HomeMy WebLinkAbout3032 GARFIELD AVE - Building Permits,�noxe'ssaew�uc1c: 3032 GARFIELD AV uNT:
dvxewsruMeiraiwir+: NGUYEN, DUNG VAN FLOOD: X 47
woncss: NGUYEN ANH T
3032 G.�RFIELD AVE
COSTA MESA,CA 92626
� �vr�. Yuuw �ooxess:
�IICXRECT OR FNC�lFEX:
MCH ON Flq.'S A�OXE55:
CONf11ACTOP'SNAYE
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ADDPE55
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UNT:
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LICENSED CONTNACTOFS DECLAPATION: I hareby eflim uMx penetly d pe�ury tlie� I em lican»tl uMm panebru ot Cheqx a
(wmmeiwrq wnh Sectim )000) d Drvieion 3 d IM Bueimae ud VNe+eime Goda. eM mY I'�ue u in Ml laca eM Mletl.
cm uc. r+o.: uc. cuss: uc. No.: EXP :
Dele: convaa«:
OWNEN BUILDEF DECLANATION: I hereby eifirm uMm pene�y d Po�V�Y �� � em eRemq Imm iM Cont�euon liceroa law la ihe
blbvnng raeson (Sedion ]QA1.5 Buainesa end Proleeaions Code: Riry cily n counly whith �epuirea e peimX lo mnehucl, ellm,'vnpwa,
EemdoM1, w repei eny nruciure, qiar tu ks'vauence, ebo requirea iM epplirant fa euch pamiil to fib a epned ab�emem thm he a eM
ia lioenaed W��I lo IM prwisian d �M Canlretlon liceme lew �Chepler 9(commendrp v.ilh $edion 1000) d Diamion J d �le
Buaineas enE PrWa»ona Gode� or �het ha or she is eaemq �herehom vM IM beaie iw the dleped axamption. My videlion d Setlion
]OJ1.5 by eny �plirent Iw e parmn wbjeds iha epWran� ta e dN per�elly d nd mare ihen INa huMmE ddbn �f500�.
k] I. av ownm dtha properry or mY �ObV� �h wepaa v ihei ade oompanmtion. will do IM woM. eM Ne niucNre e ml in�eiMad
«dlaed br eeb (Seclion 10u, 8uareav eM PrdessionsCode: The ConlreUon Lim�ue Lew doea mi epply io en ownerd propeily
wiw Wids «inpovae �he�wn, erd xM does auiiM waek IimsNl ar MnM or thraph h's a hm ovm empbyees, prwided thm acA
imqovemema ere rwi imeMed a oXered lor sele. Il, lwwever.lhe WiqinO a impovament ie nold wi�hin me yw ot cwnpinion, the
owner-builder vnll M1ave the burden ol poviip Ire ar nM d'N � build w impave tor iM W�e d eeb).
� I. ee owier W ihe O�M. em e�diarve�Y con�rednB wilh liceneed conirectae to car�rw Me WM� (Seeion 1014. Busi�nse eM
Prafe vions COEe: TM CanVedore lkense Lew doee nd epplyto en ownerd propany x1a buiNa aimpoveelhereon arM who
conVech la ew3� pqeus vmh a mMrmaHe) lcamed Wnuent to IM Canradora licanae Law).
� 1 em eaempt uMar Saction: i1 B.' 8 P.G., br thie raeean:
-i ".
Dele: '� /L, .. �7` �•O�+nar:
I do MreEy cenily Uut I em ewere d eM uMenieM Ma repuiremenn ot Cal' ma HeeAh � oEe Sedionv 25505.25SV. erd
255J6. arM ihat I a anY Mure WiWilq ampent xill / wil ew� (oreb me) rea0 io eomyy wih veid mma eodm end tM rt�uiremaM br
eparmnbrwrewnionormodificelionhwniheA'v ue�iy enepemaniDielnd.ReaiEeMielcanaruaioneppkrmiauveuemplromtMw
wwf.ion..
oe�e: acvir�:
W ORKEX'S COMGEHSAAON OECLAHATION: I hareW e/f�m wder panel�y d p«jury an d the Idlowi�q Eetiveliom:
� I hew e�d xill meinlen e ce�A�a d oonaent lo eeM�inauro fa xwkan' wmpeneetion, m povided la by Swian 3]OU W IM lebor
Cade. la �he pe�lamarr,e d Ne xork lor Mich I�ia parmn n isauad.
� I have end xi0 mantein wakere mnpanaetion ineurence. av repuiratl bY �im i)00 N Ne lebor Code. br�M pa�lormence d the
work lor xi�idi Uo pemie u inueE. My warkna' canpanamion imurence rariar enE pdiq number ara:
Cemer:
aawv N�me�,:
�rnn .aa;a, ��e �or a. comobree> rn. w�e u rw a�e nune�ee ea�ers �Srwl w iesad
� 1 cenLy ihe� in Ihe paAwmance d �M work fa whch �hia pertnn is isaued, I ehdl � ampby erry pa�son in vry merv�a ro ro to
becm�e wbjnf to �M worken' mnpemelim levn d Ceiibmie. eM eqree tlel il I ehouN Gxoma wEjetl to IM wwken'
compenselion pmrieione W SeUian 3]00 0l ihe lebor COEe. I shell talhvMh mmp�y wilh iM1oee v�mrieione.
Waminp: F�Ilun ro wcun wortxa'rompwwtlan cov��p� h unNrNl. �ne slvll aub/c� �n «rplqw ro alMrcl p�nett/u vM
clHl nlros �p ro ms ninerstl Mo�unC aollen (S1P0.0W/, M MJltlon ro Ms roat ol romyxuelbn S+�W u provMW ror In
SxHon 9)06 0l Ms Cebor COW, Inhrest, antl ettomsyl lex.
CONSTNUCTION LENDING AGENCr: I heeeEy eifirm uMer peneXy af pe�jury thet tMrs b e eaM1udion WWiip q�em.y lor tM
��ro��� oi ma .ron� ro� wnKn ino ��� �. aa�aa (seaoo ws�. ca. ci.
LENDEfl'S N011E:
LENOER'S ADDflE55:
I cMiH Ihat I he.e reatl tM1ia eppliceibn ard deta �het tM ebova inlametion o conea. I ep�ee lo canply wEh ell ary end couMy ad'vie�
arM elete bwe releling to W ilEinp conatriidion erd hereby aNlroriie repaeentetivm d Ihis ary io anter upon the ebove�memioneE poperry
e«m=o«y�,w�vo.as. DUNG VAN NGUYEN
Pnnt Neme
o�,: >_��-9�
(St51Je.WP� While-BuilEvq 8 Selery; Greer�-Fb; Cene�y-�ppirant; Fnk-Rewnue; Gddenro�Ma�a
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 078631
PLAN CHECK NO: 02874-96 S
PERM NO; H 078631
GOVT: N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : 90LF CITY STANDARD HLOCK WALL SQ FT: 90
CLAIM VALUE; 1,800,00 CALC—VALUE: 1,800.00 GROUP OCC: R-3 /
COMMENTS: CITY STANDARD BLOCK WALL
*�rititieit*�atx �x��t*ft�tx�it����r*atatit�t�r�rit�**ititx���tatx ��ratatit��e�r�rir�r+r+tat**iritx �f*ie�ir�r�t*itirititx *atat+r�at�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
------------ 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: 14113304 ZNE; R1 REF NO:,,
PLANNING N6TES> CONSTRUCT 3' HIGH, 9' LONG BLOCK WALL, 10' FROM FRON`f-P/L; A
> AND 6' HIGH 81' LONG BLOCK WALL FROM THENCE TO REAR:.P/L.
1k 1F ik 1E if 1E 1f iE 1E 1E iE 1E iF 7E iE iE 1E iE iF ik i41k 1f iF iFlk 1E �E 1f If iE 1f iE 1E 1f iE 1f 1f fE 1k 1E 1E 1E 1k 1k iF if ik 41E 1E IE 141! IE 1f fE 141E 1E 1E fF 1E 1E iE iF 1k fh iF.1Elf� 1E 1k fE iE il' k iF ik
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 NiT S
ZONING APPROVED BY C� � DATE: �(CO ��So
BUILDING APPAOVED BY : .,, DATE: •^
APPLICATION ISSUED HY: ;F� DATE:% �Cnl`l.
1E1EiE1f1E�k1kif1F1FlflEiEiilElE1E1E�E�k1ffE7F'�3f�F{FiFif�{Ei�7FaF'if7�f7F7F{f�F{FTF3F3F 7F{FifiF3f�F3f1E�E1E1F1EiEiEflfElE 16fE
LEGALIZATION:N F E E��S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE. SMIP/RES GRADING
PERMIT 56.75 v"� .50
� SMIP/NON-RES
PLAN 36.89 '.''%
ISSUE FEE ' t%
BUILDING-DIV-> PERMIT ISSUE PLAN=CHECK TOTAL �; PAID DUE
TOTALS----> 57.25 0.00 '",36.89 94.14 ^ 94,14 .00
REVENUE DIVISION TOTALS--> COLLEC'PED: 94.14 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTt GRADING PLAN-CHECK
56.75 � , .50„ 36.89
k 1! iF if 1E 1E iE iE iE iE 1E iE 1E 1E 1k 1k 4 iF 1F iE it k iE if iE 1E iE iE 1E 1E iE ik iE �F ik iF ik iF iE 1f 1E If iE fE IE iE it fk iE ik iE iE iE fE iE iE 1k 1F.iE�iE k ik k iE 1E 1E 1E iF 1E iE iF iE 1! iE i6 k iE 3t iF
I N D Z 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 90 RES-CONCRETE BLOCK WALL / FT
END OF FEES
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UNIT.,COST
2�,0�
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TOTAL COST
1�8��.0�
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CONSTRUCTION�AND PLANNING PO� � SPA
APYROVALS Permit # Da'te Inspedor APPROVALS Permit # Date tnspector
t. Temporary Electnrai Service or Pole - 52. Pool & Equipment Location '
2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement ;
`-3. Electrical Conduit Utility�Undrgrnd. � 54. Forms -
�.`.�.��ElectricalConduit�Undr9rnd. � 55. EleciricalBonding - .
'�5:�$?�el Reinforcem¢nt 7:�f{�R6 �(,� 56. Rough Plumbing & Pressure Test ' � '
1
_- 6:�E.ectrical UFER Grnd. 57, APPROVAL TO COVER�GUNITE - ;
�
� �'Z,rFootings �_LN��[�Q��it/{.7 58. ElectricalConduit�Undrgrnd. .
�,8: foundation 59. Gas Pipe, O Undrgrnd., Test '
:�'9.:Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, G� Undr9rnd.
10. Structural Floor 5n.em _61. APPROVAL TO DECK
77, Property Sewer Une & House Connection - . 62. Backwash & Receptor�Final
72. SeWer Cap 63. Heater & Vent-Final
73. Roof Dreins 64. Plumbing System - Final
"74. Rough Piumbing ,�, 65. Electrical�Final
�-15. flough Electrical-Conduit �� 66. Solar SYstem-Finai
16. Rough Electric Wi�ing 67. Fencing & Access ApProv�l
17. Rough Wiring S�gt� 68. APPROVED FOR PLASTERING �
�-i8. Rough Electricai-7 6ar Ceiling 69. POOL/SPA SYS7EM1,9S FINAL
79. Raugh Heating &%��r Conditioning PIRE DEPT. REQUIREMENT
c- -
20.��Rough Factary Fireplace . ir� - . � s R, APP.ROV'At�•� Permit #- -
r ^rt '^'✓' tTk :*�
J ^ } `�:_ " �7 iX �C T .v� � f �
21.`Duc[s, in-Str�ctuf.e `. . . . . � t., �� �, 70.�.11nd'eFground GI'ydro _
22.-Ducls,Uentitatin9-' � �- '�- _ �'- 71. ProddCt�'iping(?-Gas L70i1
23.�Gas-PipA�Rough &'"i�st �..� ' � ,r �,.* � 72. Unde ground Flush �. ,.
� _ � . ' _ F- 4 �
24.-RopFFraming: :-.. , ,-c- �� - - = Ybi, Underg�nd.5tonageTank OGas C7'Oil
25. Roof Shaething ".; c.: '� � k m r� � -''" 7q., Ove�hesd Hydro' '� „
26. T-Bar Ceiling (Str.ucturaQ &AAoqacoat ,-� ; r � - ;:;. 75, Dry Chemical y ., -. , -
27. Frame and Flashi,�g;, �_ = � �_; 76� Dry Sta�t�;pipe�?� �� � �
�
a ,. .-i :T i j - r: : x ! : . .
28. Lathing� Si�}ing�: . - ,^�-; .: g •,. 7�. FIXED3:Y.S7EM:FINAt -
- . _ � � . �- . i � �� .. ., . , - -- -
' 29. Insulation ,. 1, � ' " „�,,, „ ; 7.$. FIRE PREV. F',If�AL .� - -
-.� 30. Drywail;Naii'tng ;:? � _'K � r -• _ HEALT#i DERT,.REflUIREMENT
t 37. PlasterBrownCo�t�. e � ,T,-r , ;, . , ' �� 79�. PINAL:Il�SPECT�ON ' _y �
� 32. ElectricaJ'Powhr MeierFinal. �� {;��x �� � i �i �,- 80, FOO RTI�l,EATE S.'`iUED '
r . _ � _
33.:Finat Electri ' ' �" =* ^' � I�'otes: '%� *
� • b q' ' x I - `:�r �-�
�� 34.-Fin'a� H@a2in9� Air"Conditioniag� `�`� -x � � :4 - ` '
35. �Final G�5 PipE-Test*� _ . '7" ❑* � � �'„ �"- , -- �-:S * . - �_-" -
r r-t' r
_ 36.=Hood or'lanoPY , - ' ' ;, ' t � � � s ;-�w, ' ; '` - .
37.:FinafFactorv FirePlatp �" �. � `° �� - -
� s ;
�.�1 �.
38..Fina1 Plu�qibin `� �^ ; '� .. �-'�� a;+: v � t i, es: _ . ,: .-'--
9 ♦ a: w.1 a: � _.
39.�_VJater Service-Final � :� ` . �' i � . r c -
^ f: C Y � G
, C0. Gas Service-t?i�al �' � . � "'O ' " "
r rr; -. r" ^ ^, N� � c s
47.-Solar �omesvc-Finai � .. -t ,J. j � d.., - . �
. )• Y 1 e � '
�' 42.'Backfiow P�eventert, F' �; - '�` � � � �' �" ` '' ' ,_, �7I
-.! � � � ?` x ` I
43. Backflow Irrti�ationz � .. � - x ' '7,���_���,_ -�-�.. � -. `,�__�
� n. - z ; - � .�
:44. �andscape ir�iqation Systemr �; � t`� � Y i-; r, nw ,� � � ;, 5 �,;
�. " .
�45.r�und AttenLationv �r .-� ?T * '-�- i^ - r-'� � "' �-' ; •� �'= * �-
�r -t�e C a' r_t_
_46.'14andica�SRegulatio�s � _ �* ?' . . r _ � __ ..._ . .
-. i. x .. �7.' '6
�47. _FINA� STRt1CTURE & BUI't.DING /_��L%") � �(,�/(�-%�r`o ' _ -
7 -/
48.:FINAL P�ANNINC`i � T � ' I `� -.� - •'
{ _ � I � ,� � �r; i r. _
49.��Eteciric flelease to Edison - i � �r -� � -_
� i n -
'S0. Ga: Release to Soutnem Califomia Gas tb ` "� ' ' ' z',
. : � _ o n �
51. CERTIFIGATE OF,OCCUPANCY , ',� _ . . -
No. Daie
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--}� �?� P� L .
pMISION OF B[JII.AING SAi�Y
cmr of cosra nn�►
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rn�ew�z,wve�sna e�e�S'�
Qre Wrildin9 a amk � n� menced and
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� REBIDENCE
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STREET �
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SURYEY OF LOi LINE
MAY, BE REQUiF�
�� y3 � s8�
A������I��+
CITY pF ,^UgTA MESq
P�Al�i:l'iN.ri DIV.
SUBJECT TO BLDG. OEpT. RE
B�_� DATE 7� rI
REf10EMC[
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. TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Optional �
Channel Block With 1-3/8�
Horizontal Top ot all
fences
i! -` •
For Fences 5' or Leu �
Vert. Bsrs 3/8" � at 4' -0" O.C. ��
� �-For�Fences Higher.Than 5' •
�Vert.Bars 3/8"� at 32" O.C. �
,. ��Fill Cells Solid With Grout "
Where Steel Occurs - � . - ,.
r -
�ReLnforcing Steel Shall 1
�Confor'm`�to-SecA-15-39_. �"`�= ''
A�S.T.M:'ti�,_-^'__�'—�.-.. _ ..
A fSteel�to�be.La � �-
PP�.. ,_�`. `";
�, �24_:orto�Code'--:—'C.�:._.;:1_..--`
.,,a�c�,c_�.—,� ;:��t::,
t��'NATURAL GRADE.�..._
�
. �n
.HORIZ.STEEL MUST BE TIED IN
P.LACE AT TIME OF TRENCH
INSPECTION.
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F-�; fW�I�TH TO 16� O.C. MA%.
:•...`�SEE CHA �4 ` ��� �..�
"�"`BEL'OW�'� �
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FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: pne part Plasfic Cement, and
T�ree Parfs Sond
GROUT; One Part Cemenf Three and
One Half Parts S'and
COPING: One Part Cement, Three
Parfs Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
Max. of 7- I/2 Galtons ot
Water Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREAS OF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
DEPTH OF EARTNTCOTH
V3 THE HEIGTH OF FENCE
�� ��OW BOTTOM OF FOGTING.
SCALE: I/2" = I'
WIDTH . . . . . . . . . . . . . 14" . . . . . . . . . . .14�� . . . 12��. . 12��
. ..
THICKNESS . . . . . . 10" . . . . . . . . ... . .10" . . . . . . . .'. . . 8". 8,�
DEPTH OF EARTHTOOTH . . . 24" . . . . 20�� . . . . . . . . . . . 16". . . . 12"
SPACING OF EARTHTOOTH. . 12� . . . . . . . . . . .14� . . . . . 16'. . . . . 16�
City of Costa Mesa, California
8uilding Department
� _. . ��v�� ��.e�
,.:
�
PARTY WALL AGREEMENT
-�
THIS AGREEMENT, made and entered into this �� day of
��� G, by and between _,�(1�/ G v� ni /�LGu ycn.�
hereinafter referred to as "LANDOWNER," and �[i_� nrGoC i��i�
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between _� cZ2� —� 3 0� � 1=,9 -.� ,�:'�c..il �c v e �SiS�_/_ktct,.4
(Address of Adjoining Properties)
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book _/4� , Page _ZJ of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach (�N �C,21�� �1iJr=.
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LANDOWNER
(Signatme) ' J/ �/ -�
(/ l/
—2Uit/G vA _N__�G-[L�ciC.�
Name (Typed or Printed)
ADJACENT PROPERTY OWNER
—'� tic U•,lL
(Signature) � �
��tc, t�4 t�IG-.u�v�!
Name (Typed or Printed)
_3o�_z G�¢.e�_�c_r�_.�r_� ��Z��- �M �_ �Slr� i� C�(Z. •
(Address) (Address) � I I �
C'oSTA McS11 e/a �J262C -�Dti\f�l��� V?cl� � �2��0
1906 d6
NOTARIZATION RE�UIRED
=xa¢�m.v�ess: j032 GARFIELD AC�
owa��enMe: DUNG VAN NGUYEN
nooxess: 3032GAFtFIELD AVE
, C.M.
`� 69].-3563
RNCH/ENCIHEEfl:
p0UPE53:
�N�T:
NEO.NO.:
UNR:
• PEflMITTEE: DUNG VAN NGUYEPI ( 714 ) 641-3563
nooxess: 3032 GAAF7ELD AVE
C.M. CA 92626
�I LICENSEU CONTMCTOB DECIAMTION: I hereEy aKrm.ihat I am IicenseA unUer pmvisions o� CAap�er 9(commencinp witA Sec�ion
7IXI0) al DiNsion 3 of �he Business an0 Prafessions CoOe, antl my license is in �ull brce antl ellect.
CITY L1C.: STRTE Ot.: CLASS: ' �
Oate: Sipnature:
WOBNEPS' COMPENSRTION OECIAMTION: I �ereEy atfirm that I have a certifca[e at consent to seli-insure or a certificate ol Workers'
Compenution Insurance, ar a certified copy ihereoi (Saction 3800, Lab. C�. •
P�LICY NO.: ' E%P. U�TE: '
COMPRNY: ' � �
❑ Certified copy is hereby Wmishe0. ❑ Cenified copy is tile0 with t�e ciry BuilGinp Oivisian.
Date: pp0��cane � ��
IXEMVfION FIIOM VlOBNEHS' LOMPENSRTION OECIAfWT10X:� (ihis se�tion neeU nrn 6e mmDletcd'A Ne permit is for one �unUred �E700� or less�.
I certity ihat in tlle De�ormance at ihe work for which IhiS pErmit is issueQ I shall not employ any person in any manner so as to hecome
suUlect to ihe Worker5' Compen5ation Laws of Calitomia.; �'-: , ^.,
�.
Oaie: n;� — Q��� v Sipnamre: -
NO710E: II, aRer makinp ihis Aedaration, you should become sublect b the Worker omD ation D�o�sions of [he Labor
Cotle, you must fort�wi[h comDly vnth such provisions or ihis permit s�alP6e Geeme avak . -�
CONSTPULTION LEXOING �GFNCY: I Aeahy ai/irm �hai.there is a constmc0on lentlinp aAency for ihe pedormance.of ihe work tar
which lhis De�mi[is issueE �Section 3097, Civ. C�. .
IENDEfl: ' � � .
BOUBESS: � - "
OWNEB BUIL➢EB UECIAMTION: I hereby aflirm ihat I am exemD� irom Ihe Contrac�ors' State Licensa Law for the tallavnng reasan
(Section 7031.5 Business and Protassional CoAe: Any ciry of counry which requires a permit ta construcC al[er, improve, OemolisA, or
repair any stmcNre. pnor ro its issuance, alw requires the applicaN tor such permit to file a siqned slatement tilat Ae/she is licensed
pursuant ta Ihe pmvisions ol i�e Contractors' State License Law (CAapter 9(commencing with Section 70W) of Divisian 3 oi the Business
antl Pmiessions COAe) or Ihat �e/she is exempt tAeretmm antl Iha basis for the alle0e4 exemptlon. My Wolation ol Section 7031.5 6y
any applicant for a permR su6lects Iha aDGlicant ro a civil penalry oi not more ihan five Aun4re0 Aollars (5500�.
I, as awner of tAe proOenY or my emyloyees with waBes as iheir sole compenution, will Oo�ihe work,.antl Ihe
❑ s�mc�ure is w� inlenEeO or offe2A tor sale (Section 7UC4, Business anA Professional Cotle: T�e Contracrors' State License Law �
Uoes noi aD�ry to an owner ot a pmperry w�o Uuiltls or improves ihereon, anA who does such work himseltlherseli ar tAmup�
- Ais or her own employees, pmnded tAat such impmvemenis are not intenaeA or aifered tar sale. If, however the builAinq or
impmvement is soltl wrthin one year ol completioq the awner vrill have the hurden oi pmvinA �e/she Aitl not OuiIG or improve
for the purpose of sale). . , .
I, as owner of the Oroperry, am exclusively contracting wiID licensea contractors to construct ihe Drolect (Saction 7044, Business
� anA Professions Cade: The Contractars' State Liunse Law Aces not apply to an owner al properry who 6w10.s or impmves thereon
and who contracts lar such D�olec[s with a coMracim�s)license Dursuant ro t�e Coniractors' State License Law),I am awara
tnat pmof of iheir Worker's Compensatian insurance shoWA be provi0e0 to me.
� I am exempi under Sec�ion: B. 8 P. G �
br this reasan:
oate: � % — O � — � U Owner: �iv��ilm� nen/l�n .�,r.P�., .
I tlo Aere6y urtity that 1 am aware oi antl un0erstand t�e requirements oi Califomia Health anU Safeiy Code tions 2 O5, 25533, an0
2553d anU that I or any future CuilainA occuDant will/will not (circle one) neetl to comply with saiA state cotles antl the requirements lor a
permit for constmction or mo4ificaiion from t�e Air �ua�iry ManaAemen[ Disinct. HesiUential constmction aDP�ications are exempt irom
Ihesa D�ovisions.
Oate: ADPlicant:
I hereby certity thal I have rea0 t�is applicalion and state tAat ihe ahove iniormalion is correci. I agree m comply with all citV antl counry
orainances anU state laws 2lating to huilOinA constnlRion antl hereby auitqnze representat'nes oi iNs aly lo enter upOn t�e abovrmentioneA
pmOaM �or inspection purposes. �7
Date: O � — �J � — � (J Si9naWre: i�—In�GL��L�-C�(.v��isl `li4 ��P/1� _ _ _
Driver's license or Social Securiry x:
,\ 184b46 Whi�e—BuilOing; Green—CoOe Eniorcament; Cenary—Applicam; Pink—Revenue; GolEenrotl—Asseuor
CITY OF COSTA ME:iA - BUILllTNG PF.RMIT
PF.RMIT NO: BE 046306 PLAN CHECK NO: 02377.-90 S
CONSTRUCTION TYPE: V PERMIT TYPE: EI�G.5TR
JOB DESCRIPTION : NEW LIVING ROOM
PE:RM NO: HE 046306
GOVT: N SUPP: N
PURPOSE;; ADD
SQ FT: 270 '
CLAIM VALUE: 12,000.00 CALC-VALUE: 18,630.00 GROUF OCC: R-3 /
COMMENTS: '
*�+��r*��r******��e�**x �r�r**�r**�r�r�*�i�*+r**�r***�r�*�r***+�**�*��r**�*�x��***�r********�*���r*
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 BUSLDING ------`=-- ---------- ACCESSORY HUILDING ---------
FANT: 20 FT IN REAR: FT SN FRNT: FT IN REAR: FT IN,
I,EFT: 10 FT , IN RGHT: G� FT 'IN LEFT: FT IN RGHT: FT , IN
PARKING REQ: PROV: PARCEL: 14113304 ZNE: Ri REF NO: '
PLANNING NOTES> LIVING ROOM ADD'lTION TO AN F.XISTING RESIDENCE. ADDITION ATT
> TO THE FRONT�OF THE: RES, LFT STBK IS SEPARATION FR EX RES.
iF±F if 1E if iF iE 1F ik if 1E iE if iE iE iE iE ik 3f iF iE iF 1E iF ik iF 3f 1E iE��IE 1E �E ft iE iE I! ik iF 3k if jf iF �E 1E �f ik iF iF iE iF if it k iE ih 3k iE IE iE 3E if i! 1E iE 1E 1F iE IF iE if iE iF if If i! iP iE 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 G M E N•T,S
'LONING APPRQVED BY i�'GJ:� I���TT� DATE; Q�r C7.���
� < .�---
HUTLDING APPRO�IED HY ;r� .N; . ` - �' _ DATE: B�
APPLICATION ISSUED HY: ' � DATF.e ('a���� �
lEi4iF3fititititikiklEiEikiE�FikitiElEiE1Ei4 � �����iFiElEifi4iti(�iFMif�lfiF �'if�iF
iPi6�lf�EfF1l�1(��E1EitlFikifif.ifif3fjEiEifiE1F�E3fifM3E1EiE1EiFi iF1FiFi fiflEiElEiE3EiEMifiEiFiEiEifififiEitiEiEiFiElEif�iFihjEiF�jFiElEihi6it�EiFiE
LEGALIZATION:N F E E S M_M A R Y STRUCTURAL SEGMENT:Y'
• • %i
HLDG PMT PLOMHING ELECT IC MCCHANIC� FIRE SMIP/RES GRADING
PERMIT ' 198.00 9.00 ", i, r' . .. 1.30
� . SOE .y- �' SMIP/NON-RES
PLAN �128.70 ' ' .,,
ISSUE. EEE 15.00 ' `:." . �
HUILDTNG-DIV-> PF.RMIT ISSIJE PLAN-;CFIECK.- ` TOTAL PAID DUE
TOTALS----> 208.30, 15.00 728.70',:' 352.00 352.00 .00
� .�
REVENUE DIVISION TOTALS�--> COLLECTED: � M`. 223�30 DVEIi/SiiORT: .00
BLDG PMT PLUMBING EI�E.CTRIC MECIiANIC , FIRE -SMIP/TOT GRADING PLAN-CHECK
198.00 24.00 , r r,,'� -`;1.30 .
1 e"
k iE if if iF IE iE aE if if if iE K if if if if 3E iE K if IE iF if iE iE iE if i( K M ik if iG if aE iE 3f iE iE iE 3f if IE jE 1f if �E M 9E k- iE if 3k M� jE � iE IE if 1E �7E it %* IF iE 3E if iE 9E iP iF ik iE iE if iF iE
I N D I V I 1) U A L� E' E E• B R E A K D�O W N.
/.
TYPE Q1'Y . D F. S C R I P'P I O N•� , <�'` UNIT, COST TOTAL COST
/ ' ,�.
SFR 270 DWE-TYPF. V-WOOD FRAME �" --GpOD .� 69.00 18,630.00
£•.LE ' FIXTURES, LI�HTING,/ 1 ST 20'� EA. �� �.75 1.50
BLE 7 RECEPT/OUTLET " 1 ST�20 6A. '.75 S.?.S
ELE 3 RECEPT/SWITCiI ' 1 ST' 7.0 '. IiA. ;, ..75 2.25
END OF FCES �7
� , , .
. ' n.
' ` }'
� '�- �DUFLICB�TE F:EG:EI�'T�
' OS OOOS5134-Q�055136 Tli T 223.30
� �'ATE: Oa'(U1/90 �TSME: 09:3ti
, �
I � . . . - • � .. , \; % , •. :
� �� 'CONSTRUCTION ANDPLANNING POO 3PA
��APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector
/ - i.�Temporary Electrical Service or Pole � 52. Pool & Equipment Location
I
-2.,,Soil Pipe-Undrgrnd. ; 53. Steel Reinforcement
I= ;3:yElectrical Conduit�Utility-Undrgrnd. 54. Forms
� � .4:�Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
:'5?Steel �Reinfo�cem�nt 56. Rough Plumbing & Pressure Test ,
';6�Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE "
-�,7. Footings :S�(j�� Q� 58. Electrical Conduit�Undrgrnd. _
, 8�7Foundation • 59. Gas Pipe, � Undrgrnd., Test �
9' Water Pipe�Undrgind. 60. Backwash Lines, RTrap, O Undrgrnd.
10. Structural Floor System Q-� 67. APPROVAL TO DECK
71. Property Sewer Line�& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plum6ing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough ElectriaWiring Q�O p� � 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling 69. POOLlSPA SYSTEMS FffVAL
79._ Rough Heating &.Air Conditioning �`, , � �.FIRE �EPT. FEQUIREMENT ,
20.-Rough Factof;y Fireplace =M ��; � - �_ x t APPROVqIS -�Permit# - �-
21''Ducts, in'Structu�e� ' ' _= ` � " '70. Underground. Hydro ;
22.,Ducts, Ventilating-,; ,�._, `' ,� r_. e; - _'* •r �77_ producrPping O�Gas O-0il
23. GarPipe�RoL9h & Test ^S t[�i T � " r K�7Y, Underground Flush - " - �
f1 r (: x _t' '�'c k
24:"Roof Framing � ~ � ���r ,� � ' r ,_ �, g :73r;Undergrnd. Storage_T.ank O Gas ❑ Oil �
25. Roof Sheathing • ' � �6 'n� * 7qry0'verhead Hydro: _ '�
!l{�i u
26".T-Bar Ceiling (Structural) & Monocoat_ ,, y '• �. C ,, � 75.rD�y Chemical � - � � - - -
27:�Frame and Flashing� n,rp'T�'r:� =-; �� �� 76. Dry Standpipe ;T? �_ ,:
�
_28' Lathing & Slding * L : ML `;"' �S`! � ���,. 77': FIXED SYSTEM �_F�INAL� .- - �
29. Insulation � ' " "�t' , �� ' °� 78�FIRE PREV. FINAL � = -
r f`: � i > !�
��30. Drywall=Nailing ;_ T' ��� ,�,ly��..;; r'� NEALTHrDEPT�. REQ�UIREMENT
S
`_:31. PlasterBrownCoat: S '-: Y��--'j�0 6'(,v� - 79.�FINALINSPECTION• ,
��32 _Electrical Power Mete�-Final J .. x�' �,`�'� �;t ,', 80"�FO00 CE�RTIFICATE ISSUED . -
�33:'_Fina'I Eleciric, rSOE " " -�� Nofes: '� *'
: �. nb ea . G-. -40 _,. _ ya?F`� ,O�- J aroi �.
�3A`.,;Final Heating & AiTConditlonf'ng ;�� _-� # . � � ' ; ;� Y . � ' `', /�' ��.�'- ' /,� _ _ �
G !i
35. �Finel Gas Pipe-Test� .� � •x �. � ' i,* + = � - - < : r
..
�='36._HoQtl or CanoPv W �,, -� . `.�, � '.r r �Y-qQ �', � /* ,�,-_ `._„/ � -
i� 10. �J-_�V��
;37�Firial FactorV Fireplace� r:- --x '+ . 1 �'� � � �� x� .. � � ���.� _/ ,�[
� 1 .1' Y � Y �QVYI �
=t38`-Final Plumbing _. ' '�� _ ;',� i#; �` - , ' .
_ .. _ _ Y _. ..6_�q0 - -
'�39�; Water Service,-Final: � . µr � ! r x , �: � � - :_ � � ��i
`40. GasService-Final � 'r".' � � �!� - � � '
- V Z' _ . �� � n
?'41:'Solar pomeStio-Firial' - �� � ,• ,� �- 6�....�0 ;�� k�e-� - `,�� p
<v �
42. Backflow Preventer �_ �, � C` � x --� � + � H - " ,,,: �G!! � �
-,�
43. Backflow Iriigation� �' ��� ,r�iF � « r; . • � -
"'44.�Landscape I�iipation System� rr� ^ ^ " ;� `' 7' , `� "� `'� "
:* G y+ f - t '
'�'45:`�Sound �Atte�uation � �. .. � - . ` -; -'�
46.•'Handicap R¢gulations � `'- x .1. k " ^ "x � - _- ' �
��i k � � X /. . k'I. .". T"� �N V l.
.47."FINALSTRUCTU.RE&BUILDING ^iF�- �p6������. ' ��`�- - �- �,
46�FINAL PLANNING -'�^ � '� ^i �••' 'x - 'T c. � - ..,
-.� ti t ` t ♦ .'�r: !" S" �
49:, Electric`Release to,Edison " � �` _ , '. r - _
� �C ,� 1 !c -1 �
50.'Ga�Releaseto$outhemCaliforntaGasCo ` �� °,'� �� � ;s _• �- r - ' �
51. CERTIFICATE OF OCCUPANCY _ / � / ' . '. , " _ , _
No. Date
LOT 6� TRACi �Z Z
• �.� �� ;
COSJA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 317 GOSTA MESA. CALIFORNIA
fOR APPUCANT TO f/LC /N COMPLET]FjL�Y
TVPE O,R PRINT , �"��"p q'
COSTA MESAY CALIFORNIA
� MAIL
TEL.
NO.
' LEGAL I LOT / /
DESCRIPTION NO. N
NO.OF BLDG4.
� Y � I�Ii � NOW ON LOT
SETBFCK LINH FFOM
cENTen oF sn[n � REAR YARO �
SIDE YARD I LEFT 1 I RIGHT � ��
DESCRIPTION OF WORK
,.�� I X I� e, r�oer�.,v I II s.,..�r�.,.� I
BUILDING 11 NO.OF O
size 1400 SQ.FTRpor.ts V
�GARAGE
1 HEHEBY ALKNOWLEOGE TMAT I H/�VE HEAO TH18 1PPLICATION
AND 6TATE THAT THE ABOVE IS LOHHECT AND �GHEE TO COM-
PLY WITX �lL CITY OpDINANCES ANO STATC L/�W9 NEGULATING
Bl11LDING CONSTRl1CTION.
SIGNATURE OF �� � r���
PERMITTEE
AUTHORIZED AGENT
FIRE
FEE RECEIIlED
,�,✓ SEP 271961
�
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
fOR OFf/CE USE OHIY
RECEIP� NO. �PEHM NOI
�.�3,1�: 9
COSTA MESA. CALIFORNIA
TVPE V GROUP �.. I
ZONING
ZONE NO.OF U6E OF NHW
��� PL�NB Z I gU1lDING q
(CENTER LINE BT.1
FRONT �/l
R. SIOE r
L.SIDE �
e�,e /6
Ttl� AMOUNT SHOWN UNOER VALUATION 18 ROR TNE
PURPOBE OP ¢9TABL19XING • PERMIT FEE ONLY.
VALUATION
, PERMIT FEE S 3��
5/ PLAN CHECK $ ��S �
�j.3o�
TOTAL FEE S ��,SC�