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Home My WebLink About725 20TH ST - Building Permits� CITY OF COSTA MESA '� ; BDILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (774)754-5273 • Fax(774)754-4856 Job Address: 725 W 20TH ST Suite No Viciniry: Parcel Nunmber: 42226201 Applicant: LORIE GLOVER Address: 2737 S CRODDY SANTA ANA, CA owner: MUNOZ, FRANCES Address 725 W 20TH ST COSTA MESA, CA PLUMBING PERMIT Phone: (714)241-1414 Zip: 92704 Phone: Zip: 92627 Contrector: COAST ROOTER PLUMING HEATING & AIR CONDITIONING Address: 2737 S CRODDY Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) SANTA ANA, CA WATER HEATER CHANGE OUT. AMT $23.50 $0.00 $0.00 $0.00 so.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn Phone: (714)241-1414 Zip: 92704 License: 529127 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator 50.00 Process Piping (per 10 R) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Conned $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0,00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PERMIT NUMBER P00 25 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 03/t012000 Issued: 03/10/2000 ISSUED BY: Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater I vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord.�No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � I heieby aHirm untler Oenalty of perjury one of the following aeclarations: ❑ I have and will mainlain a cetlifica�e of consent to saN-Insure tor workers' compensatioq as provided for hy section 3700 of lhe LabOr Code, tor �he pedormance of �he work tor which this permit is issuad. �I hava antl will maintain workers' compensation insurence, as required by section 3700 of Ihe Labor Code, tor the peAortnance ot the work for which ihis permit is issued. My wo rs' co en tion Insurance carrier end policy number are: ( � Cerner. �j��Q��(A-. PolicyNumber. /�VQ�QS�Qi�� (This section need not be complefed i! (he p it is velued a( one hundred dollers ($f 00) oNess.J ❑ I certify that in tha pertormance ot ihe work for which this permit is issueQ I shall no� employ any per5on in eny manner so as lo become subject to the workers' compensalion laws of Califomia, and agree ihat if I should become subjeq to the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall torihwith comply with these provisions. � �) � Applicam SignaNre: ��j'T Date: 3 / � WARNING: FAILURE TO SEGUR ORKERS' PENSATION COVERAGE IS UNLAWFUL PND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE MUNORED THOUSAND DOILARE ($100,000), IN AODITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDEO FqR IN SEGTION 3]W OF THE L4BOR fAOE, INTEREST, ANO ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hareby aHirm that I am licensed under provisions oi Chapter 9(commencing with Section 7000) ot Division 3 of the Businessj�^ tl Prpfessions Coda, antl my licanse is in full force and eHect. Lic. a � � Class a `��P Contractofs Signature: Date: 3'"/3-0O CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aHirm ihat Ihere is a constmction lentling agency tor the performance oi �he work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre: Date: OWNER-BUILDER DECIARATIONS: I hereby aflirm that under penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (SecJ031.5, eusiness and Professions Code: Any ci�y or counry which requires a permit to consimct, alter, improve, demoiish, or repair any siructure, prior to its issuanca, also requires the applicant tor such permit b file a signed stetement ihat he or she is licensetl pursuant m the pmvisions of Ihe Contrectors Llcense Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code) or thet he or she is ezempt theretrom and the basis for the allegetl exemption. Any vlolation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as thair sole compensation, WILL DO TME WORK, and the structure is not intended or oHered lor sale (Sec. 7044, eusiness antl Pmfessions Code: The Comractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or herself or ihrough his or her own employees, provided that such improvaments are not intended or oHered for sale. If, however, ihe building or improvement is sold within one year of completion, ihe owner-builder wi0 hava the burden of proving that he or she did not build or improva for purpose oi sale.). ❑ I, as owner of Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business and Professions Code: The contrectors License Law does not apply to an owner of property who builds or improves ihereon, and who coniracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for ihis reason: SignaNre: Date: Owner ID verifiad by tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownarship by (type of document, i.e. - propehy tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby certity ihat no ezcavation five (5) or more feet in tlepth into which a person is requiretl to tlescenQ will be matle in connection with work authorizetl by ihis permi6 antl that no building stmcNre, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) tee� high. (Chap. 32, Grp 2, An 2, Sec. 341, Ti�le B, Calitornia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit fmm Ihe Division of Industrial Safery, as noted above, unless such person has a pertnit to do such work from Ihe division. Signature: Date: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certify under penal�y ot perjury ihat I have read Ihis application and stata ihat ihe information given is correct. I agree b comply with all state laws and city ordinances relating m building consimction, and authorize representatives of the City of Costa Mesa to en�er upon the above-descri6ed property for inspection purposes. I agree not ro occupy or allow occupancy of eny builtling authorized 6y this permit until final inspection. Signature Legal Owner(s) ��?,_D� ate �— �� A rA�licant Date COpE Y. INSPECTIONTYPE 1676 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2046-46 f1Aj� IMRIALS LODE� �NSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Finai Site 250 Final Builtling/Occupancy onre w� s a� 1 i,noxessaFeaiw+m 7z5 W 20TH ST qYM1ERSNAYEIfRlOWN: FRANCIS MUNOZ �� 725 W 20TH ST COSTA MESA,CA . 992-6861 � wr�. �utwr+oo�ss AIICNr,:�'T OX EH�IEFA: �flC':OR ENG.'S �ODXFSS 92626 u"T CITY OF COSTA MESA - BUILDING PERMIT YERMIT NO: P 086691 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMZT TYPE; PLU ��= IJOB DESCRZPTION : REPALCE WASH BASIN UI�T: CLAIM VALUE: CALC—VALUE: coxm�cTars xu¢: CRfIPACTON4 Y41N0 ADDNESS 11L.N0: uNr: LIC D CO RCTOPS DECL�NATION: I Meeby dlim uMx penely d pmjivy Met 1 am licemed unEer ya+mona W CAeqer 8 ( me . .: Setlia� ]000) d Diveon 9 d IM Bus�s end Pmfeseiwa CoCe. uM mY lirotia e in lull loice eM sflse. m uc. cuss: uc. No.: EX P; � �UILDEP OECLANATION: I hseby elfirm uMer perolly d parjury that I am azemq tmm iM Canbedae Liceme law Iw IM vmp reeeon (Seabn ]0.t1.5 &nira� enE Pmleedmv Code: AnY �iY a muntY ��+ re0uirea e pa�mil lo omeMicl. Mer, impo.a. Eemda�, a repei eny eUucturo, p'v lo ih ewence, ebo rpuirm �he epplimnl la euch peimil lo file e epiwd eblament tlW M a�M o Ibeneed Wn�� o Ihe pwieiona d IM Conireclws Limma Lew �Chepim 9(mmmand�q wilh Sedion lIXp) d Diiiion 3 d �he Biwrev end Rdmaiau Code� or Oat he or ehe ie e�emq tharahom eM IM bmb la Ne elbpad azmmqion. My videiion d Swion )031.5 Ey erc/ epdirani lor e pmmil eubjede ihe eppliuM lo a dvil perieliy d m� mwa than (wa hurdreA ddW� �SSWu. � I,mowiwrdiMpvpenyamyemplvywwihwepesee�heiedemmpanamion,xilldotlroxwk,eiM�heeirvnurouna'nneMeA ndimed la eeb (Seclion )OM. Bueirou eM PMeeeione CoEe: The Conlreclae Limne lewtloea M epplyto n oxw d popeny who dtilEs a inpove� �hereon. end Mn Coee vuch wah limwll a MnM «Uuaph he n her oxn smplqw, povideE Ihel wch imprwemeMa ere m� imeMed or dlereA la e+b. M. howe�wr. �M buldinp a inpownxu u add wnhin one Y� d cam0��. iM ownerLuiNx xiA heve �M W�den W pvmq M n qn AN nal dJld a'unpmro /a Ne qupme d mb�. ❑ �. ea uwnr a �ne wa.m. em maurvNr oomi.a�ro �n �iwwd emn.aa+ro mmm,a u,o w4w (swu� �ou. an'vima ena Pmisavime CaEe: The Camream liceme lew doea ,M eVDN m en owiw d pW�Y xfio dritls a impovr IMraan eM who wntrazb la wdi pqxt+ Wh e mu�rfoe�e) IieawE qmuem to iM CaMreaas lieeree law�. i a��a«s.a�8P7044 B.dP.C.,MUu�eqeon:OW�� BUILDER Uete: • . � �i ,u-,� _ o�„ai. /�- •`n— �'f �MM Nel I em ewma d nd ivMw� IM �W��xaa d Celianie IbMh entl bdetY Code Ssqiwn 25505. 2iStJ. ud . enO Mm 1 a ury Mun dik'vp am1pem. will / wil np (acb an) � to mmpy wih aeA pxe oodes eM iM �epuiransp� tar e G� tamrolruUian a modifmionham�MAr�BueTiyll—enapamam Gand. Ravdwvil w�rw'vn ePV�iuv en eaemq ham thue a�. Dele: Mp�� WONKEN'S COMPFN9ATION DK WI�T10N: I Mraby elfum uMr pmuM1y d px'ryry ar d tM IOGow'uq detlumum: � I have eM wil memlen e cantliuu M mwnt io eatliiwva br waken' cpnpenaetion. a pwidad la by Seeion ])00 d iM leEa COEe, la Ihe pMamvKe d Ne rork la xiirJi iNe peimu u esued. � I hew eM wl meinien xvM1en' mmpeneeton imurw. n esPivsd by Ss'iion 3100 d tln labor Code. b iM qelormenoe d Ihs wwk la whitli ihw pamX ie mued. My waken' compenaetian inwrercw mrrler anE poW.y numEer are: c�;..: Policy Number: s mGion iree0 nN he romplefeC / tM1s pemrp ie br one huMmE dollas /SI00/ w bn.) I ceMiy Ilut in ihe pMamence d ihe wak lor xhch t�u permn �v ieaueE. I ehell na empby enY Ps� in ury mennm o m lo become wbjed to IM woNa�+' compe�veiion lavn d CdAwnie, vM epree ihm ! I ehouk bcann wbjea �o tM xwWie' naa�ion povuione W Sedion �)00 d tM Labor CoEe. I ehM Ia�hwAh comply wilh Nom pwsm�. wd�: 0: Faqun b uc�n wort�n'ro�owetlon eov�isp� li unlirN( end aMll su6/ecf an xnployer b er/Mrxl pm�M1uW na �.p (o an h,ndiM Nouurd tlWl�n (SIOQPOOA M atltlltlon b tln cwf o/ rompxuetlaM1 Lamep� u proHtlW br In s�etlon 3)06 0l tM l�bor Cotls, Inew4 � eRormY� ��u. CONSTNUCIION lEtlDINO A6ENCY: I MreEy el(im uMa peiWiy d perNry iMt ihwa u e �ma�wiion bMi�p apanry lor iM p.�ro�� d me wax i« .m�a, ine o�� o s.�ae (seu'nn �ow. cH. cl. LENDEP'S NAME: LQlOEP'S �DDFE34: I cenily Ihat I heva neC Nb nppficeYm end ptls Ihm Ne eEws iNmmlion e conw. l epne to camqy wilh ell ay enE couniy ad'meMm eM etme lews Mm^V b d+id�q omArumon and nsebY eWv¢a ien��etivee W �Na ceYto eNx uv� �M abv.e�msmionod V�wa�'/ �°`"'P"p'w`0°°°°FRANCIS MUNOZ oma: � — � � -- / L .._.._..w+�...c...... n..rrFJe:.Cene�Y-�a0��: Rnk-ibwnue: Goldenmd-Aeeaemor )�— � PcRM NO: P OS6641 GOVT: N SUPP: N PURPOSE: OTH SQ FT; GROUP OCC: R-3 /U-1 COMMENTS: X iE iE 3F iE iE ik �E jE �E iE iE iE af iE iE iE iE jE iE if if iE if if if if iE iF if if iE iF ik if iF if ik iE iE iE 3E jE if 3F iE 3E 1E iE fE �lk iE �1f iE if jE iE iF iE iE iE iE aE �E iE iE iE �E jF 1E if iF jE if iE 3E if 1f iF �E Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN bUILDING ---------- --------- ACCESSOAY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 4Z226201 ZNE: REF NO; PLANNING NdTES> % iEi!!ElEiEfkiEfEiE �k�1EfEitiE1E1E1liEiElEiE1E1E1fiEiE�EfE�FiEiE1EiElfitiflEiFiFiEififiEiEaF� E EiEiEjEilfEiEiEiEi(1EifiEfEiEjEiE1EfE�fifiEiFlfiE1E�E1EiEiEiF D� V E L O P M E N T S E R V I C E S_i R E Q U I R E M E N T S ZONING APPROVED HY DATE: BUZLDING APPROVED BY : , DATE: APPLICATION I55UED BY: J�/ � DATE: �� ltifiE3fiEiElEikihiElEiEiEiE�ElEdEiEil3EiEfEiF3FiFiF7�iF3FifiF�iFiFiFif7F�f3FiFiFiFiFiF�F3f'3FiF�3FiF7�iFiEiEiEl6iEikikiEiEik LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMEN :N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES, GRADING PERMIT 8.75 25R -,4 SMIP/NON-RES PLAN ,+ ZSSUE FEE 22.00 HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAZD DUE TOTALS----> 6.75 22.00 0.00 30.75 30.75 _00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN-CHECK 30.75 . af if !! 1! dE iklk 1E if iE iE jE 1E iE iF iE iE jE iE 1E �E 3E iE ik iF iF iE if 1f iE if if iF �E if if 1E iE if i! * iE 1E 3E �E iE fE �)E IE fE �E jF fE jE fF 1E iF iE ik if ik i! iE iE 1! �k * fE fk �E iE iE if iE iE if iF 3E iE 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 WASH BASIN � 8.75 8,75 END OF FEES 81-ZB-1998/IB:18 HM/f38.75 RCPTk:81-8818381 PERMIT:086641 / �I rr.-�.� �CONSTRU�510N AND PLANNING `. POOI & SPA ,- i � ; � Date Inspector .` Date inspector APPRO`JI:LS Permit# � APPROVALS Permit#,- i. TpnG'�rary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrqrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgr�d. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electrjcal Bonding S. Steel (ieinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI.70 COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas P'ipe, D U�drgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural FIOor Svstem 67. APPROVAL TO DECK � 71. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final ' 73. Roof Orains 64. Plumbing System � Finai 14. flough Plumb�ng 65. Elecvical-Pina� 15. Rough Elactrical-Conduii 66. Solar System-Final - 76. Rough Electric Wiring i 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED �OR PLASTERING 18. Fough EleMritai-T Bar Ceiting 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Condiiioning FIAE DEPT. REQUtREMEfVT 20. Rough Factory Pireplace ' - APPROVAIS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ven'tilating �' 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush 24. Roof Praming 73. Underymd.Stora9eTank �Gas �70i� 25. Roof Sheathing � 74. Overhead Hydro - 26. T-Bar Ceiling (Structuraq & Monocoat ' 75. Dry Chemical � ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding ' � 77. PIXED SYSTEM FINAL . 29. Insulation • 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: . 34. Final Heating & Air Conditioning - ��/�g /L.Y� /-q��is ' 35. Final Gas Pipe-Test 36. Hood or CanoPY • 37. Final Faaory Fireplace � � � 38. Final Plumbing � � 39. Water $ervice-Final • 40. Gas Service-final � . ' 41. Solar pomestic-Final 42. Backflow Preventer � 43. Backflow Irrigation � '44. Landscape Irrigation System . 45. Sound Attenuation , , 46. Handicap Regulations , -' 47. FINAL STRUCTURE & BUILDING �"' 46. FINAL PLANNING 49. Electric Release to Edison ' :.� �, 50. Gas Release to Southern Califomia Gas Co � "^ 51. CERTIFICATE OF OCCUPANCY No. Date } � ADDNES40i BNLOWO: �] 2 S W 2 O TH ST o�pexwEiF�u+ow":MUNOZ, FRANCES ��+ 725 W 20TH ST COSTA MESA,CA �rv�. Yuimo �oo�sa urcxrtecr on v+ur+�ntn: MCH. OH ENR'S d00PE59: cartx�crarswu¢: LONfXAttOR'9 YYIII10 AWI�SS urn: 92627 uc r�o: UM: I1G W_ uwr: LICENSED COMfl�CfOfl3 OECUFi�T10N: I hsaby drm �kr peWy M pspsy Nn I an fcawC utler provmv d Cheqw 8 (mrvneiw�q we� Gedion �000) d dWbn J d Na &mre end PeoMda� CoM. eM mY Gmiw o u� hA bm md WeC. cm uc. Ho.: uc. cuss: uc. No.: E X P: IDeta: �o�meaac OWNER BNLOER DECLM�TION: 1 hraby dkm �vds peiWy d pwjvy �IW I nm m�p hpn tM Camanm licwma law la IM INbr.iq iaewn (Seeion ]rot s Bin�r+erA Rdnriom Code: AnY W a mnY wT'rli nT� e O�C to mmNcl etls. inpwe. 'amdnR a �eper my ebucwre. pia m b uvuence, ebo ��mo tM applmtl la wM perme b Ae a eqned a�memm Nm he a eM � fiosieM qrtaW to Ihe pw'vbm d tle GatlreOaa Limx law �Ghepls 9(mmmanvq w1h Setlion )OOD) d Oiveion � d Ihe �uauwv eM Rdewiaro Codel a Nm b a ehe o eemp Naatran vd IM bam far iM d4d uaMim. Am' vblmm N Seaun ]03t.5 b/ ury epWirari lu a parmu aAjetls tlr eppfrsm m e dN penely d rc� maa Nen (we huednE do0en ISSWp. ❑ I.nownad�MDAw�Yaim'�x'vAweWnNsebmmv�.wYdothsxpk.eedthemuaunenu'vuudeE a MueE br seb (Sxtar� 10u. Bu�viw erd Pmimaan Gode: The Cartmr�aa lineue LawEms nd ePpYto enoxmr d o�o�Y wM Witls a inpwe+ihason. eM Mc dova �uN � Finaetl n hend a Wa� hn a her orm amGMam. qa'� thet wc� imwawnew ar. na :uaded «weae 1>.ab. n.lnw.w. tA. dad'vp «:nw��+e sdd.dnm ar rw d mnqe�Nn. me x o.,b,a�ud.. �o n�,. in. ew«� a w�n n. «.ns e�a ou aae «�wa+�� o�w�e a.��. ❑ l m mww a �n. ww«n. en� ssJ�+M caareaYn wan cm�d ww.das m m�mm m. wda (seem rou. eu.inrs ene Pralxaims CoOe: The Caurmm lians tew dor ia �WY b en wnw d PW�Y wAo dvYL a impwr Owaan eM Ma mwem Iar arh p9+�+� weh a mtlmeMa) fc�mee P�+to tM Camerme Linrca Isw). ❑ I em memq uMv Sx�ion: B.8 P.G.. b tl� �amc i eo n..M c.iay mm i.m .w. a w uw�.w�d w�ewv.�+.�6 d cwm:. wmn aa sdan coa s.aim. rsos. zsCb..na 2551a. W Mtl I a M' Mim burL'vc ��.N / wil na (acle ane) naaE m mmN/ w11N uk mts mEm eM IM na��aw br •parm'illammvuetimamoAdwionhanlMlv u� S�Ti enepsiru0iueid.R�Eauwlmmrud"vieppimioroenn�emqlmnNeu ove: MD�r.m: WOFKER'9 COYPd9ATI0N OEC Wi�T10N: I AerW� ef6m udr prWy W paejuy oro d tlr b0awp Aetlun'nm: � Ihenudwime"vaen�cenlF�d�mwqbWs�m�bwwkws'miyrmtion.oPa'�lab/SamonSlODtlilwliEn CaM, la �M pMmiwca tl Yr M la wM1'rh N'v pxmt 6lvusd. ❑ ina.wwm.�n.:�.dw..•oomv��:�.+�,o....�.awsw�e�oodm.i.eaeoe..a.u»o.�«�wK.am. work la rA�ich iM D�e b musd. MY wnlun' cunprsuion inmencs artir ud D�Y numEr ur. c� Pofry NumDr: (TM1is eMian nes! rwtW romqMM I fM M^^t u b w» huWW Eo9ers IS�OOf a Nw.) %Q I u�iy Net in IM pMmwics d the wM lor �.fiicl� IM prmE o iwueE. I NeA �w amploy xry prwn N enY me�vier o n to bconn wbjea io tM xaMn' odmenWioo Iex� tl Ce�dmiie. W ep�w Nq � I 4wtl becan� wbjed to tM rMe�e' �v.��, w�.�. a s.ac� noo d m. ten« coae. �.n.e fmn.nn am�ch wn mm. pmwiora. Ons: Appfium: Wun/ni: FWun b ucun wMwi caro«wMc� m+.nw rs u�ww..ne.nx� ml�� n rro�mw ro rxmwwW�u uw r/v/I flm� 1q ro m� �uMiW fMua�M 0o16n (J100,OL10f, N Ndlfbn b IM to,f ol rompw�utbM1 W�npM 4 poNtlsE br In 9�ctlon J106 0I M1 LtlofCodr, IM�ruL ��q'� Iws. coNsrnucnoN ��oirro �o�er: i n.wr .� �m., o«�.er a o«i�rv �nm m.�. e. oam�w� b�o m�v �« ine poAamarKa W tM xwk Iw xfiid� �li's pmmi u uweE (�� . Civ. G). LENDEP'S NAME LENUEX'4 �OOPESS: I ce�iM �� I I�eve reeE Nu epqketon aM pms �hel Ne ebove iNmwion o carted. I e{pae lo comply wuh dl ay enE oounlY �irieMes eiW eiete leMs ielmin0 �o WiWvq cmnrurmn md hareby eWarce npwmieuvee W �hu ary io emar upon ihe ebo.e-meMioned popeM �°`�"'°°'"°""D°°°°PRANCES MUNOZ (S15t-IB.WP) MAwe�BuJd�q d Sefary: Gnen-FJa: Carary-Appkav: RnkJie�enue:OddenroFAseav CITY OF CUS'TA MESA - BUILLING PERMIT PERMIT N0: b 086857 PLAN CHECK NU: N CONSTRUCTION TYPE: PERMIT TYPE: STR 'JOB DESCRIPTION : CE CASE kHR970146, GAR. CONVERSIODI PERM NO: B U868S/ GOVT: N SUPP: N PURPOSE: OTH SQ FT: 300 CLAIM VALUE: 300.00 CALC-VALUE: 300.OU GROUP OCC: R-1 / COMMENTS: CONVERT EXIT, UNIT BACK TO GARAGE, C.E.C#BR970146 (NEW GAR/DOOR) iE if �("IF-0F iE� iF iF iE iF iElf 1k if iF iE'lE aE 1E 1E 1E if !E if iE iE 1E ## i! iF 1E if it ik if i(� 3E ik if 1k M� 1E If ik iM1 if ff 1E iE f! i` 9k i! i! 1k iE iE iE if'k' if if ff 1F iF jf iE iE if f� # iklf !f ?E iE �f if Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN AEAA: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE�• PROV: PARCEL: 42226201 ZNE: REF NO: PLANNING N TES> " i � 'lE �'1F iE iE if if iE if i(� * iE �k i! 3E 1E if IE iE 3E iE iE if i:- iF iE 1E iE �f iE 1F iE iE iF 1E 1E �E iE if iE ik 1f it if iE iE if 1E IE'1E iE jE ff iE iE iE �E iE ik iE 1f �E i� 1E 1E iE ik iE iE iE'lE 1E jE # iF iF 1F iE iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY , HUZLDING APPROVED BY : APPLICATION ISSUED BY: �I.CJ iE �E 3E jF M iE iE iE iE iE if 1f # iE if iF iF �F iE iF iF if LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBZNG ELECTRIC MECHANIC PERMZT 21.00 PLAN ISSUE FEE BUILDING-DIV-> TOTALS----> PERMIT ISSUE PLAN-CHECK 21.50 U.00 0.00 DATE: ' DATE: ��J�� DATE; �-"f -I� if iF iE k iE if iE ii 1k i4�x s�c if jk STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING 50 SMIP/NON-RES TOTAL PAID DUE 21.50 21.50 .00 IREVENUE DIVISION TOTALS--> COLLECTED: 21.50 OVER/SHORT: 00 BLDz1P00 PLUMHING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN-CHECK iE �E iE �lf iE If iE ik it if iF Ik it iF iE if iE fE iE if iE iFlf if if iF iE iE ih �E If iF iE 1F if 1f iE'lE 1f # 1f �F 1E 14 iF i4 ik ik iF if iE ih iE iE 1E ik iF if iF i!� iF iE 9F if iF iF iF ik'7k iE iF if iF If �f if if iE if I N D I V I D 0 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 SFR 300 ALTER HY VALUE RESIDENTSAL NOZONE 1.00 300.00 END OF FEES � �7(�\� �� ez-ea-��aiei:ei wvtzi.se RCDTR:81-0819245 PERP9I T a 086857 CONSTRUCTION AND PLANNWG . �0�.,� SPA APPROVALS Permit � Date Inspecior AppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Eleclrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVA� TO COVER•GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Fioor System 67. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Orains .64. Plumbing SYstem • Final 14. Rough Piumbing . 66. Electrical�Final 15. Rou9h Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencinfl & Access Anproval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 7), Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrncl.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T�Bar Ceiling IStructuraU & Monocoat 75. Dry Chemical � � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FiNAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 37. Plaster 8rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heatinq & 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-Fi�al 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation . 46. Handicap Regulations � � 47. FINALSTRUCTURE&BUILDING _gg ��GC V. �. 48. FINALPLANNING " 49. Electric Release to Edison ' 9 ' 50. Gas Re�ease to Southern Caiitornia Gas Cn 51. CERTIfICATEOFOCCUPANCY - • No. Da[e �' I• �I noonEss or euuuxo: 7 2 S W 2 0 TH S'I' avrhxsru�eira,wm:JORDAN JIM � �nnx�ss:725 W �10TH ST COSTA MESA,CA 992-6861 �x. Wu�n+c �ooxess: MCXRECT OM FNf�lFFA: AfM1l OP FNQ'S /i0DNE59: 92626 14#:iF u�T: CITY OF COSTA MESA - HUILDING PERMIT PERMIT NO: B 086388 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PEAMIT TYPE: STR YNT: cwrn,�c,oirsx.�:DANIELS ROOFING ( 310 ) 865-1965 cam�crovs��w/a 21114 PIONEER BL �ooncss:LAKEWOOD CA ucr+o: 709957 9071 S uNr: 126 t10EN5E0 COMP�GTOXS UECLAX�TION: I MiaEy e9`m �da penely d pejwy Ihtl I vn liwwd �nder pw'v'vu d Cheqr 9 (mmmarvaq vA� Seclion ]OD0) d Divuion 3 d Ne Buri�wn en0 PNroaions COJe. eM mY � w in tul Wd eM eflaa. cmuc.No.: 6566 uc.cuss:C 3g uc.No.: 09957 EXP: 00/00 o�e: / c�u..a�� %'/ ��i � l 1� L/.��lL� OW NEN BUILDEN DECUNATION: I hereby elfi�m uMar perely d parN�Y thet I em'i emq Imm ihe COMietlan Licama lew a tln lollowino ��^ (�� oat S Bueiwee and Proleeeiom COEe: �ny ciy « munly xlnd ,equiiee e permil lo aonevun, eli«, imorrn+. 'emoleh,a repai eiry el�uctura, piorto ne 6eueMe,deo reQuins�he epplicantin vuch permnlo file e eip�qE etetement0iethe oreM licensed W�� to ihe qoriwans d Me CaMredwe Licenee law �Gheqer 91�mmaiq wltA Seeun'lW0) a a+eion 9 d iM �ua'vien vd Proleauna Godel a ihel he ar ehe b exemq ihael�n end �M Eatie ta IM elk0� e�emqon. MY vialetbn d Seaion ]OJ1.5 by eiry eppliceni lor a permA wbpce �M epplcent to e mY pmeMy ol �wl mae �henlwa �uMmd ddWe �550011. � I, a� ownr d Ihe propuly w my mmplv/aea wih wepea m Ihei wb mmpevelion, will Eo iM xwk, vM U�e swciun e na intended a aReraE lor eele (Saction )01�, Buaineaa eM PMaeeiwreCada: The Contreqon Licmae lawEoee nW epplytoen owner d properry wM buida a inD�+s iM1ereon. md Wa Eoss suM work IvmeeM w hanM a Nra� hw a hm own emWoyea*. povided ihet wc� impwxndm ere M iNddsd a dldeE la veb. tl.lqwms, tM WiNinp a inpwanM u edd wilhin oroY� d mmplMun. IM ownarbuitlr wJl heve tM Eurden d ywiiq M a Me Eid nol ddW a impwe la Ne qirywa d aale). � I, m ox�r d the propeny. em extluv.ely wnirraiq Mnh IueneeA eontractwe b cmvruu the qojetl (Sedion ]OM, &»'vw� eM PMeae'vu Code: TM Contredon 'l+'aw lew doee M eppry ro en owMr d popeny who Wilda or impovm �herson ard who mwecb la wrn pqav wuh e mMretlar(a) IcamM qmuem to �M ConVrw+ Limme lew�. ❑ I am a�emq uds Sactian: B. 8 P.C.. br Nu renwn: Dme: � i eo n.reev �wr uw i�..b,. d d,e �.i,�d m. nc��.ro d c.u�v �..nn �d s.ro�v cros s.a�,. zssos. zssa3. m,e u53�. end mm �«.m haws buwma �.;n � wii na (dmJe'me) mee ro oomoN win.eid am. wdw vd �h. m�wr.m«m ror eD�NlamnhuCbnanpESrdionkomlMA'r�i enepan+m0ivria.RmkentNmimvfionWG�iamenexemqlmmUms a�a. Dme: MW�: WORKEP'S COMPENS�TON DECLAR�TION: I Mraby afl'mn u�da pe�lly d{a'ryvy ans d Ms fdbxinp ddvmims: � IheveudrNmmruenacMlkWdmoanitosWiruunbrwahan'canpanwion.npaiEMfaby9atlian�)OOdtMlabv Goda. fa iM pe�lmremw o/1M xvA lor wNch t�u pe�mu is usueE. � 1 hm end xil mdntem warken' campemeiion Inaure�, a� iaquired by 3wim 3]00 d iM Labm CoEe, br iM pe�ormence d iM work ta whiM Iliis pemin ie ivued. My warMere' mmpeneation ineurence famer end pdiry number era: c.�,: PdiyNumba: �This sxYion nesd rror b eomplefeC / Ihs pemr! ie M one h�nEreJ EWlers /S1W) a lesv.) x] I mnh �hn In iM perloimence d iM wark la wlic� iM1ia peim� ie issued. I Mell �al employ any pemm in eny mennm ro u to Eecome vuMed lo �M xaMer�' comVevmion lexe d Celilomie, enE qpee iMt il I ehauk becoma wblW io IM Makan' wmpeme�bn D�'�eione�I 5eaion 9)UO a11M lebor CoM. I duA 1 .�� /� L,GG/� y�p�rn� om.: /�l C1� �ow�u: ��C r r � Wem4p: FeNun ro��e�n ro�lnn'ro�oxwtlon eovenp� /s unMwNA and �l �ef �n rrployw ro eNMrol pxuMu �rM clHl Iln�a iq b m� hurtliM NouurW Co/l�n (SIPqOWA M WJltlon b IM cwl ol roiry�rwWA �W u provMM br In Sectlm J]P6 0l M Ltlor CaY, Inlr��t ��Y�� coNsrnucnoN �v�mra �aeNcv: i nawr �� « w�.M d wrtw �nm inae o. oam�,a� w�m�u makr ro� m. parlormerce W �M v.vrk 1« xfiiM ihe permi u ewad (Saeion 308). CW. C). LENOER'S NRYE: LOIUER'3 ADDPESS: I cenM tAa I Aeva neE Uua eDd�Keiian ud uma Ihet IM ebwe iMwmYion e canatl. I e�ee to mmdf with eA dtY rd m+ruY adinelm aM eW e kws mWiq lo Wikip cmNWion vd hereEy eulha¢s iepeaenletivss d tAe alyb eMa upon IM ebow-meMianstl poperly fa iropeubn purpwes. CHANG KANG (5151de W P) Whne-Buikiq 8 Se/ery; �nervFle; Cenery-Appicanl: Rnk-Rv.enw: (3aldenmFiUnua e �o 00 PERM NO: B 086388 GOVT: N SUPP; N PURPOSE: OTH JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES SQ FT: 5,000 CLAIM VALUE: 5,000.00 CALC-VALUE: 5,000.00 GROUP OCC: R-3 /U-1 COMMENTS: REROOF 9000SF RESIDENCE W/COMP *+r*��r*x��*��***+��*��r�**�*��**�**�***��****x *�***��*�r**�*�r*�**��*****+r*�r�c*�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 R S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: ��'� PROV: PARCEL: 92226201 ZNE: REF NO: PLANNING NOTES>; � iE if 1E�F iE 1E k ik i! ik ik ik if if 1E 1E 1f k iE ik 1E 1k k if k k i! itr iF 1f 1F ik if 1F ik jt It iE ik if if 1t IE ik �t k!f 1k iE iE k k 1f 1E iE if 1f if if i! �k 1E �! 3! iE 1E ik iF 1E 1f.iElf iE iF iF if iF ik ik D E V E�L•O P M E N T S E R V I C E S R E Q U I R E M E N T S � � ZONING APPROVED BY DATE: BUILDING APPROV6D HY : DATE: APPLICATION ISSUED HY: DATE: � kiEiEiEikiEikfEiF1E1f1E1EkiE4if1f1FifiEfE kiEiEiEiEil3E3EiEiE lfif LEGALI2ATION;N ' F E E S U M M A R Y STRUCTURAI,:,SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 99.75 ,50 SMIP/NON-RES PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 100.25 0.00 0.00 100,25 100.25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: .00 BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 99.75 .50 IE ik 3E �f iF 1E iE 1E k ik ik jk ik ik ik ik 1! 1E ff ik ik ik IF iE ik �k if i! if ik iE 1f iE iE iE iF if iE �E iE i! 1E if ik 1k±f 1k iE M IE M iE iE i! if iE ik iE 1E iflE 1f iE iF iF iF it if i! 1k 1F ik iF iE i! �E 1F 1k 1k I N D I V I D U A L F E E B R E A K D O W N T E QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 5,000.00 END OF FEES C1-�5-199t1/1C:37 k;i/i1=�.�� R�.'.i�:�: ��1%6;6 :'t:;i�3I : �,�^�8o,:iL'."-: \ ` CONSTRUCTION AND PLANNING POO� .. SPA APPROVALS Pe�mit # Date Inspector pppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment �ocacion ' 2. Soii Pipe-Undrgr.nd. � 53. Steel Reinforcement �3:=Electrical CondWt UC�lity-Undrgrnd. 54. Forms ' `4'. Eiectrical Condujt•Uridrgmd. -� 55. Electriwl 8onding - �5. Steel Reinforcement . 56. Rough Plum6ing & Pressare Test •6. -Electriwl UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7;.Footings _, 58. Eloctrical ConduirUndrgmd. 8. Foundation . = 59. Gas Pipe, O U�drgrnd., Test 9. Water Pipe�Undrgmd."'' 60. Backwash Lines, P-Trap, O Undrgmd. 10. Struct�ral Floor System . 61. APPROVAL TO DECK 11. Property Sewer Line-,& House�Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Orains 64. Plumbing System - Final _ � 74. Rough Plumbing _ r 65. Electrical-Final 15. Rough Electriwl-CAnduit , 66. Solar SYstem-Final � 76. Rough Electric Wiri� ; _ 67. Fencing & Access Approval V. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 78. Rough Etectrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - , -� ' F.IREAEPT.=REQUIREMEN7 - - - -� _, .. , 20. Rough Pacto"ry Piieplace _� ;; -� _ -",. � APPAOVA'L$: : Peimit# ,` 21. Ducts, in Stru`ccury �- �� .� � � - 70: Undergrovnd Hydro 22.�Duets,VePtilating� _ " Q�� -" 71. ProductPipingO�Gas QOiI 23. Gas Pipe-Aouyh & Test � - � � ' - � ; - 7p, Underground Fiuih: • 24. Roof Framing "` '� - ' ', 7� Undergrnd. Sto��ge 7ank O Gas ❑ Oil 25. Roof.Sheathin ' ' � 9 - �'�p��-� 74._�.Overhead Hydro -� 26. T-Bar Ceiting (Structuraq & Monocoat � - ' � 75�.;-pry Chemical ' " _ 27. Frame and Flashing' , - .. �.' � 76. Ory Sta[idpipe � -, � ; �� - 28. Lathing & Sitling ' - � - = , - 7Z�. FIXED"SVSTEM-FINF\L� ' 29. Insulation � � " , . . Y8. PIRE PREV. F1NAL ` � 30. Drywall Nailing ,_ . °� '" " _ •'-HEALTF DEPT._REQUIW�MENT 37. Plaster BcowmCoat ' _ � ' . 79. FINAL fNSPECTION � _ • , 32. �Eiectrical Power Meter�Final � �- 80! FOOD CERTIFtCATE 153UED+ � , r • t ' . I : � ' Y. , � _ . 33.-FinakElectria• . Notes: ., �� ' _ - ; 34._Final Heating=& Air Conditioning �- -y z - � � a �- ` 35..FinalGas{Pipe-Test ' _ " " � . - ', :: � , . . 36. ��Hood or 6anoPY • �.. x�.' �- . . '" � Y i 37. Final Factory Firepfeca ' "+ '� x �,� ' _ � . ,� : 38. Finat.Pfumbing . c-. o 'Y -+ . . - � - � 39. WaterService_Final' ' , ' �-� I � :. ,� '� ' ,� . � 40. GasService-Final � ' . �. ;� ' ' � • =�� 47. Solar pomestio-Pina� -' � � � , - *'� � � � 42. Backfiow Preventet �• � - . � _ . . �, � � 43. Backflow Irrigation � . ` - � ' � ' �44. La�dscape Irrigation System - %�, , ' %� - . � _ ' 45. Sound Attenuation "' ` ' ' � � " ' - � , � . .. ,: . . _ .. �,46. Nandicap Regulations ' . "��.-" � ' :,, . �:47. FINAL STRUCTURE & BU�LDING ..�/•� �, ; . - ` ' 48. _�INAL PLANNING � . .: � J �. �49. �Electric Release to Edison � , • " � - k 5,0. Gas Release to Southern Califomia'Gas Co � • � � � � •- _ � ' 51. CERTIFICATEOPOCCUPANCY No. Date COUNTY OF ORpNGE BUII.DING DEPT. 636 No. Broadway Santa Ma, Califpmia Phone: KI 2a211 Application for Building Pern AND FOR A Certificate of Use and Occupancy 9 Permit No.��T.��? � Date..�_�� _.'�� ,�si� ................ � U h. � E� F� 1�„ -/�/'(1 Y' �--�-� .................... PHON�:r',.�:_,�� i�,.n- % OWNER'S NAME .. ............. .......... �--� ........... ............. ................... MAILING ADDRESS...Is.�..�. �...� -��if_D.�---- - ................- • .......... CITY._._v. i�/j�f-�-•--/%�l--/�.- Name .----'--'-�----------"---......._ ..... ........... ............................ Name ............... . ........ . - - - - - .. -�� - . ..- - �-- '--� ....... ...............--'----"--............... (Architec[ or 'neer) (Contracror) Address ......-- ................_-----........---'-----' -----....-------.....--•--' �--- Address .......----....... . ... . - --' ......----...'--"-'--...." ....................... City--' ...........................-.............---....... ..--�--------'--"---------' --... City --...-----'--...-------...---....._...�\.... ... ..-..------------...-'------ State S[ate � Lic. No .............------'-....----'----` Phone............ ...............------. Lic. No..------.........__-----"---'------.. Phon ........---------------._..._..... PROPOSED USE:--..-__!�_.4_`.:.1�-n!.Q... 2. JOB LOCATION-------�_-�l�---� LS.........�.�..-��-- .�-•,� ./..... --- ..............--.•--��.�. �-a----:\-J_I �'_` �-.�?--------� (House NoJ (Namc o( S[rect) (Town or School,Distri/ct) . '� NAME OF AND DI2ECTION FROM NEAREST CROSS STREET..-..�� ..L-�%'Gr'.<f._.....1.'E.�` �:5-^�I/¢..GG(�d.�,�p,. �'� ° % ` 3. LEGAL DESCRIPTION: ot- --� --- ��. ----.....----" - Block - -r�-- ----\------ - -- - Tract..........-�f...�'.L....__......... (Metes and Bo�nds Descrip[ion—Use reverse side ot form) � � O i r+ 4. CORNER LOT ��X,3 �NT�RIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) `�� i. SIZE OF BLbG.:----��.�__..._......AREA:.....�_.-�cf_..'�.`._----SIZE OF LOT:...�-D-��L-�......_AREA:_-.---.---�-Q�..�--� 6. HEIGHT OF BLDG.:......___ ..............__..._........_.CEILING HEIGHT:................_....._....._.....NO. OF STORIES....._...... 7. NO. FAMILIES------._---....-�.--.__.-.----.._.Size of Smallest Bedroom:.-----_,�,.� X.l �------------- Size of Kitchen...._.�.�'.X /- :�-.-----.--.--. 8. EXTERIOR WALL CONSTRUGTION:.... ��U_�.�._�............INTERIOR WALL COVERING...._ ��.d..�..�e � (Frame, Stucco, E�tc ,^ . (PlasterDrywall, Etc.) ROOFING COVERING...........!r�..��-�...i'..A.�..�-�� It � -i. �_/P `z ...............- ... � ............... . . ._ ............_...........-.. 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USG OF EACH_..�::�f�.L.�.� ............._..................... ............... � ................ � ......-- - _.............._.......... -- ...... -� �� - ..........................._ I0. SETBACKS: Front �rd From Center Line of Street.......tr..c�....�r..a:�.........._ ................................................ Nearest Side Yard �!�.......Rear Yard.....l......�.�..?��Distance i Feet Between Bldgs. on Same Lot .............._... (Property Li�c) (Vmperty Line) U I L A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURLS AND USE OF EACI9. 12. (a) Footing: Width.....�y .........................Depth in Ground._��...--..---_-WidthofWall..��:.�� ......... (b) Size of Studs:_�.%.x..Y.__........Spacing...�.�.�..........-._-:'CC Material of Floor.----..��:!..c�.�........---"---..- (c) Size of Floor Joists:- -_�1!}-C�:`� ..............Spacing....-----....... ---: -..... ._...:'CC 1; 14. d Size of Rafters :............._-•------�-_------.---...----.5 acin •• c � � X P �..........._.../...G ................. cc VALUATION OF P�.QPO�ER ��K: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal 5..�`.?._.�i�.��✓-- �� .... I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWI.EDGE AND BELIEF THE INFORMATION ]N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. � — //_ `� 9 � � (�wner) Plans Filed:.-•----..........._�f e/-..f�---" ................ t......... . By:....---'-------"-----------------------"----...._....------"---........---......---------...-'----...._ (Authorized Agent) � FOR DEPARTMENTAL USE ONLY 131dg. Permit Plan Check Total • • Receipt No. Paid to • FEES: P�'G �i2_,�'D.---.. GROUP......-�. - ...... . -_.�.�C%��...... TYPE--� ..........................�--.... �Q'D.� DIST. %� l, MAP--------•- -----....5 ) 7'.. ,c`s�'2. _....---- i SHEET NO.....� ............... DATE.-- -..�.�1...��_�: s000--v-ss � APPLICAT ZONING------- ...---��--- PLANS AND SPEC'S ................... �1...... CORRECTIONS Lt11 HEALTH .... ..................... FIRE MARSHAL .. ..................... STATE.._,_... ENGINEER �� hin :OSTA MESA No� � , UCTION PERMIT �: 7� ;,,� ,Z, � a� 7n .w� �. wl U N o Z., Phone %�/L Arch/Eng. - License No. ' Address Contractor r„�Mc'L GoNSl/`u�%io� Phone I hereby affirm that I am Iicensetl unaer provislons oT Cnarter 9 men<Ing with sectlon 7000) of Dlvision 3 ot the Builnes Professions COGe, antl my Ilcense is in full force ana � ucen5e Class ^ Llcense No.- Data�� _�� Signature _ o` I hefeby✓afflrm that 1 have a tertitiwte of conunt (q'self-Insure or a certifirate of Workers' Compensa[lon Insurance, or a certifiatl copy lhereof (Secqon 3800, Lnb. CJ. . ��a:u,Certlfletl copy is hereDy furnishetl. " �=:1 CertHlea copy is file0 wi[h t�e tlty Builtlin9 Divislan. EXEMPTION FROM WORKER$'COMPENSATION DECLARATION (Tnis zection neetl nol be tompleteC if the permit is for one huntlretl SE100) or less). certity that In lhe performance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become sub�eGt [o the WOrk¢r5' CAmpenSdtl C ws of IITOr�i �' Data�I5i9nature � NOTI E: a(ter {naking this tleclaration, you ShoulE come subject to th Wo ers' Compensation provlsions ot the labor otle, you must forthwlth comply wlth Such provision5 or th15 p¢rmit snall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV I he�eby afiirm thal� Ihe�e Is a con5tructiOn I¢ntling agency for the per- to�mance Ot [he w0/k fOr whiGh t�is permit is issuetl (Section 309] Civ. C.L � Lentler's Wme Lentler's Atltlress �— OWNER BUII�ER OECLARATION _ or toun[Y wmtn reqwres a Is II<ensetl.Dursuant to the o�ovisions o/ the ConVactorY License Ldw yChap[er 9(commencing with Section 7000) of Division 3 ot the Bu51ne55 antl Professions Cotle) o� that ne is ¢xempi therefrom antl th¢ -�sis for the alle9etl exemption. Any violatlon of Settion 703L5 by / applicant b� a permit suDjects the applicant to a civil penalty not moro than tive huntlretl tlollars (E500). LJ I, ds Ownel ot tlle ploperty, o� my employ¢e5 with wd9e5 a5 theif sole CompensatiOn, will tlo the work, antl the st�uctu�e is not intentletl or offeretl tor sale. (Se<tion 7046, Business antl Aofessions Cotle: The Cmlyddor'S License Law tloes not apply to an owner ot a property who GuiltlS or im0/oves lne�eon, antl who Uoes suGh wo�k himselt or through his own ¢mployees, provitletl that mch improvlments are not Intentletl or offereC for sale. I(, however, [he bullGing or improvement is soltl within one year ot completion, the owner will have Ihe buraen of proving he tlitl not bulltl or improve for the pur0ose af sale�. ❑ I, as owner of th¢ prOperty, am exCluSiv¢ly conVaGting with Iicensetl contractors to construct the project (Section 7044, Business antl PrOte55ions Cotle: The Conlractor'S Liceuse Law GoeS not ap01y to an owner of property who builtls or improves thereon, antl who con- tract5 f�om such projeC[s wi[h a cont�actor(5) lic¢sn¢tl pur5uant to [he tracror's �icense law). 1 am exempt untler Section B. 6 P. C. for this reason Date py,��¢r I herGby certity that I have r¢atl this application antl stat0 thal lhe above information Is mrrect. I aqree to comply with all Ci[y antl County ortlMances antl state laws relating to construcHon, antl hereby authorize �epre5en[ativEs of thi5 city to ente� upon the dbove enti netl property far ettlon purposgs; .- � Siqnature �� '��"� Daj e � Drivers' License or 55 aC � borderlinesanE LOT NO. ' BLDG. NO. I� }TY,PE OF CO RUCTIO 'LI NEW ADD AITERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DES� IPTIONO WQRK �S F VPE O PERMIT ' ,,.,/ / ❑ GRADING�/ FOUNDAT�IO/N IJ STRVC ❑ TENANT L7 ELECTRICAL L7PLUMBING C ❑ OTHER PROJECT ESC IP ON So.�. • l23� �93 SF. OCCVPANCV Q�3 STRUCTIONTVPE� VALUATION ZONE GRADING CU. VOS. ACRES _ PLUMBING TOILETS ' LAVATORIES KIT. SINKS $ER V ICE $I NK$ FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS. SWIMMING POOL PLAN CHECK SHOWERS URINALS DOUBLE LAVS DISHWASHERS $VMPS FLOOR DRAINS CLARIFIERS PTRAP ALTERATION GASSERVICE OVTLETS ' WATER HEATERS BTU OUTPUT SEWER CONNECTIONS SOLARTANK COLLECTORS SOLAR PIPING SYS. ISSUE FEE MECHANICAL aLArv Cr+ECK HEATING SYSTEM 0-300,000 BTV _ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000+BTU_ BOILERS BTV SVSTEM REPAIR,AITERATION EXNAUSTSVSTEM „MULTIPLE ISSUE FEE CMF 0865-46 White-Builtling; Canary-Appliwnt; Pin -Accountin9; Goltlenrod-Assezsor VLQ'l_ A.P. iK ZONE SET AC tAL 1 VARD ! '.HANIC ��IGHTA REAR VARD (TO ./ PKG.SPACEREO. STREET WIDTH ZONING APPROVi SPECIAL CONDITI ' ELECTRICAL . � PIANCHECK GENERATOR 0-1 KW_1-30 KW _ TRANSFORMER APPLIAfVCE 30-50 KW_50 � KW _ MOTOR$ 0�1 HP_1-30 HP _ (INC. SOLAR) 30-50 HP 50 + HP _ FI%TURES OVTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS �L I00' Pp.NELS MAIN SUB . , � _ � SERVICE AMP HPPLICATION APPROVED BY \ % }.�� OATE SUMMARV OF fEES BVILDING v PERMIT § O. SO SMIP E D' PLAN CHECK S PERMIT . DD ISSUANCE E PLVMBING E GRADING E PLAN CHECK S ' ELECTRICAL b� E PLAN CHECK S MICf20FILM § MECHANICAL $ � TOTAL FEE S PLAN CHECK y LE55 AD- VANCE PC 5 FINAL FEE S • ' • �S TI CONSTRUCTION AND PLANNING I APPROVALS Permit # ��. Oate 1. Temporary Electrica! Service or Pole 8. Foundation � 9. Water Pipe-Undrgrn 10. Structural Floor System 11. Prpperty Sewer Line & F 12. Street Sewer Connection 13. Rough Plumbing 14. Raugh Electric-Conduit 15. Raugh Electric-�ring 16. Rough Heating & Air Co 17. Ducts_ in Structure 23. 24. 25. 26. 27. 28. me and Ftash ilation hing & Sidinc �wall Nailing 29. Final Heating & Air Conditio 30. Final Gas Pipe-Test 31. Final Plumbing 32. Wdter Service-Final 33. Gas Service-Final 34. Solar pomestic-Final 35. l.andsrape Sprinklina Systerr 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUI 41. Gas Release to Southern California Gas 42. CERTIFICATE OF OCCUPANCY � No Date - POO L & SPA Inspector qppROVALS Permit 43. Pool & Equipmertt Location 44. Steel Reinforcement 45. Forms 46. Electrical Bonding 47. Rough Plumbin & Pressure Tes 46. APPROVALTOCOVER-GUNI 49. Electrical Conduit-Undr rn 50. Gas Pioe. ❑ Undrarn. Test ao. rencing tk Access Hpproval . APPROVED FORPLASTERING 60. POOL/SPASYSTEMSFINAL NOTES: �b T pa.e �,,,t I,. Date � InspecfoF_ � �— j � _ � �— �,/� I�'� C�- ��'1 " "r2 5 %1� :� o'�'�' � � � �.� � �rn� �✓ °� c �i�) ��, G � 7� �� - � �, 2t� ,� .�,��' °�`' �-ti► �, a,�, °`� °�`� --�-��' �`�' ��. t,J�, ��-�l.u-�.� -�.�, ��' ..�..W �-�-�, ./�-�.a, a-�-e E%,L �' u, in � h,.t�� f'.�G,�� `�-Q-�'"' . �'"� � i � - g � .,� I i- /% �'-z /�^ � �� .-�.."' S � � � � � � � �„� �� w� � a �, �- � •�..� � � �'�"� a � �� p,► �.�'..a/,,,.�, � ..�-►-, �� c�,��=G�, �� i ,-Q,� e�-`-"�j- %/�,''```�"� f"`'`°,' �!�U •�`�'`� � � � v , � � (/ N `� U� � NQ�'"� °� �a-�� o�, ��- � �� ,u��o �,., � � � ,�� —)a-�� <�°'�"`'� � � �,,,4,.�- i � �-' � � .,to., u�� ,�t. �,,:,'� t,� i�`' v � � �` � ,,,'°.�,,.�- M �.�-�- �" �"�-°.' °C�`�� -c� ��`� . '� �;,�.3-� �,.,.,�,� �' .� a .,�-1� � �'" c=�-�-�' ��, � , ��p-,�,,,��b �� j�,, c��'`—., -' � c e..e,-'�- `'��F�✓- I� E .,G►��""" 6-`' �.�rr� 1,�. , i%il �CJ�./�'`�''^' (1 �}�� W Q,,,�i C� Ca�`�`�,Ql`' � ��ycc� � � C °,y�,�,� C�ti �"� � CtJ �,�-�i� '�'� ��'"'�� .,Qc��s � � � � �� ,.��' ��,�.� ��.�.� �-: L� `�,� .�� ,,,�.,� x� �f� ,�,� �,� -� �a w�: � �� . � �' � � � w� � �,,,� o-� �- r� � �� 2��- �''�O' �,�.,�, �-�'� �Q ,°� � �� ,t�.,�-� �(''°�'.�,�`-�� ,, f,,.�„ ��`.�'`G ° " � - �� , o-�"" `�-� `�� -�`'" � � � �,,c.�� ..i�-, f�` -�` � �, �! �� o-u-�t � '''�`"" `� � rn� � �� `"bl��- � � u'�`�J� ��'!�` ..�E- � �-,� �-�i.,.-�, T�` �' �`�,� T.��.- �' �� ``p, ��„'� / � ♦ Y, J -� r' !i FjOy�� .� ��' , � �1 '� �' r �o ��,7 �A ♦ •'O ".' • f- � � • � ,� � , s:p• �• _ � . pQ.4 . ��', +, �\�, �>. ' : n o � ' RESEARCN REQUEST FORM ACCOUNT NUMBER DA TE CIRCLE WORK NEEDED 1RANSCRIPT BREAKDOWN S7ATEMENT FILM JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC YEAR(S) ORIGINAL DATE POSTED i 682-652 DAILY SAN FRANCISCO AMOUNT REFERENCE NUMBER BASE II INFORMATION NEEDED DATE POSTED AMOUNT REFERINCE NUMBER AVAIT.ABLE C/L DATES & TOTALS REQUESTER COMMENTS: RESEARCHER COMMENTS: MDT PURCHASE DATE REFERENCE NUMBER NEEDED C!TY OF COSTA MESA C017STRUCTION PERMIT Address - ArchlEng. Address Contrattor � Addrebs t to lill in all s PERMIT NO. �� t within heavy borCer lines antl sign all aOGropriate tleciantions. TRACT NO. LOT NO. BL�GI NO. '-r . �`$T TVPE OF CONSTRUCTION Phone � (e�O ❑ NEW ❑ ADD O ALTERATION - ❑ REPAIR ❑ CONVERSIOIV ODEMOLISH 'License No. p� ❑ OTHER . , . DESCRIPTIONOFWORK I hereby af(Irm t�cl I am IlcenSetl untler provislons of Char[er 9(com- mencing with section 7000) of Division 3 of [he Business antl Professions Cotle antl my II<ense I�Jp t Il�orce antl effect. License C"l�asz � nie Da[enr�{ . -�-Q Signature WORKERS' COMPENSATION DE LARATION - I hereby affirm that I have a tertlfltate of ton5ent to 5elPinsure or a C2r[ifitdte of WOIkeIS' COmp¢nSdtiofl InSurdnfR, of a certitietl copy tnereof (Section 3800, lab. C.). s2l,icy No. Company - !.$ertlfietl copy IS her¢by turnishetl. � �i„ ,=,"t¢rtifi¢tl copy is filetl wilh the Uty Builtlin9 DiviSiOn. . EXEMPTION FROM WORKERS'COMPENSATION OECLARATION (ThiS section nMtl not �be Completatl It t�e permit Is for one huntlretl �5300) or less). � ' ' I certify Ihat in Ihe perfo�mance ot the wo�k for whiCh�this permii is issuetl, I shall not employ any p¢rson in any manner so as to become Da[e �'"� • 1,C Signa[ure � Q"�'n�L NOTICE: It atter making this tleclaratlon, you shoul4l�become subject to the Workers' Compensatlon provislons of the Labor Cotle, you myzt forthwlth comply wi[h such provisions or ihis permit shall be tleemetl IevOkGtl. _ CONSTRUCTION LENDING AGENCV I hereby 5ffirm that thme I5 a mnstruction lentlinq agency for the per- (ormance of the work for wnich thls permit i5 issuetl (Seciion 309] Civ.i C.�. `' Lentler•s Name Lentler'S Adtlress � � OWNER BUILDER DECLARATION �' " I her¢by aftirm that I am exempt hom [h¢ Conlydc[or's License Law for Itie tollowina �easan ISec[ion 7031.5 Husiness antl Professions Cnile: ap, ucane w� sucn permrt to tue a �cnapter v(commenung with Section ]000) oi Division 3 of the Bu5ine55 antl P/dBsions COtl¢) or that ne is e%empt therGhom antl the basis for lne all¢gGtl exemption, qny viOla[iOn of Section ]031.5 by applicdnt to� a p¢rmit-subjecls the applicant to d tivil penalty ri more than live buntlretl tlollars.(E500). �, ds own¢r 01 lhe properly, or my ¢mploy¢¢5 with wages as thei� Sole compensatiOn, will tlo lhe work, antl tne St�uctur¢ is not intentletl or offereG (o� wIC ($eGtion 7044, BuSinezs antl Professions Cotle: The Cont�actor'S License Law tlOeS not apply (O an Owne� of a property who builtls or improves thereon, antl who tlues sucM1 work M1imself o� througM1 hi5 own employees, provitletl Ihat sucn improvements aie not intentletlbr offeretl for sale. If, howeveq tne builtlinq or improvemen[ Is sold within one year of completioq the owner will have the burtlen of proving he tlitl nol builtl or imptove for lhe purpose of sale). ❑ I,' as owne� o/ the property, am exclusively contracting wi[h licensetl Conbactor, to const�ucl [he project ($ectlon �044, Bu5ine55 antl Ro/essions Cotle: The Contractor's License Law'tloes not apPly to an owner of property wh0 builtls or ImprOv¢5 Ihereon, antl who com lracts /rom suth projecls wi�h a cont�aclor(S) licesnetl pursuant to the ntractor's License Lzw). I am exempt untler $ectlon B. & P. C. for tnis reason Date Owner � I h2rEby certifytM1Jt I havo reatl lhis appliCatiOn antl state lhat the above Intormation is correct. I a9ree to comply with all city antl counry ortlinances antl stale laws relatlnq t0 con5truclion, antl hereby autho�ize representaliv�of lhi5 city to g�ter upon the above mentiOnetl TVPE OF PERMIT � ❑ Gf3ADING ❑ FOVNDATION ❑ STRUCTURAL ❑ TENANT ❑ EIECTRICAL OPl_UMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. - OCCUPqNCV_CONSTRVCTION TVPE VALUHTION ZONE GRADINGCU.VDS. ACRES PLUMBING PLAN CHECK BATHTUBS • SHOWERS TOILETS UR�NALS' ' LAVATORIES OOUBLELAVS KIT.SINKS DISHWASHERS SERVICESINKS SVMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS INTERCEPTORS CLARIFIERS SWIMMINGPOOL ' PTRAP WATER SERVICE ALTERATION GASSERVICE- OVTLETS • WATER HEATERS BTU OUTPUT SEWER CONNECTIONS SOLARTANK COLLECTOR$ SOLAR PIPING SYS. ISSUE FEE MECHANICAL aLAN CHECK HEATINGSVSTEM 0-300,000BTU_ AND DUCTING 300,000 t BTU _ REFRIGERATION 0-300,000 BTU_ �SVSTEM 700,000 t BTU _ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MVLTIGLE Signa[ure `^ o"�� Date �� I Drivers' License or 55 � —/ � / �SSUE FEE CMF 0865-46 W�Ite-Builtling; Canary-Appliwn[: Pink-Accounting; GOICenrotl-Asseisor tl `Jd42 Iu%�'F/ :� ING REGULA710NS ZONE REAR VARD (TO PKG. SPAGE REQ. ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL PI.NG. REF.+jj . ' a��VNL NF. PROVIDED PARK FEE S � ' �ATE PLAN CHECK �, , (�ENERATOR ' 0-1 KW_1-30 KW TRANSFORMER APPLIANGE 10-SOKW_SO+KW MOTORS ' 0-1 HP � ]-30 HP pNC.50LAR)" ��30-50HP SO+HP IXTURES OVTLETS� SWITCH GAS TUBE SIGNS POLE LIGHTS , PANELS �MAIN 'SUB SERVICE ' ' . AMP ISSUE FEE APPLICATION DA � I :01� TL � SUMMARV OF FEES � . . BUILDING .PERMIT $ SMIP � $ _.� PLAN CHECK $ . PERMIT � , ' ISSUANCEi E--- PLUMBING 8 ' � GRAOING E�_ PLANCHECK $'�IJ. IS $ 'ELECTRICA� $ . � PLAN CHECK g � MICROFILM S MECHANICHL $ TOTAL FEE S. PLAN CHECK g ' LE55 AD- � � � VANCEPC E___- FINAL FEE $`S$/� CONSTRUCTION AND PLANNING POOL & SPA ,�' Date Inspector - ' Date Inspector�� T APPROVALS Permit # ^3 APPROVALS - Permit # 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location �- ` �' . i ipe-Undrgm 4. Steel Reinforcement - � - 3. Electrical Conduit Utilicy-Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bondin � � �� . tee ein orce 47. Rou h Plumbin & Pressure Test � 6. Electrical UFER Grn 48. APPROVALTO COVER�GUNITE 7. ootings 49. Electrical Conduit•Undr rn ' � ' S. Foundation 50. Gas Pi ,❑ Undr rn, Test •� ••� 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra � n r rn 10. Structural Floor System 52. APPROVALTO DECK - 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing - ' 14. Rough ElectrioConduit � - - � •�56: Electrical-Final ' � 15. Rough Electric-Wirin (�- -'Z 57. Solar System-Final 16. Rough Heating & Air Conditioning • encing & Access ADProval 17. Ducts in Structure . APPROVED FOR PLASTERING 18. Duc[s, Ventilating , _ 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAI " 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. •�Insulation - + \ 24. Lathin & Siding 25. Drywall Naiiing 26. Plaster Brown Coat � 27. Electrical Power MetenFinal � 28. Final Electric 29.- -Final Heating & Air Conditioning . ' 30. Final Gas Pipe-Test � 31. Final Plumbing - 32. - Water Service-Final '- 33:. - Gas Service-Final -- � 34. Solar pomestic-Final � 35. Landsca S rinklin S stem � 36. Sound Attenuation � • 37. Handicap Regulations � 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed ' � ' � 40. Electric Release to Edison ' ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY . No Date =�C�Tj�,OF COSTA MESA CONSTRUCTION PERMIT Adtlress Adtlress fill in all spaces within � ��°i��/ Ph•�t� `i i - License No.7Ai�7 y^, I hereby atfirm that 1 am Ilcensetl�untler provislons of Chdrter 9(com- rqencing with sectiort 7000) ot Dlvltion 3 0� the Buslness antl Rofessions Coqe, antl my ❑cense is in full force antl eHect. Llcense Clan " License N OatO Slgndture ' WORK S' COMPENSATION OECIARATION I bereby atfirm [hat 1 have a tertlficate ot consent selbinsure or a cerUfiCate of Workers' Compensatlon Insurance, or a certifietl Copy tnereof (Sectlon 3800, Lab. C.). RJ CertlfiCtl copy is hereby furnishetl. d CertifiBtl Copy IS filltl witb the tl[y 6uiltling DivisiOn. EXEMPT�ON iROM WORKERS' COMPENSHTION DECLARATION IThis sectlon neetl �ot be completetl if Ine permit Is for one �untlretl SS100) or less). ce/ti/y fhaf m th¢ perto�man[e of Ihe work fOr which thit permit Is �SSUetl� I shdll nOt emplOy dnY p¢rson in any manne� so as to beGome SUGject ro the arkerz' Compensat' Laws of ❑far �o. Date Si9nature '�- NOTICE: t after making thiz tleclaratlon, you sho be<ome 5ubjett to the Workers' Compensa[ion provisions ol the W Code, you mus[ forlbwith cOmply with Suth p�ov'�slOnS or this permit shall b¢ tle¢metl �lvok¢tl. CONSTRUCTION LENDING AGENCV �' � � 1 he�¢by afiiim Ihat tbere I5 d[OnSVu[[Ion lentling ageqcy for �he pEr- formdnt¢ Ot the work for whiG� tnis permit is Issuetl (Section 309] Civ. C.1. I= . Lentler's Name Lentler'S Atltlre55 - ^ OWNER BVILDER DECLARATION ! �erCby aftirT that 1 am exempt from the Cont�a[t0/'S Licens¢ Ldw fo� the tollowing reason (Seclion ]031.5 Business antl Professions Cotle: Any city or county wMch reqWres a permit to construcq alter, improve, tlemolis� or repair any structure, prior lo its izsuan<e, also re- quires the ap0llwnt for sucn permft (o file a sfgnetl statement tnat he Is licensetl pursuant to the provisions of the Con[ractor•s Licens¢ Law (Chapter 9(wmmencin9 wiro Sectlon ]000) of Division 3 of [be BUSIOCSS dpd PIWESSIOpS COGC) or that he i5 exempt thereAom antl tbC basis for the allegetl exemptlon. Any violation of Se<tlon ]031.5 by any apP��t br a permit subjeccs the ap0�� to a civil Penalty of not more than five huntlretl tlollars (5500). rl �, as owner o/ tne property, or my employees with wages as [heir CompenSation, w'tll tl0 the wo�k, antl ihe SV4cture is no[ Intentle0 or offeretl for salc. (Section ]044, Business antl Rofessions Cotle: The Cont�attor'S LI<COze Lnw tloes nOt dpPly to an owne� o( a p�operty who bullds or irl�p�Ov¢5 thereon, antl who tloes SUCM1 wotk himself or throu9h ni5 own emPl0Yee5, provitletl [hat SUCh irnprovemonts are nol Intentl¢tl Or otteretl fo� sdle. II. howeve�, the builtling or imProvament Is soitl witnin one year oi compietion, the owner will have [nc burtlen oi prov'�n9 he tliq not builtl or imp�ove for the purpose oi sale). ❑ 1, as owner Ot the prOP¢rly, am e%cIU5lvely Cont�dCting wllh _ qND DVC 44, Business not apply to ' �` itl who Con- REFRIGE pursuant to SYSTEM borGer lines ana sign all appropriata aeclarations. TRACT NO.- LOT NO. �BL�G.NO. TVPE OF CONSTRUCTION ❑ NEW ❑ A00 ❑ ALTERATION ❑ 0.EPAIR ❑ CONVERSION OOEMOLISH ❑ OTHEft DESCRIPTION aF WORK ❑ GRAD�NG ❑ FOUNDATION O STRUCTURAL ❑ TENANT ❑ ELECTRICNL �PLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION Sq. FT. OCCUPANCY�_CONSTRVCTION T_VPE VqLVAT10N 20NE GRAOING CV. VDS. ACRES PLUMBING 701LET5 KIT. SINKS SERVICE SINKS PLAN CHECK $HOH'ERS V R INHLS DOUBLE LAVS DISHWP.SHERS FLOOR ORAINS DRINKING FOVNTAINS INTERCEPTORS CLARIFIERS SWIMMINGPOOI PTRAP WATER SERVICE ALTERATION� ' GASSERVICE OUTLETS WATER HEA7ER5 � BTU OUTPUT SEWER CONNECTIONS iOLHR PIPING SYS. • �SSUE FEE fs or a cc Gil am exempt under Section 8. & P. C. fOr IhiS reason Oate Owner I hereby Certify thdt I have reatl this applicat(on antl state that tne aboVe Information is corrett I agree to compry with all citY, antl county o�Ginanc¢s.antl [¢ laws telatin9 to con5[�uctlon, antl hereby authD�ixe �representative o this city to e�9er upon the above mentionetl property for s [ion r>oxs. _ f. �. Signature � ` � ,�Date � � T/ ' - _- --� -, / <� COLLECTORS CAL ALAN CHEGK SVSTEMj`0-100,p00 BTV � fINGi�t��,300.000 + BTU _ 2ATION 0-100,000BTV� 801LER5 SYSTEM REPAIR,AL E%HAUSTSYSTEM ISSV E FEE � BTV MULTfPLE � / ZONE '� � `' -'.' . . REHR VARD (TO P/L) PKG SPACE REp. STREET WIDTH ZONING HPPpOVED BV SVECIAL CONDITIONS= ELECTRICAL PLNG. REF. � PROVIDED PARK FEE PLANCHECK GENERATOR 0-1 KW__1-30 KW TRANSFORMEq APPI.IANCE 30-SOKW�SO+KW MOTORS p�l HP_1-30 HP (INC.SOLAR) 10-SOHP_�SD+HP FIXTUHES OUTLETS SW�TCHES GA$ TUBE SIGNS POLE LIGHTS PANELS MAIN � SVB $ERVICE AMP � APPLICATION APPROVEO BY SUMMARY OF FEES DATE BUII,.OING ' - PERMIT $ SMIP ' E PLAN CHECK $ PERMIT PLUMBING E � '—' �SSUANCE S GRADING S PLAN CHECK $ � g ELECTRICAL $�'_!„J.J $ p� oN CHECK y MICROFILM1A S MECHANICAL $� TOTAL FEE b PIAN CHECK § LESS AD- � VANCEPC $_ � FINAI.FEE S� CONSTRUCTION AND PLANNING POOL & SPA . � "� �' APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soil ipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce � 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE' "' 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra ❑ Undr rn � ' 10. Structural Floor System 52. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12..� Street.Sewer Conpection �`�, 54. Heater & Vent-Final 13. . Rough Plumbing � � � 14. Rough Electric-Conduit �56. Electrical-Final 15.- Rough Electrio-Wiring 57. Solar System-Final - 16: Rough�Heating & Air Conditioning • Fencing & Access Approval 17. Ducts in Str.ucture ` 59. APPROVED FOR PLASTERING 18. Ducts, Uentilating _ _ . ' 19. GasPipe-Rough&Te"st � • ' 60. POO;L/SPASYSTEMSFINAL � 20. Roof�FT3ming,_..__ � � 21. Roof Sheathin � �� NOTES: � 22. Frame and Flashing - 23. Insulation .gj� 24. Lathing & Siding -d 25. Drywall Nailing � 26. Plaster Brown Coat 27. Electrical Power MeterFinal / -�-�Z 28. Final Electric 1 - 29. Final �Heating & Air Conditioning u 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final ' 33. Gas Service-Final � 34. Solarpomestic-Final ' 7COfI1p8t8111Sp8CYlOf1S 35. Landsca e S rinklin S stem '• � 36. Sound Attenuation � 8te i __ 37. Handicap Regulations - - � - 38. FINALSTRUCTURE&BUILDING 39. Special Requirements'Completed 40. Electric Release to Edison 41 . Gas Relea3e to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY . No Date e I c � � �.� _ e � . , - �� - �3 �� ✓YYI ✓2� 'yI , �-. •vj� �n-�J . W .s�.-_ V.s-=-�, .�a �, w�, A a--�, � �i� .�-a � �-�.�.. .�-- /3v-�s-� �� °�d� �tc� �-�- -� c�a� -� a �Q �i -� a, � ,-a.�J,�e.,,� � � a � .�.. � Vc.., a,,., c,�,�e4� `' c�,,, �9, w.,�- j�� a i-I:� aP�; .�T-k,� -�-�-_-� �� o�.�..�,�1�. �. -� �-�. .ti;-, �./�.�-� d.P. � d-�r ed �-�/� � � c,e. � �,�,v _e.�o:f� .�►, � �-"� ..�.;� �L�_e,t�-� CJLc.�-� d.P a-¢.�� Ca�+ Ca-�.tir..� %�-�� o-c.. �'�u� �,z ,-�,ti -�i3-�/ �f3.it�..�;,.J Q D D-�L1.. �'Yi.�2%r.;� .�-%L e--Q�� _ v�t Gl.�-�.eLo �i �C3a-��, ef :�u-t� �/1A o-o-'� �cl..e-e.,� 4 P 0 -�J77 62t�1 0-u�t. l�./Le-�� _ CJ e-a.. e—��, .�i-� "7 %.rt-�Ja.d.en--t- C� °�' a Cc• ,,.�,7 o-�R�t.,� ,�;.., .;Cl..� �° �lt � a-d , ../�- - �� .�o e-Q-a�-.Q Cc��o,�� _ li,,t� �Q,ay„r�I Q..c�.a-_ .,e.0 CJ�.t tJ.3-11-,v� ��Gi... �,. .3-1-,..�-o�., ,�.,�. t�N�.� w .�,Et,. ��. .�-�;/ e,c.��n � � +��- � ,.t.�c .,�-� e� ..� A � �-�-Q- .�&�-c�,�a�., W-�. .A�,,.� .�..-, �. � � .�.s� 6� :�....� .,�, =- �r-� � �.�`.� '3.u.� in-, c-n N a ..��---�- � 6 `t�' iJ.,--E�- ..�-a. .iLl. �c.o"`� '�u�, .,(. c;� �Q .��i`.°�°-`-�'" �. �,4.,�.�.,�.�.,.�� a-n� 0. � �� A �-�-` �',`'"�`� �� b,�.,,� �, �-�-r-� �.. �� < <-�--� � .�. �-I ..� d-�-�U �F � �¢ ..,�., �- �, ,�. � �t� �-�- 6 (a��y .�,� .,�. .,�,� � .�;i�,� �„� 7'ti�l:� .� d, .,t�. -� s-� �-�, ��,v �-a� �,Q. y .�,�,,,�.a.� c�-'� � .s�-�cr- a-r, 8,a w..; i� �- a --� ✓u-� �� 6-�, .�.Q �n-��-�..�--- T..� � �`�- �� "�'�..�.�.� �� ,��,,� �< .�d.,,,,�„� � �...�. .,, C �-v � ��l B�.►.� �'�1 � `'1'''��'"�` � �,. . i �. ,' . A�� Gu�� ti(� � � �1��3 �� 3�� y�� OWNER MORA� PAUL L, � DATE 3-'��-55 � JOBADDRES$ 7ZS �"r• 2Q�h St, BUILDINGPERMITNO. 9EJ2 GENERALCONTRACTOR Qp7nep-Bll11dPT VALUE $B�OOO.00 � AP 11 -342-39 BLOCK TRACT Addition of living and - o�� sleeping quarter��a�Ts [',ROUP i I TVPE V ZONE :w FIRE DISTRICT JI� � ' PERMITS ISSUED INSPECTION$ DATE SUBCONTRACTOR ' DATE NUMBER Footina 7rench ,.�'s� i; f � 'Q�� — Foundation Forms and Grade to G Rough Framing p ' � Plumbing, Rough t� o Sleb Plumbing, Rough Complet Temporary Pole Wiring, Rough ` Heating, Rough Heating, Final �ewer, House Sewer, St. Septie Tank or Cesspool L' ��ng,ln Out h .ering /,3 � Plumbing, Final, Fixtures Complete _ Plumbing, Final Gas Test / �j� Wiring, Final - Occupancy � — � v'o��•a'rilesa Bui,uuig Lepartment APPLICAiION F�R PERb1[T -.. 711 EAST 20th STREET �9g3. .__B.U.I_L D.,LN .G .. _ _. _'�: ' COSTA MESA, CALIFORNIA -- � � FOR AP�I.ICANT TO FILL IN ' �OR OY+'FIC� US� ONLY � R ceipt No. I Permit.No. Building �2 � � �O _� _ — _ Address � . _y ` Costa D�esa, California � ;� 3 0� { 3 at �� Neafest I CrogsSt, r^'YL 4.-�L� Buitding -7 � P� Address / ;�, � �.1.J '� �- 6 isy owner �}U��.%} COStaMOSe��California Mail �1 �,Q. Address ��p.+Q Nearest /� i Tel. �y f� Cross St. Gty C" � '�.1 -� Nc.� Q, I D Zo No.of Type� I Gruup . ArcNitector Lic. � I P�a�$ �I � i Engineer I No. Approved �Cvl%�j Dat�� ,�, — by - •-�ress ^. GORRECTIONS � � (Attach Metes and Bounds) � f��/.�`�0�4 a" Q i No. of Bldgs. �f - - - Size of Lot �� I Now on Lot °�-� � - �" ' Use af No. ot No. of g � S Existing Bldg. _j'� I Familie� I RoomsJ fi�� n_ � � Setback Line from / Rear Yard � —��-� �Q�S - Center of Street (J Side Vard �� nI �+ • � D�SCRIPTION OF WORI{ —�/-� O—v p7�� New I I Alteration I I Addition I �"U� (1� _ . Repa�r ' I Moving I � Demolish I 5 Building y �No.of �'ee �i O�Y ,Zp Rooms y Stories � ._ erior W I Roof /� � � .vcring ' � Covering (' , , APPROVALS Usa of New gi��9 � `�� Foundation Location Inspector Date Forms, Materials, G Under•Pinning s, , Frame: Fire Stops, Bracing, Bolts I hereby acknoa•ledge that I have read this Application Lath. Irit. � and state that the'above is correcl and agree to comply Lath. Ext. with all City Ordinances and 5ta[e L¢ws regulating ' titti]ding Constr ��fff . Signatureof —�/� P�aster,lnt. ' Permfttee _ _ _ I PlaSter, Ext. Authorized Agt. Masonry Reinforced Yalu.ation Permit Fee $ � �7 � �'1 �� Plan Check $ �C� Bond Beam a " Feea' S �- 3. • r FINAL �/� i e...... 'L�� G- lit 1'G-6i rLur ri.a!v � t • Show location and�,distanees from property Iine�and between buildings. ,4-; .' . . ' . a_ :;, � _ ' - . Do you carry Workmar's Compensatiori � Insurance? Yes �1 :'a � . I am acrare e� ?ro-iisica 57�Q c= �he Ci.a2e Labor Coc.e ��nich rec_u_a•:� e•.'ery em,rloyer � to be iz?su;cd again.�� 1i25iiity Yor worknan's compensation. � $igaed: