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Home My WebLink About443 16TH PL - Building Permits� � uEci aooxess: uxir: � OWNEH'S NRME: 4 4 3 16 TH PL ao�ness:�4� EUT16EHTPON . COSTA MESA CA 9267.7 RPCMIENGINEEN: � 7 S Q� 6 S O' O I O 2 flEG.NO.: nooaess: S T Z 3 7 N EM � 16 TH POND C—]�in 0 9 PEflMITTEE:COSTA MESA CA 92627 aooaEss:Rj443R16THTPLEk7'SON (714)650-0102 LICENSEU CONiflRCTOPOEtIABRTION: I �ereGy allirm ��ai I am Iicense0 unQEfpNviS16��Enapier 9(commencing wii� Section 7000� oi Oivision 3 ol �he Business antl Protessions Cade. an0 my license is in �uli lorce and eifec�. CITY LIC.: STATE LIC.: CLPSS: Daie: Signa�ure: WONKEPS' COMPENSRTION OECLABATION: I �ereEy atfirm I�at I have a cetliliWte of consenl to sel4insure or a ceniliWle ot Workers' Compensalion Insurance. ar a cenilied copY ihereol (Seciion 3800. Lab. C�. POLICY NO.: E%P. UpTE: Certifietl copy is hereby lurnis�etl. ❑ Certilied copy is �iled wilh IAe city BuilOing Division. Dale: PPplitdnl: EREMPfION iPOM WOflKEflS' fAMPENSITIQN OECIABATION: �TNs section neeC no� be complete0 i� Ue permt is �a me hunOreO (E100) or less�. I cenify Ihal in I�e pedormance ol I�e work for whic� IhiS permrt is issyyyqqqtltltl I}hal�+Qt emplqY any Derson in any manner so a5 io becomE subject lo ��e Workers' Compensation Laws oi Califamia�/'' / \ /� I / 1---}'�/� Date: �% ��-93 . Signa�ure: ;�� NOTItE: It, a�ie� making I�iS Eeclaraiion, you S�oU10 Uet e suGlect to the Workers' ComOensation pwvisions of tAe LaUor Catle. you musl bnFm�th comply wilA 5uch provisions or lNs p¢rmil slidll Ue aeemed tevokeE. CohSTHUL7lON LFNDING RGENCY: I here�y atiirm iAat inere is a consimction lenaing apency lor Ihe perlormance ol the work br wNch this permil is is5ue0 (Seclion 3097. Civ. C�. LENOEfl: AOOflE55: OWNEA BUILOEN OECLAflPTION: I �ere�y anum Itui I am e�empt Imm Ihe Contrac�or5' Slaie Lkense Law lar ��e lollovnng r¢ason (Section 7Q3L5 Busine55 and Pwi¢SsiOnal Coae: Any ti(y o� munry wAitA repuires a Dermii �a wnsimtl, alier, imprwe. demolish, or reDair any s�mcture. prior to its issuance. alsa repuires t�e apDlicant lor such permit to lile a sipnea statement that he/sne is licensea pursuant to Ine pmvisions ol t�e Camracmrs Stale License Law (Chapter 9(commencing wit� Setlion 700U) ol Division 3 of the Business antl Prol¢Ssions COde) or �hal �e/5h¢ is exempi IheB�mm ana Ihe basis br t�e allegeE exempiion. Any vi0laiion ol Setlion 7031.5 Gy any applicani for a permit suble��s �he applicant �o a civil penal�y ol no� more ��an �ive �unAreA Odlaa (5500�. � I. as awner ol the property or rtry empIoyeCs witn wages as tneir wIe compen5dtion. vn0 Ao ihe woM1, antl Ine stmcmrt is nm inten0e0 ar ollere0lai ule (Secuon 70aa. Buvness an0 Professional CoCe: i�e Comracmrs' State License Law eoes not appry m an axner ot a Omperty wlp Ouiles or improves tAereon, and who tloes such woB himself/Aerseli or t�mupn his or �¢r own emplayee5. proviDeO t�al Suth impwvementS are nai inlendeU or oiferetl for sale. I1, �ow¢ver th¢ builAinA Or improvemen� is soltl wi�hin one year oi comDle�ion, ihe awner will have �he buraen ol proving he/s�e tli0 noi Cuila ar imDrove lor Ihe Durpos¢ ol sale�. I. as owner of Ihe OroDeny. am exclusively coniracling wiih licensetl Coniraciors to conslmci IAe pmleci (5¢c�ian 7004, Bu5ine55 ❑ anG Pmlessions Coae: TAe Contractors' Sla�e Li[en5e Law Oces noi a07M �o an owner ol pmpeM � �uilAs or improves Iher¢on antl who coniracts for sucn D�oie[is vnih a wniractoqs) license pursuant to the Coniractors' State License Lawl. I am aware thal D�ool of iheir Worker'S ComOensation insurance StwNA De pmviOeJ �a me. � I am erempt under Senion: B. 8 P. C. lor Ihis reason: 1 oaie: 2-10-9� o+mec I do �ereby certdy Ihal I am aware ai antl unGerStanC t�e repuirements ol Caii omia Heali� and Saf¢�y CoEe $ecti0n5 255115, 25533, anG 25534 ane Ihal I or any Wture Duiltling oCcupant wiluvnll not (cuUe one) neetl ta wmpry with saia stale cades anU ihe reQuiremenis lor a permn lo� consvucuan or moDilicalion Imm I�e Air Oualily Managemeni Disiricl. Resitlenlial constmction apDlicaiions are exempi �mm �hese provisions. �a�e: Applicanl: I �ereby cer�ity t�al I �ave reaa t�is aDD�ica�ion and s�ate I�at ihe aGove inlormation is corr cL I agrte lo comply w,i� all ciiy and caun�y ordinances ana sta�e lavrs relaeng to �uilGing wnstmnion anA �ere6y �hor¢e semalive ol INs ciry to eme� upon ��e a�ove-mentioned propetly fo� insp¢tlian purposes. n _ 1/ 2—ro —q � oale. � Signalure: � .,l�-� � oriver's License or Saial Security a: —AppliWnC Pink—Revenue: Goltlenrotl—Assessar — j CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 060986 PERMIT NO; B 060986 PLAN CHECK NO; 04540-92 L GOVT; N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE; ADD JOB DESCRIPTION : ADD MAST BEDRM 6 CONV BEDRM TO MAST HATH SQ FT: 340 CLAIM VALUE; 16,000.00 CALC—VALUE; 18,352.00 GROUP OCC: R-3 /M-1 COMMENTS: 225# OF NEW MAST BED RM 6 115# ALT,OF' EXIST.,,MAS"f BED TO MAST BATH if if k iE 1E iE k if fE iE if iE if iE it �lE if iE iE k it ik if iF if iE iE �F iE iE iF iE it iE 1E if ik iF if� If iF iE iE ik iF iE iE iE iE iE lE iEiF if if �f iE iE iE iE iE iF iE iE iE iF �lE jE iF iE if i4 iE iE 1f )F 3F iF 1E Z O N I N GS ERTEHQA�CIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; 10 FT IN FRNT: FT IN REAR; FT IN LEFT; 39 FT 6 IN RGHT; 5 FT,,,, IN LEFT; FT IN RGHT; FT IN PARKING REO• PROV; PARCEL: 42514112 ZNE; R1 REF NO; PLANNING NfSTES> EXPi1ND EXISTING MASTER BEDROOM TO THE REAR OF AN E3tI5TING ,i�•SFD, 200 SF REAR YD COVER PROP. 300 SF ALLOWED, ��xx�r**�r�**��r�*��rx�***x �r**+t*�r�*�r*�t�r�r�r*��r�r«��r�rxx��*%*x*x*�*�r��*�*�*�**�*�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 -; •• ' • lA)�� DATE;Z��iR� BUILDING APPROVED BY ; ' DATE: APPLICATION ISSUED HY;. '•f �� DATE; �`�� fFlfiEiEfEififiFiFlEiEitifiEjkiEiEiEiEiEilifif3F3F3FiF3f�iF�f�ii3F�F� 3f ��f'iF'��if3FififikiEjF�(�iE%�1lif 3Fif k ik if 1E it iE k if ff !E if if !f iE iE iE if M� 1E if 1E iF iF iE iE 1! if i! 1E iE iE iE iF iFltlElF 1ElE k 1E k 1Elf iE !E iE ikif iE iE if !F iFlk iE IE iE ik !F iElf 3F IF 3E if iF 3f 3E if� fF iE iE 1E 3E iE iE 1P it LEGALI2ATION;N F E E S U M M A R Y STROCT'URAL SEGMENT;Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 198,00 1,89 SMIP/NON—RES PLAN 128.70 ISSUE FEE BUILDING—DIV—> PERMIT ISSOE PLAN—CHECK TOTAL PAID DUE TOTALS----> 199.84 0,00 128.70 328.54 328,54 .00 REVENUE DIVISION TOTALS--> COLLECTED: 199,84 OVER/SHORT; ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 198,00 1.89 iE i! fF if 1! iflF If 3E iF 1E if ik �t 1klf if iE 1E iE 1k it iE jF 3f ik if ik 1f * iE iF iF k i! i! k if fF �f i! iE IPlf iEiFiE iF it iE 1f iE iF iF iE if if iE fE 9F if 1E iElf 1E i(� iE iE iE jf iE iE IElE iE iE jF If 3E 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 SFR 225 DWE—TYPE V—WOOD FRAME —GOOD 74.00 SFR I15 DWE—INT, ALTER TYPE V—WOOD FR —GOOD 14,80 END OF FEES EXPIRED DATE TOTAL COST 16,650.00 1,702,00 "'�'�JNSTRUCTlON AND PLANNING " APPROVALS Permit # � 1. Yemporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3. Efectricai Conduit Utility�Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Poundation � 9. Vvzter Pipe-Undrgrnd. 10. Structural F�oor System _____. __-.. ______._. 17. Property Sewer I.ine & House Connection 72. Sewer Cap 13. Root Drains 14. Rough Plumbing 75. Rough Elecirical-Conduii i6. Rough Electric4Viring 17, fteugh Wiring Siyn 18. Rough Electrical-T Bar Ceii:ng 19, Rough Heating & Air Conditioning 2p, ftouqh Factory Fireplace 2/, Ducts, in $tructure 22. Ducts, Vent�lating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceilir.g 1Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing � . 31. f'laster 6rown Coat . 32. Electrical Power Meter-Final � 33. Finai Electric - 34. Final Heating ffi Air Condtioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final FactorY Fireplace , 38. Final Plum6ing 39. VJater Service�Final 40. Gas Service-Final 41. Solar OomesticFinal 42. Backflow P.eventer 43. Backflow Irrigation 44. Landscape Irriqation SYstem 45. Sound Attenuation 46. Nandicap Regulations 47. FINAL STRUCTURE & BUILOING 48. FINALPLANNING 49. E{ectric Release to Edison 50. Gas Release to Southern California Gas Co No. Dete Date �G � PG. _ & SPA inspector AppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electricai 8o�ding ��/�. 56. Rou9h Plumbing & Pressure Test 57. APPROVA� TO COVER�GUNITE ,� jE} 58. Electrical Conduit-Undrgrnd. 59. Gas Plpe, O Undrgmd., Test I 60. Backwash Lines, RTrap, O Und: grnd. � 61. APPROVAL TO �ECK . 62. Baekwash & Recep;orFinal 63. Heater & VenFFina! I 64. Plumbing System � Final 65. Electrical�Final 66. Solar System-Fina1 67. fencing & Access Approval 68. APPR4VED FOR PLASTERING 69. POOUSPASYSTED,15FINAL FIRE DEPT. REQUIREMENT � APPROVALS ' Permit �k 70. Underground Hydro 77. Producx Pipiny `J Gas O Oii 72. Underr�round Flush 73. Undergrnd. Srorage Tank Q Gas ❑ Oil �� 74. Overhead Hydro . 75. Dry Chemical 76. Dry Standpipe _�� 77 IXED SYSTEM EINA� � �� 78. FIRE PREV. FINAI HEALTH OEPT. REQUIREMENT i � 79. FINAL INSPECTION_ . I r 80. FOOD CERTIFICA7E ISSUED i I Notes: S J/C� _.� �/ LfJ� d.o-c i Date � Inspector 7 � � � PflOJECT RDOHESS: 4 4 3 � 6^.� � UNIT: OWNEF'SNFME:��C l..�i±3L:tiSO1 POOflESS: ,i 4 3 � � 6^'.: ?L C0�'"A�uESA LA 92627 RHCMIENGINEEfl: ( 7? y� 6�a—UIOZ i qEG.NO.: STEVr.,V ,, REDNO:�J C-18109 aooness: '+'� 7 E.' � 6: RPL uNiT: ��S':A :d:ESA CA 92627 PERmiTTEE:ft�CHARD .COTBRERTSON ' ( 714 ) 650-0102 RDDBESS: 4 4 3 1 6 TFI PL � � � C.M. ,CA 92627 LICENSEO CONTHACTOfl �ECIABRTION: I hereby a�firm �ha� I am Iicen5e0 un0er provisions of Chap�er 9(commencing with Section 7000) oi �ivision 3 of Ihe Business and Pmiessions CoDe, an0 my license is in full fo¢e and elleci. - LITY llt.: STqTE LIC.: ClASS: Daie: ' Signa�ure: WOPREFS' LOMPENSATION �ECLAflATION: I hereby aifirm thal I have a tetliliCaie of Con5enl �o Sell�in5ure or a Certihtale o� Workers' Compensation Insurance. or a cenifietl copy �hereof (Section 3800. Lab, C�. POLICY NO.: E%P. ONTE: 'OMPANY: . Cetlitied copy is hereby lumis�ed. ❑ Cetlilied copy is �ilea with �he city Builtling Oivisian. Oaie: ApPlicanl: E%EMPTIONFBOMWOflRENS'COMPENSBTIONOECLABATION: Qhi55etlionneetlnaibeCompl¢teAii�he0e�mi�i5foronehundre4�511p)ONess). I cetlify Iha� m the petlormance o� the work �or which Ihis permit is issu I II nol employ any person in any manner so as to �ecame subjecl m the Workers' Camoensa�ian Laws of Call�omia. ^� . , �ale: ��%�� Signamre: `y, NOTICE: I�. after making Ihis Oeclaraiion, you 5hou10 beco e su letl Io I�e Workers' ComDe sation pmvisions oi I�e Labor Cotle. you must fonhw�ih ylmvly with sutn pmvisions or this Dermil snall be OeemeA revoke0. CONSTHUCTION LENOING RGENCY: I hereDy affirm �hat t�ere i5 a ConStmction lentling agenCy �or Ihe De�OrmanCe.of the wOrk fOr which Ihis permil is issuetl�(Sec�ion 3097. Civ. C). � LENOEB: � _ � RDOflESS: ° OWNEB 9WLOEP OECLAHATION: I hereby allirm Ihat I am exemp� �rom Ihe Coniracto7 State License Law �or �Ae lollowing reason (Seqion 7037.5 Business antl Pmlessional Catle: Any ciiy of counly which requires a permii �o con5lmci. al�er, im0�ove, Aemolish, or repair any stmc�ure, p�ior lo ils issuance. also repuires t�e applican� br such Oarmit ro hle a 5igne0 s�atemen� tha� �e/she is licensetl pursuam �o Ihe pmvisions oi I�e Comracmrs' State License Law (Chapter 9(commencing wit� Section 7000� of �ivision 3 0l the Business and Pmlessians Code) or I�a� �e/she is exemp� ��eretmm ana Ihe basis for the allegetl exempiion. Any vialation ai Sec�ion 7031.5 by any aOPlicanhtor.a.perm7l sublecls ��e applican� to a clvll penalry oi nol more Ihan five huneretl tlollars (5500�. I, as owner ol I�e pmperty or my employees with wages as Iheir so�e compensa�ion, will tlo the work, antl �he ,� s�mclure is not intentletl or o�feretl lorsale(Section 7044, Business antl ProfessionalCoae: The Coniracrors' Stale License Law tloes no� applY �o an owner of a property who buiids or improves �hereon, antl w�o does such work himseli/hersel� or Ihwugh his or her omn employees. O�oviOetl Ihal suth improvemenls are noi inientletl or otleretl lor sale. II. however the huil�ing or � impmvement is sold wit�in one year ol comple�ion, Ihe owner will have Ne Ourden af Drovinp Ae/she di0 noi �ui10 or impmve " lor Ihe Durpose ol sale). I, as owner ol �he pmperty, am exclusively contrac�ing wiih licensetl canirac�ors �o cons�mci Ihe pmject (Sec�ian 7044, Business ❑ and Professions Cotle: The Conirac�ors' Siale License Law does not appty to an awner o� pmpetly who builas ar impmves �hereon and who canlrads lor such prolecls wi�h a conlractor(s) license pursuanl�o Ihe Con[raclors' Siate License Law�.l am aware Iha� pmo� ol Iheir Worker'S ComDenSaiion insurance shaultl be pmviUetl �o me. � I am exempl under Sec�ion: 8. 8 P. C. for I�is reason: �a�e: —_,�—�% � � pwner. I Oo here�y cerlity I�at I am aware ol an0 understantl Ihe requirements of Calil nia Healih antl Sa�ety Code Sect 505, 25533, and 25534 antl thal I or any IUlure �uiltling occupan� willlwill no� (circle one) neetl lo compty wilh said sla�e cotles and �he requirements for a permi� lor cansimdion or modificaiion imm I�e Air �ualiiy Managemen� Dislric�. Fesidenlial con5imc�ion apPlications are exemp� �mm tnese provisions oale: AppLcant: I �ereDy certity Ihal I have reatl Ihis application and stale Ihat �he a�ove inform ion is correct. I agree ta comply wi�h all city antl counry ordinances antl slate laws relaiing lo butlding conslmc�ion antl hereby aulhorize r n tives af 1 cily �o enler upan I�e above�meniionep property lorinspecnon purpases. �� Uate: _...��__._ Signalure: ori�ers ticense or Sociai Security .: *� � I6ab46 Wnite—Bmltlmg: Green—Cotle EnlorcemenL Canary—Applicant: Pink—Revenue: Goltlanroa—Assessor CITY Oc CUS.A .`,i.SA — 3JILDING PrR?rI; PF.f,:? ::0: � CG��.7 PERM=': �O: E 062080 PLAN CHECI( NO; h GUV'."; :� :;�P�: .l' CONSTRUC3ION TYPE; 5—N PER:V:IT TYPE: FLE PI;�tNuSc; ADL'� JOH DESCRIPTION : ADD MAST BEDRN. 6 CO�]V REDR."4 TO MAST BA;H SQ ='1: CLAIN VALUE: CALC—VALUE: GROJ? CCC: R-3 /'�—: CUM.MENTS: 225# t7F NEW NASi BcD RM S 115# ALT,OF EXIST,MAST, RE:#�B60986 iF 3E )E �)f ?F iE �f ie iEfie iE �lf # 3E #�)E IE?E 3E if #�lf if 3' � iE iF iE if;�li iF if iE fE �tf #:�E?t iF #'klEi( # iE it �tt� ## iE # if� if iE # ic iE iE tE iE!E iF �lF # iE fE �# K##�%��x ;: Y� x� !. 2 O N I N G. R E Q i3 I R.E M E N T S sErsAcxs �----- MAIN BUIiDING`---------- -------- ACCESSORY aJI:.DI�G ------ FRNT� rT IN REAR: FT IN FRNT; FT IN .2�AR: F'; I� LEFT; PT IN RG9T; FT IN LEFT: FT IN RGIiT: FT I� PARK'ING ftEp • PROV,: PAR�EL: 42519112'ZNE; REF UO: PLANNING Ni5TE5> i � *�*x##��*.******�#��##�*��*��*a�**�**±�±�**#*�#x�*#��x�*��#��#��::�s�#:�u�x��.�s:{��r, ��r� U E V E L O P hi B N T 5 E R V I C E S R E Q U I B E N, E N T S ZONING APPRO�rED BY DATE: BUILDING APPROVED BY :, UATE: APPLT_CA3ION ISSUED BY: DATE: � 7 c1� 1EiEifiEiFiE?EiEiEif3EjEiE#3f#iEiE####frr.istiZ.iexxir�t�r�r�xx%�z�tx� �'.eR!:s.�sr-tt�s.riFz-:f�?F#,:iit##!t:'t##r T-:... �:.:::�Yrit 3F 1F iE i£ .i'�?f+E iE iF ie iE iE �1F # iF #�7E �!E # 3E !E iFlE �lf 3f iE iE i( # it 3E iE iE if # iE �1E?E iE �f if ##!f 1E # i.' �f if� # iFie iE iE?E iE ?(�?E it #?e Ye 3(� ##'k #.�'i�lf iF #### 3} :c :: !� # LEGALZ2ATION:13 ' F E E. S i7 M M' A R Y STRIICTURAL S�GN.EUT;N BLDG PMT PLUN,BING' ELECTRIC MECHANSC FIRE SMIP/k*S GRAD��G F�ERMIT I8 . 00 $03 SMZ?/,tiON-3E$ PLAN � ISSiJE FEP 15.00 FtUZLDING—DIV—> PERMIT + SSSUE PLAV—CHE['K TOTAL Pt1ID DJE TOSALS---->: i 18.00 iS,Op 0.00 33,00 33,00 .00 REVENJE DNISION ;TO."A:.S—=> COLI,ECTED: 33:.00 O�'ER/SHORT; 00 BLDG PN.T; PL'U,u9ZNG ELECTRIC MECAANIC F:RE 5!��P/TOT GRADING PLA,;—C:i,C.t , i { :33:00 3E if ?E 9f iE aE if 3E � iF �f iE iF iF *##'� �% 3E if af iflE iE if iE �iE it if if iE iE3E iE it if if iE Y- 3i� iF ## ### ###�� ## 3E :i #!f i! ie?( df iE � if #:i %# SE i' # i:- K.: :: ih :i i: 3E I N;D'.I V Z. D'U'A i F.E E B R E A R P O W N � TYP2 QTY D E S C R I' P:' I O N UnIT COS': TO-A:. COS: EL£ 5 FIXTO:tES' LIGHTING 1 ST:20 EA. .75 3,7; ELE 6 RECEPT/OiJTLET, 1 ST 20 EA, .75 5.�0 ELE 5 RECEPT,/SWZTCH 1 ST 20 �;A. .7S j.75 ELE 2 RES;AP�PL1AhCE`NO.T OVER 1�,0 HP 3.00 6.00 � , E;vD OF F�ES EXI'1�ED �� D1 0�13S7b8—�0138�68 T C�T 33.OR DATE: p5/07/93 TI!tE: 14:54 ' I CO�USTRUCTION ARD PIAiUNING AP?ROVALS Permit �„- '�1. 7emporary Eiectricai Service or Pole 2. Sod Pipe-Undryrnd. 3. EIeMr�ca: Co^.duic Ui ��h��Linc�e�c�d. 4. Bectricai Condwt�Unrtr9�nr1. 5. Stze: Fe�nforcement 6 Hseb,eal UFER G•^ei 7 FODtin�s ,---- r - $. Foundation �; 9. Vr'ater Pipe�Untlrgrnd. �� 10. Struc!ural Fioor SYstem 1 i. Property Sev+er �ine & Nouse Conrcctian 12. Se�,ver Cap 73 qoof Dro.ns 14 Roug� P�umb��ig 15. Rouyh Electricai-Condurt 16. Rocgh ElecVicV`Jiring 17. Rough �:.'"r��g $ign �tl. rsougn t�eancai�i ner i.e�i�ng Date � Inspector I79. Rc�yh licat�ng & Art Cu�-dition:n9 � � '�]. ii0��h �.:C;O'Y rf�Pp dCE --�- � 71. Dun�. �� 5:��..�cture �� 22 Ducis, Vent�lat�no _ :�7.3 Ga- P��c�Ro��gh & `e;; �r "ar,�� -_' __-__ _'� I----- --�- -----�--- I 25. Roc! Sh.�:athinq � 26. T$ar Ceiling IStrucL�r+l� & i�na��eCO�� ', 27. Frr��c .:nd F�zsh�na I � �8. La"•.,i; .y S��d,,g------- 29. �i�sulahc� - --� � � -- - 3� u� � .��.� na, I_._ i �� --._., .,� Cca.--- ---'-� - .- -- --- -- ---- ---r-- � ?2 E'�ectnc.il Pover k:Eter F�nal � - ------ ---------- �-- `i, -- 3a. =..,,� u•-c �-'3L � _--- 1 , ---- ----- --��--- F�n: _ �� i,� C�� ..'-c�,�.. ~ i�� G�.._! r-., F �E.Ta.T ------- - r-- �--------- ---- ------- � --- i 3u. Noo�] or C..mpy ' 3; . "r �'I =. ai^'�-F.�e, ._ -__ I.- _ __________. ______._._�_._ � 53. F�� .�„rt�.�.g i I 3S t'later S�rvice�; inal �� --�---� ` 40. Gas Ser.:cz�� ral �-----� i � __-_ _ __ __1-_ , 4". 5�!a� Uome.Yc-=�ne�� i - ----'-�---� i�.2. 3acu�:o.: rreven�e• � 4r 3. Backfiow Irrigation � - ------ - ��-- i -- - 44. l.antls^.:.uc Ic:4a::o� S�:sic:,.__-__. � ' -l�. $Ou^d .'�.ti¢�,78UCr � - ! 46 Handlcap Reyulatlons-� -�_-�� _- i___ I 47. FiNAL STRUCTURE L+• R�ll�_DiPJG � 4$. FINAL PLAiW�JiNG _ __� ' 4� 9. Elect�ic Releasa to ctlson _ I 50. Gas Release to Southe�n Cahfomia Gas -T � � - "C-- L SPA -- APPROVALS Permit =� Date 52. Pool & EqulPment Locauon , _ 53. Steei Reinforce�nent . , - - � - 5d. Forms 55. Eier.tricai Bond n� � 56. Rough Piumb�ng & Pressure Test � F7 APPRO�/AL TC COI�FR�GI" i?E I -- -- -- t--_. 58. Electrical Contiwt Und;orn:i. 59. Gas P�pe, I� Urdrn��d., Test - - ----(-- 60. Bac!cwash L:re:;. P�Trao. C7 Ur�irar!�d. I 61. PrPROVAI TO CEGK 62. Backcrash & Recepior Final 63. 1-leaier & \/ent�Finai� G4. 'iumhing System � F��.�I - 65. ElectricaLF�nal 66. Solar Systcr��F.na! 67. Pencing � Acu•ts ApP�uv�! � 6E. NPPA�VED FOR P�AST�RiVG 69. PQOL.'SPi� SYSTEfv1S FINAL F�REOEPT.REQUIREN��.ENT APPRO\/ALS P=i;nit -'_ 70. UndergrounG H}��:ro 71. Prociuct Pipin9 f 7 Gas � Od r 7�. U�de:grouni! F!�5�� 73. iJnuergrnC. Stnra�:�� Tan': Gzs �_� C��I i --- �-- 74. Orcrhead Hyaro I 75 Dry Chem�cai --^--------I ----� 7E. DrySten!'o,�- _.- i '-_ _ 77. F�XED SVCTEA'� FINAL �__ - --I -- 7B. FIRE PREV, FINA� __-HEALTH DEPT REQLIREYiE��T _ 7�. FI'�'AL IMF�"�TI'Jid---- --, -- - - - 80. �PC}OD CENTIFICATE ISSUED I - _-. __.�_-_ ____ T l ___ Notes--'- ----- - ------. . -� i tnspector � i------� --- - ---� - PflOJECT p00flE5S: �j C� 3 i 6�! �I �]L I1NIT: � �WNEN'S NRME: R+r C:;'^r. 35,tTSOK aooness: y 4 3 E 16'"II PL 'r� COS:A�X�5A CA 92627 AflCHIENGINEEfl: � 7 I 9 J G J O— O i � � V flEG.NO.: a STEt..iv . P.ED.O:ID C—.F1.09 ADOflESS: 2j'� E. 16THPL uxir: COSTA N!BSA CA 92627 PEBMITfEE:RICHA!{D CUTHBERTSON (714)6�0-0102 aooaess: q 4 3 i 5:"H PL C.M. CA 92627 LICENSED CONTHRCT08 OECLABATION: I hereby a�hrm tha� I am licensed untler pmvisions ai Chapter 9 �commencing with Seciion 7000� oi Division 3 0l IAe Business.an0'Adee�ons Cotle. antl my license is in full force and eilec�. CITY LIC.: STATE IIC.: � LLASS: � � �ate: Signalure: WOflNEBS' COMPENSRTION OECIAflATION: I hereby afiirm �hat I have a cetlilicate o� con5eni Io sell-insure or a cerliticate a� Workers' Compensation Insurance. or a cenilietl copy thereot (Section 380q Lab. C). POLICY NO.: E%P. URiE: COMPANY: ❑ Certifietl copy is hereby fumishetl. ❑ Cehi�ietl copy is tiletl with �he ciry BuilOing �ivisian. Jaie'. ApDlicanC E%EMPTION FBOM WOBNEPS'COMPENSRTION OELLAflATION: Qhissedion nee0 nolbecompleteGifthe permili5foronehunAreA�8100�arless�. I certify Ihal in ihe petlormance o� �he work for wnich Ihis permi� is issue s II no� e loy any Derson in any manner so a5 io become subjecl to ��e Workers' Compen5aiion Laws oi Califomia. �a�e: S�%—� Signamre: � NOTICE: I�. after making Ihis tleclaralion. you S�ouIE become sublec o the Work¢rs' mpensa�ion pmvisions oi �he Labor Code. you mu5i forlhw�i� comply with suc� pmvisions or �his permit shall Ge CeemeE revoked. CONSTBUCTION LENDINC AGENCY: I �ereby alfirm �hat �Aere is a conslmc�ion iending agency br Ihe pedormance oi Ihe work for w�ich ��is permil is issued �Section 3097, Civ. C). ,� LENDEfl: • ADONESS: OWNEN BUIL�EB OECLAXATION: I hereby aifirm �ha� I am exemp� ham Ihe ConVaciors' S�a�e License Law for Ue following reason (Seciion 7031.5 Business antl Pm�essional Cotle: Nny ci�y oi coun�y which reQuires a permi� �o cans�mci, alter, impmve, demolish, or repair any struc�ure. priar Io ils issuance. also requires Ihe applican� �or such permil �o file a signetl sta�ement �ha� helshe is licensed pur5uan110 the prov¢ions af Ihe Comracmrs' State License Law (Chap�er 9(cammencing wi�h Seciion 7000) oi Division 3 at �he Business antl Pmlessians Code) or ihat ne/sne is e�emo� �heretmm antl ihe basis Ior the allegetl exemption. Nny violation at Section 7037.5 by any applicant for a Dermil su�lecis Ihe applicant �o a civil penalry of noi more Ihan five huntlretl tlollars (8500�. I, as owner o� �he pmpetly or my emplayees wi�h wages as Iheir sole compensation, will Jo �he work, antl the .0 stmciure is nol inten0e0 oro��eretl �or sale (Sec�ion 7044, Business an0 Prolessional CoOe: The ConVaciors' Siate License Law tloes not aD01y lo an owner of a OmOe�y who builds or impmves ��ereon, antl who tloes such work himselt/hersel� ar Mrough his or ner own employees, provitleA ��al suc� impmvemems are not in�enOeU ar aiferetl lor sale. If, however �he buil0ing or impmvement is sold wilhin one year of completion. the owner vnll have Ihe �u�Uen ol D�oNng he/she tlItl mt builtl or impmve tor the purpose ol 5ale�. I, as owner a� ihe pmpetly. am excNsively comraciing wi�h licensetl contracmrs to constmct Ihe Omlect (Secfion 7044, 9usiness ❑ antl Pmfessions Cotle: The ConVac�ors' S�ate License �aw does na� appty lo an owner ol pmperiy who 6uilJs ar impmves tA¢reon and who caniracls �or suc� pmlecls wiih a coniractor�s)license pursuan� to Ihe ConVacrors' Slaie License Law),I am aware that prool o� I�eir Worker's Compensalian insurance shoultl be pmvitletl lo me. � I am exempl untler Section'. 8. S P C. br lhis reason: /�� Daie'. � � 7� 7� Owner. I do hereby certily �hai I am aware ol ana unaerstantl �he requiremen�s o1 California Heal�h antl Salery Cotle Sections 25505, 25533, and 2553a and Ihai I or any Wlure building occupan� will/wtll not (cucle one) neetl to comply wilh sai0 s�a�e codes ane the requiremen�s br a permil for constmction or madilicalion Irom �he Air Qualily Management �isVict. ReSiUen�ial cons�mc�ion applications are exempi Imm , IAese pmvisions. Dale: Applicanl: I hereby certilythal I Aave read I�is application antl slaie Ihatthe aboveinfom io 's correcl. I igree lo comply with all ciry and couniy ordinancesan4s�aielawsrelatingloDuilAingconsimc�ionandherebyaul�orize sen tivesoltl cilymenreruDon�heabove-memioneG O�opetly forinspec�ion puQrpojses. Oaie'. �` �/�J SignaWre: Driver's Lirense ar Sociai Securiiy a: t6A1�a6 W�ne—Butltling', Green—Cotle Enbrcemen�-, Canary—Applicanl: �ink—Revenue; Goltlenmtl—Assessor C,:Y OF C�S:A :�:�SA — BJ,��T.�G P'_�ttdi': P�h'�: �O: F 0� 205: PERX::" NU: P J6�OS? P�Ati CEcCI: ?:O; ti GOV;: ,ti 5:.,�P; ,ti C��5iR;7CTION :'Y�t: 5—�1 P:fHM:;' ^.YPE: PLj+. PIIRP05=: AU� JOB LESCRIPTIVN : APJ `,AST BEDR,M S CONV BEDRN. TO MAS^_' 3A�'H SQ FT: CLA�:�: VAL'JE: CALC—VALUE: GROJP OCC: 2-3 /?,-1 CO?!XtuTS: 22�# Or VEW NAST Bc.D R1�I S 115# A:,� OF EXIS"_'.a:AS; RE•!t9609$6 i�**+t:�*�***�i�*rttc:;t#ttx�te��*ic��f�+�±��:�*i�*i��t��tt��u�tt�.�..;�z-;s��t�*�:�?��<��tx�;�#�� ce;.s�;.-x�� * Z O N� N G R E Q'J I R E � E ti: S sErsacxs ------------ MAZN BL'ILDIhG --------- --------- ACCESSO�2Y BUI:,D=NG --------- tRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT iN LEFT: FT IN RGHT; FT IN LEFi; F: :i� 2GF:T; F: I\ PARRING REQ• PAOV: PAi2CEL: 42524112 Z.\E: Re:F VO: PLA�INING NUTES> } iE ie jE lE iE �f !f if ie k?E !E?E iE # Y� tE sE � ie # iE if -0f # iE iF iE �lE 3f �e #E �i� if it SF ie iE iF iE ## Si ## if �-�c" 3E'R iE ## if� # iF �li� ii� if # Je iF iE iF it i's �� it i:� ## Y� K:: .� k M#!E D E V E i, O P M E N T S E R V: C E S—". R E Q U I R E M E N T S � ZOVIVG APPROV?D BY '- LATE: BUILDINS:, .1?PROVED BY : % DATE: ��/ APPiICAT20N ISSuED BY: DATE; (\��V\ J��J^/�—� J`'j— iE a'r 3E Ic iE iE'II"JE+h'JE?E iE 3E'�')E 3E 3E 3E'iE'JE'IS iER' �r .� #7C-1{''� .g. .g z.F * ia #�C %"n' 1t F f! �r %'n' RT�SC R' R' �'sY 7c�' i.• 1t H iI' SF iE 1E H' 1E'IF'JE #'x' F F%' R?� �.� �:�:r s.� n'Il' ifiFlEri@ifiF3EiEiEiEifiElf#Y.�lf##ifiE1'riEifif�lEic#7E�IfiE?EiEie##1F3diE�lf!£####1C-#####lEiE##*iEiElEiilkiEiE##?'.##iF#i:#K��;:'.'.�:£#ii� ;.EGAiIZATION:N F E E � U M:, A R Y STRUCTURA, SEG,�:E\T:�: B�DG PMT PLUMHING ELtC.R�C MECHANIC FIRE S,�IP/RES GRAilI\G PERMIT Zi.DO 25� �, T�, SN.IP/NON—RES PLAN ISSUE FEE 20,00 -. � BUILD:NG—DIV—> PERVIT ISSUE P't,AN-�'HECK TO;AL PAZD DCE TOTALS----> 2:.00 20.00 ;.0.00 41.00 41.00 .00 j. REVENUE D�VIS�ON TOTALS--> COL•i..ECj£U• 91,00 OVER/SHORT; 00 BLUG PMT PLL'MBING ELECTRIC M�rH�NI� FZRE SN,IP/i0: GRADING P.,AAi—CH=CR 4S.00 , '• lEiFiE?E?F!E#ifjfi'tiEjE*ffifi(�If##3f#!Ei'r#?Ei+iflf#�)e#if�1EiF#3E3E?EiEiEiEaY'##ifK �X�###iE#lFiEiE�EiEiE�7Elf#�E#iEi(-###1.�#ii#%i: fF#i: #?E I N D I V S D U A;I; _F E£ 3 R t A Ii D O W h TYPE �iTY U E 5 C R I P T I O.N � UNIT COST TOTA:, COST PLU 1 BATHTUB ..��, 7.00 7.00 PL'J ? WASH BASIN (SET) ,• � 7,00 7.OU PLU 1 WATER CLOSET (30ILET); 7.00 7.00 EN11.-OF FEES +J' �/ . � • J ! .'� DATE0305/07/931,TIME: {.'G$4 4�`�� ''"�•TRUCTION AND PIANNiNG �i '� �� Date � APPROVALS Fermit-��,- --- i 1. Temporary Elecirical Service or Pols 2. So�I Pipa-Undrgmd. � 3. Electrical Conduc Ur�htv�Und�gmd, 4. Elecir�cal Condwt�Undrernd. 5. Stael Re�nfo�cement 6. Eiectr,ca� UfER Gmd 7. Foodngs ' 8. FoundaUon ~ 9. Water Pipe�Undrgrnd, ' 10. Strueturai Flocr System `' 11, Prpperty 58ev?r L�ne €e House Con-.ecton I _- 12. Sc.ver Cap 73. Roof Dra�ns 14. Rougn Plumbing �!�/p7 F4 7 i�s 15. Rough Eiectr(wl-Condurt 76. Rough Electric4Vking 77. Rouyh �.1�iring S;gn 18. Rough Eleetrical-T Bar Ce��ing . 19. Rouyh Heat�ng & A�r Condt�on�ng ' 20. Rou;7h Faetory Firep,ace . 21. DuMs, in Structure I 22. Du4s. Venti��t�ng _1-_ . 23. Gas : �pa-Fo•.gi� & Test �, ?.4. Roof Framing -- -I--- i 25. Roo' Sheathing � i� 26. T•Bar Ceiling (Slructurdl} 'ui U+onocoat �. 27. Fiame and Flashing ' ' � 2B. Ldt:ung 3i Sd�ng - 'I 79. Insulation � _ I 30. 0��.ea'.I :�a�!in9 I � 31. N..,,r_,- 3�c��n Coz; j ,---_ ___'_--_T_'-- � 37 E�ez;��cai Po,�:er h'z:er�: �na, ------- --�--- ,�F��•,=1 t'PGihC � � __ --_ 34. Fm�l Heatinp Qu A,r Cord�tiar�rg ��-- 35. Fi�cl Gas Pipe�Tect 3G. Hoc�l or Canapy 37. F�n.l Fcctory F�re��ace I I 38. Fina� Piumb�ng ^ �1 f� -r - -- 3^. 4Vai��r Secvice�Final � , 30. Gas Se�e�ce-F;na� ------�---- � 41. SoW� Uome::�.[-F�r,a! S2. Oacuflon� Preventar 43. Backflow Irrigation � ; 44. Landscupe I�nqaoon SY<.terr. � I 45. Sound Attenu2tion � 46. Handlcap Regulat�or,s _ _ _ � 47. FiNALSTP,UCTURE�BUILDING '-- -- _ _. _ - -- 48. FIt�ALPLANi�!Ii��G 49. Eiectr�c Rc!ease to Ed�e�� ~ 50. Gas Release to �u[hern Qhtomia Gas Dzte . POOL ?A Inspecior qPpROVAIS Permit � 52. Pool & Equ�pment Location 53. Steel Reinforcement ` � i � _ �' 54. Forms 55. Electrital8onding 56. Rough Plumb�ng & Pr;;ssure Tzst 57. APPROVAL TO COVER�GU�iTE � 5$. EleCtriCal Condurt�Und�gmd. , 59. Gas Pipe, C Un�Jrgrnd., 7est _ , 60. Baekwash L�nes, P�Trap, � Urd:g� � 67 APPROVAL TO DECK i 62. B�r.lc..�sn iL Rc�eu�o�-F�.,al �. i _� �, 63. Heater & VenbFinai � � Datc �Inspector 04. ?:umb�ng 51'S'tm � Fi�21 1 . 65. E�ectrlcal-F�rai . -- �----- - -- , 66. Soldr SystcrrFinal � , 67. fencing & Acccs� Apprc,val _ 68 APPROVED �ORPLAS7cRiNG _ � _ _�� 69. POOVSPAS�'ST�MSFINAL j I • --- --- '--� -- FIRE UEPT. flEQUIREi:'�:fJT , I APPROV/-t'_S Pumif ;r_ ' i i 70. UndergrQ��c: H�.ra I 71. Produc! '�p.n9 : : G.tx �-' OJ � � _._. __I.� �` _ __ 7z. u�derg,u��,c F._.5 �I _� - ----- ------- - r-- ---t- - --- - - 73. Undergmd_Stnn�,-i�rl<'=_Gzs .'J�, �_- 74. Obcrhead Hyuro � 75. Dry Chemicai � I 76. Dry Standp.,�r --- - - � - � - --- -- 7 �-- - - - - 77. FIXED SVSTE":. �� INAL I I �1_ - - F 78. FIRE PREV. F��u,L _--- --- -- , _--- - ��EALTN �7EPT. REQUIftE?.icn"i i9. FI^�.AL I'.•5��. I l': � � 80. F060 CFfi-if.,r�-� E ISSL'Ep --- �- � Noc�S: � / 7�.��-�r��s�y - �%�L`� �'�/_' �.f a�..�msw„�G D_,r�_i��- ---- -- � � � PPOJECT ADOBESS: 4 y 3 �� mx Py UNIT: OWNEB'SNAME:�i�. �+JTIi.3.f'�..�+SOU ROUFE55: (! 9 3 L. � FJ � P L CO5TA ?:ESA�� CA °267.7 RflCNIENGINEEfl: `? 1 j'• L j O— O� O z � AEG.NO.: noosess: S; EC nN . R"D:.OND C—]uxdi 09 237 E. 16THPL COSTA vESA CA 9267.7 PEBMITTEE:�iCtiA.iD C.i_'fiDtRT:�OS (%14%GJO-0:07. aooeess: y q 3 i 6' fi PL C.M. CA 92627 LICENSED LONTBACTOB OECIAPATION: I hereCy aliirm Ihal 1 am licensed unaer pmvisions ol C�ap�er 9 Icommencing wil� Sec�ion 7000� al DiNsion 3 0l t�e Business antl Pmtessions Coae. antl my littnse i5 in Iu0 �orce an0 elfect. CITY UC.: SUTE UC.: ClASS: Oate: Signalure: W08NEB5' COMPENSATION DECNNaTION: I nere�y alfirm thal I nave a cenilicaie ol consent ta selbinsure or a cenifica�e ol Workers' Compensaiion Inswance. oi a cendied caoY ��e�eoi (Seciion 3800. LaC. CI. POLICY NU.: EXP. OPTE: LOMPANY: ❑ Cendie0 coOY is �ereby Wmished. ❑ Cetlilietl tOpY is IileO wifA the Cily Builtlinp Oivisi0n. �,�e: nnvrwoc E%EMPTIONFPOMWOflRENS'COMPENSATIONOEClAP,1TI0N: Qhi55e[lion eO�nlEecompletetlil�Irepermli5loronehuntlre0�El00�ak55�. I cerlify I�al in the petlormance ot Ine wark for whic� t�is permii is issue . �6lial�no� emp� any manner so as Io �ecome Subleclio ihe VJorkeRp' ComDenSaiion laws ol Calilomia. i � Date: � � 7 � L�__ SignaWre: � � NOTICE: I�. a�iet making Ihfs Aeclaraiion, y0u 5h0ut0 betOme SUGjetl Io IAe Warkef5' Co Densa�ion provisions ol tAe Labor COde. you mu5i Iorl�wiih tomply wii� SUC� D�ovisions ar ��is permii 5�ail b¢ Oeemetl revok¢G. CONSTflUCTION LENOING RGENCY: I hereby allirm Ihat there is a consiruction leneing agency for ihe petlormance ol Ine work far wpk� I�is petmit is i55u¢4 �Seclion 3W7. Civ. C�. LENDEN: A�ONESS: OWNFfl BUILOEB OECIAflPTION: I �er¢Cy atlirm �hai I am ¢xempl �mm ��¢ ConVaCi0r5' Staie Licenu Law lor the followinq reason (Sec�ion 703i5 Business an0 Pm�essional Cade: Any ciiy ol county w�icA rtquires a permil 10 con5iruci, alter. impmve, aemolis�. ar repair any 9mcWre. prior to its issuance. also requires ihe aDDlicanl tor sucn permit lo lile a 9gneA statement ihal he/she is licensea pursuam m �he pmvisions al ihe Comracmrs' SIa1e License Law (C�apter 9(commencing with Sedion 7000� ol Division 3 0l Ihe Business ana Pmles9ons fAee) o� Ihat he/sne is exempt iherelrom ana Ihe bas6 for ine allepee eeemplian. Any violation ol Seclion 7037.5 �y any aODlicani for a permii su6jttis ��e ap0liWnt �0 a civil penai�y al no� mare lhan live AuntlreO Aollars (5500�. I. as owner ol t�e D�oDeny ar my employees with waAes as tAeir sole compensation. vnll tlo Ihe work, anG I�e �� slmciure is no1 imended ar oflere0lor saie (Sec�ion 70aa. Business antl Pwlessional Coae'. TOe Comrac�ors' Slaie License Law eoes not aDPly Io an owner ol a pmDeny wno Ouiltls ar imo�oves ihereon, anA wno Ooes such work himsell/herself or inrouAn his or �er own em0�0y¢es. proviaea t�al 5ut� imD�ov¢menis are nolinlenAeO Of oflere0 bt ule.11, �Ow¢ver I�e builAing or imo�%'emeni is so10 m��in one year of compleiion, Ihe owne� vnll �ave Ihe Ourden ol pmving �e/sAe Oitl not �uilG ar impmve lor Ihe purpose of salel. I, as awner ol IAe pmperiy. am eeclusively comraning with licensetl comraclors lo consimct Ihe pmle�� Seclion 70a4, Business ❑ and Prolessions CoGe: The fqnlraciors' Slate License Law Aoes nol apply to an owner ol pmperty who UUAds ar impmves lhereon antl who conVacis lor such proie��s wilh a coniractorls) license Dursuant to Ihe Coniractor5' State License Lawl. I am aware I�al pmof ol iheir Worker'S Compensalion insu�ance shoWG Oe Orovi�etl to me. � I em exemp� unEer Sec�ion: B. 8 P. C. lar ��is reasan'. �a�e: �_� U+�ner. I 0o Aere�y certi�y Ihat I am aware a� anA untlerslanJ Ihe reduiremen�s oi Cah�omia H¢alth ane $ately Cotle Setiions 2 5, 25533, ana 25530 ane Inat I or anY �ulme builtlmg occupant will/will nol (circle ane) nee0 to tomply witn saiU state co0es anA Ihe reauiremenls lor a permil lor consimclion or motldica�ion Imm �he Aii Oualily Management Disiric�, flesitlential cons�mc�ion apDlicalions are erempt imm Ihese piovisians. �ale: llpplicanl: I hereby cetlify I�atl havereatl��is applicalion and stalel�atlhe aboveinformalion is correci.lagreelo com0ly with all ciry antl coun�y ordinancesandsiaielawsrelaungioDmltlmgcansimc�ionan�herebya`rze resentativesoltniscnytoemerupontneabove�mentione0 piopetly lorinspection purposes. Oaie. .�' 7— �� Signalurc: oriver's License oi Social Securi�y —Appl¢am; Pink—Revenuo: GolEenrotl—Assessor CI;Y OF COS;A XESA - BJ�:,L�r:G P`cR:SI: ?t':tX ti0; Y 06208i PERY.IT ti0: :�: C6208i PLAN CAECA NO; � GOVT: V:;::PP; ti CONSTRUCT:ON �YPE: 5-V PER."9_T TYPE: :CEC pJ�POSi:: ADD JOB DESCRIPTiOU ; ADD NAST BEDRX 6 COW HcDR:! :O �:AS': BAT'H SQ FT; CLAIv VAL'JE: CALC-VAiJE: GROUP OCC: R-3 /U-i COuN.EUTS: 225# OF hEW N.AS� B=D R.Y G 1?5# Ai,T,OF EXI�T.`;AS: �E•�;B60986 �:'*�C�{'*"K'**#�'*'*�"i�i��t{}�'�+'�iF�"�'�{fi.Yf�{'*'�'�'�%�':i'iE'K'i�'�i'�'�'�.�%�i.Y.X.�h n ii.��'�i� i��'r"�'**�'n"K'n �1 n K:� n�. i� �fi}li*'i�CYnf� .� n* Z O N I N r, R E Q U= R� K:: � T S ssTB�Acxs ------------ N:AIN BliILDIhG ---------- --------- ACC=SSORY BIII:�JI.�IG --------- FRNT; FT IN REAR; FT IN FRNT: �T �,1 Rt:AR; �T _T:d LEFT; FT IN RGHT; FT IN ;.,EF�: . iN ;?GHT: _, :ti PARRING REO; PAOV: PARCEL: 42�14ii� Z\E: Rt;F UO: PiaNNI,'�G nt5� Es> > � �*�**�r*�r***#��t��x�z+t#*##�*�#��t��**�r*��Z-�##*#*��K��#�x�*x*�*###��r�z#�####s:��* , U E V E L O P M E N T S E R aI. I C E S R E Q J I R E M E N i S .ZOyI\G APPROVED BY / DATE; BUILDING APPROVED BY : r" UATE; APPLICATION ISSDED BY: '-' ' DATE: � lEiEikif?fiE1E?Eifif?fififiEK•####ifSFiExxx'3rt3'eiFx��er.��iF;C�tiriFits:irt.• xirs:x.ci.-��ifiE?fiEiEiciFififi4qs: x< st� Fscs.��iiF #iEiEiEfE##1fiElFifiEY.'ifif######iEiEieiEiFiE#iF3!iEifiE�ElEiEfEiEiE±fiE3E#ifif###3E###3E####iEifi4iE#%#�E##i£:Flf#K;u###q#if LEGALZZATION:N F E E S U M M A R Y STRUCTiJRAL SrGXEXT:ti B�DG P:�:T Pi,UN.BING ELEC':RIC �:ECHAh�C FIRE S:::P/RtS GRAD��:G PERNIT 18.00 25i SMIP/NON-RES 'PLAN ISSliE FEE L`.00 BUILDING-DIV-> PER!;I: iSSJE PLAN-CHECK :OTAL PAID DUE TOTALS----> Y8.00 15.00 0.00 33,00 33.00 ,00 REVENUE DIVISION TOTALS--> COLLECTLD: 33,00 OVER/SHORT: ,00 BL�7G PMT PLUMBING ELECTRIC MECHANIC FIRE SMSP/TOT GRADZNG PLAN-CHFCK 33.00 iE iE if if if if i� if 3E �lE iF iE if iE ## if !f # if # if #�)E if if fE 3F IE �F #!E ielE iE iF?E iE iE if ?f if # iE iE iE if ####### iElF ff iF ih iE #!f fE # iE i�. �##### if ## iC tE # if I N D Z V I D"J A L F E E $ R E A K U O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTA:, COST .viEC 1 REPAIR/ALT HEATING [J�IT/SYS W/CNTLS 9.00 5,00 MEC 2 VENTILATiON FAN CONN TO SINGLE DUCT 9.50 9,00 END OF FEE5 , O1 OD138766-00233766 T C�T 38.Op DATE: OS/07/93 TI11E: 14:53 WidSTRUCTION AND PLANNING I i�P?ftOVALS Permit i-_ Date i inspector POO L � APPROI�ALS Perm�t �_ Oate i � Inepnctor I � ;: Tempnraru Elrctneal Sermce or Pole 52. Pool @: Eqwume�t LueaCon 1—� T I __- _ __. _ _-_ a . •. 5-. ❑:n��Unn�,^'nd. � 53. Ste ' ,'ic��.:fa�rrmert � � �-- r_--_'__-___ - -_ � -____-' -__�_--___'_- _ _-� 3- E��.ctr�cai Co��duit U! hty�Undrgn�d. 5S. Foim; �_� �_ �- ____ -__ __ _ ____ �_-1� . � 4. E��c' �r�' C^�durt.U„d•yrd i � 55. Eioctr�,ca' 3�n�1 n0 � I ' _ I_-_ �-______ .. �' 4ciniwceme�t 50. Ruu.�h Plumb�ng £v Frelsure TeSt --1 � "u. `� . I.'-�F Gr�,_d -__ - 57. PF°ROVi^,1. TO COVER GU�J'TF: I '�'- � � � - -- - --- - — -- �--- -- ----- -- ---r--- � 7. ��cz�na�,� �� 58. Eluctricnl Cocd��t�UnrJ��rntl. � �a . ..,.ro�. I �9. Ga� I'.pu, � t t �-d,g",.0 . Tast �. _ � � -i I�-_ -_-' _. _ ___ __ _ ._- _ -_�-_-- -__-_--r_`�__T'I g �. --j-_ - � . ...,ttr r. � � ��;:n.:rrtr. � G0. D,�., .r:nh �. ii.s, P.'rcV. �. UcC•u'rc � - _ ____ _ _. _ ___ . _ _ .^-�': .-_ __ -____ ____ ___-_ 'C. S.z., �� ".❑or SV�'rr"� I Gl. ApPROVA�'O DECIC I � � . --- - - - --�� ---- --'{-�--�------- -------- --r--� 'i. c.,_� .. � � �. �.:i�n�ect.on �52. 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POOLISPA SYSTEh.".S FINAL � _ i__ _ �I 9 �..«.�-.��,. �R,A�Car•ditoniny f �n� �- FIREU��.P�.4EQ:;IHE,V�ENi � " G��/_--'%l�' - ; I I `.; R� _ �:i -dr.tn•y F�reolace __ I �Hf PRUVALS Permrt ,. _ __ �_ - _ _ _ _' �__ _ _ _ ._-_ _�-- —�_�- . - - _ - _ _ --__- * -__ - _ .-i _ . � S��,ctu�4 � 7J. :.- � ,q�c.,_. ��..n � )��,�t,,�'i� r �:.tin']_ __-- -�� _'_ � il. Prao.i�. plP�ry G:�; .�C)il _' - � - � - _� I .3. . , , ..'�1 �. .,. + i 77 .- .,.� � . . ?: � .,,7 ----- -' --- 1--- 73. �nddrqmn So �'c 'G.. ---0 , - �-- - -- ----. :- -- ' ---- - . ---� � -- -------.-- � - -- - _� . . . ., . 7 �. C'.. -'�a: n�. .. _ _ ." __^ _- _ -_ -�'__ I___ ' __. __ _ _ - '- __ . _... __ . __ _E. . .rq $SfUCT��dll Lt C��COa2 I I I b. �i' �.:mm'J ' f� � . "' _ '. _ ' _ . _ ___ "___ - i' . - -_ ._ __ _ _ -'_" __ . � _ _ +__ '_ i-r � ' . , � - � ' � � o��i . ' � 7f�. :�� 5:�^J:.,' - _ __ i_ - _-_ ?u'. L r�,x;d.ng -T J7 PI'EDS�ST�If-i.A: � '' I - ---�_�. --- - -- -- -; - -,- - i9 � � �c� 3E nq.-�i. r.... I- � - - -�-- l-- --- -- - -- --- - -- - '- - � 3J ' .; h:,y - I�I_CITHU�PT.R�OUIRE',h.-r1T � °i-� '._�_ Coat ---�--}` � � ]P F��l,�i II � .. ,.. �- - - - � � - � - 32 F � � , � ._, F ��. - � -- - �..3J � ��,.� �E �o � �r„- - �l'�-,- - - - � -- - - 4 - - � - � �. -, _ � � N n .,. I , _�.. : ..F�... . .A �C..-.-� -,-___I�_ __-r . � ____. __ -. - __- _ ..__ _ - __ i 3_� - - - -,�''� - - . �-- - - -- -/�/ - - - - -- � 3� :- �i i G�, G,cc-T,:' ( � t - __�.__ _. _ -_.•,-__. _-. . ._ . _-__. _ . _ _-_ .. _ . ._ . 30. �- . . .-.- l.. ^.�PY .I . t__-__ __ ' _' _�_-_'_'_____.y___ _'_1}_. " _ '__'- __ -_ _'_-_ __._' _ . Z� I I _ �' ' .� i��ct:,�v F,raF'�_� � I -- -- -�- - ----' -- - --- - - - - -- . . . . ---- - r- ' �E. F � ? :rb�r; f-- ------ - � ' ::9 .Vuler Sv.�,iai�f�n'I _ _ _ � _ _�__' _ . _ }_ _- _- ____.-__— . _ _ . ._ _ . .i � I _--_ _ _ ___�_._-_.. . _--..__' .�. -,,. c:r•. u f-,n.al '_ I .-___-__ _-____ _ __ ___ _ _ _ __. '_' _ _' �- _ _' _ _ . - I I _ -' __ ___-__ "-- ______ '." __ _ ' _ _ _ _ � 41. So:ei Com�vt�c�Fin�� -- I -.L. P. : !i0: Pr• .J�tC' —_ _ _"'- ___" _ _ - __ . __" .� _________ __' _ _� -__' ..__— _______ ___' __' �e;3_p.:��!�fio�o v�_3aUon - - --- - --- - - ------' ------ - - -- - - , - --- -• ' - --- -^ _ �.. --- � •,t_ :, drear.r.IrriGa'�o��SVsiem __ _ _ ___. -__ ____ _ —.___ 1 -_ L5. S';.r.d A.ticnuauC� - ----- -- --- -- - ' -- -- � - . - --.. ___ . __ __ _,,. _. _. _ ____ _ __ __ _ _ _ _ _ _ _. . _ � .,.. F� _ ___.. -7c,u�,.�.,.. � I - -_ _ _ . � --- --- --- ---i - --- - - -��-_ - ---- -- - - - - -- - - - � --- 41, f �LA� S�:�UCTU�+E & BUILDIVG I � ''9 , �: ^.i_ F� i1�:1n�G �--- - l- ----- -- -- -- -- -� ---' � - - - '---- -----=- rA£. E -.:�u.c rr.l...�se to etlison V -- -- - -- �- - ---- ! ----I F------- - --{ ------ -------- ----. � 50. Cac �el:..sr tc So�them Cahfornia Gas Co� I �I I 51 CF.HTI� ICAi E OF OCCUPANCY � 1+�'`ro. _ _ _ Date - --- -- -- - - � -- -- 29233 COSTA MESA BUILDING-SAFETY DEPARTMENT G.O. BOX 1200 GOSTA MESA, CALIFORNIA Y2620 � for Applicant fo FIL In Compbtdy TYPE OR PRINT ILDINO DRESY r I�� COSTA ME3A. CALIFORNIA R�u NeR Newport Balboa Savings & Loan auiu oRsoa 3366 Via Lido wooR ,�, Newport Beach No 6733130 ioNe GHITECT BUr�on reL EY�R� 'NOINE6R omber erFAIANo. 5408833 DREBS 4501Birch St, , $Iewport Beach zoN[ �rrRwR R Fabre Construction Corp. - uw� Ran� 4501 Birch St. o•°�^ v New ort Beach ~"•� N0T6: `No. 146423 NH�• 540 8833 so•r e,.� S3' x 60' I xo.or.�uo.. A��o (� �sre�cec un� rnor OCT 16-68PaIoOO 877� *** S CHSA ��•7� APPLICATION FOR PERMR BUILDINCi . For Offlcs Um Only ZONING iHALL![ L[eY THAN YARDfMPROVBD I YARDBAPPROVHD MAIN BUILDINO ACGE9IIORY BUILDIN6 tOMC/LDTR[Rj I T� � ...� d 2 .�. lL — .�. DESCRIPTION OF WORK . sio S X T[RATI ADDITI N RGR N. T!T. DIfTANC[ [R. M IN gM � MAIN BLD Ho.o� �^�•� V-40-68 1928 ROOMH 7 DT RI 1'1�Z C.U.P. vwLL stucc RooOO1,,,, shakes � ��Rovco� � UDH Op EU ILDIHG AND WORK TO 06 P[RPORM[D Famil dwelling w/attached garage Plan 1B � o� 6B/ � xeneer �cKxowueo� rx�r i Hwv� euo nns �rruun � AND BTATB THAT TH6 AlOV[ 1� COpR[GT�AND AORB[ TO COM� PLY WITH ALL CITY ORGjx�r��^ ANO /TATf LAWY R[OOLIITIN4 �UIlDINO CONBTRYSTiOFI. 1 A /l..17 . � AUTHORIZBD A6[NT •xe �rourm sx ■URW![ OI AI VALLlAT10N :07.��97 � OATE - 14- uHoea vew�noH �s ron rxs IiNINO A PCPMIT IH8 ONLY. a G w