HomeMy WebLinkAbout2860 INROZ DR - Building PermitsCITY OF COSTA MESA
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fa�c (714) 754-4856
Job Address: 2868 I N ROZ DR
Suite:
Vicinity: REAR OF HOUSE
Parcel Nunmber: 139d4408
Applicant: DAVIES, RONALD
Address:
owner: DAVIES, RONALD O TR
Address 28661NROZ
' C09TA MESA, CA
Contractor: 0��-�, ^
. Address: ���`
Zip:
Arch :
Address:
Phone:
BUILDING PERMIT
Zoning: R1 R1
Phone: (714)545-2756
Zip:
Phone:
Zip: 92626
Phone:
License:
Eng:
Address:
Zip License: Zip:
SCOPE OF PERMIT
LATTICE PATIO COVER TO BE CONSTRUCTED AT THE REAR OF AN EXISTING SFD.
FEESUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$62.25
$0.50
$0.00
$0.00
$0.00
$62.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Exi_stinq: o
NOTES:
Rear 30- 0
Rear 0-0
Required: 0
PLANNING & ZONING
Left 10- 0
Lek 0- 0
Proposed: 0
:
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 06/0711999
Issued: O6/14/1999
ISSUED BY: ��
Calc Valuation:
Claim Valuation:
Right 50-0
Right 0- 0
Phone:
License:
sz,000.00
s2,000.00
NOTICE: The work authorized by ihis permit shall comply with ell applicabie handicap access requirements under California statutes and related
�, regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or if work is suspendad or abandoned
for a period of 180 deys.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all
requlred Inepeetlons and fihal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (71q) 75Y5646
WORKERS'COMPENSAnON DECIARATION:
I hereby eflirm untler penalty oi perjury one of the lollowing declarations:
❑ I heve antl wlll maln�eln a certificate of consent to self-Insure for workers' compensatlon, es provitletl tor Dy seqlon 3700 oi t�e Lebor Cotle, for ihe pertormance oi the
work lor which ihis pertnit is issued.
❑ I have end will main�ein workers' compensatlon Insurance, as requiretl by section 3700 of Ihe Labor Code, for ihe perfortnance ot ihe work for which this permit is issued.
My workers' compensation Insurance carder entl policy number are:
Cerrier: . Policy Number.
(Thls sectlan need nat be completed i/ the permif /s ve/uetl et one hundred tlollars ($100) or less.)
� I certity that In the Pertortnance ot the work tor which this permit is issued, 1 shall fwt empby eny person in any manner so as to hecome subject to the workers'
compensation laws of C domia, ana egree t If I should became subject to the workers' compensation provisions of Sectlon 3700 of ihe Labor Code, 1 shall forthwith
camply wllh Ihese si ns. � / pp
Applicent Signature: p M1ti-GlR-� � alll..Q_� Data: U— ��� I/
WARNING: PNLURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINPL PENALTIES AND pVIL FlNES UP TO ONE HUNOREO
TMOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OP COMPENSATION, DAh1AGES A$ PROVIOED FOR IN SECTION 31W OF THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTtlAS DECLARATION:
I hereby attirm ihat I am licensed under provisions of Chapier 9(commencing with Section 7000) of Divlsion 3 ot Ihe Business and Professlons Cotle, and my license is in tull
force and eHect. Lic. » Class #
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eMirtn that there is e construction lentling egency for t�e pedortnance of the work for which t�is permit is issued. (Sec. 3097. Civil Cotle).
Lentler's Name: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLN�AnONS:
I hereby ettlrtn thet untler penalry ot perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the Following reeson (Sec. 7031.5, Business and Profession5
Cotle: Any city or counry which requires a pertnit �o construct, elter, improve, demolish, or repair eny struc�ure, pnor to its i55uance, also requires the epplicant tor such permit
to file a signetl stetement Ihet he or she is licensed pursuant to ihe pravisions oi the Contractors IJcense Law (Chapter 9(commencing wlih SecUon 7000) af Division 3 of the
Business entl Pmfessions Code) or that he or she is ezempt iheretrom and the basis br the ellegetl exemption. Any violatian ot Sedion 7031.5 Dy eny epplicant for a permit
su6Jects the applicant to e �ivil penalry ot not more than tive huntlretl tlollars ($500).):
� f, es owner ot tfie prWerty, or my smployees wlih waqas as their sde compensation, W1LL DO THE WORK, and the structure is not fntendetl or oflared tor sale (Sec.
7044, Business and Protessions Code: The Contractors License Ww does not epply to en owner af property who huilds or improves thereon, entl who does such worK
himsalt or hereelf or thmugh his or her own employees, provided that such improvements ere not Intended or oHeretl for sale. If, however, the building or improvemem is
soltl within one year o� completioq (he owner-builtler will heve the burtlen of provinq Ihet he or she tlitl not build or improve for puryose of sale.).
❑ I, es owner of the property, em EXCLUSIVELV CON7RACTING WITH LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business antl Professlon5
Coae: The coniracims �cense Law does not epply to en owner of property who builtls or improves thereon, and who contrects �or such project with a coniracror(s)
license pursuent to Iha Camractars License Lews.).
� I am exem�}'� tler sec.
Signature: ' /R',n.. �T�
Owner ID verified y driva!'s licensa. ❑ Yes ❑ Na
Business antl Protesslons Gode for this reason:
Vediication ot Ownership by (type ot documem, i.e. - pmperry tac bill or deed):
Dnver's License No.
Date:
Expires:
DIYISION OF INDUSTRIl1� S1IFETY PERMIT CERTFICA7tON:
❑ I �ereDy certity that no excavation five (5) or more feet in tlepth into which a person Is reqWretl to descend, will be matle in connemlon with work authonzed by this
permit, antl ihat no builtling strucWre, scaRolding, felsework, or tlemolition or dismantling thereoi, wlll be more Ihan Ihirry-siz (36) feet hlgh. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Celifornle Atlmini5irative Code).
❑ As owner-builde�, I Will not employ enyona to do work which woultl require e permit Irom the Division of Industrial Safety, as noted ebove, unless such person hes a
permit to do such wark trom Ihe division.
Signature: Date:
Dlvision oi InCusirial Safery Pertnit Number:
CERTIFlCAIE OF COMPUN7CE AND AUTNORRATION OF EMAV: 1 certity under penairy ot par'ryry that I have reatl this appliCetion and stata t�at the iMortnation given is
corred. I egree to comply wM1h all ste�e laws end ciry ordinances relating to building conswction, an0 euthonze representatives of Ihe Giry ot Costa Mesa to emer upon Iha
e�ove-descd�e�erty tor insp es. I egrae noi to occupy or allow occupancy oi any building authonzed by this pertnit uNll flnel inspection.
�/)./ Q ��e e �—�y 9 �J
//1i/Lin i
�i ignature OI Legel Owner(s) Oate
AnNOr Authonzed AppliCant Da�e
CO�E 1. INSPECTIONTYPE
1618 Flxed System Fin81 Fire Prevention
1266 Pool Spe Final
200 Final Re-Foof
201 Finel BIocWRetaining Well
202
203
204
2u&a6
Finel FeC�ory Fire P�ace
Final Slgn
Final Demolition ,
P9IE INfIfIALS
COOE I INSPECTION TYPE
206 Final Mechenical
20B Flnel Plumbing
210 Finsl Eledrical
212 Flnel Fire Prevention
220 Final Planninq Approval
222 Final Site
250 Final Building/Occupancy
�g
�
201tn.ROOF CONNECTION
DETAILS
CON7,
LEDGER
CONT.
LEDGER
ID BLOCK
oEVEr�Pr�aar
s�css n�n�r�ar
BUIIdJI�1G S71E'EPY DIVISION
RAprER OWNER: Il �ca. !�!, C� ���J i EC
ADDRESS� %���`� Tr� �7- pr CvS�k; �cs{
�I/2�� DIA. % 5�� LAG scR. CONTRACTOR: �1w���' �]v� }�� r��
AT 3z'� o.c. qDDRESS� �
DETAIL I
9
CR B CL ��TECO��
GRIPS OR JOIST
HANGER
3/g° DIA. X 5�� LAG SCR.
ar �y" o.c.
DETAIL 2
101n60R LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2��' %'�. FA C�t A�- M I N. ft E0.
� , ,� . ,
���m��g�
�APPROVED ,MET.AL
� _ .!.. �,HANGER.,.. � ,.n
::�...._ ... ,�r'
- - "'. . - . . . :., ; . ., , . . ,
. �: ,:oErAi� ��3.- :.
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZF, SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32�� 6 � _0��
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6"
48" .8'-0"
2"x8" 24" 15'-6"
32" • 13'-6"
48" 11'=6"
4"x6" 24" 17'-0"
32" 15'-0"..
� 36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0"
36" 18'-0"
� ' 48" � 16'-0"
4"xl0"�' 32" ' 22'-0"
; .. ' 36'• � 21 � _���
1 48" � 20'-0"
, . _ ' 72,.,:` 17'-0�•
PATIO COVER
TYP. PLANS
DATE �
PHONE��d� S'�fS=�l,��
LIC. NO.
PHONE�
RAFTERS
LIGNT WEIG}ff ROOF COVER OF
LATH, FIBERGLASS, AI,UM.
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24" 8''0"
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6"
32" 12'-0"
48" 10'-0"
2"x8" 24" 19'-0"
32". 15'-6"
48" 13'-6"
NEADERS
LIGHT WEIGHT ROOF ONLY
SIZE POST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 12'-0"
4x10 15'-0"
CARPORT, PORCH OR PATIO
SIZE POST SPACING
4x4 5'-0"
4x6 8'-0"
4Xa io'-o��
4x10 12'-6"
APPROVED FOR
BUILDINC PERMIT
By Date
�Q(��tAl, NOTES:
1. These plans mus[ be
kept o� [he job a[
ell time during
construction.
2. All framing to be
Douglas Flt N4 y
grade minimum.
3, Rafters may not
attach to facia ex-
cept for 10]}xiroofs
as shown on details;
� 24Tbsroofs must use
a continuous ledger
, attached as shovn
on details #lZdt2.
4, Light c+eight roofs
may at[ach [o tacia
for 14' span max.,
spans over 14 mus[
use a con[inuous
ledger as shown in
detail 113.
� �U�l9�U
NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREAS
* _ �d���O �
- �v'
CITY OF
�l�N'
"UB!lE$�
BY---- -
�ED
A MESA
�N.
._ i�PiC. iREG.
�o��i
� ( �0 i L '
� ADDITIONS, DELE�'�NS, OR GORRECTI NS SHALL.
BE APPROVED ��' THE PLANNING VISION
�: II��'(�7� vr��i � p�VL
PLOT PLAN
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SEE DETAILS ON REVERSE SIDE
ROOF SHEATNING
OVERHANG
�X v RAFTERS
AT�`}� � O.C.
_L_X_�L BEAM/
T-STHAP EA. SIDE
FOR POST- BEAM
CONNECTION.
J
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� DROP ppTlO W li
FLOOR 2' p �
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SLOPE TO DRAIN I
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26�����FLASHIN(i .-ci..i . �:.. ,:tu'r� Y� 1
w000 ptooR;'�!= C�;STA MESA ��__ �
CONSTRUCTIO� P}� �j U�1�,R� 12�� soJ' o
a
sY D� ' u
1'his set of Plens and �tione MUST be kepti �on tliis job at afl t�nes and'A is ui I td
a�S�t}, afa ,VH�IV ��(rantlreDirisimWBu�ing
The etar�g of nus plan end �Uons SNatlNOTte nelato p� aa ee an eypmra�
of Ihe violation of any pr0ais'rxis of arcy Clty of Costa Meea Ordinance aridOr Stele lew.
�
�� a� C?oQta �?leda �ui�?d.us y Du�o�
OWNER-BUILDER
VERIFICAT[ON
.. .
A city or county, which is required to give notice pursuant [o Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permi[, require the completion and require the return of, an
owner-builder verification.
A[tention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return [his infortna[ion in the envelope provided at your eazliest oppoRunity to avoid
unnecessary delay in processing and issuing your building permit. No building permi[ will be issued until this
verification is rec ie ved.
I. 1 personally plan to provide the major labor and materials for conswction of the proposed
property improvemenL �' Yes ❑ No
i�l
[(have/have not) !1 A Vf= signed an application for a building permit for
the proposed work.
1 have contracted with the following person (firtn) to provide the proposed construction:
[Vame
Address
Phone (
City —
Contractor's Lic. No.
4. I plan to provide portions of the work, but 1 have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone ( )
City _
Conmactor's Lic. No.
5. t will provide some of ihe work but 1 have contracted (hired) the following persons [o
provide the work indicated:
Name Address Phone Type of Work
10C2<8 (REV.898)
.
I hereby affirm tha[ I have received a copy of the information set forth in Section 19830 of the Sta[e
of Califomia Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance with this State law.
Signed: _-//r'/n�2tx,tS� �Q.11T,Q ,l Date: �o� I�% 1 9
Name: /i � N�Yt- � V. I J A l/ /f-�
(Printed or Typed)
C.D.L. # OR S.S. # ��
For more information call City of Costa Mesa Building Division at (714) 754-5273.
1062�46 (REV.998)
CITY OF COSTA MESA
CALIFORNIA 9262&1200 P.O 80% 1200
DEVELOPMENT SERVICES DEPARTMENT
September 22, 1994
Dear Costa Mesa Property Owner:
In reviewing past permits, we find that work has been done on your
property located at 2860 Inroz Drive, Permit No. P66272, for a
plumbing permit. The permi is or 180 days from issuance or
your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
To activate the above permit, please follow these steps:
1.
2.
3.
4.
Telephone (714) 754-5626 or 754-5627.
Request an inspection; state address, permit number, and type
of inspection.
Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
Have an adult present at the property at the time of
inspection to provide us acc�ss.
Should you have any questions regarding this process, please
contact me at (714) 754-5273.
Thank you for your cooperation.
Sincerely,
o anda Huapaya
it Processing Specialist
7� FAIR DRIVE
Building Dnision p14) �54-5273 • CoOe Enforcemem ('ta) 75C-5623 • Planning Drvis�on p14) 754-52a5
cnx n�e� ss6.�5nn . rnD n�a� )Sa-s9aa
_YI PflOJECT0.00NE55: z86O INR02 DR
i OWNEfl'SNAME: WONG, DUANE
aooness: 2860 INROZ DR
� COSTA MESA,CA
ANCN/ENGINEEF:
nooness:
,��r-nr � uNiT:
/"�/ C�-�
9262G
NEG.NO.:
uxiT:
PENMITTEE: NOCK PLUMBING (714)$95-1246
aooness: 11610 SEAHOARD CIR
STANTON CA 90680
UCExSEo CONTNaCTaH oEtLANa7lON: I hereoy aliirm thal I am licensea unAer o�avisions oi Cnapter 9(cammencing with Section
7000� oi Division 3 otlne Business anE Pmlessions CaOe, antl my se rs m fulliorce a lect.
yyrvuc.:05)3��511971 cuss:�-36
ate: —� Signamre: —
EflS' LOMPENSA ION DEC flFTION: I �e�eby a��irm that I have a certilicate ol conse ' sure or a cehificate o� WoMers'
om0ensation Insurance, or a ce Idiee coOY ihereol (Section 3800. Lab. C).
voucrxo.: 1167992-94 EXP.DRTE: O3/OLI9S
comear+v: STATE
�-e0 copy is hereby IurnisheA. � CenilieE ca0 s fi vnth ihe ciry Buil�ing Divis Q.
�
4s �
fsal ' AOPlicanL
E%EMPTIONFflOMWONNEBS'COMP SATIONOECIABATION: �Thi55tt1ionneeUnalbecomple�eGill�epermilisloronehunCreC(E7 0 .
I[erlity Ihal in I�e pedo�mance ol �he work br whic� IhiS Oermil is i55ue0, I 5hail no� empioy any Oerson in any manner so as lo �ecome
5ublet� Io I�e Worker5' ComDenSaiwn Laws ol Caiilomia.
Oa�e: Signature:
NOTICE: I�, alier making I�is CeUarali0n, you S�ou10 �ewme SUGI�� �o Ih¢ WOrkers' ComDensatlon D«�ons ol t�e Labor
totle. you musl ton�vnih compty wit� suc� provisions or t�is permil slWll 6e CeemeE r¢vokeA.
LONSTPUCTION LENOING FGENCY: 1 here0y a�lirm I�ai Ihere is a COnSimtfian lentlinp aAency lor �he pedormant¢ al �he work �Or
w�ich Ihis permit i5 i55ue0 (Sec�ion 3097. Civ. C�.
LENOEH:
ROOflESS:
OWNEB BUIIDEF OECUPRTION: I �ere0y allirm i�at I am exempt imm t�e Contractors' Stale license Law lar the tollowing reawn
�Sec�ion 7p3L5 Business ana Pmlessional CoOe: pny ciry ol county which repuires a permit io construct, atter, imprwe, tlemolish, or
re0air any simciure, prior lo iis issuance. also requirts I�e a0�litant lor 5uc� permii �o file a signeG statemeni IAai �PJs�e is licensetl
pursuant �o Ihe pmvi5i0n5 0l Ihe ConlratlOrs' S�ale LicenSe Law �C�apter 91�ommencing vni� Sec�ion 7000) o� Oivision 3 al �Ae Business
ana Pmfessions CoOe� or Ihal helshe is eMempl lherefmm anG I�e Gasis for I�e allegetl eKemplion. Any viola�ion ol Setlian 7031.5 6y
any appliCani for a Dermil SUbjecis I�e aD0liCanl �a a tivil penally ot nol mOre Ihan �ive hunOreO Oallars �5500).
I. as owner of Ihe v�oDeny or my empioyees witA waAes as their sole comDenution, will Oo tne work, an0 tAe
❑ stmcmre is not intenEed or offereU lor sale (Section 70aa. Business anE Protessional Cade: ihe Coniractors' State License Law
tloes not appry la an owner ol a D�oDerlY w� Oui1Cs or imDmves t�ereon, and wlio Goes such woA hims¢If/heRell or ihmugh
hrs o� het own ¢mpl0y¢¢5. pmviAea I�ai Sut� impwvemenl5 are noi in�entletl ot o�kreG fOt 5ale. I�, twwevef �he building ar
im0�ovement is 5010 wit�in one year oi comptetion, I�e owner vnll have the OurOen ol proving he/she Aia not Uui10 or impwve
for Ihe ourpose ol sale).
I, as owner ol Ine propeny, am exclusively conttactine wiih Iicense0 conlractors m consimcl lhe prole�� (Section 704d, Business
❑ antl Pmfessions CoOe: The Comractors' S�ate License Law Ooes not aOPly �o an owner ot OmpeRy who bmltls or improves thereon
anE w�o tonVatis br SUC� pmletls wi�� a cOnVatlor(S�liteni¢ OurSuan�l0 Ihe Canlraci0r5' Siate Litens¢ Law�. I am aware
Iha� pmol oI Iheir Worker'S Compen5alion insUranre Should De pmtidetl �o me.
� I am e�empl under Seciion: B. 8 P. C.
br this r¢ason:
oTie ow�e�:
I tlo hereby certily tnal I am aware ol ana untlerstantl ihe reQuiremeNs of Califomia Health ana Salery Code Sections 25505. 25533, antl
2553a an0 I�al I or any fuWre builtlmg occupanl willlwill not (circle one) neetl �o comDty with saiC state cotles anA 1�e reQuiremenis for a
permi� lor consiruction or moailication Imm IM1e Air Oualily Managemenl �islricl. FeSiaeniial consimction application5 are exemp( fmm
ihese pmvisions.
Oale'. FOVlicanP.
I here0y cerli�Y �hal I �ave reatl Ihis apPlicalion an0 5taie Iha� I�e above informa�ion is correci. I aAree Io comply wi�� all cily antl counry
ortlinanws antl sta�elawsrelaling�o builtling consiruction antl her y aulhorieerepresen�alive is ciry�o enter uponlhe a6ove�mentioned
�nroo—etl forinsp Iion nur ses.
/ Oa1e: Signatu ' ���
—�
Oriver's License m Sacial Sew�ii a:
�64b46 White—�mitling; Gre n—Co�u Enlorcomenl; Canary—Appliwnf, P'mk—Ravanuo', GOltlenroE—Rssessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 066272
PERPIIT NO; P 066272 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION ; INSTALL WATER HEATER SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
**+�+�*�c*�-���*****�t**�-�c*****+r�r*�r�rt*�tir+�******�trt*+��t���+r***�r+t�t*�***�r**-�****�r*****�r�i��c
Z O N I N GS ERTEB�AUCIKASE M E N T S
--- — ------- MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: £T IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ: PROV; PARCEL: 13944906 ZNE: REF NO:
PLANNING NOTES>
> -
iE iE if if if 1f if fE jE if if iE �E iE if 1F �f if fE iE iE jE i�'� if �N-iF il� �lf iE iE iF if 1E iE �If if if iE iF if if iF 1F If if !f if iE iF if if K jF if if iE # M if 1! 1E iE if iE iE iE?E 1h 9F �1f iE if iF iE jt �)E If iF if
, D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
ZONING APPROVED BY ,
BUILDING APPROVED BY ;
DATE:
DATR•
APPLICATION ISSUED HY: �� ' DATE: ��1
ititititiEiFitititiFitiFiEif�-iElfiEifiEffit , ititatititititiEiEit�iT �iFFiFitit
if if if iE jE 3f iE jE jE iE �lE if if 1E Y-1E 1E 1f iE if if it iE if if fE iE 1E if� iE iE iE iE iE 1E?f iE ik it ik iE iE if i(� fE iE �lt iF if� if� M# 1f iE if i4 if if iE 1E iE iE if iE if ih if if iE if iE+ +f iF M%iF if iE
LEGALIZATION;N F E E S.0 M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7,00 '
25R SMIP/NON—RES
PL�1N
ZSSUE FEE 20,00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27,00 .00
REVENUE DIVZSZON TOTALS--> COLLECTED; 27,00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%,�� . �'
if 1t!f Y?E iF iE it if !F?E if i! iE if iE if aE fE if fF iE if if 1E 1f 1E 1E if if if aE it iF iE iE � it fE iElE tf M iE i� IE Y.� iF 1E if K If if M 1f iE 1E IE iF if if M iF iE %iE if iE if if jf iE !E fE If iE af iE af
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 ' ONIT COST TOTAL COST
PLU i WATER HEATER AND/OR VENT 7,00 7,00
END OF FEES
♦
01 00156671—OO1g6671 T O T
DATE: 03/07/94 TIttE: U9_42
27.00
, _
:
CONSTRUCTION ANDPLANNI�G POOL&SPA
APPROVALS Permit # Date Inspector APPR�VALS Permit �k � Date I�spector
1. TemPorary Electrica! Service or Pole 52. Pool & EGuipment Location
2. Soil Pfpe�Undrgrnd. 53. Steel Reinforcement �
3. Elec:�ical Co�duit Utility-Undrgrnd. 54. Forms -
4. Electrlcal Conduit-Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcemenc 56. Rough Plumbing & Pressure Test
6. Electricai UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electriczi Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgmd., 7esc
i
9. Water PiPe-Undrgmd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. StruC!urai Floor SVstem 61. APPRQVAL TO DECK
11. Prop�rzy Sewer Line & House Connection 62. Backwash & Receptor-Finai �
12. Sewer Cap 63. Heater & Vent-Finai
13. Roof D�ains 64. Plumb�ng System � Finai
14. Rouyh Piumbing 65. ElectricebFinai
15. Rouyh Electricai-Condurt 66. Solar System-Finai
16. Rough Electric Wiring 67. Fencing & Access Approval
17. RoughV�lirin9Sign 68. APPROVEDFORPIASTERING
78. Roug� Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEh15 FINA� �
19. Rough Heating & Air Conditioning ' FIRE DEPT. REl1U1REMENT
20. floue3h Pactory Fir<place APPROVALS Permit #
I
21. Duc.s, in Structure 70. Under9rouncl Hydro
22. Ducis, Ventilating 71. Product Piping OGas ❑Oi�
23. Gas PiPe-Rough & Tes. 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storay� Tank O Gas ❑ Oil
25, floos Sheathing 74. Overhead Nydro
26. T-Bat Ceiling (Siructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lath�ng & Siding 77. FIXED SYSTEM FINAL
29. InsWation 78. FIRE PReV. FINAL
30. Drylvall Nailing HEALTH DEPT. REQUIREMENT
37. Piaster Brown Coat �9. FINAL INSPECTION
32. Electrical Powar h4eter�Final 80. F000 CERTIPICA7E ISSUED
33. Finai Electric Notes:
34. Fina! HeSting & Air Conditi0ning /! _1'� _ ,LF.�
"T ��fF�c�'s5 L�7 '
35. Final Gas Pipe�Test ' q r.��J _
P `J-
36. Hood or Canopy . �
37. Final Fattory Fireplace . �
38. Finai Qlum6ing _Z��
39. Water Service�Final
40. Gas 5ervice-Fina1
41. Solar pomesticFinal
42, Beck`(ow Preventer
43. Backfbw Irrigation .
44. lanciscape irripation System
45. Sound Attenuation I
46. Hand�cap Regulatio�s '
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING � '
�'
49. Electnc Release to Edison
50. Gas ieiease to Southem California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
PflOJECT ROOflE$S: 2$ 6 O I NROZ DFi '
OWNEfl'S NqME: WOIUG, DUANE
aooeess: 2g60 INR07. DR
COSTA MESA,CA 92626
(714)751-5302
AXCH/ENGINEEH: flEG.NO.:
AUOPE55:
UNIT:
UNIT:
PEXMITTEE: CAL CASA ROUFING CO. ( 714 ) 999-7024
ADOflE55: z'J (j j z FALK IRK
MISSION VIEJO CA 92691
IICEN5E0 CONTBIICTOfl UECLAHATION: I hereby a�hrm Ihai I am li setl nGer pr s ns ol Chapter 9(commencing wi�h Setlian
]000� oi Orvison 3 0l Ne BuSiness and Pmlessions Cotle, anC my - ense i in lull rc an0 el t.
cirruc.�:7564.4/42% srareuc.:409357 ss:
r— Date: /� l7 '< Z Signature: _
WOBKEBS' COMPENSFTION DECLANpTION: I hereby aflirm � at I h erf ic ol consent to selbinsure or a certificale oi Workers'
Compensalion Ipsyranpe'ry �cp�Iifie�GppY �hereof (Seciion 3800,
POLICY NO.: 2 1 J 1 7 L E%P. E: � � 3
comeaNr: STATE FUND�y
❑ Ceniliee cooY is hereDy fumishea. L'T Certilietl coo is lile the i B'' g ision.
�� oam: � /�/-9�— ApPlicanL
E%EMPTIONFNOMWOPREflS'COMPENSATIONOECLAflATION: (Th ecii becOmpletedillhepermiti5�arone�u�re0(511p�orleu).
I cenily Iha� in ine petlormance of the work for wnich ihis permit is is 0, I all nol employ any person in any manner so as to become
sublecl to Ihe Workers Campensa�ion Laws oi Cali�omia.
Da�e: SignaNre:
NOTICE: II, aRer making this Aeclaralion, you shoWd become su�lec� to [he Workers' Compensation provisions of the Labor
Cotle. you mu5t forlhwiih compty wiih such pmvisions or �his Dermit shall be aeemetl revaketl.
CONSTPUCTION LENOINC PCENCY: I hereby atlirm �hat there is a constmc�ion lending agency for ihe pedormance of Ue work lor
which �his permil is issued �Sec�ion 3W7. Civ. C�.
LEN�EX:
aooxess:
OWNEB BWLUEfl OECLAflBTION: I heBby aflirm Ihat I am exemp� imm Ihe Conlractors' Staie License Law �or the following reason
(Seciion 7031.5 Business anA Pmfessional Co�e: Any ci�y oi caunry which reQuires a permi� to cons�mc[, alteL impwve, Oemolish, or
repair any simcture, prior to its issuance. also requiBs the applican� for such permit lo file a sipned statement ihat helshe is IicenseJ
pursuam Io Ihe provisions of Ihe Coniracmrs Stale License Law (Chapter 9(commencing witA Sec�ion 7000) ol Divisfon 3 0� Ihe Business
and Pm�essions Code) or that �e/she is exempt Ihere�mm an0 Ihe basis br Ihe allege0 e�emplion. Any violalion oi Sec�ion 7031.5 by
any apPlican� �oi a permi� sublecls ihe applican� Io a civil penalty o� no� more ihan five Auntlretl Oollars (5500),
I. as owner of the pmpeny or my employees with wages as �heir sole compensation, will do the work, an0 the
❑ simcture is not intentletl or olleretl for sale (Section 7044, Business an0 Prolessional Catle: The Contracrors' State License Law
tloes not apply to an owner ol a D�operty who builtls or impmves t�ereon, and who does such work himseli/hersell or through
his or her own employees, Omvided Ihal such impmvemen�s are no� intendetl ar af�eretl �or sale. I�, however Ihe �uilding or
impmvement is sold wiihin one year ol completion. Ihe owner will have �he burden of proving he/s�e did no� �uild or impmve
lor ihe Durpose ol salel. -
I, as owner of Ihe pmpeny, am eKclusively coniracting with licensetl coniractors to constmct tAe prolect (Section 7044, Business
❑ antl Pmlessions Code: The ConVac�ors' S�a�e License Law Does not aDDly Io an owner o� pmpetly who huiltls or impmves �hereon
and who tontraCis lor Suth projetts wiih a tonVat�or(S�litense Dursuant �a Ihe Coniractors' Slate License Law),I am aware
Iha� O�ooi o� �heir Worker'S Compensa�ion insumnce 5hou10 be pmvided to me.
� I am eMempt under SeCliOn: B. 8 P. G.
for this �eason:
Dale: Ownec
I tlo hereby cenity that I am aware o� anU un0ers�an4 the requiremen�s ol Califomia Nealih antl Safely Coae Sec�ians 25505, 25533, and
25534 and Ihal I or any Iuiure builtling accupanl will/will noI (tirtle one) need �o tomply wi�h Sai� Sta�e Co0e5 anOlhe repuiremenfs lor a
permit for consimction or motldicaiion Imm I�e Nir Ouality Managemen� DislricL Resitlenlia�slmciion apD�icaiions are exemD� �rom
�hese Omvi5ion5.
Daie: Apphcant
I here�y tetlily Ihai I have reaa I�iS applica�i0n an0 S�ale Ihai Ih ove
arCinancesantlslatelawsrela�inglobuil4ingconslmclionantl�e yaNh
properiy brintpec�ian Ourposes.
�� Oa�e�-�7-�Z Signamre:�
Driver's License or Social Sewriry p: `�
i6aL46 Whne-Builemg; Green-Coae EnbrcemenC Canary-N.
I aUNe to complY with all ci�y ana couniy
hi�6N io enter uoon [he above-mentionetl
Pink-Revenue; GOIGenroe-Assessor
CITY OF CO5TA MESA — BUILDING PERMIT PERM NO: B US815 •
PERMIT NO; H 058159 PLAN CAECK NO; N GOVT: N SUPP: N �
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURFOSE: ALT 1,
JOH DESCRIPTION ; T/O SHARE/RESHEATH 6 REROOF 1/2"CDX/COMP SQ FT; 7,200
CLAIM VALUE: 7,200.00 CALC—VALUE: 7,200.00 GROUP OCC: R-3 /M-1
COMMENTS • SMOHE DETECTOR ( S) RE�UIRED IN iiOME, ����������j��R
ikiEiE#iEiEiEif)fit�ElEiE3FitiFlf�lFiFiFif�ItiF#iF3fif�lk�iF# iEiEiflfiFi6iEiFiE1EiElfif�EK��f3fifiFif#k3Eih3FiEit�lt� �.
Z O N I h�'S ERTEB�AUCIKRSE M E N T S R EQ UIR E D
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILAING ---------
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 REp • PROV; PARCEL; 23944406 ZNE; REF NO;
PLANNING Ni3'1'ES>
i
3E ik if it 9f it ik iF iE iE )F iE 1f k iE 1E 1E iE 3F it 3E 1E M if iE 1F k ik ik iE iF 1E iE jf 1E iE iFlE 1E ik iF�f iE 3f jE if 3F 1E iE 1E 3E iF if� iF �E iF If IEif iE af 3E iF lE 1F 1F iF iN� if �f 3F 3F #iE i(� iF * 3E
D E V E.L O P M E N T S E R V I C E S R E Q U I R E M E N'T S
20NING APPROVfiD bY UATE:
BUZLDING APPROVED HY ; DATE: ; r
i.
APPLICATION ISSUED BY• DATE; '�`/ i�'
kiFlEiFiflEiEiFlfiFiEiFlfif'ikififiElFlflEiE iEiFlfiEiEiF�EiEiEif iPiP
if1EiF�1FiFiElEiflElfiF�lEkit'If3E1F�lElE-IFiElEififlfiE3F�)hlEiElfiE ik�f�F1E ifff iF �)f�ifiF�lEil�lF±FifiE+f1F3F�ififiFiEi(�iE�)f#iEikiFiEi!-iFiFiEifiF�lE�iE3FiF
LEGALIZATSON:N F E E S U M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 99,00
ISSUE FEE � �
BUILDING—DIV—> PERMIT ISfiUE ELAN—CHECR
TOTALS----> 99.72 0.00 , 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
HLDG PMT PLUMHING ELECTRIC MECHANIC
99.00
FIRE SMIP/RES GRADING
%2
SMIP/NON—RES
TOTAL PAID DUE
99.72 99.'12 .00
99,72 OVEft/SHORT; .00
FERE SMIP/TO� GRADING PLAN—CHECK
�
iE �F aE 1F �E �1E 3F iE iF �F iE iF #F iF iE iE 3F iF if if if iF 1F 3E�f iE ik if if iF iE iF iE if iE if iE iE if iF 3F jE iE dE if iE3f iE iFif iE iF ii 1f 3E iE iE iFiE �F iE iE �E if iE jF fk ihiE iE i6 iF iF iF if �E iF iF iF
2 N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 7200 REROOF BY VALUE RESIDENTIAL NO7.ONE 1,00 7,200.00
END OF `rEES
i
. `t
.7 � '�
i
��; neti=ti.-,-,,� �1�.•.5 4 c . -_.
ca1F: oi�, �, a� - , . ,.,. �:� ,
CONSTRUC7�ON AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
7. Temporary Electrical Service or Pole 52. Poot & Equipment Location
2. Soif Pipe�Undrgrnd. 53. Steel Relnforcement
3. Electrical Conduit UtilitY-Undrgrnd. . 54. Formt
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steei Reinforcement 56. Rough Piumbing & Pressure Test
6. Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footin9s 58. Electrical Cqnduit•Undrgrnd.
8. Fo�ndation , 59. Gas Pipe, O Undrgrnd., Test �
�� 9. Water Pipe-Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgrnd. •
10. Structural Fioor System � ' 61. 'APPROVAL TO DECK
11. Property Sewer Line & House Connection , 62. Backwash & Receptor�Final "
12. Sewer Cap 63. Heater & Vent-Final
7 3. Roof Drains ' 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrfcal-Final
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wirin9 Sign 66. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heaiing & AIr Conditioning FIR�E DEPT. REQUIREMENT
20. Rough Factory Pireplace � APPROVALS Permit #
21. Ducts, in Structure . ' 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oii
23. Gas Pipe�Rough & Test 72, Underground Flush
24. Roof Framing 73.' Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �� � �'L.+�� 7q, p�erhead Hydro
26. T�Bar Ceiling (Structurai) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & S�ding 77. FIXED SYSTEM FINAL
29. Insulation _ � 76. PIRE PREV. FINAL
30. Drywall Nailing � j' HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat i �- 79. FINAL INSPECTION
�
32. Electrical Power Meter-Final � . 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' " Notes: %Z7_�2,_ ���
L-
34. Final Heating & Air Conditioning
% �- ��- �� ��
35. Finei Gas Pipe-Test � ' ' � � _ /�
'�yr
36. Hood or Canopy . .
37. Finai Factorv Fireplace _ "
!
38. Final Plumbing
39. Water Service�Final �
40. Gas Service-Final - .
41. Solar Oomestic-Final .
42. Backflow Preventer �
43. Backflow Irrigat�n
44. Landscape Irrig 't$.vion Sysiem
45. Sound Attenualloh -. '
r •
46�_ Handicap Regulirtion5 (; �
47. FWALSTRUCTtlR, �BUILDING �
"i
48. FINAL PLANN @G, -- �
i
49. Electric Release-ta.E: ,on ' .
50. Gas Release to South�ra`Califomia Gas Co j , �
51. CERTIFICATE'6F, OCCUPANCY ;
No•_ '"' Date
A _,.
OwNE' BaivpiiNG, R.E. DATE 7-3-78
�c�s
�wo �in
UNOERG
FR�ME ANO FL�SMING
NEATING. VpNT., REFRIG. I
PWMBING. FIN1L ANO GAS
B111L01NG. FiN
E ZONE VALUEf 500.00
fUSCONTNACTOp
i'
F
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4
Q
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.�
�
C
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F
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}
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C
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3
' y��330
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING .-.d/ .. ,._rf_-. �r.:l�
OWNEH
MAIL
ADDRESS
CITV �
BRANCH
ADDRESS
ARCNITECT
CONTRACTOH
TEL.
CITV NO.
STATE CITY
LIC. NO. LIC. NO.
S12E y NO.OF BLDGS
OF l0T �i�i� IDO ��N ON LOT �
USE OF �AV
EXISTNGBLDG, ��J�,[ �
Se�+arate pernrits are requ'ved Cor
electric, plumbing and heating work.
USE OF BUILOING ANO WONK TO BE PEi1FOHMED
I heraby acknowlatlpa thet I heve �eatl t�lf eDPllcation antl Rata
Mat t�e ebove ��formetlon Is corract antl a0rea to comply with
all lawa re0uletl�9 builtlinp conrtru<tlon, and I shall not employ
eny perwn In Jloletion of Me workman's compenmtlon lew� 01
Me Stata of Ca1�lornle.
1 heroby cartify thet I am properly Ilcaneetl aa a eontteetor unOm
tha Stam of Cel�fornie Businesa end Protessiona Cotle, Dlvision 3,
Chaptar 9, entl �het sue� Iicenaes ere in fuil farce anC eflxt, or I
em exempt trorf� Ma p� Isiona of tha State of Gelifornie Bu�lnan
anE Protaaelonf Cotla �n , hapter 9.
Sipnatura ot
Parmittae
Authorlxetl Apant
7954 7/03/78 5:50 �,TL
APPLICATION FOR STRUCI'URAL PERMIT
RECEIVE DATERECEIVED n�vciccucn
�
A.P. NO. ' �
BUILDING ^l G/ S
OWNER /�
US=
FIRE
ZONE
APPROVED
BV
20N
YAROS/
VAR. #
VALUE
USE OF P
BUILDING
YARO
Q4TE
AwROVED
;�
n
m
i
m
�Y/- JU. F 1 . N
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE WRPOSE OF FSrAeLISHING A PERMR FEE ONLV: �
VALUATION PERMIT FEE E �Q O N
Q O PLAN CHECK y �.—� o
$ SOD TAX S ♦�� u 1
\ /1
TOTALPAID S � Q K�
C%oWNE;R tsu1v1v11v1i� x.
� JOB ADDRESS 2H� I
�� GENERAL CONTRACTOR
Z Ap xo. 1 �9_444-06
� INSPECTIONS
Final
Date
UATE MBY G4�
BUILDING PERhi1T NO.
.IPTION OF WORK F
ZONE 3 VALUE
OUP J TYPE
SUBCONTRACTOR
]
, . `• 24209
��7STA MESA BUILDING-SAFETY DEPARTMENT
1 P.O. BOX 9f] COHTA M66A. CALIFORNIA
For Appllcan! fo Fill In Completely
TYPE OR PRINT
BUILDIN6�n v ��ROZ ��
ADORESS b
COSTA MESA, CALIFORNIA
� ARCHITEQ !�. r� TEL.
�
OFLO�I�V /� Jw�io p 7�Or^I NO.OPBLO08..
7 A v NOW ON LOT
USEOF ' `
EXISTING BLDG.
BETBwCK LINE FROM � / ; 1
CENTEP OP 6TREET RPJ1R YARD
610EYAR�I LEFT I RIGHT �
DESCRIPTION OF WORK
' S ZE�1NOLy x �(� ROOMS
EXTERIOR WALL . �. .....I ROOF
I HEREBY ACKNOWLEOOH TXAT I XAVH qPAG THIB APPLIGTION
AND BTATE TX�T TNE ABO]{S 18 COHqECT ANO AORHH TO COM-
PLY WITH ALL QTY ORD IS/i1 iO TAT W8 pBOULATINO
6UILOING CON6TRlICT � `
SIGNATURE OF
PEflMITTE
AUTHORI2ED AGENT
CITY a� t,�S�� MESA
MAY 24 1965
Fo� Office Use Only
R6C[�PT NO. pBRMIT NO/.�
BY fUj�k M[S6i D Me'198 1
2
Z 1 r� I I PIANB �I �111LO HOgW
lA � /
LEO�L A n/ !_ /_ i"7 .-I�.�
fE: NO EAVE OV ERHANG SHALL BE LE59 THAN
' TO SI�E @ REAR P. L.
'ES
.OWED (U.B.Q REQUIREMENT
YARDSAPPROVED YARDSAPPROVED
MAIN BUILDING ACGESSORV BUILDINO
VAR. #
OATE
THE M1MOUNT BXOWN UNDEq VALUATION IB FOR TH8
PURP098 OF E6TABL�BXINa A PEflMIT FEE ONLY.
VALUATION �
PERMIT FEE $
$ � O � EG
� 3 TOTAL FEE $
OWNER PACES �� '� DATE 3-22-63 .
JOB ADDRESS 2 O Inz�Oz DriVe BUILDING PERMIT N0. 19151
GENERAL CONTRACTOR AridT06 LBild C01IIDeIiv VAL[1F, S 24. 15.00
INSPECTIONS
Power
Test
DESCRIPTION OF N'ORK res
'TYPE V ZONE R1
SUBCONTRACTOR
,�
;. �'- 151
fOSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. BOX 91] COBTA MHBA� CALIPORNIA
For Appllcani ►o Fill In Completely
TYPE OR PRINT Y
ADDRE55 .t S�o O I D
nroa n.
COSTA MESA. CALIFORNIA
FEE RECE!!f ED
MAfl 2 2 1963
INANCE DEPT.
APPLICATION FOR�}PE�MR OSTA MESA
BUILDING
For Office Use Only
rteceirt rvo. re� rvp.s�
/
Y DAT6 R[CHIVBU DATE189UHD
�—�i _ �� .�en n .
viRe
�p TEL. ZONE TVPE GROUP
QTY `0 5 3 � 5 3 NO. i 3 S I
ARCHITECT THL. BYPROVED DATE j
ORENGINEER E nC No. J-33b1
ZONIN6 �
ADDRE59 — 1 P I �...,
ZON NO.OP UB80PNCW �
1 � PLANB� BUILOINO
CONTRACTOR S /+ C
LBOwL
ADDRES$ — oescn�vT�o
A. P. NO. �
arr
N0T8: NO EAVE OYERHANG SHALL BE LESS THAN
STATE TEL . � 90' TO SI�E @ REAR P. L.
L10. NO. NO. I � 0
EAVES
5¢E # xo. on a�ooe. ALLOWE� �U. B. C. REQUIREMENT'.
OF LOT 1O o I NOW oN �oT
YARDSAPPROVED YAROSAPPROVED
USE OF ,� MAIN BUILDING ACCESSORY BUILDIN6
EXI&TIN6 6LOp.
fFROM C/LBTREET)
9ETBACK LINE FROM / � FRONT FT. FT.
cErvTEx oR BinSci ' O REAR YARO ni:
SIDE YAROI LEFT � I RIGHT ri , R. BID6 � /FT. FT.
DESCRIPTION OF WORK L.81D6 V FT. Ff.
....... ✓ � .._...,-'.-•.� �� •--•-•--• eeaR �i Fr,------... . �--_._
BUILDINO � NO.OF � vwrt..µ unic
61ZE �.�ia0 ROOM9 :D SfOR1EB � C.U.P.�C APPROVED
EXTERIOR WALL ROOF APPROV —7 6
COVERING S*u cC O COVERIN6 S{�e.�e �BAi✓� BY DATE ,
USE OF BUILDING AND WORK TO BE PERFORMED '
�
e e r
-�3�6�. 5'�a � m
1 HEFEBY �CKNOWLE008 TH�T 1 N�VB READ THIe �PPLICAT�ON THE AMOUNT BHOWN UN�¢R VALl1AT10N le FOR THE F
AN� BTTTE THr�T TH8 AB I8 CORflECT ANG AOpBC TO COM. PUflP088 OP 88TABlIBHINO • PEHMIT FEE ONLY. p
PLY WITH wLL cITY ORDINAN 6H ANO BTATB 8 R60UI.ATINO ypLUAT10N m
BWLOINOCON9TRURION. � n
SIGNATUREOF PERMITFEE $ �
PERMITTE � ^1 m
$�y�y�5— P C EC -- a
!�' � 4
AUTHORIZED AGENT • TOTAL FEE $ �� � �
OWNER
ir.F»x.r�ur.�a
Q�� Pool Location
`Forms
Main Drain
Steel Reinforce
Elec. Bond
Approval to Cover
Underground Electric _
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep.
Electrical Final
Heater and Vent Final _
Filter System Finai
Backwash and Recep. Final
Fencing Final
Approval for Finish _
DATE
BUILDING
DESCRIPTION of WORK
�CT j48 FIRE ZONE VALUE $
�oture Dote GROUP TYPE
,� ��IH SUBCOHTRACTOR
r
Electric
,c. . as �B ,
� �/3� �I
_ � 9'�•� Plumbing _ '
,�
n�
ITS IS
Slnr+c•urc
i
g�G.t o 8 4 ��i�� g
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
2146 B%03/78<,;.,.;.'�'�6�0 TL�
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECEIV D�+TEFECEIVED �E SUE
BUILDING
ADDRESS �
p PERMIT NO.
OWNER pbe t o ln A�P� NO. I3 /- `iy' O(�
MAIL BUILDING
ADDRESS 28�j� Inro2 Dr. .4DDFESS
TEL TRACT4348 LOT o7 BLOCK
cirv Costa Mesa No b- 0
CONSTRUCTION W AD PA M
LENDEfl
BRANCH
OWNER Robert E. Bonning
ADDRESS VALVE �m
ARCHITECT R. J. Kolod2i0 ' TE�f>%-2%0 �S gPa pY'lv8te g -
OR ENGINEER p � �
ADDRE55
5V7�. Fi. Firestone BZVd• ZONE TVPE GflOUP
CONTRACTOR Anthony Pools APPROVED "
gy DATE
nooaess Jr871 E. Firestone Blvd.
TEL. �ONE R' PLANS z BUILDING EW S �7-
CITV NO.
STATE CITV �'ARDSAPPROVEO VARDSAPPROVED
LIC. NO. 1 Ol LIC. NO. MAIN BUIIDING ACCESSORY BUILDING
SIZE NO.OFBLDGS. (FROMC/LSTREET) / �
OF LOT NOW ON LOT ROM' FT. b r FT.
EzisrinFice�oc. rivate residence T S FT —
Separate permits are required for L. SIDE FT. � ' FT. �
electric, plumbing and hea[ing work. �..
REAR FT. I 3 FT.
VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
MAIN BLDCS. ACCESS. BLDGS.
VAR. #'+ OATE
C.U.P.#'+ APPROVED
APPROVEDC� p/q/7 (y
0 ! � p
I hareby acknowledge that I have reed this application antl stata
that the ebove Infotmetion is correct and egree to comply with
ell laws regulating builtlin8 co^structio�, antl I shall not amploy
eny perwn In violation of Me workmen's compensetion laws of
the State of Celifornia.
I heraby certify that I am properly lieonsatl as a contractor under SQ. FT.
the State of Celifornia Businezs antl Profeulons Catla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS OFi
Chapter 9, antl that such licen5e5 era In full forca antl ettact, or I THE PURPOSE OF ESTABLISHING A PERMIT F LY:
am axamOt from the provtsions of the Staxa of Calitornla Business
VALUATION PERMIT FEE y v
nnd Professions COAe ivislon 3, Chepter 9.
Slgnatura of � � /� 0o P�N CHECK E ��
Pe�mlttee 5'�J/�/� TAX S 50
/O�V �
Authorized ent TOTALPAID $ � Q