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Home My WebLink About404 16TH ST - Building Permits� (714) 754-5273 • Fau (714) 754-4856 Job Address: Suite No Viciniry: Parcel Nunmber: Applicant: Address: Owner: Address Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+unils) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to ihp Motors to tOhp Molors to 50hp Motors to t00hp MOtorS over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole CITY OF COSTA MESA , _ _ B!/ILD/NG DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT 404 E 16TH ST FAMILY ROOM 42514101 TIFT, THOMAS 404 E 16TH ST COSTA MESA, CA TIFT, THOMAS & KAREN 404 E i6TH ST COSTA MESA, CA OWNER-BUILDER ELECTRICAL PERMIT Phone: (949) 642-2642 Zip: 92627 Phone: (949) 642-2642 Zip: 92627 Phone: Zip: License: 0 PERMIT NUMBER E00-00646 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: I SSU E D Applied: 07/03/2000 Issued: 07/03/2000 ISSUED BY: � ' � • �� , • ♦� SCOPE OF PERMIT ELECTRICAL PERMIT TO RELOCATE 2 RECEPTACLE OUTLETS, FOR INSTALLATION OF NEW FRENCH DOORS. REF: B00-00996 $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 6 Quantity 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist Syslem / Lighting Busway/100ft Standing Section Misc Electrical Equipment Transformers up to�i kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conduclor Cirws ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E25.70 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this pertnit lo be considered legal, such work must comply with all applicable codes, and all required inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby ettirm untler penalty of perjury one of ihe following tleclarations: ❑ I have end wlll meintain a certifiwte of consent lo selbinsure for workers' compensation, as providetl tor by sectlon 3700 ot ihe Labor Cotle, for the perto�mance of the work for which Ihis permit is issuetl. - ❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of the Lebor Code, for ihe pedormence of the work for which this permit Is issued. My workers' compensalion Insurance carner end policy number are: Carrier. Policy Number: (This sectian neeO not be comp/etetl i/ the permif is valued et one hundred dollars ($100) or /ess.) ❑ I cetlify Ihat in the peAormance of ihe work for which this permil is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws oi Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the La6or Code, I shall forihwith comply with Ihese provisions. Applicant Signature: Date: WARNING FAILLIRE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FINES UP TOONE HUNDRED THOUSAND OOlL4RE ($100,OW), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECiION 3]O60F THE LA60R CAOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: �� I hereby attirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Divislon 3 of the Business and Professions Code, and my ticense is in full force antl eHect. Lic. q Class k Comraaor's SigneWre: Dete: ' CONSTRUCTION LENDING AGENCY: �� ❑ I hereby attirm ihat ihere is a constmction lending egency for iha pertortnanca of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Nama: Lendafs Address: Signature: Date: OWNER-BUILDER DECLARA710NS: I hereby aNirtn ihat untlet penalry of perjury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construcl, alter, improve, demolish, or repair any structure, pnor to Its issuance, also requires Ihe applicant for such permit ta file ignetl ste�ement thet he or she is licensed pursuent to the provislons of ihe Contractors License Law (C�epter 9(commencing with Section 7000) of Division 3 of the Busi ss antl Protessions Cotle) or that he or she is exempt thereirom antl the basis for the alleged exemption. Any vlols�ion of Section 7031.5 by any applicant for e permit su cts ihe appiicant to a civil penalty of not more than five huntlred dollers ($500).): I, as ownar ot Ihe;property, or my employees with wa9es es iheir sole compensation, WILL DO THE WORK, antl the simcNre is not intantletl or ottered for sale (Sec. 7044, Business endProfessions Code: The Contractors License Lew does not apply to an owner of property who builtls or improves thereon, and who tloes such work himself or hersel6oi thro'ugh�his or her own employees, provided that such impmvemenis are not intended or oHered for sale. If, however, ihe building or improvement is sold within one yeai.of completion,.the owner-builtler will have the burtlen of proving that he or she did not builtl or improve tor purpose ot sale.). � v,�, n q ❑ I, as owner of the property,;am•EXCL`USIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslmct the projec[ (Sec. 7044, Business and Professions Cotle: The coniractors License Law�,does«riot apply to en owner of propetly who builds or improves ihereon, ena who contracts for such project with a coniractor(s) license pursuant to the Coniractors Cicen�Lews.). ❑ I am exemp�yo sac. � Business and Professions Code for Ihis reason: Signature: �f i .� _ '�T Date: � Owner ID veniietl by dnvefs license. ❑ Yes ❑ No Driver's License No. ��_ Expires: � �'Ti Venfication ot Ownarship by (type of tlocument, i.e. - pmperty taa bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more teet in depih into which a person is required to descend, will be matle in connection with work authorized by t�is permit, entl ihat no building siructure, scattoltling, falsework, or demolition or tlismantling Ihereot, will be more than ��irry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, California Administra�ive Cotle). ❑ As owner-builtlar, I will nol employ anyone to do work whic� would require a permit from the Division of Industrial Safery, as noted above, unless such person has a permit to tlo such work fwm Ihe division. Siqnature: Date: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I cetlify under penalry of perjury that I have read ihis application and state that tha infortnation given is correct. I a9ree to comply ith all state laws an iry rtlinances relating to builtling constmction, and authorize representatives ot the Ciry of Costa Mesa to enter upon ihe above-descdbed prope or inspection pur gree not to occupy or allow occupancy of any huiltling euthorized by this permit until final inspection. � 7 �� Signatur f Legal Owner(s) Date AndlOr Authorized Applicant COUE M. INSPECTIONTYVE QBjE INTRIALS 1616 Fized System Final Fire Prevention 1266 200 2oi Pool Spa Final Final Re-Roof Final BIocWRetaining Wall 202 Finel Factory Fire Place 203 FinalSign 204 Final Demolition 2666-46 �QOE� INSPELTIONTYFE 206 Final Mechenical 20B Final Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy pRTE INTRIpLS (714) 754-5273 • Fax (774) 754-4856 Job nddress: 404 E 16TH ST Suite: Vicinity: FAMILY ROOM Parcel Number: 42514101 Applicant: TIFT, THOMAS Address: 404 E 16TH ST CITY OF COSTA MESA BlIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT COSTA MESA, CA Owner: TIFT, THOMAS & KAREN Address 404 E i6TH ST COSTA MESA, CA Contractor: OWN ER-BU I LDER Address: Zip: Arch.: Address: BUILDING PERMIT . NUMBER � Boo-oosss 77 FAIR DRIVE, COSTA MESA, CA 92626 Zoning: ISSUED BY: Phone: (949) 642-2642 Zip: 92627 Phone: (949)642-2642 Zip: 92627 Phone: License: 0 Eng: Address: Status: ISSUED Applied: 07/03/2000 Issued: 07/03/2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REMOVE & REPLACE EXISTING WINDOW IN FAMILY ROOM, WITH NEW FRENCH DOORS. Plan Check: $17.26 Permit: $26.55 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $44.31 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ssoo.00 ssoo.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a penod of 180 days. INSPECTIONS: In order for �he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. � FOR INSPECTIONS CALL: (714) 7545626 � , WORKERS'COMPENSATION DECLARAnON: ' I hereby attirm under penalty of perjury one of ihe tollowing tlaclarations: ❑ I have entl will maintain a certificate of consent to seli-Insure for workers' compensetion, as provitled for by section 3700 of the Labor Code, tor the pertormence ot the work for which ihi5 permit i5 is5ued. ❑ I have antl will maintain workers' compensa�ion insurance, as requiretl by section 3700 ot Ihe Labor Code, tor Ihe pedormance of the work tor which [his pertnit is issued. My workers' compensation Insurance carner end policy number are: Carrier. Policy Number. (This section need nat 6e completed i/ the permif Is valued et one hundied dollars ($100) or less.J ❑ I certify iha� in the peAormance of �he work for which �his permit is issued, I shall not employ any person in any manner so as to �ecome subject to the workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall forihwith comply with these provisions. Applicant SignaNre: Date: WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CPIMINAL PENALTIES AND CIVII FINES UP TO ONE HUNORE� THOUSAND DOLLARE (5100.000). IN AD�ITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]060F THE LABOR CAOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed untler pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license is in full force end eHect Lic. # Class # Comractofs Signeture: Date: CONSTqUCT10N LENDING AGENCY: ❑ I hereby aHirm ihat there is a constmction lending agency for the pedormanca oi t�e work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lentler'S Name: Lender'S Atld�ess: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm ihat under penalry of perjury �ha� I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any city or wunry which requires a permit b construct, alter, improve, demolish, or repeir eny structure, prior m its issuance, elso requires tha applicant for such permit b file e� ned s[etement that ha or she is licensetl pursuant to the provisions of the Conirecbrs License Lew (Chapter 9(commencing with Section 7000) of Division 3 ot ihe eusin s and Profeuions Code) or that he or sha is ezempt therefrom and the basis for tha alleged eaemption. Any violation oi Section 7031.5 by any applicant tor e permit sub' ts the applicant to a civil penalry of not more than tive hundretl tlollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intentletl or oHeretl for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to en owner ot property who builds or improves ihereon, and who does such work himself or herself or through his or her own employees, provided Ihat such improvements are not intended or oftered for sale. If, however, the builtling or improvement is sold within one year oi completion, the owner-builder will have the burden of proving ihat he or she tlitl not builtl or Improve lor purpose of sale.). ❑ I, as owner of Ihe propetly, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Protessions Code: The contractors License Law tloes not apply to an owner of propeny who builds or improves thereon, antl who contrects for such prolect with a coniractor(s) license pursuant to the Conirectors License Laws.). ❑ I am enempt under� SignaNre: � h Owner ID verified bv driver's license. and Professions Cotle for this reason: No Driver's License No. Veritication of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: Expires: ❑ I hereby certity Ihat no eacavation five (5) or more feei in tlepth into which a person is requiretl to descend, will be matle in connection with work authonzed by Ihis permit, antl that no building siructure, scaHoltling, falsework, or tlemolition or dismantling thereof, will be more than thirry-six (36) teet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from the Division of Intlusirial Safety, as notetl above, unless such person has a permit to da such work from the division. Signature: Division of Indusirial Safety Permit Number: Dete: CERTIFICATE OF COMPLIANCE AND AUh10RIZATION OF EMAV: I certity under penalty of perjury that I hava read this application and state that the intormation given is correct I aqree to comply with all state laws and ciry ortlinances yr lating to building construction, antl authonze representa�ives of ihe Ciry of Casta Mesa to enter upon Ihe above-descnbed pmperty for inspectio oses. I agree , � cupy or allow acupancy of any building authonzed by this pertnit until tinal inspection. � .�<�=='i:.,� � `� dc Siqnature Of Legal O eqs) Date And/Or Authorized Applicant Date CODE N. INSPECTION TYVE 1616 Fixatl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-RooF 201 Final BIocWRataining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 2C46-46 ��TE INTIf1AL5 COUEN INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QdIE INTRIALS � • s , � . � � TIFT RESIDENC� / 404 E 16 TH. ST. C;vSTA MESA CA. 2�4,� ] 0' 31/4" 1' 31 /4" ,....: ,:�.:.� ;;z .;�. � .��. „rci r �,I � `r Ot� ::i�Si.L i�AE A t.i�rxov� �s; �--*v �— 7�; c cei c� olsr,a aad speGfipd !:: �-�y rhan�::, c; a�eration � , _r.i :,;fety, C6y of Co;ta �desa. '� `,a stampiny ot this plan and s� ol Iha violation oi any p�sic 2'1/4 � DUPLEX OUTLET on ihis pb at sil limw and il is c�kxici t a uilo:.. / NOT hetU I pertn� ortu be a� appre:�a � I:ssc ck.ns aM parmit hall o�piro bg I�mi�efion ar,d becore�+ nuil and void if the tuilding c� ifGfi: i: �.C� ^?TRIEMAfI lC fiN10I8l±lE� &Ci�:2 �2: UP.0 FJ�:i (�� ::"�hei 19^ day5 U� SoUG.IGI I 5�11� NE (OF EXISTING X OUTLET� L�/ � L� �o �o 37 ��.�� CITY OF COSTA MESA PLANNING DIV. 6JEGT_TQ BLDG. DEPT. R� DA Parcel Number: 42514101 npp�icant: STEVE BURR Address: 711� WEELO DR� COSTA MESA, CA Owner. TIFT, THOMAS G Address 404 E 16TH ST COSTA MESA, CA Contractor: BURR ROOFING Address: 711 WEELO DR COSTAMESA, CA Zip: 92626 Arch : Address: Zip: Phone: License: Zoning: Phone: 949-548-2965 Zip: 92626 Phone: 949-642-2642 Zip: 926273202 Phone: 949-548-2965 License: 635586 Eng: Address: ; ' [=f�-�c��✓�� ISSUED BY: Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 4:12 PITCH, 30 YEAR FIBERGLASS SHINGLES ROOF, JACKS AND EDGE METAL, AND REPAIR/REPLACE SHEATHING AS NEEDED. 3,000 S.F. FEE SUMMARY Plan Check: $0.00 Calc Valuation: s�o,000.00 Permit: $181.25 Claim Valuation: Sio,000.00 SMIP Res: $1.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.25 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Fronl 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Exislin : 0 Reouired: 0 Pr000sed: 0 , ,. �� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and reiated �, regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: This p�rmit shall automatically expire and become void if work is not commenced within 7B0 days, or if work is suspended or abandoned tor e period of 180 days. � INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepecliona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 244&d8 (BI00) WORKERS' COMPENSATION DECLAqATION: . I �ereby eHlrm under penelry ol per�ury one of t�e tollowing tleclerellons: ❑ I heve end wlll melntein a certllicate at cnnsent to self-Insure br workers' crompensation, es pmWded lor 6y sectlon 3700 oi the Lebor Cotle, for the pertortnence oi Ihe _��r w�ich ��Is pertnit is Issuea. � J I have end will maintain workers' compensetion insu2nce, as raquirad by section 3700 of Ihe Lebw Code, for Ihe perfortnance ol Ihe work far which this pertnii is l5sued. �My warkars' wmpensallo�n I surence carner and palicy number e�e: ' / C�1'/ Cerriei S'f' IQ-i'G . TV W� Policy NumUer� ��f ��✓ 7 Y (lhis sectlon neetl not be cromp/eted il (he permit is valued et one huntlred dollars.($100) or less.) �—�' � ❑ I catlify lhat in t�e peAortnance of tha work for which t�is permit is issuetl, I shall not employ any person in any manner so es to become subject to the workers' compensetion laws ol Celito le, enC e ree Ihat if 1 shoultl become subject to the workers' compensatlon provisions ol Sectlon 3700 ot tha Lebor Cotle, I shell forthwit� compty wit� these pr Io ��Signature:_ �� I Data: � �Q / Z �% � WARNINO: FAILURE TO SECURE WORKERS' COMPENSNTIIXJ GOVEMGE IS UM.AWFUL AND SHNLL SUBJECT AN E�OYER TO-CFIMINAL PENALTIES AND CML FlNES UP TOIXJE HUNDRED T110U$AND OOLLARE (5100.0OO�.IN ADDfiIIXJ TO THE COSi OF COMPENS4TION, DNMGES AS PRWI�ED WR IN SECTION 37060F THE LABOR CODE, IMEREST, AND ATfOFNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: 9(cammencing with Section 7000) of enC ettect. Lic. p Class M Date: Cada, and my license is in full CONSTRUC710N LENDING AGENCV: ❑ I hereby aHirtn Ihat there is e consiruction lending egency for ihe pertormance ot Ihe work tor which this pertni� is issuetl. (Sec. 3097, Civil Cotle). Lentlar's Name: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Deto; I hereby eHirtn Ihet under penelty ot per�ury Ihet 1 em E%EMPT FFOM THE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business end Professions Code: Any city or counry which requires e permit to conslruct, alter, improve, tlemolish, or repair any siructure, pnor �o It5 issuance, elso reqWres the applicam tor such pertnit ta file e signed statement Ihet he or she is Ilcensed pursuant to Ihe proNsions of tha Contrectors License Law (Chapter 9(commencing with Section 7000) of DiWsion 3 of ihe Business antl Professions Code) or Ihat he or she is eaempt t�erefrom and the basis for the allegetl ezemption. Any violation of Seqion 7031.5 by eny epplicant for e pertnit sub�acts the applicant to e civil penalry N not more Ihen live hundred tlollare ($500).): ❑ I, as owner ot the property, or my employees with weges es their sola compensation, WILL DO TiE WORK, anC t�e structure Is not Intentletl or offeretl tor sale (Sec. 7044, Business and Protessions Code: The Contrac�ors License Lew dces not apply to en owner of properry who builtls or Improves thereon, and who does such work himselt or herseli or ��rough his or �er own employees, provided that such improvements are not intended or oHered for sele. I�, however, the bullding ar Improvement is soltl within one year ot completion, the owner-builder will have the burden of proving that he or she tlitl not build or improve for purpase oi sele.). ❑ I, as owner oi tha property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business entl Professions Cotla: The contractors License Lew does not apply to en owner oi property who builds or improves thereon, and who conlracts for such pro�ect with e conirector(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt under sec. Business and Pmtessions Code for this reason: Signature: Date: Owner ID verified by tlnvefs license. ❑ Ves ❑ No Dnvers License No. Ezpires: Venfcation ot Ownership by (lype ol dacument, i.e. - properry lax hill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hareby certity that no excavation tive (5) or more teet in dept� into which a person is required to descend, will be matle in connection with work authonzetl 6y this permit, antl that no building slrucWre, scaHolding, talsework, or demolition or dismantling thereof, will be more than ihirry-six (38) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Tule B, Calitomia Atlministretive Cade). ❑ As owner-6uilder, I will not Bmploy enyone to do work which woultl require a permit trom Ihe Division of Industnel Selety, es noted abova, unless such person has 0 permit to do such work Irom Ihe division. Signature: Date: _ _. Division of Indusirial Sefery Permit Number: CEH7IFlCATE OF COMPLIANCE IWD AUTHORIZATION OF EMRV: I cenify untler penalry of perjury that I hava reatl this epplication entl state that the Inlormation given is correct. I egree to comply with ell siete laws end ciry ordinences ralating to bullding wnstruction, end authorize representatives ot the Ciry ot Costa Mesa to enter upon the above-descnbed property for inspection purposes. I egree not to occupy or allow acupancy of eny buildinq authonzad by this permit uniil finel inspection. Signature Of Legal COOE 1. INSPEGTIONTYPE 1676 Fixetl System Finel Fire Prevention 7266 Paol Spe Final 200 Final Ra-Roof 201 Flnal Block/Retaining Well 202 Final Feciory Fire Place 203 Finel Sign 204 Final Demolition pAIE It�➢A6fi /� �/� i L% � i% vv✓ CAOE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 220 Final Fire Preventlan Final Planning Approvel 222 Final Site 250 Final Building/Occupancy pej�, INfIfULS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 404 E 16TH $T Suite: Viciniry: Parcel Number: 42514101 Applicant: TIFT, THOMAS G Address: 404 E 16TH ST COSTA MESA, CA Owner: TIFT, THOMAS G Address ..404 E 16TH ST COSTA MESA, CA . Convactor: OW N ER-BUILDER Address: Zip: Arch : Address: Zoning: ISSUED BY: Phone: 949-642-2642 Zip: 92627-3202 Phone: 949-642-2642 Zip: 92627-3202 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 08/20/2004 Issued: 08/20/2004 � Phone: Phone: Zip: �icense: License: SCOPE OF PERMIT ENLARGE EXISTIBNG KITCHEN FOR THE INSTALL'ATION OF A 6X3 WINDOW. 1 OUTLET AND 1 SWITCH. Plan Check: $15.28 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $39.28 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0--0 PARKING Existinq: o FEE SUMMARY, PLANNING & ZONING - Rear 0- 0 Left 0- 0 Rear 0- 0 Cek -� 0- 0 Re4uired: 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 - �� Right 0- 0 �, " � ssoo.00 $soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ,'� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. .' INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 266646 (N00) WORKERS'COM�ENSATIONDECLARATION: - �'� � � ' -" � ' I hereby ettirm under penalry oi perjury one oi the following declaratlons: , ` ❑ I heve end will maintein e cenificate ot consent to self-Insure for workers' compensation, es provitletl tor by sectlon 3700 ot the Labor Coae, for the peAormence of the work for whiCh �hi5 pertni� is issuetl. - ,.�, ❑ I heve and will maintain woAcers' compensation insurance, as requiratl by section 3700 oi the Lebor Code, tor the peAortnance of the work A�r which this pertnit is issued. My workers' compensation Insurence carrier entl policy number ere: Carrier: Palicy Number: (This section need not 6e comp/eted il Me permif is valued et one hundred dallars ($f 00) or Iess.J ❑ I certify that in the peAormance of Ihe work for which this permit is issuetl, I shall not employ any person in any manner so as to 6ecome wbjact ta tha workers' compensetlon laws of Calitomia, end agree that ii I should become subject to Ihe workers' compensation provisions of Section 3700 oi iha LaDoi Code, I shall forthwith wmply with Ihese provisions. Applicent SignaNre: Dete: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVER TO CPIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDHED THOUSANO DOLLARE ($100,000), IN ADOITICN TO THE COST OF fAMPENSFTION, DAMAGES AS PROVIDED F-0R IN SECTION 31060F THE LABOfl CODE, ItJrEREST, AND FTTORNEV'S FEES. IICENSED CONTRACTORS DECLARATION: I hereby eNirm that I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, end my license is in full farce end eHect Lic. N Class N Contrector 5 Signeture: Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aflirtn that thera is a construction lending egency for ihe performance of Ihe work for which �his Dermit is iuued. (Sec. 3097, Civil Code). Lenders Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm thet under penalry oi perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, eusiness and Protessions Coda: Any city or counry which requires a permit to constmct, elter, improve, tlemolish, or repair eny structure, prior to its issuance, also requires ihe epplicant for such permit to flle e signetl statement that he or she is Ilcensed pursuant to ihe provisions of ihe Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) af Division 3 of the Business end Protessions Cotla) or that he or she is ezempt tharefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for e pertnit sublecis �he applicent to e civil penalty of not mora then five hundrad dollars ($500).): ❑ I, as owner of the property, or my employaes with weges es Iheir sole compensation, WILL DO THE WORK, and the siructure Is not intentle0 or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to en owner of property who builtls or improves thereon, and who does such work himsalf or herself or through his w her own employees, provided that such improvements are not Intended or oflered for sale. If, howevar, the building or improvement is sold wilhin one year of completion, ihe owner-builder will heve ihe burden of proving that he or She tlitl not build or improve for purpase ot sale.). ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnsiruct the project (Sec. 7044, Business and Professions �.,.-.Cotle: The comractors License Law does not apply to en owner ot property who builds or improves thereon, and who contracts for such project with a comrador(s) �"�hiense pursuant to the Contraaors License Laws. ❑ I em exempt under s.' '� Business antl Professions Code tor this reason: Signa : '�-Date': .� � �'-v:—� � � -v Owner ID ventied by dmefs licey^� es ❑ No Dilvers License No. � pires: Varilication of Ownership by (type of documen6 i.e. - property tex 6ill or deed): _ !� DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more teet in depih inro which a person is requlred to descend, will be made in connectlon with work authodzed by this permit, and that no building strucWre, swflolding, talsework, or demolition or dismaniling Ihereot, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitornia Atlminisirative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Intlustrial SaFery, es noted ebove, unless such person has e permil Io tlo such work trom tha division. Signature: Date: Division oi Intlusinal Sefery Pertnit Number: COUE I, INSPECTIONTYVE 1616 Fixetl Sys�em Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 inal Demolition pg¢, J[�jjfl� �QQ�d INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumhing 210 Final ElecMcal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE INTRIRLS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 404 E 16TH ST Suite No Vicinity: Parcel Nunmber: 42514101 Applicant: TIFT, THOMAS G Address: 404 E 16TH ST COSTA MESA, CA Owner: TIFT, THOMAS G Address 404 E i6TH ST COSTA MESA, CA Contractor: OW NER-BU ILDER Address: ISSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+uniLs) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a � Service to 1000a Service over 1000a Motors to 1hp Motors to tOhp Motors to 50hp Molors to 100hp Motors over 100hp Communication drops ELECTRICAL PERMIT ISSUED BY: Phone: 949-642-2642 Zip: 926273202 Phone: 949-642-2642 Zip: 92627-3202 Phone: Zip: License: 000000 Status: ISSUED Applied: OB/20/2004 Issued: 08/20/2004 SCOPE OF PERMIT ENLARGE EXISTIBNG KITCHEN FOR THE INSTALLATION OF A 6X3 WINDOW. REF 804-01477 1 OUTLET AND 1 SWITCH. $23.50 30.00 $0.00 $0.00 so.00 $0.00 $0.00 $1.10 $1.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Seclion Misc ElecViral Equipment Transtortners up to 1 kva/kw ..............:.up to 10 kva/kw .................up to SO�kva/kw .................up l0 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or nde) � Circus (mech ride or lighls) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Quantiry $0.00 0 $0.00 0 $0.00 0 $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0. $0.00 0 $0.00 ,- 0 $0.00 0 $0.00 0 $0.00 NO710E: The work authorized by this permit shall comply wiih all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRA710N: This permit shall automatically expire antl becoma void if work is not commenced within 7 BO days, or if work is suspended or abandonad for a period of 180 days. . % INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all requlrad Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d46d6(NW) WORKERS'COMPENSAnON DECLARAnON: ' ' I hereby amrm under penalry ol per�ury one ot the tollowing declaretions: ❑ 1 hava and will mflintein e certllicate ol consent to setl-Insura tor workers' compensation, es provided tor by section 3700 ot t�e Lebor Coda, for the peAormence at the work far which IhiS permit 15 issue�. ❑ I have entl will melntain workers' compensetion insurance. es required by section 3700 of Ihe Lebor Code, for ihe perfortnance ot Ihe work for which ihis permit is Issued. My workars' compensatlon Insurence carrler entl policy number ere: Cerrier: Policy Number: (lhls section need not be tromp/etetl i/ the permit is velued ef one hundred dollars ($f 00J or less.) ❑ I certity that in the pedormenca ol the work br which ihis pertnit is issued, I shall not employ any person in eny manner so es to become subject b the workers' compensetion laws of Celifomie, end egree that If I shoultl Uecome subJect to tha workers' compensatlon provislons of Sectlon 3700 ot the Lebor Cotle, I shall torthwi[h camply wit� Ihesa provisions. Applicant Signeture: Date: WAqNIN(3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECf rW EMPLOVER TO CPIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (E100,000). IN ADDITIIXJ TO THE COST OF WMPENSATIqJ, DPM4GE5 AS PROVIDED FOR IN SECTION 3](IB OF THE LABOR CODE, IfJ�EREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afllrm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Divislon 3 of ihe Businass antl Professions Code, and my licanse is in full force entl aHacL Lic. a Cless a Contrectofs Signeture: Date: CONSTRUCTION LENOING AGENCY: ❑ I hereby aflirtn Ihet there is e construction lending egency for Ihe pedortnance ol the work for w�ich this permit Is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Signature: Dala: OWNER-BUILDER DECLARATIONS: I hereby attirtn Ihet under Oenalry ol per�ury Ihet 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business anA Protessions CoOe: Any ciry or counry which requires e pertnit to canstruc6 elter, improve, demolish, or repair any strucWre, pnor lo its Issuance, elso raquires the appliwnt far such pertnit ro fle e signed stetement Ihet he or she Is Ilcensed pursuem ro the pmvisions of the Comrectors Llcense Lew (Chapter 8(commendnq with Section 7000) oi Divislon 3 of the Business antl Professlons Code) or Ihet he or sha is exempt therefrwn end ihe basis lor the allegetl e:emption. Any vidation of Section 7031.5 by eny epplicent for a pertnit suD�ects Ihe apP��nt to a civil penelry ol not more ihan live huntlretl tlollars (5500).): ❑ I, es owner of the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, entl Ihe siructura Is nol Iniended or otteretl tor sale (Sec. 7044, Business end Prolessions Coda: The Comractors License Law dces not apply lo en ownar ot pmperry who builtls or Impmves thereon, and who tloes such work himsell or herself or ihrough his or her own employees, providetl thal such improvements ere nat intentled or oflered tor sale. If, however, the building ar ImprovemeN is sold wi�hin one year of comple�ion. the owner-builder will heve the burden of proving �hat he or she ditl not build o� improve lor purpose ol sale.). � �0 I, as owner of the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS Io consirut� �he project (Set. 7044, Business and Professions Cotle: The comrectors License Lewpoes not apply to an owner ol pmperty who bulltls or Improves �hereon, antl who contraas lor such project wit� a contractar(s) license pur5uant to �he Con�ratto 6License ws.). /� ��r–I am axemp� untlar sec. BuSiness and Professions Code for thi5 reason: 1D "�� Sig�t . �'Date: �Owner ID verllietl by tlnver's Iicense. Yes ❑ No Drivers Cicense No. Expires: Vedflcatlon oi Ownership by (type of Oaument, i.e. - property tax bill or deed): ~ _. _ '�'_J DIVISION OF INDUSTRIAL SAFETV ❑ I hereby certity thet no excavetlon tive (5) or more feet in depth inro which a person Is required to Descend, wiil be metle In connection with work euthonzed by this permit, and ihat no building stmcWre, sceHOlGing, talsework, or demolition or dismantling ihereot, will be more ihen ihitly-six (38) teet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title B, Californie Adminlsiretive Code). ❑ As ownerbuilder, I will not employ enyone to do work which woultl require a permit from the Division of Industnal Safery, es noted above, unless such person has e pertnit to do such work trom the division. Signature: Divisi0n of InduStnal Sefety Permi� Number: Date: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I cetlify under penairy of perjury ihat I have read ihis epplication and state ihat the infortnation given is correct I egree lo comply wlih all steie laws end.clty o A nces rela�ing to huiltling construction, entl euthonze representetives of the Ciry oi Costa Mesa to enter upon Ihe ebove-descnbed property for ins ection pu �e�. � r no� Io oaupy or allow ocwpancy of any building authorized by this p/e�rmit until tinal inspection. Ty3 `�� SlgneWr Of F gel� wnerfs) , Dale� � V AnNOr Authorized Applicam Date COOE I. INSPECiIONTYPE 7676 Fixetl System Finel Flre Pravention 1266 Pool Spa Finel 200 Flnel Re-Rool 201 Finel BIocWRetalning Well 202 Final Fectory Fire Place 203 Finel Si9n 204 Final Demolitian Q,jj II �a INSPECTIONTYPE 206 Final Mechaniwl 208 Finel Plumbing 210 Finel Electricel 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Q�j� IHfIfL1�5 �1�6 <. �/ ■- aea�ura: 404 E 16TH ST +EiF�+: GREGORY LQDWIG �oonrss TERRI LUDWIG SAME dVPL.1WlIN. �ODRESS: 1NCNRECTONFNGPlFEN: ACII OP ENG'S i1WqE55: aNrn�crars ru� ca+m�cmxswuiwo dODNE33: uhr: uc. xo.: UHf: 11G tq.: urrt: LICENSEO COMN�CTOP9 DECLPN�TION: I Mreby allvm under peneXy d peejury Ihel I em IicenmJ uMer proviaione of Cheper 9 (rommarwirq xilh Secibn 1000) d Divnion � d the &rirca uq PMea�bm Cada. enC mY liceme o in IWI lace enE elletl. cm No.: uc. cuss: uc. No.: EXP : comreao.: BUILOEF DECUBATION: I hareby eifirm anCer penely d perlury thal 1 em examp Irom tM Contreeae Licensa law la the ,4blbwin0 �a%+m (�� )�1.5 Buairesa end Prolmaiona CoEe: qnY �iY a mueuy xfiidi ispuirea a pmnil to eorutrun. elir. imprare. �-*:mmdeh, or rapei eny s��u�lure, pv b Ra ewence, e6o repuim ihe applimM ta vuch pxmu to fib e ag�rod tbtement tliet M w ahe �_� � IicenseA W�� o IM1e proWsqnt d IM Conlredae Liceme Lew �Chep�a� 9(mmmenaip wilh Sspbn ]000) W Oiveion 3 M IM '�uainea eM Prdmsnns Coda� or thet ha or ehe ia avemp iherehan aM Iha bme iw the elbpeE exemqon. My vide�on d Sedion ]031.5 by eny eppliunt la e parmil wbpua IM oppl'ram to a evil perieliy d mt mwa then Irva huMmC Edlare �SSOOj). � I. ee ox�nr M iha qopeM or my emplqaee wYh wepm m Ihai ede mmpeeredpn. xill do iM vroA, eM iM elrue1ure w irot inleMeE or oRered br aeb (Senion ]OId, Buvneac end Prdessima Cade: The Conlredon Licenaa law doec not epplytoen ownero/ pmperry .no wu. a mw�ee in«em, d,a wno eoas sua, w�n i:�,mn «nener a m,aqn ne «n« o�.n «nNor�, wwbea mm .ucn 'mpovemaius are noi inienCetl a o11ereE 1« seb. n. however. tM Wiki�p «'vnpwsnem ia eotl wuhin pw vov W mmpb�ion. the owror-W iker �II heva ihe buNan d provi�q M or ahe Ek nd Wik «imD�'e �or IM WN�a d eele�. ❑ I. av mmar W �he D�WaM. em udinivelY oonlred^q wnh licerued contrecbn Io canmua tha 0�9a (Sequn NM. Busi�e eM Prdessum Cade: The Contredon Liceme lew tlo» np eppy �a en ow�r W popeny who builde a impws thnaon ad r,fio convecU iw auM propas wnh e mniieaor(s) Icemed punuent l01 tmewn Limme Lew). � J i a.emw ��e�, s«��B P 7 0 4 4 e. a a.c.. �« m�0 /� � .� . nm a�•m� n�n�� w�a �o�+��i.+i �Ui�e �«ba ��eadfo �o�bfwm.e e �s mm � � �'n�ro, Dma: ApqiceM: WOHKEF'S COMPENSATION DECL�H�TION: I hereby effirtn unda penMy d pejury ane d iM blbwinp detlerazuru: ❑ 1 heva eed W meinten e eerlilkeb M mvent lo vellinwn b wken' eompemmion, ea prwidad la by Sadion 310U d ths lebor coe., i« ma vano��, a ma � ia .�n mro v«mn re��aa. ❑ � ner..ne .;e meimen.wike.• mn,ro�wo� Irn�,mMe. ea rac��.d W smion a)ao N in.lena, code.lo. �ne w�«maKe a �ne wpk In whiM Nia pertnn is ivued. MY waken' rompenwion insurarKe rama eed pd'ry number are: Cemer: Pal'ry Number: lTAis sMion need na be comdeleC / fhe pmm7 is M mro huMred ddbn (SipJ) w Ims.J ❑ 1 ce�ity �hei in IM paAarmence W ihe xroM 1« whch Ihia permn la iasued, I ehell mi ampby eny parson in eiry menner vo ea to becmie wbjed to iM xakeis• com0�b�bn lewe d CeNwnie. aM e9ree Um J I ehauk beconr wbjea to IM MaMn' compensatbn povisom oi Saepn 3J00 d Ihe lebor GoEe. I ehelllMhwnh oomp�y wnh 1lace pmemone. ome: nnd�c Waminp: F�Nun b wc�n work�ri comp.rwnon rovs�aw �+ �n�.w�m, .nd wn ne/.cr an.mp�oysr ro cnm�u� peneMu ane e/Hl flne� up h ons hundreJ tMuuM Jo/Hn (S1W,OW), In etltlltlon ro Ms ro�t ol compxustbn, Wmepu u prov/dsA br In Sectlon ])O6 0l Ms Lebor Cotls, Inlsmt, and ettomsy i Nu. CONSTNIICTION LENDINO AGENCY: I Mreby elfirtn uMer penelry M perpNry ihm iM�a u a conalrudion bMinp epeM.y br Ne periormenm M iM xwk tor wM1ich ihe pmnY ia asueC (�bn �09). Civ. CI. LEN�EP'S NMIE: LENDEH'S�DOFlE%:.Z � 6" HLK WALL BETWEEN i�anM ind i n� �a ims wd�w� 44�4 ih ln6 � ��,@ ro�¢'ii }a6a m'i��Hn �e �mr aa��. ena ste�e kxs mlm^B Io WikM conavurnon end hereM' eWrorrso rePraeemetivea dina r'nV �o emx uv� tM ebwa�meniioned P�GaM m, i�soeebn nu,wses. � GREGORY LUDWIG Dme: _ G�� (St5tdfi.WP) Whila-Buildip 8 Sefery: GreerFile; Cerery-Appirant; Pink-Rermue; CiaMmio�baeemr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 072788 PERMZT NO: B 072788 PLAN CHECK NO: 02236-95 L GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: CON JOB DESCRIPTION : CONST. 126LF HLOCK WALL SQ FT: 126 CLAIM VALUE: 2,400,00 CALC—VALUE: 2,520.00 GROUP OCC: R-3 /M-1 COMMENTS: 6' BLR WALL BETWEEN 409 & 408 16TH ST "13' BETWEEN 408 & 404 16TH at**�ritatatatit*ie�r+tat�**�� *it�*�it**�rit**ititif��rie*+t�+titx�it+eitie***it*��r*at�*�itatie**itat�rt��atatat**it�itit Z 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 HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT ZN RGHT: FT IN PARKING REQ • PROV: PARCEL: 42514101 ZNE: R1 REF NO: PLANNING NdTES> CONSTRUCT 6' HIGH BLOCK WALL SETHACK 10' FROM FRONT P,/L; AND > LOCATED ON SITE P/L/ AS SHOWN ON PLANS. ifiE1E1h1E1EiEiliFiflElE1ElEikil"lI'if�ll�F1('iEiEif�itiEiElFifitiEiFlBifikifif1E1E1E1EiFiFiEiEiEiE1E1E1FiE1EiE1('1EiPif�lEiEiEi('iE�lE1E'lEiFiE'IF'1E1EiEiffFlfif iF16 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 �L DATE: ' � BUILDING APPROVED BY : ��f-I J'_ DATE: G) APPLICATION ISSUED HY: DATE: �x*�**�r******+r�+�**�� *x��*�r* �* 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 54.00 50 - SMIP/NON-RES PLAN 35.10 ISSUE FEE � BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL - PAID DUE TOTALS----> 54.50 0.00 35,10 89.60 • 89.60 .00 REVENUE DIVISION TOTALS--> COLLECTED: 89.60 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 59.00 .SO 35.10 1E iE iE iF 1ElE 1E if iF iF 1E IE k 1Elf iF 1F �F 1E iE iE 1E i! iE iE fE iE iE fE iE iE iE iE iE 1k 1E �E iE if �! 1E iE 1E fk iF �F iE fF k 1k 1E iE if 1f iE iF if k 1E if iE 1E iE fE iF if 1E IF �E 1E iF 1E iE iE iElF 1E fE * I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST ; TOTAL COST SFR 126 RES—CONCRETE BLOCK WALL / FT. 20.00 2,520.00 END OF FEES � i� 0± C�Oi339fi4'-fl01Rs4Sb Tr_�� $9.bE� nATE: Ob112/Q5� T�'��: 14:41 � � . CONSTRUCTION AND PLANNIhIG `� POl SPA APPRpVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. TemOorary Electrical Service or Pole .� 52. Pool & Equipment Location . 2. Soil Pipe•Undrgmd. 53. Steel Reinforcement '3. �Electrical Conduit Utility-Undrgrnd. . 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding ' 5. Steel Reinforcement ��0-� /QCti� 56. Rough Plumbing & Pressure Test • ,. 6. Electrical UFER Grnd, 57. APPROVAL TO COVER�GUNITE ,, �. Footings °� B-Q� �Gv� 58. Electrical Cqnduit-Undrgmd. - S. Foundation • 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. .. � 60. Backwash Lines, P-Trap, O Undrgrnd. - J' i 10. Structural Floor SYstem � �� :61. APPROVAL TO DECK � 11. Property Sewer Line & House Connsction �; f62. Backwash & Receptor-Final 72. Sewer Cap ;� "63. Heater & Vent-Fi�al 13. Roof Drains � 64. Plumbing SYstem - Final ' � 14. Rough Plumbing �� ' 65. Electrical-Final 15. liou9h Electriwl-Conduit - 66. Solar SVstem-Final " 16. Rough Electric 4Viring .�&7. Fencing & Access Approval 17. Rough Wiring Sign � 66. APPROVED FOR PLASTERING , 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Aough Heating & Air Conditioning _ _ „ F�RE DEPT.,REQUIREMENT 20. Rough F.actory Fireplace ,. - " _ � APPROVALS � Permit # � 27. Ducts, in StNcture' i ••• �`• ' _ 70. Undeigroynd HYdro 22.Ducts,Ventilating,; �;� ' 77.Product�PiOing'O�Gas OOiI 23. Gas Ptpe-Rough & Test �_ •' � 72, Underground Flusfi� - 24. Roof Praming �": � , . _. . 73, Undergrnd. Srorage Tank O Gas ❑ Oil 25. Roof Sheathing � � 74. Overhead Hydro 26. T-Bar Ceiling IStructurall & Monocoat � ' -' 75. Dry Chemical _ � ' 27. Frame and Flashingp • � • r - -� 76. Dry Stanc4nipe ' 28. Latfiing & Sidin9 - ' ' � � "� 7J. FIXED�SYSTEM'FINAL " 29. Insufation • _ • 78. FiRE PREV. FIN%al � 30. Drywall Nailing , �� .HEALT�-1 DEPT. REQUIREMENT , 31. Plaster Brown Coat �- , - •'� 78. PINAL INSPECTdON • � 32. Electric�I.Power Nletei-finai L.•* ' ' 80. FOOD CERTIFICATE ISSUED , 33. Final Electrie - �• • � Notes: � . - 34. Final.Heating&Air�Conditioning`- ' ' ,� � ' - -. = �' � � 35. �Finai Gas Pipe:Test " , - - - - 36. Hood or Canopy�,= ; = ' ' � -- . ' � � ' 37. Final Factory Fireplace -- �-.�� _' = :� � � � . , ��i 38. �Final'Plumbing • ' � " - ' � 39.'Water Service�Pinal'.� .. ' ��' ' ` ' . 4p. Gas Service-Finai • � � � � • � • 47. Solar pomestio-Final � � , , - � ; � 42. Backflow Preventer • � ' _!)'_ � �: � ��s -�G .r �'-��' 43. Backflow Irri9atlon • � � ; . „` " . . , A'� l- `4/_ Cvi� 44. Landscape Irriqation System - :n �"� ' � �' - '- ' _ "' ' � _ (... � 4i" 45..Sound A[tanuation� tO�F 'r ' , `� � . . :, R F �e `t-�Is - 46.�Handicap Regulations ' I. - ' ' ^, 47. PINAL STRUCTURE & BUILDING ..-�Q-g -� ` 48. PINAL PLANNING � F-: �' �• `- = 49. Electric Release to Edison _ � . , " � 50. Gas Release io Southern Ca{ifornia Gas Co '� � � • 57. CERTIFICATE OF OCCUPANCY - - � � No Date r � � PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this June, 1995 Greg Ludwig , by and between hereinafter referred to as "LANDOWNER;' andt�lM.Dennis StClair hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between 404 East 16f1i Street Costa N�sa, CA 92627 (Address of Adjaining Properties) 408'East 16th Street Costa Mesa, CA 9262; day of in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book 249 , Page 32,33 of_Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach 50% of. 6" urall and 50% of 14" footing in east direction from east proper.ty line. IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOW R Signat e) � Greg Ludwig Nam�(Typ E or P�n ed)St. U4 1 Costa Mesa, CA 92627 1906 06 ADJACENT PROPERTY OWNER %�U/� C.G��y"t�( l (Signature) _ � [9m. Denn:is StCiair Name (Typed or Printed) 408 E. 16th St. Costa Mesa, CA 92627 (Address) NOTARIZATION REQUIRED CALIFORNIA ALL•PURP E ACKNOWLEDGMENT • State Of � California County Of �ange O� June 9, 1995 Charlotte Byers before me, DATE NAME. i1TlE OF OFFICER - EG.. :IANE DOE. NOTMY PUBl1C' personally appeared wm. �is stciair and Greq Luclwig • NAME(S) OF 51GNER(5) , ❑ pecseK+aNy-ktjewMo-rrie - OR � proved to me on the basis of satisiactory evidence to be the person(,aQ whose name(,a) is/� subscribed to the within instrument and ac- knowledged to me that hel8he/tl�ji executed the . same in hislbE"rl�r authorized capacity(ies), and that by his�r/� signature(,sj on the instrument the person(,$), or the entity upon behalf of which the person(,a� acted, executed the instrument. •N��Hu��r�u�ou�0�000 " : _ C. BYERS : WITNESS my hand and official seal: � COPAM.N1023836 L�'�2%�`� � ' Q NOTRAY PUBIIC � fALIFORNIA � ORANGE COUNiY ' /A : � My Comm. Expires April 17, 1998 � /G/ •u••�u�u�u•��u��o� SIGNANAEOFNO'TARY OPTIONAL Though the data below is not required by law, R may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER rmF�s� ❑ PARTNER(S) ❑ LIMITEO ❑ GENEHAL ❑ ATTORNEY•IN•FACT ❑ TRUSTEE(S) ❑ GUARDIAWCONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: MMIE OF PERSON(S) OR ENTIttpES� z+zaso DESCRIPTION OFATTACHED DOCUMENT Part_y Flall Ac�'eeirent TITLE OR TYPE OF DOCUMEN7 one NUMBER OFPAGES ,7une 8, 1995 DATE OF DOCUMENT SIGNER(S) �THER THAN NAMED ABOVE . ;- � PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this �� day of June, 1995 by and between Greg Ludvrig hereinafter referred to as "LANDOWNER;' and �d Manion hereinafter referred to as "ADJACENT PROPERTY OWNER:' It is hereby agreed that a party wall will be constructed on the property line between 404 East 16th Street Costa Mesa, CA 92627 (Address of Adjoining Propenies) 1E10 Zlistin Ave. Costa Mesa, CA 92627 in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book 249 , Page 32,33 of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to.encroach '`�� in a north direction from north property line. IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. LANDOW ER ADJACENT PROPERTY NER o ' /�'�� / �gna� re) c`^L V (SignaWre) _ Greg Ludwig Name (Typed or Printed) 404 E, 16th St. Costa Mesa, CA 92627 1906-46 TOCIC�. MciI110R Name (Typetl or Prin�ed) l(n10 ��51-�n (tUc, C-oS�-a MeS� ,CP� �ta-�aa`l (Address) NOTARIZATION REQUIRED �' CALIFORNIA ALL-PURF E ACKNOWLEDGMENT • StBt@ Of ��lifornia County of ��9e Q� June 8, 1995 DA7E before me, Isolae Treichel NAME. TfTLE OF OFFICER - EG..'.MNE DOE, NOTMV PUBIJC personaily appeared Grecr Ludwiq and 'Ibdd Manion - wva��s� oF s�c�+�r+cs7 ❑ personally known to me - OR - � proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) •is/are subscribed to the within instrument and ac- knowledged to me that hels#►e/they executed the same in his�#er/their authorized capacity(ies), and that by t�+sJ#e�ltheir �, . signature(s) on the instrument the person(s), OFFICIAL SEAL or the entity upon behalf of which the � r ISOLDE E. TREICHEL pgfSOf1�5� flCt@Ci, executed the instrument. NOTARY FUBtIC-CALIFORflip , � PRINCIPAL OFFICE IN ONANGE GOUNTY My Commission Ezpires August 25, 1995 WITNESS my hand and official seal. y�.��l ��/� 51GNANRE OF NOTMY OPTIOfVAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this fortn. CAPACITY CLAIMED BY SIGNER � INDIVIDUAL ❑ CORPORATE OFFICER mi.e�s� ❑ PARTTIER(S) ❑ IIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAWCONSERVATOR ❑ OTHER: SIGNER 1S REPRESENTING: w�+rE oF ve�sa+es� on exrmnest �� DESCRIPTION OF ATTACHED DOCUMENT Party [4a11 Aqreement TITLE OR TYPE OF DOCUMENT one NUMBER OF PAGES June 8, 1995 DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMEO ABOVE CERTIrICATE OF COMPLIANCE � PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIPI�D SCHOOL DISTRICT Developer/Applicant: �� --� Y V ��'S A d d r e s s: `(— V T � � ��p� c'� (, Co � I f I�s� S'C7�, C�9-�. qa�a-� Telephone Number: �J (1/�-/� �o2r2—(o53-'j W�� `(� �� 5�j�� Tract/Parcel and Lot Number(s): Location of Project: Number of Square Feet of Residential Space Number of Square Feet of Commercial and Industrial Space � � x $1.50 x $0.25 Commercial/Industrial Project is: Mini-storage Movie Theater Racquet/Health Warehouses Heavy Industrial Regional Shops Light Industrial (Check One) Total Total Motel Bank Neighborhood Shops R & D flotel Medical Office Office Park Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant h'ast Food � The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checics are to be made payable to Newport-Mesa Unified School District. OCT 3 1990 13usiness�Manager -- Newport-Mesa Unified School District The above representation as to square footage is true. Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified. Date: __C��.—°�/9�� - Deve o er/ pplicant � �1�C�'Cs LU� �Gl/ I Cs 1 `� , Pfl0.1E�T ROUflES3: 4 O 4 E 1 6 TH 5 T uxiT: awxee�srurne: LUDWIG, GREGORY G nooeess: LUDWIG, TERRI M - 904 E 16TH ST COSTA MESA CA 92627 (714)722-6�33 RNLNIENGINEEfl: ROB ERT COULSON � nea.No.: 1 7 3 0 �ooeess: 7801 ORANGETHORPE AV uxrt: HUENA PARK CA 90621 PERMITTEE: GREG LUDWIG (714)722-6533 nooness: � 904 E 16TH ST COSTA MESA CA 92627 ❑CENSED fANTMCiOB OECUM7ION: I here�y afiirm Ihat I am licensetl under Drovlsions ol ChaD�er 9(commencinp with Seclion 7000) of Oivlslon 3 of I�e Business antl Prolessions Catle, and my licenu is in hll lor�a anE eHect. CITY LIC.: STFTE 11C.: L1A33: Daie: SipnaNrO; :__�tKE1tS' COMPENSIITION OECUMTION: 1 �ereEy affirm I�at 1 �ave a certifiwfe a( consent ro sett-Msure ar a urtifrcata ot Warkers' �T"`:aensation Insuance, or a certi(ie0 copY Ihereoi (SCction 3800, Lab. C). ,g`i��CY NO.: E1IP. U1TE: ❑ Cenifie0 copy is Aere6y tumished. ❑ Cenifietl copy is lilea vnt� tAe ciry Buildinp OiMsian. . _, ,. Date: ' AOVliwnq—' — IXFM7fI0N FlIOM VlOBKFAS' COMPENSATIa110ECUq� 710N:... (iAa stttion neeG not�Ee comDleteO il ihe permil b lor one AuMreO (510%a less�. I cenity that in Ihe Dertormanu of tAe work for wh� I�iE permltis issueE, I shall nol emDlay any person in any manner so a5 io Gacoma suble�� o the Workers' Campenution Lavrs.of Califomiy. � ' Date: Signature; NO710E: If, atter maltinA �Ais DeclaaUon, you shoultl-becoma suEled ro�tAe Warkers' Compensation D�ovisbns of the Labor Cotle, you must forihwith wmpry wit� such pmNsiws or this permit shall Oe tleemeA revake0. CONSTPUCTION LENDING �CENCY: I hme0y atfirm that there is a constmc[ian Ien4in0 a9enry tor tAe peAormanca of [Ae work for wAich this permit is issue0 (Section 3097, Civ. C). ' IENDEH: ROUflES3: IOWNEB BUILDEB OECIAMT10N: I hereby attirm that I am exempt trom tAe Coniractors' State License Law for Ihe follpwinp reason (Section 7031.5 9usiness an0 Pmfessional CaOe: My ciry ot counry wliich reduires a permit to canstmct, alter, ImDrove, Uemolish, or repair airy stmclure, D�a� io its issuance, also apuires the aDDlicant for such permit lo Gle a 5iqneU sfafemenl that helshe is IicensaC pursuant to ihe prwisions oi the Cantracrors' SWte License Law (C�apter 9(commancin0 ��h Section 7000) of Division 3 oi the Business and Pmiessions Cotle) or Ihai he/she is exempt theretrom anE Ihe huis ior ihe alle0e4 exemDtian. Any Wolation of Section 7031.5 by any ap0�icant for a Dermit sublecis Ihe applicant to a civil Denalry oi not more ihan five hundreE Gollars (5500�. I, as owner of the Droperry or my empIOYees wiih wapes as their sola campansation, will Oo Ihe work, an0 t�e �� , .f SINpU�2 iS 00t i0�¢OA¢0 Of Ofl¢�¢d �0� 5210 ($ection 7044, Business anA Pmlessional CoOe: TAe Contracrors' Stam License �aw Oaes not apPly to an owner oi a DroDerty wha quilAs or improves �hereon, anU who tlaes such work himsell/Aerseli or tArouAh his or her awn employees, O�ovitle0 that such im0�ovemenis are not intenOeE or otlered for sale. If, Aowever the Dulldinp or improvement is sold mthin one year of completion, ihe owner will have the burAen al pmvinq �e/she Ai0 not huiltl or impmve ' for tAe purpose af sale). I, as owner oi the Omperry, am exclusivel9 caNracting wit� Iicen5e0 contractors to constmct the Drojecl (Saction 7044, Business ❑ antl Pmfessions CaOe: The Contractors' State License Law tloes not apDry ro an avmer oi D�opeRy who �ml0s or improves theraon � antl who coniracts far such D�olecls c�t� a con�reclor(s) license pursuant to iha Contractors' State Licensa Law). I am aware tAatDroof oi their Worker's Compens:fion insu�nce s�ould be proviAetl to ma. � � am exemo� under Secuon: H P 7 0 4 4 e. a r. c. . taunisreason: ALL WORK $Y OWNER 4 /�'�>"^K� oate: lC� � 2�- 7�(� Owner:. �-�r I tlo hereby cetliry t�at I am aware of antl undarstand ihe requirements of Calibmia HealtA ana Satery CoEe Sections 2550.5(25533, an0 25534 and that I or any fuNre builOinA occuDant will/will not (circle one) need to comply with said stata codes and the requirements tor a permit for constmction or mo0itica[ion imm the Air �udliry ManaAement Distnct. HesiAential consimction apDlications are exem0� �mm these provisions. Date: ApDlicant: _ I hereby cetliry �hat I have reaA Ihis aDDlication antl stat¢ tAat i ordinances an0 state laws relatinq ro huilOinA consimction anE A[ yi�Derty far inspection Duryases. Date: %� � �( � SiAnature: � Oriver's License or Sacial Secunry x: mation is correct. I apree ro cam0ly wit� all ciry an0 caunry re0resentatives al t�is ciry to enter uDon the aDove-mentioneE _.-�� _ � �-+c4�-46 W�ite-BuildinBl Grean-Cotle Enlorcemant; Cenery-Applican�; Pink-Ravenue; Goltlenrotl-Aeseuor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; BE 049304 PEAMIT NO: HE 049304 PLAN CHECK NO: OSS55-90 S GOVT; N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE STR PURPOSE: ADD JOB DESCRIPTION ; EXTEND EXISTING DINING ROOM (SF'D) SQ FT: 67 CLAIM VALUE; 1,900.00 CALC—VALUE: 4,623,00 GROUP OCC; R-3 /M-1 COMMENTS: SMORE DETECTOR(S) REQUIRED IN HOME. x�r�r*+r�r**��*��r*�*x***�*�***�r�*�r********�r*�r+�x*�r�r**�r�r�*�x �r*�r***+r�r*+r+r�r+r***x *****�*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; 16 FT 8 IN REAR: 5 FT IN FRNT; FT IN REAR: FT IN LEFT: 21 FT IN RGHT: 5 FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42514101 2NE: R1 REF NO: PLANNING Nd'TES> ADDING 67 SF. TO AN EXISTING RES, TO EXPAND DINING ROOM. > SETBACK FZGURES ABOVE ARE FOR EXISTING NONCON. RES. **�e*�r�r�*��r***�*��*�e****�r*�*+r**�****�r*x �*��ex�x�*��r**�r+e�x�r�r��x�*�rx�+r�r+r�+r�r+r�r�r*+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 ZONING APPROVED BY :� _ DATE; /O/C�O BUILDING APPROVED BY :�' DATE; � APPLICATION ISSUED HY:I � DATE; ��/¢�� if�kifiEiEiEitilik�kjkiEiFiFlFiFiFif�k3EiEit. ikitlklt3liEiElFiEfF iiFX� ifiE ilikiElfiEiEiEiEifififiEiEiFitifitftikltiFififitiEiEiEiF9kifiFi filiEil9kifiEik EiFif) � lEiFikifililitiEiEiliEkikiEililiFiEifiEiEiFififiFiFiFiliFlk3kifiFif LEGALIZATION;N F E E S U M 4f A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 2."25 ' S0 50$ SMIP/NON—RES ISSUE FEE 46.80 15.00 `� BUILDING—DIV—> PERMIT ZSSUE PliAN—CHECK TOTAL PAID DUE TOTALS----> 74.75 15.00 �� 46.80 136.55 136.55 .00 REVENUE DIVISION TOTALS--> COLLHCTED: 89,75 OVER/SHORT; a00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ii,00 i�%.is ,50 at iE iF iF it ik iE if iE 1E �lE 3F iF�)k jE if iE iF iF iF iFiE iE iF iE iE 9E iE iE iF iFiEiF iE iF iF*'iE'iE iF if * iE jE 3E aE iF jF*iEif * ik iEiEif ibif iEif ik i6 ik iF iFit iFiE d4 �lE iF �f it it dEiF 1E iF9t I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T Z O N�'_ UNIT COST TOTAL COST SFR 67 DWE—TYPE V—WOOD FRAME -GOOD 69,00 4,623.00 ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. .75 .75 ELE 2 RECEPT/OUTLET 4 ST 20 EA, ,75 1.50 END "OF FEES � OCT 31990 - CITY OF COSTA MESA � ,� _ CONSTRUCTION AND PLANNI, �OL & SPA ��. ' APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspecto� 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location ' -2: ;Soil-,P.ipe;Undrgrnd;; 53. Steel Reiniorcement - �3�=Elec2rical Gon'duiCUtility-Undrgrnd. 54. Forms -.n.r�ic�-: �.��. - cT .A. Y ' ' 4.-EIecTrical:�ondurt-Undrgrnd. 55. Electrical Bonding � 5. Steet�Re7nforcemenU (y � � 56. Rough Plumbing & Pressure Test� _ � �:-. - - .�.�- �... ��w - �;6.�E�ectrical UFER�Grnd. 57. APPROVAL TO COVER�GUN,ITE ; �.r7.-F,00tings}=- g p 58. Electrical Conduit-Undrgrnd. - -V� "�S: Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgmd. 60. Backwash �ines, P-Trap, O Undrgrnd. . lO.Structural:FloorSystem ��Q( O 61.APPROVALTODECK 11. ProPerty Sewer Line�& House Connection 62. Backwash & Receptor�Final " 72. Sewer Cap "' 63. Heater & Vent-Final � i 13. Roof Drains��.. 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit � 66. Solar System�Final , 16. Rough Electric Wiring . 67. Fencing & Access Approval • 17. Rough Wiring $ign 68. APPROVED�FOR PLASTERING . 18. Rough EleCtrical�T Bar Ceiling � ' 69.-POOL/SPA SYSTEMS FINAL 19_�Rough�Heating&,AirConditioning . -„FIRE.DEPT.REQUIREMENT l- + "G` 7: u 3J � '� +; • i, . u .. � . � J t,' ,, r. ff I-1 +-ir __ � T. T � _. 20��RoughFactoryF,i_.ieplace s`,; q� � M.,;. -APPRQVAES�--Permit# � - : -. , s- n 21 C'DuCts, iirStr�'uctu[e� " " `"_� '' � � `�' �' r _70. Under roupd� Hydro � ;r , v >: ,� ,: a� 9 r 22SDucts, Ventilati 9 ,� ,�� ` �' i - ... r+ ;' :. .. = ,�•. - 4 = t� 577. Product�P.iping O Gas ��Oil 23.�Gas-Pipe�Rough &,Test ' ''��= ' �" �` Q '�*` k ;7y, Under round Flu`slr": '� r� - _ r. . mr. ��., - [" �a� k 9 - x - �. 24.':Roof F aming -�'� ,. r" �� - �� „ ��. ,73. ;Undergrnd. Storage_Tank-O Gas 10 Oil 25. Roof Sheathing i".> `aa "k' -' J `�t K 7q,'O'verhead H dro� _,^ �' r. r 1� - J i s: Y >t -n ' `� -� �-+ � ' ] n �J] C �Ti +- a: :; � . . ✓ -,, _ � i, .. 26 ;T�Bar Ceiliag (St�Gcturall &'Nlonocoat �, ;,y�, ,J �.. � r :� 75^Dry Chemical �x �3'-� � 27:�Frameand Flashing� ';x ,�� r �* r ^ ^ �� f' �• � � ^=-� T: :, r-�, rn c. •�� „� v: 76. Dfy StandP�P,e �_ s G r.'. �> 7� '"28. La{hing�& Sidingi��., " �-j�;. ` i�� 0�� 't.t.�/a 77^; FIXED SYSTEM'�FINAL� �-: C'� =• *i � 29. Insulation -' r�.w; �, =,.? ' �� , � :y"��Z'y � 78FFIRE PREV. FINA:L �:' w �� 30. DrywalENailing �� , � p��J �r;�� ,_Gi'�',�'�:�n � HEALTH DEPT; REQUIREMENT -�31. Plaster BioW� Co3t' s '!�'C" 7'- � I'tx ��°79.+FINAL IN$PECTIO�N; 'K � r-'y,f r.�a� �,. i,� � x x :�.✓ t-,�_. Y^ ri.. ..y ..- i.y_ O 4''3 •I• I .y:* Y in '„'•r� � " -i �y32:�Electrical 7ower,Meter'-F.inal. .�;y: � ^. �i '�;. ;: - 80-FOOD CERTIFI:CATE ISSUED,a m� _33�Final E�ectntr �ir C:, eL ;r' �� -- � �* �Noies��o �. ��:�V - ti ^ '�7 34:.Fin_al Heatin�& Air�C ntliti nin�- �:�` �y � ,y � �, ^ /�� %} � �""' " � ' 9 �. O ° 9 �> � i " �S':C( l%�'YLJiJZ.' IJ �"'� �fL�9�ld it%p� y �' � ' . . _ _ _ 35r�FinalGasP�Pe-Test' ' •�^�c'�:- l� � *:� �� n��-' ' ,.n - :r -n c. c., �36'YHood or CSnoPY:.� � � � � �c'•,.e C` � ,;' = x z. .� m x -r �z. [� -:'�7 u::t a i. �i� r' .'�o .. cn_:.: _ . . .-. ' .: r . _ � _. -37.-Final Fac[Ory Fireplace>: F•:� '- ., r � � � C �, _ Y ^r'� ._, � i i� �: .. � `� .. � ,r - - `38:"Final Plumbing y ,.�' .j`�'.�: . •r: y � :� ,r"�"ti i ^ �39�WaterService-Final- - � ',.r� '`y`,�ca' -. -. c� � �n; ' r.-: �'y .. . -:� ' � -.40. Gas $ervic8-Final � � _ r' S %� " ;,-; � �` � _��` � _ - „ . , � � � 'r-- � r= �:41."Solar pomesfioFinel'' �` - . :-. - . ^ , � ,,-� rc .. � ` j O �. :C _ � • � 42. Backflow preventerX "� ""�.;�' ' � � . ' n -' '._ I '$ .J . N �J�-.� '�' .-� !r _ �rJ :Y c.. � � Cy � � .} `� ..a J ♦ .• 43. Backflow Irrigation:� ;.� :w � ' � :� �,J >� v � � • • • L { �� : x n o'.- .z '=,44.� Landscape Iriigation System"�" �` •' , . r: r �a: .: r_ ,u -- -r �- .� :y -�r :��„ „� J�T- .k~ .I: �' S,*X S_ �- "S � ` j z. .' �1 ' 1-i..r� u�..y.... � t^ r, - m n � - _� . . _. . 45� Sound 9ttenuation ••• a* ta rr, ;��: �- �-., 4� �C .Y rl �:46!Handicap Regulations " '� 'k� � '` �` 'x �`' 's - � - ; r c� v� • -i -.'� Y,. r� iinJ� �^_ . �47:�FINALSTRUCTURE&BUILDING i�. v -. ��' `�.'�� ' ��-�;' + -- - 1r x� C �� 48�PINAL PLANNING` E" " �, � � : �. .��T x �� i� `j - ` �- " �, i "49.`.Elecfric Release to Edison � ; %� � � �� ,: �y � .;� � n, y-50:=Gas-Release to Southern California Gas Co � ;.` �'� `" '" ' � " ' ' ' . �c _ a o:-' . ^51. CERTJFIC/�rTE OF OCCUPANCY � � � '" "" ' - - No. Date AVGlicant to fill in all spaees exceot those witnin heavY bortler Iines ane sign all aDo�aPriate aeclarations. � PERMIT NO. T O. LOT NO. UNIT N ciTY�oF COSTA�ESA CONSTRJJCTION PERMIT 8� E3 Z� �� '�� A�P� # �,� zo�a ' .�Project Address o� ��wt/[G�fe�rh sr,e�w��r S Main Building: Accessory Building: App!icanYs Mailing Aii:ress 7�/TQ• �� s%�/7, c 9�L,,�7 TVPE OF CONSTHUCTION NEW ADD AITERATION �- REPAIR � �Z2-G53 � CONVERSION ❑ DEMOLISH ❑ OTHER EK�ST• ��S%�� T Front Q Owner's Name G�1�Ls Lv�N��b Phon DESCRIPTION OF WORK/USE OF BLDG. � � • I B Rear N Ad�,e,� �� iG� sr. �,�► c.�c. ��:d� IT. T� .Q,<<>�r. s F.� a� A ' Areh/Eng. � License No. TVPE OF PERMIT G�❑ FOVNDATION STRVCTURAL � K Right N Addre55 — ❑ TENANT ELECT I AL �PLUMBING ❑ MECHANICA ; 1� �$ �eft G Contrector's Name �� Phone ❑OTHER �Ol(S�A�O�ACiQ4$Q �Y�«T/R_1_ PIn9.Ref.# ParkingReq�/Provided Q PROJECT DESCRI TION Sc�. FT. oCCUPANCv Address lmailin 1 --�ql� P�anning Notes: h Rf�p� Pq`�'j � M 9 CONSTRUCTIONTVPE ��A% VALUATION$2� OOd T City Lit¢n5C NO. �� ZONE GRADING CU. VDS. ACRES ' S. LICENSED CONTRACTOp DECLARATION 1 I hereby alfirm tM1ai 1 am licensetl untle� p�ovisions of Cha�ter 9(commencing Remarks: C� q- _ with section 7000) of Division 3 of the Business antl Professions Cotle, antl ELECTRICAL FEES my license is in full force antl effect. License Class License No. PLUMBING FEES Automatic Washer Transformer ❑ 15� W Oate Si9nature ❑ 50+KW W^.RKERS' COMPENSATION DECLARATION Bd� Sink $hOwEfS COnSt�UCtiOn POI¢Sub. �¢Dy dffilRl Vldt I hdv¢ d C¢IfItlCdt¢ O( COfIS2Of f0 SCIf-If15ple Of d CC�tlfl<dt¢ lorkers' Compensation Insurance, or a certifietl copY thereot (Section Cooking Unit Meter ❑up ro 100 amps 3noo, �ab. C.) , BackflowPreventer ServiceSink Policy No. � Company Backflow Irrigation Sewer Cap • _ Dishwasher • Meter ver 700 a'mps eCertifietl mpy is hereby fumishetl. � Dryers ❑Gas �Electric Sub Panel � �� Certilietl copy is tiled with the city Builtlin9 Division. Bathtubs . Sewer Connection Date Applicant Fan . Motors DO-1 HP �1 %- 6 �i EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOIa� COII¢ct0�5 (Tnissection neetl not be completetl if the permit is tor one huntlretl (E300) or F.A.U. InL $olar �9-75 HP �16-15+ iess . Dishwasher Solar Piping I[ertity that in tne perfo�mance of th¢ wor Or which this.Sdrm�t is Issuetl; I � �Fixtures - Microwave I shall not employ any per5on in any man so as [o ba bi6e suCject toRhe Drinking Fountains Solar Tank Worker orp�en�( Laws o� Califom' Device Boxes �� i � Pole Light Date �'t7�'!� Signature Floor Drains Swimming Pool w/Spa ' NOTICE: If, after making this tleU , ou ul e me subject th¢ �utl¢t5 ' R2n C Wotke�s' Compensation provisions f the La � e, ou must f with FI00f $ink5 Urinal � 9 Z <omply with such provisions or tnis Oe� it sM1all be tleemetl voketl. f� SWitCh25 CONSTRUCTION LENDING AGENCV (�idSS¢rvic¢ Dutl¢[5 WaterCloset Q v $ig� �� I M1ereby aifirm that there is a construction lentling agency for the performance oi Ipe work for whlch this petmit is issuetl (SeCtion 309] Civ. CJ Cid�bd92Di5pO5dl StandingSections txnaer's rvame Interceptors Water Heater Lentler's Atltlress � Kitchen Sink Water Service Generator �0-5 KW �5-15 KW Trash Compactor OWNERBUILDER DECLARATION ' I hereby affi�m that I am exempi frOm the Contracto�'s LicenSe Law for the Lavatories AUtO-W35h following reason (Sectlon ]031.5 Business antl Professional Cotle: Any city or county which requires a permit to consVuct, alter, imorove. tlemolish or repair P—Trep laundry Tra'ys ' any structure, prior lo its issuance, also requires tM1e applicant tor such permit , So file a signetl statement that ne/she is licensetl pur5uant to the p�ovisions of ROOf D�dinS � Contracior's License Lzw (Chapter 9_(commencin9 witn Saction 7000) of � ision 3 of ine Business antl Profezs�ons Cotle) or mat ne/she is exempt Reinspection Fee $15 luue Fee p� /e/rom antl the ba5i5 for the all¢getl exemption. Any violation of $ection �3 5 by any applicant for a pe�mit subjects the applicant to a civil - Ity ot nat more than five hundrea dollars (g5o0). DEVELOPMENT SERVICES REQUIREMEN $: �t' �� I, as owner o( the D�operty or my employees with wages as their sole R¢inSpeCtiOn FBB $15 ISSUB F8e $ 3 ZOninJ AppfOVOd By � mmpensation, will tlo tbe work, antl the structure is no[ intentled or offeretl , Date tor sale (Section 7044, Business antl Professional Cotle: The Contractor's MECHANICAL PEES Building Approved By Date LiGense Law tloes nol aOPly to an owner of a property who builtls o� improves A litetiOn IStuBd B [hereon, antl who tloes Such wo�k bimself/he�self or IM1rOuqh nis or h¢� own gp.l¢� HOOd O� Type I ❑ PP Y Dat employees, provitled tha[ such improvements are not intentletl or offeretl for ' sale. H, however, the builtling or improvement is soltl within one year of com- Canopy Type II ❑ � SUMMARY OF FEE Oletioq the owner will have the burtlen of pwving he/she tlid not builtl or im- Duct � Under Ground nrove mr the purpose ot saie). . BUILDING PERMIT $ 4�� 0 SMIP $ .� ❑ I, as owner ot me property, am exclusively contracting with licensetl con- Duct -Structurel Refrigeration System . PLAN CHECK $_� • Zy� PERMIT [ractorsto construct the project (5ection ]044, Business antl Professlons Cotle: The Cantrattor's License Law does mt apply to an owner of property who Duct- Ventilating ❑0-100,OOOBTU ❑100,000 BTU PLUMBING $ .� . �� SSUANCE $ builtls o� improves the�eon. antl wM10 contracts Por such oroiects with a mn- tractor(s) hcense pursuane co me ConVactors License Law). I am aware tnat Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $ I�r of of their Worker's Compenzation 'ns ance snoWtl be rovitletl to me. ELECTRICAL $ __,2� GRADING $ I am exempt untler Section e. & . ror this reasdn Firepl/Fact. Blt. ICBO # Fire Dampers pLAN CHECK 50% $ MICROFI LM $ Date Owner Heating System & Ducting Registers MECHANICAL $ 2�.(�% I hereby certify that i have read ' ppli i and tate that th ove ❑0-100,000 BTU �100,000BT TOTAL FEE $ information is cort t. I agree to omply w city ntl county or ances PLAN-CNECK 25% $ antl s[ate laws r ng to buil ' constru wn, antl hereby authori repre- ' Sentative5 ot t ci � upon fh¢ �bove�mentionetl prop¢rty for inspectiOn p �f� ��% , Signature Dd1e�—L�-`— ReinspectionPea $75 IuueFee $ 3 C= �e=��'+ ;-r00:G13�" ��:� „_:,�� Drivers'lCense QQtE: fi}�";t1,';%u -r��-� �_r.y� OBtiO-46, rev. 5/98 Whtte - Bulltling; Canary - ApPlicant; Plnk - ACmunLng; GolOenrotl - ASsessoi CONSiRUCTION AND PLANNING PO� �SPA _� APFRbVhLS Permit # Oate Inspector qppROVALS Permit # Date Inspector -n !' 7. Temporar,y,Electrical Service or Pole �' � 52. Pool & Equipment Location �� '� t 2. Soil P,ipe:Undrgrnd. �� 53. Steel Reinforcement - ,;,t;,,c. / M 3!'Elect�iral Conduit Utility-Undrgrnd. � 54. Forms �� • �,% 4�Electrical'Conduit-Undrgrnd. 3�9q0 � 55. Electrical Bonding % .i , 5!',Sti�elrReinforcement 56. Rough Plumbing & Pressure Test � N:��,� �.� Elect,ricalUFERGmd. j 57. APPROVALTOCOVER-GUNITE �? �� `.(' �-.i i � f/,Fooftngs� y,�/ 58. Electrical Conduit-Undrgmd. �Y +� '� 8�Foundaiion � , i59. Gas Pipe, � Undrgrnd., Test (� '' .�1`� 9,�Wqtei Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. � �! � 10.' �5[ructural Floor System � � 67. APPROVAL TO DECK j 11:,1P,r,operty Sewer Line & House Connection �' �~� 62. Backwash & ReceptorFinal �V � � 4� 12. Se�'ye� Cap � �� 63. Heater & Vent-Final .. . 13: Ro'of�Drains , , ��'- � 64. Plumbing System - Final � � �� 14. Rougli Plumbing ( Z � G(� � 65. Electrical-Final "� � `' 15. Rougti Electrical-Conduit 66. Solar System-Final 16: Rough Electric Wiring � � -.67. Fencing & Access Approval 17'. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1�.8. Rough Electrical.T Bar Ceiling � ly�Q 69. POOUSPA SYSTEMS FINAL 19 Rough Heating.&N, Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory.Fireplace . � . APPROVALS Permit# _ 21tDucts,in,Structute .; 70. UndergroundHydro 22�. Ducts, Ventilating �' ,� 7,�1� Product Piping � Gas ❑ Oil .� 23: Gas Pipe-Rough�& Test �,; G�/ 72. Underground Flush � 24. Roof Framing :� 73. Undergrnd.StorageTank OGas ❑Oil 25 �.jloof,Sheathing � 74. Overhead Hydro 26.'T-Bar�Ceiling (Stiuctural) & Monocoat �j Q{! ��' 75. Dry Chemical � 't . - -27f"Frame�and Flafhing 76. Dry Standpipe � 28. Lathirig•& $iding � 77. FIXED SYSTEM FINAL ��, i 29. Insulation �i 7S. FIRE PREV. FINAL 30. Drywall"Nailing � Ui /3 Fv �O� HEALTH DEPT. REQUIREMENT 31, Plaster Brown Coat.� 79. FINAL INSPECTION ' � .� ...; . .. 32, Electrical Po�aiar'.Meier-Final �� 80. FOOD CERTIFICATE ISSUED i , v. � /� 33. Final Electric ;. J� � Ndtes: �.y c� ,�.,A p(< �,�(�e.� 34. Final Heating & Air Conditioning 1 !%� eD �' �� [� � r. � �t 35. Final Gas Pipe-Test �� t� -36. Hood or Canopy . � 37. Final Factory Fireplace 38. Final Plumbing _� r � 39. Water Service-Final - 40. Gas Seivice-Final ' ��1� ' �� ' '41. Solar pomestic-Final, . ' Y. ;� �42. Backflow Preventer � :-- , � �� ' �/ - �' ✓ . . 43. Backflow Irrigation � � `� ' , �� ,.� � i. i 44. Landscape Irriqation,System ' !' � � � i 45. Sound Attenuation � � i 46. Handicap'Regulations � 47. FINAL1STRUCTURE & BUILDING � . �%d i� d'� �- 48. Special Requirements Completed ,r49. Ele�t}ic Release to Edison �? ,; � �' - 50. Ga's Release m Southern California Gas Co � � • �� ,� i .. 1 51. CERTIFICATE OF OCCUPANCY ' � � ' � ! � � ' - No. Date � � � � .� . �' "� , , -, � .�- PHQIECT RODNE55: q O 9 E 1 6 TH S: OWNEfl'SNRME: GREG L�wiC+ RDOflE55: (�OQ L Sfi:H ST COSTA MESA CA 92627 RXCNIENGINEEN: `719�72z-653� nooness: NEG.NO.: uxrt: uNiT: PEflMITTEE: GREG LUDWIG (�14)722-6533 aooeess: q04 E 16TH ST COSTA MESA CA 92627 UCENSEO CONTBACTOfl OECIAflAT10N: I �ere�y atlirm t�at I am li[en5e0 untler Orovisians o� Chap�er 9(commencing wi�h Sec�ion 70011) ol �ir.sion 3 0l Ihe Business and P�ofessions Code, ana my litense is in lulllorce an0 eflett. CITY UC.: STATE LIC.: CLASS: Da�e�. Sipnature�, WOPNEBS' COMPENSIITION DECNNPTION: I hereby affirm Ua� I have a certificaie oi consenl to seli-insure ar a certificate of Workers' Compensa�ion Insurance. or a cenilietl copY Ihereof (Section 3800, Lab. C). POLICY NO.: E%P. ORTE: �, COMPRNY: � Certiiiea copy is nereby fumishetl. ❑ Cenifiea copy is file0 with ine city BuilOing Division. �a�e'. Applicanl: E%EMPTIONFNOMWOPRfNS'COMPENSATIONUECUPRTI�N: (Thissectionnee0notbecompleteOiitAepermilisforaneAunOretl�5100�arless�. I[etlily Ihat in Ihe pedormance ol Ihe work lor wAich Ihis permil is i 4, I 5 emplo y Derson in any mannet so as �o become 5u�letl �o �he WOAers' COmpen5ati0n LawS al CalilOmia. � Oate: �' � 2 � � Sipnature: - NOTICE:II, alte� making inis aeUaralian, you shoul become iuele rker5' mpen5afion provis ol ihe Lahor Cotle. you musi fonhvnin comDly wilh such pmvisions or IMs Oermil snatl he OeemeO revoketl. CONSTflUCTION LENOING AGENCY: I �ere�y aHirm Iha� Ihere is a ConSlmcii0n lentling apency tor Ihe petlormante Of the work tOr wnicn inis Dermii is issuee ISenion 3W7. Civ. CL LFNOEfl: aooeess: OWNEF BWIDEB OECUNRTION: I �ere0y aliirm tlut I am exempi Imm ihe Contractors' State License Law for the followinB reason (Section 703t.5 Business atb Professional COUe: My city olWMty whiCA r¢Quires a vermitta tonsiNct, alter, improve. eemolish, or repair any Slmtlure, O��oi lo i�s issUance. a150 2puires l�e aODlitanl for Suth De�mil t0 file a SiAned statem¢ni Ihai he/5h¢ i5liten5e0 pu�suan� to �Ae pmvision5 0l Ihe Conlraciors' Slaie License Law (Chapler 9(commencing vnih Seclion 7000) ol0ivision 3 0� Ihe Business ana Pro�essions Coae� or Iha� �e/she is exempl Iherelmm anA Ihe basis lor t�e allegetl eKempiion. Hny vialatian o� Sec�ion 7031.5 6y any applicant lar a p¢rmii SUGlea�s ihe aOGlicant Io a dvil penal�y ol no� more �han five hunGreE Gollarz (SSpI). I. as owner of Ne property or my employees wit� waAes as their Sole wmpenSaGon, wi0 da t�e xrofk, an� ine ❑ sirucWre is wi intenOeE or otlere0lor sale (Section 70aa, Business anU Pmfessianal CoCe: T�e Contracmrs' Sute License Law Ooes n0� apDN �0 an owner ol a property wlp OuilGs or imprOveS I�ereon, and who tloes SUch woM himsell/�¢r5tl� Or IhmugA his or Aer awn employees, pmd0e0 I�ai SUC� imprw¢m¢nl5 are noi intended ar oflefed fof ule. It, however �he GuilGing ar impmvemem is sala vnt�in one year of comple�ion, ��e owner will have ihe GurGen ol pmNng �e/she tli0 not bui10 ar impmve for I�e purpose ol sale). I, as owner ol Ihe pmperiy, am e�clusively conlractinA with titensetl coniractors to consimct ihe D�olect (Seclion 7044, Business ❑ ana Pmleurons CaOe: T�e Conlractors' State Lkense Law tloes nat aDWY �o an owne� ol pmperty who bmlAs or imOroves Ihereon ana who conVacis for such pmiec�s wilh a contracmq5) license Durswn� to Ihe ConVactors' State License Law). I am aware Itwl Dmol ol their Worker's ComDensation insurance shoula Ge OrovideA �a me. m i am e.emD� unoer Secuon: g p 7 0 4 t� B. 8 P. C. mrmisreason, ALL WORK BY THE OW i', / Date: �'"'� � - / 3 Owner I tlo nereby cetlily Inal I am aware ol an0 un0erslane �ne requiremenls oi alilomia ealih Safe Cotle tions 25 25533, anJ 2553d and Inal I or any IWure builtling ouu0am will/will nm �circle one� neeE �o co i ' ale ceC s and I�e repw ements for a permillorconstmc�ion or motltlicaiion Imm ��e AirOualiiy ManaAemenl Oisinc�. FesiOen�ialtonsimc�ian applications are exemp�imm Ihese o�ovisions. Date'. ADplicanC _ I hereby cerli�yihzt I have read Inis apDlicalian antl s�ale Ihal ihe o�tlinances antl sialelawsiclalinglo builtling cunsbuction and herel D�oper�y lor mspeclion purposes. i Daie: ti /�-9� Signalure- is correc6 I aAree to comply wilA all city antl counry atatives hiscitytoenteruponiheabove�mentioned f ,I Oriver's �icense or 5ocia� Seariiy a: -Applicanf. Pink-Revenuel Goltlenrod-Assessor CITY OF COS�A !!ESA - BJZi.DI�G PEA:✓.IT PERX ti0: BEP 063488 PERM�T NO: BEP 063988 PLAN CHECK NO: 03022-93 S GOVT: :I SUPP: N CONSTRiJCTION i'YPE: 5-N PERMIT TYPE: ELE PLU STR PURPOSE: OTH JOB DBSCRIPTION : iNSTALL A FIBERGLASS SPA 6 DECRING SQ FT; 2,950 CLAIk VALUE: 2,950.00 CALC-VALIIE: 2,450.00 GROUP OCC: R-3 /M-1 CON.MENTS: COMPLIANCE WITH ORDiNANACE 93-iZ RE�USRED jEiE1E?EiEifiEiEiEiE####i/�##ih#ifk��iE1E#lEiE###iE#ifiF##iE1E�fiF#IE### ####3f#fFifitffiliE##iE#######if#iE#K�#ti#if?EiE Z O N I N GS ERTEB�AUCIxRSE N E N T 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 REU• PROV: PARCEL• 42519101 ZNE• R1 REF NO; PLAhNING NZ7TES> INSTALiATZON OF A FIBERGLASS SPA IN THE REAR YARU. i *#**#�**#��*x�#��e*��***#*##****��-��##�*##�*##*«�x***�*u*�u��x*u-��*##�#**�« 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 20NINv APPROVED BY : ��--E ' DATE; �'�� BUILDING APPROVED HY ; - �� s DATE: �' 1/�3 APPLICATiON ISSUED BY: � � � DATE; 'S'T �[f�_ �I�iFiEil"lEiEjfifiriE#ttilir#i()f'1��t'ifi(�ith] !'%') x.: �• f 1tf R� tr # 1)¢T'1 #R i%#lfi%ifKtt'1f�)i'��{�lz1l'1Fft'If�r if if i!-iE iE if if if ik �f ?E if ic ie if 3E if if �)f 3f if iE �?E iE 3f it ik if iE if ie iE k k iE �7t if # iE 1E if iF lk .. �lE if �k # if 3F i(� 3E if if # iE �]E iE # iF jf :4 iE #### iF# i�if• # IE # if if �!f } if LEGALIZATION;N F E E S U M M A R Y STRUCTURAi,.SEGMEh�T;Y BiDG PMT PLUMBING E�ECTftIC N.ECHANIC FiRE S,�"�.SPIRES GRADING PERN.�T 59.00 14.00 32.75 � 25k - 508 SMIP/NON-RES PiAN 35.10 - � .Si ISSUE FEE 20.00 15:00 BUILDING-DIV-> PERMS� ISSUE PLAN=CHECK TOTAL PAID UIIE TOTALS----> 101.26 35.OR 35.10 171,36 171.36 ,00 REVENiJE DIVISION TOTAiS--> CULLECTED: 171.36 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECH 59.00 34.00 47.75 .51 35.10 -lEiE3EiElE#lt3EiflfiEifiElEiE##iti4iE3E1EilfElFlEiEiEiEiE#IE#lEifiEiE3E�7t3E1E3EiFi(-if#iEiE�lE�1F##iE#iE#ififiE#iE##fFiE##!(�#f(�i!###fh#iEiEie I N D Z V I D'J A L F E E H R E A H D O W N TYPE QTY D E S C R 2 P T I O N UNIT COST TOTAL COST sFc ELE ELE ELE ELE ELE PLU PLU 2450 1 9 1 i 2 1 1 SPA 1.00 FIXTURES LiGHTING 1 ST 20 EA. .75 RECEPT/S{�TITCH 1 ST 20 EA. .75 SUB-PANEL 11.00 MOTOR/POWR APPARATii� 0,0 -?,0 HP 3.00 MOTOR/POWR APPARATUS 1.1 - 50.0 HP 7.50 SWiMMING POOL ' 7,00 WATER HEATER AND/OR VENT 7,00 END OF FEES 2,450:05 3.00 11.00 3.00 1 5 . � Q 7.00 %.�� oa oou49S3-O01449D TCrT 17I,J'E OR.TE+ 08/12!?3 7If1Er 15:02 �� . CONSTRUCTION ANDPLANNING - POG SPA APPROVALS Permit # Date I�spector pPpROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Uti�ity-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reintorcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings , 58. Electrical Conduit-Undrgrnd. 8. Fo:andation 59. Gas Pipe, � Undrgrnd., Test ,9. Water Pipe-Undrgrnd. ' 60. Backwash �ines, P-Trap, O Undryrnd. l0y�rucfural'�loor System 61. APPROVAL TO DECK ;1'1. Property Sewer Line & House Connection 62. Backwash & fleceptor�Final ' • 12. Sewer Cap 63. Heater & Vent�Final � 13. Roof Drains 64. Plumbing System - Final . 14. Rough Plumbing 65. Electricai�Final � 15. Rough Electrica�-Conduit 66. Solar System-Final 76. Rough Electric W'ving 67. Fencing & Access ApProval 17. Rough Wiring 5�9� 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . APPROVALS Permit # 21. Dutts, in Structure � 70. Underground Hydro 22. DuMs, Ventilating I1. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank rJ Gas O Oil 25. floof Sheathin9 74. Overhead Hydro 26. T�Bar Ceiling (Slruc[ura1) & Monocoa[ 75. Dry Chemical 27. Frame and Ftashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' �' • 78. FIRE PREV. F�NAL 30. Drywall Nailing .;� . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION i 32. Electrical Power Meter�Finai '� 80. FOOD CERTIFICATE ISSUED 33. FinalElectric f` (� J Notes: F,�/R.` �� p�� /M ' 34. Final Heating & Air Conditioning � 2�a�9'tt .- -: I 35. Final Gas Pipe�Test � �� 36. Hood or CanopY 37. Final Factory Fireplace - 38. Final Plumbing � 3_�_C� 39. Water Service�Final j . 40. Gas Service�Final �7 41. Solar pomestic�Final � r1 42. Backflow Preventer „� � 43. Backfiow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ` 48. FINAL PLANNING . "� 49. Electric Release to Edison �• 50. Gas Release to Southem California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date M ��o-r- pLaN � i i�� -� � - flp t ! � � 1-D..� ��.� `Y J.�� C17Y�'F�OSTA ME�A� PLANNING DEPT. SUBIECT TO B�DG. DEPT. 2EG. BY..�� DA7E__�`��-3 ( :CzB DIR CTOR OF PLANTI�NG ' ��GT � � Q � --1_� �"�` aT s�U� coPy �U U �Ca �-+�� I��le.s oZ S1'o2.`tf 3� 4 aeC�2oo N� �r20n.t ��Z�,QSc� 0 �� ;\ � `d'', �`�°��>s .. ; ('�;�c �`�'�''�:� �7 . Sy��9,*� �1 ^ p> �� i �'J \�:: ,,� ��•.. C� d ,� S'•' y��S �,o os ,^,t.�`/� � �ojo��1\��la�� >,�� i;s � \��\� 1\�5:�5 ��.�"a,s�:`�.��y�� 1 �L ^ C"C Y'v�' �,a` �l S-�� a��`��,•..�i � ` ,�� S� �V�� ''� � Il .C\��.�' %Q `,�as a� `,��„�. ,�.�� i�J. �� ,\ "`o\QS'', �y, � , �,�b�,s�� ,\ �t;�,`��` ys s�°��,��.^'' ��,�� ;;� y�"a ��a��a��d�'a �a`� �, �as oo;S � �� ; _.. �-�5�� ; � _ .. . _ _ .... . _....... ._� ... �.__ ; _ _ _ ... _ , .; ; ;�._... ..._. ; ' ; • i O �ti� �� .� �`o\Oq�` �� ao`� �`' o�'�Sy,�a'as �a��aa�s��,�'' a��'\'� a+, oo, �S�oo�a��y�S�o` ��y S�ao�a S _ � �, ��, s a S ss` �ti �s`P ��° ,o �o,��\��a\o'�,��a��a�` � S�� na�a pl a,,o aaa a�`'' ��a oa �,° �,a° ,�o oti o� �,0 �° �,� �> � L,,o o v�� e a sa o �� Sa�'�� a� sa s°a s�� ''c ''�y��'� `'�'��y �� a�y,��l �a��o� y�,��a,� \�� 000�y�a�o�a y.so�acSS� �p ��,�' a�\oa�° aa�,<,o�tio� �o�S°e ati �^a''y �yc s°�ao a� �'o�°�a ' ° aa/�0 �� c�, �o a\o�oac �Yc ,4 `co a � �a \y?a�a �� D .. a'� ��laaa� o aa ,�ao\a�' s° ��J aa s�°�ti�, �?a 52� � .7 � s,�o\,�aSOs S `',� �o �,ti oo�^ o .� �o"r Ssc�' , �O �' � b` �, a , o � ti�' �, � ,� � °^�� 1a,��a�ao�a OY�a, aa co o,�m o*So os�ti y o�C o7�'�Y y�` � ,�ao\ti� aa a � �oaa�oao� ��Uosa� �� o'�a�o d ti . �'�S0 � .... . o�aa^�a. ' Q� o`Q� � , 1ao��ti ,: •'�i �o ��/ _ Sa'Q� �` a�� ., .. . .__ _ ... � .\ _../ '�- �; ,� , �, f� �/A/ � NR��30 ��e� io � 7, °� �� •'' u/o°� ,�P�Y �xz� a . �r�M,N� 4 ��xi�'X23� zX� K.��/(�r z 'Jo..,y' eq. S,� e eq, P°% ; � , /al�: � 1D�-:1ACI':1) I`Ul�VO_1TI0A I:AGI\}:F.RIV'(; IA�;. � Considring I�oundation }_ngineers April 24, 1969 Project 69-3359 The Buccola Company 4501 Birch Street Newport Beach, California 92663 Re: 7ract 2789 - Expansive Soil Gentlemen: An inspection was made April 24, 1969 of the subject tract to determine compliance with the recommendations contained i� our letter to you dated March 20, 1969• The balance of the work remaining, which was �o[ed in our inspection report dated April 17, 1969 is now complete. Therefore, in our opinion the recortmendations have been complied with. However, the new owners should be (mpressed with the irtq�ortance of maintaining good drainage to protect these structures. Sincerely, ADVANCED fOUNDATION ENGINEERING, INC. / . �� i ley^ President PLB:dc cc: (3) ?Rt:L': L 3AI.Ef. C,' _-, , r S�FO 2. T�'.NP.J. Chl Fq "=v �GN D. HAHiJ;:GiGN. Civil Eqln•cr 331U :lirporr R'ac - P.O. I;o� �7 - I.nn� 13c:irh. Caliioinia Oii�i�l • 'i t�'_�i-;i�� L.A. 636-2356 71��323-6�}3' � AI7V':AA('ED I�l7l: AI�A"1'10A GACIAI�P:R[A(a 1AC. / l;ansulring Poundation Gngineers Aprll 17, 1969 ProJect 69-3359 The Buccola Company 4501 Birch Street Newport Beach, California 9Z663 Re: Tract 2789 - Expansive Soil Gentlemen: An inspection was made April 16, 1969 of the subject tract to determine compliance with the reconunendations contained in our letter to you dated March 20, 1969. The rough grading was completed and did comply. Concrete walks.:had been installed per our recommendations. The gutters around the eaves were not completed. Approximately 90 percent of the total work is completed. Another inspection will be necessary to determine 100 percent com- pliance. Sincerely, ADVANCED FOUNDATION ENGINEERING, INC. �� ey Prestdent PLB:dc / cc: �3) ''��'�'.'o ,.. '-T :-Y � . � . � .- St�D Z. FHMnO. G�d E^r.�^cc� `� %� '. �IA4:.WGiON. Gi.il Er�ine=r .i.il�l :li�pur, Al':n� � 1'.11. Rn� i% - Lnn� Brach. Caliiornix'lOhlll • 'I i 1.'�, +� � � \. (iin-_'?S6 71�/S2S-6-�r32 0 MARCH 28, i969 MR. RICHARD D. HANHART DIREGTOR OF BUILDING $c SAfETY CITY OF COSTA MESA COSTA MESA� CALIFORNIA RE: TRncT z789 DEAR MR. HANHART: � Newport Balboa Savings axo �onx nssacinnox �� 3366 VIA LIDO/NEWPOHT BFACH(OMNGE COUNTY/CALIFOHNIA 926 63 /673-3130 NEWPORT BALBOA,SAVINGS AND LOAN ASSOCIATION WILL COMPLY WITH ALL Of THE REGULATIONS MADE BY MR. P. L. BAILEY� ENGINEER OF ADVANCED FOUNDATION ENGINEERING� INCORP.� IN HIS LETTER OF MARCH ZO� Ig69� IN REGARDS TO TRACT 2789. YOURS TRULY� � �, z:>zl,iC_�n.��0�0)L/. GORDON REDMON ASSISTANT V�CE PRESIDENT GR:oe CG: MR. GEORGE BUCCOLA� THE BUCCOLA COMPANY � MEMBEB FEOEflAL HOME LOAN BANK SYSTEM ANO FEOERAI SAVIN65 ANO LOAN INSUBANCE COflPOBATION � THE BUCCOLA COMPANY REAL ESTATE DEVELOPERS AND INVESTMENTS 4507 BIRCH STREET AT MACARTHUR BOULEVARD • POST OFFICE BOX 1024 NEWPORT BEACH • CALIFORNIA • 92663 • TELEPHONE f714) 540-8833 March 20, 1969 M r. Richard D. Hanhart Director of Building Safety City of Costa Mesa 77 Fair Drive Costa Mesa, California Re: Tract No. 2789 Dear M r. Hanhart: Pursuant to our conversation of today at which time we inspected subject tract with Mr. Philip L. Baily, President of Advanced Foundation Engineering, Inc., we agree to make the corrective work requested by Mr. Baily in his letter of today. This will be done at the earliest possible time, weather permitting, and prior to your final approval of 16th Place. Very truly yours, i � � �George Buccola President GDB: lb � . �{,,/.� I � !T'I J r1D�' iV'CED 1'OI:�D_17'10A �\CI\LERIVC I.V'C. / Consulting I�oundation Engineer March 20, 196g Project 69-3359-8 The Buccola Company 4501 Birch Street Newport Beach, Californta 92663 Re: TRACT 2789 - Expansive Soil Gentlemen: A visual inspection of the subject tract was made by P. L. Bailey of Advanced Foundation Engineering, Inc. on March 20, 1969. Accompany.ing him on the inspectfon was Mr. Richard Hanhart, Dfrector of Building and Safety, City of Costa Mesa; Mr. Gordon Redman, Assistant Vice-President, Newport Balboa Savings and Loan Association and Mr. George Buccola, President, The Buccola Company. Surface indications of expansive soil aas found on various lots through- out the tract. However, the expansive type soil may not have been used under the floor slabs. Therefore, an inspection was also made of several of the ftoor slabs in the completed houses. The cracks in the floor slab were found to be minlmai,'ln fact the floor slabs were in very good conditlon indicating slight movement, if any, of the supporting soil. However, because of the unknowns involved the following recommendations are made and should be followed as a matter of good practice: House Model Recommenda[ion 1-A Place a diverter on the roof in the front to divert the valley water over to the paved driveway. Gutter the eave side of the gabte roof as well as the rear of the house on the famfly room side. 1-B 2-A Same as Model 1-A with a gutter also across [he eave of the hip roof. Same as Model 1-A with the exception that only the rear portion of the side eave wlll rcquire gutters. PHiLSIP L BAILEY C� l E�o'n^er SYEC Z AHMAC, Ci.��l Enq�neer DON P. HAFRINGTON, CI�II Englneer ;310 �lirpor[ Al':p� - I'.O. Rn� �7 - Long Beach. C:+liforn;n 90tiui • _'1.3/�36-:i3i� L.A. 636-2386 71�/S?8-6�3? % House Model � 2-C March 20, 1969 Project 69-3359-8 Recomnendat i on Same as Model 1-B. Same as Model I-A except gutter required on the fireplace side of the house. 3-A Gutter the rear of the house and the front of the house to the garage or construct a sidewalk across the front a minimum of three feet in width. Also, a similar sidewalk may be substituted across the rear. 3-B 3-C 4-A 5-A Same as Model 3-a. Same as Model 3-A• Same as Model 3-A. Gutter the eaves on one side and all across the rear of the house. 5-B Gutter the s(de of ihe garage in the front yard and carry it a minimum of 18 inches across the fron[ porch. A diverter might be required at the end of the valley to conirol the water. Gutters should be placed on both sides as well as across the rear of the garage and on the clipped eave at the rear of the house. A concrete sidewalk may be substituted for any gutter but it must be a minimum of three feet in width and the cold joint caulked adjacent to the structure. Al1 yards must be graded to give maxlmum positive drainage. The rear yards will be crowned Co drain to the each side from the center and a maximum fall will be maintained along each side property line. The soil wi)1 be kept 6 inches below the top of the.foundations and sloped to meet the side yard flvw line. All planting and cultivation adjacent to the foundations must be minimal. Ptants used should require little water. On completion it is recommended that an inspectlon be made by one of our engtneers to fnsure compliance. ADVANCED FOUNDATION ENGINEERING, INC. `' P 1 ey Clvil Enginae PLB=dc �, . � � � . aucas�ru roc�n.a��ip� t...�ci�t:r:unr, nc. � THE BUCCOLA COMPANY REAL ESTATE DEVELOPERS AND INVESTMENTS 4507 BIRCH STREET AT MACARTHUR BOULEVARD •�-oe.--.�F:+ES�"v.r.o=+ NEWPORT BEACH • CALIFORNIA • 92663 • TELEPHONE (774) 540-8833 Sanuary 10, 1969 Mr. Richard Hanhart City of Costa Mesa Post Office Box 1200 Costa Mesa, California RE: Tract 2789, Costa Mesa Dear Mr. Hanhart: Enclose�d is a copy of our letter to Mr. Phillip Bailey, President of Advanced Foundation Engineering, a subsid- iary of Twining Laboratories. Also enclosed is a copy of a revieK, of Hammond Sofls Engineering report which we received today. Cordially, FABR� CONSTRUCTION CORP. !/`-� � George D. Buccola President GDB:gb �3�C��i`�1�� BUILDING SAfETY DEPY. JAN 13 1969 AM �rn `7iS�`�i1��11i4ili`z;vi4f 5�� r � � � THE BUCCOLA GOMPANY REAL ESTATE OEVELOPERS AND INVESTMENTS 4507 BIRCH 5fREEf AT AMURTHUR BOULEVARD ^-005�A44- NEWPORT BEACH • ULIFORNIA • 9466J • TEIEVHONE 1714) 540-BBJ3 January 10, 1q69 Mr. Phillip Bailey President Advanced Foundation Engineering Twining Laboratoriea Post Office Box 47 Long Beach, California 90801 RE: Tract 2789, Costa Mesa, California � Dear Mr. Bailey: Pursuant to our conversation of today, enclosed herewith are copies of the letter from the City of Costa Mesa and a copy of the soils report made by Hammond Soils Engineering. I shall appreciate your making your report on Twining Laboratories letterhead since that name is mentioned in the letter from the Gity of Costa Mesa. Their letter is self- explanatory. I do not anticipate any problems in this case. However, since the letters were received from the City of Costa Mesa and we are on constructive notice, time is of the essence. Accordingly, May I hear from you by telephone as soon as your findings have been determined, to be followed with your usual written report. Cordially, FABRE CONSTRUCTION CORP, C``.C=%'�%Y�� Geor . Buccola Prceident GDB;gU ��. ti.: nlnu nnali�a�iil la q r�vlow Enclosuree � from I-Iammond Soile L.n�;inaering which wo juet raceived today for your files. GDB � .. ; ^ � . ,. ., , , . . 4 a : ' � -� -,;; u.a�i�tu�i> sot�,s �:�ci�.e;�ai�;c rAc�i,..i.�..av sous i,.�._.�,:.i!n,. . �._ „�,.�ion �rumcs . I'�L'� �.On....i.. ' 19D N. 6iATE COLIE�iE BLVD. • ORAN4L GqIIFORNIA The Buccola Company 4502 Sirch Street Newport Beach. Cali: � January 9. 1969 Subject: TYact 2789. '1�8tin Avenue and Sixteenth Street j Coata Mesa, California; expanaive characteris- Itica of pertinent foundation soils and foun- � dation recocnmendations. I Gont2emens Pursuant to your instructions, we have reviewed our �preliminary eoils investigation and certified report of �compncted fill for the subject tract, and we are in the process of making further field investigations end per- iforming edditional expaneion testa. �As previously atatod in our aoils etudiea, the composite soile ia proximity to the foandationa for the subject tract are non-expaneive sandy eilts with respect to detrimentnl �; seasonal volume chan�o. Tho uppor two feet of soil over the site as is reveAled in tho boring loge and describad as a light brown to ysllow brown slightly aAndy silt, and thie is the material thpt was used for fill purposea and was placed on the building pads. Below a depth of two feet at approaimate street aubgrade, a layer of brown eandy clay and eilty olay was encountered as indicated in all five of the boring loga made at tho four cornors and center of the tract. Thie typa of soil will havo some expansive chur�cter- ietica and vrould bo the typical eoil encountered when atreet subgrade teats woro made, however thore is eufficieat non- expanaive so1l nbove it ao thc+t it wil2 not have a significant effecL on the foundatione. - ,y.., Poat-construction dif£erentiul movement o£ tho foundationa will be lesa thnn one half inch 3n a horizontal dietance of 50 feet from either aettlemont or ex�ansion nnd no apecial reinforcement of the fouadations is required. As previously outlined� the fourtdation soils were 4o be kept in a moiat condition prior to pouring the footinga and elab, and all utility trenchee thAt traverse the building area were to b properly backfilled and compacted. We w312 submit the resuZts of ctd- �`�2/ ,,,�/� ditional expansion teats telcen � / �� on the building peda as soon as F�+-1 � they are completed. Very truly yours, HAMMOND SOILS ENGINSERING !t} �:J::C�C`J�'G �COi7'ij)'�L`il�}y Revia�red by R, W, Martin R. C� E, 14456 � , . 1 ({�/r,"j' ,^ l� ' y!��^t�-�'�...I L'�,�.�.+n. IlL.�C: e- c.� .i Sy Bosa Ha�ond [�l ewor.a �aa u�o I � HAM\fO�D SOILS ENGINEERI\'G INELIMINI.XV SOIL6INVCSTIO.�TION • fOVNOI.TION 6TUOICS f1lL CONTPOI IYG N. BTATE COLLEGE BLVD. � ORANGE. CAIIFORNIA LOG OF TEST BORINGS Depth in Feet , Description ._/ Job IQo. F68-107 June 20, 1968 BORING 1 ,0 - 2.0 Yellow-brown very fine, slightly sandy ailt. 2.'0 - 5.0 Very hard �acked reddish to mottled slightly - � eandy silt with elay binder, ; BORING 2 � ;0 - 2,0 Yellow-brown vory fine slightly sandy ailt. 2.0 - 5.0 Very hard packed reddiah to mottled slightly ' saady silt with clay binder. BORIN6 3 0-'.2.0 Dry harc�,light brown fine sandy a11L. 2.0 - 5.0 Very ha'rd damp reddish-brown sandy milt with clay binder. BORING 4 0- 1.5 Yellow-brown very fine elightly sandy eilt. 1.5 - 5.9 Light brown fine sandy ai�t. O - 2.1 2.1 - 3.2 3.2 - 4.0 4.0 - 5.5 5•5 - 6.2 6.2 - 8.7 8.7 - 11.0 11.0 - 15.0 ''J �; BORING 5 Light brown vory fino slightly eandy �ilt. Dark brown coarse slightly sandy clay. Mottled, coarss slightly eilty clay. Mottled very sandy clay. Reddiah-brown coarse sandy dacompoaed graaite. Reddiah brown medium fina eilty sand. Cu'ay s2ight2y silty clay. Coarse cleon multi-colored sand. r. , � INTERNATIONAL TESTING CORPORATION GEOLOGV • FOUNDATION AND STRUCNRAL ENGWEERING • iESTING - INSPECTION � OUALITY CONTQOL � 1670 BABCOCK STREET � COSTA MESA, CA��FORNIA � 6dbd626 — COSTA MESA 545�8888 — $ANTA ANA October 31, 1968 Building and Safety Department City of Costa Mesa P.O. Box 1200 Costa Mesa California 867 WEST 16Th STREET NEWPOR7 BEACH, CALIFORNIA 646-d827 — NEWPORT BEACH 5<5�8886 — SANTA ANA F-2568-23 P.O. No. 846-015 �L�C��: �y�.:� �llILDIC�G SAF�iV Dgf'6, NOV �� 196� � �M t'P,7 Attention: Mr. Richard D. Hanhart `��8+�'��jr2�3;4�g�g � Subject: Expansive Soils, Tract 2789, lbth Place, City of Costa Mesa, County of Orange, State of California Gentlemen: In compliance with your request, this report has been prepared to express our opinion as to the expansiveness of the soils located on the subject site. On October 25, 196&, samples of the existing soils were obtained from the �arage areas on lots 22, 25 and 29. Samples of those soile were remolded to ninety (90) percent of maximum density at optimum moisture content for expansion test purposes. All samples that were tested were allowed to dry at room temperature for twenty-four (24) hours before being tested, to assure that the soils were below optimum moisture. After the specimens were dried, they were placed in macnines designed so that the Cests are performed without removing the specimens from the rings in which Chey were remolded, insuring a minimum of sample disturbance, :` Expansive So�ls, Tract 2789, 16th Place, City of Costa Mesa, County of Orange, State of California F-2568-23; October 31, 1968 Page 2 Porous stones, placed at the top and bottom of each specimen, permit the free flow of water into or from the sample during the test. After the specimens had been placed in the machines, a surcharge load equal to sixty (6Q) pounds per square foot for slab loada was applied. Progressive and finnl seCtlements were then recorded. After all settlements had occured, each apecimen was allowed to become completely saturated. Progress and final movements were recorded to an accuracy of 0.0001 of an inch after saturation. The results of those tests are as follows: Test No, 1 �a 3 Lot No. 22 25 29 Test Result Expressed in Percent 4.45 Swell 5.15 Swell 3.76 Swell Based on the results of the above tests, results of an "R" value determination prepared for the Engineering Department and our past experience with this type of soils, they can be classified as moderatley expansive. This�opportunity to be of service is sincerely appreciated. Respectfully submitted, INTERNATIONAL TESTING CORPORATION i %t-///c,✓ • ..-,_. J B. Matson uctural Engineer No. 921 JBM:fb � n � DATE: 3-3-69 SUBJEL7: THE BUCCOLA C0. TRACT N0. 2789 COSTA MESA, CALIF. SUMMARY OF EXPANSION TEST RESUlTS .IOB No. 69-3359 (1) (I) (2) Test Lot Depth Field/Molded Molsture, $. Maximum Optimum Soll Expansion No. No. In. Density -pcf Initial Final Density-pcf, Moisture,$ Group $ t* 30 0-7 llo.0 3.4 23.9 123.5 19.o a I1.o 2 30 0-7 114.2 9.9 21.6 123.5 19.0 CL 11.9 3* 14 0-7 113.0 2.0 12.0 125.5 9.5 5[ 5.0 4* 7 8-12 110.3 3.5 17.9 122.5 9.0 SM-SC 2.3 5 7 8-I2 94.8 3.3 22.2 122.5 9.0 SM-SC 0.0 6 7 0-7 89.3 �+•3 120.9 125.5 9.5 SC 7.5 7 23 17- 103.1 7.5 IS.1 --- --- n� 0.1 * Samples remolded in lab. (90$ Relattve Compaction) (1� Determined In accordance with ASTM test method D1557-64T modified to require 3 layers of soi l. (2) Recorded at end of 24-hour soaking pariod under 60 psf load. Test No. 1 and 2 3 4 and 5 6 7 1 o,�y c..�:,� . �,.,,� l ,r,��, SOIL CALSSIFICATION Soil Type Rust brwn sandy clay Rust brown clayey sand Rust brown silty sa�d - trace of ciay Rust brown clayey sand Brown sandy silt - trace of clay . �� / � °&'wrininq LaLoratarie: e/ �„��S ,,, c�t�(o,,..a, o��. F/ _, . — �� • ` ,� 2922� OCT 16-68PA��00 865+� *** 103.50 `y COSTA MESA BUILDING-SAFETY DEPARTMEN� cnsn � P.O. BOX 1200 COSTA MESA, CALIFORNIA YZl28 For Appi(mnt fo F!A /n Complefoly APPLICATION FOR PERMR T'PE OR PRINT BUILDINi3 . eui�oiNo 77{ ^ Per Ofilce Use Only ADDRESY C' � 'I. n[c[�I�MO. nyFlqo^� COSTA MESA, CALIFORNIA � o�?z . ' Rcw r ' w�r�,�tejprso, cwr� �seu� owNere New ort Balboa Sav' & Loan �� '�� eui�oiNo ADDRH9D 3366 Via Lido ADORESY Te� Zp ! TYPE 6ROOP ��T• New ort Beach No. 673-3130 HITECT llI' OTI APPROV[D INGINE6R om�er er FAIA No 5408833 er owTe IONING ADDREBS 4501 Birch St, New ort Beach SON[ MO.O! YitOIN[W �5 �un� Z eu��o�na corrrnwcr n Fabre Construction Cor , ° �o�� Lmr � T2dc.r Z�69 AO Rsss 4501 Birch St. New ort Beach °•°c■�mor, c errv Newport Beach A.P•HO. II7— 3II - 7 N0T6: N08AVEOViWHANOSMALLBBLBBBTHAN �ATg 146423 TfiL 540 8833 80'T081D6OR8ARP.L LIC. NO. N SIZH � � No.o��LDas. AALLOW[D -(U.B.C..REQUIRHMENTI oF�or 83 x 60 „ow H -- YARDDMPROV6D YARD9APPPOVfiD USEOR __ MAINBUILDINO ACCESSONYBUILDIN� EXISTIN6 BLDQ � d FROM C/L YTR6[T ) Y6TlACKLIN[lROY PRONT PT �� PI�. c6rvT8rt 01 cT11[c[ RGR Y D SID[YAWDI L[Ff RIGHT R.DIDL Ff. FT. DESCRIPTION OF WORK .aio , rr. S<' rr. � � X T[IlATI N ADDITI N RGR F�. Ff. DIDTANC[ OtT. BHT. MAIN Q REPAIR IN gM �yg MAIN BLO ACCESB.BLD08.✓'� BUILDING NO.O! V�•# 'f DAT6 SIZE 1563 sgftRooMe 6 RI 1'l�Z G.U.P. ✓-�-�� MPROVFD�V .�% �� EXTERIOR WALL ROOR APPROV6D W� COVERIN6 StUCCO COV8RIN0 shakes er �ATE - � UII60R EUILDIlIYApD WORK TO D6 P[RFORM[D a famil dwellin with attached ara e ?� Plan 5 A � IJ O b� _ c� SbOso. r�r. 'd � �� 0 I HPREBY 11CKHOWL[OOt THAT 1 MAVB RGD TMI APPLIGTION TMC AMOUNT BM UNCHR VA�YATION IB FOR TH6 j AND 8TAT8 TXAT TH8 AlOV6 1� COPqBCT�AND A011li TO COM• �URP088 OF [6 ASLI8M�N0 A PHRMIT FE8 ONLY. 3 PLV WITX ALL CITY AND AT6 UWY RIOUTATlt10 Bu1Lo1NOCONgTR[tC'f�oN./� /� � VAWATION , � � � /` PERMIT FEE PERMITV�REOP � � G � &' AUTHORRQDAGGNT ��' Z ' J� ' TOTALFEE D , CITY OF COSTA MESA ' '� 29306 Building Safety Deparfinent • �� Application for permit for the fabrication and erection of tlassi4ied signs. ��6� J / � Location Tag No. / �/ / Type of $ign ��A-SYx IP1�(,� ❑ Elec. �'t�on.Elec. Building Site Address � � — ___ -� ,� Name of Leasee / �tL` .��j. L�"CLOL..�} CLtili�/�-/�Ly Phone Contrac State License No. Address 4�l .�//1G`c ST" City /U. f3 . Phone Architect or '�'�nqineer State License No. Address City _ Description: �Tract Sign ❑ Appurtenant and Incidental Advertising Sign ❑ �ff•site Advertising Copy $ign Phone ❑ Roof Sign � Gas Tube, Elec. Sign $ec. 1.37. 1.44 Two copies of plans and specificotions shall be submitted with application for permit for each sign. Plot on plan sheets proposed location of sign and locations of all other signs at site. Minimum size sheets $HALL be 18" x 24" and non-erasable. � If between property line and established setback line, owner is to sign written agreement with the City. $ignature of Property Owner Date �ne undersigned hereby agrees to Fabricate and erect the advertising structure within the intent and meaning and in sirict accordance wiTh the provisions ol Ordinance 63-13, �rdinance 344, the Elecirical Ordinance of ihe City of Cosfa Mesa, and all amendments ihereto. ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL AND FINAL INSPECTIONS SHALL BE CALLED. CITY i�� i;r,� �� tSA OCT 30 I�oii FOR OF Date Issued ! D ��Permit No. Fire Zone � Type � Group�— Approved by �/�� pafe,N d�/ PLANNING DEPARTMENT Zone � A. P. No. G I rI --�3 1 I- I Z BIdg.Site Address 40�' C, �� S l, LegalOwner l2t(9. '��%cCpLH Address �D 1 Il il7�N �,7'� City /1[ 1�. �a � 1- -�_r� Area of Sign: � ft. - in. X(� ft. - in. -�_-/- Required Bldg. Setback to �O � � Center line of Street Location of $iqn: Behind Bldg. Setback Line ❑ Between Property Line and � Bldg. SetbaQc�k� —Line Front �_)_I(� �eet`S� Right - Feet Leh � S � �U$�� LV !i Projection � Feet i Ground Clearance Feet h�lLVl Signature of �_ ^� �// � �% C. U. P. C. _ Permiftee�/�_ ��'tic,L I, G� � The amount shown under Valuation is for the purpose of - �'�� establishina a oermitfee onlv Clearance Chap. Authorized Agent Recd. by. FOFM BU30 Date /D �j�� VALUATION �0� � Permit Fee $ �' Plan Check$ �- Total Fee $ 3 7 VIII, A �afure _ Date Approved . 5. Section 8504 (b) nning $taff) $ignature (Dept. of Public Wor/ks) Date: ��`� t-v�