HomeMy WebLinkAbout2060 MONROVIA AVE - Building PermitsPFOJECT ADOHESS:
OWNEfl'SNRME: ZOGO MONROVIA AV
Aooeess: VALLE, RIESTRA JOHN C
VALLE, RIESTRA SUE E
710 W 18TH ST #49
COSTA MESA,CA 92627
- AflCHIENGINEEH: 6 4 6— 7 5 8 1 . ' flEG.NO.:
aoosEss:
UNIT:
UNIT:
� PEHMITTEF. '
aooAess: C927U2ApJERONIMOG ( 714 ) 583-0884
LICENSEO CONTBACTQIiOEC�RiION: I hereby a��i�m Ihai I am Iicen5e0 untlefqTo4isi �i C�D,e� 9(�ommencing wilh Section
7000) ot Division 3 nl I�e Rusiness antl Pmlessions CoOe. anG my license is in full force eflecL .
CITY LIC.: 4a STFTE LIC.: S I. 2 8 O S�
Date: � � _1� ) Signature:
WOFKEX$' COMPENSATION OECIAPpTION: I �¢reby a��irm �hat I have a tetli�i a� o consem b sel4insure or a cenificate of workers'
Compensalion Insurance, or a terlilieU capy thereof (Section 3800. Lab. C�.
POIICYNO.: OSWCPSZO%ZA EXP.ORTE: O4IOS�
COMPANY: SUPE��O� �I�
� Cerlilied copy is here y umis etl.�" e il2d copy ' ' A wilh � e i ilain Div ion.
, Ja�e: I � � ADDlicant
E%EMPTION FflOM WOflNEPS' CaMPENSATION OfLIABATION: �T�is set�ion nreU I b co DIe1eA il lhe permit is �ar ane �uMrM (5100) or less�.
I cetlify Inai in �he peAormance oi Ihe work �or whic� ��is permi� is issuetl, I sha t employ any person in any manner so a5 io become
subleci Io �he Woders' Compensation Laws a� Calilomia.
Oate. Signature: -
NOTICE: 1�, aiter making ihis tleclara�ion. you 5hou10 hecome SUDlect b ihe Workers' Compen5aiion Orovisions ol �he La�or
CoOe. you must Iorlhwi�h compty wilM1 such pmvisions or ihis permit shall be tleemetl revoketl.
CONSTflUCTION LENOING AGENCY: I hereby altirm Ihat ��ere is a constmc�ion IenAing agency for Ihe perbrmance of the work for
which I�is permi� is issued (Section 3097. Civ. q.
LENOEfl:
AOUHE55:
OWNEB BUILOEP OECLAflRTION: I �ereby aHirm Iha� I am er,emp� �mm �he Contrac�ors' S�ate License �aw �or Ihe �ollowing reason
�Seqion 7031.5 Business an0 Pmfessional Cotle: Fny ciry ol counry whic� requires a permil Io cons�mcL alier. impmve, tlemolish, or
repaii any slmc�ure. priar to its issuance, also requires �he'applican� for such permit to lile a signetl s�a�emen� �hat he/she is Iicen5e0
pursuam to �he provisions ol �he Comracmrs' Sla�e License Law (Chapter 9(commencing wi�h Sec�ion 7000) oi Division 3 0l �he Business
antl Pmlessions Cotle) or Ihai he/she is exempi I�erehom ana Ihe bass �or I�e alleged eeemption. Any violation of Section 7031.5 6y
any applicani br a Oermit su�lec�s Ihe applican� to a civil penalty of no� more ��an five �untlred aollars (35011).
I, as owner of Ihe pmperiy or my employees wiih wages as Iheir sole compensa�ion, will Uo Ihe work, anU �he
❑ s�mclure is nol inlentletl ar ollere0 �or sale �Seclion 7044, Business ana Pm�essional Code: The Contrac�orY S�ate License law
does not apDly Io an owner o� a pmpeny who builds or impmves Ihereon, and who tloes such work himself/herself or �tlroug�
his or her own employees. O�oviaetl t�at sucA impmvemen�s are not intentle0 or offeretl for sale. If, however ihe huiltling or
imDmvemem is sold wiihin one year o� cample�ion. Ihe owner will have �he �ur0en ol pwving �e/s�e dia nol 6uild ar imD�ove
�or Ihe purpose of sale). .
I. as Ownet o� �he pmpetly. am exclusively con�mcting wiih Iicense0 con�rac�ors to cons�mm Ihe pmlec� (Section 7044, Business
❑ antl Profe55ions Cotle: The Coniractars' Sla@ License Law does not aDPly to an owner ot propeny who builOs or impmves therean
antl who caniracls for such pwle��s wilh a contractor(s)license pursuan� to Ihe Cantrac�ors' Sia�e License Law�. I am aware
Ihal pma� o� Iheir Worker's Compen5aiion insurance shoula be pmviUed �o me.
� I am ewempi under Seciion: B. 8 P. C.
lor I�is reason:
oaie: ow�er,
I do here�y cerefy �hal I am aware of an0 untlerstand Ihe requiremems of Califarnia Heallh and Safety Code Sec�ions 25505, 25533. an0
2553a and Inai I or any IUWre building occupant willlwill not (cucle one) need lo compty wilh saitl state codes antl ��e reQwremen�s �or a
permit for cans�mction or modi�ication �mm ihe Fir �ualiry Managemeni Dislricl. Fesidenlial con5�mciion appliralions are eKempt �wm
I�ese provisions., '
Oale: 'ApDlicanL .
I here�y ceitdy ��ai I have read ihis appliCa�ion antl Slate Ihal lhe a0ave infOrma�ion is corr¢ . agree lo compty wilh ail ciry an0 Counry
orainance5an09alelaw5relatinglobuil4ingconsimclionan ebyauthorizere atives it iscitytoen�erupontheabove-mentione0
propetly � inspeciion purposes.
��
Daie: � � Signalure:
Driver's License or Social Security x:
�6at-a6 Wlnte—Builtlmg: Green—Cotle EntorcemenL Wnary—'Applicanf, Pink—Revenue: Golaenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMZT NO: B 053719 PLAN CHECK NO; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION :'COMP OVER COMP — GARAGE
PERM NO: H 05371 .
GOVT: N SUPP: N �
PURPOSE: �T
SQ FT; 800
CLAIM VALUE: 800.00 CALC—VALUE; 800.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME •
3klfiEiFlkkkiFifif�ElEiE�ElflFkikiFiflElF�F�FkiF1k �flFlFiEiF�EiEifkiFifiFiFififiEiE�Fk�flEiFklf�klEif*iFifiEiElkik3FiE1F1EiEik3fkiFikif�F***iE�E
2 O N I N G R E Q U I R E M E N T S �
5 E T B A C K S _
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ • PROV; PARCEL; 92250529 ZNE: . REF NO;
PLANNING N(5'PES>
Y
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D E V E•L O P M E N T S E R V I C E S R E Q U I R E M E N:T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE; '^'�
APPLICATION ISSUED BY• DATE: -�
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LEGALIZATION;N F E E S M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES''� GRADING
PERMIT 21.00 50;.,
SM IP /1JON-RES
PLAN _
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID :i' DUE
TOTALS----> 21.50 0.00 0.00 21,50 21.50 " .00
REVENUE DIVISION TOTALS--> COLLECTED• 21.50 OVER/SHORT• � 00
BLDZ1P00 PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT� ,GRADING:F?LAN—CHECK
`i
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I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY D E S C R I P T I O N
800 REROOF HY VALUE RESIDENTIAL N020NE
END OF FEES
UNIT COST TOTAL COST
=i '
1:00 800.00
j
!!`
..
'f' �
qi bOQGb;s'71-000963�2 "T �Y�' ys.30
oRrE: a9ia;;91_ rinE: ,,:?, -
CONSTRUCTION ANDPLANNING� . � POOL PA . �
' APPROVALS Permit#- � Date Inspector p�ppROVALS Permit# Date Inspector�
1. Temporary Electrical Servi�or Pole` �� . ' 52. Pool & Equipment Location
2. Soil Pipe-Undrgmd. �.r � ;3a 53. �Steel Reinforcement �
��, .�
�:;�ec(i�1 Condu¢�[��lity-l(rfdrgrnd C'H � 54. Forms -
�, �,.�
cQ.^,6L¢Yfiixa! Conduit;l�rtdrgrnd, � o:x � - 55. Electric0l Bonding
r�5,x�i���nforceme�.^ �= 56. Rough Plumbing�& Pressure Test ��
u�?+;iEerc`[ajcal UFERj'xr�d. 1 7 . 57. APPROVAlTO COVER-GUNITE �
`7.: Fo3iings !T�-� a 58. Electrical Conduit-Undrgrnd. -
�t r�� � .-. d'
8. �byndation �� `� � 59. Gas Pipe, O Undrgrnd�., Test � "-'
:�97UAdi�er Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
M
ltl.'Structural Floor System • � • 61. APPROVALTO DECK
11.�Propecty Sewer Line�& HoysPConneytion ' 62. Backwash & Receptor�Finai
�•. �
12. SewC(Cap `% � . 63. Heater & Vent•Final
V � :J liJ
13. Roof Drains C� 64. Plumbing System - Final
14. Rough Plumbinq_ ^' 65. Electrical-Final �� � -
15. ftough Electri - onduit 66. Solar System-Fina1
16. Rough Electric Wiring 67. Fencing & Access ApProval
7�7. Rough Wiring S�n 68. APPROVED FOR PLASTERING
,��. Rough Electric2F'T Bar Ceilin9 69. POOL/SPA SYSTEMS FINAL
G
19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT ��
�
20. ti3ouQh Ff�torV Fi�R�ace ��+:t� d� * O D � x+'/iPPRa1/ALSv.^.�.;Berm t# M '*'
�. �.. .. rr a� f-. � x � �' i �-a r�
� 1 HH :+;5 ::: t-i "'? '-�f: %K S:�"' lr . rr1
21. �uci� irLStru�tu�Y � .. .. H,� . �; e-+x :r: �,0. l�iiergrourid _ yci�o *
22. �Duci�. VeAtilating-a� ^S � r �,�4 yt.» c�7. Product[Pi�ng OC� ODiI
r^ i• t c� i -� F-+:r� x: i� � . t�
23. 8as fipe�oU4� &'T�st g �n �
�,,, � ��y;� ,.• M � ,y J� . �Z2. Under ro d;Flu �, ,_, a,
V \ '.i t l` . • • h V . .. V •,.
24.;floo�Framing• 5; i,-�- -•r t> O 5' �?� a3.filndergmcl�tora9etTank flGas ❑Or�
.'� M � t ��y^
1
25. Roo�,Sh�thing �x q y.. n�U-� ����,'r,''� '"'C/4.:(;yerhead FYydro j�' t
26. �nrL�BaqCeiling (Strvy9uraq & Moaosoat .� � tn t7 �x :� 75.�ry Chemical �'± � t-. p e�
27.=Fra ea Flashi��` � ; 'b '��; E "' O� .rS t=7
`� i� c�r.x ,..a;�X �� �+ +�.. : 76. Ui'1' Standgi�?� r�� � G
��8. �.at�9 � Sidin '. � �.::. .. .K . .. • r� , v .J
9[-x ri �et'x iC T 5' .. .. ..* * 77.�'fIXED S`fS`DEM�SNALa ^[*�
=29. Insulatioa c �x� C ~ "" ' x� M � � �}' 7g,sFIRE PREV�FIf� * J �
" � s x I � . .�`f . R�r � ;> � y
t30. DrywaIllNailiny ni�c � '� � I`r�+r: � HEALTH� EPTxR-EQUIREAAENT
�31. Plaster B�wn,Coai"� � .�, _ ''� � I ��' �Z9.rFINAL If�F.�ECTIO:N �'�' d' "'"
i4 �. ,1*S �. r� u� x
� x l i�Cti ` {
r 2• _Electri � PowQr Nfs��;final i :>: n; � �-; s»� 80. �FOOD CE I I� iE ISSUED �
�o •e:.,;rc�e,...;,:t" .' i t a tn ! I- T{'Not�'s' '�s M m
- � ^ i � r-a< <Tl � w ..
�,�4. �Fina�=Heaxing _& �r,.'Fonditioni�� ,.`�'�, x� �
35.��inal'Ga9�Pi�Te's�y � '7 *�
��.f �1' I. V !1f •• Y. H
�1 Y
c�36.�Fioodor,{.anoPY:a::k p� t LT"': a �•;
�7.�Fin3l�Factory Fir�i*ce� j � -�� `'� ''' M
L. (LJ x
.. .. � .. .. K i
:38. Final�Plumbing �r, p� t� :K
!39. Wat6tService-�Final�'_ s �' � �
�0. Gas Service-F al '�' , � �
[f} � �: b7 �4r:�t:' S :z i*7
Z41. Solar pomes4c-Fina�l S h� �� x' O
� .i W
l, �
F42.`$ackflow Preventer� �"' nj ;�
43. Backflow Irrl§ation�" � �SS „,,,
� x:�;
t:� x S_
ul; ncy�iaii�y� iy (� i.
L STFI.tCTVF?E & BU'DDING '�s/`i
L PLANNING� j Fe- ? N
ic Release to Edison i 7
el�se to Sout�iern Cali�o�D!y,Gas Co Y
�.
1FICATEOF;�CCUPANCY' .,
Date
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AOPi��ant to /111 in all spaces exeept ihose within heavy EorEer Iinas anG sign all appropriate tleclarotions.
CITY OF COSTA MESA' • CONSTRUCTION PERMIT
Proj`e�t.4ddress' ' 2050 MONROVIA .
' A{iplicant'sMailingAddress ' �
:�_ Owner's rvame SUE RIESTRA pho�e 957-506
' Add,ess ' 2060 MONROVIA, COSTA MESA
Arch/Eng. License No.
Address �
_ coovacro�'s rvama' CLASSIC ROOFING COMPAI�` o�e 545-7733
`Address (mailing) 332q W. CASTOR ST. , SANTA ANA
,Cit'y License No. 42724
' LICENSED CONTRHCTOR DECLNRATION '
I hereby affirm tna[ I am �icensetl untler provislons of Charter 9(commencin9
with section ]000) ot Division 3 ot the Business antl Professlons cotle, antl
`• .my license is in tull force antl e/tect.
'License as 4 �i nse No. � 504528
��ate � Si9nahre
WORKERS'COMPENSATION DECLA ATION
�' hereby atfi�m that I have a certiticate of consCnt to s¢If-insure o� a certifiGat¢ �
\ Workers' Compensation Insurance, or a certi(ietl copy thereof (Section
oo, �ab. c.b7q4006 STATE FUND '
rolicy No. Company
�� Certjifiea copYy�is heetlbwithrthehc ry Builtli �s� �
Date l�—� "`� Applicant �
EXEMPTION FROM WORKERS' COMPE ATION DECLARATION
(ThiS section need not be completetl if the permit is fo� one huntlretl ($300) or
less).
I certity that in the Oerfotmance o( the wo�k fo� wM1ich this perm�t is issuetl, I
shall not employ. any pe�son in any manner so a5 to become subject to the
Workers' Compensation Laws of Calitomia. ,
Date Signature
�NOTICE: If, after making [his tleclaration, You Shoultl berome subject to the
Workers' Compensation provisions ot the Labo� Cotle, you must forthwith
comply with such p�ovisions o� this pe�mit sM1all be Oeemetl �evoketl.
CONSTRUCTION LENDING AGENCV -
, I herety affirm that there is a const�uction lentlin9 agency fo� the perfo�mance
of the work for which this permit is issuetl (Section 309] Civ. C.)
Lentler's Name
LenOer's AGtlress
OWNER BUIIDE�i bECLARATION �
I hereby alfirm that I am exempt irom the Contractor's License Law for the
any stru
to file a
"� refrom and t�e basi5 tor the allegetl exemption. Any violation of SecUon
`'�"�31.5 by any applicant fo� a permit subj¢ct5 the applicant to a civil
-�"nalty of not more than five huntlred tlollars ($500). ,
���� 1, as owner of the property or my employees with wa9e5 as tM1ei� sole
compensation, will tlo tM1e work, antl the Structure Is not intenCetl �or offeretl
for sale (Section 'l044, Business antl Professional Cotle: The ConVactor's -
License Law tloes not apply to an owner of a property who builtls o� improve5
tber¢on, antl who tloes such work himself/her5el( or through hIs o� her owm
em0�oyee5, provitletl that Such Improvements are not Intentletl or otferetl for
sale. If, M1owever, [he builtling o� improvement Is soltl witM1in one yea� ot com-
pletion, tne owner wlll have the burtlen oi provin9 he/she tlitl not builtl or im-
�rove tor Ihe purpose of sale).
I, as ownev of the D/operty, am exclu5ively contracting wlth IicEnSetl mn-
tractors to construct the project (Section 7044, Business antl Professlons Cotle:
The ContractorR License Law tloes not apply to an owner ot property; who
builtls o��improves thereon, antl who cont�acts to�'suc� O�ojects wlth a con-
tractor(sl license pursuant to tne Contractor•s License Law). I, am aware [hat
proof ol their Worker'S CoTpensation insurance shoultl be provitletl to me.
❑ I am exempt unGer Section B. S P. C. Por ehis reason
Date Owner
I he�eby cevtify that'1 have reatl'thi5 application antl state that the a�ove
information is correct: I a9ree to comply with all city antl countY ortlinances �
antl state laws relatin9 to builtlinq construction, antl hereby authorize re0r¢- �
sentatives of thiz city to`enter upon the above-mentionetl oroperty tor
ins0ection pu�poses. ].1—ZL—HH
Signature � Date
Drivers' License 55 �
TYPE OF CONSTRUCTION lJ NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑.OTHER
DESCRIPTION OF WORK/USE OF BLDG. �� , _
TVPEOFPERMIT GRADING ❑FOUNDATION STRUCTURAL , .
❑ TENANT O ELECTRICAL ❑ PLUMBING ❑ MECHANICAL �
O-0THER � �
PRQIECT DESCRIPTION SQ.FT.
CONSTRUCTION TVPE VALUATION $
U. VDS. A(
ZONE G
"°'""k::' .TEAR OFF ROCK
SHINGLES.
;
Bar Sink
� Backflow Preventer
Backflow Irrigation '
Bathtubs
Clarifiers
Dishwasher.
Orinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors � '
' Kitchen Sink
lavatories -
P-Trap
. Roof Drains .
Reinspection Fee � $15
Boiler -
Duct - Under Ground
Duct-Structural �
Duct ;Ventilatin9 ' _ .
Exhaust System ❑ Multiple �
Firepl/Fact. Blt. ICBO #
Heating System & Ducting'
❑ 0.100,000 BTU� � 100,000 BT
H
Reinspection Fae � I . $15
GMF OBfiS-46, rev. 10/B4 Wnite - Builtling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor
Showers
Service Sink
ca�..o, ra..'.
Sewer Connection
Solar Collectors
$olar Pipinq
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet '
Water Heater
Water Service . '
Auto-Wash . -
FEES
a
A.P. # •
S Main Buildi
E
T Front
B Rear
w
C Right
K
g Left
Ping. Ref. #
: Planning Notes:
0
- �Accessory Building:
Parking Req./Provided
� �
� Automatic Washer
Construction,Pole Sub.
Cooking Unit
Dishwasher
Dryers �Gas ❑Elec'
Fan
F.A.U.
" Fixtures ' � '
- Device Boxes
OuHets
Issue Fee
Hood or Typel ❑
�Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑1
System� Repair/Alterat
Fire Dampers
Registers
laue Fae
� $ 3;
. � �
Zone
Z
i O
- N
r
N
� � G
R
E
Q
M
. 7
$
ELECTRICAL � ,
Transformer ❑ 15-50;KW
�� 50+.KW
Meter ❑up to 100 amps
Meter ❑over100amps...
Sub Panel ,��
Motors �ai HP �1�'/:-8
Inc.Solar 09-15 HP �16-15+
Microwave �
Pale �ight '
Range
Garbage Disposal ; Standing Section
Generator �0.5 KW �5-15 KW Trash Compactor
' I ReinspeMian Fee I$15 I .' Issue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning APProved By
Building Approved By
Aoolication laued Bv � A
FEES
$ 3
SUMMARV O FEES � �
BUILDING PERMIT $ ��-O� SMIP $ ��_
PLAN CHECK , $ PERMITt � ' .
PLUMBING g f11 (�ti[t70fi'iR-QQISSUANCE'j"[,$'� . .,`
PLANCHECK 25% $ DATE� f1J��BiENERGY;P.C!J:$5
, ELECTRICAL' $ :15� f1Y1t17f1Y;�7-G�GHADyNG �-�$-F-
PLANCHECK 50% $ ��Tf� ii/?1!$�,MICROFILMv;�$� ��"�a
, MECHANICAI $ � � TOTAL FEE ' $ � d� s0
� PLAN CHECK 25% $ � ,
.,t _
. �OC STR�i1CTION AND PLANNING P��� �'4
Oate Inspector Date Inspector
. /�?ROVALS Permit # APPROVALS Peimit # _
���1. Temporary Electrical Service or Pole 52. .Pool & Equipment Location - , -
r2. _Soil Pipe-Undrgmd. 53. Steel Reinforcement � _ � • � :
� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . ' �
4. Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding '
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test . _�
�f
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE _
� F7. Footings � . 58. Electrical Conduit-Undrgrnd. - �
�
'- 6. Foundation • � • ' 59. Gas Pipe, � Undrgrnd., Test ' �
1 9. Water Pipe-Ondrgmd. � - 60. Backwash Lines, P-Trap, O Undrgrnd. '
, 10. Structural Floor SYstem 61. APPROVAL TO DECK �
�• �Lt. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final �
13. Roof Drains ' 64. Plumbing System - Final '
14. Rough,Plumbing 65. Electrical-Final � � : �
15. Rough Electrical-Conduit 66. Solar System-Final _ . .
16. Rough Electric Wiring � 67. Fencing & Access ApproJal �
�;1�Z;,Rougli Wiring Sign� _�" ' 68. APPROVED FOR PLASTERING - �
18.iRough'Electrical-7 Bar Ceiling 69. POOL/SPASYSTEMS FINAL � �
� 19�'Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT. �
20: Rough Factory Fireplace ' APPROVALS Permit #
i
: 6 21:. •Ducts, in Structure � 70. Underground Hydro �
�� 22. Ducts, Ventilating • 71. Product Piping O Gas ❑ Oil
: 23. Gas Pipe�Rough & Test - 72. Underground Flush
�' 24. Roof Framing :�` � � 73. Undergrnd. Storage Tank' O 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 ' 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' ' 79. FINAL INSPECTION � --- �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
'�33. Final'Electric � . Notes: ' ' ' � "
34.'Final�Heating�& Air Conditioriing �"' , � � � '. " � -
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 pomestio-Final � . - ' - -
42. Backflow Preventer , . . � � � ����
43. Backflow Irrigation � � � - � � ` ' � .
44. Landscape Irrigatiori System , . . ; ' � . - '
45. Sound Attenuati0n � � � ' �
46. Handicap Regulations � - � � . " - .
r
47. FINAL STRUCTURE & BUILDIIVG � , �
48. Special Requirements Completed � � . .
49. Electrie Release to Edison � � _ ' , _ . _. �� .
50. Gas Release to Southern Califomia Gas Co � ,' � � �� ��� �
�
51. CERTIFICATEOFOCCUPANCY -� ' � , . !;�. �'"' � ,
. _ . _ . . . �r; �:
No. � �Date , ,
�� �
I
�
<per�ecT aooeess: �
OWNEn'SNnME: 2060 MONROVIA AV
• aooness: VALLE, RIESTRA JOHN C
• VALLE, RIESTRA SUE E
-' 710 W 18TH ST #49
COSTA MESA,CA 92627
AFCHIENGINEEN: 6 4 6— 7 S 8 1 pEG.NO.:
nooeess:
UNIT:
UNIT:
' PENMITfEE: CAL PAC ROOFING t 71�4 ) 583-0884
nooness: 9Z�2 JERONIMO
����� CA 92718
LICENSEO CONTPFCTO C I here�y alhrm Ihal I am licensetl wiJei pmvisions oi C�apter 9(commencing with Section
7000) oi �ivision 3 of ihe Business antl Pm�essions Coae, a my license is in tull i � and eifec�.
cirv uc: 2� STRTE LIC.: S I Z 8 6• Ic ss. C 9
�
�Sie'. Signamre: _ _
I WOflNEflS' COMPENSPTION ECIABATION: I here�y allirm that I have a tli'c Ie of consenl �o self-insure or a ceni�icate oi Workers'
Compensaiion Insurance. or a cetlifietl copY Ihereof (Section 3800. Lab. ).
aoucvwo.: O1WCP12072A E%P.DATE: O�I/OS/ Z
comraer: SUPERIOR t�j�TL.
� Cetli�ietl copy is here�y lumished. i�� Certi�ietl cop iled 'Ih �Ae ' uiidin 0 vision.
Jate: �—'TI � � Applicant:
E%EMPTION FPOM WOBNE85'COMPENSI�TION OECIAHpTION: (Thissec�an neeU ot e mplete0ilthe permilisiorone hunOrea�5700�orles5�.
I cemfy Ihai in ihe petlormance oi Ihe work br w�ich t�is p¢rmil is issued, 15h oi employ any person In any manner so a5 io become
sublec� lo Ihe WOBers' ComOensa�ion Laws o� Califomia.
Daie.' ' � SignaWre�.
NOTICE: If. xfler making ihis declamtion, you shoultl become suhlect to ihe Workers' Campensation pmvisions oi roe Labor
Code. you must forlhwiih comply wilh such pmvisions or t�is permii shall be Oeemed revoke0.
CONSTBOCTION LENOING RGENCY: I hereby aHirm Iha� Ihere i5 a tonslrUt�ion lending ag¢ncy �or Ihe petfOfmante Oi �he work lOr
which I�is oermi� is issuetl (Seclion 3097. Civ. C). �
LENDEP: '
ROOFESS: � ' ' �
OWNEN BUILOEP OECLABATION: I hereby a�firm Iha� I am ¢Mempi Imm IAe Contractors' $late License Law �or Ihe following �eason
(Section 7031.5 9u5ine55 ana Protessional Code: Any cily oi counry which requires a permiilo conSVuct. al�er,improve,tlem0lish, or
repair any s�mc�ure, D�ior Io iis issuance, also requires �he applicant �or such permi� �o �ile a signetl s�a�ement tha[ he/she is licensed
pursuanitothe provisions o��he Coniraclors' Sta�e License Law(Chapter 9(commencing wi�h Sec�ion 7000�of0ivision 3 o�ihe Business
an0 Pmlessions CoOe) or Ihal hehhe is exem0� ��ere�mm antl �he basis lor Ihe allegetl exemption. Any violaiion o� Sec�ion 7031.5 by
any applicantlor a permil subjec�s �he applicanLto a civil O¢nally of not more �han tive hunOreO dollars (5500).
I, as owner ol Ihe pmperty or my employees wi�h wages a5 Iheir 5ole compensa�ion, will tlo �he wark, and Ihe
❑ S�mc�ure i5 noi inlenUed or oilere0 for 5ale (SeCiion 7044. Business antl Pmfessi0nal Cade: The Con�raCfoK $ta�e LicenSe Law
tloes not apply to an owner o� a pmpetly who buil�s or impmves Ihereon, antl who does such work himselilhersel� or �hmugh
his or her own employees. pmvitled �ha� such impmvemen�s are noi in�eneetl or oflered �or sale. I�, however the 6uilAing or
impmvemen� is so10 wi��in one year of comple�ion. I�e owner wi0 have Ihe Durden of pwving helshe Oid not hui10 or improve
lor the purpose ol sale). ' -
I, as ownerofl�e Dropehy, am eeclusivety coniracling withlicensetl coniractorsto constmctthe Oroject�5ection 7044, Business
�❑ and Pmiessions COAe: The ConVac�ors' S�a�e LiCense Law does not apply �o an owner o� pmperty wh0 UuilAs o� imprOves �here0n
antl who comrac�s lor such pmlecls wi�� a canVacmqs) license pursuam m �he CanVacmrs' Siale License Law). I am aware
I�at pmoi oi Iheir Worker's Compensa�ion insurance s�ould be provitletl Io me.
���, � I am exempl untler Sec�ion: B. 8 P. C.
I br ihis reason:
�aie: ' . Ownec
I Uo hereby cetlify Ihai I am aware of an0 underslantl Ihe reQuiremenis oi Calilomia Heal�� antl $atery Cotle Sec�ions 25505, 25533, and
� 2553a an0 �Aal I or any IUWre building occupanl wilVwill nol (circle one� nee0 io comply wii� sai0 s�ale co0es and Ihe requiremen�s lor a
permii lar consiruclion or madilicalion imm I�e Air �uali�y Management DiSirict. Hesitlential con5�mciion applica�ions are exempi �mm
�hese ptoNsians. ' '
Dale'. ApplicanC.
I hereby ceriity Na� I have reatl �his applicalion and Slaie I�ai �he a�ave in�ormalion' correcl. I agree �o comply wiih all ciry antl counry
'or4inancesand9aielawsrelalingm0vil0ingconslmclmna re6yam oriz .O�es[ t veso�thiscirymenterupontheabove�mentioned
pmperry �Or inspeclion purpases.
a�e (�'_L�'� I s�9�a���e
�river'S Lic¢nse or Social Security A: �. �
t6ai�46 W�ne—Bmltling; Green—Cotle EnlorcemenL Canary—AOPlicanl; Pink—Revenue; Golaenrotl=Assessor
, CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05371
PERMIT NO:'B 053718 PLAN CHECK NO: . N GOVT: N SUPP:.N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF REROOF WITH COMP—HOUSE SQ FT: 3,500
CLAIM VALUE: 3,500.00 CALC—VALUE: 3,500.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME
**�r*�*�e��e****��e*�r*��r**��e*�r�e ***+r�*�**x�r***+r�r�r*�*****��r*�r�r�*�e****��r*+�*�*�r***�***
2 O N I N G R E(j U I R E M E N T S'
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN . FRNT: FT IN REAR: FT IN
LEET: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42250529 ZNE; REF NO:
PLANNING Na1'ES>
n� _
�f �! iF iE it iE if if 3F if if iF iF1F�E �f iE 3f 1FlElE 3f iF iE iF if �lf it �k a! 1! k at �E 3kif it 1F �E IF 16 �E 3f ikif �F fE aF3F IE�k iE �kklE1F �F iF3E iE iE�f aF �E if if IE iF'if iF iF if iE if aFik if �F ik
D E V E L O P M E N T, S E R V I C E S R E.Q U I R E M E N.%T S
20NING APPROVED BY DATE; ,: .
BUILDING APPROVED BY : ' DATE:
*�flf ik ik 1F IF1F iF �F it iF k iElFii if iE �1f !f if iE jE �f If fF1k �F 3F �E M�k IF it iFif iF �F M Ii�Y�.�F iFiF iF M if if iF M iF M iE if if iFiF k
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING .EL&F��1���7�E6HAA}Ie'"' FIRE
PERMIT 63.00
PLAN.
ISSUE FEE
��r.vr�
iE �f iE �E �f iEiE iE iFif �f 1E 3E �1E 1FiE iE iE iE iF
STRUCTURAL SEGMENT;Y
SMIP/RES, GRADING
,5�
SMIP/NON;RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID :^ DUE
TOTALS=---> 63.50 - 0.00 0.00 63.50 63.50 � .00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .i00
. BLD63P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PI,AN—CHECR
�.
1k if if 1f 1FiF iF iFif if if if 1F if iF iE it iF iFiE ik 1E 3E �f iE if iE iF iF k ik iF if if �k iFif 1k M�k IE 3f ik�k k k if it�f if if iE iE ik iFif k if 1f ik 1F 3F �f iF iE iE iF iF iF iE iE if 1E iF IE iE ik 9f iE
I• N D I V I D U A L F E E B R E A K D O W N '�
TYPE QTY D E S C R I P T I O N UNIT COST T.bTAL COST
SFR. 3500 REROOF HY VALUE RESIDENTIAL N020NE 1.00 ^° 3,500,00
END OF FEES
r�:a,
�'
�'i
�l 0009c's73-0709b3?k`,•';�i Cr�
GATE: Ow/p;/91 TItEE:'i?:22
F3,`p
. � - �
E-�
,
'� CONSTRUCTION AND PIAN�NING POOL PA '� . .'
��- APPROVALS Permit# � Date Inspector qppROVALS Permit# Date Inspector
1. Temporery Electrical $ervi�or Polea`L � 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � 30�' � 53. Steel Reinforcement �
o'.�����I Cond��l;l�r ity-tfndrgmd� � ' 54. Farms �
��:��j�tt�yal Conduit�d�rgmd. �� � ,� � 55. Electrical Bonding �
�-`T�. �E„¢ �nforceaier c� 56. Rough Plumbing & Pressure Test !'.
't�,++,.j E�i�ical UFE �nd. .�`.., � 57. APPROVAI TO COVER�GUNITE '1'
ti
�..
?�FQ�ngs !T'r+ a� 58. Electrical Conduit•Undrgrnd. w
�8'�Pby,undation ��-� `` 59. Gas Pipe, O Undrgrnd., Test .
;�7atlEter Pipe�Undrgrnd. ' 60.� Backwash Lines, P�Trap, O Undrgrnd.
m
10�p$tructural Floor System • � , 61. APPROVAL TO DECK �
1. Proµsrty Sewer Line-& Hoa;e�Conn�tion _ 62. Backwash & Receptor-Final
12. Sew@! Cap "' �- � 63. Heater & Vent�Final
� a� o� . cv
13. Roof Drains � ' �� - '
6.� 64. Plumbing System - Final
14. Rough Plumbir� �% ' 65. Electrical-Final
15. Rough Electricy�f-',Conduit 66. Solar SYstem=Final
16. Rough ElectrialNiring - 67. Fencing & Access ApProval
i 77. Rough Wiring $t�n 68. APPROVED FOR PLASTERING
18. Rough ElectricabT Bar Ceiling � 69. POOUSPA SYSTEMS FINAL �
19. Rough Heating & Air CAnditioning � � FIRE DEPT. REQUIREMENT � ''
�.. . � - v - .. p+ o--� tc H t[. � F N
20.�$oiyqh F�torq F r�place i i��j �y * �, p M:� k t�PPR�/,GCS1�p�erm,�t #
r T � r' ..t r ti .w
2�.�Ua�,IfL$if�SUCCX If-��-' :T.s 'K H `! '::X�X � •'1� X (r7
���� �• r+S r: S O r,X M�0. de �`.Hy�to
r
22. DucLs. Viontil$iing..i i (�S * � S rya. t✓J1. PradutC?1�iRg �fiDs ❑�flil
23.�asFPipeNRoy`gli &"�est i . �,� y*� t„ � � �� � ��2, Undergraubcl FIJzJ1'�-,� � � .r�`, v
� � U. 1 f C UV ' -. . ' v W
24.�ioq�Frf.ming. 5..- �E+E ��F �7 C C �Y.5J3.[riJndergrn�i�StoraQeTaek Gas ❑Qi}
25. Ro�Sh�ything ?Y � �� �����` :��� ' S7q,�erhead �Flydro�E"` �
26.�_ -B� Ceiling (St vr�, �ural) &�pf}oFoat x� ta Cj �r�r a 75�r�y Chemical � y x ri p G;
27.�-Frame and Flashi" �'! 'b� x^ '^� ~* * 76?�1.3?y Stanc�i;pg Q D � S t+7 �
�-. � c- r# K *�� Y U sF :[
r � , r;:k ��[+1:� ^ * i+T� x � hI -` _� lJ
�.38. j.at�ng� Siding�.,,�, ;� �-,�= q :x E, .•fi � 77.�F1XED S 53EM�F:INAL:i� � �r
�Y9. Insulatio4i =�� d H �� h Y� I �� 78"FIRE PREVIFIf�/{L � a�
o cSx . >'s � ���: w � �
0. Drywall� ail�pq �q.t. W � 1 k a i-; HEALT�t��IEPT;,;REQUIRENIENT
�
�31.Plaster8�ow Co�� �rrn, � y��,79��INALIf�oCTl� Y� �
N32.�-&Iectric�Pow�r (ate�er,Final � `�F � ;1; � �` * h�0.�f OOD CE�� tr�IF I��, ,'E ISSl7ED ~ ��
3.r£ina`t EleCtric� va. � C �' rq [_, � .r. �'iJo s: '�' "!5 � � � {�n
rn - � x rn � �':t y rr rc �-• n�
t`'�' 4.�in`a� H2�tin�& P',`�t�`�Lbn,�itio��� � x rF :.' * t� ~ tn � ^ i� J
c� w �� r x s nx +: s�-.
�35.C+�inbl�GXfPipE-Tesi�. ` tD '7 * �l�,a� : i :"� mS � m S•�
.. r,: 1'=-`F•,x.. � p r- "
vi6.''�Hoo or`Canopy .` a t~ ���n- � ,n . ..t� � t�7 H
.� i x> C� i:T"'y a. :r n ''.� :. � s ric .ycr
+37.�Fin82�Fa'c�lory FirP Y�cC�, � 5[*' � �[� x X E r1 � � � uln
N
�•. p. CL' i•• •• C .l� N . x t�- .X '
S. FinabPl�nbin9 x fU t N x k: 'S ' t� x iD p
.. 9. Watsr Service-Final� � i � � � �* �r r�M M tC p
Y x o.J J. �
t40. Gas Service-^ al ' �' �. �' ". E"� • * � M
t� c�' + n� rtt�•t-� s m c•� .x pc� n.,n: i
� ��^r . . _ �.
�Il. Solar pomesltc�Final � C'. •• y Js ( .F�.k. x tt �^� N � x
E'A2.=Backflow Preventer* E' v �� � �"� �" �� `� a
x N * I GF � i.0 > H • � C �
43. Backflow Irrigatiom�. �� 'i S5 � F x� �� i„Fo w O �-.
"' . '�
'r44. Landsca I�qatia�i SYsterr�ma ,, �,�v, �q n G �� i: �: �t� N � y� � �
m :$e ., :C:� +: w o
� n < w ,
545.�ound FCtte�atiorv t-�t�F [�' � 7 3 H F F#� * J � r-� ;� w .vC^, '+
M M tn �;Y ' I [_. . T:
.� ... .�. .. .-� .. .. �' .
�-46 FHandicap"Regulatio�is G S � !*1 • � ••x w - i !-�r.� ••s-! T
�-, o r. K r c; • s a c s *
47.,�iP({AL STRLICTURE & BU,1-.�DING ,`� � � � •y ��'= ��^ " ;
. .r. p��t ` �- �
•.48 �IN�,L PLANNINr: � n"•� r: ' I I '� � Y �i ir -9 x � .�
,J "k i E' F-� .r. C�. t�. =:rl en :� :�: F :.)
"49.-Ele� ic��ieleaseto� dison � ��� �' � "
� c�r � � :.: � v' x�: b: � i a: `7 �v .
.�f •rl Y
;�50.,,,Gas�ielease to Sou�hem California Gas Co * ( � ' �'` � S �-' `='`�' �' n `�
� :.. ,-:�-, .:�: E-� i� C oc� � U
�5L'CERiIFICATEOF,;OCCUPANEY �: r.� }�3 n:� ;C k ;- o
No. pate �
NER Tnf?NR _ F. ' F" . . .. . .. • " / .. DATE
V
JOBADDRE38 �n(jn T•'jOnT'oV1�___AV@. BUILDINGPERMITNO: O85
GENERALCONTRACTOR ��•me.T�$t111f�0P VAWE $ 1 350.00 7
•L 5�% BLOCK . TRACT 1%12 Garage
,-�GROUP J TYPE V ZONE Rl FIRE DISTRICT G93
PERMITSISSUED
INSPECTIONS DATE I SUBCONTRACTOR I —_.
` Footing Trench C���
Foundation Forms and Grade to Garage
� Rough.Framinp ���
Plumbing, Rough to Slab
Temporary Pole
Wiring, Rough
Heating, Rough
. Heating, Final
aewer
� Septic Tank or Cesspool
'� 0
P, ring
Plumbing, Final, Fixtures
Plumbfng, Final Gas Test
Wiring, Final
Occupancy
Horm '210 GH IM 1263
✓
Costa Mesa Building Department APPI.ICA1`ION FOR P�dLMIT
`-� '' 111 EAST 20th STREET 693 B U I L D,� N G �
COSTA MESA, CALIFORNIA
FOR O�'FIOE USE ONLY
FO$ APPLICANT TO FILL IN Receipt No. .. -_ Permit No.
Adtlress .�6�00 M H / I �/� S
Costa Mesa, California Received by Date Rec'd. Date Issued '
Nearest ' M /' � '� S
CroSSSt. 4 h Building �
� Address
�
Owner Costa Mesa, �ie,�OP1118
Mail
Address � /'1 Nearesf
Tel. Cross St.
Cfty �!i SQ.. No. � Zone No.of Type ./ I Group�
Architxtol' LiO. � I P���s I V � d.
Engineer �� No. '�'�� Approved
by Date
ddress .�. CORRECTIONS
City LIa �� .
ntractor �� ' No.
Address _
Legal Loi
Description I No. �Qq I Block ��% i-I Tract �7�Z
Y
(Attach Metes and Bounds)
No: of Bltlgs.
Size of LOt �� y` � 3� I Nnw'on Lot �
' Useof � No.of �' No.of � � - N -- O
i ExistingBld9• w������ I Families I Rooms � �
�
SetbackLipefrom _ _ _�� RearYard _� _, _�
I I Mo
z6'Xzo
Nell if i i
■ Build
Addition I _•• • ..'. -'..-_ _• ` _...
Demolish I � `��
$tories
IofM_�e� ArrRovAzs
a
CIN C�h Foundation Lxation Inspector
p Forms, Materials,
�/ Under-Pinning
Frame: Fire Stops, �
Bracinq, Bolts
I.hereby aclmowledge that I have read this Application
and state that the above is correM and agree to comply
with a11 Clty Ordinances and State Laws regulating Lath. Ext.
building wnstruction.
Signature of %}
, PlasSer, Int.
Permittee • / •
� Plaster, Ext.
Authorized Agt. �
Masonry Reinforoed
Valuation Permit Fee $ � _
B�� Plan Check $ Bond Beam
$ /�5 O Fee I $ y � J FINAL
vnou �na n_�u 9M S-S6
ORANGE COUNTY BUILDING DEPARTMENT , APPLICATION FOR PERMIT
.. � " 636 North Broadway � � "
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- PLOT PLAN ' - - -- -
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Show location and distances from- - '' "
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