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Home My WebLink About397 LA PERLE PL - Building PermitsCity of Costa Mesa Development Services Department Building Safety Division P.O.Box 1200 Costa Meu, California CERTIFICATE OF OCCUPANCY No. 8O!6O1 The Building located at 397 T.a PaYI� Pla�a� I7nih n has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3 Occupancy. Use of Building ResiAenne (Iwartment) Legal Description 475-312-1� (See reverse side for Metes and Bounds) Building Permit No 8P 31416 Electrical Permit No. E 31616 Plumbing Permit No. BP 314116 Mechanical Permit No. M 32000� M 32001 Number of apartments 1 and/or guest rooms ISSUED T0: Dave Cdaarell sy� La Perle Lane . Unit B Costa Masa, CA 92626 Building Official William T. Howard � by , " �i' ri� (:'r.^. � i �-- . Date AUgust 1� 1988 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE remove[I except by the Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. C,KAP 1o15-a6 rev, i/83 White - Owner, Canary - Numerical File; Pink - Bldg. Permit File (714) 754-5273 • FeX (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIFi DFIVE, GOS I A MESA, GA 926Lti MECHANICAL PERMIT Job Address: Suite No Vicinity: 397 LA PERLE�d PL UNIT 1/2 Parcel Number: 42531112 Applicant: S7RATE, JAMES ; � ,,i,='"-':� � .. Address: 2970 E LA PALMA: - SUITE L ANAHEIM, CA � � Phone: 714-630-1180 Zip� 92806 ISSUED BY: Owner: N�L / ,, 1( ei�S a�(,' �e'� Address: f'�6-B93F,_'1B8 � .l�'��.� , � -�la�„ , � Phone: ' �� -. -�'At9S7Ei2BE'9=6it Zip: -98434'� �p�,� � � . C.O�TY�' i(Y�QS(�r �.. Contracroc CAL-BEST CONSTRUCTION CO Address: 2970 E LA PALMA SUITE L ANAHEIM, CA . , Phone: 714-630-1180 2ip: � 92806 License: 512375 Status: ISSUED Applied: t0I15/2003 Issued: 10Ii512003 SCOPE OF PERMIT FIRE DAMAGE REPAIR TO INCLUDE: REPLACEMENT OF WINDOWS, INSULATION, DRYWAIL, CqBINTS, FLOOR COVERING, ETC. ROOF FRAM�NG REPAIR AND RE•ROOF ALSO. MISC. PIUMBING AND ELECTRICAL. MECHANICAL TO INCLUDE: 1 VENT FAN/SINGLE DUCT, 1 APPLIANCE, 2 WALL HEATERS. REF: B03-01790 ISSUE FEE Inst FAU <100 k BTU Insl FAU >100 k BTU Repair / Alt CoolingMeat Inst / Rep. Recess Wall HU Re(ng Sys <700 k BTU Refrig Sys >700 k BTU Gas Piping Faclory Fireplace Hood w/Mech Ezhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Insl or Relocate Appl Vent Air Handlers < 10000cfm Air Hantllers > 10000cfm Floor Fumace Floor or Suspend Heater 523.50 ao.00 so.00 $0.00 so.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $725 531.95 30.00 30.00 50.00 $0.00 50.00 50.00 50.00 Quantity_� - FEESUMMARY Repair I All Absorbtion Unit Repair / All RefrigeraUon Unit Ventillation Syslem Evaporative Cooler Commercial I ncinera tor Domestic Incinerator Comoressors / Absomtion Systems Uplo3hp/100kBTU 3 TO 15 hp ! 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU , Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee InvestigaUon Fee Plan Check Fee Reinspection Fee Quantiry 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 180 days, or If work is suspended or abandoned for a perlod of 180 days. �� INSPECTIONS: In order for iha work authorized under this permit to be considered legal, such work must comply with all applicable cotles �end all requlred Inapectlona and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration o�h jpermit. FOR INSPECTIONS CALL: (714) 7545828 V zuaae �aroo� WORKEHS' COMPENSATON DECLAfiAT10N: ' `/ I �ereDy aNirtn un0er Denalry ol perjury one of Ne tdlowing tledaretlons: , � ❑ I have and wlll mainlain a ceNlicete ot consent to sell-Insure tor warkero' crompensetion, es proNtletl tor Dy section 3700 of the Labor Code, for Ihe peAormence of the M for which Nis permit is issueA. 1 have antl vrill meintain workers' compe tq� ��nce, as reyuiretl by sectlon 3700 0l Ne Lebor Cotle, for Ne peAormence of Iha work fa whkh Ws permit Is issuetl. My workers' compensa Insurance �er en` ollry number ere: Cartier. Pdicy Number. (This sectlon need nof be eted lr Me � Is valu e one huntlred aWlers (5100) o. less.) ❑ I certiry Ihel in the perlartnance ot the o lor which this pertnit is issuetl, I shell not employ eny person in eny menner so es to becane subject to the workers' compensation laws of Callfomle, end e that it I s�oul0 become subject m the workars' compensatlon proNsions of S i IIa�3700 oi 1 , r Cotle, I shell foMwith comply wlth Ihese provision � I I 1 Applicanl Signature: Dete: �_, v WARNINO: FNLURE TO SECUfj ORKERS' COMPENSA pN CpVERA(iE IS UNLAWFUL M1D SHML SU9IECT NI EMPLOYER TO CRIAUNAL PENALTIES Ml CML FlNES UP TO ONE MVNDRED THOUSAND DOl1AFE (St00.006 .IN ADIXiION TO iHE Cq$T pF COMPENSATION, DAMAOES AS PROVIDED FOR IN SEC110N 3]OB OF THE UBOR CODE, IMEAEST, M1D ATTORNEY'S FEES. LICENSED CONTiiACTORS DF I hereby eXirm that I em litensetl torce entl eHect. Lic. p Conlrector's Signeture:� r� Sectlon 7000) ot Dlvision 3 0l the Business antl Prolessions Code, and my license Is in lull _ CIB99 M _ Dete: r � � � CONS7RUCTON LENDING AGENCV: ❑ 1 hereby aXirtn Ihat Ihere Is a consiruttion lentling agenq lor the peAortnence of Ihe work tor which this pertnit is issued. (Sec. 3097, Civil Cade). Lentlefs Nema: LonGefs AtlCress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby atfirtn thet untler penalty oi perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reuson (Sec. 7031.5, Business end Protessions Cotle: Any city or counly which requires e permil to consiruct, elter, ImD�ove, Gemolish, or ropair any atructuro, prior to Its Issuanca, elso redulres the epplicant tor such pertnit to file e signetl statement Ihat he or she Is Iicensed pursuent to ihe provisions ol the Cantrectors License Lew (Chepter 9(commencing with Sectlon 7000) ot DMsion 3 of Ne Business end Prolessions Cotle) ar Ihet he or sha Is exempt theretrom end the besis for the elleged ezemption. Any violation of Sectlon 7031.5 by eny epplicant tor a permit subjects tha epD�icant to e civil penalry W nm more than Me hundred dUlers ($500).�: ❑ I, as owner ot Ihe pro0erty, or my employees with weges es thelr sole compensatlon, WILL DO THE WORK, and ihe structure Is not Intendetl or oMeretl for sale (SaC. 7044, Business end Professions CoOe: The Contractore License Lew does not epply to en owner ot property who builds or improves thereon, enC who does such work himselt ar herself or through his or her own gmployees, provided that such improvements ere nat Intanded or oHered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner�builder will heve Ihe �urden al proving that he or she did not build or Improve lor purpose ol sale.). � ❑ 1, as owner ot the property. em EXCLUSIVELY COMRACTING WRH LICENSED COMTRAC70RS ro construct the project (Sec. 704a, Business and Professions Cotle: The contrecrors License Lew does not appty to en owner ot pmDeny who bullds or Improves thereon, entl who coNrects for such pmject wlth a comractor(s) license pursuant to the Contraciors License Laws.). ❑ I am exempt untler sec. Business entl Profossions Cotle lor this reeson: Signeture: Dete: Owner ID veniie0 by tlrivefs license. ❑ Ves ❑ No Driver's License No. Vedticetion oi Ownership by (typa of tlacument, i.e. - property le: blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETY VERMR CER7IFICATION: ❑ 1 hereby certiy thet no ezcavation Ilve (5) or more teet in tlepth Into which e persan is requlred to descend, wlll be metle In connection with work authodzed by this permit, enC that no builCing structure, scattolding, falsework, or demolitlon or dlsmantling t�oreof, wlll be more ihan thirty-six (38) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec. 341, Title B, Celifomle AdmlNstretive Cade). ❑ As owner-bulltler, I wlll not employ enyana ta do work whlch would requlre a perml� trom the Divislon of Industrlel Sefety, es noted ebove, unleu such person has e pertnit to do such work Irom the tlivlslon. Signeture: Date: Division ot Intlustdal Selery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUfHORqq710N OF ENTAV: I certify untler penalry of perjury thel I have read ihis epplication end state t�at ihe inlormation given is wnect I egree to comply with ell stete laws end dry orCinances rela6ng to bulltling constructlon, entl euthodze represenletives ot the Clry of CosW Mesa to enrer upon the above-describod D�aPeny lor inspection puryoses. I egree not to occuDY or ellow occupanty of eny building eulhorize0 by this permit unGl tinel inspection. COOE �. INSPECTON TYFE 1618 Flxed System Finel Fire Preventlan 126fi Pool Spa Final 200 Flnel Re-Root 201 Final Block/Retaining Well 202 Final Faclory Fire Place 203 Finel Sign 204 Finel Demolitlan Q� �� CO�E 1 INSVECTION TYPE 206 Final Mec�enical • 208 Finel Plumbing 210 Flnal Elecidcel 212 Finel Fire Prevention 220 FInal�Planning Approval 222 Finel Site 250 Finel Building�Occupanq �. 1 1111" _ �; � G (714) 754•5273 • Fex (714) 754-4856 • www.ci.costa-mesa.��.a ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Add�ess: �97 LA PERLE PL Suite: Viciniry: Parcel Number: 42531207 Zoning: Applicant: JIM STRATE Address: 2970 E LA PALMA .- - - �- - SUITE L , : � Phone: 714-630-1180 ANAHEIM, CA � " Zip: 92806 Owner. PIERSALL; JERRY Address 397 LA PERLE � ,' . . . � � ' . . Phone: . ' " �COSTA MESA, CA'� . Zip: 92627 Conuactor: CAL=BEST CONSTRUCTION CO Address: 2970 E LA PALMA SUITE L Phone: 714-630-1180 ANAHEIM, CA '� Zip: 92806 License:_ 512375 � � Status: ISSUED Applied: 10/01/2003 Issued: 10I01I2003 ISSUED BY: G/"`� •� Arch : " � , ' ' ' � Eng: Address: , , � - , ,: � _ - Address: � , � � - Phone: - � � . _ � - Phone: � Zip: License: License: SCOPE OF PERMIT DEMOLISH INTERIOR WALLS DUE TO FIRE DAMAGE IN LIVING ROOM, BEDROOM AND BATHROOM FOR UNIT LOCATED AT 397 LA PERLE PL 1/2. Plan Check: $0.00 Permit: $38.75 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 FEE SUMMARY Total: $39:25 � PLANNING & ZONING SETBACKS MAIN STRUCTURE Front � 0- 0 Rear 0. 0 ACCESSORY Front 0. 0 Rear 0. 0 PARKIMG Existinq: o Required: o Calc Valuation: 3�.000.00 Ciaim Valuation: s�,000.00 Left � �0.�0 Right . 0- 0 Left 0- 0 Right 0- 0 Praposed: 0 NOTICE: The work authorized by thls permil shall comply with all applicable handicap access requiremants under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permfl shall automatically expire and become void if work is not commenced withln 180 days, or if work Is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order for the work authorized under thls permlt to be considered legal, such work must comply with all appiicable codea, end ell requlretl Inapettlons and flnal epproval must be obtained. Failure to obtein inspections and final approval will result In �he expiration ol this permit. FOR INSPECTIONS CA�L: (714) 754-5628 >yes�ag larop� WORKERS'COMPENSATON DECLARAnON: � �� I hereby eMirtn unAer penalty ol perjury one of ihe fdlowing tledaretions: , � ❑ I have antl wllYmaln�ain a certilicate ot consent to sell-Insure tor warkers' compensatlon. as provided lor by section 3700 0l lhe Lebor Catle, tor the pertortnence of Ihe work for which this pertnit is issue7. I heve entl will maintain workers' campensation Insurence, es requlred by section 3700 ot the La6or Code, for the pertormarke ol the work Iw whiM Nis pertnit Lv Lswetl. My workers' compensation Insurenca carriar end policy number are: errier., -�� • ��' (Gl � POIIcyNumber: �� 1�/a� $�� —�OCJ g ,, h/s sec(lon nee�not be camp/eted �! the pemtiNs veluetl af one hundred dWlers ($100) or less.) ' ❑ I certity t�at In the performarice oi the work for which Ihis pertnit is IssueQ I shall not employ any person in eny menner ao as lo become sublect to t�e workers' compensetlon lews ol Calitomia, entl egrae Ihet II I should become sub�ect to Ihe workers' wmpensetlon provlslons of Sectlon 3700 ot t�e Labor Code, I shall torthwith comply with these provisi L ' 1 Applicant SipneWre: ('� i� ��//�i,/2"_ Dete: /CJ /— U 3 WARNINO: FNLURE TO SE WORKERS' COMPENSATION COVEMOE IS UMAWRIL AND SHNL SUBIECT Ml EMPLOYER TO CRIMINAL PENALTIES AND CMl FlNES UP TO ONE MUNOREO �THOUSAND OOl1ARE (5100.OW). IN ADOITION TO THE O�ST OF C�OMGENSATION, OAMAGES AS Pf�VIDED FOR IN SECTIqJ 3]OB OF THE UBOR CODE, IMFAEST, ANO ATTOfiNEV'S FEE9. LICENSED COMAACTORS DECLARATION: I hereby aNirm that I em lorce entl eNect. Lic. p contractors slpnature: ot C�apter 9(commendng with Section 7000) at Division 3 0l ihe Business and Prolessians Cade, anA my Ilcense is In tull Cless p �-� , Date: i�,—/—O � CONSTRUCTION LENDING AGENCY: ❑ I �ereby eHirm that there Is a consiruction lentling agency br ihe peAormance ot Ihe work for which this permit Is issuatl. (Sec. 3�97, Civil Cotle). Lentlers Neme: Lendefs Address: Slgnelure: Date: OWNER-BUILDER DECLARA710NS: I hereby eXlrtn that unOar Oenelry of perjury Net 1 em E%EMPT FROM THE CONTPACTORS IICENSE LAW lar ihe tollowing reason (Sec. 7031.5, Buslness end Prolessians Cotle: Any ciry or counry which requires e permit lo canstruct, elter, Improve, tlemolish, or repair eny sWcture, pdor lo Its Issuence, fllso requires the epplicam lar such pertnit to tile e signed etatement that he ar s�e Is Iicensed pumuem ro the prwisions oi 1he Contreaors License Lew (Chepter 9(commendng vri[h Sectlon 7000) of Dlvis(on 3 of the Busineu end Professlons Code) or chet he or she is a:empt therefram end Ihe besis far the elleged exemptlon. Any Walation of Section 7031.5 by eny applkant for a pertrtit subjects cne aPW�ceN �o a dvi� pena�ry ot no� more men �ive nunerea ea�ars (Ssoo).): ❑ I, es owner of the property or my employees w01i wapes es Iheir sde compensaUon, WILL DO THE WORK, entl Ihe siruMure is rrot Intentletl or oHerad tor sale (Sec. 7044, 8usineu antl Professians Cade: The Contrectws License Lew daes not epply to an owner of property who bullds or improves ihereon, flnd who does such wark himsell or herself or Ihrough his or her own employees, praWded Ihet such improvements ere not Intende0 or otteretl tor sale. II, however, t�e Duilding or ImDrovement Is soltl wiihin one year of completion, the ownerbuilder will heve the Durden of pmving Ihat he or she did not build or improve tor purposa ot sale J. � ❑ I, as awnar ot Iha properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704d, Business end Professions Code: 7he contwcmrs License Law tloes not appy m en owner ol proparty who builds or improves thereon, entl who contracis tor such prqect wilh a contrectoqs) license pursuant to the Contractors License Laws.). ❑ I em exempt untler sec. Busineu and Professians Code lor this reeson: Signeture: Date: Owner ID veniietl by tlrivers license. ❑ Ves ❑ No Drivefs License No. Venlicatlon of Ownership by (typa at tlocumen4 i.e. - properry tvc bill or tleetl): DIVISION OF INOUSTRIAL SAFETV PERMR CERTIFICATION: Ezpires: ❑ I hereby ceriHy tha� no exwvatlon tive (5) or more feel in tlepth into which e person is requlreA to tlescen0, wlll be metle in connectlon wi�h work euthorized by Ihis permil, antl Ihat no 6uilding structure, scaHalding, lalsework, or demolition or dismantling thereof, will be more lhen thiny-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ti11e 8, Celitomia Administrative Cotle). . ❑ As owner�builCer, I will not empby enyone to do work whlch woultl requlre e permit from t�e Dlvision of InOusirlal Sefety, es noted ebove, unless such person has e pertnit to do such work irom the tliWsion. Signature: Data: Divislon ol Intlustdel Satety Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHOROA710N OF EHTRY: I certify under penalry ot perjury Ihal I have reatl this epplication and state t�at ihe inlarmetion given is I wrrect. I agree ro compty with all stete laws end dry orAlnances releting to builtling construnion, end authodze representatives oi the Ciry ot Coste Mesa lo enier upon Ue ebovedescnbed property ior inspection purposes. I egree not to occuOY or albw occupenty of any building eulhorized hy this pertnit until tinel inspection. CODE I, INSVECTIONTYYE' ' ' 1fi1fi Flxetl Sysiem Finel Fira Prevention 1288 Pool Spe Flnal 200 Final RB-Roof 201 Finel BIacWRetelning Wall 202 Finel Fettory Flre Place 203 Finel Sign 204 Finel Demalition Date �� Z� Date COpE1 INSVECTONTVVE ' ' PAIE �$ 206 Flnal Mechanital 208 210 212 220 Flnel Plumbing Flnel Electrlcal Flnal Fire Prevention Final Plenning Approval 222 Flnal Site 250 Fina18uiltling/Occupancy (71b) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 hAIM UMIVt, GV51 H MCSM, l.A `J[OLO JobAddress: 397 LAPERLE�1 f � Suite No Vicinity: UNIT 1/2 Parcel Nunmber: 42531112 App�icant: STRATE, JAMES ,�.: Address: 2970 E LA PALMA '� �� SUI7E L ANAHEIM,CA - PLUMBING PERMIT ,' Phone: 714-630-1180 , , Zip: 92806 ISSUED BY: Ownec , �jQj'jSGt�l Address -A-6-B6)EYBB��" ��} �-Q��.Q_. ( � ) �� _ ..{p@� %�,��..��t ��.c5�_, Phone: � t..v :�:�+ 'e:.^.: �+�=r�.A Zip: -96PP4 � l Z�.(� Z-� Contractor. CAL-BEST CONSTRUCTION CO Address: 2970 E LA PALMA SUITE L ANAHEIM,CA Arch / Eng : Address: ISSUE FEE Backflow irtiga5on Backflow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Dr�in, Rainwater Drdin, Roof � - � Phone: 714-630-1180 Zip: 92806 License: 512375 Phone: Zip: � License: " � / Status: ISSUED Applied: 10/15I2003 Issued: t0It512003 SCOPE OF PERMIT FIRE DAMAGE REPAIR TO INCLUDE: REPLACEMENT OF WINDOWS, INSULATION, DRYWALL, CABINTS, FLOOR COVERING, ETC. ROOF FRAMING REPAIR AND RE-ROOF ALSO. MISC. PLUMBING AND ELECTRICAL. PLUMBING TO INCLUDE: 1 BATHTUB, 2 P-TRAPS, 1 KITCHEN SINK, 1 WASH BASIN, 1 TOILET. REF: 603-01790 ' AMT 323.50 SO.OQ $0.00 $9.80 $0.00 ' $0.00 50.00 50.00 $0.00 50.00 $0.00 FEE SUMMARY QTY AMT Laundry Tub / Washer g0.00 0 Landsrape Irtigatlon $0.�0 0 P-Trap $19.60 1 Pressure Regulalor $0.00 � 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 SepGcTank � gO.OQ 0 Sewer Cap tor Demo $0.00 0 Sewer Connect � . $0.00 0 Sewer Private Line $0.00 0 Shower - 50.00 QTY . 0 0 2 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr BkFlow(1-4) Vacuum BrkrBkBow(5+) Wash�Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.BU 50.00 $0.00 59.80 50.00 on 0 0 0 0 0 0 1 0 0 1 0 NOT�CE: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) EXPIRATION: This permtt shall automatfcally expfre and become void ff work is not commenced wlihin 7 BO days, or ii work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabl eodes, and all requlred Inepactions and final approval mus� be oblained. Fallure to obtain inspections and final approval will result (n �he axpira�ion of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 zsacwe lerUo) DE_C_LARATI_ONSJ WORKERS' COMPENSATON DECLARATbN: �/ I here�y ettirtn untler penalry of perjury ane of �e follawing tleUarations: • �� ❑ I he e antl will malntaln e ceNlicate of consent ro self-Insure lor workers' mmpensatlon, es proNded lor by sectlon 3700 0l t�e Lebor Code, for the pertormance of [he lor whlch thls pertnit is issuetl. I heve end will maintein workers' co pensptbn Insurance, es requlred by seclbn 3700 0l Ihe Lebor Catle, for the poAormance ol Ne xrork iw whbh thLs permit Is issued. My workers' comp lon Insur c0rrle erM pdiry number ere: Cerrier. PoliCy Number: (This sec(ion need not be complefetl i permit7s ve/uerl et wne huntlred dd/ero (5100) or less.) ❑ I cenify thet in the peAortnance e wprk fw whicli thLq pertnit is iswed, I shell not employ eny person in eny manner so as lo become sub�act to Ne workers' compensation laws ol Celifomia, end e rea that N I shoultl becane sub�ect to Ihe workers' compensallon DroNslons oi Se tion 3700 ot t�e Lebor Code, I s�all torNwith compty with these proWsiwu. I�� AppllCen� Signeture: Dete: WARNINO: FAILURE TO SECURE WO�1 S' COMpEN$AT1pN pWEqpGE IS UNUWFl1L AND SHALL SUBJECT Ml EMPLOVER TO CRIMINAL PENFLTIES ANO CML FlNES UP Tp pNE HUNDRED THWSAND Dq1ARE (5100,000), IN FODfT10N TO TTIE Cp$T pF CpMPF1d$pTIpN, pAMAGES hS PqONDED FOR IN SECTIIXJ 31O80F THE UBOR CODE, INfEREST, M!D ATTORNEI^$ FEES. LICENSED CONTRAC70RS DECLARATION: I hereby efllrm that I am Ikensetl untler provLqionq ol C�apter B(commendng wich Sectlon 7000) ol D'Mslon 3 at the Busineu enA Professions Code, end my license is in f W force entl eHect. Lic. M Class M Contractor's Slgnature: ,G�/- A , Dete: � C� /`l'i CONSTAUCTION LENDING AGENCY: ❑ 1 hereby aflirtn that there is e conslruMbn lending egenry tor the peAortnance ol Ihe work lor which this permit Is Issuetl. (Sec. 3097, Civil Code). Lender's Nema: Lentlefs Atlaress: Signature: OWNER•BUILDER DECLARATONS: Date: I hereby eHirtn ihet under penelry ol perjury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires e permit m construct, alter, improve, tlemolis�, w repeir eny structure, prior to its issuanca, elso requlres Ue ap0��wm tor such pertnit to file a slgneA stetement Nat he ar she La licq� punuant to Ihe provlsions at Ihe Cantrectors Llcense Lew (Chapter 9(commenGng with Sectian 7000) of DlWsion 3 ot the Businass antl Professions Cade) or Ihat ha or sha Is exempt Iherefrom e� Ne besls for t�e ellegetl ezemptlon. Any WWation at Senlon 7031.5 Dy any appliwnt for e pertnit su6jects Ihe appllcant to e cWil penelry ol not more ihen frva hunAretl ddlars (5500).�: ❑ I, as owner ot Ne property, or my emplayees wit� wages es Neir sde wmpensation, W ILL DO THE WORK, and the structure Is not intentled or ottered for sale (Sec. 7044, Business and Professions CoOe: TTe ConVectors License Lew does not apply Io an owner of property who builds ar impraves thereon, end who does such work himselt or herselt or ihrough his or her qwn employees, proNdetl Nat such improvements are not intended or ottered tor sale. If, however, the building pr improvement is sWtl within one year of compleNon, the pwneo-builder will have Iha burden at proving thal he or she did not build or improve for purpose of sale.�. � ❑ I, as ownar of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct t�e project (Sec. 7044, Business antl Profassions Code: The Coniractors License Lew tloes nm appty to en owner oi propetly who builtls or improves Ihereon, end who contracts for such pmject wilh a tontraclor(s) license pursuant to the Contractoro License Lews.). ❑ I am eaempt untler sec. Business and Professions Code for this roason: Signature: Date: Owner ID verilied by drivers ticense. ❑ Yes ❑ No DriveYs License No. Expires: Veniication of Ownership by (rype oi tlocumeni, i.e. - properry tax bill or tleetl): DIVISION OF INDUS7RIAL SAFETV VERMIf CERTIFICATION: ❑ I here6y cenily Ihet no excavatlon flve (5) or more leet in tleD�h into whic� a person Is required to descend, will be made in connection with work euthorized by ihis permit, end thet no buildlnp sWcture, sCaNdCing, lalsework, or tlemolltion or dismantling Ihereof, will be more ihen t�irty-six (38) feet hig�. (Chap. 32, Grp 2, An 2, Sec. 341, 710e B, CalHomla Atlminlstretive C6de). ❑ As owner-builtler, I will nal employ enyone to tlo work w�ich woultl require e pertnit Irom Ihe Dlvlslon of Indusidal Sefely, es noted ebove, unless suc� pereon �es e permit to da such work tmm ihe division, SigneWre: Oale: Division ot Intlustnal Salety Pertnll Number. ICEHTIFlCATE OF GOMPUANCE AND AUfHOR¢A710N OF ENTAY: I certify under penalry ot perjury that I have read this application and state t�at the informaUon given is I correct. I egree to comply with all stete laws end Gry ortlinances reletlnp to building construction, entl authonze representetives at Ihe Ciry ot Costa Mesa to enter upon the ebove-described properry tor Inspectlon purposes. I egrea rwt to occupy or allow acupenry of eny builtling euthorizetl by this pertnit un�l final inspection. COOE /. INSPELTIONTYPE 1816 Flxetl SyStem Flnal Fire Prevention 1266 Pool Spa Final 200 Final Re-Roo1 201 FIne181ocWRetelning Well 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Domdltion PAIE R�L: / `�' � �`/8 Date COOEI- INSPECTONTYPE 2os Final Meclianical 208 Finel Plumbing 210 Finel Elecidcal 212 Finel Firo Prevenlion 220 Final Planning Approval 222 Final Sile 250 Final Building/Occupency P�I: R�L� I�-9 -03 � (7�a) 7sa-5273 • Fax (7�a) 75a-aess • www.ci.costa-mesa.c�ILDING PERMIT �� rnin unrvc,.,w�n mcar, �r a�o�o Jobnddress: 397 LAPERLEi84 P� Suite: Vicinity: UNIT 1/2 Paresl Number: 42531112 Zoning: Applicant: STRATE, JAMES ISSUED BY: Address: 2970 E LA PALMA - - SUITEL ''��_ Phone: 714-630.1180 � - � ANAHEIM, CA , Zip: 92806 � Owner. � � �Q'�ga�'�� I 1 Address P..C�B63E20E-� 3�'� � �p�J � �� . -As8' . ' Q��E� hone: � ' �,. ��, ,�A WJv'.�1�Q$li' Zip: 9B2T4 �,�QZ,� , _ Convactor: �CAL-BEST CONSTRUCTION CO � �_ �� Address: 2970 E LA"PALMA SUITE L Phone: 714-630-1180 ANAHEIM,CA Zip: 92806 License: 512375 � Arch : � . Eng: Addrgss: , � - , Address: i t �-Phone: - � Sfatus: ISSUED Applied: 10/15/2003 Issuetl: 10/15/2003 Phone; Zip: License: License: SCOPE OF PERMIT FIRE DAMAGE REPAIR TO INCLUDE: REPtACEMEN7 OF WINDOWS, INSULATION, DRYWACL, CABIN7S, FLOOR COVERING, ETC. ROOF FRAMING REPAIR AND RE-ROOF ALSO. MISC. PLUMBING AND ELECTRICAL. � . Plan Check: $0.00 Permit: $16725 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.15 SETBACKS MAINSTRUCTURE Front 0-0 ACC�SSORY Front 0-0 PARKING Existina: ,0 FEE SUMMARY � � - ` �- � � . Calc Valuation: . � Claim Valuation: Rear 0. 0 Rear 0- 0 Reauired: 0 PLANNING & ZONING Left 0. 0 Right Left 0-0 Right Proposed: 0 � . 0- 0 0- 0 ss,000.00 S9,0oo.00 NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regutations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced vnthin 780 days, or if work is suspended or.ebandoned tor a periotl ot 180 days. INSPECTIONS: In order for the work authorized undar this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona end Iinel approval must b6 Ob�ained. Failure to obtain inspactions end final approval will result in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2m&e818'00f WORKERS' GOMPENSATION DECLARATION: `� �/ I hareby eNirtn urWer penalry of perjury one ol tha tollowing declaretlons: . ❑ I heve entl wlll mainteln e conilicate of consent to self-Insure br workers' campenseNon, as provitletl br by section 3700 of tha LeDor CoOe, tor the pertormence ot Ihe wo r whlch thi9 pertnit is issuetl. ve end vrill meintein workers' mmpensetlon insurence, es repuired by sectbn 3700 of Ne Lebor Cado, for the pertormance of the work tor w�kh thtq parmit is Issuetl. My workers' compensation Insurence carrler and polity numbar era: � r 7 Certier. 5�.�-�[- �/_(7n� Policy Number: Ir7V IOs�-S �^��V� (Th/s sectlan need not be rompleted ll Ne permlrls valued et one hundretl tldlen �5100) a IessJ ❑ I ceNty that In tho pertortnanca of the work br which this pertnit is issued, I shell not empiq eny persrn in eny mflnner w as lo betome subject to t�e workers' mmpensetlon laws of Cailtomia, entl egrea t�at tl I s�ould becomo sublect �o the workers' compensatlon provlsions ot Section 37 of the Le or Cotle, I shall forthwith compty wit� these proh Applicant Signature: ��J��_ `6,r �� Date: I —O�- �'��r � WARNING: FNLURE TO SEC�E WOR1(ERS' COMPENSATION OOVEMOE IS UNUWFUL M1D SHALL SUBIECT M' EMPLOYER TO CHIMINAL PEWLLTIES AND CML FlNES UP TO ONE NUNDRED T/IOUSAND OOLLARE (E100,000�, IN ADDf710N TO THE COST OF COMPENSATION, OAMAGES AS FRONDED FOR IN SECfION 3)O60F THE L/ BOR COOE, INIEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLAFiATON: I hereby attirm t�et 1 em Iicensed under Drovisic force end eXect. Lia k_==_/ l� Contractofs SigneWre: Chapter 9(commenUn9 wit� Section 7000) of Dlvlsion 3 of the Business and Professions Cade, end my license is In full Classp— /��. T�1 �-7 /�— i�'-�v7d� __ —_. .. Date: 1 l/ 1 1\ /! 1 L CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirtn that them Is e construction lentling apency tor t�e pedortnance ot the work br which ihis permit is Issued. (Sec. 3097, Civil Cotle). Lentlera Neme: Lentlefs Atldress: SlgneNre: Date: OWNER•BUILDER DECLARATONS: I �ereDy eflirm t�et undar penalry of perjury Ihe1 I em E%EMPT FqOM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business antl Profeuions Code: Any tlry or cwnry whicA requires e pertnit to construd, alter, imprwe, tlemdlsh, or repair eny strucWre. pdor to IW issuance, elso requlres ihe epD��nt tor such permit ro file a slgneC stetement thet he or she is Ilcensetl pursuam to t�e 0�+� a� �he Contreqors License Lew (Chapter 9(commendng with Sectlan 7000) ot Dlvision 3 ai the Business end Profe551ons Code) or that he or she is e:empt theretrom arW the Eesis for the allegod exemption. Any Nolation of SeCllon 7031.5 Dy flny epplicant for e pertnit subjects the applicant to e dvil penalry af not more ihen five huntlred dWlers (5500) J: ❑ I, as owner of Ihe properry, or my employees with weges es their sole compensetlon, WILL DO TME WORK, and the structure is not Intendea or oflered tor sale (Sec. 7044, Business end Prolessions Code: The Contractors License Law tloes not epply lo en owner of property who builtls or improves t�ereon, flnd who does such wark �Imselt or herself ar thmugh his or her own employees, D�ovidetl t�at suU Improvements ere nm Intended or aflared tor sale. It, hor.ever, Ihe buildinp or improvemen� is soltl within one yeer oi com0letlon, Ihe owner-builtler will �ave the burden ot proving thal ha or she did not build or improve tor purpose ot sele J. � ❑ I, as owner of Ne pmperry. em E%CWSIVELY CON7RACTING WITH LICENSED CONTAACTORS to construct Iha project (Sec. 7044, Business entl Pmtesslons Code: Tha mntreaars License Law does not appty to an owner of propeM who Dullds or Improves thareon, antl who contracts br sucti proleci wit� a coNrector(s) license pursuent lo Ihe Contwcbrs Licensa Lews.�. ❑ I em exempt untler sec. Business end Professions Code lor this reason: Signature: Date: Owner ID verilletl by dnvefs Ilcense. ❑ Yes ❑ No Drivefs License No. Verlficetlon ol Ownership by (type ol tlxument, i.e. - properry tea blll or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICATION: ' ❑ I �ereby cenify Ihal no e:cavetlon live (5) or more feet In depth Into which e person is requireC to tlescen0, will be made in connection wilh work euthorized by Ihis pertnit, end that no building siructure, swHoltling, lalsework, or demolitlon or dismemlinp Ihereof, wlll be more Ihan thirty-six (38) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tlle 8, Celitomla Atlminlstrative Code). ❑ As owner-builder, I will not employ enyane to do work whlch would require e pertnit trom the Divisian ot Indusirial Selery. es notetl ebove, unless such person �es e pertnit b do such work Irom Ihe tlivision. � SignaWre: Division af Industrial Safery Petmit Number: Date: CER7IFlCATE OF COMPLIANCE ANU AUTTfORIZA710N OF ENTTiY: I certity under ponelry of parjury t�et I have reatl tNs epplicetlon antl state thaf Ihe iniormation given is I wrrect. I egree to comply wlth ell stete lews antl ciry ordinances rele�ing to EuilCing cronstructlon, end euthonze representetives o1 the Cly ol Coste Mesa to enter upon the ebove-tlescnbed property far inspeclion puryoses. I egree not to occupy or ellow occupency of eny building euthorized by Ihis permil until Ilnal inspection. GOOE r. INSPECiiONTYFE ' 1616 Fi:ed SySiem Final Fire Prevention 1266 Pod Spa Final 200 Final RaRoof 201 Finel BIaWReteininq wall 202 Finel Feqory Fire Place 203 Finel Sipn 204 Finel Domolitlon PA]E 1NIl�SLS COUE 1 INSPECTION TYPE 206 Final Mechaniwl 20B Final Plumbing 210 Final Eleclrical 212 Final Fire Preventlon 220 Final Planning ApprOval 222 Final Site 250 FinalBuildinq/Occupency (��a) 75a•5273 • Fa�c (�ta) 75a-aBss • www.ci.costa-mesa.�LU�CTRICAL PERMIT �� hAIH UHIVt, GVA IA MtSA, GA tlLOLO Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: 397 LA PERLE'bIQ � UNIT 1/2 42531112 STRATE,JAMES 2970 E LA PALMA SUITE L ANAHEIM,CA -"_,i/��-� " -- � - ' Phone: 714-630-1'I80 �' - � Zip: 92806 � ISSUED BY: Owner. .� �; 1 1 Q.1Z-�j0��_ �1�` Address R6�89K-�P08 �� - "��i� ' � ..C.B. - - Phone: �� " � - ,' `pni nmvvo�,�� ,A,�/� Zip: �B2i+ � (�(IZ� �" . � �` rJTYk� Y � K-SY�' �� Contractor. CAL-BEST CONSTRUCTION CO Address: 2970 E LA PALMA SUITE L � Phone: 714-630-1180 ANAHEIM, CA - � . � , "' ' Zip: 92806 � � � � - License: 512375 ISSUE FEE Temp service test Res. a/c package New Res (1-2 uniLs) New Res (3+units) Pool / Spa Lighting Fizts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Mators to 1hp Motors to 10hp Motors to SOhp Motors to 100hp Status: ISSUED Applied: 10/15/2003 Issued: 10/15/2003 SCOPE OF PERMIT FIRE DAMAGE REPAIR TO'INCLUDE:�REPLACEMENT OF WINDOWS,�WSULATION, DRYWALL, CABINTS, FLOOR COVERING, ETC. ROOF FRAMING REPAIR AND RE,ROOF AL50: MISC. PLUMBING AND ELECTRICAL. ELECTRICAL TO INCLUDE: 4 LIGHT FIXTURES, 13 OUTLETS AND 4 SWITCHES. 1 SUBPANEL TO 200 AMPS. � REF: B03-01790. � �. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $4.40 $14.30 $4.40 $0.00 $0.00 . $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 $0.00 Quantity 0 0 0, 4 13 4 0 0 0 0 0 0 0 0 0 � FEE SUMMARY . Temp Dist Sys[em /��ighting . Busway /100 ft ,, � SWntling Sec[ion " Misc Electncal Equipment � Transformers up�to 7 kva/kw ......�..........up to 10 kva/kw .. .................up to 50 kva/kw ,; ..................up to 100 kva/kw � ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt - �Misa Conduit Misc. Conductor � Circus ( gen or ride) Circus (mech ride or lights) � . � Christmas Tree Stand Fireworks Stand ; Other Electdcal Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 So.oO 0 $0.00 0 $0.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements untler Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) • EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoried for a period of 1 BO days. ��y INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such xrork must comply with all applicable codes�and all requlred inspeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of'tfiis permit. FOR INSPECTIONS CALL: (714) 7545626 2a4Bd8 (8q0) WORKERS'COMPENSATON DECLARATON: `� � �J I here�y effirtn untler penelry of perJury ona of the following declare6ons:' � � ❑ I h nd will melntain e certificate of mnsent to self-Insure for warkers' cnmpensatlon, as prodded br Ey sectlon 3700 0l the Lebor Code, for Ihe pertormence of the rk for w�ich thl5 pertnit is issued. I have and will maintain workars' pensation Insur ce, a54equired by section 3700 of Ihe Lebor CoOe, for the peAortnanoe ol ihe work For whiM this pefmit is Lswed. My workere' compensatlon Ins carrier entl num r Certier. PWiry Number. (7h/s secf/on need naf Oe cwmpleted i! fhe permil /s velu d f one huiMred dWlers ($100) or Iess.J ❑ I ceniy Ihet in Ihe peAortnence ol the work for wh this permit Is issuod, I shnll nol employ eny person in eny manner so es to becane subject to Ihe workere' compensatlon lews ol Cellfornla, entl egree Ihet II shoultl become sub�ect ro t�e workers' compensetlon pmvisions of Sectlon 37000QQQ 01 the Le6 r Code, I shalllanhwlth Comply wi�h Ihese provisio . ' � I Q�' �� j Appllcanl Signelure: /�i Date: �� U � � WARNINO: FAILURE TO $EW ORKERS' COIAPENSAiION COVERAGE IS UNLAWFUL AND SIUL� SUBJECT M! EMPLOYER TO CRIMINAL PENALTES AND qVIL FlNES U T� OONE HUNDRED T1iIX15ANDDOLLARE(E100, ),INADDITIIXJTOTHECOSTOFGOMPENSATION,�AMAGESASPHOVIOEOFORINSECTION3�OBOFTHELABORCODE,INfEREST,rWOATTORNENSFEES. LICENSED CONTRACTORS DECLARATION: I here�y aHirtn thel I em Iicansed under provisla fOftB HOtl BNBCL LIG M�- Contractots Signamre: /�m//Y�i�i 7000) of DMslan 3 at t�e Business end Professions Code, end my Ilcense Is In full GIOss M oece: CONSTRUCTION LENDING AGENCY: ❑ I hereby effirm Ihal there is e wnsirucUon lending egency fw Ihe peAormence ol Ihe work tor which Ihis permil is issuetl. (Sec. 3097, Civil Code). Lentlefs Nema: Signature: _ OWNER-BUILOER OECLAHATONS: Lendefs AdGross: Date: 1 hereby eflirm thet under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Prafessions Catle: My city or counry whic� requires e permit to consiruct, alter, Improve, demolish, or repeir eny swcWre, pdor ta its issuance, also reqWres the aOPIIcaM lor such pertnit to file e signetl atatoment I�et he or she Is Iicensetl pursuant to the proNsions ol the Comrectars Llcense Lew (Chapter 9(wmmendng with Sealon 7000) at DMsion 3 01 the Business end Professions Cade) or thet he ar she is exempt theretrom enE t�e Dasis for the allepe0 a:emption. Any Wolatlon of Sectlon 7031.5 by eny eOP�lcant for e permlt sub�ecis Iha epplicem to a clvil penalry of not more t�en tive �untlred tlWlers (5500).): ❑ I, as owner o� �he properry, or my employees wl�h weqes es Ihelr sole compensatlon, WILL DO 7HE WORK, and the structure Is nat Intentletl or oNereG lor sale (Sec. 7044, Business end Pmlessions Code: The Contractors License Lew does not appy to en owner of property who builds or impmves thereon, antl who Ooes suc� work himself or hereett ar Ihrough hls or her own employees, pmdtled that such impravements are not Imentletl or otterad tor sale. If, however, the bullaing or improvement is sold within one year ol completion, the ownerbuilder will have�the burden ol proving Ihat he or she did not build or improve for purpose ol sale.). � ❑ I, a9 owner ot Ihe pmperry, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to mnslruct the project (Sec. 70E4, Business end Prolessions Cotle: The contrectors Llcense Law does not apply to en owner ot propeny w�o builds or Improves Ihereon, end who con�rac�s for such pro�ea wlth a comrector(s) licenso pursu8nl to iho ConireCtorS License Laws.). ❑ I am exemD� under soc. Business end Protossions Code lor this roeson: Signeture: Data: Owner ID verlfletl by drlvers Ilcense. ❑ Yes ❑ No DrNers Ucense No. Expires: Vedlication of Ownership by (type ol daument, i.e. - property taz blll or tleetl): DIVISION OF INDUSTRIAL SAFETY VERMR CERTIFICATION: ❑ 1 hereby certlfy ihat no excaveHon five (5) or more fee� in depth into whiG� e person b roqulretl to tlescen4 will be matle in connectbn wlth work euihodzed Dy this permit, end Ihat no DuilOing s�ructure, scettoltling, falsework, or tlemolltion or dismanlling thereot, will be more than thirty-six (36) leet high. (C�ap. 32, Grp 2, Art 2, Sec. 3at, TIIIo 8, Calilomia Atlministretive Cade). ❑ As ownerbullCer, I will not emplay enyone to Oo work which woultl require a permll Irom ihe DlWsion of Industrial Safery, as notetl above, unless such person hes e pertnit to do such work Irom t�e division. Signature: Date: DivLaion of Industrlel Salery Permil Number: ICERT1FlCAlE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penelry of perjury Ihat I have reatl this epplication entl state thet the informatlon gNen is I carrect. I egree Io compty with all stete lews end ciry ortllnances releting to builtling constructlon, antl euthorize representatives of tha Clry oi Costa Mese to enter upon the ebove-described pwperty lor inspeclion purposes. I egree not to occupy or ellow occupancy ol eny building autharized 6y this permit until tinel inspection. WOE �. INSGECTIONTYGE ' PAIE II�LS 1616 Fixetl System Final Fire Preventlon 1268 a�a Pool Spe Final Finel Ro-Root 201 Flnel0lock/Retaining Well 202 Final Factory Fire Place 203 Final Slgn 204 Final Demdition �� CODEI �xsveenoNTrve 206 Final Mechanicfll 208 210 212 220 222 250 Flnel Plumbing �Final ElecUical Finel Fire Praventlon Finel Planning Apprwal Finel Slte �� Finel Bultling/Occupan�y PAIF IIiiIDlL9 �,i1:fr . r - v�.' i •��.::� ; , �� ia� �sa-sz�s • Fa,c (iia»sa-aess CITY OF COSTA MESA BUILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job nddress: 397 LA PERIE PL Suite: Vicinity: GARAGE ParcelNunmber: 42531207 App�icant: YOUNG, MIKE Address: 01712 E. CHESTNUT SANTA ANA CA Owner: PIERSALL, JERRY Address 397 LA PERLE COSTA MESA, CA Contractor: YOUNGS ROOFING CO., INC. Address: 01112�E. CHESTNUT � SANTA ANA CA , . Zip: 92701 Arch : Address: , Phone: Zoning: Phone: 714- 753-5444 Zip: 92701 Phone: Zip: 92627 Phone: 714-753-5444 License: 568560 Eng: Address: y S PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: � �2ip : License: Zip: SCOPE OF PERMIT RE-ROOF OVER EXISTING (2) LAYERS OF COMP SHINGLES WITH 40 YR. COMP SHINGLES (4 S�). ` Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $o.00 $29.25 $0.50 $0.00 $0.00 $0.00 $29.75 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0. 0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Lefl 0. 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0-0 Status: ISSUED Applied: O6/30/1999 Issued: 06I30/1999 Phone: ' License: s�so.00 a�so,00 NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under Califomia stetutes end related regulations. (Ord. No. 92-28, § 1, 12-21-92) � FJ(PIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abendoned for e period of 180 deys. � INSPECTIONS: In order for the work authorized under ihis permit to be considerad legal, such work must comply with eil applicable eodes, and all requlred Inepectlona end flnel epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiretion of ihis permit. FOR INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION DECLARATION: • I hereby aHirtn untlenpenelry oi per�ury one ot t�e following tleclaretions: ❑ I heve entl will melNain e certificate of consent to setl-Insure for workers' crompensatlon, as Drovided for by sectlon 3700 ot t�e Labor Code, 1or the peAormance of the work tor which ihis pertnit is issuetl. �] I have and wlll melntain workers' compensatlon insurance, as requlred by saction 3700 oi Ne Labor Code, lor Ne peAormance ot the work for which t�is permit is issuetl. My worker1s'I compensation Insurance carrier antl policy number are: 11l Cartier `� , w�� u V� Policy Number: WC3 OSSYJ D(� �� (Ihis secfion need not be canp/eted i/ the permlf Is veluetl et one bundred dallers (5100) or less.) � ❑ I certity that in the peAormance of the work far which this pertnit is Issued, I shell not employ eny person in any manner so es to become subject lo the workers' compensetion laws of Celitomia, end agree thel if I should become sub�ect to the workers' compensatlon provisions ol Section 3700 ot the LeDor CoCe, I shall forthwith comply with ihese provisions. Applicant Signature: Date: WARNING: FAILURE TO $ECURE WOPKERS' COMPENSATtON COVERAOE IS IINLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUN�RED THOUSAND DOLLAPE (5100,000), IN ADORION TO THE COST OF CqMPEN5AT10N, OAMAGES AS PqOVIOED WR IN SECTION �W OF THE LABOR CODE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aflirm thet I am licensed under provlsions ot Chepter 9(commencing with Seciion 7000) ot Division 3 of tha Business antl Professions Code, and my license is In full rorce end eaect. Lic. x G S 6 a ciass a Cr'$ �i Contractors Signature: �'�YI:L7ss-- Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn ihel lhere is a consWction lentlln9 flgency for the peAortnance af the work tor which this pertnit is Issuad. (Sec. 3087, Civll Code). Landers Name: Lenders Atltlress: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby affirm thet untler penalry of perjury Ne� I em E%EMP7 FROM THE CONTRACTOHS UCENSE LAW for �he following reason (SeC. 7031.5, Business and Profeuions Code: My ciry or counry which requires a permit to construd, alter, improve, demolish, or repair any sWCWre, pnor lo Its issuence, elso raquires the epplicant for such permit to flle e slgned statemant that he or s�e Is Ilcensed pursuent to ihe provlslons ot ihe Conirectors LJcensa Lew (Chepter 9(commencing with Section 7000) of Divislon 3 ot Ihe Business and Pmfessions Code) or thet he or she Is eaempt therefrom antl the Dasis for Ihe alleged exemption. Any violation ol Sectlon 7031.5 by eny epplicent for e permit sub�ects the epplicant to e ciWl penelty of not more then five hundrad dollars ($500�.): ❑ I, as owner of ihe property, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and Ihe structure Is not intentletl or otteretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not appy to an owner of property who builds or improves Ihereon, and who tloes such work himselt or herseN or through �is or her own employees, providad ihat such improvements are not intended or oHered for sale. It, however, the building or impmvement is soltl within one year of completion, ihe owner-builder will have Ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner ot ihe propeRy, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business end Professions Code: Tha contractors License Law does nat epply to an owner of property who builds or improves thereon, end who comrects for such prolect with a conirector(s) license pur5uant ta the Contractors License Lews.). ❑ I am ezempt under sec. Signalure: Owner ID verified by tlriver's license. ❑ Ves ❑ No Business antl Professions Cotle for �his reason; Venficetion of Ownership by (type of tlocumenl, i.e. - property tex blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: Drivers License No. Date: Eapires: ❑ I hereby certiry thet no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authonzed by this pertni�, end thet na building sWCWre, sceflol0ing, felsework, or demolition ar dismentling ihereof, will be more ihan t�Irry-sIx (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Celifomie Administretive Code). ❑ As owner�bulltler, I will not employ anyone to do work whlch woulA require e pertnil from the Divislon of Industnal Salery, es noted ebava, unless such person has a pertnit to do such work Irom the division. Sipnawra: Date: Division of Indusirial Satery Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7HORIZATION OF ENTAV: I certify untler penalry ot perjury ihat I have read this application and stata that the iniormation given is cortect. I agrea to comply with all state laws end city ordinances relating to building consiruction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon the above-descnbed property for Inspection purposes. I agree not to occupy or allow occupancy of any building euthorizad by this pertnit until tinel inspection. „ Signatu Ot Legel Owner(s) Date ��l'Y�q �-3o-Y9 Antl/Or ' etl Applicani Dete COOE �. INSPECTIONTYVE 1616 Fixed System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Raof 201 Finel BIocWRetelning Well 202 Finel Factory Fire Plece 203 Finel Slgn 204 Finfll Demoll�ion 264648 aaiE lr�9li � -�19 COOE I INSPECTION TYPE 206 208 210 212 Final Mechanical Finel Plumbing Final ElecMcal Final Flre Preventlon 220 Final Planning Approvel 222 Finel Sita 250 Final Buili BAIE v (714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job Address: 397 LA PER�E PL Suite: Vicinity: WHOLE HOUSE Parcel Nunmber: 42531207 Appliwnt: YOUNG, MIKE Address: 01112 E.CHESTNU7 SANTA ANA CA Owner: PIERSALL, JERRY Address 397 LA PERLE , � - COSTA MESA, CA Contrecror: YOUNGS ROOFING CO., INC. . - Addressi 01712 E. CHESTNUT ' SANTA ANA CA Zip: 92701 � Arch : Adtlress: Zoning: Phone: 714-753-5444 Zip: 92701 Phone: Zip: 92627 Phone: 714-753-5444 License: 568560 Eng: Address: PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 06/30/1999 Issued: O6/30/1999 ISSUED BY: �_ � � Phone: - Phone:� i � �' �Zip � � License: Zip: License: , SCOPE OF PERMIT , RE-ROOF HOUSE OVER THE EXISTING (2) LAYERS OF COMPOSITION SHINGLES WITH 30# FELT 8 40 YR. COMP SHINGLES (12 S�.) - TEAR OFF EXISTING ROCK ROOFING ON FLAT PORTION OF ROOF & INSTALL BUILT UP � ROOFING (4 SQ.). FEE SUMMARY �Plan Check: Permit: SMIP Res: SMIP Com: � � � Other: Inspection: Total: $0.00 $99.75 $0.50 $0.00 $0.00 $0.00 $100.25 SETBACKS MAIN STRUCTURE Front 0• 0 ACCESSORY Front 0-0 PARKING ExistinU: o NOTES: Rear 0-0 Rear 0-0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0. 0 PropoSetl: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $4,750.00 $4,750.00 NOTICE: The work authorized by this permit shall comply with all applirable handicap eccess requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire end become void it work is not commenced within 180 days, or if work is suspended or ebandoned for a penod of 180 days. INSPECTIONS: In order for the work eulhorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required Inspeetlons and final epproval must be obtained. Failure to obtain Inspections end final epproval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSATION DECLARATION: I hereby eHirtn uneer penelry of perjury one of Ihe following decleretions: . � ❑ I heve and will maintain e certificate of consent to selt-Insure tor workers' compensatlon, as D�aNtled for by section 3700 of ihe Labor Code, for Ihe pertortnance ot Ihe work for which ihis permit Is issuad. � I have end will maintein workers' compensation Insurence, as required by section 3700 ot the Labor Code, for ihe pe�o�nance ot Ihe work for which ihis permlt is iuued. My workar ' compensatlon Insurance carrier entl policy number ere: ca��a�: U� �ANr•!i POIIcyNumber. �%C3 aS Boo� S (Thls section need not be comD/efed il (he permit is velued et one hundred Dollare ($ ]00) ar /ess.) ❑ I certity ihat in the peAormence of the work for which this pertnit is Issued, I shall not employ any person In any manner so es to became subject to the workere' compensation laws of Celitomia, and agrea that It I shoultl become subject to Ihe workers' compensation provisions of Section 3700 of ihe Lebor Code, I shell fonhwlih comply with �hese provlslons. Applicant Signature: Date: WARNINO: FW WRE TO SECURE WORKEPS' COMPENSATION CAVERA�E IS UNLAWFI/L AN� SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000�, IN ADDfTION TO THE WST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN SECTION 3]O60F TNE LABOR ODDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRAC70RS DECLARATON: I hereby affirm �hat I am licensed under provisions ot Chepter 9(wmmencing with Section 7000) of Division 3 ot the 8usiness and Professions Cotle, and my license Is In full fome antl eHect. Llc. a 3 L 2 S6 � Cless a � 3 5 ConiractorsSigneWre: � �\�� Date: -3x- CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm Ihat Ihere Is a conswction lentling agency for the pedormence oi Ihe work tor which Ihis permil Is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Address: Signature: Da�e: OWNER-BUILDER DECLARATIONS: I hereby ettirm that under penalry oF perjury thet I em E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires a permit to consWcL alter, improve, demolish, or repair eny structure, pnor to Its �ssuance, elso requires the epplirant tor such permit to ille e signed stetement Ihet he or she Is licensed pureuem ro the provislons of Ihe CoNractors License Lew (Chepler 9(commencing with Sectlon 7000) ot Dlvlsion 3 of �he Business and Professions Code) or that he or she Is exempt theretrom and ihe basis for Ihe elleged exemptlon. Any violation oi Section 7031.5 6y any epplicent for a permlt sub�ects Iha applicent to a civll penalry of not more then ilve hundretl tlollars ($500).): ❑ I, as owner oi tha property, or my employees with wages es Iheir sola compensation, WILL DO THE WORK, antl Ihe siruMure is not intenAea or ofrered lor sale (Sec. 7044, Business and Pwlessions CoAe: The Coniraaors License Law does not epply to an awner ot properry who builds or impmves thereon, entl who tloes such work himself or herselt or t�rough his or her own employees, provided that such improvemenis are not intended or oHered for sale. If, however, the �ulltling or improvement Is sold within one year of completion, Ihe owner-buildar will have Ihe hurtlen of proving Ihat he or she did not build or improve for puryose of sale.). ❑ I. as owner of Ihe proparty, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business antl Prote55ions Cade: The contrectoro LJcense Law tloes nat appy to en owner of properry wha bulltls or imprwes thereon, entl who conirecis for such proJect with a comracbr(s) license pursuant ta Iha Contrectors License LewsJ. ❑ I em exempt under sec. Business antl Professlons Code for this reason: Slgnature: Dete'. Owner ID verified by drivers license. ❑ Yes � No Drivers License No. Vedlicetion of Ownership by (type of daument, i.e. - properry tax blll or deed): DIVISION OF INDUS7RIAL SAFETY PERMR CERTFICATION: Expires: ❑ I �ereby certity thet no excevetion tive (5) or more feet In depth into which a person is requlred ta descen4 will be made in cronnectlon with work authorizetl 6y this permit, and that no building stmcture, scalfolding, felsework, or tlemolition or dismantling theraof, will be more than thirty-si: (36) feet hig�. (C�ep. 32, Grp 2, Art 2, Sec. 341, Title B, Celifornla Administrative Code). ❑ As owner-builtler, I will not employ anyone to do work which woultl require e permit Irom the Division of Industrlel Safery, es noted ebove, unless such person hes e permit to tlo such work irom tha division. Signature: Date: DiNsion of Induslrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORQA710N OF EMRY: I certify untler penalry of perjury that I have read this epplication and stata Ihat t�e intortnetion given is correct. I agree ro comply with ell state laws and ciry ordinences relating to builtling construction, antl euthonze representatives of Ihe Ciry ol Costa Mesa to enter upon Ihe above-descnbed proDerty for inspection purposes. I egree not to occupy or allow occupancy ot eny building authodzed by ihis permit until Ilnal inspeaion. � ^�Signat e_ 01�4�galOwner(s) Date _ �,ii �� (�_ga_9� AnNOrAuthon plican� Deta CODE t. INSPECTIONTYPE 1616 Fixed System Finel Fire Prevention 1266 Pool Spe Finel 200 Final Re-Roaf 201 FinaI8lwWRetalning Well 202 Final Fectary Fire Placa 203 Final Sign 204 Final Demolition 2468J6 4LIE ��lLS COpE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Finel Electrical 212 Final Pire Preventlon 220 Final Planning Approvel 222 Finel Site 250 Finel Building�Occupancy � � �� p��B��mxi 397 LA PERLE PL °"'gRs"N'E'°'°'°"": HEFLIN, ROSS E TR '0°"�� 397 LA PERLE PL COSTA MESA,CA 92627 ur�. �wta�c �ooaEss urc.wrt¢cronexuiffx: conm�craas ••�. LpffRlCi0A5 Y16N6 �DOREW: UNT: uc. ra.: urn: uc. xo.: uar: 110EN5ED COMRACTOflS OEttAq�TON: I M�eby elfrm wMs penNy d pmryry ihel I un Iceewd uMx ymiuma d Cheqx 9 (camma��q vmh Senion )OW) W Dnivion � d Me &ninea eM Pmimdma Code. end my licenro ia in IuA /wca vd sllep. CT' L1C. NO.: lJC ClAS9: LIC. NO.: E X EJ � ome: cwwea«: OWNER BNLDER OECL1fl4T10N: I haeby elfiim under pmNy d perjury tlw I em ezemq Imm IM CoMredon Lioerua few la IM �dbv.ip rsmm� (`�� )�t.5 &niwss uM Rdenione Cods: AnY ��Y a oountY �iM rpuiroe e peimn b mmvun. Ma. Mprow. �ImdeM1, a epei mry �I�unurs. por m u ewence, ebo rpuiim ihe epplicw In euch pemiil lo file e eyroE ueiemenl rtw M p�he � �� W��enl lo IM powuru d tM Conlratlms Li[enee law �Chep�er B(commendnp xil� Sad'pn ]OW) d p'v'vim J d Ihe BuJnm erd Prdwiaa Codel a ihel M a Me b e�emq �haehom antl ihe Eexe la �M dbped e�emqion. Nry videtion d Swon ]031.5 by eny applirant ta e psrmp wbpqs ihe appliceM to e snl penelry d iwl maa ihen ive hurM�ad dd4n �f500�). •n I. m owner W tM propMy a rtry anWv�eea wYh weqa n �hai Wa mnpemelion. willdo iM v.wk, end Ne �W�Yun e nol uVendeE l'" «dlered/aeeb(Section)OM,BueiroueMPrdaswoneCoCs:TheComreqonLimneslewEaee�atepplyioenoxnerdpopeery who WiM a inppaa Ihdson, aM Wq Emt auM v.dk h'vnsetl a MnM a Niaqh he a Mr own emplo�aee. ppiESE ihel eWi impwanw ara nq inieMetl a aflaed lor eW. M, lawewr, iha buikirp a'vnqoveinem u edd xilhin me yaer d oomplxion, the owewrbviUar WI hew �M dWsi d pmvirp M a 4r d'd nd bwM a impow Iv iM WNaa d eeb). � 1. m oww d �he papMy, em eadusrvely conlredip wn� licaneed contreclon lo conmurf �M projeq (Section ]ON. Businaee enA vmlau'vu Gada: TM GoM'eem Lioen�a law Ewe nd wWv w an ormer a pwMY wAo buitls « imV�'a Ilvaan eM who comrecd br aN pajena wiM e oomrma�e) liansetl punuenl to tM Conlredore Lianae Lew). ❑ 1 em� Jevmp urdsr �SxaY/bn: B. 8 P.C.. navon: // / � � % � -/ I Oxxw'uuqdl�i� L� A / Dma: I tlo Mrea' ceM'tlut I am ewve d end �vdasWM Ne n0 � d lama IbMh xd 6NeiY Code SWiare 25:A5.2553J. mM A5531. erd tlut I a e^y Mun bnkiM �� will / wil m� (acb ane) io camply wlh eeid atete cadse enL �M nW"vamame br .wmW�«cane��union«modifxationhom�n.A:" u�1e r�empam«nauriq.wtle.midonmwim,eoo��..�.�*•maemmuwe Dma: AppfraM: WOPKEX'S COMPENS�TON DECWiATON: I Iweby dfvm uMs px�My d peTny pa d Ne Idbwirp Exieicioro: ❑ I hava enE wil meinien e wnAktls d mmm� b sellimuro M xpke�e oompevelbn. m prw'vJed la by SaNm J]00 W �M leCor coa.. i« ms o«��a d na .w� �«.+:d, m4 o«mn m m„aa. ❑ � nev..m .0 maim.6 wwwe„� mmw�+mon vvurence... ba�:.a M swian a�ao a u» �enor coa.. ro, �ne v�a�e a �ne xak la xfiiN Ne peimu u inued. My MaMre canpenatlion ireu�enca rirrim and pofiry number are: c.� vacv M,mna.: /mb w,bn mse nar es om�dwee r w n«me u k. aa nwibeeCa�w. (S�oul n 6s,./ ❑ 1 cenly thm in tM1e pMwmenca d �he work lor r,hrh �hb pe�mit ie luued, I ehell ml emqoy eny pemm in vry mamer ao p to Eecm�a abjetl �o tM wMe' mmpe�tion lexs d CaNarva, arM apns Nq L I MwM Esaro subje�f to IM xaYan' oompermtbn po+o'wm d Sedion �100 d IM Lebor CaAe. I ehell lo�hvmh mmpy wnh thova povivme. Dme: Appieem: WemNp: FWun ro weun noilrwi mirywuetlon coverp� Is unlnrN( �ndah�ll wENef an slrp/qp ro eNMixl pm�ltlu �M elMl II� �q ro prs h,nOrM tlouuM eaJl�n (ffOqOWA M N�Itlon ro tlro ewf ol eorr�osiuetron a�W u povlGL ror In 'Sctlm 9N6 0l tM L�Dor Cob. InM1n�4 � ettom�y� !wa coNsrnucnow ��r+rnra �o�cr. i newr e� u�w. w�.M d o.,N,y �nm in.. u e oona�aaan �endiro mdkv ror m. wn«menc. w in. wak �« .nid� �w o�� A m.�,.e (s«rnn aow. cH. cl. LENDEP'S NAYE: LFNDER'S �DDPESS: I cMih tIW I luw rtaE I�e epplicetian md aeie �hel lhe ebovs inlamvbn le conM. I epiee Io canpy wilh ell ary ud ooumy adiiwKee W ems lew �elmip to Writlip � mtl nseby eWqrza �eprmen�etivm d ihiadrym entx upon iM ebwe-mwionaE papsry la impenion pvpwea. JOY FIEFLIN Dete: / �� 7 %.l / (515��a8.WP) Whne-BulMfp d Selery; �rearFb; Cenery-ADDH��: Pink-Pevenue:0okanroE-Meeaeor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 0732G5 PERMIT NO: P 073265 PLAN CHECK NO: N GOVT: N SUPP: N CONSTROCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH JOB DESCAIPTION : WATEA AEATER REPLACEMENT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT iE 1E iE iE �Ih iF iE i(� 1h iF 1E iE iE iE iE iE if� if iE 1E iE 1E # fE f(�'K")E iE �)E iE ik 1E 3E iE 9f 1E 3E'lE 1E �lE �E iE if jE if 9E iF iE 1E i(�!F iE iF �lE 1k iE iF 1E If iF 1E IE if iE if'lE 1E 1E')E 1E'IE iE iE jf 1E if'1F ik if 7. 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 ---------- --------- ACCESSORY BUILDING --------- FRNT: £T IN AEAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN IPARKING REQ: PROV: PARCEL: 42531207 ZNE: REF NO: 'PLANNING NOTES> i iE aE iE ik iE �ElE iE 1E fE fE iE iE 1E iE 1f iE 1k 1E iE �f ik if �E 3f if 1f if 1E 1E iE 1E ff iE iE iE iE �E 1E iF jE 3E iE 1E iF 1E IE 1E iF iF fk iE iE if if iE if if if 3E if iE 1E �E iE iE iE i6 iF iF iE iE �E iE If i4 iE i(� iE D E V E L O P M E N T S E R V I C E Se R E Q U I R E M E N T S ZONING APPROVED BY �. DATE: BOILDING APPROVED BY : DATE: APPLICATION ZSSUED BY: S� � DATE:� ��LV iE1ElflfiElElEiEiE1EiElElflEiEiElE1EiE1ElE4iFiF3F3F�F�F�FifTFifiFif-iif�FTFiFif �F7FTFiF3f�FifTETf�FiFiF3fiFiEfE1E1ElffEiElE1E1E lEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 258 SMIP/NON—RES PLAN ZSSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.00 20.00 0.00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 1E �E fE i! 1E 3E �E fE 1E �E �E fE aElE fE iE ff iE fE fE 1E 1E iE 1! if 1E if iE iE if if� if iE iF 1F iE iElF iF 1E iF 1E iE 1E iE iE �E iE iE fE iE fE fE 1E iE iE iE if iE iE if iE fF 3F aE iE iE ik iE iF if iF iF if !E iE iE iE 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 PLU �. WATER HEATER AND/OR VENT 7.00 7.00 END OF FEES Oi 001�6�02—001�6202 Tt77" - �'(,Ot �JATE: J7/�?/95 TltlE: 09'�� / � '. ,CONSTRUCTION AND PLANNING �- PO� � SPA APPROVALS Permit # Date I�spector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. �, 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms '% t 4. Eiectricai Conduit-Undrgrnd. 55. Electriwl Bonding ��j, 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 Undrgrnd., Test 9. Water Pipe-Undrgmd. � 60. 8ackwash lines, P-Trap, � Undrgrnd. 10. Structural Floor System .' 6/. APPROVAL TO DECK 17. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewer Cap � ' 63. Heater & Vent-Finat 13. Roof Qrains 64. Plumbing Systam � Finai 14. Fough Piumbing ' 65. Electrical-Fina� 15. Rough Electrical-Conduit 66. Solar System-Finai - 76. Rough Electric Wiring 67. Fencing & Access ApProval � 17. Rough Wiring Sign 68. APPROVED FOfl PLASTERING �' 78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rouqh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVAIS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Duccs, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flusl. 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and F�ashing 76. Dry Standpipe 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL 29. Insu�ation 76. PIRE PflEV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Finai Electric Notes: 34. Finai Heating & Air Conditioning 35. Final Gas Pipe�Test - � 36. Hood or Canopy " 37. Final Factory Flrepiace 38. Finai Plumbing 39. 4Vater Service-Final 40. Gas Service�Final 41. Soiar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BU�LDING _ 48. FINAL PLANNING � - 49. Electric Release to Edison - 50. Gas Release to Souther� Calitornia Gas Cn 51. CERTIFICATE OF OCCUPANCY No� Date � r, wowessaemtoixo: 397 LA PERLE PL owr+Easw�uEiF�w�r': JERRY PIERSALL r �� 397 LA PERLE PL COSTA MESA, CA 92626 �PPL. MAl1R#i dWNESA UNT: mcxrzeciox�rFn: BERNARD C ADAMS �"�- C10183 ARCN.OqEIA'9AOOPES9: 11OZZ ACACIA PKWY �� E GARDEN GROVE CA 92640-5108 �n�� HERTZ POOLS 6 SPAS (714)770-2048 ��T�R=�y� 23385 VIA SAN GABRIEL �op�% LAGUNA HILLS CA ��= 600926 92656 uwr: LICDlSED COMN�CiON4 DECL�N�TON: I lwWy tllim ivNw paWy d pepvy Nn 1 an fcwad uNw pom'v� d Cheqm 9 (oommam�inp wilh Section IOW) d Diroian 3 tl Ne Bu�inan uM Pmle��ou COAa. eM mY �» b in lup Mtt aM s11eC. cmuc.No.: uc.cuss: C-53 �°��D' 6009 6 XP: o�a: �nTJ I f�'!�iJ c�o, OWNEN BUI�DEN UECL�NATION: I Iwaby atfum uds paWy d pr''vy Ihel I awnq tmm Ne 9��on liroma lew la the �Mbxvq namn (Sedim ]ro1.5 Buaneas wd Adm�'vn Code: AM W a opvVY Yfiidi nawas e D� a �o am+wd. ads.'unwwe. �mdvh. a ropei mr/ a4uetaa. prior b b ea�enoe. eho �ep� tM epp4neu Ip wfh pe�m! lo fib a tip� pmemant tlW M a sM , i�,,.e w�w �o �n� a� d m. cw�. u�.e �. I��qa 9(mmnanaN wuh Senion ]000) W D'vuion 3 d �M Businea erd Hdabbm Codel a�� a tln o e�emq Il�admm eM iM Wtie la Ne eOepeE mempion. My viMmun tl Seeun ]031.5 by etry eppM1urY Ia e permG wbptl� Ihs eppfratl lo e ad pwietly W nd mqs Ihenlrvs hunC�etl Eopett �$SOOn. � I.eaoMnerdiMpoprtyamyenWb�es�r.ihweyvoNrdswmpemtion.wAEOIMwkaMtlieMCNrebnuimeMeE 'a Maretl br aele (Sectan ]Oaa. BueNeu end Prdneion�CoCs: The Caarmon l'vae lewdom rot eVPN toen axmier d popeny 11'�p �9 M�IIVA'e� 1�MApl. dld MD OJO tW�11YRk �YII� R�1M1l� Of I�1fOU0�1 �10IX �1M OYIII MIIpO�lM. plWl.�'!� I�1BI WC�1 impovemeNs era mt inteMeE a Wsa0la+els. tl. howawr. �M buitlirp a inpwemeN is wltl wil�in me Yeer W mmpbton. iM owMrbuiMar vM hm IM dvden d piw'up M a tla dd rc� Gvla a impwe la tM pupoee d eebj. � 1. ea ornw M �M PWMY. em ududMY mrumeN �vA 4oreeE eaurecim b mntrW Ihe pcl� (Setivn )Wl�. Bw'viees ak Prdes+ioru Cade: The COMredas liesua Isw Eom nol epply b en owmr d peopany xfio buith a imqwee theroon eM who mnvaca la a A popaa r.ith e mrvretlar(e) fcanasd puauva to iM Cauradm licama Lew). � I em exemp undu Seclion: B. 8 P.C., la Nu �eeaon: Dme: Owmr. I tlo Mmby ce�iy Ihel I am awere d ud undenWM IM npuiremanb M Callomle /ImEh ud Sdery Cade Seubm 25505, 255]3, uM 25551. eM iliei I a ury Mun bnkmp om�un wi0 / wil ria (�b aw) � to canqy r.t� uk qeb mEm eM Iln rpui�emenb far e pemin lamnevutlionw mod'dratbnhan�MAi�6iva ilianepsmenl Diqnd. Re�idemid muvwon eppirmbroers memp Irom Ihesa pfOY19NM. oaw: �oaryn: WOHKEH'S COMPEN9ATIq1 OECIAN�TON: 1 MrW� eKvm uMr panMy d pr'ryry pr d IM lo0oxirp MCutliom: � IheueaMxYme'vneneuM'��dcwssnto�Wrw��bwwken'mnp�mvion.npwidWtab�Sw'vi�)OOdlMlaba Gods. lar tM pe�tamence d IM xaM la whic� thu pmmn u W ued. ❑ in�d,a�;��.n.awa.�o�w�+mo��,,.�..o�.m�.awsae�,a�aowm.i.eacoae.i«m.o��am. work lu xhiN Nu W� 6 mued. MY waMen' oomDM�ion'vuurerca mrtW md V�Y munber ue: , Carror: Pdiy Numbar: �rna ..a� �..e,w� n�o*d.rw r rn. o.me e ra o,. n�.�m.e eaa.�. R�ool w.m1 g] I ronN � in IM pMarmenu d iM wak br wAkA �Ab permn h u�uaE. I 4uY np�mplq ery pr�on in vry mevix �o u to Eecam wOjW to tM wMaY mmpa�Wbn Iern d Ce6mue, eM yne tlw i I�MW Momw aAjw to iM waYen' rompenmlion pwiaiam d Seqion ]l00 d �M lebor Code. I NeA 1 nhrritA mnp�yi � thua mx"GmR- om.: �n��_ W�mlip: F�U✓n ro wcun rortwi co�ru�tlon covwpr Is unbrM1q �iW �h I u!/M �n r�ple) u1MrW pwltlu uM aN� n�.. w ro m. n�ner.e moua.ro mw. (rialaaoA ti�u�n ro m. cm� o� romp.n..wn u poview ror �n SKtlm J]G6 0I N� LiGOfCotl�, InHnaL ��NV � I�u CONSTRUCTION LENMNO RQENCI': I Iwapy Wvm wtlar {wutly tl per'�sy tM �lse e e aduvuaion bM'up q�eM.y br tln perinmeMe tl �M �.ork Iar rmidi in's pemY u eawE (�� 1. Cw. CI. . LENOEN'SNAYE r 4� ' . . LENUEN'S �ODPESS: � - J • I<enJy tl� 1 heve �aed Nu epq'r.etion eM qWs thel Ns abwe iNametion e cartsp. I aprae lo oompy rmh aA ray aM ooumy adnarrae ard sW s lew �alm^i b dAdiq Mm�nbn W lsab' eWAd'¢s nR+w��+� al llu my b eMs �D� IM eEwe-mmqioneG pW�Y • lor inspopion W�O�� • ' � Dme: �Z7 � . ; (515t-,6.WP) �� ld.q 8 Se1My: OrseerFb: Cuury-Appiran�: Hnk-Rv.anue: Gddmm�Iu+evw -" CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 078370 PERMIT NO: H 078370 PLAN CHECK NO: 02617-96 L GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD JOH DESCRIPTION : 448 SQ FT POOL 6 SPA SQ FT: 15,000 CLAIM VALUE: 15,000.00 CALC—VALUE: 15,000.00 GROUP OCC: R-3 / COMMENTS; POOL 6 SPA AND DECKING / FENCE UNDER SEPARATE PERMIT *+��+r��**�+��r��*�r**��**��*�******��+r�r�rx *+��r+�x x **�*�r�r�rx�*x �r*�**��*x�**�r*� �r*�� **x �e 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 --------- FANT: 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: 92531207 ZNE: R2MD REF NO: PLANNING NdTES> CONSTRUCT A POOL ON THE LEFT SIDE OF THE HOUSE, i 1f 1E 1E 1E iE 3F 1ElF iFlE iE 7f !E iE 1E 1E 1E 1E 1E IE 1f if iE 1E 1E 1E iE iE 1E If if 1E �f iE 1E dE iE iE iE 3E iE 3E 3E iE iE 1E 1E jE 1f i41F 1f iElE fE fE �E 1E 1E iE IE 1f 1E iE if 1E IE 1E IE iE iE iE iFlE fE 3E IE iE iE D E V E L O P M E N,T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY • �� DATE; �"27`%I� BUILDING APPROVED BY : WS �7 DATE: /�• Z7'%�, APPLICATION ISSUED HY: Y��l>� DATE: CO G/—"/C� iE 14 14 14 14 1E 1E fk 1E 1E IE M 1k 1E fE �k 1k iE 1E fk 1E 1E 1E 1E It 1E 1E If 1E 1Flk 1E��{Fi! ik LEGALIZATION:N F E E S U M.M A A Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTEtIC',t�MECHANIC FIAE SMIP/RES GRADING PERMIT 224.75 .p �'i SMIP/NON—RES PLAN 146.09 � ' ,y# 3.15 ISSUE FEE � HUILDING—DIV—> PERMIT ISSUE PLAN—CHBCK TOTAL� PAID DUE TOTALS----> 227,90 0.00 . 146.09 373,99 373.99 .00 REVENUE DIVISION TOTALS--> COLLECTED�: 373.99 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 224.75 � . 3.15 146.09 if k if if iklF 1F M 1E 1FlF 1k 1F 1E if !f if 1E 1E 1E if if if if ik if 1f if if iF 1F 1E IE ik 1k 1E 1E iE ff iE iE iE 1! 1E IE 1E 1E7E 1E iF if if 1E 1f iE if 1E ik fF 1E IE IE 1E ik 1E IE 7E 1E iE 1F iF 1E f! IE 1E iE IE iF 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 15000 POOL 6 SPA I;;a ' 1.00 15,000.00 END,-OF FEES r .� � YCONSTRUCTION AND PLANNING PO� .SPA p�pPROVALS Permit # Date Inspector qppROVALS Permit # Date lnspector 1, Temporary Electricai Service or Pole 52. Pool & Equipment Location " � 2, Soil Pipe•Undrgrnd. 53. Stee1 Reinforcement r3> Efectrical'Conduit UN�tity-Undrgrnd. 54. Forms � G� �[. ' T4_ ElectricaltGo2duif,Undrgrnd. 55. Electrical Bonding ''� .;,5 �Steel Reirrforceme�t 56. Rough Plumbing & Pressure Test '�6.'� Electrica� UFERc�nr7. 57. APPROVAL TO COVER�GUNITE "] � 9 � ,7;'Footings= ,;' �''�„�; 58. Etectrical Conduit�Undrgrnd. " g, � Foundation ' i. � 59. Gas Pipe, � Undrgrnd., Test � � 9. WaTer Pipe�lJndrgrrj�i. , 60. Backwash Lines, P•Trap, O Undrgrnd. 10. Sc'ryaural Floor Svstem 61. APPROVAL TO DECK . 17. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap ` -" 63. Heater & Vent-Final •- 13. Roof Drains i __ , 64. Plumbing System • Final .._ �-fI 5'( •//�c �T 74. Rough Plumbiog-- 65. Electrical�Final ' • . 15. Rough ElEctricat-Cori{luit T 66. Solar SYstem-Final ' 16. Rough Electrio Wjrirlg 67. Fencing & Access Approvai � 17, Rough Wiring Siqh ^ 68. APPROVED FOR PLASTERING 9� %/ �6 �� ig, Rough Electripl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � �2-p� P�'� 19, Rough HeaUng & Air Conditioning � _ F E OEPT. REQUIREMENT T �_ �- 20. Ruugh Factory. Firsplace �" ., ,x� - C, r : �APPFkbVAIS� � Permit # Y - _- 21. Ducts, inrStru�ur6* ^ ' - ` - • " � ' _ ", � � 70. '�ndergrtlund H,ydro 22. Oucts, Ventilating' � '- .x -� - �� ' 71. Product �ping O•Gas � Oil - 23. Gas Pipe-Rougfi & Test _ _ ' -�' - 7y, Undergro�nd FIP,sh • � � _ 24. F�'oof Framin9�� ' r ' � � � :73: Undergrn`d.Srora�.7ankQGas rJ011 25. Roof Sheazhing � ' �• 74r��verhead Hydr6� _ " 26. T�Bai Ceiling IStructural} & A+�opocoat . - - � 75c pry.�hemi�yl �-. _, . - p7, Frame and Ftashing - ' - . • 76. Dry Star�!¢ipe ' _ ± . - 28. Lathinq & Sid'mg � r ' _ .', _ � "�; 77, FIXED S�TEJS!1'fINA4 � t 29. Insutat;on _ * ' �� 7�, FIRE PREV. FINAL ' 30. Drywa�l flailing . � � . . , � -HEALTH�DEPT. REQUIREMENT 31. Plaster Brown.Coat- �_ .� t �T "79. FINAL INSPECTfON � K _ 32. Electrical Power Met�r-Final w�� ; ''8Q�FOOD CERTIF�G'ATE IS5UE� _ � ;� � %-96 ..!�/- sr_ r � / "' �`�r�/� -33. �inal Electric � � �� '= � � N6tes: $ 'l � d lr'/�ec ' 34. �inalHeating�$i A� COnditioning �� •_}' k „ ' '' � _ /0 fSG-� r�-u.aae��t'.1 c�' � 35. KinalGas�Pipe�Tesf, - � ` T 36. Hood or Canopy ' '° = - - • � � ��- � : t _ � " z_-3-t6 - 2�o-f��' : �, �� s �o„�� -,37. Final.Eactory Pireplace .- - . � � � -, rt� 38. FinafPtumbing' ^.r _ . .� - 'a ^ _. �- �� nr �: i { r�. < � 39. �Vater Service-Final,. . ; ;- �. �'� �40. Gas Service-Final ' <' • T ' - � , r �. - * • a � 41. Solar pomestic-Final; � r ;.- �: _ . ? ' 42, Backtlow Preventer. - � � � ^ �•F � :- c � _ . . - � h, rr -i � . � ' - ' _ 43. Backflow Irrigation-, � - � • 44. Landscape IrriQationSYstem . -� : ' - . , 'J'`S ' . ' 45. Sound Attenuation ; � , � , -. • � • 46. Handicap Regulations . ' r � ' -' � - rr, 97. PINAL STRUCTURE & BUILOING ; , , � � • � 48. FINALPLANNING ' , ` - � ' L 49. Electric Release to Edison , '' ' _ 50. Gas Release to Southem Calitomia Gas Co • ._. `--' 51. CERTIFICATE OF OCCUPANCY � ' No. Oate t�a�� 397 I�A PERI�E PL ^MEiF�aw": JERRY PIERSALL wopEu: 397 LA PERLE PL COSTA MESA, CA 92626 1VPl. 41JIRIti AOOPE55: UNT: � — U �xcxnecrox�aN�n: BERNARD C ADAMS �� C10183 WiCILOFENG'SAWNE55: 11OZ2 ACACIA PKWY uar: E GARDEN GROVE CA 92640-5108 coxmncrarswue: HERTZ POOLS & SPAS ( 714 ) 770-2048 cwm.croas�uuno 23385 VIA SAN GAHRIEL �ooxEss: LAGUNA HILLS CA uc.xo.: 600926 92656 UNT: LICENSED CONTPACTONS DECLAflAT10N: I heieby Nim uMx panely d pmjury Nel I em linreed uMm prw'v'v�a d Cheqer 9 (commendip wilh Saclion )000) W Orvisbn � d Ne B�ainees eM Pmfessian Code. eM mY lionea e in lull lorce vM eHea. cmuc.No.: uc.cuss: C-53 uc.No.: 60/0926 EXP: De1e: �/ � li/ //T CmVeaw: � I\ �� OWNEF BUILDEN DECLPNATION: I Mreby elfirtn uMer perwly d parN�Y �� I em uemq Imm iM yeclas liroma lew lor IM 'ybw45 reasm (Sedion )031.5 Buai�»s arM Proteasims Code: RnY cYY a oounb xfiidi reauims a Garm7m mrowci. Mx. imwo.e. md'eh, ar rapei any aiiuclure, prior to na aauence, ebo reQuirae iha epqirenllor euch permil lo file a sqmE stalemant �hm he ar eM licenaed W��a �he proNnione oliha Cantrenan Licensa Lew [Chepim 9(minme�nB ��h Sedion 1000) d DiJsion 3 M Ihe � Eusineas erd PrMexuns Cade� or ihel he or she o axamq Ihneham arM ihe beaia lw Me ellaped uempton. My violalian d Sedion ]W1.5 by anY aPW�t lor a permil abjxU the epplirai� to e avil parelry d ml mae �Mn liva huMreE ddlen �550011� � I. aa owner W �he pmpeny or my empbyeea wnh wepes m thai ade wmpensation, will Eo iM vrork, eM iM niunure e nm intended or dlmeC lor sele (SecWn ]OG6. Butiness enE Proleeaiona Code: The Coniredon Licenae l.ew daea rol epplyb en owner d proparry .no wus a mv�%�n�, �a w� eo�.�n wwk �:m�n w n,n,e «m�awn na «na ow� �dw«•, wa+a� �nm.�n impwementa ere nd inieMetl a dlered for seb. X. lawarer. tM buiNi�p a inqwemenl is eoltl wilhin me Y� d complation. tM owner-W iker will heve the WMen d provi�p M or eM dk nal W ik a impwa la �M puipoea d aela�. � I. es awner W t�e propeM. � aFdueiveN �nlrectip xith licensed convecbre W canatrud iM D�IeC (Setlian ]010. Businme eM VMeaian Coda: The Cantrmon L'cenx lew Ews na epply to en ownar d popMy who buiNe a imqwm iM�eon eM who convncia br surl� prqeds wiN e mMredor(s) Icereed W��t io Iha ConVeuon lioense lav�. � I am examW uMer Saciion: B. 8 P.C., for Ihis reeson: Dme: Owner: I do hareby cenity thel I em aware of arN undeistend tha requiremantn o/ CelRomie Heellh eM Se1My Code SeUiona 25505, 2553], vd 255a6. enE Ihet I w eny Mure W iki�p aaupenl will / wAI nol �dreb one) need lo mmply wnh eaid etete mdm and ihe repuiremmb fa e pemm I«mmtNclionor modificmionhamtM �i�0ue tZy .I�arupamam Diatritl. Revdenliel mmt'utlbn eppicetbre ere nvemphan �heae wwivm.. oeie: Aaoibem: W OPKEP'S COYPENS�TION DECLAFATION: 1 hereW effi�m uMer penMy d psjury an d tM Idbwiiq dderetione: � I heve anC vrill meintein e cenMcme d mneent lo aeN�inaure /a wakere compenee�ion, m provided for py Sedion 31W d ihe Lebor coae. �« �ne oenormence d �ne woA �w wircn mia va�mA ie iasuad. ❑ i na.�e ena �i� me�m�.o�w.re� �w�on �nwreMe. m rea��a W see�u, a�oo a me �.n« coa.. ror me o��m�. a me w«k Iw xAich Mie permX iv im�ed. My waken' companation inwrence rarrbr eM pdiry number are: Cerriar: ' PaKrN�mee,: (This saciion need nw be compbfeJ / the pamr<is br are h�nereC dollers /SrOJ/ w Iw.l $] I cenyy ihet in ihe perlmrence d the xrork Iw whch thie parmA b i»uetl. I ahell na empby eny pemn in eny menrrer w ea �a become aubpa to iM MONen' compeneation kv.a d Celilana. uM.�ree th I e Id'Decome eubptl lo iM xwken' wmpanae�ion pmrisare d Seeion 3)00 d tM lebor Cade, I ehell t� xilh oom ve qwivam. o�, r.�l��i9�� poa�, +—r. � r W�minp: F�Nun ro s�cun woAxi rompxr�atlon eoverep� ls un/awNl, �M aIWI wb/ect �n Ioylr b erlMrW p�n�ltlu aM el✓1l Ilroa �.p b aro Iruntlred fMusuM JMbn /SI00,000), M M1/tlon ro M� eost ol rompxwtbM1 tlam�ps u povMM br In - 9w0on J105 0/ Ms L�or COW, /nteml, end ettomsy e/su. CONSTPUCTION LENDING 10ENCY: I haeby eifi�m uMer penelly d perNrv �� e a e mneVupion bMi�p epeM.y M Ne peAormence d the xak for wfiic� thi penni ia esueE (�� ). Lv. Cl. LENDEP'S NAMEr i.-' � LENDEN'S �UOPESS: / �� I eerlity thel I heve reatl �hia epplieaiion eM Hde thei the ebove inlortne�ion ia eorred. I eprte lo wmON �h ell dly aM muMy ordineewee enE ntme levrs mleting lo builEhg conatmaion eM hereby authorae representelives W thie dryto enter upon IM1e abova-mentuned proparry lorinspedion purpasee. ' . �j-,� ,� TMaC,.N�2T� . (5�51de.WP) Whao-BuiN'vp d Sdery: GraerFle: Ceneuy-Appirant: Fnk-Revenue: GOICenro�Asxaw , � _ CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 078371 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION : 448 SQ FT POOL S SPA CLAIM VALUE: CALC—VALUE: PERM NO: E 07837i. � GOVT; N SUPP: N PURPOSE: ADD SQ FT: GROUP OCC: R-3 / COMMENTS: POOL & SPA AND DECKING ! FENCE ONDER SEPARATE PERMIT /REF B78370 +�+t***+��******�t�t+�+��t*��t***�r��**�*x�**�tx****�t*�*+�**+t**�tx�******x�**x***�*�***�r*�t x*�t** 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 RGiiT: FT IN PARKING REQ: PROV: PARCEL: 42531207 ZNE: REF NO: PLANNING NOTES> i iElE iE iF �IE 1E iE �IE 1E 1E 1E iE jf !E �E �E �E �E IE aE iE if 1f iF ik iElE 1E If iE 1E iE iE iE if iE'� iE iF'1F jf iE if if IE if fE 1E iE if 1f 1F1k 1f if IE �E �E iE iE if If iE 1Elf ik 1E iE fE'lE 1E!! 1E jE'1E iE 9E 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 HY DATE: BUZLDING APPROVED BY : DATE: / APPLICATION ISSUED BY: DATE: (O *�x�r*�********x*�x**** �r��**+�***x�i'tF��** LEGALIZATION:N F E E S_U M M A R Y STRUCTURAL SEGMENT:N fl HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 46.7-5 50& SMIP/NON—RES PLAN ISSpE FEE 22,0.0 BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS----> 46.25 22.00 '.- 0.00 68,25 68.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 68.25 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK 68.25 � iE 1E if 9E �ElE 1E iE 1E iE 1E 1E 1E iE �E �E fE 1f iElElf 1E 1E 3E 1E iE 1E IE iE iE fE 3E 1E fE 1E �E aE.1F;;E 1E iE 1E 1E if if if 1E IE 3E fF iE iElk �! if if fE 1E iE iE fE fE �E jE iF if if 1E 1E ff� dElE IE ff 3ElE 1E iF �E 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 ELE 2 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 2.00 ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 44.25 44.25 END OF FEES '�. "i.. . ', '�_ .�: , .. .- . �. CONSTRUCTION AND PLANNING � ' POC SPA -O'` Date lospector - Date Inspector ,�APPROVAIS Permit # APPROVAIS Permit # I 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � '- 2. Soii Pipe-Undrgrnd. 53. Steel Reinforcement ' -3. Electricai'Coniiuit Ut�ihv-Undrgrnd. � 54. Forms � - ' 4. El@ctricai,Cond�uitUr7drgmd. 55. Electricai Bonding . �7-9� � �. c5. St�l Reinfaicem�M � ' S6. Rough Plumbing & Pressure Test i � .;�6� Electrical UFER_�Grnd. 57. APPROVAL TO COVER•GUNITE / ¢7.rFootings-:^�,�.��,,Cu � 58. E�ectricalConduit�Undrg�nd. '�"y-�j ��' -`8,,-_ Fo3ndatie`'n�Y ''� - 59. Gas Pipe, O Undrgrnd., Test -• 9. Water Pipe�llndrgr„�.id. -� 60. Backwash �ines, P�Trap, O Undrgmd. 70. Swcturai Floor S�yscem �� 67. APPROVAL TO DECK 11. Properxy Sewer, Lin�-& House-Connection 62. Backwash & Receptor-Final - 72. Sewer Cap � I •� �-`' 63. Heater & Vent-Final ,t - - 13. Foof Drains :.� .�F 64. Plumbing System - Final . 74. Rough Plumbiiig- _ ��'� � _ .65. Electrical�Final �p`(Q ¢.16 �(2 N - 15. Rough Electrical-Coittfuit �. 66. Soler System�Final � ��, 76. Rough NectrielMiring 67. Fencing & Access ApProvai �• 77. Rough Wiring Sipn 68. APPROVED FOR PLASTERING 18. Rough Eiectrical-T Bar Ceiling 69. POOUSPA SYSTEM1�S PINA� 19. Rough Heating & Air Conditioning _? _ _ e, „ FIR.E,��?T.;,REQUIREMENT ��• . r -'r;'i^ .r • . "y^. 20. Rouqh Faator3� Fir�eplace - - � �;. �; " ; �; APPROUALS- : Permit # � - - �. : .r 21. DuctS, in�$truetur2, °# ' ' " :; u � '= '` r 70. �UndergrpuncJ I-Fydro � r 22. Ouc�s, Ventil5ting� _ ' �_ � ,-�.a� , 7�, ProductJ?iping O�Gas OOii 23. Gas Pipe-Rough & T#sc _ T -'� `� C, ,T � f,` 72, Underground F.%sfi , ' 24.Roof�Framing�� -'x " ��`, _ � - -.;�`.73�+Undergmd.Storag2T�nk�Gas❑Oil 25. Roof�Sheathing '* � � ' �'y 7q; OverheadHydro i 26. �;Ba�,"Ceiling (StrucYurel) & Monncoat � . �+� 75: Dry Chemical ' • � - 27. Freme and Flashing 1: _ � ' '� % `" a' � 76. Dry Star�lpipe =� `' "` _ �, - - _ 28. Lathing & Siding `-; � - � ' � w � �� t 7� FIXED SYSTE�iI'FI1AL �� %�`. 29. Insulation. "" _ _ •• a �_ � � ;* 7� FIRE PREV. P.INAL - " �r � 30. Drywall i!lailing �=- ;_., ' I k � ' HEALTH�QEPT. REQUIRE(vIENT �� _ 31. Plaster Brown`Coat-a� =� ."' " ; �' �' 79. FINAL hNSPECT'i0N = r • _ r_ .� - F-� . 32. Electrical�ow�r Me[errFfnai -'" , -" 86y FOOD CERTIFiCA7E ISS.dED-� ,.;.r. _ 33. Einal ElecFric� � tT' ' " ! I '`. Nytgs: �r, ��?� "s';�' 'LV//�a.f �D %!l�`�""C -- � , . . _ . of .. � r ^ 34. Fnai�Ne�t'n �& Air Conditionin � '} °� � `�� { " � � 9 9- _ . � ; � �:�o�:io��-l=�rv_A_i�h �D"�Q.�/ � 35. Final GasVPipe-TeSt� s � •� �" * � •� �� _ " ��' _ 36. Hood;or CanoPY = , - _ "' . ` tr , =� ��.- • - - -37. Final•Factory Fireplace :c ' - -. f i ;* _ * `-�; ' c � Y. : �' z "38. Fina�'Plumbin9 ; �� I '.t .' � - i '. - � 39. Wate�"Service-Finai-- �. _ � � . � . ' '- � ' _ t . .• Y � ^ <� -40. GasService�Fir.al "'' � ' � - i� • � �� "�' `�'� ' _ ' * '_ " R • nl.. � �"41. Solar pomesticPinal. - .- .. .� .,. � � � -_�. r " _ n - 42. Backflow Preventei�R, : �. , " �. _ . � � a. 43. Backflow Irrig`atiorr• - - � c� � ^ '' r- �� 44. Landscape IrrigationrSystem =�� ., � � r s , � s` < ' ' {. _ F. � �r. 45. 5ound Attenuation - : � � ` - - � -' - . Y "-' � r 46. HandicapRegu(ations " ,°' "; � "R'' - � i 47. FiNA�L STRUCTURE & BUICDING ., �- � � �-• n, er " 48. FINALPIANNINGx ' !' `: . ` . : , ,� � A9. Electric Release to Ebison ,. � '�� • � - 50. Gas Relaase to Soutfiem Califorhiy;Gas Co � �' - - � -, � 51. CERTiFICATEOP6CCUPANCY ' - " No Date � eoopworemiw+c 397 LA PEAi�E �L oxr+Easru�EiF�a�+ JERRY PIERSALL' �o� 397 LA PERLE PL ` COSTA MESA, CA 92626 �PPL.WJUNO AODN� uNr: S U- �xcN�cTop�x�"":BERNARD C ADAMS �� C10183 AIMN.OPENO.'SINORESS: 11OZZ ACACIA PKWY �M= . E GARDEN GROVE CA 92640-5108 ��T�� HERTZ POOLS & SPAS, (714)770-2048 cwm�crorcswuuxc 23385 VIA SAN GABRIEL �oonEss: LAGUNA HILLS CA uo.xo.: 600926 92656 urn: LICFHSEO COHfflACTONS DECLRNATION: I hen�y eflirm under Po�e11Y � Oe�ury Met I am licenud uMer provimone d Cheper B (mmme^dnY xilh S tion ]W0) d Uvuion � d Ihe &mnea eed PMmeian Code. and mY 4cema e in futl lace eM eltee. �cmuc.no.: uc.cuss: C-53 uc.No.: 6 0926 • CP: � DPoe: �/i�� % [!J Cawma: OWNER BUILDEF �ECIAPRTION: I henEy eifrm unEer pene�y d perary Ihel I em axemq Imm Ihe Canira Li ae Lew Iw IM � Idbw'rig raavon (9�an )0.'11.5 &niroaa eM Prolmaiom CoEe: RnY cYY a�nty whitli rep�im e permG to c ci. eller. impo.e. � 'imdeh. w ropei e�Y ai�uciure. q'v io �a uwenoe. ebo reQuuee IM epplimnt la euc� permil to fib e eq�wd et&emenl lhet M ar she �IcemeE p�nu¢n� �o �he pwieions d �M Conireaore Licenae lew �Chepier e(commaiarp wn� Seabn )000) d Dvbion 3 M iM L uaineea eM RMassions COEe� a Ihel he a eM is aaempt iheralmm entl Ihe bew lor �ha dlped oxemqion My vbletion d Sedion )W 1.5 by eiry eppl�re�� a e permn abjqs �M md� �o e dvil pmMy d nol mae ihen INa hwdred doilen �fSW�. ❑ �.mmxwd�nawro�rormr«nWw��.+nwepmmiheiadeom,vamdion..�Tm�hewak..�kuwenw.+une�auueMee w Mered In eeb I.`•ecYnn"lOIJ. Busren eM ProFeasionaCode:The Comreawa LiceneelewEoe� not eGVNto en ovmerd propany wM CuiEa a inwo+e+�ha�ean. aM Mo doe+ewfi xak NmroE n henel a Waqh Ae n her oxn empbyeea. povided �he� aN CITY OF COSTA MESA - BUILDING PERMIT i RM NO: M 078373 PERMIT NO: M 078373 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: ADD JOB DESCRIPTION ; 448 SQ FT POOL 6 SPA SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS; POOL S SPA AND DECKING / FENCE UNDER SEPARATE PERMIT /REF 878370 ��**�r*x*****�+r�r�r*�r**��**x�*�x+t+t*u*��r+�ie��*�+�**�*ftx***+�+rxit***+�+�+�**��**�r*x��***x Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 42531207 ZNE; REF NO: PLANNING N6TES> i 3E 1E fE iF if iE 1E iE iE iE IE ff 1E 1f 1E iE 1E iE 1h 1f 1E if if 1t fE 1E'1F 1f'14 iE 1E 1E 7ElE if 1k iE iE iE 1k 1E If 1E 1E IE if 1E 1E k i! 1F IF iE IE 3E fh 1E iFlE iE 1E if iE 3E fE 1E if iF iE'IE iE iE 1E iE if �k iF 3E'lE D E V E L O P M E N T S E R V I C E S R E Q 0 I R E M E N T S m,p,.,,,,,m,,.e�w�a.a,.ai..er«�.u.no.a«.men�e��m��dnm.wa.,nn;,�.y.a,a�p.r,�,,w, ZONING APPROVED BY owriarbuiNN �I heva ilw bwMn d pmriip M or eha d'd nd buik a improve t« tM purproe d eeb). • � v�w.�:cma:ri,e°�`�r.�u� �i��.�wy�io��,,,`�.,aa�y°wrowu°«M'� n«.��ro BUILDING APPROVED BY ; conlrecls br e�di Mol�e wnh e cwNrenor�e) Icenead punueni �o iM Contretlas liwnaa Lew). ❑ i,,,,,.,,,,p��e„s«i�: e.aa.c.,iama�„�: APPLICATION ISSUED BY: Data: �� I do AreEl' centlY Ilet I em eware d eM uMastvM Ne �W��ave d Cellaria Heetlh eM 9eletY Coda Sanore 25505. 25.�i1'i. md 255�a. uM tlut I u e�Y Mure buildi�q om�sin wiA / wil rwi (mcb ane) iwd b comNY r.Y� emd qais mde� rd IM n0��saa Iw epermnlammVu��amodifiemunhomlMA'r u�y.aroyemempiaritl.Reebeniielmnarudioneppfutbroereuemqleomllr�s poveions. Oeta: AVW�� WORKER'SCOMP�SATIONDECL�RATION:IMrebyelf ��e,.p.�nyorp.d�rvo�»aina�diow�,pd.m�mo�.: � IheveuMxilmeimenecenil'ratedaoruenttovellinevnbrwakaicpnpanWian.nprovidedlwbySe�tim3]ODdtMlabor Cada, ta tM pe�tortneMe d tM waM1 la which Nu peimil ie ioueE. ❑ I �m eM xi� meiNan xoeken' mmD�+dun imuevm, n nW"vad bY SeUbn 3lW tl Jn labar WGs. M Ihe Ga�� tl IM wak lar xfiiJ� Nc V�w "v iaeued. MY waken' oom0�ion imurance faiwr and D�Y wmber me: c�..: Pdiry Number. .1119 eMiOn nesd �IIN 6B roTF�� IIM 4��16 MWN h1IMTE dd/M �i10J� p IGSI.f �] I rorlh' ihv in ihe perlamar�ce d IM waM la vfiich �hia permit ia iseued. I eM1ell rw1 mpby erry pweon In enY menrwr eo d to becoma wbjeu io iM wrkere' canpnaeiian lex+ d Calilanu. eM eqree Nm i 1 eho d becema wEjea io 1M wwbn' m o«meion w�./wS d sea�on ��oo d�ne �enor coee. i.nd �� wnn om�� m. ,wao.:.. Dtla:��"/` AGPI'rani� Wam4p: A9�n k�un wortwi romowu�tlan covsnps Is unl�wN( �nd NWI a16J�cf en rno(y '�r ro uIMrW pauMu �rW clv/I I/nu ap ro oM ��nOrM flauuM Jo/4n (S/OqOWJ, In aAfltlon ro M� cwl o/ rompxwtbM1 Wrrvqa u prov/tlM ror In 5«tlan aTa6 or tM �or totls. lntw��t, u�tl •ttomeyl laa. CONSTiIUCTION �a1DIN0 AOENt1: I Mnby eff�m uMer pneXy d perj�ry �la� tMn o e oawewfion bM'inp epeM.y lu tlp pe�lamenm d IM �� ihu permY ia ewed (�bn 309). Civ. C). LENDEN'S NAIIE: �� LENDEH'S RUGHESS: � �i � �: I eeniN thet I heve � Nu epplieelbn enE pete Ihet Na ebove inlormetqn u eareeq. I apree to eanply xnM1 ell tlty W counry adironou � eM su�s kxs �eW �a ta buJtliq conmumw� eM heraby eWwvs �eprmmlaMm d th'v my to emm upon tM ebova�meniioned pwmb�� Iw iroD�ion WrO�°s� /� � T !j TIM C HERTZ ��P�Lna�l,Name . / -, ��-- NVII\ j i��/ /' Dme: ��'\j —� preiun d IApenVAppFenuCm�reqa � (5151ee.WP) Whne-Buildip d Sel&Y: GreemFb: Cenery-Appicen�: Pink-Revenue: (3aWenro�bsesmr e DATE: DATE: DATE: ' .�i -'%� *+r�r�**** �* LEGALIZATION:N F E E S U'M M A R Y STRUCTORAL SEGMENT:N BLDG PMT PLUMBING ELECT C i'MECHANIC FIRE SMIP/RES GRADING PERMIT /�' =- 9,50 ' 25E SMIP/NON-RES PLAN � . U._. ISSUE FEE /'�'�!, '�i 22,00 BUILDING-DIV-> PERMIT ISSUE PL'AN=CHECR 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 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CAECK .'31.50 a,' / -I it 16 ik �E it 3E if If it ib it if if iF M if if iF 1E if if iE iE fE it if it it fE iE if iE ib iF fF.�f it it iF IP if iE it it 1f rt iE IF ib ib �f i61E iF it if it iP it it 7t 1t ft 1E it iF i! if 1t 1t if 1t iP iE If if iE iE at I N D I V I D U A Lf FcE 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 �l MEC 1 EACH APPL NOT IN OTHER,CAT UNDER FEE 9.50 9.50 END�f nOF EEES % �� / ` �� i l � . CONSTRUGTION AND PLA�NNING � POO ;P.A APPflOVALS Permit #� Date Inspector qppROVALS Permit �h Date inspector 1. Temporory Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe�Undr9rnd. . 53. Steet Relnforcement -. . 3: Electrical ConduitLtility-Undrgrnd. 54. Forms' � �_ - -4. Electrical,.Condvil-ljqdrgrnd. � 55. Electrical Bonding � ,� -�-5.'Steel ReinYorceme�t . 56. Rough Plumbing & Pressure Tesi !� �"6..� �fi; Elettricaf ��ER.Gmd. 57. APPROVAL TO COVER�GUNITE . �` g �� ` 58. Electrical Conduit-Undrgrnd. -7,. Footin s�-- �, n- a:'- i 8:'Foundatian�; _� - 59. Gas Pipe, O Undrgmd., Test ,�� 5-�6 '�`�9. Weter Pipe-�ndrprrid. � 60. Backwash Lines, P�Trap, O:Undrgmd. 70. Strvctural Pioor Si�stem - 61. APPROVAL TO DECK ' 11. Property Sewer Line & House�on4ection 62. Backwash & Recepior�Final 12. Sewer Cap 63. Heater & VenbFinal '- 13. Roof Drains _ . 64. Plumbing System � Final -= . 74. Rough Plumbing- :. 65. Electrica6Pinal -� -• 15, Rough Eleccrical-Condu+t � ,� 66. Solar Svstem�Final - � 16. Rough EleGiric Wfrirt9 � 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceilin9 69. POOUSPA SYSTEMS FINAL �0.�{-�(� � K 19. RoUgh Heating & Air Conditionin�y 7 _ ,�, _ � FIRE (2EPT. BEQUIREME(�T _ 20. Rbugh Pactory Fireplace <;.� � {�. - - - 'APPROVACS`' : Pe`rmit # � - 21. Ducts, in Structure •' " ' - ' � "' � � 70. 'l�ndergiound HVdro - S � Y 22. Ducu, Ventil��ing �.' " -� - : Y g•� 71. Product plping O Gas C�OiI 23. Gas Pipe-Rough & Test � - * �r� � n. �r $ , 72• Undergrouod Flush ' - 24. Roof frem��9 � , ia `� = x -: 73-j Undergmii. Storage Tank•,C7 Gas ❑ Oii 25. Roof SheaIhing . - * � � _ � ' x ' 74: Overhead Hydr¢� � '. 26. T�Bar Ceiling (Structurap & bfono`soat #�- � r" '� �� 7� Dry Chergical ��' k� � - 27. Frame and.Flashing,z: _,: y e b� -� r� 76. Dry StaniTprpe � � � r .., a � - r• -28. lathing & Siding �.; '" �' i �' - ' �� Yq' 77.� FIXED SY:�STEJtt�;FINAL �-+ i 29. Insulation _�°. _ � ' ' ' 7� FIRE PREV. FINAL r'" ' � 30. Drywall Na��ng "� �,_ ;., , q � iHEALTM�DEP'�. REQUIFZEMENT .•31. Plasrer Brown.Coat� � =' • - ' � +% 79. FINAL INS➢ECTION .32. El.ectrical Power Mei�f-F�nal '�' 4''SQ:yF00D CERTIFICATE I�S�jED_ " .33. Final Eiearic f ; � � �r � � Y Notes: : - -- - �_% � �6��'�f /z1__�� _ 34. FinaFHeating&Ai�:Co�itioniriQ= � �0.�_ .1 : �?�� ' �' �� : .. .. . '": .. r. 35. Final Gas�pipe-Tesi-�. - � • � -. �� _ =�o-y_qb-fi.n��aL�11 <. S3_M x36. Hood�or CanoPY - - i � � ' `' � `' � t# . - ,.. , .J� -37. Final 6actory FirePlace z ,- �..' R I � �..,. r, Y� � �38. Final_Plumping ' y', , ` .X, . . � � r - - : � i - ' 39. Water Service�Fina4-,, - � ' ;� � � � � • ,v, �_, � . � c• ' 40. Gas Service-Final � � �� - �* � r � e'. - 'r �� - = 47. Solar pomesticFinal,; � � �' � ,r �' - _ .: . -. - � 42. Backflow Preventec Y -' ' _� * � '- .i ,Hr 'k_ � .� f. 43. Backflow I��igatiom ; ' �' � , • . � � 44. Landscape Irriqation'System = �'z ' ' '� � :' ' •, � '� ' . 45. Sound Attenuatioq•. �- ; ' • ;: "` `� - - - _ � - r , 46. Handicap Regulationi - -% . _ ` _ . '- � - ;� t C' t. 47. FINliL STRUCTU9� & BUI'LDING � � ;" r a. 48. ElNAL PLANNING Y ` c ; ' � '` � ' ` , • 49. Electric Release to E�3ison , �� , 50. Gas Releass to Southem Califorrt�a'Gas Co , ' ' - _ ,- 51. CERTIFICATE OF OCCUPANCY " - No. Date 0 AOOPESSOFBUILpNG: 3J�] LA PE�T, E L a^'r+Easr�wE�F�x": JERRY PIERSALL "oo"Ess: 397 LA PERLE PL � COSTA MESA, CA 92626 �vr�. �uuxo �nox�ss: uxr: CITY OF COSTA MESA — BUILDING PERMIT PEAMIT NO: P 078372 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: PLU �xcxrtecroner�ax�n: gERNARD C ADAMS °C�NOi C10183 �op�'g�� 11022 ACACIA PKWY �NT E GARDEN GROVE CA 92640-5108 �+�T�s� HERTZ POOLS 5 SPAS ( 714 ) 770-2048 COMPACTOR'8Y41WG 23385 VIA SAN GABRIEL �ooxess LAGUNA HILLS CA ucw: 600926 92656 urn: IICEN9E0 COMNRCTOfl4 UECL�IRRTION: I hersby �rm under psnety d pa�ury ihet I em Ican ad uMer pw4iona ot Cheqm 9 (cammmti�q rm� &ec0an )000) d Oiviaion 9 d iha Bu4��en end PrdecebnA6oEe. end mY liosroe In lull brta end ekM. rcmuc.No.: I uc.cuss: C-53 uc.No.: 00926 E CP• Delo: �;, � ` / / 4� GoMrepor: OWNER BUILDEX OECIAPATION: I haeLy tlfirm uMx penNy d perjury Ihm 1 em ummq Imm Ihe Con lew la Na Idbwip rearon (�� ]�1.5 &niroe� eM PMeseio�s �a: Arry cIy a caunry xl�itli rpuime e pertnil to oomwcY. al�er, imqova. 4md'eh, or repeir eny evunun, qiu b ila ewence. Nro �Vuime Ihe epplicent fw mxh pemin lo file a eqmd eWemenl RW M w aM i�.ee wrewm m m, wo.�a,. d in. co�u�mw� ua� �., ICAeP�s B(commena�q wilh Sodion ]000) W ONeion ] d ihe ,uvrian and Prolmiwn Codel a Ihel M a ahe u memq IMreimn end �he bsw la Na elbpad ssamqqn. My violatun d Setlbn ]W �.5 by em� epp4reN Iw a pxme wbpas tM eppfrab �o e ai penWy d nal mora thm frve hivMnE EoOen �5500�. � I.e�owirrdlMqopanYamY�WdJa+�hwape+mlhsedecompen�ion.willEONework.udNe�vununwMime�dad a alfereE la eeb (Secwn ]016. Budrnea arM PMHeiwu Code: T�a Camrmas L'vua Law dom ml xpptylo en owiwd popeny who buida n inpovea Ilw�eon, md who doas sutl� wdk AimseM rc MnM a tlrauB� hu a Iw own emVbY�. pa'� IM ach 'unP��eNa me nal'vaeMed «ollxed 1« eeb. N. Mvavar. tM Middinp «inVp+w�em b aotl wnhm aw rw d wmWe�ian. tM ow�wbu�lder xiA heve �he buken M povinp M d dn tlid nd buYd a impore b the purpva d aebl. � I. es owner d iM popeny. em a�dniveM �treaaq �h licenaed conVecion ro canstrud ihe pmjeu (�� . Buei�ra ard Vrdeasione Coda: The Cantiaean liceve lew A�+ � eDDN �o an owmr d pvpe�Y ��iHe ar impmw �herean erd xho canl�acla In arh yqetla wGh a cW redw(e) IiCMaed Wnuenl lo IM Canlretlas lioerua law�. � I em eaemq uMer Sadion: B. 8 P C., br �his reeaon: Dela: Ownar: I Ao Mreby candy Nm I em ewere N ard wdenleM IM roWi�emema d Cellwnie Iballh ud Safery CoCe Setliom 25505. 2553]. enC 255J1, vM ihn I a erry Mun buikiiq om�pani will / w��(aRb wre) riaeE to eomyy wIh seid ams mdm eed �M epuiremmie b epermiliwmnavunionamodifimibnhom�MAi y '^epa^'nn�Di9na.Reaideniielwnat'ueionapp{ctliomvseaemPtimmihma pIOV18qN. JOB DESCRIPTION : 448 SQ FT POOL 6 SPA PERM NO: P 078372 GOVT: N SUPP: N PURPOSE: ADD SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS; POOL 6 SPA AND DECKING / FENCE UNDER SEPARATE PERMIT /REF B78370 x��*+r+t+�+t��r+��+�+�+t�***it�e*�rx�**x�+r+tx+rit*�+t**x��*x�**��r�*�r�*x�*+��**�x�*�**�+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: 42531207 ZNE; REF NO: PLANNING NdTES> 1 fE1EiE1E1ElFiEiElEiEiE1ElElEffiElEfE1E1f1FiFlklElFiE1EiE1Efl1ElEfEiEiEiEiki6iF1E1kf! k1E1k1kiEiFfEfEffiE�FiElf1F1E1EfEiElflFiF1k1E1E1l1E1ElEIEfE1EiF1FiE7EiEiE 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: —� iE1E1E1E1f1FiE1E1E1E1EifiE1P1f1f1fiElfifiFlf iEiEiElfiFlElEfElflE 1E�E LEGALIZATION:N F E E ,S UbN!^M � R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC� MECHANIC FIRE SMIP/RES GRADING PERMIT 115.25 i .^.� —i =� Dms: Nd�� zs$ r/ � �_.. ' SMIP/NON—AES PLAN ' � —� �� woaKen•scouvws�nw�occun�noN:in...er��..v�nvao«n„y�ameron��a.d.�v�.: jSSUE FEE 22.00 �� 'i � " �` � IhewaMwJmeifuenecME'ctladcomm�itosetlinaunbrwarken'compentetion,mpro.idWlabySaqionJ�OdiMLabar BUILDING—DIV—> PERMIT ISSUE PliAN—CHECK TOTAL PAID DUE c�.i«m.�na�ame.m�i�.m�u,mi.v��4.�»a. TOTALS----> 115.25 22.00 0.00 137.25 137.25 .00 ❑ i n.w.�a nu meime:, waken� camw�mo, inw�. a+�w�a M swim a�ao d m. �.nc. wa.. a. me wao,meMe a me _� � womio�.nKnm�aw�a��o�e.Myw«��o�w�.m��sw�«�eowKv��m��e: REVENUE DIVISSON TOTALS--> COLliECTED� Y c 137.25 OVEA/SHORT: .00 ce,�«: rw:vr+�mb.: HLDG PMT PLUMBING ELECTRIC ME6HANIC' _ yFIRE SMIP/TOT GRADING PLAN—CHECK ,iiasedionneed�bacomd�eEftMpertnirtbr�hundmCddlars(SI001wbu.1 137.25 � Y' 7 1 �] I cenAy �ne� in �ne periormence M the work I« wMKh �hie pe�mn n in�eE, I ehell na empa� eny penon In eny mennm eo n m , � � bacome eubjecv w tM xwkma' canveneeiion b�s W Celit«nie. eM e0ree Nm il I eh k bec me wd«f �o �M Ma�kan' IE1kiE1llEfElEfEfEfEiFiilEfE�lElfifaf-1EififiEiEiElElEfE1l�1E1EiE�1ElFlEifiEiEfE1l1E7fifiE,ifikdfifiEiElhiEiElF1Elf�lEiEiEiEiEiE1EfElfifiEfElElEiEiE�1ElEffiEiEMiE1E �w�.,d� v��,. a smm a�ao d ine �eb« coae. i enen ion .un � W.nn �h p, �- . ��7/ �,/ I N D I V I D U A L/ F E E. `�B R E A K D O W N ou. SGt_ Avqicent: / � w,m�nv�auunro..cunronr«:ron�vwu�tloncm'M+Wbun��rNl.entl�Ml ��.�.�m a�nmwn.�.�n...�e TYPE QTY D E S C R I P T I O�rN�� .� ;'� UNIT COST TOTAL COST nro no., w ro o�. n�a�.e rno�,,,.a ewrn ls+aaamA m.mino� ro m. �o,r o� �o�ro��wn eam.w� .. rovro.e ro. �� , r.�. s�n�srosorm.�mo.coe.,m�«..c.�e.rr,,,�.r•.r».. PLU 1 SPA (PRIVATE) •./.�'� i✓,�; 27,00 27.00 CONSTfiUCTON LENDIIHI �DENCY: I Iwmb� elfirm ��dm W�eM ol par'Wry ihel iM�e u a canelrueian Wdvq �mxy f« the pLU 1 SW IMM I NG POOL 5 4. 2 5 5 4. 2 5 p,na,,,,,,,�,wm„roa,i�,.nw,mm �n�.eis��,?oe�.c�.c�. PLU 1 GAS PIPING SYS OF 1 TO 4` OUTLETS S. SO S. SO LENDER'SNAYE:� •" �� ,r •i PLU 1 GAS SERVICE % 8.75 8.75 �plDEH'SADOHE34: �� y,. - J PLU 1 BACKFLOW PREVENTER ''� �i' 8.75 8.75 i�uryinm�n�remmn�rrm��reaat<inmubeeoropno��n�wraa.�rorw�o�oy�nnao��d�w�y«ti� ^ pLU i VACUUM BRKR/BACKFL04J PROT. 1 TO 4 11 .00 11 .00 erdeimekxsralmiqiobuildiqcmevuaioneNM�abyeNhaza�epeaenimwedlhedrylowauponiMebwe�meNbnedpupenyj END OF^FEES IaimP�ionW�Waee. � - � TIM C HERTZ ' I \ J �� ' 4' J Pnm Neme ' � _ � �: a.,' ,a 1 /�/��,�p� �� r—� /^ � ii � .. �� Dme:Y,�L.�L.�J�� " . Sqnelure W �netl penVAppYcpnUConlretla�. '1/ _ � i �\ � 1 (Si51�e WP) Whna-Buildip 8 Selery: Greer�e; Cenvy-Appiraii; Fnk-Rewnue; (3oldenmC-Mwnv � ` POOI P.A CONSTRUGTION AND PLANNING � Ap?ROVALS Permit �h Date Inspector qppROVALS Permit # Date Inspector 7. Temporary Etectrical Service or PofA 52. Pooi & Equipment Locacion' ' 2. Soit Plpe•Undrgrnd. �. 53. Steel Reinforcement , � : 3. Electrical'Conduit Ut;iiry•Undrgmd. 54. Forms - � - 4. Ele`cirical;.Conc�J�tUndrgrnd. " � 55. Elect�ical Bonding •-� �. .,5.`Steel Reiritarcemecrty 56. Rough Plumbing & Pressure Test �_�_�� - ;_G�'ElectricatU�E�iG�rki. 57. APPROVALTOCOVER-GUNITE 7~Footin9s _r"q i: �_ � 58. Electrical Conduit-Undrgrnd. �t� -"8: �Foundatien� � y - 59. Gas Pipe, O Undrgmd., Test �_ _S� r.� {t; � ��3. WaTer Pipe� Jndrgrnd. ,v � 60. Backwash Lines, P-Trap, � Undrgrnd. �y c� _�� 10. Str(yctural Floor Sqsiem -= 61. APPROVAL TO DECK '."• 71 . Property Sewer� lin`e & HouserCo�rlection 62. Backwash & ReceptorFinal =. 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Dreins �. � � � � 64. Plumbing Sysrem - Finai " . 14. RoughPlumbing-� - 65. Electrical�Final •-� ' 15. flough ElettricaPCoriduit � Q' ^ � 66. Solar SYstem�Final - � 76. Rough EI9Ctric Wiring; 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 9�1-g� l:�n( 18. Rough Electrical�Y Bar Ceiling 69. POOUSPA SYSTEMS FINAL �,J�_�6 �� 19. Rough Heatin�& Air Contlitionin4_ r,�, � � „. r F�RE QEPT..REQUIREMEfVT _ . 20. Rougb FaztorxFir.ap�ace .,=�:' - : _' T � �APPROVALS'". Perinit # � - . _ 27. Duct� in5tru2fure�' •• •• - � � � _ (' ` 70. bnderg'k�iPd Hydro ,' 22. DucCs; Verltilatin9,�'' a� _ n. :�; �, 71. Produtt:FlPing Ci6as C30i1 23. Gas Pipe-Aoug� & Test ` s�r J' � �� 7Z, UndergrcLvd�l Ff�'+Sh �` " �. �^ r r 5 _"- e a- 24. Root-Frari�inq � ; i ' �� A -, • 73j Undergrrid. Stor�Tank� Gas ❑ Oil 25. RooiSheathing � �� x� =^ ��* 74.- Overhead Hydro._ 26. T�-Bai,Ceiling (StructNral) & Moaocoat '; 7 � � 'J" 75;' DrY Che�irat - - - - 27. F�ame and Flashing, * y c* >, _'k 76. Dry Stan' i'pe '� _ - - , c - 28. Lathinq &5idin9 �'�" ,-„- �� ' =� •. •.� 77M FIXEO SYST6i1.�iF�INAL � ,- � . � � 29. InsulationX � '" ' 7 ��IRE PpEV. FWqL '� ;, _ : . � 30. Drywall Nailing , ,y � _ � ' .; �7' ,J-HEALTH DEPT. REdUiR�EMENT �� . 37. Plaster Brownr(;pah �� ., ' • r � � 79�yPINAL INSPECTFON � � _ r..� _ ik I . _-�� - 32. �lectrica(Power Met�rFiqal ' ' - , � SO;:;FOOD CERTIFtCATE ISSk1EDl - - .33. FinahElectnc : � .� � ' Q��C�/ � � ' - - t*' �� Notes =L��y,��l_dL� - - . - � u_r�t<, 34. F naf Heatin9 �& A�CondiYioning '= � _ . - � _�� SL � . - � 35. �inai Gas �Pipe.Tes{.: o -- . -. -� , '�� ; - � � � � _�,�y� /�,�,��, _ ' ��-��- �/3�z _«/�l1��G��c.."��" "36. Hoodor CanoPY -' - _ �.,'" . � . ' 7 `�_ �� _r ' " , 9`�i�`�i_%-o� TO.Qi.%i$i�R' r _�37. Finat.Eactorv Fireplece � -- �.: x: � � � , ,I�'*'y_ej� c�� p " �1 �w/-- - 1- 'Y _38.Fina(.�Plumbing 'xm�� - J�_�_ �,�:. ' 39. WateP'Service-Final'S' � ; _ ' ` � _ `� � � - ` � • � � � r _ �;. � ��40. Gas Service-Final = ?- �� ' �• ' ?� � .�, _ . �� . . ,. ��41. Solar OomesticFinal� -� , � { , _ _ s = 42. Backflow Preventer �� r ' ' " ' " �� ' _ - e �. 43. Backflow Irrigation� i � �.y , - � o , _ . . 44. Landscape Irriqation System - . r'T � --- ' x � �u v -� _ T _ ' . . � " 45. Sound Attenuation� � - . . - � ,-� �� - _ . - 46. Nandicap Regulations -_ } � _ = _ - ,^< ; 47. F WAi STRUCTURE & BUI LOING ., , ' ` r •-. � 48. FINAl PLANNING ' • ° � ' - � ` � fj l 49. Electrie Re�ease to-Edison � -� I 50. Gas Release to Southem CaliforniaGas Co ' �_ '. ' ' 51. CERTIFICATE OF OCCUPANCY " ' ' No Date � � �I � aoonessovemidao: 397 LA PERLE PL °"".�xs"""E"i°'°"": HEFLIN, ROSS E TR ADDHE55: 3(j7 LA PERLE PL COSTA MESA,CA �vp�. uuueio �ooxEu: MCXRECT OR EN(iNEEP: ,ucx. an exc.•s �oonEss: . . ' _ _ UNT: . ... . _ . . 92627 uc. ra.: UNT: 001"P/CT0R5N"� ERIC BUDAI ( 714 ) 597-1069 camucroxsMuuia z.5,0,5.5 _BELLOTA . _ "°o"Eu'MISSION VIEJO CA �� 659463 92691 uxt: LICENSED COtRNRCTOFS OECL�P�TON: I hereby Nim uMa penely d pmjury Ne� I em lironsed uMx prneiom d Cheqar 9 (mmmeruin0 �h Section ]000) d Oivision 3 d �M Buainesa erd PMasaiona Code, eM my liceme ia in hll forcr eM eHeq. cm uc. No.: uc. cuss: C 10 "` "0 6 S 9 3 C P: Deta: Cmveaa: OWNEfl BU DER � CLANATION: I hereby eifirm uMer penely perjury Ihel I em axem 1 tram IM Conveaae lioense lew la iM Vlowirp raeaon (Seaion ]0�1.5 Bueinesa and Proleeaiona COEe� ny cM a munty whi A rayuirae e paimA lo conawcl, eMer, improve. emafah, or repei eny elmcWro, pior io ns esuence, ebo requirea tM epplirant lor wch peimN lo file e tigned �tetement ihet he a aM n liceneed W�� o Ihe proWsions d ihe Comreaars License Lew �Lhepter 9(canmend'p wilh Sed'pn ]OW) d Divepn 3 M the Busi�a eM Prdea'vu Cade� «�het he «�he e ezemq iMrelmm end tM beau In the dbped ssemqion. Mv violelion d Sedion )03t.5 by e�ry epplirant la e permil wEjeds the epd�t ta e wil penelry d iwl more Ihen IHe hunEreE dollen I`�ll� � I, ae oxmier ol �ha propeny a my mmpbyeee wvh wepea ea tMi wle rompaneelion, will Eo Ihe woA. end tha ewrn�re u nrn inieMed w MmeE fw aele (Section ]OC6, Busi�ss enE Prolassions Cotle�. The Contrecton Li�ensa lew doea nM epplyto en owr�er o/ propeity who buids or imprmes Ihereon, end who daee �uch waM IimeeM ar Mme1 a ihraqh he a her oxn empbyees, provided ilw euch impwemems ere ro1 imenEed a Wered la wla. X. Mwever. tAe buikiip a inpovemeM b wid wnhin aw Yeer d mmpbtun. the ownm-0uilder xill heve �M Wrden d prwiip M or eM1e AH iwl WiW a impwa la tha W�a d eeb). � I. es ovmx d Ihe propeM. � axdumvety wntred'n8 �h liceneed contreclon lo consVud IM p�ojaU (Seaion )OCC, Bueinns eM Proleesione Code: TM1e ConireCon Ixenae Lew tloea ria eppN �o en owner d pmparly who buiks a imqovm ihereon eM who convens lor auch WM�s �h e mmreqorte) Ikenaed oureuent m ina Comrea«a licenae lew). ❑ I am exemq urdx Seciian: B. d PF.. tar I�e �earon: Dme: Ownec i eo nereM �niry me� i em ewere a e�e ��dereie�e me �en��,�.�a d cmaomie Mmnn e�,a sdmy coae s.a�,. uws, sssx+, and 2551a, vM thm I«eny iNure buiki�q oxupent will / wYl nM (dreb me) need to cwnply wih eeid etate wEea eM ihe repuiremenv br a G�n larcanirudion a modifimtionkantMAi�y . areBamem Oiariq. Reaidenliel mnat�utlion aOG�broen ezemq Iran thasa protisbm. Deie: naoice�c WONKEX'S COMPENS�TION DECLANRTION: I Mreby dfirm uMer pene�y d perjury me M tha bllavrirp Aedve�bu: � IheweMxilmainteneeeMratadmnaenlloseMimwebtv.oekeea'mnpenWian,npwNedtaby$M'vi3]OOdlheLeEn coda. �n �ne wnom,eze W ine wax �« w�dcn �nis oa�mil ie ieeuae. � I �eve enC wi0 meinien woMere mmpenaelion ina�rariro, av req�irad by Sepim 3]00 W IM Lebor CoEe. br tM peilormence d tha wak lor whiM Ihia permil ia iaeued. My warken' compenaeiion inaurar�ca famer eM pdiq number era: c�.: , va:.v ru�mta: �This secfion need na De romplefe.f N the peimAia lor om h�nEreE dWlars �SIOJ/ w bn.) � I cenAy thet in �he pe�tormerwe d iM wpk fw whch thia permA ia caueE, I ehell rat empby eny pereon in eny menner eo m to become wbi� �o tM worken' compenselion bwe d Celilanie, vd prae thel il 1 ehou4 barom wbjetl lo iM xorkers' compenaeli i qwini s d Senion 3)00 d iM labar Cade, I ehell lorlhwi compy wnh th ro'' Dela: Applicam: . Warnlnp: F lluro ro ec�ro woikx�'romperwXon mveraps l� u l, end �lu/l sub/�cf e smp/oyxlo cNMnsl pxia/Uu entl <INI M�s up ro on� hundrs0 tM�und doll+n lSfaO,oao1. In • on ro M� cwf ol ronpxu�Hon, eam�p�a �a povWW br /n Sxtlon �l(I6 0l Ms Le6or GM, Intass4 erW ertomey� lass. CONSTPUCTON LENDING AGENCY: I heieby elfirm uMer pe�aly d parp�ry Ihet than is e constiutlion bMinB epenry 1« Na p,noimeom a me won� �or wnich �n's va�� s m.�aa (sea vn wB), ca, cl. LENOER'S NAME: LENDEfl'S ADDNES9: I cerlity ihet I heva raed �hia eppliceiion end 9ma iM1m tha ebove inlormetion is caneq. I aprea �o oomply wilh ell tlly eM wunry aAinencee end atae leMs rele�in0 �a �uiNinB �a�b� ��reby anhorae represenietivea W t�is dty to eMer upon the ebove�mentioned O�PaM lorinspenion purpoees. ERIC BUDAI Pnm �_, .0 , oma: 6 �G Si� u e d � enVAp VCanvazmr (S151d6.WP) WhXe-Buikep d Selery; OroeMFle; Canerydppirem; Pink-Revenue; GOldenruE-Asaeaaar -. . CITY OF COSTA MESA - BUILDING PERMZT '�•-•-•.+ PERM NO: E 078'l24 PERMIT NO; E 078224 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: _ PERMIT TYPE: ELE _ PURPOSE: OTH. JOH DESCRIPTION _.:_ELECTRICSERVICE UPGRADE_ . SQ.FT: _. CLAIM VALUE: . _ CALC-VALUE: GROUP OCC: / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT *��*x�**x x�*****x �*��*+tx��+t**x *it*��**��r�*****��r�rx��r+t**+t*x��**+t*+t*****�rt**��** 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.HUILDING ---------- --------- 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: 42531207 ZNE: REF NO: PLANNING NOTES� l � iE 1E iE if iE iE iE 1E 1E 1E iE 1E 1E 1E IE i! 7E if iE 1E 1E 1E 1F if 1f if iE iE ik fE.1E IflF''lE_iE 1E 1E iE if iE if'lE if iE ik ib 1f iF 1E 1E 1E iE 1E 1E iE if if if i(� iE 1f' fE IE'lE 1E 1E 1f 3f 3E iE 1E iE iE IE'If� fE if 1(�!E D E V E L O P M E N T� S<E- R V I C E S R E Q 0 I R E M E N T S ZONING APPROVED BY ��T DATE; BUILDING APPROVED BY : f�� __ DATE; APPLICATION ISSUED BY: �*+�**�+r��rx�+r�r+r�r+rx+r�r****��F LEGALIZATION:N F HLDG PMT PLUMHING PERMIT PLAN ' ISSUE FEE BUILDING-DIV-> PEAMIT ISSUE TOTALS----> 27.25 22.00 E E S U M M A R Y ELECTRIC MECHANIC 27 ,r2'S ,,,sox 22.00 PI.AN-CHECK 0.00 FIRE TOTAL 49.25 DATE: �IIH x�r**x�*�rx��r*+r+��r�r�*�r*�* STRUCTURAL SEGMENT:N SMIP/RES GRADING SMIP/NON-RES 49AZD D00 /.' REVENUE DIVISION TOTALS--> COLL'ECTED: 49.25 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 49.25 � 1E fE 1E 1E 1E 1E 1E'lf' 1E 1E 1E 1E 1f 161f 1E iE iE iE if iF 1f iE iE if II�lF 1E iF i(� iE iE fE 1E�161E if' 1E 1f ik fE 1E fF iE if 1Flf IF iE iE fk 1E iE iE iE iF 1E iE 1E ff iE IElE 3E 1F iE iE iE 1E if iF IE 1k iE 1f� iE iF 1ElE I N D I V I D U A L'' E 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 ELE 1 SERVICES BELOW 600 V& HELOW 201 AMP 27.25 27.25 END OF FEES ✓ f n`` � i i�f' ' , . , , . :` , . � o. CONSTRUCTION AND PLANNING , P0� ,'v SPA � Date Inspector Date Inspector pPPROVRIS Permit # APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' - 2. $oil Pipe-Undrgrnd. . 53. Steel Reintorcement � �a.ElBctrical CondulYt,ltiNty-Undr9rnd. 54. Forms - ' � F4�Ectrical Conduit-Lindrgrnd. 55. Eiectrical Bonding -:3"StPel Re�nforcertiEEnr:. 56. Rough Plumbing & Pressure Test - 1 ,..,:��'�I�eccricalUFER``C�na'. 57. APPROVALTOCOVER-GUNITE r -='n,7�;FAotings r-,�.j ` . 58. Electrical ConduibUndrgmd. � ��9HFoundation ��+ � ` 59. Gas Pipe, O Undrgrnd., Test � J� y`�. Water Pipe-Undrgrnd. �, /1 60. Backwash Lines, P-Trap, D U�diqrnd. 10. Structurel Floor System �,� 67. APPROVAL TO DECK 17, ��r,operty Sewer Line �8� House�,Co�Fection 62. Backwash & Receptor�Final � 12. Sawer Cap mr �� 63. Heater & Vent-Final 13. Roof Oreins ,., _'��; 64. Piumbing System � Finals' . 14. Rpugh Plumbin}» �� 65. Electrical-Final � L 15. ROugh ElectricallorS�luit �, , 66. Solar System�Finai 16. Rough Electric irt� 67. Pencing & Access Approval 77. Raugh Wiring SiqUn 68. APPROVED FOR PLASTERING � 18. ROughE�ectrical. BarCeiling 69. POOUSPASYSTEMSFINAL 79, �ough HeaJtin & Air Conditionin� F T. REQUI ME T _ �, �� m_ u� x r� co � cr �� . � � •, r � 20.�ugh;FaGiory,-Fira�ace ;�,� �; � �..i p�* PPf�V,�HFPe�it#-:r. ;.i" � � 21. @aCt:�in Sfruewr� r ..-.. � K S D r,:K 70. �dergrt}�4� Hp1ir° i � � � n�. 22. Da�tt�Ve��ila4trn9 vM: � � * C .Z CJ Fa: 71. Produiic7@tping Cj'E3as C�dil '23. Gds Ripe-�ouqit & Test rt,H :T7 * r•, `Z O* � 7z. Undergro��l F.%(t sr' � �, �24. f�0of'Frar�jng�� `�; r`�" �� p � ,..�*'.73yUndergmd.Sronay�Tank�Gas ❑Oil �25. RoofShedthing F� +� � `�'* > N* 7¢?Overhead Hydr�.'�.,, � . ;ii, �ar;Geiling (Stru i�l'al) & (t��e~,�oat * � � d� 75£Dry CheiIIical =. i ~ y �+? � . FrameanCti¢lashin�* ��G �%Q' >+ �� 76. DryStan � e �"""' ` � � . �.-. x ,. " 'i. ,^<d Lething 8�$iding .�:4 � ~`�� : £ ��' 77� FI t+'a_ c y � - x�R paE:• C * �y XED b�tyTE;J;�INAh� - c v �� 29. Insulatiorx '�."%� S • *� 7�FIRE PREV. FVN{YL K' � x c m �' F:k .K ^ h-i � i:, r, r-: ' fT+ 30. DrYwali f�(�,�lin9 w* �.,� � * E, S ��.i4LTH,p�PTF. REdUIR•�MENT , , . . � ^ : .aLa.. C37. P18ster BrOMn�Coat�� S ��"t* * � 79.VFINAL I ECT18M * � y �H R � -. �.`32. F�g�trical'iF-owat M�.�,f�r-i`'�iPai � �(`'v� j,� '80.�.�'.FOOD CERTIF1GA�l"� ISxSdE0.. o L33. F�Pa�[electiic� �z' M J ��"i' � � y N t�s7% �/r��O�pi �iC�C ��QcJ�i�[,�`� ev l L( ti34. F�al,�-�(eaUr9'��r,Ai�'C�p�itSoning S l7 x�'�'> r I '�7�8rQ6 (�ll.� c--F-� ,:-.� , .� �eyn��.� 35. ;iPal Gas�pe 7estrr, r`y . � r, � 50 Gr� r. sT :n - r . n `=36. F�tlod�r ("anoPY N�' •^.• ^ � , =' n, � (1 I ,c (10 .x .C•` 'K (� � CCLT! t/. * [Tl 7CJ :f: C•I �C+1 ^ l' V' .av •� (� - . �7. F�nal Factory Fireplece x �'r� u : �,1 ' � � f' ". u. ��8. Final�Iumbing �y�, hv o � � � H r �" c � 39. Water Service-Fina�� g � * t� t I.y� :�. x� v i a a. �"40. Gas Service-Final � n `w"�T' � * � � °J "'�� ' ' x .1: :l r-.!� i: - (� H • 'v <^ .v d .�11. Solar pomesticFinal; '' i� � � � � �7ni c� x z ' •'� r 42. BackfiOw Preventer ' �- � � �* �^ � 'J * C " ,: r r. ti t C7 .-•'�• x �. c,, K - 43. Backflow Irriqation • � �- x c� x i i� i v �� .. �t � T � W ,'J 4. Landscape lrnqation �$ystem � �:: � `� r' `' n �" t �, � ° , - � �. �+`. � rr Y v C �c' ._ O tT: - - � - r �. ._ c- r� �- -. - Q5. S,�und AttenuBtion r, - . . ' � ,.- m r.yW �^ •^. • = : r- � � i- 46. Handicap RegutationS' ^ � ..,'- ^, ' ' � � * v: ? S I '6 ' ��. G � 47.. FtNA�CSTflUCTUfl��& BUILOING x� � j.'Y �J ' � �: � 48. FiNAL PLANNING ' -`'P" ``' � • �� '' m � ` � j" n� � i✓ C.. , `t 4$. Electrfc Release to Edison M � G: ; j �n x � � 50. Gas Release to Southem Californta'Gas Co ' '` - �c "-�; � ' ' St. C�RT�IFICATE OF OCCUPANCY ' ` " - No Date _. � o _ "OWNEa"e ��AGKMAN, FRID�W.` DATE �l-5't JOBADDRES$ �9% L8 PBP18 PZHC@ ' BUILDINGPERMITNO. #I.�PS<J GENERALCONTRACTOR Owner B1C1S. VALUE � Z�SOO�OO AP117-262-07 �or 7,p e�ocK 1500 TRACT ll75 Conv, res, to dup. TYPE INSPECTIONS Footing Trench Foundation Forms and Gra Rough Framing PI Wiri Hea� Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, I� ' Ou! ,�� Plagtering - Plumbing, Final, Fixtures Comple' Plumbing, Fimal Gas 7est /�' ,�y Wiring, Final Occupancy �..e� �,� �� m.ne DATE F�iIJ� SUBCONTRACTOR FI PERMITSISSUED DATE I NUMBER L�2S9 . -OWNER GROUP INSPECTIONS Test TACKMAN , Fred W. 397 L�erle Place 'aacTOR Owner Euilder _ LOT 12 TRACT 11%S FIRE ZONE TYPE p ZONE DATE � DATE 12-12-! BUILDING PERR3IT NO VALUE $ 5G0.00 DESCRIPTION OP WORK SUBCONTRACTOR �:7ulii-'7 BER OWNER TACi4,4AN FRED DATE 10-10-5Ei JOB ADDRESS 39%� La Perle Place BUILDING PERMIT NO. %'j('j �' 11 — _ CONTRACTOR �er VALUE$ 2,258.00 P. No. LOT 12 TRACT 11.'j5 g�gg ZONE DESCRIPTION OF WORK Bedroom & Hall Addi ti on GROUP I TYPE V ZONE � PLAN NO. _ INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRM'TgNUMB R coat Ninal Gas Test 7767 .� : � 4339 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA ING I55 OWNER FOR APPLICANT TO FILL IN . ? % 7 Gc �;�.L< COSTA MESA. CALIFORNIA ARCHITECT OR ENGINEER ADORE55 LeGnL LOT OESCRIPTION �.fQ, A.P. NO. �I I troc �_ I ��Q �/ �-. a n �^ � 3�' � �' � � g.`�� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. ljMIT �� p.yi � � � / � � NO. /r�N� pDORE55 �� /� -y� ��" COSTA MESA. CALIFORNIA NO. FIRE ZONE ZON � ' APPRi BV �l��U /. � NO.OF BLDGS. CITY OF � SUBJECT TO DEVT. REG. seiancn urvE r'norn �/� REAR YARD ' u CENTEf1 Oi STREET . /� , gy DA SIDE YARD RIGHT � LEFT �7 N T DESCRIPTION F WORK � NEW ALTERATION qDDITION REPAIR MOVING DEMOLISH � BUILDING Q�✓ j O � NO.OF Si2E O A ROOMS STORIES E%TERIOR WALL A ROOF C�OHPd3/T/OA� COVERING � OOL/ COVERING S > C �' USE OF NEW � � O � / � BUILDING — l= � c' /L- iLLfi�(! / � l�%< < � �/U � l+ �t� � � ` /i//lv- �. � I H REBV /�CNNOWLE�GE TM I H�VE XEAO THIS APPLIC ION NO STPTE TM1T TNE 4BOVE IS C HRECT PNO 1GflEE TO COMPLY WIT �Ll CITY OROINANCE$ ANO $TRT L�WS HEGUL4TING BUII�ING CONSTNUC� iiOrv. VALUATION '=� SIGNATURE OF � , v� .� oO PERMiT FEE $ � PERMITTEE , 5 �\ OD� PLAN CHECK S %� � •d / AUTHORIZED AGENT TOTAL FEE B / � �C `�� /� /. �� ✓ �i� �' 6?�8 COSTA MESA BUILDING DEPARTMENT v. o. eox s n COSTA MESA. CALIFORNIA FOR IBUILDING ADDRE55 MAII ADDFE55 CITV ARCHITECT OR ENGINE ADDRE55 APPLICANT T FILL IN � a COSTA MESA. CALIFOgNIA a TE�. �h-�, NO � LIC. NO. CITV LIC. NO. n TEL. Y.� � � � �. I / NO.l.�1 LEG/.L LOT DE6Cn�vnON NO. BLOCK TRACT � A.P. NO. '� lY — v SIZE O/ O D NO. OF BL�GS. OF LOT 6 NOW ON LOT USE OF EXISTING BLOG. SETBACM LINE FROM I � CENTEX Of S�NEET • RE R YARD \ /( � SIDE VARO RIGHT � V LEFT L� ' DESCRIPTION OF WORK NEW ALTERATION A�DITION REPAIR MOVING DEMOLISH BUILDING 1 NO.OF SIZE 1 ROOMS STORIES � EXTERIOR WALL� � ��P ROOF � COVERING COVERING ��. USE OF NEW /� _ . .. �� f.t 17-57P�yEsa�721a *�*°*4.OQ,; APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY ;�- I/�-i�r'� y /a_ COSTA MESA, CALIFORNIA CORRECTIONS CITY Or ��`.a SUBJECT TO By ,� A MESA j��__ UEFT. REG. I HEREBV .�CKNOWLEDGE TMPT 1 M1VE READ TNI$ FPPL�CATION TNO ST/�TE TN�T TNE RBOVE I$ CORNECi �NO �GREE TO COMPLV WITH �LL CITY OR�IN.�NCE$ r�NO $TATE LAWS REGULFTING BUILDING CONSTRUC. non. . � / VALUATION � � PERMiT FEE $ SIGNATIIRE OF v PERMITTEE � / � 6 .�, PLAN CHECK 5 5 AUTHORIZED AGENT TOTAL FEE S 7 � 1j ": , '7�,1�"7 COSTA MESA BUILDING DEPARTMENT P.O.BO% 31� COSTA MESA. CALIFORNIA BUILDING ADORE55 OWNER MAIL i(Y�l� FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA IIC. NO. CITY LI N oescAivnoN INO. ��p IBLOCH��/OOITRACT// A.P. NO. / � ��' SiZE �D �o.or e�ocs. OF LOT riow or+ �ot USE OF � E%ISTING BLDG. SETBACN LINE FROM J/ %a � CENTER OF STPEET 'J REAR YARO �J / ' . SIDE YARD RIGHT LEFT DESCRIPTION OF WORK NEW AITERATION AOOITION REPAIR MOVING DEMOLISH BUILDING a NO.OF ✓7 / SIZE � ROOMS �1, STORIES EXTERIOR WA L ROOF � J b .-nvcoiun �c./J COVERING L�1 . �i�i� ��U - c�� A eosrn p 1S.00 �p'4.46a AAtttf r��ww�rc � � �� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. PE�{�T NO. �y.�.ei U/—' —.la r��a/J�a eui�oiHc �%�/ �„ h/R, t�l I C p ADDRE55 � � L COSTA MESA. CALIFORNIA FIRE 20NE BY �(� I C�A T E I� CORRECTIONS UEPT. r MEREBV RCI(NOWLEOGE TMGT X�VE N ST�TE TN1T TNE ,�BOVE IS COFf1ECT �NO �GREE i0 COMPIV WIlM nlL CITY OFOIN�NCE$ �NO T1TE L�W$ REGULATING 9VILDING CONSTNUC� TION, /� `,� VALUNTION SIGNATURE OFJ `i� PERMIT FEE S /O PERMITTEE �"�'�� . � �i e�� PLAN CHECK $ S� $ X ( AUTHORIZED AGENT TOTAL FEE $ /t] ��