HomeMy WebLinkAbout423 OGLE CIR - Building PermitsJob Address: 423 OGLE CI
Suite No
Vicinity: KITCHEN
Parcel Nunmber: 42514314
Applicant: TIMMS, STUART
Address: 901 VICTORIA ST
COSTA MESA, CA
Owner: STONE, GREGORY J
Address ' 423 OGLE CIR
COSTA MESA, CA
PLUMBING PERMIT
ISSUED BY:
Phane: (949) 933-6335
Zip:, 92627
Phone:
Zip: 92627
Contractor: EURO CAL CONSTRUCTION �
Address: 901 VICTORIA ST . �
' �COSTA MESA, CA
Arch / Eng : , �
Address:
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect pce,Soda,etc)
Dental Units
Dishwasher
Orain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Phone:� (949)933-6335
Zip: � 92627
License: 773601
^. Phone: ' . .
Zip: �
License:
SCOPE OF PERMIT
UPGRADE PLUMBING AND ELECTRICAL FOR KITCHEN REMODEL. NO STRUCTURAL WORK TO BE DONE
PER APPLICANT. PLUMBING TO INCLUDE: 1 DISHWASHER, 1 GAS (1-4 OUTLETS), 1 BAR SINK, 1
KITCHEN SINK, 1 LAUNDRY TUBNVASHER. �
Status: ISSUED
Appl ied: 10/29/2002
I ss ued: 10/29/2002
FEE SUMMARY.
AMT,�.QTY • � AMT
$23.50 � �'� Laundry Tub / Washer , 59.80
$0.00 �� � � 0 ' ' " , � Landscape Irrigatlon � $0.00
$0.00 0.��`. -� `,P-Trap � � , $0.00
$0.00 0 , . Pressure Regulator $0.00
$0.00 � 0 �. �"Process Piping (per 10 ft) $0.00
$0.00� 0 . Receptors $0.00
$0.00 � 0 ' Septic Tank $0.00
$9.80 , 1� � � Sewer Cap for Demo $0.00
$0.00. 0 � Sewer Connect $0.00
$0.00 0 � . Sewer Private Cine $0.00
$0.00 � 0 � : - Shower $0.00
$0.00 0 � Sink, bar � ' $9.80
QTY
1
0
0
0
0
0
0
0
0
0
0
1
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Veni System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPEC710NS: In order for tha work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspactions and Tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
24d6d6(W00)
WORKERS' COMPENSATION DECLAFiATION: ` �
I hereby eHirm under penalry ot perjury one ot the tollowinq tleciarations:
❑ I have antl will mainlain e certificate of consent to self-Insure for workers' compensation, as provitled tor 6y section 3700 ot the Lebor Code, for the peAormance of iha
wor which ihis ermit is issued.
have and will m tainy'�rkers' com a tion i surence, as required by section 3700 of ihe Labor Cotle, for Ihe pedortnance of �he work for which Ihis pertnit is issued.
My worker ' co ensajlon Insura c ier a policy number are: �,/ /�/� /I�
Carrier � �1 �.Q - ir � Policy Number �G / S�7 U OU
(This seclion need not tie complefed iY ermit is valued at one hundred dollars ($f 00) or less.)
❑ I certify Ihat in ihe
compensation law.
comply with these
ApplicantSignaWre: _
WARNING FAILURE i0 SE
THOUSANO DOLLARE (81p
erforma �he work for whic� this permit is issued, I shali not employ any person in any manner so as to become sublect to the workers'
of Califo i end egree ihat if I should become subject to the workers' compensation provisions of Se ion 3700 of he Lebor Code, I shall forthwith
�o��s ( l�. � 2� � �'C�
_.�,� Date: �—
'�URE WORKERS' CAM ATION COVERAGE IS UNL4WFUL AND SHALL SU&IECT AN EMPLOVEF TO CRIMINAL PENALTtES NND CIVIL FlNES UP TOONE HUNDRED
]W), IN ADDITION T��j�COST OF COMPENSATIQV, �AMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CADE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DE
I hereby aRirm that I am licensetl
force antl eNect. Lic. N
ConVactor's Signature:�
9(commencing with Section 7000) of Division 3 ot ihe Business and P,�eJeSsions Code, end my license is in tull
Class p �,
Date: / 1 % / 1 � _
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that ihere is a consbuction lending agency for ihe pertormance ot the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARA710NS:
I hereby attirm that under penalty of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, 8usiness and Professions
Coda: Any ciry or county which requires a permit to wnstmct, alter, improve, demolish, or repair any stmcNre, prior to its issuance, also requires tha applicant for such permit
to tile a signed stetement ihat ha or she is Ilcensed pursuant to the provisions of the Gontractors License Law (Ghapter 9(commencing with Section 7000) of Division 3 of ihe
Business end Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by eny applicant for e pertnit
subjects ihe applicant to a civil penalty of not more than tive hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, antl ihe structure is not intended or otteretl for sale (Sec.
7044, Business and Protessions Code: The Contractors License Law tloes not apply to an owner of propeny who builds or improves thereon, and who tloas such work
himself or herself or Ihrough his or her own employees, provided that such improvements are not intended or oHeretl for sale. If, however, ihe building or improvement is
sold within one year of completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose ot sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct ihe project (Sec. 7044, Business and Protessions
Code: The contrec[ors License Law does not eppty to an owner of property who builds or improves ihereon, and who confrects for such project with e contrador(s)
license pursuant to Iha Contractors License Laws.).
❑ I am exempt under sec. eusiness and Professions Code for this reason:
Signature: Dale:
Owner ID verified by dnver's license. ❑ Yes ❑ No Driver's License No. Expires:
Verificetion of Ownership by (type of document, i.s. - property tax bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation fiva (5) or more fee� in depth in�o which a person is required to descend, will be matle in connection with work authonzed by ihis
permit, and ihat no building stmcWre, scaHolding, talsework, or demolition or tlismantling Ihereot, will be more ihan ihirry-six (38) teet high (C�ap. 32, Grp 2, Art 2, Sec.
341, Title 8, California Adminisirative Code).
❑ As owner-builder, I will not employ anyone �o tlo work which would require e permit from Ihe Division ot Industrial Safety, as noted ebove, unless such person has e
permit to tlo such work irom the division.
Signature: Date:
Division of Indusirial Safery Permit Number:
COpE L INSPECTIONTVPE
1616 Fixetl Sys�em Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Rooi
201 Final BIocWRetaining Wall
202
203
Final Factory Fire Place
Final Sign
204 Final Demolition
P� INTRIALS
COOEN INSPECTIONTYPE
206 Final MeChaniCal
208 Final Plumbing
270 Final Electncal
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
DpTE �
�
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
JobAddress: 423 OGLECI
Suite No
Vicinity: KITCHEN
Parcel Nunmber: 42514314
Applicant: TIMMS, STUART
Address: 901 VICTORIA ST
COSTA MESA, CA
Owner: STONE, GREGORY J
Address 423 OGLE CIR
COSTA MESA, CA
Contracror. EURO CAL CONSTRUCTION
Address: 901 VICTORIA ST
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+uniLs)
Pool / Spa
LighEng Fix45
Recept Outlets
Swilches
Non Res Appi
Res Appl
Service to 200a
Service to 7000a
Service over t000a
Motors to 1 hp
Motors to 10hp
Molors to SOhp
Molors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
COSTA MESA, CA
Phone: (949) 933-6335
Zip: 92627
Phone:
Zip: 92627
Phone: (949) 933-6335
Zip: 92627
License: 773601
ISSUED BY:
Status: ISSUED
Applied: 10/29/2002
Issued: 10129/2002
SCOPE OF PERMIT
UPGR4DE PLUMBING AND ELECTRICAL FOR KITCHEN REMODEL. NO STRUCTURAL WORK TO BE DONE
PER APPLICANT. ELECTRICAL TO INCLUDE: 12 LIGHT FIXTURES, 8 OUTLETS, 17 SWITCHES. �
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$1320
$8.80
518-70
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
0
12
8
17
0
0
0
0
0
0
0
0
0
0
0
0
0
FEESUMMARY
Temp Dist System / Lighting
Busway/t00ft
Standing Section
Misc Electrical Equipment
Transformers 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 Voll Wiring System / Ckt
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech nde or lights)
Christmas Tree Sfand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
S0.00 0
50.00 0
50.00 0
so.00 0
$0.00 0
50.00 0
50.00 0
i0.00 0
$0.00
$0.00
50.00
So.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ortl. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically ezpire and become vold if work is not commenced within 1 BO 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 applicable codes, and all
required Inspections and final epproval must be obtained. Failura to ob�ain inspections and tinal approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
244&48 (&00)
WORKERS' COMPENSATION DELLARATION: '
I hereby ettirm under penalty oi perjury one of ihe following declaretians:
❑ I have end will malntein a caniticate oi consent to setl-Insure lor workers' compensetion, es provided tor by section 3700 of the lebor Cotle, tor the peAormence ot ihe
work tor w�ich thi5 permil is issuetl.
�Yhave antl will m. in�n �ers' compens �on Insur�mce, es requiratl by sactlon 3700 0l Ihe Labor Cotle, for Ihe pedortnance ot Ne work tor w�ic� Nis permit Is issued.
My worker :co ensati Insurenc rner en0 pffilry number ere: IG �7 .� �G�// �
Cerner: � Policy Number:
(This secfion need af be comp/ef ! fhe Oermit is velued af one hundred dollars ($100) or IessJ
❑ I certify ihat In ihe perfor ol Ihe work forWj�ich this pertnit Is iuued, I shall not employ eny person in any manner so as to become su6ject to ihe workers'
compensetion laws o� �a, end egree Ihet iTl shoultl become suD�ect to the workers' compensation provislons of Saction 37 0 of the Lepppor Code, I shall forthwith
comply with Ihese pr � T � ^ � � „ �
Appliceni Signeiure: Date: 11 � U
WARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVEMGE I$ UNLAWFUL AND SHALL SUBIECT NJ EMPLOYER TO GRIMINPL PENALTIES M1D CML FlNES UP TO ONE HUNDRED
T1qU5l�ND DOIURE (5100,000�, IN ADDfTIIXJ TO THE COST OF CO!A➢ENSATION, DAMNGES AS PROVIOED FOR IN SECTION 3IW OF TME LABOR COpE, IMrEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I �ereby attlrm ihat I am
larce and eMect. Lic. a_
Camractofs SignaWre:
9(commencing with Section 7000) of Division 3 of the Business and Pr sions Cotle, end my license is in full
qass» .� 1 1
�_.__~ Date: (1 7- �Tl
CONSTRUCTION LENDING AGENCY:
❑ I hereby eHirtn that Ihere is a construction lentling agency lor �he peAormence ot the work for which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lentlers Name: Lentle(s Atldress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirtn that under penalry of per�ury Ihat I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslness end Professlons
Cotle: Any city or tounty whiCh requir85 e permi� to Consirucl, alter, improve, tlemolish, or repair eny slructure, pnor to its i55uanCe, also requires iha appliCent tor such permit
to file a signed statement t�at he or she Is licensed pursuanl to ihe provisions of Ihe Contractors License Law (Chapter 9(commencing with Sectlon 7000) of Dlvlsion 3 ot the
Business and Prolessions Code) or t�et he ar she is exempt therefrom and the basis lor Ihe ellegetl eaamption. Any violetion of Saction 7037.5 by any applicant for a pertnit
subjecis the applicent to e civil penalty of noi more than five hunOred dollars ($500).):
❑ I, as owner ol the property, or my emplayees with weges as �heir sole compensation, WILL 00 THE WORK, and Ihe structure is nat intentled or olferetl lor sale (Sec.
7044, Business end Professions Code: The Contractors License Law tloes not epply to an owner of propery who builds or improves thereon, and who does such work
himself or hersell or Ihrough his or her own employees, pmvidetl that suc� Improvements are nol intended or oHereO for sale. If, however, the buil0ing or impmvement is
sold within ona year of completion, tha owneo-builder will have the Ourden ol proving ihet he or she did not build or improve tor purpose oi sale.).
❑ I, as Owner ol the property, am E%CWSIVEIV CONTRACTING WITM LICENSED CONTRACTORS to canstruct the project (Sec. 7044, Business and Professions
Cotle: The conirectors Llcense Lew tloes not epply to en owner ot pmpeny who builtls or Improves thereon, end who coniracts for such project with e cantractor(s)
license pur5uan� to �he Con(rettors LiCense LewSJ.
❑ I am eaempt untler sec. Business end Pmtessions Catle lor this reeson:
Signature: Date:
Owner ID verified 6y tlrivar's license. ❑ Yes ❑ No Drivefs Licanse No. Expires:
Vertllcation of Ownership 6y (type ol document, I.e, - property tex blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation Ilve (5) or more feo� in depth into which a person is required to descend, will be made In connection with work authodzed by this
permit, end thet no building simcWre, scaflolding, lalsework, or demolltion or dismantling ihereof, will Ge more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Calitomie Adminlstretive Cotle).
❑ As owner-builder, I will not empluy enyone to do work which woultl requlre e permit irom (he Division of Industriel Sefety, es notetl above, unless such pewon hes e
pertnit to do such work irom (he division.
Signature: Date:
Division of Industnal Safery Permit Number:
LOUE I. INSPECTIONTYPE
1616 Fixed System Final Fire Prevenllon
1266 Pool Spa Finel
200 Final Ra-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
Qb¢ �$ �( INSPELTIONTYVE
206 Final Mechenical
208 Final Plumbing
210 Final EleciriCal
212 Final Fire Preventlon
220 Final Planning Approval
222 Finel Site
250 Final Building/Occupancy
PLYli.in�.t�]
� �ouR�ssasm�owc: 9z3 OGLE CI
, °W"E"s"""E"'°'°"": STONE, GREGORY J
� �pE�'STONE, RACHEL R
�. 423 OGLE CIR
� C�o�ti���.cA,CA 92627696-9906
�J
/
�
uxr:
ARCXRECT OH FNCdlFEP: 11C. NO.:
�pCll OP FNG'S /iWPE55: UNT:
'
�^PA0T0RS""� SEA POINT CONSTRUCTION ( 714 ) 380-8659
CONfHACTORSYAIIdlG 15791 ROCKFIELD BL
"°0P� IkVINE CA 1QNDe 665114
92628 u"T F
LICENSED COMflACTOHS OECLAPIITIOH: I M1aeby dlim uMer pereYy d psjury IM1et I mn I'vaed urds pm�iawm d Cheq> 9
(mmmem'ap wnh Setlbn ]000� d Dnu"vn 3 d Oie &n'una aM VMasiau Gode, W my 4wme i in hA brta end eHed.
cmu� o.: ��8842 uc.cuss: H No.: 6 114 EXP: 12 /97
oae: canreaor.
qWNEH 6 LDEF OECIARATION: I hereby elfirm u�Mer pendy d perja ihe� I mmq hom IM reqwe L' aw law lar iM
Hbw'v�9 iaemn (Sedion )IXit.5 Busi�ma vM PMeeaona Cade: RMW n cvu�iY � nVui�ee a Dartni �o oomWcl. ella. imMm*.
.femola�, a repei eiry suuciure, prior b da uauerca, e6o requirm iM epplirant lor wc� pemN lo fib e eipmd ete�mronl Met M a ahe
a IicenseE pursiant to �ha praisians d IM Convaztaa liceme lew �Cheper 9(oommentlnp wilh Setlion 100q d DWbion 3 d Ihe
Busness e�d Prdessons COEe� ar ihm he ar eM ia uemp �Mrehom eiM Ihe bsvs lor Ihe dbpad mmmqion. My vuWnn d Seaun
)031.5 by enY eVVlicent lor e permn aubjeUs IM epd� to e cnl perelty d ml moes Ihen Iwe hurdrad ddlen �SSWI).
� I,esownerotiMprapeity«myempbyeeew'vhwegeeniheiedecompaneation,wJldotlroxak,vMiheet�unureeratimeMeE
a oflered far nele (Sec1ion 10aa, Buanea eM PMeasions COEe: TMConlreclon License Lewtloea iat epply lo en oxirord papery
M'�10 bll�d9 Of f11p1pY991hB1BOfl. BII� WilO QOBB 9YCh MV1�[ �1ITM�i IX �IBTBd IX �NIWa1 � IX �1Bf ONT BIIIdG%BBB. plW�f�Bd I�IBI 9VC�1
' povamenU era rot inteMed a dlereE lor eele. M, howewr, iha buitli�q «inqwemeni ie eoH wnhin ona yeer d mmplelion, iha
owmr-buiNar will heve Ihe Curden M poving M or eM diE iwl WiIE w improw la IM WN^ae d eab).
� I, ea ow�wr W �he D�WaM. � extlusrveh/ mmreaiq wilh licenaed wntrecton ro carWrutl Ma pmjacl (Sepion )ON, Buai�s aM
Pmiassiom CoCa: The Conireclore Licanee law does iwl eppy to en ownar d prope�y who buika a imqwea ihaeon vM xfa
convacm lor wch pol�e wnh e wmredor(e) Icenaed pun�unt m tho ConVeqon Liiansa Lew�.
� I em eeemq uMar Saction: 8. 8 P C., br Ihie reswn:
Daie� O.mar:
i eo na�env «n�y m� i� e.�e w.�e ��e�i�a ma �a�n,m,�n w cdaom�. �nnn �e sdey c� saa�w,. asws, usaa. �e
255N, enE ihe� I a eny Mure W iki�p oavpent xill / wtll nd (tlrcb one) riaeE to comply wlh eek elele mEee eM �he �puiremenn M
e peemn brwnsbuetiona modifiration hamlheAi�ueL y—Ii—. erepemam Dimna. Reeldemial oonnruaion eppf�eliam ere uemq /mmtheae
aa;�a.
oma: noWicenc
WOflKEN'S COMPENS�TON UEC WIATION: I Mreby elfiim urder penelly d paijury one d tM Idlowiip Eederaliom:
� 1 hare ard wil meiMen e cenifr�e d mneaM ia vaMynaro br xwkan' cwnqnW ion, m qovNad la by Setlim 3100 d ihs Lebar
eem. �« iM vanormence at m. w«x �« �w:cn ini. ro�d'n ie.we.
p in�.�d.a�m��«+�o«��mo�mw,.�...�.c��edMs.a�arooam.i.m.c�.wmao��m�ame
X wak i« xfi'rh thia pamn e iaeueU. Mv wvFere compeneelion im�rencs miier end pdiry number va:
, c�: �,�. rrri rnrT.o EXPIRES
Pdiry Number: �,,..r � ����-r n r2,� 0 5/ 17 / 9 8
(lhis seubn rreee rwt ha cwnpbred i tM pmmt b/w orre h�rMre! ddlere /StOul a ba.l
❑ I ceny thet in Ne pMamerwe W �M work lor xfiich this pemi b iavued. I�MII n 1mmplq vry pavan in nY menmr �o o to
eecam wded e �M .vaken� mmoaromion bw. a c� b, ene m�.. um a �.houM n.cane .G �u �M .wil�e•
mmpe smion Or wbre d Secion 3]00 d IM lebor Code. I lathwn� oomp�y v' iMm prwmwu.
Dae� 0 �DW�:
Wem : ro u vrs worksri ro�Von rov��ap� l� mGaIWI !�n rAolq+r ro ulm�ml pNvftla uM
Gvil fl� �q ro om hu�tl�etl tlnuaartl EWMn (JfOqa00A M WIlb tln cwt o/ romoxueWR demps� u prvvlCW br In
Sxtlon J]G6 of Uislebor totl�, l�rtsluf, ane �ttomry'a /wa
CONSTRUCTION LENDINO RDENCY: I hereby elfi�m uMm penely d parwry tMt tMre o a conqrveion kndinp epercy /ar ihe
perbrmawe d Iha x�xk tor �Midi ihu Wmi1 o baued (Sedion �. CM. CI.
LENDEH'S NANE:
LENDEN'S RDDflE34:
I eenily thet I heve reaE ihe epd�� � nw Ihel ihe ebove inipme�bn ia wnM.l epeae to eompy wnh ell oryerd munryad'meneae
aW sW a kwa rebtvq to Wikmp consV Wbn end heroby eu�hor¢e repeeentetivea d Ihu rity b enlm upon iM ebon-meMioned p�opary
i« ms,«i� w„o�.
WYMAN LANCASTER
I Neme /�
� � n om.: �
ig eture ol O�merlApenVAppFrenUCanreew
�5151d6.WP)
8 Selery: GreemFle: Cenery-Ap�cen�: Pink-Revanue; Oakan�a�Aeeavor
CITY OF CGSTA MESA — BUILDING PERMIT
PEkMIT NO: H 084479 PLAN CHECK NO: 03540-97 S
CONSTRUCTION TYPE: S—N PERMIT TYPE; STR
JOB DESCRIPTION : REMO�rE DOOR 6 REPLACE W/WINDOW
B — �a 5
PERM NO: B 08497!
GOVT: N SUPP: N
PURPOSE: I�LT
SQ FT: 11,000
CLAIM VALQE: 11,000.00 CALC—VALUE: 11,000.00 GROUP OCC: R-3 /U-1
COMMENTS: SMOKE DETECTORS REQUZRED PER 99 UBC, kEMOLEL 3 BATHROOMs
!E if'1E # iE iE 1c'� iE iE iE fh # ih if # iE iF # ik lf ik 1F 1! ik iE 1�' if �f iE iE'k 1E'1E 3F ie'�i'1E'1f iE'lE'lE iE'lE iE'Y.' iE iE if jf 3E �F iF 3f i� iF if iE'K-iE 3f 1f if i(' 1E i(' 3h i(�?�'1E'JE'lE'16 iE iE 3E iE'1f 1E
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 ZN RGHT: FT IN LEFT: FT IN kGHT: FT IN
PARKING REQ: PkOV: PARCEL: 42514319 ZNE: REF NG:
PLANNING NOTES> -
� ..
3E 3E iE if 1f iF iF ie i't iF if t'�'if'1E it iE'1F�i.it''.if iE'1E jc iE ii�3F.iE'fF �e iF ii� iE jE iF if !F iE fE iF ii� 3't if ii i4 if i't if iE iE �1f i6 iFlt iE iE �F iE iE if 3't fe ie it iE �1f ii� iE if� if �f x?'t ie iE iE i4 ie i'�
D E V E L O.$ . 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:
flUILDING APPROVED
APPLICATION ISSUED�
iF iE iE iE iF �f iE if if iE if iE iE iE if iF if iE �E
LEGALIZATION:N
� ��
F E E S U M M A R Y
DATE:
DATE: �I2�'L ��L�
�E iF iE 1E iE iE iE if 1E�'x-]E �E
STRUCTURAL SEGMENT:Y
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GFtADING
F�ERMIT 174.75 '✓ 1.10
' SMIP/NON-RES
PLAN 113.59 y�+,- !/
ZSSUE FEE '�
BUILDING-DIV-> PERMIT ISSUE P-LAN=CHECK TOTAL PAID UUE
TUTALS---� 175,85 0.00 •n' 1113.59 289.94 289.44 .00
,.
REVENUE DIVISION TOTALS--> COLliECTED: 289.94 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECH�NIC FIRE SMIP/TOT GRIaDZNG PLAN-CHECK
174.75 ' �. 1.10 113.59
��t�***�«�***�t��*�******�*x**�*�x*��.��t���t�**�**�*��**��r*�***x�*�«*�**�t�t�r**;�*#ri**��r
I N D I V Z D U A L} F E E H R E A K D U W N
TYPE QTY D E S C R I P T I�O N UNIT COST TOTAL COST
r'
SFk 11000 ALTER BY VALUE RESI�ENTIAL NOZONE 1,00 11,000.00
END OF FEES
EXPT�D
Dj�S � � � ��� OB-29-1937/�3:3L D�t/$289.44
� PERPIIT eT084k!'3
i.nW
. _ �
,.
�pNSTRUCTION AND PLANtViNG
qppROVALS Permit #
- 1, Temporary Eleccrical Service ar Pole'
2, Soi[ Pipe•Undrgmd. �
3. Electricai Conduit UtilitV-Undrgmd.
4. Electrical Condwt-Undrgrnd.
5. Steei Reinforcemenc
6. Elactrical UFER Grnd.
7. Pootings ,
8. Foundation .
9. Water P1pe-Undrgrnd. � • - -
10. Structural Fioor Svstem � .
11. Property Sewer Line & House Connection
12. Sewer Cap ,
t `
13. Roof Drains �
14. Rough Plumbing � �
75. Rough Electrical-Conduit . .
16. Rough ElecYric Wiring - � -
77. Rough 6Niring Sign . - � ,
18. Rough Electrical-T Bar Ceiling �
19. Rough Heating & Air Conditioning
20. itough Factory Fireplace
21. Ducts, in Structure
22. Oucts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheaxhing
26. T-6ar Ceiling IStructurai� & Monocoat
27. Frameand Flashing �
28. Lathing & Siding �
29. Insulation .
30. Dry�vall Nailing `�
31. Piaster Brovm Coat
32. Electrical Power (�eter-Fina!
33. Final Electric
34. Einat Heaiing & Air Conditioning
35. Pinal Gas Pipe�Test
36. Hoad or Car.opy
37. Final Factory Firzplace
3$. Final Piumbing
39. Water Service-Finai
4Q Gas Service-Pinal
47. Solar pomestic-Pinal
42. Backflow Preventer
43. Backflow frrigation
,4Q. Landscape Irrigation�System
45. Sound Attenuation
46� Nandicap Regulations
47l FINAL STRUCTURE & BUIIDING
48; FINAL PLANNING
49. Electric Reiease to Edison
50. Ga< Release to Southern California Gas Co
57. CERTIFICRTE pP OCCUPANCY
No. Da2e
Date
y
'Y
POu� & SPA
i�spector APpROVALS Permit#
52. Pool & Equipment Location �� "
53. Steel Reinforeement ' '
54. Forms
55. Electricai Bonding
- 56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER�GUNITE
. 58. Electrical ConduiFUndrgmd.
, 59. Gas Pipe, O Undr�rnd�., Test �
60.. Backwash Lines, P�Trap,'.�.Undtgrnd.
` ' 67�. APFROVALTODECK. �
62. Backwash &.Receptor-Final �
_ . 63: Heaxer & Vent-Finai '- . J -
- 64: Plum6ing System - Final _ �
; 65. Electrical-Final
� 66. Solar Svstem�Finai - ' .
_ . 67: Fencing.& Access Approval � . �
68. APPROVED'FOR PLAS7ERING
69. POO�lSPASYSTEMSFINAL
� FIRE OEPT. REQUtREMENT
APPROVALS Permit #
70. Underground Hydro
71. ProductPipingCJGas ❑Oil
72. Underground Flush
73. Undergrnd. Stora5e Tank C Gas �' Oil
74. Overhead Hydro
75. Dry Chemicai �
76. Dry Standpipe
77. FIXED SYSTEM FWAI. .
78. FIRE PiiEV. FINAL . �_
HEA�TH DEPT. REQUIREMENT
79. FiNAt INS?ECTf04J
80. FOOD CERTIFICATE iSSUEO _�
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nooxesswem�nxo: qz3 UGLE LI
OWNERSN.WEIFIMqYN: STONE� GFtaGOkY J
' "0DX�5 STVNE kACHEL R
' 423 t��LE CIk
CUSTA MESA,CA 92027646-490e
�rri. �uiwc �oowEss:
UICNIfECT ON FNtlNFEP:
AXCN.ON ENG.'S /�DONE55:
uc. ra.:
UNT:
UNT:
coxm�c,arsru�: SEA POINT CONSTRUCTION ( 714 ) 380-$659
: CONIPACTOWS NYIAlO 1 5 7 9 1 ftOCFCF I ELD BL
AWNESY IRVINE� • CA �G��� 665119
92628 uxr: F
110EN5E0 COMflACTONS OEttAXRTION: I hereby eRim uMx nelly d pe�jury Mq I em ' reetl uMx ' e d Cheplm B
(mmm 'iq xilh Sxlion l00% d Divuion � d ihe &rn�wm erM P meime COEa. W mY �� e in NII taca ellerl.
cmu o.: �68842 uc.cuss: g o 66511 EiiP: 12/97
Dma: � Comraya:
OWNEH BUILDER ECLAPRTION: I he�eby elfiim uMx parely d pxju ezemq m ihe Comraqas L'rane lew la Ihe
Idbx'vq �aewn (`�� �1.5 Buaibsa erd Pedeubm COEe: AnY W mY �� �eVu e peemY to cantrucY. Ms. impro.e.
demolah, a repei eny eUucture, prior io Ya bwema, deo reQuim �he I la euch pmmil to fib a egewd ete�ement Ihet M a sM
is licemad Wnuent to IM pwuiam d IM ConlreGore Licenae lew �Cheqer 9(oommeM.iip wilh Sedion ]000) d Diveion 3 d Ihe
Businesa eM Prdmeiwu Cadel a Ihet M w aha o exemq �hselmm erM �M bavo la iha dbped ssemqion. MY viole�ion d Swion
103t.5 by eiry eppliranl for e pmme aubjeea the epplicent �o e dvil panelry W na more ihen iNa hundretl Edlen �5500��.
� I, es awner W Ihe propany or my emv�M'�a vAh wapes es IM'r ede mmpemetion, will do IM wak, eM Ihe Niucture e �wl iMeMeE
or ollereE br eale (Saction ]OOC, Busimss aM PrNeaeione Code: TM Conlredon License Lewdoae Iwt epplylo an ow�wr ol popeNy
.no waa. o� mo�s �na�eo�, �e � aoaa s�d, woa �«n «nane� o� in,wan nm «na owo �nh*a, oro� inm won
impwemema are not inleMetl a dlered for sab. ll, however, iM buikin0 a�MaameM is soN wilhin me yaer d compblion, iM
owmr-buildar will hava Iha WNen M pmvirq Ire ar she did ria build or imprwa Iw the puryase W eeb).
� I. as ovmer d iM pmpeny. em aRduvrvey con�red'vp xilh licmeed conVeclae to wnxtrutl Iha piojad (Setlion ]ON. Busiroea and
ww�. coro: rns com�ea. �K�� � d� �a wcN w o� ow�r a ww�v wno wvua o. ��pw.. maeo� �a .ro
wni�xu la wM poptla wiN a mnreeor(a) IieemeE Wnuem to iM Comreeas l.iaroe Law�.
� I em uxnq �Mx Sadion: B. 8 P.C.. b Na �seeon:
oma: o�„«
i ao n�W c.nM �nm i em ewere a ena wda�i.�e me na���n d ce�ao�. �.nn.�a smmr ca'e swom zsws. zss�a. ene
YSS�a. eM tMi I a vry Mun buikirq attupent v.ill / wil iwt (artb an) � to compy wih eaid elete codee eM �M mqwmmenn M
epermnlaconahuctbnormoEifretionkwntMAi uaTyl.�erepemenlDietntl.Reaideruieloo��utlioneppf�atiamareexamqlmmiMae
pro-risbns.
Dele: APd��
WOHKEH'S COMPENSATION DECLANATION: I heraby elfi�m uedx penelry d perjury aw d Iha folbwi�q dee4retcne:
� IheveeMvnlmeinteinecenJicmadmnsentloeeNinaurelaxorkeie'compenealian,asprovidadlabySedion�)OOdlhelebor
COEe. lor tM perlormence d tM wak tw wlich ihn pamip is heued.�
il � n.Ve eiw w� melmen uoikai.� mmaeremion inwre�m. m reQuirea M seeian a]ao a ine laba coee. ror �ne o�«nience d �he
T work fw xfiich thu Mmitl e iaeued. MY warke% romPensetion iruurem urt'nr a�k Vdic/ number ere:
c�a: f;(17,71F1.1 RAf:T.F EXPIRES
va�N�mna �,,.rr�c��enn OS/17/98
�, �e;a„�..d,�m a. �a� e rna ro�+a m. or�e wnaee doners /s�ooi w �sav.�
� I cenM � in iM parlamarica d �ha wak M v.hch Ihu pemi m �vaueE. 1 ahell nal emW ury peivi n menner w n lo
a eubj a Io �ha xorken' compenseiion lewe d Cel' i. erd aprae Nw A I M uM be�one � jep lo tM r.oM1ac'
a m en Ce�u � wuoru a smion 910o d �ne Leno, cad.. � wiln wn,W ..N� �n e povis've.
pela' 1 1 � AGWceM:
Wem/ny: Fellun ro��c�n waA'wi rompwetlon rovsrep� l� un ahll aWMcr amp/oysr ro eNMnNpuuMs� an0
clvll flnu up ro ons huntlrs! fhouun0 0dlen (S10q000), In erNltlon b Ms ewf ol romp tbn, tlsmsps �� pov/CM br In
Sxtlon 3M6 0l Ms LeCorCOM, Infs�e�q entl atrornsyl f�u.
CONSTHUC110N LENOINO ROENCY: I hveby elfrm under pe�aM1y ol par'ryry tl�et ihere ie e mnatrudion biMiip epency br �M
peAomie� M �ha �.oA i« which ina vamii is asuea (Sad'an �OB), cir. cl.
LENDEWSNAME:
�ENDEN'S AODRE55:
Icenilvthatl
� tha ebove iNametion ia coned. I ep�ae lo canply wnh ell ury aM couMypdinercee
Mreby euihorrte ieqexntetivea d the ary W enter upon IM ebwa�mantiorsA pioparty
VCI�STER
e Dme: V [.�
DP������a
(5151-dfi.WP) ` WhAe-Buildin0 8 Sefey; areeo-Fle; Cenary-AppXrant: Pink-Revanua; GdEenrad-Aeaeevor
CITY uF COSTA MESA - BUILLING PERMIT
F+EkMIT NO: M 084482
PLAN CHECK NO;
1
ai--0oo i
PERM N6: Ni 68448:
GGVT; N SUPP: N
CGNSTRUCTIGN TYPE; 5-N PEkMIT TYPE: MEC FORPOSE: ALT
JuR LES'�kIPTIQN ; kEMOVE LOUR t� REPLACE W/WINUOW SQ FT;
CLAIM VALUE; CALC-tiALUE; GROUP OCC: k-3 if7-1
COMMENTS: SMl"1KE UETECTORS REQUIRED PER 94 UHC, REMGDEL 3 HATHRUOMS. #Dd4979
i'f if K")f')i' if jf it'� it jf'x"1!'x' jf it 1F'%t'IF'�f'1�-'�'K' 1�")1"1F %E 9t"It"� jf if'If')f'K' if'� 9f'�'T iF lf'�'K"1F 9(' 1("�("R if if �f if if'�'Y( lf'Jf'%f'If'K' 1F Y!'iF lF if')f' ��")f Yf'�'Jt"1(' jf if ]l' * i!
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 BUILUING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT ZN FRNT: FT IN REAR: FT IN
LEFT: FT SN RGHT: FT IN LEFT: FT IN RGAT: FT IN
PARKING REQ: PROV: PARCEL: 42519314 ZNE: REF NO:
PLANNING NGTES>
i
iF �lE iE iE iF �k 1k �l'e 3f fF if if if 1F i! if ff 3f iE ii� iF if i(� if iE if iE iF iE iE iE �E fE i"t iE if 1E fF i! ie 1E i"c iE'14 iE'lE if aE * 9E 3E fE iE �1F iE �E iE 9EltlE if YE iE ik iE iflE # iF i"t iE * 1k iF iF if �F ik 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
20NING APPRUVEU BY DATE:
HUILDING APPROVED BY : DATE;
APPLI.CATIUN ISSUED BY: � DATE: �
iE3fiEik�ltif-ifikifififiki'riEiE�lfifiEiFiFiFx���F%iFiFf�yr�x,Ff'FxiFiFgiFiFiFiFiF,FiFiFiFiFiF +F3F7F,F�iFiF�EiFtFifiEiEi!-iE3e3E - e, ,FjEx
LEGALIZATIUN;N F E E S U M M A R Y STRUCTUkAL SEGMENT:N
HLDG PMT PLUMbING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 13.00
25� SMIP/NON-RES
PLAN
ISSUE FEE 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTt'�L PAID DUE
TOTALS----> 13.00 22.00 0.00 35.00 35.00 .00
REVENUE DIVISZON Tt�TAL5--> COLLECTED; 35.00 OVER/SHOkT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
35.00
iE �R if if if iE iF if ff iE iF iE 1E iFik iE if iE iE jE if iE if jF iE if iFlE iE iE it 3E iE iE jE if fE iE iE iF ff if iE iE iFlf ih if if jE df jF * iF iF dF iE fE-1f if af iE if dE jE 3F iE iE j'r iE fE iE df iE if if iF iF iE
I N D I V I D U A L F E E B R E A K D 0 W N
TYPE QTY U E 5 C R I P T I O N UNIT COST TOTAL CGST
MEC 2 VENTILATION FAN CUNN TO SINGLE DDCT 6,50 13,00
END OF FEES
$�.pIRED
pA7� _ I i ��_�D��-
�8-29-1997/03:3� PH/S35.G�
� �, . RCPiN:�1-[afl`76
�'EF.PiIT:08448'c'
CONSTRUCTfQN AND PLANNING � POO� .,� SPA
qPPROVALS Permit # Date InsPector AppROVAIS Permit aW Date .Inspector �
1. Temporary E�ectrical Service or Pole 52. Pool & Equipment l.ocation �
2. $oil Pipe�Undrgrnd. � 53. Steei Reinforcement �
3. Electrlcal Gonduit Utility-Undrgcnd. ' � 54. Forms
4. Electricai Conduit-Undrgmd. 55. Elecxrical Bonding
5. Steel Reinforcement 56. Rough Piumbing & Pressure Test •
6. Etectrical UFER Grnd. 57. APPROVA� TO COVER-GUNITE - �
7. Fpotings . 58. Electricai Conduit-Undrgrnd.
8. Fpundation 59. Gas Pipe, L; Undrgrnd., Test
9, Water Pipe�Undrgmd. ` 6�. Backwash Lines,P-TraPr� Undrgrnd.
10. Structural Fioor System 61. APPROVAI. TO DECK
1 7. Property Sewer Line & House Connection 62. Backwash & ReceptorFinai �
72. Sewer Cap fi3. Heater & Ve�t-Finat
13. Fioof Drains ' 64. Piumbing System � Pinal
14. Raugh Plumbing 65. Electrical�Finai ,
75. Rough Elearical-Conduit , 6fi. Solar SYttem-Firtal - .
16. Ruugh Electric Wiring l ' 67. Fencinc� & Access ApProvai � �
77. Rough Wiring Sign . , ' 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOLlSPASYSTEMS PiNAL
19. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT I
20. Raugh Factory Fireplace APPROVALS Permit # �
21. DuMs, in Structure �-�`j � g 70. Undesground Nydro �
22. Ducts, Ventilating 77, Product Piping rJGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Pramin9 ,� 73. Unde�grnd. Storage Tank � Gas ❑ Oi1 -
25. Raof Sheathing �4. Overhead Hydro
I
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . I
27. Frame and Plashing 76. Dry Standpipe
28. Lathing & Sidin9 � )7. FIXED SYSTE�.1 FINAL
29. Insulation� ' 78, FIRE PREV. FINAL �
30. DrY`�atl Nailino HEA�TH �EPT. REQUIREMENT
31. Plaster Brown Coa; , 79. FINAL WSPECTION
32. Electrical Power Meter�Pinal 80. FOOD CERTIFICATE ISSUED �. ,��
33. Firtal Electric - Notes: � � ..
34. Final Heaxing & Air Conditioni�g "=
35. Final Gas Pipe-Test ' . ��
36. Hood or Canopy • �r
37. Final Factory Ffrealace �
r,
38. Final Plumbing � . �--
39. Water Service-Final ,
40. Gas Service-Final
41. Solar pomestic-Final
4Z, gackftow Preventec .
- 43. Backfiow irrigation �
44� l2ndscape irrigation System � -
45. Sound Attenuation
46. Handicap Regulations
r� 47. FINAL STRUC7URE & BUILDING .
� 48. FINAL PLANNfNG
49. Electric Release to Edison
. 50. Ges flelease co Southern California Gas Co , '
51. CERTlFICATEOFOCCUPRNCY
No. Date
i,nnnEssaaaimio: 423 OGLE CI
OWNERSNAYEIFIVIOWN: ++ C�RE�3C�HY '�
.. woxEss: nTf7N�.
STONE4 RACHEL R
923 OvLE CIR
COSTr3_MESI:,CA 92627696-9906
YKXRECT OR Q�fd1FFA:
�NCH OX ENG'S AWflE55:
ue w:
uNr:
UNf:
conmacrarsx�xe: SEA POINT CONSTRUCTION ( 714 ) 380-8659
carmucTarsxuuno 15791 ROCKFIELD HL
�p� IRVINE CA ��� 665114
92628 M F
ucFNSEo cotrrx�crons o[cun�nor�: i ner.er en.m �,a.. �y a pmWn uW i�s.a po.�. a cneq« a
(oomm " Milh Seclion ]OW) d Oivisian J d tM Bmrcu eed Prtl Code. vd 'm m Iu0 vd Mletl.
cm uc. . 6 g a uc. cuss: B ° 6 6 51 4 E 12 / 9 7
Dale: ( Convma:
OWNER BU OEfl DE IARATION: I Iweby elfirtn uMer penely d perjvy hel l em exem Imm iM CoMreqm Liwme lew la tM
Idbx'M rmsm (Saaion �ts &ceiiea� end PMeasone Cade: /�M W �Y W�id� raw'ves s V�i �o ounmcY. eps.'vnpws.
bmdsM1. a�epei eiry ebupuee. p'v w ia ewvioe. ebo �equ'um iM eppl'vwu la wN psmE to fiM e dpneE qelame�X tlut M a Me
, �crosea w+�ni m �ne wm�awu a me cmbma.e l:raue law I��ev�« s(ommienmio �.vn Saaun lwo) a Dw'sbn a a iro
Buvnev W RMea'vn Codel n �hel b a ehe u memq IMehan utl IM beao la iM dMwd ssanq'vi. Am'vulmion d 6eaun
�osi s W em wd�� �« e o«mc mmpaa ine aod�cem �o. wa ce�eM a �a m«a inen r�e nunene mm�s Issooll�
� I.asw.mrdiMO��YamYampbyeeewlhwapeamihrwlacvmpeneetion.rrilldoiMwh.enEtMal�ucluroe�inteMeE
or dleredla sele (Seciion )01d, Bwirev end Protecams Cade: TM Canlrarfon limnse Lew doee rwl xpplyto en owwr d poperry
who WiM « inpimee IMreon, vd who Eoea auM xork IimesX «Mnotl a ihrouph he n her own amploywa, poviEed Ihet ach
impmvamam ma nd inbMed a aAaaE la eele. p. lrowmer. �M buld�q a inpaemem u wtl v.itlun ona Y� d mmpMion. tM
owrwbuddm x+ll hew ihe bukan d pwiiq M rc eAe did nal dNE or imqova lar tM qvpose d eW�.
� I. m o.n.. tl ine o�o�v. ��� �rap^G �vn fi�md conv.cw�s ro m�w u�s wqw (saaon )DII. eu.:�e.. ena
wwes�. coee: tne um�eaa ucenx �.�. aoes �a wWv m� e.,�« a wwNv .no wua. « �rop+« �n.m, w.ro
convacb br vxh p4�� v.ilh e meureaMa) IK.emW WnueM to �M CaMreeon L'mme lew).
❑ I em eump uMer Seciian: B. 8 P.C., M iM �aemn:
I Co hnaM ��aY Uut I em ewere W eM uMenienE Ne iaWvemeM� d Cellanie NeMh end Se1otY Code Seeiom 25505. 255J3. anE
2551a. md Nm I a e^Y Mun WJdinB �� WI / wa m� (amh ona) rcW ro comVN �nh uid uals mEa mM tM nVwremaN br
a D� lammvudion n moEGralianhan iM /v�aapmwY D'mtritl. Mkwtlil rnWMun eVV�'�'vmene*en+q hdn Nsu
a�.
ome: �cqum:
W ONKER'S COMVENS�110N DECLAN�TION: I Mreby ell�m uMx p�Wy d perj�vy wn d Ns Idbwinp Aetleimuna:
❑ I hew eM wil meimen. wnir�. a ovnenl to aelli�wra br xohav' como�bn. o pa'idad Iv W Serbon �lao d iM lebar
Goda. tor On pMamuca d Ne Mak la wlich tl� pxmu u ueued.
j�] 1 hew vd xY mei�tlaii wM+' mmpeiebion imu�enw. n�pmsd Dy Setlion 3�0 d Ne LeEv Code. br tM prbrmuas d iM
x wak ta whidi Nu D� u esued. My wvFen' oom0e�ion inwrerca wrier eM O�Y �mber me:
c�, r_nT.nFnt F'nr,t.F EXPIRES
ra�rmme�, 1,,�.rr�e-r�enn OS/17/98
(�his sedron road � De comR�ed l tMW�I ie br aro hwM�eC ddlen I51W1 w IesaJ
� I cM ihm in i perlameree d �ha wak /or which thw pnm' o'vaueE. I eMtl m� a pby uy preon F Y memr o n to
wMb �� workns• mmpew�on mwa d ceN '. , mree uu� a �,ha,k necmr wbj� a �o in. .orkra•
ion 910p dtMlabarCoda,l dh mmpy wuh o�a p�oriuo�n.
oma: ��:
W�mhp: F!u� ro �n woilrai ronpw�u�tlon cwerap� Is un m Mtll u� rrployr ro �Ip�Wtlr eM
uN� mr, w m ms m.wr.e wu,w darr. (siu4aooA m.m�aon ro oo.� o� m rwn wmew u vro•ro.e roi �n
Sxtlon 91lAS ol Ms LeCo� Cods, Infens4 end ertomey'i /eu.
CONSTPIICl10N LENDINO �GENCY: 1 haetr/ effirm uMm peneXy d perjury �hm ihr+ b e omawian lud'uq epricy far Na
peAormenro W �M xork la w1iM IM1e prmY u uaued (Saeion �091. Civ. CI.
LENDEfl'3 NAYE
LENDEH'S �DDflESS:
I celily II� I heve �eeE Nu appfi�on eM aeN OW tla ebwa'vdmme�ian "v eanee.l epms lo mmply xdh eG ay rd owvvyadvwicas
eM ate�B laws rdtlM b dNdn6 canaVumon e�d hxeb% eiMace iepweNe�i�ea W Ihe aY b aNs U0� �M ebv.e�men�ioned pWab
,�,re�,��,.
� f WYMAN LANCASTER� �
���i��vr��
�r..,�r.���c+�. �r...�r�^.n
(St51�46.WP) M�4e-Buil1�q85dery:
Vmk-Rnenu; Odduuob#samv
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO; P 089983 PLAN CHECK N0;
CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU
JOB DESCRIPTION : REMOVE DOOR S REPLACE W/WINDOW
�
'-000
PERM NO: P 08948:
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: SMOKE DETECTORS REQUIRED PER 94 UBC, REMODEL 3 HATHROOMS. ItB84979
�it**it��t��t�rt*******�t**�t;t�tit*�t�t**i�it�ti�**�t+t�t�t�t**�t�x*�t�t�f�t�r*�f*it�**�*�t*ie*****�t�t*�t**i�ir�t��c*
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 BDILDING ---------- --------- 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: 42514314 ZNE: REF NO;
PLANNING N TES>
i
ik if �f if fe it ff ik i!!k ik if �k it if if if if ik �f ik �f if 1F if j! it �E k iF iE 1c iE if if if k if it iE jf if iF it iE iE ft iE iE iE if it iE iE ik iE iE �E # iE iE it iE fE �E �E iE 3! ik iE±! it if if jE fE ft iF it
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 , DATE:
5Uii,taifJ� Apprii7v�n BY ! DATE:
iFif�iFif�3F�F3F�F3faFffaFiF��7FifiF�iF . . . . . . . . . . � . . ')f �i�!E!f'�x�X`Ik�fikftiFiE"iFiFiF�k . ��i(")F�!'k-'F'l�-��'lrkiE
LEGALZZATION:N F E E S U M M A R Y STRIICTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 78.75
25R SMIP/NON—RES
PLAN
ISSUE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 78.75 22,00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
100.75
TOTAL PAID DUE
100.75 100.75 .00
100.75 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
iE iE if iE iE 3E iE iF iE iE ik �)F iE 1E iF if if if iF iE iF 1E'1F 3E iE 3Elf'1f ff'lE 3f if'k!f if �f'1F if IE �E �E if'1f 1f iE jE �F if iE iE iF if iF if if 3f 1f'lf -)(-jf 3E �1f iE iE 3f �'r �E iE iF if iE iE �E i4 if'lf if 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 Z O N UNIT COST TOTAL COST
PLU 3 SHOWER 8.75 26.25
PLU 2 WASH BASIN 8.75 17.50
PLU 1 WASH HASIN (SET> 8,75 8.75
PLU 3 WATER CLOSET (TOZLET) 8.75 26.25
END FEES
�.��=8 �
:���
0A-29-1997/83:37 Pt1/410C.75
kCPTN:�l-6311578
PEkiiIT:084483
�_
CONSTHUCTION ANDPLANNING POG SPA
APPROVALS Permit# Date �nspector APPROVALS Permit# Date inspector
1. Temporary Electrical Service or Poie- 52. Pool & Equipmcnt Location � ,
2. Soi1 Pipe�Undrgrnd. � 53. Steel Reinforcement -
3. Electrical Conduit Uiility-Undrgrnd. 54. Forms
4. Electricai Conduit�Undrgrnd. 55. Electrical Bonding
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectricafUFERGrnd. 57. APPROVALTOCOVER�GUfViT£ _
7. Footings 58. Electriral Conduit-Undrgrnd, .
6. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � ,' 60. Backwash Lines, P�Trap, O Undrgrnd.
10. S[ructural Fioor Svstem "� 67. APPROVAL TO DECK
7 7. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor-Final '
72. Sewer Cap ' .• � 63. Heater & Vent�Final ...
13. Roof Drains 64. Plumbing System � Final �
14. Rough Plumbing 65. Electrical�Final �
t5. Rough Electriwi-Cortduit , . 66. So1ar System-Fina1 . ," -
76. Rough Electric Wiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING .
18. Rough Electrical�T Bar Ceiling • 69. POO�/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit �F
21. DuMs, in Siructure , 70. Undergro�nd Hydro
22. Ducts, Ventilating 77. Product Piping OGas C�OiI
23. Gas Pipe-Rough & Test . 72, Underground Flush
24. Roof Praming 73. Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro •
26. T-Bar Ceiling (Structuraq & 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 Naiiing HEALTH DEPT. REQUIREMEN7 i4� C
31. Plaster Brown Coat � 79. FINAL INSPECTION � �•�;,� r,�r,+
32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED �-
��
33. Finaf Electric ' Noter. �� -
34. Final Heating & Air Conditioning � S. �� �
35. Final Gas P�Pe�Test u' � �
r
36. Hood or CanopV � • �
37. Final Factory Firepiace
38. Final Plumbing �
,r,
39. Water Service�Final �
` -i
40. Gas ServiGe-Final �
41. Solar pomestic-Final '
42. 8ackffow Preve�ter
-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 Southem California Gas Co
51. CERTIFiCATE OP OCCUPANCY ,
No. Date
/�
�monFilaeunnw: qZj pGLE CI
°w"E"'s""'E'°'aorrt': STONE, GREGORY J
��R�' STUNE RACHEL R
423 O�LE CIR
COSTA MESA,CA 92627646-9906
MPL.IWIINfi �OONE54:
z-�97-1�'l��
uxr. CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: E 084987
PERMIT NU: E 084981 PLAN CHECK NO; N GOVT; N SUF'P: N
CONSTRUCTZON TYPE: 5-N FERMIT TYPE: ELE PURPOSE: ALT
41CXREtT OX EH@lEfA: UC. NO.:
WCN.OR Qq.'S 1DOpES4: UNi:
coxmecTarsn.ue SEA POINT CONSTRIICTION ( 714 ) 380-8659
carm�crars�u�ma 15791 ROCKFZELD HL
�a+Es% IRVZNE CA �G�= 665114
92628 uM: F
�ICENSED CONTPACTOfl3 OECWIATION: I hneby ellim u pe�Wy tl pe�wy Nm I IkaroeE u�dar p'' d Chepls 9
(mmm ' wuh Seno ]000) d Drviain 3 G Ne Bua'uroas enE CoOe, uM my � u in Idl brca end .
JOB DESCRIPTION ; REMOVE DOOR 6 kEPLACE W/WINDOW
SQ FT:
CLAIM VALUE; CALC-VALUE: GROUP OCC; R-3 /U-1
COMMENTS: SMOKE DETECTORS REQUIRED PER 99 UBC, REMODEL 3 bATHROOMS. #B84979
*at�e***�***�t�tit****�tit�r***�r*�*�t***�c*it**�t***�**�r�*at*��t**��t�***it***it�****�*it+t�*it�t�tri�e
Z O N I N G R E Q U I R E M E N T 5
S E T H A C K S
cmu �5 p�q uc.cuss: H�� 66511 EXP: 2/97 ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
G� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
o�'° °oiHratla LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN
OWNER BIIII�EH OEC H�TION: 1 hmab/ ��m uWer pmely d pmN t I am exemq Imn �M GMrtlm Licama lew la iM
Idbw*9 �aamn ISslion 1W IS Buv�e+enE AWeaams Coda: A^Y NY �Y whidi �Vwu a V�e �o ovuwa. eEa. impra+.
'andah.arepvrryewnua.p'vbYaesiwKe,e6onpu"vae�MepplraeulaqcApmnuiofJse�ipiaCefetenrMtlutMa�he PARKING RE�• PROV: PARCEL: 42514319 ZNE: REF NO;
�e W�u io ms p�o�,. a m. ew�mo�. u� �. �cn.q. e(oomm�y .en swo� moo� d aw:., a w iro P LANN I NG N T ES >
.eiroa eM Rdmioro COEeI a Ihet ha a eM n e�emN tMrelmn ud iM Emie In Ne elkOb uemqion. NH videlnn d Swion �
N31.5bY�YePO��IIoraDsrmil*ubpu�IMeDdiceM�oauWVe�'/dndmmllunMohwMnddoOen�=+OOj). � 'lfif'lfifif�f'lf'kif�]klkiFifiFiFifififiklk�k'kikifiEilifif'1Fif3EiE'1f'klEifififif'1F1EifiE'lk3f'1FikiFs'1FikifiEifiiifiliFiE'1fi'tie]fifiFiEiEilifif�lEiEiEiEiEifikiFiE
� I, ea owrrer W IM qopeM ^� my anpbyeae wih wepea m Ihei wb compeneetian. vrill Eo IM xwk. ud tM aUutlun o �wl imeMed D E V E L O P M E N T S E R V 2 C E S R E U I R E M E N T S
a olleraE la seb (Eectian )D60. Buvma vd Vrd»ebna Code: TM Comrmon lioeroa lew dm� nd epplylo en avner d p�oparly Q
who buNe ar inM� �heiean. ad Ma Aom euei� xak limealf w hasd a ih�wph he «hr oxn emWMs*. V�'� �hm a�N
�,°�cwe�.,�oe�,.i �� �a��.,���«,nseb �wa�«M�o..i«��.ame��r�a�PM�'� ZONING APF�ROVED HY DATE:
� v�a��:m.�c«a;�a+� �.tlm`�°«�� �'ap� �n�«�.mm:� ��.mi°ro BUILI?ING APi�ROVED bY : DATE:
wnvr�n la arh pqetla wuh e mmrmor(e) liceved W��M to iM CaNratlon L'mns lew). . —
❑ I em eumq uedr Seeiion: B. 8 P.C.. br Nu �eemn: '•
�,
ome: o�«
� eo haebv «�M nm �.m n+ero a.na i.d.eu�,e ms npuvxn«m a celln,u. wem, w s.blv eoa seabn. um. zSSt]. ene
7555a. enE Nel I a eny Mum buJCinp oaaryuv WI / vra nd (arcb ar) need m eanVN w�lh se'd mte mEee enE IM rpw�smmb fa
e P�e Inmenuuetima motlRmiontrvntMA�Sw ITy�ianepemaN Diprid. RmiCeKil mMvtlion eGVG'�wen eumq Imm Nen
pwivms.
Dele: ApplirenL
WOHKEN'S COYVENS�TION DKL1N�110N; I hxaby dfirm wdr pmMy tl p«juy an d tlw Idbwmp EWuetuna:
❑ IheveeMWmm�uenecanArstedmmmltosetlJmunMwkae'wmpm�Wion.opraidadlnbySMionJ]rod�MLeEor
coae. io. me w��. a m. wn w�+:�n u:. vemm a��.a.
❑ � ne.. ena w mein,n.aw..• mnv��, �.�. a+�w�:.a W saia, aloo a u» lmu. coe.. m. me pslamx�oe d �Ir
j� xak lu whidi Ne i� u usueG. My xvken' mmV�ion muvanca �rir ud O�Y mmEr rs:
c.m«: rnT.nFnt Far.r.F EXPIRES
va�r�w larar7e'77a�n OS/17/98
ni5 mdion neeE m16s canG�� / IM Pn�f u M are hulMmJ Edbn �SI W/ o� Ipe.
❑ I cerlAy Net in t peAmrarca d tM work la xl�ich ihie a iseua0, I NuA n empby eny pred ury menmr o n lo
wbjm IM xwkma' cwpammian levn d E epns Nel - I dwtl becartr bjw to tM MOA:en'
com ion " ion 31W M tM leEor Cada. I I nAwah mmpy �u� IMas qv+uio'n
oma: ro,rvm:
ram
wemlrp: F un ro un wohen' nmqwtlon eov.�ep b,n �H Ntll r�n wrployr ro WMwpwltln uM
e/rll flnu w ro om �uMrM fhouunOOdGn (SIPq000A M NOlfbn ro IM ewf ol WR tlemspw u provk4d br In
9�ctlon 9)O6 0l M� Le4or Corb, ImenaL �nd ettomsy� ha.
CONSTpUCT10N LENdNO AOENCI: I hsaby elfiem ur�der penalry d PorNrY �M1m �� u e oww�ueion IrM'vq ypxy for tM
pMamerce W �M work br v.hidi �M1u M�i u owad (Smion 909]. Civ. CI.
LENOEN'4 NAYE:
LQlOEN'S ADDNE55:
I canEy Ihm I Mve nW t
� a�a ��. ��, �o
lori speabn Wrpoeea.
�
(5t5t�e.WP) .
ptlet IMebwaiNwmetionuwnq.Ipieslocanplyxiihe0myvdmumyadinuau
n eM�aby eNha¢s iepeeentelivee d Ihif tily lo anls upon IM ebv.a�men�iuqd popMy
Dme:
8 Se1nY: Oree�le: Cenery-AppSceM: Pink-Rerenue: OoMen�o�Rseam
APF+LICATION ISSUED BY• �-'�' DATE: � �
�E*iE�lEi�iE****iti�********it�it3F�e�F�FiF3F3F3FiF3FiFiF�'iF3�ic3FiF�f�FiFiF�F3FiFiF iFiF'iF3F�F£iF***iEit*i��-�* *
LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GR[iDING
PEAMIT 4.00
SOt SMIP/NON-RES
I5�[JE FEE 22.00
HUILDING-UIV-s PERMIT ISSUE PLAN-t^HE�'K �C1TAL PAID DUE
TOTALS----> 9.00 22.00 0,00 1,00 31.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 31.00 OC'ER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECI(
31.00 ��
jF if iE if if �f i't iE iE iF iE af if iE iF if iE iE if iE iF iE fF if 3E �lE iE iF iF iE ie iE if fE jE 3E ii-iE �E �lE iE iElE �E i(� �1E if jE 3E-� iF �)k if iE iE �E'1f if 1E'lf')i iE')f if iE if iE iE iE �lf �1E if i4 iE %�k ie ik iF
��
I N D I V I D U A L' F E E H R E A K D O W N
TYI�E �TY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 3 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 3,00
ELE 3 RECEPT/OUTLET 1 ST 20 EA. 1.00 3.00
ELE 3 RECEPT/SWITCH Y 1 ST 20 EA. 1.00 3,00
END OF FEES
EXPIRED
D� 01
08-29-1997/83:38 Pfl/S31.B0
PEkI'�IT?T084481
f'�
e
.
' P00, PA
1 CONS7RUCTION AND PLANNING "
Daie Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit # -..
1. Tempo*ary Electrical Service or Pole � 52. Pool &£quipmeni Lowuon - -,
�
2, Soil Pipe�Undrgmd. . - ' 53. Steel Reinforcement
3. Electrical Conduit Utitiry-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 COVEft-GUNITE '�
7. Footings 58. Electrical ConduibUndrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 67. APPROVAL TO DECK '
11. Property Sewer Line & Nouse Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. floof Drains 64. P�umbing System � final
14. Rough Plumbing . 65. Electrical�Final
I
15. Fough Electrical-Conduit 66. Solar SYstem-Final '
16. Rough Electric Wiring 1' l� Z� 67. Fencing & Access ApProval
17. Rough Wiring Sign . -' 68. APPROVED FOR PLASTERING
18. Rough Electrical•T 8ar 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. Dutts, Ventilating 77. Product Piping O Gas ❑ Oi�
23. Gas Pipe�Rough & Test , 72. UndergrounA Ffush
24. Roof Framin9 73. Undergrnd.Stora9eTank �Gas �Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & 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. Drywa�� Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electricat Power Me2er-Final � 80. FOOD CERTIFICATE ISSUED �
33.FinalE�ectric Notes: �O-`�-Q% �/l/O� � '
34. Final Heating & Air Conditioning
35. Finai Gas Pipe�Test
36. Hood Dr Canopy
37. Final Factory Fireplace '
38. Final Plumbing - �
39. Water Service�Final . �
40. Gas Se��ice�Final .
41. Solar pomesiirFinal �
42. Backflow Preventer
� 43. Backflow Irrigation
44, Landtcape Irriqation System
45. Sound Attenuation
46. Handitap Regulations
47. FINAL STRUCTURE & BUIIDING �
48�. FINAL PLANNING
49. Electric Release to Edison . '
50. Gas Release to Southern California Gas Co
51. CERTIPICATE OF OCCUPANCY • -
No. Date
PflOJECT AODJo¢r$�5: 4 z 3 OGLE C I
OWNEN'SMye: GZLPIN HOWARD L
P00°tss: 4z3 OG�E CIR
�.� COSTA MESA,CA
719) 692-0121
AFCHIENCINEEB:
ROOHESS:
92627
NEG.NO :
uxir: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06839
PERMIT NO; B 068397 PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTZON TYPE; 5—N PERMIT TYPE; STR PURPOSE: ALT
uxir: JOB DESCRIPTION ; T/OFF RESTH 6 REROOF W/COMP. SHINGLES SQ FT: 6,410
PE"m'nEE: FAIRWEATHER ROOFING ( 719 ) 997-9449
nooness: 3845 E, CASSELLE AVE
ORANGE CA 92669
❑CENSE� GONTfiPLTOH OELIAHRTION: I M1ereby aifirm �Aat I am licensed wGer Omvisions oi Chap�er 9(commencing with Section
7000) ol �ivision 3 ol Ne Business antl Pmlessions Cotle, anU my license is in Iu0 �orce antl el�ect.
ci��978� zp STpTELIC.:515125 n C1AS5 Cy}'i9 EXP: 06/95
Gl" r� � l/� —�
�e � �—( Signalure: QL.1 y.
KEXS' COMPENSBTION OECU1flPTI0N: I hereby afiirm thal I have a cehifica�e oi consen� to sel4insure or a certilicaie of Workers'
Compensalion Insurance. or a cettifiee copy Inereof (Setlion 3800. Lab. C�.
POLICY NO.: EXP. OATE:
COMPANY:
, Certilied copy is hereCy turnished.�rii�ied copY is filed wilh Ihe city Builtling Oivision.
Uale. NOPlicant:
E%EMPTION FRUM WONNEPS'COMPENSPTION OECLANpTION: (Thissedian neetl notDecampletetlil�he permitislarane hunOreA(SiW)oNess�.
I cetlify �hal in �he pedormance af the work br which ��is permi� is issued. I shall noi employ any person in any manner so as to �ecome
su - Ihe orker Compensa�ion Laws ol Cali�ornia�� �
ate � SignaNre:
NOTI : If, alier making Ihis tlec�ara�ion, you shoWa �ecome sub�ect to the Warkers' Compensalion Omvisions o� �he Labor
Cotle. you mu5i forihwilh comply with such pmvisions or �his permif shall be deemed �evoketl.
CONSTPUCTION LENOING FGENCY: I hereby affirm ��at �here is a constmc�ion lentling agency fo� the performance of �he work �or
which this 0ermil is itsue0 (Section 3097. Civ. q.
LENUEN:
ADONESS:
OWNEfl BUIWEfl DECWPATION: I herehy aliirm thal I am exempt tmm the Contramors' S�a�e License Law tor �he followinp reason
�Section 703L5 Business antl Pmlessional Code: Any ciry of coun�y which requires a permit �o wnsime�, alter, improve, tlemolish, or
repair any stmciure, prior lo ils issuance, also reQuires ��e applicant �ar such Dermit to lile a signetl sta�ement tha� helshe i5license0
pursuanl io Ihe pwmsians ol �he Comraciors' S�ate License Law �Chapter 9(commencing wi�h Semion 7000) ol Division 3 of the Business
ana Pmlessions Coae) or ihal helshe is exemD� iherefmm antl ine basis lor ihe allegetl exemD�ion. Any violation ol Section 7031.5 by
any applicant �or a permi� sublec�s Ihe applican�lo a civil penally af nol more �han five hunOred tlollars (E500�.
CLAIM VALUE; 6,410,00 CALC—VALUE: 6,410,00 GROUP OCC; R-3 /M-1
COMMENTS; SMOKE DETECTORS REQUIRED PER 91 UBC REROOF 32005F RESID 6 GARAGE
x��rx�x�+rx **�r*�r+��+r�*��r�rx�*�r*+rx�*�r�rx *�r*�+r�+r+rx�+�*�r*�x�*�+�+r�r*+r+r+����rx *�x�+��r*�r**x�x **�*�r*x �r*x�+�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAA: FT IN FRNT: ET IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGF[T; FT IN
PARKING REQ• PROV; PARCEL; 42514314 ZNE: .�jREF NO;
PLANNING N6T'ES> �:
>
irx irir*�r�e�r+r�+e*+r+r+rxit�irx�r��rk�*�*�ir**�r�r*�r+t�r�r�rir**��r��ir�+��x *�*�r�r�rx�irx ��r+t��r�r*��r*+tit�rx **�*
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 SMOKE DE7 C�;
BUILDING APPROVED BY ; A�C�IIRC� DATE:
APPLICATION ISSUED BY: DATE;
***�****x�x�+r��r�+r�r�r**�r** **�*****�* ��
1! 1klf !E!F ib dF if iF iE iE 1E iE iE if fE iE iE iFlt 1F iF IE 1t iE 1E 1E M 1FlE iF iF 1F �f ik it 1k f! 1E iE 1FlF if iFlE 1E 1E iE iF 1E 1f iE it k 3!!E iF 1F 1f iE iE fE iE 1Elf ik 1f iE �! 1E 1ElE iE if iF iE iEiflf
LEGALIZATION:N F E E S U M M A R Y ' STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 90,00 bq
SMIP/NON—RES
PLAN
ISSUE FEE �
I, as owner o� ihe pmpeny or my employees wi�n wages as their sole compensa�ion, will do �he work, and �he HUILDING—DIV—> PERh1TT ISSUE PLAN—CHECK TOT1iL PAID DUE
❑ slmcWre is nol imenCetl or o�lereA lar sale (Section 7M4, Business and Pmlessional Code: 7he Caniracmrs' Stare License Law TOTALS-- --> 9 0,( 4 0. 0 0 0, 0 � 9 0. 6 4 9 0, 6 4 , 0 0
ooes noi apP�Y �o an owner ol a pmpeny who Uuilds or improves Ihereon, and w�o does sucA work himself/herseli or thmugh
his or hei own employee5, provitlea �hat such impmvemen�5 are no� intentled or oflered �or Sale. II, hOwever ��e builtling or
imo�ovemem is soltl wimin one year of comple�ion. the owner will nave Ihe burtlen o� pmving he/she Uitl no� builtl or impmve REVENUE D I V I S I ON �('OTAL$ --> COLL EC TED • 9 0, 6 4 OV $R /$FIORT ; Q 0
iortnevu�noseoisaiel. BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP./TOT GRADING PLAN—CHECK
�, as owner o� ihe pmpeny, am exc�usive�y convac�ing wim �icensea comracmrs �o constmct me pmiect (Sedion 7040. Business 9 0. 00 , 6 q
❑ an0 Pmfeuions CoOe: The ConVacmrY State license Law does not apDty to an owner o� propeM who hudAs or improves Nereon
andwhocomracl51ar5uc�prolect5withacomractor�5�licensepursuant�otheContractors'StateLicenseLaw).lamaware *.*.***.{E{(.�(.�' ****K..�K.{pM.*X.{�.{f��.�,***{E*.k,*.K..7�**.*{t*,**K,�,�{�N,�**,�**{�**K,x,*,*,�,x,�,�*.�,.�,***�,.�,K,*,�*�,*
that pmol ol meir Wnrker's Comoensa�ion insurance shoWtl be pmvide0 m me. I j�] D I V 1 D U A L F E E B�2 $ A K D' O W N
� I am exempl untler Seciion: B. 8 P. C.
mr�msreason: TYPE QT. D E S C R I P T I O N UNIT COST TOTAL COST
oa�e: owner: SFR 6910 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 6 410.00
I do hereby ceNty Iha� I am aware o� and understane Ihe requiremenis o� Cali�amia Heallh antl Safely CoOe Sec�ions 25505, 25533, and . i
2553a and thai I or any �Wure building occupan� will/will no� (eircle one) need to comply with said s�aie co0es and �ne requiremen�s for a END OF FE$S
permu lor construdion or motlificalion tmm ihe Nir Ouabry Managemeni Disirict. flesitlential consiruction appiications are eeempl tmm � �
�nese pmvisions.
oate: noo�icant: �J1 fl016"19-00164i?0 Tfl
I hereby cetlify�hal I have read��is applicalion antl slale Iha��he above informalionis correcL I ag�ee �o comply with all ciry antl coun�y � 9(�,(+4
areinancesanasia�e�awsreia�ingioom�dingcons�mc�ionanOherebyauthorizerepresenta�iveso��niscitymen�eru0ontheahove-memioned DAiE� O8/OE/94 Tf(9E;C 1Q:Q3
Or etly lar i dsp lian Durposes.
Dat .� O �� Signa�ure: � �
�Giiver'sLicenseorsocial5ecurilyx' �'�(�
t6<LO6 Whiie—Builaing; Green—Code Enforcemem: Canary—ApplicanC Pink—Revenue; GolEenroO—Assessor
GONSTRUCTION AND PLANNING . P�OL e.,PA
APP�!OVALS Permit� Date IospecYor qppROVAIS Permit# Date Inspector
,�;emporary Electrical Servic2 or Pole 52. Pool & Equipment Loca[ion
2. Soil Pipe-Undrgmd. . ' 53. Steel Reinforcemen[
3;-Ele'ctri4al CondGiciltility�Undrgrnd. 54. Forms
�.,
�„4. Electrical Condujtc�Uqdrgmd. 55. Electricaf Bonding
'`51�Scaei Reinforce�nent 56. flough Pfumbing & Pressure Test _
,
-,y6 Ely,ctryal UFER�6jnd. .-. 57. APPROVAL TO COVER�GUNiTE `
• .Y. Fomtinys �� '- 58. Electrical Condurt�Undrgmd. "
8' Foundation -� "' °' S9. Gas Pipe, O U�drg�r.d., Test
� 9� Wacer Pipe-Und�9md. 60. Backwash Lines, P�Trap, �7 Undrgmd.
70. Structural Flooi S�stem 67. APPROVAL TO OECK
71. Property Sewer LinG$ House Connection 62. Backwash & Recepmr�Pmal
12. 5pwer Cap ,� � 63. Heater & Vent�Final
73. floof Drains �� 64. PVumbing System � Fina�
74. Rough Plumbiri� �' ' 65. Electrical-Final
75. Rough Electricaf�Conduit - 66. Soiar System-Final
76. Rough Eleciric7Jiring 67. Fencing & Access Approval
17. Rough Wiring Sign ` 68. APPROVED FOR PLASTERING
18. Rou�h EleccricahT Bar CeHing 69. POOL/SPA SYSTEM14S FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Tiough Factory F�tePlace i.:a7 - i O � _- r APPR07JAtS.�:Fermit # * '^
- ��-�c. >
^ ' ' ry _ . . . ._ y -r,
2L �Ouc;s', in_Stru`�tur�.. .. .. -. � � �yr i' .�0. UAdergrau�d'NYC}S�
22.�Duca. Ventilating-�;� � .jS Y r. _, 'i7 k t 1. ProductP'�r�g CI'E-u5 opd
23. %tas �pe�l�ou� &'T'gst , �S ' ,�J. ` ,�.��� k r72, Undergroi,gd',Flusg�„�, r ;; �'_
24, c�oof_-Framing� � a �_-. F �- i :+ _ � . � 93. �1'lndergmc➢. StoratJe:7'�nk � Gas ❑ Oir
t< ' ��1
25. floo�,She�thin '- �`� `� � �y -' �
9 ;.� `�- ` C.%' �(� -, 74. v�rhead h�Vdro � Y
26. •7�Bai Ceilin (Stru turail & c' noeoat � � � '7 �r t x � ` _
) g L ftRo 75. Dry Chemical '7 ��1
M .
27. Prame and Flashin�' � „ _ �� �„'t '��, 76.'� y Star,d�li'e ��`a � ' ' �
� . i - � -., � � .,. - • - � . �.
2�8. Lathing $c Siding �-. • -, i.:;.� � � .. .•? � 77. �f IXED S�`ST+EMF�IVAL+ � "'
29. (nsulation` ' -y � `1 1" " ' M � j j ;x ` 78.�IflE PREV. PIN(ak a � -�
3p. Drytvall (d2iling �n �� � +' � j � �+' • � H@ALTH,qEPT iRfiQUP�RHib7ENT
. ��
.37, piaster B mm.Coat'? ,_ � �.�„ t � K ` _29. �FINAL INS�I'F;CT10�1 Y ' ' �
�2. �lectrical�fow�r h9iter; �inal , �� ,+� i ; x ;QO. FOOD CERT_ FICAr SET I �1ED � �
,a3. Finai'Electric� -v : � ;� "-� � I �` � �flJot�. � :� " :
� �:� ��',
3'q. Fina(�-iea�ing � Rif� Co�ditiooing - : i � �• ; t � . .',z � . "
35. ��;na1�Ga5Pipe=R'est * " . ' � � '' ';` ." . - '
;.� . `- r� > � �
� SX • .1 .
3�. �Hoodor CanoPY � ..; ' ., � .s C� I � � :_ �. .�;^ e -
i �
3'7. Final Fa[tory Firepl3ce'�, �=" '-' x �. � `` r '-: ' �
38. pina6Plumbing _ J' . .. .� F � i ` 'q ?c'n - -
39. Water:$eNice-Final� . " , .- . ' ��' .� � . . �'?7 " S �
- - :x, - ..
40. Gas Service-Final 4 + ~ �„ �" �, -� � . ,> `� �i , `•� ; o,•, i� :' .
41. 5oiar �omestia-Finalr = � •� � G� - � ' � • +
42. 9eckfiow Pceventei,� � ��' +" !, �. ���...Q(., 3'��'�. �p. J j.... 11��
- :' r.ctpc
43. Backflow trrigbtion;+ ' _ . • �� . ^-^•i � -.
r . � Y �ti :
r. ,
d4. LandscaDe Irri4ation.System y ,.., k � �, ';: - -�+ �r n� � =
45. 5ound Aitenu�tion tiT;, r x= 6: i-- .- _ :.,� �
� rt �<�. r�. .�1
. ,n _� : � :T .. . - � � i . .- _ .. . .
46. Handicap.ReguJatldni ' � .� ,� x �� t
47. F�INALSTRUCTURE&BUILDWG J��(.-9Lf 6w� �y 'li-=<- � >
i , i�
46. FaNAIPLANNING :"� '� f � �.' � � ��
R ^, t � •,/
qg, Qlectric Release to:�Edison i • ' �� � s � x
i4 �
50. Gas Reiease to $out}iem Cafifomta Gas Co F � �, .y -. '" r -� -
5]. CERTIFICATE OF OCCUPANCY � ' , r- - -
No. Date
i .
CITY UF COSTA MESA
CALIFORNIA P. O. BOX 317
FROM THE OFFICE OF THE DIRECTOR OF PLANNING
December 21� 1965
M. J. IIogan
423 Og1e Circle
Coata Pde�a, Ct�lifornia
Dear Pool Owner;
The Costa Mesa Planning Department has been notiYied oY the completion
of your swi�ing pool.
So that your pool will be a saPe one and Por the purpose oP advising
you oY your responsibility regarding the requirements oi the Costa Mesa
Municipel Code� we quote Section 929$•9:
1. No s�riv�in� pool shall be constructed closer tha.n five (5�
Yeet to any property lines, measured Yrom uater line of pool.
2. No swi�i.ng pool shall be constructed under any electric power
lines or on any electric power easement.
3. No swinmmi.ng pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a Pence
six (6� Peet in height and have a self-clos3ng end
locking type gate or gates.
This courtesy letter ie directed to you so that ybu vill be aware oP
our ordinances and can make a complete saYety check oP your pool area.
Sincerely yours,
�/it�`�+�
William L. Dunn
Director oY Planning
,!*
J MAIN OFFICE
10]! WEBT GAYLORD ST.. - P.O. BO.[ 8063
LONO BCACH �O, CALIFOHNI•
HEMLOCK 5�➢<9]
6PRtICE S-fi�26
JACKSON )�9681
Twinina
�xamination No.
Project
Sample from
Architect
Contractor
BRANCN OFFICE
ISb�O NORTN N�RPER ST.
SANT� �NI.. UIIGOFNIA
JEiiEH50N I�tOa!
JCFFEfl40N �.t0<0
Laboratorses �f s�uE�Ezn �ac� foZn�a, �n�.
October 28, 1965
GUNTTE
R�PORT OF �P�S TLST CYLINllER
a�y�1
D4ix
Specificd Strength, psi
� Size
Date cast
SC65-4960
For - Jos, D1. HenLey
SWIA1 POOL f or Di. J. HOGAN
423 Ogle Circle, Costa tlesa
<.#7.-Bottom deep end �2-Side wa11(House)
�3-Bond beam deep end
Tabor Gyimesi
Blue Haven Poo1s
41 - 1
2,000 psi
6" x 12"
10-19-65
I�ate tested 10-26-65 10-26-65 10-26-65
Cylinder No. 1 2 3
COR4PRL.SSION TEST 7_Day 7-Day 7-Day
�� �_ _�
Total load to destruction, lbs. 106,000 139 000 95,000
Pounds per square inch 7 0 4, 915 3, 360
Cylinder made by
C}']inder delivered by
Cylinder received ai
cc: Jos. td.Henley
Blue Haven Pools
Four Star Gunite
Costa Pfesa Bldg. Dept.
Jos. bt, HenLey
Jos. M. Henley
LO-20-65
1"HOLD" 2"2i0LD" .3'4i0I,D"
NUi'E: 7-day test compLies wit
�+,,y C; City o! Costa Mesa !
�// ( ���iv� Building Dept. �/.
!/;.. �� /� �� � � �u
%
G'
ALL qE�ONTB ARE bUlMITTED �8 THC CONFI�ENTIAL PRO�CRTY 01 CLIENTB. AUTMON126TION FOT pUlLIC�TION OF OU PEPOPTB. CONCLU/IONO. ON C%�
TR�CT! F0.0M Oq qE�Aq01N0 TMEM 1! PfSERVED PCNOINO OUft WHITTiN �PpflOVAL /.! A MUTUAL pflOTECTl01� TO CLIENT6, THE IUlLIC /�ND OIIRlCLVEG.
OWNER R. W. KOLL OCT 2 8 1959 nATE 6/23/58
JOB ADDRESS �i23 O�le Circle BUILDING PERhi1T NO. C9%%'
GENERALCONTRACTOR Owner-Euilder VALIIE $ 2�G3%.00
AP. No. LOT 9 TaacT 1776 FIRE ZONE DESCRIPTION OP WORK Add. of Den to er..
UP J TYPE S ZONE Rl PLAN NO. �
INSPECTIONS
cont
Pinal Gns Tes[
SUBCONTRACTOR
PERM
, � � 69`�'7
�
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
BUILDING
ADDRE55
FOR APpLICANT TO FILL IN
COSTA MESA. CALIFORNIA
MAIL
ADORE55 �� 7•! ���( {�J/I o-yy f
TEL.
CITY � � NO.
ARCHITECT LIC.
OR F 'NEER NO.
ADORE55
CITY LIC.
LEGAL
OEBCRIPTION
A.P. NO.
SIZE �6 � �O NO.OF BLOGS. /
OF LOT �ow or+ �or
USE OF
E%ISTING BLDG. ���5 ��1 �c�
$ETB�CN IINE FROM Y' / }/ I
CENTER OF STREET Q.`S�{1 REAR YqRD �J J
SIDE VAR� ���J R�GHT Q.�}C/ S LEFT �. )C/J
DESCRIPTION OF WORK
NEW ALTERATION ADDITION �
REPAIR MOVING OEMOLISH
SIZ'EOINGi ��4 � �ROOMS I STORIES �
EXTERIOR WALL� ROOF � �
a�i�� .���u�J `���i '
� fIiVAN�E )DE T �
f.ITY 0` "�cTn �.1ESA
APPLICATION FOR PEF2MIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. /PEwMiT NO.
/
.EI �ED BY Oy� E ECEIV PA" v SSU D
F' 'Lf ) � 2`
DING /i /'] �
RE55 L (,�7 '
� COSTA MESA. GALIFORNIA
APPROVE
BY f/ l'1�+w � DATE
CORRECTIONS
��,
DA
u.r_sa
� � L ( f �/�I
� / � J / / �� Z ] S� `
I HEflEBY ACI(NOWLEOQE TMRT 1 HAVE RE40 TNI$ AGPLICaTION ANO •
STPTE TN�T THE RDOVE I$ CORRECi �NO �GNEE TO COMPLV WITH ALl
CITV ONOIrvnrvCES .�ND ST>iE 1�W5 REGULwTING BUILOING CONSTRU<-
iioN. /I� ,_ ' ' VALUATION
SIGNATURE OF �(� l PERMIT FEE S����
PERMITTEE �-r � ��'
$��f%Q� PLAN CHEGK S S +�
7 / \ r
nUTHORIZED AGENT TOTAL FEE 5/S �i ��
I
dOB ADDRESS 42 O le Circle BUILDING PERMIT NO.
GENERAL CONTRACTOR OWriBT Builder DESCRIPTION OF WORKAdd FBm. POOIIl� 7
: i0. 117-312-12 LOT TRACT FIRE 'LONE VALUE § 5�Z00
1hoPECTIONS � Siflnaturc � Date . � GROIiP I TYPF. V 'LONF.
SUBCONTRACTOR
n J..
�44a8
yUSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BO%31] COHTA M68A. CALIFORIVIA
For Applicanf !o Fill In Complefely .
TYPE OR PRINT
su��oiHo /�� O�`.F G/IZGGE
wooaess
COSTA MESA. CALIFORNIA
OWNER � �D�'v
ADDRESS Z % OLG� G/JaGG�/
�/ TEL.
CITY �f/- � NO.
„6- . `��Qe ZbrJ O�TCiI�2 TEL.I.C/�J S
CITY 0; �3�tt� MESA
JUL 2� 1965
APPLICATION FOR PERMR
For ��iy�l� �y
pHCHIRNO, piRN
� - � - - - � " — ' - " ZONH NO. OP !1 UBH OF NCljA^//s"`�].
PIAHH -�L BUILDINO � (Pj�
CONTRACI'OR DLU EILJ UIGL:�'rZ� �
. . LEOAL "7"" � I � �l'�
DHBCR�ITION / /
A�DR888 � c
GITY A. P. NO. � � � � / ✓
NOTE: NOEAVEOVERHAfi68HALLBELE55THAN
STATE TEL. 90" TO SIDE 8 REAR P. L.
LIC. NO. NO. �
C /— EAVES
OFLOT �`�� �{� I NowONLATe / ALLOWED �U.B.C.REQUIREMENTI
� - YARD6APPROVED YARDSAPPROVED
EXISTING BLD6. �.�i%��C%,C MAIN Bl11LDINQ ACCESSORY BUILDIN�
(FROMGLSTRE T)
BETBACK LINH FpOM �� R NT F�.
cErvTER oF sTRH6T REAR YARD � y�/
� � R. SIDE(-���7 iF-IW Ff.
SIDEYARDI LEFTS I RIQHT S
DESCRIPTION OF WORK L. SIDH S'r�r. �.
BUILDINO/��
SIZE
EXTERIOR WALL
TO BE
1 HEFEBY ACKNOWLEDaB TXAT I XAVH qEAD TXI9 APPLICATION
MND BTATH THAT TME ABOVB I8 CONRBCT AND AORBE TO COM-
PLY WITH �LL CITY OR INANC88 �ND BTAT6 {�AWB qBOULATINO
BUILDINO CONBTPUCT
PERMIITEF OFf ��� �„��)
�..v[
AUTHORIZED A6ENT -
REAR 3Ff. F
DI9TANCE BET. BBT. MAIN Q
MAIN BLO69. ACCESS. BL[
VAR.iF OATE
THE AMOUNT BHOWN UNDER VALl1AT10N 19 FOR TM8
PUHPOBE OP lBTABLIBHIN6 A PERMIT FEE ONLY.
VALUATION �
� PERMITFEE S ,�
$ ���C�Lr LA CHECP D
� TOTAL FEE B .� /• s
_ vw++.� LH1L iv .�—v�
.70B ADDRESS �F23 Oale Circle BUII.DING PERMIT NO. 24751
GENERAL CONTRACTOR B1llE HBVeII Pools DESCRIPTION OF WORK Prtvate St7im Pool
N
IN,
Soi
Ga
Wa
Pole
Da[e
SUBCONTRACTOR
�' �A��I �Y��i vl i��.r�i�i E���aiF1
. �
��COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 1 lyb�
P.O. BOX 13W COSTA ME6A, CALIFORNIA B262E �
M
. 6'755
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
ADDRE55
OWNER
ARCH�TECT '
OR F VEER
3 Ogle Circle
COSTA MESA. CALIFORNIA
CONTRACTOR j�� W� 1101
ADDRE55 2826 Nei,mort
�ecwi LOT
OESCRIPTIOIu N�. C�
A.P. NO.
oF �or irn.
USE OF
EXISTING BLDG
$ETB4CN LINE FROM
CENTER OF $TREET
NEW
REPAIR
BUIL�ING L
SIZE �
EXTERIOR W.
COVERING
USE OF NEW
BUILDING
TEL. �
NO. OZ
�o: 61195
iOS�'i'd 1�658
`�on`stT: No: 8534
1vd.. T�o 0 R 3—
No.ov e�ocs.
LEFT �
DESCRIPTION OF WORK
A�TERPTION AOD�TION
NO.OF
ROOMS rj $TORIES
ROOF
COVERING Shaka
���c ��C�a�E�
s- �s_ ss v,,�,
FINANCE DEPT.
ClTY OF f,OSTA P,1ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NC
� Q �{�
ECEIVEO BV pwTE NECEIVEO O<TE ISSUF
_,/ .r:..�_� MAY 1 n i
�55 ��Z ! L/� � ��-[�
COSTA MESA. CALIFORNIA
l
%C'Ii7 •� �[ OATE
CORRECTIONS
/S ' N/'
I NEREBV ACNNOWLEOGE TX>T 1 NqVE PE1O TXIS APPLICATION 1ND '/�
STwTE TM<T TNE ABOVE IS CORRECT AND I.GREE TO COMPLV WITN �LL �'� ^
CITV ORDINANCES AND STATE LAW$ NEGUL.�TING BVILOING CONSTNVC- 7 e �
iioH. VALUATION ?/
SIGNATURE OF PERMiT FEE 5 ✓ b '
PERMITTEE ��"'� .J
5�� /` D� PIHN CHECK 5 % 6 �
0 �
'� � TOTAL FEE 5 � ��
AUTHORIZED AGENT �{�` �!