HomeMy WebLinkAbout3322 NEVADA AVE - Building Permits�nonessaea�nn+�: 3322 NEVADA AV u�+T:
avxeaswaeiva'avw:[(ROHN, JAMES S TR FLOOD; AE-37
moness 3322 NEVAIJA AVE
COSTA MESA,CA 92626 a0—e
�ar�. �,uuNc �ooxEss:
�NCNRECT OX FNCdIFFA: ' 11C.N0.:
dPCN.OP ENG:511WflE55: UNi:
caxmncrarsr+uie:ANAHEIM HTG. & COOLING ( 719 ) 772-9699
CRAFACTOffSYYllNfi 1418 S. CENTRAL PARK
wo�ss:ANAHEIM CA ucxo.: 594843
92802 uNr:
LICENSED COMNACTOpS DECIAXATION: 1 hBreW eflim uMx paro�y d perjury ihel I em lioenaed uMx prwiaona M Cheqr 9
(romme��q wnh Seclion 0001 d Oi�is' 9 d ily guvre¢a vd Pmfwaina Coda. eM mY lioenx o in /W faca erd ellp.
c.No.:055 04 c.cuss:C_20 uc.No.:599843 0/00
oeie: � � com,emr.
W H BII EP DEC RTION: I Mraby elfinn urder penelly d perN�Y �� I em eicemq ji m � omredwa L'xenee Lew ior Ne
\ i ' (Sed O�t.S &reiimo erd Prolecaions Catle: A�Y ciY a couniY which reN� Parm� to omshucl. elln.'unMwe.
eemdmn, «�ro�: �r nNn�re. a�o. w us a�, wo �n�v�. ma md�i �a �n � o nb a�a�e a�m�m uw ns a.ne
ia licenaed pursuent io ihe prmvbm d Me Conlr¢pay �riye law IChepter 9(�mervriq wnh Seaion 100p) d Dveion � d �he
Busi�wss erd Prdeubna COEeI or �hei he a ehe ia examq therehom enA the Eaas ta iM elbpeE exemqion. My vulatun d Setlian
1081.5 b/ enY aOVlicenl lor e permil subpqa the epp�� lo a avil penelry d rwl mae ihen iva hundrad ddleis Ig500�).
� I, ea ovmer o/iM O�PaMa� my empbyeea xil� wegee a+tMi ede mmpeneaiion, will da iM v.oA, end the eWCWre i nd in�enEed
or oilered lor sde (Seclion ]Ot1.8uwnesa enG Prolassions COEe: The ComreGon licenae lew Eoes rwt eppFy Ia en awnerd popary
wno buus «mo��+�nareon. end.no aoe, eucn wwx Nmeerc «nenan a m�aian ne «ner own emqoyem, p,oviaee inm wcn
improvemenb ere m� imeMaC a dl«eE la Bda. X, however, tha buitli�q or'vnprovemenl ie sok wilhin ore yaer M completion, the
o.�,�waa« .ui ne� ine n�,a�n a m�+�re ne « sne aa �a adb « �mwo+e �« ine wma. d av.l.
� 1. av owiar d �M MW�Y. em azdisiveFp conireq�q xnh 4ceneeE convanae to m'utrW Ne Pel� (Seqian )OM. Bu'vwa erd
Pro/msiona COEe: TM Contreqan li:enaa I,w doae rid epply b en oxner M p�opMy xfw WdEa a unpwea ihmaon eed who
wnvecla la wM pmpda wnh a conireda�a) Icemed pureuan� to iha CaNredae Livnaa law�.
� I em axamq uMer Seclun: B. 8 P.C., br I�ia reaion:
Deie: Owner
�� I Eo M1eraM cMM Ihet I em ewve d eM uMenierd tM reWiramenU M Cellanu Maellh vM SdetY Code SeGiare 25.505. 25533. eM
� 2553a. uW Mm I a enY Mure buiWieq oaupent witl / w�l �(tlreb mel med �o eanply wih eeid qme mdee end �he reQuiremend br
e V�n IammWetion a moddvztionhom�he AiuueTiy%iar�egmbnt Oimeid. Ravdaniiel mnm'uelbn WG�iauva exemq Imn thasa
pw:vions.
o�a: nod�+c
' WONKEfi'S COMPENSATION OECLAHATION: I�reby elfirm uMer penelly M per"ryry are W iM lollowi�q dede�uona: .
� I M1ave end wil meimen e cerlifiute N oome�i to aeMinaure la worken' cwnpemetbn, m proviEeE lor by Sepon 3)00 d iha Labor
Coea, t« �n� �n�a d me wM i«..hKn mm v�a n m.�.a.
�i nere e�a �;� me�mew woMe�s� m�w��m nm,rerce. m rw���d W s«a� aiao d ine ien« coee. a me o�� a�n.
wwk la whiM Mie pemin o esued. MY waken' cam bn ireurence raiier eM pdiry number ve:
c�«: GO�DEN EAGLE E}CPIRES
Pdicy Number. Q%� Q 1� 9%
(This secfiar need not be complefe! / lhe pemlA Is lq one hundred ddlere (Sf00/ w lese.)
I cenly rtim in ihe e�lo�mencappp 1 iM wM Iw which �his peimN ie iaued, I ahell iwl emdm' �Y G�� �n enY memwr eo ac to
ome eubjed��� worl`qr§' campenenlion lex+ d CeIX«nia, erM aprea thel il 1 MouW become eubjea io tM xarke�s'
e. �wn p �j W��r 3]00 W i�y � COEe. I ehell lo ' h mmpy wnh tl�o protiaiw
J / AOWiceM:
We np: llun ro a ro worken'romperwtlon earerepsls un/awNl. �ne�lWl aW/eet • ysr ro eNMiu/ p�neMu �iM
Ilroa up ro unCrM thouaan0 eo1Mn (5100,000), In ede/tlon ro tlro ewt ol ro ron e+m.w... woMa.e ro. i�
SxHon J]00 0l fhe lebo� Cotls, /nron�t. �ntl ettomsy'a /su.
CONSTNIICTION LENDINO �GENCY: I hareby elfim� �ma, ��� a�,Hrv �� �n.re m a oo„��,a� b�d�� �.�n, ro� ma
(9f�IXTBMB Oi Ih0 NOf�[ iIX M�1M�I ��IB V01�111 IB 66YBd ($BC1011308%.:�iN. �ii.
LENDEfl'S NAME:
LEN�EN'S AODPE55:
,�a���,������b,���mm.,���,�,��,b�,� ����a�,a,.������m„���„
eM eiale kwa relmiq w Wikip wnavuaion end hareby eu�honze reprexnlalivea d ihie ay io emar upon IM ebove-meMioned propaM
�°��°'°°d���v�`°��ROAF•.RTA STENTZ� � /
Det9!/
CITY OF COSTA MESA — HUILDING PEAMIT
PERM NO: M 082030
PERMIT NO: M 082030 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTfi
JOB DESCRIPTION : CHANGE OUT F.A.0 6 A.C. UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO 'B' PERMIT INVOLVED.
'IE 1E'lf 1f �ElE iF iE iE if �E iF �IE �If iE 1f if k!E iE if 1F iF'IE 1E 1E �If �E iE iE 1E 1Fi4 iEif if if if 1F1F 1f iF if ik iF iF 1f iE iE if'IE ik'k 1f ik1E iE �IE 1E iE if if lEiF iF �E �F iE iE 1E ff if �E 1E 1E 1E iE IE �E
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 HCJILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL; 13957124 ZNE: REF NO:
PLANNING N(STES>
i
1f 1f !E 1f iE 1E 1E 1E 1E'IE 1E fE 1E 1F iE 1F 1E iE'1f'k iE 1f iE IE 1E iE IE iE iElE 1E'IE �lE iE 1hlE fI� 1E-0E �f 3E ft fF �E ib i(� 1E it IE iF if 14 iE 1t 1f'%if iE iE ik iF iF if fE iE iE 1ElE iE fE iElE �E 3E iE iE 1f 1F if
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: e
DATE: J I S �,
iElfiFiFifiFiFiF iFiE
STRUCTURAL SEGMENT:N
APPLICATION ISSUED BY: ��U�—'�--
1ElE1FlElkif�E'IEiE1EiEikif�lEil1F1k1kififlEdE�iF7F�F3f�iF'1F�fiFif�F{FiF iF�3F3f3F��F�f�fif
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 29.50
25� SMIP/NON—RES
PLAN '
ISSUE FEE �n �' 22.00
BUILDING—DIV—> PERMIT ISSUE PL'AN—CHECK TOTAL PAID DUE
TOTALS----> 29.50 22.00 '� ' 0.00 51.50 51,50 .00
�
REVENOE DIVISION TOTALS--> COLLECTED: �-51.50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5 ��. 5 �
If 1f 1f IE 1ElElE 1E 1E 1F 1E 1E iE iF if 1f 1f 1f 1f 1E 1E 1ElFlE fE fFlE iE fE fElE 1k 1E 1E 1E iE 1E iE iF 1ElF iflf iF iElF 1f 1f 1E fE 1f �IE fE fF fflF iElF fE k iE 1E 1f 1f if 1E 1E IE iF iF fF fklf 1E if iE iF if if
I N D I V I D U A j 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
MEC 1 INST FORC—AIR/GRAV FURN t= 100 K HTU 13.25 13.25
MEC 1 REFRIGERATION SYSTEM �> 100 K BTU/H 16.25 16,25
END.'OF FEES
l
1
EXPIRED
DATE — 12 ���� 03-13-1997/82:48 D71/f51.59
RCPTq:01-0083391
PERMIT:08203F7
I �' � � �__Jl � / / 1 ,� �
(5t5i.a6 WP) Whne-Buildirp 8 Selaly; reen-Fi ; Cenery-rlppicem; Fnk-Ravenue:Ooldema�Asaeseor � �y,
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# � -Date I�spector qppROVALS Permit# ' Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
� 3. �Electrical CondUtt-UtilityUndrgrnd. 54. Forms
.:. 4�. �Electrical Conduit�Undrgrnd. � 55. Electrical Bonding
�S. �Steel ReinforcemenC: 56. Rough Plumbing & P�essure Test
: 6. �Electrical UPER�Grnd. 57. APPROVAL TO CdVER�GUNITE
- 7. Footings . 58. Electrical Cont}ui�;Undrgmd.
' 8. Foundation - = - 59. Gas Pipe, t7 Uhd�gmd., Test
w
-9. Water Pipe-Undrgrnd.; 60. Backwash Lines, P•Trap, �7 Undrgmd.
10. Structural Floor $ystem 61. APPROVAI TO DECK
11, PropertY Sewer:�ine-& House�Connection 62. Backwash & Receptor-Finat
12. Sewer Cap � � 63. Hea[er & Vent•Final
13. Roof Drains .. ' 64. Plumbing System - Final
14. fiough Plumbing � 65. Electrical-Final
�15. Rough Electricai-Conduit - 66. Solar System�Finai
16. Rough Electric�Niring , 67. Fencing & Accbis-ApProval
17. Rough Wiring Siyn - 68. APPROVED FOR�PLASTERING
�1B. RoughElectric`dj.�T6arCeiling 69. POOUSPASYSFEMSFINAL
19. Rough Heatin & Air Conditioning _ FIRE_DEPT. REQUIR.EMENT _
20.�Rough Facto�y Ficep�ace _ - =` i. - _ - , - pppRO�ALS..F. Peimit #
2L-Duas, iri•5tructu�e ' • - � _ `'' 70. U�der'ytound Hydro "
22..Oucrs, Ventilaiin ' • - _ ' " �"
9�.�. .� _ - -. r. 71. Product:Piping � Gns Q Oil
23. Gas�Pipe-Fough & Test ' - • � ' - 72, Underground Fiush '
=..
24.-Rooi�Fryming - ' "'-' ' ` ' - . 73. Undergmd.Sto[ageTank OGas ❑0�1
25. Roo4 Sheathing -. �. �� y - � - . � � � 7d; Overhead Hyd'ro � '-
26.;T-Ba� Ceiling (Strucjural) & Pvlonocoat - ' ' r' 75: Dry Chemicat :. -' � " ` �
27. Frame and Flashiqg. - - m� 76. Dry Stand'pipe•. " ' _ -_
' 28. Lathin Sidin _ -� - . _ . . .. , ' �
9� 9,_:: " _ i' � 7�7, FIXED SYSTEM:FINAL�� ��-•
� 29. Insulatian - a �� �� ' 78. FIRE PREV. FINRL ' d
� 30. DrywaU.Nailing � � _ _ _ -HEAITH DE(?T. RE�UIRE�VfENT � - '
37. Plaster BroWn Coat t�' -.- • 79. FINAL tNSPECTION
_ -_; . �.
: 32.c�lectrical�Powrer Mefet�final ,` '' i ',. 80. FOOD CERTIFICATE [5�S,UED .�
-. 33.-Einal Eleciric � • • Notes: ,..
�� , 9:?-1_Y_��� Q .N
� 34. Fina� Heati�g.& Air ConditioniFlg' _ ' � ��
- 3-3�_9'i ��n�Q° r�cc�ESS (3N
35. Finai Gas PiPe•Test, - � .4 •- . ,,: _ � - � � � � -
� 36.�Hood or Canopy - _ "`"- - � � _ _ _ " ' �
R
� 37. Final Faetory Firepface , -. � -_ �. � t x
- 38. FinafPlim�bing �.: � .. � - „ - •' -'
39. Water Service-Final; :, - , � � ' � - ' ., -_ _
x
' 40. Gas Service-Final - ' " � - r' - ' - -
� - .. . .
' 41. Solar pomesticFinal ' _ . � ' r -. - Q. ', �, --
42. Backflow Preventer- ?� .- =�'" -
- ,� T� -
43. Backflow Irri�ation-.. � "�' � r, ' k r
44. LandscapB Ir7igation System - � - � ; . � ` _ � �. � -
45..Sound Atrenuation - .' . ' - - . . - , - �
46. Handicap Regulations - � _ - - = - , �
.47. PINAL S7RUCTURE & BUILDING , . � '. �-
48..FtNAL PLANNING' - � '
49. •Electric Release to Edison ' - .'
50. Gas Release to Southem Califomia Gas Co ' ' � -.' ` -
61. CERTIFICATE OF OCCUPANCY - - '
No Date
monrssaeminc�a: 3322 NEVADA AV
ormerrsxweiv�wara:KROHN, JAMES J TR
moncss:3322 NEVADA AVE
COSTA MESA,CA
�. �u�o .00�sa
ANCNITECT OR fMiNEEA:
ACX.ON FNd'4 AU�RE55:
92626
ca+rx�oronswu�ANAHEIM HTG, 6 COOLING
COHfPACi0R4WJNIG 1418 S. CENTRAL PARK
.��;ANAH E I M CA
92802
LJCENSED CONTFALTOHS OECL�fl�T10N; I AeraEy q�� � q�yy d pxjury Nei I
(oommenenY w4h Secnon )000) d Orvoion J d Ne Bitiiwv entl Pmimdms CaEe. end my
yr�Lyµo.055$04 /uc.cuss:C-20 uc.No.:59489
uxr:
FLOOD: AE-37
11Ll10:
UM:
(714)772-9699
�.�, 594843
UM:
IicenaE undar pm'vims d Chaqx 9
IM1b O N M1A MCG YW MBC.
EXP: 00/00
' Dete: ✓ � ^� � CaMratlor, l'-� c-o�
�OW BUI EH DEC NRTION: I hereby elfiim u�qm penNy W peryry the� 1 em e� q Ir tM Conirman L'xeme lew la Ne
wn0 �maon (Satlion lW t.5 Bueiima enE Prdmw�na Coda: �M eYy n muniY M e i�m e pmnG to mmVuel. aEer. imYvn.
damd'eh. a npv eny svunun. pbr b ea e+uenca, e6o rpuim �M epplimN for s�mN �o fib a eqMd etmemem Nel M a�M
e r�.w w�d+� io ine wa+�+ a n. cw,m«. �;m„:e iew Icneper s loomme,em wnn sea:M �000) a o:.uon a a m.
Buvmen eM Rdenioro Codel a IMt M a ehs n e�omq IMrehom utl iha ba�e la Ns a0eped memqion. Arry videlbn d Sodion
)0�1.5 by eny epplimnl Iw e permn wbjetls iM applicem io e riN per�ally d na maa then Me huMretl tldlvs �5500�).
� I, se oxner o11M propany ar my em0�'�^ �M1 �'Apee aa thei wb compenae�im, will Eo IM work, end Ihe aVudure o mt in�andeE
w dlereC br aeb (Seclion ]Oas, Buwmae eM Profeeviona Cade: The Comreqon Lioenae Lew doae m� epply loen owner ol poperty
who W Wa a inpoves thamm, aM Mo daee euµ �pµ ry�myry w henetl a Ihroup� hi a her oxn ampb+eee, pwidad ihet euch
imprwemeMs ere nd Im«dW aWered In eab. X.Iwwevm.lhe buiNi�p a inpro.anem'v aold rmhin wre Yaer d mmObtpn.IM
owrorbuitler hill heve iM1e Curden d pwiiq M or eha dN mi WiN or impova la iM W�a d eab).
❑ I. w ovmer d �ha qapery. em eadiviraN �tred�p xilh licenaed wn�eclpa to cmnrua tlre qojee (`�� �. �viroee uM
Proleuione Code: The ConlrMon Licerue Lew ry� �q qpply b an owrcr d popeny x1a builds or'unpwee Ihenon uM who
convecle la azh prajoee wnh e conlredorye) lice�� p���� to Ihe Conirenon liroree Lew).
❑ I em exmmq under SMim: 8. 8 P.C.. M Ihia raeaon:
Dme: Owner:
I do heraby cenAy Net I em ewue d erd urAen4nd Oy �iremwm d Cellanie HaeA� anC Salery Cade Sed'vn 25505, ?5539, end
2553a. eM Ihm 1 a enY Muro Wikiiq ompeM xill / wil rwi (aieb oew) need to ewnply wYh eek wme mEm aM IM mpuimnanb IQ
epetmilbrconelrvclionamadiRWionhomlM�i eily g�y�mpnt0i9rid.RevitleMWwnsbuCioneppi�iauueexemqlmmlMee
wa+siau.
Dere: Apq'ram:
WORKEF'S COMPENS�TOM UECLARATION: 1 Mea6y alfirm udar pxietly d prjury ar W Ihe b0orrinp Aetlaratiom:
❑ I Mw eM wil meinien e eerlJieYe d adnent lo �apinwn br v.arken' eanpamation, e� peaidad fa Ey SeAim �100d �M lebar
Cods.lar iM pMormence d iM xvrk I« wNcn ihu pe�mu u laued.
• n I Mw eM wJ meimen waMen' canD�ion inu�ence. m npueed M SWion �100 d the lebu ('.ode. br tM Oa�a�� d IM
li ,..a,i,�«.nw,u�wmm�w�.a.revW GO�DEN EAGL�:��wm��•: EXPIRES
cd,�«:
PdiryNumEr. — Q%��1�9%
(ino e«rio� n.ed na ee canW+be l �ro wmt a ror ms nv�ame eoNais Istcnl o.1vc..)
� en Nm m Ne peyarmenw a �M wak br whch ihu prmn is ixueE, I NeA M empby eiy peron m eiry mvuier p n to
beco wbjec �o Re waMs' wiWemetion �axa d ColJmia, ud epree Nm E I WiaiM becmie wbjetl to �M xvhas'
�D embn p aiom d S ' �T0)0 d �M l.eya ��, ���p Q�pqxqh aompl� x' ihme mriaions.
ma: / Appliara: // %
r« ro cnmrne� v.nemu nw
denips� u povltlW br In
CONSTIiUCf10N LENqNO AOENCY: I hreby a1Nin urdp priMy M qrjury IIW �Mre u e mem�uuion MnEvp epery Ior tlp
pmiwmeewe d IM xwk la xh'wA ihe pmm� u eeueE (�� �p9�, CM. C).
LENDEN'S NAME:
lENOEfl'S ADDPESS:
I cenM t�m � Mw reaE ihe apqeeiion enC eele ihei iM ebwe inlormetion u conap. I epme io canpy wu� ell tlry erd caunry oNirieMm
erd c�ele lewe nle�iq to Wikvq cmWuclion e�d Mre�y gyifp¢e reqeamle�ivea d tM dly lo mIx upon iM ebwo-memiprd piopeny
�«��'°°'�°�`D°'°'ROHERTA STENT7� � ,
p�,3
(S151d6.WP) While-BuiMiQ3�C51ery:Oree�Fb;Geneiy-Appfenl;
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 08203L
PERMIT NO: E 082031 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OT!!
JOB DESCRIPTION : CHANGE OUT F.A.0 6 A.C. UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: REF:M-82030
iE 1E IE M if Ik �k ik if aF1F iE 1f ik'1E �1F 3E 1E It iE iE 1k iE �IF iE k 1E �IE �IF iF iE �F fE ik ik k iE �k 1f k iE i!� 1E k If iE iE iE IE 1t ik IE �k IF iE iE �F 1f ik IE iE �F 41E if iE jE �f iE 3F 1E if jE iF �E df if ik'lE
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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13957124 ZNE: REF NO:
PLANNING NOTES>
>
fF 1E 1E 1E iE 1k 1E 1f iE 4 fE 1E 4 iE 1k 1F 1E iF 1E 1E 1F �F fElk 1E 1E �E fE if �ElE 1E 1E iF iE IF iFlf 1E k 1E iE 1E 1E 1E 41k 1t Ik 1E 1k ik if 1E iE iF if 1f iE 1E iF iE 1E'lE 1E 1E iE �FlE 1E 1E iF iF iE IF 1FlE1f �F
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: -----�� DATE:
ieitiEitiEiEkif*1EiEiEiE�tx�iEi[�itkiti6itTFiF'iFTF7E"iFiF3F�F"R�7FiFiF�FTf'{F7 F iF�fiFTF7FiF"{FfF3FTF7FiE�tif�itiEifx�iF�tiF iEit
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
11,��
S��
SMIP/NON—RES
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11,00 22.00 0.00 33.00 33.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 33,00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
if 1E 1E 1E 1F 1E iE 41E iE 1E 1f IF IklE 1E 1E 1E 1E 1f 1E 1E iE iE 161k k 1E iE 1E if 1! iE iE 1E 1E ik 1E 1t IE it 1FlF iE 1E 1f 1f 1E 41E k 1F 1E 1! 1F IE ik fE i61F ff 1E 1FlE iF it 1F ik 1f it 1! if iElk 1E iE IE if 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
ELE 1 MOTOR/POWR APPARATUS 1,1 — 10.0 HP 11.00 11.00
END OF FEES
83-13-1997/82:41 PN/f33.8B
PERMITeT082031
1
CONSTRUCTION AND PLANNING POOL & SPA -
APPROVALS Permit# � Date Inspector APPROVALS Permit# Date inspector
1. Temporary Electriral Service or Pole 52. Pool & Equipment LoCation
2. Soil Pipe-Undrgrnd. 53. Steel Reintorcement �
�� 3. �Electrical Conduit UtilitV•Undrgmd.' . 54. Forms
�:�'. �lectrical Condyit�Undrgrnd. . 55. Eleciricai Bonding �
5: �S.teel Reinforcement 56. Rough Ptumbing & Pressure Tesi
:��Electrical UFER Grnd. 57. APPROVALTO COVER•GUNITE
�� 7. Footings '_� 58. Electrica( ConduR-Undrqrnd. -
' 8. Foundation ' 59. Gas Pipe, CI URdrgrnd., Test
_ ,
',--9. 4Vater Pipe•Undrgrnd. 60. Backwash lines, P:Trap, O Undrgrnd. �
10. Structural Floo� Svstem 61. APPROVA� TO DECK
17. -PropertY Sewer Une. & House Connection �62. 8ack�vash & Re�eptor-Fi�al � -
72. Sewer Cap �. �- 63. Heater & VenrFinai '
7 3. Roof Drains 64. Plumbing System - Final .
'14. Rough PlUmbing - 65. Electrical-Final
15. Rough Electricat�Conduit � 66. Solar System�F.inal .
76. Rough ElectricWiring � - 67. Pencing & Access�ApProval
17. Rough Wiring Sign 68. APPROVEO FpF'PLASTERING
�18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning . _ FIRE_DEPT, REQUIREMENT
20. 'RodBh Pactory Fireplace _ � ' � ' - '� APPROVA�LS,�: Permit # • _
21, Ducts, in Structure � � � . � �" � 70.' �Undeiyround Hydro �
22..Ducts, Ventilating " ,- '. �', �- 77, product-Piping�QGas ❑Oil
23. Gas Pipe-Rough & Test - , . '� ' _ _ 72. Underground F�tush �
24.�Roof Framing ' ��_ _ �- r r", 7-3. Undergrnd.StorayeTank OGas ❑Oil
25. Roof�Sheething '. � � _ :r . " L jd. Overhead Hydrg,_ '
26. T-Bar Ceiling (Structural) & Monocoat ' - � - , 75. Dry Che�nical :. � ;
27. Frame and Flashing --- - �� - 76. Dry Standpipe.-• -�
28. Lathing& Siding - _: f�� "' 77, FIXED SYSTEIVf FINAI_ - "
29. Insulatioh �' � �+ 78. FIRE PREV. FIN%�.L ' �
30. Drywall,Nailing ' _ _ . � '-HEALT}i DEP7�: RE�UIREMENT
31. Plasxer Brown Coat _ .- - �� � ' 79. FINAL�INSPECT�ION - •'
32. Electrical Power MeterFinal / h 80'. FOOD CERTIFICA'TE lSSUED ;
. 33.�FinahEleotric� � �• � �� Notes: - . .
34. Finaa Hea2ing,& Air Conditioning � , � _ �� _ " _ - •," : - -
35. Final Gai P�Pe-Test �- • ' -- - � -
36.. Hood or Canopy : - . - ; �y _ � : `
37.'Final Factory Firepiace . ' . � • '
38. FinaLPlumbing _ _ ` ' -
39. Water Service-Final � . � - - ' _ .' �
40. Gas ServiCe-Final ' - ` � � - �
� 41. Solar pomesticfinal - -- ,- . -
42. �Backflow Preventer ! - - - ; = �
43. Backflow Irrigation � . , �. . , - -
"44. Landscape Irrigation System ' ���� � _ .,_ � _
45. Sound Aitenuation • - - � . __ -
�46. Handicap-Regulations . - • � " : . - -�
47.-FINAL S7RUCTURE & BUILDING , _ , .
48.:FINAL P4ANNING � � _ -
A9. Electric Release to Edison ' - -
50. Gas Aelease to Southern California Gas Cn - ' ' _ � '
51. CERTIFICATEOFOCCUPANCY -
No._ Date
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Pfl0.1ECT ADONESS: 3 3 L Z NE�i�p+ �1V
OWNEN'S NRME: JAMES FCROHN
nooeess: 3322 NEVADA AV
COSTA MESA
:r cA 92626
'�RCHIENGINEER: �� 1 4� 6 6 Z— 0 6 1 7
f. noneess:
HE6.N0.:
uxiT:
UNIT:
PEHMITTEE: CHAMPION ROOFS, INC. ( 818 ) 768-8010
aoowess: 3257 VERDUGO RD. NONE
L.A. CA 90065
UCENSED fANTMCTOB OEClANA710N: I hereDy afiirm ihat I am IicenseA unUer provisions oi ChaD�er 9(commencing witA Section
7000) o� DiWsion 3 oi [he Business and Pmtessions COEe, antl my license is in full force anE eifect.
cirr uc.: 0 4 2 7 2 5 srnre uc.: 9 2 9 4$1 us .,- 3
Date: �=(�Y Q Sipnature:
WOBKEBS' COMPENSATION OECLAMTION: I hereUy a(firm ihat I have ce lificate oi consent to s�insura or a certificate of Workers'
Compensation Insurance, or a certifie0 copy [hereoi (Section 3800, Lab.
roucrr+o.:wF052819-90-04 EXP.OATF: (�6/O2I91
COMPRNY: PACIFIC CO�P
❑ CertilieE copy is here�y fumishetl. Certitied caDY �s titetl with t�e ciry Builtling Didsion. .
Dale:�— � S ^ ( v �1pDlicanC l '
' FSEMPfION FHOM VlONKEflS' WMPENSITION OECIAMTIOX: (�his sation iwt ba tompleitd il N lii is lor ona huMr¢E �51011) a leu).
I teriity thai in Ihe peAOfmanCe o� l�¢ wOd �o! wAich Ihis permi� i5 issued, 511a11 no� emDloy any n in any mannef 5o as to became
w�lect to the WorkeK Compensalion Laws o/ Calitomia.
Oate: SiAnaNre:
NOiICE: If, atter making [his tleclaration, you shoultl become suhlect to the Workers' Compensatlon Drovisians ol Ihe Labor
Cotla, you musiforthwith comply wiN sucA pravisions or this Oe�mit sAall be deemeE revoked.
CONSTBUCTION LENOING RGENCY: I hereby affirm tAat there is a constmction Ientlin0 agency lor �he OeAormance af ihe work lor
whicA t�is permit is issuetl (Section 3097, Civ. C�.
IFNDEP:
ROOHES3:
OWNEfl 9UILOEB OECUMTION: I hereby aflirtn that I am exempl imm IAe Cont2crors' Slaie license Law for Ihe followinp reason
(Section 7031.5 Business anA Professional Cade: My ciry ot cowry whicA requires a permit to consimct, alter, imDrove, Oemolish, or
repair any stmcture, Orior ro iis issuance, also requires the aDDlicam tor such permit to fAe a sipneE statement Iha[ he/sha is Iicense0
pursuant b Ihe provisions af Ihe Coniractors' S[ate License Law (ChaD�er 9(commencinA with Section 7000) of Division 3 of tAe Business
antl Protessions Code) orthat he/she is exempt lherefmm and the basis fort�e alle0ea exemption. Any violation of Saction 7031.5 hy
any applicant lor a Oermit su6jects ihe apP�icant ro a civil penalry of not more I�an five hundreA tlollars (5500�.
I, as awner of ihe praDeny or my employees xvt� waAes as t�eir 5ole compensation, will do t�e work, antl t�e
❑ stmcture is not intenUeA or ottere0 for sale (Section 7044, Busineu anA Pmlessional CoOe: The Coniractors' State Licenu Law
dces not aODN �o an owner of a D�opeM �o builtls or impmves therean, antl w�o dou such work himsell/herself or throuAh
his or �er own employees, D�ovitle0 Ihat such improvements are not intentled or offered for sale. It, Aowever the buildinq ar
improvement is solE wi��in ane year of completion, the owner will have t�e �urtlen oi provinq he/she Oitl not buil0 or improve
fartne purpose oi ule).
I, as owner oi Ihe properry, am excluSNely con[rac[ing with Iicen5e0 coniractors ro conswct ihe Drolect (Seclion 70d4, Business
❑ an0 Pmfessians Code: The Can[ractors' State License Law does not apPb �a an owner of property who bmltls or improves therean
antl who contacts tor such D�ojecls ejth a contractor(s) license pursuant to [he Contractars' State Licensa Law�. I am aware
ihat O�oof oi their Worker'S ComOenssAon msurance shoultl Oe pronAetl ro me.
� I am exemD� under Settlon: B. 8 P. C.
for ihis reasan:
Oate: Owner.
I Oo Aereby cetlity that 1 am aware of anE un0erstan0 the requiremenis of Califomia Heatth and Safery CaEe Sectians 25505, 25533, antl
25534 an0 that I or any iNure OuilUinA ��uDant will/will not [cirGe one) nee0 ro camply wrtn said state cotles antl Ine aQuirements for a
permit lar cansiructian or moEification irom t�e Nr Uualiry ManaAement OisMct. HesiOen[ial cans[mciion aDPlications are exempt trom
Inese provisions.
Oa�e: Applicant
I here�y certity [hat I have reatl t�is aDPlication antl state that t�e a6ove information is correct I apree ro camDly with all ciry an0 counry
ordinances anA state laws relatinA �o builEinp wnsimction anE �areEy autAorize repre5entatNes of this ciry to enter pon the abova-memioned
pmperiy tor inspec[ion purposQ05. (1 I^a
�ate:7^ ��— 7� Sipnature: �� �
OrNer's License or Social Securlty
18a1�08 W�I�e—BuilEing; Green—COEe Enforcamem; Canary—Applicenl: Pink—Revenue; GOltlanroE—/wassor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 048192 PLAN CHECK NO: N
CONSTRUCTION TYPE: S-N PERMZT TYPE: STR
JOB DESCRIPTION : REROOF COMi� OVER COMP
PERM NO:"B- 048192
GOVT: N SUPP: N
I'�i�r.i.7.`laes��
SQ FT: 2,188
CLAIM Vr1LUE: 2,188.00 CALC-VALUE: 2,1t38.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR(S) REQUIRED ZN HOME.
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Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------ ----- MAIN HJZLDING ---------- --------- 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: 13957124 ZNE: REF NU:
PLANNING NOTES>
>
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L> 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
2UNING APPROVEU HY DAT�: '
BUILDING AFPROVED BY : � „ A_ DATE: '
APPLICATION I55UED BY: .�l-a.,�/(��Q,,/�`'l/�
ifiEiF�ElEiFdEiEjE3E?EieiE%iEiE?EiEiFiEi�iE.�T.c`,.�e��Fie�c x '£X-�
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LEGALIZATION:N F E E S U M
PERMIT
�-� DATE : 7^i �� �U
�if ��',E i� fE iF iE if iE if iE?EiFi�'�iF �iF fFif iF3f 3f
iF iE iE iE iE iE iF iE i4 �E iE iE jE i6 3E i! iF iE if if if iE iF if i4 iE iE iE iE �1E iE iE iE ik
A R Y STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
,50
SMIP/NON-RES
bLDG PMT PLUMBING ELECTRIC MECHANIC
54.00
PLAN
ISSUE FEE
bUILDING-DIV-> PERMIT ISSUE AI;AN-CHECK
TOTALS----> 54,50 O.QO 0.00
REVENUE DIVISION TOTAI.S--> COLLrECTED;
BLDG FMT PLUM9ING ELECTRIC MECFiANIC
54,00 '
TOTAL PAID DUE
54.50 54.50 .00
59.50 OVERlSHORT: ,00
FIRE SMIP/TOT GRAUING FLAN-CHECK
.50
f �
iE iR if �1E ## i: # iE 3F # iF i;� i:- iE iE # iE ir if # jE iF ?4 iE # iE iE� iF it iF iE iE iE iFiF #?E k iE iE #',C # iF 3E iE',4 if # iE iE 3f iE iE jE 9f )E �)E iE iE if iE if if iE iE i(� #?E �f if # if �fE iFlk?f iE
I N D I V I D U A L F E E b R E A R D O W N
TYPE QTY D E S C k I P T I O N UNIT COST TOTAL COST
SFR 2138 REROOF BY VALUE RESIUENIAL NOZONE 1,U0 2,188.00
ENU OF FEES
Oi OQOb5o3T-OODd�635 Y r� y� Sa,St,
DA?E� Q7118/90 Ti14E: i4:Q1
CON�SlRUC�'10N AND PLANNING , . POOL & SPA .
APPROVALS Pe�mit# � Date � Inspector pppROVALS Permit# Date Inspector
1. Tempora�y Electrical Service.or Pole 52. Pool & Equipment Location .
2. SoilPipe-Undrgrnd. ' 53. SteelReinforcement �'�
3. �lectrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit�Undrgrnd.� ' 55. Electrical Bonding �
5. $teel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Pootings 58. Electrical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, � Undrgrnd. �
10. S«uctural Floor System ' 61. APPROVAL TO DECK
11. property Sewer Line & House Connection 62. Backwash & Receptor-Final
�2• Se''ve� CaP : 63. Heater & Vent-Final
13. Foof Drains -" , 64. Plumbing System - Final
14, Rough Plumb±ng 65. EleCtricat-Fina1
15. Rough Electrical-Conduii 66. Solar System-Final
16. Fough Electric Wiring 67. Fencing & Access ApProval �
57. Rough Wiring Sign 68. APPROVED FOR PLASTERING
1$, pough Electrical�T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL �
19. Fough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT
20. flough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground HYdro
22, pucts, Ventil2ting 71. Product Piping O Gas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. 7-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. 4athing & Siding 77. FIXED SYSTEM FINAL
29. Insulation �' r' 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL fNSPECTION
32. Electrical Power Meter-Final �/�� 80. FOOD CERTIFICATE ISSUED
33. Final Electric '��! Notes: -�' ,U - S�^-� �� QP�
34. Final Heating & Air Conditioning 6��
35. Final Gas Pipe-Test ; '�; ,
36. Hood or CanopY r' ��i�,
37. Final Factory Fireplace .�`
38. Final Plumbing [.
39. Water Service�Final �
40. Gas Service�Final .
41. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation SYstem
45. Sound Attenuation
46. Handicap Regulations .
4. FINAL STRUCTURE & BUILDING 4 �� '
48. FINAL PLANNING �.
49. Electric Release to Edison ,,
50. Gas Release to Southern California Gas Co !�
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER ppOLI.O DEVEIAPMENT DATE 4-20-70
JOB ADDRE$$ ��9� Ue..�.t� e.,e.,,,o BUILDW6 PERMIT N0. a7�oa
:ONTRACTOR Same DESCRIPTION of WORK R,
_ LOT Si TRACT �Ro4 FIRE ZONE VALU
SUBCONTRACTOR
ROUGH PLUMBING
PROP. SWR. LINE �.NOUSE CON.
SPRINKIING SYSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIfl CONDITI
TEMPORARy SERVICE OR POLE
❑NOEFGF6IJN0 � POWER �
ROUGH WIRING
TRENCHES C71 FORMS �' STE
FLOOR SY9TEM
BONO BEAM n STEEL REINF(
SHEATHING
FRAME PNtl FLASNING
LATHING � IN Q] OUT �
PLASTER. BROWN COAT
HEFTING, VENT., REFRIG. ,YH� A.C., FIN �'�]A
PLUMBING, FINAL AND GAS TEST / ��(� 7�
ELECTftIC, FINAL � � � � ����0
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COSTA MESA BUILDING-SAFETY DEPARTMENT
PAI�
l�Pf?22-70cnsa001306� �n*141.00
P.p. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicanf to Fill in Completely
RECEI D Y DAT ECEIVED DA E ISSUED
BUILDING �� �D�d
ADDRESS 3322 Nevada Ave.
PERMIT /�
OWNER A ollo Develo ent COT . A.P• NO. --'� �� ��. "T
MAIL BUILDING
ADDRESS 1104 E. 17th St, a.00aess - 3322 Nevada Ave.
ciTv Santa Ana No�547-9673 TaacT 6694 �oT 51 e�ocK
LENpER�ION U. S, National Bank W
X
BRANCH Main Office
OwNEP A ollo Develo ent Cor
ADDRESS 190 S, Broadwa San Die O VALUE
Residence �
AflCHITECT Kermit DOi1llS rE`675-1164 S� g
OR ENG�NEER
3111 2nd Ave. Corona Del Mar FIRE �
AODFESS f ZONE TVPE GROUP
APPROVED
CONTRP.CTOR Apollo Development Corp, ev DATE
ADDRESS ],10�} E. 1%LYl St. �
TEL. ZO NO.OF .� / USE OF NEW
ciTv Santa Ana No. 547-9673 / P�� y BUILDING
STATE CITY �'ARDSAPPROVEO VARDSAPPROVED
��c. No. 252549 LIC. NO. 1(�JO MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLD('.S. (FROM C/L S ET)
OF �OY SG X LOL NOW ON LOT -- FRONT FT. FT.
USE OF
EXI5TING BL�G. 5 L T. /' FT.
SIZEOF 178Z S�F� NO.OF $ 1 O
NEWBLPC� ROOM$ $TORIES 1.51DE FT. FT.
EMERIOR WALL er ROOF
COVERING P1ans COVEFING Wood Shin �.2 REAR 0 FT. FT.
VSE OF BUILDING AND WO:�K TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BlDGS.
Construct new residence with v"R.* OATE
C.U.P.# APPROVED
attached garage. �+�ROVED U
�``'`I (1'�
I hereby acknowledpe that I have reatl Mis application entl state
IhBt th8 abOVB in}OlmatiOn i5 COIIBCt 8ntl 88�BB t0 COTpIy wlTh
all laws �egula[ing builtlinp construction, antl I shall not employ
any perSon in violaiion at tha workman's compensetlon laws of
tha Stete ot Calitomia. �/ a
u
I hereby cartlfy that I am properly licancatl ez a contractor untlar / SQ. FT. < <
the State of California Businass antl Professions Cotle, Dlvisicn 3, THE AMOUNT S WN UNDER VALUATION IS FOR
Chepter 9, antl thet such licanees ere In full force entl aftact, or 1 TME PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am examPt from the provisio�c of the State of Cellfornie Buslness �
VALUATION Q
elltl PfOfB55I0I15 CO IVISIOl1 3� Ch0 LB 9. ��� �
PERMIT FEE $
Sipnature o1� f
Permlttee � 5���� PLANCHECK $ J/(C�� �
V �
Auihoriietl ABant D � u
TOTAL FEE $ � �