HomeMy WebLinkAbout377 21ST ST - Building Permitst O - / i ♦
� CITY OF COSTA MESA
� �� BUILDIWG DIVISION
�. DEVELOPMENT SERVICES DEPARTMENT 698-00959
4 � � PERMIT PERMIT NUMBER
`�om�
(714) 754-5273 • Fax (714) 75a-4856 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 �
Job Address: ' 377 21 ST ST
Suite:
Vicinity:
Parcel Nunmber: 42623228
Applicant: HISGEN, BRAD
Address:
Owner: NEWPORT HEIGHTS TWO
Address 1501 WESTCLIFF DR
SUITE 260
NEWPORT BEACH CA
Zoning:
Phone: 714-964-1561
Zip:
Contractor: BRAD HIGSEN CORNERSTONE
Address: 20841 GLEN CAIRN DR
Arch / Eng :
Address:
I:A:�N_\
260 SQ FT PATIO COVER .
Phone:
Zip: 92660
Phone: 714-964-1561
Zip: 92646
License: 709138
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
Stalus: ISSUED C�U.
Applied: O6I03/1998
Issued: O6I03/1998
Plan Check: $0.00 Calc Valuation: Sz,000.00
Permit: $62.25 Ciaimed Valuation: 3z,000.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $62.75
PLANNING & ZONING •
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING . Ezistinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Reouired: 0
0
Left 0- 0
LeN 0- 0
Pr000sed: 0
Right .0-0
Right 0-0
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned
for a period of 180 days.
i
INSPEC710NS: In ortler for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inapaetlona end finel epproval must be obtained. Failure to obtain inspedions and final approval will result in the expiration of this Dermit.
FOR INSPECTIONS CALL: (714) 7545626
■ )
�
WORKERS' COMPENSATION UECLARATION:
I hereby affirm under penalry of perjury ane of the following Oecleretlons:
❑ I heve end will maintein e certiticete of wnsent to setl-Insure for workers' compensallon. es proviCed for by sectlon 3700 of Ihe Lebor Cotle, for the pertormance of the
�ork for which t�is permil Is iuued.
have end will maintein workers' compensation insurance, es requireC by section 3700 0} ihe Lebor Code, tor the pertormance of ihe work for which ihis pertnit is icsued.
My workers' comp�C n Insur nce r entl pollc�numDer ere: ����� ^�,/���
Cartier. i d Palicy Number. (/v
(This sectlon need not be comp/etetl il Ne permit is ve/ued et one huntlretl tlollers (S 100) or less.) .
❑ I certify ihat in ihe Dertorma e oi t�e work For whlch this pertnit is issuetl, I shell not employ eny person in any manner so as to become subject to t�e workers'
compensation laws elifo ia, entl egree thet It I shaultl �ecome su��ect to Ihe workere' compensetlon proNsions of Section 3700 ot the Lebor Code, I shall torlhwith
comply with ihese pr /� ('�
ApplicaN Signeture: Date: V � � �h
WARMNG: FAILURE 70 SEWRE WORKERS' COMPENSATIIXJ COVEPAGE IS UNLAW FUL AND SNALL SUBJECT M! EMPLOYER TO CRIMINAL PEfJALT1E5 AND CML FlNES UP TOONE MUNDRED
T/%%15AND DOLLARE (5100,000�, IN AODmON TO THE WST OF CpAPENSATION, OAMAGES AS PROVIDED FOH w SEGTION 3108OF THE fABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn ihat I em Ilcensetl under ovisjt
force and ettec�. Lic. A�
Contrectors Signeture:
Chepter 9(commencing wi�h Section 7000) of Dlvlsion 3 of Ihe Business an rofessions Cotle, and my license is in Full
Class M
Date: �i � k
CONSTRUGTION LENDING AGENCY: .
❑ I hereby affirtn Nat there is a wnstructlon lending egenry tor the peAortnance of the work br whlch this pertnit is issuetl. (Sec. 3097, Givil Cotle).
Lentlers Neme: Lentlers Adtlress: �
Signature: Date:
OWNER-BUILDER DECLARA710N5:
I hereDy eNirtn that under penalry of perjury thet I am E%EMPT FROM TME CONTRACTORS UCENSE LAW tor the following reeson (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires e permit to construct, elter, Improve, tlemolish, or repeir any strucWre, pdor to its Issuance, also requires the applicant for such pertnit
to file e signed stetemem ihat he or she is Iicensed pursuent to t�e provislons of ihe Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of Division 3 oi the
Business end Professlons Code) or ihat he or she is exempt therefrom and ihe besis for the ellegetl ezemption. Any violetion of Sectlon 7031.5 by any applicant for a pertnit
subjecls Ihe epplicant to e civil penalry ot not more ihan fiva hundred dollers ($500).):
❑ I, es owner of tha property, or my emD�oyees wlth weges as their sole compensetlon, WILL DO THE WORK, and the structure is not intended or oflered for sale (Sec.
7044, BuSineu and Professions Cotle: The Conlraclors LicenSe Lew doe9 not epply to en owner oi properry who huilds or Improves lhereon, entl who tloes such work
himself or hersel� or �hrough his or her own employees, provided thet such Improvemenis ere not Intended or offered tor sale. If, however, the bulitling or Improvement Is
sold within one year of completion, the owner-6ulltler wlll have t�e burtlen of proving Ihet he or she tlitl not bulltl or Improve tor purpose of sele.).
❑ I, as owner af Ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construd the project (Sec. 7044, Business and Protessians
Cotle: The contractors License Lew does noi epply to an owner ol properry who builds or Improves Ihereon, end who contrects for such pmject wit� a contractor(s)
license pursuant to Ihe Coniractors License Lews.).
❑ I am exempt under sec.
SlgnaNre:
Owner ID verified by drivels license. ❑ Ves ❑ Na
Business and Pmfessions Code tor thls reason:
Verltiwtlon of Ownership by (type ot daument, i.e. - properry tex 6ill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
Drivefs Licensa No.
oate:
Expires:
❑ I �ereby ceNty lhat no e:cavation tiva (5) or more teet in depth Into which e person Is requlretl to tlescantl, wlll he matle in connection wlth work authorizad by t�is
pertnit, end ihat no builtling sirucWre, scattolding, falsework, or tlemolitlon or Alsmaniling Nereol, will be more Ihen thirty-six (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomia AtlminisiretNe Code).
❑ A5 owner-builder, I will not employ enyone to tlo work which would require a permit irom ihe �ivision ot IntluSiriel Setery, es notatl above, unless such person has a
pertnit ro do such wark from Ihe division. �
Signature: Data:
Division of Industrial Sefery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AllT}10RRA710N OF ENfAV: I certity under penalry ot perjury that I have reed this application and state ihat the infortnation given is
corred. I egree to comply with all stete laws and ciry ordinances releting to building consiruction, end euthonze representatives ot the Ciry of Costa Mesa to enter upon Ihe
ebove-tlescribed properry for insDeciion purposes. I egree not to occupy or allow acupancy of eny building auNonzed by this pertnit until final inspection.
COOE I. INSPECTONTYPE OAiF II�lS
1616 Fised System Flnal Fire Prevention
1266 Pool Spa Final
200 Flnel Re-Roof
207 Finel BIocWReteining Wall
202 Finel Fectory Fira Plece
2Q3 Fnal Sign
204 Final Demolition .
2b66d6
�� , 3 oe���
Date
COOE� INSVECTIONTYPE
206 Flnel Mechenicel
20B Final Plumbing
210 Finel Electrical
212 Finel Fire Prevenlion
220 Finel Planninp Apprwfll
222 Final Site
250 Finel BuilAing/Occupancy
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NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
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STREET
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CITY OF COSTA MESA
PLANNING DIV.
S�BJECT TO BLDG. DEP_T. REG.
SEE D TAILS ON REVEHSE SIDE
BY� DATE f�,�_
ROOF SHEATMI
OVERHANG
_X _ RAFTERS
AT_ O.C.
_ x _ eEaM
T-STHAP EA. SIDE
FOR POST- BEAM
�CONNECTION.
DROP PATIO
F�OOR 2"
SLOPE TO DRAIN
o,..: o ::--�_ _. -��-.�.
J
W 4
O�
p N
26 GA. G. I. FLASHING
WOOD PLOOR
CONSTRUCTION
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ADDITIOfdS, DELETIONS, OR CORRECTIONS SHALL
���►�ecE�LEtiVA4TF1�0'NiNc �iv�siov
PLOT PLAN . I CONSTRUCTION DETAILS
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201tK,R00F CONNECTION
-DETAILS
CONT. SOL�D B�OCK
LE.DGER �
�
a I/2" C/1A. % 5�� LAG SCR.
AT 32�� O.C.
DETAIL I
CR 9 CL��TECO�
GRIPS OR JOIST
CONT, HANGER
LEDGER
RqFrfR
3�g° DIA. X 5�� lAG SCR.
� AT �(� ° O.C.
DETAIL 2
.Jin�OR UGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2�X FACIA—MIN.REO.
, �
•� RAFTER
APPROVED METGL
. HANGER
� DETAIL 3
oEVEr.�Pr�v�r
SIIzvICFS �L'['AfilMErrf
BUILDIn]G SAFEI'Y DIVISION
OWNER: _
ADDRESS �
CONTRACTOR:
ADDRESS�
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZF. SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0"
24�� 6�_6��
32�� 6 � _�,�
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" .8'-0"
2"x8" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0��
36" 18'-0"
48" 16'-0"
4"x10" 32" ' 22'-0"
36" ; 21'-0"
48" 70'-0"
72'i_ _ 1]''0��
PATIO COVER
TYF PLANS
DATE � .
PHONE �
LIC. N0.
PHONE�
RAFTERS AppROVED FOR
LIGHT WEICFff ROOF COVER OF BUILDINC PERMIT
LATH, FIBERGLASS, ALUM. . By ' Da[e_
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24�� 8�._���
31" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32��.. tp�_���
48" 10'-0"
2"x8" 24" 19'-0"
32" 15'-6"
48" 13'-6"
HEADERS
LIGHT WEIGNT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 5'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
GENERAI. NOTES:
1. These plans must be
kept on [he job e[
all time during
construction.
2. All framing [o be
Douglas Fir N� �
grade minimum.
3. Raftets may no[
at[ach to facia ex-
cept for 10]�roofs
as shovn on details;
20Ib�roofs mus[ use
a continuous ledger
a[tached as shovn
on detalls 41 � #2.
4, Llgh[ weight roofs
may attach [o facia
for 14' span max.,
spans over 14 mus[
use a con[inuous
ledger as sliown in
detail 1i3.
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�}X6 �1��5
�}' -3 I / 2"
7
I �}' -I I / 2"
6' _�� �
I�t'-6 3/ �}"
ALI. I.uMf3�� SU�AC�n 170uG�A5 �I� 9'-I/ �}" '
(3u1�1" ro c11Y o� cosl'A M�SA 6uII.nING con�
Ptr�P QT� uN�
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COpN�p51"ON� CU51"OM pA110 COV�pS �I�} 96�} 1561 C5�#�09138�
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OF BNtpNG: �// z S S T $ T
Eas"""E"'°'"'''": NEltiPG12T HTS '1'WU
ADDRE55: 1SGI WfiSTCLIFF
N,H, 926bG
wr�. Wmwa �ooxEss:
UNT:
ACXRECTOPQlC�NEFA: �UUVIS ENGINEERING "`�ND' 0
�X.OHENO.'SIWONE53: ti9O� CAMPUS LR uar:
N.B. CA 92660
cw+m�craxsx�xepACIFTC GkANL CUNS'T. (714)b31-7933
cam�,croRs�auna 1501 WESTCLIFF
woxEss: �. b. �^ j{ uc. w.: 7 3 4 3 b 4
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UCENSED COMNACTOPS DECLARATION: I Mreby eMim under pene4y d pe�jury the� I em liceneed undx prwieiona of Cheplx 9
(mmmeriaq �mh Saclian )OW) d Orvisvn 3 d ihe Butlro� eM Pmlx�ians Code. eM mY licer�a is in hN Ma eM M1ea.
cm^ic.no.:�l0�18, uacuss: : uc.no.: 7349�Ei4 _ EXP: Oq.{98 _
/ 0 EH BUILDEfl DECIAPRTON: I MreEy affum uMs perWy N perjury thm I em eumq Imm tM Commlae licane lew la ihe
"(a�� 8��a�^ (�ion )O11.5 Buairesa vd Proleuiaro Code: AnY c1Y a�MY �� �Vuiree a permil lo mmW�1. Mm. imprwa.
bmal'sh, or repei eny aVucture, pnr io pa eeuenca, deo reQuiroa iM epplicen� In euch pe�mn to fib e eqixd eWameM Met M a�he
�icanaea o���� �o iha r^�au a ryn conireeae�lioeme'lew tcheq« a(commwim wnn swun �oao) d arubn a w �ro
.fusineas eM Prolmeiana COJa� a ilat he «aha ia axemq Ihsehom enE iha bsvia lar iha eAepeE eaemqion. My viole�ion d Sedion
1031.s M env aPdirsn� ror a oarmn wlXeCs iM Md'cen� to e crvil veneliv of rw� m«a ihen trve huMred dd4n 1550011.
� I.esawrerdlheqopeilyamyemp�byaeevAhwapesm�heieobcompenmton.wiilEo�M�wA.eMIMaVucT�nw�mteeded
a ollered br sda (Section )O<4. Butinees arM Praleesbna Cpb: The Contrmwe Lis�ua Lewdoea rw�epplyto en rnmerol qopeity
who buida «inpovea t�eraon. eM xAo Eaea audi xak himWt a henN a ihraph he a her wm emplWeea. pwided �hm wcA
imptovemeNa ve nd inleMed w oXeieA tm eeb. II, howa.a, IM Wikitq a inpwameM u eoltl xilhin ma yev d mmpletun, tl�e
owr�er-0uiker will heva iM buMan d qovinp M or sM dk nd Wik or impmn la tM WT�a d wle).
❑ 1. a oxrer d ihe qW�Y. em utlurveN conlreqM wNi IimnaeC conVaqon lo wnsbiM Ma p4� (Swun )OM. &nvra end
Proleasione Code: The Conirenon L'cense Lew'tlaee rat-epWy to en oxiwr W popeny Mw WiNa « impovn thneon eM who
wnVecU for uxh prqads wiN e mnheear�a) IicenxE W�� �o Ihe Conlretlore Licenee Law).
� I em e�emp uiMx Sanion: 7 � t B. 8' P.C.. � Nu ieeson:
�
Date: �+�:
i ao ne.aM �«�M �nm i em e..are d�e �masiene m< �ea���ew a ce��om�e wenn ene setmr code seaana zssos, zssa3..�a
255�9. eM da� I a ury Mure dnMirp ocwpent will / wil m� (vrcla arl � to cwnyy xnh eed ame mdu enE iM nQuiremeMs br
� epeminloroonsuudionormodifmionhwntMAi u�8 eilTy.R�enepemenlDietrid.RmkeMidconqwfionappiratiananmemqlmmtheea
�i Drovivorw.
Dele: Applcem:
WOFKEN'S COMPEN4ATION DECLAF�l10N: I haraby elfirm ivder pxieliy A pxjivy me d tM Idbvrirp MJumum:
� I hera eM wil maman e cenA'rate d mmem ia eell.inauro M worke�s' canpenwbn. a panded fa by Saaian 3NU of tM leEn
COEe. for ihe perlmnence d Ne �wM ta wh'rh �hia pefmn u iaued.
❑ ine.�eenex;e�me:,.wn�e�n•oomro�smo���s�,�...�c���eMseaiana�oodubi.n«cod..ram.wnnmeno.am.
3� wark Iw whitli ihc Oermil ro ivued. MY waYars mmG��tion ineurenca rarrbr W Pdi�Y numbm ero:
��= S'TAIE tU*�r� EXP'IRES
PoliryNumber. ,����nnn�i�c.��a G4/30/98
�mis �n� ��e �or w�d.�ee r m. �x A ra o,,. n�„d,sd dal„a Rroo/ w�+./
� 1 cenAy ihet in I�e pMormence d Ihe work la whch Ihia pemin e usued, I e1Wl ew� amplry ury pe�wn in erry men�wr eo a� lo
become wbjed to ihe xvMna' m�Wenaelion kxs M CdAomu. arM epme Ihet p I MouW became wbjed ta tM warken'
compenseiion pm sone a Seqion �)W ol tha lebor COAe. I shell �wilh oompy ��
Dma: Appliram: � .
Wam/ng: F�Nu ro sx n wollnri campwuetlon rovsrep1li unMwlul, entl �MII �u6/ect an employsr to eMNml peneltlp anG
clvll flroi'p b om hurtlretl tM1ouuiwl JNMr� lffOq000A ��ltlon ro tl� cwt oI wmpwwWR tlmps � proHtletl ror /n
SKtl0113)� ol tlN Lffi0/ CodJ, IntMtf, eM ItlOTIy'� Iss/.
CONSTtiUCT10N LENqN(i AGENCY: I heieby affi�m unEer peneAy d per'ryry Ihei iMee u e mrutiwfion bM'vp epe��iq M Ihe
epe
FBI�OIRi0M.9 O� ��1G NIX�. �OI W�11131 ��16 �IBIT� 19 98YBd ($Btlqfl' hJ. {�iM. Cii.
LENDEF'S NMIE
LENOEH'S ADUHE55:
I cenily thet I heve read Nu epplicetim arM mete �Ael �he ebove iMmnetion ia wrred. I p�ea to campy wilh ell ay enE cavny adinentte
anE atele kwe rekinp b WiMnp co^arwion eM hareby eWwr¢e reprevenle�ivea W iho tltyb eMar upon ihe abv.e�memiw�ed popeity
lor inspedion Ourpmea.
AuNALL LE�kAND
(5151d6.WP) Whpe-Build'vpBSelery:
Dme: __��������3f--�s`
Pink-Fevenue: OOWen�o�Naevar
CITz UF CGSTA MESk — BUii,L'ZN� PERMIT
FERM NG: b Utl5G72
PERMII' Nu: & G85072 PLAN CHECK NO: 02[57-97 A GGiTT: N:�iJ'rY: N
CGNSTRUCTIGN 'IYPE: V—N PERMIT TzFE: STR eUHFiiSE: NEW
'IJ05 LES�RIPTZON : 1s39SF SINGLE FAhiILY RESIU. 920SF GAkAGE S� rI; 1,894
CLAIM VALUE: 125,UOU.GO CALC—VAI,U$i 117,917,2u GRAUP GCC; it--3 i
COMMENTS: 90SF PURCH "PLAN 3"
iFiE iF � iF tiF'sF if ft iF 9t iE 3f iE iF 3F iF if iF if ie it iF it iE 3F �t if if 3f iF ie 3F iF iF �k iF �1F �e it iF iF iF �le'rF iFiF if iF �if if� if 3F dt ii if if iF ieiF iF if iE if iF'se ii iF 3i �k k�T' i't if iE iF if i'r iE
Z O N I N G R E Q U I R E M E N'f 5
S E T H A C K 5
------------ MAIN bUILUING ---------- --------- Ai:C�:SSGAii bUTL17ING ---�-------
FRNT: 20 FT IN AEAR; 1G FT IN FANT: FT IN kEl�t: FT IN
LEF1': 15 FT IN AGHr: 44 FT' IN LEF'T: E'T IN RGfIT: FT IIV
PAAKING REQ: 3 PAOV:— -, 3 PARCEL: OGGGu00G ZNE: k7Mli kEF' NG:.DFt9'Iv5
PLANNZNG NOTES> GNE 1—STURY" UNIT W/ATT 2—CAR GARAGE (iiNE GF o L'ETACAED,1
>; UNI�'S OF"A COMMON INTEREST DEVELGPMENT). PiEiFiSU �%! ,
iE if iF iei'tii if iE iE if iF if ii iE if iE iF iEiE iEiE 1E iF iliElEif ir iE if 1Eie i't iF if iE if ii iE 1Eif tf i41F iE if if iF ie iFiE iFx ii �IEif i"t iE iE iE iF 1e ii*iE iF if i't ti't if iE if iE iE ie ii�ie ie iF i'r
U E V E.�L O P M E:NrL 'S E R V I C E S R E� U I R E M E N�;.T��S�
ZONING APPRGVED SY ' :' �' e,✓I LA1'E: (�
bUILDING APPRt�vED Bz;?: � i !.�(�� UATE: ��'— � 11
�.
APPLTCATIGN SSSUED BY":��"�' '' (� LATE: -� �"
ififiEiEiFrkiFiFtiEiEi6ifiFiFiF'If'seifiFiFiEifiF�F7Fii'iF%se�F�FirsFiF�F'iF�F3e7FiF�FiFiF�F .��ieie�e'�lTie��'�FiEi'riFieiEii'If'lfifif��ii�ii'
LEGALIZATIGN:N F' E E S U M M A A Y' S'1kuCTURAL SEGMENI:Y
bLDG PMT PLUMHINi; ELECTRIC MECHi{NIC F'IRF: SMIPlRE:S Gk11LINi�
PEAMIT 977.25 ; 11.'75
PLAN 158.$G 'r SMIY%NON—AES
ISSUE FEE
HUILD'ING—UZV--> PERMIT ISSUE PLAN—CHEi:K TO'fAL FATli L'UE
TOTALS----> ,:989.t�4 G.0'v � 158.8"v 1147.8A 1147.89 ,GG
RfiVENUE DIVISION TOTALS--> COLLECTED: 989.G4 OVERiSIiGRT': .G�
HLLG PMT PLUMBINi� ELECTRIC MECHANIC FIRE SMIP%'TU'I GRADING FI,1,N—CHECK
977.25 . 11.75
3E it iF ii ii �w iE 1'e �le 3E iE iF if aF 3f �F ie iE iF it iE ii iE iE if iF it �E if iF iE IF ik iF've9f 3F iE ikif if � 3f 3F if �)E'tF if it k if if ie iF 3F "vE 3F %if'sFii iF ie iE iF iF iP ii� if ii i't �i'r ii �w iiir ie iE ie
I N U I V I L U A L: F E E B R E A R L ir W iV
TYPE uTY U E � C k I F T T U N CiNl'T Cirs'T Ti�l'AL C�9T
♦
SFR 1334 LWE—TYPE V—WGVL FkAME --GiiOL 80.00 1G7,520.46
SFR 9G 1tE5—PAiiG CGVER—PuST 6 SGLZL ctuuF 1G.12 1,95'v.d0
SFR 4�u kE5—GAkP.GES TYPE V� �1.3"v 8,59i,.00
ENL�/� �
D
D�
. T OCT 0 81997
CITY OF COSTA MESA
�CONSTRUCTION AND PLANNING POQ� . SPA
� APPROVALS Permit # Date inspector AppROVALS Permit # Date inspector
i. Temporary Electrical Service or Pole . ' 52. Pool & Equipmeni Location� ��
2. Soil Pipe�Undrgrnd. }" � 53. Steel Reinforcament
r3„Electrical �ondutt lftiiitY-Undrgmd.. 54. Forms �
' :4"Elearical Conduit;.Undrgrnd. 55. Electrical Bonding �
�-S-,Steel ReinforcerReO.t r0-��q? �c� 56. Rough Plumbing & Pressure 7est
' y6C �lectrical_-`U�ER�rnd. . �� ��! Gj'J �(�y(L 57. APPROVAL TO COVER•GUNITE
t. �
�� 7.;Footings �� j � j /�j��s 47 (p 4ifiiL 58. Electrical Condu`it-Undrgrnd. - `
L
:�:'Foundatici'n' ^ 59. Gas Pipe, 0 Undr�ind., Test - �
. ,..5(c.6 p�tP �o-u q� �� ,�,�
9. Water Pipe-Undrt�rnd. � � � - 60. Backwash Lines; P_�Trap, �-ri Undrgrnd.
70. Structural�Floor'SYs:em � , . 67. APPROVALT4D_ECK
1L Property Sewer Line.& House�qnnection �'�
62. Backwash & Rece@For-Final �
72. Sewer Cap - � , 63. Heater & Veht�Fin'al .
13. Fioof Drains : . 64. Plumbing System - Finai
14. Rough Piumbing= �a � � 65. Electrica6Final �
. 15. Rou9h Electrir,at� onduir - - �66. Solar Svstem-Fifla� �
16. Rough Electric Wdriog, .., -. - , � 67, Fencing �& Accets-Approvai
i7. Rough Wiring Si�n - . 68. APPROVED P41R�'LAS7ERING -
18. Rough Electrical;T Bar Ceiling' 69. POOUSPA SYST•EMS�FINAL '
� 19. Rough Heating & Air Conditioning ' � - ... piR E QEP7.jj EQUfREMENT
I. :T.- T! ( T� V'! l !^ i. F ���+
� � � �, 'ix� `..• �� "' �i: �APPR:bVL�L$'�,�PeFmit# ': 'r ir.�:
20. �ugh FactorwFirq.�7ace , 5�-" t� '�-i r�. - .
2L t3uctr, in•Strue"iUrC�'r: .. .. :-" ,;� �ti .'' " ' � 70. ,L7ndergrcr5nd i-tyadro � .
�r �
.� 1... - �- �n,-� .
22. D.uci,s; Veijtilat;n9,� �. :.,�•-, - ;� i ;, . , 77. Produa;1Y,14�ng� i��as CiOil
23. �as F;pe-�R'ouyY� & Tast _ � -' rC � �- � 7y, Undergroe�rid FjdsN�" ` ' � -
-� J A Y 1
, .... .� . _ .. .. _ k . : .'1 �-• �' ; , ` ', _: � : ::
24 �toof`Frarijing' r ; �F _ . 73= Undergmii. Stor�,Zank,L� Gas ❑ Oi(
25. Roof.She3Thing � /l�+'�_q7 �_� ��.� 74��8veitiead Hydri� , Y
, . ,, " �
26. `FBaF`�eil;ng (Str�tGral) & Ajo�;wt :;,'�; .�( L - '�i 75��4r, yuemi al .,~ �. ~ ,3 't 7
27. �am� and. FleshiRff t ��^: � ` Z�'�%�'1 � ' � /6. Dry Sta�3pipe .� �� � �, ._ � �
i.'
c /'
-�28. Lathin9 $�SSd'v�g " �' "� - - _ ' �=q8� {�, 77;• FIXED SY.$TE�' � INAI. -, � '� �
•T Y " '` lY� "
~29. �n$UIdt10n` • •,( i' y - •• •• �, • i�1L n � n •
- (�,� �� �Lrp't� 7� FIRE PflEV. FI'f�7 L . i
- - �
`30. Orywall N3iling , � ,� - `��=Qg � E: :H,EA�TF�DEP'�. FIEQTIIREMENT
. . L. . T -r--_IC' i�;[J+-Ti-
��37. Plaeter Brown�Goat :. _ . �-,- / .Fl� �� ' 79� FINAL iNSeECT[9N + _
l � � ;�
y:32. E�ectricaf'Powe; Met�r�Fi�al . '" '�� "' I ; �8�;FOOD CERTIF�ATE I�S�ED_, .�•.� �' I
�33. �naLEleceric.. ! T ' �:.� -+ �' `'. "�pL-D-�Ry�pECIAL Rf4UIREiV1ENTS�
'�'34. finaf:Hea�ng & Air CondrtioninQ s -' � N F � � '"' * - �`� -
; �7 ;�'> G�' -• - �'� -
� S ' J: 'n � y � •
' 35. F'inai Gas�Pipe_Test � .�" • ; 1� , _: ( 1; . - - �7�� �. '' :
. a'36. Hoodror (;Sn <.:� � o - i. �"� ; +. ,: ''l.� � � � r
_ J OPY '1 ' O� i r� �T. "� i °7 'y T1
_ .n : ti -1 I .. _ . _ I ' i_a-.'Y_-'-_-
� -37. F.inal.Factory Firepiace - --, � s �- � 'r '�
+ � -
- �. g .ti -i --
- 38. Final Flumbing' Y '" .�'_ •7 �� � k . :' ' ' ' .
�- 39. 1Mater Ser jce-Kinal , y ' _ � °. � �k � ' � ,�" _� ! .
� F
* 40. Gas Service-Fina� '� �T! � ' .Y k ^• , t% 1 � � J :
- - �' • i r.'. t
-41. Soiar pomestic�Final` ` -; = ;,' -�' , '� ` ' ' -�-
F " .�. :�. . 7_ T�� � .�. �
42. Backfiow<Preventer � � � P - • �� -• �
R " i _ _
� 43. Backfiow Irrig3Tion ; 1 ;;"� ' _ 1.�..x. �: � ' � '. • • �
0
44. Landscape Irri�;ation�System �+ r..i r - -' F. '% � K � ; g c . •r � = � � ' � _ '
1 � .4 ~ � ' ± � � � • � 1 F �
45. Sqund Attenuation � , „ �; , =�;� •„ - �; . _ r .
i -
'4 •• '{,'^ C t
46. Handicap�Regulations - •�� - --• ; -
4 t I K � Y,
47. FiNA�I STRUCYURE & BUI�DING „ ,�,� ' " ' ,m ' _
Y?-q�S �s`-:� _ _ ,
48. FINA1 PLANNING ,. . .+- �� �/_g8 � . - + _ . " -
49. Elect7c Rt�lease to Edison '� � � �y , , � ' ' ' "� ,
� v n.
�' � � ' " ' � � 1
50. Gas Release to Southem California-GasCo - 'F " -� J • ��T' i. -'' , , ,
�a c� t S -,.� -• � . .-, � �
51'. CERTIFICATE (JF OCCUPANCY '" • • � • � • ` - - - • .
No.�... Date .......
:�
S�C�H�U�L�L�E�R
Residential Building Insulation
Installation Record
Batts & Blankets
Descriptioh of Area
Ceiling
Ceiling
�_�
Sq. Ft. of Insulation R-Value � Thickness
Z
Wall EXTERIOR WALLS R-13 3 5/8"
Wall
Floor GARAGE CETLING AREAS R-13 3 5/8"
TITLE 24 fiOAM CAIILKING:
If batt or blanket insulation has been installed in enclosed cavities, those cavities are deep enough to allow insulation to
expand to the labeled thickness unless ezceptions are noted above.
Blowing Wool in Ceilinge
Nominal Net Sq. Ft. Minimum
Bag Weight Insulated No. of Bags R-Value Required Thickness
Blowing wool, if used, has been installed in ihe ceiling in conformance with the manufacturer's requirements shown
on the bag. '
Location %/�'�CT �/5�C �
sc. o� �oc n u�r� / �'G�N� _3 — 37 7 2/ .S % S%7'E�%
Ciry COSTA MESA. CA
Butider
CompanyName
Signature
Insulation Contractor
Company Name S
Signature ,
Schuiler International, Inc. i
Building Insuiation Division
P.O. Box 5108
Denver, Colorado 60217-8108
Date
aoon�ss'� eunaac: 3 9 7 2 I 5 T 5 r uNr:
axr�nsr�eiru+axr+: NEwFuRT AEIi;ri'IS iW0
� woness 15G1 Wc.SI'CLIFF ii'loG
N�.ivPuRT tlEACH,�A �JLbbV
031-7933
�vv�. �uw�o woxess:
wcxrr[cToxo+m+�n: Gi1uVI$ �NG1NEEh5 uc.ao.: l:
�PCH.ONFNO.'S/iDDNE55: �I4GV CAMPUs Lk uNr:
N.&, CA 9ZbbV
CONfflACTqI'S N/iYE:
CONIRACTORS YIIIMO
AUUXES& � 11C.N0:
/✓ uNT:
LICENSED COMHACTOFS OECLAHATION: I hareW eflim uMx pe�atly d perjury tlW I em licerued uMar povieiona ol Cheqx 9
(mmme�rq wnh Sactian J000) M Divreion a d Me Buvma vM FMaavan Code. enE mY 4cenae ro in IW lace ud eHM.
CRY LIC. NO.: LIG CLA55: ,J LIC. NO.: h}(Y ;
Dete: Contrea&:r-'
OWNEN BUILDEP DECIAPATION: I haehy dfirm �vMer peroly N perjury �An I em e�mq Imm tM CONretlae Limnee lew la ihe
lollowin9 ��n (`�bn 1031.5 Bus'vreae eM Pmlessiom COEe: Afry cry a countY �� �Wiree e parmA b conslrucl. Mm. impwe.
bmol'sh, or repei eny aWciura. pbr b ils cauence; ebo reQuirm tha epplrcant 1« euch pe�mn to fib e ay�eA alelement Met M a eM
; lironaed W��� lo the prm�ona d Ne Conlraqae:fironu Lew �Cheqm 9(commmceq wnh Saeion ]OW) tl Divebn 3 W tle
8uainass eM Rdeeeum Code] m IM1a� he «aha is exemq Iherehom enE iha besie la IM elbpeE eRemqion. My violetion of Sedion
1mt.5 by eny epWirant fa e permn subjeAa iM epplicen� lo e dvil pendy of m1 more Ihen /rva huMred do14n �550of).
� I. ea owrer d �M poOaM a mY amWoyeea wIh wa0as es ihei sde com0�setion. wlI Eo IM �wM. eM iM abucNre e M iMeMad
a ollared for eeb (Seetion ]014. Butineea end Pmfeesions Code: The COMreqwe Liransa lew doea mi epply�a en amerol propeey
W�10 b11�9 O! RTP��� I�1BlBOl1. efl�'M�p dM8 91K�1 MIXk �Y119BM IX �1B9B� p I�11WQ�1 �1G IX �1Bf OMTlTdOjMO. M�� 1�181 NVI
impv+amame va nd inlenEed a dlaed tor eab. M; Iwwever, iM WiHiip a inpovemeM ie eoW wilhin an ysv d mmpbtion, the
�owmrbuikbr �II heve ihe buMen M pmvi�p M or ehe did m� build ar imqwa Iw iM WN�e of aele�.
I, m owrer M iM D�W�Y. am a�dusivN/ wntreciq wnn licenaed convedGon lo conabua tha pol� lSeaion 9oat. Bu+'vwe erd
Profeeaiam COAe: T�e Contrenwe Licanae Lew doee ml appy io en ovmar d pmpany wtw buiMa a impww the�eon eM who
convMs �« eudi prqaCs wM a wnvaf«(e) Icemed W��� �o ihe Contredae lioenee Iaw).
I em eRemq uMer ian: �~ x B. B�P.C.; lor Nie reeaon: / � , /
!J / / //
/ele: Omier:�/YvW+!•K 4J..��^'a/�
� i ao mW aen�N iw i em ewere m ane ��re�ena me ma��eom a ce�eomm ween d,e smnv coa. se�iam zssos, zssa�, ene
VM e�
zs .�,a mm i«�r nn�� w�a�re «No�� �+n i.ai m��b a,.� �,,,a a�dr,Mn ..+a ,�,,. �a..�d m. �ow+�.ro r«
permAforrmewnionamodificmionhaniM�i ei�iy anepemeMpstria.FevdemielovMiueioneOP��iomereexemqirom�hme
Dale: Applicent:
WOFKEN'S COMVEN51T10N OKWi�TION: I hereby aMrm wMu pmelry d perj�vy ane d Ihe IoOow'uq Gedmetiwa:
❑ I heve end witl manlen a ce�R'cale d mnaent lo aellinsuro br wakere' compenambn, m prwkeE (a by Sed'an 3100 dIM lebor
Coda, la �M pMormarca d Na waM1 la Mich I�u pamil ia baueC.
� I M1eve eM xiA manlein xoMme' mmperueiion inwrence. m reQuiieE by Sayian 3]00 d the lebor CaAe. M �M peilormarim d iM
wwk iw whief� ihia parmX is iseueE. MY wnFare' eampenatbn imurenee ort'w vd poliry numbar ere:
c�
� Pdky Number:
jTM1is sedim rieed rro! 6e mmpb�ei / fM pemit u/a- one hundmC ddlars R1P01 a bs.)
� I cMtly Nel in tM1e perlormence d the woA br whc� Iho parmit ie i»uetl. I ehell ml employ a�ry pmeon in am/ manmr eo u to
bacane aM� lo Ihe v.oMeis• comv�ion lewe d Celilwnia. eM earea ihm X I ehouk became *mjetl to ihe r.arlmn'
mmpensalion prwi+una W Seaion 9]00 d IM1e Lebor Cole, I sndl IorIM.M1h compt� xilh Mwae proviuwu.
oa�e: noa�u:
W�m/np: HNun ro ucun woMr�ri rompxwtlon rororap� la un/awNl, �ntlWll �d/�cf en m�ployx ro MMnel p�IUMu xM
e�H� n�., w ro ms m.wrod mo�,w awrn (siao.awA m am�wn ro ms ewr o� m�n«uerron ✓�w u pevww ror �n
SxHon 9]O6 0/ Ms Lebor Cotls, inlsns4 arM ettomsY� Iwa
CONSTtiUCl10N LENDIN(i AGENCY: I InraEy elfi�m uMer pereAy d pe�vy thm ihsa u e cansl'utlian bnN�p prx.y br tlw
perlormaiwe ol ihe xoM la whiM t�'s permY ia eauaE 1�� �]. Gv. C).
LENDEH'S NPYE:
LENDEN'S ADDflE55:
1 cenity ihet I heva metl Iho epplwion eM Mme ihe� the ebova iMametbn is canw. I epree lo wmqy wilh ell ary eM caunN adire��
eM etme laxs relm'vp �o WikinB ��+da^ ��eby ainhoe¢e raprewntmires d Ihu ury io emx upon tM ebwe-meMioneE poqrry
ro,��sc�+�«�w,o�. AON iEGRAN
(St51dB.WP)
8 Sefe�y; GreemFle: Cenery-App5cani; Pink-Reuenue; GOltlemoE-Asmmr
CII'Y' GF CuSTA MESA - bUILUING �ERMIT
PG[tM IVU: tf Vt17LC
PERMI2 NG; n 085283 PiAN i:AECK NU: "v»[4-9 i A GOtiI': N Silrr: N
CGNSTRUCTIGN ZYFE: PERMIT rYF£: STK YURYl15Y�; NGH
JOB UESCRiPTI�N ; 12455F 1ST FL, 1G785F 2NL rL, Sb75F GAtiA 5� F'I: 2,910
CLAIM VALUE: 170,v0"v.OG CAI,C-VALUE: 2�1,945.t�G GRuUP G�C: it-3 iU-1
i:UMMENTS: NEW SINLGE FAMILY RESILENCE "PLAN 2"
iE iE iF 9F if 'aF iE ie ii iEif iF ie iE ik iF it iE if iF iF iiie ie iFit ii ie if ie ie ii ie ie i'r iF iF ie iF ii if it ib iEii iF iF iFi2 iF iF iE iF ie iFii�if iF iF ii ii i'e itiF ie i! ie i? iE iF iF iF 16 �le i'riiie'se it
Z G N I N� k E�{ iJ I k E M c N'i S
S a T b A C ri S
------------ MAIN bUILU3NG ---------- --------- ACCHSSGRx nJ3LuiNG ---------
FRNT; �0 FT IN REAR; 23 FI 4 YN FRN'f; F? iN RcAR; r'i IN
LEFT; 5 F'I IN RGHi: 5 FT IN iaFT; FT iiV kGrii: tT 3N
PAiiAZNG RE'; 1"v,PRirU;- , lu PAR�EL: 4[0[�234 'lNE; tt�-M R�F NG: rA-yi-s4
�LANNIN� N�TES>.'. CGNSTRU�T '1� LU OF A 3�il i:GM'riGN iNTERES'i iifiVtLGPMr.ivi:;1� �UtST
„>. PARItING SPACE'�SHAREL. 2152 CiulvSTutk�.0 tRCiN7. P E SD •
if iE if i't i' if �F ir ii ie 3Fje iFw ie'se w aF wlFie iE ie i'e iE it "se iE ie iEif ii iF iF i'r i'r it iE ir ie iE ie ie itjf if iF iFiF 3E �7E ie if iF iF i�j'r i'r if iF ir iF ��F iP��'e iF 3e 3i �:le ji i'r i'r iFiiie ie �w i2
L E V fi(`L t� 'F' M E• N�,�T S 6 R ti I C t S k E Q U I k E M E N"'f js
ZGNING AFPRutiEL' &Y ';;. �,, �� " ��K uAIE: v'' � "
' r 1 �r+
bUZLLZNG APPROVEL Bii`;' e� " ;•� N i�P uAIE: .��,�1'�
�.. : k' . r � ' �
AFPLICAIION ISSUEL HY•r- ^�` ' � uATE; �� �-
iFiiiiiiifieitii'siieief2iFieiei'rieiEiiiiii�if�tirs�rTrxiriiriFiri�s'F�ef�%xTriesrsFi'ir x3r+tiFs'F'x"�e'x'iFiiifiFii�ii�i'rieiiieiesrse�rse+rx +ewsrieir
L£GALIZAIIGN;N F E E S U M M A R Y SIhUCTURAL�56i�MEN'I:Y
bLLG PMT PiUMbING ELECTRIC MEi:HANiC rZRt SMIriR65'' i;kAuING
FERMIT 1,397.25 2"v.13�
SMIFiNGN-dtS
PLAN 22i.G5 '"
ISSUE FEE �'
bUILLING-LIV-> PERMZT ISSUE FLAN-CHECK TUTAI. YAZU � uue.
2UiAL5----> 1417.44 "v."vG 227.G5 1044.49 1649.45 '� ,"vG
REVENUE DIVISIuN 'IG'fALS--> CuLLECiEL: 1417.44 UVER/SHOki: ,"v"v
bLDG YMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOI GRALSNG rLAN-CHECK
1397,25 2"v.19
iF �]E iF ie # iF iF ii iF ii ie ie ie �'r iF ie ii iF iF iG ieli iF ie iF ie'si ieii� ii ii ii iF ii ii �k iF iF ii ie 3e if if #'se3F w i4 ie'se i'e iF ik iF±F iF if iF iF'rf iF i' iP iE ii iF iF ii 3E're �le iF# li i't iP i't ie ie
I N L I V I U U A L F B E B k E A K U G W N
TYP� QiY L fi S C k i F T I G N UNIf CGSI 'iu'iAL CtiS'i
SFR 2323 LWE-TYPE U-WUGL FRAME -GiiuL 81,�u 185,�24.�G
SFR Sd7 kF.S-GARAi�ES TYPE V 21.SG 1�,o"[G.5"v
HNL UF FHbS
� �� �': t
� OGT 17 1997 �:,:��
CIIir. of cosr� rt �;�
'CONSTRUCTION AND PIANNWG -� POO��+SPA
APPROVALS Permit# -Date .Inspector qppROVALS Permit# Date� Inspector
�
t. Temporary Electricai Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement
'r,3:;E1GCVica[iCA'n'duit Utili[y-Undrgrnd.' � 54. Porms � j
"�r47;ElectricaPConduit�Und�grnd. 55. Electrical Bonding
� -i 7
., � 5; r5teel Reinforcement Z70J1' �t�,dC 56. Rough Plumbing & Pressure Test ,� �
'��� IElectricaZQPER Grnd. `� j��lt? 6'� 57. APPROVAL TO COVER�GUNITE S
-,.-� n
;7 `:foot�ngsr,�y (D � �� ��y{C. 58. Electrical Conduit-Undrgrnd. -
-8�� Foundatioo+ � y� �..Z(a.� /'u,�L 59. Gas Pipe, O Undrqrnd., Test
,,, -i �rL ��
9;'Water Pip�-Undrgmd. �� � . 60. Backwash Lines, P�Trap, O Undrgrnd.
�16� Struciural Floor System 61. APPROVAL TO DECK
1 t.��Property Sewg�r Line & House Connection 62. Backwash & Receptor-Finai �
.n
12.,Sewer Cap � 63. Heater & Vent•Final
73. �Roof Drains'! 64. Plumbing System - Final
14. Rough Plumbyng 65. Electrical�Finai �
15. Rough Electrical-Conduit ��T � � 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign ;' � ��68. APPROVED FOR PLASTERING
78. Rough Electrica6T Bar Ceiling ' � 69. POOL/SPA SYSTEMS FINAL � �
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
. .� ,, -, r i� •z a �
20 �;,�iou�h �cto� Ff��?lace � " T' �5�� .k .� ;� �r ` '� APPf30V���S�'� Permit # �: .",n
..s ' 3� .z � 'S,r .x... �' -� 7' 1 � -��� � �. ,
21.�-0uota, irvStrQ�tur�.k � -• � i1S +: .� _ �-+a 70�-Undetqte��d k?�Idr�o F' ���
r. �
22. uc33, V'Pntil�,'un �t i '��5 ! ,5 •»�. c�;� ~ v i. 4+7.'
i n �'.� :•n �'k O <; �7 I��: . 77. Produc(�'ipin9 �;Gas tJ Oil
23. :�as;�ipe'�iou9h & iYesc � � ��; .- �.7 ip �; �� e �- 72, UndergfBund Hvsh� r � � ����v
24!IHoo-€ F iaming' :3 � '� -. ' �' �� ' � e'- 7,3.-jJndergr3d. St�� 7an� O Gas Q`01(
25. Roo� Sti� thin9 �t;'� '* , ^ ��. . ZA�!--0venhead Hvdi".n ^ J
- l� "s-s�' �-:
26.-Q-B'3t Ceiling IStr,EcBurai) &�fJlo�i oat,*.; ..6 �p ' � i p. / pr Ch yLai � y �." 7 „'
;�.,. Y� �'_ � . 3��t
27.`:Frame a Pt shi � ° •'' -- �� � � '•� ��� ,. - - _ ,
Ild .� �� �'X ��zj�.Z�'y'j � 76. Dry Staniipipe-�D k�
28.�Lathing�&Si�ing^'�:^ �7�i� �C��CZ� /u,� 7�:. FIXED�YST�g,FINt�y �� ^�
' t.e� :x
" 29. Insulati��� . � � .� �� .. .. �Yn • �� ' � ' r. ,
4n �'" �-+h ,5 ��Z �`[-�] �w�: Z8. FIREPREV. FItVA� k:� 'r. .;,
30. OrywailYVailiag ?'r � V %�, ��,��g �yc.� IY ;S .��EAL7Fi DEP"i�.-f2E�QUIf.�EW1ENT
� 31. Plaster Browr�,Co"qT'3,�r 5 � n�ir �����fj' IQ , �e . 79�. FINAL�hjd$PECT�ON : " ,j;,, �
-� 32!7Electric3CPo�Ver PAp[er:Finai i ��O'�- s' ti � k�� 8(3: FOOD CERTIFIC�FTE �S'lED ��
'-1 I': �. � �• ' 1-1 �N
.e� r. . i i�7 �� i.a. ry'�~ 'r �r, � ' ♦ r Tl i� 'r�. k i.�+
33..5 in� Eiec[r�c.. .> � ;r .'� , F � 4' Nvtes: y y;,� �K y,� � i�
34.-finat Heatingl& Aii'tConditioni�gS 'r•.� • k I ` r � '� :: � 5 i*; �7
v �r• - i. � i ;n -��'w K
�t' j 1' 7 _.. ..1.% `i. t l:l.
35..Finai Gas,Pip�'T��t � r. . ;� ,: � � SK '_ :�t.• ��7�� .b �� ,;:
' ' � ,-'-,-r'�
36. iiood or.fanoPY � t: 17 W , in y a-� J e�1 -. � � 'e '. g, "�.� Y. r
- l 1 k I � �s"U R. S,
p r
:.� 37.�,�'+, ina,�I,Pac'tory fireDla� : � �S ^ ��.� .� � � f j? A •,;
:� 38..finalPiucnbing x �,u i :.,.`^.. ck y .'I �- � %: �g -.'� �F.n � �-----
• k � 6.:" f' 1
� 39.�'Water Service-final K � y � ; _ ' �' ��1 '" '"'r� "
V .'l F =r I ''.. „ !: �
��. Vd5 cJ2fV1CB' Ifld� F �T! �,^IM � T7 r Y T � �F �1.�3. 1 li k
1 >' K
� 41 .�•Solar poShest� �Pin�1 �S ,� ., q ' • j. i � tr 7 °� ^. � � ` � �
� t rT � �
J fi �-. .. 1. 1
42Backfiow�Preventer�: •1 +�i' i � i� "��r• F 7 � _ -
_� r
^' � 4' �%.S.S' K'"T7 +"k k �i:..-� :� +' � ^ .-+•- +
43. Backflo�v�lrripationf � •r�� � k 'l • , - -
;44. Landtca(�e iriigation System��y.' -' •� t �q �7 �7 �7 r � U v ,7 -,' i: �'1 � � . �
�r� ;,
'�45.:Sound Attenuation" ;".� ^ ""' r x � � -' � r � .� ,Y : z �x�'; �: - .
j , i .-y .. . �. �*S �*: : i' i _-t;, �_� . � 7 Y
,16.�.Nandicap. Regulatio�s : � ''6 � x � ' k .: - ;, � � r. -
47i `�4NAt STRU�CTURE & BUItDVNG „ 1 t8_� Q��, �� `j' ' ��pli,6t ; �: _ -
: P i �• `� _ :�
48. �FINAL P�ANNING; . _ � _ ;,3/� " � ��� z � r :,, i � .t:... � �
:49,. �Electrie Release to Edison � � " * � £ '^ F •'% `^%•�
n i� s � � n Y Ir �� � •,'� .a�,�
'�0. �as Release to Southem Califor.nia Gas Co k� � - i �� �- '-+ • .:� �T� � ' � •
- - c� =. - :tv .,�"
,51'. CERa'IFICA7E OF OCCUPANZ.`V 1 e, •' ty.� , e � ��:
No. Da2e
. � _
S�C�H�U�L�L�E�R
Residential Building Insulation
Installation Record
Batts & Blankets
�
Description o( Area Sq. Ft. of Insulation R-Value � Thickness
Ceiling R-I '
Ceiling
Wall EXTERIOR WALLS R-13 3 5/8"
Wall
Floor GARAGE CEILING AREAS R-13 3 5/8"
TITLE 24 FOAM CAOliKING::
If batt or blanket insulation has been installed in enclosed cavities, those cavities are deep enough to allow insulation to
expand to the labeled thickness unless exceplions are noted above. -
Blowing Wool In Ceilings
Nominal Net Sq. Ft. Minimum
Bag Weight Insulated No. of Bags R•Value Required Thickness
Blowing wool, if used, has been installed in the ceiling in conformance with the manufaciurers requirements shown
on the bag.
Location %iQ�C-T �/S�� �
St. or Lot k �l-� � ��}N./� o� ,� / 7 s�--/ST ����J
City COSTA MESA . CA
Builder
CompanyName
Signature
Insulation Contractor
Company Name S<
Signature
Schuller International, In�.
Building Insulation Division
P.O. Box 5108
Denver, Colorado 80217-5108
Date •
y
��p�����'' 377 ZiST ST
°m�rs"""Eva'°oTt NEWPORT HTS TWO
"°°"Esf 1501 WESTCLIFF
N.B, 92660
�. rwiwo �ooxesf
�xcxrt�owv+miffn:
n
ARCILOH QlGS ADOPE55:
uc.xo:
°NT` SITE
UM:
�^"ACTOR'g"�PACIFIC GRAND CONST. (714)631-7433
���T��"�° 1501 WESTCLIFF
�nm+ESsN.B, CA �"� 734964
92660 �M 260
ULEN9ED COMN�CTOFS DECLANATION: I Mnby Nirm uMer pnrwYy d perjury Ihm I em IcenxE unEer panaiona d CMqer 9
(mmmmri�p wnh Sanbn ]ODO) d Diviaion � al Ne B�eiireu vd PMmeioru Code, end my licenae u in lull l«ce eM elletl.
cmuc.no.:070 18 uc.cuss: uc.xo.: �34969 EXP: 06/98
oma� ca,W.a�: ��� %
OWNEfl BUILDE OECIAPATION: I herab/ �im under penelly d perWry �het I em emmp Irom Ihe Conireclae Liceme Lew lor Ihe
lolbwip iaewn (Seeion ]091.5 Busnma eM Prolaeeione COEs: Any cAy a munry whidi iequirae e permn b oonatrucl. Mx, imyove,
iemd'ch, a rapei eiry siruciure, p'v io 1s'owenm, ebo rapuiru iM epplirani la euch pmtit to fik e spr�eE etetemeM Mel M a eM
i limnsd W��I lo IM pro+ivions d ihe Conlradwe licenee law IChaqm 9(�menaiq vmh Seaion ]W0) a a+uion 9 d �M
dumrea eM PrMeavn Codel a �Mt he w ehe n er.emN iherehan erd iM bem lar Ne eAe9b e�emqion. MY voblion d Sepion
]031.5 by vry nppfiun� la e permG wbpaa iM eppliceM b e cvil pxahy d M mon Ihen fwa �uiMred do0en �i5001).
� I.avo�merWthepropenYormY�dW^w�hwepeeealMiedecompaneelbn.willdoihawak.eMlMeVudurouMinlaMed
w Merad I« eele (Section 10e�, Busimu eM Proleaebna Coda: Tho CwNredae Limnes Lew doae na epplyioen owna d propeily
who WiM a inpwee tMroan. eM vAw doee �utl� wak h'un�ell ar hensll a Nraph he or hx mm empbyeee, qwided ihet euch
impmwneMa era m� inieMaE a allsed lu veb. M, Mwever. �M buitlieq a'vnpraanem n eold wn�in one yaar W compMion, tln
ownx-0uitler xiA heve IM buiden d qan�p M a ehe diE nal buiN a'unprv.e lor IM puryme d eW).
� I. m owiw d iM popenY. em mtl�vdf' caurec�q wiN IiomeW eontrxtae �o mreo-ue Na pM� (Swion )oa1. &sinsa eM
rwmuiu coee: m. c«n,mon ucen» �.. aos. �a mvN w.� o�ne. a wwNr wno wib. « imo�� �ne�mn ene wno
caMracla M edi prqetls xilh e murmor(s) IceraW punueM to iM Conlredm Limnea lew�.
� I em uamq uMx Seciion: B. 8 P.C., lor thb ieoon:
od.: o.,�
i m n«.nr �r mm i.m a.b.e a�a Wd«.�d m. na�«� d c.u,�:. w.m� w s.m�r coe. seuo�. zssos. usa�. d,a
zssaa. e�a m.� i o, enr nn�.e d,man �o� �+n i.� na c�b o�.� m.a io canoN win..d nm. ooa...m m. �w�.ro ror
a V�n IammWCUm a moA'ifimionhantMA'��enpeineni Rmria. ReudaaW mutwion e00�iau ue eaemq /mmNsa
[fOi19q9.
ome: �oar.�+:
WORKEP'S COYVENSATON DKLAfi�TON: 1 Aeraby ellum wdr prutly W prjuy wr rf Na ia0owiq dedant'vm:
� IhmaeMMlmvMenacenLiaisdmvm�ioseMiwroMxvkan'oompanWim,oprdidadlab�5amm3'lWdtMlebar
cam. i« ins wn�. a m. w�n ia.i:�n im. o� o a.�.e.
_ Cl i n....�e w�� �m.� wMd.• a�mam� i��o.... �c��.a M s.em a�ao a me i.n« coe.. ior ma ro�«�w,�. a ma
7� .m�ia.n�mno�m4.�,.a.Mr.��.,•�c�w����F�pe�«ww�nM,mee..,.: EXPIRES
P��e� J� t�����6�— 04/30/98
(�Nu senion med rrot be canWe� / Ne ro'�^] u la one �uMndCalWa Rtaal a Im.)
� 1 cenAy ihm in iM perlamenr,e d tM woM Iw which ihie pe�mil o aeueE. I ehell ral employ ary peison in vry mennw eo n �o
pecmie wpjae �o iM xwken' mmpanavion lawe d Celilanu. erd ep�se thu tl I ehauk becams wbjetl lo IM xorken'
cwnG��ion 0� � uro d SW ion 3]00 d IM lebar Code. I M�ell�/p� � wmW xilh Nove povieio�o.
� Dme: �VW"ran: /.��� .
Wem/np: F�Nun ro aecun workn�'rompawtlon cov�np� l� unl�wNl, arW Nsll �ubl�M �n wnplqx m MMlul pwMu �M
clHl fln�s �q ro on� �imErM fMus�nd do1Hn (Sf00,P00). M W111bn b tli� cw! ol rorrp�nutb2 Gm�p�� �� provMM br In
Sxtlon ]105 0l M� LeborCods, Infws�4 Nd �rto�mya hu.
CONSTflUCT10N LENDINO �OENCY: I Mieby alfirm uMx pmMy d per'ryry �het �Mn w a mnn�ucion bd'vq epency lor Ne
cxr�enm a me wak ia .nd� me o�� m e.�,ad Iseaa, aow. cH. cl.
LENDER'S NANE:
LENUEF'S RDDflE39:
I cenity ihet I heva reed thie epplicmion end pme t�el ihe ebove inlamelion ie caretl. I epree to comply wNh ell dty e�M wunry ordirerees
enE staie lews raW ip Io WJdiq con4rueim aM Mraby unMr'¢e npeesnimivee M this aiyto entar upon the ebwe�mantionetl piope�ly
�IX IM19�Bfllpl pWp04B9.
RONALD LEGRAND
�nm Neme
oma
�—Sie�ureMOwmr/ppm UComreqa �
(S15�e6.WP) W��uJdiq85elery:OreerFb:Canery-Appira�i:Pink-Revenue:(iolden�o�Mwan
CITY OF COSTA MESA - HUILDING PERMIT
PERMIT NO: E 087322 PLAN CHECK NO; „ N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE
JOB DESCRIPTION : ELECTRICAL SERVICE FOR GENERAL LIGHTING
-q - Of� �
PERM NO• E 087322
GOVT: N SUPP: Y
SQ FT:
PURPOSE: NEW
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: ELECTRICAL SERVICE FOR SITE GENERAL LIGHTING S SPRINKLER
+�+�*+�***�r*�r�r*�*+r***��****�*�+r**�r*�r�r*���c**��r*�+�*****�**�**�+�+��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 BUILDING ---------- --------- ACCESSORY BDILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARRING REQ: PAOV: PARCEL: 00000000 ZNE; REF NO:
PLANNING NOTES> '
�
�E 1E �f 3E �)E 1E 1E iE iE IE iF if iF if iF iF if fF iF ik 1k i! fF 1F 1E fh IE k ik if �! iE ik ik iElt 3F if �F iF i(� �F 1E ik iE if iF ik iE 9E iE if ik ik if if if iE �f 1! iE 1E 3ElE i6 ik iE iF iE iF iF iF k iElE ik if 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
ZONING APPROVED HY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
*�**********+t*�*�*�t� �t«
LEGALIZATION:N F E E -S U M M A R Y
BLDG PMT PLUMBING EI,ECTRIG MECHANIC FIRE
PERMIT 27,25
SOY
PLAN
ISSUE FEE 6,50
DATE:
DATE:
.�
DATE : Ca� � �l�'
*�**�+��r+� r�r
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON-RES ��
BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID '�DUE
TOTALS----> 27.25 6.50 _0.00 33.75 33.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.75 OVER/SHORT; 00
�i BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
� 33.75
if iE iE iE iE 1E iF if iF 1E it if ik iF it %* ik 1k 1f if jE 9E iE iE 1k if iElf 1E 1E 1t if ik iFlE 1E ik aF iF iE 1F 3E iE �f fE if 1f iF iE if if if if iF iE iE if if 3f 1F if !f iF iF ik 1E if iE 3E if if aE 3f if if ik if 1F
I N D I V I D U A L;•F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N,'� UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 27.25 27.25
END OF FEES
93-16-1998/11:08 AN/f33.75
RCPTq:01-0A20368
F-'EkMIT:087322
CONSTRUCTION AND PLANNWG POOL t� SPA
APPROVAL$ Permit # Date Inspector AppROVALS Permii # Date Ins�ector
1. Temporary Eleccriwl Service or Pole 52. Pool & Equipment Location . .
2. Soil Pipe-Undrgmd. -� � 53. Steel Reinforcement � •
' 3. Electrical Conduit UtilitY-U�drgrnd. 54. Forms
':4. Electrical Condt7it•l�ndrgrnd. 55. Electrical Bonding
' S'1 Steel Feinforcement 56. Rough Plumbing & Pressure Test
-�6. Electrical UFER'"Gmd. 57. APPRQVAL TO COVER-GUNITE ..
' 7.' Footings �. 58. Electricai Conduit�Undrgrnd. ' '
.F.:�
_$. Foundation � - 59: Gas Pipe, O Undrgmd., Test
9. 4Vater Pipe-Undcgmd. �= �• 60. Backwash Lines; PTrap, O Undrgmd.
10. Structural Fioor System .. -- 61. APPROVA� TO DECK �
; 17. Property Sewer Line'& House Connection 62. Backwash & Receptor-Final "
12. Sewer Cap � 63, Heater & Vent-Finai
13. Roof Drains �' 64. Plumbing System � Final �
14. Rough Piumbing. . 65. Electrical-�inal '
15. Rough Electrical;Conduit � , 66. Solar System-Final
. 16. Rough Electric Wiring ��'� ' � 67. fencing & Access.Approval -
� 17. Rough Wiring S�9n ' 68. APPROVED FOR�-PLASTERING
78. Rough Etectrical-T Bar Ceiling 69. POOL/SPA SYSTEtiiS FINAL �
19. Rough Heating & Air�Conditioning , - ^ �� FIRE�DEP7. REQUIREMENT �
r. .
20. Rough Factory", Pirepiacz - � - � RPPROVp�LS.� ��' Permit # �
J L
27. Oucis; in-Structure - . � � 7Q. Underground Hydro
22. Ducts, Ventiladng?; i _ - •� -� � 77. product �Piping � Gas Q Oil
,
23. Gas Ripe-.Rough &,;�est ' , "' ��_ <', � � 72, Underground Flush �-
24. Roof�Framing � � • - " �. ; i , 73: Undergrnd. Stoiac�-e Tank O Gas ❑ Oil
25. 600f Sheath(ng - � � � _ "y - - 74� Overhead Hydro - �
26. T-Bar Ceiling iStructural� & Monocoax x�: = 75: OrV Chen'?ical . '_ .. � �
27. Frame and Flashing : _ ' = . ,. '� � 76' Dry StandPiPe �', : • � � ..
, 28. Lathing & Siding �-. -. � 4 M ; � 77� FIXED SYSTEM FINAL � •
� 29. Insulatiori �.. �� . - � 78? FIRE PREV. FINAL � �
30. Orywall IVailing *1 -' w`� " .- _ HEAITH DEPT. REQUIREMENT
�'. 31. Plaster Brown,Coa{� ' �V � 79. FINAL INSPEC710N . _ �
32. Elecirical-Power Mecer�Final � 4� �. P T POOD CERT�FiCATE ISSUED
-'!-v/
33. Fina(�Elecfric- ._; - : - 3���yc� -- Notes: .-^ ,�' �
F„Z a v � �.-
� 34. �Ffnal:He$ting & A�r Conditionirig ' . �� �
_ _ � 3 3G��.- � _ ��JQ�,
35. Fina� Gas Pipe=Test - ' , " ' ,. �" � � .. _
r.
• 36. Hood or CanopY . • , �� � �� =� t . �- � .. _ � � .
' 37. Final-Factory Fireplace1.'�� ' , ; = _ � ` '� .
,-38. F's�alPlumbing .. �� � . - _ �
39. tVater Service-Final' • _ ' � , - ' "
,�
:-40. GasService-Pinal �' �_ . ' ' � ._, �- � • r
- 41: Solar pomestic-Final� �^ * � � " ' �
.., t � r.: ' - �
42. Backflow.Preventer , _ _ �, _, � �� � � .
43. Backflow Irrigation' � . � * ; � . . �. ' �
44. landscape Irrigation SYstem -�� ( - � ' � k-,, _ _ _ ' � � �
45. Sound Attenuatiort . • •� • - " ` - � t • '
. �
46. Handicap'Regulations . � _ ;; �- , .,i � - ' �
47. FINALSTRUCTURE&BUILDING �" j -.
-- �
48. FINALPLANNING � �� _ �; .
49. Elec[ric Release to Edison yv ( -^Q � .
50. Gas Release to Southern California Gas Co � " � � .
51. CERTIFICATE OF OCCUPANCY
No. Date
.
.00n�ssaFewU�o: "s"7'i � 1 � i u?
OWNEk9N41EIGIPJuWN:�.JI:WL'l,Jj(1 111J r�'dl)
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N.ii.
wNm.crarswu¢ f�ACIF:CC GltHiVu CiiNS'i
CONfPACi0R9M4W10 �j �V 1 Wt�1'Ci'tr F
°NTe CZTY v"r Cii51A ME:SA — du:iLiiiidG G�rRt4.i'i
P�.RMZ7 NU: P 085G7t "rLAN CHECK Ni): i�i
CONS'thOCTIiiN iYPi : V—N YL•i<MI? TYYF.; FLO
� �' V
uxr:
CA 7LbliV
i'i14 i G31-7433
�sxN.n. CA ucw: "i34564
SLbbV uni: L�V
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cm uc. No.: "v'i V I b uc. cuss: uc. No.: � �.� yr�-.,(�' EX r: u ci i"
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UILDEN DECIAN�TION: I IwWy tlfirm vWv psWy d pa�vy UW I an anmp M1om �M Commfm l"rrs� LeW la Ihs
Idbr.iq �sefm (�� lOJ1S &ni�o� end Nda�au Code: Anl' W a muYy wtid� tspu�� e pumC to mroW�1. War. hnpo�a.
'fmal's�. a rapei mry sWeYve. pv b tf eawee. ebo nG�im Ua ep06mN la wrA prml to 9s � qrA �wrnrX tlu1 M a�M
fioensee w� �o �ne n�� a ms cwa�eea+ limn,a lei. �CMpr e(mmm«vro wn saacn �ooa) a Gvuon a a ��r
eue'vna ud PrWeniav Cohl a �M M a tlw u memd Ilve6om ud Ns boo fat.tM eYpeE axemq"vn. MY voW un d SW ian
)o]�.s W enr wc� �«. w�^+�1^m u..wr� �o. aa o�M a na mo�. wn r�. n�ndl.d me.. �ssoop.
� I.e�owm�d�hapopMYainYa��xihw+P+nNs�tlemmprmarim.wlEoOwrnkendiMWUNvs'sm�iiveded
«dl«ed M aeb (Secrion'lou. BumnveM VmlmdansCoM: TM CaNretlm L'vme law doas mi eDMvtoenownera p�ape1ry
wbd�iCsoinpwa+Iheson.erdMnEomu AwhFinWaMnJaMou�heahrwnrnbqw.Pa'�d�dtAnarA
impwemem� ara nd "vneMed a allsed Ia u4. tl. Mr�war. tM M^ld'vq a inP�� u wtl xilhm an� Yw d wmWion. tlw
oxner�d�dder r.T hrva Na WMn d PwmO M a tlr tid nd hiE a'vnpw� Id iM V�W�� W We).
� 1. n oxw d iM V WMY. em eabmwly muiran0 w'nh forwE mmrfm b wmnW IM D�9b (3atlion MM. Bu�iw� rd
Pmlomvu Cab:�TM Caa�eum Liam� law dou ml wdY ro� anw d PW�Y v.M bu'Id� a iiPa'w tha�an W Mn
comrsv ror aM P'9� xmi a arcaiee«la) IwnaN anuua b�M Cmtrms tiwus len'1.
� I em uemq uMer Sen"v�: B. a P.C.. br Nu mmn: ` • .
De�e: � �
i ao n.wr �ev uw ��� a.�e �a m. mm.�.e a ur+,.re w.nn.d sa+v coe. sww�. xs�os. nsa�. w
ASU�. eM Uut I a enY hAwa dildi�0 �9^b. wi0 / wi nd (ucb ons) roW lo canNM wN uid qets mds� �E tM npWemann br
.esnwimm�.w,ion«moa�mtn,aanN.�.�i vrS�1%v�.o.n..Di.�'v.,.ame..'Wmm�,ebiwo���...n«rwnpnm...
Dve: MP�'+b:
WORKEF'S CONVEN9�Tq1 DKL�N�TIOM: I Mraby elfmn uMr pruEy d pejiuy ane d IM b0ow'vp bderaiiom:
� 1 heva enE wil memiaw e candiwe W miwu u utl<uim br worken' oomprmion. s pu'iME IaW Bwion 9)00 d iM LeOar
COM.Ia tM palmnenc� d tM wM Ip whirf� Mu pann e iaued.
.I�l I hm uM wil mdnten woM1en' mmpmulian iiuu�eroe. m raQu'vW by Sapion J]W d Ne L�Eor Cods. br iM peMmena d tM
rr wak la xhidi Ne M�� b umud. W waten' mmpautlian hmuc� urrw rtl w�.Y �nbr en:
c.m.�: 5"ilif�: t�ilNii tX2'IhES
va:vr+�n« t•� vu n�uo G9/3�i58
(Jno wri�» ne�e m� b m*N�b � tM v�1 u M w M�d�d dyLn R�mI n ImJ
� I oenM � in Ihe pMamenrw al iM wM� lar whicA �Au permu u uwnE. I NeA nal omqq arry pavon m siry mennar n u to
pecqne wbjw lo IM w�FwY miqenWion �s�n d Ca6Mrve. and piw YW ! I�IqWtl becane aEjq lo IM xpFan'
compenmli mvi+i • d Ss ian �)00 d tM labor CaAa. 1 Me01 �unh mmp�y ' tlroJr pmri�or%u
Om �Vdteru: �� J , //1 �
� amlrp: FaNun ro ucun work�ri ronpwuetlon eor�np l� unl�vM, �n0YW1 �WNef �n rrplo I f0 CIIINMI pMNIi/N �M
'. clv/l nm �q ro wn h�ntlrW llauuN tlol4n l710q000A h N01don ro IM cw10l comp�rwtbM1 C�nrp�� u provMW br In
s«non �ros o� m. Leeo. wa. Inw..r, uro.mrmr'. �....
CONSTflUCiION LENOINO �OENCY: I AwWy elfmi uMw pmNy d pmjury IM �Mn o� wiwnwbn MMinp yeM.y br IM
penormeMe d �n. work �a rnidi �nu o«m� u e.Md (seaion xn. ci✓. c).
LENDER'S NRME:
LENOEF'S ADORE99:
I cenih �he� I Mve meE Uis avWi�ion end ews iMt ihs ebow udwmetion u ouna. I eWM �owroN r,i�n ell fN' enE mmiY «d'uwnm
enJ eide lem mle�mp �a buildmp wmvueion erd hxeEy eiMor¢a iapraaenteiive� d iAu rtiy io anle� upon �M ebow�men�unsd pmpMy
fw imped'wn Wrpovea.
ttVNl�.LI./ LEI�ifANL
�,�v�m Nem.
� �� p,�-�- o�.:
-i SqreturodOwiwl/�yeWAppi �eea
�5151d8.WP) Whne-BuiWipdSefery:
Rnk-Pewnue; OoMenroC-b�mv
DD C�
��i:tiM hii}; � uiiSu52
l'iVV"C: N :.iUl't%: N
.k�liltNlJS1:: NtW
JOB uESCRIPT1uN : 1339SF 511VGLE FAMJi,Y RLSiu. 4?.u:ii� �AiiAt>'t �{1 Fi:
CiAIM 4Ai,UE: t;ALC—tiAi,UE: t;kvul i�i:C: it�-s i
CiiMMEt375: REF':b-850'i2
T T K lr 1' 1t lt f' lt 1! 1t'R R%R R fYYt �tlt R 1t'R ft lt � l�'F Jt lt 1t Yt fY Yt Yt ftYF R 1''R 1t Y�'? Jt hYF R h R 1' h 1r R� X j1' IY'K'A' f! if a! s! h YtYt aF YY'h'A' h IY A' A' �F� aF .f ft'%t
� U N T N G N E u 0 i k r. M'r: N'i :i
S E'i b A t; iC S
-----------•-- MAYlv BUIi'vIN� ----------- -------- ACC�S��n'z bu�LiiiNi: ---------
FkNi : "r'f YN REtlk: FT 1N 'riilvT: H'i TN n�:llk: "r'i i.hi
LE:F7 : t1 1N kGii'i': F'"f iN iEr i: r'i IN ici;}i'1 : r i :iN
PAkriIN� Rh�,"�: I•icOV: PAki:bi: OOOOGOvu iNE.: it'r.Fr' NO:
PLNiNINi; NU'iES>
� 1
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. . . . ... .. ........ .
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U F.. �V t, L V k' M C' N 1 S t It V 1- l.. E:.i ' K�t. (,j �U t Tt h M U IV �l :i
t•� '�
LUN11Vli AYYltVVGL dY � i)A7r ;
.... ' � _._.. _.. �.
ifl�1LL1Nli �A!'Y1tVVt.1) HY : -� 1JHlt.; __ _
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....'" "� " "'_�___'_ �." + ` ^7
IiYYLLI.Al1VN 1:.�SUtL iSY; ��� IJi�.I�'.: . 7% �/
lt'RiR'IlifftN1t1t1tlt1tltlF'R'It'RIYltltRftR'RRltx'Rflfllt9�R'Rl''RRl'xlt'R ? 1tR1tYt'hhll'll"R - Y1'RhIY'Xlt'RftR R" 1!'R'RYt'IY F%'!.'
Lt�ALSLA'iTi�iJ:N F t t 5 U M M A ii Y S'iii0�l'URAi, Sr:�M1iNT:N
TlLLI'� PM1 PLiiMBiNG tiEC'CnTi: Mii�FiANii: 'r'.iiir. :iM1Y/I<tS i;�<i�iiNi�
PERM1? 19.f.�V
"l5i �M'i!''/NGN-'fir.5
FLAN
T55U� i�Er� 22."vG -'
aUILLiNi;-LlV-> FtkMil ISSUE riAN-CIiL�'K
IU'tiiLS-----> 193.Su 22.G0 'v."vU
REVENUE UYVi5ION 'iiil'ALS--� CVLLEC'CtL:
bLLG FM'i YLuMb'iN� uT EC1'kiC MECIfANiC
10�.50 -.
fi�iAi, i%A:i1i iiiii
li,S.S"v L65.a0 .G"v
lGS.7G OV'ek/51iin2'.i: ,GG
�� iiir: SM:iF/'i�71 GtiAUCN� PLAN �C!(iiCK
'!! lt Yt'R 1r ft i! lr x iR 1t N"R'lt It Yt lt'R 1! i! %R'lt It 1t'It'lt x lt 1t lt f It'R ft f'It 1' ft R l' Il' X lt R'R'!t lt'11' iF'� )t iF R iF ft 1F'R 9Y'R F iF 1t IFT' K A' fY 11' ft •R'.F Y1' 1! N'R iF'R 1F'R
I N L" T V i U u A L_ F E u B ti L• A ri ii O W N
lYYl �lY L h J l' tf 1 Y 1 1 U� D �� ���I4�L.l l.V$1 �11J1l�L l�l:il
��'T._.,
Piu 1 nA!]i'iiid � d,"i5 u.'i7
FLu 1 'L1Sf1WiHSliE.lt � OCT O a.'/S G.'i�
YI.Ci 1 LAi7NuitY i i.ifi tiR WASii r.i B�9�� , &. 7 5 a. � s
rLU [ �Fi�W'r.i< p.7'i 1'7.S`v
riU 1 SIivk, AITCHr:N 8, 75 ii , 7�
rL� 2 tvt+sit bA�lN C�� OE C.QSIA MESA e. 7S 1 i. 5u
Y.L�fj � WAiF.ti Cii�Sti iIvILE'''i�i 8.'iS 17.�"v
PLu 1 WA76n n�.A'iEn AiJuiirFt_-v�;N7 11.'vii ll.uv
f�LU 1 WAirtc .StiiVlCt �- 8. /� 8. 7�
PLU 1 �A� rIPINi, SY'S V1� 1 7G 9 iiUi'LGiS S. SG S. SG
riU 1 GA5 StRV3CE 6.'/S &.i5
COf�(,TRUCTION AND PLANNING
�APPROVALS Permit # Date
r
t. Tempprary Electrical Service or Pofe
2, Soii pipe•Undigrnd. " �,iC
%�
3.• Electrical:Conduit UciWitY-Undrgmd.
4' Electrica� ConduittJniJrgrnd. .
�5: Steel Reinforcement �
nd.
� 7.- Footings- -, _ .
=8" Poundation-, _ " -
9. Water Pipe•Undrgrnd. � /
10. Structural Floor Svstem .
11. Property Sewer Line.� HouseConnection
12. Sewer Cap ' _
13. fioof Dreins . _ '
14. Rough Plumbing �
75. Rough Elearical-Conduit
t6. Rougri ElearicNliring .
17. Rough Wiring Sign =
78. Rougn Electrica�T Bar Ceiling
79. Rougn Hea�ing & Air Conditio�iny,
20. Rougt� factorY Fi` qlace = -
_ - _ k _
21. Ducts, in Striicwr� � •• • -
i -
roo. _ sPn -
Inspector APPROVALS Permit # Oate inspector
52. Pool & Equtpment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding _
56, Rough Plumbing & Pressure Test
57. APPROVAI TO COVEfl•GUNITE
58. E�ectrical Condeit•Undrgmd.
���7f"'�s PiPe, O Ur�Crgmd., Test -
ckwash Lines �Trap, O Undrgrnd.
61. APPROVALTt3,0ECK
62. Backwash & Receptor-Final -
63. Heater & Vent�Final
64. Plumbing Syscem - Final
65. Electrical�Final
66. Solar SVstem�FEnal
67. Fencinq & Acc64s ApProvaV
68. APPROVED FOR PLASTERING
69. POOL/SPA SYST€MS FINAL
F EDEPT AEQUI EMEN
� : _ . . lR_ ._ �_ � 7 r. -.,��_^r
: . � - '» � - -�- :� : .. :-.
, � - �APPROVA4S- - Permit # - . - - _ , _ _ � � -
_ r _ � Y '
' ' - = 70. ]Jndergrour�l H�dro �
22. DuctS, Vehtil�iing ; ; =' ; _ - • 71. Product��iping '�J•�a�ias �C,i Oil
'-��-
23. Gas PiPe�Rough & Test _. � ���
- �_
24. Roof Framing" :�' '" '� _ ' '
25. RoofSheathing n . _
26. P�Bar Ceiiing (Stryct�rall & Maaocoac '
27. amrs and Flashing . � 7•
28. Latfting & Siding � `'' � ' '
�. - -
29. Insulation � •• x �
�
� 30. Dryw811 Npiling � T � �
31. Plaster Brown'Coac i - ' - •
. 3
� 32. Electr�cal-hower (v7eterFiqal `
_ 33. �naE-Electnc.� � . •
- 34. FSnaf�iea4ing'& Av Eo.�dltionlrg = � �
35. f3nai Gas Pipe-. est : � �
' 36. Hood or Canopy : - . � - _
� 37. FinaLFacFory Fireplace -. - - '
38. Final Plumbing : _ ' -
39. Wate� Sera,ice•Final : -- '
"40. Gas Service-Final �' - �
= 47. Solar pomestic�Final ' . ��
42. Backflow�Preventer :�
-43. 8atkflow Irrigetion � : '
44;. Landscape Irrigacion'SYstem �' �
45. Sound A;tenuation ; - . l
46�. Handicap Regulations � '
r
47. FINAi STRUCTURE & BUILDING
48. F.INfIL P�ANNING' ' �
49. Electric Release to Etlison
� 50. Gas Release to Southem Califomia�Gas C,�
� 51•. CERTIFICATE OF OCCUPANCY
No. Dace
�� � �� dergro��d FILsh � '
- �� 73; Undergmd. Sto B{� Tank O Gas � 0�1
- 7 ='� 74'. Overhead Hydro. , �
r -� .
- _ �. � _ •
7yJ� Dry Che,rnio�l . , - - -
" -' � 76. DrY Sta " pipe .i ' _, ._ - _ �
�� ~, 77, FIXED Sl?5TEK4�iNAt � ' � � ..^ -.
• ' 79. �IRE PREV. FINAL ' '• _ _ �: i_ � �
: I �; ,. ji_E'ALTH DEP�. RE�UIREMENT " � -�
� � ' 79. FINAII�iSPECT�O-�= J �' �-
� ' 1' � 80.. FOOD CERTIFICATE ISSUED� _�i _.
otes•�_o�_�1.0=��� i�A��� z �= I� - �1:
• - _ - . �,._. '. -
i
��9���;. _ _ = � � �' J - ;
���
��■
���
_ y
1
6
/
�ooprss aF em�ncxt
OWNER'S NRME IF Y40WN:
10DFE53:
SV�L. WJWq �ODIIE55:
•
ANCNRECTORENtlNHN:
4KN.OH FH4'S AOOPE55:
CONfXAtTORS WIIE
CONfN1CT0A5 YYIIIIG
�oowess
urn:
Uc. No.:
uxr:
uc. xo.:
uxr:
LICENSED CONTRACTONS DECUPATION: I Aereby ellim uMs penely d peijury Ihm I em licereed uMa prwAims d Gheplx 9
(mmmeMi�p wilh Saction ]OW) ol0iviann J of tlre Buai�roas eM FeWestione Coda. end mY �nx e in tull latt eM eflad.
CT' LIC. NO.: UG CLA55: 11C. NO.:
Oma: CaNretlw
OWNEfl BUILDEP DECLANRTION: I hereEy eifirm uMm peneYy d parj.ny �hel I em eRemq Imm �M Comrenaa limiva Lew lar Ur
Idbvni9 �aemn (Satlion )031.5 &niwsa aM Wdamw Code: RnY UY a wuM' xfiidi �e9u'vae e OamE to mmtrucY. Ma, enPwe.
demolsh, a repei eny ewcntta. pior ro na awvKe, e6o requirte iM app'xanl ta wch pemiil to fib e eqmd ete�amml Mm M a ehe
ia licenseC Oursuent io ihe prantione d �ha Camrenme Liceroe lew [Chepter 9(commandrp Milh Sed'pn 1000) d Orvwion 3 G the
Buvnesa eM PrWesanre COEej a �Mt he a eha o ezemq iherehom eM ihe besre lor ihe dbped mamptnn. My vidmion d Seaion
�a+�s W d,v mdium �o. e v�,mn +uqea• me nod�� �o. ahi ro�v d �a mo.e in.� rr�e nuneree mue�. Rsoop.
� 1, es axmier M iM poperry a my emplvyeee v.ih wapas es thei ede wmpanae�ion, xill do IM waM, erd tM al�uclun c iwl iMeMed
or ollereC for aele (Sxtwn lWa. Buainew eM Prolessiona Code: The COMreGon lironse Lew Eoee rwt epplyta en ownxat pioperry
who buiCe or inpmves �hareon, enE rAw doea such xoM fimseX «MnM a Mrouph he or har own emplo�ms, qwidetl �hal wch
�mw�aas are �a �madaa «onered i« �. n, ro.,««. m. w�e�m a ma�an e.dd wnnm on. r� a canWdon. me
owmrWiFbr xill heve �he WNen d qovi'p he m Me d'd rwi Wild w impro.e la iM WT�a d aeb�.
� I. es owror d �ha pmpeM. ��dumay wnlrea'vq Milh licenaed conuectas to mnstrwJ IM qqetl (�� �. �i�e erd
PMeaeions Coda: The Con�redan L'eenae law Eam nal MON b en owrer at D�W�Y v.Rw Witla a ImGp'�w iM1ereon ud xfio
CanVetlf IW 91M1 �f wiM e 2MI9dIX(s) ICenBBd Wnuanl lo IM �.OnI�YfVB �I:snae law).
� I em ecempt undar Saclion: B. 8 P.C.. Im Ihis remon:
Dem: O�mer.
I Co nereby canity Ihel I em awara d arM uMers�anG �M1e requiremerus d Celianu Heellh eM Sdety Cade Saauna P5505, 2553�. enE
255�6, end ihet I w ury Mure WilEinp ocapenl will / will nM (dreb one) neaA ro comply wih miE etele cadm eM iM repuiremame M
e G�n lamnuuclion a motlRratianhomthe Rr�Bua iTi y 1�enep+meni Diwna. Ravdentvl minivaion eGO�iom ve eRemN hom tMw
porsbna.
De�e: AVGIceM:
W ORKEP'S COMPENSATION �EC WiAT10N: I Meby elfirtn uMer penelly d perjuy ane al IM Idbwinp dedaratiom:
❑ IM1eveendvritlmeinteneceMRceleolconeantioeaHinsurebrwaka�e'campenee�ian,mprovidedlaEySedion�]OOdiMleEor
cad., io, me oano�� d �na .� ia.�,room m� oa�n re m�ae.
❑ i new.�e �;� �m:.� wo�ke�a� o�no�mo� ��,�..e nc�e M s«+� a�ao a m. �ee. coe.. r« me roa«meze a me
work Iar which Ihia pefm� ia muad. My warken' mmpeneatbn inwrence mnier enE pdiry number are:
Cenier:
Gdiy Number:
(This mcfim neeJ rid be mmplered i tlre pmnt u b an huMred ddlen /Si00/ w bss./
� 1 ce�ily Ihe� in iM pa�lamence d ihe vrork la whkh Ihis pa�mX c ieeued. I Mell'wl employ e�ry paieon in enY menrrer w m�o
bacoma wM� to �M xwkera' comD�ution lawe M CdX«nu. vM e9ree Nm d I ehouM became w4� to iM xaken'
�o��, w�+� a seaion s)ao of ine Leb« cme. � mial� �onnwXn oomcN �n mwe pm�ie'v�+.
Dme: Applicenl:
Weminp: F�llun ro ue�n Morten'rompwuatlon eovsnW l� un1�wN( mdilull su�Nef �n wry/qw ro almhW pw�e/tlq eiM
clvll nnea up ro wro n1aMretl thouaard tlo/Mre ISiGQ000A In atltl/tlon ro th� cwt ol rompsrueUoM1 demeps� � pvvMM ror In
SxXon 9MS ol fhe Lebm Cotle, Infensq antl ettomsy i lss�.
CONSTflUCiION LENOING A6ENCY: I heroby efFrtn uMm penehy d pmj.vy iMt Ihae b a cmrtruaion bdirq epx�cy tar tM
penam� w ma �k i« wn.i, ma ro�+ n�wd Iseaun aae�. CN. CI.
LENDEN'S NAME:
LEN�EF'S MDPE55:
I roniy �het I Aeve roed i�is applcetim vM mma ihel the ebove in/ormetion ia canetl. I epree lo camply vrilh NI dry eM camly ardinencw
enC sle�e leus mletinp Io buildin0 ���utlion eM M1ereb/ eNharae repreaentelivea W ihi5 dly lo enlar upon Ihe ebove�meMbned poperly
lor inspeaan purposee.
Dete:
SiB�ure M OvmmlRpenUApplranVCmtreda
(5151<6.WP) Whne-Buikig 8 Se/ay; GreaMFb: Cerary-AppSrani; Fnk-Re.enue:Oddeneoo-Namsa
P"r"i'tMZ3 NG: t� v87u�� k'.LMI �riBi:k Nii; 091Gq-�i7 iv r i,n; �
tt%' Yt'iR'1F R' lk 1t'!1' ft'T YY ll' lt'J!'R'It Y1"%t ft R'!t R f! ft IF F lt lt � XYt R X ft Yt R'h a! lr'R 9t %' R%' fP T' h f' 9t'll'rt' fF i\"It' :F 1t Yl' X' .! lF ft iR f!' 1F'It A' X X i! h'Jt •1k Y1' A' .t'h' :f n'
'1 Y!'G ul Y L L J l. Yt 1 Y' 1 1 Q N UIV.I l lU:i L Y111.(�l. l'US 1
PLu 1 SLw�:ii, Cii13N�.i I it�N TG HUlLL11Vli r.:4Cri ii. GG
r.NL" Gr r6'�i5
D ��
��oer �
e a ��sr
ClC��' C!F CQST�1, MESI(
L�.l1V
r
CON�7FiUCTION AND PLANNING POOI & SPA
APPRQVALS �Permit# Date Inspecto� AppROVALS Permit# Date Inspector
i
7. Temp� r8ry Electrical Service or Pole 52. Pool & Equipmznt Loca[ion
y2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrica� Conduit Utility-Undrgrnd. , 54. Forms
4. Electrica� Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 51. APPROVAL TO COVEfl�GUNITE
7. Footing5 58. Electrical Conduit-Undrgrnd,
8. Foundat�on 59. Gas Pipe, O Undrgmd., Tesc
9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Struciurai Floor System 81. APPROVAL TO DECK
t t. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' � '63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System • Finai
14. Rough Piumbing 65. Etectrical-Final .
75. Rough 6lectricai�Conduit -� ; 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Appcoval
17. Rough Wiring Sign �. 68, APPROVED FOR PLASTERING
18. Rough Efectrical�T Bar Ceil4ng - 69. POOL/SPA SYSTEM5`FINAL
19. Rough Heating & Air Conditioning � PIRE DEPT. REQUIREMENT � �
20T Ro,ugh Factdry Firepiace APPROVALS Permit #
21�Diicts, in Struaure 70. Underground Hydro
22.-DyMs, Ventilating 77. Product Piping �Gas ❑Oi1
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Robf F�aming 73. Undergmd. Starage Tank G Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26 ,T-P,ar Ce��ing' (S2ructural� & Monocoat 75. Dry Chemical
27.��Framea�d lashing 76. DryStandpipe
28. Lafhin�& Siding 77. PIXED SYSTEM FINAL .
i
29. In;ulattOn � 78, FIRE PREV. FINAL
30. Drj�watt"Naif�ng HEALTN DEPT. PEQUIREMENT
�
31. Plaster BroJ�n Coat 79, FINAL INSPECTION
32.,Ei�ctrical Power Meter-Fina: 80. FOOD CERTIFICATE iSSUED
,
33rFinalEtectric- Notes: • �-
34,�Firtal Ffeating-� Air Conditioning
35=Firjal Gas Pipe::fest � � �
36.'Hood or Can'opy
37�Final Factory-Fireplace .
38�Final Plumbing
39.�Waier Service�Final �
40=Gas Servfce-Final �
41:;Sol�r pomestic-Final
42:.Backflow Preventer
�43. Backflow lrrigation �
44. Landscabe Gripation System ,
45. Sound Attenuation �
46. Handicap Regulations �
47�. FISVAISTRUCTURE&BUIIDING �
48.'F WAL7LANNING
49. Electric�Release to Edison
50. 'Gas Release to Southem California Gas Co �. .
51. CERTIF�CATE OF OCCUPANCY
No. Date
�oonasaeu�mn: 3! % L f 57 :i�l
OWNfRBNAYEIF�0IVN: NF.WFVI�1 HTS 1Fi0
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IENUEP'S AO�RESS:
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MtC 1 i:ACli ArPL NGf IN OIH�:ti ' U l r� 9.SG y.70
,Y.NU V
- ' . OCT 0 81997 D
CITY OF COSTA MESA
, CON�TRUCTION AfVD PLANNING POOL & SPA
APPRnVALS Permit # � Date Inspector qppROVALS Permit q!� � Date Inspector
1. Tem�,xary Electrical Service or Pole 52. Poo� & Equipment Location
2. Soil Pipe�Undrgmd. � ,�� C�' 53. Steal Reinforcement
--3r Electrical,Conduit Utility-Undrgrnd. 54. Forms '
'4. Eiectrical ConduitSJniirgmd. 55. Electrical Bonding
5� Steel Reinforcement 56. Rough Plumbing & Pressure Test
.
`fi: E4ectricai,l}FEftGPnd. 57. APPROVAITOCOVER•GUNITE _
�1.� Footings � 58. Electrical Conduii�Undrgmd.
z8"' Foundatiprr. ^ - 59. Gas Pipc, � Unqrgrnd., Test
9. Water PiDe-Undigmd. - 60. Backwash Liner, R•Trap, C] Undrgrnd. -
10. Structural Floor Svstem 81. APPROVAL TQ p�ECK
11. Property Sewer Line & HouseConnection 62. Backwash & Recei�tor-Final
12. Sewer Cap � 63. Heater & Vent�Final
13. floof Drains _ 64. Plumbing System - Final
14. Rough Plumbing� -� 65. Electrical�Final �
15. Rough Electricat�-Conduit = 66. Sola� Svstem-Final
16. Rough Elearic Wiriry ; 67. Fencing & Acceis•ApProval
17. Rough Wiring Sign - ' 68. APpROVED FO;R,PLASTERING '
18. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin� �fn�a _9� i� ` � FIRE �E�T.,REQUIREMENT ..-
- � . - Jd �5.�
20. Rough Faitor� Fi�iRlace " „ - ;. � ! � �, APPF�,bV�l�6� � Peimit # � - � �.
��
2L �ucts, in 3tructure � " ^ _ 5' '� - � �. ., 70. TJndergiovr¢I F�dro � �
- �
22. 9uttf, Ventil$�in9J i - . _ - r 71. Produc.�.iping �Gaz Oil
23. 6as P+pe-Rough & Test '� t; Y _ ti 7p, Underground Ffus�t ' ^
'i - r � r
24. Roof-Pra{ning' �' '" �� �� - ; � � ��. 73; Undergrnd. Stor+�gr, Tank O Gas .^� Oil� J
25. Root-6he8thing �� •. - 7 - ••, 74� Overhead HYdr� „ r �
26. T-Bar'Ce�ling lS[rupt��rail & R'.c�o.aoac ' � - - - i 7S; Dry Cheqiical � � . " =r � �
27. Erame and Flashing � --- , ^ �^ 76. Dry Star}dpip'�=-� - �
" 28. Lath'rng & Siding. ��� _ �`� '�, 77, FIXED SY�TE;l1;`rINAL ^ - j A
� I
- ' .. ' �
29. Insulation' > ' •• + � i� 7� FIRE PREV. FIN�L ' � ^ � � �� _ 7
30. Drywall Npiling �°_ �_ � �; �NEALTH DEP'�. qEQUIR�ty7EfiVT� ,
-� . -
31. Plaster Brown Coan ,.. ' � 79. FINAL 161SPECT�DN �'�
r -,
32. Elec[ncafPow2r 6rteter�Fiqal . ` "' �; 80; FOOD CERTIF��CATE 1$SkJE0. = ;� � - -'
=33.E�ina4�Electric- _ � , _ � �. �4Votes. =2�,( �
y-��9c� :�INAi:►�E{� ��,_� �
34. F_ina6 Hearngk Air, Gor�ditioning - � ' . - �' � � � i " I
- �-a�$ `��
35. Final Gas PipeTesC ; •� .: '� . � - . - � > =
- 36. Hood•or CanoPY ' - _ � _ � - ' �� .r -' , . _ �
37. Final �aCtory Fireplace -. - • '
' < I
� 38. Pinal=Plumbinq • � ; ' " _ '. • - .' _ - . - -1
�, � �
39. Water Serwice-Final ' , " . � ' � � � ' ' _ = - �
�
' 40. Gas ServiCe-Final •� - � � " - " , ' = > '= ' - � -
- 1 • _ .� � .. .
- 47. Solar por�estiaFina� �- . � - - ' �. . �. ; - . - _
42. Backflow"Preventer • • � ' - ' -
. _ - - �
43. Backfiow IrrigBtion „ � ` � - . . ' � � J
44. Landscapg IrfigatiortSystem ' '", : � � - _ - - -
45. Sound Attenuation . 4' - ^ r .' �. _ i
46. Handicap�Regulations - - • � ; - � -
� 47�. PINAL STRUCTURE & BUII:DING , . - " ' " - ' _
48. FINAL PLANNING - - '
49. Elettric Release to Edison ' � . " .
50. Gas Release to Southem Californiai'ias Co ' .. _ _ • - _ . :
51. CERT4FtCATE OP OCCUPANCY - '" -
No. Date
��
ADDHESS OF BNLpNG: J/ I L 1 S l $ 7
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UNT:
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LICENSED CONfPACfOHS UECLAFPTION: I hereby ellim uMm perely d pmjury IIW I em IiceneaE under povidon� d Cheqer 9
�rommeriaeq Milh Seelan ]OW) d �iwion 3 d Ma B�svwo ud Pmlevims Code. eM mY 4ss u in hA brea W Mlerl.
cmuc.ao.:u'iu" I8. uc.cuss: uc.No.: ���3" EX/Yc Vb%��6,p
. ome: com.mo,:�� � /�5��.'�
OWNEN BUILUE DECIARRTION: I Iweby elfvm u�Eer pemly d perjry thei I am emmq hom tM CapMaa Limma ler la iM
followm9 raewn (Sedion ]W 1.5 &rei�ea� erd Proleaaions Code: A�y cly a aouM�/ xfiidi �eCwree a Germ� �o oonevun. Ms. MWm'e.
damd's�, v repai eiry st�ueUae, pw b Ia'saarce. dm repimas �M eppGreeu la wM pxmtl lo fib e dp�wE etetaneitl tlut M a aM
ia �icenue w�uen� m me n�+� a me eaureaas �icmee le. lcheqm s(wmmendna .Mn seaun �oaol a Diveon s a �ne
Buvrbss erd Proteav'vm Godal or �he� he a dn o uemP iherelmn aM iM buie lu ihe elb0� memqian. MY vida�,ion d Seqion
103� S W eiry epd�� in e parmu wbpua tM eppfr.aM b e wi peneM1y d nd man Ihen fxe huMred doAen �550011:. .,..
� I.mov.nerdihepW?�YamY�wthwapeamVSWecam�.wAdoNexwk.andtlramrn�iee�wimeMeA
or Mered br aele (Saemn ]oal. Buvrw�eed PMesdwa CaEe: Tha Comreawe Liorue lawema �wt eppry lo en o'vmer d popeM
who WiM a inG�'y Ihe�mn. eM Mn Eoas sutli xqk Fimsetl or hervN a Wuq� he a har orm amCbMe+. pe!'� IIW wrJi
impovememe ere ria imeMae a W«ad la seb. G.Iwwv.er, �he Wiki'p a inpo.emmt u add wnhin aa yeer d oompbtion, tM
owrcrbuidaz rNl I�ew the bukan d pwinp he « ehe dd rvf ddd rc impeme la the pvpoaa d aebl. ..
� I. a� owner d tM P�WeM. em szdutiwly mnireGeq xtih licmeed conVMon b m�W ihe pol� (Swun )W1:&u'uwa enE
v,a�s�. coda: m. w�u,g.+� uo� �.. eo.. � wc�v w.� o.,w a wwem .no wm, « mwwo nw:a, .m wno
canvens la wrh pqeaa vrith e mu�rfar(s) IicanseA punuem to IM Comrmaa lJmme Lew�. .'�;
� I em exempt uMer Secf . B. 8 P.C., br Nu �aemn: •! f.
D8�l: OWIMf: r //
i eo nmeer �nM �nd i�..a. a ene wa..�.�,d me �w�am a cwo�. w.en.�w sdm coae s.uo,. zssos. zssx�. w
uSJe. eM Uim 1 n eny hdure buildvq oavD�� xin � wa mi (dacb orel roed io camW win veid nm. mdu end �M nCuiromsms lar
e permn IammNc�ionwmodifrationhamtMA'r�l.renepenem D'mtritl. PseiJamnlamYrutlion xppirAbmvs exemq fmm Nna
proviabne.
Dme: AppcaN:
WORKEH'S CONPENSATION UEC�ANATION: I Mreby elfiim unCv penMy W pajury aw d Ms blbwinp dedvatuiu:
� I Mro eM xiI meimen a cenifwe d miumi to aaMimun br MaMse' mipa�union. m po.idsd ta by Saaion �]00 d iM leba
COEe. Ia �M peelormenee W Na xak ta whirA Nb pendl u iwueE.
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7r wark I« nAiN Nb D� u mued. MY wvken' camD�wian Aa�ence renier end D�'Y wmla ms:
c.,�.,: :;if,iN: i�iiN7, 1:XPlRt�
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�ml, .eniar nesa mt ae romWnr.d l Aw o«mt u M«. moa.d dne.i. �Siao/ o. YnJ
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n«om, wqw �o ms �e..• w�ro�mo� e., d CaNarrve. aed yrw ihr i I Nwk becorts abjW lo iM when'
wn
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�
�OCT 0 81997
CITY OF COSiA MESA
. �
' _.,� '
�CONSTNUCTION AND PLANNING PQOL & SPA
'APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location
+
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Hectrics�_ConduR�Uti�ity•Undrgrnd. 54. Forms
4. Electricel Co'�duit�UnBrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure 7est
6• ElectricaHU�ER:G7nd. 57. APPROVAL7000VER�GUNITE
� 7. Footings ;; - 58. Electrical ConduioUndrgrnd. '
"8: Foundatioh", "' - 59. Gas Pipe, O Uncjrgrnd., Tes[
ti
9. Water Pipe•Undrgrnd. � 60. Backwash Lines; F`i'rap, O Undrgrnd.
10. Siructura� PloorSyscem 61. APPROVALT�QECK
� 7 7. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor-Final
I�2. Sewer Cap � . 63. Heater & Vent�Firiel
13. Roof Drains '
- 64. Plumbing Sysrem - Final
14. Rough plumbtn9+ * 65. ElectricabFinal
15. Rough Electriwl.ConBuit : � �J�i6. Solar SYstem-Fir�al
J
16. Rough Elearic NCiring - � `Z��p� 67. Fencing & AcceES-ApProval .
/L
77. Rough Wiring Sign = g$. APPROVED FC1RpLASTERING
18. Rough Electricaf7 Bar Ceiling � 69. POOL/SPA SYST�MS F1NAL
19. Rough Heacing & Air Conditioning' � _ FIAE DEPT.$EQUIf�MENT _
20. Rough Factory Firyqlace _ � :� ° � '� � �:APPFEOVAGI��;� : Permit #-;. - y - -
21. Quct� in StruEturE7 i� " ' -' ' � � : ` 70. ��nder�o�n�l H�Jro
- �
22. Qucts� Vet'itilaL+ng�, � � j : F ' 71. Producz+j�jpang 6as � 0�1
23. Gas P'rpe-Rough & Tos[ �� r� �" � 72, Undergrou��i FrOsb � •
24. Roo{Frar�iing�' ;;, '"' " a l � -, w • 7� Undergrnd. Sto u2 Tank, O Gas � Oii ��
25. Roof.SNesihing �; � ' - � r y 7 • -'. 74: Overhead Hydr�' _ �
T
26. 'f�8ar"Ce�ling (StructUrall & A�o�kcoat ; _ ;, ' j : 7� Dry Chemical _ -� ` " - �
27. F.rame a�d� Flashing � _ - - r � 76. Dry Stan,�pe • � � , * �
., � �
28. Lathing & Siding �' • � � _ � � ` '��� 7T� FIXED S.Y$TEfA'rINA�. , - r � - ��
29.Insulatiom � � ' -• r � F 7�FIREPREV.FIN�L � ' ^ '� '=
�30. DrywallfV�ilin9 ° � � ,i �` �F�iE'ALTfiD�P'�.F�EQ�11R.�r7EjJ��=
� i y «--• --�_ ��-- . �-
' 31. Plaster 9rownCqai �� � ^ � � - FINAL INSDECT{qN ' �
�I// t
32. Electric8lPowq"r ��let¢r•Fi�al 3�%��L _;�r �O�FOOD CERTIFt�A�i'� ISCSUED., S
•� d
_ 33. Fjnal �leqric r . � � - f N -tes: i " - : 7 '' '� - ^
_ _ 31t�.�f�6 - - - . = _
34. FlnakJieating & Air �onditioning'= _ � �' _ .' ' - ` ' ,� - -
t : � i, � . -
35. F�inal G3s �ipe:7est ' r.' .. i -. � �� � � n � 7 , x � � •s � ! �
. �,3 . .• : ^ -
�36. Haod�or CBnopy _ ` � � � ' _ -' ° •
- *' G ' x f . 'r � n : �
-37. Final.Fac�ory Pireplace - � - , + � ' � �
� �:
_38. Finaf Plumbing ' _ �� _ � . �;, `� ' t � �, '
39. Water $e*vice�Final , - ' - � �, � . � - �
� . . 1 _�.. - _
-40. GasServiae�Pinal '� - _ ' - _ �• �'� • ' ' '- '
- ' r `�: • v t - -:�
'41. Solar pomestic�Finat` � � ' � ��. . _ _ ; ,; � "
i �
42. Backflow Preventer � - - - "
_ '� _ _ _ - _
-43. Backflowlrrigation �.'� � � • . � ;, .
44. Landscaoe Irripation System " - �" - �' � � '� . ' - = -
- =� � - -
45. Sound Atienvation ' j , ' , - � ` - , . _
46. Handicap Regu7ations � ' - � - • _ �
�
47, FINAL STRUCTURE & BUILDING _ -" - � .
48�. FINAL PLANNING '� ' -
49, Electiic Release to Edison : ,
� 50. Gas RElease to Southem Califomia Gas Co � " ' " � _ : - '
514 CERTIFICATE OF OCCUPANCY � - '
No. Date
/� . 1 � • �
J
BUILDING PERMIT LOG
EMPLOYEE:
ADDRESS:
PERMIT NUMBER: TYPE OF PERMR:
VALUATION: SQUARE FOOTAGE:
PERMIT FEES:
DATE: TIME IN TIME OUT ACTIVITY
3 f'� � r ..��
ONLY ONE ADDRESS PER SHEET- TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES
PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES