HomeMy WebLinkAbout398 21ST ST - Building Permits� ADUHES�OFBIIILqNG: �J�JB 21J�T ST
, °""E"s""�Ei`/w°"": CAMPBELL, TIMOTHY 6 CARUL
�ooxcu: y18 E 18TH ST
C��,x,,�1,F�,��, CA 92626 650-4758
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""°x"Ecr°"�m'�": T.NEMNICH
ACN.OH FNd'S ADOHESS: q 1 8 E 1 B TH S T
COSTA MESA
CONfHACTpI'Su��'
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ADORE55
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CA 92627
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LICENSEO CONfflRCTOPS UECLAF�TION: 1 Iwaby Nim uMe. parely d perjury Mm I em lieereed under pewieons d Chaqs 8
(mmmena�q v.ilh Sec�ian 1000) d Gmion � d Me Busirem eM Pmleasbns Cade, enE my licenae a in IuA brta eM eflea.
CRY LIC. NO.: LIG CLA55: LIC. NO.: EXFj �
oma: co�vma:
� OW NEF BUILUEfl DECLANATION: I Mnby dfirm uiMer penaly d perjury ihe� I em uemq Imn IM Conuetlae lioems law la Ihe
idlowing raewn (Seclion ]0.A1.5 Bueiwen eM Pmfeeaiona Cade: Rm/ cilY a couniy xfiich requiree e pe�mB lo aombuct, dlm, impwe,
damdwh, or repei eny clructure, qin to ils ewenao, eleo requirea iM epplirent lor wch peimA to fib e up^ed eletemenl thel he w eM
m r�„e w�,�i io ina �.�o�. a�n� co�,��o�. License law �Cheqx 9(oomme��p wilh Setlian 1000) d Divwion J d tlr
Buvrea end Rdma'vu Cadal a tlut ha a sM u memq �harahan eM Iha beve �a Me albv� ssamqion. MY vidation d SeCian
)031.5 W enY ePW���I la e parmu euEpds IM epplcenl to a dnl pe�alry d na mae Ran fwe huMmE Ad4n �i500�. .
� I.uoxmrdlMpropeMwmY�ObY��hwepmmiheiedeoompanselbn.xiAdoNewwk.eMlMebuclunwmlinteMad
orollered br ada (Seciion 10u. Buainewend Prolessions Code: TM1e Goniracton Licenna law doae mt epply lo en ownerol propaily
wM10 Wids a'vnqoves �hareon, enE xfio dma euch xwk IimeeX or herseM ar Ihraph he a her ovm empbyeee, pwided ihtl euch
impo.emema era M imaMed a dlxaE la eeb. tl, however. IM buiki�p a inpavemeM u�ak xilhin one yw d wmpbtun. Ma
ow�.r�wuaa, �;n n.� ma wmm d wa+m �«mb ed � aaa a �mo�+i« �na w�o«e a.e�e1. ...•
'[�]+ I. u ownx M the qopeM. � e�dueiveN �veamp wnh Iben�eE conlrectae to mnstrud Ihe pqect (�� ��. �+i�ree md
Pmlevioire coda: TM cantreaae liceme Lew does na eppy lo en owner d prapany w1w buitle « impovas �nereon eM who
conlrecla fa awl� prol�s � a mnlredohe) IcaneaE pureuenl to Ihe Comrepoea Lieeiue lew). �
� I an u uMer 8. 8 P.C..Ia Nie rew � ; �
o�a: � �� �� o��
I do hereby cenity thet I em ewera d ud uiderslenE ihe reQuiremema d Celiamie h end Sefely COEe SeGione 25505:255�J, eM
2553a, eM tnm 1«eny Mure W iMi�q owryant will / wdl na (dreb me) neaE 1 camVM wIn eeid m. mdee end �M ie0uiremaMs M
eDe!mnlammttunianamodifimtionkomlheA��ueC—R�y enepert�aniDiarie.Rewd m�ionWO�iamveuamqimmNwa
proNaiann.�j�� '�� �
oma: noW�:
WOFKER'SCOMPEN9ATIONDECL�fl�T10N:IMreb�elfumuMerpenellyy 'juryanediMb4oxi�qdeduduen:
� I hm erd hil meinlen a eenAwe d mmant to vaXinwa M xveken�mnpanemion. av pwideE ta by Satlian 3'!OD d �M lebor
cad.. i« �n� wn«�KB m ub won� io. �n in�, w�n o a.�e.
� I hew end wil meinlen woAan' mmpeneelbn imurence, u requimd by Saeim 3]UO of dw Lebor COEe, br iM pe�lormarwe d �M
wak Iw whieh Mia peemit is ieeuetl. My worMere mmpeneation ineurenw rartier mM pdiry numbar ere:
c�«
Pdiry Number:
(This aecfion need na be rompbred e rM perma ia M om huMred ddlers /8100) a len.)
� I cenity Net in IM1e perimnarica d Ihe wark br whc� Ihie parmil is isaueE, 1 ehell ml emplay eny pe�eon In ury maruier eo u lo
eaoo� e�qaa �o ma �wx�n mmw�•m� m.,. m cdnoma. ene w� mm a i.nwb exame wqea m m. �.�
�p�q�' pru��� d �M lebar CoM. I ehell � � �
ove: � nvd��:
Wam/ny: FeNun ro sxun workri romponutlen rovxeys b unbwAvl, mtl dull f en rnploys� foWMnl pwltlu �ntl
c/vll fln� up ro ms hwtlreC tMuunAJnllan (SIOQOOOA M sAi/tlon ro Ms rost ol rompwuaflort �� u poNtletl br In
Sxtlon J106 0l fM le6orCo0q Infwu4 enAettomsy'a /ww
CONSTNUCTON LENOINO PGENCY: I he�eby eHrm uMer paneM1y d perjury �hm �M�e n e mretrutlion bMiiq epancy lor tlro
paAormence ol ihe xwk /a whiM Ihe parme is oweE (SeUion 309]. Civ. G�.
LENDEH'S NMIE:
��oen�s �ooxess:
• ��anM �nm � nxre rem mi9 wd�.� gma mm ine mwa iMomwron ¢ wrrea. � ea,« m romar wnn m� dn.�e �w�n aainv�w.
enE etele levw relelinp to buiMing cmmrudion eM Mreby euHwrae repreaentetivea d thb irty lo enlar upan �M eEove�maMioneE pmqry
lorinspeabn purpases.
M'B YER
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Dete:
a�,mia �ownenRemvnvW�ucumrena
(5151de.WP) W�ile-Buikvq85afery:Oree�le;Cerery-Appf�eni;Rnk-Finenue:0okanioE-Aavemr
CITY OF COSTA MESA — BUILUING PERMIT � •
PERM �10:� Ot3925:
PERMIT NO: E 084253 PLAN CHECK NG: N GOVT: N SUFP: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION : SoOo SF LIVING AREA/613 SF GAR/ SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: REF:B-83022
�*itit+�ie****it�t�et+rit*+r+�**+�*�r�*�**x *�*�**�*it+��r*+�*******�r***� �r*it*��****at�r***�t*at��r*x���
Z O N I N G R E Q U I R E M E N T S
S£ T B A C I{ S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARHING RE�� PROV: PARCEL: 92b17102 ZNE: REF NO:
PLANNING N TES>
i
�r**�r�**�*��**�***��*�***��***�r+r**�*�***���*��r***�***�r***�*�**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'
ZONING APPROVED HY . " DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY: �
if iE ic * iE 3E iE it iE fE �t iE iE it it �E if jE ** if 3E3F3FiFiFiFfFii3FiFiFiFiFiFif3i3F iF'iF"iFii�i}�f3f�F'ii'iFiF �F'
LEGALIZATIUN:N F E}E S U M M A R Y
BLDG FMT PLUMBING ELECTRIC MECHANIC
DATE:
DATE: p ' ;(.
�iFiEifiEiEiEiFiFiEiFiF�i r iFiE
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
PERMIT 272.27
508 SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECIC TOTAL PAZD DUE
TOTALS----> 272.27 22.00 0,00 299,27 294.27 .00
REVENUE DIVISION TOTALS--> COLLECTED: 294.27 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
299.27
iE iE iF �E iE iE �f ik iE �E iE 3E iF iE 1k 3f it if iF if if iE iE ic 9E ik �f if iE iE jE itr iE fE jE �f iE 3F it ik iE it iF * iE iF iF it iE iE it iF iE iE iF if iE iE if it iE if ik iE iE iE iF it iE iE iE it iE iE iE 3f i(� iE iE
I N D I V I D U A L F E E H R E A K D O W N
TY�E QTY D E 5 C R I P T I O N UNIT COST TUTAL COST'
ELE 7 FIXTURES, LIGHTING i ST 20 EA. 1.00 7.00
ELE 10 RECEPT/OUTLET 1 ST 20 EA. 1.00 10.00
ELE 3 RECEPT/SWITCH 1 ST 20 EA. 1.00 3,Ot�
£LE 5606 NEW RES bLDG FOR 1 OR 'L UNITS/ SQ FT .04 252.27
END OF FEES
09-15-1997/62: � f294.27
RCPT. 2d4)
P�kMIT:O 3
CONSTRUCTION AND PLANNING
APPROVALS Permit #
7. Temporary Electrical Service or Po1e
2. Soil�Pipe�U�drgrnd.
3. Eiectrical Conduit UtilitY-Undrgrnd.
4. Elettrical Conduit�Undrgmd.
5. Sceel Reinforcement
6. Electrical UFER Grnd.
7, Footings
8, Foundation
9. Water Pipe�Undrgrnd.
70. S[ructural Ploor Svstem
t t. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains
14. Rough Plumbing
75. Rough Electricat-Conduit
76. RoughElectrlcWiring
77. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. ROugh Heating & Air Conditioning
20. Rough Factory Firep�lace �
21. Ducts, in Structure �
22. DuMs, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing•
25. Roof Sheathing � .
26. T�Bar Ceiling (Structuraq F� Monocoac
27, Frame and Flashing ;
28. Lathing & Sidin9
29. Insulation
30. Drywall Nailing
37. Pla:ter Brown Coa;
32 Electrical Power fdeter-Finai
33. Pinat Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test - �'
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbin9 /
39. Nlater Service;Final
40. Gas Service�Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation '
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47�. FINALSTRUCTURE&BUILDING
48. FINAL PLANNING
49� E�ectric Release to Edison
Gas Release to Southern California Gas
� VL(l l l(lyl'114l Vf VI�VVI
Date
Date
Inspector
u
YUOL & SPA
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reiniorcement
�4. Forms
55. Electricat SoMling
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER•GUNITE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P�Trap, � Undrgrnd.
67. APPROVAL TO DECK
62. Backwash & Receptor�Final
63. Heater & Vent-Final
64. Plumbing System - F�nal
65. Electrical-Finat
Solar System-Final
57. Fencing & Access ApProval �
68. APPROVED FOR PLASTERING
69. POOL(SPASYSTEMSFtNAL
FIRE DEPT. FEQUIREMENT
APPROVAIS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush �
73. Undergrnd. StoraSe Tank O Gas ❑ Oii
74, Qverhead Hydro
75. Dry Chemical �
76. Dry Standpipe -
77. FIXED SYSTE@.1 FINAL '
78. FIRE PflEV. FINAL
HEALTH DEPT. REQUIREMENT
FINAL INSPECTION
FQOD CERTIPICATE tSSUEO
Inspettor
a
� _ ., ,
�' CITY OF COSTA MESA
° B!/ILDIMG DIYISION /J�q /� (
� , � DEVELOPMENT SERVICES DEPARTMENT fJ I�— � I K-'C�K'
�1� PERMIT PERMIT NUMBER
"�ono6o �
898-��696
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: � 21 ST ST
Suite:
Vicinity: SOUTHMIEST/EAST SIDE P/ L
Parcel Nunmber: 42617122
Applicant: GLASSELL, JOHN
Address: 2802 SHANTAR DRIVE
COSTA MESA .
Owner: CAMPBELL, TIMOTHY K
Address CAMPBELL, CAROL E .
COSTA MESA,CA
398 21ST ST ,
Contractor. GLASSELC CONSTRUCTION
Address: 02802 SHANTAR DR
Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
Total:
COSTA MESA CA
Zoning:
Phone: (714)434-7744
Zip: 92626
Phone:
Zip: 92627 ,
Phone:
Zip: 92627
License: 454030
Status: ISSUED F-�J
Applied: 09/22/1996
Issued: 09/22/1998
' . - . --Phone:
Zip.
License:
, SCOPE OF PERMIT
•CONSTRUCT 7' T0 7'4" HIGH BLOCK WALL ALONG THE SIDE AND FRONT P/L. 70-FOOT SETBACK
PROVIDED ALONG FRONT. PARTY WALL AGREEMENT ATTACHED TO OTHER PERMIT FOR THE SIDE OF
PROPERTY BLOCK WALL.
$105.46
$162.25
$1.00
$0.00
$0.00
$0.00
$26871
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 10- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0-0
ReQuired: 0
PLANNING'8 ZONING
Left 0- 0
Left 0- 0
- Proposed: 0
Calc valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
sio,000.00
s�o,000.00
EXPIRA710N: 7his permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a periotl of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlona end final approval � st be obtained. Failure to obtain inspedions and final apprcl��l will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754562� �
�
WORKERS' COMPENSATION DECLARATION: � 4
I hereby elfirm untler penelty ot perjury one ol Ihe following tleclarations:
❑ I have end wlll maintein e certiticete ol consent to self-Insure for workers' campensatlon, es providetl for by section 3700 oi Ihe Lebor Coda, tar the pertortnance oi the
work for which this permit is issued.
❑ 1 have entl wlll maintein workers' compensation insurance, es required 6y section 3700 of the Lebor Code, for the pe�formance of the work for w�ich ihis pertnli is Issued.
My warkers' compensetlon Insurenca cerner anC pollcy number ere: �
Carner: Policy Number:
(This section neetl not Oe comp/eted il the permit is valued et one Aundred dollers ($100) or less.)
❑ I certity that In the pedormence of Ihe work t r which this permit is issued, I shall not employ any person In eny manner so as to become subject to ihe workers'
compensatlon laws o lifamie, C egree t d I hould becom ect to the workers' compansation pmvisions oi Section 3700 of the LeDor Code, I shell fonhwith
comply with thes ovisl � e� /� �7 y/�
Applicant Signeture: ./i Date: ✓ "7 � �� Li � �✓
WAliNING: FAILURE TO S U WORKERS' WMPENSATION WVERAGE IS UNIAWFUL ANO SHALL SU&IECT Ml EMPLOVER TO CRIMINAL PENALTIES ANO GVIL FINES UP TOONE HUNORED
THWSAN�DOLLARE(51 . ),INADDfiIIXJTOTHEWSTOFOOMPENSATIIXJ,DAMAGESASPROVIDEDWRINSEC�lON3]WOFTHELABORODDE,IMEREST,ANDATTORNEVSFEES.
LICENSED CONTAACTORS DECLARA710N:
I hereby ettirm thet I am licensed untlar provisions ot
fOrte 9ntl BMBC�. 11C. k
Contrectors Sipnem�a.
CONSTRUCTION LENDING AGENCV:
Section 7000) ot Divisian 3 of the Business and Profeuions Code, end my license is in full
_ Class a
oa,a: J
❑ I hereby affirm tha� there is e consiruction lending egency for ihe pertormance ol ihe work tor whic� this permit is Issued. (Sec. 3097, Civil Code).
Lendefs Name: Lenders Adtlress:
SigneWre:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby afllrtn Ihe� under penalty oi perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW lor the fallowing reason (SecJ031.5, Business end Pmtessions
Code: Any city or county which requires a permit to consimct, aller, improve, tlamolish, or repelr eny stmcture, pdor to Its issuence, elso requires the applicant for such pertnit
ro file e signed statement Ihet ha or she Is licensed pursuant to ihe provisions ol the Contractors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 oi t�e
Business end Pmtessions Code) or thet he or she is exempt theretrom and the basis lor the alleged exemption. Any violalion ot Section 7031.5 by eny applicent tor e pertnit
subjecis Ihe eppllcant to e civil Oenalry oF not more Ihan five hundred dollars ($SW�.):
❑ I, es owner oi Ne property, or my employees with wagas as iheir sole compensetion, WILL DO THE WOHK, enC �he structure is not imendetl or oHered tor sele (Sec.
7044, Business entl Pmfessions Cotle: The Contractors License Lew does not apply to en owner of property who builds or Improves thereon, and who does such work
�Imsetl or herself or through his or her own employees, provldetl that such Improvements ere not Intended or ottered tor sale. It, however, Ihe 6ulltling or improvement Is
soltl within one yeer of completion, the owneo-builder will have the burden oi proving thet he or she altl not build or improve tor purpose of saleJ.
❑ I, fls owner oi the D�aPerty, am E%CWSIVELY CON7RACTING WITN LICENSED CONTRAC70R5 to construct the praject (Sec. 7044, Business entl Professions
Code: The conirectors License Lew Goes not apply m an owner of properry who bullds or Impmves t�ereon, end who contrects for such proJect wlth e contractor(s)
Ilcense pursueN to ihe Coniractors License l9ws.).
❑ I am exempt unCer sec. Busineu and Professlons Code tor this reason:
SignaWre: Date:
Owner ID verified by drivers license. ❑ Yes ❑ Na Drivers license No. Expires:
Vedlication ot Ownership by (rype oi document, i.e. - proparry tax bill or deed):
DIVISION OF INDUSTHIAL SAFETY PERMR CERTIFICATION:
❑ I hereDy certify thet no eacavetion five (5) ar more faet in tlepth into which a person is required to tlescend, will be matla in connec[lon with work authoAzetl Gy this
permit, end Ihet no building structure, scaHolding, telsework, or demolition or tlismantling thereof, will ba more ihen thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, 71t1e 8, Celltomie Adminisira6ve Cada).
❑ As owner-bull0er, I will not employ enyone to do work which would requlre e pertnit from Ihe Divislon of Intlusinal Safery, as noted ebove, unless such person has e
pertnit to do such work irom Ihe division.
Signelure: Date:
Division of Industriel Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AI7fHORIZATION OF EMAY: I certily undar penalty of perlury ihet I heve read ihis epplication end stete ihat the inlartnation given is
conect I egree to comply with all stale laws and ciry ortlinances relating to building consiruction, antl authorize represenlatives of ihe Ciry oi Costa Mesa to enter upon the
ebove-described property for inspection purposes. I agree not to occupy or ellow occupancy ot any building authorized by this pertnit until tinal inspecfion.
COOE /.
1616
1266
IxepECTIONTYVE
Fixetl System Finel Fire Preventlon
Pool Spe Final
200 Fnel Re-Foot
201 Finel BIocWRetelning Well
202 Finel Factory Fire Plece
203 Finel Sign
204 Finel Demolition
� 2446 48
✓Q— z 2� 9 8� oa,a
Date
CO�E I INSPELRIOX TYGE
206 Finel Mec�anical
20B Finel Plumbing
210 Finel Electrical
212 Finel Fire Preventlon
220 Finel Planning Appro�al
222 Finel Sita �
250 Finel Building/6 roy
!I.\1�1:11111.1�.7
•oow�ssocam�ara: ,�t" 21ST ST u�T:
avr�pswweiv�avw: TIMOTHY s CAROL CAMPBELL FLOOD:
�s 396 21ST ST
C.M CA 92626
MPL. WIUW ADDREA4:
urcxrtenon�aw�x: DAREN RASHIN
'urcx.oxu+a•s�noxcss: 1201 N TUSTIN AV
ss
ANA
mxm�narawu� PROMONTORY POOLS
cam�crrnrs�uiwo 1332 N MILLER
�oo�ss: ANAH E I M
92806
LICENSEO COMNACTOPS UECWIATON: I Maby ellim uder {w�ely
iw
�cm,m.�ma wn s«iion �000l a oiwun a a m. eu.:�e e�a r�ae.do
cm ue. No.: p 3 14 2 �� �u� C S 3 uc. N
m.: a� cmv.eor. �
11Clq� 5%5%%
uxt:
CA 92U87
(714)993-0557
CA ucrio, 404194
uNr: 2 0 4
y tlW I em Iia�se0 wder prwiwon� d CNpa e
a0tl my &m»'v n h0 bm end dlw.
4111—�/EXP: 03/99
vy$ euao p oecuR�noa: i ns�nv dr� �ee. mm �� ine com�ao�. uoa�.. �.. �a m.
,1�x�p iesmn (Seaian ]03�5 &unma W Pralmiw a wvtly rA� e v�e �o mmwa. eAer.'vnYova.
dsmd'eh, a repei vry evuetun. prior b A� uauvre, e6o epWiraeu la msh pxmn lo fik e eipnetl stelement Nel M or �M
o �icavw w��� �o �ne ao.'non a m. caareaa. lm,.e le. Ichea« s(mmmmvc wnn swia, moo) w oi.eon a a �ro
Bueinen enE Prdeae'vn CoMI a Ihet M a eM n er.emq Iherelmn enA tM Eme In ihe elbgeE memqion. My vblelun d SeCion
)mt s sy em aVpiwu �« a w.ma eiApea �ne eppirsm io a aa peneny a nd maa �hen fxa hunaeed do0an �Ssooll.
� I.esoxnerMtMp'ope�yamyemplryee�Wthweqmn�lwaabmmpammon.wiTEONexoek.endNeNiueNn'srwlinleMed
m Mared br eele (�� )�. Buvrow eed PMaa'vn Coda: The CanVapae �'vaae lawdoee mi epply io en owmrd propaity
who EuiCe a inpro�ea �Mnon, md v.M dme �uN iwk Nm�eO a henN a Cvaph hb a hm own employeee. pwNeE ihd euch
impwemenla ve mt iniendetl a oHanE la eeb. tl, howmer, tln bui4iirq oe inpovemeM e eoltl wnhin ona yaar d eomdMion, IM
ownerbuilder hill he�e iM buNen al prw+np he « eM dtl iw buiN v unqv.e la iM pumms d Wel.
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 087759 PLAN CHECH NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
�1�"- C.bra
PERM NO: M 087759
GOVT: N SUPP: N
PURPOSE: CON
JOH DESCRIPTION : CONST. INGROUND SWIMMING POOL 6 SPA SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: SEE ATTACHED MUNICIPAL COUE 5-91-5-52 REF:H-87757
*�r+r**+���*�*�*****�x*+�***�+�**x**�r�+�****x+t**�r���**�*+��*�*�r*+�*+���******rt�c�*�x��***
Z O N I N GS ERTEB�AUCZKRSE M E N T 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 RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42617122 ZNE: REF NO:
PLANNZNG NOTES>
% .� '
�If iE 34 �E iElk iE iF iE iE iE fE �k iE±f �)E iE !E iF iF dF iE �E �E iE iE iE iE 1f iE iE iE 1E ik �F 1E iE iF iF iE iE if if !E 1E if iE 1E 3f if if if if iE iE if iE if i6 ik iE iE iE 1E iE ie 3E iE 1E 1E � iF 3E if if iE iE aE 1E
D E V E L O P M E N T S E R 1? I C E S R E Q U I R E M E N T S
ZONING APPROVED BY i�' DATE:
� I.mo�.nordlMpropeny.emudnivapmweanpwvhfimneEmumcw+mmnwwthepqxa(SwionlON.&e'viweM HUILDING APPROVED BY :
Profeavme Cade: TM CaNratlm liwiva law Aros nd npp�y lo en owner d p�apeity who bwld� a impovw Ihenon xM wfio
contrecn la wN pajeps xiN e mNMor(a) �icen+od pvausm io �M Caqradae Liws Lexj.
p i.,�..,ma�,�a.,s.��: e.av.c..m,w�,: APPLICATION ISSUED BY:
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W OHKEP'S COMPENS�TON DKL�R�iION: l lw�by dfim ��dr pwtly d pajW ans d iM bGorriiq dodnmbv:
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�����°��� MY�''STATE �UND �`�'����• EXPIRES
c�w:
a,�,n�,e« �oy u�y-7 04/O1/99
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❑ i cenh mm � ins vNunw..a a ur �.uw mr .niU �ro. o.� e� i �cM n men�wr o m to
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nw n�.. w ro o�. n�e�.d rnou..ro ewr.. lsiataoa i ro m. oo.� or oo �ron e.m.w. .. wo.w.e ro. �n
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LENDEfl'9 NANE:
LENOEN'410DNE44:
1 cenify IAe� I he`a neE Nu epplicYian W pats Ihtl IM aEv.•a iName�bn u mrtetl. I epne lo camply wqh M rAy eM oouMy ad'vienoee
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WMs-Build�q 8 SeleM O�we�Fle: Ceiwy-AGo�uK: Rnk-Rewnue: GddamvC-Aiaeaeor
F E E S U M M A R Y
ELECTRIC MECHANIC
9.50
25t
DATE: ��F�������
DATE:
*��*�*+�� � rt*
STRUCTURAL SECMENT:N
FIRE SMZP/RES GRADZNG
SMIP/NON—RES
PLAN
ISSUE FEE 22,00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.50 22.00 0.00 31.50 31.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 31.50 OVER/SHORT: .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
31.50
if iF 1E iE it iE iE 1E 1P k iF iE if K iE iE iE iE if R iE iE iE iE �4 if if if 3f iE if iE �ElE ik if !E 1f 1f if !f 1k M iF iF If iF M if iE 1f iE iE ii �E �f iE iE 9F iE if k 1k ff 1F it iF jf iE ii fE if ie iF 1E iE IE iE iE
I N D I C' I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
MEC 1 EACH APPL NOT IN OTHER CAT UNDER FEE 9.50 9.50
END OF FEES
C4-16-1998/�2:�1 F�1/43L 5�
RCPTa: �4
GEkF7YT:0b '�9
CONSTRUCTION kND PLANNINC � '�- & SPA , �
APPROVALS Permit#-Y- Date Inspector qppROVALS Permitaf`• � Date Inspector
1. TemPorary Electriral Service or Pote 52. Pool & EquiOment locacion
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit UCility-Undrgrnd. 54. Forms '
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure 7est
6. Eleccrical UFER Gmd. 57. APPROVAL TO COVEfi�GUNiTE
7. Foot�ngs 58. Electrical Cpnduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgmd„ Test .
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Fioor Svstem 61. APPROVAL TO DECK
11. Property Sewer Li�e & House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap • 63. Heater & Vent-Final -
S• I /X
13. floof Drains 64. Plumbing SVstem � Final
74. qough Plumbing 65. Electricaf-Final
75. Rough Electrical-Conduii 66. Solar SYstem-Final ' �
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 6$. APPROVED FOR PLASTERING
78. Rou9h Etearical-T Bar Ceiling 69. POOUSPASYSTEMS FINAL ' '
t9. Rough Heatinq & Air Conditioning fIRE DEP7. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing - 74. Overhead Hydro
26. T-Ba� Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning C.'t�_pr� (Z �/
J � (( V
35. Fina� Gas Pipe�Test
36. Hood or CanopV
37, Fi�al Factory Firepiace
38. Fina� P�umbing
39. Water Service-Final
.1
40. Gas Service-Final , i
41. Solaf Domestic•Finai '•�
42. Backflow Preventer �
43. Backfiow irrigation
44. Landscape irripation System
45. Sound Attenuation
46. HanAicap Pegulations
47. FINAL STRUCTURE & BU�LDING
48.FINALP�ANfJING • 1,
49. Electric Rele�se to Edison _,..
50. Gas Release [o Southem California Gas Cn • �� �
51. CERTIFICATE OF OCCUPANCY • -• '
No. Oa[e . .�'=
�oonEssaauinrca: 396 Z1ST ST �M�
wmexsru�eiva+oxrt TIMOTHY 6 C11ROL CAMPBELL FLOOD:
.00nEsa 396 21ST ST
C.M CA 92626
�n. Y,uinio.00�ss
uxxirecronu+m+�+: DAREN RASKIN uc.no: 57577
�onE++a.�s�oox�ss: 1201 N TQSTIN AV uxr:
ANA CA 92087
c«,m�crarsxu� PROMONTORY POOLS ( 714 ) 993-055 i
�CWIRACLORSYYIIIIO 1332 N MZLLER
�oonEsxANAHEIM CA ucNo.: 409194
92806 /� ura: 204
IJCENSED CONTflRCTORS OECLAN�TION: I Mraby eflim under penel d p'Gry�et I am IicenwE urder prwisiau d Gheqa 9
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c eo.:079 4� umcuss:C 53 �: 04 � EXP: 03/99
o,: U � a
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demd'o�, a ropai vry awnuro. pbr b rts isueroe, rq � ihe eppliav 1« wN pem�! lo fJa e eyned NetcroM Net he a oha
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wM Wida ar mpw» Ow�eon. vd who droa auM wak IimsNl a henN or Waq� he a har mm mmYb�+sa. pa+ded ihY wch
impeweimm� ere m� inlerded n dimad la eeb. tl. however. lhe Euiltlinp or inqo.e�neM e aotl within aa Y� d mnpl4ion. tha
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convene iw vuch pmpda wnh e contrador(e) Icarimd Wnuem m the Canveqore Liowe lew�.
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Dele: �
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qovisiom.
WONREP'S COYVENSATON DK4fl�Ti0N: I hmaby dfem uMr panMy W px'ryry wn d tM IODow'vq AWeretnm:
� I hew vd xil mdnian e cenHicele d mmenl to eeMinare M xaken' cpnpenatlion, o pwidad la by Swbn 3)00 d tM Lebor
Code.lor �M pedwmencs d �M wak for wM1ich thia pe�mn ie loued.
] ineve.nd.���m�.�xen�comoamvim��.�,re�.mna�n.dMsea�ana�oodme�.to.cod..wm.ro�.�.am.
wak lar which Nu 0�^� b mued. MY warkeri comVenution ineurence mrrier ud VdKY number va:
�,,,;,,: ST[�TE FUND EXPIRES
Pdiey Number: U b 7 u� — 0 4/ 01 / 9 9
�m;a senion ne.e iwr ee comvbroa r rn. re�u i: ra w�e n�neiee ea�ers Rrool w bc../
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A canoMavion od��. a9�bn a�oo d �ne leno. coae. �_ «ynoN �
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clvll flm� up ro me hundrotl NrouuMOo/Hn (SIPq tlC n b fhs cwf ol mpsiuetlon, tl�mp1 Y p/ovltlM Mi In
S�ctlon 9106 0l Ms Le6or CaM, Infwt and elroms
CONSTflUCT10N LENDINO ADENCT: I haieW elfirm uMx pme�y d parjury thm iAsa e e mnnruuion bndirp epericy Im Ne
pM«merce d tM v.ak i« whien ine wemY b eeued (Seaion Jo8). G'v. el.
LENOEN'SNAME: ' '
LENDEF'S �DOPE55: - _ ,
I CMiry IM1et I heve read tM1n epplcetian aM tlata thet IM ebove IMametbn u corted. I p�ee IO canply wnh elI tlry end counly Ortlinenma
arMste�ekwe,M,f,e�t' ,labuJdiqtonWutlioneMharebyaulhor¢ampuentetivesdlhotityloeMeruponlMebove-mentonedpropeny
���rere�i%�i�E MOI3&�SG,td ,
wnaa-aau:p a sm�y:
oma:
Pink-Rmenue: Gddenrod-Aseemr
CZTY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 087760 PLAN CHECK NO: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION : CONST. ZNGROUND SWIMMSNG POOL G SPA
CLAIM VALUE: CALC—VALUE:
a�'D o��5
PERM NO: P 087760
GOVT: N SUPP: N
PURPOSE: CON
SQ FT:
GROUP OCC: R-3 /
COMMENTS: SEE ATTACHED MUNICZPAL CODE 5-91-5-52 REF:B-87757
*��*��c�**x**�**��******+��e***�****�**��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 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: 42617122 ZNE: REF NO:
PLANNING NOTES>
>
iE iE if iE iE �E iE iE iE �E if iE iE iF if iE �E 1E iE �f 1E 1f iE iF iF fE iElf !f ie iE 1f * ik �f iE jE if fF �f iE 1E iE �E iE iF iF 3f 1E if if if iE if if if iE i! iF 1F iF ii� if iElf iE jE fE iE IE iE �1E iE 1E iE iE if iE �lE
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 � DATE:
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY: . DATE:
���*��*�****������***������������������ . ����������,��*,��,�**��** ' 98
LEGALZZATION:N _ F E E S U M M A R Y STRUCTURAL SE�MENT:N
HLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
54.25
25�
SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 59.25 '12.U0 0.00 76.25 76.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: � 76.25 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
76.25
if iE 1E'E iE 1E 1f 3E IE iE �F if ff 16 jf iE jE 1E iE iF jE it iE iE iE iE 9f 3E iF iE �f iE iE 1E if iE �!E jh iF iE iE if !f iF iE iF if iE iE if iE If iE 1f 1f if i6 iE if if if if jE iE �E iE 3f jElE �E iE 3E iE �E iF if if �f
I N D I V I D U A L F E E B R E A K D O W N
YPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
PLU 1 SWIMMING POOL 54.25 59.25
END OF FEES
04-16-1998/E'2:51 F7/876.25
6CPT�.' c;i�5
F'E�FiP'(IY:6 pf
�- �l & SPA
CONSTRUCTION NND PLANNih� . � .
APPROVALS Permit �h ` � Date Inspector pppROVALS Permit � Date inspector :
1. Temporary Electricai Service or Pole 52, Pool & Equipment Location •
2. Soil Pipe�Undrgrnd. ' 53, Steel Reinforcement
3. Electricai Conduit UtilitY-Undrgrnd. 54. Forms
4. Electrical Conduh-Undrgrnd. � 55. Electrical Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Eiectrical UPER Grnd. 57. APPROVAL TO COVER•GUNITE •
7. Footings 58. Electrical Conduit�Undrgrnd.
B. Foundation � . 59. Gas PiRe, O Undrgrnd., 7est �
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, Q Undrgrnd.
10. Structural Ploor Svstem � 61, APPROVAL TO OECK . �
i t. Property Sewer I�ine & House Connection 62. Backwash & Receptor�Final �
12. Sewer Cap � 63. Heater & Vent-Final -
13. Root Drains � 64. Plumbing System � Final
S-Iy-9R
14. Rough Piumbing 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System�Final � "
16. Rou9h Electric Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign 68, APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling . � 69. POOLJSPA SYSTEMS FINAL .
19. Rouqh Heating & a�r Conditioning fIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in StructUre 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Under9rnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathi�g 74. Overhead Nydro
26. T-Bar Ceiling (St�ucturai) & Monocoat � 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe •
28. l.atfiing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 78, FIflE PREV. FINAL
30. Drywall Naiiing HEALTH DEPT. REQUIREMENT
31. Plaster Brown CUat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. F000 CEftTIFICATE ISSUED
33. Final Electric � Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe;Test
36. Hood or Canopv
37. Final Factory Fi�eplace . _
38. Final Plumbing 5.�.1,_� fj��
v
39. Water Service�Final
40. Gas Service-Fina�
41. Solar pomestic•Final
42. Backflow Preventer
43. Backflow irrigat�on
44, Landscape irripation SYstem
45. Sound Attenuauon
46. Handicap Regulations
47. FINAISTRUC7URE&BUILDING �
48. FINAL PLANNING '�
49. Electric Release to Edison �• .
50. Gas Releaie to Southern California Gas Cn � -
57. CERTIFICATE OF OCCUPANCY .
No Date
. �
• CITY OF COSTA MESA J
� BUILpIN6 DIYISION
� � DEVELOPMENT SERVICES DEPARTMENT aan_n� �aa
� � PERMIT PERMIT NUMBER
�P
(714) 754-5273 • Fex (714) 754-4056 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address:
Suite:
Viciniry:
398 21ST ST
BE?WEEN 398 & 396 E 21ST ST.
Parcel Nunmber: 42617102
App�icanE UNKNOWN
Address:
Zoning:
Phone:
Zip:
Ownec CAMPBELL FAMILYiREVOCABLE LIVING TRUST
Address 328 LINDO AV ���=�
�v� . �
/
.,, � � , Phone: .
BALBOACA;-\ � � �-Zip: 92661- '
;��� —'-
�%��,� � � �. = - ' - -
Contractor.i ����" � � � � -'- � -
� /. .
Address:
� , � >" � '/,'i�� i� Phone:
� �; : �� �' �. i/� ,S� � Zip:
..� i j �, /: y! License:.^
i ,,.
Arch'/ Eng : ' i.�'��i ,
� � Address: � "�
� - " . , �'Phone: � .. .
� � ' � Zi
Slatus: ISSUED
Applied: 0711311998
Issued: 07/13/1998
� ; � � , � , % Z � License: - - ,
, . �:
� , � SCOPE OF PERMIT
,� '� GONSTRUCT 153LF;�6' HIGH BLOCK WALI ALONG THE INTERIOR RIGHT SIDE AND REAR PROPERTY
j LINE.BETWEEN 398 8 396 E 21ST ST, PARTY WALL AGREEMENT IS ATACHED TO BUILDING PERMIT.
�� / 55LF ON THE REAR OF E 21 ST,TO BE BUILT ON 398 E 21 ST. 98 LF IS THE SHARED BLOCK WALL
, , '
�
, FEE SUMMARY - •
PlanCheck: • $56.71 ._ _ ,,•� �_r — __ .. +,�.; ., „CalcValuation: $s,oso.00�
+ L Permit: � $87.25 � .� Claimed Valuation: $o.00 �
,SMIP Res:, ', �;$0.50 - � ' A,i � -
SMIPCom:� $0.00 ,.,�
\ � Other. ; $0.00 — — _
Inspection: . $0.00
�,
, •
���Total: $144.46 � � � � �
�,.
.�_ � �. . =,
' �J� � � �:' � �� � PLANNING &'ZONING '
SETBACKS� �� - �. � � �
MAINSTRUCTURE Front 0-0. �� � Rear 0.0
ACCESSORY Front 0-0
I�_1:7:/l:Ch
NOTES:
Existin : 0
e
Rear 0- 0
Reauired: 0
Left 0. 0
Left 0- 0
Pr000sed: 0
Right 0- 0
Right Q- 0
El(PIRATION: This permit shall eutomatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
lor a period of 180 days.
INSPECTIONS: In orcler for the work aulhorized under this pertnit to be considered legal, such work must compty with all appllcabie codes, end all
requlred Inapeetlona end flnel approvel mus� be obteined. Failure to obtain inspeclions and final approval will resuft in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545828
WORKERS' COMPENSATON DECLARA710N: �
I hereby effirtn under penalry ot perjury one ot ihe followinp declaratlons: �
❑ I heve entl wlll maintain e certHicete of consent to seN-Insure for woflcers' compensation, es providetl for by secUan 3700 of the Lebor Code, tor the pertormence ot the
ork for w0ich this pertnit is luued.
I heve end wlll maintein workeB' compensation insurence, es required 6y section 3700 M the Labor Code, for the pedortnance of the work for which this peimit is issued.
My workers' compensatlon Insurence cerder end policy numbar ere:
Ca r: Policy Number:
(Th/s secNon need nat be comp/e(ed il the permit is valued et one hundred dollers ($f00J or less.)
❑ I ceni Ihet In the peAormance ot ihe work for�vhich ihis pe llt is iuued, 1 shall not employ any person In eny menner so as to becom subJect to workars'
set on laws of Celifamle, d egree � AI should bec e suD�ed to the workers' compensetlon provlslons o1 Section 37 d of the �r Cotle I II forthwit�
comply w t a rov ens.
�e� r
WARNINO: FAILURE T 5 URE WORKEH$' COMPENS4TION COVEM�E IS UNLAW FUL AND BIECT AN EMPL TO C I T1E5 AND CML FlNES UP TO ONE HUNDRED
i/10USrW D OOLLAR 00,000), IN ADDRION TOTHE WST OF OOAIPENSATIIXJ, DAAIFGES AS PROVIDED FOR IN SECTON 3]OB �DE, INTEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn ihet I em licensed under prj�visions af C epter 9(co�9pancing with Secllon 7000) of DlWsion 3 of tha Business ena Professions Cotle, endp�y Iicense is in full
fofcB entl BNBCI � ir x / 0��% // Cless q /1 / .f /�il . /.G � .
CONSTRUCTION LENDING AGENCY: (/
❑ I hereby aHirtn ihat ihere is a constructlon lending egenc.y for t�e pedormance of tha work for which Ihis pertnit is iuuetl. (Sac. 3097, Civil Goda).
Lendefs Neme: Lender's Atldress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I �ereby effirtn that under penalry of per�ury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the 1allawing reason (Sec. 7037.5, Business entl Profeuions
Cotle: Any ciry or counry whic� requires e permit to construct, elter, Improve, demdish, or repair eny sWCNre, pdor ro Its issuance, also requires Ne epplicant lar such pertnit
to tile e signed stetement thet he or she Is Iicensed pursuaN to the praWsions oi the Contrectors License Lew (Chepter 9(cammendng vrith Seclion 7000) ol Dlvision 3 of tha
8usiness antl Professlons CoCe) or that he or she is exempt t�erefrom anC t�e basis tor Ne alleged eaemptlon. My Wolatlon of Section 7031.5 by any epplicent for e pertnit
sublects Ue ep0�icant to e civil penelry of not more Nen five hundretl tlollars ($500).):
❑ I, es owner of Ihe property, or my employees wilh wages es thelr sole compensation, WILL DO 7ME WOHK, and the siructure is not intentletl or otlered for sale (Sec.
7044, Business and Profession5 Code: The COnirectora LJcense Lew tloes not appy to en owner oi praperry w�o bullds or improves lhereon, end who tloes such work
hlmself or herselt or through his or her own employees, proNded Ihet such Improvements ere not IntentleA or oXered lor sale. If, �owever, the building or improvement Is
soltl wit�in one year o1 completion, Ihe owner-builtler wlll heve the burden of proving thet he or she tlid not bulld ar Improve lor purpose of sale.).
❑ I, es owner of the proparty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Protessions
CoOe: The contrectore License Lew does not epply to en owner ol property who bulltls or improves thereon, entl who contracts tor such pro�ect wlth e conirector(s)
Ilcense pursuant to the Contractors License Lews.).
❑ I em esempt under sec. Buslness and Professions Cotle for this reeson:
Signature: Date:
Owner ID verifietl by drivers licensa. ❑ Ves ❑ No Dnvers License No. Ezpires:
Vedflcetlon o1 Ownership �y (type oi dacument, i.e. - pmperty 1e: bill ar tleatl): __
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICA710N:
❑ I hereby cerlity ihet na excevation Nve (5) or more fee� In deplh into which a person Is requiretl ro descend, wlll be maAe In connection with work euthodzed by ihis
pertnit, end Ihet no building structura, scattolding, telsework, or tlemolition or dismantling �hereot, will ba more then ihirty-sia (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Califomla Administrative Cotle).
❑ As owner-builder, I will not employ enyone to Eo work which would require e parmit irom the Dlvision ot IntlusMel Sefary, es noted above, unless such person has e
permlt to tlo suc� work from ihe division.
Siqneture: Date:
Division of IntlusMel Safery Partnit Number:
CERi1FlCATE OF COMPLIANCE AND AUTHOR¢ATON OF EHTRY: I certify untler penalry of per�ury that I have read ihis epplicetion and state ihet the Informetion given is
cortect. 1 egree to wmply with all siate laws and city ordinances releting to Duilding conslruction, end euthonze representetives ot Ihe City of Costa Mese lo enter upon the
above-tlescAbed property for inspection purposes. I egrea not to acupy or ellow occupancy ol eny building euthanzed by Ihis pertnit uniil Tnal inspection.
1818 Fl:ed System Finel Flre Praventian
1268 Pool Spa Final �
200 Flnal Re-Roof �
201
202
203
204
2u&4B
Finel Blak/Relaining Wall
Finel Fectory Fire Place
Finel Sfgn
Final Demolitlon
5 =/q-99 �
CODE 1 INSPECTION T'PE
206 Finel Mechanical
200 Final Plumbing
210 Final Elaclricel
212 Final Fire Prevention
220 Flnal Plenning Approval
222 Final Site
250 Finel Bui4
��7.11�I:illll\Rj
NOTE
ADDITIONS, DELETIONS, OR CORRECTIONS SHALL
8� APPROVED BY TFI� PLANNING�
�
1.
W
R
ti
h
�39� - n��.� s
t41� J� ���
CITY OF COSTA MESA
PIANNING DIV.
S JECT TO BLDG. DEPT. REG.
`�
gy DATE ��.� �
11[i10[MC[
NE.(�l� /s'//�'S D�l%2 �/ �,LO G%C
�A l� /S.�' '�'�� �' r���-N
DIV1SiON 00� oSDI�AESAAF�TY
AP�R�OVED ` �� .
�y
Daie_�' �.
This set of plans� nor a eratbn o�n same vri:hoNpvailte tPetm 5 ron f trom he Divis!wn ot Bui�d!�nc�
m�0 �y ��9 roval
and Satety, ��N oi Costa Mesa. � or to be a� aP7
� r��- e=� �rdir2nce andlor Slate �ae+.
The stemping ot this p�as a�d spedfica6or.s SHA� LNOT be held te �
� ro'tisinns a 2ny Cl.y' '
�
� �
ot the violaUon ut am. p
,:.ic- r.u!I etr�� void ii ie bui!du:g ^i
_ �_ _.....d noai � Sii2�� BXPIi2 bj� i'.t!11f8�W ���� li rni �!d� wi;Ftift 19f) d3 s of Isauar.'�
�: .,,.._'_ . �.t.r; maa^;a�^-��� •
f.OI .it.^f1f.�.T,.iT12[4:.... C 1
`�_
V)
•[�IDEMC[
STREETp�� a5�
— — � —
REf10[MC[
�'��
ti
W
F
N
•
1i
TYPICAL 6�� CONCRETE BLOCK FENCE
Cemeni Coping Op[ionJl �
Channel Block With 1�3/8�
Ho�izontal Top ot all
Fences
u
For Fences 5' or Less
Ven. Bars 3/6"yS at 4' �0" O.C.
For Fences Higher Than 5"
Ven. Bars 3/B"� at 32" O.C. �
Fill Cells Solid With Grout
W here Steel Oecurs
ReintO�cing Steet $hall
Conform to Sec.A�15-39
A.S.T.M.
All Steel to be Lapped
24" or [o Code
NATURALGRADE
7 WO 7/0"Q llARS
CONTINUOUSTOP
& BOTTOM
HORIZ.STEEL MUST BE TIED IN
, PLA(:E AT TIME OF TRENCN
INSPECTION.
i
0
¢ x
� �
u
>w
a=
a .
> _
a
i�
W O
U H
en �e
. F�-�-WIOTH
� SEE CHl
� BELOW
D' I '�.
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: p�e Part Plasfic Cement, and
Three Parts Sand
�ROUT: One Part Cement Three ana
One Holf Poris S'and
COPING: One Part Cemenl, Three
Parts Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Max. of 7-I/2 Gollens of
Water Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF TME FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREASOF HORIZONTAL (iE1N�
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF AlL MORTAR DEBRIS, ETC.
�H GF E4RTNTCOTN
i/3 iHE HEiGTH 0� FENCE �
���OW BOTTOM OF FOGT�NG
. WIDTH 14 , 14. . , 12 . .
10' ......... 8'.
THICKNESS . . . 10��. . . . . . , . . � �
DEPTH OF EARTHTOOTH . . . 24�� . . . 20�� . . 16��. . . . ,
SPACING OF EARTHTOOTH. . 12� 14� ..... 16'. -.
Cit�y of Costa Mesa, California
Building Department
p_evnea Nov.ez
SCALE: I/2"= I'
8"
12" '
16'
• •� I• ' !Y 71D ly
gtiS a[IItEEagarr, made and entered into this a l� day of
'�( U tn � , S�#`.'/vY arci beWeen /�O�i'Y�Y K•�n� P �OG l�
hereinafter referred to as "LAND OFDIER", and �f c��n � w.� �� ��
hereinafter referred to as "At�7AC�STT P%PF1aY �7t�iER".
It is hereby agreed that a party well will be wnstructed on the
praperty line be�,reen 3� g
Ci05 d�- (f�,�5 � _ ��
�a !`� . �-�S� 5
in the City of Costa Mesa, Co�ty of Orange, State of Calibornia, as per m3p
recotided in Book , Page of Miscellanews Maps, in the office of the
Co�ty Recorder of said Coimty. 7t�e party wall shall be permitted tn encroadi
ZN WIZNFSS S+I�F2EOF, the parties ha�e entered into this Agreement the
day and year ficst abwe written.
IAND CYiNER
������
( Signatlse )
-�1-�y K . �,�,�� l�
Name�r Printed)
�5 8�. Z�s � s� C.l�. C4. taG_ z7
(Address)
• � • ra • •.� • •� • �•
�l� �I / /
�-
�� �, .
.-. . ::
ti1o�. k�es�
39G c, a.�sr�'�R��l' Gsc�ltil�sl�,
c.e,aaress )
C/�-
(NOTE: Please see revetse side for notary's statenent)
', .
_ ..J . ._ , .
STATE OF WASHINGTON, � ACKNOWLEDGMENT - Individual
S5.
Counryo( Klickitat
On this duy personally appeared be�bre me .TO}lIl Campbe 11
lo me known
�o be [he individual(s) described in and who executed the within and (oregoing ins�rumen[, and acknowledged �hal h e
signed the same as h 1 S free and voluntary act and deed, for the uses and purposes therein mentioned.
GNEN undcr my hund and official seal this 6 t h ��Y o� .TU 1 y
�
e•
STATEOf WASHINGTON,
SS.
Counry of
Narary Pu6lic in and for �he Sm�e of Washington,
residingar Lyle.
A1 y uppointmen� expires 1 �� 2 9� � �.
�
ACKNOWLEDGMENT • Corporate
On Ihis `day o( , 19_, before me, the undersigned, a Notary Public in and for tHe Slate of
Washington, duly commissioned and swom, personally appeared
and ro me known to 6e the
President and Secretary, respectivety, of
_ the corpuration that execWed Ihe toregoing inswment, and acknowledged the said instrumenl lo be Ihe free and volunmry
act and deed o(said corpomtion, for the uses and purposes therein memioned, and on oath stated that
authorized �o exccute ihe suid instrumenl and that �he seal a(fixed (if any) is the wryorate seal of said corpora[ion.
Wimess my hand and officiul seal hemto uffixed thc day and yeur first above wriven.
Nomry Pu6/ic in
residing at
My appointmenl expires
WA-46A Q 1/96)
rhe Smre of Washingmn,
Thisjuratispage�o(_�andisatmchedto PHTtY 1V311 Agree�a��ea 6/29/98.
ment
V �
CALIFORNIA
k��l,�}, ftr A g ��i IR •, !ti 6i :'Yl�rnitl5tj'� �! il �.
° l+1" l� .;�=�„ .,���,����-� ALL-PURPOSE tY`ii�lr ? � ni 1,iry ` H,e,�e�'•'
ACKNOWLEDGEMENT
STATE OF CALIFORNIA
COUNTYOF Orange �
011 July 1, 1 998 bBfOr@ m2, Vir inia Su ,
DATE NAME, TITLE OF OFFICER - E.G., "JAN DOE, NOTARY PUBLIC"
personally appeared, Timothv x. campbell
personally known to me (or proved 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 capacity(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.
WITNE S my
C
NOTARY
,� �1 �y�4v:,
�l ,,..
and official seal.
� , , V. SUAREZ �
1n Comm. N1131950 /�
(SEAL) C �� �' NOTARY PUBIIL CALIFORNIAY/
� OR�NGECOUNTY (i
+,on � Comm. Ewp. March 31. 2001+
OPTIONAL INFORMATION
T[TLEORTYPEOFDOCUMENT Party Wall Aareement
DATEOFDOCUMENT June 29, 1998 NUMBEROFPAGES 1
SIGNBR(S) OTHER THAN NAMED ABOVE
'f„-'ti G';`
r litti. �. ..:
:���. ,f;�:
�? J! �
• y�►.
i •.:.�::� I '
i
'�.
(714) 754-5273 • Fa�c (714) 7541856
3qa
Job Address: 33� 21 ST ST
Suite:
Vicinity:
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Parce� Nunmber: �� j26 �l � OZ
Applicant: LE�,DON
Address:
Owner: CAMPBELI, TIMOTHY K
Address 398 21 ST ST
BUILDING PERMIT
Zoning:
Phone:
Zip:
Phone:
COSTA MESA, CA Zip: 92627
Contracror: MARK LEE BUIDING COMPANY
Address: 243$ E Coast Hwy
Unit009 Phone: 7146735594
Corona Del Mar, CA
Zip: 92625 License: 627750
Arch :
Address:
Eng:
Address:
-�.
�_ ;
PERMIT I�UMBER
� 699-00440
T7 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 03/31/1999
Issued: 04/02/1999
ISSUED BY: � `
Phone: Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
5 3' X 11' TRELLIS STRUCTURES, 6 FT HIGH. 2 TRELLIS'S ARE 12' FROM FRONT P/L, 1 IS 8' FROM SIDE
P/L, AND 2 ARE 14' FROM REAR P/L.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
Tota I:
�56.71
$87.25
$0.50
$0.00
$0.00
$0.00
$144.46
SETBACKS
MAIN STRUCTURE FrOnt 0. 0
ACCESSORY Front 0-0
PARKING Ex�g: o
NOTES:
Rear 0. 0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
$3,200.00
$3,200.00
NO7ICE: The work authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall autometically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeetiona end flhal epproval must ba obtained. Failure to obtain inspections and final approval will result in the axpiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5628
WORKERS'COMPENSATION DECLARATON: .
I hereby aflim� under penelry of perjury one ot Ne following tleUarations: '
❑ I have entl wlll maintein e ce�ificate of consent to 5eN-Insure for warkers' compensetlon, es proWtletl for by section 3700 of the Lebor Cotle, for the pertormence ol Ihe
work for which Ihis pertnit is issuetl.
�I have entl will meinteln workers' compenSaUon insurance, as requiretl by section 3700 oi Ihe Lehor Cotle, for ihe perfoimance of ihe work for which this pertnit is issuetl.
My warkers' compensetlon Insurance cerrier entl policy number ere:
Certier. - Pdlcy NumDec
(This sectlon need nat be comp/eted i/ fhe permit /s va/ued et one huntlretl tlo//ars ($f 00) or less.)
❑ 1 certity that in the pedortn e ot Iha work tor which ihis permit is IuueQ I shall not employ any person in eny mann r so es to become sub�ect to the workers'
compensntbn laws af Ce a, and ee that if I shoultl become sub�ect to Ihe workers' compensatian provisions of Se lon 700 of the LaDor Code, I shell foRhwith
�c �thilrese Provi � � Z �// �
WARNIryG:FA1LURE TO SECURE WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAII SUBJECT EMPLOVER TO CRIMI PENALTIES aND CIVIL FINES UP TO ONE HUNDRED
T�f7- USAND DOLLARE (E100,000), IN ADDfTIIXJ TO THE CQST OF COMPENSATION, DAl.NGES AS PROVIDED FOR IN S �/06 � THE LABOR ODOE, INTEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
ot Chapter 9(commencing wlth Section 7000) of Divislon 3 ot ihe Busir�ss antl Profasslons Cotle, end my Iicense Is In full
CONSTHUC710N LENDING AGENCY:
❑ I hereby aflirtn that Ihere is e consiruction lending agency for [he pertortnanca ol the work for which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature:
OWNER-BUILDER DECLApATONS:
Dare:
I �ereDy ettirtn that under penalry of Derjury ihat I am EXEMPT FROM TliE CONTRACTOHS LICENSE LAW for Ihe fallowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a pertnit Io consiruc4 alter, improve, demdish, or repair eny slruIXure, prior to its issuance, also requires the eDP�icant for such permit
to file e signed statement thet ha or she is IicenseA pureuant to tha proNsions of Ihe Contrectore IJcense Law (C�epter 9(commenang with Sectlon 7000) of Dlvision 3 of the
eusiness end Professions Code) or t�at he or sha is exempt theretrom and Ihe basis for Ihe alleged exempiion. My violation of SecUon 7031.5 by eny epplicant tor e permil
sublects the appllcant to e ciWl penalry o1 not more than fiva huntlretl tlollars (5500).):
❑ I, as ov+ner ot the property, or my employees with wages as thelr sola compensation, WILL DO TME WORK, end the structure is not Intentletl or ottered lor sale (Sec.
7044, Business end Professlons Catle: The Conirector5 LiCenSe Lew does not apply to Bn owner of property who builtls or improve9 ihereon, end who tloe5 SUCh work
himselt or hersell or thmugh his or her own employaes. proNded that such Improvements ere not intanded or ottered for sale. It, however, t�e 6ullding or improvement is
sold within one year of completioq the owner-builder will heve ihe burden of pmving thet ha ar she did nat 6uild or improve foi puryose of sele.).
❑ I, es owner at Ihe property. em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business and Prolessions
Cotle: The comrectors License Law does not apply to en owner of property who bullds or improves ihereon, and who contracts for such pro�act wlth e contractor(s)
license Dursuant to the Contractors License Laws.).
❑ I em exampt under sec. Business entl Professlons Code for Ihls reason:
Signature: Date:
Owner ID venfietl by tlriver's license. ❑ Yes ❑ No Drivefs License No. Ecplres:
Ventication ot Ownership by (type of Oocumen�, i.e. - property tax blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceNty Ihat no excavetion live (5) or more teet in tlepth Into which a person is required to descend, will be mede In connection with work authorized by this
permit, and lhet no building strucNre, scattoltling, felsawork, or demolitlon or dlsmentling thereof, wlll be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Callfomia Atlminisirative Cade).
❑ As owner-builtler, I will no1 employ anyone to tlo work which would requlre e Dertnii from �he Division oi Intlusirial Safery, as noted ebove, uNess such person has a
permil to tlo such wark irom Ihe division.
Signetura: Date:
Divislon of Indusinal Sefery Pertnit Number:
CERTFICATE OF COMPLIANCE AND AIfTHORRATON OF EN7RY: I certify under penelty of perJury the� 1 �eve raatl this application and stata thet the information given is
correct. I agree to comply with all stete laws end ciry ordinences relating to bullding constructlon, and authorize representatives of Ihe Ciry of Cwta Mese to enter upon Ihe
ebove-tlescdbed propeny tor Inspection puryoses. I egree not to occupy or allow occupancy of any buliding authorized by this permit untll finel Inspectlon.
CODEI, INSPECTIONTYPE
1676 Fixetl System Finel Fire Preventian
1266 Paol Spa Final
200 Final Re-Raot
201 Finel BIocWRataining Wall
202 Finel Feclory Fire Place
203 Final Slgn
204 Final Demolition � �
2446-4fi
Q�If. I[f�LS
COOEt �Nsveenor+rrve
206 Final Mecheniwl
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
GdIE ItIIIDA15
5�•!% 94 �
,
a"� 3 9 8 21 S T' S T u"T
�F�+:CAMPBELL, TIMOTHY 6 CAROL
�o�% 418 E 18TH ST
1'AMESA, CA 92626 650-4758
■mu+a .00aem
�X�Ta+�� T.NEMNICH ��= C-11092
�na�.onua.�+�oox�ss: 418 E 1 f3TH ST ��+T�
COSTA MESA CA 92627
coxm�cTarsru� MARK LEE BUILDING COMPANY ( 714 ) 673-5594
ca+m�croas�u�n+o 2435 E COAST HWY
.00�ss CORONA DEL MAR� CA ucra, 627750
.92625 uHr: 9
LICEN4ED COMH�RORS DECI�NATION: I IwWy Nim �abr psuly d paejry tlx� I haueE ivMr porimiwn d CMpx 9
(canm+ndn0 w5h 6xiim )000) d Orvoion J al Or B�miev eM Ymimrm� . W m m in IUG bcs W Watl.
cmuc.No.: uc.cuss: g c.No.: 77 0 EXP:
' Dele: �l/ G�Z"! q� Coweeur:�� .
�OWNEN BUIL�ER DECLAXRTION: I lsab� dkm wtlr psuly M pei'vy UW I em etmiq han ihs CaXrtlm l'aensa Lew ia the
Idlm�+q imm (Sedian lW 1.5 Bwiw� md PNwdam Cod�: MYW w mWY Mish iepius� s M�'s �o mnmw. eEar. inpwa.
Mmd'eh. a �Wei e^Y t6ucM<. R� b Cs ufuene. a6o �N�m �M eppimN tp acA V�d lo fJa e sipned elddieK Nel M a ahe
e r�.w w�w m me wo�o w a. cam�e�, uw�.. i.. �cma. s���n .un s.ao�, r000) w a.e� a a ms
Buman ud Rolm've Codel a Ntl M a dr e a:mnq iFwahom md tM bem br Ne e0qpd ezmmqun. Mn vidation d Swm
' 9f131.5 by eiry epplteN la a pe�mu ud"pm Ne eDpfwil �o e evi penNy d nd mas 1hm ! hmWed AaOan �SSWp.
❑ I.rooxnmaNSV�DMYamY�x�nwws+oNsdeaanD�.Wdotlrwk.rdtMetrumuaendirceMeE
a d1seE la eW (Swion ]Ou. Bieircn end Pmimdom Cotle: TM1s Com�euaa liexna IarEw nal nVO�'to an ownard popeey
who ddde a mi�+� �naeon. rd .ho do� uxli wk 1"vmeC a IrW a Ww�A ha a Aer mm sMM�. pw� ihet ach
imryaainenn era nol'vuatled a atles0ln veb. E. bwavs. tM WSlip a inpwanan e wli w'uhm ans Y� d campelion. tla
ow�«awd.r .a n�. me n�wo a c�++o n. «.ne eu �a aaa >�o�w. w. n» ww» a d.�.
❑ �. n rnmer a ms ww«n..m �d�':r �w.aiy'.vn ron.ae mmeva. m mmnn ms wq� Iswun mu. eu.nm. md
v�d�.�. coae: rne wu�eo� ��.. �. me. oa mar m� o..,w a o�w�v M,o w�u. «�ww., m«� .m .no
cmver�e la wN pcj�a� wdh a mama(a) �rawE ao?� a Ns Cau�ms limns Lewj.
� I em uanp udar."ie 'rym: B.'6 P.C.. br Ne rmm:
Dme: Oxiw'/
� ao h«.M �«Wy inr � mn.r..e a.m uwi.une uie nPd.m«m a cel/am. lbetln w sd.n cod. swbv uws. uSta..�w
]SSN. uk NN I a enY Mun Witl'vq omw� WI / wA na (mcb an) �wd m comDN wth uiE qms mM� md IM ipimanams b
.w�+t«mmt�uction«modi6�oihvmil»N�v d�d0iqeiC.R�dewelm+e.ueionewF'�'vuenuenNtmnmsa
o�.: �wwn:
WORKEN'9 COYFOl4�T101i OKL�P�TION: 1 MrM� Mnn uMw pruCy d p�jry w d Cr b0ow'vq Aedutliom:
❑ I Mw ud wll mmt�n e ttMiuu M awswa to uliv�va br waken' m�pa�ueion. n po.iJW ta by 8euion 9]00 d ilr lebar
Cade. ln iM prlormuica tl Ur rark In wlic� tM pemia's muad.
�j in.�.�e.n�m.�wnw.�oomo.+��mw�.z..<<.a�Ms.e�,rrooaa.imo.coa..b.msw�«�am.
wak ta �MiN Nu Mmm b ivued. My worken' mmW�bn imeenca wiw ud D�Y number ms:
c.m.�: STATE FUND EXPIRES
va:vr�n« 1�A�T— 12/O1/98
(iNr esiiar mM �wt M mnPwb I Nr Pa'm! u M aro hudsd ddWa R� Wl w 4wJ
� i oenN w� �� N. vena�wx. a u» .wk ro, w,En me wm+ e e..d. i wu �a «�pw .rrv o� n.�r m.M.. m.. m
becom� wbjetl to IM warFwY mnpenWim Imw d Cefdmd�. W tly� ! I�M�dd Eecmr ndjw to tM v.arken'
compe�meiian am d Seqion J]00 d iM lebor I tlu0lonh � Wh Nwa pwiriwe.
od.: $ �2'L�4 '� �q� ' 1..7
W�mMp: F�Nun ro��cun woikwi ronprwtlon covw�p� l� ur4rN( urtl I wd/,cl �n.rrp/oyw roWMrW p�n�ltlu uM
nH� nnu w ro m. m.rand Irou,.M ewrn !=+W �A h��n ro m. co.� o� conp.rwwn �.w. u povMa ror rn
9�ctlon J106 0l th� l�4or Cotlr, Intrp4 �M �ttom�Y� /ra
CONSTHUCLION LENDINO �OENCY: I he�ab�y atfifm wtla pmetly d perjuy �!W ihers e e aons�udion bndiiq apercy lor Ne
penamence a in. v.wf� �a wnia� m: v«m� e va.d Iseeu, aon. ci.. cl.
LENDEP'S NMIE
LENDEN'9 AODNESS:
1 cenily IMI 1 haw �eW Nu epdKe�ian a�d mne tMl Ne eEo.a Wotmetbn u conatl. I e(pee to compty wi1M1 aA ory erd munly ordinenus
9M t�81! IGMI IGINM b dtiM�q cOnMqUn GI�'� hMObY eWIVRO �MMWB�1VM C/ �h'v �1'b Mlx uGM �M GDTl�RN�YJtIBE qOpMy
lorinapeeion Wrpoeee.
AR LEE
Prvu Neme
� om,: $ 2
Sqretura IOww//penV�ppianUConVatla
Whne-BuiWip 8 SeleM Green-Fle; Cenery-AppifaM: Rnk-Pa+enue; GOIEen�ad-Raeasmr
CITY OF COS'fA MESA — BUILDTNG PERMIT
PERMIT NO: H 083022
PLAN CHECK NO: OOG30-97 A
7 �a�
PERM NO: B 0830^<2
GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : 5606 SF LIVING AREA/613 SF GAR/ SQ FT: 6,294
CLAIM VALUE: 400,000,00 CALC—VALUE: 473,153,94 GROUP OCC: R-3 /U-1
COMMEN'CS: INCLUDES COVERED ROOF AREAS
�*�**�*�*�*�*�**��****��*�*�***�**�+t**��***��**+t*���*******x*�**�*******+�+�r*��rt
Z O N I N G R E Q U I R E M E N T S
s e T e A c x s HOLD FOR SPECIAL REQUtRE�'tAENTS
------�----- MAIN BUILDING ---------�-- --------- ACCESSORY BUILDING ---------
FRNT: 7.0 FT IN REAR: 20 FT IN FRNT; FT IN REAR: FT IN
LEFT: 10 FT I1J RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42617]02 ZNE: R2MD REF NO: DR-96-02
PLANNING NOTES> 4993 SFj-2—STORY RESIDENCE W/6]3 SF 2ND UNIT ("RENTAL") OVER
> 1008 SF, 3;CAR GARAGE--ALL ATTACHED. EH SF RES DEMO'D. P/F/E
iF iE iF if af aE if iF iE iF iE IF If iE-'{E iE iF if iE if iE iE 3E 1E if iE iF aE if K if jF K ff jF if jh iE iF fF iF 1E iE iF iE If iF �f if jF iE a4 if iF iF if iF if if 1E if If iF IF 1f if iE iE if iF 3E 1f 1E iF iF if �f if IF
D E V E L O P M E� N' T S E R V I C E S R E Q U I R E M E N�T, S
ZONING APPROVED BY' ��C�-� DATE: � ( �J
HUILDING APPRO,VED BY ;�r� DATE: Jr��%— �}]
APPLICATION ISSUED �BY: .�� ' � DATE: S—ZZ—�%
ih iE 1E 1E if if if iE'lE iE if if iE iE 1F 1E if iE iF aE fF iE ���3F�FTF3F��f7F�Fif��F l��{FiE if 1f ik iE i(� iE 1E M iE��� -IE iE
LEGALIZATION:N E E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG FMT PLUMBING ELECTRIC MECHANIC, FIRE �SMIP/RES GRADING
PERMIT 2,757.25 � „ . 97.32
�� . � � 5MIP/NON—RES
PLAN 448.05 _ i.-� .
ISSUE FEE - . � �. " •' �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK '%T�OTAL PAID DUE
TOTALS----> 2804,57 0.00 448.05 3`252,62 3252.62 .00
REVENUE DIVISIOtJ TOTALS--> COLLECTED:; �281:0,'25 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC-• FIRE% SMIP/TOT •GRADING PLAN—CHECK
2757.25 • . 47:32•• 5.68
1E iE iE it iE iE iE fE iE k k k ff if if iE M k IF it it k it M if iF if iE it k k iE fE if fE it 1E iE iE 1E if k if k rt k ik,k iE 1f if iKif iE iE k iE 1E iE iE 1ElF iE if it 1F if if 1f k iF it it 1E 1t ft if k 1t
I N D I V I D U A L F E E H- R- E A FC D O W N
TYPE QTY D E S C R I P T I O N � r�, UNIT�COST . TOTAL COST
SFR 5606 DWE—TYPE V—WOOD FRADtE ;GOOD �80.60 451,843,60
SFR � �
SFR
512 RES—PATIO COCER—POST 6 SOLID ROOF_�—
613 RES—GARAGES TYPE V + i" ,
END, OF �EES , ,
a
. ;j /� '
� ' i .
� � • r (, >
. A. , � i
1. I
16.12 8,253.94
; 21.30 , 13,056.90
y os-ez-i�9�iea:iv v�; �' :,
. � � RCDTH:tl ;
', _ F'EFLI'11 i = t�8st�
i:
�(� CONSTRUCTION AND PLANNING P� -& SPA '
��APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
�
i. Temporary Elecvical Service or Pole 52. Pool & Equipment Location ' '
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Eleciriwi Conduic Utility•Undrgrnd. 54. Forms -�
4. Electrical Conduit-Undrgrnd. ,. 55. Electrical Bonding -�
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Gr�d. 57. APPROVAL TO COVE(i•GUNITE
7. Footings �as JC� L`-`7 58. Electrical Conduit-Undrgrnd.
8. Foundation � `_ „ -'�J� ��� '�9. Gas Pipe, O Undrgrnd., Test
�L�J
9. lNater Pipe•Undrgrnd. - 60. Backwasb Lines, P•Trap, � Undrgrnd.
10. Structural Ftoor Svstem ' 8��-=� �t.� 61. APPROVAL TO DECK
t t. Property Sewer Line & House Connection 62. Backwash & Receptor�Pinal
12. Sewer Cap � 63. Heater & Vent�Final -
13. Roof Drains � 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar System�Final �
16. Rough Electric W'ving 67. Fencing & Access Approval
17. Rough Wiring 5�9n 68. APPROVED FOR PLASTERING �
78. Rough Electric2l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Struc�ure 70. Underground Hydro
22. Ducts, Ventilat�ng 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Fough & Test 72. Underground Flusn
24. Roof Framing 73. Undergrnd. Storage Tank � Gas O Oil
25. Roof Sheathing /�Z-��I /�jL 74. Overhead Hydro
( rr.
26. T-Bar Ceiling (Structurall & Monocoat � 75. Dry Chemical
27. Fremeand Flashing =(�-L% �w 76. Dry Standpipe
!�
2$• _..--+��& Siding 77. FIXED SYSTEM FINAL
29. Insulation Y-Z�-� �(•{�( 78. FIRE PREV. FINAL
30. Drywall Nailing ��_� �'(��1 HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meeer�Final B0. FOOD CERTIFICATE ISSUED
33. Final Electric rvoces: HOL-D-FGR SP�EFR�L-R�EQUIf2�EMENT
34. Final Heating & Air Conditioning /��p 7� �����J�� /-��` �--��-�
_! -�_ �vfL4C/_9' tr' � G _
35. Final Gas Pipe�Test �' //
Yq
36. Hood or CanopY � `$-��,_ �� � �! _ i _�
37. Final Factory Firepiace �f
38.FinaiPlumbing �t_�.-�7� PQ,,,�. ��' ���•.�.6G�-
39. Water Service-Final '
- /!�f �a- Ra.f _ _h�' s�f-�
40. Gas Service•Final � /_u_�Q � �� / � W�/
G [i n/• � . �
41. Solar pomestic-Final �3_q
� g=�.�Gp r,cc 3'�c< v<� -�r1."e�dc
42. Backflow Preventer �_��tp� � � L � �� �
➢
43. Backflow Irrigation ��5� ��� � /�G � 6!� �
L
;' 44. Landzcape Irripation Sysinm � � �g _ (��,�{ � y
r- � li�isw(-�t,�-�F-
45. Sound Attenuation - �S � ��
� 46. Handicap Regulations
� 47. F�NAL STRUCTURE & BUILDING 5: /q_pp 6�_
![ !!
48. FINAL PLANNING �
49. Electric Release to Edison ' �
50. Gas Release ro Southem California Gas Co • •
51. CERTIFICATE OF OCCUPANCY �
No. Date
i ..
�-I
cooeassaem�uxa: 398 ?1ST ST
aime;sx.�eivaiwm: CAMPBELL FAMILY REVOCABLE
°°°"Eu_ LIVING TRUST
326 LINDO AVE
BAL�OpA�pEA 92661650-4758
.� ��
u"T CITY OF COSTA MESA — BUT�DING PERMIT
PERMIT NO; 6 08302]. PLAN CHECK NO; 01956-97 A
umxRECTon�ax�+: NEMNICH S POWELL p0�N0' C-11092
ANCN.ONFNO.'SFOOPESS: 1 1 O O S COAST HWY °Ni� 2 0 6
LAGUNA BEACH CA 92651
�+��a^s""� MARK LEE BUILDING COMPANY ( 714 ) 673-5594
CONfN/�tiOABYYIIIlO zq35 E COAST HWY
�o�% CORONA DEL MAR CA ��� 627750
92625 uM: 9
LICENSED COMflRCTOR9 DECLAflATON: I hereby q�� uby p�yy a p�y qq I em IceneaE uMs pewieiom d CAaqx 9
(commenarq xiih Seclion 1W0) d Oi�ivion 3 d iM1e &ninen ud Prdmuon� COEe. enE mY ��b u� hA lace eM etleu.
cmuc.no.: uccuss: $ c.No.: 27 0 EXP;
I o�a: ��LZ �4 % c,�o-ma �
� OWNEfi BUILDEN UECIAP>TION: I hmeDy dlmi wdar pxWy d perjuy ihet I em e�emq fmn �M Comiaaan licerue Iaw iw IM
�dbvinB renwn (5edion )W 15 Bwiws+eed Ptole�aiMe Gode: A^Y M' a wuNY x1tieA nV�s e Ga�d to wmVwi. Mb. impova.
�, demd'oh, a repai eny eweluro, yw b ua aaueMe, abo �yuiree the eppliraeu tor mrJi �wmC lo fib e spred vle�mnent Mtl �a a aM
��� �a r��e w�� �� �na ao� a m. comrea� u�,�., i... tcnap« a l�«�,a wnn s<ao� mw) a o:o� a a iro
Buv�wsa eM Ndettnns Codal a �hei he a ehe c mcemq ��¢�� dy Ihe bew la Ihe albped eaemq'vi. My videlion W Sepon
]0'lt.5 by eiry epplicen� 1« e perrM euEpee tlw eppicary �o a dvi pe�ully d M maa �hmi fxe hunEnE EaOar� �f:AJI).
� I.mownerWIMG�W„YormYa^W�r�wthwapsynlM1sealemnG�+ian. 9dotMxwk.erdNeeWctu�ewndintnded
a ollered fa eeb ISectim ]Oaa. B��wss vd P�oleasiona CaEe: TMConireuors licenaa Lew tloea mt eoaN �a an wmerot propaity
wha buids a mnw+* �he�eon. eM Ma Ema �uch xak limae! a henN n tlraqh h"v a Mr own emdW�e. 0��� thm uch
impwamenla are iw inteMed v dlared la sab. V, hows.w. �he buitliiq a inpo.emem n soM xilhin one Y� d mmplMun. tM
owiwr�Wilier vAA heve Ihe bu�den d pomq he or eM Ek nol Wdtl a'vnpo.e la �M qrtpwe d vle�.
� I. ai owner M IM pW�V. em vd��'M' aoN�aGip wuh 6oroeE convame to mrtuw Ne p9� (5edion M61. &u'ums mM
GMeseiare Code: The Conlreaae lirorue Law doa m ewN to en owmr M PW�Y who WOCs a'vno�o tMreon ud x1w
canvecb la wdi wqw� xdh e mmrmMa) Iceryb Owy�t to ihe CaMrae«� liwnea lewl.
� I em vemq under Sectian: B. 8 P.C.. tor Ne reswn:
Dme: Ownx:
� ao nemM o.nay �w � em..u. a ane unEen�end ine „Q,uren,e,m d cwomie Heean w sde�v coa. swwn uws. zssaA. ena
25SM. erd Nel 1 a eny Muro EUJd^q ompem xtll /�HI M(cee4 ur) need ro eanWY xih eek pete wMs eM ihe �W���ems for
a psmillwcanVucibna modifre�ionhamlM1eA'rawTy ,�yy�y�yp pipriC. ReeNnyiel cme�uq'vn eppitmionsen ezemq I�mn u�ma
proNaqna.
oerc: ew��wv:
W ONKEH'S COMPENS�TION DEttARAl10N: I Mraby alfvm ivdr psWiy d prjvy me d the bWw'vp Mtleietiom:
� IhewvdwJmemiene<sN'Wsdmiwuioeyp{�vyxvliyn'mmpemYcn.npwidedlnbySWion9100d�Mlobw
Coae, i« me �n«mdKs a u» � t« w�n my �n m��ea.
I"I � nev. end xi� meimen Y,«ka.� mmo�4^ �^•,reno.. m�w�� W s«aia, �roo a m. Lwa. coa.. ro, �ne v�«m.nce a ma
f[ wak la w1iiN W� 0�� o osued. MY raknn' cqnpmumion'vuuvice w�'w xd V�Y wmber vs:
c�a: �TATR Ff1NTf EXPTRES '
PofryNumEx �7A1(1QR—Q7 ],z/Q1/9$
Rn;..w;o� �re.e �w ae ca�d«.d � w w+�e v� m. muww mren rs,oul w w..�
❑ i eenW u,ai �� m. w�o�menee a n..� i« whiu, m�. o� u ivuea. i ew� WW enY Ve� in enY monmr eo u m
beconn aEjea io IM xwken' mmpmWion kw� d 'u. W ehouM bcmn wbpri io IM hwken'
comoary/et on. a s.aion alao d �ne leeo. � �onn.mn ume qod.ione.
Dele: �/G2��%� �op'rap:
Wem/n0. F�Ilun ro ucun Mort�n'rorryauatlan rovxp� Is unbwN( �nG �IWI rtl/�cf �n xnp/oysr ro crlMnl pxi�Nu errtl
clvll flnu ap ro me �,nGrM flro✓s�M ao/bn /S�OQppOA In Mfltbn ro IM cwl ol rompru�tbM1 0ainp, u provhHA b� In
Sxtlon 3]OS o/ tlrs LWor CoM, Intx�sl, arW etromsya M1u.
CONStRUC110N LENDINO AOENCY: 1 hneEy �rm uMu peneMy d par'µy tlw ihra u e ooruVudion bMLq epenry fa Ne
paAormeMe d Ihe v.ork M whirh �he pertni o ewad (SaGion l08]. Ch. Cl.
LEHOEN'S NRYE
LENDEX'S ROOflEAR:
i canM �ne� i na� re,e mm �d� d,a aa. mm ine mwn �m�� m con.a. �.ane io wmoN wnn vi air e�a ow�mv obm��e.
arM amie lewa ralmM w driNuq cwmuuian uq Mrsby eWarze nV��d� d ihu tltY ro ema uw� tM ebwa.memia�eA p�operly
lorinspeqlwipurpoaea.
MP K I,EE
Pr'vn Nartie
Dme:SiZz�
�{'�qreture d Onar/PgenuAppicyyK`,ory�pa
PERM NO: B 08302
GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: NEW
JOB DESCRIPTION : 75SF CABANA/POOL FENCING/TOOL SHED SQ FT: 1,000
CLAIM VALUE: ].,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: CABANA GATE 6 TOOL SHED AS SEPARATE BUILDING
if !E 1E 1E fE iE iE iE �E iE iE !f if !f iE if if iE 1E ik if 1f 1E 1E fE fE fk if if iE iE fE fE ff fE fE fE fk 1E fElF 1F dElf iF 1k 3E fE k ik ik 1F iE Ik iE 1E if if iE ik IElE 1E If 1f fF 1f fF iE iE fE fE 3E 1F If fE !f iE iE
z o N i N GS ERTEBQAUCIKRSE �OLD FOR SPECIAL REQUIt2EMENTS
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; 20 FT IN REAR: 22 FT IN
LEFT; FT IN RGHT: FT IN LEFT: 27 FT 6 IN RGfIT: 49 FT IN
PARKING REQ: PROV; PARCEL: 42617102 ZNE: R2—M REF NO: DR-96-02
PLANNING NOTES> 75 SF POOL CABANA (TOILET, SINK 6 SHOWER STALL), I5.5'
,> SECURITY GATE AND 24 SF TOOL SHED--ALL ATTACHED.P/E/F
1E iF i! 1F iF �F iE 1f iE k if ik fF 1F iF if aF �)f iFlE �E 1! �tlf iF 1Flf iF # 1f iE iE 1F iE iE 1F if !E iE iE iE 1ElE iElE �E iE iF�E if iE �EiE iE 1F 1f �f 3E �klF �f if 3E �F ff �F k k �f aE IElE 1f 1E iE �F 1E iE �t
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 C.C�P DATC; :J,�I�'�%'%
BUILDING APPROVED BY : c7ri� %� DATE; S'� 7' g7
APPLICATION ISSUED HY; �U Jli"� DATE; ����2-9�
**�-�**�r**rt**rt**x��*�+���3F3iiFi'F3F�F3fTF7F�FiF�F'iF'iFiF7F'iF'�F'iF3FiFiF�F'iF�ETF iE�FiP�F���FTF7Fit*******�rx� �iF **
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC- MECHANIC FIRE SMIP/RES GRADING
PERMIT 34,75 ' S0
• • SMIP/NON—RES
PLAN 5.65
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECIC TOTAL PATD DUE
TOTALS----> 35.25 0.00 5,65 40,90 40,90 .00
REVENUE DIVISION TOTALS--> COLLECTED::� 40.90 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC.. FIRE SMIP/TOT GRADING PLAN—CHECK
34,75 � .50 5.65
if 1E if 1E if iE 1f �E K ff ff fE ff ff !E if 1f ik if if 1E ik 1E 1E iE k k k iE 1E Ik ik iE ik IE it if iE if ik 1E 1E,iE iE IE IF 1f k!E 1E iE 1E fE 1f iF IE ik ik if 1E 1F 1E iE ik iE ff *** jE iE IE fElE If iElf if iE
I N D I C� I D U A L F E' ,E H R E A K D O W N
1'YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
. _ '�
SFR 1000 ALTER BY VALUE RESIDENTII�L NOZONE 1.00 1,000,00
END"OF FEES
�5-22-1947/G3:13 l q�
RCPiN:�I '27
PERMYT:08"-
(5151<e WP) Wliile-BuYiq d Sal&y Oree�Fy: Gvary-�ppirent: Rnk-ReVanue: GOldenmE-Aswawr � .
"v
CONSTRUCTION AND PlANN1NG
� APPROVALS Permit #
i. Temporary Eiectriwl Service or PoTe
2. Soil Pipe-Undrgrntl. ..
3. Electrical Conduit UtilitY-Undrgrnd.
4. Electrical Conduit�Undrgrnd.
5. Steel Rei�forCement
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd.
10. Structural Ploor SYstem '
17. Property Sew6r Line & House Connection
12. Sewer Cap . �
13. Roof Drains
lA. Rough Plumbing
15. Rough Electrical-Conduit
76. Rough ElectricWiring
17. Rough Wiring Sign
18. Rough EiectricabT Bar Ceiling
19. Rough Heating & Air Cpnditioning
20. Rough Fattory Fireplace
21. Oucts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof. Framing
25. Roof Sheaxhing 5
26. T-8ar Ceiling IStructurall & Monocoat
27. Frame and Fleshing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing �
31. Plaster Brown Coat
32. Electrical Power Meter�Final
33. Pinal Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or fanoPY
37. Final Factory Firepiace
3$. Final Plumbing
39. Water Service�Finai
40. Gas Service-Final
41. Solar �omesticFinal �
42. Backffow Preventer �
43. Backftow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Re9ulations �
47. FINAL STRUCTUR[ & BUII.DING �
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cc
Date
P�.� L & SPA
Date Inipecior AppROVALS Permit #
b2. Pool & Equipment Location
53. Steel Reinforcement
54. Forms - �
55. Eleccrical8onding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER•GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, C Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVA� TO DECK �
62. Backwash & Receptor•Finai �
63. Heater & Vent�Final , � _
64. Plumbing System - Final
65. Electrical•Final
66. Solar System-Final �
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT, REQUIREMENT
APPROVALS Pe.rmit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
y-�9 �k� 74. Overhead NYdro
75. Dry Chemical
76. Dry Standpipe
77. f IXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
� � 79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
��
Date � Inspector
�
��
�
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: ( City of Costa Mesa
( ) City of Newport Beach
( ) County of Orange
/
Applicant: �/YLD�y �. f
Address: /.���o � e2�S4'
ro L �. �v���-eC �
. �'.n c�f-�. {'►'1 e s c�
/�, i
TelephoneNumber: (Ysb�t%%5�
TracUParcel and Lot Number(s):
Location of Project:� �'11'��
Number of Square Feet of:
Residential Space
Residential/
Sr. Citizen Space
Commercial and
Industrial Space
� ��
—_ � / ��x $1.84
� / 1'l�'�O d
Commercial/Industrial Project is: (Check One)
Warehouse
R8D
Movie Theater
Mini-storage
Heavy Industrial
Regional Shops
Light Industrial
_ This project is exempt because
x $ .30
x $ .30
_ Motel
_ Bank
_ Neighborhood Shops
_ RacqueUHealth
_ Hotel
_ MedicalOffice
Office Park
2079 �
District Receipt No.�`///
Plan Check Na. iO3�� 9� q
Total � oas 92
Total
Total
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections
53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction.
Checks are to be made payable to Newport-Mesa Unified School District.
The above representation as to square footage is true. Appiicant agrees that if it is later determined that such representations are not
true, then this certificate shall automatically terminate and the appropriate City/County shall be notified.
Date: �
Appl� nt
COSTA MESA
�A���,r���
1
DIST R1CT
RECEIPT OF FEES
Project No. � � - ��O-�a Date .S/ o� �19%
Tract No. Job Name
Parcel Map No. q 5` I a O
Location � `1 � a �.�' S�vee�
Type of Development
Residential �
Comm./Ind. _
DESCRIPTION OF FEES
Exist. Units �
Exist. Sq. Ft. _
Costa Mesa Sanitary District (714) 754-5307
Inspection and Plan Check
Ordinance No. 21
Annexation Fee
Mobiie Home Charges
Other
Orange County Sanitation Districts
District No. 1, 6, or 7
Residential x _
Comm./Ind. x _
Frontage Fee x _
Other
x
00019� ,
New Units � Demolished Units "i
New Sq. Ft. _ Demolished Sq. Ft. _
�3�D .
units �
Sq. Ft.
Frontage
Total Fees �3aD
Sewer Bonds �
Validation
85-2:-i53%!�:::E Pf,�:i2:.Eu
k'. �lo:L�:-@d@:i5c
G'Ekt91 f:60�i19E�
1906fi8 (1/91) WHITELUSTOMER, VELLOW�SAN. FILE. PINK�FINANCE, GOLDENR06ENG. FlLE
SEWER PERMIT APPLICATION
Costa Mesa Sanitary District, P.O. Box 1200
Costa Mesa, CA 92626 •(714) 754-5307
Building Address:
�� h E. 2l s� Sr� i
PERMIT NO. 002�'�:8
s� Ir�e S
Contractor. �arlL 1.._t�
Address: 2�-f3 S . � - l:¢ !a S �r l'�-� �/ � � � ian
v'. n a _ `17�62
Owner.� 1� l� � t� � e� � Phone Number. (1 I� ) 5 2 f - 01 Z Z
State License No: �6'Z'l �'Sd City Business License No:
i hereby acknowledge that I have read this application and state that the above is correct and agree to comply with
all State laws, City and County ordinances and Sanitary District ordinances pertaining to sanitary sewers. I certify that
I possess the above valid State of Califomia classification or am the legal own f the property described above.
Signature of Permittee:
OFFICE USE ONLY
Permit Fee
Other Fee
TOTAL
$
$ � J ��� .
� ��
Date Issued: � � ��
Received By: ��1.1u�T�i'.1 Q�,L�
INSPECTION USE ONLY
Y Sta:
M. H. Sta:
Number:
Remarks: (An 'S" must be placed on curb before calling
for inspection.)
ALL SEWER CONNECT/ONS MUST BE INSPECTED.-t.-:,a;; �:_:c� pr.,i_.;,;,
CALL 631-1731 ��'-' -:c�-�:-�;c,
F'kRf'i'S. � : N62zt4N
0]O6i8. Rav. 7�9a WNte . Gubmer, Cana7' SaMte7 Diatnck Pink . Fir�anm
.eaem�ara: 396 21ST ST �
• ruuEiFa+o"T+: CAMPBELL FAMILY REVOCABLE
� �o^�+ LIVING TRUST
326 LINDO AVE
ALBOA,CA 92661548-1192
�rv�. wuura �ooxe.ss: S AM E
�xcxrrecroxeawffn: ROHIN HAMERS
usx. ox exo.�s,wnnEss: 2 3 4 E 17 TH S T
C.M.
COMNACTIXfSN1uc.
caxrn�crars�uiwo
,mo�ss:
uNr:
��= C31720
uur: 2 0 5
CA 92627
uc �a.
uMr:
110ENSED COMP�CTONS OECL�HATION: I Iwreby Nim wtlm peroly d peejury thu I em IieeraeE under prwiebna d CMqm 9
(oommmeM xiih Sanion )OW) d Oiwion � d IM Buaiirow W Pmlaeum Cods. ud mY 6mrms u m hA bro eM Watl.
cmuc.No.: uc.cuss: uc.No.: EXP:
r ode: �«,�«:
' IW HER BUILOEN OECIAflATION: 1 Mreby elfiem uMar panely d per'�ny ihet 1 em exemq leom IM GoMreqas lioenee l.ew la tM
fdbwq �eefon (5epbn )0�1.5 Buaneu eM Rdmeont COEe: Arty dY a od+euY MwA nV�ieo e De�Y lo mroYUG. Nts. inVwa.
demdeh, w ropai ury abuc�ure. puar to Es u+ue�e. etro �aVuima ihe applimN la wch pemtil to fib e eqned MalemeN tlw M a aM
o i��e wn�b�� m m. w�+ w e» comrea«s ��� �.w Icnan« e l�,�o wnn seae.� mrol a u+:o� a d me
e�� �d ard�� cod,l « imm �� «� n u�a �ntr� �d me c.m �o. n. w.u� H«�wo�. Nn+wmoo a seeo�,
lW 1.5 Ey anY MV��^� lu e pamul aubptla tM epplitaM to a dvi panetly d nol mae Ihen (xe huMtetl Eolva �5500�.
❑ t%+own«ainenwa�r«mra^da�.m�'vnwapmaa�ne:.demmro�..,�eom.wake�aWe.wmia:miMend.a
a oXerad I« aele (Seclian ]OM. BudrouenC Profeaaaa Cade: The CoMrotlon Licen» Lewdom rol WWYtoen awnxd pWeM
wAo Wida a inpm++iheraon, mM xM does auM v.wk NmaE a henN a Waqh he a her oxn emMWas. pa'� Ihet eu�h
'unqovemmb ve rio� imeMeE a Wxad la eeb. tl. however. iM buiNirq a inproreenw u eotl wilhin one yaer d wmpletion. IM
�rn.�«��a« w�n n� ine d,� a wv+inv ns « db ad b nad a unwwe i« �he wma• a wel.
I. es ovmer d the O�DaH. em sscM1�Y mntreen0 �Vh 6mmed mmMae m mr mw tM p9� (Setlun ION. Buanms eM
Pmfeaiaro Code: TM CONredon l'smu lew Eoee M eDdY b en owner d V W�Y who EuOCe or impm'm aM who
mnireeb 1« wdi pqeaa wn� e aomreeMe) fcemad a�uw w �h. Cani�aeas lisus Lew�.
1 am memq unds SMqa/i: B. 8 P.C.. br '
Dme � � � �� / �O
Meaby eanAY tlW I em ewere A enE imJmaiaM the �W��«ua tl Celiarrve Ilsetlh eM SdatY Sae'vu 25505. 2559. xd
?Si1a. vM Ow 1 u vy Iulure builevq omiWnl wi11 / wil M(�b aw) � to oompy wi� rek qma cadm end iM navinmaus lur
e oerm� lammvuciima madi(�ian hom�Mlir�ene0�a Oirtr'vf. Raudsailmmrwun eDO�iduen memqhom Ihew
Dele: Mp�
WONKEH'9 COMPENS�TON OEttAPAT10N: I harW/ aNum ivMr pa�atly W pr�ey one d Ne b0ow'vp Muaturo:
❑ i n.r. ena wil meiia.n. cenEicat. d odme,i �o.w;rmv. ror.aken• mmpemYion. ro w� �« W seeion a'!oo a �n.lmor
Code, la iM perlamvca d iM xak lar wlich Iha pemil o oeueE.
'] I nna eid wil meimen �wrken' wmw�+vion iimrenro. n rquvad M 5wion a)oo H ma laEa Coea. b iM M�«menu a �M
wak lor wliid� tho Mrmu u IuueE. MY war4en' comPo�+mion iiuureze urt's aM DdKY rwmbr ve:
CemH:
Pdcy Number.
nn;, .eniun �«d nw e. mnpM.a � m. n«m� n ro� o,. w�m.e emd. Is�m� w l�C..�
� I mnM �� in Ihe peAamerce d tM work br xhicM1 Ihb pmmE b iaueE. I Nell nd emplry erry pereon in ury manrw �o n to
Eecome wbjeq �o ihe wa�Mn' mmpa�eetion levn d CeNomie. ud aprae Nq A I JvM bcoms aEpf �o �M wbn'
comqnaetion qwi�bm d 5«fion 3100 d IM lebu Cade. I Ja0lonhw4lG oompy wt� Riw pwidpn.
Dme: bd �
W�mlrp: F�Ilun ro�xun wortri rompw+s�tlon eor�rp� l� unYVNI, urtlWllWbNet m wrylayw� ro erlMrol pw/tlu urtl
elvll lln�� w ro on� hl.nEred fhouaiM dali�n (S1�,OOOA M atldllbn b M� cuf ol rompewfbn, Gm�q� u provMM br In
9�ctlon �)O6 0l tl�� la�or Code. Irrtw�s4 Nd �tfortroY'� ��
coNsrnucnoN �v�aNa acer+cr: i n«wr � w,ea w�+.in a o«wr �nm m� m.�m�,a� r�ao-ro ro�v i« ue
peApmeMe W tne xo�k lor whiM t�e permi ia uwed (Seuion 3091, Cw. C�.
LENOEfl'S NAME:
LdDEN'S �OOflE55:
I ce�M �hm I he`e rted Ne eVP�ratim ud ame ihel Ne ebwe'udametian b oonee. I W� �o oomC�Y with e0 dly aM cauNY oNmencee
vM ate�e kwe reletiq b buJEeq construeYai azd Mreby eNhwca iapeaeenletrvea d Ihe c1y Io eNw upon tM ebova�meMuneE pmpairy
����°�� A°� TIMOTHY CAMP�ELL
oma 2—s-96
(5151.16.WP) '���uilJvp d Sdety: Green-Fb: Cenery-Appfranl: Pink-Rermue: GdEenmE-Nxew
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO; GRA 080772
PERMIT NO: GRA 080772 PLAN CHECK NO; 04634-96 L GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: GRA PURPOSE: OTH
JOH DESCRIPTION : GRADING FOR FUTURE CONSTRUCTION SQ FT:
CLAIM VALUE: 2,000.00 CALC—VALUE; GAOUP OCC: �/
COMMENTS: GRADING NEW PARCELLED LOT, RE;DR 96-02
*��***�*xk�e*r***��**���itrtieitit+r��tx**atie�**��titieit*it*���it*kkr�***�*�*iritit�atitititet�at���*it
Z O N I N G R E Q 0 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> "
> '
iE iF i@ 1E 1F ik iF iF if ff if iE 1Elf 1k ik ff 1E �F 1E 1E iE IE 1E iE iE iE 1E fE IElE 1E 1E �E 1E 1E iE fE If jE 1f if if iFlf iE 1t iE 1E iF fE 1ElE 4�f iE 1ElE k 1E iE 1ElE iE iE if iF 1E 1E �E 1E �f fk iE iE iElF fE 1E
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 BY : �Y�'� DATE: _',� q � 1 �'� 6
--�-zr `�rz
APPLICATION ISSUED BY: DATE;
IE if fF iE iF iF iF if 1E iF iF iE 7k iF 1E iE iE if jE if if if if If iF fE IE fE 1E'K IE if��F3FlF 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 33.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 33.00 0.00 22.50
REVENUE DIVZSION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANIC
SMZP/NON—RES
22.50
TOTAL PAID DUE
55.50 55_50 .00
33.00 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
33,00
If 1E iEif iF iE it iF iF if �f if ik iF k if 1E if iE fE k ik ik 1f� �IF 1E 1E ik ik iE iE �E iF iE iE if iE �E iE if iF iF 1E 1E if iE 1E if iF iE iE If 1f ik 1ElE if if 1! if 1E iF iElf iF iE 1F iElE 1k if ik if 1E if 1E 1E iE 1f
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
NO FEES WERE SELECTED FOR THIS PERMIT
01 DD22Q`iD—Q422051Q T O T �0
DATE: L?/OS/9$ TIME: iQ:35
�
�CONSTRUCTION AND PLANNIN. �- L& SPA
;PPROVALS Pe�mit # Date Inspeetor AppROVAIS Permit # Date Inspector
t. Temporary Electrical Service or Pole 52. Pool & Equipment Loca6on
i
2:i Soil Pipe-Undrgrnd. . 53. Steel fleinforcement
3. Elect�ical Conduit Utility•Undrgrnd. 54. Forms
A. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reintorceme�t 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd.
10. Struaurel Floor 5vstem 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap _ 63. Heater & Vent�Final
13. Roof Drains 64. Plum6ing SYstem • Final
14. flough Plumbing 65. Electrical�Final
75. Rough Eleccrical�Conduic 66. Solar Sys2em-Pinal
16. Rough Electric Wirin9 67. Fencing & Access ApProval
17. flough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21 . Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough � Tesc 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Scrucroraq & Monocoat 75. Dry Chemical
27. Frame and Flashing . ' 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailin9 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL I.NSPECTION
32. Electrical Power Meter-Final - 80. FOOD CERTIFICAT[ ISSUED
33. Final Electric Notes:
34. Final Heating'& Air Conditioning � .'
35. Final Gas Pipe-Test . , '. '
36. Hood or Canopy , ' � �
� 37. Fina� Facmry Fir�Piace
38. final Plumbing
39. Water Service-Final
40. Gas Service-final _
41. Solar pomestic-Final
42. 8ackflow Preventer
43. Backflow Irrigation -
44. Landscape Irriqation System . ,
'45. Sound Attenuati0� � - -
46. Handicap Regulations _
47. FINAL STRUCTURE & BUILDING %�/q.�pp 6�,�
7 ��
48. FINAL PLANNING , ,
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY ,
No. Date
eooaessoF ew�owe _ 21ST ST � uxr:
owwexsrure�s�rowr�: TIM�HY 6 CAROL CAMPHELL FLOOD:
AUDHESS 39 ?1ST ST `" �
Y v . C,.� CA 92626
�vr�, r,vuna noowess: -
,wcxnecron�axeR�DAREN RASKIN uc.xo.: 57577
�xcx.oaer�crsao���ANA01� N TUSTIN AC� CA 9Z087 ur+T:
corrmncra+�'swn�: PROMONTORY POOLS ( 714 ) 993-0557
cwrn�crorrs�u�c 1332 N MILLER
�ooeess:ANAHEIM CA ucwo.: 404194
92806 uNr: 204
UCENSED CONTH�CfOH4 DECLRflAT10N: I haMry elhm uMx panely ol u em licmmd uMer ywitima al Chaper 9
(mmmenring �M1 `��b^ ��) °� a`^eian 3 d me Buainese eiM Proleaeiana od my lic�e�nea ia'�'�'f°� end elletl.
cm uc. No.:O 3f319,2 _ ua cuss: C S 3 u o. /j �%� f✓ '/^l/ c 0 3/ 9 9
oWN�N BUILDEFi OECIANRTION: I tw�aby alfiim uMer ely N�Y ���%`+mq iM Convetlae licenae law la Na
lolbwinq raeso^ (��on ]031.5 Busiwa+arid Fmfineione oEe� n cAy cauny whirh iree e parmX lo coneWcl, eller, impova,
demoleh, or repei enY awclura, prar io Fe ivsuvx , eb xgnt la wch pmnil to fib e eprod stetemem that he a eM
ia licenaetl qi�en� ta iM prwieiona d IM Comrmon ' me hep�er B(�mandiq wilh Sadion ]000) d Divoion 3 N the
g�yinesy yM Prdemians COEe� w ihd ha a eha is evempt thsaham end ihe bnvis iw �he elleped eRamption. My vbletbn W Setlion
]031.5 W anY aVC�imrl fa a permil wbpd+ iM epd�t �o e dvil parolry d M more ihen Me huMreE ddlen �SSW�.
� I, m ovmer d Ihe properly or my emplo�eea x%h we0� a+�hei wb compenaelion, will do tM wM, end ihe svucM1iro e� inleMed
w oHeredia sda (Saction ]Odd. Busresa eiM Prutessiona Coda: TM Conlreaors Limrea law Eoee ml epply�oan ownarof property
wtw buBM ainpovea �hxeon. md Mo Eoas such woAc IvmeNl a MnM a Nraqh ho n Mr own empbyeae. panJaE �Mt euch
imprwemaM °�e not inleMed a dlereE tm xle. M, however, lhe buiki�p a'vnpeouemem u eold Milhin ma yeer d oompblian. IM
ownarvbuilder will hava ihe burEen d prwin0 � or ehe did nd Wild a im0�e la iM puryoee d eele).
� 1. ea owrw d �M pW�Y. em ezdutivM' contradM wilh lioamed contrMwa to mnmua iM VW� (Setlion )Oa4.8uairess vd
pm�asyime COEe: Tha ConlreG«e L'cema Lew dom iwl epWY �o en owror d papany wM buitle a impwes ihaeon aM Mw
mnVecw �w euch prqeds wnh a mntrmm�s) Ikensad W�uent to the Conlredare Licenee lew).
� I em emmp uMer Seciian: 8. 8 P.C., la Uia nenon:
� Ownar
ome:
��a�reyy cani/y ihet I em ewere d eM uManierM Ihe myuimmenn d CelLomu Heehh eM Salary Cade Sad'aro 25505, 25533, eM
osc-ae. yM tnei I m eny iNure Wildirp oaupenl xill / w[I rwt (dreb a�e) med �o cwnply w1h aeid etete mbe eM iM epuiremend br
WOFKER'S COMPENS�TION �ECLAPATION: I hereby eifirm uMer penelry d perjury aw d tlx Idbvriiq datlermiona:
� �nmy¢nd»:�meiMe�,.cmWmeaow,ven��o..nr�,rer«wvkericanw���.%+wa+aed�o.bys.mona)ooa�n.l.mr
Code. iw tM peRwmaica oi tM wM1 la wlich Mia permtl o eaueE.
.Cl I nave end xil meinten xorke�a' mmpenae�ion iiuureMe. m repuimd by Seqim 3)00 d tlw Lebm Code. br the perbrmenm d iM
]C" work fa whidi thie o�A o oaW. MY waMe�s' mmv�amion imurenca certiar and odkY numEm ere:
ca,,;,,: . STATE FUND EXPIRES
aa�N�mw: �v— 04/01/99
(This aection neeE rwt be mmpleteE / fhe pvmt is Ia ons hundrea tlullen /S�001 w bv.l .
� ���ty Nal in Iha pMamenca d ihe wak tor whch thie permn ia isaue�� e na employ ei non' airy mennx ro u to
y�p�y ¢�bjad io tM woikns' mmpe�wtian kxe d CefAanu, el if I eb wEjatl b Ihe v.wlan'
b"a ` '
� m���s'vro $eaian a�ao W tM1a Lebor Cade. I shxjN 'I inPN wi a. -
Appl'rJnl: /
�nn nn:. w ro om nweroc mouum ao
Sxtlm 3Mb' ol Ns Lebor Cods, Infauf, a
CONSTRU�ON LENOINO AOENCY; I he
peAartnence d IM wwk M wfiidi th6 pe�mi
LENOEN'S N�ME:
LENDEH'S RDDHESS:
I C011i1y 1�0� � heVB 28E IIII9 eppliCBM1
uM91elBkwerele� butlE
lor In9pe tb^ N��
�� �
ror ro cr/Mnl perwNu enC
d!/�NQI/ 4 C/OVl(//d i0/ �II
�1Bf�Yfy 1%W ��IBR 19 8 NI181Ndp11 IBMIf10 B�Bflty IM IIIB
Cl. i :
a. �na� ina mwn imomie(wn Is correa. � eo�ee m eomoN ��n m� cev ene cwmr «dl�ezm
eM herabY ���e repnaenimivee W iM1ia cXYto amar upon �M ebwe-memionetl popaM'
o n v_-,�. .i . '
8 Sa1NY:
Dete:
Rnk-Revenue: OoWmeob�Aaamw
CI1Y OP COSTA MESA - BUILDING PERMIT
PERMIT NO: H 087%57 PLAN CHECK NO: 0197U-98 S
CONSTRUCTZON TYPE: V-N PERMZT TYPE: STR
✓ I✓' �
PERM NO: B 037757
GOVT: N SUPP: N
PURPOSE: CON
JOB DESCRIPTION : CONST. INGROUND SWZMMING POOL 6 SPA SQ FT: "10,000
CLAIM I�ALUE: 20,000.00 CALC-VALUE: 20,000.00 GROUP OCC; R-3 /
COMMENTS: SEE ATTACHED MUNICIPAL CODE 5-41-5-52
***iE**�E�f1EfEatx�iE3�*jt�***atit�*+tiE3t�41EetiE+t�iE�f�f�E-7Eit��EiE�1F�EiF****fEiE�FiEifiE�E**iE�EiEiEr�EiE�1EiE�k*iEiF�F�c*if�EiEfFiEiEiE
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ----------
FRNT: FT IN REAR: FT IN FRNT: 19 FT IN REAR: 37 FT IN
LEFT: FT IN RGHT: FT IN LEFT: 68 FT IN RGHT: 8 FT IN
PARKING REQ: PAOV: PARCEL: 42617122 ZNE: R2—M REF NO;
PLANNING NOTES> CONSTRUCT A POOL IN FRONT OF A SINGLE FAMILY RESIDENCE �.�
> UNDER CONSTRUCTION.
iE iE iE iE 1k if 3E 1f 3f iE 1f iE 1f iF iE iE iE iE � iE iF ii' �lE iE 1E iE 1E 1E iE 1E iE iE IF �f iF 1E 1E 3E iE 3E 1E �E 1E �7E iE �l"r 1f'1F �E if� if 1F i@ iE iE iF it if !E �lf iF iE iElE iF iE iE �)f iE je iE iE iF ie iE 1F iE iE �E
D E V E L 0 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 �pn DATE: �
BUILDING APPROVED BY : %��( DATE: $
APPLICATION ISSUED BY; �'� DATE:
1f if if iE iE 1k 1f 1F 1E 3t iE 3E iE iE if iE 1E 9f 1E if iE'IE ��'iF�F3f3F iF iF3F iFif !P 1i� iF iE 3E 3E iE iE iE3����FiE iE
LEGALIZATION:N F E E S U M M A R Y ' STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT � 287,25
PLAN 186,71
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS---> 291.45 0.00 186.71
FIRE SMIP/RES GRADING
SMIP/NON—RES
4.20
TOTAL PAID DUE
478.16 478.16 .00
REVENUE DSVISION TOTALS--> COLLECTED: �— 978.16 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
287.25 9.20 186.71 �
iE fE iE �E 1E �1E if iF �1f 1E iE 3f iF iE iF ik iF �1416 i't it 1f ik iE?f iE iE iE -1F iF if if 9F �E iE if iE ik iE iE fE iF 9E 1E �E 9E iE-1E+F if iE �)E iE if ff iE �)f aE �)k iE iE it iE iE if if af iF 3E iF ii �E iE iE jE if iE 3E iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 20000. POOL G SPA 1.00 20,000.00
END OF FEES
�
�4-16-1998f02:52 P '' 16
kCRT�:Ji F
F'ERPiYT e @87.
� POOL & SPA "
CONSTRUCTION AND PLANNING ��' Date Inspe'ctor �„ �� Date lnspector•
Ai�PROVA�S Permit � ,_ APR:t�VALS Permit #
t. Tempo�d�Y E�e���'�I Service or Pote � 52. Pool & EquiOment Location� ' �
� - 53. Sieel Reinforcement - '
2. $oil PiPe"Undrqrnd.
3. E��c°���� Conduit Utility-Undrgmd. 54. Forms � �
. Elecvica� Conduit-Undrgrnd. 55. Electrical Bonding '
� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test i
6. Electrical UFER Gmd. 57. APPROVAL TO CQVER•GUNITE s a
7. Footings 58. Electrical Conduit�Undrgrnd. '
8. Poundation ' � 59. Gas Pipe, O Undrgmd., Test � ♦
9. Water Pipe�Undrgmd. ' 60. Backwash Lines, P-Trap, O Und�grnd. � �
16. Struct�rxt F400r System ' 6t. APPROVAL TO DECK j
1 i. Property Sewer line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cep � 63. Heater & Vent-Final - -
i
73. Foof Dr2ins , 64. Plumbing SYstem - Fina! �
14. Rough Ptumbing . � . 65. Electrical-Final '
I
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring � 67. Fencing & Access Approval � .
17. Rough Wiring Sign - 68, APPROVED FOR PLASTERING
18. Rough Electrical��T Bar Ceiling � -69. POOUSPA SYSTEMS FINA�
fi�Lq _ ��
19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT-
26. Rough Factory Fireplace APPROVALS Permit # i
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas ❑Oil
23. Gas Pipe�ftough & Test 72. Underground �lush �
24. Roof Framing � 73. Undergmd.5torageTank �Gas ❑Oil �
25. Roof Sheathing 74�, Overhead Hydro
26. T-Bar Ceiling (Structu�ai) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Laxhing&Siding 77. FIXEDSYSTEMFINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailin9 HEAITH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Hedting & Air Conditioning .
35. Finai Ga5 Pipe,-Test ,
:� . ,
36. Hood or Canopy _
37. Finai Factory Firepiace �> ��" -•�
�
38. Final Plumbing
39. Water Service-Final
0.0. Gas Service�Final
47. Solar pomestic-Final � .
42. Backflow Preventer
43. Backflow �rrigation
44. Landscape Irriqation SYstem
45. Sound Attenuation • .
46. Handicap Re9ulations
47. FINALSTRUCTURE&BUILDING -�--
48. FINAL PIANNING -
_�
49. Electric Rete�se to Edison �„
50. Gas Release to Southern California Gas Co ;�
57. CERTIPICATE OF OCCUPANCY
No. Date �.
�
AODX:SSOfBNLpNO:� 39N 215T ST --� �- . u�:
awxercsi'wExroaivr+: rAN,PbEI,L, TIMOl'HY & CAitOL
�, ��+� 9� 8 E 1 BTH ST ' . ,
• -� ,
:OSTr1MESA, CA 926ZF, 650-4758'
�vv�. Muuxo wo�ss: � . . .
urcxnECTonu+r+x�n: T.NEMNICH ' � . - � �ucno.: C-11092 .
uicx. on �o.•s �ooa�ss: , 9 1!i E i.8 TH S T ' ' � uxr:
COSTA i'�ESA CA 92627
caxrn�cTarsxu� PIPE SURGEON INCORPORATED (7•14)832-1883
CONfPACTOR4M.Vf➢!fi 11355 PO BOX '
�' ,�oo�ss: COSTA MESA CA ut.ra_ 933941
% 9262 % u�,r: B
LICENSED COMN�CTOHS OECLIP�TION: I hereby ellim uMx penely d pe�jury ihel I em licemetl uMer pwidme d Cheplm 9'
(oommemiq xi�h Seciion ]OW) d Oivision � d tM &reiren eM PMessbne CaEe. erd mY lice'ree is in full lame vM eHetl. '
cmuc.No.:028621 uacuss: L gE uc.No.: 43.3541re EXP: 04/98
o�,: 7-/ S-9 7 ���..aa: %1a„nel� � i3+�tn,�.,,,.
�
'�EN BUILOEX OECLANRTION: 1 hemby elfirtn uMx panaAy d perjury �hel I em examq Iram IM Con�redae Licenee Lew �w Hw
.�Ibvm9 �cewn (Setlion 1W I.5 &ieiasa eM Prdeeaions Code: AnY UY a muniY xhidi nVuirm e D�n �o owuvun. atler.'vnVm*.
"'damd�h, a repaz eny avuciure, pia to ils ueueMe, elso repuirea Ihe epd�� la ax� pe�mil lo fib e sipneE elelamanl ihel he a ehe
ia licenaed Ounueni lo ihe prwiaone W Iha Conlredon Lioen» Lew �Chepter 9(commendip vrilh Sedion ]000) d 0"vuion 3 d iM
susirwss via r.deavn coeal «�mm �a «.lie I..aema �naeimm ene �ne tiasn �« Ihe db6ee uamqbn. Mr vidmon W seaon
)03t.5 by elry epplimnt Iw e permn wbptla IM epplcaN b e dvY penelly d rwi more �hen Me lwndrad EOAen �5500�.
❑- I. as awrer d IM peopenY a mY amO�M'�%�� �9� %+Ihak eda wmpammion. will do Rie wak. ena iM al�ucwre e na intandad ,
adlmeE(«+eblSectionlou.BusireverdPMesawnCode:TheContrmanLkeroeLawdoeam�wNYtoenownerdqope�ty ,
wM10 budds a'vn0�� iharean. vM Wa Eoae e�ch xwk Nmmll w hene! w Nrouph he or har oxn empb�me. pavkW thet eucA
imprwemenla are rot inleMed a dleraE fa aeb, tt, however, lhe buikinB � MMw'�� ia eoN wilhin are yeer d mmple�bn, Ne
owmr-0�ilder xdl heve iM WNen d pv.•iiq M w she Aid M bwk a imprws lar ihe purpove W eelal. �
.❑ �. ea ow�wr w me vroreM. em .xeuarverv mnveama �.;�n �ice�aee conirenae �o conswa me o�'iSeaun 1ae. &,einae. ene
- PMeavbna Cotle: Tha Caniredas Liwrua Lew daee ro� epply lo en owner d popMY ��iks a'vnpv.•w thereon eM who
COnVacb 10f flx�l plqM4 M�Ih 0 mM�etlO1�9) IifAl19GE qOSUMI 10IM Cmllepp8 Liqua l6w).iY�./'1
�� 1 em uemq uneer Senion: � B. 8 P.C., br ihie reeeon: � ' �,T, j'
. � : • 1
oe�e: w�«: �
I Eo Mreby uniy' Uut I em ewere W vk wdersterd iM n0uiremenie d Callamu Ibellh and SaletY Gode Seciwu 25505. 25533.1nd '
?SSX, eM IMt I a vry Mun Wikieq oxqeni xill / wil rwi (�` �) � b eanpy wYh eeid &ete mdes and iM mpW�emeMs br
epermnbrmnsuuetianormotlifie�ationhwn�MRi ue3Ty7.repemmiDistna.Retidemielm�n�uaioneppirmiamuaazemplramthae
pfOV1810119. . . . _ . ' � . .
I WOflKEF'S COYFENSATION OKLIH�TION: I hereby dhm wdx panMy d pajuy une d Ihe Idbwirp Mdeialbm: ,
❑ I haw eM wil mamm� e cenNicme d mnsenl to eeNineuro br MOMen' campenwun. m provkeE tor by &etlion �)00 d IM LeEa
Cade, la tM perlonnence d iM woM In xtich Nia pem4 ro iotieE.� . � � �
'] ine�«�a�;��m.:�.,�w..��w�+��,���..��a���easec�arooama�n«coe..wm.rona�din.
wak la which ihis permil o iaued. MY waMn' campsneetion insurence ramer eM poliry number ere: .. � ,.
_ - .. � - Camec ' . . . �
' . POIkY Number: � ' � . � .
(m!„naronmeelwraecomd<rnarww��iero.a,enuneleeewwals�oola'w..l - � .
' Q I MIIN.III6� III IIIB pMIOf111BIIC! W �M WOII:IIX MICM1 �M1H V0111111 6�IIlE. I fANI Ild MIQIO)' LIY OawM III NY IIIMIIM 8J 6110
bacome'subjee lo Ihe xwken' campenaelion lexa d CelMomie, end ep�ee thet N 1 dauld becoma wbjae �o tM vrorken'
' poneuna d Satlon �100 d the leba Cade. I My arlhxilh c m wiN tlires .p/ryysiona. , '. .
_.�De� . � � � 9 � . � nvolicem. � G /i�7Q1JW"� .
Iry: F�llun ro seeuro wortx�:ronpeiuetlan coverryp Is un/awN( �ne �htl/ utl(ct �n wmployn ro erlMml p�Mp �M �
�e�vn nns. uy ro un. nwaia rnou,.r�C dou.n fstoa,000A-M .d+�tlon ro ar. co,t or nmr,ewelan,-�amep. u yrovmee ror �n .
Sxtlon.�l06o/IMlaborCotls,Infenal,en0attomeyi/oq. � �
CONSTRUCTION LENpIH� A6ENCY: I haeEy �rm unEer penelry N�per'ryry thm thera ie e mr�viruqion bMiip eperwy M IM
perlormenm d IM xak la whid� iha peimY is eeued (SeGon 309]. C'v. CI. � .
LENDEq'S N�ME: �
. LENDEN'S RDUNESS: �
I cerlily thm I hen reW Nia epplicelbn eM pab Ihel iM aEova iMamdion h canxl. I ep�ee to mnpy w�� all ay end munry ad'vunw
aa
aM slele kws relelin8 �o Wiltling conewdion eM hereby eu�hwrze rapreaenletivea M ihia ury �o entar upon ihe abow�mantiw�ed Ompery
m.��sc«��,wuo�. RON $ROWN ' ,
^ _
��(5t51d8.WP)
�Y:
oma: 7�5-97
cenerv-no�+�am: A�kaem��.: aouenim-,1n...eor
PQi -t^`�(��('9 rn ✓
- CI'PY GF CUSTA MESA - BUTLDING YERMIT
. _ ' PERM NO: Y Ot3379'%
PERMIT NV: P 083747 F+LAN CHECK NO: N� GOVT: N SUPP: N
CONSTRUCTION TYPE: �.'-N PERMIT TYPE: PLU P[JRPOSE: NEW
J05 DESCftIPTION : 5b06 SF LIVING AREA/613 sF GAR/ SQ FT;
CLAIM VALUE: CALC-VALUE: GR(JUP OCC: R-3 �/U-1
COMMENTS: INCLUDES COVERED ROOP AREAS kEF:N-233U2"2 "GARHAGE'DIS-POSAL"
�1f } iE if �1f 3e if iE iF if if iE �!' iF',E if 3f ?e?E iF �%jE iE 3E if� iE 3E �k * if jf 3E if -1E iE 3E iE �'t 3i'!F if'1F?F iE �1F iE")E �7E?4 iE �F'E iE -k �7F if'�F if -k # if 3E'E'7F jf 3F iE 3E iE iF � ie if iE 3f � iE 3f :1F
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S ,
--------r--- MAIDI HUILDING -------- -=--'--:-- ACCESSORY BUILUING ------=--
FRNT: FT IN REAR: FT IN FRNT: ' FT TN REAR: �,FT� IN
LEPT: FT IN RGH`P: 'FT IN LEFT: F'i IN RGHT: , FT TN "
PARKIPJG REQ: UROV: PARCEL; 92617102 ZNE: REF NO:�
PLANNING NOTES> ,
_. .. , . � . � C L . . . . . . ,
'7E3F�1Fi'c�1Ei<'�')EjE3fiE3E'1E9E1EiFiE?EjEiE?E'JEiEiEiE?E?fififi'c;}if*iEiEitiFiEikjEiE�1EiE1EiE�E IEiE'7(-�iifiEifiE'Y'ciE3E'7F?EiF}?FiE3tit�lfiEiEiejEif'ifif'7EiE�JE�3'
D E V E L O F� M E N T. S E R V I C E S��; R, E Q U I R E M E N'P S
� ��^ (
ZONING APPROVED BY ,".r. DATE:
. . . � . .
BUILLING APPROVED BY : ' DATE: ��(�' /�
( "'� . � I �/
APPLICATION ISSUED BY: Dt�TE:
�f *�' i("�'� �:'�?f .�"x"�c'�"�("�' aE'x"�i' *'x' �"x" aif at ?} �f'� x i(- af �F if 3F �t ie'� �f' �t'x"x" }�("�("x' i! �("Y"� i�"�'3E'i{ ir'?a iI"}, �' a("jl' a:'h"x' jE' l�c" 1a'x"y„ �"x' #: �{' #' a( af'3(")l' i{"}•,'
LEGALIZ�TION;N F E E 5 U M M A R Y. STRUCTURAL SEGMENT:N
' /�'.C"t? �^ i •_�� .
B�LDG PNT PLUfiHING ELECTR-E;�C M£CHtiNIC FIRE SMIP/RES GRADING
PERMIT 324.25.. � � ,
zs� y_- ��� r- ,
PLAN ' ' � ' `1• s"4, ;;_ -'- y SiUiIP/NON-RES
ISSUE FEE 22.00 ,��J`�n� `--'� '
BUILDING-DIV-> PERMIT. ISSUE. Pi�AN-C•H£CK 4� TOTAL PAID DUE
TOTALS----> ,. 324.25 '12.00 (_.� 0.0�.� 346.25 346.25 .00
_REVENUE DIVISION TOTALS=-> COLLECTEra":'^c: 346.25 OVER/SHORT:- OU •
BLDG PMT PLUMBING ELECTRIC h!£CHiA9VTx'� FIRE SMIY/TOT GRAL'IP7i; PLAN-CAECK.
. 3 9 6. 2 5 ,' t'; �i" t � ��,
, ��
3E 3E' if �!(�'H- 3t �1F 3f 3E i� � 3(-�E �)E 3E �lf �E 1f �f' 3E'.'F'%i'c f 3F 3E iE # aE �N' if i(� af'F 3r 3('?F Y.�' �lE,�u iE if 3E'�F'K' ?F � iF i! dF ir �k?t i(' if iE'N�cY� ?4 Yf ?s �. yE %F iE �7! #�! iF?F ;(� aF jF iF?� f x.�3E�
� I N D I' V I D U A,�`� -�' �E E� r'S H R E A K D O W N '
. . i . ,� , JJ�
TYPE QTY D E S C R I P T I Oj� �� � o�NI COS lOTAL COST
, T T
._,' == _ = -
PLU 5 T BATHTUS = -- .. _ � , D = _-z -,.. -� _- _ 8 : 75 - °__ -' _= 9 3 7.5-. - _---
PLU 2 DISHWASHER �',%��f�� 151997 s. �s �? 50 �
. / � 8.%5 1%.5�
PLU Z SZNKERKITCHEN f r� -u
PLU ' 1 TRAP �PRIMER E�CITY OF COSTA MESA $•�S 8.75
PLL' 7' WASH BASIN -� i•.. , 8,75 61.25
PLU 5 WATEk CLOSET (TOILET�> i,a! �. 8,75 43.75
PLU 3 WATER HEATER AND/OK1iVENTH ; 11.00 33.00
PLU 1 WATER SER�IICE f•• .w!`t, j•r ;-- H.%S H. i.�i
PLU 1 GAS f'IPING SYS OF {' /�'� Tp 4. OUTLETS 5. 50 5. 50
PLU 10 GAS FIPING SYS 5+ y'CYJTlf'PER OUTLET 1.00 �0.00
> , .
. � ; ,,;
. i,,, ,. �
(�;:�,
- r_
'._
'� CONSTHUCTION AND PIANNING � � �& SPA -
: APPROVAL$ Permii # � Date Inspector p�ppROVALS Permit # Date inspector
. '
� 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
� 2. Soil Pipe�Undrgrnd. ' 53. Steel Reinforcement � .
` 3. Electricai Conduit Utility-Undrgrnd. 54. Forms ,
4. Elecirical CO�duit�Undrgrnd. 55. Electrital Bonding '
5. Sceel Re�nforcemen[ 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Cqnduit-Und�grnd.
8. Foundation 59. Gas Pipe, O Undrgrnd„ Test
9. Water PiDe-Undrgrnd. 60. Backwash Lines, P�Trap, Q'U�drgrnd.
10. Structural Floor Svstem 61. APPROVAL TO DECK
71. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final .
13. Roof Orains 64. Plum6ing SYstem � Final
14. Rough Plumbing � � �j� , Electricai�Final - .
15. Rough Eiectrical•Conduit 66. Solar Svstem�Final .
16. Rough Electric Wiring 67. Fencing & Access Approval ��
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Elecuiwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. DuMs, Ventilating 71. Product Piping O Gas ❑ Oi�
23. Gas Pipa�Rough & Test 72. Underground Flush
24. Roof Framing 73. Unde��rnd.Stora9eTank OGas ❑Oil
25. iioof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat %5. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
26. Lathing & S�ding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PFEV. FINAL
30. Ory�vall Nai��ng HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Ppwer Wleter�Final 80. FOOD CERTIFICATE ISSUEO
33. Final Eleciric Notes:� rl- �"i
�-! -1 �t-ld_tL--C-f
34. Final Heating & Air Conditioning �
_� �F�u�l b�7_'� _ - --
35. Final Gas Pipe•Test =�� �� ��sv�_�v����_�Z�f.T ���
36. HoodorCanopy �_�`a-9$ urvp�RS�AQ:�P�.�m�tti�_/�� t��
37. Finai Factorv Fireplace {� p j J O K , R M�- ,�
Vl � �l �J ' '
38. Finat Pfumb�ng ,/1_q qC2 R�� _� . _
rX � ' � +-�� Y
39. Water $ervice-Final � ' '
< -
40. Gas Service�F(nai � - -_. .
41. Solar pomesticFinai _ _�� .
42. Backflow Preventer
43. 8ackflow trrigaiion
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Fegulations
47. FINAL STRUCTURE & BUILDING '
.�
48. F4NAL PLANNING ".
49. Eleciric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OP OCCUPANCY
No. Date
r
aoonEssorem�drww `"JJ(� �/ Z�
�:T OWM�H'S WYjE IF IR�(14�N:
�I dU0flE45:
i
� �� ��,���
/iHCNRECT OR FN�lffP:
�xcx ow er�o.�s �oox�ss:
carim�mars w�:
CONfPACTORSMNIIIlO
�oox[ss
uc w.:
uc. ra:
uxT:
PERMIT NO: P 083797 PLAN CHECK NO; 02786-97 N :.'.��. �
*#�*�����*��***�**#�����,�*.**������*����*,���#*��*�*��*u�*�������#*#*��*,�#�#�*��#
urrt:
uxr:
t10EN5EU COMNACTOFS OECU1fl�TI0N: I limabr allim i�M« pmely d perjury Mm 1 am liwmetl �mder pwabm d Cheqx 9
(mmmencnp vmh Seclion ]000) M Uvision 9 of Ihe B�aineea eiM Peofeceiona Cade, eed my lironee e in lull bru enA eMatl.
CRY 11Q NO.: L14 CLASS: lJQ NO.:
, OW NEfl BUI�DEfl DEttAPATION: I hereb/ elfimi unAer paraly d qrjury ihet I em eumq Imn Ihe CoNradae licenae Lew la �hs
idbxiq rae»n (5edian l0.'f1.5 Buai va enL Ndessions Code: Aery ciy a oounty Mfiidi repu'vee e pa�ma to omf Wcl, eYx. impvn.
damolsh, or repek eny eiiunure, pnor ro ila ifeueMe, e6o repuirea iM epdicent lor euch permJ lo fib a epmd etabmenl ihel M m cM
o IioanseA Wn�a�l to Iha pwieione d iM Gonireqws �icanae law �Gheper 9(�mmeiq xilh Sadion 1000) d D'r+eion 3 d ihe
Buririem vM Rdeaons COAe� a ihm M1e ar she n ezemq iherNmm arM iM 6va 1« Ne elbped exemqion. My v'vAuion d Sapun
10�1.5 by eny epplirsnl for a permn eubpds Iha epd� lo e aWl panelry W iwl mae ihen INe huMreE Eolbn �SSW�).
� I.eaa�mardlMpWa�YwmYamObJ�awlhwe9a+m�Mieobcam0��on.vrillEOlheMqk.eM�heelruclunbndiMsnJeE
a ollereE la eele (Section ]Oaa, Bueineas end PMeaeions Cede: TM Conlraqore Licenae lewdoae nM epply�o en ownerd popaM
wlw bulds a mWo� tlnreon. aM Ma Eom euch xak limsetl ar hareell or Nraph he a Mr own emWvJb+. 0�'b� �het axh
impm.emmia ere ml imeMed ar atleieE iw eeb. tl, howa.er, �he Wiki'p ar inpovemeM u eoltl wilhin one yeer d oxnpblion, IM
ow��-w�u., �;n na�<m< a„e� a wd+�oa na «�» eb �a w,na «�mwow i� in. wm«. a.de).
� I. s� ovmer d �ha papeM. � ead�ni.ely ranVmip wilh licemad wnVmlon lo conpnxf IM pojed (SeUion ]011. Buainese eM
Prolessione Coda�. TM COMradon Licar�ca Lew does iwt eppFy w en owner oi piaperry w1w buiNa a impwm iMreon erM w1w
conleecb lor wW V�leqe xvh e aN2Qaie) licaved WreueM �o �M ConVedon Lioertve lew).
❑ I am axemq urdx Se�Mian: B. 8 P.C., br Nie �aeson:
Dete: Owner
i m na.env �N mm i em.�,a,e a w �me�s�d ma �ea���aw a cd�ome �eem, d,e serear cm. s.eon. usos. zssa�. ena
zssae. e�a mm i w enr nnure w,�mma o�v� ��i � wai na ld2b a,.) �,.ee �e �omW .m.da .w. md...�a m. �a�+�m.m. b.
a V��il tnconeWdion or modififalanhomlMAr"OueT�y�v�epamau Diqria. Rmiaen�N mim1uann wo�iam ve exempl iromuwfe
ponsbne.
Deta: ACW��
WONKEX'S COMPENSATION �ECLpR�TION: I Mreby eifiim uMx pa�aM1y d parjury ar d tM Idbwiip daduubu: -
� I hare eM vnl meinian a ceNlicele d cvnaem io aeMirouro br xaken' wmqneelian, n pwided la by Soqim �]00 d IM Lebw
Cade, la tM pe�armenae d �M wwk Iw wFich �hia peimit u iaeued.
❑ I haw ud xil meiruen v.wken' canMR+dvn imuee�. u reVuimd bY Sedian �100 af Iha lebw Coda. la IM Ve��� d IM
wak for which �hie permn is iseueE. My wakars companealbn inwrence �amer eM poliq number are:
Camer:
Pd'cy Number:
(lhis aenion med rrot be rnndelleC 11ne Om'm! u la me hundred ddleral3tWl w bn.1
� I cen'Ay thel in �he peAormence d the wak /w whc� Ihie paemn is iswad. 1 ehall rat employ erry pe�eon in enY manrwr eo ee Io
c«o� aei� m�n� won��.� �w�� �w. a c.iaom�. �d eo�. u�m a i.nd,u e.�. wci�a m m. .on�.•
camPanxibn P�aione N Seabn 3100 d ihe lebor Coda. I ehell falnwiln oomNi wilh Noee o�+iriau.
De�e: Applicenl:
W�mInO: F�llun ro��cun wortni romp�ru�tlon cov�mp la unYwNl, mE aMll aub/�ct �n xrpleyr ro crlM�ul qn�ll/u �nC
clvll flrns W ro ms nintlreJ Hauaud 0dkn fSfOq W0A In edd/fbn ro fM rost ol rompNuetbn, tlerr�psi u proHtlW ror /n
9setlon 9)O6 0l Ms LeboiCOtle, IMenal, enC ettoinsy's IW.
CONSTiiUCTION LENqNO �GENCY: I he�eby elfirm uMer penelry d pe "ryry Ihe� ihere o e mnetiuqion bMinp epeM.y Im iM
(�BB(�Of111BMB O� �hB W01�. iW WIllf�l �h9 OBIIII� 18 08YBd ($BC1qfl 309). �iN. (�.�.
LENOER'S NNIE:
LENDEfl'S ADDNE55:
I caMiN IM1et I heve read Mis epdk� ��me Ihet Iha ebove inlametbn is mrtee. I epree la cwnply Milh ell dly eM countY adiwKm
�d awe �ws rewmp �o w�m:re �,.mw� �e n«e�y �nno,�. �.bm,u�, d inn rny io �i� u� me.noVo-mamo�,.a p�
�« Imo�� w.G�.
PnntNeme
s�Bo��re w o.manne�vnpvi��vcomrea«
(5151d6 W P) W�ile-BuilEvq 8 Sefety; Oreen-Fle; Cenery-ADV��C %nk-Revenue; (3aldamobbeewor
TYPE QTY D E S C R I F+ T I O N
FLU 2 GAS SERVICE
PLU 1 SEWER, CONTJECTZON TO BUILDING EACH
PLU i SINKS, FLOOR
PLU 1 FIXTURE SET/TRAP W!PIPING & BACFCFLQW
END OF FEES
UNIT COST
8.75
22.00
8.75
t�.75
'TOTAL COST
17.50
22.00
8p.75
V.7J
°��� �.
� JUL 151997
CITY 4€ COSTA MES
. CONS7RUCTION AND PLANNING P� `$ SPA
• APPROVALS Permit # Date Inspector APPROVAIS Permit # Date Inspector
�1. Temporary Etecvical Service or Pole 52. Pool & Equipment Location
t 2. Soil Pipe-Undrgrnd. � 53. Steei Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ��
4. Electrical Cond�it�Undr9rnd. 55. Elettrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
� fi. Electrical UFER Grnd. 57. APPROVAlTO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe•Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structurai Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent�Final
13. Roof prains 64. Plumbing SYstem - Final
14. Rough Plumbing 65: Electrical�Final '
15. Rough Electricat-Conduit � 66. Solar Sys[em-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
17. RougN Wiring Sign . 6$, APPROVED FOR PLASTERING
18. Rough Electriwl�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rouqh Factory Fireplace APPROVAIS Permit #
21. Ducts, �n Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil
23. Gas PiPe-Rough & Test 72, Under9round F�ush
24. Roof framing 73. Undergrnd. Storage Tank O Gas ❑ Oii
25. Roof 5heathing 74, Overhead Hydro
26. T-8ar Ceiling (Structuraq & Monocoat 75. Drv Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL �
29. Insuiation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. E4ectrical Power Meter�Finai B0. POOD CERTIFICATE lSSUED
33. Final Electric Notes:
34. Pinal Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
A0. Gas Service-Finai
41. Solar pomestic-Final �
42. Backflow Preventer -�
43. Backflow Irrigation , ' _
44. Landscape IrriGation System ' � ,��
C
45. Sound Attenuation �: ' �
a
46. Handicap Regula[ions c:, �"�
'1
47, FINAI. 5TFUCTURE & BUILDING '-�� `" '
48. FINA4PLANNING ` ..
<n ., .
49. Electric Fielease to Edison '"�� �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
�
\ �
7
i
1
�no�ssaea�m»: • 398 21ST ST
01n"�"91°""�'10'01'" CAMPBELL TIMOTHY S CAROL
�ooxess q 18 E 16'f'H ST
:oSTAMESA, CA 92626 650-4758
uMr:
�xcxrtEcroxexai�nn: T.NEMNICH �"�' C-11092
xcxoxEw•swo�ss: 418 E 18TH ST u�:
PERMIT NO: M
CITY OF COSTA MESA - HUILDING PERMIT
083849 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC
JOB DESCRIPTION : 5606 SF LIVING AREA/613 SF GAR/
/t1'i7 � 000 °� �
PERM NO: M 08389�
GOVT; N SUPP: N
SQ FT:
PORPOSE: NEW
COSTA MESA CA 92627 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /U-1
mxm�cranwu�: CALIFORNIA HEATING 6 A/C (714)850-0899
COMPACTORSYNIIIlO 33566 SPINDRIFT CT COMMENTS: REF:B-83022
�ss DANA POINT CA ucw_ 677332 r*�r****r*x�r*��e�c�r*+��**�***************w**�r*ww**********�*�w�r**�r*�**********���c**
92629 � Z O N I N G R E Q U I R E M E N T S
110EN5ED COMPRCTONS DECUH�TION: I Mreby ellim wds pmely d pemvy ihm 1 an �.m.e � Q�. a cneq.9 S E T B A C K S
( w'vh Sactian )000) d Orvoion J tl tM &mru ud PMaaaions CoEe. and mY Gwns u in M bw vd Nw.
muc.N .: uc.cuss: C-20 "�'"9j 6]7332 EXP: ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
'�^�3, q ��/' � FANT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
o°'• °�°" �� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
�
IWN BUILDEF UECLAHATION: I hraby elfiim untlm paWy d perjvy thet 1 em e�emq hom the CatlmGm L'mn� lew la IM
.wu�p'°"°"�S°°'°"'°"sB'"'""°"°°'°'°"'°'"°°°°:"'"`^'°°""''`""'m'°w�'.°°"".'°�'"°"".°"'.""°'°"°. pARKING REQ: PROV: PARCEL: 42617102 ZNE: REF NO;
damd'oh. rc reper vry nrucfuro. ryv b 4'vwenoe. ebo �pu'nm iM epplirom la ax� pertiw to fJe a eqeed ewmwtl Net M a kr
u licemad W�^� �o IM povifioro d Na CONre�la� Liutne law �Cheqs 9(mrvnebnp wEh Setlqn J000) d On�eion 3 d Rr PLANN I NG NOT E S>
BuHnev aed Prdeaona Codej a thet he a Ns a axemq �hselmn uM iM Emc la Ihe elbpeE mamqion. My videlion M Setlion , �
)mt.5b'�YaoWixM1«eVermnumNd+tMeGW�ammeaWV�Mdnolmae�hanfxehuMreddaMnlx`mU. ififlfififftiklFltiFIFM1F1t1FififiklfifififlEiFiflflFiFlfIf1FlFMifiEiF�lfifikififlFififillFfflEiflE%ifMifififiElFiE1ElFiFiFifiFlFiFiFifiFifitiFiFikMlElEif
� I, ee ownm d�ha popeny or my employeea wh wepea a ihei wle mmpenmlion, will do iM work, eM Iha eVudun o nd imeMed
w oXered lor eeb �Soction ]OaO, Buuinp enE PMmeione CoEe: The Comretlas Lironae lew Ama mt eppytoen ovmm ol qopMy
who WdEe a inqmm iheiean, eM x1w doee e�ch xwk IimseX or heneY a ihraqh he a her ovm emplqaee, pwided �hm such
'mqovemeNe va m� intarded «olfemd I« seb, n, however, the buiNiiq «inponmem is sdi wnhin ore yw d mmpldion, Ne
owrorbuika vrill lime iM buNen M povirp M w eM Eid �wl drik or impma lor Ihe WNaa d eeb).
� I. m oxror W iM D�WaH. em ud�elY oonirraM wn� 4cenaeE canvana+b mmvue tM p4� (Swion IOM. Bus'ure eM
Prolessiwu Code: The Coniredas lranu lew doea M eppty lo en owmr d pmpany xfio buitla u impovw IMraon anE w1a
canVecls la wM prqepa wilh e conlredm(e) Ikenaed punuenl lo IM1e Conlredm Licenfa lew).
� I em exemp uMer Seclion: B. d P.C., br ihn reeron:
Dele: �w:
I do hareby ceMy Net I em ewere d end uMavlud ihe �epui�emems d Celfanie Ibetl� eM Selely CoCe Setlom 25505. 255�J, and
255�s. ad tlut I a erry lulun buildiiq mvpem vrill / wll ral (�Y one) nseA ro canply wYh aiE uma mEae end Re ipidmnsM� br
e Dertna la mmincGon n maEdixl ian ham �M AiaiuTyl.%nepmwv Dinrid. Rwidnt'vl mMM un eDV�diam ve avmp Imn tlrss
pvriavu.
om.: �opcem:
WOPKER'S COMYENS�TION OECL�NATION; I MraEy elfi�m under psiMy d parjw/ ar d ihe b0ow'vq Mtlumiona:
� I hm ard wil meinten e cenilbele d cmwnl to �eMrraivs M wkms' mnpenmion. o Pa+d�d fa by Satbn alW d �M LeEa
Code. la �M M�ormencs W IM xak Iv Mich ika V� b uvuad.
� � ne.<.�a w meonen woix«.� mmo.u�� ��. m�.aw.a ey s«lian a�oo d u» �mo, caa. a u» o.�a+�wK. a m.
, work In wlwi� ihu D� u ueuW. M1' Maten' mmP�+mion'vuwence wirr md D�Y �mnbar ere:
c.m..: r,nr.nFN FAC:T.F EXPIRES
PdiryNumber. NWC418071-�� 09/30/97
Rno seaicn �wee nor a. roma� r rn. o�++o ry a,�. n�,d,.d dnm,. Riooi d Mo.l
� I A' � in ihe perlamerws d IM xvM In wlic� Ihb pemia n iaued. I Ne1 m� m�pb� xry praon m ury menrw o n to
wljetl to �he xwkee' mmpen+vim Iew* d CaWarie. uk epree tliq J I ehwdd becoms amjee �o tM �wbn'
mPe tbn povuiom M Seqion J]OD d iM lebor Code. I ku01 aompy Wh Ym qo+eioro.
od.: 7- �3- ��,,: . `�:-,�_-
w.mup: .uur. ro wc✓n roik«.'rorrow.tlon covs..p. b unwN�, meahm� ne/1n.n «rorqw ro wdrdlW pawtlw �ne
Gr/l tl • iq b am h�WrW MouunC AWhn (}1Pq000A b��n ro M� cwf o/ ronpxuaWM1 Gamqy n prvvMW !or In
on J�06 0l Ts (mor COM, InMost, errtl alfom�yi /w.
CONSTNUCTION LENDINO �OENCY: I hereby �rm uMer penelry d pmpuy ihel ihers u e mnuviion Iwd'uq epency br �hs
parlormaKe W �M xwk Ip xfich th"v 0�1 u'vwed (Sxfun ]OBJ. Civ. CI.
LENDEH'S NMIE
LENOEN'4 4DDNE59:
I cerlily thm I heve raeC iho eppli stion uM nete ihet iM ebova iNormetbn'o rnrtec. l ap�es to canply xEh ep fiy eM mumy adi�waee
eed elete kws mWiq lo WiW'vq mMrutlon antl MraEy eWiarze ieprevenlelivm d tM tiry to enter upon tM ebwa-menlunetl popeM
lor impeaon purpaes.
, GREG ALLEN
(5151<6.WP)
oma: �- a 3 - 9�
Oreen-Fb: Cenery-ADPS�ant: Pink-Ravenue: Oakenm�/uaeamr
D E V E L O P M E N T S E R V I C E B R E Q U I R E M E N T S
20NING APPROVED BY DATE:
BUILDiNG APPROVED BY ; DATE; �^�^�^�, r,.l
APPLICATION ISSUED .BY:_,_„ DATE: �
- -.1
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRI�, MECHANIC
PERMIT ' • 39:75
.� 25;
PLAN — �
ISSUE FEE : : 22.00
HUILDING—DIV—> PERMZT ISSUE PL'AN-CHECK
TOTALS----> 39.75 22.00 0.00 -
STRUCTURAL S�GMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAID DUE
61.75 61.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: . 61.75 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
'61.75 -
ifif MiFifffMMlFIf MM1tkiFkif ftitfF�FIF�F1E1f If�E1f if M�fiFiFMfflf MM1Fif1f IfN%N1fiEititihl�lkif 11ff1Eif MiFMMM�f�E�titifiF3likfEMMifiElf if iFit
I N D I V Z D U A L �-F, "E E B�R E A K D O W N
.�
TYPE QTY D E S C R Z P T I O�N "+ . UNIT COST TOTAL COST
MEC 3 INST FORC-AIR/GRAV FURN�<= 100 K BTU 13.25 39.75
END OF FEES•
-
87-23-1997/10:^cl N/f61.75
PERMITP��It �049
'! CONSTRUCTION AND PLANNIN6 �L & SPA
APRROVAIS P¢rmit # Date Inspector p�ppROVALS . Permit # Date In:pector
� 1. Tafnporary Electrical Service or Pole� 52. Pool & Equipment Location •
2. Soil Pipe•Undrgrnd. "� 53. Steel Reinforcement -
�:� Electrical Conduit.Clfility-Undrgrnd. 54. Forms
,��,4�;Electrical��ond,ur�Undrgmd. � 55. Electrical8onding �
:.-5., Stegl Reinforcement� 5fi. Rough Piumbing & Pressure Test -
=� fi�Electrica{=UFE�RG�nd. 57. APPROVALTOCOVER�GUNITE n
t _, . r_.
�;7� Footings .` _ '�' 58. Electricai Condui�llndrgrnd.
:.8. Poundatiom� i o 59. Gas Pipe, O Undrgrnd., Test
�.
=9. Waier Pipe-Undr,§rnd. � 60. Backwash Lines'PjTrap, O Undrgrnd.
•1D. StructuraV Fbor �SYstem 61. APPROVAL TO]BECK
.,
'�7;•1. Property Sewe� l,ine & 4ouse-Connection 62. Backwash & RqceptorFinal
-�12. Sewer Cap "- �'- ' 63. Heater & Vent-Final
13. Roof Drains ' � 64. Piumbing System � Final
•r -
14. Rough Plumb�g; zy 65. Electrical�Final
15. Rough Elecfrical�Conduit . 66. Solar SYstem�F'r�al,
16. Rough Electric 4Viring 67. Fencing & Acc�is,Approval
77. Rough Wiring Sign �� , 68. APPROVED F�6�i�LASTERING
18. Rough Electrical'7 Bar Ceiling -69. POOL/SPA SYS�MS FINAL
19. Rough Heating & Air Conditioning ,9� �n/ , FIRE DEPT. REQUIREMENT
- .-, ^J !-� r.: +' � :e:
20.,,�jouyh Fiyrory Fi eFSlace ""� � ° =" � ���� � �App�VALS-'� Peimit # '�' " `�
� e . S .' .1 S _ x l i �... -i [" .i -r-�r-
21,:CSucis,irrStructura�� ' `. � -r.�_�� ��/� ` 7p'.v"deriJround Ffydro �
��,
22. Duas�, VC�tilae`Sing � A i .�= �. j . � ;y ,' 77. Produci Piping O'MC,,as C1 Oil
A �
23. Gas Plpe•:Roug� & Tgst � tr o� � G�'� � 72. Unde�grOvnd Flush �+
24.•ldoohFraming•• � � � ,�r _ * % � ?' �� =:73y Undergm&.Stor.��gTank`OGas ❑Oil
25. Roo�She,�thing �; r v v a � ^ ry�}a� � 74? Overhead Hydr�� ^ �
Cin
26.'-i-BarCeiling (Str02tura1l & IW'ono�oat * = 7 �Y� 7� Dry Chemical 7 w'- " •
�. �� >� G x t-� 7 �A S"
27. ��rame and Flashirtg t j,x � *� r � r 76 Dry Scaridpipe f�o x - -�
.-i
28. LatHingB�Siding x�� ���_ x' rs "i 7� FIXEDS_YSTE��VI=FINA� } =
�I J H .. .. L Y �. � � . I � �
� 29. Insulation� k �• t i � K� 7&] F�RE PREV. FINXAL +` s' `�
30. Drywa�l Npilin9 "� * � : i� ��+EALTLiDEPT.�FlEQUIFt�MENT
" 37. Plaster Brown Coat +�- ,-,r w~ � 79.' FINAL NySPECT�N r` � i
� 32.'Electrical3ower Met�GFinal ��t� � � �'� 8:• FOOD CERTIF�ATE I�SUEO ^
<
33.-Einal.Eleciri ; . � , T ��' '* �-Z4 ~.. . -•
.� c� -,� ; ,, M ' No{es: �I ''�-1
�: 34. ^Finak'Heating. & A�r Condi�tioning � � -� � - f. � "'� �'T Y �:C"�� U_C�S 1_$(
. . � , . ..- , a-9.-44 ��N * . � � _�� t .
� G nm�;k:n_a �L ��_-
35. ��ina�tY�as�?ipe;Test �K _ � .; �' i ''
, '" ��5�-�-`�' "�i2_*n��zz. ��zD� -
_ 36. HoodorCanopy +'r r� - + :` � f x '�^
_ _ . . - , � �. �, c3�q�a�$ CQcintSu�t!z T b,�N �/
y 37. �inal,fac�,orv Firepl�c'e".�, � =y _ r � * tl_� ��,--�-1\�i�G t� ' p�%CY��i�o � �1'G
38. Finat7'lumbing s �N � - � �� � b? �
- _ _ r �. '1•f3=9�=Rc�U�H_H✓�C =GK �-(�tY --
� 39. Water Service•Fina� ' ' � � �� �� , . ' <' °� "' �T- �
:+ 5 i : z � f� . -, A
, � 40. Gas Service-Final .� �- s-�- _ r. - �x u�-+ %N � � �
r �
- 41. Solar pomesticFina� S j� " #'- I 4 , ��, c i:� a
42.'Backflow Prevent6r .� � �.. �i: e; ytr� c 7 �-�
e � --�
�43. Backflow Irrigetio� � � S ' � i " ° "i
rx � i^ +
44. Landscap8 ��ngationSystem q=,� .r T' 7 ' �� c�t ti x fJ �* �� .J ��
!r T n ',T
'd5. �Sound A[ten�ation� -' - y j � j �� .�� ; � T G✓ �.7 +
'y L �
��6. �Handicap Regulations � ' i � � , � c; � Cv 5 �; "
� 4. 1:
47. £INAL STRUCTURf & BUILDItVG ` ~ � :u s •
Y :-� � ♦ N �
48. •FINAL PLAI�NING.� r-- x ri� I "x ' r y -
� �
49. EfectY.ic Release to Edison � r ' ; u- ' } '" ,
f� a � n F
§U. Gas $elease to Souttiem Caiifarnia.C3as Co � ' �•�=; c J•
;,
1. CERiIFICATE OF OCCUPANCY • � ,. �n � ,- s . .
No. Date �
� �