HomeMy WebLinkAbout3351 FUCHSIA ST - Building Permitsr= I
PflQIELTR00FE5S: 33SS FUCHSIA ST
OWNEH'S NAME: pECORARO LORNA A TR
aooeess: 3351 FUC{iSIA ST
COSTA MESA,CA 92626
(714)9661708
AflCHIENGINEEfl:
RODPE55:
NEC.NO.:
UNIT:
UNIT:
aEeminee: LORNA PECOAARO ( 714 ) 966-1708
� anoeess: 3351 FUCHSIA ST
COSTA MESA CA 92626 .
UCENSEO CONTBpCTOB UECIAPATION: I �ereby aifirm ��a� I am Iicen5e0 un0er pmvisions of Chap�er 9(commencing wi�h Section
7000) ot OiNsion 3 of the Business antl Pmfessions CoOe. ane my license is in full lorce and ellect.
CITY LIC.: STATE IIC.:$ ClASS:
�a�e: Signa�ure:
WOHKEHS' COMPENSRTION DECIABAT10N: I �ere�y allirm t�at I have a cenilicaie ol consent to selbinsure or a certificate oi Workers'
"ompensa�ion Insurance, or a cehified copy Ihereol (Section 3800. La6. C).
7LICY NO.: E%P. DFTE: '
COMPRNY: '
❑ C¢rlitie0 toOY �s Aereby �umishee. ❑ Cerii�ied copy is file0 wilh �he ciry Builtling Oivision.
Oaie: ApplicanC
E%EMPTIUNFBOMWONKEBS'COMPENSATIONDECIAPATION: (Thissectionnetlno�becomple�etlifihepermi�is�oronehun�re0�d1001orless�,
I ceNty ��ai in ��e petlormanCe ot Ihe work for whiC� I�is permit is i 5Ue I Shall nOl empl0y any Son in any mannef So as to betome
su�le�� �o Ihe Wor_kers1' Com/ Densalion Laws ol California. �� �J
Oate: f 7� � 1� y Signa�ure: �/ �' R'
NOTILE: Ii. aner making �his Ueclara�ion, you s�oultl become suble�� �o ihe Workers' Compensation Dmvisions of Ihe Labor
Code. yau mus� torthwilh compty with suc� provisions or I�is permit shall be UeemeO revokea.
CONSTBOCTION 1EN01NG AGENCY: I hereLy afiirm Iha� Ihere is a cons�mction lentling agency �or Ihe pedormance of �he work for
which Ihis permil is i=.sued (Section 3097. Civ. C�.
iexoes: pppLY 1 /2" CDX
aoosess: � 40YR "ELR" COMP
OWNEB BUILOEB OECLAFATION: I here6y affirm t�at I am exempt imm ihe Contractors' State License law lor the tollowing reason
�Sec�ion 7031.5 Business antl Pmfessional Caae'. Any ciry oi coun�y which repuires a Oermit �o constmc�, alter, impmve, Oemolish, or
repair any slmciure. prior to iis issuance. also requires �he applican� tor such permit �o lile a signetl slatemen� �hat he/s�e is IicenSetl
pursuanuo t�e piovisons ol ��e Comracmrs' Slale License Law �Chap�er 9(commencing wiih Section 7000) ol Division 3 0� �he Business
antl Pmfessions Code� or �hal �e/she is exempl iherefmm antl �he �asis �or Ihe allegeU eremp�ion Any violation ol $eclion 7031.5 by
any aOPlicani lor a permi� suble��s lhe applicanl�o a civil penalry o� noi more Ihan five Aun�red Oollars (5500�.
I, as owner of ihe propeny or my employees with wages as their sole compensatian, wi0 Ao ihe woB, antl the
❑ SlmClure i5 n0� in�en0e0 Or D�fered lor Sale (Setlion 7044. BUsiness antl Pmtessional COtle: The Con�fac�ors' Slale Lit¢n5e Law
does not apDlyto an owner of a pmperty who builtls orimproves t�ereon, antl wha does such work himself/herself or Urough
his or her own emplayees, pmvide0 Iha� such improvemenls are no� in�entletl or oflered lor sale. 11, Aowever t�e building or
impmvement is soltl within one year ol completion, ��e owner vnll have Ihe �urtlen o� pmving Ae/she Oi0 no� Uui10 or impwve
�or the purpose o� sale).
I, as owner ofthe property. am exclusively contracting withlicensea coniractors lo consiNctihe prolect (Section 7044, Business
❑ antl Pmtessions Code: The Canlraclors' Slate License Law does no� apply Io an owner of pmpeM w�o builtls or improves ��ereon
and w�o conbacts tor such prolects with a conlracior(5) license DuRuan� �o t�e Contracfor5' $�ale License Law),I am aware
tnai pmol ot �heir Worker's Compensatian insurance shoulU be pmviAed to me.
� I am ecemp� unAer Seclion: BP-�044 B. 8 P. C.
m� ims reaso� BY OWNER / NO EMPLOY •
Da�e: � "1 f I �%i� Owne[ � �
I tlo hereDy cehily Ihat I am aware of ane untlerstan� ihe reQuiremenls of Califomia Healtn antl Sa�ety Cotle Sectians 2550.5, 25533, antl
2553A antl Ihat I or any �uture builtling occu0an� willlwill no� (circle one� ne lo compiy wiih SaiJ slaie cotles antl ��e requiremen�s for a
permil br conslmc�ion or moeilica�ion �mm �he Air Duahry Management � Irict. Resitlen�ial cons�mc�ion applications are exempi imm
Ihese Omvisions. /
ni
�ate: ApplicanL
I hereby certily I�at I haue read lhis applica�ion and s�aie Ihal �he a�ove in�arma�ion is correc�. I agree Ia comply with all ciry antl counly
oreinancesan4stalelawsrelaling�obudeingcons�mciionantlhere6 Ih erepresenlativeso�thisciry�oenterupaniheabove-men�ionea
pmpetly lor in5peciion p rposes. �
-oaie�. 17'`3 ��Y Signawre. �__:i�l.��
Oriver's License or Social Seanty q: � �
t6at-a6 WM1ne—Builtlinq: G�een—CoEe Enlarcemenl; Canary—AoolicanL Pink—Revenoe: Goitlanrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 06019
PERMIT NO: B 060195 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE: ALT
JOH DESCRIPTION ; T/O EXIST, SHAIC£S / RESHEATH 6 REROOF SQ FT: 2,400
CLAIM VALUE; 2,400,00 CALC—VALUE: 2,400.00 GROUP OCC: R—,3 /M-1
COMMENTS• SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC
�t�tx�t�t�t*�t*�t*�t�e�t�r�t***�t�t�tr�r�t**�e �t*�t�t�t�t�t�t�t�t*+t�t��t�t**�t*�r�t��tr�e�r***�t�r�t*�r�*�e*�t�t�r�t�t***�e+t�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 HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGAT: FT IN
PARKING REQ• PROV: PARCEL: 41218113 ZNE: REF NO:
PLANNING NOT'ES>
�
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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: !r.'
HUILDING APPROVED HY : DATE; �l;'
! �
APPLICATION ISSUED HY; • CD-Gsr.�—�� DATE: �
*�r*******�r**�r***�e�r*�e**�F ��F�'i��r*�r**�r���e�r��*
�t�t�t**�t�r�t�t*�t�t�t**�t*�t***�t***�t*�t�t�t�t�t�t�e�r�r�t�t**�t�r�t�e*�ri t�t�t**�t�t�t�t�t�r�r�t**�e�*�t,�t,�t'*itx�rr�r�r*+t**
LEGALIZATION;N F E E S�U M M A R Y STRUCTURAL�SEGMENT;Y
Jo�'1
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING
PERMIT 54,00 ' SO�f
PL� , ,�' • SMIP/NON fRES
ISSUE FEE = :7
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID l`� DUE
TOTALS----> 54.50 0,00 �:' 0,00 54,50 54,50 � ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: ., .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING-PLAN—CHECK
54,00 �_ .50
��
1f iF iF iF iE iElE IE iE iF iE iF 1f iE if M 1E iE1k iE it �flf �f iElf iFif iF iFi!!F iF iFiF k 1E iE 1ElE 1f ikif if M 1EiE IE �t iF 1kiE 1E IE if iFiElf ik �k if iF 1FiF 1Eik iE iF �F ik iE 1E ik IFlf 1k iE iFlf
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 iTOTAL COST
SFR 2400 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 �J� 2,400,00
� END OF FEES % '
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� r�OL & SPA �
CONSTRUCTION AND PLANNIN� � -< �
APPROVALS Permit # Date : Inspector qppROVALS Permit # Date - Inspector
1; Temporary Electrical Service or Pole - 52, �Pool & Equipment Location __
r
2, SR(I Pipe-Undrgrnd. . - � 53. Steel Reinforcement ��� Y "- .�
k - .c
_r
���:`-:�jgctr'ual Conc�j,+�l�ility-Undrgrnd. , . a,54. Forms � � ., I�
r•
"' Etsctrfc8l Condff+Miadrqrnd. - >55. Electrica� Bonding
K
���i�el �¢inforceA,'�i� . �_ 56. Rough Riumbing & Pressure Tes� 5
- �L
� 6.iiE�.ctiica� UPEEiF,rSd. ��7. APPflOVAL TO COVER-GUNI7�E �
n�-, o+
t,�x.'�qotings �rL - " r 58. Electrical Conduit-Undrgrnd. __ �T
.<c� u u
N�f-Foundation �" p� 9. Gas Pipe, O Undrgrnd., Test
�3�. Water Pipe-Undrgrnd. _ �'60. Backwash Lines, P�Trap, O Und�¢md. �'
741: Structurai Ftoor SYstem 61. APPROVA� TO DECK " 4�
17. Pt4pertY Sewer Lin�& House Connection . 62. Backwash & Receptor-Final ;r _ . �
12. er Gap � 63. Heater & Vent-Final •`'
73. Roof Droins '� i 64. Plumbing System - Final "� �
.. N
14. Rough Plumbi� ' 65. Electrical-Final � � ��
,
15. Rough Electricai-Conduit � 66. Solar System-Final ��• i
i6. Rough Electric�Niring � � 67. Fencing & Access Approval ' '
i
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - '
18. Rough Electriq�-T Bar Ceiiing 69. POO VSPA SYSTEMS F INAL �
19. Rough Heating & Air Cqnditioning FIRE DEPT. REQUIREMENT
� - - v o'r�rF x ;u
20.�fio6�gh IGctdi{� �d�lace � �^ <'= x �� � �R R � PPRDVQ�NHCPer�iit # } �' '"
o�t .� i st-: �:¢ � s�� rr> Y, c c;
21:DuCt's,imStrpctu,r.Rt i`..�. r�, x S �7 r-+*;t �70. FhidergrvcUictHy'6ro • ��
22. Du�s, `�'ntil8ti ''� t �� �� S'v'?� :`-71. Product:.?iAijjg C(�s �'Oil
C' j� '{� :4 1 -f. C�i i-iY .K 'S. . lI 1
i-t N' � •.R' I y. '`• O� 1'KY y, 'y t C Y Lw (I
23..�Cia ip - o h& st � � c t m p� ¢ �-�,: :s 72. UndergrouUFcd FlusMn,� 2- [., a
24.�io� Framing EY i:^�cJ •�� �> C 1 ��� T S�3�Undergrne�'StorS'ge,7",ahk�E7Gas ❑C3r1
T ,� . r. .
25. Roo� St�athin9 ''„� ;y `v � x in E.�" 7[ci)� s��74rQverhead Hydro� ��� x
26!:S-63i Ceiling (Sct9etuta4) &,�7locaocoat • � � :rx � 75-'Dfy Chemical `-' "" =� �
• `'• :c � m
27.:*rartle 8^d FI sh`� S' " � �'. `"' h''' C'- i�, '` S.;r --
J7 [4� ^Sr z Q Y yr. � 76: �y Stand�iRe r..,u, y p
0
=�28. � Latking� Sidin¢-z: �: �¢:C � x f •.ic s: 77?' FIXED $Y�TE; iRNA�x _. �T'
n
> c 2xC .�,•.�. > rT > ^ .. w
`19. Insulati� . �;t � -. ;� • x 78�FIRE PREV. FINAi a--, x;•
�=30. DrywaIlCWait"iiig •Cx� '+�x _ FkEALTH�DEPT'�R-EQtlIREMENT
!� !" x 1 Y . K TC � "f • K • "1
L31. Plaster Brow��Co3{F S � K,;r ,r. ,; ;; r79.'"FINAL �IC�SP�CTI�N ,; ` " �
F32!s£Iectric�;Poc✓er hletaFFinali `_^ i.c :v �� s* �SOt*FOOD CEFTIFICISTE ISSUED �
' r
�3.�in� E��tri C" ,. I � ." `'� - z.` rNoCes: ��1 (// �% �A/� /qy%
.� . � . �j rz T I � " ' < �^ gF'�✓� �NO � ` �~ T T' /-_`�
�$4,-^pin� Heztin�& 'r;Co@dition�� rj :: - S i';� - S '
�+ - < r ,� , _,r '
�35nFin�61G�SPip��Test` '=c `= T • n �`%=� .` r SG
[-M C.� K H SO �✓�-+ X ?-:"
�36.iioqd or�S��oPY,r.� a i T: a. � C; ;:�k y^ ijp `� x ;i.;.
/1 Y. * /� �' C
'_37':Fin� FaS�orY Fir�p�ace� � �^" ` X t^ % � - n '' �
:[ � N
�38. Fina1 Plianhing ��r Z; i... �-. r�.•� __� � i-� Y t q -
�"39. Waf& S�vice=FirSa� � " x:- Y y c� ���:*7 •' ... C
4 G�' L r a S
� Y ' . �. a. �. -.-. . . ♦ I
iAO. Gas Servkce•�nal_;a; �;.; ,=m�r ,� � � > ,; ,7�i t,v .
?711. Solar D�e�ic-FinSIS �: . , y =-s :� � rr �� � -,.' a -
-.O
`42.'�ackflo�Preventerr � �j � ` "'� � j� , �v ;y
. 43. Backflow Irr�gatiort" `^ =S " "'� °C•`'�= ` �
} � T� .: K �j
a •�• zX •�••� R .� -y �J �.-'
i-rA4. Landsc�Pe Ir`r�igat�.qi+ SYster�,�: f � :. }7 �,• � �> < z ;U �','� n. o
%135.CSound nA.,tteuZat�rt� ��"�^•`' �" ` ` �n � ��: * � c � �1� �� �t
Y i. H
r-�.16.�IandicaR.R�gyla4io,�s � .. -• r�� : `n . • ..,< < _ � S �c ��� .
47.�FIfV�L STRI9CTURE & BUfLDING !�� ^ � = �`��^,�_� _�
. i x ��_� e�'
h� T c x
48�1(3'"ALPLA@'NIN� i_.�._: :�a '� x�c�j ;.� � n � c.a
:A9.cflecait Release to Edison � � % * � � � •� - -
� �c i � m �
�O.SGas�?el85se to Sout�ern Cali�outia Ga: Co A �' �` S � j's • �
k k i. :--� V <�' � 4 •j
:�51..CEFLTIfICATEO ;DCCUPA x =+ 2 =;c .t > ,= c
No. Date ��
�.
��
PFOJECT AODHESS: j 3 S 1 FUCHS IA JrT
OWNEN'SNFME: PECORARO LORNA
aoosess: 3351 RUC�iSIA ST,
COSTA MESA
CA 92626
966-1708
AflCHIENCMEEfl:
AOUPESS:
NEC.NO.:
�N�T: �3-
UNIT:
PEflmiTTEE: NOCK 'PLUMHING ( 714 ) 895-1246
aooness: 11610 SEAHOARD CIR
STANTON ' CA 90690
UCENSEO CONTflACTOfl UECUINATION: I hereby affirm Ihai I am licensetl untler provisions o� Chap�er 9(commencing with Sec�ion
7000) of DiNsian 3 af t�e Business an0 Pmfessions Code, an0 my license is in full force ana eifect.
a�rr u5 �$� � STATE LIC.: S 1 S 9 7 S ��
aQle: G SignaWre:
WOBKEPS' COMPENSpTION OECLABATION: I herehy aifirm tha� I have a tehifitate oi COnSeni to 5e11-insUre or a tehilita�e oi WOrkers'
Compensaiion Insuranc or z c rnlietl copy ihereo� (Seciion 3800. Lah. CI.
boucrNo.: 116�99�190 EXP.OFTE: O3IOSI9S
camraxv: STATE
❑ Cetlihetl copy is hereby Wmi5he0. �� Cenifiea coOY is 1ileA with Iihe cily Builtl///in999 /Drvision.
Oa�e: �I `^' �� I NPPlicanC 7 /�J " / " ✓
E%EMPiIONFBOMWOHY.EBS'LOMPENSFTIONOECIAMTION: (T�55edi�comple�etlil�hepermi�islaraneAun4re4�Elql)orless).
I cenify Inal in ine pedormance of ihe work for which this oermi� is issuea, I shall not employ any person in any manner so as to become
suble�� �o Ine Workers' Compensa�ion Laws ol CaRomla. ,
�ate'. / Siqnamre'.
NOTICE: I�, a�ier making �hi5 aetlara�ion. you Shoultl b¢come 5uble�� �o ��e WOM¢rs' Compensation pmvisions of ihe Labor
Code. you mu9 fotlhwilh compty with such O�ovisions or �his permit shall he deemed revoked. ' '
CONSTflUCTION LENUING PGENCY: I hereby ailirm �ha� there is a consVuction lentling agency �or �he pedormance o� the work �or
whit111hi5 p¢rmi� i5 i55ue0 (52CIi0n 3097. Civ. C). �
LENUEX:
ADOflESS:
OWNEB BUILOEP OECIAflRTION: I �ereby alfirm tha� I am exempt irom ihe ConVactors' State License Law �or the lollowing reason
(Seciion 7031.5 Business antl Pmfessional Code'. Any cily oi couniy whic� r¢quires a permit to cons�mct, alteq improve, tlemo�ish, or
repair any 9mcmre, prior to its issuance. also requires �he applicanl lor such permil ro file a signed s�a�emenl ��at helshe is licensetl
pursuam io ��e pmvisions ol ihe Comracmrs' State License Law (Chapter 9(commencing with Section 7000) ol 0ivision 3 of the Business
and Pmiessions Catle� or ihat he/s�e is exempt therelmm an0 Ihe Uasis tor �he alleAeO exemption. Any violaiion ol Section 7031.5 by
�y aDPlicani for a Dermi� su�jects the aDPlican� �o a civil penalty of not more Ihan �ive hunaretl dollars �$500).
I, as owner ol ��e pmpetly or my employees wilh wages�as Iheir sole compensa�ion, will tlo lhe work, and �he
❑ slmcWre is nol intentletl or oflered lor sale (Section 70aa. Business an0 Professional Cotle: 'The Coniractors' State License Law
tlaes not apply to an owner ot a pmperty who builtls or impmves �hereon, and who does such wo�k �imselll�erseli or �hwugh
his or.her own employees,-Dmvide0 that such improvemems are not intentletl or olfered lor sale. Ii, Aowever itie buil0ing or
improvemem is sola wiihin one year o� wmple�ioq ��e owner will have Ihe burtlen o� pmuing he/she tliA not build or impmve
for Ihe Durpose of sale�. '
L as owner o� �he pmpehy, am exclusivelp comraciing wiN licensetl contrac�ors �o cons�mc� �he pmle�USec�ion 7044, Business
❑ and Pmlessions Code' T�e Coniraclors' Siate license Law tloes no� anPly m an owner oi pmOehY who �uilds or impmves lhereon
and who convacts br such pmlec�s wi�� a coniractor(5) license pur5uani �o Ihe ConVac�ors' Staie License Law�.l am aware
�ha� pmo� ol �heir Worker's Compensalion insurance 5hou10 be pwvi0ed lo me. •
� I am exempi under Seclion: B. 8 P. C.
lor ihis reason�. �
�a1e: Ownec
I Do hereby cetlify ihat I am aware oi an0 untlerstantl �he requirements o� Cali�omia Heal�� an� Saleiy Code Sections 25505, 25533, antl
25534 and Ihat I or any IuNre builtling occupani willlwill nal (circle one� nee0 �o compty with saia stale cotles antl Ihe requirements lor a
permil lor conslmciion or moAihcation from �he Air �uali�y Managemem OisVict. Fesiden�ial constmction apPlications are exemp� irom
ihese pmvisions. � � '
�ale: Applicant: v
I hereby certtly Iha� I have reaA ihls apphcation and slate t�ai Ihe above inlormation is correcl. I agree to comply wiN all ci�y and counry
ordinances and s�alelawsrelatinglo builtling conslmction ana �ereby auihorizerepresentalives ofihis ciryto enterupon�he above�mentioned
pmper�y ar inspe iw(n purpases.
�a1c � V ` I Signamre: �� %
onver's Gcense ar social Secmny a: �'
t6aLa6 Whlte—Builtllnq. Green—Cotle Enbrcement; Canary—Applicanl; Pink—Revenue; Goltlenrotl—Assassor -
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05106
PERMIT NO;'P 051060 PLAN CHECK NO: N. GOVT,; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU �• P.URPOSE: OTH
JOB DESCRIPTION ; CHANGE OUT DISHWASHER SQ FT: ,
CLAIM'VALUE: � CALC—VALUE: GROUP OCC; R-3 / •
COMMENTS: CHANGE OUT OF DISHWASHEA • � '
x******r�t*x��t�e�r*�r*�e**�t*�t***�r��r*x�*�e+�*�t*�r�r�r.��t�r**�t�r�t*+t+��*�e�t**�t�t�tx *�t*�r**+t*��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: t FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT ' IN RGHT: FT IN
PARICING REQ• PROV: PARCEL; 41218113 2NE: � REF NO: .
PLANNING NOTES>
. � . . _ . . .. � . . . . . .. .
if 3F iF iF iFif 1k if k iFaE if �F M iF �E iF iF if �F iE �F �F k IF ff �E iElF �E iflf �E if �f �f iF �f 1F ki11k �E iF 3f if if iF iE iE iE M fF IE iE iE iF ik If iF k!f �F 1F iF if iF K if if if iE 3E if iF �F 1f �f �f
D E V E L O P M E N T S E R V I C E$- R,E Q U I R E M E N T S �
-:. .
20NING APPROVED BY '" DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED HY•
iF iF iFik if if iE M� iE iFiF�IF iF M iE if �F Ik if if if jF3f"{FiF�Fif
*�riri� � ir*ia*i%ii i�'i%*i�'ia*i�'i%ir�%*ie*�ria*
LEGALIZATION:N ;
, � .
DATE: ,� ,
� -- �k' DATE• %Z�
7�7F�iFiF�F if iF iE iF iF if 3f if if �f iF
**�***��e ***��r�r*�r*�r****�r�*�e***�r�r*�*�r*�r�**�e����r�r+��r*
F E E S U M M A R Y , STRUCTURAL SEGMENT;N
BLDG PMT 'PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/AES GRApING
PERMIT 2 00
'ZSt SMIP/NON—RES
PLAN
ISSUE FEE ,3.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2.00 3,00 0,00 5.00 5.00, ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5'.00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5.00
iF k if if 3f k iF if iF it iF1f if iE 1f it iE iF 3f iE iE 1f �F �f if iE if iF iF if if iElf iE iE 1k IF if �F iF ik ii if if iF i!!F iEiE iE 1f iF 1F iE If if �F If jf *!F iF iF k�lE if �f 3f �E iF M IF jf if iF 3E 1E iF iE
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
PLU 1 DISHWASHER 2.00 2,00
; END OF FEES ,
0
u
ei euos?a�v-c�aosz;�s -; �o ;
DATE: t�3>L2.91 7If1E: iu:29
0
i
CONSTRUCTION AND PLANNING -- �OL & SPA
APPROVALS Permit # ' Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electriwl Serv�ce or Pole �,_ -� - 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd� �. ;"Fb 53. Steel Reinforcement
"' 3`'Et:" �a Y u � v� g d';�
�,,, .n 2ctri I Cond'uit ULi1it Undr m 54. Forms
-'4'. El9ctlical ConduiY�U�drgrnd. �- 55. Electrical Bonding
.n -�.
��. .:` �" �--s s-�..:�5 N
,�. 5,Stee7�R4inforcer.�nent 56. Rough Plumbing & Pressure Test �
�
,c 6.[iElectrical UFEFt f�,rnd. •- 57. APPROVAL TO COVER�GUNITE c,;
� --
�,9:`Footings ,���.. °J 56. Electrical Conduit�Undrgrnd. �J
�,. �:
N�b;: Foundation � - . 59. Gas Pipe, O Undrgrnd., Test a,
9. Water Pipe�Undfy�nd. . 60. Backwash Lines, P-Trap, � Undrgrnd. '
10. Structural Floor System c,. 61. APPROVAL TO DECK
17. Property Sewer Lin=& Ho'Ose ConnEttion 62. Backwash & Receptor-Final �
12. Sewer Cap z, '� ' 63. Heater & Vent�Final '
73. Roof Drains "' 64. Plumbing System • Final
-� .Y
74. Rough Plumbipg �� 65. Electrical�Final �
15. Rough Electrical-Conduit - 66. Solar SYstem-Final
�
16. Rough Electric�^J�ring - - 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Elettric�l.-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Condi[ioning FIRE DEPT. REQUIREMENT
- ' - ' _ � 7' � ..;y:^ � h e
20.��Rou�qh F'actocy Fiieplace � t1:? % •�: - � C :% 's'�• :x ppR�iVAf3%��=Perniit # '� ?'`
:P aY. }::c i 5C�' Cr.'i w S l-� �..t � �.�:ritr ? x ri
lU Y'H :� � t..�. . � 1 :r. '.�'1 y3 �. „ rl...i' : : s ..
21.:DucIs, ir_r,Strnctur,e� i.... �.,5 x S - -+�+ t 770. UndergroUndHydro �
22.rDucfs, Wantilating; �•S " �., `r ��` Y�77. Produc�` ping 0�6�ds Cj'Oil
'
r, ' 1 � :.:� � ,�r a c � �,:. � m � � c � �.T
23.:Gas Pipe_Rough &''�est i ',:,5 •t, �: r. Q^ -72. Undergroupd Flus�;
24..Roof Framing �,�� i=. ^� '> G � H; .� 73;rUndergrnTStordq��iank � Gas� � 011
S:< >'. CJ .x n C�] �.J l:! ? � �-iF x�
25. Ro�She'athing ;�s. .t :-,= C � p;:s't�'7q•^Overhead}iydro�. �.
26::T-Bar Ceiling (Structureq &:9�ionocoat � w •= ^7f > 75C'Dry Chemical y`� Y�-+ �
r� . n t' �. s Y r� [� •-i
27.�rame and Flashi?g� �i�_,� ;`. �.y �:* 76yDry Stanc� i e ���" ' s 'r N
�.P r-�t.UiL+ ,T
`, y r •. ��l•::V L . • .. .. . � •v .
r-28. Lathing.& Siding: � n �-w;t.: u^., x�: • t- 77.' FIXED SY TEI\/F�1�AG' "_
- i-i r� n ..' .' ..'.. i � s r. .�
�29. Insulation �: � r •- •• ; `n ' � n ;. �-� ` .� "�
;S � 78zFIRE PREV. FIN.�� �+ r � L�y
:`30. Drywall:Nailing ���, � E � � !-'�!'<�� �HEALTH_DEPT� REQUIREMENT
.�.-.n� .n;�,
=�31. Plaster Biowa Cq3tr S i.�.r,. � y i� n79"F'INAL��IIVSR�CT1(�N ;'7 -
�1
(-32:Electrical�Power Polecef.-Finali ^� ? n3 � yi :: *80:*fOOD CERTIFI�,C.RTE ISSUED�
,-. ,r
t33 �Fin2� EI�FtriC ' :x :i; i `S -r- �� � I ` i < rNot�es: ^] '7[ 7 x "' Q t^.
t 34rFiriei Hgating & Air.Conditioni�g� %� ;E�P �iz.7 S :�� �t S' C
� .ti ' .. . „ c.. ..� .
�35!,°tiFinalG�j�;Pipe-Yest' `)'A � " � :`' 1 '^ :�iS 7:r `=
x x .- � � :c . 7 :w4 !=f�,
" F_. � •• r. � t: .a ,� � i�
{736� HoOd ar CdnoPY � r--- -�. � i F.. �- Z lp � 1 :+ � p-
- - rn w
� 37 �Fin�l FactorV FirePlace j, ? �,� '^ . � •� i i y. ; _ ~ ' �r
Y f. . � :IJ
.=38. Fin�l Plumbing �� ��� � �-. * � � � W �.-. * u�
.��
C.39. Water Service�Finala y ' � • � � [_' � -i
-. s i >:r, I i� �• t�
�40. Gas Service�Final � • '� Y ` � ? `"
�r, '-e r.;i�'T' S r Tl ! �r s" O_, �CJ .
�41. Solar pomestirFinalS :��� � �� + :` ' E c� .r • �r- *
ir. :. � � ip*-'c Le' "LyG k T
F'"42.`Backflow Preventer� `� i ,, "' � � h' �- r :;E -- H
43. Backflow Irr�iatio� - � `}=-c :* �� s ' L � 'x;'- ' � .. -:
t1
.. �S tR .. .a .. -- , � .a .a l�
;�44. Landscape I'riiqation Systemit��:� �; �� :': L �_ '�� �� x :� :» � � iu �-
�'45�:Sound Atterivatiort' �`�F {T' '� =� " I- E'' � " " � �`: �'S
- [:� fO :n<' ]� r,' . t..,
�- �: • - r : i:- . . '. .i. ~ �^ .� e.,� _
='46:;Nandicap,Reg,ulatio'ns ;_, 'C'� �Y u; � _�
47 <FINAL STRWCTURE & BUfLDING � ` � . ��3 � •
,�- I f .�: , ; - E_
�;•:r � i -.; :. .0 .., ,_, ..
48.`-'fINAL PLANNING i �.h :- �`j '. n :�, •,: .
c49 �Electric Release to:Edison i 4 ' �� �� ' Y Y =
��: ! ��1, x'r• �f'• •.-1
�50. GasRelease to Southem Califo[nia Gas Co ' � -``� ."'�' ' ".
s. r ' ' �i�] T :1
.'51. CERTIFICATEOF;OCCUPANCY � ;. s ;-.. ;, : `;r t �-- a
PJo. Date
�
w. ��� y f..e�e� F..� .� l�z,��
. �7 ���,�ti .Li��-�-
TRACT N0. '��. �!�''1'!/ • �-/� .
IAT N0. y-�
ADD�SS ���s� ��./a�1.G�
DATE � �� � �
The developer of the above entitled tract desires to sell the above set
£o:th lot prloz to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreer.ient, acknowledges that
(he-s:^.e-they)�,J _(was or were) �t� /'[ili' advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the City
at the tiae the f�nal tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and ho2d the City harmZess from
any claim resulting in damage or personal injury to the undersigned by reason
o£ the afozementioned uncompleted condition.
R��EIVED
Ci7Y OF COS7A Aqf�p
PI '.,1�,Vi�iC r,�PT
AUG 29 �g73
AM
718i9i10�11�12�1r2����i5 6
�
e
BY �� ��'- BJ
Purchaser
i
� � '--
BY ��- �S .C-cr /��CI�G.�-C("''�!%��_�
Developer and or authorized
zepresenta�ive
.
Bi .�f'Lc' % fd.� �:'�t' t•. rvL1
�L'ender
OWNER �g�N DATE . .1�7��73
JOB ADDRESS 3351 Fuehsia St. BUILDING PERMIT N0. 359�5
l:FNFRdI Cf7NTRdCT(1R Oomer Bldr_ DESCRIPTION of WORK R25. R� Att. Gar_
•� TRACT
G AS
WATER
SWR. LIAE �)XXOUSE CON.
H
UNDERGROON� Lf POWER U
ROUGH WIRING
TftENCNES � FORMS STEf
FLOOR SVSTEM
BONO BEAM � STEEL REINFOF
SHEATHING
FRAME AN� FLASHING
- yii I(�
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.0
PLUMBING, FINAL ANO GAS TEST �
ELECTflIC, FINAL
BUILDING, FINAL
SUBCONTRACTOR
46 .
.. � 359G�
COSTA MESA BUILDING-SAFETY DEPARTMENT
�FOLBI�.O: BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fi!l in Completely
BUILDING +» T I. -
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OWNER Larwin $outhern Califc
MAIL
nooaess 16255 Ventura Bouleva
TEL
ciTv Fnr.inn_ Califnmia No.
BR„Nc„ 16255 Ventura Boulevard
ADDRESS Encino, Califomia
ARCHITECT � nD�A/Iwl , TEL.'.
ADDRESS yiw wusnire niva. tsev. niii:
CONTFACTOR Larwin Southern C alifornia, Ini
nooRess 16255 Ventura Boulevard
TEL.
cirv Encino, California No 986-885
LTC. No. �.9� 3� j LI4 NO. B��
OF LOT 7] x 99 � I NO.OF BLDGS.O '
NOW ON LOT
USE OF
EX15TING BLDG.
SIZE OF ' NO: OF �
NEW BLDG. 1%II�F - ROOMS STORIES
E%TERIOR WALL 'ROOF
COVERING Stucco COVERINC;�/OAfi SIl11lgIP
VSE OF BUILDING AND WOFK TO BE PERFOFMED
Construct $inale Familv Residence
aniu
�1�42b-r3�hisr0�1?83'' ;�;�r;142.Q8
'AP LICAT�ON FOR BUILDING PERMIT
R CEI ED BV DATE RECEIVED DA E ISSUEC
c �-i - � �—��-
PEFMIT� :
. .. .�.. 't'l �, �
BUILDING
ADDRES:
OWNER
FIRE
BLOCK
ItJ �.�
_ /' _ _ VAIVE
DATE / '
N NO.OF USEOFNEWS/N '-�'
�. PLANS � BUILDING w
VAROSAPPROVEO VARDSAPPROVED
MAIN BUILDING .ACCESSORV BUILDING
6'-"
REAR �CJT
DISTANCE BET.
MAIN BLDf'�5.
VAfl. # .
C.U.P. #
APPROVED �
BET. MAIN
ACCESS. BL
DATE
APPROVED
% 7_
" �NOLD FOk srr;c� L KCV 1KCMC I.-
I hereby acknowledge that I have reaA this application antl state I
that the above information is correct and agree to comply with
all laws regulating building construction, antl I shall not emplov - TqX'
any person in violatiOn of the workman's compensation laws of
the State ot California. � �
e
I hereby certity that I am properly licensetl as a conttactor untler SQ. FT. O
the State ot California Business and Professions Cotle, �ivisicn 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR - �
Chapter 9, and that such licenses ere in full force antl ettact, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: m
am axempt from the provisions of the State of California Business ¢
andProfessions Code, Division 3, Chapter 9. VALUATION . ` �
PERMIT FEE $ � �
J
Sig^ature o ' D: Downs qqq /� � m
Permittee ��T1 $ � "�bQ PLAN CHECK $ � o
�
Authorizetl Aqent - . ' . b� LL
TOTAL FEE $
OWNER xQ
JOB ADDRESS
No.41L-1Y31-1:i LOT TRACT FIRE
GRS
LINE � I HOUSE CON.
�
ROUGX MEATING ANO AIR CON�ITIONING
UNDERGROUNO Lf POWER U
ROUGH WIRING
TRENCHES �� FORMS STEEI REINF.
FLOOR SVSTEM
BONO BEAM [] STEEL FEINFORCE �
SHEATHING
FqqME AND FLASHING
LATHING - IN n
PLASTER,BROWN COr1
V
BUILOING. FINAI
DATE
SUBCONTRACTOR
� �PR 6�r,-�.�00 433� 18.50
� 4..1.53:� * 't,� s
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA. CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applican[ to Fill in Comple[ely — Use Ink Only
RECE ATE RECEIVEO D I U
BUILDING r� I � �
ADDRESS � 1 C
OWNEP
A.P. NO. Z '^ ` P RMIT NO.
MAI L � BUIIDING l•
ADDRESS �7` � ADDRESS � �
TEL TRACT LOT � BLOCK
CITV NO.
CANSTRUCTION W AD� A P
LENDER
BfiANCH •� .
OWNER � �
ADDRESS
VALUE G'U
AFCHITECT � TEL.' S Qf�� O $'( �d
OR ENGINEER N
FIRE'�
ADDRESS ZONE TVPE GROUP
' � APPROVED � �
CONTRACTOR � BY DATE
ADDRESS �, � «-� T�` ZON NO.OF VSE OF NEW �
CITV � NO.
' � PLANS� BUILDING -
STATE � CITV '�'ARDSAPPpOVED VARDSAPPROVED
LIC. NO. � � LIC. NO. MAIN BUILDING ACCESSORV BUIIDING
SIZE NO.OFBLD(3S. (FROMC/LSTREET)
OF LOT NOW ON LOT i RONT FT. FT.
USE OF /
EXISTING BLDG. � - SI FT
/
Separate permits are required for �. soe S FT. FT.
' electriq plumbing and heating work. •
FEAR F FT.
UOS=�BUYi�DING AN% WORK TO B� P RFORMEp �� � DISTANCE BET. BET. MAIN &
�__ MAIN BLDCS. ACCESS. BLDGS.
VAR.aW Q4TE
� � Qy (� Zj V C.U.P. # APPqOVED
APPROVED �Q�
V
I hereby acknowledge thet I hava raotl this applieation end rtete '^
n
that tha above Informatlon is correct entl agrae to comply with m
all laws re0ulatln8 bulltling constructlon, and I shall noS employ � �
any person (n vlolation ot Me workmen's compensation laws of v
Me Stata ot California.
I bareby certify that I am properly Ilronsetl as a contrecior untle� SQ. FT. n
the State of Californie Business antl Profeuions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
�Chepte� 9, and that such Iicenses era In full force and atfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: �
am ezempt from the provtsions of the Stete of Californle Business VALUATION PERMIT FEE $ • � d
antl Professlons Cotle, Olvision 3, Chaptar 9. Jo
� m
Slgneture of � PLAN CHECK $ • o
Pelmlttee �\ $`ZOD TAX E O LL
� � a U
Authorizad Apont TOTAL PAI D E ���/