HomeMy WebLinkAbout2135 IRIS PL - Building Permitsp�a) 75a-5273 • Fax (71a) �54-4856 • www.ci.costa-mesa.ca.us 77 hAIN UHIVt, GUJ I A Mt.JA, GA'JY626
MECHANICAL PERMIT
.lob Address: 2135 IRIS PL
Suite No
Vicinity: REAR OF HOUSE
Parcel Number: 42615130
Applicant: BLADEN BOZICKOVIC
Address: 7710BALBOAAVE ,.
� SAN DIEGO, CA � " � .
Owner: BAUR,JAMES
Address:
COSTA MESA, CA
21351RIS PL
Contractor: AVALANCHE MECHANICAL
Address: 7710 BALBOA AVE
- SAN DIEGO, CA
Phone: 858-SOS9678
Zip: � 921�11 - „
Phone: 943642-1600
Zip: 92627-1 BOS
Phone: 85&505-9678
Zip: 92111
License: 854003
Status: ISSUED
Applied: 07/21/2005
Issued: 07/21/2005
ISSUED BY: G�
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SCOPE OF. PERMIT
REPLACEMENT OF FAU FOR SFD. � � ' �
WORK TO INCLUDE: 1 INST FAU TO 100 K BTU AND 1 REFRIG SYS TO 100 K BTU.
ISSUE FEE
Inst FAU <100 k BT�
Inst FAU >100 k BTU
Repair/AI[ Cooling/Heal
Insl / Rep. Recess Wall Htr
Refrig Sys <100 k 8TU
Refrig Sys >'100 k 6TU
Gas Piping �
Factory Fireplace
Hood w/MecFi Exhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers ,
Smoke Dampers
Insl or Relocate Appl Vent
Air Handlers < t0000cfm
Air Handlers > 10000cfm
Floor Fumace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$0.00
$0.00
$14.80
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
FEE SUMMARY
Quantity .� .
1
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Repair / Alt Absorbtlon Unit
Repair I Alt Re(ngeration Unit
Ventillation System
Evaporative Cooler
Commercial I ncinerator
Domestic Incinerator
Compressors / Absorption Systems
Upto3hp/100kBTU �
3To15hp/SOOkBTU ,
15 To 30 hp! 1,000 k BTU
30 To 50 hp I 1,750 k BTU -
Over 50 hp / Over 1,750 BTU
Boilers �
Upto3hp
3To15hp
15to30hp,•
30 to 50 hp � - -
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
"�, .'$0.00' 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. g2-2B, § 1, 1241-92)
EXPIRATION: This pertnii shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandonad
for a perlod of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all apPlicable codes, and all
required Inspectlone and Iinal epprovel must he obtained. Failure to obtain inspections and tinal approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaese (�oo)
WORKERS' COMPENSATON DECLAFiArON:
I hereby etlirtn under penelry ol perjury one o� ihe followinq dedarations: �.. `
❑ I have antl will melntain e cenificata of consent to self-Insure tor workars' compensatlon, es provldetl tor by section 3700 ot the Lebor Code, tor the pertormence of Ihe
i,.,� work for which this permit Is Issuetl.
rdtr^�Gave end will maintain workers' comoe�saUon insurance, es requlred by sectlon 3700 of Ihe Labor Cotle for the pertortnance of 1he work for which Nis pennit is Issuetl
antl policy number ere: � p p �
.,.., N� C�4� I NG �• Policy:Numbar. �� r6 Z�1 I O V' �
� velued et one hundred dollars ($f00) or less.)
❑ I certily tha� in t�e peAormence oi Ue work lor which this pertnit is issuetl, I shell not employ eny person in eny manner so es to become subleci �o Iha workers'
campensetion laws of C omia, antl eBree that if I shoultl Cecome sub�act to the workers' compensation provisions of Section 3700 of the Le�or Code. I shell forthwith
camply with IheSe pr°]� ' . 1
WMN�Ap I' ipneture:�.- l _ Da1���7 �� �) I 01
ICl1R TO SECURE WORKERS' COAdPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBIECT AN EMPL� CRIMINAL P NALTIES AND GVIL FlNES UP TOONE HUNDRED
T1�qU �SAND DOLLARE ($100,000), IN ADDITION TO T11E COST OF CqAPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3�O60F THE LABOR CODE, IfJrEREST, AND ATTORNEY'S FEES.
LICENSED CONTAACTORS DECLARATION:
I hereby aR�a�em_lice,ns�gg �nder proNsions of C�apter 9(commenUng with Seclion 7000) of DMsion 3 01 the Business and Prolessions Code, and my licensa is in full
CONS7RUCT10N LENDING AGENCY:
❑ I hereby eNirtn ihat there Is a constmc�bn lending agency for the pertormance of �he work br which this permit is issuetl. (Sec. 3097, Civil Code).
Lentler'S Neme: Lentler'S Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby afllrm that under penelry ot perjury �hat 1 em EXEMP7 FROM THE CON7fiACTORS LICENSE LAW lor Ihe tollowing reason (Sec. 7037.5, Business en0 Protessions
Cotle: Any ciry or counry which requires e pe��� to consiruct, alter, improve, demolish, or repeir eny structure, pnor to its Issuance, elso requires the epplicant tor such pertnil
ro lile e signetl statement that he or she is IlGensed pursuam to t�e provlslons of ihe Contredors License Lew (Cheptar 9(commendnp with Sectian 7000) of D'Msion 3 of the
Business and Protessions Cotle) or Ihet he or she is e:empt theretrom end Ihe basis for the allegetl exempfion. Any violetlon ot Sectlon 7031.5 by any applicant for a pertnit
sublecta Ihe epplicant ro e civil penely of not more then five hundred dollers (5500).):
❑ I, as owner ot ihe properry, or my employees with wages as ihelr sWa compensation, W ILL DO THE WOHK, end the ffiructure Is not intendetl or ofleretl tor sale (Sec.
7044, Business and Protessions Cotle: The Contractors Llcense Lew tloes not epply to an owner of property who builds or improves ihereon, and w�o Aoes such work
himsell or herself or through his or her own employees, provided ihat such Impravements ere not Intended or oNeretl for sale. It, however, the building or improvement is
sold wit�in one yeer of completion, the aw�er-builder will heve the �urtlen oF proving thet he or she did not builtl or improve for purpose oi sale.). •
❑ I, es owner of the pmperty, em EXCLUSIYELY CONTRACTNG WITM LICENSED CONTBACTORS to construct the project (Sec. 7044, Businesg end Professions
Code: The comrectors LJcense Lew dobs not apply ta en owner ol Droperry who builtls or impmves therean, entl who comrects tor such projecl wlih e contrector(s)
license pursuanl to �he Contredors Licd�se Laws.).
�..
❑ I em e:empt under sec. Business antl Professions Code for Ihis reeson:
Signature: Date:
Owner ID veAfie� by tlriver'Slicense. ❑ Yes ❑ No Drivefs License No. Expires:
Vedflcelion of Ownership by (type oi tlacume�t. Le. - properry tax blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION:
� I hereby certity ihat no eacavetion Ilve (5) or more feat in depth imo wNch a person is required ro tlescend, wlll be mede In wnnection with work eut�otlzed by this
permit, end that no building structure, s�attolding, falsework, or Gemolition or dismantling thereaf, will be more than thirty-six (38) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Califomia Atlministrative Code).
❑ As owner-builtler, I will not employ anyone to da wark which waultl requlre e pertnit Irom the DNLSion ol Industnal Safery, es noted ebove, unless such person hes e
pertnit to do such wark tram the division.
Signeture: Date:
Division of Industnal Salery Permit Number.
CERTIFlCATE OF COMPIJANCE AND AUTHOR¢ATION OF EMAY: I certify under penalty ot perjury ihat I have read this application entl state ihat the Informatlon given is
correct I egree to comply with ell stata lews and ciry oMinences relating to building construction, end euthodze representatives oi ihe Ciry ot Caste Mesa to enter upon the
ebova-descnbed property for inspection Durposes. I agree not lo occupy or ellow occupency of any building authonzed by Ihis permit uniil fnal inspection.
COUE I. INSPECf10NTYPE
1618 Fixetl System Final Fire Prevention
1288
200
201
202
203
204
Pool Spa Final
Finel Re-Roof
FInaI8locWRetaining Well
Final Factory Fire Place
Flnal Sign
Flnel Demolitlon
GO�E� INSPECTIONTITE
206 Final Mechenical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Appraval
222 Finel Site
250 Finel Building/Occupency
PAg R�EL�
�
9
Z'� v .ZrIS Pla�.
J
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
June 2, 2006
James Baur
2135 Iris PI
Costa Mesa CA 92627-1805
PERMIT NUMBERS: M05-00418
FOR: Replace FAU
PROJECT ADDRESS: 2135 Iris PI., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 1 SO days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on June 12, 2006.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
/ � l/� G!/
Mary(�ane Weidenkeller
O�ce Specialist II
cc: Avalanche Mechanical
7710 Balboa Av
San Diego CA 92111
Building Division (714) 754-5273 • Code Enforcement(71a)754-5623 • Planning Division (71a)754-5245
FAX(7t4)754-0856 • TDD(714)754-5244 • xmw.G.cosla-mesafd.us
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-7200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
June 2, 2006
James Baur
2135 Iris PI
Costa Mesa CA 92627-1805
PERMIT NUMBERS: M05-00418
FOR: Replace FAU
PROJECT ADDRESS: 2735 Iris PI., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this office so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on June 12, 2006.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 430 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
/ V �/� G!/��1��Q�
Mary/�Jane Weidenkeller
Office Specialist II
cc: Avalanche Mechanical
7710 Balboa Av
San Diego CA 92111
Buildin9 Division (714) 754-5273 • Cotle Enforcemen� (71a) 754-5623 • Planning Division (714) 754-5245
FAX (714) 7544856 • TDD p14) 754-5244 • www.awsta-mesa.ca.us
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CUSTA ME�A,CA 92626
646-7012
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ca+muTarsruue PREMIER WOODWORI(S ( 714 ) 651-9745
cam�crons�uwa 20171 ORCHID ST
,�unpESA NEWPORT BEACH CA uarw: 619755
92660 ,nn:
LICENSED CONTN�CTORS OECL�XATON: I Mrtby eflim ivMs p��y a pei'ryry qm I am Ikwnod uiNx pewmuu d CMqm 9
(mnnercm0 wilh Section 1000) d Oirn'vn � d Ne &d�nv ud Pmlavom CaEe. eM my Gcros o in Iu0 fau eM a11W.
cmuc.No.:0%5�54p8�1J uc.cuss: B uc.No.: 6'I197}55 J�''j{��J 03/98
Ome: l� "/O -1 1 CaNreda:�j�/�//� ��{��1 / f •
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7WNEN BUILDEH OECIAR�TION: I Aereb� effirtn under pmaly d peejury �Aq I em e�emq han IM Can�etlm Lioenee lew la Ihs
GbwnO �eason (Seeion "lmt5 Busne�a eM Rolmiae COEe: �m cYy a ooumY wfiiN r+0uvm e V�^G lo muvua. eler. unqova.
Eemofoh. a repv eiry euucme. pna b ia esuenro. e6o'equ'um ihp eppGwy la ach pame lo fib e eqmA aaieneN Nel M a�M
o fmnsed Wrn�aru to �M V��+ d ths Caurmas Liceme tew (CMqm B(cammsd�q w4h Sedian )WUS W Oweion ] af ib
Buamm vd Fdaa'ne CoEel a tlw Ae a pw b easmq iharehan vM tM bw ta Ns e0eped mmmqion. My videtun d Swian
)W1.5 by eiry epplv�eni la e permp wbpW IM eppliram to e dvi peropy d nd maa iMn liw hunEnd da0en �SSOOp.
� I.avow�ardlMpWenYar�M'emOMa^wihwe6asmiheiPobromO�emun.wiAAONeMwk.eMlhealunnumiimendeA
w aRxadia eele (Seclion ]Oa4. BmrmenC Pmleaa'vuCade: Tha Camredae licanae lawdow m� e00Nto en ownerd pWMY
wM Wids a inpwae ihe�ean. mW xtw doas suM wak Nmsell a henN a Nraph he a Mr own emWqw. povtlaA thel ach
imao,eman.,. �a �maneee «w«.d i«.eie. a. ro..me.. in� wuaro «:nwo�.�w e.ad .anm a» r.v d mmp+�on. m.
w�.e,ae.�:u n..e m. n�a.� a w�ro n. w.n. eu m awe «Mo� �� �ne wo� a m.).
❑ i.mo..�«am.ww«�v.��a�xr�m�.a�c..wc�+ww�o.aa.ro�m�am.waw�s.ao�rou.ae:�,w
Prdeamav Cade: TM CaqreGon littme lew Eom nd xGdY b an w.ner d V�WhY who dAL tt inWa'r IMeson end Wn
cowacu la wM pqaa� r.iN e mNraqor(s) GcaruM punueN to tM Corurertm Liwms lew�.
o��, �ma �� �: a. b P.�.. �. Na �:
oma: o�«:
i eo n«eM unar mm i.m e.a,. a m,e �ew«.w�d m. �w���«m w cevomie Haeen.ne se�ar coee seebn. nws. nns:�v..�d
�e. md Mm 1 a enY Mwe budtivq aavD� xi9 / wil ml (d�de wN) roM W cwnON xvA oitl mta mdu md �M n0��atls br
eGa�lacvmWctianamodifwianlram�MA"�aueTl�iy u�epwron0utrid.Raddwielamp�udion�PPfutaroa��*wnqhdnNr�
a�•
De�e: MO«
WONKEP'S COYPENS�TION DECWi�TON: I Mrsby eMum wMee payXy d psjury aw d iM Idbxi�p dduuiom:
❑ I here eM W meinten e ce�R'r.ns d mroent lo eNlimun br r�ylien' compavalcn, m pwidd I« hry Seqion J]W d iM leEn
Gada.lm tAe pMmvrca d Ne rM la Wic� Mu peridl o miwd.
1 I M1ave eM N me"vtlen wk»' cvmM�ian "nnurence. m �WU'v�d �Y Satlion �]Ip d tlp lebu Code. Afr IM V��� M IM
wak �« n+�rn mv vrme e�uee. Mr.shm.• cvmw�.mion hw,.M. mm., ene wu.r ownw a.:
Cemer:
Pd'ryNumbr ' �
(iM1ic seeion med � M ewnplHeE / fM pxmt u M are hurMrM CWb� �1WI a bx.f
�Q I unh' thm in iM V�mrorca d iAe work br whch inu DermM 4 issusd. I Mell iM anGM NY Da� m enY mervwr �o n to
Decoma wbjaq io iM woMrs' wmpanemian lewe d CeNaryie, �y ap� Nq v I dwq becpne abjW to tM xorYen'
cpnpemetbn qwiaiom/� d Smian ]J00 d �M lebor Cade. I tl� I hwah mmpy ' a pwi be
Ueb: �n�� ''/� MG�fraN:_` �.
WemMy: Faflun ro ucun wwkeri rorr�owu�tlon eor�rep h unNwM, �rW MNI W!/�e( �n rrplqw b a1MNl prWtln uM
tlNl 11ro� up ro om �uW� MouMM AWMn /fIQq000A M��ypn b IM cwf o/ ro�owu�tbrt �P/ u pVVItlW fw In
Sxtlon 3]P6 0l tl�s LeDor Cadr, Intwt, enC �fromsy'� Iw.
CONSTRUCTION LENDIN� PCENCY: I hereby elfirm uMer peneMy d per'pay ihel Ihen b e eonqrvqion bndiiq epancy tar Ne
peAmmawe d �M xvrk 1« whiM t�e pe�mY u'saed (Seeion 309]. CM. C).
LENOEH'S NMIE:
LENOER'S AD�NE55:
I cenily thm Ilave reeE I�o eppGcetian eM mme �MI Ns ebove infamyp� y�b. I pies �o oomyy �mh M ay enA mmry adirierwvs
uM ateie lexs reWip io buiMvp wnaV�eian vd heraby eutMrce eeq�iyHp d ihn rny b mmr upon iM ebow�msniioned popany
�«irup«a�wr��.LAORI ROOT
^ iN e �1 q�/
ome: � 0 "Lu "1 /
Sqreture ot WnerlhpenVRppMenVConlretla �
(5151de.WP) Whne-Buildvp b Sdary:Oreeo-Fb: Cenery-ppp5�1: Pink-Revenw:0obenmFMeeuor
CITY OF COSTA MESA - bUILDING PERMIT
PERMII NU; & 083565 FLAN CHECY, NC�; 02538-97 L
CONSTftUCTION TYPE: V-N PERMIT TYPE: STR
JOb DESCRIPTION : ICITCHEN REMODEL
PERM NO; B Ud3565
GOVT; N SUPP: N
PURPOSE: ALT
SQ FT: 35,000
CLAZM VALUE; 35,000,00 CALC-L'ALUE: 35,000.00 GROUP OCC: R-3 /
COMMENTS: INTERIOR REMODEL OF KITCHEN /
r**x-�-�*x�* �*x��x�-��+���*�x-��x-**�x-*�x*****-�t-�-��*�-****�t** u �r ��t*�r*�t�t*�r����x�**+r�t-�t�t-x�**��z���*�r��#�t*#�-�
Z O N I N G R E Q U I R E M E N T' S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REP,R: £T IN
LEFT: FT IN RGHT: F'T IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 92615130 ZNE: REF NO:
PLANNING NOTES>
� . I
# it i! jE iE IE i' if if f� if if i! �E 3E?E 3f ik 1f iE iElk iF1E.iE iE iE?E iE ih iE?E iE iE iE iE iE iE �IE jf-if it iE iF-Y iE if if :�f -lE iF iE iE iE if if df iF if iE 1f 3k iE iF if it iE iE i(�i�' 1t # iE 3f if i(-# #�f
D E V E L O.P h1 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 • N/Q . DATE; /
BUILDING APPROVED BY : WS� DATE: (O-.J�-✓�
APPLICATION ISSUED:BY:. � I/I��� DATE:�(� 3�
�-�-**�t*�r********�**aeit** R ,� ***at+�jt**** i **
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT yLUMBING ELECTRYC MECHANIC FIRE SMIP/RES GRADING
PERMIT 939.75 ' 3.50
SMIP/NON-RES
PLAN 285.69 .
ISSUE FEE
&UILDING-DIV-> F�ERMIT ZSSUE PI,AN-CHECK TOTAL PAID DUE
TOTALS----> 943.25 0.00 ' 285.84 729.09 729.09 .00
REVENUE DIVISION TOTALS--> COLLEC,TED: 729.09 OVER/SHOAT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
439.75 �:• 3.50 285,84
i(� 1f iE � jE �E jE 1F iE if iE iE �1k �E jF iE if if iE?f if i!-iE � if iE jf �E �lf jf if 3f 3f �f fE�if iE �E �E iE 9E iE iE iE iE jt?t iE 3E?E 3f iE iE iF 1E iE iE�i� �f 1f 3E {t iE 3f �E iE �1F iE �f *�1klE �t iE iE-1E if if i!
I N D I V I D U A L F E E B R E A K D`'O W N
TYPE QTY D E S C R I P T I O N'� UNIT COST TOTAL C05T
SFR 35000 ALTER BY VALUE RES-IDENTIAL NOZONE 1.00 35,000.0(��
END OF FEES
%'.
B6-3B-1997/B3iP4 PIVf7�9.8g
PERMI T�sT8B3S655
'. CONSTRUCTION AND PLANNING . . & SPA
��'>>PPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-U�drgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgr�d. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electtical Bonding
5. Stee� Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Elecvical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Wat¢r Pipe-Undrgrnd. 60. Backwaeh Lines, P�Trap, � Undrgrnd.
10. Structural Floor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & 4ouse Connection 62. Backwash & Receptor�Final
12. Sewe� Cap 63. Heater & Vent-Final -
13. Roof Drains . 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical�Final �
15. Rough Electrical•Conduit 66. Solar Svstem�Final
16. Rough Elearic Wiring 67. Fencing & Access Apo�oval
17. Rough Wiri�g Si9n 66. APPROVE� FOft PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Condliioning FIRE �EP7. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21 . DucCs, in Structure 70. Underground Hydro
22. Ducis, Ventilacing 71. Product Piping OGas ❑Oil
23. Gas PiPe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergmd. Storage Tank 0 Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
27. Frame and Flashing � CQ�� � 76. Dry Standpipe
28. LatNing & Siding !/Q % I� 77. FIXED SYSTEM FINAL
�+---i
29. Insulation � f�� 78. FIRE PREV. FINAL
30. Drywalt Nailin9 �/e�Q7 I ffa'� HEAITH OEPT. REQUIREMENT
7"
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
� �
33. Final Electric Notes: //p'7 ��;�/i�/�./(i' � /.e�p�ir.Cr
34. Finai Heating & Air Conditioning ��� ��` `���✓�� �J
���
35. Finai Gas Pipe�Test
36. Hood or Canopy
37. Fina� Factory Firepface
38. Fina� Plumbing
39. Water Service•Final .
40. Gas Service-Final
41. Solar �omesiic•Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
m
45. Sound Attenuation ' .a
46. Handicap Regulations � � �
a7. FINAL STRUCTURE & BUILDING ���Q�fl / � ���-
I
48. FINALPIANNING , ��m
49. Electric Feiease to Edison ., ' W
50. Ga: Release to Southem California Gas Cn ���
51; CERTIFICATE OF OCCUPANCY
No. Date
\�
AODflE550F BUILdNfl: G 1 � D 11S 1 J
rxNgaswweirvawr+: PETROS, ANT
.�,,, wowem 21 3 5 I R I S P
JSTA I�IESA, CA 926"l6
MPL. YNIIIlG �D�NESS:
I MCXRECT OH F1NiP��FFA:
1N
MCH. OX FNG'S AOOHESS:
Y L TR
5A5-701'l
UNT:
uc. xo.:
UNT:
ca+m�crarsxua PREMIER WOODWORKS ( 714 ) 651-9745
CdlIfl�CTOR5YNIAlG 20171 ORCHIU ST
�pp� NEWPORT bEACH CA „�.�,, 619755
92660 �M,
LICENSEO CONfHRCTOFS DECLAXRTION: I Mreby eflvm uMer penetly d parjury Nm I em Ikeneed uMer povieiona M Cheqx e
(mmmenorp wilh Section )000) d Oivi+ion � d the Busir�ea aM Pmiessbre Code, end myyy��_luerue ia in lull brce eid sHetl.
cmuc.No.:055481 uc.cuss: B uc.Ni�7� ,E�.CP: 03%98
o�,: Li -��-y7 �o�,,,�a: ,�Vr/
DWNEH BUIL�EH OECLAR�TION: I hmeby dfirm uMx peealy d parjury �hm I em eumq hwn �M Comrmon liowae Lew tor tha
blbwvp reeaon (�ion ]091.5 &nvas+ uM Profevio�u CaAe: Rm/ ctY a oounry xliidi requirea e pemiC to mm1uY. ellm. impow.
damol'sh, or repei eny avucture, pna io Ns esuenca, abo reQuim the epd�l la euch perme to Rb e aq�red atelemenl Mm M or eM
is liceneed Wn�e^� lo �he prmisione d iM Conlreclon Liceme Lew �Ghepter 9(cammanorq wuh Seaion ]OOU) d Diviion 3 d Ihe
Buvnen eM Prdaseions Cotle� or ihel he a sM1a ie exomp therel�um e�M tM baaie la ihe ellpeE naempion. My videlion d Setlion
)o�t.5 by eiry epplifait Iw e permil wrbpe+the epplicem to e mN perely d M mae Ihen Me huMied Edlen �i500�.
� 1, ea owner d IM piapeny or my empbyeea wh wapee av Ihei ede mmpametion, will Eo ihe xwk, enE ihe etrui.Yun o ml in�aMed
or ollered Iw We (Seclion ]OCO, Butiirou end PrdeevonaCada: The Cantreqon Limnae Lew doea not appyto en oxnerd propery
who buids or inpmvea �hereon. ad who dom euch xwk MmeeX or henaN a Ihraph he a her own empb�eae, paritled Ihet wdi
�maw,m,�u �e �a miawaa «ar..e r« �. n. no.�. ma a,m��ro «mw��a a eda.nnm o� v� w�da�. me
ow�.e�,�u.� w�n n� m. n,� a wwme ns «.na ea m w�a « �mwo.. �a ms wmo� a.w).
� 1. es ownar N ihe poPoM. � evdueiveN �nlredin0 �h liwneed wnneclae lo conalruq �he P�le�1(Sed'on ]ON. Buainme vM
Profesdona Code:TM Gontrmon Licensa Lew doea iw epplyio en ovmerd piopeny who buiMa orimpwrthereon vd who
convans fa wch prqeu� wiN e mmrma�s) IicenxL queueN lo IM Coniretlae lioeme tew).
� I em exemp uiWer Sedion: B. 8 P.C., br ihu reemn: '
i eo n,�r �nar uw i� aw� a�d �a.�.��e in. rea��aw a c�rome r�m �e smar coee seeo� zssos. ns�. m,a
255�a, enE Nm I a eny Mure buiWirq ampenl xiil / wll na (crcb «n) med io canpy wiA eeid pete codea erd tM nqNmnmN br
epeminlormneviwtionwmaEifcelionhwniMRi u-CT1.ranepemeMpietnd.ReeiEen�ielcon&rudionryqiraliareveeaemptlmmiheee
plOV1910119.
ome: �oq�:
WOPKEH'S COMPENSATION OEttARATION: I Mreby elfiim uMer perWry d psj�vy wr d tha blbwirp detlue�uns:
❑ � neva.�a xi� meimen. �«er�me a oonaem m.eN;�re �«.wha: w�a�wion, m w�e.d �a M smion s�ao a m. �en«
Cotla. l« tM pmfmrerce N Ne wh �« wlich thn permn u eaued.
� i nere.�a me meim� �n�� oomoens�� m.��, � r.a���e M s.a�m aroo a ine �en« cam, b. me wao,menu d m.
vroM fa which ihia permil is iasuad. My warkeii mmpanaeiion imurence mmer enE pdicy numbar ere:
c�>:
Pdicy Numbar
(Thia aMian neeE nd 6e compleleE f Ihs peiml a M ane hundred dollen �Sf001 w hv.)
Q I eenAy ihet in �na pe�ormenee d �M woek fa whkh thia pe�mn ia ivsued. I Mell rat ampoy enY Ga� in em� menner eo m to
become eubjee lo iM xorken' mmpense�ion kwe d Ldilwnie, erM epree IIW i l ehouk bxorm) ubjee �o tM xoiMie'
cwnp¢nae�q_n �pr[w��iv'vm ol /$apun 3]00 d tM laEor Code. I�ehel�l i "�,hvriN. oromp�y '�' o�e�e, �pr %wi nf
oe�e: ��_� I Andicem: �7('�7I'/A�,1�l.1. f�SA✓ �
Weminp: Felluro b�xun wortren'romperwtlon eovereps Is u�l{Wu( en0 sIWI sW/�ee en employer ro Mmlrcl pmeltlu arM
Gvll flriu ,q ro aro M1,nCrM fMuwd aal4n ISiPO,OqDA M Mtl/tlon ro IM cwl o! ronperuetbn, demspu u pvv/CW br In
Sxf/on 3]O6 0l Ms Labo� Code, Infenal, end aMmsy'a /wx
CONSTFUCTON LENqNO AOENCV: 1 hereby eHirm uMar pendry d par�ury thm then ie e avnatiudan bMup epeiwy br Ne
panpmeMe d IM woek fu whiW ihe parmi ie eweE (Sedan �. Cir. C).
LENDEN'S NAME:
LENDEfl'S ADDNE55:
I cerliy ihm I heva reed ihu epplication eM stme thm the ebove inlametion ia wind. I p�ee to comply wnn dl ciry vd coumy wdinencm
eM aiete lawa mleivp ta buiM'vp crosUiwion end Mreby aNb¢e �epesenteiivan d ihie aryto emer upan iM ebove�meMioned poperry
i«i�sam�oowroo�:. LAURI ROOT
/I,�I Pnn�
\. / /I A/Vl. � Dale: �1- �e �I%
Sipnelure OwnerMOanVAppMcenUConVeqa
(St51de WP) Whno-B�ikvp d Safe7. GreerrFle: Cenery-�ppiran�: Rnk�ievenue; Gddeniod-Meeeaor
PERMIT NO; E
CITY OF COSTA MESA - BCILDII4G PER6IIT
083566 PLAN CHECK NO: N
PERM NO: E U�i3566
GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: ALT
JOB DESCRIPTION : KITCHEN REMODEL SQ FT;
CLAIM VALOE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: INTERIOR kEMODEL OF KITCHEN / REF B-83565
��**��*�x***�����***��r�**�*****�*******��****�***��*�*�**��*+��**+�***�r�**�r**��**
Z O N I N G R E Q U t R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
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: 42615130 ZNE: REF NO:
PLANNING NOTES>
i
iE jE if iE iF iE iE iE-)E iE if if iE'k 9E 3f �lf jE �1E iE �f iE �E 3E 3f if 1E 1E jF �E ih �E �E'lE iE 3E iE 3f'lE iE �1f -1E'lE-1F jf'lE if i43E �IE iE?E �F �lf if i4 iE it �IE iE �F iE if if if i(� �lk iF'lE if'E �E �N-iF iE #'7E �1E 3f
D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N T S
ZONING APPROVED HY DATE:
bUILDING APPROVED &Y ;
APPLICATION ISSUED BY•
iF iE jE iE if �1f iE �E if iE jE �E iF jE 3E jE jE iE 3E iE if if
LEGALIZATION:N
F E E� S U M M A R Y
DATE:
naTE: �"3a-`�
�Ifif�FiF�kiE�EiE t -1E-%�
STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 31,00
50� SMIP/NON—RES
PLAN
ISSUE FEE 2'1.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 31.00 22.00 0.00 53.00 53.00 .00
REi�ENUE DI��ISION TOTALS--> COLLECTED: 53.00 0�'ER/SHORT: .OU
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECK
53.00
�lf ?E �Ih if it iF iE ik if dt �1E �lE 1k �)f iE iE �lf �lE 3E �1F ik-1E fE iE iF iE �E #�1F �lE if ik �1E if if i£ 3E i(-ik if it iE �k iE iE iE iE ik �E 3E iE ik �lE iE iE iE �lE jE �E iE iE lE iE j4 �E jE iF # jE 3F �1E iE �1k if ?t iE if iE ih
I N D I V I D U A L F E E B R E A H D`O W N
TYPE QTY D E S C k I F� T I U N ONZT COST TOTAL COST
ELE 10 FIXTURES, LIGHTING i ST 20 EA. 1.00 10.00
ELE 15 RECEPT/OUTLET 1 ST 2U EA. 1.00 15.00
ELE 6 RECE�T/SWITCH 1 ST 20 EA. 1.00 6.00
END OF FEES
86-38-1997lB3s2� PM/f53.BB
PERNI T aT883�56
/��
, CONSTRUCTION AND PLANNING � _ & SPA �� �
��PPftOVALS Permit # Date Inspector qpPROVALS Permit # Date tnspector
. �
1. Tempora�v Electrical Service or Pole 52. Pool & Equipment l.ocation '
2. Soil Pipe-Undrgmd. , 53. Steel Reinforcement .� �
3. Electrica� Conduit Utility-Undrgrnd. 54. Forms
4. Electrieal Conduit-Undrgrnd. ' 55. Eiecxricai Bonding '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgmd., Test �
9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, �7 Undrgrnd.
t�. Stsucturai Fioor SYstem fil. APPROVAI TO DECK
t 1. Properry Sewer Line & House Cqnnection 62. Backwash & Receptor-Final '
12. Sewer Cap 63. Heater & Vent�Final �
13, floof Drains � - 64. Plumbing System �'Pinal �
14. Rough Plumbing 65. Electrical-Final .
15. Rough Electricai-Conduit � 66. Solar System-Final �
16. Rough Electric Wiring . `1 '' Q� 67. Fencin�,& Access Approvel � .
17. Rough Wiring Sign ' 68. APPROVED FOR PLASTEFiING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Alr Conditioning FIRE DEPT. REQUIREMENT
20. Rough factory Fireplace APPROVALS Permit #
21.� Dutts, in Structure 70. Underground Hydro
22. DuMs, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Unde�ground Flush
24. Roof Praming 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
27. Frame and Eiashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEPA FINAL
29. Insulation 78. FIRE PREV. FIPJAL
30. Orywall Nailing HEALTH DEPT. ftEQUIREMENT
31, Piaster Broe.rn Coai 79. FINAL INSPECTION
32. Electrica� Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric /�'% ����� Notes:
34. Final He2ting & Air Conditianing
35. Finai Gas P�Pe�Test
38. Hood o� Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Setvice�Final
40. Gas Service-Final
41, Solar pomestic-Final
42. Backfiow Preventer
43. Backfiow Irrigation
44; L.andscape Irriqation System
45. Sound Attenuation ,5'', C�
� m
46. Nardicap Regulations � �
� 47�. FINAL 5TRUCTURE & BUILDING " �"'
��r
48. FINALPLANNING � � "''�
N9 mA ..
49�. Electric ReVease to Edlson 'T ^
".', L:
� i :
50� Gas Release to Southem Califomia Gas Co ,:;m%p
51. CERTIFICATE OF OCCUPANCY '�"
No. Date
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o�am�n�o: 2135 IRIS PL
�eivaanm: PETROS ANTHOAJY L TR
monrss: 2135 IftIS PL
OSTA MESA, CA 92526 646-701`l
�av�. �uuxa Aooness:
IARCXRECTONEN(tlNFEfl:
�xcx.onero:s �ooxess:
UNT:
�3 r
uc. xo.:
uwr:
mr+mecrarsx,u� PREMIER WOODWORKS (714)651-9745
caxrn�cToxsxuuwo 2 0 1 7 1 ORCH ID S T
�oo�ss NEWPORT BEACH CA uc.no: 619755
92660 �,.,;
LICENSED COMflACTONS DECLAP�TION: I Mreby � uMm pere�y d pajury thm I un IinnW �Mw pw'nioin d Claqer n
(mmme�rq Mnh SecUon 1000) a�+� 3 d iha Butimu eM Pmfwsiona COEe. enE mY �� � in full Iaca eM eHea.
cmuc.r+o.:055481 uc.cuss: B uc.No.: 619755 EXP: 03/98
o�, f o - �iD -�f � �«,�«: �A,(�u. �,rr'1�
OWNEN BUILOEfl DECIAHATION: I Mreby elfi�m under penely d parlNN �� I em ewemp Imm Ihe Contretlon lioeme law la Ihe
bllox�nB �eavon (Sec�ian ]031.5 Buanma end Pmieuione Code: Any cily a munly wbid requiree e parmil lo coneWcl, eller, improve.
demd'eh. or rapei eny evucWre, pior lo As bsuence, dso repuiree �M epo��� lor wch peimn lo Rk a apMd �tatemaM thei he or eM
�s i��o�e w�� �o ina v�� a�n� com,aeo� u�,.e �. �cn�,. e loomm�m wnn sm� �000l a a+a� s d��
Bus�wea eed Rdwons Codel a Ihei he n ahe e uamq iherah«n arM tM beau la the alb0� aaemqion. MY videtun at Saeion
)031.5 by enY a0dp^t lar e permn eubpaa �M eppliceM b e awil parialry d ml mae �han frve huMmd ddkn �5500�).
� I. es owner o/tM propenY or my empbyeee wIh wages as �Mrt eola mmpeneetion. vrill Co �he v.wk. eM iM eVucNm e mt in�eMed
or oHered fa aele (Secfwn 1016. BusinesseM Prafesaions Code: The Contrenon Licerue law daea rwl epply ioen ownerd propeity
who W iQ+a mpovea Ihereon, end xfio Aoee euch wak IimeeX a hamaM a �hraph he a her own empbyeee, po+ided iMt suW
'mprwemmb ere nd inteMed a Wered la eab. tt. howavar. �M WiNiiq « inpwemeM o soq wilhin oro Y� d canplN'vn. Ne
owmr-0�ildm xill heve tM Wrden d povirp M a ehe dM na Euild or imqow lor IM p�ryoee af eele).
❑ I. m mmer d Ihe popeM. � extlusHey mnireamg wnh licanead wntrec�an io cmmua iM vpl� (�� �. Buairieee eM
Prdeasions Coae�, TM Conlreclore Licanea Lew daea nrn eppN �o en awner d propeny wfio buiNe a impovec iMreon eM who
conlrecU Iw wM prol�s �h e mmretlor(e) IkansaE W�ueM to iM1e Conirepws �ceme Lew). ��
� I em uemq uMm Se�ion: B. 8 P.C., b Nu �aamn: •�
Dale� Owner
I do Mreby cerliM �hu I em ewera d aM uiMersleM IM repuirameMa d Celfamia Haell� eM Se/ary Coda Sad'ana 25505, 25533, aM
255�a, uM thm I ar eny Mure buikiip omupem will / wdl nd (arcb are) naed to canpy weA eek qme oodm eM tM requ'vemeMa br
eP�nlaeorevudionnrtaEifwationhantMAi u�y e�e0eman�Distrid.ReritlenlielwnprutlionWV�iomareazanqleomtMae
pION51IX19.
oa�e: Aod��
WOPKEN'S CONPENS�TION DECLAN�TION: I hereEy elfiem uMm penally d peejury orc G Ma Idlowiiq dedumiom:
❑ �nevea�am�meime:i.cenirw.ammemio.en:re�rem.wners�cm,w�emio�...w�e.d�aMs.a:na�aoam.�.no.
CoEa.lw �M parlomienee ot Ne v.aek tw wlieh Ihie peemn is keued.
, 1 �eve eM vriG meinlen wwken' mmpanution ins�rexe, u royuimd by Seeim 3100 N the Labor Cade, br iM pMormeewe d �M
woA for xfiid� ih'ie parmil ia mued. My worMeis mmpanae�ion inaurence rarrier eM pdiry number are:
Certier:
Pd'cy NumDer:
(This aection need na ba camplered e tM peimAia M one noMred tlollera /S�OoI a bss.l
� 1 cenh inel in ine Pa�ame�we a IM work Iw whkn tnn Parmn i. oauad, I ahell � emdN' anr 0a� In enY mennar eo es to
barome wNee io iM �n�..• �aao��oo iawe a cdnomm. �a ro� mm n i �nwb e�o� wnpa �o m. won�.�
cympertelio/nJq�mv�iwJu�d/ Sedian �100 d the lebar COJe. 1 Mell nhwnh rqnp,y �xi7N �itm /iv �y''oru.
Date: II) ��iM� "1 / APd'cem: {,/ Kilf I! f
Wam/np: Fellun ro�se�ro woAx�' eompuwtlon corsraps /s � IW, andYrll subJoct en wnp/oyw roWMnLpwMu �iM
- c/vll flroi up ro ms hundred Mouund ANbn (SfOq000), M Mt/tlon H N� roat ol rorryxwtlon, Certxps �s poNdM br In
Sectlon 9�06 01 Ma laba� Cotle, Intwt erM attomsy'� /w.
CONSTflUCT10N LENDINO AGENC�: I Mreby elfirm uMer penelly d parlNrY �� ��� a a construabn bMiip eparcy In the
peAormence W the wM for which ine parml ia esueE (Sed'nn 309], Civ. C).
LEN�ER'S NAME:
LENDEN'S AUUqE53: �
I cenity Ihel I lieve ned ihis epplicalion eM 9me �het Ne abwe inlormelion ia mrred. I epree to comply wnh dl ary eM caunry ad�a�a
end etete lexs relatip lo building connrumon erd haraby euiMrixe npreaeMalivee d Ihe dty b eMer upon Ihe ebove�mentioneE qopeM
�°'�°'°a"�°""°`P°'°` LPURI ROOT
ti �,�=�� o�, -��
sq�m�.e m �inqanvnaoi�ce�uco�vma
(5151de.WP) Whilo-Buikiq 8 Sefery:OreemFle: Canery-AppSrant: Pink-Revenue: Oddenro�Aeaeaor
CITY OF COSTA MESA - BC7ILU'LNG PERMIT
PERMIT NO: P 083569
PLAN CHECK NO:
PERM NO: P 083569
GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PER2dIT TYPE; PLU PURPOSE: ALT
JOB DESCRIPTION : KITCHEN REMODEL SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: INTERIOR REMODEL OF KITCHEN / REF B-83565
�***�r*�****�r�**�**x**�*�*�**�r��**�*�*�r�*�r�r*�***�*��*****x***�r**�*****�*****�r***
Z U N Z N G R E Q U I R E M E N T S
s E r a A c x s
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILPING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT TN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42615130 ZNE: REF NO:
PLANNING NOTES>
> �
iElF:+E iE ik iE �E ik 1E jE jf fE jE iE iE jf iE 3f ik if �f f! jE if iE?E jE 3E if -k� jE iF jf iE 3f !f iE iE iE �f iE 1E fE iE jE � jFiE 3E iE iF �E �f iE �)E �1(� i! iE i(� 3E iF dE 3E jE if j! 3E 3f jE iE iE jE iE iE if iE 3f iE iE
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
J�
ZONING APPROVED BY " DATE:
BUILDING APPROVED BY ; DATE:.
� /
APPLICATION ISSUEli BY; � j�' � DATE; (o�3c�_
ltififiEiEitifiEiEifiEiEifiEiEiFifiEaEiEiEiEiFiF�;F3fi'�iF�F3F3F3Fg�'e�iF3�iFiF�if3F3F�iF3F�F �F�F ��F3FiFiEiFifafiFiEiFiE�EiP lfjE
LEGALIZATION:N F E E S 0 M M A R Y STRUCTURAL SEGMENT:N
i
BLDG PMT PLUMBING ELECT�IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 17.50
Z5� % SMIP/NON—RES
PL'AN l`.-
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE P�LA1r1-CHECK TOTAL PAID DUE
TOTALS----> 17.50 22,00 � 0.00 39.50 39.50 .00
['.
REVENUE DIVISION TOTRLS--> COL�LECTED: 39,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/'POT GRAI'iING PLAN-CHECK
39.50
1E iE 3f �1E �f �1E if� jf a�F if iE iE �7E jF iE �1E jE jE �1k i(� iE �If� if * iE ff if if'IE �If if 9E �3E jE 9EiE')f�� iE 3E iE iE iE'1FlE iE iE �If iE iF �1E 1f iF iE iE iF jf 3E iF jP if ik iE 3F dE'7E-7E'1E �f 3E �1E'IF iE 3E 9E #!E �1f'
I N D I V I D U A L`^>;�F E E & R E A K D''O W N
� ( /{!/
TYPE QTY D E 5 C R I P T I O)N` UNIT COST TO'PAL COST
PLU 1 DISHWASHEk 8.75 8,75
PLU 1 SINK, KITCHEN � 8,75 8."/S
EA1D OF FEES
%
/
�
.
86-38-1997/B3s2� DM/t39.58
PERMIT�a063�g
_,
CONSTRUGTION AND PLANN WG - � -& SPA
� APPROVALS Permit # Date Inspector AppROVRLS Permit # Date inspector (
4
i. Temporary Elecvicai Service or Pole 52. Pool & Equipment Loca[ion
2. Soii Pipe-U�drgrnd. 53. Steei Reiniorcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electricai Conduit-Undrgmd. � 55. ElecTrical Bonding .
5. Steel Reinforcement � 56. Rough Pi�mbing & Pressure 7est
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrica� Conduit-Undrgmd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test (
9. Water Pipe-Undrgmd. � 60. Backwash Linet, P�Trap, G� Undrgrnd.
10. Structural Ploor System -� - 61. APPROVAL TO DECK
1 i. Property Sewer Line & House Connection _ 62. Backwash & Receptor-Finai
12. Sewer Cap 63. Heater & Vent-Finai
13. Roof Drains - 64. Plumbing System - Final
74. Rough Plumbing � r�%4•�t . Electrical-Final . �
,
15. Rcyugh Electricai-Conduit 66. Solar System-Finai '
16. Rough Eleciric Wiring � 67. Pencing & Access Rpprovai
77. Rough Wiring Sign - ' � 68. APPROVED FOR PLASTERING
18. Rough Electricai-T Bar Ceiling � - ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Fac[ory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underqro�nd Hyd:o
22. Ducts, Ventilating 71. Product Piping CI Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Fram�ng 73. Undergrnd. Storace Tank G Gas ❑ Oii
25. Roof Sheathing 74, Overhead Hydro
26. T�Bar Ceiling lStructuraq & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathino & Siding 77. FIXED SYSTEM FINAL
29. Insulaticn 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTN DEPT. REQUIREMENT
31. Plaster BroWn Coat 79. FINAI INSPECTION
32. Electrical Power MeterFinal 8D. FOOD CERTIPICATE ISSUcD
33. Finai Electr�c Notes: � � '�' _g'j �.�y�� ��7,�� _ ���-�
34. Final Heating & Air Condi;ioning sl�!/< �. �, C�_� -
35. Final Gas PiPe�Test
36. Hood or Canopy
37. Final Facto�v Fireplace
38. Final Plumb�ng �' �f� �
39. Water Service�Final
40. Gas Service�F�nal
47. Solar pomEstio-Final
t
42. Backflow Preventer
� 43. Backflow Irrigation �
44. Landscape Irriqation System
45�. Sound Attenuation � �w (rj
46� Handicap Regulations �, �
o.
47. PINAL STRUCTURE & BUILDING y?!-
s
48. FINAL PLANNING a��
49, Electrie Release to Edison :.�b
r., N
50. Gas Release to Southern California Gas Co . ��a
57'. CERTIFICATE OP OCCUPANCY
No. Date
�
�
\
I�ppqE550F BUILqNG:
mra�r: =uYc n r,m��i.:
ADDf1E5S 21 3 5 I R I S
USTA ME�A, CA y`L6"l6
�vc�. wuuNo �oo�ss:
YKNRECTOAFNf�NFFA:
UNT:
L TR
646-701"l
uc. ra.:
MCX.OP FIIG.'4 AUONE55: UNf:
ca+mncTarsruuE Pf2EMIER WOODWORKS ( 714 ) 651-5745
CONiPACTORS YYIIIIG ? 0171 ORCH I D S T
�o� NEWPORT BEACH CA �c.xo.: 619755
92660 �M;
LICENSED GOMXACTOH9 �ECLAH�TION: I hereby eRrm uMa. pondy d pepury Yw I un leenaee uMer parieiona d Lheqer B
(comme�ip wiih Sectbn 1000) ol Divisun 3 d ihe Buvness arM Pmlmeions CaEe. eM my licerree ie in lull luce erd e11srJ.
cmuc.No.:0554$1 uc.cuss: B uc.No.: 619755 EXP: 03/98
, Dete: � ' � / V � "17 CwNfaaa: r''�/G.W ✓���
OWNEH BUILUEfl �ECLAFATION: I hereby eifirm undar penely d perjury thet I em uamq Irom tM COMretlae lironee Lew la iM
lolbwiq rmaon (Sedion ]031.5 Bueneas and Vrdeesiona CaEe: Any cXy a munty wl�idi reQuires e permil to cannbuci, el�x, imprwa,
demdsh, w repei eny swnuro: piw io iis issueMe. ebo reVuirea tM epdimnt 1« euch peimn ta fib e eq�rod etmement tla� M a sM
h i�,�e w�� m ma ao.�s d ma co�mmo�. uro�sa �. �cnop« a lw�,m�� .an s.e� r000) w oHe�, a d �b
e��� �a ad�� coeal «mm na «� ia e.<emq tharalmm ud IM batie Iw Me elkB� mempion. MY violelion d Setlion
)031.5 Ey eny epplirenl for e parmn wbjede IM epplicenl lo a cml penelly d iwl mae Ihen Me hwdred ddbn �S:AO�).
� I. ea oxmiar d Ihe pmpenY a mY �doi�s'^'a� wep» av Ihe'r ede oompense�ion. will do Iha work. uM �M alu��re i rM intended
ar ollereE Iw sale (Section'/Oad, Buanms end Prolesniona Code: TM Convedwe Licema lew dm.v ml epplyto en ownxd prope�y
wM builds w mD��+�hareon. eM vAw dms eutli waM Nmaell w Mne� or Nrouph hc w M1er oxn emplqeee, pwkad ihm wch
�mww„o,ms �a ��me�eee «on,�d iw.�a. n. now�«. �m aawure «mww«�am �..dd �.anm o�,. rm, a oomda�, ub
owrerbuilder will M1eve iM buNen af p'w�inp he w ahe d'd na buik ar improve lor Ihe puryme d mb).
� 1. av ovmm d the properly. em ezd�ety conlreciq wuh I'rmaed wnvanon �o mnmw Me qqm (Seaion ]ON. Busmme end
PMeaeiom Cade: The Conireean licenx Lew doee m� epply to en ownx d papeM ��+ika a impwro Iherean entl who
convena la euch pml�� �h e wnreaor�e) IcemeE W�ueM to Ihe ConlmUas Licenea Law).
� I em exemq uMer Seciim: B. 8 P.C., fa thu reeeon:
De�e: Owner.
i ao n�nr oen�v uw i� a.�a a�e �m.�i�e ma �a����a a c�ro� �nnn �e sman cod, s«a�. zsws. assaa..m
25530. eM ihm I a eiry hnure buiWirq awpem xill / wil nd (arcb ona) med �o canply wXh eeiE atate coEee aM Ihe rtQuimneMa lar
epaimnlamnnwc�ionormoEifcelionkamtMAi u�8 enTLianegamem�i&na.ReeidentielmmVueioneppimiareereazampltromMae
prwisiom.
Dma: AGW�:
W OFKEP'S CONFENSATON OECIAF�TION: I Mreby dfirtn wdr peruhy d pxjury aro d Ma Idbxinp AMeietum:
❑ i neve ena �;� mvmein e cannwa d oonem� io.en-mn� m, �xe� ca�re�.m�,.. a� r« M smon a�ao a me ien«
coae, io� ma �no��s a� �..on i«.mm� m�a �u �. �m�ad.
'] I heve uM xi9 meiman wwMen' compemelnn imurance. u rquired by $m'vn JAO d Me Lelar COM. M tM pMormer�ce W tM
wwk lor xfiiM Nc perm� e usueA. MY waken mmVa�� inwrerce rarriar entl pdicy wmber ve:
c�«:
vdtr N�mee,:
(ThiS SBCIIOn n4BJ nIX 6B ttlI1lpIBfBC � the p9TIR IS bI OM hu�b�ed LolleB �$1Wf w Im9.f
Q I cenity thm in tha pdformvice N IM wak Iw wh'rh �hia pertnn ia ieeued, I ehell �rot emdW �Y Ga� in eny menrw eo sv to
bxana wbl� to IM wMa�s' companxlion 4we d Gdilanie. end eprea thet il I ehouk becmro aubpe to tM warke�a'
� va�� wo�+�,. d s«�oo smo d ma �nw coee. i �wi wnn �oN mom wo+�..�+.
D�a IO' �XJ ,R 7 Aw��, �ifi%i�.�i
Waminy: Fellun ro ucvn walbri romperu�tlon rowrey� la un/awNl, �rM aNll �uL/�ct �n employx ro cAMiul px��Ma �nC
clvll Arn� up ro ons hunGrsO thouurM tloller� (5100,000), In a0tlltlan ro tlis cwf ol compwuel/on, tlemspe, sa proHtlM br In
Ssctlon 9)� ol Ms Lebor COJs, /ntens4 �0 ettomsY'a hu.
CONSTHUCTION LENUINO R�ENCY: I Mreby elfiim urdx penelry d perjury thm �hra u e m�Mrudian Mndi�p penry br Ne
peAormeMe d iM xork M vmicn I�e permY e eaied (Seaion �OB). Cv. CI.
LENDEfl'S NMIE:
LENDER'S AODHESS:
I caniy thet I heve reed this epplicmion eM 9ae ihet ihe ebove iMameiion is conetl. l eprea lo romply xilh ell dry eM wumy mdi�a
arM sta�e lex+releiinp w WiMip m vrud'wn eM hareby eu�M¢e mqewntetirm d ihu ciryto emer upon tha ebove�mentionetl popery
�«�mp0tl�°"`D°'°' LAURI ROOT
.. �� Pnnt e Dete: 10 � �!-i/ � /
��/ � Sig�lured'O.metlApenUAppiranVConlraUn
(5151d6.WP) W�ne-BuilEip 8 Sefery; areerFFle; Cenery-�ppimm; Hnk-Revenue; Goldenro�baeuor
CZTY OF COSTA MHSA — BUILDING PERMIT
PERM NO: M 08356k3
PERMIT NO; M U83568 PLAN CHECK NO: N GOVT: N SOPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT
JOb DESCRIPTION : HITCHEN REMODEL SQ FT:
CLAZM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: INTERIOR REMODEL OF KITCHEN / REF b-83565
**�t��x-******�r***�**�t**�r**r*�-�t**�tx-*i�*�*�r****�*i�**-x��*�r�x-****x�**�**�x-*****��t-�t�t*******
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
----------- MAIN BUILDING --------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REP,R: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Pt1RKING REQ: PROV: PARCEL: 42615130 ZNE: REF NO:
PLANNING NOTES>
> : j r'
if ik it 3E 3F iF iF if 3F iE �E iE iE 1f if iE if 3E if iE jE �E iF iE 3f 3f -%ik-)E iE �k �f �f if if iE iF 3E �f iE aF 1E �)E aE if 3E iF iE 1E iE 1E iFiif jE �)f it iF iF if 3E �F dE iE iE if iE jE 3E * dE iF 3E �F iF iF 3f ik iF if
D E V E L O P M E N T 5 E R V I C7E S R E}Q U I R E M E N T S
20NING APPROVED BY <_�� � DATE;
bUILDING AF�PROVED HY : "' i' DATE:
APPLICATION ISSUED bY• ��•.� �' DATE: `J�'J
'1EiE�1E'1E3E3EiEaEiE3E3EjEjEiE�E�E9fifiE3E3E�E±fiFiFiFiFiF�FiF�iF3F�F�Fi�FiFiFiFiFiF�F�FiF3fiF3FiF�f 3FiFif3FiFiE-1F�EiEiE3E�FiFiE-1h '1fiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG YMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/RES GRADII�G
PERMIT 15.U0
�"�$ SMIP /NON—RES
IS�UE FEE 22.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 15.00 22.00 0.00 37.00 37.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 37.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
37,00
iE iE it 3E'Y.-i! 3f if iE iE')(' �IE if �N '1(' iE i(� dt it iE f! �E!E if dk iE �)k ik iE iE if iE ik ik iF jf -7E iE if �lE �lk iE-1t 1E i! �1f� it jE iE iE �1k jf �E if iE iE iF �lk iE'%3f-�lf *�E if if jf �)E jE iP ik # jk jf if * i! if dk
I N D I V I D U A L F E E B R E A K D��O W N
TYPE �TY D E S C R I P T I U N UNIT COST TOTAL COST
MEC i GAS PIPING SYS 1— 9 OUTLETS 5.50 5.50
MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 9.50 9.50
END OF FEES
Y
86-3�1997/B3t25 VMl�37.88
PERMI T eT�83�5688
A -
CONSTRUCTION AND pLANNiNG - � . & SPA
'�.:� APPROVALS Permit # Dace Inspector AppROVALS Permit # Date Inspector
7. Temporary Electriral Service or Pote 52. Pool & Equipment Location
� 2. Soil Pipe�Undrgmd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgmd. 55. Elect�ical Bonding - -
5. Steel Reinfarcement 56. Rough Plumbing & Pressure Test '
6. ElectriCal UFER Gmd. • 57. APPROVAL TO COVER�GUNITE
7. Footings 5&. Electricai Conduit�Und�9md.
8. Foundation 59. Gas Pipe, u Undrgrnd., Test
9. �Nater Pipe�Undrgrnd. 6�. Backwash �i�es, P�Trap, � Undrgrnd.
10. Structu�al Fioor Svstem � � 61. APPROVAL TO DECK
11. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent�Finai
13, Roof Drains , 64. Plumbing Syscem � Final � �
14. flough Plumbing 65. Electricai-Final
15. Rough Electrical�Conduit 66. Solar SVstem-Final �
16. Rough Electric Wiring � � 67. Fencing & Access Approval
77. Rough W�ring Sign � � " fi8. APPROVEO FOR P�ASTERING �
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 S2ructure 7a. Underground Hydra
22. Ducts, Ventilating 77. Product Pipin9 O Gas ❑ Oil
23. Gas Pipe-Rough & Teet 72. UndergrounA Flush
24. Roof Ftaming 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing 14. Overhead Hydr�
1
26. T-Bar Ceiling {Structura0 & Monocoat 75. Dry Chemical
27. Frame 3nd Flashing 76. Dry Standpipe
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV, FINAL
30. Drywall Nai�ing HEALTH DEPT. REQUIREMENT
31. Plaster Brawn Coat 79. FINAL INSPECTION
32. Eiectrieal Power Meter�Pinal 80. FOOD CERTIFICATE ISSUED �
33. Finat E�ectric Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Nood or Canopy �' �
I
37. Finai FactorV Fireplace
38. Pinal Plumbing {
39. Water Service-Finai
40. Gas Service-Final 4'j
41. Solar pomestic-Final
42. Backflow Preventer
1
-43. BackfioW irrigation - �
44. �andscape Irri�ation Sysiam
R
45. Sound Attenuation 4 �
46. Handic8p Regulations �� �
_ t-;
47. fINALSTRUCTURE&BUILDWG . � `f
..� a� ..
48'. FINALPLANNING � � �o,�'�
49', Eiectric Release to Edison ����
50. Gas Release to Souihern California Gas Co ��y
51. CERTIFICATEOFOCCUPANCY
No. Date
�ooI�E55 OF BVILqNO: 2 1 3 S I R Z S P L
ox'nERswwEiFq'o"": pETROS, ANTHONY L TR
�o��% 2135 IRIS PL
COSTA MESA,CA 92626
646-7012
uri. wuuxo,mon¢u:
AfICNRECT OR FNtlNFEX:
ncx. on �o: s won�ss:
uc. r�o.:
uxr:
uxT:
ca+m�crarsxua: p�VANCED POOLS ( 719 ) 771-1511
CONiNACTORSMNWIG 1078 N SHAFFER
morrtss ORANGE CA ucra: 304847
92667 uxr:
ucENseo cotrrF�clons oEcun�noM: i nmeby w4m uMs y„wy a pejuy inm i em femaod m�d« po.i:o�. d cn.q. o
(cammercaq rNh Seclion ]000) d Drvieun 3 d the Busirom utl PrWeaabu Cods, ud my limue u in Iu0lace eM Nletl.
crtruc.No.:018957 uc.cuss: C-53 uc.No.: 04847 E 0/00
ym •g� ���«:� ,d.4a/�//�:
] EN BUILOEfl DEClAP1ilON: I hnaby d�um uMr pruly N peejuy �he1 I em ezemq Imn ihe Comreuon tioeiva lew la Ne
� reesm (Sedion )0]t.5 &niiaa� uM Pralmioroiu Cade: AM cYY a oouM' wfiidi nVu'vae e V�� lo aomWct. eM1n.'unVore.
Eemda�, a rpei e'ry airvnure. pia lo il� eeuerca, e6o mpuiree IM1e epplimni la euch parmn to fik e vprod eWemenl Mel M a ehe
o �icemee w�� m �ne n�� a ine conveaon Lioenee I.ew �chaq« a(wmmenairo wan seann l000) d Di.%ion a d ��n
Busnen +rd Pedeabra COEeI a �1ut M a ehe u e�emp thershwn arM �M bmu In Na elbpeE exemqin. My vioW ion d Sedion
)W t.5 Ey amy appYreN Iv e permu aiApaa iha eppl'ran io a dW par�eliy tl np mas �Mn ive �undaE tla0en �SSWII.
� I. es oMmr W IM poparlY a my empbywe wih wepea m ihei eob mmpenmton. wiA Eo ihe hpk. eM Ne euunun u mt inteMad
a dieeed la ule (Seeiion io6e. eusirom erd Prdoeana LaEe: TM Convmon Liwnae lawdaee not wdYto en owiara popeity
who Wih a mpm'm ihmaon. vd x1a doee �utli wM NmM u henatl a Wwph he a hm mm amWvY�. P�'� �het eWi
'unpwemeNa era � iiveMed u dlend lor seb. tl.lwwewr.IM dntli�q «inpwnneN o vod xi1Nn ona Y� d oompbtun. tln
ownerEUJCer wiA heve iM Eurden d prwiiq M a she did m� WAd a impwe la IM pu�pwe W eeb).
� I. av awner d tha propeny. em utluervery contrae'vq xiln IiceneaE coniracias io connrva iM v�ol� (Seqion ]Oaa. &roiiwae mE
awesam. coa.: rne comrmoo uce�ue �.w eo.. �a wcN a en owner d ww�r wno nae. « imwwa. �nereo� em wno
contracb la audi prqwe wan e mmreeor�a) IiumeE qusuw m tha ConUaCne Liwnae lawl.
� I em emmq �Mer Senian: B. 8 P.C.. lor tlio reaxn:
De�e: Owner:
� m n.aM �.nM �nm � em ewe a m,e mwa.i,�e in, �.c��.m. w cd�omi. r�eeu w serw . s.a� zssos. zss.u. ene
2551a. eM iM� 1 v enY M�va buiWinp amipem will / wil �wl (drtb om) n �o wmply wi� eaid a catlee iM reQuiromenu br
epsmnlorcomuuciionamotlificelbnhaniha�r ei�iy en m ' eersaremptlmmthese
ome: oa
W ONKEP'S COMPENSATION DECL�R�TION: I �ereEy elfiim unAer psnel�y o/ p«jury wp W IM1a lolloxirq Eedw�bne:
❑ 1 heve eM xil meintan e canJi�ate d mneenl lo �eXinwn la wken' comPo��. d p�ded la by Seabn 9)00 d ihe lebor
Cotle, f« iM perfamvKa d tM wA la wlw:h �M1ie peimn n inued.
� I hera vM wil meintem wwkwa' mmpemetion inaureroe. ea rpui�od by Sepbn 9]W d IM Labor Cads. lar iM peRormenm W tM
\orkrorwnlmmisc�eiares�ae.Mvw«kaASTATE���FUND�r��iry�um�����. EHPIRES
PdivNumeer: 1 091 SAF�—Q Q7/Q1 /97
(This sMion need nor bs canpbred i tM permif is la one hundred edbn (SiOp/ a bsa.)
❑ I cenLy thei in iM pe�lortnarica d Itw work la wM1kh Ihie permn is iecued, I ehell rot empby pe in airy menner eo m to
newme eubjea �o m. woncere wmro�sellon �ewe a cd�nomm, roree �mm � � e«o wd� �o ine xwken•
mmGa�vietun Ma+sione ol5mion �)00 d �M lebor CaCe. I ehel ath ' � mm ' h i
e: nooi����
�minp: Fillvn ro s�cun wontn�' compwuetlon rov�np� U vnNwNl, mtl �Ivll wb/�ct �n Mnp/oyw ro crlMrrl pm�Ul�� mtl
clvll fln�a ,q h m� h,nOrM fhoua�rW eoll�n /SIO({OWA �� �Ifbn ro M� cost ol rompmufbrt d�W u provhHC br /n
SxHan ])flb oI Ms LeEor COW, Inhna( anJ ettomsy'� Iw.
CONSTHUCl10N LENDINU AGENCY: I Mreby eHem uMer pendry d parlury ihet �hen ie e mnativaion bMirq epeney 1« Ne
(IB(�OR11811W O� Ih! NVfk �M W�1Y31 �hC V01111� 9 B9UG4 ($BtlUll' 9i. riN, ri�. �
LENOEP'S NAME:
LQI�ER'S AOOqESS: � •
I cenAy Ilat I heve reeE Ihia epdK� � qme Ihe� the abwe iNwmelbn ia mrted. I epiee io wmpF� xiih ell ay vd counry adi��
and nteie laxs MVM �o buJd�ud teeebV eWwrza rope%emetiwe W iha c�Y b mtm u0� �M ebv.a.memionetl pmpa�y
�a imDetlion WrWses.
,�sist+awal
Dme: �Oq�� •
WIu�Buddnp 8 Seley. OrearFb: Genery-Appfuni: Fnk-He��muie: OoWenrod-A�aeaaw
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: B 076513
PERMIT NO: B 076513 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION ; AEPLACE CERAMIC TILES & REPLASTER SQ FT; 3,500
CLAIM VALUE: 3,500.00 CALC—VALUE: 3,500.00 GROUP OCC: R-3 /
COMMENTS: REPLASTER 6 RETILE EXISTING POOL
*x�*�***��***��**��*��r***��r���*+�*��r�r***��*x��***�r�+�x *�**�r*****�*x�+�x � *x�**+�*****�x *
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAA: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ; PROV: PARCEL; 42615130 ZNE; REF NO:
PLANNING NOTES>
i
iE if iE if 7F jF iF 1F 1E if if if if iE 3F If iE 1E 1E 1E 1E 1E iE 3ElE 1E If iblf if 1E if !f 1E 1E iElE IE IE iE IE iE 1f 1E IE ib iE if Ib iE iE 3E fE IE 1f iE �E 3E if if If 1F ff iE IE iE 3E 1E iE ik 3E 1E iE �E iE if i� iF i!�
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: 2— 2 Z
iEiE1F1EiE1EiE1E1E1FiE1ElE1E1E1f1ElflklE141E 1fiE7(�fEiEiElEififiE �
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK
TOTALS----> 63.50 0.00 0.00
REVENUE DIViSION TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTRIC MECHANIC
63.00
TOTAL PAID DUE
63,50 63.50 ,00
63.50 OVER/SHORT: .00
FIRE SMIP/TOO GRADING PLAN—CHECK
iE 1F iE 1f if If if �E 1E if if fE iE 1E 1E IE 1E 1E If 1f 1E fE 1E 1E 1E 1E 1k fE fE 1E 1E iE iE if 1ElE k 1k 1F 1E 1E 1E iE iE 1E �F IE 1f if M 1F fE If 1E 1! 1f fE iE 1E 1! if jE 1E if 1E 1E iE 1E iE �E 3E ik 1E IE fE 1E ff fF 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 UNIT COST TOTAL COST
SFR 3500 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 3,500.00
END OF FEES
�V� ' -f` '
� . � .. � / � . . : T f _ . . r _ _ _
CONSTRUCTIpN ANDPLANNING ,
APPROVALS Permit #
7. Temporary Electrical Service or Pole
2. Soil Pipe•Undrgrnd. �
r3: Electrical Conduit Utility-Undrgrnd.
�:4. Etectrical Conduii�Updrgrnd. �
�5. $teei Reinforcement
'�6?-�jectrical UFERS�irnd,
7:-�ootings -
8. Poundation "'
�_9. Water Pipe�Undrgrnd. ," ,
10. Structurai Ffoor Svstem . '
i t. Property Sewer Line & House GonAection
12. Sewer Cap � .
73. Roof Drains '
14. Rough Plumbing �
15. flough ElectricabGoriduit "
16. Rough Electric Wi�ing. �
77. Rough Wiring Sign '
18. Rough Electrical�Y Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fiieplace
21. Ducts, in StruCturE �� .
22. Qucts.Ve'ntilating`.' .
23. Gas Pipe•Rougti & Tnst �
24. Roof-Framing" � '-
25. Roof Sheathing -
26. T•Bar Ceiling (Struct6ral) & Mohocoat
27. Frame and Flashin9 _ ,
28. Lathin9 & Siding . � ,_ �
29. Insufatioq' �� -� - �•
� 30. Dryevall Nailing
- 31. Plaster Brown�Coai: Y
32. Electrical=Powei Met�F�Final
-33. Final Eiectric ' . � �
.34. Fina� Heating & Air Conditioning �
35. Final Gas�Pipe-Test . .
36. Hoadror Canopy �_
- 37. Pinal F.actory FirePlace - ' .:
38. Final Pluristring ��
'` --•. ___. .
-39. WaterService�Final �
•40. Gas Service,-Final � ' �
� �41. Solar pomesticFinal � .
42. 8ackflow Prevente�
43. Backflow Irrigation . - �
44. Landscape Irrigation System .
45. Sound Attenua[ian
46. Handicap Regulations _
47. FINti� STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release ro Edison
50. Gas Reiease to Southem Calitornia Gas C
Date
Date � Inspector
�
- . & sea_
APPROVALS Permit.#
52. Poot'& Equipment Location
53. Steol Reinforcement '
54. Forrhs
55. Electricai Bonding �
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Bacl�wash �ines;-P Trap, O Undrgrnd.
61. APP�iOVAL TO-DECK � ' '
62. BacKwash & Receptor-Final �
63. Heater & Vent•Final
64.'Plumbing System - Final - '
65. Electricai-Final
66. Solar SYstem�Final ' '
67. Fencing & Access Approval 3�
68. APPROVED FOR�LASTERING 3 2t
69. POOUSPASYSTE�NSFINAL ���
_ P�RE DEPT. REQUIREMENT
� r
APPROVALS: -.Permit# - -
70. Under9round Hydro
77. ProducEQipingClGas ❑OiI
72. Under9round F{usfi � ,- �
.
.73� Undergrnd.Storage7ank �Gas ❑Oil
74. Overhead Hydro
75. Dry Chemical . - , - -
76. Dry Stand"pipe - ' + _ _
77�. FIXED SYSTEAn FINAL _
7� FIRE PREV. FINAL �
HEALTN DEPT. REQUIREMENT
79. FINAL INSPECTION
80: FOOD CERTIFICATE ISSUE�
Notes: - = - .
. •x _
. � - ^ -
�?
Date
I�
Inspector
A��BM�� 2135 IRIS PL
rNERSNWEIFpIDWN: pETROS ANTHONY L TR
� �op� 2135 I�tIS PL
COSTA MESA,CA 92626
646-7012
wv�. muuxc �noxcss:
NCNrtECT OP FNtlNEEN:
MCN.ON ENG.'S ADDRE55:
UNT:
UNT:
wNmncTarsruxE:ADVANCED POOLS (719)771-1511
ca+m.cToxsuuuxc 1 0 7 B N SHAFFER
�ooxess: ORANGE CA uc.wo.: 309847
92667 uxr:
LICENSED COMRRCTOFS UECL�HATION: I Mreby afl�m uMx parely d pepury tlie� I em IicenxE uMer pwiabna d CAeqm e
(mmmenaiq wnh Section )000) d Division l d Ihe Busimm eM Prdeaeima Code, eM my lioene ie in lull Iwce eM eXed.
c.r+o.:018957 uc.cuss: C-53 uc.No.: 3 -d/)847 EXP�� 0`4/00
e�e: � � � � • ��_ Gomraaor. �� /�fl� ./�v�
NEF BUILDEH DECLAHAPON: I henby elfiim undar periely d perNry �� I em exemp Irom �he Coniredore Licema lew Iw the
�� Ibwiq reeson (�ion )W t.5 Buei�ess arM Profeuiom Code: AnY cry v munry xfiiM iequima e pa�mn io mnawc�. eller, improve.
.femdsh. a repv any atrvnure, ybr b Ia uwerce, ebo �uires IM eppliwu Iw euch pemN �o fib e epiwE Natemem thm M a ahe
h IicemeE W�s��e^� �o Ihe pw'aiom d tlro Conlradan I.icenae lew �Cheqm g(mmmmvnp wilh Setlion )OW) d Oweion � d tAe
Businem eM Prdeseuns Cale� or Ihtl he or ehe ia eRempt IM1xahom enE ��e Eavh Iw the ellapad e�emqion. My volelion d Sedion
)031.5 by arry eppliunl iw a pmmn wbpea tAe eppliceni �o e tivi perelry d M mas ihen INe hundreE dollen �55001).
� I, es owrer d IM poperlY w my empbyeee wuA wegea ea �hei ede eamperePobn, will Eo Na vroM, eM tha evunun o ewl inbMod
or dlered Iw ede (Senan ]Oa<. Busnme end Proleasiona Code: The Contreaon Limnae Lew doee nM epply lo en owner M prope�ty
who bu]Ea n mpwae iM1ereon, ud Ma doea eutli wak NmveX a hene� a �hrpph ho a hm own empla�eas, pwided Ihe� wch
�mwo�„m,m. �a �i m�a�eae «on�e i« �. n. nowa«. m. w�u��u a mw�.m w.aa wnnm oo. r�, a wmd.�m, we
ow�.,�nwa« �;n ne�e ma n�b,� d p�me na a. �,e ew �a n�ad « �mo� i« me vu�a a.�).
e
❑ I. ea oxner d iM P'We�7. em u luw.eN mnvmiq wilh lican�ed cantreMm io mmua Ur p9� (Sedian 1M1. Bwir�e uM
Proleaeiwn Code: TM Conlredae Licensa Law daea ml epply b an owner d qopeny who W iNa w impovx IM�eon erd Ma
convecb fw wW Propds with e oonlreGar(sl IicenseE Wnuent to tM Cantreqae Licenee Lew).
� 1 em axemq undm Section: ' B, d P.C.,1« Na �enm:
�ele: � Ownec
I do Mreby cMiN ��� I em ewere d vM uidaniend the requiremew d Calfwnie HeeAh anE Selety Code Sea'vn 25505. 2553J, aM
2553a, end ihat I m eny lulure buiMinO �Ga^� �II / will nm �urcb one) need to compty wnh ead mete cadm eM �he repuiromenla br
apermnioreonsWdionamodifimtionhantlw�i e�y arapameniDiarid.RmideNielmnaliutlionappiraioeueramemqlmm�hoss
proNsrone.
Deta: Aoo�' �:
W OHKER'S COMPENSATION DECUNATON: I hereby elfirm uMer panMy d parjury wroW IM /dlowiip EeWrelione:
❑ I hevs eM wJ meimm� e cmlM'rale G oonseni to ceHinwro tor waken'rompeneetion, m pwksE lor by Seabn �)W d tha lebw
�_77cod., ia ins wno��e w in, � i«.�m�n my w�u �. �o�e.
`+( I hew eM wiY meintan wohsis' mmpenee�ion ineurv�m, u reQuired by Sadim 3]00 d �he Lebor Cotle, br iM pe�lamence d ihs
1work lor xhrh thie pertnn is i�evad My wakere compenamion iruurerce cerrier eM pdi�y number ere
c�a�: STATE FUND EXPIRES
Pakr N�mn�,: ���5 0 7/ 01 / 9 7
(This secfion neeE nW 6a cvmp/ereJ / Ihe pemie ia M one hundie0 ddbrs /SI W) a 1w.)
� I ce�ly Ihet in ihe pa�iwmeze d ihe waM lor whch thie pam�il ia ieeueE. I ehell nM emD �Y eon in eny menner w ea to
bacama subptl lo iM �wkere' compense�bn levn d Celilanb, pree thm if I uM ome abje�f lo IM workeie'
mperuelion provisiona d Sedion 9J00 M Ihe Lebor Cada. I eh� wilh ca A/ xil 1 Wb e.
nva;�,n i
Ws Iny: Fellun ro�xun wortx�' compxrutlon rovenp� b unlewlu( antl �NII subNtt en �mployN ro ctlmlm/ pemrou an0
l fln�a up ro on� Fu�tlM thouund dWYn (3f00.000), M WOltlon ro M� ro�f ol romp�ufbn, Wm�p� �� provlAM br In
Sxtlon 3)W ol IM labor Cotls. Intwsst, �nd ettomsY'� lesa.
CONSTRUCTION LENDINO AOENCY: I Mmby eXirm under penely o/ perjury Ihd �hen e e mnetmdion lendinp epenry fa Ihe
peAwmeMe d �he v.wk la whiM ��e pem+i u owsd (�� �l. CH. CI.
LENUEfl'S NANE:
LENOEN'S �ODflE55:
I caMiy tMt I hera reed thia epplceii nma ihm i�e ebove inlormalion ie cortea. I epree io mmON �h ell cry eM mumy oNinarKe�
vMeietelevnmlelNgtobuiW' av enEherebyau�horaeropasanietiveaolthivalyloenteruponiheabova�mentbneEpropeM
i« �mc«�o� wmos.n. — - - ^ — — --- ---
�5151d6.WP) WAne-Buildiq 8 SN&y; OreemFle; Carary-AppGant: Pink-Hevenue: CaddoniaJ-Nseamr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: E 076514
PERMIT NO: E 076514 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : REPLACE ELECTRICAL FOR POOL SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: REF: B-76513
***itat*�r�t�tat+eftifit�tat***�+t�+t*at***it*at*�r***�at�**�at�*at*at�**at�at****�tat*���it*itatit*�at**�+� �*+�
Z O N I N G R E Q U I R E M E N T S
ssTBAcxs
------------ 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 AEQ: PROV: PARCEL: 42615130 ZNE: REF NO:
PLANNING NOTES>
� ' �
1E if 1E iE if 1E iE 1f ik iE iF if 1E iE M if 4 iE if iE iE IE iE 1E iE 1f if if iF if If IE IE 1E 1E iE 1f M 1E 1E M if if IE if IE iE IE iE 1E IE 1P 161f If IF iE ik IE IE iE if If 1E 1F iF 1E IE IE iE if 1E If if If iE aE IP if
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 HY : ' DATE: Q
APPLICATION ISSUED 8Y: "� DATE: �' 2 Z l'6
IE1fif1fif1E1fiE1k1fiF1kif1fiklEiFiE1FiI�1f1E iElfiFiflEiEiEiEiEiE iEik
LEGALIZATION:N F E'E S U M M A R Y STRUCTURAL S GMENT:N
HLDG PMT PLUMHING ELECTRIC MECHANIC FIAE SMIP/RES GRADING
PERMIT 30.00
503
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 30.00 15.00 0.00
REVENUE DIVISZON TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECAANIC
45,��
SMIP/NON—RES
TOTAL PAID DUE
45.00 45.00 ,00
45.00 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
IE iE 1E 1E iE 1E 1E iE 1k ik if if ik ik if IE fF iE if iE if ik i!'lE iE 1E if IE 1E if 1E 1f 1E IE 1! iE 41f fE IE 1k 1E 1f 1f 1E 1f 1E i! fE If 1E 1E fE 1k 1E 1E IE 1f iE 1E iE iE 1E 1f iE IE it iE it iE iE �t iE iE 1E IE iE iE 3E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 30.00 30.00
END OF FEES
C,;TEc u.',:.. - ' *i�; .���� . - .
I CONSTRUCTION AND PLAN,NING
APPROVALS Permit #
t?Temporary Electrical Serviceor PoFe
3. Soii Pipe-Undrgrnd. �
n3: Elextrical Conduit liiility-Undrgrnd.
� �.�4. �lectrical CondulYUndr9md. �
5. Steel Reinforcement
6. Electrical UPERGrnd.
a-._Footings � r- �
8. Foundation - -
-9. Water Pipe-Undrgmd. �! '
10. Structural Floor System
11. Property Sewer Line & Houset;onnection
12. Sewer CaP .
13. Roof Drains '
74. Rough Plumbing - .
15. Rough Elettricai-Conduit ,.
i6. Rough EleCtricVdiring
17. Ro�gh Wiring Sign
78. Rough Electrical•T Bar Ceiling
19. Rough Heating & Air Conditioning
20. �2ough Factory Fir.eplace - -
27. Ducts, in�5truoture � ' ' " -
22. Ducts, Ventileting:. � ' -
23. Gas Pipe•Rou9h & Test ..
r- -
24. Roof-Fram�ng ' � - ' �
25. Roof Sheathing - � �
26. T-8ar Ceiling (Structurail & Mono`coat
27. Frame and Flashing . •
' 29. Lathing & Siding � � "r � _
29. Insulation� � '
30. Drywall Nailing
31. Plaster Brown Coat
� 32. Electrical Power Mete�rFinal '
= 33. Final Electric � :*+ . �
34. finaFHeating & Air ConditionirKj � y
35. F�nai Gas PiPe•Test . - ..
-'36. Hyod or �anoPY _ .., - e.
s - .�
37. Finaf�Fac(o�Y Fireplace ^ - .- -
_ 38. Final Plumb�ng _ -
39. Water Service-Final .,
' 40. Gas Service-Final ' ^
'41. Solar pomesticFinal, � . '
42. Backflow Preventer
43. Backflow Irrigation _ � '
44. Landscape IrriGation Syscem � �'
45. Sound Attenuation �- .
4b. Handicap Regulations '_
47. FINAL STRUCTURE & BUIt'[}ING
48. FINAL PLANNING � '
49. Electric Release to Edison
50. Gas Re4eas¢ to $eutirem California Gas Cx
51. CERTIFICATE OF OCCUPANCY
No. Date
� a sPn
Date Inspector � qppROVALS P '# " Date
t
� n
,r,
�
ermit
52. Pool & Equipment Location � �
53. Steel Reinforcement .
54. Forms
;� 55. Electrical Bonding
'�
56. Rough Plumbing & Pressure Test
5J. APPROVALTOCOVEfi�GUNiTE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, O Undfgrnd., Test �.
i
60. Backwash Liner, P-Trap, O Un�drgrnd.
61. APPROVAL TQ bECK •
62. Backwash & Receptor�Final
63. Heater & VenbFinal
64. Plumbing Sys[em � Final �
65. Electrical-Final _ '
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FQ}i PLA5TERING
69. POOI/SPASYSTEMSFINAL
,. � _ PI�iE DEPT..REQUIREMENT ,
- : - APPROVQL-S,-,- Pe�mit # � �
- "` 70. Undergr�uad H�+dro :
77. Product P�ping O Gas � Oil
_ 72. Undergr�und Fiush �
;
- � 73. Under9rnd.StoragETanW.OGas ❑Oil
� ` 74. Overhead HVdro_ ;�
� r 75-. Dry Chemical - � -
� � 76. Dry Star�,dPiPe !,"� k '
��� 77; FIXED$YSTEf'vl'FINAL- -
� 7� FIRE PREV. FINAL �
- HEALTH pEPT. REQUIf�EMENT
' 79. FINAL 139SPECTION `. _
�' 8Q' F000 CERTiFICAYE iSSUED
NotBs: " � -' '
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•: - - � '
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Inspector
wonessaFem�axc: z135 ZRIS PL
"""Eas"""E"'wmp": pETROS, ANTHONY L TR
�' A0°"�' 213 5 I R I S B I,.-. '
COSTA MESFi,CA 92626
�vv�. wuwic �oo�u:
646-7012
ANCXRECT OP FNOPlEER:
wcx. oa u+o: s �ooxess:
���T�� ADVANCED POOI,S
caxrn�cTorcs�uw+o 1078 N SHAFFER
uc. w.:
UNT:
l3T
urrt:
(714)771-1511
mw�ss ORANGE CA �.�= 304847
92667 uur:
110EN5E0 COMP�CTOFS DECLAflATION: I Mrsby eflim �Mu peroly tl pvjury Na I em IicaiueE udw pra�ia'vn at GMpr 9
(canmendM wilh Seciion )000) d Oivuion � d �he Buvima aM Pmimebna Code. ud mY limnee b in lull tacs erd Ntsa.
cm .w.:018957 uc.cuss: C-53 uc." 04847'/ P 00/00
o � c�a�: ��// QG(/
� N BUIL�Efl OECIAflRTION: I MrtGy elfirm undor peiuly d perj.m� Ilw 1 em eRemq tmm ihe Corurmon liroroe lew ta tM
bxip raewn (Seaion )OJ1.5 Bue'vime ard Pmlaseions Code: Rp ceY a counry �^'Aid� nVuirae e pa�mA to arabucl. ellar. improve.
mdeh, a rapv ury ebuaura, p'v to ie uwenoe, ebo m�uim the epplirem la wch �wmb io fib a eqred swemen� iM� ha a eM
'o IicenaeE W�eni to �M prwivai� W ihe Comreeae linnae law ICheqm 9(�mena�q wiih Seqion ]000) d Drveion � d ihe
Busineaa eM Vrdasaione COEe� or �hei he a ehe ie axemq Ihnahom end ihe besn ta �M elleped uamptun. My videiun d Sepion
1W t.5 by eny eppWanl �w e permil wEjotlf IM epd� �o e wrJ penaAy d M mae IMn INe huMre� Edlan �5500��.
� I, m owner W Iha D�Wer1Y a my empbyeee w'� wepea ai ihei ede eompeneetion, Mill do Ne wak. eM Ne avunure u ew� imeMed
or otterad Iw mla (Sec�ion ]06a.6usirow end PrWeesime Cada: The Goniredon License lawtloea nM epply�o en owner d propeily
wln buiM a inqwm Iheimn, erd Ma doee euch v.wk NmeMl p henel a Nraph he a har own empbyeas, povided thet wch
impwemenb ere rwi imaMad a dlerad lor eab, tl. M1owever. tM DuiNirp a inpovmmenl ie eok wn�in one Y� d mmpinbn. iM
owner�EuiNar will heve Ihe EUNen d provirp ha or eM Ek mt WiW or improw la Iha puepoae W sele).
� 1. at o�mer d Itw qWeM. em utl�ervdY coniree�q ailh lioenaed oonvecias io wn9rud iM pM� (Seqion ]Oaa. Bwirbfa aM
Pmlewione GoEe: The Conireaon Licenw Lew daee na eppF� io en owner W pope�Y � b�iNa a impoves tharaon eM who
convecblorewb pml�e wdh e mmredor(n�IbeneeE ounuenllolhe Conlredon Lioense Lew�.
� I em e�emq uMer Senion: B. 8 P C.. la Nia reeaon:
Da1e: . __ W.+�a.:
cenity Ihe� I em ewaro d eM
�hel I a eny lulure Wiki,p a
e
ceieome �m �d sd�caea �e� zsws, zssaa, ,�e
neaC lo camply w1� bte�e es eM IM rtQuiremmle lar
+{a.Reeidmiielmrx rsW�+erauemqlromtMea
oae: ��I�iFi_�l^od
WORNEP'S COMPENSRTION OECL�flRiION: I hereby dfirm urdar pereXy d pajury me M Ilw Idlovriiq Aetleretbna:
❑. Iuva erd rN meiMein a cenArela d muent lo eetlJnaun lar waken' mnpenie�on. es pwiEeE la Ey SeUon 3)OD d IM leba
oda. la iM qAamencs d Ne wM la wlich ihia permn u muM. e
i naro �e.�� �m.:,.�n oomc«���� ��„�. m.�a�nee nr saa� s�oo a e,e �e« cma. w ina v��� a n»
ak la whN ihie VamN b baued. MY wvFina' odnVeme�ion irourerca cerr'nr end VarY wmbr ve:
c�«: STATE FUND EXPIRES
va�rmmn«: �7S'S _ — 07/O1/97
(This senron meE iw! 6e mnde�eE / �M 0�� u la aro �wdm! JWus /i�W/ w 1esa.)
� I cen/Y � in ine p«formence d ihe wwk la xT'rh thia pamie ia iaued. 1 dWl np mm erry ' enY man'wr w m to
e«� wqm iu in. �.• m�nw'v� r.. a cva«�q,��m� ug�a i_ m me .,awa.•
iYeminD: F�llun ro��cvn roik�ri romynnutlon covo�p� b unlawNl. �ntl �Iu/b�.EN /oyo ro ctlMml pxultlu mO
uh� mw �y ro a» mnerw mouuro dwqn (sfoqoonA �n �eemP m� cwt o� �vpa a povw�e ror in
�Sxtlm���� L�NyCotl�. IirtwuL uM �ttumry'i Iw�.
CONS CTIO LFl7DING �OENCY: I Mmby elfirm uMm porieliy d perjury �het IMre b e wisvutlbn WNing epeM.y Ior Ne
aertamar� d �n. woh �« .rnia� mv wm� e ewee Isaem ao6�. cH. cl. �
LENDEF'S NAME: � �
LRlDEH'S�OUNE55: L' " .. ��
�. . h
I ceniN �� I liave read �hie epplicetion eM cima �Aei i�e eEova iMametqn ia mrtm. I eproe �o comOM ��A eA rny eM munry oMinenms
erda�alelewfrele�iqloWiN�pcantlr - tlMrebyeNhoriiorepewnle�ivaedlM1iealyloeNeruponlheebv+e-menlunadp�operry
lor ireped'wn pupoaea. .
^ TO��NK - ,'rl
�� �
�Gj '. �om d•22-�'.l
e
(5t51�a6WG) Whne-Buildip85efery;�ra�i.File:Genery-Applrant;Pink-Revenue:Oddanrotl-Aaseaaa
PERMIT NO: P
CITY OF COSTA MESA — BUILDING PERMIT
076515 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOB DESCRIPTION ; REPLACE PLUMHING FOR POOL
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 076515
GOVT; N SUPP: N
PURPOSE; OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: REF: B-76513
�*��rx��e� �e�+e*�*�*��r��**��������x��+�+�***�**�*�r*�*�**�+r�r***�+��rx�x**�r�e�r*��**�r�*�r**��
Z O N I N G R E Q U I R E M E N T S
S E T 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: 426151•3�0 ZNE: REF NO:
PLANNING NbTES> .
i
IE iE 1E'lE iI' 1E iE iE iE if if if if 1i 1F if if iE 1f if If 1f 1ElE if 1f if iI' iE ik k 14 ih 1h �E 1%iI' ih'lI' 1E iE IE iE iE iE IE iE if if if iF 1f ik 1F ii' ih 1E 1h 1I' 1f il' IE iI' if if if 1k ih if iI' 1I"IE if if 1E if if iE if
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 HY : DATE:
APPLICATION ISSUED BY: /'�. DATE; � �6
1EiE1fiE1E1EiE1ElkiEiFlEIE1E1E1E1E1E1f1E1EiEiF�FiF3FiFiF7F'iFiF7FiF�F7F�FiF3F�iF{F{F�F7F�FTfTF'if�F�ETFiFiFiF�F7F1E1E1k1Eiflffflh�E'lE 'N�iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
v,. _.
PERMIT HLDG PMT PLUMBIoo ELECTRIC MECHANIC FIRE SMIP/RES GRADING
253 �•. ��' �^ SMIP/NON—RES
PLAN �� ;
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PliEAN�CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 27.00 OVER/SfiORT: 00
BLDG PMT PLUMHING ELECTRIC MECHAN�IC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00
!E 1E IE 1E 1f fE fE 1F 1E 1E 1E iE iE iE IE if 1E fE 1E 1E iE iE 1E IE IE 1E 1E 1E 1E 1E fElF 1E 1ElE iE iE 1f 1E 1F if 1F iF iF iE fF 1E iE If M Ik fE 1E 1E!! iE 4!E 1E 1! k 1ElE 1f tf 1f iE ik �f 1E 1E iF 1F 7f 1E iE 1E IE iE
I N D I V I D U A L� 'F..fE E H 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
PLU 1 SWIMMING POOL �� �� 7.00 7,00
END OF.` FEES
� �i
/ .� .
r
� ��
� `� !.
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:i GC_.� _.��,:Y� "� :_.�'
,��r_: n� . � - . . .,
CONSTRUGTION AND PLANNING . � . ' & SPA � � I
qPPROVALS Permit # � r �ate tnspectos qppROVALS Permit <# Date Inspector
7.� Temporery Electrical Service or Pole 52. Pooi & Equipment Location • �
7
�1, Soil Pipe-Undrgrnd. 53. Ste21 Reinforcement � .
3:�ElectricalConduiSlkijity�Undrgrnd. 54. Foims . -
- 4. Electrical Conduitrtindrgmd. 55. E�ectrical Bonding
'5.. Steel Reinforcemem 56. Rough Piumbing & Pressure Test '� �� �6' ,
6�.- Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
. �
�."Footings ' 56. Electrical Conduit-Undrgrnd. .
� 8,�'Foundation • � 59. Gas Pipe, O Undrgrnd., TeSt � f�.�'x�, '
9. Water Pipe�Undrgrnd. .^ 60.. Baqfcwash Lines, P:Trap, � Uridrgrnd. �,��
t0. Structural Floor System � ' 61. APPi?OVAL TO (IECK ' •
11, property Sewer Line & House �onnection 62. Backwash & ReceptorPinal
12. $ewer Cap � , � 63. Hea(er & Vent-Final • �
13. Roof Orains _ 64. Plumbing System • Final ; � �_�1 "�� �
74. Rough Plumbing 65. Hectricai-Final �� � .�
15. Pough Electricat-Eondua - 66. Solar SYstem-Final �
16. Rough Electric Wirin�� , 67. Fencing & Access A�proval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL +
19. Rough Heating & Air Conditioning FIRE D�PT. REQUIREMENT _ �
2D. Rou9h FaCiory Fireptace ' I �. •APPRDVALS�. . Peimit# �
i
21. Ducts, in StruCture� •�� � 70. Underg7ound Hydro
22. Duccs. Ventilating " " 71. Product Piping O6.s ❑Oil
23. Gas Pipe-Rough & Test � • 72. Underground FlusFi -
24. Roof Frarnin9 � . � � . 73 - Undergrnd. Storage Tank O Gas ❑ Oi�
25. Roof:Sheathing � 74: Overhead Hydro
26. Y�Bar Ceiling {Structural) & Nlonocoat ,. ' 75:-Dry Chemical � �.
Z7, Frame and Flashing � �� . - 76. Dry Stanifpipe ��
-ZS. La2hing & Siding , � - „ � " 77. FIXED SYSTEM�FINAL
29. Insulation � _ � 78, FIRE PREV. FINAL '
30. Dry�vaH Nailing ` �_ liEAITH DEPT. REQUiR.EMENT
31, plaster Brown Coat �_ - . 79. PINAL IRIBPECTION �
-�32. �lectrical Ppwer Mecer-�ipal � 80?'FOOD CERTIFICRTE I$SUED
33. �inai Eleciric �- � - . Notes: �_`� /_C� � ���� i/ _
GQ G
34. Final'Heat'tng & Air Conditioning�'� ' -
- 4� � �-�:�vL,�� �-'�
35. ��nal Gas Pipe-Test " � . - � �� _ � . ' � '
_ �� ��- ���"� - -- . �
' 36. Hood or ('anopy - ' --�
37. Final PactorV Fireolace
38. Final Plumhing - - -� ��
39. Water Service�final . ' ��
� 40. Gas Service-Pinal . ' -�-
47. Solar pomesticFinal _ _ - • �� -
42. 9ackflow Preventer �.
y ,
43. Backflow Irrigation � i . �
q4. l.andscape Irrigation System ' • � ' � ' � � . �� .. _ � .- �
45. 5ou�d Attentration � » . , � - " .
46. Handicap Regulationr - � �
47. FINALSTRUCTURF&BUILDWG " �y- 1 ,
48. FINAL PLANNING - - ' - � � � " ` '
qg, plectric Release to Edison
50. Gas Release to Southern Calitor�ia Gas Co ' - - - ' '
- � _ . .
St. CERTiFICATE OF OCCUPANCY _
No. Date
Februt�rr 5, 19b3
Authon,y l�uole
5871 Firestone Hou].evazd
South Gate, CaLifornia
Qentlemen:
Thie depart�nt is in receipt oP s ic� st rnport
(1fl88 p31 instead of the rnquired 2000 pai) on the p being
emistructed Yor Thomas S`�reet].snd, located et 2135 Iris e,
Coeta Mesa� Californig..
It hrst3 also been noted oa a rnl. occasions in .
the past, tests on other goola construct thin the City oP
Co�ta 2�etsa, have �ust ex the required pai. _
�
You axe hernby sed that, ia the Pliture� aqy
loEr test reporE vriil xequire c tests be token.
� ��'�I � 6�h
� � Youre truly� � _
. MICH/►EL BINGHt1M '`\�
Suildiag OfPicial �
bY
- Edvraxl P. Horracke
Deputy.Building Officicil.
EPS:cltt
Test made for
�� �
� L A B O Rr AT O R 1 E 5,1 Nc.�
Jeefin9 and�nspec[ion C�n9ineere
Job Identification
Location in Structure
Laboratory Number
Mark
Date moulded
Date tested
Age, days
Weight per cu. ft., lbs.
Dimeneiona,(inches)
Area,aq.in. '
Compressive Strength
Total � oad lbs.
Lbe. per eq. in.
MIX: 1
Cement
Sand
No. 4
No. 3
No. 2
Water
COMPRESSION TEST REPORT
Anthony Poolso, 5871 Firestone Blvd., South Gate
?_135 IF.I�S PLACE, , Cosb Mesa
Gl?NI TE
LA$OSd9T�DRY DATA
70557 70558
1 2
1/4/63 1/4
1/11/63 2/1
7 2�?
6.1x12,2 6.2x12.1
29>22 30,19
3e,5oo 57,000
1,.318 1,$$8
FIELD DATA
4-1/2
Fermanente T
iThomas Sweetland)
7055gA
3
1/4
z/15
42
6,1x12.1
29.22
60,U00
2,053
FF8 'va
C� '�<4
�o f�o ,
&i��d�n sra �
� e ��'pt
Spuclfied Sti�ength �a 2s days ?_000#
Slump
A d�uixture
Ready llix 1'lant
Cy�is. n,ade b�- Carl Nassey (Nozzleman)
Date cyls. deGvered Builders Fickup 1/7/63
2- P.r:thony Pools
�--i- Costa A^esa Bldg. Dept,
1- tNm. S. A4iller
901 Eo 6Eth Ste, Inglewa�d
�•e%'ci-G
CF-4 � � „"�
.�-�'
Respectfully submitted,
RAIbf01VD G. OSI30R1rE LABORA'I'ORIF.S, Inc.
/� ,f/�
BY-.__..../'S_!__��L.--L._ ;.�.w•..::--_"---'R-----------
235 W ES"I" TW ENTY-SEV ENTH 57 E'i • L.OS ANGELES 7. CALIFOf7NIA • RlcnntoHo 9�3 7 11
AVP��cant to fill in all
� CITY JF COSTA'MESA (� PERMIT N�C
CONSTRUCTION PERMIT � f'C -
Contrector l ' ' Phone��
.ICENSED CONTRACTON DECLARATION� -
herebv affirm th:.t I am Iicensetl untler prpy�sions of Charter 9
Signatuie — _
ATION DECLA A ON
hdve a Certlfic e f consent to zelf-Insure or
Comoensation ns�xapce,>or�a certifletl cDl
�rtler lines antl zign all approp�iate Eetla�atlan!
TRACT NO. LOT N� BLDG. NO.
�
TVPE OF CONSTRUCTION . �
�NEW ❑,ADD ❑ ALTERATION
❑ REPAIR O CONVERSION ❑DEMOLISH
❑ OTHER �
DESCRIPTION OF WORK -
TVPE OF PERMIT •
❑ GRADING. ❑ FOl1NOATION ❑ STRUCTVRAL
❑ TENANT�ELECTRICAL �PLUMBING ❑MECHAI
❑ OTHER
' PROJECT DESCRIPTION _ �
SQ. FT. _
� OCCUPANCV_CONST,RUCTION TVPE
VALUATION � ��ZONE
� GRADWG CV. VOS. ACRES
,.,_.twv No. / li ��w N ComPanv Zl�4nNr s�i ...
❑ Certifi¢tl COpy IS her@by furnl5hetl. .. REMARKS: '
�CerHfletl copY B filetl with the�dty 6ufltlinq �ivisfan. ,
EXEMPTIOfJ F0.0M WORKERS' COMPENSATION DECIARATION - '-
(7hls 58<tlon neeC not be compl¢t¢tl if tne pe�mit i5 fOr one huntlretl
(5300) or less). ' i
I certify thd[ in the per(ormance of the work tor which this permit i5
issuetl, I shall not emPloy any person in any manner so as to be<ome PLUMBING• .
subject lo the Workers Compensation Laws of California. ' .
Ddt¢ $IgnaturE BATHTU65
NOTICE: H af[er making this tleUaration, you shoultl become subject T�iLETS
to tha Workers' CompensaUon provisions o( the Labor Cotle, you must � �
fo�thwith comply with such p�ovlSiOns o� this permit Shall be tleemetl LAVATORIE$
revokotl. - . _ . _
CONSTRUCTION LENDING AGENCV KIT.SINKS
I h¢teby afflrm that th¢�e Is a Const�uction lentling agenGy fo� lhe per- SERV ICE SINKS
b�mance of the work for which this permit is issuetl (Sectlon 3097
�.CIv.JC)" "'_' "" . . . _ FLOOR SINKS ,
Lentler's Atltlress
OWNER BUILDER DECLARATION " "' -
I hereby affirm lhat I drry exempt trom the Cont�acto�'S Lic¢n5! Law ior
t�e followin9 reason ($��tlon 7031.5 Businesran0 Professions Cotle:
Any city or coun[y �yhich repuires a permi[ to conslruct, al[aq
'Improva, tlemollsn or r@palr any structure, prior to'Its Issuance, al5o re-
qulres lhC ap411cant for suctt permit lo file a zignetl statement thal he
k IlcenSetl'pursuant to the prOVislon5 of the' ConVactor'S License Law
�pter 9(Commencing witM1 Soction 7000) of DlviSion 3 of tbe
�ess antl Professions Cotle)'or that lie is'ezempt therefrom antl lhe
, for the alle9etl ekemption. Any violation of Sectlon �031.5 by
a��y appliGant for"a"p@rmlt subjecis the apPlicant to a Clvll penalty
of not more than five nundretl tlollars ($500).
❑ I. as owne� o( Ihe orooertv. or mv emolo'vees with waaes a5 lhelr
or otferetl for sale. (SeCtion 7044, Buziness antl Pro(essions Cotle: The
ConlydCtOr's Llcense.Lqw tloe5 nol apply to an owne� o( a OrOperty
wh0 builtls or irt�Proves tberlon, antl who tloes such work hlm5elt or
thrOu9h his own Gmploy¢e5, prOWdetl Ihdl such improv¢Ten[s are nOt
intentletl or Otle�etl lor Shce. If, however, the builtling or Improvement
is soltl wilnln one.year oi completion, [he owner will have tne burtlen
of p/oving he tlitl no( builtl or iTP�ove for the purpo5e oi salo).
❑'1, as ownEr of the property, am extluzivery conVacling wilh
IicenSetl <Ont�aclo�s to wnsVucl lhe project (Section ]044, Buslnes5
antl P/otessions Cotle:-7he Coniractor's License-Law�tloes not apply to
an owner ol prOperty �vho build5 0� improves tM1ereon, antl who <on-
Vacti from such proj4cls�with a contractor(s) IitCsnetl-pursuanl to
[he Contraclor's License Law).
❑ f am exem0� untler $¢�tlon � B. & P. C. lor this
rea5on ' ' ' - ' -
Date Owner
reatl this application and stat< that the
agr¢e- to comply with all Ci[y antl c
^Ialing to construction, antl hereby aut
'ty to enter upon/the above men
DRI
SWIMMING POOL
WATER SERVICE
GAS SERV ICE
PLANCHECK
URINAlS-�
OOUBLE LAVS
�'DISHWASHERS'
SUMPS— '
FLOOR DRAINS
CLARIFIERS
P�TRAP
11LTERATION
BTU OUTPUT
SEWERCONNECTIONS ��j'�-" "'--
SOLi1R TANK— 'X � COLCECT�
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PLANCHE
HEATING $YSTEM 0-300,000 BTU
ANDDUCTING 100,000+BTU
REFRIGERATION 0-300,000 BTU
SVSTEM ' 300,000+BTU
BOILERS BTU
SYSTEM REPAIR, ALTERATION
EXHAUSTSVSTEM MULTIPLI
$ignatura ' � ""� " — ate
Orivers' Lic 5e�or 55 � �SSUE FEE � -- -�-
GMF 0865-46 White-Builtling; Canary-Applicant; Pink-Ac ounting; Goltlenrotl-Assessor
. 9400 12/II/81. f• ��
� ^ � .
ZONING REGULATIONS
A.P. q,
� ZONE
REAR VARD (TO
PVCG. SPACE RE�.
ZONING APPROVED BV
SPpCIAL CONDITIONS:
Rg�E/F�. p�
IPE,RT VNLI NE�
,PROVIDED �
PARK FEE E �
DATE
. 1
ELECTRICAL PLAN C
GENERATOR 0-1 KW_ 1-30 KW _
TRqNSFORMER
APPLIANCE- '"30-50 KW 50 + KW _
MOTORS - 0-I HP 1d0 HP
-�1NC.SOIAR) � 30-SOHP�y50+HP_
FIXTURES- OUTlLETS SWITCHES"'
'GASTUBE'SIGNS ' . - -'-
POLE LIGHTS ' - - - ' '
�- •
�� ���
��� d��3!Z/y�
�-
�. �' `.r
� SUB
, SUB
ISSUE FEE " - - '
'/, APPLICATION APPROVED BV - "DHTE- —
SUMMARV OF FEES . ,
BUIt_DING"' ' � --
PERMIT E �SMIP �S
PLAN CHECK E � PERMIT ' � '
-0SSUANCE $ -
PLVMBING $� � �
GRADING $
PLANCHECK'.$ � - �
-ELECTRICAL $� � �$ . �
PLAN CHECK "$ MICROFI WI $' q�
-MECHANICAL' $ - - . TOTAVFEE$ "t
PLAN CHECK' $- - LE55 AD- _ �
VANCEPC $- ' (�
.. . . . . . . . �) f
O ✓
,_,,, FINAL FEE 5
,
CONSTRUCTION AND PLANNING
VALS Permit # �
emporary Electrical Service or Pole
6. t�ectrmai urtN Grn
7. Footinqs
8. Foundation
9. Water Pipe-Undrgrn,
10. Structural Floor System
11 . Property Sewer Line & House Cc
12. Street Sewer Connection�
13. Rough Plumbing
14. Rough Electric-Conduit
15. Rough Electric-Wiring
i 6. Rough Heating & Air Conditioni
17. Ducts, in Structure
78. Ducts, Ventilating
19. Gas Pipe-Rough & Test
20. Roof Framing
_ 21.. Roof Sheathin `��'�`
� �-22. -Frame and Flashin
� 23. Insulation -
' 24. Lathing & Siding
25. Drywall Nailing .
, 26. Plaster Brown Coat
27. Electrical Power Meter-Final
, . 28. Final Electric '• 1 �
- 29:• Final Heating &+Air•Condifionin
30. Final Gas Pipe-Test
31. Final Plumbing
�-�32: - Water Service-Final
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation
37. Handicao Requlations � � 1•
40. tlectric Helease to Edison
41. Gas Release to Southern California
42. CERTIFICATE OF OCCUPANCY
� '.
' �- � No � Date
� . ..e,�.
�
POOL & SPA � �
Date Inspector qppROVALS Permit #' ' ' � �Datetl Inspector
- �„
43. Pool & Equipmerit Location ' - ' } - � � • �
44• Steel Reinforcement . . - ' - -
45. Porms ' • - - - ' ' '
46. Electrical Bondin t`- -� - � - - - -r-� _ �...,, a •""
47. Rough Plumbin Pressuie Test
' 48. AFFROVALTOCOVER-GUNITE r"'
� 49. Electrical Conduit-Undr m
50. Gas Pipe. ❑ Undrarn,�Test . ' ' ' . . `.
• � '«
�:
" � -
� 54. Heater & Vent-Fin�
Stem '
�56. Hectrical-Final
-57. �-Solar-Svstem-Final
60. POOL/SPA SYSTEMS FINAL
NOTES: � T D �
P' � '. � . '
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I � �/�Ilc�r Cn iinccr6no
/ � �
27972 Forbes Rd. Unit 3, Laguna Niguel, Ca 92677
(714) 831-9391
��
� ,
,� .
.
Co�tractor's State License No. 6367430 /
Name ���/� � ���U� - Date �
�' �. . � _ •
Address
Home
Business Pho
Age of Pool
Swimming Season
Spa
Filter Type
Voltage � ��
TypeofRoof 5����
Roof Pitch 3 — ��
Bank Pack �0
Type of Ceiling �•�� �P►��-
� So� �R� �1N � ���e.cTo�.I
M ap
Size of Pool
Desired Temperature
Pool Service
H. P.
Heater
Roof Condition ��%�
Split Pack %Uv
Pipe Length ���
Trenching (���%�
�(ime�G i c,vt�J 1 Z.t� q w c_ S�o r..� �=
� � �
�X �sT�N(r`�ooL
, � �
� � ;
So�ac
APPROVEp
cirr oF cos�� ��sA
Mechanical Division
Building Depariment
i �,. '..-••�Dote /a{
North
(��N t �2S orJ C9�.�.�$i
� �R�RC� u(� lU
0
S�sle .w�
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So�wc �c�uo- rnl I scx.wc ���
J' �
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0
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11f #' �a005'
NUMBER MUST ACC PANY
L TION REQUE TS
SKETCH OF SITE
South
,LII..WCC �j
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N�rn
�hieE
C �rr
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S'�A N D(� �.D 1�LF►J �� 3-13 �
Fo1C �
�1orWa-rp� SRsr�ms
27972 Forbes Road, Unit A
Laguna Niguel, Calitomia 92677
(77a) 831-9397 • Contiactors Lic. �387279
��rt ii �� uAcs A /C44
l.cr T,e �.r_
Zi��b� G� �/%�
$PECIF�CATIUNS:
wo, ..+v amn
� ��
NaunoF
mn r•m
ran
T. 8 P.
N�pple Sp�eetl:
• Coltl In — Not Oui: 8"
• Coiiector In — Collector
Oul: 8"
All R'ater Connectiors Are
3%4" N.�.T.'
cnra
CDLIL'-G�OfY '. �h�F.UU4J ,]p�iit UU6
PRooe�: SG -15 �Y 12S"
's�14m�:J��2C:,3 rtlLL I��
Cpur[p� i. Y►JD6PENDe� WtE6p
R. �ICIo'�t'rfG i�70�1'lIES
S7otr�eE iaur � Amu�cnrJ PwuAucF
41GQ� — tao�a�
Rec.�w�aT�ou : Geuuros t��
yyy •STqupqLD
P1PE '• i4 �Cocre.vt WI s/4 TNi�uarta
1 ` .,•• • • •_ �••_- r :YOOEL p0 CON7AOL �••••-•,• • w vat twe�+n.p —'
� 'lMVVT AC UNE 'c�w�meucw � `OUTPUT TO LOAU
{'. ~ ._nnw.m °""'w.e ae.,n.wE wwuo
�... itOS1�O VAC ' ' ���� ' ' I/ II �R� ' � Mp1O1LL•O� °i^^R
b.V • W.l.]•
-� 60 !Q I OA MAX. n^"� � i �^'T� ��
• . _ : �,
. ' _ : r'anun � F _ �'
�. MFAY YSi.LL4T10M LIEET -
"JEWMC MTM1O10 CWiMaI.
f�J.LLM�utNUUiiWxfOnv �4r+c�an
�SD:q['lL �MO NEG COD6. . �eSiuim
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'w+�oo.00.or ,
.�t. . _.nvuasa
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art+mn.i .w.o�owrz
b �II�I �.
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; f-' ur¢ � w.n.. iwymn:s. . yr .C-� � �. ;�
.fJS 6�0M'N IN �BGVE p.�OMY.
6'O)IRff MSS1vI�Rfs �:6R1R'�P'.B�Yw • ♦ • •
�,�:,��ewa�swem .IrJ • f . .
P WfiE UIY. '.
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,
LEGEND
1. SOLAR PANEL
'2. VENT VALVENACUUM BREAKER
'3. CONTROL VALVE MODULE
'4. RECIRCULPTION PUMP
'S. DIFFERENTIAL CONTROL
6. WATERTANK
i. COLD IN
8. HOT OUT
'9. TEMPERING VALVE
10. SENSOR MOUNTING STUD
11.TANKSENSOR
72. COLLECTOR SENSOR
73. T 8 P OPENING
14. DRAIN VALVE
15. TANK SENSOR LEAD
16. ELECTRIG BAGK-UP'ELEMEN7
i� NFO��(1CTeT
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r
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!. �i/�n+ru9 u:,.n c"�fcciee�/?..
r'i.�;.:�rn G-en.oE u.��ey, �� .
/� �.. ��
TYPICAL RECOMMENDED
MOUNTING OF SOLAR
PANELS
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Pfl0.1ECTR00flE55: Z13S IR25 PL
OWNEP'S NAME: PETROS TONY
AOUHE55: 2135 I�IJC PL
COSTA MESA,CA
646-7012
}ACNIENGINEEP:
p00flESS:
UNIT:
92627
flEC.NO.:
UNIT:
��PEXMITTEE: HARTKE CONSTRUCTION ( 714 ) 646-9474
nooness: 1948 ANAHEIM AV
COSTA MESA CA 92627
IICEN5E0 CONTPACTOfl OELUMTION: I trcieby aifirm tlut I am Iicense0 wGer Oroh5ron5 0l C ap�er 9(commencinp wii� Sec�ion
7000� ol Orvisfon 3 0l t�e Business an0 Protessions COGe. anG rtry Irt nse is in IN E ett I.
cirr uc.: 0 51 ¢ 3 STAT,E..�LI�C.: O Z S Y 8 � ��S B �
. Date: ' � Gi Cl gignawre:-l�l.�f.l ��.t /
I WOflKEPS' COMPENSRTION OECLABATION: I nereoy allirm that I nave a cenificale of cansent Io seli-insure or a cenificate of Workers'
�.ompensation Insurance. or a tendietl copy Inereol (Settion 3800, lao. C1.
ucvNo.: 1241406-92 EXP.DRTE: O3IOS�93
omenxr: STATE FUND
❑ C¢tlilied copy is here0y IUmis�ea. � C¢tlilietl.Copy iS h1e0 vn��//I�e,Firy), BuilOing rvisi
Oate: �O `� 8 ' � Z �m: � /4� IA f—C . ���-�`" �-M'�/�
EXEMPTION FAOM WOXNEXS' COMPENSITION OECIAMPON: (fhis secti0n neeE na Ue camplele0 il �he pttmt is tor me hunArW �310D) or lus�.
I ce�ity tlial in I�e performance ol I�e work lo� wNcO t�R permii is issued. I Shall no� employ any person in any manner w as to �ecome
Subleci lo the Worker5 ComDensatmn LawS 0� Calilomia.
�ate: Sipnature:
NOTICE: II. aner maWng this Oeclaration. you shoul0 Eewme SuDI�� �o t�e WaAeri CompensaGon provisions of ihe LaUar
Cotle. you musi IonMnth compN �III wU Drpri4om o� �ti5 pErmt stu0 Ce OeemeO revoke0.
CONSTBUCTION LENOING RGENCY: I �ereEy aflirm ttat t�em is a constmction IeMinO aqe�y lor the peAormarKe ol ihe woA lor
whic0 this pe�mil is issu¢a (5¢ction 3W7. Civ. C).
LENOEfl:
FOOflESS:
OWNEB BUILOEB OECUP�TION: I �ereGy allirm ilut 1 am eKempt Irom t�e Comractwi SUte lkense law br �he PollawinA �eamn
(Seclion 70.71.5 Buvneu an0 Pmhssianal CoOe: Any City 01 caunry wNc� reQuires 2 p¢rmit to con5�mci, alter, improve, Oemolish, or
repair any siructure. Orior Io iis is5uance, a150 rEpuires I�e aOW�wnt �or 5ut� Dermit to lile a sign¢E statemeni IAai �Plshe is IicenS¢tl
pursuam io iM Omvsions ol �ne Coniractars' State Lkmx Law (Cnapter 9(mmmencinq xiN SecGon 7000) ol 0ivision 3 of Ihe Business
an0 Pmlessons fAde� or tlu� he/S�e i5 exem0� ��erelmm an0 the CaSiSIOr 1�e alleOeA e.emption. My violation ol Seciion 7031.5 by
any aOVlicant lor a Dermit SUElectS Ihe applitant Io a Civil penalty ol not mort tllan live �uMreO tldlars (E50Ip.
I, as owner of Ihe pmpeny or rtry em loyees wil� wapes as tAeir sole compensation, will do tAe wark, anA ihe
� simcture is not intenCeO ar affereG for ule (�tion 7Md, Buvness anU Prolessional CoAe: TOe Coniracrors' Sute License Law
aoes nol aoCly lo an owner ol a pmpeny wM Ouilas or imD�oves inereon, antl wno aoes sucA wark nimsell/herself or inwupn
�i5 or her own emDloy¢¢5, D�a'^OeC I�at 5ut� imprOvemenl5 afE nol inlEnCeE Or oflerM Por sale. II, how¢v¢r I�e �uildinB or
impmvement is so10 vnt�in one year ol completion, I�e owne� vnll have I�e OurEen 01 provinp he/she tlitl no� Guiltl or impmve
lor ine puroose oi salel.
I. as owner ol ine pmpeny, am e�clusively conVaclinp wilh licensea coniraclors lo conslmc� �he pmleci (Seclion 7044, Businoss
❑ ana Pmlessions CaOe: The Contraciors Slate License law Eoes iqt aOVN �o an awner ol pmpertp who CmIEs ar impmves Ihemon
antl who Coniratis lor Sut� proiecl5 wilh a tonlratior�5) liCense purSuani lo I�e fAnUac�Ors' S�aie litenSC Law). I am aware
��at VmO� ol t�¢ir Worker's Compensaiion in5urante ShoU10 �E pmviGeG Io me.
� I am eMempl un0er Seciion:
for inis reason:
Date:
I Co hereby [¢Nfy ��at I am aware of an0 untlerSlanE 1�
25534 and IAai I or any lutme OuilGinp acupant wiNvnll
permillorcons�mction or mo0ilra�ion tmmine a�0u:
I�ese provitions.
Date: � MdKa��:
1 nereoy cendy inat I lidve eatl tlus apptiwtion aM stali
orNnances and sWte laws relating �o UuiIGnA eonsUuc'
properry lorinspe[Uon purposes.
Date: �/� I�l 9 y qnam�;
Dnver's License or Socul $ecurily r:
B. 8 P. C.
6nner.
ni5 0l Cali�Ornia Heatl� antl Salety Code Sections 25505, T5533, anA
me) nee0 ta compy witn saia s�ate cades anU �he repuiaments lor a
meni,�sirkt. flesi9Ba42�[Anstmy(ion a001icdtions are exemD� ��am
I agree lo fAmON ��� a0 ary and
this uty lo en�e�r upon Ihe above�rtJe
Whne-9wltlinp; Green—CoEe EnloRemenl: Cdnarv—ApolkanC Pink—Revenue: GWaenroa—Asaessor
CITY OF COSTA MESA — HUZLDING PERMIT PERM NO: B 05782
PERMIT NO; B 057826 PLAN CHECK NO: 02296-92 S GOVT; N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ADD
JOH DESCRIPTION ; 308SF OPEN TRELLIS PATIO COVER SQ FT: 308
CLAIM VALUE; 4,000,00 CALC—VALUE: 9,250,40 GROUP OCC: R-3 /
COMMENTS• X
�r+r**�r�t*�t*�r�rx ***�**+��r�r�r�r****�*�r�r**�r*�r�*+t��t*+t***�t�e***�*rt�t�r�*�tx *�**�t�*�*�r*+t*+t+a*�t*
2 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 BQILDING ---------- ------ ACCESSORY BUZLDING
FRNT: FT IN REAR: 33 FT IN FRNT: FT IN REAR: FT ZN
LEFT; �O� F� 1 IN RGHT: 3��'�' IN LEFT; FT IN RGHT: FT IN
6 6 a�� r� q-r, H �.��,a
PARKING RE • PROV• PARCEL• 42615130 ZNE: R1 REF NO �,
PLANNING N 1'ES> CONSTRUCT' 308 SQ, FT, (14' X 22') PATIO COVER, :
?
!f M k if �f ik ik if af ik iF iF if k k if if iF k if iF i! iF k iE iF k 1E iF iF iF iF k if if k if if if if �k if M �t iflF 1Fif ff iE ik iE iF IE iE�F 1E iE iF iE iE if �f iF if iF 1f �k'iF if if if It !f !E �t i! k iF
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 Ny�T S
20NING APPROVID BY �� Cs �Ls - DATE; � � '� �
HUILDING APPROVED BY ; DATE:
APPLICATION ISSUED�BY; DATE• G Ch �
klfifiFititiFkitltkk�kkiflfifki�ifiEiF IfiElEifiFlEitiFiki� iflh
M1fifMiFifiliF�fkifklEkififiFifkifiFiEiEifklkikifitklfifklkiliEkkklEififitkkiEiFkklfifilifiEiFiFiEifiFiEifiFiEiElfifM*i�MifififM�EiFiEiEif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 .50�
SMIP/NON—AES
PLAN 46.80
ISSUE FEE •
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID �, DUE
TOTALS----> 72.50 0,00 46.80 119.30 119,30 ' ,00
AEVENUE DIVISION TOTALS--> COLLECTED; 119,30 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECiIANIC FIRE SMIP/TOT GRADING PLAN—CHECK
72,00 ,50 46.80
kkififkkifiEiEifiEilifiEiEiEkiEiElEifkiFkklfafMlEiElfMk#1fiflfifiFiEiFkif�fklffflkifitakififlEifiEif�fiklfiFikiFafifkiEifiktfMlEifiEikifilifk
I N D I V I D U A L F E E B R E A K D O W N �%
TYPE (jTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 308 RES—PATIO COVER—POST b TRELLIS 13.80 9,250.90
END OF FEES
� ;, . -
, L",^_ ' ' " _. .
r
�
/
CONSTRUCTION AND PLANNINI ` & SPA
APPROVALS ��ermit �`r Date tnspeetor pppROVALS Permit �# Dace Inspector
i, Temporary Electrical Servie� or Pole 52. Pool & Equipmenc Location •
2. Soil Pipe�Undrqr�d. • 53. Steel Rein4orcement
3. ElectriCal Conduit Utility-Undrgrnd. 54. Forms
.4. Electrical Conduit�llqdrgrnd. 55. Electrical Bonding
� 5. Steel ReinforcemCnt � 56. Rough Plumbing & Pressure Test
6. Electrical UFEF Giad. 57. APPROVAL TO COVER•GUNITE
7, Footi�gs 58. Electrical Conduit-Undrgrnd.
8, Foundation � 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe•Undrgrnd. , 60. Backwash Lines, P�Trap, � Undrgrnd.
70. Structural Floor Sysiem - � 61. APPROVAL TO DECK
11. Property Sewer Line & House ConnQction � 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 ApP�oval
17. Rough Wiring Sign 68. APPAOVED FOfl PLASTERING
i$. Rough Electrica6T Bar Ceiling 69. POOVSPASYSTEMS FINAI
19, Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. �Rough Factory Fireplace ; � APPROVALS� Permit # '
21. Ducts, in Svutture , � �70. Under9round HYdro
22. Dutts, �(entilacing � � ' 7}, product Piping OGas OOiI
23. Gas Pipe>Rough & Test - - 72. Underground Flush
24. Roof Framing • _ 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing ' �� . i4, Overhead Fiydro
26. T•Bar Ceiling (Structuraq & Monocoat � . ' 75.'Dry Chemical �
27, Frame and Flashing � 7_/r L��- 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 MeterFinal _, 80. FOOD CERTIPICATE ISSUED
33. Final Electric ' Notes: . �
�-34. Final Heeting & Air�Conditioning , .
35. Final Gas Pipe�Test �
,
36.�Hood or Canopy - . .
37.:Final Faaory Fireplace " '
38. Final Plumbing �� .
39. Water Service-Final -
40. Gas Service•F.inal - ,
41..�Solar pomesticFina� -: � -
42. Backflow Preventer _ ,
43. Backflow Irrigation . +
44. Landscape IrriGation SVstem � � e .
�45. Sound Attenuation • �
46. Handicap Regulations - - ' . � ' �
47. FINAL STRUCTURE & BUILDING l2 �pL �j �� S�ar�-p �'oi�- m�G- .�[.�-�
48. FINAL PLANNING ' � ,
. 4g, Electric Relea:e to Ediso�
50. Gas Felease to Southern California Gas Co � �
51. CERTIfICATE OF OCCUPANCY
No. Date
NOTE� SHOW AND DIMENSION PROPOSED
' PATIO COVER AND YARD ARFaG
— 22�
3og ,y- f f
0
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t �tj/ 0? �%GSia
E�Y _ I _..�---=
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a�r� ro v,aAi� c <. ,�' _
iH.;LL Bc VkLID F%GEF'l 69 FO F+� F
TF FU �HOHIZES i5 �1�`N'r %L �
_ ;6SUANC[ UP A � .'„•'• L'-�'FI
ae�:rioras �tiatL n:sr'.:��v�v�rr
le-"irLA`�LR'RECUiP.!N ,?�IEC6�:i�..
pL:RkS ANC SPeClFIC TI�S �R
'r'V�n'II'^cR.4TIG�Jo aEi'rN_: Ca4R'4���i
!�sr�R"H'�Gf'fHI5CC0E RO�
� I' II
__l�j.� 5/3 �
� APPROVEI) 3
� I CRY OF COSTA MESi-
�� �LWNING DE�i. �
1 N�[CT f0 tIDG. CEPT. REG. �
I— 'if��_.. DATE..._.�O I S' 1� /,
(� �ero. o..u►x�iNo � 30X" s� rt,
�-cT^� C.nJ �
2.I35 �Y,S p(,
STREET
��
qPPAOVAL OF
"NUEC TO F3F A
3i0^!S OF THIS
WORN OR USE
�pN GLk�NS AND
n�oi�c cF=ian�
�N OF ERRORS IN
)id PREVEu1lNG
;RFUNDEH WF'FN
R O��.DItiANCE OP
DROP PATI
FLOOR 2"
DETAILS ON REVERSE SIDE
ROOF SHEATHING
_X_ BEAM
T-STRAP EA. SIDE
FOR POST- BEAM
�CONNECTION. o
a w
a z
m � �
Q N 4
� _ a
N � �
O
Z � V,
J � -
Z
� � U N O
O' J� 2 x J
� � O
�Q a
I�PLATE 1" ~
ABOVE SLAB�
v.' . � . . .
- � � —=--�
. 26"GA. G.1. FLASHING - N i - 1
WOOD FLOOR _�� __ ,J
CONSTRUCTION PIERS 12�� SQ��
�� � ���. � --'.
SIDE ELEVATION
PLOT PLAN I CONSTRUCTION DETAILS
w
0
Q
¢
{9
2
�
W
>
O
m
Q
w
a
a
�
�
z
LL
20u.5.ROOF CONNECTION
DETAILS
CONT, SOLID BLOCK
�EDGER
RAFTfR
I/2�� DIA. % 5�� LAG SCR.
AT 32�� O.C.
DETAIL I
CR 9 CL ��TECO�
GRIPS OR JOIST
HANGER
CONT.
LEDGER
RqFrER ,
3/8'� DIA. X�5�� LAG SCR.
aT �y" o.c.
DETAIL 2
IOt�OR LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAILS
2� X FACIA-MIN.REO.
�
�� ' RAFTER
APPROVED METPL
HANGER
DETAIL 3
\
Smv�CEs n�a�trrrg�rr
BUILDII�IG SAFEPY DIVISION
OWfVER: ��rt`f I�C-r�s
ADDRESS� Z► 35 ��eiS `P�s�.�
CONTRACTOR: ��►� ���`�-
ADDRESS � � � � � ���%� GM .
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZE 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"x10" 32" 22'-0"
36" 21'-0"
48" 20'-0"
72" 17'-0"
PATIO COVER
TYP. PLANS
DATE � � � � l 9� ,
PHONE � �y� '�� � Z
LIC. N0. '����
PHONE: ���� �'�"e'zs3
RAFTERS
LIGHT WEIGHT ROOF COVER OF
LATH, FIBERGLASS, ALUM,
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�_��� ...
� 48" 10'-0"
2"x8" . 24" ; , � ; 19' -0"'.
32" 15'-6"
48" ' 13',-6'"
; _ , s.:•:,.
. . ' r � -. ......
HEADERS
;��.•� .......... .
LIGAT WEIGHT�;ROOF�ONI:Y: ' '
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"
4x8 10'-0"
4x10 12'-6"
APPROVED FOR
BUILDING PERMIT
By Date_
�ENERAI. NOTES:
1. These plans must be
kept on,the job at
all time during
construction.
2. All fFaming to be
Douglas Fir N� � .
grade minimum,
3. Rafters may not
attach to facia ex-
cept for l0�roofs
as shown on detail
2Qibsroofs must use
a continuous ledger
attached as shown
on details �Il��k2.
4. Light weight roofs
may attach to facia
for 14' span max.,
spans over 14 must
use a continuous
Ledger as shown in
detail 4f3.
I ��U �L���
r'
PNAECTRDONE55: 2SjS IFi1$ PL
OWNEN'S NAME: TONY PETROS
aooxEss: 2135 IRIS PL
COSTA MESA,CA
(714)646-7012
FflCH/ENGINEEfl:
RDOflE55:
UNIT:
92627
HEG.NO.:
UNIT:
PEPMITTEE: HARTKE CONSTRliCTION ( 714 ) 646-9474
aooxess: 1948 ANAHEIM AV
COSTA MESA CA 92627
UCExSEo coNTflACiOB oECtAflAT10N: I nereby affirm ihat 1 am Iicense0 untler pwvisions of Cluo�e� 9 kommencinp w�th Section
7000� ol �ivision J o� Ihe Business anE Pmiessions CaOe. ana my license is in lull force ana ethct.
ciTruc^.: 051673p srareuc.:602528 — c�ss: B�p�—�—` /..�
�-- 1��'—l2 Signature — '-'�v"��' —
WOPREHS' COMPENSR7ION oECIANATION: I nereby atiirm ihat I nave a certificate ol consem to selbinsure or a cenificate o1 workers'
�mpensalion Ipsu0�lG0 op a,tertilie�cqny inereoi ISectian 3soo. �ao. ��3 / O 1/ J B
JLICY NO.: 1 G 4 1 4 V b G E%P. ORTE:
comvnxr: STATE FUND
❑ CeN�i¢A copy is here0y tumishe�. � CertifieA copy is liletl �� l� IAe ��y BuiMi�Biv' ion
�/\� � O
Oaie: �—I v —�� Applicant:(= . �
EXEMPTION FflOM WOBKEPS' COMPENSFTION �ECIABATION: �TAiS 5ec6an n¢¢d nol 0e wmpleted if Ihe permi� is lor one huntlred �E700� a� less�.
I cenify tnat in Ine De��ormance of ine work far wh¢n ihis permil is issue4 I shall nol employ any person in any manner so as to become
suUlecl �o Ne Workers' Camp¢nsation �aws ol Califamia.
�ate: Signamre:
NOTICE: If. atier making Ihis aeclaration, you snoultl become subiect to the woBers' ComDensatian orovisions oi the Lahor
Cotle. yau mu9 PoMvnt� compry with sut� provisions or Ihis Dermit s�all be tleemea revaketl.
CONSTNUCTION LENOING pGENCY: I hereGy a�firm Iha� there is a con5imc�ion lending apency lor IAe Derlormance of �he work �or
w�ic� ihis oermit is issuea (Section 3W7. Gv. C�.
IENOEB:
PDONESS:
OWNEB BUIWEB DECIAHRTION: I AereOy affirm ��at 1 am eremD� �rom the Caniraclors' Slale License Law �or Ihe lollowinq reason
�Section 7031.5 Business anU Pro�essional Code: Any [i�y oi counry which requires a permit lo con5lmci, alter. impmve, tlertqliSh, or
repair any simclure. prior to ils issuance. also requires tlle aDDlicant br suc� permit to lile a signe0 statem¢nl lllal �Ushe is Iicense0
pursuam Io Ihe pmvisions al Ihe Camracmrs' Slate License Law (Chapter 9 �commencing wilA Seclion 7000) ol Oivision 3 0� Ihe Business
anC Pmie55ian5 COtle) or tlul ne/sne is e�empt iherelmm anA ihe Oasis for ihe allege0 e�emption. Nny vialation ol Section 7031.5 by
any appliunl far a Oermit suUl��s ltre aDV�iWnt Io a ciNl penalry o� noi more �twn five �unEreG dollars (f500�.
I, as owner oi the pmOe�Y o� my employees wilh waAes as iheir sole compensation, will do lhe work. antl Ihe
� stmcwrt ¢ nol intenEed ar oifere0 for sale (Section 70a4. Business and Pmiessional Cotle: T�e Contracmrs' State Licenu law
Eoes not aDP�Y la an owner ot a DmDe�Y w� ouilGs or im0�oves t�ereon, antl w�o Ooes suc� wark himseltmenetl ar I�roup�
�is or her own ¢mployees. DmviAeO Ihat such impmvemenls are nol intendetl ar ofte�e0 lor sale. I�, however Ihe huil0ing or
im0�ovemeni 6 solG wi�hin one year al compleiioq lhe owner will hav¢ ��e GurGen o� Oroting hpJshe Oitl nat build of impmv¢
�or I�e Ourpose ot sale).
I, as owner ol I�e pmperty, am exclusively coniracling wilh Iicense0 contraciaro lo conslmci Ihe D�ojecl �Seclion 7044, Business
❑ antl Pmtessions COGe: The fqntactors' Sla�e License law tices noi aDPN �o an awner ot pmperty who huAtls or improve5 tAereon
an0 who coniracis fot sucn o�%ecis mtn a cMiractorls) litense pursuant la Ihe fAniractors' State License Lawl. I am aware
I�al prool ol �heir Worker'S Compensation in5urance ihoul0 be pmvitle0 ia me.
� I am exemp� untler Section: B. d P. C.
lo� t�is reason_
Date: O�mer.
I tlo hereoy cenify Ihat I am aware of and un0erstana ihe requiremenis of Califomia Healih anU Salety Cotle Sections 25505, 25533, an0
2553a ane��al loranyfulure builGing acaDanlwilVvnllno��circle one) nee0 lo compry wit� uitl siate caUes and there0uirement5�ora
Oe�mit lor canslmctian or motli�ira�ion �mm Ihe Air Ouah�y Managemen� OiSiric�. fleaEential wns�mttian aDP��jions a�e ex¢mpt Imm
�fle5e provi5ion5.
Daie: Fpplltan�:
I hereDy certity �nal I have rea4 inis applicaiion and stale Ihal Ihe a0ove inlormalion is rorrec�. I agree b comply with all ciiy anA counry
a�Einances and sta�e Wws reWling to builtlmg mn5�mtlion anG �ereLy auth r¢e repre en�a�ives oi ItuS tily 1�� n�er upon ihe aGove�menlione0
Oat�pmpe �or inspetlion pu ses � /
^' ��� Signalure 'L �
Onver's License or Saciat Security a:
�6at�a6 wnite—Buildma: Green—Cotle EnlorcemenC Canarv—AodicanC Pink—Revanue: GOltlenro0—Assessor
CITY OF COSTA MESA — BUILDING PERMZT
PERMIT NO: B 058187 PLAN CHECK NO: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR
JOH DESCRIPTIUN ; ADD ONE 2'0"X4'0" SKYLIGHT (NER#216)
CLAIM VALUE; 700,00 CALC—VALUE; 700.00
� M N; tl U�ri C/
1: SUYN; N
PURPOSE: ALT
S[i FT; 700
GROtJP OCC : R— 3 /
COMMENTS: *
if if if if if iE iF iE if if if i4 iE 1F iE Ik IE ik iF aE �E iE 3f ff iE 1F ie * if if IE 1E �F if 7f if if iF iF 1F i(� if iE iFiE if fE �F k�lf �h iF if i(� iF iE 3f� if #'� iF iF �f iF if iF �E iF 1E 1F 3� if ie M if jE iF R�! i(�
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 BDILDING ---------- --------- ACCESSORY BUILUI1+iG ---------
FRNT: FT ZN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT' IN LEFT; FT ZN RGHT; FT ZN
PARKING REQ • PROV: PARCEL: 42615130 2Nc: REF NO;
PLANNING Nf7T'ES>
} •
iE ik i! if iF 1Pl4 iF iF iF 1E 1E IE k IE 1f� if !f ff'if it f!!E if if it k)f if iF if R 7Flf ff if N� iF jf if k if if k iE iE iF �f ik!! 1E if N� �E it iF if k If af 1EiF iP 1F �k iF �F if iP�iE 3F iF if ic if 1E if i't jE
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
� i
ZONING A}�PROVED HY ,r ; DATE; ti'—
BUILDING APPROVED BY : DATE: •.+
APPLICATION ISSUED �BY; �— DATE: i�����
i4ifiEiFifiE7Eff1EK�1EiEiE�EiF1flt�lEi�'.iF�ififif�F '£�iFiFiF7Fi�TfiFititiFiF3FiF{iiFi7tif'if7�iFififiF�FiEifiFiEiflk.. r !ei(�
iFiF 1E ik iF iF iE k it iF k iE iF �Fif ii if if i� if jf if 1E i! ik k iPlt 1t i6 if fE ik k if iE iE k if if iE itlF if i(• if it if if iF iF if iE ±E IF if iE if if �E iFlE i! !f IFiF k 1� k iF if 1c ► iF iE If R le if
LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES�. GRADING
PERMIT 19,00 ,50',
SMIP/NON�RES
�r.AN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUc
TOTALS----> 19.50 0.00 0.00 19,50 19,50 ' .00
REVENUE DIVISION TOTALS--> COLLECTED; 19,50 OVER/SHORT: ,00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING P�LAN—CHECK
].9.00 .50
if If iE if iE IF �E ik iE iF iE iF IE 3E iE if ikiE 1E IE iE iE iE if iE If if iE if-iF If it IE jF iE% 1E It iE iF 3f if 1E fE ik 1E if iE iF if iE if iF i(� iE if iF k if jE iE ie iF if if iE 1f iF iE;1i"ii if IE if i'r � iF if iF
I N D I V I D U A L F E E B R E Pt K D O W N
TYPE QTY D E S C R Z F T I O N UNZT COST TOTAL COST
SFR 700 ALTER BY VALUE RESIDENTIAL N020NE 1,00 '100,00
END OF FEES
!
�i "I:' 'T _i.i7-:a/ . ..
� i. �r,'t.i.� .. il��. . .
' CONSTRUCTION AND PLAN4UIh_ OL & 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. ElectriUl Conduit Utility•Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectriCa� UFEF Gmd. � 57. APPflOVAL TO COVER�GUNITE
7. Footing; 58. Electrical ConduibUndrgrnd.
8. Poundation � ' 59. Gas Pipe, � Undrgrnd., Test -
9. 4Vater Pipe-Undrgrnd. 60. Backwash Lines, RTrap. � Undrgmd. -�
10. Structural Floor System �� 61. APPROVAL TO DECK
i t. PropertY Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer CaP 63. Heater & Vent-Final
73. Roof Dreins � �
_ . 64. Plumbing System • Final
14. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical-Conduit . 66. Solar System-Final ,�
76. tiough 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 Neating & Air Contlitioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Produc[ Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Foof Ftaming � 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical
27. FrameandFlashing �l��z �Lr� �6. DryStandpiUe
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. F000 CERTIFICATE ISSUED
33. Final Electric � ; `.• Notes:
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final F3ctory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service•Final
41. $olar pomestioFinal
42. BackfloW Preventer
43. Backflow Irrigation
44. Landscape Irriqatlon System .
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �j,g ����/� �� �j �� �
�r-Bi� v- ��
48. FINAL PLANNING
49. Elearic Release to Edison �
50. Gas Release to Southern California Gas Co , , �
51. CERTIFICATEOFOCCUPANCY
No. Date
PflOJECTADOXESS: ?] 3S IRIS PL �"�T� CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 7. 1 E
OWNEfl'$NAME: pOSTON LAWRENCE A
aooness: z135 I�tIS PL PERMIT NO: E 058186 PLAN CHECK N0: N (;( 'P; N SUFZ:—N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PDRPOSE: OTH
FflCNIENGINEEP:
�ooncss:
NEG.NO.:
uxiT:
PEflMITTEE: HARTICE CONSTRUCTION ( 714 ) 646-9474
aooaEss: 1948 ANAFiEIM AV
COSTA MESA CA 9262'7
LICENSEO CONTNACTOR OECIANATION: I �ere�y allirm Iha� I am licensed unAer Dmvisions ol ChaD�er 9(commencing with $eclion
7000� of Division 3 0l I�e Business antl Pw�essions CoEe, ana m litense is in lull force an elleci.
cirruc-.7:051673Q srnreuc.:60252 ss: .
�,: f'� (�� /Z Signa� e: —_ _ . __
WONKEflS' LOMPENSRTION OECUIBATION: I h¢reGy um Nai I have a cetlifiwte ol consent to sell-insure or a cetlilkale ol Workers'
Compensa�ion IRs a �{ o,{ c�° ilieg y DY �hereol (Senion 9800. LaU.
�P011CVNO:1��yT�"—J9 E%P.ORTE: 3IOSI93
.�wcornrnxr: STATE FUNU..}�
�'i] CerlilieU tOpY �5 �ereDy Wmishetl. L'J C¢rtilieA topy is lile vnl� e iry di Dimsion�
c I
rBecC.'��IS� )Z AOOIiw�' � -S�J p—J.
��� E%EMPIION FROM WOflNEPS' fAMPENSi1TI0N UECUPATION: �This seclian n¢¢G no� De complele0 il �he perrtti� is �a me hunGreO (5100� a� less�.
I[erlity ��at in Ihe pedormance ol Ihe work lor wAicA �his permit is issued. I SAall no� emDloy any person in any mann0r,50 as �0 6ecome
Su01e���o �Ae Workers' Compen5aiion Laws ai Caiifamia.
Da�e: Signature:
NOTICE:I1. atter making �his Oeclaration. you s�oultl �ecame subjecito Ihe Warkers' Compensation provisians of,��e LaLor
CoOe. yoU mus� tonhwilh wmpry wil� Sut� provivons ar �N5 p¢rmil 5�all he �eemed revoketl. �1
CORSTflUtTION LENOING AGENCY: I here0y a��irm Ihai �hert a a conslmciion IenEing agency lor I�e peAormanc4'01 lhe work lor
w�ich this Oermit is i55uea �Sec�ion 3097. Civ. Cy h
LfNOEH: ��
RDOPE55:
OWNEB BUILDEfl OECIABRTION: I �ere0y aHirm ttul I am exempi hom I�e ConVactors' State License Law far t�e lollowinp reason
(Seclion 70.31.5 Bu5ine55 anA Professional CoE¢: Any ciiy ol couniy wtiic� r¢puires a p¢rmii lo canSVuc�, alier, imprOv¢. aemoliSA, or
repair any s�mtWre, pri0t �o its i55uante, als0 r¢Quires �he appliCant �ar SUCh p¢rmil to lile a SiqneA Sia�emen� Nal �e/She is lit¢nietl
pursuant m tne pmvivons ol the Contracmrs' Stare License Law (Chapter 9(commencinp vnth Secibn 7000) ol Division 3 0l tAe Buvneu
an0 Pmfe55ions fAde) or Ihat he/sne is exempt inertfmm ana tne Oas6 lar the allege0 eMemO�ion. My violalion ol Sectian 703f.5 by
any applicanifor a permit su�le��s Ihe applicant to a civil Denalty ol not more t�an Irve �unAretl OMlats (5500).
I. as owner af t�e properry or my employe¢5 wittl wages as Iheir 501e com0ensdtion. will tla Ihe work, antl t�e
rJ stmcwre is not intenaea or oifered for ule �Stttion 70aa, Business an0 Pmfessional Coae: TAe Comractors' State Licenu Law
does not apply lo an owner ol a D�oOe�y who builOs or imprmes I�ereon. antl w�o Ooes suth vrork Aimsell/Aerseli or tAroug�
his or �er own employees, pmvitleA �Mt such impwvements are noi inten0etl or otleretl for sale. 11, however tAe building or
impwvemeni is SoIA vn�hin one y¢ar 01 comD�elion. I�¢ owner vnll M1ave t�e LurEen al pmNng hUshe Gitl nol Guild Or improve
for ine ourpose ol satel.
I, as owner ol Ihe pmDe�Y. am exclusively wnlracting wilh Iicense0 conVaclors ta conslmci Ihe pmle�� (Seclion 7044, Business
❑ an0 Pwt¢SsianS COde: The fqntrattors' S�ate Litense Law Oou no� aDPN Io an owner 01 propeM w� �uiIQSIN implm'u Ihereon
antl who contracts lor sucn o�oiecis with a contrazmqs) license Duauant ta �ne Comractors' State Licenu Law1. I am aware
Ihal pmol ol ��eir Worker'S Compensation insurance 5hould Ue Dmvitle0 Io me.
� 1 am eRempt under Seclion: B. 8 P. C.
tor Inis rea50n:
Date: Owner.
I ao nereDy ceNty t�at I am aware of ana unaerslan0 Ine �epuiremen6 0l Califomia Heattn an0 Salety CaOe Sections 25505, 25533, aM
2553<ana IAaI I or any IUWre builAing acupanl vnll/will not (tircle one) nee0 to Lrompty vnih Said slate codes ana the �equiremenls for a
permit lor consimction or modilicalion Imm Ihe Nir Ouali�y ManaAemenl Di9rici. Fesitlential consimc�ion applications ar¢ exem0� ��om
t�ese D�ovisions.
Oale: Fpplicanl:
I �er¢by cetlily Iha� I �ave read I�is aD0litalion antl Slaie I�a� Ihe aDove iniormation is Corr¢t�. I a0ree l0 Compty wit� all Gry anE COunry
or0inanc¢5 antl siate lav2 �eiating to GuilEing con5�mciion and her¢by au r¢e rep�esema�ives o� is dry ro enler upo ihe above-mention¢E
propetly �or inspeclion purpo5Ge5y. —7 � D-
( �.1� .
D��� �S� 1 G SignaWre\
Driver's License or Socia� Securiiy x:
16aPn6 wnne—Bwleing; Green—CaEe EnlorcemenL Canary—Apo�icant; Pink—Revenue; Goltlenrop—Assessor
JOB DESCRIPTION : 7 CAN LIGHTS
CLAIM VALUE: CALC—VALUE:
SQ FT:
GROUP OCC: R-3 /
COMMENTS • REF • B S� I��
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Z O N i N G R E Q U 2 R E M E N T S
S E T H A C K S
------------ MAIN BUILASNG ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGAT: FT IN LEFT; FT IN RGHT; FT IN
PLANNINGRN(3�'ES> PROV; PARCEL: 42615130 ZNE; REF NO:
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D E V E L O P M E N T S'E,R V 2 C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
`
BUILDING APPROVED HY ; DATE; q
APPLICATION ISSUED BY• ' DATE• / ����2'—
iFIFiF*iFifkaF�F�flFif�fiEiFif*afiF�FkiF��- e t - r •iFlEie%�ffiEiEjE1FiF�Y'iFic'iFic�iE
ikiFltiEiFiFk�F1R�F1EitiEikiki(�aEfEififlEiEikifklflEiEiflfiEiEiki�lEif3E if3Fifif�FififlEiFifiEif#fifififiEifitiE�ERjE3ijE#F3iic3f?EIEfF3F3F�3tifiFlE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL 5EGM�NT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 5.25
SOt
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 5,25 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
HLDG PM.T PLUMBING ELECTRIC MECHANIC
20,25
SMIP/NON—RES
TOTAL PAID DUE
2�,25 2�,25 ,�fl
20.25 OVER/SHORT; ,00
FIRE SMZP/TOT GRADING PLAN—CHECK
1E 1f 3f iF #E if iF iE if iE iE iE iF 1F aE 3f if aF R 1E iE 3f 1E if if ii� iE if iE 1E if if iflf iE if iE Ib iF 3f iF iF iF if �E if If �f �� if if 3E 3f if iE iE 1F if �ElE aF af iE iE if iF aF IE 1E if iF iF If if iE±f i? if iP
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R i P T I O N UNIT COST TOTAL COST
ELE 7 FIXTURES, LIG:iTING 1 ST 20 EA. .'IS 5,25
END OF rEES
L1 ��1.1�i_ ' Ji Ir � —
C�^,'E. D7� --; ,._ ' . . .:
CONSTRUCTION AND PLANNING � Pi & SPA �
APPROVA4S Permit # Date Inspector qppROVALS Permit # Oate Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. $teel Reinforcement
3. Electricai Conduit Utility-Undrgrnd. 54. Forms
4. Electrica� Conduit�Undrgrnd. ' 55. Electrical Bonding
5. Steel Reinfortement � 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, O Undrgmd. �
10. Structurel Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
72. Sewer Cap 63. Heater & Vent•Final "
13. Roof Drains 64. Plumbing System � Final
74. flough Piumbing ` 65. Electrical-Final �
15. Rough Electrica6Conduit 66. Solar System-Fina1
16. Ftough Electric Wiring ' �6� �� 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPflOVED FOR PLASTERING
18. Rough Elettrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Oucts, Ventilating �71. Product Pipinq �Gas 00�I
23. Gas Pipe-Rough & Test . 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiiing (Structurall & 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 NBiling � ' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electricai Power Meter�Final ' " 80. FOOD CERTIFICATE ISSUED
33. F�nal Electric l��jt��,(� Notes:
!
34. Final Heat�ng & Air Conditioning �
35. Final Gas PiPe�Test '�
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbing
39. Water Seruice-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape �rrigation System
� 45. Sound Attenuation
46. Handicap Regulations
47. FINAL S7RUCTURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas ReleaSe to Southern California Gas Co
51. CEfiTIFICATE OF OCCUPANCY
No. Date
�I
eRaecraooREss: 2135 IRIS PL
OWNEH'$ NFME: POSTON LAWRENCE A
nooeess: z135 I{2IS PL
„ CUSTA MESA,CA 92627
AXCHIENGINEEN:
ADONESS:
flEG.NO.:
UNIT:
UNIT:
PENMITTEE: ELDORADO ROOFING COMPANY ( 714 ) 458-8453
RODflESS: zS2SZ ERICSON
LAGUNA HILLS CA 92653
LICENSEO CONiflALTOfl OECIAMTION: I �ere�y allirm Iha� I am li[enSeA untler O�ovi5ion5 of C�apier 9(commencing vnih Seclion
7000� ol DiNsion 7 ot ihe Business antl Pmfessions CoOe, an0 my license is in lull Iorce and ellett.
cirruc.:�0 �66q sraTeuc.:52336�5��
Date: !� Q2--- Signamre: _� '
WOflKEflS' COMPENSATION �ECLABRTION: I �ereby a��irm I�at I � a certilicate of consem m selbinsure or a cenA¢aie af Workers'
CAmpensation Insurance, or a certifietl copy t�ereol (Section JB . ab. C).
roucvNo.: 1030647-91 E%P.UATE: O9IOS�92
comraxv: STATE FUND
❑ Cenilietl copY is �ereDy fumisAeA. � CenifieG copy is �' ' the cii Buil '� DNision.
. oate: � ��7`9Z AOVlicanC /
E%EMPTION FflOM WOflKEPS' fAMPENSPTION OECLABRTION: (iliis tion neeU not be com0ieteG il Ne permd is for one hunOreC (E700) or less�.
1 certity tMt in Ihe OeAormance o� I�e work �or w�ic� Ihis permil s i55ue0. I shall not employ any person in any manner so a5 ia hecome
su6lec� lo Ihe Workers' CamDenSaiion Laws ol Caiilamia.
Oate: Signa�ure:
NOTICE: If. atter making ihis tleclaration, you shoultl b¢wme suDiect to the workers' Campensation D���ons ol ine LaDor
�� CoGe, you must forihwil� compty with such provisions or t�¢ pefmit shall Ue Eeem¢U revaketl.
�' CONSTPUCTION LENDING FGENCY: 1 here�y aifirm �Aal ihere is a constmciion lentling agency �or I�e De�ormance ol lhe work �or
which �hi5 uermitis issueA (Sedion 3097. Gv. C�.
LENDEH:
aonxcss:
�� �
OWNEfl BUILOEN UECLRHATION: I �ereGy aifirm �hat I am exempi Imm Ihe Canlractors' Slaie License Law far Ihe fallowinq rea5on
(Seciion 7037.5 9usines5 an0 Pmle54onal Cotle: My cily ol wunry w�ith repuirts a permit �o wnSWct, alier, imD�a�e, Oemdis�, or
repair any svucmre. Drior to its iuuance, alm repuires t�e apDlicant far such permit to lile a signeA statement ttut he/she is IicenuU
Oursuanitolhe provisians oll�e Conlrac�ors'Sta�e License Law�C�apter9(commencinp wii� $eciion 7IXp�olDivision 3 oflhe Busineu
anA Pmte55ians CA�e� or �Iwl �e/she is e�emp� there�mm an0 I�e basis lor ��e allegeE ¢�emD��on. Any violation ol Seciion 7031.5 by
any aOD�itant for a permil wElecis I�e applitant to a civil penalty al nat more tlun five �unOreA UallaR (5500�.
I, as owner of the pro0eny or my emyloyees with waAes as ��eir sole camDensalian, will Eo IAe wark, an0 tAe
—I slmciure k no� in�enGed or o0ered �or sale (SeCtron 70ad, Busineu antl Pmlessional CoOe: TAe ConVacior5' Slaie License Law
Goes not aDD�Y �a an owne� of a pm0erry wlro builJs or imprmes therean, antl who tloes suG1 xroA �imsell/�erseif or IAmup�
�is or her own employee5. pmvided I�ai SUCh impwvemen�s are nol inlentl¢0 ar Ofl¢re0 lor sale. II, how¢v¢r I�e �uilaing Or
impmvemem a so10 within one year ot comDletion, t�e owner vnll have ihe �ur0en o� proving h¢/she did not builtl ar improve
lor t�e purpose ol sale)-
I, as owner of ihe property. am extlusively coniracting with licensetl ronVactors to consimcl ine omjetl (Section 70EE, Business
❑ antl Pm�estians Catle: T�e fAni(atlOrs State Lkense Law Oces not appry to an owner ai proce�y �o butl4s or impmves ihereon
and who comracis lor suc� Dmlects vnth a contracmqs) license pursuani to ihe Comracmrs' Slale Lkense Law�. I am aware
Inai prool oi their Worker'S ComDensa�ion insurance shoulA Ue pwNtleO to me.
� I am exempi un0er Sectwn: B. d P. C.
lor tnis reason:
Oate� Ownec
I tla Aere�y cetlily Nat I am aware oi an0 un0er5lan0 Ihe reQuirement5 of Calilomia Healt� anA Sa�eiy CoOe $eclions 255Q5, 25533, and
2553d antl tha� I or any Iuiure Duiltlmg occupanl wilVwill no� �circle one) neetl �a comply wil� sai0 Slate coGeS and Ihe repuiremenls for a
permit lor wnsimction or mo0diwtion fmm the Air Oualily ManaAement DiSirkt. fle5i0entul consimction applications are exemD� <<am
t�ese D�ovisions.
Oate: Appliwnl:
I hereby cetlity �hal I have reatl �his apPliwlion and sla�e Ihat I�e above iniormalion is correcl. I aAree Io comply vnlh all ciry ana couniy
ordinances ane sia�e lavrs relaiing to �uiltling constmtlion and �ereby amlrorrze re0resenlatNu o� t' ciry to enter upon Ihe ahove�mentione0
pmpetly for inSDeciion purposes. ,
Da�e: �/��f�� Signa�ure:
odver's License o� Sociai Seari�y »: ___.
i6e1-a6 Wmte—Bmltlinp; Green—Coae ENorcemem:
Pink—Revenue: GOIEenroa—Aa<nssnr
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 05781
PERMIT NO; B 057815 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/O SHAKES, APPLY "CAL SHAKES" CLASS A SQ FT: 9,500
CLAIM VALUE: 9,500,00 CALC—VALUE; 9,500.00 GROUP OCC; R-3 /M-1
COMMENTS• SMOICE DETECTOR(S) RE�UIRED IN HOME. �py�� ^����Q o
�r�tititlriEftkiEeEatit�it*ieit*�t�tit*•*�tit*itit�tit itit�t�rit�rif�r��t�ritie��r*�r*+r�r*�k1Eit*x+t �q �� � 1
Z O N I N GS ERTEB�AUCIxRSE M E N T S
REQUIRED
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT SN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL; 42615130 2NE: REF NO:
PLANNING NtSTES> „
� i ..
iF ik ik if if 1E M 1E IF IE 1f 1E 9E iE iE �1f af if 1f if if ik if k i! iE i! if ik if k if k iF ik if ik �k ik iF k k if if iE iF iF ik i! if ik k IFif 1t k iF �E jf jf ik iE iE k iF ik k iF if iF if aF iF iE k iF 3F k ik
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPROVED BY DATE: i.
BUILDING APPROVED BY ; DATE: %'
APPLICATION ISSUED BY; , DATE: �F�'����
iEifkiFiFiEkkiFiEkikifififkikkkiFkiF if7F3E3f1E�fif�f3E3kiFjE iE
iEiFifjFkiEiFiFltlElfiflfikkkifiFiFiFMifiFkiF3flEifkiEkiEMiF�EikkjkkilifiFifiF kkkkiFMififiF�fkitifklfklf�EiFk1E�FififiFifiF�Ek�lififiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES . GRADING
PERMIT 117,00 95'
PLAN SMIP/NON-RES
ISSUE FEE i
BUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 117,95 0,00 0,00 117,95 117,95." ,00
REVENUE DIVISION TOTALS--> COLLECTED: 117,95 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
117.00 .95 .
if iF 1f �f 1f 1E IF 1E 1E fk iE if iE k iF if iEiF aF k k 1E 1E i! �f iE k it if iE iF iE 1E iE if if if iF if iF iF IF ik IF if 1f iE if k if iF i! iF if If if iF iE if i! iE iF i! a! if iE iF iE iF 1t iliE �f iE 3E af iE iE if
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 5 C R I P T I O N UNIT COST " TOTAL COST
SFR 9500 REROOF BY VALUE RESIDENTZAL NOZONE
END OF FEES
1.00 .; 9,500,00
,�
/ ,'
C1 ^?lt�._,�.- ;,;.,_,� � _
i�aiC• Cy'-I • ` "e.f' . � "
COtv`STRUCTION AND PLANNING ' - & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical ServicP or Pole . 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. �� J� 53. Steel Fieinforcement
� 3. Electrical Conduit lltility-Undrgrnd. ' 54. Forms
4. EleMrical Conduit-Undrgrnd. 55. Electrical Bonding
5.'SteRl Reinforcement - s 56. Rough Plumbing & Pressure Test
6. Electrica� UFER Grnd. 57. APPROVAI. TO COVER�GUNITE .
7. 600tings 58. Electrical Conduit-Undrgmd.
6�, Foundation , 59. Gas Pipe, � Undrgrnd., Test �
9. Vdater Pipe-Undrgrnd. ' 60. Backwash LineS,P�Trap, O Undrgrnd. •�
10. Structural Floor System ` 65. APPROVAL TO DECK �
11. Property Sewer Line & House Conneaion �� 62. Backwash & ReceptorFinal
12. Sewer CaP ' ' ' - 63. Heater & Vent-Final
73. Aoof Dra�ns � 64. Plumbing System - Final
14. Rou9h Piumbing '' 65. Electrical�Finai .
15. Rough Electrical�Conduit 66. Solar Sysiem-final
i 6. Rough Elearic Wiring 67. Fencing & Access ApP�oval .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiting 69. POOUSPASYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
�.
20. -Rough F2ctory Fiteplace ' � " � - APPROVALS� �'Permit #
c i � -
21. DuCts, in Structure �. � � 70. Underground Hydro
22. Ducts. Ventilating .' � Jt. Product Piping QGas �Oil
23. Gas Pipe�Rough & Test ' � � 72. Underground Flush- ' '
24. Roof,Framing �� • . ". 73. Undergmd.SrorageTank OGas ❑Oii
25. Roof Sheathing ,' ' - � 74, O.verhead Hydro -
26. T-Bar Ceiling (Struciural) & Monocoat . _ • 75. �Dry Chemical - - '
27. Frame and Flashing � i, 76._Diy Standpipe - � =
28. Lathing & Siding ,� � . • � 77. FIXED SY9TEM FINAL-
�29. Insulation ' ' � � 78. FIRE PREV. FINA�L � .
30. Drywall Nailing . - HEALTH DEPT. REQUIREMENT
.37. Plaster Brown Coat. ' �� ,79: FINAL INSPECTION �
32. Electrical Power Meter-Final �,, .. .BO..FOOD CERTIFICATE ISSUED
33. Finai E�eetric - - � ' Notes: � �
-34. Final Heating'& Air Conditioning., ' , � � , , _
35. Final Gas P�Pe-Test _ - � ' ' ' '
36. -Hood or Canopy - . _ � ' � � � � � ,
37.��Finat Faotory Fireplace - • . ' ? -
38. FinaFPlumbing � ' � ` � '
39. Water Service-Final � ' � � � -
40. Gas Service-Final . , , � , , '
�41 . Solar pomestioFinal �� . . ' � +
,
42. Backflow Preventar ' , �
43. Backflow irrigation - � `
44.. Landscape Irrigation System. ` � . . - ! -
=45. Sound Attenuation � � � > � ' � ' "
�46. Handicap Regulations - � ' ' -, , t; �, ., ;
47. �FINAL STRUCTURE & BUILDING � � ���C� (���-�.. �'C - _ Li _ _ �_/ � � _ ���
/ c,i..o-n�-l' r
46. FINALPLANNING , , ��" �
� 49. Elect�ic Release to Edison � • � �� �� :
�50. Gas Release to Southern California Gas Co �'' ' �
I w
51. CERTIFICATE OF.00CUPANCY _ .
,
No. Date
OWNER �LpND� T,
JOB ADDRESS 21�5 T�p-
�GENERAL CONTRACTOR Tpm
AP No. ],,$-150-23 LOT
INSPECTIONS
SOIL
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE � NOUSE CON. �
SPRINKLING SVSTEM
MISCELLANE005
ROUGH HEATING AND AIR CONOITIONING
TEMPORARV SERVICE Oft POLE
UN�ERGROUN� � POWER �
ROUGH WIRING
BONO BEAM [� STEEL REI
SHEATHING
FRAME ANO FLASHING
LATHING — IN ❑ OUT �
PlASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VE £F�Afie n
PLUMBING, FINAL AN� GAS TEST
ELECTRIC, FINAL �_
BUIL�ING, FINAL
DATE
BUILDING
DESCRIPTION of WORK Add F
> FIRE ZONE VALUE $ ,
Date GROUP TYPE �
__._. SUBCONTRACTOR
7'/.�.T,
` 3037G
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.p. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicani to Fill in Completely
I BVILDING � , .� _ J � _� ,7;
OWNEF
MAI�
BRANCM
ADDFESS
ARCHITECT
CONT
CITV �
STATE
LIC. NO.
SIZE
OF LOY
USE OF
EXISTING
SIZE oF
USE OF��I�LDING AND
NO. OF
ROOMS
ROOF
COVERI
k'YO BE
TEL.
NO.
TEL.
PASD
Nr;-4-69cnsaOO z9��Y '�+�=t43.50
APPLICATION FOR BUILDING PERMIT
A.P. NO. II�"ISO � Z� I Y����Q
AD'ORESS z�j'� s'��'S �L�
TRA�v� LOT �� BLOCK
FIRE
ZONE
APPROVE�
S�+�Ec TG9�'�
. /% VALUE
J
TEL. Z�N NO.OF USE OF NEW f"f%'�� K
NO�p 2-:�p� (� ��� P�� � BUILDING (%9��_
CITV YAR�SAPPROVED VARDSAPPROVED
LIC. NO. MAIN BUIL�ING ACCESSORV BUILDII
INO.OF LB� (FROMC^/LSTflEF/Fi-
NOW ON LOT �(JE' FRONT !I �- FY. �� NT�'v� FT.
ED
J
R. SIDE FT �_
L. SIOE 3'3 FT. �_
REAR � z FT.
DISTANCE BET.
L
DATE
APPROVED
�-�-69
f1GTF
I hereby acknowledBe ihat 1 have reetl this application antl sia2
the[ the ebove information is correct antl agree to comply wlth
all laws regulating builtlinp construction, antl I shall not employ ,
any pe�5on In violation of the workman's compensation laws ot �
2he State ot Calitomie. %� m
�
I hereby certi(y xhat I am properly licansetl as a contractor untler SQ, FT. o
the State of Colitornia Business entl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDEF VA�UATION IS FOR Z
Chapter 9, e�tl that such lica�sas era in t�ll force entl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLv: ¢
am exerqPt from fhe pravisiO�s ot the $[ete of Celifornia Busin¢ss VALUATION
� �
ontl Professions Cotle, Division 3, Chapter 9. � PERMIT FEE $ - ' /i�% j
SiBnatura � ��� 5 ya�y p�p,N CMECK S // �'� O E
Permittae
� )/ `o
Authoriietl A9ani y�` SO u
TOTAL FEE $ �
JOB ADDR�SS 21
GENERAL CO]
AP No.11S-lrj
INSPFCTIONS
LOT TRACT FIRE 7.ONE
DATE � GROUP
DATE 12-20-62
BUILDING PERMIT NO. 15507
VALUE � 2,500.00
D�SCRIPTION OF �4'ORKPVt.SwiL't 1
TYPE Ijj 7.ONE R-1
SUBCONTRACTOR
e
+ .� ��507
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P, O. BOX 917 COHTA MEBA. GALIFORNIA
�
For Applicanf to Fill In Completely
TYPE OR PRINT
euaoiNG 2135 IRIS PL
ADDRES9
COSTA MESA. CALIFORNIA
�,T,. COSTA MESA NoidONE
ARCHITB� --����— TEL--�'"
OR ENGINEER ' NO.
ADDRE68 � �
CONTRAG�OR �HONY POOLS
AD�RE66 J��� FIRESTONE BLVB•
�,.�, HOUTH GATE
STATE TEL.
LIC. NO. p NO.
61ZE__ 601�111 NO..oPB1LGB.
■ BBTBACK UN8 FROM
DESCRIPTION OF WORK
t$ =1Lo1NG SOO ROC
EXTERIOp WALL I RC
WORK TO BH PBRFORMED
FEE RECEIVED��
DEC 2019a� --
FINANCE DEPT.
APPI��,TISP�C� R�fL�i T
BUILDING
For Office Use Only
�135 IRIS PL
COSTA MESA. CALIFORNIA �
FIRE
ZONING �
ZONE /� NO. OF U88 OP NEW
�/� / I PLANB � BUILDINO �
LEDAL LOT YS 13
oeacrsirr�oH
. e .�,. %`%� — /�—'Q _
LINt
APPROVHD
BY
HOLD
�_ .
385
1.HgpGBY AGKNOW E THAT 1 HAVE RlAD iH18 MPLIGTION Tryg AMOUMT BXOWN UNOBp VALUATION IB POp THE
AND 8TAY6 TH E A OV8 IB GORRBGT AND AOpHE TO GON-
PLV WITH A GITY ORD ANCE9 AND 9TAT6 TINO PURPOBB OF E9TABL19NIN0 • PERMIT PH6 ONLY.
Bu1LDINo N6rR � � /) VALUATION
81GNATU !��'-t�C/ 2 SOO � OO P�RMIT FEE $�_
PERMITT6 ^ , �(,�
SF� � .• S PLAN CHECK S�
, AUTHORIXED AGENi
�
�_ .. `� ���J�
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 817 COBTA M68A. CALIFORNIA
Fo� Appiicanr fo Fill In Complefely
TYPE OR PRINT
Aoo E's"s 2135 Iris P1aIIe
_COSTA MESA. CALIFORNIA
oWr,ER Irvin C. Jordan
ADDRESS J�00 Ne:�port BZVC�•
��n. Net�rooY't Beach ;;obR38811
ORCENGeI EER D• Southworth NEpJ.�1U516�.
ADORE56 CO°%ta Mesa �
......�e..._..e `�ii@r-- �S �..___ _S�
I nvZE..r !�I i� �i I� If I ��:,,aPYB �Ge.o
PROM
' I LEFf ZO � O�� I RIGHT 7� O��
DESCRIPTION OF WORK
BUILDING NO. OF
SIZE ROOMS � STORIES 2
PJ(TBRIOR WALL,tuCO I CO�VERINGShSII(��.eS
COVERING J
, UHE OF BUlLA1NG AND WORK TO BE PERFORMED
� ��!r
�'�E �r�C��'J �;
� APR 26" �1
FINAP:Cc DEPT.
CIiY OF COSTA P:4ESA
APPL�CATION FOR PERMIT
BUILDING
For Offiee Use Only
neceirr xo. . rew+n
'� � �
er � ow7a aecerveD � oere u
COSTA MESA. CALIFORNIA
APPROVED
ZONING
ZONE NO. OP U68 OP NHW
R�1 PLANB 2 Bt11LDIN0 r
EBCRIPTION LOY YY�� Tr•
A. P. NO. ROIIC'
YARDS EVE6
APPROVE� ALIOWED
(CBMCR LINE BT.1 /
P1an �1�15� I 163o s. ft. Q� �
J 620 s . ft.
i xexser �c�wawtenes rHwr i H�ve ne�� 'niie MPLIGTION VI�!!4.'�F1Q4MJ
ANp BTpTE THAT TH6 APOV6 18 CORPECT AND A6ftC6 TO CON• Ry��e���
PLY WITH ALL CIiY ORO�NAN�6 �ND BTATE LAMM R80ULA �NO
eu1tDlNo CONBTRurnON• + ^. �„ � VALUATION
SIGNATURE OF �' � ` � Q�
PERMITfH �
$ 17,198
AUTHORIZED AGEN �
��Q
•JD
.50