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sso�euan�c: 329 NASSAU RD
ruuEiF�vr+: REITLER, WILLIAM R TR
��+� 329 NASSAU RD
COSTA MESA,CA 92626
wv�. wuuNc �oo�ss:
AIiCNRECT OX EN(iNFER:
dPCH.OP ENG:S AOORE55:
uc. ra.:
uxr: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H 073960 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
UNT:
caim�crarseu¢: STEPHEN SHELLEY ROOFING ( 714 ) 492-9796
caNmncrorcs uuuxc P. O, H O X 1 2 8 6
�oox�ss: SAN CLEMENTE CA ucxo.: 525478
92674 uxr:
LICENSED COMNACTOXS OECLANITION: I hareby elfrm uMx penally d perjury IMt I em Icanaed uMm pwieions ol Cheqm 9
(rommeiaep wilh SeeWn )00p) d Oiviaion � W IM Buzresa arM Pmtesams COEe. enE mY lieenu n in full bree end eHap.
cmuc.No.:065091 uc.cuss: C-3g uc.No.:�g'�f E'X� OS/96
o�.: ^52' Z f!— 9 f co�i,eda y� ::�lud.f �i/�
OWNEN BUILDEH UECLAHATION: I hareby eKrm undar penaXy W perlury Ih t I em eRemp /rom Ihe CyW on Licenl�d ee Lew fa Ihe
bllowing reeaon (Sadion )03t5 Bue'u�ess eM Pmfeaeiana Cade: Rny eny n counry xfiieh requirea e perm� to mneleuq, eMeq imprave,
Cemofah, or repek any slmcwre, qbr �o iia ceuaMe, elso requires iha epDlirant lor wch pe�mil lo file e eiprred autamanl ihel he or ahe
c licenmd W��� �o �he pravisian d Ihe Conlraztas Licensa Lew �Cheqer 9(mmmena�q wnh Sedon )000) d Oiv'vion � d Ihe
Buninass eM Prdaxbns COEe� or IM1ei M or ahe is eaemq iherehom end Ihe Eesis la ihe elbpaA e:�emqion. My voletion ol5etlion
1a11.5 M env eod��� �w a re�mn suN�+ �n. wd�m m e avl� oe�e�ry d mi m«e �hv� frve nuMred da�an [`�U.
� I. sv ovmer d iM qapenYor mY employeee wih wegea m iMi mle wmpenulion. vNl Eo Na w«k. eM Ue aWciwa u rwi imaMed
impwemenn ere nd inteMeE «o11veE la eele. O. Irowevx. iM Euitlieq or vnprovemenl is aotl �Mhin aie year d oomqelqn. �M
ownerLuiNar xill have tM bueden d po+iip M or aha d'd m� buiN w impwe Iw iM WTae W aele).
� 1. ea ormar d �M1e properry. em udusiveN �iredip wilh IicenseE contrectae to construtl IM 0�1� (`�� )�. Buai�wea eM
PMessione COCa: iM Gonirec�ora Licen» Lew Goes iwt eppy b en ownar d popeMy w1a buiks a imqov» Ihereon eM who
mnvecb lor wwh prol�s wilh e conlredm�s) Icensed pureuant m �ha Contrepore Limnae Lew�.
� I em examq uMer $ection: B. 8 PA.. Im ihis reeson:
Dele: Ownec
I do hereby cerlity ihe� I em awara d vW uMemteM the repuiremenb d Celiwnie Heel�h eM Selery Cade Seenna 25505, Y55�3, erd
zssza, .�e in� i«�y r�n�re w�w��o �v�� ��i i wi� �a ca2b o�� �«a �o �dv wm �a �me ooe� �e m. �am�mem. m.
epertnAlamuvuctunwmodifrationhaniM1eR'r ue�y enapertremDimiia.Reeidmiielcmn�ioneppire�iorueraevemplmmNme
pIOVl9q118.
om.: nvd�
WONKEN'S COMPEN5ITION OECLRF�TION: I hareby elfirtn uMm panelly d paijury an d tM blbwi�p Aatlerelom:
� I heve end wil maintein e ca�tlicete d conwnl to eaMinaure br worken' cwnpeme�ian, o povided la by Seeion 3)00 d the leEor
�iOdB��OfIhB p01}OITdI1C0 O/�118 NDIk�IX WhIC�1��119�101111�19199YBd.
J7 I heve end wil meimem woMere' mmpanm�ion innurarce, u rx�uirad by $eclion �]00 d the Lebor Cade, br tM1e parlormenca M Ihe
1� wak for wliich �his peimn is i�uad. My warkers' mmpansation insurence re�iier eM poliry number are:
c�a: STATE FUND EXPZRES
aakY N�mne.: i_ — 0 6/ O 1/ 9 6
(This sMion naed not bs comdefed % iM qrmit z/a one h�rMred ddlars /SI W� a bu.)
❑ I cenh thet in ihe perlormence d iM work la wt�ch ihc permn �v bsueE. I ehell nd emqq anY Gs� in e�ry menner eo m io
Aecoma wbjed to tM1e xwken canpena+tion levre of Celitwnu. vM epres Nm X 1 MouW become au ' to ihe MaMeri
�v���, r�%� a sea� aao a me �n« coae. i s�wi i n� ca�vy •m
oe�e: it ZC}i —� �vWicenc 6/ - i
i
WeminO� Fallun ro sxun woikx�'rompewtlon rovsnps l� unkwlul, ntl ilull �uDhcf an employsr fo iul pmeMu entl
clvll Ilrs, up ro ons huntlretl fMus�rM tlWlan (Sf00,000J, In etl0itlon ro Ms cwf ol compsivatbn, tlamsys� es prov/tlsd br /n
SxHon J106 0l Ms Lebor COM, Infensl, and eMrney s l�sa.
CONSTFUCTION LENDING AGENCY: I hareby aliirm urMer penalry W parlury �hat tMre ie e mnatmdion bntlinp egeru.y Iw tM
pBf�OfTB11CB O��hO WJIi{(C!M'�I�IC�1�h9 pBl1111 I9 68YBj�$BC1U11 3091.CiN.Ci�.
LENOEH'S NRME:
LENDEH'S ADDNE55:
I ee�iry iM1et I have eead Nia epplieetbn eM p�a �hm i�e ebove iniormmbn n eortea. I eprte io eanpy wnh ell ory eM oounry oNinezea
eM sle�e kx+rele�(p �O Wikmg conatrutlion aM Mraby eNMrixe rapresenleliv» ol �Na a1Y IO Bnlx upon IM abv+a-mmtuned qoperry
ta inspaCion W�D�s�
. STEPHEN SHELLEY
(St51-06 WP)
• y 1'7
Whne-BuilEinp 8 Selary: Greeo-Fle; Cenery-AOF„�C Pink-Revenua;Goldenrad-Rssessor
PERM NO; B 073960
GOVT: N SUPP; N
PURPOSE: OTH
SOB DESCRIPTION : T/OFF & REROOF W/TIMBERLINE SHINGLES SQ FT: 4,200
CLAIM 6'ALUE: 4,200.00 CALC—�'ALUE: 4,200.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ----------
FRNT: FT IN REAR: FT TN
LEFT: FT IN RGHT: FT IN
-- ------ ACCESSORY BUZLDING ---------
FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL: 14144206 ZNE: REF NO:
PLANNING N TE55,-
i; i
if IE IE 1E iE 1E 3f 9E iE iE iE iE iE iE iFiflE �E iE iE 3E jE iE jE iElE fE 9E iE iE iE iE 1f IE 1f !E if if jf i(� df if jf 1f 1E 1F �k iF ik if iE iF IE �E iE 1E iF 1E 1E 1f !E 1E 1ElE iF iE if if if 3f 9E 1E fE iE IE iE 3E iE iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROC!ED BY : DATE: �(3."
APPLICATION ISSUED BY: DATE: O,c+p
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LEGALIZATZON:N F E E S U M M A R Y STRUCTURAli SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE , SMIP/RES GRADING
PERMIT 72.00 � � .50
� ' SMIP/NON—RES
PLAN � �
ISSUE FEE
BUILDING—DIC'—> PERMIT ISSUE PLAN—CAECK TOTAL � PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 :� 72.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVERCSHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT. GRADING PLAN—CHECK
72.00 .50 ' .
jF iE IE iE 1F fE 3E fE 1ElE IE fElE iE iE iE 1E �ElE ihlE iE if if !F iE 1Elf iE iE iF 1E �E 1E iE iE fE iE 3E 3E fE iElE fE �f iE Ik iE ik �E iE 3E iE iE IE �E �E 1E 3ElE 1F �E iElF 1f 9E 9E 1E iF �E iE �F 3E iE iE fE iE fE iE
I N D I C� I D U A L F E E B R E A K D' O W N
TYPE QTY D E 5 C R I P T I O N UNI,T,COST TOTAL COST
SFR 4200 ALTER BY VALUE RESIDENTIAL NOZONE 1.�00� 4,200.00
END OF FEES • _
i •
OI 3�18916;—pQE89i65 �i]iT 7:>..5�3
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1
''� I CONSTRUCTION AND PLANNING POOL & SPA
pPPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
�
7, Temporory Electrical Service or Pole 52. Pool & Equipment Location.�� .{' ,^`
' :'
2. Soil Pipe-Undrgrnd. .'� 53. Steel Reintorcement ��
�:
3. Electrica! Conduit Utility-Undrgrnd. 54. Forms ��-
�4. Electricat Conduit�Undrgrad. �' S5. Electricai Bonding .
. 5. Steel Aainforcement 56. Rough Plum6ing & Pressure'Test �
6:��Etectrlcal UFER Grnd. 57. APPROVFl� TO COV[R-GUNITE '
7, Footings 58. Electrical Conduit-Undrgrnd. ,�";� �
g. Foundation � 59. Gas Pipe, O Undrgrnd., Tesi s'j
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, L� Undrgrnd.
70. Structurai Floor Svstem �,�, 61. APPROVAlTO DECK 1'`i%
11. Property Sewer Line & House Co�nection 62. Backwash & ReceptorFinal i
12. Sewer Cap .� j"�� 63. Heater & VenFFinal ;,•' �
13. Roof Drains �% 64. Plumbing SYstem � Final �' �
14, Rough Piumbing �/ 65. Electrical-Final '� � ;�
15. Rough Electrica6Conduit '� �� 66. Solar SYstem�Finai �. .%
16. Rough Electric Wiring ' 67. Fencing & Access Approval �f '�.�
77.� Rough Wiring Sign 68. APPR4VED FOR PIASTERING �� „i
18, Rough Electrical-T Bar Ceilir,g 69. POOUSPA SYSTEMS F1NAL �
19. Rough Heating & Air C�nditioning FIRE DEPT. REQUIREMENT
20. Rouqh Factory Fireplace ' ' -. APPROVALS Permit # .
21. Ducts, in Snucture •� 70. Underground Hydro
22, Ducts, Ventilating - �- 71. Product Piping OGas �Oil
23. Gas Pipe-Rough & Test � '- - 72. Underground Flush '
24. Roof Framing � ' � ' � 73. Undergrnd. Storage Tank G� Gas � Oil
25. Roof Sheathing �� r-� Grs (��ff 74, pverhead HYdro. '
26. T�Bar Ceiling (Structura�) & Monocoat � 75. ,Dry Chemicai
z7. Frame and Flashing � - 76. Dry Standpipe •
28. lathing & Siding 77. FiXED SYSTEM FINAL �
29. �nsulation � 78, PIRE PREV. FINAI.
� 30. Prywall Nailing � HEALTN DEPT. REQUIREMENT
37. Plaster Brown Coat - � 79. FINAL INSPECTION
32. Electrical Power Meter-Final � � 80., FO00 CERTIFICATE ISSUED
- 33. Finai Eieciric . Notes: �
34. Final HeaTing & Air Condizioning � ' ,
35. final Gas Pipe�Test � �
36. Nood or Canopy . : • . �
37, Finai Factory Firepiace - � " � �
38. hinal Piumbing : � �•' � �
39. Water Service•Final � •j - .
�
40. Gas Service-Final . .
41. 5o4ar pomesticFinaV � � . '
42. 9ackfiow Preventer � � C ` �iL�
✓
43. 9ackfiow Irrigation • �ov ....,�.`r _ ���,�
44. Landscape Irriqation System . . ��,.� „ /��L
C�!
45. �und Attenuation , �
46. Nandicap Regu4ations � -
47. FINALSTRUCTURE&BUILDING ��/��GIC���:
G ✓
48. FINAI PLANNING
� 49. Electric Release to Edison " -
50. Gas Re4ease to Southern Cai'rfornia Gas Co � � _
51. CERTiFICATE OP OCCUPANCY �
No Date
OWxER Rutgers Dev. Co
JOB ADDRESS 329 Nassau xa.
. GENERAL CONTRACTOR I}iks � �
AP. No. LOT 21 TRA
GROL[P I & J TypE
INSPECTIONS /9 �_�." .J /,'
coat
Power
�legrove, Inc.
FIRE ZONE
BUdDING PERMIT NO.
VALUE $ 16,598•
;�p� Res. w
PLAN NO.
PERM
SUBCONTRACTOR DATE
7365
00 "
att. ga�
3SUED
IMRGC
y \J:l . ,11�
�
�
. ._�.:.
- . `�����
COSTA MESA BUILDING DEPARTMENT
P, O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
au��o�Nc3� Nassau Road
nooRess
COSTA MESA. CALIFORNIA
owNeR Rutgers Development Co.
n.
,e. l�. �� � v t_ u�,� :_ �
AUG 27 195b
t il��in,i`.lE ��f 1.
.. n1.. e .
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. pEFMIT NO_ _
A�AIL /79 yl � 1/'th S't�� RECEIVED BY O=TE RECEIVEO O�
ADDRE55 `�'�'
arr Costa Mesa, CS11i. TNo:L1.8-1159 qDDRE�ss •
nacnirecr � 5077 t•!Ll e roQ
OR ENGINEER No. COSTA MESA. CALIFORNIA
ADORE55 I
CONTRACTOR
nooaess
LEGAL
DESCRIPTION
A.P. NO.
� cole�rove,r� ���.
I1C• NO. s/�.�
E. 17th St• TNO.�. £
S BLOCK TRACT
OF LOT /O X ZOO
USE OF Qy�,,,.
E%IST�NG BLDG. �06IY�
No.or e�ocs.
�,ow o� �o, none
CETBI�CK LINE FROM
[ni[w oF slAeei SO� ' REl�R YARD 2��10�
SIDE VARD RIGHT St LEFT 5T
DESCRIPTION OF WORK
NEW h ALTEfiATION I AODITION
REPAIR MOVING DEMOLISH
SU�IEDING 16/7 $q�f'tROOMS / STORIES 1
W
EXTERIOR WALL ROOF
COVERING StiUCCO COVERING CO�•
9UELOFNGEW Single fanily residence
with attached double garage.
FIRE '
ZONE
20NE NO.OF TYPE
� � PlRNS �
APPROVED
ev onle
CORRECTIONS
Plan 760BR
MEREBY ACKNOWIE�GE THPT I HTVE REFD THI$ APPLICqTION ANO
STNTE THAT TNE A90VE IS CO ECT ANO AGREE TO COMPLV W!TH PLL
CITY OROINANCES AND STAT L 5 R IJLATIN�ONSTFUAC-
T�o�. // VALUATION
SIGNATURE OF d
PERMITTEE Y
`� � g 16,598.00
GROUP
PERMIT FEE ryJo�OO
PLAN CHECK S�9�oo
TOTAL FEE $S%���