HomeMy WebLinkAbout2714 GANNET DR - Building Permits, -.
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CITY OF COSTA MESA
BUILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax p14) 754-4856 � vnvw.ci.costa-mesa.ca.us
, FOR INSPECTIONS CALL: (714) 754-5626
PERMI7 NUMBER: M14-00009
PERMIT TYPE MECH
APN: 13947403
JOB ADDRESS: �2714 GAIVIVET;_ DR_Ciy'�'
Vicinity: CLpSET
S�. FT: 0
STATUS: ISSUED
DATE ISSUED: 01/06I2011
ISSUED BY: RMD
Suite/Unit:
SCOPE OF WORK: MECHANICAL PERMIT TO CHANGE OUT FAU < 100 K BUT LOCATED CLOSET FOR SFD. COMPLIANCE
FORMS ATTACHED TO JOB CARD AND CITY PERMIT.
OWNER: MC GEE, HAIIMAH Address:
PHONE: 714-435-19J1 City/State/Zip:
APPLICANT: JACOBY, ERIC Address:
PHONE: 714-741-8390 Cify/SfatehZip:
CONTRACTOR: COLE SERVICES
Address: 10652TRASKAVUnit: PHONE: 714-741-6384
City/State: GARDEN GROVE, CA ZipCode: 92843
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $38.30
2714 GANNET DR Unit:
COSTA MESA, CA
Unik
License No. 718978
CELL: 800-563-7757
NOTICE: The work authodzed by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710NS: In order for the vrork authorized under this permit to be considered legal, such work musl comply with all applicable codes, and all
required inspectiqns and final approval must be obtained. Failure to obtain inspections and final approval will resWt in the expiralion of this permit.
CODE/. INSPECTIONTYPE DAT INTRIALS CODEO INSPECPONTYPE V �pFTg �INTIT.�LS
1616 Fiaetl System Final Fire Prevention 206 Final Mechaniwl ^ d `f ' I � aG� /n,�
12fi6 Pool Spa Final 208 Final Plumbing
200 Final Re-Roo( 270 Final Electriwl
20t Fina1 81ocWRetaining Wall 212 Fina1 Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
w" ' �
WORKERS' COMPENSATION DECLARA'fION: �
I hereby at(rm under penal�y of perjury one o( the (ollowing declarations:
❑ I have antl will maintain a certificare of wnsent to sell-Insure lor workers'
compensation, as provided for by section 3700 of the Labor Code, lor Ihe
performance ol the work for which this permit is issued.
❑ I have and vnll maiNain workers' compensation insurance, as required by
section 3700 of the La�or Code. fa the peAormance of the work Iw which this
pertnit is issuetl. My vrorkers' compensation Insurance carrier and policy
number are:
Garrier:� ���s�2/��/2
(inis saction neetl rrol Ee mmdeted d the perma is valuetl al me hundretl tldW.s (5/00) a less.)
PolicyNumber: �f L C. ��i� ��,n Z iJ�j �
❑ I ceni/y that in tha peAormance of �he work lor which this permit is
issuetl, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, antl agree that it I should
become subject �o Ihe vrorkers' compensation provisions ol Section 3700 0(
the Labor Cotle, I shall lorthwith co ply with these provisions.
��
Applicpnl'e $gnaM �ate
� �-
WARNING: FAILURE TO SE(, RE WORKERS' COMPENSATION CAVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(§100.000), IN ADDITION TO iHE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm thal I am licensed under provisions of Chapter 9(commencing
with Seclion 7000) of Division 3 of the Business antl Professions Code, and
my license is in full force and eHect. q
Lic�#�--- � Class�#-`-1i721
� li /
mra or' ' (amre -- ���e
� - _
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm that there is a constmction lending agency fw tt�e
peAortnance of Ihe NOAc fa vfiich tFtis pertnit is issued. (Sec. 3097. Civil Code).
Lender's Name:
Lentler's Address:
SignaWm Date
OW NER-BUILDER DECLARATIONS:
I hereby affirm Ihat under penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW /or me following reason (Sec. 7031.5,
Business antl Professions Code: Any city or county which requires a permit to
consWct, alter, improve, tlemolish, or repair any structure, prior to its
issuance. also requires the appliwnt for such permit to file a signed statemenl
that he or she is licensetl pursuanl to the provisions o( the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the
Business and Professions Cotle) or that he or she is exempt therelmm an0
the basis (or the alleqeC ezemption. Any violation of Section 7031.5 by any
applicant for a pertnil suDjects the applicant to a civil penalty of not more than
five huntlred dollars (5500).):
❑ I, as ovmer ol the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the sWcture is not intended or
ofleretl tor sale (Sec. 7044, Business and Prolessions CoCe: The Contractors
License Law does not apply to an ovmer o( property who builds or improves
thereon, antl who does such work himself or herself or through his or her ovm
employees, provided that such improvements are not intentled or offered for
sale. If, however, the building or improvement is soltl within one year ot
completion, the owner-builder will have ihe burden ol pmving thal he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRAC7ING WITH
LICENSED CON7RACTORS m construct the pioject (Sec. 7044, Business and
Pmfessbns Cotle: The cont2ctors License Law dces not apply to an owner of
property who builds or improves thereon, and who contracts lor suc� project with
a cmtracta(s) license pursuant to the ConUactors License Laws.).
❑ I am exempt untler sec.
Business and Professions Code for this reason:
Owner ID venfed by driver's license. ❑ Ves ❑ No ' •
Oriver's License No. Expires:
Verifcation of Ovmership by (rype of tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) w mwe leet in tle0�h into which a
person is required to descend, will be made in connection vrith work autlarizetl
by this pertnit, and that no building sWclure, scaHdding, (alseuwrk, or tlemoli�bn
or dismantling thereof, vnll be more than thirty-six (36) feet high. (Chap. 32, Gry
2, M 2, Sec. 341, Ttle 8, Calilomia Administ2�ive Code).
❑ As ovmerbuilder, I will not employ anyone ro tlo work which would
require a permit Irom the Division of Indusirial Safety, as noted above, unless
such person has a permit to do such work frOm the division.
Applicanl's SignaWre Dale
Division of Industrial Salely Permit Numher: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
L Will the applicant or present or luture builtling occupant need to file and
certily a Business Plan tor emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of lhe California Health and Safety Code requires. with some
exceptions, that a Business Plan be filed with the Cosca Mesa Fire
Department by every business which has a� any one time during a reponed
year a quantiiy of haZaftlous materials equal ro or greater than a weight of
500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed qas
at standard temperaWre and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form (or acutely hazardous materials? ❑ Yes ❑ No
(Sec[ion 25533 0( the Califomia Health antl Sa(ery Code. with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one lime has on hand a quanti[y of acutely
hazardous matenals equal to or greater than a weight o! 500 pountls. or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure�.
3. Does or will the applicant or present or (uNre building occupant neetl to
prepare an RMPP (Risk Managemenl and Prevention Program for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 of the Califomia Health antl Sa(ety Code provitles Ihal the
Costa Mesa Fire Department may require the preparetion, certification and
(ling vrith the Fire Department o( an RMPP by businesses which are require0
ro register acutety hazartlous materials with the Fire Depanment.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Salety Code been Iully complied with? ❑ Yes � No
5. Does or will the applicant or present or fuNre Duilding occupanf require for
Ihe work whiCh is the subjec� of �his application a permit for such construction
or modifcation from the South Coas� Air �uality Managemenl District or from
any other air pollution control tlistrict or agency? ❑ Yes ❑ No
(Sectbn 658502 ot the Califomia Govemment Cotle requires that the requeste0
infortnation be fumishetl on applications for rmrnresidential builtlirg permi�s).
6. Will any part o( ihe facility to be constructed unaer this pertnit be within
1000 (eel from lhe outer boundarie5 0l a SChool? ❑ Ye5 ❑ NO
Qf yes", the lacilily must meet the requirement o( Sections 25534 and 42303
o( the Califomia Health antl Safery Cotle).
7. If a permit from Ihe South Coast Air Quality Management Dis�rict or other
air pollWion control distncl or agency is required for the work vfiich is Ihe
subject ol this application, have all of the disclosures prescnbetl Dy Califomia
Health and Safety Code Section 42303 been made? ❑ Ves ❑ No
8. Qf yes", attach cenifcate ol compliance from the appmpriate air polWtion
contml offcer�. �
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Malerials and Emissions.
Signawre �ate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and sWte that
the infortnation given is correct. I agree to wmply with all state laws and city
ordinances relating to building construction, and authorize representatives oi
the Ciry ot Costa Mesa to enter upon the abovedescri�ed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizetl Dy lhis permil until final in5peclion.
'9 awreolLegai � ner(s) Da`y
SgnaWre Oa�e � /G �/
JOS)�a6�3109)
�-AnNorAut�ori:.0. �it'anl rOalc
�
Simplified Prescriptive Certificate of Compliance: 20U8ResidentralHVACAIterations CF-IR-ALT-HVAC
Clima[e Zonu 1 and 3-7 ""
2008 Resideniial Compliance Forms March 2010
CITY OF COSTA MESA
B!/ILD/NG D/VIS/ON
77 fAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CAIL: (714) 754-5626
P�RMIT TYPE PLUM
APN: 13947403
JOB ADDRESS: 2714 GANNET DR CM
Vicinity: SFD �
PERMIT NUMBER: P09-00039
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit: -
ISSUED
03I1012009
BJK
SCOPE OF WORK: COPPER REPIPE AND 1. LAUNDRY TUB/WASHER FOR AN EXISTING SFD.
OWNER:
PHONE:
APPLICANT:
PHONE:
MC GEE, HALIMAH
JOHNSON, JIM
800-806-7374
CqNTRACTOR: MASTERSERVINC
Adtlress: 560 LI9RARY ST �
City/Siate: SAN FERNANDO, CA
ARCHITECT: '
ENGINEER: � . - -
Address: 2714 GANNET DR
CitylState/Zip: COSTA MESA, CA ,
Address: 560 LIBRARY ST :
City/State/zZip: �SAN FERNANDO, CA
ZipCode: 91340
License No.
License.No: - _
License No. 580017 � �
PHONE: 800-806-7374
CELL:
- , , � - PHONE:
-.. - - . . , PHONE:
,
PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $33.30.,
TOTAL FEES:
$33.30 .
N
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92) ` '
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPEC710N3: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obWin inspections and Flnal approval vnll result in ihe ezpiration of this permit.
y9p�„e, ixsreenowTrre p�r IN7I71pL5 �fZD� 1NSPEC110NTYPE u� ��
1618 Fi:ed System Final Fire Prevention 206 Final Mechanical �
1286 Pool Spa Final 20H Final Plumbing �
2<10 Final Re-Roof 270 Final Elecfrical
201 Final Blp�k/Retaining Wall 212 Final Fire Prevention -
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Dertqlition 250 Final euildinryOccupancy "
WORKERS' COMPENSATION OECLARA710N:
I hereby a(firm under penalty of pe�ury one of the following CeUaralions:
❑ I have and will maintain a certificate of consent to self-Insure for vrorkers'
compensation, as provitletl for by section 3700 of the Labor Code, for the
paAormance of the work for which this pertnit is issued.
4��`� I have antl will maintain v.orkers' wmpensation insurance, as required by
sectqn 3700 of the Labor Code, (w lhe pedwmance ot the vqrk fw vfiich this
pertnit is issued. My workers' compensation Insurance carner and policy
number are: j�
CaMer �-i' OS
(Tlvs seCun nxd nd Oe ompkleHn I(�e pnrtY s va�LeCat one Mx�!d7eE �tl7plais (51001 a kss 1
Policy Num6er: ����C /�- �( L V U z b/ f
❑ I certify Ihat in tha peAortnance of the work (or which Ihis pertnil is
issued, I shall not employ any pelson in any manner so as to become subject
to Ihe vrorke ' compensation la�+s o( Califomia, and agree that if I shoWe
become s �ecl o Ihe k r' Compensation provisions o! Section 3700 of
Ihe Labor otle, shal !or ' h c4mply with these provisions.
/C� l'�'� �i%L o `!
Applroni gnaWre Da�e
WARNING: AILUR 0 SECURE WORKERS' COMPENSATION COVER4GE
IS UNL4 PUL A D SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECL.P�RATION:
I hereby affirm that I am licensetl under provisions o( Chapter 9(commencing
with Seclion 7000) of Division 3 Ot Ne Business and Professions Cotle, and
my license is in full force and eHeCl. -1
Lic. # Q�� � Class # C- / �
. ��aonH'�lU�'
n�2tlNs SigndNre Ddle. ]
C STRU ION LENDING AGENCY:
❑ I hereby affmn that there is a consWction lending agency fa Ihe
peAormance W the v.ork fa vfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Adtlre55:
OWNER-BUILDER DECLARATIONS:
I hereby affirm Ihat under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS UCENSE LAW for Ihe following reason (Sec. 7037.5.
Business antl Pmlessions Cotle: Any cily or wunty which requires a permil lo
fAn5tNC1. alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant tor such permit ro file a signed statement
lhat he or she is licensetl pursuant to the provisions of Ihe Conlrattors
License Law (Chapter 9(commen���g �th Section 7000) ol Division 3 of l�e
Business and Profe55ion5 Code) or lhal he or she is exempt Iherefrom antl
the basis lor lhe allegetl exemption. Any violation of Section 7037.5 by any
applicant tor a permit subjects Ihe applicant la a civil penalty of not more Nan
fve nunCretl Oollars (5500).):
0 I, as ovmer o( lhe property, or my employees with wages as Iheir sole
compensation, WILL DO THE WORK, and the struclure is nol intendetl or
oftered tor sale (Sec. 7044, Business and Professions Code: The Contraclors
License Law does nol apply to an owner of propeny who builds or improves
thereon, and who does such wrork himself or herself or Ihrough his or her own
employees, provided that such improvements are not intendetl or offeretl for
sale. If, however, lhe building of improvement is sold within one year ot
complelion, the owner-builder will have the burden of proving that he or she�
did not build or improve for purpose o( sale.).
❑ I, as ovmer�of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS ro cMstruct the project (Sec. 7044, Business and
Professbns Code: The cwtractors License Law dces not appy lo an owner o!
property who builds or improves lhe�eon, and wfio contracts for such projecl with
a cmt2cta(s) license pursuant to the Contractors License Laws.�.
❑ I am exempt under sec.
Business anC Professions Code for this reason:
Signature Dale
JOSPa6�10])
Owner ID verified by dnver a�tiense. ❑ �es ❑ No
Driver's License No. Expires:
Verification of Ownership by (lype of document, i.e. - property lax bill or deed):
DIVISION OF INUUSTRIAL SAFETY PERMIT CERTIFICATION: .
❑ I hereby certify that no excavation frve (5) or more feet in depth inro wfiich a
person is requiretl to descend, will be matle in connection vrith vrork authonze0
by Ihis permit, and that no building sWCWre, 5cafldding, talse�wrk, a demdition
or dismanlling Ihereo(, will be more Ihan Ihiny-siz (36� teel high. (Chap. 3.2, Grp
�. iif� 2, $2C. �1, T(�E 8, C.2�IfORlla /�R11I1151l2IIVQ (�.O(�Q�.
� As ownervbuilder, 1 wilt not employ anyone to do vrork which would
require a pertnil from the Division of InOustrial Salety, as notetl above. unless
such person has a permit to tlo such work Irom Ihe division.
Applicanl's SiB�ature �ale
Division o( Induslrial Safely Permit Numher:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to �le an0
certify a Business Plan tor emergency response to release or threatenetl
release of a hazardous material7 ❑ Yes ❑ No
(Seclion 25505 of �he Cali(ornia Health antl Sa(ery Code requires, with some
exceptions, that a Business Plan be fled with the CosW Mesa Fire
Department by every business which has al any one time tlunng a reportetl
year a quanlity of hazardous matenals equal to or greater Ihan a weight of
5�0 pou�ds, or a volume of 55 gallens, or 200 wbic (eet ot cempressed gas
at standard temperaWre and pressure�.
2. Dces or vrill the applicaN or present or future building occupant need to file
a registration fortn for acutely hazardous matenals? ❑ Yes ❑ No
(Section 25533 0! the Calilomia Health and Safery Cotle, with some
exceptions, requires registration with the Cosla Mesa Fire Depariment by
each business which at any one lime has on hand a quantity of acutely
hazartlous matenals equal to or greater than a weight ot 500 pounds. or a
volume of 55 gallons, or 200 cubic feet ot wmpressed gas at slanaard
temperaWre and pressure).
3. Does or will ihe applicant or present or (uture building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Heallh antl Safety Code provides that the
Costa Mesa Fire Department may require the preparation, certification antl
fling with lhe Fire Department ot an RMPP by businesses which are required
[o register aculely hazardous materials vnth the Fire Department.
4. If an RMPP is presently required, has Section 25534 0( the Calitomia
Health and Sale[y Cotle been lully complietl vnth? ❑ Yes ❑ No
5. DoeS or will the applicant or present or future builtling occupant require lor
the work which is the subjeCl o( thi5 applicali0n a pertnit for such construction
or moeification fmm �he South Coast Air Oualiry Management Dis[rict or trom
any other air polWtion control tlistriU oi agency? ❑ Ves ❑ No
(Sec�bn 658502 of the Califomia Govemment Code requires Ihat tfre requeste0
informalion be Iumishe0 on applicalbns for rqn-re5bential building permits).
6. Will any part o( the (acility to be con5tructed under Ihis pertnit be within
1000 feet from the outer boundanes o( a schoo1l ❑ Yes ❑ No
pf yes', Ihe tacility must meet the requirement of Sections 25534 ana 42303
o! the Calilomia Health and Sa(ery Code).
7. I( a permit (rom the Soulh Coast Air Oualiry Management District or other
air pollution contml dislrict or agency is required for the v.ork which is the
subject of this application, have all ol the tlisclosures prescribed by Califomia
Health antl Safety Code Section 42303 been matle? � Yes ❑ No
8. Qf yes", attach ceAificate of compliance from the appropnate air �pollution
conlrol officer). � • '
CERTIFICATE OF COMPLIANCE:�I:�certify Ihat untler penalry of perjury the
information given above is correcL I agree to comply with all state laws and
city ortlinances regartling Hazardous Materials and Emissions..
CERTIFICATE OF COMPLIANCE AND'AUTHORIZATION� OF ENTRY: I
certify under penalry ol perjury that I have read this appliwfion and sfate�ihat
the infortna[ion given is conect I agree to wmply with all state laws and cily
orclinances relating to building construction, antl authorize representatives of
the City of Costa Mesa to enter upon the above-descnbetl property for
inspection purposes. I agree not to occupy or allow occu{iancy of any buildinq
authorized by this permi[ until fnal inspection.
iqn u Legai Ownerlsl oa�e
r �V /"l/�'(.��p `�
lor AulM1onzeC AppLwnt Date' �
PPOJECT ADOflE55: � 71 (i GANNE i DR
OWNEP'S NAME: BOLAND, MICHAEL E
nooxess: BOLAND KATALEEN K
, 2719 G�INNET DR
� COSTA MESA,CA 9?626
FflCNIENGMEEfl:
noosess:
BEG.NO.:
UNIT:
uxit:
PEflMITTEE: ACTION FIRST ROQF CARE ( 714 ) 841 —7663
ADONESS: 1 B j S Z GOTHARll ST
HUNTINGTON DEACH. CA.9264R
UCENSEU CONTFPCTOR DECIABRTION: I �ereCy allirm Iha� I am I¢ensetl un0er prov¢ions al Chap�er 9(commen[ing with Sec�ion
7000� 01 Drvision 3 ot Ine Business antl Pmlessmns Cotle. antl my license is in lull lorce an� ellect.
ciTvu(c�: 0457 "i5 STATELIC.:c, 9 cuss: �_-�9�1�/I1�
�ale'. ✓' � �� ignaiure�.l�. \i •_f_]'—_�s� 7/� /
WOBREFS' COMPENSpTION DECNNRTIO : I �e2Dy afiirm Ihal I �ave a certifi[ate ol can5ent to sell�insure o(a c¢rii�icale o� WorkerS'
Compensalion Insurance. or a cerlilie0 coOY ��e�eol �Seciion 3800. Lab. C).
aoucvxo.: 104i000-90 EXP.OATE: U9IOlI9S
COMPANY: STATE FUND
� Cenihetl copy is hereby Iumis�e0. � W" d c^op�y is tileA wiU the ciry Building Divi ion
�a�e'. �. / • � AVPlicani: �^-' ~ � � ' `-�� 'y ' l
EXEMPTION FpOM WOHKEflS' COMPFNSA ON OECIAMTION: �iliis seclion neea irot Ge complet[d if Ne permit is�or one hunAred � OO) ar less�.
I cetlily Ihat in ihe pedormance oi the work �or whic� ��is permii is issued. I shall no� employ any person in any manner so as �o become
suoiecl to the WorNerS CAmpensation Laws ol Califomia.
Oa�e: Signature:
NO710E: II. afler making ihis Oeclaration, you shoultl become suGl�� to ihe Warker5' ComDensation D�ovisions of the La6or
Cotle. you musl lonnwiln comply vnih such O�ovisions or iNs permii shall be Oeemee revaked.
CONSTflUCTION LENDING AGENCY: I AereOy af�irm thai there ii a tans�m[tion lending agenty for Ihe pedofmance 0� the woB �or
w�ich Ihis permit is i55ue0 (Section 3097. Civ. C�.
LENOEP:
AUOflESS:
OWNEP BUIIOEH OECUflPTION: I hereby atiirm I�at I am exempi imm �he Cqnira[Iori S�ale License Law lor Ihe lollovnng reason
�SecUon 7031.5 Business antl PmtC55ional Cotle: Any ciry ol coun�y whi[� r¢puires a permit Io con5lNCL alter, impmve, demoliSA, of
iepair any slmclme, prior to its issuance, aho rtpuires ihe apv�icant for such permit to lile a sipne0 siatement Inat nUshe is licensetl
pursuam to the pmvisions ol Ihe Convaclors' S�a�e License Law (C�apler 9(commencing wilh Seclion 7000) ol Division 9 0� Ihe Business
ana Pmlessions CoOe) or ina� nelshe is exemo� iheretrom and �he Uasis for ine alleAed eremo��on. Any vialation ol Section 7031.5 by
any applicanl for a permit sublecis Ihe aD0licant to a civil Denalty ol nol more ihan live �unUreO aollars (f500�.
I, as owner ol the pmperiy or my employ¢es wil� wages as t�eir sole compensa�ion, will do the woB, and ��e
❑ svucwre is not imenAeO or olfereG lor sate (Seclion 70n4. Buvness an0 Prolessional CoOe: ihe Cantracmrs' Slate License Law
�oes nat apply la an owner ol a propetly w�o Ovilas or improveSlAe�eon, and who tloes such work himsel�/her5¢I� or IAmuAh
his or her own emDloyees, pwviaeG tlwi such impmvemems are not inlentle0 ai ollered for sale. II, �owever Ne builAinp or
improvement is sol0 within one year of complelian. Ine owner will have Ine �urden ot pmvinA he/slle did not �uiitl or imWove
lor Ihe purpose o� sale),
I, as owner ol I�e pmperiy, am ehclusively contrac�ing wil� Iicen5e0 cOniraclor5 io constmct t�e pmject (Seclion 7044, Business
❑ anG Pmlessions Cade: The Cantranaei Slaie license Law Oces not appty Io an owner ol praperty wAo 6mI0s or improves ��ereon
antl who contracts lor such pmlec�s wiln a contratloqs�license pursuan��o �he Con�iaciors' $�a�e License Law�.l am aware
Ihai D�ool ol I�eir Wo�ker'S Compensdti0n inwrance iMu10 6e pmviOeU �o me.
� I am eaempt unEer Sec�ion: 8. 6 P. C.
mr mis ieason:
Oaie: Q++ner.
I do Aere�y certily Ihal I am aware ol an0 unAerstan0 t�e requiremenis ol Calilornia Heal�� ana Safery Code Sectians 25505, 25533, an0
2553d antl tAat I or any luture GuilOinq occupanl wilVwill nol (drele one) nee0 to comply wit� saia state co0es anU Ihe reQuiremenis for a
permii for cons�mclion or motli�icalion Irom t�e Air Oualiiy Managemenl DiSVicL HeS�deniial constmclion aDPlicalions are exemp� �mm
I�es¢ Omvisions.
Oa�e'. ApplicanC
I hereAy cetlifytAat I have rea0 Ihis apPlication an 5latelhal t�e aboveinformalionis carrecL I agree to comply wi�� all city an0 counl
ardiwncesan45ialela��isretatingla�uildingcon u[IionanE�erebyauthOr¢er¢preSenla�iveSo�I�iSuryioen�erUpOnlheabove-men0o 4
pr00etly brinspeciion purposes. 1 I
Date'. z/'� ' Signaiure� � ",����
Drivei's Lirense or Social Sewrity a:
t641-o6 Whi�e—Bwltling: Green—CaCe Enlorcemem; Canary—Applicanl: Pink—Revenue: GOlpenro0—Assessor
CITY OF COSTA NESA — HUILDING PERMFT PERM NO; H 05326A
PERMIT NO: B 053264 PLAN CHECK N0: N GOVT: N SUPP: N
CONSTRQCTION TYPE: V—N PERMIT TYPE; STR 1�t3RF�c�Sc; At,'f
JQB DESCRIPTION ; REROOF 3000SF RESID 6 GARAGE W/SHAKES S�i FT; 6,UDU
CLAIM VALUE; 6,000.00 CALC—VALUE; 6,p00,U0 GROUP OCC; R-3 /M-1
COMMENT5; REPI,ACE W/CLASS "C" SHINGLES '"`p[��rp�{P���pr— rg-.�g/�_ � [�
1E �� iE 1F # if iF iE 1E �lE if 9( �N-IF dE if �%�tE 3f df iE iF �� iF ii if iF 9E dE if aE �F �k �� 9E 8-7E �1F *-1t3E lE if �lf #�IE N� �YF �k iE iE �)f �%� 9'r,�.P9�'f(^R �kiE'If�VPi!•k�+�f-��K-KW1f0F��mf IE #
Z O N I N GS ERTEBQAt�CjKRSE M E N T S i��nUlp�D
/ r� �.,s ��
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: cT IN RGHT; FT IN
�ARKIt3G REc� • PROV: PARCEL: 13945515 ZN�: REF NO;
PLANNING N(3TES>
i �'
�i�*r•�t�x�*x•x-*��rit�t-�r��*���t�**�t**�***�-f��-�****�t*��f*���tx���t��t#�t��rt���*+�it�*�-z��r�i�*�-#r+r^**t�x.x.+:r�i�x•
D E V E L D P M E N T S c R�� I C E S R E Q U I R E M L N'T S
ZONING APPROVaD BY DATE:�' �
BUILDiNG APPROVED BY : DATE,c ,_
AFPLICATION ISSUED BY: �' � DATE• ������
# if if iE 1F if iF if K ib iE ie iE iF 1r 3E if iF 3f� IF if if . � . iFlr i�iFir' �k'iFiFiFi��F'iFR 3F iF 1f if iE iE�,N, �1k+1'r ik if
if aF IE ik it iF iF if iE i(- iP iE iE IE !E if 3f iP �1E IE %iP iE if if R IF iE iF iF if iE ic * 3f jf If ik �f if iE if it iF f! iP �F iE iE iE iE 1E IF iF if-i' iF %iE Y.� ii iE ?E i�iF IE iE3(� 36 iF iF IF 3F N� iF iF ii� ai� if
LEGALIZATION;N F E E S U N M A R Y STRUC�'0$f+�. S�GMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI�P/�tES GRADING
P��,+�rr ai.00 .60
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDSNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
T01'ALS----> 81.60 0,00 0.00 $1,60 81.60 ,00
REVEN[JE DIVISION TOTALS--> COLLECTED: 81,60 OVER/SAORT; .00
BI,DG PMT PLUMBING ELECTRIC MECAANIC rIRc: SA1IF/TOT GRADING PiAN—CHECK
fi1.00 .60
iE iE M'� if iE iF iE �1F iF if !'t iF 1E if� fF iP If if if if !F If� iE if iE iF 1F ?f )F 1E if # it if iE iF if iE 1E if ik # iF iE 1F ii 3E tf Y�lE 1E i!?f if iE �F 1f i! iE }} M� iF if iE iE iE if 16 i(- i% 3f ir 1f ii� ic iC �Y If iF
Z N D I V I D U A L F E E B R n A K D O W N
T'YPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
SrR 6000 REROOF 3Y VALUE RESIDEA'IAL NOZUNE 1,00 6,000,00
EtdD OF F�ES
oi aeos4i^s-c���,.rs ;:; ..- - �
oRre: asie7�L� ; i�::�� _;� _ � .
CON�SFRU�'iION AND PLANNING POOI .PA
APPROVALS Permit �k Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location _
2. Soil Pipe�Undrgrnd. � � 53. Steel Reinforcement
3. Electrical Conduit Utilitv-Undrgrnd. �� 54. Forms . ��
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Stee1 Reintorcement . � 56. Rough Plumbing & Pressure Test
6. Electrical UFEft Gmd. 57. APPROVAL TO COVEFi�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation �. 59. Gas Pipe, O Undrgmd., Test �
9. Water Pipe-Undrgrnd. ` � 60. Backwash Lines, P-Trap, � Undrgrnd.
70. Structural Floor System � ' 61. APPROVALTO DECK �
71. Property Sewer Line & Housr Connection ..i 62. Backwash & Receptor�Final �
12. Sewer Cap � , 63. Heater & Vent-Final
13. Roof Drains ' 64. Plumbing System - Final •*-
14. Rough Plumbing �- ' 65. Electrical�Final .
15. Rough Electrical�Conduit ��� 1 66. Solar System-Final -
16. Rough Electric Wiring � ; 67. Fencing & Access ApProval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING !.
18. Rough Electricai�T Bar Ceiting 69. POOUSPA SYSTEMS FINAL
19. Rough Hea2ing & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure , 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27.• Frame and Flashin9 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 Meter��inal 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � Notes:
34. Final Heating & F.ir Conditioning � ,
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 pomesticFinal �
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation �
_ �
46. Handicap Regulations � i
47. FINALSTRUCTUFE&BUILDING Q 26�� I
48. FINAL PLANNING
49. Electric Release to Edison "
50. Gas Release [o Southem California Gas Co i� �
51. CERTIFI�ATE OF OCCUPANCY
No. Date
�
�oonrssaeu�w�o: z714 GANNET DR
un+eRsnwe�c�u�mvr+: MCGEE, HALIMAH
�noness: }(
2714 GANNET DR
COSTA MESA,CA
wv�. iunwo woxFss:
WCXREtT OR ENf�1EEN:
�xcx on wny �oo�ss:
corrm�eTars ru�:
ca+m�aoxswuw+o
1DDRE51
uMr:
FLOOD: AE-46
92626
uc wo:
urrt:
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uwr:
LICENSED COMN�CTOP4 �ECIAXATION: I Mreby d1�m �Mr porely d pe�jury Nel I em licenaed uMx povivans d Chepim 9
(mmmeiwip wnh Secibn 10001d Diviaion ] ofthe Busi�wee vd Pmleaeione Coda.ud mYlicenee bin Nlllace eM eXed.
cm uc. No.: uc. cuss: �c. No.: � EXP :
Dme: CaNreaw:
OW NEN BUILDEP DECLAH1T10N: I Mreby elFim wCer PoreA' d perjury ihat I un emmp Irom iM CONretlon liroma law la ihe
Idb'�'M �se+on ISatlion ]W1.5 Bu+iwe eid Prolasvoeu Cade: AM euY n muM' whidi nOwrm e 0�� b mrobuet. e4r. imqow.
�r;rimd'vA. a repar vry �wciive. prin b ro ewence. ebo repw» IM epplimM la wch pmmE �o Ne a apnad awmient Nm M a aM
��,;;�..e w�+� �o m, no�o�o d m. com�m«. u�wna �w Icnea« e l��,v wnn saao� �000l a or+a� a a�ro
�}..nmen em Raaseuro coeel «�n.� ne «.ne o umma �nsdmm uN �M bam Iv ms e0eo� a.�q�on. an vNmun a seann
-)W 1.5 b/ any epplimM la a pwmu wbptla �M eppliram io e axl penelry d na mora ihan fxa hunEreE EaOara �5500�.
� 1. es axTMr d �M qope�Y a my emp�y�eee xih wapm es thei vob mmpmwion. xill do the woM, eM Ne at�uclure e�wl iMended
a MereE la eala (Saetion )Du. Biu�vseed Pide�siona Code�. The CanimJon Lioensa Lewlom nd eGVNto an owrrd popeey
who buida a inpovee Ilwrean. eM v.fio EoeS auch r.ork henaetl a herser a WaN� Ae n hm ovm amGbt�. pa'� IMt wch
impaemsro us M iMmded or dle'eE la ub, tl. lpwwer. tM driliieq or inp�v:emem b wid wnlJn ana yeer d wmpbtian. Yr
owMrbuddr xi0luw �M buNen d paieq M or she 6d M buk a impae Irc tM purpwe tl vlel.
� I.nox�wMIMpWMY.ammtFuirdymurm�qxdhimmWcmVacYmbmmWpNapN�lSmun)O11.&ni�eud
aidaaiwe coa.: m. cwreua. ��.m. la. eoe. �a epdv m.o owiw a wowb ..+�o w�. « impw. nw.on .�a wro
wMrecb la crh pqede wnh e mmrerlor(e11imW Wnuam io �M Caurmpe licaua law).
� I em exemq wMeer�`�p�y��n: B. 8 P.C., br jN�' �reeeeo�n: � r j��J n�''-
Dela: �� ti1 1 1� Oxnar: O�YJ�rM/� �' WJ^�
I do hereby cenM �� I em eware d ud uMenuM IM reyuimmerue d Cdiwnu Neellh eM Sdery Goda Seaum 25505. 2553�. erd
i 2553a, vM ihel I n any Mure builNip omqeni will / wil rwi �aicM ms) r�eeE to canply wIh u'r! peb oodm eM �Ir repuimn«n� br
aGarmnlawuvuctionamatlificmionhanlM�i ue�y ar�pem^mDmiid.Readontielm�mivaionWG�irceareezemdlmmNme
pwieiona.
Dme: AcW�
WOHKEN'4 COMPEN91T10N DECLIH�TION: I Mreby alfimi uMer peneM1y d pe�jury ona d �M lolbwiip Eetlerationa:
� IhewuMxilmeinlehacenJ'rmedmmenttaasMi�nbrxwkan'cpnparumion.mpaviAedlorby5edion3]OOaliMlebor
Cods. iv iM W�amuca d Ne Mork la whch Nu pem�n u inued.
❑ in.,�..oawm.wan.on���v�:s��..+�.a�.anrs.a�aroonm.�n«coee.w�m.oen��.am.
.oAc �u whiMi me D�i u muee. Mv.vwn,• mmpero�ion iruunnc. nmer w odicr mm,e. em:
c�.�
rd:.v M,mn«:
.Tia aa'an rree� na 6s canpMed f Ns pam# o Ia wa hurrdrsd ddWs �St00� w ha.)
❑ I cenN �� IM p«Imnarice a1 �M work lor whch �hn parmit u inusE. I ehetl na ampb� eiry pe�am m vy maniwr o a to
beeana euEpu to iM xoekera' mnpeneetian levs d CeNwniq eed apiw Nm tl I Mwk Eeemb aEpu lo IM wwbn'
�,u� w�un. w seao� mao d �ne ieb« coae. i wu iwnwan aomch •'vn up.e pw�+.
Dete: Md�:
Wam/np: FaNun ro��cun woAai rn�oruatlon covenp� l� unl�wNl. �ntl �HII wD/�ct �n x�p/oysr ro crlMml p�n�Mu arW
clHl Nnu �q ro m� huMrW MwuuM EWI�n /5�00.000), M Walfbn b M� ro�f o/ rompmsetbM1 Oamsps� u provldW br In
9�ctlon 9105 0l Ih� LMor CoOa, Inrors�f, sib ettomsy'� /sex
CONSTHUCTION LENDINO AOENCY: I hareby elfirm uMar peneM1y W per'ryry IhPo IM�e u a mnat�udion MMirp epency la Ne
periormvim d Ihe v.vrk la whieh �h'v peemY ia eeued (SeGion �091, C'v. C�.
LENDEF'S NiU1E:
LENDEN'S �OOPE35:
I cMM �het I hew raad I�e eCO�rauon eM aMe �he� Ne ebove inlarmetun u cartea. I eTa lo oomdY �ilh ell etY enC cou'MY ad'vwime
erd elele levn Mdiq �o buildip wns4utlion ud hmeby aulhaca �eptefenlelivas d Ihu fey lo antr upon tM ehove�memivied popMy
�«��'°"`��°N°� HALIMAH MCGEE
�1^"�M `�'� P��' W.R.1/ Date: li l l ��
59�Wure tl Omxl�'Oe���VG�^��^^�Mor
(5�51,16WP) WMs-Buik�q65elery:0iea��Fle:Cenery-AppFani:Fnk-Rmenue:OokenmE-Aammr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 073029 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
JOB DESCRIPTION : INSTALL SOLAR HEATING ON ROOF
PERM NO: P 073029
GOVT: N SUPP: N
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC—VALUE: GROUP OCC; /
COMMENTS: INSTALL SOLAR HEATING
if**�*xx�*at+�*�****�ieat***rt*+��+�**ie**+��+�*�iE*�r+tat**�*if**�ie�ie�**��**�*x**it****+�+��****ie
Z O N Z N G R E Q U I R E M E N T S
S E T B A C R 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
PARI(ING REQ: PROV: PARCEL: 13947403 ZNE: REF NO:
PLANNING NOTES>
1
1E 1E iE if iE iE iE 1E 1E fE iE iE 1E aE iE 1f 1E if IE 1f 1f IE iE 3F fE if iF ik 1E iE if iE iFlf iF if if ik iE 1F if if iE if i! 1k if 1f if iE iE 1f 1! if if if if 3(-1E iE 3f 3E jE �E iE 1E iElE 1E if if ik iF jf 1E iE if 1E 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 S
ZONING APPROVED BY .
DATE:
BUILDING APPROVED BY : DATE: _
APPLICATION ISSUED BY: � DATE: �I����
**�,��***�,�,�*��,���*,�*,�,����������������� �-����*��*��,���* �� �**
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMHING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING
PERMIT 3.00
253 � SMIP/NON—RES
PLAN '
ISSUE FEE 20.00
HUILDING—DIV—> PERMIT ISSUE PLAN�CHECK
TOTALS----> 3.00 20.00 , 0.00
REVENUE DIVISION TOTALS--> COLLEC•TED:
HLDG PMT PLUMHING ELECTAIC MECHANIC
23.00
TOTAL PAID DUE
23.00 23.00 .00
23.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
ik 1E iF if iE 1F it k 1E fE 1E 1Elf iE iF IE iE if iE iE if 1E iElE fE iE iE k if iF iE iElE 1E fE iElElE if iE iF iE if'If i! if iE �E iE 1E 1f 1! if iE IE if 1E iE iF if 1F 1E if ff aE 1E 1E iE 1E 1E 1E iE fE IE 1E iE iF 1F if
I N D I V Z D U A L F E E B R E A K D O W N
TYPE QTY D E S C R Z P T I 0 N%� UNIT COST TOTAL COST
PLU 1 SOL, COLLECTOR COMPL � UP TO 1000 SF 3.00 3.00
END OF FEES
_ _ _ ir. � _ . - .. bf�
, 'E.� ���,� ,= _,: -. .i
CONSTRUCTION AND PLANNiNG POO iPA
APPROVALS Permit # Date Inspector APpR�VALS Permit # Date Inspector
1. Tem`porary Electrical Service or Pole 52. Pooi & Equipment Location .
2. Soil Pipe•Undrgind. 53. Steel Reinforcement
3. Electrical Gonduit Uti�ity�Undrgrnd. 54. Forms
4. Electricai Co�duit-Undrgrnd. 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. E�ectrical UFER Gmd_ 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electricai Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. 4Yater Pipe-Undrgrnd. � 60, Backwash Lines, P�Trap, � Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer Line & Ho�_T Connection 62. Backwash & ReceptorFinal
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains g4. Plumbing System � Finai
14. Rough Plumbing � 65. Electrical-Final
15. Rough Electricai-Conduit 66. Solar Sy:tem�Final
76. Rough Eleciric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTEflING
18. Rough Eleetrical-T Bar Ceiliny 69. POOL/SPA SYSTEMS FINAL
79. Rough Heeting & Air Conditioning FIRE DEPT, fiEQU1REMENT
20. Rough FaCtory Fireplace APPROVAIS Permit #
21. Ducts, in 5tructure 70. Underground Hydro
22. Ducts,Ventilating 71. ProductPipin90Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush ,
24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing � 74. Overhead Hyciro
26. T�Bar Ceiling (Structurall & Monocoai 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76, fIRE PREV. FINA�
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brd�Yn Coat 79. FINAL INSPECTtON
32. Electricat Power Me'ter-Final 80. FOOD CEqTIFICATE ISSUED
33. Final Electric - Notes _ �Ij _�� C�1.C71_s� __ _ _
34. Final Heat�ng.& Air Conditioning �"
���%-�-�n�t.��,., -��ae,eY���_��
35. Final Gas PiPe�Test ��_ers- q�a.���r�L
36. HoodorCanopy �',�JI.GIS �_L�_���-
7 _
37. Final Factory Firepiace
38. Final PluMbing $f�
39. Water Service�Final
,, 1
40. Gas Service�Final
41. Solar Oomestic-Finai
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape �rrigation System
45. Sound A[tenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Ralease to Edison
50. Gas ReleaSe to Southern Cafitornia Gas Co
51. CERTIPICATEOFOCCUPANCY
N0. Date
--
MDNFSSOiBNLqNC: 2�]1[I GANNET �D
w�xsx.�Ei�a�w,*+: MCGEE, HALIMAH
�nonEss: }(
2714 GANNET DR
COSTA MESA,CA
�vr�. wuuwa �oowEss:
urcxrtecr on eHcv+�x:
umx on Eno.•s �oonEa:
caxm�crars ru�:
cam�croas�uuxc
AOONESS:
.S - A�f..�s 'K/ 1
�/ uNr:
• j�r/FLOOD: AE-46
92626
uu xo.:
ur�r:
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uxr:
LICENSEp COMNRCTORS DECLAXATION: I hereby eflirm under penetly ot parjury Ihet I em licenead uMer yovoioro d Cheptar 9
(commendrp wnh Seeiim'1000) ��sion 3 tl iAe 9uymes eM Pmfevabiu Code. e�W mY licenu e in lull lares vM eHed.
cm uc. No.: uc. cuss: uc. No.: EXP :
ome: comraaa:
OWNEN BUILDEN DECLIHATION: I hereby W im uMer pendy d perlury tha I em enmq Irom ihe Conlredae Licenea lew Iw tM
folbw'vi0 ��� (�ion )0�1.5 Buemean end PMeeeione COEe: Any c1y a oounty wM1iM requims e pe�mil lo consNwY, eMer, improve.
�, ,�amolo�, a repei eny sVucturo, prbr io es 6euenm, ebo nQuiree �he applimM �a euch permA to fib a eipned eb�emem UW he a aM
ri� a IicmaeE W��� �o tM proKeima d �he Conlredon Limnse lew �Chepim 9(cammend'p wGh Sedion ]000) d Di+eion 3 d ila
'","`�"'iwima eM Frdeaiwu Cada� a thm ha a ahe u examp therNram uM tha buu /a tM elbped acemqion. MY violetian d Setlion
'. )031.5 by enY aVWiuni for e pe�mil wbpw IM ap0licent to e�nil penelry o/ M more �hen Irve h�Mrod tlollue �550011.
.Cl 1, es owner d ihe propeity or my em0�a �� �+'�9as � Ihe'r ede mmpametion, will do IM v.oA, enE ihe el�ucture u not intended
�r waHeradlaeele�Secfwn]060,Buvname�MProlaeaionaCode:TheConireqweLkeneeluwdrocnMeppWtoenownarMpropeMy
who buide w'unprovea Ihereon, arM who Eoee auch work Nmaell or Mnatl a Nraph hc w Mr own employeee, provided 1!� wch
imprwemema are not inieMaC a dfereE fa aele. tl. Iwwever, iM buiking a inpowmeM u coN xilhin aw yeer W ewnpblion, iM
awnar-0uiidm vnll heva �M EuNen M pwirq M w eM d'd rid buik a imprave la tM WN�e d eeb�.
❑ I, ea awner d IM ttWaM. em utlusrveN conired'nY wnn licanaed cantrec�ae to wnnrw the W4a (Seeion )011. Bueirove erd
Prdmsione COEe: The Contreaas Licenae lew daea m� eppty io an axxr ot popeny who W itle or imqova t�erean end who
conVecb breuch Orol�a wiiM1 e mnvector(e)IkeneeC W�uenllo�he Conlraclore Limnea Lax�.
� I em exe p u(n] r Sectiorc B. 8 P.Q, igLtjL�isp(euon: / �{y�]� ��/ �
�Bie: L�f �.1�f1� Oxner. �R4ii�n'1V'�' 1"[fI"^'
i ao nerew o.nM �nm i em ewere d e�a ��eeniene ine rea�����. a cmranie H..nn .�w sekn cod. s«a�. uws. zssx�. .�d
25534, enE IMI I or eny Mure Wikinp oavpent will / wil na (tlrcb aie) need ro comply wYh eeM peta wEn eM ths mQuinmenb M
epermil/armnewclionormadifirationhomlheA'r uST�y�epemeMDietriq.RaeidaMWmncVueoneppYre�ianeareexemqframihena
yrwisbns.
WOPKEF'9 COMVENSATION DECURATION: I MreEy efirm uMm paroM1y d paijury ar d IM Idbwirp Mtleietiom:
� I heve enE wil meimen e ce�ilicete d mnsen� to aW�irouro br waken' compenwion, u 0�� �w by 6edion 9100 d tha labar
Coda. la ihe parloimence M IM xwk br wlvch Ihis paimA ie ieeueE.
� I hm ard wil meintan waMere' mnDanaeiion inwrence, av rpuirod by Safim 3]00 d iM Lebor CoEa. br IM pe�lwma�oe d IM
work Iw whM thu pmmn u ivueE. MY ��' �mpanvtion ineurence rertier ud pd'x.y rwmber era:
c.m«:
Pdicy N�mbar.
;m�: s«+�on neea �or ne wmWmee r ue pem�a is ro, on. nuneme da�ere Riaol w bne.�
� 1 cenAy �hm in the pe�iwmenu d the xroM br whch Ihia pertnil is iecueE, I ehell ml empby erry pavon in vry men�wr eo u la
becana eubjaq ta ihe v.oMen' compenaetion la� d Celibmie, vM eprea ihn M I MouM Eecmma aubjetl b iM xrorkeA
mmpevation qvvisune d Seeun 3J00 d Ihs Lebor Cade, I dWl IMhwilh mmpy xilh IMm provuiw.
Dme: Md'ce�l'
Weminy: Fellun ro wcuro wortx�'rompxuetlon rovsrap� I� unkwNl, entl �MII aub/�et en smp/oyx b eMMiulO�Wu ans
clNl flia� up b ons M1wtlrM IMuuMI do/bn (S1D0,0001, M eWlNan b M� ro�t o/ romps�wflon, G�m�p� �� plov/tlM b/ In
sxtlon 9105 0l Us LWoi COM, InMut, entl ettomey'� Iwx
CONSTRUCTION LENDINO AQENCY: I hereby ell uMer pmelry d perjury ihel tMre b e eonMeWion bMup epeiv,y Iw tM
peAormaMe d Ine xork lor MiM Ihe perml b aeued (SMion 309). Gv. C).
LENDEH'3 N4ME:
LENDEP'S AODPESS:
I ceniry IFat I lave read this epqicetion erq sle�a thet iha ebove inlameiion is cortea. I eprae to compy wilh ell tlty enE wunly oNinences
eM sieta len relelin8lo buikvq conavudion enE hmeby eWwrae roprewmetivee d �hw d1Y b anter upon tM ehwe-memionad popxry
tp ir5petlion W�W�%
HALIMAH MCGEE
/ �PnM��'J�}yme /`'�
i{��v �' Y'/^�" Dete� � ��LI I�
Si9�ura W O�mar/AganUApp4anUConVatlw -.
(5151<s WP) While-Buildvq 8 Selety: GraerFle: Ganery-Appirant: Rnk-Revenue: Cmldenm0.Rasam«
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: P 073028
PERMIT NO: P 073028 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : RELOCATE POOL EQUIPMENT SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: /
COMMENTS: RELOCATE POOL EQUIPMENT, RE;#E73027
***�tx-*�x-*rt�-at*+�**at*�-***�t***iFat**�et*�it*it**�******�***ie�*�r*�x�****at**�etet*at*at�-*****+c��t*
Z O N I N G R E Q U I R 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: PROV: PARCEL: 13947403 ZNE: REF NO:
PLANNING NOTES>
i
aE 16 ik if if 1f iE iF iF if if 1E iE if 1f !E iE �E 1E if i6 iE iE iF �E IE iE if dF iE iE IE if iF iE iE if 1F 1f ik if iE iE 1E if ik ik if if if iF iE 3f 3E iE jE �E iE 1E iE iE iF �)F 1E aF iFlk 3E jf iE jf iE iE iF df if iE iF �f
D E V E L O P M E N T S E R V I C E S" R E Q U I R E M E N T S
ZONING APPROVED BY _ DATE:
BUILDING APPROVED BY : -'� DATE;
APPLICATION ISSUED BY: �� DATE: CO n Q
'IEiE�EiEiElEifiE1F1E�f1FiF3fiF�fiFiFiElfifiEiFififiF7F7FiF�f7FiF�FiFiFifiFiFiF7Eifif��iFiF7FiFif�iF�FiF7FiF1ElE7kiEiE-0E�)F1EiElEiFiF�7F��E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBZNG ELECTRIC� MECHANIC FIRE SMIP/RES GRADING
PERMIT 12.00
25� SMIP/NON-RES
PLAN
ISSUE FEE 20.00
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 12.00 20.00 0.00 32.00 32.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: . 32.00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECAANIC " FIRE SMIP/TOT GRADING PLAN-CHECK
32.00
�k fE 9E 1E 1F iE �E if iF iE 1E 1E 1E �E iF iF 1E iE iF iElf iE 1F iE 1E 1E 1E 1E iE iE if 1f if Ik iE if 1E iE if 1E 9F iElE iE iE iE 1k iE IE 1E iE �E 1E 1E iE 1E iE 1E if 1f iF 1f if iE 1E iF iE if 1E if �E fE fE 1F �f iE jE iE �E
I N D I V I D U A L F E'E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 SWIMMING POOL ''- 7.00 7.00
PLU 1 GAS PIPING SYS OF 1 T0-4 OUTLETS 5.00 5.00
END OF FEES
�JI ���� �' �4�1':Y _��11�
OnlL: :C�'?;:'4- iI+",�: ��>:::v
CONSTRUCTION AND PLANNING POOL SPA
' APPROVAL5 Permit # Date Inspector AppROVAIS Permit # Date inspector
t. Temporary Electrical Service or Pole . 52. Pool & Equipment Locatlon ,
2. Soil Pipe•Undrgmd. .. . 53. Steel RainforcemenT
3. Electrical Conduit UtilitY-Undr9rnd. 54. Forms
� 4. Electricai Conduit�Undrgrnd. 55. Electrical Bonding
5. Stee� Reinforcement 56. Rough Piumbing & Pressure Test ,
6. Electrical UFER Grnd. 57. APPRQVAI TO COVER-GUNITE
7. Pootings 58. Eiectricai Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, C Undrgrnd., Test
9. Water Pipe-Undrgmd. 60. Backwash Lines. P�Trap, O Und:gmd.
10. Structurai Floor System 61. APPROVAL TO DECK
7 7. Property Sewer Line & House Connection 62. Backwash & Receptor-Pinal
12. 5ewer Cap 63. Heater & Vent-Fina!
13. Roof prains 64. Plumbing SVstem - Final
14. Rough Plumbing 65. Electrical-Fi�al
15. Rough ElectricaLConduit 66. Solar System-Pinai
i 6. ftough Electric Wiring 67. Fencing & Access Approval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar C�iling 69. POOUSPA SYSTENIS FINAL
79. Rough Heating & Air CondiUoning FIRE DEPT. REQUIREMENT .
20. Rough Factory Firepiace APPROVALS Permit #
i
21. Ducts, in Struciure 70. Underground Hydro
22. Oucts, Ventilating 77. Product Piping O Gas D Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing - 74. Overhead HYdro
26. T-Bar Ceiling iStructuraii & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXE� SYSTEM �INA�
29. Insulation � 7$. FIRE PREV. FINAI
30. Drywall Nailing HEALTti pEPT, REQUIREMENT
31. Plaster Brown Coat 79. FINAL. INSPECTION
32. Eiectrical Power Meter-�inai , 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: � �Aye1�ULT �
�
34. Final Heating & Air Conditioning . �-�-c�� - r!�` - �
�
35. Final Gas Pipe-Test �- �- f�'x�,�K�'�� �
36. Hood or Canopy ' � ��
r
37. Final Factory Fireplace _
38. Final Plumbing _!
(
39. Water Servica-Finai
40. Gas Service-Final
41. Solar pomestic-Final ,
42. Backflow Preventer
43. Backflow irrigation �
44. Landscape irrigation System �,
45. Sound Atte�uation ' � .
46. Handicap Regulations �
A7. FINAL STRUCTURE & BUILDWG _ .
48. FINAL PLANNING
49. Electric Release to Edisnn �, �
50. Gas flelease to Southern California Gas Co
5L CERTIFICATE OF OCGUPANCY
No Date
�
AODFESSOfBNLOWG: z•]iQ GANNET DR
owxexsx.xeiv�+avr+: MCGEE , HAL I MAH
woness }(
2714 GANNET DR
COSTA MESA,CA
,vr�. �.uuxc �ooness:
�xcxrtecr ox u+aN�n:
CON111ACTpfS Nluc.
caxm�ctoxsxuuxc
ADDRE55:
u�T: CITY OF COSTA MESA — BUILDING PERMIT
FLOOD: AE-46
PERMIT NO: E 073027 PLAN CHECK NO: N
92626
uc. ra.:
uc no.:
uxr:
uxr:
UCENSEO COMFOCTONS DECLAH�TION: I hereby eAkm umbr paneXy of perjury Uat 1 em licenead uMer yoviev a M Cheqer 9
(romme�rp wnh Saetion ]000) d Oivuion 9 d tFe Buaifrea eed Pmfevebna Gode. ud mY ��� b in hll laee erd aHad.
cm uc. no.: uc. cuss: uc. No.: E X P:
oma� - convea«:
OWNEN BUILDEX UECLRPATION: I Mreby elfiim under peneXy d perN�Y �het I em ecemq /mm ihe Con�redore Licenee Law la iha
Idlow'ep raamn (�bn ]031.5 Bus'vresa end Profewbm Code: R'ry cYY a�untY �+fi ro0uiiee a parmn to mmuutl. Mer. imqove.
demd's�, a repv eny evuciure, prbr w ils eweMe, elao reQuiree �he epqimnt la wch pamX lo fib e agmE etatemeM tlW M a eha
� licenaed W��� �a �� G�^�e�^^e d iM Conlraclwe License Law �Cheqm B(mmmeMi'p wilh Seaion ]OW) d 0'vcian 3 d tir
lusinew eM PrWenona Code� or �hel M or eha ia exemq ihxehom arM ihe beaie iw �he dbged eaempian. My volmbn d Sedian
)bJ1.5 by ury epplimnt Iw � Po�n wbptle IM epplcenl lo e sN penally d nd more �hen I'va huMeed ddlen �SSWU.
�.�] I,eaawnardihepropenyamyempbyrewdhwep»asiMieoleoompenwion,xilldolMxurk,eM�MeVutlune,rotimeMed
a ollered lor eele (Sac�ion )001, Buainea arM Proleeabna Cotle: Tha Conlreclon Lioanse lew tloee �wt eppyto en oxnard propeM
who buiM ar inpmvae ihereon, eM nM Ems auM work Nmeelf or heneC a ihrpph he a her oxn empb/eae, pm+ded thm euch
imprwammla are nd inbMed a dlmeE la ule, ll, howmw. �M Witlirq ar inqwwneM'v wtl wilhin orq yav d mmpbtun, IM
owner-buiNx will heve tM WMen d provin0 he or eha did na build or improve /a Ihe W�e d aeb).
� I. es o�mer d Iha properry. em extlusrveVy coniredip wilh licenead conVxton to cmebutl Ihe pojea (Seeion �I. Buaineee end
Proteatime Code: The Comrmon Liwnae Lew Eoee ml eoNY a en owner d P�We�Y xfio Wilde «imV�'es Iheraan aM xtw
conlrecv /a eurh pol%�s �� e comreua�s) lcenaed W�+uent to the Cantreqore Limme lew).
❑ i��. ��aa, s«.,��,: e. a r.c..��� �. �: „
o�,: 6��y� 9 S �,r � I��
i m ne��y �nnv uw i� a.,�. d.oe �e.M�a me na����a d cdeome H..nn �a s.r�r cma sea�oo. usas. zsss�. �e
2553G. eed Met I or eiry Mum WiWiip omqem Mill / wil rwl (tlrtY me) � to eomply wih veid qeta eodsa uk tha �pu'vem«xa tor
epermillamnavunimormod'ifiralionhanlMRk uaTx%nepemeniDie�rid.ReeideMielconstrud'aneppYmtioneenezamqtmmlheee
PIWI510118.
Deta: Applicent
WOflKER'S COMVENS�TION �ECURATION: 1 MreEy elfiim uMer peeahy d pwjury «r N ihe Idbwiiq dedaratiom:
Q I naw e�d wil meimen e ceni&.tle d mment m seMJmuro lur xaken' wmpsmetion, m pwidsd la by Sopian 3100 d iM leba
Gode, ta tM pa�ormem�w ol lhe MOA lor wldc� thie permn n iaued.
� I hew vM xil maimen v.oM1ert oompenW ion inwrerca, n�syuirod by Seqon 3]00 d tM Lebor CoCe, br �M paAamerce d IM
work I« whiM ihia pertn� u iaued. My warlmie' mmpenWbn inwrance farrier enE pdi�y number ara:
ce��:
Pdicy Number.
This eection need rrot be romWateJ i tMW^�4 ia br we nuneM dollen RIoO/ a/ax.)
� I nnLy thel in IM peAoimenee d Ihe woM la wheh ihie peemn la Inued, I ehell ml empby eny pa�oon in vry menner eo u �o
necane wbjee ro �ne wohere• como.�wim lew. d cvilanu. ene rorea udt e � enwk sxoms wd� io ine waxeie�
compamelion pwiaiona d Saqian 3)00 0l lhe Lebor Code. 1 Mell IathxitA mmpy wnA ihove piwiaiona.
om<: �vw�m:
W�mlrp: F Nun ro a�cun wohw�'rompxuatlon rovmp� 4 unbwNl. mo �lull iub/�ct an xnployer ro u1Mnl0�naM�� �M
civll nMa up ro om hunarM tMuuM dabr. f3100,000/, �n Mtlluon ro tln cwr oI romp.iwtlory am�p� n povmM ror In
Swtlon J106 0l Me La6or Cods, /nMsst, enE etrornry's /wx
CONSTNUCTION LENDINO AGENCY: 1 hereby �mi uMx penelry of perN�Y �� �hm n e mnetrutlion bMi�q epenry br iM
periOrmence W IhB xwk Ia which IM1e permi IB iewad (Sepon �091. Cn. CJ. '
IENUEN'S NGYE:
LRlDEN'S AUDHE55:
I eeniy ihel I heve reaE Nia epWieeiion ud mme ihet �M ebove inlormelbn ia eoned. I apeee lo eanply xilh all tlry xM oouMY �ineMee
eM s�ale lev.s ieleliq la W ilEvp consTutlon end Mreb/ eNhwae iepeaen�e�Nea d �Na tity lo enler upon IM ebo.e-men�oneE paqtty
�«��'0"'���"'�°�"g HALIMAH MCGEE
F.'kA�IM�W`�—. 1' VJ1�r Dme. 7-` 1 1�
Sproture d Oxi�m/AqnVAppYtenVronlretla
�5151de.WP1 ��e-8uikiq85eletY:Greer�-Fib:Cenery-Rppiceni:Rnk-Raienue:l3oldmro�Meemm
PERM NO: E 073027
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : RELOCATE POOL EQUIPMENT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS: RELOCATE POOL EQUIPMENT
atatx **�***��+��*at**�x *x *****ie*��**ie�*� u x�**+��**it*********iE�***�*******�*+��*at****�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ZN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13947403 ZNE: REF NO:
PLANNING NOTES>
�
�F fE if iE aE iE iE 3E iF �E 9E iE iE �E 3E iE iE if iE iE iE �f aE iE 3E iF iE jE if iE 1E iE iE iE if aE jE iE jE �E iE �1E iE �f iE iE if if iF If 1f if if IE iE if iE If iE if if iElE fF iE fE if if if if �E iE jE iElE ** �E'1E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY .
BUILDING APPROVED BY :
DATE:
DATE:
APPLICATION ISSUED BY: � DATE: �2��-..._
**�*�*�**��**��***�*�*��,���������������������� ���-�-��*�**�*���,� ��
LEGALIZATION:N F E E' S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 30.00
508 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 30.00 15.00 0.00 45.00 45.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 45.00 OVER/SHOAT: .00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
45.00
if iE iE jE 1E 1E iE If ff iF-If �k ik 1E ik 1E iE it 1t iF ik IF 1E if iE 1F iE iE ik 1F 7F 1k 1E ik k 1E fE fE �F 1E iE �E ik iE iE 1ElElE jE 1E iF 1E if 1F if iE 1f fE 1F 1E IE 1E �E fE fE 1E 1E �E 1E 1F 1E iE iF iF 1E 1t 1E 1E if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 SWIMMING POOL — IN GROUND — NEW EA. 30.00 30.00
END OF FEES
�'1 iiC�lE.`.143-^3]?:il•e3 '�"�s � «g.Q:�
Ur,iE: Gb'7.9�9: Tlil'c: C°r"3;
�60NSTRUCTION AND PLANNING NOOL ,PA
APPROVALS Permit# Qate Inspector qppROVAIS Permit# Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement '
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5, Steel Reinforcement 56. Rough Plumbing & Pressure Test .
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE j
7. Footings 58. ElectricalConduit-Undrgrnd. -3-��D_L
�w,s�
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgmd. � 60. Backwash lines, P�7rap, � Undrgmd.
10. Structural Floor SVstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Finat
13. Roof Drains 64. Plumbing Sysiem - Final
14. Rough Plumbing 65. Electricai�Final
15. Rough Electrical�Conduit 66. Solar System�Final
16. Rough Electric W�ring O 67. Fencing & Access ApProval �
17. Rough Wiring 5�9n 68. APPROVED FOfl PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAI
79. Rough Heating & Air Conditioni�g FIRE DEPT, REQUIREMENT
20. Rough Factory Fireptace . APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventila[ing 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hyd�o
26. T�Bar Ceiling (Svucturell & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINA�
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINA��INSPECTION
32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED
33. final Electric ��C�j Notes: �2��,/ �• � ����
� G-l��S✓��W d
34. Final Heating & Air Conditloning `
35. Final Gas Pipe�Test , -
36. Hood or Canopy � �
37. Final FaMory Fireplace
38. Finai Plumbing
39. Water Service•Final
40. Gas Service-Final
47. Solar pomestiG�Final . ,
42. Backflow PrevBnter
43. Backflow irrigation '
44. Landscape Irriqation System � � , .
45. Sound Attenuation , �
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING - � .
49. Electric Release to Edison -
50. �Gas Release to Southern California Gas Co �
51. CERTIPICATE OF OCCUPANCY
No. Date
.
�� -2sq � f� � -5
�,_`�" F�o __ Nrininq Laboratories �f ��t��l=,= c�t�� f�z,=�a, ��_�.
�� � 2 P.O. BOX A] . 3Jt� nIRPORT WnY . LONG BEACH, CALIF. 90801 • �713) 47b-7365 . 12i3) a3b�Y38b . pin) B28�b�31
� 944NCH OFGICES: �
TESTING �si�.or+o,inH.,�..s.,..� r+o.o.,� o..r.��„y
Sanre nne Gtdo�n�e 4])Dl �°� �, �o5i R.da+deA.., PO. Dm ��
�i��� S)I.XwS �/�.'��.} �. �§ tnnq 4�06. GY,f. epBDl ILlI eIe.110e
a�* `Il�.*,P .
* July 10, 1975 Changed Report
July 14� 1975 ' E=am�nation: SC75-2857
. GOMPRESSION TESTS ON GUNITE CYLINDFRS
Mr. L. E. Sprague `
5041 Doanoke Avenue
Irvine, Callfornla 92705
PROJECT Swimming Pool for Wfll(am Oakes
aooaess 2714 Tannet, Costa�Mese; California
SAMPLE FROM B,B, Sh8110W A deep �
, �RCMitFCf CONINGCIOR
Blue Lagoon Poo)
' ENGINEfP SUECONiNqC(ON
Guntte Unlimited
• SPECIiIED
�, MIX Ve�dug0 Vi'e-m1X 6,J ya�d �STRENGTH
DATE CAST 6/12J%S CYLINDER SIZE
DATE resreo 6/19/75 6/19175 6/19l75 ++7f14/75
� CYLINOER NO. j °' 2 3 4
COMPRESSION �7-D0y5 ]-DeyS 7-Days
TOTAL �oao, �es. 33,000 30,000 33,500
POUNOS PER SQ. IN. �� 16) � 1,060 1, 1 j]
Size: 6"x12-3/4" 6"xi2-1/2" 6-118"x13"
COMPtIANCE
CYLINDERS
� i.
<
2,000 psi
�7lt'q/75 �7/11�/75
5 6
.'jy-�ays 32-Days� 32-Days
56,000 41,000 49,000
2.355 1,724 1,656
28-day test camplTes with specificatlons.
MRDE EY OEI�VEREO 6Y . 0.ECfIVEO ON
L.E.S. L.E.S, 6/13/75
oisrv�su7iow:
Ctty of Costa Mesa 81dg. Dept ✓
Blue Lagoon Pool
Gunite Unlimited
L. E. Sprague - 2
��JI[p14�G SAFETY DEPT.
,�UL 211975
� ,
��t� �—�.�
. =r>o�:s .�E s..n- - o.z ..r coa..ot+r..� w�oa�o.. o� n rers �...o+.:.:.o�+ ,oA .�euc.nn.. o� � .
O�r� �feOvtS <OYCLVSIONS On f
.o�t'S t'+C� ��1+ �IC.a��r] '�: v(u .5 �t5tu�:f'J ^['�C ^.(. :l c wu --1'I. �" u7. . �Y � uVIV�L au0'EG �n'�' i0 C�iL�+iS ln( vVlLIC �wD OVNSllV15
330-15 �
• noP�o�eC engineeretl sitl. pool SiruCturos
•OO9�IIBBIQtl �@fUlIlillg wdllQBf8�l9
• pools antl spas vnih wrchar9es. elt.
�OO�
r�«ns���.
12783 brookhur5i
peNen Brow. ca.928a0
I7tal s99-ne3
Tuly 21, 1975
Building Department
city xaii
Costa Mesa, Callf.
Dear Sirs:
This letter is to verify that the test reports for the
swimming pool located at 2714 Gannet, Costa Mesa, show
strengths that are adequate for the design.
Reference is made to Twinning Report No. sc 75-z857•
�S cerely yours,
�c����
Pool Plans Inc.
ma
�" tis
�,��``� Q�o Twininq Laboratories �f ���t��z�t ��t['�f�Z,��a, �,_�.
—�z � ti -
P.O. BOX q. 3310 AIRPORT WA7 . LONG BEACH. CALIF. 90801 . �213) i26�])65 . �2qj b)6�2]Bb • �711} 828�6172
. B4ANCu pGFICES: '
TESTING �SH-ONmrFHerpoSe.�a . Nw�DnrmaY.�Lo�nq
$enle Ane, Ca6farde 0}]p] �� K'� ]VS$ Redo�doAv�., P.O. Ga. V
piq niaas �� �'s i,y e..��. C.i�i. vaoi 1��31 e�n.na>
�r,,`y�, : ,
.. t
Examination: S�)5'Zas�
COMPRESSION TESTS ON� GUNITE CYIINDERS
Mr. L. E, Sprague �
5041°Doaaoke Avenue
' Irvine, Californla 927�5
PROJECT Swimming Pool for Will�iam Oakes
A�oRESS 2714c%annet, Costa:Mese; Caltfornla
�
SAMPIE FROM • B,B. SF18I�OW = deep
ARCMIIECI CONiNAUON
Blue Lagoon Pool
ENGINFfP SUECONiN�CiON �
� Gunite Unlimited
� SPECIFIED
Mix Verdugo Pre-mix 6.7 yard STRENGTH
DATE CAST 6/12/)S CYLINDER SIZE
DATE TESTED 6/I9/75 6/I9/75 6/19/75 7/10/75
CYLINDER NO. j 2' j !y
COMPRESSION 7-Days
TOTAI IOAD, �es. 33,000
POUNDS PER 54. IN. � �(�
51 ze:
COMPUANCE
CYLINDERS
,
6"x12-3/4"
M.oe er
L.E.S.
7-Days 7-Days 28-Days
30,000 33,500
t,o6o t.137
6"x12-1/2" 6-1/6"x13"
DIfT916UfION: '
-�'try of Costa Mesa Bldg. Dept.
Blue Lagoon Pool
Gunite Unlimited '
L. E. Sprague - 2
2,000 pst
7/10/75
5
28-Days
DElIVE9E� !T . � iECE1VE0 ON
t.E.S. 6/13J75
�UI�BI{��G SAFETY DEPT,
JUN 2 41975
n
7/l0/75
6
28-Days
`
,.
�u =r=a=.y .�t s�e� :. n.s -..r wn•menn.� oAoac=•. o. rve�.�s .a��o=inimrv roA �..e�,ie.vio., or o0o e�..o.ro w�+ev.as�ons oa �._�/•
`L �o.e*s i�o+. uN ��t..�+a v., r�e.. is �csr�vto arHo�vr. 0,.4 w�i�,r.. ..evo�.,� .s . Murv.� P=o.en�ov ro eue�+rs ..� .oe�¢ .Ho ouAse�ves
l
Mr. William Oakes
2714 Cannet Drive
Costa Mese, California 92626
Dear Sir:
9
July 8, 1975
�
on June 6, 1975 a building peimit was issued [o Blue Lagoon Pools
to cunstruct a private swi ing with spa on your property.
In order tha[ your pool will b a safe one and for the purpose of
advising yuu of your responsibil [y regarding the requirements of
the Costa Mesa Municipal Code c.e refer you to Section 8107� a copy
of which is attached.
This letter is direc to you in order that ycu will be aware of
our ordinances and can ke a complete safety eheck of your pool
area.
SincereLy yauts,
RICHARD HANHART
Building Safety Director
_ �
RH:cb
.
s
� OWNER OAKES, WiLliam
C; JOB ADDRESS 2714 Ganne
� j �ICOA1 /'/lA1TO/.!'Tl1D ...
Pool Location _
Forms
Main Drain ._
Steel Reinforce
Elec. Bond _
DA7E 6-6-75
SUBCONTRACTOR
Electric
Approval to Cover �- �"��J! � � 5 �
Underground Electric �� b--Z7-'t5 �
Plumbing
Gas Piping Test - � l �
Filtering System Lines LC — !�` .
Backwash Lines and Recep. �--G �' �
Electrical Final R �--�- T-z -7'
ar and Vent Final _
Filter System Final
Backwash and Recep. Final
� , "" G. )B:�_6-75Prys�OO ?_37" =�*�'�8.5G
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
REC BY ATE EC I ED DATE I SUED
BUIIDING � �/ a
ADDRESS �L /Y - / � � � Q / G �
!- A.P.N�. �_`�'L4' �^Q� PERMITNO.
OWNER 1�y/. cS
MAIL / BUILDING �rJ'� � �
ADDRESS c �+D�RESS (
Z .
W W TEL.�,� � TRACT� LOT �� BIOCK
a U CITV NOJ
Z Q CONSfRUC710N W A D A P
O � LENDER
am
J � BFANCH
, N OWNE
m J ADDRESS �V .
m ARCHITECT TEL. — SE
J a OR ENGINEER . N. ��
N
Za /� � -1�0��U J7—� ZONE T PE r GROUP .
w � ADDRE55
a W f.' APPROVE [�
J O CONTRACTOR _fJ�j/ ' / p� BV C DATE ' 7
� � ADDRESS /�v .y
w W TEL. , ZON NO.OF�j USE OF NEW(�
�= CITV NO. � Pw� (�. BUILDING `�O�
ZF -
w O STATE / CITV YARDS APPROVEO VAR�S APPROVED
�� LIC. NO. ✓ LIC NO. MAIN BUILDING ACCESSORV BUILDING
� � SIZE NO.OF BLDGS. (FROM C/LSTREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF �}p
EXISTING BIDG. 51 FT. �.JV F
I— SIZE OF NO. OF
Z NEWBLDG. ROOMS STORIES L.SIOE FT. FT.
a EXTERIOR WALL ROOF
U COVE ING COVEqING REAR FT. FT. '
J US BU G AN� W�RK H�Ep PERf ORME DiSfANCE BET. BET. MAIN &
a �J /t{ t/D /� MAIN BLOGS. ACCESS. BLDGS.
a � VAR.aW DATE
Q
O C.U.P.9W APPROVED
� APPROVED��'f
y w ��S
O / ATE
� 1 heraby acknowladpe that I ha�e reatl this applicatio� and state �
= that the above information is correct antl agree to compiy with
� all laws iegulating builtlinB construction, e�d I shell not employ �
F any person in vloleYion of the workmen's compansation laws of
y the State of California. /� w
Z1 herebY �ertity thaC 1 am properlY �icensad as a contractor under � � SQ. FT. o
the State of California B�siness antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such licenses are in t�ll torce antl effect, or I THE PURPOSE OF ESTABLISNING A PERMR FEE ONLY: m
am ezemp2 trom the provisiofs of the Stete ot Itfornia Business VALUATION �
antl Profassions Cotle, Divisicfn 3, apier 9. 7,�— �
� PERMIT FEE $ L� �
�� �
Sipnature of /� m
Permittee � � — $�(q �)!1 PLAN CHECK $ E
/ ./ �.(/ , 5
AuthorizBtlAgent �- LL
TOTA� FEE $
OWNER OAKS, William DATE i�_t9-76
JOB ADDRE55 2714 Gannet Drive _ BUILDING PERMIT N0. 4'�062
SUBCONTRACTOR
PROP. SWR. LINE �J HOUSt WN. L
SPRINKLING SVSTEM
MISCELL�NEOUS
ROUGX HE�T�NG AND �IR CONOITIONI
TEMPOR�NY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGN WIHING
TNENCHES FpRMS STEEL
FLOOR SYSTEM
BOND BE�M 'STEEL REINFORC
SNE�THING
FRAME �NO FLASHING
L�TMING - IN n OUT �^
E'$3',hfEF. BROWN CO�T
HE�TING, VENT., REFRIG. ANO A.C., FIN�L
PLUMBING, FIN�� ANO WS TEST n
EI.ECTRIC, FIN�L RG
HILL�Iuf. Ciuel %1L_
" � " 43062
F^
�
tli
a
Q
►
�
�
F
,� 7�F.,. n�,� i��, �. .... .,� :
�,. � ,,.�
COSTA MESA BUILDING-SAFETY DEPARTMENT
• P.O. eOX 1200 COSTA MESA, CALIFOFNIA 92626
A P C TION FOR STRUCCURAL PERMIT
For Applicant to Fill in Comple[ely — Use Ink Onty
FE I ED BV DATE REGEIVED TE IS UEO
BUILDING
ADORESS 2714 Gannet 2 �
PERMIT O.
OWNER �]ZLZZciRI Oaks A.P.NO. � ' ��
MAIL BUILDIN
ADDRESS 2714 Gannet ADORESS �
CITV Costa Mesa No.`' 8953 TRACT SZHJ LOT 1� BLOCK
CONSTRUCTION N�A W P.DD A P
LENDER
X
BRANCH
OWNER Wllll'cllil Oaks
ADORE55 VALUE
AFCHITECT �jReY TEL. VSE Sgl. Fam. DW211. $ � 0�.�
OR ENGINEER N
FIRE
ADDRESS ZONE TVPE GROUP
APPROVE
CONTRACTOR Owner/Builder BV DATE
ADDRESS
TEL. ZONE I NO.OF USE OF NEW
CITV NO. P�� BUILDING �
STATE CITV �'AFlDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILOING
512E � �_ NO.OFBLDCS. (FROMC/LSTRE
OF LOT 70 X90 -6 � 3OO NOW ON LOT 1 RONT FT. FT.
USE OF �
E%ISTING BLDG. SI F FT.
f
Separate permits are required for L SIDE FT. FT.
elecVic, plumbing and heating work. �
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
MAIN BLOGS. ACCESS. BLOGS.
VAR. � DATE
C.U.P.qW APPROVED
APPROVE
I haraby acknowledga that I have reaA this appllcation and state '
that the abOve info�matlon is co��ect antl agree to comply with
all laws regulaNng buildln0 �onstruction, entl I shall not employ
any person in violatlon ot the workman's compensation laws of
the Steie of Californio. I�
1 hareby certify thet I em properly Iicensatl as o contrector under ` S�. FT.
the State at Callfornle Business and Proteulons Cotle, Div(slon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapcer 9, antl that such Iicenses ere In full forca antl atfoct, or 1 THE PURPOSE OF ESTABLISHING A PEIiM1T FEE ONLV:
am exempt trom tho provlsions of the S[em of CeIltOrnla Buslnais VALUATION PERMIT FEE
and Professions Coclo, Dlvision 3, Chapter 9. g
PLAN CHECK 5 �
SIB�aturB of /
Parmittae �������--�^✓� L O $ �� TAX S
Authorizetl ABent TOTAL PAI D E
�ot io� ? � 3?_�
COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BO%91] COSTA MlBA. CALIFORNIA
Por Appllcant fo Fill In Complately
TYPE OR PRINT
■ MAIL
COSTA MESA, CALIFORNIA
Pemba Subdividers, Inc.
2850 Mesa Verde Drive
Cosfa Mesa No •5490395
R E. G. Kaltenbach No 5478046
1833 E, 17th St. , Santa Ana
_ �r— CAw.�
187318 No I�
7OalJ�GIDSX7Q�I/y�NOWONLA 8D
�r
��
6ETB�CK LINE FHOM 54' 35 �
CENTER OF 6TRHHT EAR YARD
8' 9'
SIOHYARD LEfT RIGHT
DESCRIPTION OF WORK
..�... I X I.. _�e._.�..I I..._._.__. I
2.419 NO^OP 7 ---•-- 2
House 1 956 s ,f�
Gar e 463 s,ft. Plan 52 AR
� HEFEBY ACkNOWLE008 THAT � H�VB RBAU THIB APPLICATION
wNO 9TAT¢ THAT TM6 �BOV6 IB CORHECT ANO AOHEE TO COM-
PLY WITH ALL CITY OqO�NA 86 ANO 9TAT8 LAWp Rf(OULATINO
BUILDINOCONSTRUCi�ON.�M � ////1
SIGNATURE OF /
e AUTHORIZED
r�C I�t�tiVtU
IMH 3 1 1964
fINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Ofiice Use Only
xccervyo er
s
ZON[
I:��3/-d� I APR 1 4'
TYPE ✓ GROUP ��Y�
DATE
ZONINCi
NO.O� U860�N
•unn,Z eui�oi"pi� &tt �E
Lot 10, Tract 5289
none
�E OVERHANR BHALL BE LE88 THAN
YARO9APPROVED I YARDSAPPROVED
MAIN BUILDIN6 ACCESSORV BUILDING
VAR. SF
OATE
i �o � 54. �. G3 2- �' �
,— -
THE �MOUNT 6HOWN UNOBR VALUATION 16 FOR THE F
PUPPO58 OF BSTABLIBHINO A PEqMIT FE8 ONLY.. e
VALUATION � ry
PERMIT FEE � � j
$ /� 7d� -3 LL
6.-. E
s
0
Tf1Ti1 FFF $ / O ��