HomeMy WebLinkAbout914 OAK ST - Building Permits,wopEssaaainrw: 914 OAK ST
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COSTA MESA,CA
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92627
IlG NO.:
uxr: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 079126 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
CX.OR Elq: S MUXES4: UNT:
m�m�,cTon.sru�, LEE ROOFING CO ( 714 ) 642-7222
COHIR�CTORSMNlMO 1653 SOPERIOR AV
�oox�ss COSTA MESA CA �G� 349686
92627 uM
LICENSED CONfPACTONS DECLAflATION: 1 hereby efl'vm widar pendy of pa�ury tlut I em IicenwE under provmona d Clupx 9
(wmmer✓ieq wilh Sec�ion ]000 d Dirision 3 d the Busimss vM Pmfeadona Code eM m fwarua is in lull bece md eHae.
cmuc.no.:0287/5� uc.cuss: C 39 uc.xo.: EXP: 03/97
Dete: �/ �T / ��/ Conlretiv:
r
OWNEP BUILDER DECLAHATON: I Mreby elfirm uMer penely ol parjury Ihel I am examq Irum IM Contreaaa Lice�ue l.aw la IM
IOIbwnO raeson (Sedion 1N1.5 Buaiwas ard Proleaiom Cade: A^Y uY a counb whidi nVuiren e V�X lo omaWp. e1M. impan.
demol6�, or repair eny ewnure, qior to na eauence, ebo requires IM appliram fa wch pwmn lo fib e vp�d aletemnl Mel he a eM
o IioeroeA W��� �a �� P�^^a d tM Contretlon licenae lew [Cheqar 8(canmeMiip xilh Sedion )000) d Drvebn 3 d tN
Buai�wae vd Prdess'a�s Codel or Ihel M a ehe o mamq Iherehan eM the bmu la Ihe ellapad examqion. My vulpion d Sepian
]W 1.5 W eiry epplirant la e pertnA subjme the epplicent lo e avil panelry d iat mae Ihen IMe hu�MnE Edlen �f500�.
� I.mowrorWlMpropeityamYempbyeee.wihwapeaeaiMieolecampenealbn;WldoNewvM.eMiMeWauneM'vaeidaE
impwcnema ara m1 Inbnaea a onerae �ar ea�e. rt, nowever. me nwanq n mprwemem 4 ade xhnm wr yw a mmqetm. ine
ovmer-0uiker xill heva tM Widsi d qwieq M or ahe dk � buiM «imqo.e ta IM qnpoee o/ eele�.
� I. ea awror d iM popMy. em extluei�rey oonlredvp wilh IicemeE mMractae ro cmnrua tM prqetl (�� �. �aineee enE
Proleaeione COEe: ihe Canirmore liceme Lew doee iwt npply lo en owiw W popeny v,fio pupJe a'vnpovw tl�e�eon enA v.fio
wnvecie 1« euch Orol� �� e mm tor(e) IicenaeE purouem to tM GmVeqora Lioenee Lewl.
❑ I em eaemq undx Seciion: B. 8 P.C.. M ihie reemn:
Dete: Ownar:
i eo ne�eM �v �na i em e.ue a ene u�m.w�d me nc����a a cmaomia r�eenn ene smear coa. seaia,. assos, usaa, ene
25SX, enE I�et I w airy Mure buiki�q orapent will / wil nd (tlrcb me) nead to wmply wih aeid meta mdsa aM �M epu'vemaMs lor
epwmilt«odmrunionamoEifimtionhom�heA� i�B-i—Iily.anepemanlDielnd.RpiEanlielconpiud'pneppimtiwmeneaempl(mm�Mes
povimna.
Dme: Applcem:
WOpKEH'S COMPENSATION DECIAPATION: 1 Mraby elfiem uMer panelly W pejury one d the Idbwinp Aetluetnm:
� I heve e�k MiG meintein e carN'rale d mnaent �o veN-inaure br wake�s campeeauion, n provided la by Sarbon J'!OD d tM lebar
c�, �« ma wno�� d ma ..m� �«..m�n mB o�a �, �„�,a.
j�7 in�,.d,e�;��m�w«k��ro�a�m,�re�.m,�am,�eMsm�s�aoame�.ee.em..r«m.wR«�o.am.
.� i« ��,nw� mn w�n n�,.e. My .«��•S�'��.° �°°�`ii�IYi`�"m aw� ��mw,.,.: E X P I R E S
c°°"` _ 06/30/97
Polcy Number:
�rn;, .,en�, ��e �a ae �aree a ma �x r, �w o�a n��d..e ddm,. nioo/ w w,.�
� I mMiy ihet in Ihe paAormence d �he xrork la whkh thie pe'm'�.' 119n�, I 4WI m� emPla in vry manMr w o to
bacmie wbjea to tM xorken' canpeneation kvm d Get a. anE ree iheL'0- uld bjetl to IM xwMae'
mm0a�+dion pearigiom d Sedion 3)00 d �ha lebor Code. I I)onhwn mmPN .�
PERM NO: H 079126
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : T/O EXISTING COMPO ROOF/APPLY NEW COMPO SQ FT: 2,800
CLAIM VALUE; 2,800.00 CALC—VALUE; 2,800.00 GROUP OCC; R-3 /U-1
COMMENTS: TEAR OFF AND REMOC'E EXISTING COMPO ROOF / APPLY NEW COMPO ROOF
********�*****�x***x***�**x����*****�t*+c**********+�*��**��r*��t��c**+c******x�**�*��*
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ; PROV: PARCEL: 42249302 ZNE: REF NO:
PLANNING NOTES>, �N�
i! te
ik iE iE 1E if 1f ik if iE iE �E iE iE iE 1E fE 1E �E iE fE iE 1E iE �E 9E iE fE fE 1E aE jE jE �E iF iE iE iF fElE iE iElE iE 1E 1E iE iE iE iE if �ElE 3E IE ff 9f iE iE iE aE �)E iE iE iE 9f if 1Elk if iE �ElF 9f 9E iF �)E iE iE fE
D E V E?L 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
h�
ZONING APPROVED BY DATE:
HUILDING APPROVED BY : DATE: �l�
APPLICATION IS,$UED BY: DATE: ��/-��
iEiEiE�fiEiEifiFiEfEikiEifjE'�EfE9E�E�EdEiElExacxxxx9....���� � � .c xacic�'�'xfEiEifiElfiflkiEifdF jk1E
LEGALIZATION;N F E E��S(UFMFI�t/A�RFYF STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74.75 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 0.00 75.25 75.25 ,00
REVENUE DI��ISION TOTALS--> COLLECTED; 75.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74.75 .50
if iE iE 1Elf !E 1E jE iE iE iE 1E 1E iE iE iE �E iF 1E �E 1E 1E 1E iE iElE 1E 3E fE 1E 1F 1E iE IE 3E iE iE �ElElE 1E iE 1E 9E fE fE iE 3f �F IE 1E fE fE iF iE 3F fElE �F if �E �f 3f 9E iE if if iE 3E iE iE:F 3E *�1F+�. iE 1f �E
I N D 2 V I D U A L F E E H R E A K D O W N
.u�a.w�,�a,wn,�el�.�am�owm�nmrwv�tl..w TYPE
s0Cltlon ro IM ew! ol eonpsnufbrt dsme0s� u provlLM br In
SFR
CONSTNUCTION LENDINO AOENCY: I Mrdry tlfirm uMx q�alry W parjwy ihel Ihen ie e conetiudion bMiip epenry f« tln
p.da��� a m..o� ro, .mm� mm ro�+ ���d (smo�, aos�. cw. c�.
LENDEP'S NRME:
- LENDER'S pDDflE35:
I ceniN �he� I hera mad inia eOWicetbn eM mme �het Ns ebova inimretion o canea. I e0ree �o canPN wnn M rily eM couM' wdireiw�
ard Nete lews mletep to build'mp conavuaion erd Mreby vnhor¢a ropresenletivee dihu dty ro enler upon the ebave�maNianaE poparry
'«' "'P°'°' WALTER ROBERTS
�� �Dele:
Spn uro d Oxnar/ApanUAppl�dn�Conireda
(5151�B.WP) Whne-Buikinp 8 Se�ery: Greeo-Fla; Cenery-AppRran�; Pink-Revanue; Ooldenro��naemw
QTY D E S C R I P T I O N
2800 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
CJNIT COST
1.00
TOTAL COST
2•8��,��
=-r� - POOL & SPA �
CONSTRUCTION AND PLANNWG .
APPROVpLS Permit # Date Inspector qppROVALS Permit # - Date Inspector.
I
t. Temporo�y Electricai Service or Pole 52. Pool & Equipment Locaoon�' ' �
2. Soil Pipe•Undrgrnd. _ � . 53. Stee4 4�einforcement . � , . �
3. Electrical Conduit Utility-UndrgmtJ... 54. Forms - ' �i
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5. Steel Reinforcement . - ' S6. Rough Plumbing & Pressure Test �„ �•
v
6. Electrical UFER Grnd. � 57. APPROVA� TO COVEfl�GUNITE
7. Footings . 58. Efectrical Cond'vit-Undrgrnd. •
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. . 60. Backwash Lines, P�Trap� O l{ndrgmd.
10. Structural Ftoor Svstem - 61-. APPROVAL TO DECK � .
11. Property Sewer line & House Conflection 62. Backwash & Receptor�Final'�
12. Sewer Cap " 63. Heater & Vent-Finai �
�-1
13. Roof Dra�ns " 64. Plumbing System ��FinaA �'� ,
14. Rough PWmbing - - 65. ElectricabFina� , � r
" 5
15. Rough Electrical�Conduit � 66. Solar System�Final • , '
16. Rough Electric Wiring � 67. Fencing & Access AnProval � '
17. Rou9bWiringSign -68. APPflOVEDFOR�PLASTERING � '
78. Rough Electrical-T Bar Cei�ing , 69. POOUSPA SYSTEMS FINRL '' '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough FBctory Fireplace APPROVALS Permit #
21. Ouc2s,in Structure 70. Underground Hydro
22. Outts, Vantilating 77. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough & Tesc 72, Underqround Flush
24. Roof Framing � � 73. Undergrnd. Storage Tank Ci Gas ❑ Oii
25. Roof Shsathing , �.��..G// �''�,�( 7q, Overhead Hydro
u+ p-
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe
28. Lathin9 & Siding 77. PIXED SYSTEM F WAL
29. Insulation � ' j 78. FIRE PREV. FINAL
30. Drywall Nailing � - HEALTH DEPT. REQUIREMENT
31. Plaster B�own Coat .� 79. FINAL INSPECTION
32. Electrical Power Meter-Finat � 80. FOOD CERTIFICFlTE ISSUED
33. Final Electric Notes: .
i
34. Final He3ting & Air Conditioning ;f
35. Final Gas Pipe-Test : ',�
36. Hood or Canopy- .
37. Final FaCtory Pirepiace �
38. Final Plumbing
39. Water Service-Final `
40. Gas Service�Finai +
41. Solar pomest(o-Fi�al �
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape trrigacion System � ,
45. Sound Attenuation
46. Handiwp Regulations
47. Finla� 5TRUCTURE & BUILDING �y�/�C16 �O(�f/[�
// C �
48. FINAL PLANNING
49. E�ectric flelease to Edison - �
50. Gas Release to Southern California Gas Co ' �
51. CERTIFICATE OF OCCUPANCY
No. Date
�
�
PqO1ECT.AU0HE5S: g 1 tj
OWNERl3,NpME: V1C G
�� q�PESS: $��fJE
ABCHIENCINEEfl:
aoonEss:
OAK ST
ROSEMARY LEE
645-741.4
flEG.NO.:
IINIT:
uxir:
PEflMITTEE: $UILT WRIGHT CONSTRUC'TION (714)646-3516
FDOPE55: J fj 3 GOVERNOR ST �
COSTA MESA CA 9262%
UCENSED CONTPACTOH OECLAPIITION: I here6y attirm that I am licensed untler pmvisions of C�apter 9(commencing with Sec�ion
7000� ot Divsion 3 of I�e Business antl Pmfessians Cotle. antl my license is in �ull �orce an0 eHec�.
ciTvuc.:OQ8263 sTnreuc.:243519 uss: 8���
Oa�e'���/�v Signawre' _ _ �(/�� . _
WOBREBS' COMPENSFTION OECLABFTION: I here0 rm Iha� I have a ceni6cate ol conseni 1 I-insure or cenifica�e of Workers'
Compenszlion Insurance. or a cer�ifietl copy �here ciion 3804 Lab. C�. � .
"IFICY NO.: EXP. OFTE: '
IMPANY:
. Cetlibetl topy is hereby Wmishetl. ❑ Cetli�ied copy is �iled wi�h lhe city Builtling �ivision.
Oa�e: ADPlicanC
E%EMPTIONFROMWOflREBS'COMPENSIITIONOECIAPATION: (Thiss¢tlionneeana�Dec�mpleleUiilhepermiiiSfOroehUndred�$100)oNess).
I retlify �hat in ��e DeRormance of Ihe work for which ihis permit is issued. I shall nol employ any Derson in a manner so as �o become
sublea� �o Ihe Wo�kers' Campensa�ion Laws o� Cah�ornia.
Date: 9�` � 4 ' � Sgnature.
NOTICE: II. afler making Ihis declaration, you s Gecome sublec� Io Ihe Workers' pensation provisions o� the Labor
CoOe. you mus� btlhwilh complY wiih such p isions or �his Dermi� shall 6e tleem evokeC.
LONSTBUCTION LENDING FGENCY: I hereby alfirm that Ihere is a consimction lentling agency lor Ihe peAormance of ihe work for
whicn ihis permii is issuee (Seclion 3097. Civ_ CI.
'LENOEP:
RODflE55: '
OWNEH BOILUEB DECLAFATION: I herebV aflirm Ihal I am exempl irom �Ae Contrac�ors' State License Law for Ihe following reason
�Semion 7031.5 Business and Pm�essional Cotle: Nny city oi coumy which repuires a permil Io consimtl, aller, impmve, demolisq or
repair any simcture. prior to iis issuance, also requires Ihe applican� for such permit ta tile a signe� statemenl ihal he/she is licensed
pursuam to Ihe pmvisions of the CONradors' Sta�e License Law (Chapter 9 �commencing with Section 711W) of Division 3 of ihe Business
antl Pm�essions COUe) or tha� he/s�e is exemp� �her¢Imm and Ihe hasis �or I�e alleged exemplion. Any viola�ion of Section 703L5 by �
any applicant lor a permil suUle��s ��e applican� Io a civil Denaliy of noi more ��an �ive hunared aollars (5500�.
I, as owner o� Ihe pmDerty or my employees wilh wages as �heir sole compensation, will do Ihe work, antl �he
� simctureis notintenaed aroHereOforsale (Section 704a, Business an0 PmfessionalCotle: The Contractors' State License Law
does no� appry lo an owner ot a pmpe�y who �uiltls or impmves thereon, and who does such work himseli/herself or �hmuAh
his or �er own employees. pmvieed that suc� impmvemenis are not inlentleU or onered ior sale. I�, howeve� ihe builtling Or
\improvemen� is soltl within one year of comple�ion, t�e owner wtll have �he burtlen o� pmving he/she Uid no� �uild or impwve
br ihe purpose o� sale).
I, as awner ol �he pmpeny. am exclusively contmciing wi�� licensetl comraclors to consimc� I�e project (Section 7044, Business
❑ antl Pm�essions Catle'. The Comracmrs' S�a�e License Law does not apply �o an owner oi proDehy who builtls or improves thereon
and w�o coniraqs lor such prolects wi�h a conlraclorl5�iicense pursuan� to Ihe ConVac�ars' Slale License Law�. I am aware
ihal proot ol their Worker's Compensation insurance should be provitled to me. �
� I am exempi under Section: B. 8 P. G �
br ihis reason:
oa�e' Ownec
I tlo hereby cenily that I am aware ol anU un0erslantl ihe requiremems ol Calilomia,Heallh an0 Sa�ery Cotle Sedions 25505. 25533, antl
25534 antl Ihal I or any lulure �uiltling occupan� willlwill nol �circie one) neetl �o compty with sai0 5�aie cotles antl ihe requiremen�s �ar a
permii for con5�mciion or mo0ifica�ian Irom Ihe Air Oualiry Managemeni OiS�ricL Residential cons�mction apPlications are exempt imm
Ihese pmvisians.
Oale. Npplicani:
I hereby cetlify Ina� I have reatl Ihis applica�ion and s�ale Ihal Ihe a�ove information is
orEinances antl sia�elaws relalingto Uuilding con5lmciion an0 here�yaNhorizerepreSenB
propetly �orinspecli0n purpo5¢s.
�ale:����_/ �-- ///i SignaWre:
on�ers ucense o� sociai Secuniy «: %
Io comply with all city and
to enter upon ihepbove�me
t6ab46 W�ne—Building; Green—Code EniorcemenL Canary—ApPhcanL Pink—Revenue', Goltlenmtl—Fssessor
CITY OF COSTA MESA — BUILDLNG PERMIT PERM Nt�; G DS000
PERMIT NO: G 050003 PLAN CHECK NO: Q6787-90 S GOVT: N SUPP: N
CONSTRUCTION TYFE; ti—N PERMIT TYFE; E1�E MEi PLU 51'R PUkFC75E: �vLT
JOH DESCRIPTION : INTERIOR ALTERA'tION S�j F7': ;.�,U64
CLAIM VALUE: 2,096.00 CALC—VALUE: 2,064,00 GROIIF� c7CC; R-3 !
*�******�r*�**�D**�t*�*��**M�***�*+�t*%�D*�*B**�*�*?�-x�*�t*�****x*�r**�r***K****�*�*�:*
Z O N I N GS ERTEB�AUCIKRSE M E N T S '
------------ MAIN BUILDTNG ---------- ---------'ACCESSORY BUILDING ---------
FRNT: F7' IN AEAR: FT IN FRNT: FT IN REAR: � FT IN
LEFT: FT IN AGHT: FT IN L,EFT: FT IN RGHT: FT IN
PARKING REO• PROV; PARCEL: 92299302 ZNE: R1 REF NO;
PLANNING NZSTES> KITCHEN REMODEL— INTERIOR ONLY.
� .. .
if 3f iF if iF af dF -0f �f iF �f if fF X� if �If if if 3F jE iE iE iE if -0F iFlE if �lf iF iF If ik �fiF'df iF'aF IF 3F K� iE 3E iF 3E if�1f'IE if iE iE if Y� if �lE iF if !f dF if if if iE # if �f if if i(� �7f if 3f if iFlF if 3f iF 1F
'.D E V E L O F M E N T �5��-:R�;U. I C E S:• R E Q U I R E M E`N�':T S
ZONING APPROVED BY ; Y-�.�(3 /�i/ •- DATE: ���,
BUILD'ING APPROVED BY : ' 't. DA7'E: :� ,
APPLICATION ISSUED BY ' DA'PE: ��l:l�
iF�EiEibjE*iEiFif±E*iEififif�FiE3EiFk�klF . � . iFiEifififiEifff?fiF *
�IfiEifiEiFj('iEiFifiE�IfiE�lEiFifiEiElEifiElEiF'lE�f�M11E'IE1EiEi('iE'1('i � ifJ iEiE'IE'Ifih�Eififlfil�iFif?E+fjEiF�fY�iFif�iE�1E'j('iF1fIEiEiF�F'N"1EiE
LEGALIZATION:N F E E S U M A R Y STRQC'PURAL SEGMENT:Y
�
BLDG FMT� FLUMBZNG fiL6CTRIC CHANLC FIRE sMIP/RES GRADING
PENMIT 54,00 2,00 14,75 6,50 50
2S$ 508" 253 � SMIP/NON—RES
PLAN 35,10 �� � �
ISSUE FEE 3.00 '�1''S,00 15,40 �
HOTLDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID f;` DUE
'TOTALS----> 77,75 33.00 35,10 145.85 1�lS.SS .OU
REVENUE DIVISION TOTALS--> COLLECTED: 195,$5 OVER/SHORT:,-":-�, OU
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
59.00 5.00 •29.75 ' 21.50 �, .50 35.10
iE if iE if if !f if iflf iE #f df iE 1f iE df �)F �f if iE IE iE if if if 3E 9F if i: iFlE if iE if )f 1E iF K� jf iF 3F �F �f * 3E M �f iE �E �E iF jf if +f af iE it iE M if �f �f +t if?f iE if Y �f if if * 3E iE if �f if if If
I N D I V I D U A�L - F E E B R E A K D O W N ,
1
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
. �
SFR 2064 ALTER BY VALUE RE$IDENTIAL NOZONE 1.00 '� 2,06q,00
ELE 5 RECEPT/OUTLET 1 ST 20 EA. .75 ' 3 75
ELE 1 SUB-PANEL
MEC 1 INST HOOD W/DUCTS FED BY MEC E3{HAUST
PLU i SINK, KITCHEN • '
END OF FEES
1 1, 0 0 :. � 1 1, � Q
6. 50 �;-�i 6. 50
; 2.00' 2.00
,' •
os a���as�s-aL�a�;;s:� -����' ��s.ps
��iE: 1�l1$!Rfl 1':f1E: 14:14 �
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. � �
C^:NSTRUCTION AND PLANNING � P� S SPA
APPROVALS Permit # ! � Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Servic8 or Pole � 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgmd. �.' � 53. -Steel Reinforcemen[ '
n
„ 3..Electrical Conduii Utility-Undigrnd. . 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement 56. Rough P�umbing & Pressure Test �',
6. Electrical UFER�Grnd. _ 57. APPROVAL TO COVER�GUNITE ;
7. Footings . � 58. Electrical Conduit-Undrgrnd. �
8. Foundation ' �. 59. Gas Pipe, O Undrgrnd., Test ��
:
9. Water Pipe-Undrgrnd. �' .�, 60. Backwash Lines, P-Trap, � Undrgrnd. �,
70. Structural Floor System 61. APPROVAL TO DECK �� '
11. Property Sewer Line & Hous�Connection %� 62. Backwash & Receptor-Final
".
12. Sewer Cap _ , . 63. Heater & Vent-Final � '�'i
%.�
13. Roof Drains . , 64. Plumbing System - Final �� • �
14. Rough Plumbing �� ��, !�' 65. Electrical-Final �;.�
75. Rough Electrical-Conduit r- � 66. Solar SYstem-Final `
I
16. Rough Electric Wiring � 67. Fencing & Access ApProval ' �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � �
.
18. Rough Electrical�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL '
�
19. Rou9h Heating & Air Conditioning � FIRE DEPT. REQUIREMENT '
- i- � ,
20.�Rough factory Fireplace ' _ � � � APpROVACS - _Permit # ' ' �
� � i . �., . .i
,, � . .. . . . , : �. . , �� i,� . ��.�
21.'Dutts,in.Structure . :� =70. Underground Hydro
22. Ducts, Ventilating � ' � �R ��. � + ?77. Product�Piping O�Gas O'Oil
23. Gas Pipe;Rough & Test � - �� �;, , � � ; t 72. Underg�ound Flush� `: ` �
24:'Roof Framing �- � ' ' �s • -�73;-�Undergrnd: Smrage Tank O Gas ❑ Oil ' • �
25. Roof Sfieathin � � '�'� ' '
,r � �.�: . - �,i
9 � � �-� � 74.-,Overhead Hydro-� ,
26. T�Bar Ceiling (Structural) &.Monocoat ' � �' �" - 75!' Dry Chemical • � ' ` , �n� '�t!�
27.?Frameand Flashirig ���,_, �, - �� • 76. D'ry SfandPiPe ,-,i;j; . "• �,�.,; ;.� ��,
28`�Lathing & Siding � �^ ; ��: 4 �. • �• �-: � 77:" FIXED SYSTEM�.FINAL' _ t � _
'29. Insulation � � • � ' . .. . -.. � ,T� �i� I �i�}i �� 78.yFIRE PflEV'FINAL � i y� l �_�� ;: �
��30. DrywalLNailing � . + � - ��.� � 1;��� ' • •HEALTH�DEPT�. REQUIREMENT„=�
31. PlasterBrownCoa't' ; � ;f I � ! �f, ; ,79:`FINAL'INSPECTION' ' �-� � .,,�'
32._Electrical Power MetenFinal� � � ��: � �� ����� •>80.�FOOD CERTIFICRTE ' UED
� �
33. Final Electric ' � ( �j( 9(� � o4es: �( � , � - �`
�34.-Final Heating & Ai%Conditioning, � �-
�1. � �,� � o. ' ;1a% ro�,•. l�ec_ . r�e. n.��s
35.T.Final Gas Pipe-Test'" ' ' � I( � 'E' - � `-- •r `� ' � - � �-
. � � • �� r
r36:�Hood or CanoPY� �• _ , , � i i;�h . _ � ; � ��. �- .
`� �-„
37. Final Factory Fiieplace, . • � • ; � ' ; � �� i' ` � '� - � ��'
.t i �� � � i
.-38. Final Plumbing � � _ , . .. . . • !' ' Q( � i�s� (� � is _. . .� i • � � i � i : � �
...rN
.-39. Water Service-Final� ' " � � -','+ " �-'--"•° = , : '� .
� �� , ,
,
�40.'Gas'Service-Final , „� �.�� �. " . �,� � � '� �� _ , i � . ,
+41:_Solar pomesticFinal. � -� ' � � � �� '+ 1.� ''• � � y •
� -� �
42. Backflow Preventer; � .� � ` I ;4 r . � - ' � , i �
43. Backflow Irriyation� •- !� ' �� =' "-' " ''"''�*
, . r� a i ��, . . . .
e� � !' .. ' � v. � ��
�44. Landscape I,rripation SYstem,�.�'.= � i � _ - .• �.. ' • ' � -�.�� n
45. Sound Attenuation - - . ` ' i ' ' " '
1 0�� r
t 1•I ' ' J .. .
46. Handicap. Regulations �. ;-� %+ �; .. r�„
47..FINALSTRUCTURE&BUILDING � � ' j � i��-=• •
�: � � d • .
48. FINAL PLANNING . • � j I ' �' ' ' '
49. �Electric Release to Edison � t '? I"� �� i ' i _
� - i � -
.50..Gas Release to Southem CaliforniaGasCo i '�t� ` �-, �'� �' � ' � � :"'. ! . :
' i , i�,� ; _ ; , r, . �.�� . �,
. 51. CERTIFICATEOFjQGCUPANCY . ; t . � , ;-�� �:;;-, . t. <,n�-. ��•
N0. Date.
PPOJECT FU�NE55: y 1 Q OAK Jr T
OWNER'SNAME: VIC & ROSEMARY LEE
1 �IUDflESS: $]�f+jE
645-7414
RflCHIENGINEEH:
FOOflESS:
NEG.NO.:
IINIT:
UNIT:
PEHMIREE: (JUILT WAIGHT CONSTRUCTION ( 71 4) 646-3516
aooAess: 963 GOVERNOR ST
C05TA MESA CA 92627
LICENSEU CONTBpCTOB OECLAFPTION: I �ereby a�lirm that I am licensetl untler pmvisions ol Chap�er 9(commencinq wi�h Sec�ion
700�) ol �ivision 3 olihe Business anA Prolessians Code. antl my license is in �ulliorce antl eilect.
c�Tv uc.:1 0 U S 2� 6�3p STATE LIC.: 2 4 3 S S cu�ss: IB1 \ � i
�aie', —{��� - 1 � Signa�ure: _ _ __ _W_ _�
WONNEXS' COMPENSATION OECNHATION: I here�y a0irm thal I have a ificace of consem to e�insure or a ceaificate of workers'
Compensalion Insurance. or a cenilied coDY ��ereol (Section 3804 Lab. ,
POLICY NO.: EXP. OATE:
COMPANY:
� CeNh¢tl tOpY is h¢reby �umished. ❑ Cetlilied copY is filed with the ciry BuilJing Uivision.
�ate'. ApDlicant: '
E%EMPiION FNOM WUPREHS' COMPENSATION OECLRBATION: (This seclion neetl no� be camplete� if I�e permil is far one hunOreA ($100) or less�.
I cetlily �hal m �he petlormance of Ihe work �ar which �his permit is issued, I shall not employ any person in any manner so as to become
sublec� ta I�e Workers' pCompensaiion Laws oi California. �
Daie: _���,5 ^ 1 � Signature: _
� NOTICE: II. aiter making this tleclaration, you 5hou10 Decome sublec� Ihe Workers' Compen ation provisions at �he Labor
Catle. you mus� fatlhwi�� compty wi�h such provisions ar this permi� II be aeemetl revok8 .
CONSTflULTION LENDING ACENCY: I hereby allirm I�at Ihere is a constmc�ion lentling agency lor �he pedarmance af the wark �or
w�iC� Ihis Dermn is issued (SeCliOn 3W7, Civ. C�.
LENOEX:
RDOflE55:
OWNEN BUILDEN DECLRHRTION: I here�y allirm ihat I am exempt Irom the Contmctors' State License Law for ihe following reason
�Section 70.3L5 Business and Prafessional Cotle'. Fny city o� counry which requires a permii lo constmc4 al�er, impmve, tlemolish, or
reDair any simcture, prior to.its issuance. also requires t�e apPlicant for such permit to tile a signed statement Ihat he/she is IicenseA
pursuam �o ��e provisons o� �he Contractars' Slale License Law (Chap�er 9 �commencing wilh Section 7000) ol Division 3 0� the.Business
an� Pmlessions Code) or Ihat helshe is exempi Ihere�rom antl I�e bass �or Ihe alleged exempiian Any violation ol Sedion 7031.5 by
any aDPlicant lor a permii subjec�s �he applicanl to a civil penalty o� not more �han live hunUreO dollals ($500�.
I, as owner a� Ne pmperty or my employees wi�h wages as iheir sole compensaiion, will Oo the wo�k, and [he
,❑ s�mctureis notimentletl�aroffeietliorsaie�5ection 7044. Business and ProfessionalCode: The Coniractors' State License Law
' does no� appty to an owner a� a pmpetly who �uilds or improves �hereon, an0 w�o tloes such work himself/herself or �hmugh
•� his or her own emplayees, pmvitled Ihat such imDmvemenis are not intentletl ar o0eretl �or sale. Ii, howeve� Ihe huilding or
� improvement is sald wiNin one year af completion, �he owner will have ��e �urtlen af pmving he/she Ai0 not build or improve
lor ihe purpose a� sale). .
I, as owner of the pmpeny, am exclusively contraming with licenrea coniractors lo cons�mcl ihe pwject (Section 7044, Busineu
❑ antl Pm�essions Coae: The ConVaclors' S�ate License Law tloes not appty �o an owne� ol Dwperty who builas or impmves thereon
an0 w�o coniracis for such pmle��s wi�A a contracloqs�license pursuant to ihe Coniracmrs' State License Law�. I am aware
Ihai OmOf ol Iheir Worker'S Compensation insurante Shoultl be pmvitletl �a me.
� I am exempl untler Seciion: B. 8 P. C.
�or �his reason'.
Date: ' Owner:
I tlo �ereby cetlily Ihal I am aware ol antl untlerstan0lhe reQuiremen�s o� Califomia Health and Safery Code Sections 255o5, 25533, and
25534 antl Ihai I or any fuWre bulltlmg accupani willlwill nol (circle one) neetl ta comply wi�� saitl state codes anA �he repuiremen�s for a
permii for cons�mtlion or modifita�i0n trOm Ihe Nir �uab�y Management OiSiricL Besitlential tonstmC�ion ap0liCati0n5 are ezemp� imm
I�ese pmv6ions. . ' '
Oa1C: FppliCani:
I �ereAy cer�ilylAai I have reatl this application antl state tAai Ihe aboveinlormation is wrreci. I agree to comply wi�h allci�y an0 counry
ordinances antl sta�e laws relaiing to �uilding conslmciion antl �ere�y authorize represenla�ives ol Ihis ciry �o enter upon Ihe above-mentione0
O�opeity b�in5peciipon purnposes. j , 1 / ,
Daie: I a-- � p' l � Signalure: �� `/�`h�Q �
Oriver's License or Socia� Securi� ( j
16aL46 Wltlte—Builtlinq, Green—Code Enbrcemem: Canary—ApplicanC Pmk—Revenue�, Goltlenmtl—Assessor
CITY OF COSTA MESA - HUILDING PERMIT PERM NO; E 0 -
PERMIT NO: E 050399 ..PLAN CHECK.NO; N' GOVT: N S : N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION ; SERIVCE,UPGRADE SQ FT; �-
CLAIM VALUE: CALC-VALUE: . GROUP OCC: R-3. /^
COMMENTS; REF: NG50003 -
x��t**�t�x*��ct�*�c***���t*�*x x�*�****�x*��*�*ac�***��r� �t�*�e�x i�*���**��x*�� x�+r� �*�r.*x��*�+�
Z O N I N GS ERTEBQAUCIARSE M E N T S ' �
------------ MAIN HUILDING ----
FRNT: PT IN REAR; FT
LEFT: FT IN RGFIT; FT
- ACCESSORY BUILDING - -
IN FRNT: FT IN RF.AR;� FT� IN
IN LEFT: FT IN ftGHT: FT IN
PARKING RE • PROV; PARCEL: 42249i02 ZNE: REF NO:
PLANNING N TES>
�
iP iE iE if 1F 1E iE if !t if 1f if iF iE 9f if )f iE iF i(� If IE if 3f if iE iE iF iF iF �E iE iE iElf ff� If !E �E �E iE 1E IF iF �ElE !E if if 1E iE fF%it IElF if if if IE �f iE � iF iF iE iF 1E iF 1k 3E 1F iF iFlF'Y iE 1E 1E
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
ZONYNG APPROVED BY 'DATE:
BUILDING APPROVED BY : \-� DATE: �
APPLICATION ISSUED HY; -- T�.c. DATE: f'a-- I�-c[(�
If af if if iE lE lk 1f iF 3E iE iF �k �If if 1F fF jE jF )f if If� iF if k iE if iF iE Ih iF �E��F"{FiE iF
1E iE iF iE iF 3E �F jE iF iF iE if it iF iElF iE if 3E ih iE iE iE if iE 1f if # iE if IE if 1P if iE If iE if IE iP ik 3f �F iF iF �E if iE If iE if iE 1E iF if �F !E iE 1F 1E iE af aF iE je iFlf �f iF % 3F iE lf iF ik �E 3F i't 3F
LEGALZZATZON;N F E E S U M M A R Y STRi7CTi7RAL SEGMENT:N
BLDG PMT PLUMBIAIG BLECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18,50
. 508 SMIP/NON-RES
PLAN
ISSUE FEE 15.00 '
BiIILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----� 18,50. 15,00 0.00 33,50 33.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-�HECK
33.50
k 3E ik iF 1f af iF�f iF 3f iE �1F ik �F iE dE )E af 3F �F ff iE 1F iE 1E jh iE 3F )F iF If �lb 3f iF iF iF iF iF iE iF iE 1E iF iF jE 3E iE 1f iF IP If iE iE iF 3E iF if if 3E iE lf 1E �(-i(� iF iE iE if iE It 3E iF iE iE iF jE 3t iF 3F
I N D I V I D U A L F E E H R E A K D O W N
TYPE
ELE
QTY D E S C R I.P T I O N UNIT COST TOTAL COST
1 SERVICES HELOW 600 V 6 HELOW 201 AMP 18.50 18.50 �
END OF; FEES
_ .J
� ai onn�bwa�—aoo7Ea�� �'�� ;_,=.a
DATE: l2/18/4G SItlEc u9:i1 � �
C'�GNSTRUCTION AND PLANNING - POC�� eL SPA .
APPROVALS Perrr�it# Date Inspector pppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement -��
3.:Electrical Condui�,Utility-Undrgrnd. 54. •Forms �
4. Eleclrical Conduit Undrgr�d. 55. Electrical Bortdi�g
r 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test -
6. Electrical UFER Grrid. 57. APPROVAL TO COVER�GUNITE
7. Footings .. , 58. Electrical Conduit-Undrgrnd. �
8. Foundation • ` - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. -�!
70. Structural Floor System ~` � �� a 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap • 63. Heater & Vent-Final �
13. Roof Droins - :� ,� 64. Plumbing System - Final ;
74. RoughPlumbing " i_' 65. Electrical-Final ��•�
�
75. flough Electrical-Conduit 66. Solar System-Final ""`
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 66. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Hea[ing & Ai� Conditioning FIRE DEPT. REQUIREMENT
20.�'Rough Factory Fireplace �� : ;,.� _ ' - � � �APPROVALS: �� Permit # " 7
21: �Ducfs, in Structure. . . � . - _ �JO. Underground�. Hydro > -
22. Ducts, Ventiiating, • � �� � �� '� 71. ProducY'Piping O Gas ❑`Oil
23..Gas Pipe-Rough & Test ' � _, - � � 72, Underground FIus6; .. � '
24:��Roof Framing ^ • �' z ' `73.' Undergrnd. Storage:Tank O Gas ❑ Oil
25. Roof Sheathing �� , ,� . ' �' '_ �y '74,-�Overhead Hydro_ �
26.�T-Bar Ceiling (Structural) &�Monocoat _ '^ - _ 75:� Dry Chemical � ' ' - '�
- P
,27. 'Freme and Flashi'ng, ,��: . . -,`, � 76' Dry Standpipe l j' � ' ��'
28.� Lathingr& Siding ; �i r � • •• 77.- FIXED SYSTEM:FINAL' •
29. Insulation - � � � �, � 78; FIRE PREV. F�NAL _ �
� 30. Drywall Nailing � I �, �- " _ HEALTH•DEPT�. REQUIREMENT
'- 31. Plasrer Brown Coat, ,� � �- i, � '� ,
' 79:'FINALINSP_ECTION�. � �'
��32. �Electrical Power Meter-Final �Z }p qpI ,` �; V SO.rF00D CERTIFICATE ISSU,ED '
33. F�nal Electric �� ., ' i ' � I '�k � ' Notes: _ ". ; .. ��
� 34. Final Heating.& Air Conditioning - ' I �- � . , _ - , - ,
i f • �� - - ��r �.
35..Final Gas Pipe•Test _ - j , �� : - � ' ", � �-.
� 36.�Hood or Canopy � � .. • - >' ..
.� 37.-Final Factory Fireplace ' �� ' � ;
� 38. Final Plumbing . � � � - . - -
39. Water Service�Final� � • ' • ' r
, i. ,
, 40. Gas Service�Final , S., . . ( • � _ � � �
47. Solar pomesticFinal � • � - ` � '
, I �. - : .
42.-Backflow Preventer` � . -� j j. � �, � ,
43. Backflow Irrigation� �' � � � "'' � - _ -
�: r
44. Landscape Irripation System � � i . _ � �� ��, � • � ,. :
:'45.=Sound Attenuation � - � . ' _ - - ;�' '
� :� . .
� 46. Handicap Regulations ". - � _ �� _ . .
47:-FINAL STRUCTURE & BUILDING � �
i.
48.',FINALPLANNING � � ., _. ;, . -
49.. Electric Release to Edison � � �
50:_Gas�Felease to Southern CalifomiaGasCo .. � ; .��, ., � - . :�:�� y . � .
51. CERTIFICATE OF OCCUPANCY ,: � • -, r,,
�
No. Date .
OWNER
DATE
JOB ADDAESS 97.I.1 Oal� St, � � BUILDING PERMIT N0. lltfltl --
GENERAL CONTRACTOR OwhEt/Bldt. VALUE $ � .00
nr. No. u5-5i2-o2 LOT T12ACT FIRE ZONE DESCRIPTION OF WORKConv. C� pt to Rms
INSPECTIONS DATE I GROUP I TYPE V ZONE R-1.
UndeTgTOUnd Soil U.G. Watei PERMITS ISSUED
__ . . .. ---I SUBCONTRACTOR I
OCCUPANCY
Form Y10—SM-11�59 SB P '11518
' l�l.i��_8
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
�
For Applieani fo Fi11 In Comple+ely
- TYpE OR PRINT
BUILDING �� DO� S�
ADDRES9
COSTA MESh CALIFORNIA
OWNER /C70�2 T, LE'E
MAIL g�({ OY//� ST .
AOORFSS
■ ARCHITEGT TEL.
■ STATE TEL.
NO. OF HLD68.
U6H OF � � `/��� '
EXISTING BLDG. -
_ ,
lCTB�CK LINB PROM /
C6NTeH oP BTHeET �.7 REAR YARI
/
6IDE YARD ILEFT O RIGHi C
DESCRIP710N OF WORK
NEW `� I IIALTERATION I- IIADDITIO
REPAIR I II MO��NG I II DEMOLII
BUII�ING NO. OF
ROOF L
GOVERII
KTOBE
ti
iE� P���;tI�E�
' .��. tI��O-(sU
FINAl�CE DEPT.
APPLICAT�A� F�R���iII��S�
. BUILDING
For Office Use Only
- C S�CA MESA, CALIFORNlA
FIRE
ZONE TYPE GROUP
APP.ry.1� V �/
BY ` DATE V � D �
�� Z NIIdG p�
:' �� I P ANS I BYILDINGEW �
LEGAL L �y�♦�
'JE6CRIPTION J � ��'/�Y
��
A. P. NO. I 1 S��SI ��V �
YARDS EVES
pPPROVED ALLOWEO
(CENTER LINE 8TJ . � /
9
I HER6BY ALKNOWLEDG¢ YHAT 1 NAVE RE�D THIB APPLIWTION THE AMOUNT SHOWN UNDER VALUAT�ON �9 POR THE
ANU BTATE TH/�T THE ABOYE IS CORRECT AND A6RE8 TO COM-
PUPPOBE OF E6TABU6HING A pERMIT pEH ONLY.
v{.Y WITX ALL CITY OROINANCEB AND eTATE LAWB PEOULATIN6
Bu1LDINo cONBTRUGT1oN. VALUATION
81GNATURH OF ��y J/J (JD PERMIT FEE $ ��
PERMI7TE %/ {/ p
. $ � ��� X pLAN CHECK � �
i
AUTHORIZED AGENT � �
TOTAL FEE � LL
ORANGE COUNTY BUILDING DEPARTMENT , APPLICATION FOR PERMIT
. • 636 North Broadwoy � ' �' � � p� a �
. fAA1TA A�IA f Al ICf1DAl1A �� ' Ir9� o�