HomeMy WebLinkAbout363 LOURDES LN - Building Permits�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c� +�ILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 363 LOURDES LN
Suite:
Vicinity:
Parcel Number: 43914125
Applicant: KETTLEY, RICHARD N
Address: 363 LOURDES LN
Zoning:
Phone: 949-752-6365
COSTA MESA, CA 2ip: 92627
Owner: KETTLEY, RICHARD N AND JENNIFER T
Address 363 LOURDES LN
COSTA MESA, CA
Con tra cto r: O W N E R- B U I L D E R
Address:
Zip:
' Arch :
Address:
Phone:
Zip: 92627
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 09/23/2003
Issued: 09/23/2003
ISSUED 8Y:
ay.a�
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Phone: Phone: �
Zip: License: License:
SCOPE OF PERMIT
CHANGE-OUTOF 7 WINDOWS qND 2 SLIDING GLASS DOORS IN A TWO-STORY SFD.
NO OTHER WORK AUTHORIZEp WITH THIS PERMIT.
Plan Check: $0.00
- Permit: $125.25
SMIP Res: $0.60
SMIP Com: $0.00
' Other: $0.00
Inspection: $0.00
Total: $125.85
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Lett 0- 0
Left 0- 0
Pro osed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
56,000.00
ss.000.00
NOTICE: 7he work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21�g2)
EXPIRATION: This permit shall automatically expire and become void II work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetione and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7548626
!aaeae leroo)
WORKERS' COMPENSAnON DECLAFiAnON:
I hereby eMirm under penalry of perjury ona of the lollowing declarations:
❑ I have end will maintain a certificate ol consent to setl-Insure br workers' compensation, as pmvided for by section 3700 of the Labor Cotla, for the pedormence of the
work tor which this permit is issued.
❑ I have end will meintain workers' compensatlon insurence, as raquiretl by sectlon 3700 of the Labor Cotle, for the pertortnance of the work for which Ihis pertnit is iuuetl.
My workers' compensa0on Insurance cerder entl policy number are:
Carrier: policy Number:
(This secfion need nat be comp�efed Il fhe permif /s valued et one hundred dallers ($f 00) or Iess.J
�[ I certity thet in the peAofmance of ihe work lor which this permit is issued, I shall not employ any person in any menner so es to 6ecome subject to tha workero'
compensation lews of Califomia, end egree Ihet it I should becoma subJect to Ihe workers' compensation provisions of Section 3700 ot the Lebor Code, I shall forthwlih
tomply with th vi4�ons. q
Applicent SignaNr� � Date: /"Z'3' ��
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS U � FUL AND SHP115UBJECT AN EMPLOVER TO CRIMINAL PENALTIES PND CM� FlNES UP TOONE HUNORED
TKK15rW D DOIi/ RE (E100,000), IN ADDRION TO TNE CQST OF COMPENSATIOI , DAMAGE$ AS PROVIDED FOR IN SECiION 31080F THE LABOF CODE.INTEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aHirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Divislon 3 ot the Business antl Professions Cotle, and my license is in tull
force end eflect. Lic. q Class a
Contractor'S Signature: — _ Dete:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aftirm Ihat there is a construction lending agenty for Ihe pedormance ot Ihe work for which ihis pettnit is issued. (Sec. 3097, Civil Cotle).
Lantlefs Name: LantlaYs AdtlreSs'.
Signawre: Date: �
OWNER-BUILDER DECLARAnONS:
I hereby aHirtn thet undei penalry of perjury that I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Business and Protesslons
Code: Any ciry or counry whicd7equires a parmit to constmct, alter, improve, demolish, or repair any strucWre, pnor to Its issuence, elso requires the epplitam for such permit
lo file e signed atetement thePhe or she is Ilcensetl pursuent to ihe provislons oi the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) of Division 3 of the
Business an0 ProfeSsions Code) or Ihet he or She Is e:empt iherelrom end the basis lor Ihe ellegad ezemption. Any vlolatlon of Section 7031.5 6y eny epplicent for e permit
su �ects the epplicant to a civil penelty of not more Ihan five huntlretl dollars ($500).):
V
I, as owner ot t�e properry, or my employees with wages as Iheir sole compensation, WILL DO TME WORK, end the structure Is no� imendetl or oHered for sale (Sec.
7044, 8usiness and Professions Code: Tha Contractors License Lew does no� apply to an owner of property who builds or improves ihereon, anA wh0 tloes such work
himself or hersell or ihrough his or her own employees, provided that such improvements ere nat intentled o� oHered lar sele. It, however, Ihe builtling or Improvement is
so10 within ona year of completion, ihe ownerbuilder will have ihe burden ol proving that he or she did not Duiltl or improve for purpose oi sale.). �
I, es owner oi the properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business entl Professions
Code: The contractors Licanse Lew does not eppty to en owner ol property who bullds or improves thereon, end who coniracts for such project wlth e conirector(s)
licanse pursuant to ihe GonVacbrs License LawsJ.
❑ e pt under sec. Business antl Professions Coae for this reason:
Signawre. G�'I�RL.�� Date: ' 2 ' O
Owner ID verified by dnver's liCense. ❑ Ves No Driver's License No. � Expires �' �� 0
Vedficatlon ol Ownership by (type ot tloamenL i.e. - property ta: 6ill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON:
❑ I hereby ceriify that no eX�avetion five (5) or more feet in depih inio which e person Is required to descend, wlll be made in connection with work eutho�zed by Ihis
permit, and that no builtli�9 structure, sceflolding, talsework, or demolilion or dismantling ihereot, will be more than thirty-si: (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calilomia Adminis�re�ive Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require a pertnit irom the Division ol Indusirial Selery, as notetl ebove, unless such person has e
permit to do such work IYom the tlivislon.
Signature: Date:
Division of Industnal Safery Pe�mit Number:
CER7IFlCATE OF COMPLIANCE AND AIfTHORVATION OF EMAY: I certity under penalry of perjury that I heve reatl this epplicetion and stete ihat the Inlormation given is I
correc�. I egree to comply with ell stete laws antl ciy ortlinances relating lo bulltling construction, and euthonze representetives of Ihe Ciry ot Coste Mesa to enter upon the
ebove-described pr erty for inspection purposes. I agree not to occupy or ellow occupancy of any building authoAzed by this pertnit until finel inspaclion.
u.�..�tr��.�., s- z3-o3
I Sfonature Ot I Ownerlsl Date
AnNOr Authodzed AppliCant
CO�E I, INSPECTIONTYPE
1676 Fiaetl System Final Fl�e Pravention
1266 Pool Spe Finai
200 Final Re-Roof
201 Final8locWRetaining Well
202 Final Fectory Fire PlaCe
203 Finel Sign
204 Final Demolition
Qej[ �$ �Qpf,j INSVECTIONTYPE
206 Flnel Mechanlcel
208 Finaf Plumbi�
210 Finel ElecMcal
212 Flnal Fire Preventlon
220 Flnal Planning Approvel
222 Final Site
250 Final BuildinglOccupency
PAIF. It�lL$
� � ��. � ��� ��
OWNER-BUILDER
VERIFICATION
A city or coumy, which is rr.yuired to givc notice pursuant to Section 19R30, shall attach to such noticc, and,
as a condition precedent to issuing a building permit, require the completion and require the retum o(, an
owncr-builder vcri�ication.
Auention Property Owncr.
An 'owncr-buildcr' building permit has bccn applicd fur in yuur namc and bcaring your signa�ure.
Plcase complete and rCtum this intiirmation in thc envclupc providcd at your earliest opportuniry tu xvoid
unnecessary dcl�y in prucessing and issuing your building permit. No buildin� nermit will he issued umil this
verific ' n is received.
I. I personally plan tu pruvidc the major labor and matenals for conswction of [he proposed
property irnprnvemenL ❑ Yes ❑ No
2. I(havc/havc nol) u�� signcd an application for a building permii fur
hc propoticd work.
3. I havc cohtrac�ed with the fullowing persun (limi) lo provide lhe proposeJ canslruction:
ame 'l0 8� I�i'tirifLNM+�E�O
AdJress City _
Phonc ( ) Cantractur's Lic. No.
4. I�I81110 �fUVI(Il' 4)Of(IUI1S O� II1C R'OfR, Fllll I I1:IVC hired thc fnlluwing person to cnordinaie,
supervisc and providc thc major work:
Namc
Address
Phonc (
Ci�y _
Contractor's Lic No.
5. I will provide some of �he work but I iiave convacted (hired) ihe folloNing persons to
pru�•idc �hc work indicated:
Name Address Phnnc 7'ypc of W'ork
IM2�05 (REV 9/9B)
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2 S �•�+��w�cn Gl�o�ss Docr¢-b,
w�.so«a
3 C� 3 t, ovKt,�s t,t�r�
�� 'M�b,a, c.�a 921�2�
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December 1. 2005
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-7200
DEVELOPMENTSERVICESDEPARTMEN7
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Richard 8 Jennifer Kettley
363 Lourdes Ln
Costa Mesa CA 92627-1415
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS:
B03-01619
Window Change-out
363 Lourdes Ln., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
- alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on December 15, 2005.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
�� �X��/ , /% �
(/ i' l�, �/��.
Mary Jane Weidenkeller
Office Specialist II
Building Division (714)754-5273 • Cotle Eniorcemenl(714i 754-5623 • Planning Division (714) 754-52a5
FAX (71a) 75a<856 • TDD pia) 754-524a • www.ci.costa-mesa ca.us
.
,
AUONESSOFBUILqNO: 3Ej3 T.�OTIRDRS LN
OYMERSNNIEIFqqWN: AA('K HAY GI�RDFNS HMO
��p�s 350 RIVSF..RA 1>R#A
C,M,
714) 551.-071.7
�vvi. xuuNo �oo�ss:
ApCXREtT OR FlYiMFEX.
APCII ON FNO: S AOONE53:
uc. wo.:
UNT:
UNT:
���T�%� ROSS S HARROWS INC, ( 714 ) 557-7440
CWfNRCTOflSMY11N0 260 E. ALTON AV
�ooxeu SANTA ANA CA ucxo.: 32'1802
92707 uxr: ---
' LICENSEO CONTRRCTOfl4 DECLRXRTION: I MreEy elfim i�Ma perwly G perjury thm I an I'rencetl uMer po.ieione d CMqm 9
(mmmendnp xiih Section 1000) d Diviaion 3 W IM Busimes eM PMestiona Code, eM my licenee is in tull brce eM ellen.
�c.no.: 209z4 uc.cuss: C-39 uc.no.: 32780�2// EXP/: 11/95
Dele� � ,� Conireaor: �/[�ir w 1� "7��� �JJi-rt�,k:
OWNEP BUILDEN D LANATION: I hereby effi'm uMer pendy d perN�Y �het I em eump Iram Ihe Contredae Licenee lnw fa IM
Idbwip �ee.von (�nn ]W 1.5 8ueiwsa ud PMeviom Code: Airy CYy a couMY �� �Vuiree a plrmd �o wroVucl. Ma. impove.
Eemdieh, or mper eny elmcluro, qia io im 6weMe, ebo rx�uiree Ihe ep0lirant for euch ps�mX lo file e eq�roE etelement thm M a eha
e �iceneed w�.�� m ine raislai. a ine conum«. liceme lew Ichep.. a(mmmeidre wun swun �000) d o'vi,ion a d �he
Buainea eM PrWeuore Codej a thm he a sM ie azemq �haehan eM Ihe beaie br IM elbpeE mempion. My violetion al Seaion
]IXi1.5 Ey enY aCDlirant lor e parmil wMaee iha epPlirent to e tiwil peruliy d iw1 mas �han frve hurdrad dolW �S500j1.
� I, ai owiwr of tM propeity a my empbyae+ wih wepea m ihw eole mmpeneation, will do Me xoAc, vM Ihe evuclum e ml imended
w oHared br aele (Section ]060, Buvrew enE PMeseione Coda: TMConlredae Limnas LewEoee,wt eppyto en owner W prope'ly
who Wids a mpm'e+IMrem. eM who doee auM work HmsNl a henatl a thiauBh he or her own emWoY�. pa'� thet arJi
impiovemenv ere mt intenEed a olle�ed lar eeb. X, however, lhe EuiHirp a'vnpmemenl ie eoN wnhin one ymr IN oomplaton, tha
o.�.��w�aa �;n n,.. ma e�b.o d wa��u na «.ne e�e oa w�m a�mww. ia ine wma. d..b).
❑ �... own.r a ine o�wm..m ..duarvelr �^�rea�u �.;�n �'ro�.ee conVecwi. io conan,a un pojed (seao� laa. ai.l�w,e ena
PMaaeiom Code: The Canveaon Liwnae Law doee mi epply ro en ownm d popeM � buiN� a Imqo+es Iheison eik who
wmrac�a la suM prqMe wi�h a weureaa�e) IiemeE W�� to iM Conveeora Lbensa lewl.
� I em memq uMer Seciron: B. 8 P C., br Nle reevon:
Ume: Ownx:
I Eo Mieby cenily thu I em ewere d W uMenlaM IM �ui'emenb d Cellanie VbMh ud SNaty Cada SaGioro 25505, 255]3, ud
25534, end IMt I a eny Mura WilEinp ¢wpen� wiil I will nat (drcM ona) naed b camph/ wiM1 uid atete mdm enE iM rtQuiramend br
eWrmilfwmu�rvubnormodifiu�ionhoenlMAi� ue�ereY�^�Dretiid.ReeiCentielmMrutlioneGW�iomenavempfmniMea
proviaime.
Dpa: ApplceN:
PKEfl'S CONPENSATION UKLAPATION: I heraby elfi�m under perahy W perjury aa d tM blbwirq Eederabns:
I hevs uM xiA maimen e canGcme d mneem m seMinwn br xaken' compenWion, o pwided la by 6apion 3]00 d iM lebar
Cotle, iw iha parloimenca d iha wwk lor which �his paimn N inusd.
❑ in�.d,e�;e�me:,,.��.�.�oo�w�.mo���re�..��a�n.eeys«��a�aoam.�e«cae..r«mewdam�aam.
work fa which ihie parmh u iasued. My worMere' compeneelbn ineurenu farrix e�d pdiry numMr ere:
c�«: STATF FTiNi� f�XPIRF.S
PolkyNumber. G(1f.S41—Qd 07/O1/95
(Thia secfian nwd mf b mnplefe.f / fM permi is ta- orie hundred dolkn (!1 W) a ba.1 .
� I centy ihet in iM pa�lormeMa W IM work lor xfikh lhie pertnn is ivued, I dWl m� empby e�ry pe�von in vry menner ao m to
becmia wbjea �o �M wwter.' canw�w�, mw. d cdifomu. and wres um a � dwuN becoms wd� io ine �wrbn•
-''� compa�naeti provis/Qne de �Sedion �)00 M IM Lebor Cade. I ehell lonhwith oomON �h Ih�oee pm�vi�aione�./ /
G�f: ✓'��/ �) AGVlicenR�eiS-�-l��w�C�t—/lf«vi
� �
W�m/np: Fellun ro a�cun waAwi romv�ru�tlon covenp� l� unl�w1u1. �ntl�M/l r.d/xt �n �mp ey�r ro cMT Miul p�ru/tlu �rM
clvll flns up ro on� hunMM MouxntlOd/an (S1IX{OWA In eddltlon ro tlro eosf ol rompwuafbM1 Aemryp� u pnvlMs br In
9xtlon 9RI6 0l Ms Wor Code, Infuut, en0 attomsyi /w�.
CONSTPUCTION LENDINO AGENCY: 1 heieby tlfiim uMer penehy d per'ryry thet �hera ia a wnalruapn biMi�p epenry br �hs
parlormence M Ihe v.wk Iw vfiiM Ihb pe'mi o eeued (SeUion 309), CH. C).
LEN�EP'S NMIE:
LENDEN'S ADONE%:
I cerlily �het I heve reaE Ihia epd�� ���e ihm the ebova iMormmian ia conea. I ep�ee lo wmply wilh all dly enE couMy ordinenme
end aiete lews rolelinp b WiW'vp eonsvud'an ard hereEy auUwr�eapeaentetrvea d ihis ary Io enix upon �M ebore�man�ioned pmpnry
forinspepion purpcsea. . .
o�,: � t
(5151d6.WP) Whne-Buildvp 8 Selely: GreerFle: Cenary-Appimni: Rnk-Revenue; (3aldenro�Weessor
C7TY OP COSTA MESA — �3UT.f,q7NG PFRMI'C
pP.RM NO; B p'7261.3
PF.RM.T.T NO; 8 077.613 pI�AN CHF.CK NQ: N GOV'f : N STJPp; N
CONSTRUCTION 'l'YPE: PERM7T TYPF; iTR pf1RPQSF,; QTH
�70H DESCRIPTION ;'C/OFF & RF..ROOF W/BUIi�T—OP " GARAGRS " SQ F'C; ].,R00
CT.,AiM VAI�UF.; 7.,A00,00 CAL�C—VALUE; 1,R00,00 GRO[IP nCC; M-1 /
COMMENTS: REROOF GARAGES W/BUR
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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 HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PAAKING REQ: PROV: PARCEL: 43914125 ZNE: REF NO:
PLANNING NOTES>
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BUIJ�AING APPRnVFD AY ; nATF,.;
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BLDG PM'C P7,UMHING F.T,F..CTRIC MECHANTC FiRF. SMLP/RES C,RADT.NG
PERMIT 4t.00 ,50
SMIP/NON—RF..S
PLAN •
ISSUE FEE
BUILDING—DN—> PERMT.T T.;St1.F. PI�AN—CHFCK
TOTAi,S----> 41.50 0,00 0,00
RF,V.F.NI7E DIVISION TO"CAI.,S--> COJ�I,ECTED;
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I N D.T. V I D U A T, F E E H R R A K A Q W N
TYPE QT�' D F. 5 C R I P T I O N fINIT COST 'COTAI� CO.S'T
SFR 1800 REROOI' B�' VAi.Or RF'.SIDENTIAT, N07,ONE 1, 00 1. , R00 , 00
FND OF FF.F.S
41 4�7:33?61—QO1E326? Ye_oT »I.S�
DATE: �S/3I195 TiME: 1.3:31
CONSTRUCTtON AND PLANNING. ;., POOL a� SPA ,
APPRpVALS Permit # Date Inspecror AppROVAIS � Permit # r Date . tnspe.ctor
i. Temporary E�ectricai Service or PoJe 52. Pool & Equipment Locatiort , '
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �..
4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding .
5. Steel Reinforceme�t 56. ftough Plumbing & Pressure Tesi
&. Electrical UFER� Gmd. 57. APPftOVAL TQ COVER-GUNI7E ..
7. Footings �, - 58. Electrical Conduii-Undrgmd. � -
8. Foundation . • � 59. Gas Pipe, G Undrgrnd., Test � • �
9. Water P�pe-Undrgrnd, ! . 60. Backwash Lines, P�Trap, � Undrgmd. -
10. Structural Floor SYstem � 61. APPROVAL TO DECK
t t, Property Sewe� Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � . � 63. Heater & Vent-Final
13, Roof Drains • 64. Plumbing System - Finai
�
74. Rough Plumbing 65. Electrical•Final �
15. Rough Electrical-Conduit , 66. Solar System-Final �
76. Rough Electric Wiring 67. Fencing & Access Approvai .� .
17. Rough Wiring Sign 68. APPROVED FOR P�A5TERING
78. RoughElectrica6TBarCei7ing� 69. POOVSPASYSTEfv7SFINAL
79. Rouyh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. fiough Factory Firepiace . . ' - APPROVALS i Permit # .
27. Ducts, in Struciure � 70.� Underground Hydro '
22. Ducts, Ventilating , 71 . Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test .. . 72. Underground Flush
24. Roof Framing ' � ' 73. Undergrnd. Storage Tank C7 Gas ❑ Oil
25. Roof Sheathing 1� C/� 74. Overhead HYdro
26. T-Bar Ceiling iStructural} & Monocoat . 75. Dry Chemical - �
27. Frame and Flashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAI,
29. Insulation .. 78. FIRE PREV. FINA� . �
30. Drywall Nailing - � - HEALTN DEPT. REQUIREMENT
31. Piaster Brown�Coat .. 79. FINAL INSPECTION
32. Electricai Power Meter-Final - 80. FOOD CERTIFiCATE ISSUED
33. Final Electric � , � Notes: �j .�S• Gj ` IUJ [.IQQa'yt �i ,�q4 ��q�j,Q �
34. Fina3 Heating & Air Conditioning . . ' .
35. Final Gas Pipe-Test - ' ' `. ' , '
36. Hood or Canopy _ . � - ' �
37. Finai Factory Fireplace� • - � �
38. Final Plumbing ,
39. Water Service�Final ' -
40. Gas Service-Final .. . � �� �
47. Solar pomestic-Final �' ' ' -
42. 8ackflow Preventer - .
43. Backfiow Irrigation ' .
-44. Landscape Irripation System �� � , ' " , , -
45. Sound Attenuation` , �,
46. Handicap Regulations - - , _
47. FINAL STRUCTURE & BUILDING Zt,s '
48. FINALPLANNING _ �
49. Electric Release to Edison -`- �
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY .
No Date
PROJECTADORESS:� "��j ] LOUR]'�ES I,N
OWNEfl'SNRME: �ACFC fIAY GARD�NS HOA
�eoeess: 350—Q RIVIERA'ST, C.M.
AflCH�ENGMEEB: �
pooxess:
` uxiT:
REO.NO.: - ' '"
' r UN17: � ..
' PEHMITTEE: (,JEa PFRN RiiOFING CO ( 71 A) E393-417�7
' �ODflESS: 'J �j � t xpp]ALD DR A .
H. H. CA 42547
LICENSEO CONTIUCTOB OECLAMTION: I herehy aflirm Ihal I am IicenseA unAer pmvisions o( ChaO�e� 9 kommencing wilh Section
70W) of �ivisian 3 of ihe Business and Pmtessions Code, antl my license is in full farce an0 ettect.
cin uc.: p�} p 1 7 0 BTpiE UC.: �� cusa���
Date: ' � Signature: \ d �^ ��
WOBNEBS'COMPENSATIONUECLAHIITION: Iherebyattirmthatlhaveacertificateotconsenitoself-insureoracetlificateoiWorkers' �
Compensation Insurance, or a cetlified cap tAereof (Section 3800, La�. C�.
roucvxo.:2f35-89UNIT�64 �xr.onTe: 01/01/91
carnvexr: STATF•.
� Certifietl coDY �s here6y fumishe0. � Cenified 1�ppyy\is fileA with [he ciry B'juiiding �ivision.
..ete:�a`' i�— S(q \qy0licani��9r.�a \��C� � _ .
E%EMPfION FPOM WOBKEXS' COMPENSIITION OECIAMTION: (TAis sectlon ireea not Ue completed ii Me permit is lor ane AunAred ($100) or less).
I certity I�at in ihe De�ormance of lhe work for which ihis Dermit is issued, I shall noi employ any De�son in any manner so as ro become
suUject to ihe Workers' Compensation Laws af Califomia. .
�ata: SiAnaNre:
NOTICE: Ii, atter makinq this tleclaration, you shoulU �ecome suAle�� to the Workers' Compensation Druvisions of the LaOor
Cotle, you must Porthwit� compty with such provisions or t�is permit sAall be Aeemetl revoketl. �
WNSTHUCTION 1EN01NC �GENCY: I hereby aflirm that there is a consimction lending apency lor tAe peAormance of Ihe waM for
whic� t�is permit is issuetl ($eciian 3097, Cie C�.
IFNUEP: � � '
aooxess: �
OWNEB BUILDEB OECUMTIOX: 1 hereby attirm that 1 am exemDt irom [he Coniractors' State License Law for ihe following reason
(Section 7031.5 Business and Pmfessional CoOe: My ciry oi counry which rzpuires a Dermit to consiruct, alter, improve, Oemolish, ar
repair any strucwre, pnor to ils issuance, also repuires t�e applicant far such Derm� to lile a 5igneA statement �hat he/she is licensed
pursuant ta the provisions ni the Coniracrors' State License Law �Chapter 9(commencing vnih Section 7000) of Division 3 oi the Business
antl Professions Code) or that he/she is exempt t�erefmm anA t�e basis 1ar Ihe alleqetl eeemption..Any violatian of Section 7031I5 Oy
any apD�icant tor a permit su6jecis IAe applicant ro a civil penalry ot not more [han tive �unGreA dollars (5500�. '
I, as owner of the properry or my emVloyees wit� waAes as their sole compenutian, vnll Do t�e work, antl t�e
❑ swcwre is nm intenOeU or olferea lar sale (Section 7044, Business and Pmtessional CoOe: The Coniractors' State License Law .
tloes not appty to an owner ofa properry wha huilOs orimD�o�es ��ereon, and who does such work himseli/Aerselt orlhrauAh
his or Aer own emDloyees, Dmviae0 that such impmvements are not intentled or ottered for sale. Ii, hawever the builtlinA ar
impmvement is so10 within one year ot completion, the awner will have the OurEen of pmvinp he/she Aid not huild or impmve
for the purpose af sale�. . '
. I, as owner o( the pmperty am exclusively contractinA w��h licensed coniractors to constmct ihe D�olect (Section 70d4, Business
❑' an0 Profeuions Cotle: The ContraRors' State License Law Ooes not apPy ro an owner of pmpeM who bwl0s or imOroves [hereon
an0 who contracis for suc� O�ojects wit� a contracmr�s) license pursuant to Ihe Contractors' State License Law�., I am aware
lhai proof of theii Worker's Compensation insurance shoulA he providetl ro me.
� I am exempt under Section: i - B. 8 P. C. � �
for this reazan: -
Date: � Ownec
I tlo herehy certiry tAat I am aware ot antl understan0 ihe requiremenis of Califomia Heaith and Safery CoCe Sections 25505, 25533, anE
25534 anE t�at I or any fuNre GuilGing accu0ant will/will not (cirGe one) neetl �o campty with SaiA s�a�e coUes anU lhe requiremenls /or a
permit br cansiructbn or moUification fmm (he Air Oualiry ManaAement Usinct. ResiOential consiruction applicalions are exempt �mm
th¢50 provi5ian5. ' � .
Oate: Nppliwnt:
t 0ere�y certiy t�at I have reaOlhis apP�ication anA state that the aDove iniormation is corcect. I agree to comply with all ciry anC counry ,
ordinances an0 sta�e laws 2latinp �a builUinp construc�ion antl �ereby authonze represenGtives oi Ihis chy m enier upon �he ahove�men�ionep .
proDeM �or inspection purposes. . �\ /
Oafe:�� �$'� � Si9nawre � "�4 r� .
Dri�er's License or Socia� Secunry a: ��
164116 White—Builtlinp: Green—COCe Enfo¢emenC Canary—AOPlicant; Pink—Revenue; GolOanrotl—Assessor
CT'CY OF COSTA ML:SA — BUILDING F'ERMIT
}?ERMIT NO: D 04542t3 � PI,AN CHECK NO: N
CONSTRUCTION TYPE: PERM•IT TYPE: STR �
PL'RM iJO: B U4542d
GOVT: Dl SUYP: N
PIJRPOSE: UTH
SOF? DESCRIPTIODI : REROOF •W/90LD FELT h FIOT MOP SQ ,PT; , , 40U
CLAIM VAI.UE: , 400.00 CALC—VALUE: 400.00 GROUP OCC:.M-1 /
COMMEN'I'S: � '
ih jF iE iF-k iE 3E iE �f 3f iE iE if # iE 3f 3F k 3f 3E 3k 3( 3E if iP X iE 3' #��E iE iE iE if� i(� iE it iE iF?E 3Elf iE iF if it iE iE iE 3E �lE if if iE%iE�lf �If iE 1f 1E it iE iE iF iE if # if iE iE 3k 1E 3E jE if �1F If #
Z O N I�N G R E Q U Z R E M E N T S '
S E T B A C K S .. �
------------ MAIN BUILDING --�------
FRNT': FZ' IN RFAR: FT IN
LEF7': F'C I'N RGi3T': , FT IN
— ACCE550RY BUILUING=- —
FRNT� �FT IN REAR: 'FT IN
LEFT: FT IN RGIi7': FT ' ' IN
0
PARI(INC REQ: PROV: PARCEL: 43914125 ZNE: REF D70: �
PI,ANNING NC�TGS: ' '
> i
ri' iE 1!� iE K iE iE if iE iE iE if ?E iE �Nr iP 1E iE jE 3E jE 1E iE 3C iE iE iF iE iE 1E 9E iE if i! 3E iE iE iE 3F # �E iE 3E % 3E iE if !E f' iE if k iE if iE iE * 3E iElE iE 3E iE i(-iE 3E it if if 9E jE 3( iE iE iE iE 1F jF?E
D E V E L O P M L•: N T S E R V I C� 5 R E Q U I F2 ; E M E N T S;
ZONTNG APPROL?ED BY �-- DATE: �
B[JILDING APPROVED FJY : ' 'DATE:
. _�—�_ _�r.�.�_",_•,__—! — � _
APPLICATIUN ISSUED BY: �/� DP.TE= I2--�E'3 �
iE �t i(-iF iE iE iE �1E i(� 3f iF iF iE iE iE iE i@ iE if �k i6 k�i(-�F�i�'�Fi��� iE�F�iF�lT3�i7iE if �)E it ib # iE iE iF �t��3F3iiFiF iE, .
# iE iE iE'.E 3E iE iE iE iE iE iE �N-iE 1E iE if iE iE iE it it it iE i! iE i! iE iE iE ie iF iE iE ff jE �)E �E iF fE iE iE'.E iE it #�k iE #�k iF �%iE iE �1c� iE �lE iE �)f 1E # iE iE�X� ik iE iE iE.if # iF iE jE �1F iE iE 1(� K- iE
LEGALIZATION:N F.E E S U M M A R Y ' '-' STRUCTURP:ii�S'EGMENT:Y'
DLDG PMT PLUMFIING FLECTRIC MECHANIC FIItE, SMI,P:/RL'S GRADING
PERM1'T , - 15.00 ' ' . SO
—SMIP;/NON—RES
I�C,Atd ' , .
ISSUE FEE '� ' e
�'1 :.:.•� � �
DUII,DING—DIV—> PF.RMIT ISSUE PLAN—CHECK TOTAL „,;, .P.ATD UUE
TOTALS—,--> 15.,50 0.00 : � 0.00 15. 50 ^ ��. 1�5 � 5,0 . 00
� ;" .
REVENUE UIVISION TUTALS--> COLLECTED: 15.50 UVBR'IfiHORTe .00
DLDG PMT' PLUMDING ELECTRIC'MECIiANIC PIRE SMIP/TOT rGRADING PLAN—CHECK
15. �� . . 5�' ;,, •'
�E k#?E if fE fE 1f� 3E i(� aE k� �k iE iF iF �lk jE if 1E fE 3E iE 3E fF �1E 3f �If 3! IF?E f' 3E if iE iE!! 1E �E-%-1E �IF 1E iElE if it �lE iE 1E 1f iF 1' # i' ff jE #�lE 9f'/1 3F �E 3E iE �lF iE �JF iE iE iE iE iE 3E 3E 3E jf # iE
, ' I 61 D I, V.I D U A L F t F II R E A K D O,W .N' .
TYPE Q'TY D E S C R I P T I O N UNIT COST' i T01'AI. COST
,.S�R 40U. R.EROOF DY , ALUE RESIDFNIAL NOZONF. �.00 ' 400 .00
. � END OF FFES "�`
EXPIRED ' '
17complete Inspections
i
�`� • _
Oate ._- - S�B ---
�
a
O1 00049940-00049941 T�]T ' I5.�0
DATE: 12/18/89 iI19E: 13:61 ,
a�
r
i� �CONSTRUCTION AND PLANNI�NG � POOL PA
Date Inspector Date Inspector
APPROVALS Permit # � APPROVALS Permit # •
i
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location � -
2. Soil'Pipe�Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. ' 54. Forms
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement � � . 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, O Undrgmd., Test �
I
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,� Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final "
12. Sewer Cap � � 63. Heater & Vent-Final - '
13. Roof Drains � , ' 64. Plumbing System - Final
14. Rough Plumbing , . � 65. Electrical-Final �
15. Rough Electrical�Conduit � � 66. Solar System-Final
16. Rough Electric Wiring.. 67. Fencing & Access ApProval �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Electrical�T Bar Ceiling 69..POOL/SPA SYSTEMS FINAL
79. Rough Heating & Aii Condiiioning � � FIRE DEPT. REQUIREMENT
20. Rough Factory F.ireplace 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. Undergrnd. Storage Tank O Gas O Oil _
25. Roof Sheathing � �� 8�/'�• 74, Overhead Hydro ."�
26. T-Bar Ceiling (Structuraq & 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 '' �
35. Final Gas Pipe-Test - '-�
36. Hood or Canopy .' ' -' __
37. Final FactorY Fireplace �
38. Final Plumbing �
39. Water Service-Final � '
40. Gas Service-Final �
�
41. Solar pomestioFinal . -
42. Backflow Preventer � .
43. Backtlow Irrigation � E X P 1 ..
5
44. Landscape Irripation System � � �
45. Sound Attenuation . . VytB � "��_
46. Handicap Regulations _ �i -
47. FINAL STRUCTURE & BUILDING � � ' � �
48. FINAL PLANNING . ' .
49. Electric Release to Edison `� � . � �'
50. Gas Release to Southern California Gas Co t+,
51. CERTIFICATE OF OCCUPANCY -
No. Daie
JUN 2'95 ti:29 FP"' RO55 BRRROWS RtLC
PRGE.D6] ,
ROOFING COMTRACTORS
�',� I' l l� J,, ,' j l, �,
�: ..
, _ -__•' -7_r � _' - - -- �
DATE: � - � 9 � TIME: � � � �
T0:
COMPAMY.•
fAX #: _���� - ��; 0'8
I C-
FROM: %�/��,< ,���,�
SUBJECT: . `��s -� �� .�'�,°`� -
�� /od,�R r ,�� si����-� C m tt �
�
COMMEIYTS:
������
���
]'H!S TAANSINITTi91 !'AIYTAIAIS �. PAGES INGLUDIN& L'OVEA PAGE.
�
NOJ-��
u
260 EAST ALTON SANTA ANA, CALIFORNIA 92707
TFT,�P$ONE: {7X 4) 557-7440 FAX: (714) 557-2785
�:K rura� PRGE
nort,E & sx�Lns
JOB ADDRESS
GENERAL COl
INSPECTIONS
c
G�.,
Co.,Inc.
DATE
DATE 6-3-63
BUILDING PERMIT NO. �
VALUE $ 1 790. o0
INE DESCRIPI'ION OF WORK Re6. W 8tt. g
UP I8u7 TYPE V ZONE � R-2
SUBCONT1tr1CT0R PERMITS ISSUED
DATE NUMBER
.,.-v��<� UL 2
/l ' • 6 - -63 3
// ni� ii A� �� i�/ P_4
.
19 1Q
� COSTA MESA BUILDINCrSAFEf`f DEPARTMEM'
P.O. BO% 91] QOHTA Ml9A. GALIFOHNIA
For Applicant to Fill In Complately
TYPE OR PRINT
eui�oirva � ,f� n _
ADDRE54 isl �� :i
COSTA MESq, CALIFORNIA
ApDRfiLS (/ � J' . / Y� (
ciTr � n4-heerl l w��
ARCHITECT ' /7 �A
OR ENGINEE�R/ L. /y
All(1HF6A / / f� � I✓-p S �
A
2�
�}s/1+ V I'J Q/2
FEE RECEIVED
JJP: 3 196�
FINANCE OEPT.
APPLICATI�YF�F F��ITA MESA
BUILDING
For Offiee Use Only
RCC61'TNO. �CpNy'6��
l..dY�
♦1�J
CT OAT[ R[C[IV[D DATE189UED
/ .C- 1 O _ % O ...0 n �nnn
ZONIN6
ZO NO.OR UH60PN
�IANs BUILO�
LHOAL Lo—f' ,2� r��"3Y33
ADDRE68 J6-✓`��-¢.. oescx�rtion
CITY SU 1-r� `. A� P• NO. '�-
NOTE: NO EAV E OV ERHAN6 BHALL BE LE59 TMAN
LIC.TNO. /S�' �� �- ryp�� _�O .1- � 90' TO SIDE G REAR P
EAVES
6IZE 33 �-- s3. ' I No.opeLDae. ALLOWED
OF LOT f0 NOW ON LOT �� YARDS APPROVED
USEOF ���_ MAINBUILDIN6
EXISTING 9LO6.
( FROM GL 6fREET )
BETBTCK LINB FROM �% /� s Q � FRONT � FT.
C6NTER OF BTREET ��V REAR YARD
SIOE YARD I LEFT I RIGHT � R. CIDH � FT.
DESCRIPTION OP WORK L. SIDE V Fr.
BUILDINQ
SIZE
EXTERIOR
� NO.O
ROOk
I ROf
�"� co�
ID WQRK TO
VAR. #
> �� C. U. .
APPRO
O BY
��r.
V n o d� �- t .2 _ C'
1 HBPEBY ACKI�OWLBOOt THAT I HAVB READ TH�B APPL�GTION
AND BTATE TMAT THH ABOV6 �y CORRECT AND M1OpEH TO COM�
PLY WITH ALL CITY OHDINANCBY ANO YTAT[ LAWB P[OULATINY '
BUILOINaCONBTRUCfION. � , ,. . _ n n
, AUTHORI2ED AOENT
�
YAR�SAPPROVED
ACCESSORYBUILDING
OATE
I.r.r�' SQ. �.� �s�d Q � "
m
THE AMOUNT BH UN�ER VALUATION IB FOR TIyE £
PUHP09H OF 8 ABLIBHINO • PEqMIT PE8 ONLY, p
VALUATION � � N
PERMIT FEE S' j
N m
7 �J o'e E
S • O PLAN CHECK $ � / ¢
O
^ / b�a 4
TOTAL REE $ (1 /� • V