HomeMy WebLinkAbout2964 MAUI PL - Building Permits..
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PflOJECipORoESS: Z96Q MAUI PL
pwxen�srime: JENNIS WALTER
aoosess: Z964 MAUI PL
COSTA MESA,CA
434-4809
PBCN/ENGINEEfl:
AOONE55:
UNIT:
92626
flEC.NO.:
UNIT:
PEHMITTff: WALTER JENNIS (719)434-9804
aooxess: Zg64 MAUI PL
COSTAMESA CA 92626
LICENSEO CONTRALTOR DECIANRTION: I �er¢Gy aHirm Iha� 1 am li[¢n5e0 un0e� prmi5i0n5 Ot CIuO�er 9(commentinA "^�� Sec�ian
7000� o� Division 7 0l I�e Bu5�ne55 an0 Prolessions COOe. anG my license is in tull lo¢e anG et�¢cl.
CITY IIC.: STRTE LIL.: CIASS:
Dale: SignaWre:
wONNEPS' LOMPENS�TION DELNPAiION: I nereGy aflirm Ihat I nave a cenilicate of ronsenl to sell�insure or a cenifiWle ol Workers'
ComOensaiion Insurance. or a cerulied coOY ��ere01 (Seciion 3800. LaE. C�.
POLICY NO.: EXP. OPTE:
COMPANY:
� � CeNlietl copY is AereGy Iurnis�e0. ❑ Cenitiea caDY is liletl vnt� ihe ciry BuilUinp OiWsion.
Oale: Applicani:
EXEMPTION FflOM WOflIlENS' fAMPEN5l1TI0N OEClAP.1710N: (itYs v
I cetlify ��ai in I�e DeMormante ol I�e vrork IOr wha� IN5 permil is
sublect la Ine workers' CAmOensalion Laws of Calitomia.
oate: `3 - Z S• q� signawre: �L
NOTICE: II. a�ier makin0 t�i5 OeUaraiian, you ShoulE Gewme
COde. y0u mu5i IonAwiill COmpty willl sutll O�ov6iIXrs or tlti:
CONSTflUCTION LENOING � CY` Q�i�j�MAS{�,II@`�
wnicn inis oermiti ' 097. Ci�/.`C� /
be comdetee il tAe perrr:l b Ior one �uMreU �St00� or leu�.
noi em0loy any person in any manner so as to become
to the WorkCrs' CAmoensduon pmvi9on5 0l tne LaDor
Shall Ce UeemeE re'rokeG.
�J�ppgpem.y tor tne perfarmance al tne work lor
ess: REINSTATE EXPIRED PERMIT
#B60411
OWNE l iFBE6H1W1 OU N: � �er y..i ' i I a t Imn I nse Law lar I�e follOwinp rtason
(Setlian flJ ' ane Prak» al e: My nty ol � wnich nsimc6 alter, impmve, tlemolish, or
reDair any si ' suanc .� eTmVt e a sipneE statement ihat he/sne is Iicense0
pursuam Io Ine D�ovisioni'dS�1 t 5tateL ansr C�apter wmmencin9 wii� Seclion 7000) 01 Division 3 0l Ihe Business
anU Protessions Coae) or Inat ne/ihe is e�empt I�eRitam ana tne ea5i5 lar ine alle0� etemption. Any Violation of 5¢tlion 7031.5 Ey
any apPlicanl �or a permil Subletls �he applitani lo a Civil penaliy o� noi more I�an �ive hunCr¢E dollars (5500�.
I, as owner oi me o�ooeny or my employees vnt� wages as iheir sole comDensaiian, will Uo �ne work, and Ihe
❑ simcture is noi imentle0 or olferetl lor uie �Secuon 70a4, Business anE Pmleuional CaUe: The Conlractors' Slate Limnsa Law
tloes nol apPly Io an owner ol a Dropetly w�0 Guilds or impmv¢s lher¢On, and who Uoes suc� wOrk Almsell/Ilerself or IhmuAh
his or �er own employees. O�oviOetl Ihal suc� imD�ovemenis ate nol intenGeA or allereC lor Sale. II, �owever tl1e �uildinq or
impmvemenl is sole wit�in one year ol completion. t�e owner will have t�e Gurden ol pmvinp �e/s�e GiE not DuitA or improue
. lor ihe purpose al Sale1.
I. as owner ol IAe DmOer� . am exclusively comrac�in0'M�� ���ensetl comratlors to conSlmci I�e O�oject (Seciion 70ad, Business
❑ anG Vrolessians Caae: TXe Comracmrs' SWte Lkense Law tices mt appry to an ovmer ol O�ope�1y vAw Wil0.s or imDroves Iheieon
an0 who conlratls �Or suc� Dmjecls wil� a conlractor�5) license Dursuanl �o ��e ConVaclor5' $late License Law�. I am aware
I�a� pr001 0l I�eir WOrker'S Compensalqn in5uranR SMWE he 0«Oe0 lo rtre.
, L}{ i am uemo� untler Section: B P 70 4 4 e. 8 a. C.
ior mis reason: N'O EMPLOYEES •
�ate: J�' ' �' CZ_{ � Q+mer.
I tlo �ereGy cenily Itwt I am aware ol an0 uMersunU t�e reQuirements ot Cahlomu He i anG Salety COUe Sec�ions 255U5, 25533, antl
2553< antl I�al I or any lutwe Ouil�ing acupant vnlVwill not (tirGe one) nee0 to mmply wit� SaiE state m0es an� t�e reQuiremenis for a
permil for conslmction w mo0ilication Imm t�e Air Ouahry Mawgement Usiritt. fle5i0enlial con5iruttion apDlications are exempt Irom
inese pmvisions.
Oa�e: Applicant:
I �¢reGy cerlilyihal I haver¢aC Ihis a001italion and S�aie Ihat Ihe aEoveintormalianis cort¢tl. Iagr¢e lo Comply with ail cily antl COUn�y
ordinancu aM staie iav+s reWtinq io �uibing crostmction ane nere6y autMrize representatives ol ilus dry m emer upon the above-mentioned
o�operty loi inspecQiion Ourposes.
oate: �7 '%iCl • 1 q siqnamre: �� D/1n.M�o
�rivers �icense or Socia� Security .:
164b46 W�i�e—Bmltling; Green—Cotle Enlorcement: Canary—Apphwnl: Pink—Revenue: Galtlenro0—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06655
PERMIT NO: B 066555 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : LEGALIZE CARPOAT ENCLOSURE FOR STORAGE SQ FT; 300
CLAIM VALUE: 300.00 CALC—VALUE: 300.00 GROUP OCC: R-3 /M-1
COMMENTS: PLAN RE�UIREMENTS WAIVED PER 1991 UHC SEC. 302(H) EXCEPTION.
*xx�rr+r�r�r**x***�r*�r �e*wx�r�x�rx�r�*�r�r�r+r�r�rw�x�r�r�r�rw�r*x*ww�r�r*�r�r��r�ex�r�r*�r�rx�+r**«w*�r�r�r�rr*�e
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAA: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PAAKING REQ� PROV; PARCEL: 13925218 ZNE: REF NO:
PLANNING NdTES>
>
iElt k if it if it if 1t k 1f M k if 1F 1E 1E 7F k 1f 1F if 1E1f /E iFlE it M it iE iE iE if iE it 1E iF 1F 1k 1k 1f M iE i! if 1F %iF iflk k if if i! ik if iflf 1f 1t 1E 1F it ik M 1F k iF ik i! M if 1f if k 1f 1t 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
ZONING APPROVED HY DATE:"
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; DATE: 3�/�
1Ekil'iFiFitiEMIFiFM11'M11'1FMM/FIFIFNM 1h1ffk1fiE1E7EMMif � � FRRFi%if
1FiE1kM7FM1tiEMifMMMMMMM1F1tiEk1E1f1ffElEfE1f1f1F1fiE1E1F1E1FKiFMMiF1EMM1fMMkMMkMiFMiflEMfEMklfiE7ffF1EMM1EiF1fMiFlEifMMikkit
LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 30.00 SMIP/NON—RES
ISSUE FEE .50
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL pAID DUE
TOTALS----> 30.50 0.00 0,00 30.50 30.50 ,00
AEVENUE DIVISION TOTALS--> COLLECTED: 30.50 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
30.00 , .50
1k M 1F 1flf k!f iF 1t 1F if %1! iE iF 1E M 1k if 1E 1E 41P 1k 1E 1E 1E 1E M i! M iF 1f if ik 1F tf k ik fF iF 1f 1f i! i! it M k iF if 1f M �f M if it 1f iE if if iF IF 1f if 1E 1f 1k ff 1! 1f !f fF 1f 1E if iF k M if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 300 ALTER BY VALUE COMMERCIAL NOZONE 1.00 300.00
END OF FEES
EXP
O1 OO1S7834—�0157835 T�J T 30.50
�ATE: 03f23/94 TItiE: II:Ub
'CONSTRUCTION AND PLANNWG P06� � SPA
•APPROVALS Permit # Date Inspector �yppROVALS Permit # Date Inspector
rt. Temporary Etectrical Service or Pole y, ppol & Equipment Location
2. Soil Pipe�Und�grnd. � 53. S�.1 Reinforcement
a�;,3,�E�ectr�tal Concpji��filiry�Undrgrnd. . Forms �
.:,'�. �'gctrical Condqi�;,l�{�drgmd. ti55. Electrical Bonding ''
�, �J._�eel Reinforcem�t�� � 58. R h Plumbing & Pressure T'e}kT. -
�;:G. �Electrical UFEFI�rnd. ��'57. APPROVAL TO COVER�GU TE �'
��.
7B.'fiootings - 8. Electncal Condmt�Undrgrnd. �
' �,
�. Foundation �59. GS,Pipe, O Undrgrnd., Test `
9. Water Pipe-Undrgmd. 60. Ba�7cwash Lines, P�Trap, Q Und�grnd.
10. St•uctural Ploor Svstem -61. �flOVAL TO DECK
11. P19Perty Sewer Line,& House Connection 62. B ckevash & Receptor�Fina�
12. Se'wer Cap y ��, 63. ater & Vent-Pinal
13. Roof Drains � � Iumbing System - Final
14. Rough Ptumbing "a 65. ElectricaY�Finat
15. Rough Electricaj�Conduft 66. $olar System-Final �
16. Rough Electric-Wiring 67. Fencing & Access Approval
17. Rough Wirin9 $t:gn 68. APPROVEO FOR PLASTERING
78. Rough Elettricst-T Bar Ceiling 69. POOUSPA SYSTE�.7S FINAL
19. Ro�gh Heating & Air Condiiromng FIRE DEPT. REQUIREMENT
tr -�rAf" � � :- �3
20.,,floq,ph F',�ctor� F.Lreplace i ir,; .Z�; � J - c^+r ; zpppRQVFtC3':�:'Pertnit # � •T
�- c r . � cr t •,, �e . -
^ � �. + r�
21.�u�t�s, i�Strt}ttu�� � H� H< � �j �� e 0. ��dergS94i ,�{Y9rQ � ••
22: Duets, thenti�atiny-e • ��S > S a- �'. 7, Produc • iing �'�ias COiI
r - r ^. t� r
23.�Gar'P�p��?ou`gh &"l�est ' T x � "'« '� 2, Under r`��. d F�us�� � `�
. i �1S ?7 ¢ O r < 9 S� :� -�
�
24,�oQ`( Framing: =�; ,..,�- �`� j '� n� 3?UnderyrnJ:Stora�Tank OGas �0:1
�
Z5. Ro�f St�¢athing -�' Q � }� � J � i}"/qT'Ovenc�ad Flydro,�` ' . I
26.=�-BM Cei{ing 1Stneciural� &�Aonocoat r a�7 :,x z 75P'Dry Chem�cat �� � S �j q
1 �
27.�Frameand Flashin ` T'^ ` �' * = 76.E-i7rYScand��e � �' . �, m `" ti", :,
� ^� �-9a r.�c r r :� �;_ .r , m
�. _.;i_ r -. . ." � �
.28��at�ing��SiS,ijng'r,.... �;�a; +S ••� ••K�i 77^FIXED9rSTENpENAL• _ 4�
J � r; • � -� .. .. c � �n 1 n . . . „ '-Ti
29. Insulation = c.,. S � i 78EFIflE PREV. FINq1 � (,,;y
- ;n : �, _ ., r � '
�0. Dry�val6Naili�g ��. a � �� �r .-� FIEALTH,�EPT� REQNdRCsG1ENT M
� i
� . . . - s-.. ,
^31. Plaster BrPwr�Coatr -- � r,� � ' � > T79.�INAL IN��CTI�N . ' " ,� �,,,,,:, i
` .�_,_.--,,__F �
n32.,Electrical�Po�s`�r I�rterFinal �� . o! I I � y�¢{O.;rf00D CEATIFICA7E �SSUED
' ' ' . r
.�3.�Fina�El"ectric� -�i ' 'r'; ! i; � ri�Jo�s: �r e '� �.
-T, r.,
�..fin H in`f& K�i, x o' tioni-' i �' x ' -� � � �
� � g. . f� � �s t '� i � m�,
35. EinSi Ga�•Pip?-Test+.-•�7 p~ � '' r .-� :�7 - , n�
- s' '.� s• ' s "� C o r� ;r
�36, �Ho a, a �' ♦ . x �; . .. �r
d] or�EanoPY y r � � m• i -- . ; � r E E ^,. �' ='"
.;,
37. JTinSiIFa2{ory FireP�ce ^ ; 5:•' a� � tn � # r i. :� "7 I
Y �J
r• •. ; " T � ��� _
�8. Final�Plutnbing il�� :� .... ,,, > � < • - G
�g, WatEr Service�Finaft � � ' P i ~ � � • �
. r . r• I �, :4 y� U' <-
�40. GasSzrv��e-Fihal•'` � " i � ' =-'' • � ..
r� u . t rn : p• m g '1 � �.. �. C. v 7'
:47. Soiar DainesccFinar _ �- : . „� � 1 h r '� 1 • .�
F42,=8ackflo�Preventer r F' � + � I i> > � ' ' � `� �
43. Backflow irrtg2tion e ' _ � '' � 7 , � '.`^� . ' '"
w * f� • �'�
� 4. Landsca irp' ati`� `S stem + � . � =� � � �•
�4 PF Q�4 v ��:.,�;, •-r O *-, n} n; R:," ^
� "; ` , _ -. _. � ` -
65.c$ound Atten'Oatiaa* -�Re- , e F :• n�> � c=. -�• c�r c�.-.
�r r ;r,. � C C fi; t^:J
46. Handicap Reg�lat�qs � = t ,`� .. . , r ` � p,� .. � ..
47.,�IN�.L STRl.1ET1�dE & BUI �DING � �+ � '7 . � _ •
.1 3 'r Y P � �
46. PIN�L PLAN'NING;. "�'E.T. . .� ' ! � x i: �� .^
,qg. �Electric Release to Fdison � s� : � � � • "
-�- � � v , _
,50. �as ReI6a$e co Soutjem Ca4ifornj�,Gas Co „ 1 ; ; � -, , -= • C '
.. � ,.
St. CER7IFICATEOF, CCUPANCY' > ' -� i-: "
No. Dace
aeaecTaooerss: z964 MAUI PL u"�T
e:vxee�snAme: WINTLE DAVID T
� ROOPE55: z 9( 4 M.�UI PL
COSTA MESA,CA 92626
ti `^
I FflCM1ENGINEEX: NEG.NO.:
AOONESS: I1N1T:
�,
��I
v PEHMITTEE: DAVID T. WINTLE ( 714 ) 691-0474
AODNESS: 2 J fj [� MAU I PL
COSTAMESA CA 92626
UCENSED CONTNRLTON OECLAflATION: I �ereby af�irm ��al I am licensetl untler Dmvisions ol CAapte� 9(commencing wi�h Seclion
7000� ol Oivision 3 ol I�e Business antl Pmiessions CoOe. ana my I¢ense is In �ull lo¢e antl effect.
CIiV LIL.: STATE LIC.: ClASS:
�ate: Signature:
WOflREflS' COMPENSATION OECIAPRTION: I hereby allirm t�at I have a certilicate of consent to sell-insure or a te�ilicate oI Workers'
Compensation Insurance. or a cenified coDY �hereof (Sectian 3800. LaU. C).
POIICY NO.: E%P. ORTE:
COMPANY:
� Cetli�iea [apY is �ereby lurnishetl. ❑ C¢rti�iea COpY i5 IiieO wilh �he Ci�y BuilEing Oivisi0n.
�ate: ADOlicant:
EXEMPfION FBOM WOBREflS' COMPENSRTION DELIAMTION: sectia eetl nol0e comple PM7RR'pem�' is faone huntlrN �E100� ar
I wnify ��ai in �he periormance o �he work for which I' ermi� is asue , I shall no� emDl ny Oerson i any man r so as �o e
subject to ��e Wor rs' Comp ation Laws al Caf rnia. �
oa�e: Z L" s�9�
NO71C . If. atler ing this Oeclaration, you should 6ecome su0ject to t�e arkeri' Campensation provisions ol i�e LaGOr
Cotle. you must rt�wilA comDN w�ih suc� pmvision5 0� IAis permit shall be deemed revoke0.
CONSTNUC7ION LEN�ING pGENtY: I here0y ailirm tnat there is a mnstmction IenOing agency far ihe vedormance of the vrork for
whlc� Ihis Oermit is issued (Seciion 3097. Civ. C�.
LEN�Efl:
aooaess:
OWNEfl BUILOEB OECLAPATION: I �ere0y allirm lhat I am exempt tmm tAe Cantradors' State Lic¢n5e Law �or IAe �ollovnnp reason
($ec�ion 7031.5 Business and P�o�essional Code: Any ciiy oi counly which requires a permii �a cons�mct, alter, impmve, demolis�, or
repair any siructu�e. O�ior to its issuance, also repuires ihe applicant for suc� permit to lile a sipned statement lhat he/she is licensetl
pursuam m t�e pmvisions of the Con[raclors' State License Law �C�apter 9(commenung with Section 7000) of Division 3 of the Busineu
antl Protessions Cotle� or that he/she is exempl �herefmm ane the basis for ihe allegetl e�emption. Any violanon oi Section 7U31.5 by
any apD�icant for a Dermit subjects ihe aDPlicanl to a civil penalty ot not more than live �untlre0 tlollars (55110�.
I. as owner oi Ine pmpeny or my emptoyees with wages as tAeir sole comoensation, mtl do t�e work, an0 the
❑ s�mcmre is not intenCeE ar oiferetl for sale (Section 7044, 9usiness anE Pmfeuional Gade: The Contractors' State License Law
tloes n0i apply la an awner at a D�opetly wM OuilAs or improves the2on, and who dou such xrork himseli/�ersetl or I�mug�
hls or ner own emDloyees, pwvitle0 inat sucA impmvemen�s are not inlentlea or oflereA for sale. It, nowever Ihe builtling or
improvement is sold vnthin one year ol campleiian. Ihe owner will have ihe buraen o� pmving he/s�e Uitl nol bui10 or impmve
for the ourpose of sdle�.
I. as awner of ��e OmOany, am e�clusively coniracling with licensed contractors to consiruct the pmlecl (Sectian 70Cd. Business
❑ and Pm�e55iM5 Cotle: The Confractors' SUte license �aw daw not aDDN ro an ovmer of pwcerry � OmIES ar imOroveS Ole2on
ana who conlraci5lor such pmjects vn1A a contracbr�s) licen5e Oursuant �o �he Con(racbrs' State L�cense Law�. I am aware
Ihat pmot of I�eir Worker'S Compen5aiion insurance shoWd De pmvidetl �o me.
�j � am exemp� unaer Senion: B P% O 4 4 B. 8 P. C.
m� mis �ea oo: O EMPLOYEES r
oa�e: Z
I Oo hereDy cetlity t I am aware ot ana unUersland I�e requiremenis af Calilomia Healih anU Safery CoOe Sections 25505. 25533, antl
25536 an� t�at I ar any IUW�e builtling atupant wilUwill not (circle one) need to wmpry vnih viG state tOAes anA t�e requiremenis lor a
permil �or conSlmclion or mo0ilicaiion Imm ihe Nir Oualily Management OiSUic�. Fesitlen�ial tons�mction applicaiions are exempt �mm
mese provi5ions.
Oa�e: ppplicant:
I hereGy cetlity I�a� I Aave reatl IN5 applitation an0 S�aie �hat ��e abave infarmali0n i5 COrret�. I agr¢e �o tampty vnl� all Cit Caunry
orAinancesandsiatelawsretatingto�uildingconslmc' n yauttwntereprese vf.c�ekti cirylo I�ruDonthe ¢nlionetl
pmpetly for inspec�io urposes. ��
Da�e� Z' Signai e
Dnver' Licen o� so��ai se�����Y .: -�
16aba6 White—ButlEing: Green—Cotle Enlorcemem: Canary—Applicant: Pink—Revenue; GolOenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B�
PERMIT NO: B 060411 PLAN CHECK NO: N GOVT; SU P:
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : LEGALIZE CARPORT ENCLOSURE FOR STORAGE SQ FT: 300
CLAIM VALUE: 300.00 CALC—VALUE; 300.00 GROUP OCC; R-3 /M-1
COMMENTS: PLAN RE�UIREMENTS WAIVED PER 1991 UBC SEC, 302(B) EXCEPTION.
�**+t�r�t�r�r*�**�e*�r** x**�*�r���r�t��+t+rrt�r�r�r***��r�r�r�t�t�t***�r�r�r�r��r�r�r**�+r�r�r�+t**�r*x�r��*�r�r*�r�r
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 BUILDING ---------- --------- ACCESSORY HUILDING ---------
FANT: 29 FT IN REAR; 60 FT IN FRNT: FT IN REAR; FT IN
LEFT; 42 FT IN RGHT; 30 FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 13925218 ZNE; R1 REF NO:
PLANNING NOTES> LEGALIZING CARPORT ADDED TO RES 12 YEARS AGO.
i
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY .
BUZLDING APPROVED BY ;
APPLICATION ISSUED HY
ik i! if �E iE if iF k if if if if if iE if if ik iF iE k i!
ik if 1E it iE fE ik 1f 1f if �Eif 1f iE ik 1E fE 1k iE 1f 1F
LEGALIZATION;Y
BLDG PMT
PERMIT 30.00
F E E S U M
DATE:
DATE; "��
� DATE• Z/�/ Z
iFiFiF3F if"iF�iFlf ik if if kik if iE iE 1f iE iE
�E if ik IE iE iE iE 3F iE 1F 1E iE �lkif iF �k ik i! 3f iE 3F i! ik 1EiF iE 1E fF iF iE ik �k ik if
A R Y STRUCTURAL SEGMENT;Y
PLUMBING ELECTRIC MECHANIC FIRE SMIP/R50 GRADING
-- SMIP/NON—RES
PLAN "
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE �PY,AN—CHECK TOTAL PAID DUE
TOTALS----> 30,50 0,00 0,00 30.50 30,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 30.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
30.00 .50
1E iF 1E 1FlE 1f IE �f if �F if iE �E iE 1P if�lf ik ff iF 1f iE iE iE iE �f iE 1f if if iP it 1E �F if if iFlf 1E 1F iF 1E iE It 1E iF iF iE if if iE 1f iflf �E iFif N if iE iE %iE iF if iF 1E if dF ik iF if iF 1E iE 1F iE M it
I N D I V I D U A L F E E B R E A i< D O W N
TYPE QTY D E S C R I P T I O,N UNIT COST TOTAL COST
S�FR 300 ALTER BY V7ALUE RESIDENTIAL N020NE 1.00 300,00
`^� END OF FEES
EXPIRED '
I P e Inspections
����'�`�'
1'�,
� y*
3
.L
� � t
CONS�RUCTiLN AND PLANNING POO. SPA
• Date Inspector Oate Inspec or
�APPROVALS Permit# �_^ APPROVALS Permit#�- �.
'r:�
t. Temporary Electrical Service or Pole • 1� 52. Pool & Equipment Location �� `y ,
• ;.� �
Z. $pilPipe�UndrgCnd� -!: � 53. SteelReinforcement �i" i t
3. ��lectrical Conduii Uti�itY-Undrgrnd. � 54. forms = I ^
4. Efectrical ConduiDUndrgrnd. 55. Eleclrical Bondiny '.!I
5. Steel Reinforcemen{ 56. Rough Plumbing & Pressure Test � �
- 6. E�gctrical UFER Grnd. 57. APPROVAL TO COVER•GUMTE
��Z ��btings �, � 58. E�ectrical Conduit-Undrgmd. � i �
8. Foundation � j flry 59. Gas Pipe, O Undrgrnd., Test �!� -
9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P�Trap, � Undigrntl.
i0. Structural Ploor System � 61. APPROVAL TO DECK t• .
11. Property Sewer l.iAe� & House Connection ', �r 62. Backwash & Receptor�Final '. ''� i'r, f
12. SeWer Cap , �'`��� � 63. Heater & Vent•Final '.�!`,
73. Roof Drains ! r 64. Plumbing System - Finai '��
74. Rough Plumbin8 , � 65. Eleclrical�Final �� ,�.� � fs.
75. Rough Electrical-Conduit ., �% 66. Solar System-Final ��, i., +'
1G. Rough Electric�Niring ���. � 67. Fencing & Access ApProval , i.: ; '=:�
17. Rough Wiring Sign �; � 68. APPROVED FOR PLAS7ERING �•� `
18. Rough Electrical-T Bar Ceiling `- 69. POOL/SPA SYSTEMS FINAL,-% �'�
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREM�NT
- ��•. .. .
20. Ro,gh Factory Fireplace i ? • , � : � '% ` ��, r APPROVALS'' , Permit # •_�...'._�
21!Ducis,in�Str,ucturer �.•� � �- ,� V - 'J70. Undergrouhd.HYdro � y
22. Ducis. VentilBtin9 � '. '�" � �-' '.x'� `77. ProductPiping O�,as CTOiI �
23. Ga$ PipC�lRough & Test � � �� �� „ '. ,-i � �. . 7Q, Underground Flush . a �{
24. Roof Framing ' + � ' ' � '7 � � �73. .Undergrnd. Storage Tank O Gas ❑ Oil +< :,.
25. Root Sheathing �. _ . � � 74;.Overhead Hydro � � � _
26. T�Eiar Ceiling (Structuraq &'Monocoat • . � _'- 75: Rry Chemical ' � '� . -
27. Frame and Flashing, -� i ` r,r ' y ;; 76: Dry S[and�ipe . .- '�-
3 '
� 28. Lathing& Siding- -� ' Z - �� . ••�'� = 77 �' FIXED SYSTEM FdNAU' -'
�29. Insulation . � � - 78: FIRE PREV. FINAI. •. r :
-30. Drywall�Nai�ing ' HEALTH DEPT REQUIREMENT
•�31. Plaster Brov�n Cqat�. : ,, 79. FINAL �NSPECTION
�32..Electricat PowerMeter-Finali ' �. ...M. , 80. FOOD CERTIFICATE ISSUED
33. Final Electrie '. � � ' Notes:
. • �,::.•- / - �� � ���
-'34. Final Heating & Air Conditioning ��r . .., _, - � y , ,
35. Finai Gas Pipe�Test _ �', _ _
�
36. Hood or Canopyr. �� . • � �'�, t< � . . � .
`37. Final Factory Fireplace � � �" '' ' � �-
I
38. Final Plumbing ' ? � .
� 39. Water Service-Final� - ' �-
_I
� 40. Gas Service-Finai .�: - � � � � � -
�41. Solar pomesticFinal � � � �
�
42. BaGkflow Preventer_, � � , � • � �
43. 8atk51ow Irtigation� � . ' _� ,
44. Landscape Irrigation SYstem, : - , � - .
45. Sound Attenuation ' - - - ^ '
- 46. Handicap Regufations � � �, � �
47. FINALSTRUC7URE & BUI'LDING •- '
48. �FINAL PLANNING. - � � � {%`� -
49. Eleccric Retease to Edison � � -�
I i � i �c
50. Gas Release to Southern California Gas Co .' � "
51. CERTIFICATEOF.00CUPANCY _ �
No. Date
�..
� � 9/�1�,� _
� �����,,������
� GITY OF CO A
PLANNING DEPT.
iU61Ki TO O1D6. DFiL !E4
0 =25° 50' 05"
L = 72.14'
R = 160,00'
BFAP/��V � 'IF� !f'�J'\
'R�-c ,£'�D,;;� LC�T 33
��;��� • c?.,�o�
P��'' '' _ �Fvr�°�'✓s
1 V O �
1" = 20'
SU�J���' h �ID "l�a���t`"t'�Ul�"
REVIEIh� AND APPR���
ON—SITE
0
��
,' � i �
5/11"-�- \
RAISED STONE
� PLANTER --<
n �
23'�
3'
W�OD FENCE i � `
3
a
i ��1�� ��
,�l � ,1
�
� ; ��P � �
0�� o���
1
G� \
� �' \
2 ,1
HOUSE
CARPOR
I.,OT 32
i
1
�° i
�0 ;
r�
i
3�
1
i
�!
ot
t
��
o�
o'
m
CONC. GARAGE �`,, ;
DRWI'. ,, z
RAISED STONE
10�6°+ ��?"',,N 83°�51�_12� E_ CRAD>�10L50'
_ _ _ _ _ �----
LO'I' 31
PL❑T PLAN
L❑T 32, TRACT N❑, 3380
2964 MAUI PLACE
C❑STA MESA, CA.
PqOJEtT F�DNE55: 1 Z 1 8 LAS AR$NAS WY
OWNEflS NpME: TOM TESTA
nooeess:1218 LAS ARENAS WAY
COSTA MESA
CA 92626
(714)8�1-1191
I AflCHIENGINEEP:
AOOHESS:
HEG.NO.:
UNIT:
UNIT:
PEXMITTEE:MACK CON5TROCTION ( 714 ) 568-7'744
aooeess: 1357 FREMONT ST
ANAHEIM CA 92804
LICENSEO CONTBRCTOB OELLABRTION: 1 hereby alli�m thal I am licensetl uneer pmvisions o� Chapter 9(commencing wiU Sec�ion
�000) oi Divisian 7 0l I�e Business anE Pmlessions Code. an0 my license is in full lo¢e an0 eifect_
cirru o sraTeuc.�59507 -cu�ssB /��/J- L
�ale: .� — � ( � SignaWre: _ �I���L
WOPNEflS' CORPPENSATION oELLAflA710N: I hereby aflirm that I nave a certilicate o� cOnsen! to selbfnswe w a ceni�icale o! warke�s'
Gomoensa�ion Insurance. or a ceniliea coDY �nereoi (Section 3800, Lab. C1.
POLILY NO.: ESP. ORTE:
COMPANY:
� Cenilietl copy is hereby Iumi5he0, ❑ Ceni�ied coDY is filetl wi�h Ihe cily euiltling Division.
Daie'. NpplicanP.
EXEMPTION FflOM WOBRENS' COMFENSATION UECLABATION: (This sedion neetl nat be cample�e0 ii Ihe permit is �or one hunAreA ($100) or less�.
I certity Ihal in Ihe peAormance af �he work lor whic� Ihis Dermil is is I shall no� employ any per 'n any manne� so as to become
sublec� to �Ae WorNers Co nsaiion Laws of Califomia. A� � �
� �a�e: 3 �� �� Signa�ure: �
NOTICE: If, afler making Ihis tleclaraiion, you s�o�ld �ecome suDiec� b �he Workers' Compensation pmvisions oi �he Labor
Cotle. you musl forlhwith comply wi�h suth pmvisions or �his permi� shall he deeme0 revoketl.
CONSTBIlCTION LENOING AGENCY: I �ereby afiirm �pat Ihere is a constmc�ian lending agency for the pedormance of �he work for
whic� �his permit is issuetl (Seciian 3W7, Civ. C�.
-t� PROVIDE SMOKE DETECfORS
"�S'PER THE 1991 UBC,
OWNEfl BUIIUEB OECIAflPTION: I hereby alfirm �hai I am exempt imm �he Conirac�ors' State License Law for �he Pollowing reason
(Sec�ion 7031.5 Business antl Pmlessional Cotle: Any �ity oi counry which repuires a permit �o constmct, al�er, impmve, tlemolish, or
repair any stmctare, prror fo its issuance. also requires Ihe ap0licant tar sach permit to tile a signed statement that he/she is licensed
pursuant m �he pmvi5ion5 0� the Con�ractors' S�a�e License Law (Chapter 9(cammencing wi�h Section 7000) o� Division 3 oi the Business
an0 Pmiessons Cotle) or I�aI he/s�e is exemD� Iheretrpm an0 ihe basis for the alleged exempiion. Any Nola�ion o� Section 7031.5 Uy
any aOPhcan� �or a Dermi� subjecis �he aD�licant �o a Civil Denally ol not more Ihan five hunOred tlollars (5500).
I. as owner ot �he property or my employees wi�� wages as their sole compensa�ion, will do �he work, antl the
❑ simcmre is no� inten0etl or oflered lor sale (Sec�ion 7044, Business antl Pmlessional Code: The Comractors Stale License Law
tlaes not apply m an owner o� a pmDe�Y w�o huilds or impmves �hereon, and who Ooes such work �imsel�/hersel� or thmugh
� ha or her own emDloyees, providetl Ihal such impmvemenls are no� in�enaetl or otiereA fot 5aie. If, however �he building a�
Impmvemen� is sold wi��in one year of comple�ion. �h¢ owner will have the burden o� pmving he/she tlitl not buila or impmve
lor the purpose oi sale�.
I, as owner ol �he pmperiy, am exclusively conlraciing wilh licensed contraclors �o cons�mct the pmlec� (Section 7044, Business
❑ antl Pwlessions Coae: TAe Contradors' State License Law tloes not appty ro an awner oi propeM who builds ar impmves thereon
ane w�o comracis lar sucb pmlecis wiih a comramar(s� license pursuam m �he Contractors' State License Law�. I am aware
iha� pmol ol iheir Worker'S Com0en5aiion insprance 5�ou10 be O�ovitletl �o me.
� I am eFempl undei Seclian: p. 8 P. C.
for Ihis reason:
�a�e: Owner:
I Ao hereby cenily Ihai I am aware ol antl untlers1an014e re0uirements ol Calilomia Healih an0 Safery Cotle Seciions 25505, 25533, antl
25534 and ihal I ar any INure buil0ing occupani will/will nol (circle one) neetl �o compty with sai0 s�ate cotles antl the requiremenis for a
peimit lo� consimction or mo0i1¢ation �mm Ihe Air Ouality Managemenl �iSVict. Residen�ial consimqion applications are exempt Imm
mese omvisions.
Daie: Applicanq
I hereby certify �hat I have r¢atl Inis apP���a�ion antl slal¢ �hal Ihe above informa�ion is rorreci. I agree to comply with all ciry and coun�y
ortlinances ana sialelawsrelalingla �uilding conslmctioq antl here� Ihonte representa�iv a��his ciryto en�er uponihe above-menlionetl
pmperl i inspcction purposes. � � �
� Oale: SignaWrc, _�
onver's Gcense or Social Seariiy q:
1641�<6 White—Butldmg�, Green—Cotle Enlorcemhp�; Canary—Applicantl Pink—Revenue: Goltlenrod—Assessor
CITY OF' COSTA MESA - BUILDING PERMI'f PERM NO; H 061213
PERMIT NO: B 061213 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; 5-N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : REPLACE ORIGINAL WALL IN BED ROOM SQ FT; 1,000
CLAIM VALUE; 1,000,00 CALC� VALUE; 1,000.00 GkOUP OCC; R-1 /�'�
COMMENTS; REPLACE ORIGINAL WALL/S.-REHANG DOORS.
*�r�r�rx****�r�*�r*�x �x �**�***� xx*x �**�r*******�*****�r�*�**�r*�r*�r*�-*��*�*x*��c*x**x****�
Z O N I N GS ERTEBQA�CIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILpING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: F'T IN
LEFT; FT IN RGHT: FT Ih1 LEFT; FT IN RGHT: FT Ifd
PARKING REQ • PROV: PARCEL; 93633025 ZNE; kEF NO:
PLANNING NfSTES>
�
If iE if iFif i! if if ih i(-iE iE 1E 1E 3f iF �f iE 3E,�E iE 7E iE iE 3f iE �If ItlE iE if �1F * jF �IE #�3F ik �IF � iF �M iE iE # 3E ik l(� iF i(� %� lE lF 1E 3(� 3F IE 3f !f� 3f iE if� if �IF 3E iE IF �k �F 3F �IE IF 3E IE �1F #�� iE fi
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
20NING APPftOVED BY DR'TE;
BUILDING APPROC'ED BY : DATE;
APPLICATZON ISSUED BY: � � DATE• 3 I�-�
iE3Eitik'lEiFi(�!ElEfflPiElE�E�f�1E3FjkiliFiEk7fT[' .. .... � 7€ 3e� �iF 3f7EiFlF�f3F�f3�lEit'Tri'riElEifififik�f-ifN�lf��{'i 3f�if
K�iEiFiklFiFIEiFIflEifiF#1EIEiklFi(�iEiE�1E�lEiflEiF�7F1F1f�E1F3E3EiFiE3fjE�lfiE% iF1EiEl4iFlfiF�FiPiE3fitikif��lEiEiE1FN-Ifi(�3hiE3Eif��lE3FiFiElFif#7F)F-%�iF3E?F
LEGALI'LATION;N F E E S U M M A k Y STRUC7'URAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ?.5,00 ,50
SMIP/NON-RES
PLAN
ISSUF' FEI:
BUILDSNG-DZV-> PERMIT ISSUE PLAN-CHECK 'fOTAI. PAID DUE
TOTALS----> 25.50 0,00 0,00 25,50� 7.5,50 .00
REVENUE DIVISION TOTALS--> COLLECTED• 25,50 OVER/SHORT; 00
BLD25PM�o PLUMBING ELECTRIC MECHANIC FIRE SMIP/MO� GRAI)ING PLAN-CHECR
iE �k iF iE if iF if iElf 1F ik if if !F iE iFlF!(� ik iE if �lE 1t iElE 1! 1E iF if iE iF iF if ik it �)E iE ik if ih iE iF iE If �lE iE �E if if iE iE #%� N� 3k ik �1F# 1E iE iE 1E �1F �!E-Ik If if iE%7E if� iE i(-?F # 3F IE ii�iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
5FR 1000 ALTEk BY VAT,UE RESZDENTIAL N020NE 1,00 1,000,00
END OF FEES
� CQNSTR Cfl N AND PLANNING POC . SPA '
� APPROVALS Permit # Date Inspector APPflOVAIS Permit # DaTe Inspector
r �
i L Temporary Electricai Service or Pole � 52. Pool & EGuipmem Location
2. Soil Pipe-Und�grnd. 53, �Stael Reinforcement
3. Electrical Conduit Utility-Undrgrnd. i 54. Forms
4. Elecirical Conduit�Undrgrnd. 55. Electrical Bonding
--5.. ,Steel Reinfortement 58. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVA� FO COVER�GUNITE
7. Fuotings 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Untlrgrnd., Test '
9. Water Pipe�Undrgrnd. ' 6Q. Backwash Lines, P�Trap, d Undrgrnd.
1D. Structural Floor System 67. APPROVAL TO DECK
t t. Property Sew¢r Line & House Connection 62. Back�vash & ReceptorFinal �
72. Sewer Cap � 63. Heater & Vent•Final
73. Roof Oraint 64. Plumbing Syst¢m � Final ;
74. Rough Plumb�ng 65. Electrical-Final
75. Rough ElectricaLCondurt 66. $olar System-Fina1
16. Rough Electric Wiring 67. fencing & Access AI�P�oval (
- t7. Rough 4Viring Siyn . &8. APPROVED FOR PLASTERING I
18. Rough Electrical-T Bar Ceiling 69. POdVSPA SYSTEMS FINAL I
19. Rough Heating & Air Conditioning FIRE DEPT. AEQUIREMENT �
20. Rough Pactorv Pireplace APPRQVALS Permit � �
i
21. Ducts, in Structure � 70. Undergroun�i Hydro
22. Ducts, Ventilating � 71. ProQuct Piping O Gas ❑ Oil
23. Gas Pipe�Rou�h & Test 72. Underground Fiush t
-'24. Roof Framing i 73. Undergmd. Storage Tank O Gas ❑ Oil �
25. floof Sheathing . . 74, Overhead Hydro ;
26. T-Bar Ceilin IStruttural) & Mpnocoat �
9 75. Dry Chemical .1
27. Frame and F�ashing 76. Dry Standpipe 1+'y
28. Lathing & Sid�ng � 77. FIXED SYSTEM FINAL ��' �
29. Insulation I , � 78. FIRE PREV. FINAL � ` �
30. Ory�vali Nailin9 � ! HEALTH �EPT. REQUIREMENTL � '
31. Plaster Bro�vn Coat 79. FINAL INSPECTIOV �i_, ��
32. Electrical ?ower Meter�Final � � 80. FOOD CERTIFICATE ISSUED �
-�
33. Finai Eleciric � � . Notes:
34. FMaI Heating & Air Conditioning � !�
35. Pinal Gas Pipe�Test � � � �
1
36. Hood or CanoPY • � , 1
37. F�nai Factory Fireplace ' } --�
' __-�
� �
38. Finai Plumbing I .
39. Water Service-Final � i ; �
i ,
40. Gas Service�Final ' � I �
i �
41. Solar pomestio-Final � � i
42. Backfiow Preventer � ! �
43. Backflow trrigation �
44. Landscape irripation System
45. Sound Attenuation I
46. Handicap Regulations �
47. F1NAL STRUCTURE & BUILD4SVG � .
48. FINAL PLANN�NG � ,
49. Electric Release to Edison •'
50. Gas Release to Southern California Gas Co '
51. CERTIFICA7E OF OCCUPANCY •
No. Date
LOWEf�
FLoOR
TOWIyHOME T`s'PE B
� � b ,� �o �
O G`1 LG:
PPOJECi AO�HESS: S Z 1 B LAS ARENAS WY
OWNEH'6 NAME: TOM TESTA
aooRess:1218 LAS ARENAS WAY
COSTA MESA
CA 92626
(714)851-1141
APCMIENGINEEN:
AUUXESS:
flEG.NO.:
u"iT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E OG1214
PERMIT NO; E 061214 PLAN CHECR NO: N GOVT; N SLIPP; N
CONSTRUCTION TYPE; 5—N PEFtMIT TYPE; ELE PURPOSE: OT'H
UNIT:
PEBMITTEE: MACK CONSTRUC'TION ( 714 ) 568� 7744
aooeess: 1357 FREMONT ST
ANAHEIM CA 92804
LICENSEU CONTBACTOP OECIAPATION: I hereDy a�lirm Iha� I am licensetl untler pmvisions o� C�apter 9(commencing with Sedion
7000) ol Div�sion 3 ol �he Business antl Prolessions CoOe. anA my license fs in �ull force and eilect.
CITY LIC.: '� �c STRTE LIC.� S 9 S O% cuss: A
2 �
�'� �a1e —�—L�__/� Signa�ure: — �
WOFNEXS' COMPENSATION OECLl�BATION: I hereby aifirm �hai I have a certiticate o� consent �o sel4insure or a certilica�e of WoBers'
Compensalion Insurance. or a cenilie0 capY �hereol (Semion 3800, LaO. C).
POLICY NO.: E%P. OATE:
Cenitiea copy is hereby fumishetl. ❑ Certifie0 capy is Iiietl with Ihe ciiy Builtling Division.
�ate'. � Npplicant
E%EMPTION FPOM WOBREPS'COMPENSATION OECIAFATION: (T�issec�ian need noi6e completeeilthe permi�isfaranehunOre0�5100�or1e55).
I certify Ihal in the petlormance of Ihe work �ar which Ihis permi�y y'ssued. I shall noi em ny person in any manner so a5 io became
5ub�ecl I e VJOMers' Comgpen5aiion Laws ol Calilomia —/(�_ f , �j
� Oale: � ` Signalure'. � �/"L�( �i'
NOTILE: II, ailer making Ihis tleclara�ion. yau s�ou10 become subjen m Ihe Workers' Compensa�ion provisions of the Labor
Code. yau musl lo�hwilh comply with such provisions or �his permit shall be Oeemed revoked.
JOB DESCRIPTION : kEPLACE ORIGINAL WALL IN BED ROOM SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OC:C: R-1 /
COMMENTS• REPLACE ORIGINAL WALL S REHANG DOORS.�/'LE.'� ��
******x**��*�**��x�-*�*��r�*���r�xxx*����*�c**������ �x*��x *x� � �#-3**�xx*��**�x�*�«x
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT ZN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV; PAFtCEL; 93633025 'LNE: REF' NO:
PLANNING N(5TE5>
>
3f it lE �F K� iE iE ff !f !E iE iE it iE if if ih if !f if !F i! iE iE iE iE 1E 1E iE 3F if iE 3f iE iF )E k)f iElF if !F iE iE iE 3F iE dE 3F iFlf jf if !P iE iE k iE# jf iE # iE iF 3f �E if jf 3E iF iE K� fR 3r 1F 1F 3E iE 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
ZONING APPROVED HY DATE:
BUILDING APPROVED BY : _ „ DAT'E;
CONSTBOCTION LENOING AGENCY: I hereby a��irm Ihat there is a cons�mc�ion lentling agency tor Ihe peAormance of the work �ar APPL I CAT I ON I SS UED B Y p �� !/ DATE •��Z/��
whichlhi50ermilisissue0�5etIi0n3097.Civ.C�. **{p*{t�(.{(�{(.jp*�p.��7(�*{(�9(-*{(�{(-**jp ,. t {({(.�(.{(.{(.�(.�.��(.{p x.n�� �(.*
LENOEN:PROVIDE SMOKE DETECTORS **a�**��*+t*****x��*****�***��*x�x�***�t****���**�c�**�t�t:.�x�**�****�*�c+t********��**�c���*�r*�r�
pODPESS:FyER THE 1991 UHC, LEGALIZATION;N F E E S U M M A R Y STRi1CT(JRAL SEGMENT:N
OwNexeU��oexoeCuePi�ON: �herebya��irm�ha��amevemp��rom�heComracmrs'S�a�eLicenseLaw�or�he�onowingreason BLDG PMT PLUM$Ib1C�i ELECTRIC MECHANIC rIRE SMIP/RE$ C+RAD1`NG
(Seclion 7031.5 Business an0 Professional Code: Any ciiy of county w�ich requires a Dermi� Io coretmc4 alter, impmve, demolis�, or pERM I T 1, 5 �
repair any slmc�ure, prior lo its issuance. also requires Ihe applicanl for such permrt �o �ile a signed 5tatemeni that he/she is licensetl rj Q� SM I P/NON—RES
pursuani m the pmvisions ol the Comracmrs Slare License Law (Chapter 9(cammencing wi�h Section 7000) o� Oivision 3 of �he Business
antl Pm�essions Cotle) or Ihai helshe is exempt therelmm and the basis for the allegetl eKemption Any viola�ion of Section 7031.5 by PI+AN
any applicant lor a permit sublec�s Ihe applicant to a civil penally af no� more Ihan tive hundre0 Uolla�s �5500�. I SSUE FEE 1 5, � �
L as awner at ihe pmper�y or my empioyees wi�h wages as meir so�e compensation, win Oo �ne work, antl the HUILDIh1G—DIV—> PERhiIT ISSUE PLAN—CH$CK '1'OTAL PAID DIIE
❑ simcture is not imentled or ollered lor sale �Section 704a, Business and Pmlessional Cotle�. The Coniracrors' State License Law TOT�$---- i 1, 5 � 1 5, � � �. 0 � 1�, 5 � 1(, 5 � , � 0
� does noi a001y to an owner o� a pmperty who bufltls or impmves �hereon. an0 who Ooes such work himsel�/herself or Ihrough
his or her own emp�oyees, pmvided �hat such imprauements are no� imenAed or o��ered ror sa�e. ��, however �he bui�ding or RE VENUE D I VIS ION TO?'AL$--> COLLECTED • 16 . S 0 OVER /SHOkT : 00
ior�ineepu pose oi�saiejnin one year oi compieeon, ine owner wiii nave tne burden o� pro�ing neisne tlia no� buiia or impmve $LDG PMT PLUMB ING ELECTR I C MECHAN IC FIRE SM IP /T01' C'aRAD ING PLAN—CHECR
I, as owner ol ihe pmperty. am exclusively conlrac�ing wilh Iicen5e0 conirac�ors �a cons�mct the Dmlect (Section 7044, Business 1 6, 5 �
❑ antl Pm�essions fqtle: The Con�mclors' S�ate license Law does nol appty to an owner o� pmperiy who bui105 or impmves Uereon
anAwhocontrac�slorsuchproleclswithacontrac�or(S�IicenSepurSuanitotheContractors'S�aleLicenseLaw�.lamaware iEiFif3f-iEiEiElEifkiEifiF3EiE1E�lEiEiE3fiFiFiEiEikiE3tdFK�iF3E�lEaE#iE3Fdf�FiF�)fif�IEif�iflE�E�7F1(��I(�iEiflFiE�lEiEiE3EiE�1EM�iE�1EiE�l(�3E�)Ei(��7EiF1EiE3(�3(�{p�(-3(.*�{..�
tna� prooi oi ineu worker's Compensation insurance shouid be om�ioea m me. I N D I V I D�7 A L F' E E B R E A K D O W N
� I am exempt under Section: B. 8 P. C.
mrmisreason TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
oaie: ov+ner: ELE Z RECEPT/OUTLET 1 ST 20 EA. .75 1, 50
I Do hereDy cenify Ihat I am aware of and un4ers�an0l�e requirements ol Calitomia Heallh and Safety Cotle Sec�ions 25505, 25533, and $(�D OF FEES
2553G antl ihal I or any IUWre building ocapani willlwill no� (circle one) neea �o comply witM1 said s�a�e codes antl �he repuiremen�s �or a
permil loi consvuc�ion or mo0dicalion �mm Ine Air Oualiry Management OislricL Resitlen�ial cons�mction applica�ions are exempi Iwm T TT}�
�nese pmvisions. ,r, v LJT K F� 1 7
Oa�e: Applicant:
I hereby cetlify I�ai I havereatl ihis apPlication and slate thai Ihe above iniormation is carrec� I agree lo campty wilh all ci�y antl county
ordinances antl state laws ielaung �o bml�mg consimclion ane hereby�n�a�iv i� o enter upon t� he above�men�ionetl
O�ope�ry br in5peciion purpo5es.
�ale. � / —��� � Sigw�ure:
�river's License or Social Securiiy a:
164t ¢6 W�ne—Bviltling�, Green—Coae Enlorwmen�: Canary—AOP��canl: Pink—Revenue: Goltlenrotl—qssessor
R
�� �if�
CONSTRUCTION AND PCANNING� P�"' 'PP'
�'�APPROVALS Permit# �aie Inspector AppROVALS Pennit# Date Inspector
�1. Temporary Elecuicai Service or Poie 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. S2eei Reinforcement
3. Electrical Conduit Utility�Undcgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Elecnical UPER Grnd. 57. APPROVA� TO COVER�GUNITE
7. Footings 56. Electrica! Conduit�Undr�md.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
� 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, G� Undrgrnd.
j 10. Structural F�uor System 65. APPROVAL TO DECK
� 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
j 12. Sewer Cap � 63. Heater & Veni-Final
i
73. Roof Drains 6C. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical-Finai
15. Ro�gh Eiectrical-Conduit 66. Solar System-Fi�al
, 16. Rough Electric 4Viring 67. Fencing & Access APProvai �
' 17. Rough 4Viring Siyn 68. RPPROVED FOR PLASTERING
� 18. ftough Electricai�T Bar i.eiling 69. POOL/SPA SYSTEP,15 FINAL
19. Ro�gh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.-Rough Factory Fireplace APPqQVALS Permit #
21. Ducts, in Structure 7D. Under9round Hydro
22. Ducxs, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. U�idergrauncl Flustr
24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ 0�I
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceilin9 {Structuraq & Monocoat 75. Dry Chemical �`
27. �rame and Flashir.9 76. Dry Standpipe �'�"-
28. Lathing & Siding � � 77. FIXED SYSTEM FINAL ,�..p .
29. Insulation � I 78. FIRE PREV. FINAL '"`4 '
30. Dryv�,�ali Nailing � '•, HEALTH DEPT. REQUIREMEN�� +'
31. Plaster Brown Coai I ' � 79. FINAL INSPECTION =�' 1
32. Electrical Power MeterFinal � � 80. FOOD CERTIfiCAT[ ISSUED
33. Fina: Electric � i�; Notes:
34. Final Neating & Air Conditioning ! �
35. Finai Gas Pipe-Test � �
36. Hood or Canopy I
37. Final Factory Pireplece , , .
38. Final Piumbing �
• J
39. �:Vater Service�Finai � � � �
40. Gas Service-Pina" I
, �
41. Soiar pomestio-Pinal '
i
42. Backfiow Preventer � '
43. Backfiow Irrigation
44. Landscape irriqation System
45. Sound Attenuation �
46. Hand;cap Regulations
47. PINAL STRUCTURE & BUILDING �
i
48. �PINAL PLANNING
49. Electric Release to Edison � �
i
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Plo. 6ate
LOWEK FLoOR PLAN
�
0
GfZOIJND FLOO('� PLAN
�SY
I
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FJ.M. DEVELOPMENT COMPANY
5955 FIRESTONE BLVD.
SOUTH GATE, CA 90280
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'iOWIyHOME T`s'PE B
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APPR�V�D
L�By of Coste Mesa Buiiding Dept.
THESE PLANS MUST $E QN JOB AT ALL 71MES
MAKE NO CHANGES WITHQUT pRiOR A�PROYAL
OF DEPt.
iHE (SfiUAttCE OR fiRANTING Oi N PERAtf( ON APPRDYAL
Of PIAdS RN6 SVECIfICRTIpNS SNALt NOT BE C4NSTRUFA
TO 8E p VERhfli FOR. OR AN APPROVAI Of, ANY YIptADON
UF RNY OF TNE PR041SIbNS OF TH�S COOE. NO PERMIT VRE
SUlA�N6 TO GIYE RU7NORITr Tq YtOtA7E OR CANCEL TME
PROVISIONS OF THI$ COOE SHALL 9E YAltO. 0(CEN( ifi 50
fAR A5 THE WtlRK OR U$E WNIGH �T AUTNO812ES IS LAWFU4
! THE ISSUANCE OF A PERMIT 8ASE0 UPON PU1NS ANO
'� SPECIFlCpitONS SHAII NOT PREVENT iNE BUILUING OFFlGAL
fROM THEREAf7ER REQUIRING THE CORRECiION OF ERRORS
iN SAIO PtANS AND SPECIFICATIONS OR FpOM PREYENTING
BUiL01NG OPERATIONS 9EIN6 CARRIEO ON iHERE0N6EH WHfN
iN VIOIATfON OF 7HI$ COOE OR Of ANY qTHER ORbINANC&
Of iNE C1TY.
PPRqVA1. ONI.'i.
S�RUGiURA1� A �}tRED
"""`�"� ERMtiS ARE RE4
S�4ARRt��E tRiCRt-, pWM����',
FdR vE�yS4lATING ANO
� ATIPSG,
► N,..R�.fRtGERA�ION WORK�
�t�a ,�''��$ � r�US'�4 O{rM�.�P'Ati`f ;
T{z.S ntt',n�S��V�liitti P4QUW'� Y
t
c.t 9. ix
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�,2`�`` F�o Twiniaq Laboratories �f �s�,«E�z=,Z ��l�����,t«=, �,t�.
�� � 2 P.O. BO% a] . 3)10 AIRPORT WAY . LONG B64CH, CALIE 90801 . �2i3� 476�3355 . �213) 63683BS . �7H� Bi8�6a32
eannc� aFcic�s:
TESTING isi..or+e��sH„o..s�,..• ��5� Ne�o.v,�u...i.�rt�g
Sanre Me Cell!e.n:e v}1ol >v55 N.eo..do n.., P.O. Bm N
, I��.1 n��aws j�� ��'q �a�y e..,�ti Cei �. vaeo� �zu� e�e��lea
. ''�S+.t� P
•^Y�M`{it .
August 14, 1975 Examination: SC75-3673
COMPRESSION TE5T5 ON GUNITE �YLINDERS
Mr. Errol F, Neesch
12921 Aspenwood Lane
Garden Grove, Californ�a 92640
vRoiecr Swimmtng Pool for DAVID WIPJTLE
A��RF55 2964 Mavt Place, Costa Mesa .
SAMPLE FROM GUnite $Wirmning POO1
ANCNItEQ CONiRAC10N
Irvine Pools
ENGINEFv 5118CONINACiON
MIX
DATE CAST
DATE TESTED
CYIINDER NO.
COMPRESSION
TOTAI LOAD, LBS.
POUNDS FER SO. IN.
COMPUANCE
CYLINDERS
4-1/2 t0 1
8-7-75
8-14-75
1
7-Day
54,000
1,915
8-14-75
2
7-Day
57,000
2,015
Grove Gunite Co.
SPECIFIED
STRENGTH
CYLINDER SIZE .
8-14-75
3
7-Day
58,000
2,056
7-Day test complles wtth specificattons.
r��oE er
Junior.
OIfT416UfION;
r6esta Mesa Bldg. Dept
Grove Gunite Co.
Irvine Pools
E. F. Heesch - 2
oEiivEaeo er
E.Heesch
�- �(o s�/o.
2,000 psi
4 "HOLD"
5 "HOLD"
6 "HOLD"
9ECFIVED ON
8-8-75
7� `�a.- /� .���.-
•Ll W[POe.y �cf S.bu -.cJ �s .r�f CJ'.�.�i'+- �L cu.�u�q.. Or C� t`115 �ufr�Ou.l�i�OM t04 ✓IiBL�I�• � Oi 01ie ol✓OoiS COYC�l.51045 Oo F�
}0���5 �opr Oe cFG�n(�'.G 'n(u .5 vF>!t�(D ^F'�D � o Fa. I[n �ot�.�n'.a. �5 � �'uit��� vuOrFC' � •O Ci.iLM1'S ir�! allpliC �w0 O�esF��FS
— ,�.,,.. S
August 11` , 1975
Mr. David SJintle � '
2964 Piaui Place ��
Gosta ltesu, California 42626
llear Sir:
A bu3lding permit has been issu d to Irvine Pools to construct a
priva[e swimming pool on your property.
In order that yo ool may be a safe one and for the purpose of
advising you of you esponsibility regarding the requirements of
the Costa Mesa Munici 1 Code, we refer you to Section 8107, a
cupy of which is attached. '
This letter is directed to you in order that you will be aware of
our ordinances and can make a complete safety check of your pool
area. �
Sincerely yours,
RICHARD HANHART
Building Safety Director
RHzcb
COSTA
PERMIT
Applicant to fill in all ipates except ihose wit�in heavy oortler lines ana sign all apvro0��ate tleclarations.
PER IT NO TRACT NO LOT NO
+�.pplicant'sMailing ddress ` ���'YUU e�� ������ �� �1� �N/I
Owner's Name P��h7one �Y�J-lL1L`�
Address . /�'ND ) e,{Z Y IIQGJQ
ArehlEng. License No.
Address ��
Contractor's Nam � M �� Pho e
Addresslmailing) • 1"G
City License No.
LICENSED CONTRACTOR DECLARATIO
I hereby affirm tM1at I am licensetl untler provisions of Charter 9(commencing
with section �000) of Divislon 3 ot the Business antl Protessions Cotle, antl
!� my Iicense is in (ull tor e efiect.
v License s �cens No. �Fhll�h
aDate� Signature �
W00.KER5'COMPENSATION DECIAR I N
\ ere�y alfirm that I have a certificate of n5ent to s t- nsure o� a ce�tlficate
1 Workers' Compensation Insu ance, o a certifietl copy th�reof (Section
.00. Lab. .) /��.
Policy No. � � Company - ll ���
er[i(ietl copy is hereby furnishetl. �
Certif c is tl with the city Builtling D' i
. ate � Applicant
EXEMPTION FROM WORKERS' COMPENSAT DECL TION
(This sec[ion neetl not be completetl if the Oermi i for one u retl ($300) or
less).
I tertify thai in tM1e perio�mance of tbe wo�k t hich this pe�m�t is i55uetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of Califomia.
Date Signature
NOTICE: If, alter making this tleclaration, you shoultl become subject to the
Worke�s' Compensation provisions of the Labo� Cotle, you mu5t forthwitM1
mmo�Y witn such provisions or this permit shall be tleemetl rewketl.
CONSTRVCTION LENOING AGENCV
I nereby alfirm that there is a construction lentling agency for the performance
ot lhe work tor whlch this permit is issuetl (Section 3097 Civ. C.)
Lentle�'s Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
1 hereby affirm lhat I am exemP[ trom the Contractor's License Law for the
following reason (Section ]031.5 Business antl Profe55ional Cotle: Any city or
county whicb requires a permit to conSVuct, alter, Improve, demolisn or repair
any structure, prior to its issuance, alzo requires the applicant for such permit
to file a signetl statement tnat he/she is licens¢tl Pu�suant to the provi5ion5 of
the Contractor's License Law (Chapter 9(wmmencing with Section �000) of
'vision 3 ot the Business antl Professions Coae) or that ne/she is exempt
refrom and the basis for the allegetl exemp[ion. Any violation of Section
31.5 by any applicant for a permit subjects tM1e applicant to a civil
e�dlty of not more than five huntl�etl tlolla�s ($500). '�
� 1, as owner o( the oroperty or my employees with wages as their sole
Compen5ation, will tlo the wo�k, antl Ihe structu�e is not intentletl o� ofte�etl
for sale (Section 7044, Business antl Professional Cotle: The Contractor'S
License Law tloes not apply to an owner of a property wha builtls or improves
thereon, antl who tloes such work himself/M1erseli or throu9h his or her own
employoes, provitletl that such impravements are not intentletl or afferetl tor
sale. If, however, Ihe builtlinq or improvemen[ is soltl wkhin one year ot mm-
pletion, the owner will have the burtlen of ptovin9 he/she tlitl not builtl or iT-
prove for the purpose of sale).
❑ 1, as owner oi tM1e pro0erty, am exclusively contracting with Ilcensetl mn-
tractors to construcc the project (Section 7044. Business antl Professions Cotle:
The Cmtractor's License Law tloes mt applY to an owner ot property who
builtls or improves tnereon. antl who wntracl5 iot suGh oroiects with a con-
tractor(s) Lcense pursuant to [ne Contractor'S License Law). I am aware tnat
proof of their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler $ection B. & P. C. for this reason
Date Owner _
I hereby certify that I have rea0 this
info�mation is correct. I agree to comp
antl state laws relalin9 to bu' tling con
5¢ntatives of thi5 City t [ upOr
Inspection purposes.
Signature
Drivers' License or 55 �
0865-46, rev. 5/8B �te - Builtli
ication antl state that the above
th all city antl county o�tlinance5
:ion, and hereby authorize repre-
above-mentionetl property r
�(� ��� Date �
_.� ��)���
�.��� � � UNIT NO. A P #
S Main Buildi
TYPE OF CONSTRUCTION NEW .qDD ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOl.ISH ❑ OTH • _ T F�ont
DESCRIPTION OF WOFK/USE OF BLDG. ��rO�% � Y. �. �� I A Rear
TVPE OF PERMIT GRADING ❑ FOUNDATION � STRUGTURAL � C Rlght
K Left
❑ TENANT ❑ ELECTRICAL ❑ PLVMQING ❑ MECHANIGAL S
❑ �OTHER /1�� lVl , Ping. Ref. #
PROJECT DESCRIPTION 5(l. FT. ncCuaaNr.v/_�/� :n—,
CONSTRUCTIONTVPE �-v —� VALUATION$ �{�llN��� PlanningNOt¢5:
ZONE GRADINGCU.YDS. AGRES
Rema �ks: ,�
#� OGl A�LI � Yn �
Bar Sink
Backflow Preventer
Backflow Irrigation
Drinking Fountains
Floor Orains
Floor Sinks
Gas Service OuNets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Heinspection Fee � � $75
Duct- Untler Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact BIL iCBO #
Heatin9 System & Ducting
❑o-i oo,000 sTu O i oo,000 sr
Reinspection Fee � $15
Appllcant; Pink - Accounting; Goltlenrotl - ASSe55or
$howers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
AutO-Wash
Laundry Tra'ys
Issue Fae
Hood or Typel ❑
Canopy Type I I ❑
Refrigeretion System
❑o-ioo,000sTu ❑ioo,000eru
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
FEES
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher �
Dryers ❑Gas ❑Elec��
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switch¢5
Garbage Disposal
Generator �0-5 KW C
zone
Accessory Building:
ELECTRICAL �
Transformer ❑ 15-50 KW
❑ 50+KW
Meter Llup to 100 amps
Meter ❑over100amps
Sub Panel �.�
Momrs�47 HP�1�'/:-8
InaSolar �9-15 HP �16-75+
Microwave
Pole Light
Ran9e
Standing Sections
KW Trash Compactor
� Reinspection Fee �$15 � � luue Fe
DEVELOPMENTSERVICESREQUIREMENTS: r
2oninB APProved By '
Building Approved By ,z
Aoolitation Issued ev � . _ .
FEES
$ 3
O
N
1
N
G
R
E
Q
M
T
S.
rc�a
BUILDINGPERMIT $ �D ' SMIP $ ��
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ ��''GRADING $
PLAN CHECK 50% $ .�' MICROFILM $ �,,�
MECHANICAL $ TO�TALFEE $ �D,�
PLAN CHECK 25% $ '• '�'
C:'_ `OaMI.34r-=G:i421%J i��-i
OAiEa U^�_3: E9 TSt1E: 13:G�.
. rj N , . . . . . .. .. . ..
1 � t� ,
O".7STRUCTION AND PIANNING POC SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
iy Temporary Electrical Service or Pole • 52. Pool & Equipment Location
�2. Soil Pipe-Undrgrnd. -. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. '� 54. Forms
4. Eler,trical�Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6.- Electrica�l UFER,Grnd. 57. APPROVAL TO COVER-GUNITE _
.`
7. Footings '� '. 58. Electrical Conduit-Undrgmd. "
S;Foundation _ � , �� 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structuial Floor System . - - ' 61. APPROVAL TO DECK
11. Property Sewer Line & HouseCo,nnection - �• 62. Backwash & Receptor-Final
12. SewerCap __ 63. Heater & Vent-Final ��
13. Roof Drains • � � 64. Plumbing System - Final ���
14. .Rough Plumbing' 65. Electrical-Final '
15. Rouyh Electrical-Conduit 66. Solar SYstem-Final
16� Rough Electric Wiring , 67. Fencing & Access Approval
�c.
77. Rou�h Wiring Sign 68. APPROVED FOR PLASTERING
18; Rouqh Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
79'. Rough Heaiing & Air Conditioning . FIRE DEPT. REQUIREMENT
20r Rough Factory Fireplace �- ' APPROVALS Permit #
21. Ducts,in Structure � 70. Underground Hydro
22. Ducts, Ventilating • 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test -„ i 72. Underground Flush
24. Roof Framing , -- - 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing _ � 1�/� 74. Overhead Hydro
26. T-Bar-Ceiling (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. Drywall Nailing �,' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ; 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric - Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer ,��
43. Backflow Irrigation '
44. Landscape Irrigation System 7��-�� f4,�p. • m -
45. Sound Attenuation � ��[
46. Handicap Regulations
�
47. FINALSTRUCTURE&BUILDING 7�S,sC (Q,y��,c.. ��
48. Special Requirements Completed
49. Electric Release to Edison -
r
50. Gas Release to Southem California Gas Co '�+ �
51. CERTIFICATEOFOCCUPANCY •3
No. Date 1'
' 2964 rdaui Pl.
David Wintle
Building
Address
Owner
.n
� �
7rvine Pool� Contractor
Newport Beach - address
Permic Date
�di40Number 7/29/75 Issued
�
. l.
CITY OF COSTA ?lESn
DEPART;�IENT •
OF
BUILbING S FETY
,__-'
Reg ed D p[y i ding Lnspec�or
C tifi t of C..pliance ,
August �, 1975
Date oi this Cer�ificace
To the Director o_ 3uilz'_n5 Safety:
I hereby cercify that the following portio.s of �:ork on tne buildings
aC the above address which required continuous inspection and cahich I was
e*:ployed to ir.specc, weze inspecced by me and comply with the provisions
oE the Building Code applicable thereco.
1) Concrete
3) ' Welding 5) Special Cases
2) �fasonry 4) Reiniorced Gyp`sum
Swimr:ing Pool Size 16' X 31' Gunite X Hand Pack
Sacks Cement 15$ Tons of Sand 3$
Approximate % of water in aggregate
This report covexs wark completed during week ending 8/9/75
- name 'Errol F. Heesch
Address 12921 A5penwood Ln� G_�_
�
,
Labora[ory TWlnlrig Telephone 53%-(],25
Form su 6 �Orange County)
OWNER SAFiAR CONST.CO. DATE 3-3-61
JOB ADDR.ESS aU1 aCe BUILDING PER114IT IvO. 139j
GENERALCONTRACTOR Sffif12I' OI19t. O, VALUE S 21�2 1,00
DATE
SUBCONTRACTOR
farm 210—SM-11-59 S-B P . 13938
��
..� . : ����5
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. GLIPORNIA
For Applicanf fo Fill In Compleiely
TYPE OR PRINT
C05TA MESA. CALIFORNIA
� MAIL
� pp aCT
I LiC N�. I/]'� / 6(O THO: �gD�9s
81ZE 1 n�� [i /. if � I NO. OP BIDO6.
86TBACK LIN6 FROM � �
C¢NTER OP BTPeHT REAR YARD
SIDE YARD I LEFf �/ I R�GHT /O ,
I DESGRIPTION OF WORK
� EXTERIOR WLLL. ... 1 I ROOF
� HER6BY ACKNOW��GB THAT 1 XAVB N6AD THIB �PPLIGTION
AND BTATB THAT YH8 ABOVB IB COPII6R ANO A6RB8 TO COM-
PLV WITX ALL CITr OFDINANCHB ANC 9TA�W8 REOU TIN
BUILDINO CONBTRU� ���
SIGNATURE OR
PEHMITTE
/
AUTHORIZED AGE
� E REC�I���
MAR 3 1351
INANCE DEpr.
CITY 0� C�'�i�1€5A
APPLICATION F R
BUILDING
For Office Use Only
ET
CASTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BY
ZONB /�' I NO. OF
+ \ PIANB
LEOAI /��
OEBCRIPTION F`L�I
A. P. NO. "
YARDS
APPROVED
(LHNTCR LINE 8T.)
MPROVED %/�
BY I.</
UBE OP NEW
'j
TM6 AMOUM BHOWN UNOER VALUATION IG POR TH6
PUPPOSB OP E6TABLIBHING • PERMIT FEE ONLY.
VALUATION �
PERMIT PEE S
� � ' ��
S�/�C%/ PLAN CHEGK $�D
/ � � �id�
OWNER
Pool Location .
Forms
Main Drain _
Steel Reinforce
Elec. Bond
Approval to Cover �
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
H�^�er and Vent Final _
t . System Final
Backwash and Rscep. Final
Fcnr�nn F�nal
DATE 7-23-75
BUILDING PERMIT N0.
SUBCONTRACTOR
Electric
Plumbing
�
-� _ . �Q�C� iUl 23-75c�,su002176=` :r*�`*117.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CAUFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC�IV� BV DATE ECEIV D DATE ISSUED
BUILDING ��" � � �✓ ..
ADDFESS � [.CiC,C.�� �
s�/ �{ /y�'/j/ �j / /) �/� PERMIT NO.
OWNER �•Z(�. �/�j�.�CJC/ A.P.NO. '3J e!^J.L^l
MAIL
ADIDRE 5 �7�J� �Y/�v i/GI.C.Q,�
Z ADORESS [�
a U CITV NOL TRACT �.}(J�J LO�� BLOCK
ZZ
Q �pN$TRVCTION
O N LENDER . / �
am r
• � BRANCH
OWNER /L�
m J ADOPESS /, VALUE �/j�
m AqCWITECT TEL. S ,v S� L(/ �
J N OR ENGINEER
V FIRE
w� ADDflE55 ZONE VPE // GROVP
o, w ,
W Z APPROVE � �
J O CONYRP.CTO BV DAT
m
J � AOOPESS �_ �,4�
W W 20NE NO.OF USE OF NEW�
Z= CITY , ( ,,,Q� NO. J� � P�� BUILDING
H
� STATE CITV VAROSAPPROVED VARDSAPPROV D
� Q LIC. NO. �'y � LIC. NO. MAIN BUILOING ACCESSORY BUILDING
_� SIZE NO.OFBLDGS. (FROMC/LSTREET)
OF LOT NOW ON LOT qpM FT. D�t✓YI FT.
USE OF ./
EXIST�NG BLOG. �I FT.
F SIZE QF NO. OF
Z NEW9LDG. ROOMS STORIES I.SIDE FT. FT.
a E%TER�aR WALL flOOF
COVERING COVERING REAR FT. FT.
SE OF BUIL fIJG AND W RK TO BE PERFORMEO DISTANCE BET, qE7, MAIN &
� MAIN 9LDGS. ACCESS. BLDGS.
Q /; VAR. qp DATE
O V O C.U.P.qy� APPqOVED
F �N � �—'
o I\\ Ei\\` II�� I'� ��"
VI heraby aeknowletlpe thnt I heva reetl this appllce[ion entl et � �J �-' � � L"� �
= thet the ebovo informeHO� �� correet entl apree to comply IM
� ell lawa reBulatinB builtlinp consvuction, entl I shell not em oy �
F any perwn (n v(oletian of Ma workman's companseNon lew of
y [he Stete of Californie. � /J � I(+• - o
�( U
Z I herepVi certify Net I em pto0erly Iiconsetl ef a conbector u ���
tho State of Celifornia Busineu antl Profaaslons Cotle, Dlvlsic , THE AMOUNT SHOWN UNDER VALUATION IS FOR '
ChaptO� 9, entl thet suc� licenfea era In full (O�ca a � ftett, Or I THE PURPOSE OF ESTABLISHINO A PERMR FEE ONIY: b
am exampt irom he provlsiona of tha Smm of C orn Busineu �
entl ProfasslOn VALUATION
od , Divlslo 3 Ghepter 9, ry
PERMIT FEE $ / �
Slpne �e � �f�¢ � m
Pormftte � $ 3�jr � PIAN CHECK $ I '� E
�J .�� a o
Authorizetl Apent ��/J� LL
"`-�a— TOTAL FEE 5 • �
BADDRES$ l �q�,d nea��i Pl�..o BUI
AP No.137—�:
'�'�PECTIONS
�I Location .
Forms
Main Orain _
Steel Reinforce
Elec. Bond _
Approval to Cover
Underground EleCtric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Final
L .vash and Recep. Final
Fencing Final
Approval for Finish _
JUP TYPE
SUBCONTRACTOR
E lectr ic
E
a��,a aianian
,•� • COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR-STRUCTURAL PERMIT �
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
RECEIVEDBV PERMIT
For Applicant to Fill in Completely — Use Ink Only �J
ADORESS Q' I A'P' NO' I CJ /��`� �� I X
BUILDING �� '
OWNER OR I/ l, ADDRE55
TENANT //LJ "
UNIT OR
MAILING SPACE NO.
ADDRESS
TR.NO. LOT BLK.
TEL.
CITV • NO.
NEW ADD LTER REGAIR MOVING DEMOLISH
CONSTFUCTION
LENDER
BRANCH / �/ ' / ��
OWNER C�C/ /V
ADDRE55 ,�/ VALUE
ARCHITECT TEL. US�L�� /�F�T�ti�� s �.(j[j'
OR ENGINEER
ADDRESS 20NE TYPE GROUP
APPPOVED
CONTRACTOR BV DATE
ADDRESS / �f
TEL.
CITV � � r, NO.
STATE CITV •/ / APPROVEDSETBACKS
LIC. NO. 3 ' IIC. NO. �
SI2E NO.OF BLDGS. (FFOM C/L STREET)
OF LOT NOW ON LOT / OM FT.
USE OF
EXISTING BLDG.
Separate perrtuts are required for �. sio FT.
electric, plumbing and heating work: ,
REAR FT.
USE OF eU1LDING AND WORK TO BE PERFORMED PLANNING ACTION
/ _ DATE
APPROVED
APPROVED
1 hereby acknowladpe thet 1 have reatl Nis epplication entl staie
that tha above information is corcect end a8�ee to comply wlth
all laws reBulatin0 builtlinp construction, antl I shall not employ
any perwn in violallon of Me workman's compensation lews of
Me Stete of Californla.
1 hereby certify ihat I am properly Iicensetl ez e eontrecior untlar SQ. FT. '
tha Stata of California eusineu antl Profassions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepter 9, antl that such licenaes ara in tull tarce antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�V:
am ezempt from th ovisions of ihe State o California Bustness VALUATION PERMIT FEE E
antl Professions Co rvisio , hapter 9. ^
� ./ PLAN CHECK S
SlBnatura of �y C ,
Permittee $ ril�J TAX E s'�
or ��
Authorized ABent Date TOTA� PAID S
S sb
50 TL
m
J
m
e
a
N
m
n
0
F
U
1 OWNER WINTLE, David DATE 7-29-75
�JOB ADDRESS z964 Maui Place BUILDING PERMI7 N0. 40340
Y �ERAL CONTRACTOR Irvine Pools DESCRIPTION of WORK Pvt. Swim Pool w/spa
H�� -252-18 LOT 7RACT FIRE ZONE VALUE $ 5 �00.00
� INSPECTIONS $ignatore Date GROUP III TYPE J ZONE Rl
PERMITS ISSUED
Pool Lacation � �`� —`�"-Z7 S U B C 0 N T R A C 7 O R ,—��—
Forms
Main Drain _
Steel Reinforce
Elec. Bond _
Approv2l to Cover
Underground Electric ��
Gas Piping Test ft�c-
Filtering System Lines `
Backwa5h Lines and Recep. ��-
Electrical Final
I r and Vent Final _
Filter System Final S-lG �f
Backwash and Recep Final �� 9 1-5-�
�3� ��Il ?_9-7.PA��OO?76!" *°=-'48.50
c�+sr
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For App/icant to Fill in Complerety
RFj�ly,8f! BV O TE RECEIVED QQ� TE ISSUED
ADDRESS (� �T \ � IPU� l� (�,•'� / �
W � � P T
OWNER A.P. NO. '�
MAIL BUILDING Q / �
2 'j'
ADOFESS �1DDRESS —{ p
W W TEL. TRACT{J D LOT BLOCK
d U CITV NO.
ZZ
Q CpNSTRUCTION W
ON LENDEF
am
J � BRANCH ' -
-� N OWNER
a W ADDRESS v VE
m m ARCHITECT I TE 5 �� 1 S O
J a OR ENGINEER�J
N
wUQ Q �,u� � FIRE •�
K ADDRESS �Il ZONE TVPE GROUP <.J
a W APPROVED 9
W Z CONTRACTOR 1 BV DATE ��/ �
J Q
m Z
J � ADDRE55
W W ' E��j% ZONE NO.OF ^ USE OF NEW �
�= CITV NY" P�� p� BUILDING
ZF
y� LIC NO. �I �JI LICyNO. vMAIDNBUILDOING ACCE SORYBUILDING
� O (FROM C/L 5 REET)
512E NO. OF BLDGS.
OF LOT NOW ON LOT I ROfYT FT. FT.
VSE OF {� �� � �/'`��
EXISTING BLpG. vCJ`lr..`�' FT
H SI2E OF NO. OF
Z NEW BLDG. ROOMS �r STORIES —_ L. SIDE FT. FT.
U EMERIOR WALL ROOF
COVEFING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BEf. BEf. MAIN &
a MAIN BLOGS. ACCES^a BLDGS.
a
Q j� �/ VAR.# bATE
O a 4U.P.�W APPROVEO
� APPROVE[� ' �' �� � S�
v
Z
�
VI heraby acknowlatlBa thet 1 have reatl [h(s appllcetion enG rteta $TATE
� thet No ebove Iniormaiion is correct end epreo to comply with
� ell lewa reBuletinB builq��e conrtrucNon, end I ahell not amploy , Q
F nny person in violetlon of [he workmen's compenfation laws ot
y Na Stata of Californie. m
ZI heraby cerUfy t�et I am properly Iicantetl aa a controctor untler SQ. FT. TAX O
tne Smte of Californie Busineu entl Professions Cotle, Divialtn 3, TME AMOUNT SHOWN UNDER VALUAT O�S FOR �
Chapter 9, entl that cuch licanses are In full lorca entl atfoct, or 1 THE PVRPO6E OF ESTABLISHING A PEflMR FEE ONLV: Q
om axampe from t�o p ovlsions o/ t�e 5[eio Ot Cellfornla B�slness VALUATION
ond Pro/ecsion Cada i isfon 3, Chapmr 9 � m
Y PERMIT FEE 5 •� �
Slpnat a of � � �0 / m
Porm me ��� $�D PLAN CHECK $ L ��� E
0
Aut d Apent LL
TOTAL FEE S I