HomeMy WebLinkAbout422 19TH ST - Building Permits�°^�0F8"1qN°' 422 E 19TH ST
�"'g"""E"'�10N"' LORI HARTMAN
"D0"� 422 E 19TH ST
COSTA MESA,CA
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ANCN.OF FNG.'4 �DUNE59:
���*�� R C I ROOFING
CCMNICTORSYYlWO 4406 CHANNEL PL
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92663
C-39 1O
92627
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uNr: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 075521 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : REROOF OVER EXIST. 1LAYER COMP. W/SAME
uxr:
CLAIM VALUE: 600.00 CALC—VALUE: 600.00
(714)650-1079
CA ucw.: 704392
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Dms:
PERM NO: B 075521
GOVT: N SUPP: N
PUAPOSE: OTH
SQ FT: 600
GROUP OCC: M-1 /
COMMENTS: X
1f 1t 1E K iE 1F �F IF M iF if 1f if 1E iE 1E fE iE iE 1E M ik iE if if iF 1F if 1E IE M ik 1f If iF iF if iF if iE 1E IE IE 1E iE 1F IF 1E 1F if iF K if iF if 1F If iE 1F If M iF 1f K iF iF k 7F if 1E 1F 1E 7f IE 1F iF 1f iF af
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 HUILDING ---------
FRNT: . FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42631116 ZNE: REF NO:,i'
PLANNING NOTES> -
i j
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D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED HY : DATE: ��
APPLICATION ISSUED HY: � DATE: � 9)�
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE M NT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 17.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 17.50 0.00 0,00 17.50 17.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 17.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
17.00 .50
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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 600 REROOF BY VALUE REENDEOFI EESNOZONE 1.00 600.00
O1 0019312� CL�196220 T'� Y �7,pp
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CONSTRUCTION AND PLANN�NG / POl � SRA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. T&mporary Electrical Service or Pole 52. Pool & Equipment Location •
2. $pil Pipe•Undrgrnd. 53. Steel Reinforcement
�3. Electrical Condu{t4dtility-Undrgrnd.� 5A. Forms � �
"�4, EI"ectrical Conduit=Undrgrnd. 55. Electrical Bonding � �
�r v
TI�:,Steel Reintorcement 56. Rough Plumbing & Pressure Test �
i�$�'�IectriwlUFEf{�,-G'rnd. 57. APPROVALTOCOVER-GUN{TE
�;`J�,�ootings 5C, ' 58. ElectricalConduit•Undrgrnd. .
" 8. FOundation �� G 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ,�' 60. Backwash Lines, P-Trap, O Undrgrnd. _
10. Struaural Floor System •� 61. APPROVAL TO DECK
11. Roperty Sewer Line�& Hous�onnection 62. Backwash & Receptor•Final -
12. Sewer CaD � _ , 63. Heater & Vent-Fina4
13. Roof Drains , 64. Plumbing System - Finai 1
14. Rough Piumbing+ - � 65. Electrical-Final '
15. Raugh Electricai� on''iduit - 66. Solas SYstem-Final �.
16. Rough Eiectric �riqg � � 67. Fencing & Access Approval .
17. Rough Wiring Si�n 68. APPROVED FOR PLASTERING
18. ROugh Etectrica�T Bar Ceiiing , 69. POOIISPA SYSTEMS FINAI
79. Rough Heatin & Air Conditioning F T. EQUI ME T
�. ,�. :�, m ^� ,❑r ����' f? � � n;
20. &bugti FaRor�fit��ace �r x * �� ,.i ,J,y � �APPl�yOV�6,�� Po_munit # �r Y r
21. Buctsa in'..StruEiurF� % i-... r * 5 O�+� 70. �ndergr�� Ft�dro .�
-. � »' . x ^ q.r - i
22. DuctSi. Ve�7itil�Nng.. � "i t C, �;, F.,*� �7, Produ(x�ping $as G30i1
23. Gas ' e-Rouqi & Test � T x n tr� �S Ot .� 7z, Under r id F SA" '� f' �
-, -, ,.� � .,�.- m •-, x 9 � � � . >, c
24. Rbof`-�Fra'�nin .. ` ' r'� R: C C x g ryC� �
9 x �x 1 rt .•� -7� Under r�d,S[oro�fi�nkrOGas ❑ il
25. RaoP�Sheuhing �L � �x• O n N* 7q�bverheadHydr Q, �
26. T-Ba��eiling (Str�cT�)rall & M1�to�w��"coat w Q � � Cwi„ 7$� �ry Chep�ical F..,� q~ ,r
27. FrBrrie an�Flashing y � > o' .� a.K 76. Dry Sta �ipe F'd x- y � G
�28. Lathing �,Sid�ng ,�". N y�r O k£ ..� ..T 7�. FIXEDa.rpT�INA}. r, C'� r
�29. Insulatiom V M� 5 •� !�, I � 7� FIRE PREV. F L', ���
� `� �E! ALTFI DEP RE�11 MENT
"30. OrYwall Nailirlt ��,; y: F, � 5 r..� ��~ �
'�� (
�37. Plaster BYawn,'Coat + = � *' + : 79. FINAL 6N PECTT9N '" �
b
nl
�32. ��ectrical;,�o�Yer Mer�rvFinal ' �, �" � Bd..',�' POOD CERTIF�,TE I�bS�,IE¢. q
�.y � . ' . y. .. � L'. • �
_33. EinahEleecric� + �*. ' G * � Notes: ""�••7 y. '= �' '�.�'.,c
34. EjnaFHeating�'i Air �o��ditioninq `-' n �r � M� '�c S : �x �+ .�
� � �..a� :� i i-�`z: r: R;
, 35. Finaf�GarPipe.'�est x Cc •• � r- �i. xo l7H K� F[T'
'36. od'DrqnoPY Y7` �n c w:t �.' :1C -� '�."*'
�o -, : V' s;a -r. R-, �_:*s
- 37. Finai ��actory Firepiace :� - � w � � � � =: :s �+
.� S
"�38. FinaltPluq7bin9 :� ; � e r r• .r � i� cn
G
''39. Water SerGice•Final :- � � �" x :r v ; � � � . r 5
�. �
"�40. Gas Service-Frcmal � m �wrc^ �� .T7 I � C'� r�a �
�. :.. �-� - a ) '+� ;- • o � r •.
'41. Solar pomesLs•Fina� =� �� ,- '� � rr �n -�j � . :.
�
�
42. BackflowtPreventer * � �% '�
� ; .r o- � �. . �c r y
4- u-1 .i'. 1-t • r7 T l� �J Y
43. Backflow Irrigation � i. � : t^ � 1 ir y x �
a - r
4'4. LandscapreYlrriqation4System �'�`�:; � � n � ,`� �� � � �: ,,, �� y g r..N., �
'K H r -^ r" � �
45. $ound Atten�ation t ... �: ` m cn m� .� i✓. !-� K
�;
46. Handicap Regulations � � ' � � � x '� �'� ' r
, s � .,. R v o r. .
,47. F'INRt STRIltTUR� & BUICbING J2� /,?_ Cf' �� 1��"�T c � �F,
!
48. FJNAI PLANNING "' `' � ` n� � � ' �' "� `G ' F
x� �s t �� c i s ,
A9. EI¢ctrSc Releaie to E�lison I ,, ,�;�,,.� ;¢ •,�, �� ^ o
50. Gas Release to Soutt�rn Califor as Co '' '� �� �` � `• o r•. ? �.
.�P� .� s c.o ^ s: n, c
51. CERTIFICATE OF OCCUPANCY� ' " •� ' "
No Date
�
1DDflE540i8VILqNG: 4z'Z h 19TH ST
OWNERSN4IEIFRlOWIk LORI HAATMAN
eooxEss: 422 E 19TH ST
COSTA MESA,CA
MVL. YARClG �DDI1ESi
, YKXRECT OX FNtlNEER:
�� MCX.ON ENG'S 10DRE55:
�'""0T01fSN'� R C I ROOFING
cwm�ctoasxuuxc 4406 CHANNEL PL
�oo�ss: N . B .
NO.:
uNr:
92627
uc no.:
UNT:
(714)650-3079
CA ue.ra.: 704392
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'�md'eh, or ropair eny 51Nelure, prior to ilf e�ua'ws, � 'eeni ta eueA peemit lo file e eipmE eletemenl ihel he or oM
�beneed puisuent io IM prwieiom d tM Conlredws lioenae lew (Chapter 9(commana�p M� Sadon )OW) d D'vebn � d ih
�einew erM Prdenona Cadel a�� � a ehe ie eaemq Iherehom eM IM be�ie Iw Ne elbped memqion. MY violeton d Safun
)031.5 by eny epplicent lor e permil eubpne Iha epplicanl io e avil Po�eM b� more �hen IHa hurdred ddlan �5500�).
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a dlered for eeb (SecUon l00<. Butlmea end Prolnanne Cade: TM Cantrmwa Licanaa lewEms not epply loen ownerd peopeM
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imD��m��a va ria imendeE a dlaed lor eeb. tl, however, �M WiWi�p a inpoaameM b edd wnhin wr yau d oomplation, Ns
urmrbuitler �wll !uw tM buedan d pw'up M a eha d'd rc� build a'unpraa la tM qupoes W aale).
� I. n ovmer d IM poqity. em udm+ely contreQip x+l� lieensetl eanlreelae lo eon9eud IM qqe� (Seaun )OU. Buei�s enE
Prdeatims Cade: TM CaLLreCm licave Lew doec m� ewN b en ow'w d PwNY Ma drilda o impw» �henm erd who
convecu lar wN VA�a wdh e coKradale) IcerwE Wnuam to IM Corurmm Lioenae Lewl.
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Dve: 0�a�
I Co heroEy cenity the� I em ewere d vd unCareiend the requimmenu af CelJwnie Hmlih end Selety COEe Sedions 25505. 2550.i, en0
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e peimX lorwnavu<Ibna modi(ration Irom IMA'e�epemen� Uslnd. Pmidmliel cansliudion eppicelioneamxempt Imm theaa
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WOHKEF'S COMPENS�TION DKL�fl�TON: I Mreby alfmm under penelly d perjury ons d tl
� I Mw eM N ma'vXen e cwtAws W cmm� io eatlriuun br Mdken' mnpenwion. m p
coaa. i« ins rort�. d m. � ia �n inm v�n a a.�,ad.
❑ i nm..�e.a mewen.ond.• oomo.mmc� �,�. o�wmaa M s.eo, a�oo n �ne
work la whitl� �hia Pmm� ro bsued. MY waken' comVenae�ion imurence urtier uM DdiW
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Pdicy Numbar.
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I cenily Nel in the peRorme'rn W IM w ch thie permil is sue , 4 I ml emy
�ecoms w4� io iM .when' eam i� � d Celilamie. E e0ree the ' 4
ampenulion provisbns d Sadion 3] M Ihe L I Mell e iwlllre y x-
om<: ` — - �ty �oa�:
W�mlip: FWun ro weuro workxi m tlon rov�iay� l� unNwlW, �n Nrp u uM
c/v/l 11nu �p ro om huitlred thouuM tlo J�IX{OW), In sACI s coat ol rompxu�tbrt �a�W a� povltlM ror In
5«tlon 91Q6 0l tln Labor Cotle. Inrwu4 Ne • .
CONSIRIIC110N LENDING AGENCY: I MmW df urdar pvWry d pxjury Ihat ihre u a owW'uebn bndi'p q�sicy la Ne
perfamenro d �M v.vrk Iw whiN Ihe pmmi u eeued l�� �l. Ci+. C).
LENOEH'S N1WE:
LENUEN'S ADONE55:
I wnM �� I Mve nad ihia apqicalion vd mma �hn �M eEove iMmwion e mrtea. I piee lo canply v.nh all ory erd oounry adiwces
enE stme levn rqle�inolo�M�iWNqcanslruaion eM Mreby emhor¢e reprasenteiivae oi �hie cry io enlar upon ihe ebove-menloneE pmpaM
a m. i.na
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(S15tJ6.WP) Wlwe-&nkiqdSalYY:���^'FIe:Cuary-AppYeant:Fnk-Ravenue:GdEeneoE-0.vaamr
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B 075520
PERMIT NO: B 075520 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : REROOF OVER EXIST. iLAYER COMP. W/SAME SQ FT: 1,900
CLAIM VALUE: 1,900.00 CALC-VALUE: 1,900,00 GROUP qv�: R-3 /
COMMENTS: SMOKE DETCTORS ARE RE�UIRED.
***x��r*�r*r*�****ri��****r*r**r**� �r*�t**�t**�t�t***�t***�t�t�tr*�t�t�tx�***�t�t�t�t�t �r��r�t*�t**�t
Z O N I N G R E Q U I R E M E N T 5
S E T B A C K S A� /1 _
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDPP(�/;����
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: CF
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT:
PARRING REQ: -' PROV: PARCEL: 42631116 ZNE: REF NO: �, �o O�
PLANNING NOTES>�
� � �.,
1f 1f ii iE if 1E 1E ik 7F 1(' 7E 1E IE IE K if iE iEiE 1@ 1E 1E ii ik iF 1E IE 161E It iE iE 1E 1E iEiE IE 1E Ik IE 1F if iE iE 1E IE iE iF if 1f 1f 1@ 1E IE IF ik I@ iE 1@ 1E IE IE IE1E IE IE 1E IE if li 1f� iE if iE 1f iF iE�
D E V Ey.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: �s
.i
BUILDING APPROVED BY : DATE: �`.a
r p
APPLICATION ISSUED BY: DATE: ., Z / S-
161E1F1E1fihiEl('IFiE1EiEiElflFiEiElEifiFMiE 1E1EIEiE1h1E1EiE1EiE 1kiE
LEGALIZATION:N F E E S U M M A A Y STRUCTURAL SE MEN :Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 43.00 50
SMIP/NON-RES
PLAN
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAZD DUE
TOTALS----> 43.50 0.00 0.00 43.50 43.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 43.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
43.00 .SO
SFR
1E iE 1E 1E iEif ik 1E iE 1E 1f' 1E i(' iF M 1E Ik ik 1k Ik 1F ik if if i6 if if if 1E i! If 1E 1E iE 1E 1f' iE 1f' 1E ikiE if iF 1f 1f 1E iE if iE 1F 1(' if iE if 1E iE if if 1@ if 1E iE 1(� iE If it 1l�if 1klE if
I N D I V I D U A L F E E B R E A K D O W N
QTY D E S C R I P T I O N UNIT COST TOTAL COST
1900 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,900,00
END OF FEES
01 0�196121—COi9E123 T �DY' 43,;0
DATEa 12/OSiy: TI!tE: i2:`0
� CONSTRUCTION AND PLANNING �� � POOL PA-
APPROVALS Permit # � Date Inspector pppROVALS Permit #� Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location f
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement
G3r:�iectrical Condwi 13zi�ity•Undrgrnd. 54. Forms
"`4. ^ ctrical Conduit:i�ndrgrnd, � � 55. Electricat Bonding
r; �
��...,�,eei Reinforcerpept 56. Rough Piumbing & Pressure Test
'�F6Fe'ectrical UFER',y ;rnd. � � - 57. APPROVAL TO COVEft-GUNITE
��F'C� :rr�
��`9tiF.00tin9s 5t:; � 58. Electrical Conduit�Undrgmd, �� -
= 8. Foundation v � �� 59. Gas Pipe, � Undrgrnd., Test �.
c.t
9. Water Pipe�Undrgrn� `�` .
� u 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floo� Svstem 61. APPROVAL TO DECK
11. P',�rbperty Sewer Line�& House�T�,onnecrion 62. Backwash & Recepior-Finai
12. Sewer Cap a• � 63. Heater & Vent-Final
13. Roof Drains ' 64. Plumbing System � Pinal
14. (iough Plumbing� � � ' fi5. Electrical-Final� �
15. flough Electrica� ona8urt o' " 66. Solar SVstem-Final ; �
16. Rough Electric4V�ring;,�y ' 67. Fencing & ACcess Approval .�
77. Rough Wiring Sigm ' � 68. APPROVED FOR PLASTERING
o '
18. Rough Electrica�( Bar Ceiling 69. POOUSPA SYSTEMS FINAL .
� 19. Rough Headng & Air Conditioning � � C, FI,Q� Q,�PT.iQEQUfR�MEIV,� �,
-, � G' h � O� a s ' C� O �'� � t*�
20. �pughF�ior�Fi�ace � 5,,, r S�-+ ��� ,; PPF{�V�i,�r,r.,Pe�iit#.-.�:_,�
21. i�CtEEin�ru'i.iure3�x � �..•. _ %� S ^ r.i: �' :k
� *, *� 70. der rc,�iiMn�2 H�.iro X
22. Ruct�V�h�[���'�(tng� r � ` +� O <f, [G E+'r 77. Produot!riping lJ as C�:OiI
23. Gas � e��ouqti & Toac i n � � r•, c� a; C�e � 72. Undergrd`ncl F�P..� * �^ �
c �r
24. R�oofi�ralNing.' r* I;-�'r• F r� �? O' r, x � , r-�' k' .
,., Ct; �x � Q ..i��; .73.yUndergrri"d.Stor;e�dynk�Gas ❑f7il
25. (;oo;Shepshi�g j� � ��.�/�(,�' C: ' � .� 7¢�g�,erhead HYdr�r *
_..._
26. '�BafT�eilin9 (Siruet�frall & f�o�at * L, � � U # 7 �' r Che cal � �' - �'
ti �E � Y � H'.] 'i (T!
27. tamean�Flashing�x ^�^ .� p+ >i s� 76. Dry Stan 'pe F� -� -� "�,
- s n n•
C,1. � '7^ 2' " # � •�; IT'
�28. Lath+ag 8c�id�g ,,,% C,�^ ;� � 7� FIXED ,u���STE�,�,iNA� ,y ; .
29. Insulatio � . '�•' � .. .. . fi. �' x �. G �
(r �* 7� FIRE PREV. FIN�L
r�30. DrvWall ti1¢ilirtg �.�.,,* H � �� y s �EALTIiDEP"�. �R'EQ-OIR'EMENT
„�,31. Plaster Br�vn�Soa��: � , a�;*� a 79. FINAL 16t3BECTF�N s V D
w �'� T
„32. Efectrica4'.�Aow� N�{�r�Fi ,�I i * �' 4r �80'.�'yFOOD CERTIF��iE I�S�JED,.i y
ti . I -�' ' ! . • �`-�'T1
33. �na,F€�eq(r�c� -:.t: ;.! i v; s I �Ndtes: �7 '::� r-� :� L�.
i�
34. Fina4FFleat�ng'8t ArN�onditionin'�= r # � -� �'= '� -- �•d
•:A _�i !T1 r� 3 H F6� � LTi
r� r � . . � � .. - .
; 35. f.(na�as�FiiP�7est y C, • *;y 1 .,� •� �c l7�-+ �' t-��
m36. Hood�or CanoPY � � , ' r'�� "' � n ' � i�o s ^ �a;n,
Q+ T rl 1 M•Ti (!1 ? A' (�i i' h; �t;
"37. inalFactory Fireplace r ; �•-, �; t� � ,c � k c�
t
'�-'38. Final'Pluri�b�ng '`� N � -� *� i S H * t- �
�' � I S I 1*' C H t., .Y
Y,.
n39. \Nate`�Serv�ce-�Fjnal .s E � ,� � t ' � . ;�,"'
� �� r- h•
�740. Gas ServiEe�Fizra� t' :T! �t*.•' S � t*y � jt' �=�' �N �
a ^i • ;�; s a p. • ... E .: 4
�•. �-. s' S .l • * lr �.:�
y41, Solar por�estic�Final.� �;� � R, �p ,� �_,
� 42. 9eckflow.,reventer :r. :u * � p 'L : E� • � C7 �-+
r i. n f1 k, !-1 fi �TS `YQ�� * �'
"'. j u r ,�: u. C+ �
43. Backflow Irrig�tion '� j' �� T ;�: ,; � �� ;� .
�
44. Landsrape:lrrtqation>System 7�'1f= A +i*t C t7 C7x to !L "'�J � :U c
� �,. � � S 6 G-. � S F•
r
�5. 55iund A�en�lation; �`::'.. ' �r M n* a rn ¢'• Fri „
�
�$. -�landicap Regulatiorig� a r r-� �� s � � * � •5 � � S }
r ,-- M mru0 C;, r:
4�,7,.FfNlCtSTRU�`i'UR�&BU�L'a1NG h..���:,Lj' (��� `� � y`: f.,
'� [G i.- r�
48. h`,Z"NFi� PLANNING $ " � � : F t 2i ',"! * '� `� '•` F' "
�. i: j CJ c_ S * a, .
49. H.ec[nc ReleasE to EQison � - • '�` % ' ' '
;: � � K • r'. � �
. „
50. Ctas RBiease to Southern Califdr'ni�6as Co � -� '� � � %"� `' % '
��^v �: i f. c '�G Cl +k N J
51. CER�IFICATE OF OCCUPANCY �' � " �� •� • - -
No Da[e �
ssaemiwia: 422 E 19TH ST
NiWEIFRlN1Tt LEE, RUTH LOUISE TR
1ppXE45: Qzz E 19TH ST
COSTA MESA,CA 92627
MP�. NNl1N0 AD�RE54:
UNT:
uicxrtecronEdanun: HARRY CASN uc.xo.: CO
.xcx.on�s.00x�ss: 7231 E SPRING ST uxr:
LONG HEACH CA 90808
CONRIACT011'S IUME
cwrnncroxsxuuno
/i00NE55: 11C.N0.:
UNT:
LJCFNSED COMRACTONS DECLAXRTION: I Mreby �iiir� uMm penNy d pmjury Mel I em fironmE uMs pwiebna d Gheqer 9
(mmmaria�g wil� Sac�ion ]000) oi Orvoion � ol �he Buvirea arM Pideaeiona Cotle. eM mY licerea h in fu0laca eM eHed.
cm uc. no.: uc. cuss: uc. No.: EXP :
oe�a: convaeor.
OWNEP BUILDEN DECL�H�710N: I hnaby dfirm under pe�y d perN�Y �� ���a^a ��^ ��^ �^^��� ��^'a Lew for ihe
lolbwig reeaon (�bn 10.A1.5 Busi�ma eM Rotmsons Ceda: AnY ciY a�m'/ �� �Guiree a pamiu �o m�nvucl. eller. impove.
mdah, n repei eny si�ucNre, pv to m bweze, e6o requirea IM ep�tlimM fa wch pmmil to fib e sg'wE atetemenl Met ha a ahe
icansad Wrsuent io iM paisma d Ne Coniredon licenae law ICliepler 91�mmeiq wuh Seeion )000) d Drveion 3 d tlr
�sr�my ard Prdesabna Coda� w �hel b a ahe ia ezamp IM1erehvm eM the bese �a Na elbpeE eaempion. My vuW ion d SeGion
]03t.5 by arry epdicent for e permil wbjae� Ihe eppl'rant ta e dvil penelry d �at more ihen five hurdead dollac �55�0�).
� I, ea oxm�ar d �he propeMy or my empbyees w%h weB� 5a thei eole oompenmlion, will Eo IM work, end the ewnure o nd inlenCed
m oitered lar eeb (Section IOCd, Busineea arM Prolessio�� Code: The Coniradon Licenae Lewdms not eppty lo en ownerd properry
wM1a bulds a impraves Ihereon. end who Eoea such wwk himaeM or henap or th�aph he w her oxn employeae, proviEeE ihet swh
'mpwemenis ua mt immEeE a oHered lor eale. H, hov,�, �� buiNi'q or inprovemeM ie edd wnhin wre yaer d completion. �he
�ow�nr-buiWer Mill Mve �he burden al pro+inp M or 5M dy �p y�ild w impwa foe �M W�e d seb).
1, m owrer d Ihe pWaM. em e�dmveN conlreqiq rtlh Ii�ueA comrenas �o Iha pul� (Seaion IOM. Businms eM
Pmleaiona CoEe: Tha ConiraGas L'sense Lew doan r� appy w en d x1w buitla a impovm thereon ak who
conlretls Iw wM prqeea wnh e mMredar(s� Icensed nuenl to tha tred Lioenae Lew�.
I a exemq uMer SeMio � B. .C., br I�i ee n:
ete: � � �w:
hereEy cenily thet I em ewve d enA uidentaM tM rWYi�mnenn d Cel!«nie HmXh end Selely COEa Sad'vw 25505.?5533. eM
T553a, uN Met I a eny Mure buitli�q ¢apenl will / wil �(dRb aro) meE lo comqy w�h eeid mma oodp enE tM mpuiremaNa br
epem�M1f«cwnvuction«modifimtionhaniM�i u3Try�iar�epamenipisfnu.ResNemalmMiudioneppimtiaroenuemplrantMae
Dele: APP��carR
W ONKER'S COMPENS�TION DECLAflRTION: I MreW elfi�m u�kar parany d perjury one d ihe follov.inB dedve�iona:
� I �ava vM wiG meinien e cenificele d coneent lo sellinyi� la xwke�s' companamion, m prwiEeE for by Sedion �]00 d �M lebar
Cade, /« tM pertomienca M tlia wMla which Mis pery�n ie iwuad.
❑ i nerc e�e m� meime.� ��� oomo�� ���. m�v���d M sea� a�oo d ine iae« coee. ror me w�«�.�ce d m.
woelc fa wl�ieh thie pe�mM1 e bsued. MY waNerm' mmponation imurercn ra�iar enC pdiry number ere:
c�m:
Polcy Number:
,his sMion neeC nIN be cnmplered'd ��e pelme is loi one hunCred dolbn (S10J) or Iea.J
� I cenily Nel in Ihe peRarmen:e o/ iM woM br v.nich Ihie permn ia iaeued, I ahell m� ampby a�ry parori in any mennar eo m to
becane aubpa Io iM xoMxa comDemetion lexa a calitanie. vM Wme NN tl I eMuk bxome w4ed to IM wwkma'
�o�a� o�.�a d sea� aoo oi me �mo. cam. i.nen ronn.an mmoN .mn uoee o�o�s�av.
Deta: AGNkenL
Wem/np: Fallun ro sx�ro wakxi' compruetlon caverqps l� �NwNI, en0siW1 wD/xf en �mploysr fo crlMnsl perwltlu enC
elvll flMs up ro one hwtlrs! tMusend dollen (S10q000), In eWltlon ro fh� cwf ol compweHan, tlamrysi sa provlCeC br In
SxOan 9]O6 0l Ms LWa� Cods, InMrs�t, entl ettomeys Iess,
CONSTflUCT10N LENDINO RGENCY: I Mreby �rm un� q�¢ryy ol per'ryry ihm iMn u e mrsiudion bMi�p epericy br Ihe
parlormarim d tM w�k la xhich the pelmi ia uwed (Sedipi �pg), �'v. L�.
LENDEN'S NAME:
LENDEP'S RUDflE55:
1 canity it�el l heve reeE I�ia eppliceiion end be�e Ihet Na ebove iMormelion ia corted. I eprea to wmpty wilh ell tlly end caumy adinenme
entlslalelexsrelelingiabuilEinB����+aa ���abyamhor¢arepeaemeiivead�hiadtyloamer�pantMebove�membneEpopeny
ro,ma�aia�o��w�s. DAVID �ARTMAN
��_
(5151�48 WP) White-Buildip 8 Selety; Oreeo-FlO; Canary-Ap0lirsnt; Pink-Revenue; Gddenrotl-Avamwr
CITY OF CO5TA MESA — HUILDING PERMIT
PERM NO: B 074"L25
PERMIT NO: B 074225 PLAN CHECK NO: 01309-95 L GOVT: N SUPP: N
CONSTRUCTZON TYPE: PERMIT TYPE: STR PURPOSE: ADD
JOH DESCRIPTION : INTERIOR ALTERAT•IONS TO EXISTING SFD SQ FT; 5,693
CLAIM VALOE: 55,000.00 CALC—VALUE: 5,000.00 GHOUP OCC: R-3 /
COMMENTS: MISC IN'TERIOR REMODEL
if k ir ir it 3E iF iF 1E 1E �f iF �)E iE 1E aE iE if iE iE iE+E iE �)t+F �1(� 1E iE iF 3E iE iE 1E iE iE iE iE iE iE iE �F it iE iE it iE if jE iE 1E iE iE iE jE iE ir iE iE iE iE iE iF 3E if iE 3E it ir iE 3E iE iE it iE 3F iE iE aE iE
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: 24 FT 9 IN REAR: 50 FT IN FRNT: 102 FT IN REAR: 5 FT IN
LEFT: 5 FT IN RGHT; 8 FT 2 IN LEFT: 40 FT IN RGHT: 3 FT 7 IN
PARKING REQ: PROC�: PARCEL: 42631116 ZNE: R1 REF NO:,
PLANNING NOTES> . '`_ . . , � "" -
i
1E 1E iE dE �E df 9E jF jF iE iE 3E iE'1E 1E 3E iE �f jEiE iE 1E 1E �E 1E iE 9F:E 3E 3F jE 3F 1E if 3E iE 1f iE 3k 3E iE 3f iE 1E jF 161E 1Elf'1F�1E 9E 3E 1E 3f 1f 1ElE if 9E 3f iE 3k �E �IE'lE IE dE 1E iE iE if ik �F �f iE iE iE if
D E V E L(� iP` M E N T S E R V I C E S R E Q U I R E M E N;T S
/Y . � Ln/I� '
ZONING APPROCTED BY %• DATE: R-I.� qS
BUILDING APPRCVED BY : I�v//� DATE; 2 �
, ������
APPLICATION ISSOEG BY: (�� DATE: "l� ��
iEiElEaEiEiEiElfiEiFiFiEiEiE1E9EiEiFjf��ifiF1F 'iFi7�F5 iF3fifiElf3EiE3E�E9E . �EiE
LEGALIZATIOD]:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING
PERMIT 72.00 50
SMIP/NON—RES
PLAN 46.R0
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 0.00 46.80 119.30 119.30 .00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SFIORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
72,�� .S�
iE iF �E iE if iE iF iE i(� if iE 9E IE 9F �E iE k iE �E �IE �E 3E k iE iE iE ik 9E 9E 3E 3E 1E iE-0E �E IE iE iE iE iE iE iE iE �E �E iE iE iE fE 9E 1E 3ElF iE 1E iE �E 3E iE jE iE iE iF if �F iE �E �f jF 3E 3E 3f iE �E 1E 3E �E 3E 3E
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY D E S C R I P T I O N UNIT COST TOTAL COST
5000 ALTER BY C'ALUE RESIDENTIAL N07,ONE 1.00 5,000.00
END OF FEES
SMOKE DETECTOR
It...... t ���+f��c 6�N V
t]1 C�1°�322—OG19�323 TfiT 7?.�U
DATE: G4/i:�lQS 7I11r: 13:42
I��' CONSTRUCTION AND PLRNNING P00 >PA
APPROVAI.S Permit# bate lnspector ApPROVAIS Permit# Date fnspector
t. Temporory Electrica� Service or Pole - - 52. Pool & Equipmeni Location
Z, Soi4 Pipe�Undrgrnd. 53. Steaf Reinforcement �'
. .,� f
�, 3, Eiectricai_Conduit Utility-Undrgrnd. . . 54. forms ��', "
•r--
4, Electrical ConduiFUndrgrnd. � � 55. Eiectricai Bonding� --,
I� 5. Steei Reinforcement . 56. Rough Plumbing & Pressure Test '�
6. Electricat UFER Grnd. � � 57. APPROVAL TO COVER�GUNITE -�
i
� 7, footings . 58. Electricai Conduit-llndrgrnd.
I
8, Foundation i , 59. Gas Pipe, O Undrqrnd., 7est
9. Water Pipe�Undrgrnd. � 60. 8ackwash Lines, P�Trap, O Undrgmd.
I�
10, Structural Floor System -- � 61. APPROVAL 70 DECK
17, Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . '`� 63. Heater & Vent-Finai
13. Roof Orains 64, Plumbinc� System � Final
i4. Rough Plumbing '- , � 65. Electrical�Finat
15. Rough Electrical�Conduit -� � 66. Solar System-Finaf
76. Rough Electric4Viring - 67. Fencing & Access ApProval .
17, flough Wiring Sign " 68. APPROVED FOR PLASTERING
78. Rough Elettricai-T Bar Ceiling � 69. POOLJSPA SYSTEMS FINA� �
tg, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure - 70. U�derground Hydro
22, Qucts, Veotilatiny ' � 71, Product Piping C Gas OOii
23. Gas Pipe•Rough & Test 72. Underground �lush
24. Roof Praming � 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof $heathing � 74. Overhead HY�ro
� 26. T�Bar Ceiling (Structurali & Monocoat 75. Dry Chemical
z7, Freme and Fiashing �,.!?��(�6L- 76. Dry Standpipe �
28. Lathing & Siding' 77. FIXED SYSTEM FINAL
� 29, tnsulation 78. FIRE PREV. FiNAI
30. Drywall Nailing _ HEALTH DEPT. REQUIREMENT
37. Piaster Brown Coat � '�� -� 79. FINAL INSPECTION
32. Electrical Power Me[er�Final `�' � �� 80. FOOD CERTIFICATE ISSUED
33. Final,Electric � � ' � Notes:
34. Finaf Heating & Air Conditioning . '�
35. Final Gas Pipe-Test �
36. Hood or Canopy ' � , � ,
37. Final Factory Firepiace � ; • �
38. Final Plumbing
39. 1Naxer Service-Final
40. Gas Service-Pinal � ' � �
41. So�ar pomestioFinal � �
42, Backflow Preventer � r
43. Backflow Irriqation ' � - '
44. landscape Irrigation SYstem -" . . �Y"`_ �,�
45. �und Atte�uation � � . "`
�. �
46. Handicap Regulations T;'
47. PiNAL STRUCTUfiE & BUILDING _�2_g6 ���L -
48. FINALPLANNING i � ;*, :
49. Etectrie Release to Edison , � '" ,•
50. Gas Release to $outhem California Gas Co � '- ,./ �
51. CERTIFICATE OF OCCUPANCY `,
No Date
�oepeis oF ew�ara: 4 2 2 E 19 T H. S T . uxr:
/l�Eas"'WEi`q'°"": LEE, Rr�TH LOUISE TR
ADDHESS: 4 z 2 E 19 TH S T
�"="�• COSTA MESA,CA 92627
�vv�.wwxa �oonEss:
urcxnecroxe++m/¢x: HARRY CAZN ��N°�� CO
WCN.OXFNU.'SADDNE59: ']z31 E SPRING ST UNT:
LONG BEACH C"A 90808
coxm�craraw�ue: SPIKE ELECTRIC ( 818 ) 330-5693
cwrn�croxawuin+a 16252 SORIANO
��% HACIENDA HTS CA � � 569010
91745 uM:
LJCEN4ED CONTNICTON9 DECIAXRTION: I M�aby dlim uMm pa�Wy d pmjury Nm I am fwrued uMw prwubeu d Cheqm B
(oommendM waA 9enion 1000) d D'Maion a d ilr Budroo ud P�Wm�cns CaEe. end mY fKanw b in tu4 Mu W allae.
uc.No.: uc.cuss: C-10 uc.No.: 569010 EXP:
ma ContreCa: �
0 EN BUILDEN DECLAR�TION: I Mntr/ effifm uMa psnaly d perjvy thm I em aumq hom �M Cmtretlm Lkan�� Lew la IM
dbh'n0 �eeron (Satlian 10Jt.5 Buaio� and Pralmuns CaEe: MY uY a oounN w}tiN �Wu'va e V�� lo awbuel. eEa. Lnpavs.
�mdi��, n npai eny �wctura. pv b Cs ewenu. ebo repwrm tM applimM ta wch permil lo fib a aynW stebmW ihet M a�M
Ycen.ed w�� io �n. a��+ w u» wu,een. uoeMe �ew Icneqs 9 lomun«,ero wn saao, �aool a oireion a d �ro
�nirbn uM Adeniw Codel a ihet Ir a kw b exemq tMahan eM tM bam ta Me allepW uamqion. My videtion d Senian
1W 1.5 b/ e�ry epplirenl fa e psrmil nAjetls Ihs epplium to e tlW penMy d nd mae IMn Me IwMnE tldletv �SS0011.
� I, m owrar d IM popa�y or my amployees v.ih wepea m thei wle rompemmion, wiil Eo Iha woM, eM IM Hructura u no� intendad
«MareE br mb (Seeiwn )Oei. Buvirose eM Pmlessiau Gode: TM1e Conlretlors Liemae Lewdoee erot xpplyto en oxner M propeily
who Widv w inD�e ��eraon, uM Mw doee vuch xwklvmeatl w Mnatl or thrwph hc a her own empbyeas, pwideE Ihel euch
impwwnems ere nol ixeMad ar dlereE Im eW, tl, howaver, iM buiNi�p a inpwemem ie eoM wil�in ma yeer d mmpbtion, Up
oxnar-0uilder xill Mve iM WNen d pwiip M or elro d'd nal briM w impro+a far �M WTo+s d mb�.
❑ �. e, own., d ine awsn..m eaaurveM w�i,mne n;�n �ir<n.w comrenan m canm�u u�e w9etl (swbn 1a.. ewiro...nd
Proleseione COAe: The Contrmm licenae lew daes rid epply io en owrier d pmpeny x1w Euiks or "unpwa ihereon aM who
wntrens lor wdi prqeas xiN a cwureaor(s) licen»tl W�� lo �M ConlreGan Licenae Lew).
� I em exemq uMer Satlian: B. 8 P.C., lor Ihis reswn:
Deta: �a
i ao n,�nv o.n�y inei i� e.ae a�e ��da�i�e ma reawrem�re d cei�omb �nn �e sd�r cada s.a�. uws. sssas. �a
455�1, eM ilw I w eny INurs Wikirp om�pent will / wll rw� (arcb ms) need to canply wi� edE elnte coOm aM �M raQuiremanu b
eoermefnmvtiuciiondrtoEifreiianhantMAi ue�TRiiy enegement0ixria.Reademialmm�uaioneppifetiomueeumpimm�hms
Dete: ADW��
W OflKEH'S COMPENS�TION DECL�fl�iION: I henby etfirm uMer penelly ol perjury orc d Ne bllowirp CecbrYiona:
� I heve xM xi0 meiMen e cenEi�ata d oonwn� lo �eM-inwn M xwken' companWion, m povkeE la Ey Setlian �]00 d tAe leEor
coae. i« ine oeno�. d in..ax i« �n ms v�u m�„ae.
� I heve vd W meinlen wMm' wmpxuetion'umraMs, m�pu'ved W Saqion 3�40 d IM lebor f:ode. br tM pMamenm d �M
wuk fa xfiich iAu De� u eeueE. MY woken' com0�ion imurenu rerner enA O�Y numbm are:
Certix:
Pdiry Number:
nia senian rieed nw 6e �wnpbred I Ure pwmr o lw wre nuMrslOdlan /S1oo/ w kv.l
� I mnCy Wt in �M pMamence d iAe wwk la whch �hie pemia e iuued, 1 aheA m� empby eiry pe�eon in eiry meniror m as �o
becortb wbjea to iM xorMere' canperue�im ie�w d CelJomu, vd epree MY J I ehwN becann �bjea to iM wMen'
comoemaion w�om a sea�on a�ao d ine �ee« coee. � wu �onnwun canoN wun uave wwnpm.
.: �,w�:
Waml�g: F�N�n ro weun roA�n'ronpw�wtlon rov�np� la unlawNl, �n� �IWI a�!/cf �n Nrployw ro WMNI parMp uM
clHl niw �p ro om nu�e�M tlouuna EWhn (JIP0.PPOA M Wltbn ro tln cosf o/ rompwu�rbn �W u provMM ror In
Sxtlon 9�(16 0l !M LeDorCob, Intwut, �ntl �ffomsyi /ws.
CONSTNUC110N LENDINO �OENCY: I heraby elfirm uMx peneXy d perjury �het �hen u e mna�uaion NMirp eperKy Iw tM1s
peApmarca d the v.wk la xfiiW tha pumY u ewed (Smion �09]. CN. C).
IENDEfl'S NRME:
LENUEP'S �OORESS:
I ttnEy ihat I heve reW I�a epqicetion vd aeb Ihet Ihe ebwe iMame�ion u caned. I prae to canyy xiih eA ory aM oounry ad'vuMm
eM s�ele kxs raWinp to WiMiq comUWon e�d hueby eNiv¢e rtqeunlmives d �M1ie tiryto eMer upon IM ebwe.menlmed qopMy
lorinapedion pu�pofee.
SCOTT BROWN
(5151AB WP) W�iis-Buildiiq 8 Seleiy; areeirFile; Cenery-AppFrani; Pink-Revenue: GOldenroo-Asmva
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT N0: M 074513 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: MEC
JOB DESCRIPTION ; INTERIOR ALTERATIONS TO EXISTING SFD
CLAIM VALUE:
CALC—VALUE:
PERM NO: M 074513
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT:
GROUP OCC: R-3 /
COMMENTS: REF: B-74225" BATHROOM VENT"
iE aE iE iE �E iE 3E IE if iE �l-iE iE iE 3E 3E iE iE iE jE iE 3f jF �E IE iE iE 3f iF it if 3t if 3E if it iF if iE 3F it 3f iE if iF iE iE iE iE 1E if �E 3E jE 3E 3E �Y if if iF if iF iE �f if iE iE it it iE 3f �E aE iE+t iF iE 3f iE
Z O N I N G R E Q U I R E M E N T 5
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: 42631116 ZNE; REF NO:
PLANNING NOTES> �
i
1F 1E 3f iE iE 1E iE iE iE 1E 1E iE 3E 1E iE iE dE iE iE fk iE iE iE iE 1F fF i6 �E 1E iE iE iF iE iE if dE 1E�E iE aE 1E If 1E if if 7F jF aE if 3E iE �f iE iE 1E iE iE if 3E'%� if iE iE 3E if 3E iE iE 1f �f iF iE iE iF 1E 3f iE 3E iF
D E V E L O P M E N T S E R�V I C E S R E Q U Y R E M E N T 5
J
ZONING APPROVED BY � DATE:
HUILDING APPROVED BY : � DATE;
APPLICATION ISSUED BY: �'�(�" DATE: o—.�� � 4?
�IEiE1EiEiEiEiE�1l1EiE�EiE1E�EjEifiE1E�E1EjE-% it x �E3EIEiEiEfFdEiElFif c i�iF�i41E
LEGALIZATION:N F E E S J�M�M A R Y STRUCTURAL SEGMENT:N
. � �
HLDG PMT PLUMBING ELECTRIC(vMECHANIC FIRE SMIP/RES GRADING
PERMIT . � 4.50
•n ;,v �j/ � 25% SMIP/NON—RES
PLAN l
ISSUE FEE r� Iv �'�' 15. 00
BUILDING—DIV—> PERMIT ISSUE PLAN.�CHECK TOTAL PAID DUE
TOTALS----> 4.50 15.00 - 0.00 19.50 19,50 .00
REVENUE DIVISION TOTALS--> COLLECTEIa� � 19.50 �OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC M�CHANIC �, FIRE SMIP/TOT GRADZNG PLAN—CHECK
.'19.5� �
iE iE fE if iE iE iE if if 1E 1E 1E iE iE iE iE iE 3E iE jE iE iE if'k iF if bf iE �E iE 1E iE i(-if�iF if jE 3F9E iE ik �IE %j/1f 1E iE �1E 3E iF if iF 3E 3f �E iE 3E 3E 3E i6 if iE 3E 3E iE if iE ik 1E iF ib iElE # iE iF 3E * 1f iF
I N D I V I D U A L, ✓'F �E E: B R E A K D O W N
� n
TYPE QTY C+ e. S�� E. x?'� I r:.. A!r ��'' �It�3Ii ��«ST 70TRL COST
�
MEC 1 VENTILATION FAN CONNi�O SINGT,E DOCT 4.50 4.50
ENDJO FEES
'� ',� !�J
'� � /„h
%
l �
r, . .
� , �1 Op191S:1-0�1".141I Y�l�
`,;��i �aiE' Ir/tlig= tF:��: :�8:.';�
/ �
� CONSTRUCTION AN�PLANNING �
A�ROVALS Permit # �
�
1. TemOorary Eiectrical Service or Pole
2. $oil Pipe-Undrgrnd.
3. Elettrical Conduit lltitityUndrgrnd.
4. Electrical Conduit�Undrgind.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Foatings
8. Foundation
9. Wa[er Pipe�Undrgrnd.
10. Struct�ral Floor System
17. ProPerty Sewer Line & House Connection
12. Sewer Cap
13. Foof Drains
14. Rough Plumbin9
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wiring $ign .
18. Rough ElectricabT Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. DuFts,in Structure
22. Dutts, Ventilating
23. Gas P�pe-Rough & Test
24. Roof framing
25. Roof Sheathing
26. T�Bar Ceiling (Structural) & Monocoat
27. Frameand Flashing
28. �athing & Siding
29. Insulaiion
30. Drywall Naiiing
31. Plaster Brown Coat
32. Electrical Power Meter�Finai
33. Finai Electric
34. Finai Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy `
37. Fine� FaMorY Fireplate
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
47. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriyation Syetem
45. Sound Attenuation
46. Handicap Regulations
47. FIfJAt STRUCTURE & BUILOt(VG
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern Catitomia Gas Q
51. CEflTIFICATE OF OCCUPANCY
No. Date
Date
POOI QA �
Inspector qPPROVA�S Pe�mit #
52. Pool & Equipment Location
53. Steel fteinforcement
54. Forms
55. Electrical8onding �
56. Rough Piumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
^ 58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, Q Undrgrnd., Test
- 60. Backwash Lines, P�Trap, O Undrgrnd.
67. APPROVAL TO DECK
62. Backwash $c Receptor-Final
� 63. Heater & Vent-Final
64. Piumbing System • Final
65. Electrical-Pinal
66. Solar SYstem�Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEMS FINAI
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping OGas ❑Oil
72. Underground Flush
73. Undergmd. Storage Tank O Gas ❑ Oil
74. Overhead HYdro
75. Dry Chemical
76. Dry Sta�dplpe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAI INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes: /�...Fi � ,tD_ �_. � _ ) , _
Date � Inspector
�
/
ooqcss a ew�ou+a q z z E 1 9 TFi 5 T
� n*r,.�E�Fw,w^+: LEE, RUTH LOftISE 'tR
�� 422 E 29TH ST
. COSTA MESA,CA 92627
�PP�. YAl1IIq I�OONE49:
UICMRECT qi Fll�lFEN:
copm�crarswua: VALCO PLUMBING COMPANY
CONtp�CTORSYMUNO p. O. EOX S 9 9 3
fr:#:}A
UNT:
UNT:
(714)517-7999
�ss ORANGE CA ucwo: 2895$7
92680 urar:
LIC�NSED COMRACTORS DECL1q�TON: I MreEy Nim uMa psnely d pe�ury tlW I em IcmroC �Mer prwieione d Chepter B
(aw�manciq Milh Sx�im ]000) d Divuian J d IM &nv�w end Prdmums COM. uq my 6cmia u in Iu01aw erd MIw.
cmuc.No.: 0 88� 3 ue.cuss: C-36 u9 �o. 2895°�00/00
o.,.: d �a- 9 5" �,�.,a � c�v.
OWryER BUILDEIi DECL.�PATION: I Mmby elfirm under pen d pe, ry IIW I em wmq hom iM Conlredan Lironea Lew la iM
tdbw'vq iaemn (SWion'lIXi1.5 Bu+irp eM Rdmaiw a mwy W�eh �spwm e pami to muW�Y. adx. imqan.
Cemdah, a rpei my evucime. prior ro ro enuin. e6o rea '� eppNreN fa acA panM m fiM e rpieE qebrtem tlW M a�M
ie fr.fuee wnuvu m �ne awabn� a m. eaaeeaas L'cenx lew ICMqm e(mnm«ieno xxin 5secn ]ow) d Dheian a a �he
Burinew u! hahaiom Codel a Ilw M a eM u eaamV �herehan W iM bem 1> Yr eOepW mamqion. AnV vdelion d Ssqion
)0�1.5 Eq ury eDp6ceftl tn e psmm tubpCs �M epplcaN lo e dN paWry d nal ma� 4un (va MvW W do0en �SSWp.
❑ I.s�owne�d�hepW�YamYanDbl�Mhwepnm�MidemmDe��.wJldotMv.oek.WNsel'uelurebiwimeMeE
a dlared M We (Sxron'lOu. Butlnewe�d Vmisewi� Coda: Ths Cmvecon llorn� lew daea nd npplyb en ownerd popsM
who buiEs a inVp+m IMroon. uM Ma Aoes �uM wak InnwM a henN ar NrwpA he a her own amDM++e, q�M thet wch
'unpwwnMs ua nol'vpadeE a a11aW br Ws. tl.loWowr. tM delCuq a inpownara u rold wuAn ar Y� A aomdMbn. tM
pwn�r�bnNr w�tl hava tM buNwi d pwinp M p pr did nol MWd a'vnpvn la IM pepua d�eM).
❑ I. n mwwr d tM W W^M. em umic.aN mv�een0 xVh FwuM coNractm b amvutl ihs V�Na (SWion ]OM. &s'ura uM
PMee�bru COEe: The Com�tlon Liun�e law tlw nd eGON b en owror d D�WMY wta buiM� rc'unD�'w iharaan xM who
conVans Iw �uM prqede xith a mnretlorpllcamM punuem to iM CaMretlon Lben�s Lew).
❑ 1 am uanp uMr Ssciim: B. 8 P.C., far Nu rseaon:
Ownx:
MreW anM Nei l em ew� d end imAenlW Cr nMr
w, eM Ilut I a uy Mun WJEvq omqent rri11 / rAI na (�
�tlb:
CeQomu IN�IIh ud Selety God� B�diom 25505.25SV. uM
e�M ro on^W dh Wd mb evda� vd �M naulnmwm br
ariC. RsddamW mut�uCcn eppinllwars siemd tmm Nre
WORREfl'! COMVpl9ATON DECL�p�iION: I MrWy �Ifimi udw pwYy d pwWy on� d tM bOoMnp dMv�tum:
❑ I hew uM Mil mdruen s cMificu� W mnMn1 Io �dlJmuro br r.pkan' oompwiutbn, n pro+ksa ta by 8sebn J100 al ih� Lebor
CaM, ln �M psrlwmenc� W Mr wak la whkA NN pan� b fwuN.
❑ inrv.ww�i.:,.on.+•wmo��w���.nwaw�enrs.uwoo�aoanutmacoe..a.m.w�wm.z.ain.
wk la �+1� Nh D�� b leud. M' wv�n' mmqmLLion im�nd m�ix W W�Y wmbr w:
Can4r:
PoIicY N�mbx:
mL esukrr n..e m� e. canplM.a r �n. vM^� o k. aa nwena ea�en R�cnl n bn.)
❑ � lW��'/ 1�W �111�M pNi01111YM:� 4� I�Y Wq�. �Of W�1W' 1 I�1O �flf� V�� �� IIC1 M�[�1/ �IIY YM�II' � �1 YIY TNMI p tl �O
bacmr wWw to iM waYa�• mmw�bn I.w a c wn� Nm tl I bccnr aEjW �o �M Monim'
cwnpwumbn�o/yu, o�mµ/y/��� cn TW d iM l�ba CaM. I t hMth mmpN wbA �
n.�_. ��//1—/ ! ) ��.ar.�e� — iNV\ iC�C/�'7
Wlmlrp: F�Nun b��n wort1n'romp�rwtlon rownptb un/ , mCWll ub(�et m wrployv ro er/Mnl pxultlu �n1
cnn nn.. w ro an. nu�er.e rneww ewr.n ryialaooA n ro tln ewl ol comprwfbn O+�W u proWtlM bi In
9Ktlw 910! e� M� L�bor Codr, Intwt Ne �mm�y'� M1u.
CQNSTqUCfION LENDINO �OENCY: I hrtly dfum utlx qnilly ol pxjry �IW Nr� b a eonnruabn Wdinp �pricy br tlM
WHmmnence W �M v.ork /IX �vhiN Ilis Vaml o h�u�0 (SWM �09]. CM. C�.
LENDEF'8 NAMF:
�ENUEN'8 �DDPE99:
� qniN IAa Ilwe ns1 M's Wd'ceYm uk tlaU �Iw tla �bw�'udormnbn's conad. I p�to camdY wMh �AinY mE aouMY adLunon
W tW� Nwt islelM b buJdM mMNFtion W hxaby eulhot¢� nIX�aaYNivN d INs �YY bWa u0� �M �bM�meNionM p�aprly
lor inepMion W�Ww�.
JIM OLIVER
om.: y �
Whnr6WldYq 6 StlmY: O�sa�-�ds: Cwry-.�Dp&am: Pink-iWenw: (iddwolNwm
C7TY OF COSTA MESA - BUILDING PF.Rt•1i7'
�. '
PERMIT NO: P 074544 PLAN CHECK NO:
CONSTRUCTIO�! TYPE: PERMIT TYPE; PLU
JOB DESCRIPTION : RELOCATE WATER HEATER
CLAIM VALUE:
CALC-VALUE:
r�
PERt4 NO: P U7454�i
GOVT: N SUF'P: Pl
PURPOSE: ADD
SQ FT:
GROUP OCC: R-3 /
COMMENTS: WATER IiEATER RELOCATION IS SEPARATE FROM ALT PERMIT ON FZLE
�***��+��**x**rt+�******+�**�**t�*�**�*�r*�****�**��r*�+r�+��**�*��**�*****�rt****�***�*+�
Z O N T N G R E Q U Z R E M E N T S
S E T B A C K S
------- --- MAIN BUZLDING ---------- --------- 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: 42631116 ZNE: REF NO:
PLANNING NOTES>
i �
iE 3E 1f iE 3E iE 3E iE iE iF * if iE iE IE �E iE iE'1E iE iElE if iF �E iE iE �f iF+F iE iE IE 3E �E if iF iE iE iE iE iE jE �E iE 3E i�,if 3f iF 1E #f IF dE dE �f iF iE iE iE k 1E if iE iElE iE 1F jF �F fF k iE iE jE �E aE 1F 3E
D E V E L O P M E N T S E R V I C E S,� R E t� U I R E M E N T S
ZONING APPROC'ED BY . " DATE:
BUILDING APPROVED BY : �i'' DATE:
� r,, ('
APPLICP.TIOM ISSUEU BY: S��- DATE: Ia i2 "L 6
Y,� iE iE dF if 7F IE iE IE if if 1E iE iE # iE if if !f !E 3' if �jF�����if if iF 1E jE 1E if iE �lE if�'fFaE 3E
LEGP.LIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
. �i .�
BLDG PMT PLUMBING ELECTRIC MEGEk�.NT.0 FIRE SMZP/RES GRADING
PERMIT 1225� , �
PLAN , ! "�'' � SMIP/NON-RES
i , ^
ISSCTE FEE 20.00 �' +� �
BUILDING-LIC'-> PERMIT ISSUE PLI{N-CHECK'� ,� TOTAL PAID DUE
TOTALS----> 12.00 2d.00 0:00. 32.00 32.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: )(` 32.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECAANIC ' LFI�&E SMIP/TOT GRADING PLAN-CHECK
32.00
. /�>
**+�*'��'*x'*'�***+�-***rtir�-*���*'x'�'********iex'***"�e'rt*�t��#*F*******�t'+e�r+�'�*�t'�*i�**��"��t*!e*x�xx'*�'
I N D I V I D U A L F.E E c'�^Bl,R E A K D O W N
TYPE QTY D E S C R I P T I O N. '. L% UtJIT COST TQTAL COST
7
PL(l 1 WATER HEATER AND/OR VENT l i 7.00 7.00
PLU 1 GAS PIPING SYS OF 1 TO 4 O IrETS 5.00 5.00
END C5F FEE �/+
� �
�' �%��
�_ .�!
' �]' G!':S:.uib-r'�iSi��b �''c=i,"�
-, UHIti ;LI'I'�0:1 T:''!CC 1]1,.
:'
! CONSTRUCTION AND PIANNING
f APPROVALS Permit #
1. Temporary Electrical Service or Poie
2. Soil Pipe-Undrgrnd. ' �
3. Electriwl Conduit Utility•Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel qeinforcement
6. Electrieal UFER Grnd.
7. Footings
t
� 8. Foundation
9. Water Pipe�Undrgrnd. �
10. 5truttural Floor SYstem
� �, property Sewer Line & House Connection
12, Sewer Cap
13. Roof Dreins .
14. Rough Plumbing
15. Rough Eiectriral-Conduit �
i6. RoughElectricWiring �
17. flough Wiring Sig� •
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Firepiace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe�Rough & Test
24. aoof Framing
25. Roof $heathing
26. 7-Bar Ceiling (Structural) & Monocoat
27. �rameand Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter�Final
33. Final Efectric
34. Pinai Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbi�g
39. Water $ervice-Final
40. Gas Service-Final
41. So�ar pomestic•final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape IriiAation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric iielease to Edison
50. Gas Release to $outhern California Gas Cc
51. CEATIFICATE OF OCCUPANCY
Date
e
POOI 4 ,JA
Date Inspector qppROVALS Permit #
52. Pooi & Equipment Loca[ion•
53. Steel fieinforcement
54. Porms ,
55. Electricai Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER•GUNITE
56. EleMrical Conduit�Undrgrntl.
59. Gas Pipe, O Undrgmd., Test '
60. Backwash Lines, P�Trap; O U�+drgrnd.
61. APPROVA� TO DECK .
62. Backwash & Receptor-Final
63. Hea[er & Ven[-Final
64. Plumbing System � Final .
65. Efectrical�Final ��
66. So4ar Svstem-Final �,
6�. Fencing & Access ApProval �
66. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE OEPT. REQUIREMENT
APPROVALS Permit #
70. Undergrou�� Hydro
77. Produc[ Piping � Gas ❑ Oil
72. Underground Ffush
73. Undergrnd. Storage Tank O Gas � Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PflEV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
�
Notes: •i. �►�'i 4v ...a. .. __ _ ��, .
�
Date Cnspector`
,
�
!��p��a"� 422 E 19TN_ ST -
�Ag�E���+""" DAVID HARTMAN
' �� 422 E 19TH ST
��•'�- COSTA MESA,CA
�vv�.wivao �ooxess
MCNRECi OP FNfalFEA:
ANCN.OP EHO.'S �OOPESS:
VNT:
92627
uc xo.:
UNT:
��*�g� SUN CAL HEATING 6 A/C (818)961-2243
cwm.croxs�utn+o 14901 PALM AV
�unness HACIENDA HIEGHTS CA ucra_ 455428
917 4 5 uHr:
LICEN4ED CONTRAROH4 UECLAFpT�ON: I haeb/ elfrm uMs DaWY W psr�uy thal I am fmn�od under pwirion� d Cheqa 9
(romma�eq v.il� Senion 1000) d DNuion 9 d Ne B�neu eM Pmimeims COEe. anE mY �sa u i eXed.
c�s.uc.No.:063zZg uc.cuss: � z� uc.r,o.: q55a...;� EXP� 9/95
l0/1o/�S cawee«:
OW BUILOEN �ECUIR4TON: I �yeepy dfum uMer pmWy d per'Fvy Ihet I am q 1 Rn CoMrsilts lleemeTew iar Na
w�p �euon (Setlian lW ts &wiyn ud Rafeamna COAe: MY M' a mvuY �eqwe� V�u io ao76vuG. eds, inpm+.
'mde�, a rapei enY a�as. o^a b n eauvw, ako reG� tM eppbre�� lor wrli ' to aqneE wbmw Ne� he or ehe
��e w�+ w ma wo�. a m. caarea� u�e �. �cn.a. a l� � �, �aoo> a o�..� s a n+
y;,b,+ �a rraw�o�e eoal a�m ro«.ne e a.�a m>.eom �e m. e.,e �« me .uevse ..�q�. wn •wn� a sm�
lW t.5 by ary eppliranl l« e permtl wppm ihs eppfram �o e dvi pxiMy d nal mas Nen Ms hwW�sd doCan �55WD.
❑ �.romme.a�nevw.�r«mr�pM.s.•tnwq�o.a�n.:.a.aon,w�..manm.xak..nau,..wniveenaiMmdea
a oMareE br aeb (Section )Os,.Budroa+erd PMmsana Code: Tha Comrmm liceme lewdoae mi eDdYto an oxnerd pWaM
wM buida u inpwa+IMrson. Md xM droa sudi wak IimaeO a MnN a Wou� he ar Mr own emWq'eu. povided iha� wcA
improvemenn ere not inteMed a allmed lor eab. M, however. iM buitliry a inpowinem o eoM wilhin me yeer d oompletun, �he
ow�..�a., wi n� m. w.dw, a ww��ro ne «� ed �a a.rd «�mo� r� u�e c�ww. d.d.l.
❑ �. m o,me, G �ne nw.nr..m.a�nnelr aa4em:n wun rKam.a oontreeia. �n m�uw u,e wdea (senun ra.. e�.:r. a,a
Prolepioru COEe: The Contredws lieems l.aw dma nal npply b en owes d popeny who Witls a impw» iheraon vM xfio
eonveeu fa e�M V9�� xvA e mvrmM�) liromad P�ueeu w IM CaNratla� Limeua lew�.
� I em memq uMa Section: B. 8 P.C.. la Nu �+on:
DNc . — �T�:
I do M1enM �M�'/ iM1e� I em ewera d ad ivtlaraiud Ns iePu�emrv d CellaMs IMetlh rd Sv1e�Y COEs Setlioro 25505. 25533. eM
255N. eM Uei I ar artY Mun dikvq omqw wa / wi na (mcb ons) mM b mnVN Mh md Me aodr eM iM �Mu'vemems br
epamnlammUunimamoEi!'mionhomlhaAiaueT�l enepeme�uDinriG.RaddeNmlmm�uaionappiretomeraeumqlmmNesa
Dels: — AppfcuM:
WOHKEP'S COMPENS�TION DECL.�P�TION: I Mreby elfvm uMr pnNy d pr'Wry one d tM IWowi�q Odvmioro:
❑ I M+enE wJ mmmen. cMlcme a muent Io wtlinan� br raksi camDMmion. m qwid�E la M Seeion Sloo a iM Lebor
Cada, la iM perlarmance d iM xpt In w1icM1 ih'v p«mu u muM.
❑ � n... ene wil meimen wvx..• mmo�on mwreMe. u i.c� M s.eion a)oo a m. l.mr caE.. �« �ne w�«mero a �n.
wak la wliid� Nu D�� u mWd. \7 waken' mmpruelion'vnwenc� wris md pofv.y numbr ma:
c�:
PdiY NumMr:
J aWimmeOm�EeevryleedltMM^^lubaalw�WdoOr�RIWlalra.)
i mnM uu� �n ina o«iamen�w a m..aM iv .ncn mv w� e�. i wu �a pemn man�wr m m �o
pecane wbjep to tM wM��' mnpeivaion hx� d CeWm�ie. and ep�es J o �M rwMis'
p�nwion pwieoro d Saapn �iuo a iM leEn I eM1ell lonh�h iMro ''au.
s\ �a. 1 b f�o% S� now'.�:
welRlnp: F�Ilun ro Ncun rortwi comp«u.non cowr.p� �. uwrru( me.wi ue .mp�o nm�u� p uu.na
elvll An� iq ro aw nurdrw tMus�e eollos lSia4uooA h�mldon ro iM mi ol n o proHeM ror In
S�ctlon 9IG8 0l tln labar Cob. Int�4 ��C �flomry'� IMs.
CONSTPUC110N LENdNO AOENCY: I IieiWy eff iadr penetly a� pr'WY �M1m u e bn bMinp aperry la the
y„�ormeno. a �n..«x w..+wl� �ne p�m� y:..e (s.aon 30n. u,. q.
LENDEP'S NAY¢;
LENDER'S MDPE39;
I cenily �MI I heve reaA Nb epWicmior� W pms ihet IM ebv+a iName�ion u ooimtl. I piqn to comyy wnh eA'ilY ��nry adinarces
vM etels kxe reW�p �o buikip wnwuebn eM Aereby eWarca np�enniNiw� d �Ns eGy io artlm upon tM aEm+�menliane0 popany
lor ivDMMion WrWsef. .. ... �� _ . _
om.:1o%l0 9
(5t5t�oeWP) Wl�ne��85a1wy:Gredi�Fle:GarwnAppfur�:Rnk-Rwyiue:(3oMmiv6�Neam
PERMIT NO: M
CITY OF COSTA MESA - BUILDING FERMIT
074469 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC
JOB DESCRIPTION : INSTALL NEW FAU 6 AC UNITS
CLAIM VALUE:
CALC-VALUE:
PERM NO: M 074469
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:
GROUP OCC: R-3 /M-1
COMMENTS: X
���-�c************�****�*�*�****rt+�*�****�*xit****+�****�rir********�****+�*�t***+�x��r*iF��
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 - -------- --------- ACCE550RY 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
PARKZNG REQ: PROV: PARCEL: 42631116 2NE: REF NO:
PLANNING NOTES> ,
>
***�***�-�****��**��-�**�*�**+eifirrt*****ac3F+��at*��*��*�r��**�***�*x�ic-*********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 P. E M E N T S
��
ZONING APPROVED BY �('� DATE:
BUILDIMG APPROVED BY : /f^' DATE: `
I /,,
APPLICATIGN ISSUED BY: �•� DATE: � O W ��
iE�1F�Eif3E1E�EiEkiElEiEiE�iE�lEifiE3EfE�lEiE . ..�t � iF�E�(-iFfEiE1ElEfk�E'��c r`ciF **
LEGALIZATION:N F E E S'0 M�M A j Y STRUCTURAL SEG4EN.:N
BLDG PMT PLUMHING ELECTRI-Ci MEC`HANZC FIRE SMIP/RES GRADING
PERMIT , rt ij1.8.;00
i � 2�5t SMZP/NON-RES
PLAN �i n.
ISSUE FEE '� �' �15.,0,0
BUILDING-DIV-> PERMIT ISSUE PLAN-CH£CK(�" TOTAL PAZD DUE
TOTALS----> 18.00 I5.00 � P:00 i 33.00 33.00 .00
v
REVENUE DIl'ISION TOTALS--> COLLECTED: �' �33.00 OVER/SHORT; .00
BLDG PMT PLUMBING EL6CTRIC MECHANIC �FIRE SMIP/TOT GRADING PLAN-CHECK
33.� � ,
1E iE IE if iE 1k iF iF �E iE iE iE iE it it IE iF iF iE iE 3E iF 3E iE iE iF if if iE if 1E if if 1E i6 iE iF i� 1E iF1f iF ip iE iE�E iE�iE 1E it iE �1E 1E iE if rt 1E iE iE 1E iE iE iE iE iE iE iF iE aE iE iE iE iF if iF iE iE aF
I N D I V I D U A L. '��' lE E � H%'J�R E A K D O W N
TYPE QTY D E S C R I P T I O N1 �� i�I UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV`FUf2N <= 10'0'K BTU 9,00 9.00
MEC 1 REFRIGERATION SYSTEM <� �100 I4�BTU/H 9.00 9,00
END,� ��EES y
. /` �I\
' ` �
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�1
�y 'f �1 OU:9l:•:-'�t�i°Si94 TC�Y ?:.,u
.l- �
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� �_ � �
, �,
� .Y
��; CONSTRUCTION AND PLANNING POOI QA _
AF??ROVALS Permit# Date Inspector qppROVAIS Permit# Date Inspector
1. Temporary Electrical Service or Rple , 52. Pool & Equipment Location ;
' • I
2. Soi� Pipe•Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms � �
�
4. Eiectrical Conduit�Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforceme�t 56. Rough Plumbing & Pressure Test
6. Electriwl UFER Grnd. 57. APPROVAL TO COVEF�GUNITE �
). Footings � 58. Electricai Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test . '
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor SYstem . 61. APPROVAL TO DECK
17. ProPerty Sewer Line & House Connection 62. Backwash & Receptor-Final '
12. Sewer Cap � 63. Heater & Vent•Final •
�
13. Rdof Drains �� 64. Plumbing System - Final �•
{4. Rough Plumbing • 65. Electricat�Fina{
15. Rough Electrical•Conduit , 66. Soiar System�Finai
16. Rough Elearic Wiring . 67. Fencing & Access ApProval t
17. Ravgh Wiring $ign � 68. APPflOVED fOR PLASTERING
18. Rough Electriral�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure 70. Underground Hydro
22. Dutts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL 1NSPECTION
32. Electrical Power Meter-Final 80. F000 CERTIFICATE ISSUED
33. Final Electric Notes: �!�_�� �C�S_ ����
34, Final Heating & Air Conditioning _//_CL[ /�� 3_� n„ r��� D _
C� f � �(TU
35. Final Gas Pipe-Test A �,�l�
�-� �-� � --
36. Hood or Canopy
37. Final Factory Pireplace `� ��_�'�j'$-- S/y��
38. Final Plumbing /_�`�/ _ c--,..��__T�?�S�
C_CG1���Is-�r��� ' ����
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Finai
42. BaCkflow Preventer
43. Backflow Irrigation
44. Landtcape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49. E�ectric Release to Edison ,
50. Gas Release to Southern California Gas C4 '
51. CERTIFICATE OF OCCUPANCY
No Date
�r
:
�
�
�
"0°"�OFBNLpO'0 422 E 197�A ST
OMlERSN4IEIFIQlOWN: LEE, RUTH LOUISE TR
"0°"Eu 422 E 19TH ST
COSTA MESA,CA 92627
uv�. �uwu �oox�ss:
uNr:
urcxnecTox��x: HARRY CAIN �'N0'` CO
""�"�OP�'8'D°"�' 7231 E SPRING ST °NTi
LONG BEACH CA 90808
�^""0T0fl5N1� SPIKE ELECTRIC ( 818 ) 330-5693
CONfPALTOM4YYlINO 16252 SORIANO
��u HACIENDA HTS CA ��� 569010
91745 u�:
LICENSED COMFRCTONS DECLRHATION: I hereby eR'vm uMer penelly d pe�ury Nel I em IicenxE uMm pandons d Cheqer 9
(commeMi^Y vmh Section ]UW) d Oimion � d Na Buvm» eM Pmlesabm Code. vd mY 4cwe o in IW face eM efled.
c uc.No.: uacuss: C-10 L1QN0i 569010 EXP:
ele. GonVeaor.
NEfl BIIILOEN DECLARATION: I Mreby elfiim under penNy W parNrv �� � em emmq Imm ihe Conlradon Liceme Lew lor iM
Idbw'eq reemn (Sedion )IXi1.5 Buenesa eM Prdevbne CaEe: AnY ctY a ooumY �� �Vuiree e perm� to mrovucl. elier. impova.
Mmd'eh, a rpei eny etruciuro, pior lo Aa eeuvKe, a6a requirae the epd�� la eucM1 permil to file e eq�wE etelemeM Net M a eM
r�o,ee o���e�� �o ma o��a�� d in� com,en«a Liceme lew �Chap�er 9(mmmaianB ��h Sedon )000) d Divbian 3 W ihe
�vinev enE Fdepione Code� w Ihe� M a eha ie a�emp Ihare�mm eM IM befia la Ne dbped exemqun. My volelion d Sadion
l091.5 W a,ry epPlirant la e permil wEjecle Iha epd�� �o e mil panelly ol mt mae ihen Me hunEred Eollan (5500��. '-
� I, m owror d iM peopeny a my empb/roa xih wepee m ihai eob compemetbn. rNl Eo Ne v.wk, eM Ns eVucYun u� imeMad
or dleroE br eele (Sec�ion l0aa, Buunen enA Proleeeione CaEe: The Comreawa Licenee Lew doas rwi eppty io en ownerol popaM
wM10 Wlds «inprmea ihe�ean, vM Mw doea vuch xaklimmX a henetl a IMaqh he a her own empbyeee, povkeE Ihet �uc�
impo+amema ma ml intaMed n olfeieE �w veb, tl, howwar, ihe WiNinp a inpm.remeM ie eok wilhin aw yeer W complMon, tM
owmrbuiMer will luve Ihe buNan d 0�'inp M or ehe Ek iwl Wik a imqwre Iw �M p�ryme d We).
❑ I. ea oxnx d iM V�VaM. em udvdroN mmraeiro xnn liceiued wnvectae to oonstrua �he Molea (sedion t0a. Buvi�wss eM
Proleviona CaEe: The Conireqps Licanae law doa rat epply io en oxner d poperry who builds or impwm iharaon eiM wlw
conVacte Iw odi qqetlf wilh e mNretla�e) IicenaeE W�sueN Io IM CaM�etloee licaiue law�. ,
� I un uanp uMer Sxtbn: B. 8 P.C., lu thia reeaon: '
Dele: Owner: ��
I Eo MroDy cMM �� I em ewera d uk uMeslarW tlw ism�iremenl� d Cellanu Hael�h eM Selery COAe Setlbm?5505. 255]J. eM
2553�, eM Nel I a ury Mun buikiiq oocupent will / wil �(arcb one) nsad �o canply wih said qme oodea vd ths �apulromenis la
epemrillamea��u[IionwmaAifretionhamlMA'r�iai-1.�i ar�pement0inriq.Raidemilmm�ucianappiratiomaaaaemqtmnNme
wovi+ion.. �
Deia: ApqceM:
�, WOPKER'SCOMPEN4�TONDEttAX�TION:IMraEyMF�mwMspe�W�ydps'ryryantltMloYowiiqdedumuen:
�', ❑ IlwsvdWmemleneaMictledm�uenitoseXwwabrworkrscompeneation.upwidsdlabySed'an3l0pdiMLebar
Gods. la tM pMmrunca d Na wvk In wNc� thn pxme u iuued.
❑ i n... w w mewen.�nw.� oomc.�+o�, �.w.�. m.ea�e M s.a�m e�oo a m. �,n« coa.. iar m. v«i«me�,u a �n.
work la whic� Ow W�� u heueE. MV wwbn' wmG��ion'vwrv�w wrix anE O�kY �wmEer ue:
c.m.�:
Pd'ry Number:
.va ..aim n..e na w cwnd.�d r w r«mt u hr w�e nunaea emars R�aol w bs..)
�% I mn�V � in Na pMoemenee d Ihe work la xfich Ihia permG a iseued. I eMll m� emplq a�ry penon in enY manmr eo m to
� Eecana wbjatl to iM xorkm�' mmpanwion lew� al CeWa�Ne. enE epree tlW C I tliwM bamnr nbj�a �o tM wtx�'
penwian po.ia"vn M 8aaion 91W W i�s Lebor Cotls. I MeA IMhxilh wmDh wGh tMn Ma+�+.
Dme ApWiraM:
�m4p: F�N�n ro��cun Mwkri'rorripwu�tlon covxap� Is unYwful. �ns W11 rb/cl en wrplqw ro e�lm'Ivl pwftlp uM
el✓ll Iln�s iq N an� h,nJrotl lhoua�nd EdMn (Sf00,000A M xMltlon ro tln m! o/ rompxwfbrt d+�pi u pvvMM br In
S�ctlon J]PB ol IM liDO/ COCY, IMw�sL ��4 ettomyY I�x.
CONSTPUCTION LENOINO AOENCY: I heieby elfirm uMor per�dry d perjury thm ihan o e mnstrud'an bnEi�p epency br IM
perlormeMe d IM wek la xfiieh tlro pmml e eaed (�� ��. CN. Cl.
LENDEF'S NN.IE:
�aoen•s �ooness:
1<enity ihel I hevs raad Nu appliraiim eM qtla Ihet Na aEwa iNormetion e cortetl. I eyrea io campy wnA NI rby md ooumy ordirwioes
erd etele le� rolelinp lo WJEip cmNWion eM MraEy eWwr¢a repreeente4ves d Iho ury Io eNer upon Ihe ebwe-meMoneE piapa�ty
IwinapoGbn purpoeoe.
I SCOTT BF.OWN
(5151�<BWP)
Dma:
Whne-Buildnp 8 Selety; Oreer�-File: Carmry-Applicem; Rnk-Revenue; OOldenmo-Aeveaeor
F
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 074512
PERMIT N0: E 074512 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: P.DD
JOB DESCRIPTION ; INTERIOR ALTERATIONS TO EXISTING SFD SQ FT:
CLAIM VALUE: CALC—�'ALUE: GROUP OCC: R-3 /
COMMENTS: REF: B-74225
*******�**+�*+�*+c�**+�****�*�**�********�*********�*��****�+��**********x*�*�r�*x****
Z O N I N G R E Q U I R E M E N T S
5 E T B A C K S
----------- MAIN BUILDING ---------- -------- ACCESSORY HUILllING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT TN
PARICING REQ: P�OV: PARCEL: 42631116 ZNE: REF NO:
PLANNING NOTES>
i
1E �E 1E'IE 1E �f fE iE fE if 1E 1E 1F!(� iE 1ElE 1F �E ff �E R 1E if iE �If iE iE iE �f iE 1E ik iklE iE 3E iF df fE iF * dE iE 1E iE'IE iE �F 1E iE if iElf 9E if 3E 1f� iE dE iE 1E iE iE iE 1! iE iP 3f �E'lE 1E af dE iF iE 3E iF-)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 . � DATE:
BUILDING APPROVED BY : ?� /"'� DATE:
� � o_ _�i
APPLICATION ISSUED BY: L/ /�'� DATE: � � �
�E�EiEiEiFiElEiEiEiEiEiE1EiElEifif'IE�I-iEifif � iFaF��iFiFifiklklf�3Eif�iEifiE�i�ii�Fi�tiF7e���FiE
LEGALIZATION:N F E."E's S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 44.10
S0� SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 44.10 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
59.10
TOTAL PAID DUE
59.10 59.10 .00
59.10� OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
iE iE iE iE iE iE iE iE 3E jE �E 3E fE iE iE 3E 3f 1F iF iE fE iE iF iE 3f iE 3E ie iE �E j' �E iE if iE aE aE 3E iE iE if �E iE IF iF iE iE �f iE 3f iE aF �E iElE if iE iE ik if !E iE 3E iF i! if 1E IE iE IE �F-)t 1E 3F iE if jE iE iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 20 FIXTURES, LIGATING 1 ST 20 EA. .75 15.00
ELE 3 FIXTURES, LIGHTING ADDITIONAL EA. .45 1.35
ELE 15 RECEPT/OUTLET 1 ST 20 EA. .75 11.25
ELE 18 RECEPT/SWITCIi 1 ST 20 EA. .'15 13.50
ELE 1 NON-RES APPLIANCE NOT OVER 1,0 HP 3,00 3,00
END OF FEES
JI Op;?13;p-OG3913?0 �',��T �G � �
QAiE: 10:11I95 TI�c: !73:2�
!" �• ' " �
CONSTRUCTION AND PLANNING 1 POOL PA '
APPROVAIS Permit # Date laspector ' APPROVALS Permit # � Date Mspector
1. Temporary Electrical Seroice or Pole 52. Pooi & Equipment location
2. Soil Pipe�Undrgrnd. . � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. . 54. Forms
4. Electrical Conduii-Undrgmd. 55. Electricai Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER G�nd. 57. APPROVAL TO COVER�GUNiTE
' 7. Footinqs 58. Electrical Conduit�Undrgmd. -
8, Foundation _ ,. . 59: Gas Pipe, O Undrgrnd.. Test ';
9. Water Pipe�Undrgmd. 60. Backwash Lines, P Trap, O Undrgrr.d.
70. Structural Floor System � 61: APPROVAlTO DECK
i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Finai
72. Sewer Cap 63. Hsater & Vent-Final
13. Roof Oreins 64. Ptumbing System � Final �
14. Rough Piumbing � 65. Eiectricai-Final
15. Rough Electricai-Conduit 6. Solar SYstem-Final '
76. Rough Electric Wiring - ' �
,��_q� i 67. Fencing & Access Approval
S7. Rough Wiring Sign ' . 68. APPROVED FQR PLASTERING
18..Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FtNAL
19. Rough Heating & Air Conditioning FIRE DEP7. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21, t�ucts, in $�ucture . 70. Underground Nydro
22. Oucts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Undergrouncl Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemicai
27. Frame and Flashing 76. Dry Scandpipe
28. �athing&Siding 77. FIXEDSYSTERAFINAL
29. Insulation ' 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat 79. FINAL INSPECTION
32. Electrical Pow2r MeterFinal �. FOOD CERTIFICATE ISSUED
33. Fina! Electric l��� otes:
34. Final Heating & Air Conditioning
35. Finei Gas Pipe-TesT
36. Hood or Canopy ^
37. Finai Factory Firep�ace / � �
38. Finai Plumbing .i
39. Water Service-Final �
40. Gas Service-Final
41. Solar pomestic-Final '
42. Backflow P*eventer
43. Backtlow Irrigation
44. landscape Irrigatipn SyStem -
45. Sound Attenudtion �
46. Handicap Regulatipns
47. FINALSTRUCTURE&BUILDING
48. FINAL PIANNING
49. Electric Release to Edison �
50. Gas Reiease to Southem California Gas Co �
57. CEPTIFICATE 0� OCCUPANCY
No. Date �
.,
��
I !
�oonFssaew�m+o: 422 E 19TH �ST
a:vr�cxsr�weir�a�rn+: HARTMAN, LORI
ADDNESS: 4 2 Z E 19 TH ST
COSTA MESA,CA
�GPL. Y�IIIN� �DDRE55:
�PCNILECTOR FNfd�FfA:
92627
uc no:
uxi:
umx. oa edc: s �oo�ss: urrt:
� ��
camucrarsru�: DOUBLE C MASONRY ( 909 ) 628-8993
ca+m�croirs �uiwa 6 215 L E E C T
mo�u: CHLNO CA ucxo: 671780
91710 uwr:
ucedseo corrtn�crons oEcun�noN: i n«.W dr �.w. v.wv a�y mn i.,� i�..d �.,e� po�;.�m. d cnap. s
(oommeMirq wiln Saction )000) d Oivision � N Ne &niroas entl Pmis�vau Cods. vd mY limiw o m IW latt enE allep.
cmuc.No.: uc.cuss: C-29 uc.r+o.: 6717B0n EXP:
Dete: �D—� J" �S Commd«: %�YcRI G / /y%AC��
OWNER BUILDEH OEC WRRTION: 1 heratr/ eflum u�dr pw1Y d pa'jvy IIW I em axanq Imm IM CanirWon licxua law la ihe
tdbxiq reamn ISeabn'/mt.s Bue:ioa ene Prdesdoro Coda: Am vr a odvar whiN i+a�ww e v�a m muwn. eE«.'vnpo.e.
ismdnh, u rpar mry �truclivs: p�ior w[f saurioe. ebo reGuue+�M epWicenl la ach penw �o fib e eqned Wtemem thel M a sM
lieanwd pursuvil �o Ihe pv+q've d tli� Caveeans L'w�ae law �CMpar 9(mmmencnp xth Seeion 1000) d Dnvion 3 d ihe
.wiroo erd Rdeaona Codel a ihel Ir u tlro b easmp �haNrom W ihe bam la tlr eYeOb memq'v�. �M vbbtbn d Seaun
1W 1.5 by vry epplium Ia e permq vd�xx� IM epplv'aN �o a uv1 penely d M moro Ihen fxe hu�drad doAen �550011.
� I. es owner d Ihs propany a my emplv/ese x'tA wepea m �hei sda odnpeiueum. wi0 do Ne work. enE IM slrucWn o nn mteMeE
«MareE lor aele (Seetian )pu.9�rosa enC Peolesuona COEe: The Conlredon Lim�ae law Eom not epplyto en ownm o/ D�GaM
who buids a mpvam Ihaem. end whu dou �urli,i�ak linaatl a henN m Waq�lio a Aee am amM�ia�. pw'� �Mt weh
imprwemeMa va m'uneMad or etland la eeb. tl. Mwwee. lhe buitl'uq w inpv.anaM o�oN wn�in arYw d eomplaion. Na
cwner-0Wder �.i0 Me tM yWen A qw'vq M a tlr did m bWC a impwa la Ns pepws d vb�.
❑ i. e. o.a« a m. aw.n..m..ew:dr mx�.ero.an �n.e canu.na. ro m.m.n m. a� Iseao� rou. e�.inm. e�a
PNmeona Cods: TM Cmafeum Isaw Lew doa na ewM m em m�ar d pWMY Wa MUW a'vnP�'ss �Iwson uM wlw
convazb 1« aMi w4a� wh e mnrocale) IbenW pusuu+�o �M Cavre�as Lioems leM.
� I em eRemq uMer Sectun: B. 8 P.C.. br I�u ieesm:
� l
Dete: ��:
I do AerebY <andV IIW I un ev4a M aM uds�Wd tln nQuimmab d Cdlamle HeeM uW StlM' Cods $eGioro PSS05.255�3. eM
455N. vd tM I a�ny Mua 4dCvq oawrywn. wT / W rwi (vcb one) rrf b m^ON xth Wd mta cod» md Ihe i�qusmanb tar
epam4lvmraVuelianamoEifiyionhom�MAr ue�iy enepenwn0iahf.RuksewlmWeWianeppirat'vnenuanplmmiMu
a�.�..
OaN: �GW�
WOpKEN'9 COYpEN9�T10N pECL�P�TON: I Mrab/ Mum udar pr�My d ps'ryvy aw d iM b0owirp ddvmum:
� I Mn eM MI meimen e qnCiuia al mrsu to Wumv� b warksn' mnprmion. o pwiEW la by SeCbn J1W d tM lebar
Coda, la iM parlumu�ce d Ne wk Ip wNc� No pxmn b fvwd.
Q I luw mA Mil m�iN�n wMas• wm W�ion Wu�vo. e na��d M Swion J]oo o11M le�ar ('nM. b iM w�m� a iM
wak la wldtl� thb D� h mwd. MY rrorkan' mmpruuion inwuvc� orrw ad V�Y �umMr a�:
c.m.�: STATE FOND EXAIRES
aaKrnnme« ��`�-`�ti Ni�t�iyi 01/Oi/96
,rr...a�, �eed �,w a. �w.ne r rn. c�r m ro. a» n�w�e edw. R+ool o. w,.)
� 1 mrlM � in iM pxlarmenca d �M wak la whfch thu pomN b 6nrA. I eheA nal amplvy ury pason in wry mannar p u to
Wmro wbjsu to iM Mpken' m�pe�union Isxs d CddomM. W On� Ihtl i I�ICWtl beconw �u ' �o tM Marken'
wmpeiuelim pwi+um d Saeion 9]00 d IM lebor Coda. I 4utl lo tA p�y MN Ilw fN�inn.
Deu:1�J � / Z_'�, � bpicW:
W�minp: F�llun M��e�n waMw�'rnmoNwtlon rowrr� l� Wul, mtlW/l a�tlhel �n �mployw to erlMnl p�n�ltlu enJ
c/Hl Mu ep ro wn �u�entl tMuuM Adl�n lJtPqamA b Itlon ro M cwt ol rort�vm��tbM1 drnp� n provMM br In
Swtlon 91a5 0l M� LNoi Coy�, Intxu4 entl �ttom�y'a Iww
CONSTRUCTION LENDINO qOENCY: I hraby elf uMer panetly d psrjury t!w Nws b a wn%Mion bM'uq epency lor Ms
pe�amuKe d IM work b vAdCi thu Prt^� u'se'M (Satlion �. Civ. CI.
LENDEN'S N�IIE
LENDEN'S �DOPE44:
eM etma lexe rele�Ip lo
lorimpodion purpoaes.
f
wnh ell ay eM coumy adinencee
D�IM abara�men�onsd poOe�Y
o�e: �/i_ /7- Q-�
White-Buikiq 8 Salery: QeeemFb: Ganery-A : Fnk-Rwenue; (iddenro�Asmawr
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B 0/4611
PERMIT NO: B 074G22 PLAN CHECK NO: 04123-95 L GOVT: N SUPP: N
CONSTRUCTION TYPE: PEAMIT TYPE: STR PURPOSE: GTfi
JOB DESCRIPTION : 40LF $TANDARD BLOCK WALL W/PILASTERS SQ FT: 110
CLAIM VALUE: 2,600.00 CALC-VALUE: 2,200.00 GROUP OCC: R-3 /
COMMENTS: 70LF SHORT WALL W/PILASTERS 6 WOOD INFILL
**x�**�*+F*x�*�**x�;�*��***at********�**********�+�*+F��**rtx��*�x�*�**�*;E*+r�****+�**rt�tE**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEF1': FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARFCING REQ: PROV; PARCEL: 42631116 ZNE: R1 REF NO:
PLANNING NOTES> CONSTRUCT 2' HIGH, 70'LONG BLOCIC WALL WITH 4' WOOD T�P; AND
> 6' HIGH WALL WITH COLOMNS, 4Q' LONG ALONG ALLEY. ;t
3E iE iE �if ff iE #E i!-iE �IP iF 3E �Y if if ik iF 1f iE �Y jE* 1E if k iE iE dE iE 1E dF �E if ifY.� if �E iE jE �E iE 3F iF jE 1f �f iE �1E iE iF iE * 9F jf 3E iE 3E iE i"t if iE if aF af %� ff iE jF ��-1f 3t iE �E 1E aE IF if iE 1E
D E V E L O P M E N T S E R V 2 C E S R E Q U I R E M E N;T S
ZONING APPROVED BY Co �_ DATE: ��I�`-]��
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: � DATE: �v<< ��`
�FifaEiE-1E3EiE�E�Yif�YitifiEiE-le1(�afiFi6afif . iF .�C�%'.�Fi�af?{k9E3E3f'lE�k3fik i'�ii��lE�E
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 35.10
ISSUE FEE
BUILDING-DIV-> PERMIT' ISSUE PLAN-CHECK
TOTALS----> 54.50 0,00 35.10
AEVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
54.00
/1
TOTAL '� PAID DUE
89.60 89.60 ,00
89.60 O�ER/SHORT: .00
FIRE SMIP/Y'OT GRADING PLAN-CHECK
.50 35.10
1E 3E 3E �E 1ElE iF if 1F IE 1E 3E iE 1f IE if iE iE 1f if iE iE ik iE iE iE iE iE 3E 3E iF iF if !E �E IE 1E �E iE iE If if if 1E aE 3E 9E 1E �f if fE 1f 1� iE iF iE 1� if �ElE �E iE �)F 1E �E iE 1E iF if iE iF iF iE iF 3E fF 1E 3E aE
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 UNfT COST TOTAL COST
SFR 110 RES-CONCRETE BLOCH WALL / FT. :20.00 2,200.00
END OF FEES
%
/"�'
�
/.
02,�E,01Si�hZ-�0142?6; TiCaT
GA7E� .ap�i7/ss TL;ee i;e;i:
.
CONSTRUCTfON AI�iD PLANNiNG POOL .PA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector�
1. Temporary Electrical Service or Po�e 52. Pooi & Equipment Location '
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electriwl Conduit Utility-Undrgrad. 54. Farms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement lA���,11s (L�,� 56. Rough Piumbing & Pressuie Test
6� Electrital UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Foocings �p,.r8�� � L�.(/ 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd.
10� Structural Floor System 61. APPROVAL TO DECK
1 i. Property Sewer Line & House Conriectian 62. Backwash & Receptor�Final �
12. Sewer Cap � 63. Heater & Vent-Final �
13� Roof Drains - 64. Plumbing System - Final f
14. Rough Plumbing � 65. Electrical-Finai '
75. Rough Electrical-Conduii ' 66. Solar SYstem-Final
i 6� ftough Eiectric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 66. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEMS F�NAL
i9. Rough Neating & Air �onditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duces, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hyclro �
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
Z7, Frame and Ftashing 76. Dry Standpipe
28, lathing & Siding 77. FIXED SYSTEM FINAL
29, Insulation 7g, FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. RE�UIREMENT
31, Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final B0. FOOD CERTIFICATE ISSUED
33, Final Electric Noies:
34. Final Neating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy ,
37. Fina� Factory Fireplace
38. Fina! Plumbing '
39. Water Service-Final , �
40. Gas Service-Finat �
41. Solar pomesciaFinal
42. Back4tow Preventer ( � �� � - (C) � � ^ �
(. �l
43. Backflow Irrigation �
44. landscaPe Irripation System
45. Sound Attenuation
46. Handicap Regulations -
47. FINALSTRUCTUfiE&BUILDING �-��y�'fj ��✓�-
48. FINALP�ANNING
49. Electric Release to Edison � -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
COUNTY OF ORANGB
' BCIILDING DEPT.
:_.� � 4i6 No. Broadway �
Santa Ana� California
Phone: KI 2-6211
�.o f- �'. ' --- .
.
. Permit No._ �-�S``S- 1---'
Applicatior� for Building Permit
AND FOR A '
Certificate of Use and Occupancy
..� -
t Dace--_�� -.3��R
� ., ;..
�OIu�T -�t3� : . . : r> o_^, r o; �
1. OWNER'S NAME__._ r
AG�`iE'r '-=------- - ------ ----- - ---- ...-- ---- --- PHONE+�'ii1$L$Yl -��
,_,.- �
-
MAILI[VG ADDRESS --P.E96�_-}� • -����r----�--------~--- --- -------- -- -- - - -- - - CITY(y`Q8�8��J8-=-�=`------------
Name ...
Address
City - -..
State
Lic. No.
(Architect or Engineer)
Phone _._._
�� . ., � ;�- - � .; ... y. ; . ,.
...�.' '_. .._. ,..._._. ., ;,.
Name��SP`�fi$-��-�fl►"J ��R------------------ ----------
. (�ontractor)
� rr'h ' _'_ r, _
Address --- � - -�'----"---------------------
l,fi�i- i'r�- 3'�L�1'- - -'._
' -• - ^
Gcy ----�°D��&.:_!�S8 - ---- - ---- - -- -- --------- ---- -----
5tace � ,. . :,. . .. .,
Lic. [Vo: ).,19�.Q-----$].-._---- Phone �;@8C4Pt--le 2-q ;
PROPOSED USE:---/J EjlZ%,EN.C�.---0�/�`��----_--------
� lc� �y �
2. JOB LOCATION-- - --1�-J-L �- - ---- --..._�--------/- rra -^--------- - --- ---- -
3
4.
(House No.) (Name of °
LEGAL DESCRIPTION: Lot.___�._�_____.___
(Meres and Bounds Description—Use reserse side of form)
CORNER LOT ( ) IIVTERIOR LOT ( �)
----------
(Town or School District)
THROUGH LOT ( )
r
Tr��t ._.:::-:l12 g - i - -- -
SLOPE OF LOT (
5. SIZE OF BLDG.:.��X_��AREA:.__L�_L_1r}�_____.__.SIZE OF LOT:_(r.3_r_/.i,�AREA:._77.,C�e�__._.____._
� r�r �
6. HEIGHT OF BLDG.:.____.��.._____.__...______CEILING HEIGHT:_____.._.`.d.___.._._..____ NO. OF STORIES..____I___..._.__
" - 6� 6
�� ______._._Sue of Smallest Bedroom: _. .____..?E__/I..__.__. Size of Kitchen: _LO..,?[_LO------
7. NO. FAMILIES ____________._.._._._ Y
8. EXTERIOR WALL CONSTRUCTIOIV:��'{E--=-':�r!lftQ.I[VTERIOR WALL''COVERING..__,PL.{�ST=-'�E�--
(Frame, Stucco, E[c.) � � (Plaacer-Drywall, Ecc.) �
9. SETBACKS: Front Yard_from_Centcr_Liae of.Street_---�.r-------_---_"-------------------------------------------------------
, p � � � / 1/ �.
Nearest Side Yard_____..p�_..___Rear Yard.___-�..?i_____Distance in Feet Between Bldgs. on Same Lot ._._7�.._____ �
- ------------
10.
11
12.
A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
` / i/ q �/
For (a) Footing: Width ..____::�7 p �' ._.___ Width of Wall ___ __
___-...____- De th in Ground__-__�iZ__._ ':
� ----�-�--
Accessory
i ,
.
Simglarand �b) Size of Studs:._.�-Ol__�___...Spating__..� __�_�____"CC Macerial o£ Floor.j�QQ .__._..__
Structures: n - / ���'��
(c) Size o£ Floor Joiscs:._:�:__Zx_�_._.._.___Spacing "
_1..'�..._------ cc
--- -
zX „
(d) Size of Rafters: ---�' - _----------.Spacing ------+�1.-�-----------' CC '
� '
VALUATION OF PROPOSED WORK: Induding all laboq plumbing, electrital wiring, heating, fire sprinklers, paint-
ing and sewage disposal �.___ _ �
�89t- —, --
a-xEaesY eExTiFY-rrin-r TO 'rHE BEST OF MY KNOWLEDGE ALVD BELIEF THE INFORMATION IN
THIS APPLICATIO[V IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAVZ�S OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Plans Filed:_-_-----lb - 3'�d
- -'-- -------- --
Bldg. Permit
P(an Check
Totxl - -
Receipt No.
Pai�i ro
FEES:
DATE______._
$M->.SO
Sign
FOR DEPARTMENTAL USE ONLY
GROUP___.. � ._- —.
TYPE.--------� ----- - -
DIST. �j,�,�
MAP-------,-L�K.e �----
SHEET NO.___��.___
� � CHF,CKING BY
��
APPLICATION�C7�! HEALTH __.___- _______.____.
ZONII�IG____�,�(Lv.._ FIRE
M A R S H A L--------------- ---
PLANS AND
SPEC'S --- -- - --- - - --._ STATE - ------- ------ ---
CORRECTIONS ENGIIVEER
VERIFIED CAL..---------------------------
PERMIT ISSUED BY:
c. �r. co;vo�uE COUNTY 6U��o�N�
� INSFCCTOR
DEPUTY ��
COUNTY OF ORANGE
BUILDING DEPT.
636 Na. $roadway
Santa Ana� Glifornia
Phone: KT 2-6211
�
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
Permi[ I`Io.__�__1`-�_`-�-v-
Date--'--------/�--`-�--� .1-�---------------
�A`� I� A�'g � --- PHONE:
1. OWNER'S NAME - -- --- - - �--- --�----------------- --- -- - --------- ----- ----- . _- ---- �0$80&--52� -
MAILING ADDRESS------ i►W—�ii--Z�iZL _ gii�00�-------...------- ----- ------ CITY -OOB�iQ �rI9OCi--------- ----- -----
2.
3.
4.
5.
Naine ...
Address
City _-_-
State
Lic. No.
(Arthirect or Engineer)
Name �
�-+�.�-8ole��t�l,�-i� 8orre--------- ----------
ontrac[or
Address _�.QQ _�i' r _ �%i�l �.Ti:Ki�i�i_._..---'-----------"------"
City —QQQL$__1i91�--"------'--- -------------
$tate ' .
Phone.----..._..----------------� Lic. Nua.�r..QQ------8�,-�---�--.... Phone.$.BLiQOi�--B��-'
PROPOSED USE:..__��$_-_-----_-_G/����v_
� --QOQtB__ti88A--------------- ---------------------
JOB LOCATION---------�22----------�-`----------`�-------' ------
(House No.) (Name oE Streeo) (Town ar School Discricc)
LEGAL DESCRIPTION: Lot ----�.------------------------Block ----------`-------'-----------------Tracc ._�4_---
--------------
(Meres and Bounda Description—Use reeerse side oE Eorm)
CORNER LOT ( ) ILVTERIOR LOT (✓) THROUGH LOT ( ) SLOPE OF LOT ( )
SIZE OF BLDG.: _�_�_�__.___.AREA:___3�.__�i._=� _._SIZE OF LOT:._�X_/�.,rAREA: _%.J� ................
f
6. HEIGHT OF BLDG.: __14.---_------_-_- ---------CEILING HEIGHT:__-__-..-----_----------------__ PIO. OF STORIES_�-_-_-------__-
7. NO. FAMILIES _... Size of Smal(est Bedroom: ___.__._____.____.___.._. Size oE Kitchen: _.._..__...._________.______
8. EXTERIOR WALL CONSTRUCTION:.�_.��1�000____:INTERIOR WALL COVERING ...______._________ .
(Frame, Scuccq Etc.) / � (Plaerer-Drywall, Etc.)
9. SETBACKS: Front Yard from Center Liae of Strcec-------_--_r_�Y-_---------_--_---__--------_--___-----_-_---_,---.----_-_-----_-._------
y i p / �/y i
Nearest $ide Yard.___,[_________...Reaz Yard.__.___o.+_____.___.Distance in Feet Between Bldgs. on Same Lot __._TQ._._______._._._......
lU. A COMPLETE PLOT PLAN IS REQUIRED, SHOWI[VG ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: VUidth __-__«-_----.--_ P 8
Zg .-_------_. De th in Ground.--.�+N--------------_-. Width of Wall _ R_-___----.----
Accessory ' �
Bldgs. and �(b) Size of Studs: ._._�.ac..:�____.._S acin lo
Similar P 8--------� ----------��CC Material of Floor (�nQ��_-'--_--
Strucmres: '
(c) Size of Floor Joists:
Spating
°°cc
. (d)' Size of, Rafters:..--��--�.--�-4--�------------.Spating ._--�'��--------"----•�CC ,
12. V.qLUATION OF PROPOSED WORK: Including all labor, pluinbing, electrical wiring„heating, fire sprinklers, paint-
in and sewa e dis osal � �
8 8 P �---7.ZQ-----'---------------------- _
13. I HERE$Y CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE IIVFORMATION IN
THIS APPLICATIO[V IS CORRECT AND THAT THE CONSTRUCTIOIV WORK WILL COLVFORM TO ALL
LAWS UF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed�:------ --- - —!f'/--•----�(i�i7'�+r-�'�'y'---%•---�---------'
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Plans Filed:.._... -----�-Q-�---'-I��--�-��---------- ---- -- 5 Ow�e�)
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"""�'"�'"�' (Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES:
Bldg. Permit - �.
Plan Check - $_
Total - - - �_
Receipt No. - - _
Paid ro - -
�M-9 S0
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_y_��-�__.___ __ DIST.
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i�� SHEET NO..___�__._..__.
CHEC�NG BY
APPLICATZO� HEALTH..__________._.__..
FIRE
ZONING...____.____._____ - MARSHAL
....---
PLANS AND
SPEC'5.---- --------- ----- STATE -- ------ --------- --- -
CORRECTIO[VS ENGINEER
VERIFIED ------------- -- CAL.....---- ---- — --- -----
PERMIT ISSUED BY:
C. !',�, f"1��n� ,..- ; n�,; y ��.�IILDING
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