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Home My WebLink About3101 JEFFERSON AVE - Building Permits, i�:�� ;. � y�'�f��..�� i'.:-'�'3• i- � pia� �sa-s2�a • Fax p�a� �sa-aess Job Address: Suite: Vicinity: CITY OF COSTA MESA sva�►N� �►v�s�oa DEVELOPMENT SERVICES DEPARTMENT PERMIT 3101 JEFFERSON AV HOUSE & GARAGE ParcelNunmber: 14159101 Applicant: LE, VINNY Address: �� /: /l'.. / Owner tiHIKU HK�I Address 1259 CRESCEI �if// � A A �7� SU NYVALE,�i , ...4/ � . %;�;1 i/�. -l�a�/ ..ZP�: 9, � . BUILDING PERMIT Zoning: R1 R1 PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 04/07/1999 Issued: 04/07/1999 ISSUED BY: C�-� ._ . �, f ��`=-r �".;,�� .'-..-, � . ; l�_- -- �- _ - �-= , ,�:, ;" ,Phone: i , ' ��„ � � � � i � �� .� (� � I 'Zip: , �^` . . - �` ��' � , � � `�� , . . -, < � _ i�j �f ;�V-] ��} � 1 / / / / \ ` V � :.,� t..i ' � � �=-�v ' i �\ � �� / � � _ _ �J ! i � �- -.� -c�c,> < � A V�.A �'� � � =Phone. '-.._ � `��. �� .��, i . `. ,� i � � ~\ � -� . �%'"� Zip_ 94087 ��'�`�A; �i� V A� � � i \ � �\� < �!,�� ROOFING CO `�� i ��-; , � �� ,/ �� WAY ��A�A ' �AA " Phone,^ (714)541-5351 GROVE, CA t4y.� License: i' 694940 I � � �.�� ' � :� �� ` '� � �� . +:Arch_: ��.. `- ,� (` � �. l Eng: ` .. Address: ' ��f:'"` � ' j � � �', "` '" �� _�, . Address:-; � �. ' �A � - _ � � r; : � � Phorie: - � - . 3-`�-' � / �\ Phone: . �. 4/ � t• --- _ � �-- � i �� _ 3�, ✓ � �r ,.. , � , - �� Zip , �' �� /� � /-Licensa: Zip: \ 'Lwense: �� i� i �V \. i % -``" �' � V �. � , ; /,.. , �y' ' „ - SCOPE�OFPERMIT, �, .;.'�� '��; t � REROOF = T/O, NEW 1/2" CDX�PLVVJOOD 1-LAYER:30# FELT'&25 YR COMPOSITION��SHINGLE ROOF WITH�BUICT UP �o o c...,_ ��. .... ...... .... , � ROOF OVER FLATAREA. (2700SF)'__ _ , . _ , _ _ _. .. _ . _ � ' . � � Plan Check: ,' $0.00 �� •� � Permit :$124.75 SMIP Res $0.67 ', �§MIP Com ,'��,, $0.00 `. �'\ �Othec, '•.-,:;$0.00 � Inspection "$0.00 ��;� ��.;% �„��. � •l5 ' +. � . ` � '" �� FEE SUMMARY fy� � � 1 "!' r -• „ �` � � � � �'� ::; Celc Valuation $s,�oo,00 -- � - -Claim Valuation � $s,�oo.00 1 � � `- � �i�� r � . �_-�! = ^ ,;; <�� - �,. r " - _ �' ��7,� �o;,a �, - ( '-��. /'i�� " ��, ,.� ,. `:,Total: ^_,-$72542 ! .. t� � � �� . �" , �� :A; � r�f,r?� i,. ' �� -- .� �y;% � ' � l� �� /�` �V' .z ' � ' , . ��- ; A ��. '��r�; - �PLANNING 8 ZONING ,. ' � � " . .�;� �,'�" �„ �' ��, � � . , �. y� r :.�, �,f�i .� � `� �< < -v �� ; SETBACKS' �� .,� �-'; � �\ \�, . r ; �� /' � � A� �: i � ti/'�. ,, �`.� �.� ., � t , �'✓�� i ; MAIN STRUCTURE'�FFont 0- 0 ��-�� Rear 0- 0� '�`-� y=Lek. 0 0� �- Right � 0- 0' �t ��/ : ��'l ��if ��,._� '_._-- ' __ ..�� A�� ,�/ , �,�; . �'�, r ACCESSORY Front�:'^,0-0 ��i�; Rear�,,0-10„-�,__� Lefl.,, � 0.�0%��•.��, Right 0-O�i� � A. � �� i ' / , , � ; � ' : _ , -, � � "% , ri. � � ' . PARKINC�a Exist�nq '0�. > Required �0 l\: � Proposed��..-{1 .=,j/� � J ._�. -�.,�.�_ _ _ � �/ . ,/ —_� �,,'- --,. ,. �� . �� NOTES: ^' -�'r��-,c=✓i= �. . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) i EXPIRATION: This permit shall automatically axpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. - � ' . . INSPECTIONS: In order for the work authorized under this permit to be considared legal, such work must comply with all applicable codes, and all required Inspectiona and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. POR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSATION DECLAfiATION: . � I hereDy ettirm under penelry oi per�ury one at Ihe following tlecleretlons: ' � ❑ I heve entl will melntain e certlfirate ot consent to seN-Insure far workers' compansation, es provitletl for by section 3700 oi iha Lebor Catle, for Ihe pertormance of the work for which lhis pertnit Is Issued. . �� 4 1 have entl will mainlain workers' compensetlon Insurence, as repuired by section 3700 ot the Lebor Code, tor the perfortnance of ihe work for which Ihis pertnit is issued. — My workers' compensallon Insurance carrier and policy number ere: Carrier: Policy NumDer: (This sectlon need nat be completetl i! the permlf Is valued et one hundred dollers ($100) or less.) ❑ I certify lhat In the pertortnanCe oi the wark lor whlch this pertnll is Issuetl, I s�ell not employ eny per5on in any manner so es to become subject to Ihe workers' compensetlon laws of elifomia, and egree �het if I shoultl become su6�ect to �he workers' compensetion provisians at Sectjjj��n 3700 of))) he Lsbor Code, I shall forthwith comply with ihese pr�ians. �/ /�i �/ Applicant SignaWre: �/� �{c Date:� �� WARNINO:FAILURETOSECURG'WORKERS'COMPENSATIOf COVERAOEISUNUWFULANDSHALLSUBJECTANEMPLOYERTOCRIMNGALPENALTIESANDGVILFINESUPTOONEHUNORED THWSAND DOLLARE (E100,000), IN ADDRION TO THE COST OF COMPENSATION, DMMGES AS PROVIDED FOR IN SECTION 3]O60F TME IA90R CODE. INiEREST, AND ATTORNEV'S PEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I am Iicensetl untler a sions a1,C',hapter �9cy�ommencing with Section 7000) ot Divislon 3 oi the Business enQ..pr assions Code, antl my licensa is in full torce and ettecL Lic. W��y��/LJ cie� a G s Con[ractorsSigneWre: 0 i Date: � CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm [hat there is e consiruction Iending egency for the pertormence o1 the work br w�ich �his permit is issued. (Sec. 3097, Civil Code). lendefs Neme: Lendefs Address: Signature: OWNER-BUILDER DECLARATONS: Date: I hereby aNirtn thet under Denalry of perjury the� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires e permit to conswd, alter, impmve, demolish, or repair any sirucWre, pnor to its issuance, also requires the applicant for such permit to tile a signed stetemeM ihat ha or she Is Iicensetl pursuent lo the provisions of the Contractors License Lew (Chapter 9(commencing wlih Section 7000) of Divlsion 3 01 the Business antl Professions Cotle) or Ihat he or she is exempt Ihereiram end Ihe basis tor the elleped e:emption. My Wolation ot Section 7031.5 by eny flpplicant lor e pertnit suh�ects Ihe applicant to a civil penalry oi not more Ihan frve hundred dollaro ($500).): ❑ I, as owner at the property, or my emplayees with wages as iheir sole compensetlon, WILL DO THE WORK, entl ihe structure is not intended or oHered for sale (Sec. 7044, Business antl Professlons Code: The Contractors License Lew does not appty to en owner of property who builds or improves thereon, antl who tloes such work himself or hereelf or Ihrough hls or her own employees, provided Ihat such improvements ere not Intentled or oNered for sale. It, however, the building or improvement is soltl within one year oi completion, the owner-bulltler will have the burden ol proving the� he or she did not build or improva for purpwe of sale.). ❑ I, es owner oF Ihe properry, em EXCLUSIVELV CONTRACTNG WRM LICENSED CONTRACTORS to consiruct ihe prolect (Sec. 7044, Busines5 and Professlons Code: The contrectors License Lew does not epply to en owner ot properry who huiltls or improves thereon, and who conirads for such prqect with a contractor(s) license pursuant to the Contrectors Llcense Lews.). ❑ I em eaempt under sec. Business end Professions Code tor Ihis reason: Signature: Date: Owner ID verifiad by dnver's license. ❑ Ves ❑ No Drivefs License No. Veritication ot Ownership 6y (type ol document, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certlty ihet no ezcavetion tive (5) or more feet In depih Into which e person Is required lo descend, wlll be matle in connection wlih work authorizatl by this permit, end ihat no Duilding stmcture, scaHOlding, falsework, ar tlemolitlon or tlismentling Ihereot, will be more than thirry-six (36) feet hlg�. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Califomla Administrative Code). ❑ As owner-huilder, I will not employ enyone to do work whlch woultl requlre e permit from the Divislon of Indwtrial SeteN. as notetl ebove, unless such parson has a pertnit to Go such wark tram Ihe diNsion. Slgnature: Date: Divlsion ol Indusirial Safery Pertnit Number: CERTIFlCATE OF COMPUANCE AND AUTHORQATON OF ENTRY: I ceriity under penalry of perjury that I have read this application and sWte that the information given is correct. I agree to comply with ell slate lews antl ciry ordinences relating to building construction, antl authorize representetives of Ihe Ciry oi Costa Mesa to enter upon ihe ebove-describetl properly lor InspeIXion purposes. I egree not to occupy or allow occupancy ol eny builtling authorized 6y this parmit untll tinal ins0ection. COpE 1. INSPECTIONTYPE 1616 Fixed System Finel Fire Preventlon 1266 Pool Spa Finel 200 Finel Fe-Rool 201 . Final Block/Retaining Well _ 202 Final Factory Fire Place , 203 Final Slgn 204 . Final Demolition. . , , .. , zaawe ilslE 1I�45 `� � CppE� INSPECTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Finel Planninq Approval . . 222 Final Site 250 Flnal Building�Occupancy �/aO� �9 Date �— � lt� �.� �noprssaem�w�c: pOTTERJyRYANf v� OYMERSNN,IEIFpMWN: 30�.1 J�FFERY DR #A i1DORE54: COSTA.MESA, CA 92626 �vv�. iunma �ooxEss: � ARCNREtt ON FN@lFFA: I MCII OH ENG.'S1IDOPE55: ' NOCK PLUMBING c�m�cra�sruuE: 11610' SEABOAAD CIR 'I cam.cToxs�u�wc STANTON � CA �op� 9 06 8 0 FLOC'NI': X 47 uc.ea: UNT: � (714)895,-1296 707775 uc. xo: UNT: 110ENSEO COMN4CTOq3 DE�C�yLAFATION: I M�eby Mim under periely dfPo,.q��ury. ptlW� I em fc �ed uMYe�r pwrwieimnI�I �d Cheqpr^I9 (commae✓iM vA1�3C�JU Oiviaion'J d I�e BI�MNiS� Protefebns !�I" I��fe n in I�.12' � ll L� J l cm uc. No.: 1 uc. cuss: uc. No.:` 1 n �y' Dete: � 1 L1 I / � ConUeaa: � 1 �' 1 � �� /�7 �'� OW NEN BUILDEP DECIAH�TION: I he�eEy eifiim uMa porely ol peri+�Y �� I em xemq irom IM Conireqaa L'¢enae lew iw the Idbxinp �eawn (�ion )03tS Buairo» end Rdmioru Code: AM ciY a counry xfiich nGuiren a pe�mn �o mnavun. Mer. impova. 'demdv�, ar repei eny niunuro, pna b ils eauence, e6o reQuirm �M epplira�t lor euch pemitl lo fib e dproE atetement Nv ha a eM s liceved puraueni io iM qorieiaro d Iln Con�reaore limnae lew �Cheqx e(mmmeridip wnA Seeion ]OW) d Onebn 3 d iM Businaee eM Prdesaiona CaCe� a �Mt M or Me is aaemp therehom eM IM basia /w ihe ellepeC azemption. My vble�on o/ Sedion .>O�t.S by ury eppMani I« e parma wEje¢� �M epWirau �o a tivil parely tl m� m«e_ ihen live hurdred doAen I=`+�ll� ❑ t�.�,ain�wownr«mr�a�w«•.en.,ea<»ina:.aeoomw�w�o�,.mndomawon�.�eina:wa�reo�a�ie�eae a oMeretl Iw seb I�� i0i0. Bwiroa erd Proloesiona COEe: Tlre Coniredan Lisnae Lewdoas rot eppyto en owrer o/ propeM wM buide a inpmvo Inereon. erd Mw Eoea eucM1 xM huneeM a M1enetl a Waph hb a Mr oxn empbYeea, prwNad �!w wch improvamema ere not inleMed u dlend Im ode. X, Ipwwer, tM WiNiip a impwameM w soN xiihin ma yeu d mmpbiion, �M ownervbuiNar xi0 heve iha buMen d provinp ha or ehe EN rwl Wild a improve la tM WN�e of sele). . ❑ i. d o�.,,.� a me nw�nv..m a•a�y oomrea�ro �.vn i�..d �,v,no� �o �mw ub wena lsaea, rou. a,.��..�,e � Prdeaeione Coae; The Conlreqon Lkenee lew doee ewi eppy to en owrwr d popeM wM10 builda w impovm therwn end wlw comrem la wN prqeaa wilh e wnveaor(�) IcenaeE Punuenl to ihe Convedon Liuree Lew�. � ' ❑ I em eaemq wMx Secfwn: 8. 8 P.C., ta �hie raeaon: . Dete: Owner: � ` ' I do hareby ceXity ihet I em ewero d uM unEsnlentl iha repuiremenb d Celiomie NeeMh end Sdey Code Sediom 25505, 25533, end ' 255Ja, end Ihet I w eny INurO WAEinp ocwpenl vnll / WYI n01(drcb aw) neeE 10 wmON �^'�n eeia qete wtlm en� �he mGuircmenn /w e pertnn Ia mmWdiona modifiutianhom IM �i�arupemem Oipnd. RxidsmW memrvaion eppGatbro en ezemp Imm IMu . provuione. ' � . . Dma: �pplkenl: - WOPKER'S COMPENSATION UECL�fl�TION: 1 haroby elfiim unEer pemlty d peQury om W IM followiiry declerNiona: ❑ I hm ertl xil maiNen e canXiute d mment io eatlimun lur xwken' canpenauM, m provkeE la by Setlian 3100 d iM lebor coda �« �n. nnormd,c. d in. woM �w.w:cm m� ro�u u ue�ee. � ;.��«'�.,nw�wmv � �� 6�i��iJ �n�a��e« �.ix��h� . c�..: n�w�a9�talno 09/01/96 vdKr N�mne.: �Thia secfian med mt M canp'efed f Ifis psrtnM u/a me huMred dd/en /St001 w bu.) �� I cenN �� N+ W�o^^^^�e d �M wak br xfilr.h tAu pamin u beuae. I ehell nd empby eiry penon N ury menrier eo n to bacanie wdw io tM xarkms' wmMvmion Nvn a calJarve eYns J I MaM become wM� �o tM Morke�e• cwnpe�maip^ D��pe d Sedion 3]W d tM laEn Code. I lo ' h oomp�y Ihoee p�wiaion�q/ oma: �! "�-"7 I � �oa�: � l��—, . W�m/np: F�llun ro��cun woMsn'rompxw0on eov�rp� b unl�wNl, intl �IWI utl/�et an �myloysr ro cdMnl p�nUtlo en0 c/H/ 11nu �p ro on� �,ndrM fhouunC do14n (S10qOd0A In Htl/tlon b M� cwf o/ rorrp�nutbM1 A�m�pu u pvHtlM br In Ssetlon J105 e1 M� Lepor COAe, Infw�a4 �0 �Iromsy� !w. , CONSTHUCTION LENOINO ROENCY: I Mnby etfirtn unEer penelry d perjury thm tAen u e mnsuWbn bMiip epeMy br tM peilmnvice d IM xork br xhid� ��u parmt u ewad (�� ]. CM. C). f IENDEH'9 N�ME: � - LENUEN'S ADDPESS: ' I cenity �hm I heve reed ihis epdKdion ud mate ihm ths ebova inlormnion ia carea, l epree io camply wnh ell ory end coumy oNinenoae � enE abie levn mbtip io huildiw innyryppp�yp M1ereby euUwr¢a repreaemativm d Ihu my Io enler upon ine abo+e-menibnad propeM �INY19(KK�NIfIWf�0=9=. 1�L��V �VV�.�t � flln NBInB - 0�,3� �-? �1 $qneturaolOwmr/ApenVRpplranVConlreaor . (5151d6.WP) ' Whne-BuiWvp 8 SNeiy:Green-FIe:Cenery-AppYcent: Pink-Revenue:6oWanral-Rsaeaor � ,��,�, CITY OF COSTA MESA — HOILDING PERMIT ' n• �v: r v�ooaa PERMIT NO: P 076922 PLAN CHECK NO: N � v� : i� o�t: �. CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTIi JOH DESCRIPTION : DISHWASHER CIO SQ PT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 �"% COMMENTS: NO OTHEA WORK AUTHORIZED BY THIS PERMIT . *it*� *+�**�r*rt****�r+��ie�iaitit***�*+r**�*x **�t****�r*�r*it**ce*****x�*�e**�r�r+�*at+r*�c�*+�*****+��,�+� 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 ZN RGIiT: FT IN PARKING RE�• PROV: PARGEL; 41812210 ZNE; REF NO: PLANNING N TES> � � if IE �f !k iF iE 1k1! if iE� 1F If 1f iE if iF 1E if 1E 1f 1f 1f �If 1f 7F If if �1F1E 1E 1E 1f 1E 1F fE M 1E1F # 1E 9f if 1E 1f'If'If iF if iE if Ik 1f if 1F if iEiE'If IE 1I� 1E If iE if 1E 1f 1E if 1f iE if-IF iEiF if if jf'If if D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T 5 ZONING APPROVED HY DATE: HUILDING APPROVED BY : DATE: APPLICATION ISSUED HYE � � DATE: .�z Z�� b ififiEikMlEKlfifikif�lElkMMifiElEiE1EiF1h 141fiFiFiElEiE'kifif IFdf LEGALIZATION:N F E E' S U M M A R Y STRpCTURAL �EGMENT:N PERMZT BLDG PMT PLUM�IN�G� ELECTRIC MECHANIC �FIRE SMIP/RES GRADING 25t SMIP/NON—RES PLAN.' ISSUE FEE 20.00 BUILDING—DIV—> PEEiMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.00 20.00 0.00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 if if 1f if iE if 1E 1F 1E if iF if 1f iE IE 1F if 1f M' 1F If �F1E IE iE iE 1f if iE iE iF iE 1F iE'lf 1f If 1E if 1E if 1f'lf iE 141E if iilf # iF if�1f iE if IF 1E IE /f 1f iE 1E1f if !f 1f 1f 7F if 1F 1f if if if Ak iE iFjE iF I N D I V I D D A L F E E B R E A K D 0 W N TYPE QTY D'E S C R I P T I O N' UNIT COST "TOTAL COST PLU 1 DISHWASHER END OF FEES 14 . . 'G:•'_ " . ' � . . n� oDzo3�83-po2632S3' T G"i DpTE� 03/27/g5 TIME: 09:18 27.QD V � � � PflOJECTR00PE55: 3101 JEFFERSON �AV uNir: OWNEH'SNAME: BF'IALLA, DAC'ID nooeess: 3101 JEFFERSON AV COSTA MESA, CA 92626 786-9926 AFCMIENGINEEN: , flEG.NO.: ROUNESS: UNIT: PEpMinEE: FIREBALL ALARM ( 719 ) 635-1101 aoon[ss: 1840 E REDWOOD ANAHEIM CA 92805 LICENSED CONTXALTOfl OECLABATION: I hereby allirm ��ai I am Iicen5e0 unEer Dmvisions o� CAaO�er 91�ommencing wiih Section 70W� of Oivsion 3 0l �he Business anE Pmfessi n C ana my license is in �ull lorce anE ¢II¢ct. CITY LIC.: STRTE LIC.: 9�� /6� /ciass: C 10- - Dale'. �" a 0 '� � Signaiure:.(y�Lvf� /�� WOHREBS' LOMPENSATION OECIABATION: I here�y allirm Iha� I �ave a teM1iiitate o� tOnSen� l0 Sell-insure Dr a te�iiita�e ol Work¢rs' ComDensation Insurance. o� a wnilied capy tnereol ISection 3800. Lao. CI. PO�ICY NO.: EXP. OATE: COMPPNY: ❑ Cenitied coDY is �ere�y tumis�etl. ❑ Ce�ilietl copy is liled wit� �he ciry Builtling Division. Daie: ADOlicani: E%EMPTION iHOM WOBNEflS' COMPENSATION OECIAflRTION: �ThiS Setlion need nol U¢ tom0�e�¢G iI 1he permi� is Ior one huMreE (51IX1) or k55). I certily ��at in ��e Derbrmance ol lhe work �or whicM1 ��is Oermil is i55ued. I s�all no� employ any person in any manner so as to Oecame subject lo Ihe Wohers' CoOmpensation Laws ol Calibmia. ^ `� ,/ /i s Date� ��-� _ 7 1% Signamrt: �7'��riK l�1J� %<'�— NOTICE: I�. ai�er making ihis aecla�aiion. you S�ou10 become SUElect Io I�e kers' Compensa�ion D�ovisions ol Ne LaUor Code. yau mu5i lotl�with comDly with such pmvisions or this permi� shall �e EeemeA revokeU. CORSTBOCTION LENDING AGENLY: I �ereby a��irm ihat Ihere is a wn5tmciion lentling agen[y for IAe Derlormance ot IAe xrork far w�ic� ��is oermit is issueE �Senion 3W7. Civ. C�. LENOEfl: AODNESS: OWNEfl BWLOEP OELLAflATION: I �ereUy allirm Iha� I am exem0� ��am t�e Comracmrs' $tate LicenSe Law lor I�e �ollowinp reason (Section 7031.5 Business antl Pmlessional Cade: Any cily ol county w�ich repuira a permii lo construcl, alter, impmve, Jemolish, or repair any slmtlure. D�ior lo i�s issuance. also requires Ihe a0�licant br such Dermit �o �ile a SiBned sia�emen� �hat he/s�e is licensea pursuam to Ihe O�avisions oi Ihe Comradms' Siate license Law �C�apter 9(wmmencing wi�� Section 7000) ol Division 3 al ��e 9usiness anA Pro�essions CoOQ ar ihat he/s�e is exempl Iherefmm and ihe GasiSlor I�e alleg¢G eKemplion. My dolation ol S¢clian 7031.5 Dy any applicant for a p¢rmit subiecis the applicant to a civA penalty ol not more tlun irve nundre0 Odlars (�). I, as owner of ihe DroDe�Y or my employees witn wages as ineir sole compensation, vnll tlo tne work, antl Ihe ❑ stmcwre is nol intenaed or ofieretl for sate (Seclian 70aa. Business antl Pmlessional CoOe: T�e Comracmrs' State License Law Eoes na� apDly lo an owner al a D�operty wM10 builds or improves Ihereon, antl w�o doe5 SucA waM himself/hers¢II or Ihmugh �is or her mvn emD�oyees. D��Oed ��ai suc� impmvemenis are noi inlenAeO or oflerea �or sale. II, twwever I�e �uil0ing or imo�ovement is soltl vnt�in one year o� compleiion, ihe owner will have I�e EurCen ol pmving he/s�e tli0 not builE or improve lor �he purpose Oi Sale�. I, as owner of ��e Dmperty. am eKclusively comraming wilh licensetl conVaclors m conslmcl lhe D�alecl (Sec�ian 700a, Business ❑ and Pmfessions CoOe: T�e Conirac�ors' Slai¢ Lk¢n5e Law Ooes no� apply �o an awner oi propeM w�� hmla5 of improv¢5lhereon antl who coniracis lor suc� pml��s vnt� a conirac�or�s� license pur5uani Io I�e Contrac�ors' Slaie License Law�. I am aware Ihat proa� ol ineir Wo�ker's CamDenution insurance s�ou10 be pmhGeO Io me. � 1 am ehempt under Section: B. 8 P. C. �or ihis reason: Daie: U«nec I do �ereby cetlity Ihal I am aware ol and untlersland Ine reQuiremems ol Calitomia Heali� anA Saleiy Code Sec�ions 25505, 25533, and 25534 ana Iha� I ar any Iuiure builtlmg occupanl willlwill not (circle one) need lo comply wilh SaiA sla�e codes ana Ihe reQuiremenls lor a permii loi con9mctian or moddication Imm I�e Air Ouabty Managemeni Oislricl. Pevden�ial canslmction application5 are exem0� ��om ��ese provisions. Dale: AOV�icanL I �ere�y ceridy�ha� Ihave rea0 this application and slalelhal�Ae aboveinlormalionis correcl.laA�¢e �o comply wil� allciiy anA couniy ordrtunces and stale laws rela;ing la Ouiqmg wnslmtlion aM he�e0y aultqr¢e represenla�ives ol �his d m emer upon I�e aGove�memioneA pmperly fo� ins�ection pur0oses. _ ` � // � . / Oate: � �� — 9� SignaWre: Ly'��f/G4 ori�er's ucense or 5odai 5eamy +: 164t�a6 Whi�e—Bmltling: Green—CaOe Enlor[emem: Canary—Applicam: Pmk—Revenue: GolEenroC—Hssessor CITY OF COSTA MESA — HUILDING PERMIT au: t ni � PERMIT NO: E 067236 PLAN CHECK NO: N u v; rv �urr: � CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : INSTALL FIRE PULL STATION E BELL SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: INSTALL FIRE PULL STATION FOR BOARD & CARE HOME itit*�EiE�If��tit*3Eit�tit**�r�titif+ri�**1E*�E�E�Eit*it��cr+t��FiE�**�f*�E*-�Fx3E**i�ic�iE�-*iE�c�7FiE*�FiFiF�f�it��t�E��t*�i[�3F*�i�it 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 ---------- ------- ACCSSSORY BUILDING - - ___" '_ _'_______ FRNT; FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14159101 ZNE: REF NO: PLANNING NOTES> > iE k!F if fF i! iF iF if iE if if it i! iE if iF iE if 1t i! iE iE iE?E iE k!f if 1f iE it if k.ft 1E iF 1E �)f 1E?F ik 9t if 1E }E 1E iE k if fF af af it i! 3f if k k iE 1E iE jf jE if ±F iE jE iE it iE � i6 # iE if k iF -�F D E V E L O P M E N T S-E^R V I C E S R E Q U Z R E M E N T S ZONING APPROVED BY I�!� ___ DATE: BUILDING APPROVED HY : �- DATE: APPLICATION ISSUED BY: ''��: �r DATE: �� iE iE �k if !F if if if iF if if �E if ff if if iF ik if M#!f iklt iF K iE rt iF iE iF if 1F if 7F it if if ik iE iF 1E if ff �f 1f fE �t iE �E iF iF 3F iF 7E iF i�?F ic ii iF jF±f iE 3f if if 3f � if iE iF if �E jf iE aF if iE LEGALIZATION:N F E;'E� S U M M A R Y STRUCTURAL SEGMENT:N .r . BLDG PMT PLUMHING ELECTRIC'' MECHANIC FIRE SMIP/RES GRADING PERMZT 11 .75f' SOR� SMIP/NON—RES PLAN ' . ISSUE FEE 15..00.� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 11.75 15.00 "� e0.00 26.75 26.75 ,00 ' � /, REVENUE DIVISION TOTALS--> COLLECTED: 26.75 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CIIECK 26.75 • � i! iF iF if if i4 �E iF iF if iE 1f if !E 3F iF iE iE iE iE iE * iF �E iElE iE if 1E:h iE jE iF jE fF ik af iF if if �E iF iElE iE if if iE if iE if k jE if 3E:E iE iF �E iF * iE iF if iE iF iE 3E 1E aE?f 1E iE jF iE �E if jf aE I N D I V I D U A L „F" E E H R E A K D O W N TYPE QTY D E S C R I P T I O N�, UNIT COST TOTAL COST ELE 1 RECEPT/OUTLET �1 ST 20 EA. .75 .75 ELE 1 MISC APPARATUS NOT LI•ST,ED REQ PERMIT 11.00 11,00 END�OF FEES i 1 J {/ 1 . �y� r' �1 OD16�835-�0260E3S Tr� T ?b.75 �� DATE: 05/2D/44 TIhIE: 10:06 .�� +� � .. "- �CONSTRUCTIONAND PCANNING; . ' _ � � POOL ;PA ��. , _ " � ' APPROVALS Permit �� - _ Date Inspector APPROVALS Permit # Daie inspector' � � 1 C Temporary� Electrical Service or �Pole . . : 52.- Pool & Equipment Location �, � .2. Soil Pipe•Undrgrnd. : � 53.-Steel Reinforcement � 3. Electfical Conduit Wtility•Undrgrnd. " 54. �Forms ' - - � 4. Electrical ConduihUnu'rgr�d. ' ` 55. Electrical 9onding � 'S. Steel Reinforcemznt �� ._ -� 56. Rough Plumbing & Pressure Test 6. El�tctrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings _ _ - 58. Elvctrical Cqnduit�Undrgrnd. � � 8. Foundation � - �' '' 59. Gas Pipe. O Undrgrnd., Test 9. Water Pipe•Undrgmd. � . 60. .Backwash Lines. P-Trap, �7 Undrgrnd. � 10. Structural Floor Svstem l i 61. APPROVAL TO DECK i t. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewe� Cap . 63. Heater & Vent-Finai � 73. Roof Drains ' . 64. Plumbing SYstem - Pinal 14. Rough Plumbing 65, Elecuical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final . � - 16. Rough Electric Wiriny 67. Fencing & Access Approvai ' � 17. Rough Wiring Sign ' 68., APPROVED FOR P�ASTERING 18. Rough Electrical-T Bar Ceiifng 69. POOL/SPA SYSTEMS FINAL � 19. Rbugh Heating &-Air Conditionitfg �FIRE DEPT. REQUIREMEN7 20. Rough Facxory Fireplace ' . APPROVALS Permit�r` 21. Dur.ts, �o Structure � 70. Underground H}dro 22. Ducts, Ventilating � .� 71. Product Pipin� C] Gas � Oil 23. Gas PiPe�Rough & Tese - 72. Underground Fiush i 24. fioof Framing 73. Undergrnd. Srorayc Tank � Gas ❑ Oil 25. Ropf Sheathing 74. Overhead Hydro ; 26. T-B3r Ceiling (Structu.al} & Maiocoat ' 75. Dry Chemical 27. Frame and Flashing 76. DrV Standpipe 28. Lathing& Sidirtg . . � � 77. FIXEO SYSTEM rINAL 29. insulatlon 78, FIRE PREV. FINAL 30. DrVwali Nailing � HEALTH DEPT. REQUIREMENT 31. Plasre� Brown Coat �, 79. FINAL INSPECTION 32. Elect��cal Power Meter-Fnal r.- F000 CERTIFICATE ISSUEO 33. Final Eleciric - �j�T{�p � , n��.es:_ _ _ _ �� C 34. Finai HAating & Air Conditioning - ��, �y� � �/--/-�'----��/�'�•- �� 35. Final Gas Pipe-Test �/�� ,Q� ii �� « <t /C 36: Hood or Canopy . ' 37. Finel Fattory Fireplace ' � s _, 38. Final P�umbing , - �� 39. Warer Service-Final � � 40. Gas SerOice-Final 41. Solar Oomestic-Final , 42. Bac4:41ow Preventer ' � 43. BackYlow Irrigation • ' ' 44. Landscape Irripation SYstem , • .45. Sound Attenuation -, • 46`. Handiwp fiegulations � � � � 47. FINAL STRUCTURE & BUILDING 1''� � ' 48. FINALPLANNWG % �. • 49. Elec[�ic Release to Edison ' .-, � � 50. Gas Release to Southern California Gas Co 51. CER7IFICATE OP OCCUPANCY No. Date 0 120 VAC FIRE BELL # 500 WIREM�LD SURFACE M❑UNT STEEL RACEWAY C�NDUIT I 12 GAGE L�AD NUET. . � • `�liGE .�a.�nn. COAAlBR/CAL FlREALARMSPECIALLST •�f Sales-lnsinllntlon-Systen Troubleshooting-Lentrnl S<n{ion ST. CONTR9CTOR5 L1C.# C-10 420767 ST. ALARM LIC.� LA000721 1840 E. REDWOOD AVE. ANAHEIM, CA. 92805 (714) 259-7235 OR (714) 635-1101 'EXISTING LINE' INCOMING NUET, WIRE `— EXISTING LINE' INCOMING HOT WIRE 10' FIRE BELL IS MOUNTED �N A SURFACE MOUN7 WIREM�LD B�X APROX. 7'4' FROM THE FLOOF 14 GAGE ITCH WIRE �l PULL STATION IS jd M�UNTED �N A SURFACE M�UNT 12 GAGE MANUEL WIREMOLD BOX �OAD HOT PULL 48' �N CENTER STATION FROM THE FLOOR EXISTING DUPLEX RECPTACLE IS CHANGED OUT TO A GR�UND FAULT RECPTACLE INSTALLATIDN DRAWING � I � ST�TEOFC�LiFOiiNi��MFALTH�NDWELFAPE�GENGY DEP�Rf1NENTpF50CNL5ERviCE3 �llI caw.ar�m ur� ��rasmc � FACILITYSKETCH(Yard) �- F�OOR Pi--AN �� The Yard Sketch should show all buildings in the yard including the hom5 (with no detail), garege and storage building. �� Include walks, driveways, play area, fences, gates. Show any potential hazardous area such as pools• garbage storage, i W animal pens, etc.' Show the overall yard size. Try to keep ihe sizes close to scale. Use the space below.�� ` F�camw.Me: �oor�ss: /� M $A CA9zE 'v sr�/�MA �i�LST I'�OME#3 3�oi�EFr-�!:�rv Av��, :.�:.T r �� •, � _ - -- -- �..- -- -- - � ; ,� SHPD'I o� G'� Rr'--� I x�� 2PnGeA I I ic ._� . , � . ..... . . � .. �—.. T.�� -. . A P_ � 68 !q i i C-- -��`�u f p� J � � _ � ,. _ . � :' i i : i : : , i :. c, sh� . . �...� �_.._� . I t : _:.�i � �� ' : .. � �GRT�Er�q;�C� ..!....•.� � �...... I i; 1 i e.;� _� _. . .. . . � I...�?:... �D...i�..,.. ...:... i..i ' { i : : ' ...;... !...R'DTOM..�4{. 'A ,�: : .� . i::::{:t:�::�::�::t_ j':: .:_::: � : ;.} ; � .........:...!....... .._:...:.. ; � : a ;;1 _ .:...:... ........:. ',:. : ,.:�;.:p,_ -P.ECREflTlonl RR�A. i - � .�....:..;.._;.,::...!.. �_��,:— AL;K.�_::._;..:<-.:._;. J� � : - ,.. ,: >.........:.3. �_DE y,/ , � __ , ,: - _, ; _:.. i --- ---. _ : .: __:�__.�� : . '. ; ---= _.....,._,.... _._�.....................:...>........; ...:....:......_,....:....._;...;......... i...; ...i..—:....., �_.`.._ :...:.....:... ...... ...:. ....; !...�...!. _ ... . '._,..;..,... _<. _.. I _ , . :...:.........(.. � �: � , 1.... � . � . . . ... :...... � ,� FF _e_ � N A�� _r ucooa�sv,� -� � u'D�C-AT�iS S M� • . ` • p��T� : ��iN6 p,R� � 1-100 5� Fc�T ` � w: �,: L� LUT SIZL. _-;0'��j� =�1-., .>�. i . ; -- �-°j-- '. =;0' � � S �.� � G _ _ __ . _,, , o� ./ ican to fill in all soaces_exeept,lhose within heavy OorOer unes antl sign all apvropriate tleclaraUons_ ' _ _ _ �82g 5/3U/q5 r_�:pL�, '}-1 � � CITY Oi COSTA MESA ,�CONSTRUCTION:PERMIT� � � PERMIT NO. f i, _� TRACT NO' � ., LOT NO ^� rUN1T�V6. �;� I ��J � j ^�; `� I_ � r (�, �' , �. � � �+' t� Y i� � �-?.' �� 3�a1 �s'r�e+`5o� _ �'2.� . . ' ^ � � T ` -- � . :r � I . `� � �, ' ; r. . . tPro�ect Address . . , . , . . � -i, � " t '- TYPEOFCONSTRUCTION � :NEW P.DD ALTERATION! REPAIR ' -�Applican�'s Mailin .Address �, �� ' - � � - � , - I , - - � � _ � ,' VOg 10�CONVERSION ❑:DEMO�ISH ❑.OTHER - ' _ � A �A.P.�#• .� .. - � . ; 1' - -� � � Zone � -'w -0wnerisName ' `� P�one �3z-%�3 ^.I = ' t 1 � . ' . . - ! �' - . � .� � « � , .. ` DESCRIPTION�OFN10FiK/USEOFBLDG' • � �� ! � ' I ._ � � � - . � ' ' � � ' %5� Main Building : " � � Accessory Building' ' ', '' � :i �' ' . Address ' I ZS°i � CY25CPltd-� TPf' ,� nr�V �la �f CI�iC�id� ,� : + ' � - � . ' . . ..� � � . � . . - , � 'Arch/Eng. �`-'� �' � � � � ' �LicenSe,N �� ' � �TYPE,OFPERMIT' ' ' GRADING �O FOUNDATION, � 'STRUCTURAL �� _ � �T� Front - � _ � - � �'Z � •- �� p ( _ . � , � � � � ' � � � � ,- � �xO�TENANT�...❑�ELECTRICAL--❑ PWMBING D�MECHANICAL - �� .@` " , - � � .-� N cAddress. ' ' .c . �' �� '' . . > � f � � , Rear.- i r. �- i. �. � 1 , "' OtOTHER^l ' � " 0.ei �l � � �. I . - � ' ' A� 1 '.• . . �r � ConVactor's'Name � l5 � -' . ' Phone �o�JZ-9J�i0, - � . . . � i . : �:C� :Right . r I' � Y. • .' -- e .- f : �', , � ��r N I . -r 1� I ' PROJECT DESCRIPTION'� SQ. F7. ' oCCUvArvcv � `•Address Imailing) �I �J.�J' Lli 11�i�PYI �Ji' . _- P�QQQI`�f'I[� . � i ' -- /� -,K ' . - . : 1 ., � , r - �'� C' . ., L,i7 , . � � .. ` r � - v � � 'CONSTROCTIONTVPE� � VALUATIO�r�n,��av(� .�" g� Left � n � � � . ,Gty Licen5eNo3 - " '•-- - � � � - ' � � ZONE � ' GRADING,CU.YDS. � �ACRES � � � ' ' . t I - . • . ' R -� uLICENSED'CONTRACTOR �ECIARATION � � � ,� � , � ' t - - . . �Plny Ref #. � Parking Req./Provided � �� i ! � Q �1 nereby�a(fvm thaC I�am Iwensetl untler provisions of Charter 9 (coinmencing, Remarki. , • � � � � ' :Pl2nni�g Not05. � � �� i "- j', . � " • _ �i t ry� ,�, � with- section ]000�-of Div�sion �3 oft<be, Business antl Prafessions Cotle; antl� � . ' " � � ' � , � . � . i`\ ;my license is in full fo ce antl efiect. t'� � Z � � '� 1 , � v � ' i , � � F � �; �� T \d� M1License � las`s : . ' I 1 ./ . 7. ' ic se No. 374.� 1 , , . , - f . . � � S � I � ;. i . � • - 1 PLUMBING c � ' ' � ' FEES � � ' i ' 1 , t � i � j ' ;' � Dale Z" � ' - � Signature � ' j t . ^ i 1 � � ' ' 1 WORKERS' COMPENSATION DECLARATION ' ' � ! � � Bar Sink � �' ShOwers � - � i 1 � � � ? - I ELECTRICAL � I I ' ,pEES �� 1'hereby affiim that I have a certificate ot mnsentto�selt-msu�e o� a certifi<ate� � ^ �f Workers,� Compensation �Insuranc¢,,�o�ma certitietl copy�[hereof_(Section�__ - ' ' „____ a . , • , � �� _; .-' -- : � � -BackflowPievedter--�� + + ��ServiceSink � -i"""'+'- ; ' AutomaticWasher'-','"�"--'"�' Trensformer;�O'1550,KW�-"^ � 3800, Lab. CJ i� r .�. �t� � � Policy(No. � `'�b ��Q>��-�" � � Company J�`"�� ' � _ Backfiowlrrigation ' � Sewer.Ca S ; � ' ' ' ' ' - "� 50+IKW ; � ! , i � P� , y ConstructionPole'Sub.i .'� � � Cer[ifietl copy is nereby�tu�ni5M1e0! � I • ' � � � . � � ' � ' ' ' 1 B�Certifietl copy Is tileE with.the uty Building Division. + j � Bathtuhs � � E � � Sewer Connection � ! ; � i Cooking Unit � � � . Meter �up to 100,amps � � � ; , � ,Date . : � APPI¢ant' �.v.�. . i . . � � . � �. '. . . � ; � . ' , . . ; . EXEMPTION FROM WORKERS' COMP,ENSATION�DECLARATION i , �la�ifi¢R � ; � j Sola� CoIICCLO�Si S � , Dishwasher . I i � Mft¢� ❑Ove� 100 amp5 � �t � � f '(Thisseclioo neetl not',be completetl if the.permit is foi one huntlretl�($S0�)br�" � � . . , � Iess). .� ' _ � . � ;..�� ' ' � , � Dishv�2sher. � j �� Solar Piping � j � Dr'yers ❑Gas ❑Electric ; � Sub Panel ' J - ' � � I' � I certify that in the perfotmance of the work fo� wM1ich tliis pe�mk is Ksuetl, 1� � � . � , � _ ' �'" ' � � shall not employ any; pe�son in any:mdnne� so as to become subjec[ to the� � D�i�king fOuntBinS � � , SOId� Tdnk� i ' Fan � � ! � Workers' Compensation Laws of �California. 1,� � i � � ' ' ' � ' ' � � �' r Motors �0.1,�HP 01�%�- B j . Date ' � � ' Signature � + ' � � � � � Floor Drairis ; ' i Swimming �Pool �w/Spa ! ' - � F.A.U. , ' i � � 'NOTICE:If; atter making this tleclaration; you�,shoultl Decome subject to the! � ' ' ' � ' ' '� � � � j � Inc$012� �J-15 HP �i6-75+ � . � . Wo�kers_ COmpensation.provisions of, [he.LabbLCotle,.you must forthwiih __ .�_.. Floo��SinkS- -�- - 1-- -{ � � -U�indl�-- - � - - - {- - � FixtU�CS'--- � � ' - •�1 � i - - -•-- �{-- - - - = comply witM1 such provisions .o� this pe�mit shall be tleemetl� ievoketl.� 1 � Wi _ � � �` MiC�OWav¢' -� •� CONSTRUCTION"CENDING' AGENCV ! .) = <. � :� ; : � y 0.? � <( - ' " ' � - •. ��• • � v� � ' � . �.� -. . � . � I i L ,. i ,.> � T Gas Serdice -� Outlets ,. Water�Closet,r. � - Device.eoxes � . I herety affirm'that there is a'construcfion.ientling a9ency tor the'per/ormance� " ` -' � ' ' ' u� , .'�, " ��!' Pole Light �� j � '' , � of pthe work _for whroh this� permit is issuetl (Section 309�� Civ. CJ� �' � 4 Int¢�ce tOR � � ? WatecHeater' . i � � � � �� ' � ' . � Lentlers..Name � T : 4 �' - �. _ . .P i . ( ,. I' ��' y�,. Outlets« y� .J C=,% /'. K�� Range , � � � � 1 ; , �. � I Lentlers'Atldress� ' �• � - �' ' �; ' _ � �'' � ° � ' ' = Kitchen.Siok'_ a' WaterSeFvice ' >: ( -- ( ! l_ � _„%'� "; Switches a � � �• r � '�)` S�gn . P j � � '7 ,. � OWNER�BUILDER'DECLARATION, , � :.{ � : . , � I .. �-�. " ' , ' ' , � � , ' I hereby.affirm that I am exempt-trom�tne.Contractor'S.License�Law fo� tM1e'�� : Lavatones � � Auto Wash - "�, r i;. � �I' + � Garbage Disposal j s J', Stdndi� SeetiOns ( � � following reason'(Section 7031.5:Businessantl.Professional'Code: Any.uty or ' � -` ' ♦ ' ' -' � , ' � � � � � ~ ,`E � . 9 . � � f � � �i I county which:requires a�permit to.construct,�alter, improve,.tlemolish or repair ' ` p-Trep.:� ' � . Laundry T�aYs � � � � � � '- � � 'c Generator �G5'.KW �5-75 KW � � � t � � � any st�uclure;.p�io� to its is5uance; alsoTequires the applicant tor such permit '` � - ,- _ .�, .r �, _ ��rV Trash Compactor� � J�� 1 � to tile�a(signetl sta[ement that he/ihe is licensetl puisuant to the'provi5ions;ot '' • �� r�� j? � �_ , ., �. the ConVactor:s LicenSe-Law'(Chapter 9(commencing.with5ection;]000) of !�� _ Roof Drems'- : �, ��' _ r �,� ��,.' r ' � ' Oivision;'3 �of� the Bu5ine55 antl Protessions-Cotle) or-that he/she',is'exempt � , , , ' . - �� f 'i � ' � � - ' herefrom antl�the basis.forthe allegetl exemptionlAny viola[ion of'Section ' � � � � �- �' • ' � ` . . " . �� "'J , i '031.5 bY: Y' PP � • T . .� ( , { ',' � � n i � � �. � di 'S ' ; . i j . an a licant{ tor'a'"pe�mit. subjects'the applicant to� a� civil � " ��' r ' ' ' ' ' ' e�dlty of no[ more than five'huntlretl Qollars (E500). ^ � . �. ' � =� � � � . _�,� ' ! , � ) • - ' � I, as owner oL tbe property,orimy-employees with wa9e5 as�thei� sole ,RemspOMion F¢e� � , $15 � � luue Fee � � � $•3 �O � f . . . i � "�I � '. compensation, will do the work, antl the structure is not intentled o�'offeretl ReinSpection F¢¢ �� i� $15 �� ISSue Fea ! �� $ �3 � for�sale.(Section 1044, Business.and,.Protessional Cotle:�Tne Contractor's' ' � ��, k , � � � _ ' MECHANICAL � • .'�FEES License Law tloes noti appy to amowner of a.property who builtls or improves ' - , � � DEVELOPMENT $ERVICES REQUIREMENTS: ' � I � t ; � . tbereon, antl wM10 tloes such.work himself/berself or through his or her own ' �� ' ' ' ., � � � employees,!provitletl that such improvements are not in[entletl or oftmetl for 1 BOil2/� . �i � � HoOd Of Type I ❑ � V; � ' � , . j sale. If, however, the;builtling or improvemeni�is soltl within one year of,com? - . - ' . , �"Canopy Type II ❑ y,'- ��' � �Zoning Approved By � � : � Date� ; . ; pletion, tbe owner will have the burtlen of proving he/sh¢ tlitl mt builtl or im� � DuCt -�Und¢� G�OUnd �; ; r ' ! $uilding ApproVed By �.� �� ' ' Dat� prove for the purpo5elot sale). � ,- ` � � , . . . ❑ I, az owner of the:prooerty.,am exUusrvely contractinq with licensetl con= Duct -Struciural �, � Refrigeration Sys4em , .� � Applintion�lisued By� � �' �` • Dat ' � 3� ' tractorsto mnsVuct the projecty(Section 7044,�Busines5 antl Protessions Cotle: ' •' F -,� , The ConVacror'z License Law tloes not appry to an owner ot property who Duct � Ventilating '_I � � ❑0-100,000 BTU ❑100,OOO.BTU ,. ! t'}'`� ,%••'�SU ARYiOF FEES { ' � ' ` "builtlsbr improves thereon,-antl who'contracts for'such�prajects wlth a con- '- - - ' ' "" " '^'�' ' - � � � ' ' � � f tractor(s) license pursuant m the Contractor's License �aw). I am aware that Exhaust System ❑'Muitiple 0 System Repair/AI[eratmn '- � J�'N� �,� �BUIL`-DING PERMIT� �$, •� �� • s� �� SMIP . ' $: .• 5� � proof of Ihev Worker'S Compensation insutance shoultl be proviGetl to me. � l. t �� •32. : • � � � 1 � . . � . , � - ; � PIAN CHECK; $+ i PEFMIT � i ❑� I am exempt under, Section - B. & P. C. for this reason Firepl/Fact. BIt ICBO �k ' � Fire Dampers � i' �" i,,Q • r j � 'y� �J? . ' ISSUANCE � $1 � i � � � . ; � . . , . PLUMBING ^�: �. $�' /� � . z. � � Date � -' - Owner � ' 1 ' � + Heating System & Ducting . , Registers � ' ' r.'� p�qN CHECKa 25% $� ! ' � } ENERGV P:Q .$i .� t � I �hereby�certify9[hat-Phave reatl�ttiis application-antl state [hat the�above - - - ❑0-t00;0006TU 0100,OOOBT -= - j •� � . � � - - - � • ' :, j�' GRADING y $_ � . Intormation'is rorrecL I agree to comply w�tn all city antl county ortlinances � � � �. I ; '� � �'i ,� ELECTRICAG � $'', �• � ' and state laws relatin9 to bwitlin9 construction, antl hereby authorize repre- . � : , , � • � � i � ; pLAN CHECK � 50% �$ ."'� � � '1' � MICROFILM) $� � � '� Senta[ives ot this ci[y to�'en[er upon the above-mentioned P�oPe�ty for � � � inspection p�u�r ?o;es. �/ / � I � � I � : ' ' Signature �.�L`� nZ' 40�t f ' � � Oate i 2 � V� � , i � � � � � `'' ' MECHANICAC $'� �' 't � TOTAL FEE ; $`- �3' 8 � ' D`rivers' License or 55 � �� 'ae�nspection Fee , �$15 luue Fea � i $ 3 �� PLAN CHECK� 25� $ �� '� i ' +-' � � . � � /� , �.'.' '�___'" �__ �_..'_'.' " ." _"_ _ _' . . . . .. . ._ .. _.. ._ .__ ' ___ �" `\ CMF 0865-46, rev..10/84 White - Builtling; Canary - Applicani; Pink - Accountinq; Goltlenrotl - Asse55or � J � - � � „ CONSTRUCTION AND PLANNING �' . . . - �� . ." ` POOL PA ' - - � � � _ � /Z jq � y-r'j Date "Inspector � � � - _ • Date Inspector . ; . 41PPROVALS . Permit #��•_�- - � . APPROVALS _ Permit # .'1. Temporary Electrical Service or;Pole �� 52. Pool & Equipment Location . � � � � �� •2.'.Soil Pipe`Undrgrnd. ` ' - � ,53: Steel Reinforcement� ' , . � , ,.3. Electrical, Conduit Utility-Undrgrnd. � � . ' ' 54. �Forms �' � � � .. � : � � <4.'Electrical Conduit-Undrgrnd.' - � � `� � � , 55: -Electrical Bonding ' _ -� � , • �" 5. Steel Reinforcement! s Q�_ j. � � 10 � �,' 56. Rough Plumbing & Pressure Test '- � i �� .� � 57'. �APPROVAL_.TO COVER-GUNITE � ' � .6. '�Electrica�l UFER Grnd. � ' ' • • - ' � , •7. Footings. � �� , �,S �, �58. Electrical Conduit-Undrgrntl. - � . . i , . �,8. Foy ndation � , ' . " �59. Gas Pipe; O Undrgmd., Test; . - ' . � • 9. Water Pipe-Undrgmd. � �� - • � 60. �Backwash Lines; P,Trap,�O Undrgrnd. ` � i � 10. Structural Floor System . � . � � - � 61.,'APPROVAL TO DECK _ - � ' 11. Property Sewer Line & House Connection ' , 62. Backwash & Receptor-Final � � � �12. Sewer Cap ` ' . ' 63r Heater&' Vent-Final ' ` 13. Roof'Drains " �' � � .64. Plumbing SYstem - Final ' � . �. r � 14. Rougti Plumbing ' � ,.65. Electrica6Final ' � ' , _ � t� 15. Rough Electrical�Conduit _ _ 66. Solar System-Final ,_ _� _ .76. �Rough Electric Wiring �- 67. Fencing & Access Approval _ " 17. �Rough Wiring Sign - . - � �, � 68. APPROVED FOR PLASTERING � �-18.' Rough Electrical-T Bar Ceiling ' '' . - 69. POOUSPA SYSTEMS FINAI , 19.jRough Heating & Air Conditioning ' � ' , FIRE DEPT..REQUIREMENT 20rRough� Factory Fireplace , . APPROVALS . Permit # i 21. Ducts,�in Structure , � � �70. Underground Hydro � . � ' 22: Ducts, Ventila[ing '71 . Product Piping O Gas ❑ Oil . , . 23. Gas Pipe-Rough & Test -- � � � � 72? Underground Flush -- . � - 24. Roof Framing . � � ' ' - � ' � 73' Unde�grnd. Storage Tank O Gas ❑ Oil " " � 25. Roof Sheathing � , �� 74r Ove�head Hydro , , 26. T-Bar Ceiling (St�ucwral) & Monocoat - . 75: Dry Chemical 27. Frame and Flashing � . i � � '76� Dry Standpipe � ^ � 28.'Lathing & Siding . ' , 77. FIXED SYSTEM FINAL .' 29. Insulation � �' � � �78. FIRE PREV. FINAL � 30. Drywall Nailing . . � . � � HEAL;TH DEPT. REQUIREMENT ' 31.'Plaster Brown Coat ' . � � ' ` -79. FINAL INSPECTION , - �- • - � • 32. Electrical Power Meter-Final , 80., FOOD CERTIFICATE ISSUED 33. Final Electric ' �' � � �Notes: 6` .: - '� a / �34. Pinal Heating &�Air Conditioning - � ' �� C � " K .�V 3 - 35. Final Gas Pipe-Test ' �Ji >�' ', - a'FS P� 36. Hood or Canopy ' � • � . � , S' - �5f � � , l ti 37. Final Factory Fireplace , ' l• ' � n� � tk� y. a-� : 38. Final Plumbing � , � - �-� � 39. Water�Service-Final - � � ' � � � M 40. Gas Service-Final , , � 2 ,- � � � 41. Solar pomesticFinal � � � � . � f 42. Backflow Preventer � e�; ' \ s' _� C�s 43. Backflow Irrigation � ' � � � � � � ' (^��[��3 s,�, � ;. 44. ,Landscape Irrigation System • � ' � " � ' �i�. 45. Sound'Attenuation"` � . � ' �' � � � � . ' � � �46. Handicap Regulations � . . � � � i , � . ' � ' � . 47. FINAL'STRUCTURE & BUILDING 1 � � �-� ' � � � i . � ' �. ,. 48. Special Requiremen,ts Completed - � � � � . � � - . 49. Electric Release to Edison � � � ' ' � ' '' � 1 i ^ f'� ��--T- - " � � 50. Gas Release fo Southern Califomia Gas Co �' � '' �T i � � ' � � �, 51. CERTIM1t�CATE OF�OCCUPANCY _ ' � � ' � ' ` No. ` . - Date -� 1 , . '� • �� ' � � 933 LAWRENCE STREET PLACENTIA, CA 92670 ,ItLSIDE REPAIR & DRILLINC, � ` • SLOPE REPAIR • DRILIING • EXCAVATING • UNDERPINNING • GRADING J May 21, 1985 City of Costa Mesa P.O. Box 1200 Costa Mesa, CA 92628-1200 Department of Building & Safety SUBJECT: LEVEL AND UNDERPIN S.E. CORA7ER OF DISTRESSED RESIDENCE AT 3101 JEFFERSON AVENUE (ARTHUR F. BAIRD, OWPIER), COSTA MESA, CALIFORNIA Gentlemen, � +. (714)632A540 '. i (2�3)69�-8330 � i �! r , The enclosed Figure A is our plan for the under-� j . pinning of the S.E. corner of the residence � � ;�;.(kitchen area).";The coiner of the residence , --will be leveled prior to pouring concrete and"''. , • :all footings will be inspected and approved by - �- „ ': Douglas P. Hildenbrandt'(CE#14309). _ '. ' •- , •., `±Please�call us`if you have questions regarding !� t `•' the above. ' . • . ';, : sa„ � , r „ , , .. ; :.•:: ',, , ' �.Respectfully submitted, � ._ , .. , _ , y .. . � t a �. x�� x rr- � 7. � � � �� i � � � .� t ta . i �`iEkC 41k. . ' �.� a y " t k. . Nf"�fi <{y � : �d ,� r a : r � e � t "1 � o J, "+tv } xaXi} S 1 w M� � T r . �. c ///� 'C �_ �y {:y: i l'Fl�.. ss£Y 'i l-3�� :. '�� a...M a s��...i y.hN,. 'n � ... ��iC ' • � � . . . �� L �� , 'i. �,t;: 17i' T �r " ' �Frv. . . . ''''..rT. �°Y�:e� . 2 `r,`{ V 1 s- t��,slZ h�$� :'�x �.'.�'ttmt 'S . 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Eiacie�da 31vd. �U�C�336�29�0 H�CIErvD�HEbr�iS.CA Ar.thiir 9ai:d , c/o Fred Houghton 530 Pierpont Costa i�tesa, Ca. 92620 � , � June �7, 1?35 S�.ibject: Footing and �rade 6eam rxcavations, Repair at 3101 Jefferson :1ve., Costa Mesa �� On June 6, 1985, I personaLly insnected a11 footin� and grade beam excavations for the underpinning repair at the southwest corner of the resi�ence: The excavation depths and widths are in accordance with the nroject nlans and speci:ications prepared by me and dated 5/21/t35. . ' Copies: Mr. Houghton�- 2 -�- Hillside Repair, Iric. - 2 9 Respectfully siibmitted, , / /,�'�:�✓.-,R � .GY �� ,� Dou�ac P. Hildenbranrlt CE 1G309 n Y �COSTA MESA BUILDIN •5 DEPARTMENT P. O. BOX 917 COHTA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT AODRESS �JO� Je��ISo+� Ai'<�-va.(, COSTA MESA. CALIFORNIA MAIL 2901 Benedict Canyon Dr ADDRE55 c,r. Beverl Hilla No: CR• ARCHITECT TEL. OR ENGINEER �— NO. ADDRESS — CONTRACTOR B AODRESS � O1 Benedict Can on : c�rr Beverl Hills 1 8 CTNO. �-`�1 NO. CR. �O—O ' SIZE i. ' f NO. OF BLD69. 3 BLDG �� LINE PPOM O � �F 6TRE8T REAR YARD R� I LEFT �.O � I RIGHT � � DESCRIPTION OF WORK I XII el TFRATII]N I II G191'ItTI[1N :ay F�ciER10R wS Yt1.1CCO COVERING USE OF BU4LDING AND �1 HERBBY ACNNOWLED08 THAT 1 X�VB READ TH19 ANO 9TATG TXAT THE A9�Ve 18 CORRER AND G PLY WITH ALL CI�YJ OflO1NANCE9 ANO HTATE BUILDINO CONB]bIfCT10N� � . AUTHORIZED FEE �EG��►�tU MAY 17 196f �FINAP�CE DEPT. C1TY OF COSTA MESA APPLICATION FOR PERMIT BUILDIMG For Office Use Only BY DAlE NECEIVED OATE IBBUF�`� ��2 ,- „/ O � 10C` 3101 J fferson Avenue COSTA MESA. CALIFORNIA FIRE ZONE APPROVED . aoNiN� ZONE NO.OF USE OR NEW R_ / PLANB �L BUIL��NG LEOAL _ . .._ _ �. i YARDS APPROVED 1 (CeNT[X LINE BT.1 EVES ALLOWEO T. IN. L � IN. i. �� IN. i. J IN. OATE s/O /V' �1-.' �� %%i��/ �!'1%�(a�� 1TION qNB AMOIINT BXOWN UNOER VqLUATION IB FOR THE COM- pUppOBE OP EBTABLIBH�NG A PERNIT FEE ONLY. 1TING VALUATION ,/ . PERMIi FEE $ 7 / �� $CZ�O�'}�OO pLAN CHECK $ .��5 n`