The URL can be used to link to this page

Home My WebLink About932 JASMINE CIR - Building Permits,, C; OF COSTA MESA REQUEST FOR OCC TRACT NO . �I `< < � IAT NO< � � nnDt�s s `i 3Z . c�/ . � NCY DATE The developer of the above entitled tract desires to sell [he above set forth lot prior to the time that the tract has been completed and its streeta accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they)�(was or were) ,�� advised that this tract has not been given finalJ inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by [he City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by sutety bond. The undersigned agrees to indemnify and hold the City hatmless from any claim resulting in damage or pereonal injury to the undersigned by reason of the aforementioned uncompleted condition. RECEIVED CIfiY OF C9STA M�SA Pi �•NwiNG DEPT. FEB 23 1913 AM PM "�i8�9�10ill�12i1i2i3i4�5�6 � BY �( J�.. � Y v�t�y`�� Purchase � � BY CL�= '�tL.{� �i(�.e—�L�v /�✓ Deve2oper and/or authorized representative � � sY ,�5,u�fc"� �- _�l�� Lender �-s �owEssaeuiaru 932 .TASMINE CI u"T: o�+�RswwE�F�o,a�": pROFANT ANN FLOOD: AH-38 mowEu: 231Q1 MbULTON PKY #210 LAGi7NA HILLS,CA 92653 uvi. WuuNc �ooaEss: ukxrteci on ewx�x: uc. no.: ARCN.ON F.NO.'S �UDNESS: UNT: ca+m�c.arrsxu�e: SUPEAVISED ROOFING ( 800 ) 576-3666 CONiNACTOX4Y4W10 15064 CHRISTINA CT eoonFss: LAKE ELSINORE CA uc.ra.: 695954 92530 urat: LICENSED COMNfCTOHS DECLAN�TION: I Mreby Nim uMs penely d pyury thm I em IieemeE uMa peovieiom W Cheqx B (commeridnp v.dh Secibn ]OW) W DNiebn J d ihe Bueineae end Pmleveiona Code, eM my licenaa o in lull lorce end eXq. c o.: f uc.cuss: uc. 5954 EXP: //Dme: � �� 1 Commaa: � I OWM H BUILDEN OECL1IHATION: I hereby elfirm unEar penely d ' �htl eaempt Irom Ihe Conlredon Licenee Law Iw �he �ro(bvnnp reeaon (SeUion ]W t.5 Businme eM Prolevions Catls: R'ry cYy a munty whiM rapuiree a pe�mn to mneUun. aller, imprws. tlemd'eh, w ropei eny eirvciuro, pia w Xa ewarca, deo reQuires �M epplirenl Iw vx� peimG lo fib e epmd eletamenl thm M a eM ja licenaed punuenl lo Ihe prwiaiona d ihe Conlmclon Limme Lew �Cheptm e(oomme�ip wn� Seabn ]000� W Ovebn 0 M the �Bueinep enE Pmlmeione COEe� rn IhN he a ehe le exemq thxolrom end Ihe beeie lor Ihe elleped uemplian. My vbleton W Sedion ]031.5 W eny eppliunl fa e permil subpqe IM epplcent to e cil paneM1y d na more Ihen live hurdred dollan j5500�). � � I,movrtwrdl�epropenyormyemD�M'�exilhweg<eealhakedemmpenee�ion,xilldothawadc,endthee�mtlurebnMinbnded or Mared lar We (Seclbn ]Oaa, BuslMo end Prolesuona Code: Tha Conveqoee Lieanes Lew tloea nM epply lo en ovmer o/ D�WsM who WiEs a inpwae iharaon, end xfio don auch wark IimaeM n hene[ w IMwph he a Mr own employess, pwNed Ihet wch im0�'�^^�a ere mi intenEed a Warsd lor eele. M, howaveq tM buiNiip a improvemenl ia coM wilhin aro yeer M mm0lMion, ihe ownerbuiNerwillheveiha burden b D�'iip M orehe diEiwlbuilE wimOrovelorlhe W�a W eale). � I. e� owiar d �M popary. �m eadwrely mnirmip �h IioeneaE convectan to canWud IM pqatl (Sedion ]OH. &nime� aM Proleevion� Code: The Canlredon Lkanes law Eoee � epply to en owner d poperry xiw WiMe w impovm �Mrwn eM who ` convecl� Iw wch prqee� Miih e mMredorp) Icenesd W nuenl lo ihs ConlreGora �iceree lewl. ��I em exemq unCer Seclion: 8. 8 V.G, la �hb nemn: Deia: Ownar. � I tlo hareby cMity thel I em awere d eM uMenlenC �he rpuiromeMs d CelAomu Hael�h enE Sefary CaEe Seabm 25505, 25S]3, aM 2559a, eM UN I u any Mun WiWiiq oowpani xill / wil iat (tlrcb ona) riesd to ccmph/ wYh eaid pa�a wdee e�M Ihe'epuinmeMe br apem�nlormutructionamodiRrationhan�MAi w�y anepamaNDiYritl.MkaroielmutiutlioneppfrmomenezamplmmiMee qovieions. . Dma: Md�: . . WONKER'S COMPENS�TION OECL�NATION: I Mraby effiem undr pnelry M peijury oro d Ns Idloxiip dodveliom: �❑ I M1ew vd vAI meieuen e eMfctla d wnwu to �aCanwn br Makre' eompem+tbn. n pwidod fp by SaCim 3)00 af �M Lebar Cods.ln iM qrlamence W �he xoA for wlich ihu prmil b uswd. ❑ I hm ud rAI mtimen waFon' oomW�ion Nwrence. n nGuvW M Setlion �]00 d tlw leDor Cods. br tM Wrbrmuiu d tM wak la Much Ne pmv� u iuueU. My warFen' mmpsme�un inarence mrtiar eM pofiry number vs: Certier. � Pdiry Numbr. �itju s«ron nssd Iwr a. comd.rod r ms n�� i. ro. w,. nune�sa edws Rioo� a ws.l I qnAy Net in Ne pxlmw�es d �M wak la v.fik� Ihn pmN n'seuaE. I tlWl nd empby arry pereon in ury menmr eo n to / Wcm�s whjW to IM wwkme' canpwuion lern 'mYe, epdJp�becane wbjatl to iM xorken' compen wn �� W Saaion 3]00 d iM lebor I I loyhyjl6{gp� wM Noro pwi�ions. I I r� �� AppfceM: W�minp: FWun N��cun work�n'rompxwtlon mv�rry� I��IMIIIYb/�Cf III MIpIOJ�N b C/IMNI pMNMN I/M clHl nn�a �q ro on. hundM HnuunO tlo/bn (Sfo4aooA N.��n ro tlr� ewt ol nnpwuatlen a�p� .. PmHtlM ror In 9�ctlon JI08 0l fh� Wor Caa, InMut. �n0 �trom�Y� IMs. CON9TNUCTION LENMNO �OENCY: I henby etfirm uMm perully d perjury ihet tMn u e mnativabn kM'up epmry la tlro Wrlamerca d iM xwk la MiW �IiY Dmm� n'swad (Swion �081. CN. CI. LENDER'S NAME: ' LENOEfl'9 AOONESS: I ceniy ihet I heve reeC Ihia epd�e�im end aleb IMI �he ebon inlorme�ion ia m�f. l eprw to compy wnh ell ary vd counry ordinenm eiW �We 4ws nluip io buJd'vq con�trud'wn W Mraby auUwizs iapeeentevwe d Ihe dry b enler upan Ihe ebwe�meruioned proparty Ip impeebn purpme�. JOHN ZIEGENHOAN Pnnl Neme � Deta: �'_� � � (5151<�.WP) WM1ils-Buikvq 8 Sdely; Oraerr-Fle,`Cenery-Appifenl: Pink-Revenue;CfddenraE-Aaeam CITY OF COSTA MESA — BUILDZNG PERMIT � PERM NO: H 075081 PERMIT NO: B 075081 PLAN CHECK NO; N GOVT: N SUPP: N r CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; ROOF OVER 1LAYEA WOOD SHING. W/COMP. SHI SQ FT: 3,300 CLAIM VALUE: 3,300.00 CALC—VALUEs 3,300.00 GROUP OCC: A-3 /M-1 COMMENTS: OVEA EXIST. 1LAYER WOOD SHING. W/COMP. SMOKE DETECTOAS AE�UIRED ��x��«�+�x**x�+�x��*****�x��r�rx****��r**x�#+r**�r�**�r*+r**�x�****+t+�****x*x��r+t*x�x* **#�r�r**��*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 HUILDING ---------- --------- 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: 41218304 ZNE: REF NO: PLANNING NdTES> i 1E 1F1E 1E iE If IE 1E iE'1E 1f 1E 1E 1f if ik�lE IE IE1f if 1f 1E 1f� 1i' 1F1EIf ik if iE 1h �F 1f iE 1f 1E #'lF 1E'N' 1F #7Fif 1f if 1E 1E 1E If 1f 1i IE i41F 1E 1f 1E 1E1f 1k # 1E'IE if # iE 1F iE 1f 1E 1f # 1E IF # 1f # D E V E L O P M E N T S E R V I C E S A E Q U T A E M E N T S ZONING APPROVED HY DATE; BUILDING APPAOVED 8Y ; DATE: APPLICATION ISSUED BY:__________ _ L/►o"� DATE: I�� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING PEAMIT 63,00 SO PLAN SMIP/NON—AES ISSUE FEE � HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 0.00 63.50 63.50 .00 AEVENUE DIVISION TOTALS--> COLLECTED: 63.50 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.00 .50 � if 1f 1f 1f 1f ik 1k ik 1f 1EiE1E'If 1E If 1f 1E 1E 1k 1E ik iE 1E 1E 1f 1EIF �1E iE # 1E �lE 1f ## i!'1(' 1F fE 1ElF iE 1E 1F�FiFiE 1k# 1{'if 1f fE 1! 1flf if 1F # 1l1f iE# if ## ik 1k iE # 1E if 9f 1E 1f 1f #!E 7t I N D Z 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 3300 REROOF BY VALUE RESIDENTZAL NOZONE 1.00 3,300.00 END OF FEES Bu"°'"�: g32 JASMINE CI ux.: "'�'"" PROFANT, ANN FLOOD: AH-38 "0°"�' 23101 MOULTON PKY #210 LAGUNA HILLS,CA 92653 �vr�. wuuxc wox�ss: �PCNRECT OP ENf�NFEN: �xcx. oe et+a.•s �ooRess: uc. ra: unr: ca+m�crarsru�: SUPERVISED ROOFING ( 800 ) 576-3666 CONIflRCTON5MNl1N0 15064 CHRISTINA CT mopEu: LAKE ELSINORE CA �� 695954 92530 uNT: LICENSED COMFRCTOHS DECLAPATION: I Mreby eilirm untler peneXy d perjury thm I em licenaed under proviebne M Chepter 9 (oommenarq wnh Section 100U) d Divieun � d tM Busirieas end Profesaiom Cade. eM mY liceree ia in lull lorce eM eHed. c �o.: uacuss: E� 5959 EXP: L . �ove. F' — �� comrae«: OW BUILDEH DECLAR4TION: I hareby eifirm unEer peneXy ber thei} avempt Imm the Conveqwe Licenee Lew lor Ihe wn8 ��%%on (�ion 10.'f1.5 &ni»af aM PNmsiona Cada: RnY cIY a oouMY �� Ouirea e pertnil lo oonsWct. ellx. imprave. demWsh, or reyei eny svuclure, priw lo ils'saer�ca, elfo reQui2a tM epplimnl for qxh paimil to fib e eg�wC ele�emanl Ihel M a eM � IicenseE W�w^� �o the provisiona d Ne Cantredon Li�ree Lew [Chep�er 9(mmmeMiip xilh Sedon ]000) W DHeion 3 d Ihe usineas eM Prdnebns�Coda� or Ihm he or ehe is axempt Ihxehom end Ihe beaia br �he dlaped exemqbn. Any vbletun d Sed'an roa� s M�r eod�cem ror e w�n wd�a �ne eod�,� m. ovi� oarelir d m� mae inen rHe nunared ea�en Issoop. � I, es owner of Iha prapenY or my empbyeee wah weges av IMi eule mmpenae�ion, vrill Eo IM1e woM, eM �M el�ucNro e nol intended ar oXared la eele (Seelion �Oad, Busnme enE Proleesbna Code: The ConVedon Lieenm law Eoee ewt epplym en ownerd proPoM wlw W ida or in0�+s ��. �� 4� auch work NmseM a Mne1 or thrwph he a hx own empbyeee, pwidetl Ila� wch impwemenia ue mt imendeE a dleieE lor sab. M. Mwaver, iM W iki�p or'unpovemmm u aold Mithin aw yav d oomplelion, IM ownar-buiker will heve �he burEen d pmvieq he or aha did rwt build a imD�� ar iha WN�e d eele). � I. ea oxMr d IM propeM. a^ e�dusrvey oonirepip wilh IieenxE conlreetae io eonavua tM peqea (Swun ]OU. Buairis� vd Prolwian Code: The Gontredwe lironne lew Aoes ml epqy lo en owner ot property wlw WiMe or impovea �he�aon eM wfio conVecla la wch prqecta wilh e contrenar(e) licenced punueni to tha Contrecrore Licenee lew). � I em uampl uMer Sectim. B. 8 P.G., Im �hia reawn: Dele: Ownec I do hereby ceMy �IW I em ewere d erd uMenwd Ns repuiremama d Gdlomu Ileellh vrJ Sdery CoCa Sediau 25505.2553�. eM 2$$�6. Bfld 1� � IX fillY i11111R �MlIbI11Y OXViB�� N111 / W�I fld (GIC�B IXIB� IIBBD �D C011liy W�� BIB�B Ndp Glld 1�IG R9YIfBTMb iOf epermM1lorwnewciianwmoEifiralianlromtMA'v u�6TlreiagementDinriq.RmldenlidwnelruqioneppGce�ioneeraesemqtmmiheae woNslon.. oele: noo�bent WORKER'S COMPENSATION DECLAH�TION: I Mroby elfiim uMer peiully d pajury aw W Me folloxi�p Aetluuiom: � I haw eM xi9 meinien e nnEiwa d camm�t Io ��Ximum br xwkere' compenatlion. m W�b lor by beqion 3)pO d the lebor COAe, br iM perfarmence ol �M work im which ihia parm� h imued. � I heva enE wil mein�en wrken mmpeneetion imureMe, m roquinE by Sauion 3]00 d �ha labor Code, br �M parlwmenn d tM wwk /a whidi this pertnil e iaeued. MY ��' �Panaetbn inwrenca csrtbr eM pdiry number ara: Cemer. Pdicy NumCx: ,,,...,,,(((his sedion need nof 6e mmdered / tM permil ie br one hundreE dWlen /5100) w NsvJ �I mrlJy �hel in Iha pe�lormenu d tM wwk /or whch �hie pe�mn ie i»uetl, I ehell nd emd%' �' Fs�� Y menner eo m to bacoma wbjed to ihe hohen' wmaenaeiion kwe itm�ie. e—M aS� ree ihm il I ehouk bamie eu4ee m tM xwksn• compan wn m/w�ie/ona ot SaUion 3100 d Ihe lebor ell Io-��r�F'—�n xith �hosa provisiam. D —0 �I AGdirant:'( ��J �N , Wem/np: Fe un ro awun worka�' compuwHon roverap� b�nNN}ul, �ntl �b siEi pcf en xnployx ro MMIuI p�natt/u entl clvll flM� up b ons hunarM fMuwiM Oollen (5100,000), In eWltlon ro Ms ro�f ol rompewflon, dam�pu o prov/tletl br /n Sxtlon J�O6 0l tlr� Lebor COW, Infwrost, �ntl ettom�rs fsli CONSTHUCTON LENDINQ AGENCY: I Mreby �im unEer penalry ol pmjury Ihm ihere ie e cannmtlion IeMinO W��Y lor Ne perlormenee d the wwk Iw wfiieh tha peeml ia reeued (Sedion 309), C'v. C). LENOEq'S NRME: LENDEP'S ADDFES4: I ceniy tIW 1 haw ned thia epplice�ion eM qe�a thei the aEwe inlormelion is co�a. I epiee lo mmply wilh ell iny eM counry adinenm end slata lews mk�nB �o builCvg consUueion eM hereby eWwr¢e representetivae d�his ay io enter upan Ne abo+e-memioned qoperly lorinavection ourV�e. ' _ _ JOHN ZIEGENHORN �✓ o�s: "% � 1 (5151 �48 WP� wnne-B�ud:w a sa�ery: cree�.Taw�cere.y-nov��: R�k-Revenue: Goaen.os,�eamm CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 075081 PERMIT NO: B 075081 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURPOSE: OTH JOH DESCRIPTION : ROOF OVER 1LAYER WOOD SHING. W/COMP. SHI SQ FT: 3,300 CLAIM VALUE: 3,300.00 CALC-VALUE: 3,300.00 GROUP OCC: R-3 /M-1 COMMENTS: OVER EXIST. 1LAYER WOOD SHING. W/COMP. SMOKE DETECTORS REQUIRED � ***+�+�**�*��+��+�*� rt+�**�**��*�*� ***+�� +��*+�***�*��**� �****��**� **��*+�+��**�-+�� 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 BOILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARI(ING REQ: PROV: PARCEL: 41218304 ZNE: REF NO: PLANNING NOTES> i aE iE iE iE k 1E IE iE �E iE iE iE 1E IE iE 1E iE fE iE 3E fE IE iE fE if 1E 1E iE 9E fE 1t iE 1E if iE iE iE iE iE it iF iE iE iE iE iE fE fE 3E iE iE jE �E iE iE k it jE if if !E 1f iE IE 1E iE iE iE 1E,if iE 1E iE if if �t iE �E 3E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: � APPLICATION ISSUED BY: �� DATE: I.'t�� iEiFiEjEiFiEiEitiE3EiEiEiEifiFiEiElElfikiFiEiF3FiFiFiFiFiE�iF�FiF�1F±F3£iFiF �iF'�1��Fit3FiFiF3FiF3F'iF7F7F?F3F*iEiE�titit ** *iE i�iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE '. SMZP/RES GRADING PERMZT 63.00 (' SMIP/,NON-RES PLAN ISSUE FEE - BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL ,,; TOTALS----> 63,50 0.00 0.00 63.50 63A50 D00 REVENUE DIVISION TOTALS--> COLLECTED; 63.50 OVER/SHORT; '' .00 HLD63p00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO.�GRADING PLAN-CHECK iE fE fE fE f(� 1F iE 9E 1E fF iE 1E 1E �E 1E 1E iE iE 1F if 1Elf 1E 1E 1E iE iE iF 1E iE 1E 1E �E 1E iE iE ik 1E fE iE 1E iE 1E iE �)E �E 1E 1F iElE iElE 1f iE 1E 1E iElE fE,fE iE 3E IE �E`3(-fE iE!3E 1F 1E iE fE 1E 1E 1E 1k 1F iE fk 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�GOST - TOTAL COST SFR 3300 REROOF HY VALUE RESIDENTIAL NOZONE 1.�00 3,300.00 END OF FEES r �_, � �� , � �� ? � �NOU 07,1995: CITY OF COSTA;MESA �� CONSTRUCTION AND PLANNWG � POOL ,QA F APPROVALS Permit # � � Date Inspector qppROVALS Permit # ` Da2e inspector t i. Temporary Electricai Service or Pole 52. Pool & Equipment Location '� � � 2. Soil Pipe�Undrqrnd. � 53. Steei ReinforcemeM � � � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' • 4. Electrical Conduit-Undrgrnd. 55, Eiectrical Bonding � b. Steel Reinforcement 56. Rough Plumbing & Pressure Test I � 6� Electrical UFER'.Grnd. 57. APPflOVAL TO C6VER-GUNITE ---7..Pootings , � 58. Electrical Conduit�Undrgrnd. �" � 8. Eoundation - �� 59. Gas Pipe, � Undrgrnd., Test / 4 9. Water Pipe�Undrgmd. ,� � 60. Backwash Lines, P�Trap, G Undrgrnd. � 10. Structural Ftoor SYstem _ 67. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Finai � 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System � Pinal 14. Rough Plumbing � . 65. Electrical�Final 15. Rough Eleccrit�al•Conduit - 66. Solar Svstem-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiri�g Sign 68. APPROVED FOR PLASTERING 78. Rou9h Electric:ai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT ( -r 20. Rouqh Factory Fireplace � �`. � , ' APPqOVAL-$ --� Permit # � 21. Qucts,,in Structure �" � - 70. Undergroun(1 Hydro 22. Ducts-, Ventilating' , - -� � 71. Product Piping O Ga: GOiI 23. Gas Pipe-Rough & Tes2 ' � - ", 72. Underground Flush 24. Root=Framing ' ,- .. 73. Undergrnd. Storaya Tank � Gas ❑ 0�1 25. floof Sheathing . 74. Overhead HYdro � 26. T-Bar Cei�ing (Structural) & Monocoat � 75.. Dry Chemicai � 27. Frame and Flashing � � " 76. Dry Standpipe �, ' " 28. Lathing & Siding �. � - " � ' ' �� 77. FIXED SYSTEf�I'PINAL• I • 29. Insulation � � • . 7B. FIRE PREV. FINAL � � � 30. Drywall Nailing - �HEALTH'DEPT. REQUIR£MENT 37. Piaster Brown Coat '� � ' 7g. FINAL INSPECTION - �.32. Electricai Power Nieter�Final � S0:' FOOD CERTIFICA?E ISSUED -33. Final cleciric'� ' • � Notes: " � � � � �34. Final Heaiing & Aie Conditioning - � � � � , � � - t. 35. Final Gas Pipe-Test�� .. " � -- - 36. Hood or CanoPY � � _ � ' i.. ' • -', - � -.37. Final�FaCTorV Fireplace . �.� _ , _ � 38. Final Plumbing �- - � 39. 4Vater Service�Final � 40. Gas Service-Final = ' - � � � � -- � � '� - �� 41 . Solar pomesticFinal. - � � .- - - ' - .. `_ . 42. Backflow Preventer � ' � � � • . _� 43. Backflow Irrigation � � - �C-�-C'j.0 � 8��. � '.[� � -- V1 O��m[ 44. landscape irri4ation•System �- -. . ' ,' - �" �- .�y�ri(� -. L0`- 45. Sound Attenuation • '. � 0 �, b CJQ`� � i � _ , -�� -- �-�s-: - 46. Handicap Regulations - �0/7j� � � - 47. FINAL STRUCTUflE & BUILDING !� /9�� ' '- t - �, [ 48. FINAL PLANNING "�. -; , 49. Electric Release to Edison � __ _, � '. 50. Gas Release to Southem Califorhia Gas Co ` , 51. CERTIFICATE OP OCCUPANCY � No Date � �Buap�o: 932 JASMINE CI en� eiv�u+owN: PAOFANT, ANP7 /�DDRESS 932 JASMINE CIR � ' COSTA MESA,CA �vv�. xuurw �oo�ss: /JMNRECT ON F1M�NFEH: MLN. ON FNG.'S AOURESS: `) UNT: ��C FLOOD: AH-38 2 92626 uc. ra: UNT: wxmncrarswu�:AMES, A PLUMBING, HEAT, A(719)530-2440 cartnacrowsxuurx� 9911 LARSON AV wo�ss: GARDEN GROVE CA uano: 250307 92649 uxr: B UCENSEU CUNTRACT�RS DECLAR�TION� � hereW eRim uMer pre�y d perjury tIW 1 am licenaed uMm pmiama N Cheqer 9 �mmmenu�p wit� Section ]000) N Division � W iha Buain d Prdeeeione Gode, arM my lioenm is in h ITole eM eHoci. cmuc.No.:006664 uc.cuss: C N� 250 0� XP; 06/95 ome: '1-2 �—S �} _ c��a OW NEF BUILOEH DECLANATION: I hereby e/firtn under paney d Ihel I em e�emq Imm IM Comretlors lirorue lew la the Idbxiiq �emon (SeCian ]OJ1.5 &ni�eaa erd �aesioru Cade: A�ry ciY a counN �� iuime e pe�mil lo cmabucl, elle�. impova. bmolreh, or repeir eny etmclum, prior m na bsuer¢e. ebo requirea Ihe epplirem lor euch peimX m file a eignad eWement thN ha or eM �, licensed punuem lo �M proWsion� d tM ��etlore liceme lew �Chepr 9(commmaiq r.rh Secvn ]ODO) d D'veion 3 d �M lueinen erM Prdesaiona Cade� or ihel he d she o eumq Iherehom entl ihe bntie fw IM elbpeE naemqion. My violetion d Sedion ]W 1.5 by vry epplirant la e permX eubpde �� eGWk�� to e cril per�elry d iwt mae Ihan fve hurdred ddlen �5500��. ❑ I. u ownar d �ha propeiry or my empb+aee v.'vh we9� %+�� mpe�ue�ion. will do Ne xwk. eM IM sVuclun e rw1 inleMed or ollered Im aeb �Sxtion ]00<. Bwinees end Proleceiona Coda: TM Conlredae Licarue lew does ml epplylo en owner M piopnty who buide or inpmvaa iherean. eM Mi0 �e euch xwk NmeeM or henalt a �hrwph he a Mr oxn empbyaec. prv+idad �hm euch impmvemants ere mt inteMed a dlemA �a� eda. M, however, lhe buiHieq w'unpwemenl ia eoM wilhin ma ym al mmpinion, tM owror-builder will heve Ihe Wrden d v�'i�p he or eM Ek iwl buik a�mpove fa Ihe puryme ol eeb). � I. m owiwr d tM propeny. am axtluaiveh mnVeaiq wnh licenaed conirecMwe to wnatrutl IM qqw (�� )�. B�inme enE Prolesabne Gode: The CoMreaan Lice�� lew doea ria eVGN �a en owmr d qopeity xfio Euike a Imqovee Iherson eM w1w wnvxv lor wM prqads wuh a mmredale) Icemed Wnueru to IM Cantrmwa Lbne law). � I em ezampt under Seelion: B. 8 P.C.. br ihie eeewn: Ode: �� i eo ne�enr �anM �w i em ewa.e a e�d �mas�ene ine na��,ew a ce�e�e Nemh .�d sd�v eoae sea�,. zs.ws. zss.u..�e xssu, ene md i«.�v rNure buiiairq «cuc�^� �� w�� ^a (a2� ��al �� o canoN w�n eeie e�me coam ena me �uirememe ror apertnnt«comVuctionamodifiratianhomtMAi�OTu i�anepemenlDistria.Reaidentielommivaionappiratioroereexemqfromthaea prwisione. Dele: AGWiram: WOflKEfl'S COMPENSRTION DECLAPATION: I Mreby elfirtn uMer peral�y of peijury me d Ne blbwi�q Eetleretiona: ❑ � nava ene m� mei��ain . cenaKme a m�mm m..nJns�,,. r« wamm�• �o,nw�emian. d awieee �« M smion a�oo a me �en« CoEe. iw �he pe�amence ol iha xwk la'�'hich ihie pe1mX ia imuad. I hew eM wil meiman waNen' mmCeme�ion im�rarim. m re0uired h' Seaim a)a0 d Me lebar Cade. b tM De�larmara d tM ta whieh ihia permit ia ieaueE. MY wnMen mmpenemion inwrenee eeener aeM poliry number are: c�a: R5-Eft�PeU�Hc•LIC INDEM EXPIRES Paley Numbar: ] Y lI 1 L t_ 0 3/ 01 / 9 6 ,m;ssen;onneeerw(aecvmamredirn.w^^�mrorone edwrsRioola.kss.) � i cenM �� na re�t��,�e a me .�«t i« wn�cn u perm 's i»uae. I ehell na empby eny pereon in menner ao o to bxmie w4� w Iha �wkms' canP°^'e�ion lexs CeIJ ' erM e6ree ' I ahauM became eubl o the xarken' com�paJnaetbn ^pmvisione oi Se�dran 3lW b�he Lehar C e, I Mell hwilh p�y ' pmvisione. Dva: �S �.s�-� •— T � RDd '� Wem/n0� Fallun ro ucun woKsr�'rompMutlon covsrap� un/awNl, end �IWI to M crvn nros w ro om ni.na�.d �nousne ad�ar. (Sioo,00aA M+er�non ro ms m.� or romyerwrron d.m.w. u p.oha.a ro� in Sectlon 9)06 0l fhs Le6or Cade, /nNnaf, A�tl attomsyi Isu. CONSTflUC710N LENDINO AGENCY: I hareby eifmm uMer penelry W perryry ihm �M1ere ie e cvne�mdion bMing epenty br iM peAoimeMa M ihe work br whi h the permi ie ceued (Sedan 309]. Gv. Cl. LENDEq'S NN�IE: LENOEP'S 1DOHE54: I ceniN �het I hew read this epdweiion end ate�a ihet iM ebova inlametion ia wired. I epree m camON �h ell my end counry oNinarsee aMs�elek inB�oWilEvpcon9rutlpneMMrebYaulM�¢ertpremnlelrveadlhiaplY�oanbrupon�Mebove�menlonedpmpe�y � �, �Jlu�t�Ck�. - p�� Neme 0�>3 -� v- s r- sie�ure erl n pplicen raeor (515t-a6 WP) Whne-BuiWvq 6 SJe�Y: GrearFle: Cenery-AOG�� p�^k-Pmenue: GoldenroJ-luxsaor CITY OF COSTA MESA — BOILDING PERMIT PERMIT NO: P 071623 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE; PLU JOB DESCRIPTION ; REPLACE WATER HEATER PERM NO: P 071623 GOVT: N SUPP: N SQ FT: PORPOSE: OTH CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 / COMMENTS: CHANGE OUT ONLY *�-*�r*x-+��r**�--�r*+c-*x�x�**+e*�r�r****��r*****�r�x�+r+�+r�r***-�+t*r�r*+�-*+c�-��r+��e�r+r*+��x-*+r�t��r�r**+r*-�*�r*+��- Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- �RNT: 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: 41218309 ZNE; REF NO; PLANNING NOTES> i ifiFiflE ifiElEif 1EiE 1E if ififif if if if�ii 1f iFiE ifi! if �f �f !F if !f 1f if if iEif�If 1f 1f Kif iFifiF'N�1Eif iE i(-if if iF% 1f i4 if if i1�Mif �E if if�lf K'M �l�lEif 1f if 1F iF�IEiE 1E if �f af 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 APPftOVED HY , DATE: HUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY; � � DATE; 7 ***i�*��t�******��t+�**�t**iFiF�3FiFif 3F 'i��iFi��ir�i€3F'i�i�aF'iF3F'ii'i�'iF�—*3F**�ti�*�r*r�**�'�`3F��+t�t LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBZNG ELECTRIC MECHANZC FIRE SMIP/RES GRADING PERMIT 7,00 25� PLAN ' ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTALS----> 7.00 20,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; HLDG PMT PLUMHING ELECTAIC MECHANIC " 2%.�� ,. SMIP/NON—RES TOTAL PAID DUE z%,00 i%,00 ,00 27.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK iE 1E iE %4 if ak iF i! �E i! 1f if 1f if ff ff 1f if if if 1F 41E 1f iElE it 1f if 1f 1f if �E jF ik if !f if 1! fE M if if 1f if if iF if it i! i! if if jE iF 1f M 1F iE iE if 1t i! M if �f 1f ik 1f 1f 1t 1f ff if 1E if aE �f I N D I l,� I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N� UNZT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT 7,00 7,00 END OF.FEES Encamp e e IrR E Q �ats �� Aechons - ��`�� '_' ��77�?9i-''�17°t94 Tt�3 �' �^.,�: Lnic: 031,�l�`, iIr;�: ,5�-cQ - ! CCNSTRUCTION AN� PLANNING ; APPROVALS Permit # 1. Temporary Electrical Service or Pote 2. Soil Pipe�Undr9md. , : 3. Electricai Conduit:UtititY�Undrgrnd. 4. E�ectrical Conduij'=Undrgmd. - 5: �$teel Reinfarcement 6> Electricai UFE(i Cjmd. 7. Footings , :,' 9. Foundation � � 9. Vtiater Pipe-Undrgmd. �. ' . 10. Structurai Floor"System 17. Property Sewer �ine & House.Con rectio 12. Sewer Cap . 13. Roof Drains � 14. Rough Plumbing � 15. Rough Eiectrical�Conduit : , i6. RouqnElectricWiring, : 17. Rough Wiring Sign 1$. Rough Electricai�T Bar Ceiling� � 79. Rough Heating & Air Conditionirfg 20. Rough Factory Pirepiace � � 21. Ducts, in_Strtfcture' � �� 22. Ducts, Ventilating : " 23. Gas Pipe-Rou9h & Test - 24. Roof Framing" ; � � -� " 25. Roof Sheathing . 26. T�Ba'r Ceiiin9 tStructural) & fUonocoat 27. Frameand Flashing�. ', �� 28. �athing & Siding � � � � � � = 29. Insulation . '" � � . 30. Drywail Nailing ,' 37. Plaster Brown Coat . � � . - 32. Electrical�Power Meter-Fina1 '� 33. Finai. Electric.. � • 34. Final'Heating.& Air Conditioning - 35. FinalGa's'Pipe-.Test ; , .. 36. Hoodror Canopy , - � ' 37. Einal.Factory Fireplace • � _ 38. Final Plum6ing � � 39. Water Service�Final 40. Gas Service-Finai - . • • . 47. Solar pomestio-F(naI' - ' 42. Backflow Preventer � 43. Backflow Irrigation ' ' • - 44. Landscape irrigation System �� ': � '�' 45. Sound Attenuation , ,', -„ � 46. Handicap�Regulations ' 47. FINALSTRUCTURE&BUILDING 48. F�INALPLANNING� •• 49. Electric Release to Edison 50. Gas Release to Southem California-Gas ( 51. CERTIFICATE OF OCCUPANCY` Date eoa JPiY Date Inspector qppROVRLS Permit# 52. Pool & Equipment Location 53. Steet Reinforcement 54. Forms 55. Elect�ical Bonding 56. Rough Plumbing & Pressure iest 57. APPROVAL TO COVER GUNITE 58. Electrical Condui,�-Undrgmd. 59. Gas Pipe, � Undrgrnd., Test: „ 60. Backwash Lines. P..Trap, � UPdrgrnd. 61. APPROVAL TO DECK � � 62. Backwaxh & Receptor�Finai . � � � � 63. Heater & Vent•F.inai ` � 64. Plumbing SVStem - f�nal . . 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval ' � 68. APPROVEDFQR�PLASTER�N'G 69. POOL/$PA SYSTEPnS FINAL _ FIRE DEPT. REQUIREMENT , - . ; ; � APPROVACS:. _: Pe�mit # " - - � � 70. Underginund Hydro ' � = . ' . 71. Product Pi�ing b�as O Oii ' � 72. Underground Ftosh � ' � ;: .; 73; Undergmd. Stor,age Tank O Gas ❑ Oil ' � 74. Overhead Hydro �`' 75,. Dry Chemical , ' � ' � 76. Dry Standpipe �� ' � � ` - '�� '�i; 77. FIXED SYSTE(!A�FINA,L ' � I� 78. FIRE PREV. FIN'AL � " � �' . ' . HEALTFiDEPT.REQUIREMENT �, � '� � 79� FINALINSPECTJON k � " � � 80; FOOD CERTIFiCATE IS�,UED . � � Notes: ', � . � i . � i` �(_`��f�=: :. M, ;4:v�_�=p� � ' - - - .-� '' .. . - :0 �� I ' C��S . � � . � . i: � !, : r . � , Date s I I'nspector I i � r � 97 2 . w w d U F Z 2 F � m J � J � Q W ¢] J m J Q U N Z a W � d W w Z J 0 m z J � W w � _ z� w� �O 351 � � COSTA MESA BUILDING-SAFETY DEPARTMENT �+OZG p.0. eOX 1200 COSTA MESA. CALIFORNIA 92626 nUG �S'�ZPAIOOO�O�16# >trt chsn 142-98 APPLICATION FOR BUILDING PERMIT ForApplicant to Fi!lin Completely a cei e av DATE RECEIVED onT issu BUILDING ' 3Z Jasmine Circle ' � �� 7 ADDpESS PEflMIT NO. OWNER Larwin SOuthern Calif., IRC. �+•P•NO. �r OUILDING L ADDRE55 16255 Ventura BLVCI. ADDRESS �f �(/u'� CITV Encino, Cdllf. N�'86-8890 TRACT LOT BLOCK CANSTRVCTION W �+� A P LENDER Larwin So. Calif., Inc. 1 BRANCH 16255 Ventura Blvd. p� O W N E R �/// �C. �J ADDRESS Encino, Calif. VALUE �[, ARCHITEGT NE '73_4464 S CS u 5 �+ OR ENGINEER Larwin ■ FIRE ADORE55 9100 Wilshire, Bev. Hills ZONE � TVPE GROUP i APPROV CONTRACTOF Laxwin So. Calif. , ZI1C. BY DATE � ADDRE55 ]_Fj2rjrj Ventura BLVCI. ZONE NO.OF USE OF NEW SlNGi,E frY( �� CITV NOL I Z l: /�' � J-�{j Encino Calif. 986-8890 �- °'J""5 Bui�oiN� -, STATE CITY VARDSAPPROVED YARDSAPPROVED uc. n,o. 191311 LIC. NO. B_1 MAIN BUILDING ACCESSORV BUILOING $12E NO.OF BLDCS. (FFiOM C/L STREET) OF LOT (O X LOO NOW ON LOT � RONT S FT. FT. VSE OF EXISlING BLDG. �S T. FT SIZE OP NO. OF NEWBLOG. 1�84 qOOMS STORIES 1 L.SIDE �� FT. FT. . EXTERIOR WAL ROOF COVERING �ti1CCO COVERINGWd. S�i11I1 �.2 REAR .�S FT. FT. VSE OF BUILOING AND WORK TO BE PERFORMED DISfANCE BET. BET. MAIN & MAIN BLDGS. ACCE55. BLOGS. VAR. # DATE Construct sin le famil dwellin c.u.P.�w APPROVED APPROVED / /�A E� L� I hereby acknowletlge that I have �eatl this application antl state OLD FOR SPGCIAL iE U that the above info�mation is cot�ect antl agree to comply wi[h all laws regulating builtling construction, antl 1 shall not amploy any person in violation of the workmen's compensetion laws ot the Stare of California. m b I hereby certify that I am properly licensetl as a convactor under SQ. FT. P o the State ot California Business antl Professions Cotlo, �ivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl [hac such licenses ara in full force anE atfect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLY: m em exemp[ from the provisions of the Stete of CalifOrnia BuSinesS ��J ¢ antl Proteaions Cotle, Division 3, Chaptar 9. VALUATION �� p� � PERMIT FEE $ � � Signat�re o �{,� = m Perminee � .�7�� D. Downs y a� 9(J ✓ PLAN CHECK $ E /� /� `o Authorized ABent LL TOTAL FEE $