HomeMy WebLinkAbout319 18TH ST - Building Permits�oonEssaewim�o: 319 E 18TH ST
"E"g""'E"aawrc FISCHER, HAROLD A TR
A0°"� 20190 CHABOT DR
YORbA LINDA,CA 92886
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ANCNRECTOfl FNfiMEEN.
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C0H1""0T0R5NA1� CRANK BROS ROOFING CO ( 714 ) 548—SSb9
GQRRACTORSYAIIdlO 126 COMMERCIAL WAY •
eoo�u:COSTA MESA CA 1O'N0'` 408677
92627 u'rt:
IICEN4ED CONfRACiOflS U[CIApATON: I M'eby � �aider penety W pwryvy tlal l em fcaued ivdx pwmma d ChWx B
( I� SecYon 1000) d Oive'vn 3 d the &ninea°� ��M��msiane Gode. and mY Goeroe e in Iu0 bru end e11ad.
uc.no.:0 5993 uacuss:C39 '�"0 4086� EXP: 06/98
OWNEP BU EP DECLANAhON: I haeby elfi�m u perp�ry Ihet I em exemq fmm IM Coniredon Lioenee Lew la tlie
tdlowiiq (Seaion ]m1.6 Buairece mM Prol ' e : Any ciy a counry xhitli iepuime e pemie to caarmK.1. Mx.'unprove,
Eemo a repeb vry evucturo, prior to iH eauence, o reQuiree Iha epplireM ta euch pemiil lo fib e eq�rod etalemaM ihel M m ehs
' ceme� punuent lo the prWiyp�a d IM Conireaon Licenae law IChepler e(�merc�q wilh Setlon ]UW) M Oimbn � d iM
,uei�..�e Fraea.on+ coeal « �w M or .In n uema �ne,MAm end �h. nam. �« u�. eAepsd m.mau�. Mr �:�mo� a s«,on
)W t.5 by enY eGW�^� fa a p�mp app�v iM epplieani to e dvJ penetly M ea mon IMn fx� hundrod AoOen �SSOOp.
� I,uownerdiMpropMYamyemWyasewYhwapeemiMiadecanpavmian,wiOEotMxwk,ardlMaWci�reenaiMaMeE
w dlarad tor eeb ("�� )oa�. Buarow e�d PMmsime Gede: The Canrerlas limnas lew Ema �al Appyto en owrim d properry
W�1O �II�f IX�IIp0.l=111BIBO11. dld M�q dM! \IC�1 Mp%hYll1lH IX �M9lr Of tllfWj�l �1O Of �Mf OMTlTaO�!!9. pIP'IdBd I�Id YC�1
'vnpweine�b me nol'utlaMod a Mlsed la eeb. tl. howms.lhe bWdinp a inpwanaN e roltl wilhm ons Ym d cprolYion. tM
m.,,«a�ad.�.:n n... m, n� a aw�o n. «.n. eu m ewa ��a�o,+io, m. wmob a.d.).
❑ �. o o.ner d �ne wro�r..m ..�'eN ow�mYro �.nn Romme cmhsYa. ro comm�d u» wdb (seain, rou. ew'ems.ne
Pmlenime Cade: TM C�ryfon Licenw lew Eoee mi eppF/ lo en owror d qopeny v.ho Wilds a unpv.•m tlweon aM Ma
conueW la aM qaleda xiN e awurmor(s) IiceneeE Wnuem �o tha Wmrrfon liunss Lew).
� I em azemN �vds SecYicn: B. 8 P.G.. br Nu reeson:
Dets: �
I do hereby ce�NY Ihei l em ew�e d eM uMentenE ihe requlremenb d Callomie Heellh enE Se/My Code SeGbm 25505. 25533, arM
q5536, enE thet I a ury Mure y�ikiiq oaupenl will / wil iwl (dreb me) e�eW ro eanply wih veid tlate eadm vd �he iapWrtmend br
epermnlneaawnionamodi(etianhantMAi w�y enepenr��Di9eFf.PeeNantalmnpNpunePG��iawareaaanqlmmNees
prwiaiorm.
De�e: �VN��
WOflNER'S GOYFENS�TON DECL�fl�TON: I Mr�Ey elfum uMx pene�ly d perjury w d IM IOAow"vq Esdvmc�+:
� �n..�.ena.ilmam.ne�yVm.am..xm..unmv.brwaken�oomw�+m'v�.e.w��o.Ws«fimalaod�n.lebor
Gods. la iM pmlamvca d tlr wM la w1iN N'm pxmu b inueE.
�I M+eM x�l meiMen HpYye' mmpema�un Imurerce. n reQu'vW by Setlbn �100 d iM LeEor Cods. br �M pa�ormarwe d �M
work la whitli Uis G��1 u e�ued. MY warkae' mm0emtlion'vw�vica fanier xM OdKY numbm ms:
cemw: STATF FT7UT1 EXPIRES
' P�YNumber: aes—Qav��r.��a� O1/O1/99
rn;, seniar n..d Iwr ae cmnd.ree r tn. pelml i. ro. me nuneied donem Isiwl a rw.)
� I ce�ily Ihm In ihe paAa���s d ihe wak lor whkh thu pemiN ia uad, I ahell ra1 am I y any pairon in eiry menner ao es lo
� �ane��eu,bjad io iM ypMare' mmper�mibn kwa d Celibmi ep'ee Ihm il M becana eubjea lo ihe xvrksn'
pn qw'v'wu d Sed' l00 ihe leEw Co0e.1 onhwah mmNY � proiuims.
�l� .:__..f=��-�a �� ��: ��
.,,e,h,��.ue/ct,n.ny�oy.r ro cnmrel y.n.rou w
tM cmt ol eo�i�tbM1 tlem�W p MVWW br In
S�Nm 9106 0l m� Lmor cab. /ntra4 mn �ttort»Y'� Vu.
CON9Ti1UCT10N LQlOINO AGENCY: I hseby el�um urdm peneEy M perjury �!W Ilwa u e mvlMion bnd'vq percy br Ihs
peAwmeMa d iM wak la wh'rh �he pe�mi e ewad (Sedion �081. Civ. C).
LENDEN'S NMIE:
LFNOER'S ApppE55:
I cenily Ihet I hew neC �hia epdK¢ip� yd mme Ihei ihs ebow iMmmtion a conatl. I piae b canply wit� ell'ily end muMy wdinerims
eM ete�e lews rele�iq to Wikyp �puvutlion W Mroby euNwua mpreaenletivee d Ihie dry io anter upon ihe above�mantioned properly
lorinapedion Ourpovea.
�, JIM CRANR
(515ti6.WP)
wi,u.a�ae:�o + �r:
Oela: � � �Q �/ �
CITY OF COSTA MESA — BUILDING PERMIT'
PERMIT NO: B 087490 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCAIPTION : T/OFF & REROOF AND INSTALL GREY GRAVEL SQ FT: 1,883
CLAIM'VALUE: 1,883,00 CALC—VALUE: 1,883.00 GROUP OCC: R-3 /
COMMENTS: IN THE HOT ASPHALT.
x it�t�tir** x jtx at*at x et**ir x*�t* �it+ratat� at�tjt�t*ititatat�t x�rjt�t+E�r x� �r��iErt�*at�tit�t*�x at* x�atitatatat�tit x�+rit �tit�it�t�
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: �'T-- IN -
PARKING REQ: PROV; PARCEL: 42501417 ZNE: REF NO:
PLANNING NOTES>�,
>�
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D E V E� O P M E N T S E R V I C E S R E Q U Z R E M E N T,,,S
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ZONING APPROVED BY DATE;
� �,
bUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY; DATE; " � �
�,���,�***,�***�,���***�**�����������������������***�**,�*,���� ��8
LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SE MENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 59.50 SMIP/NON—RES
PLAN
ISSUE FEE
HUZLDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 60.00 0.00 0.00 60.00 60.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 60.00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK
59.50 ,50
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I N D I V I D il 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 1883 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 1,883.00
END OF FEES
03-3:,-1998/11:45 HM/16�.08
kCRTd:Fil-3ae1564
F'Eki'1IT:087490
CONSTRUCTION AND PLANNING POOL � �PA -
ApPROVALS Permit # Date Inspector qppROVALS Permit � Date Inspector
1. Yemporary Electrical Service or'Po�e 52. Pool & Equipment Location
2, $oil Pipe-Undrgrnd. �, 53. Steel Reinforcement
3. �lectrical Conduit Utility•Undrgmd. 54. Forms � �
�.
4. Electrical Co�duit-Undigrnd. 55. EleCtrical Bonding �
5. Steel Rei�forceme�t � 56. Rough Ptumbing & Pressure 7est
6. �lectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Pootings 56. Electrical Conduit•Undrgrnd.
8. Foundation • � 59. Gas Pipe, O Undrgmd., Test �
9. Water Pipe�Undrgmd. � 60. Backwash Lines; P�Trap, O Undrgrnd. �
10. Structural Floor System � 67. APPROVAL TO DECK
+ 11, property Sewer Line & House Cor�ection 62. Backwash & Receptor-Final%
� Z• Se'''ie� CaP 63. Heater & Vent-Final �
13. Roof Drains � 64. Plumbing System � Final
14. Ro�gh Plumbing � � 65. Electricai-Final
15. Rough Electrical-Conduit � 66. Solar System-Fiqal
16. Rough Electric Wiring 67. Fencing-& Access ApProval �
17. Rough Wiri�g Sign 68. APPROVED FOfi-PLASTERING "
18. Rough Electrical-T Bar Ceiling - 69. POOUSPA $YSTEMS FINAL'-
19. Rough Heating�& Air Conditioning • FIRE DEPT. REQUIREMENT
20. RoughFactory'Fireplace � � APPROVALS .Permit#
21. Dutts, in Structure 70. Underground Hydro
22. Dutts, Ventilating 71. Product Piping D Gas D Oil
23. Gas Pipe•Rough & Tesc . 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing ���p--�8 � 74: Overhead Hydro
26. T-Bar Ceiling (Struttural) & Monocoat 75. Dry Chemical , . � �
27. Frame and Flashing - 76. Dry Standpipe .
26. Lathing & Siding , . � 77. FIXED SYSTEM FINAL.
29. Insula2io� 78. FIRE PREV. FINAL
30. Drywa�l Nailing • � HEALTH DEPT. REQUIREMEN7
31. Plaster Brown Coat 79. FtNAL INSPECTION
32. Electrical Power Meter�Final ' 80. FOOD CERTIFICATE ISSUED �
33. Final Electric , Notes: �
� 34. Final Heating & Air Conditioning � • . ' .
�
35. Final Gas Pipe-Test � � , �
36. Hood or CanopY - � � I
37. Pinal Factory Fireplace ' � , " _ �
38. FinalPlumbing � • ' '
39. Water Service-Final � � .
40. Gas Service-Final � � '
47. Solar pomesticFinal �
42, Backflow Preve�ter ' . . . �
43. Backflow Irrigation �
44, Landscapa Irrigation System • - ' . - • �
45. Sc>und Attenuation '
46. Handicap Regulations • - - �
47. FINAISTRUCTURE&BUIl01NG �_Qq �(,��• '
�0
48. FINAI PLANNING '
49. Electric Release to Edison
50. Gas Reiease to Southem Califomla Gas Co . '__ '
51. CERTIFICATE OF OCCUPANCY '
No. Date
"°o"�ss°`B'°`°°'°: 319 E 18TH ST
°N"�'"""E"'Q'0N'" LINDA ESPINOZA
A0°"� 222 E 18TH ST
C.M. CA 92627
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��T�%""� CRANK HROS AOOFZNG CO ( 714 ) 548-5569
���ro��""� 126 COMMEACIAL WAY
�� COSTA MESA CA ��"� 408677
92627 uNr:
IJCENSED CONfNACTOq3 DECLAN�TION: I Mnby dlim uMs pe�uly d pmjivy Uxt I am licaued uMr pa�au d Gheqr 9
(mmmendM wuA Sedion 1000) d Oiwun � W Ne Bus'vao vd Pralmeions COEe. eM my lisw w m h0 fan eM efletl.
1CNOi005993C uo.��:C39 uc.r+o.A: 4Y08_6�77 EXP: 06/98
ele'��Z � � / Z_ Coruretlm �-^�'l{� `
NEfl BUILDEN UECL�RATION: I Iweby dfum uMs peuly d perjury Ihel I un uanp han tM CaaMan Liomse Lew la tln
IdbwnB �a�vn lSedion )0]1.5 Bue�m+enE Pmleesions Code: MY NY a mu�iY xhiN niarae e P�! to wnobW. aEx. imPrwe.
Eemd'eh, or reper eny cl�udum, pin lo ila oeuarKe, eho reQuirea iM epplimnl lor euch porm� �o Rb e aqneA eltlameM ihd M a eM
� licenead Wnuem to Ihe povieian d IM ConVaqae license law [Cheqer 9(aommmviq wM1h 8wion )W0) oi Di.�ebn 3 d iM
uameas eM PrMeaeiau Codel w �het he n eM 6 avmq iherekom ud ihe buu la Ne elb9� mamqion. A^Y violet'vn M Seeion
M1.5 by arry eppkum lar e parmn nbjarn �M epdiaM b e tivB pmetly d nol mon �han frro Mvdead do0u� �SSOOp.
� 1. m ownx d IM popanY a my emplo�ese wIh wepee n ths eob mmpamelian. �p do ihe wak. vN tM n�uct�va e nol mtadod
a Mved br eeb (SM'vi )011. Busirow eM PMesdona Code: TM CoMradae L'neme law Eme nol eGWY loan ox+ard GAOeM
who WiEf a inP�'� tMrewi. eM w1q Aoee �uch r.ork Nmmetl u MnM a N�aqh hi a lier Own emVb'Iw�. pa�� IM tucA
'unqo.qnaM us nol'vJe�dod n aflerod ta ub. tl. howma.IM dNd'vp a inpwamM u wid rrilldn wr Y� ��OM� �
uwrerku�ltlar xT hm ihe dvden d painp M or �he 6d nal W2d a'vnpon la tM pvpwa d seb).
❑ �. ea mvne. a ine pw�v. am exCiondv aomraa�u wnn 4reneae comiecias ro mmma tl�e wa� (saabn �ou. an'urs a�k
Vrotesaione COEa: The Contreaae licenee lew doee � epply to en oxner d pmpMy Ww Witla a impovw IMrean eM who
conve Ya br wW prqMe wAh a cvmretlor�e) IceneeE punuent to Ihe Gontreaas Lioema Lewl.
� I em ssamq uMm Seciim: 8. d P.C.. br Nu neam:
DNa: �
I do M�eW ronM tlW 1 em ewere M md �mdenunE ihe nCuimnmb ot Celimm IIeeM nd Sdel�/ CaEe SWiwn 25.505.2553�. eM
255J1. enE Mm I«enY M1aun G+ild'v9 � wiY / wil na (mde one) neW to candY wih vid mts ooEu eM iM iepucsmxm b
a0�rolammNMionamoddrNionhantM/v�6u�1 v�ynss0iurin.RaoEroielm�9vdionWV4diaqenmemNhanNw
Powims. ^
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Dete: ApPlicenl: Y-
WORKEH'S COYVEN9�TON DECLAFITION: I hraby e1Nm uMw perWly W perjury me d tlr ldbwinp EMu�lum:
� IheveuMxilmeiivnn�aeMAFinaWoon�ent�ouM�imunfurMvk»'canM�bn.mV��bfaM8wbn9lU0M�MLeba
CaEe. fa tlr pMamencs d Ne wak la wlich Mu pa�rvl b ivuetl.
❑ I heve eM W maimen �Men' canwme�ion imurerce. m m�p+ueE W Sadian �100 d tla labor Cods. b tM 0��� d �M
}� .rch �a wwi� me v.rma e m.uea. Mr »vrVw.• wmw�.uion vmn.M. �a.�..oe odv.v wn,n«.r.:
cenix: STATF Fi1NT1 EXPIRES
Pd'ryNumCx. Z65-95UALIT22a O1/O1/98
Tis aecfion need nw be comWs�ed I tM permt u b me huMreC Ldlen (StP01 w bseJ
�] I cmliy thel in iM peAwmerwe d Ihe wwk M whc� I�u pemiil o isawC. I ehdl m� ampby ury pnson in enY manMr n n �o
pacome wbjw to iM xorkeee' mmpanWian 4ws d CeGlanu. W epres Nel A 1 Mwk bcoms r� to ihe valmn'
comGeem�bn V�/+e�ioro d �Se+q+ion�J)OU d IM lebw Code. I dWl��py,—/AiLf���
Dma �� Z 3 ��7 / AONicem: o' ' _
w Lro:c.uw.ro..eul..ort.n�rnmpru+Coneov�nw�,�nY.nn.x�e.�w�.mf«l.n«ro�awroalmrww�+�tlr.ne
x�
e nna �y ro aw MaMrw thouuN adin lStoqaoOA %� ��n ro tM emt ol rompw�uWn 4+�W u prvMdw ror In
xtlon J106 0l M Lebar Codl, IirteruL �� aRomry'� ha.
CONSTflUCT10N LENDINO �OENC�: I MroEy etFrm �Mer penalry M perjury tha Ihere u e can9wfion bM'up eymry br iM
peApmeMe d �M xwk In whrcA ihc pwml is uwed (�� �]. Civ. CI.
LENDEH'S NAYE:
LENDEfl'S �ODFE55:
I<eniN thet I heh �d No epplcetbn enE 9e�� ihel ihe ebw'e Mtormetian o mrted. I epna tocampy w4h e0 dry vd mmry ad'vwcn
eed W�e lawe ielelYq to ddd�q ar�m� aM horabY euUwce npmen�eMas d Ihu UYb xur Wm tM eEv.smrvivrE popany
la impeaian papues.
JIM CRANK
� 7 Dme:
(5151<6.WP) WAns-&nkiq d SdYy: O�e»-Fb: Cew�y-�ppirenl: Rnk-Raenua: addsuod#*neor
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: B 0848b6
PERMIT NO: B 084866 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; REROOF W/1 LAYER COMP. OVER 1 LAYER COMP SQ FT: 1,747
CLAIM VALUE: 1,747.00 CALC—VALUE: 1,747.00 GROUP OCC: R-3 /
COMMENTS: X
��***��*�r**�r*x�*�r;r*�*�rar�r***�r*�r*****���r�***�cx��*�r*��r**�r*��*+r+r***�r+���r�**�r**��r****a�
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 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: 42501417 ZNE: REF NO:.-,��
PLANNING NOTES>
i �
rt 1k �k iF it iF if iF if IF iF iFjt 3f iE iF ik 3f 3f k ik 1k �f if it ik iE M if iF M if iF if iF iF 3h M iF if if k 1!'1M1'7F iF if if if if it'1F iE if if 3E il ik'sF 3f 3f 3E ik 3E iF iE iE iF iF if iE if i@ iE iE 3f if if ik
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�' S
ZONING APPROVED BY DATE: "'
BUILDING APPROVED HY : DATE: �?
APPLICATION ISSUED HY: DATE: � ��
itlFiFiflFiEif3FMMiF�fMifiEM3fiFififiFi! 1EikiEifiEiFifi(�ikiF ' 3F�F
LEGALZZATION:N F E E S U M M A R Y STRUCTURAI: S GMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 56.75 �� 50
�� SMIP/NON—RES
PLAN � '
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 57.25 0.00 � 0.00 57.25 57.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 57.25 OVER/SFIORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
56.75 �� .50
ih 1f 1F ih if 1! �k iF ik �t it ik k iF 1F iE iF iF iF iE ik itlF IE 1F 1Elf'1F N i! �F fF ih if 1F ih 3f 1k it iF if iE 1F 1F'N' iE * �f if iE 1E iFlf iE 3I' iE iE ff �f iF iF iE iE �E iF iF ik if �k i! iE i4 iF 3F �F ih i(� ik iE
I N D 2 V I D U A L �F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N^, UNIT COST TOTAL COST
SFR 1747 REROOF BY VALUE RESIDENT,IAL NOZONE 1.00 1,797,00
END^OFJ FEES
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CONSTRUi;TION AND PLANNING� � " POOL 'A . .
APPROVAL5 Permit # - Date Inspector qppROVALS Permit # Date inspector
i. Temporary Electrical Service or Pole � 52. Pool & Equipment Location,
2. Soil Pipe�Undrgrnd. ,� ' 53. Steel Reinforcement .
�. Electrical Conduri U{ility-Undrgr�d. 54. Porms - �� �
�� �4.�Electrical Conduft�Undrgrnd. � � 55. Electrical Bonding � ,
,�5: Steel Reinfo�cementi . 56. Rough P�umbing & Pressure 7est � .
'`6,: Electricat UFERG�nd. � 57. APPROVAL TO COVER•GUNITE �. �
���=7. Footings - w 58. Electrical ConduirUndrgrnd. �
-'8. Foundation ''' ; 59. Gas Pipe, � UriSlrgmd., Test
9. Water Pipe�Undrgrnd. ;, i 60. Backwash Lines;'2=Trap, � Undrgrnd. �
10. Svuctural Floor.SVstem -� 67. APPROVAL7�•DECK �
1 i. Property Sewer Line.& House;Connection , 62. Backwash & Receptor•Finab
12. Sewer Cap ��' ' 63. Heater & Vent�Final �
13. Roof Drains .. ' � 64. Plumbinc� System - Finai .�� �. '
14. Rough Plumbing. .*i � . 65, ElectricabFinal , �' ' .
�
15. fiough Electrical�Con,fiuit � T ' 66. Solar SVstem-Fipai � �.
, .. .
78. RoughElectricWirin`g ' . � ' ' . � I � �
�67. Fencing & Acces's Approval
'��1J. Rough Wiring Sign � G8. APPROVED FQ�i�'LASTERING -t �
18. Rough Electrica�7 Bar Ceiling 69. POOL/SPA SYSTEMS FMAL °
79. Rou�h Heating & Ai'Conditionin� �, � � a : , F`RE.Q�P7�2EQUIREMEN� �
20. Rough FactOr�Firg�lace r r j�' � _. j . � �� r r r �r
• .� �Tt , �•APPf�OVALS-".. Permit #
21. Qucts- in Str�ciure� t : .. .. . - e ' �-, �. � �• - - e
. ,� _ r - F ., t _� 70. Undergrountl Hy,dro i
22. Quc(�'S, Veritilat�ng;� r � i^ • - �� 71. Product Piping �JGas OO Oil
23. Gat Pipe�Rough & Ttlst °' � x .'1 = � � . � 7p, �Jndergrourid Ftush : '' " ' '
�- -� - r i� - �� . •,,
c � 1� ..� .V :; � � ~ . � �� .. , � .
24. 'Roof-Framing'� � ' r .� a ,� �": 7�: Undergrnd. Storage Tanb:� Gas ��Oil �
25. Roof•Sheaihinq i :,' � � x�� '7 'r ri� k 74?�i0verhead Hy�re3.,r � � .
26. T'-BarCeiling (StructGrall & Moaocoat * z� - ��' � �.� "� � ' ,.�
�, ,� y � � 75; Dry Chei�nical ;
27. Frartle and' flashing i ' _ - .:. ,^ ' = � 76. Dry Stan�2piPe S :� � � _ ,
r-� .Y
' 28. Lathing&•Siding !' � -' .' - i = , "µ 77� FIXEDS�TE-�M1�INAL -+ -
i
29. Insulatiom � � _ ' .. � ,c j � .: 7& FIRE P(iEV. FIN � ' �= "
� 30. Drywaii N'aiGrtg � � K � � �� - ,�1EALTM DEP�. RE�UIREMENT �
31. Plaerer Brown'Coat � S �* ^ � , i+ r 79. FINAL INSPECTfON ' '=7
-, r:
��
' 32. �E,lectrical',PoWer Met�r�Fi�al ' �x "' � i �� '� 80:� FOOD CERTIF,iCATE IgSkIED_ -- �
- 33. F;inal,ElecQric � � �.� , �:C i. � � � � � � � Notes: ' � "%' ' ' . �'�� ' -
., .. : _ !` � ,r � � � ,. -
' 34, Final=-HeaIing & Air �onditioning � D� /��
-- ? i Y ... � � �� �"'� %� �l'� � �
r .: . . _ � ��-
, 35. Pinal Gas:?ipe:7est � _ .. _ I `_ .� �. �no _ -i „
36. �Hood or CanopY ' '= �'- ' ' * � %= �'-� ' .
- rT . - ! � P r, ,C � -
� ' `',.'q . !
- 37. Rnal.EaciorY FirePlace : � - . ' y � � a .
I� T
_38. Final Plumbing ' "� � .. '� � + y �� -� r � -� �
� i ,
- 39. Water Service•Final '; r� � " . , � i�, , ' � ., ` � `y ` � I
- i �- .
-.40. Gas Service-Final . i:f ��*. r• + y I 4� _ '.^� • �
Y :•� ; �
�
�-47. Solar por�estic-Final, = ,} " ; '' � it . �, � t �. i
�42. Backflow_Preventer � - * � .' : �l • � � . �
r 1 �-+ � , � - �
-43. Backflow=irrigation ' " . .. `� � � - _ � �
.;z
44. Landscape frrigationFSystem = T, . � . " �-' 7 5 ' ti � _ " -
�.� .. + �: , i_ t� •
..� .� . � .� < . r., n . _ ;. ;
45. Sound AttenuAtion , :.. . „k : • r : .. �
66. Handicap•Regulations - �� �f • ` � -
'J
47. FINAL STRU�TURE & BUILDING `�1�7 a.(,� � � � "�' � , , �
� �
48. FINFiL PLANNING � � • ' '� - -�' '-"��." T " � ,
i
49. Elect�ic Release to Edison � �� , '�- �
7 y
50. Gas Release to Southem Califomia�Gas Co • �' � ' �' � �
�: , _
5Y. CERTIFICATE OF OCCUPANCY �� ` ' • - - � '
No. Date �
wonessaew�nu�a: 319 E 18TH ST
OlMER9WWEIFqqWN: LINDA ESPINOZA
AD0"� �22 E 18TH ST
C,M. CA 92027
�. Yuiwo �oo�sx
YKXRECT OF FNIIIlffli:
uc xo,
uNr: b
PERMIT NO: B
CITY OF COSTA MESA — HUILDING PERMIT
084867 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF & REROOF W/COMP
PERM NO: H 084867
GOVT: N SUPP: N
PURPOSE; OTH
SQ FT: 1,797
RClL OP FNR'S ADDPESS: UNT:
CLAIM VALUE: 1,747.00 CALC—VALUE: 1,747.00 GROUP OCC; R-3 /
�A°T0R4""� CAANK BROS ROOFING CO ( 714 ) 548-5569
ca+m�croas�uwa 126 COMMERCIAL WAY COMMENTS: X
�oo�ss COSTA MESA CA urxo_ 408677 ***�r**�e*�r*�e+r�r�***�e*�e**�e*�r****�x*�***��e**�*�r�r�r�r�r�e�r*��;r�r�*�****��**�c*�r**�*�r**�r***
92627 °NTi Z O N I N G R E Q U I R E M E N T S
LICENSED CONTfl�CTORS DECLAflA710N: I haeaby elfrm widm penely d pajury MW 1 am fcaueE wdx porie'vu a/ Ghepr 9 S E T B A C ]( S
�}}��''^^ eiw�q xi�� 9eclion ]ODO) d Divieun J d �he &reireae erM PMeeama CoAe. utl mY �� q in tup lata vM eMetl. '
� .NO.: LIQCLASS: 11C.NQ: ______ _____ _________ _________
005993 C39 �4� ��: 06/98 ------ MAIN HUILDING ----- ACCESSORY BUILDING
o�. r,y ^ com�« FANT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWN BUILOEN DECIAP�TON: I hmeby dfnm uiMer per�ely d perjury �1� 1 em eRemq Irom tM Comretlae Licema lew la IM
- p reevon (Senion )0�I.5 Bueiwas eM Prdeseiona Gade: Any eny m mumy xAiM nyuiree e permd lo canemrot. Mer, improw, P�K I NG RE P ROV : PAAC EL ; 4 2 5 01417 Z NE ; R EF NO ; '
demdch. a npei eny eUutlure, prbr to da ew�v�, ebo �pui�es IM epplirenllor euch pmmd �o Rb a eqned Matemsnllhet M w�M 7
'� IicenasE W�^�^� �o IM pw'viom d Ne Caniredwe lioeve lew �Chepim 9(oommmdnp xilh Saqion )OW) d Oiveion � d Ihs P LANN I NG N I' ES > ('�
lusineee erd Rdeeanne Code� m Ihet M a ehe ia ezemq Ihaehan aM �he basie lor Ne ellepeE eaamqion. My vbW ion d Setlion � '
lW t.5 by e�ry eppliunt lor e permA euEjxl� IAe epWirsn� to e tlW perielly d M mas ihan liva hwdred ddbn �SSOOU. 7
� I.mowrorWtMO�P�YamyemWW�ex'vhweB�rolheieolemm0��ion.wJlEolhexofk.vdtMevucYunenal'upmked
a Mmed la eeb (Sxiion ]004. Bueimu enE ProleeaomCada: The CoMreqon ikmae lew Ame �wt epplyban ow�r d popeny
who WMa a inV�*s Ihe�ean. end Mp does sucA xak Ivm9etl a MnN or Waqh hu a hm own MnV�Ww. po+� �NI wM
imqwemems ma nd "uneMed a dleieE la eab. tl. however. tM buYCirp a'vnpo.xneM u wid wNhin aw yaer d mmpMlion. iM
owner�builder will heve IM Wkon d pwin0 � or eM did � huild a impo.e Iw iM purpoea d eeb).
❑ �. e. oww d in. o�tl. am udenaN caaree�c �.an Noauee oonuemn m mmue tlr wqw (9aaun rou. &e'vma end
Protaetbns Gode: TM Cmlrtlon l'cros lew dob �pl eW�'/ b en o�xw d D�O�Y xfio bdNs M 4npwr 1lwaon end who
conirect 1«.audi c�9✓�e wil� e wm�euMe) IcenxC w�uem m �he Comreaae lloema lewl.
❑ �,m euma �« s«uo�: e. a v.c.. �« w. mma,:
Dele: �
I do MreM ��M OW I em ewma M W ivWieieM iM �ea���rw d Cetiarce HseEh eM Sa1wY Code Sediwe 15505. uS1�. eM
255]I. eM Utl I«arry Mun buiMinp ocaWnt xill / wll �(�b one) neeE to camply wiF wid qma mdu enE tM naw�ameM br
epmmelammlrvctiannmaAfrtlianhom�MAi�i Ltie yRi�anyenaa0ivrie.RaeideruielmMMionePV�iamenaasMhomtlan
a�..
Dme: MM�
WOflKEA'S COYGENSATIqI DECLARATON: I M1sroby alfmn udx panMy d pamry ons d IM IaOow'vp dotivmum:
� IMaenEWmdmeneeMlktlodmmeMlosetlimuesbrwv�ken'eompsuelion.mprwidadlabyBWim�)COa1tMLebar
Gade. la iM pMamuwa d Ihs wh la Wich Uua paniw o inued.
❑ I have eM wil meimen worlun' mmpenW ion inaurenro. n reQu"ved by Swim J]00 d iM Lebor Code. br �M prlormena� al tM
){ wak 1« whiN Nb Vs^^n ie mued. MY xerMen' oom0��bn'viweercw mrr'ar ud W�/ numMr m�:
Gerriar. STLTF FnNn EXPIRES
-. Pdicy Numbar: ,��_ � cA,ri�� r�r � � e O 1/ O 1/ 9 8
mi, ..aan neea mr a. canvbrea r rn. ro�e w ror av nurMree ed�elsls�ao/ a. bn.)
� I cenN �� in IM pe�lormenca M ihe xrork br rfich I�ia pertnil ia baued. I ehell �wl employ erry psrean In vry meniwr o m lo
becmis wM� to ihe v.oM1ars' canG��ian kwa W CefiMnie. vd qlres ihel R I Nwk become wbl� to �M xaNen'
compemeiim pmviaioru d SaUion 3]00 d tM labor COEe, I h campl� wiiy Oiwe provisigq.
�' 7 ,,,w;�,,,, � �ir�(i<-L(�
ode: �
Wem/n0: F�Ilun ro i�cun wortrsn' compNwtlon cover� li unlewh�l, entlWll ubJM en rriployw ro erbNn�l p�+�ltlr �rW
nvn nn.. w ro a�. nurer.d rroua.ne dar.r. fsioa,00aA ���n ro m. eo.r or rnmpw.ean danrw u povmw ror In
Sxtlm 3]fA6 0l tli� le0or COA, Intwt �� artomsy� /w�.
CONSTPUCTION LENDINO �OENCY: I hneEy elfirtn uMer pvulry d perµry �hm ihas fs e mnp�utlion MMi�q epency for tM
parlorma�e d �M wak lu Mhitli Ih'v puml u eaed (�� �. CH. Cl.
LENDER'S NAME:
lENOEfl'9 �DDPESS:
� cenlh �nm � new reee me wd'cmion ana nm. �nm me mmm ineammian o mnee. l roree �o canNr wnn en w ene aauM «ehwcs.
enE elete 4vn nlelip lo WJEiq cane6�rlion end harabY aW�¢e mqeaeNeuvef d tAie tsyro eNs upon IM eCwa�mauiurd popMy
/m irepeCion 0��
JIM CRANK
(SIS1�b.WP) WNIs-Buiknp
Dele: � Z S �' ! /
if 1Elf k iF iF k �ElF it iF iF �F'1F fF iE iF �t �F �k �f 1f if iE iF if M iE iF iF if iE iFiF ff �F 1F iF iF iE if iE if iE fF if iF iF ii �F M M 1E if if if iE iF if iF iF it �E it iF fE iE 3f iE jE iF if iE IE iF 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 DATE: ii�
BUILDING APPROVED BY : DATE; ��
APPLICATION ISSUED HY: DATE; � y�
lfiEiF�fifiF�EfEMiFiliFiFlfiFifif�fiF�fM1f ifiFiFiFiFif�EMftjE iFiF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGMENT:Y
�
HLDG PMT PLDMBING ELECTRdC MECHANIC FIRE SMIP/RES GRADING
PERMIT 56,75 � .50
!� SMIP/NON—RES
PLAN ��
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
TOTALS----> 57.25 0.00 � 0.00 57.25 57.25 .00
REVENUE DIVISION TOTALS--> COLLEC'I'ED: 57.25 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECI(
56.75 � .50
if it if iE M iFlk if �F 1E ik if M if iF iFlt M'1F it IF it fh iF 1f iF IF M!f 1F iF M iF 3F iF iE �F�F,iF iE iE �k fh K fF �lh if fF 1f iF if IF iE i(' iF 1f if 1E if if 1(' if i(' if iE i4'1F iF iF iF if i(� 3F iE iE iE fF �E fE
I N D Z V I D U A L•'�, F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N7 UNIT COST TOTAL COST
SFR 1747 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,797.00
END.IOF FEES
��,
�
�
1
:,
1�
�9-25-1997/�d:35 F:Uv57.e�
SCfT�;J1-:2iF_C.
?ic�2f7Z � s e,8�'aSE l
_ .�_
CONSTRUCTION AND PLANNING �� PO.OL !A ,
qPPROVALS �Permit# Oate Inspector qppROVAIS Permit# Oate tnspector
t, Temporary Electrical Service or,Pole 52. Pool & Equipment Location,
2. $oil Pipe�Undrgrnd. ' 53. Steel Reinforcement
,
�3. Electrical Condun UfilitV-Undrgrnd. 54. forms
� 4, Electrical Conduit�rURilrgrnd. 55. Electrical Bonding �
:���,5.•Steel Reinforcemenc� ,` ' 56. Rough Plumbing & Pressure�Test :. ' i
6" Electrical UFER-,G'rnd. , 5J. APPROVAL TO COVEfi�GUNITE
�•:=Z:�Footings ' 58. Electrical Conduit�Undrgmd.
'"6. Foundation ��- -L 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ,`.; 60. Backwash Lines-P-Trap, O Undrgrnd.
70. 5tructural Ploor�qstem a.� -' � 61. APPROVALT(�QECK -
11. property Sewer'Line�& 4ouse�Connectjon , 62. Backwash & RecflPcor�Final �
12. 5ewer Cap .� � " ` . � 63. Heater & Vent-Final .. �
13. Roat Drains _�- . � • 64. Plumbin9 Sysiem -.Final '�
74. FioughPlumbing, �r' � 65, Electrica6Final , . � . -.
:�
� 15. Flough Electrical-Cor�uit '�. - 66. Solar 5Ystem�Finai ,
16. Rough Eiearic Wiring �,-, � 67. Fencing & AcceSs.Approval - �
17. Fough Wiring Si�h v � � 6$. APPROVED FOF�'LASTERING ,
)8. Fiough EleMricaFT Bar Ceiling � � 69. POOL/SPA SYSTEMS FINAL
� 19, f?ough Heating & Air Conditioning � � -�� F�p E qEPT.,AEQUtREMENT ' �� I
� • . .- - i - , .c �., A a g - .. 7`�� _ - .w :
20. ;Rou�l� Factor� Fir,adlace ; :F'� ' '! _ � .: �: �'APPi,j�OV[t(ti$ ;'r.'', Permit # � �g= - ' i
21. �ucts; in�Structure: r •.-.• 'F: n ^ !"'7�Y `� 70. �1�ndergrou�l HJdro k . .
22. Ducts'. Ve7itildt.ing�. ;. � "= � i_ �• � �'' r~ �
, ,, r " ;-..+ ��71. ProduprP,ipin9D��yas Oil �
23. Cas Pipe,Rough & Test � T.- �, i�� t�,:- •� 72. Undergro3nd F(t7sh ' ��,
24. Roof=FrBming'� � �'" � �" ' r� -. j, � 73:; Undergmd`StorygeJankiOGas �Oil
25. Roof.Sheathin - , .� > r;+ •
9 � 74r,S3verhead Hydr� �
.. „ . _ ,-� ,. _, ,_
26. •t ��-Ba'f�Ceiling (SVuct�irall & N}o"o�oat �'� , :r � r'' �' 75 Dr Chemical �
7. �.y t'J J r Y -� .i. r,
z7. �rame and Flashing F � � � � 'r. 7 >+ �^ :' 76. Dry Starj�8pipe ��'� ' r _
"28. 4ath1n9 FsSidCn9 ;, `� -• • .^• _ i >` �•�� T r _ �'
�.� � � �, 77; FIXED SY�TE�i,�, INA4 �
29. Insu�ation • " J �� �• x � ��' 7 • FIRE PREV. Ff �.L � � �" '
�•,
r 30. Orywall Nailing t; F, � � F, I �,' � ��iEALTN.�DEP'(. REDUIR:EMENT �
31. Piaster 0rownCoat !. .> i�^ x � ,K :' 79� FINAL INSPECTtflN - �
- �-
: 32. ���ectrical_Pow`er Met�r�Final � r ' } � �F � �' 80y FOOD CE�R7IF,I�ATE I��IdED, ;; ,
� i. � : - r ,. ; . �,.. � � � �
- 33. �naLElectric , . �-1 t ; i: ' ' � NoteS: ^7 '.'.r: .t. � ; N ; �
'• 34. Finaf Heating & Air Eonditionin�j = �� F � � �� , /���l�R' 9� �� "� ��Byy ,�`�i�
- . �� % �y�._(____-__„-T�..�� ` ti
35. Finai Gas�Pipe.Sest �. �. .� f �p � ; ;e ^� ' 'T'
.-
' 36. Noodbr CanoPY r �� . �•� �' x '` • � 4" ' F �1 � 1 �� T �
F 1 S� Y- /A Y- H
�37. �Final�.Factory Fireplace �_ , ',- .z w � � {±. �� � '
38. Fina�'Plumbing � '- .�. �*� Y =� . r --
� ;: ti � �:�
39. Water�Service�Final t ;_ ; � _� ,r I I* , � � . � y � r �
� . ,r
�.40. Gas Service-Final i �� - � " t n } '_ - � a
.k ^ � , - I �R � � � ' ,�,
`•47. Solar pomestioFinal� � � 'r, � t " ; �,. , t r �
42, Backflow Preventer � '� + � . ^ � - . ` •� '"�
- r: .. .-r-. w a I� - _.
^, S ` _
-�43. Backflow IrrigTation �' � ' p �• p ; i " " .. F ' � 1 .
44. LandscapU Irrigation�System -b'' � � � "� ',', �? �� ` 5' ' - '' - :' '
-.� r t S �
45. Sound Attenu0tion `, '� ". . T � - ,,� � -; y. � w� . � � _ �
rt' T '� C '
46. Handicap�Regnlations � •� � f ' ` - - _ `
I� t! �r; � "` t
47. FINA�LSTPUCTURE&BUILDING ���w� �(,V �yy ' " � . �-
.
48. FINALPLANNING' �. . ', •� ^ ;�: �� 'T' . ' .
� �
49. Electric Release to Etlison _. � ; � � . � -
50. Gas Release to Southern Cafifomia Gas Co • � T ' -- �. '
C �.
5Y. CERTIFICATE OF OCCUPANCY ' �
No. Da[e
' ' . ' , �3��.0
CQ�TA MESA BUILDING-SAFETY DEPARTMEN7
P. O. BOX 9f7 COBTA MBSA. GLIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
ADDRE'SS � 7 C � � � T
' COSTA MESA, CALIFORNIA
� BHiHl1CK LINg FRON
LDING
OF
ROOP
COVEI
K TO I
TEL.
NO.
TEL.
I NO. OP GILGB.
�
Ff� REC� yoVED
�INANCE OEPT,
APPLICAT({DR� F@SR�►�II��
BUILDING
For Office Use Only
R8ClIPT NO. P IT NO.
/,�� /a
Ae ��io e. �%Ore ae E�„e� �� pa�-�E�P/=o
BUILDING �//� / (/]'C.L/ l �y:
ADDRESS / / O lA
COSTA MESA. CALIFORNIA
APPROVED
�f�NING
Ho. or � uae ov new
L60AL
YARDS
APPROVED
(CHMeH LINH BT.1 ,-1
APPROVED
t U
1 H[pBBY �CNNOWL8O0H TXAT 1 XAV6 R{AO TN10 APPLIGTION THg AMOUHT OXOWN UNOeR VALUATION 19 FOP THe
•ND 8TAT6 TNAT THH ABOVB 19 CONP6GT AND AGR88 TO CON- pURP09E OP E9TA�L19HIN6 A PHRMIT PHe ONLY.
PLY WITX ALL GTY OflDINANCHB �}ID 9TA7g L.AWB RHOULATIHO �
BUILDINO CpNBTRUGTION. VALUATION
81GNATUF$ OR PERMIT FEE $
PERMITf6 ��� /"O..�J
$/�,Q/) �— PLAN CHECK 8 %
UV di
AUTHORIZpD AQENT TOTAL FEE
O
�o
�
' �..��:��
CQSTA MESA BUILDING-SAFETY DEPARTMENT
P, O. BO% 917 C08TA MBBA. GLIFORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
■ SIZE
� 88TBACK LIN6 PROM
TEL.
NO. OF BLDGB.
DESCRIPTION OF WORK
NG/� � ROOME
DR WALL IROOF
OF
1 NBRHBT ACNNOWLHOOB THAT 1 XAV6 RGD TH19 APPLIGTION
ANO HTAT& TXAT TXE ABOVH IB COFNBCT ANO AGIiEE TO CAM-
PLY WITH ALL CIiY ORDINANCEB AND HTAT¢ LAWB REGULATINO
BUILDINO CONBTR��N. ^ ^
1
SIGNATUHE OF •r �. ., .. _ ..
AGENT
F�E RECEIUED
JAN 12 �961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
H!ClIPT NO. PBHMIT NO.
0Y DAlE qECE1VED vATC IBBOE
A I /� /%_��I /—��—��
BUILDING
ADDRE55
COSTA MESA, CALIFORNIA
RE
ZONING
NO. Op O I U8! OR NEW
PLANB BUILDING �
VARDS
APPROVED
(CHMHR LIN! BT.1
APPROVED
EVES
TN8 AMOUM BXOWN UNDEN VALUATION IB POP TNe
PUHPpBE OP HHTABLIBNINO A PeqMIT PfiE ONLY.
VALUATION � � �
) � PERMIT FEE $
S /" � PLAN CHECK $
TOTAL FHE K �
. '�` I 64�
CpSTA, M�SA BUILDING.SAFETY DEPARTMENT
P. O. BpX 917 COBTA MEBA. CALIPORNfA
For Appl?eanf fo Fill In Complefely
TYPE OR PRINT
ADDRE68 J/ p � �1^ � M•
COSTA MESA. CALIFORNIA
I� MAIL
ARGHITECf n�
OR ENGINEER //ONE
vLD.
TEL.
FIRE
FEE �RECE�sUED
,�'�INANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Ortly
R[C¢IPT NO. P[AMIT NO.
COSTA MESA. CALIFORNIA
�.,.... .V — .....�.... L�
NO. OF U9H OP N¢W
PLANB� BUILDINO �,
eTATE TE�. �a��
�IC. NO. NO. 1 o¢ecn�viioH ��G� �
SIZE / < a�,S�NO.OPBLDOB. _ � �
OF LOT b , Y.� �7(J NOW ON LOT q, p, NO. l � �
USE OF �/ ypRpS EVES
EXIBTING BLDG wEu� I N 0 c4 /7 �� HG F pppROVED ALLOWED
68TB�CK LINB FqOM RI (CBNT[R LINE eT.l �'
CHNTCR oF BTR@6r �� REAR YARD � 9 FRONT FT.
SIDE YARD I LEFT � S, I RIGHT 1� .S �
R. SIDE FT.
DESCRIPTION OF WORK � _
REPAIR � II MOVING I II OEMOLISH I BYPROV DATE ���� �
b ZE D'NG L � • ROOMS STORIES � � VJ�L
EXTERIOR WAL ROOF
COVERING ' uL�O COVERING �oMqo�
U6E OP BUILqING AND WORK TO BE PERFORMED �, —� ,
WS��fNc d- 77 /dlih'6�
� �Z —
I NHRHBY AGIfNOWL8D08 THAT 1 HAVB 0.6AD THI9 MPLIGT�ON THg �MOIINT BXOWN UNDHR VALUATION 18 POR TX8
AND BTATB TryAT TH8 ABOVB 18 CORRBCT AND AOA88 i0 COM• pURP096 OP EBTABLIBHINO A PHRMIT FH6 ONLY.
PLY WITN ALL CITV OH�INANC88 AN� BTAT6 LAW9 PeOULATNO
BwlnlNo coNeinucrloN. VALUATION
SIGNATURE Op PERMIT FEE $ ^� � "
PERMITTC `�
S ��/ PLAN CHECK $ //'�
AUTHORRED pGHNT _ ',1'>
' - � G�3�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] GOSTA MESA. CALIFORNIA
FOR APPUCANT TO f/[L /N COMPLETELY
TYPE OR PRINT
BUILDING � / � r
ADDRESS
COSTA MESA, CALIFORNIA
OWNER � �+
ADDRE55 � �L` . � / y V / '
o�T� oJff� /`%P.SA TNi;Li�/,Li°
ARCHITECT _,. i wi_ _ LIC. •.. , _
' LEOwL ILOT
A.P.NO. � '(}
SIZE � 3�- a � s �/ S, I NO. OF lLDGB.
OF LOT Now on �or
USE OF ` ��C DF G/i�iG4`
cxic�riur wi nr.
■ serewcK
SIDE VARD ILEFT IRIGHT
DESCRIPTION OF WORK
NEW II ALTERATION I II AODITI
REPAIR I IIMOVING I DEMOL
SZIEDIN�t,���// e O.OF �% STO
7 y-VA ROOMS p
EXTERIOR WALL � i I ROOF �__
F EE RECEiV ED
ri _ ; �- -s � � �`
FINANCE DEPT.
CITv OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
fOR Off/CE USE ONLY
I nece�rr rvo. I ream�r
APPROVEO
BY
REAR
.I (/'�/Y'JV / / ^ dU
��s ,�. ��� sr,
COSTA MESA, CALIFORNIA
ZONING
NO.OF .USE OF NEW
PLAN9 �� BUILOING /,
,_/ /{
i' . �� ' DATE I/
1 HENEOY ACRNOWLeDGE TXAT 1 NAVE FEM1O TNIS APPLICATION � qNE /�MOUNT BXOWN U�R VALU/�TION I8 FOP TM�
AND BTATH THM1T THE ABOVE I6 CORRECT ANO AGPEE TO COM� pUflP08E OF EBTABLIB NO A PERMIT FEE ONIY.
PLY WITH GLL CITY OflD�NANCE9 AND BTATE LAWS REGULATING
eULLoirvO COrvaTa�ucTOrv. A yqWAT10N �j/
P RMITTEE �F/ %�� /_�w ' D /� PERMIT FEE $ �J p�-�
6� ����
� _
$ PLAN CHECK S � � �
AUTHORIZED AGENT
TOTAL FEE S �_ '�—
' CITY OF COSTA MESA � __
BUILDING D/VISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • vnwv.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER. P08-00004
PERMIT TYPE PLUM
APN: 42501417
- �ii.''` ' :. .
� 1.
JOB ADDRESS: 319 E 18TH ST CM . `
Vicinity: , <- . -
STATUS:
DATE ISSUED:
ISSUED BY:
i..
i�
Suite/Uniti.
SCOPE OF WORK: REPLACE SEWER LINE ON PRIVATE PROPERTY.
OWNER: FISCHER,HAROLpATR � ��Address:
PHONE: � � �' . , � City/State/Zip:
APPLICANT: HENRYTRUJILLO . � .�-Address:
PHONE: N4-244-2352 , , - - - � — -City/State/zZip:
CONTRACTOR: SOUTHERN CALIFORNIA SANITATION PUMPING
Address: 7206 S NEWHOPE -
Ciry/State: SANTAANA,CA � ZipCode:.92704 � , ' ,�
ARCHITECT: �
ENGINEER: � . . �
License No.
:. License No.
ISSUED
01/03/2008
SOK
20190 CHABOT DR ..
, YORBA LINDA, CA � -
7206 S NEWHOPE � : - � '
SANTA ANA, CA .
License No. 767933
� PHONE: �714-244•2352
' �" ' ;CELL: , " �
i ,
. ' � , PHONE:'
PHONE:
PLUMBING PERMIT FEE SUMMAf2Y
�. PLAN CHECK FEE:' ` $0.00
PERMIT FEE: ' . - ' ' $d8.15
TOTAL FEES: �';:' � ' $48.15
�
NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and 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 permit to be wnsidered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obWin inspections and final approval will result in the expiration of this permit.
COOE�. INSPECTIONTYPE DRTE IN1111RL5 LOOEp INSPECTIONTYPE DATE INTITIRLS
1818 Fixed System Final Fire Preventibn 206 Final Mechanical J��
1266 Pool Spa Final . 208 Final Plumbing y(]�1.Y• � l8 0
�r
200 Final Re-Roof 210 Final Electriwl
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION�
I hereby affrm untler penalty of perjury one of the follovnng declaretions:
� I �ave antl will maintain a cenifcate of consent to self-Insure for workers'
compensation, as providetl for Dy section 3700 of t�e Labor Cotle, (or Ihe
peAormance of the vrork for which this permit is issued.
❑ I have and will mainlain workers' compensation insurance, as required by
section 3700 ot the Labor Code, for the perfortnance of the work for which this
permit is issued. My workers' compensation Insurance carner and policy
number are:
Carcier
(This secfion xNriW be mmperee athe penn44 vaNM ai me hurqretl cb9ars /Ef001 a
Policy Number:
�� LceAify Ihat in ihe pertormance of the work for which this pertnit is
issued, I shall not employ any person in any manner so as to become subjecl
to Ihe workers' compensalion laws of California, antl agree lhat if I shoultl
become subjec[ lo the workers' compensa[ion provisions of Section 3700 of
ihe LabOr de, I shall forlhwilh compl ith these per�ovisions.
1-�� l' 3 �
� p inn s iqnamr _� Dare
�__ %
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commenting
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in lull torce and effect.
Lic: # - 3 �CI # �i__C/��_
L- ,-.
/--Cont2r] fs S �wre- Da�e �
t /
CONSTRUCTION LENDING AGENCY:
❑ I hereby affvm that there is a wnstruc[ion lentling agency for the
peAormance of the v.ork (ar which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lentlers Name:
Lender's Address:
SignaNre Date
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for lhe follovring reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permil to
construct, alter, improve, demolish, or repair any strucWre, prior to its
issuance, also requires the applicant for such pertnit to fle a signed statement
lhat he or she is IicenseC pursuant to the provisions of Ihe Coniractors
License law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Cotle) or ihat he or she is exempt therefrom and
Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of not more than
fve hundretl dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, antl the sWcture is no[ intentletl or
oKered for sale (Sec. 7044, Business and Professions COCe: The Contractors
License Law dces not apply to an ovmer o( property who builds or improves
lhereon, and who does such v.ork himself or herself or through his or her ovm
employees, provided ihat such improvements are not intended or oflered (or
sale. If, however, the building or improvement is sold vrithin one year of
completion, the ovmer-builder will have Ihe burden of proving ihat he or she
did nol build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to conslrucl the project (Sec. 7044, Business and
Professbns CoOe: The contraclors License Law dces not apply to an ovmer of
property who builds or improves thereon, and who cont2cts for such project with
a conlracta(s) license pursuant to the Cont2ctors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
SignaWre
0059<6 (10])
Ovmer ID verifed by dnv. .ce. .❑ Yes ❑ No �
Driver's License No. Expires: /
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certdy that no excavation frve (5) or more feet in dep[h into wfiich a
person is required to descend, will be made in connection vnth work authonzed
by this pertnit, and that no building structure, scaffdding, false�wrk, v tlemolition
or dismantting [hereof, will De more than thirty-s& (36) feet �igh. (Chap. 32, Gry
2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code�.
❑ As owner-builder, I will not employ anyone to tlo wrork which vrould
require a pertnit from the Division ot Industrial Safety, as noted aDove, unless
such person has a permil lo tlo such work from the division.
Appllcanfs Signawre Daie
Division of IndusMal Safety Permil Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant neetl to fle antl
certify a Business Plan for emergency response to release or threatened
release of a hazartlous matenal? ❑ Yes ❑ No
(Seclion 25505 of the Calilomia Health and Safety Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time Ouring a reportetl
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas
at standard temperature antl pressure�.
2. Does or will the applicant or present or �uture building occupant need to fle
a registration fortn for acutely hazardous matenals? ❑ Yes ❑ No
(Seclion 25533 of the California Health and Safety Code, with some
exceptions, requires registration wil� the Costa Mesa Fire Department by
each business which al any one time has on hand a quantiry of acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume ot 55 gallons, or 200 cubic feet of compressetl gas at standartl
tempereture antl pressure).
3. Does or will Ihe applicant 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 the Califomia Health antl Safery Code provitles ihat the
Costa Mesa Fire Depatlment may require the preparetion, certificalion and
fling with the Fire Departmenl of an RMPP by businesses which are required
ro register acutely hazardous materials with the Fire Depanment.
4. If an RMPP is presently required, has Section 25534 0( the Califomia
Health and Safery Code been fully complietl with? � Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is lhe subject of �his applicalion a permit !or such construction
or motlification from the South Coast Air Qualiry Management District or from
any other air pollution control dislrict or agency? ❑ Ves ❑ No
(Sectbn 65850.2 of �he Cali(omia Govemment Code requires that the requested
in(ortnatbn be fumished on applications (a non-residential building permits).
6. Will any part ot the facility to be wnstructetl un0er this permit be within
1000 feet from the outer poundaries of a school? ❑ Yes ❑ No
Qf "yes", the facility must meel the requirement ot Sections 25534 and 42303
of the Califomia Health and Safety Code).
7. If a permit from the South Coast Air Quality Management Dislrict or other
air pollution control district or agency is required (or Ihe work which is the
subject of lhis appliwtion, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf yes", attach certificate of wmpliance (rom the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcL I agree to comply with all state laws and
city ordinances regartling Hazardous Materials and Emissions.
SignaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORI2ATION OF ENTRY: I
certify under penalty of perjury that I have read this application and slate that
the information given is wrrecL I agree to compry vnth all state laws and city
ordinances relating to building consWction, and authorize representatives of
the City o( Costa Mesa lo enter upon the above-descnbe0 property For
inspection purposes. I agree nol to occupy or allow occupancy of any building
authorized by Ihis permit until final inspection.
ignawreo(LegalOvmeqs) Da�e
��M .nu�narizeanppna �� . - �_ wie