HomeMy WebLinkAbout755 18TH ST - Building Permits� � GTY OF COSTA MESA �
o "'F BUILDING DIVISION
>t� .. � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754•4856 • www.ci.cosfa-mesa.ca.us
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� FOR INSPECTIONS CALL: (714) 754•5626
��'°'"m� PERMIT NUMBER: B09-00272
PERMIT TYPE B_ROOF2
APN: 42405115
JOB ADDRESS: 755 W 18TH ST CM
Vicinity: VILLA WEST CARPORTS ONLY
Squares: 4800
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
11/0912009
RMD
$14,300.00
SCOPE OF WQRK: REROOF OF 3 DETACHED CARPORTS ONLY FOR "VILLA WEST APRARTMENTS". TEAR OFF (E) ROOF MATERIALS.
APPLY 28 SHEET; APPLY MODIFIED BITUMEN TORCH DOWN, APPROX 4800SF. REROOF OF ALL CARPORTS TO
BE DONE CONCURRENTLY.
OWNER: GARDNER, ROBERT S TR
PHONE: 408-083-9456
APPLICANt; ENRIQUEZ, CARLOS
PHONE: 714-678-4343
CONTRACTOR: BEST VALUE ROOFING
Address: 2230 W CHAPMAN AVEUnit:
City/State/Zip: ORANGE, CA 92868
ARCHITEC7:
ENGINEER;
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspedion Fee:
Bldg Std Admin Fund
TOTALFEES
$0.00
$251.25
$0.00
$1.00
$252.25
Address: P O BOX 11963
CitylState/Zip: COSTA MESA, CA
Address: 2230 W CHAPMAN AVE
City/State/Zip: ORANGE, CA
License No.
License No.
PHONE:
License No. 678356
714-628-9821
CELL:
PHONE:
PHONE:
Unit:
Unit: :
NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under California statutes antl related
regulations. (Ord. No. 92-28, § 1. 12-21-92)
EXPIRATION: PERMIT 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
required inspections and final approval must be obtained. Failure lo obtain inspections and final approval will result in the expiration of this pertnil.
CODE�. INSPECTIONttPE ORTE IN7RIRl5 COOE� INSPECTIONTYPE D�T INi1711L
7616 Fixetl System Final Fire Prevention 206 Final Mechanical
7286 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 1 F l�_05 �,, d�� 210 Final Eleqncal
201 Final Block/Retaining Wall 272 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 FinalSite
204 Final Demolition 250 Final Building/Occupancy
-- �
WORKERS' COMPENSATION DECLARATION: �
I hereby affirm under penally of perjury one of lhe following tleclarations:
❑ I have and will maiNain a certificate of wnsent to selbinsure lor vrorkers'
compensation, as proviaetl for by section 3700 ot the Labor Code, !or the
peAormance ot the work for which this permit is issueC.
❑ I have and will mainlain v.orkers' compensatbn insurance, as required by
sectbn 3700 of the Labor Code. for the peAamance of the work for which this
pertnit is issued. My vrorkers' compensation Insurance carrier and policy
number are: C �� � �
Cartier: 7 ..i
(This sec(on need not ba capnp'efe0Q0 Ne pemN ¢�WeO al one �u�MiN tlaqan (5100) wless J
Policy Number: � O� O �,� 6
❑ I tertify �hat in the peAOrmante of the work for which lhis pertnit is
issued, I shall nol employ any person in any manner so as to bewme subject
lo the vrorkers' compensation �aws of Calitomia, and agree Ihat i/ I should
become suDjecl to the workers' compensation provisions of Section 3700 ot
the Labor Code �al f hwith c�mpty vrith these provisions.
AppliUn s Sign � � � — 4e � �
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000�, IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( Ihe Business and Professions Code, antl
my license is in full force and eflect. n
Lic. # � Class # v� � Q
� l�- 9-04
Gontrd rs na Daie
CONSTRUCTION LENDING AGENCY:
❑ I nereby affirm that there is a constmctbn lentling agency for the
pertormance of the wurk for wfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Signature
OWNER-BUILDER DECLARATIONS:
I hereby aKrm ihat under penalty of perjury Ihat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the (ollowing reason (Sec. 7037.5,
Business antl Professions Code: Any ciy or counry whicn requires a pertnit to
construcl, alter, improve, tlemolish, or repair any structure, pnor to its
issuance, also requires Ihe applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions ol tha Contractors
License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of the
Business antl Prolessions Code) or that he or she is exempt lherefrom and
Ihe basis for Ihe alleged eaemption. Any violation o( Section 7031.5 by any
appliwnl for a pertnit subjects the applicant to a civil penalry ol not more than
fwe hundred dollars (5500).):
❑ I, as owner of the property, or my employees vrith vrages as their sole
compensation, WILL DO THE WORK, antl ihe struclure is not intentletl or
offered lor sale (Sec. 7044, Business antl Professions CoCe: The Conlractors
License Law does not apply to an owner of property who builtls or improves
Ihereon, and who does such work himself or herself or �hrough his or her own
employees, provided that such improvements are not intenCetl or oflered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builtler will have Ihe burden of proving that he or she
did not build or improve for purpose o( sale.).
❑ I, as owner ol the properly, am EXCLUSIVELY CONTRAC7ING WITH
LICENSED CONTRAC70RS lo conswct the project (Sec. 7044. Business and
Protessions Code: The contractors License Law dces not appy to an ovmer of
property who builds or improves thereon, and who contracts for such projecl with
a contractor(s) license pursuant to the Conlractors License laws.).
� I am exempl under sec.
Business and Professions Code for this reason:
DOS]J16 (31W)
�
Owner ID verifietl by driver s license. ❑ Ves ❑ No 1•
Driver's License No. Expires:
Verification of Ownership by (type ol tlocument, i.e. - propeny Wx bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certify ihat rro excavation frve (5) or mae feet m depth into wfiich a
person is required to descend, vrill be matle in connection wit� work authonzed
by Ihis permit, and that no building stmcNre, scaHdding, (alse�wrk, or tlemolition
or dismantling thereof, will be more Ihan thirty-six (36) feet high. (Chap. 3.2, Grp
2, Art 2, Sec. 341, Tille 8, Califomia Adminisl2tive Code�.
❑ As owner-builder, I will not employ anyone to do work which would
require a permit (rom Ihe Division of Industriat Safety, as noted above, unless
such person has a permit to do such vrork (rom the tlivision.
Applicam's SigwWm
Division of Industrial Safety Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuNre building occupant need to file and
ceAify a Business Plan for emergency response to release or Ihreatened
release ol a hazardous material7 ❑ Yes ❑ No
(Section 25505 of Ihe California Heallh and Safery Code requires, with some
exceptions, that a Business Plan be filed vrith Ne Costa Mesa Fire
Depanment by every business which has at any one time during a reported
year a quantity of hazartlous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas
at standard temperaWre and pressure).
2. Does or will the applicant or present or future builtling occupant need lo fle
a registration lorm for acutely hazartlous malerials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code, with some
exceptions, requires regisiratlon vnth Ihe Cos[a Mesa Fire Department by
each business which at any one lime has on hantl a quantity of acutely
hazardous materials equal to or greater than a v.Eight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or tuture building occupant neeA ro
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Sa(ery Code provitles that lhe
Costa Mesa Fire Department may require the preparetion, certiflcaUon and
filing with the Fire Department o( an RMPP by businesses which are required
to register acutely hazardous materials vrith the Fire Oepartment.
4. If an RMPP is presently required. has Section 25534 01 the Calilomia
Health and Safety Code been Nlly complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or fuNre building occupan� require br
Ihe work which is the subject ol this application a permit for such wnswction
or modifcation from Ihe South Coasl Air �uality Management District or from
any other air polWtion control district or agency7 ❑ Yes ❑ No
(Sectbn 658502 of lhe Cali(omia Govemment Cotle requires thal lhe requesled
informalion be fumished on applicalions !a non-residential builtling permils).
6. Will any pan of the faciliry to be constructetl under �his permit be vrithin
t0001eet from lhe outer boundanes of a school? ❑ Yes ❑ No
Qf yes", Ihe lacility must meel Ihe requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a pertnit from the South Coast Air Quality Management District or other
air pollution control districl or agency is required for the work which is the
subject ol this application, have all of the disclosures prescribed by Califomia
Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certificate of compliance fmm the appropriate air polWtion
contml Officer).
CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury I�e
information qiven above is conecc I agree ro comply with all state laws antl
city or0inances regarding Hazardous Materials and Emissions.
SignaWre D3te
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury thal I have read lhis application and state that
the in(ormalion given is corcect. I aqree to comply with all stale laws and city
ordinances relating to building consWction, and authorize representatives of
the Ciry of Cosla Mesa to enter upon the above-described pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by lhis permit until fnal inspection.
SignaWr gal er�s) Daie
!1-q -0 4
AnE/w Aul� n� Dile
�
CITY OF COSTA MESA
.
BI/ILDING DIVISION
i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • wwn.ci.costa-mesa.ca.
f
�.�p� FOR INSPECTIONS CALL: (714) 754-5826
PERMIT NUMBER: BC08-00237
PERMIT TYPE: B COMBO STATUS: ISSUED r
Sub Type: RES_ALT DATE ISSUED: 0512712008
• , , - • . ISSUED BY: CAC
JOB ADDRESS: 755 W 18TH S7 CM �, $Ulte/Unit:;. '�. .
APN: 42405115 - . . � . � Zoning: �. . � . , � _ -�
Vicinity: Primary Occ: R3
ConstType: V-B � SQ.FT: 0 Valuation: 515,000.00 .
SCOPE OF WQRK: REPAIR TO DETACFIED CARPORT DUE TO FIRE DAMAGE. REPL,4CE�PARTIAL ROOF. TWO REAR BEAMS
4X14 ROOF JQISTS AND SHEATHING MINOR STUCCO.
1 CONDUIT 4 I.IGHST � . ,
� , �.. ;- _
OWNER: GARDNER, ROBERT S TR� s" �,� ." �:Address:. �� P O.BOX 11963 , � �� , Unit:
Phone: . " , � � � ; I -City/Slate/Zip: WSTA MESA, CA ��� �� � �.. - , .
APPLICANT: JIM POPE - � � Address: 175 W OR4NGETHORPE AVE - � . Unit: :
Phone: 714-9963200 � � � � City/State/zZip:: PLACENTIA, CA .. . , , � •
CONTRAC70R: ALTERHOLT CONSTRUCTION AND INTERIOR License No. 572282�
Phone: 714•9963200 � � - � - Address: . 175 W_ORANGETHORFE AVEUnit: � - � •
Cell: _ , . - _ � City/Stafe_, PLACENTIA. CA . . ZipCode 92870
ARCHITECT: � � - ' License No. - . �� PHONE: �
ENGINEER: � " - License No. �. � • PHONE:
COMBINTATION PERMIT FEE �SUMMARY. ' - " � . "
Building Plan Check: $0.00
Building Fees: ` _ '$251.25 � . '
Electrical Fees; ' , ' $46.10_ - " ,
Mechanical Fees: , �=> •�.` $0.00 - �
Plumbing Fees; $0.00 � . �- , - - - .. �
SMIP Residenlial: . = $1.50 , �-� i _' � � :�
SMIP CommerCial: 50.00-. .
TOTAL FEES: $298.85 �
"Refer lo fea reca�p(q for all foos paid for projact .
NOTICE: The work aulhorizad by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: PERMIT E%PIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work auNorized under ihis pertnit lo be cansidered legal, such work musl comply with all applicable codes, antl all
required inspections and flnal approval must be obtained. Failure to obtain inspections and f nal approval will resull in the expiration of this permil.
40oEt. INSPEGTION7YOF �i INTI71AL5 �,j LNSYECIIONTYiE Dy/�F IM7fMl5
t878 Fixed System Final Fire Prevention 208 Final Mechanical
1288 Pool Spa Final � 208 Fi I Plumbing
200 Final Re-Rpp� 2i0 Final Electriwl Q/� ��3j;(�,E(_, �r
r'— (/
201 Final Block/Retaining Wall 212 Final Fire Prevantion
202 Final FactOry Fire Place 22o Final Planning Appmval
203 Final Sign 222 Final Site —/_/�'�//^—
204 ' FinalOembli6on ' 250 FinalBuilding/OccuDanry f%//1. y�_ (q��E�aS7it�uiL.�
//Y I /' .oi
WORKERS' COMPENSATION DECLARATION:
1 hereby affirm under penalty of perjury ane of the �ng declarations:
❑ I have and will maintain a certificate of consent lo self-Insure tor v.�orkers'
compensation, as pmvided lor by section 3700 of Ihe Labor Code, for the
pe ance of the work for which this permit is issueC. �
I have and vrill maintain v.orkers compensation insurarxe, as required by
sectio 3700 of ihe Labor Code, fa the peAormance of the wwk (or which this
pertnitjs-issued. My warkers' wmpensation Insurance wrrier and policy
❑Tcertify Ihat in the peAormance of lhe work (or which this pertnil is
issuad, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia. and agree that if I should
become subjecl t� ! vrorkers' compensation provisions of Section 3700 of
the L or Cotle, I hal oAhwilh comply vrith these provisions.
App 'a i etGre a�e
WAR N: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UN WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business anE Professions Code, antl
m se is (ull toF nd eHect. `!�� � / !�
ic �-- � ass u c=/! � l�F � �/
�
0 ip�uWre _ Dat
��� _ ..-
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn Nat there is a consWction lending agency tw [he
performance of the v.ork fa which tlus pertnit 5 issuetl. (Sec. 3097, Civil Code).
Lender's Name:
Lenders Address:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalry ol perjury that I am E7(EMPT FROM THE
CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
conslruct, alter, improve, demolish, or repair any strucWre, prior to its
issuance, also requires Ihe applicant for suc� permit to file a signetl statemenl
that he or she is licensed pursuant lo I�e provisions of the Comractors
License Law (Chapler 9(commencing with Section 7000) ol Division 3 of the
Business and Prolessions Code) or lhat he or she is exempl therefrom and
the basis (or Ihe alle9ed exemption. Any violation of Section 7037.5 by any
applicant for a permit subjects l�e applicant to a civil penalty of not more than
fve hundred dollare ($500�.�:
❑ I, as owner of the property, or my employees with v2ges as their sola
compensation, WILL DO THE WORK, antl lhe structure is not intended or
oHered for sale (Sec. 7044, Business an0 Professions Cotle: The Canlractors
License Law does not apply lo an owner ot property who builds or improves
thereon, and who dces such work himself or herself ar through his or her own
employees,�provided that such improvements are not intentled or oftered for
sale. If, hovrever, ihe builCing or improvement is sold wilhin one year of
completion, tha owner•6uilder will have the burCen of proving lhat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWtl lhe project (Sec. 7044. Bu5ine55 and
Professions Cotle: The cont2ctors License Law dces rrot appy to an armer of
property who builds or improves thereon, antl wno contracts for such project wim
a contrac�or(s) license pursuant to the Cont2ctas License Laws.).
❑ I am exempt under sec.
Business�and Pro(essions Code for this reason: _�
Siqnawre - , Dace
305]J6 (3/07) �
��
Owner ID verified by tlmi ise. ❑ Yes ❑ No
Driver s License No. Expires:
Verification of Ownership by (type of document, i.e. - property lax Dill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
� I hereby ceAify that no eacavation frve (5) w mwe feet � depth inio Nfiich a
person is required lo descentl, will De made in connection vrith work authorized
by Ihis pertnit, antl Ihat no building slrucWre, scaffddinq, false�wrk, a demdition
or dismantling �hereof, will be more Ihan thirty-sbc (36) lee� hiqh. (Chap. 3.2, Grp
2. M 2, Set. 341, Ttle 8, Calitomia Atlminist2tive Code).
❑ As ovmer-builder, I will not employ anyone to tlo wark vfiich would
require a permit from the Division ol Industrial Salely, as noted above, unless
such person has a permil to tlo suc� work from lhe division.
Appliwnfs SignaWre
Division of Industrial Safely Permil Number: _
MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or future building occupant need to fle and
certify a Business Plan for emergency response lo release or threatened
release of a hazartlous material� ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Cotle reQuires, with some
exceptions, lhat a Business Plan be fletl with the Costa Mesa Fire
Department by every business which has at any one time during a reported
year a quantiry of hazardous materials equal to or qreater than a weiqht ot
500 pountls. or a volume of 55 gallons. or 200 cubic feet of wmpressed gas
at standard temperature ana pressure).
2. Dces or will the applicant or present or fuNre building occupant neeC to fle
a registration form tor acutely hazardous matenals? ❑ Yes 0 No
(Section 25533 of the California Health and Safery CoOe, with some
exceptions, requires registration vrith the Costa Mesa Fire Department by
each business which at any one time has on �antl a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 9allons, or 200 cu�ic leet of wmpressed gas at standard
temperature antl pressure).
3. Dces or will the appliwnt or present or future building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of lhe Califomia Health and Safety Code pmvitles that the
Costa Mesa Fire Department may require the preparation, certifwtion and
filing with the Fire Department ol an RMPP by businesses which are requiretl
to register aculely �azardous materials with ihe Fire Department.
4. If an RMPP is presenlly required, has Section 25534 of the Califomia
Heallh and Safety Code heen fully complied with7 ❑ Yes ❑ No
5. Does or will Ihe applicant or presenl or luture building occupant require tor
the work which is the subject of this apPlication a permit for such wnsWction
or modifwtion trom the South Coast Air �ualiry Management Dislrict or from
any other air pollution control districl or agency? ❑ Yes ❑ No
(Sectbn 65850.2 of the Calilomia GovemmeN Code requires Ihat the requesteC
inlormation be fumishetl on applications lor nomresidential builtling permils).
6. Will any parl of l�e laciliry lo be consWctetl untler lhis permit be wit�in
7000 leet trom the outar boundaries of a schooll ❑ Yes ❑ No
(If yes", lhe (acility must meet the requirement ol Seclions 25534 and 42303
of the Califomia Healih and Satery Code).
7. If a permit from Ihe South Coast Air Dualiry Management District or other
air polWtion control tlistrict or agency is requiretl for t�e work w0ich is the
subject of ihis applicalion, have all of the disclosures prescribed by Califomia
Health and Safely Code Seclion 42303 been maCe? ❑ Yes ❑ No,
8.. (If "yes", attach certificate of compliance from the appropriate air pollution
wntrol oKcer�. � .
CERTIFICATE OF� COMPLIANCE: I certify that under penalry ot perjury Ihe
informalion given above is wrrect. I agree to comply with all state laws and
iity ortlinances regardinq Hazardous Materials and Emissions.
� Signawre oa�e
CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this appliwtion and state that
Ihe information given is cortecl. I agree to comply wiN all state laws antl ciiy
ordinances relating to building construction, and authorize representatives ol
the Ciry of CosW Mesa to enter upon the above-descnbed Droperty (or
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
S�gnawre of Le tls) �a�e �
2�-d
naror . pplio � --- -
(714) 754-5273 • F�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE. COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 755 W 18TH ST
Suitg;
viciniry:
Parcel Number: 42405115
Applicant: GARDNER, ROBERT S TR
Address: P O BOX 11963
COSTA MESA, CA
Owner: GARDNER, ROBERT S TR
Address P O BOX U 963
COSTA MESA, CA
Convactor: O W N ER-6 U I LD E R
Address: � , -
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 94&673-7744
Zip: 92627
Phone:
Zip: 92627 �
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: OS/10/2004
Issued: 05/10I2004
� �. : ��u�
Phane:
Zip: License: License:
SCOPE OF PERMIT
DEMOLISH EXISTING SHED ILLEGALLY CONSTRUCTED IN CARPORT AREA. REF.: C04-1457
FEE SUMMARY
Plan Check: $0.00
Permit: $23.50
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
TOtdI: S24.00
SETBACK$
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0. 0
PARKING Existinq: o
NOTES:
Rear 0. 0
Rear 0. 0
Required: 0
6
PLANNING & ZONING
Left 0. 0
Left 0- 0
Proposed: 0
Calc Valuation: gsoo.00
Ciaim Valuation: SSoo.00
Right 0. 0
Right 0. 0
NOTICE: The work authorized by ihis permit shall comply with all applicable handlcap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 7, 1241•92)
EXPIRATION: This permit shall automatically expire antl become voltl if work is not commenced within 760 days, or if work is suspended or abandoned
lor a period of 780 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabte codes, and al1
required Inspeetlons and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aas-+e lerool ,
WORKERS'COMPENSAnON DECLARAnON:
I hereEy affirm under penalry of perjury one at the idlowing dedaraGons:
❑ I have end will mein�ain e cenilicate of consent to sell-Insura for warkero' compensetlon, es provided lor �y section 3700 of the lahor Code, lor the pertortnance ot Ihe
work for whiCh t�15 permit IS issuetl.
❑ I heve en0 will malnt 'n workers' compensation Insurence, es requiretl by section 3700 of tha Labor Code, tor Ihe peAortnance of the work lor which Nis permit is issued.
My workers' comp�setlon Insurence cartier entl policy number are:
Carrier: Policy Number.
(Thls secrfon need nor be completed i! fhe permit Is valued er one hundretl tlollers (5100) or less.)
[� I certify that in the peAarmance of tha work �or which this pertnit is issued, I shell noI employ any person in eny manner so as to bawme subject to Ihe workers'
�\ compenution lews at Celllomla, and agree �he� ft I s�ould become sub�ect to the woBers' compensatlon pmWsions of Sectlan 3700 ot Ihe Lebor Catle, l shall forihwit�
compty vrith ihese proN���� �/��_ r_/ 1
Applicem Signature: �� Dele: Lv � /
WARNIN(3: FAILURE TO SEIXI E WR ORKER$' OOMPEN^�7�IXJ MGE IS UNLAW Fl1L M'D SIULL SUBJECT PN EMPLOVER TO CiiIMINAL ENAL ETl 5 AND CML Flt UP TOONE HUNDRED
T/IOUSAND DOLLARE (5100,000), IN r1DDRION TO THE �r OF C�.17EMSATION, DMUGES AS PROVIDED FOR M SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEI"5 FEES.
LiCENSED CONTAACTORS DECLARATION:
I hereCy aHirm that I am Ilcensed under provisians of Chepter 9(commencing
lorce end eHect. Llc. q
Contractors Signetura: �
�Sectian 7000) of D'Msion 3 of iha Business end Professlons Cotle, and my license is in tull
_ CIB54 M _
CONSTRUC710N LENDING AGENCV:
❑ I hereby aHirm thet �hera is e construction lending egenty for the performance ol �he work for w�ich Ihis permlt Is issued. (Sec. 3097, Civil CotleJ.
Lender's Name: /Lender's Adtlress:
Signeture:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby eHirm t�at untler penelry ot per(ury that I em EXEMPT FROM THE CONTRACTORS LICENSE lAW tor the following reason (Sec. 7031.5, Business and Pratessions
Cotle: Any dry ar counry which requires a pertnit to construc6 alter, improve, demolis�, or repair any swcNre, pdor to its issuance, also requires the applicant tor such pertnit
b tlle e signed statement Ihat he or she is licensed Cursuant ro Ne proNsions al the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) ot Division 3 0l t�e
Business anC Professions Cotle) or thet ha ar sMe is ezempt thereirom and Ihe besis tor the elleged e:emption. Any violation af Section 7031.5 by eny epplicent for e Oe�it
subjecis the epplicant to e ciNl penalry of nat more then flve hundred dollers ($500).):
I, as owner al the property, or my employees wlih wages es their sole compensatlon, WILL DO TME WORN, entl t�e structure is not Intended or oflerad tor sele (SeC.
7044, Busineu and Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builds or improves Iheraon, anC who does such wo�k
himself or herseN or ihrough hIs or her own employees, provitletl ihat such imOrwements are noI Intendetl or oNered for sale. If, however, the building or improvement Is
soltl wit�in one year of com0�etion, Ihe owner-builder will have iTe burden of pmving ��at �e or she did noi builtl or improve tor purpose of sale.).
❑ I, as owner of Ihe properry, em E%CLUSNELV CON7RAC71NG WITH LICENSED CON7RACTORS to consiruct the project (Sec. 70a4, eusiness antl Professions
Code: The contractors License Law does nP� apply to an owner of property who builds or improves thereon, enE who comracts for such projea with a coniractor(s)
license pursuant to ihe Contractors license Laws.).
❑ I am pt de e
Signature:
Owner ID venfietl by tlAvefs ll nse.
Verifite�ion o1 Ownership Dy (type ol
Business and Pmtessions Cotle for this reason:
`Y85 ❑ No Dnver9 LiCensa No.
nr, i a. - praperty tac bill or deeE):
DIVISION OF INDUSTRIAL SAFETY PERMR CEA7IFICATON:
❑ I here6y cenify Ihat no excavation five (5) o! more leet In depih Into which e person is required to descend, will be matle in connection wi�h work euihorizetl by Ihis
pertnit, and Ihat no huiltling siniIXure, scaN0ltling, �elsework, or demolition or dismantling ihereot, wlll be more than thfrty-six (38) leet hig�. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, Calilomle Atlministralive Cotle�.
❑ As owner-builder, I will not employ enyone to do work which would requlre a pormit from the Dlvislon ot Indusiriel Safety, es notetl ebove, unless such pereon has e
pertnit ta do such work from ihe divislon.
Signature: Date:
Division ol InAusirial Selery Pormll Number:
CERTIFlCATE OF COMPLIANCE AND AUiHORW710N OF ENTAV: I certiry undor penelry of Derjury that I have read this epplication end stete that the intortnatlon given is
correct. I egree to wmply with ell stete laws end �Iry orCinances relating to bulltling consiruction, end euthonze representatives of Ihe Clry ol Costa Mesa lo enter upon the
ebove-des � tl pr erty t r i pectio purposes. � egree not to accupy ar ellow occupancy of eny building euthonzed by Ihis p� ��til finpl I�pecGon.
D � � 7�
' Sign re Ot Legel Owner(s) � � Date
And/Or Aut�orized ApPlicant Date
COOE t• INSPECTIONTYPE PdIE I�l$
1618 Fi:etl Syslem Flnel Flre Prevention
1288 Pool Spa Finnl
2�� Ftnal Re-Foal
201 Flnel BIocWRelalning Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Dem0lilion .
�Qjf,j INSPECTIONTYPE
ZO6 Final Mechenical
20B Finul Plumbing
210 Finnl Electrical
212 Flnal Fire Prevention
220 Finel Planning Approval
222 Finel Site
250 Final Building/Occupency
n
�
0FB1"1D"a 755 W 18TH ST
WIEIFqqWlk ROBERT S GARDNER
�o�u 755 W 18TH ST #9—D
OSTA MESA, CA 92627 646-9507
�w�. �uiwo �oo�ss
AIICNRKTOH ENCdIFFA:
coxm.crars M��•
CONIN�CTOAS YYIWO
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urn:
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LICENSED COMP�CTONS DECLAX�TON: I heraby ellim inMer panaly N paj�c/ Nel I em licmnad uidw pwieim� d Chepx B
(oomme�rinp r.m� F�eclon ]OD01 d Diviaun 3 d iM &roinen eM PMesaians Coda. W my fiwm b n hdl lacs xd Mep.
cm uc. No.: uc. cuss: uc. No.: EXP :
o.�.: comrea«:
OW NEN BUILDER DECLANITON: I MraDy dfmi wtlar panNy d parjvy Ilel I em exemq Irom �M CoNreCas lice�ua lew In IM
•ywip �sefan ISec1m'lOJI S Butiqef md Gmlenro4u Cads: Any c'Y a aqnlY wfiirh n0�um a P�d lo onuWc1. Ma.'unV�we.
ioolo�. u rpv mry �mcuve. p'w b b 6�uance. Wo ropuirea �M epp4raN Ir aUi pamG to Ek e iqroE qalemmi tIW M a eM
c«,sed a�+ �o tl,e n�+�^+ d ms cwe.an. License ler ICMqa s(mmm«�o .un swia, �aao) a oh�'ron a d ��r
ouai� vW PraMaiwa f:adel a tIW M rc eM b eaemq tMrNmm entl �M bam la Ns NbPe saamqian. Am'vidmbn d Swion
'l031.5 b/ mry ePpGran la e pemN eubjetl� IM applcaM to e c+i penetly af no1 mon �lw� fxs hmNeE AoOen jS500U.
� I.nmmmdtMP'WaM«myamV�'w�hwe0e�mtheiedemmpaumion.wLdoNOMdk.udNsat�w.Mewm�imaMed
«a'e�a ror.m. �sem� �w.. e�ri�+nd,e rrae.ao�u coae: me com�a�aaa uoe�n. �.me. �a �ch �o� �++wd wwem
wro ww «:�,a� �n.em. �a w�o d�..�a �wx �m «naw «wwon w«n� ow� «oob�. w�e.d mr.�n
'unpv.w�e�b ua m"uVended a afleed ia We: tl.lwwwer. �M bwtlin0 a inpwmmM u wN wnNn ans Yw d comWnun. iM
�owrorbWdmwitlMe�heGVEmdD��OhemeheEHnaWiNaimpwelntMWW�dWs).
I. o oww d tM O�Ww7. em e�tl�dY mMreqnY xnh IiaemeE comreclm b mmtruq Ne p9� (Setlion MM. &ninan mM
Pmfeviw Code: TM Cavreem licmu Lew.tlom ew� ecVN �o en oMner d G�wMY x1a drik� a'vno�'as iherean enE who
ru�Vacb la aN popaa vNh e amumfa(e) fiy�� p�nuaM lo IM Camemon limiue lew).
� I un eRemq unds SeNian: . l B 8 P.C.. la Nb npxri: /�
Dme: Ormor. /
i ro w«�W mn i v� a..�. a w�en.�ena me �ea � «u. a cv�o�. w.m�.oa sd.n coa. awion, rsos. nsu..oa
zssa�. �e w� i a mrv naws padro «aw�. win i wa �a arcb ans) roaE ro oomOM wdA uid mt� mM� and tM nqWamaMs br
epa'millammwcfonamoEifiWianhaniM��y emOmwnD'utr'va.NwidsnWwnA�uUionWO�ioromexamqlmniMu
a�.
DNe: AVdkem:
WOPKER'4 COMPFNS�TION DEC Wi�T10N: I Mrapy ylirm wdx pr�My d pa�vy ons d Ne b0ow'vp Jetlutl'va:
� I heM aM wl m�ivn e ML'ctle d mueni to �atlinwn br xwkas' compruetion. m prwid�d 1> b� Sed'vi �]OD d tM faEn
COM. la �M D�mnvKs M IM work fa wlic� i�n P�q u mued.
� i hew md W menvan wMs�' wmD�ion'u4urence. m�Nmed h' Saaion 3lW d Ns LeEor Coh. br IM Od�mvwe tl �M
xork la Miid� Nu i�^e u uweG. W warken' canVM+mion vuueanu mrwr md WKY rvvnber ms:
c�.:
Pdry Mmbr
(ihis sO.v� need iwt Ee romd�� 1 Ns P�I w lar ms hundisC dMan ISI00l u� Mu./
x.] I uNy tlW n rtr G�mnenca d the wak tar whiU� the P�a e nweG. 1 tluG �w anWM �V Va� in enY monner �o o to
becmr wbpd m tM wFw�' m'W�ion lexs d GeNunM. eM eYw tlW i 1 dndd baeme �ubjW m �Ir wo'Yen'
ednpyyeion qw'v'va d Swu� 3Ia0 d Ur lebor COEe. I dWI laNdh avncN'� �M p�m.
Dete: � MWirmtl: r
ip: FWun ro pcu� wo�lrr�' mnpMu�tlon �'MO� �'M aM ��ll wlfsf �n �rT�� ro erhNMO�tlu ud
nna W ro arN �uWnA tlwuwd LWbn fttpq000A Itlon ro eM mr ol cortpMufbit � o P+�NbC br In
S�etlon �]P6 0l IM l�Eor Co6. Inf�m4 ���mry'/ Mw
CON4INUCIION LENqNO �GENCY: I Iw�aby dR�m uMer psuXy d pw�ry tM Nwe's e wmvfbn Wd'vp epr�.y br iM
pmlormancs M IM wk lor v.firli Ne pwml u uanE ($eqyn 30�. CM. CI.
IENDEA'4 NAYE
�ENOEP'S AUONE34:
I caNy �Am I Mw nsC Cie eppfcdim rd Mu iMl iM ebova iNametion o oono4. I epw to canply w'v� e0 my aM aavqy adl�wior
uA ews lews rNmiq m W3diq miaumm aN hsMy a�Maae npuatletiw� d Nu my m xtlx upm IM �bow�mrtlionM p'operty
�'"'°"'�"`D'"" JIMMY SMITH
.� __ / __ ' ^
' .�^',✓'• ♦
(S15t�e.WP) WlmsbuW1q85e1e1Y:Geay�qy:Cenvy-�ppfum:P"vik�-Rew�vr:GdESYod-Nasnor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 08111
PERMIT NO: B 081218 PLAN CHECK NO: 00182-97 L GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : 36 LIN FT OF RETAINING WALL 4FT MAX HT SQ FT: 37
CLAIM VALUE: 1,000,00 CALC—VALUE: 2,220.00 GROUP OCC: U-1 /
COMMENTS: RETAINING WALL ON PRIVATE PROPERTY
if IE iF If 1(� iF If II� M 1E 1E 1k M 1f IE 1E 1t iE 1f� 1f if 1E 1F IE iF 1E i(� K 1F 1E 1(� iF iE 1(� iI� 1E If� 1f 1F iE �IF iF IE iE 1E 1E iE 1E if 1f� If 1E If iE iE if If if 1f if iE IE fE 1E 1E iE 1E 1E ik If Ik if 1f 1E 1E 1! 1f ik I(�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN AEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 00000000 ZNE: R3 REF NO:
PLANNING NOTES> CONSTRUCT NEW 36' LONG. 4FT HIGH RETAINIG WALL ALONG SIDE
�
1k 1f k iE 1E 1F 41E 1k il� iE ik it 1E 1f 1F 1i M if 1f� ik M iE 1E If 1E if if 1k 1E M ik 1E k i! 1E 1F 1E iE 1E 1! i! 1E 1E 1F ik 1E if 1E 1i 1E k 1E iF iF IE iE iE 1F iF 141E 1f 1f 1E 1E 1E 1h 1E 1l' 1E if iE 1E 1f 1k k It iE
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 : Ci_ �I DATE; I J I%'97
BUILDING APPROVED HY : UVS� DATE: I� I% `�Tz
APPLICATION ISSUED BY: � DATE; .��F�F'l'FRJ�'�F
1EifikiklElkiElElEikiE1E1EMiE4fh1E1hiF1ElE iFSF'3F'3F1F1E1E1E1E1FiP1klklklk itif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74.75 . .50
�,•- SMIP/NON—RES
PLAN 48.59 '.a
ISSUE FEE
BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 48.59 123,84 ;� 123,84 ,00
1�
REVENUE DIVISION TOTALS--> COLLECTED; 123.84 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74.75 .;,SO 48.59
1E 7f iE fk 1E 1E ik iE iF 1f 1E Ik 1k 1F IE 1E iE i(' 1! 1f 1E 1! Ik f! i61F M M 1t 1F 1E 1k 4 fE 1E 16 i(� 1E 1E 1E i! �F fE IE 1E 1f i! 7E 1f 1k iE i@ ik 1f i81E1F iE 1klF 1k 7! iE if {E � 1flf 1k 1f� Ik i4 iE 1t 1E IE 1E IE 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 UNI•T COST TOTAL COST
� �
SFA 37 RES—RETAIN WALLS UP TO 6 FT / FT. 60,00 2,220,00
END OF FEES ��i`'
I 1
�+
'y A
EXPIRED
DEiTE 1 � � " `�
AI-17-1997/89:87 !Itl/f123.84
RCPTq:81-8008684
PERMIT:081218
,�NSTRUC710N AND PLANNING POC SPA �
APP,ROVALS Permit # Date �inspector APpROVALS Permit # � Date InspectoF
7; Temporary Electrical Service or Pole � 52. Pool & Epuipment Lowtion -
2. Sa:.l Pipe�Undrgrnd. 53. Steei Reinforcement
�3,� Electrieal'Conduit Utility�Undrgrnd. 54. Farms
���4. Electrital ConduiFUndrgmd. 55. Electrical Bonding "
`5. Steef Reinforcement �-ZB-f 7 ��i 56. Rough Plumbing & Pressure Test
'�'6� Elgctrical UPER Grnd. 57, APPROVAL TO COVER�GUNITE •
+d7. Pootings � C-ZF%�c� 6G�`-' 58. ElectricalConduit�Undrgrnd.
,
,;� ' Foundation � .59. Gas Pipe, � Undr9rnd., Test ,
�9'. WSter Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O UPdrgrnd.
10"! S[ructural Floor System : 67. APPROVAL TO DECK
11. Prnperty Sewer Line & House Connection _ � 62. Backwash & RecepTor�Final
12. Sewer Cap � 63. Heater & Vent•Final
13. Roof Drains , 64. Plumbin9 System - Final
14. Rough Plumbing .r ' 65. Electrlcai-Final
15. Rough Electrica6CondU�t : • 66. Solar System-Final -
16. Rough Electric Wiring - 67. Fencing & Access Appcoval
. 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Cei�ing 69. POOUSPA SYSTEMS fINAL .
79. Rough Heating & Air Cqnditioning FIRE OEPT. REQUIREMENT -
20. cRough Faccory FiYeplaee x!-i '-• t_- ��> � qppROVAL,S :. P2�fmit # '� '
,. .,� m h H r� �- - Z.
. ,-. _ c.,_. :CS i rt ^ a < a. � : :7., r^ n.
21. ,(�uct;, in Structufet� .. .. ,.,.,_ ; ,� � ,-� • .- 70.,UndergrQund Hydro .
22.�Ducts,Ventitating�.` � G,; F � s �' ^ ��,�p�o���_piping��Gas OOiI
23. 6as Pipe�Rough &'Tpst � _` t Y � C~' � F 7Q• Undoigro�nd �lu,e�, � �, 5:.
24.�BooE>fryming. p,r '�-E- ^� �'; � ��� 7'3. Undergr'Ad.Stora�g,Fank�Gaz D�OiI
� .- x R
25. RoofSheathin "� � rt' � " {"� ' � ' �
9_ ,z; . � �,; - 74.,.Ove,�hea`d HYdro J
� r' _.
26. �-Bar Ceiling (Structural) & [v7onocoat : . < � � i7 �* 7�', Dry_Chemical � �� � �' - T
27. Frarqeand Flashirig� S_c ? s " 7�`i.��Or Sta�' eJ' �- '"
- ,., L, ..� s- � T x Y P)P ��-
� 28. �Lathin9 & Sidin9 Y' �. y<t= �-r "-` .. ��� 7J'. FIXED>$YSTEN'"�FINAt � -
1'� ti V�. A
' 29. Insulatioa . _'� -. 5 .. .. l�� : � � 7�. FIRE PREV. FIM�AL - s r' : ' -
�� 30. Orywall (dailing c'y � �- � • � � r �-+ �-HEALT•H DEP�TrRE@UIREMENT .
37. Plaster Br4wr} CoaL� S ' ° � ;ti � 79 FINAL]�1yS1PECl�bN ;' �
` 32. Electrical Po�r Mete�Final ;�' t o� �� > 80: FOOD CERTIFICATE ISSUED ' ��
33.'Fin�'f Eleitric '" � ' °' ' � � r ~ � '-�.- ' -
r - t� ..x �, Notes: � �. � .
', 34. Fina�Hea�ing$ F�ir Conditionings � ~ ' � ' 1' " - � -
:�5 < C `
_r
� 35. 'Rinai Gas PipB�TesP ` - � - � : ` n � � . ; _
.r, c + -
36.'HootTor PanoPY � ^� - c4 s ,• � �^.ti. . . T�,
- �-
� 37.'Fina'1'�actory Pireptac2.,_ �., - k - � '.' ,. •
F F ��
� 38. Fin�! Plumbing .t ' .. .. �,� - • S = - .
� 39. Water Service�Final'• � �� • � • % - -
� h -� K •.
:. 40. �Gas Service-Final � :� 1 ^ � ,- - -- .
_ m cr _' '*t r� . -
' 41. ,Solar pomest�cFinal .^ � ••� � C � t�` z, ��,} ;�, ; �. �
' 42. Backflow�reventer� -� ��, .'� � �, rl .�
3� -�p � � � �, -� ��Gs��
43. Backflow Irri�3tion��� y � �•-• } ' � 7•'�' ` (, -
L Y' +C �
e: `. �. ,� '" r t - r � - �
��4. Candscape Ircfpatioq System,-�:,. • z ,_ ^ ti� o .r -. �,. : �
-r ' r� C":_ GK � ..
95. �Sound Aften�ationfi - -- T� " % - ! � .�
.. � %� C �: F� .
46. �l�andicap`'Regplatiops " � �' �; � " '� � � = � • l
47. fINAL STRl1CTURE & BUktDING rt ' � : ` r.'c = � >
- , _.. r � - * -
48. FINALPLANNING' ;r� - ; :,; , y' " • �• .
C
49. ,Eiectric Release to Edisan � � ^ ' �"
•% .; -
50. Gas Release to Sou[hern Caiiforni�,Gas Co " ,` = r '" �' .
7 . �� r" •
T�t. CERIIFICATE OF OCGUPANCY' _ ; -.� - _ •
No Date
{
PflOJFCTA0DNE55: "�SS T"T LBTH .ST
UYw�fl'S NRME: HOB GARDNER
AODflESS: 8.Z 3 W BALBOA BLVD
NEWPORT BEACH, CA.
ANCMIENGINEEH: 7 1 4� 6 7 5— S 3 1 3
aooxess:
flEG.NO.:
uxiT: BLDGS
uxiT:
PEqminEE: COURTRIGHT WEATHERPAOOF. ( 714 ) 587-0187
ROOflE55: Z389S VIA7 FAB(]RICANTE 1 621
LICENSEO CONTBRCTO�C�n�S�+N i ne e�v�lJm`ihat I am Iiten5e0 un0er p ofAvi5io9nsZof�h9aDte� 9(Cummencinp wit� 5¢ttion
70001 0� �Nivon 3 0l ine Business ana Professions Coee. and my license is in fu� lorte ana elfect.
c�rruc.: 038096 sT►reuc.:45736<J�v'�—s
Date: Q Sipnatwe: _ _
WONKEBS' COMPENSA ON IABATION: I here0y allum i�a� � haue a ceniliwte al consem to selbinwre a� a cenihcate ol Warkers'
'•mDensation Insurance. or a ttnilie0 w0y ��erem �Section 38uo. �an. C�.
ucrxo.: 1042110-90 E%P.O�TE: O%�OSI91
� comrnxw STATE FUN
O Ceniliea cooy is nereoy fumisnea. � cen�irea copy rs nieo w�m � �iy aua � Ms�o�
Date:��—� ��� AVDlicam: "��7� �7
E%EMPTIUN FflOM WOPNEBS' fAMPEN5ATI0N OECIAflPTION:� �ThiSYttUon nee0 nOt be mmdeteA ii Ihe permi k fo� one hunCreG (5700) or less�.
I cenily inat in ihe oetla�mance oi Ine xrork tor wnicn inis permit is issuee, I sAall not empby any oerson in any manner so as ta become
su�ieci io ine VJorkers' Compensation LaxS oi Califarnia.
Oaie: Sipnamre:
NOTICE: II, alier mdkinA lNs CeClaraiion. y0u ShaUld b¢comG 5u01e�� �a lhe Work¢rs' Compensation D�m'isians ai �he La�or
� CoOe. you musl Iorlhwiih comply wilh such pmvisions or Nis permi� shall Ge EeemeE revaked.
CONSTBUCTION LENUINC AGENCY: I here�y allirm �hat ��ere is a con5lmciion leneinp agenry �or I�e petlormance nl �he work �or
wnich this oe�mii is issuetl (Seaion 3W7. Crv. q.
LENOEP:
AODflESS:
OWNEF BUILDEP OECLAMTION: I �ereby allirm t�at I am exemp� Irom t�e Comracrors' Slate License Law for tne lollowing reason
�Seclion 7031.5 Business antl Pmlessi0nal Codn: Any citY ol counry whic� repuires a permii lo tonstmct. altec im0��e, OemolisR or
repair any sim[ture. p�im IO �Is issuance, also repuires I�e applican� lor Su[� p¢rmii to lile a sipnetl 5taiement ihal �e/she is Iicen5e0
pursuanl to I�e pmvivans ol the Comracmrs' Slale License Law (Chapier 9 �commencinq wiN Seciion 7000) al Division 3 0� �he Busines5
anC Pro�esvans CaEe) or ilu� Odshe is eMemp� therelrom anU Ihe basis lor t0e allegea enemplion. My violation oi Section 7031.5 6y
any a00�iwni tOr a pBrmil SuEl��S l�e appliCanl IO a tlNl penalty 01 n0i morB ttun live �unaretl OOIlarS (5500�.
1, as ovmer ol IAe pmpetly ar my employees vnlh wa0e5 a5 I�eir sole wmpenu�ion, will ao �he work, an0 Ihe
slmciureis nolinlenGea oroilere0�orsaie�SecUon 7044, Busine5s ana PrafessionalCoOe: T�e Canirac�ors' S�a�e License Law
Goes not aO��Y �o an owner ol a O�a7eny wllo buitds ar improves t�ereon, and wilo tloes suc� waB himsetf/herself or thmug�
�is or ner own empioyees, pmvi0e0 that suc� impmvements are not imentle0 or otlere0 lor sate. II, however ihe OuilOinp or
impmvement is SOIG withm one year ol complelion. I�e owner will have t�e EuNen ol prwinq �e/sAe Ui� not huild ur impmve
br Ihe Durpose oi Shce�.
I. as owne� ol Ne pmpeny. am erclusively coniratling wiih licensetl wnfranors m conswct �he D�alect (Sec6on 704d, Busine5s
❑ an0 Pw7estims CaOe: T�e Contranors' State License Law aces nal apply Io an axner of pmpeM •ho 6WQs or improves Nereon
an0 wno contracis lar sucn projects wit� a contracloqsl license Oursuant to tne Convazmrs State License Law�. � am aware
'��, tlWi 0��� o� tlleir Worker's CAmpen5ati0n insutante s�ould Ee D�oMdM �o me.
I� i am e.empt under Section: B. d P. C.
tor 10R reason:
Uate: Owner.
I Ao hereey cenily Ilul I am �ware al antl unCerstana tne reQuirements ol Golarnu Hcalin anU Salely Cotle Seqions 2550.5. 25533. ana
2553a and tlat I a� any Iwwe Eui16n0 acuWnt vniVvnil nQi (circle one) nee0 to compry vnttl saN state wEes anE ihe repuiremenis for i
perm�l la� Cansiruttion o1 motldication Irom I�e An Oualiry ManaAement Oisirict. fleAGentul mnsiruttian appliWtions are exempt Imm
Inese provisions.
Date: App�icam:
I h¢reby ctrtity tlWl I �ave rEaO t�is aDGliWtion an0 Sla�e Iflal IM1e a0ove inlormaGon is cOrrO[I. I aqree lo mmpty vnlh all ti� an niy_
oiainancesanOstatelavrsreWtinglobuBtlinpconslmtlionana�ereOyamMraereO�ev i iveso �- ��! , �� upont eaEove-mentionetl
O�oOeny lorinspeclion purpo5es.
Oate: �� `_._ �� � Signamre� _
Oriver's License ai SOtidl $¢CWiiy .: �� �� �
t6al�afi W�ne—BwlEing; Green—Cotle Entorcoment; Canary—Appl¢am; Pink—Revenue; Goldenrop—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 04969
PERMIT NO: B 049696 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : REROOF APT BLDG W/NEW CLASS H B/U ROOF SQ FT: 3,150
CLAIM VALUE; 3,150,00 CALC-VALUE; 3,150.00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTOR RE�UIRED
�EiElfifiFlliElFiFiEiElEafiEMlf�flf�fikiE�f1E1E�f1f1k li1EiF3FiF1faE�F�fif�flfiflfiF�ElE�fk�liFMlElfifikifltifiEififiFlF�flf�EiE�f�F�flEiFififlElEiEiElfiE
Z O N I N GS ERTEB4AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN AEAR: 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 Nf51'ES>
� .,
if iF If k iF iE jF k k�F if k IE 1E ff M 1f M If �E 1t 3f af M if IE iE iE it iE IF fE IE iE if it IE iE IE k iF iE iF if K iF if k iF iF M it fE iF Ik IF M 1f if 1E if iF it iFif 1Fif IE 1E 1f iF ik iF iF�f if if if if
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
ZONING APPROVED BY DATE: `
BUILDING APPROVED BY : DATE: ''
APPLICATION ISSUED BY• � DATE• �L�D 2- �
k k iF it IF i41f ff 1f k iFiF it k!E k If M k if k ff'iF{f7Fif'£iFiF'iF3F7F�'£�iF'iFiFiF7E7FiF IE M it k If iF if M 1f it�'il•
M 1f k 1f if M M if k iF ik iF if if 1f if k!f k 1E f(�!f k If k If M iE M iF iE 1E 1E iF if if 1E 1f If k IF If if M M iF 1f �f ik IE k it k k iF k 1f 1f 1F iF if if ikiFiF ik IE iF If If 1F 1Elf iF if iF if k iF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 50
SMIP/NON-RES
PLAN " '
ISSUE FEE �'
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL " PAID ' DUE
TOTALS----> 63.50 0.00 0.00 63.50 ,, 63.50 � .00
REVENUE DIVZSION TOTALS--> COLLECTED: 63.50 OVERISHORT: ` 00
HLDG PHT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
63.00 , 50', /��-
if if ik if fF iF k if k k k if if k if iF k M if if iE if k IF if !F k if iE IE IF iF k iF iF if iF 1E if M iF if 1k M if iF M�f IE iE1E if iE if iF if k IEif if M iF iFif M 1E IF If iF�EiF ff 1F iE iE �F if iE ik
I N D I Y 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 3150 REROOF BY VALUE RESIDENIAL NOZONE 1.00 �, 3,150,00
END OF FEES �
� �\ /.
Sg�
E�'.
��
al Q007304I-QQQ73D9? 'b'� i�' y„ ;,
oarE: ioiz9iro rrne: ab: i4
�CONSTRUCTION AND PLANNW,� L & SPA
SAPPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical $ervice�or Pole 52. Pool & Equipment Location
�. ��
2. Soil Pipe-Undrgmd. - .i:.� 53. Steel Reinforcement
�� .v
. 3r Fle`Ftrical Cond tt`,��dlity-Undrgrnd.'"�'� 54. Forms
� i�
,!l�Electrical Conduit�-Undrgrnd., • , , ' 55. Electrical Bonding , .
�b.`_�Steel Reinforcerpent,' �'= 56. Rough Plumbing & Pressure Test -
v` 1 .J^
� � �� 6 57. APPROVAL TO COVER�GUNITE
:c6:�E�ectrical UFER-Gmd. rv
'�7�. F'ootings :�'C�� � 58. EleMrical Conduit�Undrgrnd. •
m �:^. .r.
,.5. Foundation �' " .� 59. Gas Pipe, � Undrgmd., Test �
9. VPater Pipe-Undf�r�il. � �' 60. Backwash Lines, P-Trap, O Undrgrnd. .
10. Structural Floor System � � 61. APPROVAL TO DECK �.
7 i. Property Sewer �Line!& House Connection ' 62. Backwash & Receptor�Final
K
12. Sewer Ca0 ' � � +' 63. Heater & Vent�Final �
13. Roof Drains ic 64. Plumbing System - Final
.
14. Rough Plumbing'; " ' 65. Electrical�Final
15. Rough Electrica�Conduit 66. Solar System-Final '
16. Rough Elearic Wiring 67. Fencing & Access Approval
.1'7. Rough Wiring Si� �68. APPROVED FOR PLASTERING
�18. Rou9h Electrica�iT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - T �- ca E• < !- lV
20. iRough Fattory Fiieplace � iztn �t=• n. .:, ?x + AppRO�VALSuO�permit # Y '- 'T
t" .�' - rr �Sn1 ' rr �'r s UC _'r,;.�:- '� 7 [t
21. Du i�inYStruaure;" ; `��; ''� � �� �' �" " M
a: ; ..�,d ,. .
� . . r �� � �. �-+! t �ZO. Underg`ruurtd-Hyd;o a
22. DuctS Ventilating'x � C 5 � �V 1 cCx �'7�, p�oduct�R`�iny O�G�i ❑Oil
r .�' n�... :f r i• : P h+
23. 6as Pipe-Rough & Tgst ' � x � ''" ��:jp, Under rou_d�Flu"sh, � �``�
r - ,J' 1 ..5 �� •�' � aS C' ' 9 I 'JrC a � -a
24..Roof;Praming.: '�.� i : ._ �; :i p = � �t: 73.�Undergmd:Storage=Tank fOGas ❑Ofi%
!, ��. %� ,r w.r e � ,�T"f a
25. floo�Sheathing x� �r �•��, �y � C Nx r��4.�v_erhead Hydro �' U:
26. �T-Bai�Ceiiing (Strvcturai) & Mpnocoat �� tn �_ �� x 75. �ry Chemi,cal �"j 'T r� C a[
27. ,Frame and Flashirig_�' J�� t T � �T ` 76.fDT'y Stand'pip`� ^" y S � j
q �' t'� .�:: J l, :� , l ' � A : �.i
�28. �Cathing &•Siding � �T . �-cy�= r, v E •• 77.'�FIXED SY-Si+EMryFUVAL" � 7'
-29. Insulatio� `� '` L` "' "•. � , �� 1 ! � ~ _ ^ D
q, i �, R � � � 78.SfIRE PREV. FINAL- �•x �.
�30. Drywall Naili g ��+� � �J �* y ' ' � e � HEALTH DEP7zREQUtREMENT
\� ..f
'31. Plaster Biown.CoaY # ,. ` i�.,�, ; � � r ; ��9. �FINAL INSP�ECTION `;, - = a �
t-i • 1 �. � x � ' •v�- r .� - � , 1
:�2. Electrical_Pow@r N�eteqFinal ; x tt; , � �B.O.,F,OOD CERTIFICATE ISSUED
�33.'Final�Electric,� � .r i 'T `�'� I , �+ r'Not�: � �=� �` �`� �
ti' � `7 tTl � cJ e+7
� }� S � •� � .¢ 1I .. a t_ 'y : a +.n
,34. Final:Hea3ing�& Air i,onditioriings � �� � q y- ;;` :. : -_
35.'FSnal-Gas'Pipe�Test � V - I �' �' r �'�� �`r �`
.. z r,` :tc :,�-• �._•
� a: ..
36. Hood;or CanoPY ,x. ; V' •r � o + ^ � � � :I. :: :lG v 6 �
I
�37.'F.inal=fattory Firepl2ce' � ��' � T th ' + .F. !'^ + ^ �
n� z 1 t-.�.. U Y -�.S :i. .� :J
�38. Final�Plu`mbinq �� '"' ; �� �� , '' � �� . S ;-. a r,,, �
,39. Watej;Service�Final r�� i o :i: � ^ C� rc�± �•� u: O
r .) i t�t�: �� - r c� .S
'40. Gas $ervice-Fi�al �. :_ „;r r �� i � � � F r�� • .• � ; �••
ni "1 ! S � til I �` � C•-. �iJ r
:.41. $olar pomestic-Final S :' � •• a O' � ' " �S' • r �
� � rt• s r: A . t�' .0 C
f42. �Backflow;Preventer � F" � �'� j �. ; ,� �p�.., . d p .
43. 8ackflow IrrigAtion�R �SS i� +; n� ^ " , 5
r- -n :1::C a. �s .i • � �
.Q4. Landscap� Irc gation;System p�qrj ;; y;,, ,�. �, �.r a iK N
:45. �Sound Attenuationa �4:F lr " � � ;' ';'•�! !� ' _
^ a .:i n� C • F V�a •C +
46. �Handicap`,Regulatiori� r, � "� " ','; y � ! _ ��� ••' � '
0 � r... �� W ':.
47.,FINAiSTRUCTURF&BUILDING �, , ��Y �' ���o� ' '' �4�
M � i �n t G
.48. f�INA'L PLANNING*. , �' ��' ' � : ��r � `� • T -
v " i E'c" ? f� t I..�: ��a� �n J: �
�49. iElect�ic Release to Edison i .'y�. ••� 4 i; �X � � �
. 1 . s �r -
`. . . . � �r S C =�:: !� , c.:
,5�0. Gas �elease to Southern California Gas Co ;, � � i, i� a F _, p. ,_ �n ,. �
:51. CERIIFICATE OF OCCUPANCY' ; - '> -, > ;= n�� � ., ,- o
No. Date �
City of Costa Mesa
Building Safety DepaYfinen}
P. O. Box 317
Costa Mem, Colifornia
,
•-�---_
CERTIFICATE OF OCCUPANCY N° 1995 C
The Building located at 755 t� 18tL S''2est' B1dA 1� 1� 2�j �1
has been inspetled and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group � Occupancy.
1
Use of euilding '�1u' ��t Resfdetltivl;.AA�eA� Blllld't[� _ __
Legal Description A• P•_{#116-1T1-30
� (See reverae side for Metes ond Bounds)
Building Permit No. �� Elecirical PermiT No. ��3�� Plumbing PermiT No. 396SO
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. �
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel; or lodging house shall be used or occupied
�ntil the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occ�pancy shall be obtained wlienever there is a change in:
1) Occupancy classification of a building or porTion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of aparTments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8. .
Number of apartmentsSQ]1L��l�— and/or guest rooms �
ISSUED TO: , Building Off ial
IIAI.:B�l1RDSF�Y1,:�w:. 2."t'. bY ��\i��-�n,/ `
Dafe
This Cerfificate of Occupancy SHALL BE posted in a conspicuo�s place on the premises and SHALL NOT BE removed
fexcept by the Building Official of the CiTy of CosTa Mesa under Sec. 306 (e) U.B.C. Foa„ suss-iM-ii-es--s-s r
City of Costa Mesa
Building Safety Deparfinent
P. O. Box 317
Cosfa Men, California
CERTIFICATE OF OCCUPANCY N� 1996 C
7he Building located at 755 W. 18tL Stieet. Fitii181a8 2� Un1te 1� 2� 3& 4 _
has been inspecTed and found to comply with the provisions of all City of Costa Mesa Ordinances applicable ihereto
for a Group A Occupancy.
Use of Building Ebu1' Un9.t Ree38enti&1 l�g&�'tmtIIt Huilding
Legal Description A• p• �116-171-$0
($ee reversa side for Mahs and Bounds)
B�ilding Permit No. �8 Elecfrical Permit No. 21� Plumbing Permit No. �651
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agoncy.
(b) A new certificate of occupancy shall be obfained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of aparTments or guest rooms
3) Ownership
If Gro�p H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article S.
Number of apartments �' ��� and/or guest rooms
ISSUED TO: Building Of cial ��
tial. sc�eL�.v by ,,,,i �
�ate June g 19�+
This Cerfificafe of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Cosfa Mesa under Sec. 306 (e) U.B.C. Fo� suaa-iM-ii-ea--s-a r
City of Costa Mesa
Building Safety Department
v. o. eox at7
Costo Mesa, Colifornia
CERTIFICATE OF OCCUPANCY N� 1997 C
The Building lomted at 755 FT. Z&Lh B�t.reut. BU11d1eR 3� 1TRlto 1 to 4
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 8 Occ�pancy.
Use of Building Irour UniL ReDiHential Apart�ent Bui181n8
Legal Description A• P• �1.7.6-1�-30
(Sae reveno aide for Meta� ond Bound�)
Building Permit No. ��� Elecirical Permit No. �i�7 Plumbing Permif No. �652
Floor Load Signs have been installed as . Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required �nder Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupanry by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occ�pancy classification of a b�ilding or portion thereof
2) The number of apartments or guest rooms � �
. 3) Ownership
If Gro�p H Occupancy, number of aparimenis and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapfer 9, Article 8.
Number of apartments �Ur �;�� and/or guest rooms
ISSUED TO: Building Off' 'al \ ,,^
tiul �esz�etieq yY �...,� �� 1�..�,/
Date =: 9� Z�i�1
This Certificate of Occuponcy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed
excopt by the Building Official of fhe City of CosTa Mesa under Sec. 306 (e) U.B.C. Fo�, sva��M—�i-es--s-a r
City of Costa Mesa
Building Safety Department
P. O. Box 317
Cosla Mem, Californio
CERTIFICATE OF OCCUPANCY N� 1998 C
The euilding located at 7�5 W. lt%tdl Bti'CB'L. Bq11d3tIg 1►i llDite 1'CO �/
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group g Occ�pancy.
Use of Building Fbur Unit Renident3sl qgartmenL Hu1181ag
Legal Description A• P• 4�116-171-30
(See raver�e sida for Mefas and Bound�)
Building Permit No. 2tX�0�i Elecirical Permit No. 21� Plumbing Permit No. �653
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. 8. C. , required under Sec. 3301 (1) U. B. C. —
17050. CERTIfICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
�ntil the owner or operator hos been iss�ed a valid ceAificote of occupancy by the enforcement agency.
(b) A new certificata of occ�pancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, n�mbsr of aparimenis and/or guest rooms as req�ired under Sec. 17050.1 (d), California
Administrative Code, Title 8, Ghapter 9, Arficle 8.
Number of apariments �� �4� and/or guest rooms
ISSUED TO: Building O cia ��\��-�G'�
Hal Eeaz�9alev by ,,� �
Dare "
This Cerfificate of Occupaney SHALL BE posfed in a eonspicuous placo on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo� svs�—im—ii-es--s-B r
City of Costa Mesa
Building Safefy Deparfinent
P. o. 6oz 3t7
Co�ra Masa, California
CERTIFICATE OF OCCUPANCY ]1j�
2011 C
The Building located at TSS td. 18th Street. Unite 1 tA 4� 81111d1oB 5
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable ihereto
for a Group g Occupancy.
Use of Building F1Dlu' Unit ArRrtmeflL 81111d1QK
Legal Description A. P. �].16-1T1-30
(See roverse aide for Mefa� and Bound�)
Building Permit No. �1 Elecirical Permit No. 21�i�L9 Plumbing Permit No. 39654
Floor Load Signs hava been installed as Room Capacity Signs have been insfaled as
req�ired under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be �sed or occupied
until the owner or operafor has been issued a valid certificate of occ�pancy by fhe enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classificafion of a building or portion thereof
2) The number of apartments or g�est rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apariments '�� �4� and/or guest rooms
ISSUED TO: B�ilding Offici I
Hal BearfleleY �• '"�`�✓
by�
This Certificate of Occupancy SHALL BE posted in a conspicuous place�on fhe premises and SHALL NOT BE removed
except by fhe Building Official of fhe City of Costa Mesa under See. 306 (e) U.B.C. Fo�, sva+—�m-3�-ea--.s-a r
City of Costa Mesa
Building Safefy Deparfinent
P. O. Box 317
Cosro Me�o, Californio
CERTIFICATE OF OCCUPANCY N� 2000 C
The Building I«ated at 755 W. lBt}1 Btreet� Su11d1II8 6� Ua1Lo 1 to �L
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group A Occupancy.
Use of Building Fbur Unit Reoiflen�iul Antirtment �i14f.nE _
Legal Description �:• P• ��7.1i-1'li.-30
(See ravana �ida for Moiei and Bound�)
Building Permit No.—�2� Electrical Permit No. 'a-i � Plumbing Permit No. 3965$
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a bvilding or portion thereof
2) The number of apartmenis or guest rooms
3) Ownership
If Group H Occupancy, number of apartmenis and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments F�r ��� and/or guest rooms �
ISSUED TO: B�ilding O cia C�
Hal Seardoley yy � �'�✓
Date �+�
7his Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
excepf by fhe Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. F�,,, svaa—�M—ii-e�—s-a r
City of Costa Mesa
Building Safety DepaMment
P. O. Box 317
Co�fo Mesa, Califomia
CERTIFICATE OF OCCUPANCY N� 2��1 C
The Building Ixated at 755 Gi• �.�t 6tI'EC't� 81331fiiLt$ %i UD�.LB 1'CO !1
has been inspected and found to comply with fhe provisions of all City of Costa Mesa Ordinances applicable ihereto
for a Group a Occupancy.
Use of eu�lding +bur Unit ReaiBential Apartment L�:1181q;
legal Description A. P. {�116-1'r1-30
(See roverw side for Metu and Bovnda)
Building Permit No. �03 Electrical Permit No. 21451 Plumbing Permit No. �656
Floor Load Signs have been installed as Room Capacify Signs have been instaled as
req�ired �nder Sec. 2308 U. B. C. . required under Sec. 3301 (7) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging ho�se shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupanry shall be obtained whenever ihere is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, n�mber of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments �r �4� and/or guest rooms
ISSUED TO: Building O icial
sal aeuraeley bY �
Date J�e 9s li�
This Certificate of Occupancy SHALL BE posfed in a conspicuous place on the premises and SHALL NOT BE removed
excepf by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. Fo:,,, ava+-aai-ii-ea-s-s r
City of Costa Mesa
Building Safety Departmenf
P. O. Boz 317
Costa Maso, Califarnio
,_ ,
CERTIFICATE OF OCCUPANCY N� 2002 C
The Building located at �$,5 ���h �rFe?� �i �R¢ 8 UAIEe 1 YA �1
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group �— Occupancy.
Use of e�ilding Fbu1' [h11t RetildenLlB1 AABrtmeIIL F3u118108 __
Legal Description i� p- '�Lti_1�=?�
(Sae raverse �ida for Mefe� and Bo�nds)
Building Permit No. Qi(iQ�li Electrical Permif No. ?1452 plvmbing Permit No. �S7
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OGCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been iss�ed a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occ�panry shail be obtained whenever there is a change in:
1) Occupancy classification of a building or portion ihereof
2) The number of apartments or guest rooms
3) Ownership
If Gro�p H Occupancy, number of apariments and/or guest rooms as req�ired under $ec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
N�mber of apartments �w.• 1� and/or guest
ISSUED TO: Building Offi I
&.al Bmrdele�r by �
oara Juao 1
This Cerfificafe of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the Cify of CosTa Mesa Y11fI@� SCG. SOG (B) U.B.C. Form BU34-1M—Il-fiJ—.4B P
Ciy of Cosra Mesa
Building Safety Deparfinent
P. O. Boz 317
Cotta Man, Colifornia
CERTIFICATE OF OCCUPANCY N� 2003 C
The Building located at ��tJ. l8th Streejy BuildinR 9. Uoite lt0 11
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Gro�p $ Occvpancy.
Use of Building Ren�r [init Reaiflentlral Avartment BI111810A
Legal Description A. P. �116-1T1-30
(See rovene sida fw Mata� and Bound�)
Building Permit No. '2i1,QQ5 Electrical Permit No. 21�152 Plumbing Permit No. 39658
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment ho�se, hotel, or lodging house shall be used or occupied
�ntil ihe owner or operator has been issued a valid certificate of occupanry by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or porfion ihereof
2) The n�mber of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of aparimenis �ul' ■�� and/or g�est rooms
ISSUED TO: Building icia ��i�/�7�
Eal Hearaelq► by �
Date JURB 1
This CertificaPe of Occupancy SHALL BE posted in a conspicuous place on The premises and SHALL NOT BE removed
except by the Building Official of ihe City of Costa Mesa under SBC. 3OG (0� U.B.C: Form HU31-1M—il-B3—SB P
_r: FEE RECEIVED
• '` 2�79$ 0,rZT 1 4 19ti3
COSTA MESA BUILDING-SAFETY DEPARTMENT II�IANCE DEPT.
P. O. BOX tll] C08TA M68A� CALIPORNIA
For Appl(canf ro Fill In Compl �� / CA�PPLfCA716N�FO1tEPERMiT
TYPE OR PRINT �/� � BUILDINCi
For OKice Use Only
BVILDINO
ADDRE33
R6C81K NO. PBRMIT NO.
COSTA MESA, CALIFORNIA •
H8C81 D Y .9 6C 1 DAT81 BUHD
� % �V — .���
OWNER �
BUILDI
MAIL AODRE
AODREB$ 1
FIRE
CITY $].0 $ NO. �ONE TYPH OROUP
MPROVED �
ARCHITECf' ' TEL. BY DATB
OR ENGINEER ,
. ZONINf3 �
a� :ss
ZON NO. OP I U88 OP N8W
�una� euao�xa�x��� ,w
CONTRACTOR �� J C 7 ( v �
t HBCRII�10�(^-�� � � ✓~ / V
ADDRH68 aV�Oe / �(� \ �
� . A. P. NO. i, CJ — �I — � �J _,
cirv � �
^�� 1� NOTE: NO EAVE OVERHANG SHALL BE LH88 THAN �
� � TNo. 1992l�6 B�. N� ' QR Jv90µ 90' TO SIDE Q REAR P. L.
EAVES
SIZE I No.oPeLOae. ALLOWEG (U.B.C.RHOUIREMENT)
OF LOT xow oN LOT '
YARDSAPPROVED YARD9APPROVED
USEOF ' MAIN BUILDIN6 ACCE880RY BUILDIN6
EXI6TIN0 BLD6.
. ( FROM GL /HaT�RE4T) �
eeTB�CK LINE PROM FRONT V FT. PI�.
CeNTBn on errseeT rjn Ft REAR YARD Z
81DE YARDI L6FT R16HT R.BI�H /� FT. � FT.
�
DESCRIPTION OF WORK �. aioe � rr. �. j��
NF'"- X ALTeRATION ADDITION RHAR D RT; FT. �
� DISTANCH BHT. BfiT. MAIN � :r'
REF..iR MOVIN6 OEMOLIBH MAIN BLD6S. AGC688. BLDOB.
�(.y(� VAR.IC DATH
6 Z'E D0�` X Z9 ROOMH 22 HT RIEB 2 C. U. P. �� 0�L APPROVED 9— 6� 6 C�
EXTERIOR WAIy + ROOF MP � �/����� �y (� //� C
COVERING lla9ter COVERINO •- ROCk Bl' " - � " - ` DATE O—/ / _`� (/
U8H OF BUILDING ApD WORK TO BH PHRF MHD Q.
A artment c.
�
c
So. cr. .i L �
1 XePBBY �CKNOWLE008 TH�T 1 HAVB R6AD TNIB �PPL�CATION TX6 �MOYNT BHOWN UNOEH VALU ION 19 POR TXe 9
AN� BTATB TH/�T TH8 A V8 IB C R AND AOPHE TO COM. PUflP08E OP HBTABLI8HIN0 A PHpMIT FHH ONLY. �
PLY WITH ALL CITY O ANC88 O AT8 LAWB PE6UU1TIN0 y(�LUATION
BUILOINO CON9TPOCT m
PERMIT FEE $ O I � �
�
61GNATURE OF m
PERMITTE ' � / � �j (W =
1O ,�L LA EC � O
. � � 6 /
AUTHORIZED AGBNT TpTALFEE $ /62 ) • '
20$98
COSTA MESA BUILDING-SAFEfY DEPARTMENT
P.0.90X91! C06TAM68A.CALIPORNIA
For Applicant fo Fill In Comple►e r/
TYPE OR PRINT Anl
A BUILDIN6
COSTA MESA. CALIFORNIA
1992b6 B=1
■ BETBACK LINe PHOM
TEL.
30904
DESCRIPTION OF WORK
- bb? X Z'
NGWI1ttStiBi
BU ILDING AND V
I HEREBY ACKNOWLHCOB THAT 1 HI
ANO BTATE TNAT TH8 �BOVB 8 CO
PLY WITH ALL CITY ONOIN 8B AD
BUILDIN6 CONBTPlIR10N
SIGNATURE OP
PERMITTE
AUTHORIZEO AGENT '-
uwa
Rock
rtt rct�tivtu
OCT 2 b 18ti3
� � FINANCE DEPT.
�CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For ONica Use Only .
RCC[I�T NO. PEPMIT NO. T
`��'
HHC[I�Y DA%I�p[Ot1V6� OAT6188118 \ U
�U O�.% �o-a s-6,� -�
BUILDIN6 `�
AODRfi96
FIRE '/
ZONE TYPB • GROUP � � �
APPROVHD
BY DATE
ZONING � � �
z �L No.or -aeoarv �
nuxe eui�oino
�eo�� '/� . hN%� ! n.5
DEB<R�P�ION � �
A.P.NO. �I � a
NOTE: NOEAVHOVERHAN68HALLBELESBTNAN �/
90'TOSIDBBREARP.'L. �CT 2� 7,pl� 17�J
f�y � d
EAVES
ALLOWED (U.B.C.REQUIRHMENT)
YAR�SAPPROVE� YAR�SAPPROVED
MAIN BUILDINO ACGESSORV BUILDIN6 � �'
R. SIDH RT. FT. F
L.6ID8' . ^ " PT. yyZj'
. �
REAR 'Ff./ FT. u�
C
DISTANCE BEf. BET. MAIN B �
MAIN BLDGS. ACCESS. BLO69. �
VAR. �F' DATE � �// W
C. U. P. $� 7 Z� APPROVEO� . D/" ✓ Z �
APPROV6D —% C�'�/, ,
BY DATfi rJ ✓ ¢
v
Itl
C
� /� �
.� %�7 K� 60. PT. m O
TFie AMOVNT 9HOWN UNDHR VALUATION �8 FOR TH! $ j
PIIRPO88 OP 6BTABLIBXINO A PEpMIT FE8 ONLY, p O
VALUATION /J� m !n
PERMITFEE $ /G � 't
�
$��l g-93 � � s
9
/- 6
' TOTAL FEE $ //�/ � �
• � 20899
' •' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 91] COHTA MCHA. CALIPORNIA
For Appl7canf to Fill In Complet
TYPE OR PRINT
BUILDIN6
ADDRE59
COSTA MESA, CALIFORNIA
�
above
1 BTATN„ 199246 B=1
USE OF
EXISTING BLDO.
9HTBACK LINB PROM
OR 30904
� do. or e�ooe.
DESCRIPTION OF WORK
."...'663 x 29
�RIOR W�ster
ERING
OF BUILDIdG AND Y
TO BE
I HEREBY ACNNOWLEOO! TXAT 1 XAVB
•NO BTATE THAT THH ABOVH IB COqRF
PLY WITH ALL CITY OROI GB AND
BUILOINO CONBTRYRION.
81GNATURE OF
PERMITTE —
AUTHORI2ED AOENT
22 STORIEB 2
�n Rock
'8 UWB R6OAUTATINO
G�2�_ `� /
FEE RECEIVED
OCi'z b 1863
FINANCE DEPT.
APP �ICA770N'FOR' PER10(1T
� BUILDING
For Oifica Use Only . ``
' x
R[C[III' NO. P6R IT NO.
n¢cn m sv o n ciivio oereiaeyeo �
� y`b �,5 ` i� _a s -�3
BUILDINO `�
ADDRHSB
FIRH
ZONH TVPB � GROUP �
APPPOVBD
ZONING . ti . ,. � �,
Ho. or � 4ee ov _„I ��
FUNe eu�lo� .A.M .IInwJ/IT��L
� %t J
8HALL BE LE88
YARD9APPROVED I YARD9APPROVED
MAIN BUILDINO AGCESSORY BUILDINO
L.81D8 PT. �y RT. �
RPJ1R FT. !j
DIBTANGH BHT. BET. MAIN B �}'j
MAIN BLDGB. ACCESS. BLDOB. .�{�
VAR.�C DATE �_/[ ` 9
C.U.P /� � APPROVHD V �Y
S
APP O ��.J O�.
BY DAT6
�
Q
U
�
a
/ a
3 J� "" SO. Ff. � C�
TX8'AMOUNT BHOWN UNDBP VALYATION 19 POR TX8 = O
PUHPo88 OP GBTABLIBNINO A PHRMIi F88 ONLY. p
VALIIATION /1 - �
PERMIT FEE V /- � ,
/— �T
3�'.�3- m
$ / PLAN CHECK $ • 7 � O
¢
. . 2OVOO
COSTA MESA BUIIDING-SAFETY DEPARTMENi
P.O. BOX H17 GOSTA MBBA, CALIFORNIA
Fo� Appl7canf ►o Fi11 In Compl ely �
TYPE OR PRINT
BUILOINQ
ADDRESS
COSTA MESA, CALIFORNIA
B81b08
above
199246 B=1 H��� pR 3090l�
0
■ BETBACK LINB PROM
DESCRIPTION OF WORK
x II �LTFRYTION I I �I]O
5 ZE�i V� X 29 ROOMS 22 STORIEB 2
�nvco��R WAt183ti@i'- I ROOce�un ROC�
FEE RECEIVED
OCi z s is63
��, 7FyINANCE DEPT.
,,Qy,,L�1CATIOI7'POR PEWNR
(J� BUILDINCi
� For Office Usa Only
p8C81P! NO. vae�
owra
7 —.
ZONING
NO. OP SH OP
PUNB BYILOI!
ceimow � • iti'° T/�P/S �.1 y 1�� �^
��,� — 7/-,3 a �
>. NO. .�ifJ�
.--- rQ
fE: NO EAVH OVFRHANO BHALL B8 LE88 THAN
'TO8IDEBREARP.L. � �CT
�E3
.OWED (U.B.C.REQUIREMENT
YARDSAPPROVEO YAROSAPPROVED
MAINBUILDIMa ACCES90RYBUILDIN6
VAR. SF
DATE � /� �
APPROVEO
...�e /o'_l_j -�.
1 HEREBY ACI(NOWLEO68 TXAT 1 XAVH RPAD TN19 APPLtCAT10N TX6 AMOUNT BXOWN UNOBp VALUATION IB POP TH8
AN� 6TPTE TNAT THE ABOVE 19 CORNECT AND AOREE TO COM. PUHPOBfi OP EBTABLIBNINO A P2HMIT PE8 ONI.Y.
PLY WITH ALl CITY OPOINA EH AND T8 lAWB q80ULATINO ypLUAT10N
eullo�rvo corveiaucTloN PERMIT FEE S O �
SIGNATURE OF L
PERMITTE . s��� J,�" A C J
AUTHORI2ED AGENT � � � � j _
, ' 20901
COSTA MESA BUILDING-SAFETI' DEPARTMENi
P.O. BOk 91] C08TA M68A� CALIPORNIA
For Appllcanf fo Fill In Comple
TYPE OR PRINT
ADDRES9 �'�� w�• y�ytl� Jy�
COSTA MESA, CALIFORNIA
OWNER t181 p.caIi�91@y
MAIL 1247 Miremar Dr�
ADDR 89
��TM Balboa T�,o�OR 309
ARCHITECT TEL
0
�FEE RECEIVED
OCT 2 5 1963
fINANCE DEPT.
6 ���CITY OF COStA MESA
S _' D �APPLICATION FOR PERMR
,���� BUILDING
for Office Uae Only
R6C81P� NO. PBRMIi
an
LIC.TNO. 1i9��" BTZ HE`..Or 30904
size ' no. or e�on. O
OF LOT I NOw oN LOT
USE OF
EXISTIN6 BLDtl.
BHTBACK LINB Pfl�M
CHNTeP OP 9TR8 RHAR YARD��
81D8YARD LffFf l�J �t R�OF7T u12
pESCRIPTION OF WORK
.._._ �% � .. _ee._..... � ......_.__.
NO. OP
�R�OOMB
I ROOP
eu
I NBPEBY ACKNOM16D0H THAT 1 NAVB RBAD
•NO BTATE TXAY TNe • VH IB C CT A�
PLY WITH �LL CITY O NANC88 O TATB
BUILDINO CON9TWYR /^/
SIGNATUR80P _ // /�y,
�� AUTHORIZEDAGENT
P8C81V8p BY
V
ZONINCi
O UBHOPN I( A .�'
,NB � em�orn - �i�JVVL
�1
�- e �i'7 f
_ / � / -- j (�
)VERHANG BMALL 9E LES6TMAN
YARDSAPPROVED
MAIN BUILDINO
!OM GL STRE�.7')
VAR. Ji
YARDS APPROVED
ACCESSORV BOILDING
eeT. Mwirv a
ACCE58.BLD09.
DATE � /� /
APPROVHO V
n.rr �D ��.�`I
� n
.S SG. PT. �
:1
1TION TXH AMOUNT BXOWN IINOER VALUAT�ON IB FOR TH8 �
COM. PI1RP08F OP EBTABLI9NIN0 • PERMIT FHE ONLY.
�T��o VALUATION
PERMIT FE8 S /� � �
s .��.593— A E � �' ¢
O
�rnr�� vcv ¢ � / % � 6
" S _:
5 ,2�5
Z
W
f
41
a
�
d
W
LL' '
�
Q
V
W
C
h
• 20902
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BO; 91] COHTA M66A. CALIRORNIA
For Appltcanf to FIII In Complete �
� TYPE OR PRINT
BUILDIN6 ,
ADDRE88
COSTA MESA. CALIFORNIA
TOR v� �
i �
199246 H#1
■ BETBACK LINB PHOM
�
oR 30904
DESCRIPTION OF WORK
X �a�renar�ovl I aoe
x 29
`�ster
I NEREBY ACKNOWLHDI
•NO BTATB THAT TH8
PLY WITH ALL CITY ON
BYILO�NO CON9TPUCTI
SIGNATURE OP
PERMITTE
AUTHORIZED A6ENT
0
7_�, .
f 1 XAVB qG0 TNIB APPLIGTION
IB COflflG�T AND AOPHB TO COM.
'.6B ANO BiAT6 LAWB H80ULATINO
FEE RECEIVED
OCi 2 5 1963
FINANCE DEPT.
� i "� iCPPLIC�TIC7f7TFbR"F�E12MR
����� BUIIDING .
for Office Use Only - ``
RtC[II� NO. /l���/� ✓\
GIJJU[ �(�
RHC61V D�Y D T 116C81V[D DATi�88UFy r(
� T�l` �5-63 10��5-�
BUILDINO �
ADDRH88
PIRH . / �
ZONB TYPH {� 6ROUP
APPROVHD
BY DATB
ZONINf3 _ ��
Z �`_ NO.OR7 U880FN8W
PLANO/ ew�oino
A. P. NO: I �� � � .� V r
NOTH: NOEAVEOVERHAN06MALLBHLE88THAN T .)����
YARDBAPPROVED I YARDSAPPROVED
MAIN BUILDINO ACCESSORY BUILDING
�. aioe r rr. F�-
¢
REA PP. FT. �
DISTANCH BEf. BET. MAIN R
MAIN BLD68. AGCE69. BLDOY. �
VAR. �F DATE N/�� / s
C. U. P. APPROVHD ' � �
DATHI�� ��} �G _y
F�
.�w
�
39.s� " �
6Q. FT. ^
TXe AMOYNT BHOWN UNOBR VALUATION IB POR TH2 g {t
pYPPOBE OP 88TABLIBXINO • PBRMIT FH8 ONLY. ��
VALUATION /O . o
PHRMIT FE8 � �
0
$ � 6 r`i.�-- � — a
Z
� 0
/ Y
TOTAL FEE S I YJ ��
.. ?0903
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. @OX �17 C09TA M66A. CALIFORNIA
For Applicant to Fill In Complat �'
TYPE OR PRINT
ADD E'63 755 w• ZV til'1 Sti�
COSTA MESA, CALIFORNIA
OWNER g�- Beardsley
MAIL 17,�7 Miramar Dr�'
ADDRfi6II
�,r,, Balboa No•OR 30
ARCHITECT THL.
FE�RECEIVED
CT 2 5 1963
� � FINANCE DEPT.
�CITY OF f�STA MESA
APPLICATION F R PERMR
BU14DING
For Office`Use Only �'
116C61I1' NO. P y�p �
La �
.7
n�ccrv� �r o r[ necarveo o��c iasue
. a- , d-a � (� �
aui�oiNa
ADDR6II8
ZONH TYPE- � GROUP ! v!
APPROV@D � . �
BY DATE
^ ZONING .�
ZO ' NO.OI i I.Y060PN6W � �
L60AL
7 l � .� V LcT •.�
A.P.NO. - 1.]5'
NOTE: NOEAV80VERHAN08HALLBELE88TMAN
O O 90•70HIDE8REARP.L
eAVE9
No.o�e�noe. ALLOWED (U.B.C.RHOUIRHMENT)
r+ow oH wi O
YAR�BApPROVED YARDSAPPROVHD
MAIN BUILDINO AGCE650RY BUILDING
■ csTUTEw OP'BTham~ ��`+ 1't RHAA VAR� /�
DESCRIPTION OF WORK
7C _.___.____I __.
OP
OF BU
I HEpEBY ACKNOWLHDO! THAT 1 MAVB RHAD TXIB APPLIGTION
ANO BTATH THAT TN8 �BOVe IB CON AND AOflEE TO COM-
PLY WITH �LL CITY OHGI �NCU AN BTA [ LAWB RHO�
BIIILOINO CONBTflUR
PERMITTH E OF K �
AUTMORIZ6D AGHNT
�
P. BID FT. Z
/ (V
L.81D RT PT. �
II�
REAR FT. �
DISTANGH BET. BET. MAIN Q �
MAIN BLDpH. AGCESS. BLD68. �
CA�. P � 1 APPROVEO ! ���/ � � ..�
A P
l0-t. ¢
E DATH U
�
a
�
oc
O
(� u.
� /S� N ♦
g�. �. O I�
TN8 AMOUNT BHOWN UNOEfl VALUATION I8 pOH THE F O
PUflP088 OP lBTABLIBXINO A PERMIT FE8 ONLY. � Z
VALUATION �j m
PERMIT FE8 S �" �
p m
s� �.�/� � o c � c
� ���� .
rnr�i w[s S
� 20904
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOI�1] COHTA M88A.CALIPORNIA
For Appltcant to Fill In Complate_///���ly��'���I ///�111
TYPE OR PRINT, r�
JRE'S9 7� w• 1V lih. .St.
G05TA MESA, CALIFORNIA
,MAIL
AODRESH 1
above
� BCTOACK LIH[ PROM
Dr:'
30904
C�]
DESCRIPTION OF WORK
x IALTHRATIONI IIAOO
s1ie��r+o G� 7C 29
E%TERIOR W�L�St@I•
COVERIN6
USE OP BU I�DIflO ApD Y
1 HENBBY ACKNOW�BDO6 TXAT
•ND BTATB TH�T TX8 �B B 1
PLY WITN ALL CITY � ANQ
eu��oixo cone'rnu
61GNATURE OP
PERMI778
AUTHORI28D AO6NT
Rock
I pBAO TMIB APPLIC6TION
8CT AND AOq88 TO COM-
BTATB LAWY qeOULATINa
Bul
FE RECEIVED
�IGT 2 6 �96
� FINANCE DE�T.
�CITY OF COSTA MESA
APPLICATION FOR PERMR �
BUILDING
For Offica Use Only � \
RHC61P� NO. PlAMIT NO.
�rrre V
ZONINCi
no. or � uei
—,� � .[oT/J
NOTE: NO 6AVE OV fiRHANO SHALL BE LE88 THA�� \. Y 7�
90' TO SIO6 8 R6AR P. L.
EAVE9
ALLOWHU <U.B.C.RECUIR6MENT
VARDB MPROVHD YARDS APPROVED
MAIN BUILDINO ACCEfi80RY BUILDIN�
. aioe ��� � Fr.
nun �. Z
DIBTANG iT. 6ET. MAIN Q �
MAIN BLD68. AGGfiBS. BLDO .
p� / 1
2 CAU.P. � �v APPROVED �� � C� �
M R 6 L�'� O OATE I D �L�,�� �
...1
,a
,u
�:
5� 6a. �.
0
TNH �MOUNT 9XOWH UNOBR VALUATION IB POP Tl18 9�
PUflP088 OP [IITABLI8NIN0 • PBflM�T P88 ONLY. 0
VALUATION D� �
PERMIT FEE $ '� �
s� � J' �1.3` --- o
�
\�
.. � 20905 �y
COSTA MESA BUILDINGSAFETY DEPARTMEM'
� P. O. BOi 917 C08TA MBBA. GALIFONNIA
For Applicant �o FIII In Complefa �
TYPE OR PRINT
ADDRESS 1.75 W� 1�1t11 Sti�.
COSTA MESA. CALIFORNIA
ADDRfiDB 171�Z Mira�ar �
��r„ B$Zb08
��
9UOV8
� BLTBACK LINE PqOM
E� ZO Fti I R16HT
DESCRIPTION OF WORK
x II I
X 29 NO.OP '2'2
annuu
ce�
1 H¢HEBY ACKII0WLE008 THAT I HAV@ RGD TNIB APPLIG
•ND 9TAT8 TNAT TM OV8 I! qpHCT ANO AOHB$ TO
PLY WITH wLL CITY INANCB • O/TAT[ LAW6 OUL
BOILOINO CONB�'pU N/1 / � �
� AUTHORIZHD AGHNT
�
FEE RECEIVED
OCT z 5 19fi�
� FINANCE DEPT.
l� AP�'LICA�fON�FO�fE R�k7v1rT
BUILDING
For Offlce Use Only
sr
ZONINCi
� _ ' NO. 01 q UB6
runs 1 � �euu
,.No./%! = /7/—.3 C� T��
fE: NOEAVHOVERHAN68MALLBELEBSTMAN '
' TO SIDE @ REAR P. L
'ES
.OWHD N. B. C. REGUIREM6NT:
YAPDSAPPROVED YARD9APPROVHO
MAIN BIIILDIN4 ACCES90FY BUILDIN6
� ^AP. iC
Z ■
DATE
ED ���G
l0'�1i.S'
TX: AMOUNT BXO�Vry UNOEP VALU�TION IB FOp TX
PtIRP088 OP 89TABL18MIN0 • PEqMIT REe ONLY.
VALUATION / O
t PERMIT FEE §
.}(,,>l3- s
� �- r
��
�s
- '�
z
LL
� ,�
K
7
O'
w
z
.:�
o a
g = �
s w
o n.
m N
__ n �
� �
y m
, �.
s
LL �
_ �
s
, �_ i
, '� 20906
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX Ht] C08TA MHHA, CALIFONNIA
For Applicont to Fill In Completely�
TYPE OR PRINT,
ADDRESS �SS W 18th �t�•
COSTp MESA, CALIFORNIA
OWNER HAZ BeBTC�s18y -
MAIL 1Z�1t7. Miramar Dr
ADDRE98
r.�ry �1i08 vn�OR 30904
SIZE I No.ore�Cas.
OF LOT How On �OT ffi
USE OF
EXISTING BLDG. i •
eeTancrc un[ PRon� 21.(� REAR YARD ��
CENTHR OP YTRB[T 4J
BIDHYARD LERT 8S2 I RIOIIT 1S7
DESCRIPTION OF WORK''A
NE`"" X ALTfiRATI N AODITION
REF..iR OVINO DEMOLIBH
BUILDINO 11. X 1_S NO.OP �5 � �
f.17F 4 LL onnua ne�ra
� USEOFBUI
1 HEHEBV ACKNOW�80ae THAT 1 HAVB qAD.TH18 �PPLIGTION
AN� BT�TE THAT THe ABOV 19 COR Ci� AND �aNEe TO COM-
�PLY W�TH ALL QTY OflU C88 AN BT TH LAW9 N60YLATINO
BUILDINO CONBTRYt}�O
SIGNATUREOP G� (/.
PERMITTE '
AUTHORIZHD A6@NT ,
FEE RECEIVED
OCT 2 8 1963
FINANCE DEPT.
APPLICATIUIV F61FTPewM�nErSrA
BUILDING
Por Office Use Only
OY
\�y NO.OF
I) PLAND
APPROVHD
BUIL�DINO
ReAR I� PT.rVZ.
D18TANCH BHT.
MAIN BLO08.
VAR.SC -� w
� ��-a a �^-�
.I
� U880!' N[W �.'\!/�/
OWLDINO `
� , �
�—.30. _ �.
BHALL BE LE38 THAN r�
� U
<U.B.C.REQUIREMENT)
YARDBAPPROVED
ACCESSORV BUILOING 1
ATI PT. `�
r—P 3
yi3 6q. �.8 �
TH6 /�MOUNT BXOWN UNOHP
Pl1PP068 Op H9TABLI9HING
VALUATION
� PERN
s %Jj.3�4-
9'/ �-� �
O —Lj 'C2 U
- a
�
a
0
W
o �
IB FOP TH8 � O
R68 ONLY. O �+
�0
N
�
/a5�p
3/ J V �
~ COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX Tf7 C08TA MHBA, CALIFORNI/1
For Appllcant fo Fill In Completaly �
TYPE OR PRINT
BIIILDINO 755 w.. 18th 3T•
ADDRE58
COSTA MESA, CALIFORNIA
� MAIL
ucTrEio. 19921i6 B-1 No' Q$ 30904
512H no. o� e�oas. O
OF LOT I�Ow On LOT
USE OF
EXISTING BLD6.
6ETBACK L�Ne PROM
ceHTen oP BTneci RBAR YARD_p_
BIDBYARDI LHPf' R16FIT
DESCRIPTION OF WORK
�x � � �
1 NHHEBY ACKNOWI.HOae TNAT 1 M/�Ve
AND eTATB THAT TXe ABO �e COqql
PLY WITH M1LL CITY ORO NCYB AND I
BUILDINO <ONBTRUCTI
9IGNATUREOF �_D I
� AUTHORIZfiDA6ENT
TH18 APPLICATION
O AOfllB TO COM•
FEE RECEIVED
OCi Z 8 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDINf3
For Off7ce Usa Only
q6C61PT NO. PJy�,y
ieau���l �
TYPE V 6ROUP �
DATE �
ZONINCi �
NO.OF I UB60PN[W •
PLAXB lYILOIN
>T � � � i � �3� ��
-i� _/>/-�v
SHALL BE LESS THAN
APPROVEU YARDSAPPROVED
BUILDINO ACCESSORYBUILOINO
�
newn rr. �. �
OIHTANCH BHT. BET. MAIN R � J
MAIN BLD08. ACCE88. BL009. �i+
4
VAR.SF DATE �+� ��
C. U. P. LO �� APPROVED 7 /� � �
a
BPP � DATE '" �+"S� �G �
�
�
I / � l�
SO. FT. �
THH �MOUNT BXOWN UNOeR VIILUATION 19 FOq TX8 E �
PUHP088 OP H9TABLIBHINO A PHRMIT F8E ONLY, p
VALUATION �I m .L
PERMIT FEE $ j
:.��y,3— � � ���,s—� a $
, '� �0908
COSTA MESA BUILDINCrSAFETY DEPARTMENT
P. O. BOZ 917 C09TA M6HA. GALIPORNIA
For Applieanf to Fill In Complataly O
TYPE OR PRINT
BUILDINO y
ADDRESS
COSTq MESA, CALIFORNIA
1 MAIL
Owaer
199246 B-1
■ 8ET6ACK LINB PHOM
OR 30904
DESCRIPTION OF WORK
SIZE �� x Z�d
E%TERIOR VJA�l83.te2,
COVERIN� t
UBE OF BUILOIfiG qND'
,
I HBREBY ACKNOWLHpOH'
ANO BT�TB THAT TM$ •
PLY WITH �LL CITY OR
BUILOINO CONBTHUGT�
HIGNATURE OP
PERMI7TE
AUTHORIZEG AOEryi
XAVB RHAO TM18 �PPLIGTION
COHPECi AI{D AOREB TO COM-
•ND BTAT8MW8 PH6UI.ATINO
FEE RECEIVED
OCT 2 8 1963
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Offica Usa Only
11[C61RN0, f2►}
�Y O� [ [C[IV[D SVI J�y6R883��
_ �� �5'-L
, �
APPROVED v �
BY DATH
ZONING
Z N NO.OP U860 NEW '
� PLAN6 IN ` r
DBBCRIRION �IV � \ �
A.P.NO. //G�/ 1 L ~C/ 0
NOTE: NO EAVE OV EqHANO BHALL BE LES9 THAN
90' TO 61DE 8 REAR P. L
EAVES
ALLOWHD fU.B.C.RE0UIREMHNT)
YAROB MPROVED YARD9 APPROVED
�(�/fTR}NBUILDINO ACCE950RVBUIL�INO
( �
R. BIDB P�. Ff. �
Z
L. BIDB �. �. .:J
• L
REAR FT. FT. W
J
DIHTANCB BLT. BET. MAIN 9 �
MAIN BL�aB. AGCES9. BLDOB. a
VAR.# DATE [ �
C. U. P. � APPROV6D � /V �
f ,
B1'P DATB I � � �--��V ' �
If
:J
L
�
x
/� ,� o
s4. �. �
TXH AMOUM 9HOWN UNDHP VALllAT10N 18 POq TXe � �
FURP086 OP HBTABLIBHINO A PERMIT FE6 ONLY. e �
VALUATION J^ m
PERMIT FEE $ �` / j
,��y�3 /O, 5o a
$ .� . `7 / �_. �`
. • 20909
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO1[ 91] C09TA MBBA, CAL�RORNIA
For Appllcanf fo Fill In Completely '�
TYPE OR PRIN7
ADDRE68 lytF] � ti
COSTA MESA, CALIFORNIA
FEE RECEIVED
ocT z 8 �ses
FINANCE DEPT.
�L�� �QF COSTA MESA
AP A ION FOR PERMIT
BUILDING
Por Offite Usa Only �
I�6C[IP� NO. Vagt�T ry �� ` _
Lll9 �c
R6C61V U8Y O p6G81V6D DAT8108UBD �
1 Beardsle � OCT 3 n 1963
BUILDIN6 ' �
1747 MiremRT Dr: ' Anoness
FiRe
B&lUoa No bR 30904 ZONH �rwe 6ROUP
- TEL. A�'PROV6O I 1 �
NO. BY OATE r4.
.oR OiiIIer
above
1992l�6 B=1
■ BR�ACR LIX6 FROM
OR 30904
DESCRIPTION OF WORK
x I I
x 54 NO.OP
ROOMS
�L{c}en ROOP
1 XEqBOY �CKNOWLlDOB TX�T 1 NAV6
•ND BTRTB TNAT TX8 ABO IB COqpl
PLY WITN ALL QTY O AHC[9 AN
BUILO�NO CONeTPYR /
SIGNATUREOF l,
PERMITT6
AUTHORIZHD A6HNT
TORIHB 1
Rock
TXIB APPLICATION
10 /10R66 M COM-
LAWi RBOYLATINO
ZONING
NO. OF UB[ OF N8 /�
P�ANH ILOINO�`�''
eT/e ttiQ ;�7 � �
��� `�7 — � �
�VE OVERHAN6 SHALL BE LE88 THAN
YARDB APPR�YED YAROS APPROYHO
.�BUILDINO ACCESSORYBUILDINQ
!OM C/L BTRHE
INT IDPT R
- -- �
F
R6AN FT. F7. Z
W
D16TANCL' BHT. BHT. MAIN Q S
MAIN BLD08. ACCES3. BLDGH. W
VAR.SR DATH ^ / ! a
G. U. P. %iU APPROVHD �' "�IIT V �
MPR G �
7 DATE O • a
�
Q
��v �
w
a
r N
so. �. �
r TX8 AMOUM BNOWN UNDBN VALUATION 18 ROP TH8 = O
PYHP08H OP 68TABLIBXINO • PERMIT FH8 ONLY. � �
VALUATION p Q
, PERMIT FEE $ I �� j ,,.�
a m
� y717� �°- _ '�
� !J �
TOTAL FEE S 1 X
� - 2Q9�0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 911 COSTA MESA, CALIPORNIA
For Applicant to Fill !n Completely �
TYPE OR PRINT ��
wooaess° %55 W.' 18tt1.. St:
COSTA MESA, CALIFORNIA
OWNER Hal Beardsle
ADDRHSB 17l�Z' Mirama.r Dr:
��TM B��a No`OR 309
ARCHITECT ' TBL.
above
� 86TBACK LINBINOM
ERT 21 I RIOHT 216
DESCRIPTION OF WORK
X..-----•-'-I -------- I
�. x 54 No. bP 1
ROOMB HT RIH9
�4aster I R��P Rock
COyERINO
iiLD111C AND WOXK TQ B6 PERFORMHD
I HERBBY ACKNOWL8DO8 TNAT 1 XAVB pB�O TNIB APPLICATION
ANO 8TAT8 TNAT THH �BOV IB COqRHR AND AOflEB TO COM-
PLY WITH wLL CITY ORO C[B ANO BT LAWB H[OULATINO
BUILDINO CONBTAUCTIO
516NATURE OP
PERMITTE
AUTHORIZbD A6ENT
FEE RECEIVED
OCT z 8 1963
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
suuuiNc
For Offica Usa Only
06C[IR NO. PCpMIT I
V /�� \
rtcc[iv o�r p� rt[c[ivep onretseu¢n
i// %b-25-� nrT��—Lss� `Q
BUILDINO
AODREII9 i �
PIRB
ZONe TYPE GROUP
MPROVHD �
BY DAT6
ZONIN(;
�
ZON[ �- NO.O�i . U860PN6W �
/ � PUNB L�� pU1LD�N �
�.e°"` b O
osaca�mo� T � 7, A
�� — ~ �� li
A. P. NO. �
NOTE: NOEAVEOVERHAN08MALLBELESSTHAN
YARDHAPPROVED YARDeAPPROVED
�MIR�IBUILOINO ACCH690RY BOILDIN6
�.aioa vr. F
REAR Ff. FT. zj
DISTANCE BlT. BET. MAIN 8 �L
MAIN BLOGB. ACCES9. BLDR9. W
VAR.SR DAT6 �
C, ,p, O APPROVED' /�' a
ArPROV �y W
9Y DATH �LO � �
..1
Q
V
W
a
n �
, so: rr. " a
THH �MOYNT BNOWN UNOBP VALU�TION 18 POp TMe Q
PUHP088 OP 88TABL�9XIN0 A PBqMIT REe ONLY. p {L
VALUATION ,J� _
PBRMIT FEE � � �
� y7v- - _ `
m =
J E s
----. ..__ e /A "
Il, L I I V I
.
' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX D17 COHTA MH9A. CALIFONNIA
For Appllcant to Fill In Completely
TYPE OR�PRINT
BUILDINO 7ss w iaTx ,�.
ADDRE68
COSTA MESA, CALIFORNIA
T �+i►u.11of:: NQ' C�i
5871 FIRESTONE BLVD.
5871 FIRESTONE BLVll.
STATE 190179 TEL.
LIC. NO. NO.
OF LOT� �w�% ��(% I No. Op GLO08.
NOW ON LOT
USE OPV
EXISTIN6 BLDO.
88TBACK LINE PNOM � c �
CENTBq OP 6THHeT I� REAR YARD �d
� !
HIDBYARD LERT R16HT
DESCRIPTION OF WORK
WALL
ee
1 HER60Y �CNNOWL8O08 TH�T 1 XI�VB qF.�D TN18 APPLICATION
ANO 8TAT8 TXAT Ti V8 19 COqpER A q!E TO COM.
PLY WITH �LL . OflO1NANC8B AND BT�T�NO
9UILDINO CO pUCT10N.
SIGNATU EOP
PERMITT a/
AUTHORIZBD A6ENT !�/ /�/,JLFi NI/�"�
APPROVED
FEE RECEIVED
E C 1 7 1983
FPNANCE. DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDINCi
For Offiee Usa Only
ZONINCi �
NO. OF IIBE OF N8W
PUNB�� CU�LOINO
LOT 10 TRAC7
YARDB MPROVED
MAIN BUILOINO
:OM GL STREEf )
BET
VAR. �F
%�'� �
� 63 �
M
1• �
� �
275 , �
�:�-
-; • �—.-r--- �-t u
ANG BHALL BE LEHS THAN
YARDS APPROV ED
ACCESSORY BUILDING
/3�
�F
BET. MAIN Q
ACGESB. BLI
DATE
TN8 �MOIINT ONOWN UNOlH VALU�TION 19 POR TH8
PURP088 OP 68TABLIBXINO A PBqM�T F88 ONLY.
_UATION I . " Q�
E2 �
I vxeikcT �ouaess: 7 5 5 W 1 8 TH ST
M` oWNEfl'S NRME: BOB GARDNER
, �ooxess: g23 W BALHOA BLVD
- , NEWPORT BEACH, CA,
714/675-5313
uNrt: HLDG2
RBCH/EN6INEER: - � pE0.N0.: �
�DORESS: UNR:
PEPMITTEE: COURTRIGHT WEATHERPROOF. ( 714 ) 587-0187
�ooeess:23891 VIA FAHRICANTE 621
MISSION VZEJO CA 92691
' 11tENSEO fANTMCTOB �EClAN1l10N: I hereby attirm ihat I am licensetl un0er DroviUons oi C�aDter 9(commencinp with Section
7000) of OiNsion 3 of t�e Business an0 Prolessions CaAe, anA my license ¢ in fullfarce anU effett.
cmuc.:038096 st�reuc.:457367� �j•cus C3
—sate: _!O � s�pnature: �.'..eC�C •�. _
WOBNEBS' COMP N�N D�MTION: I �ereEy affirmYha[ I have a urtifirate o/ cortunt to seli-insure ar a ceNlicate ot Warkers'
'�mpensation Jny�ranrq,pra Gitli�ietl�apy thereo� ISection 3800, �ao.�1� � O 1/ 91 � �
LICY NO.: 1 U 4 L 1 1 V ! [xp. ORTE:
cornr�xr: STATE FUND
❑ CehilieC coDY �s �ere0y Iumisha0. � CertilieU copy is fileA wit he ci u' ing '
Date���—_� �% ApDliwnY. (� �
IXEAIPf10N FAOM WORNFAE' LOMPEN&TION DECIAIWTION: (Ths stttion nce0 rmt De mmDlevd il Ne pemit is la one Auntlre0 (5100) or Iea�.
I ceniry that in the DeAormance a/ IAe woB lor whic� Ihis permit is issue0, I shall not employ any person in any manner m as to �ecome
su61e�� �a �� Warkers' fqmpensation Laws of Califamu. ,
�ate: SiOnatua:
NOTICE: If, atler maklnp t�is Eeclaration, you 5hoN0 Ottame subject to Ne WoheK Compensation D�wisions oi [�a LaDor
CoOe, you must IortMntA compy witA suc� prov6ion5 or Uus pemut shall Ge UeemeC revoke0.
CONST(iUCT10N 1EN01NG �OENCY: I Aeaby attirm IMI Nere ¢ a consiruction IenAinO apency tor t�e peAwmanu af the work lor
wAicO this Oemti� u issued (Section 3097, Civ. C�.
LENOER:
' �OORESB:
OWNEB BUILDEB OECIAMTION: I �ere0y atfirm that I am exempt irom Ihe Coniractors State License Law tor Na lollowinp r¢ason
(Section 7031.5 Business an0 Pmfeuional CoOe: My nry of counry which requires a De�mit to wnstruct, alter, imp�ave, tlemalisA, ar
reDair any strucNre, prior lo Its Issuance, also requires Ihe apDliwn[ for such permA to file a siAneE statemenl ��at �e/she I5 Ilcensed
pursuant to tha provislons al ihe Contractors' State Limnse Law (ChaO�e� 91�ommencinp with Sec[ion 7000) ot �idsion 3 oi the Busineu
an0 Professions CoOe) or that hWshe is axampt tAere/rom anE t�a basis for Ihe allepetl eaemDtiaa My Nolation of Section 7037.5 Cy
any aDUlicant lor a Dermit 5ubjacis Ihe aDDlicant ro a civil penalry oi nat more than Me hunareA Eollars (5500�.
I, as owner ot the proDarty ar my employees wit� wapes as IAeir sale compensatlon, wlll do Ihe work, and Iha
stmctureis notintandatl arotlereUlorsale(Section 70/4, Busmess an0 ProfessionalCaOe: The Contractors' State Licanse Law
�, Joas noi aDVly to an awner of a propeM who Cuiltls ar imDmves thereon, anA who aoes such work �imselVAersell or throu0h
I his ar Aer awn emD�oyees, pmvlaed Ihat suc� impmvemen[s are not inten0e0 or offereA for sale. If, however [he OuiltlinA or
improvement is sold within one year ol complation, ihe awner vrill Aave t�e 6urEen ot pmvinp ha/s�e Oitl not builtl or ImDrove
fortne purpose ol sale�. .
I, as owner of t�e Omperry, am exclusively contractln0 wit� licensed contractars to wnstmct Ihe Drolect (Section 7044, Business
�' ❑ anA Pmlessions COEe: The Contrzctors' State �icense Law Goes no[ ap01y �o an ovmer of proDe�ty wlw 6m105 or impraves thereon
'� an0 who contracts for suc� Drolects wit� a coniractoqs) license pursuant ro the Contactors' State licensa Law�. I am aware
� that Draal of thalr Worker's Compensatlon insurance s�ou10 �e DraNOeU to me.' '
� I am ezempt unEer Sectlon: B. 8 P. C.
for UliS red50n:
Date: ' p�n¢r:
I Eo ne2Ey ceniry Itwt I am anare oi an0 un0erstanE the reauirements al Califomia Heatlh anA Safery COEa Sectbi5 25505, 25533, and
' 25534 anE that 1 or any Mure EUIIGInO accupam wiM�ill rwt (drtle one) neeE ro campty vntn sai0 state caOu anE Ne repuiaments for a
permit lor conSvuCion or mo0ificatlm from IM N'— r� Mana9ement Oistrict. Hesitlential construcuon aDM��:��s are exempt from
Nese Drmtions.
Date: Applitanl:
I hereUy ceNTy tlut I Iwve aaOlAis ap0���ion ana state that Ne aGove information is
ordifunces an0 Stale laws reWtNp Io DWWinp cqutruction an0 Aeryff a�lg¢e repm,wm
praO�Y lor inspection Ourposes. (��/% ��
'�2�e: '� � v Si9nature: � —
onver's �iunu or Sociai Secudry x:
le4t�48 Wnlle—BUIIEing; Oreen—Coda Enlorcement; Canary—Applicen�; Pink—Revenue; GOIEenrotl—Asaesaor
CZTY OF COSTA MESA — HUILDING PERMIT PERM NO: B 049405
PERMIT NO: H 049405 PLAN CHECK NO: N, GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOH DESCRIPTION ; REROOF APT BLDG W/NEW CLASS H B/U ROOF SQ FT: 3,150
CLAIM VALUE: 3,150.00 CALC—VALUE: 3,150.00 GRODP OCC: R-1 /
COMMENTS: SMOKE DETECTOR REQUTAED
*��*��*�r**x�*jt�r��� ��t**�*�*******+t*+t�r�r�r�jr***��t�*ir*at+r**��r�*���r**at*�r*+r***�*�r��tet*�at�
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 HUILDING --------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 00000000 ZNE; REF NO:
PLANNING NOTES>
> •
iF if iE iF ik iF 1t f! ik if iE !F!f ik if 1f 1f itlf !F if if iE iF �f iE iE ik if iE iE iF 1f iE it it iF �k ik iE i! at i! M iE i! if ik ik iE iE iE if i! iE if �E 3E 1E iE iE iF if 1F it it it it itit if iE �t ik it it 1t iE iE
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 HY DATE: %i
BUILDING APPROVED BY ; DATE: /y
***�**�*+�r�******�D*B����������������F��������****D**�i�� ��� � *�
iE iE j! iE it if ik ik iF iF 3F ik if 3F 1k iE 3f 3f if iF �E iE �f if IE iE iE iF 1E iF it IF iE it Ik if 1k iE 1F ik iF 1F iF 1E f! ik iE iF ik it fF if iE �F jE iE 3f * dE iF it iF it iF jF iF iF iE �t ik 1F i! k 1f af if if �E ik
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES� �GRADING
PERMIT 63. 00 , , . 50'."• "�
PLAN SMIP/NONrRES •
ISSUE FEE , � !;� � ^''(;, ��
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID --�, '�'DUE
TOTALS----> 63, 50 0.00 0.00 63.50 , 63r: SO„'�"�i .00
�
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORTc� �`, �00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING;P.LAN �CHEClt
63.00 .50 , ; l�h ,
if if iE ik ik ik i! if �f �k ak iF it iE if ik �E ik if if 1k �f iE iF k iF jF if if ik if if ik if k if 3f if 1k if if ik ik ik iE if iklk 1t fk if it 1E ik if dE iE �k iF 3! iF iE dE �k iE iF iF±t 1! iF it ik iE iE i(�iE iE it 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
SFR 3150 REROOF HY VALUE RESIDENIAL NOZONE 1.00 3,150.00
END OF FEES • .�
� r� h
t ��
//�� d�
/` � •�#.___— - —
Ci G3£�71638—OOp7.630 7t`+"L �3..`,0
DATE: 1Of49/90 T?HE: 14:�2
y
,
,
� CONSTRUCTION AND PLANNW6 � 'L & SPA �
� �Date Inspector Date Inspector
APPROVALS Permit # ' � APPROVALS Permit # �
�
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
2. ,Soil Pipe-Undrgrnd: - _ ���� � � 53. Steel Reinforcement �
3. Electrical Conduit�Uti�ity-Undrgrnd. � 54. Forms ��
_4"Electtical Conduit�Undrgrnd �� 55. Electrical Bonding
5. "Steel Reinforcement . � 56. Rough Plumbing & Pressure Test -
'6:-�Electrical UFER-Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings �` . 58. Electrical Conduit�Undrgrnd. �' �
:r .
8..Foundation •" �.' � r� 59. Gas Pipe, O Undrgrnd., Test �' �M
.,
9. Water Pipe-Undrgrnd. ';' �� 60. Backwash Lines, P•Trap, O Undrgrnd. �.,
10. Structural Floor System ; !;� 61. APPROVAL TO DECK ,. :
11. Property Sewer-Line, & Hous Co�nection '• 62. Backwash & Receptor�Final �-''
i
12. Sewer Cap - . /%;.� = ,�'�, 63. Heater & Vent-Final � ' �
� %I
13. Roof Drains - �_ %� � � f�, 64. Plumbing SYstem - Final ,�,
14. Rough Plumbing � , ' 65. Electrical-Final j
15. Rough Electrical-Conduit �', 66. Solar System-Final �
16. Rough Electric Wiring 67.' Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR.PLASTERING
18. Rough Electriwl-T Bar Ceiling 69.�POOL/SPA SYSTEMS FINAL �
79. Rough Heating & Air Conditioning ._ � � �FIRE DEP.T. REQUIREMENT, ,.
20r-Rou9hFacmiyFireplace � . , :APPROVALS�^(Permit#
- ~ r -r
21. Ducts, in.Structure ' = ' ' � '
x '•'_ �� �70. Undergiound Hydro
22. Ducts, Ventilating �� ' - i77. Product-Piping OGas ❑Oil .
23. GaiPipe_Rough & Test . r - � .� �� _ }� ` �7Z, Underground Flush ; � �
24: Roof Framing -. r, .- - s: �•73'�Undergrnd. Storage:Tank O Gas ❑ Oil
ti
25. Roof Sfieathing � �� ' ;,: . � X 7q. Overhead Hydro� � , ;
26. �7-Bar Ceiling (Struct�rall & �Monocoat � . ' 75':Dry Chemical - � • -
27. frame and Flashing -�; � ;� � y 76. Dry Standpipe �.. �' ..� ��
.28. Lathing-& Siding � . ' ,-. .s 77„ FIXED SYSTEM F.INAL �- .. �
li V
29. Insulation ' . - ' 78'�FIRE PREV. FINA-�L �"
��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: � - � ' -
: a: �.. - � ���
34: .Final Heating;& Air Conditioning .y. ,_ . , '- ., �. :' ;ry
35.. Final Gas Pipe-Test � � '� y�� - �
36., Hood or CanoPY : , � "` * - - ' " � �-r
.H �, -� r. -:1 '.a
,l `
-�37'Final Factory Fireplace � � '� . �'��+� + � '
� �Y : 1 . 1'
38. Final Plumbing .. '' 1, i�� � �� '`'�
�39. Wa{ei Service-Final ; �� - . .� �, ' � _� ' . �' -
c .., -..�
; 40. Gas Service-Final �' � -1� � _ • � � ' � -� � ' _
c _.
"41. Solar pomesiic-Final � �� - • � � _ . . i -
�� �
42. Backflow Preventer � � - " '�`' ' �* = ^
� � � .��- r�� i;;.�i'�
43. Backflow Irrigatiom � � . a, ; �r _ ��� : �� � �J
�y
'�44. Landscape IrFigation System � '• '� `- ,: �`��;. y _ ' -_�`� s � �
.�,:
�-45.� Sound Attenuation � .. . ' � ; „�, ' -:
�46.'Handicap Regulations - � , ' �� '-1
47.' FINAL STRUCTURE & BUILDING _Z G�„�. -
48.-FINAL PLANNING � ' � '" ' ' ^ � - -
.i P � � �
.49.�ElectriaReleaseto Edison . � . � �� :;; .,. . ✓�tl�
. ; ` �
� 50.-Gas.Release to Southern California Gas Co �,,: ' ' � � _
57. CERTIFICATE OF OCCUPANCY _J' •� �
No. Date
�W 18TH ST
�ARDNER
W BALHOA BLVD
ORT BEACH, CA.
�714/675-5313
� �...._... RDORESS:
,
uxrt: HLDG3
HEO.NO.:
UNIT:
rearnirree: COURTRIGHT WEATHERPROOF. ( 714 ) 587-0187
pODflES3: Z3S9S VIA FABRICANTE 621
. . MISSION VIEJO CA 92691
IICENSEO CONTMCTOR UEClAN17I0N: I �ereEy affirm Ihat I am IicenSeE unEer prmdsians oi Clwpter 9(commencinp wit� Sectlon
70W) af OiNsion 3 of the Busin¢55 antl Pmfessions CoOe, anE my licensa is in lull tarce an0 ect.
ciiruc.:038096Q sr�huc.:957367 c/uT�/�,y[�—� 39
� �� --i�Q Si9naWr0: —`l "
WOflNER3' LOMP5uErNa�SAcCTIpON OEGCelAM710N: I �ereEy aKrm t t I �ave a uNfiwte ol consent to sell-insua or a certiliwte ol Workers'
Cam7ensauon i�U 9 L� 1�� V nifie0 ,4u0Y ��ereo� (5ec(ron 3800. LaE.LL I O 1 I 9 1
oucx xa.: STATE £UND �P• oarE: �/
COMP�NY: x,
1� rj CeNIieO caOY �s nereby Iumishe0. Ll Certifietl copy is fileE '�e ciry i dlnB �� n.
,,tg: �� ! � '— 9� ADPlicant:
EJfEMPTION FBOM WOBKEBS' COMPENSRDON OECWMTION: Qhis secGon neeC not be comDleteO if the parmit is for one hunUreC (5100) or less�.
I certity tAat in t�e peAormance of the work for wAich t�is permit is IsSueE, I shall not amploy any person in any manner so as to hecame
' su6lect ta tha Workers' Campenution Laws of Califomia.
Oate: SlqnaNre:
NOTItE: II, after makinq t�is Oeclaratlon, you shoulU bewme SUGI� �o ihe Workers' Compensation Oravisions ol I�e �ahor
CoOe, you must IonAwith comply witA such DroNsions ar tNs Oermit shall Oa EeemeO revokeU.
CONSTBULTION LENOING 11GENCY: I hereby allirm that t�ere is a constmction IenOinp apency for IM petlormance al I�e xrork lor
wAic� t�¢ permit is issueE (�ction 3097. CN. CI.
IFNUER:
' ROOIIE55: '
OWNEH BUILOEN OECLAMTION: I �ereby amrm that I am aKempl irom tha Coniractors' State License �aw for ihe I011ovnn0 reazon
(Section7031.5 Business and Prohssional Cotle: My ciry ai counry wnich repulres a permit ro construct, atter, imprave, OemolisR or
reDair airy SUucture, prior �o its isswnce, also reQuires Ihe aD7���ant far such permit ro file a signetl statement tlwt he/she is licensetl
pursuant to me pmvisians of tAe Caniracrors State license Law (CnaD�ar 9(commencinp wtn Secuon 7000) of Division 3 ai Ine Business
anU Prolesslons CoOe) or t�at he/she is exemD� �healrom anE tAe basis lar t�e alle0e4 eKempeian. My Nalaiion oi Section 7031.5 by
any applicant lor a permit su6jecis ��e applicant to a civil Denalry of not mora Ihan five �unOreO dollars (5500).
I, as owner of the properry or my employees with wapes as Ihelr sola compensation, will do Ihe work, an0 I�e
stmcWre is not inten0e4 ar otlereE for ule (SeCtion 704A, Busineu an0 Pmfesslonal CaOe: The Con[racrors' SWte License Law
Cces nol aDOry ta an owner af a pmperty who �uiltls or impmves thereon, antl who Eces such xroA himsetl/herselt or t�rouph
his or �er own employees, pmvitletl tlut suc� imD«menis are not Intendetl ar oHereE for ule. Ii, �oxrever Ihe CuilUinp or
imOrovement is sWO vntAin one year of compleuon, I�e owner vnll �ave tAe hur�en oi provinp �e/s�e diE nat UuilO or improva
for t�e purpose ol sale). .
I, az owner ai tAe D�oDerty. am exclusNely coniractinp wll� IicenSeU contractors ta canstruct ��e projact (SecUon 70N, Business
❑ antl Prolessions Cade: Tha ConUactors State ticense Law Ooes not apDN �o an ovmer of D�operty wfio Dutl0.s or improves Ilnrean
anE who wntracts Iw suc� pmjects wit� a canvactoqs) liceme Dursuant to IOe Convacrors' Sute License Lawl. I am awam
Uat D��� ol NUr Worker's Compensation insurur.e 51�ouIG Ge proviOeE to me.
� 1 am exempt uMer Sectlon: B. 8 P. C.
kr this reason:
Dal¢: Owner:
I do �ereEy ceniry tnat I am aware at an0 understand t�e rtpuireme�rts of Calilomu Healt� antl Satery CaUe Sectians 25505. 25533, anE
25534 anU I�at I or any lutum huiltlinq acu0ant vnNwill not (circle ane) neeE ro wmDM ��� sxid state co0es and Ihe aquiamenls lar a
permit br constmction or modiliwtion imm t�e Air Qualiry Manapement Disirici. RaSiEential conswdion aDPlications are exempt irom
Inese D�ovisions.
Date: Applicant
I he2Cy ceniry Itut I have reaOlAis applicalion and state that tM a0ove inPormatlon is wrrect. e�eo DN �h all ciry anC counry
artlinances and sWte laxs 2Wtin0 �o builUinq construction an0 �ere a � rep e ntatNe ,p�ypon tAe abova�mentlone0
proOenY �o�ins0�ian purposes.
—Qar���`�� SiBnaWre:
Dmxr's License or Saim Secunry x:
18C1J8 Wnita—BuilOi�p; Oreen—CaOe Enlorcemant; Canary—Applicanl; Pink—Rovenue: GdEenroE—Ataeasor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 049403
PERMIT NO; H 049403 PLAN CI-IECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; REROOF APT BLDG W/NEW CLASS B B/U ROOF SQ FT: 3,150
CLAIM VALUE: 3,150.00 CALC—VALUE: 3,150.00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTOR REQUIRED
iF it iF iFiF it iE iF iFiF it iF iE if if if iF ib if if iF iFdF iE iE 3t dE iE 3t iE aFiE iE iE iE ihif it iF iEit it dF it if iE iE �E iE if if aFiF it i! ik �F �F dF iF if i! ik if iFiE iF it iE jf iE iFiF iF iFi! iE ik jF
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 BUILDZNG ---------- --------- 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
PARFtING REQ; PROV: PARCEL; 00000000 2NE: , REF NO:
PLANNING NOTES>
� •
ifiliEif�fiFiEiEifikiEifiliFikililikitiFikiEifkitiEififkiFikilifikitikititiEiklE1lkfEflaEiEitiFitiFikkiFfEiEiEikififif�tiFjFil3EiEjFif�FiEiE%*ifikiEikiF
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T, S
ZONING APPROVED BY DATE: i-
HUILDING APPROVED BY : DATE: a
APPLICATION ISSUED BY: DATE: /V/ �`J
**************�**�e**** ***�*x���**�I'tFlF,�'�F#���€�r�
if iE 3f ik k iE iE 3f iE iE if iF iE i! iE ik if iF iP i! iF iE if iE iE iF iE if iE 1E ik if iF 1k it it ik iF k iF 3E iE if ±1 iE iE iE ik it it it iE it iE if iF �f if k k iF if iF iE iE 3E 3E iE iE iF k iF it iE it M* iP iE
LEGALIZATION:N' F E E S U M M A R,Y STRUCTURAL SEGMENT:Y
, I
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 ,50.
SMIP/NON=RES
PLAN ,`- .-�
ISSUE FEE ����
BUILDING—DIV—> PERMIT, ISSUE PLAN—CHECK TOTAL PAID'';,_ . DUE
TOTALS----> 63,50 0.00 0.00 63.50 63.50'.=;, ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT"i'"' .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING�PLAN—CHECK
63,00 .50 ' ' �
�r�r�r�r***�t�r**x*�r�r****�t***�t*****�r�t***�r*�r*�r*********«��r****�r****�r*x�r�r�r+r**?*+r�r*�t*�r*x-
2 N D I V I'D U A L F E E B R E A K D O W N �i
TYPE QTY D E S C R I P T I O N UNIT COST ,-!,; TOTAL COST
SFR 3150 REROOF BY VALUE RESIDENIAL NOZONE 1.00 3,150,00
'� END OF FEES ''
i g. ��
t
J
� � ,,i15
i .
Oaie ._.. - ------ Sig
.p
Q1 00i;7f6:6-G007lb2? Y P.1"f �3.SD
DATE: 10f�4/90 TIItE: 24:31
aJCTION AND. PLANNING ' � �A
ALS Permit # Date Inspector qppROVALS Permit #
�^
�rary Electrical Service or Pole - 52. Pool & Equipment Location
,-:� Pipe�Undrgrnd. .� � . 53. � Steel Reinforcement ��
r
-lectrical Conduit UtilitY-Undrgrnd. _ , 54. Forms
4."Electrical Conduit�Undrgrnd: s 55. Electrical Bonding
5. Steel Reinforcement " ' 56. Rough Pi�mbing & Pressure Test
6F Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Fbotings '� 58. Electrical Conduit�Undrgrnd.
' 8.^'Foundation �� ��" ,�•- 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undig�nd. '� �`' � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor'System � � 61. APPROVAL TO DECK
11, Property Sewer"Line & Ho se Connection ' - 62. Backwash & ReceptorFinal
12. 5ewer Cap +�'; 1:. ' 63. Heater & Vent-Final
13. Roof Drains -- . � ��" �' 64. Plumbing SYstem � FinaV
!
14. Aough Plumbing /%'- 65. Electrical-Finai
15. Rough Electrical�Conduit� �; . 66. Solar System-Final
76. Rough Electric Wiring � 67. Fencing & Access ApProv I
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling • 69. POOL/SPA SYSTEM FINAL
19..Rough Heaung & Air Conditioning _ . , �FIRE.DEPT. REQUIREMENT,
20. Rough Factory Fireplace � '`' . � APPROVALS �•.fPermit # '�
i - I
21,'Ducts, in Structure. "' _�, - 70. Underground. Hydro
22-Ducts,Ventilatirig' � . ' : �.77, producCRipingO�ias ❑Oil
23.-Gas Pipe�Rough & Test „ , .�-�� � _� -�` ' 7p. U berground Flush � � . �J
24. Roof Framing � . • 7, ndergrnd. Storage Tank �� Gas ❑ Oil
25. Roof Sheathing � ' r _; � �,, _ . Overhead HYdro: � . '
26. :7-Bar Ceiling (StructuraU & Monocoat _ � ,�' 75:.;Dry Chemical �
y7; FrameandFlashing' ���T; , ;,�. Y 76. DryStandpipe � {
�28. Lathing & Siding�� � ' '`� -; ,�; -� � �, ���� � 77`-• FIXED SYSTEM�PINAL � ,
29. Insulation ,' •- " t_. , ; 78.`:FIRE PREV. FINAL `
30. D�YWaII�Nailing' _ . , HEALTH�DEPT.REQUIREME
31. P�aster Brown Coat = ��: �• 79. FINAL INSPECTION ' �
-32. Electrical Power Meter-Final ' � �. 80.-FOOD CERTIFICATE ISSUED . .
33. Final Electric '� ' � Notes: . i ' " •'
- r
34. ,��nal Heating�& Air,Conditioning � ' ; ' `' ' �" , - '
35. Final Gas Pipe-Test+� •• } � � Y k � Y -� ' � 'y +
h '
36 Hood or Canopy - ' � "� ' " ' � - � � '�
_ �
37. Final Factory Flreplace � � � -
38. Final Plumbing .� , ; i� .'
3g. Water Service:Final � . '��
i:.
"40. GasService-Final ' �� � � ,
'"41. Solar pomesficFinal" + � ;� .
42. Back"flow Preventer , � . , t �
43. Backflow Irriqation.: � � � ?� :' �< �
. i _
;•44._Landscape Irriqation System���i T �: � * ' � " `� '
�� �
�-, � , -� -
' 45r Sound Attenuatiom • •• ' -! r - -� ^
46.��Nandicap Regulations " •- �' �' � ' �
� ^.
47:�FINALSTRUCTURE&BUILDING _L- 6'�� . u.,�
48:=FINALPLANNING �' ' ' ; a��. � ,-
49:.Electric Release to Edison �i'" r`
��-
50.`Gas_Release to Southern California Gas Co ' �i� ; '"'
51. CERTIFICATE OF'OCCUPANCY ' � ` '
No Date
:j,_
v
�
Date 4aspector
i�`" �
! ,
'�
� G
Q���SNNME: 7SS W 18TH ST
aooeess: BOH GARDNER
823 W HALBOA HLVD
7 NEWPORT HEACH, CA.
FNCN/ENGINEEB: 7 1 4� 6 7 S— S 3 1 3
AOONESS:
seaxo.:
uxiT: BLDG4
uxir:
Pesminee: COURTRIGHT WEATHERPROOF, ( 714 ) 587-0187
nooness: Z73G8S91 VIA F�'A.7BRICANTE 621
LILENSEO CONTHFC70Al1ECCl1Aa�1S�iN i ne e�y af�m�ihal l am licensea underCp wisio9ns oi�h9aplr 9(commencinp with Section
7000� af Omsion 3 0l IAe Business anG Prolessions Cotle, ane my licen5e is in �utl lorce an0 ellec�.
c�rruc.: 380 G STpi��'` 457367,��j�'iC'�9
�ale: � Signalure:_��.(�(�.��
WOflKEBS' COMPENSATION DECLANATION: I hereUy affirm ihat I have a ce�ificate of tonsent b selFinsure or a cenificate of workers'
^qmpensation Insurance, or a cetlifietl copy inereof (5eciion 3800. Lab. C�.
aicrxo.: 1042110-90 E%P.�RTE: O%�O1�9S
con+Paxr: STATE FUNI�z
�❑ CeNhetl copY �s Aereby lurmshed. �X Cetlilied copy is lile it� iry B'+ ing ' i'
Oate: ���lL Ap0licanc
EREMPTION FBOM WOPKEflS' COMPENSATION UECLAflRTI '( i5 Setiion n¢etl no� be tomple�ea il ��e Oermi� is �or one hunAreO ($100) Of less�.
I cenily t�at in I�e petlormance ol ihe woB lor which ihis perwi� is issuea, I shall not employ any person in any manner so as to became
Sublect lo Ihe WorkeR' ComDensa�ion Laws al Calilomia.
Date: Sipnature:
NOTICE: I�. al�er making Ihis declara�ion. you 5�ou10 Oecome 5u01ec1 lo Ihe Workers' Campensation pmvisians o� Ihe Labor
Co�e. you musl fonhwil� compty with suc� Drovisions or ihis Dermil sllall be tleemee revoked.
CONSTPUCTION LENUING AGENCY: I �ere�y allirm thal t�ere is a cons�mmion IenJing agency Por Ihe peAormance oi the work for
whic� Ihis permit is i5suetl (Sec�ion 3097, Civ. C�. ,
LENDEfl:
PD�NESS: '
OwNEP BUILOEB oECUBRTION: I hereby allirm �ha� I am exempi Imm ihe Comracmri State License Law for ine tollowing reason
(SeCiion 7031.5 Bu5ine55 anU Pmie5si0nal CaOe: Any Ciry o� t0unly whith require5 a permit to ton5buct, alter, improve, tlemoiish, Or
repair any stmcture. prior lo its issuance. also requires Ihe applicant for such De�mil to file a signea statement ihal he/she is licensetl
pursuaN ro Ihe pmvisions ol Ihe Comracmrs' Sta�e License Law (Chapler 9(commencing wi�� Seciion 7000) of Division 3 of t�e 9usine55
and Pmiessions Cotle) or Ihal �e/s�e is e�emp� Ihereimm antl Ihe basis �or the allegetl exemption. Fny violation o� Seciion 703L5 Oy
any ap0licanl lor a permi� sublecls �he applican� to a civil penal�y ol nol more �han five huntlretl tlollars ($500�.
I. as owner ol tlle D�oDeny ar rtry employees wilh waAes as their Saie compensation, will do Ihe wark, and the
stmcWre is nol intended or alferetl for sale (Section 70d4, Buvness anC Pmfessianal Code: TAe Caniracrors' State License Law
aoes nol apo�Y to an owner ol a DmOeny who builas ar im0��ves thereon, ane wno Eaes suc� wark himself/herseif or tllmugn
� his or her own employees. pwviaeU that such impmvements are not intenaetl ar ollered far sale. If, twwever lhe Ouiltling or
impmvement is 5a10 wit�in one year ol cam0tetion. t�e ovmer will �ave the bur0en of proving he/she Oid nol huilA ar improve
lor Ihe purpose ol sale�. -
I. as awnar ol Ihe pmpeny. am exclusively comracting with licensea conVaclors to constmc� t�e pmjec� �Section 70AG, Business
❑ anE Pmlessions CoOe: T�e Contraaars' Slate License Law aces not aDOW �a an owner ai pmpeM who Ouiltls or impraves thereon
antl who cnniracis lar suc� prolecis wilA a contractor�s) licens¢ pursuanl to Ihe Contraciors' Sia�e License Law�. I am aware
Nai proo� oi �heir Workei 5 Com0en5aiion inSUtanCe S�oU10 Ce pmhde0 t0 me.
� I am eaempt unGer Sectiore B, d P. C.
lor Ihis reason:
Date: Owne[
I tlo �ere�y cerltly Iha� I am aware ol and una¢r51an0 Ihe reQuiremen�s o� Caii�ornia Health anA Safery Cotle Section5 25505, 25533, and
2553a ane t�at I o� any lutme GuilAing occupant wilVwin noi �circle one� nee0 ta compy wit� SaiG state codes an0 the repuirements lor a
permii for conslmciion or moCilicalion �mm IOe Air Oualny Manag¢mem Oisiric�. flesltlemial wnslmttian aDP�����ons are exempt imm
i�ese pmvisions.
Oale'. AD�IicanC
I hereby ter0iy IM1aI I �ave rCaO i�i5 applicaiion and Slaie ��a� I�C aUove inl0rmaii0n is torreC�. 1 aB�ee �0 c pl m all city antl counry
ordinancesandstatelawsrelalinglobuiltlingconslmctionandhereb han re niaf . o iscit pon�hea6ove�memionetl
pmperty for inspeclion purposes. �
Dale: I�� `� �� Signature: � -
r
Ddver's ticense a� Sociai Secuniy a:
ApDlicant: Pink—Rpvonue: Goldenr —Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 04969
PERMIT NO; B 049695 . PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : REROOF APT BLDG W/NEW CLASS B B/U ROOF SQ FT: 3,150
CLAIM VALUE; 3,150,00 CALC-VALUE: 3,150,00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTOR RE�UIRED
1E1f1E1ElEif1f1f1f1f1fiEiEiFlfdfiflE�EaE�EiE�Eififlflf if1ElEiFlEiEiFifiFiEiEiEiFifiFififMiFifiEif1E1f1fdElElfiEiFMif�t�FlfifiE�FiEiE�E1E1EiFikiFifafiFlEiF
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ• PROV; PARCEL; 00000000 ZNE: REF NO:
PLANNING NZSTES>
i —.
�e���*���*���*�r�e���**�**�*�**�*���*+���*�******�**���+���*�*+�***�r+���**�*�**�r,�**�**
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY ' DATE: ''��
BUILDING APPROVED HY ; DATE;
APPLICATION ISSUED HY• DATE; D L, �j
iklFiliEkiFit�FiFkifikitifitltkifiFMiFk iFititiEfflFiF�IfiFiE if�F
M iFiF if iF ik k Ik IF k M k If IE M 1E ik k k k iE IE if 1f if �F iF if iF iF IF iE iE K aF IE if 1k IF Mit 1E iF if iF �f if if if ik1F if �f It 1F k iE 41f if 1f �F �E �E �f if ik iE if �k �EiE �IE if iFit 1F 1E if
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 SMI�P/NON-RES
PLAN , '
ISSUE FEE -
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID ' DUE
TOTALS----> 63,50 0,00 0.00 63.50 63;.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SIiORT; .' 00
BLD63P00 pLUMBZNG ELECTRIC MECiiANIC FIRE SMIP/TOO. GRADING PLAN-CHECK
kififiFkiFiFifkifif kkifk�fkkifkififkklfifififkifikkiEiFkifiF�fiEkiklk�ElEkkkiFiFlflEMMiEifiElfMkltlFifiFlEiEiE�f1FiFlFdEiEklfif�Fk3F1E
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 3150 REROOF BY VALUE RESIDENIAL NOZONE
END OF FE�S
,�.
�
w
/�1 "i ; yi�/`�' ;�
�o✓ ��'q�•- o�
:i
:� .
1.00 3,150,00
�r
Of 00073034-EQ073090 T� 3' Ss'.SO
DATE: 1�/??/94 TTME: 1E:14
~ CONSTRUCTION AND PLANNIN� '� �A
- 7 Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
.�, _
! 1. Temporary ElectriCal Service or Pole _r� 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. �� cd 53. Steel Reinforcement
. 3;;E�actrical Conduit�Utility-Undrgrnd.,�'�,� 54. Forms
r, i,� - a� �t � ..�[•
� 4�Hettrieal Conduit�lndrgrnd. � p � 55. Electrical Bonding
=5�S�ee1 Reintorcemen?> �L 56. Rough Plumbing & Pressure Test �
�J6,��E�ectrical UFER�"G�nd. �� - 57. APPROVAL TO COVER-GUNITE ��
w7 �-P.00tings 3 t�!-� �' . 58. Electrical Conduit-Undrgmd: r
i-i-nn rn
�`,;8. 'Foundation �;' � '! � • 59. Gas Pipe, O Undrgrnd., Test . � "t
9. xNater Pipe�Undrgr�d. ' 60. Backwash Lines, P�Trap, O Undrqrnd. '
ti _. .
10. Structural Floor�System �. V . 61. APPROVALTO DECK
11. Property Sewer�ine-& Ho4se Connection . �� 62. Backwash & Recepror-Final �
..,
12. Sewer Cap • � �' � � 63. Heater & Vent-Final
n, d �
13. Roof Drains � � ^ � 64. Plumbing System - Final ''
i
14. Rough Plumbing; `' �� �`_ 65. Electrical-Final .
15. Rough ElectiicaLCpnduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
�.1.7. Rough Wiring Si�f n; fi8. APPR�VED FOfi PLASTEftING
.18. Rough ElectricaKT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
�19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
T � f �' q
20. tRough FactorX Fi�aplace i�'c*! �;': � •-a �+ qppROVACSuD�Fermit # y•�'
F c 1� Yf \ r'r Y:•cf Y `C 1^ �: :tti� ' i 1�' 'S'
21.;Ducis�, in.Structur�fa; i �;E.. �.� '� �� _ ;' �, :70. Uriderground�l-lyii10 � ��!
22. �Ducts�, Ventilating •� i C)��� � � S `�- �� �, product'�i�iirig O°GBs ❑ Oil
23. �Gas �pe�Rough &'Test �-^ ^ '� ._ � � ' = _
M.S � �„ ` . x .`-72• Undergro�r�d� Flush�,_ � �_'
24.tAoo�Framing: �x: �;-, �:� C'� }�� 73.�Undergmd;StorageTankOGas OOl' �
�- ,.��: .
25. Roo'�Sheathin = • " y � ' r
9 ,.�, .. r � � ,'� `� 7 � �.; , � 74.:Ov,erhead F'{Ydro 7 � � ,s
26..T.�Bar,Ceiling (StruGtural) & Monocoat i� t -' _n � 75.=Dry Chemical � r'- �. n:
27.'Frameand Flashing' � �` ^ '-�' ` 76. �Dr Stand i`re �� ` �� �'z
�.i. - w ' .i: �C:K: v 7 >+ .D.._ i� Y �P -.�D x.+ !7
�28. �Lathing &`Siding F>� :. ,-�,v7... a' ze . - .. :..,� , r. z. • `. r..., tu `y �
_.y:z u: �. � 77._ FIXED SY�STEM�INAL*
.
=29. Insulation :T'', C :S •• •• � � ' - � � �` * 7g.FFIRE PREV.`FINAI, � y �,X ��
;.� r.�= � c.i
;30. Drywali Nailipg �r. :+ � � ' � + -+ HEALTH�DEPT.�REQUIREMENT
..
�31. Plaster Brown Coat��.; �. � ,.r��, .,�.' j � ,y .,79.�FINAL INSP,ECTIOyN ' �' ` a
;, n� .r, r*Y� . , a � . •:r :... . u�
•32. Electrical.Power Meter;Final � >. r• I � ,. 80.�F,OOD CERI IFICATE ISSUED
`33.'�inarElectric,� �T � � ^� � ! �", "Notes �" ??; � _ "j .
C� t*1
. � v. c* ¢ ^ r,..: �; . .,� � . :. ;. c�, { >. „ ,- p
,�4.,F.inaJjHeating.& Ai�;Conditioning� � z � � �.. A. ,� � r,:� # ,, v"7
35.iF.inal-Gas'Pipe?Testx��'� �' �"' • � �S *"' ���
r � v. 'ti a I .� x- ^ SC v!- ti - t�'
36.'Wootl:or Canopv �t � t�•�- c A � � � � '.F c'�io � + `t� �t��
- i
37. �FinaPFac�ory Fireplace�� "":" '� ' �^ ' � ��'" ` � ` "�'
, : : • c ; � . o :r � { �- •.r x s N
� .. .. (u :.: Q� i .. .. � x i: . �L :i ..- a '
.38. Final,Plumbing „ n� � p r I I ,r n .5 �-, �� ::n p
�. .
:39. Water.Service�Final> � � � c � � � y :"� '0+7 *'-� G
m � � i � e Y k.
a: , G: :. � v t-'- • T �-1 . -
��0. Gas Servic`e-Final � � �-
(., �. `ZG b' S . �. .� p�_ r�W
�41. Solar pomesticFlnal. S ^� •• ! �n ' ' F " �i� � !
l, 1 p. a n� �-+o =. x >
�'42. �ackflow Prevente��;, �" �� � "� � •�. '
i r �-. V.� - s
N x I I ;�,:e�� u: � F 'fi'_ �-+ �
43. Backflow Irrigationr'. � �SS " °++ ' ';� �o � p ';"
, . �. . ¢' x �. Ci: :1
..i : ��,+ y -!r E v �
i44. la�dscape Irr.�pation SYstem;�„-� � ,�:� ��, p,. . u: C� ' i� .�
t.� V� ` ` ✓`Lrr .. . .
=45. t$ound Attenuation.^ :+�F- lr' x s' r.-- � F�r r. ;` "., ,*'��
� . ;n �n ro•: -r
;96. �Handiwp Aegulatiot}s �� � ', �" - r x 0. `� . � • x
47.;FINALSTRUCTUR�E&BUI:EDING v �J j �'I��'}'=:�.:^� ":� _ `��j
48.;,e-. i 4z";:� p ' .!.' t .i: '] i. l� �� J
INY>L PLANNING� ��...f� �, �; 1 �/;� d �n t=; a: a.
� -
r_49. iElectnic �Release to Edison � � � � 5+ y c' � i v ; '
rifr . rn .r� n �
;50. Gas�Reles'se to Soutfiem Cafifornia Gas Ca ' � ,/�; *'' � o�L '. � d
. b = t- o o v+ �a C;
;51. CERTIFICATE OF QCCUPANCY' ��: > v ;,, �:;r i t -...
No. Date
PpOJECT ppONE55:
Cu(iEfl'SNPME: %SS W SSTH ST
aooxess: 8�3 W BALHOA BLVD
NEWPORT BEACH, CA.
� ANLH/ENCINEEP: 7 1 4� 6 7 5— 5 3 1 3
nooness:
NEG.NO.:
urur: BLDGS
UNIT:
PE"minEE: COURTRIGHT WEATHERPROOF, (714)587-0187
AOONESS: Z3S9S nVIA F�'A.jBRICANTE (� ' 621
UCENSED CONTBACTO�C��ONN i ne eo�y zj�m�inal I am licensetl under pr�onsio9nsZITSh9ap£ 9(commencing wi�� Section
7000� ol Oivision 3 oi I�e Business antl Pmlessions Cotle. ana my license is in lull brce an0 etfect
CITY LIC.: � STpTE LIC.: 55:
038096 457367 9
oa�e; �o ��r� signamre: _ _ _ _ . _
OPKEqS' COMPENSATION OE pq710N: I here6y aflirm at I have a ceni icate al consent to selbinsure or a certilicate ol Workers'
�mpensation Insurance, or a cenifietl copy Ihereoi (Sec�ion 38�0. La�. C�.
ucrr+o.: 1042110-90 E%P.DATE: O�I/OLI9S
OMPANY: STAT� FUNL?,
� Ceriitied Copy i5 �ere y Wrms�ea. Lj� Ceriifietl CopY is hle wit �� y�ity B/wltly��9 vision.
Da�e:_�(/ T�'� Applicanf ��/
EXEMPTION FPOM WOqNEBS' COMPENSATIDN UECIABRTION: (iMs 5eciian neeG nol 0[omplB�eO il �he perrral is �ar one hunOreO �3100) o� less�,
I[etlily t�a� in I�e Oedormance ol �he work lor whic� Ihis permil is issuetl, I 5Aa11 nai empl0y any p¢rson in any manner so as �o become
5u0jeci to t�e Waders' Compensalion Laws oi Califamia.
Oate: Signature:
NOTICE:I�, ailer making t�i5 tleclaration. you shouttl Uecome 5uble���o t�e Warkers CamDtnsation D��isions ot I�e Labor
Cotle. yrou must lanhwilh comply with sucn pmvisions or this Dermit shail Oe tleem¢G revokeC.
�'. C�NSTNUCTION LENDING AGENCY: I hereby alfirm ��at Nere is a consimction lentlinq agenry lor the pertormance of [he vrork lor
w�ictl Ihis oermi� is issuetl �Seclion 3W7. Civ. C).
LENUEB:
/IDDflESS:
IOWNEP BUILDEfl DECLAfllITION: I herehy aliirm ihal I am exempt Irom Ne Conlractors' Slate License �aw lor Ihe following reason
(Section 7031.5 9usine55 and Pmiessional CoOe: Any city of counry whicA requir¢5 d permil lo conStrucL alter, impmv¢. dertwlish, or
repair any simclure, prior lo its issuance. also requires ihe applicanl lor such permit to lile a sipned stalement ihat he/she is licensetl
Dursuant to �Ae provisions ol the Coniraciors State L¢ense Law �C�aD�er 9(commencing wi�h Section 7000) ot Oivision 3 oi the Business
an0 Pmlessions Cotle) or inat he/sne is exempl iherelmm ana Ihe basis�lor �he alleBetl eaemption. Any viotation of Section 703L5 ey
any apo�icantlor a permil subiecis the applicant to a civil penalty of not mare �han bve hunOretl Oollars ($500�,
I, as owner oi t�e pmperiy or my employees wiih wages as their 501e campensation, will tlo �he work, and I�e
, stmcture is noI intended or oilere0 lor sale (Seciion 70aa, Business and Pmiessional CoOe: The Contraciors' Sla�e License Law
1 Co¢5 noi aODly t0 an owner ol a pmperiy who builds or impmves lhereon, anE who tloes such work himself/hefselt or �hmuAh
�is or Aer awn employees, pmvi0e0 tnai suc� impwvements are not in�enEetl or offere0 lor sale. II, �owever ihe huilding or
impmvemenl is soltl wil�in one year ol compleiion, Ihe owner will have I�e burAen ol pmvinA he/she Aitl not Duild or impmve
tor I�e purpose al Sale).
I, as owner of ihe pmpeny. am exclusively contrading with Iicense0 comracmrs m constmtl t�e pmle�� (Section 704G, Business
❑ an0 Profesvons CaUe: TAe Contracrors' State License Law aces noi apDN �o an ovmer of pmpetly wtw bwl0s or impmves thereon
and xho Conira[IS br SUCh pmjetls vnth a toNratioq5�litense pursuanl IO Ihe COnlraCiors' S�a�¢ Litense Law�.l am aware
Ihai Om01 0l their Worker'S Campensa�ion in5urance Should G¢ pmvitle0 lo me.
� I am exempt untler Section: B. d P. C.
lor IM1is reason:
Date: Ownec
I aa nere�y tenity Ihai I am awar¢ ot anU under51an0 Ihe t¢puir¢meni5 oI Califomia H¢alih an0 Salery CaAe SeCtlOnS 25505, 25533, an0
2557A ana ihat i or any fuWre builaing occupanl will/will not (circle on¢) neeU lo comply with saitl s�a�e cotles antl Ihe repuirements far a
permil br ton5lmttion or rtwtlilitaii0n Imm �he Air OUalily Managemeni OiSViCt. Hevdenliat COnSimttion aOPlitali0n5 af¢ exemp� Imm
��ese pmvisions.
Dale: Applicanl:.
I �ere6y cetlily Ihal I have reatl IAis aOP�ica�ion and sla�e
oi0inances an0 state laws relaiing Io 6uiltling consimction F
pmpetly �urinspeCuan purposes.
Oate', ���=_�'Q SignaWre'.
�riv¢r'S L¢en5e o� Social Secwiiy p:
Appl¢anC P�nk—Fevenue: Goldenrotl—Assessor
{ i I_„
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 049694
PERMIT NO; B 049694 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: PEAMIT TYPE; STR , PUAPOSE: ALT
JOB DESCRIPTION : REROOF APT BLDG W/NEW CLASS B B/U ROOF S(a FT: 3,150
CLAIM VALUE: 3,150,00 CALC—VALUE; .3,150,00 GROUP OCC: R-1 /
COMMENTS: SMORE DETECTOR RE�UIRED
�fifiFifilafiiit9FaFiFifif�fiF�FjfifiFiFlFjfafifif9Eif iEiEiFiEit�EiEiflfiFiFiEiFjEafiEjE�flF�fiFififiE�lFiiif�EifiEiE�EifiFltlE�)fifiEiFiEifiEif�fiEiEififiEif
Z O N I N G R E Q U I R E M E'N T S
' S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT � IN FRNT: . FT IN REAR: -FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
P&BHING REp • PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING NfSTES> .
i
�t�r+r�t�r�t�t�t�t�t�t**�t*�t�e**�t�t*�t�t***�t*�t*�t�r�t*��t�e+t*�r�r*«�r*,e*�r�**��tx�r�e�t,r�r**�+�*x��t**x**�r�t+t*�t*�t
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• � �
iflfMiFifiF�F�tftif�Fkk�fkiflfkififlfit MiFltkkkMiFkiF IfiF
kiF if it M iF kiE M M at k k if if iE k if ik iFik iF k 1f k k1k if 1f 1k M iF k if if jt fF IF iF1f iE k If af aki! iE IE if af lkif �k IE it M if if �E iF if 1k if if iEiF iE 1lfFiF k �Fif 1E 1! k�t IE if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 63,00 50
� SMIP/NON'—RES
ISSUE FEE '
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID"�. ` DUE
TOTALS----> 63.50 0,00 0,00 63.50 63.50. .00
RfiVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVEA/SHORT:�� .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAD`ING PLAN—CHECK
63.00 ,50
'If if ikik k ik if if if if IF 1f If if iF If IE if �F if iE if �f 1F If if if ik Ik IF k!f Ih if if if it If �f 1Eik If' df �f iFiE 1f if iFif ik If 1f iF 1F if if if ik 1F if iE ik iF if * if 1F iE ff k1E'lE�k 1f IF 1f iF if
I N D I V I D U A L F E E B R E A K D O W N "
TYPE (JTY D E S C R I P T I O N UNIT COST " TOT`AL COST
SFR 3150' REROOF°,8Y VALUE RESIDENIAL NOZONE 1.00 3;,150.00
94 END OF FEES ;Y.
.i
! R ' nn�.
, :c � ns ��,�l96�i cE, ,
vate�( - Si 01 U007308"I-Of1073D98 Ti,"P 63.5p
g --_-� �RTE� 10/?9/90 TI[1E: 16:i�
;� �
�
C.
CONSTRUCTION ANDPLANNI r SPA
t Date Inspector AppROVAIS Permit#
�APPROVALS Permit # .
1. Temporary _Electrical Service o'r Pole�,J 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. c� ��2 53. Steel Reinforcement
„-..-.r ,�r
, 3:�£IEctrical Conduit�lltility-Undrgrnd.;y� 54. Forms
� 4z Elettrical Conduit�Undrgmd. � J��,.^, � 55. Electrical Bonding
�.
��`Steel Reinforcementy `�c'� 56. Rough Plumbing & Pressure Test
J -..
,6yi�IsetricalUFEFi-G`rn`d. ri. 57. APPROVALTOCOVER�GUNITE
'�7. F'ootings �C`�',�? ``� 58. Electrical Conduit-Undrgrnd.
`8. Foundation �;� V� , 59. Gas Pipe, O Undrgrnd., Test
9. Wafer Pipe-Undr7jrrid. �� 60. Backwash Lines, P;Trap, O Undrgrnd.
10. Structural F�oor�$yftem '' r-'- -' 67. APPR6�V�A�L T0� CK
11. Property Sewer �Ijine;& House - -a„� 62.� Back �Final
M � S
12. Sewer Cap ' J '', � �" ;� 63. Heater & Vent-Final
13. Roof Drainz �C •� 64. Plumbing System - Final
14. Rough Plumbingy `" �� 65. Efectrical-Final
15. Rough ElectriwLConduit �• 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
'r
•17. Rough Wiring Sign` 68. APPROVED FOR PLASTERING
,1�8. Rough Electrica�=T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
- - � C*' tT' �•-. fi7 f" b; Y F N
20. �Roug'h Factory Fireplace :X;�i .r,=- x ^ p c�* a APPROVAL'&VDiPermit # -�. �.r
�• d ��"r,• � HY-. ^] C �C ]N '� x 'K
21. Duct4, in_Str turE'., ;'`„E.. �' S a �-- 7 ^_' a ? ,D^� t*7 ° CT7
�. -7x - .� S O i+'; •70. UndergroyQtl-J-IYdS'o � >:
22. Ducts; Ventilating-+. � :"�J > � ^ C,�.. c�71, Product'`P�I�ing Q�G3s ❑Oil
r r S^ . - �yx a F- :-i � P rt ��. w
23. Gas Pipe-Rough &Test ., ,.7Z, Under round�Flus�h_
v Cv S J �: C.: �+ 9 � :7 .> -+
24.;RoofFraming•� �'x ? c,F ^R ry:> ^ ':Y '~x : j3.�,Undergrnd:StorageT r�iic OGas ❑OiF
25. Roof;,Shepthin ��^ t- v �� t•] ta O N:� ?,� �' �'-� r
9 r�; o; v v:� ;, ' Cyt� Y 74..Dv_erhead HYdro �� t.
26. ;7,-BaryCeiling IStruct�ral) & Monocoat �+�^ U'� �? .� 75. N�y Chemical � -� �•' G b:
27.'Frame an� Flashiny-" tf ` ��. o x a c n i m pa � c ,y �
:,.• r.� =r.,tz s: � �. ��a F 76. Dry Standp�pe
�28. Lathing &�,Siding ��+, c�. 7�yx Y S_ �x x 77, cFIXED SYSTfM F9NAL"' y,V [*'
+ ..I .., a . _.. n,.. .�,
�29. Insulatiog: � J;^ � �-'••• �• % � h7 h� + ~ • �r �v
� � p. � 78.<FIRE PflEV. FINAI- x� ti ry, �..
i80. DrywalltVgili 9 ^i.� �� �«' ( �,.v, ;� HEALTH;DEPT�REQUIREMENT
� .-. . r
=31. Plaster Brown.,Coat �. 5 � �„�. ;. I I i � } h7,9. `�FINAL �NSP�CTI0�1 � b � �
:,; � x I � * •- .-� � .� t .
�32. �Electrical Powgr Meter_ Final i r N I � x 80. ;F,OOD CERTIFIGX�TE ISSUED �
33.�Einal�Electric� � � � � M i I �' t�lotc3: �" �=� '� � �"
p� ; � , '-: :�*7 :� �7 'J :vt]
�•� •• S' �Y li •.-�H l`� l� l�\ : .�.
��4. �F,ina�Hed?ing & Air Conditioningr �1 � � � ^ ^ �X � �.;� y. S �C
- ..+
35. �Final-Gas'�Pipe�Test *�J� ! A i � h x ,, f1 [*�S .* b' SO
� !k :; �r 1 �. # � r O �. r• �:•
.36.'Hood.or,GanoPY r �� � ir� ;� a:� I �- i � :-�q ' ' yp•
- _ i _
�37.'EinafFactory FirePlaCe•^. � -[" C * t�7 � I ._- �js ? e. �.�'�i � • ,^-±
i:l .T 'l 1 f- fr :7 Jt R F � ;�'
�38. Final Plumbing v �N � "" C > t� I � : �� `w �
.39. Water:Service•Final x� - o • � � fi: a.~, ;� r;;r +. c,: �y
�v -, s. s :��. tC i � q. p} w +. S
, - , � :y c. , . n. 1 c • . . i v,
40. Gas Service-F�al A:_y ��,.,-., y ;� ;� i , ,. .� p4� �t�
- �
:47. Solar pomesticFinal '� �� � •� f Ca � ! �+ :• �rv ^o--: # �
_ n r- ,r �r � I l�r t+• •]O X:" '�
F42. �ackflowi,Preventer ` �� `� � a I � r. x � .- .� ` :
� x C3 x. q:� i�. 7 N •• �; f,
:.. .. � � - ...�_. ._ .
43. Backflow IrriJation� �V �SS .e' ?. � � utF+G x p �� i:
,� �a: y 7' :r Y N � '+ C� •�^,
� .. � Cv .. , V
�d4. Landscape Ir'(.�tgatiorj:SYstem.y��� �.;. f .h - � ,�% � � C3 C.� x�..� .�� � [U � �
:45. �Sound AttenGation^- ���:- [�' a a H F- F-x� �: - �- �� �
^� - = n �n r,�:� : ` c. .s 15
•46. iHandica `Re"lations '- .• .. S '. P� .. .. ..� ' � � . .'"' � .,
L, P.. 94 � p , �. » a �. .7'C S
47. ,F,INAL STRl1ETURE & BUI:EDING � p�' ' � � � y
,... , ;Z--t �G"�� :� l - "C. w �.
48.;EINALPLAPlNING`' �P' y' I ' `�'' '{ � �� +
;�: t � [-� :r N �. - '� �, 1-1� ��� ..�,
�... - - ' -
c49. :Electr�ic Release to Edison ,f � i ,� y 'j-� ��� '- '� � , .�
- �. � ��:� � t� ..�. > �,
;50. Gas;�eleaie to Southem California GasCo p I " `�'- � `�F `• � . "
- %' ' F J CI� :7
'S1. CERIIFICATE OF CCUPANCY' r . ; :; ,. �� -� ;,: ,� -_ v
Jo. Date
Date � Inspector � �
�
0
�
�
�,
°"° ".""""' 7 5 5 W 18 TH S T
OWNEfl'S NAME: BOB GARDNER
AOOflESS: 8 Z 3 W BALHOA BLVD
NEWPORT BEACH, CA.
AflCH1ENGMEEP: 714 �675-531 j
ROOHESS:
NEG.NO.:
uxir: BLDG6
uxrt:
PE""'inEE: COURTRIGHT WEATHERPROOF. ( 714 ) 587-0187
RDDPESS: z3S9S VIA FABRICANTE 621
MI�SS�gN VIEJO CA..92691
UCENSED CONiHALTOfl �E LABR I N: I �ere�y aryirm I�ai I am Iicense0 untler pmvisions ot ChaD�er 9(c mmencinp with Section
7000� ol Uivis�on 7 0l t�< Busines5 an0 Prolessions CqE¢, ana rtry lic nu ¢ in lutl lorce antl ell¢cl
GTV IIC.: STRTE UC.: '
038096 �+ 457367
ate: �`� Signature:' —' ' - — - -
�OflR X$' COMPENS ION OECIARA710N: I hereby aftirm ih I have a rertificate of ton5en fo 5elhin5ore or a certificat¢ of Workers'
� impensaiion Insurance. ar a cenilied caDY �hereoi (Section 3800, lao. q.
IraucvNo.: 1042110-90 E%P.OATE: O�IIOSI9S
comrnNv: STATE FUNI?_, /
4 Cenified copy is �ereGy Iumis�e0. I_X Cenifiep copy is h�l Ih/tr�e city /Bu��y.y �n sian
�ale: % � Applicam: /1-T/ ( �
E%EMPTION FNOM WOflNEPS' COM NSIITION DECUBRT�ON: (T ,, sec n neeG no� Oe completeC ii Ihe perm� 5 �or o� huMretl �5100) or leis).
I cetlily I�ai in I�e p¢darmance al lhe xqrk lor whic� try�5 perrttii is issuetl. I 5tiall no� em0�oy any per5on in any manner 5o a5 io �ecome
su�iect lo Ue Worker5' CAmpensation LaxS of Cali(o�pia. �
Oale: SignaW�¢;
NO7ICE: II. alter making tnis eeclaralian, you SI�OWa befAme suojett ta the workers fAmpenSatqn pwvi5ions of tAe La6or
Cade. you musl fanhwiln comply vrith such o�ovi5ions ar tHs permit shan be CeemeE revoketl.
CONSTBULTION 1EN01NG �GENCY: I nereUy �tfirm ��� t�ere ¢ a w�atmction lentlinp agency lor t�e perlarmance ot t�e xrork lar
whit� I�is pe�mil i5 issu¢U �Se[Iion 9097. Gv. C�.
LFNDEP:
ROONESS:
OWNEP BWl0E8 OECIANRTION: I �ereby afiirm ihat I am exempt Imm t�e CanVacmrs' State License �aw for ihe I011owin0 �eason
ISection 703L5 Business ana Prolessi0nal COOe: Any uiy of tounty wNcn repulres a Derimt 10 constmct, alter, imprOve, aemolk�, or
reoaif any stNclure. p�iar �o its issuance. aISO repuires Ne apoliWnt for suth permil to file a siqned statement Ihal ne/she is license�
pursuant io tAe provisions of ine Comrac�ori S�ate License law (CtuO�er 9(commencinp vnN Section 7000) oi Oivision 3 pl t�e Business
ana Prolessions COAeI ot inal ne/sne B eRempl ihertimm antl ihe bazb for ine allepeU etemption. Any violation ol Seclion 7031.5 hy
iny aOViiCan� lor a permii SUGIe��S ihe a071iCani lo a�ivil p¢nally al noi mOre llwn �ive �unUretl EOIIarS (5500�.
I, as owner al I�e D�aDenY ar my employees with waAes as t�eir sote comDensation, vnll Eo IAe work, ana ihe
'❑ simcwre is not intenCeA or oflereC lor sale (sec�ion 7044, 6u5in¢55 antl Pm�e55i0nal COAB: The COntraclor5' S�21e LiCense Law
I' Eoes not apDly io an owner ol a O�openy w�0 �uilAs or improves thereon, anU w�o does suc� wark Oimselllhersell or IhmuA�
his or her own emDloyees. OmviDeO iha� such impmvements are not intenAeO ar ofleretl for sale. Ii, however the huilding or
impmvement is 5010 wii�in On¢ year 01 tamp�elion. I�e Ownef will �ave Ihe burUen al proving hMSAe DiU nol tUi10 Or impmve
lor Ih¢ pUrpose ol Sal¢�.
I, as owner ol Ihu pmperlY. am eKtluSivety toqlraClinp wiih IiCenSeA tonlrador5l0 conSlmCl Ihe proleci (SeG11on 704a, Business
❑ antl Pmlessions CoGe: T�e Contractars' Siate �Kense Law tices not apDN �o an owner ol OmpeM �o �wlCs or imD�%'es tAereon
� anA who conVacls lor sucb O�olects wil� a contraclor�s�licen5e purzuanl to Ne Coniractor5' Slate License Law�, I am aware
IOaI pro0� 0� I�eir WOrkBi 5 Campin52iion in5uranCP� SAOWO 0¢ prOvi02G Ia me.
� 1 am eKempl unGer Section: B.' 8 P. C.
lor this reason:
Date: Ow�er.
I do hereby cenily IMt 1 am aware of an0 unGerstan0 Ihe reQuiremenls oi Calilarnu MedltO ana Salety Cotle Sectbns 2550.5, 25533. antl
2557a an0 ina� I oi any Imure OuitOing acupam wilW.jn not (drtle one) neeE to comON wlih ui0 stata wGes an0 tna reduiremems lor a
Dermit Ipr Con9mtlion or mOddicati0n Imm Ihe Ait 0'uahiy Managemenl OtStritl. flesidenlul tons�mCtion a001ica�ion5 are e�empl Imm
IIIESP DfpNS10�5.
oate: p�o��cant:
I �ei¢by cerli�y I�ai I �av¢ r¢aa l�is ap0liCatron ana Siale IAai Ihe a�ove inl0rmaiion i5 WrrBCi. I agrte l0 t M1h-e!P[Ry30QL0uniy
�rOmances anG s�ate laws reWlinq IOOuiINng conSVuclipn antl here0y aNMriz¢ reD�e�nt i ai t�^ � pan Ihe above-mentioned
0«Veny Ioi inspection ourposes.
Oa�e. ��—��r�� Signawre:
Oriver's License or Social Searity p: �
1641�a6 Whlte—Bmltling; Green—COEe EnlorcemenL Canary—ApPlicanl: Pink—Revenue: Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 04969
PERMIT NO: B 049693 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR FURPOSE: ALT
JOB DESCRIPTZON : REROOF APT HLDG W/NEW CLASS B B/U ROOF SQ FT; 3,150
CLAIM VALUE: 3,150.00 CALC—VALUE; 3,150,00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTOR RE�UIRED
�t*****x**�t**�r**�t�t�t*r**x**** x�x�***�*�r�r�x�*�x�xx��e*�e�r**�r*�t+t*�t�t*�t*+�*�t*******��r�t�r*****
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT: 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; 00000000 ZNE: REF NO:
PLANNING NfSTES>
� "
fE If iE iE k k if iF iF if iE �E iE k k IF 1f �f if if if k if iF iF 1k iF k M 1FiE IE iF iE if iF IE 1! 1E �E 1E iF �F If IF 1f If k it iE 1E If 1E ki! 1f iflF if iF�Flf 1EiF �F if If 1F �k �E�E�E iE if iE IF iF iF iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N•T S
ZONING APPROVED BY
BUILDING APPROVED BY ;
APPLICATION ISSUED BY:
kiflfifkkififiFikififiFitMkifkMifkk
1FifiEffiFMifkkkkiFlEifM�fMkiEififififkkiFiFiFlfiFiEiEiliFikiFkikiFiFlFkkMiFkkifiFif
LEGALIZATION:N F E E S U M M A A Y
BLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT 63.00
PLAN
ISSUE FEE
DATE:
DATE:
If ik iFlf �E k if if �klf if iF i! iF ik if iF iE iE k iE iF iF iF if �F
STRUCTURAL SEGMENT;Y
FIRE SMIP/RSS� GRADING
SMIP/NON-RES
• ' �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECFC TOTAL PAID -j DUE
TOTALS----> 63.50 0.00 0.00 63.50 63;50 - ,00
REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT': '� 00
HLD63p00 PLUMHING ELECTRIC MECHANIC FIRE SMIP/TST� GRADING'PLAN—CHECK
MiEiFiFlf kifkiE�flflFkMiF1f1FM�F�FMMM1FMkkMkiFifkififkililfEkiFkiElfikMiEMifMiF141fk 1fklflf�fifikiflFlFiffFiF�Ekk�FlfififlEMkiE�F�f
I N D Z V I D U A L F E E H R E A K D O W N
TYPE (JTY D E S C R I P T I O N UNIT COST � TOTAL COST
SFR 3150 REAOOF BY VALUE REENDEOFFE�SNOZONE
d
. r f �l
5
�N -
Oate -- — Sig �—�_
1,00 3,150.00
oi onorass-neo��a,?s �-aT ss.ro
DATE: ld/24/90 TIt1E: lo:f3
� CONSTRUCTION AND PLANNn_� - OOL 'A
APPROVALS Permit # Date Inspector qppROVALS Permit #� Date ,Inspector
�
i. Temporary Electrical $ervite or Pole �� 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. ' ai; ' 53. Steel Reinforcement
3-'Ele�trical ConduiI`U(ility-Undrgrnd �•� 54. Forms
r. ..�c-
; �4- �lectri�l Conduii�ndrgmd. �� � 55. Electricai Bonding
=5!� Sfeel Reinforcerpent� `= ���, 56. Rough Plumbing & Pressure Test S
C � �-
�;6��lectrical UFER:Giod. n`, 57. APPROVAL TO COVER�GUNITE �,
'J. �Footings 3�:� �� 58. Electrical Conduit�Undrgrnd. , L
•r n - .� .
�8. �Fnundation �;� ' , - 59. Gas Pipe, � Undrgrnd., Test - .''�
s
9. Water Pipe-Undr�r�nrl. �� 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floor_Sµstem ,� � • 61. APPROVAL TO DECK
11. Property SewerLLine-& House Connection p 62. Backwash & Receptor-Final ��
r
12. Sewer Cap ' y � �' 63. Hea[er & Vent•Final '
y
13. Roof Drains ic '' 64. Plumbing System • Final r
14. Rough Plumbiny, " , " 65. Electrical�Final '
15. Rough ElectricayConduit 66. Solar System-Finai
16. Rough Electric Wiring 67. Fenci�g & Access Approval
'1;7. Rough Wiring Si�� 68. APPROVED FOR PLASTERING
:18. Rough E�ectricat?T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
20.,Rough Factoiy Fireplace ,k�r :,�� �j a �* + �APPROVAL'Su�;Perm~it # " � ��'
r� ti•. '.r _.r t •y +� �' u^N'.f- 7 x r.
.. � .r �.-r � .,r- '^.ti � 1-. 'J =a s • .� J._• TJ :} .
21. �DuC[s, irtStruCture'.,, , ., „ '� S a � .. , •-70. Undergrou_n'd�ydSo .x
�.
22. Ducts, Ventilatin = x ,n', �, . � S y+ > � � r
9 �Z1. ProductPipirig OG�s ❑Oil
23. �Gas�Pipe-Rou� &'T�st , r� a ,r, �, � '�,' y'' °7z, Undergro`Lnd FIu5h7,� � � �,
. � ��� .�, .. ..j M V V ".' � v� T ��
24. cBoot Framing�. Z,; e+: � - �Y '> � � � = `-73.�Undergrnd?Storage'� ank O Gas ❑ Oil� •
25. Roof'Sheathing :�4 r N �. n� �^� -� p�o �•': C v .. .�q s�
� y.� �;� � N.. , 74.�Ov_erhead Hydro�"
26.�T�8i;Ceiling (StrucGural) & 0.�000coat t� G �Y. � 75.tD�y Chemical `7 �+ �- U' c:
27.'Frameand Flashin��� �L " `v �' ` �' '"" %� ° � i`� �
.� u- �-9x ��Cr :. C' y. t�.. , 76.� Dry Stand�Pe -�.y O
`,28. �'Lathing � Siding �-. r c: �yts : � " 3 .�.� �� T • � .: _ . �
.S� -- a% 77._ FIXED SYSTEMFWAL•� ��
�n c ^x � "' .•-.. j �. ", � � w. ; 78..FIRE PREV^FINAL � a
��-39. Insulatio �. .,. x ) � >,
�:50. Drywall P{aili� ..-,. " ic �� � � 4�. `.`� NEALTHrdEPT�REQUIREMENT
.
;31. Plaster Brown CoaZ' ' �` � I �� ; �79.•FINAL INSPECTI�N " `= � ,]
� �. <- �rrr ». I ,, �U
�� �c+ , �r,. ' i :,` > , ,, " �rs - ,
;32. Electrical�Pow3r Meter•Final •' .. N � p. x t80.��FOOD CE�iTIFI(,'qTE ISSI(ED �
r�3.•F.inal'Electric� �' � � C" �� -r � 1 ' 'Noi�s: ?' =� '' � "'-
`c > � �� �Z �. � � � � '� ':I�7 + "" 'J 171�
r• c• � �• rr�� i:� vG r.tr, ' i' � "�. r -.�
�34. �F.inaFHeating..& Air �onditiomo9. � � ��. '� y {-;y ,, � ,-;,
35. CPinaPGa4'Fipe?Test � � �� � �' ' •^ .^ :� :'. ' tr' sG
i Y I 1 Zp CI� � M(�"
,36.'iloo�dor.CanoPY `� 4 . ' � . �' '.`t ^ � ' . x F7 eL
w p ,r� ; G '.r' � �: F: F. , o t _[*'
37.:Einal�Facfory Firep�ace•^ � 5n' � � '� i �� * S � ' `•'=
+. N
in .. .. `� � �� . .r . Y..�. � \ V. :' ^ .�
;38. Final;Plumbing _ ,� . y, I �--��, S i+ a�
c39. WatecService-Final:�: - � o s I j j'^ "• ^ 'OLT1 � a O
r- xC: �+.� � ! S
�40. Gas Service-F�nal " � " I �'�' "` ' ' " "�
i�, v;* sn��r s x: m � I i: i�:.. n,ra .
�41. Solar pomesticFinal S •`�� " ' � � �' ; r• ��o c� a r
r ^ ^ �� i_ f� �• � � I k� � �s�', J� x r y
42. =8ackflow;Preventer ��
43. Backflow Irri�ation? �V u`;s5 � ' ' ��p �=� - � -'
� G• �i > cJ x l [l
`44. Landsca e Im atio S stem �� ��• � '�a �•.� • �' •"
i�: P. Q 4 Y mMp � fh � : v� S• N hl ,tf.� • :7 G
'±35.(Sound AttenUation. Jc:;F v' � - ��• l��t�' .� '
., �, '� . �
.y. ^ 1 `1 • • .. • � ] .' / t O
;_d6.�Handica'p,'Reg'�uiations . , y y ; � .,S ,
47.:,FIN`AL STRUCTURE & BUf.IDING � � ; `w�( : ui � �
�
48.(F,INAL PLANNING;. i:,`,: y;� � ' i"�.' �,' � `
� r A �
c.,.49.;Elect�ic Release to Edison • � � � ,y�.. � ?., �: � ;� + , -� �
i� ,. cr ... ,. �
`50. Gas �elease to $outfjem Calitomia,Gas Co '' ! ° ` , ' n . �''' ' �.
�. � r ni
;51. CERTIFICATE OF. CCUPANCY' " ' , . } �� i, � ; R :_ �
No. Date
Pfl0.eCT ADDHESS: '] S S W� 18 TH $T
`�, OWNEN'E NAME: BOB GAkDNER
� ADDXE55: $'Z� W BALBOA B1VD
— NEWPORT BEACH, CA.
ANCMIENGINEEH: 7 1 9� 6 7 5' S 3 1 3
AUDAESS:
flEG.NO.:
'ur+ir: HLDG7
uxir:
PEpmiTTEE: COURTRIGHT '.1EATHERPROOF. ( 714 ) 587-0187
aooxess: Z3891 VIA Fl1BRICANTE 621
MISSION VI�JO CA 92691
LICENSED CONTFACTOB oECIAflAtION: I nereby a��irm Ua1 I am IicenseJ uneer pro�sions ol Chapler 9lcommencinp with Section
��100) ol Oivision 3 of �he Busine55 antl Cmiessions Coee. antl mv license is in �ull �o�ce ana el�ecl.
ciTruc.:03809 srn,euc.:457367 c`" 39
�9�e: �� —�6 —� SignaW�e: _ _ _
WORKERS' COMPENSPTI6N OFCtARATIUN: I �e�¢fly aifirm t I rtave a certiticate ol conunt to ulLinw�e ar a certilicate o1 Worke<s'
".omperisalion Insurance. or a cetlified cooY ��e�eol (5ection 3800, lab. G).
oucvxo.:10A2110-90 E%P.ORTE: O%IOl�9i
comrnxv: STATE FUND
I� Ce�ilieA coOY �5 �ereby lumishetl. �( Cetli�i¢tl copy is IileA wiN the ci u Oing � io .
��te: �� �(b ��� Applieant _/� — —
E%EMPTION FNOM WOBI(Efl5' COMPEN511TION OECUNATION: (Tliis s¢clmn nee4 nol0e complete0 if �he permil i5 �ar one AunGreG �5100� or lett�.
I f.etlity Ihat in t�e pertormance of Ihe work lor which �his pefmii is issued. 15hall noi employ any person in any manner So as to become
sUbleq to Ihe Workert' Compensation Laws 01 Calilomia.
DB�e: SiBnaw�e�.
NOTICE: II, afle� makinp �his declaraiion, you sAou10 befAme 5u01ect b ��e Wofkefs' ComDenSation pmvisions al IAe Labor
COGe. you mus� lotl�with comply wiU such provisions or I�is permi� shall Ge Oeemed revoke0.
CONSTPUCTION LENOING AGENCY: I hereUy a��irm Iha� Ihere is a tonsimclion lentling agency �or ihe pertormance ol Ihe work �or
which Ihis permit is i=_suea (Sec�ion 3097, Ci¢ C�.
lENOEA:
ADOflE55:
OWNEN BWLOEB DELLRNATION: I hereby allirm Ihat I am exempi Imm the Comractors' State License Law for ihe lollowing reason
�Seation 7031.5 Bu5ine55 anU Pmie55i0nal COtle: Any ciiy o� tounly W�ith reQuites a Oermit �o ConStmtt, alter, imprave, aemolish, or
�¢pair any simclure. p�ior lo ils issuance, also repuires the applicant lor such permil lo Iiie a signed stalement thal he/she is Iicense0
pp¢uanl ta Ihe provisions oLl�e ConVacto�s' Siate License law (C�apte� 9(commencing wiN Section 7000) oi Division 3 0l tAe Business
apd Pmlessions Code) or I�a1 �e/s�e is exempt t�erelmm anC t�e Gavs for I�e a11e0etl exemption. My dolation ot Section 7031.5 hy
anY aDOlicant for a permit su6ie��s tne aDolitant lo a civil pena�ty o1 not more ihan live hunOreA tlallar5 (3�`�).
I, as owner of ihe pmpedy or my employees wi�h wages as iheir sole campensation, will tlo ihe work, anU tAe
� simcwre is noi imenUetl or olferetl for sale ISecuon 70a4, Business ana Pmlessional Cotle: TAe Contracmrs' S�ate License Law
do¢s irot aOP�Y �o an own¢� o� a ptoperty wlw �uilas or impooVeSlheteqn, aatl wM doei SuU� work him5eli/hefsell ar lhmUgh
Ois oi her own emDloyees. p�ovi0e0 ihat suc� impwvemems are not intentled or oifereE br sale. i�. hawever ihe huilainq or
impwv¢men� is 5010 wit�in one year ot completion, Ihe owner will have I�e hurden ol provinp he/she Ai0 nai EuiIJ or improve
�or Ih¢ purpose al 5aie�.
I, as owner o� t�e pmpetly, am exclusively coniractinA wiih licensed coniraclors lo constmct tAe project (Section 70ad, Business
J anA Pmlessions CoOe�, T�e Coniractors' S�a�e LicenSe Law tloe5 no� ap01y lo an awner 0� prOp¢riy Who bUileS at impfOv¢s thereon
antl who convactstoi suc� Drojec�s vrith a com�ac�m�s)license pursuaM �o��e Contractors State License Law�.l am aware
t�a� pwol o� ��eir Workei's Compensa�ion in5urance s�oultl 6e OmwdeA Ia me.
� I am eaemp� under Sec�ian: B. B P. C.
lor Ihis reason:
�s�e'. Ownec
I do �ereby cenify inai 1 am aware of and unaerstana tne requirements ol Calilomia Health anU Saleiy Code Sections 2550.5. 25533, anA
py53d and �Aat I or any IWure Guiltling occupan� wilVvnll not (circle one� neetl Io camply wii� saitl siate cotles and the re0uiremen�s for a
pE�mi� lor cansimction or moailica�ion bom I�e Air Ouali�y ManaAement UStrici. F¢SiGenlial conSlmciion apDlicalion5 are ¢xemp� Imm
�pese D�ovisions.
p��e: . qpplicanl:
1 Pere�y tetlilyl�ai �havereae Ihis applicaiiDn anE SIale�hallAe a�ove iniarma�ionis torretG I
orUinancesanEsta�elawsrelalingmOuilDingconslmclionan4�ere0yauihorizereprese ivesoftl
p�opetly lor inSDetlion Owposes.
�a�e'.��� $igaaW�e�
nifver's License ar Social Secwitv ar },�
cOmpty vnih all ciry ana couniy
enteruponlAe above�men�ioned
i5e1<6 W�i�e—Builtlmg�, G�ean—Coee Enb¢emenl: Canary—Applicant; Pmk—Pevenoe; Caoldenroa—Assessor
CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 099q87
PERMIT NO: H 099987 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: PEAMIT TYPE: STR PURPOSE: ALT
JOB DESCRZPTION ; RfiROOF APT BLDG W/NEW CLASS B H/U ROOF SQ FT: ,3,150
CLAIM VALUE: 3,150.00 CALC—VALUE: 3,150.00 GROUP OCC: R-1 /
COMMENTS: SMOKE DETECTOR REQUIRED
itit+tiratatatitiE*atat+titititatat*at� itatatetat�-�tatit**itarat�tatit*at�t+tatat�tatitatatititit3titatitit*itiEiF�rjtitat�t*at**itit at*iFatiEit�
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 £RNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARItING REQ • PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING N(STES>
�
iF iF i! iF if ii ik 7f iE if if it 1t ik if k iF If 1f if if if iE if it iE if if 3f iF iE 3f ik iE if iE iF if iF iE �F 1E k iE 1F � iE if if iE iE iE iE if if iE k iF iE iElf ik iF iF iF 1E 7F �f lE k iE if �f iE 3F if iF 1k if
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : ' DATE:
APPLICATION ISSUED HY: DATE: ��u
1E�FifitifiElEiElEiEjfikif�f�FiElFkifklElE MiEiFi4iE3E�f1EfEiE iE�E
iE iF iE iE %iE if �f IE if 3Elf ik iF iF it M iE 1f if k iE 1E k iE 1E iE iE iE iE ik �t fE iElF k�E it iE k iE iE iE 1E iE i! iE if �f k IE if if if #E 1F iE if 1E aF if 1E iE if iE iE �E ak k iE iE iE iE iE if if if 1f 9F
LEGALIZATION:N F E E S U M M A R Y STRUCTUFtAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING
PERMIT 63.00 ,50, �
SMIP/,NON=RES
PLAN '
ISSUE FEE
HUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID :"— DUE
TOTALS----> 63:50 0.00 0.00 63.50 63:50 '. .00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT:� 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING P.LAN—CHECK
63.00 .SO :�
iF iF iF iF iF k 1ElF iF ik ik it iF iE 1E iElF ik ik iF ik iF iE K it fE 7f iE iF iF iF iF ik if !E if jE iFlE iF 1F ik iF 1F ik ik iF iE iF iF 3F 3k 3F 3k iE iF ak iF ik 3F 3t ik iF iF i! iF df jE X)F iF jF"jF 3E ik iF if if 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 UNZT COST TOTAL COST
SFR 3150 REROOF BY VALUE RESIDENIAL NOZONE
END OF.FEES
��
`1/�/�/ i1 � f/��Ir��
Oa4e _„_ - Sig .�.-.-----
C
,1
1.00 3,150,00
02 tlOp7?135-0�072137 T�r"i' �3.50
T�A1E: 10Ii6/90 TIME: 1?:3�
\� ♦
.
i _rONSTRUCTION AND PLANNINb �� $
` APi ROVALS Permit # Date Inspector pppROVALS Permit #
t. Temporary Electriwl Service or Pole ,y 52. Pooi & Equipment Location
2., Soil Pipe•Undrgmd. ' "� - 53. Steel Reinforcement
,, .
�3:� Electrical Conduit�Utility�Untlrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. � � 55. Electrical Bonding
5� Steel Reinforcemenf � 56. Rough Plumbing & Pressure Test
6;ElectricalUFER�Grnd. � 57.APPROVALTOCOVER�GUNITE
7. Footings � . 58. Elec[rical Conduit�Undrgrnd.
��8. Foundation � •; . 59. Gas Pipe, O Undrgrnd., Test
9. Waier Pipe�Undrgind. /��� 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structurel Floor System v 61. APPROVAL TO DECK
11. Property Sewer Line & Hou{e Conne`ction , 62. Backwash & Receptor-Final
12. Sewer Cap 4 63. Heater & Vent-Final
13. Roof Drains _ ,- 64. Plumbing SYsrem - Final
14. Rough Plum6ing � 65. Electrical-Final
15. Rough Electrical-Conduii 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
1�7. Rough Wiring Siga 68. APPROVED FOR PLASTERING
;1'8. Rough Electrical T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
rr•. -� r� t r� Y+: a� � _ �.
�.:.y v,' 1 � . � . / r' q: ..� ... ' ::.}' . .
20.'Rough Facto�y' Fireplace '._, �e t My �, �� APPROVACS'.;�tPermit # ,
21. Ducts, in Structure � � .. .. � � �. ::. r++. Y. -- - .-_' � : x
� � � 70. Undergr`ound%Hyd�ro
22.,Dutts,Ventilating..�, � •�� �, v'��'� `ji. Product=Ri, in ❑Gas ❑Oil
y ,� ,_�. .� � F�.Ka., P�9
23.�Gas.Pipe�Rough & Test � ,n,-: �v 7' d: ; �c �72. Undergrourid Flush� � + � �
'J 4' (�
24.'Roof Framing' � �''�y r"' y� - �" y"�� ;j3��lnder rnd,Stora e�Tank OGas �Oil
r. x b< �.�: �. 9 9
25. Roof�Sheathin i= `�' � ��.� �
9 ��i t C •' t t-74.: Overhead Hydro
•... .
26. T-Bar Ceiling (Structurall & Moqocoat .�. � � ' Ly � ;' 75.:pry Chemical ,�� F ' ` �
.� .� .F o- ,., , r�
27. frame and Flashing �: .,��, j� -� ;.� rr�a r. 76. Dry Standpipe ��.+ �e.
28. Lathing'& Sidinq, `� "= -"G:�: `ti ?' S� , ."��� � 77,�'�FIXED SYSTENl�F1NALr �'�
'+ "!CF.• r� o. il' � `] J .
V :!: �. !-1 .. .. - .1 . 1 i . 1 +
�29. Insulation • - i •• i' i +� .i' 78.�FIRE PREV. FINA'L � ��
�30. Dr wall Nailirt 4 M� �� HEALTH DEP7.'REQUIREM
V 9 ,a._ � � � N:i :� ��
:31. Plaster Brown Coaf -� �- � ; ��r i 79.�'FINAL INSP.ECTION i �
�32.�Electrical;Power Meter"Fnal i �^ ; r�; �"S0.^FOOD CERTIFICATE ISSU.ED .
-33.�F� � � i >. i :i ��; � � �� r a R - .: a
inal�Electric- ,� i i i �� Notes: �� �t�_j i � � ���
t�34. Final:Heating & AirConditioning:�� � � ��� l � 11 t� � % "� ' -- '
�.r �. - i i.. . � ;x t H :Z . .
35. Final Gas.Pipe:Test �� " ,; k ._, � � �k � �� � � ;r : ri�; j �
.36. �Hood or Canopy - _ i ' � � � ' �
b: -
:37. F.inal�Factory Fireplace ... � `-,� , ;�
38. Final!Plumbing �� - � i •
�
39. Water SGrvice-Final� � '. "
40. Gas Service-Final y-; �rt.� ��
•41. Solar pomesticFinal �� "
`42. Backflow Preventer ��
43. Backflow Irrigation' "�� ��'
�•�
,44. Landscape Irrigation System:;i �=t -; r,
45.�Sound Attenuation` `� ` „ �`'
;46. Handicap.Regulations -, ;�
47.•FINAL STRUCTURE & BUI�LDING
48. FINALPLANNING�
49.�Electiic Release to Edison
50. Gas�Reiease to Southern California�GasCa
•.51. CERT�FICATE OF OCCUPqNCY
No. Date
e
�
�
0
�
e
';
e
0
Date � Inspector
0
PflOJ�fT ADOXESS: 7 S S W 1 8 Ti� $ T
.., OWNEfl'S NAME: BOB GARDNER
nooeEss:8Y3 W BALBOA BLVD
NEWPORT HEACH, CA.
7]4/675-5313
APCMIENGINEER:
PUDflESS:
flEG.NO.:
u"iT: HLDGB
uxir:
PENMITTEE: COURTAIGHT WEATHERPROOF. ( 714 ) 587-0187
aooxess: z3891 VZA FABRICANTE ' 621
MISSION VIEJO CA 92691
LICENSEU CONTNRCTOH OECIABATION: I hereby ailirm ��a� I am licensed under provisions ol CAapler 9(commencinp with Seciion
7000� o� Division 3 0l lhe Business an0 Pmfessions CoOe. antl my license is in WII �orce and efleci. _
arr uc.: 0 3 8 0 9 /6 �STATE LIC.:tj S'] 3 6'] us
Oate: _.��=�g�� Signamre: ���
WOflRENS' COMPENSRTION OECIAflFTION: I hereby affirm �ha� I have a cenifica�e ol consenl �o selbinsure or a cehi�ica�e ol Workers'
ComOensation Insurance, or a cerliiied ropy �hereoi (Sec�ion 3800. Lab. C�.
PO�ICYN0.:1O�I2IIO—�O EXP.OATE: O%�01�91
I COMPANY: STATE FUND
�� Cerliiietl cDOY is h¢r¢Gy fumished�. � Ce�ilied topy is �il� w 1 y Buil vis i
�
� aaie�l.�9 �� O� noo�icant - "L
E%EMPTIONFflOMWOPREPS'C MPENSATIONUECLPNFTION: (i 55ec�ionneeGno�becomple�eaillhe0e�mili5foronehunare0�5100�o�1e55�,
I ce�ily I�al in itle pedormance ol �he work lor whic� Ihis permi� is issuea, I s�all not employ any De�son in any manner so as lo become
sueie�� �a ine worker5' Compensation Laws af Caliiornu.
Date: SignaNre:
NUiItE: II, aller making I�is tleclaraiion, you shaultl become SUGjeci to �he Workers' Compensa�ion pwvisions ot �Ae La�or
fqtle. you musl lonhwitn comply with such o�ovisions or iNs permit shall he AeemeO revoketl.
CONSTNIICTION LENOING AGENCY: I hereGy aflirm IAat �here is a cons�mction IenCing agenty �or Ihe De�ormance ai fAe wark for
w�ith t�is pe�mil is i=5ue4 (Se[lian 3097. Gv. C�.
LENOEP:
RODflESS:
OWNEP BUILOEP OECUINATION: I hereGy affirm ihal I am exempl tmm ihe CAniractors' State License Law lar ihe lollowing reason
(SetliOn 7031.5 Business antl Pm�essional Code: Nny city of counry which repuires a Dermit �o wnstmct, al�er, imprwe, GemoliSR or
repair any siructure. vrior to its issuance. also reQuires ihe apD�icanl for suth oermit to file a siA�ed statement ihat hpJshe is Iicenu0
Oursuam m Ine pmvisions ol I�e Coniracmrs' State License Law (Chapter 9(commencing vn�� Section 7000) o� Oivision 3 0l l�e Busin¢55
antl Prolessions Cotle) or ihal nelshe is exempt ihere�mm antl �ne Dasis tor Ihe allegetl eeemption. Any violation of Section 7031.5 by
any aODlicant lor a permii 5uble��5 �he applican� to a civil penally oi nal more �han IivC hunAreE Uallars (ES(q).
I, as owner ot tAe O�oDe�y or my employees wi�� wages as t�eir sole campensation, vnll Go the work, and tAe
� simclure is not intenEee or olleretl br sale (Seclion 70a4, Business and Pmlessional Cotle: The Coniractors' State License Law
tlaes nol aODly �o an owner of a D�opefiy wtlo builtls or impmves Ihereon, antl who tloes such work himself/hersell or t�wuAh
�is or �er own employees. proviGed that such improvements are not mtentled Or attere0 �or sale. It, �owever �Ae builtlinA or
imprOv¢m¢ni is Sald wilhin one year o� Compleiion, Ihe owner vnll have t�e Eurtl¢n a� prOving he/5he AiA noi Uui10 or imDmve
for Ihe purpose ol sale).
I, as owner ol ihe pmperty, am eeclusively conirac�ing wi�h licensetl contrac�ors to constmct ihe pmlect (Seclian 7044, Busine5s
❑ and Pmfessions CoGe: T�e Comracmrs' State Litense Law does n0� apply to an owner a� pmDehY wh0 OUiltls ar im0�ovu ��er¢on
and who conlrati5 br such pmlet(5 wiih a tanUat�or�s)litense purSuani to t�¢ ConiraClofs' Sla�e LiCense Law�. I am awafe
Ihai pmof Of Iheir WOrker's Compen5a�ion insurante ShOultl be pmvia¢tl �o m¢.
I� I am exempl untler $ection: B. 8 P. C.
lor �his reason:
Oal¢ ' Ownec
I ao �ereby cenily tha� I am aware ol an0 understantl �he requiremenis oi Califomia Health an0 Salety Cotle Seclions 25505, 25533, an0
� 2553a antl �hal I oi any INure Uuiiding occuDanl wilVwitl not (circle one� neetl �o comply wit� saitl sia�e codes anG Ihe repuirement5 �or a
permit br consimclion or motlilicaiion Imm the Air Ouali�y Managemeni Oisiricl. flesi4eniial consiruclion aODlica�ions are exempt Irom
Ihese pmvisions.
Oale: Applitanl:
I here6y cetlily ihat I have readt�is appliwtion ana slate thatt�e aDoveinlormalion is orrecl. I aBree ta c �Dly with all cily and county
ortlinancesandslalelaw5relaling�obuildingconSUudionanahereh aut iEe pre �. a vesof�' Iry n�erupon��eabave�mentionetl
pmpetly lor in/s�peclion purposes.
' Dai¢: v ' �_�SignaNre'
Drive�'s ucense oi Socia� Secunty a: �
i6Gt�G6 W�i�e—Bwltlmg; Green—Cotle EnlorcemenL Canarv—App�icant: Plnk—Revenue: Goltlenrof� Agsessor
CITY OF CUSTA MESA — HUILDING PERMIT
PERMIT NO: B 099488 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOH DESCRIPTION ; REROOF APT HLDG W/NEW CLASS H B/U ROOF
PERM NO: B 09948Q
GOVT: N SUPP: N
PURPOSE; ALT
SQ FT: 3,150
CLAIM VALUE: 3;150.00 CALC—VALUE: 3,150.00 GROUP OCC: R—i /
COMMENTS: SMOKE DETECTOR REQUIRED
�*****�**��**��r� ***�rx ****� ����***�+�+��*��*�**� ���r�*+��«*���*****��«�x **+��r��***���*
Z O N I N G R E Q U I R E M E N T S
5 E T H A C K S ,
------------ MAIN BUILDING —'--------- --------- ACCESSORY BUZLDING ------=--
FRNT: FT IN REAA: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARFCING REQ • PROV:� PARCEL: 00000000 ZNE: REF NO;
PLANNING Nt7T'ES>
i
�r****�e**�ex�***�r�r�+r*�***�**�e***�***�*�****�x��e��r��*�r*+r*�r**�r��r*�**�r�e�r�e**��r�r�r***�r**�*
D E V E L O P M E N T S E R V, I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; DATE: ..�'�F'��
i!ilifiFikifjkiFififiFkififikikikkikikifif ififiFlEiEikiEiFlfiF �
iF ik iF 1F if 3f if iF 1F if 1f if 3! ik �F iF if iF k i! iE 1k 1F iF iE iF ik iF if �E �F ik ik 1F 1f if M iE iF �f if iE 4 iE if !k 3E if k if iE it iE if iF iE af k iElf iF 1t iE �k !f ik it k iF �k if ik iE ik iE �E iE �f iE
LEGALIZATION:N F E E S U M M A A Y STRUCTURAL.SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES ,GRADING
PERMIT 63.00 .50
SMIP%NOh1-RES
PLAN
ISSUE FEE �•' .
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID�' . DUE
TOTALS----> 63.50 0,00 0.00 63.50 63:50. ,00
� ,
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63.00 .50 -
r•
k k it iE �t iF ik i! iE iE it if jE iE iE 3k if iF i! i! iE i! if �f iE ik if if �IF iE if �f iE iF iE 1f M iF if 3t it iE ik �k ik ik iF 3t ik if ik k i1 k k iF k if iE if if iE if * iE it iE if ik M if if ii �f 3F if 3E if iE
I N D I V I D U A L F E E B R E A K D O W N f
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3150 REROOF BY VALUE RESZDENIAL NOZONE 1.00 3,150.00
END OF FEES
� �S� !. 5
i : '
Oate �---��-u-'"' Sig �
e!
r
01 00072133-OOG72134 T � T
DRTE: 10/16/90 TI17E= 1't:Q#
63��C�
\`^. �
/ _
` CONSTRUCTION AND PLANNING �� PA
'' APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole.�., � 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. ', : 53. Steel Reinforcement
3: Electrical Conduit�Utility-Undrgrnd. � 54. Forms •
� 4.•Electrical Conduit-Undrgrnd.� - �' 55. Electrical Bonding
5:��teel Reinforcementl � 56. Rough Plumbing & Pressure Test �'
6. Electrical UFER Grnd. ^� 57. APPROVAL TO COVER�GUNITE
, i. '
7. Footings ., ;�� , 58. Electrical Conduit-Undrgmd. '-
8. Foundation �� . • 59. Gas Pipe, O Undrgrnd., Test � ��
9. Water Pipe-Undrqrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System �y 61. APPROVAL TO DECK .
11. Property Sewer-�Line & House Connection , 62. Backwash & Receptor-Final �
12. Sewer Cap � ,, � ' 63. Heater & Vent-Final
13. Roof Drains `� 64. Plumbing System - Final
14. Rough Plumbing � � 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
,-. � . � .r � . .�. .�� q , . .
20.' Rough Factory Fireplace ; M'�' `y`� a j �;y f;qPPROVACS'�- .-Permit # , _ �
21 i Ducts, in Structure �•• � _ � . i�+' i.70. Underg�ound'Hydro
r -
22. Dutts, Ve'ntil ting.::. � � '� '" k�� j7. Product Pi �in � Gas O�OiI
$ r, r. .• r�. 9 e
23.`Gas Pipe�Rough & Test � i.��- i; - � t•72. Underground FIus6.� - �' J �
24.' �Roof Framing' �_ • ' � .. ' � � =73._ Under rnd: Srora e Tank.O Gas ❑ Oil �
..`1 c.: ra i � 9 9,
25. Roof Sheathing . i • � � �� . �= ; � � . ��74�Overhead Hydro� ��
26. T-Bar Ceiling (Structural) &=Ntonocoat � � � ' �^ �� i 75.'�Dry Chemical l � '. ' - , �
27., Frame and Flashing ;; `U_ �� t�� i� 1.. 76.'Dry $tandpipe ��r -� �
28. Lathin & Sidin • • "'
9 9- !';�" . �, "Y � 77�;FIXEDS_Y,STEM�F�INAL': �� -
29. Insulation . . ' �� � � .. v � � ' i. ; 7g�7FIRE PREV. FINA�L � '> - "
� 30. Drywall Nailing � ' � , 'y' F ;' HEALTH'DEPT� REQUIREMENT
� �
31. Plaster Brown.Coai� , n•,.� � ' :� �. ,79. "FINAL INSPECTION + � i
32.'Electrical�Power Meter�Final �`- I �� �: 80. FOOD CERTIFICATE ISSUED
l {. -. ,1 „ . . , . � p p �n i -- l � 1�
33.,Fina1 Electrio. ;� �� a ' i ' �•� c � Nofes: + ;..� , � •
• �
• 34. Final Heating & Air.Coriditioning:. � � ' ��' �� � . ��_ - � � -
t ' ' ' .4 I .' 1
rr
35.�.Final Gas Pipe-Test;_ : , � �: ; ' I, , . ,, �
36. Hood or Canopy � � � , ' �'-+, � ' : ' � •
. .,, ` , '.,_� I . - a ' n� ; s.• r
�,. . � _ � �-rr� . 1 ,.I .r� V / ' r, .�
. 37. Final Factory Fireplace - ;�, , '. r ' � .�
- i '
�.. ��
38. Final Plumbing � � - �ti � I �� � � ' � �� -
� �.
39. Water Seryice-Final` . . �= . � � ' � . '
. � � v �.
�.40. Gas Seriice-Pinal � v ���: • � ��, ' r � �i
t I • w �
- 41. Solar pomesti'cFinal � ' " ' "1 I '� ' :L�'� � °
��i . �, !_ , � -. :�
42. Backflow�Preventer �
i„ �, ' � ; a: �,t. . t � . �
� r .� „i �
43. Backflow Irrigation' 7; ' � � .,. ; v 'j'f �" • �
:m
44. Landscape Irrigation System�'- i�i . i '+ � -' �� �� �+ � '
" �? � � -
-45..Sound Attenuatiori ." `' " � ` " ' !' ' ' , ;i `
- .. .. �. n i - .
; 46. Handicap,Regulations - i "� � � �. :, � J..
47. fINAL STRUCTURE & BU(LDING �z_ , � � �` r �=a-�-
48. FINAL PLANNING . � � i '•��A I� . !� � ,� ���L
49. Elecfric Release to Edison ' � � /..�� � �,; , , ' ; }r
50. Gas Release to Southem California Gas Co � !'� •��� • ' i •
i., � -
-51. CERTIFICATE OFaOCCUPANCY � ' �� f � � . . '
No. Date
I �
""`"""""' 7 5 S W 18 TH ST
OWNEH'S NAME: BOB GARDNER
FODflESS: g.23 W HALBOA BLVD
NEWPORT BEACH, CA.
AXCNIENGINEEfl: 714 �675-5313
ROOflE55:
NEG.NO.:
uxir: BLDG9
UNIT:
renminee: COURTRIGHT WEATAERPROOF, (714)587-0187
AODRESS: Z37�8'4GST(�Vj�jIAT FAAnRZCANTE ocp 621
LILENSEO CONTHACTO�i•�i�ilii�FT1�I � I he esy��m Iut I am lit¢n5¢C untlerCpr�onii�5 01 G9plr 9lcommencin0 ��� Section
7000) ol Division 3 al �he Business anU Professions CA�e. antl my license is in full brce and efle .
c�rvuc.: 038 STATEUC.:QS%3� �' ' 39
Date'. __�yn��� Si9naiure: ' _ _ —
�JOflHEPS' COMPENSATI N OECLPHATION: I �ereby aftir �ai I �ave' ilicate o� consen� Io sell-insure or a ce�ilicate o� WOBers'
:ompensation Insurance. or a certifietl copy �hereof (Section 3800. La6. C).
j POLICYNO.: IO4ZSLO-9O E%P.DFTE: O%�OSI9S
comenxr: STATE FUNI�-L
O Certitiea coov �s nereby fumisneU. �.j� Ceniiietl cony is hi w� � ny � nai�
Jate: _(�l �D ADOlicanl: �'�
E%EMPTION FBOM WOflNENS' COMPENSATION OECIAflATION: (This seclion neeA no� be campleteU iI the permil isforone hunOreA (5100) or less�.
I teriity Ihat in ��e Oedormance ol Ihe work �or w�iC� Ihis permi� i5 i55ue0, I S�all noi employ any person in any manner 5o as l0 become
suble�� �o t�e Workers' ComDensation Laws al Catilornia.
Dale: Siqnature:
NOTICE: i�, aRer making �his Getlaralion, y0U Should betome SUGIe�� �a Ihe Workers' ComDensation provisions ol tAe Labor
CoJe. you musl fonhwilh comDly witn such pmvisions or Ihis permit shall be tleemetl revoke0. '
CONSiflOCTION LENDING AGENCY: I nere0y aflirm �hai �here is a consimmion lentling agency �or Ihe pedormante oi Ihe work for
w�ich Ihis permit is issue0 (Sec�ion 3097, Civ. C�.
LEN�EN:
ADDflE55:
OWNEB BOILDEfl OECIABRTION: I here0y aflirm Ihat I dm exemD� ��om lhe ContractaR' Slate LicenSe.Law tor I�e follovnng reason
(Seciion 7031.5 Business an0 Proiessional CoOe: Any city of couniy w�ith requires a permit lo con5imq. alter, impmve, Uemolish. af
r¢Oair any simtlure. pri0r �a if5 issVance. als0 re0uire5 �hQ apP��Cani lOr SUt� p¢rmii Ia fiie a Sipnetl Slatemen� I�a� he/She i5 licensea
pursuan� lo ihe pmvisions of Ihe Coniraclors' Sla�e License �aw (C�apier 9(cammencing wiih Sec�ion 7000) o� Division 3 0l lhe Business
an0 Pro�essions Catle� or Ihal he/s�e is exemp� Iherefmm and Ihe basis lor �he alleAetl exemption. Any violation ol Seciion 7031.5 by
any appiican� tor a permil sublects t�e applican� to a civil p¢nal�y of not more t�an live hunareA aollars (E500�.
1. as owner ol t�e pmpeny m my employee5 wi(h waAes as iheir sole comDensation. will tlo t0e wark, antl �he
❑ stmclure is not intenCed or ollere0lor sale (Sectio� 7044. Business anU Pmlessional Coae: The Contractors' Siate License Law
I does not apply to an owner of a pmperiy who bmlds or impmves ihereon, an0 who tloes such wark himself/herself or throuA�
his ai her own emDloyees. pmviaed Ihat such impmvemenls are noi intendetl or offetetl for sale. If, Aowever tne Euilding or
imD�ovement is solA wit�in one year ot campletion, the owner will have lhe �urden al pmving he/s�e Aia nat huiltl or impmve
ror the Durpose o� sale).
I, as owner al ihe O�openy. am eeclusively comraqing wiN licensetl comraclors to consimn the prolect (Seclian 704<, Business
I❑ an0 Pmlessions Cotle: The Caniractars' State License Law tloes no� apply to an owner of properry w�o bmlds ar impmves ihereon
anA who Conira[Is lor Suc� prOje[15 wil� a contractoqs) liten5e pur5uani Io Ih¢ COnlrapOrs' State Lit¢n5¢ Law), I am aWare
I�al 0��� o� ��eir Worker'S COmpen5dliMl inSUtaqce s�0u10 Ue D�avitleG Io me.
� I am eKempt un0er Section: B. 8 P. C.
fori�is reason:
Oale', _ Owne[ �
I tlo herehy cenify Ihal I am aware ol an0 understantl Ihe r¢quiremenls ol Calilomia Heallh and Satery Code Sections 25505, 25533, antl
25534 and ihal I or any future �uilding oCcupanl willlwill no( (circle one� need to comDty with said state cotles and ihe requirements tor a
p¢rmi� lor conslmc�ion o� matli�¢ation Imm Ne Air Oualiiy Managemeni OiStdci. Resitlential constmciion aDPlicaiions are ezemp� irom
I�ese provisiuns.
Dale: Ppplitani:
I hereGy cerlily ��al I have read t�is applica�ion antl sla�e that the above inlormation is correcl I agree ro co ly wil� all ciry antl counry
or0inancesanOSlatelawsrelalinglobuilOmpconslmclionantl�erebyaWhoriterepresenlaliv�Ihisciiyt � o �men�ionetl
O�operly loi inspeclion purposes. /� ,
Date: /� � � /� D Signature: _
Oriver's License or Social Secunry q: ��.� �
i64L46 Wbile—Butlaing�, Green—Co�o EnlorcemenL Canary—Applicam: Pink—Revenoe; Golaenrod—Assossar
CITY OF COSTA MESA - HUILDING PERMIT PERM NO: H 04969
PERMIT NO: B 049692 PLAN CHECK NO; N, GOVT: N SUPP; N
CONSTRUCTIOTI TYPE: PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : REROOF APT HLDG W/NEW CLASS B B/U ROOF SQ.FT: 3,150
CLAIM VALUE; 3,150,00 CALC-VALUE: 3,150.00 GROUP OCC; R-1 /
COMMENTS• SMOKE DETECTOR RE�UIRED �
�IfiE�1F1ElE'�%'�EifiElFlfiFiEif'I('dfM'if�lfdfiflfif�ifdflEiF ifiFik'�fifihli'jfltli"�f'li'3f'IflfjEif'1('1E1f1fiflF'!("Ifif'Ihaf'If1fiF1F1f'1f1EiE'�fj("1f"�E')h1fiE'lfifjf�IfiElfiEif
Z O N Z N GS ERTEBQAUCIKRSE 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: 00000000 2NE: REF NO:
PLANNING NtSTES> ,;
i
*x�r■�*��r�e�e�r�**���r�e,�**���**�e*�+�**�****,��*,�*,���***���*�r���*��*,��**�******�*+�*�r**�
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N,T S
ZONING APPROVED BY DATE;
BUILDING APPROVED HY : ' DATE:
APPLICATION ISSUED BY: DATE: �����
MiEiFM1tK1Ek1EiflFiEiElFiEifitiklk�ElE1f IFifiFifaFiElEiklEaF aF
1t if k k k 1E If 1t iE iE iF iE iE 1E k IE If 1F If fE iE ik iF iF iE M iE ik if iF iE kit i! iFlf �f IF k�E jF �f if �f 1t iE iE kiE �t ikif 3t iF iF.1F it k iE M iEiFif if iF 1E �E if iF M 1t it iFlf IE M �! �E iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES, GRADING
PERMZT 63.00 50'
pL� SMIP/NON-RES
ISSUE FEE � - '�
HUILDING-DIV-> PERMIT ISSUE PLAN-CAECK TOTAL PAID•'� �-. DUE
TOTALS----> 63,50 0,00 , 0.00 63.50 63.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT• �'--
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
63.00 .50 � -�
if�FkkMiEitifkiFlfiE1f1E16MkiFifiFiliFklFif�fiFMiEiliF�fMkkMiElFlEiE%iFiflEffiEifiFiFlfifif�fififlEiEifiFifiFjfifiF iE�fiF.ifiEiFiFlFiEafikiF
I N D Z V I D U A L F E E H R E A K D �O Y7 �
TYPE (aTY D E S C R I P T I O N UN3T COST �.
SFR 3150 REROOF BY VALUE RESIDENIAL NOZO 1,00
� END OF FEES
'i� .
r
t
� A P � �
Uate _,,, r � Sig
TOTAL COST
3,150.00
l
Oi 00073083-OG0730B; T ta'T 53.5n
DATE: 1p/29/9G TIPIc': 1ti:12
._ .� . � � �
- �
CONSTRUCTION AND PLANNIrvti rOOL 'A
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrical Servic;�oi Pole_ N � 52. Pool & Equipme�t Location
2. Soil Pipe-Undrgrnd. O, .� �y 53. Steel Reinforcement �
�T•�"�C �t_
. 3rElectrieal Condui`Utility-lfRdrgrnd.;;'� 54. Forms .
u i�.
� 4�Electrical Conduit-Undrgrnd. 55. Electrical Bonding
�:+ �
�'��;5,'icel Reinforcerii¢� � �C 56. Rough Plumbing & Pressure Test =
6�iElectrical UFEF��G�ind. rv 57. APPROVAL TO COVER�GUNITE
'�7. Foytings ��� L 58. Electrical Conduit-Undrgrntl.
i� u;�, •
tE. F�oundation �.,H .� �. 59. Gas Pipe, O� Undrgrnd., Tes[
9. Water Pipe�Undiqr�d. . 60. Backwash Lines, P-Trap, O Undrgrnd. '
n _-.
10. Structural Floor�$Ystem , � ' 67. APPROVAL TO DECK
11. Property Sewer i;ine,r& House Connection ��r 62. Backwash & Receptor-Fina1
m
12. Sewer Cap •� r-'� . 63. Heater & Vent�Final
13. Roof Drains �c � i/ 64. Plumbing System • Fina� �
14. Rough Plumbingy `" 65. Electrical-Final ;
15. Rough Electrical;Conduit � 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
�17. Rough Wiring Sign� 68. APPROVED FOR PLASTERING
0�8. Rough Electrical� Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' ' � '7 J' iT-teJY Cr'. �- C.i
20. �Rough Factork Fi[eplace � �"iq v; w 7 > �� :� qpPROVAL'S�.p�2ermit # �- �- '*'
K' � � r. �� �• . `s � w a t` s .: ; � -, r - �. r r,;
�: f+ r �'• ..r-� ;�.: v. f-i ,`-� ^.x � o >. SJ'7 �ar u i�
21. 'D,ucts, in`Stru`ture:�. �'.. .. :�) � y- �:..;�� :� -70. Undergrourtd�Yc�ro w
22. Ducts; VentilBting�.! t ^S .r. 'r S �x s�7, Product'miq�n� 0'G33 ❑Oil
23. Gas �pe-Rough & Ten � r �' ~ � "" " ' t y "' ` � ' ,�ti „y = .
^, � � � ;,. �r .t �+Y; �, Z2. Under round�Flush"
24.:fioof;�Framing•� �x ' r �- <<. ��'� � �.� �� y �3.�Undergrnd:=Storaqe'�ank OGas ❑OiP
25. Roo �Sheethin �` � r: '. �n r•� O n:x' - i • v��o n
9 T;•. � 'J V'+. C� ;✓ iv= �r '74. O,�,erhead Hydro ;- y
v
26.:i:-Bar•Ceiling (Structurap &(ypnocoat w txt p;�n�: n 75. iDry Chemical �� ^� C7 t�
e� r-e.. v �r. 1� � M
27.'Frameand Flashin '� � � � '� � 76.�DT Stand�n`2 C`� F � '`� `^
cu i:: s�.x ...�G x O' r v�+: x Y WP _,y+ a` O
; ::c ..t �c� �- .w . , � . . .. ... w . ,
'28. 'Lathing &�Siding;�:c �: ��r;;_, t; xi � •• •• ••4 � 77. uFIXED SYSTEM'FtNAL `' c*
�29. Insulatior,L� � `�''.* ' �M ' � * -n I � r � 78•�FIRE PREV. FINAL- �, � b; �
'30. Drywall Nailing �T'-r � �� s �� j � � ': � HEALTH�DEPTM.R�EQUIREMENT
;31. Plaster Brown�Coat z_ � � �. �� �. � � �' ; �7,9.'FINAL INSP�E'CTION 7 C " �
��: �, aj cr..r. � r.- r. , � � � ,. -�:
�32. _Electrical�Power Meter;Final i ; v i � �o- > �80. .F,OOD CERTIFIC.4•T;E ISSUED
?33. €ina,{;Electric! `'} r., i s �� M I I `�'-�hlotd3: �; �� n x y C N:�7 :
-r t^ '� �, �. r . y . •,�, � � . . �� a, � � � . :-i.�
��4. iFina�He�ting & Air`Conditioning� ^ ,�; I I • '�� > �r; S �-jx , g ,��
_ � i r.� ,..�
35.'F.ioahGas,PiptcTest r" ~x x. � z (� ri ��S �.� s0
� ��- "�f: � �� ��: �,-
.36.'Hood.orifanoPY , p� i t-'-' o a. !1 � � f+. a � � :io � Y `T� �n-
Mi"� V 1�1
�97.'FinaF�Fac�ory FireplTce'^ ==T' � x � I !.. s OJ
1 O .n �` :: �. :'1 :*'
M I [_ F'
� .. .. +. x � I .. .. � .a. W .� . .. '
.38. Final�Plumbing . N *� j n! S �-� x� �
i39. WateKService-Finel"� i � '+ I I (1 ^;1 .orq Yx C
� s: � � �.. �s: I k! ? �- c.. > .S
r- �� x �, .r r.- r�� • fi:�. ..
�40. Gas Servi�e-F.i�al .r. �, ��r,r. j :�. tq � I pw ��N �
_ ..
:41. Solar pomesticFinal. S �'� •• ?� � � � � ��� .- ?
- r•� < � •. a .O Q n?; J
�'d2. �Backflow:Preventer � �' v ; '� � � �:` ; u � r . � � '�
�♦ .. . . . �. .
43. Backflow Irrigation �� x� S + *` u:'-c ^ O "'
�. .� .� . tU i x Ci t
�i , C�tK :fi .r. ?-� � i w a s V
��4. Landscape tr�ipation SVstem�y�,�7 � x r+ p C O� + u7 •7 N ::C a7 0 �
_ � _
:45. Sound Attenuati0n* i�x',- (r +. � i- (-�r + ; 7 + ., .^_^ �
n � . + m !r �� � T ,�,' �
�46.�Handicap:Regulations ;� � ��'° �� ���''. a R •S- v
47. �FINA�L STRIlCTURE & BUI�LDING ��,.Ljzl �t�..��* '-!- F'�
.-�c .�+: x t-
48. `f�INAL P�ANNING; � NH �> R+ j 1��� tn - t*' ' �
49. ;Electiic flelease to Edison v. ' � -; f+ r ;; ' • � �. _ -- 4,p"L
� E , �.-� �� ..
'50. .Gas Rele�ie to Soutljem Califor a Gas Co �' � ' S `'' . ` '"' �' - `". -
_ ,01. .r � , , i- �' C ^•:n x
'S1. CERTIFICATE OF bCCUPANCY' , -- , ' y = ,_.,� �- . - ��
No. Date