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HomeMy WebLinkAbout1124 GLENEAGLES TERR - Building Permits0 CITY OF COSTA MESA BUILDING DIVISION A o. r• �; 77 FAIR DRIVE, COSTA MESA, CA 92626 (714) 754-5273 •Fax (714) 754-4856 www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: BX11-00262 PERMIT TYPE B_MISC STATUS: ISSUED APN: 42233309 DATE ISSUED: 08/12/2011 Zoning: - -- ,:,, ISSUED BY: CAC JOB ADDRESS: 1A124iGL=ENEQGL--ES TR CM Suite/Unit: Vicinity: PrimaryQc 32 Const Type :?? SQ. FT: 240 Valuation: $3,666.80 SCOPE OF WORK: 240 SF OPEN PATIO WITH 111SF SOLID PATIO. OWNER: GOODMAN, MARC Address:: 1124 GLEN EAGLES TER Unit City/State: COSTA MESA, CA Zip Code: 92627 Phone: 949-872-1011 APPLICANT: GOODMAN, MARC Address: 1124 GLEN EAGLES TER Unit: City/State: COSTA MESA, CA Zip Code: 92627 Phone: 949-872-1011 CONTRACTOR: OWNER -BUILDER License No. 000000 Address: Unit: City/State: Zip Code: Phone Cell: ARCHITECT: License No. Phone ENGINEER: License No. Phone FEE SUMMARY Building Plan Check: $63.21 Building Permit: $97.25 Electrical Permit: $0.00 SMIP Residential $0.00 SMIP Commercial $0.00 Bldg Std Admin Fund $1.00 tII TOTAL FEES $161.46 HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 for. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day NOTICE: The work authorized 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. INSPECTIONS: 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 obtain inspections and final approval will result in the expiration of this permit. CODE#. INSPECTION TYPE DATE INTMALS CODE# INSPECTION TYPE DATE ;;,- INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaming Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy � � �'��� /n ,.�nl (7�' •(,�,(r[' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjyry one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: fTha se rm need rat de oamp'ered xtne pemnrt u valued al one hundent odadrs (5100) w less.) Policy Number: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant's Signature WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # Contractor's Signature Class # CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). g3'21, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: f.SiaaWre / Lbale 3057-16(3107) Owner ID verified by drivo. ..cense. ❑/Yes ❑ No Driver's -License No. -• Expires:IO-Z Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, voll be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code. with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, 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 future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? ❑ Yes ❑ No (If'yes the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If apermit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: 1 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 Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all stale laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree rIpt to occupy or allow occupan5y of any building rized by th'apermiI un (nal inspection. 6 7-1(4 Si lu%ot Legal'Owner(s) bale- —4 And/or Authorized Apohdant (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1124 GLENEAGLES TR Status: ISSUED Suite: Applied: 10/14/2004 Vicinity: ROOF Issued: 10/14/2004 Parcel Number: 42233309 Zoning: (?OL Applicant: ALL SEASONS HOME IMPROVEMENT ISSUED BY: Address: 14037 GARFIELD AV SUITE L - - Phone: 562-630-7795 ..Arch ... , Eng, Address: - Address: Phone: - - Phone: Zip: - License: t SCOPE OF PERMIT TEAR OFF EXISTINCrROOF. INSTALL 1/2" CDX, PLYWOOD, 30 YEAR ASPHALT SHINGLES„ 30# FELT, AND REPAIRIREPLACE SHEATHING AS . NEEDED. 1,400 S.F. FOR S.F.D. -'- PARAMOUNT, CA'� - Zip: 90723 _ 7 FEE SUMMARY Owner: GOODMAN, MARC i Plan Check: $0.00 Address 1124 GLEN -EAGLES TER Calc Valuation $4,200.00' " Phone: $111.25 - -- — - COSTA MESA, CA - _ Zip: 92627 $4200.00 -. SMIP Res: $0.50';' - ^SMIP"Com: Contractor: ALL SEASONS HOME IMPROVEMENT Address: 14037 GARFIELDAV Othery x'$0.00 SUITE L,, Phone: 562-630-7795 " PARAMOUNT, CA 'M.00 Zip: 90723, License:; 815910 , ..Arch ... , Eng, Address: - Address: Phone: - - Phone: Zip: - License: t SCOPE OF PERMIT TEAR OFF EXISTINCrROOF. INSTALL 1/2" CDX, PLYWOOD, 30 YEAR ASPHALT SHINGLES„ 30# FELT, AND REPAIRIREPLACE SHEATHING AS . NEEDED. 1,400 S.F. FOR S.F.D. -'- NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related I regulations. (Ord. No. 92.28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all I required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 I 294636 (6'00) FEE SUMMARY i Plan Check: $0.00 ' ' '- Calc Valuation $4,200.00' Permit: $111.25 - -- — - -Claim Valuation $4200.00 -. SMIP Res: $0.50';' - ^SMIP"Com: $0.00 Othery x'$0.00 Inspection: 'M.00 \Total: $111:75 'PLANNING &'ZONING SETBACKS —� MAIN STRUCTURE`Frroot X0- 0A> " ,Rear 0 _0 'Left 0 0 : - Right 0 0, ACCESSORY Front -_0-0 Rear, 0-0- Left - 0-0� Right 0-0 PARKING Existing:, 0'- Required: �,0 Proposed: o NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related I regulations. (Ord. No. 92.28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all I required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 I 294636 (6'00) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _/•have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My worCks ' compensation Insurance car er and polity number are: am . '" rilh�(1?-A ! sh � I,WiI/ ! P-li... J D"—POFcy.Num_ber: ' secdon'need not be complete if the permit Is valued at one hundred do//ars ( 100) or less.) � ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. W (LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EM RIMRIMIdALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARE ($100,000), IN ADD91ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR OODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed n e provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full �yptraCIO s SignatuT9: ate: D e CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document. Le. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made In connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ................................_........_..........................................................._.................._.........................................._.......................................................................................................................................-......................................................................... 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ........._............................................ ......... _....................... ............................ ..._.................................................................................................................... .......................... _............................................................... ................................................. 3 Does or will the appplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ..........._........._........_......................................................................................................................................................................................................................................................................................................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ........................ ....................................... _..........._......... ............................. ............................_._........ ........ .................................................................... ........................................... ............. ............... .............. .............. ................................ ................ 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this Replication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ................................ _....... _..................................................................... -................. ................................................ ..................................................................................................... ..................... . e Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑ No (It "yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ..... ............-_........_......_....._.........................._ ................. _........... -.._........................................................... ............................................................................. ....................... .............. .......................................................................................... _.. 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ............................................ .......... _................. ........... ......................._..................................................................................................... .................................... ......._.................. _.................. -.................................................................................... B (If yes', attach certificate of compliance from the appropriate air pollution control officer). 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 Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signat re Of Legal ner(T Date AndrOnAtllhod�ed Applicant -'�� (O D e, CODE #. INSPECTION TYPE 2&H INTMALSS CODE r INSPECTION TYPE 2&U ItiTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final BlocktRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place - 220 Final Planning Approval - 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/Occupancy AoNB.0FBWLDWG. 1124 GLENEAGLES TR UNIT: ' :, EWSRAILfIIT10WN: MR MARC GOODMAN �wADIWEss: 1124 GLEN EAGLES TER COSTA MESA, CA 92627 I APPL. MMUNG AUORtiM ARCKITECT OR ENGINEER: SAM BEVACQUA ua eros: C-50601. ARCK OR E310.•s ADDRE98: 819 S ARD E N ST UNIT: PL,ACENTIA CA 92870 CONIRACTORS NAYS: CUSTOM BUIDERS 6 DESIGN (714)676-3922 CorMACTORS 11MUNG 4079 GREENCREST ST ADDRESS: YORBA LINDA CA mw, 409392 92870 UMF LICENSED CONTRACTORS DECLARATION: I hereby anirre under mrlaly of perjury 1M1 I am licemed under Provisions of Chapter 9 (mmmenanp with Section 7") d Division 3 of the Business ark Professions Code. end rely bass. o in full force end elfed. C NO.: LIC. cuss: B UC.NO.: 409392 EXP: a e: C 1 Cehire ten 'Z0i, A /yam BUILDER DECLARATION: I hereby afirm under penalty of perjury bust em eyampr from IM Conrad. Limrde Law for the I wing reason (Seemn 7031.5 Business; and Profession. code: Any eny or do my which ands a parmn to comthan, aper, Improve. blah, or repair arty structure, prior to its ®suer. al requires the applicant for such permit to file a signed stetmmnt Met he or am tensed pursuant to the Provisions of the contractors License Law IChalaer 9 (c«nmen ing with Section 7010) of Divcien 3 of the .nine® and Protrusions Cade) or thea he or she i. e.einpi th«ahem ark the bass for the alleged exemgbn. My violation of section 7031.5 by any applicant for a portion subjeas the applicant to a d.il penny of ma mea than fine hundred ddlare fswop. ❑ I. as owner of IM property or on, employees with wage as their sole rompanaetion, wall der the wok, end Me aruclure I. not intended or offered I« Bele (Section TOM, Busman and Professions Code: The Contredon License Law does rat appy to M owner of property who Mass or inarowes thereon, and whe doses each work lim.af or hereen «through his or her own employees, Provided Ih d such imProvareems are out intended «offered for sale. ff, howewr, the building or inprevement is sold within one year of completion, the owner -builder will have the hoiden of proving he or she did net build or improve for the laornme of sale). I. ro owner of IM y The em todmivay a Less doe, not dimmed conowner 1. ronema the props r inrq n TDM. Bmtmn and Prolassions Code: The cts with a o Lic«m Law dose not spay to the owner ct property who builds m unprwn iMrom end who connects to suet prgea. wall a c«.reaertel licensed pureuenl 1. IM Contreaon Limine Lew). ❑ am ..or under Section: B. 8 P.C.. M this crown: I do hereby candy this I am .ware of and understand the reRdrements of California Health and sway Code Stations n505. 95533, ark 0553a. and the I or any mare WIMI, rosiness will r oval nal (arcle one) coed to e«npy with said mm. code. sod the requiaemama for amr f«mmtmcMn«mnddcmknhomthe Ai epi iiy anepement District. Residential mnarWbn eppkuMom ue e.emnt I. M. provision.. Dose: APPlimm: WORKER'S COMPENSATION DECLARATION: I hereby exam under penalty a perjury ate of the fullowin declensions: ❑ l haw ark win meimakt. mrtniwa a mn.enl to eenimuro ler woAare' compenealon. n pmvidnd f« by s.dkn 3700 a the tab« code, for the pedomtene. of rite work for when this Parts is i®uei hme and wit meimelo workers' c«npenselion irwnence, m asRuirad by Seaian 3700 d the labor Coda, b the pedomurioe d the work for which thio peak b issued. My warkeri i end parry number are: Cmdm: gi'Affti'�"04355"'°r EXPIRES Policy Number: — _ 10 / 01 / 9 7 (This section need nor M oomplaed y Me poral is ter aro hund«d sellers 151001 or less.) - ❑ 1 mph lhm inme pe deamnce d tM weir f« wb this pamtd le issued, I anal nal endplay any "ar in any metro« w n tO become subject to Me workers' compensation laws d California. ark agree Ohm R 1 should become subject to the wekora' eompmhntion wo,+ii.n. of Soi 3700 of the Lahr Code, 1 shag forthwith ewpiy with them provtaipna. Dm. I14 - S 1 AppliceM: �tr•i.d. Wit hep: Fs/lun ro sscuro warton'roni.arusUse rowngts is un/swArA end shall itai ! sit employer he «IMrW pr nefthu and I nn"' W ro «n hundred thoussra da/an ($1OQ0ODi, ler sdii1do. to this rost of Wentaimads , darnegi s as provided or In sta don 3706 of the Labor Code, interest, and attpmeys fees. CONSTRUCnON LENDING AGENCY: I hereby afirm undo penalty of penury lhar there is e construct. lendin, agerary her Me performance of the work for which this perms is nwnd (Sedion 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I certify Iha I haw reed this application and mea the the above infmmetien is coned. I sane to campy with at ay and county ordinance. ark sloe lawn relating to buildn0 cmwuakn and hereby authorbe representaiwes of This oily to enter upon the ebm.-mersioned propend fin, in'potienPnron—ROBERT SMITH - Dee Sr— )4�-1 l I (5151-sn.WP) Whoa-BWIdN A Sam, Green-Rle: Caney-APPieant: Pink4lawats; Goldenrod-Aaxmr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 082908 PERMIT NO: B 082908 PLAN CHECK NO: 01682-97 A GOVT: N SUPP: N CONSTRUCTION TYPE: V—N I PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : 887 SF 2ND STORY ADDITION SQ FT: 887 CLAIM VALUE: 63,000;00 CALL—VALUE: 71,492.20 GROUP OCC: R-3 / COMMENTS: BEDROOM / BATH,ADDITION 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: 20 FT IN REAR:/. 11 FT 2 IN FRNT: FT IN REAR: FT IN LEFT: 7 FT. 6 IN RGHT': 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: . 2 PROV: 2 PARCEL: 42233309 ZNE: R1 REF NO: PLANNING NOTES), 887 SF 2ND STORY ROOM ADDITION, ABOVE GARAGE, NOT TOfEXCEED 1> . 22 .•FT/eHI : 201 F,T FRONT SB, 5 FT SIDE SB. * sE * ii * dE 1E * dE if %yE yE dE Si df iF df dF df dF * df jE.iE'df oft' dE dE dE iF dE RE * dE dE dE * 1E * IE iE dE dE fE df dE iE df dE iE iF dE iE dE df-dE if N-* df dE sE alk dF iF * di * 1E * dF jE dE dE dE * iE BE D E V'E L O P M- EoN S E R V I C E S R E Q U I R E M E 0'T S ZONING APPROVED BY (: ! ��� KAt3 DATE: __ I BUILDING APPROVED BY S �,� DATE: APPLICATION IS;SUED%IBY i7•,' �/j( ( DATE: ****dfdFdEiEdfiENERFdi.iFiEdEi4iEdElF*�Rtdk�i�?FiiT��k�iF *��TS*Pt* ,�**�ss�iF��s�*at***->E�-�E��-+pie*+F�-�-�sas*xNs 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 712.25 7.15 PLAN 115.74 SMIP/NON—RES ;' •' : �� � � ,y ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 719.40 0.00 •%y'. 1715.7'4 835.14 835.14 .00 r �• h _ REVENUE DIVISION TOTALS--> COLLECTED:• -✓i 719..40 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC:-' -`FIRE, t SMIP/TOT GRADING PLAN—CHECK 712.25 7.15 S 'e *if iE***N-iE if lir iE**iE*iF****yE iE SE iE iE yF �E 1E**ii**iFkiEk**iE dE**if dE*iE iE it-k'if l6 iF iE iE if iF iE it lE iE iE iF iE iE �E iF iE �E 7E iE iF iE ib iE if iE iE iE I N D I V I D_ U. Al I; _ !l F 4E E/L B,- R'e E A K D O W N TYPE - QTY-_ D E S- C R I -P T L'O_.N •^ Ii/h, '/hr UNIT COST TOTAL COST SFR.. 887 DWE—TYPE V—WOOD FRAME' >/• —GOOD 80,60 71,492.20 END.OF, FEES 1 �� waayc sem; MAY 141997 CITY Of COSTA MESA ! CJ)NSTRUCTION AND PLANNING-,1 ' - Date /rtPPROVALS Permit #--------- 7- Inspector POG SPA APPROVALS Permit # Date. Inspector _ 1: .I. Temporary Electrical, Service or Pole - 52. Pool & Equipment Location- , r2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement, 3. Electrical Conduit Utility•Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UP ER Grnd. 7. Footings -%�91 8. Foundation - �/ 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. - 59. Gas Pipe, 0 Undrgrnd., Test r ; 9. Water Pipe-Undrgrnd. r - 60. Backwash Lines, P-Trap, 0 Undrgrnd. - •- 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater &Vent-Final " `t 13. Roof Drains i 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling .69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &-Air Conditioning - - FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - ' 21. Ducts, in Structure _- . 70.- Underground Hydro 22. Ducts, Ventilating - 71. Product Piping O.Gas 00il 23. Gas Pipe:Ro6gh & Test .. 72. Underground Flush- _ 24. Roof Framing 25. Roof Sheathing /j� 97 73. Undergrnd.StorageTank OGas OOil 74. Overhead Hydro 75. Dry Chemical - 26. T-Bar Ceiling (Structural) & Monocoat - 27. Frame and Flashing SCf7 76. Dry Standpipe_ _ ? Lathing ° Siding = /l t(��T 77. FIXED SYSTEM FINAL 29. insulation y0 �,oj �'j,.J- G'ir P7 78. FIRE PREV, FINAL - - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 7/'f Qq� / 79. FINAL INSPECTION 32. Electrical Power Meter--Final 33. Final Electric - 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test' - - 80. FOOD CERTIFICATE ISSUED Notes: �J9 Q�P7 /o.l.,� L 2�/i`l. o rte✓ �i4 /'� LSs��L. .f�s ✓fid $'to : Or✓�_ ,SZ �.) 1 / P- e ail rYr r C4,}(J ` I!% 36. Hood or Canopy - - 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service-Final - 40. Gas Service-Final - ' 41. Solar Domestic-Final 42. Backflow Preventer - -- ' 43. Backflow Irrigation 44. Landscape Irrigation System- 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I: 48. FINAL PLANNING �r 49. Electric Release to Edison r• , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date •� I , NEWPORT -MESA UNIFIED SCHOOLRDISTRICT y CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: ,kjCity of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: Address: Telephone Number: Tract/Parcel and Lot Number(s_: .ata ? /' ! t i, -r �--i'y Location of Project: Number of Square Feet of: Residential Space Residential/ Sr. Citizen Space Commercial and Industrial Space Commercial/Industrial Project is: (Check One) Warehouse R&D Movie Theater Mini -storage . Heavy Industrial Regional Shops Light Industrial This project is exempt because - -( x$1.84 x$.30 x$.30 Motel Bank Neighborhood Shops Racquet/Health Hotel Medical Office Office Park 2133 =1, District Receipt No. 3lla o Plan Check No. t I,o'`'L- �I-A Total 11�3a108 Total Tota I Preschool Auto Repair Hospital Large Office Office Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction. Checks are to be made payable to Newport -Mesa Unified School By: Authorized Representative The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not ,"true, then this certificate shall automatically terminate and the appropriate City/County shall be notified. Applicant k," y 5t From Superior inSul. PHONE No. 714 Aug. 14 199? 6: 59RM P01 Insulation Certificate Numtser and Su¢9l City taunry Subdivision -y�Zot�umter Description of installation ROOF Material _ fkuh- _ ._- Brand Name. �•. 'trickneas (inches) Thermal Resistance (R -Value) CEILING diDor Blankri Type -., Brand tiam8 Thicknec.(inches) _—A-311 (Q�' 1rermalResistancrpVV—a1v;) 30 _ Loose Pip Type �.,.._._ Urand Name Offs—o-41 up� Contsactur's minimum instaucst � cighi/ft' lb Minimum thicknecc JjOLLr. inches hhnufneluser•s installed weight per square tax to acneive Thermal Resi-cUace (R. Value) EXTERIOR WALL \Lsterial _:XByrT_ Brand Name TgiN _ Thickness (inches) 4-(3 � _3Thenal Resisiance (R -Value) RAIScD FLOOR Thickness (inches) SLAB FLOOR Material Thickness (inches) H'idth (inches) FOUNDATION WALL hUtcrial _ Thickness (inches) �• Declaration Brand Name Thermal Resisnrce (R -Value) _- Brand Name Thermal Resistance (R-Valuc) Brand Name Thermal Resistan=t (R -Value) _ _ T hereby cenify that the above insulation was ir.s:aLed in the building a: the above location in confor-3nce wi 1 The current Building Lner.gy Efficiency Slaadares for new residential buildings contained in Ti=le 24 of the California Adminisuat;,vc Code. cusp Niaocr Proms J�uary 1, 1995 `- :macros (d::ilGe;) L:earsse hu.r.�er rt ---d Ti Je rlinsu`.atier. tnslat:er) License !�s:mCe: ..-__.� 127 __ �._.Das m and L:e J�uary 1, 1995 24 ENEAGLES ADDB°0x. MRI MARCL GOODMAN TR, uxr: rc3 VIE 1124 GLEN EAGLES TER COSTA -MESA, CA 92627 b - H ADPL. MMUNG ADDRESS ARCHITECT OR ENOIEM SAM BEVAC UA .. DC.M.: C-50601 ARGIL OR ENG'S ADDRE55: 819 S A DEN ST gNP: CONFIRMTORIS hi CUSTOM BUIDERS 6 DESIGN (714)676-3922 CONIMACTORS MAKING 4079 GREENCREST ST AOONEss' YOABA LINDA CA scuta.: 409392 928.70 UW.. LICENSED CONTRACTOR'S DECLARATION: I hsnby Nim under penalty of Perjury Rha I am licensed under provisims d Chapter 9 Imm 'ng wish Section ]000) d Division 3 d the Business and Professions Code, and my license u in Id1 lace and Ned. c Llc. lo.: uc.cl-ASS: B UC.No.: 4093912 A EXP: We S—� —CI Comrade: a Aeri AIA WNEfl BUILDER DECU1flATI0N: I hereby affirm under penalty d parNryThor I em exempt Orem IM Contratlas lioeree law la Me dowing reason (Sedim 7031.5 Business and Professions, Code: Any city or ninety which requires a permit to ommescl. after. improve, amoleh. or repo any Nucturo. prior to he enhance, also requires the applicant far such Permit to fib a signed statement Met M or she I o licensed possums to IM aovislons of Ile Conumnus Licenser law ICIWw 9 (commeaing wnh Section ]0)0) of Division 3 of the Business and Processions Coda] or that he or she is exempt Merohan and rid base for 1M Neged exemption. My Iidation of Section 7031.5 by any applicant for a perms subjects the applicane to a o W penalty of not more then Me hundred miles, ❑ I,mawsrerdtM OropanY or mY eml?lWees w'Yn wages es thei sob campeneatim. win oro Me wsxk. arm M..wduroond'uNendad improvemere9 are nit intended or Worst for sale. n, nowsar, the building or unpwemenf Is sale wane one yesr a oomlHmpn, me owner-butlder will have the When of Proving he or she did rwl Wild or improve for 1M purpose of sale). ❑ I, u owner of the property, em exclusively coreuadig whir f need corerectore to construct the project (Section 7W. Business and Proleauaw Code: TM Commdas License law done nit apply to m .weer of property who Wille or inv o fir thereon and wM ricers ss for sudh projects with a mntmaor(s) Icarned Wrsuent to the Contractors Lome Law). ❑ I am exempl under Sedan: B. d P.C., for Mia reason: Dae: Owns I do hereby certify Ones I am awae of and understand IM requimmeres d California Neanh ad Safety Code Sections 25505.25533. and 25530, and that I or any future banding axupem will i will not Iamb one) need to comply with said mets mdse and Ib requirements M e gamicfmmnswcrbnamndiWesionhantM Ai3uaTty Ria meant Oath. ReskentW mmbudion applications aro exempt from Owro woNaiona. Date: Applioant WORKER'S COMPENSATION DECLARATION: 1 hereby affim under penny of Perjury one of the blbwirg dedaesaro: ❑ I haw and wit morntae a of the e d mnel l to sNirwuro ler sound. axnpenatbn, u pwand la by Section 3]00 d IM labor Code, for the pedorrmnce d OM wwk la wlcch Ina permh a issued. I hero end wih this person workers' mmmmaisev' rarce, m required M Section 3]W d Me Le b Cads. to tM pedormawe d OM welt Iw whits this perms b asued. MY waken' er rand pati number as,: Center �'�''i� EXPIRES Pacy Number. - 10/01/97 (This sedan need nit be nmrPleed / the peer, as lar one hundred dolims I$IWI or less.) I mn'dy that in the palormenca of the woA ler when this moth a eased. I shall not empty, any, Parson in any mamas m n to become wbjea to tM vroMan' cwnpamaion bwe d CeMoma, ad epee Ma h I should become subled to tM veorkms' mpereabn pm n.1t of Section 3700 d rid Luba Code, 1 shut Imhwhh comply wind Mose pnoviaam. Des :5'14 Appease: Waming: Figure to tons, wpdten'romperaedo. coverage 1.WawNl, and shell su6/.cf.n employer In c lie al period. arta dso drum W to aro hundred ffwuxad dollar. (SIOQ")I M add/clan N the ewt of mmpewHoT diamsps u provided ler In CONSTRUCTION herebyd a LENDING AGENCY: I affirm under Penalty perjury that there a commostion landing agency ler the perbrmanm of the work for whits the peme he .mad (Sedan 3097. CW. C). LENDER'S NAME: LENDER'S ADDRESS: I cediy that I have mad Ina amtaesim and More Ihat Me above imormation is aped. I agree to comply with allay and county adinaoi and arae ewe misting to building mnstrudion and hereby author¢s retxnsenletivu of this city to enter upon tM above-mentioned pmpedy for bspedimounpo'es. ROBERT SMITH (515146.WP) Whhe-Eluibig Da C: -Icit-cit Pink -Revenue: Goll m ol-Aseeasar CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 082910 PERMIT NO: P 082910 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD JOB DESCRIPTION 887 SF 2ND STORY ADDITION SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: BEDROOM'/ BATH,ADDITION, REF:B-82908 *�*dfdEdlilded5d5d5d61Eg6��*dEdE�6+�+E�+�*i6�L*�6�*�L�E��r*�E*�6*�E*�b�r�r*��Eit�ititi6�r��E**�E**�b�r**�6*+Olt*�PirIti6�EI6a6�E�L 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 RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ:. PROV: PARCEL: 42233309 ZNE: REF NO: PLANNING.NOTES>_. > dE dF iE iE 1E dE iF cF cF ♦E * dE cE iE iE it cE * dE * dF dE dE cE iE dE d6 dE iE iE * 1E IE 151E * dE ib db 1E 1E c6 cF dE iF it 1E qt ie fE dE * qlt * iE k * * cE df iE qE oft cE dE 1E dF dE cE dE dE dE IE * 9E dE dE cE dE 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: QQ APPLICATION ISSUED BY: DATE:IF�1 1 cE**dEcl cE fkcE c(-Ib*iE df cE df kiE dE dk ff cE q6 kdF dE lE dE dE lE dE dE dE 9E dE LEGALIZATION:N_. F E E S U M M A R Y STRUCTURAL EGMENT:N BLDG PMT PLUMBING ELECTRIC'__MECHANIC' FIRE SMIP/RES GRADING PERMIT..- 35.00 t 253 — I SMIP/NON—RES PLAN i E_ — ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE .PLAN.—CHECK TOTAL PAID DUE TOTALS ---- > 35.00 22.00 0.00 57.00 57.00 •00 .REVENUE DIVISION TOTALS--> COLLECTED:' 57.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC: FIRE, SMIP/TOT GRADING PLAN—CHECK 57.00 dE iElEiE**iE*kiE CE dE it cE*iF*df dF CE if dF CF dE 1E 1E iF df iE dF 9E dE c6**iE dE iF iF**dE**df 9E dE df**c(-qE 9E iE 1EkiE dE 9E 1E dE 1E 9E CE dF dE dE dE iE*cE CF*9E*iL it*iF I N D I V .I D_U A L' F E B•R E A K D O W N TYPE . .QTY D E_S C R I.P T I O N — - _; UNIT COST TOTAL COST IT 41 PLU. 1 PLU 2 PLU 1 BATHTUB WASH BASIN _ WATER CLOSET (TOILET),; END - OF FEES 8.75 8.75 875 17.50 - 8.. 75 8.75 1 ;! 91MMAY14 1997 CITY OF COSTA t:?Ece � r 8.75 8.75 875 17.50 - 8.. 75 8.75 1 ;! 91MMAY14 1997 CITY OF COSTA t:?Ece CONSTRUCTION AND PLANNING 'APPROVALS Permit # • Date .. fnspecior -Pd. d SPA APPROVALS ..- Permit,* -' n. Date Inspector -•I -Temporary Electrical, Service or Pole 52. Pool &Equipment Location_ ' 2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 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 Footings - - 58. Electrical Conduit-Undrgrnd. - „ 8. Foundation -. _ 59. Gas Pipe, 0 Undrgrnd., Test. 9. Water Pipe-Undrgrnd. :� 60. Backwash Lines, P -Trap, O'Ondrgrnd. - 10. Structural Floor -.-System - 61. APPROVAL TO DECK 11, Property Sewer -Line & House Connection - 62. Backwash & Receptor -Final 12. Sewer Cap - - - - . 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final .5 14. Rough Plumbing -' -65. Electrical -Final r 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING , 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS - Permit# - 20. Rough Factory Fireplace - -. - 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating. _ -. 71. Product Piping L7.Gas 0Ol 23. Gas Pipe -Rough & Test _ 72. Underground Flush 24. Roof Framing - - - -. 73. Undergrnd.Storage Tank ❑ Gas ❑ 0il- 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing _ - 76. Dry Standpipe- ,. 28. Lathing & Siding - - �. 77. FIXEDSYSTEhTFINAL - '- 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final - 80. FOOD CERTIFICATE ISSUED 33. Final Electric - - Notes: 34. Final Heating-& Air Conditioning__- 35. Final Gas Pipe -Test 7rj_al=�(_P , S=ao Ecc 10Ar NO Lam- lY I r%�L P�umg,ayn�eft_SNo�R 36. Hood or Canopy - - 37. Final Factory Fireplace - - pJ�- 38. Final Plumbing orl ¢'7 �s - a Jcoc.ow.-J,K- _ /Airr:ei Ai of x •/ 39. Water Service -Final SC -Zoe< ! /C-. /A.J dK ZS 40. Gas Service -Final 41. Solar Domestic -Final _ 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 'r 45. Sound Attenuation 46. Handicap Regulations •- - - `"� 47. FINAL STRUCTURE & BUILDING - - 48. FINAL PLANNING v 49. Electric Release to Edison C� 50. Gas Release to Southern Calitornia Gas Co �.:.• 51. CERTIFICATE OF OCCUPANCY No Date Ag?fl650P BMLMNG: 1124 GLENEAGLES TR OwfIERS NANEy 1gI3Wft: MR MARC GOODMAN "s. 1124 GLEN EAGLES TER COSTA MESA, CA 92627 MPL. M7dUN0 ADDRESS: UNIT: IflCNRECT OR ENtlNEER: SAM BEVACQUA uc.hi t C-50601 Al OR Ell A ORM: 819 S AADEN ST uw: PLACENTIA CA 92870 CONTRACTORS NAME CUSTOM BUIDERS & DESIGN (714)676-3922 CONMACTORSNALND 4079 GREENCREST ST AooeEss YORBA LINDA CA Ul 409392 92870 UM: LICEN COMRACTORS DECLARATION: I Mmby Wbm under pen"y d perjury Uerl I am licensed undw provisoes d ChWw g (w a with Semon )000) of Dynotst 3 of the Business end Professions Code. end m license o in lull byte and effect. C uC. O.: uC. cuss: B uc. No.: 4 0 9 3 � 4 I — S Comeder: OW R BUILDER DECLARATION: hereby affirm under penety d perjury Mw am wamq Iron the Cmtredon Licerua Law f« Ma �4 p reason lswkn )001.5 Buenos fo'p Psaioho Code: Arty city « countY whidt requires a parol to consWa, "er, improve, "moot w repel any ommure, pricy m la swance. atao requires the eppliant /« soh lams to fib a sBned statement hoer he w she ! licensed pansuant Ip the proveiou d the Conlredore License Law [Chep« 9 (cammeWng with Section )000) d Diveion 3 d the f 4usnea arrd Prdev'orw Gadal « that he or aha a osemq thmehom errd the base 1« Ma moped examgion. Any vnlmnn of section 7031.5 by any applicant for a Permit wbjede Me applicant to a evil poetry of not more then five hundred dolens 15500]). _ ❑ I. of owner of IM progeny or M empbyeu with wages as their sae compensation. will do Uns work, and the Mmlure is W intended or offered for sale (Sxlion 7OC6. Busimse and Professions Cade: The Contractors Limrrea law does W apply, to an ove erof property who WA1s or wnpnwes thereon, end who does such work himself or these" or thrwph he of her own empbyeae provided time such improvements we not intended or offered for sal. It. howwer, the Wilkins, or knpnwemem is add within one year of completion, the owner-Wihtlar will hese the burden of previrq he or she do W Wild or improve for the Wrywe of ub). ❑ I, m censer of the propend, are wocket say connecting with lieu sad omermlons to wndrW IM project (Section 7g , Busnua and Prdessima Code: TM Contradwa License Lew does W apply to an owner of Propmyr who Wilda or imprwea thenson and who contracts (w suM prole se with a nomm n(s) licensed Wnsomet to the Contrwa0rs License Law). ❑ I am eeemq under Section: S. A P.C., b his reason: Doe: Caner: I do hereby mml that I ern ewer. of and understand the res,wramews of Cellomie HeelM and Safety Code Sad'mne 25505, 25533, and 25534, and Chet I Or MY hwre Wilding 00WPm1 will I will not (dmfs ern) need to comply with said state codes and the requiremend b e perms for wwtmdm ion or odifiafrom orn the Ai u y wapemeN Dmnict.RaNwuiel oomtrWon eppfut'vnws ezamq loco rheas Prmielpne. Dal.: Applk ml: WORKER'S COMPENSATION DECLARATION: 1 hereby affirm under penelfy of 1wryry one of the Mlovmg dwarmions: _ ❑ IMw fortcoalmenactetedconsentto aaff.ineure for workers cwnpnWion,n prwrted Ifo by Serum 3)00dthe labor Cade, f« the Wdomence ofd the work he which this pert" is issued. x] neve ane nil mermen wwre'omWwbau keonan insurm, roquirnd by Section 3700 of Melabor Cade. br the pedwmfom a the w«k f«fond, Ma pwmk a eased. My waAens'ppgyyitaMiOn nyapggq paaw and Wlcv numMr foe: EXPIRES Gooier: 06N5C. C V(VU Paley Numb«: (This sedbn need nm be e«npleted % Me permAe for erre Wrrdnsd dollars lVW) w bas.) I Ly that in the pMormarce of the work for which this permit is issued, I shell W employ wry Person in any manner m at to panwbjod to the workers' compensation lose of Cai(amie, and entities Mm lf I should become aubjad to Me workers' aation pronanrre a Section 37M d the Labor Cade, I shell fonhwBh comply witJh, those prprorr inion.. D a —I Applicant: ) m/ny: Fallon m axuro le romysnsades corerope is unbwN( and shell sub/ecf an amployw fel wlMnal penaltlu and clyll nose up m on. hundred thousand done., (J1o0.ggD1. b a"Min W the cost of eomperuaflon, dameyu m noyM.d for In Sacdm 37M of the Labor Code, Infest, and slot Ws feu. CONSTRUCTION LENDING AGENCY: I hereby affirm under pansy a perjury lMt there u e canmmdimi bndins, agency for the worm. d the work M which the permit is awed (Salim 3097, Civ. C). LENDER'S NAME: LENDERS ADOREW: I randy that I have read the epplic soon and state Met Met above information a corrin. I agree to comply with all city cod caumy ordinances and same less relmng to building cmmrucilon and hereby euM«Ue reyeeentalvas of this city m.mer upon the above-megioned pnrpeM I«in1»aion ""los°'. ROBERT SMITH Do.:S L\ (515146.WP) WhOo4kAldeg A Saery; GreamFle: Canfoy-Appkoaw: Pmk-Revenue: Ooldsm -Maesaw CITY. OF_ COSTA MESA_ — BUILD.ING PERMIT . . .. PERM NO: E 082909 PERMIT NO: E 082909 PLAN,CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE .__ PURPOSE: ADD JOB DESCRIPTION 887 SF 2ND STORY.ADDITION SQ_FT:_. CLAIM VALUE: CALC—VALUE: GROUP.00C: R-3 ./ . COMMENTS: BEDROOM / BATH ADDITION, REF:B-82909 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 ------ ...--.------- BUILDING APPROVED BY : 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: 42233309 ZNE: REF NO: PLANNING NOTES> .._. 50% SMIP/NON—RES PLAN _ > rl ISSUE FEE 22,00 fE fE IE*iF ff ff 9f*ys 9E*iE**df ifBE*1E iEN*dEfE 1E 9E 1E dE BE iE 3E Bp**iE 1E 1E BE 1F aEiidE if iE IF 1b 36 iE**it*3FfEiE BE N-iElE 9E if iE iE iF if *it Be dk')EfE**1E If -d6 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:7F3F?iF��1 *iE iE BE dE dE 9F Rf BE 1E if BE*iF iE 3E iEk*dElf lF�3fiF3f3f��f3f�3F��F�F3fiFiF'3f�F7F{f'ifiFTf �if�F�iF lE if lE iF lE i4 iE iE 16 LEGALIZATION:N_ F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG—PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT_— _ 25.00 .._. 50% SMIP/NON—RES PLAN _ ISSUE FEE 22,00 BUILDING—DIV-> -__PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS---->_ 25.00 22.00 0.00 47.00 47,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 47.00 OVER/SHORT: .00 .BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 47.00 **iE fE BE 6f jF if NdE iF iE iE**ff*M**heli if lE irk Rf*dEfE iE iEfEiE RE IE IE')E BE BE iE BE Bk dE 1E*isle iEfE**BE*9E ib iE*iE iE iE irk lE if if *lE if irk if iE*fE �f iF*iE*{�iE 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 8 FIXTURES, LIGHTING 1 ST 20 EA, 1.00 8.00 ELE 12 RECEPT/OUTLET 1 ST 20 EA0 12.00 ELE 5 RECEPT/SWITCH 1 ST 20 EA.. �1 0.! Q 5.00 END OF FEES �. MAY 14 1997 CITY OF COSTA MESA 0 CONSTRUCTION AND PLANNING 7DateInspector APPROVALS Permit # . - _ POC SPA Date � APPROVALS Permit.# Inspector -. - I/ Temporary Elecfrical Service or Pole _ 52. Pool & Equipment Location:. •53. t 2- Soil Pipe:Undrgrnd. - - Steel Reinforcement 3. Electrical Conduit Utility-Undrgrrid. 54, Forms <� 4. Electrical Conduit-Undrgrnd. " - - .. 55. Electrical Bonding �, { '- 5. Steel Reinforcement. ,- - 56. Rough Plumbing & Pressure Test 6. Electrical OF ERGmd, - 57. APPROVAL TO COVER-GUNITE- 7. Footings- - _ - r• 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd:, Test 9. Water Pipe-Undrgrnd. : T 60. Backwash Lines, P -Trap, 0 Yndrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i 11. Property Sewer -Line & House Corinection 62. Backwash & Receptor-Final'y - 12. Sewer Cap _ 63: Heater & Vent -Final 13. Roof Drains `64. Plumbing System -Final E 14. Rough Plumbing -_65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final - 16- Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - - 68. APPROVED FOR PLASTERING -• 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - 21- Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 7- 71. Product -Piping O -Gas 0O0 23. -Gas Pipe -Rough & Test _ _ 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0Oil 25. Roof Sheathing ,; - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) &-Monocoat - 75. Dry Chemical - 27. Frame and Flashing - -- 76. Dry Standpipe - 28. Lathing &Siding, - 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREY. FINAL - - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final r 80. FOOD CERTIFICATE ISSUED 33. -Final Electric ,, r Notes: 9 34. Final Heating & Air 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 Domestic -Final 42. Backflow Preventer -• - 43. Backflow Irrigation - - - -u 44, Landscape Irrigation System -- 45. Sound Attenuation - - - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING _ J 48. FINAL PLANNING 7 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date SANDY PRIM,_.- & ASSOCIATES INSPECTIO, ;ONSULTANTSftP P.O. BOX 840, HERMOSA BEACH, CA 902544)840 OFFICE (310) 796-6668 FAX (310) 376-5294 REGISTERED SPECIAL/DEPUTY INSPECTOR CERTIFICATE OF COMPLIANCE MUNICIPAL 13UILDING DEPARTMENT L rd 5 F(1 M LSPI BUILDING PERMIT NUMBER 6—'92909 Project Date L- 3-97 Project Name SINGL£ FA611L,x_ft��1(]Ey1c,{y Project Address 1/24 ('�akfl(1 S_Tyaa(L Owner's Name /f)/t'. /nAIZ('. CQ AA% Phone #'s General Contractor Cus-rof4 AdILD.0s Phone #'s 7/V- 52g-QRX B Address P) f c dr1T 1 fl Contact #'s Engineering Firm Son L7. 6614 (/t9 YR-,;!�Or- Phone # Name in Sea Architectural Address Archt's Name TYPE OF INSPECTION:_ Reinforced Concrete, _Gunite, _Prestress, _Grading, _Framing _Rebar, —Hi -Tension Bolts, _Anchors, _Structural Masonry, _Welding, ZPDXY llnlrJbtOther 7o the Building Official.• Building Inspector. / hereby certify that the following portions of the work at the above address which required Special/Deputy Inspection and for which I was employed to inspect, were inspected by me and comply with the applicable provisions of the Building Codes and the approved drawings: I ' r I �� i " I � a (• 11 � 1l Wi n, rC -70 n11'.t0 i.An.n ,J -1r- 304 A,d ., -7 //A,.,/) r. n,I c /)t%i Inspector: HOURS: Inspection Verified By: Tues, License # O.C. 4�/a l/ Type: CO�vC•riMAwg?ri _Wed, Thurs, Fri, Sat, Sun 5 _ _,_ -� Applicant to fill in all spaces except those Within heavy border lines and slgn all appropriate declarations. ' CITY OF COSTA MESA-- , ( �. i _ B� -- PER T -N , �d , T,RAC NO I . .LOT NO.., - NICONSTRUCTION PERMIT. I u ( _ 1 `"7Z2'p %' �: L+8 " lApplitent'S Meiling Address' c ' TYPE OF CONSTRUCTION i .NEW.. ADD. ALTERATION.' 'REPAIR F - 1 'i •- ° i - o ) r -- — ! ' v 9122 5/23/93 .1 67.62' % Paoj¢Ct Address: - 7 ❑ CONVERSION ❑ DEMOLISH ❑OTHER a > .-. I r ,'2 4• l c j Own -S Name : - 5 1 hone�2C ' DESCRIPTION OF WORK .Z NI G REGULATIONS', Address! IIIA C .Ie 0e.in, q GSI TeazaV:dLE CM - � r,- - � y O TYPE OF PERMIT ll6RADING 1 FOUNDATION' -STRUCTURAL - A. P. qW+ - 3 ZONE , Arch/Eng ( I - License No. ( ❑ TENANT ❑ELECTRICAL a PLUMBING' ❑MECHANICAL - •'BUILDING ` a 1 Address - r f PLNG. RE F. bk' : - s l C c _ . ` I 1 .. .' 1 •Q, OTHER , u• a • i ! Z .. .TRO P ILDVN%Es T i !/ - : , REAR YARD (TO P/L) l 1�= Contractors Nam - hone' -PROJECT DESCRIPTION 5G FT. '- �� 5Q'�1' OCCUPANCY'K-Z> 1 0 - CONSTRUCTIONTVPE N' ! VALUATION$ 6L.100. 00 'LEFT SIDE YARD i l/ RIGHT SIDE YARD Addre531mailing) - - (• t - I GRADING C-.VDS.I ACRES PKG. SPACEREQ. License ZONE PROVIDED„ j' LICENSED CONTRACTOR DECLARATION Remarks: 1 STREET WIDTH 1 // j rP FEE $ (hereby affirm that 1 am licensed under provisions of Charter -9 (commencing with'section 70001Of Division 3 of the Business and professions Code, and 1 l ( �- ! 1 1 i SPECIAL CONDITIONS: 1 - my licanse+is In full force and effect. / I l License Class' t License No: 1 PLUMBING - I Date ' Signature 'RKERS' COMPENSATION DECLARATION , t' I i I ; Bali Sink I ' Sewer Cap ', ! ; ' ELECTRIC [ shy afflrm.that I have a certificate of consent toLself-Insure or a certificate I- Backflow Prev¢nt¢r ""' " -"' "- ' $ewer Conn¢ction"_ - } " "' Automatic Washer._I. I +Meter ❑oveL 100,amps„ _ �' 1 ' lorkers' Compensation Insurance,lor to certified copy thereof (Section . •• - '•�' ! '- ,e0, Lab. C.) ,,;,, - - -' . ! ,, Construction Pole Sub Panel ' ' , 1 ! i , BeBikflow Irrigation Solar Collectors �.'7 ' : 1 POIicY No. Company ' l' Cooking Unit ' Sub Pole i { - BCertified copy Is hereby furnished ! > I Bathtubs 1 Solar'Piping 1 ` I •>; ! ( { ' Certified copy Is filed with the city Builtling Divlsion. ` !i t I f 5,., Dishwasher - I ( ,Motors ❑0-1 HP ❑1 h'-8 Date I 1 I ,ADPllrant - + r" _ , Clarifiers _r Solar Tank ,._sJ: tq, ?'{ ..` EXEMPTION.FROM WORKERS' COMPENSATION DECLARATION ! Dishwasher _I Swimming Pool w/S a I ' -Dryer! ❑Gas' ❑Electric .� rinc.Solarl❑9-,15 HP ❑1615+ (This section need not be completed if the permit is for one hundred ($100) or `. ' g p �"!� , I:, i L; ^v• Fan - , •Microwave 1 1 certify', that. in the performance of the work for which this perrilR is IS5ue0 I Drinking Fountains 1 Urinal�A I /�. ' t shall, not employ any person in any manner o as to b8c0 ,subject to the ' , F.A.U. - Pole;Li ht ,Worker'Co�Opepza�ToniLaws oi'Californi ,A y FIoOr Drains l 9 (- I i ' ' Date `rS �`6 .3 1 Signature \i, 7R f , .Water'Cl oset� , , r - 1 . ' • - 1 __ - Fixtures �,., __ _ _ aRan e_ �_ I I I NOTICE:'If; after'making'this declaration; you shoultl`become'sublecVto the - Floor Sinks : - - - tel- ^ Water Heater -^ �' -r _ - 9 -- - — - + I Workers'; Compensation provisions of the Labor, Code,.you: must forthwith' ' ' y, _ ; Device Boxes ISign,• comply .with' such provlsionsrior ,thIs,,,peTmft shall be )deemed revoked ; •3 { Gas Service. Outlets i Water Service ,�' -.11 ` I I^ CONSTRUCTION I LENDING,AGENCV I 'I' < ! I hereby affirm that there is alconstruction lentling agency for the'performance I + i Interceptors i i ' 'C ' L;,, U L+ ' - .Y utlets ' I Standing Sections I i of the ,work fort. which+ Shis- permit Is ;Issued (Section ;3097 Civ C.)- I - I Lenders Name ^ N L _ ` ? - ' - I KttchenlSm ' "- Switches } . 1 Compactor r Trash Lender's+ 'Address' . Lavatories Gartiage' Disposal OWNERIBUILDER DECLARATION :� } j j ti ' _ I hereby{affirm that 1 am exempt from the; Contractor'sZ7ucense Law fo'r the ' g I P Tra ? d 0. = f ('- Generator ❑0-5 KW ❑5-15 KW ( y following reason'(Section• 7031:5 Business and Professional'COde: Any city or P _ �p , 'county which requires a permit to construct, alter, 7mproveI tla IISh,or.reDa it 1 - - _ _ i� , Transformer ❑75-50 KW I • any structure; prior to Its !Issuance, also requires the applicant for such ppermit - Roof, Drains I w r ; to fila a Signetl statement that ha/she Is Ilcensetl pursuant to the'provizions of. ' ❑5U+KW; 1 1 - I 9 Contractor's License Law'(Chapter 9 (common<ing'with.Sectlon:7000) of i r' , - 1 " �` t - d I t •'' ` Reinspection Fee 1 $15 psi 0n 3'of. the .Business antl Professions Cotle)-or: thati he//she4sjexempt j Showers ( !;.i , c ,� Reinspection Fee �, n$15, } .,¢from and the: basis for the allegetl exempiton: Any vlolation`Of, Sac on _ Meter ❑up t0 100'amps ' Tissue Fee 1 $ 3 .'51.5 by, any applicant for alpermit=subiects the :applicant to a -civil _ _ ' l lialty 0f not more than sive hundretl dollars ($500): Ic - ; Service Sink I ' � r Issue Fee �� $ 3 + -a } I Zoning Approved By Data 1 1; as owner 0f the 4property or`my employee5;with wages'as their sole - compensation I".h do lha work, antl,thelstructure. is not Intended or offered 1 -) ' } MECHANICAL j ( } q fj ` 'J' Application Approved By {Date for ,sale (Sa. Ion 7044•, Business; antl' Professional Code:' The Contractor's ! , � ) — — I �, �G t 1 I License Law does not apply.to'an owner of a property .who builds or Improves - ' ' Refrigeration S Stem ' i ,��} r A U L3 6 , thereon„antl W ho 'does; such work. himself/herself or through his or her own I Boder' - (. 1 9 Y f - Application Issued By r_ Date , employees, provided that such Improvements are not Intended or offered for - t ! ❑0=�100p00BTU ❑100,000 BTU' - Y I' !Sale. If however, the bulltling or improvement is sold within one yearof com- i Duct -Under Ground , I �1 : I ! i SUMMARY OF FEES elation, the ownerlwill have the burden of proving he/she did not build or im- - - r - I Frove fpr the purpose of sale). -- ) -- t ( r I Duct -Structural 1 ! System Repair/Alteration '� �V11 ;BUILDING PERMIT $ 31Z. f6y SMTP I 1 1 $,1 • 50 I, as owner of the property, am exclusively contracting?with licensed con- ! , ; i t i ' I I tractorsto construct the project-Section.7044, Business and.Professions Code:._.} _ Duct a Ventilating } i _ .._, _ ... ..L.. _y ., M... _. -r I'. - PLAN CHECK', $ LIT. PERMIT The Contractor's License Law Res not apply to an owner of property who - ISSUANCE $ builds or improves: thereon, and who contracts for such projects with a con- Exhaus[System ❑ Multiple ❑' ' I + i 'F PLUMBING ( $'' 1 I 1 tractor(s) license pursuant t0 the Contractor's License Law).' , , ` + ^. I I i ' ) i I !PLAN CHECKI 1 $' !' GRADING ) j $ ! ' ❑ I}am exempt untler Section B. & P C (or This reason ' j Fiiepl/Fact. Bit. ICBO.# 1 t ! I ! $ $ LlO herep I Owner( I I l HeetingjSystem&Ducting I j LACTRICA Ll i ! 7 r I 1 "r ,. ,.T E 1” ' y- pP - 00-100,000'•BTU❑100,0008T-'--'-• -j ---- -,- - f NCHECK ! $ .7_'Q' t MICROFILM i $ EL y.•certlf that^Ir have read this -a Iication-antl'state that"the above �- ^'�- P 1 ' I _ information Is correct. 1 agree to comply Witn all city antl county ordinances 1 I I 1 I },' ' ' I I TOTA L'FE E' I $ ( 1 and•state'laws relating to building construct on; and hereby authorize repro- I ' Hood Or T e I ❑i • - + -• { -> - ~ ..MECHANICAL 'sentatives of. I this lc'ty.i to enter up n the above-mentionetl property Sor :, VP i ; Reinspection Feel "` '$15 I ! (' } , LESS t I inspection p es.fA),_.,,iA I ; } i + Canopy,.T a II ❑ i i s , -'+: PLAN CHECK' $ ; 1 ADVANCED, PC $.I i i Signature ' / s.T /{'( � ! + Date �&--i 561 1 - i +`. • f tt Drivers' License orISS 9PI "�_. i 'I Registers ) i i' Issue Fee i '� I:, $ 3,' ! 1 I I j FINAL FEE' i. $ k 14, CMF 0865-46 rev. 1'2/82 White - Building;Canary - Applicant;Pink - Accounting; Goldenrod - Assessor - - - - '•1'�CONS?RUCT10 AND'PCANNIKG', y-; - r POOL 7A 7Dat, Permit'# Inspector a ' :Permit # Date ' Ihspector V :) "'_1 �-APPROVALS - m 1;: Tem over ryElectrical Serviceor-Po le •:+: P Y, �„ - c_ " - -; Pool &'Egwpment�Location _ I - I , ` <<i ,;52 a _ 2? Soil_Pip-e-Undrgrnd:= �' - o' -` '> `` J - 53" Steel Reinforcement F ? _ I 3? Electrical Conduit Utility Undrgrnd. CYp 54m FormsJ'- g G 1 :t, I f 4'. Electrical Conduit-Uhdrgrnd') U "- C `_ f �� ::55-� Electrical Bonding ,` - `- - f-- '_.'� ' <, ,°to 5? Steel'Reinforcement I ` J •.; ?I ` t ; 6_ILgj - - y « - Rough Plumbing & Pessure,Tes£: ` i } 1 ;, _ ,56.E 6' Electrical LIFER Grnd:" � a '_` - , �' "'>' yz 57 APPIROVALT c&EWGUNITE,; r .O 7. Footings••1'58'Electrical,�onduit=Undrornii.r. `__ ',• ' o t _ __ j 8. Founiiatiori ! ' • % i? - = - � 59. Gas Pipe; O?Uridrgrnii., TestZ.' . _ ' P 9 0, i+ 9. WateyPi� a-Uridr ,rnd. ) g _ -"` "'- '-,•., �r60. BackwashiCihes�, 'P,Trap,'�'Undfgrnd.` _ 10. Str.uciural Floor System i • ^�^f ��61. APPROVA LTO•IJECK =`•.•s' 2',L• (�-63 - 11. Property, Sewer LineiI & House Connection '-" -? • li : ' - 62. Backwash:&`Receptor-Final_ - r• ,�. 12. Sewer Cap ! I 1 1 Q- __ ' ='63. He &Vent-Fi_nal,. _ V �^ 13. RoofJ'Drsins I _ � i t � `- - - Plu-- -�•• _ :,64- mb{ngS_Yt - •S . 1 I � i _ <. ;£ 14. Rough Plumbing I ` 'n - -'= I > 65- Electrilcal=Fihal= - -•'• =°` ` • • ' �m15'=Rough'Electrical'Coo-nduit- _1 ;T; iT-�r 66� SoIVSymF-- ste-inal -; `--7 �- r ;16. R oughvEle ic, Wir ng 1 : tri a •�53 '.c'; C 67:%Fericing & Access,App�oval' : ; • _ i ;�=" ,` •L ;� J r`1 Rough WiringiS)gn m . ' 'l j ! IAPRROVED FOR PLASTERING 1 10 1P? 6 iB.,:RoughtElectricaf_T Bar, Ceiling; I t } } } c ' 169A.; POOL•/SPA SY,STEMSFINAL i ? i I - ^_ i ` L . ; 1 • :� ; yl 119.' Rough Heating & Air Conditioning ' = I i i 1 i j .FIRE DEPT. REQUIREMENT , t ' I APPROVALS! Permit _` 20:i,Rough�Factory Fire�place� ' I 1 � 1- 1 II I f � r 21. 'Ducts „in Structure l '' •; �I I i 1 I j J t i 70. Underground Hydro -'- 1 •-t i i 1 , G22. Ducts, Ventilating 71,I product Piping O Gas ❑ Oi'l I } ---- 4 X23. GasPi '-Rough &Testa .h- e T - t---- - - I i_ . t. -L -'I---- r -r' ,- - 72. Underground Flush - M, a , P, 9, a ,.� I , I • !,ti 1 , �!24: Roof Framing; I ,` i { }I r_' �i ; ? ! j I Y y ''% I - ' : i s 7.3.1 Undergrn'd. Storage Tankt'©.Gas ;0 Oil i - Shating D" 400fverFead Hydro - .IO25. s 26- IT -Bar Ceiling (StruciuralY,& Mono'coat' i I ij (; i I bl ; 75.}Dry Chemical 127.'Frame and Flashing . f �� �, �,li- 3 ;�S ! 76.i Dry Stanapi' e i - 28.vLathin6 & Siding j }. `• i1 77-, FIXED SYSTEM FINAL c i ;?_Q i 1 29 Insulation �_ �•h- �� i FIRE PREV,. FINAL' - - q 1� I} i I , 178.i i'30. Dr wall Nailing I j _I j 1 } t I i E t { Notes:l 1 plaster Brown Coat I 1 !� ID1C K31. 1 , 32. ;Electtical Power Meter Final tt I l ,. I a 33. Final Electric j l I ;L ' '%-_(a-�.3'_ ec_j_ _L_1_!;_ I ' 34w Final Heating' &(Air Colndiiioriin 9• l j 1 { t•{ i i "� I I''iF , i Yi § U � -n:x'v-' , ' J I ! t , 35. Final GaslPi e=Testi 011-i I 36. Hood or Canopy T ; I : ' +; r+1 .� 37. Final Factory Fireplace? 1'r bi 38. Final Islumbing 39. Water Service -Final" _ r _ 40. Gas Ser vi'ce_F incl . }". t `_j • i I '" �- 41. Solar 15'i'1" Clic-Final 42. Backflow; Prevented . i , Y- _4_t 43. Backflow" Irrigation, ILI 44. Landscape lr`rigation ;System : "n v _ 45.-Sound� Qttenuatiori , m l t 'I•�; i I j n ( i j 1 '� i; } ' t o , y., J , i; . _ .� -. Iu? i , j 46. Hand ic plRegulations } - I -( I ( t '1 ul ti .� s r i fr ^ _ i I I ) , 47. FINAL STRUCTURE &'BUILDING } % , 48. Special Requirements Completed! 49. Electric Release;to Edison) ' -• _ i j�� _'�.__ j ` + 1 1 _ t--� ''' : I i 50. Gas Release to Southern California Gats ' �'•I 51. CERTIFICATE OF'OCCUPANCY _ 6 " - _J t r i� ' -'L1 '• II J1 it 1 I I 1 1. J No Date ,l_� 1 4 }---'•_ i = I : GAS WATER ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITI TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING TRENCHES 0 FORMS E7 STE FLOOR SYSTEM PLASTER S' 'U H. BROWN COAT PLUMBING, FINAL AND ELECTRIC. FINAL SUBCONTRACTOR 6-b-74 H Z a U COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 PaiUOr I � tF„ir=ir .t APPLICA ION FOR BUILDING PERMIT F& Applicant to Fill in Completely RECEI V rE LC2D DAJISSUE BUI4OING ADORESS SelLU �'�'�. JJ PEOWNER A.P. NO. /I (s JJ MAIL BUILDING V ADDRESS S YV+Q ADDRESSMo CITY fVlC 6IA NOL64ZZi TR ACTLOTCONSTRUCTION W ADD A PBRANCH OWNER ADDRESS VALUEARCHITECT ve $ TEL.SP�-r�o OR ENGINEER N FIRE ADDRESS ZONE T P GROUP APPROVED_% CONTRACTOR 1 P BY DATE ` ADDRESS MQ 1, c, Aboot°. TEL. ZONE //// NO.OF USE NEW rfO CITY NO. JY� PLAN,' BUGLC1V P. STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO, MAIN BUILDING ACCESSORY BUILDING S1ZE NO. OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT, lh*4l USE OF EXISTING BLDG. I T. ,-/+<� SIZE OF NO. OF i NEWBLDG. ROOMS STORIES L. SIDE FT. 3 FT. EXTERIOR WALL ROOF COVERING COVERING REAR FT, C FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS BLDGS. /� fio vE2 VAR. VAR.# DATE _Q #'- APPROVED APPROVED �0• /� g DATE I hereby acknowledge that I have read this application and state STATE that the above information is correct and agree to Comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California.' I hereby certify that I am properly licensed as a contractor under SO. FT. TAX THE AMOUNT SHOWN UNDER VAL ATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. a VALUATION � �— + �/J PERMIT FEE $ Signature o L Permittee i ,yyta—,� $ �/ /1 /1 ^� --- PLAN CHECK $ + Authorized Agent �_— TOTAL FEE $ OWNER W JOB ADDRESS DATE 1.15-633-09 LOT 48 TRACT 3470 FIRE ZONE VALUE $ 4,562.00 %CTIONS Signature Date GROUP I TYPE V ZONE R-1. soli SUBCONTRACTOR PERMITS ISS ED GAS Date NamberI Si nature WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heating and Vent. TRENCHES Lj FORMS L_j STEEL REINF. C.: FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING - C FRAME AND FLASHING LATHING — IN OUT P' -ER, BROWN COAT U URAL, FINAL eElect i h. .,G, VENT., REFRIG. AND A.G., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL "2 BUILDING, FINAL p -r – - --- – --- — – T .Vr EFECIB,C LIO, Ll"r V:iO ere or, I bVNE VV.0 LT-V8HlM,! 14 a ki 106 2A2IS1N EEr br),E, 'JEWCE Ob bOrE — VC1.1011 liEV.Lillp 'IV.P VtI4 conwovilve rivz: n Hoa?c COW U-010 Mrwp 2nscomievc og Eci.1042 DOO 11 C 90111 b A 6 E yck"_' N, 1-:3.1-1 LISE SOVE e-::v.EL4vr comiRyclov IOR VOOSE22 AVrnE i Dvl� Z W Ili U Z Z_ Q In M 111 J � J N U Z aW JO 22 J W W O= Z_ F - WO �O O N Z O U F_ 0 N Z 29801 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ADDRESS / OWNERMAIL %P£. W/NDSoR ADDRESS %/2 /Pye Ips %e l TEL. CITY/'^C4,0 i clQ NO. 1111 .r[ II1VIV , OF NEW i LENDER PLANS a BUILDING BRANCH 59 YARDS APPROVED MAIN BUILDING ADDRESSARCHITECT tell// (FROM C/L SLSY T) a N m VALUATION � ^ p� y� L OR ENGINEER /Tl ` r /�LQ/��/Ji� NO1,7s. ADDRESS3,77 MARIAJF Alle. u_ � CONTRACTOR (/- /41 #4-r ba(/ ADDRESS /j 9 S CITY COSfi% / "/ �/W TE NOL '46"14-t STA TE LIC. NO./g�7o� CIT LICYNO., O� SIZE1 NO. OF BLDGS. OF LOT �j n j(, �9 I NOW ON LOT USE OF EXISTING BLDG. f� SIZE OF INO.OF NEW BLDG ROOMS STORIES EXTERIOR WAL ROOF COVERING - U�G'O COVERING a70?R U$�OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of 14 MAR-5-64CMPA5i�00 081# ****43.50 APPLICATION FOR BUILDING PERMIT REC ,y '� A.P. NO. L J Q BUILDING - ADDRESS TRACT ����// LOT R BLOCK VALUE USE . l FIRE ZONE TYPE p GROUP APPROVED RV L ❑ATE J_ f!J r ZON NO. OFUSE OF NEW i _ PLANS a BUILDING YARDS APPROVED 59 YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L SLSY T) a N m DISTANCE BET. BET. MAIN MAIN SLOGS, ACCESS. BI VAR.* DATE C.U.P.* APPROVED the State of California. �� - m I hereby certify that I am properly licensed as a contractor under SO. FT. O THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and affect, or I am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. Signature THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. a N m VALUATION � PERMIT FEE $ 91'D O " /y�0PermitteeCN�"'H% PLAN CHECK $ E TOTAL FEE $ � .r Authorized Agent u_ COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA r Applicant to Fill In Completely . '� 1%!a TYPE OR PRINT, 4'T 14"f COSTA MESA. CALIFORNIA APPLICATION( FOR ;PERMIT BUILDING For Office Use Only RECEII[ED BY I OA 721VED ) DAT E. Coast Highway P/ L� !/( ! c _ TEL. BUILDING 1 Hul 1 Mar `26L. -OR 3-422 ADDRESS Go Wi curB>n TEL.nR R—(L9G1 COSTA MESA. CALIFORNIA CITY Corona del Mar LIC. STATE TEL. NO. OR 3-4220 SIZE �� -,,� I NO. OF BLOBS. 0 SETBACK LINE FROM LEFT 51011 I RIGHT 5111 DESCRIPTION OF WORK NO. OF EXTERIOR WALL ROOF COVERING &tier COVERING(`.PdAr ShkkeS USE OF BUILDING AND WORK TO BE PERFORMED ouse Sq. Ft. .. 1450 arae Sq. Ft. 420 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIGTION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF v____ r ----- J.... ■ AUTHORIZED AGENT (CENTER LINE ET.) THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION hh PERMIT FEE S $ J PLAN CHECK $ TOTAL FEE $ `h / ZONING ZONE NO. OF USE OF I \ PLANE DILDI! ilr LEGAL DESCRIPTION.:Y' `( ! A. P. NO. YARDS EVES APPROVED ALLOW) (CENTER LINE ET.) THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION hh PERMIT FEE S $ J PLAN CHECK $ TOTAL FEE $ `h /