HomeMy WebLinkAbout379 21ST ST - Building Permits1)
APN:
County:
Census:
Map Pg:
New Pg:
Phone:
Owner:
Mail:
Property: ,
426-232-28
ORANGE,CA
�BJECT PROPERTY INFORMATIC �
COSTA MESA CA 92626
NEWPORT HEIGHTS TWO
Tax Rate Area:
Prop Tax:
Delinq Tax Yr:
Exemptions:
1501 WESTCLIFF DR #260; NEWPORT BEACH CA 92660
SALES INFORMATION
LAST SALE
Transfer Date: 10/0'1197
Sale Price/Type: $500,000 F�ULL
Document #: 488798
Document Type: GRANT DEED
1st TD/Type:
Finance:
Junior TD's:
Lender:
Seller: BEACH GUS & LUCILE TRUST
Title Company: SOUTHLAND TITLE CO.
Transfer Info:
SITE INFORMATION
Improve Type:
Zoning:
County Use:
Bldg Class:
Flood Panel:
Phys Chars:
Legal
Comments:
PRIOR SALE
Lot Size:
Lot Area:
Parking:
Park Spaces:
Site Influence:
Use:
Total Value:
Land Value:
Imprv Value:
Assd Yr: 1997
% Improved:
IMPROVEMENTS
Bldg/Liv Area:
# Units:
# Bldgs:
# Stories:
$/SF:
YrbIUEff:
Total Rms:
Bedrms:
Baths(F/H):
Fireplace:
Pool:
Bsmt Area:
Construct:
Flooring:
Air Cond:
Heat Type:
Quality:
Condition:
Style:
Other Rooms:
Copyright O 1996-97 Experian Page: 1 of 1
,
(714) 754-5273 • Fan (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 379 21 ST ST
Suite:
Vicinity: 2ND STORY
Parcel Number: 42623228
Applicant: LOWE, ROBERT
Address:
Owner: SWIFT, JACK & DEBBIE
Address 37921STSTREET
� COSTA MESA, CA
Zoning:
Phone: 949-650-0527
Zip:
Convactor: KELLER AND LOWE BUILDERS
Address: 723 OHMS WY
COSTA MESA, CA
Zip: 92627
Phone:
Zip: 92627
Phone: 949-650-0527
License: 793705
Status: ISSUED
Applied: 07/29/2002
Issued: 12/30/2002
Arch : ,. Eng: BROADY STRUCTURAL ENGINEERING
Address: Address: 27001 LA PAZ RD
- � Phone: STE 430 8 Phone: 949-583-0620
� � MISSION VIEJO, CA �
Zip: - � License: 92691 License: SE3016
SCOPE OF PERMIT- ,-
ADD 198 S.F. RECREATION ROOM TO EXISTING 2ND STORY. REMODEL EXISTING LAUNDRY ROOM.
NO CHANGE IN SETBACKS OR COVERAGE. 2ND STORY EXPANSION WITHIN EXISTING 2-STORY STRUCTURE ONLY.
; Plan Check:
Permit:
, SMIP Res:
' SMIP Com:
Other. ;
Inspection:
Total:
$418.76
$644.25
$5.00
$0.00
$0.00
$0.00
$1,068.01
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: 0
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
Calc Valuation: Sso,000:oo
Claim Valuation: S5o,000.00
PLANNING 8 ZONING
Left 0- 0 - Right
Left 0- 0 Right
Propased; 0 �
o- o
�i NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremeMs under California statutes and related
�� regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or iF work is suspended or abandoned
for a pe�iod of 1 BO days.
INSPECTIONS: In order tor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, a all
requlred inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this p� it.
FOR INSPECTIONS CALL: (714) 7545626
zaau-an ��uu�
WORKERS'COMPENSAnON DECLARATION: � '
I hereby eHirm untler penelty of per�ury one of Ihe following declaratlons:
❑ I heve end Will melntaln e certificate of consent to self-Insure for workers' compensatlon, as proviEetl lor by section 3700 af the Lebor Code, for Ihe pertormance of the
work for whiCh Ihis pertnit is issuetl.
� I have and will mai�ntain workers' compensation Insurence, es requlred by secllon 3700 ot ihe Lebor Code, for t�e pedortnance of the work for which this permit is issued.
My workers'�ro mpeos,e�tlon Ins nce carder entl policy number ere:
Cerrier:% �SvF7� 't+'�S1 Pa��yflumbeF�• % l0 Z��f Z-Z`�''/
�(7his secfion need not be crompletetl il fhe permit Is ve/ued et ne huntlred dollers ($ f00) or /ess.)
❑ I certity that in the peAortnance ot the wo�k for whic is permit Is luued, I s�ell not employ any person in eny manner so as to become sublect to the workars'
compensatlon lews ol Celifomie, en �ee thet I houltl become sub�ect to the workers' compensetlon provislons ot Sectlon 3700 of Iha bor Cade, I shall torthwith
comply with lhese provisions.
AppllcanbSign�— ' lDete?� ) 2jT� � "L
WARNINO: FAILURE TO SECUR ORKERS' COMPENSATION COVERA E IS UNUWFUL rWD SHALL SUBIECf AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNORED
THOUSANO Dd1AqE (5100,000�, IN ADDRION TO THE WST OF COMPENSATION, DAMAGES PS PROVIUED FOR IN SECfION 3108OF iHE 1A80R CODE, IMEFEST, AND AiTORNEI^5 FEES.
LICENSED CONYAAC70RS DECLAiiA710N:
I herebv eNirm ihat I am licensed under omvisic
Sec�lon 7000) ot Division 3 o�f ��he Business and Protessions Code, and my license is in full
_ �Gess'M`
— CDa�e:� /Z J J Z
CONSTRUL710N �ENDING AGENCV:
❑ I hereDy aRiAn that Ihere is a construction lendlnp egency for ihe peAortnance of the work tor which this permit is iuuetl. (Sec. 3097, Civil Code).
Lentlers Neme: Lenders Atldress:
SiqnaWre: Date:
OWNER-BUILDEP DECLARATONS:
I here6y ettirtn tha� untlar penalry of perjury �het I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Busineu flntl Professions
Code: Any ciry or counry which requires e pertnit to construc6 elter, Improve, demolish, or repair eny siructure. Prior to its issuance, elso requires the applicant for 5uch permit
to file e signetl steiement ihat he or she is licensetl pursuent to the proNslons of Ihe Contractors License Lew (C�epter 9(commencinq with Sectlan 7000) ol DiWsion 3 of ihe
Business and Professions Code) or that he or she is ezempt therelmm antl Ihe basis lor the alleged exemption. Any violation ol Section 7031.5 6y eny aOPlicant for e pertnit
subjects t�e epplicent to e civil panelry of not more then Ilve hundretl dollars (3500).):
❑ I, es owner Of the pmperry, or my employees wlih weges es thelr sole compensatlon, WILL DO 7HE WORK, enA Ihe siructure fs not intended or otteretl for sa�e (Sec.
7044, Busin�ss end Pmfessions Cotle: The Contractore License Lew tloes not appty to en owner ot properry who builtls or impmves theraon, antl who does such work
himseli or herseli or through his or her own employees, provided ihet such improvemems ere not Intentletl or oHeretl tor sale. tl, however, Ne 6uiltling or improvement is
soltl within o�e year ol compietion, the owner-builtler will heve t�e burAen of praving that ha or she Altl not build or improve br purpose of sale.). -
❑ I, as owner a� Ihe Droperty, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (SeC. 7044, Business and Prolessions
Cotle: The conirectors Licensa Lew tlaes not epply lo en owner ol pmpeny who hullds or Improves �hereon, end who contracts for such proiect with a coniractor(s)
license pursVant to the Contractors License Lews.). �
❑ I em exempt under sec. Business end Prolessions Code for Ihis reason:
Signature: Date: �
Owner ID verified py drivers Ilcense. ❑ Ves � No DriveYs License No. Expires:
Venfication ot Ownership by (type oi tlaumem, i.e. - properry taz 6111 or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFIGATION: �
❑ I hereby certlly that no excevetion fiva (5) or more leat in depth Into which e person Is requlretl to tlescend, wlll be matle In connection with work authonzetl by Ihis
permit, end that no bullding strucNre, scaflolding, lalsework, or demolition or dismentling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Galifarnle Atlministretive Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require e permi� from the Division ol Industnel Safery, es notetl above, unless such person has e
permit ta do 9uch work irom the tlivision.
Signature:
Division ot Industrial Selery Permit Numbar:
Date:
Will the epplicant or present or tuWre 6ulltling occupant need to flle antl certity e Business Plan for emergency response to release or threatened release ot e hazardous
metedel7 ❑ Yes ❑ No
(Section 25505 ot the Celitomia Heelth and Sefery Cotle requires, with some ezceptions, that a Business Plan be filed with tha Costa Mesa Fire Depanment by svery
business which hes et any one tima tlunng e reported year e quanliry of hazartlous materials aqual to or greator then a waigM of 500 pounds, or a volume oi 55 q311ons,
or 200 cubic foet of compressad gas at stantlartl temperature entl pressure).
......................................................................................................................................................................................................................................................................................... ....................... ...................................................
Does or will Ihe applicant or present ar future building occupent need to file a registretion form for ecutely hazerdous matenals? � Yes ❑ No
(Section 25533 of the Calilomia Heallh end Sefery Cotle, wilh some exce tlons, requlres reglslreNon with the Casta Masa Fire Departmeni by each business whic� at any
one time has on hand e quantiry ot acutey �ezardous meterials equaPto or greater then e welght oi 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
wmpressetl gas at stendartl tempereNre end pressure).
........................................................................................................................................................................................................................... ............................................................. ............................................................ ......................
Does or will Ihe epplicant or presem or luture DuilCing occupant need to prepere an RMPP (Risk Managemeni end Prevention Program tor acutely hazardous matenals)7
❑ Yes ❑ No
(Section 2553�1 oi the Cellfomia Health end Safary Code provides �hal ihe Coste Mesa Fire Department may require the preparation, certification and filing wlth ihe Fire
Deoartment af an fiMPP by businesses w�ich ere required to repister ecutely hezerdous materlels witn the Fire Department.
u an HrnYr is Prasemry reqmrea, nes senion zosso rn me camomie neenn ena �erery c;otle been ruiry compue
............._..............,..._..............................._.__.............................................._..............................__.................................._..............................._.......
Does or will t�e eppllCani or presen� or future building occupant requlre for Ihe work which is the aub�ect ol Ihls
Irom Ihe Soutp Coast Alr Oueliry Manegomen� Dis�dc� or from eny othar air pollu�lon coNrol distdct or egency7
(Section 65B50.2 a� tho Calilornia Govemment Code raquires thet tha requestetl Intormation ba furnishetl on ep{
.............................................................................................................................................................................................................._........................
Will eny peR o<<he feciliry Ia be canslrutted under Ihis pertnit be wlthin 10001aet from the outer boundaries of e
llt yes", ihe ia�����ty must maet ihe requirement ot Sections 25534 entl A2303 of �he Calltomie Heaith end Safery
tor noo-residential
................__............................................................................_.............................."'............................�_.........................................................................__
Ihe South Coast Air OuelitY Menagemant Distdct or other air pollution conlml district ar egency is requireA for the �
ell of the tlisclosuras orescrihetl bv Celifornie Health end SefaN Code Sectlon 42303 �een metle? ❑ Ves ❑ No
or
CER7IFICATE OF COMPLIANCE: I ceniy that under penalry of perjury the information qiven ebove is wrrect. I agree to comply with all state laws antl ciry o�Cinances
regerding Harardous Materials an0 Emissions.
Signature: Date:
CER71FlCA7E OF COMPLIANCE AND AUfH IZA710N OP EHTRV: I cenify under penalry of perjury ihat I have reatl this application and state ihat the information given is
wrrect. I agree to �pty wlth all state la e� city ordinances releling to buildi`g construction, erW euttwrize repcesentatives ol t�e Ciry ot Costa Mesa to anter upon the
ebove-descnbed ploperty lor inspection es. I egree not to occupy or allow occupanq oi eny builtling authorized by this parmit until Tinal inspection.
CQOE �. �ySQEGLQH7�QE
1616 Fixed Syslem Final Fire Preventlon
1266 Pool Spa Final
200 Finel Re-F��
207 Final BIaWRetelning Well
202 Final FeCIPry Fire Plece
203
204
Finel Sign
Finel Demolition
Owner(s)
ApPlicant - - � _
DATE IIRID9La
COOE I INSPELTIONTYYE
206 Final Mec�anital
208
210
212
220
222
250
Final Plumbing
Finel Elec�rical
Finel Fire Prevention
Final Planning Appmval
Final Site
Final Buildin<yOccupancy
Pdg I[�LS
,
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
379 21ST ST
42623246
LOWE,ROBERT
723 OHMS WY
COSTA MESA, CA
Phone: 949-650-0527
Zip: 92627
Owner: BEACHCLIFF IN COSTA MESA HOA
Address %NEWPORTHEIGHTSTWO
, NEWPORT BEACH, CA Phone:
1501 WESTCLIFF STE 260 Zip: 92660-5513
Contractor:
Address:
ISSUE FEE
Temp service test
Res. alc package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting FixLs
Recept Outlets
Switches �
Non Res Appl
Res Appl � ..
Service to 200a ��
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communicalion drops
Sub panel to 200a
Pole Light Pkg
KELLER AND LOWE BUILDERS
723 OHMS WY .
COSTA MESA, CA
� Phone: 94&650-0527
Zip: 92627
License: 793705
ISSUED BY:
Status: ISSUED
Applied: 12/30/2002
Issued: 12/30/2002
SCOPE OF PERMIT
ELECTRICAL TO INCLUDE: 4 LIGHTING FIXTURES, 7 OUTLETS AND 1 SWITCH LOCATED IN THE
RECREATION ROOM. REF.: B02-01178 . "" " - " � - �
523.50
$0.00
$0.00
$0.00
$0.00
$0.00
$4.40
$7.70
$1.10
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEE SUMMARY
Temp Dist System / Lighting
Busway/100 N
Standing Section
Misc Electrical Equipment
� -" ?ransformers up l0 1 kva/kw
`:
� ...............:up to 10 kva/kw
.................up to 50 kva/kw
.................up l0 100 kva/kw �. .
..................over 100 kva/kw �
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misc. Conductar
Circus ( gen or ride)
Circus (mech ride or lights)
Chnstmas Tree Sfand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 <A
$0.00 0
$0.00 ' 0
$0.00 0
$0.00 0
$0.00 0
so.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
iegulations. (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
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and,all-I
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit!
FOR INSPECTIONS CALL: (774) 7545626 �
3.l•�:Yf•:L:)]
WORKERS' COMPENSATION DECLARATION: �
I here6y aNirm under penelty oi perjury one of the tollowing declarations:
❑ I heve entl will meintain P certificate of consent to self-Insure for workers' compensatlon, as provitleA for by section 3700 ot the Labor Code, for the pertortnance ot the
work lor which lNs perml� is is5uetl.
�I have antl will malntein Workers' compensation insurance, as requiretl by sectlon 3700 ot Ne Le6or Coda, for the peAortnance of Ne work for which Nis pertnit is issued.
My wo rs' compans�tlo Insurence wrner end policy number ere:
Carnec .�7�77G NA Policy Number. IG Z Vy9 L' Z��
(lhis secflon need not be comp�efed il tne permit is velued et one huntlre0 dollars ($100) or /ess.)
❑ I certiy Ihat in t�e pertormence ot t�e work for which this permit Is Issued, I shall not employ any person in eny manner sa es to bemme subject to the workers'
compensatlon laws oi Califomia, entl egree that It I shoultl become subiect to t�e workers' compensetion proWsions oi Sectlon 3700 ot t�e Lebor Code. I shall forthwith
comply wiM Ihese provisions.
ApplicaNSigneWre: � Dete:
WARNINO: FAILURE TO SECURE WORKERS' COIdPENSAiION COVEFAGE IS UMAWFUL AND SMFLL SUBJECT AN EMPLOYER TO CRIMINPL PENALTIES AfJD CM� FlNES UP TO ONE HUNDRED
TFN%1SMlD OOILARE (5100,000�, IN �DfTION TO THE WST OF COIAPENSATION, OAMAGES AS PROVIDED FIXi IN SELTON 3]OB OF THE LABOR CODE. IMEREST, PNO AiTORNE`fS FEES.
LICENSED CONTRACTORS PECLARATION:
I hereDy eNirm Ihat 1 am licensetl untler provisi<
force end eMect. Lic. q ✓'� �
Contrectofs Signawre:�
(commencing with Section 7000) of Division 3 of the Business entl Professions Cotle, and my license is in full
Class q �
Dete: /2 'S� JZ
CONSTRUCTION LENDING AGENCY:
� I hereby aHirtn thet t�ere is e construction lending egency for the pedormance of t�e work for whic� ihis permit is issued. (Sea 3097, Civil Cotle).
LendeTs Neme: LendePs Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn t�et untler pena�ry of per�ury that I em EXEMP7 FROM THE CON7RACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business entl Profeuions
Cotle: Any ciry or counry whlch requires e permit to consimct, alter, improva, demolish, or repair eny strucWre, pnor to its issuance, elso requires Ihe applicant for such pertnit
to file e signed stetament Ihat ne or she Is licensetl pursuent to ihe praNslons of ihe Contracbrs Llcense Lew (Chepter 8(commencing with Sectlon 7000) of Divlsion 3 of the
Business end Professlons Code) or thet he or she is exempt therefrom end the 6esis for the alleped exemption. Any violation ot Sectlon 7031.5 by eny applicant for e permit
suhjects tha applicant to e clvil penalry of not more than five hundred tlollars (5500)J:
❑ I, es owner ot the property, or my employees with wages as their sole wmpensallon, WILL DO THE WORK, end the structure is noi in�entle0 or oHeretl for sale (Sec.
7044, Business end Prof6551ons Code: The Con�rectors Licrense Law dces not epply Io an owner of property who builds or improves thereon, and who does such work
himseli a herself or ihroU9h his ar har own employees, pradded t�at such impravemenis ere not Intentletl or oflered tor sale. Ii, hawever, the building ar improvement is
sold within one year of completion, the owner-�uilder will have the 6urden of proving that he or ahe did not huild or improve for purpose ot sele.). �
❑ I, as owner ol ihe property. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business and Prolessions
Code: The wniractars UGense Law tlaes not apply ta an awner ot proparty who builAs or tmDrovas thereon, entl who contracts tor suc� p�o{ect with a contractw(s)
license pursuant to the Co�lrectors License Lews.).
❑ I am axempt under sec. Business and Pmfessions Cotla tor this reeson:
Signeture: Date:
Owner ID verifietl by Crivers Ilcense. ❑ Yes ❑ No Drivefs License No.
Venficatlon of Ownership by (rype oi documen6 I.e. - property taz �ill or deed):
DIVISION OF INDUSTRIAL SPFETY PERMIT CERTIFICATION:
Eapires:
❑ I hereby certity thal no extava�ion five (5) or more feet in depth into which a person Is required Io descenG, wlll be mede in connection with work authorized by this
permit, antl Ihat no building strucwre, scattolding, lelsework, or tlemolition or tlismantling thereof, will be more than thirty-sl: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, T1tle B, California Adm�nistretive Code).
❑ As owner-builder, I will not employ enyone to do work which would require e permit from the Division ol Indusiriel Sefery, es noted above, unless such person has e
permit to tlo such work irom Ihe tlivislon.
SignaWre: Date:
Division of Industrial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIJTHORIZATION OF EMRY: I certify under penalry ol perjury that I have read this epplication end state ihet Ihe information given is
correct I agree to comply wilh ell siate la end ciry ordinences retating to builtling consWction, entl eut�onze representatives of tha Ciry of Coste Mesa to enter upon the
ebove-described property for in5pectio rposes. 1 agree not to occupy or allow occupency of eny building authodzed by Ihis Dermit until final inspection.
' net� e Of el Owner(s) ate
l7i/%� OZ
And�Or Authonzetl Applicant Date
COUE I. INSPECTIONTYPE
167fi FIaeC System Final Fire Preventlon
1266 Pool Spa Finel
200 Final Re-Root
201 Final Block/Retaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
OpTE INTRIRLS
COOE� INSPECTIONTYPE
206 Finel Mechanical
20B Final PlumDinp
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Builtling/Occupancy
PAIE 1[�9Lfl
.
■■■� Hall & Foreman, Inc.
■■ �. Civil Engineering � Planning • Surveying • Public Wort:s
October 9, 1997
Department of Building & Safety
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Re: Tract 15468 Lots 1 thru 6
Gentlemen:
�
Job # 4816
Please be advised that we have field surveyed the rough grading for the above referenced lots and
have found the building pad elevations to be in substantial conformance to the approved grading
plans.
Warner Younis,
P.
No.37445
Exp.6/30/:� O
203 Notlh Golden Circle Orive, Suile 300
Santa Ana. California 92705-4010
Tel 714/fi64-0570
Fax 714l664-0596
, ,
�
' NorCal Engineering
Soils and Geotechnical Consultants
10641 Humbolt Street Los Alamitos, CA 90720
(562)799-9469 Fax(562)799-9459
October 2, 1997
La Quinta Homes
1501 Westcliff Drive, Suite 260
Newport Beach, California
Attn: Mr. Mark Cernich
Project Number 6685-97
RE: Observation and Testing of Rough Grading Operations -
Proposed Residential Development - Located at 379 21st Street, in
the City of Costa Mesa, California
Dear Mr. Cernich:
Pursuant to your request, this firm has, observed and tested rough grading
operations at the above referenced site. The results of the compaction tests are
attached and locations of these tests are shown on the accompanying Site Plan.
All work was performed in accordance with our Geotechnical Investigation dated
April 21, 1997, Project Number 6685-97, and all present day standards of the
Geotechnical Engineering Industry.
- :• �•
All vegetation and demolition debris was stripped and removed from the fill area
prior to grading operations. The existing low density soils were removed to
competent native soils, the exposed subgrade scarified, moisture conditioned
and then recompacted to a minimum of 90% relative compaction. All
excavations were observed and approved by this firm prior to placement of fill
material. The oversxcavation consisted of a minimum of five horizontal feet or to
the depth of fill placed, whichever is greater, beyond the outside edge of all
proposed foundations, where possible.
P
October 2, 1997
Page 2
J
Project Number 6685-97
Two cesspools were located in Lot #2. These areas were excavated to depths
that allowed for the placement of an 8' thick compacted fill blanket after the
cesspools were hydro-consolidated as recommended by this firm. Fill soils
placed were compacted to a minimum of 90% of the laboratory standard in lifts
not in excess of eight inches in thickness. The maximum depth of fill placed was
8 feet. A rubber tire loader was utilized for compaction control. A water hose
provided moisture control. The approximate limits of compacted fill are indicated
on the attached Site Plan.
l,aboratory/Field 7estina '
The relative compaction was determined by Sand Cone Method (ASTM: D1556-
82) and by the Drive Tube Method (ASTM: D2937). The maximum density of the
fill soils was obtained by the laboratory standard (ASTM: D1557-78) and results
are shown on Tabfe I. Tests were performed a minimum of every 500 cubic
yards placed and every two feet in depth of fill placed. Results of field density
tests are presented in Table II.
Foundation Desiqn
The foundations may be designed utilizing safe bearing capacity of 2,200 psf for
an embedded depth of 18 inches below lowest adjacent grade into approved
compacted fill soils or competent native soils. A representative of this firm shall
inspect all foundation excavations prior to pouring concrete.
Slab Recommendations
All concrete slabs-on-grade shall be a minimum of four inches in thickness and
may be placed on approved compacted fill soils. A vapor barrier should be
utilized in areas which would be sensitive to the infiltration of moisture. This
membrane should be placed beneath a 2 inch thick sand layer and not directly
beneath the concrete due to the possibility of curling of the slab.
NorCal Engineering
�
. October 2, 1997 R.,ject Number 6685-97
Page 3
All concrete slab areas to receive floor coverings should be moisture tested to
meet all manufacturer requirements prior to placement.
�onclusions
7he geotechnical engineering aspects of the grading have been observed and
are in compliance with the geotechnical engineer's recommendations. The
development has been graded to the approval of this firm and is suitable for its
intended use.
We appreciate this opportunity to be of service to you. If you have any further
questions, please do not hesitate to contact the undersigned.
12espectfully submitted,
NORCAL ENGlNEERING
��, �.-� �
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Keith D. Tucker �
Project Engineer � I
R.G.E.841 �'
No. 841
Exp. 12/31 /00
��� `�v�-C, ��t'-�
�
� � Mark Burkholder
n:�
a� Project Manager
NorCal Engineering
October 2, 1997
Page 4
.u•-
��
Project Number 6685-97
TABLEI
MAXIMUM DENSITY TESTS
IASTM: D1557-781
Optimum
Classification Moisture
SAND, fine to 10.0
medium grained,
slightly silty
SAND, fine to
medium grained,
with brick
III SAND, medium to
coarse grained,
slightly clayey with
occasional gravel
IV SAND, fine to
medium grained,
slightly silty
�
7.5
E:�
NorCal Engineering
Maximum Dry
Densi�(Ibs./cu.ft.)
125.0
128.0
131.0
125.0
a
October 2, 1997
Page 5
i� 1
.._J
Project Number 6685-97
TABLEII
COMPACTION TEST RESULTS
Date of Test Percent Unit Wt. Relative
I�t �L2, 'De t�h Moisture Ibs•/cu'ft' Com action
9/ 17/97 101 4. 5-5. 0 11.0 115.1 92
9/17/97 102 3.0-3.5 14.5 110.0 88
9/18/97 102A" 3.0-3.5 10.7 114.3 91
9/17/97 103 4.0-4.5 9.1 114.1 91
9/18/97
9/18/97
9/18/97
9/18/97
104
105
106
107
4.0-4.5
3.0-3.5
3.0-3.5
3.0-3.5
9/18/97 108 1.0-1.5
9/18/97 109 6.0-6.5
9/18/97 110 4.0-4.5
9/18/97 110A`* 4.0-4.5
9/18/97
9/19/97
9/19/97
9/22/97
111
112
113
114
3.0-3.5
0.5-1.0
2.0-2.5
6.0-6.5
10.0
10.3
11.6
9.8
9.4
9.1
10.7
9.9
9.6
9.1
7.9
10.7
114.3
115.4
113.5
112.6
114.0
116.4
110.7
115.1
116.2
117.5
119.6
116.8
'Depth below finish grade (in feet)
'*Retest of failing tests after area reworked
NorCai Engineering
91
92
91
90
91
93
89
92
93
94
91
93
October 2, 1997
Page 6
Date of Test
I�t Ly4..
g/22/97 115
9/22/97 116
9/22/97 117
9/22/97 118
Project Number 6685-97
TABLEII
COMPACTION TEST RESULTS
Percent Unit Wt. Relative Soil
'De�th Moisture Ibs /cu•ft• Com a� Iy9�
4.0-4.5 9.0 118.9 93 II
1.5-2.0 9.7 119.5 93 II
0.5-1.0 9.1 117.6 92 II
0.5-1.0 11.5 115.7 93 I
9/22/97 119 0.0-0.5
9/30/97 119A" 0.0-0.5
9/22/97 120 0.0-0.5
9/30/97 120A'" 0.0-0.5
9/24/97
9/24/97
9/24/97
9/24/97
9/30/97
9/30/97
121
122
123
124
125
126
3.0-3.5
2.0-2.5
1.0-1.5
0.5-1.0
0.0-0.5
0.0-0.5
15.1
11.1
9.9
7.8
9.1
9.5
9.3
9.7
.�
0
110.0
117.9
113.6
121.7
115.6
117.1
116.6
117.5
'Depth below finish grade (in feet)
"Retest of failing tests after area reworked
NorCal Engineering
92
94
93
94
93
93
IV
IV
IV
IV
IV
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SOILS AND GEOTECHNICAL CONSULTANTS
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PROJECT 6695-97 OpTE OGT. i997
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LOCATION OF COMPACTION TESTS
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AUDPES& 1501 WESTCLIFF #260
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LENDEH'S NAME:
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.' �
CITY OF COSTA MESA - BUZLLING PERMIT
PERM NO: E 086701
PERMIT NO: E 086701 PLAN CHECK NO: N GOVT: N SUPP; Y
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD
JOB DESCRIPTION ; CONVERT 155SF GARAGE AREA TO BONUS ROOM SQ FT:
CLAIM VALUE; CALC-VALUE; GROUP OCC: R-3 /
COMMENTS: CONVERT PART OF GARAGE AREA TO 155SF BONUS ROOM, ttB86699
at*�***atitat�**xitit*itat**�*�+�+��*�**�**+r+t��**�**x**,���r****�at*****�*�r**it�****�+�*rt�*�*iE
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 HUILDING ---------
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: 42623228 ZNE: REF NO;
PLANNING NOTES>
i
iF iE 1t iF iE iE iE iE iE iE 1t iE iE iE iE if it it 3E iE it if iE i6 iF k 1Elf �E aE iF 1k iE iE iE iE iE iE i(� iE iE iE iE ik iE it �F iE if 1E df * iE if iEiE if i! iE 3e if iE i! 3E jE iE �E iE jE �E i! jf iE if iE i6 iE it iE
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
20NZNG APPROVED BY .
BUILDING APPROVED HY :
APPLICATZON ISSUED BY
if iE iE ib iE iE it if if it iE jE 1t it �1f ie iE �f iE ii iE
LEGALIZATION:N
BLUG PMT PLUMHING
PERMIT
PLAN
ISSUE FEE
F E E' S U M M A R Y
ELECTRIC MECHANIC
%.Q�
50�
6,50
DATE:
DATE:
DATE: � 2�
iF"i�iFit*�t*it**it�*if e �x-�t-
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMZP/NON-RES
BUILDING-DZ��-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 7.00 6.50 0.00 13.50 13.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 13.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
13.50
'1E'lE 3f 3E 3E iE iE')E 1E dE iE # if'lE iE iE'� 3E'1k ik if if iF 1f iE'1E iE 8f if iE if 1E if i! �E iE if'lE iE iE �1F iE if iE iE iE iI' if'1f')f')f')k iF iE if'K"%jE'14.'k iE'1E iF 3E if iE'�I"1E if iF iE i!'lE if iF ih if 3f if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 1.00
ELE 5 RECEPT/OUTL�T 1 ST 20 EA. 1.00 5,00
ELE 1 RECEPT/SWITCH 1 ST 20 EA. 1.00 1.00
END OF FEES
81-2't-199A/18:54 M/f13.58
RCPTN:91-B818567
PERp1IT:986791
J
CONSTRUCTION AND PLANNING POOI ts SPA '� �
�
APPROVAIS Permit # Date Inspector APPROVALS Permit ah Date Inspector
i. TemOorary Electricai Service or Poie 52. Pooi & Equipment Location; �
2. Soil Pipe•Undrgrnd. � 53. Steel fleinforcement . �
3. Electrical Conduit Utitity-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding ' .
5. Steet Reinforcement 56. Rough Plumbing & Pressure Test
6. Elect��cal UFER Grnd. 57. APPROVAL TO COVER•GUNITE i
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation 59. Gas Pipe, � Undryrnd., Test ��
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P•Trap, ��Jndrgrnd.
10. Structural Floor System , 67. APPROVAL TO DECK
: 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
r, ,
12. Sewev Cap � 63. Heater & Vent�Final ,"
13. Roof Drains -,:, 64. Plumbing System � Final �
14. flough Plumbing � 65. Etectrical-Finai �
15. Fough Electrical�Conduit ��/:; 66. Solar System-Final ' � •
;
16. Rough ElecTric Wiring �ji�%M- ��a. 67. Fencing & Access ApProval .�
z1pLl (_I�
77. Rough Wiring Sign „td,4;� 68,-APPROVED FOR PLAST.ER.ING �
---�� " �
18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS. Permit #.
21. Duas,in Structure 70. Underground Hydro �
22. Ducts. Ventilating 7). Product Piping QGas ❑Oil
23. Gas Pipe-Rough & Test 72. Undecground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling IStructural) & Monocoat , 75. Dry Chernical � '
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insuletion � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Elect�ical Power Meter-Final 8 FOOD CERTIFICATE ISSUED
33. Final Eleciric ' tes:
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test . '
36. Hood or Canopy �
- 37. Final Faaory Fireplace
38. Final Plumbing '
39. Water Service-Final .
40. Gas Service-Final
41. Solar pomesticFinal
42. Back4low Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System �
45. Sound Attenuation �„ '
� d�
46. HandicaP Regulations - r
47. FINAL STRUCTURE & BUILDING z• -�
48. FINAL PLANNING 4 � "
" :: i?3
49. Electric Release to Edison -� �
50. Gas Release to Southern California Gas Cn ::,'_ ;
51. CER7IFICATE OF OCCUPANCY
No Date
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'CONSTRUCTION AND PLANNING POOL 'A
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date� Inspector
�� 1. TemporarY Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steei Reinforcement
-3.• Hectrical.Co�duii Utiliry-Undrgrnd. 54. Forms
� "4"Electrical�Conduit-tJnBrgrnd. 55. Electrical Bonding �
�-b'-., Steel Reinforceme¢t 56. Rough Plumbing & Pressure Test
'�g'. �IectricahlJ�ER Grnd. 57. APPROVAL TO COVER•GUlVITE
� i/i Pootings �, � _� 58. Electrical ConduiPLJndrgrnd.
�8' Foundation- _, � 59. Gas Pipe, O Undrgtncl., Test
9. Warer PipC-Undr{jmd. ;� � 60. Backwash Lines�RTrap, O.Undr�rnd.
70. Structural Floor Svstem 67. APPROVAL T�QECK
11. Property 5ewer Line.& Nouee-Connection 62. Backwash & Rece�ytor-Fina�
12. Sewer Cap � ` . 63. Heater & Vent�Final
13. Root Drains :. _ 64. Plumbing System � F�nal �
14. Rough Plumbing 65. EleCtricai•Final
15. Rough Electrical�Co�duit ; •� •, Solar Svstem-Fin�
16. Rough Elearic Idl,iring _ > � ����d/ I 67 ^encing & RcceE4-Approval
17. Rou h Wirin Si n � /l
9 9 9 68. APPROVED FC�RPLASTERING
18. Rough Electrical�T Bar Ceiting �69. POOL/SPA SYSTEMS FINAL .
19.'Rough Neating & Rir Conditioning r � n�, _ FIjiE Q�EPT..9EQUIREMENT _ _
20. �ougti Faitory'Ficodlace � � _ _ =�; .'qPPf{'DVpity�-� � Perinit #��- ci n
21 . Buctr in 9trui'turer + ^ '• - � -
`_ y � y 70. S')nderglo�o'Ff HVdru � .
22. Oucts� Vqntilaiing : � ;. � � -i �t :; 71. Produot, ,�iing O6as E50i1
23. Gas P'hpe�Rough & Tesc � _ ^- : r Y -� �� 72, Undergroynd FI,',d5� '� -
24. Aoof=fra�l�ng" r' " , '� T _ ', 73r Underyrrid. Stor3�.� Tank.O Gasy � OiV � ��
25. Roof-ShedIhing :: � � � • : _ �, = � 74:� Overhead Hydr� „ r
26. T'Bar�Ceiling (Strdc'tGra11 & A�brncoa� ; , � '� ' 7� Dry Chemical _ � `' � ' �� - - -
a
27. frame and Flashing : � - ; r � • • 76. Dry 5[an�pipe „� • + ,� - _
'28. Lathmg �i�Siding " ' _ _ � '• �� 7?,� FIXEO �'s`yTE1�1=rINA� .. .1 n � - �
29. Insulation' � - - .. . � + � I !`� 7� FIRE PREV. FINFZL - ^ '� ���
�30. Drywall N�iling ; y ' , � � s l,'1E°,ALTN,SEP�.�REQUIRECftC$!7 `
� 31 . Plaster 8r9wn Coat � � � , , I � � T---� - - '
9. FINAL IWS�ECTtOM
.� J �4 . �� 1� ^, �n
; 32. �iectrical`Powzr MeterFiryal �/�� _ _�' I p yF00D CERTIFFCA'i� I�$L-ED_. ;
_ 33. F,;nat��leetric-. :! - �`� f� V� N6tes: . - �� . . _ � � _ ,
!. .1.. -- - � �. +
�34. PinaFlieating & Av Condltioning = � • � • � ' � • � � =� r _ _ -
' , ��. � _ -' -�
35. Finai Gas�iPe�Test �. � .: ; ' 1 �' � � � 1 t ' � � � : '
�36. Hoodor CanoPY � . :. .. ' ' i I` - � - . -
.37. F.inal.FacFory Fireplace � _ = F " � ��. - � �
'38. Final _Plumbing � � , S � _.
'39. Water Ser�ce�Final � .- '. ; - ' . - - - � -
'40. Gas Servite�Final • � ' � � T. � � ^- = -' • • - "
� � k . .� ✓
-47. SolarpoKestic�Final' . ' • " - ��= - , z -
A2. Backfiow Preventer • '+ r , • - _ _ -
' 1 '1 . L� 0 T f. �
43. Backflow frriga'tion ' , S . z - � ' • •
44. Landscape Irrigation��System - T � - � � - = = ° �? � - � -� - = �
- - - . �� i - .
45. Sound Attenuation ; � "'- � - - _ -
` - -�� -
4.6. Nandicap Regulations - - , _ _ = - :
� � � C �j
47. FiNAL S7RUCTURE & BUILDING ' _ ' � _
48. FINAL PLANNING • ' . - • '
49. Electric Release to EQison 3 , '
50. Gas flelease ro Southem Cali(ornia Gas Co -' - • �' '
51�. CERTIPICATE OF OCCUPANCY• -' • � ' ' � .
No._ Date
BUILDING PERMIT LOG
f NUMBER: TYPE OF PERMIT:
TION: S�UARE FOOTAGE:
f FEES:
JE ADDRESS PER SHEET- TIME IS TO BE
BE AS SPECIFIC AS POSSIBLE IN RECORI
wbnEseoFewiou+a 3% y 21 S"1 S 1
'owxF'pSNu1�6a�owN: f�t;yjF'V�t�! lI1:J 141U
'�' woxEss: j)V1 �MtS'll.t,�ltr
� N,.li, �LbbV
�vvt. wu�wc �bo�ss:
uNr:
MCXITELTONFlltlNEEA: (�VI.IVIJ iilvi;ZNrtii't"LNG "G"�.: u
�xcx.onexc.�s�oonEss: 4�i V V l'AMi'lIS Llt uNT:
N.b. �A 9?.6ii"v
c«+m.crars r,.�: PA� l F' :C C Gtt/�IVL CiiNSI . ('i 14 i � 31 - 7 9� 3
caxm�c*oxs wuiwc t� u 1 �W k::.i 1 l:i t F�r
wonest N.!f . CA uc. rio.: �/ .i ti 9 b�
526ou uNr: 2uG
LICENSED CONTPRCTOPS OECLAHATION: I �areby eMim urtlx penehy d perlury ihet I vn licemed uMm powion� d CM1eqx 9
(ownme�eq wil� Sedion )OW) d Oiviaion � d ihe Bueirem ud PMesaiorp Code. arM my lieenae ro in lull bree vd eHW.
u No:G'%VI �y uacuss: uc.N/o.:/ �349/`a"y♦�.�! EX/�}� Gb/ 8
De1e: Conveua: �/"�iai✓.+y7 Z. L/�( �
i
EP BUILDEfl DE IAN/ ION: I Mreby elfirm under peneXy d perNN �hm I em eKemq Irom iM ConVedae Licenee lew la ihe
Iolbxin8 ��m^ 1�� ]031 S Buni�eas eM Profmaiona Code: Airy ciry a counry whidi mpuire� a pcmn �o emauun. Nx. improve.
Eamdsh, a repei eny rruciwe. qia b its'swarce, a6o repuiree the epplicem la euch pe�mn to Rb e ep�wE eletemenl tlet M a eM
'. IieenseE purauent lo iM povieiam d ihe Conlreqae Lieanae Lew �Cheqx 8(eomme�ep wnh Swion )000) d OMeion 3 d Iha
�sir�eaa eM PrMessona Code� or Ihel ha or ehe is exemq therelrom end the bavis �or the elbpeE exemption. My voleton ol Sedion
031.5 by eny epplirant ta e permn wbptlf tM epplicenl lo e tivil penelly d ml mae Ihen frve huMnd doAen �5500�.
� I.esoxnerdtMpeopaiiYormY�WW�a�hwepesav�Misdeoxnpenselbn_vnllEolhexwk.eMlMeWe�unum�inteMed
impmvemmle are nd intenEed w dIe2E ta sab. p. howv+er. IM Witlinp a inpwemeM o eoN xilM1in wpY^v d mmplelon. Me
wner-Wikbr vnll heve iM buNen d paving he or eha did r�a buik or imprwe f« tM W�O�e d eele�.
� I. ro ox+rer d ihe D�VeM. em ud siveN �n�rennY xnh liiansed conVec�ae ro iw��ue tln p4� (Sxfion 101.. &»inme end
Pmlemiorw COLe:,The Camrmon L'r.ense law doee iw eVWY �o en awror d poG+�Y Wa buitle or'unP�'�� ihaaan and who
conirecro Iw eudi Oropda wilh e canireaor(s) IcenuE punueni io ihe Cantretion �icenee lewl.
� I em eumpl uMm Seciion: B. 8 P.C.. br thia raawn: ^.
i ' �
Daie: ' Ovrter. .
i eo nereM �r mm i em ewue a ane ��nu�e me rea���,ew a ce�romie ii.enn d,e sero�r coee seaons zsws, zsss+..�e
2553a. eM thm 1 a em� Mure Wiki�q xapam vrill / xil m� (orcb me) need to camply wth eeid naie oodn erd the repuiremeMe br
epermnlacanwnionamodificetonhamtM�i ie3�F�iy anepemeMDielnd.RmiEaMidmna�iudioneppfu�unearee�emplramtMee
provisiona.
Dete: ApplireM:
WOPKEF'S COMPENSATION DECLAHITION: I hersby elfirm uMx preXy d pujuy ar d Na Idbwinp detlarelom:
❑ IlwaeedMilmeimen.eenfrai.aomxntlo.elt�ireurebrr.akme'eamDe�ian.oV��IwMSemm3laoM�MLeEn
Coda, lor iM pe�wmence M Ne wwk Iw wtieh ihie pemin ia iauad.
.[l ine�ad,e�;��md,.en�a.•�v����w�.e+roaw�aeysm�e�wdu»tmo.coeo.amow�«�em.
7� work Iw xfiidi Nia pemiil o eaueE. MY wwke�s' mmpenaetun imureMe ranix vd pdiry numbx are:
c�e,: �'iA7� ri1Nu � E}(PItiES
PdiryNumber: �i �I%�1�11�IC1 hi^I�h�S{- �JQ/3�J�CJ(�
,;: s«+;o� ,,.ee,�a se mna�<e. rrre ro�. n m, o� n��aree eww� mool o..�s..�
�] 1 cenity thet in Ihe peiformerce d �M vrork br xfich thie pe�mn u iaeued, I Mell � emply� vry pseon in eiry menner eo sv b
become wbjae to IM whera' canpenembn kMe d Celifaide. eM eprae Net il ehouN be�ome wbpd ta tM /w/keee'
pemaiian om �siwn a aulan a)oo d in.lnbw code. � ahel� �on n mmah inwe omviaion+�.0
e: AGV�iranl: �
ilip: F�llu b,eeun wortni rompeiustlon cmerap� l� vnlax?ul, uM alW/ aW/�ef en arplqw ro e�
clvll Hrw up ro ons hu�arotl tMuurM JWNr� (Sf00,000A In elalfbn ro M� cwt al compeiwflon, Mmps� u poHdeO ror In
Sxtlon 3]P6 0l ths laba� COM, lntwt, erM efromsy'� Nsa
CONSTPUCTION LENDINO AGENCY: I MnW elfirm u�der penely W perjury Rat iMm e e mmtrud'wn bMi�p epav,y /a Ihe
perlormeae al �ha wM lor which t�b permi ie esuetl I�bn 3ae]. Civ. CI.
LENDEfl'S NIW E:
, LENpEN'S �ODRESS:
I ceNity thm I have reeE Nis eppliutian eM pma thei Na ebova iM«metion ia canea. I eprea lo compy wilh all ay eM oouMy adinencm
eM stale tev.s mWiq io buiN'vq mnawebn end hereby aulhorize repeeen�etivea d iho dry io emx upon IM ebv.e-meMioried popmry
lor inapenion purposes. , ,_
. 1t�N1��,U L�i;i'tANii
nt NemeI! /
`i <"L, . Dete: �
�� SpneWradOwmr/I.penURppMan aT�
(5151-a6.W P) W�ile-BuiWvp d Sal&y: Gneri-Fla; Cenery�-AppS enl: Pink-Fevenue: GOICmrod-Nwwr
CITY GF COSTA MESA - BUI:L1i:f.NG Pt,RM:IT
�
I�F.RMl'i NU: P "v&Sv95 ri,P.hi CIi�.CK tv0: n
��;.t<M No: r �aso���s
liIJV�L; lV ;.ilJk'2': N
�GIvS'1RiJC"iIciN 'iYF�: v—iJ 1'F.t(MI`1 lYYF.; YLII rCiiif�ii:��: tii•:W
Jl.1H U�S1:171F"Ill1N ; L1VJS!' SZNi�i�: k/1MILY K�S�IU, '�75%JC liAlll�lit. SS,,1 t'1:
LLAIM VALUF:
i:ALC-'VALUY::
tiftiiUY i�Ci:: H--3 %
CVMMfiNTS: KEr:b-$SG"it
i4 ii ie ie iE if ie ie iii't ie ie if ie ii i't �f iF if 'vP'rF it ii ii w iF�le'vE ie �if it ie ie R i't i! i'r'vi 9f ii'rf i'r ie ie ie ii �rt'se i'if iF �iE :f ie ik i'r x i'r ic�R'rF�ie ie ie iF i'r �i't ic ii� w• ii� �ie ie w� ie ii w-�ii� i'r
i G tv Y N � h E� Ci i ic is M'r, N'i ::�
5� T b A � ri 5
-------�----- MATN bUli,u2NG ------�------ --------- ACCESSiiiiY bi.ill�iiiNi; ---.__----
EHNT: 'r'!.' 1N k�,iUt: 'rT 1N F'%NT: 'r'7 'LN iii;An: rT TN
LEF'i': F'7' LN itGHl: 'r1' IN L�'r'"i; r'i IN ii�'ti'i: "rT iN
PARrTN� Rt,y�: Pkvv; YAIt�"r:L: uii0Gu0u"v iNE: i<c:F tvG:
FLANNINC Nt7iE5>
i e.. >
if ie ii ii iF if i'e ii if'�ii�'rF di ii ie ii ie �w ie'v'r iE'sF�7F iE i'r if i'r R w iF ie if i'r if ii ii ii ii ii'rf'ii if ii ii'vF �Je iF iF ie ie ie RiF iFii iFir i'r if �if iE ie'sr le ie ieie ii� l'r if �r� w�ie ��'ve iFie ie iF ii
L'r.:-ii 'r". L ii r M E: N T 5 t k V I c; k S� it r: Q U I it 'r.' M� rv '.i 5
• r' . , �
LC11V11V1i ArrkuVtu t1Y llH�IE:
UOILLING'APYK(./VEU 6Y : � LHlii:
i, . .' . ._ __
_ __ ". . . .. . " "
ArrLiCATI�N lsSUiU bY: ^ iiA:�li:
iFif'vfifii+}#ie%tiiiii'eifiiii'riifiiieiiifiixxnsexxx�w w x w x x�w �w ww k�tfFA'ifRif�RitTiiil�lFRlt'�Se� � x xyrx' if
iEGALI'LA7IirN:N F' d t 5 U M M 1't Y ;ifRUlLUK1�L �iiGMtNY:N
bLDG rMT YLUMbING EL'r.C'iNTC �Mi;CilAivii: FTItfi SM1PiliE:i �YtAu:iN�
r•6iiM i'f 10 9. 7 5
2 S t �MIY /NIJN �-RY:S
FLP.t�i
1S:JUh I'hF. LL.VV
i+UiLLIN�•�LIV-> PERH't'f I�SUE rLAN-CH�i:lti iviHL l�ALf) Lil�
'tO1'AI,S-----> 1G9.'iS 22."v'v G.0"v i9.L.75 L91.'75 ,"v"v
RF:VENUE L"tViSI�N TOTALS---> COLLECC�"U: 191.75 i)Vl:lt/SfiUtt'1: ."vG
HLUG PMT FLUMbTN� tLfiC'Ihti: MECHANIC i�.ittE SMIr/iO'i vliAD:iN�; eLAiJ-CIi1:Cri
191.75
iF iF ii i@9f ii iE if ii i'r ii iR iQ'vi'vF iE if ii�%� i'r iF ie ii ie ii iF ii ii iF ii ie'sFif ie ii � ie ii iF�'vf ii it if iF if ;i if ii� ieie'v't iF �7E i't ie it �rt�if X� ii iF ir if :i x x�k 3F rt 3't iE "rE'r'r i'r ir iE ir ii
i N L I V I u U A L F ti F, d R e. A K i� ii W N
'iilY�. ufY D t S i: Ft I i� Y 3 v N �� ^^�� uNi'i' �ii5'i t'ti'iAi �O5'f
FLU 1 BA'fH':iiiu D 8,"i5 u.'7�
rT,U i L:iS}iWIiSHN"R D 8. "/S t3.7S
YLI3 1 LAUNliI'tY 'IU5 i�Ft WASH' OCT O$ �99� �•�� 8."i 7
eLiJ 3 SfiUr7Eft u."i5 iii.2�
P(,0 I .ri'iivli, KIi'i:HEN 8.'/5 $.'JS
�Lu i wnsi� 6AsTN CITY OF COSTA MESA �•��' ��"
Fiii 2 WA:iti uA51N iS�.ii B."i� 1'i.iv
F'LU ! WA1'�H CLUSE'1' ifOIL�:'ii 3.'l� 1i;.�S
FT.G 1 'riAiEk riEA'Itlt ANU/Ok Vr:NT 11. "vu Ll.vu
PLU 1 wA"Cr:h SEkVICE i3,75 u,75
E�LU 1 �A3 PiYTNG SY3 O"r L TO 9 u0'ii:.t'�S �.Su �.Sv
,,,�COVSTHUCTION AND PLANNING / POOL 'A
' RPPROVAL5 Permit# Date Inspector qppROVALS Permit# ' Date i Inspector �
; i. Tem,porary Eleitrical Service or Pole 52. Pool & Equipment Location
i
2. Soil Pipe-Undrgrnd. ' ��� �3 �� 3. Steel Reinforcement �
�-�3. Hectrical.Conduiz-Ut�tity-Undrgmd. � 54. Forms _
.y
4.' Electrical Conduii4�n8rgmd. 55. Electricai Bonding _
��5� Steel Reinforcemept . 56. Rough Pi�mbing & Pressure Test
`-� Electrical UEERCGrnd. � 57. APPROVALTOCOVER�GUNITE ' .
, l7_: Pootin9s-� } r; 58. Electricai ConduibUndrgrnd.
c8:" Poundatiof= - � �^ 59. Gas Pipe, O UndrQrnd., Test - . ��
.... - " .* _F r� �
9. 4Vater Pipe-Und!fj�nd. ,j .�,.�_ q _ 58--Backwash Lines_P�Trap, V Undrgmd.
�-/ L
70. Structural Pioor'Svstem � 61. APPROVALT6QECK . .
11. Property Sewer Line & House;Connection J� J 7 b[, Backwash & ReceHtor-Final �
72. Sewer Cap ' c� A/�O�
63. Heater & Vent-Final
13_ Roof Draine : ' ' 64. Plum6ing SYstem � Final
74.� ftough Piumbing- " , 65. Electrica6Final ,
15. Rou9h ElectricA��or;duit : . . � . 66. Solar Svstem-Fi.gaJ.
16. Rough Eiectric 1�irinQ, ;� � � � 67. Fencing & Acce3s-Approval
77. Rough Wiring Sign � - , � 68. APPROVED F01t�P�ASTERING
78. RoughElectrical;�TBarCeiling� ` - � � 69. POOL/SPASYSTEMSFINAI �
19. Rou�h Heating & Air Conditioningy� -; ,y � - � F1AE pEPT...�iEQUIREMENT .. _ _ _ .
20. Etough Fa�ctor� Ficaplace � c � ^' ° =� � � ° �APPF�,OVei,L$� � Pe�mit #-�,.� _ � � � � ^ , _ - _ ,
_ � -
21. Bucts; inStrtuture7 •� '• ^ -+ r _ = =� �� 70. TJnderglc'_vo�i N�dro �
22. Duct� Ver�til�fing � r �. ;.] y ':�:; 77. ProduoL �iping �` sas li Oii
23. Gas PFpe•Rougki & Tdsc � * : � -.�1 � - '+ J s� �
. � , �p'� T 8 � � � . e. Undergrrr� �d F��ysll ,. �
24. Roof�framin .. n '� _ _. -. : � .p -� - ,� - . �
9 :. r R � �.73; Undergrr�d.Storpc��,rTank;�Gas ❑Oii
25. Roof:-6healhing .�. r y� '� �� �� 7q; Overhead Hydr3? � `
�
26. 7}Bar:Ceil;ng (Svuctural! & Mbr�.'o�oat F -� '� , � t 75r Dry Chemical � � � �� � � Y' -
27. Frarne anth Piashing f j r; Y s' •� •x K 76. Dry Stan�pipe ��^' .� - ='=- _ _
r
-28. Lathmg&Sidin9 ' � -- =' ��' ����� 7T-., FIXEDSYSTci�iNA�. � , �,;;.; 'ti:, �-�
�:. -
'29. Insulation� : � _ �• � � r 7� FIRE PAEV. F(N�L .. �� ^ �' - ' _ -
� 30. Drywail N�ilin9 .�. � � - �� c � ,'� :.�I�AITb{DEP�'.�EQVIREMEiJT = - `� � �
31. Plaster Brown Coat . - . . � � �t 79 FINAL IpSPECT[�N -' '
32. cJectrical`how,t hAetF�r�"ripal ; � ' � �;� � SO:c FOOD CERTIPtCATE 1�`SkJER: - - �
� 33. �inai:Eleej�ic � r� � - : ' i ` Notes: � �i - • - _ _ -
� !F .� -, -
-34. Fjna+�ieating&AirConditioninQ�� � !` y ` �. _ - 4 - � . - .
35. Final Gas'�ipe Yest �; . %d� �_ �F _ � .� J ,. ' -
- � • ..� :
= 36. �ood'ror CanoPY } � � ' _ _ .c i '� - g � � `. _ .
(,. '
37. Final.Pactory FirePlace^ :; � � ' �f , - e . ..
f� a
38: Final'Plumbing _ t � 3 ��7' (p' � - - , -
� �r r
39. Water'Service�F�nal _a r " -� , yj; ' _ � ' , " � -
'�40. Gas Servicz-Final •� : ^: <� _ � 'a � !•. _ � .;, , . .
- s =�i... . � ix .,�g ' .
r � r �p �
-41. Solar pomestirFinal; '� , -' << ,T , � - � �
42. Backfiow�.Preventer � + . - ? - _ -
�� ��� . _ �. . _ -
43. Backflow'irrig�tion � } - - ;. . 5 " � ' . . �. . .
44. Landscape Irrlt�ation System � � � r � � J � -i '-J" � ' �� - �
" - _ , _
45� 3ound AUenuation _ ; . ` ` r - ,- _ . '`= � _
4fi. Handicap�Regalations " ? � - _ _ - _ ` � �
< -
47. FINAL STRUCTURE & BUILDING � _ . -, " �� . _
48. FINAIPLANNING � -- ' - � - - ' ' ,
49.. Electric Release to E�ison �_ � � �� ; - ' ' _ �
50. Gas Release to Southern Califor'ia Gas Co � � � ' _ - _ - ' ` - ; ; ' ' '
51; CERTIFICATE OF OCCUPANCY ' � • ' - - - .
No. Date
�uuxessa euuoca:
�anairsw�eRiwohr:
• �ooxess
MVL.IUIITi01DDNE$$:
NiCNREtTOR QlITlffJI:
1NCX.ON FNR3100RF55:
uc xo:
coxm�aars w�:
cam�croas�uimo
�noxess: uc. w_
uur:
Yci2MTI' NG: r ub5v37 PLAN CHtCii NU: uh1f,'i-�7 iv „
iR'Jt ft il' � 1' 1(' 1t k 1t 1t Yt i1' 1t 1! 1�' YE Yt Yf'I! Y! ft � lt 1F %!'%t 1t 1�'/! 1t ft 1t iR fF 1F � lf 1t'R'h'�t'%t"1!'H' jl' 1F iF R Yt R K%t Y! iR R'A 1t 1�"M1' IF 1! h Y1' R iF i! N' YY k'lY'IY Y� fC A' J! i!'A"R
l YYE QTY li E S C h i i% T I G N ON.i i ��i:; � �'ti"iAi, �t)S i
uxr: PLCI
FLU
uMr:
tJCENSED CONTflACTORS OECLIN�TION: I hmetr/ dlim uds pnNy d yapvy tlet I em IEmaeE ivda pom'vu d Cheqs 9
(mmmemvq W� Sacibn 10001 af Gv'¢un J d tlro Bufinea aN Pmlmtiau COEe. utl mY bCwW u in lu0 bmw atd Mtetl.
CRY IJC. NO.: L1Q CUSS: LIG NO.:
Dele: CoMmtlw:
OWNER BUILOEfl UECL�N�TION: I he'eby df�m uMm pa�Wy W perjury Iha1 I am ezemq Imm iM Cauemon liwn+e Lew la tlr
INbw+q �uaon (Sepun )W IS Bwiwaa eM Rdafioro Cade: AM ctY a mumY xf� reGuim e De�! lo mmLW. NW. unporo.
demdoh, a repei erry �I�uctwe. pv io b eauence, ebo nawm iM xpqlrsM la auch perm� to Na a v{pied elmamxC ihtl M a aAe
�� liemed W�� lo �M pronmu d rtr CONretlm Liceme law �GMps 9(mmmendnp wilh Satlnn 1000) d Divuian 3 d tlr
uvimv vd Prdeaiom Godal n ihet M a kro u uem7 thaehwn vN �he beme la ihe dbY� ss«nq'vi. Niy vidmion d Seeion
.031.5 Ey enY aDW� lor e pertM Mpee tM eppliceM to e tivil penelry d nal mae Ihen Me IwndnE EOAua j550D�.
� I.maw+wrollheP��i'amyempbyeeewlhwegeaeslheiedammpenatim.willEotMwwk.andlMabuclurebM'uilendad
w oflered la eele (Seclbn'lOCC. Busi�roee eM Proleeaiw�aCotle: The Conlradan licenva Lawdoea mlepplyto en ownad popary
wla Wids a inwm'ae �Mreon. eM xM doee euch work himeeX a Mnatl a Mruqh he a her orm emWnl�+. Wo+� �MI euch
imqaemeMa ara m� inteMeE a dlaed la eeb. tl, Mwever, tM buitli�q a inpnremma u add wEhin ar yaer d canpblion. Ne
owmr-0uader v.ill Mw IM buNen d pvn�p he a eha did m� buN a impwe la iha purpma d vbl.
� I. m oxmr G iM YWMY. em mdvwdY mrureeM wVh 4anwd conbenm m mmvuu Ne qN� (Setlion IOM. Bw'vnwa md
PMeas'vie Code: TM Can�retlon lianee law Aom �wl WdY b en owner W pW�Y wM bo'Ide a intta'a �larson ud xfio
convecb la wtl� P�qas wM a aNredMe) li�srued Wnuw io �M Canomwa liorue lew'1.
� I em uemq uMer Seciion: 8. b P.C., br We reason:
Dele: ��:
I da hamby cslity Ihtl I em ewere W eM wMacierd Ma nquiremama d Celloma Hmth vd Selery CoEa Setlime 95505.25.53�. enE
Y553a, ud Nm I a eiry Mun dul&iq arvpent vnll / wil m� (ercb aw) meE to camply wih eeid pme mdn eM ihs npwamrvs br
e Cam� laconavucfonu iroEifretianhamthe�r�anepen�eni Oietrid. Revde�aiel m�mMion MO�ioroenmemqhan iMss
poviaions.
Dele: AGdicem:
WONKEN'S COMPEN4ITION DECLAFATION: I hereby elfi�m uMer penelry d perjury aw cl tM bllowirq dadartliom:
❑ I hare uM wil meinten e unilicele d wneent io eellimure M wakere' canpenaetion. ea provideE fa by Setlim 9]00 d iM leba
Cada, la tM perlorme�e ol iM xwk la which ihie pamG ie ovueE.
❑ I hew ud xil meimen waYas' cvmD�ion imurence. m nW'neA h' Seaian 3'roo d Na lsbor CoCe. br Ihe M��^�'a d iM
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Ceiner.
Pol'ry Number.
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CONSTNUCTION LENDINO AGENCY: I hereby elfirm under pendry W paryury thm there ia e oonsirvd'wn bMirp epa�wry /v Ne
con�� w m..� r« wnia� mc ro�� m e•�ee (seao� x��. c�. q.
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. LENOEP'S ADDXE55:
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. __._. __._. D
, ,: .; �
CITY OF COSTA MESA
6.'i5
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. � CC.VSTRUCTION AND PLANNING � POOL 'A
tiPPROVALS Permit# Date Inspector AppROVALS Permit�- Date Iin:pector
r 7, Ter;DorarY Elec[rical Service or Pote 52. Pooi & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms .
4. Electrical Conduit�Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAI TO COVEft�GUNITE
Z Footings 58. Electricai Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Strucmral Floor Syscem 61. APPROVAL TO DECK
1 i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent-Pinai �
13. floof Drains 64. Plumbing System - Fina�
14, Rou9h Plumbing 65. Electricat-Final .
75. Rough Electriwl-Conduit 66. Solar SVstem-Finat
16. Rough Electric Wiring 67. Fencinq & Access ApProval .
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceilin9 ��� 69. POOL/5PA SYSTEMS-FINAL
19T Rough H¢atln� & Air Conditioning FIRE DEPT. REQUIREMENT
20;.Rriugh�actar Fireplace APPROVALS•� Permit#
21`:- Ducts, in Structure 70. Underground Hydro
22r D�"Ms, Ventilatinq 71. Product Piping (� Gas ❑ Oil
23 •Gas Pipe�ftough & Test 72. Underground Flush
24 Ro,of Framirig� 73. Undergmd. Storage Tank a Gas Q Oil
25. Roof Sheathing 74. Overhead Hydro
26�T-6ar C�ilir�p ($trucwraq & Monocoat 75. Dry Chemical �
27� Prame and �IaShing 76. Dry Standpipe
28. Lathing &�iding 77. FIXED SYSTEPA FINAL
,_
29. Insulati6n •' _� 78. FIRE PREV. FINAL
30. DrYwal('Nai�rir� HEALTH DEPT. REQUIREMENT I
31. Plas:er Brown-Coat 79. FINAL INSPECTION
32. El�ctrical Pow.er Meter�Final S0. FOOD CERTIFICATE ISSUED
33�Finai Eteceric- a Notes: �
34 PinalHeating�,AirConditioning �-
r
35�yFiqal Gas PipevTest _
36:=Haod or Canoriy�
37-Firaai Factory�iceplace � -
38., Finaf Plumbing ,
39�Wa'ter Service�Final - -
40: Gas Service-Pinal .
41:'So�ar pomestic-final
42 =8ackfiow Preventer
43. Backflow Irrigetion � �
44. Landscape Irrit�ation SYstem
45. Sound Attenuation � �
46� Handicap Regulations
47:�FINAL STRUCTURE & BUILDING
48. FINALPLANNING � '
49, Electric-Pelease to Edison �
' 50. Gas Release to �Southem Califomia Gas Co '
51. CERTIFICATE OF OCCUPANCY
No._ Date
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CLA3M VALOE: CA'(.i:•-VALOE: i,iiGUi� Vi:�:: Fi••:s i
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,
C�TY OF COSTA MESA
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.� COjlSTRUCTION AND PLANNiNG POOL 'A � � _ , (
Date Inspector Date ,Inspector
' RPPROVALS Perm�t # APPROVALS Permit #
1. Tert;porary Electrical Service or Pole 52. Pool & Equipment Locat�on
2. Soil Pipe�Undrgrnd. j� � .� 53. Steel Reinforcement
� 3: ElectricaV�Condu�rUii{ity-Undrgrnd. 54. Forms
-�4: Electrical Canduityn8rgrnd. 55. Electrical Bonding
-5: Steel Reinforcement 56. Rouqh Plumbing & Pressure Test
'6: Electrical UfER�Gind. 57. APPROVAL TO COVEfl�GUNiTE
'2' Footings _� ; - 58. Electrical Conduit+Undrgrnd.
$ Foundatigt ; � 59. Gas Pipe, � Urtdrgmd., Test
�,
9. Water Pive�Undi�md. j 60. Backwash Liner, P,Trap, O Undigrnd.
10. Structural FloorSvstem 81. APPROVA�T6qECK
71. Property Sewer LinG& HouseConnection 62. Backwash & Receptor-Final
12. Sewer Cap ' y . 63. Heater & Vent•Final
13. fioot Drains -. 64. Plumbinc� System � Final
14. Rough Plumbing- *• 65. ElectricabFinal � '
15. Rough Electrica�Corxiwt -- 66. Solar SYstem-Final
16. Rough Electric �9iri�g � � ' 67. Fencing & Acca�s ApProva�
77. Rough Wiring S�gn - j 68. APPROVED F�R PLASTERING
18. Rough Elettric3l:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
79: Rough Heating & Ai« CondiiioninQ _ ry . .,, Fl,4iE QEPT.AEQUIREMENT _ `_
20. �ough Fa¢toc� Fi��lace _ � = � ; 5 - � G � APPF3�,OV�1Lfi= _ P �ey'mit # � - �
K-
21. Duc�,.s, in Striist�r�' � ' •• ^ � � - = = "+' 70. YJnderfr'our�il Ft�dro �
,F S � '�n
22. Butts, Ventila'sing.j � �,j ,� � y � .' ;;, 71, Product i?iping ��as C Oi�
23. �ias P�pe•Rougn & TAst �; ., T f: t. 7Y, Undergro�r�d PtLsh � �
24. �oof'PraT�ng" � r ' �� - , ' � � u 73j Undergrnd. Stor� "�n Tank O Gas � Oil �
25. RooE-fihc8thing � F C �' = � '� 74. Overhead Hydro � F
:
26. j�-Bat'Ceiling (5tnRtf�rall & Md�o�oat f_ " - � 7� Dry Cheqiical ,- • -
27. ��ama and Flashing � - - s T � ' 76. Dry Stapc�{nPe , � :: � .`; - �
-'2L - .:: ^
28. Lathing &'Siding ; ' _ _ - ��� '�� �' � 77� FIXED $lt.$TE,�ii�INAL � � '
29. Insulatiort' i� � s • � I � 7� FIqE PREV. FI '- L �- 4 •
- �
30. Drywall Nailing y r., ;� �� �-l�AlTk! DEP�. f�EQZ1IREMEM�
, _.: �
31. Ptaster Brown"Coat7 + : �- ^ � ' 79, FINAL INSAECTIaN • ' - '
� 1 y �
32. E'lectrical pow�r M1Ret�rfiqal �'� � � 80.'; FOO� CERTIFI�ATE ISSiJEd _ "
� � t �
33. FinabElect��t� * � � Notes: '.' � _ ' -
_ ^
34. FjnaFHeatin9&A���ondftroniriqs r f � � r � -� � , - � � .
35. Final Gas�ipaTesi ; _ .: i� - � c . � - � � e - � '
36. Hood"or CanoPY �' � • _ . '. , I r . 1 _ ; . • � -
� ` ,,
� � i
3�. Final.Factory F�repiace : -. -. � � - �
38. Fioa��umhing _ J _ ; � je� = . - - �. ' : -
�
39. Water Serv.ice-Finai ' ' � ! I. , � ` . ,. . -
40. Gas Servfce-Final . • - •I•. - - ' � - -
- I - • '
41. Solar pomestlrFinal` ` � " i - ' .� - , ' � : - _
42. Backflow Preventer . � •. f � - - -
� � S � ♦
43. Batkflow Irrigation , ' ' r � � _ � • -
44' Landscape Irri2�ation�System '" - � - � - --' � ' - ' ' •
' 4
45. Sound Atienudtion ,� ~ � c
46. Handicap�Regvlations � '
47. FINAL STRUCTUR� & BUILDING � _
48. FINAL PLANNING ' -� - �
49. Electric Release to Edison
,
50. Gas Release to Souchem Califomia Gas Co
51. CERTIFICATE OF OCCUPANCY �
Oate
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(ooxEssaeuiowa 379 21ST ST
oxxe�rsruYeivaiarx: NEWPORT HEIGHTS TWO
.ow�ss 1501 WESTCLIFF �t260
' ' NEWPORT BEACH,CA 92660
631-7433
�rv�. muwa �noeesx
ARCXRECf OR FNOPlFFA:
JICN.OR EN4.'4 AODPES4:
camunanx.uEPACIFIC GRAND CONST.
cam�crorca�utva 1501 WESTCLIFF
�� N.B. CA
92660
UCENSED COMP�C70fl4 DECLAX�TION: I Areby Nim �vWr prWy N pxryry thu
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UNT:
(714)631-7433
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IoOowiq rwm (�� ��15 B�mm md Rdudmf CoEs: Nry r1y a mutly Mitl� �pivm e puml lo ausTC. eEx. npwa.
demd'eh, a repv mry �wdua. prior b u eauuca. tlro npmx IM appGmN la adi pamC �o Ns e eqW ee�rroe0 tlW M a�M
io.,xe w�ww m me a�au a m. caureaas uoe�aa �e. Ftiq« e I�a+m+a .an sea�m �000l d oi.eon a a �ro
._esT,luemea erd Ratwuro COCaI a ihtl M a dr u ammq �herlvn ud tM ba'v tar tlr �MpeA mamqion. MY vioW ian d Swian
''>oai s M�v eook.m i« e v.�+ •4�+�ne wd' a+ w e da v�r d mi maa uvn e.ro Ix�sd eows �55oop.
� I,mowwdlMpopertyamyrnpb�as��.IhwepesnNs�oMmmpsuetion,w9EotMxaF.rtllMWucnasero�vaaMeE
a alle�ad tor eele (SxLm )ou.8usvawvd Prolmdun Code: TAe Cavrwae liesua lewAou m+GM/Ioen ownerd o�weM
Mn WNa a inpaa ilweon. end Mn Gom wN wk lenw! a Mntl a tlrau� h'v a Mr wm eroM�. pa+� �het arJi
im0��+rs M ivadsA a a1Md la ub. O. Iwwx. Ur dddiq a inpwamM e�old wuAvn ar Yw d mmObin. Ns
oxw-0uiNa xi0 Mva IM MVMn d pa'vp M a tlr Nd nd ddd a"unpas la Ne pvpme d Wal.
❑ �.., o.n. a m. aoV.n..m..am�.�r ma�er,:a .Mi srro.e m�tredon ro oumuu m. w9w+ls.eion ]a.. a�.ins..na
Pmtmmm COCe: TM Catlretlm lraw leM dom nd VMV m en oww d pWNY Mc deld� a'vnpw'u 1lw�san and who
mwecu lar wd� n4�s wh e mNraew(�14rn�C w+�+b �M Gwv�aGw� lium� lew�.
� I em uemq wMa Section: B. a P.C.. br Nu �won:
Oele: ��
I do I+roby unEY Met I em ewua d W ivWnWd tln ipivernru d Calimue IMeth rd SMY COAe Swbro 25505. 25SV, eM
25SL. uM Nel I a m/ Mun dnlEeq omryeM WI / wil ml (drtb ons) roM b candV wM1 uid me aodn vd �M �ap�uremwro br
aD��InmvmrmnamoECretionhwntM�43u�miysir�Omrie.RwEraW mmt�unioneppfre�iauenvamqlmnthwa
wwmoru.
om.: �oo�w+:
W ONKER'S COMVENS�TION DECIAN�TION: I MrWy aAmn utla prully W pajiry an� d IM blbw'vq dedebom:
❑ 1 hsw W wJ msiruen e cenJ'ctls d oaueni to �Nli�wn br Morkri mnparomion. n pwNM Iv Dy 6Wion �)00 d �M lebor
Cods. l« �M OMamuc� a tla xvk In w4'rJi Nu D�V u mutl.
' n I hm aM wil me'vuen wka�' mmpmqion'umuuo. n nipnW by Satlbn J100 d tlw leba Code. br iM pslamuKv d IM
1C" wark i« �MiN ihu oxmil u's�uM. W vvkan' mmpanwian Muerca w�ir W w=Y number ve:
�,,,;,,; STATE FUND EXPIRES
rw:v M,mw,: � 0 4/ 3 0/ 9 8
1m ..a�o, n..e mr e. oomv�, w a«m� e ra n» nunmsn eotlu. mool n w...)
�] I centy OW in Na pMmnvice d tM wak la .Mic� IM prmC u mueE. I NeY nd ars�qq erry pa�on in vry mennx o n �o
n.mm. wM.a m m wonen� cano�� m.n a ceNan:.. w m�.e mm I�l.Mw exmr wdw �o �ne woncas�
tompenW o V'e' • G SW ion �)00 d IM leba Cod�. I qW rk� aampy U� pwi���.�
Date: ApqiW: �
Wemlrp: F� un b� cun woM1w�' mmp1nutlon covwp� l� un/nrlul, uM �IWI rbJc/ �n xrpleyw ro cNmVW pwltlu �ntl
Clvll fln�� up b em ��nOrM fMuuM OolMn (SIPD,aooA ��Itlan ro M� rost ol romowwlbrt tlernp� �� provlEW br In
Ssctlm J]P6 0/ tln laOOI Cob, IMxu4 ���mW i Iw.
CONSiNUCT10N LENpNO �DENCY: I Mraby atfrm unEer pendy W pmjury Ilm �Mn i� e conqNpion bMiiq parcy br iM
paAumeMe W �M xak h xfiidi ihe M�^t u's�uad (Sadion �OB]. Cw. CI.
. IEN�ER'S NAME:
I � LENOEWS �DDFE93:
1 cenih IIW I hera red the eppliutian W atle ihd M ebw�'vdanwion a oonw.l yna �o oomply Mnh eAay eM couMy adineMe�
vM nete levn ialmYq to btildvq cmw�rLm antl Mraby euUv¢e �w��+� W �liu dly bwa uD� �M ebwa�mwuned papeny
�����'°'tl�°��D'�'RONALD LEGAAND
��
Dms: 1�9�
Sgfaturo d QnetlApwN rmu �,
(5151dfi.WP) WMa-&�ddip8SalMy:G�wmFJa:Gwry-�ppiwu:RnkJimwn:OddmvoE-/u�aun
CITY OF COSTA MESA - BUILDING PERMZT
PERMIT NO: M 086702 PLAN CHECK N0: N
CONSTRUCTION TYPE:
PERMIT TYPE: MEC
� d ��1
PERM NO: M 086702
GOVT; N SUPP: Y
PURPOSE: ADD
SOB DESCRIPTZON : CONVERT 1555F GAAAGE AREA TO BONUS ROOM SQ FT:
CLAIM ��ALUE: CALC-VALUE; GROUP OCC: R-3 /
COMMENTS: CONVERT PART OF GARAGE AREA TO 1555F BONUS ROOM, tIH86699
�+�*+�*****+�**�**��r �*�*+��**+��+�+r��*+�**+�****�*+���*�+r�c+��+�+���*+�**�+�*��***�*�**+��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 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: 42623228 ZNE: REF NO:
PLANNING NOTES>
i
iF'it iF iF jt ik jt it iE iE it jE ik iF 3F dt it 3f 3f iE if 1E 3k it it it if if it 3f iEi6 jE iF iE iF iE 3k if 1f IE 3E iE 3E iE 3E if iE 3E iE �1t 9E 3E 3E it jF �E 7f iE �t iE ic iF iE ji 3E iE if 3E ik iE iE it dt 3f it if aF *
; 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
•l
�ZONING APPROVED BY DATE:
BiI�ILDZNG APPROVED BY : � DATE:
�PPLICATION ISSUED BY: ' DATE: � Z2 �
if iE 1E iF iE 1E ih 1F 1f 3E iF iE iE 1F ik iF if if iE iE iE �f iFiF3F3fifiFiFiFiFiFiF3F�FiFiF�F3F3f3FifiiiF �f 'iF'iFif7F3F�fiFiFif iE 1F iE iF iE iE �E �1E �E 3f iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 12.25
25R SMZP/NON-RES
PLAN
ISSOE FEE 6.50
bUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 12.25 6.50 0.00 18.75 18.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 18,75 OVER/SHORT: ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
10.75
!E ik if fE iE �E !E if aE if !f �1t iE 9E af k if if iE iE �k 1E iE if !F 9E iE 1Elf fk if iE iE if 7f iE aEli 1t 1f ik if iE if if 16lF iE if if k if 1f if 1f �E if 1E i� �)f ik iE i4 iE i4 iF iE iF iE ik iE iF if if i! 1E 1! if ih
I N D I V Z 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
MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 12.25 12.25
END OF FEES
81-22-1998/18:53 NM/f18.75
RCPTfl:B1-8818566
PERMIT:086792
I
0
' CONSTRUCTION AND PLANNING
� APPROVALS Permit #
1. Temporary Electrical Service or Po"le
2. Soil Pipe-Undrgrnd.
3. Electrical Conduit Utility-Undr§rnd.
i
4. Etectrical Conduit�U�drgrnd.
5. Steel Reinfo�cement
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe•Undrgrnd.
10. Structural Floor SYstem
11 . Property Sewer Line & House Connection
12.'Sewer Cap % �•�
13. Roof Drains
,
14.'Rough Plumbing
15. Rough Electrical-Conduit �'.
�
76. RoughElectricWiring '
17. Rough Wiring Sign ; ',�`
18. Rough Eiectrical•T Ba� Celling
19. Rough Heating & Air Conditioning
20. Rough Factoey Fireplace
21. Dutts, in Strutture
22. Ducts, Ventilating
23. Gas Pipe•Rough & Test
24. Foof Framing
25. Roof Sheathing
26. T•Bar Ceiiing (Strutturall & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulatipn
30. Drywall Nailing
31. Plaster Brown Coat
32. Electriwl Power Meter�Final
33. Final Electric �
� Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Finai Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulacions
47. FINAL STRUCTURE & BUILDING
48. FINALPlANN1NG
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Da[e
Date
Inspector
POO L PA ,
APPROVALS Permit yIE Date�- �. Inspector
52. Pool & Equipment Locatio�-
53. Steel Reinforcement
54. Forms . -
55. Electrical Bonding
56. Rough Plum6ing & Press�re Test
57. APPROVAL TO COVER•GUNITE
58. Eleccricat Conduit•Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P•Trap, � Undrgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent•Final r
64. Plumbing SY5tem • Final �
65. Electricai•Final �
66. Solar SYstem•Final
67. Fenciny & Access APprovai
68. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEMS FINAL
' FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. ProductPipingOGas ❑Oii
72. Underground Flush
73. Undergr�d. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Ory Chemica�
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REDUIREMENT
79. FINAL INSPECTION
80. FOOD CER7IFICATE ISSUED
Notes:
. `J
5 M
_.�
;
� . Y
: ';
:.y
ewim+o: �/ y L 1 S 1 5 1
irroux*+: NEWPORT HTS TWO
dDDRE4A 1501 WESTCLIFF
N,B. 92660
wr�. Muuwo woness:
u�cxrtecr on ��n:
MCN. OP FW.'S AWFE54:
ca+mecrarax�ue: PACIFIC GRAND CONST.
CONfiIACTOR4YNIW0 1501 WESTCLIFF
�o��sx N . B . CA
urR:
uc ra_
UNT:
(714)631-7433
,x�: 734964
92660 �M, 260
110ENSED CONfP�CTOHS DECWiATON: I Meaby ellim under pa'uly d pwpm/ Nq I am 4mssd wder pariviav A GMpw 9
(mmmendn0 wvhs�yp� 'l000 Oivaion 3 d Na &�ama entl P�dm�'vu CCEs. and mY 4ama e m M1A lace end slled.
cmuc.No.: // // uc.cuss: uc.No.: 734964 EXP; /J
Ome: Camreaa:�%Gw�'�( � � �—.�-r./l /F4
EN BUILOEN DECL�FATION: I M�eby el! �vder pauly d prjiry �Mt I em evmq hom tM Caaieaaa l'rrua lew In tlr
Idbwiq �eefm (5etlian ]OJ1.5 &nicaa md Rdwbnt CaEs: MYW o wuNy xltith rNu'um e V�md lo canhucl. etlx. inVo.a.
demd'vA, a rpei arry avucwre, p'v m u eauvrw. abo repitim IM epplimm Ia wcA paniw io fib e qprd vtlansq tlW M a�M
'� lioemed pum��en� Io the pwmwv d Mr COMredm Limme lew �CMqr 9(ovnm�q wuh Seeun ]000) d Div'sian � d �M
usnw eM Prdmiom Codel a Ihel he a ehe u eaamp thrshom uM 1M bmu lor Ihe eAepeE memqion. My vidmun at braion
I0�1.5 by eiry eppliunl lw a permn subpea the eppliceM to e tivl penelry d ml mas �han fxs hwdred dopars j$,50p��.
❑ I.aeownerdlhepropenyarmyempbyeaewlhwepeaavlheiwlammpeneelion,willJOlMv.ork,eMiMel�uclurew�wlinlaWeE
or oilared Iw esle (Seclion 10as, Busnma end Prolesaiona Cade: The Conlreclon Licanaa lew daee mt epplyto en ownwd pmpeny
wM10 Wide a inD� �hereon, eM who doea euch woA Mmeell or henetl w �hrouph he a her own emplv�em. prwked tIW wch
impovemmU ere rd intaMed ar aflereE la eele. II, however. IM Witliip w inpovemeM is wld xilhm ww yeer d mmplelbn, Ne
ow�ror-0uiltler wiil �ero IM Wrdm W yoviip M a ehe dN mi buitl a improva lor iM W�s d eeb).
❑ L e. �., a ine ww«n. �%��*N ��rec�ro �•:�n iim,.ee conirecw. a conaw ina wdsa �secon �a.. 9udn...ne
Prdamon� Coh: TM Comrmaa Licems Lew Aoee nal xODN �o en oxw d popMy xfio buJds a mWa'x �liaaan end who
COn�lBCb W WYI ptOqKl! wM a Wn�ta']d�v) ICMMd Wnuenl lo IM C.OI1�fBd01f llGtllw lAw).
� I em uemq uedr Section: B. 8 P.C.. tar Nn ieeeon:
Dme: Owwr:
I tlo IwnW ttnM Net I em ewere rt aM uMenterd Un roG����ws M CaOanu IImEh W 6eIwY COAe Seaime?5505.2S53J. eM
t5531. xd thet I a enY hnun dukmB � xiG / wa M(e�cb on�) naad b mmNY wih uid �s mdee and tM �Ww�oros b
. v� �«wmwnian v nneirmion han�n. �:�m�ns� Dinria. n.,N«um mmnwion wo��+m. e..�+�a rmn m«.
Dale: AppfceN:
WORKEH'S COMFENS�TION DECLARATION: I Mreby elfim� uMer pereM1y d pejury aw d iM b0owi�p dedara�iom:
� i nw..m �;� ��. �.n�rme a oom�i io..n:mw. ro,.dw«.• oomo��..+a� r« M smm a�oo a m. ieea.
Code. la tM parlmrienca d the xvk la wNch Ne pemv� u inued.
� IheweMxilmeiwnwaYae'comV�uniiuu�uim.nnW'vsdMSwion7lWtl0eleborCada.brtMG��W�W�M
.��«»n�a,mAo.mmes.�,Oe.Mr.a�+' S�'�1��i�.mw4r�.,mn..�.: EXPIRES
c�«
vaKv N�m�,: 0 4/ 3 0/ 9 8
hia eection neeJ na be comWeleC f tMG�x u M wre nurrdred CWkre /3�Oo1 w bse.J
�] I cenAy Ih� in Ihe pMormence d tha wah br whch Ihie perm� Ie iewed, I ehell iwl employ any perem in ury menner n u lo
become euEjeG Io iM workeri compenation lewe d CdNwnie, enC eQrea IMI H I ehauk become wbjetl to IM vro�Imis'
eanpeemtan qw'u' �na d eeun 3)00 W ihe Lebar COEe. I eMll IophWiih mmpy law povWons //
iv zi/ ii
ma. �/ Md�va: 7� !� �.i.�.�i�/
i
• Ip: F�N�n b ueun woikeri mmqrwtlon eor�rp� Is unNwNl, uM �fWI �/�ef �n ulplqr b nlMirl pwftlq uW
flnu ,p ro orH MnEistl tlpwerd EW4n (S10q000A ��Ifbn ro tl�� cwI ol rorrpuuetbM1 Lemup� u proHEW br In
S�cHm 9]O6 0l tlr� LMorCOAi, /rrtxw4 �d ettomsY's /sss.
CONSTRUCl10N LENDINO AOENCY: I haeby etF'm unCer penMy d per''vy ihet ihse u a canp�utlion brdi�p apaicy br Ne
pMormerce M IM xoA Irc w}tidi th's pami u uwad (Swun 3091, Crv. C�.
LENDEN'S NIW E
LQIOEP'S ADDHE55:
� CM�h' �� � �16M 1084 �IO B[�fd4A� BIY� 6L1011W I�N 9�1G NiMNllpl O CqIKI. �,TM �0 C0111V�Y M1N�1 BO mY 6fY� NIIItlY OIdC14K1!
erd etme kxe nlm�q to drildn0 mvtrumon eM MreEy aNMeae �WA�mi.w d�lie tl1Yb eMa uo� Ihe eEwe-mmtlioneE qapery
1IXin9pBtl1Oop°`°°'°' RONALD LEGRAND
Dme:
(StStiB.WP) Whne-Buildeq85dety:0�eeo-Fle: ery-ApDy�:Rnk-Revanue;DOlEenmFAneeaor
CITY OF COSTA MESA - B�ILDING PERMIT
PERM NO: B 08913
PERMIT NO: B 084138 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : DEMOLISH EXISTING APARTMENT HUILDGS SQ FT; 22,000
CLAIM VALUE: 22,000.00 CALC-VALUE: 22,000,00 GROUP OCC: R-3 /
COMMENTS: AND A 1 EXIST. BARN
**+r****�t*�r*x��**x�*x�x��r******�r�r***�t�rx�rt*x�**x�*x�**�t�r*�*a�x���rr*+�i�+�x�******�*�**+r-x�+r***��r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN 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: 00000000 ZNE: REF NO:
PLANNING NOTES> �,�
�
M �f �F iF iE iE 1f iF �E fF if 1! it 1E if 1E ik if !f 1! it ik ik 1f 1F 1k fk 1f iF ik it iE ik �E iF iE iE �f ik if if !E if if * i! �f iE iE iE fE ff �F �E iF if fE fE fE fk �E �f �f k iF iE if iE if !E iF �k �f iE �F it i! if fE
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 APPROVED HY : DATE: �
APPLICATION ISSUED BY: � DATE: �� �
1f1k1F'k�EiEiElFihitiElhitiE�Eif�('ikMilitiF�F��FiF��F iFi�{f'�i 7f7fiFiF{fiF�3F{F'lfifiEifiEiElfiFiF lfif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANlC FIRE SMIP/RES GRADING
PERMIT 312.25 2.20
SMIP/NON-RES
PLAN
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 314.45 0.00 0.00 314.45 314.45 .00
REVENUE DZVISION TOTALS--> COLLECTED; 314.45 OVER/SHORT: ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECR
312.25 '1.20
!! k iF iF iF if iF iF iF k if ik if ik if if iE i43f if if !F 1F ik �F iF �k if 1f iF ik if if iE 1f 1F fE �! �f iF if i! if if 1k �! M 1f �k if �Flf iE if iE if if if �k iE iE �E if if �E iE �E iFlf fF �! 1! if jf �k ik ft ik 1f
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
SFR 22000 DEMOLISH BY VALUE RESIDENT. NOZONE 1.00 22,000.00
END OF FEES
08-I1-1997/02:21 P�/f314.45
kCPTH:�l-0010552
PERMIT:084138
i" CONSTRUCTION ANO PLANNING� POOL 'A ''•
•`' APPROVALS Psrmit # Date I�spector qppROVALS Permit # � Date Inspector
�.
1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electricai Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER G�nd. 57. APPROVAL TO COVER�GUNITE
7. Fooungs -� � 58. Electrical Conduit�Undrgmcl.
8. Foundation 59. Gas Pipe�, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. _ 60. Backwa:h Lines, P�Trap, � Undrgrnd. �
10. Str uctural Floor Svstem . 61. APP RO V A L TO D EC K
11. Property Sewer Li�e & House.Connection 62. Backwash & Receptor-Finai
72. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
t4. Rough Plumbing 65. Electrical�Finai
15. Rough Electricai-Gonduit . � 66. Solar SVstem�Final
16. Rough Electric Wirin9 67. Fencing & Access.Approval
' 17. Rough Wiring Si5� ' � 68. APPROVED FOR PLASTER�NG
18. Rough Electrical-7 Bar Ceilinq � 69. POOL/SPA SYSTEMS FINAL � '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fiteplace • • APPROVALS Permit #` '
21. Ducts, in Structura � ... - - � 70. Underground Hydro
22. Ducts, Ventilating. - � � _ 71. Product Piping Ofias OOiI
23. Gas Pipe-Rough &�Yest '. , � 72. Underground Flush
24. Roaf Framing • ' 73. Undergrnd. Storage Tank � Gas OOiI
25. Roof,Sheathing � •� . .i � � .� 74. Overhead Hydro
26. T-Bar Ceiling (Structurai) & Monocoat � � � 75�. Dry Chemical
27. Frame and Flashing; ,, _ � 76. Dry StandpiPe � ,
28. Lathing & Siding - '- • 77�. FIXED SYSTEM FINA1 -
29. Insulation �� ' „ . 78. FIRE PREV. FINAL �
30. Orywall Naiiing � - HEALTH DEPT. REQUIREN7ENT
31. Plaster Brown Coa:: � ' 79. FINALiNSPECTION .-
- 32. Electriwl'Power Meter�Final - 80. FOOD CERTIFICATE ISSUED
33. Finaf Eleciric ' � Notes: �
34. Final Heating�& Air Conditioning -: � . .•
35. Final Gas Pipe�Test : : � . ,
� _ .
36. Hood or Canopy - �� � ." .�
37. Final'Factory FirePlace ' � � � �
38. Final Plumbing . . � '- �
39. Water Service�Final � • � ' . • ' .
�
40. Gas Service-Pinal - - - �� �
41. Solar pomestirFinai � • ' �
42. Backflow Preventer • � . ,
-43. Backflow Irrigation; " ' ;
44. Landscape Irripation System " . , � • � � . _ • � -
45. Sound Attenuation ' - x :- • • �
, - .
46. Handicap,Regulations ' ' � �� �� � .
47. PINAL STfiUCTURE & BUI'LDING S'�N Ct'� ���
48. FINAL PLANNING . ' .
49�. Elearic Release to Edison -�- "
50. Gas Reiease to Souihern California Gas Co � "
51. CERTIFICATE OF OCCUPANCY , .
No. Date
�ooAEssaeu�m'c: 319 21ST ST urn: CI'TY UF COSTA MESA - bUILGING FERMIT
OWNEfiSN.WEIFqqMk NEWPGkT HTS TWO FERM N0: GRA 089bY.
�p� 1501 WESTCLIFF
N,R. 92bb0 FERMIT NO: GRA 089621 PLAN CHECK Nt�: 02263-97 A GOVT: N SUFP: N
�vri. wna+a .00�sc
����� �9400�CAMPUSEURING
urcx. oe e++�•s �oowess:
N.H.
���� YACIFIC GRAND CONST.
������u� 1501 WESTCLIFF
.00�ss: N . B .
92obG
IN: I �eraby eAkm uMer pei
9 d IM Budma arM Pmle
cuss: uc.
,x ra, 0
uxr:
CA 92n60
' (719)631-7933
CA ��, 7399ti4
urir: 2 ti 0
r Nei l em licaneed uMx pamiom d Chepm e
vd mY licenae b in lull bm vd eHq.
4964 E3iP: 06/58
� Dne: � CaNratla: �
OWNEH ILDEN �U CLAR TION: I hereby alfirm uMer penely d perN'Y � � I em exemq /rom tM ConVeclae licanee lew la Me
.iyl�a� rm.� Iseaion �oais euenm..�d aroiw.iom code: nm av a �v which reau�ree e ro�nn io cm.o-ua. Mm. �mwa+.
demol'ah, or npeir any sVucluro, p'v io es bwence, ebo reyuiree iM appl'rant In suc� pemie to fib e eproE eletameM ihet M a sM
licensed W�� lo iM povivma d tM Contredore liroroe law ICheqer 9(comma�np wuh Saqion ]OW) d Oivebn ] W IFr
,cvwa enE Fdesa'vm Codel a tMl M a ehe o vemq Ihaehan e�M IM bnte Ia Ne eYeO� mem0�on. MY vide�ion al Setlion
NJ1.5 by emy epplirant I« e permil eubpd+the eppliram to e rnJ pauM1y d ml mas Ihen fxe hundreC dd4n �5500�).
❑ i. m ow�. wme aoaenr n mr empm+.•,.m weae+ee m.:.w. mmw�mion. �;n ao me wo�k. end m..wa��e w �a �ie�d.a
wdlereJlaeeb�Seclim]01�,Buvm�eentl PmleenioneCotle:TheCaMretlonlioeroelewaoee�epplyloenownmdpmpe�ly
who buida a inqrnm tMreon. aM xM does suM wak Nmeell or Mner a Nrouph he «her own ompb�ees. povdeG �hq euch
imP�mmv ere nd inieMM v a11sW la ub. tl. howawr. �M bwltlirq u inpownav o wtl wM1lun ar Y� d wmWMian. tM
owner-0uJda W hm iAa EuNm M O�w�^Y he a eM did m� duN a'vnpv.e la iM W�a d etlel.
❑ �... a.,�« a ine uwan. �^ ^�a,w.v �ureano wn uron..e mw.da. m m�ow na pq.a (sa,o� rou. a,.va...�e
Pmtevbm Coda: Tha Cauemon lirome law Eom nol e0M'/ b en ows d G�wNY v,fio ddds a vnpa'w �Araan vd Ma
wnvens la aM pmptla v.nh e mxreqor(s) Icaewd Wnuam io �M Conlretlar� Liane law).
� I am e�emq wder Sx�ion: B. 8 P C.. br Nb iemm�:
Dma: Owtw:
I Eo Iw�eM unM tlw I em ewero M eM iMenWd �As iaVN��sW M CaUaw IbNh vM Sa1elY Cods Setlbre 25505. tSSV. end
25534. eM Nel I a mry Mive buikiiq omryem wll / wil �wl (ticb one) neeA io canpy wYh eeid mme mdr enE �Ir nQ�nmb W
e D�n I«mrei�union a moERKalionhomiMA'r'iiwTy .l�erepemem Oimria. Reeidanliel aonalruaion ePPiu�imsanexemqtmm Neee
��.
W ONKEN'S COYVpI3�TON DECWUTION: I MraEy el(mn uMr pauly d psWry ar d tln bbw'vp drfum'vw:
� I heva e�d xil meintew e cerlJ'rele W wwni to seMimun Iw xwkere' canperiWion, n prorideE la by SWim �100 d tM LeEa
COM. la iM pe�lormence d tM xwk la wlich �hie permn u muad.
�] � ne�e d,e :e meimei�.wnnn• canw�� ��... i.awrea W swion a�ao a ub �m« coe.. �ar me w�a� a m.
wpk Iw xhidi Nia pxmit n mued. MY warFen' mmqneqion "wumnc@ �.m ��mw, m.: EX P I R ES
c�«: _lf��it.__ruiv_-__
Pd'ryNumber: ����� ��� � � 09/30/98
,,rs axtron nnee � be romd.ree � Ms pemix ia ror me hu�died ed�.i. Isrrol a �w.)
� I cenAy thel in ihe pe�iwmenm d �he work Iw whch �hie parmX ie iaued, I ehell m� empby eny penon in any manner eo o to
ome subjae io iM wrkere' compenaetion lewe d Cdilomu, 6/egree Ilat il I ehouk become wbjW b IM Mwkan'
mpevelbn D�aion d beeion 3]00 d IM Lebor COM. I ehell 1�Mil mmpy wnn ino e pw�eioro.
�a: �oa�:
Weml p: HUun ro �xun roMnri rompxu�tlon rovsrep� ls unl antl �IWI �u6Hcf an s�vloyx ro cNMml pm�ltlu uW
Nvl 'nu up ro aw hintlM tMuaand rbllen lStOG,P00A ��l n ro tM ewf ol romps�uetbM1 tlunps' u provhNC bi In
tlon J106 0l Ms LaSorCOW, Infxut, mtl ertomry'i I.u.
CONSTFUCiION LENqNO �6ENCY: I hxeEy elfum uMs penely d pnj.vy �het ihme o a conq�uqion Wd'up yricy br tM
pmi«mence d tAe wuk ta xAirh �he D�i u uwsd (5enian Jo8). GH. CI.
LENDER'S NAYE
LENDEWS �DDNE%:
f*i•.
WAne-Buikip 8 Selery: O�em-Fb: Ce�wy-App5ram: Rnk-Ra�ue: GoWenro�Mamaor
CUNS'IRUCTIUN TYPE: V-N PERMIT TYPE: GRA PURPVSE: NEW
JOB DESCRIPTIGN : GkAuING FUR 6 F[aMILY RESIL. SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP uCC: R-3 /
COMMENTS: X
ie�kjiieieiFieii�iFiEiFiEiciEiEiei'r-w�ifiEii�Ei'r<ifii�iiiiii�ieiEiEiiiEiEic�ki't�ki�iii'riEiEifiEiE�lEicirri'r.iiicEiEk�Ei"riEiEi"riiieiiticiiiEjEieiFieiiieiEiesFii
Z O N I N G R E� 0 I R E M£ N T 5
S E T B A C K S
------------ MAIN BUILuING ---------- -------- ACCESSORY BUILUING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN kGHT: FT IN LEFT: FT IN kGHT; FT IN
PARKING REQ: PkOV: PARCEL: u00G0U0G ZNE: REF NG:
PLANNING NOTES> {,,�
i
'Jt �l' jf Jt � i!' �t jt' jt jt'If lt l�' lt �' iE �t')t"x' l! ]t'R %"R i[ )f �t j! if jf �t'If'1!Y! lf lt jl' 9l' �"It'!t ft jt ff'lt lF'%f l!'R lf 1f'i�' lf i! :f'/t it 9f')f if'k ff'It ]�"�'R'IE "�t 9f S("R i!'R * 9c 9�"k jt'Ic
U E V E L G P I✓i E N T S E k V I C E S R E Q U I k E M E N�T S
ZUNING APPkOVEU bz D:vTE: �y
SUZLDING APPRGt%ED BY :
TION ISSUED BY:
LEGALZZATION:N F E E S U M M A R Y
BLDG PMT F�LDMbING ELECTRI� NiECHANIC
PERMIT
DATE: '
, 7
LATE: � � /
iEiF�kxiiiiic3fifnx vezx x +eiEii�
STRUCTURAL SEGMENI':N
FIRE SMIP/RES GkiiLZNG
126.00
SMIP/NON-kES
PLAN 7.SG
ISSUE FEE
bUILDING-DIV-� FERMIT ISSUE PLyN-CHECK I'OTAL PAIU LUE
TOTALS----> 126,GG 0,00 7.50 133.5"v 133.SG ."vG
REVENUE LIVISIUN TVTALS--� Cc�LLECTED: 12b.00 OVER/SHORT: .GO
BLUG PMT PLUMbING ELECTRIC MECHANIC FIkE SMIP/TOT GkADING PLAN-CHECF(
12b.00
iE iE ic're+c'rE iE �iE ii if if if 'rE ir i'r iE je'r'r if if if ii ir it iF iF rf iE ie ii ii �it i! if ii� ih 31� if dE iE iE iE ii iF ir i! iP it ii�'rf ie iE i'-i� it �ik �iE it i! it if ie iF if iE iE it �if if ii� iF if it iE i'r ie ii� ir iE
I N U I V I D U A L F E E B k E A K L G W N
TYPE QTY L E S C R I P T I O N UNIT CGST TGTAL CUST
Nu FEES WERE SELECTED FGR TAIS PERMIT
09-39-1997/02:42 Pfl/£126.Qtf
PEf2p9I TPT084621
CONSTRUCTION ANDPLANNING POOI PA
APPROVALS Permit # Da;e Inspector AppROVALS Permit # Date inspector
i. Temporary-Electrical Serviceor Pote 52. Pooi & Equipment Location � '
2. Soit Pipe�Undrgrnd. 53. Steef Reiniorcement
3. Electrical Conduit Utility-Undrgrnd. 54. For'ms
4. Electrical Conduit�Undrgrnd. . 55. Electrical Bonding
5. Steel ReinPorcement 56. Rough Plumbing & Pressure Test
6. Electrical UPER Gmd. 57. APPflOVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundatio� ' 59. Gas Pipe, � Undrgrnd., Tes[
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structurat Fioor System 61. APPROVAL TO DECK
1 t. Property Sewer Line & 4ouse Connection . 62. Backwash & Receptor•Final
72. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System � Final '
14. Rough Plumbing 65. Electrica��Final . '
15. Fough Electrical-Conduit 66. Solar SYstem-Final .
i6. Rough Electric Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign f>g, AppqOVED FOR PLASTERING
18. Rough EleGtrical-T Bar Ceiling 69. P00 VSPA SYSTEMS FINAL �
79. Rough Heating & Air Condi;ioning FIRE �EPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Duas, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Raugh & Tesc 72. UndergrounA Flush
24. Roof Fram�ng 73. Undergmd.S[orageTank OGas OOii
25. iioof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. �athing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. F000 CERTIFICATE ISSUEO
33. Final Electric Notes:
34. Final Heat�ng & Air Conditioning -
35. Final Gas PiPe�Test
36. Hood or Csnopy
37. Final Factprv Flreplace .
38. Final Plumbing
39. Water Service-Final �
40. Gas Service-Final
41. Solar pomesiic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape ��ripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING ��.�...Rg /+_� �
(�f(iQi-
48,. FINAL PLANNING �
49. Electric Release to Edison - �
�
50. Gas Release to Southern California Gas Co
51, CERTIPICATE OF OCCUPANCY , . .
No. Oate
FINAL GRA�ING CERTIFICA'I'ION
�roj�c naaress: 3� 7— S�7 2/ -�
Lat Number: T�P?�% / S 5% 6� [-vis /— 6
Permit Number: � ivA ��f 6 21
By Civi! Engineer:
I certify to thc satisfactory completion of grading in accordanre a�ith the approved plans,
spxifications, local and state codes. A11 drainage devices required by the grading permit,
grading plan and grdding ordinance have been installed. Adequate provisions have been made
for dreinage of surfacc water from each building site.
The minimums are:
296 Fall from structures within S feet from exterior walls.
I`,6 Fall for asphalt surfaces and landscaped areas.
0.596 Fall for Concrote surfaces to approved disposal areas.
The final monuments as shown on the reco�ded tract map were set. AI� final grading eleva-
tions are within t 1/10 of the�esigne� elev2tions.
Supervising Civil
No. 375��� �
Da�e / - 9/1
ST7�� ' and SIQ�1
�ro
MAA.25 '90 (WED) 12:57 COMMUNICATION No:26 PAGE.2
., AOOPESS OG BUILqNG: �%�J 21 � T � T
axrhxswweiviwmvN: NEWPORT HTS 11
.00xess; 1501 WERSTCLIFF
N.H. CA 92bti0
MPI. IWIINC 1DOXESS
UNT;
nxcxnecroa�+r+�n: C.J. ATFCINSON uc.r�o.: 54U55
u¢x.oxu+c.•s,�ooxess: 1501 WESTCLIFF ��;
N.&. CA 92660
cor+m�cTarsxexE: r'ACIFIC GRAND CONST. (714)631-7433
COIRNRCTORSMYIWO 1501 WESTCLIFF
,�p� N.R. CA „G„p, 734964
92660 ��, 260
LICENSEU CONTflACTOqS DECLAFATION: I hereby M'rm uMm panetly ot peejury Ihet 1 em liceneed uMer proviviona d Cheqm B
(coTmercnp �tilh Seclion ]000) d Oiwun 9 of tlie Buainea eM VMeeeqru COJB. eM TY lim'ue n in IWI faca vM aHetl.
c uc.No.: �c.cuss: uc.No.: 73496 .../// EXP•
D e: � Conhetlor: C' 1..�.�.�-�/�
� a^---
O NEfl BIIILDEH OECUINITIO{ I hereE elfi under per�ely d pmjlry tl� I am exemq Imm iM CoMrotlaa Limnse Lew la IM
� w+q ieeaon (SeGion ]03t.5 9us'vwss eM Pm/eeaiona Cade: nnv eA' a mumY �fiid� rtWirea a Geemn m mutrua. Mer.'vnYme.
moloh, a repa'a eny avuciure, priar b �a ecuerce, elao�iequiree iM appliunt lor auch pem�il to fila e eginE sletematl Nel M a ehe
IicenaeE W 9�a�� �o �he provisions d ihe Canveaore Licenae law �Chepbr 9(mmmenc�q wnh Secton ]000) d Orvbbn 9 d Ihe
�uaneea ene Prdesaure coael «�nd ne « Me o e.emq �na<nan ene �n. esvo e« uie elbpeE e.emqon. Mr �almion d sw:m
lWt.S by enY WW�t fa e permu subjxls �M epd� to a aril panelty d ml mae Ihen fxe hurdrad doAva �5500�.
� I. m oxnar W IM popeM or mY �W%'� �� waB� ea thei wla eompeneetbn. will do tlre xwk. vM Ne aweturo u ew imeMaE
or Mered lor eele (Senion 1044, Businpa end Prolessiana COEe: TheContreewa Lioanae lewEoae �wl epON �o ��erd praq,ly
wM10 budde or'vn0�a� ���^^• �'"� � e�ch'xork himaeM m henet a Ihraph hu a har oxn emplo�ese, povidad thm euch
impwamanta ere nol inteMad « WmaE /or aab. tl. haweuer. the huJdiiq w mpowmem'v eold vmh"m ar Yeer d mmWe�ion. tha
owo««c�aaa..�n n� ina w� a wa��e na «� eb � aeb «�mw� �« ms wmo� a.w�.
� I. as owner ol the qopaM. ��duervdy mmreuinp wnh liwnsed wnvec�an ro conweua Me pmjaU (Saeion 101�. Bwi�wen enE
profesmone Cade: The Contreeloee Lieeme law daea na eppy to en owmr d papeny vAw buike a imqovee iMraon erd who
canvana lor ach prqeda wvh e mMreGor(a) Ikeved punuani io �ha Conlradon Lianee lewl.
❑ I em examq uMaz Senion: ✓• B.;BP.C., tar Nia raman:
Dete: �a
I tlo Mreby cMtly Nel I em exare d erd uMasbM iM1a reQuiremmb d Celfanie Heeph eM Selery Goda Sadian 25505. 255�3. end
255�a, eM Mm I a enY �ure WiNiip om�pant will / wil ml (�b anl need to canply wYh eek pete codes enE �M'epuimmena lur
epaimitlamnsvunonormodifiralbnhomiMAi u�i-liiy.erepemsmDiatnq.Reaidamielmnarueoneppira�ianeroevamphantheea
provisiona.
Dete: �pd�:
W OflKEN'S COMPENSATION UECLARATION: I Mroby e1Nm uMer peneliy d per'ryry me d tM blbxinp Eetluelura:
❑ IlieveaMwJmeimenecatificeledmmamiovaXinwnforxdke�c'cwnpamUbn.uprovidedtabySeaion3)OOdiMLabar
eoee. �a m. o�«mwe<a m...oek t« wlien ina w� m u,�d.
�] I hew eM xil meintan wwken' mnpemetion inaurure. m rpuimd by Seqbn 3lW d the lebor Coda.lor �M perlamuics d iM
woA Im wliich ihie parme ia'vauad. My waken i� er eM pdi�y number ere:
��,;,,. �"0P'.5'i� `r�`iSR�i _ _ EXPIRES
PdiryNumber. J 09/30/98
,Tis sectian rreed nw be mmplefed i tM permt u M wie hundred dollem Rr001 a len.)
� I cenily Net in tM pe�lamarice ol �ha wwk tor whch the permN is iasueE, I ehell nd empby eny pereon in ury menner eo n to
i e wbpa ta iM xvrkera' camqnae�ion lewe d CelAamia erM pree Uw tl I MwW becoma wbjerJ m �M vwken'
peNetion v�+ oro a 5eam a]oo d ine tec« coee. � enen ton � nn com W wun th p�v�mwn' ��
Dele: . Applicenl: �
I'��
am/nD� Fellun N ueuro wo en'ro tlon rovsnps Is vnkwN( ene �IWI �u6/�cf en employer to Mcrr rW pm�ltlw vM
dv�i mra w ro wr. nuw nouxM ew n(ifoq000A ��Irbn ro m. co.r ol rorrpsiwWn, eamsp� u prormM ror m
Sxtlon �]06 0! ths LeDor Coh, Inten�l, en0 ettomsy i Ir�.
CONSTNUCl10N LENDIN� AGENCY: I hereby elfirm uMer peneXy d per'ryry ihel iMre a a conatrudian bMuq epercy br iM
perlpmaMa d iM xak br whidi the pertni is eauad (Seaon �091. Civ. C�.
LENDEN'S NRME:
LENOEH'S ADDRE55:
I ceniN �het I heve reed thb eOWicetbn eM ame ihei tlie ebove inlamelbn is caned. I e9me io camdY wi�h ell dry eM oounb adire�aw
91M BI81B Idw81d0��1p �O WiYJvq CMS1Yqicn vd hefBb/ 9UIhClQB Ilpf69Bn�NNM Of �hu aly lo eNx upM �M BbWB.Tl111YMIM ptOpBl�y
`°`�°'0°tl�""°°°°` RONALD LEGRAND
!— nn � oa.:
CITY' OF CUSTA MESA - bUILUING F+EkMIT
PERMIT NO: B 084336
YLAN CHECK NO: 0339b-97 L
� lS b OSS
PERM DIO: H U8933E
GOVT: N SUPP: N
CONSTRUCTION TYFE: PERMIT TYPE: STR PURPOSE: CON
JOB DESCRIPTION : CONST. 427LF HLOCK WALL & 337' REIiTINING SQ FT: 7b9
CLAIM VALUE: 22,GOO.OG CALC-VALUE: 28,700.00 GROUP OCC: R-3 /
COMMENTS: 427LF BLOCK WALL & 337LF RETAINING WALL
*****�**r�*************+���*�*�r*****�**�*��***�c*+�*��***n******������*�c*�*�+��**���
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 REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 92623228 ZNE: R2MD REF NO:
PLANNING NOTES> 370 LF OF 6' HIGH BLOCK WALL + 115 LF OF 6'-8' HIGH �(+PART
> RETAINING) WALL ALONG REAR; 6 280 LF OF 6' + 2' RET. WALL
iE 3E it ik �E dE iF it jk 3f iE if if ik dF if iE iF ik iE iE 3k ik if iE iE i(' iE 3h i! if iE ih il� �f 3F 3f df iE d! iElE iE iE 3F 9h 1E if 3F iFiE iEiE if 3E iE �E if'1E iF ik iE iE iE iEiE iE �h-1E-7F iE jf if if df ih ih iE iE
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 � P� DATE: J�
HUILL�ING APPRUVEU EY : DATE: /,. �
�
APPLICATION ISSUEU BY: LATE• ,
�k9Fikif#iE#�9k�E9FiF�ikiF"vE9EiFiE'vEiE-1f�ihjE �e -T �lE3f�fiE'�'7E�E�kdE3FiF�iFiFa�iF��ic�-iF3F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLLG PMT PLUMHING ELECTRIC MECHANIC-' , FIRE SMIP/RES GRAUING
PERMIT 385.75 , : "�, 2.88
- ��� ;, SMIP/NON-RES
PLAN 250.74 ". ' " '
IS5UE FEE . �- , �' l '�` ,
BUILDING-DZV-> PERMIT ISSUE PLAN-CAEGK � ;>•TOTAL PAID UUE
TOTALS----> 388.63 O.UO 'Z50..79 ' �639.37 039.37 .00
REVENUE DIVISION TOTALS--> COLI;E�TEU: '<7 b39.37 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECFiANIC ;FIR&:� SMIP/TOT GRt�LING F'LAN-CHE�K
385.75 i" �� ' 2.88 250.74
r.` i
if iE if iF 3E 1E iF jE 9E jE jE jf �E iEik jk iF iE it iE iE 1F iF if if it 1E df k iE jE iE if iE iE iE.iE�3E jE iE �lE iF�9f * 3E �E iE 3E iE �1E if �E iE iF �E �E �F fE fE if �F iE if 1E 1E �F iE if iE �)f iE �E �lE 3E 3E iE iP jE jf
I N D I V I D U A'"L �. rF E�E �� B R E%A K D O W N
.1.. . �
TYPE QTY D E S C R Z P T I' O" N • �"• UNIT COST TO'PAL COST
SFR 427 RE5-CONCRETE bLOCK WALL ��• 6- / FT: 20.00 8,540.00
SFR 337 RES-RETAIN WALLS UP"TO 6 FiT `/ FT-, b0.00 20,220.00
END OF FEES
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CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit # Date Inspector APPROVALS Permit � Date Inspector
1. TemporarY Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement '
. 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms
4. Electrical Conduit�Undrgrnil. � 55. Electrical Bonding
5. Steel Reinforcement �►2-q� �p�" 56. Rough Plumbing & Pressure T,est
6. E{ectricalllFERGrnd. 57. APPROVALTOCOVER•GUNITE' '
7. Footings � 3��Rg (pGG� 58. Electrical Conduit�Undrgmd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Tesi
9. Water Pipe•Undrgrnd. ' 60. Backwash �ines, P•Trap, � Undre�rnd.
10. Stroctural F�oor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13, iioot Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical�Final �
t5. Rough Electriwt-Conduit 66. Solar Svstem�Fina{ �
76. Rough Etearic Wiring ' 67. Fencing & Access ApProval '
17. Rough W�ring Sign � 68. APPROVED FOR PLASTEflING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Contlitioning - FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # �
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough & Tesc 72. Underground Flush
24. Roo4 Framing 73. Undergrnd. Sto�age Tank O Gas � Oil
25. Roof Sheathing : 74. Overhead Hydro
Z6. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemical
27.,FrameandFlashing 76. DryStandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FIfVAL
30. Drywall Nailing HEALTH DEPT. REQUIFEMENT
37. Plaster 8rown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. POOD CERTIfICATE ISSUED
33. Pinal Electric Notes �
L('-�j=g7 �S_�- . _ �e�.
34. Finai Heating & Air�Conditioning
4,�- �.� ti.l'-'-S__-f°�-�=�-�
35. Final Gas Pipe�Test
36. Hood or CanopV , q� // p7 � b/�ss� �C� � r /.
Lt G �Gt
37. Final Factory Fireplace ' 8p„��Qw �-/� � ,. ./ � �u�
EJT ��i.r��.�
38. Fina� Plumbing �
39.WaterService�Final 3i}�.Q_Q �j� � .L
vv " iyrs�' w/
40. Gas Service�Final ��,4�✓ /' _ i�d �
(!'.�.��
41. Solar pomestic•Final � .
42. Backftow Preventer .
�43. Backflow Irrigation �
44. Landscape IrriGation System
45. Sound Attenuation .
46. Handicap Regulations , ' �
47�. FINAL STRUCTURE & BU�LDING ;,L( �g �'��- '
48. FINAL PIANNING
49. Electric Release to Edison '
50. Gas Felease to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
�
PARTY WALL A�REEMENT
fourth
THIS AOREEMENT, made and entered iMo thia —_. __._. ... eay of
August � yy and between Newport Heights Two, L.P.
herelnmmr rarened to es "LANDOWNER; � and James C. Guthrie, trust
herelne}ler reterred ta ae "Ap,IACENT PROPEAI'Y QWNER:'
N ie hereby agreed tl�at e perty wall will be conatruCted on tha property line
�„ 385 and 378 East 21st. Street
wam.�s o� r�mi�a a�o„�m«�
--. -.. ._._
In the qty of C�te Mesa, Courrty of Orange, State of Calitornia, as per map recordee ...
In Baok 42Q , Pege 232 of Miscellarreous Mapa, in the oifiee ot the County Recorder
m sa�a coumy. rne pany wau snan be By footing only .
permiried to encroach _ _: .: . . _.
from 379 E. 21st. Street
IN W1TNE3S WHEREOF, the parties have er�tered into this Agreement �he day and
yeer firet above written.
.. �. `
.� -
�ji.% i • !�.! � ��O • !
Newport heights Two, L.P.
wm. nrn.a a rrw�
1501 Westcliff, Ste 260
Newoort Beach, Ca. 92660
(�)
no�w
PROPERTY OWNER
�'� C Guthrie, Trust�
-ANthorized Agent
Neme (rypce ar Pnr� ��
1810 Calle De Sebastian
Santa Fei New Mexico 87505
��cama�
OFFICtAL SEAL
NOfARIZATION RE-0UIRED ��� NOTARY PUBLIC
� ALICE L. SENA
.�;,,,p,, S7ATE OF NE7W ME%ICO
, My Commleslon Explred=����
Ny
>
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this twen[ie[h
August ,by and beiween Newport HeiRhcs Two. LP
hereinafter referred to as "LANDOWNER;' and Roy R. McCardle
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
betwBen 379 East 21st Street and 2085 Tustin AvQnue
(Add�ess of Adjoining Properties)
Costa Mesa
day of
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book 426 , Page 23z of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach by Foocings only
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LAN WNE ADJACENT PROPERTY O
.�'��si•�ex---� p�lt�-��t-�-n — �
�arsr ,Z'��
(Signature) (��Q-f 1—.v�. (Signat
Newport Heights Two, LP � Rov R. McCarelle
Name (Typetl or Primed) Name (Typed or Printed)
1501 Westcliff Drive, Suite 260 40 Orchard Lane
Newport Beach, CA 92660 Middlebury, PA 17842
(Adaress)
1908-a8
(Address)
NOTARIZA710N RE�UIREQ I ��ut�ga
MY ���sTs'ron
� Publb
CouNy
�e 9. 2aey
10.o t2n �
a
J
I�MR'TY WA�L A1GIREEMENT
iHlB A(31�EMENT, mada end emered Irrto thia Twenty Ninth _
AM�Yst ,���� N�wport Mefghts iwo, L.P.
M�NnMM� f�Nrtsd to M„UWGOWNEq�, � Mr. Eug�ne Boero
hN�kMfIR nh��d fo �e 'y1D,lACENT PROPEFiTY OWNER:'
N I� hsrrby spiwd M�et a p�rty watl wlll De construoted on me property i�ne
�� 20�9 <i�td�u L.ap• and 379 East 21st. Strs�t
(�aa... d �d�or��e r,w.inw�
Mi lh� G11� cl �bMr 1�A�, Gbunfy of Orange, State ot Califomia, as per mep recorded
day ot
Ifl Opefk�� , i�'ep� Z�� d Mlecellaneous Mope, in the oftice of the County Racorder
d..a co� n,s �,�.nMi be �,►,n�a m e����n by rooung o��y
bon� 37� B. Z1at. Mn�t
N� WRirE881NHEA60F, the p�tlen hew entsred into this AgreemeM the dey and
pM► Ast �ooa w�l�.
_ .,�_•_...c _
n...�at +�.1�ha Twe, �.P
M Y
Pvl,c�� P �f-�� � ('y/Gtz�-� Go
6`.P fi9i�1' �i'67�
rMw. (1► o, ywe� –
�ao� wr.:ai�, sa zs�
N�wport N�oh, C�. �2dd0
ADJACENT ppOPERTY OWNER
C�,----.�
1 rol � .
�.- r.►�e
Mr. Euge„� Boe�o
NNN�v.o a P�inlw �
1048 Irvin• �venue
Newport Besch, Ca. 92860
���� .— .---
1't '�► � 1 '•'1 ', 1
� CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
Stateof /t ,�.a�Q-
County of � .� -�
On t��� � � q s� before me, f� �-� d r.�-� (�-c h-�,
OA E, TRLE OF OFFICER • E.O.,'JANE DOE, NOTAM %1BLIC
personally appeared ���_ � ` -�P ,c�,
NAME(31 OF 9tt3NEA1S1
known to me - OR - ❑
�- AU�HeY TUANEA �
�+ r CQMM. #1062746
� `m � NOTARY PUBLIC � CALIFORNIA O
� ORANGECOUNTY N
�— �,�m��E�iresJune28,7999_i
proved to me on the basis of satisfactory evidence to
be the personJs� whose name is are subscribed to
the within instrument and acknowledged to me that
�Mefthey� executed the same in �ii's`'� Mer�eir
authorized capacity�es�, and that by�'J� Fier�€i�
signature�sj on the instrument the person,(aj, or the
entity upon behalf of which the person,(�5) acted,
executed the instrument.
WITNESS psx hand and official seal.
OPTIONAL
Though the data below is not requlred by law, It may prove valuable to persor+s relyfng on the document and could
prevent fraudulent reattachment of th(s form.
CAPACITY CLAIMED BY SIGNED
❑ i NDIVIDUAL
❑COFPORATE OFFICER
❑PARTNER(S) DLIMITED
❑ GENERAL
❑ ATTORNEY-itd-FACT
❑TRUSTEE(S) � �
❑GUARDIAN fCONSERVATOR
0
SIGNER IS REPRESENTING
NAME OF PERSONISI OR ENirtY(IESy
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TVPE OF DOCUMENT
NUMHER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
�
t CTILIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
�, ► � �c
State of l� Q� o��i�
(/ � �
County of �v/ �t�
On i�'uc, c� f i �,. . � �/ � 7 before me, � � �. v� � � � � � we.., IVU �� ��'
Da1 �— Nema e� 7nle ol OHkar (e.g..'Jene Doe, Nanry W�
personally appeared � � U K� / v�L Lec C!��t/fj-�1� S ,
Name(e) oi Signar(s)
. . .,.
%!r`�`._
; � .. �i
( �t�%
.. .. . '
'._ ,,,
❑ sonally known to me
roved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capaciry(ies),
and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s)
acted. executed the instrument.
WITNES my hand and official seal.
� .
�B^eture ol No ry PubliG
OPT/ONAL
Though the inlormation below is not required by /aw, it may prove valuable to persons re/ying on the document and cou/d prevent
Iraudu/ent removal and reattachment o� this form to another document.
Description of Attached Document
Title or Type of Document: 1 A R�� w'4 �
e�.�
Document Date: �v �l V S f �� l 9 i% Number of Pages: �
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
�
■
■
■
■
Individual
Corporate Officer
Title(s):
Partner — � Limited ❑ General
Attorney-in-Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
RIGHT THUMBPRIM
OF SIGNER
Signer's Name:
❑ Individual
❑ Corporate Officer
Title(s):
Partner — ❑ Limited
■
■
■
■
❑ General
Attorney-in-Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
RIGHT THUMBPRIM
OF SIGNER
O 1996 National NOUry AssaiaGon • 8236 Remmet Ave., P.O. Bax 7t Ba • Cenoge Pa�k. CA 9t309��18a PmO. No. 590] ReoNer. Ca0 Td4Frea t�OPBIfi-682�
Q �.
�J
PARTY WALL A(iREEMENT
THIS AQREEMENT, made and entered into this �V �h._. .__... ... eay of
August � yy e�W between Newport Heights Two, L.P.
herelnener retened w es "LANI7oWNER; � and Mr. J. L. Edwards
herelnafte� reterred to ae "AWACENT PROPEFtTY OWNER."
It ie heraby agreed N�t a perty wall will be construqed on tha property line
� 2088 8 2084 Garden Lane and 378 East 21st.
— �_.. _._
�nm�c d wl�+mo ���
In lhe (�ty of Costa Mesa, County of prange, 5tata of Califwnie, as per map recorded
In Book 426 , Pege 232 d Miscellaneous Maps, In the otffea ot the County Fiecorder
d sa�a courny. �n,e parry wau snau be perm�ned ro encroacn _ By f°oting only
from 379 E. 21st. Street
IN WfTNE93 WMEREOF, the partlea have aMe�d imo this Agreement the day end
ye�u first ahove written.
P�✓� `a *AINQ�����/�' �JveIADJACENT PROPEFiTV dWNER
7r�'r/�
G����L P��� n ��- ...
�s�.�»� tsiy�m���
Newport heights Two, L.P. Mr. J. L. Edwards
H�rN (ryped a PMmse) Name (rype0 or PriM.d� . .
1501 Westcliff, Ste 260 2088 Garden Lane
Newoort Beach, Ca. 92660 Costa Mesas 92627
t�) uaan,.�
na+.
NQfARIZATION REOUIRED
� ��
J
PARTY WALL AGREEMENT
fourth
THIS AQREEMENT, maCe and entared imo thia —._. .._.... ... day of
August , yy and be�ween NewpOrt Heights Two, L.P.
herelnefter reterrad to es ��LANDowNER; � and David Robertson Trust
herelnetter referred to as'ADJACENT PROPEFtTY QWNER:'
It is hereby agraed that e perty wall will be constructed on the property line
� 2078 Garden Lane aad 379 E. 21st. Street
� ___ ._._
(MMees d NgoinlnB PropeNm)
In th9 qty Of Cosls Mesa, County of Orange, Stete of California, as per map recorded
In Baok 426 , Page 232 of Mfscellaneous Mapa, in the offiee of the County Recorder
of said County. The party wail shell 6e By footing only
permitted to encroacn _ _. . _ .
irom 379 E. 21st. Street
IN WfTNE39 WHEREOF, the partles have errtered into this Agreemem the day antl
year firaf abova wrltten.
Newport heights Two, L.P. David Robertson Trust
Ndns (rypetl n PrlMee) Nams or PrirAedl ��
1501 Westcliff, Ste 260 17�Claremont Ave
New�ort Beach, Ca. 92660 Long Beach�Ca. 90803
t�ee�en� tba�.�
�
NQTAHWUION REUUIRED
_J
CIILIEORNIA ALl-PURPOSE ACKNOWLEOGMENT
$tBYe Of � %o f pH,d�`v
County of �i.�� �-
Oc1 �����,2, /-�i9 7 betore m0, � u�� i2� i j u n-i✓� i�-
—� DA7E NAM , T11LE Of OFFICEF � E.G„'JANE DOE, NOiARY PU9LIf,'
personally appeared L7.� J��0 �• �, 6-�.'i-s �
NAME(5� aF SKiNER�S)
❑ persona{ly known to me - OR -�proved to me on the basis of satisfactory evidence to
be the person(s) whose namel,�s/are subscribed to
the within instrument and acknowledged to me that
�h€/t#aep-- executed the same in i her�tbeir
i AUC3RcY TURNER^ �
o .m✓ � COMM. #1062746 �
� NOl�ARY PUBLIC • CAIIFORNIA p
� ORANGECOUNTY �
� My Commission E�ires June 28,1999 �
�--------- ---------
authorized capacity�iesj, and that by d�herft�ieir
signature(S3' on the instrument the person(�, or the
entity upon behalf of which the person� acted,
executed the instrument.
WITNESS my,h�nd and official seal.
OPTIONAL
���-N„�-�
�urw�une w
Though the data below is not requfred by law, it may prove valuable to persons relying on the document and could
prevent fraudulent reattachment of th(s form.
�CAPACITY CLAIMED BY SIGNED
JNDIVIDUAL
❑CORPORATE OFFICER
❑PARTNER(S) ❑LIMITED
❑GENERAL
❑ ATTORNEY-IN-FACT
❑7RUSTEE(S) � �
❑ GUARDIAN/CONSERVATOR
❑ OTHER: _
SIGNER IS REPRESENTING: -
ru�.�E oF vEsrsow� oq enmvresl
.. , DESCqIPTION OF ATTACHED DOCUMENT
%ii n.Y�, L✓n � � / 7��
�' TITLE OR TYP OF DOCUMENT
�..e e�,-s-7
NUMBER OFPAGES
���� yils�7
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
y
�
�oonessaew�owa: 379 21ST ST
wm�n'srw�EiFanx": NEWPORT HEZGHTS TWO
�op�+ 1501 WESTCLIFF #260
NEWPORT BEACH,CA 92660
�cv�. Wuuxc �ooxus:
AqClIRECT OP FNCdl6A:
u"' CITY OF COSTA MESA — BUILDING PERMIT
FLOOD;
PERMIT NO: H 086654 PLAN CHECK NO: 00255-98 S
CONSTRUCTION TYPE: PERMIT TYPE: STR
uc. w_
UNi:
c«mua«rowu�PACIFIC GRAND CONST. (714)631-7933
COMPACTORSYNWq 1501 WESTCLIFF
�oo�ssN,B, CA ��: 734964
92660 uur:. 260
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❑ IM1mWWmeinlenawNlkatadmusNloespinsumMxvhaa'mnpenedbn.e+pro.idedlrbySwun9)OOdtMlabar
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S�ctlon J]06 0/ tM L�6or Cod. Intwut, nW �Ifom�Y'� lsa.
CONSTXUCTION LENDINO ROENCY: I hereEy elfirm uMar panelry d perjury thm tMre u e amn�waion brdi'p epercy In Ne
perlorma� d tM xM Iw wM1ich ihe pemiY u uvued (Swion 908), Civ. C).
LENDEF'9 NAME
LENOEN'S 1�UPESS:
I cMily tlut I M�a rW this epplicetbn W rels Ihet Ne aEave'udnmotian b oonW. I ap�ee to mmply Milh ell dy eM couMy adi�eM.ee
ME 9tnIB IBWf 2kImY 10 buiWip can9llKlnn vd hxebY eNhOr¢a ieC�nlelrvae Ol�hia mY �U M�er uD� �hB ebtvB.nMMtMGd qOpn�y
1Ofi09pBdion""P°'°'RONALD LEGRAND
pyy Nemo � �^ /�
� ii
Y Dme:
SpneluredOwied�penUApp uGm�rma .
(5151-16 WP) W�na-Buikvq 8 Selery: areert-Fle; Cenery-A00���: Rnk-Revenw: (bMm�od-Assmaor
J�
PERM NO: B 086659
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : 270LF BLOCK WALL SQ FT: 270
CLAIM VALUE: 5,400,00 CALC—VALUE: 5,900.00 GROUP OCC: R-3 /
COMMENTS: 270LF "PROTO—IZ" POST—TENSION WALL
x��r��r*��r***�r**��****x�*****x�r*�r�r**�*+t+��r**�e���r*�e**�**�***+�+�***�r*�***�+�*+�r*�r***it+rit
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARICING REQ: PROV: PARCEL: 92623239 ZNE: R2MD REF NO:
PLANNING NOTES> CONSTRUCT 270 LINEAR FEET OF BLOCK WALL—NOT TO EXCEED�6 FT I
> N HEIGHT.
+r+t�r�r+t*�t*+�+t+�+��t+t*�r�t*�r�t�t�t*+t�t*�*xx**x+t*�t�t�r*�**�r�r��t*��t�r*�r*�t�t**+��t*****�t*��t**�r�t*�c*��t*x
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
��. � " Y'
ZONING APPROVED BY f-�A1—{C DATE: �'�-o `l
�I7
&UILDING APPROVED BY : c+, DATE: ���
APPLICATION ISSUED BY; 1bY DATE: �C�Y
'.E1EiEjE')Plk'�afiEiE�('1k'1E1EiE3EiE�1EiEiElfiE iEiE�EiEjE3EikiEifif��i *iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 112.25 ,54
SMIP/NON—RES
PLAN 72.96
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 112.79 0.00 72.96
REVENUE DIVISION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANZC
112.25
TOTAL PAID DUE
185.75 185.75 .00
185.75 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.54 72,96
1f if if if if if if if iE �k iE iE it if if if 1f 3E iE iF jF iF iE iE if iE i' 3E ik 1E iE iE if iF iE if if iE 1f 1f 1E if K ff iE iE iE 1E �F iE iE if if iF iE if iE 1E if iE,�f iE iE iE jE iElE iE if iE if iE iE iF if iE i! iE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 270 RES—CONCRETE BLOCIC WALL / FT. 20.00 5,400.00
END OF FEES
81—E8-1998/12:49 DM/f185.75
RCPTt:BI-8B1B419
PERMIT:B86654
CONSTRUCTION AND PLANNING - PO� < SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date I�spector
i, Tempor8ry Electrical Service or Pole 52. Pool & Equipment Locatio�
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgr�d. 54. Forms
4. Electrical Conduit-Undrgrnd.. 55. Electrical Bonding
5. Steel Re�nforcement � Z���jg �c�� 56. Rough P�umbing & Pressure Test -
6. ElectriWl UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings yL'��� ��� 58. Electricai Conduit•Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water PiPe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrqrnd.
10. Struttural Floor System 61. APPROVAL TO DECK '
� 11. Property Sewer Line & House Connection 62. Backwash & AeceptorFinal
12. Sewer Cap 63. Heater & Vent-Final � .
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumhing 65. Electrical-Final
15. Rough Electrical-Conduit � 66. Solar SYstem-Final �
76. Rough Eiectric Wirinq 67. Fencing & Access Approvai
17. Rough Wiring Sign � 68. APPftOVED FOR PLASTER7NG
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT
20. Rough Pactory Fireplace � APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Oucts, Ventilating � - ' 71, Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof FrBming . 73. Undergrnd.StorageTank OGas ❑Oil .
25. Roof Sheathing 74. Overhead Hydro
26. T-8ar Ceiling (Structurap & Monocoat 75. Dry Chemica� � '
27. Frame and Flashing _, 76. Ory Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulati0n - � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat . 79. FINAL INSPECTION
32. Electrical Power Meter�Final � 80. f00D CER7IFICATE ISSUED
33. Final EI¢ctric Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe•Test ' . ' �
36. Hood or Canopy
37. Final Factory Firepiace ,
38. Final Plumbing �
39. Water Service-Final ' '
40. Gas Service-Finai
47. Solar pomestic-Finai
42. Backflow Preventer
43. Backflow Irrigation
44. LandscaPe �rrigation System �
45. Sound Attenuation ' � � ;' �7'
.,: �n
46. Handiwp Regulations � �3:
47. FINALSTRUCTURE&BUILDING �L�.s ��� �`�^�
.D
46. FINAL PLANNING 4�- "
z•- T
49. Electric Release to Edison •.= `�
� ,..; ^i
50. Gas Release to Southern California Gas Co '��� �
51. CERTIFICATE OF OCCUPANCY ��- '
No. Oate
�NESSOFBUIIqNQ 379 215T ST
os�+easruxeiriax.wn: NEWPt�RT HTS TWV
AD°"�'�1501 WESTCLIFF
� ' N.H. 92660
�vr�. r,wur+c �ooxess:
AXCNRECTOflFN(tlNHN: �uUVZS ENGINEERING
u+cxon�+c�smoxEEss: yqp0 CAMPUS DR
N,B.
C0Nf1"`T0"s""'�` PACIFZC GRAND Ct�NST
CQlfPACTORSYNIWG 1501 WESTCLIFF
uxr: A
uc.r�o: �
UM:
CA 92660
(714)631-7433
A°0"� N.H. CA 1CND' 734964
926b0 �"� 260
UCENSED CONTRACTONS OECLAFATION: 1 Mmby ellim uMar pruly d pmjury Met I em I� uMs pwieons d Gheqm 8
�a�ma�,a •mn sx�o„ �000l a om.o� s d me aw�. �a a,d�� coa..�e mr wwo w m wn roR..�e dba.
c c.No.:0701 8 uc.cuss: uc.No.: 7349 4 E}iP: 06f� 98
m,: r oo��.aa: �...-,-�..� pi 4�..w.1/
7 a^--T
H BUILOEN DE� LAPA ON: I hneby df�m ivder parWy d perjiry �he1 I em ezemq Imm the Conlreewe Limnee law la IM
' 8�Mw^ (�� �1 S Buenaea erd Rde�sbns COEe: Airy e�Y a oamiy xAirA ipuiree a peemn to omsvun. ettr. imqove.
iWivh, a repei eny avunure: prior ro ila bweMe, ebo reQwme iha epWirenl la wcli pmn! b fib a egmE etalemenl tlet M a ehe
,em.ed wmiem io �ha c�wivan W ine Contrea«e Lioenee tew �CheNer v(mmmenana xan seaion rooa) a oi.vion 9 a �ns
ousi'wss e�d Prdeaum Codal a Ihel M a eha u eRemq ih>ahan eM tM beao fa ihe dbped ssmmqion. Am'vnlmion W Seaun
]03t.5 by ary epplirenl 1« a permn wbjeae the epplicenl lo e tivil penelry d M mae �hen INe hurdred EdWs RSW�).
� I.esaxmwa�MO!oV�Y«mYamVMwsxthwe0a?mtMiedeoomG�ution.wJldothexdk.eMtheao-unwenm�'nnenEaE
impravemenla ere nM inteMed a aflereE lor eeb. n, nowewr. IM EUIMIip a mpwemeM ia voltl wilhin pre ym d mmpblion, iM
owror-W iNx will heve tM buken M povinp M or eM dk � Wild w impove lar iM puryme d eab).
� I. m ovmer d iM D�WeM. � e�tlu�rvNy conlredYp wilh liceneed wnlreclon lo conwua Me pmpU (Seaion l(M6. Bua"uma eM
Prolessione CoEa: The Comrmae License lew Eoee iwt epply to en owner d propMy x1w buiNs ar impoves iMreon eM who
wmrecia lor auM prol�s �I� e mnireaorle) IicanaeA Wfl�l lo the Comred«a Liceva lawl.
❑ I em ezamq vMer Section: B. 8 P.C., Im ihie reeeon:
Dme� Owrier:
I tlo hereby cenity iha� 1 em ewme d eM uMantend iha rayuirmmema M Cdilamie Haellh end SaIMy Code Saclione 25505.25533, eiM
255�1, enE It�at I or eny INun buildinp aaupenl will / wil nd (dreb one) rweE to camply wilh eeiA etate mEee enE iM reQuiremeMe lar
epeemntamnavuetionormotl�celionhamtheR'v ue-O-Tyl�enepamentDislna.Reeidentielmnmiueionepplutiwrewazemqtmn�hase
provisona.
Deb: /pplcenl:
WOHKEN'S COMPENSATION DECLRPATION: I Mroby elfirm wMer penetly W peijury ar d Ihe Idlowiip datlumioro:
� IheveaMwi/meinlenecerlXkvedoonaentloeeMimurolarwvrkan'canpe�ion,uprwNedlwbySepion3MOdihoLaba
COEe, iw IM parlarmerce d Ne xaM la wltich Ihie peimN ie i»ueE.
❑ I heva eM wil manten xvM1nn' ewnpeewiion imurenee. m isyuired by Seqion �]00 d iha Lebor Code. M IM peNormeMe W iM
x wpk la which Mia permit ia iaeueE. MY wakert compeneation inwrenu wrier erd pdiry number are:
c�"°�: ST7tTE FUAIn EXPIRES
PdicYNumber: ����.7Ei09����-e-e-� 09/30/98
� �his secfion neeE rrol be complMetl Y Ne pemit ia M wro huMred Edlen �Si00f w b�eJ
I rlly IMt in IM1e pMormerice d �Ae work br whc� �hb pamin u uauad. I e1Wl m� empby erry penon in arry menner eo n to
na pme .�dae io ine Monen� comve�wion V.. a cdil«ni.. .�a rore. mm a �.naa n.�«re wbiw m �Iv xau.,�
cro penu�ion pronsan M Smun 9)00 d Ihe Lebor CaEe. I ehel/l laJthxilh oompy wiTh pariabu.�/
De�e: ADWceM: �r5���� S e L ia��
Irq: Fellun ro�xun woMai romperuetlon covsnp� 1� un/awNl, ane Mtll utl/cf m rrployer M pIM�
c nnu up ro om nvitlisd tnou+�M dwwn (stao,aooA ���n ro un cwt or w�vwvatan wmyu n pvvroea ror m
Soctlon 91(IG ol Ms feGorCob, Intw4 +�tl eMmsy'i Iwa
CONSTflU4TON IENqNO AOENCY: I Miaby elfirm uMm panaXy d per'^ny Ihel Ihen b e oorutruebn In&iq parv.y br tha
peAormvxa d �M wak tar whiM �he Varmi e ewed (Seaion 909]. Cw. CI.
LENDEWS HM1E
LENOER'S 100NE%:
I eerliy thm I hm raed Nu eppl�ion ud qele �MI Ne ebove inlormmun ia eaneC. l epiae to eanply wGh ell tlly end oamry adineeme
eM s�ale kws iNelvq b WJdvq emWutlion eM Mreby eullprrza reqefenle�ivef d Ihe tilyto entar upan IM ebae-menloed piopMy
lainaped'an pu�poses.
RONALD LEGRAN��
(stsl-,e.wP) wnue-Builaiq85dary;
`� ,
Rnk-Revenue: GolEenmA-Naevaor
, . CITY OF COSTA MESA - BUILLING PERMIT
PERM NO: E 0850A8
PERMIT NO: E 085048 YLAN CHECK NO: N Gt�VT: N SUPP; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPt�SE: UTH
JOH DESCRZPTION ; F�OER POLE S� FT:
CLAIM \IALUE: CALI-VALUE: GROUP OCC: R-3 /
COMMENTS: X
****��*�;�***�e�r���r�r*�*�����r**�r*�**;�*�r*��e�r*;��r��x�*�****��x��;�ri�***;�*�**;��*;�*;�;r*�+r�
Z O N I N G R E Q U I R E M E N T S
S E T H A � A S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT; FT IN
PARKING REQ• PRGV; PARCEL; OGGGGGGO ZNE: REF NO;
PLANNING N6TES>
i
if iF iF if iF 3f if if if iF i! iF if if ik iE if iE i! �k ih ak M 3F if if iE iE if iE 3E iF.iE iF iF if i'r if �f �k * iE iE 3f iF iE 3E iE iE iE if iE iF ik iE if if 9f ik iE ik iE if 3E �1E iE iE iE 9f �1f iF if iF ie iF if� iE if �k
D E V E L O P M E N T S' E'"R V I C E 5 R E Q U Z R E M E N T 5 =y
� Y. —
ZONING APFROVEU BY �/
I
BUILDING APPROVED HY ; •'��*%•
APFLICATION ISSUED bY: *��
'1EiEifitififiEifiFiE�ih3fiF'IFi!-ififiFi6+EiF3f3F3F3F�F3F3F3F�F�r�F�if�E3f�F�'r�F �E i�iEiFi��
LEGALIZATION:N F E E S U M M A R Y
BLUG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 66,00
SOY
PLAN
ISSUE FEE 22,00
BUILDING-LIV-> F+ERMIT ISSUE PLAN-CHECK
TOTALS----> bb.00 22.00 0.00
REVENUE LIVISION TOTALS--> COLLECTED:
HLDG PMT YLUMHING ELECTRIC MECHANIC
88.00
DATE: —
DATE:
DArs: o
�*��**���;�* ��
STRUCTURAL S GMENT:N
FIRE SMIP/RES GR[�DING
SMIP/NON-RES
TGTAL PAID DUE
88.00 88.00 .OG
88,00 OVER/SHORT: ,00
FIRE SMIP/TOT GRALING PLAN-CHECK
3F iF if iF i6 iF#� ii iF iF if ie iF iF iF i't iF iF if dF 3k jE iF ie iE iE iE �e iE iF if iE iF iF iF if iF �F iE i'r jF iF 3f iE iF iF if �f iF iE 3't iF iE if if iF iF if iFiF iF �k ie iF iF iE if 3F if je iE if aY if ir �k iE if iE
I N L I � I D U A L F E E H R E A K U O W N
TYPE QTY" D E S C R I P T I G N UNIT CuST TUTAL COST
ELE 3 TEMP SERV PWR POLE W/OUTLETS EA, 22,OG bb.00
END t�F FEES
18-86-1997/12:33 DM/f89.M
RCPT1:81-8813377
PERt1IT:B85948
� CONSTRUCTIONANDPLANNING ; PQC<:,-":�-SPA .
APPROVALS Permit# Date Iospector pppROVALS Permit# Date Inspector
r
i. Tempo�ary Electrical Service or Pote 52. Pool & Equipment Location
�:LSoil Pipe�Undrgrnd. " � 53. Steel Reinforcement
3. ElectriGal Conduit UtilitY-Undrgrnd. 54. Porms
�
' 4. Electrical Cond'uit-Undrqrnd. „ 55. Electrical Bonding �
5. •Steel �Reinforcement . 56. Rough Plumbing & Pressure Test i
"6._ElectricalUFER,G�nd. - 57. APPROVA�TOCOVER•GUNITE
7. Footings � ' _ 58. ElecVical Conduit=Undrgmd. �
8. Foundatio0 - .�, 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd. ; - 60. Backwash Lines; R�Trap, �-�, Und�grnd. •
70. Structu�al Floor System . 61. APPROVAL TO DECK
11. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor�Fina�
12. Sewer Cap � � � 63. Heat¢r & Vent-Finai
13. Roof Drains . - 64. Plumbing System - Flnal
14. Rough Plumbing , � 65. Electrical�Final , �
� 15. Rough Electrical�Conduic ' ' 66. Solar System�Final. • ,
16. Rou9h Electric Wiriny ., - � 67. Fencing & Access.ApProvai � �
17. Rough Wirin9 Sign � 68. APPflOVED FO'R-PLASTERING
18. Rough Elecirica6T Bar Ceiling � 69. POOL/SPA SYSTEMS PtNAL
' 19. Rough Heatinq& AirAConditioning � � FIRE DEPT. REQUIREMENT
20. RoughFactory,Fireplace " " ;' - ' , APPROVALS.� .Pecmit# � � � �
21 . Ducts, in �Structurer � •� � � _ ' _ 70. UndergFound Hydro �
22. Qucts;Ventilating,:' � , ,� , �'71. ProducnPipingC7Gas '._�,.Oil
23. Gas Pipe�Rough & Tesc � �-, s ��. -* .� 7z. Underground Fiush •
`24. Roof �ratning" ' � ' ' � • . � , 73. Undergmd. Storag8 Tar1k-,r�' Gas ❑ Oil
25. Roof Sheathing � • � 74r Overhead Hydra� •
26. T=BarCeiling (Structural) & Mono foat �- � - 75. Dry Chemical .
27. Frame and Flashing � � � . - �� +� 76. Dry Standpipe �-
�28. Lathing SfSiding • -. '. - ", 77.,. FIXED $YSTEP�t rINAL _
29. Insulation .� • � ' � 7g: FIqE PREV. FINA� �
I
"30. Drywall Nailing ;: � �. _ �' -. JiEA�TNy',DEP�. REQUIR�MENT
�31. Plaster Brown Coat c .: . �� 79. FINAL IMSPECTIOPb '
32. ElectriCal Power Met�rFipal ' � S0. POOD CERTIFICATE iSSUED
_33. FinaLElectric > � - � . !O/���� �� Notes: - � ' �
�34. Pinal Heating & Air Conditioning - � _ � � - � ; � � I
35. Finai Gas Pipe=Test . l r.
36. Hood or Canopy _ � _ � ^ � , '
37. Final�FactoryFireplate� . � ". - , ��� -- .
- .�
38. Final P�umbing r � - -
�
39. Water $ervice•Final ` ' ' � (F , ,
40. Gas Service�Final • . . � ' ' '
41. Solar pomestic-Final ' � � , . _
42. BackflOw Preventer � � '
-43. BackflOw Irrigation ' ,. � � � � . �
44. Landscape Irripation System ' ' �
45. Sound Attenuation ,,.� � . �� ,.: - � �
46. Handicap Regulations - ' , � ' . " ' m �
47. FINALSTRUCTURE&BUILDING _ � G, �-
v '
48. FINAL PLANNING ' � ' �� ' ,��� �,
49. Electric Release to Edison lo }►f' -" �
JI W �'�
50. Gas Release to Southern Cafifornia Gas Co , _ � �%�� �
_51'. CERTIFICATE OF OCCUPANCY _ ' � "
�..� - ,r�,
c:.l
No. Date
.�oaasa�eu�nwo: 379 21ST ST
avxursxweviwuvr�: NEWYORT HTS TWO
eou�ss 1501 WESTCLIFF
, � N.B. 92660
iwr�.�uuxc�ss:
AIiCXRECT OR FNf+NEEX:
ARCN.Ofl EtM.'SFD�XE55:
���,��5� PACIFIC GRAND CONST.
CONf11ACi0ASYNl1NG 1501 WESTCLIFF
uM: � CITY OF COSTA MESA - BUILDING FERMIT
PERMIT NO: P 084139 PLAN CHECK N0: N
CONSTRUCTION TYPE; V-N PERMIT TYPE; PLU
uc. xo.:
UM:
(714)631-7433
eooness: N.B• 92660 CF' ue.ra.: 7349260
uxr:
IJCEN9ED COHTXRCTOXS DECLAF�TION: I lwreby ell'rm uMer pareYy d perjury IMt I em licensad uMm poriaona ol Cheqer B
(�munendn0 nilh ']aao m 3 d tM Buaimw md Pmlesaians CoEs. W mY 4mms u m/Wl laro md Mlea.
No.: p/�uc.cuss: uc.No.: 7 9964 EXP•
/�. 4� � ���,�:��3_ �P�.
EN BUILDER DECLAN�TION: I hereby elfi�m uMm peroly d perjury tAm I em uamq Imm ihe Canmfae liwime lew tor Ne
pppwip ieeeon ISetlion ]IXI1.5 Busiwa eM Adxabne Cods: Nry nY a mmtY Mv3� nV�ima e W�! lo anwtruct. e4s.'vnGrvn.
lemd'nh, a reper erry suuclive, pria b ia ua�e�ue, e6o rpum ihe epp4w�t Ip euch penm �o Ne s ipnW aweme�a tlut he a�he
a IrxneA W�auent to tha Pwe'vn d Ne Comrepore liorua lew IChaqa 9lcammao^i xdh Sen'vn )000) rf Divwion ] tl �hs
Buemav end Prabniom Coda1 a �hm le n Ne e ezemq iherahan end IM Eem la the.eOepeE mamqion. My vulelion af Saeun
'/W t.5 b/ enY aOD�� for e pamtil suEpce �M eppfram io e ciml ponMy W ml man Ihen frvs huM�ed OoOan �5.500D.
� I.rooMmrdlheVW�YamYemDbYMwlhwapmniMi�decvmV�.WEolhewaF.endlheWucMsend'Wadd
«werea m,.de �s«ion �aa. emre+. end aiae�.au coe.: me com�eaoA lim.e �..eo.. naewN�o en own«a papny
Mw ddav «:nwwo �h.eon. end wn mm.ud� xak h:nseM «Mnd «Ihwpli he «her wm «nWww. wwide0 ihs wrh
imM�maaa era fa in�erdeE a atlaed la eeb. tl. howowr. �M dntli^0 a inG'�.eM u edd willtin an Y� d mmV�un. tM
owfwbudJer.�ill hew Ihe dvden d V�'�0 M or eM EN nal dnk ar'unpv.a tn Ne P�e W eebl.
� I. m ovnw d ihe VrWaM. em mMien*N mntrmM vmh fioxaed eamrecYav b mimW tM V9� (Saeun'lOU. Bue'ura erd
Prdesa'vu Cada: The Cant�etlm L�enm lew dam m� eVMY m en wnw d pro�Y Ma dnlde a viqeu'n �Miam md wb
wnvena br wdi pcl+a+ wh e muratlule) licensed WnueM to ihe CaMretlm Liwm� le'vl.
� I em uanq urder Sxtim: B. 8 V C..la Nn �maon: ��' '
o�.: o�..:
I do M1ereby cenM �� ��^ eware d vM uMenwM Ine mQuiremema W Celiwnie Heellh eM Sdey CoEe Seeiom 25505. P5S3J, end
25531, eM Nm I a erry Mure WilGrp mvpeni will / wil M(rirtb ons) rieM io canply wY� uitl mta mEa eM tM npu"vemmb br
e re�mtl Iweonslruetion«mod'ifiralionhamlMAr�l.iviapemem Dimna. Reudanlil wiw�utlion eppf Wiomuaexeenqhwn thsea
Dele: AppliceiM:
WOPKEF'S CONPEN5ITION UECUPATON: I Mreby elfiem wdr peneM1y d perjuy wn W IM IOAoxinp Eaduuiom:
� IMwudWmeinienacenfuteWawum�to�atliimnlaxorken'compnWion,mpwidedtaby3se'vi�]WdtMLnEn
c�, io, m. o«+o�,� a me .wn ia.N,Kn m�. v«mu �. ��a.
� in.w.�dw�m�.Ana.•o�w�+mo���.m�.aw�eaws.a:na�aoam.�.n«cod..r«in.c.��.p.an.
wak �a which mia oermn A mwe. eM w«ken' �pave�iop,iN�rq�mx ene pdiy nume« ero: EX P I R ES
c.� 1 c�
Pa�, N„me,,: 0 4/ 3 0/ 9 8
(rras eenion �reed �a b. mma�� / ur a�t e ror me nwim.e eouva R�mI n IsnJ
,eniy thm m Na pMamance d ihe work M whc� Ihu pertnil u ie�ued. I Mell nd employ arry peison in enY manrw eo n lo
p curo subjea ta tAe wakne' eanprmuion lex+ tl Cafdm6e, eM proe Nn d bwro aibjen �o �M wekeie'
c mpeneetbn Dr sbre I Seeun 9]00 d Ihe leba Code. I e1W11 ' h aomW �powmre�
ome: l/ �od�u: � �
mNp: F�9ws ro un rohai wnpwu�tlon rovwp� l� unYWW, �nG �IWI wbf1cM �n w+ploy�r ro MmfiW pwltlu uW
clv/I Nnu 1q ro wa hintlietl �MuunO do/Mn (J�GO,GiWA Mi Mdltlon ro fM cwt ol rom�pw�wlbM1 tlamepu o prorltlstl br In
s.caon.tms o� m. l.�eo, ua., �mr�,c .�w,rcomry: r....
\ CONSTfiUCTION LENdNO �DENCY: 1 heraby elfi�m under pwXy d per'�sy iMt �Mrt o e amA�uCnn bMvp epem.y tar Ihe
�no�� a ms w� i« �+,d, ma o�� A�.d �sec4, xn. c�. cI.
LENDER'S N�IIE:
1Q10EN'S �ODPE55:
I<MM �hm I law neE Na epP�'� ud vma Ihe� Ne eboro iNamWion u canw.l eYM �o oomdY tih eY mYeM aouM' aduwvs
vM stale lexa releliq to buiMip con%ruction ud heraby eullwrue �epreeentalrvm W ihu tlly lo en�s upon ihe ebwsmm�uned popery
�«��'pBtl�D�`0�" RONALL LEGRAND
Dme: ___��
(5151<e.WP) Whn�Buildiq85efely;Oreeri- Ia;Ce�arydpp4cen�;Pink-Rovenue:0okemaHReaeawr
PERM NO: P 08913�
GOVT: N SUPP: N
PURPOSE: NEW
JOB DESCRIF�TION ; DEMOLISH EXISTING APARTMENT BUILDGS SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: REF:B-84138, SEWER CAP
�r**�****�r�*rt***���rx **�***�*�� ��*�*�rt**�r��r*�x **�*��*��*+r�r+r*�;��r*�r��**�r�* ���*� �it*�
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 AEAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARRING REQ: PROV: PARCEL: 00000000 ZNE: REF NO;
PLANNING NOTES>
i
it i! ik it f! �lE 1f iE iF if if iFlE ff k ik iflE �f iE iE �f iE �E �1tlF iElf if iE 3E �klt iFlf i6 ik iF if i! ft M iE if ik iE iE ff fE �E * if if 3k ff 7E 1E iE 1P fF if iE iF iE ff iF if iE 1E iE �f iF it iF 1E iE if �E iE
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 .
HUILDING APPROVED BY :
APPLICATION ISSUED bY
+t�t�t+t�t******�*�r*�t***�*
LEGALIZATION:N
F E E S U M M A R Y
DATE;
DATE:
STRUCTURAL 5$GMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 8.75
25Y SMIP/NON-RES
PLAN �-.
ISSUE FEE 22.00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 8,75 22.00 +, 0.00 30.75 30.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECFC
30.75
if if ik �F 1f !E iF if 7f if if !f fE iE �f 1E jf 1k jE i! �f �f 1E 1f �E if �E iE fE �E if iE 1! iE fk 1f if ff 3f if iflE �E fElf ih 1E if 3E 1E k if iE if i! fk �F iE ik 1f if iE 1k 1E �E �E jE if it iF it if if if iF iF iE if 1E
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� T I O N UNIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 8.75
END OF FEES
8.75
88-11-1997/02:21 �'PI/f3�.75
ecvrn:ni-eaiassi
RERMIT:084139
CONSTRUCTION AND PLANNING �" POG_ .. SPA
APrROVALS Permit# �_ � Date Inspector APPROVALS Permit� Date Inspector
1, Temporery Elettrical Service or Poie 52. Pool & Equipment Location
2.'Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit lltilhy-Undrgrnd. ' 54. Forms
4. Electrical Conduit�Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electrical ConduirUndrgrnd.
8: Foundation _ 59. Gas Pipe, � Undrgrnd., Test `
9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrqrnd.
10. Structural Floo� Svstem - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Finak
72. Sewer Cap �_ 63. Heater & Vent•Final
13. floof Dreins . - 64. Plumbing System - Final
74. Rough Plumbing . 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencine� & Access Approval
77. Rough Wiring S�9n 68. APPROVE� FOR PLASTERING
18. Rough Electrica�•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. �Undergr6und Hydro
22. Ducis,Ventilating -� , , � �� Jt. ProductPipingC3Gas ❑Oi�
23. Gas Pipe�Rougt+ & Test ��� � 72. Underground Ftush
24. Roof Framing . � _ . , 73. Undergrnd.StorageTank OGas ❑Oii
25. Roof Sheathing � � 74. Overhead Hydro
26.�'i-Bar Ceiling IStructural� & Monocoat "� 75. Dry Chemical
27. frame and F�ashing . ' 76. Dry Standpipe •, .
28. Lathing & Siding - - - 77. PIXED SYST�iv1 FINAL
29. Insulation �. 78. FIRE PREV, FINAL � -
30. Orywall Naiiing • - � HEALTH DERT. REQUIREMENT
31. Plaster 0rown Coat . . 79. FINAL VNSPECTION � ' ,-
32. Eiectrical Power Meter�Finai �� ' � _ 80. FOOD CERTIFICATE ISSUED �
33. Final Electric Notes:
---��.''�-���� . -
34. Final Heating & Air Conditioning .
35. Pinal Gas Pipe•Test : . -_ -
36. Hood or Canopv � -- _.
37. Pinal Factory F�replace .` ,,,,�- '
38. Pinal Plumbing .�- St �� � � � �
G
39. Water Service-��nal ,
40. Gas Service-Final r , " � - •
47. Solar OomestirFinal � - ' „ .
42. Backf�ow Preventer � � . - � �
43. Backtlow Irrfgation - � _
44. Landscape Irrination System . -� . - . �
45. Sound Attenuation , �
46. �Handicap Regulations � - .
47� FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING ; �
49. Electric Release to Edison �
. 50. Gas Release to Southern Ca�ifomia Gas Co ' � ,
51. CERTIFICATE OF OCCUPANCY � •
No. Date '
I.GSPESSiF81ALOQY.:
aE�RSNAYEIFqpWN: 379 �isT sr
moxEu NEWFi�R'I iil5 TivV
15G1 WnSTCLIFF
N.b. 926bG
�cv�. Yuir,o .00xEss
uNr:
.ncxrtEcr an wrn��ffn: uc. w:
u�aq�•g„��s: GUUVIS ENGINEERING Ouxr:
99uu CANPUB LR
�����pry � N,&. CA g 2 b b V
�a„p„�,o�,,,,,�„�rACIFI� GRANL CUN5T. i719)o31-7933
15"vl WESTCLIF.F
�o� N.li. �� �� lA ��.: 7�99b4r'
IJCENSED COMPACTOpS �ECI�XATION: I Mreby ellim in�&rppwly d pxjury tM 1 em �amatl uMer prorivimi �Cheqx 9
(mmnmom .mn s«Gm �aoo) a oiiuun a a me a�xw ena am�eaewn coee. ud mr 4rrm'm m �m �aw m,e eliae.
CRY UC. NO.: LIG CLA54: LIC. NO,:
0'i" 1 . i349 4 XP• G'/
�Dma: Comraaa.� � �
OWNER BUILD P DEC NITION: I he�eby dfimi urdar pp�ely d perNrv �� �� a�q �� iM Comrapm Liceme lew la the
IdbwnB reesm (Setlion ]W1.5 &nirae eM Prdesaians CaEe: MY ciY a muniY xTJtli nVwm e P�C lo ovetrucY. etlr. mWaw.
demdah, w repai eny ewnuro, pbr b �a'ssuarce, a6o reQui�u iM applimM ta wch pemN to fib a eqmd �Itlemenl tlW M a ehe
'e licensetl W�b^� �o the poveiom d ihe GonVanora licenae'lew �Cheptm B(oommendrp Milh Setlian ]uW) d DMubn a d ihe
)uainev eM Prdmum CaAel a tlw he a eM u memq tMrNmm ud tM Maa ta Ihe dbpod azemqian. My vulmion W Sepion
]W 1.5 by eny epplicenl lor e parmN eubpds Ihe apDlceM b a chnl penelry d ml mas Ihen Me huMmE Adlen �5500�). �
� I.mohtqtWlMPWe�YamyemO�M�wYhwaV�mllieisoboomO�Wun.witldolMwark.e�MNesWnunenalo-uaMeE
w aHered Im eele (Sac�ion )OaI. Buainen end PmleeNone Cade: The Conireclae Limroe Lew doee rwl eyplyroan ovmmd qopMy
wlw WiM n inpro+m thereon, enE Wq does euM xwk himxll a Mne� a Ihewqh he a hx own empbyw. povided Ihm euch
impovemeM� are rot imeMad a oileieE lor e9b. II, Mwever, lhs buiMirp a inprawnam ie aold wnhin ona yw d oompbtion, Ne
owrerbuiNer will heve IM buNen d povinB he or ehe d'd �w build a improw Iw Ihe WNaa d eab).
❑ I. u owner d iM propany. em extluervely conlraqmB'uil� IiceneeE conireclon lo wnetrud iM qol�= (Seaion 1014. Bue'vime eM
Prdeaiona Code: TM Comretlon Lican» lnw doee � apply io en ow�wr d qopMy who builde a imqovm Iherean enE who
mnVazn la wch pqws wnh e oomndor(e) IiceneeE W��� �o IM Con�rmoee liunea lew).
� I em e�emq unEer SMbn: r� B. 8 P.G.. br th'v reuon:
Dele: Owier.
1 do hareby uniry Ihe� I em ewers d ud urcbmenE tM requiremame at Cdlanb Heellh ud Sdery Cade Saqiona 25505, 25533, eM
2553a. vd tlw I a eiry Mure buiNirq m�pem will / wll mi (�4 aw) � Io camqy wIh uid qela cadee eM IM,epuiremmpe br
epe�melamnsUuctionamodifmionhomiMAi u3�l�y aupemsXDipntl.RuksnielmrmwioneppfrmiomenaumqhomCeea
yaisone.
Deta: �od�:
WOHKER'S COYFENSATION OKL�N�TON: I heraEy dhm udr pmMy d payry ans W the IoOow'vp Mde�etiom:
❑ � new.m.d meieuei� e unai�su a mnw,� �o.w:iuur• for xaken• oomo«uuon. n po.iAed �ar W s«an aroo d �ns lemr
cam. �« ma �no�. a m..ax i�..+:�n um wme 4 wwe.
❑ �ne�a.mname:ven.bnd.•oomo�un'u�wnnce.e.n�uvaeMs.amarooam.�.no,coa..a.�heoNm�u�vew
A work ta whitli tliu D� u usW. M' warken' mmP„emion iwnazs mnier and GdkY wmMr an:
c�;. SypTr arrnin EXFIRES
Pa�N�m^^� aa���aeu��s��� 09/30/98
his awim nsed roi b mnWetM M Ns P�t e M w hvMnd Eolai It�mi n ImJ
� I oen/y Nm in Ne pMamence M ihe wak fa whicA ihia pem�A a iewM. I MeP nal emqvy ury preon in erry menmr eo m lo
becmie abptl �o �M xw4se' mmpanWion N�w d CeNortYe, enA ep�es tlw C I tivtltl beconr aibjet to �M raM1xe'
�o�� oqm�� see� a�ao a ine �no, cee.. i.iwi imy�n �,w ��.. �
WamNro: FWtin ro ueun wh�n' mnpru�tlon cm'�rM l� unMMW. �ntl N�II rOM �n rMloy�r b crhNrel i�tln entl
NMI finu �q b om h�nsrstl fhouaud Ca/Mn (J1GqOWA M Mlltlon b M� cwt ol ronp�ns�fbM1 rYrrapu u povMM br In
S�ctlm 9)O6 0! tln la0ai CaY, Infwt ���mry'� !ww
CONSTPUCl10N LENDINO AOENCY: I hmeby NR�m uMr parolry d pmjury Ihtl Ihae o e cvnalwfion kndinp eperv.y Por Ihe
�enom,erce a m..� m. ,dw� me o«m� 4:.uea Isedo� �on. c:. c�.
LENDEF'S NMIE:
LENDEfl'S �DDNE54:
I Ceruh/ IhO� I heYB IleE Na MN�e�m tld tlH111hq IM 1WIe IMCTWiOn m CqAtl. I Wiee IOcomP�'/ YNh GG olY pb GnMyddmBros
eM atme lewe raW iq ta WJEip conmudion vd Mraby einhoras repreeentmivu d Ihu wry io omer upon tM ebo.e�meMioned papsy
la uupetlpn qttD�.
RONALD Lf:GRAND
(S15t-<fi.WP) Whde-BuildvpdSdely;
Rnk-Revenw: Oddenro�Aeeeaor
CITY GF CGSTA MESA - bUILDING PERMIT
PERMIT NG; B GBSG71 PLAN CHfiCK NO: G2258-57 A i;OV'C: N SUPP: N
CGNSTRUCTIGN TYPE; V-N PERMIT TY�E: S'ik PURl�GSc; NEiti
JOb LESCRIPTZON : 22095F SINGLE FAMILY R�SZD. Sb75F GARAGE S� r'T: 2,874
CLAIM VALUE: 15"v,OG0.00 CALC-VALUE: 191,418.98 Gi'<iiUP GCC: ri-3 /
CGMMENTS;.d45F FGRCH "PI.AN 1"
ii'vf iE 3E iF it w ie ie sF iF ii iF iF iFit ii w if it ii w iF iF w ie iFif iE iF iE if if i't 3F if iF ii 3F it'se ie iF at sFit if ie iE if iFie iF iF ie ii iF iE'sf si ii vi iFi4 iF iF iF iF iF ie ii iE ii'si ir ie's' iF ii
c u N I N G R E{;� U I R 8 M H N'i S
S E I b A C K 5
F—g—N------1--p—T— MAINNBUpI�LLING1---------- --M------- ACCESS�RNY b�UILD1NG ---------
LEFt� 2v FT fN A�H1i 4� �'� f� ��F�: r� fN n��Ii� t'� i�
PAitKING REt�• 3 PAVV: —' • 3 FARCEL: GGGuGGuG ZNfi: A�ML' ke:F NG:,ukS'Iv5
PLANNING NtiiES>� ONH' 2—SI'OAY" UNIT W/AI'T 2—C�1R GAitAGc fONc OF o DcTACriED,,�'
> UNI�f5'.�F,A COMMi7N INTER�:Si DEVELOFMENTi. FiEiriSL �.
if iE if iei'r ie se iFiE ie i'r iE iF ie ie iE ie if'vFif ti i�ie if iiii iE.ie ieie iE i't i"e i't vF ie if if if ie if ii iiii tiE i'r ieiE ii iei'r iFi'e iF iFiP ii ii ii ii ii iF iF ii iE ie ii iiiF tiF ieie ie ie ir ii ii ic ii
U E V E'L O P M E_N-T 5 E A V I C E S A E u 6 T R E M E NrT, 5
ZONI23G APPkGVED� bY � �� T�AI E; ��
�1 - A p ' �
6UILDING t1PPRuVED BY. ;' v�� DATfi; �,-�.�
.- '� � .•i •..' '.
AFFLICATION ISSUEL bY:� ' liAiE: �: '
iEiei'tsFii�rtiiieiFiFicietiFifie'sfierii'rifi'rie�exsFsFiFie�r«�e�F7Fitiex3exwrexw�ie �e+e+e�xxxee��e+tiEi'rieifiiifieie'reie�r �rse+e�eiexxw�iiir
LEGALIZATI6N:N F E E S U M M A R Y STFtUCTliRAL SEi�MENi:Y"
bLLG PMT PLUMHING ELECT�7IC MECHeWIC F'IRE 5MTP/R�.S i;R11uTNi;
PERMII 1,347.25 S 19.14
SMIPiNGiJ-RES
PLAN 218.93
ISSUE FEE
BUILUING-DIV-> PERMIi IsSUE FLAN-CHECK TOTAL PAiL uiJE
TUTALS----> 1366.39 G.OG •218.93 1585.32 1585.32 .G"v
REUENUE LIVISIGN Tt�TALS--� CGLLEC'lEL: 13bo,39 uvEl'tisHi�AT: ,vu
BLLG PMT PLUMbING ELECTRZC MECHANIC FIkE SMIF/TGI' iiRAGTNG 2%LAN-CHECK
1347.25 19,14
ie iF iF if iF iF iF iF fi if #'sF iF iF # if iF ii iF # ii ii ii ii ii ii if ie ii iF if ie'st'si i4 iF iF fi iF w if ii if iF ii ii i't if iF iF'si if ie.!' dF ii i'r if'sf if if ie iF #ie iF iF if ii iE k if if w iF iF iE iF'v'r
I N L I V I L U A L F E E B R E A K D u W N
TYPE
SFR
SFR
SFR
QPY L E S C R I P T I G N UNI'T Ci)ST
't203 uWE-TYPfi V-Wi�GU FRAME -GOOL 8"v.i,"v
84 REf;-PA?IG CvVER-POST 6 SGLIL Rtivt� 16.11
�87 RES-GARAGES TYPE V ' "11.3G
�NL G FE'
� D �...�. �
ocr o $ iss� D
CITY OF COSTA MESA
1
'1'01'AL lVS'I
L77,SL1.�3"v
1,354,"v8
12.SG3.1G
- CONSTHUCTION AND PLANNING PQ�� PA
� APPROVALS Permit # Date Inspector AppqOVALS Permit # Date Inspector
� 1. Temporary Elecvical Service or Pote 52. Pooi & Equipment Location . ��
2. Soil Pipe�Undigrnd. 53. Steel Reinforcement
��+.Electrical t;bndui�Utility-Undr9rnd. 54. Forms
� d;'Electrical Coniiui�U�d'rgrnd. 55. Electrical Bonding
.���Eee� Reinforcemen't �(l�ct7 6'wf[ 56. Rough Piumbing & Pressure Test �
���'_El'ectrical FI�R',�fy(nd. �Q+(s � �wlL 57. APPROVAL TO COVER•GUNITE
,�: �.
. 7:.Footin s � ' ` l
� g . (�-(s qJ �v��L 58. Electrical Condwt;Undrgrnd.
S�TFoundatior�l'7 �% / �`a2,(� (,�, /'w� 59. Gas Pipe, O UndrQrnd., TeSt
� ds v w . , .
9. Water Pipe;�JndrgEnd. .y . 60. Backwash LinesrRTrap, � Undrgrnd.
10. Structural Floor 3ystem 67. APPROVAL T6�DECK
17. Prope�ty Sewer_Line &.4ouse C�nnection 62. Backwash & Rece�tor-Final
12. Sewer Cap ` ' 63. Heater & Vent-Firial '
13. Roof Drains _i �
_ 64. Plumhing System � Final
74. Rough Plumhirtg�-. �-t � 65. Electricai�Final
15. Rou9h Eleccriwl:Gonduit 'T 66. Solar Svstem�Fipal, ,
16. Rough Electric Wuing�,.,� 67. Fencing & Accoss Approval �
17. Rouc�h Wiring SigR _ ' - -- . ,68. APPROVED F(,�Aj'LASTERING � �
78. RoughEiectrical:i,BarCciling° � ' 69. POOVSPASYST�MSFINAL
� 19. Ro�gh Heacing & Air Conditionin � � - - '
.� � - � .r• r . ,; �FI�E kEPT. $EQUIREMENT
20. R 0C� f If lyCe ".r. ,x" a 'J .. '7'.' ��'1 T -� :7'J i o- .r�
�9� � Y.y*� � d � S: S _ ? . ; PPR-0VGL� ��� Pec2nit #�
21. Ductstin SttuciLre�a �' •^• -+ - F .S � � F : 7p, ��yndergr✓r�i� H�,fru .
22. Ducts,.yVeri�ilatJy�g '.�y � ,,�,,: , i 5 � K %77. ProduM P;ping Cqx LFO�I
23. Gas Pipe-Reughi& Test y�=! - _ 2•= r 72, Undergrp��rtd fJdSA = � -' �_
24. RBof �ram�h . � t: , �a- • , � ,: r '� �., ^ `. r •
9 � � � � .,� J3,Undergmii.Stor�ay�Tank�OGas �Oil �
25. Roof $hea�.iin9 '' �;2.`Z�.qy .�� � 74v Ovetttead Hvdre� ��
y y(
26. T�ar �ieilin9 (Siruc��aq & Menri�oat '��°. ) :r Y ': � 7 i pry.Cher�i�al ��� K �� ' _
�
27. Frame;and,Flas�iing� �. �:_�`y.�Zy� �:: ,; 76. Dry Startd�$e �- �� �
26. Lathirtg &�idirr� ; k " � , '��:--�' .. r 77� FIXED SY§TEO�j �INA4 ., -
�29. Insulation�r � y r - - V !p,p �,(,�j'1� 7g: FIRE PREV. FI'I�}TjL ` �=' � -
- �`'1: . (�V
30. Drywall Nai3in�� ^'� ^ y ` � ;�j.�qg �(,ja;�. �j1F�ALT�DEP�. REQUIR�MENT
:. � S _��-�_ -
�i. Plaster Brop�n Coat~ � � ��^-' l���� �f.W�� 79 � FINAL I146f?ECTIPjN +� ""'7
�2. EYctrical �owe�Metef��F'�nai � -' " ' ;r �8QyFO0D CERTIFt�ATE I$�SSJED, _
,w � " .
3. P'r�al E ect�c ,� � � s : , � ^ � - � �� �
� ) $ 7 � .7 _ - � ; Nd[es: 7 .• .• ,•
34. Final Ciea[ing &�Air c�s�d�:�o�i�y=� ,�; .;r, < , ; �p C�OLD-FE,`lI2-°s -P,�CIk,L-RfQI-JIREMEI�J� �
"7 ' , J _ _r.�l "--_
r • .t � . � �� s
35. Fi�iai C',as f�ipe•7�.est n.-. .. �y K� � n j.� �.. �, r' �
------.-.,�-� " . yr _� . .. -• ,��y -
�36. Hood or CanoPY � .7 - � ' - k ,', i` E '1��� r y ,
c V -� � - � i n, F • -� �-t • -
T =T -_; •
�7. Firial E'actoyy Fireplace �.r � -... _ -. i �! . .
38. Final P4umbing- �� - � -�� ' � K �' S - ; �
_. �, y, ��
39. 1Na1er Service•Finai � ; � � " - � � I `4�, , �, � �' ` "' � .
40. Ga's Service#inal r-t E^� " r`' Tt I r ��_ t -
T � 4 � .� f
41. Solar pompstit;Final �. = - � x � � ? r " � ,
i � r
42. Backflow Pieventer r � � �J ' > - • � = ,
=� -�-.i 'r a '1 -t � -
43. Backflo�v liriga�on r � �5 = � r � , � - - �� _ _ ,
�
44!+. Landscape3rrigation SYstem = - ,.��:: ^; - - �' '= '•� �, � ;� ' - - . - . .
.� ^ . - -� �� g n i .- }
45r Sound At[enua7ion �. : . ,'i r " ; � i ; `: y j ,
46� Handicap Regulationsi. - �7 � � , r •� _ � •
- c �r - - t
47_ FiiVAtSTRUCTURE;& 6UILDING ., ���'� �� ' `� ' _ . •
4� FIIJALPLANNING ' �� .-.3_,�/_ " � - . . .
� ., . . � �:� � ~ �
49. Ele'c[ric Releascrto Ed�son � '� i � �. ,. �. , - � " � _ �
5Q> Gas Rdeasa�to Souchem Californie�6as Co • � . - _ � � ^ � � � • . �
- t - i - .
51,r CERTFFICATE OF OCCUPANCY y � � � � •= • � •
No. Data
�
�
i,n�csa�ew�nu+o: 379 21ST ST
a"`�Rsr+�EiFa�a"": NEWPORT HEIGHTS TWO
' ��1501 WESTCLIFF #260
NEWPORT BEACH,CA 92660
631-7433
.vr�.�uiam �ooxess
�xcxrtccT on eax�x:
�NCN Oli Op.S 100flE53:
uu xo.:
uxr:
UM:
�erarsru� PACIFIC GRAND CONST, ( 714 ) 631-7433
ca+mAcrrnrs�uwa 1501 WESTCLIFF
.00nrss:N.B. CA ��.: 734964
92660 uxr: 260
LICENSEO COMPACTORS OECL�fl�TION: I hereby N'rm unEer peraly d pajury Nw I em Ikenee0 uMa pwivions d Cheqw e
(eommma�0 xil� Seelion 9000) d Oivieion 3 d Me Butirev end Pmlmabeu Code. ard mY Yoenw b in h01wu eM e11arJ.
cmuc.No.:070118 uc.cuss: uc.No.: �q964 EXP: 06/98
Dele: Contretlar.
OWNER BUI EH OEC ATION: I hereby elfiim unEer peneAy d NO' ihet I em eumq trum Ihe Conlradon Licenae Lew Ia Ma
folbxinp rea+on (Sedion )031.5 Butir+a enE Prdemiona Cada: Any cYy a munly whitli ipuirm e pemiil to connvucl, ellx, improve.
dsmd'eh, a ropei ury swcluro: pia b Ga emerce, eho repuim �In npplkan1/a euch pamA lo fib e eyneE �talemeM Net he a ehe
'� IicenaeE punuem lo tM pa+eione al Ihe Contimae Limme law �Cheqx 91�mmendiq wilh Satlion )Oq0) d Div6bn 3 d ihe
Y91fIBlf Bfld PfO�Ht10119 CiOdB� Of IhBI �1B Of 9�M 19 QlBfllp ��1BfB�Iq11911d I�1B NBIq �IX �he B��BQB(� MGIIIp1011. /JI)' VIO�O�M C� �lQM
/O�t.5 by elry epdiun� la e permA subjxJa �M epd'cem �o a civJ penehy d rid more then INe �undrad tlWv� �5.500�.
❑ I.asoxwdlMP�W�YamYemdW�wlhwe9esm�hredewmPenWian.wJldoNaMwk.enENsahuclunwnalvNeMed
a dlereE Ia eda (Senbn JO6�. Businev vd Prolnnions Cade: The Contrenon lioenea Law tloee rwt applyta en owner d propa'ly
.eo aaa. « mawe, m.,�. d,a .�,o ma..� won� ��e o. n�di «mrwW w«n., o.� «�pm+e•. wwdaa mm wd,
impmwnanb era M'vaeMeA a We�ed la aeb. tl. howe�er. ihe WaCmB a inpwa^aq e eold wnlvn ans Yser d comObiion. tlr
owror-0uiNar WI heve IM WNm d pmirp he w ehe d'd rwi dtiM a impova tor tM qrtpoea d edel.
� I. n owne� d IM pWMY. em mtluarely mLL2tlM �wlh fcemed wnVeclon lo rn�N�q tM p9�� (5etlion ]OM. Bufirwa ard
Profworo Code: The Caarnfm Liwim lew Aon nd eppy b en wner d pWMY Wn buitL a enpwas ihaaon end Mn
canirew kr o,d, pq«v �.iN a mmretl«Is) rcareed wnu.m m ihe eemrmaa lioans lee1.
� I em azemp uMs SMion: B. a P.C.. br No �maan:
Dme: ��
. I Go MnW canM tlW I am ewua W end vdmstW Na iepu�emwtls d Celiarce Nsetlh aM Sela�Y Cada Saaioru 25505. 2551D. and
255�. end Ntl I a enY Nurs dn'Itleq o009� will / w0 rwi (rnda wr) need m cpnGN rih md pate aodes ard tlr nqu'vemarea br
eDa�melaoonsuuclionamodifrabnhamiMl�i u�arepemeniD'atria.RmitlenlidmMruaionWO�dbroene�emqhomiMae
o�widme.
Dete: �CP«�
W OPKEH'S COMVEN9ITION OECL�NATION: 1 heraEy elfirm uMx psWry d pejwy aw M tM IOAowieq Eedertlaa:
� I heva eM xil meimen e cenLicele W cauent �o sep-"uwn br r.akaa' camparoetian. u prwided tor b� Sedian 9100 d IM laba
COAe, lw �M peelormerca W Ihe wrk la wltie� thie permil ie oeued.
�p in...d,a�:��m�won�n�oomo«�w�mw�.mnc��eMs.a�arvown,.�wo.coee.i«inaro�«�ain.
wwk fa v.hitli thn pmmn u mued. My waken' comperuetion irourarKe mrrier ud pdiry numbm ua:
c�;a.: STATE FUND EXPIRES
vawr N�mea b 5 0 4/ 3 0/ 9 8
�9 s.crion need mr w romanee � �n. w�, o ror are mmdi.d ddla, rs�ool a. rm.)
� I cMM � in Ne prloimemw d �he wak br wh'rh tMa paimil ia ivueE. I ehell M employ enY Va� in enY memwr o n Io
becana wbjetl to tM w�Me�e' wmpaiumion lewa d CalLartue. md ep�aa Nm J I ehauk Eecme abjetl �o tM xarYen'
canM�+mion sms W ian 3]00 d tha lebar COEe. l�h�a]A[��p_� � wmPM IMu qarieoro.
Dna: /� MW�+am: / /1���� � �
m �
Wemlrp: F�I n ro wcu roikw+' mnpwvetlon covenp� 1 uni lawlul, aM Nsll a�Ohel en �mplonr ro cHMixl ponatt/uW
c/Hl fln� ,q ro om �intlM MouuM oal/an ftiP0,Od0A M Nd/tbn ro N� eost ol ronp�rwfbn� AsnNpu �i provltlW br In
S�ctlm 9lO6al M� LeDorCOW, Infwl, uMettomsyi /w.
CONSTHUCTON LOlqNO �DENCY: 1 haeby e1fi�m inder pmdry d pe�jny thn tAers u e mMr�qqn bW"uq epenry 1ar Iha
peAwmercn d tM wark lar xfiirA ��u peimi u ea»E (�� �]. Gv. CI� ,
LENDER'S NAME
LENOEP'4 �ODPESS:
1 eMiN �hm Iluw nad Nu eDdieaYm aM qma ihm tM ebwa'vdmretion e ronaa. I e0� lo eandY r.i1M1 eY mY enG mueY adireews
W atele lexa ieW ip lo W3diq mmruCcn e�d M1mebY eNhorae repasentatiw dthu ay io erur upon tM ebava�man�ioneE piopeMy
�«�"'P°°"�D�`°°'°'RONALD LEGRAND
PnN N � ��r
� Dme.
Spn uradOwn rlpenVAppYtenJConlratln
(515�JB.WP) Whne-BuiknpBSalely:Onan-Fb:Cawy-Appiwu:Pink�iavenue:0oken�od-Aieevor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 086699 PLAN CHECK NO: 00297-98 S
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRIPTION ; CONC'ERT 155SF GARAGE AREA TO BONUS ROOM
,3 - ��a
PERM NO: B 086699
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT: 9,300
CLAIM VALUE: 7,000.00 CALC-��ALUE: 9,300.00 GROUP OCC: R-3 /
COMMENTS: CONVERT PART OF GARAGE AREA TO 155SF bONUS ROOM
�***�t*at***+�+t�t+t*�t***�r*******+�*atit�*x�3t*�tx�*�r�t***�t*it���**x��t�at****�t�t�t**�t3t**�t*+t**�t�t�t*x�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- -------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV;_ PARCEL: 42623228 ZNE: R2-M REF NO:
PLANNING NOTES> CONVERT EX 3RD CAR GARAGE TO BEDROOM PER OPTION. 2' UEEP
> PLANTER/HUMPER O.H. TO BE PROVIDED AT FT; WON'T BLOCK�PKING.
iE iE'7E iE dE jE iE 341F 3k ik iF 3E aE it iF jE iF if df iE if iE �f iFiE.,jE dE if dE it df it iFiF iE 1E ik if i6-k dE iE iE-lE �E �E �FjE iF if 1E �f iE iE iE-)f -7E �E iE if �E if iE ik if �k ik iF7�iF iE 1E 1k dE-lE-0E iE dE
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 • � W���- DATE: � IZZ'��
BUILDING APPROVED BY": " DATE: �'
. �
APPLICATION ZSSUED BY: S� DATE: 1! C`�-R
iEiEiEiFdE�FiE-1E#iE�ki4il�iEikjflEiEdEiEiEiEiF3FiF�-iFiFiFiFiF�FiFiFifiFiFiFlFiFiFiFTfTFiF�FiFiF�F �iFiFiFiFiFkiEdEdEiEiEikiEiE* jE�E
LEGALI'LATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 162.25 93
PLAN 105.46 SMIP/NON-RES
'ISSUE FEE
BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 163.18 0.00 105.46 268.64 268.64 .00
REVENUE DIVISION TOTALS--> COLLECTED: 268,64 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMZP/TOT GRADING PLAN-CHECK
162.25 .93 105.96
iE iElE iE iE if iF iE iE if iF 1E iE iF ik iE �f fE jE �E if �E 3E jE if iE 3E 3E �E �)E �E 1F �E fE �E 1f 1E 1E �f dk 1E iE iElf iE �E %1f 3E 1E 3E fE iE iE iE iE 1f IE iE if iE ik if iE jf fE �E iF if 1E �1E iE iE iE iE ** if dE
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
SFk 9300 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 9,300.00
END OF FEES
81-22-1998/IB:55 pp/i268.64
RCPTtl:81-8818568
PERMIT:086699
+r CONSTRUCTION AND PLANNING ��� 'PA
. Date Inspeetor Date Inspector
APPROVALS Permit # APPROVALS Permit # �
.
1. Temporary Electricai Service or Pofe 52. Pool & Equipment Location �" .
2. Soil Pipe•Undrgrnd. ' 53. Steel Reinforcement �. .
3. Electrital Conduit Utility-Undrg�nii. 54. Forms '
4. Electrital Conduit-Undrgrnd. • 55. Electriwl Bonding
5. Steel Reiniorcement 56. Rough Plumbi�g & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. �-,�
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Struttaral Floor Svstem • 61. APPROVAL TO DECK , �
� 1 t. Property Sewer �ine & House Connection 62. Backwash � Receptor�Final ;'
12. Sewer Cap 63. Heater & Ve�t-Final
13. Roof Drains 64. Plumbing System � Finai �'
14. Rough Plumbing 65. Electrical�Final ,E -
15. Rough Electrical-Conduit ' 66. Solar SYstem-Finai % �
16. Rough Electric Wiring � _ ' 67. Fencing & Access Approval ��
17. Rougfi Wiring Sign 68. APPROVED FOA PLASTERiNG � �
18. flough Electrical•T Bar Ceilin� � � 69. POOUSPA SYSTEMS FINAL
19. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT
. 20. Rough Factory Fireplace APPROVALS Permit #
21. D�cts, in Siructure 70. Underground Hydro
22. �ucts, Ventilating 71 . Product Piping � Gas ❑ Oil
23. Gas Pipe•Rough & Test )2, Underground Flush
24. Roof Framing 73. Undergmd. Storage Tank � Gas ❑ Oil
25. Roof Sheathi�g 74. Overhead Hydro
26. T-Bar Gei�ing (Structural) & Monocoat 75. Ory Chemical � �
27.FrameandFlashing `-'L�'_Gt� (Gw`L J6.Ory5tandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation �, ��� /G[�G/- 78, fIRE PREV. FINAL
30. Drywall Nailing HEAITH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICA7E ISSUED
33. Finat Efectric Notes:
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test
36. Hood o� Canopy
37. Final Faaory Fireplace
38. Final Plumbing �
39. Water 5ervice•Final .
40. Gas Service-Finai
41. Solar pomesticFi�al
42. BackflOw Preventer ,
43. Backflo'N �rrigation
44. Landscape IrriGation System �
45. Sound Attenuation '
', n
46. HandicsP Regu�ations 4.
1:�
47. FINAL STRUCTURE & BUILOWG (�v�-�� �'!.✓�"' -
48. FINAL PLANNING ��=.
49. Efectric Release to Edison
.'.,:.
50. Gas Release to Southern California Gas Co ""• � �'
:y/
51. CERTIFICATE OF OCCUPANCY
No. Date
�
S�C�H�U�I�L�E�R
Residential Building Insulation
Installation Record
Batts & Blankets
<
Description of Area Sq. Ft. of Insulation R-Value � Thickness
Ceiling R-�9 6,3/i..•
Ceiling
Wall
Wall
Floor
EXTERIOR
GARAGE CEILING
R-1 3
m
�
TITLE 24 FOAM CAOLKING:
If batt or blanket insulation has been installed in enclosed cavities, those cavities are deep enough to allow insulation to
expand to lhe labeled thickness unless exceptions are noted above.
Blowing Wool in Ceilings
Nominal Net Sq. Ft. Minimum
Bag Weigh[ Insulated No. of Bags R-Value Required Thickness
Blovring wool, if used, has been installed in the ceiling in conformance with the manufacturer's requirements shown
on the�bag. '
Location ; /r'�C-T �/55�� �
sc. o� �oc n �r,� � �'li}Nk � — 379 �/ S% s7.�FFi'
City rnc�rn nnccr r�n
Builder
Company Name
Signature
Insulation Contractor
Company Name S
Signature
Schuiler International, inc. I
Building Insulation Division
P.O. Box 5108
Denver, Colorado 80217-5106
Date
' � w
1
— �L O 'f' — �� qn/ —
,�._" � '
�
� U V S
� � • �
' �OTE
ADDITIONS, DELETI INS, OR GORR! GTD V SION LL
BE APPROVED e/ TNE PLAfJ�II ,
\ \
\
� . �B'
APPROVED `ll�/7'25
— Tc� P — �/ � � w —
By Oale �
This set of plaris and pedt'ratlore MUST be kept on this job at all times and'A is unfawlul ro
make any dianges a etlarelion on same wltaN wrilten pem�ssion tr�m Qie Divisim of 8uild'ng
vM Safety, C�y ot Costa Mesa. /
The stempNg f Ihis plen arM specif ltons SHALL NOT be held to pemiil a to 6e an approval
of Ihe vbla(i n of any provisbns ol s�y u;y oi Cos��;:_ry-a OIC;nange and/a�tat�v.
r
These plans nd per,n� shail e�ire by iimila(ie� and ber,ome n�and v�d il th buiMin r
ivorki=r-�. �ma!�cedam!mv.iniz!.^^_:1�.r.^..r!J9C§3(�3;d�rn�hin1fE0daysotis_ua.�ce. �
I S � --��c._--- � g '
� ' II � I,
6 c" 4 �
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=•� �OIiJY/Yytl � I�.
�i��X4��v��'�yY��s
'/i" 6.Hr +/ nvT �
�
� 1zl $��'
�/L
� y oS�`Fo
P/L �O� �
IZ �
IG 6
. �� , -
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Do.���c '• '
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� Vt,��wtti.i-o�n.
'r'J�f�f/�f�f
ll1�l .,
� 0' COSTA MESq
PLANNING DIV.
� �l.�IE�T TO BLDG. OEPT. RGEpG.
� @1g�.. e, P7Tt � � l0
2��x ��� �� d9-`
�,.�+4, 3�g��x5" L�qs
� ���� �/c ,
a''x ti'' rcoF�'�y
s��c seaced
�ro oxd �iR�i-�o Lo�.c/
,]'. � Sw � FT
3-�q �e Z� sr s+. C.M
-f 4
-,� ' - 3A�K _ v►�w -
c�>
a7�- !i'x 8' w,aw�nE
�jOlTf WI��I
pe� �o�nec+�„n1
� �.
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w 1�� 1�Y.t�R g,.
s
4'icy��
upriqh+l
W/ 2x L'Tr�nl
{�-".-- 7 � �� 1 �
1'
DOJ.bIC 'Z �k (.�
raF�e�r
0
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ScIF Spac�d
�
DIVISICITY O BCOISTAjMESAA�TY
pppROVED
D o.ib�e
2`X g.r
hcaa�rs
�
7 c\co.�cnce
I Min.
ilGs set af plans and speairca�ioris MUST be kepi on this joh at all tu�s a�d il is u�awful to
make any dianges or alteralan on samawAhoN written oemifssan tromfie Divisian ot Building
— 5 I O�tl Safeky, SdY4f ��%esa _
T�splan and s�eaffcai��"r- `;Nq�L NOT be held to permA or lo be an approval
cf the �ol^Uo any pwvision:' �r =nv %",: �;i Oosla �1esa Ordinance andlor Stata law.
Tr.eca olans and permit shall expire by ii�� i;:c!ion �u�d berome nuii and void ii the huiWing cr
�:a.; :; ,= ,�m-�:r.cad �n.r. m�:Mai""' ."!";`n-r !�a^, F�P3 ;dj c�i'h:n 180 days o1 isaca�cP..
Z',� �,'' �.dy..
3/9'xs•' �.7s
Ib'' o/� �_
2 �xY � s�IF s�aac�d
Oo��ccr Fis�
w� 16 9o1J
Son /
Ml�T /
io'c"
\ 7x �•
So�ra tiwnq�♦
�'S�ocktft
,� �x G� �
�1os� ti�n3
7 M�N,
[�eJblc 2XL �faueis
v,�i�ti 7,• 1/�'�t g" g.h1t o.d �v�i
Do.�b�c 1''x 8" ���ers
wilh Z, yt�fc$�.i3ol�e w/N�{�f
�2�%12�� Cenc.��c
�ooi��qs �.� in
G65 yy �raeke�S
yi' Bol+f �. �r`l vpriql�ls
�
�
�
3
.onxEsso���: 379 21ST �ST
59
avr+exsnu�EiFa�m+:NEWPORT HEIFGTS TWO
�ooness 1501 WESTCLIFF #260
NEWFORT BEACH
A 92660
�vv�. �uura �ooweu
(714)631-7933
oNr:
nncxnEcron�«a��nn:PHIL HARP ucwo.: 516409
m.xonexa•s�oo�a: 395 UNIVERSITY DR. uxT: M-4
COSTA MESA CA 92627
coxrnAcra+sru�HARP, PHIL GENERAL CONTRA (714)642-2913
cwm�croas�utn�o 345 UNIVERSITY DR
��COSTA MESA CA ucra_ 516409
92627 uxr: M-4
LICENSED COMRRCTONS DECLAflATION: I heroby dl'xm urdm penely d perjury �Aq I em Ibeneed uMar poviaiam W Cheqm 8
�eommenano wnn s.nbn �000l a oiVi.ion a d �ne ewnere ene v.ae.am. cae...ne mv �enae ro in �w� �orce mw e�me.
cmuc.No.:045227 uc.cuss:B uc.No.: 516409 EXP: 06/98
ome: `^I `2J'1 �i a comraaor: � L'�' '' e
OWNEN BIIILDEH DECLIRATION: I heroEy elfi�m urMer penely d parjury �hel I em uemq Imm IM ConVetlan licwe lew tor iM
Idbxiq roefan (Setlpn ]0.'11.5 Buviwet aM Prolpepns Cotla: Atry c1y a munly MiT �puLes a pe�mE b wmWc1. eda.'v�wa.
^�oleh. a repei ury niuqure. pnor b as e�uenca, ebo repu'va tM appGmV br aN pemd io Na e egned ammsu Nm M p�he
ynaE punuenl to the pwieiw W tlr Canlrmaare liren�a lew �Cheqm 9(mmnarv'aq wnA Sequn )OW) d 0'viian J d ihe
Nn vM Prdexbm Cadel n thm M a ehe ia uemq �herelvn erd Ne baao la tln aOepeE memqion. AM'volmion d 6eaion
..,.� s by eny appGuni t« e pmmn suejem iha epplum �o a aal penely d nd mora �han fne hundied dd4n �55Wp.
� I.movmerdthaperoMamvanWw�wYhweYe+miM1eisdemmv�+Vion.WldoUsxak.end�hotl'uCuiebnolirtlwked
a M«d ror eele (senion )ou. Buvrou ene PMaafne Code: TheCw'euan lioaroelewdoes ia wV�i�o en o.nerd popeny
M�10 �III}y! C! TP��S I�INlCII. Vld N1q QOM tlM�l MIXk �%T8ld Of hBAO� IX I�MWjh hO IX �1Y OWII tl11pO�M�. p10IM�ld ��W tllL�l
impmvaneMs me not inlaMed a dlad fa eab. tl, howewr, ihe buikvp a'rnqv+emM is �dtl wilhin aa yw M mmqMion, �M
owmr-builder will heva tha buken d qovi�q M a sM dN mi buiW w imqan In �M puryws d eeb�.
❑ I. m ox�wr d iM MW�Y, em vduwMy mnlrad'nV xiln IimneeA cantrecws lo canmud ihe pN� (Seaun lOs�. Bwi�s. vd
Pmleaeione Goda: Tha Coniream liconn law doee na wMY m en owrw d pw�Y xho buitla w imV�+m tMreon vM Ma
convecta br wiW MQeas wnh e oomreuMe) I'cemeA Wrsuem to �M Canlretlae Lioeme Lewl.
� I em eRmmq under $ection: B. B�P.C., lor �hie reawn:
Dme: Ormer:
i ao naeW unar mm i em ...,e d w uwe�.w,a m. nv��w, a ceumd. wmn w seien wm swo�. xws. usro. .�e
25.SJ�. ard Mtl I n anV Mvre bWCvV omF+�� will / wA M(mcb ane) nsed m mplY wih erid qe�s wdes end �M mPmemWe fa
e P�� Iarmnlv.Yan «modifimlion hamtMAi�uTl�anepemem Outiip. RaidWwl omp�utlion eOP�'vuenerzemN IromNue
01W19MM.
Dete: ApqFaK:
WOPKEN'S COMPFNS�TION DKL�H�TION: I herWy NNm wEs pxuly d pxjuy ane d tla IoOow'vq EaWm'vn:
� 1 hew ud wil meinien e canJicue d ooneenl to eaMinwre br xorkan' compenW bn, m pmiEed lar Ey Seuion 3)00 d IM lebar
coaa. i« me ron«�,� a m. �x i« w�n ma o� re�..�.d.
❑ i ne.s m,e w me�m� .�onw.• oomv�� ��,�enm. m ra��e W sea�m e�oo a me �m« coa. r« n» ro�am� a m.
work la whidi thia perm� u"vaued. My wnkeis ownparumion mwrarice mrier enE pdiq numEx ere:
c�a:
adrv N�mne.:
n.ee mr w m,ndmee r u» v�x is ro. a» nurM�ee earas /s�ml a.�++.1
I calfy tM in the pplamerca d IM wak tar xfiich thie pamiG u neuaE. I tlrA iw enplv� uy pvem n uy mervw e n �o
becans +uM� to iM v.aikere• mmper.vlion lew� a CeNomie. and +Ores pxt � I Mouk becone nd'ptl to iM wvM1en•
oonp,e`�nNion pwiabro d Swion �]OO W tM lebor Cada. I MM /aNwnh mmCM �h tMea pmwio�e.
Dtls: "'�, Zl�' al R Mq��c `�' �...t�
Wunlnp: FeOun ro wcun woikw�• mnp�n�etlon corwp� h wY�wM uM Ntll a,b/'el an w�rplryw ro almlial pwNu �iM
c/vq Ilnu �q b am huWiM tlwuaW OeIMn (tIPqOWJ, N bdltlon m tM cwl o/ cvnpru�tlwt tl�m�pr u prevlMA br In
9ectlon �ll16 0l tl�s leborCods, Inten�f, �M elromry'� I�u.
CONSTNUCTION LENDINO IIGENCY: I hereby tlfirm uMer paneXy d perjury Iha tAen u e aonetiudion bnd"uq �wy M IM
parlameze M IM work M whirA Ihe M�i u ewetl (Sedion �09). Civ. CI.
LENDEH'S NMIE:
LFNDEF'S RDDNE59:
I cenily ihet I heve reaE I�ie applicelim erd Yma thet the ebave inlormelion e cortw. I yne io camply wit� ell ary enE ooun7 �inenne
ud stele kvn nlet�q to buJdvp canaruqion anE hmepyainhorce reqaventmives dlhia dryb anter upon tM e�ws-meMioned poperly
�a�°'p�w�°� PHIL HARP
I 1nJ � '^` PP1m Name/�
��M1�"' [ V kvlY Dms: `" Z C
/ sqnmure a oww�Apew ree«
(5151eB WP) Whna-Buildiq 8 Sdary; araerFb; Cenery-Appicenl; PinM-Rmeme; OdEen�pLMaevor
CITY OF COSTA MESA - bUILDING PERMIT
PERMIT NO: B 087701 PLAN CHECK NO: 01491-98 S
CONSTAUCTION TYPE: V-N PERMIT TYPE: STR
JOH DESCRIPTION : 3095F OF LATTICE TYPE PATIO STRUCTURE
CLAIM VALUE:. 2,000.00 CALC-VALDE: 4,900.98
i . '� %�
/ � �o_ .i,i_: �� /I
_ �
•
�ilaSb�olis � �
SQ FT: 309
GROUP OCC: R-3 /U-1
COMMENTS: NEW 309 SF LATTICE TYPE PATIO COVER
��+�x**+r*����*�*�*��*****���**����r*******�+�***�r�****+�*+�**�***��+�**xx**��****���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 BUZLDING ---------
FRNT: FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN
LEFT: $ FT 6 IN RGHT: 6 FT 6 IN LEF� FT IN RGHT: FT IN
�/oi(0—
PARKING REQ• PROV: PARCEL: ��� �ZNE: R2-M REF NO:
PLANNING NOTES> OPEN LATTZCE PATIO COVER TO B£ CONSTRUCTED BEHIND A I$L7. 215 ��
> CONSIDERED FT OF LOT; ^_^` _ ., n ` • .
�� �*� �� �� a��r***�* ���*�r*x * �**�-�*�* x *��*** ��r ��* ��r�e�r x���*��*� �r���� � x*�*+r�r*�x��r*� � �*+�
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED BY :
LEGALIZATION:N
BLDG PMT
PERMIT 99.75
PLAN 64.84
ISSUE FEE
F E� S U M M AUR Y
PLUMBING ELECTRIC MECHANIC
DATE;
DATE:
STRUCTURAL SEGMENT:Y
FIRE SMIP/R55� GRADING
SMIP/NON-RES
bUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAIU DUE
TOTALS----> 100.25 0.00 69.84 165.09 165.09 .00
REVENUE DIVISION TOTALS--> COLLECTED: 165.09 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
99.75 .50 64.84
'lf 1F IE �(' �E iE'lE iE �E iF'If fF fF iE iE'1E �f' iE iE �f iE �E'1E iE if 1E'1E 1E iE iE iF 3E ik �E if -1f iE iE iE jE �(' #� 1E iP iE if !F if ii' iE iE iF iE-1F �1F-lE if 1k iE iE �If if'lE �E?F iE iE if iE iE 1E iF if if iE if 1E iE if
I N D Z V Z D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
SFR 304 RES-PATIO COVER-FOST 6 TRELLIS 16.12 4,900.48
END OF FEES
C4-2J-139&/12:27 P�i/8165.�3
RCP1�:51-oCezb�a
PtRT'fIT e 087 /tii
. --. ` �
CONSTRUCTION AND PLANNING P��� Pa
pPPROVALS Permit� Date Inspector APPflOVALS P�t# Date/ Inspector
t. Temporory Electrical Service or Pole 52. Pool & Equipment Location
2, Soil'Pipe�Undrgrnd. , 53. Steel Reinforcement •
3. Electrical Conduit Citility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' -
6. Electrical UPER Grnd. 57. APPROVAL TO COVER�GUNITE
7, Footings K Z,( �Gl�- 58. Electrical Conduit-Undrgrnd.
$. Foundation 59. Gas Pipe, O Undrgrnd., Test . �
9. Water Pipe�Undrgrnd. 60. Backwash Li�es, P•Trap, O Undrgrnd. �
10. StructureY FYoor SVstem 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final �
12. Sewer Cap • 63. Heater & Ve�t-Final ,
13. Roof Drains . 64. Plumbing SYstem � Finai
14. fiough Plumbing � 65. Electrical�Final
15. Rough Elec2rical-Conduit 66. Solar SYstem-Final �
16. Rough Electric Wiring 67. Fencing & Access ApProval � .
17, Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Aough Elr,ctricahT 8ar Ceiling 69. POOUSPA SYSTEMS F1NAL 1
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21, Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping �Gas OOiI
23. Gas Pipe-Rough & Test 72. Unde�ground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monoeoat 75. Dry Chemical
Z7, Freme and Flashing � 76. Dry Standpipe �
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing � . HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finai � 80. FOOD CERTIFICATE ISSUEQ
33. Final Electric Notes: �
34. Final Heating & Air Conditioning
35. Flnal Gas Pipe�Test
36. Hood or Canopy � . _ �
37. Final Factory Fireplace
38. Final Plumbi�9 .
39. Water Service�Final �
40. Gas Service�Final
41. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenaation
46. Handicap (iegulations
47. FINAL STRUCTURE & BUILDING _ 7 4� ��
L'
48. FINAL PLANNING �
49, Etectric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date