HomeMy WebLinkAbout2755 GANNET DR - Building PermitsPN0.1ECiR00flESS: z7SS GANNET DR
owfin•sxnme: MICHAEL DUNN
nooxess: ELIZABETH DUNN
2755 GANNET DR
COSTA MESA
751-8493
RflCM/ENGINEEN:
nooxess:
flEC.NO.:
UNIT:
UNIT:
PEflMIiTEE: MICFIAEL DUNN ( 714 ) 751-8493
anoeess: 2755 GANNET DRIVE
COSTA MESA CA 92626
UCENSED CONTMLTOfl DELUMTION: I IrereGy attirm Itu11 am GcenttG unGer O��+sians o� Gupter 9(commenanp wil� Stttion
700U) ol Divibon 7 of Ine Business and PmhSSions COUe, ana my litense is in full lorce and ellect.
CITY IIL.: ST�TE UC.: ClASS:
Date: SignaNre:
wOBKEBS' COMPENSRTION DELIAflFiION: I here�y affirm inai 1 have a cenilicate of wnsent to sell-insure or a certilicale ol Workers'
ComDensa�ion Insurance, or a cenAiea copy inereoi (Section 3800, La�. CI.
PoLICY NO.: EXP. OpTE:
COMPANY:
7 Cenitiea copy is nereGy tumKnM. ❑ Cenitietl topy 5 lilea xitA 1ne ciry BuilNng Oivisian.
Da�e: ApOiicam:
E%EMPfION FNOM WOFKENS' COMPENSA710N OECIAfWT10N: (fhis sttfun me0 nol De compkteE if Ne pmM s lor one Inatl2G �5100� w less�.
I ceM1iiy thal in I�e petlormante 01 lh¢ vrork �or whic� lh6 permii i5 i55ue tu� I empl0y any Derson in any mdnner 5o a5 io Uecome
subletl to t�e Worker5' Campen5aiion Lavrs OI Calitomu.
, oa�e: �d —( 3^ S Z Signawre:�
NOTICE: II, alter makinq this tleclara�ion, you should Aecome suGleci to IAe Workers' Compensation O�ovisions ol ��e LaOor
CoCe. you must loMhvnt� compry wit� suM pmvisions or tNs Defmit shall be Aeemed revoketl.
CONSiflUQION lENOING AGENCY: I hereby aflirm Inat Ihere is a conSiNction lenaing agency for ine pedormance of ihe work for
wAic� ��is permit is i55ueE (SeC1i0n 3097. Civ. C�.
LFNOEfl:
RUOPESS:
OWNEB BWlOEB OECUHIITION: I �er¢by a��irm IAai I am eKempi Imm IAE CAntRttors' State Liceree Law lar the IMowing reawn
�Semion 7031.5 Business anG Pmlessional Coae: My uty al county wNc� repuires a perrtnt m constmct, alter, imOmve, demoliSR or
Rpair any slrutture. D�b/ lo ils iSWance, alsa rep�eres t�e aDd��� �or sudl permit to lile a 9qne0 sUtemenl tliat hNslie 6 Iicenu0
pursuam to t�e pmvisions oi i�e Camracmrs' Siate License Law (C�aptei 9(commencing wit� Section 7000) ol 0ivision 3 0l t�e Business
anA Pmfesvans COOe) or Ihdl he/she b eeempt ttKrelrom anG IIIe Da56 lor tlle alleqeA evemption. My WOWtion of $ettian 7631.5 Cy
anY applicam for a permi� suClecis t�e app�icant to a civil penal�y ol na� mom �Aan live hunOretl Oollars �5500�.
I, as owner ol t�o pwPetlY a� mY employees witA wapes as t�eir sole compensaiion, will da IAe work, an0 t�e
❑ simcWre is not imentletl oi ollerea Ior sale 13ection 70aa, Business anG Pmfeuional CoOe: The Contraclors' Slate License Law
tloes nal aOPly IO an owner oi a O�opetly who builEs ar improve5 I�ereon, and w�o tlaes Suc� work �im5¢I�/�er5eil or I�mugh
hi5 Of hQ� Ow0 QIIIOIOyCCS, O�ONUCO lhdi WCh IrtIpfOVCrtICIlIS df0 IIOI 101¢IIGCE Of OflCf¢G 101 521C. II, hOWCVCf II10 OWldlflg Of
improvemAni i5 SOIG wilAin one ytar ol compleli0n, I�C awilU will IIdvO tllp EurGen 0� prOvinp �¢/Slie GiC n0i Ouild Or improve
i for ihe ourpose ol ule�.
i, as owner ol t�e o�oDen , am e.UusiveN coniractinq vnt� Iicense0 mnlractors Io wnsiruct I�e pmlect (Seclion 704C, Business
❑ ana aratessians Caae: t�e eonvanars Siale License Law Eoes not apply ta an owne� ol property vAp OWQs m improve5l�ereon
and wp0 tOnlratls lOr Suc� p�OjeC(5 wilA a COMrapOr�S) IitCnSC pur5uani l0 1�¢ fqnlraClotS' Slate LKense Lawl. I am aware
�Iui oroo� al I�C�r Warkei 5 Compensatqn insurante S�WIG De ptwiOEd la me.
� i am e�emo� unaei Seaion: BP-704 q B. a v. C.
mnmsieasan: ALL WORK BY OWNER��..��///
Oale'. �D � � 3 � �[ Z Ovm¢r' �L(,
I tlo hereDy rendy inai I am aware ol an0 un0erstantl Ihe reQuirtmenis ol Catilomia Healtn an0 Satery CAOe Seclions 25505. 25533, antl
2553a antl ��al I or any Iuiure �uilUing occupanl wilVwill n01 (circle one� nee0 �o comO�Y m�� sziC sta�e md¢s antl �he repuiremen�s �or a
permil lar cansimtlion or maGilitalion Imm ��e Rir Ouah�y ManaAemeni Ustnct. ReSiGenlial consiruclion appliwlions are exempl Irom
Ihese Omvisions,
Date: ApO�wm:
I h¢re6y ceridy IAaI I �ave reatl Ihis ap0�����on and Slaie Ihai I�e a0ove inlorma�ion is corr¢ti. I aAr¢e �o tomply vni� all Ci�y and [ounry
a�dwncesanOSWleWwsrehting�oEWOugcartsvuctqnanE�ereOyautlq_ r¢erepesmuliueso�ttYsatyloenlerupon��ea0ove�rtrentrone4
pmoeny lo� insDeciion purposes. \\ /1
U�!)�/
oate: /D `� � 3 � S Z Signawre: �,�/�� ��/ �
' Orivefs License ar Saial Security n:
t64t-a6 WM1ne—Buil�inp�, Green—CaCe EnlorcemenC Canarv—Aoolicanl: Pink—Revenue: Goltlenmtl—Asxessnr
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 059466 PLAN CHECR NO: N
CONSTRUCTION TYPE; V-N PERMIT TYPE; STR
JOB DESCRIPTION ; T/OFF RESHT. REROOF W/ASPHLT
PEt�M NO; H 059966
GOVT; N SUPP: N
PURPOSE: ALT
SQ FT: 4,500
CLAIM VALUE: 4,500.00 CALC-VALUE; 4,500.00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTOR RE�UIRED IN THE HOME
�rk,��r�r��e��x�x*��*xr���r�r�r�r�r�r** *#x*xx�*�r��****����w*x�**x�*��x*�r�r**�tr*�**xx-#xx*��r�#�
2 O N I N GS ERTEHQA�CIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; rT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARHING REQ• PROV; PARCEL: 13947601 ZNE: REF NO;
PLANNING NtST'ES>
�
iF if if %iF )f fE i4 iElF �lf jf �lf iElE iEiE if iFiE iF if if iE iE iE if� iF iE iF iF iE iE iF �E iE iE iE iE iF iF if if if iE iE iE if tE it iE iE R iF iE # iE�IE iF iF iE iE # IE iE iE iE if af iF iE iE ii # iF iF iF # iF
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 5
ZONING APPROVED BY
BUILDING APPROVED BY
nATE;
TE;
APPLICATION ISSUED BY• � DATE• �.� L
�ltititkitiEiEitiE*iE-�Eit+riEiliFit�tiFifit3FiFiFiFiF��,r ��iF�F ' xTe ie "3�x� �3F3Fi'r3F�e'fflFiFiFxiti4iF�lfiEikx�ifi(�� r ceiE
if if 1E if if ik iE it iF it iF iE if �1E �E ## 1(� if If 3f iE if iE iE it iE iE it iE iE i! iE 1E ik il� if 1k ik it-M� f4lEi! i! il�lF if k iflf X�# fE # ik �lE iE?E iE ik 1f 1f if if ik iF # iE #fE iE iE i!�!h iF ## if
LEGALIZATION;N F E E �� U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTiiIC- MECHANIC FIRE SMIP/RES GRADING
PERMIT 72.00 �. 50
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT
TOTALS----> 72,50
�i �
�1
ISSUE PLAI�CHECK
0,00 � D'.00
SMIP/NON-RES
TOTAL PAID'• -' DUE
72.50 145.00 -72,50
REVENUE DIVZSION TOTALS--> COLLEC3'ED;'� 72.50 OVER/SAORT: 00
BLD72Poo PLUMBING ELECTRIC MECHANIC � FIkE SMIP/TOO GRAPING PL�N-CHECK
f
iE i! ir+t iE it iE i! it ft it ft ft ff iE i(� 1E ft it M ik+t 3E ft it 1E ft i! ft x it it it if if it if iP iE iP tF iF if it iE iF it ik if it ib if iE it x- it x� if if it itr ft # rt ft x� iE iFif- 3f iE # �E ## iE it tt iE
I N D I V I D U A L�'.F E$ B R E A K D O W N �
, . • , .
TYPE QTY D E S C R Z P T I O N �• UNIT COST TOTAL COST
SFR 9500 REROOF BY VALUE RESIDENT�iR3. NOZONE 1,00 4,500,00
END OF� FEES
+ /i
EXPIFccD "; J
Incompleta Inspections �, y.
LYdtE �a.�--y-'_ SI$ �---`"""
31 L3�93
A
i
CONSTRUCTIDN AND PLANNING
� POO. SPA ' '
1 APPROVALS Permit # Date I�spector pppROVALS Permit # Oate Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipmenc Location
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility•Undrgrnd. 54. forms
4. Electriwl Condult-Undrgmd. 55. Electricai Bond�ng -
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgmd., Test ��
9. Water Pipe-Undrgrnd. � 60. Backwash LineS, P�Trap, � Undrgrnd.
70. Structural Floor System - 61. APPROVAL TO DECK
11. Propercy Sewe� Line & House Connection ' 62. Backevash & Receptor�Final
12. Sewer Cap 63. Heater & Vent•Final .
13. Roof Drains 64. Plumbing Systom � Final
14. Rough Plumbing 65. E�ectrical�Final
15. Rough Electriwl-Condu�t 66. Solar System-Final
16. Rough Elearic Wiring 67. Fencing & Access ApProval
77. Ro�9h Wiring Sign 66. APPflOVED FOR PLASTERING
18. Rough ElectriCal-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Faciory Fireplace • APPROVALS Permit #
21. Ducts, in Struccure . 70. Underground HYdro
22. Ducts, Ventilating 77. Product Piping OGas OOiI
23. ('ias Pipe•Rough 8i 7est 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil �
25. floof Sheathing �O 1 O ' 74. Overhead Hydro '
26. T-Bar Ceiling (S[ructural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
:�
28. Lathing & Sid�ng , i 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PFiEV. FINAL
30. Drywall Nailing � � HEALTH DEPT. RE�UIREMENT
31. Plaster Brown Coat � � 79. FINAL INSPECTION
32. Electriwl Power Meter-Pinal � � 80. FOOD CERTIFICATE ISSUED �
33. Final Electric � � Notes: •
34. Final Heating & Air Conditioning I',1 �
d G._a�o_as►� �i�Q ✓'� o.� �-- .
35. Final Gas Pipe•Test � �
/_tcw�+ $���i.-/�6-e,6�•
36. Hood or CanopY ,
� { � !o-I_e-ee�"�
37. Final Factory Fireplace � � �
38. Final Plumbing � I
� �
39. Water Service�Final j �
40. Gas Service-Final �
41. Solar pomesticFinal ' j
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations ��� R D
47. FtNAL STRUCTURE & BU�LDiNG ' '' � � p�ete-Inspettion
I .
46. FINA� PLANNING � t� __ ��� $Ig �
�
49. E�ectric Reiease to Edison �
50. Gas Release to Southem California Gas Co � '
51. CERTIFICATE OF OCCUPANCY
No. Date
��
�
�I
�I
PPOJELT ADOflESS: '2 7 O S GANNET DR
OWNEN'SNAME:RELING, MZCHAEL LEE
nooeess:RELING KAkEN M
2705 GANNET DR
COSTA MESA,CA 92626
AflCH/ENGINEEP: S 4 9— 2 1 S 9 PEG.NO.:
AO�PESS:
UNIT:
UNIT:
PEPMITTEE: BOUCK ROOFING 6 WATERPROO ( 714 ) 847-6608
noowess:17882 MAGGZE LN
H.H CA 92647
LICENSEO CONiFACTON OECIABFTION: I �ere�y a��irm ��at I am lice sed under provisions nl CAapier 91�ommencing wi�h Seclion
7000� ol Division 3 0l ihe Busine5s and Pm�essions Coee. and my lice e is in full lorte ana efleci.
CITY LIC.: Q L� STATE LIL.:> 4-� S z S c�ass: 3 �
Oa�e: —�� / � / � Signalure: — _ _ � _ .
WOBKEflS'LOMPENSATIONOECIAHAiION: I�erebyal�irm��allhav ce�i a�eol onsennosel4insurearacetlibca�ea�Workers'
ComOensa�ion Insurante. or a cemiied copy �hereof �Seciion 3800. LaU.
POLICY NO.: E%P. OATE:
COMPANY:
r] Cetlitietl copY is hereby �umishetl. ❑ Cetlihetl copy is �iled with the ciry Building Oivision.
Oate: AOGlicanC
E%EMPTION FPOM WOBKEPS'fAMPEN5PTI0N DECUPA710N: �TNSsecU need wl0ecompleteCi�Ue perm�islorone huntlrcd�5700�orless).
I cetliiy Ihai in �he OeAOrmanC¢ o� t�e work �or whith I�is permi� is i d. i shali no mpl erson in any mann o a5 �o become
subiect to /in�e workers' Compensation Laws ol Caiitomia.
Date: 75 ' �i � q� Signamre:
NOTICE: I( alier making I�is Aeclaraiion, you sMula Decome subj � to e Worke 5' Compensation pmvisions ol �he Labof
CoOe. you must lonhwith comply witn sucn pmvisions or tNs oer II be Aeemed revoketl.
CONSTflUCTION LENDING AGENCY: I �ere6y alhrm tha� Ihere i5 a con5iructian lending agency lor �Ae De��ormance ot the woB for
which ihis oermii is issuetl (Section 3097. Liv. C�.
ieNoea:
aooAess:
OWNER BUILUEB OECIAPRtION: I here0y affirm ttut I am e�empt imm ��e Coniracmrs' State License law lor t�e lollawing reason
(Seclion 70.71.5 Busin¢55 anU Pro�essional CWe: Any ciiy ol couniy whit� r¢quires a permil Io conslmci, aller, impfove, tlemolish, or
repair any simcture. orior lo ils issuance, also reduires ihe applicanl for sucn permit to lile a signe0 slatement ihal nelshe is licensetl
pursuam m ihe provisians ol �ne Comractors' State License Law (ChaD�er 9(commencing vn�� Section 7000) al Division 3 of Ihe Business
antl Pwlessions Code) ar Ihat he/s�e is exempi I�e�elrom anE I�e Easis for Ihe allegetl exemplion. Any Vialalion ol Seclion 7031.5 hy
any aOClicant lor a D¢rmil su0jeas t�e a00���am Io a civil penalry al not more Itun live �unareA Oollars (5500�.
I. as awner of I�e pmperly or my employees wil� waAes as Iheir sole compensation, will do Ihe work, ana I�e
❑ s�mcmre is not imenAeO or aileretl for sale (Section 70aa. Business and Prafessional CoGe: iAe Coniractars Slate License Law
Ooes nol aoo�Y �o an awner ol a propeny wtw builds or impmv¢s Ihe2on, an0 who tloes sucn work himself/herself ar ihrouAh
�is or her own employees. D�ovitled Iha� 5uc� impmvemenis are nol inten0e0 or of�eretl lor sale. II, however the building or
impmvement is 5ola wit�in one year ol com0lelion, Ihe owner vnll have I�e Ourtlen ol proving he/s�e dia no� EuilA or impmve
lor I�e Ompose o� sale�.
I, as owner of �he pmpeny, am exclusively comracting wilh licensetl conVactors m conslmc� IAe pmlecl (Sec�ion 7044, Business
❑ and Pmlessions CoOe: Tne Comracmrs' S�ate Li[en5e Law QoeS n0� apply �o an Owner ol pmpEriy wAa 6m105 Of imO�OveS ��ereon
antl who coniracis for such D��etls wil� a coniractoqs�license WrSuanlio t�e Conlrac�ors' State License Law),I am aware
I�aI pmol ol Iheir Work¢i 5 Compensa�ion insurance ShoulU be pmvitleA Io me.
� I am exempi unAer Seclion: B. 8 P. C.
lor I�is reason:
�ale: Ownec
I Do nere�y ceriify I�ai I am aware of an0 untlerstana Ne repuirements ol Cab�omia Heal�h antl $a�eiy Cotle Sec�ions 2550.5, 25533, antl
2559a antl IAai l or any �uture building occupanl vnlVvnll noi (cucle one) need lo comply wiih saitl state coaes and ��e requiremen�s �or a
Oermil lor consimclion or motlificalion Irom�he Air Ouality Managemeni Di5Vic1. ReSideniial con5imc�ion applicalions are eKempl imm
IAese provisians.
Date: ADOlicanC _
I hereby cetlity thal I �ave reatl ��is applicaiion and Sla�e ihal i�e a
ortlinanc¢s ane 5lalelaw5relalingio Ouilding consimction ane hereby
pmpetly t�oi [in`specclion pu(r.p�oses.
Oale: !/ � J '�/ � SignaNre:
�river's License or Sotial Setunly
�6at�a6 Whi�e—euiltling: Green—CaCe Enforcemem; Cana:�
is correc�. I agree lo com0ly wiih all cily and coun�y
nlalive59Lfii5 ciry �o enter upan the above-memioned
Pink—Revenue; Golpenroa—Assessar
�"
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063379
PERMi'I',NO: B 063379 PLAN CHECK NO; N GOVT: N SQPP; N
CONSTRilCTION T'YPE; PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF SHEATH REROOF W/SHAKESICB0�12882 SQ FT: 12,200
,CLAIM VALUE: 12,200.00 CALC—VALUE: 12,?.00,00 GROUP OCC: R-3 /M-1
COMMENTS: REROOF 2800SF RESID 6 GARAGE. MAX WEIGHT �.6PS��KE D�TEGT°OR
rt*u�r�it*�r��,��rit#�rx��rit�**+r*#*+r+�***�+t��t*�r#��r�r*#x�,rx*ititx��+t�*�*� x �x 3� • n u
Z O N I N GS ERTEBQAUCIKRSE M E N T� R EQ UIR E�
-----'------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; F'T IN RGHT; FT IN
PARFCING REp • PROV: PARCEL: 13997610 ZNE: REF NO;
PZANNING NiSTES>.
• i G_.._
*�*,��**���*�*��c�*��**��,�**��+�**��*x��,���� *****�*����**��,�� ��**���x*�,��-��*� ���*
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�.S
f ���.
20NING APPROVED BY DATE;
HUILDING APPROVED BY : DATE; ' ?
APPLICATZON ISSUED HY• DATE• '8�3��iFiF
iE if iF iE �lf iE iE if� iE iE iE iE # k'iblF iE fE 1! �ElE ikiF7FiF'iFiF3F'iF 3F3FTeiF3F'if �iF�F3fTeTF3F3F3F x vF �'iF iFlFit7FiFir �r'iFif ff i(�!E if if iE iE if #� � t st iF lf
it*x�itie+E�cfE+�iF*�iEiE#*�+r+t**�tx#x�x�*�#*x-�*�t*iE*�ttt�t#itit*itx�itiret�it#�-af*�x x�it*�it�r*#iFititiFrtx*iric �celriE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 199.00 1,22
� SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> : PERMIT ISSUE P�,AN—CHECK TOTAL PAID DUE
TOTALS----> 1 145,22 0,00 ', 0,00 145.22 145.22 .00
'REVENUE DIVZSION TOTALS--> COLLECTED: 145.22 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
194.00 -� 1.22
/
3E �E iE �If If iE 1E # If 1F iE iE iF iE iE iE iE 1E 1f if if iE if if iE #!E 1E iE if IE lf if'IE.iFif ik if it iE iE iE il� 1E iE 1E if if !k iE iE ik if fE iElf 1E iF 3f 1E if 1! iE iE 1F ## iE iF iE if if iF iE 1k # if iF ik
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
SFR 12200 REROOF BY VALUE RESIDENTIAL N020NE
END OF FEES
UNIT COST TOTAL COST
1, � � 1 2, 2 � �, � �
O1 00144304-00144305 TO T 145.22
DATE: �8/D`/93 TIt1E: 24:41
�
i CONSTRUCTION AND 7LANNING
I APPROVALS Permit ,�`r
j 7. Temporary Electrical Service or Pote
2. Soi! Pine�U�d�grnd.
r3 El�c;rica� Cocdi��: Ut.�fty�Urdrgrr.d.
� 4. E!ectricci Cendu�t�U�d�g�^d
5 St°[_He�nto•ea�nc�t
�. -�. ct :cc' C`CFl G.:.d ---
7 Fo�::ng�� -
' B. FoundaGon
�_' -_ _
,-8-11�:e• P�pit-Und•�rr.d_ -
� 70. S:�uctu�a' Flonr System
�--- ---' ---
11. vrapc•;�/ Se::Pr L���� & Nvusc Ccnncct nn
� --- -
, 12. S�:va Cap
� ---- -
� 1 3. °�ao* Ora ng '��
i -
I' 4. H-ug'� Piumbir j J �I
�F A^ugi� E:ectrlca'�Condut I
I----
� 'E. Rnugh �iectr�c!'diring �
� � 7 �ocgh `.!'�r,ng Sgn '
i I
�18 fto�,:3h Elec!r'ca��T B:r C° I rg �I
19 Pough H^at�ng & A�r Co^d�•,�on�ny '�
.. ?c...� . F:cto•,, F�:ec:ac� � '�
?l. UuN;,'��. Str,:ctura
1.2. 0'..cis, Vc nr '�.t�ng ' -_
23.__ ?�.:�Ro,.3hl9 IzSt _'
�4. `lo�f F�aTirg
i ?�,._f�c;.5�'.-rth��-9----- �
� 76. -�_.z, c_ �:,,,, �sruct��.:�.��� __.:o�-„coac
r9J_ _•_.=: cd F��,h�_c_-_ _ -__ __
`._.8 .LU, �� i�. S a �-.;
-J -'- -- - -----
. �,.twat�on �__
30._Tyv.ali i�,a,iing ' ___
_31 _P.ueter Oiov_n Goat - --- -_ - ----
� 37 Elccir�c<� Power ".�e[er F ra-- _
r___ _._-_ _ _ _-_ _ _
i 33 � �ra: Eicctr��c
3a. F;nal-c--t�ny �u A, co�� c�on;-.g� -
35. �inal Ga; Pipe�Test
36. it�cd cr Canopy
r37. � ne� F„ctorq Fireplace
3H. F.na� Plurnb�ng
� 39. '�. rter Sermce�Finai
� ;0. Gas Sen�ce�Final
�41. Solarpomestit-Final
42 Eackfiow Prev�nte( ;
�3. Hackfloyv Irrigation-::
A4. landsc:ne Irnqa[ion.SY3�em
45. Sound Atte�uatio � � �
r• ��.�
d6. Ha�etl�c: P Remilationg 1
�7. FID!ALSTRUCTURE&.::UILDING
_ �li�
"E FINAl9LA\NI\�G� � ���'
_��- -
49. Elcctric Release to� Ed�sd�
�
50. Gas Fele:se to Soirji;m Catifom�c Gas
51. CEP.TIFICATEO'aCCUPANCY
f�o. Dace
POO � SPA
Date Inspector AppROVAIS Permit � Date Inspector
_� . 52. Pool & Equlpment Locai�on
� 53. Steel Rclnforteme��t �
_ -�_ -_ -_ `--J,
5A. Fqrms
-_ - �_� --
55. Elsctrical Eond�ng �
_ _ _ �-__ �
56. Rouyh Pluribmg Z� Pre;surc Tait � �
- � --J---�.
--� 57. AP?POl/[�1.?"OCOVPRGU�l�`F: --
-- -�----------J- �
58. Electrical Cnnda;t�l.'��.drgmd. j
---a-- - �- - I - -�
� ---�----------- T -- ,
� �59.GaaP�P�,'�UndryrrJ., est
---. --------- -�---�--r-I
� ' E�. 6;,c1a��auh L:nus, P T�cp, _l 'J��::�r�: �1 � i
�� � Gt. P.PPf10VAL l0 DECI<-----�I-- ----�-- -�---i
� 62. flaek::ash R� Heu��!ur-Fuial � i -I
� 63. }learcr & \' nt-Fincl --�--r----1
i
- -- -------- --- � �-_--i
64. P!umbin�7 Sv;h�m � �dl i
� G5. L'!cctricai-Fln.,l � �
�--- �-----'--
66. SvWr Systam-1=ir.a� � � �
_� - __.�_--__ � -- L- I
' I
� 67. �end�a Fa AcraSs App�oval i �_,
� 6&. APPROVeD FOR P�AS�i ERIR'G �
� --
69. POOL(SPP,SYSTEf.�Sf-�NAL
FIRE DEPT. REQUIREifEiVT � �
:aPPROVRlS Perm:t :C _ � �
- r-----�---
' /0. lin��rground Hyci�a �
i '
71. Prodi�ct Pip,r{� (] G::-. �� OJ ,
---�-+---'- - -----�-------- i �
. � 72. Undcrr�r0����d i�li�sh . -� ^
- ------ - -- - -j---- ---j--- --.
73. Untlergmtl.5[ora:. Tank C' G,�; . 0�. � �
�--- -- --------------t----------�
�-Y3 ��w�G �a o�t�r,��a Hv���� � i
�5. o:yc�,<<„._,� - ------I---t--- -
' - _ _ � _' _ - _ r ' _ -I-' _ _. _ _
t76. Dry Snm;IP��ce�- - - -- -- ---�- - � -- �
---T -j - -- -- ----------- --���----- -f------�-
� i � � !7. FIXGO SYSI EAt �-�^.�L � �
-� � --- 78. FII1E PRFV. FINA� ------�---'� ----,
`�T- IiEALTN UEP'I' RE�UIRc?L�-- --- --` � ----- �
__�._-..�- _ _ _____ _ _ _ _ _ ____ _ _ _ ._i . - . . .
i 79. FI�JaI LJSHi:C? It)'�J i ,
- -- � � -- - - - -- - - - - - - - - - - - - - � - � -- t - - - �
ir ' � b0. r00U CER Pif-il:.'1'• "t iSSUFU
_-__y ______/_� __ ._ 1_____ ____ _.1_ __. __
i�__� I�OTeS: C�'r.L//�L D�S ��.
--- t i-�- j - -- - - - - - �
---.4--� :� ---- ----- ----- -- ---�
u
- --- -- -. _ _ _
i
- -- ----I
-- ---- I
PflOJECT�00flE55: Z']SS GANNET DR
owxee s name: MICHAEL DUNN
noonEss:ELIZABETH DUNN
2755 GANNET DR
COSTA MESA
751-8493
AflCN/ENGINEEfl:
PODNE55:
flEG.NO.:
UNIT:
UNIT:
PEflMITTEE:MICHAEL DUNN (714)751-8493
AOOflESS: '1']SS GANNET DRIVE
COSTA HESA CA 92626
ULENSEO CONiBRtTOfl OECLFBA710N: I here0y allirm tlut I am IicenseJ un0er provtions ol Cnapter 9(commencing witn Section
7000� ol DivLM 3 of t�e Business an0 Pml¢5si0ns COGe. an0 my licenu is in full lorce anG effect.
CITY Ut.: STATE UC.: ClASS:
Date: Signawre:
WOPNEPS' COMPENSA7ION oECIAflATION: I hereby atlirm inat I ndve a cenilicate of cansent to setl-insure or a cenilicate of workers'
CAmDenulian Insurance. or a cenifieG fADY ��e�eof (5¢Cibn 3800. Lab. C�.
POLICY NO.: E%P. DATE:
camraxr:
� Cenilied cooY is nereey Iurnisne0. ❑ Cenifietl cooY is filed witn Ihe dry Builaing Division.
Ua�e: P�pfi[ant:
f%EMPfIONFPOM4lOPKEHS'COMPENSATIONOEQAM710N: (ihtSeclannttOrolbecamqe;eGifNepermlafaonehuMreG�510�orless�.
I[eNly that in Ihe eAormance ot Ihe work lor wluc� ttut Oerrtti� i�ed, I 0 no� V�oy any pe� rwn in any manner so a5 io Oecome
sub�eCl to t W x ri Ca ensation LawS ol CaGPomia.
Date: Sg�amre: �
NOTILE: , atier m ing Ihis Oeclaratian, yrou snoWO �ecome su0jeq m t�e WOMers' Campensation pmvisions oi IAe LaOor
CaOe. you mu5ifo Ih wmpN '�^�� su[� prov5ion5 w tNs permit 51uA be AeemeO revakeG.
LONSTflUCTION LENOING �GENCY: I her¢Gy allirm Itwt t�ere is a con5tructian IenOing agemy for t�e p¢Aormance ol I�e work lar
wnic� I�is perm�t is issueG (Settion 3097. Civ. C).
LENDEP:
AOOHESS:
OWNEB BUILUFfl DECUNR710N: I �e20y affirm IIWt I am eaem0� ��om t�e Contractor5' State lKense Law for ihe iWlowing reason
(Seclion 7031.5 Busineu ana Pmiesvonal CoOe: Any City 0� counry w�icM1 �epuiru a p¢rmit �o conSlmci, alier. impmve. tlemolish, or
iepaii any slmcture. orior la iu issuance. also repui2s ine apD�ant br sucn perrtnt lo lile a signetl statemen111W1 n¢/sne a Iicense0
pursuam Io I�e O�ovivons Ol l�e Conlraclors' SWIe LicenSe Law (CIuO�e� 9(mmmencinq vrit� Section 7000) ol Division 3 al t�e Business
an0 Pmlessions Cotle) or ihat �e/ihe 4 exempl Iheielmm and ��e Gasis lor I�e allege0 evemp�iun. My violation of Seclion 7031.5 by
any aDPlicanl lo� a Dermil sutjecis Ine aD�liWnl to a Civil perelty of not mOre tlun live �unGr¢C Eollars (55110�.
1, as owner of t�e DroDeny or my employe¢5 vnt� wages as I�eir sole compen5atian, will Co tAe wark, an0 Ihe
❑ strucmre is not intentlee or oilereG lar sale (SeCtwn 70a4, Business aM Pmlessional CoOe: Tne Contraciori Siate License law
�. does nol apply lo an awner ol a pmpetly wtlo �uilQs o� impmves lhereon, ana wtlo Does suc� work himsell/�ersel� or IhmupA
�� �is oi �¢r own employ¢es. DwvitleE Itut 5uc0 im0�wemems are mt intenaeG or oHerea for sale. If, twwever t�e �uilJing or
impmvement is 5a10 wit�in one year ol Compleiion, iM awner will have 10e Luraen ol pmving hUs�e Oitl not Euiltl ar impmve
lor t�e purpo5e ol sale�.
I, as owner ol l�e Droperiy, am exclusively comractinp wii� IicenseE camracmrs m consimct t�e prolecl (Section 70a4, Business
❑ a�q Professions LOae: ine Cantractors' Swte L4ense Law dou iro1 appry to an Ovmer ol O��Y ���& ar imw�'es iner¢On
anJ w�a caniracls lor such pmjecis vnl� a conVactoq5)license Oursuantio I�e CanUaciors' State License Law),I am aware
I�al 0�001 of I�eii Workefs Com0en5aiion iniuranCe S�ouIG De DrwiJetl lo me.
� � am eRemo� uneer 5enion�.B P% O 4 4 B. d P. C.
ior mrs�i �L WORK BY OWNER /J�
Date�. _ � Qwnec �
I do nere�y niry In t I am aware ol antl unGerstanE t�e repuiremems af Calilomia Heal�h antl Sa�e�y Cotle Sec�ions 25505, 25533, ana
2559d and Ihallaranyluiure Duiltling acupanlwilVvnllnot�citUe ane) needto comply vrith saitl state cotles antl IhereOuiremenlsfora
permil lor con5lmciion or m00ilicalion Imm Ih¢ Air Oualiiy Managemen� Ustnc�. NeSiUenlialcon5lmciion apPliCaiions are exem0� �rom
I�ese provisions,
Dale: Applitani:
I hereby reriity I�al I have reaa I�is applicalion anE s�ate tlwl lhe aGove inlormaiion ¢ correcL I agree to comply with all ciry and coun�y
orainancesantlslalelawsielalinqtoDwlaingconslmctionantl�erehyaNho�¢/eiye f�e�s�A tiveso�Ihrscilyloenteruponihea0ove�men�ionetl
property for ins�on perpose�� 9 ^/—l.e/�—Y ✓�
� � ///
OaiC: ( Si naWre: f��
Oriver's L¢ nse a� Sonal Secumy +:
Canary—ApO�icanL Pink—Revenoe; GolEenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; IB 062451
PERMIT NO: IB 062451 PLAN CHECK NO; N GOVT; N SUPP; Y
CONSTRUCTION TYPE: V—N PERMIT TYPE: OTH STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF RESHT, REROOF W/ASPHLT S{J FT;
�CLAIN VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: RENENS EXPIRED REROOFING PERMIT B59466
**r�errr*r�er**�rr*�t�tx�e�r�r��e�e*r�e�t+t�er**rxrx**�**�e*+t*�r*+t�e�t�rx�r*�e+t**�t**�r�r**+�**�err�rxx�t**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ NAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING RE • PROV; PARCEL; 13997601 ZNE: REF NO;
PLANNING N TES>
�
ifkiFifiFiFMkMikiFitiFkiFkiFMMMMilMkkkifkMMiklfifkMlfkkkMMkiFiFMkkitMifififlklklFifiFkiFiffFfFiflf�Fififififififk�FififlkiFiflf
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 APPROVED BY DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: � DATE• fS 3�
ifitififiklfMMIFMiF1FiFifiklkiFiFiFkkk kiFifiFlfififik�F1E �fif
iFiFMkkiFMiFlfMikiFiFiF1lkMlfMifMMikkklflFMiFlfifikMikMififiFitiFikikMM iffF!!MklfilMlFklfkMlllfifiklfiFikiFMIFiF1F�fkifikifkkkM
LEGALI2ATION;N F E E OS U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUHBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING
PERMIT 30.00 �
�
PLAN
ISSUE FEE
SMIP/NON—RES
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 30.00 0.00 0,00 30.00 30.00 .00
REVENUE DIVZSION TOTALS--> COLLECTED: ` 30,00 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
30.00 '
Mi1iFMMifMMMMkMMifiFiFiFiFklEiklkiflliEiflflkMifkkMikfklkiEM�f�fk�tltMltiFik�fItMMlklflklFiEiFiEMkif1E%kiEikk�fiflflkifiFlF�F�flFifif
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 ;y UNIT COST TOTAL COST
INS 1 BUILDING RE—INSPECTION FEE 30,00 30,00
� �END OF FEES
EXPIRED � '
,L �l10�7 t9 �fiSpQCtW715
�+ c,^
.Aa
�
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1j
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♦
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1
01 QD140340—OOliU34U T Q T .i0.00
OATE= O6/03/93 TIHE: 09:23
ICAISTRUCTION A?'D PLA?!RI�iG
i APPROVALS Permit,.--
�i, -i e•�p�.a.y Electrc: Sr, c• o: f-o'e
� POO SPA
Date I Inspector i --- ' r Date � i��pectr
i APPROVkLS Permit a� i �
I -
� i. � 52. Poo� & E4u'i"^=rt Locat c❑ I i
2;S^_-lPioe�U^d'q�nd: � � � 53. Stecl Rer�forcr'^��-�t . I
��.-_- � ;_:�--- -- --�-' - -'------- -- -- � - -- - ----
`^?i{te:.trira� Co^d�?t :J.1n,•,,.L��c�gr:o. � �--- I 54. I=crnis _ �
'�_ _.�-� _ __.---� __ _I'__' __ __�.+---__-_-.__
¢. E{¢cfriWl CandJ i�U^.tl �.} �•d. � � -1 c55. t'�utbical 3on[i�ny _ � '
CT-'*"";7"--- . �_ _ ! _ _- -_ __ _ . _
i, 5.. SH'Ct Reinforcrm�Jtt '-- _- � '_' 5fi. RouGh Plumh r�� & P•caur_ T_sl -- � , ..
'_ _��' __-___� ' ____ _.�-��� �f___-_�_-_ .� _ ___
_'.4 `FiCctncal UFEN �jrnd 57. APPROVAL 70 COVER�GI:�•�i7( i �
=---Ti----- ---- -------------- - --- f -----i -- -j
" '�.-�notings I 50. ticctncdl Cordu�i Undrqrnd. �
(�__'Y{L. -__Cf ._ _ . 'j� . __ _ . ______ _ . � _• _ �
'� 8. Fpu�dalwn -! �` 59. Gas P�pe, G Urd�n."d . T�tt _ i, �
9. ';.ater Pipc�U^_ir��Fr;i. _'�_ - --- - � G0. EaGcW,:sh l �,n�., P Tra0. _ _ "� �_�_`�_ _ _ -. _ �-_-�
10.£:�.;cwralFlor.r5v'?�_r �-�----�G+_ARFRUVP�I.TCt-t^K-------i`------� -- -
�---t71. P:onc�`.Y S::v.:r 1 irt„ L�..�:.t ;.or^cc!,cn � � pr ,.- .i I .
� E?. B.d��....•h R c.; • :�.�.
---_'i-_---,- ---' - - - - - - - - -
t2. s;,:�, C�,p �--- - - ---- - _ -- - - �
I I fi3. rl.iat�r & Vrnt�F�: .,. �
-- - -----�---r-T---- ------ - --- ` - - --
13. Fo�f 1i: ^•' � ----�- � - - I 34 ?��mbi�n Sy,h�--C --' ---- -f----- - -�--- - -�
�
-'�---- '
14. Ho�3'� P;�mS �� i 65. Ele^trical�F,ral �� �
�i- �
75. Roc h Eiucricsi.Cory_�'-�--__,__ ' __ ___ -�_ , -_ _�._ - - _
9 I I u6. $� m JVSirn'.-��n„ . .
15. Rou h E�ectrir.SY�r�n , - -- � _ -_� -� �_---- ---"
9 g- --,, ---_I 67. Fenr.np & Aee��ss Apn•ue.�! l
� �ir. -� ---T------ --- -'
77. Raugn ..�r:rg S�gn � 68. APPftOVFD FOR PLASTE17ifiG I
18. Rough Elect�ical-T Bar Cc�' rg 69. POOUSPA SYSTEib�S FIVAL �---'
7�J. Rou�i h Heat�ng Lk A�r Cord�t�on�ng FI[iE DEp T. fZEQUIREME`VT I -----{___ _
�"'_C_'-__i-: _ i tr � �� � � ��.; ' = �- . . L- •� - ' , ..
2G�.Ro h r.oY'r F'x�'�ee �:c:c 2" x p T>c v`J>PPR�VAS.;.j= -?�rri,it .---^--,�. �_ .
:� tt� y?�. � Str zQ x s - x*. „ , - .
-` .3 -•-•---+Tj---� I . -r-" _ r ' T.y-c�.-�s-- '-_-- ' -_-."
21.-0ccts, in.5t?�t+ctW6' ; •• •• � I �: � z: . . I '�
�. ,r� .. � i i�- i -�-} I �: .� 70. �'hdergF�eri,� H�t�� a , i ';
22. Du YKmt� U i' �� ' . I� a"` 71. PruuuctsP.:ain :��Gas `� � I
�. � nl.. � ♦ .� r�� g =!!J, �_ -_ _ _
� -_
-�t�-^�- � �-• i--- - r -x _ --�:� x( -- ----�T--�-*-- '� r�--- _r - -, ---- �--- - - -
?3..Ga9 P.Pe-Rc.. ''� L �Ctt: � ! .. rr r' �G �'c xI_ J . L'�nar�ro�inl F�esl. *' '
� -- c rr - •. ;•_ S=�.L�_ _-11Y-.?_`-'__' _ -. _ ' _1� _
24'.Pcof F�.,m.^'7 . '-� - ?`� ^- ' � '
.- : . F �' ' . : > i J' G -
, � .: � � ., a n':�./3.-U� .•rrr,�.Stor2�;-.a,.�; �,_.vc - _ i
--s= �-�-_ _�,.at' _ __?__�:.- � IY. __�.x_���.�_-�_ _-�r",_ �t- _'_. _ _ , _ - - � -'- - -
7.5. �iu�T` �f+£eGi�.r�{ S• f �• ' , ,l'm w I 74i.(1+,� rYc��cl HVura �� � _.
♦
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t, ..: �, s
27 J� :s._-_--_ �-- � _ zrR�_�,- �. _.��_,T_ _' _ : _' _ -i • _
Fomic and FI'sh��: ;'c� i _. ..�Iv : c�: I 7fi. Dry Stdnr.p7�ic .-. • ; ' 1
_-..-.�- '-- z'-_: , - +--�.s`-`��-----�-- ''=._��------ i -' �-- -
.2A. �.��r . ��s .'�` ' XEDSY`'�'EfJ 4 r �
_ LatAu�g�� S�d � ��h O I �� � 77.-� FI 1„VA
-^�--�-rc---..- �-��-+ ,r-' � . -� :� --- -- --4--- -�-!-----�-. - - - ,
��29. !n:ulat�on +' ���-� �'- _� , 7ExFIHE r'REV. FI^J?'1. - � 1 _ _1 __ -
�`� 0. Dryv�r�ll N��hnn i �-` I ti.T-�� . ` '�tEALTF�'.i�EPTn ReQUIRENicn'T _ r_ .
C31. ^,��C�r tiro�;t�l C.)U. : .rC: t � . w -/� Fif�Al I\1S ELT�@.v e . I �,
�
- + Ff- - ' - - - "� - � - - - -- -. '1 -.t � - - - - - � -
Fy3?: �.0 ctr [ ! Pn;••.t""';lC'r ���.,, ' :': % . x :30.' °OOD CER IF� i1~c ".tiJi" ' 1 I
�_ i - -__� _ _ _ ' _ _ __ ._ _ _ _' � _ i X_ - _- _ _ _�. '. ' � ' _ I _
:33,S.qi31 tf:r.tr�y; c:.� r I. -_ r-��. x c�Ncilts: . . ��T- _ C _ ,_ ._ __
: -Fl_t"r���__(��.F-+�- J r _a-�.�._' _I _" __ �� _ --� __L � _ _ - - _ _ _ _ �S]' _ _ .
� Q�i :1.N r���.a�t��'[� V. 1= : V.,�'j . J��M� �'' ; � T I �-/e r 4
r r .e: � x t {� 1
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• :: �- -- ^---� -' - -r4 - - - -� �_ _ _"j/� - - �2Y%iY/ �_S .
,36. Ho�c orL;ar.oPY x ^= ` - ' - " � ( �` }' �� ' Q � U
: _ r � c' s .; � � • c -
,37. "i �r;:� F7F20'V F y7 d � _"'-.� r, w „ _ __ � _ __�T _ - ___ ___rt '_ _ _ __ _ " _ ' '
' �"-c;--`-->-��:i J._.-� -___- _'_ "__._ _ _ -'.____ .
_38. Fmil Plumb�n9 ` « ' "� '- � � _ '
' • � C 'i -}- _______ __ _- '
-� _:
'39. CJatar Servrce�F;nai � � t I � � ; ,
--��- " �- - ' � -- --- �
'Q�. i�id4-6ffViCO�F�nd� r . � n � < _ _ ._:i t � .
c �. � ' p._ Y ` . � >' 'd ..
''�41. Solar pomestio-FinJii r l � � C. � -- �� � � -Y -. .'-- -- ---- _ �
�- r
----a-C• -c-T- - .'s-_�_.�__-'_'__' _
� 42. aacflovi Prevanter ?: �� x >; � - -- , �
1rn1 ,`� X�i a_.c t }t ` __ '�_____ "_ _
43. P_ackflow Ir��iation_ ` �' c 4 • � .� � . '
� _ ' r .,
- �--- ��--v. _
.44. Lsndscctic I:nqau�n Svstc^a '�::' z �• r = - -« . , . -- ---- --�-- '
i > - r ��= > . . :- . :. _.
IF'45.-Sound ,Att�a��auo�, �- •- t• r •:�"T- _ « , _ q "-�,y- i ---- - -- - -
T T
I�-�--_�_T.-.._- �-I-._T -�.-.-.i�--�---�--�-_ �-' _ _ _ _
�R6 •F+'acdlcap Regu�at;or: - !; �, . n - �- -. �: .-. -
-�- - 1- T --�- 1-- -- - -"--
47.=FI��,1�L STR�CTU�7E & E�l�LDiiJG ,� i � �,� � �' ' ;'
-�c--r�-
48 f NALPLAU�IP:G . .
,49.'Elcitnc Relc!;sz to'�d�son �,
.50. Gas �Release to Southem Cai,fornia Gas Co *
-51. CERTIFICATE OPOCCUPANCY �
Datc
r =.
�' - '
�-., _ -
,-Y .___-_ ._. ____-__'� -
- �
3�1�1��.4 -�
��
CIT.V OF C STA MESA G�CONSTRUCTION PERMIT
Project Address � 7—S�-/ �NNE �
Applicant's Mailing Address p��.��,,���N/flE e
Owner's [��iet�LL�i L r' ���e �
Address e��s �GgNNE�
Aop�icant to fill in all spaces exeeo< <hose within neavy eortlar Ilnas antl sign•all aporooriate tlaclaratians.
PERMIT NO. __ TRACT'NV. LOT NO. UNIT NO.
Arch/Eng, _LU � License No.
Address '��%�
Convacmr's Name Phone
Address (mailingl
Ciry Licenu No.
LICENSED CONTRFCTOR O LAR ION
I hereby alfirm that 1 am Iicensetl untler provi5iOn5 Ot Chdrt¢r 9(CommenNng
with section 7000) of Divislon 3 of tne Businesi a�tl ProteSslonS Cotle, anC
my IicenSC is in tull lo�ce antl etf¢Ct.
�.ICElISC CId55 Liceqse NO.
Datc $I9nalure
WORKERS' COMPENSATION DECIARATION
� hereby affirm that I have a certifica[e ot con5ent l0 581t-inmre or a certlficate
Workers' Gompensa[ion Jnturance, or a rertHipd copy t�ereot (Sectlon
10, Lab. CJ
rolicy No. Company
BCertified coOY i5 hereby IumiShetl.
Cer[ifietl copy is tiled with the city Builtling Dlvl4ion.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLAHATION
(Thissec[ion neetl not be compleletl It tne permil is �or one huntlretl (8300) or
less).
I certify thal in [h¢ Per/o�mance of the wo�k fOt whlcn thls pe�mi( i5I55uetl I
shall no[ employ any person in any manner so as to become subje<[ to the
Workers' om ens3�G�-� wz of Califor/� ia�.
�� Date ���� nT5lgnaturo e1l�^ � /-�
NOTICE: It, atter makin9 IhiS Oecla�a�lon, you ShOyltl ¢CO ]ect to lhe
workers' Comoensation provislons o/ the Labor Cotle, you must forthwith
rompry wilh suc� provlsions or this pormit sryall be tleemetl revoketl.
CONSTRUCTION LEfJDING AGENCV ' '
1 her¢by alllrm lhal lhGr¢ Is a conSVuttlOn ICntling agency for [ne p¢rformance
ot iha work tor whicb tnis Dcrmit iz Izsuetl ($¢ction 309� Civ. CJ
Lentler's Name - -
Lantle.'s Atlaress
OWNER BUILDER DECLARATION '
1 hereby afflrm lhat I am exemPl irom tbo ConVa��or's Llcense L.aw tor the
iollowing rcason (Sectlon 7031.5 Businozs antl Pro/esiional Cotle: Any cltY or
county whlcll reqWrGs a pGrTit lo ConSlrutt, dll¢r, Improve, tlem011511 or r¢pair
any structure, prbr ta ils izsuante, also reqWres the apo���ant for such permit
to lile a signetl stalement Ihat h0/Sne IS IiCOnsetl p4Rudnt t0 lne D��`/�SIOns ot
thE ContraGtOr's �icense Law (Chapler 9(CommBnGing with SecUon 7000j ot
Divizion 3 0/ the Busin055 antl PrOtessions Cotle) or that hc/sM1e IS ezampt
�refrom an0 tne basii for Ihe allegeA examption, qny violatlon ot Seccion
I1.5 by any applicant for a permlt subjetts the applicant to a<ivil
ialty o/ noi more than live hund�etl t1011a�i (E500j.
�I, as ownor ol th0 P/opOrty or my omplOy¢OS with wag05 as lheir Sole
compensation, will tlo tne work, antl tno shucturn is not Intentletl or otferetl
lor wl¢ (SecHon 7004, Buiiness anC Profossionai Cotle: The ConvacmrY
Licensc Law tlo¢s not apply to an owner of a proporty wno builtl5 or improv85
lhereon, antl who tloes sucb work himiell/hrtrseif or throug� his or her own
employ ecs, provltletl tha� suth ImprOvement5 are np( Intentlatl O� otf¢retl f0�
sa�a. II, nowever, lhe builtling or improvement is soltl withln ona Year o! com-
pletion, the owner will have tha burtlen ol provin9 ho/sne tlia not builtl or im-
�rove br Ihc pur0ose otsale).
I, as owner o/ tne OroDerlY. am extluslvely co�tracting wi[h Iicensetl con-
[racto�slo COnst�uct Ihe proj¢Ct (SBClI011 %044� BI15�p855 dOE PfOf255I0O5 G048:
The Contractor's License Law does not apPIY to an owner ot Property who
builtls or improves ehereon. antl who contracts for sucn orolects wltn a r.on-
lractor(s) license pursuan[ to ene ConVacror•5 License I..aw). I am aware thae
proof o( Iheir Wo�kGr'S CompenSaUon insu�anCe ihoultl be provltlatl to me.
❑ 1 am exempt untler Sectlon 8. 6 P. C. tor this reason
� Date � �' Owner
I hereby cMtity tnat I nave reatl this application antl st t at the above
intormation is wrrect..l a9ree to tomply with all ¢�(y antl counry ortlinances
antl state laws relating lo bulltling construttlon, aqtl hereby au[horize repre-
sentative5 Of lhi5 cily to ente� upon the a�ov0-menlionetl property fo�
InSpeGtiOn purpo5¢
Slgna[ure Date9—! �'9
.�� Oriver5' License or 5 �
TVPE OF CONSTRUCTION LI NEW I.J ADD ti�S ALTERATION U REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT LJ GRADING LJ FOUNDATION 11' STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 50. FT. OCCUPANCV
CON STRUCTIOIV TVPE VALUATION S-I +r�.�O O�
ZONE GRADINGCV.YDS. ACRES �
Remarks:
8ar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers '
Jrinking Fountains
=1oor Drains
Floor SinkS
uasService Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspeetion Fee $15
Boiler
Duct - Under Ground
Duct - Structurel
Duct - Ventilating
Exhaust System ❑ MWtiple ❑
Firepl/Fatt Blt. ICBO �k
Heating System & Ducting
❑0.100,000 BTU OjD ,OOOBT
Reinspection Fee � $15
OB65-46, rev. 5/88 White - Bulltling; Canary - qpplicanh Pink - Accounting: Goltlenrotl - Assessor
�
ShOwers
Service Sink
Sewer (;ap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimm 9 Pool w/Spa
7Jater Closet
Water Heater
Water Service
Auto�Wash
Launtlrv TraG
Isue Fee
Hood or Type I
Canopy Type II
Oa�oo�e4sru ❑ioo,000
S�t m Repair/Alteration
Fire Dampers
Registers
Isue Fee
A.P. �
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ret. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elect
Fan
F.A,U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0-5 KW ❑
Fee
g 3 DEVELOPMENTSEHVICES
2oning APProved By
FEES Building Approved By
T Aaolication Issued Bv�
$ 3
$15
BUILDING PERMIT $
PLAN CHECK
' PLUMBING $
PLAN CHECK 25% $
ELECTiiICAL S
PLAN CHECK 50% $
MECHANICAL $
. PLAN CHECK 25% $
Zone
F�ccessory Building:
Perking Req./Provided
ELECTRICAL
Transformer � 15-50KW
O SO+KW
Meter �up to 100 amps
Me[er ❑over 100 ps
Sub Panel
Moca�: Oo- P O 1 X� 8
Inc.Solar 9�15HP�16-15+
Micro ve
Pol Light �
ange
Sign
Standing Sections
� Tmsh Compactor
Issue Fee
FEES
$ 3
1
N
G
R
E
Q
M
T
S.
F FEE �
_ IP $
_ PERMIT
_ ISSUANCE $
_ ENERGV P.C. 3
_ GRADING 3
_ MICROFILM S —�p� �
— TOTALFEE $ �_/_�
e� �c�<.ie< - �:4� a� __.. .
��:i`. �ai����, q Pl�;,. �:q;_
, CONSTRUCTION AND PLANNING POOI 'PA
APPRO�(ALS • Permit# Date Inspector AppROVALS Permit# Date Inspector
1
7.- Tem�brary Electrical Service or Pole �� 52. Pool & Equipment Location
2. Soil:Pi,pe-Undrgrnd. � 53. Steel Reinforcement '
3.. Electrical 6onduit UtilitY-Undrgrnd. 54. Forms
4�. Elecftical 6oniiuit-Undrgrnd. 55. Electrical Bonding
_.;, ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
/
'l 6� Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
�� � � �7! Footings ' � 58. Electrical Conduit-Undrgrnd.
` 8' Foundation -',� 59. Gas Pipe, � Undrgrnd., Test
i.
` -. .
� 9'� Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
.,
� 70. Stru�tural Floor SYstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .
�'� 12. Sew}er Cap .� 63. Heater & Vent-Final •
13. Roo�; Drains . 64. Plumbing System - Final �
14. Ro��gh Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring T� 67. Fencing & Access Approval
17. Rough Wiring Sign ��_ 68. APPROVED FOR PLASTERING
'18. Rough Electrical-T Bar Ceili�9 'i 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioriing FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace , APPROVALS � Permit #
.
21. Ducts, in Structure � � �
70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil '
} '
23. Gas Pipe-Rough & Test � 72. Underground Flush •
i 24. Roof Framing ;� � 73� Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing -, � �� 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) &ivlonocoat �% 75. Dry Chemical
27.��Frame and Flashing '%� 76. Dry Standpipe
.1 �:
28. Lathing &�Siding �' 77. FIXED SYSTEM FINAL .
29. Insulation � ' 78. FIRE PREV. FINAL
� � HEALTH DEPT. REQUIREMENT
30. Drywall Nailing - �
31. Plaster Brown Coat � 79. FINAL INSPECTION
.�
32. Electrical Power Meter-Final� 80. FOOD CERTIFICATE ISSUED
33. Final Electric .s� �, 1"/�8Y Bg�C Notes:
34. Final Heating & Air Conditioning ( j(Lw � (ji LGC -"/" `�'� E Ymo
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final ..
40. Gas Service-Final . '
�•�
41. Solar pomestic-Final � '� L � /
•�
42. Backflow Preventer � .' � �
, �
43. Backflow Irrigation .
44. Landscape Irrigation System ��" i�
45. Sound Attenuation � �� "
46. Handicap Regulations ' � �
47. FINAL STRUCTURE & BUILDING �Zf �j G✓„�j=
48. Special Requirements Completed
49. Electric Release to Edison '
t
50. Gas Release to Southern California Gas Co '� .� ...
51. CERTIFICATE OF OCCUPANCY � � - ° '
No. Date �'"
AOD���ant to /ill in all spaces exeept tnose wit�in �eavY OorOer Iinas anC sign all
CITY OF COSTA MESA CONSIRUCTION PERMIT PFRMIT NO. TRACT NO. LOT NO.
Project Address �� /��J, a�✓w ,F r' ,O .
Applicant's Mailin Address '_s..�J:l1Y1_€ ��
�/ i �
Ow�er's Name ' !!1 Pp�y
Ad�ess ��
Arch/Eng, �✓ ��� Licenu No.
AdLtess d
Con[ractor's Nani� N�' ` Phone
Address Imailing)
Ciry License No.
LICENSEp CONTRACTOR DECLARATION
I hereby a/firm that I am licensetl untler p�ovi5lon5 bf Chdrter 9(Commencing
wiih sec[ion 7000) ot Dlvision 3 ot the Business dntl Professlons Cotlo, and
my license is in full /orce antl eftect. '
License Class Lice�se No.
Date Signature
WORKERS' COMPENSATION DECLARATION
I here�y affirm tbal I have a certitiwte oi mnsent to s¢It-insure or a certifiwte
Workerz' Compensatlan Insurance, or a certiNea copy tnereot (Se<tlon
0, Lab. C.)
��icy No. Company
eCertifietl copy is hereby turnishetl.
Certilietl copy is fited with the city Builtling Oivi3ion.
Date Applicant
EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION
(Thissection neetl not oe comoletetl it the permit is for one huntlretl (E300) or
less).
I certity titat in lhe pertormance of [he wOrk (Or wq�ch Nis pe�mk is ISSuatl I
shall not employ any persOn in any mann¢� so as to become subjtGt to [�e
Workers' Compensation Laws ot Calitornia.
Date Signature
NOTICE: I(, alter makin9 this tleclaration, you snoUltl becoma subject to the
Worker5' Compensation O�ovi5ion5 of tne Labor COtle, y0u must /orlhwlth
comply wil� sucn p�OviSiOns o� tnis p¢rmit 511a11 DG deemetl ravOkGG.
CONSTRUCTION LENDING AGENCV
I ner¢by allirm tnat tnere is a constructlon lentlin9 agp��y tor the performance
of th¢ work for whiGh this permll i5 iSSUCU (5ecllon 3097 Civ. C.)
ttn0er's Name
Lentler's Atltlress
OWNE0. BUILDER DECLARATION
I hereby aHirm lhat I am exempt irom tha Contractor's Liconso Law for the
lollowing rea5on (Seclion 7031.5 Business antl Protasslonal CoEo: Any clty or
<ounly whith require5 a pe�mit lo construGt, alteq {mprove, tlemOlistl o� ropair
any structure, prlor to its issuance, also requlres the apolicant (or suth pormit
lo file a siqned Statemenl lhdl he/she IT IicenSEG p4lsuaflt t0 lllo O�OVI570ns ol
the Contractor'S License Law (Cnapter 9(commenc�ng wi(h SecUon 7000) oi
Division 3 0l tho Business ana Protessions Coae) or lhat no/sne is ozempt
'�relrom antl the basis for the alle9ad examption, qny violation o1 SecUon
'1.5 by any applicant for a Permll Tubjotti [ho applicant lo a Clvil
alty of nol more than five nuntlretl tlollars (E500),
iJ I, as owner of the prooerry or my employaay wilh wagez as lheir sole
Compensation, will Oo the wo�k, antl tho s[ruclura I5 not InlOntletl Or 011e�atl
lo� sale ($ettion 7044, Busin¢ss antl Professlona� Cotl¢: The Cm[raclor's
LiCenSe Ldw Eoet nOt applY to an Owner oi a property wtlo bulltl5 O� ImprovCs
thereon, ana who aoes such work himsell/norself or tnrougn his or her own
employeei, prOvl�ed lhat such improvementi a�e npt int¢ntletl O� oflerltl fo�
wle. It, hOwevet, th¢ Dulltling or ImprOvemen[ IS Sqltl wllhin Ona YBdr ot com-
pleUon, the owner will have tne buraon o/ proving ne/she tlla nol �ulltl or Im-
nrove for tne purpose of sale).
�I, as owner oi the property, am exclusivety conlracting witn Ilcensoa con-
tra<tOrs to coM[ruct lhe projecl ($ection 7044, Buiin¢55 anG ProtesslonT Cotle:
The Contractor's LicenSe l2w does nol apply to an owner ol proPmry wh0
builtls or imo�oves cnereon. antl who conVacts ior suth orolectz wltn a con-
tractor(sl license pursuanc ro mc Convactor's License Law�. I am aware tha[
proof o� lh¢ir Worker'S Compensatlon Insurdn<8 shoultl be prOVltlOtl to m0.
� I am ex¢mpI untler 5¢[tlon B. 6 V. C. tOr this r¢d50n
Date Owner
1 hereby certify that I hava reaa this appliwtlon antl state that the above
Informaiion is correct. I a9ree lo comply with all eity antl county ortllnances
antl state laws relating to building constructlon arytl hereby authorize ropre-
sen[atives o/ Ihis ' y to enter upon [b eniionetl Oropert for
InSpectlon purp 5.
Si9nature
Drivers' License or 55 �
0865-46, rev. 5/88
tleclaratlons.
TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION U REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE QF BLDG. ,
TVPEOFPERMIT LJGRADING IJFOUNDATION LJSTRVCTVRAL
❑ TENANT �ELECTRICAL ❑ PLVMBING ❑ MECHANICAI
❑ OTHER
PROJECT DESCRIPTION $Q.FT. OCCUPANCV
CONSTRUCTION TYPE'� �� VALVATION 5
ZONE GRADING CU. VDS. ACRES_
Remarks:
Backflow Preventer
Backflow Irrigation
Bathtubs
rinking Founteins
loor Drains
loor Sinks
as Service
Kitchen Sink
Lavatories
P—Trap
Root Drains
Showers
Service Sink
Sewer Cap
Sewer Connection
Solaf CollettOrS
Solar P ng
5�13r Tank
Swimming POoI w/Spa
Urinal
Water Clout
Wa2er Heaeer
Water Service
Auto-Wash
FEES
Reinspection Fea I $15 I I laue Fee I S 3
Boile�
Duct - Under Ground
Dutt - Structurel
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/FacL BIL �CBO �k
Heating System & Ducting
�P700,000 BTU �100,000
Hood or Typel ❑
Canopy Type I I ❑
jc�frigeration System
❑o-ioo,000sru ❑ioo,000
System Repair/Alteration
Fire Dempers
Registers
Reinspection Fea I $15 I I Issue Fea I $ 3
White - Builtling; Canary - qOPlicant; Pink - Accouniing; Goltlenrotl - Assessor
A.P. iW
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Accessory
Parking Req.IProvided
ELECTRICAL
Automatic Washer Transformer ❑ 15�50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit Meter �up to t00amps
Dishwasher Meter �over 100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors 041 HP O1 h- 8
F.A.U. InaSolar �9-15 HP �16-75*
Fixtures TR�yGz" �i� Microwave
Device Boxes Pole Light
Outlets Range
Switches g�y�
Garbage Disposal Standing Sections
Generator �0.5 KW 05�15 KW Trash Compactor
Zone
Fee I$15 I I luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved 8y �� �/) �
Building Approved By �ri� /
Appliption laued Bv
SUMMARVOF
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $
PLAN CHECK 25°6 $
ELECTRICAL $ • ��
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
FEES
SMIP §
PERMIT
ISSUANCE $
ENERGY P.C. $
GRADING $
MICROFI�M $
TOTAL FEE $ • ��
N
I
N
G
R
E
�
M
T
S.
r�
OL ��012!?6-CC�J42t7e 7'�s'd
^ATE: �19�1�!L9 ?I;;.� _�:;'� _.
CONSTRUCTION AND PLANNING � POOL `A 1
APPRO��LS ��Permit# Date Inspecto� p�ppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
' 2. Soil �'ipe:Undrgrnd. 53. Steel Reinforcement .�
�Elec[rical Conduit Utility-Undrgrnd. 54. Forms �
4:�ElectricaV�Conduit-Undrgmd. 55. Electrical6onding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '�
. , .
6• ElecqicalUFER'Grnd. 57. APPROVALTOCOVER-GUNITE � �
,�
7.'Footi_ngs 58. Electrical Condui[-Undrgrnd. '
8.• Fountlation 59. Gas Pipe, O Undrgrnd., Test
9;Water�Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. .
�
10� Structural Floor System 61. APPROVAL TO DECK �� �
i l: Property Sewer Line & House Connection �2, gackwash & Receptor-Final
12LSewer�Cap 63. Hea[er & Vent-Final 1 �
13. �Roof'Drains 64. Plumbing System - Final j '
.:
14. RougH Plumbing 65. Electrical-Final
. 75. Rough Electrical-Conduit 6 Solar SYstem•Final
'16. Rough Electric Wiring � . Fencing & Access Approval
17: Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough ElBctrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19: Rough Heating.& Air Condiuoning FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in�Structure � 70.•' Underground HYdro
22. Ducts, Ventilating y '' .71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & TeSt '�. 72. Underground Flush
24. Roof Framing �� 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathinq . ,� ✓' 74. Overhead Hydro .
26. T-Bar Ceiling (SVucturaQ & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. I.athing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation 79. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown CoaN 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80 FOOD CERTIFICATE ISSUED
33. Final Electric � otes: �
34. Final Heating & Air Conditioning ���
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Ser�ice-Final '
40. Gas Service-Final r :
�.�
41. Solar pomestic-Final '
42. Backflow Preventer '�� •
43. Backflow Irrigation ; ,�
44. Landscape Irrigation System ' '
45. Sound Atrenuation �-'
46. Handicap Regulations �
47. FINALS7RUCTURE&BUILDING
48. Special Requirements Comple[ed
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY � '
✓
No. Date
LIMITED STATEMEN7 a�F RESPONSIBILITY
TO WHOM IT MAY CONCERN:
�% � f�C/�iv . . ,��—
Street Address
Bldg. Permit # � 3 ���
This Permit N � y���
AP Number
I, �!f� L� O �c �A -�-�'�'--� L , as Owner in Title oi the above referenced
property, do hereby authorize:
%7.qv .5�, � z� �it -- .SYS- .5-�78
Name Telephone No.
� 7 90� vie..a G� ,�i2
Sireet Address
to obtain permits in my behalf, as owner/builder, for ���Ti�i/_�� '"' S�//Li� ��
at the above referenced property. ��GZ- G,���i�,��,
Should any erson become an �mplIIyEt engaged in the improvement of the property, I shall
immediately provide Worker's Compensation Insurance coverage and cause a certificate o( that coverage
to be tiled with the Building Division of the City of Costa Mesa, as required by State of California laws.
As ovenerfbuilder in fact, I understand and accept tha.t my responsibilities do not transier ro any other per-
son, company or corporation.
I agree to indemnify and hold the City of Costa Mesa and its employees or ofiicers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
��, � ;� � F,q�'� �i
Printed Name
r
Si at e
55 a��- Yd' - �o�o
OP9-66. rev. fi/B]
9��a�
Date
JOB ADDRESS 27�5 Gannet Drive BUII.DING
GENERAL CONTRACTOR COritlriEIltB.�. COriStTI1Ct10TDESCR.IP1'lON OF WORK pr
Ap
I
Sou
Final
or
FIRE ZONE
Date � CROUP
SUBCONTRACTOR � Datc I Number
;._ . ?44�
• COSTA MESA BUILDINC.SAFEfY DEPAKiMENr
p, p. BOX t� GOSTA ME9A, CALIFORNIA 02l20
/or AppI1mM ro F711 In CamplNdy
TYPE OR PRINT
nu��o�Nn i77�� ,f� T
ADDRHDY //✓o /Y �
COSTA MEBA, CALIFORNIA
,WNa„ �Tf� f�Ti�t <L
MAIL 27t"5 �'r�,!>c- ✓
�nnoe��
� aeTe�eK
�
DESCRIPTION OF WORK
wwu
1 XtR6eY ACRNOWL[D�
AND 9TAT6 TMAT T11[
PLY WITM ALL CITY
GYILDINOCONBTRY i
H16NATUPEO►
PBRMITf6t
AUTNORI'L[D AO[M'
.rJ. FT, � �-k S�X/ h
�r.� M�ve �snc rHu ��ruunon
; ID CORq6R ANC AOR[i TO COY.
16L A11D �TATf U'M RtYUUT1N0
�IR[
CiiY OF C�STA MESA
JUL 28 1965
for OHfc� Us� Only
■icai'r no.
ZONIN(i (, �
mnc� I no, vr u�� vr n�wr
runs � �mto�xo u
uw� �QSZ'_ �'L \+L_ S2�C1
oucR�rt�on
A. P. NO.
NOTH: NOlAVlOVERNAN08MALLEHL688THAN
80' TO 81 D6 0 REAR P. L
CAVEB
ALLOWED fU.B.C.RBQUIRBMHNT7
YAROfAPPROVED YARDBAPPROVHD
MAIN BUILDINO L. ACC6880RY BUILDIN6
LBID ,lT. ��(
� �
RHAR � Pi.
DI6fANC! B6T. BEf.
MAIN BLDOB. ACGE
VM.�j DATB
ir��li��� �' owr¢ % i � "'6 S
a
m
�
eo. �. �
iMl AYOYtR �NOWN YN06H VALUATON 10 POR TX8 �
�YRMlf O! tfTAGL16XIN0 A P6PMIl ![8 ONLY. �
VALUATION � 5
PeHMIT FEB S � �
s �%�^ w
TOTALP6fi (!/
`b[NCKALLVNIKALIVK Q�.gle'.
.� AP No.139-476-01 LOT
� II '_CTIONS
so��
�GAS
, WATER
�ROUGH PlUM81NG
PROP. SWR. IINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLRNEOUS
ROIIGN NEATING ANO AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND [] POWE0. �
FOUGH WIRING
TRENCMES FORMS STEEL RE
FLOOR SYSTEM
BONO BEAM � STEEL REINFORCE [
SHEATHING
FRAME AND FLASHING �
LATHING - IN n OUT n
PLASTER, BROWN COAT
' ST"""TURAL, FINAL
HI G, VENT., REFRIG. r1ND P.C., FI
PL�mBiNG, FINAL AND GAS TFST �J
' ELECTRIC, FINAL
BUIL�ING, FINAL
DATE 3-17-76
VALUE
SUBCONTRACTOR
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� 41433
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Only
ADDRESS �—ISS VaNNG'� (��• �'("�'
OWNER �ONALD E- �{NN G. W�IL%AhS
MAIL S�n � `
ADDRESS
CITV COS� neiA Np�'%il'Y/GI
CONSTRUCTION ^/0�,/F
LENDEF
BRANCH
AODRESS
ARCNITECT _. TEL.
OP ENGINEEF
CONTRACTOR ��((Jf�7j�J ����,[/(�(� �
ADDRESS —
TEL.
GTV �__ NO. �
STATE CITV
LIC. NO. IIC. NO. —
SIZE i / NO.OFBLOGS. (
OF LOT �� X IO � NOW ON LOT
useoF NOnE
cvicrinir m m
Separa[e permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WOfiK TO BE PERFORMED
g'aTio coveR .�
I he�eby eeknowledBe thet 1 hava reatl this application and siate
that the above Inlormetion is correct end eprae �o comply with
ell lews reBuleting bulitling conrtruction, entl I chall not amploy
any permn In vloletlon of Me workman's compansetion Iaw3 Of '
tha Stata of Calitornie.
I heraby cartlfy thet I am property licansetl es e contractor untlar
the Stete of Cellfornle Businass and Profevions Coda, Oivislon 3,
Choptar 9, entl thet sueh Iieenses are in full force enC eftect, or 1
am exempt from Me provislons of the Stete of Celifornla B�slnecs
entl Professions Code, ONision 3, Chaptar 9.
Sipneture of �__. i f f'w��.,n�
Permittee ��`"�"
Authorized Apent
eato
M�R 17-76cris��0 8yZ�+ '�,t�r:10.5�
FORSTRUCCURALPERMIT
DATE RECEIVED nnrF issucn
A.P.NO.L�/� ! /�'DI I ����.��� �..i,
BUILDING �7 G uue, DR- c•r�-
ADDRE55 S� R
TRACT��e� LOTRZ '118PYC1
OWNERDdNR�-D 6.
S
FIRE
ZONE
APPROVED
BV /
ZO NO.OF
PLANS
VARDSAPPROVE
MAIN BUILDING
VAR. #
0.U.P. 3p+
uN G• +..���UAn )
UE O
7 �
'PE �GROUP �
� j� �J
DATE ;J �I/ ^
1
2 USE OF NEW
BVILDIN '6
VAq SAPPPOVED
ACCESSORV BUILDINI
i
FT.
i
FT.
FT.
BET. MAIN &
�—L
THE AMOUNT SHOWN UNDEfl VALUATION IS F
TiE PURPOSE OF 6TA9lISHING A PEFMIT F E ONI
VALUATION � PERMIT FEE S •
��O PLAN CHECK y
s TAX E L
TOTAL PAI D $ � LJ
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OWNER �Z� DATE 5/Sf81
JOB nDDRE55 2755 Gannet Drive BUILDING PERMIT N0. 51786
GENERAL CONTRACTOR DESCRIP710N o( wORK
A" ''o. l 70_d7ti�f11 LOT q� TRAC S�si4 FIRE ZONE VALl1E S' cnn nn
li 6C710NS
SOIL
GAS
W�TER
HOl1GH PLUMBING
PwOP. SWA. LINE n NDVSE COM.
SPRINKLIHG SYSTEM
MISCELL�HEOUS
ROIIGH NE�TING �NO �IR �ONDITIONIN
TEr.+POR�RY SERVICE OR POLE
UNOERGROUNO � POWER �
AOUGH WIRINL
TRENCHES �_ FORMS STEEL P
FLOOR SVSTEM
BONO BEAM [, STEE6 AEINFORCE
$ME�iHING
FRqME ANO F�qSMING
Lr1THING - IN � OUT n
PL�STER, BROWN CO�T
5' 'TURRL,FINAL
N. NG, VENT., REfRIG. �ND A.C., F
PLUMBING. FIN�L AND G�5 1EST n
ELECTPIC,fiNRL
BWLOING, GIN4L
SUBCONTRACTOR
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2053 5/05/81 `
� COSTA MESA BUILDING-SAFETV DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
. .... ...... ....... ...... ... �........, ........ ......... .......... RECEIVE BV PERMIT�I / �
For Applicant to FHI in Completely — Use Ink Only
BUILDING A.P, NO. /3 — � � [�/
ADDRESS � P'
OWNER OR � ( � ADDRE55 � E'% '
TENANT
UNIT OR
MAILING � SPACENO.
ADDRESS TR.NO. LOT � BLK.
TEL. �nr /r� 5�
CITV NO�{J � /_j
_ NEW ADD ALTER REPAIR MOVINC� DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER �s
ADDRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER N
ADDRESS ZONE I TYPE GROUP
CONTRACTOR' 'Qi BVPROV � DATE ����/
r �
ADORESS
TEL. �
CITV NO
STATE � CITV P.PPROVEDSETBACKS
�IC. NO. C{'1 LIQ NO. �
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT RONT FT. '
VSE OF
E%ISTING BLDG. g
Separate permits are required for L SIDE Fr.
electric, plumbing and heating work:
REAR FT.
USE OF BUI�DING AND WORK TO BE PERFORMED PLqNNING ACTION
DATE
APPROVED
APGROVED
I heraby acknowletlBe that I have reetl this applicotion antl state
that the ebove intormetion is correct and aBree to eomply wit�
ell laws requlating builtlin8 �onstruction, antl 1 shall noi employ
any perwn In violetion of the workmen's compansatlon laws ot
Me State ot Calitornle.
I hereby cartify that I am properly Iicansetl es a cantractor untlar SQ. FT.
the Siata of Calitornia Businezs antl Professions Coda, Oivision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl thet such licenses are in tull force antl effeci, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV:
am axampt from tha provisions of thaStata ot California Buzineu VALUATION
and Prote�Division 3. ChaPter 9. PERMIT FEE E
Signature o ��A, �� � �U PLAN CHECK E
Permittae —�� 5 � TAX y S D
or J
Authorized Agent Date TOTA� PAID E
5050 TL
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- ,� �6 TA MffSA BUILOING-SAFETY DEPAHTMENT
/� P.O. BOX I200
Co:ta Meaa, California
CONTRACTOR Glilligan Water Cond.
Address 1911 S. Manchester Ave.
qry, Anaheim Tel. No. 750-
smea ���e�:a No. 168763 C�ass•
w City License No.
H
Q NU�18EH TYPF OF FIXTURE ON ITE\1 FEE
� R'ater Clo�et (ToileO
J gach Tub
Y
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F"
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Pool Fil�er System
ysmm . . . Outlets
Sprinklers
1 alion or A1 mration
ater Pioin¢
Flow Prevenmr
TOTAL FEE
[i •�
.,�..
'�AY -9-75�AS�OO 329 0*****S.Q�
TfUCT NO. REGO. BY O��O�
LOT NO. DAiE IB6U6D
BUILDING USE /I �
�^ � �
.�
BUILDING 27 Gannet ive
ADDRE55
GOSTA MESA. GALIFORNIA
� VOSti3 MQ68' i.��, - TEL. NO. 7�1�8�.61.
hereby acictiowledge that I have read this application
state thaf the�above is correct and agree W cromply
i a11,City Ordinauces and State Laws regulating
nbing., �
eertify that I possess the above valid state of Cali-
ia classification or I am the legal owner of the resi-
tial property /d�e�scribed abave. � /�
iature oJ Y��, _ //s /�
�•
4'
roxr eu�a+ BIDG. PERINIT
���
ECORD
D�rc
COSTA MESA BUILDING—SAFETY DEPAHTMENT
. P.O. BOX 1200
" Coata Meaa, Calirornia
Address �3 �j �. (�II�e.L�i...l�
ci�r �im ziP �
State Licensa No.�f �'�7 Clau.
�w City License No.S � Tel. No
H
� NUMBER TYPE OF FIXTURE OR ITEM
Bathtub
QLaundry Tub or Tray
> Automatic Washing Machine
} Shower
J Sink, Bar
(t Sink, Ki�chen
aWash Basin (Lnvn[ory)
Q Water Closet (Toilel)
� Drinking Fountains
a Floor Drains _�(
Z Interceptors 15i
= Rece tors � ( `, j�.
� Sinks, Commercial.ofrindtistrial
� Sinks, Floor ..� i\ \. �
Sinks, ServiCe �� �`
� Swimming $obl
W ,�'Urin9ls J ''
G. �{�1 iSAwasher
� � Garage Disposal
Water.Sokener
Water Heater and Vent
� Gas System . . . Outlets . . .
y Roof Drains
y Water Kping Alteralion
= BackFlow Fkeventer
� Lawn Sprinklers (Res or NomRes
T01'AL FEE
CMF 0450-46
. _ •
0029 7/�7/8
TMGT NO. RECD. BY
LOT NO.
BUILDING USE
Building
/ �I Addres�sj
3 V/ Owner L�
FEE
OC�
7o0p T
OATE 186U6o
���r �j
I hereby acknowledge, tliat I�have read this application and
state thal the abo�e is coriect and agree [o comply wi[h all
City Ordinances and State Laws �egulating plumbing.
1 certify�that' [�possess [he above valid S[a[e of California ciassi-
ficati0`n�oi�{I am the legal ownei of the residential property de-
scribed�abov'e.
1 ceifify [hat 1 have obtained a pecmi[ from the Sta[e Division of
Inilustrial Safety foc excavations, other than swimming pools, five
fee[ deep or de�and in[o which a pecson is required [o descend.
PROVALS
BlD3. PERMIT
INBrECTON
Lot 92- ,� ! ��n
: �-
GOSTA MESA BUILDING-SAFEfY DEPARTMENT
-� P.O. BO%D71 COB}p MEBA. CALIFORNIA
I For Applicanf fo Fill In Completely
TYPE OF2 PRINT
COSTA MESA, CALIFORNIA
rtt KtCEIVED
NAp s 1 1964
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Office Use Only
P8C81PT NO. ��I�MjT��lj,�
� Vii
o er oA�c rt¢cervep owre iasueo
� ..5��� G� GPR l d 70f
COSt2 M2Sa No`5490395 zoNe rvPe • GRC
APPROVfiD
IEERE.G. Ka.ltenbach No•5478046 Br DATE
1833 E, 17th St. Santa Ana zONING
zoHe no. or un¢ o� new
TOR � S a M'� R-1 �una 2 em�oixa
"°"` Lot 92. Tract SS
osaew�mox
187318 No'
� -�.'JroZi'a3��eno.ore�oosQ
I CENTEROPBTRHRM 53� �dI
RBAR YARC
BID6YARDI LHFT Jt � R16HT �O�
DESCRIPTION OF WORK
'�S �ZIE DINQL�, 41�9 �y�p� RqpMB � STORI68 �
EXTER� IOR WAItl���NAb.� 1 e ..
.,..,s.., . �.� . �,....�..,,..,., s.,..,s.,.
House 1,956 sq.ft,
Garage 463 sq, ft. Plan 52-AR
1 HEPEBY ACKNOWL8DO8 TXAT 1{�AVB READ THIB APPL�CATION
AND BTAT6 TNAT TX8 ABOVH IB COqqECT ANO AOqBH TO COM-
PLY WITH ALL CITY OROINANC89 AND BTAT6 LAWB qHOULATINO
BUIL�INO CONBTRUCTION/ � / ^
SIGNATUREOF i__ . /I /
NOTE: NO EAVE OV6RF
30" T081DE @ REAR P.
EAVES
ALLO W E�
YARDBAPPROVED
MAIN BUILDIN6
(FROM WLSTREET)
FRONT S� �'�
R. CIOB �U Ff. •
�i
1.9108 ��.
RfiAR ���
DI6TANCfi Bei'.
MAIN B4D65.
VAR. $C
• 16�yt•
SHALL BE LE55 THAN
YARDS APPROVED
ACGESSORY BUILDIN6
DATE
,zl7'G
„
ea. Fr. �
TH! AMOIINT SHOWN IINOEH VALl1ATION 18 FOR TH8 g'
PURP08E OF EBTABLI6HIN0 A PEHMIT FEE ONLY, p
VALUATION m
PERMIT FEE S �= j
s /y76�-- � 3� �
0
TOTA4FEE $ � O 6