HomeMy WebLinkAbout794 18TH ST - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.c�.costa•mesa. BUILDING PERMIT � FAIR DRIVE, GOSTA MESA, GA 92626
Job Address: 794 W 18TH ST
Suite:
Vicinity: TRIPLEX AND DETACHED CARPORT
Parcel Number: 42417216
Applicant: GURNEA, SEAN
Address: 1013 E WALNUT ST
Zoning:
, . . � � Phone: (714) 731-3425
SANTA ANA, CA, '� - � Zip: 92701
Owner. NEISSER, RICHARD C TR
Address 2063 TUSTIN #A - ; �
" " �
�-
, �,COSTA MESA, CA �. ; - -
Contiactor: . WEATHERLINE.ROOF�NG IN
Address: 1013 E WALNUT ST
� ��� � .
SANTA ANA, CA
Zip: 9270t , .
Arch :
Address:
Phone:
Phone:
Zip: 92627 . .
C
Phone: (714)731-3425
License: 729560
, Eng:
� � Address:
Sfatus: ISSUED
Applied: O6/01/2004
Issued: O6/01/2004
ISSUED BY: '
, � V.
Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF TRIPLEX AND DETACHED CARPORT. " -- � • - - -
' � . _ ' _ . _ . ., 1'. .
TRIPLEX: TEAR OFF ROOF, INSTALL SHEATHING, FELT AND COVER WITH 20 YEAR COMP.
\
DETACHED CARPORT: TEAR OFF AND COVER WITH BUILT UP ROCK ROOF.ING. �
Plan Check: $0.00 �� � Calc Valuation: � ss,5oo.00
Permit: $125.25 � , _ , Claim Valuation: Ss,soo.00
, SMIP Res: ., �. $0.55 �
SMIP Com: ,` ��$0.00 .
'. �, Other.� $0:00 . � -' �� ' "
Inspection: $0:00 _ � � � �
Total: $125.80 � � � � �
,'
� � " ;��PLANNING & ZONING _-'� ' � - �
SETBACKS . � - �
MAIN STRUCTURE Front, 0- D- � Rear � 0 0 �� � Left 0- 0� _ � Right 0- 0�-
ACCESSORY Front 0-0 � Rear 0-�0 ,���Lek, 0.0 - Right' ,-0-0
, , ,_�
_ " ... - - -' � " �
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void il work is not commenced wiihin 180 days, or if work is suspendetl or abandoned
for a period ot 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2dd6d6 (5l00)
WORKERS'COMPENSAnON DECLARATON:
I hereby eMirtn untler penalty of per�ury one ot the lollowing decleretions:
❑ 1 heve end wlll mainteln e certllicata ot consent ro setl-Insure br workers' compensetlon, es provided lar by section 3700 of Ihe Labor Cotle, lor Ihe pertortnance ol ihe
lor whiCh Ihl9 permlt Is 155ued.
I heve antl wlll malntein wwkers' compensetbn inwrarme. as requiretl Dy sectbn 3700 ot�lhe }at�or Cotle, ta Ihe pertwmenca oi the work lor which Ihis pertNt is IssueA.
My workere' wmpensetlon I ren%� cartler end policy number ere:
Cerrier. �+!� �/I PolicyNumber. /L. 3S"%G %
(mis secuon neeo nor be canp/ered il me pemdt is veruee at one hundred donars (S1oo) or �ess.)
❑ I cartity Ihat In t�e peRormance of iha work for which this permil Is issueQ I shall not employ eny person in any manner so as to becom subject to Na workers'
compensetlon laws af Calltom�eg� d agrae Ihat it I shouldy ecome sub�ect to the workers' compensetion prwisions of SecUon 3700 of �ie Labor Cade, I shall foRhwlih
compty with these provisi� � � n/ /
ApplicantSlgneture: i ���� Dete: � N
WARNINO: FAILUFE TO SECURE WO COMPE SA EMGE IS UNLAW FUI. AND SIW1 SUBIECT AN EMPLOYER TO CRIMINAL PE ?I AND CIVIL FlNES UP TO ONE MUNDRED
THOUSAND DOILARE (5100,000. ADDITIIXJ TO THE COST OF COMPENSATION, DAAMGES AS PROVIDED FOR IN SECTION 31080F THE UBO COD , IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirm �hat I em Ilcensed under pravisians at Chepter 9(commencing wlih Sectlon 7000) ot Dlvlsion 3 oi Ne Business end Professions Code, enA my Ilcense Is In tull
force anC ettect. Lic. a % 18�6'O Class a
Contractors SignaWre: �,,,��^ti/ �__� Data: � ia/
CONSTRUCTON LENDING AGENCV:
❑ I �ereby aNirtn thel there is e construction lentling agency br ihe pedormance ot the work lor which this permit is issued. (Sec. 3097, Civil Cotle).
Lentlers Neme: Lendefs Adtlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn I�et untler penelry af per�ury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Pratessions
Code: My dry or county whic� requires e permit to canstruct, elcer, improve, demolish, or repair eny structure, prior to Its issuance, elso raquires Ihe appliwnt for such permit
to lile e slgnetl statemem that he or she is Ibensed pursuant to the DrovLslons of the Contrectore LJcense Lew (Chepter 9(commend� wlih Sectlon 7000) of DMsion 3 ai Ihe
Business entl Professlons Code) or tAat he or she is e:empt thereirom antl the besb br t�e ellegetl e:emption. Any violatlon at Section 703L5 by eny applicent far e pertnit
subjects the applicant to a civll penalry ot not more t�an fNe hundred dollam (SSW).J:
❑ I, es owner ol the properry, or my emplqrees with wages as their sole compensatlon, WILL DO THE WORK, an0 the siructure is nat intended or ofteretl tor sale (Sec.
7044, Business end Professions Coda: The Coniractors License Law does not appty to fln owner of properry who huilds or improves �hereon, entl who does such work
himself or herself or Ihrough his or her own employees, provitletl that such improvements are not inten0etl or oHeretl for sale. It, however, iha building or improvement is
soltl wit�in one year of completion, the rnvner-builtler will heve ihe burden ol proving that he or she did not build or imprrne for purpose ol sale.). �
❑ I, as owner of lhe property, em E%CWSIVELY CONTRACTING WITH LICENSED COMRACTORS ro canstruct the pmject (Sec. 7044, Business anC Pmfessions
Code: The comractars License Law does not appry to en ownar ot pmpeny wha bulltls or Impmves thereon, entl w�o contrac�s tor such pro�ect wlih a contreciar(s)
license pursuant to �he Caniractors License Lews.).
❑ I em exempl untler sec. Business end Prolessions Code for this reason:
SlgneWre: Date:
Owner ID vorllle0 hy tlAvefa license. ❑ Yes ❑ No Drivefs Licansa No. Explres:
VedflceUon ol Ownership by (type of dwument, i.e. - properry tex blll or doed):
DIVISION OF INDUS7RIAL SAFETY VERMI7 CERTFICATION:
❑ I hereby certity t�et no excavatlon Iive (5) or more feei in depth Into which e person Is requireA to tlescend, will be matle in wnnection with work authorized by Nis
permiL antl that no building structure, scafloltling, falsework, or demolition or tlismantling ihereof, will be more ihan ihirty-six (36) feet hig�. (Chep. 32, Grp 2, An 2, Sec.
341. Title B, Califomla Atlminisiretive Code). �
❑ As owner-builder, I will not employ enyone to tlo work whic� woultl require e pertnit trom the Division ol Industrial Sefery, as nated ebove, unless such person �fls a
pertnit to do such work Irom the diNslon.
Signeture: Date:
Dlvisian of Intlusiriel Sefery Permil NumDer:
CERTIFlCATE OF COMPLIANCE AND AUTMOROATON OF ENTFiY: I certlfy under penalry ol per�ury that I have read this applicalion entl stete thet the Informatlon given is
correct I agree to comply with ell stata laws and ciry oNinances releling to builtling wnsWctlon, entl authorize representatives ol the City af Coste Mesa to enter upon the
above-descnbed pmperty lor inspection purposes. I agree not ro occupy or ellaw occupency of eny building euthorized by Ihis pertnit unGl finel inspeclian.
1618 FIzeC System Flnel Fire Prevention
1288 Pod Spe Finel
200
201
202
203
204
Final Re•Root
Final Block/Fletaininp Well
Final Factory Fire Place
Finel Slgn
Finel Demolilion
ce1� li�$
� �
COUE I INSPECfION TYPE
208 Finel Mechanical
20B Finel Plumbing
210 Finel Electrical
212 Final Fire PravenLon
220 Final Planning Approval
222 Final Si�e
25o Final Building�OCcupanq
�.f71i�Cii�ir,IFi
(714) 754-5273 • Fex (714) 754-4856
CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 794 W 18TH ST
Suite: � '
Vicinity:
Parcel Nunmber: 42417216
Appliwnt: DEAN CUNNINGHAM
Address:
owner: NEISSER, RICHARD C TR
Address 2063 TUSTIN #A
� COSTA MESA, CA
Contrecror. ALADDIN`RECONSTRUCTION
Address: 5232 BOLSA AV
UNIT 9
HUNTINGTON BEACH
Zip: 92649
Arch :
Atldress:
Phone:
Zoning:
Phone:
Zip:
Phone:
Zip: 92627
Phone: 714-379-1094
License: 656332
Eng:
Address:
Zip License: Zip:
SCOPE OF PERMIT
REPAIR 160SF OF DRYWALL, INSULATION, REPLACE WINDOW, REDO STUCCO.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$174.75
$1.09
$0.00
$0.00
$0.00
$175.84
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
PLANNING 8 ZONING
Left o- 0
Left 0- 0
Proposed: 0
PERMIT NUMBER
P FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 04/16I1999
Issued: 04/76/1999
ISSUED BY:
Phone:
License:
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
r �
4 �� i�
� I1y�
,���� . --r
�
sio,szs.00
$10,926.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for e period of 780 days.
INSPECTIONS: In order for the work eWhorized under this permit to be considered legal, such work must comply with ell applicable codes, and ell
requlred Inepeetiona end final epprovel must be obtained. Failure to obtain inspections and final epprovet will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545628
WORKERS'COMPENSAnONDECLARAnON: ' - � �
I hereby atfrtn untler penalry W perjury one M Ue tdlowing declarellons: �
❑ I heve end will maintein a certificate of consent to sell-Insure for warkers' compansa0on, as provided tor Dy sectlon 3700 af the Lebor Code, for the pertortnance ot the
work for whiCh Ui9 permit Is Issuetl.
❑ I have end wlll maintein wakers' compensetion Insurance, as requlred by secGon 3700 of the Latwr Code, for ihe peAortnance of ihe work fw whic� this pertnll is issued.
My warkers' compensation Insurence carder entl pollcy number ere:
Cerder. � Policy Number:
(Thls secHon neetl not be completed U fhe permlf Is velued et one huntlretl tlallers ($f 00) or less.) i
� I certlty thet In Ihe pertormance i the work tor which �his rmit is issued, I shall not employ eny person in eny manner so es to become sub�ect to Ihe workers'
compensallon laws /f C- Ilf , and egre if I shoul ecome sub�ect to tha workers' campensetlan pmvlslons of Section 3700 oi ihe Lebor CaOe, I shall torthwith
comply with these pro s. \ pGy
,�� Applicent Signeture� ,T / Oete: ���� % / ✓
WARNING: FAILURE TO SECUFE WORKER5 SATION COVEMOE IS UMAWFUL AIJD SMALL SUBJECf M! EMPLOYER TO CRIAUWIL PENALTIES qND CNI� FlNES UP TO ONE MUNDRED
hpUSAND DOLURE (5100.OW). IN A�DRION TO THE CQST OF COMPENSAiION, OAMAGES AS PROVIDED FOR IN SECiION 31060Fh1E LABOR CODE, INfERE5T. AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLAiiATON:
I hereby aflirtn Ihel I am Ily@nsetl unde/r provis/ii
torce end eHed. Lla k� • C. �• [Lt� �F
� I contractors
�J
with Sectioryi6W) oi DiNsion 3 0l the Business and Professions Cotle, end my Iicense is In full
!
Cless a
� Date: _
CONSTRUCTON LENDING AGENCY:
❑ I hereby ettirtn ihat there is a construction lending egency for Ihe peAormance of iha work for which Ihis permit Is Issued. (Sec. 3097, Civil Code).
Lendefs Neme:
SignaWre: _
Lentlefs Atltlress:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirtn that under penalry of perjury thet I em EXEMPT FROM TNE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Protesslons
Cotle: My ciry or county which requires a Dertnit to construct, fllter, improve, demWish, or repair eny sirucWre, pdor to Its issuance, fllso requires the applicant for such pertnit
to file e slgneA statament ihat ha or she is Iicensetl pursuent to tha proNsions of tha Contrectars IJcense Lew (Chapter 9(commencing wl�h SecUon 7000) of Divlslon 3 0l ihe
Buslneu antl Pratessions Code) or ihet he or she Is exempt therefrom end Ihe basis tor the elleped exemptlon. My vlolation of Sectim 7031.5 by eny eppllcent for e pertnit
sub�ects the epplicent to e dvil penalry of not more ihan five hundred dollers ($500).):
❑ I, as owner of Ihe proparty, ar my employees with weges as Iheir sole compensation, WI�L DO THE WORK, entl the structure is not imentlatl or offered for sele (Sec.
7044, Buslness end Professions Code: TTie Contrectors License Lew tloes not eppty to an owner of properry who builds ar improves thereon, and who does such work
himself or herselt or Ihrough his or her own employees, proNded that such improvements are not intendetl or oHered for sale. If, however, the Dullding or improvement is
soltl within one year of completlan, the owner-builder will heve the burden ot proving thet he or she dld not build or improve for purpose of sale.).
❑ I, es owner of lhe propeM� am EXCLUSIVELV CONTRACTING WRH LICENSED CONTRACTORS to construcl the pro�ed (Sec. 7044, Business end Professions
Gode: The conirectors License Law does not epply to en owner of property who bullds or Improves ihereon, end who contreds for such proJecl with e contrector(s)
license pursuant ro the Contracbrs License Laws.).
❑ I em exempt under sec. Business end Prafessions Code for Ihis reason:
Signature: Date:
Ownar ID verifiad by tlrivefs license. ❑ Yes ❑ No Driver's Licensa No.
Veriticatlon of Ownership by (rype of daument, i.e. - property tex bill or deed):
Expires:
DIVISION OF INDUSTiiIAL SAFEf`/ PERMR CERTIFICATION:
❑ I hereby ceritly �het no excavation five (5) or more feet In tlepth into which e person Is requlred ta descen4 wlll 6e matle in connedlon wlth work euthonzetl by t�is
pertnit, antl Ihat no builtling struCture, scafloltling, telsework, or tlemolition or dismantling thereoi, wlll De more then Ihirty-s& (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Celifomie Adminisiretive Code).
❑ As owner-bullder, I will not employ enyone to do work w�lch woultl require a pertnit from the Division ot Industriel Safery, as noted above, unless such pereon has e
permit to do such work irom the Civision,
Signemre:
DiWsion at Industnel Sefery Pertnit Number:
Date:
COOE �. �NsvecnoxTrve
1616 Fixed System Final Fire Prevention
12fi8 Pool Spe Final
200 Finel RaRoof
201 Final Block/Reteining Well
202 Flnal Fectory Fire Place
203 Flnal Slgn
204 Finel Demolition , _ . , ,_
2a4&d6
PAIf. 1t�6@
CODE 1 INSPECTION TYYE
206 Finel Mechenicel
208 Flnal Plumbing
210 Finel Electncal
212 Final Fire Prevention
220� Final Plenning Aoprwel .
222 Flnal Site
250 Flnal Bulltling/Occupancy
QLg 1�Q1e68
.
��ia� �sa-s2�s • Fex ��ia> >sa-asss
CITY OF COSTA MESA
� BUILDING p1VIS10N ''
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Job Address: 794 W 18TH ST
Suite: Q
Vicinity: KITCHEN AREA
Parcel Nunmber: 42417216
npp�icant: HARRIGAN, LOUIS
Address:
. Owner: NEISSER, RICHARD C TR
Address 2063 TUSTIN #A -
COSTA MESA, CA
i
Contrector: � - ALADDIN RECONSTRUCTION
' Address: 5232 BOLSA AV
� � UNIT 9 " �,
HUNTINGTON BEACH
Arch :
Address:
Zoning:
Phone:
Zip:
Phone:
Zip: 92627
Phone:� 714-379-1094
Zip: 92649 License: 656332
Phone:
Eng:
Address:
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 04IO6I7999
Issued: O4IO6I1999
Phone:
Zip , License: Zip: License:
SCOPE OF PERMIT
REPAIR WATER DAMAGE TO EXTERIOR OF EXISITING BLDG. REMOVE 8 REPLACE EXTERIOR STUCCO AT REAR OF BLDG
AT WATER DAMAGED AREA (10 SF APPROX.). �
Pian Check: $0.00
Permit: $21.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $21.50
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0.0
PARKING Existin : o
NOTES:
Rear 0• 0
Rear 0- 0
Required: ,0
FEE SUMMARY
PLANNING & ZONING
LeR 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$500.00
ssoo.00
NOTICE: The work authorized by this permit shall comply with all epp�icable handicap eccess requirements under Califomia statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRAT�ON: This permit shall automaticalty expire and become void if work is not commenced within 1B0 days, or if work is suspended or ebandoned
for a penod of 180 days.
INSPECTIONS: In order tor the work authorized under this pertnit to ba considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlons end tinal epprovel must be obleined. Failure to obtain inspactions end final approvel will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLARATON: - � � . �
I hereby aRirtn unAer penelry of per�ury one of ihe tWlowing tledarelians: �
❑ I heve entl will malntein e ceNflcete of conSent to seN-Insure for workers' compensetlon, es proNded for by sectlon 3700 of Ihe LeWr Code, br t�e pertormance of ihe
work for which this pertnit is Issued.
�. I have end will meintaln workers' oompensaUon Inwrance. az requiretl by sec�ion 3700 af the Lebor Code. ta the peAamance of the wwk ta which Nls pertnit is issuetl.
My work�rs' compenaa0on Insurence cartier end pdiry number ere:
Certier. r�C r"''�U"� ��.7EM� �TY . PolicyNumber. �.t, � C\c�%�� S�Q 1
(lhls sectlon need not be completed if Ne pemtit /s va/ued at me hundred dollars ($100) or less.)
❑ I certity t�at in tha peAormence of Ihe xrork for which this pefmit is issued, I shall not employ any person In eny menner eo es to becorne subject to tha workers'
compensetbn laws ot Cellfomia, end apree that it I shwltl becorne subject to the workers' compensatlon provisions ot Sectlon 3700 af t�e Lebor Code. I shall foMwith
compty with �hesB P slons.
ApplicantSlgneNre: � �"� �F ���.— n Date: �—.] —6� ��
WAHNINO: FAILURE TO SEWRE WORKERS' WVER4(3E IS UMAWFUL M!D SWlll SUBIECf AN EMPLOYER TO CRIMINAL PENA�iIES AND CML FlNE$ UP TO ONE HUNDRED
THOUSMIO DOLURE (5100.000), IN AODITION TO THE �p$T OF COMPENSATIIXJ, �AMAGES PS PPOVI�ED WR IN SECfION 9]OB OF TNE LFBOR OODE. INTEREST, AND ATTORNEVS FEES.
UCENSED CONTRACTORS DECLARATION:
I here0y aHirm thal I em
force end eMect. Lic. M_
Cantracrols SlgneWre:
ot C�apter 9(commendng with Sectlon 7000) of DlNslon 3 af Ihe Busines�a and Professlons Cade, end my Iicensa is in tull
_ Cless q r.S
�:1. Dete: '-/- � - `i `1
CONSTRUC710N LENDING AGENCY:
❑ I hereGy ettirtn Ihet thero is e construction lending egency for the pertormence of lhe work for whlch Ihis permll Is IssueO. (Sec. 3097, CINI Cade).
Lendefs Name: Landars Address:
Signeture: De�e:
OWNER-BUILDER DECLARATIONS:
I hereby attirm Ihet untler penaliy of per�ury ihat I em El(EMPT FROM THE CONTRAC70HS IICENSE LAW for tha following reeson (Sec. 7031.5, Buslness end Prafess{ons
Code: My ciry or counry which requlres a pertnit Io construcl, alter, improve, demdish, or repeir eny structure, pdor to ils issuance, also requlres ihe applicant tor such permit
to file a signed stetement thet ha or she Is Iicensed pureuant to Ne provisions of the Con7ractors tJcense Lew (Chepter 9(commendng wit� Section 7000) of DMsion 3 of the
Business and Professians Code) or Ihet he or shg iy e:empt Nerefrom anG Ne basis tor t�e elleged e:emption. Any Nolatlon ot SeMion 7031.5 by eny appiicant fa a pertnit
sub�ects the applicant to e dvll penelry of not morB than Me hundred tlo1Wrs ($500).):
❑ I, es owner ot the praperry, or my employe4s with wages es their sole compensetion, WILL DO THE WORK, entl Ne sWdure is not intended or oNeretl tor sale (Sec.
7044, Business end Prolessions Cade: The ConVectors License Lew does nat eppty to en owner of property who bulltls or imprwes Nereon, end who daes suc� work
himself or hersell or throug� his or her own employees, provitled that such improvements era not Intended o� otlered for sala. It, hov.ever, Ihe building or improvemeni is
soltl within one year of completion, Ihe own�r-buiitler vn71 have the 6urden of proving that he or s�e did not build or improve for purpose of sale.j.
❑ I, as owner af the properry, am EXCLUSIVELY CONTRACTING WRN 110ENSED CONTAACTORS to construct the proJeq (Sec. 7044, Buslness and Professions
CoCe: The coniractors License Lew does qot eppty ta an owner of property w�o builtls or Improves t�ereon, flnd who contrecis for such project with a contmctor(s)
license pursuant to Ne ContreMors LJcense Laws.).
❑ I flm exempt under sec. Business flnd Protessions Code for this reason:
Signeture: Date:
Owner ID vertlletl by tlrivefs IlCense. ❑ Vas ❑ No Drivef9 License No. Ezpires:
Venfiration of Ownership by (rype ol daument, i.p. - property ten bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby ceNty Ihet no eacavatlon fNe (5) or more feet In depth Into which e person is requlretl to descentl, wlll be metle In connectlon with work authorizetl Dy thls
permii, end that no building structure, scalloltling, feLsework, or tlemWltlon or tlismentling thereof, will be more than Ihirly-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec.
347, Tltle B, Califomle Administretive Code), .
❑ As awner-bulltler, I will nat employ enyone Io do work which would requlre e permit Irom the DlNslon ol Industdel Sefery, es notetl ebove, unless such person has e
pertnit to do such work from the division.
Signeture: Dete:
DiNsion ot Induslriel Sefety Pertnit Number:
CERTFlCATE OF COMPLIANCE AND AUTFiORqATION OF EMRV: I Certity untler penalry of perjury that I heve read this epplicatlon and stete that t�e Intormalion given is
correct. I egree to comply wit� ell stete laws and dry ordinances relatlng to bulltling constructlon, entl euthadze rapresentetives o1 the Ciry of Coste Mesa to anter upon the
ebove-descdbed pmperty for Inspection purposes. I agree not ro occupy or ellow occupancy ol eny bulldinp euthodzed by this permlt un�il flnal Inspection.
Signature Of Legel pwner(s) Dete
�7 � �''u_ � � i �� ��
Or uthodzed AppliceN � Date
COOE 1. INSVEC710NTYPE Q/¢, �
1618 Flxed Sysfem Final Fire Prevenllon
1266
200
201
202
203
Pool Spa Final
Finel RaRoof
Finel BIaWReteining Well
Finel Fectory Fire Place
Final Sign
204 Finel Demolilion
2468de
COUE� INSVECTIONTYPE
208 Finel MathBnitel
208 Final Plumbing
210 Finel Electdcel
212 Final Fire Prevention
220 Final Plenning Aoprwel
222 Finel Slte
250 Finel Builtling�Occupancy
BAIE It�lS
�
woness a eu�ou�o: 7 9 q W 18 TH S'P
avr�xsr+,weir�aarw: NEISSER RICHARU C TR
�ooxesa 2063 TU�'IIN #A
CGSTA MESA,CA 92b27
�vvi. �u�na �noness:
�xcxrtecton�etn:
41CH.OP ENO.'S IiWPE68:
caxm�crars xu�:
CpLfP1CTOR5YAlf➢!0
/i0DPE55: UC. N0�
uNr:
ur�r:
uNr:
110ENSEO CONfNRCTONS UEClAN1T10N: I haeEy ellim uMr pmNy d paTvy Net I mn limnaad uider prwmo�u d Cheqw Y
(mmmaM'aq wtlh Sectian 10W) d Oiwion 9 W Ns &�en W Pmfineiau CaEe. end mY Gcam o in IuA bm eM aflatl.
cm uc. No.: uc. cuss: uc. No.: fiXP :
�oma: cam.d�:
OWNEN BUILDER DECLAN�TION: I hmeby dl�m' uMx pe'uly d parjury IMI I am uemq tmm �M Gmrsum licsua lew la Ihs
Idbwip iaewn (`�b^ ��1.5 &niwsa md Rdaeeian Coda: �M cN a muMy whitA npu'um e permG to ame0utl. epx. Lnpova.
damdoh. a mpei vry niuclive. peia io ea baerce. ebo raQu'um �M epplironl la wrJi psmX lo fib e dpnW netameN tlut he a�M
'v lieenasd W�+e^� to the prwiaione tl tM Conlredon Limeue law ICheqr 8(�m�q �h Sodion ]000) al Oi�ruion 9 d Or
' a'viue ud Rtlaaum Coaal a �het Iw a ehs h aYemq IMrdvn and IM baw la tlro eEeO� mmmNion. MV vioW ian d 6eaion
nS W enY aGp�'^^� 1«. W� ��M md'� �o. dnl v�M d na maa Nm rna huWed doWn RmD�
�] I.nownerdiMP�W�YamY�vA�wepeaniheisdemmG�ion.willEONewk.endiha�Vum��senu'vneMM
rc Maedtor eeb (Seetion )Ou.Busmsa eed PrduaionsCotle: Tha CoMretlon Lieenae lnw doee na eGW loen owr�erd pwab
wln ddds a inV�'y Ihmean. W Ma doee turh xak limeetl n MnN a Ihuq� he a hm oxn anG�W�. pb'� Ihel viN
impapneNs an ria "vpaMetl a dlaeE la aab. tl. howwar. tM d�1'vp p inqmwnsY u wd wilhn arYw d mmpluion. IM
� a„ax�.an.�„m.e�a.�ao�ron.«.neeuoaaaa«�o��«ubwmo.en.w).
owror d iM P�w�Y. am e..duiveM mmrediq xvA I'vwA cmtrr�a+ro mmbw tM p9� (Swbn 1d�. &smm eM
Pml' ' Code: TM COMrepae Lieme lew tlroe m� eppy io en amr M piaperly Ww Wilde a impwr Oixaan enE xfa
em M wU e�dade wuh e maradMe) IieemeE G�ue�u lo ihe Comeapas lioen+a lewl.
/ � I ezemp indr Ssl'vc B. a P.c.. br
o�. � � G�
/ V � �✓
do heraM canM Nel I em aM mW wdrewM Ne rtWiiamonb d Celiwn4 HsWh W SebtY Cods Sediom T5505. 2553J. ud
�55JI. enE Nm I o eny Mwe buJdi�O � xill / wil na Itick ane) neaE b comG�'/ wi� uid tlete mdu eM iFr'pwnmmb br
ioamillaaanWctbnamoEfiutbntrom�MAi�i�.y enyr�wuDinria.RaudraWmuuununWV�miwsmazwMhomNra
De�e: AVP���
WONKEN'S COMPFNS�TION DK WIATION: I Mraby eHmm udr pmetly d per�ury one al Ns �a0owinp dsdvetbm:
� IhewardMlmeiHenecatL'ratedwnee�Y�o�aOuaunbrxaken'wmpenWian.nproridsdlnEySWimJl00dlholabor
COM. lu �M pRmronce d tM work tu which Ihn pxme e Ivued.
� I hew vM xil mdnten worlws' aompeiueiion ineurenu. m rp�i�ed by Sepim 3)00 d ths lebar COEs. br tM psAamvw M tM
wak la xfiicM1 thie perm� o u�ueE. MY ��^' �^WnWbn inwrence mmor end pdiry wmber ua: .
c�«
Pd'ry NumEr.
`9 lMIOII I190� lld �'! IXMIC�OIlj / t�l! pJ/111� 10 /W OM �IY/1�/bQO��GIi ry'�W� p bi).i
� I cMAy thet in �he perlamence d ihe work W whch ihie pem�! is ieausE. I MWI iM employ erry pmn In ury manmr �o o lo
become eubjea �o tM xorkme' campenWion �ewe d CNilomu. uM epne thel ! I dwk becwro wLjW lo tM xvM1w�'
�,o�:* wwm�. a s.ab� a�ao a me �.eor coa.. i.neo imn.nn o�oN .w �a.. po.uion..
ome: �oW�
W�ml�p: F�llun b ucun woilrw' compMutlon cav�rep� l� un4wlul, �ntl aNll �ub/�cf �n w�nplqw to crlMNl p�n�ltlu uW
uM� nn., w ro m. mner.d �rou,.w doiwn (fiatoaoA ���uuon ro m. co.� or mmo.n..�an wm.w. u p.oraf.e ror �n
Sxtlon 3M6 0l M� leDo� COW, IMwL ���TIy'� Ns
CONSTRUCTION LENDIN6 AQENLY: I henby elfim� uMer panalry d per'pvy IM tAera h e aonsVudbn bnE'vp epm�y M IM
peArnmenro M Iha xwk la whiM t�e permi o ewsd (Sedion 30B). C'v. CI.
LENOER'S NAME:
LENDEfl'S AODNESS:
I cenity Ihet I this epplicetion uM tlele tAm IM ebove iMamdion is coned. I ap�ee io canply wnA M dry enE oouMy ordiwKa�
endeietekxs elrqbWildvpconnrWioneMMrebYeu�hwrzampreeenletiveedlhiedlyloeMerupontMabow�msnlbrwdpmperry
r�`�mP"���� ���' RICHARD NEISSER ~\
(515tee.WP) wnno-eo�a�a a smen: a���.: o.�,�v-�oa�c Rox-a��e: oad.��e-a...a
CITY GF COS1'A MESA — BOTLLING YERMIT'
PERMIT NG: Y 085255 PLAN CHECK NG:
CONSTI2UCTION TYPE; 5—N PERMIT TYPE: rLU
JO& DESCRIPTION : CHANGE OUT WATEti HEAT�;R
CLAIM VALUE:
CAI,C—VALUE :
�
PERM NO: Y "vts525'
c�OVT: N SUPY; N
YURPciS£: ufH
sp Fr:
GAuUP GCC: H-3 i
COMMENTS: X
� 'sFieifiFififiFiFifiFieiFiFKiFieilififiFiFd'eifiilFiF3kiFil�ieiiiFiFifrMiFififiFifiF3F3FiFiFiF'1FiFifiFifiFiFiFifiFMif�iFiFiFiFifitiF3eiliFiFiek�lFiFjfiF'siiElf'si�
Z O N I N G R E Q U I it E M E N T S
.�'i E T B A C K S
------------ MAIN BUILLZNG ---------- --------- ACCE:SSURY tfUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: r'f IN
LEFT; FT IN RGH2; FT IN LEFT; F7 IN RGHT: FI IN
PARKING REp • PRuV: PARCEL: 42417215 ZNE: RcF NCi;
PLANNING N�5'I'ES> •
i
iF 1F ii 1F if iF iF iF iF iE iF iF ii if iF ii if if if ii iF iF iE iiiF ifriF iF if iF iF if iF ii if if iF if if 1F iFiF iF iF �7f ie'sf if iF iF 1Fif 1F ii iF iFiF iF ii 1F ii' i't if iF if IF 1i iE iF if if 1f if iF i't i't ih iF i't
D E V E L O P H E N T S E R� V I i: E S R E Q U T R E M E N'f 5
-�'
ZONING APPROVED BY LATE:
BUILDING APPROVED BY ; �1�� LArE:
LEGALIZATION:N F E E �S U M M A R Y STRUC'TURAL S�:GMENT:N
HLDG PMT PLUMHING ELECTRIC MECf(ANIC FZR� SMIP/RES GRALING
PERMIT 11.00
2 5 g SMI P/NCiN-12E5
PLAN
ISSUE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECIC TOTAL PF,ID liUE
TOTALS----> 11.00 22,OG 0.00 33.00 33.00 .00
REVENUE DIVI5ION TOTALS--> COLLECTEU: 33.00 OVER/SHORT: ,OG
BLDG PM'f PLUMBING ELECTRIC MECHANI� FIRE SMIP/TOI GRALING PLAN—CHECK
33.00 _
+t iFiF if 1F 1Fif 92 if iE iFif iF iF ik if if iF iF iF iE iFif if if iF iF 3t M iE if ie iFiE iF ff if il� fF iFjf ie �F iFiF iF 3f'vf it iF iF sf if if iFii if �f if iF iP iF ii iF if iE iF3f iF iFdF iF 9F w if ii # ii 3F
I N D I V I L U A L F E E H R E A K D�O W N
TYPE QTY D E S C R I P T I O N UNIT CCiS'I iUTAL CuST
PLU 1 WATER HEATER ANL/OR VENT 11.O1� 11.00
ENL UF rE�S
18-16-1997/81:58 DM/f33.88
RCPTN:81-0813%4
PERMIT:085255
- CONSTRUCTION ANDPLANNING POOLt A
APPROVALS Permit # Daie Inspector APpAOVALS Permit # Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement
: �
.;j3: _Electrical Conduit Utility.Undrgrnd. , 54. Forms �
� : ��4! _�Electricai Conduit-Undrqrnd. 55. Electrical Bonding ;S ,
-'�5:.Steel Reinforcement . , 56. Rough Plumbing & Pressure Test z
� 6: Electrical UPER Gmd. 57. APPROVALTO COVER�GUNITE �
^ -+ r
_: ~}:,Footings 58. Electriral Conduii-Undrgrnd. t�
� yft; �oundation 59. Gas Pipe, O Undrgrnd., Test
�i�
��9. Watei Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. .
10. Structural Floor SYstem 61. APPROVAL TO DECK
%Tt.�Yroperty Sewer �ine & House Connection . 62. Backwash & Recepmr•Final .
:.i i
12. ,�ewer Cap ' _ � � 63. Heater & Vent-Final �
13. Roo( Drains � � 64. Plumbing System � Pinal .
14. Rough Plumbing - ;t� ' "65: EleEtricabFinal
15. Rough Electrical-Conduit �; � �' 66. Solar System•Final
76. Rou9h Electric Wiring � �67, Fencing �& Access ApProval � .
77. Rough Wiring Sign �� ' 68. APPROVED FOR PLASTERING-
18. Rough Electrical-T Bar Ceilin9 �' 69. POOUSPA SYSTEMS FINAL ��
19. Rough- Heating & Air Conditioning �-- � � - FIRE OEPT. R�QUIREMENT -
m s.-,�- .z r �;
20.'� ouyh Pacto'r Fis� lace �"'�� 12'y 'F. O J'" � t APPk{OV '� P mit # k '" '�
�� ry �� �y
.n 4 .Si* �..'^' !� :S ;-� 7' x ; v. �bYti;-� `�'1 �'T,-
21. rDucts, ira�triZr,tur,�e��K i�.•" i-;(s t :S '7 � a�- 70: Under�d ��dro z �.
'"� J ll
22. uc{�3. V' tila�ing', � t i: S'k S'�L k'- 71. Prodi(ci'�iping '�',�as �70ii
i e� Jk I �.7 .Y"� �(�. Li . J
23.'�'iaS.�iPe�to �h & �'Si 1 i ., r .-, r , i • . _
� � i T1:S 7' 1'� 4' � 72. Undergr6Und F7�3h #
24.��{OPS Frmfning• � K 1 �I-� ^ F+ K � • •.i .0 '.� �, -+ � "'
�� �� i �� �k �.i �` 7�3, Undergrrd. St�ac�e Tani� Ci Gas �i5i1
25. Roo�Sh�eathin9 i: �a v�:.t � �� >�v.t: 74 Overhead HydrD�� �+�
26. �7-8ac Ceiling (Strucia�rall & lmor4'oecoat � � �'� �� 7� Dry Che�ical � j r''' � C
27."�ra7ie a Flashin `' �� �K ' K �" `" � �" �� " ,
v � 9r� ;7���X .t �T 'r �. 'r 76. Dry Standpiper•mw !- iT
`� . _ . �
� 28. Lathing�& Siding � ��� :y,�� ,, �' .� ••� •'k 7� FIXED'�S�T��;�F3YVA'�.., .1 �_
:� v �] �-, .... b �i m Et ; �i r �
29. Insulaticr,��j y •• t I �c 7. -FIRERREV. F9fwAL r� � r
' 30. Drywall�Nailing ?� V � r � I x '� ."� �•�-HEALT� DEPTYqEl7UI�MENT
c ptv otin i�
� 31.PlasterBrowr�Coat�.> ��,.�r i y j �r 75,.���VAL}�ISPECkt,ON .y "�
� 32.��Iectricat:Power t�leteP.final t !� V � Y 807 POOD CERTI��C'ATE I�S,}JED '�
� ' !: i iT <:� I �� � n `" '7F. .r.
. 33.�ina�Ele:ttric� K !� 4 r ( i�- Netes: �y :,r, r'- •7 �z�r
.� 4 � 1 � -. r-- _
� 34. f, inaj, HGESing-$� Air�ConditioniLiB= �'1 � i+: � S �'i � .K :S ="=
� � .. i r+ i: � :
35.�.iin31'Ga�PiP�Test K ��'v '7 � .i I r _ .� `.� 9 ��. " '-'��
n:- t. ��.�r
• 36.' FIoOd oq�anopy r.� ` i�ry � k'� i I x F � �"i.� f. � T'
k Y �':i b r-' 1
�, 37.'''�inal;Factory Firepl�ce r i 5� �; ;� °� = 4 �
#
. 38. Finai+Plumbing ��: � v i �n r. � � � � �� �� ^ ^
39. Wate? Service-Final�Y ^ � �� x � Gt- '' `N�'7 '''^
�E � ex � � t, ,.+ k
" 40!Gas Service-Final �t. ,r �,n;r ,S g m � a '�..;,• �s Y:�
� 47. Solar OomesticFioal S 1 •• ■ 7 � C.� ^'-+ t _
k .� � � t �T' 7'7 i" �
42.'Backflow Preventer � � •� % '' ( '� z j -. .� _ -.
� '� •r S : � •: �-�- �i: 7 ^ _
43. Backflow Irripation,k Y �, �^ �. -� .
k � fi �
,:q4. Landscap? �n�patiora System �,y � �� t. n �7 7 �7 � z � v �.� * Y �3 ��
� c -,� 1 r
�5. $Ound Att2fil'IdtiOnK 7 K ^ r t 1T7 `T1 ' ,'� " T ^ � ,� '�,
'1 r.:.k . � -� 7 �4: T.
�i6,'Handicap.Regulatio�s .� .� r' " 'g. ��_ � t w
1 1 '� � J
47. �INAL STR�CTURF & BUIC�DING k � "•_ ' } =' ' i`,•`.
R I 1 ¢ � �
48. _FjINAL PLA(�1WGr ; r � �i ,y � is :1 ,' • - -•
/ �., .�
A9. £leciric Release to Edison t � j {x z 1 _ +' • ��
c I ,r l' K -�
50. 6as Release to Souttiem Ca{ifpr,niaGas Co y { � �; ' � _ . � ii r � • :' ,,
.�
�51'. CER- IFICATE OF OCCUPANCY' r s, ' r� :. s -.
No. Date
�
/
I�
IPfl0.1ECTR00flESS: 799 W 18TH ST
� OWNEfl'SNRME: NEISSER RICHARD C TR
�ooeess: 2063 TU�TIN #A
. COSTA MESA,CA 92627
a�
AflCHIENGINEEX: NEG.NO.:
aooness:
UNIT:
uxiT:
PEPMITTEE: �L—COAST ROOFING ( 714 ) 650-2244
nooxess: 2107 WALLACE AV
COSTA MESA CA 92627
LICENSEU CONTNRCTON DECIAf1ATI0N: I hereUy affirm tlwt I am Iicense0 unAer O�ovisions ol C er 9(commencinA wit� Section
7000� oi Didsion J of i�e Business anA Proleuions Catle. anC my license is in lull lorce an0 eff t.
ciTvu 1 s,�reuc.:598440 ��^ss:
Date: Signaturt: _ . _ — _
�'� WOBNEHS' OMP ISATIONOECIAMTION: Iher¢Oya�lirmltWll�aveaterii�ital crosentmsell-insureoracenilicateolWorkers'
ComOensation Insurance, or a cenilie0 copy IAereol (Sec�ion 3800, laE. C�.
' POLICV NO.: EXP. DQE:
COMPANY:
❑ Cetlifietl copY is �ere0y Wmishetl. ❑ Certified copy is tiled wi�h t�e ciry BuildinA OiNsian.
.�¢; ApplicanL
E%FMPTIONFNOMWONNENS'LOMPENSpTI0N0EClAB�TION: (ihissec' nneeAnol�ecomplete0if I per iliSloronehunartE�E100�orless�.
I cetlily tha� m t ped fmante a� Ihe wotk �Or whitA �hi5 permi� is i5 tl. I Shall noi ¢mpl0 a er in any mannef 5o as �o become
su�jecl to orker �' f'q`m�pensa�ion LawS 01 Calilomia.
�ate: /�_ Signa�ure:
NOTI I. al r making tnis tleclaration. yau shoultl Uecome sueject ro e Workers Compensation provisions of lhe Laeor
Cade, you musl tort�with comDly with suc� provisions or t�is permit sh be Oeemed revaketl.
CONSTPIlCTION LENUING �GENCY: 1 hereGy alfirm t�at Ihere is a consimction IenCinA agency lor Ne perlormance ol ihe work for
w�ich Ihis Dermil is issued (Seciian 3097. Civ. C�.
LENOEfl:
FOONE55:
OwNEB BUILUEN �ECIAPRTION: I nereby alfirm iha� I am exempt Imm ihe Comractors' State License Law lor the lollowing reason
�SeC1i0n 7031.5 Busine55 anU Prol¢Ssional CoE¢: Any tiry ol tounry w�ith repUires 2 permii to tOnitmC�, aller, impmve, Oemolis�, af
repair any slmcWre. Drior lo its issuance, also requires the applicant for sucA permil ta Iiie a signed stalement ihat ne/she is licensetl
pursuant �o t�e pmvisions ol l�e Contractors' State License Law (ChaD�er 91�ommencing with Section 7000) oi Uivision 3 of t�e Business
anC Pmlessions Cotle) or Ihat he/she is ecempt t�erelwm and t�e Gasis for tAe alleAed e�em0�ion. Any Nolation of Seclion 7031.5 6y
any apPlicant lor a permit suhlecls Ihe aDPlicant to a civil penalry oi not more Ihan live hundretl tlollars �E500�.
I, as owner ol ihe Dmpeny or my employees wit11 wa0es as tAeir sole compensation, will tlo the work, and Ne
❑ simcture is not intentleJ or oifereU lor sale (Sec�ion 70a4, Busmess an0 Pmlessional Cotle: The ConVacfors' Stafe License Law
does noi ap01y �o an owner ol a D�opetly wtw �uilas or impmves lhereon, ana w�o tloes such work �imsel�/herself or lhmugh
Ais or her own emplayees, pmviae0 inat sucn impmvemenis are not inlendetl ar offered for sale. If, however ihe euiltling or
impmvement is sold wilhin one yea� oi comple�ion, Ihe owner will have Ihe bmden ol pmving he/she ditl no� �uiltl or improve
lor I�e purpose ol Sale�.
I, as owner ol Ihe Oroperty, am e�clusively conlrac�ing with licensetl contractors �o consVuct �he pmlect (Secllon 7044, Business
L� antl Pmleuions fAAe: The Canlraciors' Slate Litense Law Aces nol apDly la an ovmer o� properry who hmlAs or impmvu Ihereon
and who contractsior sucA D�o�ects with a contractoqs�license Oursuanl ro t�e Coniractors' Slate license Law�. I am aware
Ihat proof ol Iheir Worker's ComDensation insurance shoultl be provi4eA lo me.
� I am exempi untler Seaion: B. 8 P. C.
lor ihis reason'.
oate: Owner.
I Eo Aere�y ceNly I�aI I am aware oI ane wGerSlanU I�e feQuiremenis o� Cali�Omia Heatlh anE Sa�ery CoOe Sttli0n5 25505, 25533, an0
25534 antl Ihal I or any IUWre �uilAing occuDanl willlwill no� (circle one) neeU �o compty with said sla�e codes ana Ihe reQuiremenis tor a
permit lor constmciion ar moEilication Irom t�e Nir Ouahly Manaqement Datrict. ResiEential consimction aDDlications are exempt imm
��e5e provi5ion5.
Date: ppD�icant:
I �ere0y cer�ity I�al I have reatl Ihis applitation anG Slaie Ihal Ihe aUOve inlormaiion is
ortlinancesane tatelavrsrelatingtoUuilQinAaonsimdionaM�erebyaw rrzerepresent
O�oper�y i Oec ' n purposcs.
Uaie: Signamre:
Driver's Li nse or $ocul Securi�y N: �
unih all ciry anU Wunty
on�he above�mentioneE
l6aba6 W�ile—BuilCmp; G�een—CoOe Enlorcemem: Canary—Aoolkant: Pink—Revanue: GolEenroO—Assassor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 06378
PERMIT NO: B 063784 PLAN CHECK NO: N GOVT: N SOPP; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/O ROCK REROOF W/BUILT—UP SQ FT; 3,200
CLAIM VALUE: 3,200.00 CALC—VALUE: 3,200.00 GROUP OCC: R—i /M-1
COMMENTS• SMORE DETECTORS RE�UIRED PER 91 UHC REROOF 2100SF TRIPLEX 6 GARA��
����*���*,���**�**��***��*��� ���*��**������������*������,�����K�����
Z O N I N GS—ERTEB�AUCIKRSE M E N 7J'�
------------ MAIN BUILDING ------ --------- ACCESSORY ���,�ED _____
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: 92417215 ZNE: REF NO:
PLANNING NiSTES>, _—� .
i.'
.-> � f�
aF ik it aF if iEif iF IF it IF 3t iE iFiF it iF it it iE iE iE it+f iF if iE it iF it it it iF i! k iE iE iF it if it iF if if it it it if iElk it it if if it i! ik k it iE �t i! iE it iF it it if if:itif iE iE M it i! if iE 3t
D E V E;; L O P M E N T S E R V I C E S R E Q D I R E M E N;' T S
r.:. n�
20NING APPROVED BY DATE: .
BUILDING APPROVED BY : DATE; �'''
�
APPLICATION ISSUED BY; DATE: ����
iEiFiEiEiE1E�EiEifiEififitlEifiEifiklEiFiE3E 1E�kiFif�E�kiFiFiF1t iFM
iE iE 1E �f iE it iE iE iF aF k if iFiF iF ik 3f if iE if iE iE if iE if �F iFif iF iF if if if if �f if iF i6 if iE iF 1E if ikif if if if IE k iE iE iE fF iE if if iElk fF ik if iE if if if iE if iPlf if iE i(� 1E if if iE iE �f
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 SMIP/NON RES
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
BLD63P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING%i�LAN—CHECR
it iE k if k �Fik�E 1f it if.it if 1E ik if iE if iF.1E 1E �F ik if 1E it 1f iF1f if 1f iE it if iF iE iE �f 1E �f if k if iF iF iF iE i! IF ff if if if iF 3kiF kiF if �f iF�F iF iE iF �E iE if iE��lk �F ff iF �t i! �k i! if if
I N D I V I D U A L F E E H R E A K D O W N ��
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
SFR 3200 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 .�j. 3,200.00
END OF FEES
1�
�r��
O1 00146218-00146219 T 4 T 63.`0
DATE: G9102/93 TII1E: 16;0`
:
;
+COf�S�RUCTION AND PIANNING - POOL � A
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
t
7. Temporary Electrical Service orVole _ 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. ••,� • 53. Steei Reinforcement �. -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4,. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
'5. Steel Reinforcement' � 56. Rough Plumbing & Pressure Test ��
6. Electrital UFER GrrttJ. 57. APPflOVAL TO COVER-GUNITE
7. Foocings ' � 58. EVectrical Conduit�Undrgrnd.
" g,' Foundation ',� � 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. _ ' '� 60. Backwash Li�es, P-Trap, � Undrgrnd.
. '
70. Structural Floor System '� � _� 61. APPROVALTO DECK
17. Pcoperty Sewer Line & House,Connection 62. Backwash & Receptor�Final - A
12. Sev3er Cap ' 63. Heate� & Vent-Finaf �
13. Roof Drains , - 64. Plumbing System � Final '
.• �
14. Rough Plumbing' - .- 65. Electrical-final
15. Ftough Electrica(-Conduit 66. Solar System-Final �' ,
16. Rough Eleciric Wiring 67. Fencinq & Access Approval
17. Rou9h Wiring Sign , 68. APPftOVED FOR PIASTERING
1$. Rough ElectricaP-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
1$, Rough HAacing & Air Conditioning - FIRE DEPT. REQUIREMENT �
� t r, p .
20. Rough POctory Fireplace � .`• • � � � �APPROYALS��' � �.Permit #
�' 1' 1 CT �,S o. I�' �: rf ���-1'-.
21.;DuUs, in Structurg�, i `„ ,. " '. , � � � , � �i0. Underground*Hyd�o `
22, Ducts,Ventilatin9� � � ' " �• i. ProductPip'srigOGa� ❑Oil
23.'Gas�Pipe�Rough &'Tes[ ' - ' '' . �� ' � - �'
� �, ,,, �72. Undergro�und�Flush �-, . i
24. �Roof..Framing� j• ���. �• ��' �' a3.�'Undergrnd. Stora9A Tank O Gas ❑ Oil
i
25. Roof SheAthing � :1� �? �t/,�' 74„�pverhead Hydro �' ,
26. T-Bar,Ceiling (Structura0 &�Monocoat - :. 75.' Dry Chemiral ' � '
27, � Frame and Flashing � � , . " � 76. Dry Standpipe . �
28.�LatRing&Siding�.+ e ��:�t,� �� ,... ; 77.��FIXEDSY6TEMFINAL '�
�.
29, InsulatioR ' - " 1' 78.�FIRE PREV. FIf�iAL - ��.
30. Drywall Nailing r• �� � � � �� •- HEALTH DEPT.-REQUIREMENT
��1. Plaster BrowaCoat� . � �� 79.'�FINAL INSPECTION `� �
�� ,, � I r i+' . i
�32.�Electrical Power Meter;Final i� . � 80. -PO00 CERTIFICAFE ISSUED
33. Final Electric � �, i ` '. � Notes: � , ' ' '� , , � '
34.�Final�Heating'�e Air Conditionin,g _ i , ' � , � � . , r.t
35. Final Gas Pipe-Test Y •- ' � a ; _ - � _ ' '
36. Hood or Canopy r � . . � � . .. . - L . .
37. Final Factory Fireplace ' � � � � , ' � " ;
� i
i • . -
38. final_Plumbing ' ' i � • •
39. Water Service-Finai� � i � � ' �
. -
40. Gas Service-Final _ , . � � '
41. So�ar pomesticFinal � � •• � ' _ ,
42. �9ackflow Preventer - �'� ` � -. . -
43. Backflow Irrigation* .:' -" - ' ' ' �
.., r
44. Landscape IrrigationSyst � -. - . � , � �
v rjr �' . . . _ .
45. �ound Attenuation ; � i � � � .
.�
46. Handicap Regulations] �"'� ' � � �� �� . , .
47. FIN,4L STRUCTU� & BtijIDING `'b!S �? G - s�,.�-� ��" _• m(�ClG `�'�
48.�FINALPLANNINGi(" ?'fi � � i ' �
49. Electric Release to Ed'so� . � � �
50. Gas Release to Sou 1�ern California Gas Co ,
51. CERTIFICATE OK.00CUPAj�lCY , . _ �,
No. Date
PflOJECTA00flESS: '�(34 W 18TH ST �
OWNEP'SNAME: NEISSER, RICHARD C �TR
aoosess: Z063 TUSTIN #A — '
�'� COSTA MESA,CA 92627
AflLHIENGINEEN: 7 S 4% 6 4 5— 3 4 1 5 flEG.NO.:
RDOflE55:
uNir: A
UNIT:
PEflMITTEE: ISAACS �PLUMBING ( 719 }"258-0603
nooxess: 1910 E EDINGER
SANTA ANA CA,92705
LICENSEU CONTRACTOH �FCIAPqTION: I hereby aHirm ��a� I am lic¢nsetl untler pmmsions af C�apler 9(commencing wfl� Se[lion
7000� of �ivision 3 ot I�e Business ana Pmlessions Cotle. antl my license is in lull lorce anC ellect.
c�T 0 56 s;"Jeuc:929549�cuss:�-36
te: 7� SignaWre: _ � — ' ' _ _
BS' COMPENSATION OECLAflATION: I here�y a�lirm Iha I ve a cenif ate of cansent to sy �� ure or a certilicaie oi Warkers'
Campensalion Insurance. or a ceriified copy Ihereol (Section 3B00, Lab. C�. V
roucvNo. C226816 E%P.�RTE: OBIZSI94
co v:H GHLANDS 3NS.
CenifieA c y is �ereby furnisheG. �� Certifie0 copy is ' nh t�e cny Builainp imsion.
.aie: Applicant:
PTION FBOM WOPREH$' COMPEN511TION OECLAflATION: Qhis SetOon nee4 noi Ue Com .el� i� I�e per or one nOreU �5100) or kss�.
i I certily �ha� in Ihe pedormance al Ihe work lor which Ihis permi� is i55ue0, I shall n0� employ any per n any manner so as �o become
su0iecl lo Ine workeR' CAmoensation Laws of Calibmia.
Date: SignaWre:
NOTICE: If, atler maWng Ihis Oeclantion, you S�ouIG Gecome subl�� �O IAe Workers' Comp¢n5atian O�m'�sbns of the Lahor
Cooe. you musl fonhwith compty wiih sucn pmvisions ar this vermit snall Ce Ueemea revakea.
CONSTBUCTION IENDING RGENCY: I �ereby a�firm ihat Ihere is a mnslmciim IenAinp agency IOr Ihe DeAormance af lhe work tor
w�iLI1111R pCflllii i5 i55�CG ($¢LIiWI 3097. �IV. C�.
LENOEP:
ROOflESS:
OWNEH BUILDEP OECIAflPTION: 1 �ere0y attirm �ha� 1 am exempt Imm ��e Cantractors' Slale License Law for IAe follovnng r¢ason
(Section 7031.5 Business antl Pro�essional Codet Any ciiy of counry whictl reQuires a Dermit lo canslmci, alter, impmve, Eemolisll. or
�QOair any slmciure. prior to its issuance. also repuires the applican� lor suc� permit Io lile a 5igne0 5talemeni ��ai he/she is licensetl
pursuam to Ihe provisions ol l�e Coniraclors' State License Law (Chapter 9 �commencing wit� Seclion 7000) al Uivision 3 of Ihe Business
antl Pm�es5ion5 Code) arlhal �e/s�e is exemptihereimm an0 �he basis �orlhe aliegetl exemplion. Any violation of Sec�ion 7031.5 by
any applicanl lor a permii sublec�s �he applican� to a civil penal�y o� noi more Ihan five huntlred tlallar5 (5500).
I, as owner ol Ihe pmperiy or my employees wi�A wages as Iheir sole compensaiion, wiil Oo t�e work, an0 Ihe
❑ 5lmciure is nol inlentletl or aHeretl br sale (Seciion 7044, Business an� Pmlessional Cotle: The Con��ac�ors' $ta�e License Law
aoes nol apply to an owner a� a proDenY'reho buil�s or imOmves �hereon. anU who tloes suc� work himself/hersel� or fimugh
his Or �er own employees. pmvided ��a� wch impmvemenis are noi inlen0e0 ar atlereU for Sale. Ii. however (he �vilding or
impmvemenl is soltl wilhin one year ol comple�ion. �he owner will have Ihe Ourden oi pmving he/she Oid nol builtl or impmve
loe I�e pWpose 0� Sale�.
I. as owner ol Ihe pmperly, am extlusively canVacting witn IicenseA cantractors to consiNct the orolect ISection 7044, Business
❑ antl Pmlessians CoEe: The Cqntractors' State License Law Gces nol apDly to an owner ol OmOeh9 who bui145 or imD�oves �hereon
and w�o coN�acls lar suc� D�ojecis wit� a conlrac�or�s) license pursuant to Ihe Coniractors' Slate License Law�. I am aware
I�at pmol'of Iheir Worker'S CamOensa�ion insurance s�oultl �e pmvi0etl Io me.
� I am eeempi unaer Setlion: B. 8 P. C.
Iar inis reason: .
Oale: O.mer.
I Oo �ereDy cetlity ihal I am aware oi anU un0erstantl fie re0uiremems o� Calilomia Heal�� an0 $afety Cotle Sec�ions 25505. 2553J, anA
2553d an0 inat 1 ar any IWure Ouiltling acupant vnlVvnil not (cirtle one� neeE to camON ��� 32iG slale cotles antl lhe reQuiremenis lar a
permil lor consimclion or modAica�ion �mm �he Air Oualiry Managemeni Oistricl. ReSiUen�ial can5lmciion ap0���aiion5 ar¢ erempi �mm
Nese provisions.
�a�e: ApPlicani:
I here0y cerlily��ai I�ave�eaU i�is applica�ion and s�ale Iha� IAe abOv¢
ardinances antl Slale laws relaiing lo bml0ing cons�mclion and here�y aul
propeny lo� inspection purposes. –
�ate — � SignaNre'.
�er's license or Social Securi�y a: �
is Carreci. I aA�ee �o compty wi�h all city antl counry
ntaiive5 0� �NBciry lo enier uppn �he abOve-menfi0netl
164t�a6 W�ilo—Builaing: Gmen—Corle EnlorcemenC Canary—AppLcanf, Pink—Revenue;
�
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 06560
PERMIT NO: P 065601 PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: PLO PURPOSE: OTH
JOB DESCRIPTION : REPAIR GAS LINE TO METER SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
COMMENTS: NO STRUCTURAL WORK INVOLVED
x�***x��r�rx�**x�*****�rx��+tjt�rjt*r�r*+t**+r***���rr*+t�r�r�t+r*x��r**�r**�t**+t+�*�r��r+t+t*x-�r**+t��r*�r*�r�r+t�r�r
Z O N I N GS ERTEBgAUCIKRSE 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; 42417216 ZNE: REF NO:
PLANNING NOTES>
> '
*x*�r**�r*«�r*w�rx�t�r**x��r*�r*�rx�*�r�r**it�r�x*�t�rx*�r�rxx�*�r�r*+t+ririt��rx��**+t+t+t**x��rirx�*�rx�at�t+r+t�r*�t*x�ir*
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 : .'�l '�� DATE;
.l �
APPLICATION ISSUED HY: �%'� J' DATE:
*�e�r+r��r�r�r*xxx*+��r�r��r�r�r�x �***�r+r*+�**�Ti���*�
iF ik ik M 1t 7klF 1t M iF it!! if iF ik ik ff i! 1k if 1! 1t 1f ik i! fk if 1E 1E if 1f k!f 1k itlF 1klk M 1E 1f ff iE 1E iE �E if k iE if if !f iE it 1f 1f M M M iE 1f 1PlF �F M k 1E f! 1E 1E iE iE it %fE iF 1f !f !f
LEGALIZATION;N F E E S U'M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC �MECHANIC FIRE SMIP/RES GRADING
PERMIT. 5.00 '
_:�.� 252 , , SMIP/NON—RES
PLAN�� '
ISSUE FEE 20.00 —�
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 5.00 20.00 0.00 25.00 25,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 25.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CFIECK
25,00
fF 1t 7E fF tF k k 1F if 1E 1F if �E 1E iElf !E iklklE 1E if 1F iElk iE iF iF iF i! iF iF 1t 1f 1k 1t 1k if M jf i! ff 1E 1E iF fF 1E k 1E iE IE it M 1E iE If if if k if 1f iF fF fk 1ElE 1f 1t iF if iF iF iF if iF if iF if iE
I N D I V I D U A L F,,E E H A E A K D O W N
" %
TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST
PLU 1 GAS PIPING SYS
�
OF 1'TO 4 OUTLETS
END OF FEES
5,00
01 00153339—l;015?3'9 T+C�7
�A7t: OIiOh/9i TI�E� 14:21
5.00
Z„ GO
/,
COGJSTRUCTIOIV ANO PLA�NING
A�PROVAIS Permit �m �
1. Temporary Electrical Ser:ic= or Pole
2. Soil Pipe-Undrgrnd. �; �
3. f�ectrical Contl;titUtJitv�Undrgmtl� -
� 4. Elactrical Condwt�Undrgm�-� T-
5. $tcel Reinforcement-
E. F{vctr,�aIUFEAOmA - �
7. FooUngs L �,
8. �foundauon ^� ,
9.l�ater P�pe�Undrgrr.d. ; ;
iC� Structu.ai Floor Svstem � � •
�I 11. Peaperty Sewer Line & Ho�:e Gonnection
12. Se�ver Cap � , ' _ .
73. Roof Drains �
14. Rough Plumbipg � �
15. Rough Electrical-Condurt
I-=� .
' 76. Rough Electric�Jlring
� _
I 1%. Rough IYiring S�gn
� 19. Rough EiectricabT Bar Ccibrtg
I 1°. Rocgh Heating & Air Cor,dition�ng
�20. -ftougti Facto�y Fire{:tace
21. DuC?s, in 6trueture . � .
r ?.2.T-Ducts, Ventiiating •�
23. .�ias Pipa�?2ough & 7est
--�^T^--T �
24 Rooi Faming� '. � - -
I75 Pouf Shcathirg _ • �
_ __ �-_
, -o I�BL� Ce:ling ;Strt,..-t.:ral�� & ?r'nnc'ro�,t
. 2%. F�. �.ie and Flashlrig. .� �
� 29 �:.a•�'� �r�& S:ding
i i5. In,u'.ati0� �� :.
..,. :�v".a!i�*�aihng . .
'-- -- -- -
I31 ,�ias:c• BrorJn Coa; .- ..- J
�' �2. Giectriwl Po��ver �9e7eFPmal
3� Final Electr�c ' - ---
i
y4 F:nef Heaun;, & k*r�Cow�t�or +n�.. �
�35. =�^n� G., ; Ploe-Te>t - --- - --
�^.'u. Haoq or �ar.OPY �. �, l�.
! a7. b.nal Factory Fvep�aee.. ,_ __
i:.8. Final ?lumbing . � ,n
I�3. \'�atttScrvice�Pinai- . --
,;�0. Gas Service�Final x � � �
_ i
41. Sol�r pomes[icFm2! '� �
42. backflow Preventer . �
. , . � �-----
43. Backflow Irriyation- -
. 4a, �antlscap¢ IrcSpation System
� _.�,.ni _�
i 15. Sound Attenuavon� '
i .�g }ia�-�dlca� Reg4latio�s �----- �
I__ �
; 47. FINRL STRUCTURE & �UILDiNG
48. FINALPLAIVNING '
49. Elece,ic Release to Fdison �, `
�SC. Gas Release to Southem Caiiiomia Gas
51. GEH71f-ICATE UF OCGUI
No. Date
Daco
Inspector
POOL 'A
APPROVALS Permit �
52. Pooi & Equipment Locat�on
53. Steel Reinforcement
54. Forms
55. Electrical8o�ding
56. Rough Plumbing & Pressure Test
57. APP.ROVAL TO COVER�GUNITE
58. Electricai Conduit�Undrgrntl.
59. Gas P�pe, LJ UWrgrnd., Test
60. Backuvash Lines, P�Trap. L� Und�n��:d
67. APPROVAI.TODECK
62. Badcwa�h �k RecepNr�Pinai
63. Fleater & VenFPinal
64. Plumbing Syscem - Firial
65. Electrical�F�oai
66. Solar System�Fina�
67. Fencing & Accese Approval
68. APPROV�D FOR PLASTEI;ING
69. POOI'SPASyS'E'!SFI�AL
FIRE DEPT. REQUIREIe7E�.T
'APPROVAI.S -� Perr;iit � . _
70. UFderg=a..It3�NyL'�o � -
i1. ProduCl?'t�ingG('j,75 ❑OiI
-J2. Under9ro�,mdfiash; .
`�. - -
%3. Und^rgmcF.Slo:a{,�:�jank;�'G�5 �.'0,'
i�
-74 �=0tcrhzad hY�-•o '' • -
I
Date Insoeccor
( I
�.
� -'__ � -_ _�� __- _.
75.� D,y Ciicn��l�c� _ - . _I �
` 76: D�T Stacc rce ::T : . -I- �--
77. FiXEDSY57E,TFd��'�L'
� - __�- �-- --
. 76. FIRE PREV. FItdA:,� -- '
--� �-�-- � - - --�- -
•;+EALT110EPT. REQUIREi4iEG� i
' �9. Pr�vA� iNS�,;;�r��rd ,-.-..---- I
- r--- . � - -- - �'-- -- - '
30. �PODU Cf-tiTlFiCkTE ISSUED I
------' � ---�.L- --- -- _
" 'Nates: ' � " -
.. --�-��-"r----- - �
I �'? ` l `�-- (�!% =��-1'-GL�C '_ /`BGi cC:Cc
_ 2�lC-`'Z'�.�- ='. __ - .�1_,ig,� �� _�._��_.� _ '
' '--- ---_--- ,--_-_ -�:_� � -- -� --__
. r . .. ' _ ___.-______ __'_ i
- � �-c.-'-'.-=�- ------- 11
. � .
-- -^�-� • -- - -- -'-. _ -- - --
. -. > _•
• . ' � V� ,_ . '"
- -. . .. � -- `- --
._.. , �-r-'----- -.
:
�- - �^;-t +--� _ . -
_ _' -'_' __ __ �-_ _ _ .
I
---J.
pfl0.1ELT AOOXESS: 7(j q j,,j 1 8 TH $ T
OWNEP'SNAME: AICS{ NEISSER
nousess: z063 TUSTIN AV #A
COSTA MESA
CA 92627
(714)645-3415
PflCHiENGMEEP:
POOflESS:
UNIT:
� �
wes.xo.:
UNIT:
PENMITTEE: ROTO ROOTER SERVICE ( 714 ) 495-1616
aooxess: z3311 MP.DERO ST
MISSION VIEJO CA 92621
��LENSED CONTflACTOB DECIAflATION: I here�y affirm Iha1 I am Iicense0 un0er provisions af Chapter 9(cammencing wilh Section
7000� o� DiviSian 3 of Ihe Business antl Pwfessions Code, antl my license is in full larce and e�fect.
ciT��ST^TEu�.:2906 ��, C 36
"pxie'; ���— SignaWre�� �t _��
BKEflS' COMPENSRTION OELLAPATION: I hereDyaffirm I�at I Aave a cenificate of consent la sell-insure or a ceniliCate ot Workers'
Comoensation Insurance. or a tertdietl coDY Ihereof (Section 3800. La�. CI.
raucrNo.:WC20 595115974* E%P.OATE: S2�3SI9A
caMraur: pAGOIJAUT INS CO
❑ Cenilie0 coOY �s hereby Iumishe0. [� CenifieC coOY � IeU vn�e ci�� uilAipg DivBion.
Jate 3� ApDlicanC 4 �i,(, .
EMP710N F M WOBREBS'COMPENSATION �ECIAHAT10N: (ihissection neetl notbecompleleUiflhe permitisforone hunOretl�5100)orless).
I cenify ihal in ihe oedo�mance o� Ihe work lor which ihis permit is issuetl, I shall not employ any person in any manner 5o as to become
Subjetl �o I�e Workers' fqmpensati0n Laws oi CaliPomia.
Date: Signature:
NOTICE: II. aller making ihis tleclaraiion, you s�oultl Uecome su�lecl �o �be Workers' Compensation provisions ol I�e La�ar
Cade, you must fonhwith comply wilh such provisions or ihis permit snall �e tleeme0 revoked.
CONSTBIICTION LENOING pCENCY: I here0y 3Hirm Ihai 1�¢rg is a ConSVutlian IenUinp agen�y br Ih¢ peAOrmante of the �'rork laf
w�iC� IhiS Dermii i5 iESu¢U �Setlion 3097. Civ. C).
LEN�EP:
aoosess:
pWNEB BWL�Efl OECIANRTION: I �ere0y aili�m I�at I am exempl Iwm Ne Coniratlors' $tate License Law �or tM1e �ollowing reason
�yection 70.3t.5 Business and Pro�essional COtle: Any city ol county whicn revuiBs a permit Io consimct, alter. improve. Uemolish, or
rePair anY simclure. prior Io ils issuance, also requires 1he applicant lor suc� permi� Io lile a signetl s�alemenl ihat he/she is licensetl
pprsuant to ihe pmvisions of ihe Contractors' Slale license Law (Chapter 9(commenGinq with Section 7000) ol Division 3 of the Busine5s
a�a P�ote55i0n5 Code) or I�a� he/She is eeempl Iher¢Imm anG Ihe Gasis �or ��e alleAed lxempiion. Fny violation 0� $ettion 7031.5 Oy
anY applicanl lor a permit 5u01ects �he applicanl to a civil penalry ol nol more t�an five hunaRd dollars (SSOU).
I, as oWner of Ille propeny or my employees witA wages as tneir sole compensation, will tlo ihe work, ane Ine
❑ s�mmure is not intentletl or oflerea for sale (Seclion 7044. Business and Pmlessional Code: The ComraClors' S�aie License Law
Aoes no� apply �o an owner ol a properiy w�o huiltls or impmves Ihereon, anA who Ao¢5 5uch work him5elf/henel� or �hmuph
his ot �et own employees, pmvitleE Ihat SUC� impmvemeni5 arE nnl intentl¢tl or oflereA �or Sale. II, however I�e Euilding or
impmvement is so10 wi�hin one year ol Complelion, �he own¢r vnll have ��e bu�0en ol pmvinp he/she Oi0 noi Uuild or impmve
lor tAe puroose ol sale).
I, as owner of �he pmper�y. am eKclusively comrac�inp with licensetl comractors to constmct ihe pmlect (Section 704a, Business
p . anE Pmlessions CaOe: TAe ConlrattOrs' S�ate lic¢nse Law doe5 noi apply Io an owner o� O�a�e�Y wh0 bUiltlS ot imD�oveS [here0n
antl w�o contracis lor such D�ojects witM1-a coniracmqs)license pursuan� to ihe Contractors' State License Law�. I am.aware
t�at prool ol t0eir Worker's Compen5ali0n insurance ihoWd Ee pwNtletl �a me.
� I am exemD� unaer Setlion: B. 8 P. C.
lor this reason:
CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: P 06630.
PERMIT NO: P 066309 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE; OTFI
JOB DESCRIPTZON : CONVERT ELEC STOVE 6 FURNACE TO GAS FUEL SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
COMMENTS: GAS SERVICE EXISTING( NO BUILDING PERMZT INVOLVED
******�r�*�***�**�c*+�******+��c*******�r+c******v�*****+��*�*�r+�**x�**��r��**�t*�c�r+�*+��r**�+�
Z O N I N GS ERTEB�A�CIKRSE M E N T 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
PARKZNG R£Q: 9ROV: PARCEL: 42417216 ZNE: REF NO:
PLANNING NOTES>
>
iE if�+f if iE if �f 1E if ic aE �)E it if �7F if iE iE 1f if jf 1f jf iP iF iE iF iF if it if iF iE if +F+f ?h iF if �i it it it jc+4 if if # iE ii iF jf if iE iE ic jf if 3f if if rt if iE iE if i!?f ��)f +: if if iF if iE iE jf aE
D E V E L O P M E A� T S E R VrF C E 5 R E Q U I R E M E N T S
ZONING APPP.OVED BY , r: _ __ __ _ DATE;
BUILDING APPRQC'ED HY ; DATE:
APPLICATION ISSUED HY: Ir�, DATE; LY//
fF1F1E1Fi:�K7fiEiflFiEiEffiE�ElEi�iFffiFiElF�F�� � MYjFiF+�4 - �iF F 1F Ei. .�n. t 1f�1(-1hiE�tf*fflfiE�iE�E'i�%�F��i!�iF
dF1EfFifiFiflFiFKifiE*9EjFiFiEiFipiElFibiFffaFiFiFafiE*%icj(.ifiFiFif�iE3fif-iRiE F�IEiF�.' :if�If�lfiEiRlFiEjfitY�iflEafiFifififiM1iFifi4lE�iFififiR{EiF1Eff�f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
i.,,
BLDG PMT PLUMBING ELECTAZC MECHANIC FIRE SMIP/RBS GRADING
PERMIT Sz50 fj
PLAN SMIP/NON—RES
ISSUE FEE 20.00 i�
BUILDING—DIV—> PERMIT ISSUE PLAt�L—CHECK TOTAL PAID DUE
TOTALS----> 5.00 20.00 ' 0.00 25.00 25.00 .00
REVENUE DIVISION TOTALS--> COLLEC�'ED: 25.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.�� 1 .�
%
i�-iF+c iF it �IF iF i! 9f iE iE jE iE iE iE iE iF * jc jR iR dE iE if iF 1E 9f iE K if iE iE �f iF iF if iE;if if if i! iE if * if iE if #�F iPlf *�if iE if fE iE if iE fE iF iE 1F 1f 3E %if iF if if iF if �F if i! if if i: iF
I N D I V I D U A L`- F E E B R E A Ii D O W N
TYPE QTY D E S C R I P T I O N� UNIT COST TOTAL COST
Oaie: Owner: I PLU
I do �ereby cenily I�at I am aware of an0 unUerstana t�e r¢quiremen�s o� Calilomia Healt� and Safery CoUe Sections 25505. 25533, anG
p5534 ana Ihat I or any IUWre huiltling occupant willlwill nol (cirde one) neetl lo Gomply with said 5taie codes an0 ��e ieQuirements for a
0¢rmii for conslmctinn or moJnication imm I�e Air Ouality Managemenl DisVicl. flesidential wnslmction aOD�iWlions are eKemD� ��om
Illese provisions.
Ddie: AOO��cant:
I ne�eby cetlilythat I have reatl Inis apolicalion an0 slale Ihat ihe aboveinlormation is correcl. lagreeto comply with allcity and counry
p�0inancesantl5lalelaw5ielaling�o0uilaingcon51tuc1ionan4hereby+�dulh0�ize�¢p` emativeso��hiscirytoemeruponlhea�ove�mentionetl
O�aPertY �o� ins Cclion Durposes. ���% �
D te- J� Signalure '"�Y ' —
or socia� securi�y n:
t60i-46 W�na—BuilCmg: Green—CoOe Eniorcemem: Cana�y—ApplicanC Pink—Rmenue: Goltlonroa—Asseswr
1 GAS PIPINr iY5
nF i T� A r�UTLET5 5.�C>
END�OF FEES
(' �� ,
!- • ;I
5.00
�i 00156526—�0156526 T OT 25.00
DA7E= 03/OS/94 7IHE� 09:54
GONSTRUCTION ANDPIANNING � POOL PA ,
APPRQVAIS Permit# Date Inspector qppROVALS Permit# Date Inspector
1, Temporary Electrical Service or Pole 52. Pool & Epuipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Eiectrical Conduit Utility-Undrgmd. 54. Porms
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. 8ackwash Lines, P-Trap, O Undrgrnd.
70. Structural Pioor System 61. APPROVAL TO DECK
1 t. Properiy Sewer Line & House Connection 62. Backwash & Receptor-Final
� 2• 5Q1''�ef �P 63. Heater & Vent-Final �
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electrical-Final
15. Rough Electrical•Conduit 66. Solar SYstem•Final
16. Rough Electric Wiring 67. Fencing & Access AnP��val
17. RoughWiring Sign 6$. AppROVED FOR PLASTERING
18. Rough Electrital-T Bar Ceiling 69. POOL/SPA SYS7EM5 FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireptace APPROVALS Permit #
21, puct:, in Strutture 70. Underground Hydro
22. Ducts, Ventilatinq 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof framing 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro '
26. 7•Bar Ceifin9 (Structural} & Monocoat 75. Dry Chemical
27, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. O�Vwail Nailing HEALTH DEPT. REQUIREMENT
31. plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Pinal S0. FOOD CERTIFICATE ISSUED
33. F�nal Electric ' Notes:
34. Final Heating & Air Conditioning 3• l� ",� ;��.,�_ .,i
35. Final Gas Pipe•Test �'•.S?� i
� /_I
36. Hood or Canopy
37. Final Factory Fireplace �> � � �
3$. Final Plumbing
t -__
3g. Water Service-final ,
40. Gas Service-Final , .
41 . 5olar pomestic-Final
4p, gackflow Preventer � _ ���
-� . �
43. Backflow Irrigation ' �
44. l.and:cape krigation SYstem - .
45. SQund Attenuation �
i'.
46. Handicap Regulations , ��
47, �tNA� STRUCTURE & BUIIDING •
48. �INALPLANNING �
4g, Electric Release to Edison � '
50. Gaz Release to Southern Cafifornia Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date
�
_�.
��. � ` " � 1��54
C�OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. GALIFORNIA
For Applicanf +o Fill In Complefely
TYp� OR PRINT
BUILDItiG /
ADORE65 .
COSTA �SA. CALIFORNIA
OWNER �- � � e o �., �,�r
MAIL In ..�i.Inn—..��1\..
C9G� �'I �Eo'
TE�.
%^'3`X. C- /. INO.OP
C 0 � I u�w n
AUG p 1960
(
APPUCATION FOR PERMIT
sua�tH�
For Office Use Only
RBCEIPT NO. PEF
ss / 77"���
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONE NO. OP U86 OP NEW
' � PLANB �% BUILDIN� �
7�+ �
L6OAL -� . � / ..�/'�n .
/ / (CBMHP LINi 6TJ
REAR YARD � FRONT
( 'I
I RIGHT � � R. 61DE
OF WORK �o
L_SIDE
i�/GU
�A/I � �
CO ER NGw"��'� «-U I COVERING �� 4U �- I\ - �� � � � � f� O� � '�
U6E OF BUILDING A O@K 70 BE ERFORMED - �
— +�'J
'S Y" A�T� % /'� � r� .///:p.i
e br�
/
I H6P88Y ACKNOWLEDO¢ THAT I HAV6 qBAD TX19 MPLIWTION
AND BTATB TNAT TXE ABOVB �9 CORHECT AND AGREB TO COM- THH AMOUM BHOWN UNDBR VALUATION 19 POR TH[
PUPP09E OP, EBTABLI8HIN0 A PERMIT PHE ONLY.
PLY WITX ALL CIiY OfiDINM10E8 AND 8TAT6 lAWB RHOUTATINO
BullDlwo coH8�1o� n� rt� VALUATION ,p�
81GNATURE OF.� � PERMIT FEE $ - a�
PERMITfE � v
�� �
,L`y` /� / �,�^ . �C / /�� � PLAN CHECK �
AUTHORIZED AGEN7 ` / ��
� iOTAL FEE '—
l,�
� ' 22575
f COSTA MESA BUILDINCrSAFEfY DEPARTAAENT
P.O. BOX 721M COSTA MESA� CALIFORNIA 8262E
For AppllmM fo FIII In Compl�hly
TYPE OR PRINT
YUILDINO �� /i/ %
ADDRHDG
COSTA MESA. CALIFORNIA
OWN6R �/ L!���/ / �T/ �J �
ADDR �l`/�� I (j � /`� �
,..�, .� �rA �./�-s � �6�&-3
im esra�cK
2 .5 : N/�- �
" Yd � NO.
o � $r0
�
DESCRIPTION OF WORK
, � BUILCINO NO.OP
G
1 N6RlOY ACKNOWL[DI
ANC 9TAT6 THAY T1��
PLV WITN ALL CITY
OYILOINO CON81N
810NATUR! O
P8RM1TT8
�
AUTHORIZlD AORN7
FEE RECFIVtU
FINANCE ��YI. �
CIT1 OF COSTA MESP
ArPLICATION FOR PERMR
BUILDING
fOf �iC� VH �IIIY
�T
%
ZONING
no. o. usa
•UNt /Ult
180AL
�
�. No. / O — CJ
�8: NO GVE OVERHANO BHALL �6 L6H8 TXAN �
' TO BIDB Q REAR P. L.
rgg �_OWED (U.B.C.RHqU1REM8NT)
YARDBMPROV6D YAROBAPPROVBD �
MAIN BUILDIN6 ACCB880RY BUILDIN6
iOM C/L YTR6[T1��3 �O'��J
)NT
no D f vr. �
IID �IT. RT. �
W ^ PT. IT.
TANG6 B6T. BLT. MAIN a �_, _..
VAR. Zj
DAT6
COV8RIN0 W 'v � � ' DAT[ 7 � �
CTO 6P[RRORM[D p,
- (�i- L i... � O7
,v , �_ � , �
'� ��OG✓ eo. Fr. �
1 NAV[ IWD THI� M►YGTIOX T1[ 11YOYIR �NOWt� UND6q VALUATON IB POR THI �
� CORB[R AXO A0116{ TD COY. 'URroOi O! iffAlLllHINO A P6RMIT Pi6 ONLY. �
Le1/D YTA7{ tAW/ It�OyLATINC yA�,VAT10N Q3 5
� 3
PHRMIT FH6 �
� o
s ��� TOTAL Pi6 � W