The URL can be used to link to this page

Home My WebLink About355 16TH PL - Building Permitsi c PP0.IECT RODPESS: 3 S S 1 6 TH PL � OWNEfl'S.NRME: KtEN UTESUGI �--• � A�NE55: JSS 16TH PL COSTA MESA CA 92627 (714)494-6160 RPCNIENGINEEfl: AEG.NO.: aooeess: uNir: uxit: PEXMITTEE: LOOMIS CONSTRUCTION (714)497-3283 nooacss: 760 REMHRANDT DR LAGUNA BEACH CA 92651 uCENSED CONTBRCTOB oEGullanOx: � nereUy allirm inat I am IicenseE unaer v�wiFOns ol CtuOter 9(wmmendn0 witA Seciian 70�) OI Orv190t1 7 01 illE BJSIfIC55 d110 Pf01E5AW5 �OOE, d04 rtly IICMSB IS ill lull IOfC! dnE lIICCI. citruc.:0 0013 suTeuc.:Z94g8� ss: B � Oate: SOna�ure: �� _ _ _ W08NEN COMPE pTIONDECtAMTION: I�ere� atfirmt�ailnaveacenilicaieolwnsenitosel4insureoracenificateolWOAers' Compenuuon �sx�afc� ��umiied couy mereo� �Secuon 7eoo. �a�. �6 / O 1/ 9 3 roucv xo.: STATE FUND exr. o�Te: COMPRNY: ❑ Cenilie0 cooY �s here0y fumistceG. � Cendie0 coOY is lil 9 1 e c�it/y� ildmq Div6ion. ` Jale' �% ApOlicanl: T, _!QG—��, E%EMPTIO NOM W KEPS' LOMPENSRTION �ECIAMTION: (This union neeU ro� Ce comqete0 ii Ne perrtni b ta me NUWea (5700) w less�. I certily �tut in the perlormance o1 Ihe work Ior whicn this permit is iuuetl. I stull not empby any per5on in any manner so as to become subjeci �o t�e Workers' Compe`rsation Laws ol California. Date: Signature: NOTILE: II. alter making ��is Eeclaration, yau shoul0 become SUDject to �Ae Workers Campensation prwisians of t�e Labor Cotle, you must lotl�wii� wmpty witA suc� pmvisions or ��is permit sAall he AremeO revoke0. CONSiNUCTION LENDING RGENCY: I nere�y allirm inal there is a conslNclion lenainp apenty lar Ihe Detlarmance af ihe work lor which this ueimn is issue0lSeciion 3W7. Civ. CI. LENOEN: aooncss: OWNEP BUIL�ER OELLABR710N: I hereGy allirm ��at I am e�empl Imm ��e Caniractor5' State License Law for t�e fotlowing reason ISeclion 703t.5 Bu9neu ana Plofessional Co�e: Any cily ol county w�ich repuires a Dermit to constNp, aller, improve, eemoiis�, or fCDdlf dflY SINLWfC, pfi0f 10 I15 ISSW�[C. d150 f2�0ifQ5 111C dp0liCdll� �Of SUGII pCfI111i IO I112 2 SIpOCE SIdICfI1Q11i IIW� �P1511C IS IICCIISCO pursuam io iM provisions of t�e Conlnc�ors' Slaie License Law (Chapier 9(cammencinp with Section 7000) ol 0ivision 7 oi t�e Business an0 ProleSAons Coae) or llWi �dshe is eKemD� ��erelmm antl Ne basis lor t�e alle0e0 eMemO��on. My vioWtion ol Seclion 7Q71.5 by any aoWicxm lar a permit wWttts ihe appliwnt to a civil penalty ol not more ttun iNe �uMreO tlWars (5500�. I. az awner of ihe proce�Y a� my employees wilh waAes as their SO�e wmp¢nSaGon, will Oo the work. antl Ihe ❑ svucWre is not in¢ndetl or allere0 for sale (Secuon 70Ed, Buvneu an0 Pmlessional CoOe: T�e Contractars' State License Law Uoes not appry to an owner ol a pmperty who bwlEs or imD�oves tMrew, an0 wtw Oces suc� work Nmsell/�ersell or thmugh NS or her own emWoyees, D�ovi0e0 �hal SUCh imprOvemenis ar¢ no� in(entle0 Or OHer¢C bt 5ale. I�, trow¢ver the Luil4in0 or imprmement a sdG mlttin one year of wmpletion, I�e owner wiil have ��e hur0en ol p�ovinq �e/s�e tli0 nol Guild or impmve lor the purpose of sale). I. az ovmer of the pmpenY. am exUusiv¢ry comracting with IicenseE contracmrs m canswn the Dmlect (Sec�ion 7044, Business ❑ anE Professims CoOe: 7he Cantractors' State License Law dces nal aDDN �o an ovmer ol OropeM � bmlas or improves I�ereon antl who cOniratls lor sucn D�oiecis with a coniraclorls) license oursuani to ine COntractor5' State Licent0 Law). I am awdre I�al propf ol I�eir Worker'S fAmp¢n5dlion insurance 5�ou10 he prOviECE �o me. � I am uempt un0ei Seclion: B. 8 P. C. tor iNs rtamn: Date: Owner. I Oa hereCy ceni�y Ilui I am aware ol anC unGerstanU I�e mQuiremenls o� Calilomia Heall� an0 Salery CoOe Seciions 25505, 25533, anE 2557< ano �twt I o� any tuwre ouilainq occupant wiNvnll nm (circle anq nee0lo comoN �� 4 state coEes anA t�e �epuiremems lor a p¢rmil far cOn5lmtiion at mOEi�iWiion Imm I�e Air uaiily Manapemeni OiSlriC1. Revdeniul mnSituClion appliWlionS are eKCmpi Imm Ihese provisions. Oate: Ap0licam: I �er¢Oy atlity IAaI I liave 2atl tNs applgatian anU stale �hal t�e a�ove inlormdiion iS COrr¢ci. I a0�tt lo comDly wilA all ciiy an0 coun�y orEinances an0 s�aie Wws r¢latinq to UUBdinp cansimtlion antl hereby a�resen ' s al lltis dry lo enter upon Ihe a0ove-mentionetl pmp¢ny lo� inspeclmn Ourposes. Dale: � Signalure: �� Ddver's l� nse or 'oda� 5ecudiy e: —Aoolicam; PmM—Revenue: Goltlenrotl—Aesaemr PERMIT NO: B CITY OF COSTA MESA — BUILDING PERMIT 058701 PLAN CHECK NO; 03195-92 S CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR JOB DESCRIPTION : KITCHEN REMODEL 6 MODERNIZATZON CLAIM VALUE: 1,600.00 CALC—VALUE: ,�.. �• � � �K�]�Ill�.�f_Y�1 •J•i�J� PURPOSE; ALT SQ FT: 16,000 16,000.00 GROUP OCC: R-3 / COHMENTS; SMOKE DETECTOR(S) RE�UIRED IN HOME, �, ��T.Ll�T� *+r*��rr+t�*�r**�r*�r**�e+t�e�r�rrt�r*�r�r*�r* **�rx*�r�r**�r�r*�tx�xx*�rx�***�t�r* ri' �i �t �1'�Li3'1 � Z O N I N GS ERTEB�AUCIKRSE M E N T� REQUIRED ------------ 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: 42521112 ZNE: R2 REF NO: PLANNING N01'ES> PROPOSED REMODEL OF EXISTING RITCHEN ONLY AND ADD SKY LIGHT, ) if iF k k k iFif ik if ik k iF iF if iF iF if it if �k If iF k it 1F k�! iF ik if M ik if K if iE if if if if M!f M iF ik 1E 1F iF iF k if k IE iE if iE iE klFif �ElF iE if iE iF iF iF if iF if M ik if ik if IF�f jF 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 w• ;_ ��g DATE: �-p 2 BUILDING APPROVED BY : DATE: lT �� -,Z. APPLICATION ISSUED'HY• DATE; �' a-0 �t�e�e*��r�e*�t�rr�e***�x**+e** • ��r�r�e�r*�tx��r �r'� IEiflFiklflEitlEltlfiflflflfihiFkiEiFiFkMlfltkiE�lEfEkikiflllFlfMlFiFif�kiElfi i fififiElEifIFklFiflfiEifkifkiliEltlFikltiFikifiklflfifitif�fiFifiFit LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 171,00 • 1.60 SMIP/NON—RES PLAN 111.15 , ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 172,60 0,00 111.15 283,75 283.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: �� 283.75 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECFiANIC f FIRE SMIP/TOT GAADING PLAN—CHECK 171.00 1.60 111,15 if iF if �t if IE k 1F if M If k 1t if it k 1E if if �F if �F iE 1f!! k it iE fE k �F iF k ik iF Ik ik iE if if IF iF ik iFIE.1F�F if 1F �! if 1F iklf It it if k k ik if if ik M iE 1E ik k ik if 1t 1E fF iF 1E if iF IE if I N D Z V I D U A L F E E�'.B'A E A K D O W N TYPE QTY D E S C R I P T I O N ,� UNIT COST TOTAL COST SFR 16000 ALTER BY VALUE RESIDENTIAL ,N020NE 1.00 16,000,00 END OF FEES _ '_ '. L ' . CONSTRUCTION ANDPLANNING POOL A ':1PPROVALS Permit #`r Date Inspector AppROVALS Permit # Date Inspecmr � i� TemporarY Etectrical $ervice or Po�le 52. Pool & Equipment Location .. 2. Soil Pipe�Undrgmd. "• ��- ' 53. Steel Reinforcement 3. E�ectrical Conduit Utility-Undrgrnd. 54. Forms 4. f�ctrical Conduit-Undrgrnd. ' � 55. Electrical Bonding ��.Stee�'�ieinforcerrfent 56. Rough Pl�mbing & Pressure Test . fi• EMctticalUFER�Grtid. 57. APPROVA�TOCOVER-GUN17E . " 7. Foot;Qgs 58. Electrical Conduit-Undrgrnd. 8. Foundat�On . 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash LineS, P�Trap, C Undrgrod. 10. Structural Plooi System � �_ 61. APPROVA� TO OECK 11. Property $ewer Line & House'Connection . 62. Backwash & Receptor�Firtal 12. Sewer Ca0 � 63. Heater & Vent•Final � 13. Roof Drains � 64. Plumbing Systam • Final 14. Rough Plumbing 65. Electricel�Final 15. Rough Electrical•Conduit 66. Solar System-Fi�al i 6. Rough Electric Wiring � � 67. Fencing & Access ApP�oval 17. Rough Wiring $ign 68. APPROVED FOR PLASTERING 18. RoughElRctrieal•TBarCei�ing 69. POOL/SPASYSTEMSFINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' _ _ _ J -• 20'Rou�jhF2ctoryFrePlace � , � * •: ' "••.� JAPPROVA�SS:CPerfnit# `` - '- � 1 i'1 \ ^ i ' < .� �^x �<t Z ^.�y�- � f. 21' Oucts, �n Strvcturfl . � � '� - _ "s . : 70. .kjnde'rgrapna Hydro -. � 22. DUcis, ll�entlhting �' � �. y �; Y = 77, producL�tPing Q Gas ❑Oil 23. Gas Pipe�Rough & Test ` � � � ` ''' �. • , ' � � ; ' ' q � .... 72. Undergroynd Flusfi : 24zRoof Freming �; • �• � -` '• i � ' ' 73. Undergrnii.5tor�T��k'�flGas ❑Qil 25. Ropt Sh4athing ' � ' '`7 "` . „ � > � 74i,Qverhead Hydro„ a 26: .T•Bar Ceiling (Structuraq & Monocoat. ^ - �.�i � �r 75. Dry Chem,ical ' ' = S 27`'Frame and Flashinij , �. c :,.� /_ q2 �� 76. � Dry Stanc[pipe = A . . G! -28. Lathing & Siding-. . _ r S •* 77F PIXED $YSTEJ�vI'EINAE y _ - 29. Insulati0n -. � � '� ' '� 78.� FIRE PREV. FINAL . . _ =30. Drywall Nai�ing -+ � � � HEAL7H;DEPT. REQUIREMENT � q-c -� �� - -31. Plaster8rpwn Caat �. _ � _, y,7�� FINAL INSf�ECTIQN " � � �J32�Electrical Power MererFinal . . 80i:F00D CERTIFICATE ISSUED . 33. Fiaral Electrip � : r :: '� ; `' � Nptes: - " �. . 34. Final Heating & Air Conditioning � . _. , ,� � � _ 35��Final Gas Pipe•Tes[ � �` ' ' . ' I L •- � � . 36. Hoad or'CanoPY - . _ , �. . : . �� - � ; - � // _37. Final Factory Fileplace ` � � ' � r � /. I /Z-J� KJ �f i 38._Final Plumbing . - � � _� . � ' 39. Water Servic�•Final ," � � -_ . , 40.�Gas Service-Final " , , ,- .i 1 ; : , _ � x �- .:41. $olar pomesiioFirtal ' \ _ � � „ _ i% , '. � Y 42:'Backflow Preventei ' . . �;� � " ' 43. Backflow Irrigatioa'. ' • • -, ' ^ � � ` " � � � . . 44. Landscape Irripatfon SYstem. . ' � � _ �. . � ._ � 45. Sound A[tenuatidn, ' � - - � ' ' ' � ' � r : . 46. HandicaRRegulaiioris�'� , ' � �� . ` ��, _ 47. FINAL S7RUCT�F3E.&.BUILDING � � - • . 48:�FINALPLANNING l � • - .. i � . . �„ , � - - 49. E�eciric Releese {o-Edi��9 _ � � �* , - I . - . 50. Gas Release to So02hem California Gas Co , � �. - . �: - �-� - - 5l. CEftTIFICA7E Q„F�(1CCUPANCY � ,- - . � _ No. "` Date � PN0.IECT ROOHESS: 3 S S 1 6TH P L OWNEfl'S�NqMF: K�EN UTESUGI ' ADOflE55: 3SS 16TH PL COSTA MESA CA 92627 (714)499-6160 ANCNIENGINEEfl: � R�OHESS: flEG.NO.: uxiT: UNIT: PEflMITTEE: LOOMIS CONSTRUCTION (7]4)497-3283 aooeess: 760 REMBRANDT DR LAGUNA BEACH CA 92651 LICENSEO CONTBRCTOB UFLUNRTION: I �ereDy affirm ��at I am IicenseA un0er pmvisions of Ctwpter 9(commencinA �+�� Section 7000� o� �rvision 3 0l ihe Business antl Pmlessions Code. anG my litense is in Iu0 for an0 elleci. ciTvuc.:040 13 STPTELIC.:294SSO��ssf� � — ' Daie: Signamre: _ _ , �� WOBREHS' CD �PENS ION UECIABATION: I here�y afiirm Iha� I have a cenificate oi consent ta selbinsure or a rertiticate ot Workers' comoensation �usufafcs ��ceni�iee copy mereo� �section 3eoo, �ab.�16 / O 1/ i 3 ' POLICY NO.: E%P. OATE: cornrnxr: STATE FUNDM ❑ CenilieA tooY �s hereey fumisne0. L] Qrtilie0 wpy is hl¢E wi /tn�e Gty Build' Idsian. Oate: APDlicam: �,n ��—�—r��'y E%EMPTION OM WO EPS' fAMPENSATION OECIANATION: (1TR Setfion n¢e0 rro10e Wmpl¢Ie0 i� lhE p2rmi i51ar a1e hUMretl (5100) Or 1e52�. I cerlily Ihai in Ihe petlormante ol t�e work for w�ich �his p¢rmil i5 i55Ue0, I 5�all not ¢mDloy any DerSon in any manner 50 as to Oecome su�jecl to Ihe Workers' Campensa�ion Laws ol Califomia. ' Date'. Signature. NOTICE: If. after making ihis declaration, you shoultl �ecome SUGIe�� to IAe WofkeR' CAmpensa�ian D�ovisions o7 ��e LabOr Cotle. you mus� fonhvn�� comply wit� such O��sions or t�is permit shall 6e OeemeO revake0. LONSTPUCTION LENDINC PGENCY: I hereby aflirm ihatihere 6 a consiructron lentling apenty lor rt1e Dedormance oi t�e work for whith IhiS permii is i55uetl (Stt�ion 3097. Gv. C�. i�� LENUEX: nooness: OWNEB BUILOEB OECLAflATION: I hereby ailirm tha� I am ¢xempi Imm Ihe Conirattors' State License Law lor tAe following reason �Section 703t.5 Business antl Pmlessional Code: Any ciry ol counly w�ich reQuires a permit to consirucl, alter, impmve, Uemolish, or repair any slmcWre, prior to its issuance, also requires the apPlicanl far such Oe�mil lo lile a signetl sta�ement ihat he/sAe is licensetl pursuan� to �Oe Dmvisions ol ihe Contracmr5' State License Law (CIwO�er B kommencing with Seclion 70W� ol Division 3 0l ihe Business and Pmleuions CoCe) or Inat ne/stle is etempl therefmm and Ine Udsis lor Ihe alleA¢e exemption. Any violalion ol Sectian 703t.5 Oy any apWicant lor a permii SuUlec6 lhe appliwn� to a civil Oenaliy ol no� more t�an tive �unGreE EWlars (5500). �, as owner a� t�e ompeny or my employees wiih wapes as their sole comDensafion, vnll Aa the wark, anC �ne ❑ svucmre is not intenGeE or offere0 for ute (Secimn 70aa. Buvness an0 Profeuional COCe: TAe Caniroctors' State License Law EoeS nol a0�ly �o an owner Oi a pm0etly w�o builtls or im0�ove5 �her¢On, ana w�o d0e5 SUCh wOrk AimSel�Poersell Of �Afauph �is or her own employees. D�ovitleU Ihat suc� impmvemems are nat inten0etl or offere0 for sale. II, hor.ever the UuilOing ar impmvemem is soltl wit�in one year ol completion, the owner will have t�e burden ol provinA he/s�e GiJ not 6uild or imDmve lor the purpose ol sale�. I. as owner o� Ihe DroOerty, am eKCNsiveiy contracting wi�h licensetl con�mcmrs to constmct ihe pmlect (Section 7074, Business ❑ antl Pmlessions COAe: T�e Coniractors' State License Law dces nat aDDN �o an awner al propeny who builds or impmvu thereon ana w�o conVacis lar wc� pwle��s wi�h a contratlaqs) licen5e purSuaN �o ��e Contrac�ors' Siate License Law). I am aware Ihal pmot o� �heir Worker'S Comp¢nsa�ion insurance s�oultl Ge pmvide0 �o me. � I am ¢xemD� Uneet Seclion: B. 8 P. C. tor mis reason: Da1e: Owner. I ao nereoy cenity Inat I am aware ol anE un0erslanU Ihe requirements ol Cdlilomia Health an0 Safe�V Cotle Sections 255Q5, 25533, antl 2557G and lhat I or any �uWre builtling occu0an� will/will na� (cirUe one) neetl lo comply wi�h sai� stale codes an01�e reQuiremenls for a permit br conslmc�ion or matlilicalion Imm ihe Air Ouahry Managemeni �isiricL Fesitlential conslmction aDPlications are e�empt Imm �M1CS¢ pf0Vi5i011S. Oa�e: ApplicanL I h¢t¢py t¢ilily ItWI Ihavereatl Ihis appliCaiion anA Slatelhai Ihe a�ave in�ormaiioni5 mrreci.lagr¢eia Wmpty with aliti�y anE c0uniy ordmances antl stale laws relatinq to Uwlamg consimction ana �ere�y aN ' e rept¢unU�ives ol iNs pry lo enter upon It1e a�Ove�menti0ne0 omperty lor inspec bn purposes. �� /J // Date: �� SignaWre. 6,.�(�'�T��* - Driver�s ucense m S ciai secudiy a: I6at�a6 W�ite-6uildinq: Green—Coae Enlorcement; Canary—Applicnm: Pmk—Revenue; GOIQenroO—Assessor CITY OF COSTA MESA — BUZLDING PERMZT PERM NO; PERMIT NO: P 058705 PLAN CHECK NO; N , , CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE; OTH JOB DESCRIPTION ; KITCHEN REMODEL 6 MODERNIZATION SQ FT; CLAIM VALOE; CALC—VALUE: GROUP OCC; R-3 / COMMENTS; RE: 858701 PRIMARY HLDG, PERMIT, *�r*�r�r�r�r�r�r�r�r* �r�r�t�r�r�r�r�rx�rr�r�r�r�r�rx��r**+t�t�e�t+r�rx x�r�r�t�r�r�*�r*�r��rx�r�x r�e�r�r�r�t�t�r***�r�r*�r�t�e�t�r*��r�e 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 --------- FANT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE PROV; PARCEL; 42521112 2NE: REF NO: PLANNING N '�ES> i �e�rx��r,r*�r� �r��t�r�**�r**r��r�e��r�e�r*�t�r+t�r*�t�t*x��r**�r*�r�t�r�t�t�r�r**�r�r*�r�t�e*�t�e*�t*��t�r*�*��*�t�t�t+t�r 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 � . 20NING APPROVED BY DATE; BUILDING APPROVED BY ; ' DATE; APPLICATION ISSUED BY: ^ 8��..._ DATE: +e�r�e*�r***�r�+r**�e***�r�e*�e�e�� ' �3�� i��e*�e�r�r**�r** -Z�* iflfififiFlFifiFlfkltltiFifMifiEiE�f�k�fiflllkklkifik�ElEMit�fi fiFikkiFifk3Fifklfif MIlif�lkiFlfiFifififillFlfifiE�tiFiEiFiElEiFiE3fiEiF�fil�iF�k LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N PERMIT HLDG PMT PLUMBIoo ELECTRIC MECHANIC FIRE SMIP/RES GRADING '25Y SMIP/NON—RES PLAN . ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.00 20,00 , 0.00 27,00 27,00 ,00 REVENUE DIVISION TOTALS--> COLL'ECTED; 27,00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 2%,�� if iF 1f �f IFiE iF �F iF �f M if �f �k If IE k!! ik 3f iFit �f iE iE �f ik k if if if ik ik if iflF fF iEik 1E 1E iF k k k 1E IkiE it iFiE if k if k if iFit if if fF 1k�k �F iF 1F iF iF if k M iF IE k 1t iE fE k 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 UNIT COST TOTAL COST PLU 1 SINK, KITCHEN END OF FEES i CONSTRUCTION AND PLANNING APPROVALS Permit # %. Temporary Electrical Servite or P.ole 2. Soi� Pipe�Undrqrnd. ' �� a :?. flect�ical Cond�iyUtlity-t7ndcgm� 4. Etectrieal Conduivlihdrgrnd. � - 5. Steei r�einforcement . ,6. Etrctrical UFER Grnd. . ' 7. Footings � 8. Fo�ndatio� 9. Water Pipe-Und�grnd. 10. Structurei Flooi SYstem ' � _ 71. Property Sewer Li�e & House Conr�ction . 72. Sewer Cap - 13. Roof Orains ' � 14. Rough Plumbirtg . C� 15. Rough Electrical-Conduit � . 16. Rough Electric Wiring 17. Rough Wiring �ign ' � 18. Rough Electrical�7 Bar Ceiling 19. Rough Heating & Air Conditioninq 20. Rotigh Factory Fiteplace : � - � ;. �_ � � :� 21.'Duc�s, in StrNcture:� . . _ � �� 22. Ducis, Ventifating:� �- _� * .� 23:�Gas�ipe�Rough & �est ^ � � 24. �Roof Framing � - � 25. Roq,f Sheathing ' � . x 26. T�Ber Ceiling (Struciural) &-Monocoa[ ' 27.'Frameaod Flashing x �c. 28.�latbing & Siding c-r � . . �� K �'29. Insulation ' S .. -. • - =30. Drywall Nailing _ � 37. Plaster Bro�yn Coat - - J32. Electrical Power Meter�Final ' 33.�final Electric . , � � 34.'Final Heating & Air Conditionipg, � _ '35.� Final Gas Pipe-Test , � • - •'1 POOL ?A Date Inspector qppROVALS Permit# � 52. Pool & Equipment Location , 53. Steel Reinforcemenc 54. Forms � 55. Electrical8onding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUN�TE 58. Electrical Conduit-Undrgrnd. ' 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor�Finai 63. Heater & Vent�Final 64. Plumbing SYstem - Final �j�� i1� ,r � 65. Electrical�Final 66. Solar SYstem-Final 67. Fencing & Access Approval 68. APPf30VED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT r�- ±�- �. , - ' � "x ' 'APPROVA�S - Peri'nit # ^ > -�� , � t - - 5 �7 - 70. Undergrotlnd Hydro � � � `Z" ` ,;71. Produc�P�ingL7Cr�s (�Oil •- x < . J � �•� c 72. Underground FlusFr ,; _� - �. r �_ 73.-Undergrnd.Stordg�Tank'E7Gas OOiI � i :�¢.. . 74,�Overhead Hydroj ' � ,� - _X ` 75F Dry Chemjcal ' w - � a � 76? Dry Stancjpipe " ��v �, ' P �� " ';' 77;" FIXED SY Ep� �C51AL` � � (, : 78_� FIRE PBEV. FINAL x; r a- .� V• HCALTH DEPP( REQUIREM � '�' " .; 79:'FINAL' INSPECTION " '� , � •-80:�FOOD CERT FI ICPITE 13SUED� . I . .: v y � N'v/-' � / � = % %'-- %�%tt - zi c -_36. Hood or Canopy . , - � • . 37. Final Factory Fireplace_ ; �„� � � ` �38. Final Plumbing . � . i � (�/ � -39. Water Service�Final' ; 40. Gas Service-Final . , y _ -�47. Solar pomestic�Final . �' • r � "� 42.-Backflow Preventsr �a . 43. Backflow Irrigatio� + � • . ., 44. Landscape Irrigation SYster� - '-45.-Sound Attenuatio� � � '46. Handicap Regulations - 47..FINf�L STRUCTURE & BUfLDING 48. FINAL PLANNING � -_49��Elee[ric Release to Edison 50.. Gas �Release to Southem California Gas Co . 51. CERTIFICATE OF OCCUPANCY . Date �c s, r � i I' �". .j. �h - � �j't _ �: ' � '. . - , c '`� T , -T , � i .r i � � > : r � �' ' c : � , r � c : - - Date � Inspector i � I i � 'PqOJECT RO�HESS: 3 S S 1 6TH PL OWNEfl'SNpME: KEN UTESUGI nooness: 355 16TH PL COSTA MESA CA 92627 (714)494-6160 APCH/ENGINEEfl: AOUXE55: flEG.NO.: UNIT: UNIT: VEHMIiTEE: LOOMIS CONSTRUCTION (714)497-3283 eoneess: 760 REMBRANDT DR LAGUNA BEACH CA 92651 UCENSEO CONiNACTOB oECuflRTION: I nere6y aifirm inat I am licensea unAer v�a�ons af Cnapter 9(commencinp vnin Section 70W) o� Division 3 0l I�e 9usine55 antl Pmlessions CaOe, anC my license is in lull �orce anC effec�. cirruc.:04 013 srg2uc.:294880 /�cyyss�� — �� Date: SiA�awre: — WONNEHS' MPENSA ION OECIAPATION: I hereby allirm t�at I have a certificate of consent m selbinsure or a certilicate oi Workers' compensaiion p,sufaqcys p3 §ceni�ied coov mereoi (Secoon 7800. �ab. �6 / O 1/ 9 3 voucr No.: STATE FUND EXP. OATE: COMPANY: ❑ Cenifietl coOY � �ereby Iurni5�e0. � Ceni�iea copY is lile /ih/yJ5iry Buildi �ivision. �ale'. Applicanl: (-�/`�/ � E%EMPTION F M WOP S' COMPENSRTION OECUPRTION: (ThiS SeCiion nee0 na� be completee il Ihe permit is �ar one hmM�eO (5100) ar less�. I cetlity Iha m Ihe petlormance ol lhe work lor which this permii is i55ue4 I shall nol employ any Derson in any manner so as to become 5u01e�� o I�e Warker5' Compensalion Laws ol Calitomia. �ale: Signature: NOTICE: If. alter makinA ��is tleclaralion, you shoulU become su01e�� o the Workers' Compensation pmvisions ol t�e La6or CAde. you muslfoh�with camply wiltl suc� D�ovisions or ihis Dermit s�all be tleemeC revokeU. LONSTNUC710N LENDING �GENCY: I Aereby allirm t�al t�ere is a consiructian IenOing agency lor t�e peAormance ol ihe wnrk lor wnicn this permi� is issuetl (Sec�ion 3097. Civ. CI. LENOEN: nooaess: CITY OF COSTA MESA — BUILDING PERMIT �R�'� PERMIT NO; M 058704 PLAN CHECK NO: N I GIIVI-7TSIIFPr�� CONSTRUCTZON TYPE; 5—N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRZPTION : RITCHEN REMODEL 6 MODERNI2ATION SQ FT: CLAZM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: RE; B58701 PRIMARY BLDG. PERMIT. �t�r**��r�r�r�r�r�r�r�t*�r*�r*�t�t+�**x*x+t�t�tx**�r***�r�r**�x �r*�rx �*�t�r�t*�x �t*�t�r****�t�t*x �r***+t*�t*�t*�r** Z O N I N G R E Q U I R E M S 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; 42521112 ZNE: REF NO; PLANNING N01'ES> i !f if 1t 1k it iE �f ik iE �E if� 1t 1E iE iE iE if ik Ik 1Elf if if iF if 1F iE if if k fE iE if ik if 1flF'iplt 1k k iE 1E iE iF iF �f if if iF 1F 1F if ik k if k k �E k ik�E if ik iF1! if iE iF if iFiF iF k!F 1k IE if 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 , ' � BUILDING APPROVED BY : ry �:� � iF if iF if %if it iF �k ikif iF if if if �E k k iF if ik if IflE it �f if itlk k k!E ih �! If �f �E iE 1t �f # IE LEGALIZATION;N F E E S U M DATE: DATE; DATE: �� i�~� �FififiEf!lEiEitif k ik �iFkifitlEiF�fiFiEikikifikifiEiFifiliEftlFitMk�fk�lil�FkikkiEiF A R Y STRUCTURAL SEGMENT;N OWNEBBUILOEflOECUNRT10N: I�ereEyaflirmlha�lamexempl�mmt�eContracmrs'State�icenseLawformefoilowinA��son BLDG PMZ' PLI)MbING EI.ECTRIC M$CHANIC FIRE $MIP/IifiS GRADING (S¢c�ion 7031.5 Business and Pmiessional Cotle: Any ciry ol coun�y which r¢Quires a permii lo cons�mcl, ai�er, impmve, tlemalis�, or P ERM I T 1 3 0 � r¢Dai� any Slmqure, prior lo iis i55uanc¢, also repuire5 ih¢ appliwni lor Suth Defmit �o �ile a Siqnetl Sia�emtnl It1a1 �P15he 6licenSeO � 5� SM I P/NON—RES purSuanl lo ih¢ provision5 011he Contratiar5' Siate License Law (ChaD�er B(wmmencing with 5ectian 70W) of Division 3 ot t�e Business P L� anC Pm�ession5 Code) Ot ��a� �e/She 4 ee¢mpt lherelram anE Ihe ba5i5 lor �he allegetl exemptian. Any violaiion ol Set�iOn 7031.5 Oy I S SUE FEE 1 5. � � any applitani lor a pefmii wGjttlS I�¢ aDDliwn( �o a[ivil ptnalry o� not rtwle �han Me hunEreG dollars (5500�. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE i. as owner ai tne oropeny or my emoiovees vnt� wages az the�r wie compensation, will Uo �he work, ano tne TOTALS----> 1 3. 00 1 S. 00 0. �0 28, 00 28 , DO . DO ❑ struciure is not imen0e0 or o11ereG lar sate �Senion 7044, Business and Pmlessional Cotle: T�e Contracrors' State Licenu Law Aoes not appp m an owner ol a propeny who Uui105 or improves Ihereon, an0 wtro Ooes such work �imSelVhersell or Nrouph �is a� hei own emD�oyees, pmNeeO t�ai suc� impmvemenis are not imenAeO or offere0lar ule. If, �ow¢ver the �uilAinA or REVENUE D IV IS ION TOTALS--> COLLECTED • 28 , 00 OVER /SHORT • 00 impmvemeni is SoIA wil�in one year o� compleiion, Ihe owner will Aave I�e burden oi D�oving �e/she ditl not �ui10 or impmve $LDG PM�I' PLUMB I NG ELECTR I C MECHAN I C F IRE $%1I P/ TOT GRAD I N% PLAN—CHECR lot Ine purpOse of Shcef. I, as owner ol t�e pmpeny, am exclusively coniracting wit� Iicense0 tontractors to consimct ihe pmject (Seclion 7044, Business Z 8• O O ❑ aibProfeuiWsCoGe: ThefAntraclors'SlateLicenseLawticesnolapDlytoanownerolpropeM�obmlQsorimproves��ereon ******************************************************************************* ana wAo contracis lor suc� pmjecis with a conVactoqs�license Dursuant Io t�e Coniracmrs' State License Law�.l am aware . t�at pmof ol their Wo�ker's Compensation insurance shoulJ he pmvidetl to me. I N D I V I D(1 A L F$ E B Fi E A R D � Yi 1� � I am eKempt under Sec�ion; B. 8 P. C. lor Ihis reason: �aie: Owner. I tlo here�y certily I�at I am aware ol anU understana Ihe requiremenis oi Cab�arnia Health antl Sa�ery CoOe Sections 25505, 25533, anA 25534 ana IOai I or any lulure DUilaing o[[upan� wilUwill no� (Circle one� neetl t0 tOmply wi�h saitl slaie COAeS an0 ihe feQUir¢menis for a permi� lor constmtlion or mo0ilica�ion Irom Ihe Air Dualiiy Managemen� Oislrict. Fesitlential cons�mclion aDPlicaiions are exempl tmm �hese D�ovisions. �ate: ADulicanC I �ereby cerUly t�at I have rea0 ihis aD0licalion and slale I�at IAe a0ove inlormation is correcL I agree to comply wil� all city ane county or0inance5antl51aielawsrela�inglobuiltlingcons�mctianantlhereby orrzereD�esent SOIthiStiryloenteruponlheabove�meniionetl propetly IOrinSpecii purposes. Dale: Signaiure: � L�� "''�—�� _ od�e� s ucense o� sa i Security w: I6d�J6 Wbite—Boiltlm¢ Geeen—Cqfu Enlorcemenc Canary—Aoolicant: Pink—R¢venue: GOWenroa—Acexzmr TYPE MEC QTY D E S C R I P T I O N UNIT COST 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 6.50 1 EACH APPL NOT IN OTHER CAT UNDER FEE 6.50 END OF FEES i.'ij � ^ ' TOTAL COST 6,50 6.50 CONSTRUCTION ANDPLANNING POOL PA APPROVAIS Permit# Date Inspector qppROVALS Permit# Date Inspector ` :. Temporary Electrical Service or Pole . - 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. -' . 53. Steel Reinforcement :�.`E}eLTtricel Condvit �.)tilify-Undcgrnd. '' 54. Forr05 4. Efpctrie2l Conduit�Undrgrnd. 55. Electriwi Bonding ' S: .9SPF1 �Reintorcem�nt •� 56. Rough Plumbing & Pressure Test �'6• �tectrica� UFE$�rpd. � 57. APPROVAL TO COVER�GUNITE . 7. Footirgs r� - 58. Electrical Conduit�Undrgmd. 8. Foundation . � 59. Gas Pipe, � Undrgrnd., Test _ 9. Water Piqe-Unqrg7nd. ' 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Flooi SYstem • 61. APPROVAL TO DECK 11. Property Sewer Li�e & House Conaection 62. Backwash & Receptor�Final 12. Sewer Cap � '' � 63. Heater & Vent-Final . � 13. Roof Drains . � ' 64. Plumbing System - Final 14. Rough plumbing -� 65. Electrical�Final 15. Rough Electrica6Conduit 66. Solar System-Final 16. Rough Electric�Wiring . . 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING 18. Rough E�ectricaf�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �� t-f. ��` FIRE DEPT. REQUIREMENT � -- _ t : ' 20. Rou9h Factory F�ireplace �� + C _ _ � �: 'AppROVA1$ -- `� Permit # '" c i K - - - 21 � DUMS, iR StryCturer . .. _ � > . = T :� f ; 70. Undeigr.o�n Hydro •� 22�. Ducts, Ventttating = � (: -. � � ,. y - 77, produc��ping � Cyas 17�0i1 23., GaiPip�';Rough & Tesc ' i - ,� ^ i= 7Z• Undeigrband FIusF ~ ` .. s_ 24� Foaf Praming �r � .- - ••:n - � ? _ ' < - 73i Undergrn�l. Storege�Tank-O Gas ❑ Oil - 25. Ropj SM1eathing .�� ' �� , , - '� .L„ :� 74:;,Overhead Hydro, e 26.,T�Bar Cei��o9 (Strvctural) &ivlonocoat • ' : .y - 75-Dry Chemical = ' . 27�Frame aDd Flashin� i _ r ` 76. Dry Stan�iipe ^ D �� "T C -28. Lat#�ing�& Siding �. �:;`: r • �� H �+ 77,' FIXED SY3TE�A�INA q V � 29. Insulatibn s�. ' '" ' I r�t 78; FIRE PREV. FIN1kL � = � � . � 30. Drywall_Nailing .c� � � �i - � HEALTH•DEPT. REQUIREMENT :37. Plaster $ro�n Caa` � � .;. 79.` FINAL INSF?ECTIdN ' - s-- ��32: Eiectricel Power�leteP�Final � ,. .�: �.80: FOOD CERTIPICATE 15SUED � .33�Finpt Electric '. � _ ` ' .� .� ' No'tes: ''- ; ,� . " r +,34;`.Fiqil Heating'& Ai[Conditioning , �..��ail , - . c � , _ ., ; . � - ��ia 35:' final G2s Pi('e-T'est }Y - � 'Y : ' _ - ' " ' . . - 36. Hoad or�CanopY'.� • I /3 �(j � j'� � �� - . 37>Final FaCtory Fireplace ' �} ' ' - � � � � x � •t� ; ' � " 38. Final Plumbing . � .... .- � `. . � ,K . : ' . _ ; , � � 39. Waier Se'rvice�Final , I j " . .� .. • ° '. � > 40. Gas Service-Final ; ,- � i, . ti , � � � - ._ ,� . � � > 41. Solar pomesticFinal, �' 'z ��- ` -C . � l . Y 42�'Backflow Preventei ;�, I a � - � _ . 43. Backflow Ir�gation- • � � ` t ' � -. - i � .44. Landscape Irrigatlon System i_,', . - - - - � . - ?45_ $ound Attenua[ion • � - � � r ^ � �r . - j . ;46., Handicap RegulatiQns - � � � �' - " � _ � ,. 47:,FINALSTRUCTURE&BUtLDING ' <<'� � .. �� ' � I 1- x n 46t FINAL PLANNING ' � � � � � j. _ � r t � �+49. Electric Release to Edison • � � k f r � � _ 50._ Gas-Release to Souihem Califomia Gas Co , ' � � _ " - . " , ` � 51. CERTIFICATEOEOCCUPANCV ; - No. Date � PflOJECT ADONE55: 3 S S 1 6 TH PL OWNEN'SNOM(: KEN UTESUGI A�OPESS: 3SS 16TH PL COSTA MESA CA 92627 (719)494-6160 FNCN/ENGINEEH: AODflESS: NEG.NO.: uNiT: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; E 058703 PLAN CHECIC NO; N CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE JOB DESCRIPTION ; KZTCHEN REMODEL & MODERNIZATION UNIT: CLAIM VALUE: CALC—VALUE: PEHMITTEE: LOOMIS CONSTRUCTION ( 714 ) 497-3283 aooness: 760 REMBRANDT DR LAGUNA BEACH CA 92651 IICENSEO CONTflFCTON OECIANATION: I �ereby a�hrm thal I am licensed under pmvisions ot Chap�er 9(commencing wi�h Sec�ion 7000� ol �ivision 3 0l �he Business antl Professions CoOe. and my license is in futl �arce antl eflec�. crtruc.:040013 srareuc.:294880/ ,�Y�ss , _ Oale'. �'� 2— Signa�ure: �/ L — ' WOBNEBS' OMPE! ATIUN DECLFRATION: I �ereDy allirm that I �ave a certificate ol consen� to self-insure ar a cenificale of Warkers' compensanon �nsu�afcs ��ceni�ied coov thereo� ISection 3800, tab.�16 / O 1/ 9 3 Paucr xo.: STATE FUND E%P. DRTE: COMPANY: M ❑ Cetlifietl copy is hereUy furnishetl. L� Ceni�ietl copy is �ile �e cily 'tling Division. Da�e'. �"� �^ NPVlicam'. —i%'��Ly E%EMPTIO FflOM WOPII S' COMPENSpTION OECLRflATION: (TAis seciion neetl not he comple�ea il the Dermii is �a one hun4re0 (E700) or less�. I certity �hai in Ihe peAormance o� Ihe work for which �his Dermii is i55ueQ I shall no� employ any per5on in any manner so as to Oecome subject lo �he Workers' ComDensation laws ol Caiibmia. L� Daie: Signa�ure: NOTICE: IL ai�er making this tleclara�ion, you s�oultl become sublec� to ��e Workers' Compensation pmvisions of �he La�or Code. you mu5t fo�hwit� compry vn�h such pmvisions or this permi� shall be OeemeC revoked. � - CONSTBUCTION LENDING RGENCY: I hereby af�irm Ihat there is a consimction lending agency �or the perlormance o� the work for which �his permi� is i=SueA (Seclion 3097. Civ. C). �ti n LENDEP: %+ aooeess: OWNEP BOILOEB DECIABATION: I hereby aHirm Ihat I am exempl from Ihe Contracmrs' Sia�e License Law �or ��e Pollowing reason �Section 70.3L5 Business anA Pmfessionai Cotle: Nny city of county w�ich requires a Dermii b constNc6 alter, impmve, demalish, or repair any simdure. Orior �o i�s issuance, also �epuire5 ihe applicanl br such permi� Ia �ile a signed Slalemeni tha� �e/s�e is IicenSeA pursuan� lo Ihe pmvisions o� �he Canlrac�ors' State License Law �Chapier 9(commencinp with Sec�ion 7000) of Division 3 0l Ihe Business antl Pmlessions Code) or ��at he/she is ezempl Ihereirom and Ihe basis lor t�e alleged exemD�ion. Any violaiion ol Section 7031.5 �y any aODlicant for a permit sublects ihe aDPlicant to a civil penalry oi not more ihan five �unOretl Oollars (5500�. ❑ I. as owner of Ihe pwpetly or my employees wiih wages as their sole compensa�ion, will Uo Ihe work, and �he s�mcwre is not intentletl ar oilered lor sale (Section 7044, Business antl Pmfessional CaOe: The Contractars' State license Law tloes no� apply Io an owner o� a pmpeny who huilds or imOmves �hereon, antl who does such wark himsell/�ersel� or �hrough his or her own emp�oyees, pmv�tletl thal such imprmemenls are no� in�entle0 or o��ered �or sale. I�, however ��e OuilOing or impmvemenl is sold wil�in one year ot comple�ion, Ihe owner wiil have I�e bmtlen of pmving �e/she aitl not 6ui�A or imOmve for ihe purpose ol sale�. I, as owner o� the pm0erry. am exclusively conVaciing with licensetl conVacmrs m cans�mm lhe pmlec� (Section 7044, Business ❑ an0 Profeuions Code: The Comracmrs' S�a�e Licenu Law tloes no� ap01y �o an owner o� D�opeM who builds or impmves Ihereon and who coniracis lor such pmlects wilA a contracior�s) license pursuan� to Ihe ConVaciors' Slate License Law). I am awa�e �hai pmol of �heir Worker's Compensa�ion in5urance shoultl be O�avitle0 to me. � I am exemp� un0er Sec�ion: B. 8 P. C, br IhiS rea5on: Dale: Ownec I Uo hereby ceriily Iha� I am aware of an0 untlersiand the reQuiremenis n� Cali�omia Heal�h antl Safe�y Cotle Seclions 25505, 25533, antl 2553a antl tha� I or any Wlure huilOmg occupant will/will nol (circle one) neetl b comply vn�� sai� slate codes and IAe repuiremenls tor a permi� lo� conslmclion or moddicatmn fmm ihe Air Oualily Managemen� OistricL Resitlential consimc�ion applications are exemp� �mm I�ese Drovisions. Oa�e: Applicanl'. I hereby ter�ily Ihat I have r¢aa I�is apDlicalion an0 Stale I�al l�e a6ave iniormalion is wrr¢t�. 1 agree to tomply wi�h ali tiiy and Caun�y orainancesan4stalelawsrela�ingtobuilemgconsimc�ianantlherebyauth izerepresenta�rv o��hiscirytoemerupanlhea6ove-memianed pl0p¢fly b�lOSp¢ I100 p0lpO5P5. //J Oale: � Signalure: ��/// o��ers r�e�se o� o��ai se��iY a: 18atd6 White—Builtling'. Green—Cede EnbrcemenL Canary—ApPlicant; Pink—Revenue; Goltlenrod—Assessor PERM O; E T; , PURPOSE; OTH SQ FT; GROUP OCC: R-3 / COMMENTS; RE: B58701 PRIMARY BLDG. PERMIT, �t�t�t�t�r�t�t**�r�t�r�r�t�t�r*�t�r�tx�r****��r*�t*�r�t�t**�r�r*��r��r�r�r�r�r�t�t�r*�r***�t*�r�r�r****�t*�t*�r**�r�t�t�t*�e�t* 2 O N I N G R E Q U I R E M E N T S S E T H 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 PARRING RE • PROV; PARCEL; 42521112 ZNE: REF NO: PLANNING N 1'ES> i iEitxit�ie*itit*+eir�r�t�rir�t�t*�rk�tiEiF�r!!*�t�t�tat�t�r��r�rit�k�ieitiEkit*it�r��riE��t��t*��t�tit�tat�rir�ritit*�r��r**itit*it D E V E L O P M E N T S E�, R V I C E S R E(J U I R E M E N T S t. J 20NING APPROVED BY ,_.,, DATE; BUILDING APPROVED BY ; DATE: APPLICATION ISSUED HY: DATE� � ao�1�'.2 iF ikiF ik M iF iF 1FiklE 1f iF df iF �f iF ik if 1E iE ik if if 1E �f iF iE iE iE if 1E if MiF iFik ik 1f iE if iE 3FlF iE iFlE 1k 1FM iF�liflF iE jFlE ikif if �f if i!!F i!!! if k iE iE iE iE �F 1F iF if iE i61t if LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N PERMIT BLDG PMT PLUMBING ELE1zR�s MECHANIC FIRE SMIP/RES GRADING �Ot SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 12.75 15.00 0.00 27,75 27,75 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 27,75 OVER/SHORT: 00 HLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 2%.%5 1F 1Elf 3F k�E �f �E �f �f k!F k�! �F �f if iF �f iF �E if �! if it ik iE ik ik ik IF if iF 3F �E �f if iE iE �f k�E �E if iFiF if if 3F dFif �f �f �! k 3F iE if �E iE iFif �1F iF iE iE IE 1F If if if dE it iF iF 3f iE 3f 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 UNIT COST TOTAL COST ELE 9 FIXTURfiS LIGHTING 1 ST 20 EA, ,75 6,75 ELE 4 RECEPT/O�TLET 1 ST 20 EA, ,75 3,00 ELE 4 RECEPT/SWITCH 1 ST 20 EA. ,75 3,00 END OF FEES ' �'. l �I�I?-' . _ � � . _ . . _ � . . CONSTRUCTION ANDPLANNING POOI lA APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector i. Temporary Electrical Servipe or Pole ` � 52. Pool & EquipmeM Location � 'L. Soil Pipe-Undrgmd. __ � - 53. Steel Reinforcement :i. Electrical Conduit Uiility�Undrgmd;, � 54. Forms � 4. Electrical ConduibUndrgrnd. - • 55. Electricaf Bonding -�5. S�eeF-Reinforcem�nt .� , 56. Rough Plumbing�& Pressure Test '' �g�rEtectr¢calUPOf��'rnd. .- 57. APPROVA�TO'COVER-GUNITE � 7. Footipgs ' - 58. Electrical Conduit-Undrgrnd. � S. Foundation , � 59. Gas Pipe, � Und�gmd., Test " 9. Water Pipe-Undtgrnd. 60. Backwash Lines, P�Trap, � Undrgmd. �0. Structural Floo� System 67. APPROVAL TO DECK � 77. PropertY Sewer Lin2 & Hoase.Connection � 62. Backwash & Receptor-Final _ 12. Sewer Cap ' _ 63. Heater & Vent•Final �- 73. Roof Drains " 64. Plumbing SYstem - Final � 14. Rough Piumbing 65. Electricai�Final . 15. Rough Electricai-Conduit , 66. Solar System-Fina� � 16. Rough Electric Wiring 9��/9� �� 67. Fencing & Access Approval 77. Rough Wirin9 Sign - 68. APPROVED FOR PLASTERING ' 78. Rough ElectriCai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT " _ ' _ " ' ' ... f,^r-�L� . n � : 20.'Rour'9h factoty FfrBplace � '_ '� t S -� �_ * y 7�PPROVA�S= =Per-fiit #� '- � � a ^ a • F ^ X .� 21._�Duc�s, i�, St�pctu�e: ,. ti , - -. Y.70. Unde�ground Hydro . � 22. DUcis, Ventitating � �� '� '�� 77, product�Pi�;nc� G�C�s �xOil 23.;Gas Pi e�Rou h &�Tes[ , ;' " '- ' ,`, "' '� `-' P.- y � Y r C � •�,e J2. UndergroUpd Flush) .. 24.� Roof Framing � � . . - � ^ -' _ s �T >73;Undergrnd'. Storag�_Tank O Gas � �ii ` 1 25. Roof Sbeathing ' '� " , �� '� �' `� Z;x ` �74=0verhead�iydro ' ;, 26.�T�Bar Ceiling (Structurai� &�Monocoat �-�' - 75'Dry Chem_cal - - = ^ � ^ ' � c r 27._Fremeand Flashing � ,_ _ �t �`. 7fi.'Dry Sta��pipe ' c �, � � '�' .-�28.�Latbing & Siding . � - ; -_ ' � z ! i !� % 77,' FIXED SYSTE � ��INAL'_� J - �'29. tnsulation ��`'� . x' '; � 78; FIRE PREV. FINA_L y-> i *30. DrywaliNailing '+ �� HEALTH�DEGT.R�EQUIREMENT ' 31. Plaster Browq Coat _ �` K,� �79��FINAL INSP�CTION�. ` -32.rElectrical PoWer MeterFinai .- f�. r$0. IFOOD CERTIFICATE IS6UED . + - �33{Firral Electric ' '� �� `Notes, _' - ; - '` _ � 34.-Finai Heating & AiGConditioning, � � �• � �. �t *. ., _ _ f 35.'Final Gds PiPe�Te'sC ' • _ ' ' - . • - -�` I �i, .:.c * . 36 Hopd or`;Canopy , � - . � + p. : ^ _ � a � r 1 zr r �37.-Final fa�tory Firepiace ��^ � t' �' " `' '""`" t �. - - �38. Final Plumhing . . . � � .. " � , ' � � , c . � �39. Water Service�Finah - � � �� - ' T � ' , 40. Gas Service-Pinal '' , _r .: . � x -, I ! �� ,� _�� o� x -' ' - '. - �-r >.41. Solar pomestic-Final . � • �^ S�' � r t •: f iT • 42.'Backflow Preventer,� ' x z y j� - � 43. Backflow Irr�ation x' - : ' ' - _ , . ,44. Landscape irripation System�, �� , � . .i ' .5 . . , '45..Sound Attenuation - � ^ ' - ' ' ' " . _ ' ' r+ r - - t '46: Handicap Regulations . � x .: x - _ , . > 47._FINAL STRUCTURE & BUCLDING � ' �� ` ' , ; ' ' i .K. i x 48:=FIh}AI.PLANNING , � . �� r , . . -:49.:Electric Release to�Edison ' �� I � }'' � = ', , - i. t � L =50..�Ga`,Release to Southern Cafifomia Gas Co . I ' ��: R ° '" • �.., j `• • 51. CERTIFICATE OF OCCUPANCY •.r - , �. -. - : .� No. Date BN FORM 176 BIA FORM 1486 INSULATION CERTIFICATION ihis is to certify that, in conformance with the current energy regulations (California Adminis- trative Code, Title 25, State of California") and approved plans, insulation hos been installed in the building located at: cosTA r�sa oRaxcs City Counry 355 E 16th PLACB 3(corner unit� Shael No. (If Aveil�ble) Stree[ Lol NumEer Tne[ No. i3TiIT A DESCRIPTION OF INSTALLATION ROOFS Type of Manufacturer Thickness R Value** EXTERIOR WA«SFIBIIiGLAS$ CERiAIN�'EF.D ,31/2" ,.11 Type of Material Manufacturer � Thicknes R Value — (Or TraEa Nama)1 CEILINGS � Type of Material �BiRG7,ASS Manufacturer� �'�1�;��hickness 6p R Value** 19 9� (Or Tnde Name) Sq. Ft. Covered � BLOWN: � Type of Material Manufacturer' Thickness No.Bags— (Or Tnde N�me) Wt./Bag Sq. Ft. Covered R Value** FLOORS Type of Material Manufacturer (Or TnEe Nama SLAB ON GRADE Type of Material Width of Insulation FOUNDATIPN WALLS (if reqvired) Type of Material REMARKS (if � FLOOR. GARAGE General Contractor � ro� Inches Manufacturer_ (Ot Tode Name) License Thickness R Value*' Thickness R Value'*. Thickness R Value"— By Title Date Sub-Contractor (Insulation Applicator��GY COIS:RQL If�SULATZORT�Lic�fis�l0umber �4822 pnsW�tim, M�mn�Y, Eh.) (S�le "S�ME" If ame as Gmwal Contnctor) ' o.. 1mICHAFiL SDLLIVAN r:,,_ PRESIDET3T „_,_ OCs. 23. 1981 I•Cali(er a AdmfNSlmti.e Ceds, EnaroY ��la6on Standarda, dedam�: "Comoliana�. Uon� <om0lelien of ehe immllafien of In�elation, o mrd mrtih��0 that the ��e�ion ha� been initolled in confermanc� with fhs repuiramenh of thwe repulatiens ahall be mm0�ated and saecvrod by th� in�vlalien aoo�twror and by the buildx. Thi� imulailon mmo��a�� vrtl �holl be Oos��d u� e<ons0��e�� le<ntion within the dwallinp."� �••R Value is �he meamre el fh< resi�tance of a mobYwl er bvtldin0 <om0onent to Iha pas�a0e of heal. The reiistonce ralue (R� of max��ype inmlatioro �hall Oa� ��dede any ralue tw nflectim (ccinp.) EXCERR hom 5�<. 79W5 of Iha Nealth and Sab1y Code o/ fhe Slala e( Californla: "Ne urNfim�e of ocm0anay or similar cerlifimtion fhcl o newly mm �frvvted he�el, morol, aoartmenl homa, homs m othm re�idential dwellinp ic habilable �hall be ismed by such o bvildinp department unles� �ha sfrvctwe at leap sotisfi�s the m m�m amryy imulvtien aMndards eqabllshetl punuon� ro fhi� chapter.'1nI Form 116 —O Bt11LUING NEWS, INC., 3055 WerlaiM Ave., Los Angeles, Calif. 90034--(213) 870-9871 Form 1486—o BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Angeles, Calif. 90026--(213) 6255171 BN FORM 116 BIA FORM 1486 INSULATION CERTIFICATION This is to certify that, in conformance with the trative Code, Title 25, State of California*) and the building located at: � W turrent energy regulations (Califarnia Adminis- approved plans, insulation has been installed in ORANGE Counry 355 E 16th PLACE ��orner�di�i Straet N0. (I! AvelleEte) $heet lot Number UNIT A DESCRIPTION OF INSTALLATION ROOFS Type of Tnet No. Manufacturer Thickness R Value** EXTERIOR wAL FIBERGLASS CERTAINTEED 1 2 .<11 Type of Material Manutacturer Thickness� �� R Value — (Or Trade name) CEILINGS BType of Material FIBERGLASS Manufacturer CERTAINTEEDThickness 6�� R Value'*i9 (Or Tnde Name) Sp. Ft. Covered 9 59 BLOWN: Type of FLOORS Type of Manufacturer ` Thickness No. Bags (Or Tnde Name) Wt./Bag Sq. FL Covered IR Value** Manufacturer Thickness R Value*` (Or Treda Nams) SLAB ON GRADE Type af Materia� Manufacturer Thickness R Value**. (Ot Tnds N�me) Width of Insutation Inches FOUNDATION WALLS (if required) Type of Material Manufacturer Thickness R Value**— (Or Tnde Neme) REMARKS (if desired)R_l-I TNSTAIIFD Tn P�RTY WQT7._,;__TNTF.RTOR FLOOR, GARAGE CEILING & OVERHANGS WHERE LIVING AREA ABOVE. General Contractor License Number Sub-Contractor (Insulation Applicato'd'jNF13GY CONTROL INS[3LATI0D3,LirTe�Y�Number �-}'�k822 (Imul�tion. Muonry, Etc.) (SLb "SAME" If ome �s Gmml CrntncMr) gy MICHAEL SULLIVAN Title PRESIDENT .Date OCT. 23, 1981 �'California Admfnii�roli.e Cede, Enaryy �nmla�ion Smndords, datlaro�: EXCERR hem Sac. I9875 af the XaaIM an! Safery Cade o/ 1he Smla "Compllon<a. Uoen aom01a1ien ef rha imtallatlen of Ivulatlen, e mrd of Cvlilemlm mrllh��0 �hat t�s IvWotion hm been irorollad In oonfarmanm wilh the rpulremaN� of ths�a rapWotiona ahell ba <ompbtad ond ezecvled by "No c�tllfimle of oueDe�q or �imilor �arlifimlien fhot o newly <om �M Inmlalien appllmtor and by �he bvlldw. Thia lnmlofien mmolianm �frvcbd helel, motel, aoartmem howa, heme or othm naidwtial �ard �holl be OosIM at o con�o��oui localion withln �hs dwelllnp."� dwelling 1� habilable �holl be li�uad by ��ch a buildinp depmtment unlev tha ��rvcture af leail satiafies the minimom aneryY ��lation �^R Valde I� the m ure of the reaisfanm of a mahrbl or bvildinp �Wndarda establixhed punuanl ro ihi� cho0�a." aomaonanf b Iha oasm9a of hwt The nsitivnca value (R) of mmrhoe imulotiom shall nof include uny valvs fw nflactiva facinp.) Form 118 —o BUILDING NEWS, INC., 3055 OverlarM Ave., Los Angeles, Calif. 90034---(213)870-9871 Form 1486—o BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Angeles, Calif. 90026--1213) 6255771 � BN FORM 116 �'�. BIA FORM 1486 � INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative Code, Title 25, State of California*) and approved plans, insulation has been installed in the building located at: �.r.�wv�i�i�� _3��_ E. 16th PLACE Stree[ No. (I� Aveilebte) Sbeet UNIT B ORANGE co��n 2 Lot NumDer Tnet No. DESCRIPTION OF INSTALLATION ROOFS Type of Material Manutacturer Thickness R Value*`. EXTERIOR WALLS Type of Material FIBERGLASS Manufacturer�ERT6I.LYTEE�Thicknes�_l�2 ��R Value**11_ (Or TnEe flame) CEILINGS BATTS: Type of Material FT�T,A.SS Manufacturer�F.RTATNTFFTI Thickness " R Value**1g_ (Or Tnde Name) Sq. Ft. Covered 996 BLOWN: Type of Material Manufacturer_ (Or TreEe N�me) Wt./Bag Sq. Ft, Covered R Value** Thicknes� No. Bags_ FLOORS Type of Material Manufacturer Thickness R Value**— (Or Tnde Nems) SLAB ON GRADE Type of Material Manufacturer Thickness R Value** (Or Tnde N�me) Wid[h af Insulation Inches FOUNDATION WALLS (if required) Type of Material �� General COntractor (Or TnGe N�me) Thickness R Value**. License Number Sub-Contrattor (Insulation Applicator;FNF.RGY CONT$OL INSULATION�iceT�£KNumber 4�04822 (Imuletion, M+mnry, Eh.) (State "SAME" if ame u Canenl Crntne[ar) U � : � � � i � � 1 . � � • i 1'Calibrnio Admini�ualiw Code, Ener9Y Insulafion S�andard�, dedan�: "CemO��anc�. UOo� �omolation ef the inseallation of In�vlafion, a mN arfiyinp Maf �h� inmlofien hm bean immllad In confermance wiPo fhe rpeinmenh ol IAm� repulotions �holl be c mol�ted and eae�ufed by �h� in��Ictlon a0n�lmror ond by the bullda.�Thi� In�ulatlon <omoliance ard �holl be aosbd af a com0icuou� lem�ion wifhin fh� dwallin0�") (•'R Value i� �he m ura of the r si�lancs of a maMrial or buildiny mnonent to th� oe��a0s ef hwt The rmistonu rol�� (R) ef mos-ryPo in�ulatlons �ha�l nol inclede any value (w roflective (acinp.� EXCERPT from Sec. 19875 af Ihe Haalth ond Safeh �de o( fhe Slale ef Callfomlo� "No orti�mte of ottuoanq or �imilar <xliFlmlian ihaf a newly com atrvctad horol, motel, aportmem homa, heme or otM1m n�Idemlal dwsllinp i� hobimble �hall be luuad by s�ch a buildln0 deparfmanl vnl<n rhe strvcture ul lea�t sotidi�� Ihe minimvm maryy imvla6an aMndard< «tvbliihed pwseant fo ffip chvpter." Form 116 �o BUILDING NEWS, INC., 3055 OverlarM Ave., Los Angeles, Calif. 90034--(213)870-9871 Form 1486-- m BUILDING INDUSTRY pS$OCIATION OF CALIFORNIA, INC., 15j1 Beverly Blvd., Los Angeles, Calif. 90026--(213) 6255771 BN FORM 116 BIA FORM 1486 INSULATION CERTIFICATION This is to certify that, in conformance with the current energy regulations (California Adminis- trative Code, Title 25, State of California*) and approved plans, insulation has been installed in the building laated at: COSTA N�SA City _3�� E. 16th PLACE Straet No. pf Available) Street UNIT C ROOFS Type of ORANGE Couny ta number DESCRIPTION OF INSTALLATION Tne! No. Manufacturer Thickness R Value*' EXTERIOR WALLS Type of Material FIBERGLASS Manufacturer CERTAINTEED Thicknes 1 Z�� R Value** 11 (Or TnOa Name) CEILINGS BATiS: Type of Material FIBERGLASS Manufacturer CERTAINTEED Thickness 6�� R Value**� (Or TroEa Neme) Sq. Ft. Covered 1199 BLOWN: Type of Material Manufacturer Thickness No. Bags_ (Or TnEa Nema) Wt./Bag Sq. Ft. Couered R Value**— FLOORS Type of Manufacturer_ (Or Tnda Nema) SLAB ON GRADE Type ot Material Manufacturer_ (Or TraAe N�me) Width of Insulation Inches FOUNDATION WALLS (if required) Type of Material Manufacturer_ ro� r�,ae n.m�� REMARKS (if desiredit— WHERE LIVING AR General Contractor �BOVE. Title Thickness R Value**— Thickness R Value*`. Thickness R Value**. License Number Sub-Contractor (Insulation Applicator�NBRGY GONTROL I[VSULATION�Lic�Number ��822 pmul�tion. Mnonry, EtcJ (SbG "SAME" II ama �s Gmenl Contnetor) gy MICHAEL SULLIVAN Title PRESIDENT Date OCT . 23 � 1981 �•Colifarnio Adminbfwfivs Cada, Energy Inmlation Sfandard�, dedann "Compllance. Uoon completion af fhe in�tallalien of Insulation, o mrd ��Y��o that th� imvlanon hm been troralled in cenbrmonca wlth the nyulromenh of thme repulatiom shvll ba aompleted and eucuNd by ih� ins�laflon apo��or and by �he buildm. Thix Inaulo�ion �omo��anca card �hall be po�rod af a conspicuou� loca�ion wifhin ths dwelllnp.") (••R Value I� Ihe mee�ere of the resiitonae ol a moMrfol or bulldinp comoonent m Ihe Das�ape of heoL The redsmnce volw (R� of mms.ryve imvlatlom �hall nof Indude any volue fw mflecfive focinp.� E%CERR hom Sac. 19875 of Ihe Xealfh and Safey Code of Iha Sfate of Gallfornloi "Ne certifim�e of oc<e0o�4 or aimilor <atifmlion thof o newly mn- �tru<bd he�el, motel, o0arlmenf hevse, homs or efho rs�lEmllal dwellln0 �s habilabls ihall be i�sued by ��ch o bulldinp de0a��manf unlm� the �Irucrore at laaat svli�fie� ths minimum enarpy inmloflon �MntlaM� e�tabll�hed o�nuvnt ro fhis ahvo�er." Form 116 —m BUIL�ING NEWS, INC., 3055 OverlarM Ave., Lus A�eles, Calif. 90034-1213)870-9871 Form 1486-0 BUILDING INDt1STRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Mgeles, Calif. 90026-1213) 6255771 1 .;? �f`-77vai�0� 332 c�'i*,t,t�25.�� CITY OF COSTA MESA PLANNIn JEPARTMENT �'��" A.P. No. 117-231-27 Bldg. Permit No. PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 355 E. 16th P1aC@, C.M. Owner's Name Ken- Bachelor or 1- Bedroom Units ; 1 @$25.00 = 2 - Bedroom Units $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = 25.00 Total Number of Dwelling Units � Total Fee Planning Department Approval Date 3-��'72 Park Area No. $ gy rlb Applicant's Signature� CITY OF COSTA MESA PLANNIN� �EPARTMENT `-� � A.P. No. 117-23 -2 Bldg. Permit No. ',p� 1n-7"1C15f�� 332RcJi****Z5.0� PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address ,i5� t, �utt7 ?�dCO. C.�t. Owner's Name '.8�t- Bachelor or 1- Bedroom Units $25.00 = 2 - Bedroom Units @ $40.00 = 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = 2�.C!) Total Number of Dwelling Units � Total Fee Planning Department Approval Date 3-��'�Z Park Area No. � ` �! By p14 Applicant's Signature : .^. -t--�--�-.ei:.�. ,z„s'�r�y� / v �OWNER �� JOB AC f-GNER J� East lfxth Place �INSPECTIONS SOIL \�. GNS \ WATER ROUGM PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIF CONDITIONING TEMPORAHY SERVICE OR POLE UNOERGROUN� � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL RE FLOOR SVSTEM BONO BEAM ❑ STEELflEIN R SHEATHING FRFME ANO FLASHI! LATHING - IN OUT F 'ER, BROWN COFT ;TURRL, FINAL DATE ILDING PERMIT N0. SUBCONTRACTOR 't ' = 3438.4 � t� t�-ii�„��OC 333t ****39.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 Z a U Z Z Q O v~i am J7 J N E f J Q U N Za w¢ p. W J Q m Z J � W w � _ Z F- w� �O F Z Q U J O � y Z O F U � � F N z APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI DATE RECEIVED DATE IS UED BUILDING /q' �y/ 3i � ADOFESS 3..Ss c. G � � `'�'/ _/D � � OWNER C LL S!. i � A.P. NO. 'J J�'�- PERMjA J'-f MAIL BVILDING r . "� � � � ADDfiESS S/Y/�7C ADDRESS J /J� TEL. p � CITV / 3y'� ///GS�' NO�O—�F TRACT LOT S� BLOCK CONSfRUCTION W A LENDER i � BRANCH � ��/ OWNER ADDFESS VAL E ARCHITECT TEL. SE S OR ENGINEER FIRE ADDRESS ZONE TVPE GROUV CONTRACTOR JL�. S/9G'/f 9�jy� ByPROVED pATE� O AO�RESS /�/ N GUQ. TEL. Z NO.OF SE OF NE CITV C�L�Lp�t/� NO.I'��5=/,]3 � P�� BUILDING STATE � G �� CITV �'/>RDSAPPFOVEO VARDSAPPROVED LIC. NO. � LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOGS. (FROM C/L STFEET) OF LOT NOW ON LOT ROfYT T FT. USE OF E%ISTING BLDG. S E FT SIZE OF NO. OF NEW BLDG. ROOM$ STOFIES L. SIDE T. FT. EXTERIOR WAII FOOF COVEFING COVERING REAR FT.� FT. USE OF BUILDING ANO WORK T.O BE PERF,ORMEO DISTANCE BET. BET. MAIN & �/f'/�7. fo.v MAIN BLDGS. ACCE�. BL�GS. VAR. # DATE 7� Q i./j �ppia7 C.U.P.# APPLiOVEO APPROVEO � I hereby acknowledea mat I nave reatl this applieetion ane state STATE that the ebove intorme[ion is corract anE apree m comply wi[h � oll laws regulating buildinB conzvuction, antl I shall not employ �� any person in viOletian Of tho workman's compensatiOn laws of the Smte of Celifornia. �� ) T m I hereby certity Not 1 am proparly Iicansatl as a con[ractor untler �� S F'� o the Smto af Californie 8usiness entl Profassions Codo, Dlvisicn 3, THE AMOUNT S N UNDER VALUATION IS FOR > Chupter 9, nnd that such licenses ere in tull force entl affecc, or I THE PURPOSE OF ESTABLISNING !� PEFMIT FEE ONLV: m am axampt irom tha provisions of the Smte Of California eusiness `� ¢ VALUATION ��% � ond Professions Cotle, DivislOn J, Chopror 9. PERMIT FEE 5 `(� � ] Sipneiura of � r/ /� // � m Permittoo �f��%/�� "�C.CL�� $ 7 DO � PLAN CHECK $ /� E 0 Authorizetl ABu^t u TOTAI FEE S � ^_ K. •G,l ' ��'395 Ocl �.g� DATE j-ZZ-bl IF 'EGTIONS I DATE SUBCONTRACTOR OCCUPANCY Form 410-SM-11•59 S-B P i1�o65 ( r-�-P�r�'�' �_ f v ,�f � �,�� u�/�"�� r , ; �rrf�� ,E !j f/ . %' � Lr �� `r �� t�i �� !!J � �'�� ` � ��C x��c� � / �oQ� �ll�� w � �� ` !/� � �A � �� 7 �r� A ��Lt �` Gt ��k -�'l�G`�r �� ,L- �� c �`�� G J ��-r�==--/ � /r�� ' �� ,� �'1�� G� /� . 4 .�` �4�65 CjJSTA MESA BUILDING•SAFETY DEPARTMENT P. O. 80% 917 COBTA MBHA. GLIPORNIA For Applieani fo Fill In Complefely � TYPE OR PRINT ^ AD RHSS 3 SS - l.4 �� /� L COSTA MESA CALIFORNIA OWNCO I�� l/ V� S C1 � I l`-S � uEn' . � ..� FIRE ZONE � i-�fl k'1� L 1 N t 0�1�2%. CU / APPROVED �� ' �a�G��,.a y�',i� � , ��, `� �,/ i. . �R 1 61361 ��_ �il�n,r!r,F DF�T APPLICAT.IO�N- F�OR1P�ERM�Ta BUILDING For Offiee Use Only R6G81Pf NO. PBPMIT NO.� � �.`'� J /i/- — / (O. �. COSTA MESA. CAUFORNIA ADDRE6S Z—Z p v L'�W J L UO ZONING G O S Tw � C3 f4 zoNe NO.OF uea ov new dTY r� PLANB 9UILDINO� q n �- ��—U 3� �sa.� �. � �TS-�„�� LI.C.TNO. / Z �� NO. o¢eCnivilON �i� 81ZE �Ci . � 3� a O L I NOW aN LOT U -�' � J'C . LQ� OP LOT a A. P, NO. UBE OP YARDB EVE6 E%18TING BLDG APPROVED ALLOWED 68TBACKLIN8IROMBr�r�� r�� IC6M=PLINBBTJ ,� _— �j fPYT00 (�I II1VVPT I iI RFGG VERlI LJ �{�ti . DESCRIPTION OF WORK IBUILDING /J �� NO.OF /� 91ZE % ROtlMA 1 Q L' ,i r % �t1t� Fi4'� • ' _ _ %n �,�tt,a-t_ � ��h .S q o G �' o, "'� ZA�'r'4'.U�D 3`%' 1 N6PHOY ACKNOWL8D06 THAT 1 XAVB R� T}IIB A'PLJGT�ON Tryg AMOUM BNOWN UNOHP VALYAT�ON 19 POH TNH •ND HTAT6 THAT TH6 I�BOVB IB CARRPCT ANO AaRBB TO CAM- pURP08H OP lBTAGLIBHINO A PBNMIT F!8 ONLY. PLY WITX A�L CITY OMCINANC89 AND 8TAT8 LAW9 PeOULATNG �UILDINO CON6}M ON. VALUATION � iIi 816NATURE OP �+ G/��C ,�Sr� PERMIT FEE S '� PBRMITTE ' /� (/1- �� S ( / n PLAN CHECK $ /� AUTHORI2ED AGENT � � / / � Q TOTAL FEE owx�R UYESUGI, K. ' JOB ADDRESS 3 A 1 • GENERAL CONTRACTOft Shoreline Const.Co, AP. No.117-231-27 LOT T12ACT FIRE ZONE I 1� 'ECTIONS �' �yqvr � DATE I GROUP 1& J i .rground Soil�y}J-S U.G. Water --,_______� ..__ ---I SUBGONTRACTOR F e OCCUPANCY Form 210-5M-11•59 S-B P DATE 3-21-61 BUILDING PERMIT NO. VALUE � RSPTION OF WORK S.W 8 . 3T. :L` t�� ,.�, . � �� ., �� 3_�i ,zf— 'J �� . r ��; �� ~ � � �� .. �' � S �7 �± y ! � �..`$�'C➢`�t COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIPORNIA For Applicanf fo Fill In Complefely TYpE OR PRINT ADD EISS � J S A' I V t� rL - COSTA MESA CALIFORNIA �? TEL. /�� J TEL. ]/ . 61ZE / No. oP BLDce. OF LOT S� i� ��'� ' 0 b NOW ON LOT U6E OF EXI6TING BLOG. BBTBACK LIN¢ FROM �U REAR YARD � CENTER OP BTqEET ` 61DE YARD I LEFf Jr I RIGHT !� DESCRIPTION OF WORK NEW I X II ALTERATION I II ADDITION SIZE DING! /�� ROOMS STORIES � V IXTERIOR WAL ROOF 40V8RING �ST�Lf D COVERING S I�-1 N G'Z� U8�j OF BUILOING AND WORK T BE PERFORMED 1�-CS ( . C�: �" :FGH �o+i-F-�Z.• l� _- �a � 1 HEREBY ACKNOWLED THAT 1 HA RlAD TH�6 AFPLIWTION ANO 9TATE TNAT TN B�V¢ IB CO EGT AND AORE6 TO COM- PLY WITX ALL CIT' OPDINANCEB AND 9TATE LAWB REOULATN6 OUIIDIN6 CON��(�V�� ION, SIGNATURH QF \��iL�ry�� G yS% C 'AUTHORIZED AGENT - �� C�B�l�D ,9fAR 1 b 1951 d �� FINANCE DEPt. APP,CICATION�d-0R�,P�ERM li BUILDING For Office Use Only aece�rr NO. PCRMIT NO. BUILDING��/J �// y-� ADDRESS L� COSTA MESA. CALIFORNIA APPROVED BY DATE ZONING ��. ZONE,� ��( I NO. OF /� I U86 OP NeW f L�.! Y \ �.f PLANB � � euamNo0.C� � G LEGAL n"/�'LGTSZr� N(�r�i oesca�rnox F"JD i-i • L m�/7, Tee.1/ ' - --- I i --� _ � '� %— � �7 LINE BTJ �F � F T . . : ;...; � AvPRt)VED �—�—y r l TXE AMOYM 6HOWM UNO¢R VAWAT�ON IB FOR TNe PORP08��OP EBTABLIBHING A PERMIT FEE ONLY. ,UATION I'_""" --- ^ �/ � $ �/ �� / / PLAN CHECK $/V /C//n �^7� � (X TOTAL FEE $V �/