HomeMy WebLinkAbout690 18TH ST - Building PermitsVflOJECT AOOflE55: 6 J O W 1 8 TH ST
OWNEN'S NRME: JOHN STUART
nooeess: R93 SANDCASTLE
uNiT: p
AXCM/ENGINEEfl: FORBESIMANSHADI NONE
flEG.NO.:
aooeess: 801 N, PARRCENTER DR �N�T 200
SANTA ANA CA 92705
PEXMITTEE: JOHN STUART ( 714 ) 721-1118
RDDRESS: $9j SANDCASTLE
CORONA DEL MAA CA 92625
UCENSEO CaNTflACTOB OECIAflATION: I �erety affirm tlut 1 am Iicense0 un0er D�ovisions ol CAaprer 9(commencinp witA Section
70001 0l Division J ol I�e Business and Pmiessions CaOe, an0 my license is in tull lorce an0 efleci.
CITY LIC.: STRTE LIC.: UA55:
Date: SOnaWre:
WOflNEBS' COMPENSRTION oECIAMTI�N: I �ereby afiirm Ilui I have a certificale oi con5ent to self-irrswe or a certilicate ol Workeri
ComDensation Inmrance. or a certifieE wpy tAereof (Secfion 3800. Lab. C�.
POLICY NO.: E%P. O�TE:
COMPRNY:
� � Ceriitietl copy i5 hereEy �umisAed. ❑ CeN7ieE rApy is tiled wi�� Ihe ciiy Buil�ing DiWsion.
.�
y
JdIP: AppliWnC
E%EMPTION FpOM W MEflS'COM ENSATION DEClAiL1T10N: (1lucseciio neeC n ecompklMifihe 0 n' loroire hunA C�5100)otless�.
1 cenity ihat in the dormance ihe work for whicn iNs permit is' tl. I s ' rwt employ any o any mann ueiecome
SUGje[t �o /�h�e Wo rs' mp G�ptiQp Laws al Calitornia.
Date: �L T � SignaWre: —
NO710E: I. aiter maki g t�is Geclaratron. you s� rtre suEject to Ne Workers Compensation pmvi ions af ihe Labor
CoOe. you must forth -Ih comDly with suth pro'riv or. tN5 ce�mit sAall be Aeemetl revoke0.
COkST8UC710N LENDMG �GENCY: I �ereUy aflirm tliat t�ere is a wnstmction 1¢n0ing agency br tAe pedormance ol t�e work br
w�icA �his permii is issuetl (Section 3097. Gv. C�.
LENDEX:
aoosess:
OWNFB BUILOEN OELUMTION: I �ereq� affirm t�at I am aemDi �mm Ihe Cantracmrs' Slate License �aw lar the lollavnnp reason
(Sectmn 7031.5 Business an0 Professional Cotle: My city of counry whk� repuires a permit ro mnstruct, alter, impmve, Gemohs�, or
reoait any simcture. prwr lo its itsuance, aI50 rtQuires Ihe appliWnt for suU Derrttii to lile a siOneU statemeni tnat nelsne is licensed
pursuam to the pmvisions al the Comractars' State License Law (C�apler 9 �commencinq wit� Section 7000) oi Oivisian 3 ol the Business
an� Pmiessions Cotle) or ihat �e/she is exem0� ��e�efmm an0 I�e Gasis for ihe allege0 eKemD��o�� Any violation al Section 70.31.5 Oy
any ap0licanl lor a permil su�i��s ine applifdnt to a civil venaity ol Irot mOre than liv¢ nuMrEE tlolWrs (I500).
I. as owner ai iAe pmpertY o� my employees wit� wapes as t�eir sole comDensation, will tlo t�Awork, an0 ihe
❑ stmcmre is not imenaea or oneree lor sale 13�tion 70aa, Business and Protessional COEe: T�e Contractors' State Lic¢nse Law
tloes not appN �o an owner of a proptny wlp CuilOs or imprOv¢5 ttlereon, an0 wtp Eoes sut� work Ilimsell/herseil or I�rouOh
Ns or her ovm employees. pmviEeO tlut suc� imprwements are not inten0e0 ar offereG lar sale. II, however I�e buil0inp or
impmvement is soltl vni�in one year 01 compieiion, �he own¢r will Oave Iha OurGen ol pmvinp �e/she tlitl noi DuiIG or improve
lor ine o�roose ol salel.
I, as owner ol ine propeny. am exUusively wntraciinq wi�� ticenutl camracmrs to consimp Ihe prolect (Section 70a4, Business
❑ antl Prolessions CoOe: T�e Coniracmrs S�ate License law does �wt apDN �o an ovmer of pmDerrywho Omlas or imD«s Ihereon
antl w�o comracts for su h projects wi�� a contactor(s) license pursuant to t�e Contracmrs' S�ate License Lawl. I am aware
I�ai D��� o� Iheir Wnrk 's Campensa�On in5u2nce stroulC Oe D��4� �o me.
� I am eaem unE¢� Se �oo: B P 70 4 4 B. 8 P. C.
iannis re on: � $MPLOYEES
Da�e: � C' �e _
I tlo nereGy ceni y inat I a aware ol ana unaerslan0 ihe rtquirements of Calit nu, eatin ana Sdiery CaOe SeCiiOns 25505, 25533, ana
2553< an0 that I or any imure OuiWing occupant vriNwill nm (drGe we) neeE comply vrit� sai0 sta�e coaes ana t�e reauirements lor a
permil lor conslmc�ion or moEilica�ion Imm t�e Au Oualiry Manaq�men� Oisb 1. fles�a¢niul constmction appliWiions are exempt Imm
Inese pwvisions.
Date:
I IICfF
AUDlicanC . �
i antl 5taie lhal Ihe a6ove'.
� I �ate: Sfgnaiure: _
� onver's �ice se or Saci securiry +:
t601-a6 W�ne—Building; Green—CaEa Entorcement Ca
Pink—Revenue; GdEenroO—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: GRA 060477
PERMIT NO; GRA 060477 PLAN CHECK NO: 04681-92 A GOVT; N SOPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: GRA PURPOSE: OTH
JOB DESCRIPTION : GRADING PERMIT FOR ADDITION 6 REMODEL SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /M-1
COMMENTS; GRADING PERMIT FOR DUPLEX CONTAINING UNITS 'A' 6'B'
if if it k i!!F!f k fE iF M 1E iFiF if iFlf k 1f if iF iF if if if if if if !f iE iF iEiF iF fF if iF �k k!f ik i! if i! iF if if if 1f k iF # iF iE iElh f!!! 1f It 1! ik if iF it iE iFlk i! k iE i! iE ik it k 1f �f 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT ZN
PLANNINGRNO�'ES> PROV: PARCEL; 42429135 ZNE; REF NO;
i
!f iF �E 1ElE iF 3E iF iF 1E iE if 1F if 1E iF iF iFlElEiF iFlk 1E iE iE if iF f! 1f 1E 1E �E 1f �f iFlF1E 1E iF 1f iE iE If 1E 1f iF 1f !k 1Fif iE �f ikiF M 1E i! iE iF1P if iE iE �k if if iE i'�f iFiE iE 1E iF 1f !k ik i! 1F
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-T S
20NING APPROVED BY DATE: =��.
HUILDING APPROVED BY : DATE: ..,
i
APPLICATION ISSUED BY: ���� � i � DATE• ("�%fIl-6i S �
itififiFiFikiFiEiElEifltlElEiF1lfE1FltiE!lif�7F'£iF3FiFiF7f7F7fiFiFiF7Fip iiiFiFifiF�F if'��ififif�FififiFitlFiElFiliEkiF�)t�t�'�£�£�lFifi!
�)f ik ik if if ik ik iE iE ik ik if 1E iF i! iF iE ik it iF i! �f iF iF �lk fE iF if M ik iE ik ik iF it �F if i! i! if iE iF if ik if if 1E ilif i! if �k k ik �E if if it iF iE M if 1E i(� iE �FlElE �F k ik f! �F k if k iF iE �f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 15.00
SMIP/NON—AES
PLAN
ISSUE FEE 3,00
BUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTAI.S----> 15.00 3.00 0.00 18,00 18,00 ,00
REVENDE DIVISION TOTALS--> COI,LECTED: 18.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
16.00
if 1k it 1E 1!lF9E iE 3F if it i! iflF!(� if iF M ik 1E if iE-lE iEiP if ik * 1E 1E iF ff ik if 1t 1! 1EiFiE if iEiFit 1E i! iFif if if!('if i( iF 1EiEiE iE iE if il�F if 1E iE iFiF ik 1E �F i! iFlf �Fi(� ff iE jk iFif
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT
CONSTRUCTION AND PLANNING POOL 'A
qPPROVALS Permit # Date Inspector APpROVALS Permit � Dace Inspecto�
1. Temporary Electriwl Service or Pole _ 52. Pool & Equipment Location - �-
2. Soil Pipe•Undrgrnd' "�� 53. Steal Reinforcement "+
�
3.,Efearicai Conduit Utitity-Undrgrnd. ' 54, forms - �
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding '�� '
5. SteEl ReinfQrcement - 56. Ro�gh Piumbing & Pressure Test
•6.'Electric3l UFER Gmd. 57. APPROVAL Tp COVEA•GUN17E
� 7. Fqotings r 58. Electrical Conduit•Undrgrnd. �
� 8� Foundation� / 59. Gas Pipe, O Undrgmd., Test '
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK � �
1 t. Property Sewer Line & House ConneMion - 62. Backwash & Receptor�Final '
/ .:
12. Sewer Cap �. 63. Heater & Vent•Fina� � -�'
13. Roof Dreins� r.�� �� 64. Plumbing System - Final ,� ` ��
14. RoughPlumbing ',�.i 65. Electrical•Final /� ,- _
75. Rough Electriw6Conduit ' 66. Solar SYstem-Final �' -� ' -
�.,
16. Fough Electric Wiring . 67. Fencing & Access Approval /�
17. ROugh Wiring Sign 68. APPROVED FOR PLASTER f�VG
18. Rough Eiectriral�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- i �,
20.�ROugh F.actory Fireplace �-`� ' ' r r APPROVAI;S. � Permit # ,
21. Ducts, in Structure • .. �. � _.. 70. Underground Hydro �
22. Ducts, Ventiiatin • � . �'>
,y , � :71. Product P�pi�g OGat OOiI
23.,GaSPipC�Rough &?est i � � + �� � � 72. Underground Flush,� � �
24. Roof Freming ��' • . � 73. Undergrnd.Storag�Tank �Gas ❑Oil
25. Roof Sheathing �' � � 74. Overhead Hydro .
26. T-8ar Ceiling (Struetural� & Monocoat `' 75. Dry Chemical
27, Frame and Flashing , °� � 76: Dry Standpipe
. 28. Lethin�& Siding � i . - •� 77. FIXED SYSTEM F.INAL .
29. Insulation �.- .� 78., FIRE PREV. FWAL �
.�
� 30. Drywall Nailing �- HEALTH DEPT. RE�UIREMENT
31. PlBster Brov�n Coat . � 79: FINAL INSPECT�ON
32: Electripl Power�Meter•Final . ( i � 80. FOOD CERTIFICATE ISSUED
33. Final Eleccric , � Notes:
34. Fi�al Heating & Air Conditioning, � �
,35. Final Gas Pipe-Test ' '
36. HOod or Canopy �
37. Final Factory Fireplace . ' � �
�3&. Final Plumbing � , '
39. Water Service-Final
40. Gas Service-Final- , � -
41. Solar pomestirFinal -
;
42. Backflow Preventer '
43. Backflow Irrigation � ,
44. t_a�dscape lrriqation Syscem- � �
45. Sound Attenuation - '
�46. Hzndicap Regulations - �
47. FINALSTRUCTURE&BUfLDING ���
48. FINAL PLANNING
49: Electric Release to Edison � _
.50. G8s Release to Southern California Gas Co � j � i •
51. CERTIFICATE OP OCCUPANCY
No. Oate
/
�I
�I
PNOJECT RUUPESS: (7 j O W 1 8 TFi �.i T
OWNEfl'S NRME: �JQHN STIIAR L
�ooxess: g93 SANDCASTLE
COr20NA DEL MAR
CA 92625
(714)721-1118
AflCM/ENGINEEN:
RDOflESS:
xec.xo.:
uNir: GARAG
UNIT:
PEflMITTEE: JOHN S'CiJART ( 714 ) 721-1118
nooness: 893 SANDCASTLE
CORONA DEL MAR CA 92625
LICENSEO CONTMCTOP DECUNAiION: I nereEy anirm tnall am licensed un0er o�avisions at Chap�er 9(commencinA ��h Section
7000) of �ivision 3 0� IOe Business anE Pwiession5 Catle. an0 my license is in full force an0 effec�.
CITV UC.: STRTE LIC.: LUSS:
Oale: Signaiure:
WOflKEBS' COMPENSATION DEIXAflATION: I hereEy afiirm l�at I have a cenificale ai consem m selFinsure or a ceriificate of Workers'
Compensation Insurance, or a teNlietl caDY thereol �SectiM 381p. Lab. C�.
POLICY NO.: E%P. O�TE:
cornraxr: �
❑ Cerlilietl copY i5 hereby fumi5hed. ❑ CenilieE copy is file0 with the ciry BuilEing Oivision.
oate: Appliunt: �
EXEMPfIONFflOMWOF NS'fAMPENSITI0N0EClAliAT10N.
I ceriity ihat in �be ped rman�e a� t�e work for w�ith lhis p�
subject �o the Worke Com n a�ion Laws of Galibmia.
�aie: � SignaWre: _
NOTILE: If. a er maiting t�is Aeclaration, you S�oND'
CoOe. you m st torlhwiih comply wiU such pmvisl6T
CONSTBIlCTION LEN�ING AGENCY: I nere�y aflirm thai
wnich inis permit is issuetl (Senion 3W7, Civ. C).
IENOEfl:
aoosess:
hUiMretl
any
� sShjEL�t to the Workers' CqAf�rtisation provisions of the LaEor
tis p¢rmii Shall Ee Oeemed revaketl.
is a constmction lentling agency �or the Dedormance otlhe work for
OWNEH BUILOEfl OECLABRTION: I �er¢Oy allirm �hal I am ¢Kemp� Irom I�e Cantrat�ors' State License Law for tAe lollowinp reason
(Section 7037,5 Business and Pmlessional Coae: Rny city al county which re0uires a permit m consimct, atter, imprvve, demolish, or
repair any sVucmre. Orior to its issuance. alm requires t�e aDDliwnt tor sucA permii ro lile a signetl statement Nat �e/sAe is licensetl
pursuant io t�e D�odsions ol the Comraaors' S�a�e license Law (CAaD�er 9(commencinp wit� Seciion 7000) ol Division 3 0l ihe Busines5
and Pro�essions Cotle) or ��at he/s�e i5 e�em0� ��e�e�mm an0 the Gasis lor Ihe alleAeU exem0�ion. Any violation o� Seclion 7031.5 by
any applicant far a permil subjecis ihe apDlicant to a civil penalry of not more Ihan five hundred Eollars �5500).
I, as owner of the pwveny ar my employees vrith wa0� as their 5ole compen5ation, will tlo ine woB, and ihe
❑ SlmcWre is n0i iniendetl Or o��ereC lOr 5ale (SetiiOn 704d, Bu5ine55 and Pwlessional COEe: The ComrattOrs' Sla�e Litense Law
Uoes not apply to an awner ol a pmpeny wno OuilOs ar improves iherean, an� who tloes sucn work Aimsell/hersell or tAmugh
�is or �er own employees, provitleG tAat suc� imprwements are not inten0etl or offeretl lor sale. II, hawever Ne huiltlinA or
impmvemem is 5old wi�hin one y¢ar ol comD�e�ion, ��e owner wiil have Ihe burtlen ol pmvinp he/she did not huilA or imD�ove
lorihe purpose of sale�.
I, as awner ol lhe O�aM�Y• am evclusively canlraciing with IicenseU conVatlors m con5imcl �he D�ojec� (Seclion 7044, Business
❑ ana Pmlessions CoGe: The Contractors' State License Law aoes not apply la an owner of pmperry who UwIOs or imD�oves Ihereon
antl w�o tOnlmcis br Suc� Dml¢tI5 wilA a tonVat�Or�S�liten5e pur5uan� �a �he COn�fatlOr '$Ia�e License La .I am awafe
thal proot ol ineir Worker's Compen5ation insurance shoula be pmvidea to me.
� i am exempl noer Section: B P% O S A B. 8 P. C.
m�j 9mis �ea n: NO ENPLOYttS f
�ate: (C..� Qwner: G'✓L
I tlo here�y ce ty �hai I m aware ol antl un0ers�anC ihe requirtmen�s of Cabi nia Meali� anG Salery Code Seclians 255Q5, 25533, ana
25534 antl ��at I ar any IUNre builaing occupam wilUwill nol (circle one) neeA comDN wi�h saitl sla�e coGes anA Ihe requiremen�s lor a
permi� lor conslmction or modilicalion iwm I�e Air Ouatily ManaAamen� Dislnci. Residential canslruction apPlicaiions are exempl �mm
��es¢ pmvisions.
Date: PppliCani:
I here�y cetlily I�al have reaG ��is apDlication an0 state �ha� I�e aEove
or0inances and s�at aws relatinq to builtling constmnion and here6y aulh
pmperry lar inspe i� ases.
�ate: Signamre:
Oriver's Licens or Socia� Securi�y a:
164t-a6 Wbne—Builtling; Green—Cope Entorcemem; Canary—NpplicanC Pink—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — BUiLDING PERMiT PERM NO: B 0504�5
PERMST NU; B 060985 PLAN CHc.CK NO; N GOVT: Iv SDPP; N
CONSTRiICTION TYPE: 5—N PERMIT TYPE: �TR Pi7Rr�USE; DBM
JOH DESCRIPTION : DEMOLISH EXISTING GARAGc.
CLAIM VALUE: 1,000.00 CALC—VALliE;
S�,i r T :
1,000,00 GROUP OCC: M-1 /
COMMENTS: H �
14 i! 3F�lf jf if iF i(- 3f iF �Y � if �1F iE !E Ik iFlf 1E iE ih 1E it IF � i! �1f if 1f iF Y.� if if� if ib iE if if iF 1F iF 1f if iE �1f�?f?!. �F i(� �' iE #! �f 3f iF %iF if iF �1FiE iE iF �1i )! iF M i! if if iF i(� iF 3: #f if if +`
Z O N I N G R E Q U I R E M E N T S
S E T B A C K 5 ��.
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------�—�
FRNT: FT IN RBAR: FT TN FRNT: rT IN REAR: F1 TN';
LEFT: FT IN RGAT: FT IN LEFT; ^T IN RGHT; :i ZN'`
PARKING REp • PROV: PARC=L; 42429135 ZNB: kEr NO;
PLAI3NING Nf5TE5>
i �
at�rat*�*�t*ieat�.+F*r�*at�?e�r�rxa:�k��ae�c*ie�r�it��tio**�etac*i!�� k*�at�3E*irjr�*��*�*��t?sji �"a.'�'i:?tx.���.;*�.jr
D E V E L O P M E N T S E� V I C c S R E Q U I R E M � N�;'�j S
20NING APPROVED BY DATF: /''
BUILDING APPrZOVcD BY ; DATn; .�
APPLZCATION ISSUED BY; DAT'n; ('L�18'kti
iE1hiE3EkiFlEififiEiEik?Ei!-Y+fitififiEififiFi:%iFiFsf'iFiFiF?FiF3riF�3F3F3Fi:7F��F3r 7r3F3FiF3F�"iL�gFib3FlflfaRjEi!�iFifiE3Fif��'�£i�iFifif
iF ac ** iP ff k ik iE 3f if iE if if iE iF iF �li jf if iF ii i! if if if if if ah � iE iE if if k 1E f�?E i�+k iE iF it it iE if iE �F �(� ii� ik * if R iF # iE iF i! jk iF ie if?P df if �e i! i��ie iE f if -1E #� 3F ie �F �V
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL �EGMEtvT;Y
HLDG PMT PLUMBING ELECTRIC MBCHANIC FIRE SMIP/RES GRADING
PERMIT 25,00
SMIP/NON—RES
ISSUE FEE .50
HiIILDiNG—DIV—> PERMIT ISSUE PLAN—CHECR TO?AL PAID Di7E
TOTALS----> 25.50 0.00 0,00 25.50 25.50 ,00
REVENUE DIVISION TOTALS--> COL7,ECTED• 25.50 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MnCHANIC FIRE SMIP/30T GRADING PLAN—CHECR
25,�� .5�
if i!� if iF 1E iE 3i' 3f if iF IF iE IE if iE If iF if iE iE dF ik iF if 3E iE i! iE iE iE } iE i! iE iE iE if iF iE Y- if i1' iF iE iF if Y iF 1! iE if 1f 1E iE iF �1?�!E if iE!!' iF if iE if iI� iE if iE 1E iF 3e if ie Y if iF ?E 1f iE
Z N D I V I D U A L F r. E B 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
NO FEES i^)ERE SELc.CTED FOR THIS PERMIT
i. . . L' � , • � '
CONSTRUCTIONANDPLANNING P���' ��A
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
' t. Temporary Electrical Service or Poie i 52. Pool & Eq�ipment Location �� '�
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement •''- �^y -e
3. Eiectrical Conduit Utility•Undrgrnd. . 54. Forms " '
4. Elettrical 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. Fo�ndatian 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgmd. �,' -� 60. Backwash Lines, RTrap, O Undrgrnd. �
10. Structural Floor System � 61. APPROVAL TO DECK '
it. Property 5ewer Line & HouseConnection i' 62. Backwash & Receptor�Final .
i
12. Sewer Cap 63. Heater & Vent�Final ��
13. Roof Drains 64. Plumbing Sysiem � Final � ��
i
14. Rough Plumbing f 65. Electrical�Final ' ��
15. Rough Electrical-ConduR '" i' 66. Solar System-Final '� � '
'16. Rough Electric Wiring � . 67. Fencing & Access Apuroval • r r• �
77. Rough WiringSign ,;�' 68. APPROVED FOR PLASTERING -
�- .
18. Rough Electrical-T Bar Ceiling 69. POOLlSPA SVSTEMS FINAL: -
79. Rough Heat�ng & Air Conditioning FIRE DEPT. REQUIREtOfE�1T
20. Rough Fattocy Ficeplace ApPROVAIS Permit #
21. DuCts, in Structure 70. Underground Hydro
22.Ducts,Ventilating 71.ProducYPipin9OGas ❑Oil
23. Gas Pipe�Fough & Test 72. Underground Flush
24. Roof Fram�ng 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling IStructural) & Monocoat 75. Dry Chemical
27. Framc and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PflEV. 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 pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape IrriGation System
45. Soand A[tenua[ion
46. Handicap Ragulations
47. FINAL S7RUCTURE & BUILDING G� `��
48. FINALPLANNING
49. Electric R¢lease to Edison
50. Gas Release to Southern Califarnia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date f
��
�
rnaecr �ooeess: 6 9 0•. W 1 Pr-TH ST
UWNLT.'SNAME: SOFIN STbART
,. eooness: g93 SANDCASTLE
' CORONA DEL MAR
uNir: p
(714)721-1118
aecn�excixeea: FORBES/MANSHAUI eec.xo.: NONE
aoos¢ss: g01 N. PARRCENTER DR uxir: z00
SANTA ANA CA 92705
PENMITTEE: JOHN STUART ( 719 ) 721-1118
aooeess: 893 SANDCASTLE
CORONA DEL MAR CA 92625
qtENSED LONT8RC70N OECUApTION: I nereGy affirm tlw� I am IicenseE unGer prov6ions ol Cnapter 9(wmmentinp with Section
700U� ol Division 3 of ihe Busineu a� Pmlessions Catle. a�a my iicense is in �u0 twce anE elleci.
[ITY LIC.: STRTE LIC.: CLA$$:
pa�¢: SipnaNa:
WOBNEBS' COMPENSR710N UELUFATION: 1 �ereby aflirm tlwt I have a cenificate ol consem to seli-insure or a certiliwte of WOAers'
�ompensa�ion Insurance, or a cenilieE copy ��ereof (Section 3800, LaU, C).
pOLICY NO.: EXP. DATE:
COMPRNY:
p cemreo caov is nereey mmrsnee. ❑ Certilie0 mpy is IileE wim tne ciry BuilEmq Drtision,
,ldte'. ApvlitanL
[J(EA1PfI0N fflOM W flKEflS' COMP SRTION OECIAMTION: (ihis seelun i d mt Ge mpkteG il Ne perm i e �wqreG �5 or lest�.
I ceNty Inal in Ihe enormance of e work for wnitn iho p¢rmit is i , I shall employ any pers in maMer So to Decome
subject �o t�e W < C pe alion Laws 0� Calilomia.
pate: Sipnature:
N ICE: . alter maW tMs Gedaration, you s1rouM E s ct ro t�e Work ' Co n atlon provi al ihe Labor
• CadO. ya mu5t IatlR ii� [Om01y wi�� SUt� OrOviSions or 's efmil SIWII G! EeemeG revok¢tl.
CONSTBOCTION LENOIN AGENLV: I hereby allirm Itwt �b r,is a consimction lentling aAency lor Ihe pCAormance o� Ihe work �or
WN[0 I�iS p¢f01ii i5 i55UG0 ($¢GIiOn 3097. CIV. C�.
LEN�Efl:
aooeess:
OWNEB BWlOEfl OEClRM710N: I ner¢�y a��irm t�at I am exempl lmm tne Contatlars' SWte License Law lor the lo�owinp aasan
(yection 7031.5 Business anG Prolessional Code: Any city o� tounty whic� require5 a permit ta consiNct, aller, impraVe, Oem01i5h, or
�CDair any s�mcw�e. O�ior to its issuance, also re7uires ��e applicant lor suc� permit to lile a sipneA statement tlut �Ustle is licensep'
pursuanl �o t�e pmvisions ol ��e C�niracbr5' S�a�e Lkenu Law (Chapter 9(wmmenunp vnth Section 7000) ot Division 3 0� t0e Busines5
aPE Protl55id15 COOq ar Itui twJShE is eRempi I�eRfrOm atb I�e Easis lar I�e alllplE ¢KEmption. Any vi0Uti0n a� SCCiiOn 7031.5 Uy
anY aDolitant lor a pErrttii wejecis Ihe aDolitani ta i dvil pinalry ol not mo�e tlWn five hunEreE aollars (u�.
1, as owner oi I�e p�openy o� nry em loyees vnth waDes as theM sok cwnpensation, vriN tlo the wak, afW the
p simnure is no� intendee or o�hreo �or sa�e I�ectian 7Ma. Business antl Pmlessional COAe: ihe Contracrors' State License Law
aoes not appty to an ovmer al a o�openy wlw OuilQt ar imprwes inereon, antl x1w Aoes such wOrk him5ellllienelf ar tOmupn
�is Or �er own ¢mpinyeu, prwitlea ��at such improvements are no� in�enEeA or ofle2tl lor sal¢. II, however �he builOinA or
imOrovement is sald within one year o� com0letion. 1Ae Owner will have Ihe 6urGen ot proving hPJsOe CiG not OuilU or impmve
lor Ihe purpose ol Sale).
I, as mmer ai t�0 propeny. am exclusivety rAntraciinp wiltl licensea COntraciWs to CMStNcI ihe prqed {SeCllan 7004. Bu9neu
p aM Pmlessions CoGe: 7he Contracmrs' Siale licenu Law aces not appry ro an mmer af pmperry vAa CUA6s or imyoves Ihereon
anU who tonlratls tOr 5 � pwlecis wrt� a contracmr(s) license pursuant to tAe Contractors' State Littnse L 1. i am aware
Ihat Dmo� 01 Pir Wor i 5 Campen53iion insufante 511ou1tl Ge pmvitleA lo m� � .`'lJ/ /
� � am exemp wWer ��: B P 7 0 4 4 8. 8 P- C.
br inis re n: EMPLOYEES �
Oaie: _ � Ov+ner: _
I Oo �ereEy c nifY I�ai I m aware o� an0 un0e�stan4 1�e repNamen�s oi Ca
2553< an0 Inal I or any Wture eu�lOmg occupanl xilVwin no gircle one) nee0
permit tor [onsV�clion oi mo0ilicaiion Imm I�e Au OvaOry Manag¢ment �is
inese omvisions.
Oate: ADPlicant: _
I AereDy cerlily Iha� iave reatl �hi aoVlication antl state Ih
p�emanc¢5 and stat .aw5 relatinp �IOing conslmcti0n aM
ana
is wrrect I aAree
Cotle Settbn5 25505. 25533, anO
�. COGts anU I�e reQuiremenis lar a
tion aOD�iwtions are eKempt tmm
witn all
propeny � ��nsoe ron rpose� /� , /
pate: _�C._ Z�e SG Sipnawre: _ IV! �� _
omers uce e o� sociat e[urily .: ,
t6dl�a6 WM1ile—BWltlmo: Graen—Code En�orcement: C2narv—Aoolicanl: Pink—qevenue: GolEenfOtl—ASS¢SSOr
- CI�Y OF COSTA MESA - HUZLDING PERMIT PERM NO: B
PERMIT NO: B 060480 PLAN CHECK NO: 04679-92 A GO . .
CONSTRUCTION TYPE; 5-N PERMIT TYPE; STR PURPOSE; ADD
JOB DESCRIPTION : ADD TWO HATHRMS/COIttV.EkIST BATH TO DTNRM SQ FT: z2%
CLAIM VALUE; CALC-VALUE: 10,878,00 GROUP OCC: R-3 /M-1
COMM£NTS: UNZT 'A' IS ONE UNIT OF A DUPLEX
**+r�+r**�*�+r+��rxx� **�eit*�rititx *�rit�*�r*�titiFit*�tx��r�rit�tir�r�*��r*�rar*it*it**itx **�ritit �rit**�*�r�it*�***�e
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; 20 FT ZN REAR; 50 FT IN ' FRNT; FT IN REAR; FT IN
LEFT; 5 FT IN RGHT: 28 FT IN ` LEFT: FT IN RGHT; FT IN
PARKING REQ • 4 PROV: 5 PARCEL; 42424135 ZNE; R2 REF NO:
PLANNING N01'ES> 130 SQ FT, ADDITZON TO AN EXISTING RES TO ADD TWO
.> BATHRZ50MS
Y
7f ik 1flF'k if'If If if'k!k if if if �Fl1' 1ki4if i!!f 1f it if iF iF 14,ik il' if ik if'If iFif 1f'lE if if'N�if 1f i! 1k 1f 1f if ikff'k!f 1f if if 1E if ff iE if ff iE if 1! ik iE if 3f'Ik if,ik'lE iF �E 1f 1E k iFlE 1f
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 jT� S
ZONING APPROVED BY "�� • ' �c � 1$ . DATE: -�� t' 1�C±. (`�-1—
�J
BUILDING APPROVED HY ; _ DATE: �;
' T�—
APPLICATION ISSUED BY: ' �I 5-�-�c- DATE • �C2 'L�
*�r*�e*��r�rx*�r*��e�e�r**'*�r�r�r xxx�x***��r�r �r�
i! if'If if iE if iF if if iE 1E iF 1F iF 1f ik li 1E 1k 1f iklE it if iE k ik if if #�f �E iF if it 1E iF 1f iFif df k if it iE if iElt it if iE ik 1k ip if il�1f iE if iFiFiE ik 1F if iF ib �F iE iE ik iE k 1k if ik iE iF ik
LEGALI2ATION:N F E E S U M M�A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC "MECHANIC �a F RE SMIP/RES GRADING
PERMIT 126.00 - " � , " 1,09
' � � " SMIP/NON-RES
' �^,,.
ISSUE FEE z0.48 ' ' ^: ; ,
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PA2D DUE
TOTALS----> 127.09 0,00 .;� -.20,48 ,, • �14,7,,57 147;57 .00
REVENUE DIVISION TOTALS--> COLLEETED': ,' 127,09 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTAIC MECHANIC rFIRE SMIP/TOT GRADING PLAN-CHECK
126.00 : ; • ;� 1.09
- I
i! 1! if if i! iF1F 161!!! if 1F if !! ik ih if 1f ih fE If if k k k iE if i! it fE 1F 1ElE k�Fif if !k ft iF i! if iE if ikiF 1f k if �F if i! if�iF 1k if iE iE 1! tf 7Flk i! iE If !f iF fF if 1F iE iE 1F iF iF if iP k if
I N D I V I D U A L' F E E^, B R; E'A K D O W N
TYPE QTY D E S C R I P T I O N -� �� 1 UNIT COST TOTAL COST
SFR 127 DWE-TYPE V-WOOD FRAME' � '-GOOD 74,00 9,398,00
SFR 100 DWE-INT. ALTER TYPE V-WQOD Fii -GOOD.7 14,80 1,480,00
END_;OF F•EES -
' /1
n' * '
�'.
.%J�, '
; f,
, /. ' .
i �� � ' ' '
�
\
.�ONSTRUCTION AND PLANNING POOL A
ARPROVALS Permit � Date Inspeetor pppROVALS Permit # Date Inspector
♦
1. Temporary Electrical Service or Pole � 52. Pool & Equipment location y!- '�-
.- _
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement ''� • �� �'
�.'•. Elettrica� Conduit Utility�Undrgrnd. �� 54. Forms
4. Electrical Condukd.lndrqrnd. .� 55. Electrical Bonding � .n �"
�5. Steel f2einfqccement "� 56. Rough Plumbing & Pressure Test �
� 6. Electrical UF�ER Grnd. 57. APPflOVAL TO COVER�GUNITE .
7. Footinqs 58. Electrical Conduit-Undrgrnd. -�
' 8. Foundatioq �%� 59. Gas Pipe, O Undrgmd., Test � '/�
, ;.-
9. Water Pipe�Undrgmd. �' -z 60. Backwash Lines, P�Trap, O Undrgmd. / �
10. Structural Floor System � �� 61. APPROVAL TO DECK / ''
11. Property Sewer �ine & House Conneccion j! � 62. Backwash & Receptor-Final . j:'� �
12. Sewer Cap 63. Heater & Vent-Final �
73. Roof Dreins� 64. Ptumbing System - Final i� I- '
� �
14. Rough Plumbin9 / 65. Electrical�Final '��
15. Rough Electrical-Conduit - �� ,, 66. Solar System-Final ,,� �� �
16. Rough Electric Wiring �/ ' 67. Fencin� & Access ApProval �� %�r
: �,
17. Rough Wiiing Sign � 68. APPROVED FOf? PLASTERIfOG� �
18. Rough Electrical•T Bar Ceiling 69. POOUSPA SYSTEMS FINALr
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� .
20. Rough Factory Fireplace ' � �'L - �- • - �� �APPR0VAC5 '� 4ermit #
,
21. DuCts, in Structure , �.. . � � . � � ��70. Underground Hydro
22. Ducts, Ventilatinq � � .� �� 77, Product Piping �Gas QOiI
23. Ga's Pipe�Rough ��Test � " - � � . � ,72, Underground Flusk� . � .
24.. Roof Framing . �� •� �73. � Undergrncj. Storag� Tank O Gas O Oi�
25. Roof Sheathing v• I� 3 74. Overhead Hydro � .
26..T-Bar Ceiling (Struuuraq & Monocoat -� �� 75. Dry Chemical ' _
27. Frameand Flashing � � 3'�� �3 . 76. Dry Standpipe
• �. . .
28. Latfting & Siding - . 77.- FIXED 3YSTEM FINAL
29. insulation �� � i� 78.' FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . ' �� � 79. FINAL INSPECTION � .
32:.Electrical Power Macer�Finab 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric .. , , � Notes: ` -�L g�� �jn ��� ��
34. Final Heating & Air Conditioniog - � � � n,(A
�J'd�
35. Finai Gas Pipe�Test L(8 _Y3 _ �LKE� _(�
36. Hood or Canopy _ •� i ' �b �3 �.�-- / e„-�_ �� �
i u��Tr
37. Finai Factory Pireplace ' � � ,� L,�,� •.i� o�. LY
� � _ '� ��-9 ����� -
38. Final Plumbiog �
39. Water Service-Final (�
40: Gas Service-F�inal � . I_� t. �
Y _J �Y/
41. Solar pomestic-Final
42. Backflow Preventer � � ' �
�J
43. Backflow Irrigation
44. Landscape Irrigation SYstem _
45. Sound Attenuation - � ' -
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �r��'
I/• �
48. FINAL PLANNING � '
49. Electric Release co Edison
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY - � ,
No. Date
�
�
�
PNQ':CT RODflESS: ' � 9 0
C :NEP'S NFME: JOHN
nooness: 8 9 3 S
� % CORON
CA 92
ST
•
UNIT: ],
' (714)721-1118
f i�CH/ENGINEFfl: FORBES�MANSHADI pEc.No.: NONE
� aoos[ss: 801 N, AARKCENTER DR IINIT: ZOO
. SANTA ANA CA 92705
PEflMITTEE: JOHN STUART f 714 ) 721-1118
aooxess: 893 SANACASTLE
CORONA DE�, MAR CA 92625
UCENSEU CONTPRC70B OECIABATION: 1 �ereby ailirm tnat I am IicenseG unAer provisions ol C�aD�er 9(commencinA w��� Section
7000) of Uivison 3 of I�e Busine35 antl PeofGuionS COae. antl my IiRnse rs In �Ni�oree antl ellect.
CIiV LIC.: STpTE Ut.: LUSS:
oate: 3�9�uwre:
wONRENS' COMPENSRt10x oECUMTIox: 1 nereoy atlum thal I have a cenifitatt of ConSent to self-irtture ar a cenilitate of woM1erS'
Comvensation Insurance. or a ceniliea coOY ��er¢ol (Section 3800, LaG. q.
POLICY NO.: E%P. ��TE:
COMPANY:
❑ Certtlietl copY is hereEy fumishe0. ❑ CenilieA wpy is IileG vnt� t�e ciry BuilUinp Division.
Dale: MDlicam:
E%FMPfIaN FNOM WOflNENS' COMPEN511TION OEIXAp�npN: Rh¢ uao nx0 ro� wmWMM it U�r la are A MrM �5100) or ks5�.
I cenity inai in iney edormance of ine wark for whicn iN5 permt is � . � shaP ot emDloy any r in dny n ner 5o as to �ecome
suUlecl lo t�e W Fk rs mDensalion LawS of 1,`ylilamia.
. Daie: SiynaWre:
NOTICE: It, aiter milang t�a aeUaration. you s1iwlG su0ja� to �Ae Worke Campensatbn prwisions ol t�e LaEor
CpCe, yw musi tonhwil� wmpry wit� suN prwi5ians Itus permit slall he CeemeO revokeE.
CONSTPUCTION LEN�INC AGENCY: I �ere�y affirm t�at ere a a wnstruction IenUinA a9enry lor t�e Oedormance al t�e work lar
wAicn tnis Oejmii is issue0 (�tion 3097. Civ. C�.
lENOEfl:
RODNE$$:
OwNEfl BUILOEfl DECUMTION: I nere�y allirm tlWi I am exempt Imm tne Coniractor5' Siate License Law for Ihe I011ovrin0 r¢ason
(SectPon 7031.5 Business ana Poolessiwal CoOe: My pty of counry wTicA reQuira a perrtni to mnsinrcl• alter. im0«e, Oemolish, or
rtDafr airy stNclute. Orior ta i6 65wnce. al5o rByyires t�e aDP��i fot wCh plrmil lo lile i 9pne0 statement ttut �e/She is Iicen5e0
pursuam io the O�ovisions oi i�e Coniractais' Stat¢ �icenu Law (Clupter 9(cammendnp vnt� Section 70W) ol 0ivision 3 0l tAe Business
anU ProlesLons CoEe) or thai he/s�e is erempt Uerztmm aM t�e basis tor tne allepe0 e.emv��� �Y ���ipi of Secibn 7037.5 Ey
any applicani lar a Dermi� 5u0jeci5 ltle applicant �o a GvB Oenalry ol nat more ltwn five IwntlrtO Eollars (f500�.
I. ds awntt ol itrc propenY a my employee5 vn�h wape5 az Itleir Sale Wmpl�SailOn, will 00 ��e xrorN. an0 tne
❑ sVucmre is noi inrenee0 w alleretl lor sale ISection 70ad, Busineu and Pmlessional CoOe: Tne Contractors' State license Law
Oaes not aDVN �o an o-«oer ol a pmpeny wtq WBGS ar imprwes �Mreon. anE wtw tloes wc� woA Aimsdl/�erull or t�muph
his ar �er awn emDloyees, proviEeE 11w1 suc� imD��menis are notintendeE or otlere0 br ule.11, �pwev¢rt�e Cuildinp or
impmvemeni b SdG vn�Nn one ylar o� Cpmpl¢IiOn, I�e Pxnu will IuvC I�e OurOen o� pt0'rin0 tM/5tle Eitl nol �uiW ot Improve
lor ine ourpose of Shce�.
I, as Owner of t�e propeny, am eKUusively coniractinq wilh licensetl coniractors to ConstNct IM prolect (Seclion 700d, Business
'❑ antl Prolessims CoOe: Tne Comraaars' �ute liceitte Ww Gces rqt apply to an wmer ol praperty wM dnlds ar imprmrs Ihereon
anE w�o contnc6 for wU Drqects wi@ a contractoqs) license W��� �o ��e Contractors' State Licen a �. I am aware
Inai Oraol ol I�eir Workei 5 COmOCnSdI'qn in5uranCe SMNE 0¢ prOvfOM ID me.
,�� I am ¢xempt un0er Senion: H p'] Q q 4 B. 8 P. C.
mrinisr son: NO EMPLOYEES
Oate:� O+mer. _
I aa nereoy ce dy �na� I am aware al ana uneerslanU Ine repuiremems ol Calno ia Healin anU Salety Coae Sections 25505, 25573, and
25534 anE t�at I or any fuWte CWding aCupant vWlWnll not (drtle One) nee0 mmply wit� Sd'k 51ate cOtles anC t�a reQuirem¢nis for a
perrtul loi tonsimclion or moEditation imm Ne Air Oualily MandOemenl Us Rt. HeSiAential consiNction aDPli�ations are exempl Imm
t�eu pmvisions.
Date: pV0licanc _
I �erety ceitilylhat I have reaAi�is applicaiion aqE s�al¢l�alihe
ordinances and st eWvrs relating lo Euibmq w�si�ipn anC �erel
D�oOe�y lor ins Ciion Ourposes.
Oate: �9�Wre: �L,�
onver's Lice e or Sara� Securny w:
tbat�d6 Whne—BuilEinp: Green—CaOe EnlortemenC C x
Pink—Revenuo: Goltlenrotl—Aesnxux
CITY OF COSTA MESA — HUILDING PERMIT PERM N: i
PERMIT NO: P 060482 PLAN CHECK NO: N ��T�S'IIF�Fi �
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: ADD
JOH DESCRIPTION ; ADD TWO BATHRMS/CONV,EXIST BATH TO DINRM SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1
COMMENTS; UNIT 'A' IS ONE UNIT OF A DUPLEX RE;#H60480
�t��r���t�***�rx **�r*�r�r�r�rx��r�r�r��r***��rx**x�r�r�e�r�*x(rx��t�r�r�*+�x �*�r�r�*�r�*��r�******x��r*x **x��t�t
2 O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 92424135 2NE; REF NO;
PLANNING NO1'ES>
i
�t**�t*�r,e*x*x*�r�e�r*�r*�,r��r�r�r+r*��rx�r*�r�r*x�r�r�t*�r.�r�r***x'�t.�t*�r*�r�t�r� �x **��r*�r*+r�r**�*�r�*x**�*�r
D E V E L O P M E N T S E R V'I C E S'� R E Q U I R E M E N T S
20NING APPROVED BY ' DATE;
BUILDING APPAOVED BY ; ' �. DATE;
APPLICATION ISSUED BY• � DATE• (L ?.e
�r*�r�r�t**�r�e�r�x�e**��r*�r�t�tir ��e*�r+r�r�r*�t* � *�r
if if k if it if k if if �f i! If k k if k iF if if k ik k iE ik �f if if if iF iF!! 1E iE if it if k it if iF i!!f if �t i!!k if if iF if iE �f IF if iF if iF if �f fE * 1E �F �F �E iFiF i! i! �FlE i! 1E �E fk iE i! k �f
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ��,25� ^ SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
TOTALS----> 70.00 20.00 ' 0,00 90,00 90.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 90.00�'� OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00
r'
ik ik it ik if k if if 1f rt iF ik ik iF k!k iF if if it 1F �Flt iE if i! if if i! ik iFlF if if It ik k 1f 1f ik 1E 3flk fk if iE iF if if if if ik iE k iFif iE iFlf iE iF iF iE iF iE i! if k if i! it if iF k i! if iE i!!E
I N D I V I D U A L:!F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N� UNIT COST TOTAL CO5T
PLU 2 BATHTUB 7,00 14.00
PLU 1 DISHWASHER ' 7,00 7.00
PLU 2 SHOWER . 7,00 14.00
PLU 2 WASH HASIN 7,00 14,00
PLU 2 WATER CLOSET (TOILET) 7,00 19.00
PLU 1 GAS RE—PIPE 7,00 7,00 I
END OF FEES •,/
y
�
.`,
CONSTR1�r�jpN AND PLANNING POOL S A ,
',-.. �.UVALS Permit # Date Inspector AppROVALS Permit # Date inspector
� '
1. Temporery Electrical Service or Pole ^ � 52. Pool & Equ�Pment Location ` �
2. $pil Pipe�Undrgrnd. �� 53. Steel Reinforcement '"j �
� 3, E�ectrical Coi�duit U,tifiiy-Urtdrgrnd. 54. Forms �
4. ElBctrical Conduif•Undrgrnd. 55. Electrical Bonding
5. Steel Reirfbccement 56. Rough Plumbing & Pressure Test
.�� Electrical UFER•Grnd. 57. APPROVAL TO COVER�GUNITE -
� 7, Footin�S. . � 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�Floor System ��' 61. APPROVAL TO DECk � -
11. ProPerty Sewer Line & House Connection �� 62. Backwash & Receptor�Final � - �
r
12. Sewer Cap '.` 63. Heater & Vent-Final
13. Roof Drains - "� i. 64. Pfumbing System - Final �- �
14. Rough Plumbing - �. �� 65. Electrica6Final �
15. Rough Elettrical-Conduit 66. Solar System-Final ��'
16. Rough ElectricWiring 67. Fencing & Access ApP�oval''� �
"17, Rough Wiring Sign 68. APPROVED FOR PLASTERIN6��
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
-_ 1 O� - , '- !�'
20. Rough Factory F'ueplace • � '' '� - • APPROVALS ?' 'Permit # �
_.� ,-n u � � � •
21: Duiis, in,Structure � � �. � � �� • • ��70. UndergroLnd Hydro �
22. Ducts. Ventiletirig- � `• .�'77. ProducCPipi�ng OGas ❑Oil
23. Gaf Pipg•;Rough &�Test � �� . � ,i .;• i 72, Underground FlusFi, � r�
24:�Ro0f Framing ;.R � � �• • � = t tr' • �� �73�,Undergmd�.StoragC�Tank;OGas OOii'
25. Roof Shea[hing " , � � ' ' '- � 74; Overhead HYdro
26. T•9ar Ceiling (Svuatural) &' Monocoat - ' 75, Dry Chemical � , �
27. FrOmeandFlashinj: , 76. DryStandpipe �_. ' �
28. Lathing & Siding . ._. 77.' FIXED SYSTEM FINAL '
�29. Insulation � �` . -. ! 78, FIRE PREV. FINAL �
30. DrVwall Nailing � � • HEALTH DEPT: REQUIREMENT -
• 31. Plaster BtoH(n Coat; . 79. FINAL INSPECTION
� 32. Electripl Power�MetelrFinai � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' � Noies: ^p1 �_�� ���u4�
� 34. Final Heating & Air Conditioning _ 4�E--r/-�� / i� _
1ldi�L'U �i�.I' �l� LnRL�G�'_
35. Finai Gas Pipe-Test y�� (�� : .
36. Hood o�.Canopy,a .
37. Final Factory Fireplace ' ( ' '
38. Final Plumbing � . , �Z��Q'jJ' (.�� '
� 39. Water Service�Final- ( , -
40. Gas Service-Fina� , b�L7 � •- .
41. Solar pomestic-Final .� � �
42. �Batkflow Preventer _ � �
43. Batkflow Irrigatiorr '� . t .
44. Landscape Irripation System , � _ _ . . . - � -
45. Sound Attenuation '.
46. Nandicap Regulations -
47. FINAL STRUCTURE & BUPLDING I
i
48. FINALPLANNING ,,
49. Eleccric Release [o Edison
50: Gas Retease to Southern Califo[nia Gas Co � , • •
51. CERTIFICATEOF.00CUPANCY � � � �
No. Date �
,
�
�AR1!ti;�,ess: 690. W 18•TH ST UNIT: J�
' OWNG��NRME: JOHN STIIAR�T
nooeess: gg3 SR�`dD" 3TLE
CORONA b MAR
CA 9262.5
(714)721-1118
nxcx�xcixeex: FORBES/MANSHADI nec.xo.:NONE
nooxess: 801 N, PARKCENTER DR uxR: 200
SANTA ANA CA 92705
PEflMITTEE: JOHN STUART ( 719 ) 721-1118 '
naoness: g93 SANDCASTLE
CORONA DEL MAR CA 92625
IILEN5E0 CONiIULTOfl OECUNl�TION: I nereEy allirm 1na1 I am IicenseU unEer D��ons ol Clupier 9(commencinA •��� ���ion
7000� of Oivivon 3 0l tne Bu4neu antl P�oleuions COEe, and my license is in futl force a�M efhct.
CITV IIC.: ST�TE IIC.: CUSS:
Date: Signawm:
WOPREPS' COMPENSRTION OECUMTION: I nereGy allirm inai I nave a cenifira�e of consent lo sell-mmre or a ceniticate al workers'
Comoensation Inswance. o� a certilie0 copy tnereol I��tion 7800. LaE. C).
POLICY NO.: E%P. ORTE:
COMPRNY:
❑ Certdi¢0 coOY � �ereUy Wrnis�etl. ❑ Cenifiea copy is IileC wit� me ciry BuilEinq Oivision.
fte: Fpplicam:
EXEMPfION FXOM WO ERS' COMP SRPON OECUMTION: (TN5 5ec6on n l0e Si��WeleO il N¢ perml �a e hwtlreE ��OU) a less�.
I t¢riify Ihai in I�e orma�e 01 wOrk �or whit� �his p¢rmii i5 issuetl Stull employ any p¢rso manner 5 I e
su�ject �o wor Co n LaxS ol Calibmia.
Daie: Sipnatur¢: '�"
NO710E: If aRer makin ��is eclara�ion, you shvulC D u to tAe�Wm rs' Co pensatron provisions of ihe La6or
CoG¢. you o5f Port � tromply wi(h Su[� pmvi5ion5 ar Oermit ShaN Oe EeertMG reWked.
CONSTflUCTION LENOMG RGENCY: I �¢re�y a��iim I�a� Ih e is a constmnion ImUinq apen�y �or I�e perlormance o� lhe work for
wnic� ��is permii i5 iSsuetl (Setlion 9W7, Civ. C�. '
LENOEfl:
RDOPESS: �
�I
�
OWNEP BUILOEfl UEClAH11TI0N: I herpby a�lirm Iha� I am exem0� ��om Ihe Coniracmrs' Slate License Law lor t�e followinp reason
�Section 7031.5 Buvneu anU Pmles;ional COAe: Any city of county whicA reQuires a permit to consimcl, alter, impmve, OemolisR or
mpair any sVuc�ure. o��ar to it5 issu3nce. also requires Ihe applicant lor sucn permil lo lile a sipnetl statemenl tAat ne/she is licensed
pursuam io ihe Omvisions ol i�e Comraim¢' Slato Llcense Law (C�aO�er 9(wmmencinp wii� Section 70W) al 0ivision 3 0l t�e Business
anE Vmlessions fAde) or Itul Aels�e is ewempl IOealrom and Ih¢ basis lor ��e alleged exemD�ion. My rioWtion ot Sec�ion 7031.5 by
any apDlicant bt a D��mil su�l��s I�e appliWnt ta a civil penalry of nol moR itun five huntlr¢d dollars (55011).
I, az owner ol I�e procehY or my employees wlih waAes as their sole comp¢nsaUan, will Oo ��e work, antl tAe
❑ struclure a noi imenaeE ar ollerery for sale (section 7044, Business an0 Prolessional Catle: IDe Contractars' State License Law
daes nol apply io an owner o� a pmDerty wM 6uilOs or impmve5 Itrereon, antl w�o Goes suc� woM him5ell/herseli or thmugh
Ais or her own emDloyees, pmviry¢d ��al such im0�ovemenis am not intentle0 or oflereE lor sale. If, however ihe builOinA or
imD�ovement ¢ 5010 vniNn one year af wmpletion, the owner vnllluv¢ tAe Euraen of pmving hrJshe tlitl noi Ouiltl arimprove
lor Ne Ourpose ol salel.
I, as awner of tne pmperty. am e�clusively coniracting wiih lirensea mntractors to constmct the O�oject (Section 70Ad, Business
L� anJ Prolessions CoOe: Ttce Contractors' SWte License Law Ooes not aD01y ta an owner ol Drppefry wM bu�ds or imD�oves tAerean
aM wtw conlrac6lor suth prqec6 with a conlractoqs) license pursuanl to ine Canirycto '$tate Licenu law). 1 am aware
Ihdi prool of llreu Worker' mp��,y�ion insurance s�oultl be proviOeG to me.
�i am e.emot aer Seai g p � 0 4 4 B. 6 P. C. /
tarimsr� ���pLOYEES � /. y
I ua nereby cer��y IIWI I a�awam ol and untlerstana tne repuirements off:a4 nw Hwltn ana SalLrry CoOe Sections 25505, 25533, ana
255W atb WI l q� airy IUWtt OuiWinO atupdnl wilUwill nol (circle one� n o comDN'/��� �tl state COEa ana t�e reQuirements lar a
permit iw CanSttutti0n o� ���[dti0n Iram Ibe N� Oualily Manapemenl U' intt. Ne5i0entul tOnitrvciion 2pptiWGOns are exempt Imm
inesc a�ovisions.
Date: AOGlicanl:
I nereEy ceniry mat I na .rea01n' appliytion an0 slate tlut me a0we' rmatian i orrect. I aqrtt to cor w all ' toun�y
orGinances an0 siare W relatinQ � OuilEinq cwrs�ruclqn anA hereby aW ¢e rtyes atiues al tlis tity to q�ar , e abave �entimetl
pmoenY (or ins0etlp put ose �
Oate: �.0 Signamre:
ori.er's �icens o� Souai ecu��ry r:
i6a1<6 WM1ne—OmlEmg; Green—Coye Enlorcement: Canary—AOPlicanl Pmk—Rpvenue: GMCenroO—Assessor
._ , CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E
PERMZT NO: E' 06@481 PLAN CHECK NO; N GOVT; N SUPP:
CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE; ADD
JOB DESCRIPTION : ADD TWO BATHRMS/CONV.EXIST BATH TO DINRM SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1
COMMENTS: UNIT 'A' IS ONE UNIT OF A DUPLEX RE:#B60480
***�r�**��r�r*�r�r�r****�r�r*��+t*�r**�r+��e*�r�x*�r*�r*+���r�t�r*�*�*x�*�*��r�r*�e*��r�r*�r�****��r**�r*�rx�r
Z O N I N G R E Q L1 I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL; 42924135 2NE; REF NO;
PLANNING NZST'ES>
i
*�tir�r*�r*�t*�t*�t�t�t**,ritit�txititi�it�r�rx**�r:it*�t;*�t*�r�t�t+tftit�t*�t�t*�t�t�t�t�r�t*�r�,riri��t+tx�***itic��tft*ftx�ft�r�t*�tit
D E V E L O P M E N T S�EyR V I C E S R E Q U I R E M E N T S
�� A
ZONING APPROVED BY '� v DATE;
BUILDING APPROVED BY ; '/ � DATE;
t% . 1
APPLICATION ISSUED BY: �� ii DATE: � L 7-0 4
iFiE1E%iflfifiFiFlfifiEfFlfiflfiEikitlfiflF �� if��EiEififif�EiEifiE M
�E ik iF 1F �E i� ik if if 1F k M if iElf if �F i! M IE �E IE iF if if iFlf fk iF iF.iFif if ik iE iF iP ikif ik 1Flf iE if iE �E if �f 3f iF if �E If if iE if ik 1t iE 1E iE iE iF if if if iF if iE iE �Ik iF�E i! �f k i! * it
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
PERMIT BLDG PMT PLUMHING ELESZRoo MECHANIC FIRE SMIP/RES GRADING
�OY SMIP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMI'P ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 52,00 15,00 0,00 67.00 67.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 67.00 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
67.00
1E iE iF iElE if iE 1PlF it 1k if if iF ff iF if 1E 1F iF if 1E k i! if k iE 1E if 1f 1k �E if if iF ik if 1k 1k if fE ff iE if if 1F it iE iFiE iE iE iE 1F iE 3E iF 1F iF 1E iE iF 3E iE 1k iF if if 1E 1k iklE iE if ik 3F iE iF ik
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 10 FIXTURES LIGHTING 1 ST 20 EA. ,75 7,50
ELE 10 RECEPT/OUTLET 1 ST 20 EA, ,75 7,50
ELE 10 RECEPT/SWITCH 1 ST 20 EA, 75 7,50
ELE 1 SERVICES BELOW 600 V S HELOW 201 AMP 18,50 18.50
ELE 1 SUB—PANEL 11,00 11.00
END OF FEES �
�
�� CONSTRUCTION AND PLANNING POOL'8 l
APpROVALS Permit # Date Inspector APPROVALS Permit # Dace Vnspector
�j . _
i. Temporary Electriwl Service or Pole �_ 52. Pool & Equipment �ocation �_ •,
� y, $pil Pipe•Undrgrnd. -- ,, 53. Steel ReinfOrcement �_/j
3.; Elactrica{ Conduit litititv-Undrgrrni. • • 54. Forms J� '
4..Elecvical Conduit�-Undrgrnd. - � 55. Electrical Bonding ����'" �
. x
' 5. ^teet Reinfqrcement 56. Rough Pfumbing & Pressure Test ��
.` ,
6.J�ectriwi�UFEF3Grod. 57. APPROVALTOCOVEfl�GUNITE
7`Fcjotings 58. Electrical Conduit-Undrgrnd.
n
� 8.- Foundation� �. %� 59. Gas Pipe, � Undrgrnd.. Test .
9. Water Pipe-Undrgrnd. ��� 60. Backwash Lines, P�Trap, O Undrgrnd. ,
�
10. Structural Floor System ' 61. APPROVAL TO DECK •
i t. Prpperty Sewer Line & House Connection � 62. Backwash & Receptor�Final %� '� '
/
12. Sewer Cap � 63. Heater & Vent•Final� i�
73. Roof Drains� - ;� 64. Plumbing System � Final �
14. Rough Plumbing �:� 65. Electrica6Final '/ %� .
(
15. Rough Electriwl•Conduit ,�� .{'` 66. Solar System-Final jj �� � '�� �.'
76. Rough Electric Wiring �/ � 67. Fencing & Access Approval ✓� �� �
17. Rough Wiring Sign l 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 � � • . � _ • APPROVA¢S Permit # ' ' , �
21: Ducts, in Structuie i�.'.. ,.1�, - ,y � 70. LJnderground Hydro
22. DuctS, Ventilatirn� , ' . � . � � ^ .77, product.Piping OGas ❑Oii
23�,Gas, Pip¢;Rough $�tett i ;,.� , � ,� , J2. UndergroV�d Flush � � �
24; Roof Framing � �' ^.� >= 1 � � 73. Undergmc�. Store��'Tank O Gas O Oil '
Z5� Raof Sheathing � � �' . : �'� � 74. Overhead Hydro -
26. T•8ar Ceiling (Strocturel) & Monocoat � 75,- Dry Chemical . ' �
:
27. FrBmeand Flashing; � " 76.'Dry Standplpe � .
�
�. , ;
, 28. Lathing & Siding � . .�... r; 77. FIXED SY$TEM;EINAL -
�29. Insulation ' � � � 78. FIRE PREV. FINAL � � �
�30. DrYwall Nailing � HEALTH DEPT. REQUIREMENT
' 31. Plaster Brown Coat. . � 79: FINAL INSPECTION
32.�ElectriqlPowerMeter,•Final 3S'� � 80. FOODCERTIFI.�CqTEISSUED -
33:�Final Electric . , � /����,� No,tes: .
�- r�•
34.. Final Heating & Air Conditioning , ,
35. Final Gas Pipe-Test I ' '' '
36. Hood or Canopy _ , - �
-37. �Final Faaory Fireplace . � � '
38. Final Plu.mbing � � -
� 39. Water Service-Final
40. Gas Service-Final. _ � �
41. Solar pomestic-Final . . � _-� -
�
42. Backtlow Preventer, � . �
43. Backflow Irrigation � �
i.
.44. Landscape Irripation System . �
�45. Sound Attenua[ion ' � .
46. Handicap Regulations - �
47. FINAL STRUCTURE & BUILDING I � I •
48.-FINALPLANNING • . I �
i t
49. Electric Release to Edison ' I � t' _
50. Gas Release to Southern California Gas Co (
51. CERTIFICATE OP:OCCUPANCY , �
No. Date �
'l
/
Pfl0.1ECTR00flE5S: fj�,`Q,_W��18TN ST uxir: g
OWNEX'S NRME: �TOHIV STUART
aooeess: 893 SANDCASTLE
CORONA DEL MAR
CA 92625
(714)721-1118
nxcx�xcixeEx: FORBES/MANSHADI xec.xo.: NONE
aooxess: 801 N, PARKCENTER DR �N�T� 200
SANTA ANA CA 92705
PEPMITTEE: JOHN STUART ( 714 ) 721-1118
� aooncss: 893 SANDCASTLE
CORONA DEL MAR CA 92625
i LICENSED CUNiBACTOB OECIAMTION: I �emby allirm i�at I am licensetl untler provisians af C�apier 9(commencin0 w��h Section
7000) of qvison 3 0l I�e Business anG PmleSsions Coee. anG my license is in lull lorce anU eHeCi.
GTY UC.: � STRTE LIC.: CLASS:
Oate: Signature: -
WOPNEBS' COMPENS�TION DECUMTION: I tcereGy alfirm �hat I have a cenilicate ol consent to sell�insure or a cetlificate of Workers'
Comoertution insurance, or a cenilieA cooY �hereof (Section 3800, Lab. C).
PoLICY NO.: E%P. O�TE:
tamrnxr:
❑ CenifieA copy is nere�y lumisnea. ❑ Cenilie0 copy is IileC witn tne ciry BuilElnp �ivision.
,e: �ApplicanL
EXEMFf10N FPOM WOP flS' COMPENSIIPON OEQAMTION: Rhs sx rot U omplc�e0 iI Ne permt' w o IubreE (57 or 1e55�.
I cenify ihat in ine petl rmanc of tne wOrk for w�ic� ihis oe�mit is i , I shall t employ any p¢r n an nann N�tome
SUEjec1 Io �� Vorker -�(;om saiion 1�v5 of CaLfomia. �
1
Date: l. $i9naWre: �
NOTILE: II, a er making ��is Ee[Iaralion. you sh0u10 D¢ e w �ecl to IAe Wod� rs' Densation prwtions o t�e La�or
Coae. you m 511aM1�wi1� COmpN vriih Sut��pmmions .tMS pErmii Stutl OB EremeE revOkeO.
CONSTNUL710N 1EN01NG RGENCY: I �ertGy allirm I�al i re is a conslnrciion IenOinq apency lai-Me petlormanm 0� t�e wark lar
whicn tNs ce�mit is issuetl I�Ction 3W7. Gv. CI. .
LENDEP: -S-'
ROOflE55:
c�r
OWNEP BUIIUFB OECIAfUTION: I hert0y aHirm tliat I am exempt Imm t�e Contraqors' State License Law tw tM followinp reamn
(Sec�iOn 7031.5 Business an0 Protessional COGe: Any ciiy of caunry wluU rtpuires a p¢rmii to cOnStNci, altef, imprwe, tlemoli5�, or
repair any stru[Nre. prior to its iuuance, aho repuires the aDP��nt for wc� permil lo Ide a siBneO siatem¢nt ttut �rJs�e ¢ licensetl
pursuant m Ine D�ovisions ol ihe Coninctors' Slaie License Law (ChaO�er 9(mmmencinq wi� Seciion 700% of Division 3 al I�e Business
an0 Prolesvons Ca�e) or ��at Ae/she is e.empt t�erelmm an0 ihe basa Iw I�e allepe0 exemplion. My vidatian ol Sectbn 7031.5 Cy
any aDa�n� iw a De(mi1 suDjecis ine appli[ant Io a civil penalty ol not mOre tlian live hunEreO Oollars (3��.
I. a5 awner af the propiny ar rtry empIoyeeS wilh wape5 az Ilieir SOIe wmDenSaiion, will Eo Ine wofk, antl Ine
❑ 9rucmre 6 not imen0e0 ar otlereE for sate (SeClmn 70aa, Business an0 Pmlessional CoAe: The Cantracrori State License Law
GOes nol apply lo an ownu of a proDeny wlw builtls or improv¢S tllere0n, an0 w�o Ooes 5uU1 wofk Itimsell/herull or tArouph
�h or �er own emD�%'�s. P��� ��� suc� improv¢menis are �rol intenUetl a� o��er¢E IOr sale. If. however IM OuilEinq Or
imprmemenl a sWa wilNn one year o� compleiion, �he owner wi0 luve I�e EurJen ol provinp hUsOe Oi0 noi bu10 0� improve
for Ine purpose of sale).
� 1 ac nwner nf t�e nrooeM. am evtlusiveN cantraclina wilh li[enuM [OnVapoR Io fAnStmt� lhe w01¢c11S¢CIiM 700C. BUAnPSS
IINI Or00� 01 Illet WOrklYS I:OmpE115dip0 rtlSuldnt¢ Sn0111a
� I am eKempt a�� s��uo�: B P 7 0 4 4 8. 8 P. C.
�w�n15fed � (NQ EMPLOYEES
Date: Owner.
I aa tcereoy ceni that I am aware ol anU un0erstane tne repuirement5 0l C
25574 anE Ilut I or any lu�We Ouilding occupant vnlVvnll nol (circl¢ one) nee
p¢rrtni lo� can5�mciion or rtwAificatqn Uom t�¢ Air Ouality Manag¢ment D
ti� D�ovLtions.
Dale: AOOlitam: _
I�ereOy certitylM1a�l ve reaa�his aDD��bn an0 s�ate tl
INEi�dMM d110 SIdIP' wSfCldfi0910 ENIGIfIQ [OfISI(OCIi011d(1
orocenr �or inscec n aurpmes.
Date: � Signaiure: _
o��.er's ucens or sociai sea�ity �:
1 W �d6 Whne—Builainq; Green—Coae Enlo¢emenl:
lo me.
a�a s
h 5ai0
a Iherean
am aware
25505,255D3,an0
repuirtments for a
�s are exempt hom
Pink—Revanue: GolOenrotl—Asseswr
CITY OF COSTA MESA - HUILDING PERMIT PERM N; B b
PERMIT NO; B 060978 PLAN CHECK NO; 04680-92 A . .
CONSTRUCTION TYPE: 5-N PERMIT TYPE; STR PURPOSE; ADD
JOB DESCRIPTION ; CONSTRUCT NEW 2 STORY UNIT SQ FT: 1,795
CLAIM VALUE: CALC-VALUE; 93,758.00 GROUP OCC; R-3 /M-1
COMMENTS: THIS 'NEW' UNIT BECOMES UNIT 'B' F A DUPLEX
**�r�t�r��r*rr�*�*�r�****�r�t+t**�r*�r�r*�rx��r�r�r�**+t�** �t*�*�*�*��r+�*�r**�***�c***��+r*+tx�*****�*
Z O N I N G R E Q Z R E M E N T S
S E T B C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; 55 FT IN AEAR; 10 FT I FRNT; FT IN REAR; FT IN
LEFT; 5 FT IN RGHT: 26 FT PN LEFT: FT IN RGHT; FT IN
��
PARKING REQ• 9 PROV; S PARCEL; 42929135 2NE: R2 REF NO: DR-92-25
PLANNING NOT'ES> ADDING AN ATTACHED UNIT TO A LOT WITH ONE EXISTING UNIT
i
,«�r,r��r,rrr,r*�e**�e�*�r�r�t*�e�r,r,e*�r*�t'x�r,e�rx*,r�r�r**+t�t*xx+t�**�t�r*��r*�rx�*�t�r�r�r�***�r,r,��t.*�r�t�t��e�r*}�r
D E V'E L O' P M E N T S�E R V I C E S R E Q U I R E M E j?T S
\\
ZONING APPROVED. BY � - �i �r •(%� DATE: -CLIl'gl�t'�
HUILDING APPROVED B�1�. �' DATE: VJ �
*********�**k��**D�tB*�i$'iF������� ��t�rx�tD*****�iE � L � rt�r
ik if it it ih M M ik 1f if IF it ik ik ik if iE if iF ik ik iE if ik k ik if ik if iF iF if iF ik if k ik k i! M �k iF fF iF fF 1t �! iklF if ik if ik iF ik if if ik it if i! fE iE iF 1! iF if if ik iF iflt if !F if iF if iF k
LEGALZ2ATION:N F E E S,U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIG MECHANIC FIRE SMIP/RES GRADING
PERMIT 612.50 . �' 9,38
.. � -� SMIP/NON-RES
PLAN 99.53 , �
ISSUE FEE "'
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK�.- TOTAL PAID DUE
TOTALS----> 621.88 0.00 • 99,53 :y 721.41 721.41 ,00
�
REVENUE DIVISION TOTALS--> COLLECTED; .- - 621,88 OVER/SHORT; ,00
BL612P50 PLUMBING ELECTRIC MECHANIC C;FIRE SMIP9T08 GRADING PLAN-CHECK
- '� G .
1f !k �t i41f 1F if !F M!i")F if ik iE iF �f il' 1i' it if !k if if if ik i41f i%if iE if if ik'If if if ikiF'1Flf fE iE ik i%�i4'!f 9f 1E ii"IF1f if iF iF if if if if if if if i%iF i! i%i%iF if if �F!!i! if' ik if if 1f i! 1E
I N D I V I D U A. L; . F E E�ii B R E A K D O W N
TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST
SFR 1135 DWE-TYPE V-WOOD FRAME -GOOD 74,00 83,990,00
SFR 150 RES-BALCONY, EXTERIOR STAIRWAY 14,80 2,220,00
SFR 510 RES-CARPORT ,;_ � 14,80 7,548.00
END OE FEES
n //
/ -.
�
-
., ,
` CONSTRUCTION ANO PLANNWG POOL 7 A
APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
1. Temporary Electriwl 52rvice or Pole J� 52. Pool & Equipment Location '� Vw
2. Soil Pipe•Undrgrnd. . 53. Steel Reinforcement ,2 �-� �
3. Electrica� Conduit UtilityUndrgrnd. ' . 54. Forms ''r'
� . � .,
�_ 4. Electric2l Conduii-Undrgrnd. 55. Elettrical Bonding
5. Steel Reinfqrcement L�,�, a ��y 56. Rough Plumbing & Pressure Test
r . ��
� 6. Electrical.UFER'6rnd. 57. APPROVALTOCOVER�GUNITE
7i Fqotings ` 56. Electrical Cpnduit�Undrgrnd. _
$, Foundatian , � 59. Gas Pipe, d Undtqmd., Test -
9, Water Pipe-Undrgrnd. j�� 60. Backwash Lines, P�Trap, C] Undrgrnd. �
10, Structural Floar SYstem ,f ' 61. APPR�VALTO DECK .��
7�-`qs� �d-
11, Property Sewer Line & House Connection 62. Backwash & Receptor�Final �
12, Sewer Cap 63. Heater & Vent-Final �� �
13. Roof Drains . % 64. Plumbing System � Finat , ✓ ' � ' �
�
14. Rough Plumbing f"� 65. Electrical�Final
15. Rough Electrical-Co�duit � i ' ��_ �� 66. Solar System•Final / � , . � �
16. Rough ElectriC Wiring 67. Fencing & Access Approval:� -� � '�
17. Rough Wiring Sign � �$, APPROVED FOR PLASTERING ;
18. Rough Electrical•T Bar Ceiling 69. POOUSPA SYSTEMS FIN�
19, Rough Heating & Air Contlitioning FIRE D�PT. REQUIREMEN7
20. Rough Factory Fireplace � � � � ! � ��APPROVALS Permit # �
1.
21; Duct:, in Stwcture- � .. � ;`' _ , � ,70. Underground Hvdro
22. Ducts. Ventitatirig ' �' 77. ProducC PiPrng OGas ❑Oil
23. Gas Pipe- ou h & 7est - �' � Y � � `- � � � ` �
� 9 � � .J2. Underground Flush � �
24. Roof Framing � ��' �• 73. Undergrnd.Storagp'_Tank �Gas ❑OiY
25. Roof Sheathin9 �� .. �/Zyl9� fi'f.. �-. �74.- Overhead Hydro .
! /�
26. T-Bar Ceiling (Structural) & Monocoat -. 75. Dry Chemical
p7. Frame and Flashing � (0 q5 76: Dry Standpipe ,. - '
28. Lathing & Siding • . 77. FIXED $YSTENt FINAL
29. Insulation ,_ . ' " � 78. FIFE PREV. FINAL
� 30. Drywall Nailing � ,�_ � HEALTH DEPT. REQ�UIREMENT
31. Plaster Brown Coat � . 79. FINAL INSP�CTION �
32�.�Electriral Power Meter�Final . � 80. FOOD CEATIFICA ISSUED
33. Final Eleciric , � � 'Notes: �
, / �i �3- , -- � �-� /�
34. Final Heating & Air Condition�ng , • 2 9 3 (j �� - •��Y'�`G
35. Firial Gas Pipe-Test ' g �` � _�� � / „Y,/_�
c�_S! D
36. Hood or Canopy � , - � ' $-
37. Final Factory Fireplace y 4 f���� -
-38. Final Plumbing � � � � �•
39. Water $ervice-Final ' , _ ' ,
40. Gas Service�Fina) I .
41. Solar pomestic-Final � �
42, Backflow Preventer � , ! �
43. Backflow Irrigation • ' . ,
44. L.andscape Irrigation S em _ . �
45.-Sound Attenuation '
46. Handicap egulations ' � � � � _ ,
47, FINA�S RUCTURE&BUILDING � � � _
48. FINAL P ANNING - - I
4g. Electric' elease to Edison �
50. Gas R ease to Southern California Gas Ca i �
51. CERTIFICATE OF OCCUPANCY .
No. Date
I �
I�
PB0.IECT':10BE55:. 6gO W� fBTF�j,, ST ; • �"�T� B
� OWNETrSNFME�JOYIN STUART �
eooncss: g93 SANDCASTLE
" CORONA DEL MAR
r� �.<' A CA 92625
(719)721-1118
RXCN/ENGINEEfl: FORBES�MANSHADI flEc.No.:NONE
aooxess: BO1 N. PARFtCENTER DR �N�T� 200
SANTA ANA CA 92705
PEXMITTEE: JOHN iSTUART ( 714 ) 721-1118
ADOXESS: Q9,3 SANDCASTLE
CORONA DEL MAR CA 92625
LICENSEO CONTPACTON UECIAflATION: I hereby allirm thai I am IicenseA un0er pmvisions o� ChaD�er 9(commencing with Seciion
7000� ol �ivision 3 0l I�e Business antl Pm�ession5 CoOe. an0 my litense is in �ull fo¢e anG etteci.
CITY IIC.: STqTE LIC.: ClA$$:
Date: Signamre�.
WOXI(EHS' COMPENSRTION OECIABRTION: I �ereby aflirm that I have a ceriificate ai consenl to self-insure ar a certilicate of Workers'
Campensdlion Insurance. or a cenifiea copY �nereof (Section 3800. La�. C�.
PoLICV NO.: E%P. DRTE:
ICOMPRNY:
❑ Ce�ilie0 coDY �5 hereby Iumi5Ae0. ❑ Certilied coDY is �iletl wi[h IAe ci�y Builtlinp Oivision.
ale: APClicani: %•–
EXEMPTIONFBOM flNEflS'LOMENSRTIONOECIABRTION: (Thissec�ionneetlnoh¢comDleteOi mitisforone Mre0�5100�orles5�.
I ceniry t�at in t�e eAarmance me wor� ar wn�rn m�: p�rmn �s' suee, i not emDloy y son in a mer w as to Oecome
suUlecl to �e W e�s= pe u' n Laws ol Calilamia „/ „
Dale: � Signalure'
NOTICE: II afler makin this eclaralion, you shoultl U ome su01�� to the Wor ers' CAmpensation provisions oi tAe Labor
COtle. you must fonliw A comD�' with suc� pmvislo or t�is permit s�all Oe Oeemed rewkeU.
LONSTPUC710N LENUING RGENLY: I �ereby affirm tA lhere is a can5tructian.len0inp apenry �or I�e OeNormance ol the woM la�
whit� IhiS permi� is issU¢4 (Set�ion 3097, Civ. C�. '
LENOEH:
RDOflESS:
I�
OWNEP BUILOEB oECLAflF710N: I �ereby affirm Ihat I am exempt imm ihe Conlractors' State License Law br the followinA �eason
�Seclion 7031.5 Business anG Pmlessional Cotle: Any ciry of counry which rtquirts a De�mit to conslmcl, alter, impmve, tlemoliSR or
repair any 9mclure. prior la iis issuance, atso repuires t�e apDlican� lor suc� permit to lile a signetl stat¢meni ihai �PJshe ¢ IicenseE
pursuam �a t�e pmvisions oi t�e Conlractors' Slaie Licenu Law (Chapier 9(cammencinq with Sec�ion 7000) o� Oivision 3 of the Business
antl Professions Coae) or ihal he/she is ezempt iherefmm ana ihe basis lor t�e allege0 exemption. Any violation al Section 7031.5 Dy
any aDPlicanl lor a permit suble��s i�e aOPlicant lo a civil penalty of not more tAan live �unOretl Gollars (5500�.
I. as owner ot t�e D�openy or my employees wit0 waAes as their sole compensation, will Uo Ihe work, an0 t�e
❑ stmcmre is not intende0 or oflereC tor sale (Section 7044, Business antl Pmtessional Cotle: 7�e Contracrors' State License Law
tloes nol apDly �o an owner ol a O�openy who builOs or impmves Nereon, an0 who does such work himsel�/Aerself or ��wugh
his or her own employees, Dmvidea I�at such improvemenls are not in�entletl or allere0 for sale. If, however �he 6uiltlinA or
im0�ovemenl is wltl within one year of comple�ion, t�e owner will have the bur0en oi pmWnB he/she Eid not 6uild or imDrove
for ��e purpose of Sale).
I. as awner ol t�e pmOenY. am eKclusively convactin0 wi�h licensetl conlracmrs ta conslmci Ihe pmjec� (Sec�ion 7044, Business
� ana Pmfessions CoOe: The Coniracmrs' State License Law tloes not appry b an owner o/ pmpeny wlio OuilCs or impmves thereon
antl w�o caniracis for such pwjects with a contractoqs�licenu Dursuantto the Coniract rs' State License Law�. I am aware
tnat pro01 ollheit Worker's Comvensation insurance should De pmvi0etl to m
� � am e�e �p� uneer Sec�ion: g P 7 � Q Q B. 8 P. C.
m� tnis easoi; NO EMPLOYEES
Oate: Ovmer.
I tlo here0y c nity tha� I am aware ol and unEersianE ihe repuiremenls ol Calil nia alth antl Safet COE ecbons 2 , 25533, ana
2553A and Inat I or�y �ulure� Iding occupanl wilVwill noi (ci¢le one) n E co ly with saitl 5 e co � an0 t�e i uiremen�s br a
permil for conslmcti n�or motli cation Imm ��e Air OuaOry ManaAem Oisi t esidential con ucii ODlic ' re exempl imm
I�ese O�a�sions, � _
Da�e: " �
I hereDy certity I a I have
ordinancesan051a laws�
pmDeny lor msp ' n a
Date:
Oriver's license ar Sa�
_7_L� Applicanl:�
ihis application antl Staleihd�
710 DuilOmg conslmction and Y
� C �' Signa�ure:
seaoiy �:
IS WR2t�.
ntatives oi
164t�a6 W�ite—Bmldino: Green—Cotle En�arcomenL Canary-Aoolicanl; Pink—ReJenue: GoltlenroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P
PERMIT NO: P 060484 PLAN CHECK NO: N GO T; S .
CONSTRUCTION TYPE; 5—N PERMIT TYPE: PLU PURPOSE: ADD
JOB DESCRIPTION : CONSTRUCT NEW 2 STORY UNIT, RE:#H60978 SQ FT;
CLAIM VALUE: CALC—VALUE; • GROUP OCC; R-3 /M-1
COMMENTS: THIS 'NEW' UNIT BECOMES UNIT 'B' OF A DUPLEX
x��r��r*+rx��r*****�**�x���r�r*�r**�*�**�t�t*+t�r���r�r��r*******�r�r*+rx **�r�t�t�r�r�r*x �r**�t� �rx��r� �**�r�r�r�t
2 O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 42924135 ZNE; REF NO;
PLANNING NZST'ES>
. �
iF iE 1E if ik iE iElE if iFlElE if fE iF if if iF iE iE iElE 1f 1E iE iElF iF iP iE iE M!f 1E iE 3E 1E iF iF iE iF 1F )E 1f if iF it iE k iElklf 1F if 1f iE 1E iE 1E 1EiFlf it iE 1F iE iE iE fE iE ik iE 1ElF iF iE iF iF k
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY : c\�'_ DATE;
APPLICATION ISSUED HY; �i�d�-- DATE: l7. 7-'g L4
ifikkiflflFil��FifiFlfiFiliFitilikiklFiklElEiFi[�iF�F7FifiF'iF'iFiF�F3F#iF�TfiF'�iFifTFif�f3F'iF�TfiFiFfFil�iFiEiEikik�Eik!! 3Fik
it i! iF if iE �! 3E �E �F it 1E ik k if ik if if ik i! ikikik if i! ik 3E if it 1E 1E if �f iF* fE �! k 1FlE * iflf if iE i!!E if IE if iElE �k iF if iFif iF iE �f IF iE if iE iF 1E ik iFlE )f iElE iE it iElF �lk iF 1! if
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 111�5= �
PLAN •^ SMIP/NON—RES
ISSUE FEE 20,00 •'� �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 111.00 20.00 � 0,00 131,00 131.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 131,00 OVER/SHORT; ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
131.00 �y
�r+t+r+r*itit*�itxitit*ititititititiEjt�rx�titret«�retatitat�'it**itxif�ritit***itx xit*it*itit�r�r*�r�t+Eit�tirit*�rit�rfritetx�atit**1t*
I N D I V I D U A�L F E E B R E A IC D O W N
r
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�
PLU 2 BATHTUH � 7.00 14,00
PLU 1 DISHWASHER 7,00 7,00
PLU 1 LAUNDRY TUB OR WASHER 7.00 7,00
PLU 2 SHOWER •: 7,00 14.00
PLU 1 SSNK, KITCHEN �
PLU 2 WASH BASZN '} 7.00 14.00
PLU 2 WATER CLOSET (TOILET) 7.00 19,00
PLU 1 WATER HEATER AND/OR VENT 7,00 7,00
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5.00 5.00
PLU 1 GAS SERVICE 7.00 7,00
PLU i SEWER, CONNECTION TO HUILDZNG EACH 15,00 15.00
r�.
!
` CONS�'RUCTION AND PLANNING .- POOI F l
APPRiVALS Permit-#' Oate Inspector AppROVALS Permit# Date Inspecmr
�1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . '"' -
'�2. Soil Pipe-Undrgmd. " j j$� a� Lj�Ij 53. Steel Reinforcement �,,, -� �" ��^
�.3. Electricat Conduit Utility�Undrg'rnd. 54. Forms �'�
._ r
� 4. Electrical Coaduit�Undrgrnd. ��• 55. Electrica� Bonding � �,�
�. 5. Steel Rein�orcement ' � 56. Rough Plumbing & Pressure Test ' '
� 6. Electrical UFER�Grnd. 57. APPflOVAL TO COVER-GUNIiE
�.
=7. Footings; _ ' � 58. Electrical Conduit�Undrgrnd. ' '
-: 6. �Foundatio� � � � � 59. Gas Pipe, � Undrgrnd., Test � � - � �4
. ti
•'• 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. ��.
70. Structural Floor System . jj/- � 61. APPROVA� TO DECK � i+
�11. Property 5ewer Line & House Connection ���/Q3 ��� 62. Backwash & fteceptor-Final .-� •y ,
s. �
12. Sewer Cap 63. Heater & VenbFinal �j �
. '
13. Roof Drains=_ • „���' 64. PtumUing System � Final _ !"
14. Rough Plumbing � �� 65. Electrical�Final �"- ��
15. Rough Electrical-Conduit �� 66. Sotar System-Final , � , , � � "
16. Rough Electric Wiring 67. Fencing & Access Approval '� ' �
_ � .
17. ftough Wiring Sign 68. APPROVED FOR PLASTERING ' �
18. Rough Elec[ricabT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough HeSting & Air Conditioning FIRE DEPT. REQUIREMENT
- . � c� � i� , .
20. Rough faGto�y Fireplace ' � ' � � � - qPPROVALS '-Perinit # - ' '
21: Ducts, in.5tructure �. � . . - ,]0. Underground Hydro -
22. DuMs,Ve�titating � ���_ ,� � � X ,7�, ProducTPipirgL7Ga5 q011
23. Gas Pipe!Rough & Test � , ,.� J2, Underground Flush-. �
24. Roof Framing �- � � • �73.'- Undergrnd. Storage Tank O Gas ❑ Oil ''
i i � c
25. Roof Sheathing � � '. 7q, Overhead Hydro � .
26. T�Bar Ceili�g (Structural) & Monocoat � 75. Dry Chemical - • .��
27. �Frame and Flashinq � 76. Dry Standpipe � , •'
. 28. Lathing & Siding . . �� 77, FIXED SYSTEM �INAL ' � �
29. Insulation . . 78. FIRE PREV. FINAL .
30. Drywall Nailing � � •- HEALTH�DEPT. REQUIREMENT '
31. Plaster BroWn Coat � 79. FINAL INSPECTION �
32. Electrical Power Meter-Pinai . � 80. FOOD CERTIFICATE ISSUED '
�33. Pinal Electric ' . , Notes:/Z-Z�j-Y L: j�qQ.;.r,ti v�, oee..,[� •
34. Final Heating & Air Conditioning �" i . .
� �
35..Firial Gas Pipe�Test _ � �_ �
36. Hood or Canopy ' . - � � ,
37. Fina� Factory Fireplace � � '
38. Final Plumbing � , � � .
. 39. Water Service-Final
40. Gas Service-Final , , -
47. Solar pomesticFinal - ; ' - '
42. Backflow Preveater I �
43. Backflow Irrigation' - , , . ,
44. Landscape irripation System . - ._ - . � ' ' '
45.-Sound Atcenuation '
,
46. Handicap Regulations ' . � .
47. FINAL S7RUCTURE & BUILDING �
. i
48. FINALPLANNING � .
49. Elec[ric Release to Edison
�
50. Gas Release to Southern California Gas Co I � ;
51. CERTIFIGATE OF OCCUPANCY • •
No. Date
PHOJECjiR70flES3:�
OWNEN'S NAME:
AO�PESS:
AflCNIENGINEEfl:
FDOflE55:
PENMITTEE:
ADOXESS:
,. , UNIT:
eec.xo.:
UNIT:
LICENSEO CONTHRCTOB OECLAflATION: I �ereGy altirm �hal I am licensetl untler pmvision5 0� Ctupler 9(tammenting with Seclion
7000� ol Oirsion 3 0l Ihe Business antl Pmlessions Cotle. antl my license is in lull lorce antl e��ec[.
CITY LIC.: STFTE LIC.: CIASS:
�ate: Sipna�ure: _
WOflNEflS' LOMPENSRTION UECIAflAT10N: I hereby alfi�m Ihal I have a certilicate of cansent to sell-in5ure or a cenifiwie of Workers'
Campensation Insurance, or a centlie0 copy inereof 15ectian 3800, Lab. C).
PolItY NO.: E%P. DRTE:
COMPANY:
❑ Canifietl copY is Acreby lumis�ea. ❑ Certilie0 coPY is filetl with t�e ciry Builtling Division.
�ate: Applicant:
E%EMPfION FPOM WONNEflS' LOMPENSITION DECIAMTIDN: f11n5 5cciion need nol te mm01ete0 if ihe permii is lor one hunOreU �Ef00) or Irss�.
I ceriily ��at in Ihe petlormante o� the work br w�ic� t�is permil i5 issue4 I shatl noi employ any per50n in any manner so as lo Oecome
subieci �o the Workers' Compensation Laws ot Calitornia.
Wte: Siqnature:
NOTICE: If, afler making tAis Oeclaralion, you shoula betome su�lect to t�e Workefs' fAmpensation provisions ol t�e Labor
Gotle. yoU mUst IorlAwil� tOmply wi�h Sut� provisfo�5 or �his Detmi� 5hall �e tleemeA revokeA.
CONSTflULTION LENOING RGENCY: I here0y aHirm Ihat ��ere i5 a constmciion lendinq agency for t�e petlormance of tlre wark tor
w�ich I�is Oermii is issue0 (Sec�ion 3097. Civ. C�.
LENOEfl:
ADDRE55:
OWNEfl BUILOEfl OECNfl�TION: I �ereEy aflirm I�al I 0m exempi �mm �he Coniractors' S�ate Lic¢nse Law �ar Ihe lollowinp reason
(Setlion 7031.5 BUSine55 an0 Pmie55ianal CoOe: Any tiiy 0� toUnly whith requires a permil Io Can51mC1, alter, impmv¢, G¢molisM1, ar
repair any simcture. Onor lo its issuance, also repuires ih¢ apDlican[ lor suc� permit lo file a signe0 statement ihat he/she is licensed
pursuant to Ihe pwvisions of Ihe Coniractors' Slate License �aw (ChaD�er 9(commencing wit� Section 7000) of Oivision 3 of ihe Business
anG Pmiessions COAe� or Ihat he/she is eeempuhereimm anJ t�e Gasis lor I�e atlegetl exemplian. Any violation oi Section 7031.5 by
any applicanifor a permit sublecis the appliwm to a civil Penalty oi not more than live �unaretl �ollars (5500).
I. as awner ol I�e pmpeny or my em IoyeeS with waqes as their sole compensation, will Oo �he wark, anJ the
❑ sirucmre is noi intenaea or otferetl lor sale I��tian 7044. 6usineu an0 Pm�essianal CaOe: T�e Canitac�ars' Slaie Lit¢n5e law
Oces not apply Io an owner of a pmDenY � builUs or imprwu ihereon, anA who tloes such wark himseli/hersell or l�rough
�is or her own employees. D�ovitle0 t�al such imp�memenls are nol intenAed or aflea0 for sale. Ii, however the �uiltlinA or
im0�ovemeni is soltl within one year of completion. ihe owner unll have tAe Eurden oi 0���0 �e/s�e Citl not bui10 or imp�ove
tOr Ihe purpose ot Sale�.
I, as awner of the D�operry. am exclusively contractinp wiih Iicense0 contracmrs to constmct the pmlect �Section 7044, Business
❑ anA Pmfessims COAe: The Contracmrs' State LkeOu Law Goes not appty ro an wmer of properry who �uiltls ar impioves tAereon
ana w�o coniracl5 �or suc� pmjetls wi�h a conla��OqS) license pursuant to Ihe Cqntrac�ars' Sla�e LkenSe Law�. I am aWare
t�a� pmo� al I�eir WoBer's Campensation insurance shoultl Oe pmvitleU lo me.
� I am eMemp� under Seclion: B. 8 P. C.
lor Ihis reason:
Date: Ownec
1 Go �ereby t¢hity Iha� 1 am aware al antl unAer5lan0 �he rEQuiremeni5 oi Calilornu Heallh anA Safely COG2 S¢tlbns 25505, 25533, an0
2553a an4IAa1 I or any fulure 6uilaing occupam will/will no R�rcle one) neeE Io comply wil� saitl sia�e ca0es and Ne requiremeni5 br a
p¢rmit �ar cansimclion or mo0ilication �rOm Ih¢ Air Ouahry Manag¢meni Oistrict. flesitlen�ial constmc�ion apDliwtions are ¢Mempi Irom
IheSe O�ovisians.
Dale: Appticanc
I�er¢Gy C¢rtilyl�all have readi�is aDDliCaliOn an0 SlalelAaithe above informali0ni5 CarreCL I agree l0 tamply vn�h alltiry an0 muniy
artlmaMes and stale IawS relaling to �uileing constmction and �erehy aWnorixe represenlalives ol thts cily to enler upon �he ahove-men�ioned
pmpeny lar inspection purposes.
Date'. Signalure: _
License or Social Searily s:
Green—CoOe Enlorcemem; Canary—AOVliwnt; Pink—Revenue: GoltlenroE—Nssesmr
PERMIT NO; P 060489 PLAN CHECK NO: 04993-92 N PAGE: 2
�rx��rx �*�**�r�*�rx *x ��**�*+r�r*x*�*x **x��r�r�r��r�*�r�r*��r�r��r��r��*��rx �r��r��r*�r***� �r�**�r�r***�r�r*
TYPE QTY D E S C R I P T I O N
END OF FEES
i
♦•
UNIT COST TOTAL COST
CONSfRUCTION AND PLANNING POOI b A
Date Inspector Date Insp $
r APPROVALS Permit # APPROVALS Permit # �s
i. Temporary Electrical Service or Pole 52. Pool & Eq�ipment Location
� 2. Soil Pipe•Undrgrnd. � 53. Steel Reinforcement
�3. Electrical Conduit Utilitv-Undrgrnd. � ' 54. Forms
4. Electrical Conduit�Undrgmd. _ 55. Electrical Bonding
� 5. Steel Reinforcement 56. Rou9h 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 Undrgrnd.
�10. Structural Floor System 61. APPROVAL TO DECK
''i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. P(umbing $Ystem - Final
74. Rough Piumbing - 65. Electrical�Final
15. Rough Electrical-Conduit ' 66. Solar System-Fina� .
16. Rough Elearic Wiring ' 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOF PLASTERING
18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. �Rough Factory Fireplace APPROVALS Permit #
�
21:.DuCis, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oii
23.�;Gas Pipe�Rough & Test 72. Underground Flush
24: Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Cei�ing �Structurall & Monocoat 75. Dry Chemical
27..,Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric Notes: i,s y� �,�� ��, ���
34. Finai Heating & Air Conditioning �� �� ����� ��
35: FinalGasPip2-Test �jjf',G/[j,j(�� �-vJ Q '' � _ �_/ //iYl�
�d��v�. �Ov1i_ � iss�/-�i�
36. Hood or Canopy �� j/
37. Final Factory Fireplace �/L�lQa (�!>
I
38. Final Plumbing
39. Water Service�Final rs �� ��
40. Gas-Service-Final �
41. Solar pomestic•Final
42._Backflow Preventer
_
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
46. FINAL PLANNING
49. Electric Release to Edison
50, Gas Release to Southern California Gas Co
51. CERTIPICATEOFOCCUPANCY
No. Date
�
I �I
PH0.IECT RDUPESS: ( 9 O W 18 TH ST u"�T: B
OWNEfl'S NAME: �jOxN STUART
noosess: g93 SANDCASTLE
CQRONA DEL MAR
CA 92625
(714)721-1118
FPCHIENGMEEN: FQRBESIMANSHADI nec.xo.: NONE
FDOXESS: 8OS N. PARKCENTER DR ux�T: 200
SANTA ANA CA 92705
PEflMITTEF. J4HN STUART ( 714 ) 721-1118
aooxess: gg3 SANDCASTLE
CQRONA DEL MAR CA 92625
LICENSED CONTHFCTOfl OECLAPpTION: I hereby a��irm Ihal I am licensetl un0er pmvisions of Chapter 9(commencing with $ection
7W�) o� Oivision 3 of �he Ausiness antl Pmlessions Code, ana my license is in �ull �orce and effec�.
CITY LIC.: STATE LIC.: CU15S:
�ale: Signa�ure:
WUflKEBS' COMPENSATION DECIAflATION: I �ereby at�irm �ha� I �ave a cetlilicate o� conseN to sel4insure or a certi�icale o� Warkers'
ComDensalion Insurance, or a certilietl copY ihereaf (Section 3800, Lab. C).
POLICY NO.: E%P. OFTE:
COMPANV:
❑ Cerlifietl Capy i5 here�y fUmis�ed. ❑ CertifieA copy is fikA wif� fhe ciry BuilOing Oivisian.
�ate: ApplicanC 9
E%EMPTION fNOM flNEN$' fA PEN511TION OECUNRTION: Qhis sec�io need n�e comp@tetl ii ihe permit' forone hun 0($100) or less�.
I ceriily Ihal in the edormdnce � the woB br which ihis permii is is 4 I 5 no� employ any Erso � any mann o as �o become
sublecl tq he W kers' mp n ion Laws oi Calibmia.
Oate: Signamre:
NOTICE: I ai�er ma i g Ihis tleclara�ion. you shoultl e Iec� to �he W Bers' ompensa�ion pmvisions o� ihe Labor
CoOe, you must �ort i(h compry with such pmvisio s Ihis permi� shall �e deemeA revoked.
CONSTNUCTION LENOIN pGENCY: I hereby affirm that re is a consimction lentling agency for Ihe pedormance of the work for
whic� Ihis permi� is issuetl (Seclion 3097. Civ. C).
LENOEfl:
ROOflE55:
OWNEB BWLOEB DELIAqpiION: I Aereby af6rm ihat I am exempt irom the ConiractoK State License Law br the follovnng reason
(Seclion 7031.5 Business and Professional CoOe: Any city af county wnicA requires a permit to consimct, alter, imDrove, aemolisn, or
repai� any stmcWre. Orior to iis issuance. also requires Ihe applicani lor suc� permit �o �ile a signed statemeni �hat he/she is licensed
pursuant lo Ihe pmvisians ol ihe Contractort Siate License Law (Chapter 9(commencing wi�h Seclion 7000) o� Division 3 0� ihe Business
anC Pmfessions CoOe) or ipa� he/she is exempi �herefrom anE Ihe �asis lor �he allege0 exempiioa Pny violation o� Sec�ion 7031.5 by
any applicant lor a Oermil suble��s lhe applicani to a civil penaliy ol noi mo�e ��an five hunJred Oollars (E500�.
I, as owner oi the pmpeny or my employees with wages as iheir so@ comDensation, will do ihe wolic, anU ihe
❑ s�mcmre is not intenAeA or ofieretl for sale (Secnon 70aa, 6usiness anU Pmtessional Coae: The Contracmrs' State License Law
tloes not apDly �o an owner of a property who builtls or improves thereon, antl who tloes such wark himselAhersetl or �hmugh
his or her own ertiployees, Drovitletl that such improvemenis are notintende0 or offered for sale. I[ �owever ihe builtling or
impmvemen� is so�tl within one year ot completioq t�e owner will have the hur�en of pmving he/she ditl no� build or impmve
br �he purposa o� sale).
I. as owner ol Ihe property, am exclusively contracting with licensetl coniractors lo constmct ihe Drole�� (Section 7044, Business
J and Pmlession5 COtle: T�e Con�ractors' S�ate Litense Law UoeS n0� apply �o an owner o� proDehY who budCs Of impmve5 ih¢r n
antl who contracis lor such projecis wiro a contmcmr(s) license Oursuant m tAe Contrac rs' State Lice e Law�. I am are
(hat pmof ol �heir Worker's Compensaiion insurance shoul0 he D�ovitletl Io me.
� i am e�e ot unaer sec �on: H P 70 4 4 B. 8 P. C.
ror mis aso $)j.Ip_LOYEE$
Oaie: V Ownec
I ao nereUy c nily Ihat I am ware of and untlerstan0 ihe requiremems ai Calif ia Health and Sate Co Section 255Q5, 25533. an0
i�5535 and �hai I�any lu�i ¢ 6uiltling occupanl will/will n �(circlAone�eetl �omply wi�� 5ai0 le c es an0 r QuiremenPs �or a
ermil lor conslr tion or moddica�ion imm �he nir Oualit Mana eme DiSV Besieential ca mc' n a 5 a�e exem I imm
��ese Dmvisions. / i_ i
Dale: Applicanl: _�
I hereby cer�if Ihat I hav rea �his apphca�ian and s�ale Ihat I�e
artlinances an sla Uw i¢lal glo building constmction and �erel
pmpetly lor insp lio p�rp 5 '
Date: SignaWre'. �
orivers uce e o� sai i Security n:
164La6 W�ile—Builtliny; Green—Cotle Enlorcemenl: na
Pink—Revenue; GoltlenroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 060483
PERMIT NO: M 060483 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; MEC PURPOSE; ADD
JOB DESCRIPTION : CONSTRUCT NEW 2 STORY UNIT, RE;NB60978 SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS; THIS 'NEW' UNIT BECOMES UNIT 'B' OF A DUPLEX
*�r*�r**+r�r**�r�r*�r**�rx *��t�t�r�r***�r**+t�r********�r�t�t*�t**�t�r*rt�r*�r�r**�t�t�r�t�t*�t*�r�t�r�t�t�t�r+t�r****�r
2 O N I N G R S Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT ZN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PLANNINGRN6�'ES> PROV; PARCEL; 42924135 ZNE; REF NO:
i
*�t****�r**�r+a**���***�r��t***�***�r�x�r*�r�r'*�r**�r*�r*�**x�*�****�*�t+rx�***+r***�r*x �*****x*�
D E V E L O P M E N T S E R,,V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY "' � DATE:
BUILDING APPROVED BY : �- DATE:
APPLICATION ISSUED BY• � � DATE; Z- 'Zf3L
iFifiElFiE�Eik�likiF�lfiEiF�1E1EiFiFifiEiFiFiEiF3FiF3FiFiFiFiFiF'�F'if�F'3FiF�E�F�F�F3E�F �F�FiFiFTf�FiFifiF3F�FiFiF3f3E3FiEiFiEiEi! iEiE
ib if iE iFlE �F iE 3F iF if k iElt iF �f IE ff iE iE �IE if iEiE if ik ik iE if iF iE i! fE �E iE iE iE iE iE if iE �F iF iFiE k if it if ik ik M it iF iE iF jF ikiE 4 iF 3E 3E iE if iE 1k i! ik iF iElE i! iEiE 1E iE iE iE iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
�
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 21,00 '
;l ' 25t SMIP/NON—RES
PLAN "
ISSUE FEE - 15,00
BUILDING—DIV—> ' PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 21,Q0 15.00 , 0,00 36,00 36,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 36.00 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
; 36.00
� ..r
1ElE iE �F if iF iF if if iE 1F 1F iE itlE 1E ik iE 1E iE iE iF 1E iF iE �E ff i! iE 1E iE iE if iFiF if iE iE iE if iE iE 1F i! 7k iE iE i!!F �E 1f iF if it 1E �k iE 1t 1E 7Fif iE iE �lk iF 1k 1E ik iE 1E 1E iF iF 1Fif if iE If if
I N D I V I D U A li ' F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N' �, UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN <= 100 R BTU 9.00 9,00
M$C 1 INST/RELOC RECESSED WALL HEATER 9,00 9,00
M$C 1 GAS PIPING SYS 1— 9 OUTLETS 3,00 3,00
END.OF FEES
�i .
'- _
GONSTRUCTION AND-PLANNING . . _ , POOL & . .,
APPROVALS Permit # - Date Inspector APpROVALS Permit # Date inspector
!4 �
1, Temporary Electrical Service or Pole '�w � 52. Pool & Equipment Location � �- �� -
., /.
2. Soil Pipe-Undrgsnd. _ � '�-- 53. Steel Reinforcement V_. '�
:f.' Electrical �ContJuit�UtitityUndrgrnd. � 54. Forms . _ " -� � /' �-
• 4..Electrical Conduit-Undrgmd. '� 55. Electrical Bonding r'� � • '�
� 5._Steel Reinfdr.cemetnt. . 56. Rough Plumbing & Pressure Test' ��
. 6. �Electrical UFER Gmd. � 57. APPROVAL TO COVER-GUNITE ,
7. Pqfltings. . - 58. Eleclricaf Conduit�Undrgmd. �
' 8. Fo�ndation -,, � , f%� � 59. Gas Pipe, O- Undrgrnd., Test ��
9. Water Pipe-Undrgmd�. . � 60. Backwash Ltnes, P-Trap, O Undrgmd. r_"� �' >
10. Structural Fioor System 61. APPROVAL TO DECK -*� ., --' ' '' i
11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final � j �,
12. 5ewer Cap _ �� , 63. Heater & Vent-Final �^�' '� -
� i - i`
13. Roof Drains - � 64. Plumbing System - Final - `• ''�r.,:
14. Rough Plumbing ,� t�^ 65. Electrica6Finai ` � i .�' /�
15. Rough Eiectrica�-Conduit � )'1 66. Solar SYstem-Finai i� �� 1 'f
� i /� %
. 16. Rough Eiectric Wiring � 67. Fencing & Access Approval. �"�'' °' �
17. Rough Wi�ing Sign 68. APPROVED FOR PLASTERING �
18. Rough Electrical`-T Bar Ceiling , 69. POOL/SPA SYSTEMS R'fNAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. �Rough Factorty Fireplace i r._ , �r , . �' � � - •• pppROVRLS ��Perinit # �^ � n
>. - � u � u i ��
21,:�pucts,in;Structure„ � �� • � i �+� � ��JO. Unde ground�Hydro - �
22. Ducts, Vgntil2tinFj ; � '"'' = � ,`'' 71. Product�Pfping � Gas d 011
i F tv
23.�,GasPipe�Rough &iest � , ' ,°,, ; �� �, � -' �7z, Underground Flush;• � r"�
24. Roof Framing� .� : � F °- �• y' - �73. Undergmd,.Storage,Tank OGas OOiI '
25. Roof $heathing '' _ � . - . , '74. Overhead Hydro � �
26. 7�Bar Ceiling iStructural) & Monocoat - 75. Dry Chemical �
27. Frameand Flashing �� ��' � 76. Dry Standpipe � ' �
`.28. Lathing & Siding • � -r. • 77, FIXED SYSTEM P.INAL
� 29. Insulation � �� 78. FIRE PREV. FINAL �
' 30. D�Ywal6Nailing -'_ � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat; . 79. FINAL INSPECTION ',
r 32. Electrical Power Meter.�Flnal i - 80. F000 CERTIFbCATE ISSUED
33.'Final Electric , ' Notes: � �
� -r- p3 }��T� � �ys�rl�.c�
34. FinalHeating&Air�Conditioning � 2��Q3{(�'� - � e��a��^O���y,
6�-�
35: Fina� Gas Pipe-Test - . �, � � -�
36.'�Hood or Canopy � - . � .
, �37. ��inal Factory Flreplace . � , � ' . � ,
38. F�na( Plumbing - .' � � -
39. Water Service-Final , �
40. Gas Servlce-Final . � � � �
•41. 5olar pomestic-Final , - .
42.'0ackflow Preventer�_ '� � , . . _ •
43. Backflow Iriigation� � • "' ' - , _
. ,44, landscape Irrigation System _ � . . . . � . � ��
45. 5ound Attehuation • � - .
� �46. Handicap Regulations - . • �
�47.,�INAL STRUCTURE & BUYLDING � •
48.� F�NAL P�ANNING. '- � ' �
4g. Electric Release to Edison
, 50. Gas Release to Southem California Gas Co I �. ' �
51. CER7IFICATE OF,OCCUPANCY . � . + �
No. Date r
I �
�
Pfl0.1E�R00PESS: �j9O FF 18TH ST 0N1T� B
OY:.IEP'S NFME: JOHN STDART
--� ROOflESS: $9 j SANDCASTLE
CORONA DEL MAR
CA 92625
(714)721-1118
ancn�exmxeex: FORHES/MANSHADI nEc.xo.:NONE
nooness: g01 N, PARKCENTER DR �N�T 200
SANTA ANA CA 92705
PENMITTEE: �jOHN STUART ( 714 ) 721-1118
ADOflE55: $ j 3 SANDCASTLE
CORONA DEL MAR CA 92625
ULEN$EO CONTflACTOq OECLAIIATION: I hereDy aifirm t�a� I am licen5¢G untler provi5ions oi Chapier 9(commenCinq with Secl'wn
7qq) ol �ivision 3 of I�e Busines5 an0 Professions COtle. antl my litense is in Iuil lorce anA eHect.
CITY qC.: ST�TE LIC.: CLASS:
Oaie: Signamrt:
WOBHpqS' COMPENSRTION OECIAMTION: 1 hereby allirm t�at I have a cenificate ol consent to self-insure or a certilicate of Workers'
Compensa�ion insurance, or a cetlilie0 coDY thereol (Stttion 3800. La6. C�.
POLICY NO.: E%P. OATE:
COMppNY:
� Cetlifie0 copy is her¢by Wmishetl. ❑ CeniheG capy is filea witA t�e ci�y BuildinA Division.
Oa�e: Np0licani:
EXEMPTION FflOM WOB Efl5' COMP NS/iTION OECUMTION: (Iliis sec n I Ee campleteO iI N r-' for one re0 (5100) or lta�.
I ceni(y �nat in ihe pe ormance of he work 1or which this Dermit is' ue0, � fl not employ an er any ma r 5p as lo become
5u�1�� lo ihe Wor 5' mpen lion Laws 01 Calilornia.
Oate: Siqnatum:
NOT E: II. tter ma ing i is aectaration. you shoultl �he su0lect m t�e orke s' CamDensation pmvisians of tne La�or
COGe. yau ust Ionhvn�A compty with such D�ovision r ihis permn shall Oe tleeme0 revoketl.
CONSTNUCTION LENOING AGENCY: I Aereby a0irm tha ere is a consimctio� leotlinp agency for ihe pertormance ol t�e work for
w�ich �pis permit is issue0 �Sec�ion 3097. Civ. C�.
LENDEN:
nooeess:
OWN�p BWI�EB OELUBRTION: I Aereby aflirm Iha� I am exempl irom Ihe fqnVa[�ars' $Iaie license Law �or lhe tollowinp reason
(Seclion 7Q'11.5 Business an0 Pmlessional Cotle: Any ciry of counry whic� reduires a De�mil b consWci. alter, improve. Oemolish, or
reDair any simcture. D��or ta iis is5uance. aiw requires ihe applicant for such permit ta lile a signetl s[atement ttut hpJShe is Iicense0
pur5udnl m lh¢ pmvisions ol ihe Conlracmrs' Sia�e litense Law (Chapier 9(Cammenting wilh $ecli0n 7000) Of Oivisi0n 3 at i�e BuSin¢ss
ana Pmlessions Coee) or Ihat he/stie is ex¢mpt iAerelrom antl the basis lor the allegetl exem0��on. Any violation o1 Section 7031.5 by
any applicanllor a permit su0jects Ine aoDliWnt ta a ci`ril penalry of not mort tAan Iive nunEreA tlollars (3500).
I. as awner of ihe O�openy ar rtry ¢mployees With waAes as their sole COmpenSation, will Ea itle waM, an0 ihe
❑ slrucwre is not intenae0 or olferea for sale (Secuon 7044, Business an0 Professional Coae: The Caniractors' State License I.aw
' Aoes not aDPly lo an owner of a pmDerty w�o �uiltls or impmves t�ereon, and who tloes Such work �imseli/herseli or thwuAh
�is or Aer own em0loyees, O�oviaed t0at such imD�ovemems are not intended or offereA lor sale. II, hawever the �uil0ing or
� impmvemenl is soltl within one year of comple�ion, �he owner will have Ihe burtlen ol proving he/she Oitl not builtl or impwve
lor 1he purpose ol sale).
I, as owner ol �Ae pmpehy, am exclusively comractinp with licensed comrac�ors Ia conslmci Ihe D�olecl (Seclion 7044, Business
❑ a� Protessions f,oGe: The Contiactors' S�ate Lkense Law Aces rwl apply to an o�me� al prpp�vty w7p bwbs w impimrslhe�ean
an0 wh0 tanirdCts lor suCh proleCls vni� a tanVaclOr�s) litens¢ pursudni Io Ihe ConVattori S�ale Lit¢nse Law�. I am aware
ttut D��� ol tAeir Worker's ComOensalion insurance s�oula be proNtleO lo me.
� I am eKe DI untler ection: B P i O 4 4 B. 8 P. C.
mr mrs aso�: N EMPLOYEES
Date: � Owner:
I do hereby �riily ��a� am aware o� anU untlerstantl IOe reQuirements o� Ca il ia HeaIN an0 Sa�ery otle Sec�ions 25505, 25533, antl
2553a anA t�at I or any fuWre buil0ing occupam willlwill not (circle one) neetl compty with sai0 slate coees an0lhe requirements for a
permit lor consimc�ion or motlificalion irom �he Fir Oualily Managemeni Ois� icl. ReSitleniial conSlNc�ion applications ar¢ exemp� Irom
IheSe piovisions.
Oale: AOplkant _
I h¢rn,0y ceruty Ihai have read his ap0���ation antl slale t�al
orainances anA sla laws r¢tati g to Euildinp fqns�ruclim ana 1
O�opOrly lor insp tion purp
Oale; � � Signalure: _
orivar's �ke se o� Sa ia� secudiy n:
t6at�46 W�ne—Builtling: Green—COEe Enlorcemem; ¢
above in�ormaii is mrr¢cl. I agree to co '1� all cil
ry aut e reD senta�ives oi tNs city m rd�
ry—Appiicanl; Pink—Revenue; Goltlenrotl—Assessor
'' '" CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 060479
PERMIT NO: E 060479 PLAN CHECH NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE: ADD
JOB DESCRIPTION : CONSTRUCT NEW 2 STORY UNIT, RE:t1B60978 SQ FT;
CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 /M-1
COMMENTS: THIS 'NEW' UNZT BECOMES UNZT 'B' OF A DUPLEX
�r*�r�t�*�r***x�t*x��r�*�t�r***x**�r� �t*�rx�x�tx�r***�t*�t*�t*�r**�r*�e+r+r�r*��*x �r�r***�r+�*�x*��***x��**�r
2 O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; fiT IN
PARKING RE(� PROV: PARCEL: 92424135 ZNE; REF NO;
PLANNING N0�'ES>
j ��
iE if !f 1F 1E if k M it iF if iF iE iE �f 1f 1Flk iE if if 1f itlF iF 1f if if iF iE iE �t'iE,lEif 1E fE 1ElE if if iE iE iF iE iE iF 1E if iE if if 1f iE iE iF iE IF iF 1kiFif if if if ik iE ik 1f iFif if if if if if 1E if �k
D E V E L O P M E N T S?E R V I C E S R E(j U I R E M E N T S
20NING APPROVED BY '.'i DATfi;
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: `�'f- DATE: l2- 2E3 � S-�
1FiEiFiFiFiEk�F1F�FifiFiEjE1E�E�kiflFiklFik iF3EitiElEiEiFitil�E iE1f
iF ik i! if iE if ik iE it iE k iF �f if if iF �t 1F fE if i! 1E 1E �E iE iF iE iF iE if iflflf if �f iF 1F iE if if ik iF it iF 1f iE if if if f! If �f IE iE �F iElE iF iE ik 1E 1E iFlE �F i! 1E iElE If iklE if it 1E 1E �E �k �F
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 39.73
SOY SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 39.73 15,00 0.00 54,73 59,73 .00
REVENUE DIVISION TOTALS--> COLLIECTED: 54.73 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRApING PLAN—CHECK
54.73 �
,:
�E iE iE fk iF if if iE if �F af iF 1E iP iE iE 1Elf if it iF iF i! it 1ElE if if iE if ib ik iF iE if iF ik i! i! it 1E iF iFiE iF�f iE if iE if i4 ikjF iE if if if iF iE 1FiE if 1E iF iE iF iF if iF iEiF iF iE iE iE iF i! iE 1k
I N D I V I D U A L� F E E B R E A K D O W N
TYPE QTY � D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1135 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 39.73
END OF FEES
r. .
CONSTRUCTION AND PLANNING POO. . SPA ,
:: A�PROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
I: � �
- 1, Temporary Electrical Service or Poie � - 52. Pool & Equipment Location --
/
2, Soil Pipe•Undrgrnd. -�'d' 53. Sieel Reinforcement -�
- .3. Eiectrica�_Conduit UtiHty•Undrgrnd. 54. Forms - � � / ,
' 4..Etettrical ConduitNndrgmd. � � 55. Electrical Bonding �_^ '
" • 5. Steel gg�fQrcement -- _ 56. Rough PWmbing & Pressure Test � .
6, Electrical UPER Grnd. 57. APPROVAI TO COVER-GUNITE
r
7.� Fqotings . �� _ 58. Electrical Conduit•Undrgmd. '
� / ,
' g. Foundation, • .� .%" 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. -" - 60. Backwash Lines, P�Trap, O Undrgmd. i�''
10. Structura� Ploor System /= , � 61. APPROVAL TO DECK 9. !�
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,. � �
12. Sewer Cap , 63. Heater & Vent�Final �'� -
13. Roof Orains ' ," ,� • 64. Plumbi�g System � Final � J ;C��'
14. Rough Plumbir�g - ���; 65. Electrical-Final �•� �� .
i
75. Rough Electrical-Conduit �' ' 66. Solar SYsiem-Final %� ' �^
� . '�.
16. Rough Electr(c tiViring � 67. Fencin9 & Access Approval .� y �
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERIN ��
1$. Rough Electrical�T Bar Ceiling - 69. POOUSPA SYSTEMS F�NAL
19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
_
2p.•Rough Facmry Fireplace � +� • • '� � �� ApPROVAIS � Permit#
� i �.� r.
21.. DuC{s, in Structure . �.. .. �; � r . �70. lJnderground Hydro
22. Dutts, Ventilatirfg� � =�'? ' . 4�� �_71, product'PiPinc� OGas OOiI
� 23..Gas Pipe�Rough &�jest ; ",;, ' ��', � �,72, Underground Flush � � -
" 24.'Roof Framing '� �•'.- =� T 73. Undergmcj. Stnr'age Tank � Gas ❑ Oil
25. Roof Sheathing - � - :, - , . 74.�Overhead Hydro
26. T�Bar Ceiling (Structurap &�Monocoat � - � 75. Dry Chemical - •
27,�Frame and Flashing" ' i ; ' 76. Dry Standp�pe � � �
28. Lathing�& Siding � . 5��. ' •R ' •-� 77,-= FIXED SYSTENrFINAL
'29. Insulation - � � � � � � . . , '�., _ 7g, �FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat. �., � � 79. FINAL INSPECTION ,
.,
� 32. •E�ectricat Power Meter�Final ` (� - 80. F000 CERTIFICATE ISSUED
J
. 33. Final Electric � . Notes: s-�j-e� 3 `o���o��
� 34., Pinal Heating & Air-�Conditioning. ' i.
35. F��al Gan Pipe-Tesc � �
36. Hood or CanoPv: � �. � � .
i
37. Final Factory Fireplace
3$, Final Plumbing .� i • '
39. Water Service-Final � - ' �
40. Gas Service-Final . � r •
'41. Solar pomestic-Final � �
I
42. Backfiow Preventer` � .
43. Backt{ow krigation '
44. Landscape Irriqation System �� . . .�
45.�Sound Attenuation ' �
46. Handicap Regulations �
47. FINF,L STRUCTURE & BUILDING � -
48.' FINAL PLANNING . I .
49. Eleccric Release to Edison I �
�50. Gas Release to Southem Califomia Gas Co � �.�
51. CERTIFICATE OF OCCUPANCY �. � �
No. Date
. �osta Mesa Euilding Department
t� 111 EAST 20th STREET
L� COSTA MESA, CALIFORNIA
FOR APPL�CANT TO FILL IN
Address �. 7 � /!�, � d� � 1e1'
Costa Mesa, California
Nearest
Cross St. L. ��
Owner , �/iisi-i�� ,!i) )77oA�S �. �
� 'i
Lot
SizeofLot GO�
Use of
Existing Bldg.
Setback Line from
Center of &treet
DESCI
New I li
City
� Block � Tract
) //6 -' o`//` a S
� I No. of Bldgs
O Naw en Lot �
nng �k � v No. oT
� Rooms
rior Wall , � Roof
Addltion I
Demolfsh I
Stories �
I hereby aclmowledge that I have read this E
and state that the above is rnrrect and agree
with all Clty Ordinances and State Laws
building construction.
Signatureof �
Permittee ��a
Authorized Agt.
APPLICATION g'OR PERMIT /
; �IDILD,�NG �
k'OR OFFICE YJSE ONLY
I Receipt No. I Permlt No.
� 5�9
�xiv y Date Rec'd. L Date Issueil
-�d S I /-rn-d
ing
:ss
Costa Mesa, California
;n
sc.
��I No.of I Typc ,/ Group� �
Plans l�
�ve
Date
CORRECTIONS s
\
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APPROVALS
Foundation Location I Inspector
Forms, Materials, _
P
Valuation Permit Fee $ �,. o"� Masonry Reinforced
�� Pian Check $ , ��
$ �� O• Total � Bond Beam
Fee : S � FINAL
FORM 209 S-HP 2M B-55
r.
���
Date
PLOT PLAN
&how location and disYancea irom
property Iine and between buildinga
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,-� osta Mesa Building Department
' 111 EAST 20th STREET
� � COSTA MESA� CALIFORNIA
� FOR APPLICANT TO FILL IN
Costa Mesa,
Owner
Metes and
i
V
BuiL
Size
.
I Block I Tract
, i�6 - o9i- a 5
No. of Bldga
) � Nowon Lot I
No.of No.of
.� Families �I Room;
'<• RearYard
Side Yard �G /'
ON OF WORH
iUon I I Addition I
9 I I Demolish I
No. ot
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with al] City Ordinances and 5tate Laws regulating
building construction.
Signature of ���/ qq \�
Permittee ��G-�`�_/?%��1 -�-�
✓
Valwation Permit Fee $ ,�. �' �
' Plan Check $ �
$ - � ' Total E �
� Fee �•
RM 204 5-BP 2M B•55
APPLICATION FOR PERMIT��
y �U9LDiNG � '�
FOR O�FdCE IJSE ONLY
I Receipt No. Permit No.
� O _s'O
�ei d by.' Date Rec'd. Date Issued
..r� � I //- /.o �. �� I //-in -. � �
Address
Costa Mesa, California
Plans
CORRECTIONS
APPROVALS
3tion Location Inspeoto
ns, Materials, f
:r-Pinning \
: Fire Stops, S� _ 1
Plaster, Int
Plaster, Ext
Masonry Reintoroed
Bond Beam
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PLOT PLAN --- _ - -_. , -- - .- --
Show location and disYancea from ,� -� � � �. �1:. � -.
;. . property Iine and between buildings .. �,_.,,, ,�,. _
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ORANGECQUNTY BUILDING DEPARTMENT
636 North Broadwar
SANTA ANA, GLIFORNIA
FOR APPLICANT'TO FILL IN
ADD EI55 �/� W• I�� 1/ ___
SCHOOI DIST. ���� ����'
OR TOWN
NEAREST
caoss sr. /-�n-vr.c.07L/1.
CITY J/(�
ARCHITECT OR
ENGINEER
<ODRE55
AODRE55
LEGAL
OESCRIPTION LOT NO. BLOCK
IATTACH METES @ BOUND51 i�l V n /
TRACT Y v •�•�
NO. OF BLDGS.
SIZE OF LOT � O� X 9 a � NOW ON LOT �
USE OF I NO. OF /I NO. OF
EXISTING BLOG. �.4.A • FewiU[s ROOMS
DESCRIPTION OF WORK
USE OF NEW
�LDING
I HEREBY ACKNOWLE'JGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH A�l. COUNTV ORDINANCES
AND STATE LAW$ REGULATING BUILDING CONSTflUGTION.
AUTHORIZED AGT
y � v. c. s �� /
FEE
�i �
VALUATION s )/�
FEE �
APPLICATION FOR PERMIT �
_._BUILDING_ .
FOR OFFICE USE ONLY
ftECEIPT NO. PE MIT NO.
. j 6�� ,(�'33.` �
v
:ECEIVED BY� DA7E OF APPL. DATE ISSI�ED �
��7�'. �'/°l:J�� �' /s�-s
UILDING � /'J j �
DDRE55 . Q , `�- • � _
:HOOL OIST. =�� � •
R TOWN N
EAREST �� � •
PLANS I
FqOM Gfi14TER-Cr ST. J�
� [yL 0 - ' ,SIDE VARD IJ __
����' �`i��
1._� _ � DATE
• CORRECTIONS�
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APPROVALS
: LOCATION NSPECTOR
MATERIALS, I�N/ O y'
INNING
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