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Home My WebLink About395 19TH ST - Building Permits� PFlQIECT ROOflESS: 3 9 S E 19 TH S T OWNEfl'SNAME: AGOSTINO, DOMENICO anoness: 395 E 19TH ST � COSTA MESA,CA 92627 695-1347 AflCM/ENGINEEfl: AOOflE$5: flEG.NO.: UNIT: UNIT: eeemirree: CALDERON ROOFING, INC. (714)592-7023 aooxess: 1027 N. LOGAN SANTA ANA CA 92703 LICENSEO CONTRACTOfl DECLAflFTION: I here�y a�lirm Ihai I am IicenseA unAer pmvisions ol ChaD�er 9(commencing wilh Semion 7000� oi Division 3 0l the Business antl Pmlessions Code. an� my license is in full fo¢e anU eHect. cirr uc.: 0 3 2 61 STATE LIC.: 3 B B S O�J cuss: C— 3 9 3— ' y�c Da . � ' Sig�T � WOHNENS' COMPENSATION DECLANRTION: I �ereGy atlirm t�ai I �ave a certi�ica�e o� consent b SEtl-inW r¢ ar a certilicate oi Warkers' LomDansation Insurance. or a certitieE copy Nereo� (Seciion 3800. Lab. C�. POLICV NO.: EXP. D4TE: COMPRNY: `] Cenilie0 copY is �ere6y lumisheA. ❑ Ceniliea coOY is fileA wi�h the ciry BuilAing Division. Oare: �lpplicant EXEMPTION FflOM WOflNEflS' COMPENSATION OECIABAT10N: (This section neea not be tompletetl il tAe permit is for one hun4reA ($100) or less). I cetlily Ihal in I�e pedormance ol �he woB lor w�ic� �his permit is i55ue4 I s�ail not employ any person in any manner so as �0 6ecome subiem io ine Workq s' Co ensation Laws ol Califomia o � Sanat`— �� 3—/— p y OTICE: II, after making ihis aeclaration. you shoulA 6ecome su6lect to �he Workers' Compensation pmvisions ot the Labor Coae. you must lonhwith com0ly wit� suc� O�ovisians ar t�is Dermil slWll be Oeemetl revoke0. CONSTNULTION LENOINC AGENCY: I here�y al�irm that tnere is a construction IenOing agency lor the pedormance o1 ihe work for w�ic� t�is permit is i=suetl �Section 3097. Civ. C). LENDEfl: AODflE55: OWNEB BUILDEN OECLABA7ION: I nereby aflirm t�at I am eeem0� ��om Ne Comractors State License Law lar tAe following reasan (Section 70J7.5 Business antl Pmlessional CaOe: Any city o1 county which repuires a permi� to consiruci, alter, improve. aemolish, ar �eDair any simcmre, prior ta iis issuance, also repuires the aODlicant lor suc� Dermit ro file a signe0 stalement ihat he/she is licensetl pursuam lo IAe pmvisions o� t�e Contracmrs' Sta�e License Law �C�apter 9(commencing wi�� Seclion 7000) of Uivision 3 0� �he Business and Pmlessions CoOe� or Ihat he/she is exempt t�erelmm and Ille hasis lar tAe alleAed exemDtion. Any violatian of S¢ction 7031.5 Gy any apPlicani for a permit sublecls Ihe applicant lo a civil penalty of nol more ihan five hunOred �ollars (5500). I, as owner of Ne pmpehy or my employees wilh wages as Iheir sole compensation, will tla 1he work, and ihe ❑ s�mcwre is not imen0e0 or olferea ior sale (Section 70a4, Business ana Pmiessional CoOe: T�e Coniractors' State License Law Does not apD�Y �o an owner oi a pmpeny w�o �uiltls or impmves therean, and who does suc� work himselMerull ar thmugh �is or her own employees, pmvidetl ihat such impwvements are not intendeC ar oflereJ lor sale. Ii. Aowever ihe builtling or impmvemenl is soltl wi�hin one year o� comple�ion, Ihe owner will hav¢ �he burGen Of pmving he/ihe Aitl nol hui10 0� improve . IOr IA¢ purpose oi 5ale). I. as owner o� t�e O�oOe�Y. am eeclusively coniraclinp with IicenseE conVactors �o constmct I�e pwject (Sec�ion 7044, Business ❑ anE Prolessions CaOe: The Cantractars' State Liuine law Gces not appN �o an owner of properry who Oml0.s or imprwes thereon antl w�o wnVacts lor such prolecls wilh a con(rac�or�s) license Oursuan� Io Ihe Contrac�ars $tate License Law). I am aware Ihal praaf oi Iheir Worker'S Compen5aiion in5urante Shaultl be O�ONtlM to me. � I am exemD� untler Seciion: B. 8 P. C. lor t�is teason: Date: Owner. I tlo hereby Cerlify Ihal I am aware 01 anU unAerSlanE Ih¢ r¢puirem¢n�s ol Cali�ornia H¢al�h anG Safe�y Catle Secli0n5 25505, 25533, antl 2553< antl Inat I or any fuNre ouil0ing occupanl wilUwill nol (circle one) nee0 to tomDly with sai0 state catles an0 �he reQuirements for a permil lor con5lmclion or motlilicatian Imm Ihe /lir Oualiiy Management DiSiricl. flesitlential conSlmciion ap0lica�ion5 are exemp� Imm t�ese pmvisions Daie: ADPlicam: I nere�y cerlily ihat I have rea0 ihis apDlication an� stale Ihat Ihe a�oue intormation is correcL I agree lo comply wit� ail city an0 county arGinances an0 state laws reWling to �uilCing consimction an0 nereGy auttpr2e represenUtives ol lhis ciry to enter upon ihe aDovtrmentionetl D��o/S[1�' lor�ins�pec�iion /Ou�r�poses�. /� cG 0;1�✓'T�"^ �� sfq� n� 3—/�� T Driver'S License or Social Securiiy d: 1641-afi Whne—BuilEing: Green—Cotle EnlorcemenC Canary—Ap0licanC Pink—Fevenue: GolOenrotl—Agsessor � CZTY OF COSTA MESA — HUZLDING PERMIT PERM NO: B 06624C PERMIT NO: B 066240 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT JOB DESCRIPTION ; T/OFF REROOF W/COMP SHINGLES SQ FT: 3,500 CLAIM VALUE; 3,500.00 CALC—VALUE: 3,500.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTOR REQUIRED PER 91UBC, REROOF 2200SF RESID & p P�'T�� *��**��***�*��*,��*��*,��,��**��***,�*,��**�.Yx p�-�:�u. � Z O N I N G R E Q U I R E M E N'I�.��E` S E T H A C K S � f� � ------------ MAIN BUILDING ---------- --------- ACCES50RY �� iNG --------- FRNT: FT IN REAR: FT ZN FRNT:' FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ • PROV: PARCEL: 11729411 ZNE: REF NO: PLANNING N6'I'ES> > aF iE iE iF iE iE if i! If %if iE iF iE ## 1E if iE iE iE iE if if if� if iF iE if iE iE iE iE � iE iE iF it if iE if if 1E iE if iE iE iF iE iF iE?f ?f iF iF itlE # iE �IE iE iE �x-iE iF iE # iE 1E d(� iF iF iE iF iF if it if ib 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 AFPROVED BY DATE; BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY; DATE: �•1 �l ifiEifiEifik'1fiE1Fif1F1E1EiE'1FiE1F1EiF')EiE'1E 1EiElfifiEY{E')EiEiEF # ifiE iF iE if if if 1f �f if 1E 1f 1ElElf iE if if iElElf !F if iF iF iE iE 1! if jE 1E iE if 1E jE iE i! iF if if 1k iF iF af i� iF 1E iE ik iF 1E iE iF if �k #?E iE iE if it if iP �E iE iflf iE iE fE fE iE iE iE jf it d(� iE k if fE LEGALZZATION:N F E E ,S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 63,00 � PLAN ` r' ISSUE FEE BUILDING—DIV—> PERMIT ISSOE PLAN.—CHECK TOTALS----> 63.50 0.00 0,00 REVENUE DIVISION TOTALS--> COLLECTED: HLDG PMT PLUMBING ELECTRIC MECHANIC 63.00 ' .50 SMZP/NON—RES TOTAL PAID DUE 63.50 63.50 .00 63.50 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK .SO iE k 1E if !E 1f fE iE 1E * iE �E 1f iE if iE iE ff iE 1F if i! i! fE M 1f iE iF ik iE 1E jE i! iE k if iE-1/� �f !f it �f �E ff fE if iE if k dE if if if iE �E jE if 1E if iF 1E ff fE fE iE �f+E ff #f if jf 1f !f if iF � it �E 1E 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 3500 REROOF HY .VALUE RESIDENTIAL NOZONE 1,00 3,500.00 END OF FEES .� 01 001a6321-00156312 T G T 6{iT�o i.ab�9�8��j��9r DATE: 03/02/9 I� . ¢8 01 D0156323-OD15631; TC1T DA7E: Q3/02/94 TIHE: 15:50 630.`0— 630.50 63.50 CONSTRUCTION AND PLANNING APPROVALS Permit # i. TemPorary Electrical Service or Pole 2. Soii Pipe�Undrgrnd. 3. Electrical Conduit Utiiity-Undrgrnd. 4. Electrical Conduit�Undrgrnd. � 5. Steel Reinforcemenc 6. Electrical UFER Gmd. 7. Footings 8. Foundation � 9. Water Pipe-Undrgrnd. 10. StrutturaV Floor $ystem 71. Property Sewer Line & House Connection 72. Sewer Cap 73. Roof Drains 14. Raugh Plumbing 15. flough Electrical-Condu;t 16. Rough Electric Wiring 17. Ro�gh Wiring Sign 18. Rough Electrical�T Bar Ceiling 79. Rough Heating & Air Canditioning 2�. Rough Factory Fireptace 21. DuCts, in Structure 22. Ducts, Venti�a2ing 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing � 26. T-Ba� Ceiling (Structurai} & Monocoat 27. Frame and Flashing 28. La:hing & Siding 29. Insulation 30. Drytvall Nailing 37. Plaster Brown Coat 32. Elzcuical Power Meter�Final 33. Fina� Neccric 34. Fina) Hea[ing & Air Conditioning 35. Finai Gas Pipe-Test 36. Hood or Canopy 37. Finai Factory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas 5ervice-Final 41. Solar pomestic-Finai 42. Backfiow Preventer �,; 43. Backflow trrigation j�.,,'-, 44. Landscape Irriqation.,�s�terr�r � 45. Sound Attenuation rT' �" ! 46. Hand�cap Reg�latio�is `�. 47. FINALSTRUCTUR�E6�8llJLDING ' _,� 48. FINAL PLANNINGY� ��,j; 49. Electric Release to�Edison'�' 50. Gas Release to 5outhem California Gas Co 51. CEA7IFICATE OF OCCUPANCY Date Date POO� _ SPA Inspector qppROVALS Permit �k 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical8onding 56. Rough Plumbing & Pressure Test 57. APPfiOVRLTOCOVER�GUNiTE 58. Electrical Cpnduit�Undrgrnd. 59. Gas Pipe, � Undrgmd., Test 60. Backwash Lines, P�7rap, Q Undrgrnd. 61. APPftOVALTODECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - final 65. Electrical-Final 66. Solar System�Final 67. Fencing & Access A�Provai 68. APPROVED FOR PLASTERING 69. POOLlSPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVAI.S Pe�mit # -7-`1�f� ��[f- Date � I�spector 70. Underground Hydro 77. Product Piping O Gas ❑ Oii 72. Underground Flush 73. Undergrnd. Storaye Tank O Gas G Oil 74. Overhead Hydro 75. Dry Ghemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH OEPT. REQUIREMENT 79. FINAL INSPECTtON � 80. FOOD CERTIFICATE ISSUED / �� A Notes: i. ,_ _ ✓i .r„"";- �' ' i- �+2ve%i. Qs./� /�✓1�• PflOJECT pUDflESS: 3 9 S E 1 9 TH ST � OWNEA'SNAME: AGOSTINO DOMENICQ ,` nonaEss: 395 E 19�1'H ST � COSTA MESA,CA �-�92627 �� f' ' pHCN/ENG�een: 6 4 5— 9 9 5 6 - ; flEG.NO.: . aoopess: UNIT: uxrt: vEnminee: DOMENICO AGOSTINO (714)645-9956 aooeess: 395 E 19TH ST COSTA MESA CA 92627 UCENSEO CONiflACTOfl DECIAMTION: I tlereby a�firm Itwt I am ii�ensed untler prmisions of C�apler 9(commencinp wilh $ectiDn 7ppp) ol Divisio� 3 0l Ihe Business antl Pmlessions Code. anC my license �s in futl lorce and eflect. CITY LIC.: STATE LIC.: C1A55: �ale: SignaNre: JBKE85' COMPENSp710N OECIABRTION: I nere0y aifirm tnat I have a cenilicate of consenl to selbinsure or a certilica�e ol Workers' ..ompensalion Ins nce. or a ceni(ietl copy �hereo/ (Seceion 3800. Lao, CI. �POLILY NO.: ' E%P. DFTE: LOMPANY: � Cerlifie0 copy is here�y Iumished. ❑ Cenilietl coDY is liled wit� t�e city Building Oivision. Date'. ApDlicant�. E%EMPTION FflOM WOHI(ERS' COMPENSATION OECIAflPTION: (IDis section neeU not �e completetl if Ihe p¢rmit is lorone hunAred ($100) or Iess�. I petlity I�a� in I�¢ pedorman[e oi ��e wOrk lor w�ich thi5 permi� is i55ue0. I Shall no� employ any per5on in any manner 50 as lo becOme SuOjec� �o ine Workers' Compensation Laxs of Califomia. Oaie' Signa�ur¢; NOTICE: I�. a�ter making �his 4eclaraiion. you shoultl heWme su6lec� �o lhe WorkeR' Compen5aiion pmvisions ol �he La�ar CoOe. you must tonhwitA comply wilh suc� pwvisions or this Oermit sllall be eeemeA revoked. � CONSTBUCTIOM LENDING FGFNCY: I he�eby atlirm IAa1 Ine�e is a consiruction I¢ntlinB aBency for t�e peAormance of the work for whic� IhiS Dermil is �<5uM �Section 31197, Gv. C�. LENDEN: ADUFESS: IOWNEB BUILOEB oELLRNFTION: I here�y allirm ihat I am exempt imm tne Contractor5' State License Law for ihe lollowinp reason (Set�ion 70.31.5 BuSineSs an0 PmfeSsiOnal COae: Fny Cily ol caunty whit� feQuireS a petmit t0 tOnslmCl aiier, improv¢, tl¢malis�, or repair any simcture. prior lo ils issuance, also requires ine applicant tor such permit �o file a signed statement ihat helsne is licensed pursuam to IAe pmvisions of the Comracmrs' State License Law �Chapter 9(commen�ing wilh S¢ction 7000� oi Division 3 of ��e Business �tl Pmfessions Code� or (hat he/she is exempt Merelmm and the basis for the allege0 exemptbn: Any vrolation of Section 7031.5 bq r aODlicant for a permil suGjecis the applitant to a civil Oenalty oi not more ihan live hunare0 OollaR (5500�. � I, as owner ol Ihe pmDeny or my emDloyees with wages as their sole com0en5ytion: will aa ihe wark, antl �ne 1❑ simc�ure is no� intended or oltereG lor sale (Sectian 70aa Business an0 Pmiessional CoOe T�e Caniracmrs' Slate License Law tloes not apOty m an owner oi a pmperty who huiltls or impmves t�ereon, an0 who tloes such work �imseli/herseli or ihmugh h' ' t d 0 fle ed 1 ale II M e ��e b Id a or � — �is or �er own employees, pmvidetl ihat suc improvements are noi in en e or a r or s.. wev r w i A imOrovemeni is soltl wiihin one year ol completion. Ihe owner will have ihe Lurtlen of Dmving h¢/she tlitl no1 builtl or impmve loi ihe purpose ol sale�. I. as own¢� ol ihe O�operty. am exclusively conlreclinp with IiCenseA coniractors b con5�mct ihe D�ale�� 15¢ction 7044, Business ❑ artd Professions Catle: The Canlractas' State License Law Oces not aOWY �o an ovmer of propeny wM bud0.s a imprwes therenn antl wha caniracis lor sucn v�oie��s with a coNractor�s�license pursuant to ine Conlractors' State License Law�. I am aware Ihal proai of Iheir WOBer's Compenuiion insurante 5hould he proviAetl l0 me. � i am e�emo� unae� Section�. B P 70 4 4 B. 8 P. C, mr �ms reamn: ALL WORK $Y OWNE r Oate:_�/7"�� Pxnec I do �ere0y certity that I am aware oi entl untlerstan0 ihe reQuiremenis of Califomu Health antl Safery Cotle Sec s 25505, 25533, anE I2553a and that I or any Iwure �uilding occupam witl/will noi �circie one� neea m comOty vnth saitl state codes an0 �he repuirements lor a permit far canstruction or moAfication from t�e Air Ouahty Manaq2rzrent DiStricL ReSitlential cartstructian apWicatiant are exempt IrOm j mese pmvisions. �a�e: Applicanl: 1 �e�ebY �eNly Ihai I IWve rea01N5 appACatiOn aM siale Ihal I�e above in�o�ma�ion is fArretl. I a9r¢e ID [omD�Y'�+��h all ti�y anE Couniy ordmances antl state laws relaling to buil0ing consimction anU here�y au��or¢e repres¢nialives o� I�is ciry lo en�er upon Ihe above�mentione0 pmperly �m inspeclion purposes. / �� ' Date: ��/� Signaiure . �/ � orivers License or Social Security x: $ t6a1-a6 Wfii�e—Butl�ing; Green—GoOe EnlorcemenL Canary—ApplicanC Pink—Ravenue; GOltlenro0—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: HE 05114 PERMIT NO: HE 051146 PLAN CHECK NO; 00571-91 S GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE STR PURPOSE; ADD JOB DESCRIPTION : ADD TO SFD (EXTEND D6N) SQ fiT: 70 CLAIM VALUE: 3,000.00 CALC—VALUE: 4,830.00 GRpUP OCC: R-3 / COMMENTS: SMOKE DETECTOR(S) RE�UIRED IN HOME, ***�*+t**�+t**x****rx+r*+t�**x��t�+t+� �r**+�****+t+r***�r�r�t�r*�r***+t*x�*�r**�r**��t�t*�r**�****�r*�r* Z O N I N GS ERTEB�AUCIxRSE M E N T S ------------ MAIN'BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: 63 fiT IN FRNT: FT IN REAR; FT IN LEFT; 5 FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ • PROV; PARCEL: 11729411 ZNE; R1 REF NO: PLANNING N(51'ES> EXPANSION OF AN ERISTING DEN — 5' BY 14' ADDITION. � 1F iF k iF iF �F 1F jE if if if * aF iF iF iE lE 1F iE fF if ik iF iE ik 1k it iE iF iE iF iF IF if jF1E If iF MiE iE iE it iF iE iE iFiF �E �F iF ik 1F IF iF it if 1E iF�E 1f �k ik 1F k if M iP1f iF iF 1E iF iE if 1E iE aE �k D E V E L O P M E N T S E R V T C E S R E t] U I R E M E N T S ZONING APPROVED BY : S DATE: t� BUILpING APPROVED HY ; DATE: —�� APPLICATION ISSUED BY; ` DATE: �� 1EiF�FifiFiEiEiEfFiffFlE�EifiEiE1E1E�fkiFfF iE1EiF�fif�FaFiEfkif 3E3E iFiElfifiE�lf�fiF*iEiFiElEaFifiFiFlEiFKififiElEiE1FiE1llEfEiFlfifiF9fiFlfiEi ififitlfiEifiFi(�iFlFIF3EiF1ElEififiFifiEiflPiFiElEiEiFikiEififififiPiEiFlEifif LEGALIZATSON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMTT 72.00 2 25 50 �Ot SMIP/NON—RES PI,AN 96.80 ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CTiECK TOTAL PAID ' DUE TOTALS----> 74,75 15.00 46.80 136.55 136,55 .00 REVENUE DIVISION TOTALS--> COLLECTED: 89,75 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 72.00 17,25 .SO 1t iElklf 1E �Ik 3E iF1F it 9f iE if� �If dF 1F �4 �f iE �h iE if 1F dE �i if 1f iE �E1flf if if �iFiF9E iF �N �f if iE iEif if 1f ltif iF 1k if if if jf if 1E �f it iE# �k if 1E dE df iE if if iE iF iE iFiE df if 9E iE iF dFif I N D I V I D U A L F E E H 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 70 DWE—TYPE V—WOOD FRAME —GOOD 69.00 4,830.00 ELE 3 RECEPT/OUTLET 1 ST 20 EA. ,75 2,25 END OF FEES 9 at uoosizas-Gtins�2s� -r �,�- � - 6pTE: 02/2;/41 TI�E: 10:46 `; ; �� POOL SPA CONSTRUCTION AND PLAN�.._.G . � APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector \ I 1. Zemporary Electrical Service o� Pole 52. Pool & Equipment Location � " 2. Soil Pipe-Undrgrnd._ " 53. Steel Reinforcement ' � r '3.�Electrical Conduit Utility-Undrgmd. 54. Forms ' ��/�' � ,4. �Electripl ConduiGUndrgmd. 55. Electrical Bonding � � 5..•Sleel Reinforcem�ni• 56. Rough Plumbing & Pressure Test' � 0 6.�2Electrical UFER��Gmd. 57. APPROVAL TO COVER�GUNIyE � '=;7-. Footings ;� ' 58. Electrical Conduit-Undrgrnd. � y; � • �; .8. Foundation `:"' 59. Gas Pipe, � Undrgrnd., Test r{ !9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Svstem 61. APPROVAL TO DECK �� =� '� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �� . 12. Sewer Cap 63. Heater & Vent�Finai " 13. Roof Drains 2 64. Ptumbing System - Final { ' f 14. Rough Plumbing ` 65. Electrical•Final �� f� 15. Rough Electrical-Conduit 66. Solar System-Final . � ', . �rl 76. Rough Electric Wiring 67. Fencing & Access ApProval ' 1. � 17. Rough Wiring Sign 68. APPROVED FOfl PLASTERING • �'1 • i 18. Rough Electricai�T Bar Ceiling 69. POOL/SPA SYSTEMS F�NAL '`� '{ 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .�'' - - - ri' T. i� � - 20.�Rough Factor.yFireplace �::' �2 � ' ^'T • .�APPROVACS'�=Perrtiit# � ^' '3' .L a� S. S�2 ♦ \ '- p t S .: P 'Y - ♦ ' �Q .T y 21.'Duct's, i� Strucwie ; . . -.. T� � - "„ �. :70. Underground,Hydro - � 22. Ducts, Ventilating, � - � � �i � } 'r77, Product�PiP��g OGas QOiI 23.`;Gas Pipe�Rough &'Test ' ,r � , .,. :. - � 72. Underground FIusFS� x - 24.•Roof Framing �L'�. , - � , - ' ' � S73}tUndergrnd:StorageTank;DGas OOiI-�� • T T } � 25. Roof Sheathing „` ,1 :' ; `' _ �� j� `t �'74=0verhead'Hydro� '' ', 26. T�Bar Ceiling IStr,uctural) &�M�nocoat �• ' n _ �qr = 75 ;Dry Chemical �� _ „ 27. �Frameartd Flashing` 'p ' _ ° r" � 76:'Dr Stand'�I e "�" ' ^ ' �� ^ �+. .�... t7 J.� �eL Y'1'. ti. Y P P .�T 1' � t:� '.28.`Lathing;& Siding-:- _ =c�= �,�; � y; . • '�v � 77,: FIXED SYSTEM F_INAC' � � � �29. Insulation ' �� " - ; '� �`i ,,,�r�„'': y 7$�FIRE PREV. FINAL n :� :30. DrywalL,Nailing �-y-x �' �� c C>� � � HEALTH�DEPT: REQUIREIVIENT %'� t •_31. Plaster Brown Coat� .S ' _� t ;. ;j�_ !, :; �79: •FINAL INSP.ECTION� � � "32: Electrical Power Meter,-Finali [� I r;�' �� '�80..FOOD CERTIFICATE ISSUED� �33`!Final Electric rj`� r ,�;" ,� � }'Notes: �Y �?� " - ` , r ��34, Finaf H�ting & Air�Conditioni�g; �'"� I � ' (� ,A ,K� � � � 4' '�� '� ' r = I: �35.�Final Gas Pipe-TeSt' 'T' ;.� �* � �i,,-" • ^-'' ' 'r� ` T . r. ! i - �x -., ` y36. Hood or_CanoPY � �. � .. _ . - � r • � "✓ �- , z, `. :. .. " ,- � �37.-Final Factory Fire`place � K ' ' S • � '��;� � } � ^ � ', r i .: :. r''. . .. ��' � a t . . . 38. Final Plumbing , r.. � r I � �� 1� � ,� • `39. Water Service=Fina1� ' ;r .r ' � c 'r -� -. _ �y 'I �. �- AO..Gai�Service-Final , ,; .,-�, , �y •;, � Y `'� �•` '. '" . >'A7. Solar pomesticFinal . �, •• < _. ; '• = :�� ' .'n '\ � p. y .�• "."`' A2:'Backflaw Preventer ' �." J. � i- � . ' . ' ' ,� .. . � i .• a a. >: x�. _, . A3. Backflow Irrjgation� �� _ ?� ^ � � � , �= . � 1, �a 4 - T i l� ,a4. �andscape friipatiop Systema y� � y� f , � ;,, �f, ._. _ . .�� _ � � sA5._Sound Attenuation� �. - � � >' ' • ' - " . ' - , �r . � - � �.,� - - �46..Handirap Reguiations = �. • Y .. . . . ' , : � . - _ ..� • �47..FINAL STRUCTURE & BUILDING � �f-q'/"��' S�� o��,, m�- wt,�-' .48:�`FIN'AL PLANNING � � � � • ��'. r ri r: � � •.. 49. �Electric Release to Edison � � '�'' y� � � � _ / � .{ ✓"i: r � 50. Gas Release to Southem California Gas Cn ; �. �� ,. '. ;', �� l .-, 51. CERTIFICATEOF;OCCUPANCY . ,. � ,`-; ;-,'; �_ � •- ;,:� NO Date PNOIECT AUOflE55: 3 9 S E 1 9 TH ST OWNEfl'SNAME: AGOSTINO DOMENICO qooness: 395 E 19�'H ST COSTA MESA,CA 92627 645-9956 RflLHIENGINEER: NEG.NO.: IIOONESS: UNIT: UNIT: eeeminee: DOMENICO AGOSTINO ( 714 ) 645-9956 aooeess: 395 E 19TH S7' • COS1'A MESA CA 92627 LICENSEO CONTPACTOfl OELLRflRTION: I M1¢reby aliirm iha� I am li[enseA un0er provisions oi ChaD�er 9(commencing with Setlion 7000� ol Dinsion 3 ot Ihe Business an0 Pmlessions Cotle. antl my license is in tull lorce and eftetl. CITY LIC.: STRTE LIL.: QASS: Date� Signamre: WOBREHS' COMVENSATION OECLAflFTION: I �ereby a��irm Ihal I �aue a cehi��cate o� consenl �o selhinsure or a cerlilica�e af Workers' Compensa�ian Insurance. or a ceni�ied copY Ihereof (Sec�ion 3800. Lab. C�. POLICY NO.: E%P. �ATE: Certified copY is �ereby fumished. ❑ C¢rlilied copy is IileO wilh 1h¢ ciry BuilOing Divi5i0n. Date: Applicant E%EMP710NFBOMWOPREPS'COMPENSRTION�ECUNATION: Qhissectionneednatbecom0�etetliitheOe�mitisloronehun7reC�$iW�orless). I cetlily ihat in ihe Derlormance of tne work lor which ihis permit is issued I shall not employ any Derson in any manner so as lo become Su0lect �o ihe Work¢rs' Compen5a�ion LawS al Calibmia. Date: SignaWre: NOTICE: II, af�er making this tleclara�ion, you should hecame suCjecl ta t�e Workers' Campensation pmvisions ol ��e Labor Cotle. you musl lonnwitn comply vnth sucn provisions or Ihis permil snall �e OeemeO revoketl. CONSTXIICTION IENDING RGENCY: I here�y allirm Ihal t�ere is a consimc�ion lenaing aBe�cy lo� �Ae D?�ormance af 1�¢ work for which ihis permii is issuetl (Sec�ian 3097, Civ. C�. LENOEP: aooxcss: OWNEB BUIL�EB OELLABR710N: I hereby allirm Nal I am exempt imm tAe Contractars' State License Law far I�e followinp reasan �Seaion 7031.5 Business anG Pmtessional Ca�e: Any city al county w�ic� requires a Dermil m consimd, alter, improve, Jemolis�, ar repair any simcNre. D�iar lo ils issuance, also repuires Ihe applicant lor such permit to hle a signetl statement ihat he/sne is licensetl pursuam m t�e pmvisions ol �he Comracmrs' Sta�e License Law (Chapter 91�ommencing witA Section 7000) of Oivision 3 oi ihe Business anG Pmfessions Cotle) or I�ai �e/she is eMempl Iherefmm an0 ihe hasis for the allegetl exemptian. Any nolation ol Seclion 7031.5 by any aDPlicant lor a permii suUjec�s ihe applicani Io a civil penal�y o� not more �han five hundred dollars (5500). � 1. as ownet ol ihe D�operty ar rtry employees wit� wages as their sole compensation, will tla ihe wurk, antl the ❑ simcWre is not intenAed or olferetl for sale (Sectian 7044, Business and Pmtessional CoGe: T�e Contractors' State License law � Ooes noi ap01y �o an owner of a O�aPerty w�o builds ar improves itrereon, and wha Oces such wode NmSel�/Ilersell or thmugh his or her own employees. proNtlee Inal sucn impmvemenis are not intentled or offereA for sale. If, Aowever Ihe EuilAing or impmvemeni is sold vnthin one year ol completion. IAe awner will have ihe GurAen al Omving he/she Oitl noi Guila ar impmve = tar Ihe Durpose ol sale). I. as owner ol ihe Omperly, am exclusively comracting with IicenseA conVac�ors m constmc� IAe pmlecl (Sec�ian 7044, Business ❑ antl Protessions CoCe: The Convac�ors' Slale License Law does no� a00�Y la an owner ol pmoerry who hmlQt or imDrovu ��erean an0 who conVaps lor suc� O�ojects wit� a contrac�ar�s�license pursuant to I�e Conlrac�orY Staie License Law�.l am aware Ihai D�� ol l�eir Worker'S Compensafion insurante ShoUltl be pwhdetl to me. � � am exemp� under Sec�ion: $ P% O 4 A B. 8 P. C. mnmsreasoo: ALL WORK BY OWNE� 9_�� ' �� -Bale� � / /� i / � v1 i Owner _�2?4�;r= � �, � I tlo nereoy cenify thal I am aware of antl untlerstantl �he repuirements ol Calitomia Health ana Safery COJe Sections 25505, 25533. ana 2553a antl that I ar any Iuiure Dulltling occupanl will/will nol (circle one) neetl �a Compty vnt� 5ai0 slale cotles ana Ihe reQuir¢menl5 �or a permii for con9mclion or modilicalian Imm �he Air �ua0ty Managemenl Di9ricl. Fesidenlial conslmciion appliWiions are exempt imm I�ese Omvisians. G��( _ � y j}'-' ' 7!"��7 rr� f i—v�. oaie: nooi t�, t �'�--K i he�eey cenity mai i have eaa this appiicaiion ana siat�inat ine a�ove imormation is correci. i agree m compiy with ail city and counry orainancesantls�a�elawsrelatinglobuildingconslmclionan herebyaNhorizerepre5entaiivesollAiscirytoenteruDonlheabove�men�ionea pmperry for inspec�ion purposes. r , i �p: � Signaiure: Onvei 5 Lilense or Social ecuriiy e: $ t6aL46 WM1ile—Builaing'. Green—Coee Enlorcemem: Canarv—Ap0licanl: Pink—Fevenue: GoltlenroE—Assessar CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 05203 PERMIT NO: E 052038 PLAN CHECK NO: N GOVT: N SUPP; Y CONSTRUCTION TYPE: V-N PERMIT TYPE; ELE PURPOSE: ADD JOB DESCRIPTION : ADD TO SFD (EXTEND DEN) SQ FT; CLAIM VALUE: CALC-VALUE; GAO[7P OCC; R-3 / COMMENTS: REFERENCE BUILDING PERMIT #BE5114fi ' �r��r�*�r�r*�r�***��e**�e***��*+��***�r**��r+r�+��r**�+r��r*+�***�e**+��x*��r**x+rx�r**��r�r�r*�r*�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 H A C K S -- ------------ MATN 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:�' IN PARKING RE • PROV: PARCEL: 11729411 ZNE: REF NO• PLANNING N TES> i **��***�*********�****��**,�*��+�+�*�***��****��x**�*�*�*+��x•*��*�*******x��*+�* 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 ZONZNG APPROVED BY ' DATE; BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: - DATE: S 3 ifiEiF3FiEififlFiflFifaFifiEifiElFihif�FifiF �Eif1EiF�FiFiEfEaFif 1f1E if 1F iE iF �F if If iE if �lf af �E iE iE If 1F iF it �E if iF if iE iE 1f iP iE if iFlE �E 1F If iF iF iF if if iF if iE if if * IE if if ik iF aR IE #' iPlf �t IF 1f� ff �lE iE IP If ik if jF iE k If �f iE iF iE iF iE±E if iE �F IE LEGALIZATION:N F E E S 0 M M A R Y STRUCTURAL SEGMENT:N� PERMIT BLDG PMT PLUMBING ELE35R50 MECHANZC FIRE SMIP/RES GRADING �03 SMIP/NON-RE$ PLAN ISSUE FEE 4,50 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 35.50 4,50 0.00 90.00 90.00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 90.00 OVER/SHORT; 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK A0,0� itkkit4lFiFltiFifMiflEiEifMkkiFifif�FiFkiflfM�lfifklFik7tikiflflEklE1llkM�killfiFkklfkifklEkiflFlfiFaElfifk7ljflfffkiklElfitifklkiEiEifiFN 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 ELE ELE 10 FIXTURES LIGHTING 1 ST 20 EA, ,75 6 RECEPT/OfITLET 1 ST 20 EA. ,75 2 RECEPT/SWITCA 1 ST 20 EA. 75 2 MISC CONDUCTOR NOT LISTED REp PERMIT 11.00 END OF FEES 7.50 4.50 1,50 22,00 O1 �]OOE7"u4-CCGE715Y �e� � ,,,-�,,;,, DATE: D;/t;/9I iInE� !!:40 r� l/i � CONSTRUCTION ANDPLANNING PO SPA � f J t - Date Inspector � Date, Inspector APPROVALS Permit # ' APPROVALS Permit # • 5•' �:� ..i 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' � � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •� �� ' - . :3.'Electrical Conduit Utility�Undrgrnd. 54. Forms . . � � ��4. �Electrical Conduit-Undrgrnd. 55. Electrical Bonding . �� 5. Steel Reinforcemenij 56. Rough Plumbing & Pressure Test{ � � . 6.�ElectricalUFER�Gmd. 57. APPROVALTOCOVEfl�GUNIT�E 7. Footings - 58. Electrical Conduit�Undrgrnd. � '• � ) �^- 6. Foundation � 59. Gas Pipe, O Undrgrnd., Test - �• ' �9. Water Pipe-Und�grnd. 60. Backwash Lines, P-Trap, O Undigrnd. { �. 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 ' ' .j �� 13. Roof Drains � 64. Plumbing System - Final ��, .- 14. Rough Plumbing 65. Electrical-Final '' ��' " e. 15. Rough Electrical-Conduit 66. Solar SYstem-Final r 16. Rough Elearic Wiring 67. Fencing & Access ApProval , ' �i 17. Rough Wiring Sign 68. APPFOVED FOR PLASTERING ,� �� i, 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �•� }; 79. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT t � . . - [" - � 1'.� .. 20.•Rough Factocy Fiieplace 1. -. + tj . • ' �qppROVALSj��-Peamit # ` '" � f ' I'•" x, ' n i j� - � �. ~ r ' 21.�Ducfs, in.Structu�,e�.. � .. .. ' S �` �� .;:, � ' : -'� . ' -` ,70. Underground:Hydro 22. Ducts, Ventilating.-T • _ _ , � : ?71. Product�Piping OGas ❑�Oil 23.-Gas Pipe-Rou9h & Test , , � ' „ .. . 72. Underground FIusF .. �� 24. Roof Freming i�• � - ••� _ " • � �73:=Undergmii.Smrag�Taok:�Gas ❑Oil� ' • � 25. Roof Sheathing �"' �, - ' ' '' �' � ` .7q;+Overhead-Hydro � 26�T-Bar Ceiling (Structural) &4Jlonocoat r ' �'' � 75: :Dry Chemical • _ ''�r *,%, n e 27=Frameand Flashi'ng< <�` ' " • 76. Dr " �. ' `' ' "�' �s y ._,. YStandPiPe �..•r ��,rq�, 28. Lathing,-& Siding�•�-� � : +.�� ' �, y' • � � �=' � 77,:' FIXED SYSTEM F�INAL' � l"" � � ' '29. Insulation =` - . � � '. �" . � • • ' . - ��: � . . I �,�. 76:'FIRE PREV. FINAL i 30. Drywall Nailing �. •- I_`' HEALTH_DEPT: REQUIREMENT� •.31. Plaster Brown CoaY` s � � *' I I " �� 79 `FINAL INSPECTION; � - ' " � 32. Electrical Power Meter-Final� �� I �;^ �SO.�FOOD CERTIFICAT.E ISSUED " .�33.;Final Electric � �y � � •�., � ''Nofes: 5 ' � ;.,,34. Finpl Heating & Air+Conditioning-, ; � I I � i.. � � ._` -,�y ' ti = n• r * 35.•Final Gas Pipe-Tesf � � ' ( �� • '�' ` `� "_.' ' � '� � - � v + iy� . n�,,..- ,. v f36.�Hood or_CanoPY • � -_ � . � I >' . c�• , � = � � 37. Final Faaory Piieplace �� - ' '� � - � - � -""'"= I � -38. Final Plumbing ' � .. � '�. • � i . . , �; � ,'39. Water Service�Final° � � ` "` ` > - � ` n, 40. Gas Service-Final ; r ,s . , . � � '� . _ „ �:,. . `� • � , � 41. Solar pomestirFinal �' .' � ._ ' ° �- I M., :,`, 42. Backflow Preventer. � ;j ' I � j_. 1; -. � 43. Backflow Irrigation � ` ' " u� ' � , ," � f . � . . �:�. _ -44. Landscape Irrigation System.• , . ,• _ � t , , _ � �95.:Sound Attenuation r'' ' ' ' . - `^": .�. � . '1 �,� -46. Handicap_Regulatians - � ' . , ,� ' , � . 47. FINALSTRUCTURE&BUILDING •, � i�i; � �, � - 48.�'FIN'AL PLANNING � ' . ; , I 1��,�i�, � ' � r � ? v 49. Eleciric Release to Edison �' I �/ f' ' � . �r • � , 50. _Gas Release to Souihem Califomia Gas Co ' I � ��..�'. . �, .` , ' . � . 51' CERTIFICATEOF�OCCUPANCY . � ,-� •;(, T . • _ :. - � No. Date CITV OF COSTA MESA CONSTRUCTION PE Address �r.OnLlBCtOf AOP��qnt to fill in all s P MIT NO; u�ir �E- , Phone License No. wit�in heavy borCe� lines antl s19� dll appro0rlate tleclarationz. _Tf7ACT NO: - LOT NO. BLDG. NO. TVPE OF CONSTRUCTION y �j� � O NEW �ADD, ❑ ALTERATION � �- ❑REPAIR ❑�CONVERSION ❑DEMOLISH O OTHER � 1 hereby afiirm th:.t 1 am IicenieE unqer provlsions ot Charter 9(com- �mencing with secUOn 7000)-of DlyiSiOn 3 ot t�0 Buslne55 antl Professlons Cotle, antl my Ilcense is In tull torce antl effect. License Class Li<ense No. � . Date Si9nature � - � WORKERS' COMPENSATION DECLqRATION - I hereby atfirm that I have a certi(icdte of consent to selLinsure or a certitiwte of Workers' Compensation'�nsurance, or a certitieE copy thereof (Section 3800, Lab. C.). 'cy No. � ComDany � ertifietl mpy is hereby furnishetl. � � - �' � Certifietl <opy Is filetl with tne city Builtlin9 Division. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be completetl if the permit Is tor one huntlre� (5100) or less). - I<ertify that in the performance of t�e work for whi<h this permii is Issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation �yy.is of California. � �� Date Signature NOTICE: It aftet making this tlecla�a(ion, you ShOultl betome subject to th¢ WO/ke�s' Comp¢nsation p�ovi510n5 Of the Labo� Cotle, you must torthwlth comply with such provisionE or this permit zhall be tleemetl revoketl. ' - � � CONSTRVCTION LENDING AGENCY I hereby affirm tbat there is a constru�{�on lentling agency tor [M1e per- tormance of the work for which this permif is IssueO (SecUon 3097 Civ. C.). 'Lentler's Name Lentler's Atltlress OWNER BUILDEH DECLARATION I hereby attirm thal I am exempt from {he Contractor'S Lirense Law for the following reason (Section ]031.5 gusiness antl Protessions Cotle: Any clly or <oun[y which rGqWre9 a permit t0 Conslrucl, alt¢r, improve, tlemolish or repair any struc[ure, prbr to Its issuance, also re- ouirez [he ao.licant tor sucn permit t0 file a zi9netl s[atement that he �usine55 antl �Profe55ion5 Catle) m thaf he IS exempl'therelrOm antl Ihe r^� for tne allegetl oxemption. Any �iolation of Sectlon 7031.5 by applicant lo� a permit suCjects [h¢ applicant to a Uvil p¢nal[y �t mo�e lhan five huntlr¢tl t1011a�s (E500�. �� I, as owner ot lhe pro0erty, o It Sp{a.imlpYpfaiw4will tl0 the wo�k, dntl lh¢ 5[tuc[ute is not intentletl or ofPoretl for sale. ($eclion ]044, Buginess antl Prote55lon5 COtle: The Contraclor's License Law tloe5 not app�y to an owner ot a pro0e�ty � who buI105 or impraves therCon, antl �yho tlOes SUCh wo�k hlmseli o/ throu9h his own employe¢5, proNtletl thaFsuch improvements are not Int¢ntletl or otfer¢d for sale. If, however, Ihe bulltling or imp�ovemen[ Is soltl�within One year of COmpletion, [hG Own¢r will have lhe burtlen bt provin9 M1e tlid not bulltl or imbrove for the pur0ose ol sale). ❑'I,--as owner' of th¢ property, am ezclvzively contracting with litensetl conlractors to construct [he project (Sectlon ]044. Bu5lness and PrU(essions Gotle!Tne Cont�acior•5 Lltense Cdw tl0¢s not apPly t0 an owner ot ptoperly who builtls or imprOves lhereon, antl wno con- traGts irom"such pro�ects wlth'a CoryVacto�(s) Ilcesnatl pursuant to the Contractor'S License Law). ❑ 1 am exempt unUer Section - � B. 8 P. C. �o� Ihis reason - Date ' Ow�er �LM1¢r¢by.certify tha[ I.nave reatl [h 5 apbliGation antl stat a[ [he dbove information is correct. I a9ree to comply witb all tity antl county ortlinances.antl state laws relatlng to construction, antl hereby authorize representatives oi this city to ent@r upon t e above mentionea property _for p¢ttion pu�pon5es. _. _ TVPE OF PERMIT � . ' '��`rRA�ING �FOUNDATION � STRVCTURAL LJ TENANT ❑ ELECTRICAL OPCUMBING ❑MECHANI ❑ OTHER � ' PROJECT DESC4 gi� ,� N SQ. FT. G ��'(� OCCUPANCV COr STRVCTIONTVPE�mo� VALUATION�nc'a��ZONE �' GRADING CU. VOS. ACRES PLUMBING BATHTVBS SHOWERS : URINALS LAVATORIES DOUBLELAVS KIT. SINKS SERVICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTOR$ SWIMMING POOL WATER SERVICE GASSERVICE SUMPS FLOOR DRAINS � : > > CLARIFIERS P TRAP ' ALTERATION OUTLETS BTU OUTPUT ` SEWERCONNECTIONS � �� SOLAR TANK COLLECTORS SOLAR VIPING SVS. ISSVE FEE MECHANICAL PLAN CHECK HEATING $VSTEM 0�100,000 BTV _ AND DUCTING . 100,000 + gTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM- - - � 300,000 t BTU _ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAUST SYSTEM MULTIPIE 0 Signature d�ate �. Drivers' License nr :5 xt - -� ' "ISSUE FEE � ' ' " '" - "- ' ' CMF 0865-36 W'iite-Builtling; Canary-qpplican[; Pink-Accountin9: Goltlenrotl-Assessor 1721 2/05/82 1�3.62 TL , : : . ZONING pEGULATIONS A.P. $ ZONE PLNG. REFI # �— � � SETBACK � SIO VARD L5Ep R�IGHTA '7r // - REAR VARD (TO P/l) l PKG.SPACEREQ. � PROVIDED STREET WIOTH PARK FEE S ZONING APPROVEO DAT SPECIAL CONDITIONS: ' � 1 1 S , .D F �R SF �R N s ELECTRICAL - - aLarv CHECK GENE0.ATOR 0�1 KW__1-30 KW TRHNSFORMER APPLIHNCE 30-SOKW�SO+KW MOTORS 0-I HP__1-10 HP (INC. SOI.AR) 10-SO HP SO + HP FIXTURES x OUTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS ' POLES METERED SUB PANELS MAIN � SUB ' SERVICE - ' AMP ISSUE FEE � APPILICATION-APPROVED'BV ' DATEr, s" ' SUMMARV OF FEES � +. BUICDING' - �[ � - PERMIT E—+�2/��.1�V� - SMIP �$ �� PLANCHECK S�iGilL PERMIT PWMBING S �SSUANCE E' ' � GRADING S • PLAN CHECK S � ' . r . � ELECTRICAL S� , - E PLANCHECK E MIGROFILM b MEC,HANICAL'�E �- TOTAL FEE S PLAN CFIECK 'S -- ' LE55 A�- ' _ . . . .. VANCEPC �$_ FINAL�FEE 5�o3T62 CONSTRUCTION AND PLANNING � POOL & SPA .. ' � �. , APPROVALS Permit# E li Date Inspector qppROVALS Permit# ' � --,Date Inspector- 1. Temporary Electrical Service or Pole � 43. Pool & Equipment L'ocation� - � 2. Soil ipe-Undrgm � , 44. Steel Reinforcement - - ' � � 3. Electrical Conduit U[ility-Undrgm ' - ' 45. Forms � ' ' 4. Electrical Conduit-Undrgm. ' ' ' ` '� ' �46: Electrical Bonding � tee �ein orce � 47. Rou h Plumbin & Pressure l'est .- 6. Electrical UFER Grn ' •- 48. APPROVAtTO COVER-GUN17E 7. Footings ' '� 49. Elec[rical Conduit-Undr m � - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test �� 9. Water� Pipe _Undrgrn. __ - �� 51. Backwash Lines P-Tra �❑ ndr rn - t_ 10. Structural Floor System � .52. APPROVALTO DECK '- -�� - - - - - - -- 11. Properfy Sewer Line &�House�Conneciion � 53. Backwash & Rece tor-Final � � - ,�� 12._ Stree! Sewer Connection � • � � 54. Heater & Vent-Final ' � ' 13. Rough Ptumbing • - • � - ' � � - � - � - ' � - , 14. Rough ElectricConduit ' • - • - 56. Electrical•Fina� ..� � - �-� � 15. Ro ` N(r' •;;, � "�a•r" - - - � � � 57. Solac SYstem-Final •� ' ' ' - � � ,�� ' , 16. Rough�Heating & Air Conditioning. - � � � encing & Access Approval � 17: Ducts. in Structure � ' • � � APPROVED FOR P�LASTERING � ' 18. -Ducts, Ventilating - ' , . � 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL . �� ,� - - a � 20: Roof Framing_ ' ' � • 21 . Roof Sheathin . . - ' _. �,. •. � 22. Frame'arid-Flashing._ _ � - a\.,� NOTES: ' , • ' � 23. insulation . . , fl -f-�l= ti; � . �" 24. Lathing & Siding � ' �. a � � � � - - _ _ _ _ � � 25. .Drywall fJailing ' ' ' " "� � � 26. Plaster Brown Coat � �' � �' - � � ' ' , � 27i Electrical Power Meter-Final � ' ' � ' • � 28:- Final Electric- � - Z � " � � • 29. Final�Heating & Air Conditioning ' ` 30. Final Gas Pipe-Test ' " � � � � 31. Final Plumbing ' ' ' ' � " � ' ' • 32. Water Service-Final � ' - ' � � � � ' - ' ' ' 33�.•- Gas Service-Final � � - � ' � ' � 34. $olar pomestic-rinal ' � � ' ' � � 35. - Landsca e S rinkiin S stem ` � � 36. Sound Attenuation � � �" � 37. Handicap Regulations � � 38. FINALSTRUCTURE&BUILDING -2 �B � S � 39. Special Requirements Completed � � - ' 40. Electric Release,to Edison - ' � . 41. Gas Release to Southern California Gas Co. ' ' � � � � � � � ' 42. CER•l'IFICATE OF OCCUPANCY _ � � • No.- Date � ✓ . - .- "��; � sss2 FEE ECE VED COSTA MESA BUILDING DEPARTMENT '. � ��S rI P.O. BOX 31] COSTA MESA. CALIFORNIA �� FI ANGE DEPT. FOR APPLICANT TO FILL IN � AFPL1�,6,YT1'C71��F1'�REPERMIT 9U�LOING � n {^� BUILDING ADORE55 ] � ` i/ COSTA MESA. CALIFORNIA FOR OFFICE USE OIYLY OWNER � �"(� �(J MAIL � � /�� /� A�ORE55 l7 � CITV �v ARCHITECT ` OR �� 'iNEER ADDkc55 CONTRACTOR t t� M AD�RE55 7 � �/� LEGNL Lp� DESCRIPTION NO. / A.P. NO. SIZE /.^� �' OF LOT S( V USE OF LS EXtST�NG BLOG. d/ SETBPCK LINE FROM �C'f CENTER OF STREET �� SIDE NEW REPAIn TEL. NO. LIC. NO. LIC. NO- BUILDING,/D �� % %�� ADORE55 ,) ��f COSTA MESA, CALIFORNIA iC�. v.i NO. a""{ V/� F BY BLOCK TRACT I�O✓ .� NO.OF 9LDG5. � MOW ON LOT REAR YARD ^/ J �j � /� / l RIGHT �/I LEFT /(J DESCRIPTION OF WORK ALTERATION � ApDITION MOVING DEMOlISH NO OF � /y �� ROOMS STORIES • WALL � ROOF � ��+ COVERIGG 'O�f�G. BY. STnTE THAT THE 4BOVE IS CORRECT iND FGREE TO COMPLV WITM iLL QTY ORDINFNCES AND STATE LAWS REGVLATING BUIL�ING CONSTRUP iiON. nnn VALUATI ON SIGNATl1RE OF �/�y _ PERMITTEE � �� 4 a �o $ AIITHORIZEO AGENT /� DATE �!• t)/ IONS Df P7. � PERMIT FEE $ �� i PLAN CHECK $ � TOTAL FEE S � S �` . "a'�� r �� F � a Q .�. � s F Ci ftl F a '� i 7 i� a � � a O � L Z W S 3 6598 5/�e/80 ' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT 48050 TL r.V.6V/� ILVV VVJINIYILJN�VMLIfVn1Y1MiLVCV RECEIV BV PERMIT �QQ (�j For Applicant to Fill in Completely — Use Ink Only � BUILDING39S E 19rN ST A.P. NO. i.2 �� , ADDRE55 BUILDING /y OWNERORDOM/N/[f(�nOSL• TF�S'r��1/() ADDRE55 'J�� r/ S 7C-4PFi1VT• VNIT OR ADDRE 5 S A%iV SPACE NO. CITV No��s9�s.6 TR'NO. LOT /� BLK. Cos r E P �� NEW ADD LTER REPAIR MOVING DEMOLISH OONSTRUCTION LENDER v BRANCH DoniiN�[k o� 205� AGosri�o OWNER ADDRESS usE,�cN�p R�E L VALUE AliCMITECT TEL. /�I�CHEN E y%, OR ENGINEER �� ADDRESS 20NE TVPEV'"IV GROUP � 3 APPROVED CONTRACTOR � BV DATE � —�C� ADDRESS TEL. CITV NO. STATE CITV APPROVEDSETBACKS IIC. NO. 110. NO. � SIZE NO.OFBLOGS. (FROMC/ Tf�EET) 11 _ C OF LOT NOW ON LOT I ONT FT. O � USE OF -I EXISTING BLDG. ry GC: � Separate permits are required for L SiDE 5� Fr. �� electric, plumbing and heating work. � � � � REAR FT USE OF BUILDING AND WORK TO BE PERFORMED PIJiNNING ACTION ��` A R�� %(/TCNC NJ � �D DATE � �} APPROVED I�j s Li/ APPROVED �' � � r / I hareby eeknowledpe thet I �eva reatl this appltcatlon entl siate °i � thet the abore Information is corract antl agrea to comply wIN nll lows �a0ulatinB build(np conrtructlon, entl I ahell not amploy � ony parson in violetlon of Me workman'� compensation lews oi m the Staro of Californle. � U �J � I hareby certity t�et 1 em Oroperly Iicanaetl as a eontrecior untler SQ. FT. ! /��— �m`+ iha Stata ot California Businev ane Profeaiona Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro Chapter 9, antl that such licensos nre in full forca ontl eftect, or I THE PURPOSE OF ES'fABLISHING A PERMIT FEE ONLV: e nm exempt irom the provisions of NBState of Celifornla Buslness VALUATION PERMIT FEE E entl Protessio e Cotle, Dlvision 3, Chapter 9. .�� u4i n SIB�eture [A,� ��!S_ PLAN CHECK E � r... � 0 PermlHee $ LL O� / O TF% E Q c"'f. u � V Authorizatl ABent ��8 TOTAL PAID � .SO E ,yr \ O \ �