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HomeMy WebLinkAbout1014 19TH ST - Building Permitsy ADDRESS OF BUILDING: 1.014 W 19TH ST UNIT: OWNERS NAME IF tusueN: HEYING, JOHN A ADOREss 1014 W 19TH ST COSTA MESA,CA 92627 631-4073 APP%. MAILING ADDRESS: ARCHITECT OR ENGINEFN: UC. NO.: =111. OR ENC.'S ADOREM: UHT: coNTRACTors RAID: A M CONSTRUCTION (800)691-0010 CONTNACTORSMMUNG 1001 W 17TH ST ADDRESS: COSTA MESA CA uteo, 542460 92627 UNIT: N LICENSED CONTRACTORS DECLARATION: 1 herby aim under Penalty of perjury lhal I em licaued under roy eau or Clu sw 9 (commence, with Section 7000) of Division 3 of the Bueinea ars! Professions Code. and my Ucwse is in full lace and effect. CmucgNo.:..0F1.60024 uc.cLAss: B Lo.: 4 0 EM: 08/96 Comments: OWNER BUILDER DECLARATION: I hereby aNum utles paaly of perjury IMI I am eesmpt from the Coomm m license Lew for the fa in kr, meson (Sectis, 70315 Bueiwes end Pndmons Code: Arty ay or county whin requires a gem d to construct, alter, improve. Mmcmh. or repai any structure. prior to Its issuance, also requires the applicant for such panni) to Ne a sipnsd statement Mm he or she licensed pursuers to the povisions of the Contractors license law, [Chooser 9 (commencing with Section 7000) of Oaeion 3 of the .CNeee end Pnolm000ns Code[ or [het M or she U esempi thwehMl orlon the meet In the alleged NwrlF1[er. Any VICtstion d Seclion 7031.5 by any bookend for a owns subjects [he.PPlinsm to a dor PaaNr Of nn mom then fore MMred do0es RSODD. I, ve owner d the .pmy or my employ. weh wages As them into compensation, will do the work. and the structure Is not inlendM or dfwnd for cob (Section 70,0, Business end Professions Corte: The Comraclom License Law does M apply to an owterd pmperty who chide or in noes thereon. end who dose such work hi med or herself or Wouph he or Mn own empbyses. prwMed thud such ins, mmicents ere not banded or ohemd for sale. N. Mweyer. the batting or:nosawwnam a sold with. ons year of tomoetion. me twrwa,och r wO1 hew, the burden d prying he or she don not hard or impwe for the wmose of sere). I, as owner of the property, am tonkawely contracting with licensed commclors in construct the gojent (Section 7000, Business end Professions core: The Contradom );pens. Law goes W RPDIY a ion owns, of osoparly whe Witt, or impryss thereon and who contracts for such propos with, a conuscror(s) limo ed pursuers It the CaWwfws Lluree Lew). I son "empl under Sechon: B. d PC,. lor this ream: Dam: Owner: I do hereby cenry that I son aymre of and udwsaM the requirements of California Ileelth end Safely Cade Sections 25505, 25533. and 2S53a, end Mat I or sy Mum building oocopem will I will not (circle ors) reed to comply with said orate notice end IM requirements b s pence for construction or modrfcalun room the Ai sly mithem dstrict. Rwkemibi mNruction uppicaons an ...or icons these prem agn,. Date: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby afNren odor penatly of perjury ors of the Whom, declem ions: I] 1 have end will maintain a certificate of consent to eairmuns b workers' compensation, as provided for by Section 3700 of the labor Coda, for the performance of the work Its which Nb Who is issued. I hays and will mountain wonam' oomCensaten I.., es required by Section 37W of the Lei coda for the performance of the work for which this perms a issued. My waken' cons t Insurance canker end policy number ere. Cerner; S')T� nkEXPIRES Pdiy Number: - 06/01/96 .bis stroma, need nor be co npwed i the owns, a /w one hunm,d caws Ialool or Nes.) I comfy that in the pedormerce of the wank for which this permil is inuM, I shell not employ any pence In ay, manner so se to become subject to the woNan' compwsetian Iewe of Cdifu nit, end Allies thel N I shoutt become subjatl to IM workers' compensation pmnsicns of Section 37W of the Labor Code,0 l tea Dat.: 9- b - 95 Aposibm: LLe�i Wmm/ng: Figure b swum, wortwi ppmpvesidOn rowwmg, Is unmwyul, end shell subject an amployw to crfnshnel primitive and 0141 dMa up to yrs huMrrd thouesnd dn/bn (SIOO,0p0A b sddltbn to dm cost Of rompwastbrt demsi ms provided for In Sidon 3706 of the Labor Cod, interest, end edomay's lave. CONSTRUCTION LENDING AGENCY: I hereby arm under penalty of penury that them is a construction ending agency for the ,efornrence of rhe work for which the mmil ls 6Bted (Section 3097. CN. fit). LENDER'S NAME: LENDER'S ADDRESS: I c,nily that I hews reed the application and state IMI the above information is correct. I spree to comply with all cry end county onli. she we ens rewbg a Wittig construction and hereby authorize representatives d the cGy to enter upon the property for inspection purposes. RICHARD WADE C. Signature OwnedAgmM,pliconVCarsmctor (5151Je.WP) Whis_Suittig & Sefety; Green-FIe: Cwwy-Applicant: Pink- Barone: (iddenrod-Aseesm CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 0'740711 PERMIT NO: P 074071 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V -N PERMIT TYPE: PLU PURPOSE: REP JOB DESCRIPTION : WINDOW IN BATHROOM & BEDROOM & R& R WALL SQ FT: CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 / COMMENTS: REF: B-73192, P73193, REPLACE SINK IN KITCHEN Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42253224 ZNE: REF NO: PLANNING NOTES> PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK > _ -Y *!E*iF ii iE*iE♦E*iE*BE iE BE BE BE BE fE fE iE tiE iE IE 3E iE HE iE iE iE iE iE 1F*iE 1E iE BE BE**fE*dE IF iE iE HE**iE 1E If iE iE 1E***fE lE HE iE**ff iE iE HE iEiE if 1E*iF**BE 3E **iEfiiE******iE**iE**NE*iE**jE***3E*****iH*iF iE HE iE iE iE**iE iE iE ie**iH tEfb**iE iE*iE******iE iE iE*iF iE iE iE if jF*ie BE dE iE iE D E V E L O P M E N T S E R V I C E S% R E Q U I R E M E N T S TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ZONING APPROVED BY DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: " I ***iF OE**iF*dElE1E*iE1E Irk 1E fE fE 3Ek1E���3F���F3f�E��-3f�f3F;F3FTF7FiF�F�f �F�F�$� LEGALIZATION:N F E E S U M M A R Y v BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 7.00 25< / _ DATE: DATE: �P iF��iE 1EM i(-iF 1E 1E HE IE BE HE if STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON-RES PLAN ISSUE FEE 10.00 "- BUILDING -DIV-> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS ---- > 7.00 10.00 ' 0.00 17.00 17,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 17.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 17.00 _ -Y *!E*iF ii iE*iE♦E*iE*BE iE BE BE BE BE fE fE iE tiE iE IE 3E iE HE iE iE iE iE iE 1F*iE 1E iE BE BE**fE*dE IF iE iE HE**iE 1E If iE iE 1E***fE lE HE iE**ff iE iE HE iEiE if 1E*iF**BE 3E I N D I V I D U A L •'F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 SINK, KITCHEN '—\ 7.00 7,00 END OF FEES ,r I 01 00189672-00189678 TUT 17.00 DATE: 09/00/95 TIME: 1-5:01 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector - POOt SPA APPROVALS Permit #_� Date Inspector V 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location t 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ., 4. Electrical ConduibUndrgrnd. 55. Electrical Bonding S. Steel Reinforcement 56. Rough Plumbing & Pressure Test •- 6. Electrical UFER'Grnd. 57• APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation - 59. Gas Pipe, 0 Uhdrgrnd., T9st 9. Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, © Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK • 11. Property Sewer Line & House;Connection 62. Backwash & Receptor.Fina4 12. Sewer Cap .63. Heater & Vent -Final 't 13. Roof Drains '.t 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• 'i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �. 16. Rough Electrical -T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 000 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank, ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Statidpipe ' 28. Lathing & Siding 77• FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final -Electric - Notes: 34. Finat Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final " 41. Solar Domestic -Final 42. Backflow Preventer " 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation " - 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date .y . ADORESS OP Sut00m: 1014 W 19TH ST uw: A1fi!6NAiRNKNDNR: HEYING, JOHN A ADORE55: 101 4 W 19TH ST COSTA MESA,CA 92627 631-4073 APPL • MAKING ADDRESS ARtHMT OR EN EER: UC. N0: 1RCN. OR ENQ'S ADDRESS: UNIT: cwntACToNSNAIE: A M CONSTRUCTION (800)691-0010 cw,AL'TOn,a m 1001 W 17TH ST ADDRESs:COSTA MESA CA UONO< 542460 92627 UNIT: N LICENSED CONTRACTORS DECLARATION: I h aeby aDFrn wdr parwy of pectin the I me I'valasd undr pr v of Chapter R (mnmelcilp with Section ]0(0) of D.. D of Ne I§ a mos vd Prdeaapw Code. vd my' loinhhA lana end eNea. cmuc.No.: 9 60024 uc.cuss: B 0. 24!O � P� Det.: 11 Corvectan ��ii11 OWNER BUILDER DECLARATION: I harem, aNm undar Poruly of Ploy tet 1 em exemPl tome tM Canlra0t— UO.I.e lee 1« Ne Idknw,, reason (Section 1031.5 &wiles and Pro(aewe Code: Any aY « araly whkh ropolea a pamb to apn.Ncl. ehr, improve. "bleaeh i rKei vto m pr.ei pons to ie, amerce. eao iomoe Lee [Chapter tar ouch pamtl Io Ns a eared aWemea Na M a aM Dpwed a pypa to Or ptavi*e tt a Ne C fte us ra 1pI the into (Cheptr a (mmmanall odh Section loan) of dation n S ec tM a IS b end Hdenkm Code) or tMt M «end u e.emq Uvehom W of boa to Ne Weallogm! exemption. My va4tion d Semon 1051.5 by enY.ppkead la a permA aubpm Ne eppfrJa to a dH pwSy a rIv orae lhw fwa hwGed doSo (55008. ❑ I. ey oeear of tM proper, or my arnploy. with septa. m lhei teats mopwrion. W b Ns work and Ne mucuee a nd idelldod «dlered b web (SKew lou. Buevcn end Palaedou Code: The CCaraplow Bowe Law doea nal appfyto w avwd popmy wM mulch o%me w IMreaci and Mc d.ea eaaN warn th t Noel «Nrouph ha a M town o ons Mal of v p Iha aKh knit -b. a vs nd vaerlded a aired la send. r alta id n the bdNinp « 1. ile, a add f sale . Mev d mmpteron. Na ownerbdoer oil have tM bonlerl d pmdry M « tlIe did n« ddM a'vnpren la Ns purpeaa d sae). ❑ L o Derr of live popmy. ern ud sorely memacti g euh Sutwed mvectov to MramYl Ne project (Soon 70 . D am tae told Pmlwoes Cab: TM Comractols licelee lee, doe not appy mea oelw of popery who baMe « blpwu thraon A"I etc ommeab I« suds popple, amp a murmor(e) Icaread Ps 1.IM CaNtadme lioeoa lee). ❑ 1 an uemp undo Sscdan: B. 8 P.C.. Aa tlda reason: Data owner: I do heramY ter* that I me ewer- d and wdravM Ne realbemeru a Calami. Ileuh end SafrY Code S.W.. MSOS. 25555. end 258Se. end Na I or any Moe dald4v amlVave all f wil ort (ovob ane) need W comply Mh Ko mea aodu vId tM m mwoem, or a p.rmh i«mwmplion«m Ul,alon h«nIMN MEY auprom District. Reudraielmnarwion sppErdorwere uanp h«n Noe p,M . Dae: Applicant: WORKER'S COMPENSATION DECLARATION: I Mreby.Nem undo peaetty of PmpeY oris of de fobuwiM detlue''vw: q IMveandwB dao mecaaa"awkIm each em pmea kr wayuY mnparvaion,u prwoatl l«by semis SMOdtM leMr cos.. f« tM pedamwca d Uw wind 1« wNoh Ua permiw iuled. Mere and oil ovis pm works• ed. my �on imnerce. m wam.d my Sacton S edi ode lntrb Cab.la IM Wdormenaa d IM work la whin tM paper a asuad. Aly wnbn'Srpp oarsrce oris aH pokC/ wmbr o: EXPIRES Comer: L — 06/01/96 Pdry Numbr Lhasafke nM "Or ba«,Oww r the PrmA a Am aro hur9ed domme15Iwj m lute) . q 1 mop Nv i Ne CIM emiva d Ne work far odor Na Cisme a aaW. I ti nal .I p tory var.w F eery mow Klee' Morns mbjsd Io IM worker' mmprwaon plea d CeMomi., mId wpK Nv Y I afladd metates object to tM worker' Wrolog. F.R. w secufa workara'rorrpwwtetlon aovrapf Ie rorinyA4 Amy ~ "AW an rnPlaYw to Mrdral Pvldtlea aped 00 noes. w 0 arra hurdred Noateord dabs (5IOQ000A N eARdan m M my.1 corps aden Arwlpete u proeAYed W In 9Ktlon S1RR oI lM Labor CoA• InlaruL red ermtnlays bate. CpNSTRUCTION LENDING AGENCY: I hereto, affirm under psnaly of p.*y the thane a e oonaruplon Iendinp eparcy for IM Ndpm of IM work for ehlrN IM yema is aafeE (Section DDRI, Civ. C). LENDER'S NAME LENOER'S "BREW: 1 oaNty the I ere reed Ira wpliation end aas IM doe sbw Worm cet aooped.I Agrea to cora* wdh a dry end amoty moilamam and stere bee taojM to bulcIM eanalrudian and Mraby endless rayreaaraaMee of tkte ply tower upw tM ebova mevbred properly for "peooap oo«'' RICHARD WADE Data Sgtsbes Ovwl AppkwtlF«srapla (5151. .WP) Wlet gu ip A Solely: Gr.. o:Cory-dap~; Pmk-Rwanue: GoUeruod-Ai. CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 073192 PLAN CHECK N0: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PERM NO: B 073192 GOVT: N SUPP: N PURPOSE: REP JOB DESCRIPTION WINDOW IN BATHROOM 6 BEDROOM & R& R WALL SQ FT: 3,000 CLAIM VALUE: 3,000.00 CALL—VALUE: 3,000.00 GROUP OCC: R-3 / COMMENTS: REMOVE WALL IN BATHROOM FOR NEW TUB & RECONSTRUCT SAME PLACE *lf if *♦E dE if**iEfE iE*1E*♦ESE*♦E♦EiE**1E*)E♦E!F*♦E*1f iE♦E*lEdf******iE'1E 1E*if♦E if iF if iF iE eF;EiF**i6♦E**iF iE *lE SE yE*SF*♦E iE eE iF dE** Z O N I N GS ERTEHQAUCIKRSE 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 RGHT: FT IN PARKING REQ: PROV: PARCEL: 42253224 ZNE: REF NO: PLANNING NOTES> 54,50 OVER/SHORT: 00 BLDG P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GRADING PLAN—CHECK.50 dF 1E iE fE 1E iF 1E iE dE N•16 i1♦F SE iE eF iF RF if lE 9E 1Eli*iE iF iE*9E fE*iF 1E N•iElE**if iFKiE iE iE iE N•iE iE iE**1E*1E**sE iE*dFyEiF lE iE if lE if iE dE 34*eE iE**iE iE iE* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S i ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: �I�Ita sE ff*iE fF SE dE*iE d(•iE lE ii if iE iE SEkii dE lit iE dE it it if if iF df-SE*iE iF lE 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 54.00 .50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54.50 0.00 •- 0.00 54.50 54.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: 00 BLDG P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GRADING PLAN—CHECK.50 yE*ii iE**♦E dF iE of iE iE it*1E SElk dh iF if iE 3Elf*�E 1E lE SE Sf*iE SF Sk if iE iE k1E**Sb*1E SE dkfE iE lE dE if lE It lE iE ik iF iE*iE if iEfE**fk iE dE it N -SE iF dF iE lE it IE*dE 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 SFA 3000 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 3,000.00 END OF FEES 'y_1 J01z'-� 7-f.01a589& TOT 54.50 V1 c`iF: G7i1i1i` Ii�i�: 1+(?D CONSTRUCTION AND PLANNING APPROVALS Permit # Date i Y Inspector F100 SPA APPROVALS Permit # Date Inspector I. . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgr T. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6, Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd.`_ 60, Backwash Lines, P -Trap, ID ndrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Conhection 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 1 66. Solar System -Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69, POOVSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS Permit # 20, Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural! & Monocoat 75. Dry Chemical 27. Frame and Flashing' 28. Lathing & Siding /rS 76. Dry Standpipe 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace 38, Final Plumbing 39. Water Service -Final 40, Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING _ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No Date 0 ADDRMMWLDOn: 1014 W 19TH ST owREmNAMEDKNrNRh HEYING, JOHN A AODREsa 1014 W 19TH ST COSTA MESA,CA 92627 631-4073 A"L. MMIDIG ADD111M ARCHITECT OR END9IEER: LIC. W. UNIT: %ACN.OR EIOVS AWRESS: UNIT: cmmACTORSNAME A M CONSTRUCTION (800)691-0010 cmmAcTORSumm 1001 W 17TH ST ADDREs&COSTA MESA CA mmo, 542460 92627 umT: N LICENSED CONTRACTORS DECLARATION: I hereby aim under penalty of parµvy able I wap Howard u prmbims of Chapter 9 (mmmaidrq •ah SacUaA ]000) d Diridon 3 at Ns Blmtwae well Pminaas Code. end my ioatse b M hG bme well anted. CITY uc. No.: 6 0 24 uc. cuss: B u to.: 5 4 6 0 }�P : 08/95 Date: Cadrac a. OWNER SWLDER DECLARATION: 1 hereby ef5rm u Par e"Y of perjury that I am eawp bpm the Comredae leans- Lew la IM Idkw4q nem. (Ssakn 7031 S IYnneae ad Proleukne Code: Arty try or m mly which rpuim a parm6 b oaruvua, Baer, inprow, dsmdeh, or roper wry atmaae. prior to b bsumps, abto rmdns the aPptimp for ash PemN to Me a sipapd wwarraa the' M a aha I homed ptp>earr+ to Ihe ptovsiana of the Cmrewm Limnae Lew (Chapter 9 (o mmrmum wah Sa km TODD) of DMskn D of the ioaroa ere PrdseaioM Codel or Net M a we s exempt livestrorn and the baps la the WWgW ezemgion. AW vddion of Seaton TOS1.5 by arty app9mm I« a Perna edpcta Ue -MiuN b a o Wa&Y d red more Nem the Ievdnd dollars MMOD. ❑ I,npynwr of the property or Py artpbyees weh wepe, as Nr sole mmpnsaion, all& de week. wet the dreamer's app iaaded a dlrad for ads(SacDan TOM. Sumea end Prolueiaa Code:TheCmmsm Lunnaelewdonmapplybm6%t dprop dY w110 bulde a inpoa,a thereon. and ets don eah wak Nmsell b MnM «iMagh he ii her own emplvyea, pmidad m , impovemrn we Ad tithe adaredfaode.r hod1olrxthe b or «inp1."ge u e, of aro Two doanptrion, Oe owtw-0uidr Lap hew'M buNm d pmvinp M a she dk not bdk a improv 1«the prrPoss d mbt). ❑ 1, n owtr of the m rty. am aerAmwlY mraradkq wbh 1kw,aad omhawto e to muV W the poled (Seaton 7044. & VWSa end pmleaa'vs Code: The Caeredm lipase Law does wet appy to an o of propwey, wM ix" m i epwx Nerem ere who omve«a for arch aalaaa nth a mmreal.0) licensed mleowe to the Camraaa Hoene Law). - ❑ 1 am smmq Lada section: S. a P.C., fur IN, Owe: Owner: 1 do hereby oedM OW I am ewers o1 ad lmderthow the reauinroerds d CaMada Neebh and Safety Code Semon 25505. uses, and 25.53e, ad dW I or any Mm Miklinp poarma will / Lail na (dmle oap) need to oompy edh eek ams meas ad IM rmulremrn far e pared formnbmtiona modifirotionhomtMAkas{Mment Duda. Raudrusl mnarmim appimtionae exempt from Neu ptovia'vs. Data: App icam: WORKER'S COMPENSATION DECLARATION: I hereby wNm under pre9y d perjury err of the bOovAM dadadion: ❑ I naw ad wa massa aertfow d mora Io satl;MD. ior aorken' minpenWion, m povkM la byseman 3700 a 144 labor cad.. 1« IM Peri«trwae d 61e work la wNch Nie prams b beuM. _Cl l Mw ad w mdmen wdkav mmMrndkn in*+raws. n eauired M -Latin yoo the Lena Code. f«the pMamenoe d the 1C' work la wN Na hipanus ma inuedLa . MY w«ken' mmpeneaM inumma da adwl policy ember are: Cant: STATE EXPIRES poky Npmber — 06/01/96 Rus Maim aped na a. ow, areeeI de perms o yor nae hundred dole. ISIMI or be.) ❑ 1 mn/Y dtd n the pNanmwa d the wok b whkn slue pate a meed, 1 NN rte wetpla/ arty person n arty mww eon b hacone a biw to the wakes' mmpersaion le. of Cwdorda, ad 1. Na U 1 W bean rNiea to the worlers• caVnpien+/q iom of section 3%m of the Labs Map �weh m weA dee Dols: �'� ��_ Appliet���s��QAY1 WamMp: Fa . m.cun wmdrsi ronpsuatlon cnerepe la unbtwM, and Nal &A epl N employs b cdm'apl penaMn awl ", Mu up m ere hred,etf deuawId debt. (71040001 H ealeabn le Ns ant of ronpsuetlar, amone9n u p.eWed ler In Secdar 3709 of me Lebo, Coda, Idereat end waoney'e hp. CONSTRUCTION LENDING AGENCY: I hereby .firm under prWy of PwimY that then is a oormrmion 1141409 ro for IM pNbrmarce d the work he whiah the pone is egad (Section 3097. Ch. C). LENDER'S NAME: LENDER'S ADDRESS: I as wy Na I hew rod or, epplixlipt ere awe that IM above infurmaion is card. l ayu to mmpy era, a0 M sew ooumy ordinucee and We laws reldiq b lWdn9 mnaruuian eche hereby aphorize npasempN+s d the city to sora upon the dtw.mwiaed property fa tnpeaan prptaeae. RICHARD WADE s9umn d Oww/ApenvAppirenVConLrada (515146.WP) WhCa_.R.J , & Sealy Gra file: Cvary-A~: Pink-Rwwnua: Oddauod-Aseeeece CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 073193 PERMIT NO: P 073193 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: REP JOB DESCRIPTION WINDOW IN BATHROOM & BEDROOM & R& R WALL SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REF: B-73192 Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42253224 ZNE: REF NO: PLANNING NOTES> ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 35.00 20.00 r 0.00 55.00 55.00 .00 k kk k k kk kkkk k k kk k k k k k k kk kk k k kk k kk k kkk kk)Fk k kk k k kkk kk kk k k kk k k k kk kk k k k k k kkk k kk kk k k k 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: Got r/ DATE: kkkkkkkkkkkkkkkkkk kikkkkkkkkkkkkk FiFiFkk LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 35.00 257 SMIP/NON—RES PLAN ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 35.00 20.00 r 0.00 55.00 55.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 55.00 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 55.00 kkk kkkkkkkkkkkkkkkjkkkkklfkkikkkkif kfFk iEkk ktkkkkk kkkkkkkklF iE kikkif kfkkkkkkikk ikkkkiE dE iEkkkkiEk I N D I V I D U A L- TF E E B R E A K D O W N TYPE QTY D E S C R I P T I O NUNIT COST TOTAL COST PLU 1 BATHTUB 7,00 7.00 PLU 1 FIXTURE SET/TRAP W/P1i_R NG & BACKFLOW 7,00 7.00 PLU 3 WATER RE—PIPE 7.00 21.00 ENDA-OF FEES 01 00180.38c-00185386 T n- T 55.001// DATE: L7/11/G5 TIME; 14:49 CONSTRUCTION AND PLANNING Date APPROVALS Permit �? Inspector POO. PA APPROVALS Permit #T Date Inspector t , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Ltility•Undrgr60. 54. Forms I 1 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58, Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Trest 9. Water Pipe-Undrgrnd. ) 60. Backwash Lines, P•Trap, O•[lndrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final, 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains64. Plumbing System - Final 14, Rough Plumbing - - /Z 65. Electrical-Final4Et 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil 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 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31, Plaster Brown Coat 79. FINAL INSPECTION 32, Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: _r Zs7 y.` 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test2- 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing i 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 24623 COSTA MESA BUILDING DEPARTMENT -SAFETY P. O. BOX 817 COSTA MESA. CALIFORNIA CITY Of COSTA MESA For Applicant to Fill In Completely APPLIC��IRNVIR 1W IT ��{{J%}}�� TYPE OR PRINT G For Office Use Only UILDING w A IN Pm DDRESS O P[R TCOSTA MESA. CALIFORNIAR[e[ [AD--.45S 7,N,_vmz__2 v qp [ n[ S IB eD WNER I '/T y /'/ I l !l g!% 1 AIL BUILDING y DRESS 0 W. / T ADDRE98 FIRE TY NO.LJa''YSJ 44 ZONE TYPE GROUP APPROVED CHITECT TEL. D E ENGINEER NO.ZONING ZON[ NO. OF UBH OF NEW � _ Pune BuuDlxG 2 CONTRACTOR CD^4�1•�aL .(/^ LEGAL ADDRESe DESCRIPTION A. P. NO. IIS _ - CITY O' NOTE: NO SAME OVERHANG SHALL BE LESS THAN STATE TEL. 80• TO SIDE 9 REAR P. L. LIC. NO. NO. SIZE / / I NO. OF OLDGB. / EAVES ALLOWED (U. B. C.REOUIREMENT) ^ OF LOT NOW Ox LOT I ` YARDSAPPROVED YARDS APPROVED USE OF _ US MAIN BUILDING ACCESSORY BUILD[ G STING BLDG. C3+ —J (FROM C/L STR EET —�'•( SETBACK LINT FROM / FRONT 1 CENTEROF STREET tl '% REAR YARD 'U` R. SIDE) FT. FT. SIDEYARD LEFT —f RIGHT DESCRIPTION OF WORK L. BIDE FT. FT. NF -H1ALTERATION _I ADDITION ^A ' REAR .�/•� FT. - FT. DISTANCE BET. BET. MAIN 9 REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLD08. BUILDING NO. OP VAR.* DATE SIZE ROOMS STORIES C.U.P. It EXTERIOR WAL J ROOF W07' '"*P PV Q•L -APPROVED �IJ COVERING GCiU COVERING BY 44 DATE USE OF BUILDING AND WORK TO BE PERFORMED K t "XIO 80. PT. N � 1HERTBY ACKNOWLEDGE THAT 1 N V[ READ THIB APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE F AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FET ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m BUILOINO CON8TRU 10 N \ SIGNATURE O PERMIT FEE I L j PERMITTE g 3bp0 PLAN CHECK S �/.tL�.. AUTHORIZ; AGENT TOTAL FEE 1 U 909'7 COSTA MESA BUILDING -SAFETY DEPARTMENT CALIFORNIAP. 0. BOX 317 COSTA MESA, fOR APPLICANT TO f/[L /NCONPLETELY TYPE OR PRINT BUILD' /NG %I ADDRESS / J COSTA MESA, CALIFORNIA HE RECEDE® APR 221959 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOR OWCE USE ONLY O ng !" P / 1 /✓ / �`I/ CIL_ (../V Y RECEIPT NO. RECEIVED BY DATfi RECEIVE�D(� i Z�y OG[rly 7 IVA E` jS ,IJ I�P'� "995 MAIL ADDRESS Owl �'C/CC �1�� n �/ -6' 17 BUILDING CITY / y /y- 1��� ;� ADDRESS IIJ ARCHITECT LIG. OR INTER NO. ' COSTA MESA, CALIFORNIA A FIRE , ZONE type v/ group,./,//`V F/E�55 E/ �/ C/ S �>d �C?HTO:/ 7 Zs�O O/NT-�H OR BYPROVED DATE ZONING =S SSO2r -YS % AODR L— LEGAL LOT 3 'I 11 IT� ZONE NO. OR (PLANS I USE OF NEW DESCRIPTION NO.BLOCK I (.BUILOINO A. P. NO. / / S - Som.-- ROVED& , 4 ^ DATE BYAPPROVE By YARDS VES �a SIZE// G I NO. OF BLOCS. gfJ OF LOT /\ NO.ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. FRONT SFT. IN. SETBACK LINE FROM CENTER OF STREET - REAR YARD93 R. SIDE FT. tI' IN. S IZ I / I SIDE YARD LEFT RIGHT // L. SIDE 16FT. IN. DESCRIPTION OF WORK REAR :35 FT. IN. ` I NEI I ALTERATION I I ADDITION I p� J I II I REPAIR MOVING DEMOLISH � 1 � BUILDING O p, NO. OF -� JVR SIZE 36 t ROOMS STORIES EXTERIOR WALTr,,t, ROOF ,/ �OG / COVERING // COVERIN f l USE"F/ BUILDING AND WO K TO BE PERFORMED / / C � GS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE T T ABOVE IS CORRECT AND AGREE TO COM. THE AMOUNT SHOWN WISER VALUATION IS FOR THE PLY WITH AL CIT RDINA CES AND REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING C014ST �8 VALUATION S �J �O — SIGNATURE OF $ �V �� 1 PERMIT FEE PERMITTEE PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE S 41