HomeMy WebLinkAbout499 18TH ST - Building Permits�noxEss a sm�w+c: 9 5 5 r. 1 d 1 ri
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cor�m,�crarswu� bOB WILSON ANu SuNS (?14)0�10-174G
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LICENSED CONTPRCTOfl3 DECIANATION: 1 hereby efl4m unEar panelly d perjury Me� I em IironaeE uMer provivione d CMqm 9
(cammena'p xiih Seclbn )000) d Oivision J d the Bummn aM PMessions CoEe. and mY � 4� IWI Mu end Metl.
o.: "v27yb6 uc.cuss: fi uc.No.: ."s774fi7 � E/iiP• 12i57
oma: // o com�a«: � l� l!/��
OWNEfl ILOEX OECURATION: I Mreby+ffirtn untler penely d per��ry lhet I em uemp Imn tM ComreAae licenee Lew ta Ne
40 ' n(Sedian J031.5 Businesa eM Pm�eeaione Goda: Rny ciy a caunry whiM nqui�m e pe�mil lo camM1uc�, Mm, imprwe,
�' enol' w ropv eny NriwNre, p'v io Gs ewvra, atro �epuirm iM applimM tor wch pemN to fib e eqred eulemeM thet he a ehe
a nsad W�a^t to Ihe provieiana W IM Contredon Licenas Lew ICMpIa 9(oomme�ip wilh Sed'qn J000) ol Oiieim 3 d �M
dnev erd NMmsiom Codel « Ihm he u Ma e examp iherehan e�d IM baaa fa Ns elku� uempion. MY violetion d Sedion
]03i.5 W eiry eppfrem lor e perm� eubjecle Ihe epplirait ta e civil penelry d na mora ihen Me huMrtd ddl» �55007).
� I. ea owner d �he propeM«my anpbyeee xih wepea av iMi ede oompenaeton. will Eo Na xwk. eM tln ewcW�a'v na "vuaMeA
u Mmed far eab (Seaion loe4. Busmee eM Pmlesebna Code: Tha ConVedae Licenea lewEom ra1 eppyto en owmrd popeM
who WdAa ar'unpovee iha�eon. e�M v.fio does auch v.o�k limaell a henM or tivaqh hb a har own emplyees. povided thet wM
impovanmia era not inbMed a WereE lor eeb. H. howaver, ihe buidinB a�G�meM is eok wilhin are yeer d oomple�on, Ma
ownerbuilier will �ave iM burEen d po+iip M or ehe did M buiM w imprwe la �M puryoaa d seb).
� 1. n oxiwr d iM V�OaN. em ssdu4.relY contreeM xiN lioeiued wnhedas io cmnrud Ihe MM� (Setlion )OL1. Busi�we ard
Pmtestiare Cade:The Contrmorelieama Lew doaeria epply b an ownerW peape�ly who Wilde aimqwwtAereon anE who
wnlreeie lar aWi popae wiN e wvema(s) lir»naeC WB�t to tM Comrmora limnea lewl.
� I em ezamq uMer Section: B. 8 P.C., br Nie redon:
oma: om,�:
I do hereEy ceniry ihet I em eware d vd wMareleM Ihe rpuiremend ol Geldwnu HeeXh vM &efery Code SeGiam 25505. 25533. ard
2553a. ene Ne� I or env Mun WikiM «No�t will / wil �(deeb me) neeE ro mnW w�h veid awa mdee anE �he nwirememe br
e permA I«c«aWction u moEificetion hanlheAi�Cty F�epamem Dievid. Reaidm�iel m�Miudion eppfceliaaers aumq Irom Neee
p�wiaiona. .
Deta: Md�^�
WONKEN'S COYVENSAPON OECIAXATION: I hereby e1Nm urder penNly d prjwy one d the Idbwi�p dedva�iom:
� I �s+eed xi� meinieT e emNieeb d eauenl b eeHiruure W wakere eanpametion. ee provMeE fa by Sed'wn 3]00 d iha lebor
Coda, la IM1e peAwmenca d Iha woh ta wlich ihn pannu e inueE.
(4] i n..�. ene xi� meimen wwten� m�v��, ��,reze... Ac��,.a M seaim a�ao d ub Lee« cme. w me roaonnenc. w m.
wak Iw wl�itlf IM1ia pennil ie iasued. My waLali m ml' in eM pdiry m�mber are:
��,, 5i%t� '%ifRiu`"` E}CFIkE5
, Polry Number. G 9 I l71 1`3 fi
�Thia eenion need nor 6a complered d �M permif is M ons hunered ddkn /Si Wl w bn.)
� I mndy thel in IM parlormeMe d Ihe wak f« xfich the pamG 6 inued. I Wtl nal empb� mry penan m ury menrcr n n to
me wbjetl to ihe woMn' compeneelion lewe N Gelilamis, end epme Ihet A I ehauW became wbpo lo �M worken'
w panselion qwisiona d Sadion 3)00 d tM labor Code. I Mell lathMit,�gmmpy x(M� thwe �pw>iaiwu.
oate: // p �vW�'am: �i! U/. !!/�
m/ny: F�Ilun ro i�eun workwi rompawtlon eovenp� la �nlawluA /�tl Mtll ud/M.M �n Implqw ro ulm'rW pmdtlp uM
Ivll flro� up ro om hundrorl tMuuntl Collen (5100.000), In e001tlon ro M� cwf ol ronpenutbn, demepls u povMW br In
tlon J106 0l IM Le6orCob. /nbns4 enrl aMmsy'� Ir�.
w �
� CONSTHUCTION LENUING AGENCY: I hereby alfi�m uMm penely d perjvy thw iMro e e owutrutlbn MMiip epe�u.y Im iM
�no��� d ma � ro, wn��n me ro�� �= m•�•d (seao�, aoc�, c:., cl.
� LENDER'S NMIE
LENOEH'S �D�RE9S:
I cmlih/ �hm I heva reed thie eDWicelim uM dde �hei tha ebova inlametion a coned. I Wree to comvN wn� ell MY eM caunb ad'mencee
end ela�e lewa rele�'vp w Wikvq cmelru'von end MreEy eWha¢e iepeeanle�iva5 d Ihe dlyb mis upon IM ebv.e-mmtidwd popaily
1« inepeeion purpoees. b V Ii W 1 L S U�1
�
(515t-68.WP) Whne-BuildmpdSelery;
Dme: �� O
Rnk-Revenue; Oddenro�Aoerv
CITY UF Cu51A MESA - buILLIi�G YERMII � �^��
Yt,1iM 1VU: M U$�bt��
FERMIT NG: M "v85o86 FLAiV CiiECK NU: N GuVT: N Su'rF: Y"
CGNSSkIICTZuiv TY1't: Y�tCMll TYPE.: Mt�l YUXYVJt; F11JL
JUb uESCRIPTIUIV : SUP'rLENiETAL TG M-83997 Si,� r7:
CLH1M vALJE: CALC-VALuE: GkUuP GCC; k-3 i
CVMMENTS: REF:b-$3993
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---------- - MAIiV bUILLING ---------- --------- ACCESSuRY buSLDING — -------
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FLt+NfvIhiG NOTES�
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LEGALIZAIIvN:iV
F E E s�-�C" M M A R Y
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PLAN
ISSUE FEE 6.5"v
bUILLZNv-uIV-> PEithSIi ISSUE YLAN=CHECK 7GiAL PAIU LUE
IOIALS----> 13.25 o.SG G.GO . 19.75 19.75 .0"v
hEVENUE UIVISZGN ZUTALS--� CGLLEC7EL: ,19.75 GtiER/SHGRT: .i/"v
BLLG YMT FL"UMbING ELECTRIC MECHANIC rlkE SMIPiI'u7 GkAuING FLAN-CHECK
—y 19.75 ,
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CONSTHUCTION AND PLANNING
APPROVALS Permit # �
1. Temporary Elecirical Service or Pole .
2. Soii Pipe�Undrgrnd. '"
3. Electrical Conduit Utility�Undrg�nd.
' 4. Electrical Conduit�Undrgrnd.
5. Steel Reinforcement �
6. Electrical UFER Grnd.
7. Foocings
8. Foundation
9. Water Pipe-Undrgrnd. '
1
� 10. Structural Floor System
.
' 1 t. Property Sewer �ine & 4ouse Connection
12. Szwer Cap �
13. Roof Drains
14. Rough Plumbing
15. Rough Electrical�Condui; -
16. Rou9h EleMric Wiring � .
77. Rough Wiring Sign �
18. Rough Electrical�T Bar Ceiling -
19. Rouqh Heating & Air Conditioning
20. Rough Facrory Fi�eplace ,
21.�Ducts, in Struaure
22. Ducts, Ventil0ting. :
23. .Gas P�pe-Rough & Test
24. Roof. Framing •
25. Roof Sheathing ; � ,
26. T-Bar Ceiling (5tructurap & f4lonocoat
27. Frame and Flashing
28. Lathing & Siding -
29. Insutation - � � "..
30. Drywall Nailing �
' 31. Plaster B�own Coat' - ,
32. Electricai Power Metei�Final
33. Final Eleciric. �
34. Final Heating & Air Conditioning � '
35. Finai Gas Pipe�Test "
36. Hood or Canopy ,
37. Final Factory Fireplace
� 38. Final Plumbing �
39. Water Service�Final �
40. Gas Service-Final � •
41. Solar pomesilcFinal -
42. Backflow Preventer
-�43. Backflow Irrigation ' �
44, landscape Irrigation System �
45. Sound Attenuation
�Y 46. Hardicap Regulations
47. FINAL STRWCTURE & BUILDING
48; FINAL PLANNING
� 49�. Eleccric Release to Edison
50. Gas Release to Souiher� California Gas Ct
_ 51;. CERTIFICATE OF OCCUPANCY
No. - Date
Date � Inspector
. PC 3� SPA ;,
f
APPROVALS Permit# �
52. Pool & Equipment Location �
53. Steet Reinforcement I .
. 54. Forms �
55. Electricai Bonding ��
56. Rough Piumbing & Pressure Test!
� 57. APPROVAITOCOVER-GUNII�E
58. Electrica� Cond.uit-Undrgrnd.
i
� 59. Gas Pipe, � Undrgmd'., 7est �,
60. Backwash Lines, P-Trap, �7 tlndrgrnd.
61. APPROVALTODECK (
62. Backwash & Receptor-Pinal .
63. Heater & Vent-Final '�
64. Plum6ing System � Final - �
65. Electrical-Pinal � �I
i
66. Solar�SYstem-Final
67. Pencing & Access Approval I
68. APPROVEDfOR PLASTERING i
69. POOL/SPASYSTEMSFINAL I
� FIRE DEPT. REQUIREMENT i
' APPROVACS - Permit #�-
' 70. Undergrvund Hydro �i
i
- 71. ProducrViping �Gas j_70i1 i
72. Underground Flush • I
� 7�. Undergmd.StaraqeTank OGas ❑Oil
74. Overhead Hydr.o
75. Dry Chemical �
76. Dry Standpipe �_ �
77. FIXED.SYSTE69�FINAL �I
78. FIRE PREV: FINAL �
HEALTH DEPT. REQUIR;EMENT
- 79. FINAL fNSPECF.ION ��
8d. F000 CERTIEICATE iSSUED -��
�i
Notes: � - • �
--w_r�.�._,,.�vl-
�
6
Date . � Inspector
�' �
� CITY OF COSTA MESA �
B111LDING DIVISION
77 FAIR DRIVE. COS7A MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wviw ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: BC08-00293
PERMIT TYPE: B_COMBO STATUS: ISSUED . . -
Sub Type: ACCSTR DATE ISSUED: 07/24/2008
.. ISSUED BY: RMD
�oeaooRess: 499 E 18TH ST CM<+- �' `�y ''1'Suife/Unit::�.
APN: 11737211 �. , Zoning:_ ; , ' � . � � � � - .
� ; .
Vicinity: ,, , ; � � . primary_Occ: R-3 ' .
Const Type: V-B �, r' 4�S�. FT -"'' 682 "",Valuation: $130,000.00
SCOPE OF WORK: CONSTRUCTION OF A NEW 1,364 SF SF DETACHED GARAGE WITH'A'2ND FL'GAME ROOM ABOVE. 1ST
FLOOR 682 SF GARAGE WITH�WORK�OUT ROOM AND STORAGE AREA. 2ND FLOOR 682 SF�APT GAME ROOM WITH �
BATHROOM AND OFFICE ARE: 1 FAU <�100K BTU, t ALTER COOLING/HEAT, 1 REFRIG �SYST`.< 100 K BTU, 1 VENT FAN, 1 A/C
PKG.B , - .
LIGHT FIXTS, 24 OUTLETS, 6 SWITCHES, 1 SUB PANEL; 1 GAS (1-4), 1 SEWER�CONNECT, 1 SHOWER, 1 BAR SINK, 1 WASH
BASIN, 1 WATER CLOSET. REF`ZA-08-05 : ;,"'� .-
. 1 v` ; . . - . ;y t�., ' � .
OWNER: HOUTEN, JOHN�R TR' � „ . . Address: 499 E 18TH ST - �- � � � - �� � �,' '�." Unit:
Phone: �;� ( ,, _ . . ��Ciry/State2ip: _ COSTA MESA, CA' � . . - - � , ' . � , ,
.� ; . , _:, .. , .. . ,' . : ' : :_ - �. . .. � � - _
APPLICANT: WILSON,BOB�'� , � , - - -Address:' � - ��,':•` .-. ���,� �" - "�iUnitl� : �
Phane: 949-648-1740 � �_ � CityfStatelzZip: , _ , ""
coNrRaC70R: B I WICSON AND,SONS
Phone: 949-646-174Q���` �.., ' -.":.. .
Cell: `` - " '
. � -�. �
. - - � � - .. � : +
- --- " -' .License No. �377487 . .
' Address: O85 E iSTH STUnit: � .. . '�" ,' ��i��,
City/State: COSTA�MESA, CA , � '�. � ZipCode 92627
ARCHITECT: � , . License No. �
ENGINEER: CLOKE, STEVEN,PAUL � - License:No.S3788 , ,
COMBINTATION PERMIT-FEE SUMMARY �
Building Plan Check: $755.14 . , _
Building Feex «- � $1;161.75 �.
Elecirical Fees: " $148:82 '
Mechanical Fees: - $51�:90 ' ' � '
Plumbing Fees: $93:50 _
SMIP Residential: $13.00 � - - ` �
SMIP Commercial: $0.00
TOTAL FEES: $2,224.11
"Refer to fee receipts (or all fees pald for proJect
PHONE:
PHONE:562-596-5082
NOTICE: The work authorized by this permit shall compty wAh all applicable handiwp access requirements under Califomia staSules and refated
regulatlons. (Ord. No. 92-28, § 1, 12•21•92)
E%PIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ,
INSPECTIONS: In orCer for lhe work aulhorized under this permit to be considered legal, such work must comply with all apPlirabie codes, and all
required inspeetfons and flnal approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this perrti
COOEt. IMSGEC7IOMTYPE Qyj� V�$ 4QQ� INSVELTIOM7YPE �IE
1818 Fixed System Final Fire Prevention 206 Final Mechanical "�� ..�'9 —
1286 Po01 Spa Final 208 Final Plumbing �rL��7
200 Final Re-Rool 210 Final Electncal �_�
201 Final BIotWRetaiN�9 Wall
202 Final Factory Fire Place
203 FinalSign
206 Final Demolilion
�
212
220
Final Pire Prevention
Final Planning Approval
222 Final Site ' �
250 FinalBuiltling/Occupancy —��
,
��
WORKER�'t�OMPENSATION DECLARATI ,
I heieby affirtn under penalry oi perjury one of Ne following tleclarations: ,
❑ I have anC will maintain a certi�cate of consent to self-Insure !or vrorkers'
compensation, as provide0 for by eection 3700 of the Labor.Code, for the
peAotmance of the work (or whlch thls permit Is issued. �
❑ I have and wlll malntain workers' compensatbn insurance, as required by
section 3700 ot the Labor Code, fw the peAormance of the vrork for which this
pertnit is issued. My vrorkers' wmpensation Insurance carrier antl policy
number are:
Carrier: S�R% t�Iin�
(7fYs seCun neetl rpi 0e mmpleted Fthe peimAB valuetl ar me nunMe00ollars (St001 a less )
Policy Number: Os9 i�y8 7 �� 8
,
i�; �
Owner ID verified by �nse. ❑ Yes ❑ No
� Drivers License No. F�cpires:
Verificalion of Ownerehip by (type of tlocument, i.e. - properry taz bill or deed�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excava[ion frve (5) or mwe fcet in depth into wfiich a
person is required to descend, will he made in connectbn with work auUarized
by Ihis permit, arM that no building structure, scaf(dding, falsework, v demolition
or dismantling lhereof, will be more than thirry-s� (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 347, Ti�le 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which vrould
he Division ot Intlustrial Satety, as noted above, unless
mit to do such vrork from Ihe divisian.
❑ I certify that in the pertormance of the work for which Ihis permi[ is �equire a permit from 1
issued, I shall not employ any person in any manner so as to become subject such person has a per
lo the workers' compensation laws o( Cali(omia, an0 agree that i/ I should
become-subjec6to�the-workers_compensation provisions o! Section 3700 of qppliwnl's
the Labor Code, I shall forthwith comply with these provisions. — -- —
�r^-��� ' Od Division of Industrial Sa
A�d����'s SignaWre Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLP,WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CNIL FINES UP TO ONE HUNDRED iHOUSAND DOLLAF2S
(5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aRrm [hat I am Iicense0 untler provisions of Chapter 9(commencing
with Section 7000) o( Division 3 of the Business and Professions Code, antl
my license is in full force and eRect.
Lic.0 .�7%�/8 7 C�ass#
�aG..!!%c�i.�,
• Cmlraclor's SigreWre Da e
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn thal Ihere is a constructbn lending agency la lhe
peAormance of the xork fv wfiich lNs pertnit's issued. (Sec. 3097. Civil Code�.
Lender s Name:
Lender's Atldress:
Dale
OWNER•BUILDER DECLARATIONS:
I hereby aKrtn that under penalty of perjury lhat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Pro(essions Cotle: Any ciry or county which requires a permil to
consWct, alter, improve, demolish, or repair any sWcture, pnor to its
issuance, also requires the appliwnt (or such permit to file a signed statement
that he or she is licensed pursuant to the pmvisions of the Contractors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 of the
Business antl Professions Code) or that he or she is exempl therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
appliwnt tor a pertnit subjects the applicant to a civil penalry of nol more than
five huntlred tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not iNended or
oRered for sale (Sec. 7044, Business and Professions Code: 7ha Conlractors
License Law does not apDly to an owner of properry who builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intentletl or offered (or
sale. If, however, the building or improvement is sold within one year of
wmpletion, the ovmeo-builder will have the burden of proving that he or she
tlitl not build or improve for�purpose of sale.).
❑ I, as owner of the�property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business and
Professions Code: The contreUors License Law dces nof apply to an owner of
property who builds or improves thereon, antl vfio contracts for such project wilh
a contracta(s) license pursuant to ihe Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code (or this reason:
SlgnaWre
305)�46(3/0])
(ery Permil Number
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant neetl to file antl
certify a Business Plan for emergency response ro release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Cali(ornia Healih and Safery Code requires, with some
exceptions, thal a Business Plan be filed with ihe Costa Mesa Fire
Department by every business which has at any one time during a reporte0
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eel o! compressed gas
at standard temperature and pressure).
2. Dces or will Ihe applicant or present or tuture building occupanl need to Ne
a registration form �or acutely hazardous matenals? ❑ Yes ❑ No
(Section 25533 of the California Health and Safety Code. wilh some
exceptions, requires regisirelion wilh the Costa Mesa Fire Department 6y
each business which at any one time has on hand a quantity o( acutely
hazardous malerials equal to or greater than a weighl of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard
temperature antl pressure).
3. Dces or will t�e applicant or present or future building occupant neeA ro
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 ot ihe California Heallh and Safety Code provides ihat Ihe
Costa Mesa Fire Department may require lhe preparalion, certification and
filing wilh ihe Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials wilh lhe Fire Depatlment.
4. I( an RMPP is presently required, has Section 25534 of Ihe Califomia
Health and Salety Code been fully complied wilh? ❑ Yes ❑ No
5. Does or wi0 the applicaN or preseN or tuture building occupant require for
the aork which is lhe subject of this application a permit (or such wnstruction
or modification from Ihe Soulh Coas[ Air Quality Management Distnct or from
any other air pollution control dislrict or agency? ❑ Yes ❑ No
(Section 658502 of Ihe Califomia Govemment Code requires lhat Ihe requestetl
infortnalion be (umished on applications fa ran-residenUal building pertnits).
6. Will any part of the facility to be constructed under this permit be within
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
pf'yes", the taciliry must meet the requirement of Seclions 25534 and 42303
of the Califomia Health and Safery Code).
7. If a permit fmm lhe South Coast Air Quality Management Disinct or other
air pollution control district or agency is required for Ihe work which is the
subject of this application, have all of the disclosures prescribed by Calitomia
Health and Safe[y Code Section 42303 been made? ❑ Yes ❑ No
8. Q('j�es", altach certiflcate of compliance from the appropriale air polNtion
control officer). � ' ' �
CERTIFICATE OF COMPLIANCE: I ceAify lliat under penally of perjury lhe
infortnation given above.is wrrect. I agree to compty with all state laws and
city ordinances regarding Hazartlous Materials and Emissions.,'�
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and�state that
the intortnation given is correcl. I agree to comply with all state laws antl ciry
ordinances relating to building constmclion, and authorize representatives ot
Ihe City of Costa Mesa ro enter upon the above-descri0etl propeny for
inspection purposes. I agree not to occupy or allow occupancy ot any building
authorized by ihis permit until fnal inspection.
SignaWre ol l.epal Ovmeqs) Date
�.� l�J4G,,,-. 7/•z��8 --
Ana/wAm�onzetlApPlirant . _ . . `-Da�e "
�'"°'AL0°'0` 499 E 18TH ST
"''^E110pM'"` HOUTEN, JOHN R
"D°"�s 499 E 18TH ST
COSTA MESA,CA
�vv�. wuuNa �ooxess:
uwr:
92627
uc ra:
uHr:
CONTM�CT0R3N"� HOB WILSON AND SONS ( 714 ) 696-1740
C01R""0T0R41A1�'0 485 E 18TH ST
AODP� COSTA MESA CA 1QN0i 377987
92627 °Mf
LICENSEO COMNRCTOPS DECUX�TION: I Mnb� � unCar panely d pa'ryry Nm I em Icensad uMee pewidom d Chepls Y
(cwnmenc'uq wuh SecYon )pp0) W Div6un � d the Bueimw md Pruleaeions CoE�. end mY lioeroe n in tWl lorce end aHed.
cmuc.no.:025 66 uc.cuss: B uc.r+o.: 377487 EXP: 12/97
6ete: � 3 CatlMv: �� r/iw=
/
OWNER 81NLOEX ECIAqAT10N: I hseW dfvm �vMr psWY d perjvy Nel I mn aumq M1am Ihe Cwmenm lkwsa lo tar a+
Idb�iq �mmn (Seaian ]W 1S Buaiws eM Rdwrinu COM: A^Y dY a edv+Y MJN nau'vu e P�G to aorotrurJ. eMr.'vnVw+.
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;: aaineu eM Grd»eiom CaEel a ihet M n ehe o mwmq tMrahan eM tM buu t« tlr dbub memNbn. /ury violuion a&aaion
I'Y"?�1.5 by enY eoW�^� la e permn akpce,��hs epN� �o s cvi panaliy W no1 mon Ihen iva Mvd�sd dotlen �5500�.
� I.nownerdiMpqynyamYa^GMa�x'vhwqp�nNrWemm�.rildolhewM.endNe�McOininalive�deE
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who W Ws a inpo.aa ihrean. md,v.ho Aoee vrA Yak!'vn+eE a IwiN a Waqh Aa n Mr mm empiw+e�. po.'idsd �!W mwi�
imP�^eua ers nd'wrMd a dbe`A fai cab. C. howwa. ihe buil&n0 u inpwx^M u wid xvh'v� ans Yw d aom0�un. tlr
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contrena la avli p�op�fs wtli e miAaor(e) 4wuW qmumq w �M CaC�sen� Lium� ler1.
� I em a�mmq uMr f�y,rion: �S Pj; B. 8 P.G.. b tlw �eeaonry
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od.: ��.:
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� ine.eeMwi�meim.�,•eeMcm.dm�wn�o.w:mw.ts.wkeiow�o«.m�.oa��«as.a�arooa�m�.no.
coe.. �« �n. v«�omw,�. a N..oix �o..�;u, Ne o�8 a s.uee.
❑ ina,�.�aw�+i.;�.�«x�.•�o���w�....�aw�.aas.a�oroowm.�cm..r«m.w�«m.�.ain�
7C woM �u..mia mu wmin a:��se. �.h .uwen• canvsnmbn "vwuanca wrix md o�v numbx n.a:
ca,,:,: ��Tg cnnm EXPIRES
'0�"'°n°"' 04 /O1 /98
n4 ..aim n..e na e. �mrpxw r w v�'+�� n m� on. Is�w or ro.l
�] I wnN �Iw in Ns Mmna�r.e M ilr rak ror �.Tic� Nw M�e e ivrE. I tlu0 nd emOM �Y Va� M enY men�wr n o to
bxaM abjW �o iM worM»' m�psve�im Iew� a ��(da�s. rod eGM � Y 1�hadd Meme wRjwf �o IM wv�ls�'
�v�� wwu6n. a sw�on a�oo a in. i.m coe.. �.neo i/mnyan am�cN .0 mw. wo�.a,..
oe�e: %r$ /�4 7 Md'ew: 7��--t� 9. /.�J_ 0...�
i —7
w�minY: Ruun ro wcuy rorRui mmpru�Non cm�r�W b 4n4�M4 uW �IWI utl/1er m�rT�� ro MMiW G�tlp uW
nva nn.. w ro on. nurane rnou..ro edl.n ls�atamA �«wuon ro m. ro.r or mrrn.rwwn wr�.. u prov�ew ro• m
9stlon �l(AB ol tli� la0a� Gtl�� IittrpL oM ero�mry�� /w
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LEND�q'S NM1E
LENDER'S pDDRES3:
I ceniy �lat I M1ew �aeE Nb app4cetian W aeb thet IM ebovs iName�ion o oonatl. l epiw �o comply xiih ap cry yW couny ordinenoes
and �lele lewe �eletnY b EUJE,q mravWm eMlwab% uNv¢a rppaeeNetiw� al lhe aty bWN uG� tM ebo.e�meiYiwiaE popMY
lor impMion Wepme�.
BOB WILSON
PmY Name
�!.l�� 1..� om.: 7 J 4
sp�.n�. a o.,��roew
(5151�10.WP) WIVIs�BuilNip 8 Selety. �isxi-Fls: Genvy-�ppiwv: Rnkaiewnus:Oddavod-Aseam
CITY OF COSTA MESA - HUILDING PERMIT
PERM NO: H 08399
PERMIT NO: H 083993 PLAN CHECK NO: 03046-97 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : 900SF FAMILY ROOM S BEDROOM ADDITIONS SQ FT: 900
CLAIM VALUE: 70,000.00 CALC-VALUE: 73,350.00 GROUP OCC: R-3 /
COMMENTS: FAMZLY & HEDROOM RESTDENTIAL ADDITION
�r�r***rt�**�rr*�r�r***it******�r�r*****w*rt�*r***�r*it*****��***rt*�*�c�c**��*�r�r�c**�r�**�r***+t*
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 BUZLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 46 FT IN REAR: 48 FT IN FRNT: FT IN REAR: FT IN
LEFT: 15 FT IN RGHT: 6 FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ; _;� �,PROV..: .�.�_: PARCEL: 11737211 ZNE: R1 REF NO:;
PLANNING NOTES> ADD^TO�THE-REAR AND RIGHT SIDE OF AN EXISTING SINGLE FAMILY
> RESIDENCE. � TO'HE USED AS FAMILY ROOM/MASTER HEDROOM'-
fE iEif if iE iF ii iE iF iF 1E i! i4 iFaF it jF if if iF if�iE,iEiFiE * if,if �if iE if ik iF i4 it if it iEif iE if iF �k if iFil�)h �IFiF ih i4 if jE iE ik i4 iF i! if it iF iF�Mif if !F �f i! iE iF 1E k iF �If iFif it �E iF
D E V E^L O P M;E?.N�T �,r S E R V I C E S R E Q U I R E M E N�T S
� . ' i, \', , -
ZONING APPROVED" BY t.• :� '•/ W R, �� DATE:
�"J . �
�� 1�
/
BUILDING APPROVED BY e�=' '�: - T_
5 NA DATE:
APPLICATION ISSUED'BY' �� � L DATE: -
�tx��t*x��r�t�tat�x�*�r��t�t*+r+r*** *it*�r*�r***+r �r�r
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING
PERMIT 724.75 7.34
SMIP/NON-RES
PLAN 471.09
ISSUE FEE
BUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECR TOTAL PAID DUE
TOTALS----> 732.09 0.00 471.09 1203.18 1Z03.18 .00
REVENUE DIVISION TOTALS--> COLLECTED: 1203.18 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECIC
724.75 7.34 471.09
ih it 1F if �f 7t il� M�f ff k�f M k'If if �t M ik 1F it iF ik N k M'M if 1f 1f M 1F it M!f M �F 1E 1F ik'1F ih iF iF'1F iF if It if M 1F M fE iF 14 if K k IF if iF iflF 1f iE aE af 1f If ff iE 7F iF iF if ff it if iF
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 900 DWE-TYPE V-WOOD FRAME -GOOD
END OF FEES
�/�IAL�t'�i4�
�s/9�
81.50 73,350.00
� �� D
� UL 311997 �
��J
61TY OF COSTA MESA
I CONS7R�(ION AND PLANNING - . NOOI A - '
��� AppROVALS Permit # Date Inspector AppROVALS Permit # � Date tnspector
��
� i. T¢mporary Electriwi Service or Pole - 52. Pool & Equipmen[ Location. � .
Z, $pil Pipe-Undrgrnd. 53. Steel fleintorcement '
3. �Electrical Conduit UcilitV-Undrgmd. � 54. Forms . I
'�4. Electrical Conduit�Uridrgrnd. 55. Electrical Bonding I �
,- .
�'5.. Steel Reinforcemen.t� � �-�,�� `'.t.6e. 56. Rough Plumbing & Pressure Test �
- 6. Electrical UFER-Grnd; � q'f �Qet�(�. 57. APPROVAL'f0 COVER•GUNITE
. ,.7. 600tings :.. '� � q �.. �'�._58. Electrica.l Cond�i,t�Undrgrnd.
ti-8. Foundation �• . 59. Gas Pipe, O Undrgrnd., 7est
9. Water Pipe�Undrgrnd. _� 60. Backwash Lines,.P�Trap, � Undrgrnd.
10. Structural Fioor'System � -�7 �tt,�'L 61. APPROVAL TO QECK
11. Prooer[y Sewer Line & House•Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' . 63. Heater & Vent•Pinal .
13. Roof Drains . 64. Plumbing System � Final
14. Rough Plumbing . ' .65. Electrica6Final � � .
15. Rough Electrical-Conduit 66. Solar SYstem-Fin�l .
16. Rough Electric Wiring , ' - � , 67. Fencin� & Acceps ApProval ." �
I
77. Rough Wirin9 Sign � 68. APPROVED FO'R'PLASTERWG � .
-t .
78. Rough Electrical=S Bar Ceiling � � 69. POQLlSPA SY5TEMS FINAL �
19. Rough Heating & Air�Conditioning - � - � FIRE DEPT. REQUIREMENT �
- 7 - ^ �, i �
20. Rough Fa`etor��Firppl�ace _ ` - -, : � �.�APPROVAiS•��.Permit# "�-
. - � ' - -' ' � .. , , _ :
21, Dilcts,•in•StruCiure�.:. •• • �_, � _ �'+ �70. Underg7ou�d Hydro �, �
22.Ducts�Ventiiating-r ' • �r� ,, _ '�t;�77,Produc��Plpin9�Gas �Oil �
i
23. Gas Pipe-Rough & T�t � (4 ' -- � y -n .t - ..72, Undergrountl flush � . " �
24. Roof-Framing •• �� ' h^ � _ T�;73': Undergrnd. Storaga Tank� Gas JO Oil�
25. Roof-S`heathing � � �(j�� Z-%t7 �.«f�C: � 7q� Dverhead Hydrn, � � '
26. T•Bar�Ceiling (Struc,turap & Monocaat _ x! . �� '�; 75� Dry Chemical - i*. �� `7 ��I •
27. Frame and.Fla"shin """��
9� F -�„x `6f-Z2.-'�%�wv. , 76.+Dry $tandpipe �
28. lathing &?Siding :'' % - _ =�p���. �✓ '� 77 ;� FIXED S�'STEM�INAI; � .-� .. �
�29. InSulation '. j. '" - �%L3�7 �i^�. 7g; fIRE PREV. FINAL • - � �
'�30. DrywallPjailirt9 _ � _, f'.-�Q-��'�(,�� - ;HEALTH�DEPT:FTEQ�tlIR��VIENT �
. � - .
.31. Plaster Brown Coati: �; _: p�p� � � �79: FINAL 1, 58ECT16N « - ' �
_ ;� ��� -L� � - . .
�32. Electrical„Po�r/ei Ma�tAnFinal ,s'.� � ' "80:7FOOD CERTIFICATE I$SUED _�
33. Final'Eleciric= n ;; � � r' > NPtes: ;.n`7 i�, �
�34. PinaGNeating & AiGConditioning , - s � ? .: � �3: � '
.c "r �- - :Y - ' .♦ vi
35. F1narGas.Pipe�T'est�. � �� -�y; . � - ' '-�:y � i � � � :
' , . - �
-'36. Hood or Eanopy � ' r � . � - � • ' � "
- - ��
. 37. Final,factory Fire(�(a�e� - " � � ; � , LL � ' i
38. Final.Plumbing �-, i . . . .� _ '-. '- -' " � -
y
=39. Wuatei 5er,v'tce-Final r . A.'' - � �� . ' "' - . , j, � �
' „ '
r:40. Ga5 Service-Final .� �*+ .f,- n . � ' " -
- - - -, �-
�'� 41 . Solar pomestie�Finai; ` � � " " �" ' ,. t - i
, ' . -
'42. BaGkflow'Preventer � � - . � � . �.. . 9 -+ .. .
' u I�
- 43. BaGkflow Irrigation '�,`,==' =; ` '. . • " � ' '._:
t , y '�
r, _ y . ,. . X -. -. -
44. Landscape�•IrngationrSystem ^�*;�? - - r - �x � , .
d5. $ound AStenuation ` : ,�. ^ _ • .. . •�• - - .,'� '
:z• �i G +"
4fi. Handicap Regufations ' s � . - ' ' ,
- R,.
a7, FINAL STRU'GTURH & BUILDING Z, pe /'I !L �` "" � _ ' � - ��-
"� ` 0 (�'� -
48. FJNAL PLANNING . - _ . __s *. w ` - ' " ' - � .
49. Eiectric Release to Edison � '. �• " ' � " ' � , � � �
- i. . r
50: Gas Release to Southem Califomia Gas Co ` - • �'� • "
51! CERTIFICATE OF OCCUPANCY` ' = �
No. Dace
�oox�ss a ew�ur�m 4 y 9 E 1 8 TH S T
OWNEASNAMEIFIWOWN: HOUTEN JOHN R
10�� 499 E f 8TH ST
I, COSTA MESA,CA
8
�vv�. wuuaa �ooness:
YKNRECT OP ENdNFFA:
UNT:
92627
ucra:
UNT:
CONi""C01fSN"'E` BOB WILSON AND SONS ( 714 ) 646-1740
cam�croas�uwa q85 E 18TH ST
°00"��` COSTA MESA CA °0N0i 377487
92627 u"�
LICENSEU COHfNRCfONS DECL�fl�TION: 1 hereby alfrm wHer pxuly d px'ryry tlW I em licensed �vdr qwieims W CMqa G
(mmme�nrp xilh Seciion ]aao) ��+s4^ 3 d the &uinem eM PMmeim� CaEe. enE mY liwms b in tull lace eM N1ee.
cmuc.wo.:025966 uc.cuss: H uc.No.: 3s77�4[yO� 7 EX.• 12/97
�Dele: �/.s/ /Q 7 Camreear: �i�w lY• l/��
OWNER BUILOEfl �ECIARATION: I haeby elfirtn unEs pmely d perjury ihet I em exemp Imn the Comrafon lioeiva lew lor IM
IdbwnO reaaon (Smion 10�1.5 Bwib» enE Pmfmsoiu Cade: /�nY M' a oduuY wttidi �eqwrea a V�E to cvmw�l. ella. hnpaa.
demdeh, w repei eny aV Wure, p'w b 4 iwence. a6o m�uiiea tM epplimM far aM pmnY lo fib e aqned ualemanlOW M a ehe
� licrosad Wm�en� �o IM Mmieiae d Iha CONm]on licetna Lew �Gheps e(cammena�q w4h SMun ]OW) d D'vebn 3 W �M
ud�wc eM Rdeaiore CaEel w Ihm he a ehe o e�emq �hadmn eM the b�a for Me alleBeE uemqion. MY vidmbn d Sed'an
�m1s M am aadkam �w. oemN w4bs �ne appfrav m e aW o�r a na mas �nen rxa Modrea dom'a �SwoD'� .
� I.moxmrWiMpW�Y«nH�Pbi�x'threps+mthsaobmmM�.wiOAONevoikendNesluMsam�mtaMM
or ollerad tw sela (Seclian l0aa, B��v eM Pmlassiana Coda: The Comretlas Licenae lew dou rot applyto en owr�x d propaily
wno buiM a inWwe? thaeeon, eM �Mn dom eudi Maek h'vnaeE a MnN a Waph he a her mm emdoYaa. Pa'.� �hr miel�
imD���s �e nd inleMed n alieied ta eela. tl, Mwever. IM buNi�q w enpovemeN m edd wil�m me yeer al wmpblion. IM
o.,�«ewa...ui n� ina w� a wa+�v ne «.ne e�e m aad o. Mo�+i« we amd. d.�). -
❑ I. n oxnar d Ihs>wMY. am mda�tlY muree�q wuh tioemW <mvectae m mnW W IM Pqb (Swion ml�. Bus'vaee eM
PMeaeiom Cade: The Corurmaa Licenae Lew daea m eVNY ro en owner d O�O�Y wfio bulG «'vnD�'se �Mraon uM v.M
canVecie la wM p9�+ xilh e mrorarlMa) licsneed pusuua to the Cwv�aens lioan+e le�w). �
� I em uemq uMx Senion: B. 8 P.C.. W Ne ieeaan: ,�
Dele: p�� �!� �
I eo heroby eeNy ihat I em ewara d vd uMentvM �he �aVul�amw+d Gollamie Ibetlh eed btlary Cade Sed'am 25505, 25539, eM
255�a. vM iAel I a enY Mum briMvq owaqeni wYl / wA na (drtb aa) neeE b eanWY wih uid qtls mda� vd th eeWfremsMe br
aPe�mitlamnaWetbnamodilrmionhomlMAi�ueG�y vepeniauOiYritl.ReeideetliNmutiutloneparalbmmamanptmmNoss
ao�,�..
oae: Md�:
WOflNEN'S COMPENS�TON OECWI�TON: I herab� Mvm uider peWy d pe�uy one W IM Io0ox4q Oadertliom:
� I Mw vd �M mmMen e un3ra�a d oamnl to wtl+emva b wvken' ampsruion. n qaideE br by Sedian �)OD d iM leba
Code, la ihe po�ormerca o/ Ne rak la which ihu prmu u inued.
� I ha�a eM xii meimen v.oMen' wmM�ion irwrerca. n�N��ed b�' Satlian J]00 d pie lebor Code. br IM O�m� W IM
X wak lor wAitli ihw M�� b mued. My rcAm�' mmW�+mbn "vmuence wrier eM OdKY �wmbar ms: .
Carda ,��nmo nrnm EXPIRES
°a""""m°°" 04 /O1 /98
mh..aia,�«dnae.m+raw.arwv��em. !s o..Ws.)
� I cMh' �� in Ne perlwmence d Ihe wark br r.fikh �his permd is u�ueA. I tlWI nal empby enY G�� In ury mv�nx so ee io
become �ubpa to tM xoM1me' wipa�me�ian lews d Cefdmie. W epns iM ! I Jiwld Eecmw wA�erl lo tM warlmr�'
cwnwnsetbn w��/u�na 4a s«fian s�ao d �na lemr code. � eneu /tonJnwnn em�,W w�en( �uiw. poWwna.
/ Dme: �.'�/ / y_� MdcaN: 717A-C1— V. ��
Weminp: F�Nun ro�eYn worken' eompwwtlOn ewerp� I�YnNrNIr �d MuII su�/�el N�mployr b CrIMNI p�n�ItlM �ntl
nHi nnu w ro om mnerw �nou,.ne eaw. lsirct000A �.maon ro m. cw� or wm��uon w�ww. u aAvm.e ro. �n
9�ctlon 9103 0/ Ms Le6or Cotl�, IMw4 Ntl �rtomryllw.
CONSTNUCTION LENDINO �OENCY: I heeb/ elfirm wMer pe�elry d perjwy Ihet ihaa is a wnA�utlion Wdi�q epricy M tM
p.no�meMe d ine .An� e«.nia� m: v^^^� m e.uee (s.aom m�. e:. el.
LENDEH'S NM1E
, LENDER'S AOOFESS:
I cMiy ihet I heva reed ihe epplica�ian W mele Ihet Me ebma intametion is mrtad. I piae lo eompy Mil� M dly eM counry mdinanoee
eM a�ale laMe �eletM to Euik�q [mLrutlian ud MabY eWvcs nV�eMm d Ihe rYY b atls uG� tM ebove�meiYid�ed pape�ty
tw impeaion Wrpmes.
BOH WILSON
om,: s s� 7�
(5151�IB.WP) While-Buikiq 8 Salery; GreeR-Fib; Cwuy-�ppfran�; Rnk-Rarmw: GddenmE-A�mnor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: E 083994 PLAN CHECR NO: N
PERM NO: E 08399
GOVT: N SUPP: N
CONSTRUCTION TYPE: ; PERMIT TYPE: ELE PURPOSE: ADD
JOB DESCRIPTION ; 9005F FAMILY ROOM S BEDROOM ADDITZONS SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: REF:B-83993
�it�r�r�r�ar�r�r�x���t�tit****�ar�t�r�r�rit�t�t�titit�tit*�r�t�r�t*x���r�x*et+t*+tx�r*�rxar***�r�r*�t�titar��r�r�rar�ritit+r�rit*it+�
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
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11737211 ZNE: REF NO:
PLANNING NOTES>
i G�
ik iF 3E iF �E iF �k i! 3k f!!F 1f iE ik it ik i4 �k ik fE fE �F'M' if 1I' iF �F it 1t ih iE 1k �F il'�'1f M if 1E if 1k iF ih ih if i�' ih ih'1f iE ih'1F M il' iF 3f ik if if 3F at iF if iF 3E iF if i4 ii' �F it iI' ik M' �f iE'lf �1E iI' ih
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 HY
il�fffffifiEMMifitikifif MMMitfFffikM
LEGALIZATION;N
BLDG PMT
PERMIT
F E E S U M M P. R Y
PLUMHING ELECTRIC MECHANZC
66.25
SOt
FIRE
DATE:
DATE: ( �)
if�FlfifiFiEifN 3tat
STRUCTURAL EGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PLAN
ZSSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECH TOTAL PAID DUE
TOTALS----> 66.25 22.00 0.00 88.25 88,25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 88.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
88.25
1h iF 1k it iF �lF iF it if 1E �f N 1E M iF iFlF fF iF if fF iF if M M it �t M M iF if iF 11� it iF it 1h 7F'1h'lf 1F 1E M�h M if ii K%iF iE iF 1t M if 1F if if K if iE �f iF iF ft iE il�'1F K a("lf it af' 1F iE if if iF iF
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
ELE
ELE
ELE
ELE
10 FIXTURES, LIGHTING 1 ST 20 EA.
20 FIXTURES, LZGHTING ADDITIONAL EA.
6 RECEPT/OUTLET 1 ST 20 EA.
10 RECEPT/SWITCH 1 ST 20 EA.
1 SERVZCES BELOW 600 V 6 HELOW 201 AMP
END OF FEES
1.00 10.00
.65 13.00
1�OOe--� � 10,00
., �, ��� 1I pt',e27.25
0 ' , ql p
JUL 31 1997 d..�
CIT.Y OF COSTA MESA
,- r�.
__- � • ,
CONSTRUC7�ON ANDPLANNING POOL .PA �
APPROVALS Permit # Dete Inspector pppROVALS Permit # Date Inspector
�
t. Temporary�Electrical Serviceor Pole 52. Pool & Equfpment Location . I
- 2. Soil Pipe�Undrgrnd. - 53. Steel Reinforcement � ,
3;'Electrical Co�duit Utility-Undigrnd. 54. Forms ' �
" �4_E��cirical Conduit•Undrgrnd. 55. Electrical Bonding
��'5�Steel Reintorcemen{ •- 56. Rough Plumbing & Pressure Test
- 6. Electrical UFER:Grnd! 57. APPROVAL TO COVER•GUNITE �
„;7..�Footings � � 58. Eiectrical Conduit�Undrgrnd. ,
-�.8. Foundation ... - 59. Gas Pipe, Cl Undrgcnd., Test '
9. Wa[er Pipe-U�drgrnd. � ' 60. Backwash Lines, P•Trap, �}lndrgrnd.
10. Structural Floor Svstem • 67. APPROVAL TODECK �
11. Property Sewer l.ine & 4ouse Connection 62. Backwash & Receptor-Pinal •
12. Sewer Cap ' �, 63. Heater & Vent�Final ' . �
13. Roof Drains ' 64. Plumbing System • Finai
14. Rough Plumbing .� 65. Electrical�Final
15. Rough Electrical-Conduit - 66. Solar SYstem�Final ' � � •
n -
16. Rough Electric Wtrin§; � O� _ 67. Fencing & Access� Approval ,
17. Rough Wiring Sign � .� 6$. APPROVED FOR PLASTERING � �
•n �
1fl. Roogh Electriwl:7 Bar Cei�ing' - �. �"' . �
� 69. POOL/SPASYST6MSFINAI �
79. �Rough Heating & Air Conditioning � PIRE DEPT. REQUIREI4IENT �
- ;�. -r��. ¢ ; �.r� +
20. FlSpugNFa�ory�FireP�ace ' �.� .� S � ="F ",pPPROVAI�.��;, �Pe[lnit# ' � ;��,.�
21. Ducts, in Structure.' , ;'.: � t > �� a� i70. dndergiaunci H�iro '
r
22. Ducts; Ventiia�ing �--! • � ..� .� ¢�f ,.77, product.Piping �Gae L�.OiI ,
23. Gas Pipe�Rou9h & Test i �n � ^ L � 72. UndeigroUhd FIusO� � -
24. RDof'Framing • � + ' " 7 ^ t �73� Undergrnc�. Stora�iTank �1 Gas ❑ Oil'' `
25. RootShea{hing -, : '�, �� '" r =� * 74 �Overhead Hydro_• a
26. T�BarCeiling (Structural) & Monocoat �' _ '�� = 'j�" 75::Dry Chemical . � � " - ' �:� :�
27. Frameand Flashing y -._ � �, �� �+A 76�Dry StandpiDe [-1^ .i � -�i-� -
-28. Lathing &-Siding - _MF f % ", •',� 77'?� FIXED $YS;iEf� �INAt; _1 , , �z:T - �• 1
� '
'�29. Insulation . ' - �� �� ' � ��� � . 7$`.FIRE PREV. FINAR. � _ .- �
30. Drywall NAiling � r F ' .� �HEALTH'D�Pir: REQUIRE�MENT ;
,31. Plascer Bro�vn.Coat � - - ; � 79`.IFINAL IIVSpECTiDN. ,: " ti, -
32. Electrical�Powef Meter�Final ' �,0� " '_ '80.�POOD CERTIFI�ATE ISSU�D �
_ -
'� _� t R. j . .
..33. F�rnal�lectric • � , � , - �Notes. ..y j�� � . -_ � , ��r.
y34. Final�Heaiing & Air Condtioning= T, A - ' '� �� � - � �- . �
- t r
�35. Finai Gas Pipe�fiest �� _ - , �' � '`F � • � � ' ' � ' ' ` ' ' - _ � - �- -
!. -� 1 � �f ' YC -'�+ � � �.,
:-36. Hoodlor GanoPY . - � . - - + �'� � � ? �-i : � • � � - '
- 't �r� 7:" J'�� �f� I .T�
• • y f
_;37. Fi'nal�Kactory Firepla�e-' = T " r ' ,�. : r ��� - --
� �'- i
,38. Final Plumbi�9 �� � - + I ,k - ° ' - ---
.r �� �
��'39. 1Nate'r$ervice�Fina{ � `. �� ' , '� � ` ; ^ ` ' . � K; � �
=.,40. GaS Service•Final } -.. G:. - S ' n. ; r -� • .F • • . � .
. -
�'41. Solar porPestiaFinal• � - . ` . • . " � ~ .
*` v . : �
�42. Backflow�Pre�enter � � � • � - �� F- - � -
� �n n
. 43. Backflow Irrigation ' � -•- ' �` ,� X'� r � . . .�' � �
r r 7: 1
�' r _ . '
44. landscape Irciqation Syuem : - - � .+1 _ '7 _t t � ' � , ,C� _ 1- ' � ,
� t -
r �
45. $ound Attenuation � - �'� � - r � , �' y � I •
46. Handicap�Regulation; _ ' � -� � �' '
a � 7v � � , L
47. P1NAL STRUCTURE & BUILDING ; : _, a ' - * F. � �
t
� 48�. FINAL PLANNING > ' ��, i. 't �- •+ . • �
, 49'. ElectrtC Release to Edison ' ' - � � '
� t � t
' 5d; Gas Release to Southern California Gas Co M � - " - • � _l ' ' '
. ,�.
51i CERT}FICA7E OF OCCUPANCY + _ '� ' � - i - -
No. Date i
•oow�s a emiowo: q g 9 E 18 TH S T
O�YNSfiSXFYEIFIQMlM: HOUTEN, JOHN R
"°°"� 499 E 18TH ST
COSTA MESA,CA
�vr�. �uuxo �ooxEss:
UICNRECT ON QltlNEEP:
��:
92627
uc.no:
urn:
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: M 083995 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: MEC
JOB DESCRIPTION : 900SF FAMILY ROOM & BEDROOM ADDITIONS
CLAIM VALUE: CALC—VALUE:
PERM NO: M 08399
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT:
GROUP OCC: R-3 /
ca+m�crarsxu� gOB WILSON AND SONS ( 714 ) 696-1740
COHf""�0��""�Q 485 E 18TH ST COMMENTS: REF:B-83993
�oo�ss COSTA MESA CA ucao< 377487 �**�r**x��r�r�x�***�rx��*�*��r��rx�����r�*�x�r*�rx��r*�r+�+r��r�+�*�*�r��+��**����**+��**x�r**��**��r***
9Z62'7 01R Z O N I N G R E Q U 2 R E M E N T S
LICENSE� CONfNACTOflS DEC��p�T10N:�1 hereby eflim uMm pereYy d parjury thet I am licemed umbr povidau d GhyMx 9 S E T H A C K S
(mmmenaeq xilh Section )000) oi Drvisbn 3IN ihe Buei�ee enE Pm(esaone CoQa, uW my license ie in tull lwca uM eHeG. -
cmuc.r+o.:025966 uc.cuss: B uc.r+o.: 3774$7 EXP: F12/97 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
oma:��3 c�� `�✓ ly //��.�d.eH FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
OWNEHBUILDEN EClAfl4TION:lherebyffifnmunderpnelyalper'ryrythmlamuemqlramiMCOMirfaaLioemelewtnlM LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
I011owin8 re%m^ (�ion )OJ1.5 Buenna eM Prolessione Cada: Afry ciy a muMy xfiidi repuirae e pemiil to mnewn, eller, impro.e,
damole�, or repei eny abucWre, pnor lo do 6auence, dao ropuima iM appliranl lor cuch pwmit m fila a ei0� eletemeM Mm he a sM PARR I NG REQ : P ROV : PARC EL : 117 3 7 211 Z NE : REF i�0 : .
ia licensed pweuem m the pm+done d Me Conlreawe Licen» law [CMqer 9(canmendip xi�h SW on )oao) d D'nebn 3 N 1Fr p LANN I NG NOTES > �
�ueinea eM Prahroona Cadel ar iMt M a eha v axemp ih>elewn end IM Emia lor IM dbped eKemqnn. MY+blelion oi Sedion � •�
031.5 by any epplicent la a pmmu wbjeqe �he eppliceN to e tivil penelly d ml mora �hen INa huMrad ddlen �SSW�. ��
� I.ssoxirrd�hepopenY«myynplqasvWhwaW^eatheieobcanV���.NIdolMwork.vd�haeNCM1inenolmta�deA �11�F1tiklf�iflfifififiElkiEifffifiFiFiFikif�FlklFfEiEititifikifii�kiFiE�Fif'�FiFitikiFiE�fiffE�EiEitiEMiElfiFiEiFiFiFifififififlfifif�EifiEifikiEiflFiflFiEifiF
aar,,,cr,,.w,�s��a.,e,xi�,b,.,,,,ea�r�c�;Tn.cw,�a�u�».�.m..�aecqr�o.�o•�«dnw«ri 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'P S
wM buida a inpmves Iha�eon. end xfio doas such work 1imaN1 a henetl a Mrpph h'v or her oxn empb/eu. pv+ided IIW wch � �'j �
impewemeMe ara M imerdad or dlred la seb. H, however, ihe Wikirp a'enqwemml u edtl wilhin ore yaer ol aompblion, Me
owrror-WiMer will heve t�e burden d pmvinB � a ehe did not build or improva Iw iM WNa^ d eale).
❑ I. m o�mer d tne ProGaM. em mdiiaiwlY oonlrad'nY wiin IicanxE conVeciwe ro wn+vutl tM qd^a (Seaion )w�. Busimse md
Proleaiane Coda: Tha Comredav liror�ve lew doee na epply lo en ow'wr d papeny who builds a imqwo therean uM who
conirecte lar wMi pqetls wilA e mMredor(e) IiromeE pinuem �o tM Conleetlon Lienae lewl.
� I am memq urq« Secvbn: B. a P.C.. br tNa �eaaon:
Dete: �K
I do hereby eenily thet I em awere W yy uMareteeM iM reQ�iremenb of Cel�omie HaeXh aed Selely Code Seqiona 25505, 255�3, vd
zs53a. ene tnm I«eny M1nure Wilai�q aaupem wi�� � wil na (d�de me) need to wmpy wIn aeN uete mEm e�M ihs raQuiremaMe br
e oermn lawnn'uctbn amodifKqtion hantMAi-GueTry .�v�epemeN Diqrip. Rsudmiial mnatiudion ePG�iamenexomV�irom tMu
Deb: ApWiceM�
WOPKEH'S COMPENS�TION D��upArION: I Mreby elfirm uMer penMy W pe�jury one d tM lollowinp Aetleretiom:
� I heva end xitl meiMen a ca���pe d mnsent lo eeM�ineure br workaie canpemmion, n 0�� �or by Sarlian 3)00 al iM lebor
coa4 �« �ne oenomiv�ee a �ne woek ror w�:cn ml, pemin m iss�ea.
�1 M1s�e eM wil meinteii xwkm' oompnae�ion ireure�. +repuinE Ey Saqion 3)OD d Na labn Cods. br tM prbrmerce d IM
wak la whiM thia P�� b iwueE. MY wvlmn' oomVe^�ian ire�vance cemer eM GdKY wmber ms:
°811Bf �T..31T8 SUA]D EXPIRES
vaevr+�mw, 04 /O1 /98
Trs�nb��o.d�waa�Waeerm.o�a;e�.wren�� ��Isioniwb,..1
�] I cenily Ihet in ihe pMamqnes d IM waek lar wTch thia permn ia evued, I tlell M employ e�ry pe�wn in eny menmr vo n to
becane vubjed to tM workere' can0enm�bn le� d Celilanie, uM Wree �Iw tl I�hwk becwre mAib to IM xo�te�e'
pemmm w� d swon s�oo a me lebrn cme. �.ne�� �mnwan oomoN wan mo,. poviaiaro.
om, �/-.��� 7 ��: -�-�. �9. r.�/.�.�.,,.
WaminD� FalNn b ixuro worhen'rompslustlon rovsnps l� unYwNl, aM �IWI �ubJec! en Mnployx ro ulm�nNpinaNb antl
C/HI flM� up b aro hMdretl HpYHnE AWbn (S10qPP0), M eWltlon ro MI ewf O/ rompxuetbn, Gmsps� tl poYltlsd /oI ln
Srotlon 91Q6 0l Me LeborCodq Inbn�S anJ efromsy'i /wx
CONSTHUCTION IENdNO R�ENCY: I MreEy Nf�m uMm penelry d psrjury thm tMea u e aon9�uaion knEiry epenry br tM
perlormerce d tM work la which the pemil h"esued (Seqion �041. CM. C).
LENDER'S NAME:
LENDER'S ADDqE59:
I ceniy thet I heve reaE ihis epplip¢ip� end atele ihe� �he ebove in/ormetion c corteq. I ep'ee lo comply wilh dl dry eM oouny oNii�aw�ee
end stata lewa relalin0 �o buiMNB cmnrudim vd hereby eulhor¢e represanietivae d ihis dly lo emx upon the ebwe-menlioned pmpeity
brinspedion purpoaea. '
BOH WILSON
��.L?�/�- /L/_�./-�i11/V Dets:�
� s�aoemro d owo«ieo.�unvoi��vcom�ao,
(S151de.WP) While�uildip85dery:Gree�b;Cvwy-/.ppirail:Pink-Re�enw:Oddenm�A+assv
'ZONING APPROVED HY DATE:
--'�
iBUILDING APPROVED BY : `^''�>� DATE:
APPLICATION ISSUED BY: �u DATE: �
ikifiE�k3hikitiEiF1E'1h3E1F�Fifik'1EiF1h�1f1FiF ifiFiFiEiEiFiFiFIFiF iFiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25.50 „
253 SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25.50 22.00 0.00 47.50 47.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 47.50 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
97.50
'1! iF iF iE iE iE if iE iE �F iE �E �F ik ik if iF'1E if it if M iF iF iF ik it M ik iF i! iE 1E �F 1F it if iF �1F 3! iF if 3t if iF il� iE 1E if if if 1E it 1E'M'±E if M if if iE iF 1E iF i13f iE 1E iF ih i(' ik if iF'1E iF'1F if iE
I N D Z V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N
MEC 1 FACTORY FIREPLACE
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST
MEC 1 VENTILATION FAN CONN TO SINGLE DUCT
END OF FEES
UNIT COST TO'PAL COST
9.50 9.50
9.50 9.50
6.50 6.50
. � �' �-;1� �r. �j ;�� � `"
''I,';1t� e7 •.�-'
"����L 3:� 1997 ''� 4
c�, �F e��c� ��.�
�
CONSTRUCTION AND PLANNWG ' - POOL. A
, APPROVALS Permit# Date Inspector APPROVALS Permit# � Date Inspector�
� I
1. 7emporary Electiical Service or Poie ' 52. Pool & Equipment Location• I
2, $oil Pipe-Undrgrnd. R' . - 53. Steel Reinforcement .
°3.;,El�ectrical Condui2 Ufikity-Undr,grnd. . 54. Forms - II
=:4. E�ectrical Conduit�Uridrgrnd. � �55. Electrical Bonding � I �
r- s.
_,'S._�Sieel Reinforcement _ � 56. Rough Plumbing & Pressure Test I
1.6.��IectricalUFER:Grnd4 � � . 57. APPROVALTOCOVER-GUNITE .
, �.,, . � K. �,
::,7., Footings '' - 58. Electrical Condu(tFUndrgrnd. I �-_ '
��c8. Foundation •. - . . 59. Gas Pipe, � Undrgrnd., Test - I
-. .
� 9. Water Pipe-Undrgrnd, t, r�• . � 60. Backwash Lines,.P'-Trap, O Undrgrnd . �
� . � •
10. Structural Floor�System ' � � 61: APPROVAL TQ�DECK
t t. Property Sewer line & House�Connection � 62. Backwash & Receptor-Final � I
12. SCwer Cap "' - .� 63. Heater & Vent-Final I� , �
.y
13. Roof Drains . � 64. Piumbin� System -�Final �
' 14. Rough Piumbing: � M � � 65�. Electrica6Finai I -�
15. Rough Electriwl�Conduft . . .�. 66. Solar System-FinaL I • �
16. Rough ElectricV�iring'.; _�� . ,�_ 67. Fencing & Acce'ss Approval �
17. Rough Wiring Sign � ' y _ "-' � 68. APPROVED FO�R-PIASTERING� I .
18. Rough Electrical-T Bar Ceiling' � � , � " ' � ,
69. POOVSPASYSTEMSFINAL I
19. Rough Heating & AirYConditioning -- v -FIRE DEPT. REQUIREMENT -
� _ #
20. fjough. Fac-tory;FirZpface «^;�; �� �_ -i �, � '.qPPRdVALS-�` Per''mit # � ' �� ��
�.. •�r
21. 6ucte: in Structure- i � .. .. '�' � ' � � "' � �` ! �
�-+� = � �'_� �70. Underg7ou�d Hydro K
22. Quct's�,'Ven'tilaang�:•`, ' :�- ` ,r " a'K� �71. ProduciPi in O as G�Oii I
� i. ,� � �'7 1. .. . 1. A� 9 C3
23. Gas Pipe�ftou�M & Test i =_ ti ,+ _ � r . � � ` � � I
+72. UndergrcFu"ntl FIus15� �a
24. Roof"Framing�' ' ��' � `''�` ' �� % =� '-r ^�" •>732'Undergrrrd.Stor'ay4•TankFOGast00 �-�
�-, �!: ;., ra.f J
25. Roof$hea2hing a�, � , �;. � - ,v.i+ 14. Overhead�Hydrd� '
1
26. F'Bar�Ceiling IStruct[iral) & Mon,qr�pat ' �� �� r�. 7�'_ Dry Chemical _, J t`' `� .I" I
27. Frameand,Flashing;f ,j�x ±� :- N �.�� 76.�DryStandpipe !-�� � y �� - -
•-28. Lathing &-Siding r %� ;?�= � K �� ", ",�' 77,--j FIXED SYSTEPA�fINA4 , '` �: �
'29. Insulation ��"" ...• '� i: T � 'i 78�. FIRE PREV. FINAL t•'� -- l'� '
'� 30. D�Ylvall t�5iling T� ��: , j �� 'HEALTF(�DEPTI R'Effd' IR�MENT
`�31. Plaster Brown Coat K s i m_-. i � �� �79� �FINA� INSflECTIflN . J �• ;;
'-32. Electrical Power Met@r�Finai � � ^-' � �� ' �80'7FOOD CERTIF,ICATE ISSUED � � '-'
.. � : .. I �' r. �TI I 'c . !'1 -_ a '
.-33. f�nalTEleciric; } ,r, i a; .e � �.: �Notes: y ;.• t' _ ,IT��!� - I
�=.i34. Einal:l-�eating & Air Conditioning; S . � � �r r S '.5 � � � :> I'" ' '
_ .� - -. Y�q �, , ., , -.�� .
�'" i- 7i o � .! i i : :. � . . :_ , J
.35. F�.inal`Gas{Pipe;7est ,; �. , ,� , �,� � _,;_ �;. , ; �� :N�' r.*
,�36. Hood.or CanoPY ±: -,`� � ,. -- • r �-. i;: - _. '- _ ' :K � � � ,, .:, �
%� rs'-n k I rr `:i TG 4-n ?' �_ +'
c n �r � Y . t �J , �
-37. Final`F.acjnryFirePlaice� _ __ w. � _ �� ' •
--38. Final�P.lumbing # � +� ` ` - ' - ° � '� _
. � � �, F
��39. Water�Sery.ice�Final w � ' '. . "� � ,,- �. _ -;.''� ' � •
� ,� F� _ �
ti40. G85 Service�Pina� , d-�� , 1, t*� ' � - �.�v r V i.
n� c. a � �f � �:
:-41. SOlar pom3stioFinal'' `� l� V ' `' � � " ��-� � .' - I
, - r ir . ry_, M . _
r �-. ... . ..i �, y • ^I . .
� 42. B`8ckflow Preventer �.; -•� - '. ;: - > � '
.� '. -. _ . . � A !.� �. ? '-
�43, Backflow Irrigstion ! `• '�`-� ' 'i �'�' ' � � '�
i� • 1 h i ll � � 11
4A'. Landscape�lrrigation$ystem T' � ��; _ C 7t�� : � � � -:� ' =�� ' "' '
�r , �
45�. So � . .. `" e � � ._ _ � r -� y ^ �
und Attenuation :j ; y. , �� . , , �
�' -
I 48� Hardicap�Regulations� p .i: " c� :; •_ � � . ' �.
.v . i �. .- h r. -
��. 47. F1NAL STRU�TURE & BUILDING ,'K _ � ,. ;; � ' S �' I '
48: FINA`L PLANNING i �-+� + c f ' y -' I
.
49. ElecYr�c Releaee to Edison ' ' •' , ',` � ..
4 . T! '
50� Cz�s Release to Southern CaliforniaGas Co � ;` �� �+ _• "" i
� 51. CERYIFICATEOFOCCUPANCY^ � ; _ � - '
No. Date
� Aoe"�OFBNL0P10t 999 E 18TH ST
mvNeaswweiviv+owN: HOUTEN JOHN R
�°°"� 499 E �STH ST
COSTA MESA,CA
,wv�. �uur+o �ooxFsa
wcxrtecr on cxm++�x
92627
ua w:
uMr:
PERMIT NO; P
CITY OF COSTA MESA — BUILDING PERMIT
083996 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE; PLU
uM JOB DESCRIPTION : 900SF FAMILY ROOM S BEDROOM ADDITIONS
CONi""�'0R8NA�` BOB WILSON AND SONS ( 714 ) 696-1740
CONIRACTONSYYlWO 4 9 5 E 1 8 TH S T
"0°"Eu COSTA MESA CA ""'0a 377487
92627 u�^
LICENSE� COMPACTONS OECLIP�TION: I hsaby dlim �dx pmNy d pnjivy tlW I em feanssC uiAer pro.mvu W Cheqa B
(mmmmarq hilh Sxtion ]000) d Oimion J M Ne Bue'vieo aM PMmaiau Cotle� eM mY 4wms a in IW fam eM Ntetl.
CT/ LIC. NO.: 11C. CU55: 11C. NO.:
025 66 B �7748Z E�12/97
� om.: � � cummen: '�'�� �i �
OWNEN BUILDER ECLARATION: I haeby e1Nm uMr pam�y d perjury Ihel I am azanq Imn �M Catlmlon Limroe Lew la iM
Idb�vq eaa�on (Setlion ]W 1.5 &p�nas enE Pm/eaabna Codl: MY tlY a oounlY xfiiN �Wuims e W�mX lo Cauhud. eEw. imYova.
demdnh, a repv mry aNMues: pior b Ca'swrioe. ebo npu'vm iM epp4rant la aeh prme to Ne e�qneE WtennN Met M a Ya
o r�oenua w�,em m �ne a�u a uie eavema. lieema �aw �CheN« 9laomm«onu .un swun na) a aveion a a �ro
Busi�wae vd VrMesaiona COAeI or Ilw ha n Me o aammq �haeimin ud �hs Eem la iAe NbOb memqion. �^Y vidmion d Swion
]03t.5 Ey em� ecd� t« e pmma wEjem �he eDq+'� �o a dvil px�My at na mon �henlne IwM�M do0en �SSmD.
� I.eaowroedthepW�Y«mY�xiAwepa+mlMiwboomV�.wiLEothswk.WlM�miaursun4'vnrWeE
a oReeedla eeb (�� ��. Buairen eM Prdma'vu Code: TM Gwnrepws LYmua lawEom nd eppytoen ow�wrd piapMy
vM bdds a inpwas �Miem. ud wM doee euM wk FimaN a MnN a Wdph lo a hm own w^PM^m. Wa+� thr urJi
impwpnw ero no1'uqrded a altsaE la vab. tl. havws.lhe WYCirq a inqxowmaM u add rrilAin ona Y� ���. a+
mvmr-0uilder xill heva iM WrEm M pwirq M a eM dd ria WIM « impwe la iM purque W�ebl.
� I. m orms d �M papenY. em ssrd�wlY ewrmYq wuh 4cmmE mN�etlm b om�utl IM p4b.15saion ]W. &n'vw� eM
v�a�. coe._ rne cw�.na. ��. i.. ao.. m.po�v ro� ow�w a wwenr .no e�an a�« m«.00 eoe wro
�onvacu br wM popaa wdh e wureaor(e) Ikenesd punuant to iM Gonbaaae lioems Lewl. '.
� 1 em ammN �vtlr Seciion: B. 8 P.C.. tar Nb isnam: `,
om.: �:
I tlo hereM �M' Na I em eware d W imMnlaM Ns �epiuremew W Cdiarve Neelh eM Seh1Y CaEs SWbm 25005.255]J. ed
2553a, eM thel I a vry Mure Euiki�p ocapent will / wil M(arc4 ar) roM ro oompywih eed mna oodm eM IM �apwnmaMe br
apwmClamnwnionamoddmionhanlMAr�1.y %nqpmenDiantl. WridwW mrW�udionepphtianene�emqlmmNw
a�..
Dete: �Yd�:
WONKEfl'S CONPENS�AON DECLAN�TION: I Mreby elfirtn uMs penMy d paj�vy aro d Ns IOAow'vp detluelum:
� I Mw md rril meinten e cMA'cea al awenl b�Mli�uua b Maken' oompauetion. m prwidsd la by Stlbn 5100 tl IM leba
COM.I« �ha pMamviw d tlw wM ta whkJi Nu paemu u iousC.
❑ � neve e�a w meimen wo�ke.• m�w�� ���•�•. �• bc��+d M salm a�ao d u» �eno. coa.. m. �n. waorm.iw. d m.
X wwk la wNN Mu v� u musd. �M �orken' canDMwian imurv w urtix end V�Y NunEr ua:
ce�rim: ��rnTr rn�m EXPIRES
PdiyNumEr. 04 /OS /98
Rhk eecion mes mt 6s canckrea / Ns 0�^f ia la one �u Rloa a Iw.)
❑ I cMN �M1+� in IM parlorme�we d iM work M xfi'rh iM1is peimG Iv uvuaE. I WY iwl amplv/ airy prmn In eiry men�w p m lo
bemme wbjaa to �M v.vNaK mmpenutim ler.a a� CeIJaNe. end eWw N� ! I Jwuk bscanr abptl b iM xal�Y
comO�W ian Gmri iom d Swion 3]00 d tM Lebor CoJe. I Null I wil� canP�' � Wo^�^�.
o�,a: 7 s �ow�: lll._,l.a�.,
Wam/np: Fellun a�c�ro woAsri rompmutlon covsnp� b unbwN( nrC �bll �ubpcf m wnploysr b eNMnsl peniltlr mJ
e/vll llnu �p ro on� hu�drM Meuxnd tlMMn lSf00,000A M edY/tlon ro M� roal al rnmp�nut/on Gmep� n prvvlEM br In
Sectlon 9106 oI1M LeborCotle, /ntrpt. nW aMmry'a l�u.
CONSTNUCiION LENDINO AOENCY: I hereby ��m urMer peneXy d perWry �hel Ihsra i� a mmlrud'an bMi�p epency br iM
�n«m� d m. wax �« wnKn ma w�� a:ww (sw� aas�. cw. c).
LENDEfl'8 NGME:
LENOER'S �ODHE54:
I ceniN ihet I heve reaE I�is epd��^^ e^4 aele ihei tM ebove iMortnelion u romtl. I epme to cwnpN �h M dly uM cwmry adironou
end ewa lewe relalip lo buildip canelrupian end heraby eulha¢e npeeenlalivee d ihia cily to anter upon IM ebove�meMianed pmperly
�« ��„�„�.�..
BOH WILSON
�.21-G� v^m[:C.(�i.[",JiMi
� o,,,: z a
Sg�uwre W Ownarl/pmVAppYranUConvada
15t51�Ae.WP) Whue-Buikip85afery:O�ea�-Fb:Cenery-App5rant:Pink-Rewnw:(iddanm�Meeuor
CLAIM VALUE;
CALC—VALUE:
ERM NO• P 08399
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT:
GROUP OCC: R-3 /
COMMENTS: REF:H-83993
�r�r*�r*�r�r����rx�**x*******�rxx�*��r�x***�r�r*****�**�rx*�r***�rx**��r*x�rxx�+r*+r*+r�r*�r+rx*xx****
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 ZN
PARHING REQ: PROV: PARCEL; 11737211 ZNE: REF NO:
PLANNING NOTES> �
i �
M if 1F if 1t it if iF iFlf if �k iflFlt 1F!! fflf �f 1!'* ik iF 1Flt fE iF if M Ik iF iE 1f 1k ft iF iF ik 1f If if 1! ft ft 1F k.�41E iF iF M iE M fk * if M if if if iF if iF �F iF if %iF 1f 1F it iF iF ff �lk iE if ik
D E V E L O P M E N T S E R V I C E 5,�'„ R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; � ==� DATE:
. �=---_. _—___ .
DATE: � 31
****ac+t+e* **
STRUCTURA SE MENT:N
APPLICATION ISSUED HY:
r�*****it�t*rt*�t+t*�t�t**�t*�
LEGALIZATION:N
i_ .
F E E S U M M A R Y
✓`
BLDG PMT PLUMBING ELECTRIC ,MECHANIC FIRE SMIP/RES GRADING
PERMIT 60.25 � ,;
PLAN z5g ^ 0' � !r SMIP/NON—RES
ISSUE FEE 22.00 � ` Ji �
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAZD DUE
TOTALS----> 60.25 22.00 - 0.00 82.25 82.25 .00
REVENOE DIVISION TOTALS--> COLLEC'T•ED: 82.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC �' FIRE SMIP/TOT GRADING PLAN—CHECK
8Z.25 .
i . - � `'�
M f! if M 1(' iF 11' ik if �E 1(' if �f iE �F iF iF iF if� M ik iFlE iF iElf ik iE iE if �li iE iE if %�if iE 1F iF i� iE if K M iF M iF it it 1F M iF M 11' iF 1f iF if if if It M iF 1F M if ih ik if iP iF M ih if ah if if 1f it
I N D I V I D U A li '� 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� 1���jl UNIT COST TOTAL COST
PLU 1 BATHTUB �"' � 8.75 8.75
PLU 1 LAUNDRY TUB OR WASHER, �G: '� �8 . 75 �--•.;7 `;' pv< < 75
PLU 1 WASH�HASINHESET) � �� � �� , 8.,7�1' �ya�°"`'"''��""� ���5
PLU 1 WATER CLOSET ( TOILET ).' ;.�'� 8, f:7
PLU 1 WATER HEATER AND/OR, VENT.;-�"� 11 ., �'��9% 1
PLU 1 GAS PIPING SYS O END,li�F�FEESUTLETS 5. .���-� 5.50
.�v�,Q � 04�' ; ��TT�L OF GGSTii �'i��A
�'� '1�'��' -
��
• CpNSTHUCTION ANDPLANNING
' APPROVALS Permit # Date
i. Temporary Electrical $ervice or Pole
2. Soil Pipe•Und�grnd. . � r
34Electrical Conduit Utility-Uno'�r.yrnd. �
� -4. Etectrical Conduit-Undrgmd. .
.. r• �.r
,. 5._Sieel Reinforcem-enU� '
• .6. �.�lectrical UFER.Grndl „
.. _,...
"" J., Footings `- �
: ��
•l-_
� 8: Foundation - ,
9. Water Pipe-Undrgrnd. �
10. Structural Floor SYstem . �
11. Pioperty Sewe� Line & House:6onnection
�
12. Sewer Cap " z
13. Roof Drains .
14. Rough Plumbing; .r "' .' � Z�j
15. Rough Electrical•Coruluit ir : .
16. Rouqh Elettric W,iring � '
�
77. flough Wiring Sign � �� ,
18. Rough Electrical _7 Bar Ceiling� .
19. Rough Heacing & Air Conditioning - -
20. Rough Fac,tory;FireP{ace �=*� V' '. ',
�l Y �:
._•. �..
21. D:ucti,�in �tru4Kure`.�t- .. .. v ,
22. DuMs; Veritila��+g;� i � - ��� ,�
i
23. Cias Pipe�i�ough.& test � �r., �� -; �
24. Roof Framing " ' '��- + r !
i �
. :i�
25. Roof Sheathing � ; _ ��� �
26. T�Bar�Ceiling IStructdrall & Monornat i n
27. Frame and„Flashing' � j� y �..
�-•28. Lathing &=Siding �'+ .. •_ �= x t' �
i. '!r.,
.;, r � .-� .. .. > a m
�'�29. Insulation � g . r
''30. Drywall N3`aling Y �
�=31. P�aster Brown Eoai � ��
+. cJ, . .r� �r :
�32. Electrical Powei Me2erfanal �� � * 1'
-w33. F.�nal£lectcicti -� i 'r * �
.,34. �ynal*9eating BeAir Gonditioning•si i `
^35. Fnal'GasPjpe;`�est ' � ,- ; �
-36. Hood�or CanoPY - -� �+ i' C�
�37. Final Factory FireplaFe "- � _` ' � "`
38. Final�.Plumbing k �c. ' - �Y/y$
_�
�39. Water"Serjy�ce�Final Y � ' � ,S
40. Gas Service-Final .. . , �;r��-• s �i �t
..
�41. SolarpomesticFinat` 5 ��� • * ='
f Y, ;
� .V
~42. Backflow�Preventer . �: "
43. Backflow Irrigation ` �� -
:. .l'
44. Landscape•Irrigation System r= ^� x-n �
45. Sound AttenUation � ^'' • ` �-; '
-� . . z
46: Handicap'Regulations ` - �
47. 61NAL' STRUETURE & BUILDING " H
48. FINAL P�AN�ING � i.' =- y.:
49. Electrlb Reiease to Edison � `-
�
50. Gas Release to Southem California Gas Co +
51. CERT�FICATE OF OCCUPANCY i
No. Date _ ._ _..-
POOL h _. A
Inspector AppROVALS . Permit # Date inspector
52. Pool & Equipment Location '
� 53. Steel Reinforcement �
54. Forms �' � � .
55. Electrical Bonding - I
56. Rough Plumbing & Pressure Test � I -
57. APPROVAL TO COVER-GUNITE I '
58. Electricai Conduit:Clndrgrnd. �
59. Gas Pipe, O Undigc.nd., Test � .
�, . �
fi0. Backwash Lines,,P-Trap, O Undrgrnd. �
61. APPROVAL TO_n.ECK � �
62.. Backwash & Receptor-Final � 'i
63. Heater & Veni•Final - � I .
64. Pluin6ing System - Final� . 'i
65. Electricai�Final � �
66. Solar SYstem-Fi,n��j� -
, 67. Fencing & Access Approval .
' �68. APPROVEDFOR'PIASTERING � '
69. POOLlSPA SYSTEMS FINAL
- - - FIRE DEPT. REQUIREMENT
y �- r�..ra - x � r -^ . ^! -
_ ='.' �� �APPfi�iV1�L� y�Pe[�nit# �� Y � - -'•-7-•
, . r-+.: A
7�-.s i70. UndergiUvrid H'Hro r
-.. �
:� �; L71. Produci-Piping�C�ias C�OiI
S C.� �`72. UnderqroUnA Ftust� � j
_ �,
w,_ t; 73' Undergrn�d. Srora�i!_Tank,'C'i Gas ❑ Oif"I "`"' `
> : �.. �74.jOverhead Hydro � t i
7 .sl ♦ � -� �. .. .: .� y'�. s 3 3 .�. t'.
,.; K 75.-Dry Chemical 1 ,,� , �y
-� � �i� '� ' �:c. a. .� . �.� • ..ir�
;� ;�.�: 76.�DryStandpipe p�.•.� .�. :.:_; c'��-�-
�,
" "t 77:., FIXEDSI'$`iEfv �IIVAt� �, �;� ;y,. _.:,.
� t;. 78' FJRE PREV. FINik�L < C• X �
_� _ -
� + -' ' HEtALTf�bEPT. R'EQUIREM�AIT "' � � `
�# ' �' L 'itL 1 � I `+ .
I �, : 79�.` FINAL 19�SP,ECTIQN �_ �� T �.-
� � -SOnF00D CERT FI �ATE IS�$t1�EDr, - " _ ' '
'n •Notes:C:.77s?A�^= /J.;,_ _.'�_ in;.a,/r�i�/^_ - .
e
� � ��3_�-� D_��� �� 1; ��
I �
� -�-i 'S t ~ I -
� x ,- x ;,, .. �: --
� �. » r � -
� �Y `..a '�� y ` I
I �5 1'i _ 1 �-v X , -
d J'.� :J
� __�GT-�.-
�:_ e _
� n e-1 � A
t i�,.. y. [ .- .. ; .-���
A k � •
- ` + r� : J : , .� � ' , -. - �_::
�f
�_ T .i �. 7 _ �� � ? � I
n �'1 + - T • - '
.t I. ' $ -t �J c r . I -.
Y
i . f ' I�' �. . `
� Jr - � f- � ' �
� ' i � a o �� I .
l
� i - � a _
: � -i - t . �''
. ' ' - .�;` r _ '.j � .
_ - ., I. _ �
`l
AVP���ant to fill In all spaces excao� tnose within heavY �oreer Iinas ana sign all ao0/oo/�ata tlaclaratlons.
PE IT NO. TRACT Np. LOT NO. UNIT NO.
CITV OF COSTA esa CONSTRUCTION PERMIT i�' -� �ri�n� -� �—, /1 .-. A.P. �W
I�j��t Address ^�� � • ��'� V : f �'. N/1. �iZG2 %
Applicant's �ling Addreu 5 � � �
Owner's Name -% o HN T• hK�CY�+G. �1 � J(2 chone S..Ss?��¢.�
Address Y99' LF� (�fl/< $f G. (�... �1'1G27
\
Aich/Eng. � k � N tZ= License No.
Address
Contrecmr's Nam hone
Address (mailing)
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby attirm that I am licensea untler provislons of Cnarter 9(commencing
witn section 7000) of Div151on 3 of the Bu5ine55 antl Professlons Cotle, antl
my Iicense is in lull force ana effect.
License Class Licenie No.
�ate Si9nature
WORKERS'COMPENSATION�DECLARATION
1 hereby affirm that I have a cerHfi<ate ot consent to self-insure or a tertificate
of Workers' Compensation Insurance, or a certifietl copy thereof (Section -
3800, Lab. CJ '- _
�licy No. Company
Certifietl moY is hereby tumishea:
Certifietl copy is fileC with the city.�Buiitlin9 Division.
Date � APOliwnt ,
EXEMPTION FROM WORKERS' COMPENSATION OECLARATION
(Thissection neetl not be completetl if the permit is for one �unOretl (5100) or
less).
1 certify that in th¢ perfo�mance of the w rk (or whlth thi5 p¢rm�t i5Is5Uetl 1
shall not employ any person in any a er so as to become oject to t�te
Workers' Compensalion Laws ot Califo ni
Date �n'�q^4V Si9nature -
NOTICE: N, atter making this tleUarafi , you shoultl become s ject to� the
Workers' CompensaUon provi510ns of t e Ldbot Cotle, you must torthw�th
comply with such provisions or tnis permit snall be tleemetl revokea.
CONSTRVCTION LEN�ING AGENCV
I nereby aHirm that there is a construction lentling agency for the per(ormance
of ibe work (or which this permit is issuetl (Sectlon 3097 Civ. CJ
Lentler's Name
Lender's Atltlress
OWNER BUIIDER OECLARATION
1 nereby affirm lhat I am exempt irom the Contractor's Licenze l.aw for the
lollowing reason (Section 7031.5 Buzineis antl Professional Cotle: Any city or
county whlch �¢quires a permit to conStruGt, alte�, Improve, Oemoli5h O/ /epalr
any structure, prlor to its issuance, alio requlres tha applicant for such parmlt
to tile a signetl s[atement that he/she is Iicensetl pursuant to lhe provlsions of
Ihe Contractor's Li<ense Law (CbaOter 9(<ommencing with 5ection 7000) of
Division 3 of the Business antl Professions COCe) or that ha/she Is ezempt
theretrom antl the basis tor Ihe allegetl exemption. Any vlolatlon o( Sectlon
7031.5 by any apP���ant for a parmtt subjecls the appllcant to d civil
-nalty of not more than five huntlretl tlollars ($500).
I, ds owner of tne prope�[y Or my employ¢e5 wlth wages a5 thei� So10
,npensalion, will tlo the work, antl the structure is not intendetl or�offeretl
Ior sale (Section ]044, Business antl Protessional Cotle: The Contractor's
�icense taw tloes not appry to an owner o( a property who bulltls or improves
lhereon, antl wito tlo¢5 such work himself/h¢rz¢If Or InrOuqh hI5 or he� own
employees, provitletl tnal such Imorovements are mt Intentletl or offerea for
sale. It, �owev<r, the builtling or ITprovemant I5 Soltl within one yedr Ot com-
pletlon, the owner wlll have the burtlen ot proving he/she aitl not builtl or im-
�ve for Ihe purpose ot salo).
I, as owner ot the properry, am exclusively contracting with Iicensetl con-
t actors to construct the project (Section 7044, Business antl Professions CoOe:
The Goneractor's License Law tloes not apply to an owner ot property who
builas or Improves thereon. antl who contracts for such oroieces with a ron-
t�ac[o/(i) license pursuan[ to tne ConVactor's LlcenSe Lawj. I aT aware [ha[
proof o1 lhei� Wo�ker'S Compen5a[,io.�n linsuranG¢ Thoultl be provitlatl to m¢.
❑ I am exempt untler Section ��.y�- B. & P. C. for t�is reason
Date w-�^'�
I h¢r¢by c¢rtl�Y I
Informatmn is con
antl state Iaws rel.
SCIILdtIV25 Of S S
InSpection purpo
Signature
Orlvers' License
0865-46, rev. 5/88
Owner
have rea
Ihe aoove
vtlinances
�ize repre-
perty tot
'ZY
�
,� TYPE OF CONSTRUCTION LJ NE�
❑ CONVERSION ❑ DEMOLISH
�ESCRIPIIONpF WORy(USE OF B
ADO OALTERATION
TYPE OF PERMIT L� GRA�ING u FOVNDATION �v�STRVCTU
�0 TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5�;. • oCCUaANC�
CONSTRUCTION TVPE �— VALUATION $ �
ZONE GRADING CU. VDS. ACRES_
Remarks:
Sink
Preventer
Irrigation
Clarifiers
Dish�asher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
Interceptors
Kitchen Sink
Lavatories
P-Trap
Roof Dreins
Reinspection Fee
/i
Service Sink
Sewer Cap
Sewer Connec[ion
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal �
Outlets �r Closet
Wacer Heater
� ' Water Service
Auto-Wesh
$15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. iC80 # �
Heating System & Ducting
❑ a� oo,000 sTu O i oo,000
� � I Reinspection Fee S15
White - BuilCing; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
laue Fee
Hood or Typel ❑
Canopy Typell ❑
i �geration Sys[em
U100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
S Main Bi
REPAIR E
T Front
8 Rear
A
I C Right
- K
! g Left
�_ Ping. Ref. #
�� Planning No
t
FEES P.utomatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switche5 '
Garbage Disposal
Generator �0.5 KW �5-15
$15
2one
Bu
Parking Req./Provided
ELECTRICAL
Transtormer ❑ 15-50 KI
❑ 50+KW
Meter lJup to 100 amps
Meter ❑ovei 100amps
Suh Panel
Motors �0.1 HP �1'f. - 8
Inc. Solar �9-15 HP �16�15+
Microwave •
�ole Light
Range
Standing Sections
Trash Compactor
laue Fee
$ 3 DEVELOPMENTSERVICESREUUI MENTS:
Zoning Approved By
FEES : Buildine APP/a�ad By
Application laued By' -
$ 3
O
N
I
N
G
R
E
Q
M
T
S.
FEES
$ 3
SUMMARV OF FEES ,�/`^^ti
BUILDING PERMI.T $_(�_—T�O�D SMIP f.i $ � cS�
PLAN CHECK $ `�=�',�G pERM1T �
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGY.P.C. $ �
i '^
. ELECTRICA� $ GRADING \ $ ,%� ~
'�� PLAN CHECK 50% $ MICROFILM $r Q'
' MECHANICAL $ TOTAL FEE $ +� � G
PLAN CHECK 25% $
��
0] a0Ui3;8S-A�OtS197 '3'��T
Oa7E= tD/31/8S 7i�4E: Zp;7j
3
�F,?f!
��� d POOL & '
ONSTRUCTION AND PLANNING � �t�i
� PPROVqLS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location �� �
I
2. .ioil Pipe-Undrgrnd. . 53. Steel Reinforcement j
, .. �.
'�. Electrical Conduit Utiliry-Undrgmd. 54. Forms ' _
i
, 4.•ElectCical Conduit-Undrgmd. 55. Electrical Bonding � �
5. Steel Reinforcem�nt 56. Rough Plumbing & Pressure Test �
6. ElectricalUFER�Grnd. 57. APPROVA�TOCOVER-GUNITE � ?� ,
I ,
7. Foo[ings ���g � 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 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � ,
12. Sewe� Cap - 63. Heater & Vent-Final
�
13.•RoofDrains 64.PlumbingSystem-Final�__..-- -�- _ _ '
14. Rough Plumbing 65. Electrical-F.inal �
15. Ro Iectrical�Conduit 66. Solar System-Final �
,^6�' RougY clectric Wiring . 6). Fencing & Access-Approval �
�1 � Rough Wiring�Sign 68. APPROVED FOR PLASTERING �
d8� RougFi,�lectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
,�9' Rough ,Heating & Air Condit�oning FIRE DEPT. REQUIREMENT �
`20�. Rough•Factory Fireplace rf APPROVALS Permit #
, �
,..,
21. Duc[s,�in Struc[ure `4 70. Underground Hydro
22. Ducts, �Ventilating ��� v.l! � 71. Product Piping O Gas ❑ Oil �� �
23. Gas Pipe-Rough-&;Test �j; . � 72. Underground Flush ' !
,24. Roof Framing � '�� 73.�Undergrnd.StorageTank OGas OOiI�
> ,
25. �F�oof Sheathing �; ,� /�4. Overhead Hydro
26. T-8ar'Ceiling (Svuctural) &�Monocoat � 75. Dry Chemical
27. Frame ahd Flashing � � 76. Dry Standpipe
28. Lathing &�Sidinq / ' 77. FIXED SYSTEM FINAL �
29. Insulation �!' 78. FIRE PREV. FINAL
30. Drywall Nailing �'� � HEALTH DEPT. REQUIREMENT
31. Plastei 9rown Coat'�� � 79. F.INAL INSPECTION
32. Electrical Power Meier-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric • I%i Notes: �
O, d �erb � /l
34. Final HCating & Air Conditioning �
35. Final Gas Pipe-Test �
36. Hood or Canopy � I
��37. final Factory Fireplace•� � �
38. Final Plumbing � � „/� j �
39. Water Service-Final � !�j; I
40. Gas Service-Final �
� � fl i
41. Solar pomestic-Final � ���� � ��
�. .
42. BackflowPreventer ' / ��� f� � �' '
43. Backflow Irrigation � �/, �'
44. .Landscape Irrigation System t.,�� � F� �
� �
45. Sound Attenuation ' .�• �(i �� �
`46. Handicdp Regulations ��� %'��' � .
v .�_
47. FINAL STRUCTURE & BUILDING , � �
�'4_ �
48. Special Requirements Completed . �
49. Electric Release to Edison , j j - �. �
50. Gas fieleaseto Southem CaliforniaGasCo ' i�! �`'�� �,.-�
51. CERTIFICATE OF OCCUPANCY ,'�� ' i� �'
' ,q i, �
No. Date . � �
ORANGE COUNTY BUILDING DEPARTMENT '� APPLICATION FOR PERMIT �
� SANTA ANAh WLIFORNIA � / � ' � �' L � � � �' �
FOR APPLICANT TO FILL IN FQR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
3UIlDING �/99��./�� S'�: C' NJ� �! �o �?z��
4DDRE55
ORHTOWN �ST� HARPER l,�,Yw�-' �.(t � RECEIVED BV DpI REC'D. DATE SIiED
NEAREST � 2
�Ro55 ST. /�f'!//NE 4�-�, (/� -� 3 /i— � 3
� „ —�� �/p
iL/... C�TnAI 1� L d/Q� BUILDINGi i//'i/'i,� %G // .�_
an
nooRess
....�DRESS
�STiy /�IES�9 N�
T OR LIC.
NO.
�oR U1vNE/Z ��c.
No.
S.�MF AS o �
LOT
�N NO. /O BLOCK I
METES @ BOUNDS)
USE OF I NO.OF ' NO.OF
E%ISTING BLDG. Fe�.nu[a ROQfI�
SETBACK LINE FROM: � REAR VARD ��
CENTER OF STREET �S SIDE VARD �Z
DESCRIPTION OF WORK
.,�.., �: �.,.�o.r,,.� �" �....,,_,,.., �
BUILDING /� �
SIZE �[/ �
EXTERIOR WALL
COVERING
��SE OF NEW •
'LDING
�
CORRECTIONS
C"�-N G � L—
FOUNDATION: LOCATION NSP CTOR
I HEREBY ACKNOWLEDGE THAT I HAVE REAO THIS FORMS. MATERIALS, \�,/ i
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING
AND AGREE TO COMPLY WITH ALL GOUNTY ORDINANCES FRAME: FIRE STOPS.
BRACING. BOLTS I
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT.
U
SIGNnTURE OF � LATH. EXT.
PERMITTE
� iT� ! PLASTER, INT.
AUTHORI2ED AGT. (/ ` p{JnER, EXT.
PEPM�i Fee E Js MASONRV REINFORCED
VALUATION $ O G Pun CHecK 8 I
BOND BEAM
O _� FEEA� u FINAL
IOM J.20.59
1
'�A7�
s;
. -I
STREET
i. �
�- _ _
�' :-.. . .' •
�-; � _ � .�: . ' .
. -,�
r � .
• � � ... � �
, - , � . . � . ..,�.�, r:•. ,
. . �. : � ,
'". • -. —. _". . ^`�
� 1
��.�, . ��%
-_ ,�, � _ : .� � �
_ .., .'�,l _�. . _
. '� �
;
. . :��-.�r: �`.
� - �'� - .
� � � T•� ;
- �
�• �--� .<, � �
. , -.a �I ��, � .
� . ;-. ,� � �,� . . '
.. = .
- - . ' � /� I^ .
' F�
PLOT PLAN ,
Show locotion and distances from ��
property line and between buildings.
- ;„�1 ta-7_rPA1D00 450# *���34.50
- tns
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicant to Fi/l in Completely qECE V D DATE RECEI o
�'yn /) DATE ISSVED
ADDRESS � `% � /V � CJ . " ��^� I I
I NIW�P !/V. ��V/V��/� A.P.NO. _ / PER TN .
OWNER �
BUILDING
MAIL ADDRESS �
Z ADDRE55 /�/I�
dU CITV ��`� ��jJs�1 NOL(�j?3� //,� TRACT LOT Q BLOCK
Z
Z Q CONSTRUC'fION W AD P
O N LENDER
i
am
J � BRANCH .
J N OWNEIi
m J ADDRESS VAL y �/,
m ARCHITECT . TEL SE $/��vV"
J a OR ENGINEER N.
V Q � � . . FIRE �
Z ZONE TYPE GROUP
w 2 ADOf?ESS �
�-w � APPROVED ^�!3.�,'7/ �
JO CONTRqCTOR G/I//Y�X��J///(,�d� BV DATE
m z y
J� ADDRE$S 'p
w w TEL. ZON NO.OF USE OF N \
� = CITV NO. — P�� BUILDING `
ZF
W � STATE CITV �'ARDS APGROVED YAflDS APPROVED
jO LIC.NO. IIC.NO. MAINBVILDING ACCESSORVBUILDING
(FROM GL T� . �
SI2E 1 NO.OF BlD('tS. �
OF LOT 6 L _/ I� j NOW ON lOT y RONT FT.
EXISTING BLDG. . C S I D�NvJ E � FT.
H SIZE OF � NO. OF � L. SIDE T. FT.
Z NEWBLOG,�O�(2 . .i � FOOMS � STORIES
EXTERIOq WALI ROOF q�,
�! COVERING �FDM.i�I� COVEFING t3V��OSIv1'�✓ REAR FT. FT. �
J USE OF gUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN BLOGS. ACCESS. BLOGS.
a
Q VAR.# DATE
Q �n�P�'N C.U.P.# APPROVED
NAPPROVED �/� �
z
�
VI hereby acknowledge that I have reatl this application antl state �
� that t�e above intormeiion is correct antl aB�ae to comply with
� all lawz ragulatin8 builtlin8 consttuction, antl I shell not employ �..0
F eny persdn in violation ot the workman's compensation luws of �A �
y Me Stata ot Calitornia. m
Z ,� ) '°
I hereby certi(y thet I am properly licensatl as a contractor under SQ. FT. o
the Stata ot Califomia Business antl Protession�Catle, Divisic� ✓ THE AMOVNTSHOWN UNDER VALUATION IS POR �
Chepter g, antl that such licenses era in full (orce antl effacyt!or 1 THE PUIiP06E OF ESTABLISHING A PEFMIT FEE ONLV: m
am exempt from tho provisions of the StatO of�Ca iforni�9usina55 �
antl Profe` N��i'i:/!� /%//'� VALVATION
Essions Cotle, Division 3, Cha t r•9.� (�y n
� 8� PERMITFEE $�� ]
Signatw� of /// , m
Pe�mitte "F - / �% g � PLAN CHECK $ �� � E
✓✓'� !/!/ p/'�/� ^�{
Authorized ABaM v ��" '� TOTAL FEE 5��/ �`� LL
.m�.,:.
l� :=.� 33956
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING � � � � —. , �+1�/�
2
W w /� ,
a Z cirv C�
F-
Z Q CONSTRUCTION
O N LENDER
am
J 7 BHANCH
J V1
a w AODRESS
m J
J m ARLHITECT
a OR ENGINEER
UQ
w � ADDRESS
aW
w Z CONTFACTOR
J Q
m Z
J � ADORESS
W W
�= CITV
zr
� � STATE
j O LIC. NO.
USE OF
E%ISTING BLDG. IIT/ G /
TE L.
NO. e
TEL.
F���
;Ec , 3-�, �w�, on bc�� �_� � � :.;.\
APPLICATION FOR BUILDING PERMIT �
RECEIVE B �D��RECEIVED �Z^�SUE7
�' � �
J �J � • PERMIT NO.
A.P. NO. / V � �
ADORE S �T �/ �. //(
OWNER
TEL. ZO NO.OF �
NO.
� PLANS !.
CITY �'ARDS APPROVED
LIC. NO. MAIN BUILDING
�.._.,�......... (F OMGLSTFEET) ,
USE OF NF
BUILDIN
� VARDS
r SI2E OF Q NO. OF
Z NEWBLOG. //X�6 ROOMS � STOFIES � L.SIDE FT.
EXTERIOR WALL� ROOF 6 A r�
V COVERING JT✓P.GO COVERINGASB�SSTOS REAR F /t'V
= VSE OF BUIIDING AND WORK TO BE PERFORMED DISfAN E BET. BET,
a S .rf. I! � T MAIN BLOGS. ACCE
Q / VAR,qW 'DATE
Q / � � ,F C.U.P. �W APPRi
�i
]
� a
Z_ . APPROVED�Q /3 De<.,�1 �
�
VI heraby acknowlatlpa that I heve teatl [his apP�icaiion and staie �
� thet tha above information is correct end agree to comply wlih
� ell laws regulating buildinB construction, entl I shall not employ
F„ any person in violation ot tha workmen's compensation laws of /
(A Me Srote of California � \
Z ' S
I hereby certity Mat I am proparly licensetl ss e contrec[or under S�. FT, o v
ihe State of Calitornia Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ��
Chapter 9, antl ihat such licensaz ara In full force and effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: ¢
am exempt from the provisionsof theState aNf rn(a ustness VAIUATION
antl Professions Cotle, Oivision 3, Cheptar . N
e PEiiMIT FEE $ � ] ��
Sipnetura ot - `��p •'-[� m ,�`j
Permlttee _ $ �'Y^^ \ P�.qN CHECK $�— E ('�
�ririr o � �
Authorizatl Aggnt �� � /� LL �
TOTAL FEE $ �