HomeMy WebLinkAbout2819 FRANCIS LN - Building Permits�UDflE550i BUILpII�: 2 8 1(J FRANC I S L N
avHraseweivuaww:LA BARE, ARTHUR
� ��. moncu:LA BARE JENNIFER
. 2819 FR`ANCIS LN
-� COSTA MESA,CA 92626
WPL. MAlIlNO AOORE55:
ApCNRECT Ofl FNUNEEP:
acx ow ua.�s �noness:
uc. xo:
CONfN�CTqI'9 NAME:
cartn�crans uuuta
�oo�ss: uc. r+o.:
uNT: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 077734 PLAN CHECK NO: N
UNT:
UNT:
LICEN9E0 COMP�CTOflS OECLAXATION: I MMy etlim uMx pne�y d parjury thu I em liqnsed undsr proW4ons ol Ghepm B
(commendip wilh SMion ]000) d Divi�ion � al Na Bua'ure W Fmta�siona COEe, end my Ikanw is In hA brca uM e11op.
cm uc. no.: uc. cuss: uc. No.: EXP :
I OWNEP Bl11LUEP OECL�FAiION: I he�eby dfirtn urMer perWy M psrN7 �� �� eaemq Imm ihs ConVedon Lloenee Lew lor ihe
� idbwnY rseeon (Satlion )W I.5 &wiwae enE Rvla�e'vu CaEe: AM W rc muM' xfiidi nVui�u e Wrmil �o mreWc�. Nlm. imWws.
'emd'eh, or repeir eny et�upun, prqr to aa ewarce, ebo raquiim the epplirenl lor eueh paemn lo file s eqrwd eWemenl thel hs or ehs
� IittneeE W�NI Io tM pro+uiw d Ne Camreuon Lioeme Lew ICheqa 9(mmmaicip wph Sedion �0001 a�+'sion � ol iM
Bueiewu arM Profeaebro Code� or IIW M a ahs o uemq thsahom aM �M baan lar Ne elbpeE examqion. My vblelbn at Setlon
]031.5 by any epplireM lor a permn euEpaa ihe eppfrem io e d.il peroM1y d na mora tMn Me huMred ddlen �SSaO�).
❑ I.eaox.rrGiMpero�Ya�m'emOM�+x'thweOamNweobmmGe��.MiOEONexak.anENewunureuria'vueMeA
or oXered br aeb (Secibn ]Oe4. BusMea vM Pmfmdone Cotle: The ConteeCon Licanve lew Gom m1 rypty lo en ownerot propeM
wlw buid� or inpwes Ilwieon, ud Ma Eoea s�ch xvk IvmwC n henN ar Nraqh hc or M own ampb�aea, povked thm wch
impmremama ere nd inladed rc WareC lar saM. tl. Mwever.IM buiNi�q a'vnpavanw u edd wi�hin me yeer d mmplNon, �he
owMr-0uiker vnll hew iM WMen d pmn�q M w eha did nol Mnld a imqo.e la IM W�s d oele).
❑ I. m oxmr d IM G�O�Y. em udu+nay' mNrotlM �iN Icetued conVeclaa lo m�mW IM Pqatl (Setlon J014. Bunir�a vd
Pmlwiom Code�. TM Cmtreqore L'cenm law Eoes na epply w en owrcr d qopeny xfa buike « impwee thereon uM xfio
wmracn lor eW� pqeea v.nA e mYrmar�c) I'r uw �o ihe GaNradon ' a Law).
}�jj i,,,,,_,,,,p„��P7044 e. P.c.. iw,�OF�N R�B�3�LDER
�reby ceniN �� I em ewere a� vd uMenuM iM naw�emm�dd ceua� He.nn �d sdey ceea sea�. nws. zssaa. d,d
, eM �he� I IX B�ry INu�e WIl�iiq Ompanl r.ill / wYl rw� (tl�cb a�la) rwtl �o comply win seN paie cotlm eM ihe mpuirememe I«
permnlammuuctimamodifraiionhanilnRr i�S�iury.Ir�iDigriq.Reeidwitieloonm�ueioneppiratiomereezemqimm�h»e
prov�.ions.
Dele: Applirsm:
WOHKEN'4 CONPENSATION OECL�P�TIOH: I heraby eihm wder pe�Wy d prpvy «w d Un Idbxi`p Eeifare�bna:
� I law eM xil mei�uen e ceMiuie d mment lo estliiuun lor worke�e' compemetun, n pwidetl lor py SeNbn 9)Op d Ihe LeEa
Coae, la I�a pMamerce d iM wak Iw wlich Nn pnmu u mued.
❑ in�.�e�i�ae:,.�xen�ro�����...�a�dwsw�e�oouma�n«coes.m�meo«+o,m��dme
work fa �fiidi I�u permG u iseued. MY waken' oompertalbn'vuurerce raena vd pdiry numbx ars:
c� .
PdiyrNumber:
lm;:..n�o,� �.e �a n�dm.d r me v�• rs ra, � n�d dde,. Riool w�..1
❑ I cany uiei in �n. v�ormeMe a ine work I« whi Ji inn oeimi� u mued. I eneu roi ampw anv w�+ in anv menrwr m av io
becana wbjxe io iM xvrkere' mmpeneelon lev.+ d Ca6loma. eM epres thet il I ehauW bewme eubpa lo IM worken'
compsnviqn p�pna'vn d Sedion �)00 d IM labor Catla. I YWI IonM1xeF mnply wuA iAme p�witipe.
Dele: Appliwu:
Weminp: FeNun ro ucuro workwi ronpwu�tlon rov�np� b unNwN( �nJ �hll wGHcf �n m�vlayx to ctlMIW pm�Mu enJ
clvll flina up ro on� hwtlrW tMuurd Eall�n lSI� P001. M ME/fbn b M� cwt ol romvewfbn, d�meP� �� OrovltlM br /n
Sxtlon 9lfk' ol fhs Lebor Cotle, Inroiut ���msy's lsu.
CONSTFUCTION LENDINO AGENCY: I Mreby aflum under peneAy d per�.vy �hm ihae u e oonnivaian bMiip epercy Iw Ne
�n�ance a ine .oa i� .n�d� me o�� n aw•d Is«ao� aw�. cr. c).
LEN�ER'S NRME:
«oens�oonessLEGALIZE PARTIAL REROOF I
i�anM �n� i n� �m mo eod��lA�Sn �r. �Ai�iDLdi�bd.7eDi6�T�Iklbbfd'eiar d,e �mr «e��a
enC e�ate le� Mminp �o Wikig conaVuaian end Iwreb/ eullarce npresen�elrvm d �he aty io an�x upon Ihe above�memioned propeM
r�`��'OeCYp�°��D�"'JENN �E A BARE
Prvu (� �
Date: `
SiB�wur N wrre n AGVf� iureew
(Stst-46.WP) Wt�'ila-Buildvq d Sefery; GreerFb: Catary-Appicenl: Pink-Rerenue: Gdden�o�Assessn
PERM NO: B 077734
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRZPTION : WINDOW IN BATH PARTIAL GARAGE REROOF SQ FT; 600
CLAIM VALUE: 600.00 CALC—VALUE: 600.00 GROUP OCC: U-1 /
����*�******��*x�+�*+Ar******��***x**�**���x*�*�**�r***�E*****�******�*��**D�*���***
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14133106 ZNE: REF NO:
PLANNING NOTES>
i
IE IE 1E 1E 1E 1E 1Flf iF 1f 1E 1E iE 1E 1F iF 1ElF 1f if 1f iE 1E 1f iF 1E iF 1F iF 1E if 1E 1ElE 1E 1E IE iE iE 1E �lE 1E �IE 1E iE 1E 1E 1E iE 1F'!h ik 1f 1E 1ElE IE 1E 1E'lh 1E 1ElE 1k if �E iE iE 1E 1E iE iE iE iE 1f 1E 1E'lE 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 .
ING APPROVED HY
APPLICATION ISSUED BY: (� "�L
i�i� * *it�ti[�atati� *f[�i�i[�i�iEitit*itit�tiF'{FiF:F7FiF7FiFiFiF7F'iF3F'iF3FTF 7FiF7F3FiF7f7F3F7f7fiF
LEGALIZATION:Y F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 47.50
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 48,00 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
47.50
DATE;
DATE: �j�p/
DATE; ,] �_� � � 1 b
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
50
SMIP/NON—RES
TOTAL PAID DUE
48.00 48.00 ,00
48,00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.SO
If iE iE iE 1E 1E iE iE iE 1E iE iE 1E iF iE 1E iF iF iE iF iF iE 1E 1E 1E IE 1k if if 1E iE iF iF iF iE iE iE IE iE if iE iE iE iE IE iE 1f if 1E 1F 16 iF iF M 1F fE iE iP 1E 1E M iE 1E iE 1E 1F if iF 1E 1E IE 1E 1E IE iE iE i(� iF fE
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 SO ALTER HY VALUE RESIDENTIAL NOZONE 1,00 50.00
SFR �Q'� ��`�t�"'@�AL�RESIDENTIAL NOZONE 1.00 550,00
X 3� '/ END OF FEES
1 � V
DATE �
., _ _ i�. � - -
� �\
' ^ � - ` POO SPR
1COilSTRUCTION AND PLANNING ' .'
-yAPPROVALS Permit# Date Inspectoi ��pppROVALS Permit# Date inspector
t. Temporery Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undr9rnd. 53. Steef Reinforcement
""3:'•Elettrical Conduii Utility�Undrgmd. 54. Forms
��,4.SElectrical ConduiFUndrgrnd. 55. Electrical Bonding - ,(�
-�'Sr 5teel Reinforcement � 56. Rough Plumbing & Pressure Test � �
a
���6,. ��trical UFER Gmd. 57. APPROVAL TO COVEfl�GUNITE � -
7,�Footings 58. Electrical Conduit-Undrgrnd.
_. B.,Fbundation 59. Gas Pipe, O Undrgrnd., Test _
9^Water Pipe�Undrgrnd. 60. 8ackwash Lines, P�Trap, � Undrgmd. '" -' '
10. Structural Floor Sysiem -� 61. APPROVAL TO DECK -
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Finai
12. Sewer Cap 63. Heater & Vent•Final
13. Roof Dreins " 64. Plumbing System � Final �
74. Rough Plumbing � - 65. Electrical-Final ,_
15. Rough Electrical-Conduit . G 66. Solar System-Final .
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 66. APPROVED FOR P�ASTERING
18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEA9S FINAI
19. Sough He�ting & AiyConditio�ing. ...;, .. � �_. � �:• F�RE pEPTtgEQUIREMENT .
- ` .: 7' - ra -
20. Roug}i Factorc�:Fi�Wace F<' � S�• �=C APPROV4ILS rp��mit# �-' �'�
. � `' _ ; s � g �. i �;'
2L Ducts, in,STsubtur�; �� �� . - , _ ,- � ,; � 70. ,Underground i{qdro x
22. Ducts. Vei�tilatingi-�-� �- _ r .. .-`. 71. Produt�T�(ping��f as CEIOi� _
�. ,
23. Gas Rpe-ftough & T�st rr„ �`�� '; `� �. `. _�. 72, Undergroynd F4ush` `�
_ r - - .
24. Roof'Framing Q+ n �. . T_. -•�+ 7� Undergrnd.StoFs�eTank OGas ❑Oil�;�
25. RoofySheathing .,` < „r. _ �.• � "a ` ` ;� *
t -,; -� ,: 74. �Overhead Hydro� - i . '
26. T�Ba�.CeiFng (Structurall & Man�oat � - l ' � 75,'Dty CheFnical --" * '� -'
_ 27. Frameand Flashi�� F��:� ` r'T � y fi 76. DryStand`pipe,r�� � ''� �
>
,28. Lathing&.Siding i- �� �� r;,;F i.i :k { '+� 7T FIXEDS�YET�M�RINAC'-� � • ,
.,
29. Insulation ._ r.; � S.. .. ; s � ��`�, 7� FIRE PREV. F1,faAL 1'
�•.
� 30. Drywall fya��ing ,^-�� � �x F� { S '�HfiALTp,DEPT._REQUIRE4YlENT
; 31. Plaster Browrc.�oa��� = � 6``�r'', .y !` �� 79. FINAL I�n,lSPECTIDN . _ -
32. Electnca�ower Meter-�ina1 , �� � � '� � � 80.° FOOD CERTIft1 �CATE ISS�tED-- �� '
T..
33. Finaf�lec�nc;T t �. _ ''� r � - � Ngtes: ¢ �� � : ` -
'34.£inat.Heaiing�&Air'�onditionirig-' �� .-N: �- -' �% - ,- -
h � � �
`' 1 _ r- � ~ c.. - :.
35. Final GasKPiPe=Test *• N, " Y � ,� -' ; R �_
, S.- ii' " !, i, � F. � . L�..
' 36. Hood�orf-anopy �i "�, -;r, .,. . � r*, :c � - :--
y 37. Final Fact;pry FireAl�c� � � : � �r ' � ; , „� C- • - - -.
�. i :x� . -i 1c _, �' ,. �"�-
� 38. Final.Plump��9 - ' ' -,. ._ - -
39, tNater Sercice�Final +� E: � r . `� , � • ._
��,; . x ,- �-''
_;40. Gas Servi�e-Fiti�l �� � - �. �, . _ « � I � � , . .
a y
- 41. Solar pomesti�Fi6AN� t' * ' R' -' �� 'k %" -
R + ' �� '
' J D; a � • � . �
42. BackflowPreventei:, �., - _ .. . � f- ",;
43. Backflow Itrigation.{ _� �* � X" R" '
„ r � .v
- _ + -�.. x . �� .��: .
44. Landscapeirrigation,System=,1;� -n � _,, ., - .i p;,, -
45. Sound Attenuation . . ' '. - " ^, • ' . . �', �' � . `
4 �- c - ..y � , ._�. .. �
46. Hand'}cap Regulation�s '� • ,. { rr ," J q x
p
47. FINTL STRI�CTItAE & BUILDING r�- '�r � ` e'
r � fr ;' tr '- . :.
48. F,1NRL PLANNINf_„ � � � ' - 4 •- = -
�9. Eiectoic Re�ease to Edison • ' � " '
y Y
50. Gas Release to Souttjern CalitorniaGas Co � _ i��. . ,- -� �. . , l,-
51. CERTiPICATE OF CCUPANCY -
No. Date
AOOPESSUFBVILdNG: ZB],J FRANCIS LN �
OYME�SWYEIFqqWN:LA BARE, ARTHUR
eooness:LA BARE, JENNIFER
� 2819 FRANCZS LN
� COSTA MESA,CA 92626
AVPL. MAIIING AOONE55:
�RCNRECT Ofl F1NiNFFP:
i
MCN.Ofl FllG:SAWXE55:
CONfPRtTOP'SNANE:
cwrn�cToxs �uw�o
�ooxEss:
UNT:
uc.ea:
UNi:
ua xo.:
UNi:
LICENSED COIRP4CTON5 oECUPnnON: I hemby M'vm unAer penehy d pspury IIW I em IicenxE uMm pwiaiora ol Cheple� 9
(commenaiq vmh Seclion )000) d Diviaun 3 d �M Buamu eM Profeseiona COEe, eM my lioenx u in lull taca vd eHxt.
cmuc.No.: uc.cuss: uc.No.: EXP:
Dab: ConVeUoc
OWNEH BUILDEP DECLAPATION: 1 hereby effi�m untler panelly d perlury Ihal 1 em eKempt trom IM Convedon licenee lew Iw ihe
tdbwip �eeeon 1�� )031.5 &rsiwaf vM Prufineion� Code: �nY ciy rt coun�y whidi tepuirea e permN to omshucl. eller. impove.
'� demolsh, m ropeir eny sbuMuro, pbr io na evueMe, ebo reQuiroe Ihe eppliram la auch permn lo fle e aipned etalameM �hel he or ehe
ie licerued W��� �o tM poviabm d IM COMreGwa limme lew jCheqer 9(commmaiq wdh Sedion ]000) d Diveion 3 d ihe
Buaineae eM Vrdeeaona Code� or ihu M a Me ie uemq Ihaehom eM Ihe bem tw IM elbpeE uemqqn. My videtun of Sepion
]031.5 by eny eppliran� lor e parmtl wEjectn iM epd�� �o e evil penely ol ml mare �hen Irve huMred Edlen �E500]).
� I, es ovmer d tM popenY a my empbyeee x#h wepae ea ihei role camperim�ion. will Eo IM wak. enE IM ewciure e nm inieMeE
or ollereE br aele (Seclion ]006, Buumea enE ProleesionaCOJe: TM Conuwwa Liwnsa law daea rim epply to en ownar of propaM
who Wide or inprovea iMreon, uM w1a doee euch woM NmeNl w Mne1 a Ihraph he a Mr own ampbyeee, prwkeE it� wc�
improvemaMs ere ml in�anded a oilareA br eele. fl, howevec Ihe buiNinp or imqovemem ie eak wnhin one yeer ot wmDlelion, IM
owiwr-builder will heve t�e buNon d provinp M or ehe d'M nd W ild w imprws iw IM WNwe W aele).
� 1. ea oxnx N iha pmpeM. ��dusrvely wnvx�ip wnh licenwd conirectae to ronalrud Ihe D�I� (Sedbn ]OId. Buainre aM
vm�esaone code: m. cwnreaon Lice�.. l.w dr io en owrwr a o� V ro wno wile. « imo�'e. �n.r.00 .oe wno
o e Iw euch prol�a xiih e mmredoqe� Icen punu I lo t�e Conv on Li. ensa �
}�] `em e uo er ' i 7 0 4 4 e. 6.c., ror 's reeaonl.�ti i— ' I
, � a�
1 do h y carliy Ih I em ew ol end uMeralenC the ropuiremenle CelAomie h eM 3 y Code Sepione 25505, 25533, eM
5 , aM WI i a eny Mure buikirp ompent xill / wil rrot (rircb me) med to mmply wIh eeiE etate wEa eM tM raquiremenn M
pertn�brmnel�uctionormod'ificmionhomlheA'v ue�apemenlDistrkl.Reekemidmnnruabneppfu�ionearesumpt/romlhme
prwisiona.
Oele: Appliunl:
. WONKEN'9 COMPENS�TION UECLAflR10N: I Mraby dfiim uMv penelly d peQury a�e d tha bllowinp Eatluetone:
� IMwuMwilmeinieneceMRctledwneenitoaaMimunforxpkere'comparopbn,mpovidadlabybwian3100dtMlabor
CoCe,iwihe pertamar�ce dihe xvrkla whi<hihie permnieievued.
� I heve and xil meinten wakere oompenWun inweenw. m�puired by Sepion �]Op d IM Lebar Coda. br tM pMormeMe M tM
woik br whiM iM1ie permn n iaeusd. My warW�e' companaelion inwrenca ramer end pdicy number era:
c�
aawr N�mn�,:
(TM1is necfion need rwt be comdefeC / tM pemrl is M are hundred Jdlers (Sf00/ or bssJ
� I cenM ihm in Iha pMortnenca d ihe wak la whc� ihie peimil ia iasueE, I sheN � empby arry peimn in eny menner ao m �o
b«� wniec m ine wo�en• comoensmb� ia.. d c��b, e�d ro�ee mm n i.naub secome wqw io ms wo�an•
compeneelion Droviebns d Sedion 3)00 oi t�e Lebor Code. I ehell lotlhxilh campy wnh �hoee pmviai«n.
Dete: Applicenc
W�m/ny: F�llun ro szun work�ri compownon rorerap� b unbwNl, md �Mll �ub,�ct m�mployw ro cr/Miu/ pxuMs/ �nd
elvll flro� up ro om huntlrsJ fMuuiM CWlen (5100,000), In edrlltlon ro Me roaf ol romp�rwf/ory tlamepu sa prov/Ce0 br In
S�ctlon J�(I6 0/ Ms LeDor CoW, /nMuL ��tl eflomsy'� Iqs.
CONSTNUCTION LENDINQ AOENCY: I hereby elfirm uiMer penelly M parN�Y �� �here is e oonmrueion Isikiip epmry /or �M
perlorme�e d tM wvM Iw wfiidi ihc perml is'vwed (Seaun �09], Civ. C�.
LENOEF'S NAME:
LENDEH'S A�DNE54:
I cenity �hai I hare read thie epplcetion arM daie thm the ebove inlormelion u corrae. l epree io comply wilh ell ary ud muny oNineMes
end ateie lewa mlaiinp to Euildin0 �onsvumon arM hereby emhorize repreeantetivea of thia dry io amar upon �he ebove-meMioned pmpeity
�����90'�'p�°��J N IFE LA BARE
P� ' Q
Da,e: I
ig r rl onV w
(5151�C6.WP) WhBe-Buildvq 85eMy; Oreeo-Fle: Cenery-ROClicenC %nk-Aevenue: GOldenro�Rsaemw
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO; P 077735
PERMIT NO: P 077735 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: C'—N PERMIT TYPE: PLO PURPOSE: OTH
JOB DESCRIPTION : REPAIR WASTE LINE FROM KITCHEN SINK SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: U-1 /
COMMENTS: LEGALIZE WORK DONE WITHOUT PERMIT
*at�atx�it�it���*�r�***itat*****� �r� itx *iE*�ieieieit*�*�**�t**ieie**ie**itit�*at*�**��t�*iEieitit*itatatit�x iEie
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: PAACEL: 14133106 ZNE; REF NO:
PLANNZNG NOTES>
i
IE 3E iE 3E if' iE iE �E iE 1f if iE 1E iE iF 1E iE 141E'IE iE if'14 if 1f if IE 1E 1I� if 1@ if� iE iF aE iE if IE 1E'If if 1f 1F iF ik iE 1E iE 3E i! iE 1i iE IE 1flF iE iE 1E iE iE iE IE 1E iF 1f 1(� if iE 1E 3E 1E IE iE if iE iE iE iE
D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N T S
ZONING APPROVED BY ,
BUILDING APPROVED BY :
DATE:
DATE:
DATE
7 �
LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 14.00
25R SMIP/NON—RES
PLAN
ISSUE FEE 20,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 14.00 20.00 0.00 34.00 34.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 34.00 OVER/SHORT: ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
34.00
If 1E 16 i41f If if� 1fl6 �f ik 1f iF 1F 1F iF 1F iF If 1E if iE IE iE IE iE iE IE'lE 1E if IE If iE 1klE if� �F if iE iE 1E 1E iE iE 1E 4E iE iE if iE 1F iE iE iE 1E 1E iE iE if 1f 1E 7E �E'If' 1E iE'IE 1E IE iF iE iF if iE iE if IE i(�
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 FIXTURE SET/TRAP W/PIPING & HACKFLOW 7.00 7,00
END OF FEES
E,X. I1�ED� Lw �;�,�r'� . - - - . = -= -
DA'i'&�
a
.,
'`• � � POO� & SPA
CONSTRUCTION ANO PLANNING .
�APPROVALS Permit# Date Inspect i ��APPROVALS Permit# Date Inspector
t. Temporary Electrical Service or Pole �' 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. 53. Steei Reinforcement �
`f3r�1'ectrical Conduft Utility�Undrgrnd. � 54. Forms "' '
...� � -.
�4.: Electricai ConduibUndrgrnd. ' 55. Electricaf Bonding ,� "')
�'. �5' �$'teel Reinforcement a.� 56. Rough Plumbing & Pressure Test .
'��rElebtrical UFER Grnd. 4 57. APPROVAL TO C6VER�GUNITE
��.�ootings , . 58. ElectricalConduit�Undrgrnd. �
�8-: �Foundaiion - � 59. Gas Pipe, � Undrgrnd., Test - �
9:' Water Plpe-Undrgrnd. : 60. Backwash Lines, P�Trap, G� Undrgrnd.
70. Structural Floor SYstem r. � 67. APPROVAL'TO DECK
i t. Property Sewe� 4�na & House Connection � � � 62. Backwash & Receptor-Fina�
12. Sewer Cap '' ' 63. Heater & Vent-Fina1
i3. Roof Drai�s 64. Plumbing System � Final
t4. Rough Plumbing r _j 65. Electrical-Final �
�
15. Rough ElectricabConduit �.. . �c ; 66. Sotar System•Finai
76. Rough Electric Wiring � 67. Fencing & Access Approval
77. Rough Wiring Sign - 68. APPROVED FOR PLAS7ERING
18. Rouqh Electrical�T Bar Ceiling 69. POOUSPA SYSTEh4S FINAL �
79..Rou�h Ne�tirg & Aif Conditioqing� � - - r � R}qE'DEPT:'REQUIREMENT .^
' _ __ .. ' l-I ' �i:��- M �'
20. �ioui}h Fattory Fi±'-eplace ' _ k � APP�O�,�:,$�` P mit #' '`� �
- s; - . r1' �� 1 -r----
21. ,quc[5�, iru�tructure� r .' -.- - �;, � x�- 70.°FJndergrouTid FTYdro .
... �
22. Oucts, V€ntilaaingL � v C �' �- t� ° 77, Product'Pipiny.�Gas i70i1 �
23. Gas Pipe-&ough &-7est .-,-: T- rt m 4 72. Undergrevc�d Ffush +. .
24. Roof Framing r" ' 'T' �� '= _ � v 73. Undergrrid. Stdrage Tani� � Gas ❑ Oil
25. Eioof Sheathing � �� `�l � -� �:� ��' �e 74� Overhead Hydro t� -
26..T-Bar Ceiling (St�ucEural) & M6n6coat - - - r � � 75. Dry Chr�,pical '..' „ S ,,,� � .�
. 27. F.rame artU Flashing � '" .' ` _ , . ` - -= - •"- r+ !
i�. e ;.. ,� s- -,:,• 76. Dry Stan5lP�Pe¢ -. . x O N ._, . t j'1 �
- `� .
.,28. Lathing&'Siding'; _-.-� O *,� ; � 7Z; FIXED`SFST@i�1yFiNA1`- ��' �" ..,�i . 1
- 29. Insulation .-�; _. " �� � _ � �K� J�:_FIRE�EREV. Ftt�tAL ��' � ` r•: , �
30. Drywal7 NaiBng �^� - � tt E" tt == ;+ WEALTH DEP*frREQU1R'EMEN�
. 31. Plaster Br.`.qwr�Co�:� �- T h y: i �t � 79. FINAL ii}!�PECT�ION r; - r. �; '
' 32.'�lectrical Power MeterFinai � � V `� � 8Q; FOOD CERTIFI�¢TE ISS{JEQ�
,. , , . .. , -S
33. -Fina�E�e;itri�, , A � . x � �,. j ��; Nnies: w; - - ` --�<; ,.
^ 34. ;Final:HeaYing$� Aix�Eonditionln`g- i-�7 x.• � :�: n r � -
e - - `
35. Finai GaS�Pipe�T¢5t. " �. �' . . �, ` �` •' . - -
� v�
� 36. Hood�or CanoPY `. - - x � � � �K -� 'F=. x .-. """
� m r �r
_ 37. Finai Pacfory Fireplace�.�� � `'`" r � , , ; ' - - -
� 38. Pinai Plumbing - - - � "� -� '` • J , ----
r r o:
39. Water Service-FiPal - � c ':' a. < ^•
.. I x r-. a... • t .J
� 40. Gas Service-Final - � ,-..-. t+� e� � ' w c� • � <. * <'
- y :- x
- 41. Solar pomesticFinal '' �i �'� = � a ' `
- v� ' r � Y �r G, � -�
42. Backflow Preventer •� �� -_ �. �-, , rf r:�.= + y �-
- - �. x
43. 8atkflow irrig�tion !" ` ; ,� s - .l, . _ ,-, .
�
44. ,LandscaPa Irripation SVstem , r z ^ '" ^�� = � %. ^ -. :� _
r i: 'S icf
45. Sound ARenuat�on' " " . ' � �; - ' �� _ .; F ' `
H. � 's t iT; .•�-'
�46. Handicap Regulations � � � , r v � � . '�
47. FINAt STRUC7URE & BUILDING * F" j�.x _, u, 'P .
4$. FINAL PLANNING;� � �� �• � �F� � � t� : - f
r
49. Electrie Release to Edison � ` . !` ` '� ^'
y � '�; = r' . t -
� _ , .
50. Gas Release to Souzhern Caiifornia Gas Co - - +
51. CERTIPICATE OF OCCUPANCY
No. Date
,' "���� �_�
_ .- � �'" ��' �`'_��:8`'
'� :COSTA;�M�ESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 C08TA MEBA. WLIPORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING _ . _ '
� MAIL
COSTA MESA. CALIFORNIA
Corona del Mar � No:OR 34220
T TEL.
LIG. NO. O O U �
SIZE � � ' _ �
NO. oP pLp68.
P'N6TF1¢ETN �7' REAR YARDE
/ �
RO ILEFT _ � RIGN7 ,�
DESCRIPTION OF WORK
EXTERIOR
COVERING
t1SE OF BI
PLY WITN ALL 1
6UILOINa CONB
BIGNATURE OF
PERMITTEG��
AUTHORIZED A
ROOF
COVERII
K,TO BE
���,S�`'" pEC 3/ 196�1
% 1 �I'7'Nf�l1��d�'I/,��'r�
Lo -f' `t � ,,,:, .�E cntiTf, i:i��.,
APPLICATION`FOR PERMIT
BUILDING
For Office Use Only
PEC6IPT NO. ����T�pq
%
t
REC V6G eY DATE RECEIVED �AT[ 18811iD
�� � /�` %—<�I DE�e U iyetl
)ORES6 2819 Francis Lane
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING
ZONE I NO. OF ( UBE OP
R�1 PUN9 /2 BU�IDID
LEOAL Y y /� lA
YARDS
APPROVED
/ cc¢eirea uHe et.�
APPROVED
EVES
��
+H THAT 1 XAVE R THIB MPLIWTION TMg AMOUNT BHOWN UNDER VALUATION IB POP THH
ABOVE IB CORRlCT ND AGREB TO COM- pyppOBE OP EBTABLI9HIN0 � PERMIT F6! ONLv.
INANG¢B AN� 8TA 8 LAW9 R80ULATNO
. VALUATION
A / ' PERMIT FEE $
(A/l.
S I�/ a��!M PLAN CHECK 'S ���}�/,
� `�V
I
0
u
l� 2zo�7 FEE RECEIVED
CO�A`MESA BUILDING-SAFEi r DEPARTMENT �P�. 8 18G1 �
� P.O. BOZ 9f7 Q09TA MEHA. CALIFORNIA ' FINANCE DEPL
��� � C��STp MESA
For Applicant to Fill In Completely APPLI O F PERMIT
7YPE OR PRINT BUILDIN(3
^/�Q Q ,A For OHice Use Only
ADDRE55 ` �+ I 1 �2/JNC� � MNF
' RRC[II� NO. PlRMIT NO.
COSTA MESA, CALIFORNIA �ZflK�]
acc¢rv¢ ar ow ccelyao owrs I�ny'e�
OWNERJE22Y r- �.1�aNNs �l�MaH,�� - �� ��-�'
MAIL n 1�n I AOORE88 f -1� 2 la C�S � Iz
AD�RE59 Z b IR 1/iA NC1S LAN/l,i
TEL. �// ZONH TYPB GROUP
CITY � AM1=$IL CALlf- NO.S�IODIT+S
APPROVED �
ARCHITECT SGLF NO. '� BY �DATH
OR ENGINEER
NING
ADDRESS 1 �-� ZON No.oP UB80PN8W Fdrr} Oa�ry
CONTRACTOR �-! LCA/uIT/ �����{VI/ " � I PLANB Z BUILD�rvO H.
L80AL �.o�- 97 �R �rR 3as3
U88CPIP�ION
ADORESS �/ /
CITY "�' A.P.NO. I7/— 3� ' O(fJ
N0T8: NO EAVE OVERHANO HHALL BE LE66 THAN
STATE �_ TEL. �.. 80' TO SIDE 8 REAR P. L
LIG. NO. NO. '
OFLOT / D, X�I ' I NOW ON LOTB / ALLOWED (U. B. C. REQUIREMENT)
USEOF fI YARDSAPPROVEO YARDSAPPROVpD
E%ISTING BLDa. !1 OI�(� MAIN BUILDING AGCESSORY BUILDINO
(FfiOM C/L BTREET) /�
6ETBACK LINE FflOM � I FRONT �JQ � PX/�/ F`(,
CENTER OF 6TREET O REAR YARD � �j J y.
SIDEYARDI LEFT I ,I RIGHT V' R.SID6�/��e"I 'a e��J��? F7,
DESCRIPTION OF WORK L.SIDB rT Fr. rr.
NEW ALTEflATION ADbITION
qEAR �o FT, � FT,
DIBTANGH BET. BET. MAIN 9
REPAIR MOVINO DHMOLIBH MAIN BLDOB. ACCESS.BLDG9.
BUILDIN6 NO.OF VAR.�C DATE
61ZE ROOMS BTORIEB I C.U.P.JF APPROVHD
EXTERIOR WAL ROOF APPROVED �,�% L�/Z� /�/
GOVERING TJCCU COVERIN6�N�NG<-E BY �ltl�� DATfi oi
USE OF BUILDING AND WORK TO BE PERFORMED -
i
FnM��Y �oo � ' "
06( "
s4. �. �
I HEHEBY ACKNOWLEDpg TNAT I MAVE RPAO THIB APPLIGTION TII! AMOUNT BHOWN UNo¢P VALII�TION IB FOP TH8 Z
•NO ST/TE iHAT THE ABOVB 18 COHRER AND AGREE TO COM. PURP098 OP BSTABLI8HIN0 A PERMIT FEE ONLY. Q
PLY WITH ALL CITY OWUINANC88 ANO 9T�T8 L�WB R80ULATINO �
BUILo1Na COrvBTRUCf10N. VALUATION „
SIGNATIJREOF � �'ERMITFEE �
PERMITTE /� m
- $ �✓ �D �� A C E �
AVTHORIZED AGENT �`
TOTAL FEE $ � 7 "�
�,
Ft '
COSTA MESA BUILL S-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
no�oa°es"s a� I F{ZAN ' fLQ._,
OwNER OR .�A �
TENANT IlN
CITV�,a �f�
CONSTRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT i�_,.
OR ENGINEER Y��O'�
ADDRESS�,�t,�( ��
CONTRACTOFr�'
ADDRES '��1
CI T V=�U� 0..�/
� STATE
� �IC. NO
{s� 512E
0. OF LOT
a USE OF
� EXISfWC
�
s
F
G
� USE OF
F
a
c
.�
a
�
r
J
a
W
NO. /,� i
CITV
LIC. NO.IN
INO.OF BLDGS.
NOW ON LOT
Separa[e permits are required for
elecUiq plumbing and heating work:
\
in9a 6i16/80 7206:, TL
APPLICAT[ON FOR STRUCTURAL PERMIT
RECEIp� 'PERMIT
(
A.P. NO. `�J� � JI._
BUIIDING � ()%�]' �
ADDRE55 d %
UNIT OR
SPACE NO.
TR�Vfa.��.� LOT /!, A
NEW ADD
X
OWNER
USE �
>'
v ZONE
� .. APPROVED
APPROVEDSETBACKS
PLANNING ACTION
APPROVED
/ ;i
W
! J�
qEPAIR
VALVE
DATE
APGROVED
��
� I heraby acknowletlga ihai I hava read this epplication end state °�'
y� ffiat the above (ntormation is correct antl agree to comply with �
4 all laws ragulatin8 building construction, and 1 shell not employ �
,� any person in violatlon of the workman's compensation laws of v
� tha Stata of California. �.T.c ���"� � �
3 I hereby certity that I am properly licensetl as a contractor untler SQ. FT. ��J�J rv
tha State ot California Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VA�VATION IS FOR ro
Chapter 9, antl that such licen es are in full force and etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e
em exempt from a ovisions ot the State of California Business y
VALUATION PERMIT FEE S
antl Professions otle, 'vi ion 3, hapter 9. �" m
Sle�ature of � /, PLAN CHECK $ ���� "� �
Permltiee - $ �� � V � O
,�( TAX S �
Authorizetl Agent Oate ��� �! � v TOTAL PAID $'� �� U