HomeMy WebLinkAbout320 23RD ST - Building Permits, � �
� CITY OF COSTA MESA ,� ,
o ""�F:Q ' BU/LDING DIVISION
F` " 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wewv.ci.costa-mesa.ca.us �
� " � FOR INSPECTIONS CALL: (714) 754-5626
'�°'�°�°^°"' PERMIT NUMBER: 610-00327
PERMIT TYPE B ROOF2 STATUS: ISSUED
APN: 11933210 DATE ISSUED: 11/03/2010
ISSUED BY: KKJ
JOB ADDRESS: �2U 23RD ST�GM'j
Vicinity:
Squares: 1900
Suite/Unit:
Valuation: $5,000.00
SCOPE OF WORK: RE-ROOF FOR UNIT A AND B AND DETACHED CARPORT. ALL OF UNIT B AND A PORTION OF UNIT A WILL BE
COVERED WITH 30 YR COMP. ROOF PITCH OF 4:12. APPLY BUR ON FLAT PORTION OF ROOF FOR UNIT A AND
B. CARPORT IS BUR ALSO.
OWNER: HOOVER, SAMUEL T
PHONE:
APPLICANT: ROB TAYLOR
PHONE: 77a-964-8131
CONTRACTOR: TAYLOR ROOFING
Address: 8602 LOWMEAD DRUnit:
City/Stale/Zip: HUNTINGTON BEACH, CA
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
$o.00
$111.25
$0.00
$1.00
Address: 1252 POPLAR AVE APT B
City/State/Zip: SUNNYVALE, CA
Address: 8602 LOWMEAD DR
City/State/Zip: HUNTINGTON BEACH, CA
License No.
License No.
PHONE:
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3I18I2010 -
Monday Nru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am ihru 6:00 pm. Prohibiti�
New Years Dav. Memorial Dav. Indeoentlence Dav. Lahor Dav Thanksni�
License No. 784622
714�964•8131
92646 CELL:
PHONE:
PHONE:
Unit
Unit. :
NMC Sec. 13-279
irs • Sundays antl the following Federal
and Christmas Dav
NOTICE: The wolk authorized by ihis permit shall comply with all applicable handicap access requirements under California slatutes and related
regulations. (Ord. No.92-28, § 1, 52-21-92)
EXPIRATION: PEFtM1T 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 musl comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will resWt in the expiretion of this pertnit.
O�M INSPECTIONTYPE � INTRIRLS CODEI INSGECTIONTYPE DAiE INiI11AL5
7616 Fixetl System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Fingl A� �/� 208 Final Plumbing
200 Final Re-Roof x�'Y" �O �� 0�i� 210 Final Electrical
201 Final Blcek/RC�aining Wall 212 Flnal Firo Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 FinalSite
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSA710N DECLARATIO�
I hereby aKrm untler p0�alty of perjury one of the following declarations:
❑ I have antl will maintain a certifcate o( consenl lo Selbinsure for workers
�ompensation, as provitled lor Cy section 3700 of Ihe Labor Cotle, br ihe
PeAo�mance of the w�ork !or which this permit is issued.
[] I have and will maintain workers' compensation insurance, as required by
section 3700 of the Labor Code, for the peAormance o! the vrork for which this
Pertnit is issued. My workers' compensation Insurance carrier and policy
�umber are: C c
�ner. — J�'� 7 J h
is secibn neM m( Ee mmpleletl d t�e perm� is valued at one ��nEietl tldlars (51001 �less.)
�oe,r ooa��s�- D�'
❑ I cerlify that in Ihe peAormance of Ue vrork for which this pertnit is
igsued, I shall not employ any person in any manner so as to become subject
�0 the vrorkers' compensation laws of California, antl agree Ihat if I should
become subject ro�the workers' compensation provisions o! Section 3700 0!
the Labor C I all forthwith com ly with lhese provisi ns.
� � C�
Ap �sSi9n+� - e
WARNING: FAILURE TO SECU E WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(3100,W0), IN ADDITIOM TO THE COS7 OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNEY'S FEES.
lICENSED CON7R.4CTOR5 DECLARA7lON:
I hereby affrm that I am licensed untler provisions of Chapter 9(commencing
with Section 7000) of Division 3 of Ihe Business and Prolessions Code, and
my license is in full (orce and e((ect. q
G�� 8 b�O , cas�� ( \
�r....a:�.��..yy aW�_ V
CONSTRUCTION LENOING AGENCY:
❑ I hereby affvm that there is a constructbn lending agency for the
pedortnance of the work fa which this pertnit is issued. (Sec. 3097. Gvil Code).
Lender's Name:
Lentler's Address:
OW NER-BUILDER DECLARATIONS:
I hereby affirm Ihat untler penalty of perjury Ihat I am E7CEMPT FROM THE
CONiRACTORS LICENSE LAW (or the folbwing reason (Sec. 7031.5.
Business and Pro(essions Code: Any ciry or counry which requires a permit to
Constmct, alter, improve, demolish, or repair any slrucWre, pnor to its
issuance, also requires Ihe applicanl for such permit to file a signed s[atement
4hat he or she is licensed pursuant to the provisions ol the ConUactors
�icense Law (Chapler 9(commencing with Section 7000) of Division 3 0( the
Business and Professions Code) or that he or she is ezempt therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five huntlred dollars ($500�.�:
❑ I, as ovmer of the property, or my employees with vlages as their sole
tompensation, WILL DO THE WORK, antl the swcture is not intentled or
nfferetl for sale (Sec. 7044, Busi�ess and Pro(essions Code: The Contractors
License Law does not apply to an owner oi property who builds or improves
lhereon, and who does such work himself or herself or through his or her own
employees, provided that such impmvements are not intentled or oflered for
sale. If, however, the building or improvement is sold within one year of
completioq lhe owner-builder will have the burden o! proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXC�USIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constnicl the project �Sec. 7044. Business and
Professbns Code: The contractors License Law dces not apply to an owner of
property who builds or improves thereon, and who cont2cts for such pmject with
a contractor(s) license pursuant tothe Cont2ctars License Laws.).
❑ I am exempf untler sec.
Business and Professions Codelor ihis reason:
S�B^aWre Oa�e
3on-as �aro��
Owner 1D venfietl by rw�ense. ❑ Yes ❑ No \
Driver 5 License No. Expires: �
Verification of Ovmership by (type of Oocument, i.e. - property lax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth inro which a
person is required to descend, will be made in connectbn with �wrk autMrrzed
by ihis permit, antl that no building struCNre, scaHolding, (alsework, or demoli�ion
or disman�ling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp
2. Art 2, Sec. 341, Tdle 8, Califomia Atlminist2�ive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would
require a pertnit fmm the Division of Industrial Sa(ety, as noted above, unless
such person has a permit to do such work from ihe tlivision.
Applicam'S SignaWre
Division of Industrial Safe�y Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CER7IFICATION:
1. Will the applicant or present or future building occupant neetl to fle and
certify a Business Plan tor emergency response ro release or Ihreatened
release o! a hazardous material? ❑ Yes ❑ No
(Section 25505 0( lhe Cati(omia Heallh and Safety Cotle requires, with some
exceplions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time dunng a reported
year a quantiry of hazardous materials equal to or grea[er than a weighl ot
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at stantlard �emperaWre antl pressure).
2. Does or will the applicant or present or fuNre building occupant need to f le
a registration form (or awtely hazartlous materials? ❑ Yes ❑ No
(Section 25533 oi Ihe Cali(ornia Health antl Safery Code, with some
ezceptions, requires regis[ration with the Costa Mesa Fire Department by
each business which at any one lime has on hand a quantity of acutely
hazartlous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel of compressetl gas al s(andard
temperature and pressure).
3. Does or will the applicant or presenl or fuNre building occupaN need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Cali(omia Health antl Safety Code provitles lhat the
Cosla Mesa Fire Department may require the preparation, certifcation and
fling with Ihe Fire Depatlment ot an RMPP by businesses which are requiretl
to regisler aculely hazardous materials wilh the Fire Department.
4. If an RMPP is DresenUy required, has SeClion 25534 0( Ihe California
Health and Satery Code been fully complied vrith? ❑ Yes ❑ No
5. Does or will the applicant or present or fuNre building ocwpant require for
the wnrk which is the subiect of this appfication a permit for such conslruclion
or motlilcation from the South Coast Air Qualiry Management District or from
any other air polWtion control distnct or agencyi ❑ Yes ❑ No
(Seclpn 65850.2 of the Califomia Govemment Code requires that the requested
in(ortnation be fumished on applications for non-residential boilding permits{.
6. Will any part of the facility to be constructed under this permi[ by wi�hin
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(If'yes". the faciliry must mee� Ihe requirement of Sections 25534 antl 42303
of the Cali(omia Health and Safery Code).
7. If a permit (rom Ihe South Coast Air Quality Management Dis�ncl Or other
air polWtion control district or agency is required for the v,ork which is the
subject of this application, have all of the disclosures prescribed by Califomia
Healih and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Q('yes". attach cenifcate of compliance from the appmpriate air polWtion
control officer�. �
CER7IFICATE OF COMPIIANCE: I cert'rfy that under penalry of perjury Ihe
information given above is correcL I agree to compty with all state laws antl
city ortlinances regarding Hazardous Materials and Emissions.
Signawre Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have reatl this application and state thal
the information give� is correcL I agree to comply with all state laws and ciry
ordinances relating [o builtling construction, antl authorize representatives of
lhe Ciry of Costa Mesa lo enier upon lhe above-described property (or
inspection purposes. I agree n to occupy or allow occupancy of any building
authorized y t is pertniLmtil f al inspection.
Sig wre o e ai wner ) te�
or (
" " �:h - M— pata�
Prescriptive Certificate uT
Re.sidenti`a/ Al[erutians
ru ect'Nnmc;
�OoJe r
General 1 n(o+'m:� �imi
,..., 4'.s:..:
iance: itesidential '
C7imate
`_Slte-Adtlre`ss: ' Q a3 �G �_ lnlurcemem Agenc�•: Uate:
�`uildi��TypeP�Single Family ❑ Multi Family Circle the From Orientation: h, E, S, V2, or degrees
Conditioned Flooi Areu (CPA):
Tliia' lorui is �mr in hc used
��rsnlatinn Yrdaes Fnr
Yrolea Type: LJ Ali
Replacemem or Char
Cnnslructed Uuildines m'AAditions
(Jor Fvrring use Are Ma.r.r mrd Furring Sn•ips Cona�u�ac�iav iable
CF-IR-ALT
(Pa e ? oS 5)
# of Stories
7
❑ HVAC
ASsembll' Allcrnlion
❑ Opening of G'amed cnviq• alone- Af/erotions !ha/ invoh�c Ihe opening oJlhe fi�mned coviry� o%n wall, ceiling, a�Jloar mus� insmll !he
mandaiorr mininnm� insulu�ion volue per §15QIor Ihe 46ered o.xxembht Fill in Columns A-C and enter mandamr�� insula�ion value in Column H.
❑ Replucement of entire assembly- Replacemenr ojan ea�ire wall, ceiling. orJloor asseinLlp reqaires !he insta!lation oJComponem
Packuee- U inrulntion values in Tnble /51-C. Fill in Cofvmns A- J. .
p
Details Fm� the furred
Assembly Name
or Tvoe�
ed of Mass Wulls see Purring St
U � F
Standord
kness,
cing, U- JA4 Tuble
G
Caviry
see Pogc JA4-3 and Equo�ion 9-J.
Table beloh�.
vse
1. For Tng/!D indicaie the iden�ificaitm� name tha� maches [he buildingplans.
2. Indica�e the Assembir Name m� rype: Roo(/Ceiling, Walls, Floors, Slabs, Craw! Space, Doors and ea...lrtdicate �he Frame rype and Size.� For
N'ood. Meml, Meiaf Buildings, Mass, emer 2r9. 2sG, or eta.. see JA4 (or o�her possi6le framr rype assenblies.
3. Enrer tlie lhickness (or mass in inches or Spacing 6enveen (raming members enter; 1 G"or 24 "OC; or O�herjor all o�he�� assemb[y drs�criprian
such as Concre�e Smidwich Panel, Spandrel Panel, Logs, Srrae� Bale Pane/ and etc....
4. Based on Ihe Climaie Zone; enter the Siandard U facior fi•om Table ]� 1-B, C or D ja� eacir d Jjerem assembl�� Namr or rype.
S. En�er die TaLle number llm� clasel7� �'esemLles the proposed assem6lr.
G. Lnter !he R-nafue dini is being instafled irr ihe wal! cavin� or 6etween dre fi'mning; olherwise, enler "0 ".
7. Emer ihe Cnndnunus Insida�ion R-na/ue (or Ihe proposed assemblp; o�henvisc, emer "0".
b'. Emer !be rnsn ond cnlunm oJfhe U jacia� valuc bated ar Column F Table Number and emer Ihe Asaemblp U,-Iac�or in Colvmn J
). The Prapnsed da•.rern6h� U-fomor, Column J, musl Le equol �o or /esa' ihmr �he Smndnrd U-foctnr in Colunm E m complp.
kegizirurion Numbei:� Regisnntinn Uare/Jnne: � HL/tS Prnvider:
20bB Residential Compliunce Forms �lugu.sl 200y
Prescriptive Certificate ot' G
Residentinl Alterations
Projccl-Nemc:
�� o ve('
ice: Residential
3 of
ROO�INC Pt20DUCTS (C001. ROOFS) §757(nl2
N'hen We nren ojcrterior ronjsurjace m be�replaced rxceeds wore lhan 50% njUie eris�ing roojaren, or mo�e thmi 1,000 jf, �vhicheverls
less, !he iaeu� rnofirtg area nu�s� uice� !he roofiwg producl "Coo( Roof' rer/uireinents oJ§I52(b)IHi, 752(b)1 Flii, nr I52(bJ]Hiii.
Check applicaGle allernntive or ezcepfion Lelo�r Jlhe roof aLeralion ix esempl fi•om Ihe roofing produci "Caol koof : requiremenls. Note: /,(any
one oJthc al�crna(ives or exceptiai Lelow is checked, !he Aged Solar HeJlecmnce a�d Thermal Emi(mnce +'equiremenis jor roofing producis in
,�'l18(if mr no/ app(icable. Do no( fill mble below.
ool Roofs Not Required in Climate Zones I-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
ool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs (pitch greater than 2:12) and produc� uni� weight less
than Slblft'.
Alternutives to §152(b)1Hi nnd §I52(b)Hii, Steep-slope roof (pitcli > 2d2)
❑ h�sulation witl� n thertnAl resisiance of ai least 0.85 hr•ft ��F/Bm or at least a 3/4 inch airvspace is added m[he roof deck
over an nttic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(Q10; or
❑ In climate zones I Q 12 and 13, with I, ti�. of free ventilation area o(anic ventilntion for every l5U ft of attic floor erea, and
where ut least 30 percen� of �he free ventilation erea is within 2 feet vertical dislanee of [he roof ridge; or -
❑ Building has at least R-30 ceil�ing insulation; or
O Building has radiant batner in the ettic meeting the requiremenu of §151(�2; or
� Building has no ducts in the ettic, or
❑ In climate mnes 1Q 1 l, l3 and 14, R-3 or greater mof deck insulation above venred anic.
Exception to §152(b)1Hiii, Low-slope roof (pitcli _<2:12J
❑ Building has no duc�s in the attic.
Other Exceptions
❑ RooSng area covered by building integrated; photovoltaic panels and solar�thertnal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof inembrane with at least 25 Ib/fP is exempt from the below Cool Roof criteria.
no CRRC-1 label is available, this compliance method cannot be used, use the Performai
k the a licable box beloe� if Exem t from the Roofin Products "Cool RooP' Re uirem
RoofSlope Product Weight Product
CkRC Pmdur.t ID Ntlmhef < 2:12 > 2:12 < SlblftZ > S1b/fi2 Tvoe2
ApproacL to t
Aged Solar
Reflectance�
�Q
�Q
❑9
� �� � � � � � ��°
compliance, otherwise,
Thermal
SRIS
Thr. CItRC Producl /D Nurnber can Le ablmnedJrom Ihe Coo/ RoofRaling Camci/'s Ra�edYrnduc� Direc(nq� al �vw�r.cnnlroof.r.orn/prnduc6s/search nhn
lndicale Ihe I)yre ofpr'nducl i.+' Lemg used,/a' d�c r'ooJtop, i.c. single-p!p roof, asplmll r'an/ rnelol roof, cic.
l(Urc Aged Repec�mrce ia� noi ovailoLle in.rhe Coal ltoo(Rming Council's Raied Produc� Direc�ap Uien use U�e lnirial HeJlec�ance valucJrom �he aame
direcmr;p m�d use Ihe e9ualion /0.2+pJ(/1���i���l- 0.2J m obmin n calcula�ed aged vufne. Where p is ihe L�iiial Solor ReJlenmme.
Check Lox i�U�e Aged Relleclnnce is n co![ulaled valne uring Ihe eq�m�ion a6ove.
Calculaie �hc SR/ value Lr ut�n8 �Ire SR/- Workahec� a� Mrp://�v�nr.enermtca.envAilleT4/and enter ihc reaufting volue in !he SRl CoLunn above and ormch ucop��
�Lc Sftl- Warksheel m �hc CF-�R.
i apply Liquid rield App��ed Cuatings, the coating mus� be applied ecross the entire mof surface and meet the dry mil thickness or coverage
commended by the coatings manufucturer and meei minimum performance requirements listed in §118(i)4. Seleci [he applicable coating:
Aluminum-Pigmented Asphall Roof Coating
Regisirulim� Number:
2008 Residen(ial Comp(iance Fonns '
Cemenl-Based Roof Coating
Registraiion Dare/I'ime.'
Gthcr
FIEILS Provider:
Augusi 2009
:� Certiificate of C
A1lerati�ms
i+no�f2T
nc� _esid
�
CF-1 R-ALT
.(1'a�e 5 01' S1
C��matr "Lunc i! /� �% ui Sturies
HL,ICS VE�'IF1 CAT1 OI� SUMfl1.4Ri' The cn/orceuieni ngenr,r xhondd pero spec�ul oneniia� io 7he H&lfS A9easurea a'peci)ied m Ihis
check(isl Lelmr / comp(e�eci nnd sioned CF-4/( Form (or olf !he mena�iu�e.r syeciJied shu/I 6c submiued m ri�c building inspec�m� Lelore Ju�n!
Duel Sexline B: Testiuo HE/iSreriJicn�ian is required/w��hu mecrsure. �
❑ i'�S ❑ NO ]'CS�.In Climale Zoi�es ° nnJ 9-I L, if mo�e thai� 40 linear feei of ne��• or replucemeID ducts .ire insialled in unconditioned
spflce, the ducls are to be sealed per (152(b)IDii and [he newly inamlled ducis are tu bt insulnled pei § I51(1110.
❑ EXC�PTIOR: Lsisting duct systems thai mre extended; �v1�icL :ire cunstrucr.ed, insulated or sealed �vith asbestus.
b �'iS ❑ NO YL+S�. ln Climaie "Lmies �' and 9-] 6, if tlie existiug space-conditionmg sys�em (H\�AC equipment and ductingf is teplaced, the
ducts are to be sealed pei (152(b)1Di. �
[7 1'ES O NO 1'E5: 1u Climate Zones 2 and 9J 6, if the existing HVAC equipment is repluced (includin� th� replacemeni of the air liendler,
outdwr condensing unii of n splii system, cooli��g m� heating coil, or tlie fumace I�eai exehanger) the ducts are to be
sealed pei § l 52(b)1 E. �
❑�aCEPTJO�: Duct systems t}��� are ducumented to have been previnusl�- seflled ron5rmed tLrougL HEI2S
- verification in accordonce with procedures in the Reference Residential Appendis PJ.3.
� ❑ L�XCEPTIO�: Duct systems with less than AU 4ineur feet in unem��itinned space. .... .
❑ ESC�PT10�: �Xisting duCt sys[ems constructed, insulated m� sealed with asbes[o5.
�'i�friperant Charee - Split S)'stem HERS veriJicn�ion is requirecV,for �hi.t nveasure. .
�j Y�S ❑ 1`!0 Y�.S�. In Climate Zones 2 and 5-15, when the existing HV AC equipment is replaced (including ihe replacement oT the air
handle:, outdoor condensino uni� of a split system A/C or l�eat pump, cooling or heating coil; or the iurnace heat
exchaneeri a refrieerant cl�aree measurement shall be verified per §li2(b)]F.
itral Fan Integrated (CFI) Ventilation System and Fan R'att Draw
ventila[ion reauirements of �150(oj do not avolv to eristinc residential homes.
Ducted Split S,ystems - Air Conditioners and Heat Pumps: Airfloh� HEAS »e,�ijicarion is required_for �his meae•urc.
L7 Y�S ❑ N 0 1'ES: In Climate Zones 10 t6rough 15, when the existing space-conditioning system (H VA C equipment and ductiuoj is
reolaced. the airfloW� and fan wan draw shal l 6e verified ner � 152(b) I Ci to meet Ihe reauirsments of & I51(f17B.
entafion
• 1
L�w
�r
Sign..ature:
L���rI�3�la
lf Hpplicable O CEN o� ❑
(Cei tification �I):
�rumi�ip� I�� (�/ii� �b��i�n l I�QC�1 r i Q• �� k7 / F' I rumic.^�/�� �,b // a(�/
n C Y
�wnsiblc I3uildine De ' ner's Leclaratioi� Statement
1•um eligiblc undei Dieisimt 3 of the Califomia Business an[I ]hofessions Code to accepi responsibiliry tor the buildiuo design identi{�ed on
Ihis CeniScate of Compliance.
1 cenify tliai thc energy feauires untl performance specificntion:• foi the buildinr desiEu iden�iLed on this Cerlif�ctite of Compliance cunform
tu Ihc requirements of Tillc?4, 7';ins 7 and G of Ihe Culifornia Cndr of ILepulaiiu�is.
Thc building design leatures identiGed on thic Certificaic nf Compliunce nre consisteni wi�h lhe informatiun pruvided tn ducwneni thi�:
buildm� design on th: other �ipplicoble compli�ncc lunn:,._ worlwhee�s, culculmions, plans and specification:. subn�iiued u� thc enlurcemeni
ueencr ior apprnvml wi[h tliia buildinp pennii nppllcution.
ic: Signawre:
i+ddress:
Lafe.
License:
Nhone:
For u,c.eisuinec ar questians regurrling t6e Energ�' Sumdmrls, canu<cr tlic Lriergr Hot(ine ut: 1-h'011-772-i3(11f.
7(egi.sb'aunn ldurnbm'� l(eg�.sn'mmn Lwe/Tmic: NERS' Fro��inar
2(1OI: 7(e.ti�icieniial Copiplimicu Form:: lii�usi 3(IOJ
(714) 754-5273 • Fax (714) 754-4856 . www.c�.costa-mesa.cg�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
'
JobAddress: 320 23RD ST
Suite:
Vicinity:
Primary Occ: R-3 Dwellings/ Cong Res <70 Type o� Construction: V-N
Parcel Number: 11933210 Zoning:
npp�icant: GLEN MARTIN
Address: 2425W COMMONWELTH DR
FULLERTON,CA
Owner: HOOVER, SAMUEL T
Address 1252 POPLAR AVE APT B
SUNNWALE, CA
Contractor: RENAISSANCE DOORS AND WIN
Address: 2425W COMMONWELTH DR
. FULLERTON,CA
Zip: 92633
Arch :
Address:
Zip:
Phone:
License:
Phone: (714) 578-0090
Zip: 92633
Phone:
Zip: 94086-8625
Phone: (714) 578-0090
License: 490375
Eng:
Address:
Status: ISSUED
Applied: 10/11/2005
Issued: 10/11/2005
II� /
� : v/
Phone:
License:
SCOPE OF PERMIT
REPLACE 6 WINDOWS THROUGHOUT S.F.D. LIKE FOR LIKE, VINYL, DUAL PANE TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. NO
STRUCTURALCHANGES.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
SETBACKS
ACCESSORY
PARKING
$0.00
$8325
$0.50
$0.00
$0.00
$0.00
$83.75
front 0-0
Front 0-0
Existina: 0
Rear 0• 0
Rear 0- 0
Reouired: 0
FEE SUMMARY ,,,.....
PLANNING & ZONING
Lefl 0- 0
LeN 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$3,000.00
53,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap accass requiremenis under California statutes and related
regulations. (Ord. No. 9248, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period ol 180 days.
INSPEC710NS: In order for the work authonzed under this permit to be consldered legal, such work must comply with all applicable codes, and all
requlred Inapectlona and final epproVal must be obtained. Failure to obtain inspections and final aDProval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754.5626
zaaase �aroo>
WORKERS' COMPENSA7�ON DECLARA710N:
I hereby effirm untler penalry of per�ury one oi the fdlowing tledarations:
� I have enC will malntain e certiticate ol consent to sell-Insure tor workera' compensatlon, as providetl tor by section 3700 ot Ihe Lebor Code, tor the pertortnance ot the
'�wo for which t�is pa�nit Ls Lssued. �
' ve entl will mainia� wwkers' oompen5ation insura�xe, as reQWred tiy s�tbn 370� af Ihe La6�_CoCe; for the pertOm�ance of the vroAc lor whitli NI5 pertnit is issued.
My workers' campense��a� Insurence carrler entl pdicy numbar ere: � �i GJj �•� ��ji�L�
cre e }�A� h a 2�j Pa'ncv N'u"mtie�, r. �� l W Q,O L i O a-1
is sectlon need nol be GomDleted!! the pemtil ls vaNed ef one hundred dWlars (S I00) or less.) '
❑ I certlly t�at in the pe�armence ol the work tor w�ich lhis petmit is ISsueQ I shall not emDloy eny person In eny manner so as to become sub�ect to the workers'
compansa0on lews ot Calllomle, antl egree thal il I shoultl become suD�ect to the workers' compensetlon provislons oi Section 3700 0l the labor Cotla, I shall fotlhwit�
comply with Ihese prON.�s.�lons.C�
u ature:—^':°"+�`�—��� �6ete t � l� � � �� �`'i
�.
AHNI ' EiQSEIXIRE WOFNERS' GUAIPENSATION ODVERAOE IS UNLAWFUL M'D SNALL SUBJEGT rW E�- R TON� CqI�TIES M1D CNIL FlNES UP TO ONE HUNDRED
THOUSAND OOLIARE (5100.OW). �N �DpTION TO THE COST OF COMPENSATION, DAM4GE5 AS PROVIDEU FOR IN SECTION 3�08 OF TME IABOR CODE, INiERESi. M!D ATTORNE`fS FEES.
LICENSED CONTAALTORS DECLARATON:
Chapter 9(commendng with Sectlan 7000) ol
CONSTRUC710N LENDING AGENCV:
antl Professions Catle, entl my license is In tull
❑ I hereDy eHirm that there is a construction lending egency lar the OeAormence of Ihe work for w�ich this permit is issued. (Sac. 3097, Civil Cotlo).
LantleYs Nema: Lentlers Atltlress:
Slgnaturo:
OWNER•BUILDER DECLP.RAnONS:
Date:
I �ereDy efllrtn that under penalry of per�ury thet I am EXEMPT FROM THE CON7RACTORS LICENSE lAW tor the following reason (Sec. 7031.5, Business antl Pmfessions
Cotle: Any ciry or counry which requlres e pertnit to wnswct, elte4 Imprwe, demdish, or re0air any structure, pdor ta Its iuuance, also requires Ihe eppliwnt tor such pertnit
to Illa e signetl stetement tnat he or she Is Ilcensed pursuant to the proWsions of the CoNreaors Llcense Lew (Chepter 9(commencing with SecNon 7000J oi Divislon 3 ot Ne
Business end Pmfessions Catle) or that he or she is exempt therelrom end lha GaSis for the elleged exempNon. Any vlalation oi SecGon 7037.5 by eny appllcant for e permlt
subjects Iha appllcant to e Civil penelry oi not more than live huntlred tlollars ($500)J:
❑ I, es owner oi Ihe D��Perty, or my employees wilh wages es lheir sole compensaHon, WILL DO THE WORK, end the stmcture Is not Intendetl or otleretl for sele (Sec.
7044, Business and Prolessions Code: The Contractors License Lew tloes not apply to an owner oi property who bulltls or improves thereon, entl who does such work
himself or hersalt ar tprough his or her own employees, provided that such improvements ere not Intended or oHered far sale. If, however, Ihe building or imprwement is
sold wilhin one year o� completion, the owner-builtler will have the burden ol proNng that he or she ditl not build or improve for purpose of se�e.). '
❑ I, es owner ot the propetly. em EXCLUSIVELV CONTHACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business antl Professlons
Cotle: TTe contrector5 ���ense Lew does not eppN to an owner ol property who builtls ar improves therean, entl who coniracts for such project with a conirecior(s)
licanse pursuant to the Contraaors License Laws.).
❑ I em exempi unCer sec. eusiness and Prolessions Code for this raeson:
SignaWre: Date:
Owner ID verified by drivefs license. ❑ Ves ❑ No Drivefs License No.
Vertlication of Ownership by (type of tlacument, i.e. - proparty tax �ill or Aeetl�:
Ezpires:
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
❑ I hereby certify thai n0 excavelion llve (5) o� more feat in dept� into which e person is required to descend, will be metle in connection wl�h work euthorized by ihis
permit, end that no bUilding sirucwre, sceNoltling, falsework, or demolition or Gismantling thereof, will be more Ihen Ihirry-six (38) feet high. (C�ep. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Celitomia Atlmtnistretive Code).
❑ As owner-builder, I vA�l not employ enyona to do wark which would requlro e permlt trom t�e Dhrision ol Indusidal Satery, es noted ebove, unleu such person hes e
permlt to tlo such work hom the tli�nsion.
SlgnaWre: Date:
DiNslon oi Intlustrial Sefery Permit Number:
CERTIFlCATE OF COMPLJANCE AND AUfMORPA710N OF EMRY: I certify under penalry of perjury Ihal I have reed this applicetion and state Ihat the inlortnation given is
correct. I egree to compty w�l� ali stete laws en0 dry ordinances relatlng to huilding consiruction, end euthorize represematives ot the Ciry ot Cosia Mese to enter upon Ihe
ebovo-tlescribetl property tor inspection purposes. 1 egree not to occupy or allow occupanty of any building authonzed by this pertnit until finel inspection.
COOE �. INSPELTION TYVE
1616 Fized System Finel Fire Preventlon
12fifi Pool Spa Finel
200 Finel Re-Roof
201 Final BloCk/RetainlPg Well
202
203
204
Final Fectory Fire P�ace
Flnal Sign
Final �emoliUon
PSIE II�ELS
. . Data
CODEA INSPECTIONTYPE
206 Flnal Mechanicel
208 Final Plumbing
210 Finel Elecirical
272 Final Flre Preventlon
220 Finel Planning Appraval
222 Finnl Siie
250 Flnel Bulltling/Occupancy
� It�
�
(714) 754•5273 • Fax (714) 754-4856
Job Address: 320 23RD ST
Suite No B
Vicinity: LEFT SIDE
Parcel Nunmber: 11933210
CITY OF COSTA MESA
BUILpING DIVISION �
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Applicant: HOOVER, SAMUEL T
Address: 320 E 23RD ST
COSTA MESA, CA
Owner: HOOVER, SAMUEL T
Address 320 E 23RD ST
COSTA MESA, CA
Contractor. �� (v�2
Address:
ArchlEng:
Address:
PLUMBING PERMIT
Phone:
Zip: 92627
Phone: (949)722-9333
Zip: 92627
Phone:
Zip:
License:
Phone:
Zip:
License:
SCOPE OF PERMIT
INSTALL NEW GAS METERISERVICE FOR UNIT "B".
PER WILLA IN PLANNING OK TO ISSUE
PERMIT FOR UNIT B.
ISSUE FEE
BackFlow irrigation
BackFlow Preventer
Bathtub
Clarifer System
Connect(Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Orain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 ouHets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
szz.00
50.00
50.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$8.75
so.00
50.00
QTY
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap 50.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors 50.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Conned $0.00
Sewer Private line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial 50.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (pnvate) $0.00
Spa (public) $0.00
QTV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
PERMIT NUMBER
P99-00437
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 07/28/7999
Issued: 0712 8/1 9 99
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Tailet)
Water Heater I vent
Water Pipinq (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
TOTAL CALCULATED FEES:
AMT
so.00
$0.00
50.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$30.75
Qn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap eccess requirements under Calilornia statutes and related
regulations. (Ord. No. 92•28, § 1, 1241•92)
EXPIRATION: This permit shall autamatically expire end become void if work is not commenced within 1 BO days, or if work is suspended or abandaned
for e period of 7 BO days.
INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with ell applieable codes, and all
requlred Inepactlone and flnal epproval must be obtained. Failure to abtain inspections end tinal approvel will result In the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATON: � '�
I here6y efllrm under penalry ot perjury one ot Ne I011owirg tledaretlons:
❑ I have entl wlll meintaln e certllicate ot consent to sel4lnsure tor workers' compensatlon, es provitlatl lar by section 3700 oi the Lebor Catle, lor the pertortnance of the
work tor which thl9 permit is issueC.
❑ I have and wlll maintain workers' compensaGon insurance, as required by section 3700 of t�e Labor Cotle, for Ne perfortnance of Ne woAc for which Nis pertnit is Issuetl.
My workers' compensation Insurence cartier antl poliry number ere:
Cerrier. Policy Number.
(TAis sectlon nsetl not be complered7! Ihe permiNs ve/ued e( one huntlred dollers (5100) or /ess.)
❑ I certlty that in the peAortnance at the work for which tNs pertnit I5 issueQ 1 shell not employ any person in eny manner so es to become subject ta Ihe worken'
compensetion lews of Celifamle, end agree Ihat II I shoulA become suDject to Ihe workers' compensetlon provislons af Section 3700 of tha Lebar Catle, I ahell IarthwlU
comD�Y wlih Ihesa provisions.
Applicant SlgnaNre: Dete:
WAfiNING: FAILUFE TO SECURE WORNERS' OOMPENSATION COVEMOE IS UNUWFlIL rWOSHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AN� GVIL FlNES UP TOONE MUNDRED
THOUSAND DOILARE (5100,000). IN ADDRION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 31W OF THE IABOR W DE, INfEREST, M1D ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby eflirm ihal I em Iicensed under pmvisions ot Chaptar 8(commencing wlih Seclion 7000) af Divislon 3 of ihe Business end Pmfessions Cotle, and my Ilcense is In tull
force antl eNect. Llc. a Class N
Comrectofs Signeture: Dete:
CONSTRUCTION LENDING AGENCY:
I❑ I �ereDy ettirm Ihat lhera I5 e rnnstruction lentling egency br ihe Dertortnance ol tha work for which this permit is Issuetl. (Sec. 3097, Civil Code).
� Lendefs Name: Lenders Atltlress:
Signature: Date:
OWNER•BUILDER DECLARA710N5:
I hereby ettirm thet under penalry ol perjury thet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reasan (Sec. 7031.5, Business and Professions
Code: Any ciry ar counry whlch requlres a pertnit to construct, elter, Improve, tlemollsh, or repeir eny strucWre, prior to its issuence, elso requires the apDlicant tor such permli
ta file e signed stetemeN that he or she Is Iicensed pursuant to the provisions ol Ihe Contractars License Law (Chepter 9(wmmencing with Section 7000) ot Divlsion 3 of the
Busin ss and Professians Cotle) or thet �e or she is eaempt theratmm end the 6asis for ihe allaged eaemption. Any violatlon oi Section 7031.5 by any appllcaN for e permil
su cts the epplicant to e ciNl penalry ol nat more than tive �unAreC Aollars (5500).):
I, es owner ol the property, or my employees with weges as Iheir sole compensetlon, WILL DO THE WORK, entl the structure is not intendetl or o%eretl lor sale (Sec.
7044, Business antl Professions Code: The Contractors License Lew tloes noi eppty to an owner of property who builds or improves theraon, antl who tloes such work
himsell or herseN or through �is or her own employees, provided that such improvements are not intended or ottered lor sale. It, howevar, the huilGinq or improvement is
sold within one year ot completlon, the owner-builder will have Ne burden of proNng ihat ha or she tlid not build or improve for puryose of sale.).
❑ I, es owner ot the property. am EXCWSIVELV CONTRAC7ING WITM LICENSED CONTRACTORS to consiruct the pmject �Sec. 7044, Business antl Pmfesslons
Code: The contracbrs License Lew does not appy to en owner oi property who builtls or improves thereon, and who contracts tor such project with a contractor(s)
license pursua ro Ihe Contractors Licen e Lews.).
� I am eaempt er se . Business and Pmfessions Catle tor this reason:
Siqneture` �a.e.ai, � / � .. Date:
Ownar ID verifietl by tlrivers license. � Yes ❑ No Drivers License No. _ Expires: L
Venfication ol Ownership by (type ol documenL i.e. � property Iax blll or Aeetl):
DIVISION OF INDUSTRIAL SAFETV PEiiM17 CER7IFICATON:
❑ I hereby certlly t�at no excavatlon Ilve (5) or more lee� In depih Into which e person is requiretl ro tlescend, will be mede in connection wlth work aut�odzetl by this
pertnit, entl t�et no builtling sirucNre, sceHolding, falsework, or demolltion or dlsmantling thareol, wiil �e more than ��irty-six (36) feet hlgh. (Chep. 3.2, Grp 2, Art 2, Sec.
3a1, Title B, Celi(omla Atlminlstretive Code).
❑ As owner-huilder, I will not employ enyone to Eo work which woultl require e permit from the Oivislon of Industnal Safery, es notetl ebove. unleu such person hes e
permlt to do suc� work fmm t�e diNslon.
Signature: Date:
Division of Industriel Safety Parmit Number:
I CERTIFlCATE OF COMPLIANCE AND AlJfHO IZATON OF ENiTiV: I cenily under penfllry oi perjury that I have reatl this applicatlon and sWta Ihat tha inlormalion given Is I
correct. I e to w�y with ell sWte laws tl Gry ordinences relating to Duiltling consiruction, and authodze representetives of the Ciry of Caste Masa ro enter upon the
ebove-tles ri d prop tor ins p . I epree not to occupy or ellow occupancy oi any building authorized by this perm}l untll tinel inspectlon.
..� �/,� �/ `3`�
r� ����� Sian�wre Oi Leaal OwneAsl � Date
And/Or Authorized Applicant
CODE I. INSiECTIONTYVE
1616 Fixed System Finel Fire Prevontion
1266 Pool Spa Finel
200 Finel Re-Root
201 Finel BIocWReteining Well
202 Flnel Fectory Fire Place
203 Finel Slgn
204 Final Demolitlon
2448de
Q�jE � �QQ(d INSPEC110NTYPE
206 Finel Mechenicel
20B finel Plumbing
210 Finel Electrical
212 Finel Fire PrevenUon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
� _ I .1111..
/ r' .�.I<
/ \
.
�noaEssaew�wa: 320 23RD ST
OMNER�SWIEIFqqWN:HOOVER SAMUEL T
���u320 E '23RD ST
' . — = ' COSTA MESA, CA
� I �av�. uuura �uoness:
92627
UNT:
encxnecroxerax�+:WEAVER CONST . O0�N0�' 0
urcxonerw�s�noxEss: �g91 CYPRESS AV uHt:
ca�rnmromsru�WEAVER CONSTRUCTION CA 9z6714>847-2169
COHfPALT0A9YNIW0 7 8 9 1 CYPRES S AV
ADDflE9S:H,B. CA ucr».: 564138
92647 uxr:
IJCEN9EC COHfflACTOP4 DECL�P�TION: I Mnpy ert�m uMx pnNy d p�rryry Nm I un Ik�nnE uMw paLbes d CAeqx 9
(comme�n0 v.ilh Section ]000) d Divubn 3 d Na B�ai�wa end PMp�iau COEs. W mY lim'w u in htll lap W afletl.
c ic.No.: ue.cusa:g uc.No.:564138 EX
om.: -- 9� ��.� lea.�e,� Cow � wc;�i�e�-�
EX BUIlOER OECIARATION: I hasby a1(m� uMx prW y W pv�ury thet I un wmq Inm IM CoM'etlm Lkam� Lew la IM
Idbwip rmwn (��+ ]�1.5 &nnn� eM Ad�nbm CaM: Arry ciy a oounlY �� �aulm a pmnM lo oon�wn. Mx. Impo.�.
� demd'eh. « npai ury �Vunun, prlor b b's�uenn. Wo �puim IM �pplinM lor wrJi parmM to RN � dpnM Hmwn�M Mtl M a �M
`, i�..a w�w m m. w�. a m. com�.e«. u�.�,. V. �cnw. o toomm.�c wun s.aw� �000) a ow:n� a d m.
3uunau end Prdsaaom Codsl a IM M a�M u uanp �hrsinm W IM b�au Ip tM �Gp�E uunpbn. My vWnbn d bsqbn
1a31.5 by ury epptlr�ni la � parmil wd�sa� tM eppfiew lo e dai pnelly N np mon �hen M� hundnE tlaWn �f500�.
� I.mowmrdiMpopMamyxnpbywwihwe{paulhsi�docanp�melion.wiilEotMVM.enEtMNiuclunundlmendaJ
wMreE lor Wa (SacYm 10M. Bueimn uM PmlmeiamCOM: TM Conirepon Lkwnsa lew dou not npplyto an owiw d poperly
W�IO b11U'! Of �IIpOVM 1�MIlpl. Mf� M�IQdO!! �Yd1 MIXk NIIIMIi IX�Illtl� IX �hl Wjh hY Of �N! OMT MIpV�Nl. plUM�ld I� MM:h
imponmaro rs nol'vueMSC a aflenU ta �els. tl. ho�ewe.IM bntlinp a inpwxneM u wld wiWn ane yw d eanpbtion. the
oww�Wdds xi0luw tM dudon tl qw"up M or aM Nd nu dtlN a impow la �M pvpoee d ub).
❑ �. e. o.ma. a ine wowm. ��aumwN �u,m�n �.;�n rKam.e conV.non ro omw�a un wd� Iseaon 1a.. al.mmn ene
Pmleauone COAe: TM Conlrepas Ucenae law dom na epply w en owiwr d pope�y who Euiqe a impwm Iherean aM who
convens fa wdi pqeea v.rh e mMretlor(e) lican»E W��I to iM Conirmas Liceroe lewl.
� I em eaanW unAer Secuon: ' B.8 P.C.. br N'v isasm:
Dete: O+mer:
1 Eo Mreby cenily tMl I em eware d W uMarmteM tM reywromaw M Cellwnu Neellh aM Sdery Cotle Sed'am 25.505.2553t, eM
2551a. en0 tlut I a airy Mure Euikinp omryeni wiP / wil M(dreb me) � to camqy wYh eeiE etme mdm eM rte npuiremema br
eG�el«mnvuciionamoddmionhanila�i u�y ereyemeni0iarie.Re�ksaielmmrvd'onWG�iomene�emqfmmihe»
oe�e: AvW���
WONKEN'S COMPEHSATION DECL�N�TON: I Freby elfirm wdar penellyd perjury one d Ns Idbvriip Eatleruum:
� I here W xil meiruan e ceniliute d mmanl b�stl+nwrs br wMere' comprueiion, m qotidad la by Saeion 3100 d tM lebor
Code, la �M pMamenca d Ne �wk Iw Mich I�ie permil is inued.
_ rl I heve eM xil maimen workers' oompemelon inwrarKe. s� reQuired by Sadion �'NO d the lebor Cade. br i�e pe�lormenro d tM
�i�� w«k iw whiM Ihie permn ie mued. My waka ' mmpeneetion inwrenca mrrier uW poliry number ars:
c�.: STATE FUNS EXPIRES
Pdicy Numbm: Q 1� Q 1� 9%
(ihia aenion need nm be compbred I ths pe�ml ie Ia one hundied dallen /SiOpJ w lexv.)
� I cenAy ihei in Ihe paRormence W IM1a wwk Iw wfich thie peimii le iewed, I ehe11 ml empby erry pereon in eny menner m av lo
ne�«�b .�qae m ma .wn�e• canw�evp� ie.. a cdna��a. ew aoreo md e i enwb necome wqea io me womm�•
compense�ion pr visiom d Seaian 3]00 of �he lebor Cade. I aM1ell pNweh wm�pra� ns.
/n.. �
ma: ` ' �oa��: •d�rr,v'c 't�t �
We ip: Fellun ro swun woAsri eompe�wHon eoverey� 4 unMwlul, entl �NII �ubNet an miplopr ro etlMnel pmelUu ana
Iln�� up ro an hundM flauuM Eall�n (JI00,000), In �tltlltlon ro U� cwf ol rompxwflon, Wm�q� u pov/tlM br In
Sxtlon J1P6 0l tlu LWoi Cotls, Inrruq mC attomey'� Iw�.
CONSTflUCTON LENqNd AGENCY: I Mreby eHim uMer penelry d per'ryry Ihel Ihero b e mnn�uuion bMiiq epericy br IM
�IBlIOf1�IeI1CB NIM1B WOlklp'hfiIM1AR�IBfTI 19 9811BE (SBL�U11 .'108�,:�iN.ri�.
LENDEN'S NAME:
LENOEN'S AU�NESS:
I canity ihm I heve reeE I�h eppke�ian eM pete ihei tha ebova inlamdion ie carM. I ep'ee io canply xnh dl ary vM ooumy oNinercea
arM alate lewe nls�inp io buildiq connruaion eM hereby eNhorue repeeentetivee W �hn dry io enler upon IM eEwe-mentioneE popeM
lorinsqnion Durpoxs.
STEVE WEAVER
(515te6.WP) '�4e-9uiWiqdSelery:
o�, ��9�9�
Pink-Rewnue: (iaWenro�Maaaor
CITY OF COSTA MESA — BUILDING PERMIT
ERM NO: B 077629
PERMIT NO: B 077629 PLAN CHECK NO: 01837-96 L GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : CONSTRUCT 340SF ATTACHED GARAGE SQ FT: 15,500
CLAIM VALUE: 15,500.00 CALC—VALUE: 15,500,00 GROUP OCC: U-1 /
COMMENTS: NEW ATTACHED 3405F ATTACHED GARAGE
, M 1E 41E 1E fE fE 1E iElE 1f iF 1E 1E iE IE iE iE 1E 1E if 1E 1f 1E 1E iE 1E iE 1E 1E 1E 1E IE 1E 1E IE If 1E 1F 1f IE 1f 1k 1E 1E 1E 1E 1E 1E 1E 1E 1E if 7f 1f iE iE 1E 1E IE 1f 1Flk 1E 1E IE iE fE iE 1f 1f IE 1E 1ElE if 1E fE 1E
Z O N I N G R E Q U T A E M E N T S
S E T H A C K S
----------- MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
RNT: 30 FT IN REAR: SO FT IN FRNT: FT SN REAR: FT IN
EFT: FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
ARKING REQ: 1 PROV: 1 PARCEL; 11933210 ZNE: R2—M REF NO: t
LANNING NOTES> REPLACE ONE—CAR CARPORT WITH OVERSIZED (17' X 20'), ONE—CAR
> GARAGE, INCLUDING AREA FOR WASHER/DRYER.
ik iF if if k if if k i!!f k if iFif ikik.if �F k iF k k k!i Ik k iF lkit if k if if k iFit iE fE k 1! M iE if iF 1E if 1k if if iF iE it 1k iF if 4 iF ik if if if iE 1f it iE it if ff iE 1E iE if i4ltif iF if 1f
D E V E. L O P M..E N T�. S E R V I C E S R E Q U I R E M E N T. S
ONING APPROVED HY �� DATE: /
UILDING APPROVED_ BY : i� ' ��_/� DATE: _ /1
PPLICATION ISSUED HY: ' ��'I � DATEe ��
LI2ATION:N
BLDG PMT
IT 237.25
F E E S U F1 M A R Y
PLUMBING ELECTRIC MECHANIC
it it R 1F M iF iFiF iF iF R iE if 1F iF i��f �F iE�E �E'lE iE iE'lE
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
1.55
SMIP/NON—RES
PLAN 154.21 '
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 238.80 0.00 - 154.21 393.01 393.01 ,00
REVENUE DIVISION TOTALS--> COLL�ECTED: 393.01 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
237..25 L.55 154.21
iF iF 1F ik if iE if iFif iE If rt iF ik iE iE iE iF if ik iE rt 1E iF if 1f iF iF it iF 1E iE iE iE iE ii iE 1E fE iE iE if iP 1f iPlE 1E 1E i6 iE if M it 1t 1E 1E 1E if fE 1E IE 1E 1E ik iF iE ib iF fE iE if 1E iE 1E iE 1k iF iE iE
I N D I V I D U A L. F E E B R E A K D 0 W N
TYPE QTY._. D E S C.R I P T I O.N . UNIT COST TOTAL COST
SER 15500 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 15,500.00
END OF FEES
, r
CQNSTRUC710N AND PLANNING POOL ,,, oPA �
;- AQPROVALS Permit # Daxe Inspector APPROVALS Permit # Date Inspector
i. )`emporary Electrical Service or Pole 52. Pool & Equipment Location
2, $oilPipe_Und�ryd.T 53. SteelReinforcement ,
;� ��ectrical�'g,4W�yitJJi�lity-Undrgrnd. 54. Forms � _
: rr4: 6tectrical Cand�-(�ndrgrnd. 55. Electrical Bonding
'5:'$teel Rein.fnr,cemen.t �1 -56, flough Plum6ing & Pressure Test
� � � � ���
���6r�F.JectricaLdlfEftCund. _ '��� f� 57. APPROVALTOCOVER�GUNITE _
-�7-i�PootingsE"N `"•- S 58. ElectricalCond�rUnd.grnd. �
T � - .;. �/_Z�Y�
8. Foundation�,� :-y� ��, 59. Gas Pipe, fl Un,F�yrgrnd., Test
9. Water Pipe�Undrgrnd. -� , 60. 8ackwash Lineg;,P Trap, � Uodrgrnd.
10. Structural Floor SVstem � 61. APPROVAL TO.DECK � .
17. Pcoperty SewEr� Line.& HouseConnection 62. Backwash & Receptor-Final I
ef
12. Sawer Cap � , 63. Heater & Vent-Final
13. Roof Drains �- 64. Piumbing System - Finai
14. Rough Plumbfi� _ 65. Electrical-Final - '
15. Rough Elettricai�ontlurt 66. Solar Svstem-Finat
16. Rough Electric Wiri� .- 67. Fencing & Acce�s.f,apProval �
77. Rough Wiring Sign � 66.. APPROVED FOR-PLASTERING
7$. Rough ElectricaFT Bar Ceiling 69. POOL/SPA $YSTEMS FINAL
19. Bough Heating & piryConditionuag_ � ;, -� �� ; r. . - FIRE526PT.�EQUIRfMEIVT � �
' _ _ -r]._ �. � .
20. �RouQh FdPtorY. Fice place S �-� K r � �r>� � ;qppROVA�S'� ' Pe'�mit # � "
; r - z' ... '+ ' T r -
R. y � .. . r, :r .� . ;. .
27, �uc6, in5trGfCture=r: p - �z • 70. dJndergronod �ro �
22. t7ucts; V�ntilaxingr�> - t" .. �*:• 71. Produ�,TPiping C�1.6:�s C� Oil `
r
23. Gas Pipe�Bou� & TeY�st ,;,,- - "� � S,, � 7z. Undergrrwlyd Fys�i� � . -
� �
24. RooiFrar+�ing 3" � x � ` �^ * � 7�, �ndergrn�,Sto�ac�`yxanK;�Gas ❑Oil
25. &oot.5heathing e, F _ �F, 74'. i0verhead Hydro_ :- ,
a r. � V'/`��� _ C-="V -� F -
fA I
26. 7 Bai•CeiNng (Strueturall & MOItQCoat P� �,- =� C* 7��,'�pry Che�iic81 -• ^
27. rarx�� and Fla'shi �` ''Q s T,. /�6 � j, v 76. Dry Staridpipe ;•:.= , �• ��r
� `� e �, �,, ; � �/J - (
. 2&. Laxtiing�;Sidmg1 s ':r-�... ^��-�•r,�� . L',(!)'__ 7� FIXEDSY'STEN}�INA�" •
. (� (/u"`•- ��t�
29. Insulatiof C _ r� S '' S� � 7� FIRE PREV. Fuv�iL +� ^
i
30, Drywa�i Nai�ing c^X � c., ' / ��� S �HEALTF'i�DEPT.�REQUIREMENT
b
. 37. Plaster 8i6wrt�;oa�> � � r` _ '�y2,.� b �; ` 79. FINAL INSPECT�ON , . �'
32. E�ectricaF.Power Mster�F�nal ,r'.��. .V i .�SR+FOOD CER7IF�CTTE 13S19ED- � _ __�
n .
�33. �ina�lec�ric�, "'-.,� -��� �..i-- x�s*X � '> NOtes:�/Qj,[ 7r_o •�--0_`L:,:�r�-
l-: _. ,
34, �inaLHeating & Ai� 6onditionirig - _ - ''r ,. - - :- 1 ^
' T^ }• r '
!r ' _ �-
35. Finaf GasPipe-R'es�� �= T Y" i �• _ �_ �,�
ei,a:�7 -. �: , . . i.��
_ 36. Hoo�-or 68nopy -- � . � r�� � . ' i-.
- 37. Flnal FaCe[^ory Firepl�e ' ' r` " r r` {' r R -
t' ' [y _
�.+.• _ '
- 38. Eina�Plu ing , �, ` ;n�' - - R
39. tNater Sedvice'�inal � � �� �` �. � . -� ' � �
A c:�- _ • °.a . _, ''c7 [n
' 40. G�s Service-Pinal r . . "� � _ � ,x .- - - a .. '
�-
- � 41. Solar pomestir-FinaN ^ � " ,-� c ` -
. o- iu ' -. i- _
42. BEckflow Preyenter : „ `.::�. "'` ` .',; = J -
�
43. Backflow lrrigation � '� '� `' '- , , �
�. ; � t.
' . .. �, > - � .-. .., j.�. . . -
44. Landswpe- Irripation System ��- ,-. , ,: _ r , F £ :� �_, : ,. 5 .
45. Sound Attenuation k ' " � _ :. :-, �__ �. �.:, „_ �
4fi. Nanc{icapRegulation'S � -• , c -- - .� �
47. PINALSTRUCTURE&BUILDING �_,��(p (.✓�- , _ ' "
r• ,^ '
48. FIN/t� PtANNING , - � , � .. ,, �d S �. -
,49. 6�eccric Release to Edison �' � � _ . -
50. Gas Release to Soutfiern Califomia�,Gas Co � _ =_ . � .
51. CERTIFICATE OF OCCUPANCY
No Date
PDDNE55 Of BUILqNO: 3 z O 2 3 RD J�' T
av�wsru�EiF�x*+:HOOVER, SAMUEL T
woxcss:320 E 23RD ST
, � • COSTA MESA,CA
�vn. �uiu'c �oo�ss:
urcxrtecTox�+m+ax:WEAVER CONST.
wcxonerc•smoxEa: 7891 CYPRESS AV
,9262T
UNT:
uc ra.: p
uNr:
H.B. CA 92647
wNrn�cTars�WEAVER CONSTRUCTION ( 714 ) 847-2169
CQRNAQORSYYIRA 7891 CYPRESS AV
�ooxEss:H.B. CA uc.ra.: 564138
92647 uxr:
110EN5ED COMF�CTOPS DECL�PATION: I horeby aflim uMer penely d perjury Net I am liroroed uMm paiaau d Cheqr 9
(mmmer�Y xilh Seciim )OW) M Oimun 3 d Ne Bua'vie�a en0 PmleaYona CoEe. end mY 4cm» w in IW brce end eHaa.
uc.No.: uc.cuss:g uc.No.:564138 EX :
, S� 4� 9(� ��� weQ„� c
N BUILDEX DEClAfl4T10N: I Mrtby el(um uMm penaly d per'µy Ihet 1 em e+emp fmm �M Can'vfm liowe law ta tha
�aw�;ro �•emn (seaian �w�.e an:me m�a rw.sia,e coda: �m ery n ew�y .nkn �.ei,i�e, e oem,n io awwa. en«. imwwe.
�'.mdeh. ar repei vry zvunure. p'vW m ewar�oe. ebo raQuiree Ihe epplirant la euc� pemiil lo fib a eprod e�memem Net he a sM
m�,.ee o�� m m. a� d u» cw,mo�. uo.��e �. �cnaa� o�c�,«,m,a wn seaw� �000� a u.e� s a�ti
ainw eM Rdav'vu CaAel a ilut Ae a ahe u uemq inaohom aM IM beaia la Ne elbped aasm'qun. My viAmion d Seaion
)0]1.5 by Brry Bpp4W� Iw e pxRtil MdjecU IM eppfranl lo e eVY pBlaEy d�cl mas Ihen Iwe hWMAE EdIeA �SSW��.
� I.mowneeWlM>W�YamYemOM�xfhw�m�MieolemmW��.xi0dothev.ark.eMNeeWeluie'snal'utlerNed
w oRerad for eeb (�� �aa. Bu.tlroea eM Prdeesma Code: Ttw Coniropws Lioenee lew does mi upply io en oxnx d popeM
wlp EuiCs a inV�w*� therean. md Mn doee auN v.qk!'vnwtl a hmael tt rtvuq� hu a hs orm empb�ee�. pwitleE Ihel wch
imP��^mva ere rd'weMeE a Wisad lu eale. p. howe.er.IM WiIEiM a unpvmmeM u eotl wilhin ms Ym M canWetion. tM
owmrauiMar wJl heva iM EuNen d prwiiq M a eha dk rwi Wild «imqwe la the puryme d eeb).
❑ i. m c.�,b, n me dw«n. em e�d�.iv murea:ro .ron imm.a mnaxiaa m conww m. waeals a�m �a,. a�.:�..�a
a�d�+ coaa_rns co�vmon ��� �w ao� m roorvna � ow�� a wooenv •no wm. a:nww.. in.�.o� .�e .ro
canvena fa aiN prqafa wuh e mMradoHe) liceroed punuem to iM Cont�m«e lironea lew).�� 1
� I em exemq ur�er 9Mian: B. 8 P.G..Ia N'm eaon: ' ��� ��
Da�a: ��:
I Eo nereby eanAy Nm I em ewere a W urMenieM m. rpuieemem. a eellomie Heelln ard 5daty Cad. Seaiom 25505, u5�3. end
255�1. eM UW I a emY Mwa duMuq omT�l will l w11 M(drtb one) meE lo canP�Y wY� uH pals ootlea eM IM te0�inmanb lar
e permn lamnavudion a modifimion hom iMR'r-Oua tTy I.�mepemem Distna. Ravidemiel oonnrwfion eppfra�ioroue e�emp tmm IMae
prwiaions.
Deb: AOdKe,M:
WOHKEN'S CONPENS�TION DECIAX�TION: I MreEy el(rm urder p�M1y d�wjury me d the Idbwiip Eetlerelbrro:
❑ i ne�<�a �e �m� a oanne�, d oo�.am m.and�.�� ro. „o�.�; wmpenee�ion, ea qwked Iw by SMion 3]00 d Ihe Lebor
CaEe, la the peAamence d ihe xork la wlich this pertnn ie inued.
�I heve eM wil meimen workere oompenuiion inaurar�w. m�aquired by Section �100 d iha lebar Code. brthe peilormence d iM
wmk Iw whiM Ihia permn ia iaued. My workere' mmpenemion ineurence mrtier e�M policy number ere:
c.ma.: STATE FUNS EXPIRES
Polcy Number: Q 1� � 1� 9%
,his sxfion rieed rwt ha canpbfeE lIM pemid 'n /a one h✓rWieJCdlen /TI00) a bn J
� I cenity Ih+t in Ihe perlormence W Iho vroM br whkM1 ihin peimil in imuoE, I ehell nd empby anY Da� in eny menmr eo ea to
become subjad ta �M xorkera' canpanaet'wn kv.a d Celiianu. aM epree ihm A I ehouk became abptl lo IM wa�Fen'
D� om �tio�� �Sedion �]00 0l ihe ��: � Il lap ��wnh ihoae p�o�abna.
-��tc�ti�C_ G4�V" `—
Weminp: Fsllun ro �roun woAen' compsiwflon covoep� b unl�wNl, �ntl ilull �ubhcl m miplopr lo ctlMrul pxultlw mtl
onn n,,., w ro o�. n�e..d mo�n�e ewd,. �s�oo.aua M.daiwo ro m. �o.i or romw�..�mn e.m.w ., a+o�.e ro. r�
SxHon 91f16 0l M� Le4or CoOs, /nronst, �nJ �ttomq's /ws.
CONSTPUCTON LENdNO AGENCY: I MreEy effiim uMu penMy d perNrv �� �� u e omnewion bndvp epem.y br Ne
paAormence d tM woM la which Iho parmt e eaueE (Sodian �09). Crv. C).
LENDER'S NOME:
IENDEN'S RUDHE%:
I cMily IMI I hew reeE Ne epplicmion end tlete Ihel Ne abws inlorme�ion o mrtad. I epne lo canpy wilh dl cuy md oounN ad'uences
eM eteta lex� reletiq to WiNvp wn�Uuqion erd MreEy eWiarce rapreuntmrvae d ih'v ary w mter upon Ihe e�we�mani'v�ed pmpeny
��`��'°��v��°�STEVE WEAVER
Dme: ' I ' v
(515ta6 WP) WMe-8utld�q 6 Selety:O�eemFb: Cuwy-Appirent: Rnk-Rmenue: Gddmeo�N�mm
CITY OF COSTA MESA - HUILDING PERMIT
PERMIT NO; P 077631 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU �-
JOB DESCRIPTION : CONSTRUCT 340SF ATTACHED GARAGE
PERM NO: P 077631
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: U-1 /
COMMENTS: NEW ATTACHED 340SF ATTACHED GARAGE REF: H-77629
1F if 1ElE 1E 1E 1f 1E 1k ik iE 1E k iE �E 1E iE 1E 1E fE 1E 1k 1k 1E iE 1f iF 1f iF 1E 1f 1f if if 1E 1F 1E ii iE 1f ik if 1F iE iE k 1ElF if 1E 41E 1E 1E 1E 1E 1E if 1E iF ff 1E 1f 1E 1E 1f 1E 1E 1E 1E fE 1E 1f 1E 1E 1E 1E 1E 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
---------=-- MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: �FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; �.FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 11933210 ZNE: REF NO;
PLANNING NdTES>
� > '�
1f k!E!E if 1E 1E 1E ik iE iE 1E 1E 1! fE fk 1E 1k fE fk if ik 1F 18 iE 1Flf 1E 1E ik if if ik 1f 1f 1F 1E 1E k 1E 1E 1E 1! 1E 1E 1ElE 1f M 1E 1E k iE 1k fE iE 1E 1E 1E fE 1E 1E 1E 1(' 1F'lE 1E iE 1f 1F 1E if 1E 141E 1f 1k iE IE
D E V E L O P M E N T S E R V I C E S' R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING/_APPROVED BY : ."_•, DATE:
APPLICATION ISSUED BY: � DATE: I��
IE1F1FlFlf�ififlEiE1E1E1f1f1EiEiElE1ElE1Fik1E 1E1E1f�EiE1E1EiElEiE iE1E
LEGALIZATION:N F E E 5 U M M A� Y; ^ n STRUCTUR EG NT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING
PERMIT 19.00 �� — �: ^.
25E , ?., = , . SMIP/NON-RES '
PLAN ' ;� , .
ISSUE FEE 20.00 - �' � .
BUILDING-DIV-> PEAMIT ISSUE PLAN-CHECK �-�,TOTAL: PAID DUE
TOTALS----> 19.00 20.00 0,00 '� 39.00 ' 39.00 ,00
REVENUE DIVISION TOTALS--> COLLfiCTED: ;39.00� OVER/SHORT; .00
BLOG PMT PLUMBING ELECTRIC MECHANIC FIRE CSMIP%TOT GRADING PLAN-CHECK
39.00 ,� , .� '.
�. 4i i
iE 1E 1E 1E 1EiE if IE IE 1F iE if iE If IF iE iE iE 1E 1flE ik ii if 1k if iE 1f iE iF iE 1E IE iE if ik iE iF 1E iE 1E 7E �k 1E iF1E 1E iE.M 1E if IE 1l��E 1E iE 1E 1i iF 1E 1E 1E 1E If ik iF 1f 1E if 1E iE 1f 1E iF 1E iElE iE if
I N D I V I D U A L. F E E B;R E� A'.K(D O W N
TYPE QTY_ D E S C R I P T I O N � J�,� UNIT COST TOTAL COST
PLU 1 LAUNDRY TUH OR WASHER „ "� � ^� ��7.'00 7.00
PLU 1 WATER HEATER AND/OR VENT �,-�' �' 7,00 7.00
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTL`ETS-i�\ -5.00 5.00
END OF FEES . -� Y/ �,�.�
� !� � ` -�..� _ i ,
. •� -��'�' � I �/' `
, .� ` �� '� . .
; �-�
I 1 i "/
� � � •%
CONSTRUCTION ANO PLANNING Pdb� 'Pa
APPqOVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. �iempo�ary EleCtrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. _'Z';- �6 � 53. Steel Reinforcement
c3. ElectricaP.Cbr�di�ttir.fity-Undrgrnd. 54. Forms � - �,
_.�-Q:.EtectricaliConduit-L�ndrg�nd. 55. Electricat Bonding -
5':�Steel Reinfo,r,cemen� . 56. fiough Pium6ing & Pressure Test
<-6'�Hectrica�#F,EfCI4:nd. 57. APPROVALTOCOVER-GUNITE -
•��7''Fpotin9sF � `'�� 58. Electrical Condµ�C•Und.gmd.
- r �,;
~�8. Foundatior� %� �� ;� 59. Gas Pipe, O U�}:�grnd., Test
9. Water Pipe-Undrgrnd. �� ,,Z3SZL/��Q,� 60. Backwash LineayP�'Trap, Q Undrgrnd.
�
10. Structural Ploo� SYstem �� 61. APPROVAL TGfDECK �
11. Property SewEt Line:& House�ortnection 62. Backwash & Recepior-Final
4
�2_ +we� CaP c, � 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumb'rhg.. _ � �j ZL� �j� 65. Electrica6Final
�
15. Fough Electrica�-Conduit .. 66. Solar SVstem-FMdI�
16. Rough Electric `��ing� 6J. Fencing & AccesCSApProval -
77. Rough Wiring S� ' 68. APPROVED F�fi-PLASTERING
78. Rough Electrica4�T Bar Ceil�ng 69. POOL/SPA SYSi�EMS FINAL
79. Rough HgdGng & Air.Cond�iwn{�g � � -� .�a� ��. -- F.tR�EOEPT.ti3EQU1R9ME11�T --
' _ _ _ ' r, ' � � C' 'i _
20. Rou}0 FaDtorvF, Fi�place �:� x" • : _ =" � � :�APPi�V(��4'+� Pe'lnit #�_ .
i-- F+ - F,
2t. DucFs� in�truc-turA-K . .. ' � .j ti c :�. , 70. :Flndergrovun8 Fi4dro ?
22. D'ucts, Ventila8ng • , ^, ' � '- ^ F"r ' 71. Produ��'iqing O�jas (,�Oil -
_ . - � .
23. Gas Pi -`E{ou & T�st �h� '��'"�p s"� ���_" ` ' ' ' ��
Pe 6h � T•.- �: - u x� 72. Undergrcund F�sK k 'r
24.RoofFramin9 " ; '' � `^ �y '73:�Undergrnd.Sto�ac�{`eTank�Gas❑Oil
25. Hoof'Sheathing K'� � ��i - � � -`� 7 � Overhead Hydr�- ,.
26. i-Bar•Cei4ing (Str�tbrall & Moti6"coat ' 1 >^ Cy 7,Tr.'. Dry Che�ical r'=. � _ `� ``'
27. •Fra;n� arid' Flashirtg ` „^ ^ � s '• =:>. ^- ��� '" a '. � - .
. 1* e rq: 76. Dry Starj¢P'�Pe q� . t � '� ��
28. LatFi�ng&:Sidin9 J* 't ��, ' X 7T FIXEDSYSTL�{�'t!JACr • .'m�.
- : .. .. � . .
_ 29. Insulatio� o? c S �� c�: � �* 7�:�IRE�P_REV. FiA�f,L i� � �Fa-� �
� 30. Drywall Nailing � '- - ' `{ `�%ti �'�SIEALTR�DEPT. REQUIREIFt�JJT
r r ^ o.
, 37. Plaster Bijs�wri�oat. �`' _ F ;; � 'r�r 79. FINAL I,Z7,�� �G'ECT�DN *•, _ "
" ' -
�, 32. giectrical=PowOr Me.ter-Final x�� � � > 8Q' FOOD CERTIF'LCATE 13S{�ED-' �='
c -.
- 33. Pina[�IecLtric� �,� Y �"' � � � � �% NaSes: ,�/ � ' � r � � ��'
... ' ` i �� � 5/%7r/_C�l.%_y,_� ��_V.jZl��(-c_2-S�YC1-10IZY
� 34. �inaCHeaung� Aii Cqc?ditioning � � t �. � -
_ � - - � ' x ' r,�41 n� FT_c�_,f''t`�/�8�7 ori,_Ts,pK �:>'r
' 35. E1na� Gas Pipe=7est: X ' " ` " "" ' " ' '" ^
_.' � '� r � ' i3'!-D_����'�fZ�� c.oL���l `�
Y, • . l -
36. Hood�or CanoPY �..: C' ��i � ���'r .
- _. ._ K _N6'Zl%G T��Z�A��" �*.�Pi (''� �
_ 37. Final'Fat�Ory FirePl��e^.' „F'; y; n; �,. S _��r- (,,, �' ^ tL
' tc. - q i N . : "' - ' --
.38. Final-Plumbing -,xr. � " � �3` �" �S�Z�-G.� ��'�%�-L f_c��Ci� �
39. Water Se�ice-Finat•* � � i � � �� . - �r _1 -� +� � -�^�/_
,, , � � ' !* � 3'�'z `_b��Q .n�2�=1_` - - '�
-40. GasService-Finel r %-.L _� - � � ��¢� �_2� /g:;�- �' � �
� ��,-_� �.� �r - -
- 47. Solar pomesticFiaal* ^ ^ ' l ' ` r' �- � � ' � �
- ;+_ -' ' �x' �--�- -�'[-�-��� - - -
42. Backflow Preventer k __ �r _ r z{,
` _ �� � /3 �--6��'.�/_�i_ - _ _
43. Backflow Irrig"�tion �� ��._ "�^ �,' �! *'. � _
�1. ��andscape Irn`pation:SyStem ;_ �-� � ` ` _� v z; ' „T; _ F-
- .�
45. Sound Aitenuation ;° --. .. ° ` "`� ` �C" ' . _ °-
- ^ - . � . _ >
T
48. Handicap��iegulationc .- � . � , - ,� a
G7. F�INALSTRUCTURE&BUILDWG ' f I � ' 'ti " -
-� r. *�: .: - �
48. FINF,qI PLANNING �, � � t � ' •e ,; ' : i ' :r. r
A9. Electric Release to Edison � ' ' � __ +
R i
,50. Gas Re�ease to 5outhern CalifornirGas Co x � _ � � �� , , •_ ' -
4 (
51. CERTIFICATE OF OCCUPANCY
No Date
i�
�—i
ADDPESSOFBUILqNG: 32O 23RD ST
OYMERSNANEIFIMMrt1:HOOV�R SAMUEL T
�OOPESS3ZO � '23RD ST
' COSTA MESA,CA
i1VPL.141t1N010DNE53:
92627
uNr: ___ I _• __ . ,_ , CITY OF COSTA MESA — BUILDING PERMIT
ERM NO: E 077630
PERMIT NO: E 07763R1 PLAN CHECK NO; N GOVT: N SUPP: N
., .
YICNRECTOXBNiNFEX:WEAVyR CONST. , uc.r�o.: 0
nncx.one++a.•s�oox�ss: 7891 CYPRESS AV uxr:
H.H. CA 92647
coxmncTarsruwe:WEAV�R CONSTRUCTION ( 714 ) 847-2169
�' COMRACiON'4MNIlNG 7891 CYPRESS AV
�ooxess: H. B. CA uc. xo.: S 6 413 8
92647 u�:
110EN5ED COMFRCTONS DECLqppT�ON: I Aereby Mvm uMar penely d perj�ry iM1et I em IcemeE uMm qovivona ot Cheqer g
'�. (canmawnp xiiA Seclion )000) d phsion 3 d �M Busi�ross eM Prdeeeims COEe. aM mY lirema ia in lull brce vN eHee.
cmuc.No.: p q uc.cuss:g uc.No.:564138 E P•
�' 1 ' { c�i�a«: �� ��a�nq�Md/C�� eM�
N UILUEfl DECLANATION; I haraby elfirm uMer perWy d parjury thel l em exampt fmm Ihe Comrmas lironse lew la IAe
p ruwn (�� ]W 1.5 Bu9ines� eM Prdaeeione COEe: RnY cilY a couMY �ich ropuiree e permil �o canbud. allar. improva.
'imolo�, w repair eny slruclure, piiw b ila oweMe, ebo reQuirea the epplirant for wch peimX lo file e aqmd eWement thet M or eM
licenaed pureuent lo Ihe provisioqa d Ihe Gomrenon Limnae Lew �Cheqm 9(commer�dnp with Sed'an ]000) W �iv6ion 3 d ihe
�sine�a end GrMemona Code� m �� �y a nhe ia eaemp Ihxahom end Ihe besia br I�e dleped eRemqun. My viWelbn d Sed'pn
)03t.5 W eny epplimni for e permil wbjxM Ihe epd�� �o e dWl penelry W nd mare �hen live huMred Eollere �5500]�.
� I, ea owmr o11M propeny or my empbyeee wYh weqes ea Ihe'r eda mmpanealion, will do tha wak, enE �ha el'ucture e nM intendeE
or Merad lor aele (SecUon ]UOq, Busi�ea end Vrofessiona Goda: The Convedon Licenae law doee iwt epplyto an owner o/properry
wha buJEs w inpraves ��ereo�, end who Eoea auch MaM Nmeeli or Mne[ a ihraph hi a Mr own empbyeea, pm+ded �het auch
impwemenU va mt inleMad or d1ereE lor sele. X, Iwwever. iM WiHiip a'vnqwemem ie eoM xithin ma yeer d mmpbtion, tM
owiror-0uiNx will heve iM WMm d povinB � or ehe d'd rwt Wild a improva la iM purpwa d eeb�.
� I. u ovmor d tM peopMy. em extlusivey mnireaip wM lioensad wnvaetwa to mruvuu IM pqed (�� �. �inma aM
Prduvona COEe: TM Lanirecaa Licenee lew Eoes nal eGWY �o en owrer af pW�Y w1w WJds a imG�'ea the�eon eM wM
wnlreeU Ip wef� projatl5 x4h e mMteGa(a) IcenfeC W��1 to IM Contreqps Liianea lewl.
� I em a�emp uMx Secibn: B. 8 P.G.. lor thia �aemn:
oe�e: owo«:
I Eo hareby ceniy Ihv I em aware q¢M umbrstend the �aquiremenro M CelEomie Maellh end Sdery Code Sedions 25505.25533, e�M
25591, end ihet I a eny Mure builE��p �pent will / wil nM (dmb one) need m mmply wilh aeitl ele�e cadee uM the reQuiremenb br
epermillorwnavudanormotl�ficeti�homlheAir�ii ity�,enepemen�Diatnd.RenideMielmnavudonepplicelioneemexemptramtheee
provisione.
Deta: Applcanl:
WOFKEN'S COMVENS�TION DECLpP�TION: I MreEy elfirm urdar pariehy d pe�jury ma d IM lollaxi�q Aetleretions:
❑ I hera eM wil mein�en e cenCirete d wment io esll�inwre la xaAcere' canpanaalion, n pwidad IaW Sseion 3]00 M �ha Lebor
Coda. ta IM peAmnarics ol Ue xM tw wlvch I�ia pemid'p iaued.
� � n..�. e�e.A meime6 wwken• oomo�� ��,.eme. e� �ep�vee M seeion amo a m. �ae« coee. �« me wn«mv�e a U.
�xi��n��n�.��m�m�e.MYw«x�ST�TE FUNS �0����m��� EXPIRES
c�.:
vawr N�mc,� O 1/ O S/ 9 7
,/M1is senion rieeC no�W crompbley / t� pnnn! ia la ms hundred EWlers �S'IWl a hn.)
� I ce�M Ihm in ihe parloimerr,a M tM woM fa whch �hie pe�mil ia iseueE. 1 ehell nd employ enY Ds�n in enY menner eo u to
acoma eubl� �o the workgry �penaeiion kwe d Gdilamie, end eprea Ihal il I ehould becama eubject lo iM worko�e
c penmli n OJ�;� �ion �)00 M the Lebor Cotle, I ehel hw�h comp�y h thoee provieione.
{.f /� n�,.- , ' _
eie: �� 1 lQ RPWira�t: ���lJ��/`^��..�
Iny: F�llun ro sseuro waksy �ompawHon mverp� b unbwN( ends/ull aub/�ef en mip/oys� fo etlMiul p�naMu qnd
c/vll nn� up ro on� hunars0 thoyasiM tlW/ar� (SfOq000). In atltlltlon ro th� cwt oI rompxu�Hon ameps� es proNtleJ ror In
Sxtlon �1P6 0l M� L�6or CocY, InMstf. �ns �ttomry's /w.
CONSTRUCTION LENDING AGENCY: I MreW elfiim undar penelly d pajury tlat iMrt b e mnniutlian lendiiq q�ency M tM
peAameMe d tM wwk la whirh the pem�1 ia caueE (Sedion 309]. Cv. C).
LENOEH'S NRyE:
LENUEP'S ADDX�55;
1 cenity ihet I heva reeE Ihis epd�elim end Yeta Ihet Ihe eEwe int«meiion ia mrtea, l epree to wmDW �h ell rny uM caunry oNine�ee
enE a�ele lex+nlminp ia builEinp eo�yqudion eed hareEy eu�lwrrze ropresenletives d Ihia euy to amar upon Ihe abwa-mentuned propery
�o�msv�+ioow�w�s.STEVE WEAVER
Dme: �.+ � / _/ �
(St51de WP) WhXe-Buib� 8 Sefety; OreeMFle: Cenery-Appirent: Fnk-Hevenue; OoNen�o�qseemr
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD
JOB DESCRIPTION : CONSTRUCT 340SF ATTACHED GARAGE SQ FT:
CLAIM VALUE: CALC—VALUE: . GROUP OCC: U-1 /
COMMENTS: NEW ATTACHED 340SF ATTACHED GARAGE REF: B-77629
1E if 1E 1E i@ 1E iE �f 1E 1f 1f ik iE iE 1E if 1f� ik iI' iE �lE 1E IE 18 iE 1F 1E IE IE 1E ik'M iE 1E 1E if 1F 1E iE 1E If iE 1E 1E 1E 1E ik �k if iE 1E 1E iE 1f iE If IE 1E 1E i! iE 1E If 1f 1E if if'lE 1F 1E'lE if 1k iE 1E 1k 1t i(� 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11933210 ZNE: REF NO:
PLANNING NOTES>
%
iF 1E 1! iE 1f ik 1F iE i(' iE iE iE IE Ik fE 1E iE 1E 1f iE 1E i! 1f 1E 1F 1E iF iE iE I(' iE IE iE IE 1f� iI� 1I� 1(� 1E iE 1E fh 1E 1E iE 1k IE i(� k 1f �IF ik iE'lE 1E iE'lE'IE 9E iE IE iE 1E it 1E 1E 1E If� 1E 3E if 1F if fE iE iE iE iE ik
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . DATE:
BUILDING APPROVED,HY ;
APPLICATION ISSUED BY:
1E 1E 1f 1E IE if if 1E 1E 1E IE fE 1F 1E IF 1F 1E iE iE iE if M
LEGALIZATION:N
F E E S U M M A A Y
DATE;
G
RUCTURAli SEG�tENT;N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 21.50
,.dS03 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 21.50 15.00 %' 0.00 36.50 36.50 „00
REVENUE DIVISION TOTALS--> COLLECTED: 36.50 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC M�CHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
36.50 �-�
r9
1F 1E fE IE IF iF If if iE if fE iE 1E fE iE fE 1E iE 1E 1E 1E iE iE iE iE iE iE iE itr 1F iF iF if �E iE i�E iE 1E iE iE if iE if 1E 1F iE iE iE iE iE fE iF fE iE iE iE IE ik iF iE 1f iE if if iE if IE iE �)E iF if iE iE iP dE 1E 1E iE
� I N D I V I D U A L�1,� F E E H R E A K D O W N
G
TYPE QTY . D E S C R I P T I O.�N UNIT COST TOTAL COST
ELE 3 FIXTURES LIGHTING ? 1 ST 20 EA. .75 2.25
ELE 5 RECEPT/OfTTLET /: 1 ST 20 EA. ,75 3.75
ELE 2 RECEPT/SWITCH C 1 ST 20 EA. .75 1.50
ELE � 1 RES APPLIANCE NOT O�ER 1.0 HP 3.00 3.00
ELE 1 SUB—PANEL 11.00 11.00
END OF FEES
O
l��� ;
� �•
��
_
::ON57RUCTION ANO PIANNING " �0. SPA - .
APPROVALS Permit # Date Inspector APPROVALS Permit #' Date I inspector
1..Temporary Electriral Service or Pole 52. Poot & Equipment Location
2. Soil Pipe_Undr md. . 53. Steei Reinforcement �
�3�_,;�jectricatSCy�n�luli;(}gility-Undrgmd. 54. Forms . - _
' �:4'! EtectricaV•ConduibUndrgrnd. 55. Electrical Bondiny "%
'$,; Steel Reinftrkceme�t 56. ftough Plumbing & Pressure Test C,;
c6"�IectricaL•t1FEt3 B�nd. 57. RPPROVAL TO COVEF-GUNITE -
,. "
'-=7'.�'Fapotings�":v �`� 58. Electrical Conc�'�(FUndrgrnd.
`"8, Foundatio `�
�y C'�� :n 59. Gas Pipe, O UcrJrgrnd., Test
9. Water Pipe�Und'rfg�rnd. � - 6p. Backwash Lines�'�, �'Trap, � Undrgrnd. -�.
10� Structural Floor System v%i 67. APPROVAL TO DECK '
i t. Property Sewec 4ine & House�Cortnection gq. Backwash & Receptor�Fi�ial
�n a �-+
12. 3ewer Cap Q, �^I 63. Heater & Vent-Final
73. Roof Drains 'o^ , 64. Piumbing System � Finai
6
l4. Rough P tfin "� � •
�+JT� $. -� x-�.;.� 65. Elecvica{�Finai
15. Rough ElectricahCouduit •• -'y 66. Solar SVstem-F%'ai
a �
76. Rough ElectricbVirii�' -_ ' 67. Fendng & AccFse_Ap¢rovat
17. Rough Wiring S�gn r 66. APPROVED FO!R'PLASTERING
18. Rough Elearic�tT Bar Ceiling '- 69. POOUSPA SYS?EMS FINAL
19. 4�ough H�ating&:AicConditipr�g � �: ,� ;.� ;� �� �+ �q�p��pT"FiEQUIREME�fT � � • �:"
- '^ t+'� '-� N ^ C z, . y ' _ ' '
20. �ou9Fi f5etoi� Fi�'e�Slace ' St+' x'Q k� S�-+ Q'>t � APPEiO���;� P�mit #" ' t-!r..� •. .
�.' i-� e.... i c-� F SC S x ti 7'7 �
.. - � t •. _ - �
27. �uct� inrStructure�-., � SH �Y �� �-; C�* 70.F�1nderqrbUnd HTdro ^
M •
22. 'y��uc s, Ventil�in�'� � � * G "Z � �:" " 77. Prod��± �Pi in ,-� �
� � � i �; yk p+ ty# ; �+44 � 9� Gat Oil .�
2i3. �ias RipeLRough o5'�st �[*'h` CtCj * lx CT �'x: � 72. Under9raund P.�Ush . '.
24. Roof �Framin9 3w � r" * D�' �~x` '� 731 Under r d. St f Tank. � Gas ❑ Oil
r. W � N 1,� R± [*: C N X: � 9 C ��
i25. oo h€3thin '� ��� ` � "' .
,$ � 9 r�t .-i -w `] iT^ �z� 74. Overhead HydGKt'
.-.
26,.�Bar•Cei}ing {StretEttiral) & Monp'soat �` n '" � G* 7� Dry Che}�Lcal �' _ �' -_ ^ �
� 27,�s�me artd Fiashir�t� * ��� y.* 76. Dry Star�P�Pe�c,,-� ,. - ,. - _ ,
_ 28, LaLjiing &'Siding v� JtxF G r� �� 7� FIXED�S'�TF�M FINAL .' T,-. m-"
c.. . , yc n ;-a .. '� zK ,... � t �� . : :T:
� 29; Insulationq c� � � x S ` 7�! FIRE PREV. PYttlAL R� � �F-': .
30. Drywall Nailing �"� �' � x H � �� 5
�e *
� ,� �4EAL'1?Fi DEPT,.REQUIR"�_FvtEN7
' 31. Plaster Bfowr��t;oa,�iT � , �� �* 79. FiNAL �aPECTIDN �,. - F
: 32, '67ectricaMo�4�r N�ter Fihal � * i � �,� 8Q? FOOD C�,FRTIFaCATE ISSUED = -
� 33, Fina�t�'iVe�tric� _.: �r' i'..�ri � d � "wU! ��x �tyes:6 ��D - . . - •,-���
� rv _ - '?6_-_CO�SoL�Fx�•a:�-
, 34. �ina�l�ieatincX& Air CoOdixioning' !+7 :K J i + rivo o � F<.� -- -��
•T .,� * noq« on - '
^l . ^ .-�1; �y .. x; r-i � . _- n- ` � �., ,
35. ;E.inal Ga51'ipe-Testti;, � * ny , ,, : i�;� t..,
� �.. � �.;.. _� � � .. _ - - ^ - .
. 36. tiood or Canopv 7� n i oCtr, �+ � � ��� r`: xo .- .. a_n ,�
.., �� n c=� r
: ._ r �, _ w, * � :N p� ,
' 37. Final"Fa�[ory Firepi�ce�^ � „ „ W � n, \ � ,� -
� �..
- r , . .�. ` _ '
-38. Finahi'lumbing c?��,�i�J � � I � n • � ,r
39. Water Seivice-Finai'� �� y �� i I '' ; �-
� � i- .. i- t Q.�
� 40. Gas Service-Final �� ♦ � ni.E, ,ry. #: I � • �� ` �^ `L
.. r Tr�
41. $olar pomestic-Fina� E v �� � � f� .� "
- - .. : �., � -
42. Backflow Preyentelr ;a r - _: �-+ �:." �; : ' . .
�
� a: r � � � i_ . . -.
43. Backflow Irrigytion * ",,.� � , ;,, _ �....;. ,�;,
g4. ;�andscaPe triigauon System: C� ?± K*S e:: � � z' _ �
c. a -
45. Sbund AttenuationX L ` " ^ �' �,.� � T, ~ �� . C � C�� ' . � �
C Y
�46. Hand'rcap Regulations - •. * s ' ��f <' � i C � � �
�r � c
A7. FINRL$TRUCTUf?E&BUILQI.NG ; `� � � ;r.c� � : �
48. FINRL P�ANNINGx ' � x�"�� �:. si _ 'r
- �
49. Electric Release to Etlison W � � ` `t � � - -�
; �r � � . _ -,�_�_
�_ _ _'
50. Gas Release to Sout6ern Californi�f,asCo �� �s� • s =,� � - _ - -
_ h�
51. CERTIPICATE OF OCCUPANCY
No. Date
�
�I
ayonmsaew�oo�o: 320 23RD ST �
avNeaeru�eiv�u+owr+: HOOVER SAMUEL T
• •"0°"�' 320 E �23RD ST
- COSTA MESA,CA
�rv�. wuwa womss:
MCNRECT OR FNtlNFFA:
1NCX.ORFN0:8 �UONE59:
92627
uc. rio:
u"T CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: E 078242 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
UNT:
��"�T�'"""E WEAVER CONSTRUCTION ( 714 ) 847-2169
ca+m�cToae�uia+o 7891 CYPRESS AV
���* H.B. CA ��= 564138
92647 u�:
LJCENSED COMP�CTONS OECLAP�TiON; I AwWy Nim �vdx paeWy d parpvy Ntl I un IkwueE ivMs po.iem� d Cluqr D
(oarvnentiiq wv� SacYm ]000) tl Divuion J d Ihs Bva�u md Fmlmuiu CaM. ud my Ibenn u in hm brro W Mlatl.
cmuc.No.: 067 � uc.cuss: H uc.No.: 564138 E 04 /97
oma r.— i�— �� ��� w�,�r—� � t�_,
OWNER BUILDEN OECURATION: 1 hasby elfum unNr penely d pmjury Ihet I un ammq Imm �M CoMreaws Licams law Iv i�a
�dbw4q raewn (Saabn ]W I.5 Bwiws+eM Prdmecm Coda: A^1W a m+M' whidi nawm a permn io muo-un. ellx, vn0�we.
nd'nh, w repeir eny �irucWro, p'v b w uwenw, abo rpuire� �M app4uni la wch psrmu to fib e�ipnad etelement Net he w�he
��e w�,�� �o ins aa;:�. d me comreaa, u�e i.. �cn�a� e t�m.�m wnn sea� �000l a owe� e w ib
.znm eM Prafuvian Cadel a ihel b a eM u aaamq �herehan ard iM bem la tM NeOb msmqinv MY vidtlion d Sodion
]W 1.5 by ury eppkteN lat e pmm4 vApGs �M epplicW b e wd pe�utly d M mae �hen tivs hwEred doAen �SSODU.
❑ I.noxirrWiMVW�Y«mY„WMMrnAwpwutMidemmG�+�.wSdoOwwork.eedNs�vurtununal'utleMd
or MereE br sab (Sertan l0aa. BuvneuenC PN�adom CoCe: TheCaNmCm limnw lew doas nUnDvNto en onw d pWeM
who Euid� a inMo+ea tAereon. end Mn dow �uN xdk linro! u Mnel a W uqh he a Mr own emWvl�e. po+� IMt wch
imPa'+��wb ua nd'vasded a a11eN Iw We. tl. Aaws.er. Ne buiEi�q a inP�M u md uehm aa ymr d wmVMian. Vro
ow�,«a�,uw .;u n�,. u» w.a.� a o�o n. « w m �a aaa «Mo�+ i« u» c�w.. a.r.�.
❑ �... o.n« a �n. w�v. � uem.W ammwo .vn 6o.�na mw.mu m oomvw m. wdb cseao� ra.. ew�....�d
v.a«.ion. coro: m. co�ureaon �sa,.. �.. eo.. m mpr w m, owiw a o'wMr wno wua. o. Hwo+o mww� .m .�w
wmrecn M wM qajede weh e mm'eaor(e) firorosE pvauw to tM Cam�aM� lkams ler�.
� I em eaemq uMer Senion: B. 8 P.C., M Uu �edon:
Dela: ��:
I Jo hsnW canM tMt 1 em ewve d W iMw�Wd IM rMw�ema d Caldmie Hsellh erd BNnY Code Sauan 25505. 215�. uM
255�1. eM Net 1 a enV Mwe bnWcq m+Wu. vA9 / wil na (vcb ons) roeE b oanW wi� uid qels wda� md iM rWu4amems W
e W�X IammVupim v madilrvion hamlMA��iuTyl�eneprneru Oiunf. Mtlderufdmut�ud'an eVOkdiaroenazemq Iram Nwe
paiWant.
UNa: �Vp�:
WOflKEN'9 CONPEN9�TION DKUR�TION: I MrWy tlfiem �vkx panetly d pwhry an� M IM b4w'vp dodertlbm:
� IhmaMWmeinien�cmiw�dmuMm�WamunbrwMrYcomW�ion.uPa+�IaWSWion910DdIMlebor
coa.. �> ins w«a�. a u» .ak �« .IirJ, w. o� u muee.
❑ � n....na wu me�w� wnw.• oomo�on mwi.no.. o�.aw�a W swcn sroo a w �.eor coe.. w in. n��«mercs a in.
�( wvM Ia xfilM ihl� P�mA o bawd. MY wnVan' odnDM�bn Imuranc� m�iw eM D�Y numCr v�:
c.m..: �c.,�n,Tc cn��c EXPIRES
PdcY Number: �'}'�-'� �� Q 1� Q 1� 9%
, m�, .en� n«d �a w eomdWee r w wmi u ra m. nunene adw. Isiool a iw.l
� I cMN � N� M�� d IM wak Iw xfiicA iho prmY b'mauad. I Mell nd rnploy ary pr�on N eiry merui�r w u lo
bacan� wWsp lo tM woMr+' oomDmWo� Isrn d ceNarue. W pn� thu i I MouH b�cmia a0jw to tn� r.orFsn'
Dms: �� 19 9vd Swun 3'!00 M IM �� . � 1 w4� mpy//�xtlAAt=q��.
v� ��c.��.. — .�
W�mlip: Hqun ro ��eun wikr�• roiry�nutlon rovxp� la inlarM, uW aN(I u!/ct �n Nrplryw ro eAm'rW pwvfflu �nJ
nHi n�r, w ro on. nu,ane uau,vd eww. (sfn4oaoA �.w�d,n ro m. nn el coiro.wrnon dmw u npvw.d ro. m
s«aon aro6 or m. t�bo. cod, �m.n.t .ne •mm.r: r....
CON9TNUCf10N LENDINO A�ENCY: I MnEy alfum undsr pauly d par'�vy �!W iMn b s cvnpNqbn kMiiq epanry tar IM
peAormwa ol ihs v.oM1 br whiM thu pom+Y b'sw�d (6eaion 90B1. CH. C�.
LENDEP'8 N�ME:
LENOEP'S AODNE54:
1 ceMy �lut I hew ned Uu eppliration and vtle ihu tlro ebws'udanwion u conq. I pns �o camply w'uh ell my end aounly atlinenas
end etme lexe ralelinp lo WJdvq canmwion ud Mroby eNhor¢e mpseeNatrvn d �M ary b eNx upon �M ebv.a-memionW poperry
lor inapetlian pwpwe+.
STEVE WEAVER
M.N'C� 1 v NA/IXy1/�— 1 Deis: � L1 �� �
sp�m�re ao.,.n�a«w
(St51JB.WP) Wha+�&nW,q65tlNy,Onen-Ns:Cenary-Rppiwrt:Pink�isnnw:OdtlarvoE-Mewor
PERM NO: E 078242
GOVT: N SUPP: N
PURPOSE: ADD
JOH DESCRIPTION : RELOCATE 6 UPGRADE EXISTING ELCT SERVICE S(a FT:
CLAIM VALUE: CALC—VALUE: GROOP OCC: U-1 /
COMMENTS: ATTACH 2 SERVICES TO NEW GARAGE
***�r**�r+e�rx�**��r�*****�e�*�r**x��+r+r�r*�r*+�**************«�**��*x+r*�*x�+r*�r*x�x*���*�r+c **�*�r
Z O N I N G R E(j U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11933210 ZNE: REF NO:
PLANNING NOTES>
i
if ik i! ii' 1E 1ElE iE 1E 1f ih 1E ih il' 1f 1k i{' 1{' 14 if if iE 1{' if iklf 1k i%i%1f 1f 1F iFlE'lf'1! iE ik ih i%i(' ih iI' Ih if' ih if ih 1F 1f 1E iE iE iI' iI'1f ih if if ii' iF 1F 1F iF if i41f ih 1k i%i%iF iE ik 1F iE 1E ff iE
D E V E L O P N E N T S E'R V I C E S R E(j U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: ��I
1k 1E 1k 1! 1f 1E 1E 1E 1E 1E 1E 1E 1k 1k �t 1k iE 1f fk 1k 1k 1k 1k ii 1F 1f 1E 1E 1k iE 1E 1EiF�fi�P����FiE if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GAADING
PERMIT 54�Oi SMIP/NON—RES
PLAN
ISSUE FEE `22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 54.50 22.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
76.50
TOTAL PAID DUE
76,50 76.50 .00
76.50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
ik If 7k fE 1E 1f 1E Ik if 1! k ik If k 1E iE IE iE iF iE iE 1E 1E 1f 1f 1k 1f 1E Ik iE IE iE 1E 1f IE if ff 1E IE 1E 1E if 1E IE 1E 1k 1E iE 1E ff ff 1E IE 1E 1E 1E 1k if 1E 1t ik IE 1E Ik fE 1E 1E f! fk 1F Ik Ik ik 1k if iE 1E 1E 1F
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 2 SERVICES BELOW 600 V& HELOW 201 AMP 27,25 54.50
END OF FEES
!'ONSTRUCTION ANO PLANNING POA SPA
APPROVALS �Permit# Date Inspector APPROVALS Permit# Date inspector
1.' Temporary Electriwl Service or Pole 52. Pool & Equipment Location �
2. Sail Pipe•Undrgrnd. 2' 53. Steal Reinforcement �
�_3vpectrical Conduie�l�tilitv-Unckyrnd. 54. Forms �
' �4�,�j4ctrical ConduQ-,�,7ndrgrnd. 55. Electrical Bonding
_�S.rSTeel Reinforcemem 56. Rough Plumbing & Pressure 7est
,_,�r;Fyiectrical UFER�-fiind. 57. APPflOVAL TO COVER-GUNITE
�-�: �F�ootings r.pj ` 58. Electrical CondW�tUndrgrnd.
�8. Foundation �Q � 59. Gas Pipe, O Undrg�nd., Test
. Wa[er Pipe�Undrgrrid. L, 60. Backwash Lines; ifTrap, � Undrgrnd.
10. Structural Floor�ystem 67. APPROVALTO,DECK '
1 t, Property Sewer Line�.� House f'.onnection 62. Backwash & Receptor-Final �
12. Sawer Cap _ 63. Heater & Vent-final
�
13. Roof Dreins , 64. Plumbing System � Final
74, Rough Plumbing- �*' 65. Electrical�Fi�al
15. Rough ElecvicaFCo6duit 66. Solar System•F;oa�
16. ft0ugh Electric �riqg, 0 67. Fencinq & Acces3 Approvai
17. Rough Wiri�g Siq�h � 68. APPROVED FQrRpLASTERif�!G .
18. Rouqh Electricai.j" Bar Ceiling 69. POOUSPA SYSTEA�S PINAL
19. Rou9h Heating_& Air Conditioning� FIF}E,�QEPT. ftEQUIR�MENT
'1. T. t r� CZ d* 7' r i.. r
20. F2ougkf Fat#or -Fir ace �;:. _ � '
a'L � S.� � � S c'x .{tiPPRQVk7:Sy �Permit # -
L
21. @Uct�in Stru�urs''_'�� �•' -• - # ` �? 1-} i70. Z7nder�rt��nd H�1ro �
2°. Duct�; Ve�tilaf;ing� , . • % � � �j [-Fv 71. Produqt:Q�Ping Qas `�-.Od �
23. ss Pipe-Nouyfl & r�st _ ry *!' ,r a c� 72. Undergr �� F Sn' ` '
4�� lk �
[4. ROof FraFi'n .. •" rr � > , c' a - x �.'-.
,_.� 9 �. x u --�: •73:Undergrnd.Stor�g�Tank.OGas �Oil
25. PoofSheatfiing :.� ' ?� H -> n%�� 7� pverhead Hydr�_„ �
26. �"Bar''�eiling (StructLral) & Monosoat r� �� mR 7Fr`'.-Dry Chemical c.-� r�
� - - -
27. Fsarrte anckFiashing�,: _ -. F < tr r =�, 76. Dry Stan�piPe ��a' ' -
-f vi '7�4= " � i .. ,..� J, �r ' ._ r -
`28. L2thtng B�Siding _ y. `�r C' k a' 77r FIXED ya�TEA7;FINAL -. ."
� 29. Insulation=, C'�e' J _ • r�c i {" 78 FIRE PREV. F�NAL �' �
"30. DrYWall N'a�ling �`;; f„ n F, � °* � HF�ALTFFDEPT, RE�UIR�MENT
�_ , . -
31. PlBster B�own Coai��s S ' trc + � �� 79.�FINA� 119&PECTIFIM '
-� `_ _
�,:r32. �cviwi��owai A�e;K''Pipal � �' � `: ''80'.�FOOD CERTIF�6ATE ISSl�1ED. -
:,33. F,�al,��yleeqic � y * _ -� � y��� � � NoTesE ti.y��� /__ ����
V �.c.. J r-i l l'. L� L1
,i 34. �nal�leafing & A�C'o��4tYioni�. s ,r.� * : � �� , G „cc - y .,.. . _
35. Final Gas Pipe=TesT tr� w � x i-. � ' j� � � .^.;e c:-+ '-'"^
z� ..�
�36. F�qod�Sr CianoPY i •'' ' �m ` t .- ; k � ��_ ' `^ '���.
y -, �
�,37. �nal FactyrY Fireplace ��; i !�S- x � � � ,x� :c " '�
+ n k
�38. Final'A_lurr�bing A ,T."� � `'' : i t� ' y � �� � �
' �39. Water Ser�ice-Final r g � , � �r � � _ � * � =:
L� L
rAO. Gas Service-Final y ^ = G' ' ' .
,U r� Ic..� -` - � �F_ '�
�41. Solar OortSesticPinal,� " � � " ; �� �]c '� -
,
� 42. Backflow Preventer F �� •' I �K � ^•r � � -
. n: - x H m mU �-
43. Backflow I rig�tion . �:'-� x; �. � x J �• �•
f ' A -O
40. Landscape_7rri,qation$ystem ==;�' "`� ' - * _ " '' ^, 'l
- t 6- - Y
48. $ound AtFenuBtion 4 � ... � ;:� -�� 7 c m;/• --C �
4b. Hendicap RegVlationf �" � F ~ ..�„ ^ 'y - �� .-- ,
K S �T' i-
47. FINF�. STRUCTURE�& BUILrDING y F, � ;e '� • tr r�
r ♦ "
48. FtNAL PIANNING ^ - i ", � "k :� . - '' r•
r.� r� i. r r`•
49. �gct�p Retease to Ed�son y ' '� r - .�, v
r i-
50. G3s Refease to Southern Cali(o�r�as Co k : � �� - ` C: �
S�. CERTiFICATE 0F OCCUPANCY •� -
No. Date
trtcraooxEss: 320 23RD ST '
OWNEP'S NFME: TOUKAN YASAR MOHAMMED
aooxess: 1381 G�I,AXY DR
NEWPORT HEACH,CA 92660
AflCN/ENGINEEP:
fJOHESS:
NEG.NO.:
uxir:
UNIT:
�( PEflMITTEE: ROGERS ROOFING ( 714 ) 995-2826
noosess: q912 LINCOLN •-
CYPRESS � CA 90630
LILENSED CONTPACTOP DELLAflRTION: I hereby aliirm t�ai 1 am IlcenseG unEer o�ovivons ol Chao�er B(commencing wi�� Seclion
7000� ol Division 3 0l IAe Business antl Protessions CoOe. and my license is in lull lorce an0 ellec�.
arr uc.: 0350�749 sTnTe uc.:468874�Q /�c�Ass: C 9
8nte: ��/ � Z Signature: _( �/ ��/�,✓
WOBNEPS' COMPENSATION DECLABATION: I hereby affirm I�al I have a cetlil¢ate ol consenl,o selbinsure or a cerii�icale ol Workers'
Compensaiian yiLanr. 9r y� u,(ie� copY thereol (Sec�ion 3800, Lab.�( �
POUCVNO.:�WC�l�y`�l EXP.OATE: �/z�26I93
comrnNv: GOLDEN EAGLE
? Cenifiea copy is nereby/f^urnishee. � Certifie0 capy is lilea witn ��e city Builtlinp D ion.
�Ie: /////'� / � AODlicani: � � ✓ ' �/' _
E%EMPTIONFBOMWOBNEBS'COMPENSRTIONUECIAlUTION: Qhi5sec6onnee4n0l�ecompleleUilt�epermilisl0rone�uMreG�5100�IX1e55�,
I[etlily �hai in 1�¢ pedormance ai Itle vmB �ar w�ich this permii i5 i55ue0. I SAall nol emDlay any person in any manner 5o a5 io G¢LOm¢
sub�ect lo Ihe Wo�ker5 Compensalion Laws of Calitomia.
Oale: Signamre:
NOTILE: II, ai�er making ��is OeclaraGon. you s�ould Gewme wbject lo Ihe WorkeK Compensalion pmvisions ol tAe LaEor
CaE¢. you mu5i lOtlhwi�� ComD�Y'�^�� Sut� pmvi5i0n5 Or INs permit 5hall be Oeem¢tl revoke0.
CONSTHOCTION LENOING �GENCV: I AereEy atlirm Ihai I�ere is a consimclion lentlinq ag¢ncy �Or I�e pedormance of I�e wnrk fo�
whic� Ihis oermi� is i5suetl �Sec�ion 3097. Civ. C).
LENDEN:
AUOflESS:
OWNEH 6UILUEfl UECLABATION: I �ereby aflirm Ihal I am exempl imm IAe COniradors' State License Law for the following reason
(Seclion 7031.5 Business and Prolessional CoOe: Any cily o� counly which requires a peimll to cans[mci, alter, impmve, demolis�, or
repair any stmclure. prior lo its i55uance, also reQuires the applicanl lor such permil lo hle a signetl statement ��at he/she is licensed
pursuam to ihe provisions ol �he Coniractors' Sta�e License Law (C�ap�er 9(commencing wi�� Section 7000� of Division 3 0l ihe Business
antl PmIe55ion5 Cotle� or Ihai he/she is ezemp� Iherelmm and ihe basis lor Ihe alleAeO enemD�ion Pny viola�ion a� Section 7031.5 by
any applicant lor a permi� su61ec15 I�e aOPlican� t0 a civil penally ol nol more �han live hunOreO Oollars (5500�.
I, as owner of ihe Omoeny or my employees wi�h wages as Iheir sole comDensation, will do ine woh, an0 �he
❑ slmcWre is not imenaea or olleretl br sale (Section 7044, Business antl Pmiessional CoJe: The Contractors' State License Law
Ooes nol apDN lo an own¢r o� a property who builds ar impmvCS th¢r¢on, anC wh0 Oces SUth vrofk himsell/�efsel� of �hmup�
��s ar her own employees, provi4e0 ihal sucA imD�ovemenis are not intentletl or ollereU lor Sale. II, however ihe huildin0 or
JimOmvemenl is solG wit�in one year of completion. Ihe owner will have 0e burEen of D�ovinp he/she AiA not huilE or impmve
lorine purpose oi salel.
I,as awneruline propeny,am exclusivety coniractinq withlicenseA wntractorslo conslmcithe pwject(Section 7044, Business
❑ an0 Proi¢ssions CoOe: The CqntratlOrs' Staie Licens¢ Law Goes nui aD01y Ia an owner of pmpeM �o bmMs or impmves ��¢reon
antl w�o conlrac�s lor suth Orolecls vni� a contractor�s� litense Oursuanl Ia IAe Coniratlors' State License Law�. I am aware
Ihat Omal al �heir Worker'S Compensalion insurance sMUIC Ee pranded ro me.
� I am exempi uneer Sec�ion: B, 8 P. C.
for Inis rcason:
w�e: aV�e�:
1 do nereby cer�ity ihai I am aware ol ana understantl �he reQuiremenis oi Calilomia Healt� ana Safety Coee Sec�ions 25505, 25533, anU
2553a antl t�at I or any IWure �uilaing occupant will/wilt nol (circle one) need to comply vnt� saitl state co0es and the requiremenis for a
permil lor conslmclion or modilicalion Irom Ihe Fir Oualily Managem¢n� DiStrici. FeSideniial conslmciian applica�ions are exem0� �mm
ihese pmmsmns.
Daie: Applicant:
I here�y cetlify I�ai I have rea0 �his aDPlication antl slate Ihal Ih¢ above inlormalion k mrreci. I agree �o comply with ali cily an0 counry
ordinances and Slaie laws relaling lo UuBGing conSvucUon and he�e0y aulMrite represenlalives ol lhis ciiy lo enter upon Ihe above�men�ionea
pio0etly lonnspeclian pwposes.
Ca�e I��/�i �� SignaWre: �
Onve�'s Lrtense ar Socia� Secumy w: �
16aLa6 Wlino—BmlCmg: Green—Co�e Enlo�cement; Canary—ApPlicanl: Pinh—Revenue: Golaenro�—Assessor
CITY OF COSTA MESA — HUZLDING PERMIT
PERMIT NO; B 059960 PLAN CHECR NO: N
PERM NO; H 059960
GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
70B DESCRIPTION ; T/OFF REROOF W/BUILT UP SQ FT; 3„317
CLAIM VALUE: 3,317.00 CALC—VALUE: 3,317,00 GROUP OCC; R-3 /��\
COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME `
*x*��t�t�t�t*�t*�r�*�e�t�r���er+err*rx �t�t�r�t�r*�t*x*�r�r*�r**�r�r*�e�r�r�r**�t*+�+t*�r�t�t****x�r**�t***�r**�e+e*
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARRZNG REQ• PROV; PARCEL: 11933210 ZNE; REF NO:
PLANNING NOTES>
i
iF ik if it ff if k if if if if 1f iflf 1f If Iflf �k 1f k 1flflflf �f iflf if if it iE �f �F �kfF iF �kiFik if 1f k k if 1k iF ik 1F ik ik k If kiE if 1F 1F 1F k if 1k�f �f �f 1k 1f iE Iflf �f ik k if if 1f iF if 3!
• D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED HY ;
DATE;
DATE;
� ��.�
if 1f IF iF iFlkit iF iF 1f iF ilif iE iF if !f fElf �FlE k If �! k �f it i! k iF�k �E iF if ik ik iF R iF k iFiF if k if it ik iF if iF ik k ik k ik iF iF�F if if iflf 1F iflf it if ik %k if if if �ElF �f iflk 1F
LEGALIZATZON;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 ,50
pL� :. � SMIP/NON=RES
ISSUE FEE •• �
BUILDING—�IV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0,00 63,50 63.50:� .00
REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING�PLAN—CHECK
63.00 ,50 - ,
1FikiFkkiFiFiklk�klfif3fftififif�flf�fltkikiFkiFkifiFkkifiFkitikffitiFiFifiFiFikMifikifkifkiFklFkiFklFik�fftiflf�kiFif�kifkiFklflFiFlFiklklE�k
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N ;p UNIT COST TOTAL COST
SFR 3317 R�ROOF BY VALUE RESIDENTIALI N020NE 1,00 3,317.00
EXPIRE�ND OF F&`ES
Incompleta Inspections '
f
G�
lYdt@ ._._ / -- S�g . . .
I
� �
1 i ,
�CONSTRUCTII►N AND PLANNING � POO� �SPA '
� APPROVALS Permit# Date Inspector qppROVALS Pe���iit# Date Inspector
7. Temporary Electrical Ser�e or Pol�e7� 52. Pool & Equipment Location
2. Soil Pipe•Undr rnd. c - 53. Steel Reinforcement
L-� �
w,:3.�ctrical Conc���iility��indrgrn�`S 54. Forms
c�4.. E7Pctrical Condua�clfidrgrnd. �-=m � 55. Electrical Bonding
- �, �•
"5:�i el Reinforcecr�eiit� td 56. Rough Plumbing & Pressure Test "=
� � � ''
v��r�.ElectricalUFE c6rnd. �c � 57. APPROVALTOCOVER�GUNITE
.. ^, '
��.L.P�,otings S� � - 58. ElectricalConduit-Undrgrnd.
�B.jF�o,undation " " 59. Gas Pipe, � Undrgrnd., Test x
�9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
fS{. Structural Floor System N 61. APPROVAL TO DECK
}]�. Rcoperty Sewer Lir2 & Hdose Connection 62. Backwash & Receptor�Final
'U
�Z. $�ve' CaP �: �' � 63. Heater & Vent-Final
13. Root Drains �c � 64. Plumbing $Ystem - Final
14. Rough Plumbi��fg C 65. Electrical-Final
75. Ro�gh Electrica��Conduit 66. Solar System-Final
16. Rough ElectricZWiring 67. Fencing & Access Approval
17. Rough Wiring�$jgn 68. APPROVED FOR PLASTERING
18. Rough ElectriC�1�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- y'--i- ��- . ^ [T r t'� = [c r R!
20?RoGTh F.�ctGoy ff'utplace i .�;ta �y � * O .:, � A * qo,PPROVR7IF,D:�Petmit # z � ��
x s :A 4 S�: I S[*' '^ .K C w s� 't ;U ri �T
i � n �K I. :{ H -� X �-i T X.. �fl
21,�u�.s,i�Str�ctu• � .... ;,� ;♦ S -- ...�Mx ,70. �nder H,giro A ,
-t--�c`?ef S , .
22. DuE3s, lt?ntpati x i C:,S � S �2� �
(c� n n Q�x � r. x ..� •71. Produc� �.In9 ��as O'Oil
23;,1�d5�,�iP�R01.�' h81�,�e5i ' �"' � � �"�'� I I CG > !'s _
z:> x rt7 Q �* K 72. Underg'i�an�d F�u�e,*,,` x
24t;fioa' F¢�xnirr� ^ x i P-�F- JF ��� O'T �*.' 73z Undergrn�f. Sto ��'Tank'O Gas ❑ 9il
� x x a.
25. Roq"-f SF�athing �� E n' " m {'' � v'� � •'7^`'-"pverhead'H dr �� ' '�
� J x V� � (y+Y( :K �•y Y � x
26,vT�Q¢r Ceiling (StIIictural) SGt,p�nocoat x m : t*7x x 7�Dry Chemical �" �+-� ^ x
�. �, '
27°,;'Frd�e @nd F�ash`i�l�` ��� � a, m my * 76.-L7ry Stanc�b_Ti_�,e �y F S �� �
�
�;28. La ing� $iding-�: v ��x � .: g ..x x 77�:T FIXED �TEPA:61NA6x v cT'
�'29. Insulatinn L S� `� . S � x y � x 78Z FIRE PREV. FIjJ�jL �� x y'
a �) l J
T'30. DrywaltitJaiting.nM � x * �-+ :k1EALTH;DEPF,6iEQHIRSMENT`�
�
n31. PlasterBro ^�r � x "; ` 791'FINALt�ECTEDN "�
.� �9 � k S I ;r rr � � k �K ..., :< v � "�j
:-32,-Electrical Pomer,iqlRtEp�Finali � z N �.»�.� 80;.7POOD C TIF�{4'ipTE ISSUED� -
_. _ .... . - �- �� -� ' -
F33aFir�l Et�,ctrlC3 r?u ;n � d x�-�r, �-� x No�s: 'Q� //`7�c k� r ^7 "
� ' r.+ . . t -- !I(c�zy=L-/� �-,TiCS- � - _ - - - '
� 34nFir�i eating&i.ixC`�onditiqn3ig' [": � � .•r i '� �f /-[y5 s '
.. , � -� . ,, �-__� .
35'*7Firial Gas Pi� Te` � tD '- x .' `� < n Cl ` � y5 - t+" - � SO - - - - - - -
_� � ��-, •• *� x�.- i 4v, -�-�-
�w36�Ho'rrrd oi CanoPlx� D i tT"7 �- x C` t v x,• F ���Z �J,��'- � 2�T' .
'37LFin3! Factory Fi��lat'eX ��'T °' *�`% I k x n !"r - n
=.38. Fi Plumbin � .... " -' W '� ��-� -
R31 9 � �v i zc �� � x S �+ cc G
GB9. Wa4er Service=Pinati � � �Y + � c� (e;� x � p �
�� �x � -.c xh t S
_t � , .�. ".
v40. Gas Service-Xinal .�. �� �,,..t,.. S _,� � x � v4, ,,YC, x � • �
�'41. Solar pomefFicFiiraLS C'.� � •• x� x a Q_' ^`-, � I
x x x r ^.p � yc � �
f' ,l� S.. .� '� �}� / Yf �
`�42`'Backflow Preventefi �.0
43. Backflow Irr,�atiort� � '=.SS X
x x�
44. la�dscqpe Cligation Systerg��� z r ir
45��Sound Att�uatior -"zE- cT' R E 4-
r � r
46';Handicag qGrgulatiqns '' a � ='� "
'y V^ q
47:;F1[+b4L STRt1CTU4iE & BItiLDING � `�
� * [-
48�.,'�'FI(�L PLANNIN� � ���� �; '�,
� F .� : .L•
49=�EleetriC�elease to�.Edison i * '
� X
50�Gas�,Re��se� SouShern Califprnia Gas Co x
51. CE6TIFICATE'0 vOCCUP Y ;;
o. Date '
k x cc
* �
x T ;
c
'�'.kY. �+ 'V ?]
K»' r+ r+ E��P I
� y .. t. �.����}�
x x � ►..__._.�_T"
YC T:� C[ .0 /"�
�c r i _ �-+
M x (J
�
; '
ADDRESS O oZ.3 ,/ TRACT I D'L .. PMT. /g�2/ 3
DIST. (�OiT/� /JZES�--- — LOT_,___ � DAT' .
OWNER . _. BLOCK ___ AMT. SD
ROOF eui�r�iNs � ROOM AND FINISH DETAIL �
SC� �'P� - FLOORS FLOOR FINISH INTERIOR FINISH
ui "e.e.Q. ROOMS
iABLE KIT. FAN B 1 2 M�TERI�L GR. WALLS CEILINGS 'REMARKS
IIP HOOD ALL . D!_ .. .
ENT. NALL
LIVIfJG
KITCHEN
UT. CAB.
STFUCT
GAR
V a rt'Y
_�
�� L
HW
fGD]:F� W'Z/_\�bY
iCELLANE0U5 STRUCTURES;
EXT. ROOF' FL INT SIZE
�. i : .' ; . . . . . :i . . �. . ., . I ' i �. �I. � } 1
. .i� � . . . . , . � � � � 1 I-i .{_ 1' _ _
! .i.l . i. .. � � . . . . � I i �.i � �" ' _
� _ ... �.. . . .., _ . . ...—I � :-i
'{. � :il' II -- �...
I , , I " �
i.. '� �� -
� � i _ � � ' , i ' � ! - - -
�..
� ��� � �'Ii''���� � - -
i -
I _ i � . . . . , . , ' . ,� . . � � � I � ! . � ' _ _ ' ' _
i i � � �� . � i i f i - _ _ _ � _ _
;..._i. � _,. i r
I 7. r
I . _ . ' ... . ... -.i I "I. : � �. .�.I_ _, __' _
i �
.. __ ' _I' _" I. . . . . . __...�_�_'I -.... � __ _ ' .. ... _� � I ; i � I. - _.. _' _'
� - I i ! i � .I._ .
. i , j i� �.
� � I : i ..I._
! ! I . � .. .. .. ' .
I �' I_.I I I I I I ��..I -1..
i .. � ' ��� � N� i
.� .. � _ � . � �� I � . .' f .. .._I � -i i_-�-i i � -{-.
i i . w
._ __ _
I
7 . � . � � � � � � I � 1
' ' ' 1_ I I I I'1_.... __..
II
� i
. � . . . . , j i ' i � ' ' � I'I I I _t"�'
I-� .I . . . . . i .. , .. � ; - I
�:. ' . � I ' ' . I I , I I
I I I � I , _
L.
� ' . . , , j� . , I , � � I . � . �
"' _" i ' 1 : i
�_'i , � ' i_ i ._.: 4 .. :� ' _ ' _ _
�_... i.. - _ .
�-�I . .. I '. I I � I �. ��_I. l � �... �.I I
i' i • ' ' : ' . , - - - - -
I .�._.. i ' ' � ! . 1 . I.. . ....;_.I .. _ .� 1�._ . _. _i-I T- _
�'it�;�:,�.1 ' i r:,.. . i � � � ; , � � I � ; � - -- --
�I�� il ii • � I i. i' li "-�(-�� - -
,. �„' ' � ' ' � ' �'. . ' _ _ _ _ _ _ _' _ _
: . � i : ":.: .. , - � I � � __
, I'.,;,'. -r, I ; I i ; . . , , . : . i � . . . , . - � � ' _ ' _ ' ' _ _ _ _ _
t �..! -�. ��.��.�.I.��.'
"�;;;r COMPUTATIONS APPR. DATE
� .. � � �p� UNIT
���^ 1.:. ITEM FACT. ox COST �ST
..as�_E '.:�.<1 �� NO.
�ir�... . �...� �.�r i RES. _
,H!.'
, `.i.�r . ..
.... E:,.1' � � ,. .
�iinc'.:: � 1...4!'• � . , .
ti„t� � i iai�' r�
�ie. _ „ ��u_. '
..,. ., , . �' �n �
:�� is ..�.� . " ..
i�'_' ' �. �.
o;:r,�:.. ' _ ' '
.�r��_ ... �
;,.';rrJ'.:� . .. .
.-;..... �. , .
.. .. -.... . RCN RES . . . �
,.�,��.: .�... � RCN �
ri�,_ r RES '
Ir,i •[�
---�.-: '--1r..:.:, Poo13 Doek
I.�RK'�.��- � � DATE G—/3-G6 T�T/�� �
� !� . '��I__—_ - .
I II'
iiri �. � : . . .
N '_E_�_ ��ni:'�' . .,
20 �.Oa 0 I I
UNIT APPRAISAL FACTORS
3 A.P. NO. _ , O
4 SMEET �OF 3
5 C.E. DATE
UIJINIGi
I I(q{:1 IYV.
CONST. DA�E �
DESIGN TYPE OOI
USE TYPE �Q,
DEPRECIATION TqBLE OOL
fUNCTIONAL PLAN 1❑ 2� 3�
CONDITION 1❑ 2 O 3�
]ti WOflKMANSHIP 1 O 2❑ 3
77 TOTAL ROOM$ ]�
78 LIVING RMS �
79 DININC HMS
80 FAMILY RMS
81 DEN
82 NO. OF BED RMS �
83 NO. OF. BATH RMS �
Bp OTMER
85 CENTRAI HEAT YES ❑ NO
86 CENT. COOLING YESf'l NO
COST FACTORS
o ,,,,.,�,,. ,.�,�� J3 fl
89 ARFA FOR MOD.— 00
0
90 ist FLP AREq �
Q' 2nE PLR AREA ^ --
ara r�n wttu
a.n ci a r�ex
l�l llV NNL/�
ATTIC FACT(
AREA
FACTf
os ervnrv oami nncn
00 UNFIN BSMT FACTO
Ol ADDITIONS
02 ADDITIONS FACTOR
03 PORCH TOTAL COST
04 COV PATIO COST
PATIO COST
� �S �
1V YI�1� VL/�pJ VLI
11 GAX CLA55 ATT , _ _
12 GAR AREA '
13 Fw AREA �0
U FW COST . �00� "
O
l5 FENCE COST '. /� D
t6 MISC
17 PoOL COST � , �
IB VOOL DATE . " I�
l9 DOCK IMPS�COST � �
20 DOCK IMPS DATE ' .
21 DEFERRED MAINT YES O NO � �
� I
r -
ADDRESS � D '�Z, ...:.,Z 3 .��. �. . S � �.:TRACT' �� D D� . _� � _ F..�t �.j.7i
DIST. /�OSTA /%7ESA ��LOT_��z __, DATE �GJ..
OWNER � BLOCK _____.._ AMT. %%f�
RooF BUi�T•iNs . ' ROOM AND FINISH DETAIL
M L m F.P. FLOORS FLOOR FINISH INTERIOR FINISH
FLAT e.e. . ROOMS —
r,ae�E NIT. FAN . ... B 1 2 MATEflI�L GR. WALLS CEILINGS REMARNS
__i.�..l..�_i..�.�.1 ..i i.'i�'._
.t.I 1��� ;:I' �' --
. �.i._:__�.�� �I..r
'�..'
..: � I_'
.� � �i.�.I�.i..l ;.I.. I ..1i .
��.'1_i_�"_�"_I..�.�.._.� _1
:..� .i .I..i..A- •
�.�-:.:. ..: I _....__ _i.
�i�:-� i .�: �_ _ _ _.� �.-. _ . �.
; � : i _�_ , ;
I �. I � .I. I 1 �
����� �I�! i-.� 1
�.., I ...I I � ..
��. ; .� i l.i ..I. � 4..I.. I..
- ( �_ i
L:.
- - -COMPUTATIONS
- �; ,
� �G,. . ._ _' .
cr,B.; 'i:���
.-.i'�" . ..__F.", i I
SHE[ : ._. _._�.._�, I'
� c�i�.; .. ._...�.._i � �
� ec�i'� �_, �_ i � i,' .
....�.._. ,.
s�iiiic;i. _.!fl."
I s�<„i• i�� . . .!-. i ".':
I
�Gu l � 't' _ '�(i 4�'
::iNl�l ... -kL .
TI'. �1' _� \1.(. �.
i �:(',II(;' ..._I.._,'���;�
H(Y.:!.
_i
I I
"_. . . ...._.._ _._. .
51'I I. VI...:.5 '
i i . .
'i i'i:l;' � � � '
5[4.. I
,�n'.. ��. �: .
..,�,.. - -..�:'v..
FAM. _�
KITCMEN '
:IT. CRB. METAL OP NW
�q. BD. 6 CAB. TOP TILE MIC LINO SPLA:
BATH DETAIL
;f.L::l ; :.• .
STRUCT.
FT.
UNIT APPRAISAL FACTORS
3 A.P. NO.//�, 7)� '/O
.7J
4 SHEET �j OF7
uisiKici
1 RX41 IY V.
CONST.DATE ��
DESIGN TVPE OG �
USE TYPE OD �
EFFECi1VE YEAR / 1
VJ
DEPRECIATION.TABLE O �G
FUNCTIONAL PLqfJ 1� 2❑ 3�
]5 CONDITION 1 ❑ 2 ❑ 3 �
FINISH FIXTURES
F�pORS WALLS WC U TUB ST OT GU FINISH CRADE PUILMANS �6 WORKM/NSHIP 3� 2� 3�
^ � L I� � T ]7 TOTAL ROOMS
�
JB LIVING RMS
� 79 DINING RMS
80 FAMILY RM$
MISCELLANEOUS STRUCTURES e� DEN
IN. E%T. ROOF FL INT SIZE �N�T 82 NO. OF BED RM$
COST
B3 fJO. OF BATM RMS
W�// /'�O 84 OTHER
� 85 � CENTRAL HEAT YES � NO �
86 CENT. COOLINC YES ❑ NO �
B] COST LEVEL BASE / 9
l0
COST FACTORS
88 QUALITY CLASS ry
�L�.
B9 AREA FOR MOD,
._I I I�i I . . . : � . . . � � . i � ; j , ,
I ' . : . . I . . 90 ]zt FLfl AREA _ '7 r
.L�....I :.'.. ' : . . ' . . . . . . —LL—
.. . ... . ; . . ; :
. i :. I i. � � : : � I ! i � . . , . . � I . . 91 2nd FLR HREA
i �I
u�T : : � ' ' � . . ..._! . . .. ._'_""__�-'_. _ ._
� ' i��i ' ' ' ' ' � 9Z 2^d FLR FACTOR
, i .�.i � � . I � i . I � � . I . , . � i .
�i...
_: I � i i, ,; i� .� . i.. . 93 3r0 FLR AREA
� i i : i ' i
� � . . i . . ' • � � i .
.. � � � �., . . . . � : . . � . ' . . . . � . .
_ '_; �.� : . . � .� . . ..... .. __.. � ... 94 3rd FLR FACTOR
_ i..r ; . i . ' i
! I � : � � .' I : i ' � . . • . : I � 95 AT71C AREA �
�j i i� I .� ...... . _
� ,
-; � ;., . � : ;
., � • ' I . . . : I . . . . . . . , 96 ATTIC FACTOR
1 �
�..
„ �� . ,,
,,,�
� _ _._
.I._i. ..I_..:.I. ... : i �'_...�.. I �. • � ._. �. � "'" 97 FIN BSMTAREA "
I.
�'i 'I I I I � I - � � 98 FIIJ BSMT FACTOR
� ��I ��1� �'� � I� � _ I , 99 UNFIN BSMT AREA
i
-�-.� 1 �-.:; . , � , . . ; �
:I i I � � � �:,� , � , • 100 UNFIN BSMT FACTOR
I .I I� I � I ' � "" I ' 101 ADDITIONS
! �_I I. �� I. 1_.._� I � I: I � .
� � I - 102 ADDITIONS FACTOR
I ' � i � _' ' . I .
I �
i i I��I I�� �� � �' ��! I I: I... I.... I 103 PORCH TOTAL COST
__.. .i I . : � . . � . .
���.I_ ��� � 104 COV PATIO COST
� � 1�1_l_....�_�_i_� I_� i_ ; .... . . . . . i .
L�� I I' ' ' I, i .. . � 105 UNCOV PATIO COST
"� _ { I' i j_j_i_.�_�_I ! • . . . . . . . I . .
..�-.I. _ I. . i.�-!-I I i � i � � . . . � � . . . i . 106 FP COST
.I. i : � 1 . I : .
� "I' I.-y'-.�-! 1.: :.. .j .� _ � .. . ... � . . ]07 AC COST ��.(
' ' . � . � . : . � ., i . I � .
' ' _ _I- "I{I.�..�''.. � , ; i . 108 E%T NIT WST
� -1�. �_i. i .i • I. . �' : � . . 109 E%T PLBG COST
-�_ { l..L � �' i. � . I � . i . . .
-- _� I: � I i I I: , I , �.. 110 GAR GLASS DET
_�""' ' i_.'.'
� ! ' � I ! ! I ; � ! : I ' � I 111 CAR CLASS ATT . _
_ _.I � � ' I I : � . . . . , � I . .._ '__ ____
APPR. DATE
, . ITEM FACI
, , RES. -
COST COST ���1IFw cosr
15IFENCE COS1
ruu� cusi
rw� unie
DOCK IMPS COST
21 DEFEflRED MAINT YE$❑ NO,O
22
23 i
26
z� ,