HomeMy WebLinkAbout1856 NEW JERSEY ST - Building Permits�oox�ssaem�w�o: 1856 NEW JERSEY ST uxr:
°'""ERs""'"E"'aa"": LYNCH, ROBERT LEE FLOOD: AE-37
"0°"E� LYNCH MARIA C
1856 {�EW JERSEY ST ?�
COSTA MESA,CA 92626 q��
APPI.IWIlN6 ADD11E59: 1 ..
�
ApCNRECTORENC�NEEN: � 11L.N0.:
�xcx on e++o: s woxtss: uHr:
wr+m�croasxu� AANCHO ROOTER ( 909 ) 989-1980
ca+mecroxsxu�a�o 9360 BASELINE _ . .__._
�� ALTA LOMA__ _. CA �� 689936�.__
91701 � . uNT: C . --
LICENSED COMNACTOpS OECIANATION: I heeeby �lim uMa peneYy d perjury Ihet I em licereed uMa pwisona ol Cheqer e '
(commendrq wil� Seclbn 1000) d Diwion 3 d IM Busnma eM Prdenebna Cotle. enE mY liceree b in full brro aM elletl. .
cm .N. uccuss:C-36 �O'NO'` 689936 EXP• _�
o e: %1 � — c�o-ma Q.!lYtXdaZ �� -
WNEN BU DEN UECL�RATION: I he�eby elfi�m wMer peneXy d per'ryry thet I em e:�emq Irom �M Conimlaa Licaue Law /a Ihe
�dlow'vi9 r on (�ion Jp�1.5 Buaiieas eM Ro�eaaions Code: Am/ cry a ooun�Y ��� �9uiiae e paitnN lo mnSWd. elle�. impove.
demol' , ar repv mry avunure, prbr lo ils eauenee, eLw rpuiree tM appliranl lor we� paemil ta fib e eqind emtemem thet M a eM
�,,.ae p,nueni m me pra�iwa,s a �ne comi.a«. linma law fcheq« s(oommeridny wan s.aia, �000) a oi.eia, a a �ro
I uriness enE Prdessbna Code1 a Ihm Ire m elw ia ezemq IMrelrom and �he basis fa IM elbpeE exemqion. MY viobtion o/5epion
]031.5 by wy eppliunt Iw e permil wbjede the eppl'rant to e dvil peneXy d nd mae Ihen fxe huMred ddlen �i500�).
� I.mownardiMpropenYamyempby«ewehwepesmiMisdewmpanaetion.WIEo1MxoA.eMtlwst�uclurtoralinlaMed
a allered Iw sda (Seciion ]oa. e�nwarM Pmfeasiona Gode�. The CoMrepan Licenae lewdaes ro� npWy�o en owrrerd properry
�W�10 blllu' 9IX �Ilpf WN ��Mfl011. BII� M�10 DVBe BI �I WOI�I �1IT9B�i M hBltBr M 1�1fOY'�h NB Cf �1M OYT BTP�+YMS. �bBd �� 811C�1
imqo+emend ua ia inlerded ar dlered la aab. M, howarer, the buiNirp a mqovemeM ie eoN wilhin pr yur d oomplmion, the
owrrer-0uiHar will heve iM WNen d pavifp M or ehe diE nal buik a impeora M tM puryme d sab).
�. av mnwr a �he wasM. �•�tlusiwN mnveana wiln �icensee comracron ro conmua tlw v�d� ISeaon'lou. &�.iro.e ene
Pmleaviau COEe: The Comreem Lieeroe lew Ews nol epply lo en oxiw d paperly who builda a imqwen Iheeaon xd who
mnlrecb Iw wM vrq�� �h e ooMradw�a) licenaed W�auent m IM ConVeqore Licenee Lewl.
� 1 em er.emp uMx SecUan�. B. a P.C.. br Inia raeson:
Dma: Ownm:
i m n..enr �nM md � am ew�.. a e�d �mene u,e ma����n a ce�iome H.e�m ene smbr coee swian. usos. zssx+..m
2553d, vd ihat I u eny Mure buiking ompent will / wil mt (a�cb me) need to compty wIh eaid a�eta codm vM �M repuiremeMs h
epa�millamns�ruclimwmodifwbnhwn�haAi�apemem Dim�. Readamid mnat�utlion eppimibueraeaemq hom Nem
pION910119.
Dete: Applcenl:
WOFKEN'S COMPENSITION DKUPATION: I Mraby elfiim uMer penelly d perjwy one d Ne Idbrriip Eetleretiom:
� I heve end wil meimen e ceMiceia d mment lo eetl-inwm lar vuM1ere' mmpeneetion, m pwided fw by Seabn 3]OU d tM lebar -
Code, in iha pertameze d IM xvA tw which ihie permil ie iesued.
_C] i n..e ena w� meimen naeken• mmo�on imurcnm. m ma��e M seabn a�ao a me �.nw coa. m, me w�«ma,n a me
7C work Ia v.fiich Ihis parm� ia ineued. My waka�i mmpemmion imurenca urrix aM pdiq numEa ere:
c��: STATE FC1ND EXPIRES
aawrN�me« - 07/O1/98..
�mr: �eron neee rw' ee canWew e mev�t o ror or�e n�ndlee emws R�ool w re.n.)
� I mn m in Me peAwmence d the xrork br whc� Iho permil u ieaietl. I ehdl m� ampoy emy pareon in enY menmr eo m to
. Y e a e bjea Io tM xwka�e' compensetion bwe d CalRanie. eM epree ihel R I ehwk becann wbjea to IM woMn'
wmv�s � v,ovisima a seaian sloo al �n. lan« coee. � � �onnwtln wmpy .vim � nwrero^e.
aa: 1�— �����,,.u..� �
W y: Feduro ro ueun woAan'rompuustlan eaverps /a v , eM �hs/l subJseren xnp/oysr ro erlMrol psneMu ene
NI fliw ,q h m� hworstl IhouxlM do/4n (SfOq000), M n b tl�� roat ol rompewtbrt da�p� e� poHdsd bi In
S�ctlm 31f16 0/ Ms Lebor COM, /nNnst, aiM aRomsY'a /wa.
' coNsmucnoN �exoino �aeNcr: i narenr me� ��ee. w�eM d w�i�rv mm mere m e��a� N�ro w�n ro� m.
\ paAOemeMe o11M xoM IIX whch tho pe'ml u'seuW (SMian 309'!. CH. C).
LENDEP'S NAME:
LENDEH'S RDDNES3:
I eeniy Iha� I heve reed Ihia epdiratun eM qtla ihel Iha ebove iMametion is eneretl. I pree to eompy Milh ell ury eM eaunry ordinvicea
eM eiate lexs relalip b build'mq const�uqion eM hareby aulhor¢e �aqeaentetivm d thia dly lo en�er upon iM ebwa-menliaietl pmparly
����9D��"u'�AGNESE BANRS __
(515td6 WP) Whne-&�ikip 8 Sdey:OreemFle: Cenery-Appirant: Pink-Re�anue: Golde��o�Aaeanaor
CITY OF COSTA MESA - HUILDING PERMIT
PEAMIT NO: P 086239 PLAN CHECK NO:.
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION ; WATER HEATER INSTALLATION
CLAIM VALUE: ___
cr.Lc-v�.ve:
N
PERM NO; P 086234
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT;
GROUP OCC; R-3 /
COMMENTS: X
�r*+r***�r+r+r*�t*�*�*�r*�r*****�*x�**�r*x�+t+t+t+t**+tx+r+�+r*�r+r*x ****�r*+r�r*x���r�r�ex��r��r**ir*+rx�*�r�x��c�r�
__ Z O N I N G. R E Q U T A E M E N T S
S E T H A C K S._
------------ MAIN_.BUILDING ---------- --------- ACCESSORY HUILDING ---------
FANT: 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: 13910339 ZNE; REF NO;
PLANNING NOTES>_.__ _ ,
D E V E L O_ P.M..E N T
ZONING APPROVED BY_
BUILDING APPROVED BY
if 1E �f 1f ik iE ik ik IF K ft K iklf iE ik ik k 14 if ik 1F ikiF iE 1F if ik if ik ik iE iF if 1k 1k 1f if 1k iE iE 1F 1k {� {E ii iF ik
S E R V I C E S,�:R E Q U I R E M E N T S
�7 DATE :
- DATE: / _.-�
LEGALIZATION:N ___._.,_. � F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT__.PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT _.,—_..__ .11.00
_.._.. 25t _ SMIP/NON-RES
PLAN _
ISSUE FEE __ 22.00
BUILDING-DIV->�___PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE
TOTALS---.-> ____.1,1.OQ 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 GAADING PLAN-CHECK
__33.00..
iE iF M iF iE if if iF ik �F 1F ik 1F iF it iFlF 1f �F �F iF 1F �F ik if If iflE ik iF iF M if iflF iF iF iFfE iFiF if fF�f 1F iE ik 1k ik k�E if ik if 1E k iF if if ik if ik MiF IE �F iF if iF iE ik iE iF if iF ik if 4*
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
PLU 1. WATER HEATER AND/OR VENT I1.00 11.Op
END OF FEES
12-18-1397/12:�1 P�/533.t��
RCPTH:fll-@�17Q47
f'EkMZT:086234
.. . ,.
CONSTRUCTION ANO PLANNING � - �, ' - . ' P2501 & SPA , � •
APPROVALS �Permit # � / Date Inspector � qppROVALS � Permix �h Date inspector
i. Tempo�ary Eiectrical Service or Pole � 52. Pool & Equipment Cocation� �,
2. Soil Pipe-Undrgr�nd. . ' � -53. Steel Reinforcement � v .
yl, A(, )r1 � . .�
;3r,`.��I�ftrical Cond �11,u�itY-Undrgrod. 54. Forms � • �
..4" EI28trica� CondJ2Y�Flndrgmd. • � 55. Electrical Bonding ' ^�
. Sts� I Fe�ntorceme_F'^.it�._.�-. �' S6. Rough Plumbing & Pressure Test � '
c��?i
cG:.�lectrica� UFER.C;Cnd. ' . 57. APPROVAL TO COVER-GUNITE ; �
�
�7��ootings ^S _ 58. Electrical Cond}�.tL''-Undrgmd. - °1
Y I . JJ ! J J
:8. �oundation � 59. Gas Pipe, � Ui9Qigmd., Test . '-'
`�9.':Water Pipe�Undrgrnd. � •_ - 60. Backwash l.ine� F`-Trap, O�Und�gmd. '
r•
70. Struaurol Fioor System :c � � ' . 67. APPROVAL T%�DECk , " - -+�
it. Property Sewer Lina"& HousSl:onnection . 62. Backwash &-ReceptorFinal�
W ,
12. SCC�er CaP m' 63. Heater & Vent-Final �.:�'� .
1'3. Roof Drains ^ ' 64. Plumbing SYstem - Final � �
n. •
�4. Rough Plumbin� `.� ��� -- 65. Electrical-Final � � � '
)
75. Rough ElectriraL-Coosluit � . . � 66. Solar�System-F.icrat - � � �, � �
ti6. Rough Electric Wirir}gn - ' � ' 67. Fencing & AccQ.�'s��'-4pproval
17. Rough Wiring Sfgn � . 68. APPROVED FQ9'PLASTERING ��
18. Rou9h ElectiiwF1' Bar Ceiling ' ' ' 69. POOVSPA SYST�MS FINAL
19.�Ro�hH�tin9.&Ai�;Conditiorunc� r y. �;�K - FtR�Ecf4EPTcREQUiREMENT �
' � "_ rr. ^3iJ�::i f'1 S � ']
20.'Rou� F�'Ctor¢ Fi�e�Ilace � S!" ��`. '< S*- c*' APP�OV�1�F-' Permit #" 'r -
Y t.5 -1 rr �F �S M N�; �7�� ��J eC !7 n :T__
27. quc[f, � ,..tructur�x j �� �� S;a * � �r, ; �x 70.FUndergrou�sd F�dro x
22. 9ucfs•, Veiitilgtingl:?: t ^ n * v '¢ :� ='� ' 71. Prad4C��Piqing.�i�s � Oil
r-, ti . x. i * �;'c' `� `
23. Gas F�'pe�3oug}� &t7'p`�sc j;�.;. �;C �� � � s�' 72. Undergreuod Ffusl� * ti
24. Roof Framing * �� iT� s' ID� N�x • 7� Undergrrid.Stdra�eTanlC�Gas ❑Oii
c„ � <. n n: x._ v �-.. - �
25. �o0,�.'She�thing x ,.`Za v v�-, '.'�',. � x 7`. Overhead Hydrg� ..�c
26. �-Bar�CeGing fStruc4ural) & MO��oat x O >+ J t� : 7�: Dry Cheiiiica� F^�= � �: � �
v .� T � � r�
27.`�rari��an4'tl Flashing� .^M� �, *-' �' �;��,. 76. Dr Star� i e`-`0�' * `�
Y P P �;±-. k C7 n3 x
Z6. Lath'�ng$aSiding s^ 7^:'- � x� I � 7Z� FIXED�3Y�TEA/f�RJA�" �� �=
k S •• � I i � -. c., r� J, �
29. Insulation � �
.� s � � ; i=, 1}; 7{��FIRE,P,REV. F,IN�L < -.
30. Orywa�� �Nailing 3' N ' i r� i �'. "�ia soi� on.HEALTH DEW7. REQUIFFEMENT
n^.� �r: . s 1-1 r-..
31. Plaster Br-'.',ow yCoat r s ��;;, Y � j'• K' 79, fINAL tAl�ECT�AN ;� p �, S
' ] T. � �' 1 ' ? � V . y
32.��ectricai-i'ower MemrF9ual � :t � �� s� BOi FpOD CERTIF.ICATE VSSUED+ �
rn
33.-Fina�LEle�ric�' �' ''''• '� ''' � � � .'�" `� `7 "y:, 'A "] O xtn
�.. w^ t: G � �-;:-� tC x aa i �. f� NV,tes: at cT]C1 r,. �
34.�_F'in�Hea�ing� Air��ot!ditioriing �-; w} j �.�; :, Y � F�; �; m''
� , a� r r -c m m c,^�
35.�Find1 W'a�-Aipe=Test * `�� c �' I � ' � � �� `��.� � � `'h'
36.,FIood or.`�anoPY .v: v�"i � r,r. u ��� � i c�.7 r.o M n •
i ,� x �
37. Fina�'Factory Firepl'�ce^'� � ;"r' " ' ., � � ? R, ��.- ^�
� c f'.�
38. Final��lumbing * �r,�' � 4 � � "�•� � x
r.
39. Water Service-Final x � ^ * `^" � � ' W �
:4: � :i: I f# p• w> . �4 m
40. Gas Service-Final x`�' �;c..,4- ��"-,., � I ( � "�: �� .* �
- " -.
41. Solar pomestic•Finak ~ :*� ; {* �' '7o c +: %; 7
,�� �� � � � i-: Q i Y: S
42. Backflow Preyenter� fJ ^r=r! a: - � � � -��+ n7O r F,
43. Backflowlrri"\tion� �'y �'� *� �' '. �7 •
�„ c� :� x nS :: 3 O 1
v M � o.•:,n � �: -; .1 . ,,, •, �"
�4. �andscaAe Irrigation;System_�_ � cL `r�� �:K ^- � r c.,� p� � S �.:, `"
45.:Sound Rccenuationy r; •' .. � �� r'•'1X ; a' H� FO r�
c x
�,4,6. ~Handicav i?egulatior�s :; `:; * � � i y� .n ,=� "" r. *
t. _
�47. ��INikL STRUCTURF & BUILDING < r ! ��,. �� � =^ * i-�
. n m : �n!-+ �: � . r� ' �'3 :ti .j
48. •F„INAL PLANNING� � �`� � " (�� '+ ;' ;; ,v S t a,
. � -
c49. �61ect�ic Release to 6dison i x - i ��� _ n `�x � �
r. � ^r..-� � .�.<' ry . � . �� w . , .
`�5�,0. Gas �[3elease to Sout�em Califorr�a-ras Co �. S j� r� r: ru o
�57. CERTIFICATE OF OCCUPANCY ��� ' �- - " - � �
Vo. Dace
Pfl0.1ECTF00HES8: SHSG NEW SERSEY ST
OWNER'SNRME: LYNCH, RCHERT LE�
aoosess: LYNCH, MARIA C
• �1856 NEW JERSEY 5T
COSTA MESA,CA 92626,
719/631-3238
.RflCHIENGINEEfl: , ,
nooxess:
BEG.NO.:
uxrt:
uxi1:
i' PEHMITTEE:SAGWIRE ELECTRIC (714)631-3238
'eooxeu: z � 12 SANTA ANA AV " L
� � CO3TA MESA CA 92627
� 110ENSEO fANTMCTOP DECIAMT10N: I hereby attirm ihat I am Iicense0 unAer pmvisions oi GhaDter 9(commencinp with Section
, 7000) of Oivision 3 oi ihe Business an0 Prafessions Code, an0 my license is in full force anA eifect.
.cmuc.:0491SS �7qTElIC.:SI�IUI cu�.C-10
- � �-lo- � ��1��-
Date: lv SlqnaWre:
WORI(ENS' fAMPENSATION OECUM710N: I hereEy attirm at I ha�e a cerlilicate of consent �o self-insure or a certiticate oi Workers'
Campenution Insuance, or a cenifie0 copy thereoi (Section 3800, LaE. C).
, POLICY NO.: EXP. OIYE:
^ornrnxr:
� Ceriffled copy Is hereUy tumis�etl. ❑ Certi51e0 CODY 15 �ded �h ihe Ciiy Bulldlnp �'rvi5i0n.
Uate: - Applicani: -
IXEMPfION Ff10M VIONNFB3' COMPEN&1TION OECUMTION: Rhis ucti� nreA not be complete0 ii Ne pemh'x for one huntlreA �5100) or less).
I certiry ihat in the pedormanca of the wark ior which ihis Dermit is issued, I shall nat employ an person in any manner sa as to Uecome
subject to IAe Work�g, s' Co�pery�ptian Laws of California.
q �
� . Date: / � � ~ � SiOnature: �
NOTICE: It, aiter makinp this tleclaration, you shoulA 6e me s�hject ta ihe Workers' Compensation pmvisions af the La6or
CoOe, you must forihwith comDty with such pmNsion or t�is pe�mit sAall 6e OeemeU avokeA.
' CONSTPUCTION LENUING AGEMCY: I hereby affirm that there is a consimc[ion lentling aqency tar [he Dertormance oi tha work lor
� which ihis permit is iwueU (Seclion 3097, Civ. C).
LENDEfl:
RODPESS: ' ' �
OWNEH BUILOEN OECIAMTION: I here0y affirm I�at I am exempl ��m the Coniraclors' State License Law for Ihe following reawn
,(Section 7031.5 Business and Pmlessianal COA¢� My ciry oi counry which reQuires a permit to wnsimct, alter, imD�ovq Uemalis�, ar
{ reDair any stmcWre, prior ro Rs issuance, alw repuires t�e aODlicani �or such permit ta file a sipneA statement ihat Aelshe is licensed
pursuant to the pmvisions of the Contractors' State License Law �Chapter 9(commencin0 wit� Section 7000) of Division 3 of the Business
antl Pmfeuians Code) or that �e/she is exempt t�erefmm anC [he Gisis for tAe allepeU exemD�ion. My Nolation of Section 7031.5 by
� any applicant for a permit subjeqs t�e applicant to a civil penalry of not more than tive hundretl Oollars (5500�.
I, u awner of tha propeity or my employees with waqes as their sole comDe���on, will tlo t�e waM, antl the
�❑ simcWre is not intended or ottered for sala (Saction 1044, BuB�nesS anE Professional Coae: The Contracrors' Slate License Law
� dces not apply �o an owner ot a praDerty who builtls or imOroves t�ereon, antl wM Uau such work himself/hersetl or ihrouph
his or h¢r own employees, Dmvi0e0lhat such improvemenl5 are not intenAeO ar oReretl /or sale. Ii, �owever 1he buildinp or
improvement is wld within one year oi comDletion, the own¢� wlll have ihe Ourden ol O�ovinp he/s�e Oitl not builtl ar imprme
^ tor[he Durpose'of ule�.
I, as owner oi the DropeM. am exclusivelv coniractinA ��h IicenseE coniractors ro constmct Ihe Drolec[ (Section 7044, Business
�❑ and Pmleuions Code: Tlie Contractors' SWte Licenu Law Uces not ap01y lo an owner ol pm0erry wha bwlGs or impmves t�e2on
and who contraclsio�such prolects ytA a controc�oqs)licanse pursuant IOt�e Coniraclor5' Stata License Law),I am aware
t�at proof af �heir Worker's CompenseNon insurance sAould be provideE m ma.
�� I am exemD� under Section: � B. 8 P. C.
for this rea5on:
Uate: Ownec
. I Oo hereGy certity ihat I am awam at and untlersWntl IAe requiremenCs af Calilamia Health anE Safery Cotle Sec[ions 255Q5, 25533, anE
� 25537 anC that I or any future OuilJing occuDant vnlUwltl not (circle one) neatl ro compy with saiA state co0es and tAe repuiremenis tor a
permit for constmctian or modification from Ne Nr �ualiry ManaAement District. Nesidential consimc[ion aDO�ica[ions are exempt from
these pmvisions. _
Date: Applicant:
I hereby certity thatl have readihis aDDlitation antl statethattAe abo�¢infarmation is correct.l aqreeto fAmply with allciry and counry
ortlinances and state Wws relatin0 �o huilEinp consfnu;tion an0 hereEy aNAor¢e reDreuntatives of IAis ciry ro enter upon the ahovcmemione0
pmDeM �or inspe�n Duryoses ��,p�
oate: � �d �
16a1J8 W�i�e—BuilEinp; Green—CoOa Enlorcamenq Canery—MGliram; Pink—Revenue: GOltlenroE—Assassor
PERMIT NO: E
CITY OF COSTA MESA — BUILD'iNG PERMIT
049037 PLAN CHECR NO: N
PERM NO: E
GOVT: N
CONSTRUCTION TYPE; ' PERMIT TYPE: ELE ' PIIR
JOB DESCRIPTTON,��: ELECTRIC OOTLETS & CONDUIT TO GARAGE - SQ FT:
CLAIM VALUE; I CALC—VALUE: GROUP OCC: /�
COMMENTS: NC STRUCTURAL WURH "
�*****�r*��r�c*���**�x�**���****�*�***�*�r�*x.��*��*�**��****��*�*�r*�*�***�***�xx��*
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 REAft; FT IN FRT1T; FT IN REAR: ,FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING RE�• YROV: PARCEL: 13910339 ZNE: REF NO:
PLANNING N TES> .
i
***�**���*��**�*��**��*�*x�+�****�*�*x*�*���*�����*�*�r��**�***�+�*�+��*�**�**�*��
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 � pATE:
HUILDING APPROVEL BY : � DATE:
APPLICATION ISSUED BY: �ri� � DATE: ��8�/9 D
ififjfifi%i�"K"�'�if'�'k"K'j("�'�('j('iEjfif�'if '/Ph�;F�.'�if')f'i�'i('if�'ifjf'iE'x'��f �.'TF'ki�'�3E
iE iE iE 3E iF iE ik iE �f df iE ik it if ik iE iE jE iF 9F iE iE iE �Yc iE it 9E iE iE it 3k iF iE � �E it if 3E it dE�iF 3F *�E iE 9E iE iF dF dE 1E iE if iP iF?!� � jE �E iE * iE ik jk iE �lE 9E jE 3F k if dE iE iE iE iF iE df
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 13.25
50� SMIP/NON—RES'
PLAN
ISSUE FEE 15.00
BUILDING—DIV=> . PERMIT ISSUE PLAN—CHECK TOTAL PAID � UUE
TOTALS----: 13,25 1'S,OU 0,00 28,25 28.25 �,00
REVENIIE DIVISIUN TOTALS--> COLLECTED: 28.25 OVER/SHORT: . 00
HLDG F�MT PLOMbING EL�CTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
28.2�
1f if �lE if 3E 3E �lk?E jF 9F �lf ik iF 3E iE iFlE if iE �1t iF 3t iE * if iE ik jf iE ik it jE iE?E # jf 3E if iE # ik iE 9E iE � jf �)E iE �E iE * 1! 1E ik 1E iE �)k jF �f fE �IE dk # 1E i(� iE iF iE ik dE if jE It iF iE 3E iF iE iF
iI N D I V I D U A L 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 TUTAL �OST
ELE 3 �kECEPT/OUTLET S ST 20 EA, ,75 : 2,25
ELE 1 MI5C APPARATUS NOT LISTED REQ PERMIT 11.00 11,00
END OF FEES
1
O1 G0064770—OGOL9]7p �'�y'�
aarc. evis��cn TI'M6t tl8:.?
�
LV.SG
�
CONSTRUCTION AND PLANNING' �
APPROVALS Permit#
1. TemOorary Electrical Service or Pole
2. Soil Pipe�Undrgrnd. � �
3. Elect�ical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgmd. � ,
5. Steel Reinforcement � �
6. Electrical UFER Grnd.
7. Footings •
8. Fou�dation �
9. Waie! Pipe�Undrgrnd. . � �
10. Structural Floor System -
11. Property Sewer Line & House Connection
12. Sewer Cap
13. floof Drains �
14. flough Plumbing -
75. Rough Electrical-Conduit
16. Rouqh Electric Wiring
17. Rough Wiring Sign
18. Rough Electrical�T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-8ar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
37. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final FactorY Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas 5ervice-Final
41. Solar pomestic-Final
42. Backhlow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas G
Date
. ,
.' - PO. y SPA _
Date �Inspector � ' P Date Inspector
APPROVALS . ermrt # -
52. �Pool & Equipment location
53. Steel Reinforcement
54. Forms � "
55. Electrical Bonding �
56. Rough Plumbing & Pressure Test .
57. APPROVALTOCOVER�GUNITE
58. Electrical Conduit-Undrgrnd..
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd. •
61.-APPROVAL TO DECK �
62. Backwash & Receptor-Final
63. Heater & Vent�Final �
64. Plumbing System - Final
65. Electrical-Final � •
66. Solar System-Final " .
67.� Fencing & Accees`ApProval
68. �APPROVED FOR�PLASTERING
69. POOL/SP.4 SYSTEMS F1NAL -
FIRE DEPT. REQUIREMENT
APPROVALS Permit # �
70. Underground Hydro
77. ProductPiping�Gas ❑Oil
72. Underground Flush
73. Undergrnd. Stora9e Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION �
80. FOOD CERTIFICATE ISSUED
Notes:
m
OJEGT110flE5S: 1(jSEJ NnW JERSEY ST
OWNEN'SNRME: LYNCH� tiOBGtZT LLE
nooness: LYNC:H, NfARIA C
1856 N=i�7 JEFtSEY 5':
COSTA MESA,CA 9262G
APCHIENGINEEfl:
p0UflE55:
NEG.NO.:
UNIT:
UNIT:
�PEflMITTEE: CLAYTQN ROOF3NG ( 7i 4) 543—Ei515
nooxess: t.37 YORKTOWN LN
CM CA 92626
UCExSEo CONTNACTON OECNNR710N: I hereUy aHirm Ihat I am Iicense0 unaer vmvisions ol ChaD�e� 9 kommencing with Section
7000) oi Oivision 3 of Ine Business and Pmiessions CoOe, an0 my license is in full force antl e11ecl.
CITYLIC.:OJL�i 3 srnreuc.:60i226 cuss: C-39
oate: C — 2 � — �I � Signature: _
WOHNEPS' COMPENSFTION OELLAPATION: I herehy aifir ��at I have a certi�icate o� consen� to s¢I4insure or a cetlificaie of WorkeK
Compensa�ion Insurance. or a ceni�ietl copy Ihereol (Section 3800, laD. C�.
roucvNo.: 1277432-91 E%P.DATF. �.I/OLI9�
coMrnxr: STATE
� Ceni�ied copy is here�y fumisheA. ❑ Certilied copY is tiled wilh Ihe ciiy Builaing Oivision.'
i�`v.6 G� / �
Dale'. �� 1 �" —� � Applicanl: v
EXEMPTION FPOM WOBNEPS' COMPENSATION OECLANRTION: Qhis section nee0 not �e campleleA if the permit is far one huntlre� (5100) or less�.
I tetlily Ihal in IM1e pedOrmance o� lhe work for w�iCh IhiS permi� is i55ue0, I Shall nol employ any De�son in any manner 5o az �o b¢wme
subject to the Workers' Compen5aiion Laws ol Califomia.
Da�e: SignaWre:
NOTICE: If, afier making this tleclaration. you shoWa become sublem Io Ihe Workers' ComDensation pmvisions of ihe La�or
CoOe. you must forthwith campty with such pmvisions or ihis permit shall 6e OeemeO revoke0.
CONSTflUCTION LENUING AGENCY: I hereby a�tirm ��at��ere is a constmction lenaing agency �arihe De�ormance of �he work for
which ihis permi� is issuetl (Sec�ion 3097. Crv. C�.
LENOEH:
aoosess:
OWNEP BUILOEN OECUFRTION: I hereby attirm ihat 1 am exempt imm ihe Coniractors' State License Law 1or �he iollovnnq reason
�Sectian 7031.5 6usme55 an0 Protessional Cotle: Any ci�y ol county which requires a permi[ �o constmct, al�er, impmve, �emolis�, ot
repmr any slmclure, prior to i�s issuance. alsa requires Ihe aDPlican� for suc� permil �o file a signea sta�emen� tha� he/she is licensed
pur5uanilo��e pmvisions ofl�e Coniractars' S�ale License Law(Chap�er9(commencinB wiih Sectian 7000�oi�ivision 3 o�lhe Business
ana Praless�ons COAe) or ihat nelshe is exempllnerelmm and Ine Dasis for ine allegee exemptian. Fny violation ol Section 7031.5 by
any applicant for a permii su�lec�s �he applican� �o a civil penalty o� no� more than �ive huntlretl tlollars (5500�.
I. as owner oi Ihe pmpehy or my employees wi�h wages as iheir sole compensation, will do the work, an0 �he
❑ simcture is not inten0ea or otfereA far sale (Section 7044. eusiness an0 Pmteuional Coae: The Contracmrs' State License Law
tloes nal appty lo an owner o� a properly who builOs or impmves thereon, an0 Who tloes SUc� wOrk himsel�/hersel� or lhroug�
his or her own employees, provi0etl tha� such impmvemenls are no1 inlended or oifereA Por sale. If, however ��e builtlinp or
impmvemem is so10 within one year ol comple�ion, ihe awner will have Ne burtlen of pmving he/she Aitl no� bui10 or impmve
lor I�e purpose of sale�,
I, as owner ot Ihe pmperty, am exclusively conirac�ing wilh Iicense0 comraclors �o cons�md ��e pmjec� (Section 7044. Business
❑ and Pm�essions Cotle: The Coniraclors' S�a�e License Law does not apply ro an awner ot pmDerry who �mI05 or improves �her¢on
antl w�o conVac�s lor such prolects with a contrac�or(s) license pursuan� �o Ihe Confracrors' Siate License Law). I am aware
thal O�ooi ol I�eir Worker'S Compensa�i0n insurance Shoultl be provitletl �a me.
� I am ecempt unaer Seciion'. B. 8 P. C.
for this reason;
CITY OF COSTA �!ESA —$UII�DING 17ERM'tT PERM NO; b 05750°
PERMIT N0; B 057�05 PLA� CHECK NO: N GUC�i; h SJPP: N
CONSTRUCTION TYPE: V—I� PERMIT ?YPE: STR FURFOSE: ALT
JOB DESCA.IF'tION : T/OFF REROOF W/ COMP SQ FT; %,°OG
CLAIM VALUE: 2,900.00 C_ALC—VALUE: 2,900,OQ GROUP OCC; R-3 /M-1
COM::EN'1'S: 5,10AE D1?TF.CTOR(S) RE�UIRED
�X-�f'K�3F���IEIf�%%-k4f�1C��}(�iEdfiEiF�lf�1f�Y,�1E�Y:lE?ilEicif�lEjEif dE1F'rfiFiFiE�E�%-7Eif�YciEifiE��%if.M-dEiti�.,v,..KY,-�%dflf�7F�3f1EiF�k�%�1E4f�3E�%9f�k�IF-IC��If%�kk#�A��T�
Z O N I N, G R E Q U 7 F. E M E N'f S
sEzaacxs
------------ N.AZN BOILllING ---------- --------- ACCESSORY BDILDING --- -----
FR\T: FT IN REAR; FT IN FRNT: FT iN REAR; FT TN
LEFT: FT 3N RGHT; . FT IN LErT; FT IN RGHT: FT IN
FARKING RE�; PROV; PARCEL; 13910339 ZNE; REF NU:
PiANNING N�TES>
1 ' !L'
3E # if lF-]E # i4 if ik 161E iF iF 3P jE af )f if if if if }'1f iF 1't iF iE )E'1e Ik X� %iF �7h 1E iE �IE iE'1F if 9P ie if # iF if if iE k if �lF iE iE iF iE iF iF ie 1i� iF iE 1E fF 1F 3F?P }:� ii� V��%iE ii� 3i 1F iF 3E iE i(�.Y-
D E V E L O P M E N T S E R V I C E S R E Q i1 :C R B M E ��,;'d' S
'LONING APPROVED BY PATE; ��.;
HUILDING AFPROVED HY ; DAT�:
APPLICATSOPd ISSTJED BY• //�
If 9F iE IE!(� if� 1F iE X� �If i(-#F iE iF iF?E If iF 1c !F !F ic'�iF�•��'-'_•--�--�
%� iP iF 36±!� 3F 3F if� 7E �1E 3E �k iE it� 3E 3E i� ib +F ic if 3e K� Y. iE N-iE iF 3E iF iF�7F �N-�F ?:� �IF ie 3E
LEGALI7.A?LIUt�:N F E E 5
BLD� PM7' PLIIMBING
PERMIT 59,00
.�— DATE; OS—z7i7�
�� sh �£'£�£'£it.. ih1E3f1f"lE'1FiEli'�FiE '. t. ., c r iFfh
iE 1E iE iF iE iE it if ie iF iF k if if 3f �l: ?f 3P ie �lf iE iF iE i@ ih ik?Eir 3f ?F 34 if ?F } N# iE �16
M."�. A R Y ' STRUCTURAL SEGN.�;�'I'; y
MECHANIC FIRE SMIP/RES GR.�I�G
,50
5MIP/NON—RES
PLAN
ISSUE fiEE
9UILDIAG—DIV—> PERMIT ISSUE PLAN—CH£CF; TOTAL PASD p�H
TOTALS----� 54.50 0,00 0,00 ,. 54,50 54.50 ,00
REVENOF' DIVZSION TOTALS--> COL4ECTED; 59,50 OUER/SHORT; UO
BLDG PNT FLUMBING ELECTRIC MECHAiV'1C FIRE SMIP/TOT GRAD'1NG Pi,AN—C$c.CK
J9,OO .`JO
#F 1F iF �lh �4 iE IF if� 3F 9f lP iP iF 3f if iE if 3f 3f *%� iF iE if if �)k if fF i(� iF 3F 3E iF 3F �iE iE 3F iF if iE iF d(� iF jE if iF fE iP iE ii� 3E 7'r if i(� 3f it �lE iE �)f X� �N� iE?F iF i'r iE li� �)E iF M 3f jF IF #� #-1Ei( iF iF
Z N D I V I D U A L r E E B R E A K D O W N
TYPn QTY D E S C R I P T I O N IIhiT COST TU3AL COST
Dale: Ownec I SFR
I Oo hereby ceniry that I am aware of an0 untlerslana the repuirements oi Califomia,Healih and Safery Cotle Sections 25505, 25533, antl
25534 antl Ihat 1 or any INure building accupan� will/will no� (circle one) neetl Io comply with saia sia�e coaes antl ihe requiremen�s �ar a
permi� �ar con5imclian or motlilicalion �mm ��e Air Ouali�y Management OiSVicL Re5i0eniial consVuc�ion aOPlication5 are eaempt tmm
NeSe pmvisions.
Oa�e: Applicant:
I hereby cetlAy Ihat I have read Ihis aDPlication ana s�ale �hal Ne above information is correc�. 1 agree Io comply wi�h all cily and counry
ordinances and s�atelawsrela�ing�o builDing constmclion ana hereby ut�orieerepresenialives o��M1is city�a enle�upanthe above-men�ionetl
pmperty for inspecuon purpos/es.�
-$aie: � ����%_3` Signature:
omer s iicense or souai sewrity
ApPlsanL Pink—Revenue; Goltlenrotl—Assessor
7.900 REROOF BY VALUE RnSIDENTZAL N07,ONE 1.00 2,900,00
END O: rEE5
SMOKE DET�CTOF�
R�QIiIR�p
:71 D01i5342—�i0it5�43 '(i'ti�sT
GRTE: 0":1/4? Ti.i�E: �J9�S;
i
CONSTRUCTION AND.PLANNMG , _ = POOL & SPA -
Date Inspector ' ' Date � Inspector
I �'AppROVALS Permit# _ _ APPROVALS Permit#
• 1' ' .
i. Temporary Electiical Service'or.Pole � - - 52. �Pool &"Equipment Locatiori �
2. Soil Pipe�U�drgrnd. � -�� �y, �� � 53. Steel Reinforcement . . i,
3. Electrica� Conduii Ut�lity-Undrgmd. � � . . 54. -�Forms _ - �
4. E�ect�ical Conduit-Undrgrndl� J ' 55. Electrical Bonding . �
5. Steel Reinforcement �- - 56. Rough Plumbing�& Pressure Test
6. Eleccrical UFER Grnd. ' S7. APPROVAL TO COVER�GUNITE
� 7. Footings - 58.- Electrical Conduit-Undrgrnd.
8. Foandation ,' , 59. Gas Pipe, O Undrgrnd., Test �
9. Water PiPe-Undrgrnd. � � 60. Backwash Lines, P-Trap, 0 Undrgrnd. �
70. Structural Floor System 61. APPROVAL TO OECK �- �
1 i. Property Sewer Line & House Connection 62. Backwash & Receptor�Final ''
12. Sewcr CaP � � 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System � Final •
14. Rough Plumbing � , 65. Electrical-Final
15. Rough Electrica6Conduit ,� 66. Solar System-Final � �
- 16. Rough Electric Wiring 67. Fencing & Access ApProval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG
18. ftough Electriwl�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning �FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Dutts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas ❑Oil
23. Gas P�Pe�Rough & Tesi 72, Underground Flush
24. Roo� Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead HYdro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Ftashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywal� Naiting • HEALTH DEPT. FEQUIREMEN7
37. Plaster Brown Coat . 79. FINAL INSPECTION
32. Electrical Power MeterFinal I � 80. FOOD CERTIFICATE ISSUED •
33. Fina� Electric � Notes: ,
34. Final Heating & Air Conditioning �
35. Final Gas Pipe�Test
36. Hood or Canopy � �
u'
37. Fi�al Factory Fireplace � -
38. Final Plumbing "
39. Watzr Service-Final '
40. Gas Service•Final
41. Sola� Domestic-Final
42. Backflow Preventer � � ,�
43. Backflow Irrigation -
44. Landscape Irripation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING � 23''!�j �fi��
48. FINALPLANNING , .
49. Electric Release to Edison ,, �
50. Gas Reiease to $outhern California Gas Co '
51. CEF7TIFICATE OF OCCUPANCY
No. Date
�
7
/
PHOJECTAOOflESS: SBS6 NEW JERSEY ST
�^ OWNEN'S NqME: LYNCH ROHERT LEE
� aooness:LYNCH� MARIA C
1856 fJEW JERSEY ST
I�' COSTA MESA,CA 92626
AflCNIENGINEEH: BEG.NO.:
aooness:
UNIT:
uniT:
PEflMITTEE: GALKOS CONSTRUCT'ION ( 714 ) 664-4125
nnoeess:16151 SANTA BARBERA LN
�UN�TI�IGTON �EACH CA 92F��9
LICENSEO CONTflRCT UEC flF ION: I hereby a lirm tha� I am licensed untler pmvisions o C apter 9(cammencing wiih Semion
7000) ol �iNsion 3 oi ihe Business and Professions Cotle. antl my license is in Iuli force anA efiect.
CITY LIC.: STATE IIC.: C S:
0�327�4�� 492714 -B p /
Daie: Signa�ure: . �H�+ ,�L%���'�� ��
WOflNEPS' COMPENSATION OECLAHATION: I �ereby aliirm I�a� I hav a certdiwte ot consent to sefl�insure or a certitiwie ol Workers'
Compensalion Insurance, or a cerldie0 copy �hereol (Seclion 3800. Lab. C�.
roucvNo.:�gg565-93 E%P.OPTE:OLIOSI94
comrnxv:STATE FUND
❑ Ceriitied copy is hereby fumished. � Cetlifiea copy is fileU wiih [he city Building Divisian.
�a�e- �'l' �%— ` � APDficanL %`� .
,
E%EMPTION FROM WOBKEBS' COMPENSPTION UECLPNRTION: (This seclion e� nat Ee completcd i� ih ermit is for one Auntlretl (5100� or less�.
i I ceNry Ihat in Ihe petlormance o� Ihe work for w�ic� this permit is �ssuetl, I shall nol employ any person in any manner so as to become
subjec� Io Ihe Workers' Compensalion Laws of Califomia.
Date'. SignaNre:
NO7ICE: IL after making inis tleclaration, yau should become subject to the workers' Campensation Diovisions of the Labor
Co�e. you musi lonhwil� compry with such pmvisions or ihis permit shall he deemed revoked.
CONSTflUCT10N IENDING AGENCY: I hereby aflirm �hat ��ere is a cons�mdion lentling agency lor the peAormance of �he work br
w�ich Ihis permii is issued (Sedion 3097. Civ. C�.
LENOEX:
FODflESS:
OWNEfl BUILOEP OECLAflATION: I hereby allirm �ha� I am exemp� Imm Ihe Comractors' Stale License Law for ihe �ollowing reasan
�Secuon 703L5 Business an0 Professional Cotle: Any ciry ot coun�y which requires a permi� Io constmc�, alter, improve, demolis�, or
repair any simclure, piior la i�s issuance, also �equires ihe applican� tor such permil totile a signed statemen� Ihal he/s�e is licensed
pursuan�tol�e pmvisions oflhe Coniraclors'Slaie License law�Chapter9(commencing with Sec�ion 7000)oi �ivisian 3 ot�he Business
antl Pmfessions Cotle) or ihat �e/she is ezempl �herefmm and Ne hasis for the allegetl e�emplion. Any violation of Section 7031.5 by
any aDPliCan� lor a permi� subjec�s Ihe appliCant Io a tivil penalry of nol more �han �ive �unAred d011ar5 (5500).
I, as owner o� �he pmpetly or my employees with wages as �heir sole campensaiion, will Ao �he work, antl �he
❑ slmcWre is nol imenAetl or of�eretl �or sale (Section 70a4. Business an0 Pwlessional Cotle: The Conlractori State License Law
tloes nol apply �o an owner of a propetly who builds or impmves ihereon, and who tloes such work him5elf/hersefl or ihrough
. �is or her own employees, O�ovitled �hat such impmvements are not inlenUed or ofiered for sale. It, �owever �he builtling or
� impmvemenl is soltl wiihin one year ol compleiion, the owner will have the burden of pmving he/s�e ditl no� builtl or impmve
lor ihe purpose ol sale�.
I, as ownArol Ihe pmpeny. am exclusively contrac�ing wiih Iicense0 conVacinrs to consimc� Ne pmlect (Sec�ion 704a, Business
❑ ane Prolessions Cotle'. The ConUaclors' State License Law tlues not apply to an ovmer o� DroDe�Y wha builtls ar imDmves lhereon
ana who coNrac�s lor such prolects wilh a conlrac�oqs) license pursuant�o ��e Contrac�orY Slate license Law�. I am aware
I�a� prool ot �heir Worker's Compensation insurance s�ould �e pmvitled ta me.
� I am exempl under Sec�ion: B. 8 P. C.
lol Ihis red5a0'.
oate�. owner.
I Qo hereby cetlily thal I am aware oi antl untlerslantl Ihe requirements o� Califomia Heallh and Safery Code Sections 25505, 25533, an0
25534 an� tha� I or any IWure builtling occupant will/will nal (circle one) neea �o camply wi�� said s�ate codes and ihe requiremen�s br a
permii for cons�mdion or modilication imm Ihe Air Oualily Managemen� �isiricl. Resitlential conslmction applica�ian5 are ezempt Imm
ihese pmvisions.
Oale'. Applicanl'.
I here�y cenily Ihai I have reatl this ap0lica�ion antl s�a�e Ihat �he above inlormatmn is correcl. I agree lo comply with all ciry antl counry
ortlinances antl statelawsrelatinglo �uil0ing constmdion and hereby au��onzereDresenlativesolthis ciryto enleruponihe above-meniionetl
p�operty bi inspection puCrp.o`ses. '
�ate: G—I^I` I� Signaiure: � �s����"'%"—
Onver's License ai Sociai Securiiy ":
t6at�46 Wline—Buildinq; Green—Cotle EnlorcemenC Canary—AppbcanP, Pmk—Revenue; Goldenmd—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 062692
PERMIT NO; B 062642 PLAN CHECK NO; 02156-93 S GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION ; 248SF OPEN LATTICE PATIO COVER SQ FT; 298
CLAIM VALUE: 3,000.00 CALC—VALUE: 3,670.90 GROUP OCC; R-3 /
COMMENTS• PATIO COVER ���KF DETECT�R
��t�r�t*x��t�ti�*�r*+r***�r�t�r�t�t�r�r�**�t�r*�r�t�t*�e*�t****xx**���r*�t+r��*** � *�r* **��t*�t*��c��r *�r**
ZONING REQUIREMENTS REQUIRED
S E T B A C K S ,
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; 16 FT 6 IN FRNT; FT IN REAR; FT IN
LEFT; 15 FT IN RGHT; 35 FT IN LEFT; FT IN RGHT; FT IN
PARKING REp • PROV; PARCEL; 13910339 ZNE; R1 REF NO;
PLANNING NOTES> PATIO COVER WITH LATTICE TOP TO BE CONSTRUCTED TO THE>.REAR
> OF AN EXISTING SINGLE FAMILY RESIDENCE, "%
��������*��**���*���***��,�����.��*��.��*���.���**�����*�**�*�*��**�*�*��**����.��*�
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 �V�Y� DATE; �q?
BUILDING APPROVED BY : DATE: p /
APPLICATZON ISSUED BY• DATE• �? �� l�
iFiklEikif�ikffiFkifiEitiEitikikitlEitiFi(�ififiE"iF'iF7FiF�FifiFifiF'if�f'iFiFiFiF3F{FifiFiF 'iF 'iF3F'ifiFiF'if�Fif7Fif1EiE3EifiFillEiFiE�IE ifiE
iE iF iE �k 3F iE if if it it iE it iE iE ik iE k iE if i! if it iE iF k iF if iE if iE 1E 1E iF iFiE it iki! it itiE it iE iE it iE 3tiE i! iE iF ikiF k k iE kif ak it 3ElkiE iFikiE i! iF.i! it k iE it iE iF * iP iF if
LEGALIZATION;N F E E S U M M A R Y STRUCTURAI,'�SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE�S�J GRApING
PERMIT 63.00 50.
SMIP/NON—RES
PLAN 40.95
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63.50 0.00 40.95 104.45 104.45 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 104,45 OVER/SHORT; Op
HLD63P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—qH�gCK
,95
1! iE i! if iE 1E if if if iF 1k 1E iE iF if iElE iE ik iE iF iFiF If if iE iFiE 1F 1E if if if iElFiE 1E iE iE iF iE i! iE ik iFiE 1E it iE IE if 1F 1E iE iEiE ik iE iE 3F IE iE 1E 1E iF if iF ik iE 161k if IF iE 1E iFy. iF 1f
I N D I V I D U A L F E E H 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 248 RES—PATIO COVER—POST & TRELLZS 14,80 3,670,qp
END OF FEES
O1 �0141131-00141133 T C�T iO4,45
DATE: Ob/17193 T?ME� 04:28
,
, ,.
,�.
"-CONSTflUCT10N AND PLANNfNG - POOL & SPA �
APPROVALS Permit #� Date Inspector APpROVALS Permit # Date inspector
1. TemporarY Electricai Service or Pole _ � 52. Pool & Equipme�t Location �
2. Soil Pipe-Undrgrnd, . . .` " 53. Steel Reinforcement �"
�3. Elecirical Conduit Utility-Undrgrnd�. 54. Forms �""
�
4.. Electrical Conduit�Undrgrnd. ' 55. Electrical Bonding
�5. Steei Reinforcement 56. Rough Plumbing & Pressure Test .��
6. Electr,ica�UFER`Gmd. ��, 57. APPROVA�TOCOVER-GUNITE
,7. Footings _ . 56. Electrical Cqnduii�Undrgmd. ,
8. FoUndation . 59. Gas Pipe, � Undrgrnd., Test
•�9. Water Pipe�Undrgrnd. �- 60. Backwash Lines, P-Trap, O Undrgrnd.
'10. Structurs� ftoor SYstem �' � t j�I 61. APPROVAL TO DECK -'
{ 1 S. Property Sewer �ine & House Connection � 62. Backwash &�Receptor-Final �I� ,
� _
12. Sewer Cap , _ � ' ' �,' 63. Heater& Vent-Finai �' '
�` -
13. Roof DrBins . ��' '
-_ . % � 64. Plumbing System - Final /�'�
74. flough Plumbing " r� 65. Electrical-Pinai �
55. Rougfi EfearicaRConduit 66. Solar System-Final -
� 76. Rough E�ectric.Wiring 67. Fencing & Access Approval �
77. ftough W��ing Sign 68. APPROVED FOR PLASTERING
18. Rough E�ectrical�T Bar Ceiling 69. POdL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning _ � . FIR�,D�,PT. REQUIREMENT
. - :1
20. ;!?oUqh Fae2ory Fired�ace '.'r `� ' , = ' r.`.'' APPRO�VALS �, ' Perrtiit # '
2L�Ducts, inStructuce'� ' - ^ - '� ` -70. Underground HYdro '
22..DucTs, VentiYa'xing ; � , � � - � „ ' .,71. ProducDPipin9 [7�Gas OOiI
23. Gas Pipe-�Rough & Tesc V : � 'i " . � 7z, Underground Flush � '- • �
24.` Aoof Framing' _ � ' "' , � ;_ " �73. Undergrnd.'Storage�Sank C� Gas ❑ Oii
25. Roof Sheathing '� • _ -r .- 74, O"veihead Hydro �
26. J•Bar Ceiling (Structural) & Monocoat � i ,`� ' ' � , 75.�Dr.y Chemical " .
27. Fremeand Flashing � ,^:s, � >- �, 76. Dry Standpipe
r •
28. Wthing'& Siding ''• ?,., :" I ' I; � 77• FIXED SYSTEM�FINAL.- .
29. Insulati0n • � �- � � � ' 78.`"FIRE PREV. FINAL • •'-'
30. Drywall Nailing .: . ' , � , - _ HEALTH DEPT.'REQUIREMENT
• 31. Plaster Brown�Coat�� � �' t ! � `• 79. FINAL INSRECTIOiV •
32. Electric2l Power Mefer�Final , ,�� I � ' 80. `FOOD CERTIFiCATE ISSUEp
�33..Finai ElBciric- - � � - Noter. �, _ • ��
- i�
� 34.� Final Heating & Air'Contlftioning � '� `' ' � _ - � " L - �
•� � • c c
' ' ^ i �
35.'Final Gas�Pipe:Testr � - . � _ . - � '
-36. Hood or Canopy " = ' - - (' • . - ; • �
37.�F.inal�Faaoryfireplace.. �- - � P'I �`.�'. � '
38.� Final PlUmbt�9 . . .- . ' I ' -�,,. _ . . ---
:I I
39. Water S¢rvice�Final � . " _ � � " '�
'40. Gas Serv�ce-Final � ` - +� � � ! _
'41. Solar Oomestic-Fina! ' -. � ��', " , ' I .,
.� - �
� 42.� Backflow PrevenEEr - . 1= , . � � - .
43. Backflow Irrigatiori' � `: ' - . , . " � `'
.p. . . � F
44. LandscaPe Irrigation�System' ��' �- • - '� �- � � - � �
� :.
45. Sound Attenuation��.,:�� ��� , j . � , , `� . �' ' ' �
46. �Mandicap-Regulation5" :' � ; �� �� T . - ,
47. FiNALSTRUCTURE:&BUILDING �� Zr �
_ � . � �
48. fINAL PLANNING<:,,}� - � � � I l._�� :� ,^ � � -
49..Electric�Release.taEdison ' � �� - �� ' � � . ' '
- .�
.50. Gas Release to Souther� Caiifornia Gas Co � I� i �• �• �
57. GERTIFICATE OF-OCCUPANCY • • ' '
No. Date
CITY OF COSTA MESA C STRU.�IION PERMIT
. Project�Address � ' % � '
Applicant's Mailing�/Ajd�dnress ' n �
' Owner's Name �L[_/S ����tw�„ Phone
Address �t6�,f'Yr �P: J � '
ArchlEng. — � - License No.
Address � /j/�
Contractor'sName � Phone�9�-!!-Q.�
Address (m 1' 9) - , . i �� .
City�LicenseNo. � �,����_`1
LICENSED CONTRACTOR'DECLApqTION
bhereby aHirm tbaLl am licensetl untler provisions of Charter 9(commencing
wi[h SeEtian ]000) of Division 3 ot thE Business and Profe5510ns Cod¢, antl �
my liiense iz in full r ntl effecL �
License lA - ' icense No, � � -
oate ' ,Si9nature !ti�
p WORKE 5' C MGENSATION DE��. . .
( I hereby aifirm tnat I have a certifica�¢ ot consent lo selt-insure or a certifiWte
of Wo�kers' ComOensation InSuranCe, o� a ce�Hfietl copY tnereot (Se[tion
3800, Lab. C.n���'l^�� ��� {/� �/ �.�(.�
I Polity No. �� �� � Company �"l____
ertified copy iz hereby fumishep,
Cet �f� P iletl wrth the city tli i' i �
Date Applicant �f���<�
�EXEMP 10-�RKERS' COMPENSATION DECIARATION •
(ThiS section neetl not be com01ete0 {f the pe�mit is for one huntlred (E100) or �
less). .
I certify that in the pe�fo�mance of tne wo�k for wM1icM1 this pe�mit is i55u¢tl, 1
shall not employ any person in any manner so as to become subject to the
Worke�s' Compensdtion Laws of Califomia. '
Da[e � Si9nature � • � �
'NOTICE: If,after making Ihis tleclaration, you shoultl become subject to th¢
Workers" Compensation provisions of the" Labor Cotle,-you'mu5t forthwith
comply wilh such p�ovisions�o�-(his pe�mit sball �be tleemetl revokeE.
CONSTRUCTION�LENDING AGENCV. � �
1 hereGy affirm that there is a constrUction lentling agency tor the performance
of the work for �which this permit is issuetl '(Section' 3097 Civ. C,)
lender's Name
Lentler's AOdreSz � ' - '
OWNERBUILOER �ECLARATION.. ' � '
I hereby atfirm that I am exeiimp[ trom the Contrattor'S License Law to� the
followin9 reason (Section ]031.5 Husiness antl Professional Cotle: Any city or
county whicn requires a pe�mit to cpn5[ruct, alte�,-improve, tlemolish or repair•
;-any structure, prior to its issuance. also requires Ne applicant tor such permit '
to file a signetl stalement [hat he/she is licensetl pursuant to the provisions of
-the Contraclor'sLicense Law'(Chapter 9(wmmencing with Section ]000) ot
"Division 3 oi the Business;antl PrOfessions Coae) or tnat he/she is exempt �
,theiefrom antl the ba5i5 fot the allegetl ezemplion. Any violation ot Section
703L5 by, any applicant fOr� a �e�mit subjeCtS the aOP�icanf to a tivil
penalty of not more than froe huntlretl Gollars ($500). � .
�.-0 1; as owner of the property or my employees with wages as [hei� sole
�mmpensation, will tlo the work, aqtl fhe strucWre is�not intentletl or offeretl
for sale (Section,l044, Business 8ntl Professional Cotle: The Contrac[or's
License Law�tloes not appry to an owner ot a properry wM10 builtls or improves
chereon, and who does such woik himself/herselt oqthrough his or her own i
emploYees, provi0etl that such improvements are mt, inkentletl or offeretl for �
sale. If,�however, the builtlinq onirqprovement is soltl within one year of com-
pletion,'the owner will have the burtlen of proving he/she tlld not builtl o� im-
�rove for the pu�pose of sale). � �: �
I,�as'owner o` the property, am exdusively contrac[ing wltn licensetl con-'
[�actOrs to construct the D/oject (Sec[ion ]044, Business antl Professions Cotle: �
The ConVactorR �icense Law does not apply to an owner of;property who
builtls o� improves tne�eon, antl who contracts for such pwjects with a com
tractor(s) license pursuant to the Contractor's License Law). I am aware that
proo( of their Worker's Gompensation insurance shoultl be provltletl to me.,
I] �I am.exempt untler Section g. & P. C. tor this reason �
�
Date � owner �
1 nereby certify that I�have reatl this aoP�ication antl state Nat the above
in(ormation is correcL,l agree to comply with all city antl county ortlinances '
antl s[a[e laws relating.to builtling construction. antl he�eby authoriie rep�e-
Aopliwnt to fiil in.all soaces.exceot inose wlthin heavy oortler Iines�an0 si9^ all appropriate aeclarations.
PER T NO. � TRACT'NO. _LOTNO. UNIT N6.; ,�:
, a � ,
TYPE OF CONSTRUCTION' � NEW - ADD. ALTERATION_ F
❑ CONVERSION� ❑' DEMOLISH � OTHER =
DESCRIPTION OF WORK/,USE OF BLDG. - �
- � -. �. .
TVPE OFPERMIT � ❑ �GRADING�OUN�ATION ❑ STRVCTURAL
' ❑ TENANT ❑ ELECTRICAL PLUMBING �❑ MECHANICAL � �
❑ �OTHER� � ' �� � ' '
PROJECT DESCRIPTION 5Q. FT. �- ' � • OCCUPANCv�—
CONSTRUCTIONiTVPE � � �VALUATION$
ZONE � GRA�ING CU.YDS. � � ACRES—
Aemarks: � � ,�' , � /� � f ��
` V
Sink '
cflow Preventer � �
<flow Irriqation '
Ciarifiers . _ . ,
Dishwasher �
Drinking Fountains �
Floor Oreins �
Floor Sinks • - ' -'
GasService ;Outl�
Intercepmrs ' � �
Kitchen Sink '. � j
I avatnries . •
IIBING i I
Showers �
Service Sink �
$eWer Cap� ,
Sewer Connectiori �
$olar Collectors.� . . __
Solar Pipin9 �
Solar Tank �
Swimming Pool w/Spa
Water Closet
Water Heater
Water Service
P—Tra[i Laun
Roof Dreins � , _ � , . .
R
= A.P. #,
S Main Bu
— E
T Front
B Rear
A
— C Right
— K Left
— S
— Plnq. Ref, #
- Reinspaction Pee �� $15 - laue Fee $ 3'
-� . . � ' ,�.MECHANICAL . FEES
Boil'er ' • � � Hood or Type I ❑ �.
Duct�- Under Ground �nopy Type I I ❑� _
Duct - Structurel � . � Refrigeretion System � �
' ' i
Duct- Ventilating� - - - --� 00-100,000 BTU ��100,000 BTU - -
Exhaust System ❑ Multiple ❑ System Repair/Alteration
Firepl/Fact.81L IC80 # Fire �ampers ' �
Heating System & Ducting ' qegisters � �
- �0-100,000BTU 0100,OOOBT : �
I 99nature _(�(_J �
�'�--
CMF �865-46, rev. 30/84 White - Buil0in9: Canary - Applicant; Pink - Accountin9; Goltlenrotl - Assessor
" _" '_1 "" "' _ " " . . .� .
- •, B75'4. 7/02f86, . .. • -5:00 TL
. , . _ __ ;
Accessory I
' �
_ 2ona
�9_ � z ,
. • . p. '
:� , N:
` I;
N
_ G .
' R'
' E
Q
• M
� T
1 S
FEES
ing Req:/Provided,
ELECTRICAL i
Aummatic Washer Transformer ❑ 15-50 KW
ConstructionPoleSub. ❑ 50+KW
Cookin9 Unit �� ; Meter ❑up ro 100 amps
Dishwasher .. . _ . Meter_�over100amps
Dryers ❑Gas DElectric
Fan
F.A.U.
F i xtures
Device Boxes
QUtICtS �
Switches � '
Garba9e Dispoul �
Generator DO-5 KW 05-15 KW
I Reinspection Fee � $15
DEVELOPMENT SERVICES REQI
Zaning Approved By • �
Building Approved By
AppliwtiOn Issued BV
Sub Panel
Motors DO-1 HP �1 %= 8 � '
Inc.Solar 09-15 HP 016-15+ .
Microwave �
Pole Light '
Range
Standing Sections
Trash Compactor
luue Fee
n
$ 3
i � . � SUMMARV OF PEES ' ' �
� BUILDING PERMIT $ � SMIP, , � $ • �
PLAN CHECK $ � ' �ERMIT �
� PLUMBING $ ��w'SSUANCE � $ �
PLAN CHECK 25% $ � ENERGV�P.C.' $ :
ELECTRICAL � $ � � ' GRADING $ � ,
PLAN�CHECK 50% $ MICROFILM $ `�
�
' MECHANICAL ! S � TOTAL FEE $
PLAN CHECK 25% $ �' � � , � � '
_ � _ .. .. ,� , �.- . . . . . . . . . , . . . t
�CONSTRUCTION AND PLANNING POOL & SPA .
APPROVALS Permit# Date Inspector � p�ppROVALS - Permit# Date Inspector
. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 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. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. -�
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final �
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final �� - -
16. Rough Electric Wiring � 67. Fencing & Access Approval . �
17. Rough Wiring Sign , - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.•Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.
20. Rough Factory Fireplace ' APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test � , 72. Underground Flush
24. Roof Framing �. 73. Undergrnd.StorageTank C7Gas ❑Oil
25. Roof Sheathing ' . 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) &�Monocoat 75. Dry Chemical
, 27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
31. Plaster E3rown Coat � ' 79. FINAL INSPECTION .� �
32. Electricsl Power MeterFinal 80. FOOD CERTIFICATE.ISSUED .
33. Final Electric � Notes: �
34. Final Heating & Air Conditioning ' .,
35. Final Gas Pipe-Test �
36. Hood or Canopy � �
37. Final Factory Fireplace ' . ' - '
:�
38. Final Plumbing �, ��10� L�� . �
39. Water Service-Final �''' '
40. Gas Service-Final � �' � ' ...
, ..,
41. Solar DPmestic-Final �� �
i �d
42. Backflow Preventer - . , � �
43. BackfloW Irrigation t' � � - �
44.• Landscape Irrigation System - '
45. Sound Attenuation ��� � � .
46. HandicaP Regulations , � .
4�. FINALSTRUCTURE&'BUILDING
48. Special Requirements Completed '
49. Electric Release to Edison � - � ' � -
50. Gas Release to Southern California Gas Co �
...
5t. CERTIFICATEOF.00CUPANCY , -� `
No - Date �
�:
• 129�86
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% S77 COBTA MEBA, CALIRORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
ADDRess 1856 Neya Jersey St.
COSTA MESA CALIFORNIA
ADDRE55 9 F• 1`%th St•
cin C b
ARCHITECT C1ilSOI1 &
h St
TEL.r
TEL.
NO.
TEL.
NO. OF BIDGe.
FEE RECEivED
��.�u� i i �o
FINANCE DEPT.
CITY OF C,OSTA MESA
APPLICATION FOR PERMIT
� BUILDING
For Offiee Use Only
aeceu+T rvo. y��_; ��
1 �d
BY D REC CD DAT6 IBBUED �
�l-��G�� �m t t 1s�J
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE �� I NO. OF r� �I UBE OF N[W
PLANS �� BUIIDINO
LEOAL _ _ _ _ _ _ � . _
USE OF ypROS
EXISTING BLDG. TlOne pppROVEO
SLTBACK LINE FROM (CENTlR LINE BTJ
cexrea oF srrseer O� REAR YARD O� FRONT
31DE YARD I LEFT S� I RIGH7 S� R. SIDE
DESCRIPTION OF WORK
APPROVED
EXTERIOR WALL ROOF
COVERING SjlU�'Cn COVERII
USE OP BUIL�ING AN� WORK TO BE
�I�9
1 HBREBY AGKNOWLEDGE THAT I MAVE RE�D i1119 MPLIGTION THE AMOUNT BHOWN IINOEP VALUATION 19 FOR TH6
AND 9TAT¢ TH.�T TNE ABOVE IB CORREGT AND AOREE i0 COAL
PURP08! OP EBTA9LIBHIN6 R PERMIT FEE ONLY.
PLY WITH ALL C1TY ORDINANCEB ANO BTATH LAWB 68GYUTIN�
Bu1LDIN6 CONBTFtuGT1oN. VALUATION
t
SIGNATURE OF - � PERMiT FEE $ �S•
PERMITTE
s 15, 045 � PIAN CHECK $]_% � Jr0
AUTHORIZED AGENT I}lke & C e ove IIIc. .
TOTAL FEE 52�50
a
a