HomeMy WebLinkAbout3133 JEFFERSON AVE - Building Permitswoncssaem�axc: 3133 JEFFERSO
axxExswweiva+wix: MARJORAM, DORE
aoonEu: 3133 JEFFEEiSON
� COSTA MESA,CA
546-9988
wr�. wuuxc �uox�ss:
IPCHIfECT OP FNtlNFFA:
UNT:
TR FLOOD: X 47
92626 .
uc. rn.:
APCN.ON ENG.'S AOONESS: UHf:
mr+mAcrarsru�: DRIVER—EDDY ( 310 ) 946-8831
cam�crars�uuxo 12920 E SUNNYSIDE PL
,��u;SANTA FE SPRI90670 CA ��, 122022
UMT:
110EN5ED COHfN�CTORS DECLANATION: I lwieby elirm inMer pe'Wy M perjury Net I em lironsed ivMx prwiaiana d Cheqa 9
(cpnmarui�p wilh Sedion ]000) d Diviaun 3 d iM Buviriev eM Pmleveiore e. enE mY lioeve b in IWI face aM elled.
cmuc.No.:006356 uc.cuss: B-1 uc.No.: A23/// XP: OS/96
De�B: // Za � / 1 CmlretlIX' , �/1�J"`!/ �i ' .
OWNEF BUILDEP DECIARRTION: 1 he�eby etfi�m uMer pe�uly d perN�Y �� � e*�q �� �� ���� ��se Lew I« Ue
'Nbw'vq reewn (�un )0.'11.5 Bwiwas enE Proimsiona Code: A�ry c�Y v�+n�Y �� �Vuiree e pormn lo mmvun. Mer. imprwa.
mdeh. a rapai enY eWCWre: prior to ia 6auenca. eho epwm iM epplirau I« vch peima to fJe e vpmE nmemeM tlw he «she
ficemeE W�+�� lo Ihe prwieimo�u d IM Canlratlae Liceroe lew �Chapp B(cqnmaiaq xah SeCun )000) d Oivcun � d �he
du4nev erd Prdeaionn Code� or �het ne a ehe c exemq �horolmm ond �M bazia la iM ellepeE exemqion. My videtion ol5etlbn
1oa�s by am� eoqM � �« a p«mn .w�eea �ne eop�cw m e aJ oendry d na m«e inen fve nwdred ddbn �Swop.
� I. m owror dthe popanY a my empb�ees wh wepee n iMi ede mmpenaetbn. wll Eo Ne xwk. eM Ne elNdun "v not mie�ded
a aflmed Ior sek (SaGion>Osa.Bwre»eM Prdeeeima CaEe: The Comrmwe Lirome law dms'al epplyto en uwnerd propeM
wlw buida n inpmea tMreon. eM xtw doee aurA r.vrk Aimeetl a Aene� v Mewph hv «Iwr own emW la+. P�'� tha wM
�, impmttllBllb p0 M1 iMlMGd QCMMBE la tda. tl. IpwTlf.IM Wikilq d mpGVMnMq R sOtl Ntlhin qqY� d WIIIpb1iM. NG
owror-buiMer will Aeve tha buNan d poviiq M or eM1e did mt buiW or imD� Iw Ihe Wmae d esb).
❑ i. m o.m« a me ww�v. � aa�r ow,m:a �,w ucwee oowmia. m c�uw �ne o�dsa lseao� �a.. a,sina„ m,a
Prafesaone GaCa: TM Corurerlon Lieenealew daee nd epplyio en owerrd papenY ��itle orimqwm�Mraan enE who
conlrans la wM O�a v.nh e mmredor(e) licaneetl Wnuem io IM10 Conlrepae Liceme lew).
� I em ezmmq wder Senion: B. 8 P.C., la Nia reemn:
Dem: Owner:
� Eo hereby cMiry IM1at I em eware W eM uMenierM iM reQuiramems d Cellomu Heell� end Sebty Cotle Sediom 25505, 255JJ, vd
?551a, aM ilwi I a eny INura buildirp oaupeni will / wll rwi (vrcb wre) nead ia comply wih veid aiete oodea eM ihe requiremenh fa
Dele: ' AGW'ram:
WONKEF'S COMPENS�TION DECL�RATION: I MreEy elfirm uMer peruXy d perjury orc d iM Idlowiip dadvetona:
� I heve enE xil meinien e cenAceu d coneeni lo seMinwro M xakce' wmpemqion, en pwided la by Seaion 3)W d tha lebar
COAe. ta IM pe�lanbr�ca d iM �k 1w wlich �hn permn ie iaued.
�] i ne.e �e �we mdm�.wnwn oomo���ib�+�s�.�, a.,ww�.d nv ss ��, a�ao d me �m« coda ro, ina rono,�,� a�na
work la xhidi ihie partnll ia isaued. My warkers erce urrier enG pdiry nvmber ue:
��,,;,, ���� EXPIRES
Policy Number 1 2� 2 8� 9 5
�This sectian nead na be romVbreE l �M P�e a b one nuMred edkn Rio01 a Iw.1
� I centy I�el in iM perlormence W ine wwk I« wfikh thie parmn Is iu I ehdl na empby eiry pereon in e�ry mennar eo m b
pacome wbjea to tM xoikeri canpeneelbn laxs d Gelilamie. ree Uol il ehou ba abjw ta iAe wvAv�e'
companmlion pwhona'Sedion �)00 d �M Lebor Cale. I Mell l oompfy h
nd,: 7 -- 2.1� ) + Aod�.
Weminp: Fdlun ro i�curo woAx�' compens�tlon corw�p� 4 unl�Mvl, � tl�Iqll sW/k'f m�mploysr ro ctlMrul pene/tlu anC •
civll flrws'q ro on� hindrW flrouuM ddlan (ff00,Od0J, In �Mltlon b• cwt o/ comp�rwtbn, Wm�p� �s provMM br In
Sxtlw 9)OS ol Ms LeborCods, InNns4 end ertomsy i M�.
CONSTPUCTION IENDINO RGENCY: I hareby ��m uMer paruXy ol parNrv �� ��e ie e mn�ivaion brdi�p eparcy br Ne
�n�� a me won m..n�, ine o�� m�•�,ea Ismon aw�. ci.. c�.
LENOEH'S NAME: ,
LENOEP'S 10DPE55:
I caniN �hm I heve reeC �nia epdK�� ���e tMl �he ebove inlormeiion is mnw. I ep�ae io canply wn� ell ery eM coumv �iwMea
arM alale kws rNeimp io WJdvq canatrWion e�d hereby euUwrixa repeeeMetivea ol thia �ily lo enter upon �he ebwe�menlioned propaM
�°'"'°°°'°"0"`0°'°' SKIP. MCCONNELL _ .
�
De�e: �� �•�/� S
(St5te6.WP1 MAw>9uiN�qbSddY:Omen-Fb:Cvwy-Appfuni:Rnk-Rwenue:(3ddenmE-baeuw
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 073489
PERMIT NO: B 073489 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : DEMOLIS[{ INTERIOR IN PREP FOR REPAIR JOB SQ FT: 4,200
CLAIM VALUE: 4,200.00 CALC—VALUE: 4,200.00 GROUP OCC: R-3 /M-1
COMMENTS: DEMOLISH IN PREP. FOA REPAIR WORK
**�*�r**x+rx�*�*x�x+rx���r*�*x *�r�r��**�r�x�**+�*�r�+r*��****x *x�***x���rx��*x�+�+�*�*�*�*+rx **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 BUZLDING ---------- --------- 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: 14165226 ZNE: REF NO;
PLANNING N6TES>
' f�
�
1f if 7FlE fflf fE fE fE 7E 1E 1E 1f 1f 1E !F 7k %iE 1f 1f 1E 1f 1F ik 1E 1f if'lE 1E iE 1E fE 1E 1F 1E1E 1E 1E iE 1k 1E fE ff 1E 1E 1E iE iE if fE 1E 1F fE 1E 1! 1E iE 1E 1E 1E 1E 1E 1E fE'IF 1f if iE iE 1E 1ElE 1E if i41f 1E �E
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: �
HUILDING APPROVED BY : DATE: r��
APPLICATION ISSUED BY: ����i� DATE: ��I.�
1F1fiE1f1fiF1f1F1EfFiEfE1EiE1EiE1EfE1E1E1E1E$TFiFTF{FTF�{FTFI�F{FTFiFTF 3F7FiF�F�FiFiElE1E1k1EfElEiEiki6 ....> lEif
LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL'.'�SEGMENT:�Y
- BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
_PERMIT .. 72.00 • � .50
, SMIP/NON—RES
PLAN � .
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 . 0.00 0.00 72.50 72.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: � 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT .GRADING PLAN—CHECK
%2.�� .5�
1(� iF 1E 1f 1f if iE IE iE if 1E iE 1f fF')E 1f 1E iE 1E 1E 1E 1E iE 1E IE 1E 1E i81E 1818 iF ik 1E iF iF if if if iE 1f 1E 1E IE 1f 1E If iE IE Ik If M IF ik fE iE IE 1f iE IE 1E iE 1k 1E 1E 1f IE iE iE iF �E 1E if 1E if 1E iE iE fE
I N D I V I D U A L E E E_ B R E A K D O W N
,TYPE. �_QTY_..„ D E S.0 R I P T 2 O N _ UNIT COST TOTAL COST
SFR,. _. 4200 �DEMOLISH HY VALUE,RESIDENT. NOZONE 1.00 4,200.00
, END OF FEES
D ���
� 28 ,'
JUL 1995 -_,
CITY OF COSTA MESA
J
A��PESSOFBUILpNG:• �1�3 JEFFERSON AV
�Nexs�iva+owr+: MARSORAM, DOREEN E TR F
�`onEss: 3133 JEFFERSON AVE
CC�STA MESA', CA 926"lf,
: X A7
546-9988 ,e�
AVPL��ILUUNL'��RE54: , � y/ E IC. y�I� L
n � '
u�cxrtecron�r+x�n: � uc.xo.: ,j,3Z"•'�9�
ALIIORENG.'S�OORESS: UNT: vgR/_
'cam+ncrarsruue: DRIVER-EDDY ( 310 ) 946-H831
COMP�CTORSMNIIIM. 1292� E SUNNYSIDE PL
�ooqEu: SANTA FE SPRIDIGS CA ��.�, 122022
90670 ' uwr:
UCENSEU CONTNACTOHS OECLAHATION: I Mreby eflim uMx periely d pa'jury thet 1 am IcenxC uMer pm�iawiv d Cheqer 9
(commana�p wil� Section'1000) ol Diviaion 3 d �M Buainea eM Pmfaseiona Code, eiM my licenee u in lull l«ce end eHeq.
c c.No.:0U6356 uacuss: $-1 uc.No.: 122022 EXP: OS/96
� : G' .�— .5 _ �o��,�a: �LL�u �kil �.c�
W q BIIILOEX DECLAHATION: I hareby effirm undm paneYy d perN�' �� �� esamq from Iha Conlrepws Licerea lnw la the
wig raeaon (Sed'an 1W 1.5 &ni�ma eM PMaaiona Code: Airy cry a counry wfiirh requ'vea a pe�mn b mvmct. ekx. impwa.
demolah, or repsi any swcwra, prbr m ns esuer¢e, eho requirea tha epplicent br euch pe1mA lo file e sq1wC slemmem the� he or aM
cenaed Wnuenl m �ha proWeiana d the Contreaon Licensa Lew [Cheqm 9(ewnmenNng wnh Setlon ]000) d D'rv� n 3 W �he
1inesa eM Prdassona Code� or ihel M or ahe is uempt Iherafroin eiM IM baaie Iw IM elbped uamqon. My violetion d SeUion
.�.5 by any epplirant Iw e pmmG wbpea the eppliceni �o e ovil panelry d iwl more ihen Irve huMreE ddian I�ll.
� 1, ea owner d Ihe pmpaM w my empbyees wth weges as tMi wle mmpensatian, will Eo IM work, eM tha s��uctun u nd intended
or oXered fa eela (Section ]Oaa, Buainwa end Prdeaeions Catle: TM1e Conlrec1ors Liwnsa lew dms irot eppyta en ownerd propery
..� wbs «�o� m,�. �a .no eoas a��n � tim�rc «na�.0 a m,o„un na «na, o�„ emdw«+, ww�eae inm.�n
impovemenU ere nd inteMad a dferaE iw sab. X. howaver. �M Wikirp a'vnpro.emmt n sotl wnhin maY� d wmpblion. Ne
_ owirerbuiNar will I�eve Ihe EUNm d proving M or sM did na build or impove lor iM W�a d vele).
❑ I, as wmer of ihe propeM� �<xdueireFy mn�reain0 �h licenaed conVectoro to conmrua �M pajerl (Seeion )OGA, Buainme end
Pmianione Code: TM Conlredon L'eense Lew daea m� eppy Io en owner d peopeny Mio buiMa or impwa tlweon eM wM10
mntrans far arh qqen+ wnh e oomreaor(s) IkenseE punuem io iM CanVeqore Liceme Lew).
� I em exemq uMer Seclion: B. d P C., Iw �hia reeeon:
o�<: o�.:
I do hereby ce�M �hel l am ewera W end undeiatenE ihe raQuiremanta M CalJomia Naellh end Selery Code Sediona 25505. 2553�, eM
255�a, end ihet I a eny fulure buikinp orapem will / will nm (arcb one) neaE ro compty wph eeiE pete mEes ard tM requiremanU M
epeimnforconsiruciionormodifretionhanlMRi�Tei iy.�anepemeniDistiia.ReaidamielmnaruqioneppictliorroenuemqlromiMse
provisions. ,
oe�a: .' � nooi�em:
WOHKEN'S COMPEHSATION UECL�PATON: I MroEy etfirtn urder perWy d pajury one W the blloxieq dederetioru: �
� I heva end wil meinlein e ttrlXcele of mneent �o eeH�inaure br xrorken' compenaetbn, as povideC la by Seaion 3100 d the lebor
COEe, lor IM penormence W tM xak br wluch thie pe�mX ia iaued.
� i nw. �d w�� �m� wwwn �,w�o� m��,�..� na��red w s<am a�oo a me �n« coee. ia me ro�ro.� d in.
�+ woM lar whid� ihie pertnn N iaueE. My wabn' mmpenutbn inwrenca ranx vd paliry numher ve:
c�.: CHLCOMP EXPIRES
Pm�N�mn�,: wy4�li��un 12/28/95
sectiwr need nn be camplared Y rhe pimd is lor one huMrad dollen /Si0p1 w Iesa.1
,� i�nH inv �� ma �no�oa a ma won ro� wnKn m�s Po�v m �..�ea, i ehell mt empby eny peieon in eny menner eo av b
ber,ome subjad lo iM xwkna' canpenmtion lewe d CdAania eM epree thm G I eAouW become wbjea to tha waMen'
pensetan porsiauL (ol Sedion 3]00 W Ihe Lebor GOEe. I M^ell �lath�wn'h o'w�npy' x•nh �th�we OPrwiaiona. � �
D te' � / � � � / S AVPI'reM: —y��� Y✓1 — l.11/kC.l�CI�
�
ming: F�Ilun ro sxuro worteri mmp�nsatlon eoverey� Is �n/awfu( entl shell r6/sef en �rrp/oysr roWMnelpsnaltlu urL
clv0 flms up ro ons hundrwi fhouunJ Collan (5100,OW). In �Wltlon (o M� rosl ol rompxwHOR tlurups o pvvltlW br /n
SxHon 3108 0/ tl's Labor COW, Inronst, end etromey'o /eu.
CONSTfiUCTION LENDING RQENCY: I Mreby effi�m �Mx penely d parjiry ihet tMm ia e construqion bMirq epa�/ fw ihe
perlormarwe ol �M1e xvh br which Ihc permY ia ivsued (�� �). Civ. C).
LENDEF'S NAME: �
' LENDEq'S40DNE55: '
I ee�iy �het I have eeaE I�is epplieetim and nete Ihet �he ebave intortnetion is eo'rea. I eprea to mmOh �h ell ary and eaunry wdinenoea
end aime levn releYrip lo build'ng conslmdion eM hareby eullwrrza repreaenteiivee al lhia dty lo enier apon ihe ebove�menloned paperry
����°%°"'�°°°°`°°�°' MARY MCCONNELL :
o�, i� a ��
>' • CITY OF COSTA MESA - BUILDING PERMIT
PEkM D10: E, 07q7U�S
PERMIT NO: E 074708 � PLAN CHECK NO: N GOVT: N SUVF: N
o..
CONSTRUCTI014 TYPE: V-N ' PERMIT TYPE: ELE � PURPOSE: OTH
JOB DESCRIPTION : DEMOLISA INTEI2IOR IN PREP FOFt REPAIR JOB SQ FT:
CLAIM VALUE: CALC-(IALUE: GP.OUP C�CC: R-3 /M-1
CGMMENTS: REF: B-734$9 " DRYER, STOVE & CGOK TOP "
!E ik if !E iE ff aE iE iE iF M.' # 3E 3f if iE iE fE }E jf ik iF jF dklE aE IE �E iFlE jE 1FlE iE 1E 1f iE 3F iE iE 3E iE iE �E af iE if �E 1f !F �E 3E iF iE iE �K. iE 9E 3E ie iE if 3E iFlE 1E jt iE iE �F 3Ejf 1E?f iE iF 1E �E �IE
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 ---------- -------- .�CCESSORY BUILDING - -------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT I�I RGHT: FT IN LEFT: FT IN RGHT:`' FT It�
PARKING REQ: PROV: PARCEL: 14165226 2NE: • REF NU:'
PLANNING NOTES>'
� _
iE iF iE 3E?E 1E 3f if >f 3f �E dE if !E iE jE 3E jE iE 3E iE if 3ElE fE iE 1E iE iE iE df �E iE iE � iE iE IE IE 1E iE 3F aE iE !E iE iE iE if 1f?E �E �E jE iE �f iE 3E iE iE �E 1f iE 1E if if 3f �4 iE �E jf 3E iE if:E 3F i' � 1E
D E V E L O P M E N T S E�,,R V I C E S R E� U I R E M B NiT 5
ZONING APPROVED BY ��' DATE:
BUILDING APPROC'ED BY : .3� DATE:
APPLICATIO[� ISSUED. HY: �:i_ �/p-� DATE: I o Z✓I � i
*at****i�***iE*x�***i�***** * fE * \:/�r?r'iFIFTF�i��'�FiFft�t3f1F���tx--�i�**iF?�i���**-�* r** �**
LEGALIZATION:N F E E j S' U. M M A R Y. STRUCTURAL SE�MENT:N
a �'
BLDG'PMT PLUMBING ELECTR-I;C iMECHANIC FIRE SMIP/RES GRADING
PERMIT 116��'.g ; „ t�;
PLAN . 4 r�3 •� SMIP/NON-RES �
ISSUE FEE 15`:0_0 �'"'i' �.�
HUILDING-DIV-> PERMIT ZSSUE PLAN�:CH,EC•�C TOTAL PAID D[JE
TOTALS----> 116.40 15.00 �n .�0'':00 � 131.40 131.40 .00
1%
REC'ENUE DIVISI6N TOTALS--> COL EL CTED;�!V!`r 131.40 OVER/SHORT• 00
BLDG PMT PLUMBING ELECTRIC MECHANIC �� FIRE SMIP/TOT GRADING PLAN-CHECK
131.90 ,9I �; 4'� �; - ,
')i : 44 ��� .
*+�*+�**��r*****�****ie*****�*�+�*�+�*�**�c***���ja*��**�*�***�r**��**�fe*+�x***�iF�iE*�*��ie
, I Pl D I V I, D 0 A L,,. �F E� E 7 B R E A K D O W N
TYPE QTY D E S C R I P T I O�N � l,�� .% �� UNIT COST TOTAL COST
ELE 20 FIXTURES, LIGHTING y 1 ST �'0 � EA. ,75 15.00
ELE 7 FIXTURES, LIGHTING �ADDITIONP:f, EA. .45 ' 3.15
ELE 20 RECEPT/OUTLET ! 1.(ST 20 ,` EA. , .75 15.00
ELE 37 RECEPT/OUTLET ADDITIONAL, EA. , ,45 16.65
ELE 20 RECEPT/SWITCH liST 20' EA. ,75 15.00
ELE 8 RECEPT/SWITCH � ADDITIONAL EA. ,45 3.50
ELE 1 SERVICES BELOW 6C0 j� &' BELOW 201 AMP 18.50 18.50 �
ELE 1 MOTOR/POWR APPARATUS ;+'1,1 - 10.0 HP 7.50 7.50
ELE 2 MISC APPARATUS NOT LIS�TED REQ PERMIT 7.1,00 22,00
END OF FEES
'�5t5t<B.WP� Whne-OuiWvq 8 Sdery:OraerFle; Cenery-Applrent; Pink-Rmenue; OdEenm�Ae+sswr -�
Ol 0014�Sr3-0�1^r35$3 "TPaT i32.¢0
DATE; ":"J120!�.5 7;hc: 1fJ:Q9
.� _ .._ .. . . � , �..
_ . . - _ ..y:- _ T..
: ._ _ ; '. .. . _' ' . - ., .,�� POOI A��•� �, "----�=---
:>CON;TRUCTION AND PLANNING�- • -
�i � i, � ° Date �nspector - � � `- Date Inspector
',APPROVkLS Permit#„ - - , � APPROVALS. �Permit.# :�� -, � �
,-7,� T�horary Electric2l Service or Pole� • ,.�: � . 'S2. Pool & Equipment Location . _ • -.
`2. Soii Pipe-Undrgrnd�. ' ' � _ � - - �� 53. Steel Reinforcement ,�i � ' � �. .
[3�
3: Electrical Conduit UtilitY=Undrgrnd..`� � �� i i '.?,?? � �. - , 54. Forms " °% .. ." -
4. E7ectricaiConduit�Undrgrnd. �� � -� • � • , `55: ElearicaiBonding� ;.�.; : ' � ' . ..
� „ (<.
;�
5, Steel Re�nforcement � � � � � 56:' RougH Piumbing�& Pre,ssure Test '; �
6" Electrical UFER Gmd. - �' `� - '; � - . ' 57: APPfiOVAL�T6 COVER�GUNITE' • � • - :�
� 7� Footings � � � � - 58i ElectricaLConcluit�Undrgmdi �,-'�'
'Y�i A I
� 8. Foundation . . � ' ` . �.; �. � 59. Gas Pipe, l7 Und�grnd., Test � � o;�/
9. WaterPipe=Undrgrnd � �" � __ '� � _60, Backwash_Lines�,�P�Trap,G'�Undrgrnd., � '
10. Structural,Floor SYstem '� - i; � . , - �61; APPROVAL TO DECK � �� � � � � ,�. �
11' Property Sewer line & House.Connection ' �, 62. Backwash &-Recepmr-final_-� �� � _ �
.>.
12. �Sewer�Cap � . � ," _ ,_ � ' '83. Heater &.Vent-Final � �� �! �� �• - � '
13;. Roof qrai=ns . - � � '� � '-;-, ' 64. Plumliinc� System ��Final '' i F �
74; �Rough'Plumbing� �'� _, �' . �'�65. Electrical-Finai � � � , j' . .. '� '
15:�Rougti�EleMrical-Conduit �' � � � -�66. Solar�System�Final �, } - -_ .;�
76;. Ro�gh'EleM�ic�Wiring - _ "'' �" . ; j : , , 67. _F.encing & Access Approval �� W • ^� ��
�57.RoughWi�i�gSign . � G - - . ; 68.�APPROVED.FORPLASTERING` . ' �
18:`Rough'EtectricaC=T 6ai�Ceilin9 ' -' `� - � '69: POOLISPA SYSTEMSF�INAL " �
� 19: Rou h Heatin & Air Conditionin � � � � � � - � � ' � ��
,,,, 9._ , ,9 ,. , , _. ,� _ �__ .. _, -, . FI,RE DEPL.REQUIREMENT . � �
20.,Rough Facmry Firzplace = _ . . ' ' APPROV.ALS'� Permit # � `
21. Ducts,in Structure , ," � , , , 70._Undergr'ound Hydro
22.` Ducts, Ventilzting � -��- �� "- •- - 71: Product Pi in -��"l Gas O Qi!
P 9 �-
, 23. �as Pipe-Rough�& Test � _ _ � _ 7p, Underground Fiush �
- 24.�Ro.of Framing' � � - � � � � -� � . 73. Undergmd.StorageTank �Gas COiI
. 25.� Roof ShEthing � - . 74�, Od�erhead Hydro T . _
26.`T-Bar Ceiling (Structurap & Monecoat - f�- 75. Dry Chemical _ ,�'
27.�PrameandFlashing '' - � 76. DryStandpipe_..-' , _ �
28. Lathing & Siding _ , .. � ," � 7�7_. FbXED SVSTEM,FINAL � -
- � ,
29:-, In±:ulation - � � _ 76. FIRE PREV. F�NAL '
30:�DO�wali Nailing „, _, - � ' �- � �HEA�TH DEPT. REQUIREMENT�� � � �
31.'Piaster Brown Coat'" " � " ' � � ' ' 79. FINAL INSPECTION - �
32.'Electricai��Powzr Meter-Finai ..,. 8Q; FOOD CERTIF�ICATE ISSk1ED „
: 33._Final�Electric � -' � - ��, ��,�`�'-4}�Noter. . } �
i1���2���s t_oo ��,y� h-ro 1►;.
34.'Final Heating & Aii -Conditioning� � . � � - - _ `
tl_: 09_�o h-EGec-�,-ux (. . a� � s:
35. Final Gas Pipe=Test - _ - -. .. . ... , j "�•� ' W.�!'! iC"t /n � -. . '
. :-� � �._ .� ��_ . . _
-36.�HoodorCanoPY ' � _ • , ... ... :��.� /� p / .,..:-. ...--
� , . . .. /Z-/C"j..r1✓'.. �4,•i.�(,., C/nrt.(' . . .,. R..
_(!_,.v �_ � -
37.�Final Factory Fireplace - � �.
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BUILDING PERMIT PROCESSING LOG
EMPLOYEE: r •
DDRESS: ,3/ � i
PERMR NUMBER: ��� � p8 TYPE OF PERMff:
VALUATION: � SDUAREFOOTAGE:
PERMiT FEES:
DATE: TIME IN TIME OUT ACTMTY
- � ' p � h _w. x.
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ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES
PLEASE BE AS SPECIFIC AS POSSIBLE !N RECORDtNG ACTMTIES
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ADOAE55 OF BNIUNG: UNT:
ow„exsn,u,e,F,wow,,: 3133 JEFEERSON AV
� �noweu MARJORAM DOREEN E TR FLOOD: X 47
3133 JEF�'ERSON AVE
COSTA MESA,CA 92626
�,�.�,,,�„�q� 546-9988
ANCXRECTOXENtlNEER: H C HANS EN �'N0'` 2 7
.1PCX.OflFNO.'SAUDRE59: S%j%1 IRVINE BL � 120
coxrx�erararuxe: TUSTIN CA 92680
CONfP�tTORfYY11N0 ISAACS PLUMBING ( 714 ) 258-0603
�nopEa�: 1910 E EDINGER uc.ra.:
SANTA ANA CA 429549
92705 u"T:
LICEN9ED CONfN�CTOfl3 DECLAP�TION: I Mnby �Ilkm uMn p�ndy M qr�ury UW 1 un IIumW uMx pMdom d Cluqa Y
��,m.�d� .nn snn�, �000� a or�:� a a u,. ewm«..�a r,a...�. ca...�e mr uo.�.. n i� wn m2..�e .n.e.
em uc. no.: ue. eusa: ue. No:
.�70305�L C-36 ! 4N29549` EXP: 09/96
Das: /n( ��� 7 Coninaa: _�J I'�/1� S Y'L/�%�o �
OWNER 9UILUEP GELLARATION: I Mrob/ efllm� wM�r psiWy d p�r�ury Ihtl I am wmq Iran IM CanMon Uam� Lew ta iM
�Nbvhq mm� (Swbn lo�ts Buarou W GNn�biu CoM: �m ciY a aauM' MiM �aulm • wrm4 m aanwn. Wr. MD�+.
md'sh, a npei ury �mcluro, pria m A�'vauenu, abo nqulre iM epplbnl br ac� pemY m fib � dpnW �W �m�m RW M a�Ir
.licemed pumiem m Ihe pwidoru W iM Camredan Liwnu Lew �Cheplx a(oommendnp Mlh SspM 1000) W OA�bbn 0 N IM
ewinm ud Prdsaiona COM� n Ihtl M a�M b wmq Ihw�ham W IM bnh la IM dlp�d uamqbn. My vbltlbn d BWion
)W 1.5 by enY a00�1 la e pxmil abpp� IM eppliuM to � tlW pltW y d nd mm Ihen Ms hundrad ddlen �SS00�.
�- I, ea ormar W IM poparry a my emWv/sx ni� wepn n tMi tls oompsme�bn. will do ihs xpk. W IM �Iruclun's nal IM�Md
w ollerad la eels (9ection loU. Buairiai eM Pmlw�iaw CoN: TM Conlwon lio�nu lew Eo» nd apply to en ownarM qopeM
who buid� or mpwo Ihasan. end x1n doee �urli wak Nmrtl a Mne1'v Ihrwph he a hx own empby�e�. pwid�d ihtl wch
imW��em ms na "upendsE a dlmaC In eW. tl. hows.ar. tM dntliro a'enpwwnM b wld xithin ar rw d mmoM�bn. Ns
owrorWildx r.iA hew tM EUMm W pwiiq M w 4w d'd np WJd a impo.� Ia iM puryma d uM�.
❑ L m ow,,., a �he wooero..n, .cdwH«v mmme:ro wiu, �icen..a comrecta. m ca,a.w m. v�+cs.abn roa.. a„'vr.. w
Pmteawm CoJe: TM CaNreyon liunae law Eoo nal apqy b en owrw tl popeny Ma duld� p impovw tlwaon ud x1n
wnvaW lor erh peqea� wiN e mNmdoHs) lieeved punueN to �M CaMretlan Limros Lex�.
� I em enemq uMm Sedion: B. 8 P.C., la Nia reeaon:
Ome: ��
� do nnenr wnM inv i em a�.�,. a.m uneen�ana me reo���a,n a ce�aomie H.ann w sm«r cm. s.ao�. zs.ws, usu, .m
2553n. eM thm I a eiry Mure buiNvg ompem will / wll �(�cb ar) ��o comply wih aeid ewe mEes vq iM rpuiremenb lor
aDeimilfawnsWtlionamoddralunhamlMA'r�iy —e�epemoMD'at�.ReaNsuulcana'utlioneppFdiomenmemqlmmtMu
po+ivoen. . .
om.: � � �oq�:
WOPKEfl'S COMPENS�TION DKUNIITON: I Mreb� ettvm uMx pnWiy d pe�jW aw d tM bGow'vp Exluatiom:
❑ � nev. ene na meima:,. oenncme a cm.m� m..n:�auA m, wna: oomw�on. es wo.�wea �« M seaion a�ao a me �en«
coe.. io, ina ron� a� www �a �+;�n �m. v�u o m�a.
❑ i n.re.�e w maixa�.wkn.• mmv«umon Mwrerce. o�.a�.a M saion a�oo a m. �en« coe.. w me ou�«menoe a �ro
wak ta whiM Nu Dartntl o iwued. MY waken' oom0ametion irouruita renir ud W�Y ewmbr vs:
c�: ��rr r�_un �p�dc EXPIRES
Pdiry Numbar: 0 7/ 0 1/ 9 6
,,his aeuion nesd ria M campbted / the pmmt u la ons u d4n 00 w bu.1
❑ I ce�/y Ihet in Ne peNamercn tl iM wak br v.hkh tAu pem�n b iveueA. I ehNl mi ampby enY Ge� in enY menrix w m to
becama w4b �o ihe w�Mn' canVe�un levn d Cefdarva. uM ise tIW A 1 Moul lea io �M xvrken'
mmD��i�`c+—� J 00 d �M lebor Cade. I Imh � Or Nn' m� �
ode: now�:
Wemliq: F�Nun ro ucuro wortwi rnrrprwtlan cov�rep� l� unlewlul, �M LWI iuENcf an wnplayn ro WMIu/ ps�ultlu end
clv/l 11� ip ro ms l��ndml thourntlOolYn (JIOqOWA ���ltlon ro M� roat at rompauetlan, tlemep� �� pov/CW ror /n
SxHon ])P6 0l tlra Lebor COW, Inrers�l, enJ ettomsy's /sw. ' -
CONSTi1UCTION LENDING RGENC�: I hereby elfirm uMa penaEy d pr'ryry �hn �Mn u e mrutrwion IeMiiq peM.y 1« �In
parlarmaKe d IM v.ork Iw xfiiM ihe pmm� u ewad (Sedian �. Ci+. C). .
LENDEN'S N4ME:
LENOEP'S ADDflE55:
I cenity ihal I heve reeE Iho eppl�aion eM qete �het iM ebova inlorme�ion e m�nc1.1 pree lo comqy xith dl olY erq couny ptlinazee
arM aiete lewe releiinp io buildinp consvudion eM heraEy eulhorixe represamei'rvee M ihn ary io emer upon ihe abwe�meniuneE properry
for inspatlion W�W%ea�
KEITH CO AR____ , ' ,, „�,,,,, ,_ ._
�� ' n 1 e'.� _ _ Dma'I� ICJ �7 J
� Spw dPmnrllpenV�ppticen4Conlreaa —T
(StSt-a6.WP) � W��e-&iikvp 8 Sdery: Grem-Fb: Cerary-AppMani: Rnk-Rewnue: (iolden�oE-Nemsa
CITY OF COSTA MESA – HUILDING PERMIT
� PERM NO: P 075624
PERMIT NO; P 075624 PLAN CHECK NO: N GOVT: N SUPP: Y
CONSTRUCTION TYPE: V–N PERMIT TYPE: PLU PURPOSE: CON
JOB DESCRIPTION : SUPPLEMENTAL PLUMBING PERMIT P-74416 SQ FT:
CLAIM VALUE: CALC–VALUE; GROUP OCC: R-3 /M-1
*�**��***��*B��**�r*******+�r���*****���4 R*�*B��*�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 HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 14165226 ZNE: REF NO:
PLANNZNG NOTES> � ' '
1 Vi
1f if 1E 1E ik 1E 1E iE iE 1E 1E ff 1F 1E 1f IF iE if if if iF iF iE if 1F iF 1f if iE iFlf 7F 1F if 1f iF iflf iF iF if iE iE iF if iF iE 1E iF Ik iE if * 1E iE fE IE iE iE If iE 1f IE 1E 1E i(� if if 1E 1E IE iE iF if iE iF ib 1E iE
D E V E L O P M E N T S E R V I C E Sry R E Q U Z R E M E N T S
�
ZONING APPROVED BY � DATE:
HUILDING APPROVED BY : �-� DATE:
APPLICATION ISSUED BY: ��� DATE: /2–!f-9
iEfElElfffiflkiEiEiElFiEiE1EiE1Fif1FiFlfifiE 1E1EiEiElElEfElflElE fEiE
LEGALIZATION;N F E E -S U M M A R Y STRUCTURAL SEGMENT:N
�
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 70.00 "'
25$ N ; SMIP/NON–RES
PLAN � �
ISSUE FEE 10.00 „
BUILDING–DIV–> PERMIT ISSUE PL`AN�CHECK TOTAL PAID DUE
TOTALS----> 70.00 10.00 �i„ `r 0.00 80.00 80.00 .00
1
AEVENUE DIVISION TOTALS--> COLLECTED: 80.00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
80.00
� �q ,
1E iF iF if iE iElE k iE 1! if 7f 7k K iF 1E iF IE iF iF iE if iE 1E 1E iE 1E 1E if 1E 1E 1E iE if ib:iE 1E 3E iE 1E IE 1E iF 1E if 1F iE if 1F if iE IE iE if iE iE 3E IE iE 1E 1E iE iE IE 1F iE 1E iE 1E 1E iE 1E iE It iE K if iF If
I N D I V I D U A li1 �rF E E B R E A K D O W N
.; ' i
TYPE QTY D E S C R I P T I O"N , UNIT COST TOTAL COST
PLU
PLU
PLU
PLU
PLU
PLU
BATHTUH r�� ,
DISHWASHER ' a�
�SHOWER . ��.:�, , '
SINK, KITCHEN ' _ ... ..
WASH BASIN �, = ,. _ .
WATER CLOSET (TOILET) � �
�WATER HEATER AND/ORaVENT f�
�END OF FEES ��
7,�� '
%,��
7.00
7.00 ;
7.00 ,
_. 7.00
7.00 .
7.00
%.��
7.00
7.00
_ 21.00
. 14.00
7.00
���,u� ���.a�•r�. �.��� at�-r-��
u'• Q01S=65Q–QC?96556 'Y CjT 3i1.00
GA7E: ��d��p�5 r�q�: n�d-t
vs vai co._- �i.c_.. r_ �v- nu.ou
D"n'fE: 12/1°.'�r3 TICI:: p�:11
% ' ♦ I /
J ' 1
.,'I�ONSTRUCTION AND PLANNING �. ' � . � POOI ;PA .
Date Inspector Date Inspector
APPROVALS Qermit # " . �. APPROVAIS , Permii # � ,�
1. Temporary Electric2l Service o� Pol'e _ -' ' 52. Pool & Equipmeni Location -: �
; '.1
: 2. Soil Pipe-Undrgrnd. � � � C-' � '' ' • 53. Steel Reinforcement � � �• �
��.:�.�. �rr. v � - - . .. . -
� ;, :_E�ectncal ( ondyii�Uil�ity•Undrgrnd. � ' 54. Forms � -
�A��Etectrical Conduit=Undrgrnd. ' � � � . 55.�.Efectricai Bondfng ' . � - �
`.� :a�- -,��r,c.�: �
"��cy c�
E�e_ryflein�r,ceme�t;�,y ' - . - 56. Rough Plumbing & Pressure Test � -
' c�6r!'E7lectrical UB'ER G'nndr �� . � 57: APPROVRL TO COVER�GUNITE � 7�. �.
.r r..�' m;_� 1"' -
Yi^r t.� T�FI n � • :�.. .,�
���"Footinqs ��. � . . ._ 58:• Electricai Conduit�Undrgmd. �f
,.:. „� .. . . . . � � . . �. .
;�B;��oundation cw �m c... •�.- . 59. Gas Pipe;.� Undrgrnd„-Test ��� �'
cn� c.1-+ -n •a
..,{§`.�Nater Pipe�Undrgrnd. V� �� �' ` � �� 60. Batkwash Lines,�P;Trap, O Uridrgind.
✓t0.�5vuctural Floor SvsremJ ^ � " - ' 61. APPROVAL TO DECK� ' ' .
t�F. Property Sewer�,Line & Houeefynnection . � ' 62..Backwash & fleceptor-�ine1��• � . �
12. Sey+er Cap ' `` ; � _ � ' 63. Heaier &:Vent�Fioal . �
13. Roof Drains � � � � 64. Plumbing System � Finai ` . . •
7�4 Rough Plumbirg���. � � ;r� ' �� �t , . �65..ElectricabPinal � � _ . .
15? Rough Electrical,Condult m� ,- : g6. Solar SYstem-Finai,__ �� . � '
76. RUugh Ele�[ric Wi�inyv • o�. . , 67. Fencing & Access Approval 'i ; .
17. Rough Wiring^Siga. 4 � 68.� APPROVED FOFi PLASTERING � .
T rt' i
1�8'. RaughElectricab`�BarCeiling`z� ' . . �� 69. POOUSPASYSTEMSFINAU - � �
- �19�. Rough Heating�&-AiYConditioning`= �- - ' ' FIRE DEPT. REQUIREMENT � � �
.-. . . � � ,• -� m ry c i-. m : � c� ;r• �,
20. Fj�,ugM�_Facr`�ory`,Fire�il�ce i�r,� ��� r �, rn� APPRD.VAL'�_��Permit# t ''' ��',�a� _-
w r. _
2L �uctsFin SttucIurecr,. i �•� •• .� � �; � `�+�'�70. Underg�un�'Hydro "" '
22. D cts�Veniilat'i. - '�` ~ ~ r' c' '�
y i� SP9 ti'; � '�, i y� C'., •-., r,t)7. Product�Pfping QGas �,Oil
23. GSs Piqe�Rough=& Tesi �; !:,. _ �c r: � �r, "v+ �72. Undergrou�r d Plusfi�
24. Ro`ofFiamin • r�ix . r-- • � . � •, y, •_�. �. �.. . � � _ . �.��-- .
�� 9 y.,: r'- ,., r;;73'Undergmd; S[orage�Tank O Gas ❑ 011
25. Roof 6hea€hin i ' Y � ' ` `� •��... -� _
g �#� i v,: �� :7 n• t 74.TOverhead HYdro:-� x
26. T-Bar[Eeiling (StructvFal) & Msn�{caat � `� ^�" 75°�Dr Cherz�ical �� '"'j C a�G.� n:3:'��
:f: �'O Ox 'f Y F✓ T �'�-�-"J�'it'`�
27. Frame.and�Flashing�� ; - ; c � M''r. 76CDry Standpipe ;mo � � � :: x=:i :r7c�.
r
i-28. Lathi6g &4Siding '�;Y' c' ^v.�: G '" � �••f 77?"FIXED S,�ST EM�F,INAL' ' �`�'�' `,� �-
r a� O t� r-� tl .1. I ��: -} x.J . r+ �� Ctl il" �
��9. Insulation� T'� �� S � T�� � � �� 78.'J�"'EIRE PREV. FINA'L a, ? a F-�-�c'v:
�'30. DrywallN�ling "y �"� I M` �"�"''' �'HE'ALTFf.'bEPT.�;R�EQUIREMENT"'��:
X F 504� fu..+ i
�-31. Pl�ster Brawn Eoat �x c i r.,;=, i � �.:79"FINAL It�tSP_ECTIpN a�l J ^c.
h32. EI@ctrical Powe7�MeTE�f�-Final �� '� ^� I i� ?80 �`F000 CERTIFICATE ISSUED � '�'-�
.� ..; . .. � r. �+...
..r .-. I t+..",' C � C"1 i { �v; C�: n7 [^ `7...� '� �
g33. F'inal �E�ectr;ic -> ,�,;. [^ , � ,� � `r Notes: f Z`!�}�' S�:r' 'r .-, •- !L- -
`}� 1 42 ti�bt_�
M34. F,inal Heaeing &'Airtf.onditloning_ S c�l .: ' � i t� � �� x " "�'
t���! sL�''�F.�� /..er�� l \_
l
.,. � � , � , ' i . « � � < <�.- `�
,35. �al Gas �ipe�T.est�;- i � r r: � � � tzo _ '-'�
G36. HOod;or CanoPY ••� G� �:" :-' x. C� j �.l� i u� � �' ^ ""
C M T -i�lt'c `/� �.TI :�- I ..! L1� i:O � r. Cr
:37. Finai�ct�iv FireP,!0 e^',� 'FS,�:, r� F'r � ��.,y� T; �' ^�
" � .. � � � : " .' . _
r38. Final P,luntbing --+ �N � �,�' -u`C� � ' � r ,,_, � �
�39. Water�SerJice�Final`l'* , �' �` ' "" t' '�, ""`
x� vr., (/ -
p40. Gas Service;Final . �:, Qr:� S 'r : 1 I �a- G% =��' ',
.�.�., �� �.r i-+ r XcQ
�lt. Solar porrtEStic-Fina� :` = h r r � i h �.• �.-.".. � �: r:
42. 8ackflow Preventer ;� � ;� . .A r1 � "* ''�`.-� •. r' �'
...__ , . '.; ."-.� n s �-.
43., Backflow Irrig�ion ' y�^�, �= •y � ;; �� ' ":r• � `'� � L.` . � �.�L-
� 44; LandscapeilrriAation System ��;7 r t*; `' r t�� � r� �, ^^:;, �^ c:� �c. �e >e :
+ .^':� 'l Y i� .O fiR' 4' : r.�
� 45. St?Und AttEnu2iiOn :�� :,C:�,. ~ Y� t T Y' Y r Y� ` ^•;�. 4��+ K
� i 't y 4 ' t"� `i. .' O
4fi' Handicap Regulationsr , �; x� :K r; �� Oc: x
!r .-+
� 4P Fix3A,Ll`-,�STRUGTUREf;& HUfI�ING _ H � I.�'
X` . N S r• �'� F
48.. F}NAL PLANN7NG q i%-=. . nt � i �� m [a •i � `.,
- � �l. �, n n•
� 49�.. Eiectric Release to Edison � r j j Q�: E� .� ,r y ' .�
�� x '
' 50: Gas Release to Southern Califomia Gas Co : � ! �a� �-. - :� • � ' ' O �• • . • • • •
+ � �-, ^?� ,s r� cccc�c : -�
5k: CERT;[FICATE OF OECUPA(�1CY' . +' � :i :J �� -� •� ` r' � �- � - -
No. Date
�
�
S
�oo^�sovem�unc: " ' uHT:
ow�as�,w,E,F,aon,,: 3133 SEFFERSON�AV
' moxEss: MARJORAM, �DOREEN E TR FLOOD: X 47
• 3133 JEFFERSON AVE
COSTA MESA,CA . 92626
�cP�.�uurwmopEu: 5'46-9988 , '
ANCXRECTOXFNf�NHR: � ' 11C.N0.:
H.C. AANSEN ' C�027
APCX.OPENG.'SMDXFSS: 1-�3-�1 IRVINE �BL ° T` 120
c�rn.cTon.sr,.�: TUSTIN CA 92680
cwrn�crorcsMuuNo ISAACS PLUMBING , (714)258-0603
1910 E EDINGER
AD°"��' SANTA ANA CA �'N0 429549
927�5 UNT:
110EN5E0 CONTXACTOFS DECLAFATION: I Mreby eflim �Mar pene�y d parjury Ihet I em licensad uMx pwisima ol Gheqar 9
,(mmmenci�g wilh Seciion ]000) ol Drviaon 3 M the Buainesa eM Pmfeaeions CaCe, eM my limme is in lull farce enE eMed.
CRY LIC. NO.: 11Q CLASS: LIC. N0:
�03 5 C-36 429549 EXP• 09/96
o�e: /�--l� ��i 5 �o�„aao,: Is��� ;s fi��l ,
OWNEH BUILOEN OECLIH4TION: I hareby eifiim ander peraly d perPrY �hm I em e�emp Imm �M Conireda+ Licenae Lew fa I�e
!olbwinB ��^ (�ion )03t5 Busness enA Professions Coda: riny cily a munly which requime e permn m conabuct, el�er, im0�ave,
' mWs�, or repv eny avunure, prin b ils oauerKe, ebo requiree iha epdicenl lor such permil to fib a egrwE stetement Ihet M a ahe
IicenseE pwauenl lo IM povieiona d IM Gonlredwa Liceree law �Cheplet H(commemiiq Milh Setlon ]000) d Dveion 3 d IM
-ausiness end PrWxsions Code� or Ihe� M or ehe is examq �haehom end �M Wsis iw Ihe ellepeE exemplion. My violalian d Sedion
]031.5 by eny epplicenl lor e permn subjaas �M epplicenl �o a dvil penelly oi iat m«e �hen five hundred ddlen �5500��.
� I, ea ownar d IM prapenY a� mY empbyeea wIh wepes sv Ihei sde mmpensaion, xill do the xoM, end the awnure a rw imended
or oilereE im aele (Sadion ]044. Buvnass e�k PrWassions Cade: Tha Gonireclors Licenu Lew does rwl eppN lo en owner oi properry
.no a,ws «mv�w� �n�,�, �,d wno eos. ��.� �:m�n «n<�<e «in�ron na «na, a..,� amvbv�a. v�.a inm.�
imprwamams are nd imeMed a diereE lor sale. X. Irowever. iha buikinp w vnqwement ie edd wnhin me Y� d compinion. Ne
ownerbuiNer will heve �lie burtlen M proving M or she Ak iwl builE a imqave lor �he puipoae d eele). - ,
❑ �. ea ow„« a �ra aoreM. � a.awirdr �ireune ";�n �icensae c«,om�on �o mnsUw u�e wdaa (swon >osa. eusinm. ene
Professions Goda: The CmtraGae Leeme law doee ria epply ta en oxnu ol properry wM10 Wilda w improves iMreon eM wlw
convects lor such D�al�a wnh e mnveclor(s) IcenseE punuenl to �he Convenors License law).
❑ i� e.�w ��aa, sen��. e. a a.c.. m, m�. �:
oaie: ' � o.m«: '
i eo nereW �.nM �n� i em aware a e�a ��m�si�a me rea�,�eois d c�a�d. Hmnn .�e sdery ceee see�re zsws, xss�. end
25534, end thel I or eny Nwre buildin0 �0a^� �II / will nM (cirob one) neeE b comply wnh seiE neb codes eM ihe requiremen�a for,
eparmiliwm�vtiuctionamodlficelionhwn�M�i u�OTl.renepertremDimna.RaadamialcannrwioneppicetiwuveevmqfmmRme
prwisiana. . ' . .
ome: Aooi��
WORKEN'S COMPENSATION DECLAHATION: I MmEy effirm uMer penally d peyury arn d the blbxieq dedaeetiona:
� I heve eM v.il meintein a cenil'rate d mneanl lo setlirouro M workars rompenmtion, es qovidad tw by Seaion 3]OD d tM lnbor
coae. �w ine osrtom�ence a �ne work �« whicm m� perma u i�a�ea. _ .
� I heve anA wiA manlain workere mmpenselon insurence, u rayuirad by Seclim 3100 M IM Lebor Cade, M the pe�lwmanu d �he
w«k la wh'rh ihia permn n bsued. MY wakers: mmpametan inwrarca rartier vd poliry number ve:
• c°'"°' Ei4i� E:9l1fi��P15 EXPIRES
POICY Numbar: . f� -y � 4y 3� n fj
,m;:.:«����e,wm�o�,obreeirna��Rn m m� a�.) r V1 ��
� I cerlAy ihm in �he perlormence W ihe wak iw vfiich thia parmA ia esued, I shell iwl empby eny pareo i in eny menner ao es lo
nerome euqea io �na .wnm.a �w�un.�e.w a c�nomm. �d ea� imm � i.nan wn� a�o �n. ..onaB
<omre ��a� c,�a�o a �an 3�0o d me ieeo, coae, i d� r mn mc wnn a ��.
i�--�ss-�5_ , '�
o�o: nod�c j . .
Weminp: Fal/un to izuro workon' comperwHon cwsrps b un/ewNl, entl tlu/I utl/scf an emp/oyw ro ctlMlxl p�neltlu enA
civll Ilrros up ro wa hundrM tMuunO tloll�n (Sf00,000A In eeJltlon ro M� ro�t o/ compmu�tbn. tlerrrP� as pvv/tletl br In
SxHon 9)06 0l Me I.�boi COW, /nhn�t, antl �tromryY les�.
CONSTNUCAON LENDING FGENCY: I hareby affrm uMar peneXy d perjury �hm iMn is e mnnmaion landing epanry lor tM
peA«marim d IM wwk IIX xfiid� tM1e pe�m� 1]'s9ued (Seaion �09]. CM. CJ.
, LENDEH'S N�ME:
LENOEP'S ADDRESS:
I caniy ihet I Aeva reed �his epqketion eM ate�e i�at �he ebove inipmelion ia co�mq. I epree ta mmply xitM1 ell ciy enE counry oNinencea
eM sive laxs rale�inp �o buiWin9 wnstruNion eM hereby emhorva repreaenlalivea dthia d1y lo enler upon the ebove�mentoned propeM
forinapapunWrposaf. �
' KEITH CO M _._ _ _ .
C� � I � n D�e: �
$igrelure d O+metlAgenVRpplfenVConlretla
(5151d6.WP) � Wh�e-Build'vq 8 Safe�y: Greeo-Fle; Cenery-Applcani: Pink-Revenue: GOldenroE-Asseawr
CITY OF COSTA MESA -,BUILDING PERMIT
,� PERM NO: M 075626
PERMIT NO; M 075626 PLAN CHECK NO: � N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: CON
JOB DESCRIPTION : MANUFACTURED GAS FIREPLACE SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
*�***�+Tr**�**B�**��*�+`�r�����*�*+Sr+Er�*��*�r**��*H*�****�+r+�*��*��*��*�*+�****��r*+�****+r
� Z O N I N G A E Q U I R E M E N T S �
S E T B A C K S
------------ MAIN HUILDING ---------- ' --------- 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
PARRING REQ: PROV: PARCEL: 14165226 ZNE: REF NO:
PLANNING NOTES� �,n �;,a
1EIEiE1E1f1EfE1E1E1EIE1EIElEiE1EIE1EiElEiEfElE1ElE1E1EiEfE1EfElEfE3EfE1FlE-�1E1EiE1EiEIE1E'.!flEiEIE1E1EiElfiEiflFif161FiEififiElEiEdEfEifiFlEiF9fiEfElElEiEifif
D E V E L O P.M E N T S E RrY I C E`yS R E�Q U I R E M E N T S
ZONING APPROVED BY - I�" y DATE:
HUILDZNG APPROVED BY : +,f-�'a.�l f�l DATE:
r,t
APPLICATION ISSUED BY: �� t"�-� � DATE: I�" �S =�SJ
at**�t**x�*******�t****x�x�itiF�F7F�F�F7F�F�FTETF�F?F�F7F�F�fTF3F7FiF7FiF7f'iF7F"�F � 7F3F�F3F**it***atiF**�iFiFiFit*
LEGALIZATION:N F E E S U M M A R Y STRbCTURAL SEGMENT;N
• BLDG PMT. PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT ' ,� ,� 9 . 50 i
' f,� 25� SMIP/NON-RES
PLAN
ISSUE FEE � - 15.00 '
HUILDING-DIV-> PERMIT �ISSUE iPLAN-CHECK TOTAL PAID DUE
TOTALS----> 9.50 • L5.00 , 0.00 24.50 24,50 .00
.. i�r
REVENUE DIVISION TOTALS--> COLL'ECTED: 24.50 OVER/SHORT: .00
�T�L�C� pIAT pLUMHINC ELECTRIC'MECj�P4N�& FIRE SMIP/TOT GRADING PLAN-t_HECK
TYPE QTY
MEC 1
MEC, , 1,
I N D I V I D U A'�L� F E E
D E S C R I P T I�OhN
n
GAS PIPING SYS i��^- 4 OUTLETS
FACTORY FIREPLACE"+
, � EtJD OF FEES
� �
... - .. _. . � � .
n
� 1� 1
� �
� �
C � - �
it iElf if iE iE iE 1E iE if iE iE iE IE iF iE iE iF iE iE it iE IE IE jE iE iE iE �f if if iF 1E
B R E A K D O W N
UNIT,COST. TOTAL COST
� 6.50 6.50
O1 t7Q196649-001?6d4ry T�J T ?�.SD
ea?E: iviaiss rtr,c: o�:iQ
� � � �--� ,
•' -
s
` i:ONSTRUCTION AND PLANNING - � �- _ ; . , POO ;PA , ; , -
� �� =° ' � Date Inspector ' ' ' Date �� Inspector
�^• _� APPROVALS Permit # � . �' APPROVALS Permit #
1. Temporary Eleciriral Service or Pole 52. Pool & Equipment Location•,; ` _ � ., ��
�� 2. Soil Pipe-Undrgrnd. ' `' ` _ . - � 53. Steel Reinforcement . � � ' � t
-, r. . '
.. -�.-Elediical Cooc�yit,�Uti]itY-Undrgrnd. - 54. Fortns` ' . ' ' � � ' '' �
N�`" . - � ', �
Electrical Ctindait?Untlrgrnd. _ � . 55. Electricai Bonding. �' . -
_�n a.�, �,�,� :c..- . . .
;� j�teel�Reinf9ccem rt�;�, � 56. Fough Plumbing & Pressure Test�
t*' 6'nEaectrical CJFER'G�F�ht , � � 57: APPROVAL TO COVER-GUNIT,E �
- r.
`%'�faotings SS ry`• , - 58: Electrica) Condui,,Uridrgmd: �� �
%:�.7N. '
-„� � � . . , .- : . ..
� 08:aFoundation m sn a, rc 59. Gas Pipe, O Undrgcnd., Test �"� � -
- '+ -
,,�9:✓�iVater Pipe�Undrgrnd. p .. _ � � 60.' Backwash Lines,�:Z(ap, O Urid�grnd. �
_��••:. •� . � . _ .
10. Structural Floor System ' '� 61:. APP.ROVAL TO DE�CK . • �
1�7"-. Piaperty 5ewe� Line � House Gonnection � � . . - 62. 8ackwash & �Receptor-Final � i ; . � �
12. Sewer Cap `" ` � r . � . 63. Heater & Vent-Final - ' � ,
13. Roof Drains �' � ' 64.� Plumbing SYstem � Final � � "
Y • '
74; Rough Plumbin`g� r.; ' ' � 65. Electrical-Final �
.
� 15l Rough Electrical Con�ait o'���;� • � � 66. So4at System-FiRa�,, _
1C� Rough Ele�'tric W�inqi ;, � ' 6J. Fencing & Access�Approval '� � 1
17. flough Wiri�Sign� v � i� ' � 68.:APPROVED FO�'P�L'ASTERING �
r�
1�8. Rough Electricab�Bar Ceiling�`� �� ' 69. POOUSPA SYSTEMS FINAL ' '�
19. Rough Heaiing�& Alr Conditioning �` � � " " _ rFIRE DEPT. REQUIREMENj
.T F-. cC F• rs.' "<
20. pR�ugIG�Fact ry FirePi8ce � ^� ' • �. =` °'*..PPR KUn ��r-��C�perp�it# ` '" [:�"'
'tT; J'� it �.'K I'aC^ l[�f, � r-+ b� "J 7: 'ttRl=-IH �"Y'_
21. D`ucts;-in Strucivrei�� x � ��l -�� �' - ! �a f �70. Urlderg��$=Hy�'ro '
c•," r n�� �.n�
22. Ducte�Ve�ililaiTn �-,*: '� � `� '°�W'' ~ r"" , � �t�
� � i� v:9 c: x i -;,� <, {'� F-,* �71. ProducU�PtAi�g C1mG.is ❑ Oil
23. G�'s P pe-Raugh=& Tes'f � - �� �:r �72. Undergro6hd Flush."'� *
24. RooE Frari`ing� ��`� t r'� •^ � � T*=�]3xUnder rnd.Stora 'Tank �lGas ❑Oi1�
..
cv rt' + f. x 9 2es
25. Roof §heaihing : �� e; : v z � , � :.7 i'. �74tOverhead HydroJ � *
�� y L7 LTI .r� p• r r ?: H ! i i. i'
26. T-Bar:Ceil�ng (Struetv*Yal) & Monocoat „.,� �.,. 75.-Dry Cherr�igal c„ �, y. ��
L
27. FramaandgFlashing�7 `;�*• ;, ;� � � m�� 76r Dry StandPipe F 2+ :� ••, ^-�
` -�:
428. Lathirtg&�iding �r�• �r � �s' 4� "'� 77='FIXEDSYS ER�7,FiNAL�~ :�'
I GI: '7 F_ �'I�. f.. K. �--! i' J'}
�29. Insulation� rX �`� _ � ? � I I �F 78�FIRE PREV. FINAL' � = �- Sti'
^30. Dryevall Nailing r y "' ~ ; �' � f4F�ALTH'DEPT.;.REDUIREMENT
:�. � x' a r•., :� :,
� u; ^:�- � x� ; , ia � .-, i� � r.�,
37. Plaster Brown Coat%�W � � r�r� • � b� -r79. FINAL It�PFC716N t� fa':
-�(i2. Ei�ctrical Pow��Meie�-Fi �ai �� i: �% � � IN ^80 �000 CERTIP�C�/kTE ISSUED,_,_, '"`��
y33. Finai �Eleci�ic � ^ t i tr � r : I ;. m�/-6L1:G-=`Z�-��ic/Z�PL�cic -
_ .. � o�� lT. a: , ; ,t IVa.es: jZ-�.�i:S�_4�c�-`%r_L�P���'L
- �
T:34. Finai Heat7ng &iAirr�Eonditioning_C. :� � r. Z � S �.:._r * : ._
- .. ^-� •z •n I^ �� �f :li I ti 4:. ♦ !'
�35. Final Gas Ptpe�Test,w n ,�,"' r �-� � � '. � �' wa . �!'.i x '� [*' .
a36. Hood:or CanoPY .... '` ,,•_ .t f ; � i* ;•- •' ��o ' ' i �-i :+-
., < :,. . . , r r n M •-• - � � .. m :c o t: r. E.., _
C37. Fipai Fdcto'rY FireP�ce-'- ' StT' m Z2r'�C�` � 'a t� n �•�
�^ - 1 � N. --i k
v� .�., . .� . .. . ^•_ _. �
�38. Pinal Ptumbin n�;: �^� � v: ! I I �� `. /' F-1 ' C'�
9 n t �.: a7 � n� v o
�39. Water`Service-Final�' `� . `� r r � �="� : t'� � " `,i'. `� .4 `
K i 'Y �,^-V;
,n`40. Gas Service-Final t r; �;»�t*� � �� r*! I��l'�=�^ J4 � r• .r'-
M N,iN: G � 'tC
=41. Solar pomesticFinal �'� s � ' �' i � * 'T't' " `
H f ��7 k I r IT� '7G t�' T x; 'J
r42. Ba'ckflow Preventer .�c '� .^j y`� i �, s j c. 7 O r
i� � m m r'� �F [-+
43. Backflow Irri aiion a '` ' � "'r,
r. ^ "S= x' -U
9�� �. ;, �C !'ti r :K i^.
t^ .� . '� .- . ^- .
', 4d�., landscape�lrriQation System c; x tr �� C;i t ir, n� n; ,^ �j � �; vo
�'v- � ' �: C� :S' : r }..
� 4r.� SQund Att2nuafion ' "��E'; �' �- `' �" F4 �' "� `" '•'� w d �i:
[.. k �- •• • r I !T. F �t c-� tr' C' � • !� C� -K
= � � ..
� 46 � Handicap Regulations* r� � s .� :7, .^� ^�� s :
n
47. F1NAL;S7F±UCTUfiE& BUILDING � H f !-? *`� �' , � x: �
� 48. F.I�NAL,PLANN'fNG = ; � . �. � � i �kt i-� .,i `t � �
49'.� Elect� Release�to Edison � � , 1 �N: T � � * -
� F. r. r � � • s^. x
� �..
50. Gas R,elease to.Southein Cati�ocnia Gas Co � i � rr: i-� � • o tf'. * � •�
' - � c ^=. � .r c rv
5t:. CERT[PICATE OF OCCUPANCY ~ < � „ � . * � = _�
No. Date
�
aoonessa em�dre:
oxmewsww�eiFiu+am: 7133 JEFFERSON AV
� �op� 3A33�JEFFERSOh1EPVE TR
� ' COSTA MESA,CA , 92626
�vri. �,uiwc mortew: 5 4 6— 9 9 8 8 l,. -
ANCHRELi OP F1MlNEFA:
JICX.OP FNG.'S Ii0DflE55:
uxr:
FLOOD: X 47
z S l�
uc, no.:
UNT:
CONiflACTON'SNAAIE R�STZC AIR � ( 909 ) 986-7682
catm�eroAs yuueic p O. B OX 7 O O
ADDRE55: ON�I�ARIO CA "`'N0'` 4R3933
91761 uxr:
LICENSED COMHACTOFS OECLANATION: I Mreby eflim uMer penely o/ pa�ury Nm I em licemed uMer pra'viona ot Gl�eqer 9
��� (mmmena�q wiih Section ]000) W Division 3 0l �he Buvnea end Pmfessiona Code, vd my license ia in lull lorca enE e/iM.
CRY LIC. NO.: LIQ CLA55: UC. NO.:
j_�.. C-20�n EXP:
> oya: 1 %� -'/ d - Q� co���o,: / ' ._e.vk%
`OWNEN BUILOEH DECL�flATION: I Mreby elfirm unEer peretly d perjury thei l em �mmq imm the Conveqore Licenee Lew Iw Hre
-:'plbwvq reawn (Sedion 103�.5 &reiiesa ard Pedeuiom Code: RnY ery a oounry MiiM requirae e peimn io mutruel. el�ar. imqare.
;�•�` molsh, or repei eny evucture, prur w As 6auerce, eleo raQuirea the eppliranl br wch pamiil b fila e aipneC sle�emant Ihe� M m eM
�aVicensed pureuani ia tha provisions d Ihe Conlredwa licenae Lew �Chep�er 9(mmmendnB ��h Sedion )000) A Divsbn 3 W Ihe
duainea end Ro/essom Code� or thd he or eha is eaemq �herehan end tha besia lw ihe dbped examqbn. My vulefon W Seqbn
]0'J1.5 by eny epplicent Iw a permu wbpda IM epd�� lo e civil penelry W ml more ihen Me huMreE ddlen �5500�).
❑ I, as owner of the propeny ar my empbyeea xah weges s+�hei eob mmpeneetion, will Eo IM v.wk, end �ha sVunuro e �at intendeE
- «oXeredlorsele�Seclion)Oaa,BusinesaendProfessionsCOEe:ThaContredwaLiranseLewdoesep�epplytoenovmaro/propery
w!w buide or mprovea tMreon, eM xho doee euch wwk himseM w hanap or Mraq� he a her own emplayma, povkeE Ihel cuch
imprv+emmia are mt imaMeE a oHered la sale. tl, howmar. tM WiNiip a'vnpv+emeM b eold xithin om yeer d compbtion, the
ownerLuiNm will heve iM buNen d provinp he w ehe did nd WiIC w imOraro Iw tM W�e M sels�.'
� I, av oxner d ihe propeM. � exdwiaeM �ireclip xilh IioeneeE conlreciwa to wn�rud ihe pml� (�� ]OId. &nine�e uM
Proleasian COEe: The Conlredan lieenae lew Eoea M epply to en owerer d peopeny Ma W iNe a, Impimu iMrean arM who
convecia la� a h qqeea wnh e mnlredor�n) I'renaed punuent to the Coniredae Licerue Lewl.
\,r_,
��I em exemq unEer Section: B. 8 P.C., fa Ihia meson: ,
o-r,-'a
i ao nereby ceniN �ha� i em a.e�e d ene unaers�e�k me �ac� �menis d CalAomie Heell� end Selaty COEe Sxtbna 25505, 255�J, end
25530, eM Ihm I a eny lulure WilEiiq awpem will / wYl nM (tlrcb one) rieed io candY weh eeid peta cadee vM ihe mpuiremente W
epennnfwmrovuciimamod'Rreibnhomine�i ue�ty erepementDimna.PeddeniielmnstruqionxppimtiauereezemqtromNme
Dete: - ApDlicant -
WONKEF'S COMPENS�TION OECIAHATION: 1 MreEy elfirm uMer penelty d pe�jury me d ihe blbwi'q Aetleretiom:
� I heve anE xill meiniein e cenilicme d roneant m eeH�insuro M warken' c, pemeiion, ea prwidad la by Sadion ])00 d the Lebw
COEe. Im iM peelormenee ol �M xvik la wlveh thia permtl ie inued.
`� I have ud xil meimen vroMen' eompeneelun imuree�, ea rp�ired by Seqbn �100 d Iha Lebor Code. br Iha pe�ormerce d Ihe
X woAc la xfiich thia partnn ie ieeued. My wakeii mmPo�ae�ion msurance rerner erd pdicy number are:
carriar: - -- -- £XPIRES
' Pd'cy Number: •� i � i '
� ,,n;:�n���a�rae�nbr.errr.ro�xuro.'a�e�n�✓�.dewi�Isiool'w�..l 04 /O1 /9E
❑ 1 ca�ily Ihel in �ha perfoimenca M Ihe wwk br wtich ihia permil ia iaeuetl, 1 ehell nd amploy eny pereon in eny menner eo av to
bacoma suMea to �M wake�+' canDemmion ievn a celtl«nie. eM earee thm d I cMuk wM«a io tM �wMen'
compenvtion pwiaons d Snedian`/3]00 af the lebar Code. I�hell b h .
��
Oete: �0 � � � � 7 �/ Applcent: �/ ' ///"�/t P
�-
Wemllp: F�llun ro s�curo worken'rompxwtlon covsreps /� un/awNl, �nC aMll �ub/ecl �n �mploysr ro WMru/ pxuMu �nC
clvll flrros tq ro ons hundre! tMuurM tlollen (SI00,000), In aWltlon b M� cwf ol romperwt/on, Gemepu �i prov/tleC br In
Sxtlon J]O6 of fbe le6or CoM. /nfxesf, ma �ttornsys Isu. '
CONSTflUCiION LENDING PGENCY: I Meaby effirm ueMm penelry d perjury thet �here u e oonstivaion bMirp epercy br �M
�n«m�� m ma .on� ia wn�w ina re�� �a BN,ad (sea� aos�, ca. c�.
LENDEH'S N4ME: -
" LENDEp'S AODHE%:
I roniy ihet I heve reaE ihis epd�eiion end e�me ihet i�e ebove iniameiion n mrtap. I epree �o mmply wnh ell vry end munry aNi�a
entl slete laws rele�inp m Wildinp conmrudion end �ereby emhorrza reDresenle�ivea M Ihie oty b enler upon Ihe above-menlionetl propaM
�or inapadion W�poses.
f'T-T RT Fl/TUF
/� nt Neme
Si9net� o Owner/RpenVAPP� or
O�
(St51�a8 WP) While-Buildiq 8 Selery; GreeMFle; Cenery-ROP���: Fnk-Revenue:Oddmmo-Assnwe
CITY OF COSTA MESA - DUTLDING PERMIT
' , PFRM nin. i�t n744q�
PERMIT' NO: M. � 074593 PLAN CAECK n�o: r� GOV'f: N SUl'P: N
CONSTRUCTION TYPE: V-r] PERMIT TYPE: MEC PURPOSE: OTH
JOB DESCRIPTION� : FIRE DAMAGED GARAGE / MECHANICAL SQ FT:
CLAIM VALUE: ' CALC-VALUE: GROUF OC�; R-7 'iM-1
COMMENTS: MECHANICAL FOR FIRE DAMAGE REPAIR/ REF B-73979 '
******�*�***rt**�****************��***+�****�******��+�*����*�**rt***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 ROILDING --------=- — ------- ACCESSORY BUILDING - — — -- —
FRNT: FT IN REAR: FT IN FRNT: FT SN REAR: FT IN ,
LEFT: FT •IN RGHT: FT IN ' LEF'I': FT IN RGHT: FT IN
PARKING R�Q: � PROV: PARCEL: 19165226 ZNE; REF NO:
.PLANNING OTES> ' "
i
r�j,E aF 3E iF 3E �E iE iE if �f i: if iE if �E �E IE iE �E 9F 9f if iF if if if� 1E if iE �f if fE jE 1E 9f iE 3E 9E iE 9ElE iElE 1E iE IE iE if iE 3E i4 iF iE 1E !E 3E iElE 3E dE �E lf iF iE iE iE if if ik iE dE if jE iE iE+`(� iE jE 9k
.j • 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
.1
� ZODIIPJG APPROVED HY DATE:
�r � �
�UILDING A�PPROVEU BY : _• DATE:
�j
� �:t� -�s
P.PPLICAT-ION ISSUED BY: " DATE:
+�*�*xat�*�;*+�**�**+�+�t���* ��r�***�*** *ie
LEGALIZATION:N F E E S t�M M�A R Y STRUCTURAL SEGMENT:N
(n
BLDG PMT PLUMBING ELECTRICiMEGHAN�IC FIRE SMIP/P.ES GRADIDIG
PERMIT ' �`" '-^ 27 �50
'('�. � ' ��2SR SMIP/NON-RES
PLAN , �-
ISSUE PEE ' � , F,� �� � 3�5�00
BUILDING-DIV-> PERMIT ISSUE PLAN=CIiECK 'ti' TOTAL PAID DUE
TOSALS----> 27.50 15.00 '`' ti Ov A0� �� 42.50 42.50 .00
REVEDIUE DIVISION TOTALS--> COLLEGTED'o �K �!, pi42.50 OVER/SHORT: 00
HLDG PMT PLUMBING ELECTRIC MEGHANI�' �'�-�FIRE SMIP/TOT GRADING PLAN-CHECK
4 2;, 5 0 p'1 �; ,.� ,
�
if 3E iE iE iE 3f #E jE IF 1E K i� iE if iE iE 1E iElE 3E 1k IE fE 3E iE If �E ik 1E fE if 16 iE 1E if iE jE jf iE �9F if iklE �E 1E iE iElE iF IE iE iE iE 14 �F �f �E iE iE iE iE 9E iE 9E iE iE iF if iE jE 9k 16 iE 1E �E iE jE iE
I N D I V I D U A L,_ C;F �E E� ,/� B�^R E A K D O W D]
TYPE QTY D E 5 C R I P T I O�-�N� r�� r� UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV FURN „<_ :i�00�K•� BTU 9. 00 9, 00
MEC 1 GAS PIPING SYS 1-'4 OUT ETS�„ � 3.00 3.00
MEC 1 INST AOOD W/DUCTS FED Bx �MECo;E}�C$AUST 6.50 6.50
MEC 2 VENTILATION FAN CONpIXTOj INGLE DUCT 4.50 9,00
� rE�NJD OF� FEES
`^ .l� � � 1
�
�
oi oois2135-t10792?35 'T��rT 4�?,;u
o�re: f�iz�ivv rtrrr;: saa,s
_J
:'
y CONSTFiUCTION AND PL-ANNING `- ' � "� � _ ��. �SPA " ' �
� Date inspector � � Date Inspector,
. APPROVAIS Pe��mit# , . - �APPROV,AIS'. Permit# ` . - i, �
1. Temporar.y Electrical.Service or Pole - � 52. Pooi &' Equlpment Location �. .� ". ' j�,
r.� '' ��
� 2. Soil Pipe-Undrgrnd. � - � -, , - 53. Steel Reinforcement - _ , . �
3. Electricsl Conduit Utility-UndrgrnzS.�.. : e . - ' 54: Forms _ � � . F f�•
4.�Electric2� Conduit-Undrgrnd. f-� ` •' � 55:' Electrical-Bonding -. _ -, f'
5. Steei Reinforcement � , � . . 56. Rough P(umbing & Pressure�Tes( ". � ��'� ��%
.i
6: Eiectrica( UFER Gmd. '' 57.' APPROVAL�TO COVER�GUNI7E� - .� = 'i
j " " . . . �' ..
7. Footings .�` - ' 58. ElectricalConiiuit�Undrgrnd.�
8. Poundation �� - � �59. Gas Pipe, �7 U�drgrnd.-, Test � - -"
9. Water Pipe-Undrgrnd. ,'1 �� r � '' } � � , ,6p? 8ackwash.Lines, P�Trap, O,Uri�)rgrnd., ' �
70. Structural floor System - , ' � � 67. APPROV:LTQ-0.DECK .`',.Y . �
l'
71: Property Sewer Line & House Coniiection� �� � .� �62. Backwash & Receptor-Final ��'e`
12. Sewer CaP !'�'. � � � 63. Heater & Vent-Final ' �:`i , - � � �
73. Roof Drains ` �� �J� � . ' , '64. Plumbing System � Final ,j/�� � �
74. Rou h Giumbin � . _ � • `�' . �- .
9 9 � � `_ ,65. Electricai-Final �T , /
% 15. Rough E�ectrical-Conduit . ` � 1 '" � - �
. 66. Solar SVstem-Pinal � �
i6. Roagh Eiactric Wiring ,� ' � 67. Fencin & Access A � -
9 pProval ` ,
17. Rough Wiring Sign . .: - 68. APP,ROVED-FOR PLASTERING �
18. Rough Electrical�T Bar Ceiling ��� - �69. POOL/SPA SYSTEMS FINAL � !. `'
79. Rough Heating & Ai� Conditioning ' p�l.G� FIRE DEPT. REQUIREMENT
` W-�
20. Rough Factory Pireplace - APPROVALS �Permit #
21. Du�ts, in Structure � " ' 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ OiI
23. Gas Pipe-Rough & Test I� �..C�� 72. Underground Flush
!
24. Roof Framing . 73. Undergmd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing � 74, Overhead HYdro �
26. T�Bar Ce���ng (Struct�ral) & 6lonocoat 75. Dry Chemical
27. Frame and Flashing � 76. Dry StanQpipe
28. Lathing&Siding � 7J. FIXE�SYSTEMFINAL
29. Insulation � 78. FiRE PREV. FINAL
30. D:ywall Nailing HEAITH DEPT. REQUIREMENT
37. Plaster 6rown Coat . � 79,� FINA� INSPECTION
32. Electricai Powzr Meter-Final 80. F000 CERTIFICATE ISSUED
33. final Electric � Notes: /f,¢(�j
l_C�2_6 �� R_�dc.,q--- �����„
34. Final Meating & Air Conditioning '
�_��.r �ti�
35. Final Gas Pipe-Test � � . �
/?-��s sl_��'�r_n.�•� -,�-
36. Hood or Canopy � ' t ' �'
�/lL� Pcc�� '�/�(2�S:J.F =U CDK+� .
37, Final Factorv Flreplace . . z. Q=�J�� ��,.t•���-- �
38. Final Plumbing 2�-Z� �5
[_ _ ` -FL/�r/rL
-39. Water Servke-Final - -
40. Gas Service-Final � � . ' '
41. Solar Oomestic-Final � '
42. Backflow Preventer - � ��
i-43.. Backflow Irrigation � � ' . •
44� LandscePe trrigation Syrtem , _ . _
� 45! So�nd Attenuation � - � � � _
� 46.� Handicap Regulations , . , ' ' � - .
� 47., FINAL STRUCTURE & BUILDING _ . �
; 4$~ PINAL PLANNING
� 49. Electric'Release.to Edison � '
� 50.� Gar Release to Southem Caiifornia Gas Co �- -. '
51.� CEfiTIF�CATE OF OCCUPANCY �
No. Date
�
I
�oonnsaem�ou+c: 3 f 3 3 SEFFERSON � AV
°""ERs""'"E"'Q'°'"": MARJORAM, DOREEN �
"ODfl� 3133 JEFFERSON AVE
' COSTA MESA,CA
�L ���o� 546-9988 _
urcxrtecT ox e�aN�n: H. C. HAN S EN
,xcx.one,/o•swo�ss: 17371 IRVINE HL
TUSTIN
caxm�crarswu� ISAACS PLUMBING
CONiNRCTOR5MY1➢q 1910 E EDINGER
TR
92626
UNT:
FLOOD: X 4"1
uc.ew.: C3027
uxr: 1 2 0
CA 92680
(714)258-0603
�oopEss: SA[JTA ANA CA uc.ra.: 429549
92705 uNr:
LlCENSEO CONTH�CTOH4 DECLAflATION: I hereby eM'xm unEer panMy d pe�ury Ihel I em Iceneed under Drwiuons W Cheqar 9
(commeMrp wil� Sxtion ]OW) «�� � d IM Budnen enE PrMeatbne Cotle. uM mY licame i� in lull lores enE �IIsrJ.
cmuc.No.:030556 uc.cuss: C_3E, uc.r+o_.:� q}�-9�5/9�9 X�'' 0�0f{�/00
Dete: /B � � � �i � CaNreUor: AI�.f".L/� ,+��ti�I"
OWNEN BUILUEfl DECIAPATION: I hamby alfirm untler peneXy d perlury thm I em ezemq irom Ihe ConVedom Licenee Lew lor iha
.'dlowmB ��� (�a� �a31.5 Buainesa vd Pmleaione Code: �ny eiy a ewnty whitl� roquirea e peemn io rorotruet, ellm, imW�.
"�mol'nh, or repei eny sVuclure, prior to rts ueuerce, ebo requirea �he epplimnt lor ach parmil lo file e egreE e�emem Wt M a eM
,`'' IicenuE W nuanl lo iM D��sian d iha Camredan Licenne Lew �Chepm 9(mmme�ip wn� Sedgn )000) W Diveion 3 of �he
' Bminese vM Prdeesum Cotle) or �hd M or eha is s�emq therelrom arM ihe bean la ihe ellepeC exempibn. My voleton IN Seebn
]W 1.5 by s�ry epd�� �w e permA aubpde �ha epd�� to e avil penetty d m� mwe �hen liva huMred ddlere �i500�).
� I,esom�erM�hapropenyormyempbyeeewvM1wageamlM1e4sobmmpanaeiion,willdo�hewoA,enE�hasVucWreenWinleMeE
or oXeratl br mle (Seeiim )OOd, Busiebw eM Probssbns Code: The Conlredors Lieeme lewEoea not eppty ia en ownard propeM
who buida or inprovm �Mreon, and xfio doea auch w«k IimaeM or hersetl a thraph h'v a her own amplvYees, pmvketl Ihel wch
impovemenls aze nd inleMad a dlerad lor sab. X, Mwwer, llre Wikirp a inpwemenl is sdd wilhin are yeer d mm0lelion, tM
wnarbuiker will nave �he buMen o( provinp M1e or ene dw na buik or improve iw tM v�T�a d eab): �
❑ l a, ow�e� a �ne o�waM. � a.d�me�r oonuaa�a wnn i��.ad �veciaa �o crosvua ine o� (sea� �ou. a,s��s e�w
Prolesswru Cotle: The Contredan Licenm lew Coes nd epply �o en ovrtbr W qopahY vRw WiNs a improvm Ihereon ard who
conVecN b� euch pml�s vnlh e coMredm�s) Icenaed W��� �o Ihe Conlreqors Lioenae law��� �
❑ i�<=amw ��aa, s��o�: e. a P.c.. ro, mm ,�:
Dem: � � � Ovmer:
I Eo hereby ceniy the� I em ewara d enC urdersienE �ne raquiremeuv d Cel/omie Heellh uk Sa(ary Cotle Sediore u505, 255�3, eM
zssaa. m,e me� i«enr nnu.e w��e��u omv�� �ii r.�i �a (d26 �l �eee io canW w�n .e�d me�a We�. �e me rea���ema�a i«
epermnlamnsweiionwmodifirationhomllwRk u3nlity�aneBemeniDigria.Peaidamieleanateud'pnepp4ee�ionaeree�amptiromlhese
pmvisions. ' � �
Dete: Applcent:
WOPKEN'S CONPENS�TION OECLANATION: I hereby effirm uMar parWly ot pe�ury me d Ihe Idbwiig Eetleratiom: ,
❑ i nave ena �i ma�ma�n a mnacme a��m m.an,�w� m. �e,; comro,,,,�;o,,, e, aonded r« M see� a�oo a m. �m.
Gatle. lor the pertormanca of �M1e xoA Im which �hie peimn ie ianued.
❑ � nev» e�e wi� meioieii won�en• oa�nre�+e�o� imu.e�m. m rea��e M seeim a�ao d �M �ec« ceea. �« ma w�«mv�� a ma
wwk la xfiiM ihis �paimn is iaued. MY wakers compensetion insurarwe ariier arM pdiry number ere:
ce„�a,: CAT, COMP INS EXPIRES
aw� N�mn.,: r:9 ti st �'� 4 x � 0 7/ 01 / 9 6
(This sMion neeC rrot be completed / fM1e permd ia M one hundred ddlan (SI001 a Nss J
� � Wflll)' 1�101 Ill IIIB pOI�Of111911CB O/ ��IB WOI�t �O!'w'�1IC�1 �h19 �IBITII 19 IffiYB�� � e11B�� IIM <Ifi(�D�' BIIY �10f90� Ifl Yly TB1111Bf 80 N �O
necoma s�M«� �o ine .wrka.z' mmwneetiw, kw. d celifomu. ene eorea inm A �.n nxame eudea in �ne xoMrs
rom��i�o� o�o�a d seaion a�oo a ma �no. code, i sna�i ionn � n WmcN wnn m�
onm: i�l}—�'� I nodican�: ���1 �� �
� �.
Weminp: Fellun ro axuro woMsri romperwtlon rovengs li unMwNl, entl Noll subJxf an smp/oysr ro cr/Mlu/ peiu/Hu en0
clvll fl�wa up ro ons huntlred tMua�M tldbn (Sf00,000), In �Mitlon ro M� cost ol romp�wHon, tlamepu e� proHOeG br In
Sxtlon 9]O6 0l tli� LaborCods, /nfusat, end afromsy i less.
CONSTNUCTION LENOINO pGENCY: I hereby eXirtn uMer ��� w p„i�rv �n� m,,, �s e 000m�m�oo i�ama aaaMr ro. ina
paAormen� W the waM im which Ihe pemin u asued ($eqbn �O9>, Cv. C).
LENDEN'S NMIE:
LENOEH'S RDDFE55: '
1 cenity thei I M1ave read ihie epqiraibn eM geb IMi the ebove inlorma�bn u conea. I epree io canpy with ell my uW muntY �ineMes
eM slete lews rele�'vp �o buildvq consvumon erd hereby e�nlar¢e repreaentativm d this aiy to enter upon �he ebv.•e-menliw�eC qoperry
forinspenion purpoeas.
KEITH COLMAR
�N
!
� Dde: �
, Sg�umolPmbr/RHenVAppirenuGomredw
(5t5t<6 WP) W�ile-B�iNiq 8 SaIUY: Green-Fla: Cenery-Rpplrant: Nnk-Revenue: C,WdenmFbxswr
CITY OF�COSTA MESA — HUILDING PERMIT
• PERM NO: P 074416
PERMIT NO: P 074416. PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: CON
JOB DESCRIPTION : REBUILT FIRE DAMAGED GARAGE 6 ROOF STRUC SQ FT:
CLAIM VALpE: CALC—VALUE: '' GROUP OCC: R-3 /M-1
COMMENTS: REBUILT GARAGE & HOUSE ROOF, RE:#B739Z9
*���****�*****�r*�***x�**�*��***�*��**��*�*****�rt�*�+�**�+�***+rx�r+�*�****��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 REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14165226 ZNE: REF NO:
PLANNING NOTES> • �
> �!,
IE �E iE 3E iE 1E 1E M jE iE iE iE?E iE iF it 3E �f iF iE dE iE iE iE 1E iE if iE 1E * iE 3E �Y 1f !E iE iE 1E 3F,k iE 3E aE 1E iE iE iE if 1f 9E iE iE 3E iE 1E iE iE 3E dE 1E 3E 3E i� 3E iE iE 3E 3E dE fE iE iE iF iF iE iE �E iE iE
D E V E L O P M E N T S E R V rI C E S R E Q U I R E M E N T S
ZONING APPRt�VED BY. � DATE: �
BUILDING APPROVED BY : � /7f� DATE: �
� � �
APPLICATION ISSUED BY: �� � ���� DATE:1�
�aEiEiEiE*iE*it-x-iEiEiE*iEiE*iEiEiEtEiET��T�iFi�TETEi��3F�3F�'iF+��f�F�itfE' *f�rt1F7F'i?�'iF�€��FiFiE-�*iEiF**iFiE���r��-*
LEGALIZATION:N ' F E E S U�M.-M'A R Y STRUCTURAL SEGMENT:N' �
. BLDG PMT PLUMHING ELECTRIC1� MECHANIC ' FIRE SMIP/RES. GRADING
PERMIT • 19.00' i �
25� -%:, r' � � SMIP/NON—RES
PLAN � �1� � �
ISSUE FEE 20.00 ,�., � t�.
BUILDING—UIV—> PERMIT ISSUE PLANICHECK TOTAL PAID DUE
TOTALS----> • 19.00 20,00 ^ i ,0.00 39.00 39.00 .00
✓
REVENUE DIVISION TOTALS--> COLLECTED: 39.00 OVER/SAORT: .00
SLDG PMT PLUMBING ELECTRIC MECH`NfIC � FIRE SMIP/TOT GRADING_ PLAN—CHECK
39.00 ��
'� jV /
***�r**�*****'�**�'��'�****'�*'�*�iE*iE*ieif*ifiE��*i�**�'�'x�*x�afie*i�***ieiE**'�*if�c-af'�'�**�**'�*�*�?E*�*
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
I ��
PLU 1 GAS PIPING SYS OF � 1 TO' 4,OUTLETS 5.00 S.OU
PLU 1 REPAIR/ALTER DRAINAGE-/L�ENT�P�IPING 7.00 7,00
PLU 1 WATER RE—PIPE ",/� ,•.J. "1.00 7.U0
ENB��OFJFEES /
� . h !.
� ;� l'
���� �� Oai9r27r,-00;.9y2;� T��T 39.OD
�._^_/ � �Y?E: ?0/03f9� 'I;��: I1:Q3
L^
`
r � �. �
✓
C�INSTRUCTION ANO PLANNWG - ��' � .: POO� SPA
; j�APPROVALS� Pe�mit #� � ' � � . - Date Inspector � �"APpROVALS ,Permit �k Date Inspector
1. Temporary ElectricBl Service or Pole �:: �'_ ':� 52.'Pooi�& Equiprrient Locatio� �! �� ;�•4
� 2. Soil Pipe-Undrgrnd. . . _ . r� ` ' � � � 53. Steel Reinforcement . , - , j
' 3.'Electrical Conduit Utility-Undrgrnd. ; ' � � 5A. Forms � � - - ; � �
. �+4. Electrical Conduit�Undrgrnd. - • . - - 55r ElectricaV 8onding . � +� _ -
�.
5., Steel fteinforcement � ' _ "' ' ' . - � 56. Rough Plumbi�g & Piessure Test . �- ,' �
6. Eiectcical UFER Grnd. �� . . 57, APPROVAL.TO COVER�GUNITE � _
'� J. Footings � . ' , � ' ` �� 58i�-ElectricafConduit-Undrgmd.' _ • .' .' �=_
8: Foundation ; - ' " 59. Gas Pipe, O Undrgmd., Test � '•�
9. Water Pipe-Undrgrnd. ' �� �. � � . , 3 - - 60.� Backwash Liries,�RTrap; � �Undrgmd.. �
70. Structural Floor System � ,. � .'�j �. r'� Q J I ' - 61.-APPROVALTO DECK �_ ,�j .. • .
11. Property Sewer Line & House Co��ection . ,�- � 82. Backwasii & Receptor-Final � � _ .
12. Sewer Cap � �� - �� ;.� ; , - " r 63. Heater & Vent�Finai � ' � �
73. Roof Drains � l "�t � - , 64. Plurtibing Syttem�� Final �' �� „ . _
�
14. Rough Plumbing . �. �� a, � � 65. Electricai;Firiei . %_ 4� ,� - _
� 15. Rough ElectricabConduit -T ,��� 66. Sola� SVstem•Final_ ' j� ' � � j
76. Rough Electric Wiring. � ��� -t' � , � 67. Fencing & Access Approval �. � ' - � - '
17. Rough Wiring Sign ' - � _ � a 68."APP�ROV.ED FOR PLASTERING _ . � f
78. Rough ElecTricai-T Bar Ceiling '.-�- +�-. � 69. POOUSPA SYSTEMS FINAL - �
19. Rough Heating & Air Conditioning ' - �-- -� � FtRE DEPT. REQUIREMENT �
". ' i
20. Rough Factory Fireplace , ,,. . _ ' AppROVA�LS ,�Permit # ` �
27. Ducts; in StruCture � •• �• � • 70. Underground Hydro
22. Ducts, Ventilating -.' ' - _. �� ' 71, Product Piping O Gas ❑ Oil
23..Gas Pipe-Rough & Test _ . � 72, Underground Fiush
24. Roof Fram�ng � ' �' ; , i 73: Undergrnd. Storage Tank � Gas ❑ Oil �
25. Roof$heathing . � . � ' �� . 74,�Overhead Hydro �
26. T-8ar Ceiling (Strucwrail & Monocoat �r � . 75.. D�y Chemical `"'
27. Prame_and Flashing . - � 76. Dry Sta�dpipe ,- -� �
-28. Lathing & Siding � - � �� ", ' 77:. FIXED SYSTEM FINAL
� -
29. Insulation � " �� 78. F1RE PREV. FINAL -' •
' 30. Drywall Nailing . � ; ". ; , ' HEALTHbEPT. REQUIREMENT
.37. Plaster Brown Coat � �r.• � , � 79. FINAL�INSPECTION ' '
; _ _
-32. Electrical Power Meter�Finai -� ! 80.'!FQOD CERTIPICATE ISSUED. . .
; '
33. Pinal Elecfric � � , Notes:�A_z��_/� A ���-%� �
JJ r c{�y1 (1
.ti34. Finai lieating & AirConditioning � %
��- lS ,�'i�2.� !,�-�_ .
35. F.inai Gas Pipe-Test .- � . C�
� z- -�s �;y IZ_ L�-�� ._.���r_l-�l_ - - - -
-�36. Nood or Canopy �. - ' . -. ,. � � Z'Zl�c`�!
� , F_G�i�z_ ,t
u37. Finai'Factorv Firepiace . � , . ,� �,1:� -
�.38. PinaPPlumhing . •. � , -t` - . " ---
s �i...
� 39. kVater-Service�Fina1�' � - ' . � ' - " � ' �
40. Gas Service-Final � . -, - ' � � � ' .-
_-41. Solar pomesticFinal: � � � , •� . . -
J42. BackflowPreventer - � � '-
_43. Backflow Irri9ation �' . � �
� 44, landscape Irripation System • . " "' " ' ' • � _ � � � �
� 45.� Sound Attenuation . � ',_ " -, � �� � � . .. .
46. Handicap Regulations _ . ' '
A7.� FINAL STRUCTUFE & BUIL�ING . , � ' - '
�i �
,48.'FINALPLANNING . . . � ^ - " .
� 49.� Electric Release to �dison � y �` ` � , _ '
50. Gas Release to Southem California Gas Co � ' "• '_
51. CEftT.IFICATE OF OCCUPRNCY � "� - ,
No. Date f
�
;i
�
.
�ooa�ssaemianc: 3133 JEFFERSON AV " uNT:
wir+ercsruweiraianx: MARJORAM, DOREEN E TR FI.00D: X 47
�ooxess: 3133 JEFFERSON AVE �
COSTA MESA,CA 92626
546-9988 .
�vv�.Muuxo �ooxess: ' �
u�cxnEcron�+m��x: H.C. HANSEN �G�� C3027
Af1CIlOPFNG:SNDXE55: ],�]3%L IRVINE BL uar: 120
TOSTIN CA 92680
caim�cTarsN,we: DRIVER–EDDY CONSTRUCTION ( 310 ) 946-8831
coNm�crorcsxuuxc 12920 E SUNNYSIDE PL
�ooness: SANTA FE SPRINGS CA ucxo.: 122022
90670 uwi:
LICENSED COMHRCTOFS DECLIH�TION: I heroby ellirm unEer peneXy ol perjury ihm I em IcanseE uMer qoviabna ol Cheqer 9
(canmendn0 m�h Section J000) W Orviaion 3 d Ihe Bmineu antl Prdeseions Code, erd my lironae is in lull bme end eHad.
crrruc.No.:00635/6�` uc.cuss: H-1 uc.No.: 122022 EXP: OS/96
Dei.� � `'� / % `5 � comrea«: �i/ftK-C - �� �
OWNEF BUILUEN DECL/ NRTION: I Mreby dfirm uMx parely d perl�+rY �M1e� I em axamq hom iM Conlretlon sa law la iM
'Mbw'uq rasvon I�� lW 1.5 &n'vresa eM Prdessbns Code: Airy c'ry Q couniY �� �eVuiree e permG lo mmVucl. ellm. impare.
�mol6h, or mpav ariy strvcwre, pnar lo ila bauence, ebo requim IM epplimnt lor aucA pe�mn m fib e aigned swement �htl he w aha
IicenaeE W�e�� �o Ihe pomions d Iha Conlredws Lianse lew [Cheper 9 �mmmenaep vmh Seenn ]00p) d Diveion 3 W Ihe
dusineae end PrMeasuns Code� a I�e� he or ehe ia esampt therehom entl Ihe beais lor iM elleped exempbn. Rny vble�un W Sed'wn
]W 1.5 by eny epplicenl for a permn vubpaa the epplceni io e rnil penelry d nd moro Ihen iNe hundred Ed We �f500�). '
� I. es owmr W Ihe propeny or my empbyeec vAh wepea av �heir eole mmpeneeiion, will Eo I�a vroM. anE Ihe eVucture e nrn inlendeE
w oHered /m eele (Sec�ion ]OII. Buainew vM Prolesaions Code: Tha ConlrecloA License Lewdoea rwt epph �o en uwner W prapeny
w1w Eulds or vnprovae �hareon, end who doea eu<h wurk Mmsetl a heneM a throu0h he a her awn employeee, povideC Ihel such
mpovemems ere rw inieeded or dlereE lor eele, tl, however.lhe EuiNirp «inqwemeM ia wH wnhin wp ywW mmpletbn, �he
axner-0uitler will heve �he buNen d povinp M or aha did na Wild or imprwe fa IM W'p�%a d eeb).
-� I, ea awmr d �M qupeM. � extluervery conireqiq with IicenxE conVadon io camrud the qqetl (&eaion ]OM. Buaurc eM
PMwiom Code: The Con�retlon L'cenx lew droa rot epply lo en owier M popeny who buiW or impova iMrean eed xfio
eonlred� la weM1 peqeda wuh e mmrmor(�) IcenseA Wrsuani io �he Conlradae Lieerree law). '
� I em eremq uMer Seclbn: B. d P.C.. b thn reawn:
oe�a: • ow��:
I Eo heroby cenity ihet I am ewere d ud undenteM �ha reQuiremema d CelRamie Heellh enE SeiMy CoEe Seclnne 25505. ]55�3, eM—
25590, eM the� I a eny fulure W ilEinp arupenl will / wdl nm (dmb ane) neeE lo comDly wnh eeid Gete codee end the mquiremenm br
epermnlorcanewciionormodifiraiionhan�heRir ua-OTiTylTepemeniDiMntl.RmidemidwnNruaonepp4ceiion�veeaempl/romlh»e
. pfOV181M8. • . � . �
�ele: • APWceM:
WONKEH'3 COMVENSATION DECL�HATON: I hereby d( uMer perW�y d pe�ury aw M iM Idlowi�p Jetiveliim:
� I heve e�M vN meinten e cenGi'ate d mneent lo eellir�wre fur xwkere' wmpemmion. m povided tor by Seaion 3)00 d t�e lsbar
Code. ta �M partamence d tM xwk Iw wNCM1 �his pemin u aaueC. •
C7 I heve eid xil mainian xvMen' aomperoeton ireurerce. m nquired by Seaim �)00 d iM Lebw Cade. M �M parlamarce d tha
�t� wwk Im vRiiM �his paimil u imued. My worFen' wm smion inaurvice cemer aM pdiq numbar are:
c�a,: C�,LCOMP EXPIRES
Polky Number: 1 2� 2 8� 9 rJ
i(his seclion neeC nof be romplefe� tl Me permd is /or one hurrdred dollen (S100J w Ime.J \�'��.1 ���
� I ce�ily Ihal in iM paAomance d the woM br whch Ihis paimn is inuad, I ehdl iM emdW �Y Ca� in eny menner eo � to
becoma subl� to the vrohara' wmpensPoion lewe of CdAomie, entl eprea I�al X I ehoultl become wbl� to iha wwken'
co�setion p's /� ian 3)00 M Ihe �� . I ey¢�I lat wnh ' h cdnofr /Y�� l�l Q
y` U .f
oeie� O� / /!i ��y�A
Waminy: F�Ilun b sxuro workxa' mmpxuatlon rovsrep� b unbwlul, �nd �NllWbpcf an �mployx to ctlMrul penaltlo md
' c/vll qrws w ro ms M1wiared thouurd dolYra (StOq000A �� adtlltlon ro M� rost ol rompsivatbn, damepu �i povltlM ror /n
SxHon J1Q5 0l Ms Labor CoOs, InNnaq antl ettomey� �eu.
CONSTPUCTION LENOINO ��ENCY: I hereby effi�m uMm penalry d perjury thel Ihere u e mnativaion bndi�p epency M IM
. perlOrmence W tM xvA /IX whicl� ��o peimn 19 eeued (SedOn 309], CM. C�.
LENDEWSNAME:
' LENUEN'S ADDFE44:
I roniy ihel I hero reed �hia epplicetim end ne�a �hei ihe ebova informetion is mrteq. I epiee lo campy wilh ell dty eM muMy oNinenme
eM etete leMe reWep to WikinO ��sVudbn eM hareby eu�hor¢e rapreaenlelivae d ihia ary io emer upon the ebova�mantioned pmpeM
�o����°��v�rD�"' MARY MCCONNELL
�// �/J// PnM/ N�eme � � � � C�.
!/��',liLl //'/ C' L r1��/�" Dme: � � / �3
Sipre�ure d Owner/ApenVAppticenUGontreew
(St51�<E.WP) Whna-Buildiiq d Sdely; �reeo-Fle; Canery-Applifani; Pink-Revanue; OOldenro�Asxuw
CITY OF COSTA MESA — BUILDING PERMIT ..
• PERM NO: B 0739'79
PERMIT NO: B 073979 PLAN CHECK NO: 02,889-95 A GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR ,PURPOSE: CON
��
JOH DESCRIPTION : REBUILT FIRE DAMAGED GARAGE 6 ROOF STRUC. SQ FT: '9,5,800 •
CLAIM VALUE: 95,800,00 CALC—VALUE: 95,800.00 GROUP OCC: R-3 /M=1
COMMENTS: REBUILT GARAGE 6 HOUSE ROOF & TEAR OUT 6 REHUILT FIRE PLACE
**�****x***�*****�**��*****�r****��*+�+�*x**�********��*+�****�***�***x��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: 14165226 ZNE: R1 'REF NO:
PLANNING NOTES;>� REPAIR_F•IRE�DAMAGE TO AN EXISTING SINGLE FAMILY RESIDENCE.
'
� >,�. . .N a I
iE 3E iE 9f iF fE 1E iElE 3ElFlElf iE 1E'!E iElk iEiiE dE 9k * 3E 3E,jF iE 1(� 3E iE 1f 1E iE if�lE iElE iE 1E 3E 3E iElE 1E *!E �E 3E iE 3E jElE 1E �E 3ElE 1Elf 3E iE ib iE 9E 3E dE 9f 3E jE iE iE 1E 1f 1f iF �f jE if iE �E
D E V Et�L O, P� M E�N'T � 3 S E R V I C E S R E Q U I R E M E N T S, �
� �} �a> � /—
ZONING APPRO��EDr BY �^ u n.. �� �" ( DATE: ;�q,-�
1 fVl" .. .. . . _ . /t .
BUILDING APPROVED B.Yt ;a /'�7 �/ ./i DATE:
l '`� !1 �� A � tf/ "'Q q
APPLICATION IS5UED BY:7 �: .� 4 jJ �' DATE: 2 "�
****�-*it�r******it;*�e*x�:�t****iF�F7F�FiF�F�F�F3F�F�*�iF+F3F�+F3t � ea i � u��-***at**iE*�.� *�
LEGALIZATIC�N:N '- �� � F E E S U M M R Y STRUCTURAL`=SEGMENT:Y
_. ... _ "' _ "'--_"" _ __ . .. _ " _ "y ' " " __ _ _' _" " ' ' _ "_ "_ _' '
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ' GRADING
PERMIT 621.50 • 9.58
PLAN 101.00 SMZP/NON—RES
ISSUE FEE'
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 631.08 0.00 101.00 732.08 732.08 .00
REVENUE DIVISION TOTALS--> COLLECTED: 631.'08 OVER/SHORT: ..00
� BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
621.50 9.58
1E iE 1F jE if iE iF fE iE �E IE 9E iE iE iE 3E if !E!F jE �f iE iE ff �ElE jF 9F 1f 3k if 1E if if if iE if 9f 3E if iE iE �f iE iF 3E 3f *!E �E iE iE k 1E jf !f if 3E iE if iE iE 9E 3ElE 1E iF jE i6 �E jE if iE iE iE 3E iE iE �f
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 95800 ALTER BY VALUE RESIDENTIAL� NOZONE 1.00 95,800.00
END OF FEES
�
0
01 �7�189?�2-C+O±E9233 T�:�"!- 53l.Jd
DATE: Q8/'t9/?� T?qE: f9:?$
-� . ../
�.-,
CONSTRUCTION AND PIANNWG `_ . ' _ - : POG SPA - �
� � - � Date Inspector, � , Date l,nspeytor
APPROVAlS Permit�.� . , �APPROVALS . Permit# �
+ '3
�, t. Temporary Elect�ical Service or Poie ... 52.` Pool & Equipment Location ��,.- ,_ '-"
2. Soil Pipe�Undrgmd. '� - t _ _ - , � -, � � - - . � ,
, =,{ - ' � ° �53., Steel �Re�nfarcement �, i� �
•.��3:�ElectricalCOnduitUtility�Undrg�nd. - _ _ ' 54: Forms - .o�% " . . � "' �',.�
:;4: Electrical Conduit-�Uniirgrrid. � � �' ' - : ' �55.' Electricat Bonding' �vj ' .= '
�'5., $teel Reinfo�cement � . � � ' , ' � 56�. Rough Piumbing & Pressure Test =
' '6'•Electrical`UFER.Grnd. _' � � ' " � - . 57. APPROVALTOCOVER-GUNISE; - �
- �
;y- - -_
,-��' Footings {'.� � .- '' . 58. Ele`ctrical�Co�duit�Undrgmd.� � ' - -
�� •!� 8� FoundationP - `"'L , - . - ' S9: Gas Pipe`, � Und�grnd.,�TesY - . • � �-'
r - - -
• �9'. Water Pipe-Undrgrnd.,,� . !� - . ' : � 60. Backwash_Lines�,�P-Trap, �:Und79md.� •
�
10. Str�ctural Floor;System -. . -� � � 61. APPRQVACTO DECK � - . '
J
�71. Property Sewer�_L'ine-& House Connection � � � � .62: Backvlash & Recept'or•Final� . ° � ;
12. ,Sewer Cap _ ' , � _ � � 63.. Heater & Vent-Finai " '
,. 4.. � , .. . - . .
.7,3. Roof Drains � � .. ' �� - � 64;, Plumtiin9 System �,Final . �� �
• n_: ,
7�4. Rough Piumbin9� - t r • - - 65.� Electrical-Final .� i+ ,. , 'i'' .
�15. Fiough Elecs�icai=Conduit � � " ' � � � � 66. Solar Svstem-Final . " � �
�7,6. Rough Elect�ic Wiring .. - - � 67. Fencing & Acceis Approval ��„ ' � , `�
77. RoughWiri�gSig� � + . - ;°F , �68. APPROVED'FORP�ASTEftItdG � ��
�
`18. Rough Elect�ical7 Bar Ceiling fi�` ' ' � 69. POOUSPA SYSTEMS FINAL ' ,
79. Rougfi Heat�ng &'Air Conditioning � � � _ _ _, F,IRE�DEPT.YREQUIREMENT �
20. �.Rough Pacta�Y Fireplate ��`' �, �� z, _ :, `_,.' ' APPROVALS:�� Permit #�
21.'Ducts, in:5t�uciure:' '� _ ' 70.�Underground Hydro
22. Ducts: Vendlafi�g,�; ' x•� � � 71, Product,P.iping��Gas ❑Oil �
23. Gas Pipe-Rough & Test r" =•_ �• = �� 7z. Under �round Fiush -� r .
�r - :n 8
24. Roof Framing" ' �4� A' _ . 73: Undergrnd. Storage Tank � Gas ❑ OiI �
25. Roof-Sheathing - -. � � 9. Overhead Hydro
- - �z�t-gs . �
26. �T-Bai�Ceilin9 (Struciural) & Monowat �.y -': r 76. Dry Chemica� _ � .
27..f-rameand_Flashing.. . s= `B_ �r � � -- -�-- � - � - .
� � 76. Dry Staoclpiae ;
' 28. Lathing &'S�ding � ! " ` _' � �=�' (pC`L( 77'., FIXED SYSTEM;FINAL- .�
29. Insulation• y " - �3�; Q ��, FIRE PREV. FIfVAI - '
30. Drywail Nai�ing .,, ^� 6_,� �(ti ; -�HEALTH DEPT: REQUIREMENT
: 31. Plaster Brown'Coat •: r�• � _r/_�,g� � 79. FINAL InNSPECT10N �
r
': 32 Electricai Potvzr INeterFinai ' ,�� �' ` 80'. FOOD CERTIFICATE ISSUED -.
.. 33.;FinahElectric; ' ' i �� • I , ; Notes `� '^ ' . "�
_. . . ,. - ' " '�
34. Final-Heatin4 & Aii Conditioningv ;�; -' �; _ ; ' " , - _ '_ _• .
C
,' - ' -
35..Final Gas Pipe-Test , - .. � ; - ' Vv' � ' '.; - , _ �•
n
" 36. _Hood or CanoPY - ' ' D -7 t : ' '-'. " � •-. - . . �'.; .. n /
- �'. .r r� � .'�„ _. . -
37. �Final�.Pactory PirePlece -. -. .�.�� � � �. � '��'� ti
t'`µ ..
_ 38. Final Plumbing - . . . - `�� : � , , ' .
:,
' 39. Watei Service�Final., - � � . " � . � � �
. , ,�*
� 40. Gas Service-Final �' -. '"T';" ' ' -' , �r �: � .
iY _
�� 41. Solar pomesticFiha( - ' "_ . ' � � �. . -7_ � �- -.
42. BackflowPreventer�� ' � `
- ��
- 43. Backflow irrigation�: :;` ? . :- � - � - •
�
� 44: Landscape Irn`patior�'System'-^' �"` . � �; ' '= °. � ``' - ' �� , �
rt�.� ,:s� �. -',�;. ` r
r ,
� 45: Sound Ac2enua2io�= :-`?:`.. ,c . �.� n: _.r,C' c, y •c�: ,-:�-;
k
' •46. Handicap�Regulations -+ - � � ' `� � - �
i � � c p:'� t��;; r�.i
; a7: FINAL STRUCTURE & BUILDING ;y��2 v.� , = •(jv ` � � � � �� --
48. FINAI PLANNING" � �- : + "-�- ` (' :< t '� �
- , , x �,,: i . � . - .
�� � �-.. .
, 49 � �Electric 8elease to Edison � ,�; ." �, � - �
�
' 50: Gas Release to Southem Califomia Gas Co " � ��' '• �,. '
51.. CERTIFICATE OF OCCUPANCY � ` '"
No Date
Nov-10-95 06_24A Dr,iver-Eddy Construction �
i w ,
P.03
k���u����.���i�n�vii�m i.�� In�`II-�).�C�'.j�..3i...:rOriT/ ........... . — ....,. ,.-.>..�.�.�.. , .__
�'i�� O� �0��� �l��
criro�+. o�ta�aao n.o.es. +aoo
Insuletion Ce�iificaie '
►.�,na.au�o.� BZ3489 � � � � � � � �
CITY OF COSTA MESA
p� ��� ����n n�v���nN
3133 JPfl�'1$�SON
Nu��Nw �rq 8YM
ORANGE C(NtTI'Y
Covnty
'I . _.. . . . ---- �TA. NGSA
�,,,
� NA NA
.. _ . . _ ewtmna. - ._. �e� x�.�e..
:scrintio� of 8nstatlation
qOOF
; Maleriel _,--- - -- Bra�d Name .
Thicknsas pneAas) ._. . . The�md Reaialenee (R-VeWe)
EXTERIbR WAIL
Malerlal FIBE1iCLASS __.__ Brand Name .. . �T���
Th�Ck�836 (iflthY9) .33" _.__. The�mal Aesrstanee (R-Va1ue) N-13
CEILINa
Ba11 or Blenfcel Type BATT ._.... BrerM Name .. . ��AINTPID
n
Thickness pnthes) . .... _. � .. �—. Thormal Resistenca (R-Val�a) R-�
loose FIU Typs . ... .. . . . _ _ __. Brand Name... . .
Conaac�a's minlmum Instalted tiralgMlfN _. Ib. Minimum thickness . inch�
A�lsnuTec�urer's invaned weight per squarg toot to achievo Thermal Rosislanca (R-Value)
RAISEO FLOOR
1Aalerial
7h�cknocs (Inthes)
SLAB F1.00R
MeleriN
Thltkrross (i�xhes�
- WbTA (inchea)
FOUNDATION WALL
AAate�al
Thickness (inehee)
�rand Narne . _
Thermel Retisl3ncB (R-Valuo)
8randName ._.
7hermal pgs�stance (R•Value)
BranO Name... ._ �
Thermai Hsaiatance (R•Valug)
�ov i 3�5
DeClaration
I hergby cs�Nty that ths above Msulat;o� was imlalled ;n tho buildfng al lhe pbove bcatfon in conlorm�nca with
tt�e curcent Buil0ing Enelqy E1tlClency SiarMards' for nsw resleemle� bWitlU+gs conralneA x. 7itle 2a a Rre
Cdlor�ia qdminst.ativa Code-
Ga�rnr q�uanw (&,iM�y �
� Driver-Eddy Construction Company
, 9qrqur� �q Tyy "" "
U.J. 1NSUlA1'lON C0. 1NC.
FW Vx.b IIMYIWp� M1UYju�i
,� � .��a. _ -
� 9q.tiva �•q r,p.
RON R. ACUNA, PRESIDt�iT
�Mr y
Z/ i# t �NOI lt''LISNI f 0
Lkv+m Numx�
51-1220U2
ooa I1-10-45
4fi57[19
_ �:.�. �,�
D�a�
11-8-95
: Wdi7.:5 t SR-R -�i:�ui '-o� uoneinsui rn�w ��x
�
AO�qE550FBNLpNO: 3133 ,JEFFERSON AV . 'p��� . uxT: •
°""E"s"""E'°'w°`''":''MARJORAM, DOREEN E TR FLOOD: X.47�
�onness: 3133 JEFFERSON AVE
' COSTA MESA,CA 92626
546-9988
/�PP�.MIJIING�UDRE55: ' , ,
AfICXRECt OR ENtlNEEfl:
1RCH.OX ENG.'S Ii00PE55:
uc. rw.:
IINT:
ca+rni,crarsxu�e: NATIONAL CONST. RENTAL ( 800 ) 352-5675
CONf11ACi0R5NYl1NG 10403.GLENOAKS BL -
mox�ss: pACOIMA CA �F� 687160
� 91 3 31 uN*:
LICENSED CONTPRCTONS DECLAN�TION: I hereby efl'xm uMar penelly d pa�ury Itat I em IicemeE uMer qovimona M Chapts 9
(mmmenarq wiih Saciian ]000) d Division � d �he Busineea eM Pmlasaions COEa, eM my licenee ia in lull brte eM aHen.
cmuc.r+o.: 059628 uc.cuss: C-10 uc.No.: 687160 EXP: 07/95
L
oma: � L � — � . �o��,��:
OW NEF BUILDEX OECLANRTION: I hereby elfirm under penely d paiN � I em aumq Imm �M Con�retlas liroree lew lor iha
;''�IbxinB reeson (SeUion ]W 1.5 Buareas erd Proleasiona Code: AnY cYY ntY xfiich ieV�iree e Ve�mA to mmbuct. eller. improve.
',�imdsh, w repai eny ei,ucwre, p'v to ns eauerce, ebo reQuirae IM i t la such peimn to Rb e sqred awament �he� M or eM
�"a IicenseE W�a^� �o Ihe proviuom d iM ConlreGws Lioense lew �C� er 9(cwnmeinip wnh Seaion )000) W Divoion 3 d ihe
Buaineas eM Prdesaions Coda� a Ihel M a eha ie exemq thsehan end ihe Eavie lar Ihe elbpeE examqion. My videlon d Setlian
]W 1.5 by enY aDWifanl �w e parmil wbptla IM eppli[enl lo e tivil penelry d rql mpe Ihan iva huMred Ed4n �5500�1.
� � I.avowierdlMqoperlYwmY�VM��hwepe�m�haiedecompenwion.xilldotMwak.enAtMnruciunu�wtintaMad
w�
«dferad laaeb (Section iwa, Buama arM Vroleuiona Code: The Con�redas Limnse Lew doae rpt apply ioan owmr d propeily
who Wida a inpawa iheeaon, eM who doea aueh xpk himeall a Mnell or Nraqh he a her own empbyees, pmriEeE ihtl aueh
impovammia are rwi imerded a otleietl lor aeb. tl, howarer, �ha WiNinp w'vnqwemenl a eold wilhin aro yeer d complNion, tlie
o.�,«e��u« �n n;." me w,b,� a ra��o ne «� aw oa w�n « �mw� i« in. wmo.. d�). , , •�
� I. m oxner d iM qopeM. � eadirervely mnirm�q wnA licensad mnvecion to coneWa �he projetl (Sedion >OaI. Busi�sv eM �
Pmiessione Coda: TM Conlratlas L'eenee lew doae m� epply to en owwr d propeity who Wilda a impwee iMreon enE wlw
conVepa la eu h peqeda wnh a mnvedm(s) IicensaE W�ueM lo Ihe Conireeas lieeroe lawl.
�+ I em enamp uMx Section: B. 8 P.C., br Nn ieemn:
o�a: ' o;m.,: �
i eo nerecv ron�rv uw i� e.�.e d.m ���i�a me �a���em� a c��o� rwnn �e sm�r coae sea�. zsws. zssm..�e
2553C, eiW thei I a eny Muro Wikirp orapent will / wil mi (arcb one) med io cpnply wih veid e�eta coEea eM Ihe raQuvemenb br
a pmma I«mvieueiion «modifraionhom iMA'r�ityRrerepemmt DieviC. Reakenliel oonslrudion eppiembmere uemp Imm tMea
pfOM9N119. . ..
Dma: AppliceM: ��
WOHKEP'S COMGEHSATION DECL�NATION: I Mroby elfiim urder paraXy d pajury aa d Hro Mbrriiq Eeduetiom:
� I hm uM Mil meinien e cerldicete d con�am ta neXimure br xakere' oomperpelion, m pwiJe! la by Sedion 310U d iM LeEa
cad.. i« me rona�s a ms :o�x ia.w:�n m�. va�u � m.�e.
❑ i new �e �;e �m.:,.,on�.,• oomoeme�:M �re�,erce. m�ea��.ee M sm�o�, a�ao a me i.n« cm.. i« in. rom�,meMe d me
wak In whiM I�ia permil ia wsued. MY wakaA' mmpanaeiiion inaurenca umer vd po4ry m�mber ue:
-- c�.: ' THF RFNTTH TNS EXPIRES,
Pdicy Number. AI n a 71 d Q 7. � z/ Q 1/ j 6
�rrd:.,«rion neee na ea comaa�ae � me w�s n�w one wnd,.e dara;s ls,00l w rea.,.) �
� I cenh tl�e� in �he pe�lorme�we d ihe work la whbh Ihie pe�mX b iawetl. I ehdl nd empby e�ry pamn in enY menner m n ia
bewma subjea �o ihe warken' companaeiion lewe d Celiloma. arM eprea IMt il 1 ehauW ber,ome eubpcl to iM v.orFers
companseiim D�abna W Seeion �)W d tM tebor Coda. I �hwilh oompy hilh IMs ovuiore.
ome: �—� C�'� 'nl 5 nvN��:
Wam/np: Fellun ro a�curo wodsri campuueHon cowrps b unle , and aMll wD)wf an �mployx fo ctlMrol pelultlp a�W
c/vll fliros up ro ons hundrsi fMuuid 0ollen (Sf00,000), In etldltlo (h� coat ol compeluetbM1 0amep� as pov/tletl br In
SxHon 9�p6 0l tlro Lebor Cod, lnterost, enC ettorney's /ass.
CONSTIiUCTION LENOINO AGENCY: I MreW �rm under penelry M parjury IM1eI iMre u e mnatrveion kMinp epanry 1« Na
perloimence al �M1a vmM1 Iw wh�rh iho parml ia oeued (Sedion 309). Civ. CI�
� LENDEN'SNM1E:-
- LENOEN'S ADOpE55:
I ceniy ihe� I heva roeE Ihie epplicalion eM me�a thel IM eEove inlormetion ia mrteq, l epree io mmpy xilh ell dly and coumy oNineMes
entl alete le� relmin0 �o �ild'vp conrmdion erd hereby eulhoraa ropreeenle�ivm d ihia cny lo enler upon t�e eEova-mentoneJ qopery
' forinspadion Wrposes.
JUAN ARREOLA
Dele: � /v' �
While-BuilEiip 8 Selary�, Oreen-Fla; Cenery-Applirant; Pink-Ravenue; poWenroE-Assemar
.�
"" � CITY OF COSTA MESA — BUILDING PERMIT
. .. . . ., .. . . . _ �-._. �
PERMIT NO: E„ 073738 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
JOB DESCRIPTION, : TEMPORARY POWER POLE
PERM NO: E 073738
' GOVT: N SUPP:� N ,
, PURPOSE: CON
SQ •FT:
CLAIM VALUE: , CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: REBtJILT GARAGE & HOUSE ROOF G TEAR OUT 6 REBUILT FIKE PLACE�
*****�**********+�.*�***� *� **�***�**�*+��*�+�� ***«�� � x�*+�+�*�*****� *�*+�+��**+�*���+��* ***
,Z O N I N G R E Q O I R E M E N T S
• S E'T B A C K S
------------ MAIN BUILDING�-------=-- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN 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: 14165226 ZNE: { REF NO:
PLANNING NOTES� . _ _. �.-,,_ .
1E iE iE iE iE iE IE 1E 3E �E iE 3Elf if if jf 3k iE iE if 1E iE If if if if iE 1E fE if.1E 1f iE 1E.1E 1ElE iE iE iE iE �E iE jE 3E fE fE 1E 1E 1E �E 9E iE if 1E if 1E iF iF 1E if If iE iE �E 1E iE 1F if ik jE iE �E iE 1E 9E iE jE 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
1C r. (y;
ZONING APPROVED BY �' DATE; ,
�
BUILDING APPROVED BY : �� . -.%` _ �DATE: q.
APPLICATION ISSUED BY: ��G�:f'�' � DATE: 0 70 �
******x�**********rtrt*x-it-�3Fi�� �F�FTf�F7�'�F�#TFTFTF�f'iF3F#'iF�Fi��F7FiF�F�F�f�3FTe�x�******�*** �- x� ***
LEGALIZATION:N F E�'E� S U M M A R Y � STRUCTURAL SEGMENT:N
�. i
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT � 15,00
50� � SMIP/NON—RES
PLAN
ISSUE ,FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 15.00 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
30.00
TOTAL PAID DUE
30.00 30.00 ,00
30.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
iE 1E �)E aE IE IE 1ElElE 1E iE ik iE 1E iE 1E iE iElF iF if 1E 1E iE if 1E 1EiE 3E IE 1E 1E 1E iE iE 1E if if 1E 1E 1f 161f 1E 161F fE ik iF 1E if if 1E iE 1E 1ElE 1E iF 1FlElE fE iE 1E 1E iE �1E aE fE ff 1F fE IE 16 fElE IElE
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 i TEMP SERV PWR POLE W/OUTLETS EA. 15.00 15.00
END OF FEES
0
010018809E—OflYpE�9P TilT ��7,pp
OfrTE: 08/10/95 i IItE: �4:OG
. . ��
; �GONSTRUCTION AN6 PIANNVNG , � �� t � ; .. ^. � - � POi: s�SPA � . �
' , „ -�`Date .� Inspector � ,� Daie=, Cnspe;ctor,,.
�. " APPROVALS Permit#' � � , ,.� �`APPROVALS � Permit #' _ � ;
n,
, . . • fi
' � 1. Ti3mporary ElecEricak,Service or�f�oie - t .� _„ Q ' % ; . ; -52. �Poot & EGuipment Locailon`' � ' �, ' ` � �,;� �
2. Sui�'PiPe-Undrgmd._ ' y�� - J . _ • '53; Steei Reinfo�cemen[ -- - � �
o� �71
Zeyf 1 �tiO'. . r . ..` . . _ - L
: ,�.=3�..E�eetricai-Condue�iUti(.tY �ndrgr�nd. , e ° ` 4 � � 54.' Forms � - � � - �- f � � � �-
', a�n*Sr'E��ricai Coodu��Hryrnd.' ��' - � } -55i Eiecvicel�Hondi�g+ �. " � _ ' � � 1 ); �
a- a J <:: � iv - � �- � � .
" ��,`'J. Ste�i RelnforcerrJyenta . �� � � '56; Rough P,lumbing & Pressure Test_t'� ! �.
; � ME�lectricai UFERn�nd.- . -� - ' �k . � 57� APPROVALTOCQVER-GUN{TE_ ' a
� '�c, � i�oUnqs � � 0O - n ' - = 58�ElectricaltCo�du�t�Undryrnd.� . - . ., ;r �
Qmg. s'S' � t� ° ��
, �eL+M8SF0undation HN y O . - -�'""`+..' :�59fGa`s,Pipe,'V'Undrgrnd..Test _ ��' ,
�9�Water Pi e�Undr r "� -' - � r-�' � � � '� •�
� � p �G �. �,,,� , �� ! , . _6Q. �Backwash�L+nesyP�.Trap, �^Und�jrnd..
��O��St�ucturai Fioor'.LSYscem � �- ,,,� - A`- � ' 67. APPROVA�7Q OECK;` - - i � . �
,; � i^t. �ioperty: &2wer �ne�& HoLse��e6tioni ; e '� `�' � - " . -� ,� . - - .
� �62: Backwasfi &.Recept�r-Final +� .
c ,
� � 12. Sewer CaP �' - . rp C� - - � .� -_83. Heater & Ve'ni-Final � � Q �
" i "`; "� ' , -- � ; �
, __
! �r�„3. Roof Orains ' . - ^ t ` ' � � . � °64e Plumbin� SYsterri -'Pinai ; . � '' � . -
1��,3. Rough Piumbir� �� �ay� _ . � ''65: Elecirical-Finai ; , . _ . " . � ` �
ti5. Rough ElectficawCort`tluit ' C � � ' �� .�, _ . � ri . �66. Solar SYstem�Final� , . ' . �' �. �� �
� �6. RUughElectric�!irir�g� .�'O� -. ' �.,�1 �67?.Fencir.c7�;&Access•ApRrovai�'� �'� � - �'�
1; 'i7. RoughVViringSi�jn � - i '` �'; 68. APPROVEpFOR"PtASTERIAlG - -' -- ��i
b �O 01 tb '
�58. RoughEfecirica�J'-`�f"BarCeiling ' � ' �4. �� ' 69�: POOLlSPASYSTEh.9S'PINAL''" �� �� '
i
79. ROug^"Heating^&-AirCondition�g�' . - * � F�RH�EpT.�REQUIR;ER4ENT � -..... ..�
,
, n n. � tk fh rL xt O D--1T * t 7 �, �' O � �-'
20., �oug� Fa�f�yior`�Fit,�e{�ace 1 S[*' tX � S N�O+at APPF�L}V ��b�yF P�ri'nit #r` -
� 21. F}ucts7inMtruEtur�* i�••• � * b H* `� 70. �t,'nder�r��i Nyd:o �� 1
' F�k 1 . CJ * S ��K t [A 1. f^ T
, � 22. D,uci� V`�Ii1��9N� I r * d �' CJ F�c e,�71. Productj ��?ing r? Gas L; Oil
`:'� 23. t�as �ipe-�Au� & 7est i is! `* LTJ t7' �O* �� 72. Undergr� i+ �id P�u4fi � -
1 Mi.4 h }� L.A
24. R'Uo�ra`�Yring" m* � E"E"' *� `�, ��„�*', 7�j Undergrnd,Sto �geTank.CGas�CJOii
' 25. Rc�opShe�hing �t`J�tM � -�V^'�� v v* �� t7 M N� 74� Overhead Nydro�T �
26. �BaFrCeili, g {Strifc�xura(1 &'MYt'acqtoat * �m ti �* 75T Dry Che�sicai / � y, J " ��
w M ,�,> * Q �+ , l7 * i. F� h�
- 27. �ram�g.and,Flashir�* - �tGl� * Ct� - N W * 76. Dry SxarfSp:pe C-1� �r � � � �'
a s v. -'
' -+28. Lathia EFSidin '�* r� �-ie� x tk * � .•* �` �-, �. . , .: i�
� gm �CJ* --C7tkF O %� �� ��1 � 7�yFiXE0�Yy7'F-N;FINAL,.. �, ;r, �
„ . . . V r [1'j M �� �� � T l I
29. l�sWatior�; * S * ` 7: FiREPREV"FIt�iAL "�- -
"30. DrYwail �iling �* H � � E,,,� S ��A�TN.DEPT.`FtEQUIREMENT �
--= .--��- --j
j31. Plas,er Br�owryCoa�* S i Mt+" �'� ��_ 79� FI(VAL l��ECTiC.� :^ ` r, �
;;32. Electrical%Post�2r A-0et�r�Finzl � y�� � �� RO�.`•' FOOD CERTIFICATE ISSUED,.+ ::���
� M � � . .0 1 /� G�Z ' 1 l•
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-33. F,inal:Electr,c�� ,>� H d lY _ � F4 6tes: -+�^� J�T! '�-1 i7 ^
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. � 35. Fina� Gas F'ipe Tes2 i �5� .. ,� ,� � , � • • V � ��xo ij�i � ��_'-..- �
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-37. Einai-.�actory Pirepiace ;2 � p-,p-, ,r, r • �� ^' r �'�� . �
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'�3$. FinaKRiumbing ✓�: y-0-'- j �., r, � 4Y. 5 � � y� ,:. --.--____
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^'39. W��te�Service-final,�' ; � ' ! �T ' ,r v�, -
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; 46. N2ndicap^Ragulations C h� �J �' � �" � "� �� -y
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j 47i FINAvL STRUCTURE & BUItDING � H <<'�� ,' �` " ' �
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� 49. Efeci;;c ftelease to Edison ' �` '� "" `'� '- '
� x i;:�r,� �� c��; .(-� i�
; 50! Ges Release to-Southem Caliiornia Gas Co � ' t"x � �'�''` ' r' '
: ti -- � ,: .1 c n a
�.51_C�RT.iFiCATEQFOCCUPANGY �"s i,, �.-,t• � _ � •- -
No. Date
r-� � ' �
BI�.�DING AND SAFETY DIVIS. .J
FIRE DAMAGE INSPECTION REPORT
(Required Prior To Permit Issuance)
Address: m� � 3� �'1 �%�-Fr fnti Unit:
Owner. V/O[�-E'�vi /`'1 ar.-� pvc� H— S�/6- 998g
�
, Owner's Address (if different from above):
_ .. .. . .cA ,..,G
Street
�I Structural permit required.
� Repair or repface as necessary.
� Plans required.
Comments � �
lD Gv. ../- h v.�r
—, . --, _.
� Electrical permit required.
� Repair or replace as necessary.
Comments: � l'f�•
City
-��a�- Y Do � 'f vu
��v�r -lo4f (�
i���r. �r. op �'
�—
State
'S — �<H y�.ic /�G�f>
� �v�h �� �
r
v-� 6k , ��[•!
- o�. � .�.� ���� h�Hse
� Plumbing permit required.
�J Repair or replace as necessary.
Comments: !� i% S ��fs � i�1 � u i�. v� �-- iQ�i,,,,, � V'C�4 ��
��ii�r-r - B�c �GH Ij-,c Li o�c S�e
'� Mechanical permit required.
� Repair or replace as necessary.
�LY r,6�N
< ��� �. �%�G'� �/ z/- 9S
Inspecror -. . Date . .
18]2-a6 Tripisate: Onginal-0wner, Velbw-Gonhamr; p��k-Builtling Didsion
G 7`' � Lr.- o v��- 7� Li v/./ —
7 �y - S"�
Phone
. �
, 1 ! �
� p � . �
187`� FE RECE4VED
��OSTA MESA BUILDING-SAFETY DEPARTMENT
,.,, P. o. aoX g,� COBTA ME9A. CALIFOiW�A FE8 1 5 1963
�For A licant fo Fill In Com letel FINANCE DEPT.
PP , P Y APPLICAT�IpN �QR �E��yt�¶ESA
TYPE OR PRINT
BUILDING �.�9�, �
f�oo E�s" 1 e en.aon Avert�e ' �'�
COSTA MESA. C/1LIFORNIA FOr Offite Use Only
�/ PEC8IPT NO. � P pMl� ���
OWNER OCCiae/Lf� LOQR O Q �
MAIL ' ,I L p J RECEIVEO pY DATE RECEIVED {I, O`TE IBBOED]C;
ADDRESS' �2 77a200R [7�VQ ,. I «� 1� �9Ej1 1 JO
M �TE BUILDING
CITY . D.Q� /// Q N. ADDRE55
AeC�irtec7 ' ie�. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS � FIRE �
J n ZONE TYPE / GROUP
CONTRACTORTI� /LP.Q n , + ��.00/L APPROVED
/ BY OATE
ADDRESS 2 O% Ue.1LQQ.�I.C.0 a on D��.v . ZONING.,
� / 20�g I NO. OF �J I USH OF NEWS/�%dM II(j�
CI7vQQV� N�4 [l.l..L OR/L � /1 —I ruHa L BUILDINO W�y qr•
STA7E � �• � NO. A�OO YO ' DEBCRIPTION `0� �I� % � OO
LIG. NO. `�
81ZE no. oF etnae.
OF LOT Now ON LOT p, p, NO. •
11SE OF VARDS EVES �
EXISTINCa BLOG APPROVED ALLOWED
fiBTBAGK LINH FROM . (CENTER LINC 8TJ (�
ceraieR OP eTREET ��O REAR YARO � �� FRONi �� �� p7, G iry, .
SIDE YARD ILEFT , IRIGHT R.SIDE � FT. —� IN.
DESCRIPTION OF WORK + —
L SIDE 3 FT. IN.
�'N W � IX IIALTERATION I IIADOITION I REAR Y ' J/ FT. '�n �, IN. ��
��7"PAIR � I IIMOVING I IIDEMOLISH I ByPROVE DATE'P ��/� �
:By1LDiNG r-� __ /�n NO. OF f . ____ � 0_,
�. ' O
' -� 9R� �-ri�6�''-" -3g6 p,
YTI HEfiEBY ACKNOWL6DG8 TH�T I HAVE READ TNIB APPLlGTION
y�/INO BTATE TXAT TH8 A90V¢ IB CORPCCf ANO AGRH! TO COM- THe AMOUNT 9HOWN ONOER VALUATI� IS FOfl THH
PURPOSE OF EBTAOLIBXING A PERMIT FEE ONLY.
Y WITN ALL CITY ORDINANCEB AND ATE LAW6 6ULATIN6
UILDINO CONB ON� VALUA710N �
61GNATURE ,�
PERMIT FEE $ � �
PERMITTE $�, )J Q�'/�v PLAN CHECK $ �O� `�✓ p T
AUTHORIZED A6 T , `r � �
TOTAL FEE 4
� /'I3U i