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Home My WebLink About319 20TH ST - Building Permits1 ' � CITY OF COSTA MESA BUILD/NG DIVISION 77 FAIR D121VE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBER: BC10-00298 PERMIT TYPE: B COMBO Sub Type: POdLSPA JOB ADDRESS: �8➢�' OT2 S CM� APN: 42629504 Zoning: , , Vicinity: REAR OF PROpERTY Const Type: SQ. FT: 50 STATUS: ISSUED DATE ISSUED: Oi/08/2010 ISSUED BY: Suite/Unit: Primary Occ: Valuation: $25,000.00 SCOPE OF WORK: CONSTRUCTION OF A 50 SF IN-GROUND GUNITE SPA ONLY-STANDARD PLAN (SW-07-0348). WORK TO ALSO INCLUDE: ELECTRICAL FOR SPA, PLUMBING FOR SPA, 3 ADDITIONAL OUTLETS AT BBa REA, 1 SUB PANEL TO 200A, 1-4 GAS OUTLETS FOR NEW BBQ AREA. OWNER: BELIAKOFF, pOUGLAS F TR Phone: 949-645-4489 APPLICANT: PALMER, DANIEL Phone: 949-697-2451 Address: 379 E 20TH ST CitylState/Zip: COSTA MESA, CA Address: CitylState/zZip: CONTRACTOR PALMERS LANDSCAPE INSTALLATION License No. 740852 Phone: 949-697-2451 Address: 25221 DERBY CRUnit: Cell: CitylState: LAGUNA HILLS, CA ARCHITECT: ENGINEER: POOL ENGINEERING INC COMBINATION PERMIT FEE SUMMARY Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: Plumbing Fees: SMIP Residential: SMIP Commercial: Bldg S�d Admin Fund TOTAL FEES: License No. License No.64525 $254.31 $39125 $76.30 $38.50 $59.90 $2.50 $0.00 $1.00 5823.76 Unit: Unit: : ZipCode 92653 PHONE: PHONE: HOURS FOR CONS7RUCTION ACTIVITY: EFFECTIVE 3I18I2010 - PER CMMC Sec. 13-279 montlay thru Frmay-7:oa am tnru �:oo pm. Saturaays-9:o0 am thru s:0o pm. Prohibited all hours - Sundays and the following Federal holidays: New Years Dav_ Memorial �av_ Indeoendence Dav. La6or Dav. Thanksaivina Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under California slatules and related regulations. (Ord. No. 92-28. § 1, 12-27-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes. and all required inspections and final approval must be obtained. Failure lo oblain inspections and final approval will resull in the expiration of this permit. COOEI, INSPEL110NTYPE I�A[F� INTRIpI SO�EI INSPECTIONTYPE �J QRT� IN qL5 1816 Fixed System final Fire Prevention �+ 206 Final Mechaniwl 7� 9'��0' 10 FiN1�0.Q'- 7268 PoolSpaFinal 5: ��i'�U H.miJuR� 208 FinalPlumbing x 9-��'�Oli%h�_2ni1'�� 200 FinalRe-Roof u 270 FinalElectrical '��o-W�{0../�y-� _�_ 201 Final Block/Retaining Wal� 212 Final Fire Prevenlion 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Builtling/Occupancy �_ WORKERS' COMPENSATION DEC4,4RATION: I hereby affirm under penalty ot perjuy one of Ihe following tleclaralions: ❑ I have and will maintain a certifi��e of consent to sell-Insure for wvrkers' compensation, as provided for hy section 3700 of the Labor Cotle, lor me pedormance of the wo,rk for which �hi; permit is issued. ❑ I have and vnll maintain wnrkers' compensation insurance, as required by secl'an 3700 of the Labor Code, for the peAormance of the work (w which this pertnit is issued. My workers' compensation Insurance carner antl policy number are: Carner: (Tlrs sMon naed not ce mnplefedl ��e pemN a vah�cE a� me �`wMieO d�Wrs (5�001 nku ) Policy Number: �];�1 certily that in the pertormanCe o( Ihe work for which this pertnit is issuetl, I shall nol employ any person in any manner so as to become subject ro the workers' compensation laws of Califomia, and agree that il I should become subjecl ro Ihe vrorkers' compensation provisions of Section 3700 of e Labor Cotle, I hall !ort ith comply with these provisions. �—g—� � yitamT ip�aWre ,Oey.� 1�"� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNtAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IP,BOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm thal I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 0/ the Business and Pro(essions Code, antl my license is in full force1 antl eflect. Lit #—.� l7 5 V� �C-.�1 � C�� ` 7_�_/(1 s$�1131ure le CONSTRUCTION LENDING AGENCy; ❑ I hereby affum that there is a consWctbn lentling agency for the peAortnance of the v.ork for wfiich this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: OWNER-BUILDER DECLARATIONB: I hereby aK�m lhat untler penally o! perjury lhal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit lo construct, alter, improve, demolis�, or repair any structure, prior to its issuance. also requires the applicant (or such permit to file a signed slatement Ihat he or she is licensed pursuaqt to the provisions of the Cont2ctors License Law (Chapter 9(wmmencing vrith Section 7000) of Division 3 of lhe Business and Prolessions Code) or that he or she is exempt therelrom and the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any applicant (or a permit subjects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the sWCNre is not intendeA or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builtls or improves thereon, and who dces such v.ork himself or herself or through his or her ovm employees, provitled thal suc� imprOvements are not intendetl or oHered for sale. It, however, the builtlinq or improvement is sold within one year of completion, !�e owner-builder will have the burden of proving lhat he or she did not builtl or improve for purpose of sale.). ❑ I, as ovmer of the propetly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct lhe project (Sec. 7044, Business and Professbns Code: The contractors Li�ense Law dces not apPly to an owner o� property who builds or improves therepn, antl vmo contracts for such project with a contractw(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Cotle for this rea5on: 309�46(3/O)) Owner ID venfed by drive� � ncense. ❑ Yes � Nd , Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby ceAify that no excavation frve (5) or more teet in depth into �.fiich a person is requiretl ro descend, vnll be matle in connection with work authorized by ��is permit, and tha� no building s[ructure, scaffdtling, falsework, or tlemolitbn or dismanHing thereof, will De more lhan thi�y-six (36) feet high. (Chap. 3.2, Grp 2, M 2. Sec. 347, Ttle 8, Califwnia Administrative Cotle). ❑ As owner-builtler, I will not employ anyone to tlo vrork which would require a permit from the Division ot IndusMal Safety, as noted above. unless such person has a permit to tlo such work from Ihe division. Applicam's Slgnalure Date Division o( Industrial Safery Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to file and certify a Business Plan tor emergency response lo release or threatened release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 of the California Health an0 Safery Cotle requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depariment by every business which has at any one time Ounng a reported year a quantity of hazardous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic teet o( compressetl gas at standard IemperaNre and pressure). 2. Dces or will the applicant or present or fWure building occupant neetl to (le a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Sa(ety CoOe, with some exceptions. requires registretion with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous materials equal to or greater than a weight o( 500 pounds. or a volume of 55 gallons, or 200 cubic (eel of compressed gas at stantlartl temperature antl pressure). 3. Does or will the applicant or present or tuture 6uilding occupaN need to prepare an RMPP (Risk Management antl Prevention Program for acutety hazardous materials�? ❑ Yes ❑ No (Section 25534 of Ihe California Health and Sa(ety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department o( an RMPP by businesses which are required lo register acutely hazar0ous materials v+ith the Fire Department. 4. If an RMPP is presently required, �as Section 25534 0l the Califomia Health antl Safely Cotle been lully complied with7 ❑ Yes ❑ No 5. Does or will the applicant or present or (uNre building occupant require for the work which is lhe subjecl of ihis application a permit for such consWclion or modifcalion from Ihe South Coast Air Quality Managemenl Distncl or from any other air polWtion wntrol districl or agency? ❑ Yes ❑ No (SeUbn 658502 0! the Califomia Govemment Cotle requires that the requested information be fumished on applications for non-resi0ential builtling permits). 6. Will any part of the taciliry ro be consWcted under this pertnit be wit�in 1000 feet Irom Ihe outer boundaries of a schoolT ❑ Yes ❑ No (If'yes". Ihe lacility must meet the requirement of Seclions 25534 and 42303 o( Ihe Calilomia Health antl Salery Code). 7. If a permit trom the South Coast Air Ouality Management District or other air pollution control district or a9ency is requiretl lor the work which is the subject o( this applicatioq have all ol the disclosures prescribed by Califo ��, Health and Safety Cotle Section 42J03 been made? ❑ Yes ❑ No 8. (II yes", attach certificate o! wmpliance from the appropriate air pol tion control offcer�. i CER7IFICA7E OF COMPLIANCE: I certify that under penalry of perjury lhe information given above is wrrect. I agree to comply with all sWte laws antl city ordinances regarding Hazartlous Materials and Emissions. Signawre oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this appliwtion and state thal ihe infortnation given is cortecl. I agree to comply wit� all state lav+s and ciry ordinances relating to building construction, antl authorize representa[ives o( the Ciry ot Costa Mesa to enter upon the above-describetl propeny tor inspection purposes. I agree not to occupy or allow occupancy o( any building authorized by this permil until final inspection. Signawre ot Le I 0 meqs) � Dale �-Q� 1 L7 �-� "°": '"ao"c°'"- �'� ,. CALCULATIONS u�000i ocr� (9.iuriux•t wwc e+� w eo�cw �[uml � i- carvuun ruo wrcmm �� . �(x) ix ./n w(tM�:l orv - i/s rn� .£[/RN,)j I� e a= (omr%oawg�zl a. < nu w r.vfn[ ry-�e r.0 uo w. 0/x) > W i x� v� - i/] (q • 4� %e xl Ox NN i a�(xH:x%o.mr) a a Ss c: , vuvnfx rnsr. md a, m, am�. h. zsoo o..: N!l M04 • DIY - M361iNC WW. [Nl �� SO.W] paJ. i� . ubz_�/ip � M� Ox) rc- o.0 h. uas o...i. a i e a lo.mv) a v� - i.i !T - ss �..;. R I 11N • MOM NL l0 I� N�u,� v�miwc wein �aan r� . o. o, - anawrt rmw xu -w�e� Se�'-".a. � im¢�arm� � W'I d� ,Oi-lsmar Wa j a� W . R. a� Mll.(SD ]ll� BI�B W j 4 af wnr+. '' p[n m2v6o xiumx w', d — ry . t5 PCF W� � A 50L a. umw. i¢�o w wn ..0 ma rmnw aFnuxz. r CWN.HFNI RL0 PNE�IRE � xrsuts ron 'K -�•-o• e cnrnm w/ z'-e' w.vsrn e �mn � � w rcr wlrcx e N _� _• ._i Wn � SiF6 Ru xmc ivs rcrlu. �sna io— nmKiu� .m� enor 14f1FP 6 lI0011 J161 sriwz w u� m aY-o' iwoirt.m m roomc. lOOIW(: lbD fAd BWlp1M 00 PAIq S1fiq1URC . I.5(A V.S.I. (i.foo a.L1. u�%J rnis o�a� is Nor Nemeo WME�N e'C' IS. CREATCR TkiPN 'H' � _F � � 0 m�t l eoro e[w rw sr.vo�m rar a eorio x�u I wa nmcnrx n.w fwi �/ n.aa4 G�] 1 RlN jl 6 �4. � + I I „ 1 f. � . � � � � i.at �ni. � �e' fEWNSE SLy m�mwo enu ain �r - 1NY FS %IQD 0 IW �` a rui > o r.��Frtt�E � ` 1l1p61WPm SCl isoo cs vi. r ox. ewc�c v.vi[ 7 re. I r mrnss—� mrtxma � ��. ., � uac ni. n x rs anu�a ma iro a wn r.w. oownum. 'itm SIfFl Y WNIR IIICNH6S At WqCA1f➢ D� O'1 5f OPM (32 S1,WpNN S1INCMIN. AAN. Lfil.l 11) Ip R98 �� ]'-6� WJL P9.8 OF Iql@P'RN SRIl � � 1l&601}'OG ttP.IrA0lG1UL1. � � 1W tt BOia S/�i c� wu ;�� r,1FAliC � " � Ve �1 JW?r �, �+rnncu a..smavcxi r,s mcortn w r.ac sr�nn � anutt n' w N row mau �re Q rar rui I�MUImIXI OMR IIIAV BA9C QO HID x01 ptElO W Im af P00. VN4 KO BNtS 111 � EWNLY ��an ar.ari eisc am. � w<�a� U �f + L � c � i � z 5 � E a _ S z a C � bN�PLL rc d m ti C ❑ �. c a� � ��giib�M ER�QI.i�ll G1LC5 Bf: AC. � CHECKm HY: F.LL BWIDING/FOOONG SURCWWGE 1�-0� YIN. FAON POOL EOUNAIENI RUN PRESSURE . IS P.C.F. (PLUS SURCYWfGE) � �nma oucwH DETAII #271 , _ . CITY OF COSTA MESA ��pMFsq BI/ILDING DIV/S/ON i`�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us : rr J a FOR INSPECTIONS CALL: (714) 754-5626 '`a,.o,�w,�. PERMIT NUMBER: BX10-00132 PERMITTYPE B MISC STATUS: APPROVED APN: 42629504 DATE ISSUED: 07/08/2010 Zoning: , ISSUED BY: RMD JOB ADDRESS: 319 E 20TH ST CM Suite/Unit: Vicinity: REAR OF PROPERI'Y Primary Occ: 32 Const Type :7? SQ. FT: 180 Valuation: E5,000.00 SCOPE OF WORK: CONSTRUCTION OF A 180 SF ATTACHED LATICE PATIO COVER TO BE BUILT PER CITY STANDARDS FOR A SFD. OWNER: BELIAKOFF, DOUGLAS F TR Address:: 319 E 20TH ST Unit City/State: COSTA MESA, CA Zip Code: 92627-2337 Phone: 949-645-4489 APPLICANT: PALMER, DANIEL City/Sfate: Phone: 949-697-2451 CONTRACTOR: PALMERS LANOSCAPE INSTALLATION Address: 25221 DERBY CR City/State: LAGUNA HILLS, CA Zip Code: 92653 ARCHITECT: Phone ENGINEER: Phone FEESUMMARY Buitding plan Check: Building permit Electrical Permit: SMIP Residential SMIP Cqmmercial Bldg Std Admin Fund Address: Zip Code: License No. 740852 Phone 949-697-2451 $72.31 $11125 $0.00 $0.50 $0.00 $1.00 License No. License No. Cell: Unit: Unit: HOURS FOR CONSTRUCTION ACTIVIN: EFFECTIVE 3/18I2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Satrudays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksoivinq Dav and Christmas Dav NO710E: The work authorized by this pertnil shall comply with all applicable handicap access requiremenls under California statutes and related requlations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for th� work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in lhe expiration of this permil. 40pER INSPECiIONTYPE O�TE INTRI�LS OOE/ INSPEC110NiYPE O�IE INTRIA� t616 Fised System Pinal Fire Pre�¢ntion 206 Final Mechaniral 1266 Pool Spa Final 208 Final Plumbing (�� ,,�1 200 Final Re-Roof 210 Final Electrical �✓ �/I V '�''��U�x� 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Faclory Fire Place 220 Final Planning ADProval 203 Final Sign 222 Final Site �/ n� 204 Final Demolition 250 Final Building/Occupancy ,\ � D N� �^'� WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty o( perjury one of the following tleclarations: ❑ I have and vnll maintain a certi(cate of consent to self-Insure !or workers' compensation, as provided for by section 3700 of the Labor Cotle, for the peAormance o( the vrork for which this pertnit is issued. ❑ I have and will maintain workers' compensation insu2nce, as required by section 3700 of the Labor Code, (or the peAortnance of Ne work for wfiich Ihis permit is issuetl. My vroBers' compensation Insurance carrier and policy nu, mber are: I aes l IF�n ucV (T�rs settqn neetl irot De cvmpleteC�l (�e peimrt is valuetl a( ona �urMretl tla9ars (5�00) w IessJ Policy Number: ��I certify that in Ihe peAormance o( Ihe vrork for which this permil is issued, I shall not employ any person in any manner so as to become suDject to the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions o! Section 3700 of t abor Code, I shal hvnth � mpty with Ihese pmvisions. -1- Y-IJ ignalure �1�'�. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI� FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code, and m'y' license is in (ull force and effect. �L�'� �a1 Clasr#L —a1 , �.— t} � - S- i o iCo Signalure �Da�e, C/' ' (�-. � CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that [here is a constructbn lentling agency for the pertormance o( the work (or which tNs permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Atldress: OW NER-BUILDER DECLARATIONS: I hereby aKrm Ihat under penalty of perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Pm(essions Code: Any cily or county which requires a permit to construct, alter, improve, tlemolish, or repair any slrucWre, pnor to its issuance, also requires the applicant (or such pertnit b(le a signed slatement that he or she is licensetl pursuant to Ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle) or that he or she is exempt therefrom an0 the basis for the alleged ezemption. Any violation o! Seclion 7031.5 by any applicanl for a permit subjecls the applicant to a civil penalty of not more than fve hundretl tlollars ($500).): ❑ I, as ovmer of the property, or my employees with vrages as their sole compensation, WILL DO 7HE WORK, and the structure is not intended or oRered for sale (Sec. 7044, Business and Pmfessions Code: 7he Contracrors License Law does not apply to an owner of property who builds or improves thereon, and who does such vrork himsel( or herself or through his or her own employees, provided that such improvemeNs are not intended or oRered for sale. I(, however, the building or improvement is sold within one year o( completion, the ovmer-builder will have the burden of proving that he or she ditl not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consWct the pmject (Sec. 7044, Busine55 and Professions Cotle: The contractors License Law tices not appy to an ovmer of property who builtls or improves thereon, and who cont2cts for such project with a contractor�s) license pursuant to the Contractors License laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: aoszas �srw� Ovmer ID venfed by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (rype o( document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more (eet in depth into wfiich a person is required ro descend, will be made in connectbn with work authorized by �his pertnit, and Iha� no building struc�ure, scaffdding, falsework, p tlemolition or dismantling thereo(, will be more Ihan Ihirty-six (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 347, Ttle 8, Cali(omia Atlminist2tive Cotle�. ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Intlus[rial Salety, as noted above, unless such person has a permit ro tlo such vrork from the tlivision. AOD�iwnfs SignaWre Date Division o! IndusUial Safety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture builtling occupant need to file antl certify a Business Plan fo� emergency response to release or threatened release o! a hazardous material? ❑ Ves ❑ No (Section 25505 0( the Califomia Health and Sa(ety Code requiies, with some exceplions, that a Business Plan be filetl wiN the Costa Mesa Fire Department by every business which has at any one time dunng a reponed year a quanti�y o! hazardous materials equal lo or greater �han a weight o! 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaNre and pressure). 2. Does or win the applicant or present or fuWre 6uiltling occupant need to file a registration form �or acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Cali(omia Heallh and Safety Code, with some excep�ions, requires regis[ration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic �eet of compressed gas at standartl temperature and pressure). 3. Does or wiil the applicant or preseni or (uNre building occupant need to prepare an RMPP (Risk Management and Prevention Program (or acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the California Nealth antl Safety CoOe pmvides that Ihe Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department o( an RMPP by businesses which are required to register aw�ely hazardous materials vrith Ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Heal[h and Safery Code been fully complie0 with? ❑ Yes ❑ No 5. Does or will the applicant or present or (u�ure building occupant require for �he work which is ihe subject of Ihis application a permit tor such construction or motlification from Ihe SouN Coast Air Quality Management DisMct or from any other air polWtion control disMct or agency? ❑ Yes ❑ No (Section 658502 of ine Califomia Govemment Cotle requires that the requested infortnation De fumishetl on applications lor nornresitlential builtling permits). 6. Will any parl of Ihe facility to be constmctea untler this permit be vrithin 1000 feet from ihe outer boundaries of a school? ❑ Yes ❑ No (If'yes". �he taciliry must meet Ihe requirement of Sections 25534 antl 42303 of �he Cali(ornia Health and Satery Code). 7. If a permit from the South Coas� Air �ualiry Management DisMct or other air pollution control disirict or agency is required for the work which is the subject of this application, have all of the tlisclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Ves ❑ No 8. Qf'yes", attach certificate of compliance from the appropnate air pollution contml oKcer�. CERTIFICATE OF COMPLIANCE: I certify that untler penalry of perjury Ihe inlormation given above is cortecL I agree to comply with all slate laws and ciry ordinances regartling Hazardous Materials and Emissions. Signawre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I certify under penalty of perjury that I have read this application and state that ihe information given is correct I agree to comply with all state laws and ciry ordinances relating to builtling consWclion, and authorize representatives of ihe City of Costa Mesa to enter upon the above-tlescribetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. Signawre o gal Own s) Dale �— � —�l.i G--AN - t orlxetl:AppliGnL. �Odl¢__ ,:� J a I ❑21 � d E d N W � - - C� °� L'�°dta �� uiE'a.'us� Z�ic�iQio�L . . . BUILDING PLAN REQUIREMENTS FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) 2❑ P.L. Feet � — — —❑ —C � 6❑ ❑6 Post ' (bPJ ■ ■ ■ ■ � Edge of � PROPOSED STRUCTURE patio cover � Garage � � House ❑3 � �{� � � � � - - - � i � .tg., �7v: '�f ,�2. P.L. i � fo,, �! � QWf10f r Street , r�jl�� Address '�' � �❑'�� s�ie:—"=— <,,, �� am,�, b�! y;�'v�,,,� r,� INSTRUCTIONS - 3 COPIES MUST BE SUBMITTEQy �b�g�� o�,�,y�ry Using this as an example draw your own plot planron;a separete�tlrawmg. i Ip�,, ' :q�. 1❑ Show owner's name, project address, north arrow and scale. � 2❑ Show and dimension all property lines, easements and driveways. � � Show locations of existing and proposed structures, including all setback dimensions Q Show dimensions of proposed structure. Q Show setbacks trom property lines to proposed structure. (3'-0" min.; verify if Planning Dept. requires greater setbacks) QDimension overhangs T N N 273i46 Lattice Cover . Lattice � Lattice Rafter Joisi Hanger Ledger � 2 Z% Slab � Slope to Drain Lattice COV2f Rafter Header Solid Floor Cover I� Roof Covering 26 Ga. L Roof Sheathing FRAMING PLAN Header Post Footing Roofing — 12" Sheathing— _ o RaRer— � Joist Hanger Ledger — � c � � o co j� � Slab—� SECTIONS Solid Roof COvBf � DETAIL OPTIONS Check the ones Ihat appry: Lattice Cover. ,� ❑A L�B ❑C Llu ❑E OF Solid Cover. ❑A ❑D OE ❑F Past Anchor PoSI 6' min Footing Depth PAD FOOTING � 750# max �� s� Post 6' min '� sue SLAB FOOTING I � 2% Z<6 Min Zx Joist SIOP2 Fasria / to Drain �isting Anchors waii s Z�_o� B.o• I ��r Max Max Span EAVE CONNECTION f • • SPECIFY LUMBER: �F ❑ Redwood ❑ Hemfir .�y SPECIFYGRADE: 0.1 ❑ No.2 �� ' G�. CONCRETE: 2500 psi min. @ 28 days '� `_.+ ��~ CONNECTIONS: ICBO approved or equal ,j�;�\�5�' ��' ��\ , ��, 1. Roo( covering: ��7T�C �' Slope:_ 17�.�, l��F G� `�� e �,,�T�'��,,�nd� 2. Roof sheathing: � ^ - �A�ximd�9i�q��' � <.^� \.,.�'M� ' a�� lattice: �x� @ L'� o.c.: '��'1x2 - C��►c� - 8'; 2x4 - ' �„ ^`:',� _.�F'' ��c', ,: y solid: �j " CCX plywood or " lumber t�*- 8"; 2" -' " �''��%��:�� ,.�,c�'' �� '„e 3. Rafters: x � 2 o.c. ❑ Sin le��ouble k� � �� `D� �, '^`O� ,, n _L� @ 9 s ' �or;a' _`na� � . 4. Header: ��2�iC�1 ❑Single ❑Do �,��'.�a' ��`� ��;a�°��.x`� �,,,m�� 5. Ledger: �x�(2xmin) �p �'" � y °�v �`'0 `�`. 6. Fascia: x (2x6 min) ��.dQ'_Oa� �� a�\��a^��a p� � 7. Post: �x� (4x4 min) Raise 1" min 4�� i¢ �� 8. Footing: J�� x�� 12"x12" min for up to 6��i�,��,r��'}Fardfi`for 67-150 sf tributary area ��" depth (Expansive Soil Zone t�s� � �a� •"� � 9. Slab " thick (Expansive Soil Zone �� . a•" 10. Connectio� Joist to Ledger - Metal joist hanger b. Joist to Header - Solid blocking with framing anchor fc� Doubled joist or header to post -(2) 1/2" dia. thru bolts w/ washers d. Joist to Fascia - Metal framing anchors each side (min. capacity = 0.5" joist span'joist spacing' 15) �Header to Post - Column Cap f. Post to Slab or Footing - Metal Anchor/Post Base g. Roof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Field 2'!33<6 back �I2�%S� JVlil Ldtf $Cl2W5 p 16• o.c. Existing Joist wall Hanger Letlger WALL CONNECTION Lattice Bol6 ��' � � . Dummy POsi : =5upport Posl � Beyontl RAFTER/HEADER Rool Sneathing or Lattice Ratter Framing Header—� Z%Blocking pag� Cdumn Cap JOIST/HEADER F 199] UBC SPAN TABLES LATTICE PATIO COVER SOLID PATIO COVER 1997 UBC 2)33-06 Tebles /, � � / CITY OF COSTA MESA � BUILDING DIV/SION 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. M08-00105 PERMIT TYpE MECH APN: 42629504 JOB ADDRESS: 319 E 20TH ST CM Vicinity: EXT AND HALLWAY CLOSET S�. FT: 0 STATUS: ISSUED DATE ISSUED: 07/2112008 ISSUED BY: RMD SuitelUnit: � SCOPE OF WORK: INSTALLATION OF A NEW A/C UNIT < 100K BTU AND REPLACEMENT OF AN (E) FAU < 100K BTU, SAME LOCATION (NALLWAY CLOSE�. REF#: E08-00295 OWNER: PHONE: APPLICANT: PHONE: BELIAKOFF, DOUGLAS F TR BROWN,MARK 949•837-8802 CONTRACTOR: PURE CONSTRUCTION INC Address: PO BOX 1555Unit: � PHONE: 949-837-8802 City/State: EL TORO, CA ZipCode: 92609 MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $66.80 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $66.80 Address: 319 E 20TH ST Unit: City/StatelZip: COSTA MESA, CA Address: Unit: City/State/zZip: License No. 516174 CELL: NOTICE: The work authorized by this permit shall wmply wilh all applicable handicap access requirements under Califomia stalutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS; In order for the work authorized under this permit to be considered legal, such work must comply with all aDD�icable codes, and all required inspBctions and final approval must be obWined. Failure to obtain inspections and final approval will resull in the expiralion ot this pertnit. CODE/, �xsrernoNrrre 1818 Fi:ed System Final Fire Prevention 1288 Pool Spg Final 200 Final Re-Raol 201 Final8lp�/Retaining Wall 202 Final Factory Fire 71ace 203 FinalSi9n 204 Final Demolition p� INTIlULS CODE� �xsvecnoxTvre p R M � 208 Final Mechanical �C U' 208 210 212 220 Final Plumbing Final Electrical Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Building�Occupancy . �� . WORKERS' COMPENSATION DECLARA710N. I hereDy affirm under penalry of perjury one of the following Aecla2tions: ❑ 1 have and will maintain a certificate of wnsent to self-Insure lor vrorkers' compensation, as provi0etl for by secGon 3700 of the Labor Code, lor Ne performance of the work br which this pertnit is issued. ❑ I have and will maintain v.orkers' campensation insurance, as required by section 3700 of the Labor CoCe, (a the peAortnarxe of the v.ork fa which this permit is issuetl. My workers' compensation Insurance cartier and policy number are: carrie-r? S% /9-T+� F�//✓d (Tha sedion need nor be mndefedllM a�W B vah+M al aro nv�ed AXars (S�aoJ a ku1 � � _(�s93s3 PWicy�Number. ❑ I certi(y Ihat in the peRortnance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subjecl to the vrorkers' compensation laws ol Califomia, and agree that if I shoultl bewme suDject to lhe vrorkers' wmpensalion provisions of Section 3700 of the Labor Code, I shall fort�with wmply with Ihese provisions. l�ci_%�l'" — 7-vZ�._O� AppliCarLL's519�ture --Dat -� ARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLAFtS ($700,OW), IN ADORION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST, AND AITORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn tha� I am licen5ed under provision5 of Chapler 9(rqmmencing wilh Section 7000) o( Division 3 0( Ne Business and Pmfessions Code, an0 my license is in tull torce antl e((ect. Lic'#�—��/�� (—�CWss # � l� �/� ��' 08 �trapar'e�5i9iature (�.Dat i CONSTRUCTION LENDING AGENCY: ❑ I hereby affmn that there is a construction lending a9ency fw the peAormance o( the wotk ta v.fiich Utis pertnit is ssueC. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Address: OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penairy of Oerjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Bu5ine55 and Profe55ion5 Cotla: Any cily or Counly whiCh requires a Oertnl� t0 wnsWct, alter, improve, tlemolish, or repair any slNCWre, prior to its issuance, also repuires the applicant (or such pertni� to file a signeA sta�ement Iha� he or she is licensed pursuan� to Ihe provisions of Ihe Contractors License Law (Chapter 9(wmmencing with Section 7000) ol Division 3 of tha Business antl Professions Cotle) or l�at he or she is exempt therefrom and the basis (or the alleged exemption. Any violation of Seclion 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalry ot not more than fve huntlred dollars ($500).): ❑ I, as ovmer of t�e property, or my employees with vrdqes as iheir sole compensation, WILL DO THE WORK, an0 the siructure is not intended or oHered for sale (Sec. 7044, Business and Professions Code: T�e Contrectors License Law dces not apply to an owner of properry who builds or improves Ihereon, and who dces such vrork himsetl or hersell or through his or her own employees, provided that such improvements are not intended or oftered for sale. If, however. lhe builtling or improvemenl is sold within one year of completion, the owner-builder will have the burden ol proving thal he or she ditl not build or improve tor purpose of sale.). ❑ I, as'ovmer of lhe propeAy, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo conswct the project (Sec. 7044, Business and Professions Code: The coniractors License Law dces not appy to an rnmer of properry who builtls or improves lhereon, and who cont2cts fw suc� projecl with a conlractor(s) license pursuant to the Cont2ctas License Laws.). ❑ I am exempl under sec. Business and Pro(essions Code for this reason: Signamre 305]-46(]ttl]) . Owner ID verifed by Arivi cense. ❑ Ves ❑ No � Driver's License No. Expires: Verification of Ownership by (�ype o( document, i.e. - propeRy tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: ❑ I hereby cetliry thal no excavation frve (5) or more feet in deDth into wfiich a person is required l0 descend, vrill be matle in connection with work autMrized by this pertniC and Ihat no builtling sWCWre, sc�fdding, false�wrk, or demolilion o� dismantling thereof, will be more than lhirty-six (36) feet higR (Chap. 32, Grp 2, M 2, Sec. 341, Tille 8, Califomia Administra�ive Cade�. ❑ As ovmer-6uilder, I will not employ anyone ro do work which would require a permit Irom the Division of Intlustrial Safety, as notetl above, unless suc� person has a permil lo tlo such work from the division. APOIiWnI§ SipnaWre Division of Industdal Salely Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or preseM or (uWre builtling occupaM neetl to file and certily a Business Plan for emergency response to release or lhreatened release ol a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Health and Salety Cotle requires. wilh some exceptions, that a Business Plan be Ned with Ne Costa Mesa Fire Deparimenl by every business which has at any one time Curing a reportetl year a quantiry of hazardous malenals equal lo or greater lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas al slandard temperature and pressure). 2. Does or will the applicant or presenl or future buiitling xcupant neetl lo file a registration fortn for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Cali(omia Health and Safery Code, with some exceptions, requires registration vrith lhe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutety hazardous materials equal to or greater I�an a weight ol 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at stanEard temperaWre and pressure). 3. Does or will the appliwnt or present or luture building occupant need to prepare an RMPP (Risk Mana9ement and Prevention Program for acutety hazarCous matenals)? ❑ Yes ❑ No (Seclion 25534 of the Califomia Health antl Sa(ery Code provitles that the Costa Mesa Fire Department may require lhe preparation, certifiGaiion and filing with the Fire Department ol an RMPP by businesses which are requiretl to register acutely hazartlous malerials with the Fire Department. 4. If an RMPP is presenty required, has Section 25534 of the Califomia Healt� antl Safety Cotle been fully complied witM ❑ Yes ❑ No 5. DoeS Or will the applicanl or presenl or tuture building occupant require lor lhe work which is the subjecl o( lhis application a pertnii (Or SUGh conSlNttion or modifcation from t�e South Coast Air Ouality Managemenl District or Irom any other air pollution wntrol distncl or agency? ❑ Yes ❑ No (Sec�ion 65850.2 0! the Califomia Govemment Code requires that the requested information be (umished on applitations lor rqo-resitlential buiWirg pertnits). 6. Will any pari ol Ihe facilily to be conslructetl untler this pertnil ba within 7000 leel (rom Ihe outer boundaries of a school7 ❑ Ves � No (II'yes", Ihe tacility musl meet the requirement ol Sections 25534 anE 42303 of Ihe Califomia Health and Salely Code). Z I( a permit Irom the Soulh Coast Air Qualiry Management District or other air pollution control district or agency is requiretl for the work which is the subject of this application, have all of the disclosures prescribed by Calilomia Health and Safely Code Seclion 42303 been made? ❑ Yes � No 8. Qf yes", attach certificate of compliance Irom the appropriate air polN6on control oKcer). ' CERTIFICATE OF COMPIIANCE: I certify that under penalry o( perjury the inlormation given above is correct. I agree to comply with all state laws antl city or0inances regarding Hazardous Materials and Emissions. � S�gnaWrc �ale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cerlify under penalry o( perjury Ihat 1 have read this application and state thal the information given is conecl. I agree lo comply with all slate lavrs and city ordinances relating to building constr�ction, and authorize representatives o! Ihe City of Costa Mesa to enter upon the above�descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed Dy this permil unlil final inspection. . '!`J�J S�i a%w}r of Leg%al O/wner(s) Oa // `z•i< % /2 �/ �V ,NMIaAm�mzeEApplmanl � �'Da�e � ls�' — /�t�/�� o-rL F�4v �� I��ivrL AL � CITY OF COSTA MESA . BIIILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •{714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us °.�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. E08-00295 PERMIT TYPE ELEC APN: 42629504 JOB ADDRESS: 319 E 20TH ST CM vicinity: S7ATUS: ISSUED DATE ISSUED: 07/21/2008 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK: ELECTRICAL PERMIT FOR THE INSTALLATION OF A NEW A/C UNIT, REF#: M08-00105 OWNER: BELIAKOFF, DOUGLAS F TR PHONE: APPLICANT: BROWN, MARK PHONE: 949-837-8802 Address: 319 E 20TH ST Unit:� City/State/Zip: COSTA MESA, CA Address: . Unit: City/State/zZip: - CONTRACTOR: PURE CONSTRUCTION INC Address: PO BOX 7555Unit: PHONE: 949-837-8802 City/State: EL TORO, CA ZipCode: 92609 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 ElecVical Permit Fee: $78.00 Reinspection Fee $0.00 TOTAL FEES $78.00 License No. 516174 CELL: m NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all appliwble codes, and all required inspections and final approval must be obiained. Failure to obtain inspections and fnal approval will result in the expiretion of this permit. �OpE/, INSVg�PON7YiE Q�g NL71j_t�4 5�.� INSPECTIONTIPE p� IN7I71AL5 1816 Fixed System Final Fire Prevenfion 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing Q D 200 Final Re-Root 270 Final Elecinwl . 6��O (�_ 201 Fiqal Block/Retaining Wall 272 Final Fire Pravanlion 202 Final Factory Fire Place 220 Final Planning Approval 203 Fi�al Sign 2T2 Final Site 20a Final Demolition 250 Final Building/Occupan�y WORKERS' COMPENSATION DECLARATION: I hereby aKrm untler penalry of perjury one o( the follovring deGaraUons: ❑ I have and will maintain a certificate of wnsent to seif-Insure for workers' compen5ation, as provitletl for by section 3700 of the Labor Code, !or the performance ol the vrork for which this permit Is issuetl. ❑ I have and will maintain v.orkers' compensation insurance, as required by sectbn 3700 of the Labor Coda, (or the peAortnance of [he �+ork for which this permi� is issued. My workers' compensation Insurance carrier antl policy number are: Lamer� �/ /%TE iCll�� (inisseaonnttNiatDe�S �3 �3vdNetlaimenu.a.eddaoars(S�Ooiwless.) P.olicgNumber. �. - ' ❑ I certi/y Ihat in the peAortnance of the vmrk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa�ion laws of Califomia, and agree that if I should become subject to the workers' compensalion pmvisions of Section 3700 of the Labor ode, I hall forthwith comply with Ihese provisions. �i� G.:�� J it� �� B Applicanfs Signatuie Dat ' � , ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0( Ihe Business and Professions Code, and my license is in full force and effect. licf#— �6� � Class # ' � i� �� 7 a Coni2<tor'sSiqnaWre /Oat - " �� Li C STRUCTION LENOING ACaENCY: ❑ I hereby affrtn that there is a constructbn �lentling agency for the peAortnance of Ihe �nork for wfiich lFtis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: Signalure Date OWNER-BUILDER DECLARATIONS: I hereDy aHirtn that untlei penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 703L5, Business and Pmfessions Cotle: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any structure, pnor to its issvance, also requires the applicaN for such permit ro file a signed statement that he or she is licensed pursuant to Ihe provisions of Ihe Conlractors License Law (Chapler 9(commencing with Sec�ion 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and Ihe basis for Ihe alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjecis the applicant to a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, a my employees vrith wages as their sole compensation, WILL DO THE WORK, and the swcture is not intended or oHered for sale (Sec. 7044, Business and Professions Code: The Conlractors License Law does not apply to an ovmer of property who builds or improves Ihereon, and who does such vrork himsel( or hersel( or through his or her ovm employees, provitled Ihat such improvements are not intenCed or ofteretl for sale. If. however, the building or improvement is soltl wilhin one year of completioq the owneo-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to cwsWct lhe project (Sec. 7044, Business and Professbns Cotle: The contractors License Law tices not appry to an owner of pmperty who builds or improves thereon, and v+ho contracts fw such projecl vrith a contracta(s) license pursuant ro t�e Contractors Ucense Laws.). � I am exempt unHer sec. Business antl Professions Code for this reason: Signature JOSl�a6 (3/0]) Owner ID verifietl by drivei .....:ense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of tlocument, i.e. - property tax bill or tleeC): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ' ❑ I hereby certdy that no excavation frve (5) or more feet in depth into v.hich a person is requiretl to tlescend, will be made in conneclion with work au[horized by this pertnit, antl that no building sWCNre, scaffdtling, falsewnrk, v demWition or dismantling thereof, will be more �han [hirty-sa (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminislrative Code). ❑ As ovmer-builder, I will not employ anyone to Oo work which would require a permil lrom Ihe Division of IndusMal Safety, a5 noted above. unless such person has a permi� �o do such work from the division. AppliG')nfs Signalure Dale Division of Industrial Salety Permit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to (le antl certi(y a Business Plan for emergency response to release or mreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe Califomia Heallh and Satery Code requires, with some exceptions. that a Business Plan be fled with the Costa Mesa Fire �epartment by every business which has al any one time during a reported year a quan�iry of hazardous matenals equal to or greater than a weigh� of 500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas at slandard temperature antl pressure). 2. Does or wi0 the applicant or present or fulure builtling occupant neetl to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 0( lhe Califomia Health and Sa(ety Code, vrith some excep[ions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous materials equal to or qreater Ihan a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at s�andard IemperaNre and pressure). 3. Does or will Ihe applicant or present or (uture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Sec�ion 25534 of Ihe California Health and Safety Code pmvi0es Ihat Ihe Costa Mesa Fire Departmenl may require the preparetion, certifica[ion antl filing with Ihe Fire Department of an RMPP by businesses vfiich are requiretl to register acutely hazardous malerials wilh lhe Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 ot the Calitomia Health and Safery Code been fully complied vnth? ❑ Ves ❑ No 5. Does or will the applican[ or presen[ or tuNre building occupaM require for the woB which is the subjec[ of this application a pertnit for such construction or modification Gom Ihe South Coast Air �uality Management DisMU or trom any other air pollWion control tlisirict or agency? ❑ Ves ❑ No (Section 658502 ot Ihe Calilomia Govemment Code requires thal Ihe requested inlorma�ion be fumished on applitation5 for noo-residential building pertnits�. 6. Will any part of the lacility to be consWcted untler this permit be within 1000 (ee� fmm Ihe outer bountlades ot a school? ❑ Ves ❑ No (If'yes", the facility musl meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a pertnil from ihe South Coasl Air Qualiry Management District or other air polNtion coNrol districl or agency is required for the work which is Ihe subject of this application, have all of the disclosures prescribed by Calitornia Heallh and Safety Code Sec[ion 42303 been made? ❑ Yes ❑ No 8. (It'yes", attach certifwte of compliance from Ihe appropriate airpolWtion conirol oKcer). CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of perjury'the information given above is correcL I agree to comply with all state laws and city ordinances regarding Hazartlous Matenals and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correcL I agree to comply with all state law5 and ciry ordinances relaling to builtling wnsWction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-0escribed pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by [his permit until fnal inspec�ion. gp wre Legal Owner(s� Da� ' � �a «_ — ��MO/orAUNorIzeEPpphram �Da� • � , m ssaeu�mc: OWNEAS WYEIFqpWN: mwrcss VPL.IWl1NG 1DDf1E55: u�cxrtEcr on E�n+�+: y �I `J , JZM 20TH ST MESA,CA 92626 uc no, uxr: AIMII OP fNQ'S AOOPE55: UHf: c�m�,cTarSw� MINER, ANDREW ( 714 ) 548-4900 CONfPACTOR3YY1N0 P O BOX 1 3 3 6 �,00pEss NEWPORT BEACH CA ��,�,; 328952 9"1663-0336 uNT: UCENSED CONTXRCTOHS DECL1fl1TI0N: I hereby Mrm uMu peneEy d perjury ihN I em Icenud under qoWtlma d Cheqer 9 (cammentlnp wilh Secibn ]aao) ��aion 9 af the Buvnem eM VM Code. enE mY lioenae ia in lull fww vd oHed. cm uc. N�� 7 3 uc. cuss: H ��8�2 �P : 10 / 9 8 ome: 5� c��,«: Jy i1 /. � � OWNEF BUILDEF OEttAHRTION: I henby elfirm urder penelly W perjury tM� 1 em e�emp trum ihe Caniietlm t'xan�e lew lar tln '.Idbwip reeeon (�� 1.5 Bwiiss erd Pm/evaioris Code: Arry cry a oouMY �� Ouirae e pe�mil to amsWd. ella, impwe. �bmdeh, or repei any avunum, peior lo Fa ewarce, ebo �eyuim �he eppliunl la such pem�illo fib e epmd ��qemem �hm M a eM e licensed Wnuent to �he prm'vioru d IM ConVapwe Limnae Lew �Cheqer 8(comme�ip wilh Sedion ]000) d DHuion � d tho Buaineve eM Prdeasiona Code� or Ihel he w ehe ie axemp Ihselrom end the besie la Na dlapad eKsmplion. My vbletion ol SW ion ]W 1.5 Cy eny eppliranl /a a permil wbpils iM epplicenl �o e civil qnelry d ml maa ihen INe huMreE Eollen �5500�). �. � I, a ow�r ol Ihe praparly or my emObV� �h wepea m �hei ede mmpenee�ian, will Eo ihe wwk, end Ihe �Vudure b nN inleMed a dlered fa Wa (`��n ]OIf.Buarow vM Proleeaiona COM: The Contree«e Lkeme lewdoea iat epply lo en owner ol propMy who butlda a inprovee �harem, enE Hw Coee euch work himeeM a Mna� w IMwph hi a her own empbyaw, povided �hm wch impwemenia me m� imeMed n dlered la eeb. tl, howwar, tM buiNiip w'vnpwemem u edd vmhin pr yw d mmpMion, tM owiw-0uiMbr will have �he dnden d qwi�q Iw w eM1e tlii M WiN a imprv.a la IM W�e d veb). � I. u oxw N tM puGeM. em ud�W mnlratlM wilh IicameE canuecton m emmua Ihe pM� (5wion ]OM. &ninma ud Pmlauone coCe: The Cadrapa+licenu Lew Cme no1 wdY b en owner a D�W�Y Wn buiW «'unG�'m IM�aaii anE wlw mn�rape lor vrh pqWe r.ilh e cpqreqar(e) �erued Wn� to IM Cqnl�Mas li0sue law�. '.ti � I em uemq ivMs Saction: 8. 8 P.c.. l« Uu �seson: ' Dele: �� i eo n,�,nv �.ne� mm i� e.�. a�a �d..�e me reo��«m a cdiomu �en �e smmr cme sea�. zssos. zss�. �e usa'. ene wm i«.�r nw� w�a�re oowo.m �;n i.ai �m (dRr �) �d io comqr wm ew am. md.e.�d in. naW�m«,n w a osmin Iaoon�vuuionamoEificetion kaniMAi3 IeTyl�—wpenwnl Dipiid. RenEenliel oonpiudion appYfetioman eammq Imm �hsss Dma: Appli em: WORKEN'S COYPENSATION OECWIATIOH: I haraEy df �uds psnMy d papW ans d IM tdbxinp dede�uioro: ❑ �nm..ne.JmeiNv�.wner�.aom..m�o..n:m�v.a..vn«.�cano��..,a�e«Mswia,alooa�n.t.ec. coee. �« ine o«�mrerc. d m..wk �« wlrcn u:. wm+ u 4.�.a. ❑ � n.r. ud.a meun� wvYws' mnw��on inumnoe. m �+mab M swion amo al me lee« coea. �ar ins w�«menc• a ur wak la wM1idi Nu Mmm e usueE. MY waken' mmP�ion'vwnemw u�ria utl V�Y numbr ue: c�« rd:.v r.�mn.,: �u aedion need rw be ewnP'�e0 ] �M w�l'n br am �wMmE Cdkn 131ro1 a bss.) i oenh �nm in ue v«im�. d ine wwk ror .mcn mre v�n u awsa. i wn � �ePgrv w� � drv m��e..o .. �o b.can. wbjw �o ina wa�wa• wnwaumian mw. a cefimmla �ee m a �.ryo B becams aEjrl lo IM v.alnn' cpnpem m povi a tl 5«aion 9]00 d the lebor Cads. Ttlutl lon h mm MiN �( p�owiau. om.: � �od�v: wunlM: FiYun ro ucurs woilrwi co�ryru�tlon nr�rM l. wrinvN� �rM NWI ublKr en IeYM ro crlm'nl pwltla nM dMl Ilnu �q N arw h�nNW tlaYautl Aol4n (SIR{OOOA h MNdon b IM cmf O/ rompwu�WR d�P� 4 povMW bI In SK(�OIIJi�SOI dl/ �160/ fr0�� IIIIII��S �� 1110/I11/l INt CONSTflUCiION LENDINO AGENCY: I Mrsby el(um uMer peneXy d perjury Ihtl Ihen u e omet�ueian Iw�rp epemry br IM pBfIp111BfG L� 1�1! MIXII �Of Mfi1C�1 �11� Mflll� O�O410j (�f1M1309�/. CrM. �ii. LENDEN'S NAME: LENOEfl'S ROONES9: ICMityiM1e�IhavareeAthuepplicelionvdams�MtlMebv+eiMamelionbconad.lepnatomnplyxilhMaryardcounryad'merc s vM nme lexs iNmM to WJd�q cano-udian eM MreEy eullarze np�ewnimives d ihu d1Vto xus uv� �hs ebavs�me�uia�otl prapery '«��. "'°°'°'.R'.;.� :' RINGO J P/� L�� -T�� _ � �/ Dme: C (5151<6 WP) WMe-BuiMnp 8 Selery: areamFle: Ceneiy-Appkem: Rnk-Rmenue: OokenmE-Memwr CITY OF COSTA MESA - BUILDZNG PCRt;IT PERMIT NO: E 087006 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE � EM NO: E /0 7005 GOVT: N SUPP: N PURPOSE: ADD JOH DESCRIPTION : ADU POP-OUT WINDOW, ADD VENEER TO CHIMNY SQ FT: CLAIM VALUE: CALC-��ALUE: GROUP OCC: R-3 / COMMENTS: POP-OUT CLUSET INTO GARAGE, ADD WALL TO LIVING ROOM, B37005 ce�+�*�x��+�*+�*�+�*�;��*��*��**#�**�*�****�r�*****;�a*�s��#****+�+�+�*�**�***�+�****+�***+� Z O N I N GS ERTEBQAUCIxRSE M E N T 5 ---------- — MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------- FRNT: FT IN REAR: FT IN FRNT: FT' IN REAR: FT IN LEFT: FT IN RGAT: FT ZN LEFT; FT SN RGHT: FT ZN PARKING REQ: PROV: PARCEL: 42629504 ZNE: REF NO: PLANNING NOTES> i ?t 3k 1F ik it N iE �f iE jf �E iE iE iE iE 9E if if jE if iE �E df i: !E iE 1E iE iE?E �E iE it iE iE i4iF iE if 1F if dE if iE iF iE iE 3E 3E iE iE iF �E iE if iE if 1E �E 1P iF if ih i4 if iE jf iE i6 iE if iE 3F iE �E 3f if iE iE U 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 . HUILDING APPROVED BY : APPLT_CATION ISSUED BY: if iE �f iE 1k �E 1E �E?E fE fE jElk iE iE iE jE iE iE #E � Y. LEGALIZATION:N BLDG PMT PLUMBZNG PERMIT PLAN ISSUE FEE HUILDING-DIV-> TOTALS----> F E E S U M M A R Y PERMIT ISSUE 23.00 22.OU ELECTRIC MECHANIC 23.00 SOY 22,00 PLAN-CHECK 0.00 DATE: DATE: �$'r ik �E ik?F ik iE it 1k ik iE�� F��%�?'YE iF STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON-RES TOTAL PAID DUE 45,00 45.00 .00 REVENUE DIVISION TOTALS--% COLLECTEU: 45.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG FLAN-CHECK 45.00 iE iFif ik iE itlE iE fF iE if 3E Y,� if �(� jf iE iF if iF iE � iE iF 3E 3k?;-iE if fE �c 1E iE �F iF iE af iE iE iE 3E iE ik iElf ik if iE � iE it iE 1F aE iF if iF ff if iE iE iE if� df iF iE 3E 3E R i't it i'r jf ?E iE jE iE �E iE I N D I V I D U A L F E E B R E A K D O W N TYPE �TY D E 5 C R I P T I O N UNIT COST TOTAL COST ELE 17 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 17.00 ELE 6 RECEPT/OUTLET 1 ST 20 EA. 1.00 6.00 END OF FEES BZ-18-1998/81:18 RM/f45.Z8 RCDTH:81-8819794 PERMIT:087006 �'_ _ �CONSTRUCTION AND PLANNWG POO� & SPA ,. APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. " 53. Steel Feinforcemen[ 3. Electrical Conduit Utility�Undrgmd. 54. Porms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE 7. Footings 58. Electrical ConduirUndrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-final 12. Sewer Cap 63. Heater & Vent�Final 73. Roof Drains 64. Plumbing System - Final • 14. Fiough Plumbing 65. Electrical�Final 15. Rough Eleariwl-Condurt 66. Solar System-final 76. Rough Electric Wiring s/�4�9s 67. Fencing & Access ApProval 17. Rough Wiring $ign 68. APPROVED FOR PLASTERING 18. Rough Electricai-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air CAnditioning FIRE DEPT. REQUIREMENT 20. flough Factory Fireplaue APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas � Oil 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTankOGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling lStructura�l & Monocoat 75. Dry Chemical 27. Frame and flashing 76. Dry Standpipe . 28. Lathing & Siding 77. FIXED SYSTEM F1NAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �rhlG,'^� � Notes: �.� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final " 41. Solar pomestic-Finai 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation . 46. Handicap Regulations _ � 47. FINAL STRUCTURE & BUIIDING � � ' 48. FINALPLANNING 49. Electric Reiease to Edi5on . 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date �� 2�lIO�� SUBJECT: � JOURNAL / INSIGHT I-{ { J' a D / D / l / cLZQ.tid/ � -�7— c' � � "��' � i F �o �11a o F <� " • r C �J !� 3 �.2? � NEE D Lv;r�i, u, �n-m : �� v � u`i ' ,8�,48 . � aoonrssaeawmn 319 E L QYHERSWWEIi1WOW11: FLAGG, JI �o�% 3' 9 E 20T COSTA MES uvi. Yuiea �oonesx ARCXRECi OP FNOPlFER ANCIL OR FNO.'6100NE39: , CA y2626�� UMT: �/� �i ��v � < <� �i II-T ur No, UNT: coam�cTarax,u�: MINER, ANDREW ( 714 ) 548-490G cam�croxs �uiwa P O B OX 1 3 3 6 �sxNEWPORT BEACH CA ucxo_ 328952 92663-0336 uxr: 4CENSEO COMfl�CfOflS DECtAN�T10N: I Mnb� allim uider peWy d e�ury tlW I em f We� pw'vim� d Cheqx B (mvneeu'vq wtlh Seclion IOW) d Onuion � al Or &miss eMfyrw e. eM mf' u in lao end e/led. cmuc.r+o.:!`z7.�3 uc.cuss:g uc.No.:'�zP 52 iXP: 10/98 om.: caarea«: � OW NEN BUILDEP DECUN�TON: I hmWy effum ivdx paWy d per�sy thel I em awnq han tAe Camaum lioenea law In Ne Idbw^4 �semn (Seeion )0]t.s &aiws aed Prda�au Cads: My fly a opmtY M�id� npu'vee e P�! lo cauWd. dls.'unMm+. demola�. or npei eny al�uclwe, prior to us eauenca. e6o reVuiiea IM epplirant lor wch pe�mil to file a egmd statemanl �htl he or eM �iw�.w w�� o me n�� a ms comimas uo.n. �ew Icnaa> e low�un«bna wen seeu, �oaol d obeian 3 a m. uei�ron vM Adeaian Codel a Ihm M a dw u e�emq iheshan end iM bme ta Ne elbped exomqion. MY vioW on d Seaon )03t.5 by ury eppliceni In e parmp wbjecU Ilr eppliunt io e riW penatly d np mps then Me hwdred dollen �5500�. ❑ I,uowiwdlMprapeny0rmyampb'ees�Mhwepunlhs�decompmmton,Yilldolhexork,endllwaVuctureend"v�1eMeE a aflered br �ela (Seclion lWe. Bvsrcn erd Vrdeae'vu CaEe: TMCanlretlaa Lioetue lewEmS �wl epplyloan ownerd o�Y who WiEe a inpm'o Ihmson. sd Ho Eom weh xak h'vnmC a heeW a Wwph hn u her own emWvJ�s. V�'b� tIW weh 'unP��Mn ere nd'vtlen0ed o Hlered la ub. tl, hw�v.ar. IM W�d'vq a inP��M o wtl wulun wn Ymr d oomD�bn. ihe owrorbuiNa wJl haw tM buken d D�'�q M u ehe did ria dak or impove lar �he WT�e d aebl.. � 1. m ovmu d tM YWMY. em udmvaN mnl�eGnO rM 4mme4 conVaclas ro m�w Iha pol� (Swon ]PM. &n'vra uM a,m..wo. coee: m� com�.uo� uo«.,� �. me. �a woh w� o�.,�« d ww�nv �+,o wti. a�mawa. �n.� d,e »no mnlrecb la aM popea wuA e mmretlar(e) ficmued punwa to the Cavreune liomaa Law�. � I em enemq uMer Seciian: B. 8 P.C.. lar Ude �eewn: �. Dme: �� i m na.nr �«wv uw i.m..,.. a m,e �.�e..w,a m. �:.�.e+a e.uo�:. wmn.�d sew eea. sw�. asws. uva d,e 25531. enJ Nu 1 a M' Nun WtinO wwpa�� will / v0 na (ertY ar) need b mmMi wN uk tlete codes end iM �Mw�we br eD��tammWciimanwdi(reiianhomNSAi u�Y a^^ie^+��De�nG.RasdruilomavaioneWk'miamuauemdhomlMss ow: �: WORKER'8 COYPd3�TON DKL�R�TION: I hrW� elRm �edr psuQy ol p"ryry wr d tlr b0owmp EWeie�iom: • ❑ �n.re.naxJm.:v:n.e.rWiut.am,..a�o..n:ma.a.ork..•mnpxrWian.uawiAedevMs.donrroba�n.lmo� Cads.la tM pMamenc� d Ns wM br Wid� this psmi u b�ued. ❑ �n....m.um.:.:n.on..•mmo.�la,:�u..z..e�.a�.aws.ao,rnodn,.�ma.Coa..au.w�«m.m.am. .�mi �> w�a, a,e o.m�e v ou,.a. Mr.aw.• �ion wuerca w�..�d vow.r �ume. a.: Gemn: Pdiy NumDsr: �,w !e.aron �ro.e iw w m�W.e � w c«me e ro. a» nwed aa4rs a�ml w ra.l �eenh Ihel in �M oMamuo d iM wak be xhiN �Ns pemmyi��tlxY rc� �nWM �Y oe in ury menmr o m to bscane abjen io iM MOM1r�' miqanwian Isw� d Ce�rve aM ns tlW ! I Nwk b o a euEjen io IM Ma�Fen' oomv«i n o�wf vi. a swian aroo a �n. l.mr coe.. � rw ro m m�, .m, u,w. o� �� . . ode: �wr�m: W�mMp: f�Bun ro i1e�n rortin'ronpreutlon rovxaq Is uWrM oM �lWI s�Oflet �n 1rnplqr fo MYiW pwltlu uW e/Hl 11nu �q ro am �intl� Ihouaud dd4n (JIOqGOUA ti�� b IM mt ol mmvwu�WM1 dem�p� u provMW b� In 9�ctlm JlfA6 0l M� l�0or Cob, lirtwt ��Ro�hY�� Iw. CONSTAUCIION LENpNO �OENCY: I MraEy e1Nm uMr penetly d per'�ry Ilut tMn u e mM�udion Wtlinp epency M Ur ponwmer�m a tM hw ra .tii� �ne v�� b eaved (swon �61. CM. C). LENDEP'S N1YE: LENDEN'8 �DDNES3: I�wiiN �het I heva ned Nu nDd�� md neu Ihei tlr eEvn "vdm�ion e cortea. I eiy�e to oomdY wLh N raY W�^�Y adiwKs� enE vieta 4x� nle�n0 ro EuJdiq ommutlbn e�d MraEy a�Mvrsa �epmeniatrvm d �he ary w emu upan tha eEova�meniianed propeiry i°`m°°°"�°�'w`°o..°'RAL 'H R' i'O P' 1 e p � ✓S �� o � / ��Y 'qixlure d OmwtlApenV� ntratln (515146.W P) WMSEuJdiq 8 5e1My: 0ieemFb: Cu�my-J�ppiraK: Pink�isvenue: Gddevo0-Aamaror � �i i'1 UF CUS IA I965A BUi�D1NG i�ERMI i PERMZT NU: P OII7007 PLAN CHECK NO: N � PEkM r�o: P oa�oo � GOVT: � SUPP: N CONSTRUCTION TYPE: PEHMIT TYPE: PLU PUR20SE: ADL .70B DESCRIPTION : ADD POP-OUT WINDOW, ADD VENEER TO CHIMNY SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: POP—OUT CLOSET INTO GARAGE, ADD WALL TO LZVING ROOM, BS"]005 iEYf#iF#1Eitifif iEiEib#�Y.iE�I'#i:iEiFtbiEiliEY.�?kif#kitR?fik�rtiFifY.-iP##if�fEiE#iEii��lEiEiEiE#it�FEiF##�1t+fEfE#iE3FiE1fiE#lfitifiE#i!#iflEfEiE Z O N I N G R E Q U I R E M E N T S 5 E T B A C K S ----------- MAIN BUILDING --------- --------- ACCESSORY BUILDING -------- FRNT: FT ZN REAR: FT ZN FRNT: FT IN REAR: FT TN LEFT: FT IN RGHT: FT IN LEFT: FT SN RGHT: FT I[� PARKING REQ• PROV; PARCEL: 42629504 ZNE: REF NO: PLANNING UdTES> i 'Y.' ik'll' ii' 1f !f 1' } if ik iEli'?f ih # if if # if ii if if if if �' if fb if if if 1f i!' ?' 3C' 1f'7E if �E 3E if'� i{' 9f If'141f if')i"1e-)%ff 3f if if 3f'1f iE if iF if'%' Yt �%')f' if +f if 1!' if if'itlE'lE iP'k iE 3e ii' if D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N T S ��i7Ild�� ,I':�4'.f�'�`�� qy DATE: bL1ZLt)fla� li�'?''FiFiyr:L' �+I' : DATE: APPLIrATION I.SSUEP BY: ��, DATE • 2� I l� ��1.� iEi(�if#iEifiFififi4i!iFiEiEiFiEiEiFiE±fiffF. . , n e �'1F�1EifiFiEiF�lFiEikiEif�ii£7F'iFiF itiFiFiE LEGALIZATION:N F E E SFU M M A R Y STRUCTURAL SEGMENT:N bLDG PMT PLUMBING EI.ECTRIC 'NiECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 ' 25: SMIF+/NON—RES PLAN ' ISSUE FEE 22.00 • BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 35.00 22.00 0.06 57.00 57.00 .00 REVENUE DIVZSION T07ALS--> COLLECTED: 57.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANZC : FYRE SMIP/TOT GRADING PLAN—CHECFC 57.00 � iE if # 9F * 1f !f iE if if iE if ik 1E 1E ## �F iF iE if 1t i' } ak i(� i' IF iEle �F iE �' iE 3E iE'r' iE iE iF # if }�1k �lf if 1f if # fE iE if if if iE rt iE ik �1k ii iE!! tiF iF ib �E iFlf iF iF # iE i61E Ik iF ii # iF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N� � UNIT COST TOTAL CO�T l PLU 1 DISHWASAER 8.75 8,75 PLU 1 SINK, KITCHEN '' II.75 8,75 PLU 2 WATER CLOSET (TOILET) 8.75 17.50 END OF Ffi65J' 'l :�.,'"�i. � �, Fl.' � . . .�� .,.._ . . CITY OF COSTA �SA CONSTRUCTION ANDPLANNING POO� �PA ' APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporory Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement � 3. Electriwl Conduit Utility-Undr�}rnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumhing & Pressure Test ' Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE Footings 58. Eloctrical Conduit•Undrgrnd. �r B.TFoundation 59. Gas Pipe, O Undrgmd., Test � 9. Water Pipe-Undrgrnd. 60. 8ackwash l.ines, P-Trap, � Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK + 11. Property Sewer Line & Ho�se Connection 62. Backwash & Receptor•Final �12. Sewer Cap 63, Heater & Vent-Final 13. Roof Drains 64. Plumbin9 System • Final 74. flough Plumbing .I'.Q '�/ 65. Electrical�Final � �� 15., Rou9h Electrical-Conduit 66. Solar System•Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough E�ectrical•T Bar Ceiling 69. POOUSPA SYSTEMS FINAL .. 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPfiOVALS Permit #} 21. Oucts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping pGas OOiS 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof freming 73. Underymd.StqrayeTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical � � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXEO SYSTEM FINAL 29. Insulatio� 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Mecer�Fina� 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:. , i�� RR�C((�� /U((�+�=r%Z� ,v 34. Final Heating & Air Conditioning 9 [C ( I('9P/ [I(9S�(' I' �_��-$ Cc�ftR - /�QN 35. Finat Gas Pipe-Test _3_�'_$ CQn( SU�. { IJN 36. Hood or Canopy _�6=Q R R"e 1 o N � co _� i Iver�ct QN 37. Final Factory Fireplace ,�_O_6 Q�,�/� �,/ Q K � n� l0 I�SL l�Sl 38. Final Plumbing _ O_qb t II 39. Water Service-Final 40. Gas Service•Final 41. Solar pomestic-Final 42. Backf�ow Preventer ' 43. Backflow Irrigation �. 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING , 48. FINAL PLANNING ' 49. Electric Releate to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date MONFSSOFBUILpNQ 319 C 20TH omrtasm�eivaawx: FLP.GG, SIM �ooxEs4 31 9 E 20TH ST COSTA MESA,CA �vai.�uura �ooxess: WCNRECT OR FNOPlEEII: AqCH.OP FNO: S 1DDRE53: ST 92G26 uc. w: uNr: CITY OF CUSTA MESA - BUILDING PEkMIT PERMIT NU: B 087005 PLAN CHECK NO: 00659-98 S CONSTRUCTION TYPE: PERMIT TYPE: STR UMT: carm�cranwwe MZNER, ANDREW ( 714 ) 548-490C comxncroirs�uuno P U BOX 1336 mo�ss:NEWPORT BEACH CA ucxo: 328951 92663-0336 uxr: LICENSED CONTPACTOPS UECL�N�TION: I hxaby ellim uMr perely d Po�yY �� a� IicanesC uMs pra'viom d Cheptar 9 (commem'vq xi�h Sacton )OW) W Oivieian J d Ns Bmmo W Pmlwaio 6. vN mY GanYaini ill brta ard ellwf. cmuc.No.:p.z7_73 uc.cuss:g u.No.: -zg 57 'XP: 10/98 oma� camm«: OWNER BIIILDEN DECLAP�TION: I Iw,eby dl�m under pxaly d psrjiry �hat I em ezemq Iran iM Comrmae lirome Lew lor iha Idbxiq �aea�n (Setlion ]031.5 Busi�a eM RNafsoro COLe: /�m/ cIY a ouvaY MwT'e�um e P�G to cansWd. Mx.'vnPwa. damolah, a npei eny slruclure, q'v �o rts esuence. abo reVwrea �he nppliunl lor wch pdmC �o file e ep�wd ebtamem ihel he or ehe 'v licenaed punuanl lo IM pvrisiona d tlr CONratlma liroma law ICheqs 9(mmmercinp Mith Ssiion 1000) d Div¢ion J d �he Busi�ross eM Rdessiwu Cado] u thel M a Ma o memq IhereM1vm end IM bes[v la Ne dleped eaemqion. My voW ion d SeUion ]0'l1.5 by airy epW'rani lor e parmG akptl� the epplira� 10 e tivd peneYy tl eM moro Ihen (we hurdlaE ddleia �SSW�. ❑ I.svovmerMiheP�YarmY�DbRe�x'vhwpnmthrdswmG��. YdothaMwk.endNeetuyunenoliNuMaE ar ollered la eeb (Seclbn 10aa. Butimssend Pmleavam Code: The CaVretlon lioense law doea rw� eGWYta en owrerd P�WaM w1w Wiea a inpore+iheraan. eM Wn dom sitl� wak! "vnM a Mnd u Waqh h'v a her ovm emdW�+. P� ihel euch mo�wemaw..e m m��dea «msee i«..b. u. now«.. me nwfnq v mw��v e.aa wnn�o on. v� d canWaon. me owrar-0�ikx wiA heva Iha bnden d pwiep M a Me Lid nol ddE a impro.e la iM pnpua d ade). ❑ I. m ox�wr d �he pw«iY. em e�tl�ey' mnred�q xdh isnaed canbaclae ro m�mw the p4� (Senion 1oU. &ninme enE Pmleaipn Code: The Caeurmae lxens lew dom m� epply b an owroe d papMy who builds « impwr iMroon erd xfio mnirew br wdi p9�9 wiN e caureeMs) liearmd puauem �o tM Comirmea lioeme leM. � I em uemq uMs SecGon: 8. 8 P.C.. br tldw �eeaon: Daze: �: �hel I am awus d vd wkasWM �M1e epu'vanenb d Celiomie Ibetlh end Sdery Code 9aeiom 25505.?55]3, eM K arry Muro WiMup omWem rrill / wil na (tleeb ane) nsed W eomply wIh eeiJ tleb mEea uM �M �epu'vemmp Iw clpn«modifrationhamlheAr e�empeirom0i9ritl.RsadMilcwWtWioneDP�"vueneumP�ImmlMee WORKEX'S COMPENSATION OKLAN�110N: I herehry effmm uNer pene4y M pe�j�vy wr tl Na la0ow'vp AWuetbna: ❑ I haw ud xJ mei�uen e unAi�ste d aroaY io votl+�n b xaken' m�penWon. m pwided In by Saeion 9100 d tha lebar Code, lor tM pMamence d Na �.ak la wlirh ihu pxmn e ueued. ❑ 1 hm ud wil meinten wwken' oompmuetion imurerca. m npu'vaA Dy Setlion 9]00 W iM lebor CoM. br IM prlamerce d tM waM Iw v.hiM Utis Va�A ia iwued. MY wvten' comP�bn'vuurvice wrir ud W�Y nwnber ma: c�.,: PdiY Number: �'vunbnrwadnab.camdaedr�nev�'mruk.msnuw.deoC.nls� �nkn.l I cMiy Ihel in Ns pMmmrce d ib wwk lor whict� Ihu . 1 NeA nol em ury per�on In am� menrier w m ta becmw �ubjq ia l xakere' camDemelim kw� d C�llaNe. pns E bsmn �o �M woMen' � '�n sea� siao a in. �n« coa.. i wo r � n oe�e: �oWiw: w.minp: F.uun ro wcun rort1rs' eonqnutlon ow�rry� l. un4wiW, mdalWl rlNct.n rrplqw ro erimw pxu/tlu uM Nvll flnu up ro om IruiJrW fhouaW tlo/Nn (S1Pq000A M eAf/tlon b M� cwl al rompxuef/on, Aemep� es prov/tlM bi In , Sxtlon ]�5 0l tl�s Le6or Cods, Inewut mL �I(omry'� fNa. CONSTiIUCiION LENDINO PUENCY: I heraby Nfiem ivWar penetly al peiWy Ow iMn u e wnqeWion laq'up epenry la the � GDAarmence d IM v.wk M whitA �hc Oe�1 m 6wed (Setlon 3091. CM. CI. LENOEN'S NMIE: 1 LENOEP'S ADDflE44: I cenih �hm I heve reeA Nia ew�'c�on erd qm. thm ihe ebova "udarta�ion u conw. I apiae io romWY vAn M c�Y eM mun7 wainaMee end elete kxs rMmYq to EuildM con%ruaion end herab�' euUvrss repam�etivse diNe tltY lo emw u0� �he ebo.•e.meMianed V�DeM �«in9patl�P�`P°"'RALPH RZNGO PriN / i/ A / Ome: ! C� � s ��e a o�,u vo� ,m�. (5151�d6 W P) Whno-B�ild'vp 8 Sdary: �raerrFb: Cera�y-Appirani; FnkJle�enue; Ookenro�Aeamra g - 2 PERM NO: B 0870U5 GOVT: N SUPP: N PURPUSE: ADD JOH DESCRIPTION : ADD POP-OUT WINDOW, ADD VENEER TO CHIMNY SQ FT: II,000 CLAIM VALUE: II,OU0.00 CALC-VALUE: 8,000.00 GROUP OCC: R-3 / COMMENTS; POP-OUT CLOSET INTO GARAGE, ADD SdALL TO LIVING ROOM 3f 3k ft iE �f jE jE iE 3E 1E iE ��E ff 3E ff 3f it iE iE?E # iE # iF iElE 3E iE f(-# if # iE iE iE �14 iF �(- iE af if iE if fE iF iE jt #�' i� jh # 1E iF iE ih fE iE �f iE iE jE iE if �(-iF iF i4 ik iE � 3! 1E iF?E iF # if Z O N Z r! G R E Q U I R E M E N T S S E T B A C R S ---------- NAIN HOILDING ---------- ------- - ACCESSORY BUILDING ---- ---- FRNT: FT ZN REAR: 11 FT IN FRNT; FT IN REAR: FT ZN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARICING REQ: PROV: PARCEL: 42629504 ZNE: R1 REF NO: PLANNING NOTES> ADD BAY WINDOW TO REAR, REMODEL KITCHEN, GARAGE INTER3AR TO > REMA�N 20X20 MZNZMUM. 3f�("IE�Ei'tifif'1FiEifiEiEiFiF1ElkiEiE3E .ifif7E14iEifiFiflEif�iElEiElE�ifiE'1E}iE'1F1FifitififdEiEikiEjtiEiE�fdE�lEiEfE�lEi4iEibifi!iFifikiEiFiF?FiE3t�fiFiEikiF� U E V E L O P%M E N T 5 E R V I C E S R E Q U I R E M E N 3'`.S ZONING APPROVED BY '� (�iP DATE: 2�IFi �Gla' i: . BUILDING APPAOVED HYsj,t DATE: -; APPLICATION ISSUED B1�: ;�'� DATE: �LCt �rt� 3Fik±E�f�74iEifikihiEiEjEiF#:Y�iEiEiEiEi(-IE3t , ye� �iFiFififiE#�FiE3EiE iF�F�itgiE# LEGALIZATION:N . F E E S U M M A R Y STRUCTURAL SEGMENT:Y �� BLDG PMT PLUMBZNG ELECTR�IC-�^MECHANIC FIRE SMIP/RES GRADING PERMIT 137.25 ,$Q PLAN 89.21 -" �,. SMIP/NON-RES ISSUE FEE � BUILDING-DIV-> PERMIT ISSUE PLAN:CHECK TUTAL PAID DUE TOTALS----> 138.05 U.00 ''89:21 227.26 227,26 ,00 �lr REVENUE DIVISION TOTALS--> COLLECTED; 227,26 OVERJSHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANI� FIRE SMIP/TOT GRADING PLAN-CHECK 137.25 ' t .80 89.21 1 iE 1F it j! ih 1f' ik �R iE iE jE �f' �1E iE if IF �1E'1E if ik iE 3E �1E iE iE iE iE i! iE if iE 1E 1E iE iE �E ib'361E if % iF iE iE if if iElF �4 jE if if 3f ii� iE 1E if'1E iE if ik 1F if i4 �M'7E ik'� If it' iE iE if # iE iE?f if iE I N D I V I D U A L .�F $ E B R E A K D O W N : TYPE QTY D E S C R I P T I O N� .; UNIT COST TOTAL COST SFR 8000 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 8,000.00 END.OF FEES , � : /� .: ./� ; =� , 82-18-1998/01:2A PM/f227.26 �� kWTq:81-8819796 PERMIT:087005 ! / � �, CONSTRUCTION AND PLANN�NG POOL a SP{i APPROVALS Permit # Date Inspector AppROVALS Permit # Date inspector i, TemOorary Electrical Ssrvice or Pole 52. Poo� & Equipment Locatio� • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforceme�c 56. Rough Plum6ing & Pressure Test 6. Electriwl UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � 8. Foundation 59. Gas Pipe, O Undryrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural F�oor Svstem 67. APPROVAL TO DECK : 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final , � 13. Roof Drains . 64. Plumbing SYstem � Final . � 14. Rouqh Plumbing 65. Electrical-Fina� 15. Rou9h Electrical-Condu�t 66. Solar System•Final 16. Rough Electric Wiring � � 67. Fencing & Access APprovat 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. flough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heacing & Air CAnditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiate APPROVAIS Permit # 21. Dutts, in Structure 70. Underground Hydro 22. Oucts, Ventilating 71. Product Piping 1,7 Gas ❑ Oi4 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergmd.StorageTank OGas OOiI 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling IStructural) $ Monocoat 75. Dry Chemical � � 27. frame and Flashing �' /q ; o. Dry Standpipe l!�1�. 28. Lathing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning L-�e� �� .� � S- /� � � w[ _ _i - 35. Final Gas Pipe-Test �Zpl�� .�QYfAer (N5JG/t+'�� L 36. Hood or Canopy 37. Finaf FactorV Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final A1. $olar pomestic•Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System . � 45. Sound Attenuation 46. Handicap Regulations ��J � 47. FINALSTRUCTURE&BUILDING �.r�-y� /�/h� L C�"', 48. FINALPLANNING � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Oate �. .. , � s GENERAL CONTRACTOR uceNse No.3ze9ss February 18, 1998 CITY OF COSTA MESA 77 Fair Drive Costa Mesa, CA Attn: Building Deparhnent RE: 319 E. 20th Street Costa Mesa, CA To Whom It May Concern; I, Andrew L. Miner, General Contractor, hereby give permission to Ralph Ringo, as my Project Manager, to act in my behalf for the purpose of applying for petmits on the above referenced project. Very truly yours, GENERAL CONTRACTOR � ALM:jd Enclosures 206 Riverside Avenue, Newport Beach, CA 92663 (714)645•5666 • FAX(714)645-8279 Mailing Address: P.O. Box 1336, Newport Beach, CA 92659-0336 wonessaeaiou+u: 319 E 20TH $T 01T �ae�E�� FLAGG, JIM �0��/% �+E� 319 E ZOTH ST �\"/ COSTA MESA,CA 9262 � �vr�. wnmo �oox�ss: urcxrtEcta+�vn: wcx on Fla.�s AUDNEss: ua rio.: uxr: carim�craxsru�: MZNER, ANDREW ( 714 ) 548-4900 ewm�croaswuian P O BOX 1336 �ooness NEWPORT BEACH CA ucno: 328952 92663-0336 uxr: IJCENSED COHfRRCTORS DECLAflAT10N: 1 heraby dlim i�der pme�y d pmjury ihet I am IicenaE uMm prv+uona d Chaqm B Icp�unercvq Milh Seclbn )000) d Oivoion � at Me Busirom MC Prdeatims Code. enE mY license u in Iu01au end e%etl. . crrruc.No.:pz�g73 uc.cuss: g uc.No.: 328952 EXP: 10/98 . w •a: CoMmAa: /NEH BUILDER DECLRPRTION: I hreby elfiim urdsr panNY a Derlm' Ihet I am e�emq hom �he ComreGm Lkenee lnw la Me bxiq �ev�on (Sspian JW t.5 &unett md Rdeeebnf CoEe: �m/ <IY a muNY whiM n9uiros e Oe�d lo ooroYutl. dla. imVoro. d'eh, a rapei eny ai�ucture, prur b ib esuenca, ebo re��ires �hs epqiizM lor wrJi pamil lolb e eproE eietamanl thm M or vM imnaed puiwem ia �M pwiebm d IM CoMradme Limnee Lew �Cheqs 9l�memip wnh Seaion'lOW) a�'"vion ] d iM umau eM Prdasiona Codel a Ihtl M a eM ia oxamq �heeelian ark the bnis la Ns elbpeE ezmmpion. MY videlion W Sedion ]W 1.5 by enY MW�� Iw e perme e�Apm ihe eppliceni lo e�+I perely d m� mwa then I'rve huMred dalWe �5500➢. � I.mownerallropropMYamymµb�aeewlhwepeam��emmpe�Wion.r.illdoMework.vdMesweL�nemlimeeded or aflaed Imseb (Seciim ]OM. Butinesaend Proleaaana Gotle: ThaCamretlon lioanse lew tloas nd aOPN Io en owner d quOeM who WiM or inprov» t�eiean• eM who doee euch wak MmseX a herad a thrwph he w her awn ampb�ea, pmided �hm euch 'unp'vremmU ue nd iMeMetl a dlxd la eW. p. howb�. tAe buitl'uq a inpwsmem h edd r.nhin pn yer M mmpletqn. �ha ownx-WiNar xill heve �ha buNen M pwiiq he w sM1e did nM buiM a impo.e la IM WN�e d mle�. � I. m owner M iM woroM, am ead�elf mmred'n0 wiin FmmeE cono-enae ro amnrw ihe pqea (Saavn'rou. &n:�a aM Pmiemiaie Coda: The Gm�repan licmw lew Aoes m1 eOdY m en oxw tl PW�Y wha Witls a Inww'r �hersan vM wfa wnvecu In euN prqMa xiN a mNraqw�a) Icanaed punuem to Ihe CaXretlors Limnae �ev�. ❑ I am saamq uMx Sectun: B. 8 PC.. la Nie'eeson: Deie: Owner. I do Aereby cMity Nel I em ewere M eM Weslvk Iha mpuimmenb d Celianu FNeM erd Selaty COEe Sediam 25505. SSL, eM 2553�. vk tlw I a enY Mun dukuq ompeN WI / wll twl (ach ona) �wE m mmpY w(h eeid mta mdo ad IM nWimmenb tor e O�e tncorebuciion a motlifimibn hamuie�i�ua4't1.1-'areaemem Di�ria. ReaidenlW ewmrvaion eoV��brean usmq fmm Iheae p�. Dete: Applice�u: WOflKEF'S COYPp13ATON DEttAPATON: I Mreby dfum uMer penMy d peejury «r d iM btloxiep dederefom: ❑ IheweMWmeiMenacMGiubdmnrxiovaMamurolurworken'wmpamtlion.npwiEsdlabySWim�l00diMLabor CoCe.lrc �M palam�u w d LLre v.akla wlw:h Na pem�� u usued. ❑ in,�..�e.�imdm�.o�xa.��o�o��,.�..+�nw�edMsea��ooam.�n«coe..ro�in.oM«m�,o.am. wak la whiN Nis pamn'v inueG. My wor4sn' compeMelbn inw�erce urtbr uN pdky numbar en: c.me,: va�r N�n« (ihis seaiar meE ria be complersd / the �wmt b lar one huna� dN�ms /Sfo�l w/ra.l � I cenM � in IM pMamence d Ihe wk br xfich IhH Dartne u usueE. I Metl ml empby eiry pereon m xry muvw o m to bx�. Wdm io me �ne�s� mma�sm� �e., or cd��,e. �a .o�se u�m a i.no�u e�em. e+4� m in. �n mmDame�ion pm+eiom W Seaion J]W tl �M Lebor Cede. I ehdl laUwilh wmMi wilh ihoea pv+inana. Dme: ApplbMl: W�mlip: F�1lun ro ucun xroik�n'ronpwwtlon rovx�p� la vnl�wNl. uMslull ud/�cl �n wmplqx fo cr/MiW pwltlu �n0 cIH/ 9rw� W b om h�.ntliN llrousmE tld4n (t1N,000). M�EMdon b tlir cwt ol mmpmutbR d��W u prvHMtl br In S�ctlon �)OS ol IM !alor [ob. IM�nat ��Y � IW� CONSTFlUCl10N LENDINO AOENCY: I hereby effiem uMd V�etlY d peejury �IW �hua n e mnaVuqion Isdhp pw.y lor ths perlormenm d Ihe xvh Iw whitli ihu peimi b eaued (beaon �09'I. CM. C�. LENDEP'S NGYE �er+oen�s �ooness: � CBII�^' 1�101 � h9v! 108� �h0 B�F6�MX1 dl� �1010 �110� 11N BbWB 111�q11101p11 O CORltl. � 4l� �O COIIIP�Y Mtlh 0�� ' Glld CM1�YOfd�MM.M eM etate lewa relaina to builtivp cauawim eM herabr euNace reWa��etivee a INa UY m.nter uo� �he ebo.smemiaied o�W^M ��°��O�D� RALPH RINGO o�a: Si9�mure a o.nm/ApenvnpqicenUCon��eau (515I<B.wP) While-Buildip 8 Setery; GraeMFle; Ce�y-Appi�Y; Pink-Revenue�.OakeneoF�swua CITY OF COSTA MESA —$UILDING PERMIT u� OO 7� PERM NO: P 087007 PERMIT NO: P 087007 PLAN CHECH NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD 'JOB DESCRIPTION : AUU POP—OUT WINUUW, ADD VENEER TO CHIMNY SQ FT: CLAZM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: POP—OUT CLOSET INTO GARAGE, ADD WALL TO LIVING ROOM, b87005 ��r��r*�**x��e*��***,�r**�*�r��r��+��*x�*��r***�e***�**��**�x**��**��***�*��******+r*+r Z O N I N G R E Q U I R E M E N T S S E T b A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 92629509 ZNE: REF NO: PLANNING NOTES> i if 1E 1k if �E if itlk iF if 7k 1E iF if k iE iE ik ff i! f! 1F 1t 1E iE ik iE iE fE ik iE iE if �f 1t if 1E iE iE iE 1E jf if iE iF iE ie if if iE iE iF iF iE iEiE fE iE iE iF ik iE 1F iE 1E iE �ElF i! iE jE 1F if iE �F iF iE iE iE D E V E L O P M E N T S E A V I C E S R E Q U Z R E M E N T S ZONING APPROVED BY DATE: BUZLDING APPROVED bY ; DATE: APPLICATION ISSUED bY: DATE: iE iElE �f iE iE 1f !E ik if iE 7F it 1k �F k fF ft k ik k!E %iE iE if fE iE iE if if l�F�1�iiFik'lE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 25x SMIP/NON—RES PLAN ISSUE FEE 22,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 35.00 22.00 0.00 57.00 S"7.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 57.00 OVER/SHORT; ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 57.00 iE iE fE 1f �f iE it it ff iE iE iE if 3F iE if iE iE if if it iE iE iE iE �f it iE iE if iE iE jE iE iE if it iE iE if k iE if iE iE iE �)E iF if iE i! iF iE it it if 3E 1E if �E 9E iE iE �E iE iE �E aE �lE iE iE iF iE i! iF 9E 9E k�f I N D I V I D U A L F E E b R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 DISHWASHER PLU 1 SINK KITCHEN PLU 2 WATE�t CLOSET (TOILET) ENU OF FEES C�Op� 8.75 8.75 8,75 8.75 8,%5 17_50 CONSTRUCTION AND PLANNIN�� POC SPA APPROVALS Permit# Date Inspector appqOVALS Permit# Date Inspector 1. Temporery Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduii UtilityUndrgrnd. 54. Forms � 4. Electrical Conduit�Undrgmd. � . 55. Electrical Bonding 5. Steel Reinforcement 56. Rough P�umbing & Pressure 7est 6, ElectricalUFER�Grnd. 57. APPROVALTOCOVEfl�GUNITE , 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipo, O Undrgrnd., Test 9. Water Pipe�Undrgmd. 60, Backwash Lines, P�Trap, O Undrgrnd. b. .uaural Floor Svstem 61. APPROVAL TO DECK 1. R�erty Sewer Line & House Connection � 62. Backwash & Receptor-Final (�� • � ' �P 63. Heater & Vent•Finai �1�8obf Drains 64. Plumbing System � Final rt 4.� � ough P�umbing 65. Electrical-Final . Rough Electrical-Conduit . 66. Solar System•Final fta gh Electric Wiring . 67. Fencing & Access AnProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica��T Bar Cei�ing 69. POOL/SPA SYSTEMS FINAC 79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structura 70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping O Gas OOi� 23. Gas Pipe-Rough � Test ., 72. Underground Piush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74, Overhead Hydro 26. T�Bar Ceiling �Str�ctural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe . 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PftEV. FINAL 30. Orywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electricat Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe,Tast 36. Hood or Canopy �� 37. Final Factory Fireplace � 38. Final Plumbing ��j t7�-�f _ 'l i 39. Water Service�Final v 40. Gas Service-Final - �-� - i-- 41. Solar pomestic•Final 42. Backflow Preventer 43. Backfiow Irrigation 44. Landscape irrigation Syztem 45. Sound Attenuation 46. Handicap flegulations 47. FINAL STRUCTURE & BUIIDING 48. FINALPLANNING 49. Electric Rele�se to Edison � 50. Gas Releaie to Southern Calitornia Gas Co 51. CERTIF�CATE OF OCCUPANCY No Date � 16474 C057A MESA BUILDING•SAFETY DEPARTMENT P. O. BOX Sf7 COSiA ME6A. GLIFORNIA For Applieanf fio Fill In Complefely TYPE OR PRINT BUIL�ING 319 %�y-- 'Z,p�S /7K� ADDRE85 1 COSTA MESA. CALIFORNIA TEL. � SIZE �� r � e+o. on e�nc�_ � 86TBACK LINE FAOM DESCRIPTION OF WORK I BUILOING EXTERIOR WALL ROOF COVERING S C�LCO COVERII � USE OF BUILDING HD1D WORK TO BE I HHReBY ACKNOWLED06 THAT � HAVe p6AD i}IIB �PPLJGTION ANO 9TATH THAT THE ABOVe 18 GOPRHCT AND A6REH TO COM• PLY WITH ALL CITY OIiDINANC&9 AND BTATe L.�W9 R80ULATINO OUILDINp CONBTR�ICTION. �/ / SIGNATURE OF �/ i� -%A� �Ai�� AUTHORIZED AGENT BUILDING �E RECEIIlED FEB 271962 fINANCE DEPT. APPLICATION FOR �PEftTv11�OSTA MESA BUILDING For Offlce Use Only ReC61PT NO. PE O COSTA MESA. CALIFORNIA � � BY _ _ _ _ - . ,�/L�jJ _ DATE �.j� G� _ (Q � ZONING ZONE� _ I I PLA BF � ( BUIlDINO (�� LEOAL P� L�- zo.� ,.�,�- �rTs ��? oescarnr�ox A. P. NO. II (J � �/ LI — I--r- YARDS EVES �� APPROVED ALLOWED icermn uNe sr.� =�O. YSFL �� 7 FT. �— �� FT. /a • rs FT_ — �� f THH AMOUNT BHOWN UNOER VALUATION 18 POR THC PURPOBC OP 68TABL19HINp A P6RMIT PE8 ONLY. VALUATION �% �� y9 fOj PERMIT FEE � �V S PLAN CHECK $ /� �� . . , r . . . 15 Gatlan Tree 5 Gailon Plant �UBLIC SERVICES _t: A .Ti:;EiV`� �D�� 1 Gallon Plant _I SITE ACCESS PERMIT N0. J ADDITIONAL PER�d1TS REQUIREC �C vFr �IT�ILL ``r}••��]'� StOIiES ]RIGHtOFWAYUNDERGROUND%fdn;;TNO. �� _`! ] RIGHT OF'NAY CONSi RUCTION rERlAIT V0. ____i_ � J APPRQVED FOR CITY INFRASTRUCiUR� iNUjOR PU3Jc L I�. R�W f APPROVED FOR CONNECiION TO CITY pRAINAGE FAGLITY ENGINEER: /i%'i DATE: o7-c�..lc7_ ] TRANSPORTATION: DATE: _ _ ON�SITE GRADING PERMIT MUST BE OB7/�'7}jo ��r FROM THE BUILDING SAFETY DIVISION (2Nd FLD'OR) � Spa T12�� 5�� P:��t��-e:1 / F��is�a B.B. Wl �pills � �� — � - � �. �, , - ,. �` • ::.. _ �� ,.. ' , ,%" .� �>: ' r .�, �' � �' -- � ,�'� � � ,` ?;y .i .._ , �9 — — � � �y., � � . �i��- �� F �; � n�„� j. La � � � �rec�rlc �+a ?�n�\ — Z `I r ��'� � ,f 'r ` ' �� .�: a 0 � ��r i 3- i�ie �enc� (C}pt } °� .:: p�►B+1NiP1� ,;, APp�tOVA� _;. ��a'a�'"�ne°". � m g� OM�im� Regs� �� t�'",�+�� ited 'ni 90 Bu�di Fin�t � 1nsD�� p� � Ocsubt� Gat� �. �� 10 �� i ,�� a,��,. SPa �u�� •v / ' �..illi f t 1 I t � � - E�;r�r '---- - r r'r i i F i � t I 1 f i ''�-.� I t I e � i r� r � I �- �-� �. �-�. � �, �, � -� �, � ..i_c ► , i_�..,_,V..i ! �_l.` I.t i I � � `-��a€°-!��l�i��I�t�t� � �'1-� I � f 1 � i�� 1 i--I �.i:,.it�i��i_. ; �.,,��F��_.1 { ,��„�� r�. � .� � i ( i � � r�� for iierr�= ;°� n c � r' Sp� e ^•?, rn.�� ,8_ ro P.i– ?Y �- �:� -t Y'` : . �r . _� '., .� �` ! .� ,�, _ _ _ a-: � YU C� s;�,d- r(-� � I r, y-u � u I � _ ; id L. Lacher C 67656 ;I Pool Enginee Inc. Q iall take precedence over wnflids with pla� ��7 -I�� :cs� )P�' �o�`� {�eS:�.�•,� � : �.z.,\-,�: � �� ,.�o�^ S� :I C � S;-�� j.,l -c,S S� C�. �9� �y 54s �U�1 �,� d, � e;��s g,� � ::, ��r( .• �`; ' -�i� ,-n i �'. ,{�� "�� .;, �a � ��'� �'.?. � � ' ' � ..+��'�,o` �� • ^'n` „c.� c � �.. `ii�.____.��I�� O� , \ ,4pS'�f�0 ��. � y�y \��` �v c �s r ' � p4Q`� `t'J2 �� . %�' . L' � G.aS �.�tz� � I r f �IZ' � 54S , _. �i"�Vf.'� C7a1e f�i LO�atorS #�C�� 15� � �t. �/ � `l � A �'� �' Z�� 4 ` 15 Gallot� Tree 5 Callon Plant : ' ': � • � � � a ' . �'Aia �•.. I c � � • • � A 'r. "u � 1. � i>tt � i � 7lu . � • :�r.• •. � i f{G'. �`y G ;+ U7�. � IA- ql, ;"I "�v n!L ',"�; �c�; vn � en» c � :, N , �iw •.,7n� � �� e „.6, .ro m�i r�u" fe � �i •�•,i,.�, ,( �^,� i i.4,. n t � �. . �� •�•t• � :11 1•f�l' 1lltlff4� :IR7 I U N11 � II1A' '�i41 � r e i : %,II �'Ml`1ky:P" . : • ;t+. : :, ,, r�yr ,: , � A • — �1' Y :C! .�:RYI '� ` i:i l•IC : ' ;�tl., il.. � I�,:B PtD c(r�"`._ �.� R��Sea �� Spills ` -- - 0 , , 3 --� ``� � �.1. j�; _' . �`�~,;,,� �. � '= _ :�?.m '� `l,' ':= r .yXu :, � � y.; � � � � ?, t : . • �r `- �.�/ � � — `�,� � � �` � =r-ri• „a �2 I ' �,� ,'��5 �� i1 ! � �7flec'�r,c . �'6 I�i rc_i11\ ,?"t'� - Z `l �- ��'� � � � ti`. � "-__ I _ ' t .�� 4 .� �� @ 'i ,.O / i}•' CYi "�er• !.' ` �C�- �� i�' P� � ,� �:_ UU w�-r.. �: �� y. �y /� 1h f , � -3 pLANNING :�.; �A��enc�; (Opt.} --�. ��- cxy a c�m �..a � � Re�Isio� aPP!�• �' �: � ,� _ �. , � � ��,,.� . ..: I��' �. .� ' �t �. / .� �� ♦ 1 / i� / •� s(� �u�'�� _ _' sPa �, l.L ? �oa �;� �,�,.,� i i.�.� �.a_ L 1_I � I�� I I� M i� �, �.,_, � � �.,. �..,_ ..;_�_� � �_� � ,: �_ : . i_ . i � �g. �a��_i��,,�� i'�, Ir ii�.�,5`, ,. . � .� � , �. �,;-1fE��Ee� 1 1 I 1 E 1 1 I i I 1 � � i�A! �FT� ��•lirlli�r� �� --- SP4 ea.��Pn��r 8� i o P.�– lY„ " � i, CY.- 4:j i �; �. • tY: , "^ �� L� � � —. I .!Y n� ic� t? � Pool Engineer� Inc. I ils hall fake precedence over conflids with a- ��c" � •7 ' Ip q1c — 4iemr � Pd n c � �rr f�.z,�-,� Ka�4 I��s:�.�.,� � '�� .ao�'S� C o S��_ l,� ..�s �, , C� Gar�ge _ 3/y•,54s ex,s� �.., wdc1� ,o gg,� G�5 N.ete � � �,DO � �<C- �e `Tr, ( � <� .I � �ij c��e (ra� �.�n�s�ap� Lo��tors �� 1� ��'¢-�t"' .r � ' „J ,/ � % — ��. �D�C� ��1� ��e�� "°�tKb �Y� �ro %' ��1 �� "+�l � u` � �lc...: 'ros�,e/so.. , ��y� �0l0 w�� Np�s�^, p 4,