HomeMy WebLinkAbout725 18TH ST - Building Permits�
.._._._._.
CITY OF COSTA MESA
BUILDING DIYISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.costamesaca.qov
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE
APN: 42405205
Zoning: ,
JOB ADDRESS:
Viciniry:
SQ. FT: 0
PERMIT NUMBER: BX13-00051
B MISC STATUS: ISSUED
DATE ISSUED: 02/07/2013
ISSUED BY: MDM
725 W 18TH ST CM: � ,. �Suite/Unit:
� � :.� '�
/.��. - � -Pnmary Occ: ' ,� Const.Ty'pe: ??
�..�' =�'� ',Valuation:- $1,500.00-,� . . ,
/, - _� - . _ . ,
SCOPE OF WORK:LEGALIZE THE CONVERSION,OFCARPORTS TO GARAGES,' ,' '� �
OWNER: HASAN AHMER.'r".�!, ��',,�� Address: 1072 BRISTOL ST`Uni
City/State: COSTA MESA CA �. Zip Code:92626-8652
Phone: , - - �
APPLICANT: VICKIEHUGHES' ' ��� " = 'Address: Unit. � �
City/State: " _' ;; C �,' ' ���' �� Zip Code: � " � _� . .
Phone: 714-429-0440 , , ", , , - , �
i _ �
CONTRACTOR: OWNER-BUILDER �� , - ,. - � � ,- �License.No:000000,
Address: Unit '� . � . '� � �' - ��-' - - " �
City/State: � - "
Zip Code: � . - . ."`-. �. - �- Phorie � .'�' �. ,— ,'
��� -- — -- --- , - -_
ARCHITECT: � � ..'� License No.
Phone , � '� . - �
ENGINEER: . � �� �,°� , _ License No. -
Phone .' ' ��,. - , �
SUITE 206
. � , , .,., . _ , .
FEE SUMMARY � �' �� � � � �
i i� \ �
Builtling Plan Check � � . -� � �. �. $0.00 - _''�;i�� � �-�
Builtling PermiC `�� �� � :��� �� � � > ,$54.00� - � � �c',
Electrical PermiL' �' ,;c� ;`'',� i�r�� � ' �-$0.00 ` . - � '
SMIp Residential � - ' ' -' $0.50 - . - ,
SMIp Commercial = ' : . $0.00 . • �
Bldg Std Admin Fund � - _ $1.00 ;: ,�. ,
Cell:
MOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 311812010 - PER CMMC Sec. 13-279
Monday thru Fnday - 7:00 am thru 7:00 pm. Saturdays -9:00 am Nru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays:
New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thankspivina Dav and Christmas Dav
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMR EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlons and flnal approval musl be obfained. Failure to obtain inspections and final approval will result in the expiralion of this permit.
C0� INSPECfI0N7YPE p� IN71M15 WDE/ INSPECTIONTYPE 0� NTI RIALS
1616 FixeO System Final Fire Prevention 206 Final Mechanical
1268 Pool Spa Final 208 Final Plumbing
200 Final RaRoof 210 Final Electncal
201 Final Block/Retainin8 Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site q
204 Final Demolition 250 Final Builtling/Occupanty �ec�
WORKERS' COMPENSATION DECLARATION.
I hereby affirtn under penalty of perjury one of the following deGarelions:
❑ I have and will maintain a certificate of consent to self-Insure for workers'
compensation, as provided for by seclion 3700 of the Labor Code, for Ihe
peAortnance ol the work (or which Ihis permit is issued.
❑ I have and will mainfain workers' compensation insu2nce, as required by
seaion 3700 of Ihe Labor Code, for the pertormance ot the work for which this
permit is issued. My workers' compensalion Insurence carrier end policy
number are:
Carrier.
(mh aecean neeem ee cmWered au,s pormu u vwuee ai ma nuiaeo man (Sfool ab.vJ
Policy Number.
❑ I certify that in [he pertortnance of the vrork for which Nis pertnit is
issued, I shall not employ any person in eny manner so as to become subject
to the workere' compensalion laws of California, and agree ihat i( I should
become subject to the workers' compensation provisions of Section 3700 of
ihe Labor Code, I shall forthwith comply with these provisions.
ApplMant's Signatura
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDRION TO THE COST OF COMPENSATION, DAAIAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions o( Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
Lic. # Class #
Contractors Sgnawre Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that ihere is a consWction lending agency for the
pertortnance of �he woM for which tliis pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name:
Lender's Address:
SgnaNre Dala
�I OWNER-BUILDER DECLARATIONS:
I hereby aKrm that under penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business anE Professions Code: My city or wunty which requires a permit to
conStNt�, elter, improve. demolish, or repair any slrucNre, prior to its
issuance, also requires the applicant for such permit to fle a signed statemenl
that he or she is licensed pursuam to the provisions of ihe Conuactore License
Law (Chapter 9(commendng with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt Nerefrom and the basis for
ihe alleged exemption. My violation ot Section 7031.5 by any applican� for a
permit subjects ihe applicant to a civil penally of not more than five hundred
dollars ($500).):
� I, as owner of the property, or my employees with wages as their sole
wmpensatlon, WILL DO THE WORK, and lhe structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of properry who builds or improves
Ihereon, and who does such work himself or herself or through his or her own
employees, provitled Iha� such improvemenis are not intended or affered for
sale. If, however, the builtling or improvement is solA within one year of
completion, the owner-builder vrill have tha burden of proving that he or she
did not builtl or improve for purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CON7RAC71NG WITH
IICENSED CONTRACTORS to cansWd the project (Sec. 7044, Business and
Professions Code: The convaclors License Law does not appty to an owner of
property who builds or improves thereon, and who conlracts for such proJect with
a contractor(s) license pursuant to Ne Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for [his reason:
, SipnsWre Dab
�305748(0l07) �
�
Owner ID venfied by drive� , iicense. ❑ Yes ❑ No
Drivers License No. F�cpires:
Verification ot Ownership by (type o( tlocument, i.e. - propeM1y tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in connection with work authonzed
by this permit, and that no building swclure, scaHolding, falsework, or demolition
or dismantling thereof, wlll be more than thirry-six (36) feet high. (Chap. 3.2, Grp
2, M 2, Sec. 341, Ttle 8, Calitomia AdminisUative Code).
❑ As owner-builtler, I will not employ anyone to do work which would
require a permit from the Division of IndusVial Safery, as noted above, unless
such person has a permit to do such work from ihe tlivision.
ApPliran�'s SignaNre
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicanl or present or future building occupanl need to file and
certiy a Business Plan for emergency response to release or threatened
release of a hazardous matenal7 ❑ Yes ❑ No
(Section 25505 of ihe Califomia Heallh and Satety Code requires, wilh some
exceptions, Nat a Business Plan be filed with the Costa Mesa Fire Department
by every business which has at eny one time during a reported year a Quantiry
of hazardous matenals equal to or greater than a weight of 500 pounds. or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
2. Does or will the applicant o� present or future building occupant need lo fle
a regislretion form for acutely hazardous materials? ❑ Ves ❑ No
(Section 25533 of Ihe Califomia Health and Satery Code, with some
ezceptions, requires registralion with the Costa Mesa Fire Department by each
business which at any one time has on hand a quantity of acutely hazardous
materials equal to or greatar than a weight of 500 pountls, or a volume of 55
gallons, or 200 cubic feet of compressed gas at standard temperature and
pressure).
3. Does or vrill the applicant or present or (uture building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Satery Code proviaes that the
Costa Mesa Fire Department may require lhe preparation, ceAiScation and
filing with �he Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials vrith the Fire Department.
4. If an RMPP is presently required, has Section 25534 ot the Califomia
Health and Safety Code been tully complied vrith? ❑ Yes ❑ No
5. Does or will the eppliCant or present or future building occupant requira /or
ihe work which is Ihe subject of lhis appliwtion a permit for such wnslruction
or modificalion from the South Coast Atr �ualiry Management Distnct or from
any other air pollution wntrol tlistrid or agenc�!� ❑ Yes ❑ No
(Section 65850.2 of the Califomia Govemment Code requires that the requested
infortnalion be fumished on appliptions fw rartresidential building pertnits).
6. Will any patl of ihe facility to be constructed under this permit be wi[hin
1000 teet trom the outer bountlaries of a school? ❑ Yes ❑ No
(If'yes', the tacility must meet the requirement of Seclions 25534 antl 42303
of the California Health and Safery Code).
7. If a permi[ from the South Coast Air Qualiry Management Dislrict or other
air pollution control distric[ or agency is required for lhe work which is the
subject of this application, have all o( the disGosures prescnbad by Califomia
Health and Satety Code Section 42303 been matle? ❑ Yes ❑ No
8. (If'yes', anach certifiwte of compliance from the appropnate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certiy ihat under penaly of perjury the
infortnation given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
sipneture
CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I
certify under penalry of per�ury that I have read this appliwtion and stata that
the information given is correc�. I agree to comply with all slate laws and city
ordinances relating to�tiuildin consiruction, and authorize representatives of
ihe Ciry of CosteiMesa to e ter upon the above-described property (or
inspection purposes. I agree no to py or allow occupancy of any building
auNorized by this pertnit untll fin I i spection.
Da1e
a -7-1 �
�T
. 1 207
C057A MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 31J COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/[L /N COMPLfTE[Y
TYPE OR PRINT
BUILDING f'l—
ADDRE55 , -/S �
� COSTA MESA, CALIFORNIA
�A�,. 2,..,T..,,-f— .. . 7'...
LIC.
A.P. NO.
OFLOT 'Q ���Y INO.OFB
NOW ON
USE OF . /� ^/�
EXISTING BLDG. N / `�
SEfBNCK LINE FFOM j� !
CENTEN OF STREET ( J REAR VAF
) /
SIDE YAFD ILEFT � .IRIGHT
DESCRIPTION OF WORK
NO.OF
ROOMS
,EXTERI
COVERI
- ,,.;_AUG. 2G 1�9�
APPLICATION FOR PERMIT
BUILDING
� � �-C�- � ¢ �u�.,��/�
FOR OfF/CE USE ON[b'
I NECEIPT NO. I PERMIT NO.
COSTA MESA, CALIFORNIA
FIRE �
ZONE TYPE i/ GROUP
�Q%� ZONE INO.OF
ACT P��nS
APPROVED
BV
05. � yqRDS
'T REqU1RED
(CENTEN LINE ST j �
V N
l�au.7�q- .t/ i
i� ,r
�A�1 � o
I HEflEBY ACNNOWLED TX 1 HAVE NEAD THIS APP CATION
AND STATE THAT TH R00VE IS CORFER ANO AGREE TO COM-
PLY WITH ALL CITY OHDINANCES R! $T TE LAWS FEGULATING
BUILDING CONSTRUCTIO �
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
USE OF NEW
em�owc
�
THE AMOUNT BHOWN UNOER VALUATION 19 FOR THE
PURPOBE OR ESTABLISHING A PENMIT FEE ONLY.
VALUATION G/�
� PERMIT FEE S �—
�� ��� /` PLAN CHECK $ ��//, � �
$ /
TOTAL FEE S /G'J/ v�
�,
A
PNOJECT AOUHESS:
OWNEfl'SN �: �2� W 18TH ST
.. � oeess: ISSAC BEN—OP.
'1062 LIDA LANE
ANAHEIM i ., ,.
CA 92802
AflCHIENGINEEfl: �� � 4) 5 3 0— 5 2 5 2
IIOOHESS:
qEG.NO.:
UNIT:
UNIT:
�
F.—U CITY OF CUSTIS MESA — BUZLDING PERMIT PEP,r1 NO: P 06989"
PERMIT NQ: P 069897 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTROCTION TYPE: V—N PERMIT TYPE: PLU PURP�SE: OTH
JOH DESCRIPTION : INSTALL FOUA GAS METERS S SYSTEMS IN APT SQ FT: �
PEHMITTEE: -
aoonEss: KEVIN DAWES ( 714 ) 650-265 %
q29tp5rQ�A E ❑16pTn�H!� ST ('�n O L �y
LICENSEO CONTBACID��UECL'NWNtIBfIT I �Efeoy'afmmFtha� I am licensed untleryfobisial5rot`��kr 9(commencing wi�� Sec�ion
7000) oi �ivision 3 of �he Business antl Pm�essions Code. antl my license is in full force an0 eifecl.
CITY UC.: STATE UC.: CLASS:
oa�e. ll- �V� •4�+ 59^d52U7 C-36 EXP:�,N�
OBREXS' COMPENSRTION DECIABRTION: I here�y atfirm that I have a certiticate oi consent to seli-insure or a cenificate ot Workers'
Compensation Insurance, or a centlietl coDY Ihereof (Seciion 3800, Lab. C).
POLICY NU.: EXP. Uq7E:
COMPFNY:
❑ Certitietl copy is hereby �umished. ❑ Cehified copy is �iletl wi�h Ihe ci�y BuilOing �ivision.
Jate: �� • IW � a ApPlicanf. ��yy' ��+ �0.4�L\
EMPTION FHOM WOBKEflS' COMPENSATION OECIABATION: Qhis se�tion neeA noi �e complele0 if Ihe permit is �or one huntlre0 �$100) or kss�,
I certify �hat in the pedormance of t�e work tor which this permi� is iSsued, I shall not emDloy any person in any manner so as to become
su�le�� �o the WorkerY Compensalion Laws ot Califomia.
oate: SignaNre'.
NOTICE: If. aiter makmg ihis declaration. you shoul0 6ecome suble�� �o the Warkers' Compensation Drovisions oi the Labor
Cade. you must forthwilh comply wrt� such pmvisions or this permi� shall be deemetl revokeA.
CONS78UCTION LENOING RGENCY: I hereby affirm that ihere is a conslmction IenOing agency for ihe De�ormance oi the work for
which Ihis permi� is issued �Sec�ion 3097. Civ. C).
LENOEX:
AUGHESS:
OWNEfl BWLOEB OECLABRTION: I hereby a��irm �Aa� I am exemp� imm lhe Contraciars Sta�e License Law Por �he f0ilowinA �eason
(Sec�ion 7031.5 Business and Pmiessional CoOe: Any ciry oi coun�y wpich requires a permit �o constmc6 al�er, imD���e• tlemolish, or
repair any S�mcNre, prior Io its issuance. also requires �he applicani for suc� permi� �o file a signed s�atemen� t�at he/she is licensetl
pursuam m t�e pmvisions ol lhe Contracrors' Slate License Law (Chap�er 9(commencing wilh Sec�ion 7000) o� Division 3 al I�e BuSiness
i I i n oi Section 7031.5 0
antl Pmtessions Code) or tha� �e/she is exemp� Iherefmm and Ihe basis tor Ihe allege0 exemp�ion. Any v o a� o y
i n ivil enatl n liv h ndred dollars 8500 .
any applican� �ar a De�mit sublecis the appl ca � Io a c p y oi nol more Iha e u ( )
I, as owner of the pmDetly or my employees with wages as their sole compensation, will tla the wofk, and Ihe
❑ stmcmre is not imentlea or offeretl for sale (Section 704a, Business antl Pmiessional Cotle: The Coniractors' State License Law
tloes not apply m an owner oi a pmperty who builtls orimp�oves t�ereon, and who Ooes such work Aimself/hersetl orthmugh
his or her own employees. pmvi0etl thai such imD�ovemenis are not intentled or otteretl for sale. II, however the Guilding or
impmvemen� is sold wi�hin one year o� comple�ion. �he owner will have ��e Gurtlen o� pmving he/she AiU na� build ar impmve
�or the purpose of sale�.
I, as owner of the pmpehy, am exclusivety conVacting wi�h licensed conVac�ors �a consimci 111e prolecl ($ection 70E4, Business
I❑ ana Pmfessions Coae: The Contracmrs' S�a�e License Law tloes not apply la an owner o� pmDeM �o butltls or improves lhereon
antl wno conlracts lor such pmle��s with a contracroqs) license Oursuant to ihe Contractors' S[ate License Law�. I am aware
Iha� pmo� oi their WOBer's Gompensa�ion insurance s�ould be pmvitle0 ro me.
� I am exempt under Sec�ion: B. 8 P. C.
tor this reason�.
Date'. Ownec
I tlo �ereby ceNty thai I am aware ol antl unders�an0 the reQuiremNnls of Calibmia Health antl Safeiy CaOe $ections 25505, 25533, antl
25534 antl �hai I or any �uture �uilding ocapant wiil/wili nol (circle one) need to comDty wiih saitl slaie cotles anA �he repuiremenis �or a
permii for constmclion ar modificaiion imm Ihe Fir Oualiry Manago,men� DisMCL Fe5i0ential cons�mction applica�ions are exempl trom
�hese pmvisioni
�a�e: NpplicanC
I her¢by cer�ity �hai 1 �ave read ihis applicalion antl Sta�e lhai Ihe above inbrma�ion is cOrrec�. 1 agree lo wmply with all Ciiy and COUnty
ortlinances anA statelaws relating�o builAing wns�mtlion antl �ereby authorixe represen�atives o���is cirytoenteruDon��e above�mentianeA
pmper�Y �or inspetli0n purposes.
p � l l• l 4� 'Q �(i Signaiure: ��—� �'�- �, � A���
Oriver's License or Social Securiry x: _ �� ����
16M11-E6 W�iie-9uil�ingl Green—Cade Enforwmenl: Canary—qpplicant: Pink—Revenue; GoltlenrOG—Assessor
CLAIM C�ALUE: CALC—VALUE: GROUP OCC; R-1 /
COMMENTS: INSTALL NEW METERS 6 GAS SYSTEMS IN AN EXISTING FOURPLEX
i�"IFlF'1f'IF i4'N' iE 1E'IR if 1f')I-if iE'M iF'IM1'M- if JF'IF'N"If 1("Y' M'If Ih 31' iF 1F iF'IE iL'If'IR'M if'If iF'IF IF if il' df'K ii iG if if 1f if �If M iR iF iR if ±I' �Y' iF �E iF'�R �f V' M' if if'I4 if'N-iE i�' �f' if Y'If
Z O N Z A7 C R E Q U I R E M E P7 T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IP7 REAA; FT IN
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PRO�': PARCEL: 42�05205 ZNE: REF NO:
PLANNING NOTES> _
>
jE iE it *+f +f iF iF �lE+E at iM �tr �M u�R {F Y iF if it af �t �%it ih �c if +t x 9c iE �3f- �c iR �F ic 1f iP iF iF if iR if jF ic�'ic 3t iF i�-r at x r+t it i[� i�+c ?F-r. if it+t ic as x x x at iF ih+f x� if -�f it r x
D E C' E L O P M E N T S E R C' 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: dL��q�� DATE; �� L
iFiF�Fif�l�-aFicitifiM1�ifaiififif+fiEifitafjFiF . o �1 � t iEaR{RaF+Fi:i�-iciFx s if�if
1FiEafMafA4jFjFiflFjM1iEjfifi�aFiFM'1R{F1Eif'1EifiRiFjfiEi4ifiEiEiFif{fiFiFiFiF�f%if iFaRifiFi � iFi4i4iRiL�FiFiFiLifjFifiFiFiRY--lRifiFa4ifN�iFiE�Fifi#1Fif�)R
LEGALIZATIOP7:N F E E .-5 U M M A R Y„ STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHAAIIC �FIRE SMIP/RES GP.ADING
PERMIT 98.00 �� •� '
25t ,�: " SMIP/NON—RES
PLAN .' .
ISSUE FEE 20.00 . � � "
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK '� TUTAL PAID ,� DUE
TOTALS----> 48 .00 20.00 :0.00 '�� 68 . Q(� 68. 00 �,, . UO
REVENUE DIVISION TOTALS--> COLLECTED: 68.U0 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC "'FIRE SMIP/'I'OT GRADING PLAN—CHECK
68.00 .! ,
, �'
+f tE 1E � it �c if if ic+f it af �1R i� at �F+4 if if if it i! �E if if �t+E r at ic +F �f at if -1R iF+R iF af;ai+f it ir 14 �1F 1s if iR iE ac ac x 1�+f +f +f �R ic 1F ic+F iF aE 1t it iF+t Y� r ic+c af jc +c iF a41(� � x
I N D 2 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 Pd„ h ; UNIT COST TOTAL COST
FLU 4 GAS PIPING SYS OF ,1 TO 9 OUTLETS � 5,00 20.00 i
PLO 4 GAS SEP.VICE S 7,00 28,00
END"' OF FEES ' /
. / "�
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�I�ONSTRUCTION AND PLANNiNG -_• POOL �.'A �
,PPROVALS Permit � Date {nspector pppROVAI.S Permit �k Date � l�spector
f
, 7emporary Eiectrical Service or Poiz � 52. Pool & Equipment 4ocation �
2. Soil Pipe-U�drgrnd. , � 53. Stee4 Reinio�cement
3. Electrical Conduit UtilitY�Undrgmd. 54. Forms '
4. Electrical Conduit�Undrgmd. � 55. Electrica! Bonding �
5. Steel Reinforcement 56. Rough Piumhing & Pressure Test i
6. �lectrical UPER Grnd. 57. APPROVAL TO COVER�GUNITE i
7. Footings 58. Electricai Conduit•Undrgrnd. �
.�
8. Fo.�idation � 59. Gas Pipe, G' Undrgrrd., Test
9. Wat�r Pipe�Undrgmd, � 60. Eackwash Lines, P-Trap, 1� Undrgrnd. .�
70. Structural Floor System 61. APPROVA� TO �ECK
77, property Sewer Line & House Connection � 62. Backwash & Receptor�Final �
12. Sewer Cap - 63. Heater & Vent�Final
13. fioof Drains 64. Plumbing System - Pinai �- �
74. Rough Plumbing 65. Electricai�Firai �
i
55. Rouyh Electrica4-Condu;t � � 66. Solar SYste�n-Pinal -
16. Rough Electric Wiring �• � 61. Fencing & Access ApProval
77. Rough Wiring Sign , 68. APPROVED FOR PLASTERING
76. Rough Electrical-T Bar Ce�ling 69. POOL;SPA SYSTEM1nS FINAL �
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
2�. Rough Facmry Fireplace APPROVAIS Permlt # �
21. Oucts, in Structure 70. Underg�ourd F!ydro
22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rou9h & Test 72. Undergroi�nd Flush
24. Roof Framing � 73. Unuergrnd.Starage7ank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hvdro
26. T�Bar Ceiling (Structurall & �1Aonocoat 75. DrY Chemicai �
27. Frame and Flashing , 76. Dry Standpipe _�
28. Lathing & Siding � 77. FtXED 5YSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
30, Drywall Nailing .-� �� HEALTN DEPT. REQUIREMENT
31. Piaster Brown Coat . 79. FIP!Al INSPECTION f
32. Electrical Power MeterFinal . 80. FOOD CER7"IFICATE ISSUED
33. Final Etectric i-' Notes:
34. Finai Heating & Air Conditioning
iz-�f=�-�r5_/_a,�r�E � U.�Its BJ�Ly
35. Final Gas Pipe-Test
C� _�'�.sr_- a K _._.- -
36. Hood or CanopY �
37. Finai Factory Firepiace
SSZ� �t� /,.!/�E=�<D_T__1��5� .-
38. Final Plumbing _'� �s'
39. Water Service-Final '
40. Gas Service-Final �� �Z
�f �a�
41. Solar pomestirFinal ^ -3_ ¢
42. Beckflow Preventer _ 3_ -- ���j�� �
43. 68ckHow lrrigation.
44. Lendscape Irrigation System �
45. SOund Attenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & 8Ul�DING
48�. FfNALPLANNfIVG ��.
49. Electric Release to Edison "
50. Gas Release to Southern Caltfornia Gas Co ,
51. CERTIFICATE OF OCCUPANCY
�
No. Date
� �.
�
PH0.IECTROOflESS: 72S W 18TH ST
OWNEX'SNRME: ISSAC BEN—OR
nooness:2062 LIDA LANE
ANAHEIM
CA 92802
(719)530-5262
uxir: A—D
AXCN/ENGINEEfl: HEG.NO.:
AOUflE55: UNIT:
PENMITTEE: xEVIN DAWES ( 714 ) 650-2657
nooxEss: 1950 E 16TH ST
NEWPOAT BEACH CA 92663
LICENSEo LONTBRCTOB OECtABATION: I hereey aflirm tnal I am licensed untler pmvisions ot Cnapter 9(commencing wilh 5¢ctian
CITY�LICDivsion 3 of I�e Bus�n$TRTE LIC.�es�n,if,pd¢ �A my lic¢nC��S lyp fortedn0 �f�ciP .
] 7LU C db t:X
oat : _�� . .�� • q� Signature'. ��.¢i�1-.41
BNEBS' COMPENSR710N oECIABATION: I nereUy afiirm that I have a cenilicate ot consent m sell-insure or a certilicate of Workers'
am0ensation Insurance. ar a cenilieG copy inereof (Section 3800. Lao. C�.
POLICY N�.: EXP. D�TE:
COMPRNY:
❑ Certtlied cOpy is �er¢�y �umi5�etl. ❑ Ceriified coDY /ji' hle0 with Ihe ciry BuilOing Division.
Daie: C� FppliwnC `•"-'�=J �+— � ` M �
E%EM7TION FBOM WOFKEBS' COMPENSRTION OELUBATION: (ihis section nee0 nol be complete0 il tlie De�mit is lor ane hmqreA (5100) or less).
I cerlify ihal in the Dedormance o� Ihe work for w�ich Ihis Oarmit is i55ue0. I s�all not empl0y any person in any manner w a5 io �ecome
su - �o ��e Workers' Compensalion Laws of Calibmia ,� `
�e: l . a • q� Signamre: V�O�! � AeL1
IOTICE: If. aiter making ihis Ueclarotion, you s�oWd become subject to tAe Wo�rcers' ComDensatian D�avisions ol t�e Lahor
Cotle. you musi �otlhwith camply wi�h SucA pmvisions or t�is OarmR 5hall Ue OeemeU fevoketl.
CONST811CTION LENUING AGENLV: I here�y atlirm t�at ihere is a constmdion IenainA a0ency lor t�e peAarmance ol tAe work for
which I�is pe�mit is issuetl (Seciion 3097, Civ. C�.
LENUEP:
aooaess:
OWNEB BUILUEN oECIAHRTION: I �ereby atlirm ihat I am exem0� �mm the Cantracmrs' State Licenu Law tor tAe follawin0 ��son
�Section 703L5 Business an0 Pwiessional Code: Fny city of tounty w�ich reQuires a Dermit to constmct, aller, improve, tlemolisR or
repair anY stmcNre. prior ta ils issuance. also repuires t�e apDlicanl br such permit to file a sipneU statement tllat he/she is licensetl
pursuant Io Ihe pmvisions ol ihe Comradors' Slate License Law (Chapter 9(commencing with Seclion 7000) al Division 3 of t�e Business
and Pmlessions Code� or ��at he/she is eKempt t�ereimm antl Ihe basis for t�e allege0 exemption. Any violation oi Section 7031.5 by
any appli[ani for a permit 5u01e��5 �he applicant Io a civil Oenalry ol not more Ihan M¢ hunEreO Gallars �5500�.
I. as owner ol the propetly or my employees wilh wages as I�eir sole campensation, will tlo Ne wark, anA the
❑ s�mcmre i5 nol inlende0 Or o�fere0 �or 5ale (SeCtion 7044, BUsin¢55 an0 Pmle55ianal CoOe: The Conlratl0rs' Sta�e LiCense Law
tloes noi apDly to an owner o� a O�openy who builOs or improves t�ereon, and who aoes such work himsell/hersell ar IhmupA
his or ner own employees. pmvi0e0 ��al such impmvemenis are not intended or offereA lar sale. IL �awever t�e 6uildinp ar
impmvement is sole wrthin one year ai campletion, tAe owner vrill �aue Ihe 7urden ol pmving �e/she Oi0 not bui10 or impmve
lor the purpose ol sale�.
I, as owner of Ihe pmperty, am exclusively coniracting with Iicense0 conlractors to consiNct Ine pmiect (S¢ction 70G4, Business
❑ antl Pmfessions Code: The Contracmr5' Slaie License Law tloes noi apDly lo an owner ol DmPeny who EmIOs ar imD�oves t�ereon
an0 who conitacis lor such prole��s wi�� a contraclor�s) lic¢nse pur5uant Io �he Con�rac�ors' State License Law�. I am aware
that pmol ol I�eir WorkeYs Compensalion inswance shoulE be provitled to me.
� I am exempt under Seclion: B. 8 P. C.
IOf �h15 fCd50tl:
7ale: Owner.
�. do �ereby certity Iha� I am aware of antl underslanA Ihe requiremenis of Calilomia Heal�h antl Salety Cotle Sec�ions T5505, 25533, and
25534 an41�aI I or any iWure builtling occupam will/will not (circle one) need to comply wiN saitl state codes and Ihe reQuilemen�s for a
aermil for conslmclion or motlifica�ion Iwm �he Air �ualiry ManaAement Dislrici. Fesiden�ial consimtlion applications are exempt �mm
Inese o�ovisions.
Date: Applicani:
I �ere�y c¢riify Ihal I have read IhiS appliCa�ion antl Slaie Ihai Ihe above inlormaiion is carretL I apree to comply wiih all ci�y antl COUnIy
ordinances and stalelawsrelatinglo building consimction antl hereby authorkerepresentatives oflhis ciryto enleruponihe a6ove�menlioneE
p[pperly far in50ec�ion purposesQ / � �C
�a� � �- • � L � � SignaWre. Y�aJL.Jv�.
orrver's �icense or Sociai Security x: �
1641-a6 WM1ne—Builtling: Green—CoOe Enlorcamem; Canary—Applicanl; Pmk—Revenuo; Galaenro�—Pssessor
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO: P 070572 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: PLO PURPOSE: OTH
JOB DESCRIPTION ; SUPPLEMENTAL TO P-69897 SQ FT:
CLAZM VALUE; CALC—VALUE: GROUP OCC; R-1 /
COMMENTS: SUPPLEMNTAL TO P-69897
+r***�e+r+r+rwr�t�+t+r*+�+�+r*****r+r+r+r«�**�r«*�r�t*+a**r�t*+rr+r*r*rr�r+t+rw***+r+r+r+r*r�r+rir*+r*ar*�rr�r�r**
Z O N Z 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; ET IN REAR; FT IN FRNT; ET IN REAR; FT IN
LEFT; ET IN RGfiT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ- PROV; PARCEL: 42405205 ZNE: REF NO;
PLANNING NfSTES>
i -
iflkMfliF1'M4iF1hlf1lftifM41kfF7fMMlfiFMMlfif4lfifffMlkMikififMM1f1E1Flk41FMiflfKiflfltlfillf�f{f�f*{�MitifM1t1F1f�1hM1fiFlfifiEMiflfiliF
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;
HUILDING APPROVED BY : DATE;
/'� M_ --,� ��
APPLICATION ISSUED BY; / /G/ �.�. DATE: f
�r i� r* x ir �e * �r ** �r x* r+t ir * x w* �tTe3FiFiF'iF���FiF3F'iF3FiFiaG�iF�FiF'iF r�"iFiF'��r��F* ir ** �r �r * r**�,��'7��i�rtiF'� �
�, iFMiflkifMlfi!!llfiklkifitMififlFMiFifltlllFMiFiFififiFlFMifiFlflfififfFlflF1llflhlliFlflflfNMlhfF7h1lMMMlfififMiflflFiflFifiklfifiFitit ltifff
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 90,00
z5; SMIP/NON—RES
PLAN �
ZSSUE FEE 20,00
BUILDING—DIV—> PERMIT ZSSOE PLAN—CHECIC TOTAL PAID DUE
TOTALS----> 40.00 20.00 0.00 60.00 60.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 60.00 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
60.00
iklf!lMfFiFMltMifMM4itMftififMMiFifklFiFlhiflfMihklflf4MMitM1FMM�f1tMMififMlFilMfflllfMlf4if�fMiflfififlfM1f1t1fififiEififlEiFitiEiE
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
PLU 4 WATER HEATER AND/OR'VENT 7,00 28,00
PLU i GAS PIPING SYS OF ' 1 TO 4 OUTLETS 5,00 5.00
PLU 1 GAS RE—PIPE 7,00 7.00
END OF FEES
'�,
V
OY OOli42�?-0017428# T�3 T dp,�J
DA7E: 17./3�/;4 7lti'c: IS:44
� `' roo� aa
CONSTRUCT�ON AND PLANNIAiG ' ,��
APPROVA�S Permit # Date � l�spector qppROVALS Permit # Date Inspector
i. Temporary Electriwl Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe�Und�grnd. 53. Steel Reinforcement
.-�'n'± l"
7 �".. �. a `. -r. .
..v3��ectucal Cori�:uit�ltility-UnArgmd. 54. Forms '
'��^4. Elpcitrical ConHu±i�.l�Jndrgmd. _, 55. Electrical Bonding ,
�'�`���St�i�Reinforc.�E�e t 56. Rough Ptumbing & Pressure Test �
*� :
.!6� Eleitr�cal UF�'R'Gand. = 57. APPROVAL TO COVER-GUNITE (
=`'7�Foo{f�gs "� 56. Electrical CqnduiFUndrgrnd. ° �
� 8.� Foundation ?- � _ 59. Gas Plpe, O Undrgmd., Test '� �
9. Water Pipe-Undigrnd. _' - 60. Backwash Lines, P�Trap, C; Undrgmd. �
10. Struc[ural Floor SYstem . � 61. APPROVAL TO DECK ; �
17. Property Sewer Lihe & Hduse�Connectio� � 62. Backwash & Receptor�Final `�"
I
72. Sewer Cap n, `;' _� 63. Heater & VenoPinal .
73. Roof Drains �"° �'� ' 64. Plumbing System - Final S �
.z�
14. Fough PlumbJt�g �'" :. ' ' 65. Electrical�Finai �i �
75. Rough Electrical-Condurt 66. Solar SVstem-Final �
i
16. Rough Electr%yWiring 67. Fencing & Access Approvai �
�' 17. Rough Wiring.Sign 68. APPROVED FOR PLqSTERING �
n ;
18. Rough Electr't�I�T Bar Cei�ing 69. POOL/SPA SYSTEP�7S FINAL �
19. Rough Heating & Air Conditioning FfRE DEPT. REQUIREMENS
- �'- �� .-�M:.. 7:
2Q„Ro7ghFacforY���Place � �r1 � 7 � '� . �; �'•;APPE�OV��S;yE?Peimit# `i~ '
21;.;D4nc'ts,rtn SKuctu�a i�--�• �;-+� F 7 ry* +� i 70.'l•lnder§io:lndl H�iro ' t (
22� Ducts,�Venf�atingr � i7`-; ' : �'�; i�� 71. Produ N�ng �' as L�OiI '
;._ � i :� s o 7 r� . C�t. N� �3
23;�GAs�Pipe;-Roiigh &;Test i �i� � J7 t �<< t�� 72. Undergrdllnd FIusU � F�
24;'Roiif Memi;�g -""' '�h Q �' '-� - �e h �73: Undergrrc'�3.Sto{,'1�gTank�OGas ❑Oil"" +
Z5. Rd��jf Skeathing-�. -, v y'r� �� � �� v�-� 74'. Overhead Hydr�� �+ �
I
26. T�Qur Ceiling (S&ucwral} g�:Mocbcoat .� .,� �? ;7 r y 75.: Dry Che�ical ;_,`j � '.' � �.` , • i
27,'�Fralne d FIas�Fjing `'� i• ,� - '� ;�; , 76� Dr S[an t e�• �o s-. �-n I
�P � :�.. Y �nn'A
-�28.�Lathing�&Siding • r'•'`•M h r ��� �xy 77:, FIXEDSI".�TEl{;I'€71VA4.� �
;•29. Insulat,(pn � Y :� � :... � .. � � I� e 7��GIRE PREV. PINXtL � > �. •E<.'. �
�°'30. Dr wal��Naiting!�' '" �' '�� "'H'FALTFt�DEPT.'REQUI ME'NT
Y .. . I �x � �i �n�; ��, �
p r . i =,... ` , �. , _ ...
^;31. Plaster�rowpG�o'aI � j p.,. ; t r,+79'�INALI_SPECTtQN ;' � r.�;
3--:
�32:'ElectricalPOYver�A�ete'r�Final �t'� � ?�'�80,yF00DCERTIF{C•ATEIS�St1ED :?�,
� , . � • :r i �r �ir=: Uv �
-.33::F�i�ii Eiec:r�c . r; � , �. � Nbtes: � -3 - � �;� �C I
4 �
�i 34-,Fi�yl Heating & Aw Gondi2ionDtg C� +. v' I �t x � �. :'. a. 1 � -
_.z" n� a� 1 -� 1 n= P7-•
3r.'�FiiS�l G�s P�¢�Tes� (..x 7 a F+ � •�+, �. � � :-J'-� �� i-i� [�
.�
`-c, . . . .. , .
n36.�Hqod oc-CanoPv + � r;'.' - t �"� �• + -: _ - ' r'
,l «., � -�f� .�� = v; nt
n. a �r � . , � r
.y37'-'Fin��l faCtory Pirealace.. � �,.,F• `> t I I �� . �, � • _ ?J
�-'3S. Fin7al Plumbing � ^;J I w =3 � � '" �i �? "
-� 4 �'I
.39. Wa(er Service�Finat , :� - � � �• ' �} "r: ; ': .*�
�- �. 1 1 ' �!- Y � � - �'
p;40. Gas Service�Pinal c , �.�'i:' � 5�r, I �. * �'lU _.; ."
� a H 7 j' •✓'
%=41. Sotar �omestioFinal= " •• � '- � � � ; �, �` " ' . :�
i�; ` � �
,
�'42.�Backflow Prevente[ � i; � � ji i n7 '•E� + :' �-+ �
nt ��
43. Backflow Irugation -�� � ��_ ; ,-. �� - _ ;", i
� - r. .
.;44'. LandscaPe IiiQation SYStzm;�,:,�'� ?^i -+ �J+ z, :J nl 7'!� ii . O=
, ri n�
='45 �Sound Atterivation ''°j „ ^� ° - �r �7 �> �� �• r �V -'" y
n .�
,�46 :,HandicAp Regulations `: `j a �� . a' nc. ±
47.:.FINx�LSTRCJCTIJRE&BUTLOWG ' ' �� ' � , �
'i' i a� I �: a 1 F
48; FI�(�1L PLANNING i'� : a,. ,,��.� � n �i • c�
i. m
-49^�Elearic Release to�Edison ! I (`�" � � � ! . � �
i
�50.�Gay¢telease [0 Souihern Califo5nia Gas Co . i '.�%I: . i _ • c�.^7 , :> • • •
. ;,.• c>
.51. CE�TIFICATE OF OCCUPANCV • ���> - � ��- -'
No._ - Date � -
- �
Pfl0.1ECT AOOflE55: 7� S W 18 TH S T
OWNEfl'SNRME: ISSAC B$N—OR
aooxess: ANAHEIMDA LANE
CA 92802
(714)530-5262
uxir: A—D
pXCH/ENGINEEN: flEG.NO.:
ROONESS: UNIT:
PEPMITTEF: KEVIN DAWES ( 719 ) 650-2657
nooxess: 1950 E 16TH ST
NEWPORT BEACH CA 92663
IICENSEU CONTflACTON OECLAPATION: I hereEy aifirm that I am licensetl untler pmvisions o� Chapter 9(commencinp wi�A Sec�ion
7000) ol Drvision 3 0l I�e Business an0 PrOfessions Cotle. anE my license is in full force antl eliect.
L(T IC.: STRTELIC,:S%SZO% cuss: C-36 EXP;
�
at¢: _ 1' ^Z' _ Signamre: _ _�.. �
NS' COMPENSRTION OECLAflA710N: I nereby affum Ihat I nave a certilicate of tonsent to setl�insure or a tenificate ot woMers'
mpensation Insurance. or a cenilietl copy thereot (Section 3800. Lab. C�.
POLICY NO.: EXP. �RTE:
COMPANV:
❑ C¢hified topy �5 �ereDy Nmishetl. ❑ Certiliea COOY �5 �ile0 with t�e Cily BUildinp Divisi0n.
Date: NOVlicani:
E%EMPTIONFflOMWOPKENS'LOMPENSRTIONOECUflR710N: QhissectionneeOnatCecomDletMiilheDermi�isloronehunCred(E100�ork55�.
I Ceriity thai in the pedormante oi I�e work lor w�iCh ��is p¢rmil i5 i5sued. I 5hall nol empioy any DergOn in any manner 50 as �o become
Su01ec1 �o t�e WorkerY Compen5aiion Laws oi Calibmia.
�
a1e: � �— - 9'`� SignaWre: ��— �a—c�
OTICE: If. ai�er making t�is AeclaratiDn. you shoulA 6ecame suhlec� Io IAe Worker5' CAmOensation D�ovisions o�lhe Lahor
CoGe. yau mus� tori�vn�� comply witq such prOvisions or this Dermii s�all be Ge¢meU revokeA.
CONSTPUCTION LENDING pGENLV: I he�e�y aflirm that Ihere is a conslmction lentlinp aAency fOr t�e pedormance oi Ihe work lor
wnich this permitis issuetl (Section 3097. Civ. C).
LENDEN:
nooxess:
�WNEH BUILOEB DECIABATION: 1 here4y a�firm Iha� I am ¢xemD� ��om t�e Cantractor5' State Li�¢nse Law lor t�e I011owin0 reason
�Section 703L5 Business ana Pmtess�onal �De: Any city ol coun�y w�ich repuires a permit to constmct. alter, imprwe, demolis4 or
repair any simcture. �rior to its issuance, also requires ihe applicant Ior such De�mit to lile a siAnee statement tnat ne/she is Iicense0
Dursuant to t�e pmvisions ol �he Comractors' Sta�e License Law (Chapter 9(cammencinA �+�� Sectian 7000) of �ivision 3 ot the Business
and Pmlessions Code) or I�at he/she is eKempi iherelrom antl Ihe �asis �or IM1e alleAeO CKemplion. Any viola�ion of Seclion 7031.5 by
any applicant for a permit suojects ihe aDolicant to a civil penatly of not more tnan five Auntlretl tlollaR (E5001.
I. as owner ol ihe pmDeny or my employees with wages as tAeir sole comDensalion, will Oo Ihe work, and ihe
❑ stmcwre is not in�en0ea or ollereA for sale (Section 70a4, Business and Pmlessional Coae: T�e Contractars' State License Law
tlo¢5 nol apply �a an owner o� a prpp¢�y wh0 builUs Or impmves lh¢reon, anU w�o does SUt� work �ims¢If/her5ell of �hrough
his or her own employees. prodapd [ha� suc� imprwemenis are nol intenEed or oflere0 lar sale. II, twwever I�e �uildinq ar
impmvement is SoIA wiNin one year o� com0letion. Ihe owner vnll have t�e �urAen a� D�a�ng he/she Ai0 noi builE or improve
fot ihe purpose al sale).
I, as owner ol the pro0erty, am exClusivety comracling wiih IicenseE conVatlors m consimcl the pwjeci (Sec�ion 7044, Business
❑ antl Pmiesvons CoOe: 1�e ConVa��ors' State License Law Ooes nai aDPN io an owner ot Oroperry wlio 6wICs or improves thereon
and who conVac�s �or such Orolec�s wilh a coniractoqs�license pursuant �o Ihe Conlracmr� $[ate License Lew),I em aware
t�ai pmol o� ��eu Worker'S Compensaiion insurance should he provitled �o me.
� I am ecempl under Set�ion: B. 8 P. C.
�or I�is reason:
CITY OF COSTA MESA — BUILDING PEAMIT
PERMIT NO; M 070573 PLAN CHECK NO:
CONSTRUCTION TYPE: V—N PERMIT TYPE; MEC
JOH DESCRIPTION ; 4 RANGES 6 4 GAS APPLIANCES
CLAIM VALUE:
CALC—VALUE;
�
PEAM NO; M 070573
GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC; R-1 /
COMMENTS; X
�r�rirr�rfr+t***r***r*r�r*�rr�r*�r*�t+��r«irrx�r*�r*ki��e�r*r�r**�r*«x�*ir**********�r*�r*w+r«**x�r�r�**�rr�r
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PAAKING REQ• PROV: PARCEL: 42405205 ZNE: REF NO;
PLANNING NtSTES>
i "
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED HY : - DATE;
APPLICATION ISSUED BY: DATE: �
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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 �• 62.00
252 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 62.00 15.00 0,00 , 77,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 77,00 OVE /SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC RE SMIP/ T GRADING PLAN—CHECK
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I N D I V I D U A L 'F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N� UNIT COST TOTAL COST
Date: Ownec MEC
I Go �¢reby cemty I�at 1 am aware ol anU Untlerstantl Ihe reQuirements 0� Calilornia HeaI�A antl Sa�ery Cotle S¢[ti0n5 25505. 25533. an0 MEC
2553< ane ��a� I or any lulure �uBainB occu0anl will/will nol �circle one) neetl to comply with sai0 s�a�e codes an0 ��e reQuiremenis for a
permi� �Or conslmtii0n or moGilitali0n Imm ihe Air Oualiiy Manaqement �i5iritL H¢Sitlen�ial COns�mCtion applicailOns are evempl tmm
Nese provisions.
Dale: Applicanl:
I h¢ie0y cerlilylhai I �ave rea4ihi5 aDO�itation an0 Slatei�a� I�e a0ove intormati0ni5 Carr¢ti. I aA�eeia Camply vni� allti�y anE counry
o�0inances antl slale laws relating lo buil0ing �onsimc�ion and �ere6y aNhorixe re0�eseniatives of ihis ciry to enier upon ��e above�mentionetl
omoeriy b�insoeclian Durposes. /� \ * �A
v r�
a� .�1 �� 9.•c Signaiure: F•Q..`)iJ•�' •�\ �
er's License ar Sociai Secuniy x:-
1fiabC6 W�i�e—Builaing�, Green—Cod¢ Enlorcemanl; Canary—ApplicanC Pink—Povenue', Goltlenrotl—Assesaor
4 INST FORC—AZR/GRAV FURN <= 100 K BTU
4 EACH APPL NOT IN OTAER CAT UNDER FEE
END OF FEES
9,00 36.00
6.50 26,00
V
Di 001742�5-001742Es 'rfj T 77.t7Q
GATE: i<'�3p/44 tttlE: 15:69
CONSTRUCTION AND PLANNI�fjtG ' POOL & SPA ,�`l
/ Date � �n�ector Date Inspecto�r
APPROVAIS Permit #'' � APPROVALS Permit # -
i
i, Temporary Electrical Service or Pole 52. Poo� & Equipment Location
2, Soil Pipe�Undryrn¢, 53. Steei Aeinforcement �'
���,: , -,
. :i� ttecf�icai Concy.�t`�tility-Undrgrnd. 54. Porms
'�•C4�. 2feCtrical ConBLil�fJndrgmd. 55. Electrical Bonding
-�'_� i (1'
'':;��jS�teY�ieinforcb'm�ht - 56. Rough Piumbing & Pressure Test '
�is.'ElectricalUFFR�II!fid. � 57. APPROVALTOCOVER�GUNITE
��c� r n
���'��FooV�gs ^�1: �� 58. ElectricalConduit�Undrgmd. r
-� $ �Foundation -• � ' 59. Gas Pipe, O Undrgrnd.. Test �'�� �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Siructural Floor SYstem 61. APPROVAL TO DECK
t t. Property Sewer Lirie & House Connection . 62. Backwash & Recepror�Final
i
12. $ewer CaP �. "' .
63. Heater & Vent•Final .
73. Roof Drains � ?7 � 64. Plumbing System - Pinal
14. flough Plumbt4g " r ; 65. Electrical�Finai I
15. Rough Eiectriezl-Condu�t 66. Solar SYstem-Final ��
16. Rough Electri�'Wiring 67. Fencing & Access Approval
j t7. Rough Wir4ng ign 68. APPftqVED FOR PLASTERffVG
�
78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - �" C cr�:�;. a: � -
20�RO�yh�6acto�'Y F.'�rQp�ace "".�7 ��� i C: � ^' i � =;APPFi�JV6�,�-=�Pe�mit # ' " '";
� q? �i.' : m C: d. " a a�� i ri F -�-�-, ,: i
r� • .
21��Du�c'.�.s.tt7 St;;S�ttiv�,a � `..'� �� .. -+� t :70. tinderei»:7Vig H�dro ^ .•
c. :
22._Du4ts,' ent+�tirr�q+ � n=� fi , ' ��T' �77, produt���U4ng!'��ias �Oil
i � . .. : ) �' d C. '� -. r a
-, � • - � _ �.�
23 �Ga1�FiP'iRotu9h &:�'es[ j �,;� �, n� � - j+ :r . 72. UndergroLnrl Flusi) t-�
24�Roof Rramirg � ! ^�F �•F� + G> �� �` ' •;73?'Under rrt Sto- Tank;OGas ❑�i'
� 7 „ fi > -„ .t � g d• F�
25. Ro,q` St�eathing 7 ;� , �" _i =;, pj ;§" 74C]Overhead�Hydr�n
26:�7-Bar Ceiling (Structural) &-N}onocoat ' � ' �`�# � 7y�pry Cherpjcai Y�' "'' '7 ��`T''
5 1 ,-1 :+� f_1y } �..^: � :c'M,
, .. .. �`"�' ¢ .:., �-. rt) �i r ,�� ����
27.''Frameand Fiashin� r��.ti, y� .,, „y .� 76. Dry Stanopioe :�.ni t� -
i28��Latning�& Siding t 4i �1�r?' �ii '-- �"� * 77„� FIXED 5�"ST�t����INA4 i_, .� Cit;
'�29. Insulatlon » V �� �� �� .. ' ��� .� s 7$F: FIRE PREV. FINfiL -� �: � � =
,. �
?�3p. prytval?A�lailing ~ �' i �MEALTf{,tDEPF. REQUIR'EIi�ENT
�
� , t-� �a .t - c. ..,_
^� > i . � � . e i
,31. P�aster ero�yq Coaq <; i R.�„ . � =,�79. FINAL I�ECTEQN A'
� � -,-�
'-�325"Efecirical Power Mete�,Flna1� *^� �' �' i80�TtF00D CEflTVFi.CrAlTE fSSt�ED 1`-
y Y *
.-33�'FI(7�1 EYACtf.� � � �" i �y i � �., i NOt�s: � �i�) . �F.m
, � �.
r,i34'1Firidl He�tirtg& Ain Co(+ditioni0g: � ';��5�[-;- �_.+ { , 31 � �� ^�L��4 �� -
� 35i'.Final G'� Pi,��,-Tes�' ;�.1 .: � r+ (J� ' �f i . �i 7 M� t . _ .i� _
i_, , � .
�36� �Hood oqCanoPv t :.� � 'n �: � : i �� ^ .l o � r ' ) r r.
< c •n• ..t le t 7 • �ry ��•
�,37:�Finat Faaorv Fireg'7ac�a: i �,� �, ? �'� �: , rrt. - � o-��
-�39. Firt27 Plumbing �u �' n) i oi .r . V I (� S <' '-.i ' i��� +� 5� r•;
1. . ti 7 I 'i / T, TC]
��39. Waier Service�Final� „ � �' ° � �� { �'�`°, � i "''' 1 ��'' i: „
; O: is i N
�;�40. Gas Service-Pinal ; n; ; �::.�• + nt ' ! � � % � � `� ' ', -%`h
�. •� : > �r *
='41. Solar pomestirFinal=� .� .. ' !� � � � " s,: � r, � �
y ,• T � n. ., ^
' �42'$ackflow Preventer,, � � p; � �f ' �-7 l
� C: :' c'
a -i i t c�
43. Backflow Irn�qatiorf � ��= � ? ' ; "E' x `� ''�-.
. i; i C�
�i.
;;,44. LandscaDe tnngation Systemq^t;.i u; a pi C1 �:i C7 x'� a� ru '•' "� � '� � c>
N ! ^ .� � S' ( 'i ` (-�
. _ �. r.�tF� .:• � z: F� p. -, :-� �5 c;��� arr >.
`:45:-Sound Aiteauatior� � .. . ;l n� , ; a ! - c^ �, • r^':' �
. " 1
T,46.�.}landicep Regulations ; i � � • . _ r:% _
� t
47:`FIt�3AL STF}EiCTURE & BtS(�I�ING ` ` � . ' �' '' s �
� F' •J i -
48;=FIPFALPLANNING � � � �
� � t-.[r � �i I ��� 1' T i�l fi H
a r:
= 49."£�eCiric Reiease to iEdison � � ; , � ' � °� '. ' '
i ! I F » „ aj : � , �., _i
U50 -Gas ;Release to Southem Cali�ocRia Gas Co } � ie �� r-� C7 • o in � •;
<- , -`i ,, _
��51. CEq?IFICATE OFOCCUPANG4 > ' r t ' C� � � '� ' � 4 ='
No. Date '
Project Address:
I.D. No.: _
LJ
CITY OF COSTA MESA
PERMIT APPLICATION
725 18TH St. Costa Mesa CA 92627
Purpose: (check one)
� Addition
❑ Alteration
❑ Conversion
❑ Demolition
� Other
O Repair
Plan Check No.:
Category: (check one)
❑ Minor Construction
� Major Construction
Grading Cut/Fill:
Job Description: PubllC ACCess Alley
Occ. Type: Constr. Type: _
Legal Building Owner: Isac & Devora Ben-Or
Address: 2062 S. Linda Lane
City: Anaheim
Associated �'
Building Permit No.� �
(If Applicable)
Suite/Unit:
❑ Legalization ❑ Gov't ❑ Supplemen�al
cu. yds.
Stories:
Permit Type: (check one)
❑ Building
❑ Fire
❑ Electrical
❑ Mechanical
� Plumbing
❑ Sign
❑ Grading
Valuation: 3500
Phone No.: ��14) 530-5262
Unit:
State: Ca Zip: 92802
ArchitecUEng.: Nabil S Kabbara Reg. No.: C040812 Phone No.: 714/669-3739
Address: 130 South Prospect Ave. Unit:
City: Tustin State: CA ° Zip: 92680
❑ Contractor
❑ EmployedOwner
PERMITTEE STATUS
❑ Contractor/No Employees
❑ Contracting Owner
❑ Exempt
❑ Unassigned
Applicant: Beta Construction Inc. Phone No.: 714/642-3700
Address: 1651 Placentia Ave Unit: M
City: Costa Mesa State: CA Zip: 92627
Driver's License/Social Security No.:
CONTRACTOR INFORMATIOM
City License No.: 040576 State License No.: 482901 Class: B
Workers' Compensation Policy No.: 1263814-95 Expiration Date: July 96
Insurance Company: State Fund
(See Back lor Itemized Electrical, Mechanical, and Plumbing)
cszse�as.wa�
.`
ELECTRICAL
MECHANICAL
PLUMBING
(5258<B.WP)
Yooeessaeu�ov� �700 JAMES ST uM:
VIMERSNYIEIFIQqw�t JAMES ST ALLEYkl r-IOA
; �—w�e� C/O 17220 NEWHOPE #220
OUNTAIN VALLEY, CA 92708714-557-1435
.vr�. �.u�n+o .00�sx
wcxrtEcroner�axan: NAB?L S KABBARA ue.ra_ C040812
ApCN.ORFIA'SAWflfS4: 13O SGUTH ?ROSPECT AV uxr:
TUST?N CA 92680
ca+m�crarsw� HETA CONSTRUCTIODI (714)828-5300
carmuciorcs�uwa 1651 PLACENTIA AV
�oox�ss: COSTA htESA CA ucno.: 4f32901
i 9�62 i yqr: M
LICENSED COMH�CTORS DECIwP�TION: I heroby ellim oMs penely d pe�jwy IM I �n liwiad uidr pai+ioru al Cheplr 9
(cpnme�wrq +iln Section ]OW) d pvoion � d tna &nimv ard Pmleaa've Code. erd mY limnee e in IW lace eM dl�e.
cmuc.xo.:040576 u¢cuss: B �u�c./NJo.: ,y48�2�901 �XP: 1/97
om.: �'/r"�l�o c�vwo. /12-CB �-�7LQxl.c� � •
OWNEN BUILDEP OECIAfl�Tpl: I Mieby tlfirtn uMs penNy d perjury iNl I em ewnq hom tM Cauream lioeiu� lew la iM
Idb�wq ranron (`�� ]W t.5 Busiw�a aM Adeaeiona Cods: ��ry cfy a muMy xtiirh raWim e pemil to mmWf. Mx.'unpow.
Mmda�, a npu eiry alrucWn. pria m aa ewerca. ebo �puilm tM epplidu la mrA pamu to fiM e aiqaE �IumwX tlW M a�M
I'iwnsed Wrnieni io �M Moviaiw d Me Comreaan Liceme Lew ICheNx 9(wmmanc^Y wnh Swun )OW) M Oi/vion 9 d iM
�aimv eM PrMeauna CoEe� a iFm Ae a ahe ie eRemq IhaeM1vm W the basa ta Na elbpM uemqon. Ivey violelion d Swion
/OJ1.5 by ury epplKsnl la a perm� wEpaa iM epplicanl �o a anl pe�Wry N rwi mas ilun Ms huM�eC Ealra �i500p.
� I. ee ormer d�he propeM a my empbyeee wih wepee m iMi sale compemetion. x�ll do ih� xcA, aM tlr avunun'v nal inteMtl
u dlered far aeb (Seclbn �ou. Buvrov end Proleasione Cotle: TM ConVedaa l'xanaa lawdou na mdYlo m awna d propeny
M�10 b11�0 tl f11iA�M 111lI?Y1.8114 M�p �I.'t! ]IKlI MIXk 1'1Tfpd IX fA1]C� V 1�VM9� �b IX �Mf OM MI'Qkl)M�. C�w�d �� TY�I
Imwwem«n.... na fm«Mee o. ox«.d �o, w.. e. nowwe.. �n. wiwuro o. inp�owmaa u.da.nnn on. rw a oomN+un. m.
ownw-0uilir xiA luve �M blGn d povirp M n 4r did nd buiW p impv.a Ia iN pwpa�� W uM�.
� I. o owiK W �M pW�Y. em urh�vMy mntm^0 xM 4m�vd eonvMw+ b mmmp h pNb (Sq'vn )Ou. Bw'ass �W
Vml�aiom Cob: The Canretlon L'cenr law Aon ral eyWY �o en owner d D�WNY x1a bu�1b a'vnpwr IMnon eM Mc
mntrW 1u adi pajecte wtli a mrarseor(s) Iiunasd Wnuem io tM Cpn�mm lim'w law�.
� I em uemq uMa Sxlion: B. 8 P.C.. M Nu neaon:
o.n: o»�+.r
I Ao Iraby unT/ � I em ewus d W uMae�erM iM rpuinmmb d CellanulletlN W SdMy Gods Saa'vu t5505. 25539. r�d
PSSN. rd UW I or enY �uro bul6ip ampem. �+iil / wll ml (crtb me) �d to wmply wiA eeiJ ew� mEu eN iM nWvemsiY br
•prmitawn+mr�ionamodArsonhantMAr u�jr vupriwu0iarie.RaeksuielmmtMianapp4riwsa�e��mptmmtMw
a�.
om: �od�.m:
WORKEN'9 COYFENS�TION DECIARATION: I heraW dRrm uMw per�etly d pwjury aw d IM Iolowp dsdvtliwv:
� I Mn eN xil meimei+e crifrl� d cvnsem io eaMinwn b wakri mnp�mtlian. e prwid�d In by S�mon �]W d �Ir l�bor
coa.. �a in. c+rtormenc. a m. ,ak �« xi:cn mis vmm u e.�.e.
�] in...w.ame�u,:�wnee•oo�,w����.�w.n�.m�.aMsw4,»aodm.i.no�coe..urwoMunw,nam.
.ax�a.nKnmvo�e�»a.Mv�*a+'�M�S�f����°�'Al�c EXPIRES
m �'�'"� - 07/O1 /97
Pd"syWnbr.
. nia uciion m�W ro� Ds mmpe�ed f Ns prml is br an hwMnE Cdlua /S1P01 rc Iw 1
� � plln' I�W N 1110 pBf�MIM1�CO d 1�! WIX11 IIX'w/IIC�1 �f11f wlllN 1! Imll1�� � f�lte 1101 Mlpp/ OR/ �>}1 �1 V1�' Tl1YNf b tl b
e.com. wq«t m ine .iMs,� om+w�mion mw. d celEamia .ne ro�. mr e � dauk e.co�. mbjn m �n. na.�
�omp�naaiun�w�i ioeu d Seeion �]00 d ih� LaEor CoOe, I diell h �iwM visio .
om.: k- I S- 9 6 ��w�: �� Le�
WxnNp: F�llun b�sun wh�ri nmp�u�tlon rowrap l� unNwNl, �MYWI wD/M �n �mp/ryv ro WI/rW pw�Wtlr rW
dNl nw w ro em nurdrN �Iww! ddl... !ir W POOA N MWtlon ro!M cwt o/ co^i�^��n � n P'oHJM br In
S�ctlon.t]P6 0/ iM Ltlo� Cob, IM�ns4 ��0 �tfomry'� Iwa
CONSTRUCTION LENqNO �GEMC'I: I Mrepy e1Hm undar pnely d pejry thw ihrs e� m�l�uGian 4n3p �pwxy b tlr
pAamws d IM wk M whd cNe D�� u ewed (Saann �091. Ci. GI.
LENOEP'S N1YE
LENOEN'S �DOXESS:
I cMM tM I hew �eW Nu ePds� ud ael� t!W tla eban intormmian w conw. I ePw ta mnWY w'vh tl W nd od+',Y ad'nuo
rkM�l�wielaiqbbuid�NmmnrmnWAarabYeWveanpeaerueuwalNuWbmlxuW^�MWw�mWcradpapwt� �,
'°'�'°'°`�'°"'"�°• sTe�: e a�.sDeri
��° " 9
o�. —is — �
Spnelun tl OrwlApenVRpplranuGonlretla
IS151�l.WPI Wh�e-BuiCrq 6 SaiNy: Gnen-Fb; Cerwy-Appf�am: %nk-Pwanuv QokwuoJ-A+a�m�
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 079084 PLAN CHECK NO: N
PERM NO: B 079084
GOVT: Y SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; REP
JOB DESCRIPTION : ALLEY CONSTR/ 702-744 JAME55 703-745 18j1��'SQ FT: 59,642
CLAIM VALUE; 59,642,00 CALC-VALUE: 59,642.00 .GROUP OCC: R-1 /
COMMENTS: MONOLYTHIC POUR PCC 560-C-3250/ iJ"THICK OVER 2"SAND PER SPECS.
x�r�***�*�**���+r+r��e********�**�+e+r�����+t*+r�t+���r**��+�*+���rrt***�r********�**�*****�**+�
Z O N I N GS ERTEBQAUCZKRSE f4 E N T S
---- ------ MAIN BUILDING -------- -------- ACCESSORY BOILDING --------
FRNT: FT IN RFAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING NOTES>
i
1E iE Ik 1E iE iE !E 1E 3E �E 1E 3E k 3E iE k k iE k IE iE iE iE 1E fE iE 1f iE �E jE �E if If iE iEiE IE if If �f fE rt iE iE �E if 1E 1k �E 1E fE 3E M iE if iE 1E if iE iE �E iE IE iE if if iE iEiF iE ik if �R iE if iF iE iE 1E
U 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 N�A DATE:
BUILDING APPROVED
APPLICATION ISSUED
k k aE iE iE fE iE iE iE iE iE if 3E iE iE 1f iE IE
LEGALIZATION:N
BLDG PMT
PERMIT 637.25
PLAN
ISSUE FEE
BUILDING-DIV->
TOTALS---->
F E E S U M M A R Y
PLUMBING ELECT�RIC MECHANIC
. "
� ,.
�, ��
PERMIT ISSUE PLAN-CHECK
Q. � Q 0. � Q . �, Q �
REVENOE DIVISION TOTALS--> COLLECTED:.
BLDG PMT PLUMBING ELECTRIC MECHANIC
DATE: S'�5-9G
DATE: S-�`J�9F�
if iF 3f 3E 1E iE7F� {�* {E
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
5.96 �D
SMIP/NON-RES
TOTAL PAID DUE
0.00 .00
.00 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN-CHECK
if**i�*�***if3f*ieififie���t**��**iE+t*�*if�t*�'ia��'*�t'***�'�*itif**�t�'�+t��*�*�af**�ieifft*�t'iex'***�-i�'x'*"rt�
I N D I V I D U A L F,E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 59642 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 59,642.00
END OF FEES
G
' .f10N ANO PLANNING - POC SPL�
DatC Inspertor qpp�OVALS P!'rmit �..
Y AL$ Permit � I 4-
nnorarv t�ecmcal Service or
$pil Pipe�Und�u��td,
3. Electrical Cr�n;;�:t Uti�itv�Undrgmd.
4. Elnr,trical C.ondurt-Untlro:nd.
5. S[eel Rein'orcement
6. Electrical UFER GrnA.
7. Faoc;nqs
8. Foundatior.
9. Water Plpe.l�ndrqrn;l, � 1
10. Struc.wa� Floor Sv���:�n
i t. PiOPrrtY $^w�r I_�:��_, F, 4�InUs�!'nntlCcUOn
12. Sewer Cao _'_._._ _�
13_ f?oUf D:afns__._.___'_.___ _.-'_-'
1�1, Rpugh Piur,thiny
15. Rouoh E!c�tr.caLC^ndui L- -'
16. Rough E;eCUic 41'i, inn '
17. Rough 4V; ing Slyn
18. Rounh EieeUical�T ftar Ceiliry
79. Fouuh Neatina R Air Conditiuninq
20. Rough Factory Fire,piace
^1. OuGts, �n St:ucWre
�i. iillGiS. Vo�:={.'.'-(I ' . .- .
I u� (l:6 f�i��r f!i)ll'y'l� .� n�_ �_
?4. Ruof F�aminq
7.5. Foof S��^ath�nr,
7,G. �I��68r CciPn!i {Scructurnll �i �aonncoar
zi. Ftam� and FI2Nn�n, ���
�S. La;hvm F S�� �:•u �--- - -------�-----
7,�. Insulation
30. O: Y«'all N,Jiling
37. Piiste: [?rotvr G,a� i'_'_-__.J
�.�.._F�rCii'iC;tl �-'n�vr i�v`I�•y f��i�b��'..__._..,.____'
?3. Finyl EIPCt��C
34. Fin21 Hp3,!nU Yt Ai: Condi::Unin�
35. �indl (i'Sc Pipn.T"i�<� _--"- --
3G. Hond o� Canony `
37. Final FactorY F�rep:ar.c
38. F�nal Fl�imhin_r, �
39. V2ater S?�vir.c-'rinai^_���._.�_..
•1�. C�iBt SC'ViCr-Fi:121 --_-_
.11. $pl�i IJOmeStioFinil '-"'-
A2. ?�ckfiqw Preve,,.ter � �
na. Bactiriow h�;gatlon
q�t. �andscaoe b�rinatio� S��str.m
u5. Sound Atienua.ien ------
4f+. Handicap Regulauons
q7. FINA�STAUCTUREB�BUILOIi�'G �
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southem Califomla Gas Ct
51. CERTIFICATE Of OCCUPANCt"
Da; e
52. Pool & Equipment LoeaUon �
53. Stee1 Rein(orcement
54. Farrns
55. Electrital Bonding
56. Rouph Plumbiny & Pressure Tr,st
57. 11PPROVAL TO COVER�GUNITE
58. Elec;ricaf Conduit-Undrgrnd. S
5�J. Ga5 Pior., (=i Undrgind.���•5�
60. 8. ckwash Linr.s, N�'!'rap, �: U+id�grnd.
u 67. npPROVi?L TO C[CK
- �2. fiackwash & Rr.C^P«�-Final -
69. Hr.;fter&'JenDFinal
6A. PIurcJ;in� System � �ir,al �
---- 65. Electrir,ai.Firai ---"--'-^ �
66_ Solar SYstem�Finai_.! .---"
67. Fencir,g �4' Access Annroeal '
G8. APPROVED FOR PLASTEfi1P!G �
6�J. PQpUSPASYSTEP;1SP�i.0.L ��
pIF1E DFPT, uEQU�PEMEN7 I
APPROVALS Pem+it �#:_ I
70. Undcr{aru�.in,! f-lyrf�o ��
_ 71. Fioductl`fi'innl?G _I ^d�
72. Undcrqroui_ri Fius�� I_
l
73. Urdcrgmd, Stcr, re Tan4 :J Ga5 O 0�!
74. Ovenc�ad Nydru
' 75. Dry C�iemicul ~_-
7fi. Dry Sta:�,dnip�, -�'_ �
'---'---77. FIX[D S`'ST�ht f=1Mt11------- -
78. FIRE PFEV. FINr1.L
HEALTN DEP7 REQUIREP,iGf��7
79. FINAL;NiF�CTi0,�1-�"--'---_ �-'
._..___.._...__._.,.___.�__.----._..__._. _._..."-......._.._.._._._....�._
_ _ ._-- R�' P(lOD (•r':!'I�ICA�' �`'�., � f ..
Notes:
DatC � InSpCGor �
---�-� --`,-t( -S`�6- �7�'�`�----8� -
�_o� �_ �o� _�W�
�noxessa em�ar+m 7 z 5 W 1 8 TH S T °NT` B& D
o,v�xs"�"E"'Q'°"":ISSAC BEN—OR
�"""�g%2062 LIDA LANE
ANAHEIM
,q 9zgp2 (714)530-5262
�vr�. �m�a �no�ss:
�ncxrtecr on Exmi�+:
AIICII OP FNO.'91DDRE53:
uc. w.:
UNT:
cor�m�awewuE DECK—EM ( 310 ) 421-6040
cwm�crars �uw/o 41 7 6 WOOD R U F F A�'
.00n�LAKEWOOD CA ucw.: 626143
90713 ur�r: L
110EN5E0 COHfNACTOHS DECL�fl1TI0N: I Mreby eRrm ivMe� pMe�Y d pmjury tlW I em lic�sad u�qer pwiim� d Chepts B
(mmmenmq wilh Seciim ]OW) d Diwun 3 d Ne &mrbu W Pmteaainu Cod�. and mY iwnr u m hA bm and dhd.
cmuc.No.: �t uc.cuss:C-61 u"o.: 626/1�A\ 3 EXP:
Dme: � 1'b CoMredw: r�—rQ.�� � 1/•
OWNEP BUILOEN DECIANRTON: I M�eby dfimi uMw pmaly d N�Y �M1e� � em exemq M1an tM Comiseon lipins lew la IM
tdbwiq raemn (Sedion )031.5 Bus'vwss eM Rdesaiona COEe: AnY c'ry w aountY �^'hid nVuirts a pemi! to amehucl. e11er. Mpors.
der1d'an. «�wa* �r awnue. piu a is wwa�ws. abo �ea�s the aaM� t« wen v+� w rus a oyaa am«mK am he «ane
-� r�,ee w� m m. v�,. a u» camreao�. u��.e iaw fcneqm s(o�.d�y .nn seeo� �000l a a.:� a a�ro
,zmea ene v.a.eeoro coCel «�mm �e «.ne e..emw �n.oM1M� .�a �n. mx. l« Ne Nbpetl memqion. Nrv �on a smion
,mt s W env wap�� �a. e c«mu+iApe+�ns eodicem �o e ava P°^°dY a�a mas �Mn rrve h�awed mean �fsoop.
� I.movmerdiMW^Va�YamYamN�'a�wihwe0a+m�MistlemmM���.vAAEotlewh.endiMMctunena'vuwMeE
a dlmed for ub (Saelion )OaO. BuvMae vN PMaseionsCaCO: The Canlretlm lioeena lrwEon �qt eCGNto en owiwd piapMy
who buide a inD�+e �hmeon. eM r,ho Eme euN Mak limae0 n henN a MwpM1 Ae a har own anWvM�. pa'� �Im mrJi
impovemenls ero ml inierdad a dleiad la sels, tl, �owever, �� bu�ki�p a inpwsmmt is odd xilhm ona yav W oompinion, IM
ow�rorhuiWr will heve iM Widen d provinp M or eM d'd m� build w impmva ta IM puryme cf aebl.
❑ �. m owner d ine wowM. em e.WanWr em�rea�o wen �icaneE mmrena. ro emmw ms www (saaon 1ou. aninees m,e
Proleeuans Code: The Cantrmae Licenu Lew doee ml epply b en owner d popsnY � builds « impovp ihweon eM xfio
ranvecu e« we� ad�. wEn a wrui.aM.) ��+.a wn�aru �o �n. Com�m«. 'cen.. l.rn.
� 1 am eaam � urdx Sea n: B. 8 P.C.. M �e%+�:
Dau: Ormm'
i.m e.�,.. d,m �.w�.w�e m. ��d cwwN. wdm.od s.f.n coa. s.a�. aws. usv..�e
y Mun dildm0 �W^^� wJl / wil ewl (� ) need w eomPN w't� se'd Ye1e aoEu enE �M m��aNa fa
iarmodifiutionhomlheAi u�C%Iyi.renepemM���.�MskaMialw�elrvd'oneppictliamuse��mqhamtMu
Deb: APdiceM:
WONKEfl'4 COYPEN9ATON DECLM�TION: I Mrab/ elfirtn wMx p�Y d WdW w� d the b0ow'vq dsdntlas:
� IMwantlxilmeimenannifreiadmnsaMlo�MtinwroM�en'eanPsnWim.npwidadiabySWbn�tOUWtMLebor
coee. �o. tn. v�anw,�. a m..vt b wlicn uJ. wmW m P.�e.
_['] �n.ve.newi�mvm,:i.mA.n�oomo�oninwreMe.m��eMs«.ima�oodme�.ba,coe..k,meo�aue
X' wok la x1titl� M"r Dm� o asusd. W waMen' onnparuaion �+ueaze umx eM D�/ number me:
c.m..: STATE FUND EXPIRES
aaKr N�mu..: 1� n n t a7 01 / 01 / 9 7
�n .aaion need nm w canv�ee r fn. w�e e ro. me nvnmoe aolbrs Isiwl o. M.J
�] I renly Net in Ne peAwmence d �M wark br whch thu pem�� b'msuaE, 1 Mell nd empby any perron In eny men�ror n o �o
becain wbjra to �M xaken' canpeneation 4we d Celila��e. eM euM Ntl A 1 shouN beconw abjw to iM w�almn'
wmpenuli n D��a 1 Speaion 3)00 o11M Lebor COEe, I ahel hxilh aompy ' tl oee pwisiom.
Dne: � \ MWceru:
WxNip: F�Yun b asun Mortera' conpwwtlon eovsrap� l� rl. xrtl �IWI rb/ct an �mplayr ro eilMiul pwWtlp anp
dvn mr. w m m. mnene unww edrn (sio4000A a n ro m. co.r or can�o.wdon �.ua n porea.e ro. m
s.�non ]ns or m. tweor coax �men,r..ne •rcon»r'• �«..
cwurnucnoN �oirnrw aaewcr: i �+nW � �oe. o«+aM a o�n �nm m.. m.�n�w�, w�a"mo m�r m� n.
. perlormerwe d the Mwk br xfiid� tho permi ie eeuad (Seaion 3oB9. �x. C).
, lENOEN'S NAYE
LENDEH'S ADORE33:
I ttnily Ihtl I hm reed Nia epplicetion enE Yete Ihet Ne ebwe iMaMm� e oonq. I epiw �o compy wuh eG ay erd oduay pdi�ior
eM etats lev.a Me�ip b Wik�q conm��eion ard Aereby ainhaze �spxmtelivee d INe tlry to mier upon tM abow�memionetl popsry
�« Inspeaion w.v�ea.
JOE G ZMAN
�u n�. t/�'� (
P Dme: O \ `�
rieNm a ullqenVRppYunUCont�f0r
(S1AJ6.WP)
Whita�BUJAnp 85eleiy:OreamFle: CanW-ApP�uni: Rnk-Revenue:OoMenro�Mwemr
CITY OF COSTA MESA — BUILDIMG PERMIT
PERMIT NO: B 080250 PLAN CHECK NO: N
PERM NO: B 08025Q
GOVT: N SUPP: PJ
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF DECKING RESHEATH AND APPLY 360 SF SQ FT: 2,300
CLAIM �TALUE: 2,300.00 CALC—VALUE: 2,300.00 GROUP OCC: A-1 /
COMMENTS: DECK WEA`fHERPROOFING ICBO tf 3742
+t�*�t�***#**��***********x*���***�*�t***�*x*�*x�r**�r*�***�+�*�t�t*�t*x��t***�tx�r*�+t***+�*
. Z O N I N G R E Q U I R E M E N T S
, S E T B A C K S
------------ MAIN HUILDING ---------- -------- ACCESSORY BUILDING ---------
FRNT: F1' IN REAR• FT IN FRNT; FT IN REAR: FT IN
LEFT: FT' IN�RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REq: 'r�PROV: PARCEL: 42905205 ZNE: REF NO•.-
PLANNING NOTES> �'
> �
1f ik it iE f61E 1E iE iE fE 1E 1ElE 1E iE iE 1f 1f ff iE ff fE 1E fE 1f 1E iE 1E 1E if !f iE 1E iF iE i! dE fE 1Elf 1E iE 1E if iE i! 1ElElE k 1k 1E 1! iE fE if if !E 1E iElE 1ElF if 1f ff �E �E iE 3F 1E iE fElE if if 1E iE �F
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 ' ;�J/� DATE: '•�
BUILDING APPROVED B.Y : WS�S DATE: (� ��J9��
APPLICATION ISSUED'_JHY: DATE: Q —�
1E1EiEfElEfFjf1ElEiflElEfElflElEiElEiffE3EfE 1E1E�EIEIEIFifiEfEiE !!1E
LEGALIZATION;N F E E S U M M A R Y STAUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74,75 ,50
' SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 0.00 75.25 75.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74.75 ,50
iF if -0E 1E iF 1E # iE 1E 1F 1E iE ik if 1E 1614lE 1ElE fE 1f iE 1t iE iE 1k 1! iE 1E if !E 1E iE 1E iE 1E iE if iE 1E iE �E iE IE'IE iE 1E 1E 1E 1f iE �E 1E �E 1E 1F iF 1E iE 1E 1E 1f !E iE iF 1f f! 1E'lE 1f iE i41F 1E'k 1E 1E iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2300 ALTER HY VALUE RESIDENTIAL NOZONE 1,00 2,300.00
END OF FEES
O1 Q0218219—OQ213220 TQ T 75.25
DA7E� 30/31/9$ TIIlE: 10:28
CONSTRUCTION ANDPLANNING � POOL oA
APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector
t. Temporery Electriral Service or Pole - � 52, Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utllity•Undrgrnd. 54. Forms �
4. Eiectrical Conduit�Undrgrnd. 55. Electrical Bonding -
5. Steet Reinforcement 56. Rough Piumbing & Pressure iest
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE
�. Footings 58. Electrical Conduit-Undrgrnd.
8�. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water PiPe-Undrgmd. � _ � 60. Backwash lines, P-Trap, O Undrgrnd.
10. Structural Floor System , 61. APPROVAL TO DECK '
t i. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
72. Sewer Cap _ � 63. Heater & Vent-Final
13. Roof Droins 64. Plumbing SYstem � Final
14. flough Plumbing 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar System-Pinal
16. Rough Electric Wiring � 67. Fencing & Access Approval �
17. Rough Wiring Sign � 68. APPROVED FOR� PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. fiough Factory Fireplace -� . � APPROVALS Permit #
21. Dutts, in Struccure 70. Underground Hydro
22. Ducts, Ventilating � ' 77. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 7Z, Underground Flush
24. Roof Framing " 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing , 7q, pverhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Fram� and Plashing ✓�� 5'� l` l� 6�L 76. Dry Standpipe
28. �thing & Siding • 77. FIXED SYSTEM FINAL
29. Insuletion ' � 78. FIRE PflEV. FINAL
30. Drywalt Nailing - ' HEALTH DEPT. REQUIREMENT
31. Plaste� Brown Coat ' . 79. FINAL INSPECTION
32. Electrical Power Meter�Finat 80. FpOD CERTIFICATE ISSUED
33. Final Electric � Notes: ' .
34. Final Heating & Air Co�ditioning• �2�23, `b
35. Final Gas Pipe�Test
36. Hood or Canopy .
37. Final FactorY Fireplace �
38. Final Plumbing
39. Water Service-Final
40. Gas S¢rvice-Finai �
47. Solar pomestic-Final
42. Backflow Preventer
43. Backf�ow Irrigation
44. Landscape Irripacio� System
45. Sound Attenuation
46. Handicap Regulations -
42. FINAL STRUCTURE & BUfLDING " lG��p � -
6
48. FINAL PLANNING �
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Ca
51. CERTiFICATE OF OCCUPANCY
No _ Date