HomeMy WebLinkAbout3370 HARBOR BLVD - Building Permits� CI`�- ' OF COSTA MF`' !� c
Development Services, Division of Building nnd Safety
CERTIFICATE OF OCCUPANCY
This certificate is issued pursuant to the requirements of the 2007 California Building Code, Section 110 adopted by
the City of Costa Mesa certifies that at the time of its issuance the building structure herein below described was
inspected and approved for occupancy as follows:
BuildingAddress 3370 Harbor B1
Use Private Youth Baseball Facility
Group Type of Construction
Klein Family Trust
Owner of Building
Address z� Boulder View,' Irvine, CA
BUILDING OFFICIAL-KI7dIlIl Nglij�eri, C.B.�.
Fire Zone
Tenant
BC12-00186
Bldg. Permit Number
Use Zone
Date � 6/�01-." v
/ ��
REQUIRED TO BE POSTED IN A CONSPICUOUS PLACE
�
�
CITY OF COSTA MESA
`�,0�'TpMFS,9 BlIILDING DIVISION
i � 77 FAIR DRIVE, COSTA MESA, CA 92626 • Q74) 754-5273 • Fax (714) 754-4856 • www.costamesaca.00v ,
i .
� �` FOR INSPECTIONS CALL: (714) 754-5626
o,��o fi
PERMIT NUMBER: BC12-00186
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: COM_NEW DATE ISSUED: 0610612012
ISSUED BY: CAC
�os,aooRess: 3370 HARBOR BL CM
APN: 14004162
Viciniry:
Const Type:
Suite/Unit:
Zoning: , ,
Primary Occ:
SQ. FT: 0' '� Valuation: 5250,000.00 "
SCOPE OF WORK:DEVELOPMENT OF A COMMERCIAL SITE AS TEMPORARY OPEN-AIR YOUTH BASEBALL FACILITY
(PRIVATE USE ONLY) FOR "ORANGE COUNTY SUN DEVILS". ON-SITE ACCESSORY STRUCTURES INCLUDE: 167 SF
RESTROOM BUILDING; 422 SF 2-STORY ANNOUNCERS BOOTH (1 ST AND 2ND FLOOR 211 SF EACH); 360 SF HOME DUG
OUT; BATTING CAGES; 120
SF STORAGE; 6' HIGH TRASH ENCOLSURE BUILT PER CITY STANDARD; PATH OF TRAVEL FROM PARKING AREA TO
VISITOR DOUGOUT; (14) 22.5' HIGH LIGHT STANDARDS THROUGH OUT. 36 LIGHT FIXTS, 10 OUTLETS, 20 SW ITCHES, 1 SVC
TO 200A, ELECTRICAL FOR 14 LIGHT STANDARDS, 1 BKFLW IRR, 1 BKFLW PREV, 1 ORINKING FOUNTAIN,
LANDSCAPE IRRIGATION, 1 INTERIOR SEWER PRIVATE LINE, 2 TR4P PRIMER, 2 WASH BASIN; 1 WASTE VENT, 2 WATER
CLOSET, 1 WATER SVC. REF# PA-11-26/G12-00008
OWNER: THE KLEIN FAMILY TRUST
Phone:
APPLICANT: COPE, BILL
Phone: 949-5143066 �
CONTRACTOR:
Phone:
Cell:
ARCHITECT:
ENGINEER: CHARLESAJOHNSONJR
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
eipts for all fees paitl For Droject
,HOURS FOR CONSTRUCTION
.l'•i�'Si'ie�
Address: 27 BOULDER VIEW Unit:
City/State2ip: IRVINE, CA �
Address: Unit::
Ciry/State/Zip:
License No:
Address:
City/SWte: ZipCode
License No.
License No.2537
$297.99
$1,833.75
$589.68
$0.00
$170.75
$0.00
$52.50
$10.00
$2,954.67
Unit:
PHONE:
PHONE:774-898-6180
PER CMMC Sec. 13-279
EXPIR4TION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable wdes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration o( this permit.
cooer, ixsvecnoxTrae
is�e Fixed Syslem Final Fire Prevention
1266 Pool Spa Finat
200 FinalRe-Roof
201 Final BIOCk/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
n�Er i nx nn�s �QPE7� INSPEC710NTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Preven�ion
220 Final Planning Approval
222 Final Site
250 Final Building/Oaupancy
pm�ci�ur��:
WORKERS' COMPENSATION DECLARATION: � �
I hereby affirm under penal�y of perjury one o( Ihe following declarations:
❑ I have and will maintain a certifcate of consent to self-Insure for vrorkers'
compensation, as provided for by section 3700 of the Labor Code, for the
pefformance o( the work for which this permit is issued.
'L� `I have and will maintain workers' compensation insurance, as required 6y
seclan 3700 of the Labor Code, (or the pertortnance of lhe wnrk for which this
pe t is issued. My workers' compensation Insurance carrier and policy
e: r
arr' . �i�-�-Q_ CCN'��l- Yti�
ection neetl not be mmplefed Jq(he perm� is valuetl at one hundmd tlollars (8f 00J or IessJ
P lic mber: I qy 3 3� I
❑ I certi(y Iha� in Ihe performance of the work for which Ihis permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, I shall forthwith comply with these provisions.
.�-�^ �9-�yy-�3
_ ors si �,e �
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAI
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
Owner ID verifed by drive� .. ncense. ❑ Yes ❑ No
Dnver's License No. Expires:
Veritication ot Ownership by (type of document, i.e. - property taz bill or tleed):
DIVISION OF INDUSTRIA� SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excavation five (5) or more feet in dep[h into wfiich a
person is required to descend, will be matle in connection with v.ork authorized
by ihis pertnit, and that no building structure, scaFfolding, falsewoM, a tlemolition
or dismantling Ihereof, will be more lhan thirty-six (36) feet high (Chap. 32, Gry
2, Art 2, Sec. 347, Ttle 8, Califomia Atlminist2live Code).
❑ As ovmer-builder, I will not employ anyone to tlo work which would
require a permit from the Division of Industrial Safery, as noted above, unless
such person has a permit to do such work from the division.
Appl¢anCs SignaWre
(,�� Division of Industrial Safety Permit Number: _
�-,
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file antl
certify a Business Plan for emergency response to release or threatened
release of a hazartlous material? ❑ Yes ❑ No
(Seclion 25505 of the California Health and Safety Code requires, with some
ezceptions, that a Business Plan be filed with Ihe Costa Mesa Fire
Department by every business which has at any one time tluring a reportetl
year a quantily of hazardous matenals equal to or greater than a weight of
500 pounas, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicanl or present or (uture builtling occupan[ need to file
a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code, wi[h some
ezceptions, requires regishation wilh the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume o( 55 gallons, or 200 wbic fee[ of compressed gas at stantlare
temperature and pressure).
3. Does or will the applican[ or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Pmgram tor acutely
hazardous malerials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Heatth and Safery Code provides that the
Costa Mesa Fire Department may require the preparation, certifcation and
filing wilh [he Fire Department of an RMPP by businesses which are required
�o register acutely hazardous materials with Ihe Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safety Code been fully complied with? � Yes ❑ No
5. Does or will the applicant or present or fuNre building occupan[ require for
�he work which is the subject of lhis application a permit for such consUuction
or modifiwtion from the South Coast Air Quality Management District or trom
any other air pollWion conUol district or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Cotle requires that [he requestetl
in(ortnation be fumished on applications fa nornresidential building pertnits).
6. Will any part of the (acility [o be constructed under Ihis permit be within
1000 feet fmm Ihe outer boundaries ot a school? ❑ Yes ❑ No
Qf "yes", the lacility must meet the requirement of Seclions 25534 and 42303
o( Ihe California Health and Safety Code).
7. If a permit from the South Coast Air �uality Management District or other
air pollution control district or agency is required for [he work which is [he
subject of [his application, have all o( [he disclosures prescribed by Califomia
Heal[h and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes", attach certifcate of compliance from the appropriate air pollution
control offcer).
CERTIRCATE OF COMPLIANCE: I certify that under penalry of perjury the
information given above is correct I agree to comply with all'state laws and
ciry ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of [he Business and Pmfessions Code, and
�cense is in full force antl eflect.
C.=�/F,�3—a�7y���su 1F�i�
f�—� 06—�6—�0l�
rac�or's Siqnature �"'� Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a consWction lending agency for lhe
pedormance of lhe wurk fa which [his permit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SignaWre Dale
OWNER-BUILDER DECLARATIONS:
I hereby affrm that under penalry of peryury Ihat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
construc�, al�er, improve, demolish, or repair any s[mcture, prior to i�s
issuance, also requires the applicant for such permit to file a signed statement
�hat he or she is licensed pursuant to the provisions ot the Contractors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of Ihe
Business and Protessions Code) or that he or she is exempt therefmm and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applican[ to a civil penalty o( not more than
fve hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended or oftered for
sale. If, however, the builtling or impmvement is sold within one year of
completion, the owner-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.). _ �
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct Ihe pmject (Sec. 7044, Business and
Professans Code: The contradors License law does not apply to an ovmer of
property who builds or improves thereon, and who contracts for such project with
a cont2cta(s) license pursuant lo the Contraclors License Laws.).
❑� I am exempt under sec.
Business and Pmfessions Code for this reason:
sos��ns csio��
SlgnaWre Dale .
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
ceriify under penalry of perjury ihat I have read this appliwtion and state that
Ihe information given is correcL I agree to comply with all slate laws and city
ordinances relating to building construction, and authorize representatives of
the City of Costa Mesa ro enter upon lhe above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
SlgnaWreo(LegalOwner(s) Dale
�.��_ p 6-0� a�J�
AntllorAut ol¢ant ale
O�p MFS
� p
o, ' � b
> . 8
Y � L
J+ B
„�n,,,.o�
PERMIT TYPE
CITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • Hv+w costamesaca.aov
FOR INSPECTIONS CALL: (714) 754•5626
JOB ADDRESS
Vicinity:
Cubic Yards:
GRADE
3370 HARBOR BL CM
PERMIT NUMBER: G12-00008
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
OS/24/2012
??
77
SCOPE OF WORK: GRADING, DRAINAGE AND PAVING FOR NEW PRIVATE BASEBALL FIELD, BASKETBALL COURTS, ETC.
SITE IMPROVEMENTS TO INCLUDE: PAVING, DRAINAGE, SIDEWALKS, ETC.
70 C'.Y. CUT / FILL -
REF: CUP PA-11-26
OWNER: THE KLEIN FAMILY TRUST
PHONE: 949336-6q12
APPLICANT: MELLON, BASCOM
PHONE: 909376-9$34
CONTRACTOR:
Address:
City/State:
ARCHITECT:
ENGINEER: BILL COPE DESIGN
ZipCode:
GRADING PERMIT FEE SUMMARY
Greding Plan Check: $24.05 -
Site Improvemenl Plan Check: $2,719.44
Total PC Fee: $2,743.49
Grading Permit Fee: $37.00
Site Improvement Permit Fee: $4,183.75
TOTAL FEES: $6,964.24
Address:27 BOULDER'VIEW
City/State/Zip: IRVINE, CA
Address: t:
City/State/zZip:
Litense No.
License No.SE2537
License No.
PHONE:
CELL:
CONSTRUCTION ACTIVITY: EFFECTIVE 3/78/2070 - PER
PHONE:
PHONE:949-514-4066
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE Of LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained_ Failure to obtain inspections and final approval will resWt in the expiration of this permit.
40DE�. INSPEC110NME �jF �¢ 44�Ea INSPECiIONTVGE pd¢ �$
1616 Fixetl Sysrem Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final PlumOing
200 Final Re-Root 210 Final Eleclrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place � 22D Final Planning Approval
203 Final Siqn 222 Final Site
204 Final Demolition 250 Final Builtling/Occupanty
WORKERS' COMPENSATION DECLARATION: �
I hereby affirm untler penalty ot perjury one of the tollovnng tleclarations:
❑ I have and will maiNain a certifcate o( ConSent to Se141n5ure for vrorkers'
compensation, as provided for by section 3700 of t�e Labor Code, for the
performance of Ihe work for whiGh this permit is issuetl.
❑ I have antl will maintain wnrkers' compensation insurance, as required by
section 3700 of the Labor Code, for the pertortnance ot the work for wfiich this
pertnit is issued. M workers' compensation Insurance carrier antl policy
number are: 1 —/�n I,
.Ca�rner' rC /'1 — �///�� �N��
(Tnrsseaarn iroloerompe�e���apeimrti valuedaronenundradeonars�StOo)aiess)
' Y ' -�13�7?? `f�/
Polic Number: �
❑ I certify that in the peAonnance of the work for which this permit is
issued, I shall not employ any person in any manner so as lo bewme subject
lo the workers' compensation laws of California, and agree that ii I should
6ecome subject to the wo ;ers' compensalion provisions of Sec[ion 3700 of
the Labor Cotl hall Nith comply with these provisions.
S-Z5�a1
Appli n s$ipiu ure LDdb/ '
�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND
ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed untler provisions of Chapter 9(commencing
with Section 7000) of Oivision 3 of the Business and Professions Cotle, and
my license is in f II �orce and eff0��.
Lic�#�- 7 7 C�i s;#
V i i
� noh 3ip�ature �-7
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that there is a construction lentling agency for the
peRormance of the wurk fa which lhis pertnit is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
SignaWre Dale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm lhat under penalry of perjury that 1 am EICEMPT FROM 7HE
CONTRACTORS LICENSE LAN� for Ihe following reason (Sec. 7031.5,
Business and Prolessions Code: Nny city or county which requires a pertnit to
construct, alter, improve, tlemolish, or repair any structure, prior to its
issuance, also requires the aOPliCant lor such pertnit to fle a siqned statement
lhat he or she is licensetl pursuaM to the pmvisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Professions Code) or that he or she is exempt there(rom antl
the basis for the alleged exemplion. Any violation of Section 7031.5 by any
applicant for a Dertnit subjects the applicant to a civil penalty of not more than
Me hundretl dollars ($500).):
❑ I, as ovmer of the property, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and ihe structura is not intended or
ofleretl for sale (Sec. 7044, Business and Professions Code: The Contraclors
License Law does not apply to an owner of property who Duilds or improves
lhereon, and who tloes such worh himsel( or herself or lhrough his or her ovm
employees, provided that such improvemems are nol intended or oRered for
sale. It, however. the building or improvement is sold within one year of
completion, the owner-builder will have the burden of proving that he or she
tlitl not build or improve for purpose ol sale.).
❑ I, as ovmer o( the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl
Pro(essions Cotle: The wn[ractors License Law dces not applY to an owner o(
property who builtls or improves lhereon, antl who contracts for such projecl wilh
a contractor�s) license pursuant to lhe Contractors Ucense Laws.).
❑ I am exempt under sec.
Business and Professions Code (or this reason:
SigwWre
J057�61�)1
Owner ID venfied by dnve� , ncense. ❑ Yes ❑ No
Driver's license No. Expires:
Verifcation of Ownership by pype of document, i.e. • propeny tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
� I hereby cetlify that no excavation frve (5) or mwe (eet in depth into vfiich a
person is required to descend, will be made in conneclion with work authorized
by this pertnit, and ihat no buildinq structure, scafldding, lalsework, or demolition
or dismamling thereot, wiil be more than thirty-six (36) feet high. (Chap. 32, Grp
2, !vt 2, Sec. 341, Ttle 8, Calitomia Atlministrative Code).
❑ As ovmer-builder. I will not employ anyone to do vrork which woultl
require a permit from the Division of Industrial Safety, as noted above, unless
such person has a pertnit to tlo such work fmm the division.
ApP�iwnfs Signacure Date
Division of Industrial Satery Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or preseM or future building occupant neetl to file and
certify a Business Plan for emergency response [o release or threatened
release of a hazartlous material7 ❑ Yes ❑ No
(Section 25505 0( lhe Califomia Health antl Salery Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business whicn �as at any one time during a reported
year a quaMiry of hazardous materials equaf to or 9reater ihan a weight of
500 pounds. or a volume of 55 gallons, or 200 cubic leet o( comp�essetl gas
at scandartl temperature and pressure).
2. Does or will Ihe applicant or preseN or fuWre builtling occupant need to fle
a registration form tor awtely hazardous materials? � Yes ❑ No
(Seclion 25533 ot the Califomia Health and Safety Cotle, with some
exceptions, requires registration vrith the Costa Mesa Fire Department by
each business which at any one lime has on hand a quan[ity of acutely
hazardous materials equal to or greater than a vreight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard
temperature antl pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 of tha Calitomia Health and Safety Coda provitles that the
Costa Mesa Fire Department may require ihe preparation, cenification and
filing with the Fire �epartment ot a� RMPP by businesses which are requiretl
lo register acutely hazardous matenals with t�e Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 of Ihe Califomia
Health and Salety Code been (ully complietl with7 ❑ Vas ❑ No
5. Does or will Ihe applicant or presenl Or fuWre builtling occupanl require for
the work�which is the subjecl ol this application a pertnil for such construction
or modifiwtion (rom the South Coast Air Qualily Management Di5lrict or from
any other air polNtion control tliSMct o� agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Code requires that the requested
information be fumished on applications (a nornresidential building pertnits�.
6. Will any pan of the faciliry to be constructeC under this permit ba within
1000 feet fmm the outer boundaries of a school? ❑ Yes ❑ No
Qf yes', the facility must meel Ihe requirement of Sections 25534 antl 42303
of the Califomia Health and Safery Code).
7. If a permit from Ihe South Coast Air Quality Management District or olher
air pollution control disMct or agency is required for the work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Cotle Section 42303 been matle? ❑ Yes ❑ No
8. Qf "yes", altach certificate ol compliance from the appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I cenify that un0er penalty of perjury Ihe
inlormation given above is correct. t agree lo comply with all stale laws and
city ortlinances regartlinq Hazardous Materials antl Emissions.
SgnaWre
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certity under penalry of perjury that I have read Ihis application and state that
the infortnation given is cortecL I agree to compty wilh all state laws and city
ordinances relating to building conslruction, and authorize representatives of
the Ciry o( Costa Mesa ro enter upon the above-described property for
inspection purposes. 1 agree not to xcupy or allow occupancy ot any huilding
authOrized by �his permil until fnal inspection.
Si ol L Owneqs� Date
..� ,�.� S,7 (F _l�
nalor Aq o izea'Rpplrcnni�� I. ie—.----y
pD��S40FBULOP/G: jj7O HARHOR HL �M:
oxae�NANEIFpqWN: C J SEGERSTROM S SONS FLOOD; AH-37
�ooncss: 3315 FAIRVIEW RD
COSTA MESA,CA 92626
MVL. WIIlNO ADDME51
MCNRECTOflF11�1EER IlC.M0.:
AIICN.Ofl FNO.'4 /i00PE59: UNT:
wNm�erarsruxE: CLAYTON ENGZNEERING ( 714 ) 863-0202
CQlIF1CTOP5YNIJNO 3661 SPRUCE ST
,,�,� N.B. CA u��, 476125
9 2 6 60 ,,,n:
LICENSED COMR�CTORS OECUR�TION: I Mmby ellim �eMs pe�Wy M pe�juy Net I em fcawd uMx pwimw d Cheqm 9
(m mmaM wilh Seclion )OW d Dimian 3 d tM BuuMn ud Pmleva�s Coda eM iM' Iioww u In hA lau end efl
cm .r+o.: 05225�"/ uc.cuss: A&B u��761�XP: �b/00
oma: - - � camm«: 1,�..t .� ' �
NEP BUILOEfl OECLAPATION: I hereby alfirm wder penely d perjury iMt I em axemp Irom �he Comretlm Licanea lew far ihe
'allowiq eae+on (Seriion 1W15 Bueib» eM Prdevvn Code: Amy ery a evuniy r.hid� mquirae e psrmC lo eomtruel. el1m, imqwa.
emdah, a repei enY emc�ure, qia to Cs u+uenoa, eho'apwns Ihe eppliau M mrh pe�mn �o Rb a eqneE wla�nenl thn he a eM
a licensed µmuent b �M pwiums d tlie'C«nrmo's'Lioerue ler IChaps 9(oommentig x'vh Swion NW) d 0"vwian J d Ib
8iuiran eM Prdav'vn+ Codel «ihet he « Me b ezemq tMdmn eM ihe bese 1« ihe albpetl memqion. Nry vnlation d Sepion
]031.5 Ey enY aVWirenl lor e parmil subjeas iha eppfcan �o e avd penehy d m� more �hen Iwa huMnE AOAan �55W�.
❑ i.e+o..�amewwa�r«mr�+o�m*e•�..n�.+e.m.:.d.00mv�...;ueom.w�.�em..wn�:mw�e.e
orollereClaveblSecUon]Ou.Bm venEPrtesaionsCods:TheCatlmdaslicmuaLawdoxmlayWytoenownerdpopeM
wfw Wdda a inpwea �Mreon. anC rAw dom sutli wvk 1'enaatl u hwaM «throu� hc a her own amployaee. pwiEeE thet euch
imprwemxb va nd inie�deE a a%seJ fa aeb. tl. howe�wr. tM bWiinp p inpwwnem b aold wi�hm ona Yer d mmplelion. tM
ownel-0uildr xiA hew iM bu�den d pavq he a ehe 6d na duW a'unpon ta tM qvpoea d ubl.
� I. o v�ner W iM pW�Y. em u�aivply mursa�q:�nA imneed cmtrrm+ro mm�a tlr N4a (Swion 1w1. Bueinrs eM
Pmfevbn� Code: Tha Cametlav l'sons lew dwe ea ePWY b en oxw d n�Y who buiNe a inWa'w tlwaon W who
COIIUBCIB iIX lW�I p10�lC9 �VE�1 B tl11V10f�01�9� �GM90� WAUYY 1011N Cq1�fY1IXf ��ICl1190 �OWi.
� 1 em examq urdsr Smion: w� B�'�.C.. br N"m reuon:
Dete: �
1 do M1reW �enM Net I am awera d md ivdraWA Ihe ispw�emmb M Celiarie IMM eM SelelY Code SWbm 25505. 255�3. and
I 25531. eM Nei I a enY hOwe WJEI^0 omW^id. will / wiA na (dmde onel need w canCN r�A emE mis oodm eM IM'Wu'vamenb M
Dete: �pp�'��
WOFKEH'4 COMPENS�TION UECLAP�TON: I MeEy Nfi�m undar panMy W prjuy ar d the Idbr.nq EatleiNetiom:
❑ �neveenexiomeim.neo.nirrst.ammemm.w:mui.w.oi+�a+•wmpenWian...ww+md�nMa.uiona'lood�n.len«
com. i« me wne�eze a a..on� ia .ti�n me c�n m��,.d.
� waklorwliicAmemt�^wnke�e�prq'� ranu.mAW'veJMSetlion9�]�WW�YLaborCads.larlMw�ormenwd�M
��, �`�"` EXPIRES
Pdiry NumEx 0 7/ 31 / 9 8
-�(Thie wnian nead irot 6e mmYb�ed / Ns O�t u b oro �unWeO OdWa �SIWI a Nn.)
I mnA' � in Ne perlom+enca tl tM work br r.f�c� �Na permM e Nauad. I M�tl m� ampby eiry purm N ury menner u to
ome eubl� �� �� '^�a� �'^�°"°°��°^ b'^'� d Ce4lanu, anA eyea Na J I�tioiM becane euEpe to ih ro�lmn'
��sn� o�o�. a s.am noo a a. i.no. coa.. i �.n mcb .an mm. w�n.� �
oat.: - roWc.m: />-"-�-
W� lnp: F�llun ro��c�n wortx�'ronpm�+tlan cw�rp1la un4rN1, mtl IIWI ueJM m wiplonr to MMn�I prMN�a ��M
u nnu w ro ora nuw..e rnw.w dWw. ltio4000A M�� ro m. co.r or ror�p.m.nen wmro� u povm.c ror in
S�etlon 9106 0/ IM le6or Cods, Int�rs�t � ettarmy i f�sa.
CONSTfiUGTON LENOIN6 AOENCY: I MreEy efirm uMs penMy d per'ryry thei �Mn u e canp�Wion bM'up pem.y br Hro
Penama�ca d ine w«x ro. wh� ine v�+ o em,ed Isaaion aow. cH. cl.
LENDER'S NAME:
LENOEF'S ADOFE33:
I unJy Oat 1 heve �mtl Ni� eOW�� end pate �!w tM eEv.e'vtlame�ion e cortatl. I�{yes b comW wiln eA rLy end muM�/ ad'muav
eM s�e1e lexs mlmip m Wildvq eonaeuaion end hmebY eWwca mpeamiatiwa d ihiv dry b amx upon tM ebv.a-memuned qoparly
'°""'0°"'°"°"`D°'°' DENNIS LORTON=
o.�a:�- �- '`L %
(5151db.WP) W�ils-BuiNii}i-�ely:dren�Fb:Ce�u�y�Appf�anl:Pink-Rwanue:Oddawd-ila�av
CITY OF COSTA MESA - BUTLDING PERMIT
PERM NO: B 08903
PERMIT NO: B 084032 PLAN CHECK NO: 03088-97 L GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON
JOH DESCRIPTION : CONST. 3'HIGH RETAINING WALL W/30" HANDR SQ FT: 90
CLAIM VALUE: 25,000.00 CALC-VALUE: 5,400,00 GROQP OCC: B /
COMMENTS: ONLY FOR A RETAINING WALL
�r*�r*****.,r���r�*�r�****�r��r�r�*�r*�r*�r��x�r�r*� �**�r�+r�r*+r+r* ��r�r*+r**�+�**��**��r*�r�r�r ���**�r�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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
PARKZNG REQ: PROV: PARCEL: 14004142 ZNE: MP REF NO:
PLANNING NOTES> CONSTRUCT APPROXIMATLEY 90 FEET OF RETAINING WALL- NOT TO EX
> CEED 4 FEET IN HEIGHT. `�
if iF if �k iE iFif ii iF iE 9E iE iE iE')h iEiF iE ik ik iE �lE iEjE'14 �74iEiEi('jE if -1k ih i! �k 1k iE iE9E * ik iF 1E iE if'lE')k'1E iE �)E if fE �F �k ff �1(�'1F ik if iFiF ik �E'k 9E'1E'Ik'kiE iE iE�f if �)E 1F iF iE �IEiE
D E V E L O P M E N T S E R V I Cn E S R E Q U I R E M E N.T S
ZONING APPROVED BY 1\ YT V DATE: %'
BUILDING APPROVED HY : DATE: ��
APPLICATION ISSUED BY: DATE:
iEiEiF i(' iF �N� iE jF if iF aF ih iF iF iE iE iF itiE iF iE ik '1f'lE'k iE'k iF if iklf if�iFiFil�'Ih
LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL'SEGMENT:Y
HLDG PMT PLUMBING ELEC'�RIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 112.25
'� SMIP/NON-RES
PLAN 72.96 �.�� 1.13
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAIV-CHECK TOTAL PAID DUE
TOTALS----> 113.38 0.00 r! 72.96 186.34 186.34 .00
REVENUE DIVISZON TOTALS--> COLLEGTED: 186.34 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
112.25 1.13 72.96
3FififiE3fifi1iflfiEifiFiFiF�EiEiFiFitifil�fiEiEififiFiFiEiEitifikiFif �"ififiFiE�E1FiFiFiFkifiFiFifiFikiFifiEiEiEKiFlfiEiFiFifitihalifaFififififiElE�lfiFif
I N D I V I D U A L�r 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 TO'TAL COST
/.
SFC 90 RES—RETAIN WALLS UP TO 6 FT / FT. 60.00 5,400.00
END�iOF FEES
(� ��
1
%;
r ; '-
' ,` 89-04-l997/19:26 pfl/f186.3k
RCPTN:81-0�iid149
PERMIT:084032
.
� CONSTRUCTION AND PLANNING � _ PO � SPA
� APPROVALS Permit # � Date Inspector APPqOVALS � Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location�
2, $pil Pipe•Undr9rnd. . • ' 53. Steel Reinforcement • '
3: Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electricai Conduit�Undr9rnd. 55. Electrical Bonding . '
� 5.. Steel Reinforcement -q? ��,.ai- 56. Rough Plumbing & Pressure Test
6. Electrical UFEFi Grnd. 57. APPROVAL TO COVER�GUNITE -
- 7. Footings �i .-�-g? 58. Electrical Cqnduit-Undrgrnd. '
:-'$. Foundation „ ' , 59. Gas Pipe, O Undrgrnd., Test �
- 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, RTrap, O Undrgrnd. r
� -
%10. Structural Floor Svstem � � 61. APPROVAL TO DECK
91..ProPerty Sewer Line & 4ouse Conhection 62. Backwash & Receptor-Final '
12: Sewer Cap • �. , 63. Heater & Vent•Final
13. Roof �rains - 64. Plumbing System � Final
,14. Rough Plumbing - 65. Electrical�Final
=•15. Rough Electrical-Conduit �.' 66. Solar SYstem�Final . ,
l6. Rough EfettriclViring ' 67. Fencing & Access Approval
' 17. Rough Wiring Sign - � � 68. APPROVED FOR PLASTERING '
�78.� Rough Electricai-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL - �
19. Rough Heacing-& Atr Condicioning � FIRE DEPT. REQUIFiEMENT -
-...r ..
20.�Rou9h Facrory Fjreplace - �y�_ . ' r,_ * APPROVALS - Permit # � '�
.� - .r - r. _ .
21.`DuCt;s, in Str`u_aufe; '.�, ' ' 70:-.Un�eigr9u�d HYdro
22. Oucts, Verttilatin9�' � �� '•� 71. Prodtict.:Pipin9 O�Gas `fl Oi�
23. Gas Pipe,Rough &'Test - j, ,,, �` 72, Underground FIus6 � .
24. Roofi Framirig c• _- , . "i �� ._ 73. Undergmd. Storage Tank � Gas d0il
25. Roof Sheathing ' . �:; , ; ' - , .'� S 7q,- Ovechetid Hydro- �" �
26.� T•6ar Ceiling (Strycturall &.tylonocoat,-r . � ._ _� �� 75. �OrYChemical
27:'Frameand Flashing . , .,; 76.'"�Dry'Siandpipe'.�:� } '
28. l.athing_& Si�lingx �.� _� y7 • • •. 7.?, FIXED-SYSTEIUI PINA� �
29. Insulation - ' - "' " ' j ` 7$, FIFE PREV. FINAL •• �r
� � i . .
= 30. Drywall Naii ng -, � ��� �� � • HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Co'at* � '_ 79. FiNAC')NSPECTION �'
32:�lectrice} Power f�leter,Final . . r $0. FOOD CERTIF�GATE ISSUED "
t . . -
33;�Pinal Electric :�� _ � ; `� � Notes: �; �-�- � � -. .
_ 34.. Final Heating�& AirKConditioning - " � " �. � /J_r,qi`v' �� � _:I��--�
-� _. - _ r G` .
35!`Final Gas Pipe�Test� _'� � ' ` � , "�`• � ^' ,-
� r ; F, ..
36: Hood o%CanoPY '. -; - . . ' ' > _ ,i : .. . ,.
- �
- 37. Finai Faitory Fireptace� � ��•� - + -� , `
T ' r S �
38.-Pinal Plumbing • � .. .. , -" - �. • `-
, 39.�Water Service-Final.. � . + � . � ' ' �'
" - - t
_ 40'Gai Service-Finai ' _ . � _ , = � • . � •
- 41,.Soiar pomesoaFinal � �•- +� - + -�- - �
o r •
42, gaCkflow Preventer ` ' � ' � � - , � -
�43. Backflow Irrigation. � ';� _ . '�
�,44. Landscape Icripation System- ` - - •� _ . �s ; _
� �' '
::45`;Sound Attenuation - _ . � - - � ' .^ * � .
- r! T r ' 1
� 46. Handicap Reg�lations ' �- � ' " . ; =�'. �
47,. FINALSTfiUCTUAE&BISftD1i3G 2?L7'G$ W � . • *
r
48.�fINALPLANNING � � ��' - ' �
_ r ., �
49-Eleciric Release to Edison , � � � � t . -•
- 50. Gas Release to Souther� Calitomta Gas Co ' ` :" ; '.
51i CERTIFICATE OF'OCCUPANCY • �
No. Da[e