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Home My WebLink About366 GENOA LN - Building PermitsPfl0.1ELT pDUXESS: 3(( GENOA LN OWNEfl'SNAME: MOU, KIZEN nooxess: 366 GENOA ST COSTA MESA,CA AFCMIENGINEEB: RDOflESS: UNIT: 92626 flEG.NO.: UNIT: PEPMITTEE: R.A. WILLIS CONSTRUCTION (800)479-6428 aooness: 3443 DON JUAN DR CARLSBAD CA 92008 LICENSFU CONTqpCTON UELIAMT10N: I �ere0y aitirm IhaU am licensed under pmvisions of Cha r 9(commencing wi�h Seclion 7000) o� iv��sion 3 of ��e Business and Pmfessions Cotle, an�cense in II for�nA efie� cirvuc.:038553 sTareuc.:328854 s B oate: ��2-' G L Signalure: WOflHEflS' LOMPENSATION DECLAflATION: I �ereby a��irm Iha� I have a certificate ol consem to sel4insure or a ceni�icate o� Workers' Compensaiian Insurance, ar a cenilie0 copY Ihereof (Section 3800. Lah. C�. POLICY NO.: E%P. OATE: Cetlifietl copy is hereby furnishetl. ❑ Ceni�ied copy is file0 wi�� the city Builtlinp Division. �ate: Applicant EXEMPTION FBOM WOflNEflS' COMPENSIITION OECIAflPTION: (iAis secti n neetl e w ple�ed it he permi�' � one huntlred (3100) ar less�. I cerlity Ihal in I�e pedormante 01 ��e work br whiCh Ihis permit is' ea. I I n01 pl0y p rs�on ny manner 50 as �o beCome subleq Io� I/�e WorkersQ' Compen5a�ion Laws ol Calitornia. �� Da�e: / �� — / `L SignaWre' NO7ICE: It. atter making this aeclaration. you shaultl become su�lect to ihe workers' Compensation pmvisions of ihe Labor Code, yau musi totlhwilh comply wiih such pmmsions or t�is permi� shall be tleemed revokeU. CONSTBUCTION LEN�ING FGENCY: I here�y a�firm Ihai there is a conslmc�ion lending agency for Ihe pedormance of �he work for whic� ��is permi� is issuetl (Section 3097. Civ. C). LENOEP: aoosess: OWNEB BUILOEN OECNHFTION: I hereby affirm t�at I am exem0� ��om ihe Contractors' State License Law for the following reason (Section 7031.5 Business antl Pwlessional Code: Any city o� coun�y which requires a permi[ �o con5tmci, al�e�, impmve. Oemolish, or repair any slmciure, prior m its issuance, also requires I�e applicam lor such permi� �o file a signed statemem tha� he/s�e is Iicense0 pursuant�othe provisions ofihe Conlractors'$tate License Law�Chap�er 9�commencing wilh Section 70011)o�Division 3 of��e 9usiness an0 Pmlessions Coae) or �ha� he/she is exempl �here�rom an0 Ihe 6asi5 for Ihe allegetl exemp�ian. Hny viola�ion of Seclion 7031.5 by any aDPlicam lor a permi� suhlecis ihe applicantlo a civil penalry of not more ihan five hundred Oollars (5500). I, as owner ot Ihe pmperiy or my employees wilh wages as Iheu sole compensation, will tlo �he work, antl lhe ❑ stmctureis nolintenEetl oroflereAforsale�5ection 7044, Business an0 PmlessionalCode: The CONraclors' State License Law � tloes no� appty to an owner o� a pmpeny who builtls or impmves Ihereon, antl who tloes such wark himself/herself or throu0h his or her own employees, provitled Iha� 5uch imDmvemenis are no� in�entled or oflerea �or sale. I�, however Ihe 6uiltling or impmvemenl is 5010 wi�hin ane year of compleiion. �he owner will have �Ae AurOen ol proving he/she aitl not builtl or impmve lor Ne o��vose ol salel. I, as owner ol Ihe pmpeny, am eecWsivety con�rac�ing wi�h licensetl coniracbrs to cons�mct the pmleci (Seclion 7044, Business ❑ antl Pmtessions Coae: The Coniracmrs' State license Law tloes no� ap01y to an owner of pmpeny who hutlJs or impmves Ihereon and wno contracis tor sucn pmiects with a comractorls) license Dursuant to ihe Contracmrs' Siate L¢ense Law�. I am aware tha� Orool ol Iheir Worker's Compmsation insurance 5�oul� oe pmvitled to me. � I am exempi unaer Seciion: B. 8 P. C. for Ihis reason. Date: Owner I Uo hereby cetlity Ihat I am aware of and untlers�and t�e requiremenis ol Calitomia Health an0 $ateiy Cotle Sections 25505, 25533, and 2553G antl tha� I or any iNure bwlding occuDant will/will no� (circle one� neetl b comDly with said s�aie codes antl lhe reQuirements for a permi� foi cons�mclion or mo0ilicalion �mm ��e Air Ouahly Managemen� �is�ric�. ResiAen�ial cons�mction applications ale exemp� Uom I�ese pmvisions. Date�. Appiicam: I hereby cenily Ihat I M1ave read Ihis apP�icalion and s�a�e thal Ihe a�ove m�or ation is correcL I ag e �o compty with all ciry antl counry ordinances antl Slatelawsielalingio bmitling consimclion an0 hereby hor�nlai es �hi iqto enierupon��e above�mentioneU pfOppf�Y �Of IIISPECI100 ppfpOSCS. oaie: L/ ' Z"q Z— si9nam�e: Dnver's Cmense or Socia� Secun�y a: % 164L46 While—Bmltlin¢ Green—Cotle Entorcemem: Canary—Aoolican�; Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA - HUILDING PERMIT PERM NU; B 05682] PERMIT NO: B 056821 PLAN CHECR NO; 01211-92 S GZSVT�S'IIPT� CONSTRUCTION TYPE: 5-N PERMIT TYPE; STR PURFOSE: ALT JOB DESCRIPTION ; ZNSTALL PATIO ENCLOSURE PER ICBOIt 3421P SQ FT: . 180 CLAIM VALUE: CALC-VALUE: 6,552.00 GROUP OCC: R-3 / COMMENTS• SMOKE DETECTOR(S) RE�UIRED IN HOME. �bAP1� �T�TQ p ik�lfifiEMiEifiEiFiEjEiEiEi(�iFiflFiFiFifi(�ikiF3FiFiEifiF�lEif iEiEiFifiEiE3E�1E�7f�fiEiFaF3fiFiEiFIfiElFiEiEiEN-iFif�1F 6iAi1EiF * Pe �E 1-1 Z O N I N GS ERTEBQAUCIKRSE M E N T S REQUIRED ------------ MAZN BUILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT; 20 FT IN REAR; 10 FT IN FRNT; FT ' IN REAR: FT IN LEFT; 5 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT; FT IT1 PARF(ING RE�• PROV; PARCEL: 93919240 ZNE; R2 REF NO; PLANNING N T'ES> 180 S� FT. PATIO ENCLOSURE, OPEN SPACE FOR LOT TO BE > 403 M NIMUM, �***�x��r*x**�r*��r��*x*��*�r*�*�r**�****�t��e*��r**�*x+t�t******+�**+��r**��**�t.**�r*****�r� D E V E L O P M E N T 5 E R V Z C E S R E Q U I R E M E�N _,T-, 5 ZONING APPROVED BY :V � DATE; BUILDING APPROVED BY : �-, �,. . DATE: APPLICATION ISSUED BY; - DATE: i.,�� iEiFiElElFiEifiklEiEfEjEiEfflf#lfEiElE1E3f1E IF3Eik�EiEiE1F.iE1EiE iF* ik3FffiE�F3faE3F1E3fifiEiEiFlFifdFifiE1E3k1EiFiEiFiE�fiklEififi F1EiFiEiE fafiE �1 iElEifakkiEik3fifiFjElfifiEif3E3FiEiEiF3E�lEifi6*ik�EiEiElEif�lf�fifiPlE LEGALI2ATION;N F E E S 0 M A R Y STRUCTURAL' SEGMENT;Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 90,00 ,66 PLAN 58.50 SMIP/NON�RES ISSUE FEE A HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID %, DUE TOTALS----> 90,66 0.00 58,50 149,16 199,16 �, ,00 REVENUE DIVISION TOTALS--> COLLECTED: 199,16 OVER/SHORT;�'f� 00 BLD90P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/T66 GRADING PLAN-CAECK 58.50 iE 3E iE iE IE 1E iE it if iE if 1E iF 3E iE if 1E iF 1f if if if if iE �E if if iFiE it aE if ik if� iE �E 3E iE iF ii IE if !E iE if iE iF IE iE 1E ii iE �E M� 3E �E 1Elf 3f iE !E 1F �E iF iE iE 1f # �E ik If 1F 3E if �)F iF 3E !F � I N D I V I D U A L F E E B R E A K D O W N /,i TYPE QTY D E S C R I P T I O N UNIT COST �' TOTAL COST SFR 180 RES-PATTO COVER-ENCLOSED PATIO 36,40 �'%r6,55z,00 END OF FEES ,: %/ 1 �:1 fiDl�?R^s4'�Ui?2Q3o Ti. ; �, r Ri;TE: G41p3,4� 7I11rc FE�;� '"' �\ rr..._ "�;..� ' - CONSTRUCTION AND PL'ANNING " - P��PA ' APPROVAIS Permit # Date I�spector AppROVAIS Permit # Date ,Inspector �1.'femporary Electrical Service or Pole � 52. Pool & Equipmeni Location ' _� 2. Soil Pipe-Undrgrnd. : � . 53. Steel Reinforcement �-� 3. Electrical Conduit Uti�ity-Undrgrnd. 54. Forms 4. Electrical Conduit•Undrgrnd. , 55. Electrical Bonding 5..Steel Reinforcement � � 56.-Rough Plumbing & Pressure Test � 6. Eleciricai UFER Grnd. 57. APPAOVALTO COVEF-GllNITE 7. Footings _ 58. Electrical Conduit�Undrgrnd. 8. Foundation _ �� 59. Ga: Pipe, O Undrgrnd., Test • 9. Water Pipe-Undrgrnd. � - � 60. BacKwash Lines, P-Trap, a Undrgrnd. ' 10. Structura� Floor System f; 61. APPROVAL TO DECK � �'� 11. Property Sewer Line & liouse Connection 62. Backwash & Receptor-Final t' 12. Sewer CaP ' � 63. Heater & Vent•Final - .+ 73. Roof Dra�ns s�' ' 64. Plumbing System � Final . i� 14. Rough Plumbing ' .� � 65. Electrical-Final - 15. Rough Etectrica6Conduit 66. Solar System-Final 16. Rough Electric Wirin9 _ 67. Fencing & Access Approval 17. 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 # 1 21. Ducts, in Structure 70. Underground Hydro � 22. DuMs, Ventilating � 71. Product Piping �Gas ❑Oil 23. �Gas Pipe�Rough & Tesc ,� - 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil �• 25. Roof Sheathing . ' 74. Overhead Hydro - 26. T-Bar Ceiling (Structurall & Monocoai � 75. Dry Chemicai � - 27. Frome 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. Electricai Power Meter-Final �/- 80. FOOD CERTIFICATE ISSUED 33. Final Electric . � � � � Notes: 34. Final Heating & Air Conditioning, � : � _ ' - , 35.� Final Gas Pipe-Test �. �� '� 36. Hood or Canopy= - ' �- , � � �� 37. Fi�al FactorY Fireplace _ � � ' � 38. Final Plumbing � - � �� 39. Water Service-Final - � 40. Gas Service-Final _ , ' � 41. Solar pomestirFinal- - . • � 42. Backflow Preventer ' - 43. Backflow Irri9ation - . � 44. Landscape Irrigation System . . . _ . ` . 45. Sound Attenuation � - • r 46. Handicap Regulauo�s�7 : ' � _ �2� 47. FINALSTRUCTURE�&�BUILDING . ,r .' . , // 46.'FINAIpLANNING .� . � � � • �� 49. Electric Release tq Edison ' :% - . .� 50. Gas Release to Soujhem California Gas Co •� 'i � f . 51. CERTIFICATEOF�OCCUPANCY � No. ' ' Date Pfl0.1ECTR00flESS: 366 GENOA LN OWNEH'$NRME: MOU, KIZEN aooeess: 366 GENOA ST COSTA MESA,CA RHCM/ENGINEEN: AODPESS: UNIT: 92626 flEG.NO.: UNIT: PEPMITTEE: R,A, WILLIS CONSTRUCTION (800)479-6428 aoosess: 3443 DON JUAN DR CARLSBAD CA 92008 LICENSEO CONTPRCTOB OECIABATION: I hereby aflirm ihat I am license under provisions o� Chap 9 �commencing wiih Seciion 7000 oi Div�sion 3 ol �he Business antl Pwlessions Cotle, and m 'cens m � IorCe 0¢ ci. aTruc.: 038553 STBTELIC.:32SSS�i— Y ss B " � Da�e: �'�� 2— Si9namre. _ WOPNERS' COMPENSATION UECNNATION: I hereby a��irm Ihal I �ave a cehifica�e of consent Io self-insure or a certilicaie 0� Workers' Compensalion Insurance, or a cenilie0 copy Ihereo� (Sec�ion 3800. Lab. C). POLICV NO.: E%P. OATE: CenifieJ copy is hereby Wrnished. ❑ Certilied copy is liletl with Ihe ciry Building Uivision. Oate: Applicanl EXEMPTION FPOM WOFKEflS' COMPENSl�TION OECIANRTION: (This sec�ion n¢ed p� 6e c pleted ii Ae ermi[ i one hurAreA (5100) o� less�. I cetlity ��ai in ��e pedormance oi ihe work �or whic� �his permit is eQ I II n employ a D�son i y manner so as �o become 5ubletl �o Ihe Workers' COmpensa�ion Laws ot CalifOmia. � Oate: �^ Z� �. 1— SignaNre: NOTICE: II, after making Ihis declara�ian, you 5hou10 become sublect �o lhe Workers' Compe tion pmvisions ol �he Labor COtle. you mu5i loh�wil� wmply wi�h Such pmvi5ion5 or �his Oermil 5�all be Oeemea revoked. LONSTNUCTION LENDING AGENCV: I hereby a�hrm Iha� there is a constmction lenaing agency br �he pertormance oi t�e work for which I�is permii is issued �Semion 3097, Civ. C). LENOEP: aoonEss: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05682 PERMIT NO; E 056822 PLAN CAECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION : INSTALL FATIO ENCLOSURE PER ICBO# 3421P SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: RE: B56821 PRZMARY BLDG. PERMIT, **��r*��*�*�****�*��**�r****�r******+r�r********�t�**�t+�*�t*�**�*�***�**�*********�*** 2 O N I N G R E Q U I R E M E N T 5 S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUTLDTNG --------- 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; 93914240 2NE; REF NO: PLANNING NU'I'ES> > 3E iF k iE )E * 3F 3E �! 1E 3E �E iE �F iE �IE id iF iP iE iP �F aF iF ik if dt at iE ik if if K 1E if * it iF 1E 3E !E iF iE iE if iE 3F iE iE iF ii if iE iE jE�F �f iE iE �fE 3E iF if if if jF 3F iF if iE iE 3F 3E �E IF iF 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 20NING APPRUVED BY ��'- DATE; BUILDING APPROVED HY : � ,�%� �_ i DATE: APPLICATION ISSUED BY• jF if !E iE i! it 1E 1! if iE iF iF 3F iF k ik it iF �f �E iF �E �E �E if iE iE if iE 1f if iF jE If' iF if jf jE 1f # iE iE if ik if iF lf ik if'%� fF if if�1E LEGALIZATZON;N �F,� E OWNEP BUIIOEN OECLABRTION: I hereby aifirm thai I am exempt Imm ihe Contraclors' S[ate License Law for the lollowing reason BLDG PMT PLUMH I NG EL (Section 7031.5 Business and Pmiessional CoOe: Any ciry ol counry w�ich requires a permi� Io cons�mct, aller, impwve, tlemolish, or P ERM I T repair any StmcNre. prior lo i�s issuance. also require5lhe aDPlicant for such permi� �o /ile a signed sla�emeni Ihai helshe is licensetl - Oursuan� lo ihe pwvisions o� the Contraclors' Staie License Law (Chap�er 9(commencing wilh Sec�ion 7000) ol �ivision 3 0� the Business pLAN ana Pmtessions Code) or Ihai Ae/she is e�empi �hereimm anU Ihe basis lor Ihe allegetl eeemDtion. Any violalian ol Sec�ion 7031.5 by any apDlicam far a permi� su�lecis Ihe applican� lo a civil penal�y of not more ihan five huntlre0 Aallars (5500). I SSUE FEE � iF�ltiF iFR/Ftf�ilfFitiFitxitiFiFiEx�iFiFitiElEfFiFiFiEifY/fF1E1F9tif3E�iE�lf� if iFjE 3E3fifiElfif3fiEiFiflEiEiEiEiEiEifk�fif�FjfiEiEiFielEiF�lFiEaEifiEiFi(�iF�E S U M M A R Y STRUCTURAL SEGMENT;N R25 MECHANIC FIRE SMZP/RES GRApI1JG 508 SMIP/NON—RES 15.00 I. as owner ol me pmpeny ar my emp�oyees wiih wages as meir so�e compensation, will Oo Ihe work, and the BUILI�ING—DIV—> PERMIT IS$UE i�LAN—CHECR TOTAL PAID DU$ ❑ s�mcNre is nat intentletl or ol�eretl �or sale (Section �oaa, susiness antl vrotessional Coae: The Comracmrs' State License Law TOTALS----> 2. 2 S 1 S, � � �. 0 � 17 , 2 5 1%, Z S , 0 � � tloes not apply to an owner oi a pmpeny who huilds or improves t�ereon, an0 who Does such work himselflherseli or ihmugh ms or ner own empmyees, pw�ioetl ma� sucn impmvemenis are not intended or oueretl tor saie. il, nowever tne 6uildinq or REVENUE D I V IS ION TOTALS--> COLLECTED • 17 , 2 5 OVER /SHORT • 00 impmvemem is solA wiihin one year o� comp�etion, ihe owner wi�� have ihe 6ur0en o� proving he/she tlia no� Dui�d or impmve BLDG PM'r PLUMB ING ELECTRIC MECHANIC FIRE SMI P/TOT GRAD ING PLAN—CHECR �or Ihe purpose ol sale). I, as ownero� Ihe pro0eny, am ¢xtlusively contraC�ing wiN liCensed tontfat�ors lo tonS�Nt� �he proleci (SecliOn 7044, Busine55 1 7, z 5 ❑ antlPro�essionsCotle: TheConlractors'S�a�eLicenseLawdoesnolaDDtytoanownero/propehywhobuildsorimprovesihereon ******************************************************************************* an0 who conVads lor 5uch pmle��s with a contrac�oqs)license pursuant m the Coniractars' Slale Llcense Law),I am aware Ihat pmol ol lheir Worker's ComDensa�ion insmance shoule �e pmvitletl �o me. I N D I V 2 D U A L F' E E H R$ F: K D O W Al � I am e�empi untler Section: B. 8 P. C. mrmisreason: TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST Oaie: Owner I do �ere�y cenity that I am aware oi antl un0ersland Ihe reQuiremenis of Califomia HealtA and Safery CoOe Sections 25505, 25533, antl 25534 and ��at I or any lu�ure huilding occupan� will/will nol (circle one) need [o comply with saitl 5�aie code5 and Ihe requir¢ments for a permil for constmction or mo0ilicalion Imm �he Air Oualily Managemen� D�StricL qeSiUen�ial cons�mc�ion apP��atians are exemD� ��om t�ese pmvisions. �al¢: Ppplitanl: I nereby cenity t�al I �ave reatl �his applica�ion antl s�a�e �hat t�e a6ove intor �ion i correcL I agree lo co h vilh ali ciiy anA counry orainancesantlstatelawsrelalingtobuilaingcons�mctionantlhereb �hor¢ pres �ativeso hisi toe r on�heabove-mentioned pmpetly lor inspeclioyn purposes. � �- Date: �`Z' ! Z SignaWre: '%� Driver's License or Sociai Searity q: (, t6at-46 WOite—Builtling�, Green—Cotle Eniorcement: Canary—Applicant; Pink—Revenue; Goltlenrotl—Assessor ELE 3 RECHPT/OUTLET ]. ST 20 EA, ui "u'u�i75,i—uu'1i2i1S5 �$—a�7 "� END OF FEES OATc. C4lu.i/92 T3f1E: ?��4� Z• ZS � "t=6JL4`'2�JL.s. E��G. ' �A� ^ ' ; :.r �? 0011203� GDSS2��3 �=r"� a'. :; 2; n+;TE� 04.'a3�9? TIME: 1_�:s't CONSTRUCTION AND.PLANNING � ' P��A - � APPROVALS Permit # Date Inspector ppPROVALS Permit # Date lospector � :�. i. Temporary Electrical Service or Pole . 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. ., '. 53. S;eel Reinforcement �• 3. Electrical Conduit Utiliry�Undrgmd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � 6. Electricai UFER Grnd. . 57. APPROVALTO COVER•GUNITE 7. Footings .� 58. Electrical Conduii-Undrgrnd. 8. Foundation �', � 59. Gas Pipe, � Undrgrnd., Test /=�; 9. Water Pipe-Undrgmd. ' ` 60. Backwash Lines, P-Trap, � Undrgmd. i 10. Structura� Floor System- � _'- - 61. APPROVAL TO DECK � -� •� ., 17. Property Sewer Line &- ouse Co�nection �� ' 62. Backwash & Receptor-Final f� 12. Sewer Cap � " 63. Heater & Vent-Final - � � . , 73. floof Dra�ns - � ' � �- ; 64. Plumbing System - Final 14. Rou h Plumbin - '• . 9 9 '� � � -zi' 65. Electrical�Final / . . 15. Rough Etectrical-Conduit 66. Solar System-Final - r 16. Rough Electric Wiring 67. FenCing & Access P,pproval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical�T Bar Ceiling _ . 69. POOL/SPA SYSTEMS FINAL 19. flough Heating & Air Conditioning FIRE DEPT. REQUfREMENT 20. Rough facmry Fireplace � � � � APPROVALS -' �Permit # z 21. DuCts,in Structure . - � �70. Underground_Nydro 22. Dutts, Ventilating - � •71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test . - _ . . 72. Underground Flush � 24. Roof Framing ��- ' ' - J73:aUndergrnd�:Storage�Tank �Gas OOiI 25. Roof Sheathing � � '' � . t `74,� Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical � 27. Frame and Flashing .. � 76. Dry Standpipe - 28. Lathing & Siding� . � • • 77. FIXED SYSTEM;FINAL 29. Insulation . ' 78: -FIRE PREV. FINAL � 30. Drywall Nailing - � �, ' HEALTH�DEPT. REQUIREMENT 37. Plasrer Brown Coar _ ' . 79 °...ra INSPECTION � 32. Eiectrical Power Meter�Final 80. FO00 CERTIFICATE ISSUED 33. Final Electric . �P � Notes: � � ' 34. Final Heeting & Air. Conditioning. , , . _ � , . 35. Final Gas PiPe�Test' �'v�:' � _ . ' , - ; �. . -36. Hood or CanoPY . � . ♦' , . . 37. Fina� Factory Fireplace ' �� _' � . 38. Fina� Plumbing _ � � , � � 39. Water Service�Finai � ' ' 40. Gas Service-Final - . ' ' _ ' " � 41. Solar pomestic-Final _ � " 42. Backflow Preventer, . " . 43. Backflow Irrigation � - 44. Landecape Irripation System. . � � , � � 45.:Sound Attenuation . • - '46_ Handicap Recju4ations � � . . 47, FINAL STRUCTURE & BUILDING �"� - - � 48. FINALPLANNING '. f'. - 49. Elec[ric Release to Edison �'�, . ' 50; Gas Release to Southern California Gas Co { � i 4� , . � 57. CERTIFICATE OF'OCCUPANCY No. Date nnonessaewiaxc: 366 GENOA LN OMNERSNAYEIFppYM: MOU, MARI( FU CHEN '°o"Eu: 366 GENOA LN COSTA MESA,CA 92627 695-0909 �vv�. wuuxo nooxess: IAfICXRECTOHBItlNEEH: AXCII Ofl F.N..'S ADDf1E55: y J � uc. xo.: UNT: ��—� UNf: �""CTOas""�` MASTERSERV INC ( 818 ) 957-8985 CQRHACTORSM11t1NG 3502 N VERDUGO RD 'D^�� GLENDALE CA 1CNDe 580017 912 0 8 uhr: UCENSED CONtRACTONS DECLANATION: I Mreby eR'vm uMm penetly d paijury R�el I em Icemetl uMu pwimms d Cheqx 9 (mmmeevinp vrilh Seelion )000) d Drvision 9 d tlw Busi�ae eM PMmabns COEe. enE mY lioerua ia in hA toiee eM etletl. cmuc.No.:p �'9627. uc.cuss: C 36 uc.r+o.: 580017 E//XP�• 04/9$ Dma: _��1'S,/�_ CaNreaa: /// i�, S%li%/%i�/V i OW NEN BUILUEH DECIAflRTION: I he�aby elfiim under penely d perjury the� 1 em ezemq han Iha ComMas limnas law la �he tdbwip ieason (�ion ]03t.5 &reiieae eM Ro/essions Code: A�ry cIy a counry whirA iequine e peimn to oonatrui.M. ellx, impove. damoloh, a repa'v eny ewclure, qior b Us eeuence, e6o requirea ihe eppllrant for euch pemiil lo file e sgmd ale�emanl ihe� M a eM licenged W�sueM la iM prvmiom d IM Conl�adan Licerea Lew [CMplm 9(commend�q vrilh Setlon 1000) d 0'viian 3 d �ha :�ess e�d Raaavoiu coael «ihd ne a.i» is eumq me.dmn e�e me m�. �a m. dbaad e.amqon. aiv vdmon a seaon f1.5 by eny epplicent Iw e parmn aubpUe Ihe epplicant b e crvil penelry d iwl mwe ihen /'rve hundretl Edkn �f500�). � I.a�ownerWlMWOG�YamyemMWeesvnlhwapeau�haisobcomVa��.vnlldoMewwk.eM�heaWciuma�imeMad «aReredfor ceb (SxMbn 1aa, Buv�se e�M Prd»ebns COEe: The Comredan Liwnaa lew dma'at epply loen owner W qopary who builJs or'unD�� hareon, end wlw Eaea euch wak NmeaM or henetl a ihraqh hb a her own emplryeee, provided Ihet e�ch impovamaMa me M inteMed a dleieE fa aeb. M. howa.er. iha Wildi�p a inpiwemenl b aoM Milhin ma Year af compbtion. ihe owmrbuiMx Mill heve IM burden d provieq M w ehe d'd nd build or imqvae fa iM WTose d ede�. � I. as o�mer d IM propMy, em ezduvwN �Ired'nB �h liansed contrenma ro canarua tM qqea (Smion )OCd. &ni�va erd v,m.avion. com: The conireaors L'cense lew me. m epWr m.n owre. a ww�r � w�u. « imwa'a. �ne,.on .ne xfio conVecls 1« wM prqeea wnh e owuraGor(e) IcanxE pursuenl �o iM Cantrenas Lirome Lewl. ❑ �.m e.emw ��aa s�i�: e. a a.c., ro, mo re�: Dete: Owner: i ao n«�nr �r �nm i� ewar. a�e ��w�e ma �a��«w w cvr�e �nn .m smani code s,a�. uws. zss.w..�e 25590, eM Ihet I a vry Mure Wikiip oxupeM will / wil nd (dreb one) neeE lo wmpF/ wIh aeiE tle�e cotle5 eM tM repuiromenb Im epamiillormnsiruciionormotlilrationhamiMPiaue yTl.%negameMDislnd.ReadentielmnmwioneppYce�ipnvaazemqlromtMm wwim�,e. oa�e: - nvW�canr WOFKER'S CONPENS�TION DECLAX�TION: I hareby tlfiem uMer panMy d perjury wr d tlp lolbxi�p dadambn: ❑ i neve ena wM mdo�e'v� e oenn� a�,.�� m.an-��wre a..e�un� comva+.mion,.. ww�a.e e« M s� s�ao a ms ien« coae. �« ms v�o�.� w�.�w i« w:�m m� v� � m�a. n I heve enE Mil meiMe'vi �w�kan' mmpenmtion inaurence, m reQuired by Sepim 3]UO d �ha Lebor Coda, I« tM pe�lormence d iM �r w� �w xAiM ihia pe�mn is iaueE. My waMein mmpensetion inwrence wner eM pdicy numEx are: c� rnr.nFU FAC:T.F EXPIRES POIryNumber: t1�WCC%%%31—OQ 07/07/98 Tb sedian �roed �ro! be ttmG�e�e! / fMGs�t if /a aro hVM�eE Cdlas �Y100f w beaJ �] I cenAy �hel in tM1e parloimence d tM wak br v.hch ihia pertnA o ieeuad, I ehell iwt ampby eny penon in eny menner eo av to become sudea lo IM workera' comGenaetion lewa d ce4lanie. vM epree Ihat J I e1wuN becmie w4a to the MON.e�a• cwnG+��ion vieiora Smun �)00 d Ihe lnbor Code. I M�ell �ta/ihvril� oomON with iMro qwitiona. oa<: 3 � nod�m: ///.Ei �i��%iG,�/� Wem/np: Fellun ro escun woMsr�'rompauetlon eovenPo �� Nw'�✓�, an0she11 �W/se! en �mp/oysr b eNMnel peMMsa aiW c/vll fliw� up ro mi huntl�M tMuwd Aoll�n (S�u0.W0A �� Itlan ro tln am� ol rompxwtbn, Cumq� �� pravltlM bi /n Sxtlon J)06 0l M� Lebor COW. Inhns4 entl attomsy's /wa. CONSTflUCTION LENOINO RGENCY: I hareby eifirm uMer penelry ol perN�Y �hm there ia e mrrelruaion kMirp eperu.y la IM parlortnenm d iM vurk la whiM t�b permi ia bauad (Seaion 309). Civ. C). LENDEN'S NMIE: LENOEH'S ADDNESS: I cMiy ihat I heve reeE thia epplice�im eiM elele ihet Ne ebove iMormetbn is conea. I qree to compy xilh ell vry eM ooumy adineMae end etete lews rele�inp to Wiking conSrudon e�d Mreby a�nhorixe reprmemmiven W Ihis dty to enter upon �M ebove-mentioned O�GaM �winspatlnn Wrpoees. DENNIS DAWSON Pn�nt Nemy�e..� / /� QiiA//�1Aa iL(J�-IJ / �� Dem: { L � SiB�ure Ovmer/RpenVRpptimnUCmtrerfa (5151J6 WP) Whne-Build'mp 8 Sefery:OrearFle; Cenery-Appleenl: Pink�ievenue; Gdda�eo�Mmvw CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: P 087377 PLAN CHECK NO: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU JOB DESCRIPTION : WATER REPIPE CLAIM VALUE: CALC-VALUE: N P9�- ooaa� PERM NO• P 087377 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 /U-1 COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT �rx*�r****�r�rx�***�t�e**�t*�t****�t�r**�r��r�e�r*�t***+t+t�t�t�t+c�t�t�t�t**�t******�r***�***��t�**�t+t�t�t*�t�t� Z O N I N G R E Q U T A E M E N T S ' S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PAOV: PARCEL: 43914240 ZNE: REF NO: PLANNING NOTES> i �- ��*+�*�r��****�«��*,�,�,��**,�*��*��*�**��«�«�**��+�*��x+��*��****�***�,�*+� D E V E L O P M E N T S E R V I C E S p�R E Q U I R E M E N T S ZONING APPROVED $Y . '� DATE; &UZLDING APFftOVED BY : APPLICATION ISSUED HY: L�?7. 1E iE if iE if jf it ik iF if �1i i! if jE if if iF �F if iF it 1E LEGALIZATION;N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC DATE; DATE: 3� ��F3FiEiFifififiFiE�1(�it iEiE STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING PERMIT 8.75 258 .. SMIP/NON—RES PLAN ISSUE FEE 22.00 -+ HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 8.75 22.00 �^'. 0,00 30.75 30.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 30.75 ;i— iF �F �E iF 1E �F iE if iE 3E if iE iF if iF i! �k iF iE �E if iF iE ik if iE if if ik 1E 1E iE 1E iF if iF 3f iE iE iF iE iE jE �f jE �1E jE 9E iF iF iE aE iF iF iE iE IE iF iE 1F ik iE iE if ik iE 1tlE if iE iE if iF iE iE 1f 3E 1E if I N D I V I D U A L� F E E H 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 WATER RE-PIPE �t 8.75 8.75 END OF FEES : f r',--� T� 83-i9-1998/01:57 Pti/636.7z kLF'T�:�1-Ga21126 F'EFfMIT e 087377 CONSTRUCTION ANO PLANNING - ' . �QL � _rA - APPROVALS Permit #� Date Inspector qppROVALS Permit � Date Inspector , 1. Temporary Electrical Service or�Role � . � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � . . �53: Staef Reinforcement . 3.'Electrical Conduit Utility.�Undrgmd.� 54. Forms . ' �� . 4.,Hectrica� Conduit-Unclrqrnd. . �� 55. Electrical Bonding - � :'.5= Steel Reinforceme�i � -� 56. Rou9h Plumbing & Pressure Test • � �6. Eiectrical UFER.Grnd. - 57. APPROVAL TO COYER-GUNITE , 7.�Footings ' _ � � 58. Electrical ConduRt:Undrgmd. � � 8. Foundation - � - 59. Gas Pipe, � U�dryrnd., Test' • 9. Water Pipe-Undrgrnsl. - ��' - � 60. Backwash lines, P�Trap, � Undrgmd. 10. Struaural Floor Svstem� � � � �67. APPROVAL TO�DECK . � ' � ; 17. Property Sewer Line�& House'.Gonnection - 62. Backwash & Re`ceptor-Final • � � 12. Sewer Cap . - � -63. Heater & Vent-Pinal � � 'I 13. Roof Drains ' 64. Plumbing System � Final � Y 14. Rough Plumbing� _ 65. Etectrical-Finai . ' 15. Rough Electrical_Conduit .. � - 66. Solar System-FiaaP - 16. Rough Electric Wiring' '' - 67, Fencing & Access Approval ' . �� 17. Rou9h Wiring Sign , �� -68. APPROVED FOR PLASTERING •. 78. Rough Electrical-T Bar Ceiling - 69. POOUSPR SYSTEMS FINAL � 19. Rough Heating,& Air Conditioning . 7 a , ,� FIR�6pEPT�REQUIREMEN7 •7 � - _� r� _ 20. Rough Factory'Fireplace � �. ' • _ • APPROVACS-'� , Pe�rmit # r � ;;y 21. Ducts� in�$tructure� - � �� .. ,� - � �.. 70. :Undergrountl Hydro F � 22. Ducts; Ventilating:"+� ''= � F^ �' 77, produ't( Piping'� Gas � Oil . . r. a � 23. Gas Pipe=.Rougli &�Test ' _„_, - ;. ``� ' - =a � � 72. Undergrouad Fiush � 24. Roof Framing y �. ; r M` _'� ,; 73y Undergrnd.StorageTank-OGas �Oil 25. RooYSheatb�ng `' ° , � ` �- .. � _' ;: 74: Overhead Hydro� �� ,�. 26. T�Ba�'Ceiling (Structurall & Monocoat ` � -'t 75: Ory Chemical ,: - a. � r., ' � � 27. Frame and Flashing �; �; , �� ';' 76. Dry Stand`pipe `� �`� � � i , � . ' 28. Lathing &;S�ding •r � - '> r. � � 77 � FIXED SYSTEM FINAC" ' .� 29. Insulation. jr .- '�� ;�: . , 78'vr.FIRE PREV. PINAL � 30. Drywall Nailing � � �� i i` - ,_ �HEALTH DEPT. REQUIREMENT -. 37. Plaster Brown�,Coat,,; ' � ' j ' 79. FINAL INSPECTION ' � ,, . • 32. Electrical Pa�✓er Meter�Final � -� i �� 80� POOD CERTIFICATE ISSkJEDi - 33. Final`.�lectric� Notes: M '; t . ' ' i ):-, � � ' , . - -:. . -- � � 3_a.5�q�-., r_1_ev��z�A : 34. Fjnal.Heating�R�i Air Gonditioning ' - > . I �,r � • � - �; ' � .� 35. F;nal Gas Pipe=Tesi��' r= ^ •• ; •�' � �' '� � _ r r . T. " Y + . -, 36. Hood.or CanoPY c . s �r �� . .. - ,,. `�. + t a � � 37. Final•Factory Firep'1ace..� ' ' r � � . . 4, � , ' �38. Final"Plumbing '- - 2a("Q `� � , i . � ' v v nd � 39. Water Service-Final - - . ' - "' G .. . ��40. GasService-Final ` ° - , , .��- ' � . ' . � -47. Solar pomestic•Final , + � ; ' � ' ' 42. Backflow Preventer . .� , ��` � , - .� 43. Backflow Inigation ' '-+ ' ' � : 44. Landscape frrigation{�System J.• � , i 4 t� ._ .. . ,- ,�� 45. Sound Attenuation � - •' ' '�'t 'T� � + ° ' "' ' � ' ' � . . ... ; , . . - - 46. Handicap Re9ulations . -. '; ^� , � " ,, - � ' , 47. FINAL STRUCTURE & 8UIl01NG � i�'- - � � � - 48. FINAL PLANNING , . � ' � � , � � Y 49. Electric Releaze to Edison w �-_ : �� ` 50. Gas Release to Southem Cafifornia Gas Cv r ' :�. __ ;-. . .. 51. CERTIFICATE OF OCCUPANCY " No. Date �• ,� � � g�� COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BO%91] COBTA MEBA� CA�IFORNIA For Applicant fo Fill In Completely TYPE OR PRINT eui�oiNa �b � F?9��'G�. AOORE53 COSTA MESA. CALIFORNIA� � AO RE53 S.JZ . S0. Manches FEE RECEIVtU �au � s 1' FINANCE D�. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECQIPTNO. f ��A�. U�J J )BY OAT@qECEIVED OATE169UEO �(O ZONIN(i � NO. O U66 OF N PLANB� BYILDIN01.� f.� QTY SBME � A. P. NO. ' NOTE: NO EAV E OV ERHAN6 SHALL BH LES9 THAN LIC. No.151-250-B-1 N� '� PR 2802� 30" TO SIOE B REAR P. L. . EAVES SIZE I no. oP oLooe. ALLOWED (U. B. 0. RE4UIREMENT'. OF LOT NOW ON LAT �� - YARDSAPPROVEO YAFDSAPPROVED USE OF �� MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. � (FROM C/LSTREET) SETBA<K LIN[ FROM 2O � SO � REAR YA D FRONT FT. FI'. cENTER OF➢TREBT �� ,_. R.81DE 0 F'�'. FT. 91�EYARDI LEFT ' ��—� RIOHT �� N� . DESCRIPiION OF WORK L. SIDH �J F-r. Fr. 3x53.50 Ro°oms 6 $TORIH92 NALLStUCC� COV�ERIN6 COmpo 1 HEREBY ACKNOWLEOOB TXAT 1 HI1V8 R¢AD THIB APPLICAT�ON AND BTATE TXRT TH8 ABOV6 10 CORReCT ANO AOREH TO COM- PLY WITH ALL CITY OROINANC60 AND BTAT6 LAWY R60�ILATINO BU�LDINOCON9TRYCTION. � _ � 0 AUTHORIZ6D AGENT� 1 d-� L"/.. DISTANC6 BET MAIN BLO69. � VAR. � 1555 sc. Fr. THE �MOUNT e PUHP09E OI 1 VALUATION s ��74d� F BET.MAIN Q ACCESS. BL[ DATE ua.`a -�� Qi UN�ER VAIUATION Ie FOR THE IBHING A PEqMIT FEE ONLY. ____.._ ___ .. C'Z � � DOYLE & SHIELDS JOB ADDRESS jbb GliNERAL CONTRACTOR AP No. 7 evelopment Co.,Inc. Shields Dev.Co.,Inc. TRACT �1}..�IRE ZONE � Sienature � DATE G� BUILDING PERMIT N0. 1yb67 vat.uE � 16,390.00 DESCRIPTION OF WOAK Ras.w�att.¢at SUBCONTRACTOR c V7