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Home My WebLink About960 19TH ST - Building Permits� (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniy: Parcel Nunmber: 960 W 19TH ST &4CK YARD 42253110 Applicant: SALMANS, GREGORY B Address: 960 W 19TH ST ,- ��i �= � �%' COSTA MESA,�CA� � ; - � j � . i . �, i � � � - ' / '- 'i" � Owner: � SALMANS, GREGORY B '-'- i Adtlress �960 W 19TH ST . " � � � ., � ' COSTA MESA,�CA / � :'�., - - � ISSUED BY: Phone: 94&6458676 � - � � 2ip: 92827 j l i�;--; � / a Phone: Zip: 92627 Contractor: ' OWNER-BUILDER ' Address � � � . , � , ; Phone: � . , - . � , , , . � �Zip: -�- ." � / � - - License: 0 > Status: ISSUED Applied: 08lO6/2002 Issued: 08/062002 SCOPE OF PERMIT �� / ELECTRICAL TO INCLUDE:,MISC. CONDUIT, MISC..COND � TOR AND�MISC..ELECTRICAL EOUIPMENT , � , FOR ABOVE GROUND SPA. � - -�� - - �- � • � - . � � � �: � .. FEE SUMMARY �', � �,,L , • . � Quantity - ; _ - j�� , . . ' Quantity �; . ISSUE FEE _ 523.50 Temp Dist System I Lighfing $0.00 0% ; 7emp service test 50.00 , Busway /100 ft . 50.00 0- Res. a/c package 50.00 Standing Section ' �$0.00 0� New Res (1-2 units) $0.00 0 Misc Electrical Equipment $1820 ,1 �. New Res (3+units) $0.00 0 �. Transtormers up to 1 kva/kw $0.00 0. � P�I I Spa - 50.00 0 - - � � .:.........:....up to 10 kva/kw $0.00 - � 0 � � lighting Fixts � �$0.00 0 -' � .................up to 50 kva/kw 30.00" , ' 0 � � , Recept OuHets � � $0.00 , 0 : ' ' .................up to.t00,kva/kw _ 30.00'. 0 . � Svntches '- � � � ' �E0.00 � -�'-- 0 � -. ..................over 100�kva/kvi'- �"50.00� 0 _. •' � " Non Res Appi, , , 30.00.� 0 . , .Low Voltage Equipment . 50.00 ,- � 0 . - Res Appl � , _ - $0.00 �:" �„ 0 . Low Volt Wiring System / Ckt - "- 50.00 �- . � 0 Servicelo200a� -.� � , 50.00, ��0�„ � - MisaConduit - ,'�$1820 `�' 1� ,.� �'� Service to 1000a �� , � , $0.00 , � 0 Misa Conductor - - $1820: � ' 1 - / Service over t000a � E0.00 .' 0 -� Circus ( gen or ride)� �� 50.00. ; 0, i� Motorsto7hp ; $0.00 � -� 0� � , Circus(mechrideorlights) , '; �$0.00 �� 0! Motors to 10hp � $0.00�� ,- ' .0 � , , Christmas Tree Stand , '.� `'$0.00�% r0 Motors to SOhp �'��,$0.00 �-. ' -� 0 , , ��Fireworks Stand � � � . 50.00! 0 Motors to 1o0hp 30.00� -�"� 0� ,Other Electrical Fee � .%i. $0.00 Motors over t00hp $0.00 �� ,_ 0-- , � --- . -. � � - � � �'� ; % Communicatlon drops $0.00 �� 0; � _.; ; � , Inyestigation Fee�� "'i�� $0.00 Sub panel to 200a $0.00 0 � _ � - � � � Plan Check Fee - " $0.00 pole Light Pkg $0.00 0 � Reinspection Fee � $0.00 Sign Circuils $0.00 0 7emp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $78.10 Intermed Pale 50.00 0 COMMENTS / SPECIAL CONpITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Cali�omia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit Shall automalically ezpire and become vold if work Is not commenced withln 180 days, or if work is suspended or abandoned far a period oi 180 days. INSPECTIONS: In order for the work aulhorized untler this permit to be considered legal, auch work must comply with all applicable cotles, aiW all raquired Inapeetlone and final approval must be obtained. Failure to obtain Inspectlons and final approval will result in the expiration of this permlt. FOR INSPECTIONS CALL: (714) 754-56�6 , [aqg.e9�e�Op) WORKEHS' C�MPENSATION DECLARAt10N; I hereby aflirm under Oenalry of perjury one of Ihe following tleUarations: � �� ❑ I have and wlll malmain a cenifiwte oi consem ta selt-Insure fo� workers' compensation, as provitled tor by section 3700 of ihe LeDor Catle, for the peAortnance ot the work for whiCh t�is pertnit L515suetl. � . ❑ I heve end will mainIa►� workers' compensation insurence. as required by secNpi 3700 ol Ne Lehor Code, for the peAortnance of the work for whidi NLs pertnit l9 Is5Ue0. My workers' compedsatfon imurance cartfar an0 polity number are: Certier. (This,sec0on need not be oompleretl i! Ne F�( I cenify Nat In Ihe peAortnance of IhE compansatlon laws ai Cal' ', and comply wilh �hese Dro ' Appllcanl�SfgneWr : WARNINO: FNLURE TO SEIXIFE W ' d TFKKISAND DOIJ.ARE (f100,000), IN RION Y Policy Number: s huntlred ddlars ($100) oiless.) ertnit Is issued, I shall not employ any perwn in any manner so es to becorne suh�ect to the workers' hecome su6{ecl to the wwkers' cumpensatbn prorisbns of Section 3700 ot lhe Lsbor Cotle, I shalf toRhwNh ��— ,Deio: �'- � - c� 2 ENSATION COVERAGE IS UMAWFUL AND SF4HL SUBIECT AN EMPLOVER TO CqIMINAI PENALTIES AND GVI� FlNES UP TO ONE HUNDRED TME COST OF COMPENS4TION, DAh41GE5 AS PROVIOED FOR IN SEC�ION 37080F THE LA60R CO�E. INfEREST, AND FTTORNEYS FEES. 410ENSED CONTRACTORS DECLARATON: I hereby aHirm Ihat I am licensed under provlsions of ChaO�er 8(commencing with Secllon 7000) ot Division 3 0� ihe Business enA Protessions Catle, end my license Is �n full force entl etlett Lic. p Class x Comrectols Signature: Date: C�NSTRUCTION LENDING AGENCY: p I hereby aHirtn that there is a wnstruction lending agency br ihe peAormance of Ihe work fo� which this pormit is issued. (Sec. 3o97, Civil Cotle). Lendels Name: Lenders Adtlress: 5ignature: � Date: OWNER-BUIIDER DECLARATIONS: I hereby eHirm t�at under penalry ot perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness anE Professlons Gade: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair a�y siructure, pnor to its issuance, elso requires t�e epplicant tor such pertnil m file a signetl stetement that �e ar she is Ilcensetl pursuam ro the pmvisions of Ihe Conirectors License Lew (Chepter 9(commencing with Sectlon 7000) of DWlsion 3 ot Ne gusiness and Professions Cade) or that he or she is exempt Iherefrom end the Cesis lar the alleged exemptian. Any violetion of Section 7031.5 by any applicant for e pertnit subjecis Ihe applicem to e ci+nl penalry ot not more than five hundred dollare (SSOQ�,); ❑ I, as owner of the properry. or my emplayees with wages as their sole compensation, WILL DO THE WORK, and the siructura is not IntentleA or otte�ed for sele (Sec. 70d4, Business antl Protessions Code: The Coniractors License Law does nol appty to an owner ot properry who builds or improves thereon, and who does such work �imselt ar herself ar through his or her own employees, pmvided thet such imprwements are not intended or oHered for sele. If, hov.ever, Ihe builtling or improvement is sold within one year of completion, the ner-builder will have ihe burden ot Oroving �ha� ha or she tlitl not build or improve for purpose of sale.). ❑ l, es ownar of the property, a SIVEIY COMRACTING WITH LICENSED CANTRACTORS to conshuct the project (Sec. 7064, Business a�W Protess{pns ode: The contraaors Llce e oes not appy �o an owner ol properry who builtls or impmves ihereon, end who contracts tor such project with a coniractor(s) -_license pursuant 1 the C ra 'cense Laws.). I am exempt ar sec. Business enC Professions Code lor Ihis reeson: s�9�enue: oa�'? -G � 2 �narlD ntietl riv icense. es ❑No �OrNeCs�l`icanse�no. �� 79-03 Venfication of Owners�ip y(rype ol tlocu e v i.e. - property tart bill or deetl): D��SION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: p I �ereby certity Ihet no eacavation five (S) or more tbet in depih into which e person is reQuiretl to descen0, wlll be matle In connection wlth work authorizetl by Ihis permit, end thal no building struclure, scattolding, falsework, or demolition or tlismantling Ihe�eof, will be more ihan thirry•slx (38) leet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celitomia AdminlstraMe Code). d As or.narDullder, I will rat employ enyone to do work w�ich would require e pertnit trom Ihe Division of Indusidel Selery, as noted ebove, unless sucb person has a pertnit to Oo such work Irom Ihe drvision. Signeture: Date: Di�sion o1 Industrial Safery Permit Number. C�OE �. INSiECTIONTYPE 7616 Fixed System Finel Fire Prevention 7266 Poal Spa Finel ppp Finel Re-Rool 207 Flnal BIocWRetBining Weil 202 Final Factory Fire Place 203 Flnal Sign 20M1 Finel DemWttion �g � COUE I INSPECTIONTYYE 208 Final MeChenlcal 208 Finel Plumb��g 210 Final Eloc�rlcel 252 Finsl Fire Preveniion 220 Final Planning Approval 222 Final Site 250 Final Bullding/Occupen< •IIII�IF: --%(7-'�. � ��'fl"lr - y'`�'.' ; •�.-.:� f �. (714)754-5273 • Fax(714)754-4856 Job Address: 960 W 19TH ST Suite No Vicinity: . Parcel Nunmber: 42253110 Applicant: Address: JOE RODRIGUEZ 05457 CRENSHAW BL LOS ANGELES CA CITY OF COSTA MESA , BYILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT PLUMBING PERMIT Owner: SALMANS, GREGORY B Address �960 W 19TH ST� , COSTA MESA, CA Contrector: ADEE PLUMBING & HEATING Address: 05457 CRENSHAW BL � LOS ANGELES CA Arch / Eng : , Address: Phone: 800-554-5858 Zip: 90043 Phone: Zip: 92627 Phone: 800-554-5858 Zip: 90043 - License: 240186 PERMIT NUMBER P00-00200 77 FAIR DRIVE, COSTA MESA, CA 92626 � . � � Phone: � - � � ' • Zip: License: ' - SCOPE OF PERMIT.' ' REPIPE GAS LINE. ' ISSUE FEE BackFlow irrigation� BackFlow Preventer Bathtub Clarifier System Connect (Ice,SoGa,etc) Dental Units � - Dishwasher �rain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Ezpansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe � AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.75 $0.00 59.80 . FEE SUMMARY QTY AMT � Laundry Tub / Washer , $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 .Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00, 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar � $0.00 0 Sink, commercial $0.00 0 � Sink, Floor $0.00 1 Sink, kitchen $0.00 0 Sink, service/mop, 30.00 1 Spa (private) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0. 0 0 . 0 0 StaWs: ISSUED Applied: 04/272000 Issued: 04/27/2000 ISSUED BY: �/ 1� SumpPump Swimming Pool Trep,Primer Urinal Vacuum Brkr BkFlow(i-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regula�ions. (Ord. No. 92-28,.§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply vnih all applicable codas, and all required Inspectlone end final epproval must be obtained. Failure to obtain inspections end final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: � I hereby aHirtn untler penalty of perjury one oi the following tleclarations: � ❑ I heve antl will maintein a certificata ol consent to seli-Insure for workers' compensation, es provitled for by section 3700 of the Labor Code, tor ihe peAartnance ot the ork br which this pertnit Is iuued. have and will mainteln w rs' compensation in5urence, as requlretl by section 3700 of the Lebor Code, for ihe perfortnan of the work f which ihis pertnii is issued. M ers' compenseti �Insurenc carner en policy nu ere: , �'. /��//� � /1 i Cerrier��y✓C!�%— ��/�, �S • � , PolicyNurfibe�, /l�4��j�,1`// (This,�ec ion need nof be comp/eted i the peimiNs velued ef one hunOred dollers ($f 00) or /ess.J ❑ I certity Ihat in the rmance of t e rk for which ihis permlt Is issued, I shall not employ eny person in any manner so es to become subject lo Ihe workers' �I ol C lifomia, a ree that If I s�ould become subject to the workers' compen ions of Secilon 3700 of the Le6or Code, I shall forthwith !r{p ov' . . �` ApplicantSigneWre: � 4 Date: • ��` �v TO S URE WO ERS' COM N ATI ERAGE IS UNLAWFUL ANO SHALL SUBJE CHIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED TYIOUSANDDOLLAqE($ ,00�),INADDITIONT F PENSATION,DANAGESASPROVIDEDFORINSECTION37060FTHELABORCOOE,IMEREST,ANDATTORNEY'SFEES. toroe antl eHect. Contractors Siai ❑ I hereby e'� Lentler'S Nflme: Signature: _ DECLARATION: ENDING AGENCV: that there is a constructlon with Section 7000) of Divislo of the E ctass a oate: ihe peAormance oi the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders AtlAress: Date: and my license is in tull OWNER-BUILDER DECLARATIONS: I hereby alfirm that under penalry ot perjury Ihat I am EXEMPT FHOM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair eny structure, pnor Io Its Issuance, also requires the applicant for such permit to file a signetl statemem thet he or she Is licensed pursuent to the provislons of the Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 ot the Business end Pmfessions Code) or Ihat he or she Is ezempt thereirom end ihe Dasis for ihe alleged ezemption. Any violation oi Sectlon 7037.5 by eny applicant for a permll subJects the applicant ta e civil penalry of not more Ihen ilva huntlretl dollars ($500).): ❑ I, fls owner of the properry, or my employees with wages as thair sole rnmpensation, WILL DO THE WORK, entl the structure is not intenAatl or oHered for sale (Sec. 7044, Business antl Prolessions Code: The Contrectors License Lew does not appty to an owner of property who builds or improves thereon, and who tloes such work himself or hereelf or through his or her owA employees, provided Ihet such improvements are not intentletl or oHeretl for sale. II, howevar, the Duilding or improvement is sold within one year oi completion, ihe owner�builder will have ihe Durden of proving ihal he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe properry, am E%CLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS lo construci the pro�ect (Sec. 7044, Business and Protessions Cotle: The contractors License Lew tloes not apply to an owner of properry who builds or improves ihereon, and who contracts tor such projact with a conirector(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Business end Professions Cotle tor this reason: Signeture: Date: � Owner ID venfied by tlrivefs license. ❑ Yes ❑ No Drivefs License No. Expires: Venfication of Ownershlp Dy (rype of document, i.e. � property Ivc bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in tlepth Into which a person is reQuiretl to descend, wlll he made In connection with work authonzetl by this pertnit, and ihat no bullding structure, scattolding, lalsework, or tlemolition or dismantling thereol, will be more t�en ihirty-six (38) feet high. (Chep. 32, Gry 2, Art 2, Sec. 341, 7tle B, Califomla Adminis[rative Code). ❑ As owner-builder, I wlll not employ enyone �o do work which would require a pertnii trom �he Divlsion ot Industrial Setery, es noteG above, unless such person has a pertnit to do such work Irom the division. SlgnaNre: Date: Division of Industrial Safely Permit Number: CEHTIFlCATE OF COMPLIANCE /WD AUTHORIZATON OF ENTAY: I cartify undar penalry of perjury ihat I have read this application and state thet the infortnation given is correcl I agree ro comply with all siate laws end ciry ordinances relaling to builtling constmction, and authodze representatives oi the Ciry ot Casia Mesa to anter upon che eboye�Ae�ribed property for inspection purposes. I egree not to occupy ar atlow occupancy ot any building euthorized hy Ihis pertnii until final lnspection. COOEI. INSVECTIONTYPE V 1616 Fixetl System Finel Fire Pr 1266 Pool Spa Final 200 Final Re-Roof 201 Fine181ocWFeteining Well 202 Finel Fedory Flre Place 203 204 26a6 46 Final Sign Final Demoli�ion 1�� COOE 1 INSPECTION TYPE 206 Final Machanical 208 Final PIum6ing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinglOccupancy ��7.11�1➢liiF.14'j "� =J'= noonessaew�m+� y�0 W 19TH ST a�xs"a"E'°�"' COMPTON, PETE ApOflEu' S6 BALBOA COVES NEWPORT BEACH,CA 92663 646-8711 �rv�. �uina �ooxess YICXrtEC70P El!'�� /iPl1L ON FN4'SMOPE53: uc. xo.: UNT: uxr caim�cTarswu� THUNDER ROOFING ( 714 ) 646-4122 cwm.cronsr.wwo 854 W � 9TH ST �o�g%COSTA MESA CA �� 638144 92627 u�: IJCENSEU COMAAMapg DEClAP1TI0N: I Mraby eAYm iuMr pr�ely d per'ryry ihu I em licensed under pariim� W Chepar B (mmmemiiq xdh SacYon )0001 d Oiwian � d Ne Buei�roa W Prdeaa�ana CoM. end mY lioense u in hA b�ce mM Mee. cm�.no.: 557 8 uc.cuss:c 39 uc.No.:63814� XP: 2/97 � DNs. �°^U�^r � WNEfl BUILDEfl UECLAq1710N: I hraW elfirm uMx pndy d per'�m/ thm I em aasmp hpn IM Canreqm Lioena p�p �� (�� ]W 1.5 Bus'vwe� enE Pmlemiom Cade: My ciY a muntY �� bGuires e parmil to oonehuct. � �I � Bwmen vH Toteww Codal a �M he u in "s mamq �Mrehan ard tha bda ta fis Wp�d m�amqion. )mi+�md�6idion lp�i,5 by eny EiW�� a e pmmil wbjWe �M epplicanllo e dril parelry ol �wt more IMn Ma hundrad do0en �$500�). ❑ I.oawMdthepropMywmyempbyaeewlhwepmclhaiedewmpenaelion.vriAEONewoek.mdiMNvlununartandsE «allaaE br seb (5acuon )ou. eiunm eed P�deadona CoEs: TM1a Corureem Uwma Lew Eme m eOWY�om owmra qapeny wAo buiM a inPewm tMrem. uk xM tlom �ueh xwk NmsNl a MnN a M�aq� lo a hx o«n wnplv�aa�. Vvrid�E thn wM impmem�b ere nd intenEeE a dlarotl la eeb. X. Mwswr. ihe buiNi�p or inpmwmen u�old x+IMn ms Yw oi oomplelion. tlp o�y�.y��Nx will heve tM burden d provin0 he or ehe d'd eM WiIE a improve la �M pu�pme d�eM). ❑ i... o.� a m. ww«n. �* ..d�:wN �amro wan ra.�..e mw,�w. m ommw m. c�d.a ts.aon row. auv�e...�e a�a...w coa.: rne cwreav. �cm.. �.. aoe. na ewN a� wm. a ww�r wno dnw a broA+« �n..on ene wLo connecb la eurh prapa� wn� e mpreGa(s) licemed pveuw to iM Commfas Limnsa levn. � 1 am exemq urdm Saction�. B. 6 P.C..1a llris �es+m'. Dw: a^^r �� y�epy �yyly Uw I em ewere d enE uMxeleM iha npulremmtc d Cellanie Neel�h eM Sdaly CoEe 8edione 25505, 255JJ, mE y55�, yy �Np I a ury Mun buJdinp ooapem will / wil mi (ercb one) naed �o cpnqy wih �eiC mala mds� and IM rpu'eamaW b a oem�e tamrobiwaian a moGfiMbn6an�M Ai�e�upsi�v Oinrid. RedJstl W mmrvaian WD�ioroenmemqhdn tlw Dme: MC�� WORKER'S COMPENS�TIpi DECWi1TI0N: I hereby dhm uMs psissy d p�uy ane d iM bYow'vq dsdertlbr: � I hm e�d ��Men a cenE'Ws W mmem lo ealN�uuro br wakms' wmpevelbn, m prwidad Iw by SerJion 3'!00 d�M labor COEe, la �� Vs��ca d Ne wak Iw which Ihie pe'mX u isaued. p � nm. ene »;� me:a:n wal�,• mmoe�iw, :�.,�.ro.... �wm.a br s«yian noo n m. lebor ca.. m, u. wbn,ero. a u» woek Iw iA� Nu 0�� u musd. MY ��^�^� �^Wmtlion mwrenea urtbr eM D�wY numEx us: Cemer. Pd'cY Number: (nus .earo� ro.d na b. c�dxbY Us w^^t o ro. wx hunmee ddw Is+aol or ru.) x] 1 canAy �Ne� in �ha pMamence d iM wak /a which ihn pmnn ie'qeusd. I qiM M empby erry prcn m a�ry mennar w ro b peeome WbpG �a tM xwMx�' mmpriWion kxa d CeWanla, vM pres ihm H I MwN baeoma wbjed to IM woeken' ov�wn pwisiom d a v1 tM lnLp COM.I lonhrGfi mmpl� poiebm. ,��,T� � � .�w�:�� <n , .rna� �� Wam/np: FaN�ln b�xun wohen'rompruetlon eoverap� I� un�wlu4 �+�I r!/cf �n �nplqw ro eMIIW puWtln �n0 WII nnu ,q W� h�nd� Upu�W AMNn lifOq000A ��dd/fbn ro tl�� cwr ol rom�Wn�eWn a�W u prorkNC ro� In Ssetlon 9TAB el IM LNor Cotls, IMrut +�M �ttomy� Iw,. CONSTNUCTION LENDINO AGENCY: I IronW elfirtn uMer peneM1y d perjury ihet ihrs b e mm��ion bnAi�q epeM.y far Ns parlormum d iM wak br whiM ihe ps�ml ie ueued (Sadion �OB], CH. C�. LENOEfl'S NMIE: lQlOER'S �OORESS: II cently thet I hA+� bu eppl'retion erd eWe �MI the ebovs'vdamelon b mnq. I epree to comply wil� NI dry aM oourqy o�dinenose end�itlekxa�rqbbuiNipwnebupionendMrebyeWwr¢erepseenlebwedtldecuymaMxupaniMabo.e�mwivrdpopMy '. Iv impanion p�paes. I JO�E�E HERNANDEZ While-BulEvp 8 Seley: CITY OF COSTA MESA — BUILDSNG PERMIT / PERM NO: H 080181 PERMIT' NO; B 080181 PLAN CHECK NO; N GOVT: N SUPP; M CONSTRUCTIQN TYPE; V—N PERMIT TYPE; STR FURPOSE: UTH JOH DESCRIPTION ; T/OFF 6 REROOF W/COMP SHINGLES SQ FT: 3,400 CLAIM VALUE: 3,400.00 CALC—VALUE: 3,400.00 GROUP OCC: R-3 / COMMENTS: REROOF 2100SF W/COMP SHINGLES ��**�**� *rt*�*�r+�it� ��*�ritx�*�+t�*��*itx��*+t*+�x**�***�r**��**��*�******��*�r��+r�*�** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42253110 ZNE: REF NO: PLANNING NOTES>, .� . � '� ff 1E �E �E iF iE 1E �E 1k 1E k 1f 1f !E fE 1! 1E 1E if it 1E 1E 1F i! 1f 1E if 1k ff 1E iE ik 1F 1E i! 1E 1f iE 1E i! ff if iElE k fE iE 1k k ik iElE iE 1ElElE 1E 1F iE iE 1E ik 1E iE iE iE iE �F 1f'iE iE 1E iE 1E �k if �Elf �f 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 i 1l ZONING APPROVED BY DATE: '' BUILDING APPROVED BY : DATE: �t APPLICATION ISSUED BY; DATE; I'Of"�2� ��P !f!E'k ik itlE �(' 1ElE fE 1f 1ElF 7ElE 1E'lElE'k if if iE 1E fE If fE iE 1E if 1E iE'1E��E iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 87,25 ,SO SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 87,75 0.00 0.00 87.75 87.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 87,75 OVER/SHORT: ,00 BLDG PMT PLOMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 87.25 ,50 fF fE 1E 1f 1E if 1E 1E 1E iE iF IE 1f 1ElE 1E if !E 1E 1ElE if 1E 1E iE 1E 1E 1E iElE 1E 1f 1E 1E �E iE 1F 1E 1E 1f iE 1E iE 3E 1k k 1E �f k 1E iE k iE k 1E 1E iE iE if iE iE iE iE if iE iElE 3f 1E iE if ik 1F iElk 1f 1FiE if 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 SFR 3400 REROOF HY VALUE RESZDENTIAL NOZONE 1,00 3,400,00 END OF FEES 01 D0217893-00217394 T Cl T 57,7� DRTE� 10/25/9S ?It1E: 09:54 I CONSTRUCTION AND PLANNING P� �& SPA APPROVALS 'Permit # Date Inspector qppROVALS Permit # Oate inspector t. Temporery Electrical Service or Pole 52. Pool & Equipment Locatron �. � 2. $oil Pipe•Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utiliry-Undrgrnd. 54. Forms . 4. Electrical Conduit�Undrqrnd. ' 55. Electriwl Bonding ; . 5. Steel Reinforcement - 56. Rough Plumbing & Preszure Test :f 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE " 7. Footings 58. Electrical Conduit-Undrgrnd. - ' 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-7rap, O Undrgrnd. 10� S[ruttural Floor SYstem � 67. APPROVAL TO DECK ' 7 t. Property Sewer �ine & Nouse Connection 62. Backwash & Receptor•Final � 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains g4, Flumbing System - Final . 14. Rough Plumbing 65. ElectricabFinal ' 15. Rough Electrical-Conduit , 66. Solar System�Final 16. Rough Electric Wiring , 6�. Fencing & Access Approvai ' � 77. Rou9h Wiring Sign � 66. APPROVED FOR-PLASTER•ING 1$. Rough Electrical-T Bar Ceiling ( � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT 20. Rough Fattory Fireplace '� � APPROVALS " Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Duas, Ventilating 77. Product Piping � Gas ❑ Oii 23. Gas Pipe-Rough & Sest 72. Underground Ftush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing ��, f/ ` 7q, Overhead HYdro 26. T�Bar Ceiling (Strucwral) & Monocoat 75. Ory Chemical 27, frame and Flashing 76. Dry Standpipe �� 28, Lathing & Siding 77. FIXED SYSTEM FINAL 29, insulation 78, FIftE PREV. FINAL 3p, Drywafl Nailinq - HEAITH DEPT.�REQUIREMENT 3L P�aster Brown Coat ' 79. FINAL INSPECTION . 32. Electrical Power Meter-Finai 80. FOOD CERTIF�CA7E ISSUED 33, Finai Eieciric � Notes: . 34, final Heating & Air Conditio�ing �� j 35, final Gas Pipe�Test - � 36, Hood or Canopy . 37. Final Factory Firepiace . � � 38. Final Plumbing � � � 3g. Water Service-Final 40. Gas Service-Final , , - � 41. Solar pomestic•Final _ 42. BackflowPreventer' � � 43. Backfiow irrigation 44. Landscape Irriqation System � 45. Sound Attenuation . 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING /�Z. sl 46. FINAL PLANNING ` 49. Electric Release to Edison 50. Gas Release to Southern Calitornia Gas Co 51. CERTIFICATE OF �CCUPANCY No � Date eaimio y60 W 19TH ST 11°�ONT'' COMPTON PETE �� 56 BALHbA COVES NEWPORT BEACH,CA APCXRECTOR ENtlNFEN: ACIL OP FN6'S 1UUHE55: wrtnaaars xu� CONIXIiC10R9 YYIllO AOOPE53: urrt: 92663 uc wo, UM: IlG ND: urrt: LICEN9ED COMPACTOq4 DECL,�fl�TION: I hereb/ Mim uMer penNy d q�ury thel I em IkwuW uMer pwi4ons N Clupw 9 (commemi�0 �ilh Sectian 7000) tl Diviaion J d Or BuwMu eM P�dmdon� Code. eM my licanw u in htll lau �nd dIW. cmuc.No.: uc.cuss: uc.No.: EXP: om.: cam.d«: -'�NEq BUILDER UECLAp�TION: I hssby el(um udv prWy d ps{vy IAr I em mminp han 1M CmireCon Liorw Lew la IAs rnip �eafm ISetlion lW 1.5 &ui�ms eM Rdm'wu Code: Nry JY o mm�Y rbid� n0�u� e M�110 mnWct. War. imMo.e. ,�A a rapei my avuaua. prior m b ewenro. dw rsQinm the eppGmN la mdi pe�m� to Ne s wprrd pelmmstl tlW M a Me i. IicenYstl punuenl �o the poNwone o11M Comredon Limrue lew �Cheqs 9(oommenunp wnh Seuion 1u00) d Diwion 3 0l tM Bu�meaa end Prdwian Codel u IIW b a eM u uemq 1lwdmn eM tM buu ta tla dbpeE ezemqian. Ny vitldion d Swion ]0�1.5 yy eny epplirent lor e permn eubpqs iM eppliceM lo e tivq penely d �wl mors than fHe hurkmd do0en �5500�. ❑ I.mmmerdlM1eV�WnYam/amdWw+wi�weps+u�Miedsmmpamtim.w�TEOIMwk.mdtM�M1urtva'snn'vaaMed a a11meE 1or veb (SecYan ]a1. e�ineea end Pmlea+ion+Cotls: Ths Caareeon Liouma lewEms na eoONto en owner a p�ope�ry .ro ww « mwo... m�. m,e.ro ao.. w�n.� �.se or n�a «wwy� w a n.. o.�, a�poYw. ww� �na .� fMpowmws ae �a iiuendeE n WseG frc seM. I. howwr. tM bwld"uq a in0�uwnrtl u wH wdhm wrYaer af candelun.IM m.�w�waa«.� new �ro w�w, a Pw'v,o ns a.n. m na ww «:�a� e> u. wv� a wsl. ❑ i.., o�.�« a m. ww.m..�,�..m�r ��:ro wn w�.e mw.cr.. m wMo-w m. wdw tswa, �o«. ew:+.,.oa vwe,aa,+ coae: Th. caa�.an. 4m�ue �.. eoe. nn mqy m� owiw a aroNr wno bw�d. a'vnpwm �n..on .ne wno wm��v �m n,a wolw• wn . mv,eant.) �.�,w o�wm m �n. co�vMa. uw�+.1.w1. ��w��s��:BP7044 e.ar.c..ro�iw�:0�1 NER HUILDER .i, — 1/: P/:-. ,.--- � ,r, lJ_ _ _ � ,��.,. I em awera G W �vW�etend Ms iaV��am d Caliml �flsetlh end SdeaY Ca4 SeLfwn 2S5o5.2553�. mk v Mun WJdno � wi0l wa na (drtM oro) naeE m awndv vri� uk ms mdu eM iM nW6rnsa� br Dmc Aod'cem: WORKER'S COYPENSATON OECLAF�TON: I MrWy eMem ivWr panetly d pajwy aw d Na Idbw'vp detluelum: ❑ 1 heve eM xil meiman e<eniliau d conwnt io ��Ilinana br xarkeri mnpanWion. u prwiEM la b/ SWbn i]00 d tM lebor CoM, la tM pmlamuc� d Ne Mak Ip M'rh Ihu pame h fnuaE. ❑ i n.».oa.;� mei�i.� .we�� w�,o.�o� ww.z.... �.mm.a M swwo aroo a a. i.m, coa.. a. m. w�«m�,w a i�r wah �« whid mu pwmC u ivua. Mr .nkrY awnprsmbn umraiar mriR ed o�' �xmb. an: c.m., POGcy Numpar (1�+4C�an rcd M h m�MfM IW G�1 u b ar MMW tlaEsrs �Si001 n Im.J ❑ I wnN Ne� in ilw D+�«menu a �M wak la whiM Ow oMN u ivuM. 1 WA m�mOM M' orsm N enV men�ror n ro to CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 079811 PERMIT NO: B 079811 PLAN CHECK NO: 04085-96 L GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR ' PURPOSE: ADD JOH DESCRIPTION : CONST. 48SF PORCH SQ FT: 48 CLAIM VALUE: 450.00 CALC-VALUE: 747.84 GROUP OCC: R-3 / COMMENTS: OPEN PORCH 1F f! 1E iE it 1E iE 1f iE iE if If if iF iF iE 1k iE iE 1E iF 1t 1E k 1E 1E iE iE 1E IE ik iF if k iE 1f 1E 1E 1E IE 1E 1k 1E 1k 1E 1E 1(� 1E iE 1E 141I� i4 iF ik IE 1E 1E if 1E iE i[� 1i iE If 1E 1E 1E ff IF 1k if 1E if IF 1E 1f if 1E 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: 31 FT 6 IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42253110 ZNE: R1 REF NO: PLANNING NOTES> ATTACH 12' HIGH FRONT PORCH TO EXISTING BUILDING FRONT. > D.L. SAYS O,K. 1E iE 1E 1E f!� iE iE fF 1E iE it ik Ib 1E iE iE 1k ff,iE if iE 1E 1E 1E iE �E fE iE 1(� 1! 141E 1@ �E �E 1E 1E 1E iE iE 1F fk'IE 16 iE 1E 1E iE iE 1E 1E iE it iE IE IF i! i! fE fE IE fE IE it * ik iElE * iE fk iE 1E iE iF I! i(� 3f 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: HUILDING APPROVED HY ; DATE: *********�*�t*****DrtH*it ****D*****TtTF3i'itl�'** LEGALIZATION:N E E E S U M M A R Y STRUCTURAL SEGMENT•Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 29.25 PLAN 19.01 ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 29.75 0.00 19.01 EIRE SMIP/RSS� GRADING SMIP/NON-RES TOTAL PAID DUE 48.76 48,76 .00 REVENUE DIVISION TOTALS--> COLLECTED: 48.76 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 29.25 .50 19.01 Mcame m4a to iM wMaY camw�ion 1aw� a cerao�:...�a .o� mei e i a�ea e.�. wqw io tM worken' 1ElklkillkifiEiElEMlfkkklfkiflf7tiE1klFiFMlkiEiElflfiElEiflf1f11�1E1E1E1lIEiE1EilMiEiFikiflkiElkiElElElEifIF1EfElfiEkiElE1E1l1EIf1E1faE1Eaf1f�1fiFlEiFiE trompmelbn pmviwu d`waian 3100 d iM laEa Cods. I WII IanM1xiiM1 aanp/� .M iM1ow pewisiorm. I N D I V I D U A L F E E B R E A K D O W N Dtls: App''v�sM: W�ml�p:F�Nunbueunwarkw�'conp�ru�tlonrovxp�laiml�wN(uWWllu!/Min�mplqrrocArNnlpNUltlpmJ TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST clvn nnu w ro orH nu�mW Mouune aolbn ltt04aooA a tl9abn m M cwr ol conpu�udvM1 dmrw n i+d�� br In ' s.eem�roso�m��.no�coa,��twtum�trom�y�/»�. SFR 48 RES-PATIO COVER-POST 6 SOLID ROOF 15.50 747, 84 CONSTpUCf10N LENqNO AQENCY: I hareby dR�m wWr p�iWry d parjry tIW tArs "s e�a�w�,�, w�w� �y ro, m. END OF FEES pMmnanu d �M xak ty ufiidi Nu psmi o ewMd (SaG'v� �. CM. C). . LENOEF'8 NAME: lENOEP'8 �ODflES4: I cMRy iM I hava roM iho eOWiwion end tlW Na IM eEvn'udaninnion e caretl.l aPM b oomON wVh N Ny mM awmY ml� uM etys lewe rMe�uq Io buJdip canmwim eM MrWy einMres iepommfrvw A tM tlty lo anls upm IM abow�mWbrod popa�ry E XP IRE � ��'�'�� EVELYN COMPTON (5151dE. p) ome:. //L..` Graen-Fib: Ca�ry-AppireN: Rnk-Rswnw: Odden�oQbwuar DATE '' -1 ✓� OI Q0216461-QO?16463 T l 7 T 4 8. 7 6 DATE: 20/04/9` TIItE: 15:37 0 : RUCTION AND PLANNING . P� & SPA • � -VRLS Permit# Date Inspector ,�APPROVALS� Permit# Date lnspact;r ,orary Electrical Service or Pole � 52. Pool & Equipment Location 2. S.J Pipe•Undrgmd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. 54. Forms 4. Elecirical Conduit�Undrgrnd. . 55. Electrical Bonding 5. Steel Re�nforcement � � 56. Rough Plumbing & Pressure Test 6. Eiectrical UFER Grnd. . 57. APPROVALTO COVER-GUNITE ��7: Footings ��j V% � � 58. Electrical ConduibUndrgmd. 8. Foundat�on 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgrnd. 60. 9ackwash �ines, P�Trap, O Undrgrnd. 10. Struaural Floor System 61. APPROVA� TO OECK 11. Properry Sewer Line & House Connection . �`62. Backwash & Receptor•Final 12. Sewer Cap • 63. Heater & Vent�Final 13. Roof Drains . 64, Plumbing System �,Final 14. fiough Plumbin9 - 65. Electrical•Fina� - 15. Rough Hectrica6Conduit ' � =66. Solar System-Finai 16. Rough Electric Wiring � 67. Fencing & Access Approval 17. Rough Wiring $ign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUfREMENT � 20. Rough Factory Fireplace ' - � APPROVALS � Permit # 21. Oucts, in Structure� �, � c -- _�� 70.�Underground Hydro � 22. Ducts, Ventilating ±' • 71, Product.Piping'Q�Gas OOiI 23. Gas Pipe�Rough & Test ,-' � f 72, Underground Flush 24. Roof-Framing �� __ .._ , _ - � 73. Undergmd.StorayeTank OGas OOi� 25. Roof Sheathi�g `� � - . 74. Overhead Hydro 26. T�BaF Ceiling (Svacwroq & Monocoat - � � 75. Dry Chemical �� 27. Frame and Flashing -_ t � j` e� 76. Dry Standpipe _ - ,7..� 28. Lathinq & Siding , / � 77. FIXED SYSTEM�FINAL 29. �nsulation � : �� , 78'. FIRE PREV. FINAL � 30. Drywall Nailing - ' �_ _HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat _ 79. FINAL INSPECT.ION � 32. Electrical Power Meter-Ftnal ' �, 80. FOOD CERTIFICATE ISSUED 33. Final Electric � � ' - Notes: ' � � '� . � 34. �Final He9ting & Air Conditioning - _ � - . � � 35. Final Ga5 Pipe-Test - . ' - ' " � _ 36. Hood or Canopv . � _ " 37. Finai Factorv Firep�ace - � _ � ' - _ 38. Finaf Plumbing � '_ . - " 39. N'ater Service-Finaf • _ 40. Gas Service-Final � � , . '� '-. . qi. Solar pomesticFinal - • � � 42. BackfloW Preventer � " ' _ � - " 43. Backflow Irrigation - - ' .44. Landscape Irripation System � � _ _ . , - - 45. Sound Attenuation - " ' - ,. . . 46. Handiwp Requ�ations � - , � � . - 47. FINAL STRUCTURE & BUILDING - ' 48. FINALPLANNING � 49. Eleccric Release to Edison 50. Gas ReleBse to Southern CaVifornia Gas Ca . 51. CERTIFICATE OF OCCUPANCY fJo Date y � �cr nooeEss: _ g50 W .�82'F��ST OWNEfl'S NAME: �� M� / � I .� �o08ESS: n ' _ •• 1 't'"l'� ' Slop 6 Cave-5 RflCNIENGINEEfl: N � p G�/ ��NO.: RODflESS: � �� UNIT: UNIT: PEflMITTEE:BAY SHORE ELECTRrC (719)695-9341 aooness: 1048 IRVINE AV 143 NEWPORT HEACH CA.92660 LILENSEO CONTBRCTOfl OECIAflATION: I hereby allirm I�at I am Iicen5e0 untler pmnsions ol Ciuprer 9(cammencinB'F'�� Se[tion 7000� ol Divi9an 3 0l I�e Business ana Pmiessions Code. an0 my license is in lull lorce an0 etfect. CITV LIC.: STRT : 0�582�5� 438771 EXP: 02/95 o,�e: _� � SiAnature: _ _ WOPRENS' COMPENSRTION DECIAflRTION: I �ereEy altum ��at iav rtilicate al consenl to seli-insure or a cenllicale al Workers' ComDenution Inwrence. or a cenifiea coDY thereol (Section 3800. LaG. C). POLILY NO.: E%P. ORTE: comrnxr: Cemnm rnoy is rrereey mrmsnea. ❑ Cen+iiea copy is ii�ee witn me city Buiiainq �ivisian. Da�e: npDlicant: E%EMPitON FHOM WOPIIEHS' COMPENSPTION UECIAIIATWN: �Tliu se�ipn nee0 irot 6e compkle0 ii Ihe pefmt ¢ fa me hwdr¢d (5100) a less). I Clhi�y lhai in I�¢ p¢tlOrmdnt¢ a� Ih¢ wOtk IOt w�i[� INS pl�mii i5 @Su¢0, I 5 II I emDloy a�ry Person in azry manner Sa as to beComO SIIU�CCI �U I11E VfOfktfS �OIIIpCO5dl10 5 01 Cd610f01d. ,, oate:_/—�G � � � sigwture: � — NOTILE: II. alter makinp tllis Oeclaration, you stwul0 Oecome uDl�� o tAe Warkers' Compensatlon provisions of l�e laEor CAGe, you must forthwi0l comDN �� such DrOvi9on5 or INs Oermit sAall 6e deemeE awke0. CONSTflOLT10N LENDING AGENCY: I �ere0y allirm Ihai Ih¢re i5 a wnSlmtlian IenOinA a0¢ncy �0! I�e pedOrmante of lhe work IOr whicn inis permit is �ssue0 (Section 3097. Civ. C). IENOEP: AOUNESS: OWNEN BWlOEP �ELLANRTION: I nere�y affirm Ihat I am eaemot Imm the Contradors' State License Law lor tAe lollowinp reason (Sectmn 70J7.5 Business and Professional Catle: Any ciry of county wpich reQuires a permit to wnstmct, alter, impmve, aemolisA, or repait any stNclute. Drior ta 'its issuance. also repuiru t�e aDP��t lor sut� Oermil to lile a sipned sWtement t�at Ile/stle is IitenSeC pursuam lo t�e pmvisions ol t�e Comracmrs' State Lirense Law (Clqpter 9(commencinq with Section 7000) of Oivisbn 3 of the Business an0 Proles5ions COae) ot tlWt he/she is exempt iherelwm anG ine Easis lor ihe allegeU e�emption. My violati0n of Settian 7031.5 Ey any apv�iWnl tor a Dermit su�jecis the avPliWnt to a Civil penalty ol no� ma2 tilan five hunJred Udlars (5500). I, as owner ol t�e DmDefiy or my employees wit11 r�g�5 as tAeir sale compensation, w�l Eo ihe work, anG iM ❑ slmcWre is no1 intenGed ar oilereC lor sale (SeCtion 70aa. B�ineu anG Pmleuional COGe: The Contractors' Sute License Law � aas not appy to an owner of a O�openy wta bWWs or imprwes lhereon, ana who Goes suc0 work NmsGll�ersell or lnwupA his oi �er av+n em0loyees. pmddetl tlut suc� imprwertreMs aa noi intenUM or attere0 br ule. If, however tlle huilUinp or imD�wemMt 4 SOIE within ane year ol rAmpletion, t�e Owner vnll have t�e EurUen ol provinq IlNslle Oi0 not Ouil� or impmve bf I�E pU�pOSC 0� SdIQ�. 1. as owne� ol me OmDeny, am exclusively coniractinp witn iicenseE coniractars �o consimct the project (Sectwn 70aa, Business ❑ anC Pmlessians COAe: 7�e Contractors' State Lkeise Law tloes noi apDW �o an owner ol pmperry who EuAOs or improves thereon antl wM cwlrac�s lOr Such D�ole��s wi�� a conUactoqs�li�¢nse pursuanl Io t�e Caniracmrs' State License Law),I am aware I�ai pwol ot �A¢ir Workei 5 Com0en5a�i0n insurante Should Ue O�Ovid¢4 lo m¢. � I am eKempi un0ei Sec�ion: B. d P. C. lor I�is ieason: Date: 6«ner I oa nereby cendy tnat I am aware ol ana understan0 tne repuirtmants ol Calilomia Healtn an0 Safery Code Sections 25505, 25533, and 2553a ana inat I or any luture builtlinA acupant vnlVwill not Icircle one) neea to camply with saitl state co0es an0 the reQulremems for a perrtut lor consimc�ion or madilicalion imm ��e ar Oualny Manap@ment OislricL Hesiden�ial mnstmction ap0�iutians are exemD� �wm mese o��+s�ons. Date: Appliwm: I nereey Urtityina� I nave reae Inis apo�itati0n anU stalelliat Ine abpve inlormalionis corrett laqreE to compry wlin all ciry an0 caunly orGuwrces anG 9ate Wws reWtinp to EUA�inp constmction arW tureGy amlwrae repi sematives ot t�i ' enrer upon t�e aDove�memioned pio0e�iy lor �specli n Ourposes. i i oa�e: ��' �S SiAnaiure: Driver's L¢ense oi Social Searity �; �. � 164bn6 W�i1e—euiltling; Green—Cotle EntorcemenC Canary—qppllcam; Pink—Pevenue; GolOenroE—Assessor - `- CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 070717 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION : SERC�ICE UPGRADE PERM NO; E 070717 GOVT; N SUPP: N PURPOSE; ALT SQ FT: CLAIM VALUE; CALC-VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHEA WORK AUTHORIZED BY THIS PERMIT *r«rrir+r**+�**�r***�r��rrxx+�r*******�r*r�r�r***r*r+�*****�rie*rr�r*r***+�+t*********a*��r***�r* 2 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: 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: 42439111 ZNE; REF NO; PLANNING NOTES> � > rx�*�e*�r**r+r**r�+rr�rr*rx�+r*�r�r*******�*ie**+rr*�r**�r****�-**r**�**r*+�*r+rr***********rir 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 . BUILDING APPROVED BY : APPLICATION ISSUED BY: 1k4rMififiEjfkitMififitMilYMifMMiE ilififlfitiF4ifMiEitifjtiF4Mit1lifltMiE LEGALIZATION;N DATE: �' DATE; DATE: 1 �(0 41' *r*�r**r**r *r F iE if %��7R iR iF %K if 1F iF if if 1E if 11� M M it iF i(� M iF i(� iM1 it w iF M 9f if M iF M r 1f jF+F if iF iF r 1f if if if il� iF IR iF F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18.50 504 SMIP/NON-RES PLAN ISSUE FEE 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 18.50 15,00 0,00 33.50 33.50 _00 REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: ,00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 33.50 MrifififMifitif7liFitikifMkiFM1l1EilMMMif1lkififififkiEkitilififitllifMlfNifikifit�tiFifillfYitlFlfitlFRiflfMMltlfiFlFiFiflf%1flfififitllif 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 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18.50 END OF FEES O1 0017F9d2-00174°62 TO T 33.50 uATE: O1l16/9� TIhE: 20:22 I CONSTRUCTION ANDPLANNING k APPROVALS Permit # 1. Temporary Electrical Servic� Poie 2, Soi1 Pipe-Undrgrnd., -!i� � 3. E�ec[ricai Conduit Uiilitv-Untlrgrnd. 4. Electrical ConduiYUndrgrnd., ��5: $ceel Reinforceme�t , 6. �Electricai UFER�Grnd. • -7. �ootings �� , 8. Foundation 9. WaterPipe-Undrgrnd. • -i' 10:,StrVeeu2lFtoorSystem �` 1 i, property Sewer Line & Hou��Connectio i 7 2. 5e�.vtr .Cap � , � 73. Roaf Drains '�� 14, �Rou�h Plumbin8 y 15: Rough Electrical-Conduit � 16. flough Electric CNiring ' 77. Rough Wiring Sip�. � 78. Fiough Electricdt-T Bar Ceiling 79. Rough Heating & Air Conditiomng 20. Rough Fxctory Fireplace ' '� •� " i :. � 21, DuCts, in Strutture� , �� .� � 22, pucts; Ventiiating. • ' 23. Gas Pipe•Rough � �Test � ' 24, Fioof Framing• � -• • 25. Roof,Sheathing ' � �- 26. Y�BarCeiling (Structura4 & Monocoat 27, Frame and Flashinc� , . 28. Lathing&'Siding �'' � ? ' � �' r 29. Insulation " � .. 3p, drytivall Nailing . 31. P�aster Brown Coat: � _ , ,;� 32. Electrical Po�Yer M€iar-Final ' 33. Final,Eleciric. ' ,, , . 3q, �inaf Heating & Air Condhioning i 35. F�naf Gas Pipe-Te:t, ` ,�� ,� 36. Hood�or Canopy ,� . � • - i .r� 37. Fina(Factory Fireplace _ i ''. , „ 3$, Finat*Plumbing . � �� 39. Water Service�Final ' ' ' 40. Gas Service-Final �� _ ,, ,: 41. Soiar pomesticFinal � " 42, Backflow Preventer �� 43. Backflow Irri9ation � �• 44. 4andscape Irripation System • _ 45. Sound Atienuation -' '• � 46. Fiandicap Regulations �. ' 47. FINAL STFUCTURE & BUILDING 46. FINAI PLANNING 49. Electric Release to Edison � 56. Gas Release to Southern California Gas ( 5.1. GER7IFICATE OF OCCUPANCY Date POt SPA Daie Vnspecto. qppROVALS Permit # 52. Pool & Equipmenc Location ' 53. Sieel Reinforcement 54. Forms n+ 55. Electrical Bonding ' 56. Rough Plum6ing & Pressure Test 57. APPflOVAL TO COVER�GUNITE 58. EleclriCal Condurt�Undrgrnd. 59. Gas Pipe, � Undrgrrtl.. Test rf � 60. Backwash Lmes, P�Trap, � Undrgmd. 6;. APPROVALTODECK ^ 62. Backwas�� & Receptor�Final 63. Heater & Vent•Final 6d. Plumbing System � Final 65. Electrical-Finai 66. Solar System�Final 67. Fencinq & Access Apurovai 68. APPROVED FOR PLASTERING 69. POOUSPASYSTE�ASFINAL FFIRE DEPT. RERUIREMENTy _ � . 'r, . ��. . :' _' , f APPRCYjlACS;'-' �Perniit # ' T' �� :. J • . � - � 70, l;ndergrouod �HyA.a � - ' : ''• t }7. Product��ipingOGas ❑bil . � � 72. UndergroirtYd�Flu6h : � ' ' � -' 73. .Undergrnd Storaoe"�ank QGas L�Oii �� . , .. � i • � 74. Dv?rhead Hydro + .' �t -� '; ` 75. �35ry ChemlCal ` "' , s. . �i . . a . r•. 76. Dry Standp[pe - r � . � � "� ' 77. :pIXED SYSTEM,F�NAL � . ii i �., � I �� ; 78. �FIRE PREV. FINA •L . - � HEALTH pEPT.REQUIRE�'JIENT �4 t� � � _ , . ,7�9.'FINFLINS �CTION11 �_ � ;,� � 80. FOOD CERTIFIGATf=1SSUED 33�,5�'--; _' ' - - '. �{ 'Notes: . . .• , a' . , ', i h. � . r . ' • r ,• . , �� . n� . � ' �-: n- . � n • r.- , n _ .,. �� _i n � .� Date Inspector i i" �� i i � � ^�T . �� DOFESS OF BUILqNQ 9 6 owxexeru�ElfimowN: COMP ,,00nEss: 5 6 B wv�. wiwa �oo�sx wcxrtea on u+axvn: ST ECA 92663 uc ra: ux,: CZTY OF COSTA MESA - HUILDING PERMIT -�.-... :::,. �. ,,;.�. � PERMZT TIO: E 071316 PLAI•1 CHECH NO: TJ �;,; .- .. �;.,-� ; COP7STRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ALT JOB DESCRIPTION : SERVICE UPGRADE SQ FT: UMT: coam,mrarawu�:BAY SHORE ELECTRIC (719)645-9391 cwm�cTorcs�uiwo 1048 IRVINE AV ,�� NEWPORT BEACH CA ucra.: 438771 92660 uxr: 143 t10EN4ED COMfl�CfONS DECL�N�TION: I IwWy elfem uMr psWy d prjvy UW 1�m fcma�tl wdx pra'abu d Cheqx 9 ��m«�w win s«i� �aoo) a or�o� a a m. ewM...w a�ae,�. coe...od mv ao.w e �o nm �..m .rt.a. � cmuc.no.:0 825.1 uc.cuss: uc.Na.: 771 EXP: 02/96 o�.: 2 Z��4� ��a _ OWNEfl BUILDEN DECLIPITION: I hraby eflum uMr paWy d psejury �hn I em aumq Imn IM ComiaGm Lieanee lew la IAs Idbw�q neaon (�� t.5 &nnn� md RWwmm Code: AM uY a mmry wMdi �epuim e pmn! to comwn. Nr. impro.e. � demduh. a wper eiry avuc�iu�. 0� b Ya eaence. eho nQu've� �he rod�unl la wch prm! lo fib e�ip�wd ewemenl Net M a�M • b IieenaeE pu�vuent lo �he pweom d Ma CoMeaela� linme le'e' IChaqa 9(evmmendnp Wlh Sadion �000l d 0"vuion a d �he Buei�s vd Prdeaavn COEeI a ihat M a eM h aasmo� ihadmn W �M Eaw t« Yr dbGed eYsmqion. MY videtion of Seenn ]W t.5 Ey eiry epWimN /a a paemn ablsds tM eppfwtl b a dW penetly W nol man �lun fin hunE'eE EaQan �SSOOU. � I.roow�wMtMpapenYamYa^dolwv.ihrNmm�MisdemmO�.MYdotMw'k.endihesm �ivaeml'uqrdd N a oMereE la eab l5ection 10�4. Butinew aM Pmleasona Cotle: TM Caureqm liosua lew does rot eppytoen ownsr d poperry xM d� a inqww tMeeon. md wAo Eoes wN wk hvnam a MnN a War� he a Mr own emplyes�. pwidsE thel ach Imponmaua ua nal'vueMeE a aMMeC In uN. d. how�awr. Ne bWdi�q a inpwanam u wtl within aro year d mmpletion. Us owrorWikar wa hew iM dvden d Pa'�V M a tlr Ed nU hid n'vnP� ta IM W W�� d ubl. � I.nornwdiMPW„Y.em�zd+wWmNerinYwChirrwdm0cbnbm�uvWiMM�15Win]OM.&s'vr�end VM Code' The Caartlon li:xus lew doea ml eGP�Y b an vxnx d PW�Y Mo Ewld� a hnD�'n �lraan aM xM �I J yI CLAIM VALUE; CALC-VALUE: GROUP OCC: R-3 / COMMENTS; NO OTfiER WORK AUTHORIZED BY THIS PERMIT, SUPPL WORK #E74717 iF iF il� if iF iF i� iF if if �t+t s� ic a. �1. r aa �f iF if iF at+c if it iF iF *� iF r �r ic 3f aF �r ia y r if +E r� aE ac sY� it �u+a a� r+t M�c Y 1c+F +f ir ic 1t �c ac �f r�t r ac « af ab �a if �ic aF if iE Z O N I A] G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSOP,Y bUILDZNG --------- FRNT; FT ZN REAR; FT IN FRNT; FT IN P,EAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PRUC�: PARCEL; 42439111 ZNE: P,EF NO: PLANNING f70TES> i af * if if iF if if jF il� iR �f if 1f'M� iF if �F iF'IE Y- if a4 �If 1f if if M' iF iF if iF af 1F i4 ;M��i4+f 1F iF 1f Y- if iF Y 1F iF iF if iF i4 s x iF i414 �f aE iF iF if ih iF t if if Y� Y ii- i1� ii i4 it iF if iF+ AF i4 D E V E L O F M E N T S�E A,V I C E S R E Q U I R E M E N T S ZONID7G APPP.00'ED BY DATE: BUILDING APPROVED BY : _ _ DATE: �w,�ro�.�waiw,.an.�.mM•I�wn�wam.c«��+�.�..n. APPLICATION ISSUED BY: � I em awnq undw Seeion: B. 8 P.C.. br Nb raeean: �If iF it iF jE if iF jE If 1E iP ia if M iE iE it if if ik if ��3F if i� if iM1 �R iR iF'1E if- if if iF Y i� 1F if �R iF i4 if iF iE'IF'lf'X' Y Jf : 2�2�e (9 �F iF iR J41F if iM iF iM1 if'IF aF iL 1F iF M 1f iF if if Y�lf iF iF if �E i� iF iF iF iF 4 iM if 1F M' i4 iF if'Y� iF if iF oa.: °xnao LEGALIZATION:N F E�E'' S U M M A R Y STRUCTURAL SEGMENT:N i eo n.nW �.nnv wa i� a.ae d w�d..w�e u» �.a��.�,w, d cwo�w H..un e�a s.rxr cme s.a�. ssws. usai. d,e �%. P5531.eMihetlauryMu�ebdk'vqomipenlwlA�wil�wl(mcbans)mM�ocomplywi��eidYtlsoodasenElM'epuinm�nbbr BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GP.ADING e Wrmn Iw caawniona modi(rstianhomtM /v�Giie iyRrenWennN Dip�itl. RpiEarYal conn'tidbn MD�broere e�emp Imm ihae aw;.�.. ov.: �cd�+� W ORI(EP'8 COYPO19�Tqi DKWi�T10N: I MeEy eRvm urNr pr�dy d pwpry w M IM b0owvq deduetum: � �n.r.w.ilm.uu.u.onsw.aom..m�owLmo.eor.ax..•mip�tlbn...a��aMsrta,a�aoa�n.lmo. eoee. i« m. o«i�. a m..ak ea .�n md o� e m�a. p �nn..nawmen+:n�.oiY.+•mmo��,ww.no..mr.me.�Msw'vimodni.lmu.caE..au»w�+«menc.a�n. vwk lu wM1idi Ne W^^� b o�uM. �M WaMn' mnpauYian �wvance mrriw utl O�Y mvnba ers: Gurim: PoGry Numbr. �mia ..n�m mw na a. camN.�.e r m. wm� b ro. o�. nu�.e mo.�. fs�aol a he.l � I canAy NN in Ne pMom+arcs d tM wak la r.hk� ��u Da�mE is i�wsE. I Mell m� ampby ury pv�on In e�ry menner �o o to becoms wbjetl Io iM haMen' comp�n+etion Iew+ d Cefdortie. W p�r Ntl il I NwM Eacme aibjW lo tM xoMr�' compenvyion pv�ya�s d3ppion 9100 d iM lebor Cods. I WII I � wm wilh iha�e qovhnn�. . Owa: Z/Z�/y7 wd�w: W�mlip: F�tlun ro pcun woilr�ri cenipnutlon eovr�p� l� urMVNI, urtl Mtll wD/�cf �n �mploWr b er/m'rol pm�ltlu �nd cIM nnu �p ro ar huWnC Nou+ud CeIMn l��4�A a tl9tlon m tlh cmr ol cvnp.nutbn Wrmpp u prorWW ror In S�etlon �1(AB ol M� l�4or COLs. INru4 uW �Irom.Y'� fws. CONSi11UCIlON LENqNO RGENCY: I hr�by dNm ivMx Da�aM tl pei�.ry �het iMn b e eonn�uuion MN'q iprcy br tlie peAumanu d iM wM tar xhirh �Aa W�i u uasd (Soticn 3081. Civ. G). � LENOEN'S NAYE LENOER'S ADDNES4: 1 ceniN �� I hew raeE No epd�� ptla ihet Ne ebws iNvme�ion b cortetl.I apna to rompty wilh ell tly eM coumy wdirienoee eM attla bwe Mel^i b duMnO mnW Wim ud hmobV eNlnc� reWmruelMt d �M NYb aMa uD� �M ebo�smetYunetl popMy ,o„�,�a°i°� �/a �l G-I-I T vmw wm. n/ / Dma: '!/ �� 7 5/ Sqrewee d Qns/�paMAppf UCam�en (St51J6.WP) �a-�+�OdSday,�reeMWe:Genery-AppiraN:Pink-Rs+wue:OaWavod-AeMm PERMZT :5.75 508 SMIP/NON-RES PLAr� ISSUE FEE 4,50 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAIB DUE TOTALS----> 15.75 4.50 0.00 20.25 20.25 .00 REVENUE DIVISZON TOTALS--> COLLECTED: 20.25 OVER!S:iORT; .00 BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN-CAECK 20.25 if� k' if if ff if if i�' if 1f iF j{ if if �f M Y M'1f if if 1f 1f M it 1f iF i� if if if �)f iE i�' if iF if'M it if �F # M iF il� if iF 1f if �)f iR aF f4 Y M ii i4 iF iF iF 1s 1F if Y if i� � af if 1(� �1F af il� Y i4 �F K if iF Z N D I V I D U A L F E E B R E A K D O S•J N TYPE QTY ELE 4 ELE 7 ELE 1 D E S C R Z P T I O N FIXTURES LIGHTIAIG 1 ST 20 EA. RECEPT/O�TLET 1 ST 20 EA, MOTOR/POWR APPARATUS 1,1 - 10,0 HP END OF FEES UTIZT COST TOTAL COST .75 3,00 .75 5.25 7.50 7,50 D1 00177dS9-00177<59 T�7 T 20.:J oarE: o?�2sr95 TtnE: 14:1s � CONSTRUCTION AND PLANN{fJG � APPROVALS Permit # 1. Temporary Electricat Service or Pole i. $oil Pipe-Undrgrnd. 3. Electrical Conduit UtilityUndrgr�d. 4. Electrical Condoft•Undrgrnd. 5. Steel Reinforcement 6• Electrical UFER Grnd. 7. Footings g, Foundation 9. Water Pipe-Undrgrnd. � 10� Structural Floor Svstem 17. Property Sewer Line & House Conneciion 12. Sewer CaP 13. Roof Orains 74. Rough Plumbing . 15. Rough Electricaf-Conduit 16. Rough Electric Wiring 17. Rough Wirinq Sign 18. Rough E�ectriral�T Bar Ceiling 19. flough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Rooi Framing 25. Roof Sheathing 26, T•Bar Ceiling {StructuraQ & Monocoat z7, Frame and Flashing 28, Lathing & Siding 29, Insulation 30, Drywall Nailing 31, Plaster Brown Coat 32, Electrical Power Meter-Final 33, Finai Electric 34. Final Heating & Air Conditionin9 " 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Firep�ace 3$. Ffnal Plumbing 39. Water Service�Final 40. Gas Service•Final 41. Solar pomestic-Final 42. Backflow Prevenier 43. Backflow Irrigation 4q. Landscape �rriGation Systam q5, Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49, Electric Release to Edison 50. Gas Release to Southern Caiifornia Gas Q 51. CEflTIFICATE OF OCCUPANCY Date Dace POOI o �PA Inspector qppROVALS Permic �h 52. Poo� & Equipment Location ' 53. Steei fteinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER•GUNITE 58. Electrical Conduit•Undrgmd. 59. Gas Pipe, � U�drgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK ` � 62. Backwash & Receptor�Final 63. Heater & Vent-Fi�al 64. Plumbing $ystem - Final 65. Electrical-Final 66. Solar SYstem-Final 67. Fencing & Access Approval 66. APPROVED FOR PIASTERfNG 69. POOVSPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVA4S Permit # 70. Underground Hydro 71. ProduCt Piping OGas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Cfiemical 76. Dry Stnndpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEAL7H DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Date Inspector Applicant to till in all spaces within heary bortler lines ane sign all avPropriata aeclarations. �'CITY OF COSTA �MESA ' � � : nE IT N / ' TRACT'NO. LOT NO. BLDG. NO.-' - - �-'L:.-. � - - - --- � • - - � - . _ . � CONSTRUCTION.PERMIT ' %�o�-�!p . � , `ti;•' ' ' �,� .�, 2766 3/02/82 � 5.00 TL Projett Ad'dress (�Q W. 19th. $t. - TVPE OF CONSTRUCTION ! � - � _ ..,. __ �' " - " ' " � �,,. , ' 'r r•� Owner- � � Pnone ( 1 �'�06 ❑ NEW ' � ADD "0 ALTERATION" ` ' ✓%'� -- •` � ' - -' . - - �Address'- (�O'W. �9tf1• SC - -- -' � �-REPAIR._�CONVERSION O.DEMOLISH �� . . . _ : Arch/Eng: ' . .. - "' '" ' ' -License-No: -. . . ❑ OTHER" � .. ; . ' 'A.P. � _ _ ZONING REGULATIONS . _ ' _ _ . DESC0.IPTION OF WORK 'AddrEss" " . " . ' _ " "" " -' "' _ ' ' '_ f ' - _" . ' ' _ ZONE .' ' . PLNG. REF: ii,. ' ' +Contractor-'�USY �P�UIIIbI11 - Phone'6LyQ-L{j� ,-TVPE,OFPERMIT�� ,� �' - --- ' "' ' - TpBUILpING- - I �SETBACK L T: PROPERTY LINE. Address "P'Q �BOX�Z 2 `-New ort' Beach�.-'- "' "OGHADING. -❑ FOUNDAT,IyON ❑STRUCTWRAL -- I EpF yqR�- -- •� - - - - - -;�- LICENSED-GONTRACTOR.DECLARATIpN_ -. _'_"" � ...QTENANT�OELECTRICAL'-IDPWMBING-OMECHANICA 5�pEy ........ . . .� _ _ 1 hereby afTirm [h:.f I am licensetl untler provislon of Charter 9(com- . -• i,, �, , � � RIGHT � mBnCing �with'��sectlon 7000) �of•Divisi0n 3 � he^Buslness antl ��OTHER " � . -. . - - ._ . .. _._ _ I Pro(asslons Cotle, antl my ilcense Is in full torte an�Qtl9�1j¢ct. . - � � 1 REAR VARD (TO P/L) � , LlcenseClass_S3� � U Q 4t$-' PROJECTDESCRIPTION' . . - , - - -pKG:SPACE�REQ. - - PROVIDED " Da'te "��i;9 " -" Si9nature' � . � SQ:�FT. � �� . . _ _ _ _ . ' ' ._ .. _ . . ' ' " ' WORKERS'�GOMPENSATION DECLARATION -' � OCCVPANCV �'�='' CONSTRUCTION TYPE � STREET WIDT}1 PARK FEE.E 1 hereby affirm that I have a certificate of consent to self-insure,or a VACUATION ZONE ZONING APPROVEO BV _ 'DATE FerHflrate �of Workers' �Compensation Insurance, or-a certi(letl'�copY - --- - - - � - -- - -- -- . . _ . _ `01 (Se�tion 38j10, l.�b. CJ. GRADING CU.�VDS _ _ ACRES SPECIALbONDITIONS:� /'No.��S �iQ �iQ - ComPanY r0�1 �11PIIfel� 1�14_CO .�. �•.� _ � " "' '"_ - '- ' _ _" _ ' _- 'ertifletl.copy is.hereby furnlsheB._ _. � _ . , .REMAHKS:� .' _ . . �_ ._ _ ._ .._ _ _ __ _ . _ . �_ . _ ._ " .�`. TT � C¢rtlfletl copy is filetl with the tlty BW�tlin9 DiviSiOn. , , , , ' ^.xl " EXEMPTION-FROM WORKERS' COMP@NSATION" CLARATION' -' ' - " - ' � '- ' - ' " � (ThiS_58Ction.n¢etl nOt_b0.compl¢t¢tl it_fhe,p¢rTlt is_ on¢ huntlretl _ - - _ _ _ _ _, _ � , _ __ _ _ '�' ' i"I_� �� .'� 5100) or leul. � --',- ".", - " - ___- ' _ •,: S_Clrt(ty tbat In the p¢rto/Tance of th¢ Wo�k for whiCh init Iz _. __ � issuatl, I zhall not emptoy any person In any man Ocomc -PWMBING.. :, PLAN CHECK � ELECTRICAL -- - PLAN CHECK- --- " subject.to the Workers' Compensation . , � - Date 519nature '� B BS" "" ' - -SHOWERS ' ' ` ' '- " - -' , �NOTICE: It after making this tleclaration, you 5houltl become•subject TOILETS � •.q �URINALS � . "- ' ' '� ' GENERATOR � -p:1'KW-�_;1"-30'KW; " -' - - � to the Workers' Compensation provisioni of the Labor Cotle, you must i TRANSFORMER � ', to�thwi[h comply wilh such pwvi5ions o� th15 perrttit Shall be tleem¢tl LAVATORIES� DOUBLE L"AVS- - �APPLIHNCE '-"30-50 KW=50+KW' - -�-� �evOk¢tl. __ . . _! ' a _ ' ' ' .. _ . .. _ .. _ _ .. _ � _ _ �CONSTRUCTION LEN�ING AGENCV . ' KIT'SINKS- " ' DISHWASHERS - �MOTORS '- -- 0-1 HP_1d0'HP � - -- - ' I hereby aftirm that there is a constructiqn lentlin9 agency for the per- SERVICE SINKS �_,' �SVMPS '- �"'" "- �' --.UNG SOLAR)_ 30-50 HV �50 + HP '' _ _ �-_ _ formance of Ihe work for whicb this permit is issuetl (Sect`'on 3097 ' ` ' � C��C�%� � � -`�-- � \ FLOORSINKS � �-FCOORDRAINS'-"�"-" 'FI%TVRES"' OUTCETS-' SWITCH�S ' ' ' - Lentler's Name ` � ' _"' """ '"_"_ . _ .... . - _. . . __' _ � ' . . . . Lentler•sAtltlress DRINKINGFOUNTAINS ' ' "' •'- ' "- ,GAS'TUBESIGNS------ -- - - - dWNER'BUILDER'DECLARATION' ' - � --- - '�•-- WTERCEPTORS ' � CLARIFIERS - � - � �- ""-' �-' ` " -"' " - ' ^ ' � "POCE'L'IGHTS - � � I hereby a((irm thai I am exempt from.th¢ Contractor's Lit¢nse I..aw for � - tne•tollowmg-reason-(Section 7031.S�Business antl-ProfeSsions�Cotle:� SWIMMING'POO��"'"' P'TRAP'-" ' ^ ' - -� - - - � Any city or counfy which requires a p¢�mit to tonsbuct, alter, � �PO�ES � METERED '�SLIB�'� improve,-tlemolish or•repair anysVucture-priorto�its izsuance,also�re- -yyqTER SERVICE `-AL'TERATION- " �"" ' ' PANECS' '-' MAIN - - SUB'- -� - -- � qWres the ap'�licant for such permit to flle a Si9n¢tl statement Ihal he � 1 is'licensetl-pursuant to'the-provizions of the Contractor'S-Lieense�Law- 'GASSERVICE � OUTLETS � ' "' �SERVICE -- - -- ---�- --- -AMP- - -- - - - sr-•oter 9(commencing with Section 7000) ot Division 3 of the _ ' _ '� ^ssantl ProfMSions�Cotle)�orthat heisexempttherefrom�antl4he- -yyqTER'HEATERS "- -BTUOUTPUT-- - � . - � --- for the alle9etl exemption. Any violation oi Sectian ]031.5 by _� a. eppliwnt-for a- permlt subjects the-applicant to�a <ivil penally- -SEWERCONNECTIONS -' - - ' ' - - " '- - -- ' - �-' '- ---- � - of nat more tnan five huntlretl tlollars (A500). ❑ 1, as owner ot the property, or rtiy eMployees'with wages as their 'SOLAR'TANK' - "-�' -COLIECTORS%^. � t- - - �-�- - � -- - - -- . sole.cornPenwtion, wlll tlo the wo�k, and (he st�ucture i5 OOf intentletl ,� ; �.� . , � , . . or offeretl for sale. (Setlion 7044, Business antl-Profezsion3 Cotle: The" SOLliR PIPING SVS. � - " 'ISSUE FEE-�-�- - '��-� � ' - - - - - - - ConlractoCs_ License, Law tloes_not_apply �o an owner_ of a property .. � _ ..__. _ � _ - -APPLICATION�P.PPROVED�BV - ,-- -- - �DATE--=- �� who bulltls or improves tnereon, antl who Goes �such work Fimself or -ISSUE FEE �1 � • � through._his,own employees, proviAetl tha� such improvements are not _ __ _ � ! __ �� Intentletl or ot(eretl Por sale. It, nowever, the builtling or improSement MECHANICAL PLAN eHECK' T� SUMMARV OF FEES � � is soltl within one year of comple[lon, Jh¢ owner will have Ihe burtlen •• ' . ot proving he tlitl not builtl or improye for Ih¢' purpose �0('�551¢). HEATING SVSTEM 0-300,000 BTV ' BUILDING ---- - --- � - -" ��-- . as� owne�- of tho �Oroperry,-am �exclusively -mntracting with. � �PERMIT E SMIP . •; b- O•I. AND-OUCTING _ " _' _ ".._ i. "' ' " _ _ " ' ' ' ' _ " ' ' " ' licensetl rontractors to construct the project (SecHon 7044, Business 300,000 t BTU PLAN CHECK § PERMIT.,.� ., ;• ' ana� Professionz-Cotle: The-Contractor's 4lcanse�Law�tloes not apply to - - - - - -.. QO ., 'ISSUANCE S ' � ' " ! an owner of pro0erty who builes or impwves thereon, antl who ton- REFRIGERATION 9-100,0008TU �PLUMBING E� � tracls-from such projectz with-a-contractor(5) Iicesnetl puRudnt to SvSTEM�-- -- - -!� - -� - � - - __ _' `GRADING_E. ��' �� _ � the Contractor's License Law). 100,000 + BTU �. �P�AN CHECK 5 - . ,+ � ' ' � ❑ I am eiiempt untler Section' � - -' ' - B.-S P: C. tor this "BOILERS BTU � 'EL"ECTRICAL S - ' ,- ' $' � . rea5on � - - ' - - - PLAN CHECK S - ' ~MICRpFILM S_ _ . _ Date Owner SVSTEM REPAIR,ALTERATION � - - - - ` _ � MECHANICAL,-S - "� ' TOTAL FEE S � • I hereby certify_[hat I have �eatl this applicy��on antl state tnat the above EXHAUST SYSTEM MULTIPLE �. , i.. � � LE55 AD- �• � �� . Information is mrrect. I agree"fo mply with all city'anA county' �PLANCHECK-E - -� VANCEPC"S- - '? ortlinancezantls relaC onstruction,antlherebyauthorize � . . �epres¢ntati Of- th '-c e ter Upon th¢ 'abOve ment100¢tl 1� � ' � �' ' proper[y f ur os . � Signa[ure � �ate.�. a �z � - . . '�-♦ F�NAL FEE $ Driver5' License ar 55 � " - �SSUE FEE - � • � � - - - . - - - _- . _ . . . . . . _ CMF OB65-16 White-Builtlin9: ��ary-qpplican[: Pink-Accounting; GOIGenrotl-Asse55or ' CONSTRUCTION AND PLAN G � � � POOL & SPA� �-•^'' � - . �, . -� � � , Date Inspector ' � �- ` � • Date,� Inspector APPROVALS Permit # � �� . APPROVALS: Permit # i , . � 1. Temporary Electrical Service or Pole � 43. Pool & Equipment L'ocation ' - - - - " '` ' = � _ 2. Soil ipe-Undrgrn " - 44. Steel Reinforcement � � - - ' - -- .3._ Electrical Conduit Utility-Undrgrn .. _ _ 45. • Forms- � - -- - - _ 4. Electrical ConduitUndrgm ' _ 46. - Electrical Bonding , - -- -� � - - ' --. _ .- - �� - - .., ..,. -- _tee ein orce . 47. Rough �Plu'mbin & Press'ure Test. - - ' � "' - �- ' - '�� -�-- ----� �. '- --- - -- - 6...ElectricalUFERGrn �-'-� --' " - - ' � 48. APPROVALTO COVER-GUN'ITE � -- - - � "' "� ��- ' - 7.. Footings 49. Electrical Conduit-Undr rn � � , 8. Foundation 50: ;.GasP.ipe, �Undr m;Test.. � � ' � � - 9. � _Water Pipe-Undrgrn " ' 51 . Backwash Lines �P-Tra ❑ ndr rn ""' ' " ' - � . 70. _Structural Floor SVstem. , ,� 52. APPROVAL TO DECK' - - ' ' ' . .11. _ Property.Sewer Line & House,Connectio�. � � " .53. . Backwash & �Rece tor-Final ' ' - � �� • � � 12. Street Sewer Connection _ " ' ' - -- - � 54. �Heater & Vent-Final ' • 13. Rough Plumbing - - - - - --- ' _ - - .. . .'. "`." " " _ - _ _ - . 14. Rough ElectricConduit - - -- - - - �56.- Electrical-Final - �� • � � � . ,�•-��o- 15. Rough Electric-Wiring � - - -- ' ' -� - - - �57. - Solar System-Final� " ; ^. -- ,-' -" • 16: -Rough Heating-& Air Conditioning -" ---- �- - - -' - - � � - � encing & Access Approva�_„ ,. � � ' �:� - 17: Ducts � in Structure " '� APPROVED FOR PLASTERING „ ' ' �- � 18. -Ducts, Ventilating -- - _ . . _ ' _ " _ _ � _-__,' _ ' _ • . _ 19. Gas Pipe-Rough &Test � --- ' . 60. POOL/SPA SYSTEMS FINAL � ! '�� -20. Roof Freming � � - ' - ' S.- . - � � ' � � • 21. Roof SheatFiin � � � - - - - - ! •� � � ' � + � � . 22. - Frame and Flashin NOTES: " - ' ' ' ' 23: - insulation - - - - - - -- � � ' - . 24. Lathing & Sidin9 - - - - - - - � - . - - - - - � -- -. _ . 25. Drywall Nailing - - -- - ._- � . : � � . , . ' . . . . 26: Plaster Brown Coat - � ' � � 27. Electrical Power Meter-Final �� - � ' � � � � � � ' � - � • � � . -' 28. Final Electric - - - - � - - � � � � � � : 29: Final Heating & Air Conditioning - - - � -- - - -- . � ;' �. ' � � � • - . , ., 30. Pinal'Gas Pipe-Test -� � � - - - - - - ' ' / - - . -� � � �31: Final Plumbing Y l _.._. ' � " ' ' ' 32�.- WaterService-Final - - - � '� �� " ' � " � � � � 33. -Gas Service-Final � - - ' ' ' - - � � 34. Solar pomestic=Final ' � ' - • ' - 35. Landsca e S rinklin S stem •� �� 36. Sound Attenuation � - i - " - • - � • • -- � 37. Handicap Regulations • - � � ' - - - - - - � ' ' ' - • ' �� 38. FINALSTRUCTURE&BUILDING - � 39. Special Requirements Completed ' ' � ' � - ' ' � ' � 40. Electric Release to Edison � ' � - - � , 41 . Gas Release to Southem Califomia Gas Co. ' � � • 42. CERTIFICATE OF OCCUPANCY No Date ' `i;osta Mesa Building DeparLment APPLICATION FOR PERMIT o.__ t, 111 EAST 20tM1 FTREET �2 B U' �L D;t N G ' . ' COSTA MESA� CA )RNIA FOR OP r ICE USE ONLY FOR A.PPLICA.NT TO FILL IN _ �;Pt No. �„�t No. Building � � qddres9 � ' Costa Mesa, California Received by Date Rec'd. qDate Issued Nearest . /1 � _ d_ �`�3 �� No. (Attach Metes and Bounds) / No: of Size of Lot �p [� X � 1 D I Now o Use af No. of Existing Bldg. Famill Satback Line Trom ss Rear CenterofStreet 8ide DESCRIPTION OF W New I �Alteration I Repair I I Moving I I Building� / 5L No. oi � Size ya xL/�iRooms � Exterior Wall / �J �. � Rooi Addition I hereby acknowledge that I have read this Application and state that the above is correM and agree to cromply with all City Ordinances and State Laws regulating bUilding construction. Signature ot �//_ 0 � j� '�7�--�/-L1 � PCrmittee L[T�L(l�d'L l/<-�-4�+0�-G- Costa Mesa, California s:. appRovnLs Foundation Locatfon Inspxtor Forms, Materials, Under-Pinning Frame: Fi re Stops, Bracina. Bolta Int. Valuati0n (� rermixree y �-r Plan Check $ 5 Bond Beam $ � ��` Feeal $ �� FINAL Date O a :. . _ . `, - r, • . - . � { �.�. t: • '.' .. ` �__ ._ , Street � PLOT PLAN . Show- locatlon �and distance� irani property line ahd between buildings. �'' �- ... -: ._. .�- , . �>•' .. �' ._ ' .; - -- " -- -- -- --. ; ; .. . ,, ,. , �. - - - - - - --- --- ,- -_, - , - \; T . �ei' ,`�.i ".c'�: ��oi: � - . . � ` ,. � : .. �.. . . � . , , .-.:nir _' '. " ' ' . , . _ .. : \ 1 � Y l 1'. ' p -' , ' . � : . : r . • . .'i1r,� - .. ' . P�? �i, _ - � . . . , .-; � . ,�:' :i. �_ : i ' .. . ._ _ . .. _ . .- I 9 � .�a�:a.� _" ' .. ..:1�. . .. . • . . , � _, .. . � ' �''