HomeMy WebLinkAbout2853 HICKORY PL - Building PermitsPflOJECT POOflE55: Z 8 S 3 H I CKORY PL
OWNEN'SNFME: GARBER LEONARD TR
ADOflESS: 2860 Af,TA VISTA DR
NEWPORT HEACH,CA 92660
„ ,� AflCMIENGINEFR:
nooness:
NEG.NO.:
uxir: CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B 068339 PLAN CHECK NO: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: STR
UNIT:
PEflMITTEE: ROH'S ROOFING (714)892-5397
aooness: 17097 VAN DYKO LN
H.B, CA 92647
I�CENSEo CONTPACiOB oECIANATION: I hereDy alfirm that I am Iicense0 untler o�ovisions of Cnao�er 9(commencinp wilh Section
7000� ol Oiv,sion 3 0l i�e Business ana Pmlessions Cotle. antl my lice in lullfo¢e ana ellect.
cirr uc.: 0 S 19 5, srare ue.: 5 3 2 51,6 � S:�G3 CP ; 10 / 9 4
� Oate: �t SignaWre: ��
WOflRENS' COMPENSPTION OECIAflAT10N: 1 �ereby a��um I�al I �ave a cetli�icate ot consBpl sell�insure or a cenificate ol Workers'
Camoensaiion Insurance. or a certilie0 copY �hereoi ISection 3800. Lab. C).
� eoucrNo.: 3099609-93 E%P.OATE: O9/O�/9�I
COMPANY: STATE
❑ Ce�eO co�s �erc0y lu�ishetl. � Certilietl cop ' i - t e cit jl4ing,Owiei�n�—
� � � J
o,�e: � AppliCanl: �
EXEMPTION FAOM WOFNEHS'COMPENSPTIDN OfCIABATION: (Thissection neetl noi6e COmpleleaillhg rmilislm onehundre0�5100�ar1e55�,
I certity Iha� in Ue petlormance ol Ihe work br which Nis permii is i55ue0, I shall no� employ any pp�on in any manner so as �o Gecome
subjecl to t�e Woders' COmDansation Laws ol Calilomia.
�a�e: SipnaWre:
NOTILE: II, alter making �his Oeclaration, you shoultl Uecome su�ject ro ine Workers' ComDensation pmvisions of tAe La6or
Cotle. you musl tanhwitn camply with suctl Omvisions or t�is permit shall be Eeemea revoked.
CONSTXUC710N LENUING pCENCV: I �ereby allirm that there is a mnsimction lendinp a0ency for the perlormance ol t�e xrork for
wnich mis permi� is issuen ISection 9097. Gv. CI.
LENUEfl:
AODflESS:
PERM NO: B 068339
GOVT: N SUPP: N
PURPOSE: ALT
JOH DESCRIPTION ; T/OFF, AEROOF W/COMP. SHING. 6 BUILT—UP SQ FT: 4,000
CLAIM VALUE; 4,000,00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DET AEQ PER 910BC, REROOF 2200SF W/COMp,��${'����
x�+r�r+r+r****�r+r+r*x�x�xx*�r+r�rx*x�rx**�+r�r*�r�***�rr*�**�x��r�r��rr+r*�**� �J
Z O N I N GS_ERTEBgAUCIKRSE M E N T R EQUI�
------------ MAIN BUILDING ------ --- -- ------ ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13929617 ZNE; REF NO;
PLANNING NOTES> .
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D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S
ZONING APPROVED BY DATE:
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: ��
iElflEfffEflfEiElFlEiE!!!EKlElF1k1FMlF1Flf 1t1t1kffitiklliffEfk *1E
1E ff 1E 1k 1E ik 1E 1E 1k!! fElt 1f k!f 1FlF M M iF fE �E 1f M M IE it fE M M 1k if If!! 1F 1ElE N!F 1k iE 1E M M M i! iE k/F 1F 1F %If %M it iF ik iF 1E 1f 1! ik iklF iF iFlf fk iE fE 1E k k!E 1F k!E 1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
OWNEPBUIlDEPOEtIANAT10N: I�ere�yatlirmi�atlamexemplfromt�eContracmrs'StatelicenuLawrortne�onowinqreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
�Seclion 7031.5 9usin¢55 and Pml¢5si0nal Coae: Any city ol c0unry which repuires a permii lo cons�mcl, aller, imprOv¢. Oemolish, o� p E RM I T 6 3. 0 0 S �
repai� any simclure. Orior IO i�5 i55uance. also require5 ihe aDDlitan� for Suc� permi� Io file a SigneC Slalemeni �ha� he/she is IiC¢nSeA
Oursuanl lo Ihe pwvi5ions ol ihe Comracmrs' Slate License Law (CnaO�er 9(commencing vnih Section 7000) ol DiviSion 3 ot �he Business $:'4I P/ NON —RES
anE Pmlessions CoOe) ar iha� �e/s�e is eRempt t�eretmm an0 ��e Gasis for ine allegetl exemption. My Wolatian ol Seciion 7031.5 by PL�
any aoo�icam br a oerrtut suoiects me apvllunt �o a civii penauy o� not mare tnan ime nunereo aanars (55001. ISSUE
i. as owner oi me propeny or my em iayees witn waAes as tneir soie comDenSaiion, will eo tha work, antl 1he BUILDI
❑ s�mcmre is noi imenUed or ollered lor sa�e I�eciion 70aa. Business antl Pm�essional Cotle: IDe Comractors' Slaie License Law TOTALS
does nal appty Io an owner o� a pmperly w�o builtls ar impmves �Aereon, antl wh0 tloes SucA wnrk himsell/her5el� o� �hrough
�is Or het Own emDloyees, O�Ovi4eG I�ai SUCh imD�ovements are nol in�entletl Or oll¢reE for sale. If, �owev¢r the �uil0ing or
impmvemem is soia within ane year ol com0�etion, ihe owner will Aave I�e bur0en of pmvinp he/s�e aitl not EuiIG or improve REVENU
lor ine ourpose of sale�.
I. as ownerof �he pmPeny, am exclu5ively contrac�ing with licensetl con�rac�ors to conSlNc� �he pwject (Sec�ion 704d. Business
❑ antl Professions CoOe: The Coniracmrs' Slate License Law Uoes not aDOry to an owner oi pmperty who OUAEs or impmves tAereon
and who comracis tor sucn o�olects witn a comractor(s1 license pursuam ro the Contranori State License Law1. I am aware {E{tw.***
I�ai prool ol Iheir Workefs Compensation insurance shoul� �e pmvi0ed lo me.
� I am exempl under Section: 8. 8 P. C.
ior mis reason: TYPE
oaie: Ow"ec S FR
I tlo �ere�y ceriify I�at I am aware ol antl un4ersiantl ��e requirements of Califomia Health antl Satery Code Sections 25505, 25533, ana
25534 antl Ihal I or any Iuiure builtlmg occupant willlwill no� (circle one) nee0 ta com0ly wiih 5ai0 s�a�e codes and Ihe reQuirements for a
permit lor consimc�ion or modilita�ion imm Ne Air Ouali�y Managemen� DislricL Besidential cons�Nc�ion applicalions are exemp� trom
these pmvisions.
Dale: AOPlicanl:
I hereUy terlity ��al I �ave �¢aa I�rs apDlitalion an0 5ta�e e a inlormation ¢ correcL I agree m camply wit� all Ciiy anU counry
orUinances ana s�ate lav5 reWling io Guilaing crostmc' and her aut rrze representatives of iNs uty to enrer upon ihe above�mentione0
pmpe�iy r nSDetlion pwpoies.
�� Oate: �—�^C� `/ Signatu .
oriver's �icense o� Socia� Securiiy �:
�6aba6 Whne—BmlGing; Geeen—CODe EnlorcomenL Canary—Applicam: Pink—Revanue; GolOenrotl—Assassor
FEE
NG-DIV-> PERMIT ISSUE PLAN-CEiECK TOTAL PAID DUE
----> 63,50 0,00 0,00 63,50 63.50 ,00
E DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHO[iT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING pLAN-CHECK
63,00 ,50
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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
QTY D E S C R I P T I O N
4000 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 4,000,00
O1 00165264-OO1bS26S TQ T 63.SD
�A7E: OS/03/94 7IpE: 10:12
�
.- , -, _
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector
t. Temporary Elec[rical Serviae or Pola J 52. Pool & Equipment Location
2, ��I Pipe-Undrgrnd. ..� v.;, 53. Steel Reinforcement
-"•5��.�ctricat Condu�}'V,�11ity-Cthdrgrncf"'� 54. Forms
r„x..,,,
:�.-;,-. , . .
U„�r, Elgctrical Conduj�ndrgrnd. 55. Electrical Bonding
�y5c �4¢el Reinforce+ij�ert -' � 56. Rough Plumhing & Pressure Test ��
•-1�"��',ctricalUFE��md. _ 57. APPRQVALTOCOVER�GUNITE ''
��!-F6btings �> �� 58. ElectricaiConduit-Undrgrnd. �
. kr -,�
��`Foundation " `Q 59. Gas Pipe, O U�drgmd., Tesc �
A,�later Pipe-Undrgtnd. 60. Backwash Lines, RTrap. G Undrgrnd, w
70. St�uctural Floor System =� - 67. APPROVAL TO DECK
t t. pEqperty Sewer L.ingyg House Conrtgction 62. Backwash & Receptor-F�nai
12. Seyver Cap j -- � 63. Heater & Vent�Final
73. Roof Drains �c ?; � 64. Plumbing System - Final
14. Rough PlumbiAg % 65. Electrica6Final
15. flough Elearica!-Conduit � 66. Solar System�Final
16. Rough Electric•Wiring i 67. Fencing & Access Approval
17. Rough Wiring $79� 68. APPROVED FOR PLASTEflING
18. Rough ElectricaYsT Bar Ceiiing 69. POOUSPA SYSTEP.nS FINAL
19. Rcugh Heating & Air Conditioning FIRE OEPT. REQUIREMENT
20.i'�o�N1'i F�'to+'Y Fl�Place i r.�:�t �:=� ?' ;� -� ;j�r .. '7 ^ .Y•ica�. ,. - .�
� .t1PPR0VAt+S%GO'ermit#
c n �.-�'i 'I.� ' ^S .� . r. } rr ,suc. ) r
Z�.Y�Ci�.ifl$SfLLGSUT� . .... +'C i T "7 '7Y�e �2. .�_.^ l�7 • :Tl
� .'Y�7�. -,S � •� 0. Uc�dergra�t}iHY�-o ,,.
, T�.
22.'DucSs, Vedrti�,xtin¢.�>, � :)S �� S �"ir M�1. ProducC'�+''�y+i�hg C�G s ��Uil
23.'�$as7ipe%F:o `yn &'T�st ' � ' C '�";. F F � � �'' _ - `�'
Y1 uJL g � .y; . r.-, ,; ,S �< rc ,.72. Underground F�ush-. ��
24,r�ioo�Frairing. g K � i-• - � '� -x ^ 7 � !' �3.�-'Underymd?Storaoh-'iank 'L� Gas D O}+
k' ' Y' � ,T� T�; T,
25. Roo3yShe�thing ��� � �g yLl�/ �" � jq,�erhead HYdro�j4'
.�
26..�•9ar,Ceilinq (Strgciurall & f+�wnocoat * J ^t s * 75.7Jry Chemical '"� '� � '� -T.
1 S
27.'freme and FlashiF�' � c ? ^ � �� � 76.' D� Stan �lx �i �� ' � �
u, '� r et z: :. �:" #^ : •„ rY "K'P3 i-��J t y
;�
r•�e8. �LatFs�'ng �,Sitjin9r: t: : �:�,x '.�+: }� � ••� ��1: �: 77.='FIXED SN6TE�T?FTNAL% v
=29. InSuiatio� " ,,:� C' S '� " ' ��.`� ' � : 78.',�IRE PREV. FlhiAfy x,. � x �
.: � .�
;�30. D�Ywall hpilitig �;+: � �t: �� - -+ MEALTH,�EPT�fi{Qt�#REMENT
c r
•� i �Y . i .� '^ •i
`31. Plaster B;�wr��Coa�y, ;, 5 � .,,�, � , :, �,79.`�INAL It�P�CT101V �
�2.;61ectrica. ower h�eeeC�finai � � � �: - x CAO.[•ff00D CERTIFICATE ISSUED � �
,33. �inaTEle�tri�� ^'X r � � '" � ` fVot _ ;z, r �. ~
I �F f' �' ^]t�1 k �JtT7
.:.: I.�:r� �+. t�., � �. i �. . .�
�4. F,ina,�He2ting.$ Ai?�Corlditioni�s � � i .: s �.-; S �-i.; �.: �- : v
N r r r.
35.,F.in�Gas'Pipe•Tes{�; '� ' � + � - _ `''�'� X T SJ
a- ;J _ .+. x _ ;�-
�6.'Fiood.or f�noPY � r � ` t: C': ; r r `�c � � r � :n'
. . -n +. ^
57.'6in�7'�FacFqry Fire�lgc'e'� � `��^ °i � � �t ; 5- '� _ ^'�
�8. Final�flumbing f,- �. i.. .. u t. �` �� S --� r' - -
S9. Wat6t:SerOice�Final " � = � �i� { , :�c+1 t T. _
v' T '� r J
.:Q�O. Gas Service•Fl�t�al ^ � r � ,� �, �-, � w py ��� - p •-., v:v t . , . .
s
?1L Solar potrtest�lc-Filiak > C1� � •• `: G t� ,` `°� '-' F
.� rn * 'r % i. ( T 7 7 C :� 7' '_1
�42.�BaGkflow.Preventer � `� �nj * "' �F ; � ',c, • r, '
�.
�'.
43. BaGkflow Irri§2ti6r��. V ��=� ; _ �' • �. 'zE'c " ; `"
F �
�S Y �
'&4. Landscapelrttgati�rl.SYslem;ti��i,, ' - _ 7 Gx . o; ,^� .:::;, _ .�
�
� . �� ...
�5. Sound Aitenfi,atioA+- ; - ��'^ .' � r `^ P+x Y ; .� '^.�� ^K t
� �, r - �; ?7 X` - c� 4 • '"' J
c
�4�6.'},landicap`Regylat�qs, �,� ; 7 � .. ..;�' �� .S ,�o t
47. �IN.�LSTRt3C7U�&�ICDING 8,,,=/�,�// �! � , :'��' = *
1 "' � �
46. EINR�.PLAfViVIN�_ , F,� ::; ,,y �j � .-
99. �ieciric Reiease to --�i ,c i` � x - ' ' "'- �?
Y 1 �t •� .l
50. s lea � to So� �n Califbrni Gas Co ' � .� . `-
Ga �e �F a, � � fi -+ c' ���
�
5'1. CER,�IFICATEO ;CUPANCY' i � . >- . �;_• ,. i • .
No. � Date
�.
PN0.IECT ADUXESS: .Z 8 S j H I CHORY PL uxiT:
OWNEH'SNAME�GARBER LEONARD TR
ROOHES5:.�860 ALTA VISTA DR
NEWPORT BEACH,CA 92660
AflCHIENGINEEP: � 7 �' 4� S 4 5— 7 6 6 H flEG.NO.:
aooness:RICH ROTHMAN C-7��i�57
6232 SHIELDSDR
rexmirree:HUNTINGTON BEACH CA 9264 %
aooness: LEONARD GARBER i 714 ) 545-7668
1883 SWAN CIR
COSTA MESA CA 92F�26
LICENSEO CONTBACTOH OECIAHATION: I hereby aftirm thal I am licensetl under pmvisions o Chapter 9(�ommencing wi�h Seciion
7�0�� o� Div��sion 3 of Ihe Busine55 and Pmlessions Code. an� my license is in tull brce antl ef�eci.
CITY LIC.: STATE LIC.: CNSS:
�ale: Signa�ure:
WOflHEflS' COMPENSATION OECLABATION: I Aereby allirm Ihai I have a ceniliw�e oi consen� Io sell-insure or a ceni�icale of Workers'
Compensaiion msurance. or a certtlietl copy Ihereoi �Seciion 3800, La�. C).
POIICY NO.: EXP. �RTE:
COMPpNY:
❑ Certifietl copY is hereDy lumished. ❑ Ceni�iea copy is filetl wi�h �he ciiy BuilOing �ivision.
�ate: Applicam:
E%EMPTION FFOM WOflNEHS' COMPENSATION �ECLANRTION: Qhis SMion neetl no�pe comp@ted i� Ihe permil is tor one Aundretl (5100) or less�.
i cerfity fha� in ihe pedormance o� t�e work �or which Ihis permi� is i5sue0. I S�Y not employ any person in any manner s0 as �o Oecome
subieai m tne workers' Compensaeon Laws ol Caiifomia.
Oa�e: � SignaNre�, L �
NOTICE: II, af er making t�is Oeclaraiion. you shob� become su61e�� �o Ihe Workers' Compensa[ion pmvisions o� I�e La6or
Code. you musi forthwith compty wil� such pmvisions or �his permit shall be tleemed revoke0
CONSTBUC710N LENOING AGENCY: I hereby af�irm ihal lhere is a con5imc�ion lending agenry �or I�e pedormance oi �he work �or
whic� this permit is issued ($ec�ion 3097, Civ. C�.
LENDEN:
AOOHESS:
OWNEB BWLOEB oECLABaTION: 1 here�y aflirm ihal I am exempt imm ine Coniractors' State License Law for the following reason
�Seclion 70J7.5 Business antl Prolessional Coae: Any ciry of counry which requires a permit lo constmci, alter, im0�ove, demolisA, or
rGoair any 5lmclu�e. piior �o i�s issuance, alsa reqmres ��e applicani for such permi� �o �ile a signetl 5�aiemen� Ihat he/she is license�
pursuant Io tne o�ovisions �t the Contraclors' S�ate Liwnse Law (Chapter 9(commencing wilh Sec�ion 7000) ai Division 3 ol ihe Business
anG Pw�ession5 Code) or thal �e/she is ¢xemp� Iheretrom and �he Uasis lor �he allegetl exemp�ion. Any violation of Section 70.37.5 by
anV applicant �or a permi� sublecis Ihe aDPlicant to a civil penal�y o� no� more than five hunUred dollars ($500).
� I. as awner o� the O�aOz�y or my ¢mployees with wages as Iheir sale comDenSaiion. vnli Ao the work, and Ihe
stmclure is not intentled or ofteretl br saie (Section 7044, Business antl Pm�essional Cotle: T�e Contramors' S�ate License Law
- does nol apply lo an owner o� a pmpe�y who builds or improves �hereon, antl who tloes such work himsel�/hersel� or �hmugh
his or her own employees. pmvided [hat SUCh impwvem¢nis ar¢ noi inten0e0 or otlereU tor Sale. If, however the DUiltling or
impmvemem is sold wilhin one year al ccmpletion, �he owner vnll �ave �he UurOen ol DmNng he/she Aid not bui10 or improve
br Ihe purpose a� sale�.
I. as owner ol Ihe pmpetly. am eeclusively contraciing with licensed contraclors ta con5imct t�e project (Section 7044, Business
❑ antl Protessons Cotle: The Conirac[ors' State license Law Gaes nol appry Io an avmer o� pmperty who �uilUs or impmves lhereon
ana who conlracls for such prolects with a coniraclor(s) license pursuani lo Ihe Conlrac�ors' S�ate License Law�. I am aware
t�at prool ol �heir Workers Compensation insurance shoultl be pmvidetl �o me.
� � am eeempt under Semion: B. 8 P. C. ^
for Ihis reason' _ //�ye//h�
�a�e: � /I / p� _ Ownec ���
I Do hereby cenily ihat I am aware ol antl undersland the repuiremenls o� Calilomia Health and Sa�ety Cotle Sec�ions 25505, 25533, an0
2553a antl @al I or any luture builtling occupanl wiil/wiil nol (circle one� need to comoly vnlh sai0 state codes ana lhe requiremenis for a
permit lor consimc�ion or modihcaiion �rom �he Nir Oualily Managemen� �islrici. Fesidential conslmdion applicaiions are exemp� Imm
�hese pmvisions. '
�a�e: ApPlican�:
I hereby cerlily Ihat I have reatl �his applitali0n and Slaie Iha� �hE ahOve ini0rma�ion i5 torretL I agr¢¢ l0 COmply wi�h all Ci�y antl counly
ordinances ana staie laws relating �o �uiltling conslmction and herei�y amh r¢e represenlaiives o� �his ciry to enler upon Ihe above�menlionetl
pro0erry �or lns ection �urposes.
Oaie: J Signature: � b
�nver's License or Sacial Seari�y p:
t64LG6 W��le—Builtling; Green—CoOe Entorcemen�; Canary—Applicanll Pmk—Revenuel Goldonwtl—Assessor
CITY OF COSTA MESA — BUILDING PERN,IT PERM f30: B 062843
PERMIT NO; B 062843 PLAN CHECK NO; 02365-93 S GOVT; N SUPP; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PUkPO5E; REP
JOB DESCRIPTION ; REPAIR EXISTING STAIRWAY SQ FT: 500
CLAIM VALUE: 500,00 CALC—VALUE; 500,00 GROUP OCC; R-1 /
COMMENTS: REPAIR TREADS & AIEftS HANDRAII;S ETC
�r��r*���r*�r**�r�r*�****�**���**x�rx*�*�****x�**{�*�rx*�****��t*�r�x��*�r�*���***�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 K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
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 REp - PROV: PARCEL; 13929617 2NE; REF NO:
PLANNING N(7T'ES> _ - —
> � � "!
I
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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
r 'i "
ZONING APPROVED HY � " ' — ____ DATE:
BUILDING APPROVED BY�;" DATE;
APPLICATION ISSUED HY: DATE•
IE�EfE1FiEififiFkiEillEiflFikiFiFififiEiEiE, ikfkiEiFikiEiElFifiF iE'.E
1EifiE3E�lEilikiEiEiEiElElEikiEiflEiF3FiE�iFiliF�lE�EifiE�lk�Fi! �1kiFiFlEiEiFiEiflk -1flt�lEiFiEiFitifififiFlfififiEi(�ikiEjhiE�lE�IEiEiFiElFifif?F�1kY�iEIE?EiEfFiEiE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECiiANIC FIkE SMIPlRES GRADING
PBkMIT 15.00 50
SMIP/NON—RES
ISSOE FEE 9�75
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 15_50 0.00 9_75
REVENUE DZVISION TOTALS--> COLLECTED;
BLDG PM'I' PLUMBING ELECTRIC MECHANIC
15.00
TOTAL PAID DUE
25,25 25.25 ,00
25.25 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50 9.75
'lE iE-1f if iF'IE iFiE iE 1E 1E'1E 1F iI' iE'1f iE i(' if ff'lE iE'IF if iE ih # 3E iE iE iE 1E 1F�M' if iE'1E iP'lE iF iF'lh if iF iE iE iE'lE iE ik iF If iE'1f' if N' iE-Ik i(' iE iF if if if ik IF iE iF iE ii� 1E iE�%� ii' if iE if #�)F
I N D I V I D tl 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 TOTAI. COST
SFR 500 ALTER HY VALUE RESIDENTTAL NOZONE 1,00 500,00
END OF FEES
I
01 00142110-0014?11: T G T 25.2.`.
DATE� U7f0]%93 TI11E: OY�36
CONSTRUCTION AND PLANNING POO� & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
t, Temporary Electrical Service or Pole 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. 53. Stee: Reinforcement
3. Electricai Conduit UtilitY-Undrgrnd. . 54. Forms- . �
4. Electrica! Conduit�Und�gmd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumb,ing & Pressure Test
6. Electricai UFER Grnd. 57. APPROVRL TO COVER�GUNITE
7. Footings � 58. Electrical Conduii�Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgmd., Test "
9. Water Pipe-Undrgmd. 60. Backwash �ines, P�Trap, O Undrgrnd. �
70. Structural Ploor System � 67. APPftOVAL TO DECK
. t i. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' '
12. Sewer Cap �� 63. Heater & Vent-Final
73. Root Drains 64. P�umbing System - Final ' '
14. Rough Plumbing 65. Eiec:rical-Final
15. Raugh Electrica�•Condui2 66. Solar SYstem�Final -
j 16. Rough Electric Wiring 6�. Fencing & Access APP�oval '
l
I 77. Rough Wiring Sign 68. APPROVE4 FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POQL/SPA SYSTEMS FINAL
i9. Rough Heating & Air Conditioning , FIRE DEP7. REQUIREMENT
20. Rough Factory Fireplace , . , " � APPROVAL-S Permit �
21. Ducts,in Structure , , 70. Underground Hydro
22. Ducts, Ventilating . , , ' � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test �- 72. Underground Fluslt
24, floof Framin5 73. Undergrnd. Storage Tank C Gas ❑ Oil
25. Roof Sheathing - - 74, Overhead Fiydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chernical
27. Frame and Flashing .. �_�/_� ���,� 76. Dry Standpipe
28. Lathing & Siding ` q-�Y.�3 ('yCrj�L 77; FIXED SYS�'EM FINAL
29. Insuiation � '� !� 78. �FIRE PREV. FiNA�
30. Drywail Nailing G_� � , � HEAITH DEPT. REQUtREMENT
% y;b;
31. Piaster Brown Coat l.� 6 ��,�w�- 79. FINAL INSPECTION .
32. Electrical Power Meter�Final I ;- 1 80. FOOD CERTIFICATE ISSUED
33. Final Eiectric � -� Notes: .
34. Final Heating & Air Conditioning � (i, : � ,
35. Final Gas Pipe�Te:i -
I
36. Hood or Canopy � • ' �
�
37. Final FactorY Fireplace � ` � �
.�
38.� Final Piumbing i i
39. lNater Service�Finai. � � � "
40. Gas Service-Final
41. Solar pomestic-Pinal ' i � �
i
d2. Backflow Preventer � ;
A3. Backflow Irrigation
44. �andscaDe Irriqation System . �
45. Sound Attenuation . �
46. Handicap Regulations
47. FINAL STRUCTURE & OUILDING ���c� Or ��'�LL
P�
48. FINALPLANNING ,
49. Electric Release to Edison •� j
50. Gas Release to Souihem California Gas Co � . �
51. CERTIFtCATE OF OCCUPANCY
No. Date
From tlae Desk oj . . .
Planning Department
December 17, 1959
T0: BUILDING DEPARTb]F[9T
RPs: Street Name Change
We Srish to advise you that LEMON STfiEEP
is nrnr HICKORY PLACE. This street is
located 1n Tract 3585•
ll/ ` `�4'N�
w�ii��, L. rn,nn
Director of Planning
WLD:am
� ��
COSTA MESA BUILDING-SAFETY DEPARTMENT p� RECEIVED
P.O. BOX 31] COSTA MESA. CALIFORNIA
�� ��� � � ��
FOR APPL/CANT TO f/L[ /N COMP[ETELY APPLIC���EFa�T?ERMIT
TYPE QR�PRINT '7 ��Tg�p��g�,�ESA
BUILDING ` �e � `��� ' . �
ADDRE55 V
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLJ
I flECE1PT NO. I��P MI'� NO.
OWNER D 3 C
ADDRESS 419 E• l�lill RECEIVED 9Y ; TE RECEIVED DATE ISSUEU
r -��-s ;��v �
cirv Costa Mesa Calif. No:LI 811 BUILDING
ADDRE55
ARCHITECT Carlson 8: ��c. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
.�
AOORESS Garden Grove FIRE
ZONE
CO�NTRAC oR °legrove, Inc. � � NTo 167293 BYPROVED
AODRE55 Fi• 1� {�.fl S�i. Costa i•fesa
LEGRL I LOT I I 35g� ZONE
oescairnon NO. $ BLOCK TRAC �
A.P. NO. APPROVED
BY
SIZE NO.OR BLDG6. yqROS
OF LOT br� � rvow on �oi REpUIRED
USE OF (CENTER LIR
EXiSTING BL�G. FRONT
SETBRCN LINE FROM
c[rvi[a ov s�aeer O� REAR VARD � R. SIDE
SIDE YARD ILEFT � IRIGHT � L.SIDE
DESCRIPTION OF WORK. __,_
ZONING
NO. OF I18E OF NI
PLAN9 � BUILOING
lu ��
SZ�E�ING �L NO.OF n
C1 ROOMS STORIES <
E%TERIOR WALL R ' � �
COVERING St.l1CC0 COVERING rock
USE OF BUILDING AND WORK TO BE PERFORMED
rt
attached garage (Four living units)
I HEHEBY ACKNOWL8DG6 THAT I HAVE READ THI6 APPLICATION TME AMOUNT BHOWN 41NDEH VALUATION IB FOP TME
AND 6TATE THAT TNE /�BOVE IS COHHECT hNO AGHEE TO COM�
PLY WITM ALL CITY OFDINANCl9 AND 9TATE LAWB HE6ULATING PUAPOBE OF E9TABL�6HING A PERMIT FEE ONLY.
Bl11LDING CONBTNUCTION. VALUATION
SIGNATURE OF PERMIT FEE $ SO.00
PERMITTEE
s 30, 97� dP P�AN CHECK $ 25.00
AUTHORIZED AGENT Dike & Co egrove, Inc. 75 �
TOTAL FEE S