°I b0 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT/� BUILDING BUILDING2 3 -2.33 P— (' / I ADDRESS COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I PERMIT NO. OWNER A • j A MAIL A.29 'n/nT'� ^ 0�1 (�� BLVD RECEIVED B SUED ADDRESS A. / ` A LVO __ � / - L-e CITY L,4&(JNA- D6ACN TEL. NV NO. 996` ABDUDILRDELS Alit ECT TEL. COSTA MESA. CALIFORNIA OR (NEER NO. ADDRESS FIRE OUP ZONE / P ( t iFp CONTRACTOR o WN 6 R – B vlLo&R es BYPROVED �), DATEar 2 f i ADDRESS • BONING I ZONENO.OF /1 UEE ONEW CITY �y PLANE 02 BUILDING STATE TEL. LEGALIII” e LIC.NO. NO. DESCRIPTION o I\ . L Or 3 a y ']-e ,v p7- SIZE ��\ NO. OF BLOCS. I /T /// ��' //��/ PI VS/ OF LOT ID " NOW ON LOT A.P.NO. jig-ice Q''� VE i' �2 �I ) USE OF YARDS EVES/ pI uT_'�^"'1, EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT 1:) FT. c /e— IN. SIDE YARD I LEFT I RIGHT R.SIDE 4 FT. IN. DESCRIPTION OF WORK L.SIDE ! 4 FT. IN. NI I II ALTERATION I II ADDITION IK REAR p FT. IN. ' __/ REPAIR I II MOVING I II DEMOLISH I BYPROVED co_ 't) DATE t, 16 BUILDING NO. OF �/1r/ SIZE ROOMS STORIES VP EXTERIOR WALL I ROOF A COVERING COVERING coGm / USE OF BUILDING AND WORK TO BE PERFORMED i4TraCNED cAR Pen I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT /^/ �] VAL;:;::�I.%.cc TION SIGNATURE O K /✓ r�9 'boy, PERMIT FEE S / PERMITTEE .rd1 [�`��`� 0PLAN CHECK $ �_ �' AUTHORIZED AGENT OTAL FEE $ 3// a-RD 4 UWNtK HILTERBRAND, Carl URIC 6-2-75 JOB ADDRESS 253 East 23rd Street BUILDING PERMIT NO. 40071 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Repair Existing roof O. 118-164-03 LOT TRACT FIRE ZONE VALUE $ 1400.00 INSPECTIONS Signature Date TYPE V GROUP J ZONE RI N 501E SUBCONTRACTOR PERMITS ISS ED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS fl STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM H STEEL REINFORCE 7 SHEATHING R`% /1.11Jt FRAME AND FLASHING LATHING - IN n OUT n P -ER, BROWN COAT :TUBAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING, FINAL 40U71 PAID on -2-75c, 022* ****21.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 i * APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely /�J REC�1 D BV DATE RECEIVED GATE ISSUED ADDRESS�y2� e:#2. � ED S/ (n��S/�IA///.�� (I V�I( / �j /. 2-?r IN I �-'S J (We. ��/C-+C�F/y A�Y/ /I�_I!%�� �J 41 POE RSI U�,7I /li OWNER A.P.NO. i V MAIL _ /�/J BUILDING C Z ADDRESS —S3 2c 1S/. C r rt' ADDRES s tt��1- .� r� j� sy /(�/�� CL Cr) CITY ` 95 k/ ES,I NO.TE A/� -VI\ TRACT/1-e/y LOTOay BLOCK V Z Q CONSTRUCTION ) - NEW ADD ALTER R AIR MOVING OFMOI ISH \ O N LENDER /- a ED ......„-- J/I JD BRANCHOWNER C//7e/ 1-h/y-f�,t�0?�/llDl 'L ADDRESS ��,co / .may ,(//7 ,{(nVALUE r yf D'(J J< ARCHITECT OR ENGINEER �« TEL.6&`Sy7 I US f3CP e /_ /\n $ / U '� NO wV Q /� FIRE )� cc ADDRESS 54-41 r"9S /B C_ ZONE / , A .VPE 1---"GROUP J- O_WAPPROVEd .7 `/ qI J O CONTRACTOR )����J�.1/ BV / s DATE / 'G CO Z J¢ ADDRESS 5�//4FAI (/e w w TEL. Z E NO.OF USE OF NEW - Z= CITY NO. PLA aB1 BUl LDING Q.e4 H w� STATE CITY YARDS APPROVED YARDS APPROV ED to Q LIC.NO. LIC.NO. MAIN BUILDING --- ACCESSORY BUILDING D O SIZE 1 NO.OF BLDGS. (FROM C/L STREET) J OF LOT ‘,0 x / co NOW ON LOT FRONT FT. rl/ FT. USE OF GBLDG./�� �M(I( EXISTING BLDG. /LIE dear:/.0e \SIOF 0 -i FT, H SIZE OF //AX „^{°/NO.OF .....1 \ t Z rnBLDG. `O ✓• ROOMS STORIES / L,SIDE FT. < EXTERIOR WALL"i„ ROOF �pr��{ 1 tl COVERING TVUW-P ICOVERING/ phi REAR Ih FT. I USE/p 2B�V-ILDDII NG AND WORK TO BE PERFORMED DISTANCE BET. HET.MAIN& 1 z //t'!CA S / �• ^ MAIN BLOCS.\ ACCESS.BLOCS. - I J VAR.# DATE O S//7�4 C/xi 5-1// �"," C.U.P.# \ APPROVED coI- /Y azr J/ Ale a * -.yz _APPROVE.. i ce , -'�� Z ,C Wr-STATE p U I hereby acknowledge that I have read this application and state I D that the above information is correct and agree to comply with u CC all laws regulating building construction, and I shall not employ `` r, any person in violation of the workman's compensation laws of `` Al Cal the State of California. ; ? I herepy certify that I am properly licensed as a contractor under SD. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUA ON IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLY: Q am exempt from th provisions of the State of California Business VALUATION j�� and Professions C a, Division 3,.0 �apt o/r//9, /�/ / ry g LC. 'L �j,,1 LI/r /Q PERMIT FEE $ r T D Signature of /L�{/ f// �s�/ Ci�' al Permittee $ /eV PLAN CHECK $ E Authorized Agent ' s/ it/S o / LL TOTAL FEE $ OWNERHILTERERAND, Carl DATE 12.6..76 JOB ADDRESS 253 East 23rd Street BUILDING PERMIT NO. 4119q GENERAL CONTRACTORLE: DESCRIPTION of WORK Repair Structure/Add Decking �1-14°. 118-164_02533 5 * o, 118-164-03 LOT TRACT FIRE ZONE VALUE $400.00 (�f `ECTIONS Signature Dare TYPE V GROUP I ZONE R-1 SOIL PERMITS ISSUrED GAs SUBCONTRACTOR Dote Number Signature WATER Plumbing ROUGH PLUMBING I I I PROP: SWR. LINE 0 HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING . TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER Q ROUGH WIRING Heating and Vent. TRENCHES FORMSSTEELREINF. I I 0 ties.ivi /1112414. (a•c,•XIJ336S— FLOOR SYSTEM BOND BEAM ❑ 'STEEL REINFORCE SHEATHING FRAME AND FLASHING^ LATHING - IN ! 1 OUT n Pt•ATER. BROWN COAT f TURAL, FINAL E e[ I HL...ING, VENT., REFRIG. AND A.C., FINAL ou�04/ beg•,C. 4167/9 PLUMBING. FINAL AND GAS TEST El / ELECTRIC, FINAL . BUILDING. FINAL 43I29 f'. —h-7fiPatl=DD 203* *****5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • PPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only JBp 6.a: � -j C'I VE BY DATE RECEIVED �\ \ADDRESS 02c-.3fra L .a:i r ' CV (OWNER Ar ' //L— / / . I; A.P.NO I�_ 4 _ (23 PE- , TNO• BUILD- GMAI L / f� ADDRESS r/3 2,3 £D.5—; ADDRESS ']a �DS�, Lp j- �y CITY Co w ' 4/k•—.5-4, // s4, NOI1f Z�Z � RAC " " •, LO OS �1 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH N LENDER ` ' > ` BRANCH /J,[` n 'X\ /J n� /� ADDRESS OWNER it if/GTF�4Q/)-,t/0 z VALUE ARCHITECT TEL. p Z ° - I $ ��`_ \ OR ENGINEER NO. FIRE ADDRESS ZONE T PE GROUP T I y _ — /. / APPROVEDfir • If)-�^ / � -CONTRACTOR y��.fl. �p,� f� _� a BY DATE L b ADDRESS /r V EL. Z< , INO.OF USE OF NEW ' IltN CITY ///Y\ / PLA BUILOIN iL� F STATE CITY YARDS APPROVED V,�46APPROVE61 \ gLIC. NO. - LIC.NO. MAIN BUILDING A $SORY UI IN SIZE NO.OF 8 •�. (FROM C/L STREET) qq pw., OF LOT (CO /X. /-.CO NOW ON Le PONT I ,. E . < USE OF \ E%-STING BLDG. U e 7, � Era _ r FSeparate permits are required for L,slFT. electric,plumbing and heating work. -EAR J.friP r. FT. 14 USE OF BUILDING AND WORK TO BE PERFORMED D ANCE BET. BET.MAIN& 'C MA SLOGS. ACCESS.BLOCS. �/�p,, ,r�� ) ,''I VAR. DATE Q NC /�/AbCi y y!L��,2Leti,_e tZ't QGr�'G 4t1 C.U.P. /1, APPROVED '7 1 ' _ o APPROVE• �JI� n / } p./r/D�,� / / RY DATE It% C' —., • C 9 %// /a/�i. 0 bbb 3. Q I hereby acknowledge that I have read this application and state � N L that the above Information Is correct and agree to comply with m all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of e the State of California. ,� 3 I Hereby certify that I am properly licensed as a contractor under SQ. FT. a the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN U •ER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISH G A PERMIT FEE ONLY: to am exempt from the provisions of the State of California Business a VALUATION PERMIT FEE $ rrJ'V a andIgProfessionsuCode, Division 3r`�e o C/ PLAN CHECK $ '� O Signature of - a Permittee $ TAX $ r.s, U. 7(+J' U Authorized Agent TOTAL PAID $ Ss .3 OWNER BUTTER, Charles DATE 12-22-76 JOB ADDRESS 253 East 23rd Street BUILDING PERMIT NO. 41216 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Complete remodel of residence o. 118-164-03 LOT TRACT FIRE ZONE VALUE E 5 nM1 on INSPECTIONS Signature Dote TYPE y GROUP r7 ZONE R1 SOIL SUBCONTRACTOR I PERMITS ISSUED GAS Dote I Number I Signature WATER of Plumbi ROUGH PLUMBING - y14-�, �, - • / - - PROP. SWR. LINE • HOUSE CON. MI ' 1.1.1111 .nnill SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING 5E2WPAd/` - TEMPORARY SERVICE OR POLE ^`` r� UNDERGROUND POWER [, f N+ All '.` (1 -a - e ROUGH WIRING 044,5-tf-Z (Heating ,dl e Y\\ II // u If . II TRENCHES U FORMS n STEEL REINF. I J ! rib- / // f�7M;f 2..-h_7‘, viek&&l- FLOOR SYSTEM ! / U \J \\J./ (I BOND BEAM n STEEL REINFORCE n --.-' I -.1. SHEATHING J UMW- FRAME AND FLASHING �P/d�ZS�QO - UMW/ - ._ - -�; LATHING - IN OUT n LLti�1l ;� ��- IU•.7AI . :TER. BROWN COAT --� ICTURAL, FINAL ('� e� y� �1 �- - --.Electri HEATING, VENT., R@FRIG. AND A.C., FINAL (Z-o 3—Je-rn JC i iti- kj� /2-4-7b�6i 7 PLUMBING. FINAL AND GAS TEST n ���J 5 -3o-J or Le / ELECTRIC, FINAL "5\C- 3.3e.-72 gam vt. alp BUILDING, FINAL n, ' r 43216 'FC 2?-76r,.,•001 197 k **^::1'8.51 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECtDATE RECEIVED DATE ISSU D BUILDING ADDRESS /25/),3A /t, (2 �a • /� / /Z zz / / ! 4,2Z& 5 f1I /74t-,eC i A.P.NO. //J' /V/ /'-t23 PERMIT NO. OWNER / /7/T tr � MAIL ��JJ NN -CAN1 Q Q )� BUILDING , i_ a3 , 5�_ ADDRES$2JS /1 /'�A A fr�� ADDRESS -J / CITY GasTA .€/ESA TEL. NO.CO'394;%/ Ti �/.�/' LO t/ BLOCK CONSTRUCTION AA,' _ NEW ADD A RREPP,jR MOVINGDFMOIDFMOI ISH LENDER /vb 'Pc AXR !`x/� BRANCH /^ OWNEF ADDRESS ARCHITECT TEL. US /gi//nq ,ag f J-' 5-000e- OR ENGINEER NO. FIRE ADDRESS ZONE TYPE i GROUP // CONTRACTORO /tet a/ 60 APPROVED /I' DATE/2-�2�� ADDRESS.. 3Sr � &7A /Y/s(A A/ L-t i�C, /" CITY(,,, OS75V "'E•!'/ TNO.601 •/b7 / ZONG� / IPLAOF� BUILDING NEW F STATE CITY YARDS APPROVED YARDS APPROVED ' LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING _ {L) SIZE NO.OF BLDGS. (FROM C/L STREET) M. OF LOT NOW ON LOT .,,,_FRONT FT. '/ 1 jp-fip--9iit USE OF 14E /EXISTING BLDG. R,SF r• FSeparate permits are required for L.SIDE ' FT. e , FT. electric, lumbing and heating work. Ci REAR FT. FT. C USE OF BUIL[�NC�j1sNGD N10R_4e ?E9nF f�RMEJ� r MAN BLDGS. ACCESS.BLDGS. / T�E.vlo�G�q'7/ �r1�/✓���NSG C VRP # //� ADATE PPROVED .>. / P4N,4iJ n re I kave,/ 2)� __ay ROVEq J�� -Z2�N o a. ✓ t // a t] I hereby acknowledge that I have read this application and state ty, that the above Information is correct and agree to comply with m S all laws regulating building construction, and I shell not employ Z any person in violation of the workman's compensation laws of m Sthe State of California. m I hereby certify that I em properly licensed as a contractor under SQ. FT. N the State of California Business end 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: _ am exempt from the provisions of the State of California Business /, to and Professions Cod= •. Sion ,Chapter • VALUATION PERMIT FEE $ 9z,c c' , // /� / ` �- PLAN CHECK $ /ea.O2 rio ai Signature of / �j• Oo0U. Permittee /!� -� A .-/L/ $ TAX $ #6.1 E U Authorized Agent TOTAL PAID S 4i,60 OWNER tliK, BRUCE DATE 12/3/80 JOB ADDRESS 253 E. 23rd Street BUILDING PERMIT NO. 51094 GENERAL CONTRACTOR Frlandson Construction DESCRIPTION of WORK Detached Garage _A t. 426-084-0340T TRACT FIRE ZONE VALUES 12,273.00 IN... ECTIONS Signature Date TYPE If GROUP fi_1 ZONE R1 SOIL I PERMITS ISSUED SUBCONTRACTOR GAS Date Number 1 Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND El POWER Q �.y ROUGH WIRING ; _sting ga \I IIs 4-)TRENCHES ❑ FORMS fl STEEL REINF. D ._ FLOOR SYSTEMf� n - _ \L Lit _�t� N=-t-n �fl. BOND BEAM I I STEEL REINFORCE / ( .x,- SHEATHING 5� Y FRAME AND FLASHING mf 1 • _ r' N ^ LAT KING - IN 1 OUT f t=PLASTER, BROWN COAT ��;• - its— TUBAL, FINAL °"_HE...ING. VENT., REFRIG. AND A,C., FINAL DIV t- �I --electric PLUMBING. FINAL AND GAS TEST n f" ELECTRIC, FINAL BUILDING, FINAL I COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATIO V TOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 r ems-, - " 86 T4 RECyh�fab.6Y PERMIT '-^ *To 51094 For Applicant to Fill in Completely— Use Ink Only �I(/ lig 1V BUILDING rr ,p /} ADDRESS ZS-3 `'Z3 C�S A.P.NO. C`� ��)( -4/—0 3 BUILDING OWNER OR '�/� PSI ADDRESS 7�-s 5.--.. 6' ��/7 C TENANT TY'�C..� f-IPiN I� ce rJ/��1 _ ^7n ,t 0. L UNIT OR DD ARESS 2- LD r S% . SPACE NO. /I /./� �J� p TR.NO. LOT BLK. CITY COSH. / le se, ^��All NO. ML3 • NEW `D LTER REPAIR MOVING DEMOLISH CONSTRUCTION 39NK 6 f ,'be=en'*Q- LENDER Vet (laic",' ) BRANCH yvet.JPo//- i laic" 9�� � / OWNS l(/r -444, ADDRESS VALUE q 'f ARCHITECT '"� /� / TEL., USE �Qce�Q/ 5/2273 OR ENGINEER ' I?,L/P� -1- Marks NO 1 '/A/' / ADDRESS 2SO4 I / IDS 1Ld.-1 DK . // L ZONE TYPE%'' GROUP �I.•�/_ CONTRACTOR (6,le. gie_cm-pasQ,) 6),,uS/� BYAPDATE DATE /Z/3��'c ADDRESS ,2 S. Lit Ideetle S) 41-94- TEL. � !!! NO. / 332/6. CITY Dj"�j.r(t� (p Ir" STATE J '7 / APPR ET CKS // ///{ LIC.NO. 3 ( SAO LIC. 2-322. //1 n mss/ 6:7 rte W SIZE r NO.OF BLDGS. (FROM /L ST 4) 1 ���777 C. OF LOT G a X /co i / , NOW ON LOT / FRONT ,SI-- PFT. - USE OF7 /� En EXISTING BLDG. R SIDE .c-FT. \-/ E F Separate permits are required for L.SIDE I FTO it electric,plumbing andheatin_ .rk.\ _REAR .c Cid e7 H USE OF BUILDING AND WORK TO s- -F MED PLANNING ACTION1.1 \ • dV�1� • - r ��� APPROVED77�r f j � FOR Is. iJ�rll FU C I hereby nowt g a�have read th' tion and state tl RSP@CtALcri that t.: � REQUfRr. ,...,,,, c4Int a is correct,\aft a to comply with C. all I. s gulating ilding construcrurlt I shall not employ m Z any p. s in v let on of th.yvbrk rrrrrl'l s compensation laws of S the Ste a ornie. VU 1 m I hereby c Ify that I am .. y licensed as a contractor under SQ. FT. _ N the State o alifornl u ' f and P slons Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, a • •ha w- enses a in ulI fort•,.nd effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt fr• t nu. .-.visions o t to - • +ji ornia Business VALUATION PERMIT FEE $ ! end Prof ssions. .; •'vision ap - 9. / fP • _ Signature of } /21 / PLAN CHECK $ J3• 00 o Permittee Il 0 $ /2-/273 TAX $ O 84 orAuthorized Agent Date Q TOTAL PAID $ - - fig U UWNtlt GIARL,ES E. SUTTER UAIt U1-U3-BU JOB ADDRESS 253 23rd Street BUILDING PERMIT NO. 49458 GENERAL CONTRACTOR Cwnr/Bldt DESCRIPTION of WORK Completion AD No. 118-164-03 LOT TRACT FIRE ZONE VALUE S 00 ECTIONS — Signature Dote TYPE GROUP ZONE SOIL — SUBCONTRACTOR PERMITS ISSUED GAS Dote I Number dpignoture WATER Plumbing 177 ROUGH PLUMBING - �sv��,� V�3!07 aD - QG PROP. SWR. LINE HOUSE CON. - SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING _ TEMPORARY SERVICE OR POLE _ UNDERGROUND 0 POWER ❑ - ROUGH WIRING _ Heating and Vent. ^ TRENCHES U FORMS LI STEEL REINF. a . FLOOR SYSTEM F- • � - BOND BEAM 1 1 STEEL REINFORCE n - SHEATHING _ FRAME AND FLASHING l _ LATHING - IN OUT f - PLASTER. BROWN COAT - 'ICTURAL, FINAL - Fleetric I NG. VENT.. REFRIG. AND A.C.-,�FINAL Tet PLUMBING. FINAL AND GAS TEST I iS G- t/ ELECTRIC, FINAL ? !/ BUILDING, FINAL SPECIAL REQUIREMENTS V . COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR-��TRUCTURo L PERMIT 1 5.00 TL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 y4 RECEIVED BY (PERMIT - For Applicant to Fill in Compleettelly�— Use Ink Only • N° 4 9 4 58 BUBUILDING DRENS G ici-��' 23.e, S r A.P. NO. //X --/4 `I'&2 TENANTOWNER ORC�/yc.L4'S E SLI Tc-72 ADDRESS 0253 a(Vjcil UNIT OR MAILING (Cy E .!/z3zy ;r SPACE NO. J {}�ES //� ,/ TR.NO. LOT .BLK. CITY C 65.7- /r J/I NOLo-j-ZY�y, CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH LENDER BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. USE 5 OR ENGINEER NO ADDRESS �j( QZONE TYPE GROUP CONTRACTOR O'er-/N/A ,t tY/Z' PEA.. APPROVED DATE ADDRESS TEL. CITYNO. F STATE CITY APPROVED SETBACKS LIC.NO. LIC.NO. 191 SIZE NO.OF BLDGS. IF ROM C/L STREET) S OF LOT NOW ON LOT FRONT FT. Q USE OF co EXISTING BLOC. _ R SIDE FT. Lb I—, Separate permits are required for L.SIDE FT, C electric,plumbing and heating work. REAR FT F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING AC "•N •C DATE J Q, _ APPROVED e APPROVED .—I �Q / A _I ' �/ _HY DATE CL cv , O I hereby acknowledge that I have read this application and state / cd that the above information is correct and agree to comply with / a-� /�/ ��� --�• L all laws regulating building construction, and I shall not employ / Z any person In violation of the workman's compensation laws of 2 = the State of California. 473 m 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: e am exempt from the provisions of the State of California Business �-. and Professions Code •(vision 3, hapter 9. VALUATION PERMIT FEE $ ICC5 Signature of / �i/ / PLAN CHECK E --------- 2 Permittee $ LL TA% S Authorized Agent Date or / U _a TOTAL PAID E /57‘26 OWNER SUTTER, Charles E. DATE 1_17_77 JOB ADDRESS 253 East 23rd Street BUILDING PERMIT NO. 43304 G,, ;.,.RAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK Qa ra)0p & Shnp �A, '.J.118-164-03 LOT TRACT FIRE ZONE VALUE $ 5 900.00 INS'VECTIONS Sign Date I TYPE V GROUP — ZONE R-1 GAIL .r c'+� PERMITS ISSIfE D SLL&CO"N' iT�R I I GAS ,t, rr. C, :t a n al ti u' if e e Number Signature WATER A'?. ' 1 �, :Plumbing:I oi..A ''• "'� ROUGH PLUMBING III •I t g \J ''%- ' PROP. SWR. LINE [] HOUSE CON. ❑ /// SPRINKLING SYSTEM a.y ,F?I ( ' _) MISCELLANQOUS I I' t, ) — ..t ROUGH HEATING AND AIR CONDITIONING \ L. -Tn ;` ' 411.TEMPORARY SERVICE OR POLE - .:'(1 L,i10%t 1 ft, UNDERGROUND 0 POWER 0 L' ' hC\AL1 ROUGH WIRING Of I "✓ eetin• gnd Vent. TRENCHES FORMS I. STEEL REINF. 7_MI FLOOR SYSTEM • BOND BEAM E 'STEEL REINFORCE • r R if II SHEATHING (f//�� qI/\\ m II fl 1,`� p1 FRAME AND FLASHING p p A fI \\II N 17 II rey LATHING — IN OUT fl--TH ti Ni P. 'ER. BROWN COAT N 'G S. .TURAL, FINAL Electric // I HEATING. VENT., REFRIG. AND A.C., FINAL �f ® .., i - _� I PLUMBING. FINAL AND GAS TEST r, A G//'� / �1 JIU' —__;-_-___-- ELECTRIC. FINAL LIr' BUILDING, FINAL - — AL 4330417-7-77-=0n 59L* ***•:-5';.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 Ink Only RECEI fI *espy"... / D i TE ISSUED ADIDRESS 2S3 4 .ZG}U-.c 4,. Y ;, -� - OWNER 6 c L- . SU / / [�/ A.P. NO. 1/62 — /6'1 - 03 PERMIT NO. BUILMAIL > �� ADDRESS Z.S 3 G�p . 2.3 NG z� ADDRESS.-.-",- ADDRESS L �/ 7 r CITY GCI.S rjq /�/iSL1 TEL G�.Z fj49 ��, I LOT RACT BLOCK CONSTRUCTION y/J,..i/ee.- NEW ADO ALTER REPAIR MOVING DEMOI ISH LENDER BRANCH OWNER 5v rr -- ) ADDRESS /� �y.� VALUE 4ss� ARCHITECT TEL. USE f'J',2�� `� F E c/w OR ENGINEER NO. FIRE J ADDRESS 6 ZONE TYPE GRO/UP CONTRACTOR t�u/ytg BBYPROVED j / DATE --17 -) ? ADDRE SS AL,3S� .SAW//AA/J/1 /4v z.- /u ' ! I9EC ZONE NO.OF USE OF NEW c/t.G.¢FG f CITY Ca -T r,s� Ai CS A NO.TEF--( PLANS BUILDING Sf/O,P F STATE CITY / YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING kr.) SIZE �t y S L� (FROM C/L STREET) -3/ p 0. OF LOT 6 0 �` /.5-c.) I NOWNO.OF ONSLOGLOT �kL FRONT FT. FT. USE OFL co EXISTING BLDG. �Q ll Se" R.SIDE FT. 33 FT. —' rn i &S» Separate permits are required for I L.SIDE FT. -7 FT. electricCl- ,plumbing and heating work. REAR FT. JS r FT. LI s- USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN ria Q ^^ MAIN BLOCS. ACCESS.BLOCS. VA DATE a ( KA4G 1 ,S�0P CURP.* //�l APPROVED 7 ' / , APPROVED /( DATE / —/7— 7 l 2Z '` _�. BY w 0 I hereby acknowledge that I have read this application and state r• N TL that the above Information is correct and agree to comply with m L all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of ...III the State of California. goo - I hereby certify that I am properly licensed as a contractor under `— f/0 SO. FT. a 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 FE ONLY: am exempt from the provisions of the State of California Business VALUATION PERMIT FEE S and Professions Code, Div' I 3,Chapter 9. ay) n Signature of L� r L PLAN CHECK S ! , 0 C7 0 Permittee $ 5000 0 TAX S 50 U.U. ! j U Authorized Agent TOTAL PAID $51, a 0