HomeMy WebLinkAbout2831 NEVIS CIR - Building Permitsf
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(714) 754-5273 • Fax (714) 754-4856
Job Address: 2831 NEVIS CI
Suite:
Vicinity:
�
Parcel Nunmber: 13943153
Applicant: MORRISON, JOE
Address:
CITY OF COSTA MESA •
BUILDING DIVIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Zoning: R1 R1
698-00956
PERM�T NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
Phone:
Zip:
M.,1-��.-�n a,,I, � A�n�i�s � i-`�f ,�r� C
Owner: �I IfIC(1 ,I� F i �r T � '-`
Address 2831 NEVIS CIR •
� Phone:
COSTA MESA,CA Zip: 92626
Contractor: COASTAL GARAGE DOORS
Address: 07101 VICTORIA PL
Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res�
SMIP Com:
Other:
I nspection:
Total:
COSTA MESA CA
Phone:
Zip: 92627
License: 387011
Status: ISSUED
Applied: O6/03/1998
Issued: 06/03/1998
Phone:
Zip:
License:
SCOPE OF PERMIT
REBUILD GARAGE WALLS TO COMPLETE WORK FOR ADDITION, RE;B87673
$0.00
$21.00
$0.50
$0.00
$0.00
$0.00
$21.50
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation: szoo.00
Claimed Valuation: szoo.00
Righl 0- 0
Right 0-0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
WORKERS'COMPENSATON DECLAHATION:
I hereby eflirtn under penalry ot perJury one ot the following dedaraUons:
❑ 1 heve entl will meintain e tertiticete Of consent to setl-Insura for warkers' compensellon, es provitletl for Ey Sectlon 3700 ot t�e Labor Code, tor ihe pertortnence of ihe
work lor which this pertnit is issuetl.
� I have end will maintain workers' compensatlon insurance, as required by sectian 3700 of the Lebor Code, for Ne peAortnance of ihe work for which this pertnit is iswed.
My warkers' compensatlon Insurence carrier entl palicy num�er are:
Cerrier: Policy Number:
(7hls secflon need not be complefed' permif is valued et one hundied dollars ($100) or less.)
❑ I certlly ihal In ihe ped mence of ie work for which ihis pertnil is issuetl, I shall not employ eny person In eny manner so as to become sublect to the workers'
compensation law (Celifomle, e egree that il I s�oultl become su6Ject to the workers' wmpensetion DroNslons oi Sectlon 3700 of the Labor Cotle, I shall torthwith
comply with �hese ovisions.
y Applicent Slgneture: -- Date:
WARNINO: FNWRE TO SEW RE WORKERS' COMPENSAT70N COVERAGE IS UMAWFlIL AND SNALL SU&IECi PN EMPIOVER TO CRIMINAL PENALTIES AND pNL FlNES UP TO ONE HUNDRED
TIqUSM10 DOLLARE (5100,OW), IN NODRION TO THE COST OF COMPENSATION, DAlMGES AS PROVIDEO FOR IN SECf10N 31O60F THE IABOR CqpE, INTEREST, AND ATTORNEY$ FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby eflirm t�et I am licensed r pryyisjpn� fUCh' pter 9(commencing with Section 7000) af Division 3 of ihe Business entl PrQ�sions Coda, end my license is in full
torce and ettect Lic. N 7t�� \ � Cless a i�7
y) CantractorsSigneture: �� ��--�--- j Date: �O' m�i'
CONS7RUCTION LENDING AGENCV:
❑ I hereby eKrm that there is e canstruction lentling agency for the perlortnance of ihe work for which Nis permit is issuetl. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lendels Atldreu:
Signature:
OWNER-BUILDER UECLAHATIONS:
Date:
I hereby ettirtn Ihat under Denalty of per�ury Ihet I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for (he following reason (Sec. 7037.5. Buslness entl Professions
Code: Any ciry or counry which requlres e pertnit to consiruct, elter, Improve, Cemolish, or repair any structura, pdor to Itg Issuance, also requires the applicant for such pertnit
to file e slgneC stetementihet he or she Is Iicensed pursuent to the provisions oi the Conirectors Licensa Lew (Chapter 9(commencing with Sedlon 7000) of Divlslon 3 of Ihe
Business end Professions`Code) or Ihet he or she is exempt Iheretrom and the basis for t�e elleged exemption. Any violation ot Seclion 7031.5 Dy eny applicant tor a pertnit
sub)ecis the epplicanYto e G� I penelry ot not mora ihen Tive hundred dollars ($500).):
❑ I,asownerofihe ra e �� �,�J� ���*"
p p ityror my,employees with wages as iheir sola compansatlon, WILL DO THE WORK, ena Ihe structure is not inten0ed or ofleretl for sale (Sec.
7044, Business end Professions Code:�7Ce Contrectoro License Lew does not epply to en owner of properry wha builtls or improves iherean, entl who daes such work
himsetl ar herseN or Ihrough his or her own'employees, provided thet such Improvements ere not Intended or ofteretl tor sele. If, howevar, the Dullding or Improvement is
sold wlthin one year of completion, the owner-builder will hava the burAen oi proving ihat he or she did not builtl or Improve for purpase of sele.).
❑ I, es owner of the properry, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTFACTORS to wnsiruc� Ihe project (Sec. 7044, Buslness entl Professions
Gode: The conVactoro lJcense Law tloes not apply ro en owner of properry who builds or improves thereon, and who contracts for such proJect with a coniracbr(s)
Iicense pursuant to the Contrectors Ucense Laws.).
❑ I em exempt under sec.
Signeture:
Owner ID veritied by drivers license. ❑ Yes ❑ No
Business end Professions Coae tor t�is reason:
Vetlflcatlon oi Ownership by (type of dacument, I.e. - properry tex Gill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
Drivefs License No.
Date:
Expires:
❑ I hereby certily that no eacevetlon ilve (5) or more feet in tlepth into which a person Is required ta descen4 wlll be made in connectlon with work euthodzetl by ihis
permfl, and that no builtling structure, scattalding, falsework, or tlemolitlon or tlismentling thereof, will be more Ihen t�lrry-gix (36) feet high. (C�ep. 32, Grp 2, An 2, Sac.
341, 71tle e, Califamia AtlmlNstretive Cade).
❑ As owner-builder, I vnll not employ enyone to do work which woultl require a permit trom Ne DMsion of IndusMal Sefery, es noted above, unless such person has a
pertnfl to tlo such work trom the division.
Signetura: Date:
Division ol Intlusinal Safery Permil Number.
CERTflCATE OF COMPLIANCE AND AIJfHORVATION OF ENTRY: I certily under penalty of perjury that I heve reed this application and stete Ihel the Intortnation given is
correct. I egree to comply wi�h all stete laws and ciry ordinances relating Io builtling construction, end authorize representatives of Ihe Ciry of Costa Mesa to enter upon the
above-Oesc' a roperty for inspection purposes. I agree not to acupy or allow occupancy of any building auNorized Dy this permit until final inspedlon.
Signature OI Legal Owner(s) � Date
� �o ' O"'� ��. PU'
AndOr Authonzed Applicant Date
eooe �, iwsvernoNmme oeiE It�ElS
1616 Fixed System Finel Flre Preven0on
1266
200
201
202
203
Pool Spa Final
Finel Re-Roof
Finel BIocWRetaining Well
Finel Fectory Fire Place
Final Sign
20a Flnel Demolitian
, 2M&de
GOOEt wsveenownve
206 Finel Machanical
208 Final Plumbing
210 Final Electrlcel
212 Final Fire Prevenlion
220 , Fnel Planning Apprrnal
222 Final Site
250 Flnel BuildlnNOccuoenc
M
� CITY OF COSTA MESA ,
; _ � BlIILDING DIVISION
� DEVELOPMENT SERVICES DEPARTMENT
� . R9R-00957
�� PERMIT PERMIT NUMBER
�
(714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2831 NEVISCI
Suite:
, Viciniry:
Parcel Nunmber: 13943153
Applicant:
Address:
owner: HUFFMAN, JAMES & LYNNE
Address 2831 NEVIS CI
Contractor.
Address:
Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Othec
Inspection:
Total:
COSTA MESA, CA
Zoning: R1 R1
Phone:
Zip:
Phone:
Zip: 92626
Phone:
Zip:
License:
Status: ISSUED {4 f ,}'�
�- � /
Applied: O6/03/1998
Issued: 06/03/1998
, Y ��
��� I
94'� ,
Phone:
Zip:
License:
SCOPE OF PERMIT
REPLACE EXISTING WINDOWS IN THE ORIGINAL PORTION OF THE PROPERY.
$0.00
$40.25
$0.50
$0.00
$0.00
$0.00
$40.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Lefi 0- 0
Left 0- 0 .
Proposed: 0
Calc Valuation: g�,zoo.00
Claimed Valuation: S�,zoo.00
Right 0- 0
Right 0- 0
EXPIRATION: This permit shall automa�ically expi�e and become void if work is not commenced within /80 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626 - ,
WORKERS' COMPENSATION DECLAHATION:
I �ereby effirtn untler penalry oi perjury one of the following declaretions: �
❑ I heve and will melntain a carliticate of consent to self-Insure tor workers' compensation, es provided for by section 3700 of ihe Lebor Code, for the perfortnance of ihe
work for which [his Dermit is issued.
❑ I have end will maintain workers' wmpensetion insurence, es required by secfion 3700 of the Lebor Code, for ihe perfortnance of the work for which ihis pertnit is issued.
My workers' crompensetion Insurence cartler end poliq number are:
Cartiar: Policy Number:
(Th/s sectlon need nat be camp/etetl i/ the permit is velued af one hundred dollars ($100) or less.)
❑ I certity that in ihe partormance of ihe work for which this permit is issued, I shall not employ any pereon in any menner so es to become subject to the workere'
campensation lews of Cellfomia, end agree ihat it I should become su6ject to the workers' compensetion provisians oi Sectlon 3700 ot ihe Lebor Cotle, I shall forihwith
comply with Ihese provisians.
Applicant SigneNre: Date:
WARNINO: FNLURE TO SECURE WORKERS' WMPENSATIIXJ GI�VERAGE IS UNUW FUL AND SHALL SUBIECT AN EMPLOYEii TO CRIMINAL PENALTIES AND dVIL FlNES UP TO ONE MIINDRED
T110USAND OOLLARE (§100,000), IN ADOIiION TO THE COST OF COAIPENSATION, OAMAGES AS PROVIDED F-0R IN SECfION 31O60F THE LABOR CODE, IMEREST, AND ATTORNEYS FEES.
LICENSED CON7RACTORS DECLARA710N: � �
I hereby ettirm that I am licensed untler provisions ot Chepter 9(commencing with Section 7000) oi Division 3 of iha Business entl Professions Code, end my license is in tull
torce end eflect. Lia k qass k
Contrectors SignaNre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I �ereby affirtn ihat there is a consiruction lending agency for ihe perfortnance ot the work for which t�is permit is issued. (Sec. 3097, Civil CoOe).
Lentlar's Name: Lenders Address:
SignaWre: Da�e:
OWNER-BUILDER DECLARATIONS:
I hareby aHirtn Ihat under penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7W1.5, 8usiness end Professions
Code: Any ciry or wunry which requires a pertnit to wnstruct, alter, improve, demolish, or repair eny structure, pnor ro its issuance, also require5 iha applicant for such permit
m fle e signed stetement that he or she is licensetl pursuant to I�e provisions ot the Coniractors License Law (Chepter 9(wmmencing with Sectlon 7000) of Division 3 of ihe
Business and Professions Code) ar Ihat he or she is exempt therefrom and the basis for the alleged e:emption. Any violatlon of Section 7031.5 by any epplicant for a pertnil
subjacts the applicant to e civil penelry of noI mora than fve hundred dollars ($500).):
ii r.
❑ I, as owner of ihe,property, or my employees with wages es t�elr sole compensation, WILL DO THE WORK, and the strucNre is not intended or oHered for sale (Sec.
7044, Business antl:P,rofessions Code: The Contractors License Law does not apply to en owner oi property who builds or improves thereon, end who does such work
himsalf or herselt or through hisbr her own employees, provided that such improvements ere not intendetl or oHeretl for sale. If, however, ihe bulltling or improvement is
d within one year of completlon,the owner-builder will have ihe burden of pmving t�et he or she did not build or improve for puryose of sale.).
I, es owner ot ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimcl the project (Sec. 7044, Business antl ProFessions
Code: The contractors License Lew tloes;not apply to en owner of propehy who builds or Improves ihereon, end who contrects tor such pro�ect with a contrector(s)
license pursuant to tl�e Contractors License Laws. .
v >
❑ 18m BxB �1'c. al'. Business and Professions Coda tor this reason:
Signeture: . /P �V1'f Date: — �
Owner ID verified by dnvefs li e se. ❑ Ves ❑ No Driver's License No. Eapires:
Venfication af Ownershlp by (rype of tlocument, i.e. - property tax bill or aeed): �
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
j] I here6y certify that no excavation tive (5) or more feat In Oepth into which e person Is requirad to descend, will be matle In connectlon with work euihodzed by lhis
permit, end that no building structure, scettolding, falsework, or demolition or dismentling thereoi, will be more ihan thirty-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia Atlminisiretive Code).
❑ As owner-builder, I will not employ enyone to tlo work whic� woultl require a permit from Ne Division of IndusMal Sefery, es noted a6ove, unless such person has a
pertnit to do suc� work irom the division.
Signature: Date:
Division of Indusirial Sefery Pertnit Number:
COpE �. INSPECTIONTYPE QA¢ IIi�6L5 yQpE� INSPECTIONTYPE QS¢ ��$
1616 Fixed System Final Fire Prevention 206 Finel Machanical
1266
200
Pool Spe Final
Final Re-Rooi
201 Finel BIocWRetaining Well
202 Final Fectory Fira Plece
203 Final Sign
204 Final Demolition
2446d
�
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Site
250 FinelBuilding/Occupancy
�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 2831 NEVISCI
Suite No
Viciniry:
Parcel Number: 13943153
Appliwnt: ADOLFOIBANEZ
Address
Owner: �HUFF.MAN, LYNNE BRINTON
Address:' � 2831 NEVIS CIR - �
COSTA MESA, CA
Contrecror. ECONO AIR
Address: 3101 ENTERPISE STREET
BREA,CA
FAU CHANGE-OUT
ISSUE FEE
Inst FAU <100 k BTU
Insl FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refrig Sys >700 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Exhausl
VAV Boz
Vent Fan / Single Duct ,
Appliance
Fire Dampers
Smoke Dampers . �
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000cfm
Floor Furnace
Floor or Suspend,Heater �
$23.50
$14.80
$0.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
so.00
$0.00
Quantity
�,
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 .
Q
0
0
Phone: 800-503-2606
Zip:
Phone:
Zip: 92626
Phone: 800-503-2666
Zip: 92821
License: 445220
SCOPE OF PERMIT
FEE SUMMARY
Status: ISSUED
Applied: 11/14/2006
Issued: 11/14/2006
ISSUED BY: �
+r�4'�+
_. x. ,. C -_'�'
�=,'.. �- .
;�•
z
�.
Repair / Alt Absorbtion Unil
Repair / Alt Refrigeration Unit
.Ventillation Syslem
Evaporative Cooler
Commercia l I nci neretor
Domeslic Incineralor
Comoressors / Absorotion Svstems
Upto3hp/100kBTU
3To15hp/500kBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Up to 3 hp
3To15hp
75to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee �
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
Quantiry
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
30.00 0
50.00 0
50.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
50.00
50.00
$0.00
538.30
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for the work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all
requlred Inepecliona end flnal epprovel must be obtained. Failure to obtain inspections and final approval vnll result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
2d46-06 (8'W)
�
i
WORKERS'COMPENSAnON DECLANATON:
I herehy aflirm untlerpenalry of Oerjury one of the �ollowing declaratlons:
❑ I h ve and will mBinlaln a certificate of consent ta selt-Insure lor workere' compensation, es provitled for by seclion 3700 of the Lebor Catle, for lhe pertortnence of the
rk lar which this permit is iuued.
I have entl will meintein workers' compensation insurance, as requiretl Dy sectlon 3700 of ihe LaDor Code, br Ihe perto�mance ol the work tw which this pertnit is Issued.
My workers' compensatlon Insurance carriel and pollcy number ere: , �/
Cartiec Ll-f�Gla-!y� � PolicyNumber: W%OL�4��-+ ��� i
(lhis sectiw� need not be comp/eted i/ the permif is ve/ued et one hundred dWlars ($ I00) or /eu.)
❑ I certity that in the peAartnance oi lhe work lor which this permit Is issued, I shall not employ any peroon in eny manner so es to become subject lo the workers'
compensetion laws ot Californla, end egree that It I should become subiact to ihe workers' compensetion provislons ot Saction 3700 ot t�e Labor Code, I s�all forih�r'It✓
comply with Ihese �provis/ion�s.� o ��- �_�_..o� c�
ApplicantSignatura: '��"-�� �� �-� /f Dete: /�� r7 'm C
WARNINO: FAILURE TO SECURE W ERS' C0IAPENSArON COVE GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND dVIL FlNES UP TOONE MUNDRED
THWSAND DIXIARE (5100,000). IN ADDRION TO iHE G�7 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708OF THE LABOR COOE, IMEFEST, FNO AiTORNEI"S FEES.
LICENSED CONTRACTORS DECLAHA710N:
I hereby eflirm ihat I am Ilcensed under provislons of Chepter 9(cammencing with Section 7000) ot Division 3 oi Ihe Business and Prolessions Catle, end my license is in full
force and aMecL Lic. N LZd � Class q C- �L� �,
Comrecror'sSignaWra: Gi.yC.,.�� n •� Dete: A/- /S�^��^
CONSTRUCTION LENDING AGENCV:
❑ I �ereby affirm that there is e consiruction IenOing egency for the pertormance ol �he work for w�ich this permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lendefs Address:
SigneWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm Ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reeson (Sec. 7031.5, Business entl Protessions
Cotla: Any clty or county which requires e permit Io constmct, alter, Improve, demollsh, or repair eny structure, pdor to its issuance, also requlres lhe applicant tor such pertnit
to file e signad statement ihet he or she Is Ilcensed pursuent Po the provislons of Ihe Contrecmrs License Law (Chepter 9(commencing with Sectlon 7000) of Dlvislon 3 of the
Business entl Professions Cotle) or thet he or shB �s exempt thereirom and Ihe besls for Ihe ellegetl exemptlon. Any vloletlon of SBCIion 7031.5 by eny applicant for e pennit
subjects the epplicant ro e civll penaly M not mor9 then fiva hundred Aollers ($500).):
❑ I, es owner of the praperty, or my employees wlih wages es Iheir sole compensation, WILL DO THE WORK, antl ihe sWCWre Is not intended or otteretl for sale (Sec.
7044, Business and Pmfessions Code: The Contracbrs License Law tloes not apply to an owner of Oroperty who 6uilds or imOroves thereon, and who does such work
himself or herselt or through his or her own omployoes, provided ihat such improvemanis are not Intended or offered for sele. If, however, ihe building or improvement is
sold within one year ot completion, the owner-6uilder will have ihe burden of proving ihat he or she tlid not build or improve for Ourposa of sele,).
❑ I, as owner of ihe property, em EXCWSIVELV CONTRACTING WITH LICENSED CONTRACTOHS to consiruct the project (Sec. 7044, Business end Professions
Code: The conirectors Licanse Law aoes no� eppty to en owner ol pro0erry who bulltls or Improves thereon, entl who contreqs br such pmlect with a contractor(s)
license pursuant to the Contrectoro Ucense �ews.).
❑ I em exempt untler sec. Businoss end Professions Code tor this reason:
Signature: Date:
Owner ID verifietl by tlriver's Ilcense. ❑ Yes ❑ No Dnvels License No.
Veritication oi Ownership by (rype of Eaument, i.e. - Pwperty taz bill or tleed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CEATIFICATION:
❑ I hereby certiy Ihet no axcevation live (5) or more teet in dep�h imo which a person Is required to descenA, wlll be meda in connection with work authodzed by t�is
permit, and that no building sWcture, scattolding, felsework, or Cemolition or dismemling ihereol, will be more than Ihirty-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Calilornia Atlministretive Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit from Ihe Dlvision of Indusiriel Sefety, es noted abave, unless such person hes e
permit to do such work irom the tlivision.
Siqnature: Date:
Division af Intlustrial Sefery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AllTHOROAnON OF ENTTiY: I certify untler penalry ot pe�ury that I have reatl this epplicalion end state ihat Ihe infortnation given is
canecL I agree to comply wit� all stele laws end Giry ordinances relating to building consiruction, end euthorize representatives ot Ihe Ciry ot Costa Mesa to enter upon the
ebove-descnbed properry lor inspactian puryases. I egree not to occuDY or allow occupancy of eny building authorized by this permit until finel inspection.
COUE �, INSPECTIONTYPE PAIE UIIID9k$
1816 FixeC System Finel Fire Preventlon
1266
200
2�1
202
203
Pool Spe Final
Finel Re-Root
Flnal 61ak/RetaiNng Wa0
Final Fac�ory Fire Place
Finel Siqn
204 Finel Demolition
� �/���"�
Date
COOE I INSPECTION TYPE
206 Finel Methaniwl
20B Final Plumbing
210 Flnal Elec�dwl
212 Final Flre Preventlon
220
222
250
Finel Planning Approval
Final Site
Finel BuildingiOccupancy
PaIE �
_ �^�.
(714) 754-5273 • Fax (714) 754-4856
JobAddress: 2831 NEVI$CI
Suite:
Vicinity:
Parcel Nunmber: 13943153
npp�icant: JEFF MORRISON
Address:
CITY OF COSTA MESA
BI/ILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
owner: HUFFMAN; JIM
Address 2831 NEVIS CIR
. COSTA MESA,CA � �
Contractor: COASTAL GARAGE DOORS
Address: 01 t01 VICTORlA PL
Zoning: R1 R1
Phone:
Zip:
Phone: - ,
Zip: 92626 � .. . .
Phone:
'COSTA MESA CA Zip:� 92627
� License:- 387011 .
Arch/Eng: . - ' ....
Address: � � � -
' .. . �Phone: _ �
; �-
Zip:
License:
SCOPE OF PERMIT
� .Uoff and reroof 1200sf of residence w/comp shingles: -
FEE SUMMARY ,
N �
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 08/20/1998
Issued: 08/20/1998
Plan Check: $0.00 ', - — � Calc Valuation: s�,aoo.00
Permit: $4575 ' Claim Valuation: , 5�,aoo.00
SMIP Res: $0.50 � � � �
SMIP Com: $0.00 �
Other. $0.00
�nspection: $0.00 �
Total: $46.25
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0• 0 Rear 0- 0
ACCESSORY Front 0-0 Rear 0-0
PARKING Existina: o Re uired: o
NOTES:
Left 0- 0
Left 0- 0
Proposed: 0
Right 0- 0
Right 0. 0
EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 180 days, or If work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all
requlretl Inapeeflorte and itnal epproval must be obtained. Failure io obfain inspections and £inal approval will result in the ezpiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626 '
WORKERS' COMPENSATON DECLAflATION:
I hereby afflrtn untler penalry of perjury one of Ihe following declaration5:
❑ I have end wlll melntei� a CeNticete ot consent to selbinsure for workere' compensation, as providetl for hy section 3700 of the Labor Cotle, for the peAormance ot the
work for which this pertnit is IssueO.
❑ 1 hava entl wtU maimain woAcers' compensa6on insuranoa. as requireA by section 3700 ot Ne Lahor Cotle. tor the peArnma�e pi iha work for which lhis pamnt is issuetl.
My workers' co� nsatio,n�Inqsurance carrier entl policy number ere: /
Cartier. /1 !�', � L ���% ( Poli�y Numher. Ct`�' �' � �' �
(rnls secfi0n neBd not be comp/e(edi(the permif Is velued ef one hundretl dolfars ($100) or /ess.J
❑ I certify ihat in tr4 petl
compensetlon laws of C
comply wlth ihese pro_vi�.
� Applicent Signature: �
WARNING: FNLURE TO SECUqE
THOUSAND OOILARE (E100.0001,
LICENSED CONTRAGTORS
I hereby aHirm ihet I am licpfi:
force and ettect. Lic. a /
� Contractofs Signeture�. � C
�
lor which this partnit is issueq 1 shall not employ any person in eny manner so as lo become subject to the workers'
�et If I should become subjoct to the workere' compensetlon provlsions of Sectlon 3700 of the La6or Cotle, I shell forthwlth
� v —
�-� l�—� Date: � ' 2-PJ ' � `cu
COMPENSATION COVERAGE IS UNL4WFUL AN� SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND QVIL FINES UP 70 ONE HUNDRED
I TO THE CQST OF CAMPENSATIIXJ, DAMAGES AS PfiOVIDE� FOR IN SECTION 31080F THE LABOR CODE, IMEREST, ANO ATiOPNEYS FEES.
9(commencinq with S tion 7000) of Division 3 of the eusiness entl Professlons Cade, ana my license Is in
/ Class p '�J �
Date:. _ _�' �—� 'o`�
CONSTRUCTION LENDING A9EfQCV:
❑ I hereby aflirm ihet there is a construcii0n lentling agency for the peAo�mance ot the work 1or which ifiis permlt Is issuatl. (Sec. 3097, Civil Cotle).
Lentlefs Name: Lendels Address:
Slgnature:
Date:
OWNER-BUILOER DECLARATIONS: -
I hereby eNlrm ihet under penelry ot perJury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the IOIIowing reeson (Sec. 7031.5, Business entl Prafessions
Code: Any clry or counry which requlres e permit to construcL alter, improve, Eemolish, or repair any strudure, pnor to its Issuance, elso requires the applicem for such permit
ta flla e signetl stetemant that he or she Is licensetl pureuant to the pmvisions ol Ihe Coniractors License Law (Ghepter 9(commancing with Sectlon 7000J o� Divlslon 3 of the
Business and Pmfessions Cade) ar that he or she is exempt therefrom anA the besis tor the alleged exemption. My violetion of Section 7031.5 by any applicant lor a pertnit
subJecu the appl{cant to a civil penslry ot not more then 5ve hundred dollars (S500j.):
� I, es owner oi lha properry• o� my employees with wages es t�eir sole compensation, WILL DO TNE WOpK, entl ihe struGNre Is not intentled or oMeretl for sale (Sec.
7044, Business entl Protauions Catle: Tha Coniractors License Lew tloes not apply lo an owner ol property who builds or improves Ihereon, antl who does such work
himself or herselt or through his or her own employees, pravidetl that suc0 Improvamems are not intendetl or oNereA lor sale. If, however, ihe bulltling or Improvement is
sold within one year oi campleGoq the ownerGuilder will have the burtlen ot proving that he w she tlid not bulltl w improve iw purpose of saleJ.
❑ I, as owner of the properry, am E%CLUSIVELY CONTHACTING WITH LICENSED CONTRACTORS to construct tha projact (Sec. 7044, Buslness entl Professions
Code: The cantrectors License law daes na apply b an owaer ot property who builtls or Improves thereon, entl who conirecls tor such pmjact with a conirector(s)
license pursuent to the Contractors License Laws.).
❑� I am exempt under sec. Business antl Protessions Code tor Mis raason:
Signature: Date:
Owner ID verifietl by dnver's license. ❑ Ves ❑ No Drivers License No.
VedficeUon ot Ownershlp by (type of tlocumen6 i.a. - pmperty tan bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PEHMR CERTIFICATON:
Expires:
❑ 1 herehy certlty thet no ezcavaUon tive (5) or mo�e faet in depth into which a person Is requfred b deuentl, will Ce matle in comrection with work sNhodzetl by ihis
pertnit, antl thet no building siructure, scettolding, felsework, or tlemolition or tlismentling ihareol, wiil 6e more Ihen thirty-six (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle 8, Celifomia Adminlstrative Cotle).
❑ As owner-builtler, I will not employ anyone to tlo work which woultl requlre a pertnit irom ihe Division of IntlusMal Sefery, es notetl ebove, unless such person has a
parmit to do such wark from ihe tlivision.
Signature: Date:
Dlvision ot Intlustdel Safery Pertnit Numbar.
CERTIFlCATE OF COMPLJANCE AND AUTHORIZATON OF ENTHY: I certify under penalry of perjury that I have read �his epplicetion antl state that the Infortnation given is
correS� -1'�gtae to compty with all stete laws and ciry ardinances reWting to huilding constructio�, antl authorize reDresentatives ot the Ciry ot Costa Mesa to enter upon the
abpGe-described properry fo� inspectlon purposes. I agree no� to occupy or allow occupanty of eny building authorizetl by this permit untll tinal inspaqion.
CA�E INSPECiWNTYPE PAff.
1676 Fixetl System Finel Fire Preventlon
1286 Pool Spe Final
200 Final Re-Roo1
201 Final BlaklRataining Well
202 Finel Fectory Fire Place .�
203 Final Sign
p04 Final Damolltlon
2dd8�a6
Itii�llS
e
SQpEj INSPECTIONTYPE
206 Finel Mec�enical
208 Finel PlumEing
210 Final Electdcal
212 Final Fire Preventlon
220 Final Planning Appro�el
222 Final Site
250 Final BoiltlingiOccupancy
ete/ �
/ 2c� �G1 �t'�
Date
CITY OF COSTA MESA
suao�N� oms►oN
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
E98-00487 �
PERMIT NUMBER
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant
Address:
2831 NEVIS CI
13943153
MORRISON, JOE
Phone:
Zip
Owner: ,
livr-�M/knl, JAM �sa L�'`�r•�
Address 2831 NEVIS CIR
Contractor.
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
.Recept Outlets
Switches
Non Res Appl �
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors ro SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
COSTA MESA,CA
COASTAL GARAGE DOORS
01101 VICTORIA PL
COSTA MESA CA
Phone:
Zip: 92626
Phone:
Zip: 92627
License:38701'I ' �
SCOPE OF PERMIT
20 FIXTURES, 30 OUTLETS, 15 SWITCHES, 1 FAU, 1 FAU ALT 7 1 GAS PIPING SYSTEM
522.00
50.00
50.00
$0.00
$0.00
50.00
$20.00
526.50
$15.00
$0.00
30.00
$0.00
50.00
50.00
$0.00
50.00
50.00
50.00
$0.00
$0.00
50.00
S0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
20
30
15
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System I Lighting
Busway/100 k
Standing Section
Misc Electrical Equipment
Trensformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride ar lights)
Christmas Tree Stand
Fireworks Stand
Other Electriwl Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 06I03/1998
Issued: O6/0311998
Quantity
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
so.00 0
$0.00 0
50.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E83.50
COMMENTS I SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
br a period of 180 days. -
INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inepactiona end finel approvel must be oblained. Failure to ob�ain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626 �
WORKERS' COMPENSATION DECLARATON:
I hereby ettirtn under penalry of perjury ane at the following deGaretions: �
❑ I have entl wlll meintain a ceNiicete of consent to self-Insura far workers' compensation, as providetl tor by section 3700 of Ihe Lebor Code, tor the peRortnenca of the
vrork for which this pertnit is issuetl.
❑ I have entl will meintain workers' oompensation insurence, as required by seclion 3700 of ihe Labor Cade, tor ihe peAortnence of ihe work for which Nis pemtit is issuetl.
My workers' compensetion Insurence rartler and polity number ere:
Cartier: Policy Number
(Ih/s sectlon neetl not be completed tl the pemrit /s va/uetl et one hundred dollers ($100) or less.)
�
� I ceniy that in the pe rtnance of !h work for which this permit Is issued, I shall not employ any pereon In eny manner so as to become sub�ect to Ihe workers'
compensatlon laws of alif mia, antl ree ih t if I should become subject to t�e workers' compensation provislons af Sactlon 3700 of the La6or Cotla, I shall torthwith
comply with these pro isio ��L
Applicant Signeture: / Dete: �"1 ' Q$ l
WARNINO: FAILURE TO SECURE ENSATION COVERAGE IS UNLAWFUL M'D SMALL SU&IECf AN EMPLOYER TO CHIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
TFIOUSFND DOLLARE (5100,000). IN ADOITION TO THE C06T OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3�OB OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED GONTRACTORS DECLARATION:
I hereby ettirtn Ihat I em Iicensed under proWsions of
I torce end ettect. Lic. p,
� ContractorsSignaWre:
er 9(commencing with Sectlo�000) at Division 3 of �he Business antl Professions CaCe, flnd my license is in full
O t \ Clau k �
� Date: Ca ' • �L �
CONSTRUCTION LENDING AGENGV:
❑ I hereby affirtn that Ihera is e construction lending agency for the paAortnance of the work for which this permit Is issued. (Sec. 3097, Civll Code).
Lenders Name: Lenders Address:
Slgnature:
Date:
OWNER-BUILDER DECLARATIONS: �
I hereDy eNirm that under penalry of per�ury t�at I em EXEMPT FROM TNE CONTRACTORS UCENSE LAW tor the tWlmving reason (Sec. 7031.5, eusineu entl Professions
Code: Any ciry or wunry which requires a pertnit to conslruct, alter, improve, demolish, or repair any structure, pnor lo Its Issuance, elso requires the epplicant lor such permit
to file e slgned stetement ihet he or s�e Is Ilcensetl pursuant to ihe provislons of ihe Contradors License Lew (Chepter 9(commancing with Sedion 7000) of Division 3 of the
Business end Professions Code) or thet he or she Is exempt therefrom end tha besis lor the alleged exemption. Any violetlon oi Section 7037.5 Dy eny eppliwnt tor a permit
subJeds Ihe epplicflnt to e civil penalry al not more than tive hundretl dollers ($500).):
❑ I, as owner of the property, or my employees wit� wages as t�elr sole compensetlon, WILL DO 7HE WORK, and the structure is not intentletl or oflered foi sale (Sec.
7044, Business end Professions Code: The Contrectars License Lew does not epply to an owner of properry who builds ar improves therean, entl who daes such work
himseN or herseN or through his or her own employees, provided ihat such Impravements ere not Intended ar oXered for sele. If, however, Ihe building ar Improvement Is
sold wlihin one year oi completion, the owner-builder will have the Durtlen of proving Ihet he or she tlitl not Gulid or Improve tor purpose of seleJ.
❑ I, es owner of lhe property, flm E%CLUSIVELV COMRACTNG WfTH LICENSED CONTRACTOHS to wnstruq the project (Sec. 7044, Business entl Protessions
Code: The contractors License Lew does not eppry to an owner ol pmpeRy who builds or improves thereon, and who contracts for such pro�ect with e contrector(s)
Ilcense pursuant ta ihe Convectors LJcense Lews.).
❑ 1 am exempt untler sec. Business antl Professions Code for Ihis reason:
Signature: Data:
Ownar ID verifled 6y drivefs license. ❑ Ves ❑ No Dnvers License Na.
Veriflcatlon of Ownership by (rype oi tlocument, i.e. - property tav bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Ezpires:
❑ I �ereDy certify that no excevetlon tive (5) or more feet in depth Into which e pereon is requlretl to tlescend, wlll be metle in cannection wlth work authorized by this
petmlt, an0lhat no building structure, scaflolding, felsework, or tlemolition or dismentling thereoi, will be moie Ihen thirry-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec.
347, 71I1e 8, Celitomia AdminislretNe Code).
❑ As owner-builtler, I will not employ anyone to tlo work whic� would requiro e pertnit Irom Ne Division oi Intlusidel Sefary, as notetl above, unlass such pereon has e
pertnit to do such work from Ihe tliNslon.
SignaNre: Date:
Division of Industrial Safery Pertnit Number:
CERTIFlCATE OF COMPUANCE AND AUTMORQATON OF ENTRV: I certily under penalry at perjury that I have read this applicetion and stete thet Ihe infortnetion given is
cortect. I e comply with ell stete laws entl ciry orCinances releting to building construction, end euthorize representatives oF Ihe Ciry of Casla Mesa lo enter upon the
ebova- cnbed property for insDedlon purposes. I egree not to occupy or allow occuDency of any builtling authodzed Dy this permit until tinal inspection.
cooe �.
1816
1286
200
201
202
Fizetl System Final Fire Preventlon
Pool Spe Final
Flnel Re-Roof
Finel BIocWReWining Wall
Finel Fectory Fire Place
203 Final Sign .
204 Final Demolition
244668
OAIE It17IDElS
COOE� MSPECTIOXTYPE
2os Finel Mecnenlcal
20B Finel Plumbing '
210 Final Electdcel
212 Final Fire Prevention
220 Flnal Planning Approval
222 Final Site
250 Final Building/Occupancy
��
_!�
V11�965
r
monEss av eu�aw: 2$ 3 1 N E V I S C I uMT:
7.r�+sru�EiF�m+: HUFFMAN, JAMES 6 LYNNE
�oonEu:2$31 NEVIS CIR
COSTA MESA,CA 92626 �y_L
SAS-2002
I�PPL. MAIIItM ADDPES4
�PCXRECTONFNtlNffP: SxM MCCANN ����� C50601
u�cxoe�++o.�s�nox�ss: 333 N MARWOOD AV ��+*:
FULLERTON CA 92832
mxm�cToas N�K.
Cp(IHACTORS WJtdlG
AOOPE54: UC.ND:
UNT:
LICENSED COMNRCTONS �ECLAflATION: I hereby eNkm uMer penetly o/ perjury �het I em licemed urder prwieione d CMpter 9
�oommanprp wiih Sectbn )OW) d Divieion J d �he Bueines end PMeaaiona CoCe, eM my lioenw ie in lull force end eHed.
cm uc. no.: uc. cuss: uc. No.: g;{ p�
Ome: Cmbmm
OWNER BUIlOEN DEClAP�7�ON: 1 hmeby dfim untler penNy W parjry the� I em exemq hom IM CoruMm licams lew fa IM
�oAow4ro �eawn l5eac� �W�s &u:.n md vm�mion. tode: AmW a oamir .tid� �.a�um e o�a w mmwn. eer. inwa+.
Eemd'eh. a�W� �'! evuc�ura: p'or b ha u�uence, ebo iWu"paa �hv wO�raM la euch D�e to fib a eiprod qe�emmt tlut M a ehe
b �icenaea w�m io �M rwmon. a u�. cumnaon Licen+e le. Ichepm s(oomm.�y v.vn seaon 7000) a Uveon a a ilr
Buainase vM Prd»eiom CPde� a Ihq he a ehe ia ezemq therelmm uM ihe E�e la Ns elleped examqun. My violelion d Setlian
]0�1.5 by eny epplicen� lor P Ve�mil mmjees iM epdiani lo a avil penelry M ewt mas �hen liva huMreC Edlen R`�11�
� I, es o�mer M Ihe propi�Y o� my empbyaea wh wepee m Iheir eole mmpaneetion, will do �he vroA, eM �he elrunure 6 nd InlendeE
a oMered for Wa �Seclw� 1a0, Buunees end VMeasbnaCade: The ConVepon Littn�a lewdoec rai epplyto en ownerd propeiry
wM WiC� or inpro+ee Ihereon, eM who tlros su h woek limeeA a Mnell a �hraph h's w Mr own empbyeee, proriCed thm aueh
impiweineMa ero nd inlendeC a oNnea fa eeb. tl.lwwsror. ihe WiHinp a inpov«nmu o wN wnhin ane Y� a�D��. �
X owrwrbuiHx wJl hevs tM buNen d pwi�p he a Me Ek nol buik a impwe la IM qnpme d�ele).
❑ I. m oxme d tM pw°'�Y. em md�eN mxrea�q xdh Goaued oonbecwe m mnmua Ihe V4atl (Seaion IWI. &a"vese ard
wamam. coa.: ms cwi.ao� Lca,.. �.. ro.. m wvN w.n wn« a w�r »+w wam «:ewwa n,..on .ne wio
canvazu tar wtli P'9�� wuh e mureu«(e) Ikenwtl W�+wn m iha Cw�adar� Limms lev+l.
❑ I am vamq eder Sa=�: B. 8 P.C. br Mu n:
D . O�mer.
areby canily thet I em eware d aM undanterb IM repui d C ywnie enA Sekry Code Seabm 25505, 2553J, eM
255�e, enE Ihel I or ury MUro WilEi�q wwpent xill / wJl nd (d�cb one) need �o comply w1h veid atete wdee eM IM mpuimmenre M
epe�mnlwoonavuclbnarm�ifiralbnhanlMA'e u3eGiylrenepememDim�.Rritlenlidaonet�udionepplrelbnseroexemq/mmtMee
povisiona.
Dtle: �OP���
WORKEfl'S COYPFNS�TON OEttARATON: I hereby elfmm under penetly d psjvy wr d Ua bYow'vp Aedvalum:
❑ � nm. ena rN m.ev.:�. canCcm. a mnwn� m.eM:mw. ror wx«+• cpnv.�mian.., povked tor by seaim aroo a �n.lma.
coa.. �« m. wnomw�c. a the.An �« w:�n ini. wmn e ivuea.
❑ � neve ene w� meimein.wken• commmmbn ��wrence. ea na��••a M s.a�an a�ao a m.lem, cod.. ro. m. ro��. a in.
wark for whiM ihu peR�� ie iuueE. My wakere' oompenwion irourenw w�ier end pdiry number ue:
cen»,:
PdkY Number:
(iAia eMion need rrot b cM�pmeJ l �M pmn] ia br one hundmaOollera (f1PD1 a bu.)
❑ 1 canly thu in tM peA� d �M wak tar whch tAu pumJ u muetl. I Mell nol empb� eiry pareon in uy muuw a m to
beewen wbjW �o tM �aMwJ mmW�� �ew+ d CalLvnie, uM eprae Nm L I MwN b wne aEjW b IM xoNaa'
�wnpenyyipi prwiaum W Seaion 3]00 d IM lebor CaEe. I Ne0lathv.ah oompl� wEh Uaws pio.�e'vv.
Dets: Apqiraru:
W�m/np: F�Ilun b ueury ��M'�+'rorrpewtlon eovwaq l� un/arNl, �M �IWI �W/cf en Nrploysr b crlMml pm�ltlu uM
clvll 11nu'q b aw h�nd� tlwuuntl EWYn (f1GqOWA In etlC/tlon b M� ew! ol rompm�atbn, tlamep�i �� prov/tlW br In
S�ctlon 9106 0l M� Le6or Cods. /nM�sS ���mry i M1u.
CONSTIiUC110N LENqNO AQENCY: I hereby etf�rtn uMar parelry d pe�ury tha iMra'o e mnsi�ud'pn bnd'iq epemry M Ne
perlormerce d the r.ak la �h ihe permi b ewad (�1ion �09>. CM. CI.
LENDEfl'S NAME:
LENDEN'S ADOPE54:
I cenM tAm I heve reaE Ihia PpN�� dd qe�e ihet IM eEove iNamWion c consct. I pree lo oomply xilh eA cuy eM muniY adineMee
uM s�IDle lewn reW�q la buiM��q Cp184WYM1 Bid �IMBb'/ aNhpRp I!plBfM�91NBf d Ihlf bly �O Mlx upx �M pbPFTM�YNIlA pfOpxly
���°°°°°�""°�"' Tj? ES HUFFMAN
P' 1 Neme
� _ . .. ... . ._ . . Data:
(S151Ja WP) W�ns-BuiNip 8 5elery: dreerFle: Cvwy-�ppican�: Pink-Revenue: (ialden�od-A��euor
CITY OF COSTA MESA — bUILDING PERMIT ��� D O �`
PERM NO: P 087674 Z7Z
PERMIT NO: P 087674 PLAN CHECK NO: N GOVT: N SUPF'; N
CONSTAUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD
SOB DESCRIPTION : G49SF 15T FL, 11025F 2ND FL ADDZTION SQ FT:
CLAIM VALUE: CALC—VALIIE: GROUP OCC; R-3 /
COMMENTS: 1751SF RESZDENTIAL ADDITION, NEW PLUMB. FIXTURES. REF:B-87673
iE iE �E if if iE 1f 1E if if if 3E iF jF iF �E if iE ik �f jF 9F 3E jE jf iE if iE iE fE ik iF 3F jF iE iE iE �f iE iE iE iE iF jE 3E if it iE iE iE iF �E %1E jf i6 iE f!� �7F iE iF 3E iE �1E iE iE �E jE if iF iE if 1f iE �E iE � ie 3E
Z O N I N G R E Q U I R E M E N T S
S E T b A C x S
------------ MAIN HUILDING ---------- --------- ACCESSORY bUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 13943153 2NE: REF NO:
PLANNING NOTES>
i
ik!! iE iE iE if if if ik iF 3E if iE iE iE if if 1E iE ik 1e iE iE iE if if 1E iE iE if 1E iE iE iE iE 1f i! fF ik if if 3klE if 1f iF if if 1E �f 1ElE if 1E ff 1E iF if iE iE iF 3E i! ik iE iE 1�' if if if iE iE ik it if 3E if iF �E
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 .
BUILDZNG APPROVED BY :
f'.f��3�����t��\�
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 86,50
zsx
PLAN
ISSUE FEE 22,00
DATE:
DATE:
DATE;
�iFfFiFiEiFifiE1E')E'1EiF ie iE#�
STRBCTURAL SEGMENT:13
FIRE SMIP/RES GkADING
SMIP/NON—RES
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 86.50 22,00 0,00 108.50 108.50 .00
REVENDE DIVISIUN TOTALS--> COLLECTED: 108,50 OVER/SHORT: ,00
bLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECFC
108.50
'1klE 1! if 1f 7F 1t'k ik iE �' ik tk iE'1E �1F it !E iE �F iE iE iE'X� iE iF if iF iE'k ik iF ip if iE iE iE iF ff iE if iE iE i't!k �)f jF if if if iElE �E iF IE iE tf itlE if iE'N� ik iF iE �i iF-1F if if if !f iF if iE � iE iE 1E
I N D I V I D U A L F E E $ R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL CUST
F�LU
PLU
PLU
PLU
PLU
PLU
PLU
PLU
i
1
2
1
2
1
1
1
LAUNDRY TUb OR WASHER
SHOWER
WASH BASIN
WASH bASIN (SET)
WATER CLOSET (TOILET)
WATER HEATER AND/OR VENT
GAS PIPING SYS OF 1 TO 4 OUTLETS
SINKS, SERVICE / MOP
END OF FEES
8.75 8.75
8,75 8.75
8.75 17.50
8 ` 8.75
C' � 17.50
�D ��.00
.SO � 5,50
AP�2�� 9199$ � s . � s
'A MESA "' j
C1lY V� JV.J'.
-' CONSTRUCTION AND PLANNWG. - t POOI . oPA
` APpROVALS Permit #� Date Inspectov � AppROVALS Permit # � Date Inspector
1. Temporary Electrical Service or Poie 52. Pool & Equipment Location �
2. Snil Pipe�Undrgrnd. . � 53. Steel Reinforcement � � �
3. EI¢ctricai Conduit Utility-Undrgrnd.. �� 54. Forms� -
4. Elactrical Conduit�Und�9rnd. � � 55. Electrical Bonding ,� 't
5. StOel Reinforcement � 56. Rough Plumbing & Pressure Test � �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical'ConduirUndrgrnd. "
B. Foundation � 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe�Undrgmd. - . 60. Backwash Lines, P�Trap, Q Undrgrnd.
10. Struaural Floor System �' 61. APPROVAL TO DECK
11. ProPerty Sewer Line & House Connection ,'62. Backwash & Receptor•Final
12. Sewer Cap .� 63. Heater & Vent-Final
73. Foof Drains � 64. Plumbin� System � Final
14. Rough Piumbing � 65. Electricai-Final
15. Rough Electrical-Condui[ 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough E�ectrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
- 19. Rough Heating & Air Conditioning FIRE DEPT. flEQUIREMENT
20. Rough Fattory Fireplace APPROVALS Permit # �
T1. Duas, in Structure � 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe�Rough &'f'est ' 72. Underground Flush
24. Roof Framing ' 73. Undergrnd. Srorage Tank O Gas ❑ Oii
25. Foof Sheathing 74. Overhead Hydro
26. T�6ar Ceiling (Structureq & 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. Orywall Nailing HEALTH DEPT. REQUIREMENT
31. Plasier Brown Coat 79. FINAL 1NSPECTION
32. Elaccrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED ,
33. Final Eleciric Notes: �
34. Finai Heating & Air Conditioning .
35. Final Gas Pipe;Test
36. Hood or Canopy �
37. Final Factory Fireplace .
38. Final Plumbing _ _9q
39. Water Service�Final �
4�. Gas Service-Final . "�;;;
41. Solar pomestic�inal �, ,
42. BaGkflow Preventer �
43. Backflow Irrigation
44. Landscape Irriqation System • � �
45. Sound Attenuation ' . �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING - .
49. Eiectric Rele�se to Edison •l
50. Gas Release to Southern California Gas Co ":� "'
51. CERTIFICATE OF OCCUPANCY �,
Np Date �
'AppqE550FBNLOWG: ZU31 NEVIS CI
oxr+Easr+u+E�Fa�vr+:HUFFMAN, JAMES 6 LYNNE
• �oo�ssZg31 NEVZS CIR
COSTA MESA,CA 92626
• 548-2002
�vr�. wuimo �noxEss:
u�cxrtEcronv+ow�nn:JIM MCCANN
�ap�s�+� 333 N MARWOOD AV
FULLERTON
caxnucTarsru�:
CQlfRAC10P'B YIIIIIlG
ADORE55:
urr:
��� C50601
urn:
CA 92832
uwr:
LICEIlSED COMR�CTORS OECI.�RATION: I MroEy M'em uMv pnaly d pajury tIW I om I'v:enmtl unEer prwivime ot Chepla 8
(mminendn0 wG� Section ]000) d Onuion 3 tl iM Buuroa vk Pralodon� Code. end mY Gcenes e in hA Mcs ud Mletl.
CT't1C.N0.: 11GttAS'3: L1C.N0.: E�(�1�
' oma: c«maam
' OWNEP BUILOEH DECL�F4TON: I hwaby efirl� unEer peraly N perjiry Ihet I em ernmq hum IM CoNretlon lioeme lew lu ihe
� Idbwiq reaaon (5ecion )0.t1.5 Busiwe� eM Hdeemom CoJa: Airy ciY a muntY �� nVuims e Po�n to mrebud. e11x.'unpwe.
demd'oh, a repei mry Nructure, pbr to 4� ewer.m. dw ieC�i�ee iM apqimM la euc� pamX �o fik a egred eiatemem thm ha a aM
o liceneed punueni to �M pmiwn� M IM Gord�� ��ue Lew �CMqr e(mmmerdnp wuh Seaun )000) d pwsian 3 d tM
Bumaa erd Praleaaiore Codel a Ilw he u eM u memW �hsMvn vd ihe b� la' Ne eMO� e�emq'nn. MY videtion d Seaion
�mis w.m.w��� �o.. w� «�i� �ne ew��m io e wa o�dn a �a mae w, rr.e nw�d�,a mo.�. R�U�
❑ I.mowwdihePWMYormyamV�+eeNnwapmniMiwbmmP�+m�.wadoNev.wk.andNesWdunwnal"uVmEed
«MereA br eeb (Seclion 10u.9utlrone�d Pmbetlma COEa: Tha Canradas Lironae Lew Eme nd ePdYto en ownard popary
wM10 EuiCs a inpwae �hereon. eM Mn dms euM wh IimaeH a MnM a Waq� hu a hx own emWMe^^. G�+� thm euch
�mw�em. �e �a �naneea «ar..e i«.de. n. iw..«.,. m. ddu�no «:nw�sm ie.dd wunm on. v� a o�Wr�. me
�owmrdutlCm xio heva tM buMen a pwiM M a ahs eW nol bwk «impon la �M wNo+e d eebl.
�. n o�nsr d ine o�v�v. am adu:�.M oo��rauiw .en r�m.ed cano-acva. ro m�wrue ihe wd� Iseenn �ou. ew'vme ene
Prdeaiom Coda: The CoMratlws liw�w lew daes m�'eGVN �o en ovmer W P�WMY Mn buiMe a" � m �Mraon ud xtn
WIW9CID IIX Nf�l pfUNl1 N\1�1 G GNIBCOl�P) �ICOIIfO� pUlflldll 10I�1G �iON �lTfpO �Cw).
I em nammq ndm Seclion: B. 8 P.C.. Nu
me: Owner:
I tlo cenily Ow I am ewue d aM uMenle� ��Gui�emeM W Cal/anle W Sdary Cade Sed'am 25505. 2553�, eM
. enE Nm I a erty tulun WJdnp owameni r+ll! wil nd (�6 orq) rpsd lo mnpy wl� uk elda oodm ud tM nquiremenb br
aP�nlammv �viamodifretionhomlM�i�anape^eND'mtria.Rwidrailm�mrveioneWG'�ianeneumphanNeaa
vwisiwu.
oma: �vW�
WONKEN'S COMPENSATION DECLAN�TION: I M1�robY dflnn uMx Po�Y b Valury me d IM lolbxi�q AeNumbne:
� 1 heve ud �.il meintein e cMilictle W�� �o ��Xinwn lor xpken' compermton. m pwNed for by Seeion 3]OD d the lnbar
COEe. Ia iM pe�armence d Ne wwk fa wlK� �hie pwmu u iaueE.
❑ i nn. d,e �i� me�me:� wawen� m�w�n^ �,�.•• �•a��ee M seaon aroo a m. iee« coee. ror me ro�ro,� d m.
wwk lor Mfiich Ihie parmn ia iuueE. My wal�� �W�� ineurenca umar erd pdiry num Wr va:
� Cemer.
Pdicy Number:
(This .sMion rreeC na be rompbre0 9 �M pmmd is Ia m. huMred ddlere (Jtool w Ime.)
❑ I mr1ly tlut in tM palmvnca d �M wak ��+1�cA ihie psmin u rowetl. I ehell nal ampby erry penan n enY men�r n m to
n«wn. wMd m �ns �rlw.• oomo�..�o� b., d cma«rc.. ene wro. ma a �.nau ccan. .,aw m me .wmr+•
cnmpemetpn pwoum d Ssdian �)00 d IM lebw Coda. I Mell lanhwnh wmpfy w5h IMss porieons.
Deta: �GW��
WemMp: FeNun ro�xun wort�ri wmowedon �ow..o. �. �m.��..oa.wi.�e�r.�.��oy.. ro cNmo.� o.�.re...�e
nM� nn., w ro w�. nu�e..d mou..ne edre.. lsiaa000l, M.eeiwn ro rn. co.� or romv«,..ewn �w• •• v�•aea ro. m
Sxtlon Jn15 0l M� Wor Cod, IntwS ��h°mry i/wa
CON4IPUCTION LENdNO AOENCY: I hareby �� uMm pmulry d peeju�y iMl Ihen u e mut'url'pn bnd'mp epeev.y br Ns
wnoimanoe a �ne xork ror wniM ine ce�� a ea�.a (s<aon aos>. cw. c�.
LENDEP'8 N�IIE:
LENDEN'S �ODPESS:
I ceni�Y Rat I hm read Nu ePWcetbn W qeta IM Ns ebova "udonvtion u wmp. I eTa lo comdY wilh M rYy enE cou�My mdinenoea
eM sble Nws rtle�n0lo WAdM mu4Wim aM heraEY eNMr¢e eapasenlNivaa W tM a7 b mis uW� IM ebwe�meeYv�ed pW�Y
la irtpenion puposea.
� J�.MES FIUEFMAN
� �.
� �m Namo / �, n
� � � 7
(5151Jb.WP)
y �ay; d�aen-Fb: CuwY-�w��: Pink-Revenue: (bkenmFMaemr
CITY OF COSTA MESA —$UILDING PERMZT
PERMIT NO: B 087673
PLAN CHECK NO: 01223-98 A
-Ods �
PERM NO; B 087673
GOVT; N SUPP: N
CONSTRUCTION TYPE: pERMIT TYPE: STR PURPOSE: ADD
JOH DESCRIPTION : 649SF iST FL, 1102SF 2ND FL ADDITION SQ FT: 1,751
CLAIM VALUE: 130,000.00 CALC—VALUE: 192,706.50 GROUP OCC: R-3 /
COMMENTS: 1751SF RESIDENTIAL ADDZTION
iE iF iF iE if iF iE if iE fE fE fE %iE iE iE iE iE �F iF if iE fE iE iE iE tE iF if if 1F �F iF 3klE 1k iE IE iE it iF iE iE ik fE iF iE !f !E!E �E iE jf iE iE if 1f iE if iE if ff iF i' # iE jF if iF iE i! fE iE if iE if ie if if
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BOILDZNG ---------
FRNT; 20 FT IN REAR: 38 FT IN FRNT: FT IN REAR: FT IN
LEFT: 44 FT IN RGHT: 10 FT IN LEFT; FT IN RGHT: FT ZN
PARICING REQ: PROV: PARCEL: 13943153 ZNE: R1 REF NO:
PLANNING NOTES> 1ST FLR FAMILY ROOM ADDITION HETWEEN EX RESZDENCE & DETACHED
> GARAGE 6 2ND MASTER BEDROOM SUITE ADDZTION.
iF it iE iF if iF iF iE �c �! �E ii it it it iE iE it it iE iF rt�E it it+t it 7t it �k jt it it 1F i! iE iE it it �t it i4 it it it it if ii 3f iE IE iE 3E ft iE ik iE if it 3t iE iE it-1E iF iE it iE �)E 3t iE if 3E 1E if �t �)E iE iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T 5
ZONING APPROVED BY �y-C DATE: - —�
bUILDING APPROVED BY : R II.(� DATE: �
APPLICATION ISSUED HY; CG�'— DATE:
�EiE�1FiF1flEib�E�kiE'1fiEiElElFif34iFififiFiEl�i�F3F�F�i��E�FiF�iEiF���F�k�k� ��'��iF���Eik�F�F�$F'1k3EjkikifiP3fiEiEi4�1E��iEiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
l'..
BLDG PMT PLUMbING ELECTRfC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1,102.25 , 14.27
- -r SMIP/NON—RES
PLAN 179.12
ISSUE FEE �� jy
BUILDING—DIV—> PERMIT ISSUE PLAJQ�CHECK �' TOTAL PAID DUE
TOTALS----> 1116.52 0.00 •.179.12 • 1295.69 1295,69 .00
REVENUE DIVISION TOTALS--> COLLECTED:�� �� 1116.52 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC 1 T FIRE SMIP/TOT GRADING PLAN—CHECK
1 1 � 2. 2 5 �l . 1 Q. z%
i
if jf iE iF'N� �M-1F iE jE if iE 1E fE if jf if iE if if iE iF �F iE iE * fE iE i!' IE 1Elf iE iE if 1F iE jE'lf �E iE iE iF 1E if #'iE'1E iF 3f if 3f iE iE �N-'lE iFlE!(� 1F i(� iE')f iF if i(' 3E 3F �E �E iE jF 3E iE aE �7E 3E 1E iE iE
I N D I V I D U A L F E E B R E A K D O W N
TYFE QTY D E S C R I P T Z O N� '� UNIT COST TOTAL COST
. � .
SFR 1751 UWE—TYYE V—WOOD FRAME' .--GOOD 81.50 142,706.50
END�OF FPyES"
. 1
: - D �� D
,. �. �
�
APR 0 91998 ,�-. °
�
i'
. „
; � CITY OF COSTA MESA
-- - - `� �
_�CONSTRUCTION AND PLANNING -. F _ & SPA
APPROVA�S Permit# Date Inspector -IAPPROVALS Permit# � Date Inspector
1. Temporery Elec[riwl Service or Pole � 52. Pooi & Equipment Loca2ion � �
2. Soil Pipe-Undrgrnd. � 53. $teel Reinfortement . 3
3. Electrical Conduit UtilitV-U�drgrnd. � 54. Forms � �
4. Electrical GonduibUndrgrnd. 55. Electricai Bonding j..
5. Steei Reinforcement 6l�G 56. Rough Plumbing & Przssure Test ., '
6. Electrical UFEft Grnd. 57. APPROVAL TO COVER�GUNITE ,' y'
7. Footings �p/ 58. Elearical Conduit�Undrgmd. -
$. Foundation �� 59. Gas Pipe, O Undrgmd., Test ,;
9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P-7rap, O Undrgmd. � t�
10. Svuctoral Fioor System �'g � � 67. APPROVAL TO 6ECK
11, Property 5ewer Li�e & House Connection �,'62. Backwash & Recepto�-Fina1
12. Sewer Cap . � 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing . 65. Electrical•Final .
15. Rough Electrical-Conduit 66. Solar SYstem�Finai ' - '
16. Rough Electric Wiring . 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PIASTERING "
78. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough He�ting & Air Conditioning FIRE DEPT. REQUIREMENT '
20. Rough FaCtory Fireplace APPROVALS Permit,�
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilati�g 71. Product Piping � Gas O Oil
23. Gas Pipe-Fough & Tesc 72. Underground Fiush
24. FoofFram�ng� 73. Undergrnd.StorageTank�Gas �Oil
25. Roof Shea�fiing 74. Overhead Hydro
26. T•Bar Ceilin9 (Structural) & Monocoat ' 75. Dry Chemical
27. Frame and Flashing � 76. Dry StandP�pe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. F�RE PREV. FINAL
30. Drywall Nailin9 HEALTH OEPT. REQUIREMENT
31. Plaster BroWn Coat 79. FINAL WSPECTION
32. Electrical Power Meter•Final 80. FOOp CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heat�ng & Air Conditioning s�3 _ Cl Q= `" G`/ �'0 �u y,y �t�s �,�,
(� / 1
35. Final Gas Pipe-Test 6'w�
36. Hood or CanopY ' �! � ��� L� � Flp� l�t�vl �, - � �'�
37.FinalFactoryFireplace �; � L/p'!ra' B� �q ���,+�,�0� y�_
38. Final Plumbing � �
/'1 -
39. Water Service-Finat � � �':.�
40. Gas Service-Final ,'�
41. Solar Oomestic•Final � j
42. Backflow Preventer � �
43. Backflow Irrigation
44, Landscap¢ Irripation System �
45. Sound Attenuation . '
46. Handicap Regulations .
47. FINAL S7iiUCTURE & BUIL.DING _�Q �
[
48. F4NAL PI.ANNING .
49. Electric Release to Edison I '
, , �--
50. Gas Release to Southem California Gas Co r--
51. CERTIFICATE OF OCCUPANCY '
No. Date :;
NEWPORT-MESA UNIFIED SCHOOL DiSTRICT
CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: ( �City of Costa Mesa
( ) City of Newport Beach
( ) County of Orange
Applicant:
� \
Address: I 7O �f'p[1C i���, , � CS�C� �1�5 a�
Telephone Number. �I �'� �cJ�{ � ��-CO�
TracUParcel and Lot "'••—`-•'�`'
Location of Project:
2•453
District Receipt No CJ�357 L%
Plan Check No. 9�5�
Number of Square Feet of:
Residential Space
Residential/
Sr. Citizen Space
Commercial and
Industrial Space
Commercial/Industrial Project is: (Check One)
Warehouse
R&D
Movie Theater
Mini-storage
Heavy Industrial
Regional Shops
Light Industrial
This project is exempt because
/`�� / x $1.84
x$.30
x $ .30
"�tel
1 enk
_ IVeighborhood Shops
_ RacqueVHealth
_ Hotel
Medical Office
Office Park
'' .
� - / �� .
Total
Tota I
Preschool
Auto Repair
Hospital
Large Office
Office Bldg.
Restaurant
Fast Food
This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections
53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction.
Checks are to be made payable to Newport-Mesa Unified School
�
Authorized Representative
The above representation as to square footage is true. Applicant agrees that if it is later
true, then this certificate shall automatically terminate and the appropriate City/County�
Date: � / ���
Applicant
be
representations are not
�
CITY OF COSTA MESA , �
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the pro-
/1 posed property i r vement. O Yes ❑ No
l 1
��/ (have/ ave not igned an application for a building permit for the
proposed work.
�;i. � I have contracted with the
��J Name �Y1c^�f C��^„Lq
Address
Phone (
person (firm) to provide the proposed construction:
City
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City
Contractor's Lic. No..
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide the work indicated:
Name
Address
Phone
Type of Work
I hereby affirm that I have received a copy of the information set torth in Section 19830 of the State
of California Health nd Safety Code and have completed the above information to the best of my per-
s�o\nal knowled , in o ance ith this State law. 1n [� cY
\ Signed: Date: 'T"Q �—` a
\ Name:
(Printed or Typed)
� C.D.L. # or S.S. #
754-5273
10d2d6
CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
.
M98-00203
PERMIT NUMBER /?
/
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DFNE, COSTA MESA, CA 92626 Jj/
MECHANICAL PERMIT ��'(
�ir�
JobAddress: 2831 NEVISCI
Suite No
Vicinity:
Parcel Nunmber; 13943153
Applicant: MORRISON, JOE
Address:
Owner: v"'� �nen�^� �,.-T���
Address: 2831 NEVIS CIR
COSTA MESA,CA
Phone:
Zip:
►-hJFFM/Y�I� �1.A�'�l t`S•� L`�rJrJC
Contractor: COASTAL GARAGE DOORS
Address: 01101 VICTORIA PL
COSTA MESA CA
Arch/Eng:
Address:
ISSUE FEE
Inst FAU <700 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst! Rep. Recess Wall Htr
Refrig Sys <700 k BTU
Refrig Sys >700 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Ezhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < t0000cfm
Air Handlers > t0000cfm
Floor Fumace
Floor or Suspend Heater
Phone:
Zip: 92626
Phone:
Zip: 92627
License: 387011
Phone:
Zip:
License:
SCOPE OF PERMIT
20 FIXTURES, 30 OUTLETS, 15 SWITCHES, 1 FAU, 1 FAU ALT 7 1
GAS PIPING SYSTE �
$22.00
$1325
$0.00
$1225
$0.00
$0.00
$0.00
85.50
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
$0.00
so.00
50.00
Quantity
FEESUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
C om me rcial I n cinerator
Domestic Incinerato�
Compressors I Absorotion Systems
Up to 3 hp! t00 k BTU
3To15hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp I 1,750 k BTU
Over 50 hp I Over 1,750 BTU
Boilers
Up�o3hp
3To15hp
75 fo 30 hp
30 l0 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
y TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 06/03/1998
Issued: O6/03/1998
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00
$0.00
$0.00
$53.00
EXPIRA710N: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a periotl of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetiona and final epproval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
WOPKERS' COMPENSATION DECLAHATION:
I hereby effirtn under penelty at perjury one ot the tollowinp tleclere�ons:
❑ I have end will maintein e certifiwte of consent to sell-Insure tar workers' wmpensetion, es provitletl lor by section 3700 of the Lebor Catle, for the pertormence of ihe
wark far which this pertnii is IuueO.
❑ I have and wlll meintein woAcers' compensation insurenca, es required by section 3700 of Ne Lebor Code, for Ne peAormance of the woilc fa which this pertnit is issuetl.
My workers' compensetlon Insurance ceMer end policy number are:
Certier. Policy Number.
(ihls secuon neeo not be fed i! Ne permit is ve/ued ef one huntlretl dollars ($100) or /ess.J
❑ I certity Ihet In a performan e oi t�e work for w�iCh thi9 pertnil is issued, I shell not employ eny person in eny mennet so as to become sub�ect to lhe workers'
compensetion aws of Califom a, end agree ihat It I should become subject to Ihe workere' compensetlon provlslons ol Section 3700 oi the Lebor Cotle, I shall tonhwith
comply with t esel� rovisions �b Q �
� Ap011ceM Slgneture \. ��� Date: � � "l � l
WARNINO: FAILURE T ECURE W (ERS' COMPENSATION COVERAGE IS UNUWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TMOUSANO DOLLARE (Et , ADOITION TO THE COST OF COAIPENSATION, DAMAGES AS PROVIDE� FOR IN SECfIIXJ 3]OG OF THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby afllrm Iha� I em Ilcensed untler provisians of C�epter 9(wmmencinq with Sectlon 7000) oi Divislon 3 oi the Business end Professions Catle, entl my Ilcense is in full
lorce entl eMect. �c. a �'7 � L 1 � Ciass x '�
Contractofs SignaNre: --@��� � Date: /o •
—��
CONSTRUCTION LENDING AGENCV:
❑ I �ereDy affirm that thare is a constructlon landing agenry br the peAortnance oi t�e work for which this permit is issued. (Sec. 3097, Civil Cade).
Lendels Name:
Slgneture: _
OWNER-BUILDER DECLARATIONS:
Lentlefs Adtlress:
Dale:
I hereby etlirtn that under penalry of perJury ihet I em EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Buslness end Professions
Cotle: Any ciry or counry which raquiras a permil to Con9lruCt, elier, improve, tlemolis�, or repalr eny 5lructura, pnor Io its Issuance, also requires lhe applicant for 5uch pertnit
ro(ile e signed stetement that he or she is licensetl pursuent m the provislons of Ihe Gontrectors License Lew (Chapter 9(commencing wlth Sectlon 7000) of DiNsion 3 of Ihe
Business end Professions Cotla) or that he or she is exempt thereirom end the hasis lor the allaped e:emption. Any violetion ol5ection 7037.5 by eny epplicant for a permit
subJecLs ��e aDP���nt to e civil penelry of not more ihan fve hundred dollars ($500).):
❑ I, es owner of the property, or my employees with weges es thelr sole compensatlon, WILL DO 7ME WORK, end the structure Is not intentletl or ottered for sale (Sec.
7044, eusiness antl Professions Cade: Tha Contractors lJcense Law does not apply to an owner of property who builds or improves thereon, antl who does such work
himself or herself or through his or �er own employees, proviAetl thet such improvements ere not intended or oXeretl tor sale. Ii, however, ihe bullEing or improvement is
solA wit�ln one year o1 completion, the owner-builder wlll heve the burtlen of proving that he or she did nat builtl or improve for purposa ot sele.).
❑ I, es owner of Ihe proparty, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct �he project (Sec. 7044, Business and Professions
CoOe: The conirectors License Lew does not apply to an owner of property who Duilds or Improves thareon, and who contrects far such pro�act with e contractor(s)
Ilcense pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Protessions Code for Ihis reason:
Signeture: Date:
Owner ID veniied 6y dnvefs license. ❑ Yes ❑ No Dnve/s License No. Expires:
Vedficatlon of Ownership �y (rype oi tlocumem, i.e. - properry tax bill or deetl):
DIVISION OF INDUSTRIAL SAFEN PERMR CERTIFICATON: .
❑ I �ereDy cenity Ihat no excavatlon five (5) or more teet In depth into which a person Is requlretl to descend, wlll be matle In connectlon with work authodzed by ihis
permlt, end that no building strucNre, scettolding, talsework. or demolition or dismantling thareoi, wlll be more then thirty-six (36) faet �igh. (Chep. 32, Gry 2, Art 2, Sac.
341, Tille 8, Califomia Atlministretive Coae).
❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit trom the Dhrision of Intlustrial Sefery, es noted ebove, unless such person �as a
permit ro tlo such work from the divisian.
Signature: Date:
DlWsian ol Industnal Safery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AVTHORVA710N OF ENTAY: I certity under penalry of perjury that I have read this application and stete tha� ihe intortnation given is
correct. I egree to comply with all stete laws end ciry ordinances relating to builtlinq consiruciion, end euthonze representatives of the Ciry of Costa Mesa to enter upon the
ebovelless[�Cetl property for inspection Ourposes. I egree not to occupy or allow occupency ot any building euthonzed by this pertnit until final inspection.
�g �/ C%
And�Or Authonzed Applicent
GIlOtiTIffE OAg It�LS
1816 Fixetl System Finel Fire Prevention
1286 Pool Spe Final
200 Finel Re-Roof
201 Finel BIocWRetaining Wall
202
203
tL�
2u&4s
Finel Fectory Fire Place
Final Sign
Flnal Demolition
� �� �� �e�e
/ �—/ Date �
COOE I INSPECTION TYPE
206 Finel Mechenical
20B Final Plumbing
210 Final Eleciricel
212 Flnal Fire Prevention
220 Flnal Planning Approvel
222 FlnalSita
250 Finel Builtling/Occupancy
�L1�I:'''�Idc
u • �
.
CITY OF COSTA MESA
BI/ILDIN6 pIY1S10N
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
PERMIT N MBER
P99-00147
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
JobAddress: 2831 NEVISCI
Suite No
Vicinity:
Parcel Nunmber: 13943153
Applicant: HUFFMAN, LYNNE BRINTON
Address: 2831 NEVIS CIR
COSTA MESA, CA
Owner: HUFFMAN, LYNNE BRINTON
Address 2831 NEVIS CIR
Contractor:
Address:
ArchlEng:
Address:
COSTA MESA, CA
Phone:
Zip: 92626
Phone:
Zip: 92626
Phane:
Zip:
LicenSe:
Phone:
Zip:
License:
Status: ISSUED
Applied: 03/0411999
Issued: 03/04/1999
SCOPE OF PERMIT
ADD EXTERIOR SHOWER HEAD AT REAR OF EXSTING GARAGE. SHOWER IS NOT ENCLOSED AND
DRAINS TO THE GROUND. NO FLOOR DRAIN AT FLOOR OF SHOWER HEAD. (898-00500).
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drein, Floor
Drein, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
szz.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
30.00
$0.00
�N
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $8.75
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water SoRener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
TOTAL CALCULATED FEES:
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
80.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
50.00
$30.75
Qn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
EXPIRATION: This permlt shall eutomatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: In order for the work authorized under thls permit to be considered legal, such work must comply with all appllcable codes, and all
requlred Inapeetiona and flnel approval must be obtained. Fallura to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
WORKERS' COMPENSATION DECLARATION: o
I hereby eKrm untler penelry ot perjury one of the fdlowing Aecleretions:
❑ I have end will meintein e certiticate at consent to self-Insure tor warkers' compensetion, as provided tor by seccion 3700 of the Lebor Code, for the pertormance of Ihe
work for which Ihis pertni� is issued.
❑ I have end will maintein workers' compensation insurance, es requiretl by section 3700 of ihe Lebor Cotle, br t�e perfortnance of the work lor which Nis pefmit iv issuetl.
My workers' crompensation Insurance carrier end policy numDar ere:
Certiar. Policy Number:
(Th/s secNon neetl nof be completed l/ the perm/f /s valued ef one hundred dollers ($100) or /ess.)
❑ I certity Ihet In ihe pertortnence of Ihe work tor which this permi� is issued, I shell not employ any person in any menner so as to become subject to the workers'
compensetlon lews of Celifomia, entl egrea that If I should become subjea to t�e workers' compensetion provislons of Sectlon 3700 ot lhe Lebor Catle, I shell forthwith
comply with Ihese provisions.
Appllcent SlgnaNre: Dete:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEMQE IS UNLAWFUL AND SNALL SU&IECi AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES 11P TO ONE HUNDRED
THOUSAND OdlARE ($100,000), IN ADDITION TO TME COST OF COMPENSATION, DPM4GES AS PROVI�ED FOR IN SEC�ION 3708 OF THE LABO(i CODE, IPfrEREST, AND ATTORNEI"5 FEES.
LICENSED CONTRACTORS UECLARATION:
I hereby ettirm that I em licensetl untler provisions of Chepter 9(commencing with Section 7000) of Division 3 of the eusiness end Protessions Code, and my Ilcense is in full
torce and eflect. Lic. # Class M
Contractofs Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eifirm thet there is e construction lending egency lor ihe perfortnance of the work far which ihis Dertnit Is lssued. (Sec. 3097, Civil Code).
Lenders Name: Lentler's Address:
SlgneNre: Date:
OWNER-BUILDER DECLAF±ATIONS:
I hereby ettirm Ihet untler penelty ot perjury lhat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for lhe tollowing reason (Sec. 7031.5, Business antl Protessions
Code: Any ciry or counry which requlres a permit b construct, alter, impmve, demolish, or repalr eny structure, pdor to Its Issuflnce, elso requlres the epPlicent far such permit
to tile e signed statement that he or she is licensed pureuem to the provisions of Ihe Contractors License Lew (Chepter 9(commencing with Sectlon 7000J of Didsion 3 oi the
Business flntl Profeulons Cotle) or Ihet he or she is exempt theretmm and Iha 6asis tor the allegetl e:emption. Any violatlon of Section 7031.5 by any epplicant tor a pertnit
sub�ecls the epplicant to e ciNl Denelry of not more then (ve hundred dollars (3500).):
❑ I, es owner of t�e proDerty, or my employees with wages as Ihair sole wmpensation, WILL DO THE WOHK, end the structure is not inten0etl or ottered tor sale (Sec.
70a4, Business antl Protessions Catle: The Contrectors Llcense Law does not apply to an owner oi property who DullAs or improves therean, end w�o tloes such work
himseN or �ereelf or through �Is or her own employees, proNded thet such impravements ere not Intende0 or ofleretl for sale. If, however, Ihe builtling or Improvement is
�vold wlihin one year of completion, the awner-builder wlll �eva t�e burden of proving Ihat he or she did not build or improve for purpose of sale.).
�, es owner ot the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to construct the project (Sec. 7044, Buslness end Protessions
Code: The conirectore License Lew tloes not applY to en owner of praperty who builds or Improves thereon, en0 w�o contracls tor such proJect with e wntrector(s)
license pursuan� to lhe Con�ractors License Lews.).
❑ lem
Slgneiure:
Owner ID
'��Business and Professions Cotla tor t�is reeson:
Date: � - �-1 —� �
❑ Yes ❑ No Dnvers License No. Expires:
Verillcation of Ownership by (rypa af document, i.e. - property tex blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON:
❑ I hereby certify that no excevetlon ilve (5) ar more teet In tlepth Into which e person Is requlrad to descentl, wlll be maae In connectlon wl�h work eut�orizeA by this
pertnit, end lhet no buildinq 5trucNre, scettolding, lalsework, or tlemalilion or tlismantllnp t�ereof, wlll be more than thirty-six (36) teet high. (C�ep. 32, Grp 2, Art 2, Sec.
341, Tltle B, Gelifomle ACmlMsiwtive COCe).
❑ As owner-builtler, I will not employ enyone to do work which would require a pertnit trom Ihe Dlvislon ot Industnal Setery, as noted above, unleu such person has e
pertnit to do such work from the division.
Signature: Date:
Divi9lon of InduStriel Safety Permlt Number:
CEHTIFlCATE OF COMPLIANCE AND AUIHOROATON OF ENTAV: I certify under penelry ot perjury thet I heve read this applicatian and stete that the Intortnetion given is
wrrect. 1 egre to , ly with ell state laws end ciry ortlinences relating to building constructlon, end auihorize represemaWes ot Ihe Ciry o1 Coste Mese lo enter upon ihe
above-d x IO p for in ection pury��. ree not to occupy ar allow accupency o1 eny Ouiltling eut�orized Ey this pertni�il final Ip`peC �
o T �
Ig atura OI Legel Owner(s) Date
And/Or Authonzed Applicent
COpE 1. IN4PECTIONTYPE pd¢ II�ElS
1618 Fizetl System Finel Flre Prevention
1288
200
201
202
203
Pool Spe Finel
Flnel Re-Raot
Finel Block/Reteining Wall
Finel Feaary Flre Plece
Final Sign
204 Flnal Demolitlon
26C8-�8
COOEI INSVECTIONTYPE
206 Final Mechenical
200 Finel Plumbing
210 Finel ElecMcel
212 Finel Fire Preventlon
220 Finel Planning Approvel
222
250
Finel Site
Final Buildinp/Occupanq
OdIE U�A6S
3-5_q4 �
_;
C� � C� 7�2eQa �'uit'di�y �ufi�ia�s
OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach [o such notice, and,
as a condi[ion precedent to issuing a building permit, require the completion and require [he re[um of, an
owner-builder verification.
Attention Property Owner:
An `owner-builder' building pemut has been applied for in your name and bearing your signature.
Please comple[e and retum this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing yourbuilding permi[. No buildine permit will be issued until this
verification is received.
L [ personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes ��No
2. I�v /have not) `�J1`0-9-�� signed an application for a building permit for
the proposed work.
3. I have convacted with the following�rson (firm) to provide the proposed conswction:
Name �`� � k+—s � \ �v�� � . . P e—o ��
Address i C � City �
Phone ( ) _ - Contractor's Lic. No.
4. I plan to provide portions of [he work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone(
City _
Contrac[or's Lic. No.
5. 1 will provide some of the work but 1 have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
1062-d6 (REV.958)
.
PflO1ECTF00NESS: 2831 NEVIS CI
OWNER'SN�ME: LEE KNUDSON
ROUflF83: $AM$
645-0130/957-2837
�OOflESS:
flFG.NO.:
uxiT: GARAG
UNR:
renrainee: CRANK BROTHEAS AOOFING ( 714 ) 548-5569
) nooeess: 126 COMMERCIAL WAY
C.M, CA 92627
LICENSED CONTMCTOB UECUMTION: I hereDy affirm ttut I am Iicense0 unaer pmvisians of CAapier 9(commencinp wlih Section
7000) ol Uivision 9 of ihe Buaness antl Pmlessions CoOe. anC my licanse is in full torce anE eHeci.
cinuc.:005993 sr�huc.( 08677 cuss: 39 � R' O� (
Oata: SiO�ature:_ _��G%'tG
,
WOBKENS'COMPENSATIONOECUMTION: I�ereEy aflirml�atl aveacertilicateoicon5enttoselhinsurearacerlilicateofWorkers'
Compenution lpy�r�orq qr a r,¢rtiliea capy tnereot (Section 9900. ����Il / � 1/ 9 1
roucr xo.: L�� � L 9 7 U E%P. U1TE:
wrnvnxr: STATE hf,
7 CeNfieO coDY a �ereby turtushe0. f� CeniikE copy �s �fYeO�7l � Ne /q'p' BuilEingy D�ivision. /J
Oate: 7' 7�" % f: l pppliwnl: z il Lki��%(G�G �� �./J"�".'�/"
EIfEMPTION FHOM WOHKfP8' COMPENSITION DELUIWTION: (ifiis sectlon neeE not �e complete0 H Ihe permit is lor ona hunEred (5100) a leu�.
I cenity tAat in Ihe pedormance of the woB for which this permit is issueA, I shatl not employ any person in any manner so as to bewma
i sublecl to the Woders' ComDensation Laws ol Califomia.
I Date: Sipnature:
NOTICF: If, atler makinq ihis tlecWration, you s�ou10 Aecame su0ject to the Workers' Campenution pravisions al IAa laEor
CoOe, you musl lort�wilh compty with such Drodsions ar t�is permit sAall 6e OeemeO revoketl.
CONSTXUCTION LENOING RGENCY: I �ereby allirm IAat t�ere is a constmction IenGinp aAe��Y �or tM pertarmance of ihe wark tar
wAich t�is Dermit Is issueA (Sectian 3097, Civ. C�.
lFNOEfl:
nooeess:
OWNEfl BUILOEN OECWIAITION: I here0y atfirm ttat I am ecemD� �mm Ne Cantracrors' Sute License Law lor the Idlavrin0 reason
(Section 7031.5 Busineu and Professional CaOe: My dry ai counry wltic� requires a Dermit ro corrsWct, alhr, imprwa, OemolisA, or
repair a�ry sWcture, D�o� ro i6 issuance. aho repuires t�a applicant lor suc� permit ro file a siA�etl sWtemem ttat hdstia is Iicenu0
punuant to t�e provLsions ot IAe Cont2ctors' State License Law (CAaD�er 9(commendnq vnth Section 70W) ai Oivision 9 0l I�e Business
anG Pmlesvans Catle) or I�at he/she is exempt IAeretmm anE I�e Gasis lor Ihe allege0 exemption. Any violation al Sedian 7031.5 Uy
any apDlicant lor a permil su0lects the apDliwnt to a civil Denalry of irot mom than Me hwUreO Uollars (5500�.
I, as ovmer ol Iha pmperty or my employees witA wapes az thnr sole campensatlon, will Eo tAe work, anE Me
❑ sinuture is not intenOed or ottereE for ule (Section 7044, Business anE Protessianal Catle: TAe Coniractors' SUte License Law
does rrot apPh �o an awner of a pmpeM �a OuilOs or improves Ihereon, anE who Eaes such work �imsell/Aersell or t�muph
Ais or her own employees, O�a�itleE t�at suc� improvemenis are nat intended or oflereE lor sale. Ii, �owever t�e �ult0inp or
impmvement is so10 vntAin one year ot wmpletion, the awner vnil have lhe EurOen of provinp Ae/5Ae Eid nat Uui10 ar imDrave
lor Ihe Ourpose of sale).
I, as awner ol lhe D�oOerry, am exclusively contractinq with Ilcensetl contracrors to canstrud IAe Dmject (Saction 7044, Business
❑ anE Professians CaOe: The Coniractors' State License Law Ooes not aOPty to an awner al pmpeM w�o Eml4s or ImD�s t�ereon
an0 who contracts lor suc� prol�� �+�� a condactor(s) license Dursuant ro the Contractors' State License Law�. I am aware
Wt prool of ttreir WOMer's Compensatlon insurance 5Mu10 6e D���eO to me. -
� 1 am exempi unEer Sation: B. 8 P. C.
lOt Ih6 rza5on:
Data: Owner.
I Oo nereCy ceniry Ihat I am awaa ot antl unOersWnO tne repuiaments of Calilomia HealtA an0 Safery CoOe Sectwns 25505, 25533, anA
2553A an0 tAat I or any IUWre EuilGinq occupant wilUwill not (cirde one) neeC to compty wit� said state codu an0 Ne requiremenis for a
permit lor constructwn ar moEifiwGon fmm t�e tir �wtiry ManaOement Oistrict. HeaEentul consirucGon apDliptions am exemOt trom
inue Orwisions.
Date: pDDlicant
I hereby cetliry t�at I Aave maG this application and stata that the above Inlormati n is correct I aqree to compty witA all ciry anE counry
ortlinances an0 state laws relatinp to builUinp consimctlon anA hereby aut�orize re entatives of his Giry ro enter u0on ihe above�mentione0
pmDeriy for inspet�ion purpos05. j� / ^ �
/ //
oate: �� '" �i' 0
Applicent; Pink—fiavanue; Gobenra0—Aesaswr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO:• H 048366
PERMIT NO; B 048366 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : REROOF 6005F GARAGE W/CAL SHAKE SQ FT: 3,000
CLAIM VALUE: 3,000.00 CALC—VALUE: 3,000.00 GAOUP OCC: M-1 /
COMMENTS': ?C
x *�x��r**+r*�r�rx�r*�r+r�r�r�****�r*�***�r��r+r**�r****�r�r�rxx +r�rx����r+r+r**�r*+rx�*x��r�r+r+r�r�r�*�e�**+rx*���
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 BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL: 13943153 ZNE: REE NO:
PLANNING N TES>
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 T A E M E N T;'S
p•
20NING APPROVED BY . DATE: '
BUILDING APPROVED BY
DATE: �
APPLICATION ISSUED BY: �%'�— DATE
1' R X!F!F 1FlF X w 1! it it it it 1! it 1t it 1t 1t h 1F * 1t it iF iF iF 1F iF tF it it iFlFlt iF iF iF iF 1F iF 1f i4 iF iF iE 1E iF iE if ih if ihiF iF iF if iE IF iF iE 1E if iF If IE�i�iFiE iI�
ik if ik ik �lk If ik ik if k it k ik 1f ik ik ik it fF if if 1FlElE if ik M iF 1! 1k if if ik if 1t M fF fF iE iE 1E iF 1! if if iElk 1F k M 1k k k 1f K 1E 1FlE iE iE ik it if ik iE iE 1f iF iE iF K ik 1E 3Flf ik iE ik ik
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 54.00
PLAN
ISSUE FEE I�,
FIRE SMIP/RSO GRADING
SMIP/NON—RES
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0,00 � 0,00 54.50 54.50 .00
.�
REVENUE DIVISION TOTALS--> COLI:ECTED: 54,50 OVER/SfiORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50
it k!f 1k ik ik ik if ik 11 fF ft iF M iF iF if ik ik ik M jf if if iF if k ik M k 4 iF fk iF iF ii ik M ik iE iE it ik it if ik iF fF it iE iF 1f iF ii it it iF it 3t k ip iE k M%iF iP iE It M 1f 1E k* IE it it 3E 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
SFR 3000 AEROOF BY VALUE RESfiDENIAL NOZONE 1.00 3,000.00
END OF FEES
��: i,l
�
/'�. /
% �M
01 OOQ6549b—OU056497 'Y"O 7' :;,50
OATE: �7/31/90 TI14E: 2i:S1
�
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�
� � POO� _ SPA
CONST „710N AND PLANNING
'• APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date inspector
1. Temporary Hlectrical Service or Po?e ^ 52. Pool & Equipment Location
2:.•Soil Pipe-Undrgrnd� y 53. Steel Reinforcement
� 3. jElectrical Conduit Utility-Undrgrnd' S4. Forms .
��4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
��5. Steel �Reinforcement i 56. Rough Plumbing & Preseure Test '�
:�._ a
�„j_6. Elect`ncal UFEF:Gmd. � 57. APPROVAL TO COVER�GUNITE ;�:
^. 7. Footings �'� - 58. Electrical Conduit-Undrgrnd. ^
8. FouncJation � 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. � 60. 8ackwash lines, P�T.rap, O Undrgrnd. .
10. Structural Floor. System . � 61. APPROVAL TO DECK �
11. Property Sewer°Line� & House Connection � 62. Backwash & Receptor�Final
12. Sewer CaP �' . '
_j
.� 63. Heater & Vent-Final
13. Roof Drains -- ' 64. Plumbing System � Flnal ��
14. Rough Plumbin§ � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
76. Rough Electric,Wiring � � 67. Fencing & Access AnP�oval
�77. Rou9h Wiring Sign � . 68. APPROVED FOR PLASTERING
..18. Rough Electricbl-T Bar Ceiling fi9. POOLlSPA SYSTEMS FINAL
19. Rough Heating &.Air Conditioqing _ � , �-.FIRE DEPT. R;EQUIREMENT.
,- . , . . - - =' ' m �c:�_ � , �r
20�:Rough Facto,ry F,iieplace Sc•� + �' *+ � -APPROVACS•� '�permit # � °'
.� 4. � 'c' • H M '-'1 f.•
,'_' i: .. .. ti.� +. � 1 :; .. 7 ': .y �-, . {
21.'DucS, in Structuik., � -
_ ,� ,,,, , g,. �. ,�-. !^,.s >. _70. Underginunc} Hydro �;
�
22'_Ducts, Vent lating' � �id T O � C� -•tt x x77, producfPipin9 O Gas Q°Oil
y,
23.'Gas Pi e•Rou h &.Test �=; * �� '-'� __ �' • � ~ '"•�v " �
P _ 9 t. r ,, .,.,�, „ ,;� '". 72. Undergroiind Flush , „ �
, � � . } . �•r . ✓ �l .�� � .. n _• �-_ . n.
24. �Roof Framing � �� ,�7 x 7 4, 1 t a •J3. -Undergmd. Storage:.Tank'O Gas ❑ Oil
«-, ,•w.. � n a
25.,Roof Sheathing � ti' �'"' � n ��'; 74�Overhead Hydro:�� ;,
26�.T�Ba: CeJing (Structural) &�Martocoat �: � j� " '�'�� :F 75`>Dry Chemical �,� x � � -
27."�Frame and Flashing; �'� •� +' - �' �� � 761 Dry Standpi�pe ' '�
-n .:� ^ a > ,,-., l:� k -
� 28. Lathin ,�& SiBin x � �a'L, �. +: � . . ... ... � V,`� �
9' 9 b„^, O � *= 77f-'FIXEDS-YSTEM�F.INAL-�� �
29. Insulation ' i ` - �� � �� � 78:,jFIRE PREV. FINArL V ^ "' �
T30. Drywall;Nailing ; r, :• �. i* :i FtE'ALTH�DEPT� REQUIREiJIENT
. �.
=81. Plaster Brown Coat4 =� � �"�� �; ' ' -79.�FINAL INS�ECTION ' ~ ~
�:� r, � F.�. .k • �-� :�7
°�32. _Electrical,PoWer Meiei�Final� * � • � ��80: �FOOD CERTIFI�CATE ISSUED.+
-,33 `Final Electric. * r,'�� , � y � � "� � Nores: - -C�m"? ` �0��'� ��,.� ��
�34.'-Fina� Heating,& Air'�Conditionirig' �: � .. '' ' '��.5 " ' !� W
rv
35.�"Final Gas Pipe-Test� ? •� � � ' � � '� , ^�"
K JX ' T, C
-36. Hood oi.Cano ;c � n -� •+ ` � � `� * :- � "� �,. ; c�
PY . !' _;!'1 w �'� r. :'7 'So � r•, tr7
"37. •Fina'I�Factory Fireplacex ' F'�'^ a � n; W „ �� �"
h: �:� . a � � s- ., ., � ..� � -
�38. Final,Plum6ing � n . � r * ,^ .y ,y, :c v�
� 39. Water Seivice%Finali i. - r' K ., rt+ 4~ *' ~ '
=s • '7 t�i
�r40.GasService-Final ""� =�r ` •' x' `�` ."` ,
C. - f' . ;.• • Dg t:•y
-41. Solar pomestic-Final � � r < t*' `"-� 7' - .
- h �
42. Backflow Preventer" ;� ,�,�:- ,� .a = r,. . r:�v _ ^
c.
�• _ - -
43. Backflow Irrigation� %� � - "' ^ '� � '
m k - ^
�_44. _Landscape Ir igation System'�'��'� - = �� = ,- . - � _ � � �
�45.•:Sound At[enuationr. > - .-�� � t� c • :-��• +
� � i -1
46. Handicap Regulations -„ ` , ' `;�i "` � � ��'`' - :
't �-J. .j
.'FINAL STRUCTURE & BUI�DING ,��� �W � � �
48..F.INALPLANNING ' ; � � G �. _ . �
49. Electiic�Releise to Edison � • - '
. �
50.Gas.Releaseto$outhernCalifo�niaGasCo - � :��� ' - . _ _�
51. CERTIFICATE OF OCCUPANCY ' ' '
No. Date �
Pfl0.1ECTR00flES8: ?S3S NEVIS CI
OWNEN'S NRME: LEE KNUDSON
y� RU�HESS: $AME
� 645-0130/957-2837
FHCHIENGINEEfl:
ROORESS:
A
UNIT:
NEO.NO.:
uxrt:
PENMITTFE:CRANK BROTHERS ROOFING (719)598-5569
�ooaess: 126 COMMERCIAL WAY
C.M. CA 92627
UCFNSED CONTMC70N OECUMTION: I hereby a//irm that I am Iicense0 untler pmNsions oi CAaD�e� 9(�mmendnp wit� Section
� 7000) ol Oidsion 3 ott�e Business anE Professions CaEe, anJ m �ttnse is i lulllorce an0 ettect.
cmuc.:005993 srn uc.:40867� c��QL/ w/J I
Daie: (%_ 3 � _ �� �SiOnaNre: � ���� '����"/
WOBNEHS' COMPENBRTION OEClANR710N: I hereby aflirm tha I have a cehificate of conseni to uli-insure ar a certificate oi Workers'
roucr xo ����� �� ��ied copy t�ereof (Secli�P o TEab.�)1 / O 1/ 91
cornvnnr: STATE
� Cetlifie0 copy is Aerehy fumished. � CertifieA copy is file0 with tha cip BuilOinp Division.
Date: � ^� � � � ADOlitanL � ��
E%EMPTION FPOM WOBKEXS' fAMPEXSNTION DECUMTION: Rhis uction nee0 not be camplete0 il ihe permit is lor one hunOreO �5100) or less).
I certiy Ihat in the petlormance oi the work far which this parmit is isSue�U, I sh�M not employ any person m any anner so as to Gecome
suEiect to t� Workers' Compensation Laws of Califomia. ^�, {' �� � �/�
/ Y "=��
Uate: C SignaWre: � -
NOTICE: If, afler makinA ��is declaratlon, you shoulU hewm subject lo tAe Warkers' ComDensatlon pmvisions oi the Lahar
Cotle, you must torthwith comply with such proNsians or this permit SAall Ee UeemeO revoked.
CONSTNUCTIOM 1FN01NG �GFNCY: I hereby amrm [hat there is a consWctian IenEinp apmcy for ihe peAarmance oi Ne wark for
which ihis Dermit is is5ue0 (Section 3W7, Civ. C).
lFNOEfl:
nooxess:
OWNEB BUILOEP OECLAMTION: I here�y aflirm tAat I am ezemD� ��om Iha Contractars' State License Law tor ihe tollowinp reazon
(Section 7031.5 Business and Protessional Cotle: My ciry ot counry whic� requires a Dermit Io constmct, al[er, improve, tlemalish, or
repair any stmciure. Orior to its issuance, alw requires the apDlicant /or such permit to file a si0netl statement [hat he/s�e is licensetl
pursuant to t�e D�ovisions of tha Contracrors' State License Law �ChaDter 9(commencin0 with Section 7000) of Division 3 af t�e Businass
an0 Prolessions Cotle) or t�at he/she is exempt iherefrom anA Ihe basis lor the allepetl eeemD�ion. Any violation oi Sectian 7IX11.5 by
any apDlicant tor a permit suUlecis the apDlicant to a civil Denalry oi not more ihan five huntlre0 tlollars (ESW).
I, as owner oi iha Dmp¢rry or my employees wit� wapes as iheir sole compansation, will Aa Ihe work, and �he
❑ simcture is not intendeG oroffere0 for sale (Secimn 7044, Business anA Pm/essional Cotla: Tha Contractors' State License Law
does not aDDly lo an ownar af a properry who 6uilOs or improves ihereon, antl wAa does such wod himseli/hersel/ or tArouOh
his ar her awn em0loyees, provitled fiat such imprmemenis are wt inten0e0 or offeretl for sale. If. however t�e UuilOing ar
impmvement is sa10 wrthm one year oi completion, the owner will have Ihe burAen of proving he/she tlitl not CuilA ar im0�ove
lor i�a pur0�e of Saie�.
I,az ownerollhe D�operty,am exclusively contractlnp wit�licenseE contractorsta constmctthe D��ect(Section 70Cd, Business
❑ and Pmlessians Catle: The Contrzctors' S1ate Liunse Law Oces not apply to an awner oi Droperty who bwlds or improves thereon
antl w�o contrads for such Omjecis �i�� a contractoqs)license Oursuant to tAe Controctars' SWte License Law),I am aware
IAai prool of I�eirWorker's Compens:Gon insurance 5haulU 6e Dran0e0 lo me.
� 1 am exempt un0er Sectlon: B. d P. C.
for lha reason:
Oate: Owner: •
I tlo hereby ceniy t�at I am aware of an0 un0erstand t�e requirements oi Calilomia Healih anU Satety CoGe Sections 25505, 25533, antl
25534 anA that I or any fuWre GuilEinp acupant wilUwill not (circle one) nee0 ta comply with saiA state cOtles antl t�e requirements for a
permd for consimctbn or moGification imm the Nr Qualiry ManaAemem Oistrict. Hesitlential constmction apDlications are exempt imm
Ihese provisions.
Oate: ADPlicanC
I �ereby cenity tAat,l have reatl Ihis aDPlication an0 slate that the a�ave infarmation is cormct. I agree to campry with all city and counry /
or0inances antl stata laws ralatinq ro builtlinp constmction and ner�a�e�s o�iry to ente� ve�mentionetl �
pmDeM �or insDectian DurOoses. �
Oate: �� ` % l � � d � S�O�atum:
onver's �icense or socia� secunry J
1641-46 WOite—BUIIEing; Careen—COEe Enb¢emenf, Canary—Applicenl: Pink—Revenue; Gobenrod—Assassor
CITY OF COSTA MESA - HUILDING PERMIT PERM NO:;H� 048365
PERMIT NO: B 048365 PLAN CHECK NO: N GOVT:`N/SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE; STR PUAPOSE; OTH
JOH DESCRIPTION : REROOF 2500SF RESID W/CAL SHAKE SQ FT: 8,000
CLAIM VALUE: 8,000.00 CALC-VALUE: 8,000.00 GROUP OCC: R-3 /
COMMENTS: X �4���� ���4v,�o
�r�r�r�r***x�r��r*�r�r**�***xx�*��****�**�r�***+r�r*�r+r*�r*x��rx�*+r*�r+r�r+r� fYl * * P`�Jf7
Z O N I N G R E Q U I R E M E N T S
SETBA�KS REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 13943153 ZNE: REF NO:
PLANNING Nt5TE5>
>
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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 HY DATE: %
BUILDING AppROVED BY : DATE; "'
APPLICATION ISSUED BY: DATE: ^ 3I—
iEiEiFlEiFiE±kikiEifiEiklEikiFiliFikiFi!lffF iFlPifiEikiFiEiFiFiP IE�1f
iF if ik ik M!k i! iE If iE iE 1E iF 1f iF iF 1t M iF i! k M if i! iF iE it it iF k fF M!E 1E i! iE iE iE 1E iF iF it if 1t ik M it ik if iF iF 1E 1f 1t±F iE iE iF iF %iE iE k iE iF iF 1F it iF ik±E 1ElE if if iE iE i! iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 99.00 ,56
PLAN � ���% SMIP/NON-RES
ISSUE FEE '.�
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 99,56 0,00 ' 0.00 99,56 99.56 .00
REVENUE DIVISION TOTALS--> COLliBCTED: 99,56 OVER/SHOAT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
99.00 ,56
v
4 ik ik if if if 1f iF 1f if iF iF iE fE ik ik if ik jF 1k ik ik ik ik iF ff ft it M ik ik ik iE ik ik �k iE ik 1f ik ik iklklk 1k iF K fF iF ik iflF M it iF k iE 3Eit iF ik if fF ik iE iF M �F iF fF ff ik 1k 1E iE k iF if iE
I N D I V I D U A L''e F E E B R E A K D 0 W N
TYPE QTY . D E S C R I P T I O'-N UNIT COST TOTAL COST
SFR 8000 REROOF BY VALUE RESIDENIAL NOZONE 1.00 8,000.00
EIyD OF FEES
�:,
I ��� /:
n F
. J
i': %�
D2 CJC6b49E-OOOb6459 ''d"�J'T �9.56
D"nTE: 07I31/'90 7IME: It;�2
CUNSTRUCTION AND PLANNING - � P�O.. y SPA
APPHOVAL$ Permit# Date Inspector AppROVALS Permit# Date Inspector
1. 7emporary Electrical Service or Pole� 52. Pool & Equipment Location �
2, :$oil Pipe-Undrgrnd. _ i5: � 53. Steel Reinforcement
3.` Electrical Conduit Utility-Undrgrnd�. ' 54. Forms
=4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
'•'5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
;`6. �.lectrical UFER=Grnd. �= 57. APPROVAL TO COVER-GUNITE „
"� 7. Footings -- .� - 58. Electrical ConduiFUndrgrnd.
8. FounAation � 59. Gas Pipe, O Undrgrnd., Test ��
9. Water Pipe-Undrgrnd. � 60. Backwash Linet, P�Trap, O Undrgrnd. ,
10. Structural Floor System . ' 61. APPROVAL TO DECK
11. Property Sewei Lirie & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap - � ' 63. Heater & Vent�Final - �
�1
13. Roof Drains �. _. . � 64. Plumbing System - Final
14. flough Plum6ing 65. Electrical-Fina1
15. Rough Electrical�Conduit � 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring$ign ' 68. APPROVED FOR PLASTERING .
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19_.,flough Heating & Air Conditioning a � _ �a, ,.� . ...FIRE_DEP,T. R�EQUIREMEN:T,
, - . .
20rRough Factory Fireplace : r =' _ > S �-, ` <. s 'APPROVA�.LS�F�Permit # +' '*
c_.� _�c w T -']^ < x -
21.'DucYs, ih.'Structure . ' • ~'"" x� � .= ` �' ^ -� �' � `s'
.,� � �� _ H ;. �c �70. �inderg}ound Hyaro x;
22,-Ducts, Ventilating . �� C� �< O �: �� :J M � ^77, product*7iping Q G'�s �Oil _ _�
23.'Gas Pipe;Rough $,T�est '��:.; �` � ;.: `� _' �` � } '�'"�'-� '` " �
�-�„ ,�" �, : � �72. Under9round Flush .,� �; �.,
24yRoof Framing �. �^� ^ x: -� �> ^ -ia �_ _73:�Undergmd.Stora,geTnk�OGas ❑Oil
25. Roof Sheathing �' y '' w_ �'' _;. A 7q`�Overhead HydroC'f, A
26 iT�Bar Ceiling (Structurall &'Monocoat �+ ;,� y �,�+� a� 75J?Dry Chemical '^� * :"
n. r.%
27:"Frame and Flashin �� ='"' ="°" * ' r"'�' �m '� �
9. "� ; „ , 76. �Dry StandPiRe � _. ^y ;�
r-� r, � i
�28. Lathinq_& Siding k' ,.;�c:. i � �> 77-3 FIXED SYSTEM''F'INAL- -+ n
' }
_29. Insulation ' '� � - " r S i � x; � 78yFIRE PREV. FINAL °' "�'
~30. Drywall�Naii ng .� � x(-. • r,r. S HEALTH'DEPT�: REQUIREMENT
c.
--31. Plaster Biown Coat" � �"" " � `" '"79.�FINAL INSP�CTION r`', �
. . , -. �-. # f ti ,.1
n, � ,r. ;J T� N r-'" n i:�
;�32.` Electrical Power Meter-Fjnal r: �.; SOrPOOD CERTIFI�CATE ISSUED�a �
=.33?Final Electrir * r,•'� � `f ", ��_ i` Noies: 8 z/ KO;,�i S'3 `� 's �l
� � � � . �- '. � S c �1 �. l lw �
��34: _Final Heating'& Air.Conditioning' � � a• ,� , ,. _ k -' ;r ��/, LI
' � l�.r
35.' Final Gas Pipe-Tesr� �7s � •� Y� `-+ � x � _ '� l � � n ' �'
�. � -, _ � a
;. �"` ._ ; :.. w -, < : _ < a �:
: 36.,Hoo'd or.Canopy �-, �:,: ,� ,,; , ;� „ -' � ;�� �- �,
' M
-37.`�Final Factory Fireplace%'� � �� � ^' . " " _ '" '� ��
( : _J 'L . Y '% ' C; n X
'-38. Final Pluinbing ' ; v '� x .�.� ; ' + * � %:
�
�39. Water Ser,vice:Final.� �: � = % � � � � � � .
c'i z +. Ic ;.;
,_40. GasService-Final � _ r' �� ' : y '�;"
� � i�� ,._ <�
-41. Solar pomestioFinal � � '+� - -!'= ` , �
4 r �
42, gackflow Preventer; . � ,,,� ` � �`.;_� y '
, . .
-�_... . - - �
43. B2ckflow Irrigatiom , t- • '
i: ��
� :� r :i : ; :
�'44...Landscape Irripation System � � ' � ' � ry „,:. T - �' . , ;_,'- , : ; l
� 45.:SOund Atterivation • �� -' " • '- � �
�46.'Handicap'Regulations ', - , -' .,� _ -,-� ' - .
. `FINAL STRUCTURE & BUILDING _Z� c�p (Qw � � ` �_ '
. r
48.-FINALP.LANNING , • � ' " " - - �- . `_ �.
b9..Electiic�Release to Edison r �� - r= - '-
c :'� _
:50.�-Ges_Release to Sou4hern California Gas Co , •� T• '� -
. - =, r .
51. CERTIFICATE OF OCCUPANCY '
No. Date
.I I��y� •
oWNER RICHARDSON� HARIAW T.
FIRE ZONE DESCRIPTION OF WORK �
DATE GROUP T tk .Il'YPE V ZONE
SUBCONTi2ACTOR DATE v I V NUMBER
P�' 2Q085
STA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA M6BA, CALIRORNIA
For Appllcane to Fill In Completely
TYPE OR pRINT
aui�oiNa Z83/ /VEGlS C/�'l<t
wooaess
CpSTA MESA, CALIFORNIA
d�,
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F3�� x inFi -L — I �o�oRe�oas./
USE OF
EXISTING BLOp. -�
SETBACK LINE PROM �
CENTER OP BTP6$} REAR YARD
I I �
DESCRIPTION OF WORK
li[91
BBPERFORMED
Ii NEHEBY �CKNOWL8O08 TN�T 1 HAV6 READ THIB �PPIICATION
AND BTATB THA7 TH6 ABOV! 18 CORRECT AND AOR88 TO COM•
PLY WlTH ALL CfTY OqO�/1ANC86 Ary0 BTAT[ LAWB R[Q(jLATING
BUILDINO CON9TROCTION A /l
� AUTHORIZED.�QENT
�-zq,r-6.�V ���,�--�
rEE RECkiVED
�U�PP.,LI�PjB�J FOR PERMIT
Q� I
CITY�P(NLU�`fA �SQe1Y
IICC[�'T NO. PCRMIT NO.
FIRH
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oee<n�rr�oN �� 3 Ti� y3y!
A. P. NO.
NOTE: NOEAVEOVERNAN68HALLBELES9THAN
YARDBAPPROVED YAROSAPPROVED
MAIN BUILDIN6 ACCESSORY BLIILDINO
(FROMC/LSTF�ET �D {4
FRONT Z FT. FT.
N. SIDH 3�Ff. -- / � FT.
L. SIDB sy FT.�- � Z t FT.
-t
REAR y� FT. �- z� FT.
OISTANCE BlT. BET. MAIN fl U
MAIN BLD68. ACCESS. BlD6H. / �
VAR.$� DATE
7 ��3
THE AMOUNT BHOWN UN�EN VALUATION 19 FOR TXe
PURPo98 OP 88TAB1.19HIN0 A pERMIT FEfi ONLY.
VALUATIO a ��
PERMIT FEE $ p V�
s/l�, 3/ .�' � � � I, s�.�yt�
TOTALFEE � � J`�