HomeMy WebLinkAbout981 MISSION DR - Building Permits�
PH0.IELTAO�HESS: (38S MISSION DR
OWNEP'S NRMF: JOHN WHELAN
AOONESS: 3140 RED HILL AVE #150
COSTA MESA
CA 92626
APCHIENGINEEB: � 719 � 534-7179 pEG.NO.:
aoosess:
uNiT: A
uxir:
PFflMITTEE: SAMES RAY THOMPSON ( 714 ) 636-2557
aooaess: 13592 FERNWOOD
GARDEN GROVE CA 92643
LICENSED CONTNACTOB OECIABRTION: I hereby al�irm Iha� I am licensetl un0er pmvisions ol Chap�er 9(commencinp wiih Sec�ion
7000� al DiNsion 3 oi �he Business and Pmle55ion5 Coae, an0 m ' ' in lullfor e antl etf ct.
ciTruc.:04 7 �Tpreuc.:3489 ss r-..
.
oale. G � Signamre: __ _ _ —
WOHN HS' COMPENSRTION OECIAHATION: 1 hereby affirm ihat I a ce- icate ol conse o seli-insure or a cenificate of Workers'
Compensa�ion Insurance, or a cenAietl copY �hereo� (Seciion 38 a0- C.
roucvNo.: z2g_gZUNIT03875 EXP.OFTE: OS/OSI93
camraxr: STATE FUND
❑ Ce�ilie0 toDY �5 her¢by �umis�etl. Cj� Certi�ietl c0 i ed Ih �Ae ciry�uil ' .
�._:
�1;.' ,: � � 2=�r� NPDIi an�:
p a..
E%EMPTIUN FflOM WOBKEPS' COMPENSIITION OECUINATION: is sec� i neeA nai b¢ c k�e0 i( �he permi� is for one hunaretl (5100) or less�.
I cetlity �hal in ihe petlormance oi Ihe work for which Ihis Oermi� is i55ueQ I s�all no� employ any person in any manner so as �o become
su�le�� �o �he Workers' ComDenSaiion Laws of Caliiomia.
Da�e: Signa�ure:
NOTICE: If. alter making ihis declaration, you s�ou10 become suble�t to ihe Workers' Compensation pmvisions of ihe Labor '
Coae. you must forihwilh compty wi�� such provisions or ��is Oermit shall be deemed revokeA.
CONSTPUC7ION LENOING RGENCY: I hereby affirm that there is a consttudion lentling agency for �ne DeAormance oi the work lor
wAich ihis permn is issued (Section 3W7, Ci¢ C�.
LENDEN:
ROONESS:
OWNEB BUIIDEB OECIABRTION: I Aereby a��irm [hat I am exemp� Imm �Ae ConUac�ors' Sla�e License Law �or lhe �ollowing reason
�Sec�ion 7031.5 Business and Pmiessional Code' Any ciry of wun�y which requires a permi� m cons�mc�, al�er, imD�ove, tlemolis�, or
re0air any simclure. prior �o i�s issuance, also requires �he applican� for such permi� b file a signeA s�a�ement t�al he/she is licensetl
pur5uani Io t�e pmvisions of ��e ConVac�ars' State license Law (Chap�er 9(commencing wi�h Seclion 7000) o� Division 3 0l �Ae Business
anG Pmiessions Cotle) or Ihal helshe is exempi Ihereirom an0 I�e basis for ��e allege0 exem0�ion. Any Nola�ion oi Sec�ion 703L5 by
any aDPlicant lor a permi� sublects ��e applicant b a civil penaVy oi not more ��an five huntlretl tlollars �5500).
I, as owner ol the OwOerty or my employees with wages as iheir sole compensation, will tlo ihe work, antl ihe
❑ stmcture is not inlentletl or ollered lor sale (Secuon 7044, Business and Pmieuional CoOe: The Coniractars' State License Law
does not appty to an owner of a pmDerty who builtls or impmves t�erean, anJ who does such work himseli/�erself or ihmuAh
Ais or her own employees. pmvide0 I�ai such improvements are not intende0 or otfered lor sale. I�, however �he huilding or
impmvemenl is saltl wiihin one year oi complelion. �he owner will have �he buraen o� pmving he/she did not hui10 ar impmve
lor the purpose o� sale�.
I,as ownerol�he O�op¢tlX am exclusivety conVac�ing with licensetl coniraclors�o constNc[the D�oject�Section 7044. Business
J an0 Pmlessions CoOe: 7he Contractors' Slate License Law tloes not applY �o an owner oi pmpeM who hutlas ar imOraves thereon
anU who conVacls br such pmlecis wiih a conirac�or(s� license pursuan��o ��e Contrattor5' Sia�e License Law�. I am awar¢
Ihal pmol of Iheir Worker'S Compensation insurance should be Omvitle0 to me.
� I am erempl un0er Seclion: B. 8 P. C.
10� IIIiS fPd50�:
Oa�e�. Owner
I Oo hereby cenify ihat I am aware of an0 un0erstantl ihe requirements ol California Health antl Safery Code Sections 25505. 25533, an0
25534 and �hal I or any �uWre builtling accupani willlwill no� (circle one) neetl Io comply with saitl s�a�e codes and Ihe requiremenis br a
permii �or cons�mction or modificaUon irom �he Air �ualiry Management DisVicl. FesiOeniial cons�mction applicaiians are exempl hom
Ues¢ pfOvi5i0n5. �
Oate: Applicanl:
I hereby cerlitytha� I have reatl�Ais aDDlication and sla�e
arainances an0 slatelaws relaling�o butlaing cons�mction
plOp¢fly Qf IOSp¢CIi011 pOfp05¢5. //
Dale � Signa(�
Oriver's License or Social Securily a:
ree b comply wi�h all ci�y ana coun�y
ciry lo enier upon ihe above�mentionetl
164L06 Whpe—Bwltlinp: Green—Cotle EnlorcemeN: Canary—AoolicanC Pink—Revenue: Goltlenroa—Acsnseor
CITY OF COSTA.MESA — BUILDING PERMIT PERM NO: P 05758
PERMIT NO; P 057588 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU PURPOSE: REP
JOH DESCRIPTION ; MISC, REPAIR TO BATHROOM S(j FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-1 /
*��*****�*+�r****x******�r�r*�*�**D�**��e******��rr*�*****�r�r�r*�e**�********�e*�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 BUILDING ---------- --------- ACCES50RY 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; 14166215 2NE: REF NO:
PLANNING N 'TES>
7
Mik �Fit �k iF iE ik �F if if if if if 1f if 1f k iF ft iFM k iF iF iFif M it IFiFiEM 1f 1F M k lkikif iFlk iFiFik iEiE.iF 1f k �t iFiFlf if k 1F it if �F 1f 3f �t ft ik M iF�f iF iF if �k k ikif ** k�F
D E V E L O P M E N T S E R V I C E Sl�, R E(J U I R E H E N T S
ZONING APPROVED BY r':, DATE;
HUILDING APPROVED HY : ., DATE:
APPLICATION ISSUED BY: "'"— DATE: 6 2 p2
itifkk�fitlfiflt�FifatlF�FkikitiFif±FifM �k3flf�FiFakfF3fiFM iF�f
MMMit�titiFiFififkkklkifiFMiFMiFkifkifiFikMiFMltlti ifiklfMif�flf�kklF�t F1FIFifMikklEitiFlFlFMiFlfMiFifiFiFMikiFiFiF�lFafiFikiF�kiFikik3k
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERNIT z�SY SMIP/NON—RES
PLAN
ISSUE FEE 3.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2,00 3,00 0,00 5.00 5,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED• 5,00 OVHR/SHORT; 00
HLDG PMT PLUMHING ELECTRIC MECHANI� FIRE SMIP/TOT GRADING PLAN—CHECK
5,00
1klf il1F if 1FiF if if if k i�' iF'IF if �t �F if �t 1k if if it �f 1F IF If IflF'If iFlkif if 3f 3f �f'N' �t k If kik iF�Filif iF iFk iF iF 1f �f if k'If M if ik�F k iF'k M k ik iF If if it iF 1F �F'1f'If 1F lkif
I N D I V I D U A L F E E B R E A K D O W N
TYPE (JTY D E S C R I P T I O N
PLU 1 SHOWER
END OF FEES
UNIT COST TOTAL COST
2,�� 2,0�
�i DOiic393—t!@11b3Y3 �i"�"T =.p�
QATE: Otip2i9: i7CF� ���!71
CONSTRUCTION AND�PLANNING_ � POOL > -
pate Inspector Date Inspector
APPROVALS Permit # , ,� . APPROVALS Permit # . �
7. Temporary ElectY�ca� Servire orPole` . 52. Pool & Equipment Locatio� � �,
2. SoilPipe�Undrgrnd. L W= 53. SteelReinforcement . r '
n.- �
y�����iral Cond�t�lity-l�ndrgrnd�:, n- 54. Forms - " J
�-+4. EF6Cuieel Cond0i4•EJFtdrgmd. � �^ - 55. Electricai Bonding � . '
, -�
���inforce e.`�`�n - E'" . 56. Rough Plumbing & Pressure Test r"
t�" �..,t� � :-: o
:VfL��Ectrieal UFER�61'fiti. a � 57. APPROVAL TO�COVER-GUNITE ��
S7.'�ootinWgs x��" �,' "' - ' � 58. Eiectrical Conduit�Undrgrnd. � �
�-S.�oundation G-�J 4 ;�'� 59. Gas Pipe, O Undrgrnd., Test .' c
�9.�Water Pipe-Unc�cgrnd. • '- �`�.'" 60. Backwash Lines, P�Trap, � Undrgrnd. � �'
tO.Structural Floor Svstem` ' �'' � �. 61. APPROVALTO DECK -
,
11.�roperiy Sewer U��& HacSeConrr�ctio�i .�' 62. Backwash & Receptor-Final ��
�
12. Sewer Cap p, � y , � 63. Heater & Vent�Final �
13. Roof Drains ^ L• 'i� 64. Plumbing System - Final �
14. Rough Plumbirj§ �'' � � 65. Efectrical�Final
15. Rough Electrical•Conduit 66. Solar System-Final
16. Rough Electric�Jiring 67. Fencing & Access ApProval
7. Rough Wiring Sjg� 68. APPPOVED FOR PLASTERiNG
16. Rough Electric�'I'�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
_ ' " ' ' 7 l7'r+UJ[-� lz; i
20.'+Rou'hF�to Ffie�lace ��to y� 't C o a'x:<tfaPPR�/A�C-5���'erjRit# * >' -
•1: O' 1 . � .S [T� � S :k �S -�i C� �k x (� LU Fti [-� A
(1� _. ?.n � E�:'_ vCS s '- ^ _z x
21. ucu, irL�trncturs . �.. .. _ S a 5 G r� :- 0. Underg�a�d:Hyciro > ��
22. Du�. �CnentiWting'Y .: ^ } ,� -' S �L* k %. t. Produc �i�g C7�s �Oil
,
23.',{,as i e� o h &'iTest ': � '� "# '` F � � � c�: � �
� P � �+9 r .. r �� ¢ p.. ,� .-,72. Undergroepd Flus
24.'�'ioo�Frami�g� �-+�' ' i � �- x= O c �-� :.tij3.ttUndergrnc�PStor2qr�ank flGas ❑Oif
t Y •.S� 'k 7 Q v:f. .�[ • i P }
25. Roo Sh�thin n* � . � `� � .'� �'� �S � y� :";�' '
�, 9 .>� .y C .7 N c x /4.rOverhead Hydro;�
26.iT-Bpr, Ceiling (Strmcturaq &1Vloncycoat � ^ �a � �� � 75.spry Chemical `? "'" �-' � 2
27.�fra�n�e a Flashi`�"� �, � � *� 76' Dr "' OS_ y S C�7 G
� �� :7t� x • t' y tnx +. Y StandR�9? [-am.t; . :S
,`_�8. 'Lat�ing�@ Siding2x.:n y�1,x s >= E ..x �` 77.��FIXED Sl''�-TEN�Wt,y�'AL+` � .^
.. ..i r� �� ... z � n
� :t Q r-� •. . > t. M .'� ~ I #
?29. Insulatiori �r. � .. A _ �" � 78.gFIRE PREV. FIN,,4L >; � �
-�. .
i�30. DrywalltNailing : r ��� x �' x ���.,+ WHEALTH�9EPT#F�EQINREMENT
-„� ��+:.,
�37. Plaster �wc�Co�i� S � rr�r { �� • x .r79.'�Fit�,L�1(V�P-�CTI�N � �' r
� ' ' J.F - � e � . � J- r
�-32.�lectrical Pov¢er A�tefFinal � � � �K N . « ;rg0.;*fOOD CERTIFI.O.QTE ISSUED
.� ...
%-• �2� ^ b' .a. [i7 � f m �: �< +:
�33.'�in�Eleciric�� �� �r ,x Y ,:�'�Jotes: .7 ,� ;,.: q �,.�
�+ " x i� r+ .... �.. r `� r. .
�4.-Fina�Heating� Ais,�or�ditionicigg !� x �� � � 5 C�.: = S ..
35.�¢inat'Ga�Pi�S€-Te�is d ' � �-+ � � : p � `o iy7H � tT .r
T. F t ..a u. = . � . ..i , �, i. ~
�26. Hood orr'SanoPY ••'_: , LT"� - � C'. 1 �;,.'�� } S_ � Yc * c*
n .M
�,a47.rFin�Factory FirePlac�.,� i ;��' 2 � bl ' -�:F � .^. � tO
1 -* x � �
' ; u," , .. .. ,u v -
�:39. Fina}Plumbing a :U t • • 7�4 � � R � S �-. �k a7
.
B9. Wate� Service�Final+ ^ '' t I � N* �+ ^� �t u'
a. s .w. ;� . p. y y� v �
�• �. .. .. � • ,. .
�,¢0. Gas Service-Final x �q .=ir�r �5 :�- m � i� ���� oN !: �
i31. Solar pomestio-Fin�l'S �� •• � � � I - % Ko ^�-+ ''
^7o r � ,� p
� r F- P; X' C: R. r- V� .. a
'�A2.`�ackflow PreventerM ,J * � � ,x tZ >F-� +: C r+
43. Backflow Irr�atiori'� f ��'S 'K � x x � `xe" t. � =+
r. v: v .c tX ��. iJ .� Cl -
- t �/ v
�`,�4. Landsca�e liiigazioa Systemi, n�j w. �r � �, px : x � N �;� * N o
V.
�15.rSound Atte(ulationk �-+�:- , �" � H � '.-��� �k � H H sr� t��.t a.
-. �r • r n� c^ c*:. ,. F C 6 d� F:C a.
I I'� .Y Vi .. x �r . • . . T / !' H •"Y
�I6.`HandicaR Rcl'gulatio.Qs .,, - ,. {. ,� � � a �� � *
47.�INAL STRUCTURE & BUItDING ` �' »: -7 CJ s ,
., . � � i - ; (�
i • r i ;�'V' .1: ~ :t "� �. 1 ..+
i 48.�tf�l PLA�VINGs 1 i-S-; .1' CJ � �'. fK .A 1�3 h7 ti, 'i' E�
,1tg.%fleefric Release to Edison i .'v � ;. �� x�� �. �-,
r �. � �r ¢ .
R'�O.yGas;�telease to Soutfiern Calitor,nia Gas Co �. � �� : � : 'FS, � r� . �,=, , `�
ip61. CEE�1'IFICATE OF,OCCUP/qNCY m �,c S rp T K F. ;
No. Date
PflQIECTA0DPE55: 98S MISSION DR
owNEe s xnme: JOHN WHELAN
FOOPE55: 3I4O RED HILL AVE #I50
COSTA MESA
CA 92626
FflCH/ENGINEEP: � 7 S 4� S 3 9—% S% 9 NEG.NO:
ADOPESS:
PEflMITTEE:
nooness:
I
uxir: A
UNIT:
SON (714)636-2557
92643
ons ol.Chapter 9(commencing wi�� Sec�ion
citr u.. 04 7 sraTe uc.: 3 4 8 4 3 cuss`g �
Oate � " ^ Signat e: _
WOfl flS' COMPENSATION OECLAPATION: I hereby aflirm t I have rtificale of c ent �o seli-insure or a cetli�icate of Workers'
Compensation Insurance. or a cenified copy thereot (Seclio 3800. L �.
roucrxo.: Zyg_gZUNIT03875 E%P.OpTE: OZ/OLI93
COMPANY: STATE FUND
❑ Cenified coDY is hereby IumisAeO. � Certilie pY is i wiih t Buil Divi ion.
e��� � v Ap icant
EXEMPTION FPOM WOPREflS' LOMPENSATION OECUMiIDN: his se i n neeA noi be co e�eA il the permit is br one hunOreO (31 W) or leu).
I cer�ify tha� in �he petlormance of Ihe work br which ��is p rmi� �uetl, I shall not � Dloy any person in any manner so as to �ecome
suble�� �o ihe Workers Compensation Laws ol Cahfornia.
�ale'. SignaWre:
NOTICE: It. atter making ihis Oeclaration, yau shoul� become subiect to ine Workers' Campensation pmvisions oi tAe Labor
CoOe. you mu51 forthwil� comply with suc� pmvisions or I�is permi� shall be tleemetl revokea.
CONSTBUCTION LENOING RGENCY: I hereby atfirm ihai ihere is a consimction lending agency for the perlormance ol t�e work for
which Ihis permil i5 i5sue0 (SeC�ion 3097. Civ. C�. .
LENOEN:
FODflESS:
OWNEB BUILOEN OECtAPAT10N: I �ereby aiLrm �hat l am exempt hom the Contraciors' Sfale License Law tor the following reason
�Sec�ion 7031.5 Business ana Pm�essianal CoAe: Any city of counry which reQuires a Dermit lo constmci, alter, impmve, demolis�, or
reoair any simcWre. prior to its issuance. also requires ine applitant for such permit b file a signea statement ihat helshe is licensetl
pur5uani lo ihe pmvisions ai Ihe ConVac�ors' State License Law (Chapter 9(commencing wi�h Sec�ion 7000) oi �ivision 3 0� ihe Business �
ana Pmlessions Cotle) or tha� he/she is e�emp� �hereimm anOlhe basis lor the allegea exemp�ion. Any vialation ot Sec�ion 7037.5 Dy
any aDPlicanl for a Dermii sublec6 �he applican� �o a civil penalty ot no� more Ihan five hundred tlollars (5500).
I. as owner oi Ihe pmDerry or my employees wit� wages as lheir sole compensation, will tlo the work, antl [he
❑ simcwre is not intenAea or ol(eree lor sale (Sec�ion 7044, Business and Pmiessional Cotle'. The Coniracmrs' Sta�e License Law
tloes not apPly to an owner of a pmpeny wha builds or impmves ihereon, and who does such work himself/herself or througn .
his or her own employees, pmvidetl �hat such impmvemenis are noi in�¢nded or olte�e0 fo� sale. II, however Ihe building or
impmvemen� is soltl vnt�in one year o� completion, Ihe owner will �ave Ihe �urden o� pmvinA hGshe Oi0 no� 6ui10 or improve
lor ihe purpose al sale�,
I. as ownero� Ihe properiy, am exclusively conVactinq with licensetl comrac�ors Io consimc� tAe pmle�� (Sec�ion 7004, Business
J an0 Pmfessions Cotle: The Contrac�ors' Sfaie License Law tloes nol apply to an owner o� pmperry who builds or imD�oves ��ereon
antl w�o contracts for such pmiecis wi�h a coniractoqs)license pursuantto �he Contracmrs' State License Law�.l am aware
tha� pmol al �heir Warker's Compensation msurance shoultl Ce pmvitletl b me.
� I am exempi wder Section: B. 8 P. C.
far �his reason- -
Date: Uvnec
I Ao here�y ce0ify ihat I am aware of antl unAers�and the requiremenis of Califomia HealtM1 antl Safery Cotle Sections 25505, 25533, an0
25534 anJ �hat I or any Iuiure builtling occupan� wilVwill not (circle one) neetl to comply with 5ai0 s�a�e cotles and �he reQuiremenfs for a
permil for con5lmtli0n or mo0ihtalion Imm Ihe Air Oualiry Managem¢n� DiSViCi. R¢5iaenlial Cons�mC�ion aOPlita�ion5 are exemp� imm
IheSe prOviSions.
Oate'. Npplicant: _
I hereby certilythat I have read Ihis apPlication antl stateth
ortlinances antl s�ate laws relaling lo �uilAing con5imctio
pmper�y for sDec�ion purp eg.
Oa�e: � ' naiur � _
Driver's License or Sociai Security p:
1641�46 Wbite—Builtlinq; Green—Cotle Enlorcement;
agree lo comDly wi�h all ci�y ana counry
is ciry Io en�er upon �he aEove-menlione0
Goltlenroe—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05758
PERMIT NO; B 057587 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE; REP
JOB DESCRIPTION : MISC, REPAIR TO HATHROOM SQ FT: 1,000
CLAIM VALUE: 1,000,00 CALC—VALUE: 1,000,00 GROUP OCC; R-1 /
*�***�**�+r*******�****�r*******D�***k****ir�r�r�r*�r�r**�r*�r**�e*�e**�e�r�r*�r�****�r�r*�r+e�r*�r�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 R S
------------ MAIN BUILDING ----------
FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN
PARRING REQ• PROV: PARCEL;
PLANNING NOTES>
1 �T
D E V E L O P M E
20NING APPROVED BY
BUILDING APPROVED BY
APPLICATSON ISSUfiD
if iFif 1k it 1f 1f M 1E MiFif 3t it iF M IF 1f iF
k iF k 1t k �t �It �t �k ff �f if fk ff !f if �t it it
LEGALIZATION:N
-- ACCESSORY BUILDING — —
FRNT; FT IN REAR: FT �IN
LEFT: FT IN RGHT: FT IN
14166215 ZNE: REF NO:
S E R V I C E
,-�
� G,•
**�t �e�t*�rif***�%�t�t�%ie �i'*ii'**�t�t �t�ti{ ir'�t �x'i%i�
R E Q U I R E H E N'iT S
;
� DATE: "�r
DATE; `'
it.— i1IITC'. � � 2 ^`�2
MiffFfk�tlt�tif3flF�fltlf�tltk�kltkYlfFff (FjYMkifkiFkMiFiFMifiFiFitMiFit�f �F1fMlt�fiF�ikillFlFikitif klflf
j F E E •S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PNT PLUMBING ELECTRIC IiECHANIC FIRE SMIP/RES' GRADING
PERNIT 25,00 �' S0%-
� �% SMIP/NON-RES
PLAN f" %'
ISSUE FEE '
BUILDING—DIV—> PEAMIT ISSUE PLAN�CHECK TOTAL PAID DUE
TOTALS----> 25.50 0,00 'i_,0,00 25.50 25.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 25.50 OVER/SHOAT: .00
BLDZSp00 PLUMHING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CHECK
� �
� �
k M�k k iF k it±F k!F k it if iF M M iF iF M iF IFlF k!f iF if it iF iF iF M iF M k if k if k at dF it it iF if if 3f it if aF 3k 1f it iE if if if k it 3! if if iF k iF iF iF iF iF M if iF iF jF 1! 1F if if �F �E
I N D I V I D U A L J�-F'E E B R E A K D O W N '� �
TYPE QTY D E S C R I P T I O N.�. UNIT COST ��TOTAL COST
SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 1',000,00
END"OF FEES
m
:r Di eo.lE3s1—aQii�'o92 �r�'�' ; -,,
� _.C=;�:_.1S'r"s�!92 �SiiE: i3:tt: ' -
CONSTRUCTION AND PLANNING POOL 8 , t
Date Inspector Date � Inspector
APPROVALS Perm�f # " , � . APPROVALS Permit # .
1. Temporary Electrical ServieF o� Pole�N � �. ' 52. Pool & Equipment Location '
2. Soil Pipe-Undrgmd. �--'. y1 .• 53.�Steel Reinforcement �
nn.-. �.^
y��IEcirfic"al Cond'�°�li,"���ty-lTfi�digrndam � 54. Forms ' -
-�4. EI�tr6eel CondOh.Et��grnd. S:' � 55. Electrical Bonding ,'
�+ r n .
H��inforce`,r��p.. p� � . 56. Rough Plumbing & Pressure Test ��
iv�C;ElEctrlcai UFER 6tg1. 4 - a . ' 57.� APPROVAL TO COVER�GUNITE
- r
�7. yootirioqs Ti�ih °� '� ' 58.� Elec2rical CpnduiFUndrgmd. �`,t,'
p8. �oundation ;,-," , " %` '' � - - _ 59. Gas Pipe, O Undrgrnd., Test � i p
9. t4Vater Pipe-Undsgrnd. -�� �z/ - �: � 60. Backwash Lines, P�Trap, �7 Undrgrnd. ,
10. �tructural Floor System ' --. 61. APPROVAL TO DECK
11.�3roperty Sewer Linf& Ho;use Connection . 62. Backwash & fleceptor-Final ."��
12. Sewer CaP ,. . � _ ,
a,�� . n:: ' 63. Heater & Vent-Final
13. Roof Drains b �. , , 64. Plumbing SYstem - Final .
74. Rough Piumbir� � . 65. Electrical�Final
15. Rough ElectricaLConduit 66. Solar System-Final '
- 16. Rough Electric'�Virin9 67. Fencing & Access Approval
`17. Rough Wiring S1gn 68. RPPROVED FOR�PLASTERING
18. Rough Electric�T Bar Ceiling 69. POOL/SPA SYSTEMS FINA�
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT "
- _ � O' :rtit�f^ � x '-� N
20.t�toif'h R'zcm� FCL�place i xM �2^. +. ;1 � c:e. x ViPPRQVA J��Aerfi53t # * >�r
x S_.r t S � * S � M#[J g ��;:-h > �'{, "
21. ud s, i tr•-� � >. � �e. . * :-i ^ .r M �- .R ..
7� �,, t �•- r+� a S.7 �-�k a'- 0. dergrc7.Ri Y�'o ,Y
22. Dua'!, KreiitiRtin�.y � �S � S Fr �' 7. Product�� �i g C1T�"i.� ❑�il
23.'�a:`PiP ' ough &. st ; iz .r r tr� � .. x .r ;- ..t � � .- . >
� �$ i MS ,�m _r. 6 q�%MF..�2• Undergrou+�d�Fiustyj�; �
24.�oo�freming• ��+. iF-F ••f- K> G � �«+�3.�lndergmd�Storai'gY.-��nk�Gas'�Or"F
25. Roa�Shqthin '" � `.` ''� M c: N'k z �. � �-,t o r
� 9 .� �y �� � e G � aJ: � 5/4.�verhead HYdro p :..
26.�J�Baa Ceiling (Stn�tural) &,EOonocoat * � m !7 n7* � 75. � ry Chemi�c,al � '7 r � =� 'S
27.�raq�ea�d Flashi'� rn " r'� ,.� x 76.`b�r '� � �
�+ at�� # tT � rDx ». Y Stanc�i�e �� 'w� � M �
. 8.'�Lat�ng� Sidingxx ✓ '7•C:C 'Y. Y� � ••.t * 77,�FIXED SY57`E �M�VALK H
�29. Insulation � ��� �'� s �� �� ';'. K n� � w 78.y_`FIRE PREV. FII�l�i; ' } „ 7
.�
1E0. Drywall;tVailicig F-s. �� 6 '� HEALTH[DEPT.?f?EQIHRES�IENT
�.
:',31. Plasier Bi�wn�Co'�t* S ; :�,�,. x . * �,79."FINAL If��CTICi�SJ �." C ;r
�U .[ 'F . - � � �
E32. Electrical Powyr �tef'Final i� x• N + t C$0.[�ftOOD CERTIFI�E IS9IJED �
?3.` in�7 Electric� '4" � m .xta �`tTNo��'s: �, �E » ~
F � Th .> CJ + M I cL > '= '7 R7 .* ': v N i'?
� :-.
� 4.�fin Hedtin l�isiConditioni,gq� �� > � ( - k :� � .��� ' > y� n S �^�,�� _ ' ��
• ' �. - � �psj L
35.C�instGeljPiP�T2�� 'b`n > F: I ii _ # � :l � ^ !'rS (�yy.I* /� S��O
T F .-. t �t � ��i� . ..� � S.�L/-_"-'�
�y36. Fioa� or�anoPY .a. � I [�"! + C` i ,.� , �. i- F_ � ' :'1c 2t�'
m �-+m
17.�in'a9Factorv Firept�tt�� i s(y � � �n ,f' � �� F � � x `h
1 l�
�8. Fin2�Plumbing .y��, �� i cn � ��y L{c,��..+ J !1 # �i'- ��
r
'39. WateY Service�Final� � i n� � '! . t. .^. c,�r; ,� ��
n /� i r tY. � � k A. �. p� t. `S
�0. Gas Service-F�inal : � ,��r�r 5 �c ;iy �� * qn� rvN i � �
541. Solar pomesGc-Final S C�� � •• `� � �; �� '�t'� '� +'
n x .« cr _a a w:�
-42.'§ackflow Preventer:, H N x"' � r F j� • w� -, '
.... .
43. Backflow Irri§ationi'� 'XSS �' R t �� ¢Fc i O
� , �t +: tr t. .r ��J i * C1 .
�4. Landscao� I�qa[ioN Systert}�M� � �: �n C O �7:.�:k x N iV xCJ � N G
y H�FH [' :� £ F '-' [�a..k C` �-i �� C^s tZ'S :K
Si5.(Sound Atterwatiorr'
,� ri �� .ti .. :r. �� nla .R F ' ''" rC • Fr_7 k
r� w S r;r� .r. ^X... J i i F,� �v-.
�
6.'HandiwR Reg4latio"�s �,, n � ,..r. � oc' x•S '7� :S �
47.,¢IN2L STRt1CTURE & BU'CDING %�%L� uj � 7 ���?' �_ T�`�
r 1 .S a. . :r K
ae.�iNAL PLARfJIN r ' tra' :r -::. c�: .�,�
C'..�, I F F �k N ..x t-7 t�1 '2
e49.[Eleetric Reiease to Edison � .� i �. � iS i� * �7 c
r I rn •�;
�O.yCias,�el`e.�setoSout�emCali�or,qia,GasCo x I �' ;F w � , ��, M �' `'
� C
�. 1. CEfi.71FICATE OF�OCCUPlqNCY' y ,j: r, y t� �r;o �: i� .-� o
No. Date
\ _
' OF COSTA MESA
's Mailing
. , AOP��cant to fi11 in all spaces ezceot tnose witnin heavy Oortler
. � . PERMIT NO.. ' : TRACT NO. ' L
. . � . .'a n ./ i/ . ,
Owner'sName ( ' � - �M—Phone�_��_�
Address,.�� L4� !✓ �r///._ � '
i
Arch/En9: � ic � P!O ' '
Address' � �� .
Contractor's Nam ' � " —Phone .
Address (mailing) ,
Ciry�LicenseNo. �
LICENSED CONTRACTOR DECLARATION . � �
I nereby atiirm that �I am Iicensetl untler provisions of,Charter.9 (commencing �'
with zection �000) of Division 3 ot th Business antl Professlons Cotle, antl
Ty IICEl152_IS IO iUl� fOICC dlld CffCC�. �� , � -
License Class _` � � License No. .
Date � aonat rP �
WORKERS' COMPENSATION OECLARATION '
I 11,ere�y affirm Ihat 1 have a certiflcate Of consenl f0 self-lnsure or a certiticate
s(�,?orkers' Compen5ation Insurance,. or a certifietl copY thereof (Section
�-, Lab. C.) � � �
F�iicy No. Company
BCertifletl cop is iereb� fvmishetl. � � ,
Certifletl copy is filetl wich the city Builtling Division.
Date Applicant �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ,
(This section need not be completetl if the permit is for one huntlretl ($300) or
IessJ.
1 certify that.in the pertormance o/ the work for whlch his perm�t Is issuetl, I
shall.not m loy �n y per on in any manner so.as o ecome subjec to the
Worke�s' g' 9' ws of Califomia.'
Date Signature
rvOTIC : f,iafter making this tleclaration, you s ultl-become u ect to tne -
comply wlth such pfovi5ion5 or tM1ls permil�Snall be tl¢emetl revoketl:�
CONSTRUCTION LENOING AGENCY '
I hereby atfirm that there is a construction lentling agency tor Ne performance
ot the work for which this per it 5 suetl �(SeC[ion 309] Civ. C.)
Lentler's Name �
Lentler's AdGrest '
OWNER BUILDER �ECLARATIOI � � '
I hereby affirm that I am exempt from the� Contractor's License law for the
following reason (Section �7031.5 Buslness antl Professional Cotle: Any city or
county which requires a permit to construct, alter, improve, tlemoiish or repalr
any structure, prior to Itr,issuance, also requires tne apP�icant for such permit
to file d signetl statement that he/she is licensetl pur5uant to the provisions of
tM1e Contractor's License Law (Chapcer 9(commencinq'with Section 7000) of
Divi5lon • 3 of the Buslnesz antl Professions Cotle) or that he/she� is exempt '
t�'•?from-antl the basis tor the allegetl exemption: Any violation of Secfion
5 by any applicant for a permit subjects the applicaM to a ovil
�ty of not more than five huntlretl tloliars ($500). - � �� ..
L i,'as owner of the -- - ges-ac-il�eii sole
nsati ,wi11 tlo Ihe work, antl tne st ucture is not intendetl or otteretl
for sa e c[ion 7044, Business antl� Professlonal Gotle: The Contractor's �
H
anE si9n all appropriate tleclarations. , _.._
0... ,BLD . . � �.. _ �
. . . ' ._ � . '�
I' NEW��� A�D - ALTERATIO REPAI '�'
DEMOLIpH � HE " �` , - /�.p, # � ' �
K �
7 � {�7 L+ �- ' S Main�Buildinc
. E
TYPE OF PERMIT � LJ ADING'� FOUNDATION STRUCTURAL � T. Front .
. � TENANT ❑ ELE RICAL' O PI.UMBING. 0`MECHANICAL . B. Real � ' '
�❑��OTHER �� � � A ,
PROJECT DESCRIPTION 5c�. F7.' i"^ �� oCCUPqNCv � � C. Right
' � K Left '
. CONSTRUCTIONTYPE VALUATION$ ' g �
ZONE � ' GRADINGCV.YDS. :ACRES �. Ping.�Fef.# �.
` t
Sink
<flow Preventer---:
<flow Irrigation
Drinking Fountains
Floor Orains
Floor Sinks
GasService .OuUets
Kitchen Sink� �.
Lavatories
P—Trap
Roof Drains
Rainspec[ion Fea
$25
License Law tloes not apply to an owner of a property wno builtls or improves Boiler • '
the�eon, antl,who Goes such wo�k�hlmself/herself o� through his or he� own � '
employees, provitletl that sucn improvements are not intentle0 or ofteretl for
� sale. If, howeveq tne builtling or improvement is soltl within one year of com- Duct - Under Ground
pleti0q the Owne� will have tha burtlen Ot proving he/she tlitl m[ builtl or im- -
�rove for [he purpose ot sale). ' Duct - Structural
I, as owner ot the property, am exclusively contractin9 with licensetl con- . . .
tractorstd construct the project (Sectlon ]044, Business antl Professions Cotle: Duct - Ventilating
7he Contracto�'s License taw does not apply to an owner of property who 1
bulltls or improves [hereon, antl who contracts for such projects with a mn- i Exhaust System ❑ Multiple ❑
tractor(s) Iicense pursuant to tne Contractor's licenze Lawl. -
❑ I�dm exem t untler Section B. & P. . tor his r¢a5on Fifepl/Fdct. BIt. ICBO #
Date -� Owner'_ Heating System & Ducting
�d hereb certify� th t I have reatl tli pplication ai state that tlie above-� «❑0.100,OOOBTU��100,OOOBT
intormation IS correct. I agree to co ly wit all cit antl county ordnanCes
antl state laws relatin9 to b-Itling construcY n, ntl hereby authoriz repre- •
sentativez of�this city to ter� u the ab ve-mentionetl r p t tor
inspectlon purposes. 1
Siqnature • � Da[e � � �
Drivers' License or�55 Reinspection Fee $25
CMF0865-46 rev.12 White-Builtlin9;Canary-APPlicant;Pink-Accounting;Goltlenrotl-Assessor
_ �
1
Showers
Service Sink " '
Sewer Cap
Sewer Connection .
Solar Collectors
Solar Piping -
Solar Tank ,
Swimmin9 Pool w/Spa
Urinal
Water Closet
Water Heater .
Water Service '� �
laue Fee
Hood or Typel ❑
Canopy . Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑100,
System Repair/Alteration
M
Issue Fae
. �Pa�kin9 Re9./Pinvided' ' '
.Use of Buildin9: '
FEES Planning Notes: .
•� Automatic Washer �
8597 b/13/BG-. ' �+'�`
. . � � ` ,. .. �
•. ' ' � ' Zone• , '
' - Accessbry 8uildiny: ,� �
_ j
Cooking Unit ' �
Dishwasher
Dryers OGas ❑Electric
Fan
F.A.U.
fixtures
Device Boxes
Outlets
Swi[ches
Garbage Disposal �
' Generamr.�0-5KW05-15
Park.Fees $
-. .
O
N
I
N
G
R
r' '• E
I
R
. E �
' M :
E
, . . , , N
T
. _. . . _ . . . . . ' "'$
ELECTRICAL .FEES
Transformer ❑ 15-50 KW
❑ 50+KW.
Meter upco100amps�
Meter ❑over 100 amps
Sub Panel
Motdrs �0-1 HP O1 X- B-
Inc.Solat 09-15 HP �16-1
- Microwave
Pole Light
Range • �
'Sign
Standing Sections
V Trash Compactor
$ 3
Reinspection Fee . $25 luue Fee
�FEES
PUBLICSERVICESHEDUIREMENTS: �
Zoning Approved By �
Building Appraved By :
$ 3
u
$ 3
�
SUMMARV OF FEES • /
; BUILDING PERMIT $ SMIP .$ �
PLAN CHECK . $ - PERMIT
PLUMBING $ �� ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
' ELECTRICAL $ � GRADING $
� PLANCHECK 50% $ � MICROFILM $
MECHANICAI '$ , TOTALFEE ,$ � i
PLANCHECK 25%'$ , _ . .
�NSTRUCTION AND PLANNING
APPROVALS Permit�#
;e
� t Temporary Electrical Service or Pole
�. 2. Soil 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 Sysfem
11. Property Sewer Line & House Connection
12. Sewer Cap
�
13. Roof Drain4 '
14. Rough P.lumbing �
.15. Rough Electrical-Conduit
i6. Rough Electric Wiring .�
17. �Rough Wiring.Sign � . .
16. Rough Electrical-T Bar Ceiling �
. 19.. �Rough'Heating & Air Conditioning '
. 20: �Rough Factory Fireplace, .
27. DuCts, in Structure
22. Ducts�Ventilating
23. Gas ipe-Rough & Test
24. RiSf Framing
25. Roof Sheathing , ; .
26. T-Bar Ceiling (5tructurall, & Monocoat �
27. Frame and Flashing �
. 28. ,Lathing & Siding ,
29. Insulatiori
30. Drywall Nailing , � ' �
31. Plaster Brown Coat
32. Electrical'Power MeterFinal "
33. Final Electric '
34. Final.Heating & Air Conditioning � .
35. Final Gas'Pipe-Test . '
36. Hood or Canopy , ' �
37. Fina� Factory Fireplace
3S. Final Plumbing � �
39. Water Service-Final ' :
40. Gas Service-Final .
41. Solar pomestic-Final '
42. Backflow Preventer' �
43. Backflow Irrigation � ' ,
44. ,Landscape Iriigation System �
45. Sound Aftenuation� .
46. Handicap.Regulations
a�. Fiiva� STRUCTURE & BUILDING
48. Special Requirements Completed� .
49. Electric Release to Edison � �
50. Gas Release to Southern California Gas Co
' �Date
ate
POOL & "A
Inspector- p�ppROVALS Perm�.-/�
� � 52. Pool & Equipment Location
' . 53. Steel Reinforcement
� ' 54. Forms
� 55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O 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
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
70. Underground Hydro
71. ProductPipingOGas ❑Oil
72. Underground Flush
73. Undergrnd.5torageTank OGas ❑Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
� 77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
v 80. FOOD CERTIFICATE ISSUED
Notes:
0
i
Date Inspector�
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATInN
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 ajor labor and materials for construction of the proposed
property improvement. es ❑ No
2. I(have/have not) signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address —
Phone ( 1
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 ( )
Contractor's Lic.
City
5 I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name
Address
Phone 7ype 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 and Safety Code and hav co pleted the above information to the best of my
personal knowledge, in compli nce with this Staie a.
Signed: DatQ: -
Name: �" /`� � `���
(Printe or T ped)
C.D.L. #or S.S. # � ��� �
754-5273
CMF 3042-46
r
City of CosTa Mesa
Building Safety DepaMment
P. O. Box 317
Cosw Masa, Califomia
CERTIFICATE OF OCCUPANCY N� 1853 C
The Building lomted at �' ��sffi �'��s, �� , _
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group �. ��J- Occupancy. � '
Use of Building � �� �� ��°� � _ __
Legal Description �g' ��� �Z �. � . . . , .. . . � .. .. �
(See rev¢ne eide for Matec ond Bound�)
Building PermiT No. +7w'K+ Eleciriml Permif No. � Plumbing Permit Na � �F.'
Floor Load Signs have been installed as Room Capacity Signs have been insialed as
required under Sec. 2308 U. B. C. —. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificafe of occupancy by the enforcement agency.
(b) A new certificate of occupancy sholl be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occvpancy, n�mber of apariments and/or guesf rooms as required vnder Sec. 17050.1 (d), California
Adminisfrative Code, Title 8, Chapter 9, Article 8.
Number of apartmenfs �' and/or guest rooms
ISSUED TO: Building Of 'cial
� � � .
bY—_-------
Date ��I ��+
This CertificaTe of Occupancy SHALL BE posted in a conspicuo�s place on The premises and SHALL NOT BE removed
excepT by ihe Buifding OfFicial of the City of Cosia Mesa under See. 30b (e) U.B.C. Fo�», avsa—ira—v-s�--s-s r
Ciry of Costa Mesa
Building 5afety Deparfinent
P. O. Boz 317
Costo Mesa, California
CERTIFICATE OF OCCUPANCY N� 1853 B
The Building located at � ���' �i�s ��'n � �
has been inspected and found to comply with the provisions of all Cify of Costa Mesa Ordinances applicable thereto
for a Group $� � � Occupancy.
Use of Building_ ��� ���8 �� ���n �e
Legal Description � �� �' ��'
� � '�� ' (See reverae side for Metae and Boonds)
Building Permit No. 1��' Electrical Permit No. ��� plumbing Permit No. �5g
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under $ec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operafor has been issued a valid certificate of occ�pancy by the enforcement agency.
(b) A new certificate of occupancy shail be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartmenis or guest rooms
3) Ownership ,
If Group H Occupancy, number of apartments and/or guesf rooms as required under Sec. 17050.1 (d), California
Administrati�e Code, Title 8, ChapTer 9, Article 8.
Number of apaAments—� f and/or guest rooms
ISSUED TO: Building Official
_ SYCR4FT �� . :7�i. � . bY ��t�',4v� ��s%'��'�'�
Date i�0brl8�Ty-�s • 1� :
This Cerfificate of Oceupanty SHALL BE posted in a conspicuous place� on the premises and SHALL NOT BE removed
except by fhe Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. po� suaa--u.t—ii-ea—s_s r
�
, � qg g;-,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%9iT COBTA M6BA� CALIFORNIA
For Applicanf to Fill In Com'plefely
TypE OR PRINT -
COSTA MESA, CALIFORNIA
fT'
S�me
� SIZE__ ,.�� 1 ., no I
SETBACK LINC FROM ' � .
cervieR OF sirsEG! 4O � REAR YARD lO
SIDfi YARD I LGFT 1�. � I RIGHT S�
DESCRIPTION OF WORK
v�..., I x I.� ��e.��..� I II ,,...,,....... I
II MVYIrvu" I " IPu6mVL1>n I
� }� 73 � ROOMS BTqRIHB 2
L_ I ROOF , . . � _
1 N60.EBY ACKNOWL6CQH THAT I HAV6 flEAO TH18 ApPLICAT�ON
AND 6TATE THAT TH8 ABOV6 I➢ CORRECT AND AORE[ TO COM.
PLv WITH ALL CITY OWOIHANCHY ANO 8TAT6 LAWB AIODUTINO
BOILOINO CONSTNUCTIQry,
SIGNATURE OF HYCROFT TERRACE, �NC.
PERM177EF /J // -
AUTHORIZEOABENT �%/ ., �• t��+�-�—�
FEE RECEIVED
Ju rv i o 196� `
C�flP ��'CE DEPT.S�
P B��1�� RMR
For Office Use Only
R6CEIIT NO. I PI
YY f D��6M[/�8/ L�YIITl�V laW
9
ZONING
no.oR uesop
BHALL BE LE68 THAN
YARD9APPROVED I YAR�SAPPROVED
MAIN BUILDING ACGESSORY BUILDINQ
L.bIDB // Ff. Ff. I
Rean � � Fr. Fr. �
DIBTANCB BET. BET. MAIN @ 'F
MAIN BLD S. ACCESS. BLD64, w
VAR.# DATE �
C.U.P. � APPROVEO ��
APPRO I ,� `� 'l � / �
BY V V - DATE �l 4 P a
�
6�.
. >
,t
�- 6a. �. r���� P' o ��
XE /�MOYNT BHOWN UNOEq VqLUwT10N IB FOR THE F tJ)
PUftP058 OF GBTABLI8HIN0 A PENMIT FEE ONLY. � �
VALUAitON n (� �'
PERMIT FEE $ I/'O J � � O
0
$ �/ �� � PLAN CHECK S G� � �
, ¢ 5 0. Q
TOTAL FEE CJ �� V
� , . . . . . . � - � . ... . . .
' ' � ' �. � � , ' � . . � i. ,' � " : .— . . ' .; .,
- - i. . . , -} � .. � � ' � ' V ' — r ' , ' ..
, r - . . ' a . . . . i .. - . , . . ' ' ' ' � � , ' . . . ^ ..
. . • _ - ` : JanuarY 9�, 1968 � ., . },. ,
: ; . . ._ , ; •. . ' ,. .. . . ' . _ „ . , _
; • , - . : . -t • .r• - - .
� �' ' . - , .' .. r. .. -� � �. . . � ....
. 'Mr. John Hammond , � . . - . _ , .,
.99$ El Camino.Drive, ' �
5 ;'Costa. Mesa; ;California , , . ' ' . -. i. , •
, • Dear Mr. � Hammond : . " .
. . . . - . . . , - :. - . , . , �
' . � An inapection this _date of -propeTty owned. �r. ontro.11ed by you; ,� :
•� located at.981 Missiori Drive,, Costa.Mesa,.indicat hat ther.e are .,
�some violations of the�California St te Aouaing La.' hich are`in �. :
� need oi correctlon'. � _ � : � • �
�. � . • - , . . - . •
� � . 1.. Every building .shall-De maintai . � in �good=xepalr �- ` _ �
. • "- • '. , Section ,713.20 , (b ) Stat � •Building` an, . ousirrg Standards •-
- - �. r 'Exterior.: stairs -are not irinly �anchored `and� ar.e pulling •. � � _ .
away from the -wa1Tz ° Porc � area:is- de.teriorated and:�unsafe: -
2: The premi � s` of every _b lding are tb tie -kept clear of �. "'
• � debris and of sive matter -' Section 713:�20 _ (h) State ' � ; : . . :,`
"' -' `Building and Ho ing�Standards-= Refuse bin�;overflowing, " �.
- �.'grounds are unti and' show'a buildup of,,d'ebris. ' ,-
��, . , . . .
:. ,, 3.. Repair. or; repiace' any illegal- or;, defective "pluinbing - �.
- Section .319 -Costa Mesa Uniform Plumtiing bode:.- Water .- .. :
`'. -�- -closets obaerqed 3n Apartment #�2 were not,;operating , „ •
properly; draining,slowly: _ '" , ;
i Action to �eliminate� theae��and any other vio�latiions must be ini- �• <
tiated immediately.�..A re=check of the.apartments will be made in _:
�, � thir.ty days.to ,determine if:all needed•corrections have been made: ...
; . - -- .. . , .
, � '. If, Z may be 'of_.assistance to you,,in��the above�matter., pTease do �� '
"�'� not .hesitate 'to call�:'" . ' � ' ' �. � ,
, � - . . , .., . . � .
' ' �Very truly yours,�
. ; , ' � . .,
. : `. . - � ' - .. � � _ � ;. -
' ,A '. . � ` . . . . . , �
�, . � ' GEOR,GE'SKEITH; R.S. : .�- �
:. �� � - ., y:':. � , . •'"Deputy,. Health OPficer , �
- _ � � .. , � . e , --. . . , i . . . . . . ,
� ` Gsidh _ '.. � • ,. �j`-�' ' ` ' � ' . " �
ec::� D. Dorris, Deputy Building Official '� ..
� Roy June; City;dttorney _ :.� _ .
• , - ' � �;. y ..�, '> •