HomeMy WebLinkAbout458 18TH ST - Building Permits�Op��B��� 9�C t lt�lti $1
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CRY �IC. NO.: LIQ CLA49: UC. NO.: Y,X Y:
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aMv eM Rdauian Codsl a tIW he a aM b vemp tlwelmm vd �ha �mu la Ns eOepeE mamNun. Am' vuletnn W Saaion
.Ki1.5 Eq ury epp4�e�u In a pmm[ abpW IM applirsnl to a clvJ peneX/ d np mpa ihen iN� �W�ed do0en RSpDp.
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a onene k..w (s«iiw� �ou.9us'urv eiw Frolm+ia,a code: me caureda.lioeine La. dws nu ropr �oen b.rwa pwenv
wM Wid+a innwm threan. xd Ma Eom �uM v.wk Nmsetl a henM a ihauW Ae a Mr own x�Wloyw. pwNaE thei wc�
imp�wanmua ara noi WeMetl a d1seE /a eW. tl. Mwewr. the EwNini a inpwaeaa u wtl vilAu� w rib M canP�cn. Ns
mnw�dvlle. wu naw ins widan a c��o ne a.ne ek nd duu ar'vnpo.+�n ma v�vvw• a.elsl.
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canvacb b wd� pqqa waM1 e ma+aeMa) �canaeEW�� to �Ir Coameas LinrosWl.
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a ppmn lawumc�iana modi�iutbnM1em IMA'raiuiylA�enepwnwa Ontria. MriEwYil munuqun appimioror�wnq hwn iMa
wwi.ian.
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WaPKEN'S CAMVOI9ATON DECWI�TON: I Mraby dRrm uMv qnWy d papry ar al IM b4w'vq dedvmum:
❑ � new.�d W mevue�. unakw d m�wa �o.en�nwu In wvMen• ovnpwutlion. a n�.d r« W S«sm nao a �na lebar
CaCe. br �M O+�miwc� d tl» iwX tor wNch Nu Cwme e inuM.
❑ � nev..m w mm,x.n.d�w.� wnperne�o� �imn.iroe. e, �.a��ea M sea:n a�oo d us �en« coa.. a ms o�«mvKe a �n.
wk fa whitl� tlw D� u u�uea. MY waken' comPo�W ion ivwarce urtW aM V�Y number ue:
certis.:
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111Y OF �GSiH M�SA - buIiUING FtKMI7
'r�.kM NG: B u85o7
FEkMI7 NG: & OSSb73 FLAN CiiE�ri NG: N GuVT; N SurP: Iv
CGN57niiCiIGiv TYPE: V-N PERMIZ 2YPE: STR FOttPUSE: Ai,7
JUb LESCRIPTIOhi : RE'rLACr, � itiIiVDOWiIN57ALL NEW WuUL SILZNG SQ FI'; 2,7"v"v
CLAIM VALufi: �,7"vu.uu CAL�-VALUE: 2,7uu,G'v GRGIIP OCC: k-3 i
�GMMENTS: NG INCkEASE IN WIIvuOW RGi7GH Vi'GNlIVI�:i%S1L1Nli uN SYL 6 uE7ACri GAkAG
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REVENliE uIUISION 7u2AL5--� I:VLLEl.1t.L:
BLuG PMT PLJMfiZNG EiECinIC MECiiANI�
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11-87-1997/12:56 PN/f75.25
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^£ONS7RUCTION AND PLANNING ' POOL 'A
APPROVALS -Permit � Date Inspecmr• AppROVALS Permit # Date Inspector
i. Tempora�Y Eieccrical Service or Pole 52. Pool & Equipment Location ,
2. Soit Pipe-Undrgmd. - 53. Steel Reinforcemen[
3. Electrical Conduic UcilityUndrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding �
.5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test �
' 6. �lectrica� UFER Grnd. 57. APPROVAL TO COVER�GUNITE �' �i
.7. Footings 58. Electrical Conduit�Undrgrnd. _ �
8. Foundation 59. Gas Pipe, C7 Undrgrnd., Test .,
9. Water PiOe�Undrgrnd. i ' 60. Backwash Lines, P-Trap, � Undr9rnd.
10. Structural Floor System 61. APPROVAL TO DECK
i i. Property Sewer Line & House Connection � 62. Backwash & Receptor•Final
12. Sewer Cap 63. Heater & Vent-Final
13. Foof Orains ' ' 64. Plumbin� SysCem - Final i
14. Fiough Plumbin9 � � ' 65. Electrical�Finnl
15. Rough Electrical�Conduit ' ; � '' 66. Soler SyStem�Final
16. Rough Electric Wiring ' ' ' 67. fencing & Access ApP�oval � ' �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING � -
18. Rough Electriwi-T Bar Cefling � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE OEPT. REQUIREMENT -
20. Rough Facrory Fireplace � ', ` ' � . APPROVALS , Permit # �
21. Ducts,in$tructure � �•� ' 70. Underground Hydro '
22. quct5. VBntilating .� . '. , '. . 71. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough &�Test � - 72. Underqround Fl�sh
24. RoofFraming' -- ' ' � ' 73. Undergrnd.StorageTank�Gas ❑Oil
25. Roof Sheathing � . _ � • 74. Overhead Hydro
26. T-Bar Ceiling IStructural) & Monocoat t " 75. Dry Chemical
27. Frame and Flashing `: -• - � 76. Dry Standpipe �
� 28. Lathing & Sidin9 �' � ' ' 77. FIXED SYSTEh1.FINAL . I
�
29. Insuiation � .`� 78. FIRE PREV. FINAL
30. Drywall Nailing • HEALTH DEP7. flEQUIREMEN'f ,
37. Plaster Brown Coat � . 79. FINAL INSPECTION '
32. Electrical Power Mete�_Final � B0. FOOD CERTIFICATE ISSUED
33. finat Electric� - � • . Noces: •
34. Final Heating & Air �nditioning . � , - .
35. Final Gas�P�Pe�Test , , � .
36. Hood or Canopy : � � � �
37. Finai Factory Firepl�ce - -
38. FinabPlulnbing - � � � . ' �
39. Water Selvice�Final ` ' • �
40. Gas Service�Pinal • • . �
41. Solar pomestic-Final ,
42. 8ackflow Preventer . � -
43. Backflow Irrigation n � .
44. Landscape Irrigation Sp.item � � ' •
45. Sound Attenuation �: - ' � � '
::�
46. HandicapRegulationsl' �
47. FINAL STRUCTURE & BUILDING /�,_d� L� �� �
[ ! (H
48. FINAL PLANNING � - ,..._ . �
49'�. Electric Fefease to Edison . .
50. Gas Reteese to Southern California 6as Co
51. CERTIFICATE OF OCCUPANCY .
No Date
PN0.IECT pDOPESS: Q SA E 18TH ST
OWNER'SNAME: HEISER, ARTHUR J JR
� nooeess: HEISER CORINNE H
458 E �BTH ST
COSTA MESA,CA 92627
AHLHIENGMEEB:
AOOHESS:
NEG.NO.:
UNIT:
UNIT:
PEPMITTEE: A. J. S CORZNNE H. HEISER ( 719 ) 65U-7889
aooxess: q58 E 18TH ST
COSTA MESA CA 92627
LICENSEU CONTNRCTOP OECUMTION: I �ereCy allirm roal I am lic¢n5etl un0¢r prOvisions al Clupi¢r 9(cammencinp wi�h SecliOn
7000� ol OiNsion 3 0l I�e Business an0 Prole55ions CaOe. anE rtry IicenSe is in tM brce an0 eflttt.
CITY LIC.: ST�TE UC.: CLA55: EXP :
�ale: Sipnamrt:
WOPNEflS' COMPENSATION OECLAflATION: I hereby allirm tlWt I �ave a cenifitate of cansent to sel4insure or a cetlificate ot Workers'
Comoensation Insurance, or a ceniliea copy thereol ISection 3800. LaU. q.
POLICY NO.: E%P. U�TF:
COMPANY:
7 C¢rlilie0 caOY is her¢Ey IumiS�eG. ❑ Certitiea copy is fileG wit� t�e ciry Builaing DiNsion.
Oate:
Appicam:
E%EA1PilON FROM WONKENS' COMPENS/�TION OECUMTION: (Ilus sectun neM rot he romqeteE il Ne perrtdt 51or me hu�reU (S70U) a less�.
I ce�i�y Ihal in the per ormance ol Ihe wark �or wAich �his qermii is i55ueG. 1 ail no� employ any persOn in any mfa�nner so as to become
5uble�� �o ��e W rke ' �npen5aiion laws Of Cali�Ornia.\ � �
.ti ��.
Daie' � � SignaWre: ��
NOTICE: Ii. after kinq i�is aeUaration. yau shoulG Oecame suEl�� �o t�e Workers' Campenutbn Omvis 5 oi t�e Labor
Code. you must fon�wit� comply wit� suth pmvisions ar lks pErmit s�all Oe GeemeO revokeG.
CONSTPUCTION LENOING RGENCY: I �ereC/ affirm t�at t�ert is a construclion IeMing a0ency lor t�e petlormance of ihe wark br
w�ic� I�is permil is i=sueE (Senion 3097. Civ. C�.
IENOEH:
ROOflE55:
OWNEB BUILOEB OECLAPRTION: I hereCy affirm ttat I am exempl Irom Ne Cuniractor5' State License Law lar ihe followinq reason
(Seciion 7031.5 Business and Pmfessional Coee: pny cily ol county w�ich repuires a permi� to consiruc4 alter, im0�ove, demolish, or
repair any simtlure. O��or to its issuance, also repuires t�e aDDliwnt tor sucA Dermit lo lile a sipne0 statemem thai helslle is licensetl
pur5uant1ol0e O�oviSi0n5 olihe CONratlar5'Stale License Law�C�a0�e�91�ommencin0 wi�� Settlon 7000)0l Division 3 ol�he Business
anE Pmlessions Coae� ar ��ai �e/she a erempt t�eretmm anOl�e Dasis for ��e alleqe0 eRemD�ion. Any Walation ol Saiion 7031.5 Oy
any apDlicant lor a Dermit subjects l�e a001icant lo a civJ Denalty ol not more ttun iNe huntlreE Eollars (5500�.
1, as ownee of Ine O�openy or rtry empl0yeC5 vnin w3pes u ineir Sole comcen5atlon, wlll tla Ihe wOM, antl ine
O s�mciureis notintenaeu oiallereE brsale(Seciion 70aa. Buvness an0 ProtessionalCaUe: Tna Contractors' Sute License Law
does not appN �o an owner of a Dmoerty wtw �ui10.t or im0��s t�erton, ariE who Eoes suc0 work Mmsell/�ersell or t�muAh
�is or her awn employees. O�odtle0 t�at suc� improv¢menis are noi imen0ed or afleretl lar sale. II, �owever I�e builEinp or
improvemenl is Saitl witnin one year of wmpletion, Ine Owner will IuvE tne 6urOen of proNnO hpJshe aiE not �uiitl or impmve
� tor Ihe purpose af sale).
I, as owner ol Ihe DroOeny, am e�clusively caniraclinp wi�� licensea canlraciors Io consimp t�e Dmlec� (Saciion 704d, Buslness
❑ antl Prolessions CoAe: iAe Canuactors State L'¢ense Law Ooes rwt appy to an owner of O�aperty wtw 6mltls or imDroves t�ereon
anE who con(racis far sucA projecls wilh a coniracmqs) license pur5uani to Ihe Comractars' State License Lawl. I am aware
t�at pmol al ��eir Worker'S fAmOenuiion insurance stwuW Ge provide0 m me.
Q I am eKemP� un0ei Sec�ion: B P 7 O 4 4 B. d P. C.
ia� mis r aso . V]ORK HY OWNER /OCC(IP`ANT� �
, � � I � rl � Mmer. � \ �—�..�� •
T �
I aa �ereUy tertily tlul I am aware ai anE unClr5laM Ihe fepuitem¢nLs ol CalitOrnu HeaIIA anC Sal¢ty COE! Setli0n5 25505, 25533, and
2553A an� t0a1 I or any fuWre Ouiltling acuDant wiNwill nol (cirtle one) neeE ta fAmpty wit� SaiE state coAes an0 t�e requiremenls lor a
permil loi con9mction ar mOGilica�ion Irom I�e Air Oualily ManaAemeni UsVici. fle5ideniial conSlNciion apDlicalions are e�emp� Irom
Ihese pmvisions.
Date: ApDlkanC
I�ere�y ceilitythatl �ave reatl IhiS ap0liw�ion ana 5�ateilwl��e aboveinlor tianis correCi. I apree�a comply witb all ciry anC county
O�Ei0dOC25dfM5IdIPIdwSfCldlipAlOOUIIG619L0115iN[IqOdOGIICfEDydYi110f1i2 CpfC5EfltdllV250�IN5OIyl00� ninea0we�memioneU
pmOenY �a� �nspe ion urposes. �
Oate: � � t �y SignaNre�
Drivei's �icense or Sociai Securny +:
t64Pa6 While—Bulldmg: Green—Coae EnbmemenC Canery—NOPliwnl; Pink—Revenue: GOltlenroC—Assessor
,
' CITY OF COST'A MESA — BUILDING PERMIT PERtA ?JO; B 06-lJ"/_
PERMIT NO: B 067875 PLAN CHECK NO; N GOVT: N SUPP; �
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIFTION ; REPLACE 5 WINDOW/INSTALL NEW WOOD SIDING SQ FT: 2,700
CLAIM VALUE; 2,700.00 CALC—VALOE: 2,700.00 GROUP OCC: R-3 /M-1
COMMENTS: NO INCREASE IN WINDOW ROUGH OPENINGS/SIDING ON SFD S DETACH GARAG
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Z O N I N GS ERTEB�A CIKRSE M E N T��MO�E DETE�TOR
------------ MAIN BUILDING ---------- --------- ACCESSORY �'E.Q�U:lR ED-----
FRNT: FT IN REAR: FT IN FRNT; FT IN Rttix; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARFCZNG REQ; PROV; PARCEL: 11733229 ZNE: AEF NO:
PLANNING NOTES>
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D E C� E L O P M E N T S E R V 2 C E 5 R E Q U I R E M E N T S
ZONING APPROVED BY .
BUILDING APPROVED BY :
APPLICATION ISSUED BY:�__y[ �!�
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LEGALI2ATION:N F E E
DATE:
DATE:
DATE: 7 l ���
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S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 50,
PLAN SMIP/NON—RES
ISSUE FEE
BUZLDING—DIV—> PERMIT ISSOE PLAN—�HECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54,50 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 ,50
it 11� i414 ie ie it iF i! it f! fE ft if it iE if it !f it i1�!! iE 1f i4 ik if� 1k!(� ih iE iF fE 1E #�N�lt iF ft iF �lf ik if if it'rt iF iF it if iE 1E iE ik if 1E if if �M it fE it iF iE if it it iE #?E it iE iE # iElt # 1.' #
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 2700 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 2,700.00
END OF FEES
��,��P w�,r,d,� . EXPI ED
DATE � �o
J
01 OO1d3337-0016333E T�] T
DATE: 07/01/94 TIIfE: 13:2p
54.50
i -
�CON�T�iUCT10N AND PLANNING POO. SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
t. Temporary Electrical Service or Po�e 52. Pool & Equipment Location -
2. $pil Pipe�Undrgrnd. - 53. Steel Reinforcement •
3. Electrical Conduit Utiiity-Undrgrnd. 54. Forms
4. Elettrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Sceel Reinfarcemenc 56. Rough Pfumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNI7E
7. Footings 58. Electrical Conduit�Undrgrnd. �
8. Foundation 59. Gas Pipe, 17 Undrgrnd., Test .
9. WBter Pipe-Undrgrnd. 60. Backwash LineS, P�Trap, O Unclrgrnd. �
10. Structural Floor System 61. APPROVAL TO DECK • •
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Finai . .
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Plumbing System - Final .
l4. ROugh Plumbing 65. Electrical•Final
15. flough Electrica�-Conduit -� 66. Solar SYstem-Finai ' �.
16. Rough Electric Wiring 67. Fencing & Access Approval • .
17. Rough Wiring Sfgn 68. APPROVED FOR PLASl'ERING �
. �
18. Rough Electrical•T Bar Ceilin9 fi9. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilating 77. Product Piping O Gas ❑ Oil _.
23. Gas Pipe�Rough & Tesc 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil �r
25. Foof Sheathing 74. Overhead Elydro
26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chernical I
27. Frame and Flashing 76. Dry Standpipe '.
28. Lathing & Siding 77. FIXED SYSTEM FINAL -
29. Insulation 78. FIRE PREV. FINAL '
30. Drywall Nailing � HEAITH DEPT. REDUIREMENT
31. Plasrer Brown Coac 79. FINAL INSPECTION
32. Elecvical Powzr MeterFinal 80. POOD CERTIFICATE ISSUED - -
33. Final Electric � Notes: ��� �
34. Final Heating & Aic Conditioning ' ��
35. Finai Gas Pipe-Test / w r_. j
i '
36. Hood or Canopy ' ' �
�.`• �
37. Final Factory Fireplace " � � ,
38. Final Plumbing '
39. Water Service�Finai
40. Gas Service-Final
41. Solar pomesticFinal
42. Batkflow Preventer ,�..,
� 43. BaCkflow Irrigation �..
44. Landscape Irrigation Sysiern�
:� .-
45. Sound Attenuation r � (':'
46. Handicap Regulations r-- �_�
47. FINAL STRUCTURE;& BUI'LDING ,
�-
48. FINAL PLANNING rr� `� �
49. Electric Release to Edison �_,j
50. Ga5 Release to SoutherhCaliforniaGasCo �'
51'. CERTIFICATE OP OCCUPANCY
No. Date
Q
aooeess: 458 E 18TH ST
rsxnme: HEZSER, ARTHUR J JR
nooeess: HEISER CORINNE H
458 E �BTH ST
COSTA MESA,CA 92627
650-7889
PflCHIENGINEEN:
sec.xo.:
UNIT:
p00flE55: � UNIT:
PEflMITrEE: CAOWLEYS ROOFING ( 714 ) 836-1966
aooeess: 1016 E 1ST ST
SANTA ANA CA 92701
LICENSEo CON7flACTOB DECLABAtION: I nereEy aHirm ihat I am licensetl unAer pmvisions of ChaD�er 9lcommencing with Section
7000) ol Oir ioq �( Iy� usiness antl Pmfe� iyn y�4 m lic �5¢ is i t•' �q antl efletl.
�J�U9� ]l���l Y ��7
CITY LIC.: STATE LIC.:
Oaie: � Signaiure: _ — _ _ -
WOBKEP LOmPE RTION DECNBpTION: I here�y aitirm t�at I have a cenificate al cansent ta selbi re or a cenificate ol workers'
comae�uron 7g�o-gp'�]!V'S�v 2eg�(�secuo� ssoo. �ao.91 /O1 /92
roucr xo.: STATE FUND E%P. DATE:
COMPANY:
� Certili¢a c pY is here6y fumishetl. Cetli�ietl [opy is lil¢tl � I�e ci� ui� .n rvi5i0n.
Oa�e: Npplicant:
E%EMP NFHO OPREPS'fAMPENSATI0N0ECNILITION: �TAisseclionnee0rwtbecomD�eleAifthepermi�is� nehunOre0�510�orless�.
I teriify Iha� in �he Detlormance of I�e work �or w�ich �his permit is issuetl. I 5hall not employ any per50n in ny manner w as t0 Gecome
subiac� �o tAe Worker5' CAmpensation Laws of Calibmia.
Date: Signature:
NOTICE: II. aner makinq ihis tleclaration, you should Uecome suEject lo tne woders' Compensa�bn D�ovisions of tAe Labor
CoOe, you must lo��vnth wmD�Y �^�h suc� provisions or Ihis permi� shall Ge GeemeU revokeA.
CONSTflUCTION LENOING RGENCY: I here0y al�irm ihai ihere is a conslmc�ion lentling aAency lor �he petlormante ot IAe work for
whicM1 Ihis permi� is issuea (Sec�ion 3097. Civ. C�.
LENOEN:
aooxess:
OWNEB BOILDEN OECLAflATION: I Aereby allirm t�at I am exempt imm �Ae Conirac�oa' Slale License Law la� ��e tollovnn9 reason
(Section 7031.5 Business antl Pmiessional Code: Any uty af caunry w�ich repuires a permit to consiNc6 aller, impmve, Uemolish. ar
reDair any s�mclure. prior lo ils issuance. alm reQuires ihe apDlicant for such permil lo lile a 5igneG Slatemeni I�a� he/she is li[en5ed
pursuanl lo ihe pmvisions al ihe Conlractors' State License Law ICnapter 9(commencinp witn Section 7000) of Division 3 0l Ihe Business
anU Pwfessions Cotle) or Ihat he/She is erempi Iherelrom and lhe Dasis lor IAe allegetl exempti0n. Any violalion o� Section 7031.5 Uy
any applicanl far a ptrmil subjetls Ne a001icanl to a civil penalty ot noi more �han five hunareA dallars (5500�.
I, as owner ol Ine pmpeny or my employees wiln wages as Iheir sole compensation, will Oo ine work, antl ihe
❑ SlmC�ure is no� inlendetl or O��ereU br Sale (Setlion 7044, Busin¢55 anU Pmlessi0nal COde: The ConVattOrs' Slate LiCens¢ Law
tloes not appry io an owner oi a pmDe�Y w�o �uilJs or improves thereon, antl who does such work Aimseli/herseli or tAmuAh
1 �is ar her own emDloyees, pmvitleA t�at suc� imD�%'ements are not intended w ottereE br sale. II, twwever iM builaing or
impmvemen� i5 5ald vnihin one year ai comple�ion, Ine awner will have Ihe hurden of D�ovinp he/s�e Oi0 nol builtl Or improve
lor Ihe Durpose ol sale�.
I, az owner ol ihe Ompeny, am exclusively wntracling with licensed coniracto6 to constNct the prolect (Section 7674, Business
❑ and Prolessions CoOe: T�e Cantractors' State License Law tloes not ap01y ta an owner o� O�openy who Uwltls or impwves therean
ana who wnVacis lor such pr0letls wil� a conVactOqs)lic¢nse pursuant IO t�e Contrac�ars' Siate �icense Law�. I am aware
ihai proof oi �heir Worker's Compensaiion insurance sboul0 be pwvitletl to me.
� I am exempl under Senion: 8. 8 P. C.
lor IhiS reason:
Date: Owner.
I tlo hereby cenity Ihal I am avrare o� and untlersland Ihe requiremenis ol Califomia Health and Sa�ely Cotle Seciions 25505, 25533, antl
255Y1 antl I�al I or any luture buil0ing occupanl willlwill not �circle one) neetl lo compty wit� saitl state cotles antl ihe repuiremenis for a
permit lor consVuclion or mo4ificaiion �rom t�e Air Ouali�y Managemeni DiSUic�. F¢5i0ential con5tmciion applicaiions are exempl tmm
�hese piovisions.
�a�e: ADOlicanl:
I nereby cetlilyihal I have read I�is ap0lication antl slalel�at Ihe abave iniormalion is correcL I ag
or0inancesantlsla�elawsrelalinglo�uil0ingconslmclionanUhere�yau� zere mativeso
pmpetlV �or ins ciion pur oses.
Dale: �� Siqnature:
Driver's icense or Soaal Security a:
�64La6 Wlnte—BoilOing; Green—CoOe Enlorcemem: Canary—AOW�can�: Ponk—Revenue:
to [omply wilh all ciry anU coun�y
Io enter upon the a�ove�menlioneA
��
_ _�7� .
CITY OF COSTA MESA – BUILDING PERMIT � rPERM-13�, Y �—
PERMIT NO: B 051865 PLAN CHECK NO: N � seE�i'. !�a sHPi�, id
CONSTRUCTION TYPE; V–N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION : REROOF DETACHED GARAGE W/FIBER. SHINGLES SQ FT; 1,000
CLAIM VALUE; 1,000,00 CALC–VALUE: 1,000,00 GROUP OCC: R-3 /
COMMENTS: REFERENCE BUILDING PERMIT ffiB99543
�t*+t�t�t****�+t***�r**�r***x **�t*�t�r**�t�t*�t*�t*****�r�t*�r�r*��t�r�e�+t*�t*�t**�r*****�r******�t***�r�r
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- 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; 11733229 ZNE: REF NO;
PLANNING NOTES>
i
****��**�**�*�*********+e***�*�+�**��**�*****�r***�*�**��***�****��**+��*��r**�****�
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N•T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY
APPLICATION ISSUED
if if If if If if iF M fF iE if if if if dF if M iF if
iFlFififiFlFiFlfii*1f�fMiEM1EM1fiF
LEGALIZATION;N
BLDG PMT
DATE;
• DATE; h'�
� � *x�*r�r***�* *�r
iFifiF�F�fiFiFlF�fIfiElfaFlf�Fif%iFiF �EifitMitifMlEMiFifiE3FlfifiFiFM3FiFkiflfMlEiEif�FiF�fiEififiFifiF
F E E S U M M A R Y STRUCTURAL SEGMENT:Y
PLUMBING ELECTRIC MECHANIC FIRE'" SMIP/RES GRADING
PERMIT 25,00 - ' ,50
�� SMIP/NON–RES
PLAN �
ISSUE FEE �
BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE
TOTALS----> 25.50 0.00 0,00 25.50 ZS,SO ,00
REVENUE DIVISION TOTALS--> COLLECTED: 25.50 OVER%SHORT: .00
BLD25p00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO; GRADING PLAN–CHECK
lfifMiFkifififkifiFMikMik�flflkklFkllftlkiEkikif�lkMiEifMMkif�EifiFiFklflFififMlkkiFkiFif�ElfiEiFiFiFkifKMifififiklElFikififiFif�lif�lifit
I N D I V I D U A L F E E H 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 1000 REROOF BY VALUE RESIDENIAL NOZONE 1.00 1,000.00
END OF FEES
r:
/.;
e
,,� ,
Oi OOCEbl93—GQ086194 T�] B'
DATE: O4/30/91 TIriE: 13:2b
: �'
f
y CONSTRUCTION AND PLANNING I P��'PA� �
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Elettrical $er',;ice or Pole.� " 52. Pool & Equipment Loca[ion
2. Soil Pipe�Undrgrnd, _ ��•�� 53. Steel Reinforcement �
1Sn..^�c r n, : r_.
i„ .r p � r�.. . .
4�-3.;Electrical Condqii�Jtiliry`-UndrgrnilR' 54. Forms �
��h'4F?Electrical Con'UJit�C)ndrgrnd. aD 55. Electrical Bonding
crr .� R< ....�
'� $.�Ste�,elifleintorc"�efr'ie�t `"� 56. Rough Plumbing & Pressure Test �
a:
�0�-'9:'tElc+ctrical UFE".R-'Grnd. �+ =� 57. APPROVAL TO COVER�GUNITE w
�I^ K�
���7��oatings �N L 58. Electrical Conduit-Undrgrnd. u;
�y8� Foundation �: r ' . 59. Gas Pipe, O Undrgrnd., Test ��"'
., �
9� Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
:�
10. Struttural Floor System ' -�-, 61. APPROVAL TO DECK
11. Property Sewer Line & House Conaection � 62. Backwash & Receptor-Final
•� � � -
12. Se�Qer Cap �,, �' �, � 63. Heater & Vent-Final
73. Roof Drains % 64. Plumbing System - Final
�. o
14. Rough Plum�ng ��� � 65. Electrical-Final
15. Rough Electrical-Conduit '' S6. Solar SYstem-Final ".
16. Rough Electr�� Wiring 67. Fencing & Access AnProval
i'
17. Rough Wiring�Si9n 68. APPROVED FOR PLASTERING
16. Rough Electrl�al�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- ' - - � O' Je��'rF .! - ti
26" Rough�actery'F.ireplace � x�*: �2' - = ^�':� APPROVAL',S%O p§ftnit# i' �" "' �
z 5 tD q- 's'w� I Str �CQ �. U'= r. .�: .�:ur-!:� � :r: �
?, � - � x � � . i-� s:. • .-, _ ':.R .R < ..+- � w i M
21_ Ducts„n S�ucture ... ,,..{S � 5 '.�+x x�� 70.tUndergraund Hydro x
22. Du`ets �Ven4ilatinp� ' :� ` 1 'S� �* � 77, produ�;Pi�ing�@l�as � Oil
'l I, Pa I (1 d f�,x e¢ A
r� .-� . x f T. rt Q' '-i T$ F m, : 1 l7l � :K L� �:
2� G3s: Pip'P-Rough $�Test i rS „�r 4. ,� ��., „�. 7p, Underground F.lush�� r .
2M R6nf Framing tT�* i Fi- - *� G �k 4; 73� Undergrn�U.Sto�39e�anK�OGas Oail
-� �, a '^r � '� + :e � u��,. � x
"� ril* T' :U s L9 O7 i` �.C• n, r i-�[-,_: 'y
25. Roof Stieathings.� y v•,r � C � :o�< .k ��..•cOverheac�Hydroi x
26: T;Bar Ceiling (Stiucturall 8"sMonocoat '� o� ' �*1� x 7�5; Dry Chemical �'"� '�"-� d s
/��, � r n v mr z � rn c..� x rn
27� Frame and FlasFiiri � ' '�'• *'�' O?'. �r. S d7 u:
,�, c., ti ,� .�cz� r c �:. .�. 7�'Dry ScaAdpipe,,� w G
c . � .., w .. � �,.,.. �. ., " -,,.-.
+e 28• L3thirtg&SidinA•' ✓ �K%� � � � , ••s � 77?' FIXEDSYSTEAfiFINAt� ^ �- I
f - .� .s. i- r �_ n i. �i �. . ti _
J o�� G s•• •• '> +� �T'� � � .E,K F: 7�; FIRE PREV. FINAL :� � CY, } I
' 29. Insulat'on
r' II
�' 30. DrywalhNatting�� � y �� j �* e � �H6ALT,H, DEP{ rREQUIREMENT
° 31. Plaster;4Brown Coa,i S ,' �,,�„ �. J � I �t y 79, FINAL INSPECTCbN :`. `' ��
� l i '�4 F � i . Y' � rJ 1•! I
, 32c Electriol Pnwec�letEr-Final � n7 � I � i�� SQ� FOOD CERTIF.1CqTE t55UED
. . .. .-_ ., � . �� .: .� � ..
( Y'�%� I C' <�[) 1 � , Y ti• `'�' 3' i'-L `:� i+i
. 3� Fisal ElectrSe �,.,.,. n � � x I � !'" x.' � Netes: .;M ri"' � ttiM
- -^ i . - � � �. + -
� j 34- Final Heating &�;Ir�Conditionirtg .� I i��� .. � ti n�; : ; r
� � 1. W n c.:v� tn
39.' Final G5s Ripe-'f�e�t:�s� y s.� f tr X: n '�c �rsi :� r i-Si;�
[-_ m va '1 � .x .. . . . � r. i i .�.
i� 36' Hood or Canopy_x ^ �;� � n(� I � �, �. � cio :k ^t^
�..... �. y-^, y..
'` 37� Final F'a,ctory Fireplac�e; ;�� � k`� I j � a. `' � w� ^ 0
� J • � A LL. 1•. .. yN ' t'� I y� t• � �
i, 38. Final P,.t.umbing F N i _+ x I � �� S r+ :t o O
i� 39. Water Servic0-Final � ;�� � ti M• �� ��R7 a �: O
C s z: t � K � S� q'. tL S
i.� 40. Gas Seryice Final y;n •2t"iT S > m I � �:n jn� vN ?�� ��
� - . '. _ . . . . �- . ...
:•. 41. Solar pomesticFinal: C' •- +�s f I ��•� �S^' ^�-+ r
�.i �_ n + rr. • y. rr .O G^ 'n?: ^
r1 f'-. lV: t: i-1 f. � T II
" 4Y Backflow Preventer � i;� I I �, � � • ,�
43. Backflow I;iigaUon �s'`� � � i �Y i , �� /�.�Gt'�� ,�^^ � + e�
�
'r 44. Landscape�"rtigation SysterP�j,:; :t x� M G C���� %� :' v, W =:� t� � �
" 45:� Sound Atte�uation �-�':F .* #: � EF ', - � F+ -+ lT�� cCeC•• .+: ` �
it^ Y �n l7 i7.k X. . � � kL -' � .f
�. l u '[ �Ti .. ..�. x ' � / / � t " �
46;, Handic�,p Regulations J • r� �.S p� �
47.� FINAL STRUCTWRE & BUILDING �f-c�� 6;ov�� '� c.os ~ !-�
n• , , d � c� a. r-�
„ 48 FfNAL PLANNIN,G i �'�F; ; ;.; � j �;; i :. i r .,? �: ;; --
� 49� ElectriaRelease to Edison i � � � � ' n: , � % �
� I !�. ' i �t �^ x. o
.. .. ; � Y• I I �t. q � 4'.'i n � U
;,"� 50.. Gas Release to 5outhem Califomia Gas Cn ;� r r�� ,. -. c�,r a- �. •
, 5L CERTIFICATE OF OCCUPANCY v;;� �� ;�p r • � o
fVO. Date
CJECT AO�HESS: 4 S B E 1 8 TH ST
OWNEN'S NAME: HEISER, ARTHUR J JR '
aooeEss: HEISER CORINNE H
458 E �BTH ST
COSTA MESA,CA 92627'
650-7889
UNIT:
PNCHIENGINEEfl: NEG.NO.:
POOflE55: ' UNIT:
PEflMITTEE: CROWLEYS ROOFING . ( 714 ) 836-1966
aooeEss: 1016 E 1ST ST
SANTA ANA CA 92701
LICENSEU CONTNACTOfl OECIAflATION: I �ereby af�irm Ihal I am licensetl unAer provisions oi Chapter 9(commencing wilA Section
7000� ot Di�o3 ���t�e6usiness antl Pmiee�ipns.CetlaZ �tl my licen is in �I p and e�feci.
CITV �IC.: ,� STRTE LIC.: 1 8 J (,
Dale: Signa�ure: _ _ —
WOBHEN C01dPE!$f�T1011QES4A,j1�TIQN: Ihp�rejryaflirml�allhaveay,erjilitalyo1c�5�nLO5elbinsU oraCetli�iCatea�Warkers'
Compensation ��01a�S�'Ol l}xJti� d�Ov Qe�xblSection 3800, Lab. {,11 / V 1
roucv no.: STATE FUND E%P. OIITE:
COMPFNY: X
�] Ceriifietl copy is hereby Nmishetl. ❑ Cehified copy is �ile ith Ih I'�A Oivision /J
Date. APPlicanc s(�6 /" -�
E%EMPTI FNOM BREHS' COMPENSATION OECIANRTION: Q�is sedion need not 6e comple�eA il �he permil is �or one huntlreC ($100) or less�,
1 certify inat in ine peAormance of ihe work lor which ihis permit is issue0, I shall nol emDloy any Oerson in any manner so as to hecome
suAlect lo the Workers Comoensation Laws ot Calilomia.
�ate: Signature:
NOTICE: II, aiter making IAis deUaration, you should become subject to t�e Workers' Compensation Owvisions oi the Lahor
Coee. you must lonhwith compiy vnth such proNsions or tnis permit snall De Aeemed revoketl.
CONS7BUCTION LENOING AGENCY: I here�y affirm that ihere is a consimction lendinq aBency for t�e Oerformance of the work for
which this permii is issuetl ($ection 3W7. Civ. C�.
lENOEN:
AODNE55: �
OWNEB BUILOEfl OECLABpT10N: I hereby aF�irm �ha� I am exempi �rom ��e CUntrat�ors' State License Law far ihe lollovnng reason
�Section 7031.5 Busmess antl Pmlessional Cotle'. Any ciry ot county which requires a Dermit ta consiNct, alter, impmve, demolish, or
re0air any simcture. D�ior to its issuance, also repuires ihe apDlicant tor such permit to file a signeA stalement ihat he/sne is licensed
pursuanl io Ihe OrovisionS o� �Ae ConVacbrs' S�ate License Law (Chap�er 9(wmmencing wi�� $¢ction 7qp) ol Divisian 3 oi ��e Busineu
and Professions Coae) or that �els�e is exempt therefmm ana t�e hasis far t�e allegeG exem0�ion. Any violation of Section 7031.5 Ey
any applicant for a permit subiecis the applitanl b a civil penally of no� more ihan five hunArea Aollars (��I.
I, as owner of the pmDerry or my employees wit� wages as lheir sole camDensation, will tla t�e wark, and IAe
O simcmre is no� intentled or oHered for sale (Secuon 70a4, Business ana Pm�essional Co�e: TAe ConVac�ars' Staie Liunse Law
tloes nat apPly lo an awner at a pmpetly who builtls or impmves �hereon, antl w�a does such work Aimseli/hersell or �hrougM1
' � his or her own em0loyee5, prmideA Iha� 5uth improvemen�s are not in�entletl Or aftered lOr Sale. Ii, hOwever Ihe bUiltlinp or
impmvemeni is so10 vnthin one year of comple�ion, Ihe owner wlll �ave 1he burUen ol pmving �e/sAe di� na� 6uiltl or impwve
- Ior ine purpaSe of sale�.
1. as owner o� the pmperty. am exclusrvely comraciing wi�h licensetl coniratmrs m cons�mci ��e pwiect (Section 76ad, Business
❑ antl Professians Code: The fqnUac�ors' Siaie License Law does not apP�Y �o an owner of DmpeM who Ouil0.s or improves thereon
anU who conirac�s �or suc� pmlects wilh a conVactoqs)Ikense OurSuanll0 [�e Caniracrors' Sta�e License Law�. I am aware
ihai O�oof ot I�eir Worker's Compensation insurance stlaul0 Oe pmvide0 to me.
� I am exempi unaer Section: � B. 8 P. C.
lor inis reason:
CITY OF COSTA MESA — BOILDING PERMIT �£�Ho; 8 �5�
PERMIT NO: B 051866 PLAN CHECK NO: N � 6Ai=r-3i Sf7P�F'; :1
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : AEROOF W/FIBERGLASS SHINGLES SQ FT: 3,800
CLAIM VALUE: 3,800.00 CALC—VALUE: 3,800,00 GROUP OCC: R-3 /
COMMENTS: REFERENCE BUILDING PERMIT iiB49543
*****�r***�r**�***�r**+�**�r�r*a��r�r********�r+��r*+�**�r**�r*�r�r�***�r�r*********�**�*****�*�r*�r
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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: PAACEL: 11733229 ZNE; REF NO;
PLANNING Ni3TES>
i �
ik af �1f �F if If 3E �f K�f �E 3f �t M M if IF k K if IE if it iF iF iF if if iF it if iF it if �E ik 1f if �f iF K If it 1f �F 1EiF if iF M if k�f M if it 3F 1f if �f K IF ik M iF if 1f �1l�iF If 1F 3E 3F iE 1f 3t ff ik M
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 N4�T S
ZONING APPROVED BY DATE; '
BUILDING APPROVED BY
0
APPLICATION ISSUED BY: `� �
if iF if k iF K if iF it if if iF iE iF iFiF iF iF if it M�f
iFifiFiFiEiFifiFifiFiEM%ikkMififlfiE�FlE�fMiFifM�f�f�taFiliflFkiFiFifiFif�FiEif�fiF if
LEGALI2ATION:N F E E S U M,M
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 63.00
PLAN
DATE; '
DATE : ������
iEifkiFifiFlFiFiFK ifif
if iF iF �f %�f 1f �F K M M af M If ii M k�F iF if�iF iE iF if 1E if M 1F iE M
Y STRUCTUAAL SEGHENT;Y
, �
FIRE SMIP/RSS� GRADING
SMI•P/NON—RES
ISSUE FEE .�.
BUILDING—DIV—> PERMIT ISSUE PLAN—CNECK TOTAL PAID DUE
TOTALS----> 63,50 ' 0,00 0.00 63.50 63'.,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT; 00
BLD63p00 pLUMHING ELECTRIC MECHANIC FIRE SMIP/T50 GRADING PLAN—CHECK
/.
iF M �FiF Ik M iF iF iF IE iF ik �f M k M iF iF 1t k iF if if iF if �F iF �F �F iE 1f if k 1t 1f If �Fik IF if if iF M 1F ik �F �Flf k kif N If 1F ik iFk if kdflF �k M�if k iF iF if if iF if if if iF 3FiF if 1F if
I N D I V I D U A L F E E B R E A K D O W N'
TYPE QTY D E S C R I P T I O N UNIT COST '' TOTAL COST
Da�e: � Owner I $FR
1 do hereby certity ihal I am aware o� and uneerstana lhe reQuiremenis ol Calitomia Heal�h an0 Safety Cotl¢ $ecli0n5 2550.5, 25533. and
2553a and that I or any future �uilding occu0ant will/will not (circle one) nee0 to comply with saia state codes antl Ihe requiremenis lor a
Oermit far con5imclion or modilication hom Ihe Air Ouality Managemenl Di9ricl. flesitlenlial constmction applicalions are exem0� ��om
�hese provisions.
Da�e: Applicanl:
I �ereby Certify tha� I �ave read Ihis apPlitalion anE Sla�e thal lhe abOve
ortlinances and s�ate laws relating lo �uiltling consimc�ion antl �ereGy auilt
pmperty lor insp Clian pur oses.
Daie- � ..$:
- � �� - - /
164ba6 WM1ile—Builtling; Green—CaEe EnforcemenL C2nary—AOOlicant: Pink—Revenue: GoltlenroE—A95es50r
3800 REROOF BY VALUE RESIDENIAL N020NE
END OF FEES
l
1.00 3,800.00
, f
OS Oa0ES19!-OW8L19? 3'0� T. t3.50
D�TE� D6/3D/91 TIfl=� 13:25
V .
�,
_,��
� CONSTRUCTION AND PLANNING POO SPA
APPROVALS Permit � Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical SerJice or Pole 52. Pool & EquipmeM Location
u v]
2. Soil Pipe-Undrgrnd. � 'r�d ' 53. Steel Reinforcement '
'�3.''Electrical CondUit:�Utllity Undrgr�dr' 54. Forms � �
�'i�'4'�Elfl2irical Conddit�Undrgrnd. S� 55. Electrical Bonding
� .�- ti..c.
'• •"5"'St'eel Reinfor�ement �='� 56. Rough Plumbing & Pressure Test „
�:z�`crflQc[ricalUFEP3Gmd. -- u� 57. APPROVALTOCOVER�GUNITE w
��;r7��Footings `�= �'� 58. ElectricalConduit-Undrgrnd. '�
�.Fu. M:u �i ��
�:`,8� Foundation _`y �� 59. Gas Pipe, O Undrgrnd., Test �'
,� Water Pipe-Undrgrnd. ' . 60. Backwash Lines, P�Trap, O Undrgrnd. �
:J
10. Structural Floor SYstem , -� 67. APPROVAL TO DECK
11. Pcoperty Sewer LiTe & li0use Cortnection 62. Backwash & Receptor-final
T V` l+. V
72. Sewer Cap n '�" ,� 63. Heater & Vent-Final �
13. Roof Drains � - V 64. Plumbing System • Final
� �,
14. Rough Plumtiing � 65. Electrical-Final ��
15. Rough Electi�iial�Conduit 66. Solar System-Final
16. Rough Elect�ie Wiring 67. Fencing & Access Approval
17. Rough Wiring'.Si9n 68. APPROVED FOR PLASTERING '
18. Rough Electngal-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .
_ ' ' _ ' 'S C�'-5.- �,:1' � - �:
20: Rough_FactoryiFiieplace � i�c�i y"� r �i :� t,^`x �� p qpp�qOVA'�lS�G P@rmit #�� �' "'
� <; m .r. �.,. i rm :xa � s �. cr.w. � r, � �.�--'-. z c _c
r . �J A. �'.-- s ^� Y-i ) 7 x r. a t :�) � t '�l ?: IT7
2,1: Ducts;ia Stiu re �,. .. ;.y� S � •,y�: a�. �- 70. -�1nc7erground Hydro t
22: D�ts,^Verttilating� � •�� ^ � rt�+� k � 7L� produc ;Piping�i3�as OOiI
.r ��. � .R ;� r_�:re :�._ �
23 G s Pi' e�Rau h'BETest � " � � ""� � F � ' � -'_• .* �` .'
P 9 � C�„�, s M cr � �v. �. 72. Underground F14{,hQ ». i- ¢
24� Roof F�aming �7�+ i t-.- Jt � 7 O� ��> � 73! Undergmd.StorageTank OGas O-0il •
tT w �i I �. "� 1.' .'l 'i . �-+ 1 J. O D
Mt x n� �� tn � w* :r ;. v e-+E-.c f
25. Rqpf SFieathing�$. v�, r G ; :J7 :i� 7�4.20verhead Hydro �,
' ,.. . � , `� .
26: T;Bar Ceiling (S�YWctural) &A9onocoat ��. Inx a' TS�Dry Chemical y'� Y. � O a'
!n . �'a� r !l •�fx �Y !1 [r�"l Y' 'TI
27: Framepnd Flasfiing b ! fi �' 76'`p� M'C "F- ''s n� °�
c. ,: u, i.. a 71K4 r� u)x :i Y StandpiPe�W ... O
i i IT� • r. �t Jte V- x� r,. wr-. .. v .+ �
;. � 28. Lathing &�Sidingx r� >-�.�x c; ! E •• ••:R :r 77: FIXED>SYSTE�FINA�L �"
-� .-,...._ �i � �.� a �. .�
/1 ^ ,"•:� Q H .. .. �
' 29. Insulation" �Y s , � m f 1 �� 7�, fIRE PREV. FiINAL i�;� r.; j,
i� 30. Drywam N i ingSY y F� � � � �� Y �-+ •-HEALTH DEPTrREQUIREMENT
i.' 31. Plaste��6rown CO�t ' ( I �F' �' 79 FINAL �NSPECT�CON ' v � y
i � 5 I rt�[s' X �`' ?. i� # 7
�L 'V. •[: 1 C`'_^ p p.. v r: ..d - t 1
� 33. Electrical Power.;Me,rer�Final r N I � !.k t* S0: POOD CERTIFICATE tSSUED
_ .�
_ ' ' i �' ;: cn ' K # [* ~ � ^_� -� � �n
�. 33. fi�al Electr,l,c E„� ,;, i � � I y. I�Stes: _ ym a- : C cvm
t ] 'T: 1a. � K. � r,.r �.. : �.. � � s �� - i�,. , a ..a
34, F�al F�eating &;Air t,onditjoging r� � r•» aC S ::x a' S CG
_ � � . � _.- .,
35; Final Gas Pi"pe-Teft��' -� k^ 1 � C�-• �' :� " :�75 T tT' :�G
.,; ,,. .n� r H � r � � 'rc c.+ »• � *
r � 36: Hood,o`{ CanoRY.�� 7� i p••= -, � f� i , fi x � �.0 �� Y� 7:s.
M.. T � M
" 3I? Fi`nal �ctory Fir€plaG�e � S[Y � � [^ � I t4::: - �� '+: '•';
�. T I H r' ;.1 X � i ' il: 'i- � r. (']
» :c U( 1 •• •• •.� i� lV : .0 > -
' 38. Final PFymbing X ,; t ! I �ti ?. H i' 4) J
:) 39. W3ter Service-Final �` i d t ( I ��� Cl ^)[�7 A x J
c � r*J7 �. '•- > ca :1 S
�r- �
. 40. Gas Service�Final* � arn• S r p7 i ; ? �J . vn+ t�� �
- �' .
�; 41. Solar pomesticFinal: i i� � •• r C.� I � l:i� ^e-� x�
�. . i m I � � t. tr •.O G �� T D
' 42: Backflow Prevent¢r'� �'' �� a � ( 'x ;� � v� � "
� t�: r i � i! �. CC � H • a p r.
43.Backflowlr�igation�� �:St�: � <± �� �:'?-�o aC �
-i r tc .: x n x C1 •
�� t C^nlT'. � :r �'� F lu n.:- v �,
� 44. Landscape�.lirigauon SYsteai ;�' � �� m ry t y r>�'y ��� rs N N ;,;;J x pl o
i, . .: �� .�.... .. , - ; '_... _ _ .-,� . _
' 45: Sound Attenuation r'�:F tr �� � F l, t^" a� i -"'��p� �� '^'" r�� _
,.. -�. z m �. Mx v- E rT K� ��
; 46; Handicap Regulatjons F S ; � A :i. i: � � . •S .r �ya{,. �
47: FINALSTRUC7URE&BUILDING � .�/�p� �/� ,(�� iu:vs ��� a
� �r i . L(I�K (O�,/(If 1 % f..
48� FINALPL'ANNIt�G ��;+�� 3 p� � f: ;; ; �¢ .y', i w
J
; 49: Electric�Release to Edison � 'v I � � r� : cC s .r� �� x
« r. .r . r,
' 50. G�s Release to Soy�thern Ca`lifornia Gas Cn ;, � I. ','. � � -. p� � j,`'
�� 51. CERTIFICATE OF OCCUFANCY � ;i : �� r: �. •. ;- �
No Date
�
�
�
A
OJEC�ROOflE55: t�SB E 18TH ST
OWNEfl'SNAME: ARTHUR J. HEISER, JR
nooness: y 58 E: I STH ST ,
COSTA MESA
CA 92627 '
AHCHIENGINEEfl: � 7 1 4�� 4�i — � Z Z 2 NEG.NO.:
aooness:
UNIT:
uxiT:
PEHMITTEE: ARTAUR J. � HEISER, JR ( 714 ) 646-0222,
nooeEss: q�8 E lIITH ST
COSTA MESA CA 92627
UCENSEO CONTPACTOB �ECUIHATION: I fiereby aflirm �ha� I am licensetl untler provisions o� Chapter 9(commencing wi�h $ection
700�� of �ivisian 3 of �he Business antl Pmfessions Code. and my license is in full lorce and eftec�.
CITY LIC.: $TATE LIC.: CL115S:
Dale: � SignaNre'.
°:DBKEBS' COMPENSATION UECLABATION: I �ereby a��irm tha� I have a cerlifiia�e af consen� �o sel4insure or a cehifiw�e of Workers'
npensa�ion Insurance. or a cer�iliea copy ihereo� (Sec�ion 380Q Lab. C�.
JCY NO.: EXP. ORTE: , � .
� COMPANY: ' '
7 Certified copy is hereby Wmishe0. ❑ Cenified capy is fileU with the ciry BuilOing �ivision.
Oate'. Applicant:
E%EMPTION FFDM WOflKEBS' COMPENSp11�N �ECLHBATION: Qhis seclion neetl na� be completetl if �he permi[ is tor one hunOreA ($700) or less�.
I cehdy Ihz� In Ihe performance o� the work tor whlch Ihis permlt I5755ueQ I shall not employ any person in any manner so as �o become
su�lect Io Ihe Workers' Campensa�ian Laws oi Califomia.
Oaie'. - ' Signa�ure: '
NOTICE: II. after making �his Declam�ion, you should become sublect to �he Workers' Compensa�ion pmvisians of �he Labor
Code. you mus� forthwiih comply with such provisians ar Nis permit shall be OeemeO revoketl. � ,
CONSTflUCT10N LENOING RGENCY: I hereby aflirm iha� �here is a constmc[ion lending agency for ��e pedormance of the work for
which Ihis permlt ls lssuetl (Section 3097, Clv. C�. ' .
LENUEfl: �
ADOBE55:
,
OWNEP BUILDEB DECLl�BIITION: I here6y affirm ihat I am exempt imm ihe Coniracmrs' State License Law tor the following reason
(Seciion 7031�.5 Business antl Pmfessional Catle: Any ciry oi counry which �equires a permit �o constmct, alter, impmve, tlemolish, or
repair any stmc�ure. pnor �o its issuance. also requires'��e appliwnt tor such permi� to �ile a signed sta�emen� that helshe is IicenSetl
pursuam to ��e,pmvisians of �he Comracrors' Siate License Law (Chapter 9(commencing wi�h Section 7000) o� Division 3 0� Ihe Business
antl Pmfessions Code) ar �hai he/she is exempt �herefrom and the basis �ar �he alleged exemption. Nny viola�ion of Sec�ion 7W7.5 by ,
any applican�for a permit sublects �he applicant m a civil penalry of not more �han five hunOreA tlollars (8500�. ��
�I, as owner o� Ihe OmDehY or my employees with wages as �heir sole compensa�ion, �will Oo �he work, antl the
s�mcNre is not imentled or of�ered �or sale (Sec�ion 7044. Business antl Pm�essional Code: The Contrac�ors' S[ate License Law
" Daes not appty �o an owner o� a pmperty who builds or improves �hereon, an0 who does such work himsel�/hersel� or thmugh
his or her own emplayees, pwvi4e0 thai such impmvements are no� inten0ed or offeretl for sale. I�, however �he huilding or
impmvement is sola within one year of complenaq the owner will have ihe bur0en of proving he/she tli� not builtl or improve
for the purpose of sale) -, .
I. as owner af �he pmperty, am exclusively conlraciing with licensea wntracmrs m cons�mc� �he Dmlect (Sec�ion 7044. Business'
❑ antl Protessions Catle'. The ConVac�ors Sta�e License Law tloes na� apply �a an owner o� Omperry who 6uilds or impmves thereon
ane who contracis �or such pmlems wi�h a conlracioqs)license pursuant m the Contractars' S�a�e License Law),I am aware
�hat pmoi of their Worker's Compensa�ian insurance should be pmvitled to'me. , ,
� I am exempl un0er Sectian:B P-� 0 4 4 B. 8 P. C.
ror tms �easoo j�Li, WORK BY OWN�(_�{�\ �
Oaie ���/ / d Owner:'— �
I ao herebY cenity ihat I am aware ot and unaersland Ihe requiremenis oi Califomia Health and Safery CoOe Sections 25505, 25533, antl
25534 ana Iha� I or any fNure builtling occupant will/will no� (circle one) nee0 �o comply with saitl s�ate cotles antl �he requiremen�s for a
permit for cons�mc�ion or motldication �mm �he Air �ualiry Managemen� �isVic�. ReSiUenlial constmction appliw�ions are exempt �rom
�, these pmvisions.
Oale Npplicanf.
I hereby certitythat I have reatl�his applicali and sta�e Iha� �he aboveinforma�ion is correcL I agree�o comply wi�h all ci�
or�inances antl s�a�elaws relaiing�o buil�ing onsimc�ion antl here�y autharizerepresen�alives oflhis city�o en� upon�he abo
pmperry lor inspec on pur ses. /
Daie: � �� � SignaWre: �
oriver s �icense acia� Securiry p: �
�
t6av46 WhLLe—Butldmg', Green—Cotle EnbrcemenP. Canary—ApphcanP, Pink—Revenue: Goldenrod—Assessor
. CITY O£ COSTA MESA — bUILDING P£RMIT PERM NO:.B 049543
PERMIT NO: H 049543 PLAN CHECK NO: 06311-90 S, GOVT: N SUPP: N.
CONSTHUGTION TYPE: 5-N PERMST TYPE: S'SR PURPOSE:' ALT
JOB DESCRIPTIUN : CONSTRUCT PITCHED ROOF/ADD SICYLIGHTS SQ FT: . 1,450
CliAIM VALUE: 1,450.00 CALC—VALUE: 1,450.00 �GROUP OCC: R-3 / -
6
COMMENTS: RE: B48156 ACCESSOftY bLT?G. PERMIT:�
*�*�******��*�r**�r�r*��x*�*******�**+��e*�r�***x*�rx**��r+�****��x*���r*�**�����***a�***u�
� Z O N I N G R E Q U I R E M E N T S �_
sETHAcxs• . .
------------ MAIN HUILDING ---------- --------- ACCESSQRY BUILDSNG ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: ' FT IN
LEFT; FT 'IN RGAT; FT ' ZN LEFT: FT IN RGHT: FT IN
� �
PARKING REQ• PROV: PARCEL:'11733229 ZNE: REF NO:
PLANNING NC'�TES>
. . . � " _ _ ' . - . w "
if �E iF iE ik ii �F iE iE iE iF iF if if ik iE if jf if�df iE iP df �k iE �E�E.3E i� 1F iE iE iE iF iF �f �)E 3E iE iF if iF 3E jf iE �f iE if if 3f iE iF iE iE iE 9k iE iE if iE iE iElE if 3E iE iE iE �:lE %iE iE iElE-1f iE iF if
D E V E' L O- P' M E N'T S E R V I C�E S R E Q U I R� E M E N'':T S,
20NING APPRO��ED BY �= � f.' _' ' DATE; O/� �'Pl
BUILDZNG APPROVED HY : DATE: -
APPLICATION ISSUED $Y: ` ' LATE': llJ i%
jEfFjE3FifiEifiFiflfiEiE�ElFdfiEikikif�iF�fiF jE it �iE iliEififdfiEiE�F7E� � iE r aEik
iEiEiEiElEiFiEiEiE3FiEiEaFiFiPiEiFiE.lEiEiEiEifififiFififikiEiFiFikifiE ikiE ifiFif'1E7EiE�f%iEiFdEifiEiEiE3t��jfjEiFiEjEiF�1EiE��E'iEifitiEitiE*'iEic##Eik
LEGALIZATZON:N �' F'E E•. U M M A R Y STRUCTURAL SEGMENT:Y
, ,
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RI;S".�'GRADING
PERMIT 35.00 , >.5,0.: +
SMIPZNON=RES
PLAN � 22.75 ; „:.; "
ISSUfi FEE� �
bUILD2NG—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAZD :;.. ' UUE
TOTALS----> 35,50 .0.00 22.75 58.25 58;:25.r,.` .00
V `R
REVENUE DIVISION TOTALS--> COLLECTED: 58.25 OVER/5HORTc" ''; .00'
BLDG PMT PLUh]BING ELECTRIC MECHANIC FIRE SMIP/'fOT GRADING P.LAN—CHEGK
35._00 , . 50 . �• ' 22.75
• . ,�
iE �1(-iE �1E 3f jE if if ?f if iE jF,f iE if iF iE iE.if iF iE iE iF if if iF iE �E iE if� iE �lE # iE 3E iE 1E iF iE if iE iE �1E iE �7(-�lE if iE �IE iE �li �IE iE �lE �lE iF 3E �lE �lf �IE iE ik iE if �]F if'iE jf 1k 94 3E i(� �7F iE i� iE if �E ie
!` I N D I V I D U-A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST .'COTAi, COST
SPR 145 ALTER BY VALUE RESI NTIAL N020NE � 1.00 1`;950.00
.. �. EN�OF FEES � %�
fs
i'. ../
~—v�= Y
�--"�`_...
� � �`
�
9
. i
�1 U�J�172404—I�f�n7�4�b � a�k�' ;+$,'?5
� 4P,7E: 2II1.i91?0 1'IISE: 13:?5
a
�
� CONSTRUCTION AND PLANNIF.
APPROVALS Permit # �
e
1. Temporary Electrical Service or Pole
2. Soil Pipe-Und�grnd.
3. Electrical Conduit Utility-Undrgrnd.
�4,; Electrical Conduit-Undrqmd.
��5. Steel.Reinforcemenf��
6.��EI'ectrical UFER Gind.
�"'7. Footings "'
� 8. Foundation �
9. Water Pipe•Undrgrnd.
10: Structural Floor System
11. Property S¢wer Line & House Connection
.�i:
12. Sewer Cap a
13. Roof Drains '
.n
14. Rough Plumbing, "
15. Rough Electrical-Conduit �
16. Rough EleCtric.Wiring
17. Rough Wiring Sign
18. Rou9h Electrical=T Bar Ceiling
19. Rou9h Heating & Air Conditioning
20.�'i,iough Facto:ry Fireplace ';�i"• '{ y �
.ti t
21.�DuCts, in Structure � .�•� � .j.
22. Ducts, Ventilaiing'�;� �` � ��.
23. Gas Fipe'-Raugh & Test ;.�;; �j ;.
24. Roof Framing• . � � E� • �•E�
� •.i rl
25. Roof,Sheething , � :' i�
26. T-Bac Ceiling (Structural) &'Monocoat '
27. Frame and Flashingt ��� ��
. 28. Lathin & Sidin 7�. :�: a. -,�
9'.i 9 � i i: �., ' �.
' 29. Insulation . � i n �� + T
',30. Drywall.Nailing "'� ?�
� 31. Plaster Brown Coat j� ; �,� ,�
, 32.�.Electrical�Power Meter-Final � �
33.� Final; Electric, , � ` �„ , . : � �
34.' Final Heating & Air�Conditioning�< � i
��i .
35.�Final'Gas�Pip,e',-Test�',r'� ; � i
36. Hood oc�CanoPY - � � � . . . �� ,'.
ril 1
:37. FinaPFactory Ffreplace.,. :��� ' � � �
�,
, 38. Final Plumbing . � • � � �
' 39. Wate� Service:Final � . ' � ,
� � ,
'yO.�GasService-Fi�nal .j � ,�.��r _ ,. .�
'41.Solarpomestic�Final" " ' �
0
`A2.`Backflow Preventer�- ` . , �
43. Backflow Irrigation'� , • - -
� 44. Landscape I�iigation System i� i V� . .�r
� 45.' Sound Attenuation� - ' � •
46. HandicaP.Regulations � -. �
47. FINALSTPUCTURE&BUILDWG �v!
:�
48. FINALPLANNING, �..
49.' Electric Release to Edison
50. Gas;Release to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
3 SPA
ate Inspector qppROVALS Permit# Date Inspector
52. Pool & Equipment Location
53. Steel Reinforcement �
54. Forms
55. Electrical8onding
56. Rough�Plumbing & Pressure Test�'
57. APPROVAL TO COVER-GUNITE
58. EVectrical Conduit�Undrgrnd. -�.
59. Gas Pipe, O Undrgrnd., Test �
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVALTODECK �'��
62. Backwash & Receptor-Final ` 't
63. Heater & Vent-Final �
64. Plumbing System - Final ��
65. Electrical-Finai �`�
66. Solar SYstem-Final •- --,� .
67. Fencing & Access Approval -,
68. APPflOVED FOR PLASTERING ,
69. POOL/SPA SYSTEMS FINAL -',, `�
FIRE DEPT. REQUIREMENT'
-.� . .� „ . � �, i
� '_, � * �APPROVACS �� ' ��Permit # 1 .
� -� . � .
'" �t i '-70. Underground�HytJro
� i��, �;k. `'y',.71. Product.PipingOGas 01011
i: ';
+' �� '" K � -72. Underground Flush .. �
� 'y .�. ; F �;73: .Undergrnd: Stora9e Tank � Gas ❑ Oil �' -
Q�A� �p-,W '74. Overhead Hydro �� � �
,
�- �� -'1;; � 75.�bry CYiemica� ' ' " 1 _
�f � � ; 76 � Dry $tandpipe . . � � � • 2
"� � 77. °FIXED SYSTEM�FINAL' • "
••� .•1 '1 1 1 f • e , .
;, ,�y:; ��. � 78: �FIRE PREV. FINAL �-: ,".
�" � :�� HEALTH'DEPT; REQUIREMENT
. > > �
� �i;�,°ii�.;, J9.'FINALINSPECTION � � � "
' '��� � .�80. FOOD CERTIFICATE ISSUED � �
I �-. 1',. ., .. . � r. •
' , I F �. .� �, � • :. . t .�
� � � Notes: �y,.• i �
� � � �;
i i�";. .� �' �;�_ . `
�• ' , • �t i . ��: . -
� /' .''7.� i, ' �� _ ; � . . .
� � /,! . � � � . • � .,
�� . . � i .r-1
���
���
���
���
n
� ti
EXPIRED
0
�
�
" �
�
"'_'�
��
PflOJECT ROONESS: Q S B E 1 8 TH ST
owxcx•sx�Me: CORINNE HEISER
�ooeess: q58 E 18TH ST
COSTAMESA
CA 92627
(714)650-7889
�NCMIENCINEER:
�ooxess:
flE�.NO.:
uxiT: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: M 048509 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; MEC
uxn:
PEIIMITTEE: SGS HEATING 6 AIR ( 719 ) 837-2000
�oouss: 2�z34 CAMINO CAPISTRANO 157
LAGUNA NIGUEL CA 92677
LILENSED CON7XI1CfOR DECUM710N: I hera0y attirm that I am IicenSeE unEer Drovhions of C�apter 9(commancin0'M�h SecNon
70W) ot Olvision 9 0l t�e Business antl Pmlessions COEe, aM rtry license is in lull lorce an0 etlect.
cirr uc.O: 0. 2 7 7 5 8 sr�h uc.: 3 9 3 818 cuss: C�0 �
Dale: _4—� V'— �� SiOnamre: _�
WOBNEBS' LOMPENS�TION OECUMTION: I �ea6y aKrm t�at I lam a uNficate ol consem ro ulbimum ar a certifa[e ol WOAurs'
Compensatlon Ins r Nfi py Nereol (Secfian 3800. Lab. C�.
roucr xo.: 1��� 8��i —� � �. o�n: O 1/ 01 / 91
coMr�Nr: STATE FUND
] Cer6fi¢d coOY �s �ere0y fumisheO. � CertifieO copy ¢�i e wM tlre dry BWIEinp Division.
f/� � c
Oate: g' �al / � MDlicanC �,�iL1,�.--q..��9...�
� IXFMPfION FPON WOflKER3' LONPFXSATION DEUAPA�17pIX: (� ttctim neM not Ee m�lete0 il IM1e Oa� 6 fu one Autlre01f700) a Itss1.
1 ceNry ttut in IM peAamunce ol ttre work for xluch Nis pernrit is Bsued, I s�all not employ arry person in ury nwnner so u to 6ewme
sublect lo the Warkers' Compensatlon Laws ot Calilomia.
Oate: Sipnature:
NOTILE: II. aftei maldnq ihis Ceclarztion, you sAoulU 6ecame su0lect to ihe Warkers' Compensation pravisions oi tAa LaUo�
CoOe, you must larttrwit� compty wil� suc� provfsiore or t�a parMt shall Oe OaemeG rerokeA.
CONSTNUCTION LENOINO �GENCY: I hereCy aMrm Rut tlrem is a mnstruction lendinp apenry for t�e pertortnance oi t�e woM far
wAic� I�is permit is iuue0 (Section 3097, Civ. C).
IENOFR:
�ooeess:
OWNEN BUILOER OECUMTION: I hert0y aKrm Itut I am exemDt Irom Ne CanVapors SGte License Law lor tAe IaOowinO �easan
(Sectlan 7031.5 BuSNess aiM Protessqnal CoOe: Nry dry ol cpmry Wdch repuires a pemdt ro cautruct. alter. Imprwe. Eemollsh. or
repalr arry structure, D� �o ifs Ltvwnce, aLso rW�es Ne appkant Iw suN perrtu� ro lile a slqnW statertcent Itut �NSAe u Ilunsed
pursuanl to Ne D�w�� a� ��^�ctnrs Sute Lkatta law (Cha7hr 9(commencinp wiU Sectlon 7000) of Oivision 3 0l tne Business
anA Prolessions CaUe) or tlu� Mls�e ¢ eumpt Neretrom anA Ne hasts lor Ne atlepeE exempfian. MY nolatlon al Section 7031,5 Cy
any appliwnt lo� a Dermt wOjecls I�e appGcant to a civil penalry oi mm mora [Iwn INa �urtlretl Oollars (SSW�.
I, u armer of IM D�DeM w rtry empIryees w�N vrapes az NeU sole mmpe�albn, w0 Eo the work, a�k tAe
❑ structure is not NteMeO or oHere0lor sale (Section 70a1. Business antl ProlessiwW Code: Tha CanVactors' Sute Lkansa Law
, Eoes not apDN �o an awner oi a D�DertY � �� or impmws �Mreon, an0 wlro Ooes wU work Nmutl/hersell or tAmupA
�is or �er own emDlnyees. D�oN0e0 Itwt such imDrwemenis am not intenEeO or ottereE for sale. II, hawever t�a DUIl01n0 or
ImDrovemant is solU mihin one year of completion, t�e mmer xill �ave tM hur0en al provinp �e/she EiE not UuiIE or improve
lor tAe purpose of sale).
I, as awnar ol Ine DroDerty� am erclusively wmractln0 wit� Acenutl wntraaors to construct tne pmlea (Sectlon 70a4, Businass
❑ and Pmlessions CaOe: The ConVapors' State License Uw Aoes nat eppry lo an ovmer of Droperty wtw buAQs or im0��s fAereon
an0 who coniracis lor such D�ol�� �+�� a contactor(s) Iiceine Dursuam ro �M Contanon' State Ucense Law). I am aware
Mat D�1 0l their Workar's Compensafion In511rMtE SIIa�M 68 DrP/IdlE ta rtle.
F�ij ��.Y�l.�i;7llFiil�
CLAIM VALUE:
: INSTALL 80000 BTU FURNACE
CALC—VALUE:
PERM NO: M 048509
GOVT; N SUPP: N
PUAPOSE; OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: MECHANICAL WORK ONLY/NO "B" PERMIT,
�r�r��r+r�rx+r�r�r�r*x�r�r�r�*�r�r�e�r�rxx�r*x�r�rx��r�rx��*�r�*�e�+�*�r�r�r��**�r�***+r*�r��r��x��r���*�r�r**�r*�r�r�r
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: ET IN REAR; FT IN .
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV; PAACEL: 11733229 ZNE: REF NO:
PLANNING Nf5'I'ES>
)
iE iE jt if iF iF iF it It it iE dk iE ff k!F if 1f if iF iE k if iE it 1F it iF it IE if If 1F if 1F iE 1k ik fk 1E iF iE if iE ii ik ik iF iF 1F it iF iE iE M iE k it iE if iF iE it iF iE iE 3E if it iF iF it if iF iE it ff fE iE
D E V E L O P M E N T S E R Vj I C E S R E Q U I R E M E N T S
ZONING APPROVED BY ' DATE:
HUILDING APPROVED HY : . DATE:
!
APPLICATION ISSUED BY: : rl—�—ya[..� DATE; ��� �'� O
1E�lE�EiEiE*iE*ifiEikifikiE3FifitlfMifikiFiFiF�iFiF kiiF iF3Ff��iFTFiFiFififiFif�ifiFiFiFiFiE3k iFif
i!ilikitik�FitilikitiEkikiFkkiFiEiFitkkkik3fiFitiEiEikMMitififiFitifiFiflFiFik iE1FiEifiEiElEiFitfEititifiE�FiEMftkiFiFiFiEiEikkiEilififikif�)fik
LEGALI2ATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
253 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0,00 24,00 24.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 24,00 OVER/SHORT; .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24,00
1f if iE f! k�f iE if ff if k 1k if fk it it ik 1F 1t k ik 1E 1k ik fk ik ik �F 1k 1f ff !F M!F if iF ik �k iF i! ik if if i6 i! ik it it dFlf if if 1f !k M k iF �F it k fF if fflf !f il� iElF iE f! 1E it If %ik 1t if ff i!
I N D I V I D U A L F E E H R E A K D O W N
� I am exem0� unEar Section: B. 8 P. C.
larmismazon: TYPE QTY
oate: �^��� MEC
I Go hereEY uNN �t I am aware al aM uMersunOlM reG�emeMs ol Calllomia HWN aM Salery CoUe Sectlom 25505, 25539. anO
2553< anE Itut I or arry futura MrilEinp oaupant rNllwill rwt (drda me) �eE ro mmDN �N SaiE state coEes aiM Ne reyWrements lor a
perMt Iar construclian ar nmEilicatim trom the Rir Ouatiry Manapement D'atricl. HetiOentW conslnwtion appllwlians are exempl Irom
Illese provi51on5.
Dale: MD����
I hereGy certiy ttut I tuve read tNs application an0 state WI Ne above inlarmation is mrrect I a0ree to wmDly wIN all dty an0 wunry
ardinances anE state Wv5 reWtlrp lo builtluip constn�ctian aM liereby aminrixe representatives of thic dty ro enter upon Ne a0ove-mentloneE
pmperty lor inspectlon purposes.
p� p c
Data: O�'� ��� /� Sipmmm: - �i�^—(,-.�.i
odvers �icense ar Saiai Securiry x:
1B11J8 W�IiB—BuiWinp: Greert—CaEe Enlucemem: Canery—Applicenl: Pink—Revenue: C+oMenrotl-0.sseva
D E S C R I P T I O N UNIT COST TOTAL COST
1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9.00
END OF FEES
Q? OU0672�5—aD�67285 '9'+�'i 24.OD
DATE: 0$/10/90 TIIiE: 04:05
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
i'
i. Temporery Elec[rical Service or Pole . ' 52. Pool & Equipment Location •
n
2. Soil Pipe-Undrgrnd. !� '� 53. Sreel Reinforcement �
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. �, 55. Electrical BOnding ��
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Founda[ion = 59. Gas Pipe, O Undrgrnd., Test �'J
9. Water Pipe�Undrgrnd. " 60. Backwash Lines, P�Trap, O Undrgrnd. -
10. Structurel Floor System � 61. APPROVAL TO DECK . �
11. Property Sewer Line & House,Connection 62. Backwash & Receptor-Final -
i•
12. Sewer Csp _ 63. Heater & Vent�Final
13. Roof Drains 64. Piumbing System � Final
14. Rough Plumbiag 65. Etectrica6Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Feneing & Access Approval
77. Rough Wiring Sign 68. -APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning � . . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace -- � •�APPROVALS: Permit #
21. Ducts, in Structure '" � � '70. Underground' HycJro
22. Ducts, Ventilating. • • .77. Product Piping O Gas ❑ Oil
23. Gas Pipe'Rough & Test "72. Underground Flush
24. Roof Fr2ming - � �•73. .Undergrnd. Storage'Tank O Gas O Oil
25. Roof Sheathing ' 74. Overhead Hyciro
26. T-Bar Ce�ling (Structural) & Monocoat � � ' 75:. Dry Chemical
27. Frame and Flashing � � � 76. Dry Standpipe �-' �
28. Lathing & Siding � � ' ' 77. FIXED SYSTEM FINAL
29. Insulatio� � ... 78.:FIRE PREV. FINAL ,
30. Drywal6Nailing - � � `, HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Final � �I 80. FOOD CER71F1'CATE ISSUED �
33. Final Elsctric ' � . Notes: ,
34. Final Heating & Air Conditioning' �� �� � . � �
35. Final Gas Pipe-Test •� � �
��'
36. Hood orCanopY . , .��� � �
37. Final Factory Fireplace � ' _
38. Fina� Pl�mbing , • � � � .
C.
39. Water Service�Final 4 +�
40. Gas Service�Final , . , �
41. Solar pomesticFinal - � :
42. Backflow Preventer , , �
43. Backflow Irrigation -� � � '
'�44. Landscape Irripation System � " - ,
45. Sound Attenuation - • � � - - ,
46. Handicap Regulations . „
47. FINA� 5TRUCTURE & BUILDING
48. FINAL PLANNiNG '
� •
49..Electric flelease to Edison
50. Gas Release to Southern California Gas Co /
51. CERTIFICATE OF OCCUPANCY
No. Date
ty
�Pp0.1ECT ADOXESS: Q'S 8�� E� 18 TH S T UNIT:
OWNER'SNRME: ARTHUR J. HEISER, JR
ROOflESS: 4SII E iBTH ST
COSTA MESA
4 CA 92627
�RCNIENGINE4P: � 7 1 4� 6 9 6— O z z Z pEA.NO.:
. �ooeEss: uxR:
r
. r�"M"�E:ARTFiUR J, HEISER, JR (714)E96-0222
aooxess: q 5 8 E 18 TH S T
COSTA bfESA CA 92627
11EENSEU CONTMCTON DECLANITION: I �erehy aflirm that I am Iicense0 uMe� Drovabns oi LMpter 9(wmmendn0 ��h Section
7pp0� af Oivisian 3 of tAe Busineu antl Pmtessions Cade, and my license is in full lorce an0 ellect.
cm uc.: aTeTe uc.: cuss:
--•e: Sipnature:
KE83' COMPENSIQION DECIANITION: I here0y aMrm Itwt I twve a ceNlicate oi conunt to sel4lnsure or a certlilcate ol Workers'
.pensatian Insuance, or a certitied copy t�ereof (Sedion 3800, La�. C).
IPo�CY NO.: E%P. O�TE: '
�OMPRNY:
Certifie0 copy �s hereEy lumisned. ❑ Cartifie0 copY is liled wlth Ihe ciry BuilUlnp OiNsian.
Oa[e: Appliwnl:
ptflnvnox FxoM vronKFlis• caMr[xsllnox oEGAlunax: (iAis secmm �eea ro� x mnp�etW n me permi�.5 ta orc numrea �sto� w kssl.
1 ctrtiy t�at in the pehormanca oi l�e wark tar wluch Ws permit is i55ueE, I shall nal employ any person in any manner so as to Cewrtro
sutlt� to tne Workers' CompensaUon Laws ai Calilomia.
Oare: Sipnature:
NOTICE: If, atler makinp Ihis deGaration, you shoultl become SuDject ro the Workers Compenutlon proviUons ol t�e LaOor .
CoOe, you mus< <ah�i� compry vn[n sucn provwons or tNs permit shall he Eeemed revoked.
CON3TIIUCiION lENU1NG �GENCY: � �ere6y ariirm tM there is a consinxiion IeiMinp apeircy tor 7M pttformance oi Ne vmhe Im
which. lhis parmii i5 i55ue0 (Saction 3097. Civ. C).
LENOEB:
� �ODPE83: .
pWNEB BULLOEB DFCIAIWTION: I �ere0y aflirm Itwt I am ezempt from the Conmcrors' State Lkense Law far Ilre IOAowinB �eason
(Sectian 7031.5 Business and Pmhssianal CoOe: My ciry af counry wNch reQuias a permit to wnstruct, alter, improve. Oemolish, or
reDair any simctura. prior ro Its issuance, also raquires ihe aDPlicant far such permit ro lile a slpnaE statement Itul �e/she is Acensed
puRuant to IAa Drovisions ol tAe Coniractors' State License Law (CAapter 9(commencinq wit� Section 7000) ot �ivislo� 3 0l ��e Business
-,d Pmfessions Code).or that he/she is exempt t�e�eirom anA IAe bas¢ for the allepeE exemptlan. Any doWtion ol Section 7IX11.5 hy
- appNcant tm a pe�mil suCja6 the applicant to a cNil qenalry ol �wt mo[e thaa /Me MuWreE Gollars (SSW).
I, as awner oi IAe propenY or my ¢mployees wit� wa0u � ��eir sole campensation, vtil tlo Ne wor�, ane me
I � slruclum is not inronOeG or olferetl for sala (Sectian 704d, Business and Pmlessional CoOe: T�e Cantractars' State License Law
tloes not a00ty ro an owner ol a Omperry wt�o 6uilUs or imDroves tAerean, anG who tices sucA waM himull/Aersell or ��rouph
his ar her own employees, pmvitled Ihat such Improvements are not IntenEeO or oHered lor ule: II, Iwxrover tha buil0ing ar
� impmvemeot is solE vnihin ane year ol campleGon, Na owner will have ihe OurEen of DmhnO Ae/she diE not bu1E m improve'
lor Itle Dufpose ol Salel.
I, as owner oi the D�aperN, am exGusively contactlnp with ticense0 antractors ta canstruct IM project (Secibn 7WC, Business
❑ an0 Pralessions Cotle: The Contactars' State License Law Coes nat apON �o an owner oi Droperry who huJ4s w improves tlrereon
anE wA0 co�iratl5 �or Suc� D�ojeds wltA a con(ramaqs)license Dursuam to t�e Cont2ciors' State License Law),I am aware
Ihdt DfUO� 01 IIICIf WOlkCf 5�mpE1152I1011 IIISU211LE SAOUId �2 pfOVId04 IO mE.
� i am exempt unaer Section: B P 7 � 4 4 B. 8 P. C. �
10"^�feaz0t ALL WORK itY OWNER �\ S-� C
Oale: � — � �J � �(� Owner. �-�--
f 00 he�eUy cehiy 14at I am awxe o� a�W understaiM l�e requirements of CalibrMa Health aad Safety CaCa Sedians 2550.5. 25533, and
25534 aM ttwt I or arry IuNre huilEinA acupant wilVwill noi �circle one) neeA to comDN ��h saitl sWte coAes anE Iha repuiremenis lor a
p¢�mit tar wnsVucGon or maEBiaUw Uom Ihe lui�iialiry Manapement 06Mp. BesiUentiL conStrvC�w applications am e�empt from
thex DroviUonS.
Dale: FpPliWnt:
I �t�eby certity that I have rea0 this apDliwtian an0 state that the a0we informatbn is cortect I aprea to compty vnih all ciry anE counry
artl�nances anE suie �ws reWtlnp to buikinq canstruclion aM hereby authorire represenUtives ot tlus ' 10 eMer upon Me aGovamentioneU
propeM �or inspectian Ourposes. ^ �
C%/, � \(
Uale: �` �� _ • v Sipnalure: K �
Drirer's License or Soclal Securiry M: .
1661-�e W�ite—BuilEing; Green—CoEe Enlorcemant: Cenary—Applicanl: Pink—Revenue; CeobenroE—Aaaesnor
�' CITY OF COSTA MESA � HUILDING PERMIT
PERMIT NO: B 048156 PLAN CHECK NO; N
CONSTRUCTION TYPE; 5—N
JOB DESCRIPTION
CLAIM VALUE:
PERMIT TYPE: STR
\��
PERM NO: B 048156
GOVT: N SUPPt N
PURPOSE: ALT
: REMOVE PART OF PAT/CO�� REPAIR BALANCE SQ FT; 500
500.00 CALC—VALUE: 500,00 GROUP OCC: R-3 /
COMMENTS: INCLUDES RESTORING O/H ON FRONT QF HOUSE '
**���r*x**�*�x�*�r*�r**atit*�r*�*x**��*x��e*it*�r�*��r***�**�r*�***��*x*�r**+�*�**#n�*�r***��r*
Z O N Z N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN SUILDIP3G ---------- --------- ACCESSORY BUILDII3G ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN•
LEFT: FT IN FtGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL; 1173J229 ZNE: REF NO;
PLANNING N(3TE5> � t,/• ti,•,
? t �.
if i! iE iE it iE ik ik if it iE jE iE jE f(i�f � �E iE ik.�E iF iF iE fE �IE iFit,if jf it if !E!E if if iE iE iE ik it 4E if iE iE if it 1E iE it itlE iE iF iF iF � 1E iF it jE iE if 1f if iE iE �1E iE �, h ik iE jElE iE �E iE iE
D E V E',L O�-�M E N x' 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 APF�ROVED bY.3: r' �— DATE: �'
AFPLICATION ISSUED b�l; ���� �✓��� DATE: ^'�D
iEiEiE�fiflflEiEitikiE9tltiEiEaf?EiEitiF��fiE�iF� iF iF� 3F �t.lFif '�'���'�'iF;FikiEiEifiEiE#�)E�IElF E�F�flfiE
ifjEiEifitiEiEiEiFjE?Eif�ifiEitiEiEif#lfjfiP3E#iEiEiEiE3fiEiEitiEit�t#iEiEiEiEikiE3Eik iFif3fiFiEKifiEjfiEiEiEikiEfE3EiEiEifiEiEiEiEiEifiEititiFiEiEiFikiE
LEGALIZATION:N F E E S U M M A R Y STRUCTIIRAL $EGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE �SMiP/RES,/ GRADZNG
F�ERMIT 15. UO ^ ' S0 -.
PL� ' SMIP.%NON1RES
ISSUE FEE ' ' �' �-
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL ��"�'��
TOTALS----> 15.50 0.00 0,00 15.50 -.15A50 , p00
, `. i:'
REVENUE DZVISION TOTALS--> COLLECTED; 15,50 OVER/SHIJRT: r .00
bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING �EAN-CHECK
15.00 ,50
, �
if iE iE iE 1ElE iF iE iE if it iE iE iE if iE ih # iE+�(� jE if iE if iE iE iE iE it iE if'!� iF ik iE iE iE iE ik?E k if AE 1E iE if if iE iE iE iE,(-iE �)t it iE iE iE 1klf�if #'� iE iE if iE if i6i! if iF ik iE if iE 14 iE iF
I N D I V I D U A L F E E B R E A K II O W;A] ,(
TYPE QTY D E S C R I P T I O N UNIT COST TbTAL COST
SFR
K
i�
�
500 ALTER bY VALUE �RESIDENTIAL NOZONE
1 END OF FEES �
9
�
.�:� y � a FI I:D1�61o: :�air.
..�--....',_ "
�.
1,00 500.00
�
.�
�o
i
i
't'
O1 OOD65348—d00b5349 T��IS 15.50
DATE: G7/13/90 TIf1E: i6:06
� CONSTRUCTION AND PLAN. , ,'OG . SPA
APPRVVF1Lg Permit # Date Inspector qppROVALS Permit # Date Inspector
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-Undtgmd. 55. Electrical Bonding '� "
i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - - 58. Electrical Conduit-Undrgrnd. -
8. Foundation 59. Gas Pipe, O Undrgrnd:. Test
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System � 67. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Piumbing System � Final .
14. Rough Plumbing 65.-Electrical-Final - �
15. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. fencing & Access ApProval ' �
17. Rough Wiring Sign 68. �APPROVED FOR PLASTERING '
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating & Air COnditioning FIRE DEPT. REnUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oi� ��
23. Gas Pipe-Rough & Test 72. Underground Flush �n
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil -
25. Roof Sheathing '=�- jt7-�,I �W 74. Overhead Hydro ,.
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
J '
27. Frame and Flashing �� f �w 76. Dry Standpipe '
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation ��� 78. FIRE PREV. FINAL �
30. Drywall Nailing zc�' � w�jL HEALTH DEPT. REQUIREMENT �
37. Plaster Brown Coat '� 79. FINAL INSPECTION
32. Electriwl Power Merer-Final +r 80. FOOD CERTIFICATE ISSUED "
33. Final Electric . - Notes:
34. Final Heating & Air Conditioning �
35. Final Gas Pipe•Test ���:
36. Hood or Canopy 'i'_, _
37. Final Factorv Fireplace � j .
38. Final Plumbing l� .
39. Water Service�Final � ` �
40. Gas Service-Final
41. Solar pomesticFinal .
�
42. Backflow Preventer D
43. Backflow Irrigation ��p, �ple e insoe� 40�5
44. Landscape Irripation System � �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �,/� � S'�i � �
48. FINAL PLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date ,
PBOJECT R�OflE$S: �4 5 8 � 1 8 TA ST
--.,OWNEH'SNAME: ARrH:1R J. HEISER� SR
` ADONESS: 4 S S � 1 8 TH .�T
COSTA MESA
CA 42627
(714)696-0222
qNCNIENGINEEfl: NEG.NO.:
UNIT:
ROOFESS: UNIT:
PEqmmEE: ARTHliR .7. HEISER, JR ( 714 ) 646-0222
AODHFSS: Q S S E 1 a TH JrT
COSTA MESA CA 9262'7 .
LICENSEU CONTPPCTOB OECIAflRTION: I here�y allirm �hat I am licensetl untler pmvisians ol Chapler 9(commencinA wii� Section
7000� ol OiWsion 3 01 t�e 9usiness and Pmtessions Code. and my license is in NII larpe antl effect.
GTY UC.: STATE UC.: QASS:
.:' f
Oa�e: Signature:
WOflKEFS' COMPENSRTION OECNflATION: I hereby affirm thal l have a ceRifitafe of ConSeni m Selbmsure ora Certificafe of Worker5'
Compensation Insurance. or a certitied copY �hereof (Section 3800. Lab. C). �
POLICY NO.: EXP. UATE:
�. Cenitie0 capY �s �ere0y Iumis�eG. ❑ CCrtilie0 capY � ���etl with t�e ciiy BuilOing Divi5i0n.
:
„e: - — ApplitanF.
EREMPTIUN FHOM WaqNEHS' COMPENSP710N OECUPpTION: Qhis section neea not �e camplete0 il �he permit is torone hmMre0�E100) ar less�.
I cenily Ihat in ihe pe,rformance ot the work for wAich ihis permit is issueA. I shall not employ any person in any manner so as to hecome
su�lect to the Workyrs' Compensa�ion lawS oi Cali�omia. �
Date: Signamre:
NOTICE: If. after making t�is Declaralion. yau ShoWa become suhject ta the Wofkers' Campensation O�a�sions ot tAe La�or
Coae. yau must fonhvn�n compty wiih such proNsions or Ihis Oermit stull Ue OeemeO revake0. '
CONSTBUCTION LENOING AGENCY: I Aereby ailifm that t�ere is a wnAmtliOn lending aAency �of ��e p¢rtormante 0� l�¢ work br
which Ihis permi� is i55ue0 (Setlion 3097. Civ. C�.
LENOEq: �
ROUflE59: , ''
OWNEfl BUILUEfl OEClAflR710N: I here6y allirm IAat I am exempt Itom t�e fAntraztors' State License law for ihe followinp reasan
(Section 7031.5 BUSiness anC Pmlessional Catle: Any ciiy of munty which repuires a Dermit to mnsimct, alter, improve, Oemolis�, nr
�epair any 5tmciure, prior lo i�s fssuance. aI50 repuires �he applicant /or 5uctl De�mi� �o file a sign¢0 slalement Ihal �e(s�e i5 licenied
pursuant�ol�e pmvi5ion5 olt�e Contractors'$iate LiCense Law�Chapler9�tommentinq wilh SetliOn 7qq�o�Division 3 oli�e Business
anU Pmfessions Cotle) or Ihal he/she is exempl I�erefrom and the basis for I�e allegetl eremption. Any violation ot Seciion 7031.5 by
any aOPlicant for a p¢rmil su�lec�s �AC applicant to a civil penally of not more than hve �undreG Oollars (55W).
I, as ownCr ol Ihe property or my employees wi�h wages as �heir sole compensalion, will tlo the work, and �he
❑ stmcture is not imenuetl or ottered for sale (Section 70a4, Busmess anU Pmiessional Cotle: The Contractors' Slale License Law
does not apply to an awner af a O��oeny who Ouiles or im0�oves thereon, and who Ooes suc0 wark himselflherself or thmugh
, his or her Own emDloyees, pmviaetl t�at suc� impmvements are not intentled or offereG lor Sale. II, however ihe Ouiltling or
impmvemenl is 5010 vnlhin one year o� comple�ion, ��e owner will have the bur0en ol provinA he/s�e Oitl noi huilA or impmve
lor ine purpose of Sate�.
I, as owner ol t�e PmOeny. am eKclusively coNrat�inp wi�� licensetl tonlratlors lo Con51mt1 ihe D�oleCl (Seclion 70Ed, Business
❑ antl Pmfessions Cotle: The Comracmrs' State License Law does not apDry ro an owner oi pm0erty who builds or improves thereon
antl who cOnlracis br such D�olecls wil� a contractoqs) license pursuan�to ihe Canlraciors' State License Law). I am aware
��at pmol 01 I�eir Worker'S Com en5aiion insurance shoultl be provitle0 �o me.
�IameKemplunaer5p,cllo Hi�7044 g
mr tms reaso � A�+� WORIC H�� di�NER 1
•pm+• � � �� Owner. ��7 �^-^-� /��—
I ao �ereby cenily �pat I am aware oi and unEersland �he repuiremenls ol Calitomia Healih anA Sate�y Code Seclions 255U5, 25533, and
25534 and Iha� I or any IUWre �uilaing occu0anl willlwill not (circle one) nee0 �o comply wiih said slate co0e5 antl Ihe reQuirement5lor a
permil for cansimction or motlilication Irom ��e Air ualiry ManaAemeni Oislric�. Residen�iai c�on/slm'�clion aOPlica�ions are eaemp� imm
111CSC p�ON5i0fl$. � � � y
py,` \� ! V'\I'�l__ � _ ADPlicanl: ��_
l
I �eieby tetlify��a� Ihavereatlthi5 apPliCaiiOn antl Siale��atthe a
oitlinances antl slatelawsrelatinglo buil0ing con9mciion anA hereDy
pmperlY �or ins�Clion pi�oses. �
��
Igr¢e mply wilh all�iiy and toUnry
sciryi e ruponl�eabove�mentione0
� " /� A`�\ � ' h
�,+..•_ �(/�, =1c�— Signalure: �1\l-`\�
� V
Oriver's License ai Social $ecurily .:
i6<bo6 White-9utltlinq; Green-CoOe EnlorcemenL Ganary-Applicem; Pink-Revenue: GolOenrod-AssasSar
CITY OF COSTA MESA - BUZLDING PERMiT f�� n;� ��yii
PERMIT NO; E 0547'%0 PI.AN CHECK NO: N %�'T�rv Surr: rv
CONSTRtJCTION TYPE; 5-N PERi�iIT T'YPE: ELE PI?kPOS';,.` AI�'P
JOB DESCRIPTION ; CONSTRUCT PITCHED ROOF/ADD SKYLIGHTS SQ FT:
CLAIM VALUE; CALC-VALUE; GAOUP OCC; R-3 /
COMMENTS: RE: B49543 5 LIGHTS TO SOFFIT
dE iF �lE� �lf •M�df X� �/E if� �iF •X �iE i; �IE i'r IF�%iE �3F �K N-�3F iFiF �lE 9f �kdE iF iF dE iE if iF jE �fE �k �iE �R �tE-7Eif �k di� iF �1E 9E if 3' ie � df df dt�7F jF �If �f �lf �� iF 1E dE d4 �!E iF dF �1� �N� df 1E iE iE �%df �1E fEj4 iE
'L O N I N G R E�[T I R E M E N T S
S E T H A C K S
------------ MAIN BUII,DING ---------- --------- ACCESSORY BUILDZNG --------
FRNT; FT IN REAR: FT ZN FRNT: FT IN REAR; F'T IN
LEFT; FT IN RGAT: FT IN LF..FT: FT IN RGHT: FT ZN
PARATNG RE�• PROV: PARCEL: 11733229 ZNE; REF NO:
PLANNING N 'I'ES>
� ..
�lF jF af jf if if if 3E iF iF it if fE iF af 1E iF iE iE jE ie if if if 1F 3P iE iF if i� iE #F iE 3F;iE �3f if ik if� if if if if # jF iF iE iE 1F IE R IE jE 1±�?f iE #F i!� fE 1ElE jf jE 1f �E aE 3(� 1F iF if iF if if )E ii If #� �k aF
D E V fi i O P M E N T S EdR V I C E S R E Q[] I R E M E N T S
ZONING APPROVED HY /6^ DATE;
BUILDING APPROVED HY : DA1E:
�..
APPLICATION ISSUED HY: ''- DATE• �d Ly -9i
iF iF iF iF iF iE 3b 3E+F iE iE # aE aE iE iE iF aF 1E iE iE aeiFiFiFiF iF3FiFTFTFTF fr�F3F�FiF3FiF iF3F R',t�F � iFiiTFIFi'e ie7F i'ri'r iFiF IE if i!-!k ie 3E?f !f iF iriFi�"�'�'�i€if 3f i� '
if iF if iE 1E iE 1f iElE �]F i( f4 jf i(' k 3f ik if �k lE iE IF �E 1E If iF ik i41F if �iE iF if 3E'!E if �E i'r if it �f if 3f iE iE lf if iF R if �f iE jF iF # lE !E iF iF }: iE 3E �f iF fi� if �F }F i(� iE aF �lF !E ► 3e if 3f 3(� iE
LEGALI2ATION;N F E E 5 U M M A R Y STRUCTJRAL SEGMENT;N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZ1�/RES GRADZNG
PERMIT 18.75 �
SOY SMIP/NON-RES
YLAN � ^' `
ISSUE FEE 15,00 ;-�"�,,
BiJILDING-DIV-> PERMIT ISSUE PLAN=CHECK TOTAL QAID DUE
TOTALS----> 18.75 15,00 0,00 33,75 ;,:.-3%3:75 ,00
REVENUE DIVISION TO'I'ALS--> COLLECTED; 33.75 OVER/SHORT; ,00
BLDG FMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADTNG PLAN-CHECK
33.75
!F aF iF jt IE N� j(- if f4?E if if M• iE ff 3F !i• ##� IE 1E k iE ie 1F lf iE it ii� #f 1E iE iE 1! K if iE �)t if �f Ic iE it if !6 �(� iF 3f iE N� 3i� aE #f� If * if if iF iE M� K� i4 �k,�l�Fk �@ fE iF N-ir iE iE If 1E if )f 3F M� �li�
T N D I V I D U A L F E E B R E A K D O W N%
1'YPE QTY D E S C R I P T I O N UNIT COSfi+ TOTAL COST
ELE
ELE
�
5 FIXTURES LIGATING i S EA.
1 SIGN/ OUiLZNE LIGH;T SYS �N 1 BR CIRC
�ND OF FEES
�
15,�� 15.��
U1 tt;l�'.�w��-'.i,ij'�i � �_:� _ _.
- �
(IHY�: 'yllll� i ': � ' 1:.. . : l: i,. '
�
{ `
• iCONSTRUCTION AND PLANNING � POOL 'A ' t
i Date Inspector � Date, InspGctor
�APPROVALS Permit # APPROVALS Permit # i
i. TemporarY Electrical Service or Pole . 52. Pool & Equipment Location _ "` :�
� 2. Soil Pipe-Undrgmd. � 53. Steel Reinfortement '4 �'-
. 3. Electrical Conduii Utility-Undrgrnd. 54. Forms �, " _'�
f 4. Electrical Conduit•Undrgmd. � 55. Electrical Bonding �
` 5. $teel .Reinforcement 56. 'Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
�8. Foundation - , 59. Gas Pipe, O Undrgrnd., Test �\+ -
.��.
9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd. ,�,• �-'
10. Structural Floor SYstem 61. APPROVAL TO DECK '' j '�,'
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ' � j �
12. Sewer Cap . 63. Heater & Vent-Final � ,
13. Foof Drains 64. Plumbing System • Final �. �
�
14. Rough Plumbing 65. Electrical�Final ,
�
15. Rough Electrical�Conduit "6. Solar System-Final ��
16. Rough Electric Wiring � �/�� I� /,Q� i 67. Fencing & Access ApProval
L ! �l
77. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINA�
79. Rough Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rough Factory Fireplace APPROVALS Permii #
21. Ducts, in Structure � 70. Underground Hydro
22. Duas, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough &'Test 72. Underground Ftush ��
24. Roof Framing - � 73. Undergmd.StorageTank �Gas ❑Oil �`'
�
25. Roof Sheathing � 74. Overhead Hydro !
26. T-Bar Cei�ing (Structural) & Monocoat 75. Dry Chemical � � .
27. Fiame and Flashing 76. Dry Standpipe
28. Lathing & Siding ' . 77. FIXED SYSTEM FINAL '�'
29. Insulation " 78. FIRE PREV. FINAL =
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat ; � 79. FINAL INSPECTION �
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
i
33. Final Eiectric �/�,.,(�� 6G,;� Notes: , -
[
34. Fi9a1 Heating & F.ir Conditioning ) ;
35. Final Gas Pipe-Test ' � . � '
36. Hood or Canopy i � '-
37. Final Fectory Fireplace �
38. Fina� Plumbing � . .
39. Water Service-Final �
40. Gas Servioe-Final
41. Solar pomesticFinal ,
.
42. 8ackflow Preventer �
43. eackflow Irrigatian E X P i R E D
44. Landscape Irrigation System �Om �1n�et�8
45. Sound Attenuation �t� ?i $Ig �-
46. Handican Regulations
47. FINAL S7RUCTURE & BUILDING a
"�
48. FINAL P4ANNING ,. .
49. Electric Release to Edison " "
50. Gas Release to Southern California Gas Co � ,- �
51. CERTIFICATE OF OCCUPANCY �
No Date
PIIQIECT AODPESS: q S B E 18 TH ST
OWNEH'SN�ME: ARTHUR J. HEISER, JR.
- 1100HE53: tjSS E 18TH $T
• COSTA MESA
CA 92627
(714)646-0222
�H/FNGINEEB:
�ooxess:
UNIT:
flE0.N0.:
uxR:
� PE""imEE: ARTHUR J. HEISER, JR, ( 714 ) 646-0222
�ooaess: q58 E 18TH ST
COSTA MESA CA 92627
❑CENSEO COM7MQOB OELUMTION: I here�y aMirm that I am Iicense0 under proNsions o� C�aDter 9(commencinp vnt� Section
7000) ot Division 3 al t�e Business anE ProtesUons Cpd¢, anE my Iicense is in tull lorce and effect.
CITV LIC.: S7�TE LIC.: CU88:
oata: ' sipnaWre:
WOBNFBS' COMPFN&1TION OECUMTION: I AereOy attirm that I have a certilicate at consent to selbinsure ar a ceNlica[e af Woders'
Compensation Insurance, or a certilie0 coDY thereot ($¢c[ion 3800, Lab. C).
PoLICY NO.: EXP. DRTE: '
COMP�NY:
� CeNlietl coDY is �ereby IumisOeU. ❑ Certifiep copy i5 fileE with Ihe ury BuilAinO Divivon.
Date: MD����t:
'�, E%EMPfION FHOM WORKENS' COMPENSIITION OELUM710N: (Ihis uctlon nttd not Ee comDleteE if Ue permit is lor ona Au�Mretl (5700) or less).
I ceniry t�at in Ihe peAarmance ol t�e work lor wNch tqis permit is issued, I shall not emDloy any person in any manner sp u to Cecome
suElect to Ihe Workers' Compensation Laws of Califor�ia.
- Uate: SlOnature:
XOTICE: tl, atter makinp I�is Ceclaratian, you 5houlU hecome suEject to t�e Wo�kers' ComOensation Dravisions af Ne LaCor
Cotle, you murt IarthwiN comDN �+N sucA O��sions ar ttus pemtit sAall Ee UeemeE revoke0.
fANSiHUtTION LENOINO 110EMCY: I here6y atlirm ��u� t�ere is a conswcllon IenUinq apency lor ihe peAormance ol tha vrork lor
wNch Itus perrtdt ¢ issued (Section 3097. Civ. C1.
IFXDEfl: �
• nooeeu:
OWXEB'BULLDER OELlAR11TI0N: I �ereEy allirm ity� I am exemD� «am Ihe Contattors' State License Law for Na tollowinp reazon
�Section 7031.5 Business an0 Pmhsslon9 CaOe: My �iry of caunry whic� aQulres a permit b constmct, alter, im0�ove, Demolis�, or
reDair any 5trucNre, prior to IB issuanca, aLSo requires Ihe aDW���� �or suc� permn m file a sqneE statement that Irels�e is licensetl
pursuant to the pmvisions al l�a Cantractors' Siate License Law (ChaDter 9(commencinp with Section 7000) of DiNsion 3 of t�e Businau
an0 Pmtessions Cotle) or that �e/sha is mempt Iheret�om and Me basis for Ihe alle0atl exemption. My NolaGon ol Sectlon 7031.5 hy
any aDPlicant loi a Da�mit suUlecis I�e applicant to a ciNl penalry of nol more tAan five hunEreO Oollars (5500).
�I, az owner al t�e D�operry or my empIpyees with waqes as Iheir sole compensatlon, will tlo t�a work, anG the
❑ stmcture is not Imenda0 orollereE for sale (Seetion 7044, Business an0 Professional Catle: 7Ae Comroctars' State Licanse Law
Eoes nat appty to an owner oi a D�oDerry wha huilQs ar imD�'es t�ereon, anE xlio does suc� waM �imseli/herself ar throup�
his or her own employees, DroviAed that sucq improvements are nat inten0e0 or ollered for sale. It, however I�e huilUinO ar
imD�ovement I5 soltl witNn one year oi complptian, Ihe owner will have ihe burden of provin0 he/she did not 6uilA or ImD�ova
lor t�a Durposa of sale�.
- I, as owner at tAe D�oOerty. am exclusively can�ractinq wit� Ilcensetl contractars lo constmct the D�o�ect (Seclian 7014, Business
❑ anE Prolessions COEe: The Contacton' State �kense Law Oces not aypy to an owner ot properry who 6�nIAs ar ImD�'es Nereon
anG w�a mntracis lor such pmjecis with a comracmr(s) license pursuanUo tlw Coniractars' Slaie 4cen50 Law). I am aware
ltut prool ol IMeir Woder's Compensatlon inSurance stwulG he prwiUeE ro me.
� I am exempt untler Sectlon: B p'] 0 q q e. 8 P. C.
mr tnis reason: ALL WORK BY OWNE
Date: b � �—" ��7 O+mer���• � �
1 Uo trereEy ceNty t�at I am a+are at antl un0ersunE the requiremenis ni Califomia Heatth an0 Safery Co7a Sectlons 25505, 25533, an0
25534 anC ttul I ar any tuture huiltlinp occupam vrilUwill not (drde one) neeO [o wmDN ��� � stata cades aM tlrc reyuirertren6 tor a
permit lor conslmction or motlification lrom I�e Nr Opyiry ManaAemem Oistnct. FesEan�ul constmclion aDD�iwtlons are exemD� ��om
tlu5e Oroh5�W�5�
Date: � M0���1:
I here�y certiy that I have rea0 t�is aDPlicatlon anE stdte Ihat [he above iniormation is correct. I apae ro comply with all �iry antl wunry
oMinar¢es anA state Wws reWqrq to EuiWnp conslrucfion and hereby auttarrse representatives of Nis dry �o enter upon Ihe a0ove�menfiwie0
propeM �or inspection puryoses. �� � �("'�
/Q \'
Date: r0 ��( � Sipnature: k �
Oriver's Licensa or Sacia� Secunry x:
t6a1-i16 W�ite—BuIlEinp; Oreen—Catle EnlomemanC Canery—Applicent; Pink—Revenue; OolOanroC—Aeaesaor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 047583
PERMIT NO: E 047583 PLAN CIiECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRZPTION : INSTALL NEW ELEC CIRCUIT FOR NEW FAU SQ FT:
CLAIM VALUE: CALC—VALUE:.' GROUP OCC: R-3 /
COMMENTS: FAU ON SEPAAATE PERMIT HY CONTRACTOR.
�rie*�r�*x*�rit�*�ritit+�irititir*+e+�it��r��r��r���r*x*x�rititrt�r�r�*x**�rif�rir��rir���r+t*ititit+rx�rit�ir�rx�r*�**ir*�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; • FT IN
LEFT; FT IN RGFIT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 11733229 ZNE; REF NO:
PLANNING NiSTES>
> _
it it iE 1t iE 1E iFif i! �E it i! if iF iF 1tlf �F 1f it if 1f iE ik if if i! iE if i! if iF if if i! if i! it if if ik if if ik iF it ik if it if iF if i! it jf iF if i! iE if if k iE iE iE if it iF iF iF 1t IE if iF iE it iE if fE
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
BUILDING APPROVED BY
DATE:
DATE:
APPLICATION ISSUED BY: ( ��i� DATE; G�—I �
it�tiflklfifiEiElt9f!liE�flflf1f1k3fikilifit ifiEiE3tfljEjEitiEif lfiE
��r�r**itx��r**it*�r����*�r�r*ir**x�x**��*�r���*�*ri ** ****�rft***�rx�r�r***�r*�+r*��at+t�r+t�**�*it�r�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIp/RES GRADING
PERMIT 11.00 ,
503 SMIP/NON—RES
PLAN
ISSUE FEE 15,00
HUILDING—DIV—> PERMIT �ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11.00 15.00 0,00 26.00 26.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 26.00 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
26.00
if if iF if if if if !f iE M iE iE if it 3t iE iE i! 9E iE if �t it if if if 1E iF iF iE ik iF if iE iE if iE iE ik iE iE iE �!!f !f i! if iF if if iE it iE 1f iF iE it iF * iE * iE iE iE iF iF �1E 1f iE iF if iE iE 1k iE it iE if iE
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C'R I P T I O N UNIT COST TOTAL COST
ELE 1 MISC CONDUCTOR NOT LISTED REQ PERMIT 11.00 11.00
END OF FEE5
O1 Q��b22E7-OOQb22E7 T ti?T
DATE: 06/01/90 TItiE� 16�19
26.D0
.�
CONS�: JD PLANNING - PO� y SPA
Date Inspector Date Inspector
APPROVA� Permit #� - APPROVALS Permit # ,
�
1. Temparary Electrical Secvice or Pole � 52. Pool & Equipment tocation ;
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement -�
,,.
;�3. Electrical Conduit Utility�Undrgrnd. 54. Forms � f
'�' 4. �Electrical Conduii�Undrgrnd. . 55. Electrical Bonding .�
� 5.-Steel. Aeinforcementy ' 56. Rough Plumbing & Pressure Test�
6.-Electrical UFER Grn'd. � _ - 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. _ "
"�8. Foundation -� . 59. Gas Pipe, O Undrgrnd., Test ._ •
9�. Water Pipe•Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floo`i System �� - 67. APPROVAL TO DECK
11. Property Sewer Line:& House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final �
13. Roof Dralns . � 64. Plumbing SYstem - Final
14. Rough Plumbirig 65. Electrical-Final ' •
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric_Wiring 67. Fencing & Access ApProval '
17. Rough Wiring Sign .� - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIFE DEPT. REQUIREMENT
20. Rough Factory Ficeplace _ '` '_ � ' �APppOVALS ,: Per'mit # �
21. -Ducts, in Struceure� � _ - � �70. Undergroun'd; Hydro �
22. Dutts, Ventilating� �-' � -- r J71. Produc[-Piping O�Gas ❑�Oil
23. Gas Pipe�Rough & Test . � �:, � �72. Underground Flush�• � -•
24. Roof Framing `" � ' ,..., '.. '73. Undergmd. Storaje Tank O Gas ❑ Oil
25. Roof Sheathing , � � . � � �7q.'Overhead Hydrq',
26. T-Bai Geiling (Stiuctural) & Monocoat : � - 75�-Dry Chemical _ - � - :
27. ¢rame and Flashing ,- - . ' - 76 r Dry $tandpipe �� � � '
� 28. LafNing & Siding^ � _ � . �" 77.:,FIXED SYSTEM'FINAL .., �
29. Insulation .. - � i 78��FIREPREV.FINAL •�
�30. Drywa�I,Nailing �' � 1���. HEALTHDEPT,.R�EQUIREMENT
31. Plaster Brown Coat - .� x-79. FINAL INSPECTION • .
,32. ElectricaliPower Meter-Final -- �- y � 80. �.FOOQ CERTIFICATE ISSUED _ -
:-33rFinal Electric> �- .1 � � � � Notes:� - '�� - _ - -
' 34. Final Heating & AiryConditioning-� � . �' � � ' - �. � -
� -
35.' Final Gas Pipe-Test, . � .� �, _ � , _ ��'- -� -
=;36. Hood Or Canopy S � „ „- � � "'� /.' * • � _ � - '
..� ,
37. �Final Factory Fire.place _ . '. • ' .v" "� '
38. Final Plumbing ' . _ '� x ' �i,_;' � _ -' �
_ �
39. Water $er,vice-Final�' .- � A � � - �
i .
40. Gas Service-Final • .. � ° "� x - ' . -
r
' p1. Solar �omesticFinal � ' , ,- _ � - _
42. Backfl0w Preventer � " � `- ' � -
' - 't e
43. Backfl0w Irrigation, � '' �- � � .� � - ,-, �
f�
' 44. Landscape Irrigation SYstem -� - ; - � � - "
, � - :>
45. Sound Attenuation . � -i - � _ . �-„� •
46. Handicap�Regulations - � '" � ` '
.' ♦ • Y
47.-�FINAL STRUCTURE & BUILDING � . ' ' �' F
P+ I � � t Y
48. FINALPLANNING � - • - � ' - _ �� `
49. Electric Release to Edison = , ' .
.�_ �
50. Gas Release to Southern CaliforniaGasCo V - ^''= ` •
:c
51. CERTIFICATEOFOCCUPANCY ` -
No. " - Date
��- ' � �3I
r COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING � p-
ADOf±ESS p ST
OWNEH L i ��!/C�_.%_CYJN
GTV �Qj
CONSTRUCTION
BRANCH
ADDRESS
ADDRESS
CONTRACTOR
ADDiiESS ��}
CITV �
STATE
IIC. NO�� �
SIZE
OF lOT
USE OF
EXI5TING BLOG.
� PA16
�� i�-�� �,;� OO � s� i+�� t;���52.93
FOR BUILDING PERMIT
�TE RECEIVED D TE ISSUI
-/3 - 2-/ 3 -
BUILDING �/ r7 r
ADDRESS �d
TEL. TRACT �
' NO.
i
OWNER �_
TEL. �•
FIRE
20NE T`
'/ APPRO D
?� �i' i1%� BV �
iD� vi�itir+6E
TEL.
!s'F�4CJ� NO.
CITV
j %�� UG. NO.
SIZE OF �fx a� 6" qppMS � STOi
NEW BLOG.
EMERIOR WALI�TuC�c ROOF o
COVERING COVERING /�Cc
USE OF BUILDING AND WORK TO BE PERFORMED
�- �a�r�S' � �.P�1'ri.v6
a
y`
VALUE
NE NO.OF USE OF NEW
GLAKS 2 BUILDING � ���
VARDSAPPROVED VARDSAPPR VED
MAIN BUILDING ACCESSORV BUILDING
VAR. #
C.U.P. �
BEf. MAIN &
ACCESS. BlD
DATE
APPROVED
%Z.
I hereby ecknowledpe that I have reatl this epplication entl state E
that the above informatiOn is correct antl agroa m comply wl[h
all laws regulatinq builtling consRuction, antl I shall not amploy 1
any parwn in violation of Me workmen's compensetion lews of
Ma tate of Califom(a O
�
I hereby certify that I em proparly Iicenutl es e contractor under SQ. FT, o
Ma S[ate ot California Businass antl Professlons Cada, Dlvizlon 3, THE AMOUNT SHOWN UNDER VALU IS FOR �
Chapter 9, end that such licenses ere in tull torce antl affact, or I THE PURPOSE OF ESTABLSHING A PERMIT FEE ONLY: m
am axempt irom t�e provislons ot tha S[aie of Califomla Bualnecs ¢
VALUATION ��� m
antl Professfons Cotle, Dlvision 3, CheDier 9. PERMIT FEE �
���{"�.��j�J'������ �.p 3 �
sipnaturoof�..YUC/2:l / l/J��XN�L^C� / m
Permlttee $/,� PLP.N CHECK $ - E
lv� � �� j�D
Aut�orizad Agant � [,
TOTAL FEE $�/�
,
�,
�;; �-�
� COSTA MESA BUILDINCrSAFETY DEPARTMENi
P.O. BOX 7200 � COBTA MEBA, CALIFORNIA 92626
�—
For Applican} fo FIII In Compleloly
TYPE OR PRINT
BUILDIN6 S � � / /7 S
ADDR89H
COSTA MESA, CALIFORNIA
owNen � C O
,� RHa. �, t!d' i� S I,
c�rv �'�r'K i ✓J //7 FS /� .T.o�'
�o �fY Z� 2�
� /:� I �°:.°���o.os. Z
YlTB�CK LIXt �ROM
cemrenorornui � RtAR
SIDQYA D L61T J RIOHT
DESCRIPTION OP WORK
BVILDINO 7 �/ _
SIZE F
EXTERIOR WALL _
1 HCPBBY ACKNOYYL[D06 THAT 1 MAV6 �6AD Tfli 11PPLIGTON
AND 6TAT8 TMAT TXQ AOOV6 IY CORRBCT�AND AGpB[ M COY•
PLY WITX ALL CITY ORDINANCf� AND RATi IAWY X[OYN�TIMO
BUILOINO CON9iRIlCT10N.
61GNATURE OP
PERMITTB <Y�
AVTHORIZiD A6tNT
1G -S-67P�Io ��:. �
�;�h00 522.~ 13.5C
APPLICATION FOR PERMR
BUILDINf3 .
f0► Offlce Use Only
R[CqITNO. � I.
ZONING
.� / NO. 01� UY[ 01 N[W
•uw �� OYILDINO
YARDH MPROVBD
MAIN BUILDINO
oisrwnca esr
MAIN BLDOi.
VM.�
.1 — �— 7
BXALL G6 LE88 THAN
VARDBAPPROVBD
AGCHY80RY BUILDINO
esr. i
�cce
DAT6
�
V � � � � �
�
s� eo. ar. 3 �� �
0
rxs wrour�r exowH uxoan vw�u oH �e ron n�e
rUPP098 OP [9TI�llI8NIN0 A P6pM�T P88 ONLY.
VALIIATION e.f �
� PERMIT FEE k
s� �/ Or' . S7> w
/ TOTAL FEH $ /_J/ V�
i �
COSTA MESA BUILDING•SAFETY DEPARTMEMT
� P. O. BOX 91] C08YA MBBA, CALIFORIVIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDIN6 � � �.
ADDRE53 ��%!� �
COSTA ESA, CALIFORNIA
__. ./1 !
L
■ STATE
USE OP
EXISTING BLDO.
BETBACR LINB PROM
i No � �. ��93�
INO. OR BL009.
DESCRIPTION OF
FEE RE�rI y �U\
JU L 1 2 iggy ..n1�
AFPPCICMTiOl�YFO� � PERMR
CITY Of "��gESA
For OHice Use Only
Z
ow�e
ZONIN(i
NO.OP Ue80IN6W
'� PLANB� BYILOINO � r,
_' A I.l /
�ION � O�_ L O—I � I
r. 1 1 % - ?i � .2 — 4�- /
iOHAVEOVERHAN08NALL ELESSTMAN
YARDBAPPROVED VARD8APPROVED
MAIN BUILDINO ACCESSORY BUILDIR6
D18TANCH BET. I BET. I
MAIN BLDGB. ACC6
VAR.SC OATE
EXTERIOR WA � � I ROOF �.L APPRO B D� � Z�'
GOVERIN6 C�VERINO �/V B DATE
I1H8 0F IL 1 G Af�D WORK O BE BRROR 6D ,
z
- , _ �
a
s4. �. �
1 MBPEBY ACKNOWLEDOE TNAT 1 HAVB qBAD TNIe APPLIGTION T118 �MOUNT BNOWX UNOER VALU�TION 18 FOq TXe =
•ND BTAT6 TX�T THE ABOVe IB CORRER AND A6RE8 TO COM- PU0.P08H OP 68TABL18HIN0 A PBRMIT FEE ONLr. p
PLY W�TH �LL CITY OPOINANCHB AND BTAT[ LAWe p80YL�TINO yp��AT10N q
Bu1LDIN0 CONBTPUGTION. w� pERMIT FEE $� j
PERMITTE E �P � C✓ m
�
¢
AUTHORIZED AGENT $ � _ /J � d