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Home My WebLink About989 19TH ST - Building PermitsCOUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway San[a Ana, California Phone: KI 2-6211 1. OWNER'S Application for Building Permit AND FOR A Cer+if�cate of Use and Occupancy Permic No..__�� Q� � - ------ --- ---- -- ------------------ MAILING ADDRESS.____� �_�-_- Name ._-------------. Address .___.____._____ City-- ---------------- -- --- $tate Lic No..------------- PROPOSED USE; (Archicecc or Engineer) Phone PHONE:__�' ___--____._ CITY'�"-d�Licc—%��'_L' ------------- Name----- ' �------------------------------------"--- '--- ---- --'- , g ,�) (Con accor) Address --9- r�-.?---J'-'�---�-4-��- ��--------------------'-' City_-�"e¢�__.. �-------------"------------------_- $tate Lic. No. -----.._------ Phone-----,--- 2. JOB LOCATION.._q_$__.sJ_ __y��__1 ��_gci----- — � ��'' r��"R'' ----- ----- --- -------- - ------------ ------ ---------- -- ------- -- (House No.) (Name of Screet) (Town or School Districc) 3O. LEGAL DESCRIPTION: Loc L/?L.ttN.�QFr_��%'d`t7'_s� w-�/sFT------_-_---_-------T=a« yf/,,,.�,.� (Metes and Bounds Description—Use reserie�side of form) "' V � � "� - - --�- 4. CORNER LOT ( ) INTERIOR LOT (�THROUGH LOT ( ) SLOPE OF LOT ( ) �. �. 5. SIZE OF BLDG.:/_�_�Y..�__ __AREA:_�-^a-�_.__SIZE OF LOT:.� _��'..__ AREA:._.._._....___________..__ 6. HEIGHT OF BLDG.:..__l%__�`_ ____..._______CEILING HEIGHT:_-�_______.____ —_---____. NO. OF STORIES.________.____._.__._ 7. NO. i-AMILIES .,___._________________________..Size of Smallest Bedroom: __._...__.______.____.. 8. EXTERIOR WALL CONSTRUCTIO •_ _�_��""��7'/y'-INTERIOR WALL (Frame, Stucco, Em.) / ' r( falf 9. SETBHCKS: Front Yard from Cencer Li�e o£ Street___�____�_�2_______ � t► � Nearest Side Yard-__��__._.Rear Yard.___�--2______.Dis[ance in Feet Between Bldgs Size of Kitchen: VG -�..G_.?yf�, ----------- s«.> `�\ on Same. Lot..1��6 - ----------- 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCI'URES AND USE OF EACH. - � .�/ .� 11. For (a) $'ooting: Width ____...�_` ________ Dcpth in Ground�__.._..____._.Wid�h of Wal� .______��___.__._ Accessory a,� ''� 4�,-.� Bldgs. and (b) Size of Studs: g��_�_-----'--------Spacing:_�6_______.---------_"CC Material of Floor(�G�eY'/I.Y��N�-��.------ $im�lar � $truc[uces: (c) Stze of Floor Jois[s: _-----'-'---_----------`--.Spacing -------� --'---------------- ��CC q o Q,� , (d) Size of Raf�ers:_-�.�_�'---------------------.Spating _al.-`%r----�-------------��CC 12. VALUATION OF pROPOSED WORK: Including all,a� plumbing, electrical wiring, heating, fire sprinklers, paina ing and sewage disposal .$.__.__._�__-_�..�.Z�__' 1>. I HEREBY CERT'IFY THAT TO THE BEST OF MY KNOWLEDGE AIVD BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE GOUNTY OF ORA[VGE AND THE STATE OF CALIFORNIA APPLI�ABLE THERETO. . Signed:_��(/(ti - "-'--�E��C/.L__ ------------------------ - --- --- --------- � (Ownerj Plans F;led:.----- - - — - ---- -- - - -- ------ ------------- - ::s By' ----- ------- ----- -- — — ------- ---- — ---- — — ------- ---- •t;:'- (Au[horized Agent) �, FEES: Bldg. Permit - �. Plan Check - $ Total - - �$. Receipt No. Paid to - - Date.-------------------'-- FOR DEPARTMENTAL USE ONLY / i ii�U GROUP------- ------ - r- ------ � TYPE ------ - --- ------ --- - �---- ---- ' DIST. --- --- -- - - ---- MAP-------- -------�------ -- � � -----�- SHEET NO.----- -��-' ---- ----- DATE------- -�---�L---�--"'-�------------ SM-'1.50 PLANS AND SPECS - --- - --- - --------- CORRECTIONS VERIFIED � MARSHAL--------------- ---- STATE .._... ENGI[VEBR ApO�icant to fill in dll ipaces exeeDt Ihose within heavy bo�0er lines an0 si9n all appropriate tleclarationz. ciTY oF Co57a MOE�SA] CO'N1S'�TRUCCz� ION PERMIT Project Address ' �+'1 �^�' ' , l� �� ApplicanYs Mailing Address' � � �K� �� Owner'sName ��1�� KVQ� Phooe � Adtlreu � ga �-+�% ��T � � Arch/Eng. License No. ' Address Contractor's Nam � Phone Addreu (mailing) City License No. LItEN5E0 CONTRP.CTOR DECIHRATION I hereby alfirm that I am licensetl untle� provision5 01 Charte� 9(commencing wilh section ]000) of Dlvlsion 3 0/ the Business antl Proteszions Cotle, antl my license is in tull torce antl efiect � UCense Class - License No. Date Signature � WORKERS' COMPENSATION DECLARATION I M1¢rebY aHirm lha[ I havo a certificata o� consent to self-insure or a certiticate 01 Worke�s' Compensation Insurance, Or a ce�titietl copY the�eot (Section 3800, Ldb. C.) � Policy No. � Company BCertifi¢0 copy is ner¢by fumishetl. ' � , Certifietl copY is filetl with the city Builtling Division. . Date Applicant � EXEMPTION FROM WORKERS' COMPENSATION �ECLARATION (This section neetl nol be completetl if the permit Is for one huntlretl ($100) or less) -t-certity that in [he perfotmance ot th0 wo�k tor whi<h this permk Is issuetl I 9hdll no[ employ any perion in any m}� r so as to b�c9m e subject to t�e WOrk�'-C�aMa[ion Laws of Calitor� //��_ 6ate 5 � Si9nature �-' NOTICE: Ii, after makin9 this tleclaratlon, you shoultl beco 5ubject to the WOrke�s' Cort�p¢nSalion provizions oi the LabOr Cotle, yoU mh5l forthwith comply wi[h sucb provlsions or this Oermi[ shall De ileemetl revoketl. �ONSTRUCTION LENDING AGENCV - . . I hereby aftirm that Ihere is a ronstruttlon lenaing a9ency'for the pertormance of tbe work for whlch tnis, Dermlt is izsuetl (Section 3097 Civ. CJ L.entler's' Name , . L.anGer's Ailtlress OWNER BUILDER DEGLARATION `� - ' ' 1 he�eby a(flrm lhat I am ex¢mpt frOm the Contractor'S LiCenze Law to� th¢ following reason (Sec[ion �031.5 Business antl Professlonal Cotle: Any city or �Ounty wnlch requires a petmibt0 consbucQ al[ar, improve, tlemolisb o� repair aqy structure, prior to its izsuance, also requires tne applicant tor sucti permit t4 fil¢ arsignetl statement that he/She is licensetl pu�5uant to the provi5ion5 0! tqe ContractOr'S LiGense Law (Chapter 9(comm¢ncing with SectiOn 7000)bf Division 3 ot [he Buzinezs antl Protessions Code) or that ho/she is ezempt tqerefrom antl Ine basi5 for the alle9eG exemptlon. Any violation of Section 7031.5 by dny appliunl fOr a pltmit ZUDjeCtS lhe applicant to a civll eCnaity of not more than /ive huntl�e� tlolia�s (5500). . � LJ �, as owner ot the Droperty or my-employees with wa9es as their sole � COmpenSatioO, will tlo tlle work, antl the SVuctUre IS not intentletl or Offefetl ' fOr sale (SeC[ion �044, Business dntl Professional Cotle: The Contractor'S License Law tloes not apply [o an owner of a property wha builtls or improves tqereon, antl wno aoes Such wa�k.hlmself/herself o� thrOuqh his or� hC� own etnployees, p�ovitletl that such imprOvements a/e not Intentletl or offeretl fo� sdle: I(, however, tM1e bulltlin9 ur improvemenf is sold within one year of com- Pletion, the owner will tlave the burtlen of proving he/she tlitl not builtl or im- �rove for [Ite purpose oi sale). I, a5 Own¢r of the property, am ezClusively cont�dtting witn Iicens¢tl con- tvactorsto <OnsVUGI lhe Oroject ($ectiOn 7044, Qusin¢55 antl Profession5 Cotle: The Contractor's License Law does not apply to an owner of'Oroperty who builtls or improves thereon, antl wlto conVacts for zuch projects with a con- tractor(51 license pur5uant�to the ContrdUor'i License L.aw). I am aware tbat Proof ol [heir Worker's Compensation insuran<e shoultl be provltletl to me. � I am exempt untler Section 8. & P. C. for Ihis reason Oate _ Owner nave rea� uoon 4rivers' Llcense or 55 � � CMF 0865-46, rev. 4/84 White Iha[ r 1 G- � TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT U GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � ❑ OTHER PROJECT DESCRIPTION 5(1. FT. � oCCUPANCV_ CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCV.YDS. ACRES— Remarks: ' - � FEES Bar Sink � �howers Backflow Preventer Service Sink Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors ' Dishwasher Solar Pipin9 Drinking Fountains i Solar Tank ' Floor Drains � � � Swimming Pooi w/Spa � Floor Sinks • � Urinal � Gas Service Outlets - Water Closet ' Interceptors Warer Heater Kitchen Sink ' � � Wacer Service Lavatories � . . � Roof Drains Reinspection �Fee � I $15 I I laue Fee � �• a 3 Duct- Under Ground Duct - Structurel � Duct - Vencilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting � ❑61Q0,000 BTU � 100,000 Reinspec[ian Fee � $15 � ng: Canary - Ap0liwnp Pink - A<counting: Goltlenrotl - Assessor Hood or Ty�el ❑ Canopy Type 11 ❑ Refrigeration System ❑o-ioo,000eru �ioo,000 System Repair/qlteration Issue Fee $ 3 A.P. � S Main Buildi E T Front 8 Rear A C Right K Left 5 Ping. Ref. # Planning' Notes: Automatic Washer - Constructior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan \ 5054 7/9�/E4 2one Accessory Bui Parking Req./Provided ELECTRICAI � Transformer ❑ 75-50 KW ❑ 50+KW F.A.U. ' Fixtures _ . Device Boxes Outlets $witCheS Garbage Disposal Generator �0.5 KW �5-15 KW Meter ❑up to 100 amps Meter ❑over100amps Su6 Panel Motors00.1 HP �1'F,-8 IncSolar 0945 HP �16-15+ Microwave Pole Light � � Range Sign Standing Sections Trash.Compactor � I Reinspectian Fee I$15 � ' Istue Fee DEVELOPMENT SEHVICES REQUIREMENTS: Zoning Approved By Building Approved By' Aouliration laued Bv � � 5.::� 7� FEES $ 3 SUMMARV OF FEES � BUILDING PEflM1T $ •SMIP $ PLAN CHECK $ PERMIT PLUMBING $ S-�O ISSUANCE $ PLAN CHECK 25% $ . S� ENERGY P.C. $ ELECTRICAL $ GFADING $� PLAN CHECK 50% $ MICFOFILM $ MECHANICAL $ TOTAL FEE $ �•S C� PLAN CHECK 25% $ � 2 O N I N G R E Q M r S. . CONSTRUCTION AND PLANNING � ' POOL &�SPA APPROVALS Permit # - � Date �� Inspector qppROVALS Permit # Date , Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � 2. Soil Pipe=Undrgrnii.� - 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. ' , � 54. Forms � 4. Electrical.Conduit-Undrgmd. � �-55. Electiical Bonding - ' 5. Steel Reinforcemenf; ' 56. Rough Plumbing & Pressure Test � i -6:. Electrical UFER Gmd. �� 57. APPROVAL TO COVER�GUNITE � 7. Footings : �• . ' 58. Electrical Conduit-Undrgrnd. 8. Foundation - � 59. Gas Pipe, � Undrgrnd., Test - _ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � � 61. APPROVAL TO DECK i 11. Propetty Sewer Line & House Connection �� 62. Backwash & Receptor-Final 12: Sewer Cap � • 63. Heater & Vent-Final ' 13. Roof Drains . 64. Plumbing System - Final ' 14. Rough Plumbing � 65.-Electrical-Final � 15. Rough Electrical-Conduit - � ,- 66. Solar System-Final - � � 16. Rough Electric Wiring � `67. Fencing & Access Approval -- • ! - � 17. Rough�Wiring Sign , , 68. APPROVED FOR PLASTERING � f 18. Rough Electrical-T Bar Ceiling . , 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning � � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , APPROVALS Permit # � 21. Ducts, in Structure � ' 70. Underground Hydro ' � 22. Ducts, Ventilating '' ' � 71. Product Piping O Gas ❑ Oil � 3.� Gas Pipe-Rough & Test - 72. Underground Flush �� - � � � 24. Roof Framing , , . �• 73. Undergrnd.StoregeTank OGas ❑Oil 25. i'7oof Sheathing ' 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat � ' . 75. Dry Chemical _ �27. Frame and Flashing _ � ' 76. Dry Standpipe 28.'Lathing&Siding .. � 77�. FIXEDSYSTEMFINAL . � 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing � i � HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat. � 79. FINAL INSPECTION - �� 32. Electrical Power MeterFinal � . 80. FOOD CERTIFICATE ISSUED I 33. Final Electric Notes: �j/ �y �n noTrc� p/�jy� 34. Final Heating & Air Conditioning �� • 35. Final Gas Pipe-Test ��M�&y �" 36. Hood or Canopy � . . 37. Final Factory Fireplace 38. Final Plumbing . ' � � . 39. Water Service-Final ' � 40. Gas Service-Final 41. Solar pomestic-Final � n 42. Backflow Preventer � , ' � 43. 8ackflow Irrigation . . � ' ' 44. .Landscape Irrigation System � 45. Sound Attenuation - 46. Handicap Regulations � ' � � � 47. FINAL STRUCTURE & BUILDING � � � 48. Special Requirements Completed � 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY, , _ � . , No. Date YrojectAddress �Z37 7 Wepr/ � P.pplicant's Mailing Address __.[� � Owner's Name 0 ' ,� Adtlreu L : l� I � D ,(%. I 97�i PERMIT - AVC��cant to fi11 in all spaces exce0t those within neavr euraer lines ana si9n all apvrooriate tleclarations. 1rarch/Eng. License No, 1 Adtlresi � � Con[rector's Nam � W L 1 Phone �Address��mailing) � City Lfcense No. LICENSED CONTRACTOR DECLARATION � j.' hereby affirm tnat 1 am licenseduntler provislons of Charter 9(cominencin9 with sectlon 7000) o/ Dlvision 3 0/ tha Business antl Professions Cotle, antl my license iz in tull torce antl eHect. ' , Licensa Class License No. oate Signature WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certlficate o/ consent to self-Msure or a certlficate �f Workers' Compensition InSurance, or a certifietl copy th¢reot (SeCtion 100. Lab. CJ ' - � . � . oliry No. - • Company � BCertifietl copy is nereby furnisbetl. ' Certitletl coOY 15 filerl with the cify Bulltlin9 Dlvision. ! Date Appllcant � - EXEMPTION F0.0M WORKERS' COMPENSATION OECLARATION (This sectiOn neetl not be completetl if the permit IS for One huntlretl ($300) or less) I certify that in tlte pe�lo�mance ot the wo�k for �whith this perm�t is i55uetl, I Shall not employ any oerson in any m 50 az to e subjett t0 t�e7 Workers/Copipeosatiun l.aws ot Calitor Date <�Si9nature NOTICE: It, after making this tleclaratlon, you snoultl become u ject to the Workers' Compensation provisions of the taEor Cotle, you muzt forthwith tomply with sucn provisiorts or this permlt thall be tleemed revoked. CONSTRUCTION LEryDING AGENCV � I hereby afflrm that there is a construction'lentling a9enGy for tne peitormance� of the work far which this permi[ is issuetl (5ec[lon 309� Civ. C.) Lentler's Name Lentler's AEtlress OWNER BVILDER DECLARATIpN�� - I nN�eby afti�m Ihdt I am exempt trom the Cont�actor'S License Law f0� tne following aeason (Section 7031.5 BuSiness antl Pwfessional Cotle: AnY city or county which requires a permit to canstruct, alter, Improve, Gemolish or repair any itructure, prior to its issuance, also requires the applicant fpr such permit to file a sfgnetl statement tM1at he/she is Ilcensetl pursuan[ to the provisions of the Contrac[or'S License Law (Chapter 9(commencing with SecUon 7000) of DlviSion 3 of the Business antl. Profe55ion5 CoEe) or that he/she is exempt Ih¢refrom antl the basis for [he allegetl ekemptiOn. qny violation of $ection ,;!A"`�31.5 by dny appliwnt for d permit Subjects tbe appliGant to a civil `^`nalty of not more than tive huntlretl tlollars (5500). �'=� I, as owner o( thC property or my em0�oye¢5 wiN wage5 as Ihei� 5010 compensation, will tlo the work, antl the structure is not inten0e0 or offeretl tor sale (Section 7044, Business antl Professional Cotle: Th¢ Contractor's License Law tloes not apply to en owner o( a property who builtls or improves thereon, antl wno tloes wch work �Imseli/herseH or thrOug� his orh¢r own emo�oYees, proNtletl Nat such improvements are not intenaetl or ofteretl br sale. If, however, the builtlin9 cr improvement is soltl wi[hin one year ot com- pletlon, the Owner wlll have the burtlen Of provin9 he/she tlitl not builtl or im- �ove for the purpose ot sale). LJ I, as owner of the property, am exUusivery contracting with Ilcensetl con- VaCtofs to conztruct the O�oject ISection 7044, BuSinesS dntl PrOfession5 COtle: The Contractor's License Law does not aOP�Y to an owner of property who bulltls or Improves thereon, ana who contracts tor such proje<ts wilh a con- t�actor(s Ilcense pursuant�to the Contractor'S Lirense Law). 1 am awar¢ that proof o� their Worker'S Compen tion insurance shoultl be provitletl to me. II�I I am exemp� under 5e�tion .�4 %�/� ��g, & P. C. tor thi5 r¢ason Oate ��/�_T_4 Owner I hereDy certity that I nave reatl [his ap0�icatlon antl s e tnat the abova information is correct. I a9ree to comply with all city antl county ortlinances antl state laws relating to builtling construction, antl hereby aut�orize repre- sentatives of tryi.fity [o [ � upon the above-ment(onetl pmperty tor inspection our 6 � Slgnature Date TYPE OF CONSTRUCTION LJ. rvEW U ❑ CONVERSION ❑ DEMOLISH ❑ O DESCfiIPTION OF WORK/USE OF BLDG. R /!�/ ALTERATION REPAIR TVPE OF'�PERMIT � I.J GRADIfTG� LI FOUNDHTION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑�OTHER �(J C('� �"��(�(Q�" PROJECT DESCRIPTION Scl. T. oCCUPArvC/v F CONSTRUCTIONTVPE J 'VALUATION$_LQ�QL} ZONE GRApINGCU.VDS. ACRES_ o�mar4�. ' r)� �t ( Bar Sink Backflow Preventer . Backflow Irrigation Bathtuhs � Clarifiers Dishwasher � Drinking Fountains Floor Drains' Floor SinkS Gas Service - Outlets Interceptors Kitchen Sink Lavatories ' P—Trap Foof Drains Reinspection Fee $15 Duct - Under Ground . Duc[ � Structural Duct � Ventilating Exhaust System ❑ Multiple Firepl/FacL Blt. ICBO # Heating System & Ducting ❑ ai oo,000 eTu O i oo,000 Drivers' Licenze or 55 � � I I Reinspeetion Fee I $75 CMF 0865-46, rev. 4/84 Wp��e - Builtling; Canary - Applicanh Pink - Accounting; Goitlenrotl - Assessor Showers SeiviceSink. ? Sewer Cap , ; SewerConnection � Solar Collectors. � Solar Piping � Solar Tank . Swimming Pool w/Spa Urinal - Water Closet ' Water Heater Water Service ' Isue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System Oo-iao,000eru ❑ioa,000 System Repair/Alteration laue Fee a.r. � Y ot� S Main Buildi E Front T 8 Rear A C Ri9ht � K g I.eft Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole - - Cooking Unit ' -^ ' Dishwasher < aa $ 3 'r Fan, F,A.U. � ' Fixtures Device Boxes Outlets $WI[ChCS Garbage Disposal Generetor �0.5 KW I Reinspectian Fee � DEVELOPMENTSER Zonin9 APProved BY� Building Approved By 5-15 1710 6/06/B4 zone Accessory Building: r S Parking Req./Provided ELECTRICAL Transformer- � 15-50 KW. ❑ 50.+•KW Meter Dup ro 100 amps Meter ❑over 100 amps Sub Panel Motors�0.1 HP�1X-8 , Inc.Solar09�15 HP 016-15+ Microwave. � Pole Light Sign Standing Sections Trash Compactor IOh.'"ii TI. FEES �$15 � � Issue Fea � S 3 � Z O N I N G R E Q M T S. SU��M------ ARV OF FEES BUIL�INGPERMIT � $ � SMIP $ O'SD PLANCHECK $ 3 7Z PERMIT PLUM8ING $ 00 ISSUANCE $ PLAN CHECK 25% $ - I� ENERGY P.C. $ E�ECTRICAL s 3. yD GRADING $ PLANCHECK 50% $ •o2O MICROFILM $ —7 MECHANICAL $ TOTAL FEE $ 1 �•�S / PLAN CHECK 25% $ 0 9 CONSTRUCTIO��ANDPLANNING aPPROVALS Permit # Date Inspector i 7emporary Electrical'Service or Pole , i Soil Pipe-U�drgrnd. . f.'Electrical Conduit Utility-.Undrgrnd. �F.lectrical Conduit-Undrgrnd. 5. 5teel Reinforcement , 6. �lectrical UFER Grnd. 7. Footings , $. Foundation 9. Water Pipe-Undrgmd. 10. 5tructurel Floor System 11, Property Sewer Line & House Connection i 12. Sewer Cap 13. Ftoof�Drsins � ,� 14. Rough Plumbing � 75. Rough Electriral-Conduit - 16. Rough Electric Wiring 17,•Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Fough Heating & Air Conditioning 20.. Ftough Factory Fireplace 21. �ucts; injStructure 22..Ducts, Ventilating i 23: Gas Pipe iRough & Test �� -6�S o�L 24. Foof Framinq " 26. �-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing � 28. Lathing & Siding 29. Insulation - � 30. Drywall Nailing � 31."Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test I 36. Hood or Canopy 37. Final,Factory Fireplace 38. Final Plumbing� 39. Water Service-Final 40. Gas Service-Final , 41. Solar pomestirFinal � 42. Backflow Prevenier. � � 43. Backflo'w Irrigation � 44. .Landscape Irrigation System 45. Sound Attenuation 46. H�ndicap Regulations � 47. FINALISTRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date il POOL 'A APPROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement - 54. Forms , 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVAL TO DECK � 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final . 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL . FIRE DEPT. REQUIREMENT APPROVALS Permit # Date I Inspector 70. Underground Hydro 71. Product Piping O Gas ❑ Oil (,q`..,� � 72. Underground Flush 73. Undergrnd: Storage'Tank O Gas ❑ Oil 74. Overhead Hydro ' 75. Dry Chemical 76. Dry Standpipe . 77. FIXED;SYSTEM FINAL . 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT � 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED � � Notes: �� y�.� '�� u�ASTri �UBnT !FT QkA2 aG. [.� �� / Applicant to fill in all spaces except tho5e within heavy CorCer lines anG si9n all approDriate aeclarations. CiTv oF COSTA M(�ES/{A CONSTRG��l}C�ION PERMIT "Project Address I.'L�� u-) �� " � � V� Applicant's Mailing Address t� r�.1 a�1 L� N�C'T f��'�7 IA?HS' � Owner's Nam,le !�• `Q� '"' 1!*- Phone �� Address -{Cl$ FJQL'TrQL�D lJli� �� %lf � �� Arch/Eng. Licenu No. Addr@ss Contractor's Name D�N�� '�� one Addr@ss (mailing) _ - Ciry License No. LICENSED CONTRACTOR OECLARATION , I her@by a(tirm tltdt I� am licensetl untler provisions of Gbarcer 9(mmmencinq ' with sectian 7000) of Oivision 3 of the Business antl Protessions Cotle, antl Ty liCense�is in /ull torce antl etfect. ' LicenSe Class License No. Date � Si9nalure ' ' WORKERS' COMPENSATION DECIARATION � - I hereby affirm lhat I have a cerUficate ot consent to selt-insure or a certiticate • ( workers' Compensation Insurance, or a certitietl cooY thereof (Section 300� �ab. CJ ' ' , - ' ' ' - , * Volicy No. Company eC��titietl copy Is hereby fumishetl. � � ; Cprtifietl copy is filetl with the city Builtling Division. Date_ Applicant . EXEMPTION FROM WORKERS' COMPENSATION �EGLARATION � (This section neetl not be complet¢tl if the perTit IS f0/ one huntl�atl ($100) or less). ' I ce�tity that in the perTormanc¢ O( the wark (o� which this pe�m�l is izsuetl, I- shall mt employ any person in any so as to b c e subject to the � Workers' pompg nsation Laws of Calif .� Date %17�-4�r $i9na[ure ��-+� �x NOTIC�� r� affer �naking this tleclaration, yoU shoultl bem �.subj¢ct to the � Work¢rs'• Compen5ation provisions ot the Labor Cotle, yo� must �torthwith - comp�y with; such provisions or this permlt shall be tleemetl rewketl. GONSTRUCTION LENDING AGENCV - � - ' 1 herEby affirm that there is a;consVuction lentling a9ency tor the performance ot the work (or which thiz permit is issuetl (Section 3097 Civ. C.) LPnaer's Name �' LCfIC2('S AdGI255 � OWNER BUILDER DECLARATION ' 1 hereby aiTirm that I am exempt trom the Contractor's License Law tor tne �. followino reason fSection 7031,5 Business antl Professional Cotle:�Any city or My which requires a 0� structure, P��Of to it5 "�Ie a signetl statement � Contractor's License L �Sion. 3 ot the Busines 'efrom antl the basis h 1.5 by any applicant dlty of not more than f I;'as owner ot the� pr �pensation, wlll tlo the sale (Section �044, E =nse Law does not appl 'f011� dlld Wb6 tlOES 50 Toyees, pwvitletl that � It, howev¢r, Ih2 buik :ion, tne ownar will,ha� V¢ for the pu�pose of sa I, as owner of the pro� :Corsto conStrUct the p� ' Contractor's License �ds or improves thereo :tor(511icense pursuant Ot of their Worker•s C � am exempt untler $ect Datp L�D �77' I hQreby certify iniormation is co antl' state laws re sentatives of � inspection pu 519�ature � Driy¢rs' Lice se < CMF 0865-46, rev. the allegetl eaemptibn. Any violation of Section for a permit subjetts the applicant .to a civil : huntlretl tlollars ($500). . ierty�pr my employee5 with Wa9e5 a5 their sole �ork, antl the sbuciure'is not intend¢tl or offeretl siness antl Professional Cotle: The Contractor'S to dmOwne� of a property who builtls o� improves i wark nimselt/nerzelt or thro49n his or`her own ch improvement5 a�e not intentletl o� otferetl fo� �9 cr improvement is soltl within one year ot com- tne burtlen ot p�oving he/she tlitl not builtl o��im- ) (�y� dT 2XCIUSIV2Iy COOIfdCSl09 WIIh IICE(ISCC COfI- ect (Section ]044, Business antl Professions Cotle: aw does noI apply to an owne� of p�op¢/ty Who antl who conVaCtS for such projectt wlth a con- � the Contractor's Llcense Law). I am aware that mpensation insurance shoultl qe provitletl to me. �n A . 8. & P. C. for this reason iat I have reatl this application antl sWate that the above •ct. I a9ree to compiy with all cIty antl coimty o�tltnances ling to builtling construction, antl hereby authorize repre- city to ente pon the above-mentionetl property tor � �f)�/A ' Date� �% /84 Wbite-Builtling;Canary-APPlicant;Pink=Accouot . �.�. . � � ....._. .._. � -- - �..,, ,..,. TVPEOFCONJIHUCTION NEW ADD ALTERATION REPAIR d CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PEHMIT LJ GRADING U FOUNDATION LJ STRUCTURAL ❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER ' PFOJECT DESCRIPTION SQ.FT. OCCUPANCV_ CONSTRUCTIpN TVPE ' VALUATION $ ZONE GRADWGCU.VDS. ACRE$_ Remarks: ,j��,(�j�7j_��Q Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher , � Drinking Fountains . Floor Drains . Floor Sinks � Gas Service Outlets Interceptors� ' Kitchen Sink Lavatories . � P-Trap ' Roof Drains ' �Reinspection Fae�. � � $15 Boiler ; Duct- UnderGround Duct - Structural Duct- VentilaNng Exhaust System ❑ Multiple Firepl/Fact. BIL ICBO # Heating System & Ducting ❑0-700,000 BTU 0100,000 IReinspection Fee I $15 Goltlenrotl - Assessor Showers Service Sink� Sewer Cap Sewer Connection Solar Collectore Solar Piping � � -� Solar Tank - Swimming Pool w/Spa Water Closet Water Heater Water Service ' � � Issue Fee iANICAL Hood or Typel ❑ Canopy ' TYPe I I ❑ Fiefrigeration Sys[em _ ❑0.100,OOOBTU ❑100,000 System RepaidAlteretion Isue Fee A.P. # S Main Building: E T Front B Rear A C Right g Left Ping. (±et. # Planning Notes: �878 6/D8/84 � Accessory Buildin9: Parking Req./Provided 3.80 - T�, Zone � . FLECTFICA� ' Automatic Washer . Transformer ❑ _75;50 KW . Construction Pole Sub. . ❑ 50 + KW Cooking Unit i Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Fan F.A. U. Fixtures Device Boxes � Outle[s Switches Garbage Disposal Generator 00.5 KW �5-15 Sub Panel � . � � Momrs �0-1 HP O1'/: - 8 Inc.Solar �9-75 HP �76�75+ Pole Light ' Range Si9n � Standing Sections Trash Compactor $ 3 I — � Reinspection Fee $15 luue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Buiidine APProved BY ApplitetlOn ISS�ed BV $ 3 FEES $ 3 � � SUMMARV OF FEES � - BUILDING PERMIT $ SMIP $ � PIAN CHECK $ pERMIT . PIUMBING , $ � ISSUANCE $ � PL.AN CHECK 25% $ ENERGV P.C. �$- ELECTRICAL $ � GRADING $ PLAN CHECK 50% $ MICROFILM $ , MECHANICAL $ TOTAL FEE $ �� PIAN CHECK 25% $ � � Z O N I N G R E Q M T S. i �CONSTRUCTION AND'PLANNING � POOI. SPA � I APPROVALS Permit# Date Inspector �qppROVALS Permit�# Date Inspector 1.- Temporary Electrical Service or Pole . �� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � . - - " 53. Steel Reinforcement . � I • � 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms _ - � � 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding . �.5.•Steel Rei,nforcement 56. Rough Plumbing & P.ressure Test '� I 6. Electrical UFER Grnd. � - � 57. APPROVAL TO COVER-GUNITE j .7. Footings - • 58. Electrical Conduit-Undrgrnd'. ' '�8. Foundation - � 59. Gas Pipe, O Undrgrnd., Test ' , �' 9. Water Pipe-Undrgrnd. : � 60. Backwash Lines, P-Trap, O Undrgrnd. 1 i �10. Structural Floor System � � � 61. APPROVAL TO DECK � � � i i. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final ' � 12. Sewer Cap . � 63. Heater & Vent-Final � � 13. Roof Drains 64. Plumbing System - Final. � 14. Rough Plumbing � - 65. Electrical-Final : - , I 15. Rough Electrical-Conduit - � " 66. Solar SYstem-Final '' 16. Rough Electric Wiring , • ' 67. �Fencing & Access Approval , t' - 17. Rough Wiring.Sign 68. APPROVED FOR PLASTERING I 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT I 20. Rough Factory Fireplace ' , , APPROVALS Permit # I 21. Ducts, in Structure � 70. Underground Hydro f 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil � i 23. Gas Pipe-Rough & Test � � 72. Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil I 25. Roof Sheathing � � 74. Overhead Hydro � 26.' T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical . • � 27. Frame and Flashing ' 76. Dry Standpipe � � 28. Lathing & Siding 77. FIXED�SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL I 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � i � 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electriral Power Meter-Final � � � 80. FOOD CERTIFICATE ISSUED � I � 33. Final Electric � �� Notes: � 34. Final Heating & Air Conditioning � � G ssy �oHs�ir ., s �� g� 35. Final Gas Pipe-Test . � � . I 36. Hood or Canopy , � - 37. Final Factory Fireplace • � 38. Final�Plumbing i 39. Water Service-Final � I- 40. Gas Service-Final , � 41. Solar�DomesticFinal � - � - I 42. Backflow Preventer ' � 43. Backflow Irrigation . . ' 44. ,Landscape Irrigation System � , - � I 45. Sound Attenuation : ' i 46. Handicap Regulations , � I 47. FINAL STRUCTURE & BUILDING � � 48. Special Requirements�Completed - � - � 49. Electric Release to Edison - - -i� - . � . '� 50. Gas Release to Southem California Gas Co � � � � 51. CERTIFICATE OF OCCUPANCY . � • i No. Date , Applicant to fill in all spaces exceot tnose within heavy boreer Iines antl sign all approvriate declantions. —_ PERMIT NO. TRACT NO. LOT NO. UNIT NO. � �� ? i-�- T '�� T i i � (—� — CI OF COSTA MESA CO�NSTRUCTI PE MIT :; R; ^;� �; � c� � U �;.� �, ��;, '�, ,; j I` f�, � I 61�4- � p4 84'• �� Gp '� �� yg'9 C�1,: /9�s� - I3S3Z "- - � I i I � - I � . , � � �_/, �,, t �.pfl --T Pro�ect Address T ' ' ' j� Applicant's Mailin Address � . ' - _ TVPE OF CONSTRUCTION � �. _ NEW t AOD ' �ALrEaATiorv� � !REPAIRm " I ^' ! �+- i �- i , � ,.. t ,,. I .., I . I .. ' � .� I .,. I _ I .., ; _ I � 9 ' � � �,,/ ' �❑ CONVERSION �O DEMOLISH �� OTH Rr� �= ' = ' � o i � 2'��O =� �/ m�` I �Ptio e'"` ��y� _' i. . _ I I' > I � `' � � A.P.�dk_ i_. �= � ' i `' , � p'. I� i n �.�, �� i �- I� 2one� n I N��' i Owner'sName" I'' '-DESCRIP ONOFW RK/jJSEOF_BLDG� � iO ' � . - � - - � � Address � ��g (T�� Y = �.�/' - " . f . : I . : � . � i '� � : - S' Main Buildirig '- ' - � i � � n I '� I AccesSorV Bwldingi� � � � i 3 � � I ArchlEn ' � '� � �Licen�� , � ' TYPE�OF P,ERMIT- ' % '�GR iNGT .FOVNOATION� �STRVCTURAL' � � = T. �Front u I -� � -j �'. ; � I � I `T � _ � I .^. I �T- � ~ I - I " �� Z ! 9. . � ' ' � � i -�. � •.. � � n _ - � - i i� �, i, O � Addre55 , � � �' I � ' � . '❑ TENANT '.O ELECT,RICAL Q PLVMBING O;MECHANICAL < � p1 8' �Reafi � I C �- ^ �= � � � ' , 1. �a I `r N ` -. ,, i� 4C I I � �_ . :� qTHER :a I �' i.' � t� � � � N .= � � I �� I r' � �A - i..- � a, r, ��C ( n n m .= I- 1 j �` I T � N 1� I.. I I Contiactor's Nam -� hone ,,�, �- �- � � m C��Ri ht � I �� ;� I• I� I-� � �'-. I I �' � I: I I I '' PROJECT DESCRIPTION� SQ! FT. � i �'� I . IOCCUPANCv �- I�-'- I K 9 I°' I a I� � T �� i" � o I-' �� I,;: I o I�� !� G I Address (mailin9l� "� r I' i i�' . ( J j ' ' � � I � Left� u j � �=' � c Q' n i I- - � L -! � i -4Z � j ;-��ONSTRUCTIONTVPE �VALUATION$ S' I-, . , I I I`. I� I I m I^"+ I i? � t C CitylicCriSeNo I - � � � I n � � I � ZONE � � � � GRADINGCU.YDS. � ' ACRES � �' � ' � " � � � � ' �� R' I CICENSED CONTRACTOR DECLARATION I I �: I , � I ' � '�-� ' ' ' � i i I i � -_ Pln9; Ref. # I � � � � ' Parki_g�Req.IBrovided ( O� O' = I! E'. . I'FiareDy�ai(irm [M1at I�am�licensetl untle� provislonz ot Chd/lei,9 (mmmencing Remarks: i -�_� � � I � �, p-ti • I°Q I I I ' I '�v" I P.Iarining�Notes: � I � � � � ! E I �' .�� Q I ! p�� . wltb sac�ion 7000) bi Division 3� ot the Busine{s antl Professions Cotle, antl ' � ' - - � " ' ' - ' • ' - - � � M � � mY Iicense�is in full,torce antl elfect. j I i � i�•� � � ' I � � r� : i I I- I' _� C � ' I � I 1 ( c: � � � � I � � � � � �' i^i � io � �� = S I . L'icense Class � � ' � � � License No. ' oate ��- � �� Signature I I ! � 1 1� I I 1 � � � " � i � I PLUMBING � n � � � I � FEES I � � � � � � � I � � I�' I 5 � I (� I� � ' WORKERS' COMGENSATION DECLARATION I � �:: I � � I , - � I I � I � BarSink � � Sh�ower's � � I I I I ! ELECTRICAL I I hereby �atfirm that I ha've a certificate of consentto zelf-insure or a certificate � � � � 1 I � � ( � , � I F.EES I of Workers' Compensation InSurance�� or a certifi�tl� covY th¢reof (SecHon ' i � I i 1 i � r i � � � - Backflow Preventer _ -___ � � ._ _ Seivice Sink� �..�_ �..__� _�_ _ __ .quromatioWasher � � -�-_ -�— �.T.ransformer_�_75-�50.KW. C � ' '3800. Lzb..'C. ' ._ ' __ _ ,, . _ '_ _ _. _ � . r � � Poli<y No. ,) 1 I ' � Company � � � � � I ', � Backflow Irrigation � I � Sewer Cap j � I ' � I ConsVuction PoleSuh. � j I ' i � � � 50�b•KW i Certitied copy i5 he�eby fumi5hetl. ' � � B Certltietl copy is tiletl with the city Builtlln DiviSion. ; I I � Bathtubs � � � Sewer Connection ; � I � ! I . I 9 � , � I � I �� t . . I I � Cooking Unit � � � I I IMeter ❑up to 100�amps � I � Date A�Plicant ' � � � � � �' y � , EXEMPTION�FROMWORKERS'�COMPENSATIONDECLARATION � I � Clerlfiers � � ' � � SolarC011ectors I I � I I Di51iwa5her I I � � I �Meter ❑over�100amp5� I I � . -(Thissection'neetl�noTbe'completetl�iPthe�permiFis�forone�huntlretl-(S100j�or-�- , , � i � --- � - - _ less): � I I � i i � � I i I � Dishwasher I � � f Solar�Pipingj 1 l � �� Dryers �Gas �ElecVic Sub Panel , i ce[tify �that in the p¢rio�m5nce of th9 w � � which tni5 pe�m�t i5 i55u¢tl, I i � - � �� ' � • I �� ' I� ' I �� shallinot employ any person in any m solas to I e e subjeCt to the � � Drinking Fountains I � � Solar Tank I � ' ! ' j Fanl � I ' ' I I � ,� Workers^�Com�pyy � wi of Califor . , � 1 � ', tMotori �0�1 HP �1'h�18 � � I Date' _(��Signature � � � Floor Drains� I I I � Swimming Pool w/Spa I i I � F.AIU. � NOT.ICE:If, ai�e� ma n9 this tlecla�ati , you Shoultl become bj ct to fhe � ' ' ;� ' , I I I i � � IIncSOld�l�9�i15 HP �76�1$+ ' I Wo�ker5'. Compen53tion provi5ions ot'the Labo� Cotle� you m st (orthwi[h _�_ FIOOf$iOkS.� ��,�_ I__.Urinal� � � comply jwith� such provisions or this permiY snall' be , tleemed reJoketl.' —�--�----�— �-- ---�-- .— —.Fix{ures..f,_�,_.�_�L_ „�„ �M¢rowave,� � ��.��_ _.�_� _� CONSTRVCT�ION�L'ENDINGRqGENCVC i m rrp' r� I'� � m 1"� � � GasService� I oOU.tlet5l '� � � ;wa�er'CidcAc� �' �! �� v �� - Device80xe5 � � � � � � � I I ^'1 -� i � . .. .. . ; �n �. . .. . ... ,n e� I o _ , � I I I . Pole L�ght � 1 I I hereby aHlrm that tliere is alconstru2tion.lenCing zgencylfor'the perlormance, - - � i of [ho work for, which Ihis permit islissuetl (Section 3097 Civ. CJ � - ' - � ' ' � I � + , I �. rr : ri i Q i..� i m ;:i �.c : c� . i c• IntercePtors� •i I.� � ��, .Water�Heater n 1_�.' � i rf I rt" Outlets I ' I I 1 I Range � I I � I I � Lentler'S� Name: ' `- . _ .. , - � , � � � , . . . . � . � . Lentler's Adtlress ' � ^ � - ' ` � - � - Krtchen Sink �� `' �Water Service l � � I � OWNER BUILDER DECLARATION -I " � � �. � C. • I�' I�� ' I I._ � I X I Q- I�. I SWitChes� � � � � I : 5�9� I � I f I . � . � I hereby aJfirmhhat I am exempt trom the Cmtractor s'Licenze �aw (or the �Lavatones� j �� I � : I �� , I;o I Q I q- I ' i I h Garbage Disposal � ' � � �' StaridingiSections I ' i I I tollowing'reasoq (SectionE7031.5� Business antl�Grofessional Cotle:�Any a[y or ' : ' ' • � • � � . county wM1lcfi reqWres a permiHto con5truct, alter, Im rove, Oemolish or,�epalr I - I U = - . t N T � � ; �any'struclure, prior to its'issuance,�also requires the applicantitorsuch'permit , P-T�aP� °- �^ ��^ � _ '�. {-r ��_ � T: �> � � �-"P. .: �„- Generato� �a5 KW 05-15 KW � i Trash Compacior I � I I � �to flle a'Si9netl SWtement�thatthe%she Is IICCnSetl�pur5uant to.the provisions ot � � ' I_ _ I i �^ '� I I;? i�� ' Q T i- � i c c 9 � :aoof-o,a��s � ` i � i I i I I ; I 1 I I I 1 I � the Contractor4:License Caw Chao�er 9 commencin with Section� 7000 of , - �- � �DiviSion 3 of the, Busin¢55 antl Pro(e55iOns Cotle � or Ihal he she' i5 exem [. � __ .- � i therefroin«antl the basis for'[he alle9etl exemption. Any� violation:of Seclion • �,I ' � �- � I i^ g � F' � �-� � � ' 07031:5 by, any', applicant fora� permit. 5ubje<tz tne-�applicant�;to a tivil I I V! �" -�'! '�-- � � 1�� 1,. I Z I F!� � I � � � � � � I � � � � � � , � enalty bi not more tha;n five hunaretl dollars (E500). � �_ i _ I -- ' T � - ' - ' " ' - - � t� 1; asl owne� ot [h2 O�operty�o�-,mytemployees.with wdges as Iheir sole � _Reinipectian:Fee.,� I I$15� ,. ! I 15Ue Fie.`� ( �� $F � I � � � � � � 1 � � � � .Compen5atlon. will tlo the work, antl Ihe structure'i51nOt intentletl o� oHe�etl � ReinS Bction FBB � for salei �Seetion �7044, eusiness antl Protezsional Cotle1 Tne Contractor's ��'- i;,� I I �'_; �MECHANICAL I � ' � � r; � FEES f P I I � � $�5 j I Issue Fee) � I I � �$ 3 I LiGense ILaw tloe5 not apply [o.nn;own¢r ot'a pioperty wito builtls Or improve5 � � thereon, antllwho;aoes Such wo�k_himself/h¢r5¢Ifro��through his o��her own ', -- �- �'. _ I � I i � u I.� DEVELOVMENTSERVICESREQUIREMENTS � � i � I I I employees, provitletl that such_improvements are noUintentlea or o(feretl for � Boiler ��, r. , � j Hood or Type I ❑ � m� n� I. i � � i � Shc¢. If,'howeve�, th¢ bulltling Gr imp�ovement is Soltl'wlthin on¢ yeai ot cbm- � � CdnOpy TypC I I ❑ � �� Za^�^9 APP�oved By OdtO� . pletlon,�the owner, wlll' havo'tho burtlen of i rovii gthe/she aitl nit bulltl or im- � Duct = Under Ground � ; � � I � � �� I I � Building Approved By � ' � � DaTe_ �1rove forthe�purpose oi sale). I � , � � u I, �a5�owne� of the prOperty, am ezclu5ively contrdcting with Iic¢nsetl con- � DUct -$LfuCtu�dl � Refiigeration System � 1 � I ApplitetiOn ISsuedjBy I , � � � � a( � tractors to constru2t the project ($EC[IOII 7044, Business antl 7rofessions Cotle: ' ' � 1 I � I I The Contractor's License Lnw does not apply to anlo�+'ner ot oroperty who � Duct - Ventilating � � � �0�700,000 BTU �0100,000 Bn U � I I i �. I � ISUMMAySR`V� FE 5 i � I i � -�u11tl5-o� imOroves thereon,�antl �who-cont�acts �or such projects-wdh-a-con- - + � � tracmr(s1 license pureuant to the�Con{ractor's License Law). I zm aware that �, i Exhaust System ❑ Multiple ❑ System RepaidAlteratiOn � ' BUI LDING PERMI7 ($�� ` �SMIP. I$ proof o� their Worker's CoTPen tiqn i s rance ShOultl ba Provitletl to; me.�� , I," � � '' I � I i . � r '�c, � � , �> � i r i - i � PLAN CHECK � $ � ' � ' 'PERMIT � I am exempt untle Section ' .& P. C. for this reason � Firepl/Fatt. BIL ICBO'� � I � � � ! � � � � � � � � I I � � ! � � ' � � - ' � PLUMBING $ � i I IISSUANCE $ I I I Date ' ' � Owner� ' ' � � I Heating System & Ducting � � � ' � � � � � ' P�LAN CHECK �25%I $ � ' i i 1 i . . ' I I i I ENERGYIP.C. $ I � i i-hereby certity �that I-hava reaa �this appiiwtion.antl-st t ahat-the atiovo �- _-. 00.700,OOO.BTU 0100,OOOBT _ . i—I.--�-T !-1 .-„ -, ELECTRICAL I$ � I � ; �GRADING $ Information is correct. I agree to comply with all city antl unty ortlinances � � � � . � antl state I rela[in 't uiltling const�uCtlon, dntl hereby authorize repr¢- , �, , � � � I � I � � � � . � ; � I � � I I � � I �MICROFI��LM $ � sentatives /: � dt ' o enter upon the above-mentionetl �property Ifor � � � � � � I � � � PLAN CHECK 50% $ insoe�tia s. i MECHANICAL $' OTAA FEE $ � Signatur Date �' Drivers' License or$5 � - � Reinspection Fee $15 Iswe Fee $ 3 PLAN CHECK �25% $ � -46, rev. 4/84 Whit¢ - Builtlin9: Canaty - Appliwnl: Pink - Accountin9; Golden�otl - Assesso� . , � � �CONSTRUCTION AND PLANNING POOL & SPA ��, APPROVALS Permit# Oate Inspector qppROVALS Permit# Date Inspect\� ` 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location ' � ';,� \ 2. Soi! Pipe: Undrgrnd. � 'a'' '53, Steel Reinforcement �f� 'y Fi $^Elec�trical Conduit.Utility-Undrgrnd. � !�� 54. Forms - " <,�'` .'_ 4��Electric�l Conduit-Undrgrnd. � 55. Electrical Bonding � i'); _ , 5. Steel"Reinforcement � -. � 56. Rough Plumbing & Pressure Test i� '�`j J 6� Electric I�UFER,Grnd. ' 57. APPROVALTOCOVER-GUNITE �!��%- , .� � , 7,. Footings `�� ' � 58. Electrica! ConduibUndrgrnd. ,�� %�' - '' n . � 8� Fou�t�dation f � •, r' �"' 59. Gas Pipe, O Undrgrnd., Test ' ��' .L �� 9�� WaterPjbe-Undrgmd. + 60. Backwash Lines, P�Trap, � Undrgrnd. "��i � 10. St�ucturel Floor�System '-"�i 61. APPROVAL TO DECK , f� i� i t. Broperty Sewer Line & House Connection � 1� - 62. Backwash & Receptor-Final ;:� ' �,^ �� 12. S'ewer. Cip . �J 63. Heater & Veni-Final ' � ' " c•:i_ 13. Roof�Drains 64. Plumbing System - Final � �'' i N�� 14. ftough Plumbing � 65. Electrical-Final �- � I � 15. Rough Electrical-Conduit 66. Solar System=Final • ' f�6:) Rough Electric Wiring � 67. Fencing &'Access Approval � ' i 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING � � � I 18! Rough'Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . �19. Rough Heating & Air Conditioning ' ' FIRE DEPT. REQUIREMENT � a,� 20� Rough Factory Fireplace APPROVALS Permit # � � 21. Ducts, in Structure 70. Underground Hydro � � b .22. Ducts, Ventilating - 71. Producr Pip'ing �Gas �Oil 23. Gas Pipe-Rough & Teat 72. Underground Flush � 24. Roof Framing �. 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing _��vy¢(� 1� �� 74, pverhead Hydro � 26. T-Bar'Ceiling (St ctural) & Monocoat 75.. Dry Chemical � 27. Frame;and Flashing , 76. Dry Standpipe� � 28. Lathing.`& Siding � ' � , 77. FIXED SYSTEM FINAL � 29. Insulation� - � � 78. FIRE PREV. FINAL I 30. Drywall Nailing ' � HEALTH DEPT. REQUIREMENT ' � 31. Plaste�6rown Coat , 79. FINAL INSPECTION ; i 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: � 34. Final Heating & Air Conditioning � . ' 35. Final Gas Pipe-Test ' ' • a 36. Hood or Canopy - � � � j 37. Final Factory Fireplace ' ; - 38. Final Plumbing � 39. Water Service-Final � , � . , -� `�� 40. GasService-Final �� ;-^ 41. Solar pomestic-Final, _ ' - / ,`;; .' t9 42. Backflow Preventer� , � � ,;, .1 .+ 43. Backflow Irrigation . . . � ' ( �� f , 44. .Landscape Irrigation System� ' � �, �_ � 45. Sound Attenuation � 'f '�� 46. Handicap Regulations Q ` % 47. FINALSTRUCTURE&BUILDING � � � • / , 48. Special Requirements Completed � � � , „ 49. Electric Release to Edison , . � - � ' ' .v 50. Gas Release to Southern California Gas Co � , ' ;� ; 51. CERTIFICATE OF OCCUPANCY ' ,_ ' ' _ �'� y � i � �; No. ' � Date , ' ' � � � I � I ! I� � / I PflQIECT AODNESS: (3 8(3 W 19 TH S T OWNEfl'S NAME: KOGA, IWAO ADONESS: KOGA FRANCES M 998 {iARTFORD WAY COSTA MESA,CA 92626 AflCH/ENGINEEfl: AOOHESS: flEG.NO.: UNI7: UNIT: PEHMITTEF: IWAO KOGA ( 714 ) 546-7643 aooness: gg3 W 19TH ST C,M. CA 92627 L10EN$ED CONTNACTOfl OECUIBATION: I �ereGy a�firm Itw� I am IicenS¢d unAer pmvi5ion5 0l Chapt¢r 9(commencing with S¢ction 7000) Of Oivivon 3 of ihe Business anG Pmlessions CoOe. ana my license is �n full fo¢e and eflett. CITY IIC.: STPTF LIC.: CLASS: Date�. Signamre: WOHNEPS' LOMPENSATION �ECLAflaTION: I hereby attirm tnat I nave a cenilicate of consent to self�insure or a ceniticate of WoBerS' Compensalian Insurance. or a ceni�ied copy Ihereof (Section 3800, Lab. C). POUCY NO.: E%P. OpTE: COMppNY: ❑ CertifieA topY 5 he2by fumished. ❑ Certified capy i5 tiMd with fhe Ciry BUNtlinq DiviSion. oa�e: Aoo��n�: E%EMPTION FflOM WOHKEflS' COMPENSRTION OFCUMTION: (iAis secWn nettl irot Ue camplele0 il Ne permii i3 for one huMrea �510p) w 1a5�. I cehily �pa� in Ihe pedormante ol Ihe work br w�ich ��is pe�r ¢sued. I shall noi emDloy any person in any manner so a510 become su0i�t �o I�e Warkert' Compensaiion Laws of Calibmi . /J `j// Oa�e: �'�� I � Signa�ur!�r� '�y �l l��n NOTICE: II, alter making I�is declaralion, yQu should become suUleci m I�e Workers' Co nsaiion pmvisions of t�e Labor Cpde. you must torthwilh comply wilh suc� pmvisions or Ihis Dermit shall Ue 4eeme0 revoketl. CONSTpUCTION LEN�ING qGENCY: I �ereby a��irm I�ai Ihere is a cons�mction lentling agency for �he p¢Ao�mance of the work lor whicn ihis permit is i=suetl (Section 3097. Civ. C�. LENOEfl: AOORESS: OWNEq BUILOEfl OECLANPTION: I here�y alhrm t�at I am exempt Imm I�e Conirac�ors' Staie License law lor I�e lollowing reason (SecliOn 7Q71.5 Buvness antl Pmlessional Caae: Any ciry oi county whit0 r¢puires a permit to canstmci, ali¢r, impmve. tlemolish, or iepaii any slmdure, prior to i1s issuance, also repuires tne apvOcant Ior sucn permii to lile a signeU statemenl lhal nelsne is licensetl purwem to Ihe pmvisions o� �he ConVaclors' Slaie License Law (Chap�er 9(commencing with Section 7000) ol Division 3 oi ��e 8usiness anU PwIe55i0n5 Coae) o� Ihai �e/she i5 exempl Iherelwm and Ihe ba5i5 IOr Ne alleqetl ezemD�ion. Any Viala�i0n ol 5¢tii0n 7031.5 by any applicant lor a permil sublecls ��e applicanl �o a civil penally oi no� more �han five hunUretl dollars (5500). I. as owner ol ��e propeny or my empioyees with wages as iheir sole Wmpensation, will tlo lhe work, antl ihe ❑ slruCWre i5 nal int¢ntled or ollereU for sale (SeCtion 7004. BUsin¢ss anU Proiessional COtle: ihe ConVattors' S�aie LiCenSe law Ooes not appiy to an owner of a D�ooerty wno Ouiltls ar improves Inereon, antl wAo daes such work nimselflhersell or thmugh his or ne� mvn employees, pmvi0etl ihat sucn imo�a'/emenis are not inteneetl or ottered for 5ale. II, however �he 6uil0inA or improvemen� is s01tl wi��in one year ol completion, t�e own¢� will tlave the burtlen o� proving he/she aiA no� Duiltl ar imDmve fot fhe purpose Ot 5dkl. � I. as owner of I�e pmpeny, am eectusiv¢ty comracting with Iicense0 cantraclor5 �o constmct the Omiecl (Seclion 70aa, Business ana Pmlessions Cone: Tne ComracmfY State license Law paes not apDN �o an ovmer of D�ecenY who 6m10.s or impmves thereon ane who cnntracl5 lar 5uch pwjecis wit0 a canVactoqs�license pur5uan� lo Ihe Coniraclors' $Ia�e Litense Law�.l am awar¢ ��a� pmo� o� their Worker'S Campensation insurance s�ou10 6e Dronded Io me. � I am exempt un0er Seciion: B. 8 P. C. lor IRis reason: ' Oaie: I — � � — _( � � Owne �� I Oo here0y cenily �ha� i am aware oi anE unEers�ana t�e requiremems ai Califamia Health and Safery Coae ions 25505. 25533, antl 2559C an0 ihat I or any IUWre �uilding occupan� will/will noi �circle one� neeA lo comply with saiE 5�a�e cotles and Ihe repuirement5lor a peimh �or canslmction or mo0ilicaiion imm Ihe Air Oualiry Managemenl �islric�. flev0ential constmction appliwiions are exemp� Imm IAese pwvisions. Daie: ApplicanC _ � �e�Nby cerii�y��al I havQ reatl I�is a0plicalion ane s1ale�hai Ihe ordinances ana s�ale laws relating �o OuilOmg conslmclion and herel pmpNtly Ipi inspeciion purposei oate: � � oZ 0 �' � �qnamre: l Driver's License oi Social Seariry p: is correcL I agree to mmpty with all city anJ counry n�atives o��is ciryio enlerupOnlAe a00ve�mention¢d i6<F46� Yd�ite—Buildmg: Green—Coae Enlorcemenp Canary—AOP��canC Pink—Revenue; Galtlanratl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 060687 PLAN CHECK NO; 00177-93 S CONSTRUCTION TYPE; PERMIT TYPE; STR JOH DESCRIPTION ; RELOCATE EXISTING CARPORT WALL PERM NO; B 060687 GOVT; N SUPP; N PURPOSE: ALT SQ FT: 1,000 CLAIM VALUE: 1,000,00 CALC—VALUE; 1,000,00 GROUP OCC: M-1 / COMMENTS; RELOCATE CARPORT WALL SFT AWAY FROM PROPERTY LINE **�r*�t�r�r�r�r**�r*�r**�r*�t*«�r*****�**+r�«�t�r****��r�r****�r**�r****+�+t�r***�r�r�r*�t***�r*�t+t*�t�t�t** 2 O N I N G R E(J U I R E M E N T S ssTBAcxs ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; 94 FT IN REAR: 17 FT IN LEFT; FT IN RGHT; FT IN LEFT; 5 FT IN RGHT; 22 FT IN PARICING REp • PROV; PARCEL; 42932102 ZNE; R2 REF NO; R9207 PLANIJING N(51'ES> DEMO ILL, 2—STORY UNIT S PORTION OF DUPLEX CONVERT REMAIN— > ING PORTION TO TENANT STORAGE, CONSTRUCT '1—CAR CARPORT, x �ex*�t+��e�***�rx*x*r �r�r��t�t***�r�r�r�r*�r��r*+t**+t**�e�r**x��r�e�r�t�r**�r**��r**�t�r�t�r�t+t*�r�r*�r�r�r�r�r**�r�r 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; L 20 ( �j� BUILDING APPROVED BY DATE: APPLICATION ISSUED BY• DATE: l'Lo L0 tj itkk�FifiEiFlfklfiklFiflFiflfkifitit�Flf if�klFikiFiffFiFiflk ifif It k M k 1k if iFlf if �f k if iF if if 1f k M if if %iF �f iF iF ik �f 1F iF k k iF it iF k ikif �f �F 1f �flF k iE k iF if k ik iF k i! k if 3E ik kitlf iF k iE if iF iF if iF i! �f iF if 1! iE i! iF M iE�f k 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 25,00 ? 50 PLAN 16.25 ' �'" SMIP/NON—RES i ISSUE FEE ' ✓' BUILDING—DIV—> PERMIT ISSUE PL•AN'—'CHECK TOTAL PAID DUE TOTALS----> 25,50 0,00 .!'16•.25 91,75 41,75 .00 R i; REVENUE DIVISION TOTALS--> COLLECTEDt_ 41.75 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANr� FZRE SMIP/TOT GRADING PLAN—CHECK 25.00 � .. ,50 16.25 iF ik M if iF if if it 1f 1f ik k itiF ik �f iF 1k if iF iF ik if ik iF M iE iF iE iE iF it M iF iE iF iE M_3E iE 3f 3f ik if iF iF iFik k iF iF If 3f if �f if IE �F �F �k iE iE iF �FiF If iE iF �F iE iF �flflt if if� iF iF 1F I N D I V I D U A L' ' F�lfi E B R E A K D 0 W N TYPE QTY D E S C R I P T I�O� N21J. UNIT COST TOTAL COST /., /". SFR 1000 STRUCTURAL BY VALUE� PER 51,00 1,00 1,000,00 END OF� FEES �:f �� J G ,/ / + 1 h {i '' ,j'% 4 ` /'/! � W y:� �X �.. -, . . - ` _ , . CONSTftUCTION AND PLANNING POO SPA ; APPROVALS Permit # Date Inspector APPROVALS Permit # i Date Inspector 7, Temporary Electrica! Service or Pole ' 52. Pool & Equipment Location �.zSqil-Pipe�Undrgrnd.. 53. Steel Reinforcement � I � 3. -Ei¢cGical Conduit USdiry�Undrgrnd. 54. Forms ' 4. Electrical Condpii•Undrgrnd. 55. Electriwl Bonding i �`,L�.Steel Reinforcertmant 56. Rough Plumbing & Pressure Test i .; '�� Efecqical UFER Gmd. 57. APPROVAI TO COVER�GUNITE - 7. Footings � 58. Electrical Conduit�Undrgmd. � : " 8.'P6undation � 59. Gas Pipe, O Undrgrnd., Test � ' • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap. O Undrgrnd. I 10. Structural Ploor Svstem 61. APPROVAL TO DECK • � 11. Property Sewer Line & House Connection 62. Backwash & Receptorfinal � � � 12. Sewcr Cap ., ' 63. Heaier & VenhFinal � 13. Roof Drdini - � � -. 64. Plumbing SYstem - Final � 14. Rough Plumbin9 � 65, Electrical�Final . ' 15. Rough Electrical-Conduit 66. Soiar Sysiem-Final 16. Rough Electric Wiring 61. Pencing & Access Approvat 77. Rou9h Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOIlSPA SYSTEMS FINAL 19. Rouyh Hea2ing & Air Conditiooing _ h . flfj� DEPT. REQUIREMENT 20.�RoiLqhFactoiyFireplace S_: '�� ,� '_. ''APPRDVAY.S'�Permit4`r w � - "�� ,:• 2L Ducts, iri 5tructure� •�• �- _ 70. Undergirounc� Hydro _ , 22.ti0ucu, �lEntifating.;' ' � ; -- '; ''„ . '71. Product-Piqinc� d'Gas CxOd 23. �Gas Pipe-Fiough & Test i . . 1 �', � � 72. Under9roi+�d Flus�i •' �- - _ Y 24. Roof Fram�ng' tt " - ' � ' ` ,73 Undergrnd'.StorayBT_ank,�'Gas ❑Qi� 25. Roof StiBathing =. . �. . '74.-Overhead Hydro � 26.-T•83r Ceiling (StructuraU &'Pv18r�coat � '- 75� Dry Fhemical . " ' ' 27. Frame and Flashjng, - x � ��: -> 76. Dry Standpipe �� ^28. Lathing & St��ng' � ' - • _ ' , 77.' F�XED SYSTEMt FINAI.� �29. Insulatioti ' � • a •� � - • 76� FIRE PREV. FINAI ' ` - � �T30. Drywall Nailing , ' ' � � �� HEALTH DEPT REQOIREMENT . � 31. Plaster &OLYn Coat .t � r• - I 79.� FINAL IN$E'.ECTION �� 32. Electrical Power MAiei�Final� ��, x�� ` `'b0.,F00D CERTIFICATE ISSUED : .33..-Final Ele�trie. ' r � - > - I •. h :' • ( �� y---� . .. _ Notes: �- . . -�' - -�- 'G��"� . 34;�Fine1 Heating& FtirConditioniAg� � '�'� �- - ' ` _ `'�y-�� - -. � . �Lel_. ____._e•tQ.Ca'Y,� �C�n'�,.'�� 35. Final Gas PiFie�Te t.. . �` " t yj�,_� j�q __ _ �- ��' �__ •!� ` � 36. Hoad or:Canopy • . . . ' ' i � ` �� .' � ` =�7�2g�-3 �7.-Pina� Pactory fir8p�ace� ' - � i .., ' .� 38.�Fina1 PlJmbi�g � • • V- : � ; � _ � " ' 39. WatEr Service;Final _ . � i � �' .° , ` . ` � tr � 44. �Gas Service-Finat� •1 � � � ' ' �. - • � .r _ •a, '41.�Solarpomestic-Pinal' - � r ';� _ r ,�� 42. Backflow Preveoter ., �. �� v � � 1= - � -- i J 43. Backflow Ircigation f �, �� -' '; „. � ' , . � ��44. Landscaps �rrigation System. � - • - "_ • ' � �45.-Sound QttenuatiotT ' ` ', . � _ . -46. HandicapReguiations �� :��,.�• s � _ �47. �INAL S7R-UCTURE & BUFLDING„ �_'z � 9l��GL(�'�, ' • � � i 46: FIIVALPLANNING � . . � ' I _ � , � '49.• Electric Re�ease to fdison ' � ,, t. ` „ _' � 50. Gas Release to Southem California Gas Co = ! , • • :; 51. CEfiTIFICATE OF OCCUPANCY �I No. Date Pfl0.1ECT RDONESS: (j 8 f3 W 19 TH ST OWNEfl'S NAME: KOGA ZWAO aoosess:KOGA� FRANCES M 998 �IARTFORD WAY COSTA MESA,CA ABCH/ENCMEEfl: RODPE55: UNIT: 92626 NEG.NO.: UNIT: PENMITTEE: IWAO KOGA ( 714 ) 546-7643 nooxess: gg� W 19TH ST C,M. CA 92627 LICENSEU CONTBACTOP UECLAflqT10N: I hereby allum Ihal I am licensetl untler provisions ol Chapter 9(commencing wi�h $ection 7000� ol Oivision 3 of Ihe Business antl Pw�essions Coae, and my license is in NII lorce antl e��ec�. CITV LIC.: STpTE LIC.: ClASS: Oate: $ignalure: WOPNEflS' COMPENSA710N OELLpppTION: I �ere0y affirm IOat I have a cenificate of consenl to setf-insure or a tenificate aI Warkers' Compensalion Insurance. or a rertifie0 copY �hereof �Sec�ion 38q1. Lab. C�. POLICY NO.: E%P. OATE: COMPANY: ❑ cen�rea coov �s nereby mrmsnee. ❑ CenilieG copy is IileG wit� ��e ciry Building Uivision. Daie: Applicanl: E%EMVfION FBOM WUPREPS' COMPEN511TION DECIAPRiION: (This 5eclion nee0 no� 6e comDl¢tetl i� ihe permil i5forone AunEreO �5100� Or les5�. 1 certify i�af in the Oedormance o� th¢ vrork tar which (M5 permit is issued. � s�all not employ any person in any manner so as �o b¢come 5u01eci �a the Worker5' Compensation LavS ol Cali�omia� j� / v Oate: I � �– b— � � Signature: �� '� � NOTICE: II, aner making I�is tleclara�ion. you shoul0 �ecome su0ject to 1ne Workers' ComDe tion pmvisions of the Labor Cotle, you must lotlhwil� comply wi�h such pmvisions ar I�is permii shall be 4eemeJ revoketl. CONSTHUCTION LENOING RGENCY: I hereCy a��irm (hal Ihere is a tonStmClion lentling agenCy for the peAormanCe af the work tOr w�it� IhiS Oetmi� is issuetl (Setiibn 3097. Civ. C�. LEN�EX: aooecss:REPAIR WALL ON SIDES AS NEEDED OWNEfl BUILOEfl OECIAflPTION: I hereby atlirm I�a� I am eeempt tmm t�e Contracmrs' Siate license Law �or t�e follovnnq reawn �Seclion 703t.5 Business antl Protessional CoOe: Any city ol county which requires a permit ta wnsimct, alter, impmve, EemolisR or cepai� any simclure. orio� lo its igsuance. alsa repuires I�e applicani lor suc� permii Io fle a signed itatemenl that hfJshe is licensed Oursuam to I�e pmm�ons o� Ine Caniracmrs Slate License Law (Chapter 91�mmencing wie� Section 700U) ot Oivivon 3 0� l�e Buvness i an0 Prolessions Coae� or Ihal �els�e is ¢x¢mpt �Aere�mm anC Ihe DasiS �or Ihe allepea exempiion nny violation ol Section 7031.5 by any aOPliwn� br a Dermil suGle�is the applicani Ia a civil penaliy o� not more ihan live hundretl Oollars (E500�. I, as owner oi Ihe Dmp¢rty ar my employees wi�h wages as Ih¢ir so�e compensalion, will tlo Iha work, antl Ihe i❑ simc�ure is nol imen0e0 or olleretl �or sale (Section 7044, Busmess antl Pmiessional Cotle: T�e Conirac�ors' State License Law aaes not appiy to an own¢r ot a pmpeny wtq ouilds or impmves inereon, ana who Ooes suth work �imselflhersell or thmuAh his or her own emplayeeS, provitlea Ina� suc� impmvemenis are noi intentled or ollere0 lor sale. II, however I�e 6uiltlinp or impmvemen� is sola within one year ol com0le�ion. Ihe owner will have the burden o� pmving he/she did no� �uiltl or impmve br Ihe purpose of sale�. .n I, as ownet DI Ihe D�op¢rly, am evCluSiv¢Iy ConVaCting with IiCenSeU tontrac�ors Io Cons�rUtt Ihe Dmle�� (S¢tti0n 7044, 9usiness h� an0 Prole55ion5 Cod¢: The CAnfrat�or5' Sla�e License Law tloes nOl aODly �o an awnet ol properry who UmltlS Or im0�ov¢5 lher¢on and w�o conlracts lor su�h pmletls wiN a conVacior�s) IicenSe Dursuant �o ��e Conlraclors' State License Law�. I am aware �nal pmo� ol I�eir WorkeYs Compen5alion insurance shoultl be pmvitle0 to me. � I am exempl unEer Sectipn: B. 8 P. C. lor Inis reasan: !' G Uate:%— 2 6 ��`� 1� 6nner' I Oo AereUy cetlity tlwi I am awarp ol antl unaers�and I�e requiremen�s ol Califomia Health ana Safety Cotle $e[ i 5 25505, 25533, and 25534 anG Inai I or any future Owlaing oca0ant will/will na� �cirUe one) neeG to compty wi�h saia staie cotles an Ihe repurtemenis lar a permil Ior mnslmclion or moOiliCalion Imm Ihe Fir Oualiiy Managemeni �i5tricL Resitlen�ial cons�mciion applica�ions are eKempi imm Ihe3¢ pmvisions. Datel ApPlicanl'. I nere�y cetlilythal I �ave rea01hi5 applicalion ana 51a1e oidinances:m� 51a1e laws relating [a �udeing con5�mt�ian � pmOe�Iy lor inspeclian purposes Daie: / — � n " � � SignaWr� Oriver's license or Soclal Securiiy p: . in�ormalion is correc�. lagree lo comply wiih allciry an0 county orize represen�atives o� �his ci�y Io enier upon Ihe a6ove�mentioned 16ab<6 Wni�e-9uileing: Grean—Cotle Entorcemen�: Canary—Applicam; Pink—Revenue: CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 060689 PERMIT NO: B 060689 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: ALT JOH DESCRIPTION ; DEMOLISH ILLEGAL UNIT, REPAIR WALL SQ FT; 1,500 CLAIM VALUE; 1,500.00 CALC—VALUE; 1,500,00 GROUP OCC: R-3 / *�*�**�*ti*D**�*****�*��***+�****k**�*******��**�**��%**+Etit***�r***�r********�*****�r 2 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 BUILDZNG --------- FRNT: FT IN REAR; fiT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 42432102 ZNE; REF NO: PLANNING NfSTES> > �t*at****x��rr�t�t+r*+tiF**ifiE�Eia*�tit��xiEit�rit*�t**it�E****�t+tit*k�t�tit*atatk�at****�tiE�e�tiFik+e*�t�'ifititit�r�r*** 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 20NING APPROVED BY DATE: HUILDZNG APPROVED BY : DATE: APPLZCATION ISSUED HY: , DATE: �^� �`�-3 iFiEif�fiFifiFif�fiEitklf�tMklfiklkifiFiF ikiEkifiFlEiFlfiklf iFiE if it if k jE if k1f �F k M M if 1f M k IF if k �k iF iF �k if k if k�f k 1E if �f k�Fif if if ik 3F 3k 3F iF ik if i! ik if ik K iF it if iF iF iE iE 1t if �E iE if 3f �E �E �E if IF iE iE �k k if iF �F k iE iF iF �f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y .�, - HLDG PMT PLUMBING ELECTRIC= MECHANIC FIRE SMIP/RES GRADING PERMIT 35,00 � �':; 'L SMIP/NON—RES ISSUE FEE �' :� � , i BUILDING—DIV—> PERMIT ISSUE PLANa,CHECH � TOTAL PAID DUE TOTALS----> 35.50 0.00 „_.j Q.00 35.50 35,50 ,00 REVENUE DIVISION TOTALS--> COLLfiCTED�c '�' 35,50 OVER/SHORT; 00 BLD35P00 PLUMBING ELECTRIC MECHANIC ;FIRE SMIP/TOO GRADING PLAN—CHECK � �:1t • !f 1F ikiFif it If if �f iF 1f k iF if if 1E if 1F k�E 1k �f 3k 3f if iF iF if iFi! iE fE iE i4.�f.if if 3k k M iE iE iF ik if �f 1F if if M 3f IF If iE iE iF 1E if if 3E iF ik 1F K 1f IF iE 1f iF k k k iE iF iF if iF 3FiE I 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 1500 ALTER BY VALUE RESIDENT,3AL � NOZONE 1.00 1,500.00 END OF_ FE!ES (i � .. .. �i ' ' ��.� !� f n". i /t . �. % n L i'�% ';i !rt i � . �r • • ;! �y,l <� �� ' �i ..q.. . � t' . �; '� - . . _ _ . . CONSTRUCTION AND PLANNING POO. SPA� APPROVALS Permit # Date Inspeetor AppROVALS Permit # Date tnspector i. Temporary Electrical Service or Pole 52. Pool & Equfpment Locauon 2LSoil..pipe-Undrgmd��. ,53. SteeiReinforcement � 3.'�fBetricalConduiAUtihty-Undrgmd. .$4. Forms � '` 4. EfQctiicb� ConduiT�Undryrnd. $5. Electrical Bonding � `�. �5teet�R¢inforcement �$6. Rough Plumbing & Pressure Test ' '� '6. _ftectricai UFER Gmd 57. APPROVAL TO COVER�GUNITE � 7.i Foq�ngs -56. E�ectrical Conduit�Undrgrnd. � � 8.`f-6undation �� 59. Gas Rpe, O Undrgrnd., Test ' � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, Cl Undrgrnd. 10. S[ructurai Floor System � 67. APPROVAL TO DECK � 1 t. Property Sewer lirre & House Connection fi2. Backwash & Receptoi-Finai 12. Sewer Cap . ! 63. Heater & VenbFinal 13. Roof DYains �` . 64. Plumbing SYstem - Finai . 14. Rough Plumbing 65. Eleccrical�Final 75. Rough Elecvicat-Condurt 66. Solar System-Pinal i6. Ro�gh E�ectric Wiring 67. Fencing & Access ApProval � 17. Rough �Viring Sign 68. APPROVE6 FOR P�ASTERING 18. Rough Elect�ical•T Bar Ceiling 69. POOUSPA SYSTEMS FINAI. 19. Rough Heating & Air Conditioning r FI�E DEPT. I�,EQUIREMENT � i � � : :. 20. flough Factoiy F{rgptace . � `- �` � � _ = ,..';` � 'qppROVAiS'� �PeriY�it # ;. - - 21. Ducts,in�Structu�e< - • � S '- _ =70. tlndergFotmaHydro S 22. Duczs, Yentilatin9,:� , �' .t � , rj s�< f.t77. Produc�.��i}F�pi�g C7"G�os �Oit 23�Gas Pipe-Rouyh & Tesc � ., -; • = J� �� _72, Underc�round Flustu- ^ e� � 24. Roof FraminkJ ; - ' ,r � � � ` ;f " `'73� Undergm0. Storagi�"[ank t7 Gas ❑ Oil 25. RoOt Sheathing _ , -. - - ?: �� 7q,: Qverhead Hydro- � � � 26._� -Bar Ceiling (Sviactural) &i+Aonocoat � � ' - ° ` ` 75gDiy Chemical - "� " ; 27, Frame and Flashinq �� _ 76. Dry Standpipe - � 28. Lathing�BcSit�ingr' • _ = �� 77:T FIXEDSYS.TEM��INAL,; i� _ � 29. Insulatipn • . � •� � �, � 78� FIRE PREV. FINR1. ' r � 30. Drywall+�ailing . , j ' � HEALTH�EPT�REQUIR�MENT 37. Plaster Biown Coa't . � �-� r79.�FINAL 1(�iSf ECTION - � � "32. Electric8(?otver M�t¢i-Final �� ,"°SO.rF000 CERTIFfCA'I'E IS$�IED 33.:Fin'a� Electric ' � ' � -T-�_�-� � . :i � Notes: �, ` _ ._ _ �.. -� �� + �.�n.o . 34; Fina7 Heating& Air Conditionmg. �� I r �;, •' �,�,n Q � - ` • � � _(.�n/�-�C � ^ ` � � � . � , 35.'Final Gaz Pipe•Tes� L :. ; i -, - l � ,_i1_.qp��1. �_ �` iT ' - 36. Hood or Canopy � - ' ' ' � � ' �' , . _., : 7 i�-/93 37..Finai Factory fireplace . ' •.� �r � -�e � ,Q:g-t��` � �� f!� ��.,.�1�_ - (J c___�V- 38. Final PIUm6ing ��_ .' -� +� � ;* _ � ' - �`��-� '39. Water Setvice-Final, , y, . ., ' � � . ' " +40. Gas Service-Final - �. � : � • � ' - : ' - - ( r'. , ..41. Solar pomeSi�cF-�rtal' � .. _ � '' - . - 42. $ackflow Preventer �� • � 43. Backflow Irrigation, T � �� _ .. � - *44. LandscaPe irripationSystem' ��- - • - - ' t �� ; ' �' � <. '45.,Sound Atteavation , . ' ' . ,. . _ _� . _ ` - '�46. Handicap Regulaiions - � S -S � - ' _ � r 147.'fINAlSTRliCTURE & BUILDING � zr q� �(N • � ' = . ! 48rPlPj,4LPLANNING � . ' _ • 49.'Electric Release to fdison , . � � ' ; ' -� 50.�Ga:�ielCase to Southem Cai'rfornia Gas Co � � ;� � -• _ 51. CEftTIFICATE OF OCCUPANCY � � =. �. � ' No. Date � �i� PR0.IECT PODNESS: 9 8 9 W 1 9 TH JrT OWNEH'S NAME: KOGA, IWAO aooxess: xOGA FRANCES M 998 fIARTFORD WAY COSTA MESA,CA 92626 AXCHIENGINEEB: RU�XESS: flFG.NO.: UNIT: UNIT: PERMITTEE: IWAO KOGA ( 714 ) 546-764 3 nooxess: gg3 W 19TH ST C M CA 92627 UCENSEO CONTflACTOBbECI}�PATION: I �ere0y af�irm Itwl I am Iicense0 un0er provisions oi C�apter 9(cammencing wii� Seciion 7q10) ol Drvision 3 0l IOe Busineu anG Professbns Code, an0 my license is in lull lorce an0 ellect. LITY LIC.: STRTE IIC.: CIASS: Oate: Signature: WaPKEHS' toMPENSar1oN oECIABAiION: I nere0y affirm Inat I nave a ceniliWte o� consenl to sell�insure ar a cenilicate of Workers' Compensalion Insumnce. ar a cerUfieO coDY ��ereol (Section 98q1. LaO. CI. POLICY NO.: EXP. OATE: COMPANY: ❑ Certilied CaOY is �ere0y �umis�ed. ❑ Certilied capy a filetl vnt� t�e ciry BuilEinp OiWsion. Da�e: APVIrcan1: E%EMPTION FHOM WOflKEflS' fAMPENSATION OECUMTION: (ilvs seclqn nee0 ml Ee campkiW if fhe permt is �m one hwtlrW (5100� or 165�. I cetlity t�ai in I�e pedormante oi Ih¢ xrork Iar w�ith (Ns permil is 65ue0, I Slidll n I em any person in any manner so as �o become su0lect to t e Workers Compensation laws ot Catitom Date: � ��v ' � � Siqnat ��-R .0 � - - NO710E: II. after making t�is DecWratbn. you s come su�l�� a t�e Worke ' mpenution D�avisions ol t�e Lahar CoOe. you mu5i fart�with rAmON `^'��h such pmvisions or lNs permi� shall Oe tl¢¢m r¢vaketl. CONST80C710N LENOING AGENCY: I �ere�y affirm t�at tAere is a constmction IenOing agency for t�e Oedarmance af l�e work lor w�ic� ihis permit is �ssue0 �Section 3W7. Crv. q. LENOEN: ROONESS: OWNEN BWLUEFl OECLANRTION: I �ereUy allirm ihai I am eaem0� �mm I�e Contracmri State License Law for Ihe following reason �Section 7031.5 Business anG Pmlessional CoOe: My dty of munty wliicli rtpuira a permit to consiruct. atter. imprwe, aemolisR ar revair any 9mcture. p�ior lo its issuance. aLSo repuires Ne applitanl for such permil to lile a si0netl statement Ilul �Plshe is ticensetl pursuam io tne D�avisians ol tne Comracmrs' Siate License Law ICnao�e� 91�mmendnp vntn Section 7000) ol Division 9 0l me Business anG PmlesSions COEe) or tlial hpJslie 4 e+em0� ��etrom an0 t�e Ea5i5 �or t�e alleq¢G e�em0�ion. My violation al Setlion 703t.5 by any aDOlicant lor a oermM1 su0jecis ine avOliWn1 to a civil ve�lly al nol more Inan live tlunAred Uollars lu�l. I, as owner ot the pwverty or my employees witn waAes as tneir 5ole compen5ation, will do ihe work, an0 1ne ❑ svucture is not imendetl or allered lar sale (SeCtion 70aa. Busineu an0 Professional CoOe: The Comracmri State License Law aoes no� apply to an owner of a property wtp buil45 or impmvR thereon. anG wilo Uou suth work nimsell/1lerself or inroupn nis or ner own empl0yees. provia¢E Inal sutn impwvements are nol intenUeE or oflereU lor Sale. II, nOwever Itle �uiltlinA ar im0�ovement ¢ 5oW vnMn one year of completian. tM owner vn0 luve I�e OurEen ol D�avin0 ��s�e tliG no� Dui10 or im0�ove tor ine ou�oase ol 5ale). � I, as Owner ol I�e pmp¢tly, am eetluSiveN comracting wit� IicenseE comracmrs ta consimcl Ihe Omlect (Seclion 70<4, Business an0 Protessrorts CoOe: Ttre Contractors' State License Law tices ml apDH to an ovmer of pmpertywM Om10.5 ar improves thereon an0 who coniracts lor such pwjeps wittl a fAniractorlsl IiCenSe OursWnl to �ne fAnirattors' $tate License Law1. I am aware IIIdi Or00� UI 111¢it WOrkP(5 �,Omp¢n5dt100 i05ufdnt¢ SIIWIO 0¢ 0«tlPd �U IfIC. � 1 am ecempi un0er Seciion: B. 8 P. C. lor inis reasan: � �ate: � '-�..�� Pxnc � I ao �ereUy cenily ihat I am aware ol anE wGerstanC t�e repuiremems ol Cahlomia Meal�� anG Salery CoOe Sec ns'15505, 25533, anU 2553a an0 �hai I or any IUWre Ouilding occupant mNvnll no1 (drUe ane) n¢eE Io camDN'M�h ui0 Slaie ca0es an0 ��e repuiremenl5 �or a permit lot consimciion or moEilicalion Irom I�e Pir Ouahly Managemeni USlrici. He5i0enlial tonSVuclion apDlicalions am exemp� Irom IACSC pfOvi5i0f15. 1 Date: Fppli[anl: I �ere0y cerlily ��at 1 have reaa I�is applica�ion an0 stale Owi t�e aGove informaiion is carreci. I agree Io campty unt� all ciry and counry ordinarces antl slaie laws rela�ing lo �udning construciion a uthorize represenia�ives af iNs ary to enter upon IOe a0ove-memioneA pmpetly lo�inspe[tian purpOses. ��/ /�y� � Daie: � � �! 1 — �'I � Si9rutw, �:. �� ii CT '�X�- �. Driver's License or Saial Securiry a: 16<�-n6 Whne-Building: Green-COQe EntorcemenL Canary-ApplicanC Pink-Revenue; GdEenroE-AssBssor CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 060688 PERMIT NO; B 060686 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTZON TYPE; PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : DEMOLISH TWO ILLEGAL UNITS, REPAIR WALL SQ FT: 1,000 CLAZM VALUE: 1,000.00 CALC—VALUE: 1,500.00 GROUP OCC: R-3 / *�*�****�e�rD**�**�*�e*+Lt*+Et��r**�*�*��****D�r��**�*�**ie�r�*ir�r**�***�r**�r�r*�t�r**�r**�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 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 PARRING REQ • PROV; PARCEL: 92432102 ZNE; REF NO; PLANNING NOT'ES> , i �r*�r*�r*�r�r��r�r�r�r�t*�t***�r�r�t�r***�e+t****�e�*�e*****�t�t�r*�r*�r�t�t�t**�x****�*�r*�t+t**�r*��r�*�t+r*�** 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 20NING APPROVED BY , HUILDING APPROVED BY : DATE: _ DATE; 1 APPLICATION ISSUED BY: DATE• � L�L3 ififiFkifiFiEifM�fiflfititltifiE�fifiFMiE7FiF3�'�iF ikifiFiFlEitifk�EiE jE�f �F if �f k ik iF if iF k iF if iF k �k iE k iF iE iF if iE it 1F iF it 1E M�f M k�f �F �f if if iF if 1t �t �k IF �F k if If iE�F if iF iF if it iF kif iF k ik iF k iE �E iF iF M ik 1! ik iE ik M k iE 3E aE 1E if iF iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRICj,MECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 �� 50 PL� �, h ;� SMIP/NON—RES ISSUE FEE �—• � � BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 35.50 0.00 •�.0�00 35.50 35.50 .00 . ' REVENUE DIVISION TOTALS--> COLLECTEDi,!.% 35.50 OVER/SHORT; 00 HLD35p00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CHECK � . / .; �� kkkkikkiklFMififlkklfkMMlfkif�fkkltltifkMklFifilkklkltkk�f�Fkif�k�tiflFihiFkiFkifMlfMiFMkikiflffflFifiFkilikiflkkifitihk�Fkkk I N D I V I D U A L' F E, Ej B R E A K D O W N TYPE QTY D E S C R I P T I.O�N.'; 7' UNIT COST TOTAL COST � f� �_ � SFR 1500 ALTER BY VALUE RESIDENTIAL.- NOZONE 1,00 1,500,00 END OF; EEES� �; ..• ' f� �. � . . .. ��: i. / �' ,` � �" CONSTRUCTION ANDPLANNtNG P00� bP� ' APPROVAIS Permit y`r Date Inspector APPROVALS Permit # Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location , , 2. Soil Pipe•Undrgmd. 53. Steel Reinforcement 3..�Iectricai CondttiPUt�lity•Undrgmd. 54, Forms ' 4. Electrical Conduit•Undrgrnd. 55. Electrfcal Bonding Ei �6tee1 Reinforcement 56. Rough Plumhing & Pressure Test � ' 6. -£tecbicat UfER Grnd. 57. APPROVAL TO COVER�GUNITE 7.,footjngs 58. Electrical Conduit�Undre�rnd. ' � � � B. �f�ndado❑ � � 59. Gas Pipe, � Undrgrnd., Test • � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, � Undrgrnd. 10. Strupturel Floor System 67. APPROVAL TO DECK ' i t. Property Sewer Line & House Connection 62. Backwesh & Receptor-Pinal � �Z• SeWu CaP ` • 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electricai•Conduit 66. Soiar SYstem�Final ' 16. Rough Etectric Wiring 67. fencing & Access Approval 77. Rough 6Niring S�gn 68. APPROVED FOR PLRSTERING 18. Rough E�ectrica�-T Bar Ceiling 69. POOL/SPA SYSTEMS fINAL � 19. Fiourgh Heeting & Air Conditioniny _ , FIRE DEPT. REQUIR�MENT , . �. 20.,;Roi�h �aotory FiFeF�ace ' � ' ; �APPRC}�VA�:$_ `Perri>it #_._..�._:_ 21. Duc�s, in-5jruaure ' � _i � ; �. � -70. Undergrburtd•Hydro i 22.� Du ts, Ventilatin " r _- � ^ C 9 . . ]t. ProductfliBingOGas �Ail 23. Gas Pipe-Rough & Test K _ - • 72. Undergrou+i Fl�h�� - `� 24: �fioot Frart+�n'g' ' ` - ' � . � i3. Undergrnd. Storay�3enk �J Gas ❑ Oil 25. Rou4 Sheathing • t � ' ' 74; :pverhead Hydro - '` 26. i-BAr Ceiling IStrp�ural) & Ti14r�coat ' 1 � , 75.?D!y Chemical - . � 27. Frame and Flashiag. � r� - - • 76. Dry Standpipe � ' " �28. Lathing & S[ding; "; : t ' � �. 77. . FIXED SY.�EM"FjNAL 29. Insulation � - 78."FIRE PREV. FINAL ' ' '30. DrywallYVailit5g '' _ _ - . HElaLTHDEPT.REQUIREMENT 37. Plaster Bro�vn Coat �- , 79. FINAL INS�ECTION ,32.�,Electrical Power t�lelArFu�al � � 80. FOOD CERTIFICATE ISSUED �33. inalElectric , .- � � �Notas: '"�.,`__ / - _� � - -• _v.-c.:.l :34, fin91 Heat�ng & �rConditionitig ' ' � � ,�' �_�2'� fi'/ . . � • (/twN:.t.� 35: FinalGaSPipe�TeS[. �t--�/�1 79. �G�p(� lJ_ l7' 1- - -�-I--'- 36. }iood or Canopy ; � ' , - - 37.:Final F�ytory FirePlace ,' . ' �� '�� - /p�- [ � _� x . � .. �-! 38. Final Plumbing _ _ ' � 39. Water Se`rvice.Fin31 ' � � . 40. Gas Service-Finat " ' - � • � ' �' _ x �41. Solar pomestioFinal � _ ' , -4 . 42. Backflow Freventer . � '' • `- 43. Backflow Irrigation . . � - , . �44. Landscape Irrigation System � ' ' ' - , ' ' , n- i ' 45. -Sound Atte�uatlon` r , � ; . '� � 46.•Handicap Re9ulation5 : ' - ` 47, fINqL STRUCTURE & BUILDING 31��, 48 � fINAL PLANNING _ . � 49. Electric Re�ease to Edison ' I � ; 50:'Gas Release to Southern California Gas Cn � � � ' '-, _ 51. CERTIFICATE OF OCCUPANCY � No. Date cs �PflO�CT RDDflE55: 9 8 9 W 1 9 TH ST � � UNIT: A OWNEX'SNFME: KOGA, IWAO � aooness: KOGA FRANCES M 998 �IARTFORD WAY COSTA MESAS CA 92626 AflCH/ENGINEEP: � 7 1 4� 5 4 6— 7 O 4 3 ��- qEG.NO.:� RDDPESS: 'fJ�o.� tivc - - �rr�nci � N PEflMITTEF:�� aoosess: IWAO KOGA ( 714 ) 546-7643 998 HARTFORD WAY COSTA MESA CA,.92626 LICENSEU CONTNaCTON OECIABpT10N: I neaoy atlirm tnai I am licensed unAer D�ovisions ol Cnao�er 9(commenung wiln Section 7000� o� Dirsion 9 0l I�e Business an0 Pro�essions CoEe. an0 my licen5e is in INI Porce and efieci. urr uc.: sTare uc.: cuss: Date: Sipnawre: WOBKEBS' COMPENSRTION UECUMTION: I nereby anirm tlu� I tuve a aniliwre a1 wnsent ro selbinsure or a cenifkate ol warkers' fpmpensation Insurance. ot a cetlilieE rAOY ��ereol (SeCUOn 3800, laG. q. POLICY NO.: E%P. ORTE: COMPANY: ❑ Cenifietl copy is nereby Wrnis�ed. ❑ Cenilie0 copy i5lileE vnih t�e ciry Buil�ing Divisian. oate: Moliwm: E%EMV�IDN fPOM WONKEflS' COMPENSpTION OEClA11,1TI0N: Rlus seclion neeG noI be compneG i� Ne perml is ior one Auntlrtd (5100) a less�. I ce�ity ��ai in Ihe pedormdnte 0� I�e wOrk �or whiC� tlus Dermi� �isIjSueE. I Shail no� emplay any p¢rson m any mannef So d5 �o beCOme =_� ct lo A Workeri Compen5aiion Laws al Calitornia(.//�, // oate SiAna�ure: ro -�%N"-�� 4 NOTICE: II, after makinp �is Geclaration, you s�aultl Oecome suUject to I�e Workeri pensation D«sions ot the La�or Catle. you musi �ort�wit� comDly vnth Sut� O�ovivon5 or Ms permit 5hall De AeemeE revokeE. CONSTPUCTION LENDMG �GENCV: 1 �ere0y affirm tlut ��ere is a construction Iendin0 a0ency br ihe OeAormance ot ihe work lor whicn inis oermit is issue0 (Sectian 3W7. Civ. C�. LENOEfl: AOOflE55: OWNEB BUILDEH OECNBp710N: I �ere0y afiirm ihat 1 am e�empt fmm i�e Contractors' State License �aw for the tollowinA reason �Section 7031.5 Business anA Pmlessional Catle: pny ciry ot county wAic� repuires a permit to constmct, alter, impmve, Oemolish, or r¢pair any siructure. o�ior ta its issuance. aiso rtpuires the aOV��ant lar sucn Dermit to Iile a sipneE statement that hUsne is Iicense0 Dursuant m t�e D�ovisions ol lhe Coniracm$ Sta�e License Law (Clupter 9(commencinp wilh Sec�ion 7000) ol Oivision 3 al ��e Business ana Prolessions CoOe� ort�at he/s�e is exemD��e�elwm anG t�e Uasis brt�e allepe0 exemption. A(ry vialaiion ol Section 7031.5 Oy dny applicant lor a permit subletls �he applitant to a Crvil penaity ol not more tAan live �unGRd Edlars (5500). I. as owner ol tlle pmDeny or my em7loyees wittl waqes as Illeir sole compensation. will tla Ihe work, anA ihe ❑ slmcmre is nol imenaea ar otlerea for saie 15ec1ion 70aa. Busineu an0 Professianal CoOe: TAe Comractors' State Licensa Law aoes no� apply to an owner al a D�operty wM OuilOs or improves rtrereon, anC wM Ooes such xrork �imself/herself or t�roup� �is or her ovm employees. 0�%+4eC ihal wc� im0�%'ements art not inten0e0 or otfercA Por sate. If, �owever ihe builUinp or impmv¢mem i5 SoIA wiihm One y¢ar al compl¢Ii00. I�e owner v+ill luve lhe OurOen 01 Omvinp �e/she OiC n0t Euiltl ar improve lor ine purpose ol sale�. I, as owner of tne pmpen9, am e�tlusively comractinq v.itn IkenseE contractors to wnstmct tne o�aiec� (Section 70aa, eusiness ❑ antl Professions CaOe: 1ne Comractors Sta�e Licanm Law aoes rmi appy �o an owner ol pmperry wlio EudAs or imD��s Ihemon ana wno comracts lor suc� prqecis wii� a contranoqs) fice�ne Oursuanl to I�e Coniracmrs' SWte license Law�. I am aware Iha� Orpol o� I�Bir Warkei 5 fAmpensalqn in5ufante 5twul0 0! proviEtO IO me. (� � am e�emp� uneer Section: B P 7 Q 4 4 B. 8 P. C. �o�Im'�sreason: BY OWNER/NO WORK IN VED Dat � �=y — `?�% Qwner. I oo hereoy cently Nat I am aware ol ana u'qerslana tne requiremenis ol Caflornia Mealih an0 Safery CoAe Sectbns 2 O5. 25533, anU 255� an0 t�ai I or any IUN�e EuilCinq acupant wilUwill not (drde one) nee0 ta compty vrit� saiU state wOes anG the requiremenis lar a pe�mii to� con5lmciion or m00Aitdli0n irom ��e Nr Ouati�y Mdiupemeni UsttiCt. fleAEentidl fAnslmciion appliWiions are exemp� iram Inese o�ovisions. II Dale: Appli[anl: � I hereCy cerliiy I�al I have rea4lN5 appliWliOn an0 S�atE �lul l�e a0ove InlarmaGon i5 correp. I agrte Io ComD�Y ��h all tily antl counry or0inances antl slafe laws relating t0 Euitaing constmpion an0 �ereW�honze re0�esematives a�ry lo enter upon the aEove-men�ione0 pmoenY �or inspemion ourposes. ^ J Date: - y- �� Signamm: � f� (}�,- 1\ Drivei's License or Socia� Securiiy u: �� \ t6at�a6 Wbite—Boilaing: Green—CoOe Enbrcemem; Canary—ApplicanC Pink—Revenue; GolEenroC—Asseswr __ CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 066679 PLAN CHECK NO; N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE JOB DESCRIPTION : INSTALL NEW ELECTRICAL SERVICE (METER) CLAIM VALUE: CALC-VALUE: PERM NO; E 06667 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: NO 'B' PERMIT INVOLVED / TO ALLOW INSP. SO EDISON WILL SET METER x�rx��x�x��*�**�r�t�x��rx��txft�t�r�t�r+rx�r�rx�x�x�x�x�**�rx�r�r�t�t�t�r+r�rr*x�xx��r*�r�tx�r�rxx��r�+rir�*�x�r�r*�rx��x�** 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: ET IN FANT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL: 42432102 ZNE: REF NO: PLANNING NOTES> > *�r�t*��r*��tx�t�t+t+t*x�*�r�t+t�x�x�+t��r+t+t�r+tx��r�x�x�t*xx�*x*�r��r��t�t�r�r*�r�r�r**�t+r�txxx***�tx*�r��**+�+t�** D E V E L O P M E N T S, E A V I C E S R E Q U I R E M E N T S ZONING APPROVED BY . BUILDING APPROVED BY : 0 APPLICATION ISSUED BY: /�JC�� 1��.J- /F�� iFiEiFifiFiFikiEihlFiE kiFiEiFIFIFif1E1f1F1EiFiFiF1� �F7F iEiF'i 1EIfiFkiFlFlkiFiEiEMlEiEiFiFlElf1f1f1t�ifikiflflFiflElFiEiFiFiEiFiFiEiFiFif7tif1E7f1E!!i!{ 1l1k7f LEGALIZATION;N F E E S U M M A R Y DATE: DATE: DATE iF it iE 1f if 1F fF 1f iE 1f 1F iElF if iE iE iF iF �k fF STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT }18:50 SOS SMIP/NON-RES PLAN ' ISSUE FEE . 1S."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 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 33,50 1f 1f 1E iF 1E 1E ik 7E 1F 1E 1E 1f !f 1F if if 1E 1E it 1k 1E it 1E 1E 1f 1E 1f 1E 1E ff iF k 1E 1f iE 1E iE.iFlE 1f !E k iE it 1k 1f if if 1E 1t if M it 1f if if 1t i! if 1f i! 1f If 1F 1f it fF �t it ff it ft iF iE 1f k 1f if iF I N D I V I D U A L'-, F E E B R E A K D O W N �• r 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 `✓ 01 OO1SE391-OO15E391 T O T 33.50 DATE: 04/Og/94 TIHE: 15:46 ,� CONSTRUCTION AND PLANNING POO. _ SPA ` �� `' qPPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. 7emporary Electrical Service or Pole 52. Pool & Equipment Location � 2, 5oil Pipe�Undrgmd. 53. Steel Reinforcement , 3:'�t2cjrical.Contlg,it,UHlity-Undrgrnd. 54. Forms � � 4. �lectrical �odduittlp,drgrnd. 55. Electrical Bonding - .'5!-$teel.ReirtforCemeqt�; 56. Rough Plumbing & Pressure 7est-' ' �6.•:EJgctricaE �JF R G`md. 57. APPROVAL TO COVER�GUP[t'C� �_7.iF.o38ngs �. ' � 58. Eloctricai Conduit•Undrgmd. =� i- ��$,.pp�ndatloa� � 59. Gas Pipe, IJ Undrgrnd., Test ._ 9. Warer Pipe�UndrgrAd. 60. Backwash Lmes, P�Trap. � Undrgrnd. 10. Structural f'.ioor Svstem 61. APPROVAL TO DECK 11. Property,-Sewer Line & HouseConnection 62. Backwash & Receptor�Final - ..r 12. SeweP Cap''- 63. Heater & Vent-Final ' • � 13. Roof Drains i, . 64. Plumbing System � Final '� 74. RPugh P�umbinq� "- 65. Electrical�Fina� � 15. Rough ElActricaCConduit 66. Solar SYstem-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval �n �t7. Rough Wiring Sign 68. APPROVED FOR PIASTERING 78. Rough ElectricaP-T Bar Ceilin9 69. POOUSPA SYSTEMS FINAL 19. ROugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , •`? . _, APPROVAIS. ��:Ferrnit # J' � rt ^^x r' ;'fiti 2L'Ducis,in_Stru t�r�•� ^ ' � , ' J . �-.y`, 'T. .- �. � .. H _ � i .. .. �-.S . � `]0. Urider9�ey+7d-,HYctro 22.�Ducts, Ventilating � ^= ' a�: �1. Product�PiPing 17'G#is OOi1 23. Gas �Pjpe Rough &'Test � n '� ;, ; � , � ,, �,- r. �� 2. Undergrtiun�t FIq3{tj ,'��4._ROoj,Fr�ming� � .> ' � � . � - � =73.'Undergmd;Storafe;i;ank �Gas �Otfi Z;�. Root Sheathing � �, r ' ' 74. � Overhead Hydro � 26. 7-Bar,Ceiling (Structural) & [yo�oeoat �n , -n � 75.�Dry Chemical + _ � 27. Frame and Plashing � = -� � � � '�y.: ; �. : 76.'Dry StandP�P¢ • � ' � �i -- <,. �. ,7 �: . � ---�r�- . . .�. - 28. ��Lething & Siding �..h ; _ ��> >; _ � ,_ �• ,•. � 77, �FIXED SY�S'LEM';FINAL� ' � 39. Insulatiqn - ".:.. � • `. � I �. . 78.-fIRE PREV FINp{� � - �30. DrYwall Nailing �_ �' �� I • - HEALTH�BEPT.REQUIREMENT •31. PlBster BrAwn.Coat ` .. � � � . 79. FINAL IN3P`ECTIO(71" - � ! 32. Electrical,-Po� er N�eter�rinal ' $0. FOOD CEh`f�IPICATE�iSSUED . 33. ,Kin�_Electric ' ' � � �" '��` ��v�� _�,' ' �NotE�:�- � . . . � - . , . , � � A a �9Y_' Cr� '�lf4f,-d�a ,,�,-�i 34. F.inal Heating & Ata Eond'ytioning � . '� ` r- � ', / J " �� : - _ � PiI��T%%�JIi_/% � � 35. final Gas'Pipe=Test��' ' `` � = ' � � -• ' =% I - �: c : n' 36.'HOod;or CanoPY � � �y � - � � -�t ' [�`. ^ • � � +-� �, �. 37. �Einai�Factory fireplace� S" "� r"� � E: :- . r�"� �Y . . .� _ ^ - � . , r . , - 38. Fir�a�:Plum6ing - . "'� •.•. �� ' _ � 39. Water.Ser�ice�Final• . � , • _ > � . . - s 40. Gas Service-Final ' "' ` � ! , _ , ' � � '- AJ. Solar pomesticFinaF .: ^ - � � � � - - � ' - 42. Backflow Prevente{�r �� ;; , J ' I ii . ' , _ ; 43. Backflow Ifl19BtIOR' T��_ � - . '�� F- - i 4,4. Landscape Irrigati'�Un.Sysrem �' - . � � � . �• �..�,. . g5. Sound Attenuation + -.� r . •. . . , - - .. � 46. Handicap,Regulatior(} � '�' �� . �_ � , . _ -_ 47. F�INAI STRUCTURE & 6UILDING • , � � '� � - 46. EINAL PLANNING' ��,=. �. � �- ; . 49. Electric Release to Edison �� :- -�t " -+ i � � 50. Gas Release to Southem Califomia Gas Co � - .� • 51. CERT.IFICATE OF OCCUPANCY' . _ . ' No. Date PPQIECT FOOHESS: � UNIT: owx�n s name: KOGA9 IWAOTH ST ' B �- aooaess: KOGA, FRANCES M 998 HARTFORD WAY COSTA MESA CA 92626 AXCM/ENGINEEH: � 7 I 4) S 4 6— 7� q 3 pEG.NO.: noosess: HADI M.TABATABAEE S ASSO. 29uriirl 15935 AVENIDA SAN MIGUEL PEHMITTEE: LA MIRADA CA 90638 nooxess: IWAO KOGA ( 714 ) 546-7643 (�9G'9j']8� HMARTFORD WAY (�j� q9 9�, LICENSEO CONTNACT P OEL'LAPA710fl:��sere�by allirm Iha� I am licensed untleiQr6vi5iGnSo�M1epter 9(commencing with Sec�ion 7W0� ol �ivision 3 0l t�e Business anE Prolessions Cotle. ana my license i5 in full lorce anG eflec�. CITY LIC.: SiRTE UC.: CIA55: Dale Signalure: WOBNEPS' COMPENSA710N OFCNflA710N: I �ere�y affirm t�at I have a cenilicate of consent ta selbinsure or a cenifiWte ol Worker5' Compensation Insurance. or a cendied coDY �nereot (5ection 3800. laG. CI. POLILY N�.: E%P. OATE: LOMPANY: ❑ Certilied coDY is hereGy fumishetl. ❑ Cetlified coOY �s IileA wi�� Ihe ciry Building Oivision. �ate: pODlicanL EEEMVTION FBOM WOPRENS' COMPENSIITION OECNMTION: QN5 seclian neeU nol 0e completetl i� tAe perm� is for one AuntlreG �5700) or kss�. I cerlily Itu� in the peAarman[e ol Ne work IOr w�ic� Ihis pe�mit i555��sss��uuueeeppp. I shall no� employ any person in airy mann¢r So as lo become SUUI � `Narkers' Compensation�ws ol Cali�omia. / i� Q I C �(: � '-' SignaWre: � [�� OTItE: If. atter making ��is CeGaration. you s�oula eco e sub�ect to t�e Workers' mpensa�uu�pmhsions oi lhe LaGor CoOe. you must forthwit� compty wii� suc� pmvisions ar �his permit s0all he deemeG rewkea. CONSTBUCTION IENDING ACENCY: I here6y allirm inat inere is a constmction lenainp aAency for ine pedormance ol ihe work for which Inis permil i5 issued (Section 3W7, Civ. C�. LEN�EP: RODPE55: OWNEfl BWLUEB OECIAflRTION: 1 hereEy affirm Ihal I am exempt �mm I�e Cantraclors' Sia�e License law br I�e lollawinp reason (Seciion 7031.5 Business anE Pmtessional CoOe: Any ciiy ol counry whic� requires a permit m wnslmci. after, improve, Gemolistl. or repaii any stmcture, prior Io iis issuance. also repuires the applicant lor such permii Io Iiie a Slgne4 s�a�ement IAaI �e/she is licensetl pursuanuo �he Omvisians al ine Coniractars' Sta�e License Law (Chapter 9 �commencing wittl Sec�ion 7000) of �ivision 3 0� the Business and Proles9ons COAe� or I�a� he/s�e is e�empi therelrom an0 tne basis �or I�e alleAetl e�empiian. Any violation ul Setlion 7031.5 by any aOD�ican� �or a permit 5u01ects t�e apD�kanl �o a civil Denalty of noi more �han live �unGrea dollars (5500�. I, as owner of Ihe pmperly oi my employees wit� wages as I�eir sole compen5aiion, will tlo �he work, and the ❑ slmc�ure is noi inientlee or oilered �or sale (Seclion 7044, Business an0 Pmfessional Cotle: The Cantractors' S�a�e License Law aoes not apDly lo an owner ot a pmoeny who ouitUs or improves tnereon, anA who tloes such work himsell/tlerself or Ihrougn �is o� �er own emDloyees. pmvi4eC Ihat such imOmvemen�s are nol ini¢nde0 or oifered lor sale. I�, however the Oviltling or impmvement is sold wi�hin one yeai ol comple�ioq Ihe owner wiil have t�e buraen ol proving he/she tlid not bui10 or improve for �he purpose ol sale�. I. as owner ol ��e pmperiy. am eK[lusively con�racting wi�� licensetl caniracmrs to mnsimc� Ihe O�oiac� (,Seclion 7U44. Business ❑ ana Pm�essions CoOe: IDe ConUac�ors' Siate License Law Ooes no� apply Io an owner o� pmpeM `^'� �mlQt a� imD�aveS i�¢reon and who conVatis for SUC� pmle��s wilh a[oniraCroqs) litense OurSuani �o Ihe Conlractors' State LiCenSe Law�. I am aware t�at O�oot ol ineir Worker's Compensation insurance shoul0 be pmvidea to me. �7 I am ezempt unAer Seciion: B. 8 P. C. %� m� tnis reawn: H P 7 0 4 4 de �,,$ OWNER/NO WORK �LVED� ��. � �� Ownec 9� I a ei¢Gy [eNly Iha� I am aware ol an0 untlerStanG I�e requiremen�s o� Calilomia Heal�h anG Sa�eiy COAe Seciions 5505, 25533, antl 594 and I�al I or any fuWre buil0ing occuDanl wilVwill no� (circle one) nee0lo comply wilh 5ai0 Slate cotles antl ihe repuiremenis lor a permit lor consimclion or motlilicaiion Imm Ihe Air Oualiiy Managemen� Disiricl. ReSiUen�ial cons�mc�ion apPlicalions are ecempl Irom ,, Ihese pmvisions. Dale: Applicanl: I here�y cer�ilytha� I have read Ihis application and slateihat �he aboveiniormation is correcL I agree�o comply wi�h all ci�y antl coun�y ortlinances anA slatelawsrelatingto builtlinp constmction antl �ereby aulhorrze re0�esentative5 oi��is ciiylo enteru0ont�eabove�menlione0 pr �orinsp¢tlion purD�ses. ale — SignaWre: �-Q �� verS �icense or $ocial Seari�y a� � 16<t�d6 Wb�te—Bvilaing', Green—CoOo Enbrcement; Canary—Applicant: Pink—Rovonue; Goltlenrotl—Assassor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: E 067160 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE JOB DESCRIPTION CLAIM VALUE: : GROUND WIRE 6 COLD WATER GAOOND CALC—VALUE: PERM NO: E 06716 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: ONLY AS DESCRIBED ABOVE 1E !! 1E 3f 1E fE iE fE 1f �E 1E if 9f iE 1E iF iF iE 1f �f IE aE if if iE iE if it if if iF iE if iE if iE 1E if 1E 1E iE iE iE jf 9ElE �f iE 3E iE if if 3E 1E �E K 1E iE if * if 9F IE 4 if iE �1F if aF �F iE IE �E K iE if iF if iF Z O N I N GS ERTEB4AUCIKRSE M E N T 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: 42432103 ZNE; P.EF NO: PLANNING NOTES> � I ��,��*��***��,«*,�*«�*�*��*��*�*�*��*�*�**��*«.**��,�� ,�**�**�;�*�*�� D E V E L O P M E N T S E�.R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY �.. DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: - � DATE: � `�- ifjEitiEfEfE�FiElfffiFiE1E1ElE1EiEiEiEiE1liE iE1EiEfffFfFlEiEifiE ikif ik iF if iF 1E it 1! 1f 1h 1E if 1f !f if 1F itlf ff 1E !k iE 1ElE 1E iE if iE if iE 1f iE jE 1E if 1E 9E iF if iE iE if ik iE iE 1E 3f if if iE iE if iE if 1E if if if if iE iE iE if fF if iE !E iE if aE 1f 1E ik �E jE 9ElE jE iF i! LEGALIZATION:N F E E S U M M A R Y STROCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 18.50 5�� PLAN ZSSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 18.50 I5,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECHANIC 33.50 TOTAL 33.50 SMIP/NON—RES PAID DUE 33.50 .00 33,50 OVER/SHORT: .00 FZRE SMIP/TOT GRADING PLAN—CHECK k iE iE it iklE if if if iE if 1f iE i6 jk iE iF 1f IE 1f fE if iE iE iklf iE 1E if fE iE iE iE 1E if iF iP iE 7E iE k 1F iE iE jE 1k �t if 1E iElE i! 1f k if 1E iE iE 1E 1! 1f iE iF fE 1f iElE if fP iE if 1E if if iE aE iE iE 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 ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP END OF FEES 18.50 18.50 �i 0016�492—OO16U492 T OT 33.50 QATE: O5/13/94 TI19E: 14:26 ?`ONSTRUCTION AND PLANNING `APPROVALS Permit -r . t. Temporary Electrical $ervice or Pole 2. Sod Pipe•Undrgrnd. 3. EiecVical Conduit UtOitY-Undrgrnd. 4. Electrical Condud�Undrgmd. 5. Steel Reinforcement 6� ciectrical UFER G�n.i 7. Fooungs 8. Foundation 9. 4'Vater Pipe-Undrgrnd. 10. Structurai Ffoor System 17. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Ora�ns 14. Rough Piumbing 75. Rough Electrical-Cor.dwt 16. Rough Electric 4lhrin� 17. Rough Wiring Sign 18. Rough Elecirical�T Ba• CeiGng 79. Rough Heating & A�r Condit�oning 20, ftough Factory Fi�eplace 21. DuCtt, in Structure 22. Ducts, Ventf�ating 23. Gas Pipe�Rough & Tes� 24. Roof Framing 25. Roof Sheathing 26. T�Bar Cedmg (Strunurall & ilAorocoat 27. Frame and Flashi�g 28. Wthing & Siding 29. Insulation 3�. Drywall Nailing 37. Plaster 6ro�vn Coat 32. EleCtric2l Power M¢ter�Final 33. Pinai Electric 34. Final Heating di Air CondiTioning 35. Final Gas PiFa�Tes2 36. Hood or Canopy _ 37. Final Factory Firepiace 3B. Final Plumbing 39. Water Service�Final 40. Gas Serv�ce�Fnal 41. Solar pomestic•Fina� 42. Backflov� Preventer 43. 8ackflow lrngation 44. Landscape Irripatio� Systerr. 45. Sound Attenuation 46. Handicap Regu�ations 47, f-,i�AL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Releasa to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Ddte i �4nspector � . POOt �PA - .,,, . � Date Ipspecmr � APPROVALS Permit -,� � i 52. Pool � Equlpment LocaQon � � 53. Steel Reinforcement .. , 54. Forms ' � 55. E!ectrical8ordmg � ' 56. Rough Plumb�ng & Pressure Test 57. APPROVAL TO COVER�GUN�TE 1 58. EloctricalC;7ndu�T�Und�grnq. . � - -� 59. Gas Pipe, O Undrgrnd., Tcst � 60. Backwash Lines, P-Trap. 17 Undromd. � 61. APPROVAL TO DECK � 1 , � 62. Back�.vash 2L Recepm��Final ' � � 63. Heater & Vent-Finai i "' � -i 64. Plumbirg System � F��ai ' 65, Etectrical�Final 6&. Solar System-Fina! ' 67. Fencing & Access ApP�uval • � 68. APPROVED FOR PLASTERING I � 69. POOVSPA SVSTE7,:S FINAL FIRE DEPT. REQUIREMENT � APPROVALS Permit a i0. Underground Hydro I , 71. Product P1pmg �] Gas � Od � 72. Underground Flush � _ a 73. Undergmd.Smrage'ank �Gas �G�' 74. Oveihead Nydro - - - 75. Dry Chem�cai �. � 76. Dry Star.dpine 77. FIXED SYSTEM FINAL 78. FIREPREV.FI�AL . 1 HEALTH OEPT. REQUIREP+1Cy�T 79. FINAL INSPECTIO��: � 80. FOOD CERTIFICATE ISSUED j � , iUot�ts: `+ �� r=— PPOJECT.800flE55: (� 8(j W 19 TH ST pWNEfl'$ NAME: KOGA, IWAO aooeess: KOGA, FRANCES M 998 HARTFORD WAY COSTA MESA,CA ANCMIENGINEEH: A�OXESS: UNIT: 92626 flEG.NO.: uxit: PEpminEE` P.J.E, CONSTRUCTION (714)229-8339 aooRess: 10562 BERNICE CIRCLE CYPRESS CA..90f�30 LICENSED CONTXRLTOB OECLABATION: I 11ereGy a��irm llWl I am li[en5e0 unCer prov5ion5 0� �aptei 9(commencing wil� Section 7q10� ol Oivision J ol I�e Business an0 Prol¢ssi0ns COCe. an0 my liCense rs in iNl torR G eH I. ciTr uc.:� �� (� sTnte uc.: 5 9 3 4 4° ` H Date: _�_I_..(�l � Signature: _ _ . _ _ _ WONKEflS' COMPENSRTION OECIAflATION: 1 �er¢Gy a��ifm ItWI I tWv2 a e ilicate ol consent m selbinsure or a certilicate oi Workers' Compen5ation Insurance. ar a ceNlieO capy t�ereo� (SE[Ibn 3800. LaO. POLILY NO.: EXP. ORTE: LOMPANY: ❑ Cerlihe0 coDY i5 hereCy Iumi50e0. ❑ CenifieA copy is fileE wit� the city BuilGinA OiWsion. Oa�e: Md�� EXEMPf10N iHOM WONKEXS' COMPENSR710N OEpAMTION: (ilrs s¢cfion neN roI 0 mmpl¢te0 il e perml5 ta are IwMreE �5100) m k5S). I cetliiy Itul in the peAotmanC¢ ol I�e wOrk Iot wNtO tlus Der - 5 iSw¢0. I all Yd�npl0y a y DQ on in any manner io as �o become subiect t t e v/otkers' mDensatian law5 0l Cdlifomia. Date: � Signature: — NO ICE: il, alte� making t�is Aeclaration. you shoNU ecome suEject lo tre Worken ComDensation provisions of t�e �abor Cotl¢, y0u mu5i IortlwilA comDN v^�� 5ut� O��v�s Or tlti5 permi s u ee aeemea revatea. CONSTNUCTION LENOING RGENCV: 1 hete0y atlirm Iiidl inere is a Wnst uction IenEinp apenty for ine oetlormance of the work for wnich ihis oermii is issueU ISection 3W7, Civ. C1. LENDEN: AOOHESS: OWNEB BI11WEfl OECLABRTION: I �ereDy ailirm Ihdi I am eMtmpl imm I�e fAnirat(OrS' State Lkense Law lor tAe I011ovnnA reason (Seclion 70.31.5 Business an0 Prohssional Code: Any ary ol tAunly w�ic� r¢Quires a petmi� lo conSlmcl, ailer, impmve. Demolish, or repair any simcmre, prior to its issuance, a1w reQuires ine apo��am tor such permil io lile a si0netl statement tnai he/sAe is licensetl pursuani to Ihe provisions ol l�e Contractors' Sta�e License Law (Chapter 9 �commencinq wit� Section 7000) ol �ivivon 3 al ihe Business ana Pmlessions Co0e) annat ne/sne is exempt thcreimm anU ine basis lo� �ne alleOeA eKempiion. Any violalion oi Seciion 7031.5 by any applicani tof a permii SUEletiS I�e aDPliani l0 a tivil p¢naliy 01 n01 more Itwn live �unEreE dollafs (5500�. I, as owner ol ihe D�openy or my em loyees wilh wapes as ineir Sole compensalion. will Oo ihe work, and Ihe ❑ svucmre is no1 imentlea or olkreE lor sale I�uon 70ad. 8uvnes5 anG Pmfeuionat CoUe: TAe Conlractors' State License Law aoes not apply to an owner ol a pmpeny who OuilOs or imOroves Inereon, ana who does suCh work himselllhersell or Ihrougn his or ner own employees, pwviGea tAat suc� impmvemenls are not intenEeG or ollere0 lor sale. II, �owever tAe builtlinp or impmvement is sold vnt�in ane year of com0�e�ion, I�e Owner will �ave t�e Ouraen al pmvinp �e/s�e GiE nol builtl or improve ' tor ine puroosa of salel. I.as ownerollhe O�oDeriy,am e*clusively conlractin8 wil�Iicensetl caniraclorslo conSVucl�he pmlecl�Section 7044, Business ', ❑ ana Pmlessions CoGe: The Cantracmri Slale License Law tices not appN �o an owner ol DmDerty w�o Guilas onmproves ihereon � an0 who contracis br 5uc� pmjec�s wii� a wnVaclm�s) license Dur5uan110 th¢ Coniraclors' Slale License law�. I am aware Ihal pmol ol I�eir Worker's Compensalion insurance S�ouIC �e pmvi0e0 to me. � I am exem0� under Sec�ion: B. 8 P. C. lor Ibis reason: �aie: Owne[ I tlo hereGy certity t�at I am aware ol an0 un0ersiand I�e repuiremems of Cahbmia Healih anE Salety Catle Sections 25505, 25533, antl 25534 ana Ihat lor anyluture �uilding acuDanlvnll/wilinot�circle one) neeG lo compry with SaiU stale co0es andt�e repuiremenisfor a pe�mit b� consimction ot modilication Itom Ihe Air Oualily ManaBement Oisirict. Ne4Cential fAnsimction apDlicalions are eaempl Imm Ihese pmvisions. Oale: AOPlican�: I hereby ceridy I�at I have rea01�i5 ap0licaibn an0 Staie llul l�e aGme informatian a correfl. I apr¢e to cOmply wit� all ciry anG coun�y o�4inancesantlslalelavrsreWlingloOuilOmqwnstmciiona ere0yauttqri prfsentaliv oll�acily�oeneru0ontheabove�memionetl pmDeny for inspeciion ourposes. f 1-a � -�3 �'' Date: r Signa�ur OnveYs License ar $ocial Securny <: �� t6<L46 W�ne—BwlOing: Grean—CoOe Enlorcemenl: Canary—Applita^I: Pink—Revonue: GOltlenro0—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 06503`_ PERMIT NO: B 065035 PLAN CHECK NO: 04242-93 L GOVT; N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : MZNOR ALT'S E REPAIR TO EXIST STOR. SHED SQ FT: 2,800 CLAIM VALUE: 2,800.00 CALC—VALUE: 2,800,00 GROUP OCC: M-1 / COMMENTS: REPAIR STORAGE SHED CORNER 6 PROVIDE GARAGE TYPE DOOR ****x�r�r**irx+�+r�r��r�r*�e�r�rx+e�r�r�r�r�r****+r**ir**+tititxit��*ie+rir*�r�x**+�+��r+�+r****+r*� *�***+�+�+r��#* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSOAY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; 60 F'T IN REAR: 10 FT IIJ LEFT: FT IN RGHT: FT IN LEFT: 21 FT IN RGHT: 17 FT IN PARKING REQ: 2 PROV: 2 PARCEL: 9243210Z ZNE: R2 REF NO:. PLANNING NOTES> CONC�ERT ILLEGAL UNIT TO A STORAGE AREA (20X25'—SOOSF)-` WITH > 1 OVEAHEAD DOOR 6 1 MANDOOR. LUR RECORDED THIS BLDG. P �*��r**�***�*****�r*��+�+r*�-*+r*�-�-ie*******�r*�r****x-**+�+t+t�s***��***+�******�*****�c*-��c*** D E V E L O P Ni E N T�'. S E R LT I C E S R E Q U I R E M E N"T S ZONING APPROVED BY �., �� • DATE: �_� 2Z_�43 BUILDING APPROVED BY �;_C��—� �H�"� �5 �Y�( DATE: _U�'2-3l�j APPLICATION ISSUEDiBY f;'� ��i�� DATE: if��i3 iEiE�RifiE�fjEiEif�EifiEM�f9EiEjtit"1EiEiE�e sf it iF CfL^��F�iFafi4aFjRffiE�4ifK�`it��F�ZiFif�4 iF iE if i4 if it iE if ik iF if �E if �f iE aE aE if iE i! iE 1E i! iF 1E �f iE iF iE iF ic ik jF if i(� if iE it if iE iE iF iF if 9f ic �F if 1F i: �E 1f jF af if if 1E if it if i� 3f it {f aF jF M iF if if if iE iE �f #' iF if * iE LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING PERMIT 54.00 ,50 SMIP/NON—RES PLAN 35.10 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 54.50 0.00 35.10 89.60 89,60 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .50 iP fElE it if iP iF if 1E if iF 3f k if ff 1E iE 9E iF fE if iE ff !E 1f if if j! N� 1E i! K if 1E if !f V if if if if 1f ik if i! 1F if 1f if iE 3f if M if M if !F iE if iF?F if iF?E �Flf if if iF iE if if if if if i� iE iE If I N D I V I D U A L F E E B K 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 2800 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 2,800.00 END OF FEES o� ooisiso�-aa�s,zes Tn�- va.-� DATE� ;iJ24/90 TIflE: 1;:18 E ,� CONSTRUGTION AND PLANNING +I � APPROVALS Permit � I Date Inspector 7, Temporary E�ectncal Service or Pole 2. Soi� Pipe-Undrgrnd. 3. Electrical Conduit Utility•Undrgrnd. 4. Electrical CondwbUn�rgmd. 5. Stee� qeinfo•c�ment 6. Elec[riwl UFER Gmd. 7. Foot�ngs 8, Fountlation � 9. N�ater P�pe-Ur.drgrnd, �', 10. $tructural Fbor $ystem � - 11. PropertV Sewer Line & 12. Sewe� CaP 13. Roof Dra�ns 14. flougfi Plumbing 15. Rough Electriwl-Conduit � i6. Rough Electric��iring 77. Rough �qirir.g Sign 18. Rough Electricai�T Bar Ceiling 19. Rough Heating & Air Condit+oning 20. Rough Factory Firepiace 21. Ducts, in Struaure 22. Ducts, VBntilating 23. Gas Pipe�Rough & Test 24. Roof Framir.g 25. Roai Sheathing 26. T-Bar Ceiling (Structurall & Monocoat 27. Freme and Flashing 28. Wth,ny & Sid ng 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Elettrical Pav.'er ,".',eter-Fi�af 33. Final Electnc 34. Final He3ting & Air Contlrtioning 35. Final Gas P�Pe•Test 36. Hood or Canopy 37. Final Factory Firepiace 38. Final Plumbing 39. Water Service�Final 40. Gas Serv�ce-F�nal 41. So�ar pomescfo-Final 42. Backflow Preventer 43. Backilow irngation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. FINALPLANNING 49. Electric Fielease to Edison 50. Gas Release to Southern California Gas 51. CERTIPICATE OF OCCUPANCY Date POO. _ SPA APPROVALS Permit # 52. Pool & Equipment Locat�on 53. Steel Reinforcement 54. Porms i 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAI.TOCOVER�GUNiTE 58. Electrical Conduit�Undrgrnd. 59. Gas P�pe, O Undrgrnd., Test � 60. Backwash Lines, P�Trap, i7 Undrg�rd.' 6l. AP4ROVALTODECK � 62. Backv�ash & Receptor�Final 63. Heater & Vent-Final 64. Plumbing System • Finai 65. Electrical�Final 66. Solar System•Final � 67. Fencing & Access Approval 68. APPROVED FOR P�ASTERING 69. POOUSPASYSTEMSFINAL FIRE DEPT. REQUTAEMENT APPROVAIS Permit � � i0. Underground Hydro 71. ProductPipinc�QGas �70i1 72. Underground Flush 73. Undergmd. S[orage Tank O Gas ❑ Q�I 74. Overhead Hydro 75. Dry Chemical ib. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION I 80. F�00 CERTIFICATE ISSUED , Notes: Date �Inspector r� I 'Pfl0.1ECT�[[IOXESS: Cja(� W 19TH ST OWNEfl'SNAME: KOGA, IWAO ' aooRcss: KOGA FRANCES M 998 {iARTFORD WAY COSTA MESA,CA ppCN1ENGMEEB: AODHESS: UNIT: 92626 flEG.NO.: UNIT: °E"miTTEE: p.J.E. CONSTRUCTION (719)229-8339 aooacss: 10562 HERNICE CIRCLE CYPRESS CA 90630 IICENSED CONTBACTOP OECNNATION: I here0y afh�m I�ai I am Iicen5e0 un0er orm�6�on5 oi CIwO�er 9(commencinp wilh Sec�ion 701q1 0l Division 3 ot ��e Business anG Pmlessions Cotle. an y license is in �u0 lorce a tl¢cl. CITY LIC.: ).� QSTATE LIC.: S(j 3 q 4 � j Oate: �\ _ ^-� � `� S�gnaiure: _ . WONREflS' COMPENSRTION DECIANATION: I Aer¢Dy athrm l�ai I �ave a teriih a oi cansent ta seli-insure or a cenilicate ai Workers' Compensation Insurance, or a cerldieE covY ��ereol (Sectian 3800. La�. CI. POLICY NO.: E%P. ORTE: COMPPNY: �❑ Cerlilietl copy is hereDy furnished. ❑ CenifieG copy is liletl wi�h Ihe ci�y BuilainA Oivision. Daie: Appli[ant: E%EMPTION FPOM WOflNEflS' COMPENSFTION UECUPI�TION: (Pnt se�tion ne m De mmplete0 i Vre perml is for ane huMreG �5100) or less�. I cenily ��at in I�e pedormance ol t�e work lor whic� t�¢ per ' is issueG, I s nc ploy persan in any manner So az �o become subiect io �h�e W�o�rkers�' (C`omoensa�ion Laws al Califomia. Date: \\�� $ignamrt: NOTILE:II, alier making Ihis Declaraiion, you Shou10 6ecome SUGIeci lo � e rkers' ComOensation provisions ol the Laeor Coae. you must lonmvitn comoN �+�� sucn provisions or tNs permit snal eemed rewke0. CONSTPUCTION LENOING �GENLY: 1 heteby affirm ttWt Ihere 6 a wn5iruttian lentlinp agency far Ne peAormance of Ihe work lor wnicn iNs oermiiis rssued ISection 3097, Civ. q. LEN�Efl: ROOflE55: OWNEP BWLOEP OECIAMTION: I �ere�y atlirm tlwi I am eaem0� �mm t�e Convactors State Lkense Law lar the lollowinp reason �Sectwn 703t.5 Business an0 Prolessional Cotle: My ciiy ol wunry w�ich reQuires a permii io consiruct, aller, im0�ove, AemolisR or �eoair any slmcture, orio� to its issuance, alia repuires Ine apo��E�t for sucn permil to lile a sipnea statement inal hUshe is IicenseU oursuani to �ne provisions ol tne Comractws' Siate Licenu Law (Ctupter 9(comrtrenurig witA Section 7000) ol Divisian 7 al ��e Business and Pmlesvons Coee) or �nat nelsne is exemp� tnerelmm ana ine Oasis for ine alle0� eRemO��on. Any viola�ian ot Semion 7031.5 by any appbcani loi a Oermil 5u01etl5 ille aOVlicanl to a civil p¢nalty at mt mOr¢ Ihan live Ilundre0 Uollars (5500). I. as awner al Ihe pmpeny or my employees witn wages-as ineir sole compensation, will Ao Ine work, ane Ine ❑ stmcture is noi intenOeE oi alhreE lor saie (Sectwn 70aa. Bus'vieu an0 Prafessional COAe: 7he Contractors' State License Law tloe5 nal apply to an owner o� a O�oPe�y w�o Ouilas or improvei thereon, an0 w�o d0e5 5uc0 work �imsell/hersell or IhmuOh �is or �er own employees, proviGeO ihat sucll imprwemenis are no� inren0e0 or ollereG for ule. II, however t�e Euildinq ar imomvement is solA mlhin one year al wmpletion. I�e Owner will IWve Ihe �ur0en ol provin0 he/she tliA no� OuiIG or imOmve . mnne ourpose ol salel. I, as owner ol I�e pm0en , am excWsively conirac�inp wit� licensetl conVactor5 io con5imd Ihe piojec� �Saclion 7044, Businass ❑ anG Vmlessions COCe: TKe Cantractars State Liceme Law Goes not apply la an owner ol D�opetly wlio builEs or improves �hereon antl who conVatls lor sucn o�oiecls witn a coNracto�Isllicense pursuanl Io Ine Contraclors' Slate License Law�.l am aware I�ai pm01 ot �A¢ir Worker'S Compensa�ion insurante S�oUld b¢ pmn0e0 Io me. � I am exnmpl under Sac�ion: B, 8 P. t. lor IAis reason: oale'. Ownec I tlo �ereby ceniry Inal 1 am aware ol and untlerstantl 1�¢ repuirements ol Califomia Heal�h anC Salery CaOe Sec�ions 25505, 25533. an0 2553<an01na11 or any INure Ouilaing occupanl wilV_il nol (citde one) nee0lo campty wil� 5di0 state wEes and t�e iepuirements lor a permit loi consimction or mo0il¢alion from ine Art Ouality Maiugemeni �i5tricl, ftevaentui fAnsimctbn apDlitdtion5 are evemD� Imm IheSe piovision5. oa�e: �1CP�itan�: I hCfeGy Rpily Oldi I tWv! l¢d0111i5 ap0��b� dM S�ai! IIIdi lll¢ a0W¢ iptOfmdliOn 4 WffC[I. or0indnct5 antl siale IdwS relatNg lo OutlOing wn5imcti0n Oy autMrize r r iiv¢5 al pmpetlV �a� �nspeclion 1pu]rposei. oa�e:�� —`� Sigiuwre: I �mer s �icense or Socui Security .: � all [iry ana c0unty eahove�mentioned t6a1-a6 Wni�e—Bwltling: Green—Coae Enlorcement: Ganary—AppliranC Pink—Revenue: GOWenroC—Pssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06503E PERMIT NO: E 065036 PLAN CFIECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PORPOSE: OTH JOB DESCRIPTION : MINOA ALT'S 6 REPAIR TO EXIST STOR. SHED SQ FT: CLAZM VALUE: CALC—VALUE: GROUP OCC: M-1 / COMMENTS: STORAGE SHED / RE: H65035 *a�*-�*��x��********x��-x-�+�-�*+c-***-�*�e��-z-r�x-�;r-�-+��r-�x-a*�t�r***x��+�x**�r�r**��x-��+F�r �*�x �«*�**+t+� Z O N I N G R E Q U Z 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: 42432102 2NE: REF NO: ' PLANNING NOTES> 5 it*at�+Eititiritxx�itat**it*rtftxxit�rit*�r**itititit*iF�*it*�*�r+rifirititiEitit*iF*xit**itit�*�r****��t***�****** D E V E L O P M E N T S- �E ;R V I C E S R E Q CT I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : ' DATE: APPLZCATZON ISSUED BY: '� � DATE: ( 2� C/� *+�*�r+f�r�r**�**x�******+rrt*3FiFiFr� a e�F. �rr�r�F7F'�FiFiF: h�'3F�r ****+�**�c**�7��`��4.'�,�** aF if aF if if iE i! 1E iE if iE it af iE 1E �k iF iE if iF iF iF if iE i: if it iE it if if i4 if �E %if if if iE iE if iP iE it .. ft if i4 if 3f if if it if if jf if ic if it ii �lf iF if jF af �F iF if if if iE iF if if iE iE iE ic LEGALIZATION;N F E E S U M M A A Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PERMIT 17.00 503 SMIP/NON—RES PLAN � ISSUE FEE .�5.00 BUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 17.00 15.00 0,00 32.00 32.00 ,00 REVENUE DIVISION TOTALS--> COLI.ECTED; 32.00 OVER/SIiORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECK 32,�� i k i! if iE k 1E iE if iE if 1E 1f if k iF IE if i!!f if ff f! if fk ak if it if if iF it iF if iF !f if i! 1E if if iE if 1E iE iE if �F 1F iE iE iE 3E 41f % 1F iE 1f fE K fE 1E 3F �f 1f if if if iE �f %iE � 1E fF if iE �f * I N D Z V I D U A i. 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 4 FIXTURES LIGHTING; 1 ST 20 EA. .75 3.00 ELE 3 RECEPT/O�JTLET ; 1 ST 20 EA. .75 2.25 ELE 1 RECEPT/SWITCH 1 ST 20 EA. .75 .75 ELE 1 MISC CONDUIT NOT'�LISTED REQ PERMIT 11.00 11.00 END OF FEES Oi 001`i209-00151209 T�] T 32.00 DATF: 11i24/93 TIflE: i5:13 ., �CONS7RUCTION ANOPLANNING • APPROVALS Permii;,= l. Temporary Electricat Serviczor Pate 2. Sod Pipe�Undrgrnd. 3. ElecVical Conduit Utility•Undrgrnd. 4. Electrical CondwDUndrgrnd. 5. Steel REintorcement 6. Electrical UFER Grnd. 7. Foo2ings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structuwl Floor System - � 11. Property Sewer Line & House Connection 12. Sewer Cap , 13. Roof Orains . 14. Rough Plumhing 15. Rough Electriwl-Cor.durt 16. liough Electric Wiring 17. Rough Wiring Sign 18. Rough Electricai-T Bar Ce�I�ng 19. Rou9h Heating & A�r Corditioning 20. Rough Factory Fireplace 21. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceding IStructurall & f��onocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywa�� Nailing 31. Plaster Bro�vn Coat 32. Electrical Power Mecer�F�nal 33. Final Electric 34. Final Heating & Air Conditioning 35. Finai Gas Pipe-Test 36. Hood Or Canopy 37. Fina� Factory Fireplzce 38. Final piumbing 39. Water Service-Final 40. Gas Service•Final 41. Solar pomescic-Finat 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape irnpation System 45. Sound Attenuation 46. Handirap Regulations 47. FINAL STRUCTURE & BUI�DING 48. FINAL PLANNING 49. Electric Release [o Edison 50. Gas RRlease to Southern California Gas Co Date Date c�oo. �ca I�spector AppROVALS Permit,$ 52. Pool 6� Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit�Undr�r�d. 59. Gas P;pe, C Undrgrnd., Tcst 3-- 60. Backwash Lines, P�Trap, L1 Undrgrnd. f 61. APPROVAL TO DECK 62. Baek�.vcsh & Reeeptur-Fi�.id� 63. Heacer & Vent-Final 64. Plumbing System � F1na1 65. Electrical�Final 66. Solar SVstem-Finui 67. Fencing & Access AnP�uv�l 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEM11S PINAL FIRE DEPT. RE�U�REPo7ENT APPROVALS Permit,k 70. Underground Hydro J1. ProductPlping(�G�s QOiI 72. Underground Flush _ 73. Undergmd. Storayc Tank � Gas :! 0:1 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 76. FIRE PREV. FINAL . ' HEALTH DEPT. RE�UIREC.1ER17 79. FINAL INSPECTION I -}- 80. FOOD CERTIFICATE ISSUED /1,�,� Notes:.� ?.L-9f/ /.�c-..�� a Date j Inspector i -- � .—_ �� , Pfl0.1ECT P00lrc3S: tj S 9 W 19 TH ST �,Q41NEp�NpME: KOGA, IWAO aoonEss: KQGA, FRANCES M 998 HARTFORD WAY COSTA MESA,CA 92626 UNIT: RNLH/ENGINEEN: HAbI M.TAHATABAEE 6 ASSO. "Ec."o.: 24 Q1 noonEss: 15935 AVENIDA SAN MIGUEL 3Ntt: PEflMITTEE: LA MIRADA CA 90638 POOflE55: P J E. CONSTRUCTTON (714)229-8339 10562 HERNICE CIRCLE CYPRESS CA..90f�30 IICENSEU LONTB�LTOB OECLAMTION: I nere�y aifirm I�ai I am li�¢nsea unUer 0«s�o�s ot �ap1e� 9(comm¢ncinA ��h Seciion 7000) ol Oidsion 3 01 I�C Business ana P�olessions COUe, an0 my IiCense i5 in full lorte an flCci. ciTr uc.: srare uc.: 5 9 3 4 9 9 � + Oate: ��—Z�� Signature:_ . . _ . WOBNEflS' COMPENS�iION pECUflAT10N: I her¢by allirm Ihat IfiaVe a Cetlili ( ol consent to tell�insure or a certilicaie ol Workers' Comp¢nulion Insuqnce. or a cetlilied copy thereollSectian 9800. 1a0. C1. POLILV NO.: EXP. ORTE: COMPANY: ❑ Ceniliea copY �s nereby Iurnishe0. �❑ C¢tlitied tOpy i5 IileO vnN lhe Ciiy BuilOing UNSbn. . Date: Applicani: E%EM1IP�ION FNOM WOPKEflS' [pMPEN5AT10N DECUMTION: (Th¢ section neeG rot Ue cOmde i� tlre OUmI ¢ �a one huMreC (Eilp) or IeR). I tertity ihai in I�e pertormanpe oi I�e wod lor whiGh tN5 Detmii i5 i55Ue0. 51 Vqot emplo arry person m any manner so as to became 5ubi¢CI �o I�e WaM1ers' Comoensa�ion Laws ot Calitomia. Date: , \�� SiAnature: NOTICE: II, after maiw� t�is tleclaralion, you snould ecome sublect t 1� Worker5' CamDensation O�ovisions of t�e la�or Code. you must lo�hwph comply with suc� pmvisions or ��is permil 5 �e deemea revakeE. CONSTBUCTION LENDING qGENtY: I �ere�y affirm tAaLt�ere is a constmction lenaing agenty for ihe pedarrtunce ot tAe work lor wnich rois vermii is issuetl (Sec�ion 3W7�L1v. C�. �. LENOEfl: AODflESS: OwNEP 9WLOEB DECIABAiION: I hereGy allirm ihat I am e�empl Irom ine Coniractor5' State License Law Ior iho lotlowinp reason (Seciion 7031.5 6u9ne55 antl Pm�e55i0nal CaUe: Any Cily 0� coUnly whit� repuires a permil �o canSimCl, alfe�, im0��0. demolisll, ar aoait any strutture. vrior to its i55uance. a150 repuires ihe applicant lor suth Dermil to lile a AO�etl statemenl ttWt nE/she 6 licensed pursuant to ine pmdsians ol �ne tontracmrs' Sta�e License Law (ChaD�er 9lwmmenunp wit� SecUon 700010l Oivision 3 0l t�e Busineu anC Pro�e55i0n5 COGe) of IR�� py5he R¢eempi I�er¢Imm anG IOe �asis IOr I�e all¢pM exempliofl. My viMdiion al S¢CiiOn 7031.5 by any applicanl lor a permil SUGl��S t�e applicani to a civil p¢nalry of not mo�e ttun five hunErM OaPars (5500). I. as owner ol ��e pmDe�Y or my employees wiih wages as tAeir sole camperisalian. will An the work. an0 Ihe ❑ stmcture is no� intenEetl or olfeie0 1or sale (Seciion 7044, Business and Pmfessional Coae: T�e Coniracmrs State License Law aoes nol apply to an owner of a D�ooeny who builas or improves inereon, and who aoes such woA nimself/nerself or inrougA �is or �er own employees. pmviAeO ihal such impmvemenis are not intenOeA ar oflereA lar sale. II, huwever t0e buil�ing or im0�ovemen� i5 so�Q vn�hin on¢ year o� Compleii0n, I�e owner vnll have 1�¢ OurAen o� pmvinp �e/5�e UiU nol EuiIU af imOrov¢ lar tne purpo5e ol galel. I, as owner o� I�e Property. am ¢ecWsively conlraciing wiih IicenSeC conlrac�or5 io canstrutl t0e D�olect (Section ]OE4, Business ❑ antl Pmtesdais CaC¢: The Conlractors' S�ate License I aw does not aDVly m an wmer af pro0eny wlio huil65 or imD�oves ihereon ane w�o contracis lor such Vm�ecis wi�� a conlraclor�s� I¢ense Dursuant Io I�e Conlraclor5' Slate License Law�. I am aware Ihai O�oal of ih¢ir Worker'S ComDensztion insurance ShoWa be pmvitleE lo me. � I am e.emoi under Seciion: 8. 8 P. C. for inis reason: Oaie: Owner. I eo nere�y cenifY Inai I am aware o� an0 unUersland I�e ieQuiremems ol Calilomia Mealt� an0 Sa�ery CaOe Seeiions 25505, 25539, antl 25534 an0 i�al I o� any lulu�e buil4inA otcUpant willlwill nol (tirCle one) neea �o tomplY ��h 5ai0 51aie Co0e5 antl Ihe requiremenl5 �or a permil lo� constmclion or mpdilication Imm Ihe Air Ouahly Managemeni Oi5Vic1. PeSiG¢nlial con5imclion apD��Calians aie e�emD� ��om inese v�a��ons. Oal¢: ApPlitanl: _ I �ereGy cetlity I�ai I �ave rea01N5 applitaiion an0 S�ale Ihai oramances and slale laws relaiing Io UvilainA conslmction an� pm0erty lar inspec—lio7n purposes. Da�e: �� Z7 �� SignaWre: Oriver's License or Social g¢curity x: ^� �� I agrte lo comph� with all city and county nis ciry to emer�rppn Ihe a�ove�memioneC I6a1-a6 WM1ilo—Bmlding; Green—Lotle Enlorcemenl: Canary—Applicanl: Pink—Revenue: GolCenr00—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 065037 PLAN CHECK NO: 04241-93 L CONSTRUCTION TYPE: 5—N PERMIT.TYPE: STR JOB DESCRIPTION : CONVERT ILLEGAL DUPLEX BACK TO GARAGE CLAIM VALUE: PE�iM NO: H 065037 GOVT: N SUPP: N PURPOSE: ALT S(� FT: 976 CALC—VALUE: 18,153.60 GROUP OCC: M-1 / COMMENTS: BUILDING TO BE RESTORED TO ORIGINAL GARAGE 6 STORAGE USE �rr�r�r+t�r��r*ir�r�ririr�e�r�r�r*+t�+r***+r�r�r�t�ririr+r�r*+t+rie�t�r�r**�t+t****i�i��rx�+t*****+rr�r***+r+r�**�r***��*+� 2 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 SUILDING —_-------- --------- ACCESSOAY BUILDING --------- FRNT: FT IN REAR: 'FT IN FRNT: 94 FT IN AEAR: 10 FT IN LEFT: FT IN RGHT: '�'T IN LEFT; S FT IN RGHT: 21 FT IN PARKZNG REc� • 2 PROV; '� 2 PARCEL: 42432102 ZNE; R2 REF NO; PLANNING NdTES> CONVEAT ILLEGAL DUPLEX TO A 2—CAR GARAGE WITH STORAGE I.N THE > REAR. (97b TO*TAL SQ FT.) LUR RECORDED RE: THIS STRUCTURE. P iE 1E if 3F 1f if iP iF it iE if if iE if if if if if iF fE iE �iE if if iE 1k iE if. 1E iF 1E iE it 3E if jf if if iE iE iE if 3f if iE if iE 1f K jf iF if if K if if 1f fF 1E iF If iE if af {f iG * iF �4 jE iF if if iE if * aF 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 '_ ;r_�_� DATE: _� I 1�3��3 BUILDING APPROVED BY �� =r' Y{�$ R� ' DATE: I I_�2 Z I'rJ3 APPLICATION ISSUED �BY.: ' , � � DATE: (( I�' 3 iFiait�*iF�Ex��F***iFiFaE*i�**iF*iE.* � ,c w "�'x"�"�';"�F"£�"iFiF***�Fit*�Fifi�*�&�3t7.�TriEac ih9fiFifiFj(-IFiElM1ififiF7EiF1EMifififihififiPMil�IEfE�EifjfiFitlfiEilf4iFiEifiE�lf�ElEifit# 1EIfMifiFifi{iFif-iFiEiFiFiEiFifiFiF�FiFiFiFiFiFifi(�iE1EiFikiEit LEGALIZATION:N F E E S U M�M A R�1Y �� STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC• MECiiANIC� �flIRE SMIP/RES GRADING PERMZT 198.00 , �'_: > � ,J 1.82 PLAN 128.70 ! �'✓'• � � 1. %i SMIP/NON—RES ZSSUE FEE - J fU -� BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECIC TOTAL ,`.' PAID DUE TOTALS----> 199.82 0.00 :129.7Q, ,� �,328.52 328.52 .00 � REVENUE.DIVISION TOTALS--> CO�LECTED:'"� � 199.82 �OVER/SAORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANY,C ! FIAE SM'I�P/�AT GRADING PLAN—CHECK 198.00 „�, : ' ,�J��1 �82 it if iF if iE �f if if jE it if !F if iE �E ff iE if i! if iF iE iE iF it iE it i! iE it iE 1E iP iE iE k iFif�if 1t iE iF iE iE iE iE iE iE if if if jf if if iE iE if if iE if �E ff iF fE iE %iE if i4 if it if iE iF it iF iE �t iE I N D I V I D U A' L 'F E E' H R. E A K� O W N TYPE QTY D E 5 C R I P T I O N ,; ONIT COST TOTAL COST SFR 976 AES—GARAGES TYPE V J' 18.60 18,153.60 END'OF PEES ' l - / � �� ,� �1� .��. % I . � (il O�i5720�-CDSS12C5 �''f-JT 1°9.5� C�j'�Tc� i:i?�i43 TIME: 15::7 ., CONSTRUCTION AND PLANNIfVG ( APPROVALS Permit;,- Date Inspeetor 1. Temporary Electncal Service or Pole �� 2. Sod P�Pe-U^.drgrrd. � 3. Etcr.trri Conduit Utdity•Undrgmd. 4. ElcclriC31 Conduit•Undrgrnd. 5. Steei iieinfo�cement Z. 6. Eleetnea! UFER Gmd. 7. Fooungs L• 8. fourtdation 9. N'ater Pipe-Undrgrnd. 10. Structural Floor 5Ystem ' , 17. ProRt'�Y Se�rer Line & HouseConnection � 72. $C'.Mir C3Q . 13. Roof Dra�ns 14. Rough Plumbing � 15 Rough Electriwl-Condurt L- ; i6. Ro4gh Eiecvicl7irir.g � _ 77. Rcugh?'llnngS�,g� 18. Rough Electrical�7 Bar Ceil�ng 79. Rough Heating & A�r Condi[ioning 20. Ro�,.yh Factory Fi�eUlace 21. Ducts, in Structure ?.2. Ducts, Ven:i�ating 23. Gus Pipe�Rou9h & Test 24. Aoof Framing 25. Roof Sheathing 26. T-Bar Ceding IStructurall & Monocoat 27. Frame a�d Flashinp 28. Lathing & Siding � 29. Insulation 30. Drywall Nail�ng 31. Piaster Bro�vn Coat 3-2�-q�( �G4� 32. Electncai Po«�er 7.:ecerFfnal 33. Finxl Elet:nc 34. Final H:aAng & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Firep�ace 38. Final Plumbing 39. Water Service�Finel 40. Gas Sernce-Final 41. Solar pomestic•Final 42. Backflow Prevent¢r 43. Backflow Irrigatio� 44. Landscape Irripation SYstem 45. Sound Attenuati0� 46. Handicap Regulations 47. fINAL STRUCTURE & BUILDING � 48. FINAL PLANNiNG ' .. 49. Electric Release to Edison 50. Gas Release to Southem California Gas Co 51. CERTIFICATE OF OCCUPANCY Date �.Z � POOL ,PA APPROVALS Permit � 52. Pool & Equipment Location 53. Steel Reinfo+cement 54. Forms 55. Electrical Bond�ng 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUMTE 58. Electrical Corduk-Undrgrnd. 59. Gas Pipe, � U�tlrgrnd., Test � 60. Backwash Lines, P-Trap, O Undrgmtl. 61. APPROVAL TO DECK 62. Back�vash & Receptur�Final 63. Heatcr & Vent-Final 64. Plumbing System � Final 65. Electrical-Final 66. Solar System•Final 67. Fencing & Access APprovaf 68. APPROVED FOR PLASTERING 69. POOUSPASYS7E67SPI�AL FIRE DEPT. REQUIREh7ENT APPROVALS Permit,-� 70. Underground Hydro 71. Produc[ Pipin9 C Gas C Oit 72. Underground Flush 73. Undergrnd. Storaye Tank O Gas ❑ Od 74. Overhead Hydro 75. �ry Chemital 76. Ory Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREP.iENT / I 79. FINAL INSPECTfO'V - +-- 80. FOOD CERTIFICATE ISSUED _�_ Notes: I- I2r-� � ��L.��. .s. � ��v -!U -�( b - � wb l. � Date � Inspector 0 � � r PNOJECT ROOHE55: (3 8(j W 19 TH S T 'OWNEs'SNnME: KOGA, IWAO aooxess: KOGA, FRANCES M 998 HAATFORD WAY COSTA MESA,CA 92626 UNIT: ANCH/ENGINEEfl: HADI M.TABATABAEE 6 ASSO, pEG.NU.: zaj�xtt:� aoon[ss: 15935 AVENIDA SAN MIGUEL LA MIRADA CA 90638 vexminee: p J. E. CONSTRUCTION ( 714 ) 229-8339 ADONESS: 1OSGZ BERNTCE CIRCLE CYPRESS CA 90630 LICENSEO CONTflACTOfl OECLABRTION: I hereUy allirm Ihal I am Iicense0 untler pmvisions ol Chapler 9(commencing with Section 7000� ol ��ision 3 0l I�e Business ana Pmlessions Cotle. and license is in Iu0 torce and feCt. ciTr uc.: 1. aTnre uc.: 5 9 3 4 4 9' cus � Daie: �,�a'� –R � Signa�ure: _. — . _ _ WOPNEBS' CaMPEN5R7lON oECIAMiION: I hereDy affirm inat I nave a cenifi ate f consent m sel4insure or a cenilicate of Workers' Compensation Insurance. or a ceNlietl copY I�ereo� (Section 38W. La�. C�. POLICY N�.: EXP. DFTE: COMPPNY: , � C¢rli�ietl topy i5 �ereby Iumis�ed. ❑ Cenitie0 copy is IileU wit� t�e city euilding Oivision. ,. Daie: Applipant: � EXEMPTION FflOM WOPREflS' fAMPENS1T10N OECLAflATION: (This section neeG noi Ue completeG if Ihe permil is for olle hmMfCG (S1IX1) or less�. I cetlity Ihat in Ihe pedormance ol �he work br whicA Ihis permii' i55ueQ I sh I n �¢mploy my Derson in any manne�.5o a5 ia Uecome 5u0ject �o the Workers' C mpen5alion LawS oi Cah�omia. /1y11 ,�/ I . �ale: Signalure: `�' � �^� NOT E: II. aRer making ��is Aeclaraiion, you ,hould become sublect to �e �vorkers' Compensalion pwvisions ob Ihe Labor Code. you must lorl�wilh compry wii� suc� provisions or t�is permit ShalN(e UeemeO revoke0. CONSTflUCTION LENOING RCENCY: I �ereUy a�firm ��ai Ihere is a[on5imction lending aAency for I�e DertormanCe:ai I�e wark lor w�icM1 I�is permil is issued (Section 3W7. Civ. C�. LENDEfl: � AODNESS: OWNEP BUILOEB DELLABATION: I hereDy a�lirm �hal I am exempi Irom Ihe Con�ractors' Siale License Law Por �he followin8 �eason �Section 7031.5 Busines5 and Pmfessianal CoOe: Any ci�y o� caunty w�ich repuires a De�mii to con9mc�, alter, impmve, tlemolis�, or reDair any simcture. prior lo its issuance, also rtpuires Ihe applicant br such permil to lile a signetl statement ihat ne/sne 6 licensee pursuam �o I�e pmvisions ol ihe Contractort Sta�e license Law (Chaprer 9 �commencing with Seclion 7000) o� Division 3 of t�e Business anC Pmfes9ons Code) ar IIWI �Plshe is e�emD� ��erelmm and ihe basis for Ine alleped exempiion. Any violation al Section 703L5 �y any applicantlor a Oarmil su�jec�s lhe aOD�ican� �o a civil p¢nairy ot not more lhan five hunGred Aallars (5500�. I. as owner of the o�openy or my employees with waAes as iheir sole camDenSation, will do tAe work, anA ine I❑ s�mcWre is nol iNendetl or oifere0 br sale (gec�ion 704a. Business and Pmiessional CoAe: The ConVactors' S�a�e License Law tloes nol apOty lo an owner o� a pmperty wpo �uiltls or impmves ��ereon, an0 who does suc� woB himselllhersell or InmuAh his or her Own em0loyee5. pmvidetl Ihal S�CA improv¢menls are n01 intende0 or Otferea �Of Sale. 11, howevef Ihe Ouilding or impmvement is sold wilhin one year of comple�ion, Ihe owner will have ��e �urAen ol O�ovinA he/she did no� builA or impmve br ihe pur0ose ol sale�. I, as owner ol I�e pmperiy, am erclusiv¢N coniraciing wiih IicenseG tomrac�ors to consimcl �he pmleci (Sec�ion 700d, Business ❑ and Pmfesvons CoEe: TAe Contrac�or5' Sidte Lkense Law Oces no1 aDDN �a an ovmero� pmDe�y � OmIAs or imprwe5l�ereon and who canlratis lOr Suc� pmjetis wi�h a COniratlor(s� liten5e pUr5uanl IO Ihe Con(ratlors' $late License Law�. I am awafe �hat pwol ai I�eir Worker's ComDensalion insurance s�ould Ue provitleG Io me. � I am exempl un0er Section: B. 8 P. C. lor inis reason: ■ �_ i Oale: Ownec I Oo �ereby cetlily Ihat I am aware o� an0 untlers�aqa Ihe reQuirements ol Cahlomia HeaIN antl Salety Code Sections 25505, 25539. anG 2553C an0 Inat I or any IWure �uil0ing accupanl vnll/will noi (circle one) neeA Io compy with saia slaie cotles and the re0uiremenis lor a permit lor conSlNctiOn or motli�icaiion irom I�e Art Ouahiy ManaAem¢ni Di5lnci. Fe4Aen�ial conSlmciion applicalions aR exempi from Ihese Omvisions. Dale'. Applicant: I �ereby cerUfythat I have reatl�his applica�ian and 51ate��ai Ihe above inlorma�ion is correci. I agree b comply wilh all ciiy ana coun�y ordinances antl slale lavrs re�ating Ia bmlEing conslmttion anC here uRwiim repres latives o Ihis city �o ter uDon th¢ aWve-memionetl pmperty lor inspection pw0oses. Dale: �� Signa�ure: Driver's �icense ar Social Securi�y a: �� 164L46 �^/hlte—Bulltling; Green—Cotle Enlorcemenl: Canary—Applicant; Pink—Revenue; Goldenrotl—A559ssor CITY OF COSTA MESA — HUILDING PERMIT PEIiM NO: E 065038 PERMIT NO: E 065038 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : CONVERT ILLEGAL DUPLEX BACK TO GARAGE SQ FT: CLAZM VALOE: CALC—VALUE: GROUP OCC: M—Z / COMMENTS; RESTORE TO ORIG GARAGE 6 STORAGE USE / RE: B65037 *�*�r+t**�r+�*�t**�*�r*�****�r�t*******w****+c��****��***�u�t+�***�**�c*�-��t**�t***-�c**+t�c+F*** Z O N I N GS ERTEH�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IiJ REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL: 42432102 ZNE: REF NO: PLANNING NOTES> > it***�r��rit�*�r**�ru it****it*�r*it�r+r�r*****+t*��*�itet,�+e*it�rit**x***r�*+r*+�*tr**+�*r**�er******+t D E V E L O P M E N T S'E:k V I C E S R E Q U I R E M E N T S ZONING APPROVED HY � DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY:�— �� F�� DATE: II �3�� itiEiEkitiEiEitaEiEititit�hiElEit3FiFihiEN� sFitit it .iF 'iF Fif . �iFiZ?hiPif3fi(�i�9fiEiFitiF�Fi�e fFifiE 1E jE �E iP 1E iE iE aE iE iF iE 3E it itltlt iE iFlElf if �f iE if ik ik iE ik ik k iP iE 1E if iF it iE if ff jf if if �t+E if jE iElE iE �ic ff if if 1E �F %if if it iF if iF if �f iE if iE iF iE jE if iE iE iE 1E 9E iE �F 9F LEGALZZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMST 28.00 � SOR SMIP/NON—RES PLAN ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 28.00 15,00 , 0,00 43,00 93,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 93.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GFtADING PLAN—CHECK 43,00 v` i! 1F it it i! it iE iE if iE iF if 1F 1t if 1E i! # if if i! if 1k ih ik iF it iE if 1E it if ff if-if if 1E if iElf 7f �lf 7f iE if fE if * if if if if k if if iE if if f: iF af �f'lE fE iF if ff if 1f iE iF iE ff M ff 7F i! 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 Z P T I O N UNIT COST TOTAL COST ET�E �k P'IkTUH�e LT�HTINt'��, ]. 5T �C� EA. .75 3.OU ELE 3 RECEPT/O�TTLET 1 ST 20 EA. .75 2.25 ELE 1 RECEPT/SWITCH '� 1 ST 20 EA. ,75 .75 ELE 1 SUB—PANEL 11.00 11,00 ELE 1 MISC CONDUIT NOT*LISTED REQ PERMIT 11.00 11.00 'END OF FEES O1 001517;0—OOIS1210 T CaT 4;.D0 4RTE: 1:i24/93 TI�E: 15:19 � CONSTRUCTION AN� PLANNING � APPROVALS Permit � � i. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. ' 3. Electricai Conduit UtilitY-Undrgrnd. 4. Electrical Conduit•Undrgmd. 5. Steel Reinforcemenc 6. Electrical UFER Grnd. 7. Footings 8. Foundation _ 9. Water Pipe•Undrgrnd. ' . 70. Structural Floor System 1 t. Property Sewer Line & House Connection 12. Sewer Cap - 73. Roof Drains � 14. Rough Plumb�ng 15. Rough ElectricaLConduit 16. Rough EleCtriC Wiring 17. Rou9h Wiring Sign 18. Rough Electrical•T Bar Ceiling 79. tiough Hearing & Air Condltioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Tast 24. Roof Framing 25. Roof Sheathing 26. T•Bar Cei�ing (Structural) & Monocoat 27. Frame and Flashing 28. Laihing & Siding 29. Insulation 30. Drywa�l Nailing 31. Plaster Brown Coat 32. Electrical ?ower MeterFinal 33. Final Electric 34. Finai Heating & Air Condrtioning 35. Fina� Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fi�eplace 38. Final Plumbing 39. Water Service-Finai 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow irrigation 44, landscape I�riqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Eleciric Release to Edison 50. Gas Release to Southern California Gas Cn 5L CERTIFICATE OF OCCUPANCY No. Dare Dace POO. oPA Inspector qppROVALS Permit � � 52. Poo� & Equipment Location 53. Steel Reinforcement 54. Forms 55. EJectrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical ConduirUndrgmd. 59. Gas Pipe, O Untlrgrnd., Test 60. Backwash Lines, P-Trap, L7 Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Recepto��Ffnal 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical�F�nat � 66. Solar System-Finai �y 67. Fencinp & Access Approval 68. APPROVED fOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit � 70. Underground Hydro 71. Product Piping OG3s ❑Oit 72. Underground Flush 73. � Undergmd. Stora9e Tank O Gas ❑ 0�1 74. Overhead Hydro 75. Dry Chemica� 76. Dry Standpipe 77. FIXED SYSTEvt FINAI. � 78. FIRE PREV. FINAL - HEALTH DEPT. REQUIREMENT . 79. F(NAL INSPECTION ��/ � 80. FOOD CERTIFICA7E ISSUED (� Notes:✓� �-Q!�/ �oG/q.ct! !J�%l� Date � Inspector I Costa Mesa Building Department � APPLICATION FOR PERMI� � P.O.Bo:3�� a�� gU�LD1NG ' r COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL FOR OFFICE iiSE ONLY Receipt No. Permlt No. ding � �Ii /1��C% Ye39 T ost,�a Mesa, �I1i017]18, Received by Date Rec'd. Date Issued �est .. A l . _. s�.. .f -/d'[�.ri� ��. � .'� �� .� ' � �_Sr Mail Address or Address Size of Lot 4se of Existing BI Setback LI New I Repafr I Building ' � `. Size " " "" � Costa �� . Nearest �� Tel. � � Cross St. No. �— � Zone I No.c i.r.a Block No. of Bidga Nowon Lot No.of I No.of.i Families Rooma Rear Yard Side Yard IF WORH II Addition I CORRECTIONS Exterior Wall �( i I Roof � �� Covefing ' 6 Covering � APP$OV��S Use of New�y f� f , Foundation Location Inspecto Building fZ Forms, Materials, � . -�+ p Under-Pinning • Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building Cons o Lath. Ext. Signatureof�� r�/�� Permittee Plaster,lnt AuthOrized Agt. � Plaster, Ext. Valuatlon Permit Fee $ �� Masonry Reinforced �%� � Plan Check $ ga�d Beam $ � Total Fee $ � I FINAL J � 2 D , r, � c O� �' O! Street PLOT PLAN Show locatlon and distancea from property Ilne and between bulidinga 9 .; ;,, . . � ' . + l ~♦ ' ' � . :'h'i . i < '�ti� � '-r � 3 t . � i ctt^� '� . .�.� 1 . � � . „ '�'i�t , � Ci'.. ��`+��.�'. � ' , , �� ' � .':. .; �y�� ^..• •••• ' ,.;�' . '� a .4 �� • . . 0 ) / � :' 1742 I COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COBTA MEBA. CALIFORNIA For Appl?canf fo Fill In Complefely TYPE OR PRINT � BUILDING 9 � � A�DRE66 COSTA MESA. CALIFORNIA �� OWNER �� MAIL �q � ,� �� ADDRESS N TEL. CIN NO. ARCHITECT TEL. •� LIC. NO. . I / (/• NO. %/ /T �'� / SIZE %�J f � NO. OP lID�B. OF LOT I' I NOW O LOT USE OF -/ EXI6TING BLDG O 'T SETBACK LANH FROM CENTeH OP BTxeHT REAR YARD � SIDE YAftD I LEFT �-1-&IG T DESCRIPTION OF WORK NEW I' II ALT AiION I II ITION ...._.... I II.. .....,. '� I ..�......,... NG �/ � � RILOOMS STO V OR WALL � .9 yyROOF D � NG ��4'LICOVERING %�UILD C AND W TO BE PERFORMEI f-F Ol"�' r� /,'!s F_ l. FEE RECEIVED .. JUM2 7 }ggp � rIFiNnAFNCE DEPMT. h 7lPPL ICATI0IY' FOR"'PERM I T �aE�G�For Off Ic e U e Only REC8IPT NO. vE�� IL 7 aecervyo er I oer� iec�vpp oer sauei i/�� i' oc � � // �: _� BUILDING � fj (j 7i, � G � � � M ESA, ' ZONING _ /NO.OF U8E OF PLANB �_ BUIIDI! A. P. NO. I I �� V� YARDS EVES APPROVED ALLO (CENTeR LINe 8T.y'�J� / FRONT /K/!�r FT. R` 1 HER6BY ALNNOWL8DG6 TMAT 1 MAVB HHAD TH18 �PPLJGTION TM8 AMOUNT BHOWN UNOEP VALUATION IB POH THE AND 8TAT8 THAT TX8 ABOVB IB CORNECT AN� AGREE TO COM- pUfiP08H OP, HBTABLIBXING A PEPMIT FEE ONLY. PLY WITH �LL CIiY OitDINANCHB AND BT/�TE LAW6 REOULATINa BUILpING CON9iAurn N. VALUATION SIGNATURB OF Q�// PERMIT FEE $ L� PERMITfE /n/ X S D✓" /' P�AN CHECK S — AUTHORIZED AGENT � TOTAL FEE � % COUN'I'Y OF ORpNGE BUILDING DEPT. 636 No. Broadway saz,�� w�, c��to� Phone: KI 2-6211 ]. OWNER'S MAILING Application for Building Permit AND FOR A Certificate of Use and Occupancy ��i.�'i�i ' i"f Name._........ m;:7 -�----------� ....................._.. ------------------• (Are6ieec[ or Engineer) . Addre=_s --'�-- ----- �-- ---...-- ....._-�--�--.... _ ....... . .................._..... Cicy................... .....'- -------'----.................---- -------............... State LicNo .................._..._..------'--.... Phone.......-------............--'--�---' PROPOSLD 2. JOB LOCA'] 3. 4. 5. 6. 7. 8. 9. � Pumit No. -3..7-../...� �.- Date �'e:��._.L.......-..L...��f--------------.•' ....... - .................../....�...... PHONE:�.��.�r...�...-------....---- ...................................... CITY�.�:�`��---........ . , ` Name .._!�.Q�'�f/�+%i':._..�LClL .._•--........... ' `� �j_,(Contracior) Address..-"--- ................................................–"---------------.....---'– City State Lic. ] Phone.... .. . ..........� ��---........._. (House No.) � (Name of S[reet) (Town or School Distric[) LEGAL DESCRIPTION: Lot�' .�.�.'.�'%t �w�i 1 / D l �l ° � � `"` �{�''.2�" - ---.._— --........Block .....- ............ -- .............. Tract-�'=-'- �:�-- -- ----.._ . ._---.... (Me:cs and Bounds Description—Use reverse side oi form) . CORNER LQT ( � INTERIOR ( ' � , THROUGH LOT ( ��B�S �OP�,OF LOT ( ) � SIZE OF BLDG�.�_��: ��__-`.....AREA:._ g_...� �...SIZE OF LOT:,-�;�T'-�'� ___....AREA:...L��.....�.-�-�� /o � � � HEIGHT OF BLDG.: �.�_� .........................CEILING HEIGHT:�_.`.�'._.............,....NO. OF STORIES_..L._.................__..... � � / i • NO. FAMILIES............��Y?c?lt.......--,--Size of Smallest Eedroom: /�._�.__I..� ..................... Size of Kitthen �d._X..L�........---.---• �p� p r EXTERIOR WALL CONSTRUCTION:.?�.. vk:.'.�.:.�:{:�.`:... _� G....INTERIOR WALL COVERING� ��"� ^'+� =�....... - ., p... �.G"'__'."'_.......... (Frame, Smcm, Etc.) ti^ (PlastcrDrywall, Etc.) SETBACKS: Front Yard From Center Line of Strect.._: �_:�......_...-- ........................-....---..........................------------...-----.....---....... i v� �" ,._. % Nearest Sidc Yard.. �'�...........Rear Yardr_'C� ...............Distance in Fcet Betwcen Bldgs. on Same Lot...-��.. �.............._.................... 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. /� ' n // � J /C� -. 1 I. Acce..so �a) Footing: Widt��---f .� ................Dcpth in Ground......�..........._--....Width of V�� -�:-"y '-'----............ ° rY ' Bldgs. and �/ X 1�'/ "CC Material of Floor...G.�.=��5.. Similar �b) Size of Studs•._,� --....�.-----------..Spacing .. .. .................... Structures: (c) Size of Floor Joists:---_�.-----......._.......Spacing........._.—l-.-.----...:'CC . � (d) Size of Rafters:'3'.:--:�-`� .. ..............-..........Spacing..^�........--------....-------•---'CC 12. VALUATION OF PROP�SED WORK: Including all labor, plumbing, electrica! wiring, heating, fire sprinklers, painting and sewage disposal 5-.'�.�._:1.�....��--� �------_. .--...... . 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOV✓I.EDGE AND BELIEF THE INFORMATION IN •THIS APPLICATIbN IS CORREC'F AND THAT THE CONSTRUCTION WORK WItiL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signed:. Plans Filed:..,...-�-- -`___�-'-�'�---f.........-' ' --'----- --- - • - By:. Bldg. Permit Plan Check Total • • Receipt No. Paid to • Datc ........... i r ! ,�.,'/'t3�_. ..............: _-'-'--'-'--'---- (uwner) (Au[horized Agen[) FOR DEPARTMENTAL USE ONLY FEES: $..I -D._--D.D........ GROUP....... I._ ........ ...... 5-----.1.--D..�,t�------ TYPE�--�.........------... .. S._L.l.(. Q...lJ.......... DIST. � _/. S Y MAP------ .�,.� ..... . .. ...... ....... . .. ------ . .. . � SHEET I�'0..,..� ................ �� DATE...... .......... � --._...�.... ............. � ��,-z.s� C( APYLICA Z O N I N G....... _--....... /�..... PLANS AND SPEC'S._-----....-------- /...._ CORRECTIONS FIRE M A RS H AL......--.----......._.. STATE .......:.....__....... -----... ENGINEER UECOUYTY BU� �_, �:,SP��