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Home My WebLink About437 OGLE CIR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • wv+w.ci.costa-mesa.��DING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job AddresS: 437 OGLE CI Suit@: Vicinily: HOUSE AND GARAGE ROOF Primary Occ: R3 Type of Constmction: V-N Parcel Number: 42514312 Zoning: npp�iwn�: PETE VAN GERVEN Address: 3101 S FAIRVIEW ST SPACE 49 SANTA ANA, CA Owner: FRIDLUND, KEITH Address 437 OLGE CIR COSTA MESA, CA Contractor: PETE VAN GERVEN ROOFING Address: 3101 S FAIRVIEW ST SPACE49 SANTA ANA, CA Zip: 92704 Arch : Address: Zip: 0 Phone: License: Phone: 714-979-2774 Zip: 92704 Phone: (949)548-6001 Zip: 92627-3226 Phone: 714-979-2774 License: 757856 Eng: Address: ISSUED BY: Status: ISSUED Applied: 02/10/2006 Issued: 02/10/2006 �� Phone: License: SCOPE OF PERMIT TEAR OFF WpOD SHAKE ROOF, INSTALL 1 LAYER OF 15# FELT AND REROOF WITH 30YEAR COMP SHIGLES ON ATTACHFD HOUSE AND GARAGE, APPROX 3,227SF. REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: a0.00 Permit: $181.25 SMIP Res: $0.95 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 Total: $182.20 PLANNING R ZONING SETBACKS MAINSTRUC7URE Froni 0-0 ACCESSORY Front 0- 0 PARKING Existin : o Caic Valuation: Ss,soo.00 Claim Valuation: gs,eoo.00 Rear 0-0 � Left 0-0 � Right 0-0 Rear 0- 0 Left 0- 0 Right 0- 0 Re uired: 0 Pr000sed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremeMs under Calitornia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned for a periotl of 1 BO tlays. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaawa �e�oo� WORKERS' COMPENSATION DECLARATION: I qereby aHirm under penalty of perjury one ot t�e lollowing tleclarations: � ❑ I have entl wlll meintain a catlificate of consent to self�lnsure for workers' com�setion, es provided br by section 3700 of the Labor Code, lor the pertortnence oi the work lor whic� t�is Oermit is issuetl. ❑--I heve and will maintain wohcere' compen5ation insurance, as requiretl by section 3700 0l the Lebor Code, for lhe pertormence ol t�e work for which this pertnit is Issued. (�_My.worker5' compepsa(ion InSurence carner and policy number are: � Carn� 5•r�a-F.P �k.n � Palicy Nu�mb�f i-a ro , s6 -�. �� '(7bis�sectlon need nof be comp/ele0 il the permit is valued et one hundred Oollars ($100J or /ess.J �—� ❑ I certity that in the peAortnance of the work lor which Ihis Oertnit is i55ueQ I shall not employ eny pe�son in eny manner so as �o become sub�act to tha workers' compensatlon lews of Califo la, end egree that If I shoultl become suDject to the workers' compensation provisions ot Seaion 3700 of the Lebor Code, I shall Porthwith � ptyyvith these pmvisions �p7�� /}/y / pp �mSigneWre: � ��—Y="�'1 /Jti+�`1^- Date: _ • `�—'� �� -p WARNING: FAILURE TO SECURE WORNEPS' COMPENSATIqJ COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO IXJE HUNDPEO THWSAND DOILAHE (5100,000), IN A�ORION TO THE COST OF COMPENSATION, OAMAGES AS PqOVIDED FOR IN SECiION 3]O60F THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: by aMirm that I am licensed nder pmvisions of Chapter 9(commencing with Section 7000) of Division 3�o4ihe.Business and Professions CoOe, and my license is in full end eMect. Li�. g �%�'�% $�� _ �Cless #� G 3 9 actoYs�SlgnaWre: . ��% a e .�... Dete:_— ?_�� f5 CONS7RUC710N LENDING AGENCY: � I hereby attirm ihat there is a consWction lentling agency br ihe peAormance of ihe work lor which ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Neme: Signature: _ OWNER-BUI�DER DECLARATIONS: Lender's Atldress: Date: I hereby a%irm thet under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, Business end Protessions Coda: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repeir eny structure, Onor to its issuanca, also raquires lhe applicant for such permit to lile e signetl statement Ihet he or she is licensed pursuant to ihe provisions o� the Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) of Divislon 3 ot ihe BuSiness and Prolessions Code) or Ihat he or she is exempt therelrom and the basis lor ihe elleged e:emption. Any violation oi Section 7031.5 Dy any applicant lor a pertnit subjects the epplicant to a civil penelry of not mwe than five hundred tlollars ($500).): ❑ I, es owner of the pm0erty, or my employees with wages as thair sola compensetion, WILL DO 7ME WORK, and the stmcWre Is not in�entled or oflered lor sale (Sec. 7044, Business entl Pmfessions Code: The Coniractors �icense Law does not apply to an owner of propeny who builds or improves ihereon, end who does such work himsell or hersetl or through his or her own employees, providetl that such improvements are not Intentled or oHeretl tor sala. II, however, the building or improvement is soltl wiUin one year ot completioq the owner-builtler will have the hurden ot pmving that ha or she d�tl not builtl or improve tor purpose ol sele.). - ❑ I, as owner of lhe proOeM. em E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to tonstruct tha project (Set. 704d, Business and Profession5 Cotle: The conirectors License Law does not epply to an owner of propeny who builds or Improves Ihereon, antl who contracis br such project with a contracror(s) licensa pursuant to ihe Contraciors License Laws.). ❑ I em exempi under sec. Signature: Ownar ID verilied by tlrivefs license. ❑ Y65 ❑ No Business antl Professions Cotle for Ihis reason: Verification ot Ownership by (type of document, i.e. - propeny tax bill or deatl): OIY�SION OF INOUSTHIAL SAFETY PERMIT CERTIFICATIQN: Drivers License No. Dace: E:pires: ❑ I hereby cenify that no excavetion five (5) or more �eet In depth in�o which a person is required �o tlescend, will be made in connection with work authorizetl by this permit, antl Ihat no building sWcture, scaftoltling, lalsework, or demoli�ion or dismantling ihereof, will be more than thirry-six (36) teei high. (Chep. 32, Grp 2, Art 2, Sec. 347, Title B, Califomia Adminisirative Code). ❑ As owner-builder, I wiil no� employ anyone to do work which would requira a permit Irom Ihe Division of Indus�nal Salery, es notad ebove, unless such person has e pertnit to do such work trom the division. Signeture: Dale: Division ot Intlusirial Safery Permit Number: �CERnFICATE OF COMPLJANCE AND AUTTIORIZATON OF ENTRY: I certiry under penelty of perjury thal I have reatl this applicatlon a�d state Ihet the information given is I correct. I agree to comply with all state laws and ciry ordinances relating to building construction, and authonze representatives of the Ciry of Costa Mesa to enter upon the above-tlescrihetl propeey for inspection purposes. I agree not to occupy or allow occupancy of eny 6uilding authonzed by this Dermit umil final inspection. �E 1, INSPECTIONTYPE 1616 Fizetl Sys�em Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Roof Flnal BIocWRetaining Wall Final Faciory Fire Place Final Sign Finel Demolitlon �F � �� i �� y,QQ�,( INSPEC➢ONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Pravention 220 Final Planning Approval 222 Final Site 250 FinelBuilding/Occupancy pt4) 75a-52�3 • Fax pt4) �5a-ae56 • www.ci.costa-mesa.ca.us 77 hAIH UHIVt, IiVJIA MtJA, GA `JZO[O PLUMBING PERMIT Job Address: 437 OGLE CI Suite No Vicinity: FRONT VARD Parcel Nunmber: 42514312 npplicant: RODRIGUEZ, RICHARD Address: 7518 ENDEAVOUR PL ANAHEIM, CA SUITE A Owner: FRIEDLUND, KEITH & TOBYE L Address 437 OGLE CIR� COSTA MESA, CA Contractor: PMC PLUMBING CO Address: 1518 ENDEAVOUR PL ANAHEIM, CA SUITE A Arch / Eng : Address: Phone: (714) 991-6481 Zip: 92801 Phone: (949) 548-6007 Zip: 92627 Phone: (714) 991-6481 Zip: 92801 License: 735156 Phone: Zip: License: SCOPE OF PERMIT REPLACE EXISTING SEWER LINE. � ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) . Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (i-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 $0, 00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trep $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $24.65 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 09/07/2000 Issued: 09/07/2000 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $48.15 �TY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .�7 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 780 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all reqWred Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas-as �a�oo� WORKERS' COMPENSATION DECLARA710n. I hereby attirm under penalry oi periury one of tha following declarations: ❑ I have antl wili maintain e certificate of wnsent to self-Insure for workers' compensetion, es provided for by section 3700 of the Labor Code, for the paAormance of ihe work for which Ihis pertnit is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Code, for the pedortnance ot the work for which this pertnit is issued. —My wor rs' compensation Ins��ce carrier antl policy number are: ` ,£�' �7 C, Ca��e�: _t= 3��MC)N 1 PolicyN�umber: �� 7 J��L� (1— � '(Tfiis section need nat be cromplefed iI fhe permif is velued ef one huntlretl dollers ($ f 00) or Iess.J L T— ❑ I cenity that in iha pertormanca of the work for which this permit is iss I shall not employ any person in eny manner so as to become suhject to the workers' compensation laws of California, end egree ihat if I should becoma ' ct to the workers' compensation provisions oi Section 3700 of the Labor Code, I shall iorihwith TFIOUSAND DOLI.ARE ($100,000), IN ADDITION LICENSED CONTRACTORS DECLARATION: I hereby aMirtn ihat I am licensed under pmvisions of Chapter 9 force and eHect. Li� J7 3,5� S�O n .. _ Date: . � — � — Z i�i �i-0 AND SHAIL SUBJECT PN EMPLOYEiiTO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED °S AS PROVIDED FOR IN SECiION 3106 OF THE LABOR CADE, IMEFEST, AND ATfORNE1"S FEES. Section 7000) of Division 3 Cotle, and my license is in tull CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm ihat there is a construdion lending agency for the pertormance of �he work for which �his Oertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Atltlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm that untler penalty of perjury that I am EXEMPT FROM THE CONTflACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires a permit to constmct, alter, improve, tlemolish, or repair any structure, prior to its issuance, aiso requires the applicant for such permit to tile a signetl statement that he or she is licensetl pursuent to tha provisions of the Contreclors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot t�e Business antl Protassions Code) or tha� he or she is ezempt iherefrom and the basis tor Ihe alleged exemption. Any violation of Section 7031.5 by any appliwnt for e parmit subjects the applicant to e civil penatly of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, and the structure is not irnendetl or oHered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not aDPly to an owner of property who Duilds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such impmvemenis are not intentled or oNered br sale. II, however, ihe builtling or improvement is sold within one year of completion, ihe owner-builder will have the burtlen of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to consWci ihe project (Sec. 7044, Business an0 Protessions Code: The contrectors License Law tloes not epply to an owner of propeny who 6uilds or improves thereon, and who coniracts for such project wlth a contractor(s) license pursuant to ihe Contractors License Lews.). - ❑ I am exempt under sec. Signamre: Business and Professions Code for this reason: Owner ID verified by drivet's license. ❑ Yes ❑ No Driver's License No. Verification of Ownership by (type of daument, i.e. - property tax bill or deetl): Date: Expires: DIVISION OF INDUSTRIAL SAFETY VERMIT CERTFICATION: ❑ I hereby cetlity Ihat no excavation five (5) or more teet in tlepih into which a person is required to aescentl, will be made in connection with work authonzed by ihis permit, and ihat no building strudure, swflolding, falsework, or demolition or dismantling thereof, will be more than t�irry-siz (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminis�retive Cotle). ❑ As owner-0uilder, I will not employ anyone to tlo work which would require e pertnit fwm Ihe Division ot Industrial Safery, es noted above, unless such person has a pertnit to da such work from Ihe divisian. SignaWre: Date: Division of Indusirial Satery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OP ENTRY: I cenify under penalry ot perjury ihat I have read this epplication and state ihat the intormation given is correct. I agree to comply wi�h all state laws end ciry ordinances relatin building cons�ruction, antl authonza representatives of the City of Costa Mesa to enter upon the ebove-described property for inspection purposes. I egree not to ac or Ilow occupancy ot any building authorized by this permil until tinal inspection. CODE 1. �NsrecnoNTrve 1616 Fized System Final Fire Preveniion 1266 Pool Spa Final 200 Finel Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Qdj� � �Qjf„� INSVECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling�Occupancy aeie uume�s O� � ADDPESSOiBUILpNG: 9 3/ UC�L� l.l oxxexsx,u�eiviu�axr: LEN PIERI woness: 437 OGLE CI � COSTA MESA CA 714) 509-5�86 APPL. MAll1NG �UOPE55: urcxrtecT on Enax�n: �xcx. on �c.•s wonEss: coxmncTarsx�ue: -� CONiNACTORSNNIING �p�NE55: UNi: 92627 uc. No: uNT: uc. xo: unr: LICENSED COMNACTONS DECLAXATION: I Mmby eXirm under pereYy W perjury ihat I em licenaed uMm prwiciom W Gheqer 9 (mmmmwrq xilh $eclon ]OW� d Division 3 d Ihe &mnea eM Prufaavana Cde, ard my liren.ve'n in /ull lorce vM eHed. qTY LIC. NO.: LIQ CLASS: LIC. NO.: EXP : Dale�. Conlraaa: i"�WNEN BUILDEX DECIAFRTION: I Mreby alfirm under panely d per'ryry ihe11 em eRemp Irom tM Conlreaan Licame lew la tM Vowing reeson (Seclion 10�1 5 Busvreee end PMeseione Code: Any cAy a munly xhich reQuires a permil lo conalruc�, eller, improve. ' amdah, w rapeir eny sVuclure, pior to na ssuanca, abo repuirea ihe epplireni lor euch peimn to file e aigred eteiemem thei he or eha . e ike�see wrsuani io �ne mw�van d ma comreao.s uce�sa iew fcnen�e� e loomma�rro wnn sea�a, �000) d ovobn a a me Business enE Pmfeanuna Cade� ar ihel M or she is exampl t�erehom end ihe besia ta �M elleped exampbn. Any voletpn d Senion ]031.5 by eny epplirant for e permA subpe� ihe epd�c,`e�� ia e uvil perelry d ewl more ihen Irve huMreC Edlen �5500��. � I, es er ol �he propeilyor my empbyees wvh�iagas es the'v wle mmpanmtion, xili do i�e woA, arM i�e sWCure e nM inlenEaE t oroRered(nmle(SectianJOaC,BuvnassentlProfe9aionaCoda:TM1eConiredonLiceroelewEoesmlepplytoenownerolpropairy wM buiEs a inprovea �Mreon, eM Mw Coes suM �ork IimmX a heneM a Mraph he rc her oxn empb�eea, qovNed �hm such im0�'emems are mt imarAed a dlereE lor aele. ll. Mwever, Ihe WiMinB or'unqoremam ia soH wnhin one yeer d completion, the o.�,.w�a« �;o na�a ina w,m� d v,wme na o� .na a�e �a wae o, �ma.wa m, ina w�m�a a�). ❑ I. m ovmer W �he propeM. � e�duaively conlrednp wilh limnsad conlreclors lo conshua iM O�la=1�� ]014. &»i�a ad Pmleeviow Code: The COMreGon Lbeme Lew does nM epqy io r Dr y who EuiNa w improvee t�ereon end who mnlrecla fa wM prqeqs xilh e mnireeor(e) Icemed W�� to e Coniredan ' �a Le � i�,a.e q aa,s«a�:8P7044 e.avc.,m, nro OWN ,—B ILDER i o�s: i owo�: i d eren� � n� nv i� aw�a a d,e ��a�i�e me .e,��,�em. d c�aome H„nn �d s�aro cod; s��,. uws. usai. ,�a inm i� oe�e: nvvfcenc � WOFKEN'S COMPENSATION OECLAR�TION: I Mreby effi�m uMer peneny d perjury aw d Ne fdlovn1p Eetle�e�iom: ❑ 1 have eM wil meintein e cenJicele M mnsen� lo aeN-inaum �or wwkero compenatbn, m qoviJaE br by SWion �)00 d tha lebor Cotla. la �he pe�mrerca ot Ne v.ork la wlich thn parmn e isaueE. � I heva enE wil mantan wohare wmpenae�on insurence, es reQuired by Sedim J]OO W ihe Lebor Cade, lar iM parlormence d tha wwk Iw whitli thia pemiil is esueE. My warkan' compenseiion inwrarwe mrtier eM pdiry numbar are: 1 cerriec _/ PoliryNumber: (lhis sMion need nW be romde�ed / Ne peimif is Ia are hundmE dallers (S�OpJ w bss J � � I cenAy ihet in �ha pe�forinence d Ihe work la whkh �hie peimn ie iasued, I zlWl rwt employ ury pamn in any menner ao m to necome wbj.o ia iM v.vikers canv�� , a cdn«nia, ene ,q,ea �nm a � azwuk nmome wbptl �o in. wohan' <ompensa�ion D�'isone a/5eqion �)00 0l the lebor Cade. I eM1all Imlhwi�h mmpN �h Ihoae O�sione. De�e: Apqicaric Weminp: FeNun ro�xun woikn�'romperueHon rovsrays b unlewNl, end aMll �W/�cf en ulqiloyu ro ctlMrul pens/tlq errd clvll nMs w ro on. nwarM tho�a�M Ool�en fJroo.aaol, In .GEltlon ro th. cost or rompxuat/on, Gmep� n proHesd ror In Ssctlon 9RI6 0l Ms Le6or Cotle, InNresf, entl ettornsyY les�. , CONSTPUCTON LENUINp AOENCY: I hereby eifirm uMer penelry d parNrv �� ihele m a mna�veian brMiiq egercy for Ne paAarmence d �he vmh lor which Ihe permA ie eeuad (Section �pBl, Cir, C). LENDEP'S NMIE: LENDEfl'S ADONE55: I ceniN �� 1 heve read �hn epplirotion eM eta�e IIW �ha ebove inlorme�ion is correa. I epme lo compF� wilh ell ary vM counry wdinencea enE atele lews relminp b building conArudion eM MreLy emhorrza represameiivea d ihia city io amer upon Ihe ebove�mentoned properry m`�°'°"'�°°o°`D�'°s LEN PIERI v�m Name � �l oeia: �1 7 Q i� S nelure o/ (Y enVRpp4tenuConlredw l/ .. (5t5td6.WP) W�ne-Buildiq 8 Sefely: Greao-Fle; Cenery-Appifenl; %nk-Revenue; Gddenro�Aeeeaw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 0741U: PERMIT NO: B 074103 PLAN CHECK NO: 03588-95 L GOVT: N SUPP: N CONSTAUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : ADD 288SF SHOP WALL ADD TO PATIO SQ FT: 1,288 CLAIM VALUE: 10,000.00 CALC—VALUE: 17,329.60 GROUP OCC: R-3 /M-1 COMMENTS: ADD 288SF SHOP ROOM 6 EIdCLOSE WALL TO PATIO iklf Yr if 1f' # dEiE fE1f if 1E if i%IE # 1f 1E iE if iE iE i4'161f IE iE 1E if i4'lf 1i 1E 1F 1F'!f ik iE if 1Eif if IE # 1E 1E if if 1f ##'1F iE'IE1f ik'1F iE 1f #'!f!f iE 1E#.'-#!F!F if'If iF # if 1f 14lF if if # Z O N I N G A E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUZLDING ---------- --------- ACCESSORY BUILDING --------- FANT: FT IN AEAA; 10 FT IN FRNT; FTY IN REAA: FT IN LEFT: 5 FT IN AGHT: FT IN LEFT: FT I�1 RGHT; FT IN PARKING REQ: PROV; PARCEL: 92514312 ZNE: R1 REF NO: PLANNING NOTES> CLOSE 188 SF COVERED BY 2ND`��'LR; ADd 288 SF TO REAR F/WRKSHP > MANDOOR ACCESS ONLY/GARAGE. 400SF REAR YD COVER OK;1$8 PROP. if 1FiE if iF 1E ik iE if if 1F iF iE 1F 1F if iE1E if 1f'lE'!F 1E 1f 1f # if iE iE If if iF iF 1F if if if iE1F 1f iE 1EiElE 1f 1E1E'IF 1Elf if 1E 1ElEiE'IE IE 1E 1f 1k iE 1E #iE 1E If!(' if 1Fif 1("16 iE if 1F if 1f 1E if D E V E L O P M E N T S E R V I C E S R E Q U I R E M E*N T S ZONING APPROVED BY :__I/\/ I_ �\ DATE: �, HUILDING APPROVED HY : � �/= DATE: � ) LPDT.T('IITi(1N iSGliFfl RV. � � 1�1 L T1�TF. LEGALIZATZON:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 189.00 STRUCTURAL SEGMENT:Y FIRE SMIP/RE GRADING 1.73 SMIP/NON—RES PLAN 122.85 I5SUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> i 190.73 0.00 122.85 313.58 313,58 .p0 REVENUE DIVISION TOTALS--> COLLECTED: 313.58 OVER/SHORT: �.00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHHC�K 189.00 1.73 ' 122.85 1F 1E1E iF 1F1f if ik'Ih 1E 1E'IE 1E 1E # IE iE # �f iE # iE ih �1F IE 3h 1f iE'1I'1F'IFiE iF 1E14iE 1F 1Eif if 1kiE # 1E if iE 1E 1f iE ## iE # if 1E' if if 1iiE1h 1k 1E1E iE'll if if df if # df� # iE 1E9E 1E 1E1E 1F I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST� SFR 2$8 DWE—TYPE V—WOOD FRAME —AVER 1000 ALTER BY VALUE RESIDENTIAL NOZONE 'END OF FEES ! 56.70 16,329,60,+ 1.00 1,000.00 ( 01 U9289753—UQ289760 T �A"P 313.5$ DATE: 09/p7/95 TItiE: f2:48 A�OPESS OF BVILpNO: 4 3/ V CiL t C, l wn�en�snweivioiavx: LEN PIERI moxrss: 437 OGLE CI COSTA MESA CA 714) 509-5�86 d]PL.IWl1NC ADDFE51: APCNRELT Ofl F11Cd�FEX: APCIL OX ENO.'S A��FE59: coxrn�cTars ru�: carm�craas �uiuio dDDXES& UNT: 92627 ua ra.: UNT: uc. ra.: ' uHr: UCENSEO COMNACTOfl4 OECLAPATION: I Mrtby ellim uM�r paroly d Po�ury Nq I em IkameA uMr pwi�bna d Cluqx B (mmmananp with Seclion ]000) d Divuion 9 ot tha Buainen enA Prdnekns Coda. uk my licerw u in lull lqro erd sMea. cm uc. no.: uc, cuss: uc. No.: EXP : Dme: Conlreua: r �OWNEP BIIIL�EX �ECL�NATON: I hereEy elfirtn uMer {wuly d pmj.iry Ihet I em aumq lian IM Cant�etlon Licame Law la tlw Ylowig eaefon (Setlon 1W1.5 BWiiafa eM Pmleafiau Cods: �nY UY a eauNY xTiM nVuiree e Po�I lo CunUUG1. ellOr. imqOve. � ,emW¢h. a ropei eny evucture, prbr ro ila'sauaMe, deo repuires �M eppliuM tm such pmnn �o Rb e eqnad atatement Nm he ar ehe in licensed Wn�� lo Ihe yoraiane d Ne ConVepore Liceroe Lew �Cheqer 9(�me��p xilh Sedian )000) d Divpion � W the Busriew ak Prdwuru COAe� a ihm he a ehe ia e�emp thsahan erd iM bno la the eOepeE uempion. My videiion d Seeion ]031.5 by ury epWKant lor e permu mAjeea tM epqi au Io e dvi peneM1y d na mon ihen INa hunEretl EOEen �550011. ❑ �.e.owirera�newaoanv«mrandW�+xvnway»as�ne:.decomrome�bn.wineo�ne..wM.eneinenruclure:iwlimmaee or Mered for zeb (Seeiion )W<. Busrcu vW Prdeesbn COEe: TM Comrmaa Lieeroe law Eoee nd eppyto en owrord peopetty who W W a mpwes �M1erson, eM Mn Eom euW xak hnneetl «henetl a Waph he a har own empbyse�, pwided tM wxh imwm*mmm ere na iiurNad ar anmea t«.W. tl. howew. iM buiNi�p a:nn�eeu o sotl wnhin a. vmr d mmWaian. Ne o.�,n��ua mn n� m< a,m� w ww��o ne «� ad �a w�b «�mwa» �w ina wm� a we�. � I. m mmar M tha pWeM. em utluivey' conired�q xnh 4ceved wnvecion io wnarun ihe p4� (Swun ]OU. &n'vms enC PrWevian Gode: TM1e Camradon Licaae lew doee rioi WVh b en owror d pW�Y who bu51a a impa'u �hrean ud Ma wnv a with e murma(a) licemed pun�en� to tM Conir licema lew). [#j.y ��e„ �,: BP�7Q44 e.av.c.,i„��£A ;BUILDER os,a 1 h�i.r o«�,e,: �iX�_ Ii e6��M �anM uw i em a.�.e a�e A�ers�e�e mo rea��a�v w cwromb Heenn �d sdmv code soc�. uws. ussa. m,e 2555a. aM Nm I a arry Mure WiMinp omipam will / wil rol (tl�cb me) �d io mmpy wi� uW pa�e aoEm eM iM myuimmwxa br e�cantnwyianwmodifim�ionhomtlwAr�iyl.ra�u0emsaDivrcf.R�de�uialmna�ianaVO�ianenezemqlmmlMse w� �/ONKER'S COMPENSATION DECIAPATION: I Mreby effvm uMar psnehy d puj�y one d IM Idbvrirp Eedvaliav: � I luve eM xil mvnten e cen'dicela d mneem io eallinaure Iw xvrkers' wmpensetion, ea protidad la by Sepion 3)00 d ihe Lebor Gods. la �M pe�lormaice o1 Ne xak la wlich ihia peimn n inued. `❑ 1 have aM xil meintan xvM1 n' mmpemelion'umee�. n�u'usd q Sepion �)0p d Na lebor Code. la tM pMarmenm d tM �, waM la xTiM i�ie permn ia iaauad. My worke9 compenxibn inaureMe fertim eM pdiry numbar ue: c�a: � GOGryNumber: (This secfion naeC nW 6e comdered / tM permd is M one hundred CWen (Si00/ a b.c,.) ❑ � cen+r u� m �ne c«�o,merce a �ne ruk �w wnkn mb ro�u h e.uea. �.w� �a .mda� �r w� m�v m��a .o %+�o bar.ame subjed to iM xorken canpeme�ian lem d Celifomie. eM pree ihel il I MouH bxome aEjed to IM woM1en' mmpenaetion pro.i�iore d Seeion 9100 oi ihe Lebor CaEs. I shaA lathxnh mmp�y wiN thoee pmti�ima. Deie: Rpd�� WeminB� Fe/lun ro swun wo�ka�'rompeiwtlon rovwap� b unMwN( antl �N/I �W/Ict m�mploy�r ro ctlMrvlOendHsi enJ clvll IIMi up ro ons �imJrM tMus�rd rlollen (5100,OW), In �WIUon ro M� ro�f ol romp�ns�tbn, tlemep� �� provldW br In Sxflon ]]O6 0/ Ms Lebor LOW, Infersaq end nttomsy'� /ses. CONSTflUCT10N LENUING A4ENCY: I hareW eff�m wdm penalry d pmjury Ihei Ihan e e oonxiudion bMirp eperKy im Ne perlormence d tha work Iw wM1idi iha peimt ia esued (SeGon �OB). Civ. C�. LENDEP'S NAME: LENDEN'S AODRESS: 1 cenity �hai I heve reaE ihia epqice�im end peta thei �he ebow inl«maiion ia cortep. I epree lo wmpy xiih ell ciMy end wunry ordinencee enE stale lewf relalirq lo buildiiq conNudion etM hereby eulMrixa reDmsontelWef W ihia cily to enlar upon tho ebove�monlbned proqM '«'"'P"'""""'n�LEN PIERZ � � � Deta: _ (515t-a6.WP) Whne-BuilEvg 8 Sdery; �reen-Fle; Cer�W-AppF�ani; Rnk-Ha.mua; Oddenmd-Reaeemr CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 074104 PLAN CHECK NO: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE JOB DESCRIPTION : ADD 288SF SHOP WALL ADD TO PATIO CLAIM VALUE: [�i:i�[�c�fl�lN7 � PERM NO: E 074104 GOVT: N SUPP: N PURPOSE: ADD SQ FT: GROUP OCC: A-3 /M-1 CONMENTS: REF: B-74103 iE x� fE if7liF i! 1t 1t it K it� iPi6 if iEif ff 1F iP1F fh tp iEfE iF it iF if it# it 1ElE it 1t iF if i61f iPif if itr iF iE1E �1(� it ##E 1t ft if If 1E 1E 1f 1E iEltit 1F it7E itiF ft76 ftikik if it it 1f ftit ih 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 FANT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT= FT IN PAAKING REQ• PROV: PAACEL: 42514312 ZNE: REF NO: PLANNING NtS'TES> i �h iF IE if If 1f 1E'If if 1f 1f 1F IE 1f 1F If 1k 1ElF 1f 9EiE�lE iE if if # iE 1f 1f iflf 1f 1F 7F 1E 1E 1E 1F iEiflh 1E 1E 1E1EiE 1f iE if 7f 1E 1E 1E 1f iE If 1f 7f iF ik # 1f 1E if if # if'IP7f 1f 1f 1f # 1k if 1E 1E 1f 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 APPAOVED BY DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: ,�,�F�� i *�+r**+t*��*�«�+rx+r+r#**et�+t ******�x�x�* �* LEGALIZATION:N F E E S U M M A A Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING PERMIT � 13,50 SOE SMIP/NON-RES PLAN ISSUE FEE 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK � TOTAL PAID DUE TOTALS----> 13.50 15,00 0.00 28.50 28.50 ,00 AEVENUE DIVISZON TOTALS--> COLLECTED: - 28.50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GAADING PLAN-CHECIC 2B.50 iE 1E 1FiE IE 1E 1E iE iE 1E iE iE IF IE iF 1E 1f iE �F 1EiE'1F1F1E1Eit M' IE IE iE if if 1f'If 1F 1f if iE 1f iF 1E iE iE if # IE iE 1E iF # If 1E 1F if if iFif ik iEif 1E 1i 1E 1f 1E Ih 1E iE Ih'If iE if IF iF 1f 1h # fE'IF I N D Z V I D O A I: F E E, B R E A K D O W N TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST ELE - 5 FI}CTURES LIGHTING �1 ST 20 EA. .75 3.75 ELE 10 AECEPT/OfTTLET 1 ST 20 EA. .75 7.50 ELE 3 RECEPT/SWITCH 1 ST 20 EA. .75 2.25 END OF FEES O1 �4384761-DD189761 T CaT T3..`�D OATE: 09/07/95 TII4E= 12:48 �ooR�ssaew�no� Y � avNeasr+uieiva�wm: LEN moxess: 4 3 7 COST ' 7141 �. Yuiwc �ooxess: . ' APCHRECTOPFHfdlFFA: �xcx. on e++o.�s �oo�ss: CZ GLE CI MESA,CA 509-5886 uHr: 92627 uc,a: UNT: cann�cTars xu� carm�croas �uiwc �ooncss ' ucrp.: urn: llCENSEO COMflACTOFS DECLAqqTON: I Iweeby ellim uMer penNy al perjury tlW I am liwnaed uMx prwivian d Cheqa 9 �(mmm�p,�rq with Sxlian ]000) d G'mian J d the &mroo e�d Pmtmfva CoCe. end mY G�xm o in hA bm eM elletl. �lq/up. xo.: uc. cuss: uc. No.: E X P: � c�«: ER BUILDEfl DECIARATION: I hareby elFrm under peneAy W periury ihel I em eeemq from ��e Conlredae Licanea lew la ihe wip renwn (`�� )0�1.5 Buei�a end PMeaions COJe: R�ry eiY a eowiy whiM rpuires e peemn to oorobuel. Mx. impro+e. di�, a ropai erry sWctun, pia b b'vvance, ebo repui�m tha epplium la wc� permn �o fib a tip�nE etetemenl tlW M a she iceneed W�+�t lo IM pou'vioru d IM Contredon Licenae Lew IGheqar 9(mmmand�p wilh Setlion ]000) d Oirveion J d IM ,zrieae ene vraessione cod.l « iM� ne « ene ie vema �naehan ene �ne naze �« Ne dbaee e.empon. �m ��on a saaun )031.5 by eiry epWkeN Iv a parmn ympy IM eppl' aN lo e dW panMy d ml maa tMn INe hund�ed do0en �SSOOU. � I.dovmmdtheO�Ma�m'amNWe^^xt�'+epeam�heiedemmw�ion.wiOAotlnxak.udtlweuuclun'sna'vnadeE a dlered br �ela (Sxtion ]oN. Bvdma eM Prdeaabna COEe: The Caqreaas Liwa lewEoes ralaDdYto an ormard papeny Ma biitln v inP�s �lieaon. mW Ww dom �uW xak h'vnaetl a MnN a R+wph hw a Iw own emDM+e�. pa'� Om arli 'unpwemsm ero nol iMeded q aMred la eeb. tl. howavar. tM EUJdW a inpwemem u eotl xdhin ana Yw d wnG�ion. Ne wror-0uikm witl heve tM MJen M pwi�q he w Me did �wt build or impaa M tM qnpws d sabi. � I. n oxner d iM popMY. em NWv+aF/ mnlM�q xiN IicanaaE conbaclon lo m�uq tln pMev (SeUion )OM. But'vw� md .mm. coee: rne cemneu,. uc.n+. �.�. do.e �a mNr w own« a wwem wno daa. « mww« �n«em w wno con a Iw wdi O�W� �^+�h a mmredw�e) IicenaeE WnueM to%� Uoenae Lew�. �� =aoa�rogs«��BP7�44 e.ar.c..��1na,+,��ER—HUILDER �,A�v wt i em e.�ae a.�a wa.w,a me rew��«m a ceuo�a ween w sa�er com s.�o�„ uws. nsu..�e Me� I n em Mun EuiIE'vie ommeni wJl / wil nd (amb anel nseG lo oomW x'tA eeid qate code� md �M ipu'vam�rN br Dms: �Gd�: WOFKER'S COYPFNSATION DECup�TON: I heraby e1Nm undx penMy d pa�vy dn d the Idbw'vp Oedvmioro: � I hm enE W me'vuen e mMieqe d oomeM to �etliwn br wken' mmpanaLLqn. n P�� la by Setlbn J]00 d �M lebar Coda, la iM perlwmeMe d Ily xpk Iw wlich thia parmn ie iaued. � ine.�..�,d.ame�id,.,warmmro,mmnmwre�m..+�n��ndMs.aima�ooau.iam.cme.rormero�tor�d�n. wak la xfiidi thu paimil is ia+uad. My wake�v' campenselion imurence wrier vd pdiq number ue: c�a�. Pdiry Numby; ./IIU 6MItl1 /I!!� Ip( b MIII�BIId � IMWA�(C:V IXI! �IYIIf/I9f� �. �H/! �il W� p �ISi.% � I cenN � in the pMamence d iM work br whch Ihie partnA u inued, I Yutl roi mmpby eiry {amn n eiry men�wr m u �o beeoma wbjetl to �M waFxe' m�paeudian �ern d CeWmis. eM pns IM A I Nvtld bxenr whjw �o iM v.aMn' ownpenwion P�iam d Satlion 9]00 d �M lsbor Catle. I MeG lonhwuh aomd/ Wh tMs pvriwro. ome: �vq�cam: Wamlrp: Fsllvn ro ascun woilrr�'rompmutlon roverep Is �n/aMW, entl �NII �ub/�cf en wlployw ro MMmI pmWu+M clvll flrwa yr ro om hwtlrotl fhou�q rlo/dn (5100.0�OA In etltlltlon lo M� aw! 01 eompxwtbry Aemsps �s provlEW br In S�ctlon 91fA6 0l Ms labor Cob, In(ruf, aM ettomsy's Irow CONSTflUCT10N LENDINa AGENCY; 1 MrtW ��m uMer penelly d perlN�Y �� b a consirud'an bMiip epericy la IM PeriameMe M IM wak fa whltli IM1b OermY la eeueJ (Sad'an 309). CW. CI. LENDEP'S NRME: �vioex•s �ooness; 1 ceMJy thm I iiew reatl Me eppliWiqi md aels Ihm Na ebwe iNamelion o corrod. I ep�y �a mmply vrith eG rYyend caumy ud'uwm� vM ews lew Ma��q to Wdtivq mmuCan rd hereby ei�har'¢a repasauetivm d �he ery b emw upan �M eEwa�mmtionM papvty �°""' `°°�'LEN PIERI Pnm Neme Ume: � . Siqre�u a mer/ em/ApplraNCanirma (SIS1d8.WP) 8 Sdery: oreen-Fb: Cawy-Appfani: Fnk-Revewe: (3oldemoFMaeawr CT'TY OF COSTA M�SP. — BUILDING PERMI'f PERM NO: B OfS109.5 PERMTT NO: B 081015 PLAN CHECK N0: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : ADD 288SF SHOP WALL ADD-TO PATIO SQ FT; 1,288 CLATM VALUE: 70,000.00 CALC—VALUE: 17,329.60 GROUP OCC: R-3 /M-1. COMMENTS: *** EXTENSION FOR PERMIT NO. 074103 **�* ADD 288SF SHOP ROOM 6 ENC �+�****�*+�+��r***x****�it*�t+e�iE*atetitie*iE**��*�+�+�iF*�*+��**�+e**��**�*��*��*�*ieit;�+�*��e* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MF�IN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: 10 FT IN FRNT: FT IN REAR; FT IN LEFT: 5 FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL; 42514312 ZNE; R1 REF NO: PLANNING NOTES> CLOSE 188 SF COVERED BY 2ND FLR; ADD 288 SF TO REAR F/WRKSHP > MANDOOR ACCESS ONLY/GARAGE. 400SF REAR YD COVER OK;18 .PROP. lEiffEiEiEikiFiEifiEfElE�EiEitiEikiElEiEiE1EiE1E1EiE1E1ElflEfFiEaEfEiEifikiEiE�ElEiE9E1EfEfElfiFfEiEifiEiEiEiEifiEifiElF�f�lEfFiffE�EaEaE1E, if1E3EiEiE1lifif�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�'S ZONING APPROVED BY DATE: `� / � . BUILDING APPROVED BY : DATE:' ( APPLICATION ISSUED BY; �� DATE: ,,: � ��`' *�**��**x***�*��**x**x��'t��a�� *�**�+��r+�* ** LEGALIZATION: F E E S 0 M M A R Y STRUCT.UR'AIy SEGMENT: l BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 189.00 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 94.50 0.00 0.00 94,50 94.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 94.50 OVER/SHORT: ,00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 94.50 ff 1E k iE iF iklE if 1E 1E 1E IE 1E iE IF 1E iE 1E IE IE 1F IE if iE iE 1E #E 1f k 41E ik 1f 1E ib 1E iE iE �F fE iE 1E 3k 1klf iE if if iE ik 1E 1E iE iF aE fE ik fE fE iE fElF iE 1! iElElE iE If 1E iF 1E iE fE iE iE iElk 1f I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 288 DWE—TYPE V—WOOD FRAME —AVER 56.70 16,329.60 SFR 1000 ALTER BY VALOE RESIDENTIAL NOZONE 1.00 1,000.00 END OF FEES �DUPLI{=ATE RECEIPT# U1 D02?1826-00?218?6 TC� T 9�f.50 DpTE: !2/31/9`� TIHE: 15:49 01 U0221826-00221826 T�T 94.`. DATE: 1?J31/95 TIME: 15:49 CCNSTRUCTION AND PLANNING � - P�Q 'PA qPPROVALS Permit # Date Inspector AppROVALS Permit # Date inspector 1.(Temporary Electrical Service or Pote' � 52. Poot & Equipment Location , . 2. $oil Pipe�Undrgmd. . � _53. Steel Reinforcement 3. Elec:r'�cal Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UPER Gmd. 57. APPROVAL 70 COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Wsier Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Fioor Svstem 61. APPROVA� TO DECK 71. Property Sewer Line & House Connection -- i� 62. Backwash & Receptor�Pinal � 12. Sewer Cap 63. Heater & Vent-Final 13. ROot Drains 64. Plumbing SysTem - Final 14. ROugh Plumbing . 65. Electrical-Final 15. ROugh Electricai�Conduit 66. Solar SYsiem�Final � 16. ftough Etectric Wiring 67. Fencing & Access ApProvaV � 17. flough Wirinq Sign 68, APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE OEPT, REQUIREMENT 20. ROugh Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground HYdro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72, Underground Flush � 24. ROof Framing 73. Undergrnd. Storeye Tank O Gas ❑Oil 25. Roof Sheathing l�� 74. Overhead HYdro 26. T-Bar Ceiling (Structural� & Monocoat 75. Ory Chemicai 27. Frame and Flashing �/� 9'9 76. Dry Standpipe / 28. Lething & Siding 77. FIXED SYSTEM FINAL 29. Insulation / 3 Q� 78. FIRE PREV. FINAL 30. DrYwall Nailing �., (0-�7 �W � HEALTH DEPT. REQUIREMENT 31. Plester Brown Coat 79, FINAL INSPECTION 32. Electrical Power MeterFinal B0. FOOD CERTIFICATE ISSUED 33. Final Electric Note:: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Finai Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar Oomesticfi�al 42. Backfiow Preventer 43. Backflow Irrigation 44. �andscape Irripatio� System 45. Sound Attenuation 46. Handicap Regulations I r �- 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING � /r � 49. Electric Reiease to Edison 50. Gas Release to Southern Calitornia Gas Co 51. C�RTIFICATEOFOCCUPANCY No Oate ' �oonFssaFemiaxc: 4 3 7 OGL E C I OWNEASNMIEIFIPq'MI: LEN PIERI �"JUOPE55: q 3 J OGLE CI � COSTA MESA CA �14)� 509-5�86 �vv�. xuiwc aooness: urcxrtecT ow �ax�nn: ARCN.OR ENG.'S ADDRE55: UNT: 92527 uc. No: UNT: COMNACTOP'S N�I.�: caHrxaroxswuuric �oo�ss: ua ao.: uxr: LICENSEO COMqACTOqS OECLANATION: 1 hareby eflvm uMx panely d pe�ury ihm I em Icanaed uMx pwbiorre d Gheqer 9 (wmmanong wit� Seelion 100�) d Dmaion 3 W iha Busineas and Peoleaebns Code, eM my lieense is in lull brea end eHeet. cm uc. No.: uc. cuss: uc. No.: EXP : Dma: ConVatln: OWNEF BUILOEN DECLAF�TION: 1 hereby alfirm uMer penepy d perN�Y �� I em eaemp Imm iM Coniredaa Licenee lew lor IM lolbwin0 ��^ (�ion ]03t.5 Businma eM Pmlaesiona Cade: Fny cXy ar counly xhiM requirea e peimn �o mnelrun, eMer, improva, tlemolaM1, ar rapai any nructura, qia io iro'ssuance, aho rapuirae the epd�� for wch permil lo Rle a egMd atetemenl ihei M m sM ia licenaed Wnuent �o �M W�%� d ihe�Con�reaon License law �Che{par 9(commeridip wnh Sadian ]000) d 0"vuion 3 d ihe Businew enC PrWessbns COEe� or �hal he or aha ia e�em'pl lhxeimm and the beeie Iw �ha ellepetl exemption. My voletion o( Secion >03t.5 by eny epplie�an� Iw e permil wbjeqe iM epplirani io e avil perelry d ml more itan fMe huMred dallva �55007). � I, ea owmr d �he o�GaM a my ampbyeea wiih wepes es �he'a sob mmpan�etion, will Ao ihe woA, end the eivcture u nw intended or oflerad tor mle (Senion )046. Buainess arM PrMeasiore Code: The Conireaors License Law doee mi eppty io en ownerof propeM who Wids « inprovea iherean, uM v.ho don such work limeetl a MneY w Mrwqh h's a her own empbyeea. proviEed thel wch 'mqwemenm era rot inteided a dlareE lor sab. tl. Mwever, lhe buikin0 a'vnpwemem ia voN vmhin me yeer ot mmpleton, tM ownerbuiMer xill heva Iha buMen M pmvin0 be or ahe did nd build or improva la tha puryoee M eele�. � I. ea ox�r d tM propeny. em extlusraty contretl'vq xiln IimnseE convacian io cmmud the prqaq (Sepun 10u. Bwviese enE Prdesaiona Code: The Contratlon Licenae Lew doea �W eppy W ity Mfio buiNa a imqwea ihereon arM wlw onvecta Iw euUi prqeea wiih e mntrenor�s) Icensed Oursuant m e Conlreclorn L' nse Lew). �i�<.�pwa«s«��:BP70,44 e.ar.a.i«Ln O�WN ,BUILDER �w i� e.a,a d�d ��,da�w,a ma ,.a��,�a�i �a c�aom�,�h aM Safe�y COEe Sed'qns 25505. ?55�3, eM a eny iNure WilEinp occupani will I will nm (circla me) neeE to comDly wdh aeid tlem codec eM the requiremend la unionamodifra�ionhantMRi eu�y ene0paneniDim�ia.Raekmiidconm�uqioneCd�iaaerouemq/mmNroe Dme: Aovi�: WONKEF'S COMPEN4ITION OECLAPATION: I hereby elfimi uMx penelly d perjury one d the Idlowiip deduetuna: � 1 heve a'M vril meinlen a caNlrele d mneeni to seHJnwre lor wnken' cpnpansation. m pwNed Iw by Sepion 3100 af iM labar COEe. lar IM perlormarwe o/ Ihe xork /or wfich �hia permil a iasueE. � I heve eM wil meimein woMers' compenseton inaurarce, m required by Saqim 3)00 0/ Na Lebor GoEe, la Ihe pallormence W IM work la xfiicM1 tM1ie permn ia iaued. MY wakers' mmpenaeiion irwrence feriier eM poliry number era: Cemer. cdcrN�mna.: � (This aecfion neep nw be campbfed / Ihe pamra is M one hundred Cdlen (51001 a bv.) ❑ I cenry thei in �he parlomunce N iM woM1 tor whkh Ihis pertnn is ieauad, I ehall M emd%' e�Y Ca� �� e�Y menner eo m lo bacome wbjed �o iM wwkers• comronaetian lem a celifomie. eM e0rea thet tl I ahouk become aubpa m the woM1en' compenseibn O�sAna ol Seabn 3]00 d iha lebor CaCe, I shell /athwnh cwnpN �h thava proviaiom. Dele: Applicenc Wam/np: Felluro ro ex�ro woilrere' comperueHon mvsraps Is vn/ewlul, entl �NII sW/ecf en employsr fo crlMns/O�IHu enA NH/ flro� up ro ons huntlrstl lhouasld tlW4n (Sf00,00V), In etlrlltlon ro tlr� coat o/ compsiuetbn, tlameq� u prov/tletl br /n Sxtlon J]OS ol fhs laEor Cods, Intwxat, anJ efromsy'� /w. CONSTHUCTON LENDING A�ENCY: I heraby eifirm uMer panelly d parj�ry Ihat Ihere is a mnstrveian bedine epercy lor Ure pertortnerwa d iM wak fw xfiiM �he pertnY is'nsuad (�� ). G'v. C). LENOEP'S NRME: LENDEp'S AOOPE55: I canity thet I heve read ihis epdke�bn eM sle�e Ihel the ebove inlormation is corted. I egrea to mmply wilh ell aly vM muMy oMinences enE stele leus rele�iq �o Wildrp mnsvudion end Mreby eutMrrze repreeentmives of Ihu dty ro enlar upon tM ebove-mentionad pmpany �� 9'�p� °�� LEN P I ER 2 o�a: ,� (5151-06 WP) Whno-Buildip 8 SaINY: Greer�Fle: Cenery-Applranl: Pink-fieverwe: OddenmC-Aawwr CITY OF COSTA MESA — BUILDING PERMIT PERM i�10: B Q"74 � Q" PEP.MIT NO: B 074103 PLAN CHECK NO: 03588-95 L GOVT: rl SUPP: [J COrISTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD SOB DESCRIPTION : ADD 288SF SHOP WALL ADD TO PATIO SQ FT: 1,288 CLAIM VALUE: 10,000,00 CALC—VALUE: 17,329.60 GROUP OCC: R-3 /M-1 COMMENTS: ADD 288SF SHOP ROOM & ENCLOSE WALL TO PATIO ��-*****�***�f�*�*�*�******-�***�*?�+�*+��-*it****+t**ot**rtf��**t�*�*�*+�*****�x***�**iet��*�rt* 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 ZN REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV:• PARCEL: 42514312 ZNE: R1 REF NO: PLANNING NOTES> CLOSE 188' SF COVERED BY 2ND FLR; ADD 288 SF TO REAR F/WRKSHP > MANDOOR ACCESS ONLY/GARAGE. 400SF REAR YD COVER OK;188 PROP. 1E 3E 3E 9E iE 3E iE iE 3E �E �E iE 1E 3E iE 3E �E dE iElE 3E 9E IElE 1� iE iE 3E 9E iE iE iE iE iE iE iE iE iElE 3E 9E iE 3F iE iE jE iE jf Y.� 1F iE if if 3E iE iF 3f iE 3f 3F 9E 9E �E �f iE �E iE iE if iE IE iE iE 3E jE iE ff if aE U E C' E L O P M E�N T S E R V I C E S R E� U I R E M E N T S ZONING APPROVED BY y _�� DATE: — BUILDING APPRt7VED BY : ��..�,/� DATE: �� APPLICATION ISSUED BY: L DATE: I �****x��*****+�*******�* **��***��* ** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGM NT:Y BLDG PMT PLUMBING ELECTRIC-�'MEGHANIC FIAE SMIP/RE GRADING PERMIT 189.-00 � '/ '" 1.73 l � ; j —r SMIP/NON—RES PLAN ' 122. 85 � •i ISSUE FEE %' � �; ��; BUILDING—DIV—> PERMIT ISSUE PliAtQ'CHECK TOTAL PAID DUE TOTALS----> 190.73 0.00 �..�1'22.85 313.58 313,58 .00 AEVENUE DIVISION TOTALS--> COLLECTED� � 313.58 OVER/SHORT: 00 BLDG,PMT PLUMBING ELECTRIC MECHAN{G 'FIRE SMIP/TOT GRADING PLAN—CHECK 189.00 , , ;y-i'� 1.73 122.85 iEiEifiFiEififfEiEiF ��lE3FiE�Eiklf3EiEi(�ifjf3EiEiFifiEiflEiEiE3E1f3E9fiE1E9f1E3E�fiEiEiElElE1E3E3EjEaEiEiElEiE�E1EiEiEiEdFiEifiElfiElEiFiEfE�E1E9EiF I� N D I V I D U A L� ;�F E E B R E A K D O W N TYPE QTY '� D E S C R I P T I O�N�� UNIT COST TOTAL COST � . ♦ ; ` SFR 288 DWE—TYPE V—WOOD FRAME�, j^ �—AVER 56.70 16,329.60 SFR ^ 1000 ALTER HY VALOE RESIDENTfiAL ��NOZONE 1,00 1,000.00 END OF ,FEES [ X� ��.^- D Sa.�p� : l� I qQ� . �F..�:.o� u.��;i fo,i� �� - � � � ,; ' n ,, .e'�e.7¢�"�'c"`'1 � - ' • 3/b'J.�9(o . lnco plete lnspe�t�ons/�1 iB�B �/ � �� .y��C� 4� u0:34i'_3-31159750 Y"4�1 G�ATE: ro,��!'r5 t�Ir,: ;?:;:, ::::':: i� CVNSTRUCTION AND PLANNWG , � POOI & SPA APPROVALS Permit # Date inspector ' qppROVAIS Permit # �ate �inspector 1'. Temporary E�ectrical Service or Poie � $2. Pooi & Equipment Location ;" 2. Soii Pipe�Und�grnd. 53. Steel Reinforcement - 3. Electricai Conduit Utility-Undrgrnd. 54. Forms 4, EIe�.:tricai ConduioUndrgmd. � 55. Electricai 6onding . �� 5. Steei Relnforcemer.t ��5 -q�0 �Lv� 56. Rough Plumbing & Pressure Test �� 6. Elearica! UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings Y--.Z.�� (,L�Q 58. Elearica� Conduit�Undrgrnd. 8. Foundation � zs-�� (N�Q" 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � y'`�� 60. Backwash Lines, P;Trap, O Undrgmd. ! 10. Structural Floor SYstem 61. APPROVAL TO DECK 1 i. Property Sewer Line & Nouse Connection _ 62. Backwash & Receptor�Final 12. Sewer Cap ` 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing $ystem � Flnai 14. Rough Plumb��g 65. Electricai-fina� � - 75. Rough Electrica6Conduit - 66. Solar SYstem-Final -' 76. ftough Eiectric Wiring 67. Fencing & Access Approval ' � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ( 18. Rough Electrical-T Bar Ceiling �69. POOUSPA SYSTEA�S FINAI. 19. Rough Heating & Air Conditioning FIRE DEP7. REQUIPEMENT ,` j 20. Rough FactorY Fireplare ApPftOVALS Permit # ' ! ! 21. Dutts, in StrUcture 70. Underground Hydro -• ' 22. Duces, Ventilating 77. Product Piping OGas OOiI ' 23. Gas Pipe-Rough & Test � 72. Underground Flush � _ � 24. Roof Framing 73. Undergrnd. Siorage Tay. O Gas ❑ Oil � . 25. iiooi Sheathing � 74. Overhead HYdro - p.�" 26. T�Bar Ceiling {Strucxural} & fvionowat 75. Dry Chemical , , 27. Frame and Flashing 76. Dry Staridpipe 28. Lathing & Siding - � - 77. FIXED SYSTEM PINAL ' �� 29. Insulation � 7$ FIRE PREV. FINAL � '! 30. Drywall Nailing HEALTH DEPT. REQUtREMENT ' �� ; 37. Plaster Brown Coat 79. FINAL INSPECTIQN - ' 32. Elecirical Power Meter�Final . 80. FDOD CERTIPICATE ISSUED � �'� - 33. Fin;l Electric ' Notes: �S-/O/ �_� �__ �7i G?�_ „�' _� / 1� - r--..sei i ___^i' 34. Finai Heating & Ai� Conditioning � .•- � � ✓LZ'�^L� �� .. 35. Finai Gas Pipe-Test -J �-- ' yq �j, %�� ' . - . �'Y-!! l �O�N� -+� 36. Hood or Cannpy _ ° � 37. Final Pactory Fireptace � �� ;�,�� i��a�I � rt� � - 38. Finai Plumbi�g 39. Water Service�Finai 40. Gas Service�Final � - 41. Solar pomest�cFina! . _ , � R2. Backflow Preventer - ' , - . - 43. Backflow IrriBation . �� `+ . 44. Landscape Irrigation Syscem � 45 :^=� 45. Sound Attenuation - - �' - 46. Handicap Regu�ations � � � � 47. FINAL STRUCTURE & BUILOING ,- � 48. FINAL PLANNING ' , :_ �� 49. Electrie ReleAse to Edison �` ', � . '-' 50. Gas Release to Southern California Gas Co �, � 51. CERTIFICA7E OF OCCt1PANCY � " No Date ' CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials tor construction of the pro- posed property improvement.�9,Yes ❑ No 2� I(have/heve-rtet) �v � signed an application for a building permit for the proposed work. 3. I have contracted with the foilowing person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No.. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No.. 5. i will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health a��S ety Code and have completed the above information to the best of my per- sonal knowledge, in plia ce with this State law. ,,/' Signed: Date: 1/ I l�[� Name: �eh �er� � (Printed or Typed) C.D.L. N or S.S. # � � 754-5273 1042.48 T Len Pieri 437 Ogle Circle Costa Mesa, CA 92627 (714)722-1976 March 4, 1996 City of Costa Mesa Building Department Fair Drive Costa Mesa, CA Re: Permit #B074103 and #E074104 Dear Sirs: I respectfully request an extension on the above referenced permits. I expect to start construction within the next two weeks. Sincerely, 1��---� Len Pieri �oopEssaeuauuio: Q37 OGLE CI axr�ercsr+weiver�owx: LEN PIERI ��5 437 OGLE CT COSTA MESA CA 714)�y09-5§86 .rv�.�unaw �ooxEu: � �wrtEcr on �rxa+un: AIICH ON FNG.'S /�WIiE54: arim�craro ru�: cwm�croas �uwio wa�ss uNr: 92627 uc. r�o_ UNT: uc no: uar: LJCFNSED COMPACTONS DECLAPATON: I hamby ellim �Mm penely d pe�jury thv I un 4ceved uMs pwimpu M CAeqa 9 (wmmmcrq wvh Saclion )000) d D'rv'vun J tl Ne Buriroo ud Prdmdms CoEe. eM mY 4unu u in hA luce md Mled. cm uc. r+o.: uc. cuss: uc. no.: E X P: Ioete: convmo,: OW NEN BUILDEN DECIAHATION: I hemby elfiim undx penely d perjury that I em ecemq Iwm IM CaMretlaa limme lew la Me ` IdbwnO �eavon (Setlion lWt.5 &nreaa erd Prdmenru Code: AM c�y a mumy Mfiitl� nVu'va e V�n to wns4uct. Mm, impove. ' tlemd'vh, a repei e�ry nructure, prior b La vaum, a6o �s�im Ihe eppireM la wch permu to Rb e aipned ataiemxu Nn M a eM e licensed punueni io iM prwivoiu d Ihe Canlreda� Liceme lew �Chepis e(mmmendip with Seaion )000) d Diveion � d �he B�ainac eM Prduaiau CoEel a Inm he v ehe ia er.emq �hsehwn ard �he bmb fa Ns alb0� ezempnn. My videlion W Seaion )031.5 by eiry epp4unt la e permu aAjeG� Ihe applceM lo a dN pe'Wiy d iw mpa tAen livs huf Wed ddlen �SSOOp. � I.mow�wrdlMpWMYamYemPMb�nihwpeeniheisdeeomD�+dion.xiAdothexwk.eMNesleuelwaemliMeMeA w aMeeed M eeb I�� . Busiro�e eM Prdaeeiana Cade: TM Coniredwa Lieenae LewAoes nol epplyto en owrier d pape�y W�10 �II�OIX �II V�� IhN0011. BfY� W1p dOBt tYUI MIXk �IITBBd IX �1l9l� IX I�RWQ�1 �1G O! �1M OMT BTdWMf. D�� 1�181 A1Ch imprwemenie va ro� inteMed n dfad 1« sab. X, Mwewr, iM buJtli�q a inpwemem o eold wnhin an ymr d cwnpletun, the owrer�WiMer vnll have Ihe buNan d qovi�p M or ehe Ek iwl Wik or imqwa I« �M puryose d ede�. ' ❑ I. aa oxw d the V W�Y. em udi�dY mnvaa�q xnh licen+ed conVMae lo canetrutl ihe Moletl (Sxaion )OM. &n'vre ard Rae�m, coea: rne cwmean t;c.w �e.+ mo �a wWr m.� o�.n« a o�w�v wno wua. « vnpw.. m..eo� e�d wro con4ecb Iw wM qojeda wnh e muretlar�e) liceneed WnueN to lloenaa lnx�. p sea�BP7044 B.BP.C.,bthv NER—BUILDER � Dete: Ow+w: em awue d erd imdaiaieM IM �e0uinma�l6 d CallwNe Heaph end SdMY Code Swbm 2i505. x551�. end Mun duk'nq mwsni xiA / wil mi (aeeb aa) �weE ro oomON wYh seid etma mM� xN iM raV��marm b xmadifkatbnhom�MAi a�ly ene0ement0imria.RwidmiidwM�ueuneppicqiamanaRmmP�lromiheae Dam: Applicem: WORKEX'S COMPENS�TION DECL�fiATON: I Mraby eifum wder pmetly d psjury ans d Ne Idbrrirq dWe�viwu: � I han ud Mil mm�uen ettM'we d aoroM� io �aMimun br xvkm' mmpa�ion. m prorided for b� Semon ]]00 d IM lebar cod.. �« in. y.namence a un .ak i« .+�icn inu pemd'w'vawa. ❑ � nme.�a wi� meuv.n .awro• mmo�:� mwrenc.. m �w�� M senion amo d u» laee, code. lo. tl,. v��.�. a �A. wak ta i+hiN Nu Ga� o iwW. MY xvFen' canV�ion'umi�aze urtia utl D�Y munber aro: c��: Pd'ry Number: (This esaion neM irol Ge romnle�ee i rM 0�� e b are hundrM ddlam IS�wI a baJ � I cenN thm in iha parlwmarce d ite wak /a xficM1 Ihie peimil n iaued. I ehell iwl ampby env 0a� In ury menmr ao u �o beoonw wbjap lo iM xaM1ra' mnpanealion bwa M Celtlmue. erd epese tlW A I dvJd baowns abjetl lo IM xa1Meis' b'e canqvalian pwisom d Senion 3100 d tM lebor Cada. I#uA IwNwilh aomp�y wuh Nma p�wvircu. Da�e: Appl'reN: WamMp: FaUun b ucun woMw�' compw�tlon covwp� l� unWM, uM Mtll �/M an rnployr ro �+IMryI pwltlp rM elHl llroi �q ro om �uitlrW ehous�M aalbn (SIOQOWA M MUtlon ro N� rosf ol ronq�eruetbn, Oemep� �� proHMA br In Sxtlan 9]O6 0l tln Lebor Cob, InMvt ��m�y'� Iwa CONSTPUCTION LENqNO AOENCY: I Mieby �rm uMar pareXy d perN'Y �� b e mnrivaion bMiip apeMry lor tln paRormenee M iM v.wk lor which Ihe peeml ia weueC (Sepon 3091, CM. C). LENDER'S NIUIE: LENDEfl'S �DDFESS: 1 ceAEy iM1q I hew ned Ne eppliuiion end ptl� ihet iM ebove'uJormelon e cortsq. I epiae ia c«nply xith e0 ory vd wumy ordiiur� ard atale lewa 21mM W bWd'nB conatruNm eMlwaEY eNha¢e rePe�tlwat d Ilie etYb eNs uG� IM aEwe�mstliniaE p�operty In irepetlion Wrpoveg. �.� I E R i ��rt.rv � cs�si-as.wv� Se1ey, OreaMFb: Cenary-qppiranl: Hnk-Revenw: GdEenmb-Nesmr CITY OF COSTA MESA — BUTLDING PERMIT PERM NO: E 081016 PERMIT NU: E 081016 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION : ADD 288SF SHOP WALL ADD TO PATIO SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: *** EXTENSION FOR PERMIT NO. 074104 *�* REF: B-74103 ie**� itit*it**iex **�***at**��*�atat**�x ***it� itit�***x �a�***� it***********x�**ir� � itatitat******** Z O N I N G R E Q U Z 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 AEAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV; PARCEL: 42514312 ZNE; AEF NO: PLANNING NCSTES> i - 3E iE 1E iE �E 1F iE iE 1E 1F �f if �E 161f if if 1E 1E iE 1k IE ik 1E 1E �E 1E 1E iE fE iF iF iElE k iE IE iE iE fk �E IE �E IF iE iF 1E i! IE iF 1F iE 1E IE iE IE fE IE 1E 1f if 1E if IElf 1E iE iE 9F 1f 1f iE iE �E 9k IE iF iE 1E 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 APPROC�ED BY DATE: BUILDING APPROVED HY : APPLICATION ISSUED BY: !E 3E 1E iE IE iE jE 3E IE iE iE �E iE !E 1F iE iE iE 1E iE �k ff LEGALIZATION; F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 13.50 50� PLAN ISSUE FEE 22,00 BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTALS----> 6.75 7.50 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 17.75 FIRE DATE: DATE; �*�** RUCTU AL S GM NT: SMIP/RES GRADING SMIP/NON—RES TOTAL PAID UUE 14,25 14.25 ,00 14.25 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK iE iE �E 1E �(� 3f 1E if iE iE aF 1E fE 1E fE IE IE iE 1E iF 1E 1E 1E if iE iE fF If �F �f If iE 3E 1F IE ik iE 1Elf iF iE if �E iE fE IE iE iE iF ff iE iE 3E �k IE IE fE iE iE if if if if �E �F iE iE if if 1E iE iE iE iE iE 1E if it iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 5 FIXTURES, LIGHTING 1 ST 20 EA, .75 3.75 ELE 10 RECEPT/OUTLET 1 ST 20 EA. .75 7,50 ELE J RECEPT/SWITCH 1 ST 20 EA. ,75 2,25 END OF FEES OI O��ZZIIIZJ—�O�IZISij T OT 17.75 DATE: 12/31i95 TIME: l5:4E CONSTRUCTION AND PLANNING . POOL & SPA APPROVALS Permiz�`r Date Inspector �-APPROVALS Permit# D:te laspector i. Temporary Electrical Service or Pole -52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. -•53. Steel Reinforcement � 3. Elecrical Condu(t Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � . 5. Steel Reinforcement ' ' 56. Rough Plumbing & Pressure Test � 6. Electrical UFER G�nd. 57. APPROVAL TO COVER�GUNITE i 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd„ Test � 9. Water Pipe-Undrgrnd. � 60. Backwash lines, P�Trap, O Undrgmd. 10. Structural Fioor 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 Electricai-Conduit 66. Solar System•Final • i 6. Rough Electric Wiring . 1a�31 �6 67. Fencin9 & Access Approval �_ 17. Rough Wiring Sig» . 68. APPROVED FOR PLASTERING 18. flough Electrical�T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Dutts, in Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergmd. Storage Tank � Gas ❑ Otl 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Fiashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEAITH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTtON 32. Electrical Power MeterFinal 80. FOOD CERTIPICATE 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 Plum6ing 39. Water Service-Final 40. Gas Service-Finai 41. Solar pomestic�Final . 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape irriQation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING . . 48. FINAL PLANNING - 49. Electrie Release to Edison � �- 50. Gas Release to Southern California Gas Co •" 57. CERTIFICATE OF OCCUPANCY No. Date Insulation Certificate . �'�7 Q�� Ci�cl-c. ��s�. � C�,:L�� ' umber and Svec[ Ciry Counry Subdivi:ion Lot `unber Description of Installation ROOF Material 'Ihickness (inches) BrandName `/l�C,ki C�nhlY•.� Thermal Resistance (R-Vaiue) CEILING � Batt or Blanket Type �� Brand Name \� /�A..Q,�� ^r1� � o'j 'Ihickness (inches) /D �' Thermal Resistance (R-Value) R�. � I,00se Fill Type Brand Narne Contractor's minimum instailed weighJCt Ib Minimum thickness inches Manufacturer's installed weight per square Coo[ to acheive Thermal Resistance (R-Value) EXTERIOR WALL (� (�^ � •- ��rial �JGI� S Brand Narne \`/�/E.t� C(Ly^�.y\�-�1 7'hickncss (inches) _� � Thermal Resistance (R-Vaiue) — �� RAISED FLOOR ?�ia�erial Thickness (inches) SLAB FLOOR �� Nfaterial "Ihickness(inches) <( �� Width (inches) FOUNDATION WALL htateri�l Thickncss (in[hes) Declaration Brand Name "Ihermal Resistance (R-Value) Brand Name Thermal Resistance (R-Value) Brand Name Thermal Resis�ance (R-Value) I hereby certify that [he above insulacion was ins[alled in the buildiag ac [he above location in confomance vri�� the current Buildine Energy Efficiency S�ndarQs for new residential buildings contained in Tide 24 of the CaliComi . dmi isvative C dt� - / �U.�(/�-� .eralC acror(Builde;) LicetueNumber Signacure and Tide Sub�Convac[or (Insulaiion lns[alle:) Signature and'fitle License Compliance Fnrms J��q� 1. 1995 �oonrss a emiova: 4 3 7 OGL E C I ,�v�aSru�EiFa,m'^+: LEN PIERI �op� 437 OGLE CI COSTA MESA CA 714) 509-5�86 �vr�. �uuxo �ooxess: /�MNIfECT Ofl FNdMffA: �nLX.OX ENO.'9 /i00RE54: UNt: 92627 uc. ao: UNT: ca+m�croxaw� coxm�croxs wuuwa �ooncss: uo. w.: UNT: {JCENSED CONTPACTOP9 DECLLP►�ION: I haaby eTim uMn qnety M pa�{ury fieo 1 em Ikwed urAw qvidwn d Cheqr 9 (wmma�n0 rMh S�nvn )000) W Dhbion � d iM Bud�wa end Prafuaioru Cod�. W mY Ibsm� b in fuA tan W aMw. FRY LIC. NO.: LIG C1A99; LJC. NO.: �,'j(p � �W NEN BUILDEN CECLAP�TION: I Mntr/ elfirm u�Mer ps�W y af parjury �het I un eomq ham �M COMMan licanes law la iM Idbwip eeeaon (�bn ]W 1.5 Buenme aid Prolepqna Code: Any e1Y a aounlY �iM rpulm e permil lo eon�lruel. ellx. improvs. Qsmdeh, or ropei vry sle�eluro, pior io ile oeueMa, e6o reV�iree iha epplimnt lor weh peimN lo Rla e aipneE eulsmeM ihel M or �M q lidmed W�+�� o �ha provmOns d IM Cantretlas l'a0nss lew �Ghepler H(cammelid�p wilh Sadion )000) d D'Nubn J d IM Buainen eM Prdn�ons CoEs� a �tw M a ehs is ezamp thereimm end the leeis /aW Nbped sssmqion. My vioW on d Seqion 7�1.5 by elry epolren� for a permil wbjeGe iM epplcanl lo a wil perefy d M more �hen IMs hunErad dd4n �5500¶. p I. m oxmr d tM popenya my emqqsn r.th wxpee m ihei sob mmpovelion. MiA do Ne woM1, eed Ihs �wnuro e nd'vuaMed or Mered for veb (Seclion ]aa. B�eo vM Pro/easom Code: The Canrmon Ucenae lewdan not MNf to an ownerM prape1ly wM10 WtlCe a imOb�ea iM1ereon, enE who tlooe such wak MmeaM or haneM ar ihrough hu a �er own emplayeee, provideC �MI euch impovamenle are rat inteMed w oXuad la eele. tl, however, tM WiNiip a'vnprwemeni ie eoN wnhin ar yeer d oompbiion, ihe �a�aa« .a n.V. �n� w� a a��a n. «an. ee m awe «�maw. �« w. wmo.e a..io�. p I. m owrcr d IM1e MWeM. em e�dufiudY oonired�q xilh licerued wntrecwn ro cvnuuf iM V'9� (Swian 10a1. Bueinms end v.aenion. cae: Tne c«mn.aaa. uce�ae Le.. me. ,w aawr m,� ow�« d v�ro ..+,o wim « imwwes m<reon .�a ..no wnVepa�eek prqad� �mh e meuredor�e) IieenaeE punuenl lo ihe Conlre Lioense law�. �Ipmq�pnpyuMe�s«im�:BP,7044 a.aa.c..�«m�.�: j�7ER ;BUILDER i em ewv. d dia AM«.w�e the maN�«m& cdaomie Ibepn end sdetr coee seavm uws. zss3�. ene y M1nure builEiiq occupeni will / wll nd (arcb one) need io canply w�M1 eeM nete codea aM the reQuiremmn la iwmotlilicelbnhomiMAr uaTy.�arepemenlDislnG.RoeidemidconsiruConeppYcelbneereaxemqlromNece ApplieM: 0 KER'S COYPENS�TION DEC4PATION: I Mroby elfnm urdr penelly d pejuy me d iha /dbxirq tlotlereiixn: p1 heve aM wil meinten e ceNilicme W mneent Io aetlinaun lur wpken' cpnpsnvtion, u paided la Ey Seaion �)00 0l ihs labor Cotle, iw IAs pe�tamence d t�e woik Ior wAic� I�ia pamn'ie iaaued. ] i neve ena w mein�nn.wM1en• oomw��, ��e.., iaa�� M seefm 9)0o a th.l.n« coee. ro, tl» w�am� d �ne wak lor whiN Cua pennn u mueE. My wabn' mmpemaion iviira�ce �nisr eM pNx.y numEer ea: Gertier: Polcy Number: (Tiuv seaian meE rwt 6e camP�^�eJ! Ne P�^� o/w aro huMmd Odlars /!iW/ a bn.) pI cMN � in iM pmlonnence d �M wark M whch �M1ie paimn is iswed. I Mell nd empbi a�ry pe��son in erc� manrw ro u lo Eacome subjea io �he w�ken' canrometbn lexs d CeLiomie. eiN Wrea thei d I ehouk berome wbjea m ine wwke�a' compava�ion qwiaona d Smion 3]00 d ihe Lebor Code, I Mell /anhwil� oomyy xnh �hoea prm�eima. od.: Aadu�m: Wem/rp: Fatlun ro ueun wertari ronperu�tlon eorerap� l� un4Mu( �ntl �IWI rD/�e� en �mployer ro eNnYivl P�rou �rC c��ll 9nu'q p om hu�tl�M tlauuid dol4r� (S1IX{OPOA N�tlpltlon ro M� cwt of ronp�nutbrt d+nrp� �+P✓cvltlW br In $xHon J)(rt o/ tlis Lebor Cods, Infw�s(, an0 �Mmsy'� lsu. CONSTpUCTION LENDINO AGENCY: I haroby dfirm uMer pandy d parjNry thei �hye b a constivaion bMnp epanry ia lha peAamerca d iM xvrk lar xfiitli I�s pami u'swed (�o^ �). Civ. C). lENOEH'S NAAIE: LENUER'S ApORESS: 1 ee�ity�hm I hevo reeE Ihis epplcmion erd ste�s thet tM aEova�Mwme�ion iy eonw.l pero to ewnpfy whh aN aay ard muMy adinnr¢ee gM elele lews rolalin0 �o buiWinp canMrWion end hereby eNhwae repraxnletives d Ihv My lo enler upon tM ebwe-menlbned pioperry �w��'°`tl�°��n LEN PIERI (5t5tae WP) Whne-Buikiq 8 SeletY:OreerFb: Cerery-AppFent: Pink-Revenue: (3oldenmtl-Iuroaear CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 074104 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE JOB DESCRIPTION : ADD 288SF SHOP WALL ADD TO PATIO CLAIM VALUE: CALC—VALUE: PERM NO: E 074109 GOVT: N SUPP: N PURPOSE: ADD SQ FT: GROUP OCC: R-3 /M-1 COMMENTS: REF: B-74103 *it***ie�t*�it�x ****+�*iF�*x �r*****�+�***x ��+�*+r**�it�*� �r+�*****�*+��x *�x�� *x **x ****�****� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUSLDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE � PROV: PARCEL: 42514312 ZNE: REF NO: PLANNING N TES> i 1E 1f 1E iElE iE 1E 1E iF iE iE 1E iF fF if iE 3E k dE jE 3F 1E iE 3E iE iE 1E 1E if�lE 1E 3F 1E 1E �E ff 1E 1f iElE IE k�74lf 1E 1f fE iE IE 1E 1E �E 1F if iF 1E fE iE fF if !! 1E 3E iF iE 1E iE if 1E iE iE-)f iE 3E 3E %� IE 1E fE D E V E L O P M� N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY . DATE: BUILDING APPROVED BY : DATE: APPLZCATION ISSUED HY: ��— DATE: ��,►__� i ****�*****�t**********x��F�FiF�FiF�FiF��iF�F'��F�FiF �F�iF�'#�F�F'ifiF��F*�****i�*** +��+�* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N ./� . BLDG PMT PLUMBING ELECTRIC�� MECHANIC FIRE SMIP/RES GRADING PERMIT 13.50'i, 50$ , SMIP/NON—RES PLAN '� ISSUE FEE 1-5.00�'� BUILDING—DIV—> PERMIT ISSUE PLAN.��CHECK TOTAL PAID DUE TOTALS----> 13.50 15.00 j �?.,0:00 28.50 28.50 .00 I/ REVENUE DIVISION TOTALS--> COLEECTED: — 28.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHI�NIC FIRE SMIP/TOT GRADING PLAN—CHECK 28.50 • � /y(' �j if 3E 3f 1E iE �f if iE 3E iE i(' iflE iE IE If i4 if dE if if i(' # if 1f fE iE iE 1F i4 iE iE �f 1E�3E iE'lE iF_if� �f iflf iE if 3f * i(' IE iE if i(' iE if if �F 1E IE iE iE iF iE aE iE if 1f iE if iE if'1(' if if if 3E'�f'1F i(� if if I N D I V I D U A L� ;��F fE 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 ELE 5 FIXTURES, LIGHTING,,�� 1^ S,T 20 EA, .75 3.75 ELE 10 RECEPTfOUTLET '. 1+,5T 20 EA, ,75 7.50 ELE 3 RECEPT/SWITCH i.1 ST_20 EA. ,75 2.25 � ENn o F es `P�u..�" .� ��.�s-�Q �k�" y �.�P�RE �''1 • I � � i � G . �-�-��°" ow•.r,� u�- � � jT,E � 9(7 : . , " J� ' i't0i25",1-�L1�974I Tr.T �,_ .,j��/% � �. ,�� i'�TE: �9i07�95 �If9'. i� ,_ «.� j� r , 3/� ;.�' , . : S . CONSTRUCTION AND PLANNIf�_ + APPROVALS Permit# 1. Temporary Electrical Service or Poie 2. $oil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. 10. Structural Floor SYstem 11. Property Sewer Line & House Connection 72. Sewer Cap 13. Roof Drains 14. Rough Plumbing 75. Rough Electrical-Condu�t 16. Rough Electric Wiri�g 77. Rough Wiring Sign 18. Rougb ElectricabT Bar Ceilin9 19. Rough Heating & Air Conditioning 20. Rough Factory Fireptacr, 21. Ductt,in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Test 24. Roof Framing , 25. Roof Sheathing 26. T�Bar Ceiling (Structurali & Monocoat 27. Frame and Flashing 28. Lathin9 & Siding - • 29. Insulation � 30. Drywall Nailinq 31. P�aster 8rown Coat 32. Electrical Power Me[erFinai 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Finai Factory Firepiace _ 38. Final Plumbing 39. Water Service�Final � 40. Gas Service-Final 41. Solar pomesticFinai' 42. Backflow Preventer � 43. Backflow Irrigation 44. l.andscape Irripation SYstem 45: Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTUflE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to $ouThem Cali(omia Gas G Date , ,-'�,. JL & SPA Date Inspector pppROVALS Permit # � * 52. Pool & Equipment Location �53. Steel Reinforcement 54. Forms 55. Electrical Bonding -� 86. Rough P�umbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Co�duit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test � 60. Backwash Lines, P�Trap, O Undrgrnd. � 61. APPROVAL TO DECK - 62. Backwash & Receptor-Final 63. Heater & Vent-Final '- ' 64. Plumbing System � Final 65. Electrical�Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 89. POOUSPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT . , APPROVAIS Permit# n n Date �inspector 70. Underground Hydro 71. Product Piping C� Gas OOii '' 72. Underground Fiush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead HYdro 75. Dry Chemical 76. Dry Standpipe - 77. FIXED SYSTERI FINAL 78. fIRE PREV. FINAL " � HEALTH DEPT. REQUIREMENT � 79. FINAL INSPECTION 80. FDOD CERTIFICATE ISSUED Notes: 7/�f'G! � _ _ • r i�;.�. � � 1 PAOJECT ADOPESS: G� 7 GrLL � I OWNEX'SNPME: N,'v'wr;:l� _.D++.ANi.� tl ' aooness: P�? B'J �{ � Z 3 C:Ci:�"!'�l .'A,i.'�A, �"r� !'!1 31.�?' -::i'i;� APCNIENGINEEfl: AOOFESS: UNIT: �?07.7 REG.NO.: I1NIT: ,PfflMITTEE: F.t.li.L,1C 4UV� �N ( % : z I'!J � 1 -•} ti %% POOBESS: -i �; �,c?Le. 3T ('.!).�r: j'r'. ?'I =. i r`•. L li _� ? b L% ULENSEO LONiFACTOfl OECIANFTION: 1 �ereEy aliirm I�at I am lic¢nSeG unGer Omvisions ol CAap�er 9 �[ommencing wit� Section i0�0) 01 �iN5i0� 3 Of III¢ BUS��E55 d�d P�01lSSi0115 �OQP, df10 Illy IiCC05! i5 111 IYII IOft2 d�tl CflCCi. CITY LIG.: SiAiF LIG.: LIASS: �ate�. Sigrewre: WOANEP$' COMPENSATION OECLAflATION: I �ere0y allirm I�al � �ave a[etlilicaie o� consen� to 5¢II-insure or a[etlilicate al Workers' ComoensaUon Insurance. or a renilie0 copy Inereol �Section 3800. LaC. C�. POLICY NO.: EEP. OATE: LOMPANY: . ' ❑ CertilieG copy is nereEy fumis�e0. ❑ Ceni�ie0 coW u lilea wit� t�e ciry BuilGinq Division. �, Date: AO�Iicani: EXEMPSIUN FPUM WORKEPS' COMPENSASION OECUNTION: (iM�Seciqn I�¢e0 �pl0e cdnpletM il ttw. p¢rm�t is �a atw. MuM� 0 k5s�. Ii cemry i�ai in �ne peno�mance ol ine work mr w�icn �nis De� is �isy e. � sAaO noi ¢mplpy,aqyperson2any manne ecome , sueject /tg��e �vah rs' Co ensation laws ol Calilomia. /�j�� /1 // ' Daie: �✓ �� Siqnature: �� "'"^-r � �_ � II i M I �' ' t t he W ke� ' nsation a� as oi lRe LaDw NOTIGE. . DR¢t mak ng f 5 aet a afron, you StwWO OeWme SUD�K o t IN 5 ComOe M Caae. vov muv :ortn.vim mmoM �^�� sucn o�a�sians or ma permit snall oe aeemea revokee. CONSiflUCTION LENOING AGENLY' I her¢CY aflRm IAdI I�ere R a tonStNtiion lenaing apenty IOr Ih¢ 0 rmance ol the vrorh for wnitn i�is aermil s iasued �SecUon 3097 Civ q LEN�EB. i':O Iti^.ij �n�l�n ht�.`..� . aaoeEsr r;_ti p��:�t �1;pEU ,��icA �, �OWNEP BUILOEB OECLABATION: I �ert0y aliirm ��al I am exemp� Imm t�e fAnlraclorS' $Iale LiGen Law for me lonowing reason � n I w' � r ir rmi �o n tr alter im mv Oemolish or ' S lion 703L5 BuSines an0 P ale55i0nal COde: A bt a counl h¢ u es a e 1 m 5 p e. l¢t 5 V Y Y M 0 ir ' n rm li i m m � IWt � �e i li en r ir an Iru � re ri r Io it iisuance. al o t u es 1�¢ a 6ta 1 tOr Su[h B il 10 12 a 5 ed SI e 1 1 P/S S t Se0 eDa y s c u . o 0 5 5 e0 07 G 9 pursuant to i�e Omvisons of I�e Conlyd[rors' Slate license law (ChaOter 9(commencinp wilh Settion 7 al Division 3 nl the Busineu anU Pm:es5ion5 Cooe) o� lhal hels�e is exem0� ihertlmm anOIDe Gasis tor t�e aliegeG eremplion. A�ry aiion ol Searon Iq9t.5 6y any applicanl lor a Oermi� SUEI��s I�e ap0litant to a civil Denalry oi nol more Ihan live �undretl Oollars �. I. as owner ol IAe O�oOeny or my emD�oyees vnih wages as Iheir sole compensation, will work, and Ihe ❑ SIN[Iure is n0� inlen0ed or oIi¢re0 �af 5ale (S¢tlion 7044. BuTinelS ane PmIe55i0na1 Code: ihe CAnlratior Law doez not ao�1Y to an ownet ol a proDerty wta UmWs or impmves t�ereAn, aM wIW dpes suth wprk �imi¢II/her n4 or her own employees. O�o�UeE Ihat sucn imo�ovem¢nis are nol inlenUeO or offereU lor sale. II, nowever t�e Ouilainq or .imOwvem¢nt is SOIG wil�in one yea� ol completion. IAe owne� vnll have Ihe Ou�Gen of O�oving Ile/s�e dia noi �uilE or improve 70� i�t 0��➢052 01 331Pj. I. a5 Ownef 0� I�e DrOp¢�y, am extlusively contracting wit� Iicense0 coniracrors Io cons��uc� Ine prolect (SeCiion 70d4, Businecs � and Pro�essions CoUe: T�e Caniraclors Slaie lic¢n5e Law does noI apply i0 an owner of properry w�o bui105 or imOmves thereon ana w�o contracts br sucn pmjecls with a contractor�sl license pursuant to the Contractors Slate License Lawl� I am aware lhat prool al f�eir Workeis COmpenSaiion insurance ShculC be pmvi0ed to me. � I am e�empl un0er Setlion: A. 8 P. C. b� thi5 RSSOOt � ^ �/ � �� p � / /J� Date �n /� �.�L _ _ qw:(n� /�i/i / i / / / �/�� I eo nereby ceRily Ihat I am aware ol and un0¢rStanA Ihe requiremenis ol Calilamia Healt� antl Safery Code Sections 25505, 25533, and 25534 and tAal I o� any IUW[e hwlding occu0anl will/will nat (circle one� neetl to comply with saitl state codes ana Ille reQuirtmenls lor a perme lor constmction or motlilicalion Imm Ide Av uabry Managemem �isinc�. flesiaen�ial conslmclion applicalions are exemp� Imm tnese provi9ons. - j �ale: Applitant: � I IIprPGy CertllY ��dl I Aave read l�is aOPliCatiOn dnE Sldfe Illdi IA¢ dGOvt inf0/mali00 i5 [ORlCL I agf¢E 10 Comply wilb a�l tily and LOuOiy I ordinancesanastate�awsrela�ingtobuil4inqconslmmm�antl0.Re a Inorizere0resemal�q��i tyroenl¢rupon��eaCove�meNioneU p�opeqy lo� nn0eclion Om�oses. � �r � �� ,/ � -i7 ��1��'.� I Oate'. n V1 i S�qoawre„ Oriver's Li�¢nse or Social Secunty .: ,� I6nLa6 Wnne-Bmlaina: Green-COCe Enlorcemenl: Canary-Aoolicam; PinM-Revenue: GOIGenroe-nssessor C'i"iY t�6 c:OSTA i`ALSA -�J1L'U.Ci�G Pzdt�IT �?M ,;U: � u5;":n_ Y;R�7T'i ^!O: .. OS�i763 Pt.?.ti CHF,C:✓, �1�: pJ rT"+?, i: ,�T'r.L'rt': :� CO"iS:�'.UC'tiTG?S lY'�E: �-N FFR�fIT• .:y��: ELG. 'ftr`�i4'0:;=: �:�:3 :itiB f�r��RIP'ftON , nA'C:iNOQu R::^.��i:�L 5Lj `.°f: CLASM �I:�LiiE: CALC-VAI.i7e: i;�.UGP �)C(.; R-3 !:4-i CGMM£NTS: Re.: B575a� i'RI;`".aitY B:.Dt,. AERM7'i. \'�iEi+tEiEikifaFY�'.,':�t!fiYik<if+!kK'rif �tN�V!t�Ftk�f+FY f4L�K'M.•kiF�F'('-E't!•:�4 axt..ii'Y f4f'{�'Fi�w � s �f yi�i'�tv�'rxay; ii 'L U�l :i N G ?� F. �j Ci i it c;3 c,1 ^.' ; � J �. 1 .. .i .� :: .. ----------- ��,f;IN 80tLi)�:tiG ----------- ---------- riC['�'SS(iRY :iCiif..U��i� -------- �R;iT: F'F _N �E�.R; 9i Iti rn�T: rT iN 'r,=Art: �� ?ti i,EcT: r':' Irt Ri;'tiT: F'C IN �..5'I: FT IN RGii'1': F1- :"tv F1aRK:tiG R=p GRi)V: PFIRCEL: d2�14312 ?,NE: REr NO: ?t,'�NNiNG ht7"I'�5? > /f�lflt�fiL'f'Fit'i'�il�fi'4j!S�%1'�{�fif.fl('i{�i.YY,4tYI.�.%il;T.'�;f!f{��.'l�<Y'�ffi D � V E L O L M E N T � E R': .[ C � J, f.t�N1��G :1k'�%RO:'?L" b SUILU a A ?p�* �1StJ U: U 7 Y{A . 4 a-Vr.;. �tks- �?'Ylr :o".'r .f `fic3 �4` MfixcfEi7fc {✓.yMk 'Y:adY�ss.f•�w;:E(ffr°F ��c�:.izaT�a::� ��• F _ s P E !12't' P: � LSS� �UTi�t7'T i'p"tAIS G � 1dT �I,C;99Trd�; E:I,P�'Ti7 3?. � � .�-UIV-> ?c�.MIA CS�UE PI, ---> 3;.:5 15.O0 I Rr:f::lffi4'i<itv rFf r=-�t�??:ts�t}-�.'s� R a t� U I R:: M c N � S !)A'f F.: _ . _ - !'�,�1' E: ; / � * . /�j/�� . I/nl C »�w ;"'�'��l.:.T�'=y':�r' '. �.Y�PA� ex<.r��'�» .:�+� �-ly.kkRi•..<...s�,wf+f .��K� ��t+;- . sa.--t . :1 A � `7 .,1':;ri<.t.'?AL ,_.�!e.i . d :��C�>NiC F':i�+E .;Mi?/r�r5 i;R.�Ditie _^-,M1 P/il��N-Rr_'S ECK 'fOTAL PAIi� DUE .00 �2.2> 57.2`_� .UG R::VENOr'. iiLVZSI�N i'Gi'ALS--> ('(i tl ir.D: `.i�. �5 UVF:R;'3i?OR-j'; 00 9Lt)G FMT PLi;""HiNG E[,:'C`i'R.CC ��c:C:IANIC t.iPc: ;;?1:tP1'I'Oi GP,r,!?i,'al; i}[.A+l-C:ir_.C1 52.25 rM'iEA4Y�fiFff'.ik�t�fMMV'Yiik�.k4k"M'��fMV�<{uif�'tk''f'.cfRlltN.:!1�4^fRYY�V'fM%'4si�r"rs4F1i�EMI.�(.y.ryv.�ir�FY�.irtM�f'L1,.� I�, D i`I f D[3 A G : E � d ri E� 4 D O W'N s'fPc (e�"';Y D E:. i: R i P'i 1 U N 613i'f COS'i I'O'CAL Ct)=T £LE 7 Fi;{iuAn:' i.IGH'iT}iG 1 S� 2U f�'A. .'7� ELr'. 3 A.i•.c_;:P'f/O�`.'TLEY t:�1' 20 : A. .75 E:i.£ 3.0 Rt'-:Pi'/�:Itl'i'H i S'3' :0 ' :A. �'S R;��. t FiSS -.PP[,IA�iCd :lUT i)V��A 1 0:iP 3.00 �LS 1 S�A�;iCES 9ELOu 600 V 5, Bc.t.,C!i: <'�Ji A:tP iP.,SD ENll cJF .'r'e.c:S %i� �!)?ia^'J-'I'{J�i. .<:� f{�� j -^IC: ..�. :Zi._ ��'- 1 J . � �- Z S = � 2' ��%�,� -� �'� �!/% � `-� � � �d �� tr-�� ti . � �� __ =.�..� , � . „ a :,r �m.., � � 4 �.:., r 3 . � Applicant to fill in all soaees except those within neavy eoraer lines anG sign aIl aooropriate OeclaraUons. CITY OF COSTA MES CONST UCTION P RMIT Project Address �� q C1� �- �-'Applicant'sMaili�Address - -SGfti Owner's Name � ' ��-Y � Phone � Address Arch/Eng. License No. Address Convacror's Name � ' Phone 1�.-�� Address (mailingl S • Z�'l � '�� • ��' � � I '�*'� � City License No. 3� �� LICENSED CONTRACTOR DECLARATION I hereby afiirm that I am licensetl unaer provisions of Charter 9(commen<ing with Section ]000) ot DiviSlon 3 Ot the Business antl Profe55ions Code, antl my IlcenSe i5 in lull fOfce antl etteCL p Liconse Cla 5' C�Z L' ense No. 3i�T'�5 �ate '�'1 � � S9 t NORKE—R COMPENSATION DEC N I hereby allirm that I have a tertifitate o( mnsent to zelf-insure or a certi/icate of Wotkers' Compensation Insurance, o� a certifietl copy the�eot (SecUon , 3800, Lab. CJ ' - PoIICY No. ComPany � 8 Certi/ietl copy iz her¢by IurnlsheU. Certilietl copy iz filetl with [hc city Builtlinq Oivision. Date Applicant EXEMPTION,FROM WORKERS' COMPENSATION DECLARHTION (This section neetl not be completetl if the permit i5 for on¢ huntl�etl (5300) or less). I certity that in the pertormance ot the work fo ch this Aerm�t is issuetl, I Shall not pmpl y a p¢rson in any 5 to bM1ie Subject to the Worke C qSd n Laws ot Cali Date �� Signatur 'NOTICE: I afl r making this tleclaratlo a tl �ecome subject to the Workers' ComOensalion O�ovisions o( the Labor Oe, you must forthwith [omply wilh suGh provi5ion5 or IhiS permit Shall be tleemetl revoketl. CONSTRUCTION LENDIIVG AGENCV� � 1 hereby atilrm that there is a constructlon lenain9 a9ency (or the per(ormance ot tne wark ror� wnicn this permit is issuetl (Sectlon 309] Civ. C.) Lentler'S Name � Lentl¢r's Atltlre55 - OWNER BUILDER DECLARATION � ' I hereDy afflrm that I am nxem0� from the Coniracfor's�License Law tor the tollowing reason (Section 7031.5 Business antl Professional CoOe: Any city or county whiGh r<quires a p¢�mit to con5truct, alteq Improve, tlemolizh or �eDai� any structure, ptio� to it5 i55uance, also reqWres the applicant fOr SucM1 permit :o lile a signetl Stafement that ne/she Is licenzetl pu�suant to tM1e provisions of the Contrattor'S License Law (Chapt¢r 9(commencing with Set[ion 7000) ot Division 3 ot the Business antl Protezsions Cotle) o� thal hG/She is ezempt lhereirom an0 lne basis for (he allegetl exemption. AnY•viola[ion of Section 7031.5 by any applitant fot a permi[ subjects the avo�icant to a_ Civil �enalty ot not more Nan five huntlretl tlollars (E500). LJ I, as owner oi the Droperry or my employeez wim wa9es as tneir sole compensation, will Go the work, antl the'structure is not intentletl or ofteretl for sale (Seclion ]044, Business antl Pwtessional Cotle: Th¢ Coniractor's LicenS¢ Law tloes not apply to an owner of a property who Guiltls or improves the.eon, antl wno tloes such work himsetl/nerseli or through his or her own emplayees, provltletl that sucn improvements are not intentlo0 or otferetl tor sal¢. It, hOwever, [M1e builtling or Improvem¢nt is soltl within one yea� of com- pletlon, the owne� will have tM1e burtlen of proving he/she tliG not builtl or im- �p�ov torthe purpo5e of sale). as owner ot Ihe prop¢rty, am exclusively coniracfing with licensetl con- tractors to construct lhe Oroject (Section 7044, Business antl ProtesSions Cotle: • The Contractor's License Law aoes not appty to an owner ot property who builtls or Improves tnereon, antl who contracts Por such projects with a con- iraclor(s) license pursuanl to the Contraclor's License Law). I am awa�e that prooi o( their Worker's Compen5ation insurance ihoultl be Providetl to me. ❑ I am exempt untler Sectlon B. & P. C. for tnis reason Date Owner I hereby certify tnat I have reatl this application antl state that the.above informatlon Is wrrect. I gree to comO�Y �"/ith all dty antl county ortlinances antl state laws relatin9 j buil inq construction, antl hereby authorize re0re- sentatives o cty e r,upon Ihe above-mentionea pra ¢rt foj inspection ur s I 11 �(. Si9natur Date �J TV�IF�ONSTR�CTION I 1� W� AID IiLTERATIIN REPAIR ❑ CONVERSION. ❑ DEMOLISH ❑ OTIIER DESCRIPTION OF WORK/USE OF BLDG. � TYPE OF PERMIT LJ GRAOING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5c?. FT, oCCuvAN v_ CONSTRVCTIONTVPE � VALUATION$ ��-� ZONE GRADING CU. VDS. ACRES_ Remarks: Sink Preventer - � Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P-7rap Roof Drains Showers Service Sink Sewer Cap Sewer Connection $olar Collecmrs Solar Pipin9 . Solar Tank Swimming Pool wlSpa Urinal • Outlets Water Closet ' Water Heater Water Service ' Auto-Wash fEES Reinspec[ion Fee � $75 � I Issue Fee � � � $ 3 Boiler Duct - Under Ground Duct - SVuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact Bit. IC80 # ' Heating System & Ducting ❑ o-i oo,000 eru O i oa,000 Reinspectian Fee I Driverz' L'Ce C$ �„ —� � � CMF 0865-46, rev. ]0/84 White - Bulltling; Canary - Applicant; Pink - Acmuntinq; Goldenrotl - A55essor $15 IHood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑ai oo,aoo eTu ❑ i oo,000 SVstem Repair/Alteration Fire Dampers Registers laue Fee 4.P. iW L}'2�7 � S Main Building: E T Front A Rear C Right K Left S 'Ing. Ref. # Planning Notes: � 0 �1� �L 1�11 Automatic Washer Cons[ruction Pole Sub. Cooking Unit Dryers LJGas LJElecvic Fan F.A,U. . Fixtures Device Boxes OUtIeLS Switches Garbage Dispoul Generator DO-5 KW �5-15 40Q6 12/13/84 _ i2 Accessory Building; i- ?-O � . � gl bi-1 ± i Parking Req./Provid� '17.uu .TL Zone '`, , �L..l_. _ 2 O N I N G E I -' M S ELEC7RICAL Transformer ❑ 15�50 KW �� SO+�KW Reinspection Fee $15 FEES DEVELOPMENT SERVICES REQUIR Zoning Approved By Building Approved By APoli�ation Issued BY $ 3 Meter LJup to 100 ambs Meter ❑over100amps Sub Panel ! Motors�0.7 HP �7%'-�8 Inc.Solar �9�15 HP �.16-15+ Microwave - • ' Pole Light " i Range Sign ; Standing Sections Trash Compactor �� FEES luue Fee I $ 3 uTs ;v Data � �� ,9�—� . 1 7 ! .z SUMMARV OF FEES BUILDING PERMIT $ CO�OO SMIP � $ • SC PLAN CHECK � $ %. SO . pERM1T " PLUMBING $ �SSUANCE.f �$ PLAN CHECK 25% $ ENERGV P.C. $ � ELECTRICAL $ GRADING ' $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ ��'�� PLAN CHECK 25% $ � ' ' � CdNS7RUCTION AND PLANNING � �OL & SPA � '' APPROVALS Permit# Date Inspector AppROVALS Permit# Date InsprcTni 1. 7emporary 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 " r . 5. Steel f�einforcement 56. Rough Plumbing & Pressure Test �- 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � � 7. Footings - ��/q �S 58. Electrical Conduit-Undrgrnd. ' 8. Foundation , 59. Gas Pipe, O Undrgrnd., Test • 9. Water,Pipe-Undrgmd. . 60. Backwash Lines, P-Trap, O 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 Electriral�Conduii 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 Firepface APPROVALS Permit # 21. �Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush .�24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro . 26. T-Bar Cef�ing (Structurall & 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 Brown Coat 79. FINAL INSPECTION 32. Electric:al Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final'Gas Pipe-Test 36. Hood o� Canopy - . 37. Final Factory Fireplace . � 38. Final Plumbing 39. Water 5ervice-Final 40. Gas Service-Final � . , 41. Solar pomestic-Final � . . 42. Backflow Preventer . 43. Backflow Irrigation � 44. Landscape Irrigation System ' 45. Sound Attenuation � � � . 46. HandicJP Regulations � � 47. FINAL STRUCTURE & BUILDING � /(� � � �+ds /fj�s'�� C v- 48. Special Requirements Completed , . ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co , 51. �CERTIFICATE OF OCCUPANCY. . No.. � Date , . . T Y PI CAL 6�� CONCRETE BLOCK FENCE Cement Copirg Optional y ' Channel Bbck With One �8 � Hori:onul Top of dl � Fences For Fence� 5' or lssf Vert. Bars 3/8' � n 4' -0" O.C. For Fences Higher Then 5' — Vert. Ban 3/8'� at 32" O.C. Fill Cells Solid With Grout — W here Steei Occun Heinforcing Steel.Shall Contorm to Sec.A-7539 A.S.T.M. All Steel to be Lapped 16" or to Code NATURALGRADE TWO ]/8" BAHS ' CONTINWUS TOP & BOTTOM eo d O ul e � 0 a x 4 f u � W � _ Q >_ — W IDl SEE CI BELOW FOOTING REQUIREMENTS � GENERAL- NOTES MORTAR: One Part Plastic Cement, and TAree Parfs Sond GROUT: . One Pa►t Cemenf Thae and One Half Ports S�and COPING: One Porf Cement, Three Parfs Sand CONCfiETE: well MiYed I: 2� ; 3%2 Max. ol 7%2 Gollons of Wafar Per Sack of Cement GROUT MAY BE POURED FROM THE TOP Of THE FENCE CELIS AND AREAS OF HOR120NTAL REIN- FORCEMENT SHALL BE CLEAR, CLEAN 6 fHEE OF AlL MORTAN OEBNIS, ETC. BONDS SHALL BE PROVIDED BV LAVING BLOCKS IN STREICHER COURSES SO THAT VERTICAL JOINTS AITERNATE IN EACH COURSE. �H OF E4RTHTCOTH 1/3 TNE HEIGTH OF FENCE BECOW BOTTOM OF FOOTiNG. SCALE: I/2" • I' WAIL HEIGHT 6� 5� 4� 3� WIDTH �F FOOI�NG 14 14" 12� 12� THICNNESS OFFOOTING 10" 10� 8� 6'� DEPTH OF EARTHTOOTH 24'� 20" 16" 12� SPACIN� OF EARTHTOOTH 12' 14� 16� 16� OWNERS NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ � ' , City of Costa Mesa, California J0e ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ ' Buii��.g Department T�---.�. . ,, S��UCTi1RAl. APPRqUA1 �'i� y �.__� SEPAR�'T= o�p;; �-c „�� . Snn - ,:r • ., .. -- ':u YrFi,.'' _ R�.�,� - ' „ � �o _. (�'ir��; �rff # — � T'HIS f��((r;�?- ��', �-�� ' ALL �p � �';/'%�7puTi°pAIVY ; I � , �f�J�'�_C..iJ'. f�iQUir'.JfO i ��_ FO'i F��:, � � BE c,.,Fi i , _"` ' `. .` � �RSOrIS k$E TO � sr.: ._ c. ��,, �: ;`'`.'s; rw,r r� i�vo:s, z s.��- - �;�t�isio� � , ��Ult'Oi1/;L ReQUIREd�ENt$,��'� I IIE�IO[NCC •csiocrcc r 20i � _ STaE£T IIEfID[Mtt 0 � �PR.��E� � �.' -I�-4 �-cr� u6/-�-� CI7Y OF COSTA MESA PLANNING DEPT. ' SUBIECT TO BIDG. �EP7. REp, ' �.� �7C.IUiN DATE.�2.�....�3�.� niRFCTOQ OF VIANNlNp AOD��cant to fill in all spaces exceDt l�ose within heavy DorCe� iines anE si9n ail apDropriate aeelantions. CITY OF WSTA MESA �C/O�NSTRUCTIQ N PERMIT PER/1�T N�'�/� T�R�T NO. LOT j I. UNIT N6. - Project Address �7 �A../a��- G rCl � k� ��p � 7� Applicant'sMailinoAdArnss' � T% �O�C C1rG C. � � E. ROW[I Owner's Name '�] Phone Address � gL�mt J Arch/Eyg: Licenu No.�' Address �/��.� ' Contracror'sNamP.4�(.J�,S�.�7�jCp1�]�� P-hone ^ Address (mailing) s'v\� �-1{, -i• �, P 1/i�r L� City �License No. ' � �=/_ LICENSED CONTRACTOR DECLARATION 1 hereby affirm that �I am�licensetl untl¢r provisions of Charter 9(commencing with dectian 7000) ot Oivision 3 of the Business antl Protessions Cotle, an.1 my license is in �wl o^�g tl etiect. ' 31^ -Ucense 5',Jdsp � L License No. "� S"+9ate TL.4 5'e t �� WORKERS' COMPENSATION D ION � I hereby affirm that I have a certificate of nsent to sel(-insure or a certlflcate ot Workers' Compen5ation Inzurance, o� a certifietl copy thereof ($ec[ion 3800. 1_zb. C.) � � ' - Policy No. COmpany eCer[ifietl coOY is nereby furnishetl. . _ ; CertifieU copy is filetl with tne city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thiz section. neetl not be completetl if the permit is for one huntlretl ($100) ot less). • I cer[i(y that in the perform2nce of the wo�k to� wnicn tnis pe�m�t is IsSueQ I shall not employ any person in any q o as t become subject to the Wo�kers� Rlpepyjjop Laws of Cal Date _IL+TlMr5i9nat�R �NOTICE: If, after makmg this tleclara y houltl become subject [o the Workers' Compen5ation provisions of .[he � Cotle, you must (ortnwith comply with S�cM1 p�ovisions o� this permit shall be deemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that inere is a consVuction lentling a9ency tor the performance' oi ltle ,wo�k for w�ich this permit is issuetl (Sectlon 3097 Civ. CJ Lentler's Name Lentler's Atltlre55 - - OWNER BUILDER �ECLARATION ' ' I he�e�y atfirm'tha[ I am exempt trom the Contractor'S Lit¢nse Law for the }nllnwino �EdSon IS¢CtiOf1 J031.5 B115I0055 dI1C Pl0(ESSIOOdI COtlC: AlIY NIy O! sucn to file a signetl sta[emen[ Vlac ne/Sne 6 IIcenS¢a pursuani m ina provivons m t�e Contractor's License Law ([M1aDter 9(commencing with Sectlon ]000) of DiviSiOn 3 ot the Busin¢55 antl P�ofe55ion5 Cotle) o� tnat ne/she iz exempl the�etrom antl the ba5is t0� the allegetl exemption. Any violdtlon of Section 7031.5 by any applicant for a permii subjects the applicant to a civil �enalty of not mo�e tM1an tive hunOretl tlollar5 (E500�. 1, as owner of tM1e property or my employees with wag¢5 as thei� Sole Wmpensation, will tlo the work, antl the sVucture is not intentletl or olteretl for wle (Se<tion 7044, Business antl Professional Cotle: The Contrac[or's License Law tloes not apply to an owner of a proper[y who builtls or impmves thereon, antl who�tloes such work nimself/herself or tnrou9h his or her own emo�oyees, provitletl that sucn Improvements are not intendetl or offeretl for sdle. If, howevet, [be builtlinq o� improvement i5 Soltl within onG year ot com- pletl , t�e owner will have tne burtlen ot provin9 he/sbe tlitl nol builtl or im- pr ior the purpose of sale). ' ' I, as owner ot the property, am exclusivety mntracting with Ilcensetl con- i�a[tors to conSV uct l�e project (Section ]044, Busin¢55 an0 Prote55ion5 Cotle: The Contractor's License Law tloes not apply to an owner ot prooerty who builtls or imoroves ihereon, antl who contracts for such projects wifh a mn- tractor(s) license pursuant �to Me Con[ractor's License Law). I am aware that proof of their Worker'S Compensation insurance Shoultl be provlCetl [o me. ❑ I�am exempf untler Section B. A P. C. for tnis reason Date Owner. I hereby� certity that I have reaa this application ana state that the above information is correcL I agree to [ompty wrth all clly antl county ortllnance5 ana�state laws relati to bu'Itling mnseruction, antl hereby authorize repre- sentatHes ot 'to ter�upon the above-mentionetl Dropert f r inspectlan p r 5 � � 1 1 O�. �.___...__ D t0 O Drivers' CMF OB65-46, rev. 30/B4 TVPE OFCONSTRUCTION NEW A�D ALTERATION I7EPAIR ❑ CONVERSION ❑ DEMOLISH O OTHER A.p,�6 /'( ) DESCRIPTION OF WORK/USE OF BLDG. T - ' S Main Building:, TVPE OF PERMIT GRAOiNG FOUNDATION ❑ S7aUC7URA� T Front ��Q t ❑ TENANT ❑ g`LEC RICA1L'I❑ LUMBING ❑ MECHANICAL B Reaf ❑ -OTHER . 8\� W�1 t � %� PROJECTDESCRIPTION SCZ.FT. OCcuPANCV - C Right _ CONSTRUCTION�TVPE VALUATION$ �-�� g Left ZONF_ GRADING CU. VDS. ACRES P�ng. ReL # Remarks: � l'i, 1, � r�X. h�' �(� PlanningNotes: �� Bar Sink Backflow Preventer Backflow Irrigation Clarifiers Dishwasher ' Drinking Fountains ' Floor Drains Floor Sinks Gas Service . Outlets Kitchen Sink ' Lavamries P-Trap Roof Drains. � -Reinspection Fea $1 Duct� Under Ground Duct - SttucWral Duct - Ventilating Exhaust System � Multiple Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑6100,000 BTU 0100,000 a I , I Reinspection Fee White - Builtling; Canary - Applicant; Pink - Accountlng: Goltlenrotl - Assessor $15 Showers ' � � Service Sink ! Sewer Cap ' Sewer Connection Solar Collectors Solar Piping Solar Tank ' � Swimming Pool w/Spa Urinal. . Warer Closet � Water Heater Water Service Auto-Wash ' LaundryTreys '- laue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑4100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Isue Fee FEES $ 3 FEES $ 3 392� 12/12/84 Accessory Building: Req./Provided s � 54�1= 2one (Z � ` ELECTRICAL � � � Aummatic Washer - Transformer ❑ 15�50 KW - Construction PoleSub. ❑ SO+:KW" � Cooking Unit ,Meter IJup to 100amps ti, Dishwasher Meter ❑over 100 amps � Oryers �Gas ❑Electric Sub Panel ' Fan Momrs �0.1 HP �iX�B' F.A.U. Inc. Solar �9�15 HP �;16-15+ Fixtures Device Boxes Outlets Switches . Garbage Dispoul � Generator �0-5 KW �5-15 KW Fee � $15 DEVELOPMENTSERVI Zoning Approved By_ Building Appraved By ' Aooliption laued Bv_ Microwave Pole Light � �� Range Sign Standing Sections � Trash Compactor Issue Fee Z O N 1 N G R E Q M T S �FEES- t I ' $ 3 )ata 1 �'.c—�1G5,�'. )ate__�� `-'- n-u " SUMMARV OF FEES [f_ BUILDING PERMIT $ 3Z� � SMIP ' �� $ �O PLAN CHECK ,$ Z-� •� 2- PERMIT � PLUMBING $ �SSUANCE, T � $ PIAN CHECK 25% $ � ENERGV P.C.� $ EIECTRICAL $ � GfiADING ��'$ PLANCHECK 50°,G $ MICROFILM � $ � MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ ' �c�..� 1 . I �- CONSTRUCTION AND PLANNING rOOL & SPA ; APPROVALS � Permit# Date Inspector AppROVALS Permit# ' Date Inspector . i . . 1. Teritporary Electrical Service or Pole ��. 52. Pool & Equipment Location � 2.�_Soil PipE-Undrgmd. - � 53. Steel Reinforcement f'{� -' -' 3F.. Ele`ctrical Co�dutt lJtility-Undrgrnd' , 54. Forms ��'�,, � �� -- - 4...Electrical �onduit,U'P�Irgrnd. �t'. � 55. Electrical Bonding ' 5. SteEb Reinforcem'ent f �� -� 56. Rough Plumbing & Pressure Test � � 6:'� lectrical UFER°Gr�'4i d. '�"' � �� 57. APPROVAL TO COVER-GUNITE � � �r...., r �. - �z�� 'j �,':�: 71'Footings • ,� �'..i. . 58. ElectricalConduif-Undrgrnd. �+ •`S.tF,o�ndation ,��i, i, • �`• �. �i' � 59. Gas Pipe, O Undrgmd., Test � � .9� Water Pipe�Undrgrn� 60. Backwash Lines, P-Trap, � Undrgrnd. . 10. Siruciural Floor System 61. APPROVAL TO DECK �11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � . - 12. S�.ver Cap • ..� 63. Heater & Vent�Final --' 73. Roof Drains � .� . � 64. Plumbing System - Final 14. Rough Plumbing • i 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 i9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20., Rough FactorY��Rireplace ' APPROVALS Permit # 21., Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil 23.� Gas Pipe-Roubh_& Test � � 72. Underground Flush 24. Roof Framing �" „' . 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' � 74. Overhead Hydro 26. T-Bar Ceiling IStructural) &•Monocoat 75. Dry Chemical � 27.� Frame and Flashing - � 76. Dry Standpipe 28. Lathing & Siding . 77. FIXED SYSTEM FINAL �� 29. Insulation 7S. FIRE PREV. FINAL 30.. Drywall Nailing . HEALTH DEPT�. REQUIREMENT 31. Plaster Brown Coat '� 79. FINAL INSPECTION 32: Electrical Power Meter-Final. 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 � " ' 39. Water Service-Final . 40. Gas Service-Final _ �, , 41. Solar pomestic-Final , , . 42. Backflow Preventer 43. Backflow Irrigation _ '44. Landscape Irrigation System _ - 45. Sound AttenUation � � 46. Handicap Regulations ' � 47. FINAL STRUCTURE & BUILDING �` �. � � �L, ao3 � l��o ��J � 48. Special Requirements Completed • � � - 49. Elec[ric Release to Edison �� • 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OGCUPANCY ' No. Date Cement Coping Optional y cna��i ewck w��n o�.a �e � Hori:onul Top of dl � Fences For Fenees 5' or Len � Ven. Ban 3/8'� N 4' -0" O.C. For Fences Higher Then 5' — Vert.Ban 3/B'4 at 32" O.C. Fill Celh Solid With Grout — W here Steel Oaun Rei�forcing Steel.Shall Co�torm to Sec.A-15•39 A.S.T.M. All Steet t0 be Lapped 16 " or to Coda NATURALGRADE TWO ]/8" BARS ' CONTIN W US TOP 8 BOTTOM TYPICAL x � u W x z � u , � au - ' .p, s'pN — o O � O � WIDI y SEE CI Q BELOW o L � , p � �� WALL HEIGHT -- W�OTH �F FOOI�NG THICKNESS OF FD071NG . DEPTH OF EARTHTOOTM SPACING OF EARTHTOOTH 6�� CONCRETE BLOCK FENCE FOOTING REQUIREMENTS � I�p,l ' I OYI I I V• �City of Costa Mesa;'C�aiifornia Builc.�a Department OWNERS NAME: _ JOB ADDRESS: � GENERAL- NOTES MORTAR: One Parf Plastie Cement, and TAret Pa►ft Smd GROUT: • pne Po�f Cemanf Thee and One Half Ports S�and COPING: One port Cement, Three Ports Sand CONCRETE: Well Mited I: 2� : 3%2 Mar. of 7%2 Gallons of Wafar Per Sack o( Cement GROUT MAY BE VOUHED FNOM THE TOP OF THE FENCE CELLS AND AREAS OF HOR120HTAl REIN- FORCEMENT SNAIL BE CLEAR, CIEAN 6 FREE OF All MORTAN OEBRIS, ETC. BONOSSHALLBE VHOVIDEO BV LAYING BLOCKSINSTRETCHER COUHSESSO THAT VERTICALJOINTSALTEqNATEIN EACM COURSE. fM OF EARTMTCOTH 1/3 TME HEIGTN OF FENCE BELOW BOTTOM OF FOOTING. SCALE: I/2" • I' 8 M 12� 16� -c.ircrc. _ TcstA -M�- - .�: .. '. �� P�� @ . � �T� �idrFS � � � � �ttcnt i�A7FN�. f'�;FIL.qTtAE ps yp. I�FRI&EA.F.T�Q,Y iypR� THIS� # r�9Ust AC� ALL I,JSP[�7IGr1 CQA�1PSqNY I �:_ r � _______. e�QUE , rn�:'_.-�---�-._�_ , j BE EhfPLQYEO, i:`�� •S,: 1�0� �._� _ �if . �. � . 11[NO[MCC ' � II[�IDtMC[ �� I Cx�le Uv'dl� STREET � _ , , ; . , ;^� ..:.,-- . �� , �F COS7A MFSP pLP,NNING DEPT. EU41EC1 f0 BIDG. DEPi. REG ,z/�4 er .n l�� a DIYECfOR Of PW'�NIN_�_ —' II[/10EMCL ei F W W C � N � AoO��ant to flll in all spaces exeeot tnose witnin neavy Goraer Iines ane sign al1 aporooriate aeclarations. CITY OF COS'�MES/A7 CONSTRUCTION PERMIT �` ""' "" "�`"' '"" ""' '"`". """ "" -Project Address y� / �GL e C//1 C�L ' t�icant's Mailing Address TYPE OF CONSTRUCTION NEW ADO A�TERATION REPAIR � FIiGI AQ D OWAN Chnna �� 40�0� � CONVERSION ❑ �EMOLISH ❑ OTHER - Owner'sName DESCRIPTIONO WORK/ EO BLG.��T%%LL 00� Addreu G� �G �'� C 1 Q��L a_� No. Address -l"L']7 N� T�+-5�/1' H/JG 7/Y'�777 Contracror's Name�iC �T� �PhOne q7y-� Addresslmailingl �9J'`— `' �4Si�^' �LC ��y �(jQ'C�"e City Licensc No. LICENSED CONTRACTOR DECIARATION 1 hereby aHirm tha[ I am f setl untllr p�ovislon5 ot Chdr[e� 9(commencing with section 7000) t� 3 of the Buslness an0 Profeszions Cotle, anA my license Is in fu11 orro a 1 ct. / License Clasi � LI w5 Np. `Q "�ate�2 �C/ r ;ORKERS' COMPENSATION LARATION � hereby atfirm that I have a ce ificale o( con5¢nt to mlf-Insure or a certiflcate of Workers' Compensation Insurance, or a terUBetl <o0Y �hereof (Section 38�00. lab. C. _�O � S companv I�F U��r Cer fieE copy is hereby furni etl. (C� 'fie ¢p y is iletl wit e cltY u' ln DiyJ5lqn. ,' DaF� ��( ' A lica t �!�-=. EXEMPTION FROM WORKERS' PENSATION OEC ARATION (This section neetl not be <omplete if the permit ii for One huntlretl ($300) o� less). I certi�y thal in lhe performance o1 tha wo�k for whith lhi5 p¢rm�t I5 Issuetl I shall not employ any Person in any mann¢r so as to become subjacl to t�e Workerz' Compensation Laws ot Calitornla. �ate Si9nature 'NOTICE: If, after making this tleclara[ion, you shoultl become subject [o the Workers' COmpensa[ion provi5ions of [he LabOr Cotle, y0u must tortbwlth comply witn SUCh p�Ovisions or thi5 p¢rmit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' I M1ereby atflrm Ihat [M1ere Is a construction lentling agency Por the per(ormance oi the work tor which Ihis permit is issuetl (Sectlon 3097 Civ. C.) LenCer'z Name Lentler's AEtlress OWNER BUILOEH OECIARATION I hereby ai(irm that I am axempt from the Contractor's License Law (or the following reason (Sectlon ]031.5 Buslnass antl Pro(essional Cotle: Any city or county whicn requires a Dermit to construct, alter, improve, tlemolisn or repair any slructure, prlor to Its issuanca, also requlres the aoP��ant for such permit i file a signetl slatement lhat he/5M1e I5 Iic¢nsetl Oursuant to the provi5ion5 o( �e Contracror's License Law (Chapter 9(commencm9 �+��h $¢<Non 7000) ot Jivision 3 of the Bu5ine55 an� Prote55ions Cotle) or Inat be/sh¢ is exempt therefrom antl the basis for the alleqetl exemption. Any vlolation ot SecHon 7031.5 by any applicant for a permlt 5ubject5 Ihe applicant [O a civll eenalty ot not more tnan (ive nuntlretl tlonars (5500�. LJ I, as owner of the prooerty or my employeas with wages as thair sole �, compensation, will ao me work, antl the 5[�ucture I5 not Inientletl o� otfe�etl ' to� sale (Section ]044, Bu5ine55 anE Prof¢ssional Cotle: The Confract0/'S License l.aw tloes not apply [o an owner of a property who bullds or improves -thereon, antl who tloes such work hlmseli/herself or through his or her own emPloyees, provitletl [M1al sucM1 improvommis are not iNentletl or oHetetl tor sale. If. M1oweve�, lhe builtlin9 or Improvoment i55oltl wlthin one year of com- pletlon, che owner wlll have the burtlen ot proving he/she dltl not bulltl or im- prove fo� the purpose of sale). ❑ I, as owner oi fhe pro0er[y, am exclusively contractlnq wltn licensetl con- tractors to construct the project ISaction 7044, Business antl Professlons Cotle: The Contractor's License Law does not apply to an owner o� property who builtls or improves thereon, antl wno contracts for sucn Orojects with a con- tractor(s1 Ilcense pursuant�to the Contractor's License Law�. I am aware that proo( of [hel� Worker'S CompensaHon InSurance sboultl be provltletl to me. ❑ I am exempt untler Section 8. & P. C. br tnis reason Date Owner _ I hereby t¢rtify that I have �eatl this Info�mdtlon is m�rect. I a9ree to compl antl state laws relating to builtling cons sentatives of tn6 city tp- enter upon '�tate that the above tl county orClnances eby authorize repre- IoneC pro0erty C1.0`r Date '/� 7�-7/ TVPE OF PERMIT� LJ GRA6NG LJ FOUNDAYION lJ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � ❑ OTHER PROJECT DESCRIPTION 54. F7. oCCVaaNCv_ CONSTRUCTIONTVPE VALVATIONS QQ 20NE GRAOING CU. VDS. ACRES_ Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P—T�ap Roof Drains Reinspaction Fee Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors �Solar Piping Swimming Pool w/Spa Urinal Outlets Water Closec Water Heater � Water Service Auto-Wash - $15 Duct- Under Ground Duct - Structural Duct-Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑P700,000 BTU 0100,OOOBTi , I Drivers'�ifense or 55 �(> � ��:/�� I I Reinspeetion Fee CMF 0865-46, rev. 30/84 Whlte - Builtling; Canary - Ap011cant; Pink - Accountin9; GOltlenrotl - Assessor $15 Issue Fae Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System � ❑0-t00,0006TU ❑100,000 System Repair/Alteration Fire Dampers Registers laue Fee $ 3 FEES § 3 9 A.P. ;1� S Main Building: E T Frant B Rear A C fiight K Left S Ping. Fef. # Planning Notes: Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec' Fan F.A.U. Fixtures Device Boxes Outlets � 6735 I/03/EG . i�� Zone Accessory Building: Z ' O N 1 N G R Parking Req./Provided E Q M T S ELEC7RICAL FEES Transformer ❑ � 15-50 KW " ❑ SO+KW ' Meter �up to 100 amps Meter poveri00amps Sub Panel Motors�Q1 HP �1h-8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Si9n ;Standing Sections Trash Compactor Garbage Disposal Generetor 00.5 KW 05-75 KW I Reinspection Fee I$15 I ' luue Fee I $ 3 I "DEVELOPMENT SERVICES REQUIREMENTS: ' 2oning Approved By Date ' Building Approved B� � Date � ` ��8� Applimtian Issued By �ate SUMMARV OF FEES BUILDING PERMIT $ SMIP $ . PLAN CHECK $ PERMIT � PLUMBING $ J� ISSUANCE $ � PLAN CHECK 25% $ ENERGV P.C. $• ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ ' MECHANICAL $ ' TOTAL FEE $ /3-� PLAN CHECK 25% $ _ E,�ISTRUCTION AND PLANNIN6 ' '_ & SPA - APF iOVALS Permit # Date., Inspector qppROVALS Permit # Date Inspector 1. Ten�iorary 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. APPROVALTO COVER-GUNITE � 7. Footings 58. Electrical Conduit�Undrgrnd. ,8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System . 61. APPROVAL �TO DECK 1:�1. 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 Electriral-Conduit 66. Solar System-Final . _ �i 6� 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 O Gas ❑ Oil 23. �Gas Pi e-Rou h& Test �' - � � P 9 ,. 72. Underground Flush .24. Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing _, 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical �27. FrameandFlashing � 76. DryStandpipe 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL � 29.;Insulation � 78. FIRE PREV. FINAL � 30. �Drywall Nailing HEALTH DEPT. REQUIREMENT 31. �Plaster Brown Coat � 79.� FINAL INSPECTION - 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: �l' - - 1 � , n ri 34. Final Heating & Air Conditioning .,,. _ i - - n o 35. Final Gas Pipe-Test , - � , 36. Hood or Canopy , ' ' 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service-Final - � 40. Gas Service-Final 41. Solar pomestic-Final ��4 . 42. 8ackflow,Preventer ' � . 43. Backflow Irrigation 44. Landscape Irrigation System ' - 45. Sound Attenuation � 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING . , 48. Special Requirements Completed � 49. Electrie Release to Edison ' , � . . , 50. Gas Release to Southem California GaaCo � � 57. CERTIFICATE OF OCCUPANCY - . No. � Date � ' l.. V b l^ 1 �\ G 7 1' �. ^" • �. �ele %�{2- ��`� _. FIOW ___. � VA� METfR t:: 1 D FTFEAEANiYIAl MIA V�6 � CONTkUIILY V � � PUMP ^. / �r i4MPFRA UNE ��aI �.. VA�VI 504AR SiOIlA6E TANK , �_ &RI�S UYE VAIV� yAIV[ 3 / , �?` � _ p \ �rriiv� � _....-_ _ ._. _ =--- --------� �ioi 1OnTen RESIDENCE _��{� �q EA�fVE �_' AHE�IFRRY 0 -WAV �A LYE � J� 5 e � H 9 H r �, . �. , - -- , - -:� . . . . �i �------ ;:,-- , - � --=---- .: 28 -- ;� „ ,. � COLLECTOR , /. . • ..' . .' � '4•' ' � ' RAFTER , ,��.;� - .. :, „ .: : ,. ----�---------=----==�=�.24 -. � _ . ._. __..... . ....- - - - -- .. ...__ _ .. . : f_: - � , � ,/ �.. / `., , . . . z �IUTS � ALL-THf�EAD ROD �W ASHER � THE EMPIRE COLLECTOR SERIES GLASS GLAZED SOLAR COLLECTORS SPECIFiCATION SHEET Models EMA, EMC, and EMB . � _ �-;` _ ,:� : " .YS.;w.�..y� •Y�.. v;;, �i^�.`.'3:.: . •<�„ :.. '� ; . •.' ;.,iie�,y�.;; ;-`^ "})��'MY- jl• '`��I�SY}a'}�'':� . r' !t4��p..��FV ' ._ �L~ . . `'.� ��}`� n1. . " ._.. . �:n':�r�7�,K.� � - '- L ' � ��t �r�., ��+�,•. ,rv. ..ae 1 i-�' �S_i�","�1.'�'F�K'y": +, t. �{ y "�Y b. .t� � . �-'+R+,` � K '^n � � ' 4 P". � > i •y' .�l ��.r.-.T� .1�:�:- n'� . . - .. ,:,,'s�E:_-,?.'..'�e:.+`.:�-:'p.�';..�a::'i�.....,.. _i=;X_ _•y:�; APPL.ICATIONS 1 il r+ �o /8 � 2 Pool and Spa Heating • Domestic Water Heating • Space Heating and Cooling • Industrial Process Pre-Heating FEATURES �---- SUNBURST REPUTATION: A major solar manutacturer since 1974. SUNBURST collectors provide the contractor total design freedom, easy installation and excellent peAormance. LOW COST: Etticient production methods provide top quality, low cost and maximum heat collected per dollar invested. _. SUNBURST WARRANTY: SUNBURSTs extended warranty tully qualifies for solar tax credits. SUNBURSTs network of Authorized Service Centers guarantees a quick, professional solution to any possible warranry situation. METAL ABSORBER PLATE: High lhermal conductiviry. Invulnerable to uliraviolet degradation.- COPPER WATERWAYS: PeAectly compatible with pool, spa and domestic water — Identical to copper waterways in natural gas heaters. GLAZED BOX: Patented, fuily insulated aluminum box with attractive dark bronze finish. DURABLE GLAZING: SUNBURSTs standard-line coliectors are equipped with a strong, tempered, high transmittance solar glass. The glazing is impervious to ultraviolet degradation, and brings the beaury and permanence of glass to your projed. CERTIFICATION: Tested to ASHRAE 93-77. Approved by the City of Los Angeles and I.A.P.M.O. Listed by T.I.P.S.E. (California Energy Commission), Arizona Energy Commission, State of New Mexico, HUD and F.H.A. Certified by ARI. �� Energy qV1510N OF «,AGRO ENERGY CORPOMTION � P.O. BO% 090 � ELK GROVE, CA'Y,bi< � 19161 6H5�B9a3 • W CALIFORNIn: 18001 852J661 _ � �@ �•� � v �`� P' o r �, Q' � �� °��Y,�'o° �o ��`� 4�0��°. �y, . \ i �i � �.fi�`cF� e�,��5 J��O JJ,�O' pQ��V F�1�� .Q�� vQ.,Q'��.'��.YtiQ' �.0`�..0� �ap� SIDE EXIT HEADER � 1" I.D. SGndard ALUMINUM BOX � DARK BRONZE fINISH p THE EMPIRE COLLECTOR SERIES Models EMA, EMC, and EMB LOW IRON SOLAR GLAZING WITH EPDM RUBBER SEAL POLYISOCYANURATE . FOAM BOTTOM 6 SIDES �—ABSORBER SURFACE— EMA 8 EMC - BLACN PAINT EMB - BLACK CHROME EXTRUDED GLAZINC FRAME SECURED BY EASY-OUT SCREWS EPDM RUBBEH �GASKET AT HEADER EXIT —�— —ABSORBER PU1TE— _ EMA: ALUMINUM SHEET COMPRESSION BONDED � TO WATERWAYS BY HIGH PRESSURE RIVETING SYSTEM EMC 8 EMB: COPPER SHEE7 OYEN SOLDERED OPTIONAL PROTECTIVE METAL BACKING � ARI CERTIFIED LOW-BINDER INSULATION (OVTIONAL ON EMB MODELS) —SIZES— 9x8 4•8 4•10 � IAPMO APPROVED ABSORBER ABSORBEN WEIGNT FLUID MODEL PLATE SURFACE BO%DIMENSIONS NET�PERTURE DEPTN DR1' WET CAVACITY EMA 3B CoppedAluminum Black PaiN J83f' � 9B.Y5" • 2�.78 p. It. 21.17 ed. tl. - 3.50" 82 B9 78 gallons EMA �8 Copper/Aluminum Black Paint �8.25' • 88.25' = 32.BZ p. f1. 29.69 sp.11. J.50" 105 1 t3 1.Opallom EMANO LoppedAluminum BIacMPaint ,8.25"+t20.30"•�0.31 p.tl. 36.60sQ.lt. 3.50" 12B /38 1.20eilom EMC 38 All Copper Black Paint 38.31' � BB.25" • 21.]B W. fl. 11.�] sQ.li. 3.50" � B� 90 .�B gellana EMCtB AIICapper BleckPeint 18.25"�8825"=32.82 p.tt. 29.695Q.ft J.SO" 10] I15 LOgellona EMG10 AlI Copper Bleck Paint M.YS" • 120.38" •�0.31 �q. it. 36.BO sd.lt 3.50" 130 1�0 t.Y qellona EMB 3B All CoOVer Black CMoma J8.31" � 9�25" • 2�.]B �q. tt. ' 21.77 sp. fl. 3.50" Bl 98 .7B Bellona EMB IB All Loppar Black C�roma �8.25" � B82S • J2.B2 �a. rt. 29.69 sQ. tt. 3.50" 122 131 1.0 gellona EM8�10 AIICopper BlatkChroma aB.YS"�1Y0.3B'-.0.3t p.tl. .. .38.60s0.��..-� 3.50" _. 150__ 160..1.2gellom > z U w 0 u 0 EFFICI 80 �� TEST STANOARD: ASHRAE 9�.]] � M GRAPH BASED ON GHO55 WLLECTOR AREA. FLOW 2.5 gpm 50 �0 30 a EM9 .00 .05 .10 J5 .20 25 .JO .]5 AO AS .50 .55 .60 b5 ]0 ]5 i�.i� W/�TFRTEMP.ENiEPINGfALLECTCN1iilmrynnlPiExP.li�) 1 $IXARINSIXI�iIM�I� sun��ur�sT ' Solar Energy DIVISION OF �r,�CRO ENERGY CORPORATION f -� P. O. 8ox 490 . Elk Grove, CA 95624 .(916) 685-8443 . In CA: (B00) 852-7661 a ¢ 0 a � n an 0 2'. OH o �5 o �0 a as FLOW lypm� FOR MOAE INFORMATION CONTACT: S i fiUCTUR,�I APPROVAI ONLY SEP:�RATt PERMfTS ARE REQUIRED FTR E4E�THlCAI. PLU1U161NG. NL,?iPt6, V�i�TILFTIhG AND FF_FnIG:RATlOiti W�RiC � i*�.^ti, r�n,"o�s E � u .lf_x_?�s �i- Tri`S t;aP:f2'=�� .�UST ArC(1�APANY ,. ,, ,...._--sr=! {�U�.�e.,fS Y�L� tr:0.,>':'v4r..tp 1 C f �_� �fiJF{ L'UtLDIf.E>S t?i�:kF[ PfNSUrsS kHE TO Ef EVIi'! �Yf.L, ti'YF. S�l:Gii£51� 719A7 THE SiATE Of CAUF�I1lcite piVES1!,FJ n; !NDt';>T�IA4 SaFETY 9E C�PlSL�tT�� 'ua ADDIiIONAI ftEQU13Eh"�d!'{S. •C 'o 6 m s m m � APPLICATION FOR A BUILDING PERMIT ^/� r " BUILDING PERMIT N0. Eiectrica� m TraG[ I /�� Bbck Lot Permit No. �, a Builtlin4 �3? �� '� perml�t'No. �p Aa0re55 / 52��" Crozs ��0 MecM1anical Q Area � SVeet �rmit No. �- m Owner E�wAp ,� � n� . I � TyDa of Project: ❑ New ❑ Alter ❑ Atldition � ��y N_�� W Atltlress 3� C:�(��/C �1 �C ❑ Re air ❑ Convert ❑ Demo ❑ Otcupancy Pmt. /�,r✓�jA �L�/� /.n �,Q / A.P SUP. Dist./ CiiY �y� r, z�o �_rf Pbone�y.2,'�rp�j InsP.Area Architect/ Z �e SPI. Pmt. No. Designer Licen52 No. Atltlress j4. � i�LA G Se batks P/L Front C/LSL SVeet Witlth �� Var Le t Riqht ear City W �� ZiP/1 Pnone� z f "I ave ro�. e ig . . . En9lneer Licanze No. Parking SPaces Require rov e overe AOdress `__' _'—�___'_'_"__�_...�_—'__'_—'� ..__'__' _ Cit Zi Phone SV ucf No. ol No. of Y P Heignt Storles Family LICENSED CONTRACTOR'S DECLARATION Park Fees Ves Fee Requiretl No C.T. Receipt 1 haraby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ]000 ot Division 3 of the Business antl Zoning AOProvetl By: Date Professions Code, Bnd my license is in tull force and eHectl. License Clas< License Number Da2e Convactor Misc. Atltlress Proposed Use � o/SVucture Ci[y and Zip Phone C4NSTRUC710N LENDING AGENCV I hereby attirm that t�ere iz a consttuction lending agency tor the 0c� ype Cotle pertormance ot the work for which ihis permit is issuetl ISec. 309], Civ. CJ. Ciass onst. Vear Lender's Name USE/OCCU NCV SIZE S�. FT. Lentler's Address OWNER-BUILDER DECLARATION I I hereby affirm that 1 am ezempt from the Convactor's Licanse Law for the tollowing reason: ❑ 1, as owner of the property, or my amployaes with wages es their Z. sole compensation, will do the work, antl the itructure is no[ f�1 intentletl or otferetl (or sale. y I, az owner Ot the property, am enclusively conhactinB H'ith 3� licensetl canvartors to canshuct the prole<t. ❑ I axq{npt �ntler Sec.—�— 8 PC r this reawn 4' Det tS1 Owner ��`U-/ � ��— WORKERS' COMPENSATION DECLARATION Total Valuation I parebY effirm thac I M1ave a certificate of consent to self-insure, Encroachmen[ P¢rmit Requiretl ❑ Ves No I or a ceriiticate of Workers' Compensation Insurance, or a certifietl copy theraof. Gratling Pmt. Gratlin Policy No Company Repuiretl ❑Ves ❑No Pmt. o. ❑ Certifietl copy is hereby furnis�etl. LI Certitietl copy is tiletl with Orenqe County, EMA. 0.ouqh Gratlino � Approvetl by: Date Da[a qpplicant � CER7IFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE Z (This section neetl not be completetl if permit is br $100 or lass). � I car[ity that in the performance of the wOrk for which this parmit is 3 issuetl, I shall not employ any person in any manner so as to become m zublect to the W�keri Compensjon Lews ot Celif ia. PE MIT FEES Da[ APPlicant f•.•pwAa��Wl4/l� NOTICE TO APPLICANT: If, after making this Cartiticate ot Structural E Plan Cneck E Esamption, you shoultl become sublect m the Worke�i Compensation provisions of the Labor Cotle, you must torthwi[h comDly wit� such Elect�icdl SPe<ial provisions or this permit shall be tleemetl revoked. s �ezl. 5 I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGFEE TO P�umbin9 S COMPLV WITH qLL COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBV AUTH� Mechanical E ORIZ REPRESENTATIVES OF THIS COUNTV TO ENTER UPON TH AB E M�NTIONED PROPERTY FOR INSPECTION PUR- pre-Grade PO InsPection E Pre-Gratle Permit Signature ot Appl��an r Agen[ Dete r Rec. No. $ Issue s ��.ar2,� �n��.� �rint ApplicanYs/qgenYs Name ' All spaces �y�thin this box must 6a completed to process Plan Issuance Check By: APO�oveG: �.ivir WO�-Yo �aV-[tl) ICV. b/bV CI'. � Og COSTA MESA GLJFORNIA �2626 P.O. BOX 1200 FROM TME OFFICE OF THE DIRECTOR OF BUILDINO SAFETY Project Address Q�� L��/z/i S Project Name Owners Name �i7 Wl9-(LJO YL � WA!✓ Qaners Address �j��,.,�, Q�.�,�,y�1 Qaners Telephone G�'2_—�� J� , Permit # City Use (k�ly Z as Owner, ''�--w„t��-, A�ent (strike out all except one) do hereby attest that e�lo}ment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or peLsons, are e�loyed under the prwisions of this petmit, I shall imrediately cause a valid Certificate of Worlarens Car�ensation to be filed with the Costa Mesa �ilding Division. I agree to defend at my a•m mst, and to indemnify arc] hold harmless, the City, its officers, agents and/or employees, frcm and against, arry and all liability, damage, c�ts, losses, claims and expenses, ho,ascever caused, resulting directly or indirectly fran, or connected with the improve�rent under this permit. I further state that I have read and fully tmderstand the implications and re- sponsibilities of the above statPments, and will ccmply with all provisions of the Contractors State License Iaw found under the Business arrl Professions Code, Division 3, Chapter 9, of the State of California. �.D w/d/Z1D (�w/?-v✓ Print Name � Signature CMF 0777-46 G- is gl I�te ,� N . , - .sc,o�,E .cT = / � � ,�owt.�✓ .QES.. �'�%-C/rL.�� C..�i2CLE s _� _ ,�rc,UEN/L�/t!E_ CF�L /�/C� � .zc_ ^ �i�E,usr. -EX9rT ..23Ec7.-d.C� � WEa;'_ � = - =_-�.. _ =—� I � � GLL+S. f �'`_..--� � — 1 I -.t�Eta/ — _ — _ � .2�1 �'Sq. Gt,a'lI.4, �-� Ccw+p.u>•- �C✓JT.:'G�+L �1V.�:%�..�P��`�i� = WN. ) LrL--_.._�--"' yESL.D25,..4s_,Q'ea7v Ky� i � ',z�tc�e � — — �r" r—_� � —"�"_ —� I V•=�/T Ti6 �iCfST $EO'�� , L— v� --Gi/,asc,e---L/E.vr-�ie : —WarEFz .�iC.ar��e - �: �—� --__�___ _ �'E,�c sc r_ :�� _�iv.v�__�,a�v_�,�+�J = 3/..? S/B,z � $LGl��: ??H'=:7�.t///T �5200� � 0. AOP��ant to fi11 in all spaeas wllM1ln heavy Eoraer lines an0 sign a11 appraDriate aeclaratlons. CITY OF COSTA MESA � PERMIT NO. TRACT NO. LOT NO. BLDG. NO. COIVSfRUoTION PERMIT PF QJ �7%� I/ Project Addrns � �] L �' TVPE OF CONSTRUCTION ' . OwnE� Phon2 '�- ❑ NEW ❑ AD� �ALTERATION l wl1 . Addr¢55 ¢ ❑ REPAIR ❑ GONVERSION ❑DEMOLISH � � ^-^- ^ �^� •^, � � nr Arch/Eng. LicenseNo. ❑OTHER' � ZONING'REGULATIONS DESCRIPTION OP WORK V A.P. � Addre55 � ' ZONE PLNG. REF. � Cqn[ractor PhUne TVPEO PERMIT V TpBUILDING SETBACKC LST. PROPERTV LINE Address ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL LEDE VAftD LICENSED CONTRACTOR DECLARATION ❑ TENANT �ELECTRICAL�LUMBING ❑MECHANICA 5IOE vA I hereby afflrm tnal I am IlcenseA untler provisions of Charter 9(com- RIGHT mencing with sectlon 'l000) of Division 3 of [ho Buslness- antl ❑ OTHER Professions Cotle, ana my Ilcense is In - fu❑ torte ana effect. pROJECT DESCRIPTION -REAR vARD (TO P/L) license Class Licanse No. 54. FT. 60 PKG. SPACE REQ. PROVIDE� Date Slgnature � STREET WIDTH PARK FEE $ ' WORKERS' COMPENSATION �ECLARATION OCCVPANCV_CONSTRUCTION TVPE �^er¢by affirm that 1 have a Certificate of consent t0 self-InSur¢ or d VALUATION 20NE � ZONING APPROVEO BV DATE 'fiwte of Worker5' Compensation InSurance, or a certlfietl topy . :of (Section 3800, Lab. C.). GRADING CU. VOS. ACRES SPECIAL CONDITIONS: F��icy No. Company ❑ C<ftHleE COpy I5 her¢by turniShetl. REMARKS: � Certltletl topy is filetl wilh the city Builtling Divizion. , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION QC7 (Th6 section neetl not be completetl If the permit is tor one huntlretl . , � ($300) Or I8551. I CBrtity that in Ihe pe�lo�mdOCe oi thE work for which thl5 permit IS ISSuatl, 1 shall nOt ¢mplOy any per5on in any manner 50 a5 t0 beCOmG PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK su�ject la the Workers' Compenzation Laws of Ulifornia. , Date SlgnatUre BATHTUBS SHOWE0.5 �� Q NOTICE: It after making this tleclaration, you shoultl become subjece TOILETS � URINAlS GENERATOR 0-1 KW_ 1-30 KW [o ihe Work¢ri' Comp¢nsdtiOn provisions of the �abor Cotle, you must TRANSFORMER . . forthwi[� <omply wlth such provisions or this permit zhall be deemeA LAVATORIES �OUBLE LAVS APPLIANCE 10-50 KW_SO+KW revoketl. .. . CONSTRUCTION LENDING AGENCV KIT. SINKS OISHWASHERS � MOTORS 0�1 HP_1-30 HP I h¢r¢by dtfirm Ihat Ihere Is a con5tructiOn lentling agGnty for Ihe per- SERVICE $INKS SUMP$ (�NG. SOLAR) 10-50 HP 50 + HP - formance of tne work lor whiU thls permit is issued (Sectlon 3097 . CIv. C.�. �_ • FLOOR SINKS . � FLOOR DRAINS FIXTURES OUTLETS " SWITCHES Lentler's Name �entleYs Atltlress - DRINKING FOUNTAINS GAS TVBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS ' I h!r¢by atfirm t�al I am tx¢Tpt from [he Contractor'S LlcenSe Law tOr the tollowing reason (Section 7031.5 Business antl Professlons Code: SWIMMING POOL PTRAP Any city or county which requlres a permit to construct, alter, POLES METERED SUB improva, demolish or repair any struclure, prior to its issuance, alio re- yyqTER SERV ICE ALTERATION PANELS MAIN SUB quire5 lhe appliGant for SUGh p¢rmit to file a signeC statement thdt h¢ R;;jtensetl pursuant to Ihe provisions of the Contracror'S Licens¢ Law GASSERVICE OUTLETS SERVICE AMP �!�.qpter 9(commentinq with Sectlon �000) af Division 3 of the ,3,ness antl Prolesvons Cotle) or that he I5 exempt [herefrom antl tbe yyqTER HEATERS BTU OUTPUT ' .:.i515 for the allegetl exemption. Any violation of Sectlon 7031.5 by any applifznl for a permit subjects the applicant to a tivil penalty SEWER CONNECTIONS of not more Ihan five buntlretl tlollars (E500). ❑ I, as owner ot the property, or my employees wi[h wages as their SOLAR TANK COLLECTORS . " sole companSdtlon, wlll tlo the work, antl the sVucture i5 not intentletl or offeretl for zale. (Section ]044, Business antl Rofeszions Coee: The SOLAR PIPING SYS. �SSUE FEE — COn(ra<lols Llcenie Law tlo¢s not apply to an owne� ot a property 3 APPLICATION APPROVED BV pATE who builds or fmprOv¢5 thereon, antl who tloes such work himselt O� ISSUE FEE � th�ough hi5 Own employees, provitl¢tl thdt such improvements are not Inlentletl or OlfttOtl IOr sale. I1, however, the builtling or improvemenf MECHANICAI PLAN CHECK $UMMARV OF FEE$ is sOltl wilhin one year O/ COmpl¢tion, the owne� will have the burtlen of proving he ditl not builtl or improve for the purpose of sale). BUIIDING HEATING SVSTEM 0-100,000 BTU PERMIT $ SMIP S I as owner of the property, am exclusively contracting with qryD OUCTING censetl contractors to construct the project (Section �044, Business 100,000 + BTU PLAN CHECK E � PERMIT antl P�ofe55ioh5 COtl¢: TM1e ConlraG[Or's License Ldw tloes not apply to � ISSVANCE S an owner of property who builtls or Improves thereon, antl who con- REFRIGERATION 0-300,000 BTU PLUMBING S�— tratls trom such pro�etts with a contractor(s) Iicesnetl pursuant to SVSTEM GRADING E fhe Con[ractor'S Litense law). 100,000 + BTU PLAN CHECK b .� ❑ 1 am exempt unUer Section B. & P. C. tor this gO1�ER5 BTU ELECTRICAL E 3' 9U E reason PLAN CHECK $ MICROFILM 5 Da[e Owner SVSTEM REPAIR, ALTERATION TOTAL FEE $ I he�eby certitythdl I hav¢ reatl this application antl state that the above EXHAUST $VSTEM MULTIPLE MECHANICAL $ PLAN CHECK $ LE55 AD- inPormation Is correct. I agree to comply witM1 all city antl county VANCEPC S_ o�tlinances antl sp�FeyawS reldlin9 to co st�uction, antl h¢reby autho�iz0 ' representatives (of tBd ci[y to en upon [he above menti netl Q� property for � eft ' n purpo5 �^"" Q SlgnaSure � �SSUE FEE CMF086S-4b Whlte-BUIltlfng;Cdnary-AppliCdn[;MnK-HCCOWLng{l+Olaenloa-/asseswr CONSTRUCTIONqNDPLANNING _. POOL&SPA' � . , APPROVALS Permit# £. �/� date Inspector qppROVALS Permit# Date � ^Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � . Soil ipe-Undrgrn ' / 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn . ' 46. Electrical Bpnding . tee ein orce � 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. ootings ' 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra ❑ Undr rn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection .53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � 14. Rough Electric-Conduit � �56. Electrical-Final 15. Rough Electric-Wirin ,� 57. Solar System-Final -16. Rough Heating & Air �onditioning ' • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FlNAL 20. Roof Framing 21. Roof Sheathin � 22. Frame and Flashing NOTES: 23. Insulation q �.;.q. � 24. Lathing & Siding � �,{ k, ca-(a. R.a �$� 25. Drywall Nailing � - - G 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric �13-ts'�- 29. Final Heating & Air Conditioning � 30. Final Gas Pipe-Test �� g 31. Final Plumbing Z 1 32. Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDING G% z. 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date . INSULATION CERTIFICATION -- �-3 � �GLI� C�_ C��,� M �� „�� Numoer .na svee: Cnr County %R �G4"' ( �12 �G e� / 6uD0�vl.ion ' Lot humDn DESCRIPTION OF INSTALLATION ROOF . Ma�erisl 8�a�d Name T��c4nees Gnches) Thermai Resrstance IR V�lutl EXTERIOR WA�L /�� ^� Naieria� __�SLV@7��R BrantlMame l JIA/�lYCS �i7�Nl.1l(f ��^' ll 6LS. /� T�ickness (inchesl �,J Tnerma� Res�stence (R Vslur) � IC "�� CEIIING � ^/^ �w�� 8att or Blanke� Type� Q��T 8rsnd Name C/�/Y.i C.�/�/1 /i/�A� i7 Th:ckneu lincnesl �� T�ermai Resiva�ce (R Vnluel IC^ �� Looie Fiil Type_ B�and Name A1�nlmum Thick�ess (inchesl � Number o� baqs Weight per bag �b Area Co��rod (fi�l Therr.�a� Fesistance (R Value) FLOOR,ELEVATED M.aterial Bra�d t�ame Tn¢knrss Gncnesl Tnerma� Resrsta�ce (R Valuel FLOOR,SLAB � Rtaterlai �A KE '6raod Rame _ _ � Tn�c�ness Gn<tirsl Tnerma� Aes�s�a�ce IR Va�uel N'Idin (Incnesl ___ _ FOUNDATtON VJALL ' Ma�rnal �ONC Brantl Narne _ T��cknns I�nchesl T�err,.a� Aei�stance IR Va!�e) '�- DECLARA710N � ��rob�� rertify ��at tne ahove' insulat�o� .�2s inscalle0 m the Dulld�inq at ihe ahovr Io�ailon in cpnlorma�ce wrth th[ cwrent regu�atmne xti�ng Energy Conse�vaton S�a'+dards tor new revtleNut Duiltl��gs po[atetl �� T�tle 7S o/ tnr Ca�itO��n 4dmiriytratrye Code7 �-- '�� (�.,�, - � wNFrz�["�vi��2 9�2��'2 ri� ConV�C�or (BuJOer) $�pndiw[ dn0 Tilll NumUv D�INC�Or (Inlyi�t�On AOD��O�f LiCH1R NyTOt! S�q�ulwe �n0 T�tie F�gwe C-1 E.�mplt oi s cOmpLance errtiLu:e 4-9 i i i � ;� ,. �� PHOJELT AUOflE55: 4 37 OGLE C1 OWNEH'S NFME: ROWAN EDWARD B '�aooness: P O BbX 883 COSTA MESA,CA AXCHIENGINEEH: � 714 � 631-4877 AOOHESS: UNIT: 92627 HEG.NO.: UNIT: PEHMITTEE: ELAINE ROWAN ( 714 ) 631-4877 aoonEss: q 37 OGLE ST COSTA MESA CA 92627 LICENSEO CONTBRCTOfl DECIANATION: I here6y aliirm �ha� I am IicenSeA untler pmvisions at Chapter 9(commencing wi�� Section 7000� ol Oivision 3 al �Ac Business antl Pmlessions Coee, antl my license is in lull �orce antl eflec�. CITY UC.: STATE IIC.: CIASS: Dale: Signature: WOHREflS' COMPENSpTION OFCLRBATION: I hereby ai�irm ��ai I have a Ce�ifitaie of consen� [0 5ell�insure Or a tertiiicate o� Workers' ComOensalion Insurance. or a certilied coDY Ihereol �Section 3000. Lab. C). POLICY NU.: EXP. OpTE: COMPANY: ❑ Cetliliea copy is herelly Wrnishetl. ❑ Certitie0 coDY �5 filed with Ihe ciry BuilUinp DiNsion. Oaie: Applican�: E%EMPTION FXOM WOfiHENS' COMPENSAtION DECLPPATION: (This section neea no� De complete0 if ihe permit is for one hunOreA ($100) or less�. I ce�ity Ihal in the pedormance o� �he work for whic� Ihis permit is��i555$$$uetl. I shall no� p�mploy any person in an manner so as �o become SuDle�� o I e Woc{(�rs' Cy}�' pensation Laws of Calilomia.� / A` � Oale'. ��.-7 —/ � Signaiure: r� � tJ L �: NOTICE:I1. a0er making �his Oeclara�ion. you shoW� become subject m the Workers'�Compensation pmvisions o� the Labar Cotle. you must �orthwiih comply wit� such provisions or Ihis permit sAall be aeemetl revoketl. CONSiflUCTION LENUING BGENCY: I hereby a�firm that �here is a cons�mction lentling aBency for �he pedormance o� the work �or which Ihis permn is issueA �Sec�ion 3097. Civ. C). �exoex: NO NEW ADDED AREA nooeess: NO NEW ADDED AREA OWNEN BWLOEP OECLRBATION: I here�y a��irm �hat I am exemp� fmm the Con�mc�ors' S�ate License Law �or �he followinA �eason (Seclian 7031.5 Business antl Professional Code: Any ciry o� counry which requires a Oermit Io con5imct, atler, improve. tlemoliSR or revair any s�mcwre. prior io its Issuance. also requires tne applicant for such permit ro file a signetl statemem that he/she is Iicense0 pursuanl io Ihe pmvisions al the Coniraclors' State License Law (Chap�er 9(commencing with Sec�ion 7000) oi Division 3 of �he 9usiness an0 Pmlessions Cotle) or Iha� he/she is exempt therelmm antl �he basis lor the alleged exemptian. Any viola�ion o� Section 7031.5 by any aOClican� �or a Dermi� sublec�s Ihe aDD�icant to a tiNl penalry o� noi more ��an five huntlred dollars (E500�. I. as owner 0� �he pmpetly of my employees wi�h wages as �heir sole compensa�ion, will do ��e work, antl the ❑ simcmre is not inlen0etl m ofiered for ule �Section 70a4. Business and Pmfessional Code: The Comracmrs' State License Law Ooes no� appry lo an owne� oi a pmperty who bui105 or improves Ihereon, and w0o tices su[h work himseli/hersel� or thmugA his or �er own employees, pmvitletl Ihat such imD�ovemen�s are no� intended o� o�fe�e0 for sale. If, however �he 6uiltling or impmvemen� is 5ola wiihin one year ol comple�ion. ��e owner will �ave ��e burAen o( pmving he/she Aitl no� build or impmve lor the OurOose o� sale�. -� I, as awner af Ihe pmperty, am eeclusively coniracting with licensed contrac[ors Io construd �he pmlect (Section 7044, Business and Pmiessions COAe: The Conlracrors' State License Law tloes not apply Io an owner of D�oDenY who bwltls or im0��e5lhereon and who contracts �or such prolects wit� a conVacmr�s) license Dursuan� �o the Comraciors' Sta�e License Law). I am aware Iha� pmoi of their Worker's Compensation insurance 5tlou10 6e D�ovided �o me. � I am exempt under Section: B. 8 P. C. /) for Ihis reason'. � � � � �ate: � � Own Ido hereby cetli�yihatlam aware ol and untlersiantl IherequiBmenis oi Calitomia Heal�� antl Satery Code Sec�ions 25505, 25533, antl 2553d antl Ihal I or any Wture buil0ing occupant will/will not (circle one) neetl to comply wilh sai0 s�ate co0es antl t�e requiremenis for a permil lor consimclion or motli�icaiion imm �he Air Oualily Managemen� Oistncl. FeSideniial con5imc�ion ap0lications are exemp( �mm I�ese provisians. �ate: ADPlicam: I hereby cerlitythal I �ave reatl �his application and s�aie Iha� �he above in�ormation is correc� I agree �o comply with all ciry antl coun�y arAinances and siatelawsrelaling�a builtling conslmction antl heJJJBBB��fYYy�� Nh ierep�senta�ive o�this cil eruponihe above�men�ionetl pmpetly brinspection pur oses. �J � / J{ �a�e.iQ � Z Signamre:�� — Oriver's Liwnse or Social Setumy � t6a1-a6 White—Bwlaing; Green—Cotle Enbrcemenq Canary—ApplicanC Pink—Revenue; olaenrotl— ssessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05769 PERMIT NO: B 057645 PLAN CHECK NO: 02090-92 S GOVT: N SUPP; N CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : BATHROOM REMODEL SQ FT: 10,000 CLAZM VALUE: 10,000.00 CALC—VALUE: 10,000.00 GROUP OCC: R-3 /M-1 COMMENTS; 3MOKE DETECTOR(S) REoUIRED IN HOME, /�i^qc � �/�yA ��) *�r*jtit�rft*+ti��ri�iti�it�t�t�tatitit*it�rit*ir��f�r�riE*it�tfr�t�tititi�i�*�ri��f*�-ltxir�r�F�tSA�'t;F��t x� �baE�r*i��t*�t* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FANT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL� 42514312 ZNE; R1 REF NO; PLANNING NOTES> INTERIOR ALTERATION TO HODIFY EXISTING INTERIOR HATHROOM/ > HALL/WET>.BAR, *�r*�r�r*+r**x�*�***�r+��*��e*�r�r**�r�e�***�r**�r�r�r�r�r�*�**�r��***�r�*r�e�+��r�e+��r�e�r*�*�rx *****�*�r� D E V E L O P M E N-T S E R V Z C E S R E Q U I R E M E N.T �S�/ 20NING APPROVED BY � DATE: F��/1n� BUILDING APPROVED BY : DATE; E S/y2 APPLICATION ISSUED BY• DATE• �� IF±k±FMifiFiFkiFiFiFifitiFiE3FIFlEif�Iflf FiF'iF?FiFMkkiFifif�k�flf 3fif if±FiFiFifiFiFlfiFiFiFlfiFiFifilififififiFiFifiEiFiF�FifftlkififiFllfiF FiFiFkiFiFlfiFifltilifkiFif±FiEiFlfiFafikiFif�lfiFitlFif3filff�lFikitifjtif�FiFiFiF 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 117.00 1,00 ' SMIP/NON—RES PLAN 76.05 " , ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PliAN-CHECK TOTAL PAID DUE TOTALS----> 118,00 0,00 � 76.05 194.05 194.05 .00 REVENUE DIVZSION TOTALS--> COLLECTED:" 194.05 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 117.00 .� • . 1.00 76.05 iF kiF k�f if iF if IE iE M it iElf �E ik iE �F iF iF if If k�! k iE �k iF if iE iF �E iE k�F iE ItlFik iF iF if If if iF 3F ikif iF M iF iE ik it iE iE iE iE if if iE �k if iE iF iF �f iE iF�k if if k 1E iF �t ik if iF 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 5 C R I P T I O N, UNIT COST TOTAL COST SFR 10000 ALTER BY VALUE RESID.ENTIAL NOZONE 1,00 10,000.00 END OF FEES �y/� tii-- �'h�/ud� ��2�� 6�s/9.z . CONSTRUCTION AND PLANNING POOL .;P[� APPROVALS Permit# Date inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement ,35 El�tr cLal Condu�tllPjiity-Und�g�nd. � ` 54. Forms '-4:'�.t�trieal Conduit-tJndrgrnd. : �t85. Electrical Bonding �r� � ;'5_ $t�,el i}Finforcer�ent;, ' ',56. Rough Plumbiog & Pressure Test v 'r,2� fiactriCal UFEFBG�eki. 57. APPROVAL TO COVEF�GUNITE �,�� Fo�tings =« 58. Electricat Conduit-Undrgrnd. �` 8.. Foundation �' i�9. Gas Pipe, � Undrgrnd., Test c 9. Water Pipe-Undrgmd. `�0. Backwash Lines, P-Trap, G� Undrgrnd. � 70. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer Lin�& House Connection , 62. Backwash & Receptor-Final 12. S�wer Cap . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System • Final � r` 14. Rough Plumbing: �' 65. Electrical�Final t5. Rougfi Electrical-Conduit 66. Soiar SVsiem�Flnai 76. Rough Electric;Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOfl PLASTERING 18. Rough Electric�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditianing FIRE DEPT. REQUIREMENT - ' ' _ . T G�.,Li-. �r, . - N 20. �Rough FactorY Fireplace '-��'� � ` % � ' = �" � 'APPR�VA'�7 Per it #��""� . � i S;*' �.�'et ? r-a 7^ r 7��•J i.' . � x u: 21. `Duct4, in-Structure �� i -+�•- � ,e x `i C: �� -j0. UndergroUitd-:Hy�o :� � . 22. Duci,�. V'eniii"2ting�- ` � '� � T` S .�� a. �71. Product�i�irig C3'�ds ❑',¢il 23. Gas'Pipe�Rough &`Lesc i „js t�n V.t O'! �y r�Z• Undergroupd Fiu`sfi -? o 24. Aoof:Framing� �'� • i�� •^ J'ti� �> f"-y S ,� } 573.�Jndergmd��Storaiqe��k � Gas D O�i' .- 25. Roof Shflathin 1' "' � �� _ �' � ` �'" '' r: - '� 9 , > .y � x �~ �: �, � 74.�-Suerhead HYdro �^ . 26. S-82r Ceiling {Structural� & R'1onbCoat \ %=� � } '� '^"� � 75. � � y Ch4mical " � '�� . � 27. Frame and Ffashi �.r F � q J!17A�* ° F-� �"`� '>: x � ``. . . �9� �?�S �T' -, (Q' l, ;YVaL. r 76. UrY Stand�RjPP r [�1 ;28. �Lathing$ Siding�Y � ".-:i = �„� �: % •• •+y `� 77.= FIXED SYS�E -;F,�,NAL.� .� •• _ '29. Insulation � ,.^,.a " o •••. ' � (o` �,', ! ;9� �c � 78.S,fIRE PREV. FINAi +> �x � .� �30. Drywall'Wailmg �-� �y -' 6� R L �'�� * '-+ HEALTH�DEPT�FEQt�IREtJIENT, .31. Platter 6{�Dwrv.Co�a',t .' � ; r ir ,� :• � � � � �� a ,79.`fINAL IN£P�CTIgN F ' s �i± � .32. _ElectricaLPower Pheter'Final i � x N � �. -� � y r�0.aE00D CERTIFICXZTE ISSUED � i ' .� ]; ^ ' LT� .t :t; ' I • -f lT n ]: IZI ,33.�ina�.Electric', �, _ , s� x � i .�. No�es: t�/ L - _ - ;�34. Final�Heating�� Air-ConditioF��195 � * � ( c /�`r` ��;1 � - - � . � _ . „ ,, ; ,. „7/L_( "7, �� .o-@;�.Q,._�' � ; 35. finafGas Pipe"-Tes`t° �t / 7�..'� � �� '�� ••S Y - � ( � (^ ' �7 • :"[t' 36. Hood or CanoPY .' � �'� �*• '� +.< � � � ', r, _ -�''a="_ �� .. 1� �'t-' 37.�FinafFactory Fireplace"x ; ="'� '�,'t*' � � ' ' N � s_ ^ ,�� P� J�+��J �,•- >. �. l+c : .r, `. ��_ - �38.FindbPlumbing ' -� , .... �,.�.n �� : ,5 ' a.r;: _ . , _ .39.�Wlate7 Service:Final ; � �n; m a i ( I� _ ^ � �'r� "'� � ?� ..r . i ;. �- . ., :;40.`Gas Service-Final ',� L r(r $.. r, tn � 1� * .^. + - � A1 . �Sola� Domestit�Final 's ' * � f ' � �� `t�� '. ,� tl 42. Backflow Preventer ' ��" � S ; ' j ix � • - � � ,.. - � - 43.Backflowirrijation' ^`�' �� " '''. .. ' . � � rx � �x y : r, �.� _ '{�4. Landscape Irrigation System�.in^ �;`; .y •�� - =r » ^7 �- .t � . -- '+45..Sound Attenuation'� - `r' ��' �= � - • ' � r� rTa �Cn' .x '� t' S R hY �1+ • - "' �" y • � f r �46. �iandirap'Regula{ions ,� ' � :+: . �r cti � �� _ • ��, * 47. �INAL STRUCTIlRE & BUI.LDING 's Ir ( � il/yl(�r'. i�� ; _ I If 1� £J{"` I� Y 4 ' �rn� ' ' e .n t.� ...� . 48.'KINAI FLANNING. =- �-. s; . ,,� i . � , .n rv � '> :1 c49.'Electric Release to Edison i x ''` '•' i'. .,; �� T � - ±50. Gas,Release tb Sout�em California GasCo i `� � j;. o;. - -� o r� -,>' . 81. CERTIFICATE OP OCCUPANCY . . ; -.. „- - , .- � r � � No. Date CITY OF COSTA MESA BUIIDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid uhnecessary delay in processing and issuing your building permi[. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement. O Yes ❑ No 2. I (have/have not) proposed work. signed an application for a building permit for the 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone ( City Contractor's Lic. No. _ 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City Contractor's Lic. No.. 5. I will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: � CONTRACTOR'S LIC. No. Name �Addtea�x Phone Type of Work L & F BUILDERS LIC#599072 STUDIO BATH LIC#8621848 714) 840-4803 Demo, frami 714)�:955-2284 Install Tub DAVE TEETER, Foreman w/Bob Gorelik LIC#469781 (714) 859-4283 Electrical I hereby affirm that I have received a copy of the intormation set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, i nce with 's St t�aw Signed:_=��,�gE ,�C//lAf�`� oate: June 5, 1992 Name: EDWARD ROWAN ELAIN[ M. ROWAN (Printed or Typed) C.D.L. # or S.S. # �/ 754-5273 �merich" MADISON° Duo/pillow DESCRIPTION 66'" x 48"x 18"tleep, plllow Included. 8 atlJustable Jets, two air conirol valves. � horsepower pump. 115 volt. 12 amps. 30 minute timer. Water capadty approximately 75 pailons. Shlpping Weieht�. Tub complete (system-pump-crate) — 175 Ibs. Tub only (crate) — 125 Ibs. LEGEND O JET i AIR CONTROL � PU�1P ACCESS � ANTI-VORTEX SUCTION D�'�e^sC^.s moy wry x Y." OPTIONS Flbergloss Relnforced Polyester o� Acrylic' SYSTEMS Copper & Brass PVC/Brass (All standard tinished) PVC/PVC (15 color match) Check your AMERICH calalo0 for option tletails, or contact your locd disiributor. Avoilable in all mojor moeufacturers fizture cob;s. 'Specs may vary in ocrylic ACCESSORIES Apron Grab Bars Waste Overtlow Air SWilches Tile Flange 1;=:iE CK- '.,"�sr.r-.=.... .. _, !O C::__2= a.:.�.:.' 4_ _.f Up a Removoble Headrest USTED BY: � � Recommended occess do�r 16" H x 20" \4'. �O U� B3�• NI'��OTp550Bo &�tn 7�D APPROVED BY: Mstropolitan Dooe cou�t,. cionyc - c� v o: s�, F�o��,_o BCJ� )].� Giv ol los A�pe�as R�i 4C 15 a: a K E2�7:32 Stafe o' Wnconsin vaoe ozcar 6�ro of Sute Eeart.iners o' PWmbea on� G�e Rtlev Tne Gommonweon� ol �ti.� . Mossacnusens SP� �� $tale oi O�lo Plombinp Ativisory Boartl � IDe Ne'w� Vork Ciry Boortl o' Stontlartl: ond /wPeoL unae� ColenUar No. COCiB6�5A �mericti Corp. � wx wouy.00c c�R�� cnonont wom ca.opne . .��- �If:f!9Ei.•7+•.. �. .�..-��E:Cy45316C5". �merich"� MAD/SON° Duo/pi!!ow DESCRIPTION 66" x 4B" x 1 B" deep, plllow Inclutled. 8 odJusfable Jefs, two alr conirol valves. 1 horsepower pump, 715 volt, 12 amps. 30 minufe tlmer. Water capocity approximately 75 gallons. Shipping Weight: Tub complete (system-pump-crate) — 175 Ibs. Tub only (crate) — 125 Ibs. LEGEND O JET � AIR CO�TROL � PUMP ACCESS ♦� ANTbVORTEX SUCTION Dimensions moy vory z �h' 2,/: tYi' orrioNs Fiberglass Relnforced Polyesfer or AcryIIC SYSTEMS Copper & Brass PVCBrass (All siandartl (inishetl) PVGPVC (15 color match) Check y0ur AMERICH catalop for opfion defails, or contact your local dfsfributor. Available in all major manufacturers' fixture colors. 'Specs may vary fn ocrylic � ACCESSORIES Apron Grab Bars WOS}B OV6filOW Alr S�vflches Tile Flange NO7E. psia� cntl soeci;�cc•�o�s subject fo chtlnae wflnout noLce. � 19" � � Removable Headresf : � � ► � -� Waste flare moy protrutle 3••� � � below tub'/." � Recommended occess door 16" H x 20" W. 115TED BV: `�57E0 U�• 3J� Nydrort�auGpe Boin iub P � �� • . SP11A4 APPROVED BY: MeM1opdifan Dotle Couny. floritlo ary ol San Roncisco BOOA 77.1 Ciry ol Los Mqeigs RR 4415 a:�tl M 820132 Slote W Wisconsln CO-0a 0202-F Boortl ot State Ezaminers oi PNmbers ontY Ws Fine:f ThB Commonw9oV� ol Mossa�nusem Sfafe of O�b Rumbinp Ativlsory Baartl TAe New York Gfy Booetl oi Swntloms and Aaaeoi: unaer ColentlarNo.00o-Bb5A �Imericti Corp. nrc+xauv.00e.camomo cnuron..Hwmcmomw Co:xi�se :-�x'aa.�.^nea 'J9-':];"i�� i;._ _ . -c" : =clf.o'^ � C:.�C .�. ,- �� ^r•IBt81981-!711 G..u:A'o'18001453�1653 �� j� %�(�� C��ci //D u a(f l hp p�� a a"�° 0 i r- -� � PP0.IECT AOOflE$S: q 3'� OGLE CI OWNEH'$ NRME: ROWAN EDWARD B AOOflESS: P O HbX 8 8 3 COSTA MESA,CA RNCHIENGINEEfl: � 714 � 631-4877 aoon¢ss: 92627 NEG.NO.: u"iT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05764 PERMIT NO: P 057646 PLAN CHECR NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU PURPOSEj: OTH ux�T: �" PEpmmEE' ELAINE ROWAN ( 714 ) 631-4877 RDOflE55: q 3'� OGLE ST COSTA MESA CA..92627 LILENSEU CONTBRCTOB OELUBATION: I nereDy atlirm inat I am Iicense0 unUer pronuons of Ctupter 9(commencing vn�n Stttion 10001 0l Omvw 3 of I�e Business anG 7role55ions Cpde. and my licenu is in iNl larce an0 ¢ttect. CITY LIL.: $TPTE LIC.: CLASS: Uate: Signamr¢: WOflKENS' COMPENSATION OECIAflAT10N: I nere0y aflirm Ihdt I have a ceM1ilicate of consent to self-insure or a cetlifitate of Workers' Compen5alion Insurance, or a cetliliea covY �hereol ISection 3800. Lao. C�. POLICY NO.: E%P. ORTE: COMPANV: ❑ Cenifie0 coDY �s nereoy mrmsnea. ❑ CerlilieQ copY is IileA with ihe city BuilEing Division. Wte: ppplicant: E%EMPfIONFXOMWOPNEflS'COMPENSI1710NOECIAN�ITION: (TNssecUonnee0not0ewmpleteOitlhepemtll676rareMutlred�5100�orless�. I ceNly Itwl in the perlarman[e oi I�e vrork for w�ic� IqiS Dermi ue0, I shall nol ¢mpla any pe ' any manner 5o a5 io hecome subj¢[t /�g t�e WorkeR' fAm nsa�ti7on Laws ol Calilornia. �� i �� /;�� Date: v/ �� v Signalure: ( �/ l�W — — NOTILE: II, atter making Inis aeclaration. yau snoultl 6€came suEject to �ne warkers' Compen5ation D��sions of the Labor Coae, you musi 1on�with comply witA suc� O�ovisions or this Dermit s�all be AeemeO revoked. : j. CONSTPUCTION LENOING AGENCY: I her¢Gy a�lirm �hal �here is a tons�mttion lending agenCy for fhe pedormanCe oi Ihe work for which Ihis oermii is issued (Seclion 3W7. Civ. C). iexoew: NO NEW ADDEb AREA nooeess: NO NEW ADDEb AREA OWNEP BUILOEB OECIAflATION: I �ere�y a��irm �hdl I am exempl Imm t�e Coniractor5' Slale License Law for �he �ollowinA �eason (Seciion 7q71,5 Business antl Professional COAe: Any �iry ol counry wAich requires a permit Io canswci, al�et, improve, demolisR or �epair any slructure. prior to its issuance, also rePuires �be applican� �a suc� permii m IAe a siBnetl s�atement ihat he/she is Ikensed pursuan� lo Ihe provisions ol Ihe Conlratlors' State License law (Chapt¢r 9(commencing wiih Section 7000) of Division 3 ot ��e Busineu JOB DESCRIPTION : HATHROOM REMODEL SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 ' COMMENTS: RE: B57645 PRIMARY BLDG, PERMIT, �r��e�r�t�r��r�t**�r+t�e�r**�r�r�t*�t*�t�t�r�t�t�r�e*�r�r�r��r*�e**�e�e�r�e�r*�e*�r�r�t�e�t�rx*�r�t�t*�r�t*�e+r�e�r�r�r�r�r*�t�t�t�er�r* 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 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; 92514312 ZNE: REF NO; PLANNING N13TES> i • *�t�t�r**�r«***�r**�e�r�t,r�r***�r�t*�t*�e�r*�t�r+t�r+e**�t�t***�r�r�r**+e**�r�t�t�r�t*�t�t�r**+t**+t�t�r�t,r�e�e*�t*�t*�r�t�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 20NING APPROVED BY BUILDING APPROVED BY APPLICATION ISSUED iF �f if if iFif if it if ik k ikltif k k It �f iE �rr�r�t�t**�t�t*�r�t��+t�r*�r* LEGALIZATION:N BLDG PMT PERMIT F E E S U M � �. A R Y PLUM6IN�G� ELECTR-IC MECHANIC 25Y . an0 ProleSSions Cotle� or ��al �e/5he ii exempi l�er¢Irom and Ihe basis �Or �he alleBed exemDtian. Any violation o� S¢Ction 703L5 by Pj��j any aOVlicam �or a permii su6le��s �he applicant lo a �ivil penal�y ol not more t�an live hunOreU tlollars (5500). j SSUE FEE 3. � � �� i, as owner oi me o�oOenY or my em loyees wim wages as ineir soie camoensation, win tlo me work, and me BUILDING—DIV—> PERMZT ISS�7E PLP�2�rCH$CK ❑ stmaure is not intenaeo o� onerea ior saie 1�eClion 70aa, Business antl Professional Code: TAe Conlrac�ors' State �icense �aw TOTALS----> fi , 0 0 3, 00 '.,�� 0, 00 � r > COLLECTED: LECTRIC MECHANIC Ooes ndl apply b an awner o� a proDehY who bmltls or impmves Ihereon, and who tloes such work Nmself/hersell or lhrouAh his or her awn emplayees. pmvideU �Aat such improvemen�s are not inlentletl or o��eretl �or sale. If, however �he Ouilding or impmvemem is so�0 wimin one year ol comp�etion, �he owner win have ihe burden o� pmving he/sne did no� Uui�d or imowve REVEN[lE D I V I S ION TOTALS-- mr me P�ruose oi saiel. BLDG PMT PLUMBING E � I, as owner oi the pmpeny. am exclusively con��aciing with licensea conVacmrs m cans�mc� �he Orolect (Section 70aa, Business 9. 0 0 anA Pmfeuions Cotle: The Comractors' State �ic¢nse Law Uoes nol appN to an owner ot D�oDe�Y � buAtls or improves t�ereon DATE: DATE; +t�t�r�t*�r*�r�r�t*�r*�r�x**�r�r*�t*�r*�r* STRUCTURAL SEGMENT:N FIRE SMIP/RES � GRADING SMIP/NON—RES TOTAL PAID DUE 9,00 9.00 .00 9.00 OVER/SHORT; .00 FIRE SMIP/TOT GRADING PLAN—CHECH andw�oconlrac�5�orsuchprolecl5wit�aconiractor�5)IicenSeDurSuanitolhEConiractor5 SlateLicenSeLaw�.lamaware ****.**.*******.**.****.*.*********�.*.�.{(.**..J�{F{E{E.k�.*.�*.�**{�*{E**{E*{�**{�{(.{f{(,*{f�(.{�******{�,{�,*{�,{�{�,*�, iAai D�� of ��eir Worker's Compensation insurance s�ould �e provitletl �o me. � I am eaempt unCer Section: B. 8 P. C. '^� ""7 �� lot In�plu . ( � � r. Oate: � i Do here0y cenily inai I am aware ol anU uneersianU Ihe reQuiremems oi Calilomia Heatth antl Salery Cade Sectians 25505, 25533, antl 25534 and I�at I or any IUWre building occuDant will/will not (circle one) need lo camply vnih saitl state codes anE ihe �equiremenis lor a permii far con9mclion or motlilicalion imm I�e Air Opalily Managemen� �islrici. ResiUeniial cons�mction apP�ica�ians are eaempt �mm Ihese O�ovisions. , Dale: Applican�: I �¢reGy Ceriily UWI I �ave reaU Ihis appli[aiion an0 Sla�¢ �ha� �he Oove iniormation is correci. I agree Io campty vnth all ciry an0 counry orUinanc¢ ana sta�e lavrs relating io Ouiltlmq wnstmciion and a rrze re0�esenuiives � d r upon the above�menfimeG pwpeny l/ar �inspeclion pyrpo5^�z.-�� . Dale: t/� � —� Signamre � �river's License or Social Sewrity i6aba6 White—BwlEing: Green—Cotlo Enlorcemenl; Canary—Applicanl; Pink—Revenue; GolOenroE—Assessor PLU PLU I N D I V I D U A L• F E E B R E A K D O N N QTY D E S C R I P T I�O N UNIT COST TOTAL COST 1 BATHTUB %' 2,00 2,00 1 SINR, BAR 2,00 2,00 1 WASH BASIN (SET) � 2,00 2,00 END OF FEES J'' I� � CONSTRUCTIQ,N ANDP4ANNING POOL bPA. APPROVALS Permit.# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd.� 53. Steel Reinforcement i /` rr a.� E4qctr cal Conduikl,tYlity-Undrgrnd. `' 54. Forms �4 Electricel Condu;�Undrgrnd. .;85. Eleccrical Bonding .n .r , ;,,5�� $t'gel R�inforcerpe�,� •,56. Rouqh Plumbing & Pressure Test '� G;'�i2btrical UFERtBtntJ. ��7. APPROVAL TO COVER�GUNITE ' �7�� Fp�ptir'q3 S'^'- �8. Electrical Conduit-Undrgrnd. �i Fo�ndation � 59. Gas Pipe, Q Undrgrnd., Test .. 9. Water Pipe-Undrgrnd. �' 60. Backwash Linee, P-Trap, � Undrgrnd. 70. Structural Floor System 61. APPROVA� TO DECK 71. Property Sevner Line'& House Connection - ' 62. Backwash & Receptor�Final ' 12. S¢�ver Cap _ 63. Heater & Vent-Final � 13. Foof Drains 'c 64. Pfumbing System � Final � 14. Rough Plumbing �- 7(7�qz �,� 65. Electrical-Finai 15. Rough Electrical-Conduit 66. Soiar System�Final T 76. Rough Electric'�liring . 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric�•T Bar Ceiling 69. POOLISPA SYSTEMS FINA� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - - _ - - - . .. _ _..� . .�. 20. 9iough Factor� F'u'eplace ti � a � - � � � * " APPROUA[�S,'�'�•Derfiit # "?' „�' - T 4; T l' { S . 1 ^' i, ai " _ � .r. 21..DuCt"s, in_Str �tuiC'v � .-�. �� a� o � : � Y '" -"' � " � - 0. U�derqrpundtiydto 22.�Duck,Uentitatin � + ^� u S 2i �•qt. Product�Pi in 03'iHs O�il _. � 9 23. ;Gas Pipe'Rough &'Yesc r ; ". ,; .Q rj:. ,. �72. Undergroupd Flush'. � �= 24.'iioa�Framing .r�9 r '�� _� = y r' �73.jUndergrnd,`Smra�e�ankC`�Gas ❑Oil - 25. ROO�,$h�aihing ' '.� x :. ,r - ,J* • ,. - �� ,L ': �s. � 4.`-".Overhead Hydro- 26.^T-Ban Ceiling (Str.ucturall & Monocoat -�� _ .n� * 75.-Dry Chemlcal �� '" - 1' ' '' 27. �rap�e a�d Flaship"gr r� r ; � „ ,7.:. ; 76. Dry StandpiPe = ;' 1 �, . . � =L 28. ath]ng� Siding - + :: _:i"' � ° E �.� • ` �� 77,'FIXED SYS��E IQ�L r � �i r * '29. Insulatipn '�.` .� H ..I.. '7 , :*7 � .ia : - 1 w � `, z4 � . � . 78.fFIRE PREV. FINA� •; � 30. DrywallNailing =_ � � '� � � � •�+ yHEALTHDEPT?RfQUIREMENT � - n >'31. Plaster Bt�wn,Co�t �,- i.,._, y � :;„79..-.FINAL�lf�LECTI(�N 4" -,; . . _ 'S . ' � F -•--- � 32. flectricalPower Ddecer:Final �� t,+ �'�'� {�.$O.�fr00D CERTIFICATE ISSUED � . .- 33.�in'a[EleFiric; ^�� ,r � � �. ' y ;, `Notes:/ _ �J f. 5' _Z�,'. �u� ,�_ __ ,_l� � . _. ' - ' !1 /` .. "-` rZ'- �34.;Fin�i'Heating_&!S',frvCond�tionir�qs - � ' �an �r/.�/� • . _ _ ., . .. ... ': � _ � �/�=ieii��t• ^ , 35.�inaNGas Pipb�•Te3i' • � . .• + _ ,`_:,_ � . _ K .^r ` -. a ' � .r j � 1 ' ' �36." Hood or CanoPY � .. � �. « >; • •• . .. . i ` �� - : '-�. :, n , i 37.�'FinaTFactory FirePTate „ ; '�`� ' * t'� � '� '" '. ? �,Y �. '. � {• 'r .�: =38. FinabPlumbing s �',�� i ��- j � � .� .S � � �� "39. Water Service�Final " � �* ` y • " "X >r •'y � .yx•r a.� T . . , x . ;f}0. GasService-Final .� ,�� ,��; �_ - ,.;,, � .� :;�,� _,p7 a '�41. Solar pomestic-Pinal � `� •• • C' � j -' ,: `r�' - � �, �� a r - a x •'7 42.�ackflowPreventer' � ;" ' � I � � ,� �� ; _ =� 43. Backflow Irri�ation* �� 3 S:'. + '�' " �z ^ T = , , � �f� Y 9 f�% / y :44. Landsc Ir�i atio' S stem `� 1' � � � r n, ,_ - , ' � - � df7e . 9 P Y �� nl.: �.r �,. rr O �t. .t i., i� rC; '.� - �45.:SOund AttenLation+ ':K'�• [r � S i - F E-d :i c� + � -' � + rr r �" . '+ �� ,n a ' 7 :7 Z • . : . �� .. ..� � - i Y �i6.•HandicaR Regulatiops ' � � �� . u' �X .n Cc i + �47.�FINALSTRUCTURE&9UtllDING � ` ` .. � ' p 4 - 48.i.FINYaL PLANNING� ' �� .. .� .,i � ' �� , ;h t=, t c.49.cElectric Release to fidison � r �� Y 2 '� � F '- J '4.ft S: .(� � � 4 �_ . ;.50. GasJRelease t0 Sout}jern Cali(orpia Gas Co i I � :'. " - -�� ••� 51. CERTIFICATE OF OCCUPANCY � , ., ;ti , ,-� •r , • oc: � No. Date � ' �� r-- PflOJECT APDflESS: Q 3 7 OGLE C I OWNEfl'S NPME: ROWAN EDWARD H noonEss: p O H6X 883 COSTA MESA,CA (714)631-4877 AHCM/ENGINEEN: ' ADONESS: IINIT: 92627 flEG.NO.: UNIT: . PEflMITTEE: ELAINE ROWAN ( 714 ) 631-4877 aooness: q 37 OGLE ST COSTA MESA CA 92627 LILENSEO LONTBACTOH OECIANATION: I �ereUy a��itm �hal I am licens¢G un0er pmvisions ol C�apier 9(cammencing wii� Seciron 700�� ol �iWsinn 3 0l l�e Business an0 Pmlessions Coae, and my license is in lutl fo¢e an0 eficcl. CITY LIC.: $TATE LIC.: ClASS: Date: Signamra; WOBKENS' COMPENSA710N DECLANA➢ON: I hereby aMirm ihat t �ave a certilicace of consrnt ro sell�insare or a certi7icate of Workers' Compensalion Insurance. or a ceni�ied coDY �hereo� (S¢ction 380Q LaD. C�. POLICY NO.: EXP. ORTE: COMPFNY: ❑ Ceni�ietl copy is �ereby IurnisAed. ❑ Cenilied coDY is liled with �he ciry Building �ivision. Oale: ApDlican�: E%EMPTIONfBOMWOANENS'COMPENSI1710NOECUHATION: (7hisunianneednot6ecomple�eGilthepermilisloroneAunEreO(51W�ortess�. I cetlily I�al in the pedormance ol the wark for which ��is perm 5y�d. I shall not any person in any mannel so as Io become sublecl to e WorkeR' Com Sdtion Laws ol Cahfomia. ��///�/ � �� ,� ,.�(_ — W�e: ��/� ��z' Signaiure�j� % ` �'�V"—�' NOTILE: II, alier making �Ais deClara�i0n, you Sh0U10 become Sublet� �o IAe Wark¢ri' Compensation provisions o� IAe LaDor Cotle. you musl lotlhvnt� COmD�Y'^�� such pr0N4ion5 ar iNs permi� SAall he deeme0 revok¢d. CONSTflOC710N LENDING RGENCY: I IlertUy affirm t�at there is a fAnslNction IenGing aOenCy far I�e pedormante ol ihe wark tor which inis permit is issuetl 15eaion 3W7. Gv. CI. iexoex: NO NEW ADDEA AREA nnosess: NO NEW ADDEA AREA OWNEB BWlOEB OECLAflRTION: I hereby ailirm Ihal I am exempi imm �he Contractors' Slaie License Law br Ihe �ollowinA reason (Sec�ion 7031.5 Business anC Pmlessional CoCe: Any city ol counry w�ich repuires a Dermii to mnsimc�, alter, impmve. Gemalis�, or reDair any stNCWre. Orior to i6 iuuance, also repuires the apvlicanl (or such oe�mii Io lile a siAneO slalemeni iflat hPhhe is licensed pursuant �o Ihe prohsions ol Ih¢ COniratlors' State Liceqse Law �C�apter 9(commencinA �� Section 7000) of �ivivon 3 0l the Business an0 Pwlessions Cotle) orlhal helsne is exemptlherelrom ane Ihe basis lorine aliegee exemption. Any violation of Seclion 7031.5 by any applicant lor a oermil subjetls the apolicanl to a Civil penalry oi not more than live AuntlreA Oollars (3500). I. as owner of Ihe orooeny or my employees vnin waAes as ineir sole tompensation, win tlo ihe work, antl ine ❑ simcwre is not inten0etl or ofieretl lor sale (Seqion 7044, Business an0 Pmtessional CoAe: The Coniracbrs' State License Law tloes noi 3pPly lo an ownef ol a Droperty wha 6uild5 or improves Iherean, anU who does suc� wofk himsell/hers¢It or �hmugh his or her own em0loy¢es, provi0etl thal such imDmvements are nol inlendetl ar ollered lor sale. II, however ihe building or impmvemen� is sold wiNin one year o� comple�ion. t�e owner will have Ihe Uurden oi pmNnB he/she OiU nol build or imD�ove for tne Durpose ol sale�. ,vt I, as owner ol IAe proper�y, am exclusivelp con�rac�ing wi�h licensed con�ractors lo constmc� �Ae prolec� (Seclion 704d, Business L^J antl Prolessions Cotle: TAe Coniractors' Slale License Law Goes not apDty to an ovmer o10�oDehY w�o builes or impmves lherean an0 wM10 tonVat�S lar Su[h pmlet�s vnt� a COplraCiof(S�liCense purSuani�o Ihe Conira[IOr3' Slate LiCenSe Law�. I am awale Ihal Oroot ol Iheir Work¢i 5 ComDenSation insp�anw ShOUItl be pmvideA Io me. � I am c�empl under Seclion'. B. 8 P. C �� of IhiS 1¢dSOn: ,/,��y J � oate: `v — �` � �� ,vV�v I tlo nere0y cenity that I am aware of an0 understantl the requirements ai Calilomia HealtA an0 Salety Cotle Sections 25505, 25533, antl 2557d anOt�a�lorany�utur¢ Guilding acupanlvnlVvnllnot(circle one�nee4io mmpty vnt� Saia sia�e cotl¢5 antl��er¢Quiremen�5�or a permn lo� constructian or rtwGdication Imm I�e Air Oualily Management Oisirict. flesiDen�ial wnSVuciion aDP��ans are eKempt fmm IAese provisions. Dal¢: APGIi[anl: I �¢re0y Cetlify I�al I have rea01�i5 aOPIiW lion anU Sla@ tha� ��e aDove inlormaiion a correti. I agree �o CompN `M�h all ti�y antl tounly or0inancesantlsta�elawsrelalingloOuilUingcans�mctionand IhL�nlativesofihiscil 1 en�eruVonl�ea�ove�menlioneA pmpetly lor inspection purDases. �a�e: ��` 2—� ?� Signatw �" � " o�i�er's �icense o� sonai searny 16aba6 Wbne—BuilEmg; Green—CaEe Enlorcema�q Canary—Applicant; Pink—Revenue; Goltlenrod—Asseswr CITY OF COSTA MESA — BUILDING PERMIT , PERMIT NO: M 057764 PLAN CHEC3C NO: N , , CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH JOH DESCRIPTION : BATHROOM REMODEL SQ FT: CLAIM VALUE: CALC—VALUE: GROIIP OCC: R-3 /M-1 COMMENTS; RE: B57645 PRIMARY BLDG. PERMIT, ***�r**�r�e�r*�rx��r*�r�r�r*�r*�r�+e*�r***�e�r*�r**�r**�r��r�r****x�*+�**+��r�r+��r+�****��r****�r***�r*�r**�r*� Z O N I N G R E Q U I R E M E N T 5 S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PLANNINGRNO�'ES> PROV; PARCEL: 42519312 ZNE; REF NO; h y �*ar�t**itiE�r�r�r�r�r�t**�r�r�r�tirirx�e�*�r�t�r�e�t�r*�r*ia+��r*a%�r�t**�t�r��r�eirr�rr�rr**i%ir�e�r**�tirx �*�rx�r��t �t*�e�r�e�ria :' 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 APPROVED BY .� DATE; BUILDING APPROVED BY : APPLICATION ZSSUED BY; ' ifiFiEjfafiFlEilkkiFifiFiEifMkMifitkif kiFkkiF�FiFiFikififkilifififkitlFikkififkikklFkiFkififiFkilaFiklkaflfkifkk*�FiFlfld LEGALIZATION;N F E E S U M M A R BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 9�5= PLAN ISSUE FEE 15.00 DATE; if if if if3f iF k if 1f if fE iF iE iE �F if�-iF�iF'�FiFif if if �F k iF iF±k if iF i! 1E iE if it aE iE k aF if IF �1f k k it iF k�F iE iF STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 9.00 15.00 0,00 29,00 24,00 .00 REVENUE DIVISION TOTALS--> COLLECTED; 24,00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 24.00 i!1lifk�F�ElkfkiFkifkiflEikitk�tkkklFltlfikkititifkkifkk�fiFklfifitlEikiFit4lfkifkkkkklFif�EiEiEkiliFiFjEilikiFififll�EifikkifkiEkifif 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 UNZT COST TOTAL COST MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 9.00 9,00 END OF FEES CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Pe�mit # Date Inspector t. Temporary Electrical Service or Pole 52. Poo4 & Equipmenc Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit UtilitV�Undrgrnd. - 54. Forms . �'..Electrical Conctuit-Undrqmd. �• .55. Electrical Bonding 5:'$eeet f4ei�torcemeni- � ,�56. Rou9h Piumbing & Pressure Tesi 6. �Ei¢ctrieal UFER Gind. � -57. APPROVAL TO COVER-GUNITE 7. Footings - --58. Electrical Conduit-Undrgrnd. S. Foundation . J59. Gas Pipe, O Undrgrnd., Test .' 9. Water Pipe-Undrgrnd. , `� 560. Backwash lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i t. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent•Finai 13. Roof Ofains -� � 64. Plum�ing System - Final lA. Rough Plumbing � 65. Electricai�Final 75. Rough Electrica.l•Conduit 66. Solar System-Final 16. Rouc�h Electric�Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign Fi$, AppR�VEO FOR PLASTERING 18. Rough ElectriaabT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Contl�:ioning ��l.G�7 //`/ff� FIRE DEPT. REQUIREMENT 9/F/"f>!J�- �e 20. RoqBh Factory Flreplace , t � C -' . APPROVALB` •; "Permit # � � - 21.'Ducts, in Stwctuie� t ' � '� � - ' .70. Undergr.oVnd Nydro � 22. Ducts, Ventilating . .5 r - �71. ProducrPlping �Gas O;OiI 23rGas Pipe�Rough & Test r _ ' , . .,• ,- ,� �� 72. Underground Flush , 24: RoQf Framirg � � - ^ ' _' 73. Undergmd.StorageTank'OGas ❑Oil 25. Roof Sheathing . �„ ' ' ' '- , � . '7q.-pverhead Hydco:� 26: T�Bar Ceiling (Structural) & Monocoat �- 75.-Dry Chemical ' • • � � ,.: 27:-Prame and Flashing '. � ` '- r a ; 76. �Dry Standpipe = ' -r � 28. Lathing��& Siding �. r: > � •• 77.' PIXED SYSTEM FINAL - '29. Intulatidn �� ' r 78� FIRE PREV. PINAi ' + > 30. Drywall•Nailin9 r � �. � HEALTN�DEPT.. REQUIREMENT .31. Plaster Brown Coat . J9.�FINAL INSBECTION ,�' ' 32. Elecirical Power iylete�-Final - ,� � ,. ��80.. FOOD CERTIFICFCTE 156UED� 33.FIna`l Eleciric ' , � � b � "Notes: � ` . ".� � 34. Pinai Heating & Aii Conditioning � � L ,o%Ji . �, �' 1 _ � - . _ � 9 ��, . . 35.� Final Gas Pipe�Tes[� v . . ` _ 36. Hood or Canopy ' . , , , •- `� , y � - �' 37,.Find1 Factory Fireplace ' ' ' '� �� • • > 4 38. Final Plumbing � " � � i � • � - � - - '39. Wafer Service�FinaL+ ' = •� " ' i ` �40. GasSeru�ce-Final ' , ' � '' , , , r ;� . ��47. Solar pomesticFinal -� . i ' , . Y � " ` ' . ? 42: Backflow Preventer � � ; �. ;i' ` , � 43. Backflow Irrigation � ' : � � ' ' � _ � � x . 44. LandscaPe Irrigation System. �� , ,,, _ , , . . , , -45.:Sound Attenuation �' - � • ' i "� • � •,• � s 46. Handicap Regulations � ' � � � �� ,- � -� �� . ' 47. F WAL STRUCTURE & BUfLDING � .a - � 48. FINAL PLANNING - � , � • . 49. Electric Release to Edison ' - . 50. Gas.Release to Southern California Gas Co . ,. ��, ' 51. CERTIFICATEOFOCCUPANCY � ,- . No. Date �` PP0.IECT AOONE55: Q 3�J OGLE C I "- '' ' OWNEN'S NAME: ROWAN EDWARD B aoueEss: P O BbX 8 8 3 COSTA MESA,CA 92627 (714)631-4877 AHCHIENCINEEfl: flEG.NO.: pOUXESS: I1NIi: UNIT: rcxminee: ELAINE ROWAN ( 714 ) 631-9877 ADONESS: A3% OGLE ST COSTA MESA CA 92627 UCENSEO CUNTflACTON OECLANATION: I here�y allirm IAai 1 am licensetl under provisions o� ChaD�e� 9lcommencing wii� Seciion 70W� oi Division 3 0l t�e Buvness antl Pmlessions COJe. anC my license is in lull larce antl ellect. CITY LIC.: STqTE LIC.: ClASS: Oate: Signature: WOFKEHS' COMPENSRTION DECIAMTION: I hereGy aBirm Itwl l luve a ceniliwre of consenl to sel4insure ar a cerliliwte of Workers' Comp¢nsa�ion Insurance. or a cenilieA coOY ��ereol (Section 3800, LaG. C�. POIILY NO.: EXP. �ATE: LOMPANY: ❑ Ceniliea coDY �s h¢reby lurnis�etl. ❑ CenifieA coDY is IileC wit� IAe ciry Builaing DNision. oate: �14vlium: E%EMYfION FROM WOBNEflS' COMPENSRTION OECIAMiION: (i�i cWn neeU nol0e wmpl¢teE il tAe pe�ml is �a one hunareU �51 W� a less�. I cenity that in Ihe pedormance ol ihe work lor whicn inis oe� �s' s 0. I snall nol erson i any manner so as to 6ecome subjetl t �e W/ork r5' CA enWtion Laws al Californu. A,�� ^ Daie: � r � � 7 Signature: ," V _ `� — NOTICE: II. alter making i�is GeUaration, you sMulO 0come suhle�� o t�e Workers' Compensation proNsions of the Lahor Co�e. you mus� IOrtMvil� COmDN "^�h Sut� pron5�Or5 ar Ihis Dermi� 5hail Oe GB¢meE rtvoke0. LONSTqUCTION 1EN01NG RGENCY: I h¢rt�y allirm iha� �here i5 a can5lmction lendinq apency �or the petlormance o� the vrork �or w�ich Ihis permit is i55ueG (Se[tion 3097. Civ. C�. ieNOEs: NO NEW ADDED AREA nooxess: NO NEW ADDED AREA OWNEP BWLUEB OECIAMTION: I �ereby allirm ttut I am ¢eempi imm t�e Conira[tors' Stale Lkense Law �or IAe �olloxinp reason (Setlian 7N1.5 Business an0 Prolesslonal Coae: Any city o� tounry whic0 requires a permil to Conslmct. atler, imD�ove. Cemolish, or repair any slructure. prior to iis issuance, alsa requires Ihe apDlican� lor such permii lo �ile a sipnetl s�a�ement t�al he/she is licensetl pursuanl to Ne pmvisions ol t�e Cantraclors' State License Law (ChaD�e� 91�ommencinq vnth Section 71100� af DiviSian 3 of ihe Bu5ine55 anE Pmfesvons Coae) or Owt hels�e is eRempt t�erefmm antl t�e Easis br t�e a11eAeU exemption. Any violation al Sec�ion 703t5 by any applicanl lor a De�mii suble��s t�e ap0licant Io a ciNl p¢nally of noi more IAan live huntlreU Ooliars �E500�. ❑ I. as owner of Ihe pmpeM1y or my employees witA waAes as tAeir sole comDensation, will do ihe work, antl �he stmcwre is not imen0e0 or ofiereA br ule (Section 70aa, Busineu an0 Pmfessional CaAe: 7he Coniractors' State License Law aoes not apply lo an owner ot a proOeM1y who builGs or imD�oves �her¢on, anE who Goes such work �imSelV�ersel� or NmuA� his or her own employees. D�oviJeO Nal such impmvemenis are nol inlendetl or o��ereJ for sale. I�, however �he huiltlinp o� imo�ovement is soltl witAin one year of como�etion, �ne owner wiil have ine buraen ol pmvin0 he/she Oitl not huild or impmve lor �ne outpose of Sale�. I, as owner ol Ihe pm0en . am exclusively comraclinA wil� IicenseU con�raciors Io cons�mct Ihe pmlec� (Seclion 7044, Business � ana Profesvons Code� TXe Contractors' State License Law dces not aOPy to an owner ol propeny who CutlUs or improves thereon an0 who Ganiracls �or Sucll pmlecis wiih a coniracior(s) license pur5uani Io ihe Canlraclors' Slaie Licen50 Law). I am awar¢ Iha� pwof oi Iheir Worker's Compensa�ion insurance SAoutU be pmvitled �o me. � I am exempt unGer Secliun: B. 8 P. L. � for Inis reason: �J�1 oale: / n �!/ 1 ( `� r� I do �ereby ceriify Ihai I am aware o� an0 un0er5iand Ihe reQuiremenis ol Califomia Heallh anC Salety CoOe $ections 25505, 25533, and 25534 an01ha1 I or any fuiure buil0ing occu0ant will/will noi (circle one) need lo comply wilh 5ai0 s�a�e codes and lhe reQuiremen�s for a permi� lor constmction ar modilication imm Ihe Nir Oualiiy Management Oislrict. Residen�ial conSVuclion applica�ions are erempt Imm I�ese pmvjsions. �ale'. Applicanl: I nereby cetlily tnal I M1ave reaA I�is aDPlica�ion antl siale Ihal �he a0ove inlormation is carrect. I agree �a comply wi�h all city ane coun�y orainancesantlsta�elawsrelatinglo�uittlingcanstmdionan e aN�orizereD�esema�i I��i ' ruDonlhea�ove�menlione0 propeny/lor mspec�lon purpases. � � Oate: (¢�� —�� Signawr ,� Driver's License or Social Security �54La6 W�ne—Builtlmo: Green—CoOe EnlorcemmL Canorv—Aoolicanl; Pink—Revenue; GoltlanraE—Assessor � CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E PERMIT NO; E 057763 PLAN CHECK NO; N , . CONSTRUCTION TYPE; 5—N PERMIT TYPE; ELE PURPOSE; OTH JOH DESCRIPTION : BATHROOM REMODEL SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: RE: H57645 PRIMARY BLDG. PERMIT, iE �F 3E if if it k iF 3F �! if 1k iE fk iFlf iF iE iE iF 3k iF k iF iE iF if if k k k�E iF iE iF IE 1E if if iF if iE if ik iF k k iF ik if iF 1E if ik if k k if iE if M if iE if k iElF iF lE iE iF iF iF iE �E iE �E 3E ik Z O N I N G R E(j U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 92514312 ZNE: REF NO; PLANNING NiSTES> > aF 1E k k 1E k IF 1E ik iE k1E k 1f �F if IF if if if k k if k iF if if if if if k iE if M!F iF±F if iF k k k ik iE iF if iF if iE iF 1F k k k if 3f iE ik iEiE if iF 1E if iE iFiF �Elf k�f IE k IF 1E iF ik iE k D E V E L O P M E N T•.S E,R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � DATE: BUILDING APPROVED HY : ,.A A DATE: LEGALIZATION;N BLDG PMT ■]�I:73�M1 F E E� S U M 9�iFiFik k ii 1f if iE �If if ik 1E�if'3Fif iP ifffkkitiElfifit�tkifMlEikiklFiFkiEiFiFiliFif3fiFMifkikifk A R Y STRUCTURAL SEGMENT;N FIRE SMZP/RES GRADING SMIP/NON—RES PLUMBING ELECTRIC MECHANIC 37�2�= PLAN ISSUE FEE I5.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 37,25 15,00, 0.00 52.25 52.25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 52.25 UVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECSC 52.25 kifiE�EiElfifiEkiFiFjEiEkkkiFifiF3EitifiliFflil�flFkikifif3fifiFik�lFkiFfFkiFkiFifiE�tififikifiFikitlf3fMlf�fkiflEiElkifiEkiFlEkifif�Eit3fkklFiF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 FIXTURES LIGHTING 1 ST 20 EA, .75 1,50 ELE 9 RECEPT/OLITLET 1 ST 20 EA. .75 6,75 ELE 10 RECEPT/SWZTCH 1 ST 20 EA, ,'15 7,50 ELE 1 RES APPLIANCE NOT OVER 1.0 HP 3.00 3,00 ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 1B,50 18,50 END OF FEES CONSTRUCTION AND PLANNING POOL o,,PA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector t. TemporarY Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Stee� Reinforcement -„ 3. �Etectcical Conduit Utility�Undrgrnd. 54. Forms d..El2ctrical Conduit-Undrgrnd. - � +.55. Electrical Bondfng - 5.'$[eel Reinforcemerr$ � 56. Rough Plumbing & Pressure Te:t .��6. ElectricatUFEfl�Grpd. - -57. APPROVALTOCOVER-GUNITE � 7. Footin9s ' 58. Electricai Conduit�Undrgrnd. � 8. Foundati0n 59. Gas Pipe, O tJndrgrnd., Test ! 9. Water Pipe-Undrgrnd. j 60. Backwash Lines, P�Trap, O Undrgrnd. � .. 10. Structural Floor System 67. 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 Plumbi�g 65. Electrical�Fina1 15. Rougfi ElectricabConduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wi�inq Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar'Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Haating & Air Conditio�ing FIRE DEPT. REQUIREMENT 20. Rough Pactory F7replace ' ' _ � i APPROVALS Permit # � • . 21 � Dutis, in Structute . .. . _ _ ' ` ` � 70. �lnde�ground Hydro i ' 22. Ducts, Ventilating . �, "•� Y77. Product Piping OGas ❑Oil 23:-Gai Pipe-Rough & J'est '- �_ - 72, Underg�ound FI'usR� ; 24. Poof Fram�ng �- ��- '� ' A F � 73r Undergmd.Storage7ank OGas OOtV �� 25. Roof SheSthing '� ' �� r ,' 74. Overhead Hydro . 26. T-Bar Ceiling (Svucturaq &Monocoat � � • • 75. Dry Chemical ' � ' � i 27r�Frame and Flashing - . 76. Dry Standpipe - � ' 28..�athing-& Sidin9 - �. � ' � • 77." FIXED SYS7EM FINAL ��29. Insulatian ' - , � ' � � '. 78. FIRE PREV. PINAL � j . " 30. Drywall-Nailing �i � � � �' HEALTH-DEPT. REQUIR�EMENT �31. Plaster Brown Coat , � ' ' . 79. FINAL INSPECTION � - 32. Electrical Power MeterFinal �/�j /!jz ,;L 80. FOOD CERTIFICATE ISSUED . 33;' Final Electric � I4 �(',�,i� iJoies: .� � : �-34: Final Heatiny & Air Conditioning . - . ;, 35. Final Gas P�Pe-TEsC _ 1 ' � � � �� ' • � � � - •� 36. Hood or Canopy � , r � ' � . , � 37,-Final Pactory Fireplace -`-�' i � '� ' ' �� ' � 38. Final P�umbing i • , � � � ' � . _ '39. Water Service�Final . � ' • � - � � �• , 40. Gas Service-Final , _ . , - . , . , �•41. Solar OomesticFinal�' � � -42. Backflow Preventet ; . - ' 43. Backflow Irrigation _" . ' : • . �,44. Landscape Irripation System ,'. ., . _ � �' _ � �_� }45. Sound Attenuacion � ' • % � - � 46. Handicep Regulations ' -� ' - � _ ' � , 47..FINALSTRUCTURE&BUILDING , • 46..FINAL PLANNING � - ' � - : � , -49--�E�ectric Release to Edison ,: . . � � - �; - 50. Gas Release to Southem Califprnia Gas Co ' ; ", _ " . 51. CERTIFICATE OF OCCUPANCY � _ _ - No. Date �L�1��'Q,, U� CITY OF COSTA MESA� „�G��'�- cJ'^x'�� ' SERVICE REQUEST & PUBLIC ASSISTANCE FORM � I I-� -�S Date -r�»e 2 : o0 Cailer's Name�.A11� �LAC1L � Address Phone �4�— ��S•,�p Nature of Request: (location, type, severity) �i 37 �LF C�'(Z, ��C.�IL.-r I O� {-�.ICei� Woo'D STO'RAGE S'TRvGZ17'iZ�' o� �ReA'Q. 'P'Rcree�rY u Nc: • Referred Person Receiving Call � Call back � Service �q {� i� n Information Only � OZ"" � h eF . . . .. . . . . .. . . ' r ., � ' ' . . . . ' , . . . ' . . � . . . � . . . . . . .i. J i..'-. � . . ...il. , . - , i . �.�i�F. � . _ .. . . .. y y� 4x Y_.. � \� . {S � :.1�4 .l.�j � . � � .' h � F t .; . . ' ` � fi � � �,� r , � �� , _ � � . : «:� � � � �� c � ��.. �7>, ' a �r: ,��' '' ..: - :�. ' �.� ' . 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". -;' �;' „2_. ,z�,_ :'_ � -_ . t"s :._. .. . �Id:iiia•.'�, �'!_� i� - - - -- - - - - - - - - - - .-- - _- - - -- - - --. _._ _ - --- --- --- -�7-_��1� �_-��1-- ��lo�% --- - -- - - -------NOTE--- ------------ ADDITIONS, DELETIONS, OR CORRECTIONS-SNALL - -- -- BE-APPROVED-�Y TNf PMiVidiNG DEPflRTMENi-- ---- ' I � � .5 , � �/Jr��J�� (oYS- --- --- ----- — - - - -- - ' �-f - -- _ - ----- ----- __ Pernn�t #-- - ----- — — ------- - --- - -- ------------- THIS NUMBER -MUS�-ACCOMPA. ___ _ -- -`- - ---------- --ALL-INSP-ECTION REQUES7S - -- - %'�Q7C//Q IS---e�GL]C'CIU ic %d- � wRLK-,N—r — — — ---5 coser, --�- =y= ---� -! � �,l IOS�, - -----.-`/' ,8_, �'o./d' L�or_ �p_Q, X ,Z � , �� . , , . � � � . „ =- ------- --- ! -- ------- �- - -��-- --- - -- - -- --- - - - - - - ----------�- S 9 G�4_/- C .o` -, -_. _ __ , -- . -.._ � - - , I _ 2 - --- ------ --- - � \ - - - — � - _ -- ---- ---- ------ --�� - -��----- --- - - -------- -�- --- - - -- �r- -- ---'-------. . .---- 1� � _ �. -. ---- z 7� ----- -- - - - � - --- ----------- -'----' --- W--- --�, ❑[� u -----�----- -- - � - - _.-- -- - �- - �- - -- ---- — - - -- - - - �- -- - - - ---- - '� --�_��J-�--- --- .._._,_.�_ - "-- - — - � I 1 �O� - -- - -------- � � ---------------- - --- --- - '- V -- - - � -- -- ---- � - � ------------- --- ----'--- - --- -----.. . -- ----- - -- - - -- - - — ---- - - -_ __ . _____. ��._. _ ._.- .. _ _ _ . City of Cos!a Mesa Building Dept. - -- - - - -- - -- - ---- ------ - --- - --- -_._. .._.._ . _-- -- -- / — --- - - - - -- - -- - - -GILI' OF-COSTA MESA.. .. -' -- - - - - --- - - -- - � - - - - - � GATE _�f-�19_� _ - - - - - -- - - � / PLANNING D�T. _ - - --- - _ - - _ � .. A -- --- - -- - - - �B1ECT TO BIMi: D@4.-F�_ .. � .. _ _ _ . _ _. _ _ __ ._ ThES� PLANS MUaT BE ON J08 AT ALL TI�'�AES M rCE ! ! NO ChANGES WITHOUT PHIOP APPPCVkL OF DEPT. --- - -� -�-- -- - ----- - ` -- ---- - - - - -- . .______ B�t . DA �4 I � -� �'---- ----' � - � � �-�_ - -- - HE IaSUANCF GR GRANTIN� �FNOp �E CO�NSTHPPR TC' b?A -� _ -------- - --- - - -- o r -or-rt�neo— — _ F - _ _ _ __ _. LA4S A1:D SPeCIFICAi ION� S L � — — ---- - - --- - � _.. ----' �--� ---- (��. . .� P`R„E�7-FOR. OR AN APPROVAL 0�", Af1Y VIOLATT6FU� A�'Y JF'- -- ___ __ __.__ ____ r- � E� TiiE PRO`ASIONS OF THIS CODE NO PERMI7 PF3ESU'dING TO G!V[ _ ___'— ' — __ ' '— _ ___ . — –. _ /� �i�1z�-a�.. _ _ _ _ _ . _ ��j��/J - -- -- - . __.. __ . _' . .-__.__ _. __..__ . . �/I,, ��y�nJ�l��l�/-¢,��/�,_ � l�-'��-- 11�. ___ _ . __' __'__��__ . �D_ . . _ . _ ... HIClItTA�ft�ORRESISLAWPUL -_ . - _ � '�� "AUUh7RiTY"TO VIOLAT'ii OR CANCEI: THE PPGVID'ION5GI-'�4�5 '^��,(/i /"�4 . (NY'� .Y.'. `. _ __ . _. ._ . . . _ V E SN1LL BE VAL D E C Pi W S FAR hS THE � G�'� �'�7 USF . . . . . . .__ ' . .. _ _— ._. _ __ _'__' _.Y`�" ' . . . . . . . _. . _ CGG i X E O W ' - - .. - - . _ . . . .. . I _� � . . . _ . �IH[-dSSUi.NC[ OF A P[HMIT BASED-UPON-P6API5-AIJ�- _ .. _. . - ." "__"__'_. .. .._. ___ . .. ..__ . . .. 1 . . .. . . . . �, _ " SPECIFICAIIONS SHALL NOT PREVFNT THE BUILD!'r�G c:FFI;_!A� ... _ _ ._.__. . . _. _ _ . . . . .. . . __ i� FROM TF'FiiEf.FTfR REOUIFING?h1E CORREC710N.QF_EFF,ORS.Iiv. . SAfD PLANS AND SPGCIRCAf10N5 OR FflOtJ. PrSVryiING . . _ . .. . . _ .. .' ' " _ _'. . . . __ _ _ . _ . _ . . . _ . _ ._._.__. __ .. -... . . _. . . � �.� f3UILDI�:G OPERAfIONS 6'eiNC CARPo�D.ON TH�FEU,yGrH N'! �IJ'_ _ _. . . ..._.._._ . _. _ . IN VICIa?!ON O`r THIS COCE OR OP AN� Ol HBR ORl)INANC[ OF ' ' . . . . _.. .._' ' TH[CITY.' ' _ ' ___^' _-_'--__' _"__' _ �t�� I _ ._ _ /3'3 "--� - ----------- - --- - - -------_ - --- -- ------- -- ` - - -- --,.. -- _ . __ -- - __ - - _. _ J —_ -- � - . - - -- - - - - 38 � _ ... -- - --- - __ _. �-�13 3 " ; -- -- -- -- --- -- - - - - --- - -- - -- - ��--INS��C�'��:�� ---- -- - - - --- _ __ -- - - - - ---------- -------------------- OKTO4�ROCEEDWITHPLANL . ------------------ -------------------- ---- -CAtI - - --- -- -�_ - - - ------ THIS-DOES NOT-CON31"ITUI�EINA----------- pp�.!�yG,f�PPROVAL. ---(y/I � I�------- ----------------------- — -- --- ------------------------- -- — -- --- ____ _— -- ----- -7ad=�d2S "- - - - - -�---- ---- ----'---- P6`(J�.4�1'C--. .. --`- - -- -- -- ---------- -- — — -- --- -_ .� _ -- -- — INViIALS -._. . __.�A7� --- -- --- -__ - - - - — --- --- -- -- ___ --Qr- — � - -- 7:4d=5�i� 7 -- -- - -- - - - -- - - --- -- - . - - -- - --- � ----- - ---- � Q �� .S � OWN ER �JOB AC � GENER AP No. �R �S s �� LOT G AS WATER ROOGM PLUMBING PROP. SWR. LiNE � HOUSE CON. � SGqINKLING SYSTEM MISCEL�ANEOUS ROUGH HEATING ANO AIR CON�ITIONING TEMPORAFV SERVICE OR POLE UNOERGROUND � POWER � ROUGH W10.1NG TRENCMES � FORMS � STEEI REINF FLOOR SVSTEM BONO BEAM � STEEL REINFORCE � SMEATMING FRAME ANO FLASHING LATMING - IN OUT r , �'/�� PLASTER, BROWN COAT STRUCTURRL,FINRL 1 NG, VENT., REFRIG. ANO A.C, FINAI P. .iBING, FINAL AN� GAS TEST �/j ELECTRIC, FINAL R DATE SUBCONTRACTOR Z . 4 U zz a � N am � 0] J J m Q U N Z a w� aW wz J p m Z J � W W � _ Z � W � N � �O r Z Q a a Q � H N Z 0 � U � � N Z . � �a � ` COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely R BUILDING ADDRESS OWNEF A B' MAIL A ADDRESS U / — / AA _ . �YEL. _ / _ cirv � GS� CANSTRUCfION LEN�ER BRANCM -ADDRE�SS =_ee:,�:5a'T 4 BF-EN6fMlER / ADDRESS 7 CONTRACTOR ADDRESS CITV STATE LIC. NO. SIZE ` OF LOT USE OF EXISTING BLDG. SIZE OF USE i C�.4/[IL. \ NO` (D'1S IL�1 R4a+aNf► uiaY C, M. �Zbi 1 /� L �'r' LNii(�� TEL. NO. GTV LIC. NO. �Q� INO. OF BLDGS. NOW ON LOT .; �.Jf��v�e2.a c',c�.f-'E.�� NO. OF ROOM$ STORIES ROOF GOVERING JD WORK TO BE PERFORMED '✓ T1J �L�i. f � !A�/�� 'FL - l�cs/v1.�VLs' CA/'�.9Fr'f. . � FIRE F�� ;FP -3-75�,M�,OC �a�- � � x 145.45 �N FOR BUILDING PERMIT DATE RECEIVED ��F issw N NO.OF PLANS ' YARDS APPROV ED MAIN BUILDING OISTANCE BET MAIN BLDCS. VAR. �W C.U.P.qW HOLD DA USE OF fJEW �I�� BUILDING �/ VARDSAPPFOVEO ACCESSOFY BUILDING i.� / I( BET. MAIN & ACCESS.BLD DATE APPROVED I hereby ecknowletlpe Mat I have read this appllcation entl stete ` "�'� 7 .L ' that the above information is correct end aB�ee to comply wlth J all lews reBulatinB builtlinB �onstruction, entl I ahell not employ . � any person in violetlon ot ihe workmen's compensation laws of ffie State ot California. ' m I hereby certify Net I em pro0erly licensatl as a contractor untler SQ. FT. O the Stata of Californle Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapier 9, antl that such iicenses are in full force end effeci, or I THE PVRPO6E OF ES�ABLISHING A PERMIT FEE ONLV: Q am exempt from tne provisions ot tha Stata of Cellfornia eusinau VALUATION antl Professions a• ivislon ,. � Chaptar 9. � N PERMIT FEE $ ) Sipneture of n � �J m Permittae • . $/0 7� PLAN CHECK $ �� E 303zd' `, / i � f ° Autho�ixetl AgeM � �' TOTAL FEE $ � S ' ` ' � ` ``� ` ` y . . `•. . -'1 � � �` - . • � :. . . ,. �� ."„1 � ' � ' � : � ; � ' : , . � ',, „ '� , i � � ' i p , ,�--- �� Q �� -� �_ � � �� ; � e 1,� OWNER xvwtuv, e:uwtutu � JOB ADDRESS 37 Ogle Cr. =' GENERAL CONTRACTOR Owner �`r=AP No.117-312-13 LOT _(? I' �ECTION$ �f G AS WATER ROUGM PLIIMBING PROP. SWR. LINE � HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARV SERVICE OR POLE UN�ERGROUND � POWER � ROUGH WIRING TRENCXES FORMS STEEL pEINF FLOOR SVSTEM ' BOND 6EAM ❑ STEEL REINFORCE n SHEATHING FFAME AND FLASHING - LATHING - IN ❑ OUT n PLASTER, BROWN COAT STRIICTURAI, FINAI 'ING. VENT., REFRIG. AND A.C., FINAL ABING, FINAL ANO GAS TEST [� DATE 3-14-75 BUILDING PERMIT SUBCONTRACTOR � � 39715 COSTA MESA BUILDING-SAFETY DEPARTMENT 7.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING � O�� _ �/� �•./i A DO R ESS �� OWNER �� 0�� MAIL !i � :� Ol�� /^ .i%A Z"__ _" " _ (" a U CITV �� V ZQ CONSTRUCTION O N IENDER � BRANCH m J ADORE55 m ARCHITECT J � OH ENGINEER `��' U Q w � ADDRE55 d W w Z CONTRACTOR � J Q m Z ^� J � A�DRESS W w Z� CITV W O STATE y � LIC. NO. = O SIZE OF LOT USE OF EXI5TING BLOG. /�� F 512EOF 3/��x�l/ Z NEW BLDG. � J a a Q 0 H N Z � F U � � �"' N Z TEL. NO. GTY LIC. NO. NO.OF BLDGS. NOW ON LOT NO. OF �ROOMS STOF ROOF /T.—�� COVERING�� K TO BE PERFOFMED I hareby acknowladBe [hat I have reatl this application antl stata that [he ebove intormetion is cOrrect entl apree Yo comply wiih ell laws reBubtinp builtlin8 eonstruction, entl I shall not employ eny person in viotetlon oi Me workman's compensation lews ot tha Stata of Californie. I hereby cartlfy that I am properly licansatl as a conttacior �nder the State oi Celitornia Business antl Professions Cotle, Divisicn 3, Chapter 9, and that such licenses ere in tull fo�ce antl ettect, or I am ezampt from tha pravisions of the State of California Business antl Protassions Cotle Divislon 3, 9. � SlBneture of �� /r7 � Permittea ��f �r '�e%/3�� Authorizetl ABant N:,:� ..,::�::�.SC „�;�,�,.;°�,<OG 507•: ... APPLICATION FOR BUILDING PERMIT ;EIVEDBV DATERECEIVED �.,.Tc�ce� � PEflM C �� OWNER C:.�.Gli(/`��r.Q�' �� i i/ VALUE � � S $ FIRE ZONE TVPE GROVP APPflOVED gy DATE � ZO NO.OF USE OF NEWG�p �� I_ ' PLAfYS� BUILDING 5�� VAROSAPPROVED VAROSAPPROVE� DISTANCE BET. MAIN BLDGS. VAR. aW THEAMOUNTS THE PVRPpSE OF VALUATION O� � f $ D 53 FT. � I S FT. 2 FT. . BET. MAIN & � ACCESS. BLDGS. � OATE APPROVED DATF 3�I�-�S ��a. � r , � m S/Y- p VALUATION IS FOR � A PERMR FEE ONLV: Q E $ 5� � � i m K $ E `o �� LL OWNER E JOB ADDRI DATE AP No. 4'L5-143-12 LOT 11 TRACT 1776 FIRE ZONE VALUE r"�E[710Nc . s��.,a.�.. o�.. TVPE V-TV GROUI c..� W FTER ROUGH PLU PROP.SWR SUBCONTRACTOR NE � � NOUSE CON. Lf 'STEM ROUGH HERTING r1N0 AIR CONDI TEMPORRRY $EFVICE OR POLE UNOERGROUNO � POWER � NOUGH WIRING FLOOR SYST�M BONO BEnM [� STEEL REI SHEATHING FRAME ANO FLRSHING LqTNING - ly OUT PLRSTER. BROM'N COAT =NT., REFRIG. ANO A.C., F FINAL RN� W$ TEST n K�f��„aw -�.� aN(,�-, DS e as--g� : 4992 6/,i5/8� 64.02 TL � t .. _ �?• -- .. . . .. .. F � W S Q r�r y S F C � F 0 .] Q 7 � i` J C W L � � 4 z W S 3 COSTA MESA_BUILDING-SAFETY DEPARTMENT APPLICATION FOR S'fRUCTURAL PERM17 r.v.o�.. ��vv ..w�..mw....,..� v.,�..+..ww RECEIVEO PEFMITS ^ Q/� For Applicant to Fill in Completely — Use Ink Only ��. � L% BUILDING �%% OG�� C�RC�� A.P•NO. �S — I�� ADORESS � �7 OWNEp OR �d W^�, R O. .\/� �,I ADDRE55 3 / O e- C/rC G_ TERANf H. I 1 W I1 �`• ADDRE 5 {�.O • `�O� (�S� SPACENO. /'`,� p,�/�(]�/^ TR.NO.� LOT // BLK. CITV W S�A Iv'�SN Np�. -1 �.+o L� CONSTRUCTION � NEW ADD LTER REPAIR MOVING DEMOLISH LENDER BRANCH OWNER C ��,{%QlY 0 Q/✓� . ADORESS USE � f/li IC Cn` O�C�S � gj� • ORENGINEE c v--�-h TEL/U'L_��[l'Q 101 � ADDRESS /,J p I �, 1` GJ �L ZONE �/ V�_7 � GfiOUP � 3 APPROVED CONTRACTOR � BV DATE —�S—SI ADDRESS D�� TEL. cirvN b (3�(�G No.�o�2-41yD STATE CITV %�PPROVEDSETBACK �/� � LIC. NO. LIG. NO. A� �1 � I� SIZE / OO/�, NO.OF BIDGS. (FROM C/L STREET) OF LOT �O �v NOW ON LOT ' OM FT. A� E%STING BLDG. W�LL I IV G Separa[e permits are required for L. SIDE lO� FT. �S elec[ric, plumbing and heating work. {�� 76 REAR FT./'�7/1CIf USE OF BUIIDING AND WORK TO BE P RFOR ED PLqNNING ACTION DATE APPROVED APPROVED � �/C� Q J U r � �.0 n.� I �ereby acknOwletlpB thoi I have reatl thi5 epplicatiOn antl steta � that the ebova Intormntion Is correct antl aBrea to comply wiN all laws repuletlnp EulltlinB �onrtruetion, ond I ahell not ¢mploy n g�31, eny person in vlolatlon of Me workman's compentation laws of •� , tha Smte of Califomla. . (� a I heroby certify that I am properly Iicanaed as a eonttector unEer SQ. FT. S� l''�- � the S[ate ot Califarnla Businav antl Professlons Cotle, Div(sion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR [ Chapter 9, entl tha[ such Iicenws are in full torce end effect, or 1 THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLV: � em exompt from tha provlsions of t�e Smm ol Colitornia Buainass VALUATION � ontl Profeuione Cotlo Dlvision 3. C�apter 9. PERMIT FEE S ,; � /J PL.4N CHECK E � Slgnatura ot V/_ ^•(� 2 � Permittee �H'�"r•6A•�- S 2g3y. � : or TAX E �. �p � A�Shorizetl Agant Data TOTAL PAID S � Q r� .r� 6�� . COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� COSTA MESA. CALIFORNIA NG 55 FOR APPLICANT TO FILL IN 7� vk1c9 l.tr(:J.6 COSTA MESA. CALIFORNIA OWNER yj`04J(] ADDRE55 z826 iITE( OH ENG�P ADDRE55 ADORE55 2ozV N8 LEGI�L DESCRIPiION NOT �� A.P. NO. SIZE �n OF LOT q� �_ USE OF E%ISTING BL�G. SETBACK LINE FROM CENtEA OF STREET NEW REPAIR BUILOI Blvd., _ TEL. CiOiIS�'i.Y N�O. �jrj B1vd. No: OR BLOCK TRAC NO.OF BLpGS. RIGHT � LEFT 7 DESCRIPTION OF WORK X ALTERATION II ADOITION MOVING �EMOUSH NO.OF 'Z ROOMS STORIES �,w ..,,. ROOF _. _ �1ri�16 i8t1: � j � G ev .. ��WJ�... . ... —5 -� S— 3' fl Y c.. FiPd^,I�CE DEPT. C�IY 0� C(1cTFl MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. ��1�� ,/J FECENED BV pATE RECEIVEO OiTE i55VF i's,_•��e/ S' --S MAi 1 9 1� ��,�� y� � �� c� �� JRE55 COSTA MESA. CALIFORNIA E� J l �py11f• � DATE � CORRECTIONS � /ln/, 7J` ' � I HEREBV l�CKNOWLE�GE TNiT 1 MAVE PEAD TMI$ TPPLIC<TION tND STATE iHhT THE wBOVE IS CORRECT /.NO /.GREE TO COMPLY WITH �Ll //`� �J (� � � CITV OROINANGES FND $TPTE L�W$ REGUIl�TING BUIL�ING CONSTNUC� �� V TiON. VALUFTION SIGNATLIRE OF /� PERMIT FEE $ �� -' PERMITTEE ��1 /� 5/// � 2/� PLAN CHECK S /V � -/ �� J FJ AUTHORIZED AGENT 7 TOTAL FEE $ S~ � �oMr