HomeMy WebLinkAbout3359 FUCHSIA ST - Building Permits�op���� 3359 FOCHSIA ST
wmEas""MEi'a�xT+: HIRANO, TOM S TR
�p�£ 3359 FUCHSIA ST
COSTA MESA,CA
�rv�. Wuuxc wox�w:
92626
`__ �_
uxr:
FLOOD: AH-38
AXCNIfECT ON ENCdlffA: UC. NO.:
a� -z
UNf:
cartx�cTarsw� D P PLUMHING AND INSTALLA (714)991-9477
caxm�croasMuuxo 1588 S ANAHEIM BL
�oo�ss ANAHEIM CA uc.ra.: 563793
92805 unr: 3
IJCENSED COMNACTOPS DECLAFATION: I hereEy eflim uMer paneXy of perjury thet I em licenead unAer pwiepne of Cheqa 9
(commanarp wi�h Sec�mn )000) M Oiwion 3 d Ne Busiren eM PMesarna CoEe. aM mY �^^� 4 in lull lpca end eNeC.
C LIC.NO.: rj 72 uc.cuss: C 36 ��c."o $'b137 3�//./��(p/ EXP: 00/00
e: Conlretln: _ , ����/ � l%lQ�'
O H B ILDEF DECLAXATON: I Mreby elfiim uMer paratly of par'ryry �he� I em eaemq Irom IM CoMreqon licerue Lew fa iM
n(Seaion )0.'11.5 Buanesa anE Profesaions Code: Any cLy a oounty wfiiM rapuirea a pamn lo mrehuG, eller, improva,
�d'¢h. or repei any shuclure, prior �o in aauerce, e6o rpuim �M epd�� im euch permil to fib e spind etelement tlut M a�he
.aneeE Wnuent lo �M provisiona d Nre Comrenora Licenae Lew �Cheper 9(mmmervinp xilh Setlion 1000) d Div6ion 3 d Ihe
amms vd Prdmaime Cadel «thm he a eha b ezemd iherehom eM �he beab la Ma dbpad uamqion. My vole�ion M bsaion
)031.5 by eiry eppliranl for a permil subpas ihe epplcam to e avil penely ol ml more then IHe huMreE ddlen �5500��.
❑ I. d owror W IM papM w mY �DbY�a �h wapm m ihei sde mnpeneetion. will Eo Ne v.qk. ard Ihe slruclun b �wl iNeMeA
«MereE for sela (Sedion )aa, BuvnemarM Profeaeiona Cade: Tha ConVepore Lioame lew does mi epplylo en awmr of propary
wM buida a'vnpmves Ihe�am, enE v.1w doas euch wak NmaeM a Mne� or �hraqh ha «her own empb�aee, pwided 1M1 eWi
impwemmte va rot imaMed or alimed Iw eab. tt.Iwwever.IM WiMiip or inprwamem n eaN wnhin are Y� d compb�ion. �M
owner-0uiker vnll lava ihe buNm d povinp he or eha dN m� buiW a improve /a Ihe purywe al eeb�.
� I. u owmr d tho propeM. � exduvivey oonlred'mp xilh IicereeE contrecmn ro wnwruq the prqect (Seqbn ]061. Buvi�c erd
Proleasiona Coda: The Contrwme lieense law Eoea nd eppy to en owrer d peopeny wha buitle w Mpova �he�eon W who
contracla M wM qM�s vrilh e caN�ednlsl licensed WnueM to the Cont�erlas liceme lew).
❑�� a=�m ��aa, s���: e. a v.c.. i« ina �:
Dete: Owriec
I do Mreby cenily ihm I em ewere d eM uMereieM iha rx�uiremenM W Celfanu HaeXh eM Setery COEa Sedioro 25505, 25533, end
255�0, end ihel I m any M�re buildinp ooapent xill / wJl rwl (arch ma) med �o comply wih eeid qela aodm aM ths ipui�mmeMs b
epumAlammVunianamoEifralbnham�heA'r ua'�S�Ri�y viapemenlDie�riG.RakeNialmiwt�udioneppiralbmertexamqimmtlia�s
woviawne. ,
Dme: nPWkem:
WOflKEP'S COMPEN41`ION DKL1P�110N: I Mraby dfirm uM> panally d prjury me al IM /dbvrirp Eetle�etiom:
❑ � neve a,e wi� nwmen a cenncm. a cmmm m.en;�an b, xaken• comronee�on. m aow.a r« M swhn a�ao a me �mn.
eoae. r« in. �n�, a ma ..o� e« �n in� �n n e.�e.
�j in...�d..;��m�wo�a.•o�w�m����.o�.c��edMsaa�,a�aoau,e�coee.wm.o.�«m.�wa.
wak /a whidi I�ie permn ia iseued. My warken' compensalbn ineurence um✓ eM po4ry number ara:
c�«: FARMERS EXPIRES
PdiryNumbar Q z� � 1� 9%
(Ihis seaion med rrot 6e camdered / NSY�k u Iw wre haMnd dolbrs Rtrol a les�.)
� I eenAy thet in Iheb pMwme�e W �he woik br wh'rh thu peemil ie iape�ue��d. I °e°he�l�l yiwl empby ary pereon in ury muvier m u to
��ro RMi°�J✓ Y'PYh^a o/5edion 3� ]00 a Ihe lebor Cada, I Mell W"1'9"'Y�'�'I�'"�Y!iP°° M�^a�on�. w� to IM wMwe'
ms: - �ow��: i- ��.a r;u ra iv
Wem D� F�Ilun ro,ecun wortsn' nmperuetlon eovsreps l� unlewlu( entl �Mll uO�set �n arnplqw b alMml peiuNu uW
e1N/ tlia qr ro ons hwJrstl fhouaan0 tlo1Nr� (S/OqOqDA �� /��tlon (o M� ewf ol eompruetbn, Gmep� u provWsd bi In
SxXon 3)OS ol Ms Labor Corb, Infen�f, entl ettomey'a Iw
CONSTNUCTION LENDINO AOENCY: I hereW elfiim uMer peneNy of perlNry �hel iMre n e oonel�udion kM'up qp�wy fa ihe
oano�� d ine won� r« .nd� ins omm� � a�e lseaoo aan. cw. cl.
LENDEq'S NAME:
LENDEfl'S RDUNE53:
1 ce�ity �hq I heve nad Nw eppl' �bn yd qete Oat tM ebove iManreiun is cortw. I epne lo camply wilh ell rAy enE couMy adinenue
eM eWe kxa relatip �o Wiknp conavWbn eiM heraby aNhorrza reproeemUivea ol ihia dry �o anter upon �hs abv+a-mamuned popeM
br;naP�ion ourW�s.
PAT PADILLA
�,/� PumName � .
I! �
lM Dme:
si9� um a Ormer/ n�eppticen m u«
(5151JB.WP) Whne-BuilEvp 8 Sefely; Greeo-Fle: Cewy-AppYrant; Vink-Revenue: (3alEenmtl-Maeveor
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: P 079837 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
JOB DESCRIPTION : REPLACE WATER HEATER
CLAIM VALUE: CALC-VALUE:
ERM NO: P 079837
GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: REPLACE WATER HEATER
*�ie�itat*+E�� ���***it�*�*�� � irx�it**�er*�+eifx af �**iEiE�*iF�tx �it**+� �*�*it*****iEx afiEfE�*iEat�at�*itet�
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 AEAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 41218109 ZNE; REF NO:
PLANNING NOTES>
i
1f'lE IE iE iF 1F 1E 1E iE if iE 1E iE 1E IE �E iE �E 3E �)E 3E 1F 1E iF iE 1k 3E * 1E iE ik iE 1E �F IE iE iE iElE IE 1E 1E 1E iE ik 1E 1E �IE iE 9E iE IE 3E iE iE aE �E IE 1E 1F iE if 1E 1f ik iE if dE fE iF if iE 3k fE fE aE 1E IE 1E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY: / %�ti
it�iEitit�t�titiE�t�t�tiEiEi[�atititiEiEiEitiE3F3F�F3FiFiFiE�F7FiFiFiFiF3F3F'iF�Fi�F 3F�F7FiF�F7F�F3F
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 11,00 '
DATE:
STRUCTUAAL SEGM�NT;N
FIRE SMIP/RES GRADING
25$ SMIP/NON-RES
PLAN `ti-L� '
ISSUE FEE 22.00 --
BUILDING-DIV-> PERMIT ZSSUE PliAN-CHECK TOTAL PAID DUE
TOTALS----> 11.00 22,00 � 0,00 33.00 33,00 ,00
REVENUE DIVISION TOTALS--> COliLECTED: 33.00 OVER/SHORT: ..00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECFC
33.00
1E 1E iE 1E iE 1E iE 1ElE iE iF �E if * 3E * 1E 161F if 1E iE 1E if 1E ik 1f iE iE ik 1ElElE 1F�1E jF iE 1E 1E iE iE 1E k iE iE k iE 1E �)f 1E 1E 1F 9f 1E 1E fE �E If iE jF 1E �F �1f iF IF i6 M iE iF �E 1E iE 1E iF iE 1E iF iF iE
Z N D I V I D U A li, F E E B R E A K D O W N
TYPE QTY D E S C R I P T Z.O N UNIT COST TOTAL COST
i '
PLU 1 WATER HEATER AND/OR VENT 11.00 11.00
�END OF FEES
�1
01 002YbS97-O[12i6597 TOT 33.00
OATE: �0l08/4`� TItlE� 11�08
C@NSTRUCTION AND PLANNING POC SPA ,_ �
APNROVAL5 Permit #� Date tnspeMor APPROVALS Permit #�, Date ' Inspector
. .
1. Temporary Electrical Service or Pole � 52., Pool & Equipment Location � � '
2. Soil Pipe-Undrgmd. - -53. Steel Reinforcement � ' � �
- 3. Electrical COnduit UtilitV-Undrgmd. . 54. Forms . ' ' �
4. Electrical COnduit�Undrgrnd.� . -. 55. Electrical Bonding � �
� 5. Steel Reinfo�cement- 56. Rough Piumbing & Pressure Test
� 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER•GUNITE _ �
• .7. Footings ' " 58. ElecVical Conduit=Undrgrnd. �
6. Foundation . 59. Gas Pipe, � UndrQrnd., Test
9. Water Pipe-Und�grnd. 60. Backwash Lines, F: Trap, O Undigrnd.
10. S[ructural Floor System � � 6l. APPROVAL TO DECK • .
11. Property Sewer l.ine & House-C6nnection � .62. Backwa;fi & Receptor�Final '
12. Sewer Cap " ' _ ' - - : 63: Heater & Vent-Finai '
13. Roof Drains �. 64. Ptumbing System - Finaf
14. flough Plurr+bing � 65. Electrica��Final � ,
15. Rouqh Electricai-Conduit. �. �. 66. Solar System-Final .
16. Rough Electric Wiring - 67. Fe�cing & Access Approval '
17. RoughWiringSign - ' 68. APPROVEDFOR.PLASTERING �
18. Rough Electrical-T Bar Ceiling ' � 69. POOUSPA SYSTEMS FINAL �
79. Rough Heaung & Air Conditioning � FIRE DEPT. RE�UIREMENT
20. Rough factory Fireplace � � , - - - APPROVALS' �" Permit #
21. Ducts, in Structure �, `- , - . �, = 70. _Unde�ground Hydro . �
22. Ducts, Ventilating � � •- 71. Product'Piping O�Gas OOiI
23. Gas Pipe•Rough & Test �. -� � 7z, Underyround Fiush , -
24. Roof Framin9 - -- � . �- 73. Undergrod. Sto�ege Tank� � Gas O�OiI
25. Roof Sheathing � ��"� � 7,4, Overhead Hydro, �
26. T-Bar Celing IStructurai) & Monocoat . 75•. Dry Chemical - - '
27. Frame and Flashin9 ' _ s� 76. Dry Standpipe -� ' .-� -
. 28. � Lathing & 5�ding,:� ,- � i � � 77: PIXED�uYSTEM F_INA�L J
29. Insulation = ' '� ;. 78,.FIRE PflEV. F1NAL -
�' -
30. Drywall Naifing � ,. ,� ' � � HEALTH DEPT. REOUIREMENT
31. Plaster Brown Coat _ _ ' : 79: FINAt WSPECTION _ �
32. Electrical Power Meter-Final - 80. FOOD CERTIF�CATE ISSUED -
33. �Final Electr�c ' � ''' ; � � Notes:
i_o -i 8-� 6 � �!_/��.� _ � �Y
34. Ftnal Heating'& Air Conditioning,, : . �0��` _�p,��.�, ,�,Q,
:r -
35. Pinal Gas Pipe-Test _ = � ` �� _ V
a - - - •
� 36. Hood or Canopy � , _ . ,�`. - ' '� _ � -
� 37. Finai Factorv Fireplace � _ _
, 38. Final� Plumbing � - ' � _ ��
� 39. Water Service-Pinal � ' � - - � '
�. 40. Gas Service�Final . _ , _ _ .. ;. = ' ,
41. $olar pomestio-Finai _ • . �
42. Backflow Prevencer - �. � . �
_ ,`
43. Backflow Irrigation •� -._ _ _ .
44. Landscape Irrigation System - - , , -- - � . � , -
45. Sound Attenuatio❑ - " - - � - - � �
- - -- ' a •
46. Handicap Regulations = � � �� � ' �� - � :
47. FINAL STf±UCTURE & BUILDWG - � -
48. EINALPLANNING ' � � - ._ � :
49. Electrie Release to Edison • � .
50. Gas Release to Southem California Gas Cn ' %, •�` '. . '
..
• 51'. CERTIFICATE OF OCCUPANCY - ' .
No Date
/
�
PflOJECTA00PE5S: 3359 FUCHSIA ST
OWNEF'SNAME:HIRANO TOM �.i
aooness:3359 Ft7CHSIA ST
°� COSTA MESA,CA
pPCH/ENGINEEFl: 5 5 7— 3 2 7 5
AU�HESS:
uNiT:
92626
NEG.NO.:
UNIT:
PEflMITTEE: CHAMPION ROOFS ( 213 ) 898-8600
aooeess: 3G25 %j��jVrERT�D�'UGO RD �
LICENSEO CONTBACY6A�6ECU1Aai111A:�Fiere�ySaifirm iha� I am Iicen5e0 und� p�rovisonOs ol � O�er 9lcommencinB wiID Section
7000� of Omisian 3 ofihe Business antl Pmlessiuns Gotle. ana my license rs m lullforce and el�ec�.
QTY LIC.: STATE UC.: CIASS:
04 77.5 429481 C3 J�
�ale: --7�'�� Signature: �""� G � ���L's�
WOflNEflS' COMPENSRTION UECLPflpTION: I hereby alfirm Ihal I have a cerlificale oi consem to setl�insure or a certificate of Workers'
Compensaiion Insurance. or a certifietl copy Ihereof (Section 3000. LaU. C�-
Poucrr+o.:pWC27.6892 E%P.OATE:OSIOII94
comeaNr:GOLDEN EAGLE
� Cetlilietl copY is �ere�y tumished ��J Cerlilie0 topy is �iletl wiih �he tily B^uiltling Oivision.
Dale: (J — C� �l � � APPlicanC � v � � �a
E%EMP710N FHOM WOBKEBS' COMPENSATION OECLRRP710N: (This section neea na� be compleletl if t�e permit is for ane huntlred (8100) or less).
I ceNiy ihal m �he pedormance ot Ihe work lor which this permii is issued. I s�all nol employ any persan in any manner so as to b¢come
sub�ect lo I�e Workers' Compensation Laws a� Califomia.
Date: Signamre:
NOTItE: If. afier making ihis Oeclaralion, you shoultl become su�lect to ihe Worker5' ComDensation provisions of Ihe Labor
Catle. Vou musl lotlhwi�h comply wi�h such pmvisions or Ihis permi� 5hall he deeme0 revoketl.
CONSTPOCTION LENOING AGENCY: I �ereby afiirm ihal Ihere is a constmc�ion lending agency �or the pertormance o� Ihe work for
which ihis permil is issued �Seciion 3W7. Civ. C�.
LENOEN:
ROOXESS:
OWNEP BWLOEN OECLAPRTION: I here0y aflirm ��at I am exempt �mm Ihe Conlrac�ors' S�a�e License Law for Ihe foliowmg reason
(Seclion 7031.5 Business antl Pmfessional Code: Any city ol county which requires a De�mit b coretruc6 al�er, impmve, demolish, or
repair any stmc�ure. prim to its issuance, also requires Ihe applican� br Such permit �o �ile a signed stalemeni IAa� he/s�e is Iicen5e0
pursuanl lo Ihe pmvisions ol ihe Comracmrs' State License Law (Chapter 9(commencing wiih Sec�ion 7000) of Oivision 3 0l ihe 6usiness
antl Pmfessions Cotle) oc iha� helshe is exemp� ihere�mm and Ihe basis �ar �he allegetl exemp�ion Any viola�ion of Section 7031.5 by
any appli[an� �or a Dermil 5ubjecl5 the applicani Io a civil penalry ot not more Ihan five hunOreO Oollars (5500).
I. as owner o� Ihe pmpetly or my employees wi�h wages as �heir sole compensation, will tlo the work, antl the
❑ simcWre is no� intenaetl or o��eretl lor sale (Section 70aa, Business an0 Pmiessional Cotle: The Camrac�ors' $laie License �aw
tloes noi apply �o an owner of a pmpetly who builds or impmves thereon, an0 who Ooes such work himsel�/hersetl or Ihwugh
his or her own employees, proviAeO �ha� such impmvemems are nai intentled or o��ered for sale. I�, however ��e Ouilding or
imD�Ovemenl is 5010 wiihin One year 01 tOmplelion, �he own¢r will have ��e burden ot pmving he/She tlitl no� 6uilA or impmve
lor Ihe purpose ol sale�.
I, as owner of Ihe propehY. am e�clusively canVacting with Iicen5e0 coniractors �o cons�mct �he pmlect (Sec�ion 7044. Business
❑ anU Pmfessions Cotle- The Conlrac�oK Sta�e License Law tloes not apply lo an owner o� pmperry who �uilds or improves �hereon
dOtl whp COIItfdC15 IOI SOCh pf01=L�5 wi�h d C0011dttOf(5) IICCfISC jlUBU2fII �0 IhE r.00�fdCfOlS $13IC LICCIIS¢ L3W�. I 3ffl 3Wdf¢
thal pmol of their Worker's ComOensalion insurance ShoWU be D�ovitletl �o me.
� I am exempi un0er Section'. B. 8 P. C.
tor �his reason
Oale'. Ownec
I eo he�e�y ceNty I�aI I am aware o� ana un0ers�and ihe requiremems o� Califomia Health anA Salery Caae Sections 25505, 25533, and
25534 and ihat I ar any fu�ure builJing occupani willlwill noi (circle one) neetl to comply with 5ai0 s�a�e cotles an4 ihe requiremenls for a
permit for cons�mction or modifica�ian �mm �he Nir Ouality Managemen� Dislric�. flesiAenlial consimction apDlications are eeemp� �rom
Ihese provisions.
�ate: AOPI¢anl:
I �ereby cetltly Iha� I have reatl this appOcallon anA stala Iha� Ihe aDove lnlorma�ion is correct. I agree �o comply wl�� all clty antl counry
ardinanws and sla�e laws relating �o building canslmciion and hereby aulhorite representatives of this ciry to enler upon Ihe ahove-menlioned
O�operty lorinspeclian purpose�s^.�
Oale: h �� � — 7 � Signalure: � � � �
oriver's License oi Social Secuniy . _ .
16at�46 Wnne—Bmltlmg; Green—COEe Eniorcemenit Canary—Applicam; Pink—Revenue: Goltlenmtl—Assessor
� CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 062708 PLAN CHECK NO; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR
JOB DESCRIPTION ; REROOF O/WOOD SHING, W/COMP SHINGLES
CLAIM VALUE;
3,900.00 CALC-VALUE;
PERM NO; B 062708
GOVT; N 5UPP: N
PURPOSE; ALT
SQ FT;
3,900,00 GROUP OCC; R-3
3,900
/M-1
COMMENTS• REROOF 2800SF RESIDENCE 6 GARAGE W/COMP SHINGLES -�SMpO�K�Eq DET�¢R+�E UI
��r�***�r�r*�t*�t****�r��*�r**�r�r�r***�tx�r�e��r��t�t�t**�t***x�t*��****�**��r �78VIV��U��L./�`�
2 O N I N G R E Q U I R E M E N T S
sETBAcxs (� �
------------ MAIN BUILDING ---------- --------- ACCESSORY"8t4�i��`����—
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; 41218109 ZNE; REF NO:
PLANNING NfSTES> ,v'
j,
1E iE iEiE 3f iE iE if 1E i! iE 3E if.1E iElf it if k 1E iE if 3E iE 1E 1E if if iE iE iF if if iElElE iE 1flE it 1E iF �E 1E iE iE iF jE iE ik iF 3liE iE iE iE iE 1k iF IE iElF �E jE iE iE iE i! �t 3t it iE it iE iE iE iF iE iE
D E V E�%L'O P M E N T S E R V I C E S R E Q U I R E M E N T S
.y r,_
ZONING APPROVED'BY DATE; '^�
BUILDING APPROVED BY : DATE; '%"
f ✓
APPLICATION ISSUED BY; � DATE• .:�Z3
fFiEiE1EiE�lEiFitiEililiEikiflEiklFlEklEiEif7F?F3CiF'iF�3f3i"iFiF�Fif3F"iFiF �iFiFifiF3f3FiFiFiF'iF3FiFifiFik3EiFiE3E�k-Itif iE-lE
iE ik iE IF 1t iE iFlf ik i! iE iElk ik iE 7f �lt iF ik it iF i! iF iF �t iE ff if if iF if iE i(� �tlf if i! iE i! ik iF iF i! �lf.iF iF if it iE iF iE iE iE �lf iF it iF it iE �1E iF �1E iF 1E iE if if iE 7k iE # iF iE iF if !F!F lE k
LEGALI'LATION;N F E E ,'�S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES;� GRADING
PERMIT 63.00 �. 50,.
r', .ti .; SMIP/NON;RES
PLAN �'` v
ISSUE FEE '' "' ' r
BUILDING—DIV—> PERMIT ISSUE PLAN-,CIiECK TOTAL PAID "�� DUE
TOTALS----> 63,50 0,00 �_�,. 0}.00 63,50 63.50 "� ,00
REVENUE DIVISION TOTALS--> COI.LECTED;�; 63,50 OVER/SHORT: � ,00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC� FIRE SMIP/TOT GRADING Pi,AN—CHECK
63,00 ' _. � � ,50 `��;;
'' �...
�E 1f iE �F ik k iF �k ik �F fk �f �f k iE if M� if ik if i! iE IElf Ik fF �F if dE k iE iE iF 1E�E �E iE �k �f fE iF 1ElF iF 3F fE jF iE 3E jE if iE if !f 1E iF 1E iE 1F i! 14 %� fEj! aF iF iF 1E iE if IE iF 1f fE if �f IF jEiE
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
5FR 3900 REROOF BY VALUE RESIDENTIAL NOZONE
END:OF FEES
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1,00 ��� 3,900,00
,
( �`
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y
��:
D1 Q014l482—OO1j14E3 T�] T 53.50
�ATE: �El23;93 TIttE: 11�24
,. . !
� 4' �
CONSTRUCTIONAND�PLANNING . P��� 'PA
APPROVALS Permit # Date Inspector APPROVAIS Permit # Date Inspector
i
1. Temporary Electrical Seroice or Pole �- 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. •� . �� 53. Steel Relnforcement J
3, Electrical Conduit UtilityUndrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd.;. ' -- 55. Electrical Bonding r
'5. Steel Reinforcement �' - � 56. Rough�Plumbing & Pressure Test
�6.'Electrical UFER Grnd, � 57. APPROVALTO GOVER�GUNITE
�
-7. Footings � �� . 58. Electrical Conduit-Undrgrnd.
; 8. �Foundation , 59. Gas Pipe, O Undrgrnd., Test i.
9. Water Pipe-Undrgrnd. � �� 60. Backwash Lines, P-Trap, � Undrgrnd. ,
10. Structural Floor System ` � 67. APPROVAL TO DECK
11. Property Sewer LinA & Nous \Connection �� 62._Backwash & Receptor-Final
�
72. Sewer Cap . ,� • .� ' 63. Heater & VenbFinal �
�,
73. Roof Drains ' r � 64. Piumbing SYstem - Pinal
14. Rough Plumbing '1 r 65. Eiectrical-Final '�
75. Rough Electrical�Condui2 �� �• 66. Solar System-Finai �
i6. Rough Electric�Wiring 67. Fencing & Access ApProvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heati�g & Air Co�ditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Ficeplace � ' �' 1 � ,QPPROx/ALS Pe�mit # } �
2L�Ducts,in-Structur�# ' "" � � , ' 70. Underground.�Hydi'o �
22. Ducts, Ventilaiiny ., � ` . 71. Product Piping �Gas ❑Oil �
23. Gas Pipe-Rough & Test � . _ 72, Underground' Flush `� '
�
24. Roof Framin ' � '" ' '
9 _ / � 73. Undergrnd.Storage�Tank OGas ❑Oil
25. RoofSheathing . •�$/(j1 � ; 74. OverheadHydro-
% J ��
26. 7-Bar Ceiling (Structural) & Monocoat _ . ,� � ; 75. Dry Chemical • . -
27..frame and Flashing • -• 76. Ory Standpipe �
`28. lathing & Siding _ �- � � � 77. �FIXED SYSTEM F�iNAL -
29. Insula[ion - 78. -FIRE PREV. FINAI - ^
� 30. Drywall`Nailing " � Ir ` � HE�LTH DEPT.I�EQUIREMENT
3/. Plaster Brown'Coat.� � ( 79. FINAL INSPECTION • � i
�32. �ElectricaPPorrer yteterFinal � • � I ',:" �80. �FOOD CERTIFI�ATE ISSUED �
,
'^ ' .��
33. Pinal Electric- -.- . . + .. I ':'"Notes: ix» ri.,� --�ao � Qo�i`lvn. �tr R� 11oe(�
•$4., Fina( Heatin9 & Air�Conditionirig �� • ' �'� � f '� t' _� / •
�. - � � ��l �Ylo✓� � �•�-�l�f-�r Sft-% �-
35.,Final Gas Pipe�Tesi-. � � I � .I. - rt_ZZ� `� "-'
. .,. �-� �-�'/
36. Hood or Canopy • , _ � ' � -y �: ' � �- ��'�/ ' . �
. -
37. F.inal�.Fac2ory Fireplace - - � � � i � � ,�±
�
38. FinaF Plumbing � - - � ;. . . . -
39. Water Scrvice-Finai � �. ' M1�
40. Gas Service-F�inal ' • � ' � ' - � '
47. Solar pomestic•Firial ' � � I �;- , ,
42. Backflow Preventer- . � - '
43. Backttow irrigation � �• -' ' . . �
44. �andscapelrrigation5Ystem! •�� - � ' �� � .- � " ,
- .
45. Sound Attenuation' �. - . ' '
46. Handicap Regulations - ' � � - ,
I .I . � _
47. FINAL STRUCTURE & BU7�DING �_�_q'�; �i.iiL _. S�m�� ��(-�� _ ��d ,
� �'�/l �
4$. FINRL PLANNING -� _ � , •
'49. Electric Reiea"se to Edison , � � � - �
50. Gas fleiease to Southern California Gas Co ' � � =
51. CERTIFICATE OF OGCUPANCY - - •
No. Date
AOV���ant to fill in all spaces except tnoze within heavY bortler lines an0 sign all aoPropriate tleclaratians.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO_ TRACT NO. LOT NO. UNIT.IVO.
ProjectAddress 3359 FUCHSIA STREET� COSTA MES
Applicant's Mailing Address 3359 FUCHS IA ST. , COSTA MESA
Owner'sNar.�e TOM HIRANO Phooe 557-3275
address 3359 FUCHS IA -ST.: , COSTA MESA 9262Ci �
Arch/Eng. � ' � License No.
Address �
Contractor'srlam KINNEY AIR CONDTTIONINCphone772-1441
Addresslmai�ing) 1441 50. ANAHEiM BLVD_�i ANAHETM 9280
Ciry License No. ���21$
LICENSED CONTRACTOR DECLARATION �
I hereby affirm that I am licensetl untler provisions of Cnarter 9(commencing
with section �000) of Division 3, of the Business antl Protesslons Cotle, antl
.my license is in full torce antl ot.E6CL 419�5
l.L ll
License Cl2ss Lice N . '
Date 7-1A–��F � 5i9nature KTNN�/_(�� ".��—
WORKERS' COMPENSATION DECLARATION
' hereby affirm tnal 1 have a certificate oi consent to self-insure or a certlficate
� Workers' Compensation Insurance„or a certifietl copy thereof_(Sectlon
aoo, �ao.C�l'� 9970425 ' INA
'�� Policy No. Company
���Certitietl copy is hereby lumishetl. � �J
Ce�t� ie9 [� p Ii.s filetl with the tit 4�I vi i
'�, Date �-1`� �Y . APPlicantY �+"� ���%—
EXEMPTION FROM WORKERS' COMVENSATION DECLARATION
'(This section neetl nat be campletetl it the permit is for one huntlretl ($300) or
less).
I certi(y that in the performance of the wo�k �or whicit tM1is perm�t is issuetl, I
Shall not employ any pe�son in any manner so as to become subject to the
Wo�ke�s' Compensalion Laws of CalifOmia. '
Da[e ' Si9nature
NOTICE: If�, atter making this tleclaration, you shoultl become subject to the
Workers' Compensation provisions of [he Labor Cotle, you must forthwi[n
compty with such provisions or this. permit shall be aeemetl revoketl.
CONSTRVCTION LENOING AGENCV � '. � � ' ' '
I hereby �afFl�m that there is a construction lentling a9ency fo� the pertormanCe
of the �work for which this Oermit is issuetl (Section 309] Civ. C.) �
L.enCer's Name -
Lentler's Atldress .
OWNER BUIIDER DECLARATION - �
I hereby aftirm that I am exempt from the ConVactor's License law tor ihe
following reason (Section ]031.5 Business antl Professional Cotle: Any city or
countv which re0uires a Dermit to const�uct.�alter, improve, tl¢molisM1 o� repair
efrom antl
S.5 by an
alty of not
I, a5 owne
�pensation,
sale (Sect
=.nse �aw tl
eon, and �
to
the ba5i5 tor the alleqetl exemption. Any violation of Section
/ applicant for a permit subjects Me-applicant to,a civil
nore tban five nuntlretl tlollars ($500).
of the propertyfor my employees witn wa9es as their �sole
will do the work, antl the structure is not intentletl or offeretl �
>fl JO44� BUSIf1255 dOd PIOiES5100d1 Cotle: TM1e Contractor's
�es not apply to an owner of a property who builtls or improves
�ho tloes such work himself/herself or throu9h his or her own
vitletl that such improvements are not in[entletl o� offe�etl fo�
..r, IhE builtlinq ct improvemenYis soltl within one year ot com-
pletion, the ownet will have tM1e burtlen of proving he/she tlitl not builtl or im-
��ove tortM1e�purpose of sale).
I„as owner of the property, am exclusively tont�acting with IicenSetl com
tractorsto wnstruct the project (Section ]044, Business antl Profe55ion5 Cotle:
The Contractor's License Law dOes not appty to an owner of D�operty who
builtls ar improves lhereon, antl who tontracts fo� such prqect5 with-a con-
tractor�51 litense pursuan[ [o tM1e' Con[�acto�'S License Law). I am awa�e that
proof of their WorkeYs Compensation insurance shoultl be provitletl to me.
❑ I am exempl untler Sec[ion B. & P. C. for tnis reason
Date
-1 heretiy certify that
intormation is correct.
antl state laws relatin<
sentatives ot t s c' �
in5pection pur 5.
Signature
Drivers'�License or 55
CMF 0865-46, rev. 4/84
Owner
have reatl thi5 applicatio�
agree to comply with all
o builtling const�uctlon, a
to enter �pon the �bov
[hat tne above
TYPE OFCONSTRUCTION LJ NEW X� ADD LJ ALTERATION L1 REPAIR
'O CONVERSION ❑ DEMOLISH ❑ orRESIDENTIAL/HOME '
DESCRIPTION OF WORK/USE OF BLDG. �
TVPEIOF PERMIT LJ GRADING LJ FOUNDATIOnN Ll STRUCTURAL
❑ TENANT � ELECTRICAL ❑ PLUMBING µJ MECHANICAL
� ❑ �OTHER ' '
PROJECT DESCRIPTION 5(�. FT. � oCCUPANCV—
CONSTRUCTIONTYPE � - VALUATION$ OO
' ZONE GRADINGGU.Y�S. ACRES—
Remaiks: � . � , . ,
N
Sink
Preventer
Irrigation
Clarifiers
Dishwasher �
Drinking Fountains
Floor Dreins
Flaor Sinks
Gas Service �
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Reinspection� Fee
Outlets �� �
i
Showers
-Service Sink
Sewer Connection
Solar Collectors
Solar Tank �
Swimming Pbol w/Spa'
Urinal
Water Closet � '
'Water Heater
Water Service
e
FEES
$15 � I, Issue Fee I $ 3
Duct'- Under Ground
Duct - $trucarel
Duct-Ventilating �
Exhaust System ❑ Multiple ❑
' Firepl/Fact. Bit. ICBO �k
Heating System & Ducting ^
1 p�ioa,000sTu�ioo,000sn
Reinspection Fee � $15
White - Builtlin9; Canary - Applicant; Pink - A¢ounting; Goltlenwtl - Assessor
A.P.;#
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
;64oe eiisiaa
' Accessory�Building: I
r
Parking Reqf/Provide
..
' 15.50 .7L
i
Zon�
, ELECTRICAL �
Automatic Washer ' �- – Transformer ❑ 15-50 KW
Consttuctior Pole Sub. � � 50+ KW
Cooking Unit . Meter ❑up to 100 amps
Dishwasher � Merer ❑over 100 amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors �0-1 HP �1 %- 8�
F.A.U. Inc.Solar 09-15 HP �16-
Fixtures - - � Microwave
Device Boxes ' Pole Light
Outlets Range
Switches � g�9� ' �
Garbage Dispoul ' Standing Sections
Generator �0-5 KW 05-15 KW Trash Compactor
� Reinspection Fee , $15 Issue Fee
IANICAL FEES
Hoodor T ' • - DEVELOPMENTSERVICESREQUIREMENTS:
ypel ❑ . Zoning Approved By '
Canopy Type I I ❑ , � �
� 8uilding APProved By _
Refrigeration System , 1
�-100,000 BTU ��100,000 BTUI �{
�--
System Repair/Alteration �
-------------- 4
Issua Fee $ 3
� SUMMARV OF
BUILDING PERMIT $ , � '
PLAN CHECK $
PLUMBING � � $
PLAN CHECK 25% $
ELECTRICAL $ =�,�SO
PLAN CHECK 50%� $ -
MECHANICAL, II-��i ���
PLAN CHECK 25% $
0
a
2
O
N
�
• N
G
' R
E
Q
M
T
S.
FEES
$ 3
SMIP $ .
PERMIT �
ISSUANCE � $
ENERGK.P.0.� $ �
:GRADING ; $
MICROFILM $
TOTAL FEE $ I �J. 50
CONSTRUCTION AND PLANNING
,� APPROVALS Permit #
1. Temporary Electrical Service or Pole
� 2. Soil Pipe-Undrgrnd. '
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5: Steel Reinforcement
-6. 'Electrical UFER Grnd.
� 7. Footings
�8. Foundation
9. Water Pipe-Undrgrnd. .
10. Structural Floor System
� 11. Property Sewer Line & House Connection
12. Sewer Cap '
13. Roof Drains
}4. Rough Plumbing�
15. Rough Electrical-Conduit �
16. Rough Electric Wiring
17. Rough Wiring Sign
' 18. Rough ElectriCal-T Bar Ceiling
19. Rough Heating & Air Conditioning �
20. Rough�Factory Fireplace
' 21. Ducts, in Structure •
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing .
25. Roof Sheathing ' ,
26. T-Bar, Ceiling (Structural) & Monocoat
27. Frame and Fldshing
28. Cathing & Siding
29. Insulation , '
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Faaory Fireplace �
38. Final Plumbing
39. Water Service•Final
40. Gas Service-Final
41. Solar pomestic-Final .
42. Backflow Preventer
43. Backflow.lrrigation �,. . .
44. ,Landscape irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&�BUILDING
48. Special Requirements Completed .
49. Electric Release to Edison ,
50. Gas Release to Southern California Gas Cc
51. CERTIFICA7E'OF OCCUPANCY
No. Date
Date
rnl9/�`i
- POOL PA
Inspector -,ApPROVALS Permit#
52. Pool & Equipment Location
53. Steel Reinforcement �
54: Forms
55. Electrical�8onding '
• 56. Rough Plumbing & Pressure Test .
57. APPROVALTOCOVER-GUNITE
. � 58. Electrical Conduit-Undrgrnd.
,59. Gas Pipe, O Undrgrnd., Test ,
60. Backwash Lines, P-Trap, O.Undrgrnd.
. 61. APPROVALTODECK
� 62: Backwash & Receptor-Final
63. Heater & Vent-Final
� 64. Plumbing System - Final� -
65. Elecirical�Finat
66. Solar System�Final
�67. Fencing & Access Approval -
68. APPROVED FOR PLASTERING �
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit # ,
70. Underground Hydro �
� 71. Product Piping OGas ❑Oil
. 72. Underground Flush �
73. Undergrnd. Storage Tank � Gas ❑ Oil
' . 74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
.77. FIXED SYSTEM FINAL
78. fIRE PREV. FINqL -
. HEALTH DEPT. REQUIREMENT
� �79.. FINALINSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
b-
Date � Inspector
• i . .
0
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. .�Q'�Zi
IAT N0. � / ��
ADDRESS �� lr'1 f l�C�hS��A
DATE ! I � � I '1�
� �
The developer of the above entitled tract desires to seZl the above aet
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen:, acknowledges that
(he-she-they) �"'�e-`�' (was or were) V...'EQ-� advised that this tract has
not been given final inspection nor has it been accepted by the City o£ Costa Mesa
as having complied with the conditions of approval which were imposed by the City
00 . ��.'A-�
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or peraonal injury to the undersigned by reason
of the aforementioned uncompleted condition.
BY `� �../ F/ �'�-'"il�-t�-r.�>
Purchaser
BY
d
zepresentarive
BY ..Lc-�'�'�_ ����
Lender
42
PAID � *��
350�� ,��c �s-�z�„�_o0 99a • 154.34
COSTA MESA BUILDING-SAFETY DEPARTMENT -
�OLSp,O.BOX1200 WSTAMESA,CALIFORNIA92626 .
� PP I ATION FOR BUILDING PERMIT
For Applicant to Fi!l in Completely -
R E /BV DAl
ADORESS �F'LLCtlSlfl Street `
OWNERLarwinSouthern Calif. ITSC. A•P.NO.
BUILDING . �1.Z C!�
Z .
ADDRESS 1625 . nooaess����-��
ac"'� cirv Encino, Calif. No�986-889 TRACT '
ZZ
Q CONSTRUCTION ' W ADD R I
O� LENDER Larwin S ll .
J� BRANCH -1(ZSS Ventura BZ �
J N pWNER
Q W ADDflESS Encino Calif �
�ma ORENGINEER La.rG71T1 N�73_L�Li.FjC� SE � ��
U Q FIRE
wCL ADDRES591OO Wl S�ill ZONE T
d W APPRO E
J O CONTRACTOR Larwin' S BV
m Z ' •
J � ADDRE55 1 'l
p W TEL. ZONE�' PLANS
Z � cirv E No. _ /�
— � STATE CITV �'ARDS APPROVED
�� LIC. NO. 191311 � IIC. NO. B-1 MAIN BUILDING
� O . (FFOM GL STREET)
S12E ' NO.OF BLDCS.
OF LOT C)O X LOO NOW ON LOT O RONT FT.
VSE OF �
EXISTING BLDG.
F" SI2E OF NO. OF
Z NEWBLDG.19E3] ROOMS - STORIES L.SIDE FT.
EXTERIOR WALL FOOF
V COVERING StUCCO COVERINCI'VCI. -SYllll 12 REAF � FT.
J USE OF BVILDING AND WORK TO BE PERfOFMEO DISTANCE BET.
a � MAIN BLDGS.
a
Q vna. � -
.0 Construct sin c.u.P.#
F APPROVE� �
y
Z
�
VI hereby acknowletlge ffiat I have reatl this application antl state
� that the above info�mation is correct antl agree to comply wit�
� all laws regula[ing building construction„antl I shall noi employ
� any pe�son in violation of the warkman's compensaiion laws of
y the Staie of California.
zI hereby certify that I am properly licensed as a convactor untler SQ. FT. �
the State ot California Business antl Protessions Cotle, Divisicn 3, THE MOUNT SHO�
Chapter 9, and that such licenses are in tull torce antl effect, or I THE PURPOSE OF ES
am exempt trom the provisions ot the State of California Business VALUATION
antl Professions Cotle, Division 3, Chapter 9. �
Signature of ' � / �
Perminee d�� D. Downs g�
Authorized �ABent �
' p _ ' / ' /
' PERMIT NO.
^ -�. �
i C/�-SY/� �%kFe'T
LOT BLOCK
S.C.
VALUE
2 $
� GROUP
� DATE ���
USE OF NEW / r�G
BUILDING � �T ' �
YARDSAPPROVED
BET. MAIN &
�
TAk
/ m
�2 �
0
IN UNDER VALUATION IS FOR �
ABLISHING A PERMIT FEE ONLV: m
¢
m
PERMIT FEE $ �
��j �S ]
m
PLAN CHECK $ JV E
0
�S� �S LL
TOTAL FEE $