HomeMy WebLinkAbout387 21ST ST - Building Permits� M�FESSaiWILpNO:
ormaas�eivoarm: jg7 '115T ST
"�"�" NEWPOR'I HTS TWO
1501 WES'1'CLIFF
N.B. 9266G
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UNT:
IJiCHIfECi OX FNOPIEEP: IlGNO:
""�K�"�'%'�^"� Gi�UVIS ENGINEERING 0°Ni' .
44G0 CAMPUS DR
�TM�T�� N,b. CA 92bbV
cwm�cram�muiopACIFIC GRANL CUNSf. (714)b31-7933
�� 15G1 WESTCLIFF ��=
N,b, tf�f``�� CA 7�A9u4n �
110EN5E0 COMP�CTONS DECL�P�TION: I IrWy effem u�wuv� d pryvy Nm I am IicanW wtler �� wpa 9
(oomm«ic'vn wan S«�im �aoo) a dwun o a m. Buu�m .nd Rarrm. Caa..na mv G�a�w o in nA Mc. ene anaa.
CITY LIC. NO.: 11G QAS9: LIC. NO.:
� G7G118 , __. _ "i349o4 EXF: A6/98
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WOPKEP'S CONPENSATip1 DECL�X�iION: 1 MeWy vf m udr pruAy d p�uy aw d Ne b0o�irq bdrtliwa:
� I Mve enE W meiNen a oM' �e tl mnml to WJmiv� br wM1an' mnpend�ian. e pwldW Irc Ey 8adion �]00 d �M laEa
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become wbjee to tM v.oMn' mnper�uiion levn d CNilanu, uM pne Ntl A I MwM Ee�wne aEjetl to tM xoM1en'
compenutun pr "som d enion �]00 d ilr lebor Cads. I ehell l �mh oomp�y �' Ilcn pm�iio/ns. /n/
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periormeMe d Ihe wak M whic� I�e prmi u eaued (�� �1. Civ. CI.
LENDEP'S Nu1E:
LENOEP'S AUDNESS:
I cenify ihet I hew meE �he epqcNian ud pme Ihet iM �bv+e'vdwmmian u conw. I epna Io oomply wil� aA c'ay rd oouiXy ordinencw
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CITY OF COSiA MESA - BUILDING PERMIT
PERMIT NO: B 085068 PLAN CHECK NG: G'l2b"1-97 H GOVT: N SUPr: N
CONSTRUCTION TYPE: V-N FERMIT TYPE: S'CR PURYUSt; NEW
JOB LESCRIPiIUN : 2323SF SINGLE FAMILY RESIU. 57�5F GARA�E 5Q r1': 2,929
CLAIM VALUE; 15G,G0"v.G6 CALC-VALUE: 199,955.12 GAGUP GC�: d-3 i
COHMENTS: 3o5F FGRCH "FLAtJ 2"
1f if ii iF ii iF R iF iF iF iF'sF 1f iF 1't if if ik 1f iF iF iF iF ie iF iF iF if �1F if iF if 9F iF iF if iF iE iF ik iF if iF'1f iF if iF iF iF if 1F if if ii iF iF iF if �Jf if if ie 1e i' RiF iF'1'r'JF iF iF ie i' if if if ii ie 1't
Z O N I N G R E Q U 1 N t M �. N 7 5
S E T B A C K S
------------ MAIN BUILUING ---------- --------- ACCE:SSOkY" bUILUING ---------
FRNT: 1G FT IN REAh: 2� Fi 3 IN FRNT: FT IN REAk; FT IN
LEFT: 19 FT ZN RGHT: 40 E'I IN LEFI': FT IN kGHl': FI' Tt�7
/'.�• .
PARKING REQ: � 4 PAOV: � 4 PAACEL: OGGGGOGO ZNE: R1hiL REF' Nu:tLRy11G5
PLANNZNG NOTES> 1, 2-STORiI.UNIT W/ATT 3-CAR GARAGE (GNE OF o, LETACHED. UNITS
� 6F A COMMON INTEkES'C uE'vELOPMENT). FiFiEi5D
if if iE iE iE iE iE if iE iE iE'sf s4 if iE iE if if iE if if if if KiEif if iFie� �if if if if iE iE if ii if if iFiE if A i! iEik 1Eii �i 1't ie if iE ii iE iF 4 iF iE ii ie iF iF if iE if if if.hf ii iE ii if ii i'r ii if iE
D E V E"L O P M'E 'N T S E R V I C E S R E Q U T A E M E N��T; S
ZONING APPROVED BY -, :� "� CC � UATE: �+
q 1 ! F,_
HUILDING APPROVED BY• : � � - �I ?/r LAT'E; W-� �"1
r
APPLICATION IS5UED BY: � UATE: � '
x�x��kw;�**x�;�*�r�c**;�;�*;�k;�*��iF'�i�F£SFiF;��7'F��iF'ifii ?����;��r�x�tc;�**�r ,.�',F;F'{F+�;�
LEGALIZATION:N F E E S U M M A R Y STkUCTURAL SEGMF:NT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM1P/RES GRADTN�
PEAMIT 1,387.25 A;� 20.G0
PLAN 225.43 = SMIPiNGN-kES
ISSUE FEE �%
BUILDING-DIV-> yERMIT ISSUE PLAN-CHEI:K TO'fAL PAID UUE
TOTALS----> 1407,25 0,00 225.43 163'1.08 1G32.68 .GO
REVENUE UIVISION TOTALS--> COLLEITED: 190%.25 OVER/SHOR'f: .00
BLDG PM'f YLUMBING ELECTRIC MECHANIC i�IRE SMIP/'POT GRAllING PLAN-CHECR
13d7.25 2u.G"v
if ii if if iF if if ii w iF M iF if iF iF iF il iF iF it ie iF i� iF w iF iF ie iF M 9F i4 iF ii'sF ie ii if iF ie iF if if 9F iE iF if'vi iF iF iF ie'sF ii if rt iF if af ie if %M 1F if iF iF iF if iF iF w:i ie'sF w'st if iF
I N U I U I D U A L F E E b R E A K ll G W N
TYPE QTY U E 5 C R I P T I O N UNIT �UST 'rU'fAL i:i�S7
SFR 2323 DWE-TYPE V-WUOL FRAME -GiiGU 80.00 187,233.8G
SFR 3b RES-PATIO CuVER-POST 6 SO ' t�i�—�-.� 1o.i1 SBG.32
SFR 570 RES-GARAGES TYPE V, � 1,30 12,141.OG
END OF D
:s ocr o 8 iss�
. r•
CITY OF COSTq MESa
_.,�.
�
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
7. Temporery Electrical Service or Pole- 52. Pool & Equipment LocaUon
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforceme�t
� Eleetrical Co'nAuit UYriity-Undrymd. 54. Forms
4. Electrical CpPtl,uit�;U�rgrnd. 55. Electrica� Bonding
• 5:� Steel ReinforiEmeRt'3 ' �B �f-� �t�L 56. Rough Plumbing & Pressure Test
_'�� Flecvical UEEfi G�ntl. (p-(s-Y% 6cs-6L 57. APPROVAL 70 COVER•GUNITE
r.7� F.00tings � j' ��j��..�"j �' 4,� 58. Electrical ConduihUndrgrnd.
8' Foundationn�� �r/_' _����� ��u, !L� �wbC 59. Gas Pipe, O Undigrnd., Test
�w
9. Water Pipe-Nndrgrdd. 60. Backwash Lines, Fhap, O�Undrgmd.
10. Structural Floor System 67. APPROVAL TO �3�CK
11. Property Sewer Line & ouse COnnection ��
� , 62. Backwash & ReceptorFinal
12. Sower Cap � * 63. Heater & Vent�Fina� �
13. Roof Drains 64. Plumb�ng System - Finai
14. Rough Plumbing�-+ -� 65. Electrical�Final
15. Fough Electrical-C,�nduit ^ 66. Solar SYstem-Fin� :
16. Rough Electric Wiung�� 67. Fencing & Accesi'ApP�oval �
17. Rough Wiring Sign� = � 68. APPROVED FO�ASTER WG
78. Rough Electr(cai-l:Bar Ceiling � � 69. POOL/SPA SYSTEIVIS FINAL
79. Rough H8a[ing & Air Conditiomng _ - � .�IRF D T. QUIREM ENT �
. � -i . L �.4 T.�F�f-� R� �"' t- J �._J
20. Ra�9h.Eactpry �ire�a,�e _ �i ' 1 : APPRO�/Al�;nj �i�ermit # � N P
21. Dueu, in StF�ct6re a: r � .. .. .• � � .j ^ ' � - � „� ~ J �
'^ � S�- � l 1 �0. U[ijlergrou�l�iyc�o r
1 �
22. Ducts, �Ventbat'tC� ';� � �_ _ � . j, �1. Product:5'jtLny O Ga'f-.� Oi�
23. Gai•Pipe-RoteghT� Tese �' : � � �-". 7 � �Z, Undergrourri_FIu�N1� D � ' ' '�
� Y 1
24. Roaf Frami� " -� �6
9 '� � � � ;-, 73. �n:lergrnd:�StorayE3�[c'� 4'Gas COd' �
-�-� �
25. Roof Skreax�in9 ,�� ' `7-'1- ��Z w;� 74. a6�rh,ridd HYdro '� � �
26. T�9�r Ceiling (Struct�r�l) & Mon��Qat � r; � �'" 75. �ry Ct3�m'vv�s _ j� g;�;;
- -*^.:=-7'�--i .
27. FrSme and PJashing ,r, � ^ S /_�L�q �� 6 �� _' ! 76. Dry Stand�iAe ,,,'� � _
! ����� sl ' -y _1
38. Lathing& SiElin� �„ � ° �' `� /�'�� �'�'?�-"�� 77..�IXED SY�57EM•p'fNAL :� � - p �
29. Insulation r �• � r ' l-�9�=�g �_4�i, 78. �FIRE PREV. FINAT' � ' '` � �''r ��
30. Drywall Naiting'� .,� � ' _' � (�.�, „ ' N�%±.�-TH�;EPT.�tt'QUTbEF�9EjV7
.-z-r-.
��1. Plaster Brov7n Coat �+= -'*' Z�L- y ���-�' 99. FINAL INSPECT1019 `_ �, r ,
�El�trical RiWer �leterlFir� � r " � I �� &�. '�OOD CERTIFiCATE ISSi1 ''
. � � , �5 ��� . � � ,� -�
$3. Firrjl Ekct _� � , r ` � � �, r : : � i Noce�� � ..-�=-��• �L I�EQUIREMENTS
-• - -NOLD �0�:��.__L,.
34. Finzl Matirry &�.v Co4iditioning •� " ' � �� 1j� `-- S "� ., '�--
.� j rt� i'r' ) J I ii �-� ' C
35. Piijal Gas Pipe� est � - � � � I .> � � _ ^�-� � t +'
36. Hood or CanoPY ° � n - '' _ ` . � I ' £ � -�`' � � r
� r..r r,�4 'r Fr -� .
37. Finel Facto_ry Fireplace � � - ' � r � � � �
38. Firt�l P!'umbing�-� , .. _ i � ' f S - ' • -� -
.� ; I r. • '� -
39. Wazer Service-Firial � �- � . ; ' � � '" '
�7 . i ^ r 7 r
i i '
40. GasServicefinal� f. ; ." - + ' ' i �_,� �"
'i� �- i • �:. t � .
4_7. SotSr pomesticFjnai � � ;� - : ; � � , i , 7 =. ' f . J �
42. Backflow Prfventer r � : T' ; � � � -' l. K = " .
.� _
� 43. Backf�ow Ir�igai+'on � . �' " _ j - � � ' �. . .
44a Landscape Irrigation System � n _ ° -� �- - - � - ` � - + �
f � {
45-Sound Attequadon ` �, � � ` ,� e1 -� � T • �
46. Ha�dicap Regulations � - - � � - � •
C T �
.47,.FINALSTRUC'f1JRE$�BUILDfNG y.,`.�Q_� ��_ � �' - � _ _
r.
48. FINALpLANNING ' ^- �/-� �� " T� _ ' � ,
49.' Electric Rele5se to Edi;on 3 ` � 1 ` _ . ' ' '
. i f -� r . , -
50.. Gas Release to $outhem Califom�a-Gas Co � � � � • � ^ � ' ' ' .
_ ' , �
51. CERTIFICATE OF OCCUPANCY ' - � ' ' - �
No. Date
S�C�H�U�L�L�E�R
Residential Building Insulation
Installation Record
Batts & Blankets
Description of Area Sq. Ft. of Insulation R-Value @ Thickness
Ceiling R- �A {j�/ f
Ceiling
m
Wall EXTERIOR WALLS R-13 3 5/8"
Wall
Floor GARAGE QEILING AREAS R-13 3 5/8"
TITLE 24 FOAM CADLKING'.;
If batt or blanket insulation has been installed in enclosed cavities, those cavities are deep enough to allow insulation to
expand to the labeled thickness unless exceptions are noted above. -
Biowing Wool In Ceilings
Nominal Net Sq. Fi. Minimum
Bag Weight Insulated No. of Bags R•Value Required Thickness
Blowing wool, if used, has been installed in the ceiling in conformance with the manufacturer's requirements shown
on the bag. '
Location %�Q�CT �L/SSL� �
St. or Lot k GG7-�1`- �o �/�,in%� 02 —.JiY 7 o2�S% .!. '�6/
City CQSTA MESA . CA
Buitder
Company Name
Signature
Insulation Contractor
Company Name S
Signature
Schuller International, Inc. I
Building Insulation Division
P.O. Box 5108
Denver, Colorado 80217-5108
Date
1
Mg
a`" , �
o,
s _
J 1: L':
�m �
(714) 754-5273 • FaX (714) 754-4056
\
CITY OF COSTA MESA -- -
BI/ILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 387 21 ST ST
Suite:
Vicinity: REAR 8 SIDE OF HOUSE
BUILDING PERMIT
Parcel Number: 42623240 Zoning:
Applicant: SEIDNER, GEORGE
Address: 387 21ST STREET
Phone: (949) 631-0975
COSTA MESA, CA Zip: 92627
Owner: SEIDNER, GEORGE 8 ESTHER
Address 387 21ST STREET
COSTA MESA, CA
Contrector: OWN E R-B U I LDER
Address:
Zip:
Arch :
Address:
Zip:
Phone:
License:
Phone: (949) 631-0975
Zip: 92627
Phone:
License: 0
Eng:
Address:
PERMIT NUMBER
B99-0�8,85
77 FAIR �RIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 1129/1999
Issued: 11I30/1999
Phone:
License:
SCOPE OF PERMIT
CONSTRUCT A LATTICE PATIO COVER ON THE SIDE AND REAR OF AN EXISTING COMMON INTEREST UNIT. 575
SQ.FT. REAR YD COVERAGE OK; 410 SQ.FT. PROPOSED.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$90.51
$139.25
$0.66
$0.00
$0.00
$0.00
$230.42
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
FEE SUMMARY
PLANNING 8 ZONING
Rear 10- 0 Lefl 7- 6
Rear 0- 0 Left 0- 0
Required: 0 Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
$6,609.20
$6,60920
�c�
'�`'��-�'�
NO710E: The work euthorized by this permit shall comply with all epplicable handicap access �equirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is nol commenced within 180 days, or it work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for the work authorized under ihis permil to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectlone and Iinel approvel mus� be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLAFATION:
I hereby aHirm untler Oenelry o} perjury one oi the tollowing tlacleratians:
❑ I have antl will maintain a certificate of rnnsent to setl-Insure for workers' compansation, as provided for by section 3700 0l the Lebor Cotle, lor the pertortnance of the
wark for which this pertnii Is issued.
❑ I have entl will maintain workers' compensatlon insurance, as requireC by SecGon 3700 of the Lebor Code, for tho peAormance ol ihe work for whkh ihis pertnit is issuetl.
My workers' compensation Insurence cartier antl policy number are:
Cerrier: Palicy NumDer:
(This sectian need nat be comp/efetl i! the permi( is valued at one hundred dollars (5 f00) or /ess.J
❑ I tertity ihat In the perlortnence of Iha work lor whith thi5 permit is iuuetl, I shell not amploy eny porson in eny menner so as to become subjec� Io Ihe worker5'
compensation laws of Celifomla, entl agree thet if I shoultl become subjeci to the workers' compensation pravisions al Section 3700 0l Ihe Lebor Cotla, I shell forihwith
compty wlih these provisions.
Applicant Signeture: Date:
WARNING: FNLUPE TO SECURE wORKERS' CpJPENSATqN COVERAGE IS UNL4WFUI. AND SHNLL SU&IECf AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO dJE HUNOFED
T110USPND OOLLARE (5100.00p�. IN ADDITION 10 THE ODST OF �MPENSAiION, OAMAGES AS PROVIDED FOR IN SECTIdJ 3]OB OF TME LABOF CODE. IMERESi. AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: �
I hereby ettirm that 1 am Iicensetl under provisions oi Chepter 9(commendng with Section 7000) of Divislon 3 of the Business antl Prolessions Code, entl my license is In full
force entl eNect. Lic. a qass a
Cantractofs Signeture: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby eMirm Ihat thera Is e consWCUon lentling agency for the pedormance oi the work br w�ich this permit Is Issuetl. (Sec. 3097, Cidl Catle).
Lontlers Neme: Lendefs Address:
Signaluro: Da�e:
OWNER-BUILDER DELLARATIONS:
I hereby affirm ihet under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the lallowing reesan (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a Oermit to conswct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requlres ihe applicant for such pertnit
b file e signetl stetemenl Ihat he or she is licensed pursuant Io Ihe provisions of �he Contrectors License Lew (Chepter 9(commencing with Section 7000) of DiNsion 3 of the
eusiness antl Professions Cotle) or I�ai he or s�e is ezempt therelrom antl t�e basis tor t�e allegetl exemption. Any violation of SecOon 7031.5 by eny applicflnt for a pertnit
sub�ects Ihe eppllcent to e civll penelry of not more than /Ne hundrad dWlars (5500).):
� I, es ov+ner ol the pmperty, or my employees with wages es �heir sole compen5atlon, WILL DO THE WORK, antl the structure Is not intendetl or oflered tor sale (Sec.
7044, Busine55 end Professions Cotle: The Contractors License Law dces not apply Io an owner of property who builds or improves t�ereon, and who doe5 5uch work
himselt or herself or through his or her own employees, provitletl that such imprwemenis ere not intentletl ar oNeretl for sale. If, howaver. the building or improvement is
sold within one year of completion, Ne owner-builtler will have ihe burden ot proving that he or she did not build or Improve for purpose of sala.).
❑ I, as owner of the pmperty, am E%CLUSIVELY CONTFACTING WITH LICENSED CONTRACTORS to construct the pm�ect (Sec. 7044, Business and Professions
Cotle: lTe contractors License Law does not eppry to an owner of property who builtls or improves thereon, antl who contracts for such projact with a contrac[or�s)
license pursuam to the Coniractors License LawsJ.
❑ I am e pt untler 5ec.
Signature: �
Owner ID vediied by dn efs license. es
Venfication of Ownership by (type ol documeni, i.e.
❑ No
Business antl Professions Code for this reason:
Date:
Drivers License No. [/. ��� Expires. ��- 719 "�
property tax 6ill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby certily Ihet no excavation tWe (5) or more leet in depth inta which a person is required to descend, wlll be made in connectian wlth wark authorizetl by this
permi6 entl Ihal no building structure, sceflolding, lalsework, or demolition or dismantling Ihereot, will be more lhen lhirry-5ix (36) feel high. (Chep. 3.2, Grp 2, An 2, Set.
347, Title B. Calilomia Atlministrative Code).
❑ As owneo-�ullder, I will noI employ enyone to tlo wark which would require a permi� irom the Division ol lntlustdel Safety, es notetl ebove, unless such person has a
permit to Oo such work from the division.
Signawre: Date:
Division af Industnal Sefery Permit Number:
CERTFICATE OF COMPLIANCE AND AllT}IORIZATION OF EMRV: I certity under penalty of perjury that I have reed ihis applicetion entl state that the information given is
correct. I ea to comply wilh all stete laws end ciry ortlinances relating �0 6uiltling construc�ion, en0 authorize represenlatives ol the Ciry of Costa Mesa to enter upon the
ebove-ae bed property for inspection Ourposes. �.ag�o occupy or allow occupancy ol eny building euthonzea by this permlt un�il Iina/l i�n�spection.
i a �Y1� o n ��— 2.—/ ^��/
Signaiure Of Legel Owner(s) Date
And/Or Authorized Applicant
CO�E �, INSPECTIONTYPE
1816 Fixetl System Final Fire Prevontion
1266 Pool Spa Final
200 Finel Re-Raol
201 Finol BIaWReteining Wall
202 Finel Fectory Fire PleCe
203 Finel Sign
204 Final Demolitlon
2046<6
Q9IE 1t�L4S
CO�EY INSPECiIONTVPE
206 Finel Machenicel
208 Finel Plumbing
270 Final Elactncel
212 Finel Fire Prevenlion
220 Finel Planning Approval
222 Finel Slte
250 Pinel Builtling�Occupancy
B9IE INTRIPLS
�
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s7a.,� pY�X
',�.c�.�'�- �
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ADDI710NS, DELE710NS, OR CORRECTfONS SHALL
BE APPROVED BY THE PLANNING DIVISION
� ��
�
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I ��Ni
�naF
av1
� � The
� af th
Tyq ; I
. I Th2:
I wort
� I
�, � i:P�,c�,n:12,�.L,�,VG SAI=E7.
Ui+Fh �F���"''.�'nAESA
� Ad'PItOVED
�,6��� �" ' o�� f t �3c
�a" sa"d SP` ' 3 kept cn 1hi; job at all limes ai
•.�tm
�g.s or aNera;ron on sarne x�tllbN w�� p���� �m � Dn ol Ouild�g � � j
AyolCostaAlesa. 1�n, . Q�C/�� x` �i p'NG/�� �,�
oflhispianarvl,p:ci;;�c�!^,'roixSHpL1NOTbene�d '� I
/ertniforlo, . iapProva $ u�'6 � v�
3Ln of any proN;!crs c�f e;r� r,�y �f �asta bL^sa Ordinanco zn ';taia la�.
I . � � /s�`,...
` �:n0 �ermB : w!' ' r �
� sa�;�re by h�ata;ior. ard yecoin� �uL a�d voi9 il . uik�iny . ��'
,r,nancd++uk:na��t:;i�l;.r.:ti��eu.�{7"u";3�3Id)wi�twifA�dt�'.t`'ssuan�; I N .��)��.�., ,p,,�
� ' ?;� I � !i Li (NC.�/"
�� 5 0� �8,� � � z 1
b "' Sf l �fl`asx� �,
M_ ��' .r.��fjt�����j{{{{jY/Tm1r"� ' �I O r�d . .
�W Y . SK.IiV ♦ ��I� ��i� •
C�T�' �F ;�:f3�:i:.�F.�,y�C' �e �''.' l6�L'r:{J� 1,�1 � . �/ t/`r`��
U JE PLAN ' vo UIV. ����� , � �
�TO BLDG. DEPT. REG, � V�� ' `
.�� '
'�i��TE ./�`� 8 ... .
�/y/�/}-/-� � �' .
. I - �/ ��/'(/ V V `/ . . • • � \4 �� .:�`�,�
. f .f:��. . :.,.
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2'%-�� iyp• � ' � �� d:
� -
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L./ ' " l t/ l/.. ' _� �l�i. .� ...•
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER ANO YARD AREAS
� � I
��
U:: t,::i';�. t_`,!= :;L';L3�iivt, 5Ar'G1'Y
Ci �': Or CQSTA AAESA
I APPROVED i
1 /_ . 1
gy— _ '�WL DaC ' L
Th's s t of pla�s and sp rilicalions >.�UST be kept an this joh at �I times and e s unlaedul to
mJca � y changes cr a�lar2tan on sama wdhoN �Maten peimss:on from the Divs ot Bu�rig
and ety, City of Costa Masa. � G� . o`�g
7t�e s`. rfmg of th!s p!an z,?d spesw: �`�D„L PIO? be he!d to p�8 or to b an appiovai
of ^Yt��i.: �a,, .,.;, ���� n -^^ teto lau
Thes� pl,�^,a anC Exrnii :•a:l ez�ire ey le�iiaiian en1 b2rnnq null and wid if 3 bui!ding u�
�vork is nc! cerrJnenc� and ma�tsir,co a,f�ia;nr G��,^, CJc3 (oj F:thin iP,O �j�ys of i:suanw.
STREET
PLOT PLAN
N
0
7
F-
N
t9
Z
0
J
J
m
H
�
X
w
SEE DETAILS ON REVERSE SIDE
ROOF SHEATMING
OVERHANG
_X _ RAFTERS
AT_ O.C.
_ X_ BEAM
T- STRAP EA. SIDE
FOR POST- BEAM g
CONNECTION. W �i
a � u
a z z
¢ w a
m ~ � F
U% 4 f/1
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N 7 Q _
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Z � �
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U ry Z U
J
DROP PAT10 W LL Z x� Z
FLOOR 2' o � � \ -o z
0
� -a �
SLOPE TO DRAIN n y PLATE 1"��
-� ABOVE SlAB
o.. o : a .
� ; ` 'ait°
•iin
i
�"26 GA. G.I. FLASMING N� �
WOOD FLOOR �L__ J
CONSTRUCTION PIERS 12'� SOJ�
SIDE ELEVATION
CONSTRUCTION DETAILS
W
� Z
Q
R �
�
Z O
� 'P
W
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m
a
W
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L
20u�s.R00F CONNECTION
DETAILS
CONT.
LEDGER
CONT.
LEDGER
ID BLOCK
RqpTfR
�I/2�� DIA. X 5�� LAG SCR
AT 32�� O.C. �
DETAIL I
CR 8 CL ��TECO'�
GRIPS OR J015T
HANGER
3/g" DIA. % 5�� LAG SCR.
aT �y" o.c.
DETAIL 2
IOi�OR LIGHT WE�GHT ROOFS
ONLY CONNECTION DETAILS
ocver�Pra�rr
SFRVICE;S �I�;f�nR'IT�NP
E3UI[,�f�]G S71I�'f•,•I'Y DIVISION
OWNER: � �,--i,� ,��. ��
ADDRESS� ��'''`/ r� s=� � T
CONTRACTOR� ewN�
ADDRESS�
RAF'TERS
CARPORT, PORCN OR PATIO
NOT SUPPORTINC CEILINC
SIZF. SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32" 6'-0"
48" 5'-0"
2"x6" l2" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" .8'-0"
2"x8" 24" 15'-6"
32" 13'-6"
48" 11'-6"
4"x6" 24" l7'-0"
32" 15'-0"
X FACIA -MIN. REO.I 4"x8"
RAFTER
4PPROVED METCL
HANGER
DETAIL 3
32"
36"
48"
4"xl0" 32"
36"
48"
72"
6l�6 �y"oc
19'-0"
18'-0"
16'-0"
72'-0"
21''0„
70'-0"
17'-0"
PATIO COVER
TYF PLANS
DATE� ll•�I�a�
PHONE �
LIC. NO
PHONE�
RAF7'ERS pppNOVEU FOR
LIGHT WEICHT ROOF COVER OF BUILDING PERMIT
LATH, FIBERCLASS, ALUM.
By Date
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24�� 8�_���
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32" 12'-0"
48" 10'-0"
2"x8" 24" 19'-0„
32" 15'-6"
48" 13'-6"
HEADERS
LICFiI' WEICHT ROOF ONLY
SI7.E �POST SPACING
4x4 6'-0"
4x_6 __ ' 0"
[ 4x8 l2'=0'�
4x1�15� -0"
CARPORT,
SIZE
4 x4
4 x6
4 x8
4x10
PORCH OR PATIO
POST SPACING
5�'0"
8'-0"
10'-0"
!2'-6"
GENERAI. NO't'ES:
l. These plans must be
kept on the job a[
all time during
construction.
2. All f.raming [o be
Douglas Flr N4;.
grade minimum.
3. Rafters may not
attach to facia ex-
cept for 10]bsroofs
as shown on details;
201beroofs must use
a continuous ledger
at[ached as shown
on de[atls (IL�;�l2.
4. LLghe weight roofs
may a[[nch to fncin
for 14' span max
spans over 14��musC
use a continuous
ledger as shown in
detail 113.
�
L� `� l�f��,J
G�,,T,,��
c.�R��`---�
��sr�NU
s c�► !%
ry���a �� ,,
v��� o���-+��;,
v
�
v, .�
"C: `'-OFCGST.A�iN SAytCi
n���aov�n
---.---��un�u-�_
rc:ke any ��yeaor al�e alf n'on same Knh�� �f ���' � n�n �from e D'n�sion of Eluildvu�
�7� Sa;oty, Ci�•cl Costa tfesa.
���� �`�'�`•f„�!7 C(Ih;S pi;,;. apr) c,'v2�1'ir:7ii:_�._^ ^}{'dl. hli� Id t
� vi�;;aficra an�prari;!,��e;,' . T�eh= opermAortodsanapprovai
rn-: ; .,: + "';':; ::; (r�z.ta "!�s3 Cr�inar,w znd/or 5!ak law
. .... �0`� ,�n p,�;,°!•O � sar,lr= b!, i.i:!:'i31i?t! f-�q bE.:,ittE nuli �i,^�tj v0;d i(1hZ buik',Inn ��
.�p'��-,� _� .. ,.'�;'�-'�(�)Wit�i�ii�l7d;lSOiIf5U3fC.
t
6�`g
��G
�S/S
�I6-i9'✓�
,DDu/�
y �Z �L $oLT
/
PflOJECT RDONESS: 3 S 7 2 1'J� T JC T
, ow�r+::sxame: GUTHAIE JAMES C TR
� nooaess: 265 CECfL PL
COSTA MESA,CA 92627
714) 696-7806
PHCNIENGINEEP: HEG.NO.:
nooeess:
I1NIT:
uxiT:
PEflMITTEE: AERO—THERM CONSTRUCTION ( 714 ) 696-3953
aooaess: 289 LILAC LN
COSTA MESA CA 92627
LICENSED CONTHACTON OECIANATION: I hereby ailirm iha� I am licensed under pmvisions ol Chapter 9(commencing with Section
]fq0) ot �ivision 3 0l �he Business anG Pmfessions COGe. anG my license is in �uil �arce an0 e�fect.
cirruc.: 099015 sTareuc.:393321 cu�ss C.!9 G'E/XP; 09/99
,Date'. �9 _�s—� I Signature: �L. "v�'N��
WOXREBS' COMPENSRTION OELLAflATION: I here0y atlum ihat I �ave a wrlificate oi consen� to self-insure or a certi�icate of Wo�kers'
Compensation Iqsu`anc¢, cp� ifie cp DY ��e�eof (Seclion 3800, Lab
POLICYNO.: iL�b��U—�3 EXP.DFTE: 7�OI/94
comenxr: STATE FUND,.s�
❑ Certifietl copy is �ere�y Iumi5he0. L' 1 Certihetl copy is �ile0 with ��e ciry Builtling Oivision.
�aie'. Applicanl:
B' P N I N� Thi i n n n � b com Ie�eU i� the ermit is far one �untlre0 5100 or less .
EI(EMPTIONfBOMWOAeE S COM E SATIONOECLAHATO . ssecto ee0 o e
( P D I ) I
I certity Ihai in the Dedormance ol ��e woB for which this permit is issuetl. I shall noi employ any person in any manner so as to become
su��ed Io/�!ne WOB(e�rs' Gomp,,e/n5aiion Laws ol Cali�ornia. { //,�� ' py,�-
Da�e: v �� / —y l SignaNre: ��iU/6V/� / , /v//.c/'�iA/Lar
NOTICE: If, afier making Ihis tleclara�ion. you shoula 6ecome su6led lo [he WOBers' Compensation pmvisions ol �he Labor
Cotle, you must �orthwi�h compty wi�tl such pmvisions or this permi� SAall be tleemetl revoked.
CONSTPUCTION LENOING RGENCY: I here�y aflirm �hat t�ere is a can5imc�ion lentling agency lor ��e pedormance oi Ihe woM1 tor
which �his permil is issued (Section 3097. Civ. C�.
LENOEfl:
aooness:
OWNEB BWLOEP OECNNFTION: I here�y a�tirm thai I am exempi irom the Contracmrs' State License Law �or �he followinp reason
�Section 7031.5 Business ana Pmlessional CaOe: Nny city ol county whic� rtquires a permit to conslmct, alter, improve, demolish, or
repair any slmc�ure, prior �o ils issuance, also repuires Ihe aDPlicanl lor suc� permit �o lile a signe0 5taiemenl Iha� he/she is licensed
pursuam b the pmvisions al lhe Conlramors' Siale License Law (Chap�er 9(commencing wiih Section 7000� o� Oivision 3 0� IAe Business
anU Pmfessi0n5 CoOe) or Ihat he/She is e�empi Ihereimm antl ihe Ua5i5 br I�e allege0 exemp[i0n. Any viola�ion of 5¢ttian 703L5 by
any applicant lor a oermil su�lecis ihe applicant to a civil penal�y ol not mare than five hunOreO dollars ($500).
I, as owner of Ine pmpeny or my employees wi�h waAes as ineir sole comDensalion, will tlo ihe work, and the
❑ slmciure is no� in�endea or afleretl far sale (Seclion 7044, Business antl Pmtessional Code: The Con�raciors' S�ate License Law
does no� apDly Io an owner o� a O�openy who builds or impmves thereon, antl who does such work �imsel�/hersel� or throug�
his or her own employee5, proviaetl �hal such impmvement5 are n0i inten0etl oi ofleretl �or Sale. I�, however (he builtling or
improvemenl is so10 wilhin one Vear o� cample�ion. Ihe owner will have the burAen of proving he/she tlitl no� hui10 or impwve
, lor ihe Durpose of sale�.
I, as owner a� �Ae pmpetly. am exclusively con�racting with licensetl contraciors �o constmc� �Ae Orole�� (Sec[ion 7044, Business
❑ antl Pmtessions Cotle: The Commcmrs' Slale LiCense Law dce5 no� appty to an owner of proOeM who �m105 or imOmveSlhereon
antl w�o cantracis lor such pmlec�s with a canVacloqs)license Dursuant b �he Contrac�ors' Slaie License Law),I am aware
thal prooi of lheir Worker's Compensation insurance 5houlA 6e pmvidetl to me.
� I am exempt under Section: B. 8 P. C.
br Ihis reason:
Oale'. Owner
I Uo hereby ceeily t�at I am aware af ana understantl ��e requiremems of Cali�omia Health anA Sa�ery Coae Sections 25505, 25593, ana
25534 antl Ihat I or any future bulltling occupani will/wil not (cimle one) nee0 �o comply with saitl s�ate cotles and the requirements for a
pe�mii tor consimction or modilicalion Iwm t�e Air �uality Management Disiric�. flesitlenlial constmction applicaiions are eKemp� trom
Ihese provisions. �� ���/ ' '
//_ C �/ !'��
Oale: �/ � r ` � Applicani: ���«
I hereby cerlity Ihat I have reatl Ihis applica�ion and 51aie Iha� �he above inbrmalion is correc�. I agree to comply wi�h all city and coun�y
or0inance5 an� s�a�e laws rela�mg �o bw�tlmg consimc�ion antl hereby authonze Bpresenlatives oi Ihis ciry to enter upon the aEove�meniionetl
oroneny lorinsp(e�ctionqourposes. / / /
�aie' l0 l 1 — ( � Signalure'. /�/�/� ' • " " � '� ""
orivei's License or Sociai Secmity n:
16ab46 Wlwe—Builtling�, Green—Gotle Enior<ement: Canary—Appllcan4 Pink—Revenue; Goldenrod—Assessor
CZTY OF COSTA MESA - BOILDING PERMZT PEP.M NO: B 067603
PERMIT NO: B 067603 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: L'-N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF G RE-ROOF W/COMP. SHINGLESPLY COMP SQ FT: 3,600
CLAIM VALUE: 3,60Q.00 CALC-VALUE; 3,600.00 GP.OUP OCC: R-3 /M-1
COMMENTS: SP10KE DETECTORS REQUIRED PER THE 1991 EDITION �F TAE OBC
aE iE as iF �F aF iE x� iF �E iF i(-iF+c ac jE+c iE it �(-jf r-�F+F aF iE it iE iE iF iF it �E it 1f it aF {�. * aE iF �E 3E fE jc {f 3t iF �lE iF �E iF iF iE if iF iE+t+F if +c?E * aF �f aE it+t 3t ac a�E �E �c,c aE �* 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 HUILDZNG
--- ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR• FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGFiT: FT IN
PARKING AEQ: PROV: PARCEL: 92623231 ZNE; REF NO:
PLANNING NOTE$> ,
>
�*�r�r+r*it*it***�r-+���rx-iF+r+�**-�*+E+r*+�***�-*-x�*+���er�c+�*x�***���-*.�*�r***r��r*��*+r�*+t�x�*�t***+�*�r+r**
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING AFPROVED.BY DATE;
HUILDING APPROVED EY : pATE:
APPLICATION ISSUED BY; �r"k DATE: (J _I� 1-
**�t*****+f+r*x�**,-r�t+r*+t*** * �* � �+� *,-* *� * * * .:* �r ir*+t�**+r��ir*�t*�'��,r �� �c+r�
'1E'lf'IF'I(�ifiL?F�l'ifif�ii�)FjF�F'lEiEMiE%1FY�iE1F�1F'1EMN"Y.'#if?EifiEifiFifiFiFiEif'I(-if'M-�f1fiE1E1E1FifiFlEiEMiEiElEiEiEiE1E'IEifi(�iEiEiE�fiE -iEY�Yi�1f1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/RES GRADING
PERMIT 63.00 ,50
SMZP/NON-RES
PLAN �+
ISSUE FEE
BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 0,00 63,5p 63,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC P9ECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
,�,�����:������ET������-�,��*�*�*,��,��,�,�*,��**,�,�,��.,�*�,����*�**�*�,��,��**���*�,�.����**.
RC�t��R�lJ 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 P, I P T I O N UNIT COST TOTAL COST
5FR �600 REROOF HY VALUE RESIDENTIAL NOZONE 1.OQ 3,6�JQ,00
END OF FEES
,71 D016?272-00162273 T Q T 63.5Q
DATE: Ob/14/94 TI11E: 13:i1
� CONSTRUCTION AND PLANNING POOL PA
S APPROVALS Permit # Date Inspector AppROVAIS Permit # Date I�spector
1. Temporary Electr�cal Se���ce or Poie 52. Poo� & Equipment �ocation
2. Soil Pipe�Undrgmd. 53. Steel Reinforcement
3. Elecirical Conduit UtiiitY-Undrgrnd. 54. Forms
4. Elettrical Condult-Undrgmd. 55. Electrical Bonding ,
5. Steel Reinforcemem 56. Rough Piumbing & Pressure Test 'I
6. ElectricaiUFERGrnd. 57. APPROVALTOCOVER�GUNITE I
7. Fooungs 58. Electrical Condwt�Undrgmd. �
8. Foundation 59. Gas P�pe. � Undrgmd., Tesc �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, R7rap, O Undrgrnd. �
10. Structural Floor System 61. APPROVAI TO DECK
11. Property Sewer line & Huuse Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent�Fina�
13. Roof Drains 64. Plumbing System - F�nal
74. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApP�ovai
77. Fough Wiring Sign 68. APPROVED FOR PLASTEf71NG
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTcP.1S FiNAL
19. Ro�gh Heating & Air Conditioning FIRE DEPT. REpUiREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Under9round Hydro
22. Ducts, Ventilating 71. Product Pipi�g C7 Gus 'q Oii
23. Gas Pipe�Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergmd. Storaye Tank'� Gas ❑ Oil
25. Roof Sheathing G�_�s=qy ��e 74. Overhead Hydro ^•� "
r-, i
26. T�Bar Ceiling (Struct�ra�) & Ntonocoat 75. Dry Chemical
27. Frame and Plashing 76. Dry Standpipe ..
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. Drysvall Nailing HEALTH DEPT. REQUIREMENT
37. P�aster Brov:m Coat 79. FINAL INSPECTION
32. Elettncal Power MeterF�nal 80. FOOD CERTIFICATE ISSUED
33. final Electric Notes:
34. Final Heati�g & Air Cond�iion�ng ��
35. Final Gas Pipe�Tesc •
36. Hood or Canopy ,
37. Fina� Factory Fireplace
38. Final Pium6ing
39. Water Service-Final
40. Gas Service-Pinai
41. Solar pomesticFinai
42, 8ackflow Preventer
43. Backflow Irrigation
44. landscape Irripation Syscem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & aUILDING 6 j�..G�U �(,�l/.�
l
46. FINAL P�ANNING . ' �
49. Electric Release to Ediso�
50. Gas Reiease to Southem California Gas Co �� '•
51. CERTIFICATE OP OCCUPANCY ,
No. Da2e
d➢ONESS OF BUILqNfi: ,} ��/ L 1::r 1 J�l
axmEa9ru�ElFiv�owx: NL'Wf�Vltl H1S 1�WV
• �.���p�%�1JV1 Wt.ull'L1tC
N,£1, y"toe0
�rr�. muura �ooxesx
UNT:
AXCXffECTORENtlNEEN: („iVUVl`J tlVlalNEL1<1Nli uc.�: V
MCN.ONENO:SAOOPE54: �I9 V V IAMYUS 1Jf( uxt:
N.b. CA 92btiG
ca,m.crarswu� F�A�iFii �RgivL ��iVSY, i7l�iii31-7�13s
CONfHACT0A4YNIlNO 15"vl �WESTC�:iF"r
�ooxesx iV , U, l:A ue. no.: "i 3 4 9 0 4
`1LbbV unr: %bV
LICENSEO CONTXACTOflS OECL�fl�TION: I hereby eflim uMm penely d pe�jury tl�el I em Icaved uMx R� d CMqm e
(commarwiq wn� Sectbn �aoo) d Oiriaun a W tM1e Buvmaa uM Pmleaaionn Goda. ud mY liwnw u in fu0/acs eM elletl.
0�cm o.:u'%U1 tf uc.cuss: uc.No.: '�q E;xr• G"i5b
m.: caroaaor: � �/vi�
8UILDEN U CLAN� ON: I hseby dfirm under penely d par'pvy thel I em ammq hom tM Comrrfon limiue lew lor IM
win0 ��n (�ion ]031.5 Bua'vieae enE Pm/eeeiona COEe: R�ry cry a muMY �itli iequire� e permil lo conelul. eller. impro.e.
�emol6�, w repei any evuciure, pnar b iU aaarKe, ebo reQui�m tha epd�� la wch parmA to fik e vpiwd eWemem Mm M p sM
IicenaeE W��1 ta iM pm�'vimf W IM Canlretlwa Licenve Law �Cheqa 9(�mmidnq xi�h Sepian ]000) d Owubn 3 d �M
�sinea md Hdeaiau COEeI a �Iw M a aM b axemq �herMeum eM the bem la Ne dbG� e�ampion. MY vidmion W Seeion
IW 1.5 by eiry applimM la e perme suEjeda iM epp�ceM to e cN peroM1y d na mas �Mn Ms hundred EdW� �SSOOp.
� I. ea owner d Ihe popeM a mY �doY� �� we0es � Ihei ede mmpeneetion. will Eo tlr xoA. enE IM Niuclure e M'v�le�ked
a oMered for eele (�im 10M. Bueire� eM Prolaeaiwu Cads: The Coniredwa License lew doee ml epply �oen oxnxal piopMy
wAo W W5 a inM� IMraon. vd vAo Eoae e� xoA Fbnmell m MnN a NrauBh I�e a Fw am emPb'Ms. po+� �MI wich
imV�mema ere nol'vNeMad w dfenA la aeb. tl. Mwerer. ihe buYdirq or inpawnW u wd xilhin ons Yser W mmdMion. tln
owrcrduitlx rrill hew �ha duden d V�+�q M or sM Gd na dtik a impws In tha pvpme d aebl.
� 1. m oxiwr d ihe poqM. em ktlu'wey mniree'vq wuh ticenaad mnimelm lo wmtrue IM pqea (Seabn )Ou. Buainees a�d
a,wessions com: rne com.�.+a. uoeme taw doa. �w anWv m.� o.�me. a wooenr .�no wade or imww« me�aw� .�a .,no
convecb Iw wtl� Orqeas wnh e mnredor(c) IicenxE WnueM lo Ihe Coniraraaa lioenea lew). .
� I em eaemq uMer Se�ion: B. 6 P.C.. br Nu rumn:
De�e: Owiwr:
1 da heeaby tt�tity Ihet I em eware d ud �vdenierd tM requremema d Cellomu VWXh enE Setety CaAe Setlbro 25505. 251V. eM
2553a. vM thm I a eny Mure bwkin0 �^� xill / wil rw� (crc4 «n) naeE lo camON x'vh eaid qma wdm md Ilr feVwmn«vs px
epam�nlncmWClianvmoEC�utiontran�MAi�ly a�pamen�0i5rid.ReudemiYmmMioneGPF'mionene*smqhamtlaea
p�.
Date: Mdcent:
W OHKEP'9 COYVOlS�TON DECWIATION: I Mreby tlFem �nEs ps�atly d paijury ane W Ne I�oWwinp Mtle�atiom:
� �neww.Jmenneneca+A�w.dom�m�io.w;mw.nr.un�en�minpa�maid,...a��«Mseeionrrooa�n.lem
Code. la tM1a peAmvrca d Ne Mak la wNCM1 Nia pemil n baueE.
�] � neve ene xi� meimah.a�e� mmv«emon i�mureMe. m na��e M s.aan a�ao a m. �.ma coa.. m, me o�«meno. a m.
wwk la whidi Nu Oe�� b baued. My woMn' mmpenutbn ina}u�rerce umx vd Vdi�' number me: j! {(1
Poury Number: ��°�,'��%�l �/�I� 7l� l�� ��'/ � V/ 9�
,� sunim neee � ae c�d�.e r ma w�. ie ror a�e nmre�ee ed�s R+ool w bn.�
❑ I cMdy ihat in IM1a pMormerice d �ha wak M xhc� Ihb pamG b eweE. 1 WII nol amplq em� pe�em In ury men�nr n n lo
. e on» whjea to iM xarkrs' campen+mian lev.a N CeNm�ie, ard ep�se Nm J I elauk Eecmr eWjaa�p �M xarkss'
. �,m�, w�� a e�, a�oo d me � cod,, i.npao ��nwn � '� ���
e: nov�'K.eM:'/-"_� H
, Inp: FWun wcu ivoMreri rorrprwtlon covxap� Is unMwN( arW �IWI aub/M �n w�nplanr ro cNrNixl pxWtlp and
HI rinu ap N ms h�ntlied tM1ouwiO tld/xs lfiaQPWA Mi �dlltlon ro tln rost ol romqruatbn, Wnup�s p provldM br In
tlon ]ltAb o/ IM la6o. cotl0. /nt�rut �ne.ttomeY. Na.
\
cor+srnucnoN �v�wrxi naer/cr: i n�M .�� �m. c�r d c«wn �nd ma. e. oam�wo� wd�� ,wkv r« m.
pa�/orinerce d ihe v.ork /a which IM1i pemii u ewed (Sedion �OB]. Civ. C�.
� LENDEfl'SN1WE:
� LOlDEX'S MONE59:
I cenM elai 1 haw raetl �ho eoa�wim vd nma �lai tlro ebwe iNama�ion o eanw.l pne to eanaN wun all tiv rd mu�xvad"uwrm
eM etela lewe �elelvq ta Wikiq cmWutlbn ard Iweby eulha¢e 2qeeenle�ivae d the ery ro eMer upan Ihe aEwa-meMbnsd popMy
t«iv�amWr�a.��L�idALG Lt.li�<AfVIJ
(5t5t�B.WP) WMe-BuiWip
Rnkaiwanw: (bNmiolawnr
i:"LiY OF COSiA ME:iA -'itiiiLi�:ilvi; i�uRMYT
��r:riM r;ii: M Vd7Vt�j
rEi'tMiT Ni): M G&5'v65 FLAN CIiECri Nii: iV i:�iVi : iV $UA't': N
CiiNSTftuC?iON 'I'YPt: V-N ruicMii 'iYF'r': Mr� P(i(iPii:;c:: hii:i4
JiiB LhSI:RII'111113 ; 23�35F Sllvi;iE: i�AM1LY iiii5iu. �'iu:iE' i;l\iiA�r: S(j i�i;
Ci,AIM VALUfi: CALC--VALUE: tiRi)UY iii;C: Ft-3 J
i:(iMMr.iv'rS: �2r.'r:d-65"vii6 "GAkliAi;�: L1SPl1SF1li"
iF ii� iF ii ii ii ie iF ii ie w i'r ie'vf iF'sE ie iE ie ri� 9i� iF ii� �ii ii ii ii ii ii iF ie ie iF w ie if if ie if iE'vf ie ii i(� %ie ie �iP ie �ii�'k'ri� ii� iFif ic�iF {r ie ie •i'r'se �w ir 4e'r� k'r'r •ie w� �i ieir ri� i'r ie ie ie ir
Z G N I N G R� u U T i't r: M F: N'i �
5 �. i d A C K S
--�---_..------ MA1N eiUli.'Li.Ni; --- • e�i:i:'c'�SOrtY ciiili�ulNG ..__._._._.._._.
FkNi: F1 TN REAh� FT' IN F'HNI: t'i 1N kE:Arc: ri LN
LEFi: "rT IN A�ki: ri IN Lc'rT: c"i 5.iv ri�'til: F'i 7N
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iEi�AiI�AZIi�N:N F t i S U M M A n Y SCI'tu�'iORAi. :;i'.GM"r'iV7:N
fiLL'� FMl' FLUMnING ELr'.CiKIC M�:C'EIAiJ:iC riRL aM1Y/it�:i ��1t7�uiN�
r�tiiMtl . �8.2�
25Y 5MiP/N(iN -Iit:S
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155i.iL 'r�:E i[."vG
iiUiLLING-uIV--� etiiMIl ZSSuE YLNi-CHG�K iii�Ai, I'A:iD Lul
'fG7AL5----> 48.[5 [�."vu _ "v.GG 7"v.25 'i"v.�:i ."vG
} F F�+ f{�+ F�t�FI�.M_f . . .. . .. ..
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1 IV 1J 1 V 1 L U A l,' Y)i N tf It Y. 7� Il li V W N
IYFkt S„1'lY Ll L S l, jt I F' 1 1 V1N IINI�A l.V:�l 1V1AL l.U:al
M�C 1 iNsf rtikC--AiitiGkAU i•uftN <= lvu ri uiii 13.25 13.27
MEC 1 i�AC'1GtiY FIREPiACE - 9.;0 9.5v
M�i 1 1iv5'I iiOG'v WiD"Ui:i� "rc:ii rY h3E� rxnAu:ii 9,50 9,Sv
iNE� 1 vENTiLATZON 'r1,ri �uNN 'i0 SiN�i ' ii�jt�.����gi��� i;,�0 i;.5v
M�.i; 1 EAi:Ii [lI�t�i N07 IN ir'I'iiL•h CAi �:��-� � 5'v 9. Sv
ENii Gr r ii �� ` �
OCT 0 81997 : � '
CITY OF COSTA MESA
. � CONSTRUCTION AND PLANNING ; � P�� 'PA
�-;4PPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
R, Temporary Elearical Service or Pole 52. Pool & Equipment location
2. Soil Pipe-Und�grnd. 53. Steel Reinforcement
;3. ElectricaCConduit-Utility-Undrgrnd. 54. Forms
'4: ElectricatCpndu�nUridrgrnd. 55. Electricai Sonding �
��� Steet Reinforcemenc � 56. Rough Plumbing & Pressure Test
�� �tectricaFl�ERGi�nd. 57. APPROVAI TO COVEfl�GUNITE
. '7: Pootingdy ;; 58. Electrical ConduiT;Undr9md�.
�$. Foundati0n= - - 59. Gas Pipe, O Und'rgrnd., Test
- - i
9. Water Pipe-Undryrnd. = 60. Backwash Lines; P Trap, G� Undrgrnd.
10. Structural FloorSystem . - � 61. APPROVALTOpECK �
11. Property SewEr line.& 4ousr'Connection . 62. Backwash & Receptor•Finai
72. Sewer Cap � � - ' 63. Heater & Vent-Final
13. Roof Drains �
64. Plum6ing System - Final
74. Ro�gh Plumtr}ng� - 65. Electrical-Final
75. Rough Electricai=Conduii r � 66. Solar SYstem�Fina�
16. Rough Elearic.i6'iriri�g., � 67. Fencing& Accos3•Approval
17. Rougfi Wiring S+gn =- ' 68. APPROVED FO;R�PLASTERING
18. Rough ElectricaT,T 8ar Ceiling . - 69. POOL/SPA SYSTEMS FINAL
t9. Rough-Headny & Ai; Conditioning �_�/Zl981 � F�p�pEPT. REQUIREMENT =__ .
20. Roug� F�tor�' Fi-��z�lace t�;: �` , � � »„ APPROVAtjS; :, Permit #�. .. -.
21. 8utn, in_Strt)2tucE i •• -• � 4 F '7 '+ 70. _Underground Hydro '
T 'N 1 1 1
22. �Du J VeL tildtin9: r � S � . '.'. . � . •
�,. {� r ' '7 << � ♦ _ 77. Produet;Piping -�'ias OOiI
23. Las W'pe-�iough & Test _ *i S �� : T �: T��_ 72, Underground Flush '
-i .
24. ?ioohFra;fiing' ;; ; ' � �. Y � ' -�
�. � � r .. j. 7� Undergrn'd. Stora�,r Tanl� O Gas .:.i Oli �
25. FooL�Sh�thing �, v �,: � = •� a 7Q�, Overhead Hydr�-' �
Z6. i-BaPCeiling (Str�furaq & (�a �npcoat t - .,� �-j y 75fr. Dry Chemical r " - -
� �. . - ` -
27. Frame and Flashirtg •: _ - � ^� � •n . 76. Dry Siarrd�lpe � ' - ; y =
28. LatMng�ffiSiding� �'� �'�: _ 4= ",; 77.� FIXED'SY�TEM1�iNA�(.� -� �
� 29. InsWation ��+' J � •• � I �k 7$f FIRE PREV. FINAL • 1 � • ''7
, ,
30. Drywail�iVailing � k� t., � f � ;�-IkALT� OEP�T.i2E6�Uli�Wf�NT',
37. Plaster 8'�owrtCoaO �;. ^^ r� � r' 79. FINAL RSPECT�NN +� � J'. "_
_ �
�
' 32.��IectricaF�Po�ti%er Y,t�fervFipal �� �� f �i ' S0� FOOD CERTIFI�,QTE I�S}JEQ, fi ,-,'
L'
= 33. =inal7Ele�tric. : i: _ :7 � _ ��. _ I .. NOtes:�-3o`�Q _r � �n�q�l,� F_D;�----(�M
_ . ', , _ _ � - - -
' 34. Fina�Heating`,�& y Conditioni�- 3-��9R ' �f� �` � ' " � ' 7 '
, i r� ; -
35. Finai Gas Pipe TeSi � ;.'- : � � I i �;. - - _ �i� ' ' ' ,.
' 36. Hootl•orCanoPY `� � ' ' � � �. l la� i �- ' ^ - -
r J R .r. - 1 '1 ��7 ' ' �
- 37. F.ina4Fac9ory Fireplace - _ '� ; - - '
_ 38. FinaFPiumbin9 . � ' � '. � �F'� _ .. � _ _ . --
e
39. Water'SeCvice�Final ' ` � _ ! .'� . - - ; ` ' -, -
. , _
- 4Q Gas Service•Final :7 S - ^ _ � • 1 ! -ti' _ � � ' - - �
�_ . ,
- 41. Solar Oomestic-Fina� •- " , �' � , �� _ -' v • - - .
42. §ackflowcPreventer - • � 1= • - -
�-�� - - -
�43. Backflowirri�ation ; - � � . _ ' � _ .
.
44. landscape IrdSpatiomSystem"'' � ' T� _ � - � � 3 ' - - �
^ r_ . _ % �'. - .S -
45. Sound Attenqation � �_' � ; ' - � � : - '
. .. . . 7 • -- -
46. HandicaPflegu�ations = � -� - - � - = -
t � -
47. FtNAL STRIJETURE & 6UILOING : ` ' - T. � ..
. _ ,
48. EIN9L PLANNING • � � - � - J
.j
49. Elect`nc Release to Edison ` ! i' �; - , ' _,
50. Gas Release to Southern California-Gas Co • � �"`�i' _ 7 =� 1 - '; .
51.. CERSIFICA7E OP OCCUPANCY � - � - � ' � - � - .
No. Date
�
i
♦
nnonEss oF em�pxc: �(i �% L 1 5 T $�1�
OWNERB!UYEIi1WOWN: NF.WI�VI�T !i'f5 "1'WV
AOOPER4: 15"vl vldSiCLI�Er
• � N.u. �J2G6G
MPL. WJIYlO MDIIESS:
urrt:
umxnecTa+�nx�+: GGUVIS fiNGINEtk1NG ucr+o.: V
WCN.OPFNQ'SAOOflE53: 49OV CAMPUS LR uxr:
N.ti. CA 92nu"v
coNmncraxsxu� i�AC1'F'1C i;I2ANL CGNS'f. (")14)031-7933
cwm�,crons�auxo 15U1 WESTCLIt F
aoonEss N.7i. LA ucno, 'i345b9
7LUbV uxT: ?UV
LICENSED COMP1CfOfl3 DECL�N�TON: I Mraby Nim vder prWy d papvy tM 1 em liromed uds p'w�ivime d Cheqs 9
(commendM wnM1 Sxiion �000) d Oivoun a d IM B�m'visw eM Pmleaeiom CaEs. erd mY 4mnsa n N hJl tnca enE etlatl.
cinuc.No.:u"7VIIb uc.cuss: uc.No.: i34/)y�b{9 /tXY• /�pppGoiSn
r D . ConVaaa: �17m�"++( /• � ��Q�
�'
W N UILDEF OECLAHITI N: I hseby dfum uder paWy d pei�vy �hq I mn aaemq han iM Cartetlm t'xws lew la Na
t n� redon (Setlion ]031.5 &ainae erd Vedes�ioiu Code: My uy a mueuy Mfiidi repu'vu e peimb to mmhuG. etler, imprave.
mols�, m repei e�ry nrunuro, q'v lo iLv ewanm, ebo rapuiiee iM epplimnl la wch pamX to fib e egiwd etalemenl ihel M a eM
n iK,�„d w�� m m, a�,. a m. cw�e«a ��� �, �cnaatr s loo��o wnn see� r000) a u.eoo a a ire
3usima vd Prdwiore Codel a �ta� he a sM w eammV �haehan end iM �me fa tla elbped venWion. �m'vcWion af Seein
10�1.5 by airy epDliixnt la e permu nubjeaa the applirem io e rivi peneEy M nq mws than (Ha hundred doAen �5500�. _
� I.esownmNlMVWe�YamYamWl�+wihwegmm�haisdemmP�.Yilldothewk.endNaetrucWmcnaliivendeA
a Maredlaeeb (��� ]OM. BuareaeM Pmlassnre COEe: The Cmiretlps lioame Lewtloee ml Applyto en ow+wrd popeny
who buidf a inP�� Ihaieon. ud wfa doae suN Mpk IimwC a hend a UYu� he or her own ampb�eee. P�!4� ihel wch
imV�'�eNa ue nd inteMed a dkeed In aeb. tl. Aowewr. �M dritlinp a inpwwnert u eold wuh'vi me Yaer d mmddion. Ne
o..�a�e��u., mu n... ina nw� a o�w�m na «� atl �a aeb «�n'w. e« me o�vo.• a..b�.
� 1. ea oxmr d IM pW�Y. am ssdutivety conlretliq wuh 4mnaeA cWieclaa b oo�ubutl Ne p9s� (Setlion ]ON. &ninss enE
Prolwbne Code: Tlie CaMredon liceme Lew Eoee nol epply ro en ohner d popeny who Wltle a'vnpv.•w Iherson arM x1w
conirecn 1« a�tli Y9� xiN e m+reeMe) licanned µvauar+m �he CanVadars Um�+e L+w1. �� •
❑ I am eaemq uedm Seevion: B. 8 P.G., br Nu �eavm: .- r
�' �
Dete: Owrcr. �
I do herebY ��dY Net I em ewere W eM iMreieM tln �apwameM+d CWmie l4etlh W Se1MY fade Sotliom 15505.255J3. erd
2551l. aM Nel I p enY Mun WJduq oo�pem wJl / w11 M Imtb ane) need b camON M1h �eW Ye�e aodtl eM IM ieWinmaMa h
e pa�mn lormruirunim a modifrNionhomiMA'r�em�emeni Dimrid. Ravdemol mimrwian eppirmiumero exmmpimn IMee
proviaione.
DWe: Apq' aN:
WOHKEP'S COYGEN9ATON DECUR�TION: I MraEy elfvm �mder psieCy d�wpry ur d tM IaOo�wnp Mdeietum:
❑ I Mw aM xil meiNnn e cME'ctle d mmeni to �atltiuun br xokri m�qanWion. a pwided Ia Ey Swion �)110 d iM Lebar
ca.. i« �� c.��. a u» .m i�,�a� w. o� e�e.
n I Mw eM vril meiMen r.a4en' canD�ion insuerce. m�M�ed b/ SGian �]00 d IM lebor Gods.lw ihe D�a�� tl tM
7C" w«k la xhid� ihu permn u usued. MY ��+' �Ve��� ���e �� � DdkY number en:
Carn«: Slif'lb fVNU E1CI'I1tY:S
voiiyrv�mbw: LL`Jd/ VV G�bbC 'v4/30i98
hia seYion neeE na 6e romdefeC l iM permt'v lur am huMis! OolWs �Si0V1 a Nm.1
❑ I cerllY Ihel in Ihe pRomience d IM wak br which tAu pem�u u iuued. I Netl ml ampby em/ penon in anY manrw ao ea to
b wbla ia iM hdlws' compemetian kxa d Cefdanu. uM pree Nel il I ahouk beconr wEjM lo �M workm'
�qion pwisiom d Seqbn 3i00 d tM lebar COEs. l tlxY IaNwuh mmpy M'vh Nm pwuiau.
< a�� �L�.-�,./ Y ,i_.�--..P ,�P
T-,r�
ip: F�Ilun b��cun woikwi cvmp1ru�flon cwrp� l� un4Wu( �M NWI �WNet an Nrploy'r ro vlM�ul pwNu uM
<lN/ fln�� ay ro om �wtliW tlrouuid Av/I�n (J10q000A M Mlltlon b M� cwf ol ronpxwtb� l�mep� �� povWW br In
Sxtlan �TMoI M�WorCod, InNns4 eml effomeyi I�n.
ONSTqUCTION LENDINO AQENCY: I herab� e1Nm unCer p'Wly d perjury ihm tAxe u e omuivaion brdinp epency Iw IM
prmeMe d iM hvik /n wh'rh ihe perml'o caued (Seaion 308). Gv. C).
LENDER'S NMIE:
' -, �v+oen•s �ooness:
I ceniN tl�el I heve reeE Nu eodiutian uk atm ihei ihe eEo`a inlmwion o wrtea. l ap�ea to mncN wnn all d�Y rd munn ad"vuMae
end erele lewa Mmiip ia buik�q mmtruaion eM hereby eNMr¢a repreaanimirm d ihu aryto emer upon IM ebo.e-meMioned qopeM
����'°"�P�`0�"' RUNAi,li LEGF<1sNU
(St51-ae.WPl WINe-BuddipBSelely.
oma: G �'
PinkJie�onue: Ooldenm�Aswear
CiTY UF i:t�STk MESA -'ttU:C�,D.i:NG PP.kMI i
• " Pi:RM Ni): i; "viiSGil3
PI3IiMI'T NO: c: Of350il� Pi,AN �IiE�K Ni): iv Viivi: N:;Ui�r: N
�ilN:i'IR'UCTIuN 'fY'PE: V-Iv Yi:RMiL' 'fY"P�:: �Lr' 'r'iiHdi)5ii: tvi:vl
Jiru DESCkTPTIGN : 23233F SINGLE FAMILY itr".5[U. Si05i' G1UiAGL S�j F1':
CLATM VALUE: CALC-VALUE: G�"ti)UF iiCC: R 3 /
CtJMMENTS; RE1�:B--BSObB
ii� �w it i'rie iF if ii if �7! ii'vf ii "vi'vt iF w ie if ii i'r if -0f iP've if 'rf if iE if ii �iF i+iP if i2 iF9F i't ii 3e ii ii ie ie d'e �:e iE i4 if if iF iClr ii� i'e ii ie k if ii i'r iE iF iF �ti� ii ii ie've ii ii �ii ii ii ie ii ii ii
Z G tv I N GS �icit�cjAil` CHiiyl�: M F: iJ "i S
__."_________ [.II�LN tfUTLUl�il'v _____"_.__". ___"_'._.._.._ 1il.lE,S:aUk(Y IfU1.LLlIVIa _'.'.'___ _'
enNT: F'T' 1N iiEAR: e� 1N "rRNL: r'i i:N I(F.AIt; C1 itv
LEE'l': f1 IN RGAT: fl' liv iE:ri: r]` 'LN k�if'i: 'rT TiJ
P21itKING k�.�;{: i�itiiV: 'rl�i'tCEL: OGviiiiiiiiu �Iv�:: iiEt IvU:
FLANNING NvI'ES>
1 �
1� It'JF le 1tiR 1t t� 1! � 1!'R ft �! 1! x lt R 1F j! lt k 1t R it ft lt x ft 1� %t jt it"�R� i! Yt'R %t � x'%! R lf f F'It 1�')t fR'T IF'R 1! T iF %t 1t>i f! 1! ft 1! 1R T!t Yl' ll"!F It Y! A' It' )t' R'R K'R :f !t
U �. V �. L U'r M E N? S E' ft V I C'r: 5 ti i•: u U.0 i2 ii M t iJ 'i �
�uivlivi� iIPF%ki�v�.L bY
uil2I.L'ING P,FPi'tu'v�.ti bY
A!'YL1l:AI1VIV LSSITC.L
. ....... .........
ltYlT'T f�YtRRR'RfYRYt RYtYtR
LEi:;ALI'LtllIViv: N
6LLi� PMT
PEl'tMI i
F r'. " t' S U M!�A t2 Y
PLUMbIN� tLEt;iRIi: Mc:i:'iiANY�
izs.�o
JVr
uhir : __-_
utii'r': __
Ll h l li :
�'i RIIC i UtiAi. �ri�M�:Iv i: N
i�'iii� SM.iPiiiE:S i;iif�uThii,
SMI'r i NOiV�-Rr:S
PLAN
i�:iUc 'rEi �2. "vG
6UILuZNG-LZV-> NEtiMI7 ISSiiE YLI�N•-i:ric:�K iu'iAi i�ll:ii7 i)iit
TUTALS----> 125.4G 22."vG "v."vu lA'/.90 19'i.4"v ."v"v
F<aVENuE L1VIJIVN TG7Ai.�--> l:l/LLt.I'TYL: 14�%, 9V v'V'�;['ti�riUlii : ,"v�
nLLG rMi rLUMdINi; ELEC'iiiIC ME�HANIC l�TRii SMfe/'i0i �k�U�lNii Fi,AN-CII'r.'CK
14"i.4"v
ii ii'rf ie ie w ie iE ie ii if i'r �w ie ie �Je ii N ie ir if iF ie ie ii ii iE iF iF ii ie ii iF iF iF iF ie if if ii ii i4'se i'r i'r ii w� it i'i'r w if ir ie'se ii iF ii� ii if ii i'r ir w-w �w� ii i'r w 7F ii� i'r w» iF ir'r'r ii ii
1 N u T U I u u A L F r, E b it L A ri.0 G W N
'lYYt �TY L t S l. 1t 1 i' 1 I V N UN11 I.USl lV1Al. �.V2�'1
"r'LE
liLL
ELE
iiL i:
�:LE
1 rIX'iURES, LIGi31lNG 1 5'i 2"v tiA. 1.00 1.'v0
[ iiECEP'iiUUI'LEi 1 ST iu r:A, L.G'v i."v'v
2 RtC6P'i /SWI'lCli 1 S/' 2"v EA. 1, uG 2, v"v
1 Mi�'1'GR i FOWR APFARA'TUS G. u - ki'r 4."l5 4.[�
2323 NEW RES bLLG r'OR 3r UNI't•' !" " i�'ij� .GS L1t.15
EhiL GF I� �+..Y��, E„� D
ocr o 8 �ss� �
CITY OF COSTA MESA
•CONSTRUCTION AND PLANNING" POOL ?A -
• APPROVALS Permit # Date Inspector qpPROVAI.S Permit #� � , Date Inspector
�
i.�Temporary Electrical Service or Pole 52. Pool & Equipment Locaoon .
2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement
� 3. Electrica�Condult Uiility-Undrgrnd. 54. Forms
- 4: ElectricahCOndult:Uridrgrnd. 55. Electrical Bonding
- S: �Steel Reintorcement 56. Rough Plumbing & Pressure Test
�=fit_�IectritaFp:lFEfl.Gind. 57. APPROVALTOCOVER�GUNITE� '
�"Z, Footingi� � ;"� 58. Electrical ConduibUndrgrnd.
"sg; FoundatMn " - 59. Gas Pipe, O U�UPyrnd., Test
9. Water Pip'e-Undr,yrnd. �-' 60. Backwash Lines, F4Trap, O Undrgrnd.
10. Struciural FloorSystem 61. APPROVALT�pECK
1 i. Property Sewer �in�& 4ouse�Connection 62. Backwash & fleceptor-Final
12. Sewer Cap ' .. 63. Heater & Vent�Fir3al
73. Roof Drains � fi4: Plumbing System � final
74. Aough Plumbing� . 65. Elettriwl�Finai
75. Rough Electrica��Conduit � � 6. Solar SYstem�Final
16. Rou9h Electric.Wiring., _ j"!�a/Q _ _ I;, . Fencing & Access�ApProval �
[ �^kG
77. Rough Wirin9 Sign > ' � 66. APPROVED FC�R'PLASTERING
18. Ro�gh ElectricaT�T Bar Ce���ng - 69. POOUSPA SYSTEMS FINAL
19. Rough Heacing & A�r Condltioning ' _ �, F�pE pEPT.jtEQUIREMENT _ _.
20. Rough Fatmiy Fi�e�lace . �� ;,' �' } F = - � ;� : APP}YOVat��� Pe�mit # � � '
21. Ducts, in'Str�ficure . � .. .. - �i y _ � 70."Unde���ou�id h{ydro . .
22. Duct5. Ve}itileiing j;' �' � ��_ � ."', r_ 71. Produ� i in l as n I
M'.$�D g r..0i
23. �Gas R+pe�tough & Tes[ 7 S �'7 T q: �• 72. Undergreiind Ftush - "
- - .+
24. Fioof•Frarj�mJ' � 4 ' " - Y ' � _ _ � . 73� Undergmd. Stoiy�• Tank � Gas ❑ Oil �
25. RooiShedthing � � ! � v�� y �7 - S�� 74% Ocerhe�d Hydr�� ��
26. i-Bar" Ceiling (Stryftyrall & F.fpopboa[ � _ y � - � 7� pr`: Che=iitul _, � � J � ' _
27. Frame and Flashirig � j-� i� . a� 76. Dry StarMplpe : �� '�T�' -� �
- r . . -+ �.� . r .
� 26. Lathing & Siding ' � � � _ _ i � ",� 7i; FIXED'$125T6„d.�FjFINAL � -� �j ~
� 29. Insulation a.� • : � �� 78a FIRE PREV, FI L •� 'x '� ?'r
� 30. Drywall R�ailing � y " Y - � �'1�ALT� dEP`I'.AEQl11RE1'{l�'N�S-
, - r-t-`+
� 31. Plaster B�owrr.Coat r:S - n• i �� /`. FINALINSI'ECT:JPJ r r'�'
.r. � ,� ._. . -, .�:
.--r .
32. £Iectricat�Power Me�er•Fj�al ��`� � `� Bd� FOOD CERTIP�C�a4'E I$SWEQ, � ..
,.,� -�.-- .
33. fina}-Eleciric, r _ f9�y�5� - - - �- N'Ot��-~ -i ri � _ � -
� '� , _�.. _ � .• :
� 34. FinatHeating'& Air Conditioniisg� � �� � • � �5 ' � - " -
J :1 � � � 1 ti G J - �.
35. Finai Gas"Pipe;Test t �' •• � -� i I = =' � � '' - - � � '
� -
� 36. Hood'or Canopy :.� r � - F � I� "� = ,
+� J ^ r 7 � � : � ' '
� 37. F.inalFaefory Fireplace .� � - . � � � �� � _ • �
38. FinafPlumbing �' _ � � - �" , �" '
J9. Water Setvice�Final ^ '' f :�; � ' _ . ' � " - - - '
� -.
- !0. Gas Service�Final . . � S - I - � � - - , -
� - i �i <
- 41. Solar OomesticFina( - �n J �� ; - � .� , - - - i ; �,'
�42. 8ackflovwPreventer � '� ' � � f-� > - = -
43. Backflow Irri9ation � , - ; ^ , �� . " � • �
44. Landscape IrrigaciorrSyscem - � _ � + � ? - � '` _ - - -
F _ ' '
45. Sound Attennation ; _ . . � ; �' - . - , -. . • - -
QQ. HandicapRequlations � � ' = � - +'
4�. FINAL STRUCTURE & BUILDING � . ' _ : _
46. EINAL PLANNING � - ` i ; ' " '
49. ElectPic Release to Edison 1 a(I, . , ' '
1
50� Gas Release to Southern California{'ias Co ' � : _ ' ._ _
51. CERTIFICATE OF OCCUPANCY • ,. " ' • ' - . .
No. Date _
BUILDING PERMIT LOG
NUMBER: TYPE OF PERMIT:
ION: SQUARE FOOTAGE:
- TIME IS TO BE
AS SPECIFIC AS
.� �oonsyaemiowc: .fU-/ 2151 �1
.- avNEn'SNnwElFaqwu: Nh.Wk'VI{�1 1115 1WV
- +eooness: 1�V1 N1l.S1t,L1YN
•n� N.tl. 1Lbt�11
�vv�. wuian wo�u
urr:
1pCHRECTONF1RiNFER:IaVUV1S LNG.LNtt.i<.iNG uc.ra.: "v
APCHOPENG'SLWNE55: �IA V V I.AHiF'US LH urar:
N,d. �A �JLbt�V
cartx�ciarsxu�:�'A1-1�'�ll: i�kANi:� CGN�'i, i"il�l)b'si�-7�13"s
CWfBACTORSYNIIIlO L7V1 WLS7lL1tY'
.00xess: N. ii . CA uc ra.: "i 3 4 9 b h
�LUbU uar: �bV
110EN5ED COMPACTONS DECLAflRT10N: I hneby e1Rm wMx pe�Wy d peijury Nel I em I�enstl uMer praivwnn d Cheplr 9
(wmme�ip wilh Section )OW) d Drvision J d the Budrim end PMeaeiona Code. enE mY lioenm o in htll lace eM aHed.
�. Cff1`'LIC.NO.:V/VL��, �FCLASS: L1C.N0.: %3�j�j�yQ EkY; Vb%7$
� ra: 7S ' conbaa«: lissw.�v� C, �co�
.-�.
H BUI�DEP DECLAPATION: I hneby elfirm uMer penely d par'ryry Ihet I em ezmmq /mm tM CantMon licenes lew lar ihe
, �dwwvis ise.on (seaion loD�s aniie» eM a.deuiare coae: Mr cYr n munn wniN nau've.. o�p �o carewn. an«. imawe.
hmdah, a roper e�ry eviciure. piior �o ib c�uenro. elso requins IM epplimnl ta wxh permil lo file e eymd nmemeM Nu M a sM
IicensaE Ounuant lo Iha provisione d Ihe ConVeaore Licenae lew [Chepter 9(comme�wiip vmh Seqion•'!OW) d Orvubn 3 d the
.ui�x aM PrWeavona Code� w thet he a eha u acemq Iherahom end tha beeu Iw tM elbpeE exempion. My vbbtion W Sedion
]0'l1.5 b/ eny BppI1fB�1 fw e ppnrvl fubjBtt� IM eppf �I lo e tiNl penBlly d MI mIXB IhBll frve huldRd EOlbn �iSW�).
� I.eaoxnerdlMqopeMamY�WW��hwnpeaea�Miederompammion.willEotMxak.eMlAaetructi�naMmierdad
or oflered br ada (Se lion 10ad, Buamw end PMessionsCoda: The Con�repon Licerree lewdma ml eypyto an ownerof qopery
who buAds a inpovea ihereon, enE who doee auch wak IimeeM m MneY or �Mwqh he or her awn �mployeee, qo+ided �hm uch
impwamenla ere M inreMed or oflaed 1« eab. X, however.IM driNirq a inpovdneM u eoitl wilhin aaY� d campMun. iM
ow�wr-0uiNx wiil heve IM buNen d pro+i�g M or aha did � build a imprwe la Iha pumwe d ub).
� I, ea ormer d Ine qapMy. em exdwiveM �����6 �� IicenaeE convectae Io wnstrua Ne poject (Seclion 10a, Buainre W
v,a�,. com: rna comreaa. uroo� �w ao� �a eodr w� ow�« a.wownv wno w�d. «�wo.e. m.,� ,oe wro
ca,ven. l« .uN v�aees ,vnn e amreaa(.) �ken..a w�.,um m ma cmo-ma. Licen.e lew�. ,'i'
❑ �,
I am azampt wMar Seclion: B. 8 P.C., br Mia reeson:
— 1 ,
ILnw� ONTM:
i eo n,�nr oen�y me� i� e.�. d�e ��B�d ina �a���m�u a c�r�e �nn �e smar coea s«i� zssos. us.v..oa
25534, enC ihe� I a eny Mure WilEiip omipenl will / wYl nM (drcb wa� neeE lo camply wYh eeld eime mdee end iM rpu"vemeMe br
e0�utamneWClionamodifraianhomlMR'r ue�iy arapameNOimrie.Pwidentielmn9Nd'aneDP�'voanaxmmWlromOwe
wo�s�.
De�e: ApplicenC
WONKEH'S COMPENS�TION �EC WIATION: 1 Mroby elfvm uMr pnWiy d px'ryry ww d Ma blbwirp Eetluefnna:
� I heve and wi1 meiMein e cerlilicate d mnaenl to eell-imro br Makeie' campenWian, m W�� �a by Saqion �]OO d the labar
cod.. �« �ne wrtormerce d �ne xvM �« wnl�n �nie ro�il ie imuae.
�� new.id wf� meimen waMae� oomv�un irowann. ea mw'cee M seeian aroo a me leba. Code, r.� �hs c.��� d �ns
work la xiiM I�ie pemin ie inueE. My workeie' �mpqq� imu��5��cpnier vd poGry number ere:
Cemer. `� llil � L' IJNU Y.XI�1L(EJ
Pdry „�m,a V�7 I 3 V% 9 8
.Js seciion need nw be canWMed i fhe pmml is b aro hundmd Jollen 131001 w bv.l
niy Ihet in Iha perfeimenca M the wak fa whch ihie permn ie imuad, I ehdl fat empby eny pereon in em� men�wr ao o to
wqaa m ma .w«a�s• �w +��, mw. a cmnomm. �e ao� mm a i.nWu ng� .�q�y� �o m. wwa.�
penution p �ryaun d Seeion 3100 0l tM lebor Cade. 1 /Me/�ll tQ�hwnh wiN Ilve ponavro. ///"�/
�e' Y APGlcenl: T��.-r�1lG � ��
eminp: FeNu ro��curo norkari rompwwtlon coverep� l� unbwN( aM M�II Nblecf �n emvloyw ro a1MrW pwltlp eM
clvll flMs ,y ro ons �indred thouaaM tld/en (S1PO,OOOA In sAtlltlon ro IM rost o/ rompauefbR d/msW u provkkC br In
SseHon 9)O6 0l Ms LMar CoOa, /ntxeaf, antl ettomsyl Iroi.
CON�TPUCTION LENDING AOENCT: I trreby atFrm uMer peneMy d pa�ury Ihet ihare u e m�euaion bMiip percy lur Ne
p,d��n a me wo�x ror wnid� ma w�+ re awee (sea� aos�. c:. cl.
�
• LENDEfl'S NAME:
LENOEP'S �OOHESS:
��anib,nm � neve reed mm acd��� �e em. me� me enove imom�tion b carea. � w� io candr wnn d� my ene cwnry ord��.�ce.
enE slete laxv relaling lo builEup conevueion eM hereby e�nhor¢e rapreaentetivea M thie ary m entar upon iM ebove�meMionetl qopaM
lor irepeGion Wme�� -
itGNP,Lii LtGit/,1N1)
ome: __1�.����' "
(5i5�J6.WP) WhBo-evik'rp 8 SelmY: Gree� : Cerory-nvV��: Rnk-Ra.renue: (3ddemobbeesmr
ciTY or- i:os•rti Mi:sn - bu cr par�� i��Kr»:T
1'ttCM NV: k' Vtf�UBb
rERM3T NG: r "v85"va� PLAN Cri�;CA Nll: IV c>i�V1: N a�)1'"r: N
CGN�iftiiC'ItUN 7YY�;: V-N r•EiiM1'i YYr:d: r:i,u eii�ie�i:if:: riEW
JGa LE:iCkIY'TIOIv : i3"t»1� SINi:L6 iAMtiY R�s.iu. S'iG�r i,luiA�i: si� Fi:
C'GAIM VAiUE; CALC-VALUe:; GitUUI� �iCi:: ii-:s i
!
i:�MMENTS: ii�:r : b-OSGGS "GAhbAGr� LlSFiiSAL"
fE 1t lt x R 1' 1t 1!'A' fF ft lt'/t lt i! 1! ft'A"R' R A' T"Jt i! 1t'%t ft �:l' 1t 1f x'%t'R It il' It i!'R"/t 1f'!t Yt 11' �Y'Jt i!'I�"R'/tT i! iF .F i!'It'R' T' 1Y It Yt i< )F 3t' lt' 1Y 1t' Yt"T iY h Yt' ft X"R'h R N A'
� G N I N G k r. Sj u i ii i� M i: N'i :S
:.i � 1 U A l: �Y. :.i
-------...___.-.— MI�IN Bi.iILUING ------------ ��-�--------- Aii:ES�OiiY k1UlLL1Nl> __.._._......_....
FhN'i : "t i IN AEP.ii: r 1 iN tklvl : r Y ItJ iir.Aic; 'r 1 i.tJ
LEF'f: ci IN kGkl': 'ri Itv LE'ri: e3 3iv ki:ri'i: t1 iN
PAnKiN� it�u: Yk�v: elti'ti:�L: u�iiiiG�Gii �NE: F:e.'r' Nii:
PLANNINi; NOTES>
j •
.............................. . . . . . . . .
.......... �� .... .......... . ..
. ............ . ...... .
'RK )t'R Yt ft Yt lt 1t ft f� x'A"R'R )C'F R F'R-R T 1t T i� fr 1t l! 9l' x lt lt R T ft R ft'R 1t,'!t h'X'h X 1F'R M'h'R l! ft R R'R' A iF'Jt'A' K'R'R T YP 1l' lt YY'F T'R IY if Y{"h'A' Yt h h A'%t
L 6'v � L i� r M E N'I S r. i2 v i i: r.' S. ii N: u u I f< t M t�: iV 'i 5
iONlhii; FiYi'ltUVt.L !SY � UE�lti:
liU1LL1�`llo AYFltI.lV�L tlY ; . � lJl��lli; �
, / _...._
"'-_ -'--_ . __..... .
AF'YL1l.A�11VN 1SJUL'L t1Y; �� : L/'.1F; l�
i!'1l1FAffiRYt3t'R'II'A'll'�'ItftRR'!E1l1FlE'll'%!"Rltlt 'RXR'R'? Yl'ath 'R'fiR 'lt W'RhRT :C'R9FhX'R")tR'lti!'RItIF%t'A'A'�'A 'kR il" N'iYf4-
i,Gi;ALIZAIivN:N r t li 5 U M M 11 k Y 5'.il'tii�'iUtiAI� :��.�Mr:N'f:IV
eLL� PM'i rii:iMbING tLECTftIC MtCiiAN:ii: "r'iti'r �M:LY%i't�S GiiAii'iNi;
YEtiMIT 1�9.75
25'c .. SM1riNiiN-kG5
FLAN
ISSUE H�E 22.G"v _--
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LAUNL'ftY 'iUB i:rtt wAsh : OCT 0 81997
StliiW�k
93Nri, riSTCHEN
`''Asx �n�j" CITY OF COSTA MESA
WASH bP,SIN iSt7)
WAl'Et2 lLiiSEf ( 1V1LLT1
wai�.r< hsA•rtx ANL/Cll(-,VEIVf
WATr:It SERVICi: -
GA� PiPZN� SYS U'r'�, 1 TO 4�)OTi,E'i5
UNi'i Cii:;i
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8.75
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I � C'�dSTRUCTION AND PIANNING � POO ;PA
� �oROVALS Permit # Daie Inspector . AppROVALS Permit �# Date Inspector
i
��. Temporery Electrica� Service or POIe 52. Pool & Equipment Location
2, Soil Pipe�Undrgmd, ^ ,p �3 S7 � 53. $teel Reinforcemeat
= 3. ElectricaGConduit-Utiiity-Undrgmd. 54. Forms
� 4�. Electrical'Condw[]Jridrgmd. 55. Electrical Bonding �
� 5. Steel Reinfprcem�nt 56. Ro�gh Plumbing & Pressure Test
�6��Electrical,UfERGrnd. 57. APPROVALTOCOVER•GUNITE .'�,
7.� Pootings= � =: � 58. Electrical COnduitrUndr9md.
8'. Foundation __ . 59. Gas Pipe, O U�grnd., Test -
9. Water Pipe•Und�md. � ����?-� 60. Backwash Lines, f?�Trap, O Undrgrnd. �
L(
10. Structural FIooTSvstem �� 61. APPROVAL T'�) j;�ECK
17. Property Sewer Line �& House�Connection . Backwash & RecG`pior-Final
12. Sewer Cap � ' . �,.,.Q��' - �
63, Heater & VenY�FiPal
13. Root Drains .= � , 64. Plumbing System - Pina� �
14. Hough Plumtring •:, , ,/7 � _ 65. Electrical-Finai
� 15. Rough Electricgi-Conduit " /•' ' �
� � .. . 66. Solar SYStem�Fa�nai
�
i6. RoughElectriclyiriag,; . � 67. Fencin9.&AcceSs'ApProval - �
17. Rough Wiring Sign '' ',� � 68. APPROVED FOf3 PLASTEftING
J
18. Rough Electricaf•T Bar Ceiting � -- 69. POOUSPASYSTEMS FINAL
19. Rough Heatiny & Air Conditioning � EI,REDEPTJiEQUIREMENT ,
i �. Tf- �T' 7 �Y '�r T � +� T' �
20.:Rough FaFtor�' Fi�eplace ; '' ; � � � ; - APP�OU�iL� � Pe mit # � � -; � � _' � � � �
21.•�Ducts, in=5truciur�d : ^' _� Y � y �� '" 70.tindergr�n'�u�d H�Ydro k
22. Oucts, VAndlating:, k ' S *� � -� , 71. Produ�{i'ipm�� �ias C7 Oil
23. 6as Fipe•RotB]h & T�est " < < *; '" Q ' � _ 7p, Undergrou� d Ftush � -
� � "1 1. - C �,
24. Roo`�Frarhing. "_'. _.. .. ; � _ T {'. �' �' J� y ' -r •1�J .^�-1
r -+ r•��• Undergmd. Storage Tanfe O Gas ❑ Oil
25. Roof•Sh�thing � � - 1'� k 7d, Overhead Hyd �
�T1 K
26. T-Ba� Ceiling (Strv furall & �Ac�npcoac " � � 7" � � ~ ; _ _ _ %
f a'� 7�. Dry Chewiical _ •� '; y'' - _
27. Frame and Flashing. js � t " - � � 76. Dry Starx:p'ipe� = " ' '" _ - - "�
y
9 9 � ,. =:'_ � "� ' 7�j. FIXED�'S�ST�fi�FjN�tiL� � `i" ^%-Lr�
28. Lathin & S�din � K "� J��
- :���
29. Insulatian ;�� S •• � � + 7�,?FIRE PREV. FI L[ ^ _ = �_: c,
30. Drywall t�a�ling '�' ^ �. _ j �. ; ' L � .�H�ALT�!i DE�T: REl7UIREM�NT,j ^ , � -� •�
31. Plaster Br'uwn Coat �� • �� I '� _ y ��-~
• 79. FINAL[NSPECI�ON • :7 �., v�
e' -
32. �ElectricaFPoiver Me�er��nal ''' '� 8d FOOD CERTIF�C,ATE �S�UEQ, '
33.�inai�Ele�tric�• :+�� t� �� Nates�j_a�'^q�7.?1 J-��NR�=�z�� ��
-� V �.J
34. Final'Heating:&Ai}'Conditionirigs - ' ^ � 1f, � ' . . '_
] l f �� ' ��-1
y �' ' 1
35. Final�Gas PiPe:Test ,. „ .. ��p h� �` � ' ,�, : 7.� K n - _
36. Hood or C�,anoPV , .. " ' � • '. 6 � ' S � � � � •
�R .. - !r. - , r, �
37. Final'Fatt�.o�Y fireplace -: - -• � • � � ! ' - -
� i : _
38. Fina( Plumb�ng _ ? •� _ - _ = ' - ' , _
i�� R
39. Water Ser'vice-Final. � ' � - i I �a � � � _��' "' -
� i
40. Gas Service�Final • � _ �" i � I: _ � � ` \-:. __
�
41. Solar pomesticFinaJ � �� � - � i , r -- " , �
42. BackflowvP�eventer` `i • � � ; = -
T
- 43. Backflow Irriyation L , ' , - F - ' � Y �. . . . . • . �-
•44. Landscape Irrgation System' " " ' � � _ _ - - �� � -" - � • � � -' � - � - � -
< ' ' 2 < :J "` Y � -
'45. Sound Attenya[ion, y ; � ` - _ r � _ _ - � �
46. Handicap�Regulations � ' - _ _ = ' � .
' r �
.47. FINAL STRUCTURE & BUILDING ,' __ � ' - .
48. FINAL PLANNING� -� - � � - � . ' '
- - i
�49. Electric Release to Edison ` � - �� `_ - - _� .
50; Gas Selease to Southem California�Gas Co � . - - • 7 ' ' ' ' ' ' + 1 ' '
_ - � - � -. . . . 3..>.� ,
5P. CERTIFICATEOFOCCUPANCY ' - ---= -
No. Date '
MO5tiS50F�UILdNQ
OMNEX'S IUYE IF IR�015N:
� �MOflES3:
i
PL. Ylutuq AooNEss:
ARCXREC70fl ENtlNEEP:
MCH ON ENO: S �WPESS:
CONIPRCTON'SN�1�:
CONiFACTORSYNIW�
AUDAE55
UC. N�_
uc. ra.:
UN�:
Y6RMIT NO: P u85u8E PLAN i:HfiCK Nii: 0915d-9'/ N ,�.;
• .• ieiFifiFi'e�ki'rifii�wiiieiF�%it�Aieii�xiik3iitiiJiiiifiiieie'reiiieiF4fii��iEiii'rieiei'riiieieleri��i'riEi't'vFii�iriiri�:Eirif:'r�ifi'rzw��ie'rEii�iiiF7ikii�w�ww�i'rie�ieii..w.
Y'YYG ��Y L h 5 L 1t 1 Y�j 1 11 �`1 UIVl�I l.11S1 LG�.LIiL l.lJa�l
uNT: ri0 1 GAS skiiviC�.
rL'J 1 S�H'r.ti, i:GNNECTLON
UNT:
LICENSEO CONTNACTOHS DECLAfl�TION: 1 MmEy ell'vm uMx penelly d pe�ury Ret I un IiceneeA uMm pmiaans d Ghaqm B
(mmmencn0 wil� Secuan JOW) d Oirimun � d ihe Bwmeaa ud Pmlmaau CoEe. eM mY 4ceros u n tu0 brta end dletl.
CRY LIC. NO.: LIF CLASS: LJC. NO.:
Deb: contrazfa:
OWNEF BUILDEP UECIAflRTiON: I hmeW e1Nm �mde� penely al pa�jury �htl 1 em aumq han �M Cpureaon lionue ter ta Ns
tdbwn9 rsmm (Soqion )0.tt.5 Buvinse enE PrNesvms CaEe: AnY c�Y a oow�y MfiiN nVuina e O�Y to muWcl� edx.'vnVma.
Eemofeh, w rapei eny suunure. q'v lo na'vauerca, eho requiroa the eppl'raN lor wch pame �o fib a eiprwd etaiement ihel M a�M
� i�e w� �o me w«re�+ a m. cw,m«. u�.s �., �cnaa« e l�«+�o �.'vn sw� �000) a o::� a a m.
usnnw ena Pramiao cotlel « imm �. « x,s e wmq �neroham ene �nn eea. �« u» dbued .cemaon. Mn+�� a swun
�aat s M enr eoW�� �«. w.mn wbjew �ne wdwn �o e a'n;� penetly d na maa �nen Ma mnw�ee edwa �Sswp.
� I.mowrorGlMVWa�YamyamObJ�wthwepeamlMiaaboomD�.wYIAotMwvk.enEtlrebuAun'snoliNSMeE
w Mmed la eele (Seclion ]Oaa, Buvireaerd Prdaaaona Cade: Tha Comrappe Licenea lawdon ml applyto en owrrrd propMy
M�IO b11Ild9IX TP�OI�IMBd1. Wld V.}q QOlf SIIC�1 MIXk �1IT9lo IX�IMG� IX d11Wih f0 Of �Mf OMT MIpO/N�. p!O/Idb �� PMlI
imqm*maqa ere no1 iniaMad a dlaed la veb. C. Mwww. �M W9Evq a inpu'amaM e add wENn ona Yw d aomd�bn� IM
�,�s,a��a., �n na.� ma wm� d w��u n. «.ne ew oa w�a «�mwa* �a me wwa. d.wl.
❑ �. e. mmm a �ne wWeM..m a.�v �mrea:n .aA lon..a cwro.cw. ro oomo-w me wq� (swion 10«. ai.:r..na
Pmleuime Cade: TM Comrmae Liceme lew don m� ewN m en owiwr d qwe�Y who brilde a'uno�'r iMraon W who
contrecie t« euM p9�� xnh a awureeMe) IicensE Puauem to ihe C«urmon limrua lawl.
❑ I an eammq uMx Saction: B. 8 P.C.. br Mu �eeaon:
Dms: Oxner.
1 do hereEy cMily ihel I em eware d ad uMenbnd IM req�iremann W Cellana Ibetlh ud Stlary CaEa SaUbu 25505. ?55]9. W
a5ao..M wm I s d,r naun ww,o «ane�v .;n / wa �a IcRY �.1 msa w canoN..�n amd wa md� md n. �.�+au. b.
eG�ulaamslructionamodAmionhaniMAi�ly eroO��D'mtrid.RmkamielmntlrWioneOG�iameneremqhamlMu
yovieians.
De1a: Rppfram:
WONKEP'S COYPENSATION OKLM�TON: I ArsEy elf ivder pene4y d papry ons d iM h0ow'vp dxLrmian:
� IhmvdxilmeiniviecenAiraiedmneentloeell�irounbrwarken'mmparoetion.npro.ideEfarbySedian3100diMlebar
Cade.la tM pMamarica d Na wA la wlidi Nu penm u'vsued.
❑ I hew ud xil meinten welwe' mmperoelion mwranro. m reyidred by Safion J]W W Na lebar CaM. br tM perldmvre d tM
wark la v.Titli No De�� b mued. MY waYerv' oom0��bn'unuearca anier and D�Y number ae:
Cvrier:
PdiryNumber.
vs aenim resa �a b. mnaM�ed 1 m. ro*�t u ra. aa lumdrsf emaa R�ao/ u 1ss..)
� I�anA' Nm in the V�amenca d �M wark far xfiich ihis Cermil u nwtl. 1 Mell nol emdW eM Va� in eny menirr n n to
becane wbjW �o iM MOM1ra' mnpemmion le�.a M Ceblarve, enE eyea Nu tl 1 ehatld bxv�� �uEjW lo IM va�lnn'
cwnP��ian Vp+�9iom d Setlion 310� d �M labor Cada. I du0lanhv.rh wmW wdh Uwn paaum.
Dele: Mp�ceN:
WITI�W: FONYI� M �OCY/I IYO/kM� COIIWMVNN COY��N� I! IIIIYWNI� NJlNII11dIKI N/IIVIO�'M N MI1Y/YIV��M IM
elrll flres iq b aw h�ntliM ticuund EWI+n (Sf00,000A N eM/tlon b fM cml o/ romp.rwWM1 A�mpu u prvNtlW br In
SKtlon J]G6OI !M leEo/ CorL. Inleru( !iWlrtumsyl (wa
coNsrnucnoN �oimnc ncewcr. i�nv m� �w« v«+�M d wdw �nm m.. o. m�m�w� r�mc �+�v w m.
perlo�tnanu d tM xvk lur xt� �h"v Wrtni e ewed (�� �). Cw. CI.
- LENOEP'S NAYE:
LENOEF'S100FESS:
I ttnih.Nm I hme mad Ne eGV�rmion W afine �hm tln eEaa'udamLian o canetl. I eWNee to rnnNY wdh a0 UY and mm1Y ortlmuv
erd ataia lexs relelip b bwltlip construmm W hmeby eWvice mpaee�umiw d �he oryto aNx upon �M Wwe�memoned popany
�a,�,�� �.,�,s.
o�.:
sq�wn a o.�✓n�v��ucomrea«
(St5td6.WP) WNIe-Buidiip65dery:preemFb:Guury-AppSran:Fnk-Rewnue:Gokeneo�Mauu
a.7�
Tu bGIiiilNi� F.ACIi "1.2. "v"v
filvu O'r' Fr'F:5
�o�TD �-��
,99 D
o$ �D
CIIY OF COSTA MESA'
u."75
�'l . 0'v
� �'C' oTRUCTION ANDPLANNING POOt PA
(��', ..-rROVALS Permit# Date Inspector AppROVALS Permit# Date inspector
''• 1 Temporary Elecvical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 6��'�j � "53. Steel Reinforcomant
3. Electrical Conduit Utility-Undrgrnd. 54. Forms i
4. Electrical Conduit-Undrgmd. 55. Electrical 8onding
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrlcal UfER Grnd. 57. APPROVALTO COVER•GUNITE
7. Footings 58. Etectrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, Q Undrgrnd., Test -
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, L� Undr9rnd. (
10. Structural Floor System 61. APPROVAL TO DECK
17. Proper,y Sewer Line & 4ouee Connection _ 62. Backwash & Receptor-Final
12. Sewer Cap ' 63. Heater & Vent-Final �
13. Roof Orains � " � -fi4. Plum6ing SYstem - Final
14. Rough Plumbing � 65. Electrical�Fioal �
15. R'ou9h Eiectrical-Conduit . � 66. Solar SYexem-Finai ' . �
16. Rough Electric Wiring , '67: Fencing & Aceess Approvai ' �
77. Rough LNiring Sign - 68, APPROVED FOR P�ASTERING
18. Rough Electricai-T Bar Ceiling -69. POOL/SPA SYSTEMS F�INAL -
19. Rough Hea2in�g & Air Cor,ditioning FIRE DEPT. REQUIREMEIV7 �
�:
2Q� R��gh�ac�t� F��eplace APPROVALS Permit #
21� Ducts, in Struaure 70. Underground Hydr�
22. Dpcts, Ventilating 71. Pruduct Piping O Gas ❑ Oil
23. Gas Pipe•Rough & Tes[ 72, Underground Fl�sh
24. Roof Fram�g� 73. Undergmd.StorayeTank uGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
267 T-Bar Ceili�.(�itructuraq & Monocoat 75. Dry Chemicai
27;' Fr2me and �la;hing 76. Dry Standpipe
2fi. Lathing & SJding 77. FIXEO SYSTEM FINAL
29. Irssuiatinn �� 78. FIRE PREV. FINAL
30. Dr:nwafTNaFliap HEALTHDEPT.REQUIREMENT
37. Plaster�8rown'-Coat 79. FINAL tNSPECTION
32„ Ei�ctric�l Pov�Er MeterFinal 80. F000 CERTIFICATE ISSUED
33; Final HectriG-• :, Notes:
34. Final H;eating,��ir Conoitioning .
3�y Fieial Gas Pip�1'�st �2/���N�/
36' Hobd or CanP�V" .
~ e Z - - . -----
3T� Fiqal Factory;f�§eplace
38, Final Plumbing ` �
39�;Wa�erService�Final - �
40,� Gas Service-Ftnal '
47J Solar �omesuc•Finai
42' Backfiow Preventer
43. Backflow �rrigetion �
Y
44. Landscape'Irr�ic�ation System �
45. Sound Attenuation , �
46. Handicap Regulations �
47:. FINAL STRUCTURE & BUILDING '
48r FINAL�PLANNING � .
49. Electric�ReleasetoEdison
SO. � Gas R etease to• Southem Ca4itosnia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
cr
AOV���ant to fill in all zpaces eaceDt inose within neavy oorCer Ilnas ana slgn all aporoD�iate aeebralions.
CiTvoFC05�'.�MpE�A CONSTRUCTIONPERMIT
Project Address -�1 7 EQS� a �� ��
Applicant's Mailing Address '_,I, �-�tl^
Owner'sName A I Phone_[�T10�[�V6
Address a�S CGGI! O�R[G i iDSYR MetH� CL7.
Arch/Eng. License No.
Address TL '� A
Contracror'sNamevonl.eil�n2 CDus [TIOT�hone� 7S6 b
Address (mailing) � 9 g�.� ESNKQ-� H. R. �w9L, t,
Ciry License No. ���3
LICENSED CONTRACTOR DECLARATION
1 hareby aftirm tbat I am IicenSetl untlGr provislOn50f Chartef 9(COmmencing
with section �000) of Division 3 ot the Buziness antl ProteSsions Cotle, antl
fOy IIC¢OS¢ iSln IUII f0(C¢ dOtl ¢ff¢Ct.
lJcense Class Li� �se o._ Y'�.
oatc ��-2�RR siynature r
WORKERS'COMPENSATION OE TION
lereby a/lirm that I have a certilica e oi consent to salMnsure or a certitiwte
Work¢rs' Compensation InSurante, Or a cerlltie0 cOpy there0f ($ecilon`
_eoo. �ao. C.) . -
Policy No. Company
eCertifiea copy is nereDy turnisnetl.
Cer[ifietl copy is filetl with the city Builtling �ivlsion.
Dat¢ APPlicant �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This sectiOn nee0 not be compleletl it the permit iz fOr On< huntl�ea (§]00) or
Icss).
I c2rlity Ihat In tne perfo�mance of th! wOrk tOr whlc� thiz perm�t Is IsSueQ 1
snall not emo�oy any person in any manner to eco e subj t to the
Workers' mpen i n Laws oi California.
Oata ���--��Signature
NOTICE: It, a(ter makin9 tnis tleclarati shoultl become subject to the
Workerz' Compenzation O�ovislon5 Ot bOr CotlG, y0u muzt �orthwitb
compry witb suth provi5ion5 or tltis permlt Shall be tleemetl r¢voketl.
CONSTRUCTION IENDING AGENCV
I horeby atfirm that there `is a constructlon lentlln9 a9ency lor the ver(ormance
ol tba wark tor which this permil is i55uetl (SecHOn 3097 Civ. C.)
Lender's Namo
�entlor's Atltlress
OWNER BUILDER UECLARATION
1 horeby a/lirm tnat I am exemp[ irom IhC Conl�actor'S LI<enSn Law fo� the
followinq reason (Sec{lon 7031.5 Business antl Prolciilonal Coae: Any Nty or
counly wniCM1 requires a permit to cOnst�utt, dltBr, Improvo, tlemollsh or repalr
any sVucture, prior to ilz issuance, also reqWrus the applicant lor such permlt
to fiio a si9nea statement ihat he/she is Iicensetl vursuant to tnn provisions of
Ihe Contractor'S License Law (Chapter 9(commencing witn SecUon 7000) 01
Oivision 3 ot lhe Business antl Profession5 Cotle) or that no/she I5 exempt
ierolrom antl the basis for the allegetl exemplion. Any violation ol Soction
031.5 by any ap0liGant 10� a perml[ SUDjects Ihe appli<ant to d civil
�enalty ot not more than tive huntlretl tlollars (E500).
I, d5 Owner ot the pro0erty Or my employc05 wilh waga5 ai lhelr sole
Compansalion, will �o ihe work, antl tno slructuro is not Inlentlotl Or Ott¢rBG
lor sale (Saction 7044, Business antl Professional Cotle: The Conlractor's
License Law tloes not applY �o an owner ot a properry who builtls or Improves
lhe�eon, antl who tloe5 Suth work hlmSCl�/herself or thrOugh his on c�r Own
employues, orovitletl that such improvements aro not IntenCetl or oHereE for
salo. It, howevcr, the builtlin9 or fmprovGment is Soltl wlthin ona yoar ol com-
oletian, the owner will have tne burUen ol orovin9 ha/she tlia not bulltl or Im-
Q�rove for IhC pu�po5e o1 Tale).
u I, a5 owner oi ihe property, am ezcluSWely tontracting witb Ilcen58tl Con-
tractors to mnstruc[ tne O�oject (Seceion ]044, Businoss ana Proiessions Coee:
Tho ConVac[or's License Law doez not appry to an owner ot pwperty wno
�builtls or Improves thereon, antl who COnt�acls lo� such pro�lCli w�lh a con-
[ractor(5 1¢ense pursudnl to tlle Contlaclor'S LICan50 Ldw). I am aware tllat
proof o� their Worker's Campensalion insurance shoultl be provitletl to me.
❑ I am exempt untler Se[lion B. 3 P. C. tor this r¢ason
Date owner
I nereCy certity that 1 have rea�
Informalion is correcL I agree to
antl slale laws relalin9 to builtlin
Senlallves of this tliy to
in5pection purposes.
Signature
Drivers' License r 55��—
[ion antl 5tate that [he above
all tlty antl county orGinances
i,� hareby autnorize repre-
b menlionetl PrOperty fOr
a 33 E3� i� "'GKr Potr- tar�{ .—.
TVPE OFCONSTRUCTION NEW DD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p y�6
DESCRIPTION OF WORK/USE OF BLDG.
- S Main Buildi
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T FrOnt r
, ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANIGAL euf
9❑ OTHER
PROJECT DESCRIPTION 5q. FT. -� oCCUPANCY C ight
CONSTRUCTION TVPE V� VALVATION 5 ZI �,�,1 � g Left
ZONE GRADING CU.YDS. ACRES Ping. Ref, �
aemarks: �uw.l.[i_ �m�� t �ti� ✓ta�t•M r• d PlanningNotes:
ar Sink
ackflow Preventer
ackflow Irrigati0n
athtubs
larifiers
ishwasher
rinkin9 Fountains
loor Drains
IOOf SinkS
es Service Outlets
rterceptors ' �
.itchenSink .
HV2tOf125 •' .
-Trep
Ioof,Drains ' •
Reinspaction fea $15
�uct - Under Ground
Duct � Structural
Duct � Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Facc Blt. ICBO #
Heating System & Ducting I
❑0.100,000 BTU 0100,OOOBT'
Reinspaction Fee � S15
IF 0865-46, rev. 10/B4 White - Bviltlin9; Canary - APPlicant; Pinl-� ^��unting; Goltlenrotl - Assessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping
Solar Tank
Swimming Po01 w/$pa
Urinal
Water Closet
Water Heater
Weter Service
AlltO-W85I1
Laundry Trays
laue Fee
Hood or Typel ❑
Canopy Type II ❑
Refrigeration System
❑0.100,OOOBTU ❑700,0008T
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
3 I zona a
AccesSory Building:
fG`� � O
r N
1
,S � + N
, G
R
Parking Req./Provided E
Q
,/L(J'UY� M
T
S
ELECTRICAL FEES
Auromatic Washer Transtormer ❑ 75-50 KW
Construction Pole Sub. � 50 + KW
Cooking Unit Meter p to 100 amps
Dishwasher / Meter ❑over100amps
Dryers OGes ❑Electric Sub Panel
Fan Momrs�O-1HP01:5-8 3
F.A.U. ' Inc Solar �9-75 HP �16�15+ 3
Fiztures Microwave Z
Device Boxes Pole Light !��
Ouele�s� �� Range '
Swilches Sign
Gorbage�Disposal �;- Standing Sections '
Gencretor OO-5 KW �5-15 KW Trash Compnctor '
- . � �41L . � �_
5''3� I
�e. Roinspoction Fea S15 Issua Fee
FEES
DEVELOPMEN7 SERVICES REQUIREMENTS: r
Zoning Approved By M M Date J a� �
Building Approved By Date�
Appliqtion Issued By Date
SUMMARV.�no F FEES
BUILDING PE(iMIT $ �' ` SMIP S ���
PLAN CHECK g � �� PERMIT
PLUMBING $ � ISSUANCE S
PLAN CHECK 25°k $—r s� �_ ENERG� P.C. S
ELECTRICAL g �6V GRADING S
PLAN CHECK 50% $ I��_ MICROFILM 5��
MECHANICAL $ Z�Q% rornLFEE $ ��'_'
PLAN CHECK ZS% $ �Z-yr �
CONSTRUCTION AND PLANNING � . .� POOL & SPA
APPROVALS 'Permit# ' � Date „ Inspector -� ;qPPROVALS Permit# Date Inspector
1:; Temporary ElectricakService or Pole 52. Pool & Equipment Location i
2. Soil Pipe-Undrgrnd. '� L� 53. Sieel Reinforcement .� �
3. E�ectrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical'UFER Grnd. '� p b' � 57. APPROVAL TO COVER-GUNITE
7. Footings _' ;, 58. Electrical Conduit-Undrgrnd.
8. Foundafion .' :�� r 59. Gas Pipe, O Undrgrnd., Test
9: Water Pipe-Undrgmd. �� 60. Backwash Lines, P-irep, � Undrgmd.
10. Structural Floor System ' 61. APPROVAL TO DECK j�� la n
• 71 . Propert Sewer Line & House Connection `� �� L� �� • U ` r�
Y % 62. Backwash & Receptor-Fi yal � .t �
` 12. Sewer Cap �. 63. Heater & Vent-Final �ty'� - i y i`='- �,
13. Roof Drains �� � rr 64. Plumbing SYstem - Final ry'� �_�
; �
14. Rough Plumbing '7`J(`(j$ [�('/� 65. Electrical-Final � �
I
15. Rough Electrical-Conduit 66. Solar Sysiem-Final
16. Rough Electric Wiring 7,g 67. Fencing & Access Approval
17. Rough Wiring Sign G ��� 68. APPROVED FORLPLASTERING
18. Rough_Electrica6T Bar Ceiling � �� v� 69. POOL/SPA SYSTEMS FINAL- ��' �'
r .
/19. Rough Heating & Air Conditioning � M FIRE DEPT. REQUIREMENT �.� `� �
20. Rough Factory Fireplace APPROVALS Permit # T
� �
21. Ducts, in Structure 70. Underground Hydro j� � n,
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil '�
23. Gas Pipe-Rough & Test � 72. Underground Flush ��� � I.
24. Roof Framing . 73. Undergrnd. Storage 7ank:O Gas ❑ Oil ��
25. Roof Sheathing 74. Overhead Hydro '�� ' ��"
26. T-Bar Ceiling (StructuraQ & Monocoat � � 75. Dry Chemical �� ' �y � '� � _
27. Frame and Flashing � �� 76. Dry Standpipe ��,. �i , M J+
28. Lathin�& Siding �/✓ 77.. FIXED SYSTEM FINAL -' .� �
29. Insulation � 78. FIRE PREV. FINAL ��
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION � �
4-
32. Eiectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' t}�
33. Final Electric q�Lpj Notes: J� � �
34.' Final Heating & Air Conditioning 9.J� �y LED ( jLj 90
� =:
35. Final Gas Pipe-Test ,, i ' ( 6 ��
i
36. Hood or Canopy g�.- , .^
37. Finai Factory Fireplace �. '% � �
38. Final Plumbing . ,,� � (�j� ' '
39. Water Service-Final � ' � V' - � ,
� % .
40: Gas Service-Final �� / l �
,
41. Solar pomesticFinal , d � ��� ;"
i. � ,
�42.�Backflow Preventer � � ' �� . . r,-�
,�
43. Backflow Irrigation ,� � � '
/ ;s �
44. LandscapelrripationSystem � .-?: �� � .��
45. Sound Attenuation C' �� -�' 1' �
46.� Handicap Regulations �-- - � ' -
r . J1 -
47. FINALSTRUCTURE&BUILDING .I� _, • r, �
i. . r
,�48. Special Requirements Completed ��
49. Electric Release to Edison , �
50. Gas Releare to Southem Catifomia Gas Co :J •
51. CERTIFICATE OF OCCUPANCY , ,
No. �� " '" Date . '
� . .;
' 'TY OF COSTA MES �)
CALIFOHNIA 92628�1200 P.O. BOX 1200
Insulation Certificate
3 S 7 E �/s r l',�s r1, ��s,s
Numbc end Saeet Ciry ,� //
O �. /1/Cw 9o,e r �il� �-'y L'
Co � Subdivisi LotNumber
Description of Installation
ROOF
Material �U� BrHnd Name
'Ihiclauss (inches) 71�ermal Resisiance (R-Value) ,�
EX7'ERIOR WALL
�tace�a� B(:•,� f( t f' Hrand Narne Kr.,. P.�- -
lhiclrness (inches) ' : '/}' Thermal Resisiance (R-Value) R- / /
CEII.ING
Batt or Blanket Type ��� Qa -,,,�,.,� �, �- Brand Name n� N H
'Ihiclrness(inches) 9'� 71�ermalResistance(R-Value �-3D
Loose Fill Type Brand Name
Conuactor's minimum installed weighUh Ib Minimum thiclrness inches
Manufacnuer's installed weight per square (oot to xheive'Iliamal Resislance (R-Value)
RAISED FLOOR
Material i1/�
ThicFaess (inches) T
Brand Narne
'[hertnal Resistance (R-Value)
SLAB FLOOR
Ma��1 �'o�/CReTe BrandNarne
'Ihiclrness (inches) _ t� �' 'Ihermal Resistance (R-Value)
Width (inches)
FOUNDATION WALL �
Material N�'1 Brand Name
'Ihickness (inches) � 'ihertnal Resisiance (R-Value)
Declaration
I hereby certify that the above insularion was installed in the building at the above location in confortnance with
the cw�ent Building Energy Emciency Standards fornew residential buildings contained in Title 24 of the
Califomia Administrative Code.
�T�ti A/o� �',��<rR�.�T,o,v T� y�8 �y7
�Gcnet Contractw ildcr) Liccnsc Number
/i� � r .z-/-%O
Signeture end Titk Datc
SubContrecer (Insuluion Lutallcr)
Signnture vd Tillc
FES 2 19y0
Licerac Numbcr
Date
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