HomeMy WebLinkAbout352 19TH ST - Building Permits:�
�obadaress: 352 E 19TH ST Status: ISSUeD
Suite: Applied: 08l712005
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 08I112005
Primary Occ: R3 Dwellingsl Cong Res <70 Type of Construction: V-N
Parcel Number: 42630123 Zoning:
App�iwnt: MC CARTHY, JULIA
Address: 22622 LAMBERT ST
STE 303
IAKE FOREST, CA
Owner: MAMISHIAN, MARGARETTE TE2 "
Address 16 PEBBLEWOOD DR - - �
IRVINE, CA . _
Contractor; BIENEK ROOFING
Address; 22622-LAMBERT ST
STE 303
� LAKE FOREST, CA -
Zip; � g2630 � � �
Arch :
Address:
Zip:
Phone:
License:
Phone: (800) 499-1340 ISSUED BY:
Zip: 92630
Phone:
- Zip: 92604
Phone: (800)499-1340
License: 651509
Eng:
Address:
,_ '
Phone:
License:
," �� - SCOPE OF PERMIT � � � � �
REROOF RESIpENCE AND ATTACHED GARAGE: TIO EXISTING COMP, CAP SHEET FURNISH 8 INSTALL MODIFIED BITUMEN ROOF SYSTEM F(
ROOF (6 SQUARES) AND FURNISH & INSTALL 30# FELT, APPLY 30-YEAR COMP SHINGES ON PITCHED ROOF (8 S�UARES).
TOTAL: 14 SQUARES � �
,f - FEE SUMMARY :, , .
Plan Check: $0.00 =' '.. Calc Valuation: S3,ioo.00
Permit: $97.25 Claim Valuation: ss,too.00
SMIP Res: � $0.50 � � , . � � � �
SMIP Com: $0.00 - '
Other. $0.00 '
Inspection: $0;00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front,,,r 0- 0
ACCESSORY
PARKING
Front ` 0. 0
Existin :, o
IRear 0-0
Rear 0. 0
� Reauired:
0
PLANNING & ZONING
':�.Lefl ` 0-0- . Right
� � � left 0-.0 ` � � Right
� �., �'�Pr000sed: � �6- �
\ 3-
- .. i�...! - . .
0- 0
0- 0
m
NOTCE: The work authorized by ihis permit shall compty with all applicable handicap access requlrements under Calllomla statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permlt shall automatically ezplre and become void if work Is not commenced wlthin 180 daye, or If work is suspended or abandoned
for a period of 180 tlays. �
INSPECTIONS: In order for the vrork authorized under this permit to be considered legal, such vrork must compty with all epplicable codes, and all
requlred Inapeetlona and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expl2tion af thls pertnit.
FOR INSPECTIONS CALL: (714) 7545828
�....... �...�.,�
WORKERS'COMPENSAnON DECLARAnON:
I hereby eXirtn under penalry of perJury one of the fdlowing tleclarations:
❑ I heve and wlll malntein a certlllcate ot consent Io self�lnsure tor workers' compensatlon, es provitletl for by seMion 3700 of ihe Lebor Code, tor the pertortnance oi Ihe
�work for which Ihis permlt Is IssueG.
� I have and will maintain workers' compensatlon InSurance, es requiretl by sectlon 3700 of Ne Labor Code, br the pertortnance of the work for whkh this pertnit is issued.
�My�vers'�compensetion Insurence ca�%�r e�ntl pollcy number ere: � ��� ��(J �
Gertier."- � � �iV%�nl � G✓�i�c� Pblr' Num `
�s need �ror t» oompierea ir r� pemdr ve�u er o�e nundred eaiars /sroo� or �ess./
❑ I cenify thet in the pedormance ol Ihe work for w�ich I�is pertnit is issuetl, I ahell not empby eny person in eny mannar so es to become subject lo the workers'
compensation laws ot Celllomle, enA apree Ihet II I shoultl become suDlea io Ihe woAcers' compensatlon proNslons ot Sactlon 3700 of Ne Labor Cade, I shall foMwit�
��m��eseDro �i� ns. bete:�- �/` //%�l�
WARNMCi: FAILUPE TO SECUR ORKERS' COMPENSATION MGE IS UMAWFUL ANO SHALL SUBIECT AN EMPLOVER TO CPJMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
THOUSAND DOlLr1RE (5100,000), IN ADOITION TO TME WST OF COMPENSATIXJ, DAMAOES AS PROVIOED WR IN SECTION 31O60F TME LABOR CODE, IMEREST, AND ATTORNEYS FEES.
LICENSED CONTAACTORS DECLARATON:
I hereby attirtn that I em licensed ndery(oHs�l sof Chepter 9(commendng with Sectlon 7000) at Dlvision 3 of the Business entl Proteu�ons Code, antl my license is in fuil
torce ena ettectS�d"�'�i� l- ��i-i CIaSg:r �- 3`"�
CONSTRUCTION LENDING AGENCY:
❑ I hareby eHirtn that there is e construction lending egency for Ihe pertormence ol the work for w�ich this partnit is Iuued. (Sec. 3097, Civil CoAe).
Lendefs Neme: Lentlefs Atltlress:
SigneNre: ' Data:
OWNER-BUILDER DECLARATIONS:
I hereby effirtn t�et untler penelry ol perjury tliet 1 am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for t�e tollowing reason.(Sec. 7031.5, Business entl Professlons
Code: Any city or counry which requires e permit lo construcl, elter, improve, demolish, or repair eny siructure, pnor to its issuen¢o, also requires the applicent for such permil
to flle e signed stetement ihet he or she is IlcenseA Dursuan� to ihe provlsions ol the Cantrectors LJcense Lew (Chepter 9(commenclnp wlth Sectlon 7000) 01 DlNsion 3 of the
Business end Professions Code) or t�at he w she is exempt t�eretrom antl I�e besls for the elleged e:emptlon. My violation o1 Sectlon 7037.5 by eny epplicant for a pertnit
sub�ects the ap0lkant to e dvil penalty of not more then five �undretl tlollero ($500).):
❑ I, es owner of Ihe properry, or my employees wlih weges es their sWa compansatlon, WILL DO THE WORK, end Ne sWCNra Is not intended or ofleretl far sale (Sec.
7044, Business and Professions Cotle: The Contractors License Lew does not appty ta an owner ol properry who builds or Improves thereon, anC who doas such work
himself or herself or Nrough his or her own employees, provided ihat such improvements are not Intended ar ofteretl tor sale. If, however, Ne building or imprwement is
sold within one year of completion, ihe owner-builtler will heve the burtlen of proving Ihat ha or she tlid not build or improve lor purpose ot sale.). '
❑ I, es owner ol Ihe pmperry, am EXCLUSIVELV CON7RACTING WITH UCENSED CONTRACTORS to cronstruct tha proJect (Sx. 7044, Business and Prolessions
Cotle: 7Te wniractare License Lew tloes not aOPN �o an owner o1 property who builds or improves therean, end who contrects lor such pro�ect with e contractor(s)
license OurSuent to tho Conirectors LiCenSe Lews.).
❑ I em e:empt undor sa. Business end Professions Code for Ihis reeson:
Signature: Da�a:
Owner ID venfied by drivefs Iicense. � Ves ❑ No Drlvers Ucense No. Ezpires:
Venfsation ot Ownership �y (rypa of document, Le. - property tu bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
❑ I heraby certily Ihet no excavetion live (5) or more feet in tlept� inio which e person Is required to descend, will be made In connectlon wilh work eulhorized by f�Ls
pertnit, end thet no bullding structure, sceHWding, lelsework, or tlemolltlon or dlsmentlinp Ihereot, wlll be more than thirry-siz (38) teet �ig�. (Chep. 32, drp 2, Atl 2, Sec.
341, Title B, Calitomia Administrative Code).
❑ As owner-Duilder, I will not employ anyone to do work which would require e pertnit trom tha Divislon of Industrial Satery, es natetl ebove, unlass such person has e
permit lo do such work from the division. '
Signatura:
Division ol Industnal Sefery Permit Number.
Date:
1 Wi0 the aOP�icant or present or fuNre bulltling accupent need to file end certity e Business Plan lor emergency response to release or IhreateneA releese of e hazerdous
materiel? ❑ Yes ❑ No
(Sectlon 25505 ot the Califomia Health antl Safery Code reduires, with some exceDUons, Ihet e Business Plan be filetl with t�e Coste Mese Fire Depanment 6y every
business which has a� any one Ume during e reported year a quaniiry of hezartlous materials eQuel Io or greaiar ihan a weight o1500 pountls, or e volume ot 55 gallons,
or 200 cubic feet of wmpressed gas at stantlartl tempereture entl pressure).
—.._........._ ..............__........._.......__......................_..._�...................... "_'_" ' "........_... "'
2 Does or will ihe applicent or present or luture building occupen� nee0 to lile a repisiretim form for ecutely hazardous meteAalsl ❑ Ves ❑ No
(Sectlon 25533 0l the Calllornle Health end Sefery Code, with some ezce tlons, reqWres regislretion with the Coste Mese Flre Depanment by eech buslneu wNcti et eny
one time has on hantl e Quamiry at acutety hezeMous mecedals equePto or greater t�an e welght ol 500 pountls, or e volume ot 55 gallons, or 200 cublc teel oi
compressed ges et stentlard tempereWw entl pressure).
_ ......................................._........................................................................................................................__........................._""........................._....._.....""'..._..._........................_..._.........._...__......................_................_............
3 Does or will the epplicant or present or fuiure building occupant need to prepare an RMPP (Risk Menagement end Preventlon Progrem for acutely hazerdous materlals)7
❑ Yes ❑ No
(Sectlon 25534 of the Califomie Health and Sefery Cotle provides Ihat Ihe Costa Mesa Flre Deperiment may require ihe preperetion, certificatlon entl tiling with the Fire
Deperiment oi en RMPP Dy businesses which ere requireA to register eatety harardous meteriels wlih the Fire Department.
__._ ................�.__._....._._......................_._.._....................._.._ __�_..__ ..__....... .._. _....�.__._...._—_"..
4 II en RMPP Is oresenlN reoulre0. has Seclion 25534 of the Calilomia Hoalih entl Safery Cotle Deen fulry compliatl vrith7 ❑ Ves ❑ No
5 Does or wlll the eOD����� or presenf or future bullOing occupant require for the work which Is the subject of this
tram Ihe Sout� Coest Air �uallty Managemont Distda or irwn eny other eir polWtlon contrd tllstdct or egencJt
(Sectlon 65850.2 ot the Calitomia Govemment CoOe repuires t�at the roQuostetl Inlormation be tumished on ap�
.. .............. .. ............................__..........................................._._..........................................'___.........................__
B Will any pen af Iha taclliry to be wnstructed under ihls permit be within 1000 feet from the outer boundanes of a
(If yes", ihe fadliry must meel lhe requirement of Sections 25534 and 62303 0l l�e Celifomia Heelth end Safery
on a pertnit lor 5uth tonSlruCllOn or
�J Na
lor non-residentlal bulltling Oermits).
_ ................................................."'.................'_ _..............._....'__..............._._.... _......................"'_'__"'............................__....._......................................__.................
If e permit from the South Coest Air Oueliry Manegement DIsMd or other eir polWtlon control disidct or egency Is requlreE for the work whlch Is Ihe sub�ect ot this
flppllcation, have ell ol Ihe disGasures Orescnbetl by Celitomia Heelth end Salery Code Sectlon 42303 baen made7 ❑ Vea ❑ No
_ .............................'� _" "._.._..._. _...... _._.........._...__"...........................'—'.................._................__.
QI yes', ettach cenificate oi wmpliance Irom t�e eppropdate eir pollWon conlrol oMicer).
CERTIFICATE OF COMPLIANCE: I certify thet under penalry of per�ury the inlormation given ebove Is corteM. I egree lo comply with a�l stete lews and dry ordinances
regarding Hazerdou9 Materials antl Emissions.
Signature: Date:
CER7IFlCATE OF COMPLIANCE AND AURIORVATION OF EMAY: I certily under penalty ol perjury that I have read Ihis epplication entl state thal the Inlormetion given is
cortect. I egree lo compty wlth all state laws end dry ordinence5 relating to bullding construclion, entl authodze representetives o1 the Ciry of Coste Mesa to enter upon the
ebova-tlescribetl property for inspection puryoses. I egree not to occupy or allow occupancy of eny builtling eu�honzed by this pertnil until final inspection. '
CQOE �.
1816
1266
200
201
202
203
204
INSPECTIONTYPE
Flzed System Flnal Fire Preventian
Pool Spa Final
Pinal Re-Roof
Final BIaWReWining Wall
Final Fectory Fire Plece
Finel Slgn
Finel Demoli�ian
�E
�� �Qy� INSYEC710NTYPE
208 Finel Mec�flnlcal
� 208 Flnal Plumbing
270 Flnal Elenncal
212 Finel Fire Preventlan
220 Flnel Planning Approval
222 Flnel Site
250 Finel Building/Oaupency
(714) 754-5273 • Fa�c (714) 754-4856
Job Address: 352 E 19TH ST
Suite No
Vicinity:
CITY OF COSTA MESA �
Bl/ILDIN6 D/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
ELECTRICAL PERMIT
PERMIT NUMBER
E99-00782
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 08It8/1999
Issued: OS/18I1999
Parcel Nunmber: 42630123
Applicant: JIM COOPER ISSUED BY:
Address: � --- i���.�-�_��_?^�� �� ���,__
/�'!=� � . -Phone: . , - . .,.
///��/��� �- 1 � � Zip: / \ �\ -
) ? `
/. ��; � � � � �� �. `-���
��
�,�%%�� ��. � . � \_� � . . _. ... � , ,�A � �"�.,��
Owner:
i ;-
/i //
Contractor: ;-
��/ Address
/��, \�,i
t �
i _ '
, �
� }' ` _ / ,,��i
'/i . .
VE, CA�%�% � /
����/
// �
� - _ _ �_ ,� , -�, � �V .
� . _ �: ��.- - ;�, ` - �; `� �� � ) �
,._ ��� �� �� �
Phone: � `\\'\ ��.1
Zip: 92604 �.��
C RED INC "
V:COLORADOBLVD#3003W ���
� Phone J.,(800)370-2378
IDALE, CA t ' : : ' �Zip: �. 91204. �
/ /
-, , Y.License: 745375 � .�
� .
O�v � � �
��\
�V'., �
� /
. =��i �
n, l ` . ___ _... / \\,.�..
�'' I '-���i��%'�, /.� SCOPEOFPERMIT � '� 1-_'
��'. \� - � UBGRADE EXISTING 100AMP ELECTRICAL PANEL TO NEW 200 AMP PANEL IN SAME LOCATION.
i �.� / � �!� . - - ' _ . �
.� /_, . � ..-.�-���i,: � i .. �
, �' i , .. <a� ti7.1„ � ,
�� i � , .
i ,
�
�� - � �
� '�ISSUEFEE � , hL-. 523.50
',, ��Temp semce test.,, . 50.00
', �Res: a/c package ,, $0.00
New�Res,(1-2-units)';�.,��v: $0.00
New�Res (3+units) \�',\J $0.00
Pool /�Spa �� ����. � 50.00
LigMing FcRs•, �. �V �� �A... $0.00
ReceptOutlets� � ` "� 50.00
VA � ��
Switctigs���. �� / �-\� �$0.00
Non Res�Appl �- � .��$0.00
Res Appl ,`'\\ � �� \ ��50.00
Service to 200a� , � $30.50 ,
Service to 7000a $0.00;
Service over 1000a� ���50.00 �
Motors to 1hp ��� i i 50:00
Molors l0 10hp �� �� 30.00
Motorslo50hp ����� "$0.00
Motors l0 100hp �� ��� 50.00
Motore over 100hp - -50.00
Communicationdrops �-�-,$0.00,
Sub panel to 200a $0.00
Pole Light Pkg $0.00
Sign Circuits 50.00
Temp Pwr Pole 50.00
Intermed Pale S0.0o
"e,::• . .'-FEESUMMARYr-n ..�;o;.... � ,
,
Quantity �., _ � ; � Quantfty � ,
, � , ��,��a=(� ;�; �; -�-Tgmp�Dist System I.Cighting �, $0.00 0 � � � ' �
�. .. - ' Busway/100ft% - - � $0.00 0 �
� - - �- Standing,Section` � - $0.00 0 �',�
0 Misc Electrical Equipment $0.00 0�� �" -
� 0 Trensfovners up to 1 kvalkw �,$0.00 0;��'; �-
0 ......... :....:up l0 10 kva/kw . . $0.00 0 �i �. � '
� � �
• - P ! 50.00 ;,0, / ,-; . �, •
0 -• . .................0 to 50 kva/kw ,
0 " . . � � ..................up to 100 kvalkw �� $0.00 J',0/ � --. �� � t�i
�' 0 � .:....:::.........over 100 kvalkw ' y0.00 � �' 0 � �' �/
� �,i/ � /'�i ,
0 _ Lov+ Voltage Equipment ., �$O.00,;i-, 0 , ,
0 � .� . Low Volt Wiring System I Ckt � $O.00�j" 0�:' �
.] � _ �� � _ -Mlsc.�Conduit" „ -, - 50.00' 0 � � �
�-'.�0' " � Misg Conductor � $0.00 - � 0 ,�, "
0 - � . - Ci�cus ( gen or ride) . � � $0.00,� :!i 0• � �
�
= - 0 � : - Circus (mech rida or hghfs) � $0.00 ; :�0 � � i
0� . � .>��ChristmasTree�Stend� � � $0:00;-, 0��
, 0 � -'��� � • � Fireworks Stend ' 30.00= 0;� �
i0 --� Other Eiedrical Fee , � � ,$0.00 � � /
. "p. ' . ' ,' �
0 _ , � - - Investigation Fee � '. � � .$0.00 �
0 � � �.Plan Check Fee .. � ,;�;; $0.00
_ 0 - � ' - A'Reinspection Fee � ' $0.00
0 � �, - .
_ i- i
0 "��- TOTAL CALCULATED FEES 554.00
0
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void if wo�k is not commenced within 180 days, or if work is suspended or abandoned
for a penod of 180 days. .
INSPECTIONS: In order for the work authorized under this pertnit to ba considered legal, such work must comply with all applicable codes, and aIl
requlred inspeetlone end flnal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS'COMPENSAnON DECLAHATON:'
I hereby aHlrtn untler penelry oi per�ury one ot t�e lollowinp deUeretians:
❑ I have entl wiil meintaln e ceNficate of consent to self-Insure for workers' compensation, es provided for by secGon 3700 of the LaUor Code, tor i�e peAormanca oi the
work for which Nis permit is fswed.
4Y I have flnd wlll maintain workers' compensetlon Insurarrca, es requlrad by sectlon 3700 of the Leboi Cotle, lor Ne pertortnance oi Ne xrork for which this pertnit Ls issuetl.
7� My warkers' compensetlon Insurence carder entl policy numbor ere:
Certler: POIiCy Number:
(Thls sectlar need nof be completed!! fbe permit is va/ued et one hundretl tlW/ars ($100) a/ess.)
❑ I cenify ihat In the pertortnence ot ihe work br w�ich Ihis permit is Issued I shall not employ eny person in any manner so es to become sub�ect to Ihe workers'
compensation laws Cellfo Ia, entl agree t�et It I shoultl become subJect to the workers' compensation provisions ot Sectlon 3700 of the LeDor Code, I shall torthwi�h
wmplywiththese avision
app�iwntsignaw�e: ' oete: � (8 ���j�
WARNINO: FAILUFE TO SE UPE WORKERS' MPENSATION COVERAOE IS UNIAWFUL AND SHNLL SU9IEGT rW EMPLOYER TO CRIMINAL PE ES AND CIVIL FINES UP TOONE MUNDRED
TNOUSAND OO�IARE (51 000), IN A�DfTI O THE COST OF �MPENSATION, OAMAGES AS PROVIDED FOH IN SECTIIXJ 3]W OF TNE LABOR OODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm Ihat I am Iicensetl un0er provislons ol Chapter 9(commencing with Sectlon 7000) ot �Ivislon 3 of Ihe Business and Protessions Cotle, end my license Is in full
torce antl enect LJc. u Class a �--' � �
Conlraclofs Signature: a - ,y,�� _ Date: � � /g � �
CONSTRUCTION LENDING A�ENCY: -
❑ I hereby attirtn that there Is a conswctian lending agency for the pedortnance oi the work tor which this parmit is issuetl. (Sec. 3097, Civll Code).
Lendefs Neme:
Signe�ure: _
Lenders Address:
Date:
OWNER•BUILDER DECLARAT10N5:
� hereby affirm that untler,penalty of perjury thet I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end P�ofessions
Code: Any ciry or coLnty'�whiCh requires a pertnit to construct, elter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit
to file e signed statement�tAeYhe or she Is Ilcensed pursuent to t�e provlsions of the Contreqore Ucense Lew (Chepter 9(wmmendng with Sectlon 7000) 01 DMsion 3 of tha
Business antl Proleuions�.Code)�or tt�a� he or sho is exem0� �herefrom end the basis br Ihe ellegetl exemption. My dWetion of Section 7031.5 Dy eny applicant for e pertnit
su6�ects the eDPlicant to a civil penelry,o} not more t�en Ove hundred dollars (5500).):
� �i ��a�
❑ I, es owner of the propeny, or my.employees wil� weges es iheir sole compensetian, WILL DO 7HE WORK, antl the slrucNre is not intentletl or oflered tor sele (Sec.
7044, Business entl Professions Catle:iThe'Contractors Llcense Lew does not epply to en owner at property who builds ar improves thereon, end wha tloes such work
himself or hersetl or ihrough his or,her own"employees, providetl thai such improvemenis are not intentletl or ottered tor sale. If, howaver, ihe building or improvement is
sold within one year of completion,�Ne�owner-builder will have Iha burden oi proving t�at he or sha did not builtl or improve tor purpose ot saleJ.
� I, es owner of the pmperty, em EXCLUSIVELV CONTRACTING WI7H LICENSED CONTAACTORS to wnsWct Ihe pryea (Sec. 7044, Businass entl Protesslons
Code: The conlreciors IJcense Lew does not epply to en owner ot property who Dulitls or ImD�oves theraon, and who wniracis br such proJect wlih e crontractoqs)
license pursuant to t�e Contractors License Lew9.).
❑ I am exempt untler sec. Business antl Professions Code tor this reason:
Signature:
Owner ID veritied by tlrivers license.
❑ Yes � No Drivels License No.
Verilication ol Ownership by (rype oi tlocument, i.e. - property tan bill or tleeA):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Date:
Fxpires:
❑ I hereby cenity thet no excavation Ilve (5) or mora teel In depth Into whlch e person is requlred to descend, will he matle in connection with work auNorizetl by this
permit, entl ihat no builtling struc�ure, scettoltling, telsework, or Uemolition or dismantling Nereot, will 6e more than ihirty-su (36) teef high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title 8, Callfomla Administretive Cada).
❑ As owner-bulltler, I wlll not employ enyone to do work which would require e pertnit trom Ihe DiWsion of Intlustrial Safery, as noted above, unless such person has e
permit to do such work tram the dlvlsion.
Siqnature: Date:
Division of IndusMel Seiery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORRATON OF EMRY: I certify under penelry of per�ury that I have read this applicatlon antl state t�at the intortnetlon given is
coned. I egree to compy with all stete laws end clry ortlinances relating ta building construction, end authonze reD��ntetives of ihe Ciry ot Coste Mese to emer upon Ihe
ebove-descr�betl property for inspecllon purposes. I agree not ta accupy or ellow occupancy of eny building authodzed by Ihls permit until flnal Inspectlon.
COOE /, INSPECTIONTYPE
1676 fixetl System FinelFire PrevenUon
1266 Pool Spa Finel
200 Final RaRooi
201 Finel BIocWRetelninp Well
202 Finel Fettory Fire Place
203 Final Sign
204 Finel Demolitlon
2MBd6
�eIE li�e�
Date
�1 �-�w
Date
SOUEt INSPECTIONTIPE
206 Final Mechanicai
208 Final Plumbing
210 Final Elettdcal
212 Finel Flre Prevention
220 Final Planning Approvfll
222 Final Site
250 FinalBulding/Occupency
PAg ItiDD�lS
•ronFssaem�wa: 3$2 E 7.gTH ST
� �asru�EiFa'°'"": MAMISHIAN MARGARETTE TR
�� t6 AEBBLE�lOOD DR
t� IRVTNE CA 92714
552-46�9
wx. �uia+a woaess:
9
�xcxrtecr on onx¢n:
cartn�crars �•�.
LpRAALTOR4YNW10
/iWME55:
urn:
uaw.:
ur+r:
IlG Iq:
UNT:
UCENSED CONTN�CTORS DECL�PITION: I hsreby allim vdx prWY d pajuy Mtl I mn liron�etl unda po�idwu d Cheqr 9
(eamme�iq rrith SMion )000) q Orvuion 9 M Ihe Bmnas md Pedaweu Code. eM mY 4wus u in hA lau xd aflau.
em uc. No.: uc. cuss: uc. No.: E X P:
om.: oavmor.
OWNER BNLDEP OECLAflATIQN: I lvaby d(um ivkr pw�Y d pnjry Na 1 em mminp ham Ns Catl�rfm I.isms lax la Ns
IGbw*q iseaon ISatlian 10�t5 &nim+ W Pmle�u COEs: MY M' a muraY W�id� �W�a e D�Y lo aonetrun. eCer. impro.e.
damofeh. a raper my ewcnve. qvr b h eauum. eho nPva+lhe eppfrem ta aCi pam's to Ne e dpied swrmN tlW M p she
i �oen.sd w�� m tne a�+fans a ms cavaam l;nma la. �CAear s(mmmenvro wun swa� �000) d oiieion a d �ha
duvirou erd Adeseioru Code� M thm b a eM u memp tAereham end �M bem IQ Ne elbped sssmqion. Nry vidtlion d Setlion
�]1.5 by eiy eppkrant �a e parrN �n Ihe appfcem to e dvi pwuEy al nol mae tlw� fxe MiMaE EaOen �S.AOU.
� I.nowiwdlMpvpenyamyemplv�w�wiAwpe�niheicbmmprqmion.wTdotlrxM.WNs�wcwnenalmleMed
a oRxeE br veb (Section ]9a4. Bu'uwv end Pmleeabv+COEe: TM Canirana+limma lewdom �wt evDMto en ownx d vroPaM
wM Wide a inV�'e? thrBan. aM Mn Eoee �uN MqklnnfeC a MreN a Waqh liv a hx m�n amible^^. P�� IhO� m�ch
'unpwpnam� as m� upeMeE a i11seE la We, tl. Mwewr. ihe buildin9 u hnpwwnaM u eotl wil�in aa Yw d mmPblbn. Ua
�ownerCwlder xill heve ihe 6urden W pwi�q M,a eha d'd na bulE or impo.e 1« tM puryme d�wb).
�, aa owner a �n. wowM. am mtludwlr mm.eano M'Vn umv.d omuec+ois m m�mud m. pqed (Swun rou. euai�roa. vd
Pmfauidu Codn: TM Cuxx'aqm licanw taw Aos nd N9N m en avrtw d GAo�Y Wa MNtl� a ImPa'e tlwaon end v,ho
canl�xU b wM VN^ds wdh e mmrmala) licm+sd p+�ueN b �M Camrmu� lionva LneM. �
� I am exemV� vMar Saclian: � B: b P.c.. br Ne neaon: _//i �/// /�
o�.: 3= a�� �-�,.-m� a�iP�%u o�r,-woi
� m na.nv unur �nu i.m.�..�a d.oa ud.+w�a m. na;�.�«m a uu ' �..en.oe s.tin coe. sw�. zsws. uva. m,e
T55N. vtl Nel I a M' huwe Wilpuq ma�uu xi0 / wil M(ercb one) nesd w conV�Y wih seid mt� mM� vd iM nWirsmrw br
aWmGlvmr��uclionamoAfrmiontran�MAi�y u�paMOiCriq.ReedraiYameMoneppFtliorommemqhanNws
a�.
Dm�: �OP�uN: �
W ORKEN'9 COYpplSATIp1 DECIARATION: I MnEy Nfum udr panMy d pae�ey ons M Rw b0oiw�p EMsrebm:
� IM1aweMwilmeimene<py(r,a�sdmiwi�io�Wtinurabwhesmnpsuetim.opwiJ�ElnbyBetlbn3)O�dtMlebor
Cade. la iM p«larmerce d Ne xvM 1> wNrh Nu pamit u WueA.
/❑ i n....�e w�� m.im.:� w«t..�,o,�apmo� w�,�,o..., �.mm.a nv s.ao,� aroo a ub �m. wm. ro� m. w�ro.�oe a m.
work la xfiiefi thu W�� 4"rmued. MY waken' oanW�ion mwruiee auriar aM VdKY rwmba me:
c�«
�a�.v r+�na:
(Thi, ..uion m�w rd es cmipxee l w e�e u ror an. nudrsd mren Rrm) n boJ
}[' 1 aliY Uw in tlr V�ame�ra d IM wk br W�kh tlu DMN b uwnE. I YW �d �nWW e^Y Dr� In M' memwr �o n lo
Mcmn wbjed lo tM v.vNy1 runpenWion Isn d CWmi�, rd ep�w tlW i I NdW Esmr wA�ie �o tM wo�lnn'
cpryw/n/�qion D�^e've pM Swion �100 d tM leEor CaM 1 WI IanhwNh cvnpl�p�]�*y��j. pmtvu. /]
�Dme: 7^� 2� L �% AOOGW:��Yb _�'F���'L��'-"�_' Ilr�
r
W�m/�p: F�Nun ro Ncun work�n' conpw�ultlon cowrp� Is w4rM, Ntll ulNcl �n Nnplonr ro MM�uI p�nWa uM
elHl flnu �p m arM �uWnC rypuuN Aolhn (JI04GGOA h�tldtldtlen ro aat o/ eonpnwtlon d�mp�� u provMM br In
9�ctlon 9lOB o/ tl�� LtlarCa0.. Infr��L uM �ttomy� l�a.
CONST1ilOCT10N LENOINO A4ENCY: 1 haraDy effirtn urMx pv�eR/ d pr}ey �hm Ners e e aonKiudim MnNnp qenry h the
poAormeMa d �M xwk la wfik� t�e D�� u eausd (6edion ]Wl. CH. C).
LENDEfl'S rypyE:
LENDEfl'S AOOpE53:
I ronih thm I law rud Nu eppftpp� pq uw I!W ths ebws'ndm�utbn o carw. I qpw io mmply w4h ell ary aM mumy ad'uiercee
ard eW e 4xi roltlM b b�aldM mmnWim rd hareb/ aNlvha rtpm�euvm tl Ne my b Wm upon �M eEaw�meMivwd popeny
lorinspeuion purpoaea.
MARGARETTE p4AMISHIAN
Datc .��a 3 - 9�
15t51-16.WP) WNIs@udd p d Seie�1: d�aen-Re: Cew1�MV�e: Pink-Rerenn: GoNsvob-Aieam
CITY OF COSTA t4ESA - �UII�DING PBRMIT
PERM NU: B OES306%
PERMIT NO: B 08J067 PLAN CHECK NO: 02064-97 L GOVT: N SUPP: N
CONSTRUCTION TYPE; I PERMIT TYFE: STR PURPOSE: ADD
JOB DESCRIPTION : 61 LIN FT OF BLOCK WAI�L 6FT HIGH SQ FT: 61
CLAIM VALUE: 7,220.00 CALC-VALUE; 7.,220.00 GROUP OCC: R-3 /
COMMENTS: RESIDEN'CZAL IMPROVEMENT
ik 1E fE * 1f iE if i(' 1P If If IE IE iElE 1f 1F 1F iE IE k!E 1E iE if iE if IE *�E 1ElE 3f 1E iE iElE 1F 1f fE iE fF fE iE 1E fF if ib if 1E if 1f ib iE iE iE 1E 1E If ik if if 1k 1E �F �E IE iElE If if if 1k iE 1k if if IE 1E
Z O N I N G 'R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IA! 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: 42630123 ZNE: R] REF NO:
PLANNING NOTES> CONSTRUCT 61 LINEAR FEET OF 6' HIGH BLOCK WALL IN FRONT OF H
> OOSE. 10 FOOT SETBACK FROM FRONT PROPERTY LINE,
iElE fE iE ik 1E �F �F 1ElE 1E 1f iF 1E if iE iE 1E iF ft fE Ik ik if iF 1E iElE 1E fE iE if fE ff 4 i! IF iE i! If if 1ElE 1E if 1f IElE fE 1f !E 3E iE iE iE �k IE IE fE iE 1f 1k ik if 1f 3E fE iE jE;3E if ik iE 1!!f �E fE iE �E
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 �1,�I� DATE; "�J: z3 q�
HUILDING APPROVED BY : WS•B DATE: ��Z� ��
APPLICATION ISSUED BY: '' il/D. S DATE; S-Z.3 7/
1k 1E 1f 1E 1E 1E i! ik 1k 1f iE fE fE 3E iE !f iElf iE iE 1E 1ETF?F�FiF�F3F3F3F�F�F�TF�i��R�£'iFiPliiF�FiF3FifiFif?F 1E 1F 1f if 1f 1f iE fF if lE�iFiF k fk
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 43,00 SO
PLAN 27.95 SMIP/NON-RES
ISSUE FEE �
BUZLDING-DIV-> PERMIT ISSUE �PLAN-CHECK TOTAL PAID DUE
TOTALS----> 43,50 0,00 � 27.95 71.45 71.45 .00
REVENUE DIVISION TOTALS--> COLI.ECTED: 71.45 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC`MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
43.00 �- .50 27.95
ifiEiElfitifitk1E1f1EiEiEif�E1E1f IEff�El��tkkitiE�tkitiEiEfEkifiElfkkkkiElEfflfitilfEiEiFikiEkitiEifkkfffElEilklFiEiEiPiEiEiEiElEitititikifkit4
I N D I V I D U A I;� F E E B A 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 61 RES-CONCRETE BLOCK WALL / FT, 20.00
':END OF FEES
N
!' �
1.220.00
�5-23-1397/�3:Co D�V511.4a
PERftITeT083E67
-,�; .
.
'- '"` �o� sPa `' '
�, CONSTRUCTION AND PLANNING �
APPROVALS Permit # Date inspeetor qppROVAlS Permit # Date Inspector
� t. Temporery Eiectrical Service or Pole • 52. Pooi & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinfarcement
3. Electriwl Conduit Utility-Undrgrnd. � 54. forms �
4. Electrical Cenduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - �-.ZY�� ��v�t- 56. Rough Pl�mbing & Prossure Test
6. Electrital UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Pootings �y Lf�..�1 �(,•1 58. ElectricalCqnduirUndrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd:
10. Structural Floor System 67. APPROVAL TO OECK
i t. Property Sewer Line & House Connection 62. Backwash & Receptor•Final �
12. Sewer Cap 63. Heater & Vent•Final .
13. Roof Orains 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final �
15. Rough EleotricabConduit 66. Solar SYstem-Final �
16. Rough Electric Wiring 67: Fencing & Access ApProvai
17. Rough Wiring Sign 68. APPROVEO FOR PLASTERING
18. Rou9h Eleccrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Firep�ace APPROVALS Permit #
21. Ducts, in Structure 70. Underground HYdro
22. Ducts, Ventilating 71. Product Pipi�g CJ Gas � Oil
23. Gas Pipe•Rouqh & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Stora9eTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceilin9 (Structural� & Monocoat 75. Ory Chemicai
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & 5�ding 77. FIXED SYSTEM FINAL
29. �nsulation ... 78. FIRE PREV. FINAL
30. Drywall Na���ng ' , HEALTH DEPT. REQUIREMEN7
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final B0. FOOD CERTIFICATE ISSUED
��
33. Final Electric Notes: Q� �� ����- �L��
34. Final Heating & Air Conditioning.
35. Final Gas PiPe-Test
36. Hood or Canopy
37. Fina1 Facto{V Firep4ace . .
38. Final Plumb�ng �
39. Water Service�Final � '
40. Gas Service•Finai '
41. $olar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Re9ulations
47. FINAL STRUC7URE & BUI�DING q'_!R� ��_
48. FINAL PLANNING
49. Electric Release to Edison � �
50. Gas Release to Southern California Gas Co " -
51. CERTIFICATE Of OCCUPANCY
No Date
December 5, 1994
CITY OF COSTA MESA
GLIFORNIA 9262&1200 VA BOX 1POD
DEVELOPMEM SEiNICES DEPAKfMEHT
Judith A. Fremer,
23046 Avenida De
Suite 600
Attorney At Law
La Carlota
Laguna Hills, California 92653
RE: MS. MARGARETTE MAMI6AIAN
352 E, 19TH STREET/1904 RAYMOND AVENUE
COSTA MESA. CALIFORNIA
Dear Ms. Fremer:
I have reviewed your letters dated August 1, 1444 and November 10,
1994, and the relevant City files, and have discussed the matter
with the City Attorney. After careful consideration of the facts
and circumstances, I have determined that the third unit on the
property may remain.
This determination is based on the unusual circumstances and
history surrounding the third unit, the amount of time that has
lapsed since the last contact from the City in 1967, and the fact
that the 1961 agreement is not being reflected on current title
reports, including the title report issued when Ms. Mamishian
purchased the property in 1973. It seems clear that Ms. Mamishian
purchased the property in good faith, with the understanding that
there were three legal units on the lot.
Since the zoning of the property changed from R4 to R1 since
Variance �584 was issued in 1959, the City will consider the three
existing units on the property to constitute a legal, nonconforming
use. As such, they may continue in their current use, size and
configuration. Any future additions, alterations, expansions or
replacement, however, must comply with the ordinances in effect at
the time construction is proposed.
A copy of this letter will be placed in the Planning Division
files, and notation will be made in our computerized parcel records
system, to provide clarification in the event there is any question
about the status of the property.
i� FRIp pqll/E
Bunoing Division pta� )5a.5273 • GoEe En!orcement pfq )y.5523
FAX (71<) 5567508 • iDD [7u) 75/-52aa
Planning Dmvon pla� ]5a.5da5
d
If you have any questions about this determination or its effect on
your client's property, please feel free to call me at 754-5609.
Sincerely,
� �����
PERRY L VALANTINE
Planning Manager/Zoning Administrator
cc: Tony C'de Baca, Building Official�
File
12/5/94
n i r. o-� �� i •:n• � �.� •• �•��•:�•. � :r �. � s�
••�o-• � •• � �• s • •� rr u
�
/�
,- - . -
f:..�; _ i.. .,.,
ADO���anl to /III In all spaees enee0� t�ose wlt�in �eavy DorGer Ilnas antl si9n all approoriate Oeclarations.
' aiYOF COSTA nnEsa, CONSTRUCTIO ERMIT /n,�
Project Address � �� ` � .
Applicant's Mailing Addresz �
(3wner's Name ` �one %��' � y`'��
Address ��^' � r` �" — �
Arch/Eng. License No.
Addiess /rr�
Contractor's Nnm�.C,G Phone
AAdress (mailing) J�/
Cicy License No. f�/.��
LICENSED CONTRACTOR DECLARATIOPI
I hereby aflirm that I am Ilconsatl untlar provislons oi Chart¢r 9(commentln9
with sp�tion ]000) of plvlzlon 3 of fhe Busine55 antl Protesslons Cotle, antl
my Ilc@nse is In tull l rce antl ef/oct.
Li<ense CI 5�1i�n Ucense No.
Date__ �1�%� Signature
�� WORKEPS' COMVENSATION DECLARATION
I nereby attirm tnat 1 have a ceriNicata o( consant to seH-insvre or a carUfl<ate
nt Workers' Compensation Insurance, or a cortlfietl copy thereo/ (Settion
'00, �yb. C.)
licy No. Company
L� Certifietl topy is nereby /urnishetl.
❑ �ert{�{etl copy iz filed with the city Bullding Division.
Date AOP���ant
EXEMp7�ON FROM WORKERS' COMPENSATION DECLARATION
(Tnis uction neetl mt be complerotl if tne permit is for one huntlretl (5300) or
Icss).
I Certi}y �hdt in the performance of Ipe wo�k fOr which thi5 perT�t is issuetl, I
Shall not employ any persOn in any manner so as to baCOTO mbjeGt t0 ne
WOfker Compen5dtion LdwS of Calitornid. .11/- � �
—� n�ro � _ /J- 44 u,,..,n�.o `J'hR.w�.�GL�/O � G�cw[�
NOTICE: 11, atter makinq this tleclaratian, yofJshoultl becoma subject to tha
Wo/keYs' Com08nsdtiOn O�oviilOns of thG ldbol COtl¢, y0u muil fOrthwltb
comply with suc� Orovislons or this permlt shall be deametl revokotl.
CONS7RUCTION LENDING AGENCV
1 hereby at/irm thal there is a tonstrucUon lentling a90ncy for the per}prmance
of thQ wprk for whlcb thi5 perTil is issuotl (Sectlon 3097 Civ. C.)
Lentler's Name
Lontler's Atltlress —
OWN�R BUILDER OECLARATION
I nereby atflrm thal I am exempt irom t�n Contractor's Licanse Law tor the
followinq reason (Section 7031.5 Builness antl Pro(eizional Cotlo: Any city or
county �yhicn requirei d Permit lo conStruCt, aller, improva, Cemoliih or repair
any structure, prior to its issuanca, also requlres the applicant tor such permil
to tile a signetl s�dt¢Tent that h¢/ShC i5 iicenSCtl PufSudnt to lh8 PfoviSiOns of
the COntractor's Licenre Law (Chapter 9(commencin9 wtth Sec[Von ]000) of
Divisiryn 3 ot the Business antl Professions CotleJ or that he/she is ezempt
therefrom anE the basis tor tha allegea exemptlon. Any vlolaHon of SecUon
�93L5 by any applican[ for a permit sub�ecls the aDO���ant to a tivil
nalfy of not more tnan tive huntlretl tlollars (5500).
J t, as owner o/ tne pwper[y or my emP�oyees with wages as their zole
coTp¢n5d[ion, will tlo lhe wOfk, dntl th8 StNctule Is nOt IntanOeA Or�ofteletl
for sdle (Settion �044, Business antl Pro(essional Cotle: The Contrattor's
LicenS¢ �yw tloez not apPly [o an owner of a property v+ho builtls or improves
there0n, antl who tloes such work him5¢If/h0rsel( Or tn�ough hts or h¢� own
empl0yees, provitletl that tuch improvements are not intenCed or offeretl tor
Shce. If, however, [he builtling or Improvement is soltl within onC year ot com-
plelloq thC ownGr will hav< the burtlen of provin9 he/she tlitl not build o/ Im-
�prov'e for t�e pur0ose of salo).
y� a5 own¢/ oi the prOPer[y, am BxUuslv0ly coMracting wltb Iiclnsetl co0-
trac[qrs lo construct tne project (Sectlon 7004, Business antl Pro�esilons Cotlo:
The Gontractor's Licensa Law doas not apply to an owner of property who
builtl; or improvos t�ereon. antl wno contracts for sucn orolects with a con-
traclOr(sl hcanze Ounuan[ to �ne Contractor's Lltense Law). i am aware that
prool o� Ihei� WOrkCr's CompensaHon InSuranCO ihoultl bo Orovltletl to me.
❑ I am exempt un0er $ection I B. & P. 0.�o��thi5 /eason
n
oate � �'/^ Aa�
I hereby certity that
intormation is correc[.
antl s[ate laws relating
Sentallvez of [hiz City
IntpeCtlon p rposes.
Si9nature �
Drivars' Llcensa or 55 q
0865.46,rev.5/88
reatl this aoblication and stale that t�e above
to comply�Fvith all city antl counly ortlinances
�tling <onstrucNon, antl hereby aulborize sepro-
��,tar upon tha a ve.mentionetl/�proper�ply tor
Date(G-7ro�
/
,� - 33 a"�`�c � _ _ - I - I _... . ...,.
TYPE OF CONSTRUCTION NEW P.DD ALTERATION REPAIR
-Q CONVERSION Q DEMOLISH ❑ OTHE �
+ DESCRIPTIpN OF WORK/ILSE OF BLD_G. �— r.�iO
TVPE OF PERMIT LJ GRADING LJ FOUNDATION L`7 STRUCTVRAL
❑ TENANT ❑ ELECTiiICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5(i. FT OCCUaA V_!
CONSTRUCTION TVPE_�_ VALUATION S� BO'
ZONE GRADINGCV.VDS. ACRES__
Remarks:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Dreins
Floor Sinks
Gas Servic.e Outlets
Interceptors
Kitchen Sink
Lavntories
P—Trap
ROOt Drains
Reinspection Fee � $15
Boiler
Duct - Under Ground
Duct • Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fatt. Blt. ICBO `M�
Heating System & Ducting
❑4700,000 BTU �100,000
Reinspection Fee � 515
White - Bulltling; Canary - qppliwnL Pink • Accounting: Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
water Claset
Water Heater
Water Service
Auto-Wash
Laundry Tra'ys
laue Fee
Hood or Typel ❑
Canopy Typell ❑
Retrigera[iOn System
❑P100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
laue Fee
A.P. qW
S � Main Building:
E
T Fron[
ARear
C Ri9ht
gLeft
Ping. Ref. #
Planning Notes:
Accessory Building:
Parking Req,/Provided
ELECTRtCAL
Automatic Washer Transformer � 15�50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
DevlCe BOxyS
Outlets
Switches
Garbage Disposal
Generator �0.5 KW �5-75 KW
Zone
Reinspection Fee � $15
FEES
M¢ter ❑up to 700 amps
M¢(¢r pover 700Bmps-'
Sub Panel `,i� . �
Motors �41 HP O.1 Yh - 8
Inc. Solar �9-15 HP �16�75+
Microwave %
[ -
Pale Light I
Renge
Sign
Standing Sections
Trash Compactor
Issue Fee $ 3
S 3 •�„ DEVELOPMENTSERVICESREQUIHEMENTS:
Zoning Approved By
FEES Building Approved 9y
5 3
N
1
N
G
R
E
O
M
T
S.
SUMMARV OF FEES
BUILDINGPERMIT $ S�.SO SMIP $ D,90
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHANICAL $ TOTALFEE $ �� JO
PLAN CHECK 25% $
01 DUGD5921-dQOD59?2 Ti�l' Sf,Sp
" CONSTRUCTSON AND PLANNING
�. APPROVALS Permit#
1. Temporary Electrical Service or Pole
_ . .
2. Soil Pipe-UPddgrnd.
i
3.•Electriral CondLif U�ilijy-Undrgrncl�.
4.�Electnical Condyi�t;Undr9md.
5. Steel,Reinforcement
6. � Electrical UFER Grnd.
7. �FootiPgs
8. •Fountlation
9. �Water Pipe-Undrgrnd.
10. Strur�tural Floor System
11. Properry; Sewer Line & House Connection
12..Sewer Cap
13. Roof Drains
14. Rough Plumbing
15. Rough Electrical-Conduit �
1'6. Rough ElectricWiring
17. Rough Wiring Sign i
78. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20: Rough Factory Fireplace �
21. Ducts, in Structure I.
22. Ducts, Ventilating .
23. Gas Pipe�Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar.'Cziling (Structural) & Monocoat
. � �
27. Frame and Flashing
28. Lathir�g'&Siding
29. Insulaiion
30. Drywall Nailing �
31. Plaster Brown Coa[ •
,'
32. Electrical Power Meter-Final
�•
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 pomestic-Final
42. Backflow Preventer
43. Backflow 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
Date
Date
�
POOL. A
Inspector qppROVALS Permit#
52. Pool & Equipment Location
' 53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
,
59. Gas Pipe, O 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 #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
, 73. Undergrnd. Storage Tank O Gas ❑ Oil'
74. Overhead Hydro
r 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 e �/ ..T d �
0
Date Inspector
� •: i
i
.
i
.
�j
COUNIY OF ORANGE
BUILDING DEPT.
636 No. Broadway
s�,�� a,�, cacro�„�a
Phone: KI 2fi211
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
Permit No..�.s�.7.�!.�
Date. ........�... ��..%_�.��....`�..1..--�-
OWNER'S NAME.-:.:� v.e.-.G.�. '.--.... �n.1r�..✓..l�ti"��oi!..,1...... -_ - - ---- --- ..�...... PHONE:.------------ ..............
MAILING ADDRESS ---^-��/a - --�,... - �_/.........�..�..�....,..:�%L...�.... - -- ....... ........ CITY-.-(�: a.:.-----... - -- - -
`.�i'l�ut/..
Name ....................._--- ` "'�-�_!'!.P�.,�..----.....-'-'-"--'---------------...---
�fi67-t��...... - .............. - .......... ...... .... Name - - -....._ ...--
(Architect or Engincer) � (Contrattor)
Addre=s - - --....---..--- ---- - --- -...._---'-----'-------'--'-- Address .. ...................--.-'...-'-.....------...-- '......- ...---- -
City...- --------------------- - - - - -- - -...- - -- ----- -------.......... City -- ..... - -- -- - ----- ............ -----... ----- .....---��---- ------- �-------
State State
Lic. No.--------�---------- ............... Phone.......----_...----------------..... Lic. No. .........---------- Phone....--------.......-----------...--
PROPOSED
z. JOs LOCA
� /9 �
(House No.) ( amc of Str�i /� � (Town or School Distiict)
� �p n . w • G�
� LEGAL DESCRIPTION: Lot nrW:S�.d.-.�.�...4!!�--� ti-- Block - -- - -- - -- ..... .............. Tract - j�;9!....-� - --- ... -
(Mctes and Bounds Description—�reve�rse ��de of form)� �
4. CORNER LOT ( i/) ]NTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OP LOT ( )
GLcCo�'✓ � .
i. SIZE O�B��.: �-`-�-X a�.AREA:......^Z-�-�-----� SIZE OF LOT:....-?`�b._?C..�.�..Q..AREA:..- - ..............--.._-
6. HEIGHT OF BLDG .:...........I..-�_-_'-----------....CEILING HEIGHT:.-__-.-__--...................NO. OF STORIES.----.......----...---.-----...
7. NO. FAMILI�S----...-_--.--_ .......................Size of Smallest Bedroom:------------------------------.....---.. Size of Kitchen-------_----_------.--.-----------
S. EXTERIOR ��/ALL CONSTRUCTION:...�!-.�?�.���._..._....INTERIORWALLCOVERING ............................................
(Frame, Stuaq Etc.) � / "' ... (Plaster=Drywall-Etc.)
9. SETBACKS: Front Yard From Center Line of Strcet....:.. ...��.._.._.....__ .__...____�...._._ ..................
Ncaresc Side Yard......._.J.�..�__...._.Rear Yard ........................Distance in Feet Between Bldgs. on Same Lot..._._..._.__......_......................
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
�fy `ii /i
I1. For (a) Footing: Width......�..�--.(�.-�-Cl___.....Depth in Ground.....1..�.` .............Width of Wall_........__.................._..
Aaessor
Y
Bldgs. and
Similar
Strucmres:
..�'t�......5 acin � CC Material of Floor...____.....__________.....
b Si:e of Studs:___..._ _ � " �'���-���
� ) Y-- P 8......----�- --- -- --..........
(c) Size of Floor
(d) Size of
"CC
"CC
12. VALUATION OF PROPOSED WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal 9'ff� .................. _ .
,"Od —
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed:----7�" '---- � /`----------------------.............................-'----------"----------................
(Owacr)
Plans ��tled:......__'7�_!-' ...................-_.-..............
�--82� /i n BY�---,,�irlv,a/. .�......��e„�,P/✓.....------�-----•
Bldg. Permit
Plan Check
Total • •
Receipt No.
Paid to •
Date ......_....
SM-Y�51
FOR DEPARTMENTAL USE ONLY
•1L� '�`�
GROUP.._.�.�G...sl......_---
TYPE.. - - - ------ -.....-- - -
DIST.
MAP-- ....�- �- �- -
SHEET NO .............. ..� -- -
DATE-- ...�.. �( V__�.L1.1�......
(Auehorized Agent)
CHECKINCU BY
APPLICATION���(% HEALTH ............................
ZONING ................./_/._... FIRE
PLANS AND MARSHAL .........................
S PE C' S....-. ------�-
CORRECTIONS�_1
V ERIFIE D------------------------
STATE ---- - - -...........
ENGINEER
V�