The URL can be used to link to this page

Home My WebLink About3213 IDAHO PL - Building Permits� CITY OF COSTA MESA "' BIIILDING DIVISION i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us : ,� � FOR INSPECTIONS CALL: (714) 754-5626 •�`oa�nwne fi . PERMIT NUMBER: P10-00032 PERMIT TYPE PLUM APN: 13908316 JOB ADDRESS: 3213 IDAHO PL CM Vicinity: STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 02/2212010 KJB SCOPE OF WORK: WATER�RE-PIPE 2 BATHROOM HOUSE, KITCHEN AND LAUNDRY ROOM. OWNER: SHAFFER, STUART E TR Address: 3213 IDAHO PL PHONE: �. Cily/Stale/Zip: ' COSTA MESA, CA APPLICANT: GUTIERREZ, JUAN Address: 356 E 20TH ST : PHONE: 949-631-0663 City/State/zZip: COSTA MESA, CA CONTRACTOR: GODFELLAS PLUIv181NG CO. License No. 890859 Address: 356 E 20TH ST PHONE: 949-637�663 CitylState: COS7A MESA, Cq ZipCode: 92627 CELL: ARCHITEC7: License No. PHONE: ENGINEER: License'No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN �CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $43.10 $43.10 NOTICE: The work authorized by thig permit shall comply with all applicable hantlicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. GOOE�. INSPELTIONTYPE o� iNnne�s SOOE� INSPECTIONTYPE o� ixnna�s 1616 Fixed System Final Fire Prevenlion 206 Final Mechanical � 12fi6 Pool Spa Final 208 Final Plumbing /O (� 200 Final Re-Roof 210 Final Eleclnwl 201 Final BIOCk/Relaining Wall � 212 Final Fire Prevention 202 Final Faclory Flre Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARA710N: I hereby aHirm under penalty of perjury one of Ihe (ollowinq tleclarations: ❑ I have and will maintain a certificate of consent to sel6lnsure for workers' compensation, as provitletl lor by section 3700 of the Labor Code, for the peAormance of Ihe work !or which ihis permit is issued. ❑ I have and will maintain wvlkers' compensation insurance, as required by seclion 3700 0( the Labor Code, for the pertormance of the wurk (or which this pertnit is issued. My workers' compensation Insurance carrier and policy numberare: �� Carrier: (Tnisse[lronneediptbemm�etlAlnepeimrtuvalued onehundietldollars(St00)aress.) Policy Number: ❑ I certify that in the pedormance o( Ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agree that if I should 6e ome subject lo �he vrorkers' compensa[ion provisions of Sec�ion 3700 0( e bor Code, I shall foAhwith comply with Ihese provisions. 2 -2Z-1 � CP ��'s SjppaWre ..rDate NING: FAILURE TO SECURE ORK S' COMPENSATION COVERAGE I UNLAWFUL AND SHALL SU AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: I hereby aKrm ihat I am licensetl untler provisions of Chap�er 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license is in full force[a�nd eBect. T', M:' .-. Q J :�:..1 Cl2SS�#1 � Y 2-2� r o ookecfor!e�Sqnalurq „�IIele - C TRUC710N LENDING AGEN . ❑ I hereby a(frtn that there a consWc[ion lending agency for the peAormance of the wurk fa which this permit is issuetl. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affrm that untler penalry o! Derjury thal I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Bu5ine55 antl Profe55ion5 CoOe: Any Ciry or county which require5 a permil to construct, alter, improve, demolish, or repair any stmcture, pnor ro its issuance. also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuant ro the provisions o( the Contracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or tha[ he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects �he applicant [o a civil penalry of not more Ihan fve hundred dollars ($500).�: ❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and the structure is not intentled or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner oi property who builds or improves thereon, and who tloes such work himself or herself or Nrough his or her own employees, provided that such improvements are not intended or ofteretl for sale. It, however, the buildinq or improvement is soltl within one year of completion, the owner-builtler will have the burden of proving thal he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstmct the project (Sec. 7044, Business antl Professions Code: The contractors License Law dces not apply to an ovmer of property who Duiltls or improves thereon, and who contracts for such project with a cont2cta(s) license pursuaN to the Cont2ctors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: SignaWre J09�a6 �]/O]) Owner ID verifletl by driver s license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ovmership by (rype of documenl, i.e. - property lax Dill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby certdy that no excavation frve (5) or more (eet in depth into which a person is requiretl to descend, will be made in connection with work authorizetl by this pertnit, antl �hat no building strucWre, scaffdding, falsework, or demolition or tlismantling thereo/, will be more than thirty-six (36) feel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Cali(omia Adminis[2tive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division o( Industrial Safery, as noted above, unless such person has a permit to tlo such vrork from the division. Appliwnfs Signature pale Division of Industrial Safery Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or presenl or tuNre building occupant need to file antl certity a Business Plan tor emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Healm and Safery Code requires, wilh some exceptions, that a Business Plan be filed with the Cosla Mesa Fire Depariment by every business which has at any one time during a reported year a quanliry of hazardous materials equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons. or 200 cubic leet of compressed gas at slandartl temperaWre and pressure). 2. Does or will the applicant or present or future builtling occupant need to file a registration torm for acu[ely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health antl Safery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity o( acWely hazardous materials equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standartl lempera�ure antl pressure). 3. Does or will Ihe applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program tor acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Sa(ery Code provitles that the Costa Mesa Pire Departmem may require the preparation, cenifcation and lling wiN the Fire Department of an RMPP by businesses which are required ro register acutely hazardous materials with the Fire DepaAment. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health antl Safely Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuWre building occupant require for the vrork which is the subject of this application a permit for such construction or motlification from Ihe South Coast Air Quality Management Distnct or from any other air polWtion control disMct or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califwnia Govemment Code requires that the requested information he fumished on applications for rwo-resideNial builtling pertnits). 6. Will any part of the faciliry ro be constructed under this permit be within 1000 feel from the outer boundaries of a school? ❑ Ves ❑ No (If "yes", the facility must meet the requirement o( Sections 25534 and 42303 of the California Health and Safety Cotle). 7. I! a permit from the South Coast Air Qualiry Management District or other air polNtion control district or agency is requiretl for the work which is ihe subject of Ihis application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance from the appropriate air pollution contml oHicer). CERTIFICATE OF COMPLIANCE: I certify that under penalty o( perjury the inlormation given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenify untler penalry of perjury that I have read this application and state that the information given is wrrecL I agree to comply with all state laws and city orGinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorizetl by this permit until final inspection. SignaWreofLegalOwneqs) Date Z-ZZ- � d "'�"_'AnEIOrAWfi0f2EU'AppM1cantl lD3te [ (71a) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: � 3213 IDAHO PL � Parcel Nunmber: 13908316 Applicant: MOSS, TANIA Address: 2737 S CRODDY STE D SANTA ANA, CA Owner: SHqFFER, STUART E TR Address 3213 IDAHO PL � COSTA MESA, CA PLUMBING PERMIT Phone: (714)241-1414 Zip: 92704 " Phone: Zip: 92626 Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING Address: 2737 S CRODDY STE p SANTA ANA, CA Arch / Eng : Address: Phone: (714) 241-1414 Zip: 92704 License: 529127 Phone: Zip: License: SCOPE OF PERMIT REPLACEMENT OF WATER HEATER ISSUE FEE BackOow irrigation Backfiow Preventer Bathtub Clarifer System Connect (Ice,Soda,eic) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking FounWin Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outleLs) Gas Repipe Gas Service Interceptors (Grease, Oiq Interceptors (Sand Auto ) AMT 523.50 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 so.00 50.00 so.00 � FEESUMMARY AMT LaundryTublWasher 30.00 Landscape IrrigaGon $0.00 P-T2p $0.00 Pressure'Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Sepiic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower � $0.00 Sink, bar 50.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) 30.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 02/25/2002 Issued: 02/25/2002 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(7-4) Vacuum Brkr Bkflow(5+) Wash Basin - Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 50.00 $12.30 50.00 $0.00 50.00 30.00 $0.00 30.00 50.00 so.00 TOTAL CALCULATED FEES: 535.80 �N 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work authori2ed by this pertnl� shall comply with all applicable handicap access requirements under Calitornia statutes and related regula�ions. (Ord. No. 9248, § 1, 12-27-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspentled or abandoned for a period of 180 days. �NSPEC710NS: In order for the work aulhorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5646 �«wu �aw) WORKERS'COMPENSAnONDECLARAnON: I heie6y ettirm under penelry ot perjury one at Ihe tollowing dedaratians: ❑ I have antl will melntein a certilicata of wnseni ro self-Insure lor workers' campensatlon, es provided for by section 3700 oi ihe Lebor Cotla, lor Ne peAormance of the wark tor which IhiS pertnil Is issued. ave entl will meintein woticers' compensatlon insurance, as required by sectlon 3700 of the Lebor Cotla, for ihe pertortnance ot Ihe work for whlth Ihis pertnit is issuetl. My workers' Gcompen atlon surence carner antl, �olicy number ere: 1 Carrier; . 7�'"��iJ� L PolicyNumber: �(n��%�(�� Q� (Th/s secNon need not be camp/efed il the permit is veluetl af one hundretl dollers ($ f00) or less.) ` ❑ I certity Ihat In tha peAormance oi �he work f which this perml� Is Issued, I shell not employ any person in any menner so es to become sub�ect to the workers' compansatlon laws ol CalNar ia, antl real aI if I should become suD�ecl to Iha warkers' compensation provisions ol Sectlon 37 ot t�e Lobor Cotle, I shall lorthwith comply with ihese Orohsi � I� Appl� I�Signature:.. � Date: Z ZS �d WARNIN(3: FAILURE TO SECURE WOF (ERS' ENSATION COVEMGE IS UMAWFUL AND SW1LL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDPED hI0U5AND DOl1ARE (5100.000�. IN ADDfTION TO THE GOST OF COMPENSATION, DPANGES AS PROVIDED FOR IN SECTION 3]OB OF THE UBOR CODE, INiEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm thet I em IlcenseU unAer pro�vi�Qn�of' C�ha 8(commencing wilh Sectlon 70W) ol Division 3 of the Business end Pro�f¢ssi Cotle, end my license is in Full force entl eMecl..Llc. p \� _�� qass M_��B 1'1" �� o'eciore,Signewre:, 7 ��. Date: —7 �—/i� CONS7RUC710N LENDING AGENCY: ❑ I here�y eNirm t�at t�ere Is a consiruction lending egency lor the pertormance ol Ihe work for which lhis pertnit is issue0. (Sec. 3097, Civil Cotle). Lender's Name: LentleYs AtlAress: Signaturo: OWNER-BUILDER DECLARATIONS: Dete: I hereby eHirm that untler penalry ot perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Busineu entl Professions Cotle: Any ciry or county which requires e pertnit ro conswc�, alter, impmve, demotish, or repeir eny stmdure, prior to its issuence, elso raquires the epplicant tor such pertnit to lila a signetl siatement thet he or she is licensed pursuant to the provlslons ot the Con(ractors License Law (Chepter 9(wmmencing with Seclion 7000) of DMsion 3 ot ihe Business end Prolessions Code) or that �e ar s�e is ezempt therefmm end Ihe basis for Ihe elleged exemption. Any violetlon oi Sectlon 7031.5 by eny applicant tor e pertnit subjects the epplicam to a civil penalry ot not more ihan five huntlretl tlWlare (5500).): ❑ I, as owner of the Droperry, or my employees with wages es iheir sde compensaUon, WILL DO TME WORK, and �he sWcture is not intentled or ottered br ule (Sec. 7044, Business antl Protessions Code: The Contractors Licensa Lew aoes not apON �a an owner of property who builds or improves thereon, ana who does such work himselt or hersetl or lhrough his or her ov+n employees, providetl t�at such improvements ere not intendetl or ofleretl tor sale. If, howaver, the builtling or Improvemeni is sold within one year of completion, the owner�huilder will have ihe Gurden ol proving that he or she did not build or improve tor purpose ol sale.). ❑ I, B5 owner ot t�e property, am EXCLUSIVELV CONTRACTING WRF1 LICENSED CONTRALTORS to conSWct iha prolect (Sec. 70n4, BuSiness and Pmtessions Cotle: The contrectore License Law does not appty to an owner ot property who builds or impmves ihereon, antl who contrects lor such pwject wlth a coniractor(s) license pursuant to Ihe Contractors License Laws.). ❑ I em e:empt under sec. eusiness and Pmlessions Code for this reason: SignaWra: Date: Owner ID verifietl by tlnvefs license. ❑ Yes ❑ No Drivers License No. E:pires: Vetlfication ot Ownership by (rype ot document, I.e. - pmperty tax blll or deetl): DIVISION OF INDUSTRIAL SAFETV PEFiM1T CER7IFICA710N: ❑ I hereby cetllty ihet no excavelion live (5) or mora teel in tlepth Imo which e person is required to tlescentl, will be matle In wnnectlon wllh work euthorizetl Dy this permit, and Ihat no building structure, sceflolding, falsework, or demolitlon or tlismaNling lhereol, will 6e more ihan thirty-sia (36) feet hig0. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celllornle Atlministrative Cotle). ❑ A9 Ownor-bull0er, I will not employ enyone to do work which woultl require a permit Irom the Division ol Intlustrial Sefety, es nolod ebov0, unleu such parsan hes e permit to da such work Irom tha division. Signature: Da�e: Division oi Intlustrial Safery Permit Number: CERTIFlCATE OF COMPUANCE AND AUTHORIZA710N OF ENTAV: I cenity under penalty of perjury that I have reaC this application antl state t�at iha infortnation given is correct. I egree to compty with ell s;ete lews end city ordinences releting to building consVuction, an0 suthodze represente�ives ol t�e Ciry ol Coste Mese to enter upon the ebove-described property lor inspection purposes. I egree not to acupy or allow occupency of eny building authorizetl by Ihis permit until linal inspection. � CODE 1. INSPECTIONTYPE 1616 Fixed Sysiem Final Fire Preven�ian 1268 Pool Spa Finel 200 Final RB�Rooi 201 Finel BIacWRetaining Well 202 Final Fectory Fira Place 203 Final Sign 204 Final Demolilion PAg II�ELS Dete Z�02 oaia COUEI INSPECTIONTYPE 206 Final Mechenical 20B Finel Plumbing 210 Finel Electdcel 212 Finel Flre Prevenilon 220 Final Planning Approval 222 Final $ite 250 , Finel Building/Occupancy P�ff. It�� z -s'-O�. � �oontssorewipxo: 3 2 1 3 IDAHO ,PL uxr: � an+eaewweira+wm: SHAFFER STUART E TR �uoxeu 3213 ID�HO P,L COSTA MESA,CA�-•• 92626 �vr�. wuura.00nw: �flCXRECT OP FNtl11EEP: 11C. ND_ � � AIMII 0A FNO: B i1DDRE59: UNi: conrnAcronswua STEPHENS AIR CONDITIONING ( 714 ) 539-2707 oormucroirs �uiwo 2 3 0 5 2 AL I C I A PARKWAY „�� MISSION VIEJO CA ��, 254618 92641 uNr: H IJCENSEU COHfFRCTOP4 DECUPATION: I Mntr/ aflmi uMs peroy d prryiy Nu I am fcmned unEr pomim� M Cheqm B (mmmaneM xiih Ss�ion )000) d Oiwin ] d tM Bus'av utl P�Weaeiona Cob. erd mY 4aems u in hA Mca eM aliatl. cmuc.No.:061185� uc.cuss: C-20 no.: 254618 EXP: 00/00 ove: /Cl 7__cY ^'7 -[ i comreaor OWNER BUILDEN DEQAHATION: I Mreby elfiim unEer perj.iry ihet I em ewnq Irom �M tr�uuon liama law lor �he 'bwvq �aeaan (�1cn ]W �.5 Bueir�f eM Adadons ' M vY a caunN �� Nures a psrmC lo mvVud. ells. MW Wa. mdeh, w repair any evunuro, priar b Ia iaercs, eleo reQ iM eppfiwn ta wch permil �o Rb e epnaE ewamsm tAu Ae a�he . licerued Wn��e�i b ihe V��rt+ d IM Conlraqore Lioenae law �Cheqm B(canme�p xiih Setlon'lOW) d ONuion 3 W �he Businw aed Fdaaiona COEeI w Ihtl M a tlw u uemp iMrahan enO tM bam Irc Ne elbpeC saemqion. Mry volvvn d Seaion ]031.5 by enY aDWiran� lor a Pormn wbjecta �he epplicem lo e sN peneXy d wl mora �han fWe �uMroE ddlets �5500�). � 1. ea owMr d Ihe poqM w my mmp�v)we w1h wape� n ihei �ob rompemetion, wT Co Na �wk. uW IM �Vuctun's ml in�eMeC a Mered lor eeb (Sac�ion ]Ou. Busnw aM Prolesaoro Code: The Cw4ratlm L'xws lewdam rwi eVGN �oen uwnerd DroOeM wla WiEe a inpwea ihmean. md nM10 dae� �uN xvklenaetl a hersel a Uvaph hu a M own mmpb�aa�, pwiEaG Ihet wch impovameM� era not in�eMed a dlered lor eeb, tl. lawevm. IM buiki'p a'vnpmwnent u�ok vrilhin ons Y� d comdbbn. ihe mnprbuildu will hevs IM buiden d pw'vp he a sM did m dAi m'vnpo.e Iv IM Wryas d rolsl. � I. n owrrr d tM NW�Y. em aaduNdY mnlrtln0 v.iN 4m�ued conVanaa b mmbud iM qulb (Satlian ]Ou. Bwinw� vM a�d.o�n coe.: n» com�.ea. uo.�. i.�. eo» oa wdr w.o o.,�« a ww�r wro waa. « mm�w« m..� .�a .ro wnvucia fw uM qqwfa wnh a mNrepor(ellicemW W�� to �Ae Cauredas limroa lewl. � I em uemN �Mar Savion: B. 8 P.C.. la N'v �seaan: Dms: �: � m n..w �«Wy mm �.m ..e.. d.ne u�a«.uw m. n�er.m«m a cevo�:. �h.en .�d sem cods s.ao�. zsSm. asaa. e�e ASSN. enE iMl I a erry Mun Wikirp ooaipani L/ wil rw (ceeb me) nsaE ro eanpy Mh uk qtle m!u eM IM ipuiiamenro far s w� lamrouwion a mod0mibntranilrAi3wity .�imymwu Oinrie. W��ierraW omuewion aPPk'mivuen uemq Imn IMn Dale: �wV��: WORKER'8 COYVENS�TION OECL�P�T10N: I Iwab� aRum uMer pruEy d per'pr/ ar tl tlr IaOow'vp dWuetiom: ❑ � new.m .0 �wm.n. aneiut. a mn..m io.w:�u. n..awr.• mmo�.mion... no,d.a �> M sww� s�ao a m. �.eo. CoM, la IM pMmiwica d Ns wM la Mieh Uw panw u Wued. ❑ � n.v..�a..Y mein�.n..aF«.� wn,owuion:nur.no...s rquv.e w swion a'!m al ui. Laba cm.. w in. owl«m�n« w in. waF la wliieh iAb W�M u iewE. MY waken' mmW�ion "vweurw mnix ond VdKY numbr vs: c.� . Pdicy Numbr: /mr, ..c�o, �..a �a a canaw.d r w o«me o rc+m. nu�d'.e em.,.lsiool w w...l � 1 wnN �� In iM pMamerwa W IM wark la xfikA iM pe'mn n h�ueE. I 4W �w wnpby siry pw�on In enY menrwr p e� io Eecame �udea m ih� xwken' oomo��ion bw� d Ce4lomie. via eu� Uut v 1 4iwM Ee�mu w4w io tne wonun' rnmpenu�bn prwieM� d Caaion >l00 d ihs lebar COUe. MII IM�wtlh mmpty wtlh Ila�e proviebru. , oe�.: � J �� .cd�c Wem/np; F�Nun ro��cvn workxi rompwuatlan rov� • nNwM. �rM �IWI �u4Nct �n mr� ro onm�.i n.�.m...�e elvll flma ,m b am �1nerd IMuuM tivlhn /IIIX10001 /tlOn N M� roal ol roiroW�lbM1 Wm�w� �� pov/tlM bi In CONSTi1UCT10N LENDINO AQENCY: I MrsEy e1Nm uM« W�Y d per'�vy �!W IMn u e amnrutlion 4Mi�q epe�x.y Ia Uro parlormence d �M v.M la whiN Ihc pmmY u ewed (Setlbn 308). CN. C). LENOEH'S NAME: LENDEN'9 AOOPE39: I<MiN IMi I hew raad Nu eppliration ud mu thet Ne Wwe iNmvtion u cmea. I epna io comply xit� dl oryerd wurdy pdi�w�cea ard �ime lera nW'vq b duMnO earuautlion W Mrab1 eWvice npemwnetn+a al th'v `tY b ama W� IM ebws-menlinrtl popany r«t�o«aa�w.w.....�IM STEPHENS Oma. � Whue-BuJOnY 8 Se1W. �neMFb: CweY-AOC�i: Pink-Rs.mi»: OddsevoE-b»va CITY OF COSTA MESA — BUILDING PERMIT � PERM NO: M U'7827 PEKMIT N0: M 078273 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N SPR PERMIT TYPE: MEC PURPOSE: OTH JOH DESCRIPTION : REPLACE AN FAU 6 A/C ONITS SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO THER WORK IS AUTHORIZED BY THIS PERMIT �*�*��*rt**�****�**********�*it+��**+�it**�r*�r**+t*�r�r��r�x�*x��x�*�**�*�x*it�r�*�*�+t�*��** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 13908316 ZNE: REF NO: PLANNING NOTES> i �1' iF 1E 1f 1E iF 1E IE 1f 1E 1f 1E fE 1E 1E 1E i! iF 4!F iF 1t 1f ik iE ff 1E iE fE 1E 1E iE 1E 1E 1E 1E 1FlE 1E 1E 1E 1E 1E 1E iE 1k 161k k 1E 1E If iE fE 1E 1E iE k 1ElE if fE 1E ik 1k 1E iE fE 1f 1F 1E Ik fE iE 1F 1f 1F iF iElk 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: � 1fkiFifiEiklFlEiflE1E1E1E1E1FkfE1flEfffFiF iE1ElEik1E1E1EflfE1E 1Ek LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 26.50 �, 252 SMIP/NON—RES PLAN •t ISSUE FEE =,`•r 22,00 BUILDING—DIV—> PERMIT ISSUE PliP,N=CHECK TOTAL PAID DUE TOTALS----> 26.50 22.00 _"� 0.00 48,50 48.50 ,00 _� REVENUE DIVISION TOTALS--> COLLECT,ED: 48,50 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK � 48�. SO �- iE M iE iF 1E iE iE ik ik iF IE 1f 1E 1E 1k 1E ik Ik IF 1F i! M 1f 1E iE 1E if ik M 1f 1F k 1F iF i(�1E 1E 1E If iF IE IE iE fi if IE 1! iE 16 ik k IE M If 1f IE iF iE 1f iF 1f Ik iF 1E 1E iE iF if 1E iE iE K 1ElE 1f iF k iE iE I N D I V I D U A L� F E E B R E A K D 0 W N TYPE QTY D E S C R I P T I O'�N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= L00 K BTU 13.25 13.25 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 13.25 13.25 END OF FEES CONSTRUCTION AND PLANNING PO� ,� SPA ApPROVAIS Permit# Date Inspecto� qppFyOVALS Permit# Date Inspector i. Temporary Electriwl Service or Pole 52. Pool & Equipment Location � ' 2. $oil Pipe-Undrgrnd. 53. Steel Reinforcement _,:3:..Electriwl Conduit.lJt+lity-Undrgrnd. 5A. Forms - ;T4'F�lectrical CondW't-lJr^tdrgrnd. 55. Electrical Bonding - _ ,* n�r$teel Relnforcement- 56. Rough Plumbing & Pressure Test '� ��Ieariwl UFER_Grnd. 57. APPROVAL TO COVER�GUNITE - ' ,- 7, FJotinqs ��, _ 58. Elearical Condult�Undrgmd. � '. 8. =oundation �-- 59. Gas Pipe, O Undrgrnd., Test .�. vJater Pipe�UndrgrAd. � ' 60. Backwash Lines, P-Trap, O Undrgrnd. "10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer_Line$ Houz€Connection 62. Backwash & ReC:ptor-Final 12. Sewer Cap � - ' 63. Heater & Vent-Final 13. ROof Drains 64. Plumbing System � Final ' 74. Rough Plumbiny ;r, � � 65. Electrical�Final 75. Rough Electricaf�Conifuit 66. Solar SYstem-Final 76. Rough ElectrictNiri�g _. _, 67. Fencinp & Access Approval . 17. Rpugh Wirin9 Sign v - 68. APPROVED FOR P�ASTEFfNG 18. Ruugh Electric�:T Bar Ceiling 69. POOUSPA SYSTEA9S�f INAL ' 79. Rough Heating & Air Conditioning _ � FIRE��PT,�iEQU1REMEN7 _ - 7' - 20. LRough Fatto�t Fice�lace _ d: ^ �. ,� � r APP130V�ALS_: `_ Permit #�� 21. �Duces, in Str�ctur'e. � •� - � - - � • " 70.j Plndergip�nd F�ydro ;� 22. .Ducts', VBntil4tin�� f ' K.. 3 .'' a� 71. ProduCt;Piping' � 6as - Oil 23. 6as ipa,sough & Test . �"� � 72. Underground f'tu;h - • � Y 24. ?iooiFrafiing" n ' " ,� f _, � 7�: Undergmd. Stq{erZe Tank O Gas ❑ Od 25. fioo�Sht�thing • - �• !� 74, Overhead Hydm_ ` . 26.'T-Bar Ceiling (StrUCMaU & IGor76ioat - � ; 7�, Dry Ghemical _. - - - - 27. Frame ar�} Flashing --- * � - .- �� 76. Dry StaFidQFpe;�� ` ^- - �. � 28. Lathing&�Siding• ,�. _ �. �= .. ..' 77., FIXEDSKSTEMFINA�..•, -�� 29. Insu{ation �v� - _ �• � ' � 78� FIRE PREV. FIf�fAL � '- ' ' '� 30. Drvwall Nailing '�# . ,. ' '~ -H�ALita DEP7.`}1E�SUIFiE'�fIENT 31. Plazter Biowp'Coar .^ � 79. FINA4 tNSPECTIDN t� - 32. Electrica�"Po�4e� �;�?�"F{nal �� ,,, ' 8�; FOOD CERTIF�'C�TE I�SSWEQ r�� - 33. Fina,l•E�ettric� ;;� �.� � �� • NOtes: tL� a' - C �*"- _ � _ �.� 6 �r.�`� L�:.=�� c�ss ��r �n_ a-� _ _ 34. FinaLHeating$ Air ConditiOning ' �_ �' 2�_ /' � {/� 1 ��J�• - - � Y � J _' ' .' IT'! T, _ r iL.�4�_�l�-f�� 1' { _ 35. finatGas Pip :7eit � ��' .. .. �,: - - -�v * , - ' - - . : > � ' O y h � - _ 36. Hootl�or Canopv J. `�r - t x I • i, �:o � r�� c��• 37. F.inalrFactory Fireplace� �• -, ' I '� - �.� x � - _ 38. Fina�Piumbing _ ' ' �- ' - T'� ' '"' ' _� O - �• 39. Water Service-Fin��. � - � " �� c ' -- � - 40. GasService-Final �' . ' ° ' �' - - `� r �- e' - i I vc • _� F - 41. Solar pomesticFina�. S � �� , ' ` ' -` ' - �y �, :..� � 42. Backflow Preventer . �� Ar c, �^ r� �� r ,. � � _ _ ... 43. Backflow Irrig"ation:- � - .� � ,. - i�f r ` C� •�• 44. Landscape Irripation Sys[em % 2 ` ' - ' =" ' r• ,: ' _ . a ✓' �, i y, _ �. Sound Attenubtion;. ". . ' _ F - ' • � • A�6. Mandicap�Regnlations - ' ' : ' - �� 47. HNAL STRIFCTURE & BUILDING r' ' - � -. r r 46. FINAL PLANNING � - ' � " - � '� ' '� � � v 49. Elaciiic Release to E�Jison ; ' ,� - - 50. Gas Release to Southern Califorrtia^Gas Cv �•' ` ' -� �� c 51. CEFTIFICATE OP OCCUPANCY ' � • � No Date � � AODPESSOFBUILqNO: 3z13 IDAHO PL oxxeasruueivaiov�m: SHAFFER, STUART E TR �o�u 3213 IDAHO PL COSTA MESA,CA 92626 NVL.IW WIG IiDDHE54: RRCHRECTOPENC�NEEH: 4iCN.Ofl FNG.'S1U�RE55: uc. rio.: IINT: UNT: coNm�crarswue: STEPHENS AIR CONDITIONING ( 714 ) 539-2707 carm�croRswuiu�c 23052 ALICZA PARKWAY �noxess: MISSION VIEJO CA uc.wo: 254618 92641 uHr: H LICENSEU CONTRRCTONS DECLAR�TION: I hereby efltrm unEer paratly d pajury the� I em Iceneotl under paiuona oi CAeqer 9 (romme�wrq xilh Saeton )000) d Oiviaion ] d ihe Buvmu end Profenvona Code. and mY ��+a n in Iu0lwee eed oHea. cmuc.No.:061185 uc.cuss: �—zp No.: 25461� EXP; 00/00 Dma: Conveea: f�� WNEH 6UILDEF OECLAflATION: I heieby el(vm uMer y a pmjiry �hd I em er.emq Irom �M Cp reaon liroms lew la tM bx*q i mn (Setlion )O�t.S &niwae vd PMeaone : rW a mumv xfiich reVuima e V�s to mmwn. eXa. unwow. �ndeh, w repei vry suucwre, pia w da eeuerw.e, el�o npui IM epplimnl la eucA pemiil lo fib e eqrieE eWameM Ihet M a eM a IKeneeE pumieni �o �M pwisbna d tM Contreaore Licenae Lew �Cheqm 9(mmmenriip wnh Seaion ]OW) d �ivebn � d iM Buvnw erd Prdeaiam Codsl a thm he a ahe u eamm7 �herehan arM Ihe Duu lar Ne NbO� memdian. MY vialelion d SW ian ]OJ1.5 by anY eGG�� In e permn aEjWs tM appliraa to e dvi peeaQy d iM mas �hen livs huNred ddWs �SSOU�. � I.esm.mrd�hapWenYamyemDbResxfhwWmniheiedemmDomelan.xiOdoNexak.vdUeevununoroiiniaMad impwemMf are ml WaMetl a a11ero0 fa eeb. e.Iwwewr.IM dntl�np a mpmnM u wtl w�INn awYw a mmqelm. IM owrer-0uilder hi0 heve iM Eu�dan d pw"up M a aM did nd buAd ar "unpova la �M pnpme d We). ❑ I. m oxner d iM papanv. em eRauoveN wnvea�ro wnn liwiaed canvedore �o mnarua tna wW� (Seeion ]ou. Buairose eM Prolesawu Gode: The Cont�rfas L'ceve lew doea mi epply to en oxner d popenY � a+�e a imprv.•w Oiaeon eM who conVxctf lar wN pojetla willi e mNratlor(a) licanaed WnwM b ihe Conlredm Liuma Lew). ❑ I em uemq uedm Seetion: B. 8 P.C.. la Nu memn: De�e: Owenr. i ao n.�nr oawv wm i.m ..7,. d�e ��e me Aa�«w a ew�a. w�en w s�rmv eoe. see�, zssos. us�. �d 255Ja. uM Na I u eny hnun Wiltlin0 � r.iA / wil rwi (arck aw) med b wmDN xth uid mta mdm md iha nG��ew br e pamil lamreirvciion«modifraianham IMAi�w ly�. -enepemmt D'ulrid. RmiEenliel oonat�uGbn appf�elioroenvemq Imm IMas a�,.. Dme: �ppliram: WONKEF'S COMPENSATION DECLAR�TION: I Mreby dfirm uMx perehy d pe�jury wr d iM Idbrriiq dedvet'vro: � IheweMWme'utlei�aeeel�WedooiuentloaMinwreMxakere'eompemal'an,npwitleClabySMbn3l00dtMlebor Gode. la tM perlmvrce d tha xak lor wNch IM1b permil u ua�ed. ❑ in��e�;i�m�w�x..•�v��o..mroa��awsaa�,a�aoaub�mo.com.rorin.oaro.�.am. wak la whiN thn permn e asued. MY worken' wmpammion imurence remer vd poliry number ere: c�.: Pd'ry Number. (Thia swim neee mf 6e romdmed / Ns vermR is br wro hunNM CWers Isiro/ a bv.1 ❑ I oenh' thei in iM v�orme�Ke d iha wwk 1« whcn tnia ro�mn is muetl. 1 eMil na amd�' em' w� in em' menne, ro n io become wbjae ta iM wM�s' compemelion bwa d Cetifanie. eM eprea Nel p I Mouk bo�m�e wEjeU to IM waMen' mmP/em'e�ion C�+sian d Seaion 9)00 d Ihe leEor COEe. onhxeh mmW xnA Wm V�u . Data� / % /� �r�� Appi�am: ��T Wemllp: F�Ilun ro sxun wortwi rompwustlon corsrep� 1 Hul. entl sNll �W/�cf en wRolayw cilM�x/ pm�ltlu �nd NHI flnu �q ro om MntlrM �MuuM JWYn (S1Qq000A M Itbn ro M� cwf ol rompnwtbn, tlemep� u pvvMW br In Ssctlon 3105 0l tlrs Lebor COW, Infsn�t, end ettomry'i /ses. CONSTHUCTION LENDINO AGENCY: 1 Mreby �im urMer pendry d perN'Y �� ro w e mnatrudion biMi�p epericy la Ne peAormam d tM wak Iw whitli the permi u aaued (Senion �09), Civ. C�. LENDEP'S NM1E: LENDEp'S AODpESS: I cenM �hm I heve reeE uis eodicmion ud dme �na� the ebove inl«mvun u conac. I euree w wmdY wi�n ell c�Y eM mumY «dineMee eM elele laws rele�iq to WYdip wnyryttion eM MreCy eNha¢e �eqesenlalivat d INs alY �o anlx upon IM ebove.mentuned properly lainspenion purpoees. F JIM STEPHENS A � ♦ � Whne-Buikiq 8 Sdery: GreomFle: Canery-Rppfrant: Pink-Revenue; GddenioA-Mroswr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 078274 PLAN CHECK NO: CONSTRUCTION TYPE: V—N SPR PERMIT TYPE: ELE JOH DESCRIPTION : REPLACE AN FAU 6 A/C UNITS CLAIM VALUE: CALC—VALOE: N PERM NO: E 078274 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: ELECTRICAL WORK INCIDENTAL TO MECH PERMIT lFM78273 *�x*x�x**�r**x�*x�***�r**x****x*�**��r*****x*xx�x�*x�+�***�*+�+��x�****�x�+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 HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13908316 ZNE: REF NO: PLANNING NdTES> i iE if if 141E iE 1f if 1E 1k �E 41E 1E iE 1E 1E 1E'lE aE 1f 1E ff 1E i! f! 1E 1E IE iE 1E 1E 1E 1E 1E 1E 1f iflflf iflE if 1f iE 1E 1E iE iE 1E K 1E 1E iE M iE IE IE k if 1f 1E 1E 1E Ik k K 1E 18 iE 1k 1E iF �E �E i! iE 1E 1E 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 HY DATE: BUILDING APPROVED HY : ' DATE; APPLICATION ISSUED BY: DATE: �� iFIfiElFiFifififlfififlfifiEiEiEikifiEiEifif 1l1EiEiEiEiEiFiE1ElE 1fM LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 4.25 SOt PLAN ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 4.25 22.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC 26.25 SMIP/NON—RES TOTAL PAID DUE 26.25 26.25 .00 26.25 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN—CHECK 7F 1E 1f if if 1E k 1E 1E if fE iE iE iE iE 1f 1E 1E'1E 1E iE 1E 1E 1E 1E iE * 1k fF fE 1F if iF iE fE �f 1E 1E 1f iE ff if 1f 1E 1E 1E IE fEiE 1E iElh f(� 1f iE 1E 1E if IE 1E fE iE iE IE iE 1ElE if iE 3E if 1E 1E iFlE 1f If 1E it I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST ELE 1 RES APPLIANCE NOT OVER 1.0 HP 4.25 4,25 END OF FEES _ •1 _ i �1i _'�/. . .�_ ..� . CONSTRUC710N AND PLANNING PO 9 SPA APPROVALS Permit # Date lnspector qppROVALS Permit # Date lnspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soi� Pipe-Uadrgrnd. � 53. Stee1 Rei�forcement � �3:��lectrical Conduit Uf�ity�Un�rgrnd. 54. Forms �t*4t Hectrical CondJii� drgrnd. 55. Electrical Bonding � ' .�5_�5teel Reinforcerqent:� 56. Rough Pium6ing & Pressure Te:t �, .. .* 6a.Edectrical UFER`Gr�tl, 57. APPROVAL TO COVER�GUNITE -;'7„ Footinqs '3.Q:a ' 58. EVectr{caf Conduit�Undrg�nd. ' "_�"�.'Foundation �� . . 59. Gas Pipe, O Undrgmd.,Test `- � r9. Water Pipe�Undr.prAd. � ' � 60. Backwash Lines, RTrap, O Undrgmd. }0. Structural Floor£qttem ' 61. APPROVAL TO DECK 1 t. Rroperty Sewer Cine & House'iConnection 62. Backwash & Receptor-Final t2� s@�Nef �P ` � 63. Hearer & Vent-Final 13. Roof Orains 64. Piumbing System � Final i4. Rough Plumbin�., -q ' 65. Electrical�Final ^ 75. Rough Electrica�-Conduii � 66. Solar SYstem-Final , 16. Rough Electric4�fri�... 67. Fencing & Access Approval 57. Ro�gh Wlring Sign W 66. APPflOVED FOR PLASTERING � � tg. Rough ElectricaNf Bar Ceilinq� 69. POOUSPA SYSTEMS FINAL 7g. Rou9h Heatin9 & Air Cond'aioning FIRE DEPT. REQUIREMEfVT - - , y.. 20. �'ougA FJ,..�ctory Fir�eprlace � �� -,- * � �� .Appf�p�L$`, ;� P�mit # ' s. • � . ` ' _. ' . . , 21. D.ucts, in�tr�urp.z .•.'.. - x �� 70. �U,'ndertj�o�� Fj�ydro 22, Ducts,VentiiatingF.' �� _ ��'� 77, ProducyPiping'fl�Fias [�Oil 23. Gas E'ipe�Bougfi & Tesi - �: -:r < C.:; � 72, Underground Hush r 24, Roof�raming�• "- - �� r*� � 73,; Undergrnd.Sto�a��'a'TankOGas ❑6il 25. Roof Sheathing �;� _ �, v��- G J �' * 74':� Overhead Hydrm a 26. �FBai.Ceiling (StrtietyL"ral) & �fdFFq�roat � � a � C" 75� Dry Cheroical 7 �� . z7, 'Fiarae ar�d Flashi g: ; �_ �„ �i � � � r: 76. Dry Stanrtpipe :�� 28. Lath�g Si Siding .,`�� N 7'?;�� = � i " ".r 7',�, FIXED $Y5TERfi�FINA(. � - j, � �S i - .. .. _ r „ ; F . . _ . ' 29, Insu4atiop ;�r�. •• * 78:. FtRE PREV. FII�tRI �r >• � � 30. Drywall Nailing ^* � �' K _ :F;I,QALTF,PDEP7.'REQUIREMENT ' 31. Plaster Bi'o'wq-Coa�, : _, .�; j µ , 7�. PlNAL I ;ISEECTtON : � � - 32. ElectricaKAow'8r Meter•F �aI ' �K � �.{ � 8Q„ F00� CERTIFICA`FE I$SUED '_ 33. k1na1.€lecjric> `->>� r•: �i' �/��i/ 9 �/�% 4 Nvtes: „��- -�tTLj .r - � _ ^ �� 34. �i�atFieastng� Air Eo�d4tionirti3s � � K � i: ' •ti' •� .'��- " - n' *" �x. �c�o ..d > 35. �inal'Ga3PiPe�`fesi'�. v� .: � _, i Ik �... :;r `.-� � � . . 36. Hood-or �anopy ��- - ' � �- � � �*'- E �^ * „ ,K 1 �k [f� "C• � 37. �Inal.fac(orv Fireb`i�ce � ' r','� � A�' ' �� z: i: ��; 38. FinaYPlumbing ?'!r � � - r � � • � �-+ r: � �- hl, !� F, � -39. Wace�Service�Finaf-_; � . `� ' � • ` ` �� ' . _ r pr ,'O . 40. Gas Service-Final = r•� �`�Tr- �- I �t O� •-�a� LL - - s � r.:'- .� ~47. So�arpomesticFiRel'. � ' � -` � ` �'-' � - k ' . :L - - � ' _ 42, 6�ackflow PreventeU. z� r J � � -_ .. r _ ( � Y 43. Backflow Irriyation ' ; cs � FF' �" . � . T, a . ( � � � .. T � y .. „^ .� d4. Landscape IrngatiomSYstem c^;ri:? '"' �� 't% �- ` 1 � � .r :� , . � a� r � P- d�'i, . Sound A([en�tation , - �" r � `' R ` �, ,. i - � . p � � [r c-. � ny, Nandicap.Regulatione r- �:, � � G ` _ - =� ' � a: 47. WN.4_L STRUGTURE & BU�COING ` c ' .` `^ ' r {; ,.., n � ... � �. � � {' 48. �INAL PLANNING r �- . i :.� d. a - . . - �� <- 49. Elec{lie Release to Edison '�� `- ; J ` " � c i •,� + 50. �Hs Release to Southern California-Gas Cu r. � �r � _ • - * � • % _.J 1„ � 51. CERiiFICATE OP OCCUPANCY` � •�- r- � - No Date �� . o� nmiaHc: ow�ercsw..eira,owx: 321.3 IDAHO PL �noness: SHAFFER, STUART E TR 3213 IDAHO PL COSTA MESA,CA 42625 �rri. wuur� woneu: 5 5 0-1 3 6 6 ARCNRECi ON F1M�NFEH: dHCX.ON FNG.'S ADDNE55: uc. xo.: UNi: UNi: CONfPRCTOX'Sl4ME: SUNI ROOFING 1714 ) 650-1366 cartn�croaswuur+c z36 VICTORIA ST A0°"� COSTA MESA CA 1CN0` yNT0720 LICEN9E� CONTRACTOPS OECLAPATION: I hareby ellirm u�ndezr p5er�ly�M perjury thet I em Ibanaed uMer ywieione W Chepter 9 (mmmenarq xi�h Section J000) d Dirision � d �ha Buuiwa aM Pmfpebna Code, erd my Iwenae u in full Mce aM eHed. CRV LIC. NO.: LIQ CL155: LIC. NO.: 065147 C-39 57072 EXP: 06/96 Dde�. �A . �L • �f � Comrea«: OWNEfl BUILDEX OECIANRTION: I Miaby elfirm uMer penely d perN�Y d� em aze � �m M Comredwa Liceroe Lew la ihe Idlowirp �aewn (�� J�1.5 Bus'uwaa eM Profeaeione Gode: Rny cIY o ooun�Y �iM n i�e pe�mil lo conal�.Y. Bllm. imPrwe. tlamolbh, w repeir eny eVudure, O�w io ea beuenee, eleo requirce tM epplieenl for euch peemA lo fila a eipneE e�etemenl R�el he or eha ia limneeC W�� o �he povisiona d iha ComreGan Liceros lew �Cheqer 9(oomme�iq wi�h Sod'on ]000) d Diuoion 3 d the Buvinw eM Vrdaaiom Code� a Ihet he w ehe ie eumq ihereM1vm eM ihe beeia lw Ne NbpeE exempion. My violetion M Ssdion ]W 1.5 by eny epd�� w e permn eubpua ihe epplieM io e crvil peneM1y ol rwt more ihen fva huMred ddlen �5500�). ❑ I, m ownar of ihe pmperlY or my emObV� �� weB� m t�ev ade mmpemetion, will do ihe xroM, end ihe evucturc m nd inlended or ollered lor eele (Seclion ]Oad, Buaimv end Praleesions Code�. The Contredon Licenee Lew doee rwl eppty lo en ownerd propeity wM bulda a mpiovea ihareon, erd who tloae auch xwk limaell or hanel' or throuB� �+ a har own ampbyer, piovidod thtl wch ' prwemenU ere rat inteMaE or d1aeC Iw sab. H. Mwawr.IM Witlinp a'vnpovemem ie sotl wnhin wre Yeer W wmpb�un. Na owner-0uiWm will heve IM Wrden d pwieq M or eM did � build « improve fw iM WNoee d aele�. � I, ea ownar W ihe propsily, em exdueivey mnVeninp wilh limneed conlrecton to conaVua ihe Orol� ISeaion )006, Buairiees vM PrWeeaions Code: The Coniredon licenae Lew doea nm appFy to en owmr d prope�y wfio WiMs or impovae tMreon ud who mmretle /a wW prqwe wrth e mniree«(sllienseE punuem �o �M Conirnqae Liuma Lew). � I em �amp under Seclion: B. d P.C., br Nis reeaon: Dde: Oxner I Eo hereby eMily IMI I em ewue d erd uMentarM tM reQuiremmt� W Cal/omie Hml�h erd Salety Code Saabm 25505, 2553J, eed 255�0, end Ihat I or eny Mure builCi�p aowpant vnll / wdl nM (drcb one) need to wmDH w�h eeid peta codea ud ihe rapuirtmente br e peimn lar mwtruclion or modificelion (romtheAr�6uTyliarepemm� Diatnq. ReviAenliel mnelrudion epplirelioneeraexampt Irom these provieione. ove: nod� WOqKEfl'S CONGQlSATION DECLAPATION: I heraby effi�m under peneM1y ol pe'jury ww d ihe blloxirp declaretions: � I Mw e�M wil meinlan e cerNkate d mneant io veM-inaure lar xaken' wmperuelbn. u povitled lor by Sedion 9)00 d IM IaEn coe., i« me �.rto��. d ub � �« �n m�, �u m y.�ea. ❑ i n..� �e w�e �m� won�n oomo«,.mo� �m��... naw�e M seawo a�ao d ma �nw cod., ro� me rorro�m.ow d m. X wak iw w1�iM Ihis permn ie iaued. My wakert compenaelion ineurena ramer end poliry number ere: c°m� — --- -- EXPIRES PdiryNumbec `� _ �" ,Thie a�ction neW not bs complerod / ��s pimAis la erro hvn 'CMkrs Rrool'w lem.) 0 6/ 01 / 9 6 � I eeniy Ihe1 in Iha peAormenee M iha work /w whch thie peemA ie ieaueE. 1 ehell nd amdW �Y W�� in eny menrw w ee �o became wqea m �M xwken' mnqnmtion levn d Celitomu, uM ap�se tlw H I ahouW berome wasd b �M v.orkeis' compewtion piwisona d5aaion 3100 d iM Lebor Code. 1 ehell lo�hwi h m� wn� itaee provisiam. / C, / Dete: �/J •//p' / I Applicanl: Wem/np: Fellun N ixun woAri rompHwtlon rov�rap� b u NwNI, mtl �h�l ndJ¢t en Mnployw fo ctlMrv/ pmdtlu mtl cnn nn., up ro m. hu1er.e rnou„ro ed�an !s+%aaoA ��kn ro m. con or mrry.�wrron aivq. o prov�ew ror �n SxHon J106 0l M� L�6o� COM, /nfx�f, mtl eflornsyi les,. CONSTflUCT10N LENDINO 10ENCY: I hereby �rtn under penelry d per'ryry thel Ihero i� e ooneuutlion bMinp aperv.y Im qro �no��, a m. � ia .n�d, mm w�� o os�aa tsaa� aoe�. cN. c). LENDEH'S NMIE: � LENDEWS RDDFES3: I eeniry �he� I heve reaE uia epdbetion eed dda thet ina ebove ini«mvion ia m�ea. I nprea io eampy wAn ell eily end oouny «dinenees eM eW a kvn raletip �a buik'vp consruaion end Mreby einhoriza reprmenimivm dihis aryto enter upon IM ebaro-mamioned propaity brinspedion purposes. � D�,: O •� (5151i6.WP) Whne-Buikvp85efelyGreerFle;Cerery-RDG��:Pink-Hevenue;GoManmE-Asaesaar PERMIT �]Q: B CITY OF COSTA MESA - BUILDING PERMIT 074594 PLAN CHECK NO: N DCAM �7l1. R (17dSqd GOVT: N SUPP: IQ CONSTRUCTIO�] TYPE: V-N PERMIT TYPE: STR PURFOSE: OTH JOH DESCRIPTION : T/OFF ROCK INSTALL 30 YR COMP SQ FT: 3,500 CLAIM VALUE: 3,500.00 CALC-VALUE: 3,500.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC ****+�**+��*�**��*****�******-�**********+��***x�*�***�r*****�****��***+�i�**rt***�t*�� Z O N I N GS ERTEHQAUCIKRSE M E N T S ----------- MAIN HUILDING --------- --- ----- ACCESSORY PUILDING --------- FRNT: FT' IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: =� FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARRING REQ: f PROV: PARCEL: 13908316 ZNE: REF NO:'- PLANNING NOTES> , i �E if if iE iE 1f fE iE aE iE IE if iE �E ff iE �1E 3f if 3f �E fE iE iE iE 1E iF �E IE aE � iE 1E 1E If if iF if iE iF ff jE iF IE 9E 3E iE iE iE �E 3E 1E if � 9E 1E �E dE 1E if if 1E * iE iE iE 9E iE iE j�E iE 9E 3E 1E iE iE iE iE iE D B 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 APPROVEU BY DATE: � BUILDING APPROVED BY : DATE: � APPLICATION IS3UEU BY: DATE: S �***�x��*****��****�** �� . . �iF#:9Eif3ElEif-%3E�F�f��F3F'�iF �E1EiE LEGALIZATION:N F E E S U M M A R Y BLGG PMT PLUMBING ELECTRIC MECHANIC PERMIT 63.00, � �' PLAN ' ISSUE FEE %r� HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 53.50 0.00 ;i 0.00 REVEDIUE DIVISION TOTALS--> COLLECffED: 63 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 63.00 _ STRUCTURAL SEGMENT:Y FIP,E SMIP/RES GRADING ,". 50 SMIPJNON-RES ,'" TOTAL 'l PAID DUE 63.50 63.50 .00 .50 O�'ER/SAORT: 00 SMIP/TOT GRADING PLAN-CHECK ;50 if jE iF if 1E 1F iE iF iF iF �E iE iF iF 3E iF iE iE iE iE iE iE �E jE 3F iE iF iE if if i� ik iE 1E 1E dE dF 1E iE jE �E �43F 3E 3E iE iE �E iE �E 1E aE 3E iF 1E iE iE iE iE 1E 1E iE *�E �E iF �E iFlE iE iF iE jE IE �E 1E jE �E iF I N D I V I D U A L F E E B R E A K-D�O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST SFR 3500 REROOF BY VALUE RESIDENTIAL NOZONE �1.00 3,500.00 END OF FEES SMOKE DETECTOR RECQUIRED 01 11Q1��$'�'pOYP?13� o O.A'A� D{i7E� id. 1�i4.`i Iit�.' ;J:Sti �- , �' 53.51 - � CONSTRUCTION ANO PLANNING APPROVALS Permit # 1. .. 7. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgmd. � 3. Electriwl Conduit Utilitv-UndrgrncJ. 4. Electrical Gfl�duit-Undrgrnd. � ` 5. Steel Reinforcement �� Electricai 11FER Grnd. 7. Footings fi. Foundation 9. Water Pipe-Undrgrnd. 70. Structural Fioor SYstem 1t. Properxy Sewer Une & House Conr�ecti� 12. Sewer CaP . 13. Roof Oreins � 14. Rough Plumbing 15. Rough EleCtrica6Conduit 76. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Elecirical-T Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Factory firepiace 27. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rouyh & Test 24. iioof framing 25. Roof Sbeathi�g � 26. T�Bar Ceiling lStructurap & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Dry�.vall Nailing 37. Plaster Brown Coat 32. Electrical powzr Me:er�Finai 33. FinaE Elect��c 34. Final Heating & Air Condi2ioning 35. Finai Gas Pipe-Test 36. Hood or Canopy 37. Finai Factory Firepiace 38. Finai Plumbing 39. Water Service-Finaf 40. Gas ServicB-Final 41. Solar pomesiic�Finai 42. Backflow Praventer 43. Backfiow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILPING 48. FINAIPLANNING 99. Electric Re�ease to Edison 50. Gas Release to Southern California Gas Date Oate POOI dPA Inspecior qppROVALS Permit # 52. Pooi & Equipment Loca2�on , 53. Steel Reinforcement . � 54. Forms • 55. Electricai Bonding ? 56. Rough Piumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�7rap, i.7 Undrgrnd. 67. APPROVALTODECK . 62. Sackwash & Receptor-Final ' - 63. Heater & Vent-Final 64. Plumbing System � Final 65. Electrica6Finai 66. Solar SYstem-Final 67. Fencing & Access Approval 66. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL F�RE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Ga: ❑ Oil 72. Underground F{ush 73. Undergrnd. Stor2ge Tank O Gas ❑ Oil 6('�/lj;�'74. pverhea� Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEP" FINA�. 78. FIRE PREV. FINAL HEAITH OEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date Inspector � e \i G \ ` t CITY OF COSTA MESA CONSTRUCTION PERMIT AOO�icant to fill in all 50aces exeept thosa wif�in heavy GorEer Ilnas anC sign all appropriate tleelarettons. PERMIT NO. _ _ TRACT NO. LOT NO. BLD . . Project Address ,�r.� S�� T '��!�� ` � Applicant's Mailing AddLress `' �'� OwneriName �"f%��/-L-1 PhO��y�� Addreu Arch/Eng. License No. Address Contractor's Nam Lv� �� oPho�`ne �� Addteu (mailing) /'��Q 8 � �'�'4'/�3"�7 P��T/ 'QtiR Ciry License Na __2 F��i IICENSED CONTRACTOR DECLARATION I he�eby atti�m lhdt 1 am licensetl untle� p�ovl51on5 01 Chdrtet 9(commencing with Set[ion 7000) oi DIvi5lon 3 Of the Buslne55 antl Profezslons Cotle, antl my Ilcense is in full force antl efiect. License Glassq 3 Licenso No. / Date �U �/ "83 Si9nature 'vORKERS' COMPENSATION DECLA. ATION �ereby at(irm Ihal I have a certNiwte of consent to SelttinSurG or a certlfifzte i Workers' Compensation Insurance, or a cert fietl coOY lhereof (Section 3800, Lab./.C� � �� ME/j�M� � Policy No.�"�C� 33 9�fCompany W wy�� C ifietl copy is hereby furnishetl. ert'(ietl copy i filetl witn the tity BuilUi Dlvlsion. Date �e �� Applican)Li, — EXEMPTION FROM WORKERS' COMP SATION DECLARATION (This section neetl not be completetl if e permit is for one huntlrea (E100) or less). I certify that in the performan<e of tho work tor wnich this perm�t is issuetl, I shall not employ any p¢rson in any manner 50 as to become subjact to the Workers' Compensation Laws of Calltornia. Date Signature NOTICE: If, a(ter makfng this tleclaratlon, you shoultl become subjecl to the Workers' Compensa[lon prOvislons of tne LabOr Cotln, you must (orthwith compty wfth sucn provisions or this permR shall be deemetl revoketl. CONSTRUCTION LENDING.AGENCV I nereGy affirm Ihat there is a constructlon lentling agenty for the performance of the work for whicn lhi5 permit is Issuatl (SecHon 3097 Civ. C.) LPntler's Nama Lentler's Atltlress OWNER BUILOER DECIARATION I hareby aftirm that I am exempt trom the Contractor'S llcense Ww for the following reason (SeCtion 7031.5 Busine55 antl Professlonal Cotle: Any city or county which r¢quires a pe�mlt to ConStruct, alt2r, imp�ove, tlemollsh or r¢pair .dny structure, O�lo� to Its is5uanc0, also reqW�es [he applicant tor Such pe�mit to file a sign¢tl statement that he/she I5 IlcenSCtl pursuant to the 0/ovl5ion5 ot 'he Contractor's �icense Law (Chapter 9(commencing wlth Section 7000) of 'vision 3 of [�e Business and Professiore CoGe) or that he/she is exempt .erefrom antl the basis for,the allogetl ezemption. Any violatlon of Sectlon .031.5 by any applicant tor a permit subjects tne applicant to a civil �enalty ot not more than five huntlretl tlollars ($500). I, as owne� of the' p�operty or my ¢mployee5 with wag¢z as th0i� sole compensation, will tlo the work, antl the structure Is not Intentletl or oiferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor•s License law tloes not apply to an owner ot a property wbo builtls or improves t�eteon, antl who tloei Such wo�k him5¢If/herselt o� lh�ouqh hls or her own employees, provitletl [ha[ such Improv¢ments a�e not intentletl Or oHeretl to� sale. It, however, the building or Improvement is soltl witnin ona year of com- . pletion, the owner will have tM1e burtlen of proving he/sha tliC not builtl or im- 'i �rove for the purpose of sale). LJ I, as owner of ine property, am exclusivety contractln9 with licensetl <on- tractors to construct the project (Settion 7044, Business antl Profes57ons Cotle: The Contractor's License Law does not apply to an owner of property who builtls or improves thereon, antl who con(racts (or such projects with a con- tractor(s) licensa pursuan[ to.t�e Conlractor'S Licanse I�w). ❑ I am ezempt untler Section B. & P. C. tor this reason Date 1 nereby certify [hat I information is correct. I antl state laws relatin9 sentatives of this clty in5pection p e . S�gnature L D 've 5' L' 7 CMF 0865-46 rev. 7/83 owne. have reatl thls applicatlon antl state Ma[ the above agree to comply with all tlty antl-county orElnances builtlin9 <onstruction, antl hereby authorize repre- o enter upon tne above-mentionetl �O�rope,rpty �/fo�r .GG ` oate '//( /!��2 l � — L L�O TYPE OFCONSTRUCTION NEW ADD ALTERATION EPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p.p.# DESCRIVTION OF WORK x�� S �� S MainBuildi ----��— E TVPE OF PERMIT GRADWG �L�J FOUNDA710N ❑ STRUCTURA� T Front ❑ TENANT ❑ ELECTRIGAL IIGPLVMBING ❑ MECHANICAI_ A Reaf � ❑ �OTHER C Right PROJECT DESCRIPTION 5c3. FT. OCCUaANCv K CONSTRUCTIONTVPE VALVATIONS S L2ft ZONE GRADING CU. VDS. ACRES P�ng. REf. # qemarkz: Parking Req./Pri Use of Building: PLUMBING FEES Planning�Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers rinking Fountains loor Drains loor Sinks as Service � Outlets Lavatories P—Trap Roof Drains ReinspeMion Fea � $25 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIt. IC80 # Heatin9 System & Ducting ❑6100,000 BTU 0100,000BT Reinspec[ion Fee � $25 Whita - Bulltlin9: Canary • AppliWnt; Pink - Accounting; Gol�enrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Warer Clout Water Heater Water Service laue fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑aioo,aooeTu ❑ioo,000 System Repair/Alteration Issue Fee Automa[ic Washer � . Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Baxes Outlets Switches Garbage Disposal Generator �65 KW C � 763G IC/2"/"7 ZOne Park.Fees S ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Me[er LJup to 100 amps Meter ❑over100amps Sub Panel Motors O 0-1 H P � 1 h- 8 Inc. Solar 09-15 HP �16�15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compaccor $ 3 Reinspection Fee $25 luue Fee FEES PUBLIC SERVICES REQUIREMENTS: ZoninB APProved By ApP�ication Approved By Appliqtion laued By � S 3 BUILDING PERMIT PIAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK SUMMARV OF FEES $ SMIP $ � PERMIT $ ('1� ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFI�M $ TOTALFEE $ 6,�; � TL FEES $ 3 Z O N I N G R E � U R E M E N CONSTRUCTION ANDPLAN ING �. POC .SPA APPROVALS Permit# 9�'a" Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. �i � 53. Steel Reinforcement . � 3. Electrical Conduit Uiility-Undrgrnd�. " 54. Forms - 4.��;�lectrical Conduit-Undrg'rnd. . � 55. Electrical Bonding 5.'Steel Reinforcement N' � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 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, � Undrgind. 10. Structural Floor System ' 61. APPROVAL TO DECK 11. Property Sewer Line�& House Connection 62. Backwash & Receptor-Final � 12.: $ewer Cap • 't 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 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 2Q. RougFi Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-RQugh & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof SFieathing 7q. 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 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 a.�� 41. Solar pomestic-Final 42. Backflow Preventer �. 43. Backflow Irrigation ' � 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING . 48. Special Requirements Completed � 49. Electric Release to Edison -� � � 50. Gas Release to Southern California Gas Co - . � • 57. CERTIfICATE OF OCCUPANCY No. Date ADD��ant to fill in all spatts exceo< tnose wlihin heavY Dortler Iines ana sign all apvropriate aeclarations. PERMI'j�JO_ �_ ,,� TRACT NO. LOT NO. UMT NO. CiTY OF coST,a MESA CONSTRjU�C^TI�()�� PERMIT Projec�.t4ddress �� `-� �� 1l�' �N � ApplicanYs Mailiny Addre«�py L ' � � Owner'sName �r?�/�Q�R7 _ Phoner S ' � Address `��% TYPE OF CONSTRUCTION ' LI NEW U ADD LJ ALTERATION L�REPAIR ❑ CONVERSION ❑ �EMOlISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. y Arch/Eng: � Licenu No. TVPE OF PERMIT LJ GRaDiNG �L/l 6OurvOATIOrv LJ SrauCTURAL Address ❑ TENANT ❑ EIECTRICAL LSPLUMBING ❑ MECHANICAL Contractor'sName t a % Phone S� � � oTHER � Address (m��i"nal— lr ��e � /�'� (� PRaECT DESCRIPTION 5�. FT, oCCUPANGv_ �J �'3�} CONSTRUCTION TVPE VALUATION $ City License No b r7 ZONE , GRAOING CU. VDS. ACRES— LICENSED CONTRACTOR DECLARATION - I hereby affi�m that I am licensetl untler provisions of Charter 9(comm¢nNn9 with Section 7000) of Division 3 of the Business antl Professions Cotle, antl my license i� i�l��ntl e/fect. �� License Cla 5 A I!1 _ nncAN �ate � 5'g t �L��' WORKEt35' COMPENSATION DECLARATION hereby affirm inat 1 nave a certiticate ot mnsent to Selbinsure or a cerUilcate �f Workers' Compensa[ionA In�]su�ance, o� a certi(i¢tl copY the�eot (Section 3800,Lab.�S��S�,/�O / q_(„_/„ r._,_„/ Policy No. JL(- �� Company �J7LS,TG � ertitietl copy i5 hereby fumiShCtl. Certifi tl c y ' tl wi[h the city il D' Is on //, Date�P"#'� Applicant ��"� EXEMPTION FftOM WOftKERS' COMPENSATION DECLARATION (ThiS Sec[ion nee� not be completetl it the permit i5 tor one huntlretl (E100) or less). I Certify ihat in the Oerto�mance o( the work for which thi5 pe�mi( is issuetl I shall not employ any person in any manner 50 a5 f0 become Subje<t to t�fe Worke�s' Com0en5ation Laws of Galifomia. Date Signature NOTIGE: If, aiter making thls tleclaration, you sM1oultl bewme subject to the - Wotkers' Compensa�ion provisions o/ the Labor Cotle, yov mu5l forthwith compty with such provisions or [nis pe�mii shall be tleemetl revoketl. CONSTRUCTION LEfJDING AGENCV 1 hereby atfirm Ihat there is a mnSVuction lentling agancy (o� the pe�fo�mance ol th¢ work tor w�ich this Oermit i5 issuetl (Settion 309] Civ. CJ LenAer's Name LenOer's AdOress OWNERBUILOER pECLARATION I hereby itfi�m that 1 am exempf f�om the Cont/acto�'s Llcense Law f0/ tne foilowinq,reason (Section �031.5 Business antl Professlonal Cotle: Any dty or county which requires a permit to construct, alter, improve, tlemolish or r¢pair any strucfure, prlor to its issuance, also requires (he applicant for 5uch permit to file a si9netl statement that he/she is licensetl pu�suant to th¢ ProviSions of the Contractor's License Law (Chapter 9(commencin9 with Sectlon ]000) ot Division 3 of [he Business antl Protessions Cotla) or that he/sbe is examp[ tnerefrom antl the basiz for the allegetl exemption. Any violation of Section ]031.5 by any applicant to� d Permit subjects the applicant [o a civll penalty ot not more tnan five huntlretl tlollars (E500). ❑ I; as owne� o( the Property or my employees wklt wages as [helr sole <ompensafion, will tlo the work, antl the structure Is not infentletl or offaretl br sale (Section 7044, Businesz anG Professional Cotle: The Contractor'S LiCense Law tloes not apply to an owner Ot a prope�ty who builtls Or Improves Iheieon, antl wM10 tloez such'work nimselt/he�seH or Ihrough hi5 or her own emplayees, provitletl that such improvements are nOt Intentletl o� ofleretl for sale. If; howev¢r. the builtling o� Improvement 15 soltl within one yCar of com- o�etion,-the owner wi11 have the burtlen of proving he/she tlitl mt bulltl or im- erov! fo� the OurpoSe of sale). LI I, as owner of the property, arti exclusively contracting wlth licensotl con- tractorsto construct the project (Section �044. Business antl Professlons Cotle: The Contractor's License Law tloes not apply to an owner of property who Ouiltls or improvas thereon, antl who contracts for such projects wlth a con- tractor(s) ucense pursuant to the Contractor's License Law). I am aware thac oroof af their Worker's Compensation insurance should be provitletl to me. ❑ I am exempt untler Section B. & P.'C. for this reason Date Owner ' 1 hereby certify that I have read this application anE state that the above Iniormation is correct. I a9ree to comply with all clry antl county ortlinances antl state lawz relating to builtling•consGuction, antl hereby authorize repre- sentatives of tM1is city to ent¢ upon tlte above-mentionetl property for inspec[ion. os . � , / qn Signature Date , f O ! Drivers' License or SS � � Remarks: Bar Sink Backflow Preventer Batkflow Irrigation Bathtubs ]rinking Fountains �loor Drains Floor Sinks 3as Service �U112L5 Interceptors Kitchen Sink lavamries P—Trap Roo( Dreins Reinspection Fee $15 Boiler Duct � Under Ground Duct - Structural Duct-Ventilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting O o-i oo,000 aTu D i oo,000 Reinspec[ion Fee � $15 CMF OBfiS-46, rev. l0/B4 WhiCe - Builtling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection , Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa' Urinal Water Closet Water Heater •. Water Service - � Auto-Wash Laundry Trays 0 A.P. # S Main Buildi E T Front B Rear A C Riyht ' K Left S Ping. Ref. # Plannin9 Notes: Automatic Washer Consttuction Pole Sub. � � Cooking Unit Dishwasher � -" Dryers ❑Gas ❑Electrit Issue Fee � $ 3 Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-700,OOOBTU ❑100,000 Sys[em fiepair/Alteration Fire Dampers Registers Issue Fee Fan F.A.U. � Fixtures Device Boxes Outlets Switches Garbage Dispoul � Generator DO-5 KW C Parking Req./Provided ELECTRICAL Transformer ❑ 15�50 KW O 50 + Kw Meter ❑up to 100 amps Meter ❑over700amps Sub Panel Motors O0.1 HP O 1 h- 8 � Inc. Solar �9�15 HP ��16-15+ Microwave Pole Light Range Standing Sections 5-15 KW Trash Compactar Reinspection Fee -I $15 Issue Fee FEES �DEVELOPMENT SERVICES REQUI REMENTS: Zoning Approvad By Building Approved By ' � � Appliwtion Issued By $ 3 Z 0 N I N G R E � M T S FEES $ 3 SUMMARV OF FEES - BUILDING PERMI7 g - SMIP g PLAN CHECK $ �^ PERMIT p��-� PWMBMG $ �6K-�"_i �ISSUANCE $ =X�-'�"— PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ ' MECHANICAI $ .TOTALFEE $ �� PLAN CHECK 25% $ , , � CONSTRUCTION AND�PLANNING POOL & SPA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � i: . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVE�R=GUNITE 7. Footings 58. Electrical Conduit-Und�nd. 8. Foundation 59. Gas Pipe, O Undrgrnd�--�Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P�Trep'�� Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECI� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent�Final . 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final , 15. Rough 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. 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 � 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 CERTIF�CATE ISSUED 33. Final Electric Notes:12�� '1��[�� ,Q� Zp,3 U�. L.E� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed ' - , 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co . w 51. CERTIFICATE OF OCCUPANCY • No. Date �� 1 C^ � AOPlicant to'fill in ali spaces exceo� thase within heavy borGer lines antl sign a11 aDo�opriate aeclarations. CITjFO�COSTA MESA• CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. ' ��. i� � on�-k� rx- . 3 0 3 3 5 a, � 1'roject Address Appli�ant's Mailing Address' �,I�ALt TVPE OF CONSTRUCT�ION� NEW ADD ALTERATON REPAIR !l�.j� y„ �� ❑ CONVERSION LSDEMOLISH ❑ OTHER p�p # Owner's Name � � Phon 1 ' �� DESCRIPTION OF W(�1 Rf�( USE OF BLDG. Add'ress �� -i—Y%�4�- ��--�' ,��j�,�- W/ �'/JLL%�� /y(, E MainBuildi A�ch/En9. , License No. TYPE OF PERMIT GRAOING ❑ FOUNDATION STauCTURAL T Frant Add�255 � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear Contractor'S Nam � p o� � j Z � �THER A • y r i� � PROJECT DESCRIPTION Sq. F7. oCcuPANCV K Right Address (mailing) � . - �� CONSTRVCTION TYPE VALUATION $�_� 8D . S L¢ft City Licens2 NO. � ZONE GRADING CU.YDS. ACRES p�ng. Ref. # LICENSED CONTRACTOR DECIARATI N ' I hereby affi�m LhatJ am licensetl untle� proyj51on5 of CM1arte� 9(commencing Remarks: , � � Pldnnl�g NOt25: wi[M1 section ]000) of Oivision 3 oj_{he Gsin�ss antl Professions Cotle, antl my license is in full for 1 an tt ef � L O License C ss � i e e Date Signatu WORKER ' CO PENSATION DECLA FTION `�ereby atfirm that Lhave a certificate of consent to self-insure or a cer[ificate Workers' Compensation Inzur , � a ' ietl Copy IhereOf (Sec[ion _d00, Lab. I . -/• / [ ` `p/� u/� PalicY No. ��I � Com nY �+. —'w � `mC �n rtifietl copY is hereby fu nishetl. � tifi tl� 0�(iletl wi(M1 the city B in '�ivi o Date Ap ' ant EXEMPTI N ROM WORKERS' COM NSHTION DECLARATION (Thissection neetl no[ be completetl it th¢ permit is for one huntlretl (5300) or Iess). I cer[ify [hat in lhe performance ot the work to� wM1ICM1 this pe�m�t is Issuetl, I shall not emplay any person in any manner so as to become subject to Ihe Workets' Compensation Laws of California. Oate Signature NOTICE: Ii, aiter making this tleclaration, you snoWtl become subject to tne Workers' Compensation pwvisions of ihe Labo� Cotle, you must tortnwilh comply witn such p�ovisions or this permit shall be tleemetl r¢voketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that fhere i5 a construction lentling aqenty for the Derformance of the work for which this permit is issuetl (Sec[ion 309] Civ. CJ Lentle�'S Name �entler's Atltlress OWNER BUIL�ER DECLARATION I hereby affirm that I am exempt from the Confractor'S Llcense Law for [he fallowing reason (Section ]031.5 Business antl Professional Cotle: Any city or couniy which requires a pe�mit to const�uct, alter, improve, Oemolish or rEpair any structure, p�io� to_ its issuance, also requires the applicant tor Suth pe�mlt to file a signetl statement tnat he/she i5 licensetl pursuant [o [he provisions of tM1e Contractor'S License Law (Chapte� 9(commencing witn Section �000) of '�ivision 3 of tM1e Business antl Professions Cotle) or that ne/she is exempt eref�om antl -the basis for ihe allegetl exemption. Any violation of Sec[ion 131:5 �by any applicant to� a permit subjects the applicant [o a civil �enalty of not more than five huntlretl tlollars (§500). I, as owne� of the property o� my employees with wages a5 th¢ir sole mmpensaiion, will tlo ihe work, antl the structure is not intentletl or offeretl � for sale (Section 7044, Business antl Professional Cotle: The Contrac[or's License law tloes not apply to an owner of a property wha builtls or improves thereon, antl who tloes such work himself/M1erself or tM1rougM1 his or her own employees, provitletl that such imp�ovemen[5 a�e not intentletl o� offeretl for sale. If, M1owever, Ihe builtling or improvemenf iz Soltl within one year of com- Oletion, the owner will have Ihe burtlen of provin9 M1e/she ditl not build or im- p�ove far the pu�pose ot sale). ❑ I, as owner of the property, am exclusively contracting with licensetl con- tractors to construct the project (Section �044, Business antl Professions Cotle: The Contractor'S License Law does not appty to an owner of properry who builtls or improves the�eon, antl who mntracts for such pwjects with a con- trattor(s) 1¢ense pursuant [o the ConVactor'S License Law). I am aware that proot of their Worker's Compensation insurance SM1oultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason �� certity >n is u Preventer Irrigation Dishvrasher Drinkin9 Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drain Reinspection Fee $15 Boiler Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Pact 61t. ICBO # Heating System & Ducting ❑ 0� 100,000 BTU O 100,()9G Drivers' Lice se or 55 � � ��` I I Reinspection Fea I $15 ��CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collector Solar Pipi Pool w/Spa Water Closet Water Heater Water Service Auto-Wash Issue Fee � $ 3 � :�uf,.— 5584 9/18/67 Parking Req./Provided n ELECTRICAL Automatic Washer - Transformer ❑ 15-50 KW Construc[ion Pole Sub. � 50 +'KW Cooking Unit � Meter ❑up to 700 amps Dishwasher � Meter ❑over100amps Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes � Outlets Switches ' ' Garbage Dispoul Generator �0-5 KW 05-15 KW Zone Sub Panel Motors OO-1 HP I Inc.Solar 09-151 Microwave Pole Light Range Sign Sta ing Sections ash Compactor 7 6,15+ 39028 T� FEES Reinspectian Fee '$15 Issue Fee $ 3 IANICAL FEES Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREME�yGyn ]�,( �(� S Canopy Type I I Zoning Approved By '�/�'/ `"^" — Date� euilding Approved By — �� Date_D i n_ iefriperation s[em APplication Issued By Date L—Z �� ]o-ioo 6osru ❑ioo,000 em Repair/Alteration Fire Dampers Registers - Issue Fee � $ 3 Z O N I N G R E Q M T S SUMMARV OF FEES BUILDING PERMIT $ Z'�' SO SMIP $ O•.S� PLAN CHECK $ �S • Z S pERM1T PLUMBING g �SSUANCE $ PIAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ �� PLAN CHECK 25% $ � �'CONSTRUCTION AND�PLANNING . � POOL & SPA. � , ' APPROVALS � Permit�# Date� �,Inspector pppROVALS Permit# Date Inspector 1.,Temporary Electrical Service or Pole ' 52. Pool & Equipment Location- ' 2. Soil Pipe-Undrgrnd. �` � 53. Steel Reinforcement � ;� 3. Electrical Conduit Utility-Undrgrnd. , 54. �Forms - � 4. Electrical Conduit-Undrgrnd. ''55. Electrical Bonding 5. Steel Reinforcement �. �� ' 56. Rough Plumbing & Pressure.Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' - 7. Footings ' ' � � " 58. Electrical Conduit-Undrgrnd. ' ' � 8. Foundation . � - 59. Gas Pipe, O Undrg�nd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. � 10. Structural Floor System 67. APPROVAL TO DECK • 71. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final�� i 12. Sewer Cap 63. Heater & Vent-Final � �-' 13. Roof Drafns - 64. Piumbing System - Final � � . 14. Rough Pl�mbing 65. Electrical-Final . � 15. Rough Electrical-Conduit ' 66. Solar System-Final I 76. 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# _ 27. Ducts, in Structure 70. Underground Hydro ` 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil ' 23. Gas Pipe-Rough & Test � 72. Underground Flush �s "" 24. Roof Framing � 73. Undergmd.StorageTank OGas ❑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 Nai�ing HEALTH DEPT. REQUIREMENT . �- � 31.'Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final Electric Notes: � . 34. Final Heating & Air Conditioning ' � ' � � � � 35. Final Gas Pipe-Test � ��' � 36.,Hood or Canopy " � � 37;. Final Factory Fireplace � � � - , � 38. Final Plumbing ' � �' � � ( 39:�Water Service-Final . - I • - " i i , �40. GasService-Final �, � ; -• �� '�� -� i �.41. Solar pomestic-Final � - , � . ' I ,42. Backflow Preventer . : � �� ' , I" ' ' ; . ' "� �43"Backflowirrigation � � �" . . - I. , ��44. Landscape Irrigation SYstem � . � � , � � � - I� ., 45. Sound Aitenuation � ";' ' ' � . � 46. Handicap Regulations �.p �` � �` 0.:� � ' ��3 �-¢�- 47.FINALSTRUCTURE&BUILDING �- iC�s-v. �-/,/. � i-.-_, '- � . � !/I vvQ' i. �48. Special Requirements Completed ' ' ' - � � :49. Electric Release to Edison � . ." " , ' � ,� ' = -. 50. Gas Release to Southern California Gas Co • • ' " � � . s � 51. CERTIFICATE OF OCCUPANCY' - - . . � . . ` _ r No. � Date - � . ` ' . ' . • . �i:�:��1a2/�/�/f rN� ��Ji?\i1 ZHIS. Al�2EEhgS]T, made arcl entered intn this ' �g day of `�� , 19H�, by and behaeen �-dt=�r�--YL� hereinafter referred tc� as "LAND OF3dER", and �G�a�.o5 hereinafter referred tn as "AA7ACEI1f PROPEKIY �TNER". It is hereby agreed that a party wall will be constructed on the property line between in the City of Ccsta Mesa, Coimty of Orange, State of California, as per map reco�3ed in Book , Page of Miscellaneous Maps, in the office of the Coimty Recorder of said Coimty. 7he party wall shall be pernutted tn encrxch IN WI7NESS l�d�REOF, the,parties ha.e entered into this Agreement the day arc] year first abwe written. LAND CL7NER � (Signature) n S�V0. r� � ' � �R I T'_ " Name ('Pyped or Printed) 3�r 3 .��la �� (Address) � s f� M.� s��'� 9.z�.�� •� •�• �u�3 i� �' ignature) Sff/sz�Ey %. %,OVLU S N�ne (7}�ped or Printed) ,3azo � r��-� P��r�E (Address) CosT�t m��.9-� c� 9ZG z � .� ..�.�.. . . .` . �,s�.�:.....,....�...� 4.�... .. .. - �.�.�.. _..._.w.. _ - - /� � H• i ]� 7tiIS AC32EEMENT, made arci entered into this 9"1 day of r9g7 /� �V ri e , 3983; by and berireen S, CC .�Y S� C, s�, n�t{r hereinafter referred tc> as "LAND Q�IER", and �o�{ � ��_ T�— hereinafter referred to as "AA7AC�SfP PROPEIzfY oWNER". Zt is hereby agreed that a party wall will be constructed on the property line behueen 3 a! 3-J-da ��/, n K� (Address of Adjoining Properties) �a�4 �.�c.�c?k'A-sr� P�a-ca-� cosz,�-�-,q. in the City of Costa Mesa, Coimty of Orange, State of California, as per map recorrled in Book , Page of Miscellaneous Maps, in the office of the Coimty Recorder of said Coimty. 7he party wall shall be permitted tn encroad� IN WI7NESS 4d-�REOF, the parties ha�,e entered intA this Agreement the day and year first �t�we written. IAND �G�WNER� ��"`il � � S T� " �--oa„ c, s �f�,. �� Name ��iyped or rrintea) 3�+ 3 Z'da kv OQ� • � s�'a /Vt es ti, C/i . 9� 6�� cAaaress� AA7ACENP PROPEFriSt a9NER �,/�.,� C . csl9,,�-� > > 1�RY- � - h�PP�,� y N�ne (4'yped or Printed) 3,2 � � N��2n�kn R-�� c�.�-z� n��-�A-_ cA 4.�G�% (Address) (NOTE: Please see revezse side for notaxy's statement) � 57P.TE CF GILIFORIIA ) � ) ss. QOUNTY (F ORANC� ) On before me, the imder.signed, a Notary Public in and fior the Coimty of Orange, State of California, personally appeared 3mown t�o me tn be the person(s) whose name(s) is subscribed to the within instrument ard aclmaaledged to �re that (he/she/they) executed the same. wI1NFSS my harcl and official seal. S i�at�e Name (typed or printed) 51�:TE (F CALIFUFd9IA ) ) ss. OGUN'IY � ORP,NC£ ) � (SEAL) before me, the imdersiqned, a rootary Public in and for the County of Orange, State of California, personally appeared "�. „" d , lmown to me tn be the person(s) whose name(s) is subscribed tn the within instrument arci acknoaledged to me that (he/she/they) executed the same. WI'IS]ESS m� harrl and official seal. ( S ignat�e ) Name (typed or printed) (SEAL) Ceme�t Copim� Optionel � ChannelBbck With 1•3/8� Nori:ontal Top of all Fenees For Fenees 5' or Less Vert. Bars 3/6"� at C' •Q" O.C. For Fencef Higher Tfun 5' Yen. Ban 3J8"� et 32" O.C. � Fill Celh Solid With Grout Where Steel Oecun Reinforeing Steel Shal� Contorm to See.A•15•39 A.S.T.M, All Steel to be Lapped 24" Orto Code MATURALGRADE TWO 7/8"� BARS � CONTINUDUSTOP b BOTTOM 110R1iSTEEL MUST BE TIEO IN FLACE AT T�ME OF TRENCH INSPECTION. TYPICAL 6" CONCRETE BLOCK FENCE .n n I 1-�-wioTr p SEE CH� � � BELOW �.I'• FOOTING REQUIREMENTS CHART i GENERAL- NOTES MORTAR: pne Part Plostie Cement, and Th►ee Parts Sond GROUT: �e purt Cement Three onQ One Half Ports �and COPIN�: One Part Cemenl, Three Porta Sond CONCRETE: Well Mited 1:2-I/2:3-I/2 Mc�i. of 7-1/2 Gcltons of Wafer Pe+ Sack af Cement GROUT MAV BE POURED FROM TME TOP OF THE FENCE IN CELLS WNERE STEEL OCCURS. CELLS AND AHEAS OF HORiZONTAL REIN• FORCEMENT SHALL BE CLEAR, CLEAN d FREE OF AL4 MOR7AA DEBRIS, E7C. ` t 'M-OF E4R7HTCOTH 1/3 THE HEIGTM OF fENCE �ECOW ��OTTOM Of FOOtING. SCALE: I/2"= t' WIDTH . . . . . . . . . . . . . . .14" . . . . . . . . . . .14° . . . . . . . . . .I._I2�:._:..: : . . 12�.� . , :. • 7HICKNESS . . . . . . . . . . . .10". . . . . . . . . .. .!0" . . . . . . . .`. . . 8�. . . . . . .�. . . . 8" ` DEPTH OF EARTHTOOtH . . 24" . . . . . .20" . . . . . . . . 16". . . . . . , : 12` ' . ... . SPACING OF EARTHTOOTH. . 12� . . . . . , . . . . .14� . . . . . . . . 16�. . . . . .' . . 16' owNeAs NAME: a � L� /� � Z _ � � �+ � `� � E'— City of Costa Mesa California JOe ^°° � Z 3_�-� �,�, �, __ ��. _ 1 PERMiT UMBEH: � Building Department 51GNAT E: 7��_ _ � o,�� ,,.:,.,•._,_,.: Rtvnea Nov.ez �� ; u�s �� i C�G� 32c� T�� P� • �I �3 c� 2 s— y�. .. ` .... • i �G dR F�'( �� u=—t3-r i I��L � 1 G�—I.SG �-- -3 z t 4 ��w'�-s,Ka" �i r'i_ � � 4 �, , -�'Zj 1�1�--' 1 -� �-r t�2 ��i�� PPROVED City of Costa Mesa Building Dept. BY --��1Y� �`�u�- DATE � 19 S i i -•,°`.'- �:' �'+.: *, i!57 fl: pN JOg AT ALL TIMES MAKE I' .Z � -_'"( �'102 AFGROVAL OF DEPT. � . . . . � '' �. �+:•.�0.' O��PR6vAl OF - � - :�•O' e; C:dJCTRUFD TO BE A ' ' ' � • '�'+JL<i1CN OF ANY OF . :,vfn,r:l..: .. /:C9L:�-.U':aiSUWANGTOGIVE . .. )CI" . • . . 'r.:. :' ' �; �y'Uh5 OF THIS � ; "" . ' . : ...;: T'ai WUFk OR USE �i, .. , . .'JF a FF.nid1T �;..:iFp UPCN PLPNS AND � ... . -.+�; Np7 ?gE1'.. JT THE 3UIlDING CFFlCIAL � �" � "'!�.EQU!R�IJG THE =ORRECTION O' ERFORS IN 1.•.. FiFN,- c,NO SFEUHCAiIG OR FROM PREVENTING i ." " � - �IONS BEIVG CAF. IEO ON THEREUNDER WMEN •: v 7�n i ION THIS COOE OR OF ANY O7HER ORDINANCE OF r _m. 3Z 13 :1 Dd1-�C� � L. . � � �� : � f � ; � � � ' � ��'�..' . ',` a . : � �� ;p,:. .�—!'� � �.. ;. � }' �i i ; 1-. , i I i i,. � t l..•. t- �i ��{ . �. . 1. .,�. ..r��. i z � a ' . � , }} � i ; � i �t f + , . ... . . � ` �.f . . . . t : �-� F. . .. .� .. � . •1• I. t ING D�• ypp, pd�f. �• 0 .. / 0 . ;. : ; ; � � ' 1 . .� ''�' • 1 • � I . � i � , ,..; ,i � ; ; ,. ; � • � . :;� . ,�, t �� { ' : i ' s , . r .; - } . � �;� , k .,1.,;. � .,{ , .�.:;i ;;. LOT �5 - TRACT 62 ��..�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 CtlBTA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA owNER KENKOL COt�TRUCTION C0. MA1� j555 PLACENTIA AVENUE AODRESS cirr NEWPORT BEACH TEL. NO. ARCHITECT TEL. CONTRACTOR • V�� ADDRE65 �555 PLACENTIP. AVENUE NEWPORT BEACH cirv � �'No. 6t t95 NEo: M i 6-3227 s�=E 65 X i oo I NO.OP BIDGs.o OF LOT Now oH �oi 5�� REAR YARC 7� � RIGHT IPTION OF WORK 1611.7sF `""g4ucco FIRE Z�NE APPROVED ZONH G LHOAL � �._ , \ � ��.a � �,a� ��,. �v�. ..�.i ��. S-�3-60 flli/-1C�Vi: �ir � , ��. ,�,_ �n r . , APPLICATION FOR'PERMIT�Et;, BUILDING For Office Use Only FECEIPT No. .P,pPp�1rN0- � �Y COSTA MESA. CALIFORNIA ZONING NO. OF �+� " U86 OF PLANB �/ BUILDI! �YARDS EVES APPROVED ALLO zr� f �carvr¢n uHe er.� �'�l_ OF MS STORIE6 , >F RocK �EgREIN�GERFp �7Ep� �NCEPANDRAI 1ACFE D O � I HEPHBY ACI(NOWLHOGB THAT � MAVB RCAD THIB APPLIGTION }Hg AMOUNT eHOWN UNDEft VALUATION 16 FOP THE ANO BTATE THAT THE ABOVE �8 CaRR6CT AND A�R88 TO COM� pURP08¢ OR EBTABLI9HIN6 A PERMIT FEE ONLY. PLY WITH ALL CITY ORO�NANC89 AND 9TAT6 (AW8 R6OULATING 9u1LDINo CONernuGnoN. VALUATION �6 ` BIGNATURE PERMIT FEE $ PERMITTB i � - ^ ^ $ /�� / PLAN C4{ECK $ �� ' AUTNORIZE AGEN • b'�'�- �' L'/7i�'n°1r _ - r �% �