HomeMy WebLinkAbout650 18TH ST - Building Permits; � f • /
.lob Address: 650 W 18TH ST
Suite No
Vicinity: SHED ON WEST SIDE OF BLDG
Parcel Nunmber: 42424124
Status: ISSUED
Applied: 03115/2007
Issued: 03/15I2007
4
App�icant: MILLER, MARK
Address: 36311 VIA EL PAIS _ � - � �. �� �� ,. _ . _-_.. _, . - _ ISSUED BV:
�� ' �- % �Phone:: -909-699-7899 ,: -� �
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TEMECULA. CA ��!i �%.�-� . � � Zip:i 92592 � ��"� �
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� owner: GUNTHER, THERESIA��TR - : ' � �� � � �,��_
Address �GUNTHERFAMILYTRUST� "" , . - � ; � �� � l�� �_ �
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/ � �'OARDEN GROVE, CA/ :� ` � - - Phone:� � � �`�` � � �^ �; � � - � `��
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Contraclor:
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j�10562 TAMPION ST��� % Zip: 92843
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EARL-POTTS PLUMBING INC
; 36311,VIA EL PAIS �4=�
; /'-, /
. i Phone:"909-699-7899
TEMECULA, CA Zip; �-92592
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_ " � . "" SCOPE OF PERMIT • . ` � : ; ` � ,� � �
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� ' .� REPLACEMENT OF VENT FOR AN EXISTING WATER HEATER IN AN APARTMENT BUILDING^ �- - �'
_ . , ' '_� ., ' �� ' � , �
� . NO OTHER WORK AUTHORIZED WITH THIS PERMIT. �� �� � �' . . .
. . � _ _ ... _ '
�" - ) ����FEE SUMMARY � ,'.' ;�A' `�` � ;
AMT aTY. � -' 1 .: `.. _ `. AMT�- � . ` AMT ,��
ISSUE FEE $23.50 -� Laundry Tub / Washer $0.00 � 0�1 � Sump Pump $0.00 ��0
BackOow irrigalion $0.00 0�` Landscape Irrigation $0.00 �0� ' Swimming Pool ' i� %$0.00 �� 0
Back(IowPreventer ' $0.00 0 � -' P-Trap:^^�.�--r��� � �?-�$0:00�-�;�0�.�,��-„ TrapPrimer � ,.-,$0.00 -��0
Bathtub � $0.00 0 ,`- _--Pressure:Regulator-�-�--'50.00,;�01:` '', Urinal 'f%' $0,00� 0
Clarifier System � $0.00 0 � � Process�Piping.(perl0�ft) . $0.00� ''0�- -- - �' Vacuum Brkr Bkflow(1-4) � � $0.00 0
Connect pce,Soda,etc) $0.00 0 Receptors 50:00 i' 0 Vacuum Brkr Bkflow(5+), -$0.00 � 0
Dental�Units - ' $0.00 0 SepticTank �'$0.00 0 _ WashBasin � �" �.50.00 - 0
Dishwasher , 50.00 0� Sewer Cap for Demo ='_50:00�.� ; 0 Wash Basin Set� '��� �$0.00 � 0
Drain,Floor .$0.00 0 SewerConnecl ��$0.00 0 WasteandVentSystem ���, $0.00; 0
Drain, Rainwater .� ', �;$0.00 0 Sewer Privale_Line �a,:r>�.-. $0.00 0 Water Closet (Toilet) �- �$0.00 0
Drain,Roof , - '��$0.00 0 Shower_^�-,}"�'� " ��.�$0.00 0 WalerHeatei/venf��. $12.30 1
Drinking Fountain � �50.00 0 Sink,.bar�<�' � $0.00 „_ 0 Water Piping (Inst or Rep:) � 30.00 0
Expansion Tank 50.00 � 0 Sink,�comme�cial � " 50.00 ."0 Water Re-pipe ,` 50:00 0
Gas Eadhquake Valve_, � $0.00' �� �0 i "= �� . '-Sink; Floor . ,_` q0.00, .;- 0�:''.^�� ^ "`WaterService � � � . 50.00 0
Gas (1-4 outlets) $0 00 �=, 0 � Sink,�kitchen' � i0.00 0 � Water SoRener / i 50.00 0
Gas ROver�4 outlet )� �;,$0 00 "� 0��� v �- Sink, service�mop % $0.00 � 0. � �; OTHER � ' , �y' � � $0.00
p p � �� . Spa (pnvate)� ' � $0�00 ' �0 �/VIOL'ATION�/ �/ � $0.00
Gas Service � � : . � $0 00 � "�. 0 �,Spa (public) � o - $0 00 -�0 -`� � PLAN�CHECK / i/ $D.00
Interceptors (Grease, Oip�� $0 00 � 0 -- "� .� - - ' � ( REINSPECTION� $0.00 0
Interceptors (Sand Aulo-)' $0.00� � 0 _ - ; __ -_ - - �' V '�A j � " / ; ��
� , �'�! i, ' . j� �� - _ " TOTAL CALCULATED FEES: E35.80
� ' " - �!�'--��--- __ � `�` . �' ; i��/
� �� � ; - COMMENTS /��SPECIAL CONDITIONS % " �
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work Is suspended or abandoned
for a penod of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlons and tinal approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626 �
26a8d8I�) •
WORKERS'COMPENSAnON DECLARAnON: ' _
I hereby aXirtn under penalry oi perjury one of the following declarations: -
❑ I have end will maintain a certificate of consent Io self•Insure for workers' compensatlon, as providetl tor by sectlon 3700 of t�e Lebor Code, tor the pertortnence of the
work for which ihis pertnit is issued. �
❑ I have antl will maintain workers' compensation Insu2nce, as required by sectlon 3700 oi the Lebor Code, for the peAortnance of Ihe work fa which this pertnit is issue0.
My workere' compensation Insurence carrier end policy number are:
Cerrier: Polity Number:
(1h(s sectlon need no( be comp/eted i( fhe permit is valued ef one hundred dW/ars ($100) oi less.)
�I cenify that in t�e pertormance ol tha work tor whlch Ihis permit is issueC, I shall not employ eny person in any manner so as lo become subject to the workers'
compensetion laws oi Califomla, entl egree ihet II I should become sub�ect to the workers' compensatlon provlsions of Sectlon 3700 oi the Labor Cotle, I shell forthwlth
comply with these provisions. `
p cen�;S�iure: �I/%i��6// at��- —s�f��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIpJ COVERAGE IS UNLAW FUl AND SHAIL SUBIECT AN EM�'CRIMINAL PENFLTIES AND CIVIL FlNES UP TO ONE MUNDRED
THOUSAND DOLIARE (5100.000), IN ADDRION TO THE COST OF COMPENSATION, DAhNGES AS PROVIDED FOR IN SECiION 37080F THE LABOq CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTHACTORS DECLARATION:
I hereby eMirtn that I em Ilcensed unde�r rovi_sio`ns of Chapier 9(commencing with Section 7000) of Division 3 oi Ihe
torce end eHect. l7E�if1� %3 �%S 1-U _\ (Elass
antl my license is in tull
CONSTRUC710N LENDING AGENCV:
❑ I hereby eHirtn Ihat there is a consiructlon lending egency for the performence ot the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lentlers Address:
Signature:
OWNER•BUILDER DECLARATONS:
Date:
I hereby ettlrm ihet under penalry ot perjury thet I em E%EMPT FROM T}1E CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Professlans
CoOe: Any ciry or counry which requires e pertnit to consWct, alter, improve, tlemolish, or repair any swcture, pnor to Its issuenca, elso requires the applicant tor such permi�
to tile a slgneG stetement Ihat he or she is licensetl pursuant to the provisions ol the Conirectors Llcense taw (Chepter 9(commendng with Section 7000) of Dlvlsion 3 of the
Business and Prolessions Code) or Ihat �e or she Is exempt theretmm and t�e basls for tha elleped exemption. Any viola0on of Section 7031.5 by any applicaN for e pertnit
subjecis the epplicem to a civil penalry of not more Ihan tive hundred dWlars ($500)J:
❑ I, as owner ol ihe properry, or my employees with weges es ihefr sole compensation, WILL DO THE WOfiK, and the strudure is not intentletl or oflerad for sele (Sec.
7044, Business and Professions Code: The Contractors License law tloes not apply to en owner of property who builds or improves Ihereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not intended or otteretl for sale. II, however, 1he building or improvement is
sold within one year of completion, the owner-builtler will have ihe burden of proving ihat he or she did not build or improve tor purpose of sale.). '
❑ I, as awner al the property, em El(CLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct Ihe projed (Sec. 7044, Business and Professlons
Cade: The cantractore License Lew tloes not epply to an owner of pmpany w�o builds or Improves Ihereon, end who conlracts for such Oroject wlth e coniractor(s)
license pursuant to �he Coniractors License Lews.).
❑ 1 am exempt under sec. Business and Professions Code lor this reason:
Signeiure: Da�e:
Owner ID venfied 6y dnvers license. ❑ Yes ❑ No Drivefs License No.
Verification ol Ownership by (type o� tlocumen4 i.a. - properry tau biil or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATON:
ExDires:
❑ I hereby cerlily that no excavelion tive (5) or more teet in depth into which e pereon is required to descend, wiil De maAe in connection with work authorized by Nis
pertnit, and ihat no building structure, scalloltling, telsework, or demolitian or dismantling thereof, will be more ihan thirry-sia (38) feet high. (Chap. 32, Grp 2, Ah 2, Sec.
341, Title B, Celifomia Administretive Code).
❑ As owner-builtler, I will not employ enyone to do work which would require e pertnit trom Ihe Division of Indusinel Sefery, es noted ebove, unless such Dereon hes e
permit to tlo such work from the tlivision.
Signeture: Date:
Division of Indusiriel Safery Pertnit Number:
CERTIFlCATE OF COMPl1ANCE AND AUTHORIZA710N OF EMAV: I certily under penalry of Derjury that I have read thls applicatlon and state fhat the Information given is
corred. I agree ro comply with all state laws end nty ortlinances relating to building constructlon, and authodze represenlatives ol the Ciry ot Costa Mesa to enter upon Ihe
ebove�described property for inspection purpuses. I egree not to occupy ar ellow occupency ol eny building authonzed by Nis permii until final inspection.
COOE t. INSPECiIONTYPE
1616 Fixed System Final Fira Preventlon
7268 Pool Spa Final
200 Finel Re�Root
201 Flnal BIaWRetaining well
202 Final Faciory Fire Place
203
204
Final Sign
Final Demalition
�g II�
COUE 1 INSPECTION TYPE
206 Finel Mechaniwl
208 Finel Plumbing
210 Final Electricel
212 Final Pire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupanq
Pdg 1[�LS
'�/-�%-�7 _� �/Y
PflOJECT AUUHESS: E S O W 1 8 TH ST
OWNEX'S NAME: FRANK GUNTHER
nooeEss: 10562 TMMPION ST
GARDEN GROVE CA 92643
839-7810
AflCH/ENGINEEP:
RODflESS:
HEG.NO.:
UNIT:
UNIT:
PEflMITTEE: i'AANK GUNTHER ( 714 ) 261-20G0
aoonEss: 105fi2 TAMPIOM ST
GARDEN GRC�VE CA 92643
LICENSEO CONTPACTOH DECLARFTION: I hereby allirm Ihai I am licensed unAer D�ovisions ol Chapter 9(commencing wi�h Seciion
7000� of �ivision 3 of Ihe Business ana Prolesslons Coae. anU my license is in Iuil lorce antl e�lect.
LITY UC.: STATE UC.: ' CLASS:
Wie: ' SignaWre:
WOBKEBS' COMPENSpTION OECIABATION: I hereby alfirm t�at I have a ceniticate oi cansent Io setl-insure or a cenificate of Workers'
�Compensa�ion Insurance. a� a certihetl coDY thereai (Sectiwi 3800. LaU. C�.
POLICY NO.: E%P. OATE:
' COMPNNV: �
� � � Certifiea cooY is here�y furnishe0. ❑ Cenilie� cooY �s hlea ' �ity Builtling ision.
�G`�"y
Daie, �'�/ - NpDlica �� } 8T'� ! 1 j�
E%EMPTION FBOM WONRENS' COMPENSl1TION DECIABRTION: (This Setlion n¢ed no� be C Dletea ii t�e p mil is �or one hu �A �$100) or 1¢s5).
I cerlify �hat in �he pedormance o� t�e work lor whic� t�i5 perm�iJSiu�5 ha�l n employ any SOn in any m Sa as �o �ecom2
su0jecl �o t�e Worker5' CAmpensation LawS al Calilomia/
«�
oa�e: �Q — i� � 9'� siqnamre:
NOiI E: II. after makinq ihis aeclaralion, you snoula 6ecome suDject to tne workers' Co nsation D�ovisions ol ihe La�or
Code. you musi fotlhwit� comply vnlh such pmvisions ar this Oermit shall 6e deemetl revokeA.
CONSTBUC710N LENDING RGENCY: I �ere0y aifirm t�a� t�ere is a consimction IenAing agency lor the peAormance al ihe work for
wnicn Ihis permit is issuetl (Seciion 3097. Gv. C).
LENOEX:
� AODflESS: .
OWNEfl BUIlOEH �ECLAPATION: I hereby a�firm Ihai I am e�empl Imm the ConVacmrs' Slate License Law lor Ihe �ollowing reason
(Section 703L5 Business antl Pmlessionai Coae: Fny ciry of counry w�ich requires a permit m conslmct, alter, impmve, tlemolish, or ,
reDatr any stmtlme. prior to iis issuance. also apuires ihe avPlicant for such permit to file a sipnetl siatement tlut hvJshe is iicensetl
pursuant ta the D�ovisions ol Ne Cantracmrs' State License Law (C�apter 9(commencing vnt� Section 7UW) ol �ivision 3 of Ihe Buvness
an0 Pmtessions Cotle) or ina� he/she is e�emv� iherelwm ana ine Uasis 1or tne allegea exemptian. any violation ai Section 7031.5 by
any appliCant br a permil SuUlet�s lhe appiiCan� �o a tivil penalty ol nol more t�an �ive hunOreA tlollars (5500�. .
I. as owner of Ine DmOeny or my employees with wages as tneir sole com0e��tion, will Oo �he wark, antl Ihe
� stmcmre is noi intenaed or onerea for ule (Setiion 7614, Busin¢55 anA Pm�e55fonal CoG2: TIIe CAntrat�Ors' $Ia�¢ Lirense Law
Aoes nol aooly Io an owner ot a propeny wno �uilOs or imoroves tnereon, antl wno eces suc� work Aim5ell/nerseli or ihroupn
� his or her own employees. Dmvitlea �hat suc� improvements are not imended or olleretl lor sale. II, however the builtling or
impmvemenl is sold within one year o� com0le�ion, I�e owner will have Ihe burden ol pwving he/5M1e Aid not builA or impmve
lor �ne purpose al snle). 3
'� 1, as owner ol I�e pmperty, am eKclusively conimc�ing wit� licensea canVac�ors m consimcl �he pmle�� (Section 7044, Business
antl Prolessians Coae: The Coniracmrs' State License Law tloes not apDly to an owner ol D�oDenY who builtls or impmves ihereon
antl who conirac�s lor such prolet�s wi�h a conlraclor(s�license pursuan� �o ��e Conlraclors' Slale License Law). I am aware
�hal pmol ol iheir Worker'S Compensaiion insurance shoul� be pmvitled to me.
� I am e�empt unEe� Seciion: B. 8 P. C. �
lor inis reasan: �
Oale:� — � � ^ �� Owner
I ao �ere�y ceniry t�at i am aware ol antl untlerstanG t�e requiremems al Calilornia Health antl Satety Sectians 25505. 25533, antl
2553a and ihal I or any luiWe Duiltling occupanl wiil/will nol (circle one) neee to compty wltA saiG state to�es antl lhe reQuiremenis br a
permil for consimction or motlAica�ion Imm Ihe Air Ouahly Managemeni Dislricl. FeSitleniial conSlmciion appiications are exempt hom
Ihese provisians. ��
�aie: Applicanl:
I hereby cetlily Ihai I have read Ihis applicalion and slate Iha� I�e above in�ormalion is correcl. I a e �o Wmpty wi�h II ciiy ana county
orainancesantlstatelawsrelatingtobuildingconslmclionantlhereby�epresqryativeso�IM ci toenterupon a6ove-mentionetl
propeny to�inspection purposes. //
Dale�l! � � ZL�'� SignaWre: _�/St"/ � �-- / —K
o�ive�sucensea�sociaiSecwityx:
16<i-46 Whi�e—Buildng; Green—COOe Enlorcemenl: Canary—Nppli<anl: Pink—Revenue: GolOenrotl—ASSessor
CITY OF COSTA MESA —,BOII,DING PERMIT
PERMIT NO: B 049557 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOH DESCRIPTION : DEMO SHED
PERM NO: B 099557
GOVT: N SUPP: N
PORPOSE: DEM
sQ FT:
CLAIM VALUE: CALC—Vt�LUE; 1,000.00 GROUP OCC: M-1 /
COMMLNTS; DEMO SHED
**�tatar*at�r-�*�at*at�t�tat�t*�t�*�t-atit*at*atat*rt***�eat** x�***atat�t*it*ata�**x-*et*at*atat**at�**�t�c�t�t�t�e-it�t*�-*-x�
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.''i
------------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEF'f; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42924124 ZNE: REF NO:•
PLANNING NOTES>
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if K iF if iF if it iE if if iF if !f �f iE 1t �E iE iF jE if iE iE iF iE iE iF if �f if if if af 1E aF iE aF ic if �f if af af 9k if 14 aF iF 1E 9F iE �E IF af i4 aE if iF iF �f if #f if iF it af if �� � if if if # if ii iE �R af if
D E V E L O P M E N T S E R V I C L S R E p U I R E M E N�T�S
ZONING APPROVED HY .
BUILDING APPAOVED BY :
APPLICATION ISSUED HY: ��
iF iF if if iF ik �k if ik iF if !f if if !f if if k if jf �flFi��i�F
ik if iF if if aE if 3E ik �)E iE it 1f iF 1k iF if k iF iF ik 3f iF if if ik if iF iE i'e iF if iE if
LEGALIZATION:N F E E
BLDG PMT PLUMBING ELECTR
PERMZT 25.00
i
DATE:
DATE:
DATE: ������
ifififiEiFiFaEifiFik if f R 1E
ififk3f' iFiEifikiEik3fifikitififif3kdEifaEiEiEiFiEiljE3EiE-0t�7E3E9E3E3FifiFiiif�ji
S M M A R Y STRUCTURAL SEGMENT:Y
MECHANIC FIRE SMIP/RES GRADING
SMIP/NON—RES
PI�AN . . 50
ISSUE FEE -
HUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 25.50 0.00 ," 0.00 25.50 25.50 .00
AEVENUE DZVISION TOTALS-->, COLLECTED: 25.50 OVF.R/SHORT: 00
BLDG PMT PLUMBING ELECTRIC'MECHANIC FZRE SMIP/TOT GRADZNG PLAN—CHECK
25.00 .50
ik iE if �E iE �l'e ik iE # if if ik if it iF iE if �k if iE ik iE iE iE iE iF if if iE 3E ik *�k iF �E �E iE jF iE iE iE �t 3E ik 3F it ik 3E 9F if iE 3E if if iE at �� if if �1f ik jk iE ie �E lE iE k%-0f iE i! iF iF if jf 3f 3f iF
I N D I` V I D U'j 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 UNIT COST TOTAL COST
NO FEES WERE SELECTED POR THIS PERMIT
Oi 00072491—OQQi2492 T�7's' 25.�0
DATE: 1�/22/SO TItiE: 10:17
0
CONSTRUCTION AND PLANNING- � �L 'A �
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
� i
1. Temporary Electrical Service or Pole ��` 52. Pool & Equipment Location � i
-,
2. Soil Pipe-Undrgmd. �l 53. Steel 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-Undrgmd. '.
8.� Foundation �-� �• � 59. Gas Pipe, 0 Undrgrnd., Test ''1,�
9. Waier Pipe-Undrgrnd. ��� } ' 60. Backwash Lines, P�Trap, O Undrgrnd. �.�;�
10. Structural Floor System ' �;.� 61. APPROVAL TO DECK � �*
11. Property Sewer Line & House Connection / 62. Backwash & Receptor-Final � ,
� .�
12. Sewer Cap - 63. Heater & Vent�Final ��
13. Roof Drains �;, ,',-;/ 64. Plumbing System - Final � .-
.
14. Rough Plumbing .1^,_ 65. Electrical-Final �-� � �_
•'i .-
75. Rough Electrica6Conduit '��, � �,^' 66. Solar System-Final ' i-
16. Rough Electric Wiring '� , 67. Fencing & Access ApProval ' �� 1
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING "`:
18. 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 ••. • � t. 1 70. Under9round Hydro �
22. Ducts, Ventilaling:' • • � �. , � � � .7�. Product Piping OGas O,OiI
23. Gas Fipe-Rough & Test i�« -� �� 72. Underground Flush .:i
24:=Roof Framing• � �� ' , � ; � j3.��Undergrnd.StorayeTank OGas ❑Oil �
25. Roof Sheathing - ,' � � ��t 7q�Overhead Hydro'� !
26. T-Bar Ceiling (Structural) & Monocoat ' �,•� � : 75. Dry Chemical _' ' ' ��
27.'�Frameand Flashing, .._ � . , '. �a, � ' 76. Dry Standpipe , ,��1 �
� 28. Lathing.& Sidin9 �'r � _ � "� ' "� � 77. 'FIXED SYSTEM�F.INALi
' 29. Insulation - �.� .� � ��� �� y:, � 7g; �FIRE PflEV. FINAL . � ,
30. Drywall Nailing ��' �� �� HEALTH DEPT: REQUIREMENT
, 31. Plaster Brown�Coat � ,� � �� : : �,79.'FINAL INSPECTION �
� 32: Electrical Power MeterFinal i�� i I'�t' i 80: FOOD CERTIFICATE ISSUED �
33.:�final Electric. '. - � �� � � .; j ��Notes:�� t7-.Q: � ��fn�{'r �A!(LrLD 1�S '1P�i�--
i �:
34.�Final Heating & Air Conditioning �� ; !• . � �
, ' 3Qi. D t,Zft�,G -' C.�.D :
35"Final Gas Pipe; Test , �� � '';� � i � �.,,. , ; � '
�
,,
36, Hood or Canopy � � �' �4; �' ' � '
'., {
37::Fina1 factory Fireplace � " ' ' ;' i%�t i • �
i �_
38. Final Plumbing � �� � j� � '
39. Wate? Service�Final � 1 1 � ,� ' , ' _ ' '
40. GasService-Final . . �' .! �� � r��, � +
- 41. Solar pomestic�Final � ' ' � � � ' '�'' • ' . . .
�
• E�t � i � � . �
42. Backflow Preventer �.. � , • � . � �
43. Backflow Irrigation ' � ' ' �`��� ' �
.� i
:�
44. Landscape Irripation System ., � • r � �. + •
45. Sound Attenuation " ' "� ' , � ` �
i, .i . .
� 46. Handicap Regulations ' i ��• � . . � � i
47. PINAL STRUCTURE & BU�ILDIN ���: • ,,
48. FINAL PLANNING ��• i,/i: � r
49.�Electric Release to Edison , � ,�' � , ' �
50. Gas Release to Southern California Gas Co ��� i �
51. CERTIFICATEOFOCCUPANCY i•. � .
No Date
PHQIECTRDOHESS: GSU W i'BTFI J�'Z
awxex•s xaMc: FRANFC GUN'f"c.ER
eooecss;. 10562 T'NMP30N ST
• CARDEN GROVE CA 92643
• 839—'181U
�RCH/ENGINFEP: '
aooxEss:
flE0.X0.:
; _�
uxrt: CITY O�' COSTA MESA — BUIi,DING PERMIT
PERMIT NO: E 052456 PLAN CAECK NO: N
CONSTRUCTION T'YPc: V—N PERMIT TYPE: ELE
JOB DESCRIPTIUN : NEW 8 UNIT APT. BLDG,/"TEi`,PORARY" POWER
uxrt:
PEflMITfEE: FRANI� GUN i HER ( 714 )� 61— 2 0 6'�
�ooaess: 10562 TAN.PIOM ST
GARDEN GkOVE CA 92693
LICENSED CONTMCTOR OEClAMT10N: I �erehy attirm t�at I am IicenseE unEer pmdsians of Chapter 9(commencinq vnth Section
7000) ol Oivision 3 olt�e Business an0 Professions CoOe, antl my licensa I5 In full lorce anU eflect.
� CITY L1C.: STA7E UC.: C1A38: �
Dale: Signatura:
WOBNEflS' COMPENSRTION OECUM710N: I hereby attirm that I Aave a certi�cate at consent lo setl-insure or a aNlicate oi Workers'
Compensation Insurance, or a certilie0 coOY Ihereof (Section 3800. LaO. C).
POLICY NO.: ' FXP. OATE:
caMrexr:
� Cetlilie0 wDY is Aeahy fumisheQ ❑ Cetlifie0 Copy is fileE wit� I�e ciry BuilOinq Oivhion.
_m: �� _ � Ap0licant
IXEMPf10N FROM WOPNFAB' COMPENSATION OFGAMTION: (tlis sx6wi neeE mI be mmqelW if tle pemu! ¢ M ane hwtlaA (5100) a less�.
I certily Ilut in Ihe peAormance at t�a xrork for wNch this Dermit rs �SsueE, I sAall not employ any person m any manner so as ro Eewme
suGlect to t�e WOMen Compensatlan Lavrs oi Califomu.
Oate:� � Sipnature:
NOTICE: II, afler maldn0 �his Oedaatlon, you shoultl Dewme suEject lo the Warkers' Compenution provitions ai Iha LaOor
CoEe, you mtist fortAvrit� comON �� sucA Drwisions or iks permit shall be OeameE revuketl.
CONSTIIUCTION LFNDINO �6ENCY: I here0y atlirm Ihat ihere is a conswction IenUinO aAenry lor t�e pedormance of Iha woM lor
whk� I�is permlt is iSsueE (Section 3097, Gv. C).
LENDEH: ��TEMPORARY" POWER POLE
�DORESS: tOR COIvSTRUCTION! .
OWNER BORDER OEIXAM710N: I Aeahy affirm tAa� I am exempt imm t�e Coniractors' Stale License Law for the followinp reazon
(Section 7031.5 Business an0 Professional CoCe: My ciry ot counry which repWas a Dermit ro construct, atter, imDmve, tlemolis�, or
repair any stmcNra, pnor to its issuance, aLw requires ��e apD�icant lor such Dermit ro lile a siqnetl statement �hat he/she is IicenseU
pursuant to t�e provisions of tM Contractors' State Licenu Law (Chepter 9(commencin0 ��� Secqon 7000) of Oivision 3 oi Ihe Business
an0 Pmfesslans CoAe) ar ihat �e/she is exemp[ Ihemfrom anE the Eas¢ for Ihe alleped exemD�ion. Any dolation ol S¢ctlon 7031.5 6y
any aDDlicant lor a Dermit suEleps t�e aDP���nt to a civil penalry of not mom tAan INa hunEreA aollars (5500�. . -
I, as owner ol IAe pmDeM o� �7' emVloyees with wapes az t�eir sale campensatlon, will Oo Iha xrork, anE the
❑ stmctum is not imenEeO ar oflereE lor ule (Sec�on 7674, Business an0 Pmlessional COEe: The Contractors' State Liunse law
dces not appty to an mmer ol a DmDeM �o bW105 ar impmves tlurean, an0 who tloes such xroA himulf/Aersetl or [hmuph
Ais or Aer own employees, prmddea tAat wch improvemems am not inten0etl or atlereE lor sale. Ii, �owever the huilUinp or
imDrovement a sdE witNn ana year oi completlon, Ne owner will have I�e �urtlen ol proNnp �e/she diE not huild or impmve
lor Ihe Durposa al sate�.
�y I, a5 aWner al tlle Droper1y am exclusivey tont2cOnA �� ticenu0 cOnVacton to fAn5IN6M I�e pn
IJ' aiM Pmtessions Code: The Contractors' State Lice�rse Law Gces irot apply ro an amer of Drocerry w
anU wlro contraps lor such prol�� �U a contraRor(s) licer5e Dursuant to Ne Contractars' Stai
tlw� proof ol tneir Warker's CompensaUon insurance stroul0 Ge vronEeE ro rtre.
� I am exempt un0er Secilan: B. 6 P. C.
tar tA5 re
Date: ��L—L—� Qxner.
I Uo hereUy certiry Wf I am awam af anE un0erstan4 the repuiremenis oi Califomia Healt� an0 ery CoOe
25534 anE that I or any fuWre 6uildin0 acupant wilVwill not (circle ane) neeC to comply with sal tata cotli
permit lor constmctian or moEilicatlon imm I�e Nr Oualiry Manapemen�t ' . asitlential struction �
theu0rovislon� . — / A C
Daie: �___; ��� � ApDlicanC —
I �ereEy certlry ttul I have reaC I�is aDDlication anU sta e[hat t�i
orEinances anE sWte laws 2Wtin0 �o bWlEinp constructian anU here
D�aDeM �or i eciion pDurpo5e5. �
Date: '� <' SiOnature:,�
orroer's �icense or Saia� Secunry x:
tBOt�B NTiro—Bulltll�q: Green—CaCa Enbrcemenf, Canary—Ppplicnm: Pink—Revenua; OdEenroC—Assasaor
BiWness
s meam
im awdfB
I, 25533. ana
remen[s lor a
exemD� imm
0
PERM NO: E 05�456
GOVT: N SUPP: N
PURPOSE; OTH
sQ rT:
CLAIM VALUE: CALC—VALOE: GROUP OCC: R-1 /
COMMENTS: RE; B52371 FRIMARY BLDG, PERM.IT.
+�x�f��*�t*x*�e**�;�***x**u��t��x*x��**�*�x��t�x�����c•**���r���u���t�*���r�t**�•�i��-x+crt��*�*x���
Z U N I N G R E(j U I R E M E N T S '
S E T B A C K S
------------ MAIA1 BDILDING ---------- --------- ACCESSORY BUILDING ---------
FRhT: FT iN REAR: FT IN cRNT: rT IN REAR: rT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARK:CNG REO• PROV: PARCEL: 424�4129 ZNE: REF NO: '
PLANNING Nt7TES>
�
aF iE �k #� ft iF 1[� If N-1E iF I'r �%� 3'r iF #F iE iE iF je R 3f �lf M'# iE ji if ii iE K� 3f �N�.-lE %�iE'iE )E 3E } 3F ri� ie iE iE � 3(� 1E ii� If �e #F �f� v� �c 1f�?E iF IP 3E ik 1'r iE k- A� ii� Y� if ic 1E �: if iF 1e .l'� �lE if� k� 1F #•
D E V E L O P,y E N T,�,S = E'r. R V I C E S R E Q U T R E M E N T S
ZONING APPROVED BY �..' DATE:
BUILDING APPkOVED BY •
APPLICATION ISSUED BY:_,�F#�j�
K���iE1EK'�1FiE�%iEi4je3elEiF�lEk3(�iFiE3i��if* x /
1E d(- # IF i(� i(� ii� JEiF %� If iE * ii� if iE iF k iE-YE 3f if 3E ii� fik 3F # iF # iF i
LEGALIZATTON;N c�
BLDG PMi PLliMBING
PERMIT
PLAN
ISSUE eEE
HUILDING—DIV—> PERMZT
TOTALS----> 15.00
� — DATE:
—�• -- _ /
' DATE: __L2�j�f/
%�i.i� �aF : � ir� � �rr�iti(�3e3F3c1FicieifiE��k��kY3i� �+Zf�SFiF3f
�iE,�lEkihiEiE3f}:�-%%�aE-lf1(�' #iFi'rfi�M�lEiflfiiiFlFk�ifiEiFiFicifiFlElfjFiFiEklE3eiEii�iElfiM1#
E.• E+ S U M M A R Y S'I'RUCTURAL SEGMENT ; N
ELECTRIC MECHANTC FIRE SMIP/R�5 GRADING
1 �J , 0 � ,
SOX SMIP/NON—RES
15.00
ISSUE PLAN—CH�CR TOTAL PAID DOE
15,U0 0.00 30.00 30,00 ,00
R�VENUE DIVISION TOTALS--> COLLECT�D: 3U,00 OVER/SHORT: , .00
BLDG PNT PLD,�iBING ELECTRIC NECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
3U,00
if ie ie t 1E iF 1E �k f'r % if ?F 3F i(� ?E ii #E :r if �F k iF iE ie } iE ik 1E 1i� if 3f� # ii-:4 ii� 14 k�-N• i! # iE 1i� �F ib iF iE iF iE �1: k if If iF 3: if i'r ie iE 3'r iE iE if !f i4 iF i6 f jF ie iF � if iF ii� lE fe iE R if
I N D I V I D U A L F E E 3 R E A It D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 TEMP SERV PWR POLE W/OiJTLETS EA, ].S,UO 15.OU
END OF FEcS
� V
�' i 6GLSt! j?--Cit:"CCi: T :, '
L�+��: nt,'?0,9: fI�:E: ..�:i*
---�
CONSTRUGTION ANDPLANNING � � P��' �A '
Date Inspector Date Inspector
APPROVALS Permit # � APPROVALS Permit #
1. Temporary Electrical Service or Pole l� 52. Pool & Equipment Location i• � _
i
2. rSoii Pipe-Undrgrnd. 53. Steel Reinfortement 4 ',r /,
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 Cqnduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, O Undrgmd., Test a-�. "'
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. . - .'
10. Structural Floor System 61. APPROVAL TO DECK � ' �i
.�
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final �� ' ��
12. Sewer Cap 63. � Heater & Vent�Final , -'
13. Roof Drains 64. Plumbing 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. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Plping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing . 74. Overhead Hydro
26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing �� � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 9. FINAL INSPECTION
32. Electrical Power Meter�Final � l. . FOOD CERTIFICATE ISSUED
33. Final Electric `j Notes:
34. Final Heating & Air Conditioning !
35. Final Gas Pipe�Test � . -
36. Hood or Canopy ��•
37. Final Factorv Fireplace �
38. Final Plumbing ,.
39. Water Service�Final '�
40. Gas Service�Final �
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap aegulations
47. FINAL STRUCTURE & BUILDING '^ -
48. FINAL PLANNING � /
49. Electric Release to Edison ;'
: i
50. Gas Release to Southern California Gas Co ��
51. CERTIFICATE OF OCCUPANCY
No. Date
��
PHOJECT AOONESS: 6 S U W 1 8 TH ST
OWNEN'S NFME: �•RANK GUNTHER
ADURESS: 1OSGZ TMMPZON ST
GARDEN GROVE CA 92643
AflCM/ENGINEEP: S 3 9-7 a 1 �
AOURESS:
HEG.NU.:
UNIT:
UNIT:
PEHMITTEE: FRANK GUNTHER ( 714 ) 261-2U60
aooness: 10562 TAMPIOM ST
GAADEN GROVE CA 92643
LICENSED CONiPPCTOP DECLABATION: I h¢reDy alfirm �ha� I am licensea untler pmvisions ol Chapier 9(commenting with Spclioc
7000� a� Drvisian 3 oi Ihe Business antl Pmlessions COUe. an0 my 6cense is in iUll fo¢¢ ana ell¢tl.
sl
LITY LIC.: STRTE LIC.: CNSS: _• �,��t,. �*' �'
Date: SignaWre:
WOBNEBS' COMPENSATION OECLABA7ION: 1 nere0y allirm thal I have a cenilicate of consent to self-insure or a certilicaleJol worker5'�
Compensation Insutance. oi a certilietl copy Inereof (Section 3800. Lab. C).
POLICY NO.: EXP. URTE: .� �,
COMPANY: - .
O Cenified copY is �ereby fumis�e0. ❑ CertilieG copY is fileE wit� t�e ciry Bviltling DNision.
Da�e: AOVlicanP.
E%EMPTION FflOM WOPKEflS' COMPENSATIDN OECLPRFTION: Qhi55eCli0n need no� 6e CompleleA if Ihe permi� is fOf one huntlred ($100)�or 1e53�r
I cer�ily t�at in Ihe petlormance o� the work tar which (his permi� is issuetl, I shall no� employ any person in any manner so as Io become
sublecl �o ihe WorkerY Compensa�ion Laws ol Calilomia. ,
Oate: � Signamre:
NOTICE: II. aller making �his detlara�ion. you 50au1� OecOme SuEleCt la the Work¢rs' Campen5a�i0n pmvi5i0n5 Oi Ihe Labor
CoGe. you musl lon�with comO�Y wit� sucll D�ovisions or tAis permii s�all Ge deeme0 revoketl.
CONSTflUC7lON LENOING AGENCY: I here0y allirm Ina� there is a con9mction lentling a9ency Ior ihe pedormance af ihe woB for
w�ic� ��is permil is issued �Seclion 3097. Civ. C�.
LENUEP:
aooeess:
OWNFfl BUILOEB OELUflpTION: I �er¢Oy allirm t�at I am ex¢mpt tmm t�e CanVac�ors' State License Law for the follovnng reason
(SeCiion 70J7.5 Business antl Pmfessional COGe: Any tiry 01 Couniy wAith reqUires a Dermii Ia ConslmC�, alief, ImpmVe, demolish, or
repair any simcture. prior lo ils issuance, also repuires ine apolicant for such permit �o file a signed statement thal he/she is licensetl
pursuam �o Ihe pwvisions o� �he ConVacmrs' Slaie License Law (Chapter 9(commencinA wilh Section 7000) o� �ivision 3 0� Ihe Business
znd Pmlessions Cotle) or Ihat he/she is exempt Ihereimm and Ihe 6asis for �he allegetl eKemplion. Fny viola�ian o� Sec�ion 7031.5 by
any aODlicanl lor a permi� sublec�s �he applicant lo a civil penally ol not more �han �ive hundre0 Oollars ($500�.
I, as owner ol ihe pmPerty ar my emyloyees witA wages as their sole campensaiion, will Eo tAe work, an0 tne
❑ s�maure is not inrenAeO ar otfereG for sale �Sectian 70a4, Business and Pmlessional Catle: The Contracmrs' State Licenu Law
OoeS noi ap01y lo an owner. of a pwOe�Y w�o UuilOs or improves thereon, antl wM dae5 suth work �imselll�ersel� or lhmug�
his or her own employees. O�oviUetl iha� such impwvemems are not intentlea or otlerea lor sale. If, Iwwever �he 6uilAing ar
imprOvem¢ni i5 SOItl wrthin ane year ol cOmplelion. Ihe mvner wiil have Ihe OUrCen 0� prOvinqhe/SAe ditl noi bUild or impmve
' for t�e purpose af sale).
�
� I. as owner oi the D�operty. am eKclusively caniracting wiih IicenseA contractors ia constmct ihe pmject (Section 7044, eusine s
ana Pmiessions COUe: The CqnVaclors' Slale License Law aoes n�i aD�ly ta an awnei ol Oropertywho Dmlds ar impmves ��er n
anE who tOnlratl5 �Or Suth pmjetis wi�h a toMrat�or�5) license pur5uani �o Ihe Conirat�or5' Sta�e Li n5e Law). I am a are
I�at O�oof o� Iheir Worker'S Campenuti0n in5uranCe ShOUItl G¢ pmvide0 to me.
� I am exemD� un0er Section: 8. 8 P. C
for �nis reason:
�ate'. �.� � � c - � � - 9 i Owner'. ' �
I �o hereby cenily Ihat I am aware oi antl unders�ana Ine reQuiremems of Califomia HealtA an0 Salety Cotle S ions 25505, 25533, antl
2553a and ihat 1 or any IWure building occupant will/will not (circle one) neeU Io fAmpty wilh saitl state coAes an0 ihe repuirements tor a
p¢rmil br conslruction oi motli�ication imm Ihe Fn Ouab�y ManaAemen� Oistntl. FeS�Gen�ial conSVuction apDlicaiions a�e exempt irum
Ihese prOvl5ion5.
oaie: Mo�icant: _
� hereUy ceridyl�al I �averead �his applica�ia nd Sla�e��a�ihe
oi0inances antl statelaws rela�inglo builtling nslruction antl herel
properry tor inspec�ion purposes. �
/
Date,i ' ! Signawre:��
Oiiver's License or Social Secunty a:
is correci. I ag�e to comply wilh atl
i64L66 `N�ilte—Builtling'. Green—Cotle Enlorcament: Canary—Applman�; Plnk—Revenue; GolEenrotl—Assessar
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05236'
PERMIT NO: H 052367 , PLAN CHECK NO: 06326-90 i, GOVT: N SliPP:-N '
CONSTRUCTION TYPE: �'-N PERMIT TYPE: STR PURPOSE: NEW
JOB DiSCRIPTION : RETAINING AND BLOCK WALL REF PC#6322-90L SQ FT: 605
CLAIM VALUE:
CALC-VALUE:. 17,500.00 GROUP OCC: R-1 /
COMMENTS: REF FC6322-90i 8 UN:CT APAR'PMEN't BLDG
)F If 3f 3f 3P �lE 1E iE iE iE 1(� 3F �7F �F 1i 3e M 3f iP iF If?E i(-if iE iE if if Ik If iF � 3f af IF iF iF �]F �f if %�h 3f if �F if iF iE i61E iF �1E F iF li� iE X� iF If jE af �if� fE iE i�� �F iF if !t iF �E �1F 3F N� x� aF Y.� iF *
' Z O N I N GS ERTE�QAUCIKRSE M E N T S
---=-------- MAIN BUIiD3NG ---------- --------- ACCESSORY BUILDING ----------�
FRNT:'-- FT IN REAR: FY IN FRNT: FT IN REAR: FT IN
I;;FFT:' FT IN RGHT: ' FT IN LEFT: FT IN RGHT: FT IN
PA}2KI1vG..R,Ep • � PROV: PARCEL: 4247.4129 ZNE: R2 REF NO: PA-8y-127/
PLANNZNG 'NZ3Y'�:5> FOR RETAINING WALL AND BiOCK WALL, ONLY. ,
>
#�)f 1f iE iE �N' aE if iF 1E iE iF iF dt� k if 1F if iF iF'aF ii k iE iE IE IF 7't % iF-7F �E iE 1F iF iE IE iF iF iE i4 iF iE �lE iF 1E iE if k� iF 1F � K� k R iF 3E aE %� 3F k iF iE iF �7E iF lf 3i� )f 3f iE 3F 3i� iF iF 36 iF #� �E
D E V E L� O P M E'N T S E R V.I C E S R E Q U I R E M E N T S'
ZONZNG APPkOVED BY � < f'�. •� .� !^;, _ DATE: � � I �l 1
.:kv�:
HUILDZNG AFPROVED BY : '':�" � DATE:
APPLICATION ISSUED BY: S '
ff�FiEifiFiEic�lElFiPlEiEiE#�E1FIf3E3efF1EiE . ... .. . . . . . . . .
If i(� lf iE iE-%�F iF iF�16 iF iF aE if� if fF !f i(- #�lE 1E 1E 1E iF iF fF K iF )f lE 3f iE Y aE 1F 7F N� K� 3F iE jf� i(� aE iE %� iF )f iE K� iE iE
LEGALiZATZON:N F E E 1S. U M M A R Y
BLDG PMT PLUNHING ELECTRIC .MECHANIC
PERMTT ' 189.00
' DATe. • '�o' l � 1
�FKiF-141F x��K� )f IE %� �K� if 1(.7FA"'.R _-_ C r � if N�
;ii��4.3f iE if k-3E 1f ifiE )f iP�f i4 iFi4 if �E K�lk�l!-3t IF )F lE
� r-`STRUCTURAL SEGMENT:Y
. - . �
"FIRE SMIF/RES GRADING
1.23
" . , �' � SMIP/NON-RES
YLAN 122.A5
ISSUE F£.E �'
HUILDING-DIV-> PERMIT ISSUE PliAN-CHECR TOTAL- PAID > DUE
TOTALS----> 190.23 0.00 r122.85 313.08 313.08 .00
REVEI.UE DIVISION TOTALS--> COLLEC-TED:-�'• 190.23 OVER/SAORT: 00
BLDG PMT PL�UMBZNG ELECTRIC MECHX:NIC' FIRE SMIP/TOT GRADING PLAN-CHECK
189.00 : � , 1.23
iFlE �F �)f iE iE iE i!� iE iF IF iE �iF iE lf ib if 3F 1f �lf iE iE'iF ii- iF 1F if -1F iE 3F iE 1E iE 16 IF 3F iF aE 3E iE 1E.1F iE K� ii� if� if M�E iiR it iF )F iE iE �7(-iE 1E if iE i6 i!� �(� �E If !E if iE K�lE iE iF if iF IE �h Y,� iE if
/ I N D I V I D U A L, ,•� E E B R E A K D O W N
TYPE (dTY D E S C R I P T I O N,t,, �'; UNIT COSi TOTAL cos•r
SFR 970 RES-CUNCR'EPE �BLOCR WAI:L •'' ,/ F'T'. 2U.OU 9;400.U0
SFR 135 RES-RETAIN WALLS UP TO!6 'E�'C / FT. 60.OU 8,100.UU
END.OF FEES
. .�/ � •f
i
�1. ��l.�dQ�.tf'�'ntiO�J`.�: _ "
,�
n^'E: Ch/:1/'v'. iIl;�: ,_ :�
�
CONSTRUCTION AND PLANNING POOL. A
APPROVALS Permit # Date Inspector qppROVALS Permit # Date ' Inipe�tor
� 1. Temporary Electricaf Service or Pole 52. Pool & Equipment Location �
2. So_il Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. ElectriCal Conduit�fJndrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough P4umbing & Pressure Test
6. Electrital 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, Q Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11 . Prope�tY Sewer Line & House Connection . 62. Backwash & Receptor�Final �
12. Sewer Cap . 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System � Final �
14. Rough Plumbing 65. Electrical�Final
75. Rough Electriwl-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. REQUIREMENT
. 20. Rough Factory Fireplace • . - APPROVALS Permit #
21. Ducts, in Structure � •• 70. Underground Hydro �
22. Ducts, Ventilating , 77. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test > .' ' . 72. Underground Flush
24. Roof- Framing • , 73. Undergrnd: Storage Tank �O Gas ❑ Oil
25. Roof Sheathing . 74, Overhead Hydro
26. T-Bar Ceiling 1Structural) & Monocoat � �• 75. Dry Chemical . -
27. Frame and Flashing � � 76. Dry Standpipe �
28. Lathing & Siding � �• 77. FIXED SYSTEM F.INAL .
�29. Insulation - � � 78. FIRE PREV. FINAL - �
30. Drywall Nailin9 � HEALTH DEPT. RE�UIREMENT
31. Plaster Brown,Coat. . ,,. 79. FINAL INSPECTION �
32. Electrical'Power Meter:Final ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric . . . � �� �Notes: � L
34. Final Heating & Air.Conditioning '.• d � S� Z
35. FinalGas.Pipe-Test' � j � -
36. Hood or Canopy �
37. Final Factory Fireplace � � -
38. Final Plumbing , -.� � - �
39. Waier Service-Final � � �
40. Gas Service-Final ' , �
47. Solar pomestic-Final
>
42. BackfloH! Preventer- � � �
43. Backflow Irrigation , '
44. Landscape Irrigation System �
45. Sound Attenuation '
46. Handicap Regulations � _
47. FINAL STRUCTURE & BUILDING Z .
48. FINALPLANNING �
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co � ;
51. CERTIFICATE OF OCCUPANCY
No. Date
PFlOJECT q00HESS: 6 5 n w 1 8 TH $T
OWNEN'S NAME: FRANFC GUNTHER
pUDFESS: 1OSC?Z TNMPION ST
'GARDEN GROUH CA 92693
PNCM/ENGINEEfl: 8 3�— 7 8 1 �
RUOqESS:
UNIT:
PEG.NO.:
UNIT:
PEAMITTEE: �'RANFC GUNTHER ( 714 ) 261-2060
AOONESS: 9 0567 TAMPIOM ST
GARDEN GROVE CA 92643
LICENSED CONTflACTOH DECLAflFTION: I hereby a��irm tha� I am licensetl under pmvisions of Chapier 9(commencing wi�� Section
7000) of �ivision 3 ot ihe Business and Pmlessions Cotle, antl my license is in NII �orce an0 eifect.
CITY LIC.: STATE LIC.: CLASS:
Date�, Signature'.
wOPREPS' COMPENSI1710N oEClA8RTI0N: 1 hereby aflirm inat I have a cenificate ot wnsent m selbinsure or a cenilica�e of workeK
Compensation Insurance. or a certifie0 copy Ihereo� (Sec�ion 3800. Lab. C).
PO�ICY NO.: EXP. OATE: -
COMPFNY:
� Ceriilied copy is hereby tumishetl. ❑ Certifietl coOY �s �iled wilA the ciiy Buiitling �ivision.
Oate: Applicani
E%EMPTION FNOM WOBREBS' COMPENSATION OECIABATION: ;Qhi55eC�ion n¢¢a no� 6e Complele0 if �he permi� is �or one �unAreO ($100) or 1¢55�.
I cetlify Ihat in Ihe perbrmance of Ihe work for which �his permi� is issuetl, I shall no� employ any person in any manner so as �o became
su�leci Io lhe Workers' Compensalion law5 0l Califomia.
Oa1e: SignaWre:
NOTICE: II. afler making ihis tleclaraiion, you 5�oW4 become sublecl b the WOBers' Compensation pmvisions ot �he Labor
Cotle. you must loehwi�� compty wi�h such provisions or Ihis permil s�all 6e OeemeO revoke0.
LONSTXUCTION LENUING pGENCY: I here�y affi�m �hat there is a con5imction lentling agency for I�e pedormance ol Ihe work �or
which �his permiiis Issuetl (Section 3097. Civ. C�. � ' ' �
LENUEP:
FDOflE55:
OWNEfl BUILOEB OECIAflRTION: I here�y aflirm tha� I am exem0� �mm �he CONractors' State License Law �or ��e following reason
�Section 7031.5 Business an0 Professional CoOe: Any cny oi counry which requires'a permit to consimct, alter, impmve, tlemolish, or
repair any slmclure. priar �o its issuance, also reQuires the applican� �or such Dermit �o tile a signed sialement �ha� he/she is licensetl
purouani m tAe pmvisions o� Ihe Contrac�ors' S�ate license Law (C�ap�er 9(commencing with Sec�ion 7000) o� Division 3 of Ihe Business
an0 Pmlessions Cotle� or Ihat he/s�e is exempt therefmm antl Ihe �asis br t�e allegetl exemption. Any viola�ion o� Setlion 7031.5 by
any aDPlican� �ar a permil 5u01e��5 t�e applican�lo a civil penal�y of no� more ihan �ive hundreU dolla�s (5500).
I, as owner of Ne pmveny or my emoloyees with wages as ineir sole compensation, wili tlo ine work, and Ihe
❑ stmcture is not intenUetl or oiferea lar sale (Sectian 7044. Business antl Pmiessional Code: The Contraciors' State License Law
does noi aDP�Y �a an owner ot a pmpehy who builds or impmves Ihereon, antl who aoes such work himself/hersel� or thmugh
his or her Own employees, provitletl Ihat Suth imprOvemenl5 are n0� inlentletl Or Offeretl �or Sale. I�, however the bUilaing Or
impmvemen� is soltl wiihin one year o� comple�ion, ��e owner will have Ihe burtlen oPpwving Ae/s�e Oid no� 6ui10 or impwve
for�he purpase ol sale). , � „
� I, as owner o� �he property, am exclusively contracting with Iicense0 contracmrs m constmc� �he Drolect (Sec�ion 7044, Business
anA Pmfessions Code: T�e Coniractors' State License Law does no� appty to an owner of proDerty w�o bmltls or imDmves �hereon
antl who contracls for such pmlecis with a conVacmqs)license pursuant m ��e Contrac�ors' S�ate License Law). I am aware
thal proof o� their WorkeYs Compensalion insurance shoultl he D�ovidetl �o me. '
� I am exempi under Section: B. 8 P. C. /
lar �his reason: � /
(
oaie�, � �,� n� � 1/. q/ owner: � i ,
I tlo hereby cenily that I am aware oi antl unders�anA ihe reQuiremenis ol Califomia Health antl Safety Cotle Sections 25505. 25533, antl
25534 and �hat I or any iWure 6uiltling occupan� will/will no� (circle one) need �o compty with saitl s�a�e codes an0 �he reQuiremen�s for a
permi� �or conSlmction or motlihca�ian �mm Ihe Ai� Oualiry Managemen� Dislric�, Fesiden�ial constmction applicaiions are exempt imm
Ihese pmvisians. ,
Dale: " Applicani:
I here�y cer�ilythal I have read ��is aDP�ication antl stale lhatthe aboveinlormalion is correcl. I ree�o comply wil�� and counry
ordinances and sla�elaws�elalinglo builtling con5lruciion antl here�y aulhorae reD�esen alives at is ciryto en e Oo e-mentione0
O�operty Iorinspeciian purposes.
Dale: J UN� — l/ `v Signature: _
�river's License or Social Securi�y a:
t64t�E6 Wbne—Building: Green—Cotle Enforcement; Canary—Applicant; Pink—Revenue: GOIEenrotl—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B OS'l'369
PERMIT NO: B 052364 PLAN CHECK N0; 06324-90 L GOVT: N 5UPP: N
CONSTRUCT'ION 7'YPE: V-iV ' ' PERMIT TYPfi: 5TR PLlRL�OSE: NEW
J'pB DESCRIPTZON : TRASH ENCLOSURE FOR 8 tINIT APARTMENT SQ FT: ' 1,000
CLAIM VALiJE: • CALC-VALUE: 1,000.00 GROUP OCC: R-i /
COMMENTS: TRASH ENCLOSURE REF PC#6322-90L
*�-�**xz��**�xz�xff����**���*�r��*�**�*x*�x�r*x-x*x�xx*�*x�ex������***�����xa�*�*�r��x*
'l, U N I N G R E Q U I R E M E N T S ,
ssrHAcxs
------------ MAIN BUILllTNG ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT TN RGHT: FT IN LEFT: FT IN RGHT: FT IN'
PARKING REQ• PROV: PARCEL: 42424124 `l,NE: R2j RHF NO: YA-89-127
PLANNING NOTESi F'OR TRASR ENCLOSliRE, ONLY.
. )
If ii �)f-�IE iE iE 1E iF �1F iE aE �1F �3F iF if� IF 3f 1E 7F 3E'7E �lE-IE �lf iF if 1F if i!� 1E iE iF aF iE if iE 3E �k if iE iM1 iF iF k 1f iE �E if !E iE iF a(- 3f iE �E �7P iE i4 if #f 1F iF if iF i( iF iE?E iE�af �F if �F if' 3F. %� 3F iE N-
D E V E L O P M E N T S E R V I C E 3 R' E Q U I R E i�: E N"T'S
20NING APPROVED BY � c� DATE: �C, f t I / S �
BUILDING APPROVED BY ; � DATE:
APPLSCATION TSSUED HY: 1%����5/� DATE• �'II
if iF if 1E 3E �1F iE ih if 1E #E 1f iF iF if iE 3E )E 3E iE iE if ir�F'3FiF'iF'iE ir3FiF iF±F if�iFii7F it{F7i�3f iF 7F7f3tif£iF3CSF3F7F7F # if aF if if �lE 3f iF )E iE ie i6
if K� if If K� ih # if iE if if iF if if if iF )f 1E iF 1f ir jF iF� 3f �F iElE if IF iE )f it iP ib iF iE iF iE IE if iE iE iF �1f iP 3F aE ik iF if if if ff k iE 3f IE �E 3f 3? ie 3F 1(� *#� iF iE iP i4 iE if i'r 34 3(� 34 � iE 3E �14
LEGALIZATION:N F fi E S U M M A R Y STRUCTURAL SEGMENT:Y
�
BLDG FMT, PLUMBING EL£CTRIC MECHANIC FIRE SMIP%RES� GRADING
PERMIT' ' 25.00 ,50
� S't�lIP /NON-RES
PLAN 16,25,. . • .,
ISSUE FEE '
HUILDING-AZV-> PERN,IT '�.ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 25.50 0.00 • 16.25 41.75 41.75 ,.00
REVENUE DiVlSION TOTALS--> COLLECTED; 25.50 OVER/SHORT: .00
HLD,G�Sp00 PLUMBSNG ELECTRIC MECHANSC F1`RE �SMIP/TO�T GRAD:ING PLAN-CHECK
iE �4 7F lf �%-%� k 3F �%aF 3E If if iF k 7E iE �1P if )f iE if iE 3E iE iF 3E 1F IE Y� 1F �7F iE �f- iE'!F iE iF iF i(� aQ iE 3E if� iF 3f iE �E iF ie ie if 3F 34 iE iE i6 �%iF k iE iE iE 1e 3F ie 3E �E iE �F 3E 3f 1E iE � 1F iF # if
I N D I V Z D U A•I� 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 JNZT COST TOT?�L COST
SFR 1000
S T R U C T U R A I.� B Y VAL U E P E R 5 1. 0 0
. -aNn oF F�EEa
1.00 i3OU0.00
I
�] OOQ29353—t�0089354 T =i'k"
�ATE� t�5/1I/41 TIf1E� :2a��
I5,`:i
/I
CONSTRUCTION AND PIANNING POO. !A
APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector
1. Temporary Elecirical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Ut'ility-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�GUNfTE
7. Footings 58. Electrical Conduit-Undrgrnd. '
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undr9rnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains ' 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical•Co�duit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval - .
17. Rough Wiring Sign 68. APPflOVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Fough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace � - • AppROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating ' 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test , 72. Underground Flush
24. Roof Framing � , 73. Undergrnd. Storage�Tank O Gas ❑ Oil
25. Roof Sheathing . � � �� 74. Overhead Hydro _
26. T�Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpi'pe .. .�
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 •
� 33. Final Electric I � Notes: 8 � Q� �-��Q
34. Final Heating�& Air Conditioning , � .� i - � ' .
�
35. Final Gas Pipe�Test . � . '
36. Hood o� Canopy � ' � �
I i _r
37. Final Factory Fireplace i �
�38. Final Plumbing ; - � �
39. Water Service�Final � i "� '
40. Gas Service-Final , _ . . .
41. Solar pomesticFinal . �� � I � ,
l-
42. Backflow Preventer . � � . '
43. Backflow �rrigation � � '
44. Landscape �rriaation System . . �
45. Sound Attenuat�on ' - '
46. Handiwp Regulations � (�
47. FINAL STRUC7URE & BUILDING � 9
48. FINALPLANNING � � .
49. Electric Release ta Edison �
50. Gas Release to $outhern California Gas Co ' � �
51. CERTIFICATE OF OCCUPANCY
No. Date
PH0.IELT RDUHF55: ( SO W 1 BTH ST'
OWNEfl'S NRME: FRANK GLTNTHER
�ooness: 10562 TMMPIUN ST
GARDEN GROVE CA 92643
AflCH/ENGINEEfl: 8 3 9- 7 8 1 Q
FDDNE55:
flEC.NO.:
UNIT:
uxrt:
VEflMITTEE: FRANf GUNTFiER ( 714 ) 261-2060
aooAess: 10562 TAMPIOM ST
GARDEN GROVE CA 92643
LICENSED CONTNFC70N OECIABRTION: I pereDy al�irm I�at I am Iicense0 unaer provisions of C�apter 9(cammencing wit� Section
7q10� ol Divison 3 0l ��e Busineu an0 PrUt¢Ssions COGe, an0 my IiCenSe a in lullforce an� elle[t.
ciTr uc.: sTnre uc.: cwss:
Date: Signamre:
WOfiI(ENS' COMPENSR710N DEClAf1ATI0N: 1 n¢rt0y atlirm that I twve a ceniticate of consent lo sell-insure or a certiliwte oi WOAers'
Comoensalion Insurance. or a certifietl capy inereol (Section 3800, laG. C).
POLICY NO.: EXP. ORTE:
COMPRNY:
7 Cenified coDY is hereby fumished. ❑ Cenifie0 mDY is liled wit� the dty BuilUinO �sion.
Daie�. Ap0licanC
EXEMPTION FflOM WOPKEflS' LOMPENSRTIaN DECUBATION: (This sec�ion neea not De completed i� tAe D�mii ¢ lor one �unOred (5700) or less�.
I Cerlily Nai in Ihe pedormance ot lh¢ wark tor whiC� 1�i5 petmi� i5 i55ued. I Shall not employ any p¢rspn in any mann¢r So as to beCome
suble�� �o I�e Workers' Compensation Law; ol CalilOmia.
Oaie: � - Si9nawre:
NOTICE: II, a�ier making ihi5 7eclaralip�, you s�oultl 6ecome 5u01eci to lhe Workeri Campen5aiion D�ovisions 01 I�e La�or
CoGe, yau must lanhvnt� compy wit� suU� O�ovicians or tlris perrmt slall Ge deemeU revaked.
LONSTNUCTION LENOING RGENCY: I �ere�y altirm Itul lhea is a con5irucl'wn 1¢nEinq apency lor l�e D¢�orman[e ol lh¢ work fo(
wnicn (his permit is issuea (Section 3W7, Civ. CI.
IENOEfl:
RODBESS:
OWNEB BUILOEB oECU8FTI0N: I hereEy alfirm tlwt I am exemD� ��am the Contracmrs' Slate License Law far ��e followinp reason
�Seclion 7031.5 Business and Pmiessional CoGe: Any ciry ol caunly w�ich reQuires a Oermit m consimcL alier, impmve, tlemotish, or
Bpair any slmcture. prior lo its issuance. al5o repuires tAe ao7����� �or such oermii lo file a sipnetl slalemenl ihal he/she is licensetl
pursuam�othe pmvisions ofihe ConiraAory'S�ate License Law�C�apter9�commencinp wi�� Sec�ion 7000) ol �ivision 3 oflhe Business
and Prolessions CAUe) or t0at he/she is e*Bmpi I�eretmm antl i�e Gasis for I�e allepeE eNemption. pny violation of Section 7Q31.5 by
any a001icant lor a permit su0jeds t�e apPlicant lo a civil penalty ol not more Itun live huntlred UOIIaB (d500�.
I, as owner oi tAe O�a7eny ar rtry em loyea witn wapes as tneir sole compensaqan, will �o ihe work. an0 Ihe
❑� simcWre is not intenaea or ollerea �or sale I�ction 70e4. Business antl Prafeuional CoEe: TAe Conlracmrs' State License Law
Gaes not aOVN �o an mvner ol a Oropeny wlq CudEs o� impmvu t�ereon, an0 who Uoes suc� work himsell/�ersell ar ihmup�
� his ot �et own employees, O�a�beE thal wc� impmvemenls are nat intende0 or olleretl Ipr sale. II, �owever t�e Guiltlinp or
im0�ovemem 6 so10 wittiin ane year of completion. Itrc owner vrill �ave t�e Guraen ot provinp hr,/s11e Ci0 noi OuiIE or improve
lor ine purpo5e al Sate1.
I, as ownei ol t�e pmpetlY. am ertlusiv¢p con�ratung vntA Iiceree0 Contracmrs Io consvuct ina pmlea (Section 70a4, Business
� an0 Prolessions CaEe: T�e Comra��ors' State License Law Uces not appry m an ovmer ol pmpeny who �wlEs or imDmves ihereon
an0 wlro coniratls Inr such pro1��5 vnlA a conUaCI0q5�1¢enu Dursuanl to I�e ConVactOrS' Slate LitenSe Law�. I am iware
Ihal Dmo� o� I�eir Worker'S Camp@nsalion inswance 51wN0 Ue O�ovitleG ta me.
� I am exempl untler Seclion: B. 8 P
�or I�is reason: � /
�} I J '
, Date'. � �1 �.(/ � �� ` 7 � Owner. �1 l.�—
I do nere�y cenily �nat I am aware ol anU un0erstana tne repuiremems ol Calilornia Healt� anA Salety CoCe Sections 25505, 25533, an0
25574 anC Inat I or any IUWte CuilCing oaupxrit willhvill no (rirGe We) neeE to compN m�� sxi0 state cotles antl Ihe repuiremenis br a
Dermil bt conslNclion or mo�ditation tmm I�e Air Ouahty Managemenl Oisirict. NPSiOential wnsiruction aDO��catians are exem0� ��om
IneSe pmvisions.
Daie: ApDtiWnl:
I �er¢Oy Ceriily ��al I �ave read i�is aDO��liOn E siale ttul I�e aGove intormation is wrrttl. I agree �o w pty wi�h ali ciiy antl
ordinances anG sta�e laws relating ta �uiidin9 siruction ann nereoy autnorrze represemaf ol llris ciry m e er u aEove�mc
pmDe�ty lor inspecinn purpose5.
Date: � �/'" — ��'�/ Signatwe:_,,.� �
Driver's License or Sacial Security_p: �'
16aF46 Wtiile-Builtling; Green-CoEy Enlorcemenf Canary-ApO�icant: Pink-Rev¢nuo: GoltlanroE-Assessor
- 1
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: GRA 05237
PERMIT NO: GRA 052370 PLAN CAECK NO: 06323-90 L GOVT: N SUPP; N
CONSTRUCTIO� TYPE: V—N PERMIT TYPE: GRA PURPOSE; NEW
,70H DESCRIPTTON ; NEW 8 UNIT APART,MENT HiDG SQ FT:
CLAIM VAI.UE; CALC—VALUE: GROUP UCC: R-1 /
COMMENTS: NEW 8 UNIT APARTNENT HLDG, REF PC#6322
M� af If 7F iE % If if iE �lf iF 3F 1(� iF iE 1F 3f 1f iFlt N� iF i(� k M� if� iF ik if iF �)f i(� iF %� ih i(� M� iF 1F iF ii� iE #i61E IE if ##�li� 1f iF If� iF # 1(- % iE ii 3E ti IE iE ii� 3(• i(�iE IE # IF iF iF iE iE �?Y If iE K� 1E
Z O N I N G R E Q U I R E M E N T S '
sEraAcxs
------------ MAIN B(iILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN rRhT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
FARKING REQ• PROV; PARCEL; 42924124 ZNE: REF N0:
PLANNING NtSTES>
� .
jk iP 4� dE� df if 3F ih�%� �R 7F iEih iE {: )f iE �R IF 3F �)f jE iE 3F 3E ii 3f if )f 3f �7F if iE if �lf 3E i5 3E iF i(� �JE 3E iF iE �K-iF # k�h � if )'r iF 3E �)f Y� iE iE d(� R- iF?f if If �F 1f if� K iF ie fF 3F 3E 1f iE i� 3E if
D E:�V E L O P M E N T S E R V I C E S R E Q U I R E M c N T S
ZONING APPROVED BY ��_ C� DATE: ��1 ��
BUILDING APPROVED BY : DATE: '
APPLICATZON ISSUED BY: S DATE: ����
!f if if iF %iF iE if If iE if if X-# 1f 1'r if 1f lf if iE 1f if k if if ff fe ie 1f iE lf �lE
if 3E 3F if �)(� iF iE if� iE dk IE 7F iE it+E %if iE af iE if iE if iF it 1E iF 3E iE ih i4 �)F iF iF iF �h iF iE it iF iE �lh k-N� i(� Y.� iE if iF IE iF �E )E ie if if le je iE I(� f iF %iF if.iF ii ii� iF ii iE iE k� lE If i(� �1f iEi(�
L�EGALIZATION:N F E E S U M M A R Y STRUCT•URAL SEGMENT:N
BLDG PMT PLUMBING ELECTRTC iMECHANIC FIRE SMIF/RES'• GRAbZNG
PERMIT • ' 43.50
SMIP/NON—RES
PLAN � 22.50
ISSUE F'EE 3.00
AUILDING—DTV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 43.50• 3.00 22.50 69.00 69.00 .00
REVENUE DIVZSION TOTALS--> CULLECTED: 46.50 OVER/SHQRT: 00
BLDG PMT PI.UMBING ELECTRIC MECHANIC FTRF SMIP/TOT GRIIDING PLAN—CHECH
46.50
�FjF li if 1E if� i(� If� iF �If !F 3f �)f jR if iE 3F If� % N� iE i(�!f R K 1E iE iE if IE ff K� ib iE IE k iE !( iF iF N� ii� iE 3P k� 14 iR IE 161F IE if� Ik 7f 1E Jf IF if IE �1F iF if iF )f 3E if� iE iF if if 1F iE R if iE 343E 3F iF
I N D T V Z D U A I. 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 COS'P
NO FEES WERE SELECTED F'OR THIS PERMIi
Q/30 �/00�
:�1 rit��a0��L'['.�,Qu935G T�rs ;
DATE� Ob;li/Si TJI;E: �'�:0_"
�
CONSTRUCTION AND PLANNING . P�G 'PA
APPROVALS Permit # Date Inspector� qppROVALS Permit � Oate . 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. Elec4rical Conduit-Undrgrnd. 55. Electcical Bonding ,
5. Steel Reintorcement. 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, O Undigmd. -
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap " 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical•Final
15. Rough Electrical-Conduit 66. Solar System-Flnat
16. Rough Electric Wiring 67. Fencing & Access ApProval
i). Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT�
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � G'as ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil -
25. Roof Sheathing 74. Overhead Hydro
26. T-8ar Ceiling (Structural) & Monocoat 75. �Dry Chemical
27. Frame and Flashing' . 76. Dry Standpipe
28. Lathing & Siding � � 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30. DryWall Nailing HEALTH DEPT. flEQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Finai � 80. FOOD CER7IFICATE ISSUED
33. Fina� Eleccric Notes: �
34. Final Heating & Air.Conditioning _ � ,
35. Final Gas Pipe-Test '
36. Hood or Canopy . '
37. Final FaMory Fireplace • �
38. Final Plumbing � .
39. Water Service-Final � •
40. Gas $e�vice�Final � � �
41. Solar pomestirFinal � .
42. Backflow Preventer ' � �
43. Backflow Irrigation
44. Landscape Irriga[ion SYstem ��
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING � Z� 9
48. FINALPLANNING .
49. Electric Reiease to Edison
50. Gas Release to Southern California Gas Co j
51. CERTIFICATE OF OCCUPANCY
No. Da[e
PNOJECTqDDflESS: �5� W 18TH $T
OWNEfl'S NpME: FRANiC GUNTHER
noueess:10562 TMMPION ST
GARDF.N GRUVE CA 92643
839-7810
AXCHIENGINEEX:
AOUNESS:
pEG.NO.:
UNIT:
UNIT:
PENMITTEE: �RANK GUNTHER ( 714 ) 261-20G0
aoosess: 10562 TAMPIOM ST
GARDEN GROVE CA 92693
LICENSED CONTflPCTOH OECLABRTION: I here0y allirm ��a� I am licensetl untler pmvisions ol ChaD�e� 9(�ommencing wii� Section
7000� o� Oivision 3 0l lhe eusiness antl Pmlessions Cotle. an0 my license fs in lull lorce antl efleci.
CITY LIC.: $TATE LIC.: ClA$$:
Date�. Signature:
WONRENS' COMPENSF7ION OECLAHATION: I nereby aflirm inat I have a[enilitate ot consent to sell-insure or a certificate ot Worker5'
. ComOensalion Insurance, or a certtlietl copy Ihereai (Section 3800, LaO. C�.
'OLICY NO.: EXP. UpTE:
COMPANY:
� ❑ Ce�ilied copy is hereby Nmishetl. ❑ Ce�i�ied copY is �iletl with lhe cily BuilAing Divisian.
Daie: Applicanc
E%EMPTION FBOM WOflKEflS' COMPENSATION OECIAflATION: (TIliS Set�ion n¢etl noi �e tampl¢ted il Ihe pefmii i51of one �a�ea �aiooi o 5�.
I cetlity Nat in the pedormance ol the work lor which IAis permi� is issue n9� employ a D son in any m- i etome
5u01e<� �o ihe Workeri CamOe� nsatia� ol Calilom _ /,
�a�e Q� - $ignaWre: yE.��%-f�L� -
N�E: I1, alter making Ihis Ueclaralion, you shoul0 become SuDle�� �o �he Workers' C pensalion pmvisions ol Ihe Labor
Cotle. you must lonhwith comply with such pmvisions or inis permit shall 6e deemeU revaked.
CONSTflUCTION LENOING PGFNCY: I hereby afiirm Iha� Ihere is a consiruction lentling agency tor Ihe pedo�mance ol �he work br
wnich �his permil is issuetl �Sec�ian 3097. Civ. C�.
LENOEP:
AUOBESS: - � "
OWNEP BUltoEfl OECLABA7ION: 1 hereby aflirm tAat I am exemo� �rom Ihe CAniraclars' State License Law for tne following reason
.(Seclian 7031.5 Business and Pmlessional Cotle�. Any ciry o� counry which reQuires a permii lo conslmci, al�er, impmve, tlemolish, o�
repair any stmc�ure. Drior lo its issuance. also repuires ��e applicant for such permil �o lile a signe0 slatement Ihai he/she is licensed
pursuanl to I�e O�ovisions ol l�e Contraclors' S�ale Litense Law (Chapter 9(commencing wilh Seclion 7000� ol Division 3 0l ��e Business
antl Pm�essions CoOe) or tha� �e/s�e is exempliherelmm antl Ihe basis lor�he aliegetl e�emption. Any violation of Section 7031.5 Uy
any applican� for a permi� sublecis the aDPlicant Io a civil penalty ol no� more �han live hwdred aallars �$500�.
I, as awner of t�e pmDeny or my employees wil� wages as t�eir sole compensation, will Ao t�e work, an0 ihe
7 slmciure is nol imendea or aifered lor sale (Section 70aa. Business antl Professional Cotle: TAe Coniractors' S�ate License Law
does nol appty �o an owner ol a pmpeny who �uilds or imDmves ��ereon, antl who tloes such work himselUhersell or �hmuAh
his or her own employees, pmviUee Iha� such impmvements are nol intentled or o��ered for sale. I�, howeveLthe Uuiltling ar
imOrovemenl is soltl wilhin one year of campletion, t�e owner will have ihe hurUen ol pmvinp helshe did nol huilJ or imOmve
far Ihe purpose ot sale�. ,
- I, as owner oi �he pmDeny, am e�clusively comracting wiih licensetl wn(ractors m cons�mct �he pmlect (Sec�ion 7044, Business
Ff] anA Pmtessions Code: The Cantractors' S�a�e License Law does not apDly to an owner ol pmpeny wAo huilas or imD�a�es t�ere n
antl who contracis for such pmlecis with a contractoqs) license pursuam lo ihe Contractors' Siate License Law). I am a re
thai prool o� I�eir Wmker'S Compen5aiion insurance s�oultl �e pmvitleU b me.
� I am exempt untler Section: B. 8 P. C. �
br I�is reason: �
Date: � � � y � �- �� Owner.
I Oo hereby cenify I�al I am aware of antl unaerslantl Ihe re0uiremenis o� Cali�omia Healih antl Safery Cotle Sec�ions 25505, 25533, an0
25534 and Ihal I ar any INure builtling occupant willlwill not (circle one) neetl �o comply wilh saitl s�a�e cotles and �he requiremenis �or a
permi� lor consimction or motlificalion irom Ihe Air Oualily Managemenl Disirict. Fesiaen�ial constmdion applications are eaemp� Imm
i ��ese pmvisions.
Daie-. � Applicanl'.
I nereby reruly thal I �ave reatl �his appiication an0 slate �han�e a6ove inlorma�ion is correci. gree Io complp wi al ' county
ordinan[e5an051alelaw5relaling�obuiitlingconstm[Iionandherebyaui�ar epresenlativesof iscqloemo v¢�mentioneE
properry lai inspeciion purposes. � —
Daie''� — � �' �`L'� Signawre� �
�river's License or Social 5ecuniy a:
16<nab WM1ne—Builtlmg; Green—Coee Enlorcemenl: Canary—AOO�icant; Pink—Revanue Goltlmrotl—Assessor
CITY OF COSTA MESA — HDILDING PERMIT PERM NO; BP 049556
PERMIT NO: BP 099556 PLAN CHECR NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU STR PURPOSE: DEM
JOB DESCRIPTION : DEMO SINGLE FAMILY BLDG SQ FT;
CLAIM VALUE: CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: DEMO SINGLE FAMILY DWELLING .
**+�****�t**�r***x�**�+�***�x-x--x�**�-at*x�**ir*�t�t�r��x�*���t�t�t�t**�r�*-�*x�*x�t*�taratx�*�t***�t-�t****ar�t-x�*
Z O N I N G R E Q U I I2 E M• fi N T S
S G T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BOILDING ---------
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: 42424124 ZNE; REF NO:
PLANNING NOTES> .
>
*�*�+r+r*+�***��*�r�r*+�+r*x**+r��r*�e*�x�*�***���*�**�*x��*�***��+r**�+r���:**��r+��rtx****�c*��*
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
20NZNG APPROVED HY DATE:
HUILDING APPROVED BY : . DATE:
APPLICATION ISSUED BY•
if iF iE if if �f if 3f iF iE k 1f if �f �f ik �F iF if 9f
r**at*ar*�c�rat�rit*�it�c�t*aeit�r*�itac�acat**i rat-�
LEGALIZATION:N F E E
DATE: IOZ-Z
iEif�lEiFifif�iF�1f�1Elk� r�iiE
jF iE 1Elk 1k fE if it if iE iE if �E ia it if if 3f Yr�1i if if if iF if if JE � if iE ii �1F iE iF iE 3e �E iF iE
U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECJ!'RIC MECHANIC FIRE SMIP/RES GRADING
PERMZT 25.00 2.00 �
25Y SMIP/NON—RES
PLAN ' . .50
ISSUE FEE 3.00
bUILDING—DIV—> PERMIT ISSUE PLANrCHECK TOTAL PAID DUE
TOTALS----> 27.50 _ 3.00 �� 0.00 . 30,50 30.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.00 5.00 ., .50 ,
ff iE iG %iE iE iE iE k iF iE �1k iE iE if iE iF iE if iE 3E jE if if iE 1E if if if �1f 1E af jF if iF 1f if 3F if 3f 1k 3F ik it i! iE iE 3k IE iE * iE 1f i6 iE ik if iF iF iE 3i 3F iE if iE % 3! ��%� � aF ii 3i �i iE 3F 3F 3E #
I N D I V I D U A L F E E B R E A x D O W N
TYPE QTY D E S C R I P T I'O N L1NIT COST TOTAL COST
PLU 1 SEWER CAP / DEMOLITION EACH 2.00 2,00
END OF FEES
o� ano�a�Q6-oco�24sa -�o�z a�.sR
c�ar=_: iniz2i�o TII1E: ia:z4
0
CONSTRUCTION AND PLANNING � ' '�- jA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location �
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement •�
3. Electrical Conduit Utility�Undrgrnd. !- 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrica� Bondin9 '
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. i 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Ploor System � 61. APPROVAL TO DECK � �'
11. Property Sewer Line & House Connection • � 62. Backwash & Receptor-Final '-�
12. Sewer Cap • 63. Heater & Vent-Final �:
13. Roof Drains " � � � '
� 64. Plumbing System - Final i .�
14. Rough Plumbing � j�- 65. Electrical-Final ' � ' �
i
15. Rough Electrical-Conduit � 1- : 66. Solar SYstem-Final � - �'
16. fiough,Etearic'Wiring /�� 67. Fencing & Access�ApProval - ,�'
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERIN�-.'�
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL.
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� �, . ., .
20. -Rough Factory Fireplace ,.., ' ' " ; APPROVALS�,� �Permit # � ' '
_ i
21. Ducts, in Structure .. �• �� .� ' �70. Undergrourid. Hydro
22. Ducts, Ventil4ting ' . �-� f! ��y7. Praduct,Piping 0 Gas ❑ Oil
23. Gas Pipe-Rough & Test ,.. -y �� i�� . 72. Underground Flush � i •
24. Roof' Framing' � ' �, �� �r , i�!- ;73. �Undergrndi Storage Tank O Gas ❑ Oil
25. Roof�Sheathing � � _ u� f� � 74.•�Overhead Hydro �
26. T-Bar Ceiling (Structurat) & Monocoat �. , " r' � ; � � 75..'Dry Chemical ' F � „
27. �Frame and Flashing � . 1 _ � :��; r 76. Dry Standpipe , • � �
28. Lathing & Siding + - - - = ;.; ' ' ••i �• � •;�' �r 77,;-'FIXED SYSTEM�FINAL;
�29. Insulation � � " • � - � �� � r ��; , 7g��FIRE PREV. FINAL i � .
'30. Drywall'Nailing � ' '�� '�� ' '- �- HEALTH�DEPT.REQUIREMENT
�� . , i t t �„� -� .,
� �
31. Plaster Brown Co@t ; • , � � : q� � -J9. FINAL INSPECTION " .�
'32.'Electrical Power Meter��Final � • � � ;`�,� �i� ��80. FOOD CERTIFICATE ISSUED ' �
33. Einal. Electric. , .� � � I � � ,� � � 'es: Lr_(,-91 ��� �F.p)Qi(A $d f�fR
�.34. Final, Heating & Air Conditioning � ' I ��' �'� �;z0.3 U �C (�:'�J � �
, r�
35.'Final Gas Pipe;Test . � � � . � �' i.�� �r ., � - '� ' ` .
36. Hood or CanoPY . ., ' � � ���~.' � � . �
i
37. Final;Factory Fireplace ,, ' " ; � i` ��, ; '' . �
38. Final Plumbing . -f � � �, '+'� � � • ' ' ' '�'
� :r i.
39. Watei Service ,Final • '� �' � '- ' �
� i � i ' �;�� � �� . �.
•40. Gas Service-Final ,� • • � F ��� � ', i �. - • .
I �. ,
41. Solar�DomesticFinal � ' � I � � � ' , ,
j. � . �
42. Backflow Preventer� - � � �i � - • • _ � •
43. Backflow Irrigation ' � ' � ' - . �
i m
44. Landscape Irrigation System- ,,, • � � ' ^ � � - ' ' '
45. Sound Attenuation' � � '' ! � ; � - . '
� 1 Y�.i . . .'1
46. Handicap.Regulations ' � '
47. FINAL STRUCTURE & BUILDING , � I � �• , - ,
48. F,INALPLANNING i � i'�'�� � ' � �. �
49. Electric Release to Edison � ✓; � ' � � '
i
50. Gas Release to Southern California Gas Co , �i �� • - _ •
51. CERT�FICATE OF�OCCUPANCY - - { � � � .
No. Date
�
Pfl0.1ECT AOONE55: (j S O W 18 TH ST
OWNEfl'S NpME: FRANK GUNTHER
nooness:10562 TMMPION ST
. GARDEN GROVE CA 92693
839-7810
FNCHIENGINEEfl:
FD�HESS:
UNIT:
PEG.NO.:
IINIT:
PEPMITTEE: FRANK GUNTHER ( 714 ) 261-2060
AOONESS: S O S 6 i TAMP I OM S T
GARDHN GROVE CA 92643
LICENSEo CONTHACTON �ECIABATION: I hereby aifirm thal I am Iicense0 untler pmvisions oi Chapter 9(commencing wi�h Section
7000) oi Oiv�sinn 3 0� the Business antl Pm�essions Code, anU my license is in lulllo�ce antl ef�ecL
CIiY LIC.: $TIITE IIC.: CLRSS: �
Oate: Signalure-
�WOflKENS' COMPENSATION OECIANATI�N: I hereby a�hrm thai I have a certificale ol consen� to sell�insure or a cetlilica�e o� Workers'
�Compensalion Insurance, or a certifietl copy �hereof (Sec�ian 3800. Lab. C).
�OLICY NO.: E%P. OFTE:
I COMPANY:
,0 Cehilied copy is here0y fumisAetl. ❑ Cenilied copy is liletl wi�h �he ciiy BuilOing �ivision.
Da�e: NpplicanL
E%EMPTIONFNOMWOHREflS'COMPENSATIONDECIFPpTION: (Thi5seclionnee0ngibecompletedi��hepermi�ish onehun4retl�5100)orless�.
I certity that in �he pedormance o� the work for which ��is permit is a tl-1•STall ol employ n De�son in i manner so a5 to become
subieci �o Ihe Workers' Compensalion Laws ol Cali�amia
�'' oate: ��— 2 ti-'7.� Signature�- IS��
NOTICE: If. afler making Ihis tleclaration. you 5hou10 b come sublec� to Ihe Workers' C pensaiio mvisions ol Ihe Labor
Code. you mus� totlhwiih compry wi�h such provismns or �his permi� shall be tleemed revokeA,
CONSTBUCTION LENUING AGENCY: I hereby a�lirm �hal there is a cons�mction lentling agency �or �he pedormance of fhe work for
which Ihis permit is iesue0 (Sec�ion 3097. Civ. C),
LENOEfl:
AODflE55: i .
OWNEB BOILDEP OECLAPPTION: I hereby al�irm that I am exempi fmm the Conirac�orsl Slate License Law Por the �ollowing reason
(Seciion 703L5 Business and Pwfessional Cotle: Any city oi counry which requires a permi� to con9mct. alier, impmve, tlemolish, or
repair any slmc�ure. prior to its issuance, also requires ihe aDPlicant for such permit to file a sipne0 statement that he/she is Iicense0
pursuanl 10 I�e pmvisions ol ihe Contracmrs' Slate License Law �Chapler 9(cammencing wi�� Sec�ion 7000) oi Oivision 3 oi ��e Business
an0 Pwlessions Gatle) or I�a1 M1elshe is exempt �hereimm and Ihe basis far �he alleAetl evemption. Any violation ot Section 7031.5 by
any applicanl br a permi� sublec�s ihe applicanito a civil penal�y ot not more than �ive huntlretl tlollars ($500�. .
I, as owner ol Ihe pmpetly ar my employees with wages as �heir sole compensation, will do lhe work, antl Ihe
� slmc�ure is nat imen0etl or ofleretl for sale (Sec�ion 7044, Busness and Pmlessional Cotle: The Contrac�ors' Slale License law
Does no� apPry to an owner oi a O�openy who builas or impmves thereon, and wha does such work �imseli/herself or ihrough
� �is or �er awn employees, pwvitle0 t�at such �mpmvements are not imenaetl or offereA for sale. Ii, however ihe �uil0ing or
impmvement i5 5old wiihin One year o� cOmp@tian, fhe owner will have ��e hurden o� pmving he/5he tlid noi build or impmve
for ihe purpose of sale�.
� I, as ownerot ihe pmperty, am exilusively coniracting with licensed conirac�ors ro constmcuhe pmject (Section 7044, Business
antl Pm�essions Cotle: The Coniractors' S�a�e LiCense Law tloes nol apply �o an own¢r of pmpetly who 6utld5 or imDmVes there0n
antl w�o con�racts �ar such projec�s wi�h a contraclor�s)license pursuanlio Ihe Coniractors' Staie LicenSe Law�. I am awafe
t�al pmal of ��eir Worker's Compensation insurance ShoWd Ee pmvided lo me.
� I am exemD� un0er Section: B. 8 P. C. � �
for I�is reason: '
Daee:.pir � Z Z- � Q� Owner �-
�
I tlo here�y cenify ihat 1 am aware ot antl understantl Ihe reQuiremenis of Calilomia Health antl 5afery COAe Sections 25505. 25533, antl
25534 antl Ihai I or any iNure builtling occupant will/will nol (circle one) neee �o compty with 5ai0 Slate cotles antl the requirements �or a
permil for con9mction or motlilicaiion Imm ihe Air Ouali�y Managemen� �isiricl. Residenlial cons�mc�ion applica�ions are exemp� irom
I�ese pmvisians.
Dale: ApplicanL
I here6y cenily Ihat I have reatl t�is applica�ion and sla�e �hat ��e above infarmation is correcL I�gree to campty .vi all cily anJ counry
ortlinances and s�alelawsreialingto bwlding conslmciion and hereUy authorizerepreseNatives a� iis cilyio enter e aDove�mentioned
pmpeity lor inspec�lon puryoses. � /!f
Date-� �'� 2Z� Signature_ �✓
Oriver'S licen5e o� SOtial Searily q: �
ApplicanL Pmk—Revenue; Goltlenmtl—Assessor �
CITY OF COSTA MESA — BUILUZNG PERMI'C PEkM NO: BP 099558
PEkMIT NO: BP 099558 PLAN CHECK NO: N GOVT: N SOPP: N
CUNSTRUCTION TYPE: V—N PERMIT TYPE: PLU STR PURPOSE: DEM
JOB DESCAIPTION : DEMO SINGLE FAMILY DWELLING SQ FT:
CLAZM VALUE: ' CALC—VALUE: _1,000.00 GROUP OCC; R-3 /
COMMENTS: DEMO SINGLE FAMILY DWELLING
x��t*�t**�*-x�-�****at*�tit****�x-�tx��t-**x�*�t**�t*****�***��r��t-x��r*�t�t���********�t**�t****-��x�� x�***
Z O N I N G R E Q U I R E M E N T S �
. .�'i 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 ZN RGIiT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 42424124 ZNE: REF NO:
PLANNING NOTES>
�
iF �F iE iF 1f iF 3F iF if if ik if iE 1E iF iE if if iE �F iF �E if if if if iF dk iE if �E if iE iE iE 1f iF iE dE iE jE iE iE 1! k iE if iE iE iE iE if jf iE 3F 1f fF dt ik iF 3F iF iE jE iE iE iF %% JE IE 3e %�f iE # iE iE je
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 5
ZONING APPROVED BY PATE:
BUILDZNG APPROVED BY : _ DATE:
APPLICATION ISSU£D BY
iEiEikiflE�f3FiFifiEiFififikififiFiEiFiliF1E7F r
iEifjEiElf3EiEiEiFifiEifiiififif�fififiF3FiFikiEiEiFi@dFifiEifiE rjciEiEiE
LEGALIZATION:N F E E S
BLDG PMT PLUMBING EL
PERMIT 25.00 2.00
�� ' DATE: �����%
�f �iF3F±F��F�FiFiF7F'iF 3E 3E �f iE �E 7F iE X- iE i� if 3E
�F �f iF %if jk iF if iF iF iE iE 1E 1f jf %!F 1f 1E iE if iF �E jE iE iF �f if ik 1t �f i� iE df �E if #F 3f
M M A R Y STRUCTURAL SEGMENT:Y
MECHANIC FZRE SMIP/RL'S GRADING
25$ :•' � ' SMIP/NON—RE5
ISSUE FEE • •- •3.00 ' ' .50
BUILDING—DIV—>' PERMIT ISSUE PLAN—CHECK TOTAL PASD DUE
TOTALS----> 27.50 3.00 0.00 30.50 ' 30.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30.50 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.00 5.00 :•, . .50
iE �f dE iF iF iE iE ik iF if iE if iE iE �E aE jE iE iE fE if iE iE if M fE iE 3f 1E if if iE iE jE iE jE if iE if if iE iE if iF k iE-7f if iE ii �E jE jE if if 1E iE if iF iP if iE iE iE iE aE 3f M.`(� dE IE lE �E df 3f if if 3c ie
I N D I V Z D U A li F E E H R E A K D O W N
TYPE �,iTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 SEW�R CAP / DEMOLITZON
END OF FEES
0
tACH 2,00 2.00
�ATE�oiG%22190��7IS�fE: l�1J61� �Q.S�
CONSTRUGTION AND PLANNING' • �L lA !
APPROVALS Permit# Date Inspeetor AppqOVALS Permit# Date Inspector
- 1. Temporary Electrical $ervice or Pole - 52. Pool & Equipment Location , ,
2, Soil Pipe-Undrgrnd. 53. Steel Reinforcement � ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Elettrical Conduit•Undrgrnd. 55. Electrical Bonding �. '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UFEft'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, O Undrgmd. � _
10. Structural floor System � 61. APPROVAL TO DECK � �
- .
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ��' •
12. Sewer Cap - _- 63. Heater & Vent•Final -"
.
13. Roof Drains 64. Plumbing System - Final � J
i _
14. Rough Plumbing �; :� 65. Electrical�Final �,'- % ¢
15. Rough Electrical-Conduit �; ,' 66. Solar SYstem-Final � '
16. Rough Elettric�Wiring 67. Fencing & Access ApProval "
�+.J
17. Rough Wiring Sign 66. APPROVED FOR PLASTERING' �
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- i � �. .
20. Rough Factory Fireplace , �, '� F; �.�;� ��AppROVALS;�;, ��Permit #-�
21.�Ducts, in Structure • � • • � � _ � �� r ��70. Undergrountl Hydro '
22. Ducts, Ventifating,' � � , � , � , j7, product�Piping OGas ❑Oil
23. GasiP,ipe-Rough & Test i. t• •L •� � � 72. Underground Flush. �. .
24. RoofFraming' '- � �� '� ;,' � � ,]3.�Undergrnd,Storag�TarikOGas ❑Oil'
25. Roof�Sheathing ." � � � � �j � � jq,�Overhead HYdro �
26. T�Bar Ceiling (S[ructurel) & Monocoat �� '-' '; Y �� 75..Dry Chemical ' � ' '
i
27. Frame and �lashin ' ' , ''' r � . ' � � ` � ,
9, ._ . >� c•�, � 76. Dry Standpipe , �� �� i
28. Lathing&5iding _ ; � - �' `� "� ' 77,; �FIXEDSYSTEM INAL��
I ;� , �, r i
29. Insulation . - � .. . � �� � ' .. '
' f �r� � 7g:.FIRE PREV. FINAL'
'30. DrywallNailing ' �( ��� �� ' ' HEALTHDEPT.�REQUIREMENT
� 31. Plaster Brown,Coat . : � 1 �; �'��;� ; 79.��FINAL INSPECTION
32. Electrical'Pow_'er MeterFinal ' i � ��c 1 �80.�F000 CERTIFICATE ISSUED '�
33. Finel,Electric .� � �� � '���S,�j �No4e •(.�-!7'�(( j�P�;Qj-�l� P�e�<P(Q•GO aS tP�
� 34. Final.Heati�g & Air Conditioning . • � � � ,�i;�� � Z�p� g �U PC�; �,..Qi� � ' �
� �
35.,Final�Gas`Pipe,-Test � .; . � ;1!�;� , ' �_'', i ' �
36. Hood or CanoPY � � . _ • -. � � • . . . .�.
� , , i ,��� . . . i ..
. j � • ,. �.� � i� . i �
37. Final,Factory Fireplace _ � i� ����, �.
38. Final'Plumbing . i � i �, t '� "
' 39. Water Service�Final' , � .. �; ; '
,r • . �
40. Gas Service-Final � � i ty '1 �i , • , • ' . . '
�
�41. Solar pomsstic•Final � ' - , � �' ' L " �
. � r� �
42. Backflow Preventer .. � �� ' - • � •
43. Backflow Irrigation, • ' ! �� � _ ' � � ,
� t i
, 44. Landscape �rrigation Sysrem. � � � _ � ' � � : �' �.� � '�
:i,. ,
45.�Sound Attenuation' � . � ' � � . � � , - '� ,
r ��
46. Handicap Regulations � � ._ �
47. FWAL STPUC7URE & BU�IDWG � ✓� +
48. PINAL PLANNING I (✓i �' �'� a•
49. Electric Release to Edison � � �: : i * � , � �
50. Gas Release to Southern Califomia Gas Cn � ,^� �, , � � �
51. CERTIFICATE OF OCCUPANCY �' �: � '
No. Date
Ci�y of Costa Mesa '
Devebpment Services Departmeni C E R T I F I C A T E O F O C C U P A N C Y NO.
Building Safery Division
P. O. BOx 1200
Costa Mesa, California
The Bui�ding �ocated at A�� W. 18t11 St. �
has been inspected and found to comply wi[h [he provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R 1 Occupancy.
Use of Building $�it a�T'�1l�lt bllild]rig
Legal Description 424-291-29
� ISee rererse side for Metes and Bounds)
B52371 FP�52455 F'�52455
Building Permit No Electrical Permit No. Plumbing Permit No.
II�52455
Mechanical Permit No. Number of apartments and/or guest rooms
'PorYy C'D2 BdCa
�SSUED TO: Building Official
Franlc (lmther
ios6z z��.a� st. by �._; '� T�,.,\� �
Gaxrien Grove, CA 92643 Jtme 30, 1992
Date
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C.
CMF 1015-46 rev. 1/83 White � Owner; Canarv -Numerical File; Pink - Bld9. Permit File
PHOJECA ROOHFSS: �
OWNEfl'S NRME: 6 J 0 W 1� TH S 1
aooness: FRANK GUNTHER
10562 TMN,PION ST
i GARDEN GROVE CA 92643
AFCHIENGINEEfl: 8 3 y— 7 8 1 U
aooaEss:
sec.No.:
u"iT: CITY OF COSTA MESA —.BUILDING PER�IT
PERMIT NO: B 0523"/i PLAN C'rIECK NO; 06322.-90 L
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
uNiT: JOB DESCF2IPTZON : NEW 8 UNIT APARTMENT BLDG
PEflMITTEE: FRANK GJNTHER ( 714 ) 261-•2060
nooxess: 1056'L TAMPIOM ST
GARDEN GROVE CA 92643
LICENSED CONTflACTOP OECIAflATION: I �ereby a0irm I�al I am Iicense0 un0er pmvisions of C�apter 9(commencing wii� Seciion
711001 0l Division 3 of Ihe Business antl Pmtessians Cotle, antl my license is in full brce antl ellect.
CITY LIC.: STATE LIC.: CLASS:
Date: SignaNre:
WOBREflS' COMPENSATION UECIAflRTION: I Aere�y aHirm Ihal I �ave a cenifiWte ot consent to sell-insure or a cetlilicate ol Workers'
ComDensation Insurance. or a certilietl copy t�ereol �Section 3800. Lab. C�.
POLICY NO.: E%P. ORTE:
Certiliea capy is �ereby �umished. ❑ Certilie0 copy is fiied wit� Ihe ciry BuiiGinq Division.
�ate: ADDlicant:
E%EMPIION FNOM WOFI(E8S' COMPENSIITION DECLAflATION: �T�iS 5eclion neetl no� �e com01ete0 iI 1�e permit is iorone huntlreG �5100� or k55�.
I cetlily Ihai in I�e Oe�ormance o� the work for ic� Ih¢ permit is issuea, I shail no� emplay any person in any manner so as ta 6ecome
sublec� io ��e Workers' ComOenulion lavrs Cahlomia.
Oate: Signaiure:
NOTILE: If. afler making inis aeclara�ion, you snout0 Oecome suGiect m tne Warkers' Comoenuiion pmdsions ol tAe LaDor
Code. you must fonnwith fAmDly wilh such provisibns or this permit shall be deemetl revokea.
CONSTflUtTION LENOING RGENCY: 1 Aere�y atfirm t�at t�ere is a wnstmctim lentling agency tor t�e p¢dormance ot t�e wnrk lar
w�icn this Oermit is issuea �Seciion 309Z Civ. C�.
LENOEF:
aooness:
PERM NO: B 05237 �
GOVT: N SUPP: N
PJRPOSE: NEW
SQ FT: 7,471
CLAIM VALUE: 350,000.00 CALC—VALUE: 376,482,70 GROUP OCC: R-1 /
COMMENI'S; NEW 8 I1,NIT APARTMENT HLDG.
lE �lE if if �lf if �lE ih�� if iF i( iF # 1E �Jh if lf �K� !E �lE 3f 1i jE *iF iE af �lf �E iE 9E •M iE �Yc iE-K if 3f �JE �lF 9f iE �7E �lf �lf �1E iF�IF if iF �)f #�J4��)f �1F�� iE iE if�-1f �3E �%�� �lEdb iF dF iF iFif # iE �lf * iF�%� 1E if
Z O N I N G R E Q U I R E M E.N T S
S E T H A C R S HOLIi r�.�c �rc��..� K��v�n�,wtIVTS
--- -------- MAIN PUTLDING -------- — --------- ACCESSORY BUILDING —=------
FRNT: 21 FT SN REAR: 14 FT 8 IN FRNT: £T IN REAR: . FT� iN
I.EFT: S F'T IN RGHT: 5 FT IN I�EFT: FT IN RGHT: FT IN
PARKING REQ• 15 PROV: 16 PAItCEI�: 424247.24 7.NE: R2 REFi NO: PA;89-127
PLANNING Nt3TES> PROPOSED 8 UNIT APT, COMPLEX INCLUDING 2DENSITY/ HONUSESj'
j � . . ..
�e*r:*+�it���*�****� �***�*�*�*��*��+��r***x+��****�it*�+t*+����x*��******�*�at��-*�*�*�***�
. 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 •i S'
ZONING APPROVEll BY G� C- DATE: l�:. f II•(�_
BUILDING APPROVED BY : DATE: �� `�
APPLICATION�ISSUED HY'• • S DATE:
*x�c**�*�****x***Kx�**�c-�i **x��x**x��� I� c � **
�F iF 3f IE if ih # iE iE dF �f !f af �lf iE 3E iE 3f 3F iF if �E iF 3(� �E !E iE !'r if iF iE aF 1Elf +E iF iF iG iE �f dF ib iE iF �1(� iM �1F )f 1E ?E 36 �c 1t iE iF 3f 1f #±f if iF iF if iF iE IF 3F } rt±f aE i¢.iE 3!� 14 3E 3E �E 3E
LEGALIZATION:N F E E S U M M A R Y STRUCTIIRAL S�GMENT;Y
OWNEfl BWLOEB OEC�RRRTION: I hereby aflirm thal I am exempl Imm ��e Coniraclors' Staie LicenS¢ Law �or Ihe lollowinp reason � ,� � ,
(Sectian7031.5BusinessantlPmiesvonalCOAe: Anycityo�cauntywhic�repuirtsapermi�tocanslmct,aller,impwve,Gemolish,or HI+nG pT'1T PI.I�MBING ELECTIiI(: MECHANIC FIRE . SMIP/RES� �"GRADING
repair any stmcwre, prior to i�s issuance. also requires the apDlicanl for such pemnt ro lile a siAned siatemem ��at helshe is licensetl P ERM Z'1' 1� 6 0 9. 0 0 , 2 6. 35 �:
pursuant io �he provisians ol ihe Conlractors' State License law (C�apier 9(cammencing wi�� Section 7000) of Oivision 3 of t�e Buvneu SM I P/N�N=R =S '
an0 Pm�essions CoOe) or I�aI �¢/she i5 eKempi IAerelrom an0 �he Easis tor l�e all¢ged exemption. Any violation ol SldiOn 7031.5 Gy pLAN 1� 0 4 5. 8 5 � �' " •
any applicam lor a De�mi� su�lecis I�e aDPlicani �o a civil Oenally ol not more IAan live huntlre0 tlollars (E500�. J.SSUE FEE
/ �
1. as.owner oi tne pmpeny or my empiayees witn wages as ineir soie wmpenution, vntl eo me work, antl me 3UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAlD '�';�- DOE
❑ simcmre ¢ not imentlea or oBerea tor sate �Section 7044, Busmess antl Pmlessional Code: The Contraclors' Slaie License Law TOTAL S----> 16 � 5. 3 5 0. 0 0 10 4 5,$ 5 2 6 81 i � 2 6 FS 1 i 0 '" 0 0
1 does nol apDN �o an owner of a pmpeny who CuilAs or impmve5 l�ereon, and wllo Oaes suctl work himsell/herself or t�rouqh
his or ner own employees. provitletl inat sucn impmvemems are noi intentlea or otlereA far sale. II, nowever ihe Ouilainp or
impmv¢meni i5 SoiO wi�hin one y¢ar ol Compleiion. I�e owner will have ihe burtlen o� pmving he/She Uitl no� builtl ar impmve
for ine vurvose af sate).
� I, as owner oi me pmpeny. am exclusively tonlratlinq wi�h liC¢n5e� ConVat�ats lo tonSlNtl lh¢ proletl (SeCIiOn 7dW, Bu51n¢55
and Prolessions CoGe: The Conlrac�ors' Stale licrnse Law Uces noi apDN �o an awner al Droperty wha bmlGs Or imprrneSlher¢on
antl wAo contracls tor Such projec�s wi�h a contractOqs)license pursuam lo I�e CanVac�ars' State License Law�. I am aware
Iha� pmaf Of Ih¢ir Worker's COmpen5a�i0n insUrante shoulJ �e O�oviDeU �o me.
� I am exemD� untler $ec�ion: B. 8 P. C
lOr Ihis reason: �
c.�-
Oa�e: �V /L � ' � � ^ �� Owner: �
I Da �ere�y cenify t�at I am aware al antl unUerstanG �he repuirements ol Caldomia Healt� ana Safery Co�e epions 255 , 25533, anJ
25534 and ihal I or any luture builtling occupant willlwill nol (circle ane) nee� to comply with said state mAes an0 ihe requirements for a
permil fat consimciion or mo0ilication Iwm t�e Nir Ouabry Managemenl District. Resideniial wnsimction appliWtions are eeemD� ��om
I�ese provi5ions.
Oale: ApPlicanl:
I heieby cetlity �ha� I hav¢ read lhis apO�iCaiion a lale 1tul ihe a00ve inlorma�ion i5 fArreCl 1 ree lo wmply w h all Cii
oramancesanasiatelawsrela�inglobuilUingc Imclionan0�erebyaulhorizereDreSentaliveso�i sciryioenrerup eabo
pmpetly fai inspeclion pur0ases. ' /� -
Date: �� _ k — � Signature, � � L
Oriver's License or Social Securi�y q:
16aLa6 Whiie—Buileing: Green—GWe Enforcement: Cenary—AOP���anl: Pmk—qevenue: GOI4enroE—Assessor
REVENUE DZVISION TOTALS--> COLLECTED• 1635.35 OVER/SHORT• � 00
BLDG PMT PLUMH3NG ELECTRIC MECiiANIC ` FIRE SMIP/TOT GRADING Pi,AN—CHECK
1609.00 • 26.35
if iF 3F 1E if N� iF 1!K if It 1t iE � iE iE IE iE if If iE 3E 3E iF � 3f it if iF 1(- iE iE * If iF if iF 3f iF �f 1f 3E iF ih 3f �7F 1h iE iF ##'� it ah ih iE iE 3(� 3f 3f 1F 3F 3F iF it ii ?(-aF K-ib%3E 3E 3F iF N� iE iE * iF iE
I N D I V I D U A L F E E B R E A K D O W N
TYPF' QTY D E S C R I P T T O N UNIT COST TOTAL COST
SFR 5831 — APT—TYPE V—WOOD FRAME �� —GO011 59,70� 348,110,70
SFR 1640'— RES—GARAGES TYPE V j' 17.-30 28,372.00
, � ' END OF FEES
, ��
` �I'
� �i Q��E�:aa"—GUOn93v9 T'.r6� �i ::c\
o�zG. at,;+i!qi rtr;�. �.�oi
CONSTRUCTION AND PLANNING PO�PA �
APP!;OVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Elearical Service or Pole 52. Pool & Equipment Location
2. Soil Vipe-Undrgrnd. 53. Steel 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 rj 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe; � Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Fioor 5vstem � 61. APPROVAL TO DECK
1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,
12. Sewer Cap 63. Heater & Vent•Final
13. Roof Drains ' 64. Plumbing SYstem � Final
14. Rough Plumbing� 65. Electrical�Final
15. Rough Electrical-Gonduit 66. Solar System-Final
16. Rough Electric Wiring 67. Pencing & Access Approvat .
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • APPROVALS Permit #
21. Ducts, in Structure . � 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test ' . 72. Underground Flush
24. Roof Framing � �y 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing . 74. Overhead Hydro
26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemical � '
27. Frame and Flashing _ 76. Dry Standpipe
28. Lathing & Siding • 77. FIXED SYSTEM FINAL
29. Insulation � � 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter-Final . � � 80. FOOD CERTIFICATE ISSUED
I '- �
33. Final Electric ' � Notes: -
34. Final Heating & Air Conditioning � `� A�, REQU�REME�
35. Final Gas Pipe-Test - � . �
36. Hood or Canopy � � �
37. Final Factory Fireplace . , '
38. Final Plumbing ' � _ �
39. Water Service-Fina� , ' ' ' '
�
40. Gas Service-Final , _ _ � .
41. Solar pomestic-Finaf '
42. Backflow Preventer . I j � .
43. Backflow Irrigati0n
44. Landscape Irrigation System � �
45. Sound Attenuati0n
46. Handicap Regulations � �� . r
47.FINALSTFiUCTURE&BUILDING 6Z9
48. FINAL PLANNING� �� �
49. Electric Release to Ed� on ; -
50. Gas Release to Southern Cajifornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date �
�
I�
�r
PR0.IECTROUflE33: (JO W' 18TH ST` � � uxi1:
OWNEfl'SNAME: t�%hX GDNTHGR
nooxess: 10562 TM�PION S3 �-,
GARDEN GROVE CA 92643-�
839-7810
�RflCWENCINEER: � NEO.NO.: •
� �DORESS: UNIT:
� PFHMITTEE: ��iP[�jl( GCJNTF.ER ( 714 ) 26I-2060
, aooness: 10 S 6 2 TAMP I OM S'I'
• GARDEN GROVE CA y2643
LICENSED COXTMLfOB OECLAMTION: I herehy aKrm that I am Iicenu0 unGer proNsions oi CAapter 9(cammencina xit� SeNon
70W) ol Dlvislon 3 0l l�e Business an0 Pmfeuions CoOe, dnU my license Is in full force antl ellect. :,
CITY LIC.: � STRTE LIC.: CUS&:
Date: Siqnature:
WONNEBS'COMPENSRTIONOECIAMTION: I�ereOy attirmthatlAaveacertilicateofconsenitosel4insurearacertificateotWorker5'
Compensation Insuronce, ar a certi(ed coOY �hereol (Section 3800, Lab. C).
wucr Ho.: �cr. o�re:
'IMPANY:
Certifietl coDY is hereby IurnisheU. ❑ Certitietl copy is IileC wRh the ciry Builtlinq Diviuon.
i
te: Mvliwnc . � �
IXEMPfION FPOM V/OflKEI1S' COMVENSIITION DECUMTIOM: (iryls sectian nee0 not Oe completed il Na pemit is iw.one AunEred (5100) or less�.
I certiry lhat in tAe peAormance ol tAe woM for which tNs permit is issue0, I s�all not employ any persan in any manirer so as ta Oewme
su0ject m the Warkers' Compensation laws ot Califomu.
Date: SipnaWre: —
NOTICE: If, aRer maldnp this Oeclaration, you 5hou10 become su0ject ta the Warkers' Companution Drovisions ol IM LaGor
CoGe, you mus� tonhwit� wmpy witA suc� D��ons or IN5 pemut slWl 6e OeemeE revokeC. '
fAN37PUCTiON lENU1NG �GENCY: I hereCy affirm ttut them is a construction IenUinO a0ency for tAe pertormance ol Ne vroM lor
whic0 tnis pertnitis issueE (Seclion 3097. Civ. C).
LEXUEB: ' . , .
�noxeu: -
OWNER BUILOEH DEClAM710N: I �ere0y aifirm that I am e�empt irom the Caniractars' State Licensa Law for t�e tallowinp reaspn
(Section 7031.5 Business and Protessional CoOe: My dry ol wunry whic� repuires a permit ro mnstruct, aher. Improve. Aemolish, or
repair any 5[ncture, pnor to iIs iSSwnCe, a150 Rqulfe5 Ne gppllWit for 5uG1 pertnR lo fila a siqneE statement ttlat hpJ5lie 5 IkenSEE
pursuant to t�e provtsions of tAe Cantrapors' SWte license Lqw (CMpter 9(commencin0 �th Sectian 7000) ot OivLsion 3 0l Itw BUsiness
an0 Pmtessians CoOe) ar ihat �e/s�e is exempt t�erefmm an0 I�e Cazis for Ihe allegeE eaemDtion. My Molation ol Sectlon 7031.5 by
any applicant lar a permil suGjects Ne applicant to a civil p¢nalry at not mare tlwn iNe �unEreE AOAars (5500�.
I, az owner oi Ihe propeny ar my emyloyees wit� wa0� az ��ir sole compensatron, wiA Oo t�e wark, an0 Ihe
❑ structum is not intenOeO or ollere0lor sale (Section 7ppd, Busineu anE Professbnal CoOe: T�e Coniractors' State License Law
1 Uoes nat appty to an owner af a DmpeM w� builEg or Improves t�erean, an0 who does suc� work himselflMrsell or Nmuph
his w her own emDloyees, D��dM that wch imprpv¢menLs are not intenOeO or oHered tor sate. II, Aowever Ne DuilEinq or
improvemen� ¢ sdE witNn one year oi com0letion, �rya owner will tave t�e �uNen ot pmNny �e/she Ei0 not buiW ar improvg
for IAe purpose ot ule).
tJ I, az awner oi the Droperry. am exclusNery con[acnnq �th Iicense0 comractors ro construct the prolecl (Saction 7041, Business
CI, ana vrmessqns caae: rhe cmvaqas• Stau �kense uw aoes mt apaN m an mmer oi o�oarry wno ouuas w inwmres weaon
anG wM camracts for suc� prol� �+N a contactor(s) license pursuant to Ihe Cantrzpors' State License Law). I am axare
�twt praol at their Worker's CamDensation insuanc¢ s�ou10 �e 0��� ro me.
� I am exemD� un0er SecUon: B, y P. C.
tor Ihis reasan: �
Date: C-� — 2 d� �J Owner.
I Oo AercUy uNty Wt I am aware ol an0 mMerstand Ne aq��men6 ot Califomia HeaIN anE Safery CaUe Sec 25505, 25533. anE
2553a a�M that I or any future WGUinp oaupant vrilNxin not �drUe one) nee0 to compy with IE SIdIO COEPS 211 e reQuiremenu for a
permit for constmction ar rtrodifiwuon irom [he Nr Oual'M A�.�tt esiUenGal nswctron ap I' ' ns are eaempt hom
iheu provisians. ' q
Date: � � ''Z � � // Mplicant: �
� 1 �eaby certiy ttut I have rwtl this apDticalion an0 state iha� ��e aDove inlarmatlon a cartaL I 0�� �o wmpty w' A tiry antl wunry
or0inancw an0 slate laws reWfinp lo huil0inp consiruction anE Aere IaGves at t' dry to e If ve-mentlone0
pmceM tor i�5action Gurposes.
Date: 6` 2� r`� Si9naiura:
Driver's License or Sodal.5ecumy x:
1601�C6 Whiie—&�iWirg: GrearCoEe Enbrcement: C,anery—ApWicant: Pink—Revanue; GdEanroE—Assesmr
CTTY OF COSTA NESA �- BUTLDING PEA,NTT PERM NO: EN,P U52455
PERMIT NO; EMP 052455 F'LAI� CeiECK NO; N_ GOVT: N SUPF; N
CONSTRUCTION 'CYPE: V-N , PERMIT TYPc: ELE NEC PLU PURPOSE; OTH
JOB DESCRIPTION : NEW 8 UNI"P APARTiMENT $LDG . SQ FT:
CLAZM VALUE: CALC-VALUE: GROUP OCC: R-1 /
CONiMcN'C5: RE: B523'%] PRIMARY BLDG. PER,�IT.
iF a6 k i!� #� i(� �# ii� ii� k� 1f iF iF 16 if #� :b lE i't 3c Ih ii iE iF ±f !f � 34 �iF !f IF }�lE iE N� N� #}f iF i(� M.� ic �If 1E iF ?P IF i!� N� ic K� k IE 3r?F 3e iF f�lE ff�lf {. if ie N- iE 3i� i'r i(� iE i!� ie N� 1f �k IF # M�
Z O iV I N G R c Q U I R c N, E N T S
S E T B A C K S �—
------------ MAIN BUILDING ---------- --------- ACCESSORY BI7ILDTNG ---------
rRNT: FT IN REAR: FT IN cRNT: ?T IN REAR: r^T IN
LEFT; FT IN RGHT: rT IN LEFT: rT 1N'RGHT: FT IN
PARRiNG REQ • PROV: PARCEL; 42924129 ZNE: REc NO:
PLANNING N(7TES>
�
.x*�+���x*x*+�*�c�**�ux�����*�*u*���x�-pr.*u�xx����*rx*���i�.*��sk�'��+����2*t�x���c�*��x��*u��c
;: .� D E V E L O P M E N T �:S �;'R�,;V � C�� S% - R E Q"�iT.,, I R-8 M E N T S �
, 1 '� �• ♦ - �!. Y� .
ZONING APPROVaD BY �, � :� � ,�; .= : � ' �13ATE:
BU�LDING APPROVED BY ; ! '� -' ,�ATE: _
APPLICATIOtd ISSUED BY• �' � ���� ` •1)ATE� — // ��/�i
if�ki'tif3PjElf-43ciEiFificiFiEiEiFlEiFii�ii�lf �iF3 7Fi'r3��i�t � •••-� :! :R'x�" �'�Fe�iTj(�df3fR�F#�I'riFl:if��i[�'£�T�':�'�iEi(�
i4lckiF)E3fihifl(�ifiFiFlfiC�iE1E1FiFifiFk#-ifirif3FiFiFiFN�if;Xil�iE�Fi'rIE�3EiE�E1E1e�lEiEK�� 1EI�aFiPieiEiilFiilER�iF%iFi6ikiF�kif±(-If�FiEieM.M�.i(.1(.1(.i(.
LEGALIZATION:N F�E E� S U M M.,A R Y STRUCTJRAL SEGN.ENT;N
BI�pG PNT PLUMHING ELECTRZC MECAANIC F,IRE: �`,-PP"/RE5 GRADING
PERNIT 18'�25g 1`7950z '203z5$ gMiP/NON-RES
YLAN �, ' •
ISSUE FEE 3,00 ,LS:UO 15,00 • '
BUILDING-DIV�> PERMIT SSSUE PLAN-CHECR.� TUTAL PAID D'Jc
TOTALS----> 566.93 33.00 .= 0.00 ' S99.93 599.93 ,OU
... ' .. ; . .
RzVENUE DIVISION TOTALS--> COLLEGTED: .. ' S99.°3 OViR/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MEEHANIC ,'FIRE SMIP/TOT GRADING PiAI�-CHECK
192.00 189,93 ��21'8.,00 � �
# K� if 3f� }E ii�?F+E fi- iF 1E )f k� K� 1E iE ?(� 3F R Y iF if ie iE �i- 3F 1(• iF �lE if f(� �%r� 1E if #f�K� #e��)F if� iF 3E iF R k� ie iE 3E IF 3e X� iE R iE�% ii )f R ie ih �F i(� ii 3(�-1F iF {. i(� 1F �lk 7'r 1E 1F K� ie iE ib ie
I N D I V Z D U A L -F.�E E'�- B R E A K D O W N
. r� . ,/ ,
TYPE QTY D E S C R I P T I O N • ; UNIT COST TOTAL COST
.- �.
=Lc. 5831 �tEW RES BLDG �OR 3+ IJNITS + / SQ FT ,03 179, j3
MEC �i ZNST FORC-AIR/GRAV FURN <�' 100 K BTU 9.00 72,00
MEC 8 FACTORY FIREPLACE 6.50 52.00
N.EC 8 INST HOOD W/DUCTS FED BY M£C-.;�XHAUST 6.50 52.U0
MEC 6 VENTILATIOh� FAN CONN TO SING�'E DUCT 4.50 17,U0 /
PLli 10 BATHTUB 2 00 20,OOv
PLli 8 DI'SHWASHnR '" 2,00 16,00
FLU • B� LAUNDRY TUB OR WASHER � 2,QU 16.00
PLU 8 SINK, KITCHcN � �`-2',00 -- �� �� 16.QO
PLii 12 WASA BASIN (SET) : _2.;.00.:. . , 24.00•
PI�U 12 wATER CLOSET (TOILET) ��'� 2�,00 �� " : ' 29.OU
\
.,
' ' P00 A
CONSTRUCT.ION AND PLANNING �
APPROVALS Permit # Date Inspector APpROVALS Permit # Oate In:pector
i, Temporary�Electrical Servfce or Pole 52. Pool & Equipment Location � �
2. $oil Pipe-Undrgrnd. 53. S[eel Reinforcement . �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms � �
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding . � �
5. $teel Reinforcement _ 56. Rough Plumhing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings _ 58. Electrical Conduit�Undrgmd. � .
8. Foundation 59. Gas Pipe, � Undrgrnd., Test +- __.
9. Water Pi e-Undr rnd. �
p 9 60. Backwash Lines, P�Trap, O Undrgrnd. .
70. 5tructural Floor System 61. APPROVAL TO DECK � •
11. property Sewer Line & House Connection 2 � cr� u'� 62. Backwash & ReceptorFinal ' f
12. 5ewer Cap - 63. Heater & Vent-Final �"
73. Roof Drains � . 64. Plumbing System � Final ? �
14. Fough Plumbing SEE �..�ark ({ Q� (,� 65. Elec[rical-Final . • ""
75. Rough Electrical-Conduit . Solar System-Final ' � � �� � - �
16. Fough Electric Wiring L Zj Z �cing & Access Approval -. �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING%-"
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
}g, pough Neating & Air Conditioning g��% (��j FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace /��lq� L� APPROVALS Permit #
�-i
21. Ducts,in Structure 70. Underground Hydro
22. Duas, Ventilating 77. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Tes[ 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. 7-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '
27, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. �rywall Nailing '��'� HEALTH DEPT. REQUIREMENT
31. PlasterBrown Coat i . FINAL INSPECTION
32, Electrical Power Meter�Final � Z . FOOD CERTIFICATE ISSU
33. Final Electric � Z Notes: , Z 9
34. Final Heating & Air Conditioning S !� G�, e
35. Final Gas Pipe-Test u Z (,�j � a! .
36. Nood or CanoPV / ��a4/QZ Q� �(� 6��$jj',EG►-yy�ptj8 •.(.�4
37. Final Factory Fireplace /o �i r• �,�Z � �
38. Final Plumbing (pf2 Q (� -
39. Water Service-Final 3/b�Q� LE�
40. Gas Service-Final `
41. Solar pomestic-Final � �
42. Backflow Preventer S � �(Z ��{�
43. Backflow Irrigation
44. Landscape Irripation System Q LtEO
45. Sound Attenuation
46. Nandicap Regulations �
47. FINAL STRUCTURE & BUILDING �
�
48. FINAL PLANN�NG '
49. Electric Release to Edison ��
50. Gas Release to Southern California Gas Cn ' �
SL CERTIFICATE OF OCCUPANCY
No. Date
vaaecr �ooaess:
OWNEP'8 NAME:
AOUflE8S:
�qC111EN61XEFR:
�OOflE83:
PEflMITTEE:
�ooxess:
IIEa.NO.:
uxrt:
UXR:
LICENSED CONTMCfOP OEClA141TI0N: I �ereEy affirm Vmt I am fxeirseU unCer prpvisions ot CAapter 9(mmmeiMnp wltA Section
��) ol OiNsbn 3 ai Ne Business ana Prolessians Catle, an0 my Gunse is in luo lorce anE eflen.
ciTr uc.: sT�r� uc.: cuss:
Oaro: Slpnature:
WUNIIERS' COMPEN511TION OECIAMTION: I heahy aHirm tAat I tuva a cartilicata ot conunt to selt-imure ar a wnificata al Workers'
Comp�nsa(lun Inturance, or a ceni(led wpy I�ereoi (SecUon 380D, L�, C�.
PoIICY NO.: EXP. DA7E:
cropy is hereEy IumisAeO. ❑ Cetllfletl copy i51JeE witA t�e clry Bulltlinp DMsion.
Date; ApplkanL
F7�qFfNN FHOM WOpIIBiS' COMPENS�710N OECUM710N: (t0'¢ uNon neeE not 0e � q Ihe partil'a fa me hudiW (f100) a lGa).
I uNty WI in Ure perlornunce af t�e waA Ior wNc� tlus pertrvt a icweE, I stWl not em0�' �Y ce�wn m airy mamrer su az to 6ecome
wEject ro ttre Woh,ers' Compensation Laxs ol CaGlomia.
Date: SiOnature:
NOTICE: II, aM1er malan0 ��is Eeclarzlion, you 5�oulU Eewme SUGject to t�a Workers' Compensatlon provisions of IAe Lahor
COEe, you must lorthwit� camply witA suc� provisions or IhiS permit sAall he tleemeU ravoke0.
COXgTNUCTION LENOIN6 �OENCV: I �ereGy aKrm put Nere is a conslmction lantlinp apency lor IAa peAormance o� t�e work lor
wMcn Ihis Dertn% Is iuuetl I�tlon 3097. Gv. CI.
IFNOER:
ROOflE33: '
OWNEN BUIlOER OFClAMT10N: 1 here0y atlirm Itwt I am exempt tmm ttre Controctnrs' State Lieiae Law tar Ue IOIIOMnp reasai
(Seqion 7037.5 Business anA Pro7esuonal COCe: !ury dry ai caunry �Mic� rapuires a pemN to mrsVbcl, atter, imOrwe, Eemolish, or
reWu am/ stn¢eure, prim ro ifs Issuanca, aLto reQuires Ne appGcant lor such permit ta fAe a siqne0 statemem tlut tx/stre I5 liansetl
pursuant ro Ne Drovisrons oi tha Con[ractors' State Licens¢ Law (CMpter 9(commencinp wit� Senion 700� ol Division 3 0l IM Buaness
and Professiwrs Cade) or ihat npJshe is eKempt tMretrom a� Ne Essis iw t�a alle0� ekemption. My violation ol Sectlon 7031.5 by
any pppOcant lar a permit subjects t�e apDlicant Io a pvtl penalry at not more tAan five �unOred Udlars (`�1.
I, as owner ol Ne proDerty or my empbyees wiN wapes az tAelr sole compensation, vM Aa t�a work, ana Ihe
❑ stmcmm z noi intenUeE or ottemA far sah (Secnon 70a4. 8usmess anE Pmfessional Catle: TAa Contracrors Snia dcense Law
EOCS not apply ta an owner ol a D�opErty w�o OuilEs or improves tllerean, antl wllo Uoes sucn wprk MfRSelVnersall or tllmupll
1 N5 or her own em0loyees, D�ovldeE that suc0 ImO�'emenis are not intenOetl or ollercE lor sale. II, Iqwever t�e OUIIAinp or
imDrwement is solU wlthin one year ol rnmdetbn, tM owncr will have t�e DUNen ol O�nO �ds�e EIE irot EUIW or Improve
lor Ne WNose ot salel.
I, az mmer ol Itre D��v. am axciuslvelv cont2cUnp wRh Gcense0 contractors to mnstruct Ne D�WM ISection 70/4, Bu4ness
❑ an0 Praf� Code: The Comractars' Stata ticense Law Eas rrot appy �o an a.ma al prope�1ywtp OidlM1s or imprpveg t�erem
LW Wlq CIXIIIdCIS (Of SutA pfOjMLS ��Ih i CqiUiCIW(5) IIClM1Y W�wa�� �0 I�1E COIItfdCIOR $GIB LICCILS! LYw�. I art� 2waz!
tlwl proof oi tluir Worker's Compem.tbn heurance s1aWd he Drrnitle0 to ma.
� I am exempt unEer Seclion: B. 8 P. C.
Iar tAis reason:
Oatc: O.mer.
I Eo �ea0y certity Nat I am aware al ana untlerstand Ne reQuiremen¢ ol Calilomia Healih anE Sahry Cotle Sec0on5 25505, 25533, anC
25534 and t�at 1 ar any iNum buil0inp acuDant wilVwili not (urde one) neeA to com0ly wlt� ulE sute codes an0 Ue reqWmments lor a
ce�mit lor mnstruciion or maUiiiution Irom Ne Air Oualiry Manapement Oislrict. Resitlential wnsirucfion apDficatiow are axampt Irom
tAeSe OrovMoix.
oaia: Menwm:
��reEy ceNty tlut I Iwve read this appliwtlan an0 slate Wt W aGove inlarmaUan Is �prtect. I apree to comON �� ��b ana counry
wE4unus arq sute lavrs rzwtlrq ro Dwwinp wnsuuction anE tereM amMw awesenutivas ot wa dty w mtu upan vie uow�mentlone0
O�Oerry lor ilispeclion puryases.
��0: SIp�IdNrB:
�riv�r's License or Social Sacuriry M:
16e1dg NTlle—BuilEing; Grean—CoOa Enlorcamont; Canary—Applieant; Pink—Revenue; GaMeneoE—Ansessor
PERMIT NO; �MP 052455
PLAA7 CFiECIC P]U; 02131—S1 N
PAGE: 2 _
# iF k 9F K• i6 iF 3f 3E iF if iF aF ie lf 3F ff iF 3E 3h K� iF If ff R iF �E iE 3k iE lE k� iE it id 34li� i(- lE 3b iF?i� iF i(� IE ! lf� 3i� Ir ii� N� K%iE ?f� 3i� ii� lF i'r ik 3e iF 1F iF K if 7i� # Y,� � f't 1f #� L: ii� i!�'41F iF
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS7'
PLiI B WATER HEATER AND/OR VENT 2,00
PLU 8 WATEr'2 SERV3C^c 2,00
PLU 8 GAS PIPING SYS OF 1 TU 9 OUTLETS 2.00
PLU 8 GAS SERVIC� z,pp
PI,U 1 SEWER CONNHCTION TO BUILDING EACH 5.00
PLU i LAWN �PRNKLER SYSTBM ON 1 METzR 2.00
PLU 1 RAINWATE� SYSTEM — PER DRAIN 2.00
• END OF FEES
\�
/�r� `�'
/
�
16.OU
16.00
16.00
16.00
5.00
2,QU
2,U0
.,
.. �nC��J�:'C�='t_'�:F -�.. .
;.a��: o.;:a, r....: - . �
CONSTRUCTION ANDPLANNING P�� A
APPROVALS Permit# Date Inspector AppqOVALS Permit# Date Inspector
. �
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. S[eel qeinforcemen[
3. Electrical Conduit Utili[y-Undrgrnd. 54.,Forms
4. Electrical Conduit�Undrgmd. 55. Electiical Bonding �
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL 70 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, O Undrgrnd.
10. Structural Floor Svstem ' 61. APPROVAL TO DECK
11. Property Sewer Line &. House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing 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
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. FiEQU1REMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas OOiI
23. Gas Pipe�Rough & Test 72. Underground Plush � �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' • � • � 74. Overhead Hydro � �, � � �
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry S�andpipe
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
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing ,
39. Water Service�Final `
40. Gas Service�Final
41. Solar pomesticFinaf
42. Backflow Preventer
43. Backflow Irrigation
44. �andscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Elearic Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
�
� �
PqOJiCi pDDNESS: ( S O W '1 S TH $�r
EWNEfl'SNAME: YRANK GUNTHER
RDDPE55'. SOSE)Z TMNiPZQN JrT
� GARDEN GROVE CA 92043
pNCHIENGINEEN: � 714 � a3y-7810
aooness:
NEG.NO.:
uxir: R�NI7'
UNIi:
PENMITTEE: � jRE STOP t 714 ) 569-0016
aoaaess: 1253 S, WRIGHT 0
SANTA ANA CA 92705
LILENSEO CONTBPCTOH OECIAflATION: I hereby aifirm thai I am Iicense0 under D�ovisions o� Chapter 9(commencing wil� Sec�ion
7pp0� oi Division 3 0l lhe Business antl Pmlessions Cotle, an� my license is in full force an0 eflect.
ciTr uc,.: 'U/ 4/�'' 1 16 STPTE LIC.: S U S�J� cuss: C-1(
Date:.��T/ � � � Signat /'/�•--
WONNEflS' COMPENSFTION OELLAflAT10N: I hereby a um Ihai I nave a cenificale oi consenl Io selbinsure nr a cenificale ot Worker5'
ComPensalion Insurance, or a certilietl copy Ihereo� (Sec�ion 3800. Lab. C�.
P041CY NO.: S O SO 6�I FS E%P. UIITE: O.S I t S� J i
comvaxv: GOLDEN r.AGiE '
❑ Ceeilietl to09 �5 hereby fumi5he0. � Cenilie0 Copy i5 liled wi�h �he Ciry Building Divi5i0n.
ate: � �y� � r APPIiGanC � L
EEiMPTIONFHOMWOPKEflS'COMPENSATIONOECIABATION: Qhisse[Oonneetlno�becomple�eAil��epermitisloronehu��eA�4100)arless�.
I certily �ha� in t�e pedormance a1 tM1e work lor which �his Dermii is issuetl, 1 shall not em0loy any person in any manner so a5 io become
su0lect m the Workers' Compensaiion Laws o� Cab�ornia.
�ale' Signature:
NOTICE: 11. aF1er making Nis declaration. you shoultl become 5u6ject m Ihe Workers' Compensa�ian pmvisions o� the Lahor
Code. you must fonhwith comply with such pro�isions or ihis oermit shall be DeemeO revaked.
CONSTBUCTION 1EN01NG ACENCV: I here�y alfirm ��ai ihere is a consiruction lentling agency for ihe perlormance ol the work for
which Ihis pe�mit Is lssued (Section 3097. Grv. C�.
LENOEfl:
FDDflESS:
OWNEB BWLOEB OECIABATION: ,I hereby aflirm Ihat I am exempl irom ihe Contractors' S�ate Litense Law �or the �ollowing reason
�Seclion 7031.5 Business anJ PmfeSsional Cade: Any cily of caunty which repuires a permit to conSimcl, atler, improve. Uemolish, ar
reodir any s�mctuB. prior lo ils issuance. aiso requires �he applicant for such Oe�mit Io file a signed statemen� Iha� he/she is Ilcensetl
.pursuanito Ihe provisions atihe Coniractor5' State License Law�Chapter9(commencing with Section 7000) of Division 3 ofihe Business
ana Pmfessions Code) or Iha� he/s�e is e�empt Iherefmm and �he basis for ��e allepetl exemp[ian. Any violation o� Sec�ion 7031.5 �y
any aDPlicant lor a permil subjects ihe applicant to a civil penalty of not more ihan five huntlred Oollars (5500). -
I, as owner oi t�e D�oPeny or my em0�oyees v+i�� wages as t�eir 5ole compensalion, witl Uo Ihe wo�k, and ihe
❑ stmmure is not inten0e4 or oiferetl lor sale (Seclion 7044, Business and Pmfessional CaOe: ihe Coniractors' State License Law
� tlaes not appty m an awner of a property who builtls orimproves Ihereon, and who tloes such work himself/herself or ihmugh
�is or her awn employees, provitletl that such impmvemen�s are noi in�ended or oftere0 for sale. I�, however the builtling or
impmvement is sold wilhin one year ot compleiion. �he owner will �ave Ihe hurtlen of pmving he/sAe Aitl no� builtl or improve
�or Ihe purpose ol sale�. -
I, as owner o� the proDeny, am exclusively conVac�ing wi�� licensetl conlracto�s �o cons�Nc� Ihe pmjeci (Section 70E4, Business
❑' ane Pmfessions CoOe: The Coniracmrs' S�a�e License Law Ooes no� apply to an owner ol pmpehy who builtls or improves [hereon
' and who coniracts for such pmjec�s wiN a roniractoqs) license pursuanl to the Coniraclnrs' State License Law),I am aware
�ha� pmo� ol �heir Worker's Compensalion insurance should be provitletl lo me.
� I am e�emp� untler Seclian: 8. 8 P. C. '
I �or Inis reasan:
Oa�e: - Ownec
I Otl �ereby cenity that I am aware oi and untlers�an0lhe requiremenis ot Calibmia Heal�h and Safeiy Code Sec�ions 25505. 25533, and
2553a ana ihat I or any Imure �ui�ding occuDant wil�lwill not (circle one) neeU lo comply with saie state wAes antl ihe requirements for a
permilloi contlmc4on or moditication Imm Ne Air uahly ManagemeM DiSVict. Restlential conSVuc�ion aDW�ca�ions a�e exemp� hom
IheSe P�ovisions.
Oate: Applicanl:
I he�eby cerli�y ihai I have reatl this apPlicalion antl siale Iha� lhe a6ove information is correcL I agree b comply with all cily an0 counry
pid�na�es aiM siaV¢ laws �elae� b bWWing consvuctian a�W hereby aulhorire represwitalives af lhis city w enter upon the ahove-mentiweA
pmpetly lor qinSpecUon purposes. �
Dale'. �L v —� � Signature�
oriver s ticense or sociai secudiy a:
W�ite—Builtlmg; Green—Cotle EniorcemenC Canary—Applicanl; Pink—Revenue; Goltlenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMTT PEkN, NO: F 05538"
PERMIT N0: F 055387 PI,AN CHECK NO: 09027-9]. L GOVT: N SUPP:.N
CONSTRUCTION TYPE; V—N PERMIT TYPE: FIR PURPOSE: OTH
JOB DESCRIPTION ; NEW 8 UNIT APT' HLDG/FIRE SPRiNKLERS SQ FT:
CLAIM VAiUE: 5,70Q,00 CALC—VALtJE; GRpUF OCC: R-1 /
COMMENTS: RE: H52371 PRIMARY HLllG. PERMIT,
�*�t�c��*�c***�e*�********x***x**�****��**t�***�*��*x**���**�****�x�*a�******��x*�*�*
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDZNG --------=
FRNT; FT IN REA.�: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGiiT; rT I;V
PARKTNG REo • FROV; PARCEL: 92924129 ZNE: REF NO:
PLANNING N6TES>
1
iF fE iF if lf iF iE �%iE ah iF iE iE if iP �1E !f iF i(� #'� iF �lE iF iF 3F 1E �f iF jF iE iE if aF dE iE �)F 3F 1f'7F iF iE iF �7E if �7E aE if iE if iF 1f� 14 iE �E �]E iF fE iE iE iE 7E �F � iF if #E iF iE iF 1E {. j(. i(' 3E �1F i4 N- ii• iF
D E V E L O P M E N T S E R V I C E S R n Q U I R E M E N T S
Z�NING APPROVED BY BATE;
BUILDING APPROVED BY : DATE:
APPLICATION I5SUED BY: DATE: • Z�
iejFifiEiFiF�%7fitaEi(�lE�1(�iFlfiflklF'kiFifiF .i 1E3E3(��3t*iFiFlf�iF • rr iEji� L�
�iEifi(�iFiE3E�IEif#ifKiFifiE1E�1(�?FiEiEiEiFif �16iE. �ifiEik3fiEiEiEit EiE1Ei(�IEi(-iEiP�1F�IF3EiEiE�ElE3EiFi!��iEifiEfE*iF�)F�1F3f3EiEiE3[�If3Eififif
LEGALIZATION:N .., F E E S U M A R Y STRUCTURAL SEGMENT;N
�
BLDG PMT PLUMBING ELECPRI MECHANIC FIRE SMIP/RES GRADING
PERMIT 81,00
PLAN 658 SMIP/NOA3—RES
ISSiIE FEE � 52.65
BUILDlNG—DIV—> PERMIT ZSSUE PLA -CHECK TOTAL PAID D�IE
TOTALS----> 81.00 0.00 52.65 133,65 133.65 .00
REVENUE DIVISION TOTALS--> COLLECTED: 81,OQ OVER/SHORT: ..00
BLDG PMT PLUMHING ELECTRIC MECHANIC FZRE SMZP/TOT GRADING PLAN—CHECK
ai.00
ib i(-�lE if iE ��iF �IE �1F iF iE dE �)k iE if �1F dE if if iE �k iE if iE 9E iF �lE �IE �E �IE �)f �1F-0f #iE if jf �lf iE �7f� �k� iE �IF �if if �%iE9Eik iE if �lf �� �lE df 1E iE -IE �lF df �1E a(-X �IE �� d4 �3E iE iE dE if �fE �N-��lE 3E 9E if AE
I N D Z V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL CO5'P
FIR S1 FIRE EQCTIP FEE (FROM BLDG VAL TABLE) 1.00 81.00
END OF FEES
� 4�
a� ;��za�:,aa-a�tr.i��v - : --
ilA'iE:. 12/7c1,"-1 Tib: ._ .
,i
�CONSTRUCTION AND PLANNING - POOL � > -'
*�� APPROVALS Permit# ��,' Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole _ ��� � � 52. Pool & Equipment Location 1�
2. SoilPipe-Undrgmd. • �° � � - 53.�-Steel Reinforcement � "�j
_
3. Electrical Conduit Uiility-Undrgrnd. ' � 54. Forms �
4.,Electrical Conduit•tJndr9rnd/- - • �� � 55. Electrical Bonding : ,,
5. �Steei ReinforcemAnt - � 56. Rough Plumbing & Pressure Test '
6. Electrical UFEfl G��d. . � � 57. APPROVAL TO COVER�GUNITE
7. -Footings �� � , 58. Electrical Conduit�Undrgrnd. '
i
• � 8. Fqundation ; ' , � ' "�� � 59. Gas Pipe, O Undrgmd., Test � �'� ' �
9. Water Pipe�Undrgrnd. �� 60. Backwash Lines, P-Trap, O Undrgrnd. ✓
�.
.,�
10. Structural Floor System r� ,-. 61. APPROVAL TO DECK �'
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ��
12. Sewer Cap . ,� � ' ' 63. Heater & Vent-Final i
13. Roof Drains - � � 64. Plumbing System � Final
14. Rough Plumbing ' � 65. Electrical�Final '
15. Rough ElectricabCondult 66. Solar System-Final
76. Rough Electric'Wiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. 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 StructuFe , .. -. 70. Underg'round Hydro : S�'q a \n
Nh�
22. Ducts, Ven[ilating � 71. Product�P(ping OGas ❑Oil
23. Gas Pipe>Rough & Test , � 72. Underground Flush � . 'S 7_a�, f.�.•Q
24. Roof Framing � � � " - 73. Undergmd•.StorageTankflGas ❑Oil
25. Roof Sheathing " ' •, , � 74. Overhead Hydro '..J.�.�. A
zr.��� v
26. T�Bar Ceiling (Structural) & Monocoat - � 75. Dry Chemical .- �
27. Frame and Flashing �, 76. Dry Standpipe .' _�
28. Lathing & Siding � � �� „r � �, FIXED SYSTEM.PfNAL , r_�'3� �
14-" -
�29. Insulation ' '� . ' � ' ' . 78. FIRE PREV. FINAL : 6_�?,h�
.30. Drywall�Nailing . � ! �r HEALTH DEPT�. REQUIREMENT
.31. Plaster Brown Coat . � �� r 79. FINAL INSPECTION �, � �
� 32. �Electrical Power Meter-Final I � 80.. FOOD CERTIFICATE ISSUED �
1
33. Final Electric � ' � " ' � Notes: • ' .
,
34. Final Heating & F.ir Conditioning .' � � . . . � �
,
35. Final Gas Pipe-Test " • • � ' � - -
•� .
36.�Hood or CanoPY . . , . �I �. � ' . � . - . .
37. Final Factory Fireplace ' , ' �. � ,
'38. Final Plumbing �. � • � . �
.�39._WaterSecvice�Final � i � '� . �- ��
40.'Gas Servjce�Final « , - , � - ",,� .
>47: Solar pomesticFinal . �• _ � u�
;�
� 42. Backflow Preventer ' � � L : � ' - ` - -
43. Backflow Irrigation '� '• ' � .
� � 44. Landscape Irrigation System �" - � _ � � , �_
45. Sound Attepuation ,'1 '
.46. Handicap Regulations � � �, - . , �
, _ .
47. FINAL STRUCTURE & BUILDING ,i�
48. FINAL PLANNING _ ' :�' �� .. � '
'.,49._ElectricReleasetoEdison ,�y . . -
50. Gas Release co $outtiern CatiSornia Gas Co � .
' -
•51. CERTIFICATE OF OCCUPANCY ` , ; _ ' "
No. Date
- �► -� �,�293
�
r
CO�STA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA �
fOR APPUCANT TO F/LL /N COMPCETf[Y
TYPE OR PRINT
BUILDING � h ��Sr /� r
ADDRE55 ��
COSTA MESA. CALIFORNIA
OWNER 3�t!� .c �i.�F,vzz��2 �r-
,CITY (�GSTA /V/F_
ARG`+ITEGT
� ���� ��. .ti�.-.�. � . .,,�
� ��,�J�
rl��`,1��'•E DEPT:
n�T�- �� rnCTn n1FC}�,
APPLICATION FOR PERMIT
• BUILDING
fOR Off/CE USE OMLY
� RE�E,� �o. q_c��.°�
EIVCD BY DATE RECP�IVFD I �DAT` I85f1
9 I L% � ! . C' �l
// �J' eBnne�e
LEGAL LOT � '�� � �
nesce�vrioN NO.oi O BLOCK TRACT
A.P. NO. , � G 7 �'—�
SIZE �) / NO.OF BLDGB.
OF LOT �"''X �� C I How ON LOT -�
USE OF
E%ISTING BLDG.
SETBACR LINfi FROM ` n
c[rviEn OF STnEHi � U REAR YARD �'
SIDE YARD I LEFT � I RIGHT ��
DESCRIPTION OF WORK
M I II ALTERATION I II ADDITION
REPAIR I IIMOVING I IIDEMOLISH
BUILDING NO.OF
SIZE�� ROOMS STOftIES
E%TERIOR WALL IROOF
� /`-mor:NG- Y�/c�� F" _.�/i' E
�V i � �//�/Y Y
I HEREBY ALNNOWLEOGE THAT 1 HAVE PEAO TXIS APPLIC.�TION
ANO BTATH THAT THH ABOVE 18 CORFELT AND AGqEE TO COM�
PLY WITH ALL CITY OROINA EB AND� TATE LAW9 REOULATINO
BUILOING CONBTRUf/�I � // /
Y AUTHORIZED AGENT
COSTA MESA, CALIFORNIA
FIRE
20NE
ZONE INO.OF
PLANB
APPROVED � . L
BY /'G
YARDS
REOUIRED
�CENTER LINB BT.�
U6E OP NEW
BUILUINO
�
�
TNE �MOYNT BMOWN UNDER VALUATION �8 FOR THH
PURPo9E OP EBTABlI6HING A PERMIT FEE ONLY.
VALUATION �
PERMIT FEE $ p� i
O'J
PLAN CHECK $
$ /J TOTAL FEE S�� • �
- � 1���3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA, CALIFORNIA
For Applleanf fo Fill In Complefely
TYPE OR PRINT
BUILDING /
ADORE59 Q �
COSTA MESA. CALIFORNIA
■ STATE
� B6TBACK LIN¢ FRON
■ BUILDING
TEL.
� I umu�n
DESCRIPTION OF WORK
r.
BE
I 1 X¢PBOY ACKNOWLHDOH TMAT 1 HrV6 A�� THI9 AVPLIGTION
AND BTATE TXAT TH8 ABOVE IB CO�eCT AND AGIi88 TO COM-
PLY WITN ALL CITY ORDINANCH6 AND HTATE LAWB ReOUL/.TINO
BUILDIN6 CONBTRUyT10Nli � /�
.// (/ //
, AUTFIORIZED AGEN7
FE�RECEiVED
z-���d
AP�L��M�O_ R_• PERMIT
CITY �HA�F,SA
For Office Use Only
NHCHIPT NO. VHMM T^
6C !Y OAT6 PEC81V D D T 8
� a-�-- �a � st E
' G� lU i �' �' J' ; -
COSTA MESA. CALIFORNIA
�DNING "
Z�O E_^ NO. OP 1186 OP NEW �
' �// / `PLANB �I BU�LDIN6 ��
88CHIPTION LUT SOLl,��1 N}
A.P.NO. IIv`O�I // �/
YARDS EVES
APPROVED ALLOWED
IClNTER LIN! 8T.1 �C
FRONi /(r� (..�/FTc�
R. SIDE I � PT.
L. SIOE .� � FT. � ///'''��� e
REAR /✓'� �/ FT. /�X//
nPPROVEDI � /(/ ...�� � -
�S.0 frr�' F, z, u�9 �. <, S
-300`�� c-,t'�s;,
TXE AMOUM 6NOWN IINDEN VALUATION IB IOR THe
PU1808E OP 89TABLIBNING • PHRMIT F6E ONLY.
VALUATION � —_
QO PERMIT FEE $
S ��✓ �/ PLAN GHECK S
� —�