HomeMy WebLinkAbout2542 OXFORD LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2542 OXFORD LN
Suite:
Vicinity: FRONTSFD
Parcel Number: 14137328
App�icant: CRATER, CHRIS
Address: 2542 OXFORb LN
COSTA MESA, CA
Owner: STAWNEY, LINDA MARIE
Address %FRANK ARGULAR
� COSTA MESA, CA
2542 OXFORb LN �
Contractor: OW N E R-BU ILDER
Address:
Zip:
Arch :
Address:
Zip:
Phone:
license:
Zaning:
Phone: 714-979-2727
Zip: 92626
Phone:
Zip: 92626-6123
Phone:
License:- 000000
Eng:
Address:
ISSUED BV:
Status: ISSUED
Applied: 09/23/2003
Issued: 70/07/2003
Phone:
License:
SCOPE OF PERMIT
CONSTRUCT 187 SF PATIO COVER PER CITY STANDARDS AT THE FRONT OF AN EXISTING SFD. NOTE: 20 FT FRONT SETBACK AND 6 FT
SIDE SETBACK. - ' - � � - �
Plan Check: $63.21
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $160.96
SETBACKS
MAINSTRUCTURE Front 20-0
ACCESSORY Front 0- 0
PARKING Existin : 0
Rear 0- 0
Rear 0- 0
Reouired: 0
FEE SUMMARY
PLANNING & ZONING
LeR 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0-0
$3,014.44
$o.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 754$626
2446d6 (6/00)
WORKERS' COMPENSATION DECLARATION: �� �
I hereby aflirtn under penalry of perjury one oi ihe tollowing tleclarations:
❑ I have and will meintain e cenificate of consent to self-Insure for workers' compansation, es provided for by section 3700 of ihe Labor Code, for the pertormance of Ihe
work tor which this permit is issued.
❑ I have antl will maintain workers' crompensation insurance, es requiretl by section 3700 of Ihe Labor Cotle, tor the pertortnance of the work lor which this permit is issuetl.
My workers' compensation Insurance carrier and policy num6er are:
Cartier: Policy Number:
(ihis section neetl nof be complefed i! Ihe permit is valuetl at one hundred dollars ($100) or less.)
ZI certity Ihet in Ihe pe rtna e o e work for which this pertnit is issueQ I shall not employ any person in any manner so as to becoma subject to the workers'
�� compensalion laws Calit �, and ree that ii I should become sub�ect to Ihe workers' compensalion pmvisions ot Seclion 3700 0l Ihe Lebor Cotla, I shell fort�with
camplywithihese rovisi Ip.G� •G3
Appllcant Signature: Data:
WARNING: FAILURE TO SE RE O R ENSATIIXJ COVERAGE IS UNUWFUL AND SHFLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES M1D CIVIL FINES UP TOONE HUNDRED
THOUSANDDOIIARE($100,000, AODITI TOTHECOSTOFCOMPENSAiION,�AMAGESASPROVIDEDFOHINSECTION3/060FTHELABORCODE,IMEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS UECLARATION:
I herehy aHirm thet I em licensed under provisions ot Chapter 9(commencing wit� Section 7000) of Division 3 of the Business and Professions Code, end my license is in full
torce end eflect. Lla N Glass k
ContrectoYs SignaWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm thet ihere is a consWction lending agancy for the pedormanca of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lender'S Address:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that unCer penalry of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires Ihe applicant for such pertnit
to tile a signed stalement ihat he or she is licensed pursuant to ihe provisions of the Contrectors License Lew (Chapter 9(commancing with Sectlon 7000) of Division 3 ot the
Business end Professions Code) or that he or she is exemp� Iherefrom and the besis for the alle9ed examption. Any violation of Sedion 7031.5 by eny appliwnt for a pertnit
s �ects the applicant to e civil penalry of not more than tive �untlretl dollars ($500�.):
I, as owner of the property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and ihe strucWre is not intended or oHered tor sala (Sec.
7044, Business end Professions Code: The Contractors License Law does no� apply to an owner ot property who builds or improves Ihereon, antl who does such work
himself or herself or through his or her own employees, provided ihet such improvements are not intended or oHered for sale. If, however, iha building or Improvement is
sold within one year of completion, the ownerbuilder will hava t�e burtlan oi proving that he or she ditl not huild or improve for purpose of sale.). �
❑ I, as owner ot �he propetly, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS �o consimcl the projec� (Sec. 7044, Business entl Protessions
Code: The contractors License Law does no� apply to an owner ol proparty who bulltls or Improves Ihereon, end who wniracts for such project with a contractor(s)
license purs�y%�SCyitradors License Laws.).
❑ I am ez<
Signatura: _
Owner ID veri'
Verificetion ot
Business and Professions Code tor this reason:
ir'��IiceAse� �Ves ❑ No Orivers License No.
by (type ot tlocument, i.e. - property tan bill or daed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
Date: 'V .0
'� ' Enpires: -U •O
❑ I hereby certify that no excavation five (5) or more feet in depih into which e person is requiretl Io descend, will be made in connec�ion with work euthorized by Ihis
permi�, and �hat no building strudure, swHoltling, falsework, or demolition or dismantling ihereot, will be more than thirty-six (36) fee� high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Tltle B, Celifarnia Administrative Cotle).
❑ As owner-builtler, I will not employ anyone to tlo work which would require e pertnit from the Division ot Industnal Safety, es noted above, unless such person has a
permit to tlo such work from the division.
Signature: Date:
Division of Intlusirial Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZ.ATON OF ENTAY: I certify under penalty of peryury Ihat 1 have read this application and state that �he intormation given is
correct. I egree to comply with all state laws and city ordinances relating to 6ulltlinq consiruction, and authonze represantatives ot ihe Ciry of Coste Mesa to enter upon ihe
above-descri6ed property br inspection puryoses. I egree not to occupy or allow occupancy of any building authorized by ihis permit until finel inspection.
CpDE t. INSPECTIONTYPE Ij�j� �$
1676 Fi:ed System Final Fire Prevention
1266
200
201
202
203
Pool Spa Finel
Final Re-Root
Final Block/Retaining Wall
Final Factory Fire Place
Final Sign
204 Final Demolition
Da�9
�d ' G i '�'�
Date •
sooe" ixsaeenoxTrve
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevenlion
220 Final Planning Approval
222 Final Site
250 Final BuildingiOccupancy
I�7.11�L•Y�tiL157
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DtVIS10N OF RUILDtNG SMGTY
CITY OF COSTA MESA
� APP/KOVI�tU ,
/Th15 S8� Of pWr.� anC S�etif �C�{y�
Inakeazry�am�.<<,: ae�ratiau wMoU
yid Safety, L,:Y c".csiz rMsa.
1h@ 5t2mUrr .+Mis Dv� anG specEiCaAims
.__of U�g violatie.^.:,; any G��is�ons ol any Crty �
�hese plar�s and permA sha11 exp've Ey limil c
,ir�� no� r.nmmenced and maintab�ed a �
,� gC���
/
,�� d � �3
Ofl UIIS � 2I 3� � 5 afld 0 iS IN�3111�I�
a pertn0 0����
esa Oidinance anNor Siate law.
y�prne a�9 2nd vpi0 it Ih¢ btid0iig W
4303 (d� �dnn teo aay: at iswarxe.
� Ag'�'I$�`��,D
CITY OF CUSTA MESA
PLANNING.DIVISION
SUBJECT TO�BLDG.,DEPT. REG.
NOTE: ADDI,TIONS,tDELETlONS,
OR CORRECTIONS SHALL BE
APPROVED BY THE�PL�NING D�
, "� ��
. 23
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i�in�� StRu�n�Y
Z��{Z Ox-�aR� ��nr
2]3] 46
� °� L'�,� ��eo� �is�:�� �u�i�ia�L
BUILDING PLAN REQUfREMENT'S
FOR ATTACHED PATIO COVERS
(Note: Detached patio covers require an engineered designJ
� i Post
� , (�YP )
� Edge of —
� � i patio cover
LL � �
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Owner
Address
�2 P.L. Feet
�: �,�: i��� r . '�� '�
'�PROPOSED STRUGTURE °
� ��
House
❑3
�
Garage
❑3
❑2
–i — —
�2 P.L.
$$B'��t
1❑
❑5 ❑5
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Scale: —" _ —
INSTRUCTIONS - 3 COPIES MUST BE SU6MITTE�
Using this as an example draw your own plot plan on a separate drawing.
1❑ Show owner's name, project address, north arrow and scale. .
2❑ Show and dimension all property lines, easements and driveways. .
❑3 Show tocations of existing and proposed structures, including all setback dimensions
40 Show dimensions of proposed structure.
5❑ Show setbacks from property lines to proposed structure.
(3'-0" min.; verify if Planning Dept. requires greater setbacks)
❑6 Dimension overhangs
Lattice Cover .
Lattice
� Lattice
Rafter
Joist Hanger
Ledger
�
�
2% Slab "
Slope
to Drain
Lattice
COVBf
Rafter
Solid Floor Cover
FRAMING PLAN
26 Ga.
Flashini
Roofing
- Roof Covering
Roof Sheathing
�� �2" Sneathing-
x —�
Header Rafter—
� Joist Hanger
� Post , _ Ledger—
Footing
SECTIONS
• •
i
SPECIFY LUMBER: � DF ❑ Redwood ❑ Hemfir
SPECIFY GRADE: ❑ No. 1 ❑ No. 2
CONCRETE: 2500 psi min. @ 28 days
CONNECTIONS: ICBO approved or equal
DETAIL OPTIONS
Check the ones that apply:
Lattice Cover.�./
❑A ❑B [�jC ❑D ❑E C�F
Solid Cover: F
❑A ❑D �E OF
Post
AnChor Post
_ 6" min
�'.; . . . Footing
��rt':. Depth
PAD FOOTING � A
750# max
per post Pas�
6" min
,.'T-s�n,s �
SLAB FOOTING � B
3b z% ?x6 Min � JoisJt
� Slope Fascia /
to Drain Existing Anchors
wa118 Z�_p^ g�_p� I
Solid Roof roor
COVO( Max Max Span
1. Roof covering: Slope:_ 12
2. Roof sheathing: �� Maximum spans:
lattice: 2ix�i @�" o.c.: 2x2 - 6'; 2x3 - 8'; 2x4 - 10'
solid: " CCX plywood or _" lumber: 1" - 2' - 8"; 2" - S' - 0"
3. Rafters: �x� @ �" o.c. ,�Single ❑ Double
4. Header: x m �Single ❑ Double
5. Ledger: ^x (2x min)
6. Fascia: x� (2x6 min)
7. Post: �x (4x4 min) Raise 1" min above slab surface
8. Footing: x� 12"x12" min for up to 66 sf tributary area; 18"x18" min for 67-150 sf tributary area
� � " depth (Expansive Soil Zone ��
9. Slab ' " thick (6cpansive Soil Zone _�
10. Connections: a. Joist�to Ledger - Metal joist hanger
b. Joist to Header - Solid blocking with framing anchor
�oubled joist or header to post -(2) 1/2" dia. thru bolts w/ washers
oist to Fascia - Metal framing anchors each side
(min. capacity = 0.5" joist span 'joist spacing' 15)
e. Header to Post - Column Cap
f. � Post to Slab or Footing - Metal Anchor/Post Base
g. Roof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Field
EAVE CONNI:CTION I C
t/2' z 5" �Joist
Lag Screws �
p i s' o.c.
Existing Joisl
wall �Hanger
�LeAaer
WALL CONN ECTION I
�- �Lattice
-8olis
Rafter �ummy Post
: =- iuppart Post
� 3eyontl
RAFTER/HE/ ,DER
Roc' Sheathing
or L ittice
�Rafter
Framing
Anchor �
Each Block
Header `2 x Blocking
pos� -Column Cap
JOIST/HEAGER F
2]3346 bad 199] UBC
t��s �D x�P Q�Q X �f f�Fm�i � r�o �, -�
!
SPAN TABLES ����`��" �` �t d° � I�� l� �� S�''`
LATTICE PATIO COVER
DESIGN LOAD: 5 PSF DL + 10 PSF LL REDUCE SPANS 20% FOR HEM-PIR OR REDWOOD
RAFTER SPANS MAX HEADER SPANS MAX .
DF NO 1 DF NO 2 SIZE DF N01 DF NO 2
SIZE SPACING "o.c. SIZE SPACING "o.c.
16 24 32 • 36 48 60 72 16 24 32 36 48 60 72 2 2X6 9'-6" 8'-9" .
(4 10._�.. 8�_9" 8. �. �. �" 6'-10. 6,_6,. 6'-1" 2X4 9.-9. 8._�. �.-9. ��_6" 6._9• 6._3" 5'-'10" 2 2X8 12�_�" � �.3"
(6 15._8" 13.-8.. 12'- �-' 12'_0'. 10'-10" 10'-1" 9'-6" 15'-0" 13.-6.. '_ " 11._9.. 10'-8" 9'-9" 8'-10" (2) 2X10 14' 9" 13. 9"
(8 - 18'-1" 16'-6" 15'-9" 14'-4" 13._2.' 12.-1.. X8 17._9" 16.-1.. 15'_6" 13'_9" 12.-4'. 11.3.' 2 2X12 17,_7" 16'-0"
(�0 - 20'-0" 18.-1" 16.-2,. 14'-9" 2X10 - - 19'-6" 16'-70" 15._7" 13.-9.. 4X6 9'_7.'
2X4 10'-0,• 8'-9" 8'-0" 7'-8" 7'-0" 6'-6" 6'-1" 2 2X4 9'-10" 8'-7" 7'-9" 7'-6" 6'-8" 6'-4" 5'-11" 4X8 13'-2" i12•_B"
� 2X6 15.-9" '13'-9.. 12'-6" 12'_0'. 10'-11" 10'-1" 9'-6" 2 2X6 15•_5„ 13•-6•• 12•_3•• 11•_9•' 10'-8" 9'-9" 8'-11" 4X10 •-7"
�2X8 - 18�-1" 16._B�. 15'-10" 14�-4.. 19.3" 12.-1.. (2)2X8 - 17,_9• �8.-1.. 15.-8" 19�_t�.. 12�_y" it�_3" 4X12 19.4.' 18.1
SOLID PATIO COVER C°� I�' �/
Q �` (�'� '' �
b
DESIGN LOAD: 10 PSF DL + 10 PSF LL REDUCE SPANS 20% FOR HEM-FIR OR REDWOOD
RAFTER SPANS MAX HEADER SPANS MAX .
DFN01 DFN02 SIZE DFN07 DFN02
SIZE SPACING "o.c. SIZE SPACING "o.c.
16 24 32 36 48 60 72 16 24 32 36 48 60 72 2 2X6 8'3" 7'-8"
(4 9'_1•' 8'-0" 7'-2" 6'-10" 6'-3" 5'-10" 5'-6" 2X4 8,_10" 7•-9•• 7•_t" 6'_9" 6•_2" 5•_8.' 5'_3" 2 2X8 10'-6" 9•9•' �
(6 14�3" �2,-6�� ��,-4" 10'-10" 9'-10" 9'-2" 8'-8" 2X6 14,_0.. �2._2" ���-�" ���-8" 9,_6" 6�-6�� 7._6. 2 2X10 12•9•• �2•�"
{8 18,_9" �6�_6" �5� �" �4� 4" �z.9., ��.6" ��,_6" 2X8 18�_6" �6._�,. �4�_8" �3�-9" �2�-0.. ��,_8�, g�_9" 2 2X12 14' 9.' 13' 10..
d10 - _ �g� ��� �8. �" �5.8.. �4,_�" 12.9.' 2X10 - - p._10" �6._��" �4._�" 13. 1.' 12' 0" 4X6 8.��0" 8�-y�.
{4 12���" ��,-6" 9'-7" 9'-2" 8'-4" 7'-9" 7'3" 4X4 11�_9" ��,�3" 9.-q�, g._p.. g.-p° 7.-7" 7'-2" 4X8 iT9" ���A"
(6 19' 0.. �8� T. 15�_t" 14._6,. 13. 2.. 12. 2" 11. 6" 4X6 18�_T. 16. 2" 14,_9" 14�_7� 12��10" 12,_0" 11. 3" 4X10 14, 4.. �3� 6"
(8 - . �g.9„ 19._�,. ��,_.�,. ���_�„ 15._�.. 4X8 - 16._�.. t4._8�� 14._��, �Z,_9.� ���_��.. ��,_2�� 4X12 i6�_9. 15,_8„
1997 UBC 2]33�46 TaDles
�
•ooxessaewiomc: 2542 OXFORD LN
°""Eas"""E"'°'°r'": AMY HAEFNER
AWNE55: ZSQ� OXFORD LN
COSTA MESA.CA
APYL. MIJIIlW ADONE55:
�xcxrtEc�ox e«u��n:
ACH. OX FNfi.'S /iD011E53:
cor�m�cTars ruue:
CONIFALTORSMNIlNO
AUOflE55:
uNr: CITY OF COSTA MESA — BUILUING PERMIT � ✓�� ✓
' PERM NO: E 087827
92626 PERMIT NO: E 087827 PLAN CHECK NO: N GOVT: N SOPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ADL
�`"0` JOB DESCRIPTION : ADD 9915F GARAGE, CONVERT (E) TO STORAGE SQ FT:
urn:
CLAIM VALUE: CALC—VALUE: GROUP OCC: U—i /
ucea:
UNT:
UCENSED COMHACTOHS OECLAH�TION: I hereby eHim uMer paneXy d perjury ihe� I em Icansad under D����a W Cheqar 9
(commendrq xiih Section 1o00) d Oivision a of �he Bwinem anC Prdeseians Coda. eiM my licensa w in lull brce ud ellaa.
CRY LIC. NO.: LIQ CLASS: LIC. NO.: EXP :
Daie: Conveqa:
OWNEF 9UILDEP OECIANATION: I he�eb/ elfiim wder perely G parjury Ihet I em ezemq tmn �he Gonvrfws liwme lew I« Me
Idbxeq ieeson (�� ]�1.5 Bus'vwee vd Prdettioro COEe: RM cry a munry xfiiM rpuim e pazmn io ooretruct. ellx, imqove.
demd'oh, or repei any smicWre. q'v io Ae'nwieze, abo raQuirea �M epplimM la euch permil lo fib e spmtl ele�emen� Ue� M a sha
n IiceneeE Wnuen� to �he provisione d Ile Conlredorn License Law �Chepar 9(oommeridiq wilh Sadion )000) d Div'oion 3 d �ha
Burirwm end Prdesaiom Cada� a 0� he m eha ia exemq thaehwn aM tha bmie la �he elleped exemption. My vuleiion d Sedion
)oat.5 by eny epplicenl i« e permn wbjeae the eppliceM b e civil penelry d na more ihen IHe huMred Eollen �5500��.
I, es owiwr W Iha properlY w my emV�e wRh weB� %9 �� ade compeneelion, will do ihe wak, end Ihe etiuduro o �wt in�enEeA
h o,an<,eer��acs�na,�ow.e����av,weasm�acoaa:m,co�v,co���aa�.d��a�oh��d,o�.mw�vam�
who builM or inprovea iMrean. end wAo Ewe auch wMc Nmutl a heneM a ihraph he a her own empbyeea, prwketl iM1et euch
impwements ara rwt inteMed n d1e�eE lor eda. M, howavar, ��e buiki'p a inprovemenl u eold wil�in ms yw d comdatun. �M
oxmmbuiker will hava IM buNm d provinB � a eM Ek rw� Wik or impove I« tM puryose d aeb�. �
❑ �. ea e,me, a �M ww«�v. em e.auanNr �'anrer,:ie ,vN, �ian.a comra.,ae �o m�u� me welaa (seeun )oa. annr,. w
Pedeaiom Code: TM Conlredm Liemx lew doea m� epply w en owror d propeny xfio buitls « impwm �Meaon end Ma
conv a �« suC� propea xnh accc///yyynnn rea«(e1.�Ke�saC wnuam to iM Contretlas Lirome Lawl.
Ieln� � p uMmS ion: /� 8.8 P.C..torNia imson: � � e
Dva: � /� � o�: Q
i e a�<ev o�my ind i�.wye a�d uiwereiend ma �ecu�remams m cmnomie Meann eiM se e�y coae seaia
provisione. 1
Dete: Applicant:
WONKER'S COMPENSATION DKL�NATION: I hereby elfirm uMx qreny d pe�jury ar d the fdbv.ieq detluetum:
❑ in...�e..u�m�a�n�rKmaa�m�o.�n;�,�ro.�d:wmpenWion.npwidedt«WSeeion9)OOdiMleEn
cad., i« in. venw�a a N...a+� �« �n m� a�n a n.�a. �
❑ i n.�e.�a w� �me:,.�n.� oon,o�w�, ��w�. � na���a M seaim aroo d ine �ee« coda. i« m. w�am.� a m.
wak iw v.hiM �his parmn iv iasued. My wakan' mmpa�setion inaurence ramm eM pdicy mimbar ere:
Cvnar:
aakv N�mw,:
(This saction naee riw be completeE s me peimAis lw one hvnEreC dWlers /Siao) a lexv.)
� I cenM �hm in the peAorm ca d iM wak iw whch thia permil b iasueJ. I ehell nd emqoy any pereon in eny menner eo m lo
become eubjae m iM wu�kere cwnqnseiion lawa d Celii«nie. arM eprae thei it I shaulE b«ome aubjea io iM v.wkers
wmpenxtbn provisiau W Sedion 3]00 d tM lebor COEa, I ehell lonhwnh cwnp�y wdh Ihoae pwiaiona.
De�e: Applirant:
Wam/n0� Fallun ro wcun wortw�'rompwvetlon covereps Is un4wN1, �ntl Msll rb/M en wnprloyw ro crIMIW psneltlu eIW
mm ��., w ro o�. n�e.w mo�,.�e eaa.,ls�ouono), �� .eeuro� ro m. �o.� or �oma.�„�an mm.w ,. ao•�e.d ro. ��
Sxtlon 9)O6 0l Ms lebor Code. /nfen�l. �n0 ettomsY'a /eee.
CONSTflUC110N LENDING AGENCY: I Mreby elfirm uMar penelry d perjury 1lat Ihen ia e eonsliudion brdieq epancy fa iha
c,n��� a�n� �� m, .n� mo ro�� �s a•�aa (sea�, sos�. cw. c�.
LENDEN'S NpME:
LENDEfl'S R�ONE55:
I cenity Ihe� I heve reed this eppikelim eM mma Ihet IM abova inlametion is rorted. I epree lo canply wXh ell NIY ��nry ad'vanrea
end steie k� mla�ing to buildvp cmmrudian end hereby eutlw¢a repreaentetives d ihia �ytoa�1er upon the above-menlioned properry
brinape iion purposes� �� / �
Z � S'
(5151�<b WP) Whito-Buildiip 8 Selary; GreerFle: Canary-App4cem: Pink-Revenue; Ookenra�Aseaeap
COMMENTS: REF:B-85773
******��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 BUZLDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARHING REQ: PROV: PARCEL: 19137328 ZNE: REF NO;
PLANNING NOTES>
i
if iE iE jk 1E iElE iE iF iE 9E ik iE iE iE if iE 3F if iE if 3F iP 1E if jE iE jf iE iF iE �E iP if iE jE �E �E �E �E iF iE iE 1E iE iE 9E 1F �F if 1F if i6 if iE if iE if if iE iE je iE dF iE iE iE iE i4 �F 3E �E jE iE jE 3f jE 3F iE
D E V E L O P M E N T S E R t,� I C E S R E Q U I R E M E N T 5
ZONING APPROVED BY � DATE:
bUILDING APPROVED BY : % DATE:
APPLICATION ISSUED bY: �� DATE: 2-
��*����������*����.���*���������� ���������������� ������*������*� � 4 �8
LEGALIZATION;N F E�E S U M M A R Y STRUCTURAL SEG ENT:N
BLDG PMT PLUMBING ELECTRIC MEr_HANIC FIRE SMIP/AES GRADING
YERMIT 31.50
508 SMZP/NON—RES
PLAN
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 31.50 22.00 0.00 53.50 53.50 .00
REVENUE DIVISIUN TOTALS--> COLLECTED; 53.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
53.50
iF iE iP if iE iE iE if 3E if � 3f iE if iE jE iE iE * iE iE jf iF ii �E 3f if if iE iE it if iE iF iE if if iE iF iE 3f iF iP �E iF if if dF iF iE 3f iE jF it 1F if iE ik if iE iE iF 3F 3E �)k �E iE iE IE iE 3E ic jE ik iE i(� if �Fjf
I N D I V I U 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 4 FIXTURES, LIGHTING 1 ST 20 EA. 1.00 4.00
ELE 5 RECEPT/OUTLET 1 ST 20 EA. 1.00 5.00
ELE 2 RECEPT/SWITCH 1 ST 20 EA. 1.00 2.00
ELE 1 RES APPLIANCE NOT OVER 1.0 HP 4.25 9,25
ELE 1 SUB—PANEL 16.25 26.25
END OF FEES
aa-ei-i9�aroz:aa ��iss�.��
kCPT�{:ul-2G227A4
PERi'1IT:087827
�
� CONSTRUCT�ON AND PLANNING � � POOL & SPA ,
APPROVALS Permit # Date Inspector � APPROVAIS Permit # Date Inspector
1. Temporary E�earical Service or Pole ' , 52. Pool & Equipment �ocation
2. Soil Pipe•U�d�grnd. . � . 53. Steel Reinforcement
3. Electricai Conduit Utility-Uodrqrnd. 54. Forms �� �
4. Electrical Co�duit-Undrgrnd. ' - 55. Electrical.Bondiny `
S.,Steel Reinfarcement 56. Rough Plumbing & Pressure Tesi . '-�
6. Electrical UFER Gmd. . 57. APPROVAL TO 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 Ploor System 67. APPROVAL TO DECK
11 . Property Sewer Line & House Connection 62. Backwash & Receptor-Fi�al
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing SYstem � Final ' "
14. Rough Plumbing ' -- . 65. Elecxrical-Final �
15. Rough Electrica6Conduit ' . 66. Solar System-Final �-
16. Rough Electric 4Viring Z � � 67. Fencing & Access Approval '
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING - __
78. Rough Electrical�T Bar Ceiling � � �69. POOL/5PA SYSTEMS PINAL
19. Rough Heating & Air Conditioning F�RE DEPT. REQUIREMENT
20. Rough FactorY Fireplace APPROVALS Permit # '
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventitating 71. Product Piping O Gas ❑ Oii
23. Gas Pipe-Rou9h & Test � 72. Underground Piush
24. Roof Framing � � 73. Undergmd. Smrage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead HVdro
26. T-Bar Ceiling i5tructural) & Monocoat . 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe
28. Lathing & Sidinq 77. PIXED SYSTEttA FINAL
29. Insulation 78. FIRE PREV. FINA�
30. Drywall tVailing HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat �� 79. FINAL INSPECTION
32. Electrical Power Meter-Finai 80. F00� CERTIFICATE ISSUED
33. Final Electric "-'�'li� � Notes: • �
34. Final Heating & Air Conditioniog
35. Final Gas Pipe-Test �
36. Hood o. CanapY
37. Final FactorV Fireplace ' �
38. Final Plumbing
39. Water Service Finai � j
40. Gas Service-F�nal � �
41. Solar pomest�oFlnal �
42. Backflow Preventer
_ A3. Backflow �rrigation �
44. Landscape Irripation System
45. Sound Attenuation
46. HandicaP Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING �
49. Electric Release to Edison ---
56. Gas Refease to Southem California Gas Co -�-
51. CERTIFICATEOFOCCUPANCY -
No Date - -
�
IODHE55'FBIALLZHR� LJyL VXYVt(L LN
WINFRflUYEIFIQIOWN:.�MY riAEFNER
„� �ooaEss: L7yL U7LtVttL LN
CusiA MESk,C�,
dPPL.1Wl1NG AUURE55:
urcxrtEtt ox uxa+ex:
�xcx.on yic:s�nox�ss:
CONIp�CTqfS NA1�:
ca+m�aars �u�wo
AUURESS
uHr:
7LbLb
uc wo:
uxr:
- uc.ra.:
uxT:
110ENSEO COHfNRCTONS DECUINATION: I Mnby e11im ivMx penelly d pwjuy Nel I am I'cemeE urder prwisiona d Gheqm B
(oommeni 0 vNh Senion'l000) d Oiv6on 3 d tlro Buvmaa and �esebru Code, ud my 4oeme o m hA bcs end eHetl.
CT' LJC. NO.: LIG CIASS: `11C. NO.: r,X j+ �
Ome: Conb+aw:l
iWNER BUILDEfl DECLAFATION: I he�eby effimi undar per�etly d parN�Y �� � em e�mq hom ihe Comrwon liunae lew lar IM
Idlawip reecon (SeGion ]W 1.5 Bus'viesa eM Prdeaiom Coda: AnY cdY a oouMY �� �Vuirea e permil lo consbuct. ellx. impova.
Eemd'oh, w repei eny eViwYvre, priu lo ib ieuence, ebo requiraa tha e'pplcan� Im euch pxmn �o Rb e eqrod ewemam �het M a aM
ie Ibensed punuenl to ihe povoiona d Ihe Coniredwe lkeiva lew �Cheqm 9(oommena�p with Sedian 1000) d 0'v'aion 3 d Ihe
Buzrov e�d Rdwiona Cada� w ihm he w+he e exemq Iherolian eM the beaw fw the albpaE uempion. My vulmion d Seuion
)031.5 Ey em/ eppliuM la e petmR wbjxif IM epplicei�� �o e dN penelly W nal mae Ihen Rie �
;p �.e.o�,winsww«�r«mr�ww"r.d�,vn�mma:.aa��. umm.
or Mered la eeb (SecYon ]OW. Bucnesa eM Prdmaima Coda: Tha CoMretlan limree Lew
wna bulEs «inwa�es �he�eon. eM who doea euch wark h'vosaM «hvaM a Nraqh he n h
imprwemenb are roi inteMed arWded la vele. tl, howaver. �M buitliip w mpo.emeM w �
ownerbuiMx will Mva Iha WNm of paii�p M or Me Eid ml WiM a improve ta tM puryo
� I, m ovmer d Ihe P�Po�Y. ��tlusrvely,cantretln0 �h licenaed cunlreclae 1
Pmfeavions Code: Tha Cantreaae Licenae law doee na eppy �o en ow�wr
conVecie /a wM prajads wilh e mniretlar�s) IcemeA pursienl �o ihe Cont
I uamp u�dar Sacwn: . y B. 8 P.C.. for N'v ree.von:
o�,: I • 'I- q� • �
iM swnum b
e d eele�.
v�i� IS
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i M cenM mm i em e.are a ena ww��d in. �a���em. a cd�ome Heenn,�e smnv coes s.a�. z
, end Ihet I a e�ry Mun WiWi�q arupeM wiil / w1l �ql (cucb ma) neeE to tanply wY� eeid eleb caEee eM IM
ome: noW�:
WOHKEfl'S COMPEN4�TON DKL�RATON: I hereEy effiim under penMy d pajuy me d Ihe lollowi�q Aetleimum:
� I Mn eM xii meinten e cerlTcab d muem io seXimure fur vMa�e' cwnpmwion. m provided In by Swion �]W d tM lebar
coa. r« me �do�.�. a u. wx i« wi:on un �n o��e.
� I heve eM xil meinten x'oMa' wmpereetion imurence. av raquimd by &aqion 3)00 d Ne lebar Code. br ihe pMamenca d iM
work Iw which Mia pe�mil is i»uea. My warWn' wmpanaetian inaurence umer eM pdiq number are:
Cemar.
Policy Numbar.
�rnis sec�, �a.e lar w cw�W.ree r me �».mr u ror rne nuneree eaian /srool w�c./
� I cenly Ihet in iM parlwmerce d Ihe wak br whch Ihie pumY ie eeueE. I ehell iwl empiry enY Pe� ��Y mvmer eo n to
e««�. wqea m me ��.e• m�w.�w� m... a ce�aomie. �d eu�.. mm n i.nowd meom. .,4� m �ne wonw.•
�oe�m�m o��. a sec� s�oo d ine imo. cma. i.n.m m�n.nn canoN •,m, mv. qa;e�,..
Data: Applicanl
Weminy: Fellun ro�xun workeri mmpaiwtlon rovenpe Is unlewN( �nd �hall �uDJect en �mp/oyw ro crlMml penaltlu uM
elvll llrw� �p M are hundretl (IpvuM Collen (S10A000), In etldltlon ro tl�� ro�f ol mmpsnsetbn, tlamspu sa provltlsd br In
S�ctlon 9)O6 0l Ms LeborCoee, Inronst, entl ettomsy i/su.
CONSTAUCTION LENDINO �GENCY: I hereby �im �Mx peeuhy d parjury ihel Ihan ie e mnatiudion bMiip epar�cy br tM
ppf�CTIBIIM 4� 1�10 NIXk �IX M�1�1 Ih6 pBf1111 m 6811G4 (.�b.910I1309%. CM. Ci.
LENDEN'S NMIE
LENDEWS AOUNE55:
I ce�M �� I hce read Nu epplicatbn eM Mme Ow Ns ebwe iMormetion o oorietl. I epree lo mmpN �h dl wry uM couMy ordinenoei
eMeielelex9ielmin0�a�+iMmpconmutlionendherebye c'erapreaenteiivesMthisaryioanlxuponiMebo.e�maniionedpope�ly
la insreabn py�,m a. l'. HK 1 S !��"ily U li t
Mt e /
__ .. � . _..._ _...__.�_..-__.—�_ Dme: /f ��
(5151d8 W P)
Rnk-Revenue: Gdden�aFbamor
l_11Y Vt lVS1H Mt$f� — flU1LL1�`!t'v Ytttl`ill
YtltMl l 1VV: tl Vt3� %%.S
rLAN CriECri NO: "v412d-97 L
— D �,/
rErcM NU: n G8�77"'
GOtiI: iv SUPP: N
C,UNS1ttUl.l1VIV lYl't.: V—N F'tt(1`11! 11'Yk.: S11t YI.1ttYV5t.: ALL
JUH Lt.Sl.itlY11VN : A1J1J 441St l'�At(l�Gt., I,VIVVtltl ttl lU S�1VtlAl'�t JQ tl: 441
Ci�3INi vALuH: S,G'vv."vv I.ALI.—VALUt: `J,4i31.5G Gkuur GCC: u-1 i
l. UMNI [.1V 1 5; 7{
............................... ...................... ...............
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� G N i N G R E Q u I R �. M E N i S
5 E 7 b A C ri S
_________
--- NiAIN nuILuING ---------- --------- ACCEsSORY tfUlLUZIVG ---------
tttNl : 77 t 1 1N t(tAtt: t 1 l�`l ti(IV1 : t 1 I1V t(tF:t(: t 1 l�V
Lbt 1; t 1 l�`1 t(l'�H1 : J Y! 1N Lt.t 1: Y 1 1fV t(G1-11 : t 1 l�V
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9C 9t x ft'R F x x F 9t' 1! x l� X F F ft' 9�'R'F x'T lt ]t Jt T' T' Jt'Jt'R x'lt ll' R 1t'R R' X f' J� X'It'/F'F'!t'R'T 9t lt'R'It lt 1[")t 1�')t 9C'h'R lt F Jt X�T �'lt x 19C t'R'!t J� lt lt x x Jt
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IU1�1LS----> 1bJ.2V Q.QV � 1V5.'�b
xEvENufi LIVISIGN iGilais--> CULLECrEL:
IiLLIa YM1 PLiiMbiNG ELEl.11tll. MECriANIC
IbL.2J
1V1AL YAIL LUt
LbB.Ub 2b8.bb ,UV
1bJ.2V VVE.ft%SI'IVt(T: .VV
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E1vL OF FEES
' /�
/ X
11-17-1997/02:15 Rfl/f163.26 ,
kCPTq:01-031553�
PERMIT:085773
CONSTRUCTION AND PLANNING � POOL & SPA �
�„�PROVALS Permit # Date tnspflctor. � APPROVALS Permit # Oate tnspector
•
i. 7emporary Electrical Service or Pole 52. Pool & Equipment Location
• 2. 5oii Pipe-Undrgrnd. 53. Steel fleinforcement
3. Electrical Conduit Utility-Undr9md. 54. Forms
4. Electrical Conduit-Undrgrnd. ' 55. Electrical Bonding
5. Steel Re�nforcement (.rZl`� �. 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings �/i�..�''7 �,p,�i 58. Electrical Conduit-Undrgrnd.
v� � r
8. Foundation L� �y�,n �' 59. Gas Pipe, O Undrgrnd., Test �
/_�
9. Water Pipe�Undrgrnd. � L�/L_Q'7 60. Backwash Lines, P-Trap, G� Undrgrnd.
a ��
10. Structural Floor SYstem 61. APPROVAL TO DECK
i 17. Property Sewer l.ine & House Connection 62. Backwash & Receptor-Final
�Z• Sa`^ie� CaP � 63. Heater & Vent-Final
13. Roof Drains � � 64. Plumbing System � Final
74. Rough Plumbing 65. Electrical�Finai
15. Rough Electricai-Conduit � , 66. Solar SYstem-Final
16. Rough Electric Wiring . 67. Fencing & Aceess Anproval
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING '
16. Rough Electrical•T Bar Ceiling � 69. POOUSPA SYSTEMS FINAI. �
19. Rough Heating & Air Conditioning _ �� FIRE DEPT. REQUIREMENT �
20. Rough Factory Fir,epiace � � APPROVALS Permit #
21. Oucts, in Structure ' 70. Underground Hydro
22. Ducts, Ventilating � . � 71. Product Piping � Gas � 0�1
23. Gas Pipe•Rough & Test � _ � 72. Underground Flush ,
24. Roof Framing . 73. Undergrnd. Storage Tank � Gas ❑ OII
25. Roof Sheathing �.�.Lf G', 74. Overhead Hydro . �
�
26. T�Bar Ceiling IStructural) & Monocoat � 75. Dry Cheinicai � � �
27. Frame and Flashing . 76. Ory Standpipe .
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation ' . ' ' 78, FIRE PREV. FINA�
30. Drywall Nailing HEALTH DEPT. RE4UIREMENT
31. Piaster B�own Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 60. FOOD CERTIFICATE �SSUED
33. Final Electric . ' Notes: �� ��'�. �� �
6`�' 4�l�/O�
34. -Final Heating & Air.Conditioning , .
35. Final Gas Pipe-Test
36. Hood or Canopy - .
37. Final Faaory Fireplace '
38. Final Plumbinq '
39. Water Service-Final� :
40. G8s Service-Final �
41. Solar pomestlo-Final ' �
42. BOckflow Preventer �
43. BBckflow Irrigation
44. Landscape Irrigation System �
45, $c>und Attenuation �
, 46. Handicap Re9ulations , . � .
47, FINALSTRUCTURE&BUILDING z-q�.
48. FINALPLANNING �,�
49..Electric Release to Edison . _
50. Gas Release to Souther� Catifornia Gas Cn .
51. CERTIfICATE OF OCCUPANCY '
No. Date
I/ ..o. a��a c,�...> c�.��.. c.ro.,>:wo To: +�; ,.i.w r�. x�rs io..a�, a.W.�> u. isva a:o�:m rx�
Jan :2 98 OZ:38p Contrs_..or Department 714Z3P"'?59 p.l
Jan-12-9$ 02:30P qPA - T50 $53 565-7265 �
P.02
Rcprodueed by APA - 21fe Engiaeernd Wood Ascociation vith permission oE:
� (CBO Evaluation Service, Inc.
y""' � 53b0 WpRI(MAN MILL RDAD • WHITTIER, GUFORNIq9D601-7299
•� �� n subsrd�ary �o�po�non ord�e lnternational Conference of Building Officials
EVALUATIO� REPORT Re�"°.,��
CopydgM O 19451CB0 EvaWiNon Savkr, Inc. HB755UCU MOV@rtiDOf 7, 7995
Flllnp Caroyay: BUOF 1YAU p90 FLOOR nANElS—Wood (218)
W.YW�DO 9PECULLIY PRODUCT6
AP�-n1E 9t61lIFER� WOODASB0Gl1iIYH
POSTOFHCF 80X 117u0
r�w�n, wesxn�crox aeh�
I. Suela�t flywnod Specialty Produep.
I I.9pOfIp904: A.i� SWlnp.l.3a{ SiGlnp Is menNaaured ham pFr
wood of tha enarior rype whleh meeta tha plutrbond plhOrmance ta
qulremenm ol Vrm�ei Suntl�rC PS t-9J ror enrmtnktlon aM IMustri�l
pyrwno0, and slell Ee orro of tha followlnp;
a. GndaGCorbetterca�farmi�toU.B.C.Staridord23•2.
b. Openinga in Ra vaneers aaed tor S• antl apy pmeh 9mtted �o
cpen 9p1i6 up lo V�s inch witl@end otl� opEnln� up tp �11 by V=
Ixh.
c. Ovcr�aiJ perre�, �oMormapm U.&C. Sbr�rd7i�2 wtoVS t-&1.
7
G. P�nNsmeathip�de�epulrame�sOfpanprapAea,bazidcabare
uut noncontartn m ll.B.C. Sknaartl Y8-2 Dy renon ol apeelee.
8pedes nm �ovl�e0lor m U,B.C. StanderG 2J-2 may De usad in
303 Sielno D�as, suWecf 10 tne fmm«inq eondi6ei4:
{i) Species proup a5lpnmeM eNil bp esqNlsDeG for pS 1-83
syMfB ptouP��q� � G��7P 455�A�IIIIIMt WIII pOv81P Use ut
meapeebs for imror plKs eM Wqw�scovaN0yt01t fpai-
nanon.
(I� P�nels manuUCWnd wIN un6s�ed e�tles inr t� ehell Ee
Idemified by the oomman �me far mat apaelss.
(ia) ThereshdlbenoretercnatoPSt-&91nNrepaneftrtdana�k.
2. SiEinp ptnels initMM for ElRtt apdke6oa 1e Cu06 sM1aciO 16 un
ches an Cemer 5112'1 wnMrm W the t0lowirq npulntnenb' (PanBIB
m00tlW theROtdremenRai3 e�SopualiA� fot df�l eDOAraCnoto cWAs
spatEO 24 7ncAp on arthr).
a P�MIs S'iall IIEv2 an arN�181ke1o10ff Ot n7t �t9 Oun �/i81nd1 iA
airy 18 itcti alUN.
D. wnen ho cropbene 4yua remmn htact, fdt mWmum thkknass
af vosseandinp:twtl nat be bs8 thaa �li�-IneA Graup 1. Y a 8 7pedes.
c. Wnen adY one crosshantl kyer �amalns ima7.the toNowl�ry nOW2•
m�d8 Wdl apply:
3. SlAlip pmc� Irtle�daE (pr d'vep appllcalion 10 cWd9located 24 in-
chp� om m�tor ahalleo�wmtOtlaminimum requuements M 3a. Mrouqh
d or Ne special condttlaa ol S 0.
a. Pe�s shnll Ce minlman yty rnnrirucuwi. Fourpry ptroJe saall
not e�d s!s Inch in nweYW thicknecs �Id tmurl�p sheil uof aAend
inlo Ne Innar liyu Poneh oT firo ot mwa Wiec slwi iwve at teast Swu
CrosSEend iayers romalNnp I�q.
6. MlMmum net�aneltN�lurossatacrypoMtshap De ��7� inch (nn mi-
nue tulem�loBj.
a Pilla9 phall N&�e an iYNtpathicWlpq pt a0t k18 Ih80 �f�s inch in
otry 2�•mCA wl�h.
0. Th4,'M�l68 Ot crossCaBdMp ihdll MA DB 1i95 tlen �/�p InC�.
e. Po�s sOdl hare a a7dldnum a}fivt qllesard e nominal tttiekness ot
t�/R u1d10fmOfa �IIie�Bu7W III ungfooyBA i�ms)� wIM p�aoyas iro wider
Men P/t inehandepaeed an cbsar then 12 indhes an certtec Panels shall
+neaz No reQW�eme�as o1 Aem d, �. 7 or81n Ua ahove teble.
4. As an ehem�t! 1p 2 a 9 eEwe. 303 Sid�npp�tMls ar �D sidinq In-
OOnCed tar da�l app6atlon m atutls apatM 161nche3 u 24 i�xfres on
oenter Well conb�topalcmunW teslioB ProuhW�n 1or APA-n1e0 siC-
Inp qN� In aPA PRP-IOB Porlaminp gyn�rdf an0 Pdiaes f� Struc
tura�wse Pmeto.
b. All produ�aivn d tlds c�le9ury 61WI � aYDrCWIatHjr derd'Ak0 Vdth
MAPA 02tlHfedemeik heoAAptE9 uoUtiOn'303 Sidfnp' or'R�ad Sd-
inp 305.-GndMqdemub iwo8�ls nm�fap �ee nauiromeu6 of uera-
qrzph 2 W 4abweEAalllrc4We tlntdpRbnal �roCnion"1@irlCha on pn-
tor.• Gradeir7Uauwka fir0anlis IuglAiep tne requl(ement Ot Nra9��
3 a 4 ebove shall inchde iho a0dldon� nIXttlon'2C i�rtes m cenur.•
B. 303 Sldiflp WM e mwimYm ID�INtl4 Se! fpth In ItB1n Z sAall DB
�pSietl In e�rdanee wHhtlre atud apauop inOtated on t�eqnde-traEo-
maA4 � thet a� slalnp mey Oe aDWaO waratu0.s sp�e 24 mG�ea
an c6tUer if epPpeE wIM Taa qaln horizOnql or A wer one ot die lul�v-
1�:
a. OnNncn Doam snedhiap.
b, (nr9e+lpMhtlnc� ar �N�I�h 3'Ob C�YWOcd shwMlrp rc'th
hu prain eheaWoY P�dku�arm etuCa
a Frtten�tldipnse�ancA 4 ar 5yy plyxppE snptAinp witb
�dC9 Yltlrt O151a�tl11rt0 Gpa�! � p@ryendlNlsflO QUCS.
tl. ONeflatedsAsaWlh ISIp��161fedwhhP82-B2,NEA•iQ80r
PHP•108MNnpa� �'momz�bcneso�orea�,wantne
�aq pmm dimamloo pas�lu w vRDa^acaar m�ds.
7. 3ai S7�np paMB a�r ee applfad eNfix dneR ro trami�p or aver
6�OaCMO riCwu[ GuimnO Da�er. Of0�l0ed �I Wdnp Joints omrc over
framf�p anl are a�CteO Mith awmlmmuc wood Wn� �oo�aveu w�dh•
tryw. nanina w`q�al ar
t�.mmv.,.r..«Nrcroswuwa..s.r.k.. r.a..n e...ewnprol..w.Wr.da...crmw...a«�Nuso. �ms�vur..r.+,y...nw n�..�n
u1�od.6w6vrLe.qart+w rtuMeaulrp�fureprtwtlyo�elpMnwNqoNnmiOmeN IM(qa$a!lwn�f �aaunwbra.r�ro�we:
drY� Jor ut af n11 a0jni .epen.
71mi.pwe olmMWon iN.paduwmnaodeaWin(aaa �vWe�dbl W vs�. fiwlCanflr�8r4� sn.4. Bx»r.ahamlra�lmr,.wevdW
Nunrv4� aWNraMnMa Dr�an�etD�nR�a�W mr h0�.�rr�etlrmfo+77rwb�o wnqdillCBO Rohatm.Sml��, bu. �+PR+*
wLmJi.daroan'Fle(la"dwlwrwWtaG�lMreslamlvaipP�r[.wl�ldAJ�NI� ��':u���..aM6+wlad�dw.wrn�d+�J'.
Pap� � d 0
r�yu: AuWa�und Gatenay CusNwzr Ga4wy 2000 ]'o: avtl; salem
3an:12 98 02:38p Cantr�..tor Department
Jan-12-9H 62:30P APA - TSp
Page 2 ot 0
Unlform Bu�d'utp Co�. Stfillp �Ip Inch ot lets in ihicknesl mey he i�r
sh�edoverfaamahmihing uptotlnchinihlcknees,uat�80W1v71�
Om naiis, Si01np ptWt� 1'�an'IQ inch In tNdu� appNed arer t�m
gfga�hinq shali be 12&aNd wk� 1pQ �nIAG pOJ; fi986.Otlfer n01lCOh
cuiiro Rnx nell5 may he ussd if rbqtl�t9 slleervalueqn mt requi�etl. The
foem shmth�np shall cnntam t0 Set9on 26� 01 tha co�.
meiao
m�y Da ap�t� over mVGW
e. atrm te m,de o. o�r
W�ffNf WOFaDD�A'o7 Wilh WeCmp mWlwos S+e�� oa
�rovetl weatherrssi�ive �rtier seall ha us1O DlMapl
or '/iclnM sidinp, 120 t3'!� brcAl9aift lar
Nfi� far pp 5idnp over n�laG1B BAeathln0 ���4 �
;emer alo� me eottom edpa NUnimum 6ead hp is t inch.
g. Stceervalu� Inr�3 Sidtrtpqaaal�stmU6eeqqipenlaTa6k25�1-K t
of�heUiu76rn191d�dinpCOdetarplywopQplMl6idirq9pppeddt lo
the swtls or ava �um sMaMMp, as not� la TaWe 25-I-K-1. Th -
ness el paftrt Of nailinp al parrel edps detemanes apD�bk +�Iues.
10. 393 Sldlr� WPllea ares ioam sAettAl� ea �eeatG90 e6ove on
etupcspacadeiAieri6m24im�es on�MarwBh py�umwallhoa�d'rn-
stllkd On fUe inimipf is an al�r+akto N@ CQIpViNC110R 7Q8diw,�in $eC•
tion 2326.11.3, �tem 3 ul tAe UNform BuOd)np Code.
71. far usascrotl{tAeaqd� wRll tAeun�rside sxp�ml.4eaNpw3Me
11� Imc fm 303510i� sh1A wntarm to iabla 1. Shea� vuws ehill M o
gwenmTmia 23•bJ�t atttrc �lnitutm8uedf�qCedeim qradeaetMrtlgn
Stn�Ctu�al I. Thidme9tM Ddnt o1�1a0 � Oaed edp� de[amt+wsaPP�-
cahm vLue&
t�. 3a3 Sidinp wqh a meAmien ll�iclmesa of bta imii and a mNimum
ttadcnessct �t�is�ch �ay he+eeues�finishmatast�aA�at�asslAmltc
naL�an nquirod APA p�adairademarka bafltirq the aotadan PS �-bi on
aaY 9�� VMa'wd 4� iMkiN qltt IfroY aze pasc IN mat9tl�.
B. Xip!-Icad Not�onbl Olap9rop�lP. Niphdoad haaontal Ela-
pNxama m7Y k�ratl to res�t nor4uM� k�cea t+ot tftcee�nC tf+oae set
10rth itl 7a6k 2. 7F» �hfBprt�B Bhp1100 COGB1NCled'Ifl �CCfddilCB Wlil
Ul8 RQI[!Ydl1CR19 Ot Ta6�9 2 illtl th8 BPPhC2G10 f8Q1�1R11N11b et S9d10n
231d.9 of IM codE, fBsleneR shall6e loqtetl es iAUstteted in f�wi 2.
Staplw slrell be Weoed wMh ths aawn p➢rallel W the 1remin0 rnembers.
The dleop�aGm muet � instelhd wiM spedal i�earon tl IiPoltetM
y Inspect tlro strunur�l wood p1Ml slreeMMp ro sumun wnettre� n a
dth� grade and U�clausa sncwm un Me drewMps. �ThepspeeW InaptGor
i156 mUSt C9t9m1IM tl11I tl1E IIOIIIfA81 wiOlA 01 h7 p�IN1Y �Y1iC0!
atad'pififOp p7nel edpas aplee wiih Ih8 A/0wi11p5: and iFYt tM al110fld•
pie a�. ena �enpui, me Rwnoer m ueanef una sv�G �
iNcatbds aWed in T�b6e2 a�N Fqwt 2 ot tltls rspmt.
D1aphngm Osllutivn s�111 00 CNNI6� in aCiel47ACe with U.B.C.
$ian6tN 25�2. Ti� eH u�W! (in ietluilOW M tl1e 6t�ie �iC aze af
�dbWa:
71423' 259
263 665-7265
� ..
P.�L
P.03
Aspert Na t9bZ
sawe[�tarawF a
��� ���
80 �11
80 A18
ioo .o2a
120 039
��0 .�3
180 ,DBB
G. Wlnd Bnbt�aw: �3PIYwaod �da�p�Wied�iraClFJtostuds isab
eqnais 26 �sat5t inx�d-SCGOp 16fCi4 ind OYflWlid-iq0q SOiCBs pUf�E
Uy wmn Vqalliae In RQure tb-1 m tne U�NOnn BuAtllao Code.
atacnln0 Lq��pm inlermeC�te sWGspwall comer5.
16H ot the COdCj, are apaced 8 i� on cenfer.
ar
mBBF
es ror
rwta-
Bg T�
hemC +RI a� Ruf�On 859em06e,5 desoMW in Ne �de, wh@n th2
lenpth of Natenua io atl�u6led lortla tddW Nict�as ot fAe WiW.
Tlu 1�/�-I�A a 14rineA MA•nrotl Siurtl•I-flo�18 a.G pfeels my
be SuEat�Tuted fa iha doubM�vuod flom �r p�Imer wrod-npor
connruction,
AFA mupury-ato pux�t. wdb a rnmmum nomind thkknas ot b�
Nch, hava a Glau I II tlnlah �aunp wlren dBiBC in BCc�Menoe with U.B.C.
Shndard Mt.
TM 1' nch ar 1'/i�nch tw+piis+�qravi attYCto�91-u�f�e�
With BX��9�W� mal OClWiUWk0I0YUrA G�� PeRMQB71n (!b
Codp tpr I�avy timber rop( � n Type IV wm4uctlOn.
E. IEiotltMAlan: Tlle 303 6ldkip la i�ndff� Oy 1M m� sAown h
flldDY'1YD�rtliflfS7hOWA FlqURnccovere�LyMicrepOrteteiGertti-
�u. hid�aw Aro1M�a:7�t d�, malenatapeaflcuions ana dosenp•
tlre amcliures are au6mitted,
Plndinys
1V.FIn4ptpK1M1 iM�d�f �flap�xnn�6 m 1lM Mwri
WmPty �Im Ih� t9W UMI�OeG PoIW%q �'.
m� mw�++� a�hbd m n�w�m►�a b� nre Yem.
TAlLE t-�IiOWMeIE uv¢ LOAD wn �W B�Iftti
Z�ippm.so� � hipctjn� a oP�e�ee0�oon e0�e �t nmimom
�Gn+ap 1 P�rb mryr yqp S2 )sAw.
�omAahe�uedGuexaYCurtwuerGa�swp2000 2e:�m4aJem x+Le�m�ave>W.�uuu]�a +o... .; ..
Jan :12 98 02:44p Contra.;tor Department 71423" ?59 p.3
.7an-12-98 02:31P APA - TSD
Page 3 ot 4
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�
Fl1TE� SNERTHI� FI�^
STNUCTU(IAl I
��2d T!{$21NCN
s�a ra snwr+�
EKPOSUflE 1
�....���.��r
�
To: .�; s�ls�n � 5 9
omAnWo�izadCuwvrCarturver w�.«,rz000 '71 423�
Jan�:12 98 02:45P Contre.:tor Department .
.lan-12-98 02:3]P APA - T5O 253 66b-7265 P.05
Pepe a of o Aeport no. �ysz
TAHI.E��gNenp�9flN.LANCNOR T�flNPpli� R�rmOfl B��.OAWnu�AaY6
a sm �� u»
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a 7 uo vm �uc
3 3 665 87� 475
4 2 'lA 9l0 10T!
a o �
iiw - -
iao - -
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ht m 6udCtuN 16y WI (uUawiuLl�'. U82 foe aP0.1et atQ1 tpeatk g�vlly pe�ef 11pia a a�1W m n.�2A.s ess �w O.N, me OEQ faf 7qOtNi w�bl/ptit�a
jnviry �n11Mn 4{2 AIbw�6k sAqr wue. iva.J m pw WY r! (w fui�� �a fumm� �nmben E1YN(� �sgCst6o=+ai1y d Qf9.
3MWtND$ a1q1j NkNmEWt hRnO(m[mMR: $Pete IImL II uYAa mMdC. El� 61Khb en e� M �pup pr�fer tlmJ3 io�ln.
�Fukb coefamint a U.B.0 SUMeid ri1.➢S i-vt w i+ER• i0e.
�7ws�mxjivaYeervdmifrcCs+al W27Aenlna+nwuaceppticti6kwCails].I.lam6.wvriaadhaemm��Ummrew�i���K•aaapwrdin
w�utl�ce wLR We bouoda7 �aleav sptuiylnd ONrWd tic mummo� �b+tn limiMd w 1�200 pQ
7I � — �._ � — —TABIE 2 _ ,�.
SPACING Y
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"'A— 9PACENO � —
�•Norw�nme�unea
PANEL�6E
�`�'��.���� Y.
TVPICAL BOUNpM7 GASiENINO
(Sliown H bro Ih�w NOOY�•)
��NO�SF�A97ECNEREtU[fEM�IwONS M��MUuuSW1CP10BE7WEENlNE3BESTW�N�INF.9pFNNL9A9NECE5SARNTOMA8Y7AWMMIMUM
q¢L1ilE1
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a
COSTAe I�iESA BUILDING DEPARTMENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
STREET
C.L. OF STREE
�
MAkIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAkIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
c
5635
FOR APPLICANT TO FfI.L IN
BUILDING ADDRESS � `� �2 �F�Di
City ry�.s%/¢ �%�� Ph. No.
Contractor___/�/�`�% ��Q s Ph. No.��
City Lic._No. _(L � � y' _ State Lic. No. �.�-� �/ 7__
Size of Lo+' AP No. Z7� /,�% �y
Setbacks: C/L Sireet ,Sb ii ge� D
Side Yard - Right � Left p
Type of Fence �P����l�isC `E.�.LL� /
I hereby acl:nowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
of
V;EIVED
,I�o �ys7
.'I DEPT.�' Q
)GTA MESA
FOR OFFICE USE ONLY
� -zo -S� AUG ?. 0
VALUATION
Permit Fee
p � Plan Check
$ --
TOTAL FEE
U,SE REVERSE SIDE FOR DETAILS
02 'r'
Applicant to fill in a11 spaces except those within heavy Ooraer Iines ane sign all appro0�iate tleclarations.
F coSTn mESA CONSTRUCTION PERMI.T
oJect Address
Applicant'�lailing Addre s I �% � M�
OwTr'sName Va�NGN Phon����Os
Address 2S�/Z �OXFa2� CiM
Arch/Eng. License'No.
Address i�F� %P C � L �
Convactor'sName F Phone ys-�6qi
Address (m '�' ,� �4�i i�QA�A # n �i M R�7Z%
City License No. �3�y%3 '
LICENSED CONTRACTOR DECLARATION
I hereby aftirm that I am licensetl untler provisions ot Charter 9(commencing
wiih section ]000) ot Oivision 3 oi the Business antl Professions Cotle, antl
my license is in full force an effect.
License Class �/�/� Lice o ��
�' Date ��� y • 5'9 t G/11.Q�
WORKERS' COMPENSATION DECLARATION
\ `�ereby aftirm that I have a certificate of consent to self-insu e or a certificate
Workers' Compensation Insurance, or a certifietl copy tnereof (Section
r�.� 00, �ab. CJ `w C �
v � Policy NofVYZ �y�-l/ Company,J�� �G��
Certifietl copy is hereby fumishetl. � �f
ateer ifiep qopyjs filetl wiqPPhc city ,'I�li g oivjsiop�-
W 7l� y'( '•7�CLt% �V
EXEMPTION FROM WORKERS' COMPENSATION DECLARATYON
(This section neetl nat be completetl if the permit is for ane huntlretl ($100) or
less).
1 certify that in the performance ot the work for which this perm�t is issuetl, I
snall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of Calitornia. '
Date Si9nature
NOTICE: If, after making this tleclaration, you shoultl become subject to the .
WorkerY Compen5ation provisions of the Labor Cotle, you must forthwith
comply with such. p�ovisionz or this permit shall be tleemetl revoketl.
CONSTRUCTION LENOING AGENCY - �
I hereby affirm tM1at there is a mnst�uction lentling �a9ency fo� the performance
ot the wark for which this permit is issuetl (Section 309] Civ. C.)
Lentler's Name
. Lentler's Atltlress � .
OWNER BUILDER OEC�ARATION
I hereby affirm that I am exempt trom the Cantracto�'s License Law for the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
any structure, prior to its issuance, also requires the applicant tor such permit
to file a signetl statemeM that he/she is licensetl pursuant to the provisions of
the Contractor's License Law (Chapter 9(commencing with Section 7000) of
� '�ivision 3 of'the Business antl Professions Cotle) or that.he/she is exempt
=.refrom and tne basis for the allegetl exemption. Any violation of Section
.31.5 by any applicant for a permit subjects the applicant to a civil
; enalty ot not more than tive huntlretl tlollars ($500).
❑ I, as owner of the property or my employees with wa9e5 as thei� sole
mmpensation, will Oo the work, antl the stru[ture is not intentled or otferetl
tor sale (Section ]044, Business antl Professional Cotle: The ConVactor's
License �aw does not apply to an owner of a property who builtls or improves
thereon, antl who does such work himself/nerself or through his or her own
employees, provitletl tbat such improvements are not intentletl o� otferetl tor
sdle. It, howevev, the builtling o� improvement is soltl within one yea� ot com-
pletion, the owner will have the burtlen of proving he/she diG not builtl or im-
prove for the purpose of sale).
❑ I, as owner ot the property, am exUusively tontracting with licensetl con-
Vactorsto constructthe project (Section 7044, Business and Professions Cotle:
The Contrattor's License Law does not apply to an owner of property who
builds or improves thereon, antl who contracts for such projects with a con-
Vactor(5) license pursuant to the Contractor's License'Law). I am aware that
proof of their Wo�ker's Compensatiom insurance shoultl. be provitletl to me.
❑ I am exempt untler Section B. & G. C. ior this reason
Date Owner
I hereby certify that I have reatl this application antl state that the above
intormation is rorrect. I agree to comply with all city antl county ortlinantes
antl state laws relating to buil ' g pnstructi hereby authorire repre-
sentatives oi th's c y to e above-mentioned property tor
inspection p
Signatur Da1 ��G /N's�j
Orivers' License or 55 � ��
TYPE OF CONSTRUCTION IJ NEW LJ ADD LJ ALTERATION IZi�REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTH � A,P.#
DESCRIPTIONOFWORK/USEOFBLDG. �' ��'
S Main Building:
TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front.
❑ TENANT ❑ LECpT�RICAL ❑ PLUMBING ❑ MECHANICAL B Rear
C�OTHER _ �V•Fp(�F � �:
PROJECT DESCRIPTION SQ. FT. ,� NI • oCCVaa.rvc�vI C Right�
CONSTRUCTION TVPE VALUATION $ 3p.�I- � g Left
ZONE GRAOING CU. YDS. ACRES p�ng. Ref. #
Remarks: Planning Notes:
3ar Sink
3ackflow Preventer
3ackflow irrigation
3athtubs
�larifiers - ,
�IShNYd5f1Ef
�rinking Fountains �
Floor Drains
Fioor Sinks � '
3as Service Outlets •
Interceptors
Kitchen.Sink
Lavatories
'—Trep -
Roof Drains � • �
Reinspec[ion Fee $15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0-700,000 BTU 0100,000
ReinspeMion Fee � $15
CMF 0865-46, rev. 30/84 Wnite - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl � Assessor
Showers
Service Sink .
Sewer Cap
Sewer Connection
Solar Collecrors�
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Cioset
Water Heater
Water Service
A uto-W ash
LaundryTrays '
Issue Fee
Hood or TYPeI ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑t00,000BTU
System Repair/Alteration
Fire Dampers �
Registers .
Issue Fee
FE
Automatic Washer '
� ConstructionPoleSub.
Cooking Unit
Dishwasher
, Dryers ❑Gas ❑Electric
$ 3
FEES
$ 3
Fan '
F.A.U.
PI%tUlES '
Device Bozes
Outlets •
Switches
Garbage Disposal
Generator �0-5 KW
Fee
Zone
Accessory Building:
Parking Req./Providetl
ELECTRICAL .
Transformer ❑ 15-50 KW
' �50+KW
Meter LJup to 700amps
Meter ❑over100amps
Sub Panel � '
Motors O0.1 HP 01 %- 8
Inc.Solar 09-15 HP �16-15+
Microwave
Pole Light �
Range
FEES
' Sign '
� Standing Sections +
5-15 KW Tresh Compacmr �
$15 � � Issue Fee
DEVELOPMENTSERVICESREQUIHEMENTS:
Zoning Approvetl By
Building Approved By
$ 3
Z
O
N
I
M
G
R
E
Q
M
T
S
SU M RVR F FEES '
BUILDING PERMIT $ � �V SMIp $ •S� �
PLAN CHECK _' $ .PERMIT -
PLUMBING $ ISSUANCE $�
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFI�M $
MECHANICAL $ TOTALFEE $ D
PLAN CHECK 25% $ -
CONSTRUCTION AN'D�PLANNING � POOL & SPA �
APPROVALS Permit# Date Inspec4or AppROVALS Permit# Date Inspector
i:. Temporary Electrical &ervice or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � '
3. Electrical Conduit Utility-Undrgrhd. 54. Forms� .
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding ,
5. Steel Reinforcement �. 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7. Footings , _ � 58. Electrical Conduit-Uridrgrnd�. , '
8. Foundation . , ,- ,•- 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd: ' '� -60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System - 67. APPROVAL TO DECK
11. Property Sewer Line�& House Connection ' � 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent-Final .
73. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing . � 65. Electrical-Final � �
15. Rough Electrical-Conduit , 66. Solar System-Final �
16. Rough Electric Wiring � 67. Fencing & Access Approval ,
17. Rough Wiring Sign � . • 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � �
'/
20. Rough Factory Fireplace APPROVALS Permit # "_ ���
21. Ducts,in Structure , 70. Underg'round Hydro
22. Ducis, Ventilating 71. Product Piping � Gas ❑ Oil �
23. Gas Pipe-Rough & Test . 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil :.�;
25. Roof Sheathing � � 74, Overhead Hydro -'
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe -
28. Lathing & Siding 77. FIXED SYSTEM FINAL ,�
29. Insulation 7S. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �
31. Plaster Brown Coat � 79. FINAL INSPECTION I � '�
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 '" ��
' i.
42. Backflow Preventer •� �-
.� . •
��43. Backflow Irrigation . �� �
':44.. Landscape Irrigation System � - � = � �
;�
,45.�Sound Attenuation � � � . ,
'46;%Handicap Regulations � � � � .
47. FINAL STRUCTURE & BUILDING '1 �S �� A� ' . ' .
I
4&.fSpecial Requirements Completed �� � ' � �� �� �
49,�'Electric Release to Edison ' - • �^ . ��
50. Gas Release to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date '' �,
`, ^
OWNER DREYER, D. W.
JOB ADDRESS 25(�2 Oxford L•�'�
DATE $-QO-S�
�ING PERMIT NO.
AP. No. LOT �y TRAC'1' Q'jp6 PIRE ZONE � DESCRIPTION OF WORK GraDe Stake Fen�P �
GROUP TYPE ZONE PLAN NO. KF,'iK
INSPECTIONS
ond
Ninal
cant
DATE � gUBCONTRACTOR
OWNER CO •LFr*R PAj� '— DATE 1Z—],],-5G
JOBADDRESS ZSIyZ O7CfOad Lane B�.iLDINGPERMITNO. #Iy0(j3
GENERAL CONTRACTOR H2TUOT' CORSt. CO• VALUE $ ]I�ZOO�C�O
LOT v� BLOCK TRACT 27'Z(� ReS. W�C�Bt. �32'.
GHOUP I& J � TvaE V ZONE R(y FIRE DISTRICT I{lO8
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
� DATE I NUMBER
ng Trench
dation Forms and Grade to
Plumbin4. Rouph Complete �iP�'.5 10� 5=S" % I'��iC/ : F�,.X. .t=�t/.
Wi
eating, F(nal
Seweq Hausy L Seweq St.
Septic Tank or Cesspool i
Lafhing, In Out r
Plastering
Plumbina. Final. Fixtures Comple�
P�umbing. Fin,a� Gas Test /d" Y�t ES I6_24-�i7 I� ii _ r. // `
Wirino.Final 1i' y /L_a'7 �
'c��E��--'
FORM 210 3M 10-•vS
�cesta Mesa Building Department APPLICATION FOR PEK-lvll''1,'
•� �� 711 EAST 20th STREET ��_�� B U' 1, D i N G
cncTe �ucsn re�' vn��e B
r-. ____._ ____ • _ .____
FOR O�'F10E USE ONLY
`FOR APPLICANT TO I+'II.L IN Receipt No. Permit/ N?o.
B���di�g I ! � !O✓
Address 2 2 OXFORO LANE '
Costa Mesa, California Received by Date Rec'd. Date Issued
Nearest �����`�^" I��_//_��
CrossSL �i ARBOR BLVD. Building
Address
Owner (�' O L L E G E PA R K NO . 2 Costa Mesa, CiB��OPII18�
Mail
Address 2 � I 6 So Mn i N Sr. Nearest
Tel. Cross SY.
City S A N TA AN A- CA L I F. No. K I 5 % Zon I No. ot I Type up
Rrohitec2 or Lia Plans s-
Engineer No. ' Approved
b Date
nddress CORRECI`IONS
c�tY �i�. 6 I
Contractor fiARBOR �.'ONST,CONo.
Address $AME
De criptian I No. �� I Block � Tract2726
(Attach Metes and Bounds)
X No. of Bldga
Size of Lot x �}. Nowon Lot �
Useof No.of No.of a
Existing Bldg. Families Ro ma � �
Setback Line from Rear Yard Z
CenterofStreet 85 SideYard D
DESCRIPTION OF WORH �
New I X I Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No.of
Size � 3%9 Rooms Stories
Exterior Wall Roof
Covering Covering APPROVALS
Use of New
Building fiESIDENCE Fc DETACHED �FoundationLoeation Inspector Date
Forms, Materials,
AR G E Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby aclmowledge that I have read this Application
and state that the above is coaect and agree to comply Lath. Int
with all City Ordinances and State Iaws regulating 1
building construction. Lath. Ext.
Signatureof
Permittee HARBOR CONSTRUCTION C0. p�aster,�nt.
Authorized Agt. plaster, E�ct.
Valwation Permtt Fee $ t� '— Masonry Reinforced
I �� 2 OO . P�an Check $�7 " Bond Beam
$ Total
Fee $ FINAL '
FOR'YI 204 S-BP 2bI 6-55
6how Ioeation and distances from
�.; property Iina and between buildings.
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