HomeMy WebLinkAbout3438 FUCHSIA ST - Building Permits(714)M�1tT¢$3 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 3438 FUCHSIA ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 41217311 Zoning: Rt R1
Applicant: ARELLqNO, ARMANDO
Address: 2702 W POMONA ST , '�
SANTA ANA; CA!- �� /
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Owner: WILLIFIMS, D'BRIAN
Address 3438'FOCHSIA ST �
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i �/COSTA MESA CA . .
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Contractor: � R B ROOFING �
,� Address: 2702 W�@OMONA ST
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. � , - ; SANTA ANA, CA
Zip: � 92704 � _
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Address: ' � � � �
� � � � Phone:
Fhone: Q14) 754-4107
Zip: 92704
Phone: - � .�
Zip: 92626
Phone:' (714)754-4107
,License: 772680,.
, � Eng:
� -. Address: �
StaWs: ISSUED
Applied: 07/08/2003
Issued: 07/08/2003
ISSUED BY:
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- --,- SCOPEOFPERMIT- : -. .
''REROOF RESIDENCE AND ATTACHED GARAGE: T/O_WOOD SHAKE ROOF, 1/2" OSB SHTG, 1 LAYER OF ASTM 30# FELT, APPLY "40-YEAR
, TIMBERLINE SLATE=BLEN� COMP SHINGLES. 32.25 SQ � .' " � �
� � FEE SUMMARY, -; ,
Plan Check: $0.00 - � - — \ Calc Valuation: $�,izo.00
, Permit:, $153.25 ' � Claim Valuation: - , g�,izo.00
� �� SMIP Res: �- '.� $0.71 �, � , ,� , � �
�SMIP Com: <. ,$0.00 _ _ "
� Other: ���,`��$0.00 ,,
��Inspection: .$0:00 �� ' � -
, ;
��Total $15396� i; � � ��� ;. �;;�i� ' �r
� A`_ i ) � .
� � , PLANNING & ZONING ,
SETBACKS. � � �, � . � . ��.
, �,`
MAINSTRUCTURE�Front 0`�0 %, � • Rear � 0-0 �Left 0-0 - Right " �0."0 � , "%
ACCESSORY F nt� �0=0 � ' �, Rear _ 0-0 � , Left 0-0� � Right 0-A� �� � �
PARKWG Existing: �� 0�� � Required: .0, Proposed: 0�
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and relatad
regulations. (Ord. No. 9248, § 1, 12-21-g2)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for the Work authorized under this permit to be considared legal, such work must comply with all applicable codes, and all
required inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval witf result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aas-as (voo�
WORKERS'COMPENSAnON DECIARAnON:
I hereby affirm under penalry of perjury one of Ihe following tleclarations:
❑ I heve entl will maintain a certificate of consent to selt-Insure for workers' compensation, as pmvided (or by section 3700 0( the Lebor Code, fo� the peAortnance of the
%�ork for w�ich ihis permil is issued.
Q� .I heve enC vrill maintain workere' compensation insurance, as required by section 3700 ot Ne Lahor Code, for Ihe pedortnance of the work for which this pertnit I5 Issued.
�My workero' wmpensation In urance rder entl policy number ere: (� /J
Cartier. S��J �e �✓✓V � Policy Number. 7� p�O g�IJ ��00�
(7hls section need nof be comp etetl il (he permit is velued at are hundred dollars ($100) or less.)
❑ I certify Ihet in the pertortnence of the work for which this permit is issuaQ I shell not employ any persan in any manner so es to become subject to t�e workers'
compensatlon laws of Celitomia, an0 agrae that tl I sh u become subject to Ihe workers' compensetion provisions of Section 3700 0l the Lebor Code, I shall torthwith
compty with Ihese provisi ^ � ,�r
Applicant Signelure: Date: + �� v� Qj
WARNING: FAILURE TO SEGURE WOiiKER$' COMPENSATION G1�VERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TKKISPND DOLURE (E100,0001. IN ADDRIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED f-0R IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eftirm Ihat I em
force entl eflecL Lic. # _
Contrectofs SignaWre:
9(commencing with Section 7000) of Division 3 oi the Business an rofessio Code, end my license is in full
� Class W �.S i��C
Date: � , fY�G�
CONSTRUCTION LENDING AGENCV:
❑ 1 hereby aMirtn thet there is a wnstruction lentling agency tor the pedormance ol ihe work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lentlers Neme: Lentler'S Atltlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn thet under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Businass and Professions
Code: Any ciry or County which requires e permit to construct, alter, improve, demolish, or repair any structure, prior to its i55uance, also requires ihe applitant for such pertnit
ro file a signad statement thet he or she Is licensed pursuant b the D�a�sions of the Contraqors License Law (C�apter 9(commencing with Sectlon 7000) ot DlNslon 3 of ihe
Business and Protessions Cade) or Ihet he or s�e is axempt t�ereirom and t�e basis tor the elleged exemption. Any violetion af Section 7031.5 by any epplicant for e pertnit
subjects �he epplicant to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner ot Ihe property, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, and ihe structure is not intended or oNered for sela (Sec.
7044, Business and Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves Ihereon, end who does such work
himsetl or hersefl or �hrough his or her own employees, providetl ihet such improvements are not intentletl or otteretl for sale. II, however, t�e building or improvement is
soltl wiihin one year of complation, ihe ownar-builder will have.ihe burden of proving iha� he or she ditl not build or improve tor purposa ot sale.). �
❑ I, as owner ol the propeM. am E%CLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to construct the project (Sec. 7044, Business end Professions
Cotle: The wntrectors License Law does not apply to an owner of pmpeny who builds or improves thereon, antl who comracis br such project with a contractor(s)
license pursuant to i�e Contrectors License Laws.).
❑ I em exempt untler sec. Business and Protessions Cotle for this reason:
Signature: Date:
Ownet ID verified by driver5licen5e. ❑ Ves ❑ No Drivers License No.
Venfication of Ownership by (type ot document, i.e. - properry teu bill or deed):
Eapires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavatlon five (5) or more feet in depih into which a person is requiretl to descenq will be made in connaction with work authorizetl by this
permit, end Ihat no builtling structure, scattolding, falsework, or tlemolition or tlismantling thereoi, will De more than ihirty-six (36) fee� high. (Chap. 32, Grp 2, Ah 2, Sec.
341, Tltle B, Calitomia Administrative Code).
❑ As ownerbuilder, I will not employ anyone to do work which would require e permit irom the Division of Industnal Safery, es noted ebove, unless such person hes e
pertnit to do such work irom the division.
Signature: Date:
Division of Indusinal Safery Pertnit Numbec
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I certity under penalry of perjury Ihat I have read ihis application antl siate t�at the infortnation given is
wrrecL I agree to comply with ell state laws and ciry ordinances relating to DuilGing construction, end authonze representatives of the Ciry oi Costa Mesa to enter upon the
ebove-describetl property for inspection purposes. I egree not to occupy or ellow occupancy of any buildinq euthorized by this permit until final inspection.
COUE �. INSPECTIONTYiE
1616 Fixetl System Final Fire Prevention
1266 Pool SOa Final
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Feciory Fire Place
203 Finel Sign
204 Final DemWition
QATE U�9LS
7 !y e7 �„�-
cooe� insvernoxme
206 Final Mechanical
20B Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Plenning Approval
222 Final Site
250 Final Building/Occupancy
�
CITY oF'COSTA �j�/j�($2Q (}CON TR�j C�TCIiON PERMIT
i Project Address s1Y '7 A' g��i�./ ! U 1�. � ��
Applicant's Mailin Adcf p� ! ) � �
Owner's N �I S� ' ' Phone��!�p�� C
�x �� { � `
i Address �
i
' Arch/Eng: . License No. -
; Address '
� ' (�(j/�/� `
Contractor's Nam � hone �V--! 7JL51'
Address (m� i'nnl ���
City License No c �� ' '
LICENSED CONTRACTOR OEGLARATION R �
I hereby affirm lhat I am licensetl untle� O�ovislons ot Charte� 9(commencing
with section 7000) of Division 3 of tne Buiiness antl Professions Coae, antl
. my license is in full foCr�pntl eftecL � , � 1�� r� �
D te�!?'!71/)'!�('��c'79 t '/l �/lin m-,.ose��
�e
WORKERS' COMPENSATION DECIARATION i
�reby atfi�m tM1at 9 nave a certificate ot tonsent to SCIt-in5ure o� a ce�titicate
Norkers' Compensation Insu�ance, Or a Certitietl�/ere��5ec�
\ .JO, L.ab. C. np ' (��] �
\ PolicY No�. �� I`��1�" 6( ComPanY .
ertifietl copy i5 heretiy fuinished.
. Ce if' � c s tiletl with �the city>a.�f��1 tli e i I �/� �� �
Date �x� Applicant � (f'/�� � � `�—��
EXEMPTION F0.0M WORKERS' CO�PENSATION DECLARATION �
(Thissection neetl mt be; omplet¢tl if [he permit is tor one huntl�etl ($300) o�
le5s)., � � �
1 certify that iu the perfo�mance of th¢ wOrk'for whicb.this petmjt is issuetl; I
shall'not employ any person in any manner so as to become subject to the
Workers' Compensation LawS ot Califomia. ' �
Date, Signature
NOTICE: If, aiter making this declaration, you.shoultl become subject to the..
Workers' Compensation provisions' of Ihe Labor Cotle, you must fortnwi[h
comply wilh such' p�ovisions or this permit Shall be deemetl revoked.
CONSTRUCTION LENDING AGENCV �
1 hereGy affirm that tM1ere is a consVuction lentling agenty for the performance
ot the work for which tnis permit is issuetl (Section 309]-�Civ. C.)
Lentler's Name ���
Lentler'sAtltlress. � � � ' '
OWNER BUILOEN DECLARATION , ' 1 ' i
I hereby atfirm that 1 am exempt from�the Contractor's License Lewlfor the
following reason (Section ]031.5 BuSiness ana Professional Cotle:�Any city or
county whlch reqwre5 a permlt to construct,.alte , impiove, tlemolish or repai�
any sVucture, prior to its Issuance; also requires the applicant tor zuch permit
to tile a signetl statement that he/she is licensetl pwsuant to the provlsions ot
tne Contractor's License Law (Chapter 9(commencing wltM1 Section;]000) ot
- ��vi5ion-3 0/ the Busine55 antl Professions Cotle) or�tnat he/she is ex¢mpt
•refrom� antl�tM1e ba5i5 fOr the alleqetl exemOtion. Any violation of Section
3L5'by any applicant for a permit subjects the applicant to a civil
enalty�of not more titan tive huntlretl tlollars ($500).
'� I, ai'owner ot the-property or my employees with wages as their sole
� com0ensation, will tlo the work, antl the structure is not intentled or offeretl
� tor sale (Section ],044, Business and Protessional Cotle: Tne Contractor's
License Law tloes no[ apply t0 an owner of a property who builtls Or improves
�• thereon, antl who tlaes such work himself/herseif, or throu9h his or her own
employees, provitletl that such improvements are not mtendetl or offeretl for
, sale. If;.haweve�. the builtling o� Improvement is soltl within one yea� of mm-
pletion,-the owner wi11 have the burtlen ot proving he/she tlitl not builtl or im-
� p�ove for the pu�pose of sale). . � '
-�. I, as owner of�the property, am exclusively contracting witM1 IicenseG con-
' tractors to construct the project (Section ]064, BuSin¢ss and Professions Cotle:
' The Contractor's License Law doe5 mt apply to an owner of �property who
builtls ar improves �thereon, antl who contracts for such projects with a con-
' tractor(sI �icens¢ pursuant to the conVactor's License L.aw). I am aware that
. oroof of their,WorkeYs'Compensation insurante shoultl be provitletl to mei
i .
❑ J am exempt untler Section B. & P. C. ior this reason„
Date � � � Owner � ' - � �'�
�I hereby certity cthat'I have reatl .this application antl state that the above(
intormation:is correct'I agree:to compty with all dty antl county ortlinances
`antl'state laws relating to builtling mnstruction, and hereby authorize repre-
� Sentatives of_thjs city" to'enter upon tM1e above-mentionetl O�operty .for
AOP���ant to fill in all spaces exceot those within heavr bortler lines antl sign all appropriate Oeclarations.
. PER NO. TRACT NO. : ' LOT NO. - UNIT NO: � �
� � �B'35�3 . ,
TYPE OF CONSTRUCTION � NEW' 'ADD ALTERATION RE
� ❑ CONVERSION ❑.DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. _ �
. i � . , ; � , , �
TVPE OF PERMIT GRA�ING�OUNDATION STRUCTURAL �
, ❑ TENANT � ❑ ELECTRICAL PLVMBING ❑ MEGHANICAL
❑ OTHER �' . i ' � . •
PROJECT DESCRIPTION 'Sa.kT. � - oCCUaANCS
�CONSTRVCTIONTVPE � VALUATION,$ �
,ZONE GRADINGCU.VDS. � ACRES -
i
�
ar Sink ' � ' _ � � �.
ackflow Preventer ' -
ackflow Irrigation �"
atFtubs '� ' ! �
larifiers' .1 . . �„
ishwasher-, ; , ' ' -
loor Droins `
3as Service � Outlets �
Interceprors ' '
Kitchen Sink . _ . .. � ..
Lavatories � I
P-l'rap � � �
Roof Orains .
_ ' ' ',
Reinspection Fee $15
Boiler
Duct - Under Ground . �
Duct - Structural
Duct-Ventilating � '
Exhaust System ❑ Multiple
' FirepUFact Blt. ICBO #
. Heating System & Ducting
- �o-ioo,000sruOioo,000
Drivers' License or 55 � �' j�x�_V—� � I I peinipeetion Fee
CMF 0865-46, rev. 10/84 White - Builtling; Canary - qpp�{cant; Pink - Accountin9: Goltlenrotl - Asussor
I
PLUMBING � �
� � Showers .. �,
' ; Service Sink '
— , Sewer Cap.�. �
Solar Collectors
Solar Tank �
Swimming Pool w/S�
Urinal '
Water Closet
Water Heater �
.Water Service - - ,
' Laundry Trays
i
' _ ..
' �laue
. � � ;
PAIR �
; A.P. #
� S Main Buildi
E
T Front'
� B Rear
A
C Fll9ht
K Left
S
Pln Ref #
ig: '
9.
� � ' � Planning Notes: !
G ___ _ �
a.
�
Hood or ' Type I ❑ •
Canopy � Type 11 ❑
Refrigeration System. � �
� ❑0-100,OOOBT,U ❑100,OOOBTI
I � System�Repair/Alteration �� :
',Fire Dampers '
Registers "'
�$�5 ' Issue Fee
Automatic,Wasfier- •
Construction Pole Sub. �
Cooking Unit '
Dishwasher �- ^
Dryers ❑Gas� DElecti
Fan '
F.A.U. �
Fixtures ' �
Device Boxes
Outleis
Switches -� � .
Ga�bage Disposal
f; - -•- - , - i -- -- ,
7298 5/04/97 . � 5ap0 ; TL
� � ,
i
._. .. .. _ .Zone � _, .
Accessory Building:,
� i
_.. . ; "' . .f
. i
Parking,Req./Provided
� �ELECTRICAL� � . � ;
Transformer �� 15-50 KW
. � ❑ SO+KW' c
•_ - Meter� �up to 100 amps '
. Meter; Dover 100 amps � �
❑0�5 KW �5-15 KW
�
Sub�Panel � ' "
Momrs OO-1 HP O1 %- 8
InaSolar �9-15 HP �16
Microwave.
Pole Light �
Range 1
Sign •
Standing Sections
Trash Compactor ,
$�3 ; . • ..
' Reinspection Fee �' $15 Issue Fee
FEES
� DEVELOPMENTSERVICESREQUIREMENTS::
2oning Approved By � ' �
• 'Building Approved By
�Aooliration Issued Bv n
Z
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N
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S
FEES ,
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�
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msL�
� � _ . • ' SUMMARV OF FEES ' , � : - , - � �
� BUILDING PEFMI7�. $ - SMIP � � $- � �a
PLAN CHECK . $ PERMIT.- � ' rj� ,
. � PLUMBING $ .� ISSUANCE '$ KY'
� PLANCHECK 25% $ � " ENERGY�P:C.; $`. �
ELECTRICAL _ S � GRADING $-�
� PLAN'CHECK -50%� $ � ' �MICROFILM �, $; " �- �
MECHANICAL $ � TOTAL FEE $ ��h-�� '
PLAN CHECK 25% $ � � ' �
�
ICONSTRUCTION AND PLANNING � � .� POOL & SPA -
APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector
I i. Temporary� Electrical Service or Pole � 52. Pool & Equipment Location
�.
I2. Soil Pipe-Undrgrnd., . 53. Steel Reinforcement '
I3. Electrical Conduit Utility-Undrgrnd. 54. Forms � C� �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding "� �
5. Steel Reinforcement . -56. Rough Plumbing & Pressure Test -
6. Electrical UFER Grnd. .57. APPROVAL TO COVER-�UNITE
7. Footings , . 58. Electrical Conduit-Undrgrnd. � -
8. Foundation 59. Gas Pipe, O Undrgrnd., Te'st
9. Water PipevUndrgrnd. , . . � 60. Backwash Lines, P-Trap, C� Undrgrnd.
._,
10. Structural Floor System � 61. APPROVAL TO DECK 1�
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fina7�
12. Sewer Cap � 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical-Conduit ,, � ' 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval �
77. Rough Wiring Sign -� � ' � 68. APPROVED FOR PLASTERING �
18. Rough Electrical-T Bar Ceiling . 69. POOL(SPA SYSTEMS FINAL
� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace �� APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro �
22. Ducts, Ventilating' 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush '
24. Roof Framing. � . 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � � 74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � _
27: Freme and Flashing � .- 76. Dry Standpipe- , '
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79.• FINAL INSPECTION �
32. Electrical Power MeterFinal ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning � � � , '
35. Final Gas Pipe-Test •
36. Hood or Canopy -
37. Final�Factory Fireplace - _
38. Final Plumbing -2� � (,�� � � '
39. Water Service-Final - ' � �
40. Gas Service-Final � . -
41. Solar pomesticFinal � - �
42. Backflow Preventer � �
' 43. Backflow Irrigation � '
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 Southem Califomia Gas Cn � . r
51. CERTIFICATE OF OCCUPANCY .
No. Date
: .� _ _ .. _. _ _ - - -:;�..._, .. -- --
CI1. OF COSTA MESA R'cQUEST FOR OCCL__.dCY
e.�y ��
���� �h.
TRACT N0. �I %�X �/I�7 ' � /�j: DATE %/�/%� �
T�
IAT_ .�0, � ,�_
eiDD�55 S Y' � � -f �/.[.r�t�!l�Cc. --�•
v
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
acceptee by the City of Costa .iesa.
The undersigned, by executing tnis agree;�ent, acknowledges that
(n she—they) (was or were) advised that this tract has
no� been g_ven fir.al inspection nor has it been accepted by the City of Costa Mesa
zs 'r.aving co^plied coith the corditions of approval wnich were imposed by the City
at tne tlme the £inal tract map was approvea.
T'he City asscr.:es no li2oility for the enfo.cenent of the conditions
necessarv for appreval other tnan those coaditions.protected by surety bond.
The undersigned agrees to indenr.i`y and 'noid the City harmless from
a��y clain resultiag in da:.age or persenal iajury to the undersigned �y reason
Of the afore.�entioned unco:apleted condition.
RECEIVED
CITY Of COSTA MESA
PLANNiNr, DEPT.
S'i=P 21 19i3
ANI �M
si8�9�i�� *�;�a�r4�5�S
�
BY�
Purchaser
�. _ _---
BY ��� � �� .� ll C� r���
�°--�.-�: �_ i: �c �. l
Developer and/or authorized
representacive
BY �..-% � -,T
v L ri�. l�� �
Lender
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APPROVEIl�
CITY OF COSTA MESA
PLANNING DEP7.
SUUECT i0 6LDG. DEPT. RE6.
B�C<�� DA?E..�
DIRECiOR O! MANNINO _
OPi -�
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OWNER I,AgWIN So: Ca1. DATE _ �y_��_7�
JOB ADDRESS 3438 Fuchsia Street BUILDING PERMIT N0.�3 �03-
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IN .TIONS
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PROP. SWR. LINI
SPRINKLING SYS
MISCELLANEOUS
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TEMPORARV SERVICE OR POLE
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TRENCHES FORMS STEEL REINF.
FLOOR SVSTEM
BON� BEAM � STEEL REINFORCE ❑
SHEATHING
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COSTA MESA BUItDING-SAFE7Y DEPARTMENT
LC]Z p.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
AP LI A ON FOR BUILDING PERMIT "
ForApplicant to Fill in Completely REc ve E REC veo DATE ISSUED
BUIIDING
aooRess APR
' PEF4Jj;, �;.i�
OWNER �.21'W7.i1 Southern California A.P. NO. �'
MAIL 16255 Ventura BLVd, , AD'DRE 5 3 3� /�!/C/�S/%' >%
nooaess
TEL. �TRACT� ]]].H LOT ].H.3 BLOCK
cirr Encino Califo. No.986-8890
CONSTRUC710N Larwin Southern California "� ° '
LENDEfl
BRANCH 16255 Ventura Blvd. � / /� �
OWNEfl 6AK��/� SO C_N =�
ADDRESS Encino, California
VALUE y //(����,
ORENGINEEa Laxwin .SO. Calif. NE�.273-4464 S �ElW �OJ`T6.�'� 5 F "__
ADDFESS 9100 Wilshire BLVfl,� $2V� H111S ZpNE PE(' GROUY'
APPROVED
CONTRACTOR 1,3YW1I1 Southern California BY DATE �
aooaess 16255 Ventura Blvd/
TEL. ZONE NO.OF USE OF NEWSF�'«
cirv 'n C8lifornia N� 986-8890 ��� PL4� BUILDING � GA
STATE ' CITV �'ARDSAPPROVED VARDSAPPROVED
LI0. NO. 1J1311 LIC. NO. $-1 MAIN BUIIDING. ACCESSORV BUILDING
SI2E - NO.OF BIDCS. (FqOM GL STREET) -
OF lOT (O X LOO NOW ON LOT O FRONT � FT. FT.
USE OF
EXISTING BLDG. F FT.
SIZE OF NO. OF
NEWBLDG. I.9H% . ROOMS STORIES 1 LSIDE PT. FT.
EXTERIOR WA�L ROOF
COVERING StllCCO COVEFING WOOCl shin 10 REAR ��' FT. FT.
USE OF BUILDING AND WORK TO BE PEFFOFMED pISTANCE BET. BET. MAIN &
MAiN BLDGS. ACGESS. BLOGS, '
Const'cuction Single Family Residence CURP.�1`- APPROVED
APPROVE _ � 73
i�10LD FOR SPEC L (2S$4 /NTS
I hereby acknowledge that I have reatl this aDPlication and state
that the above intormation is correct antl agree to comply with
ell laws regulating builtling connruction, antl I shall no2 employ
any person in violation ot tha workman's compensation laws of i�
ffie SWte ot Calitomia. � �
n t
I hereby certify that I am properly licensetl as a coniroctor under SQ, FT. V a
Me State ot.Calitomia Business antl Protessions Cotle, Divisicn 3, THE MOUNT S WN UNDER VALUATION IS FOR
Chapter 9, antl that such licenus are in full force and effect, or I THE PURPOSE OF STABLISHING A PERMIT FEE ONLY: �
am exempt from the provisions of the Stete of Calitornia Business VALVATION
antl Protessions C de, Division 3, Chapter 9. �
PERMIT FEE $ 101. SO
SiBnatura /j �� a
Permittei�C/,� �� D. Downs $ Z9�HOO PLP.NCHECK$ �
i
Authorizetl Agent � LSZ. ZS u
TOTAL FEE $
TAHITI
�
0
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"`� JOHN D. ROSE �3 ASSOC.
%
��=u� engineers F3 planners
`_ '. "_ e '��. a..,.. �e�. �...e .........�....�..
BALt
ER
. a o -
o '
+, ,
3%" , .
DECK ��2•• BRASS
CONDUIT
�
GROUND WIRE
P. 9 �
\" ; ,.i o..
GROUND WIRE �
CONNECT HERE
CARLBBEAN
40"
p '.
� -f �. . y;'. .
IMPORTANT NOTICE
ELEVATION OF SPA SHOULD BE SET SO
THAT ALL SURFACE WATE(i SHALL
DRAIN AWAV FFOM THE SPA.
- � - SPA�SHOULD�NOLBE�DRAWED.IF -_ _ . . _ __ ._
SUB-SURFACE WATER IS PRESENT.
ALTERNATE DECKING INSTALLATIONS
W/P MASTIC BRICK �
FILL
COPING
a .. o. e.
0
o . a . e ..: oo.
SETTING BED J ' '
� SAND OR
CONCRETE BED
CONCRETE
96"
UNDERWATER LIGHT
4 . uC
� ' � '.
W/P MASTIC
FILL —�
OF THE
,._g. �v
TRINIDAD
WATER LINE
�i�p�����
� Coste Meso Buildin^
AN$ MU,fjLTrERN�'ATE�B AT
:HANGEMAIlJ10�A�IiV R�
LOCATI ON
NCE OR GRRNTING OF A PERMIT C
� cocr�[i��lIf1NS SH�I L NOT BE
8'�0'`
STRUCTURAL KUVNL �
SEPARATE PERMITS
FOR ELECTRICAL, PLU "
HEAREFRIGERA710NW ORK
Permit #'
THI���
' FOn [�UILD1i�GS
� BE E"nPLOVED,
', i sraTE oF c,
, ;Nn��sT,�n� s;,
>•` AD��irJ�Al RE
� /
C
SKIMMER
�ST EQ ESTS NY
0 0• . a.
O .
: ;E EP.SONS
•.b���j� TH� ETURN iX••
� ., �a oivisi .
MENTS.
PING TO AIR
LOWER
� •I
I�. ' SUCTION 1-1/2••
�i�i
'��—'��" IR CHANNEL '
t(kED � : �
�TION'• � � .
7aE.. . , ^ . .'. � . `_I
JRH OR USE WHICH IT AUTHORIZES IS Uwro�.
SUANCE 6F A PERMIT��'.�fi• la�++ A"�'� ^�i
S SHAII NOT PREVEN� u�c ���.4��
TER REQUlR1NG THE CURREGTION OF ERRORS
' AND SPE. i ' ��,•nm«e
Ly�
]�Fj7�S�� I CARR�IED ON THEREUfVDkR W'HFJv
OF THIS CU� OF ANY OTHER OAD�NpNG�
_ . 0
DECK
MASONRV
SEAT � � �'ALL
�� — STEPS
��n �-� .. �u.
SAND FILL
1�O�It��1 1��1�
y
I 58G Ncwport Boulcvard Cusca Mesa California 92627
(7l4) G45-4475 DATE
DRAWIN