HomeMy WebLinkAbout369 GRENOBLE LN - Building PermitsADDRFSSOFBULqMO: 3fj9 GRENOHLE LN
°m�E"s"""E"'ww`": WYNNE, LE ILA M TR
•.� 'D°"� 369 GRENOBLE LN
�� COSTA MESA,CA 92627
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NCHIfECTOPfllf�NffA:
JIIM.OP EM.'81WRESS:
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CONi"1BT0R4N"'�FtOSS & HARROWS INC. (714)557-7440
��������0 260 E. ALTON AV
��Sg SANTA ANA CA ��� 327802
92707 uNT: ---
LICENSED COHfP�CTONS DECLAHRTION: I Mreby Mrm uMm penelly d pe�jury IIW I em IironeM uMer ywisbne d Chaqm 9
��a�p wiih Sac�ion )000) M Oiviaan 3 d iM Buwiwss eM Profeaeione Code. eM mY liceme ia in lull bRa vd N1m.
No.:Oz 924 uc.cuss: C-39 uc.No.: 327802 EXP: 11 /95
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eia: com�a«: ��%1���! i/,-n-c.�,....,
0 EF BUILDE DECLA ATION: I Mreby effirtn uMer penely d paipvy OW I am exemq Imm IM Ganlradae Lioeiva law lor tl»
�+q �+a+� l�� ��15 &piwa eM Prolesvms Code: Airy ciry a mvNy whitl� ipuim e q�mn to mrotlucl. Mer. "unporo.
�amd'oh, w repei eny evuctun, prior w �� uaerce, e6o requiree iM epplimm la suc� qrtnil to fib e dp�wd �IelemeM Met M a eM
r��,e w��d,� �a �ne waw.a�� a ina cooveao.. u��.e �. [Cheqar 9(cwnmeridn0 Milh Sed'un roaol a owo� a d ma
�+`�uunen erd Prdeaeiau CaAei a lhtl he n+M u eaemq iharelmn enC ihe bsv la Ihe dlped eaemqian. My vidpun d Seeion
1W �.5 by eery epp4uN la e psrmn eubpea Ihe epplhav to a uhl pmWly d nal mas IAanlxs huMrad doAen �SSOOU.
❑ I. m owiwr d Ihe popenY a my empbyeee wvh wape+m IM1ei eob compemetion, will do Ihs wark. erd Ne ewnure w� imeMaE
a dlsed br We (Seciion )Ou. Buuma erd FrdmvmsCOEe: TheConlrmm limiue Lew Eom rwt eGdYta en owrer G popaity
who buiEs a inpvne �hxean. eM rAn doas eurh v:oek lim�etl «Mnatl rc Wa� he a M ovm wnWvAe�. p�eE Ihtl vA
impw+maW ve m�'vuaded a WueE la aeb. tl. howewr.lhe dnNi�q a inP��em u wW xithm maYw d mmV�un. tln
o�nw�wae« rrin n.�e ine w�d.� a wo+�ro ne «.na ad m waa «�mww. �> in. wma. a.�l.
� I. n oxrrr d iM YWMY. em ezAmr✓Y oomretln0 vNh IimneeE cant�eclas W caneb W Na pclb (Swun MM. Buamme enE
am..wm coee: m. comreaon Uo«ne �e. eom m woh ro en owns a ww.m .mo nwi. rc o�q�.w.. mr.on .ne .no
coMrxU la adi propps weh e mMreqor(n) fcarmed µvsumu to tM Cwufaqm lioems Le�.
❑ I em exemq uMer Seclion: B. 8 P.C.. la tno �enon:
Dna: Owner:
1 do hweby cenily Mtl I am ewus d eM uMereiend �ha requimmema W Cdiomu HWh eM SNery COEs Setlions P5505, 255}�, eM
255�1, enJ Net I or eny M1nuro builNrp omipent wfll / wtll rol (ticb me) meE lo mnply wIM1 �eid na�e codr uM tM repuiremenb br
epermnlwmnavuction«modifiwionhanlMAr�y enpe'rofuDipr'va.ReadantelompiutlionappiMiomeneaanqiromtlwe
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� WONKEN'S COMPEHS�TIOM OECLAPATION: I hsreby elfirm uMx penalty d pe�jury me ol tM lolbwirp Ee�iueliom:
I� I hew enE wiG mwnleN e cenAiceie d coneent lo aeMJneure fw xwkera' compenW ion, oe ywided la by Setlim �]OU ol �M LeEor
�, Coda, la ihe pe�amenca W ihe work lor wlich ihia peemn ia iauad.
II fl in...d,ewu�m��n•�v�o���,�,.m�,w�eMseema�oodu.i.m,cod..ro�m.oe��m�ame
�r �� Iw whidi ihie paimit e ivaueE. MY wmken' canpenatbn imurenca umv erd pdiry number are:
c�a: F(1tTNIlATTnN EXPIRES
Pd'ryNumber: wo5�� �� a�� 07/O1/96
. mb ,.ab, �ee na ee cm�dWae r rn. o�� a mr w» num�ed ed�e�s Riao/ a M•..l
❑ I cMN � in iM porlwmence d ihe wark fa xfich thu parmn b mwd. I ehdl m� ampby eiry pereon in eiry maruim vo n to
becmis w4� m iM xorFme• can+va�ion bws a ce5�aNe. aM +0�� Nel i I NaM beoaro a+Ma io �M waken•
� � o�. a see� a�ao d m. �eo, cme. i�nm/�mj/nw'�n��/yIy wan mw ww�..
e�e: � ACWiaN:���-�--'+iE��l
w nv:v.9u�ro.«unwrt...�eo�m.�wno�eowr+a.�.���+.nd..ne.n.��.wIM.��'ro�or«roWrtYwv�ror.ne
v/l Iln�s �q ro wn ��rC�d fhouaW Odl�n /fIQqOWA b��n ro N� cwf ol ronpru�fbM1 MnW�� u povlAW br In
Sxtlon 91P6 0l M� L�lor Cotlr, Infenap �M ettomryi /sx
coNsrnucnoN ��r+ova �aeNcr: i n�,wr mr� we,. w�v a wwv �nm m.�e s a�m�a� �wro meMr n. me
oeno�.�. a ms �x �a wn�m m� v�� w a�,aa (smo� xw. cH. cl.
LENUEH'S NRNE:
LENDEF'S ADDPE54:
I ceniy Ihel I Mve reaE I�ia epplicetian eM eaie Ihe� IM ebova inlametbn is corteq. I epiae lo cdnply xilh dl tiry vM munry wdineMea
arM eie�e lew reW irp io WilEinp conNuaion eM hxaby eWiaae repreaenleiivea d ihia ary io enler upon Ihe aEwe�menlioneE qopeM
iw impmion Wrpoaoa,
NANCEE KILBOURNE
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(S�St<e.WP) WMs-Buildiq85elUyGrasmFb:Ce'ary-�ppirent:Rnk-Rs.enue:OdEanmE-A�xam
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 073270 PLAN CHECK NO: N
CONSTRUCTZON TYPE: V-N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF AND REROOF W/CLASS A 3 PLY ROCK
PERM NO: H 073270
GOVT: N SUPP: N
PURPOSE: OTH �
SQ FT: 1,303
CLAIM VALU£: 1,303.00 CALC-VALUE; 1,303.00 GROUP OCC: R-3 /
COMMENTS: REROOF CONDO ONLY 4 SQUARfiS SMOKE DETECTORS REQUIRED
*x�**x***xrtx�*�*�**�**���-��**�****x�**��+�***�r����**���*��*�******�**+��+�*�*x*�***�
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 HUILDING ---------- --------- ACCESSORY BLIILDING -------�--
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT SN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ; PROV: PARCEL: 43914129 ZNE: REF NO:
PLANNING NOTES>
i
* if if if iE 1E IF �E iE iE iE if iE i! 1f iE iE it iE iE iE 1F iE aE iE IE 1E iE iF 7F itlElk �f 3E fE 1E iE iE if iE ik 1F iE if 3E fE iF if if iElE 3f iE iE �E �ElE IE 3E �E iF 9E iE-)f 1E if 1f �F 7E iE iE iE fE iE iE �1E 3E iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T'S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:. • c
APPLICATION ISSUED BY: DATE: ��F��I�I )
iE�1E9E3E3E1FiFiFifiElflE�EaEfEaEfEiPiEiEiEif : , iE1E1flfiEiE3E3ElEiE �� iEiF
LEGALIZATION:N F E E 5 U M M A R Y STRUCTURAL S GMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
iPERMIT 33.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 33.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
33.00
TOTAL PAID DUE
33.50 33.50 .00
�— 33.50 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECR
.50
iF fE 1k 1E aE 1F if 1E 1E iE fE iE iE 1E fE 3E iE ik iF 1t if iE 3f iE it iE'F, if iF iE iE iE iElE iE k iE if 1E if 1f if ik IE iF �f Ik 1f if 1E if if iE iElf if iF ib 1E fElf if iE fE fE� if !E iE it 1ElE 1E �f iF �E iF fE 3E 9E
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1303 REROOF BY VALUE RES•IDENTIAL NOZONE 1.00 1,303.00
END OF FEES
0
01 �0±86363-aa186254 T Csg 'a3.54
�'ATE� 071t7l9S 7IFiE: .4036
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♦C:iNSTRUC710N AND PLANNING POO SPA
I►�PROVALS Pennit #, ' Date inspector p�ppROVALS Permit #_ ' ` Date Inspector
t. Temporary E�ectrical Service or�Pole 52. Pool & Equipment Locatio��
2. Soil Pipe•Undrgrnd. . 53. Steel Reinforcement ' � . .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' �
4. Electrical Conduit-Undrgrnd. 55. Electrical 8onding '
�.
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. E�ectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. •
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System " 61. APPROVAL TO DECK �
it. Property Sewer l.ine & House ConQection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Dreins 64. PYum6ing System � Finai
14. Rough Plumbing 65. Electrical-Final .
15. Rough Electrical•Conduit 66. Solar SYstem-Final
16. Rough Elect�ic Wiring � 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING '
18. Rough Elecirical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Venti�ating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe•Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergmd. Storaye Tank O Gas G Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashiny 76. Dry Standpipe
28. l.athing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FiNAL
30. Drywall Nailin9 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-F�nai 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: /6� �- glf- `t� al���l-
34, Final Heating & Air Conditioning _/
Ys,��� i�. � �o��
35. Final Gas Pipe-Test � (f .
36. Hood or Canopy '
37. Final FaCtorV fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Final
42. 0ackflow Preventer
43. Backfiow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
a7. FINALSTRUCTURE&BUILDING ! p�s-- 9� Q/C
F
48. FINAL PLANNING ----
49. Electric Rel¢ase to Ed(son �
50. Gas Release to Southern Caiifornia Gas Co _.
51. CERTIFICATE OF OCCUPANCY '
No Oate `
;:aecT�ooxess: ��9 GRENOBL� LN
OWNEP'SN►ME: BACK BAY GARDENS HOA
_ RDOBESS: 3]O-D ItIVIERA 5T, C.M.
AHCN/ENGINEEX: •
� RODPES3: .
NEC.NO.:
UNIT:
UNIT:
- PEflMITTEE: WGSTGRN ROOFING CO � f 714 ) II93-4377
eooness: -7 g� 1 1tONt1LD DR A
Ii. B. , rA 92597
LICENSEO CONTMCt08 �ECIAMTION: I hereby aflirm that I am licensea unEer provisions of ChaD�e� 9(commencinA wiN Section
7000) af �ivisian 3 al t�e Business anG Professions Code, ane my lic¢nse is in IuA lorce anG etlect.
ciTr uc.: 0 3 0] 7 0 STFTE UC1Y' Q !\\�\\ cus . (�\�
Date:\� �� �� 1 SipnaNre'�`Y.�d�-� �\�� � /
WOBKEBS' COMPENSRTION OEClAM710X: I hereby attirm that I have a cenificata ot consent ta sel/-insure ar a certificate af Workers'
Compensatian Insurance, or a certifieU cop Ihereof (Section 3800, La�. C�.
raucxxo.:2L5-ti9UNIT�64 E%P.01TE: OL/�1/9.� •
coMrnxr: STATE �
7 Certified coDY is nere6y fumisnetl. � Cenifie0µ`p\y is file0 with the,�"g�\yp��-p rvision.
Date:\� � b -� \ lApplicam' \ `1.T ��-4 \�., � �'
E%EMPTION FflOM WOflNEfl3' COMPENSIITION OECIAPGTION: (This seciion neeA nat be compleleA A �he De�mit is lar ane AunOrea (8100) or ku).
I cetlity that in ihe De�ormance ot ihe work far w�ich this De�mit is issued I shall not empioy any person in any manner Sa as ta 6ecome
subject Io Ihe Workers' CAmpenSd�ion Laws ot Caiilornia.
Date: Sipnaiura:
NOTICE: Ii, atter makinA �Ais declaration, yau shoul0 become sublect to the WarkeK ComDensation DmWsions of ihe labor
Code, you must Porlhwith comply wit� such pmvisions or this.Dermit s�all 6e UeemeO revokeU. : �
CUNBTBUCTION LENOINC �GENCY: I herehy aifirm that there is a constmction lending agency for t�e pertormance oi the wark for
which tAis permit is issuetl (Section 3097, Gv. C). -
IFNDEfl:
' ' FODBE33: _ . .. . . ..
OWNEB BUIIDEB UECUMTION: I hereby aHirm that I am exempt imm the Contractors State License Law for Ne followinA �e�n'
(Section 7031.5 Business anA.Pmfessional CaOe: My ciry of coun'ry which requires a permit ro construct, alter, imDmve, Aemolis�, or
reDair any sirucWre, Orior to its issuance, also requires ihe applicant lor such De�mit b.file a signeA statement that he/she is Iicense0
pursuant m the pmvisions oi tAe Coniracto7 State License law (ChaOter 9(commencing wit� Section 7000) of Oivision 3 of Na Business
and Professions CoOe) ar ihaf �elshe is exempt thereirom and ihe 6asis tor ihe alieped exemption.�My violation oi Section 7031.5 hy
any applicant for a permit sublecis ihe aDPlicant to a civil penalry of not more Ihan live hunUreC'dollars (f500�. -
I, as awner ol the pmDeM;or my employees wi�h waAes as thei� sole camDensation, will Oo tha work, an0 tAe
❑ strucWre is not inten0e0 or ottere0 far sale (Secbon 7044, Business and Pmfessional Gode: The Caneractors' State License Law
tloes not a001y to an owner of a prupeM w�o �uitUs or im0�oves thereon, an0 wh6 does such work himself/herself or I�rough
his or her own employees. provided that such impravemenis are not intenEed or offereA for sale. Ii, however t�e Ouiltlinp or
improvement ¢ so10 within one year ot comDletion, ihe awner will have t�e GurGen.ot pmvinB he/she Oi0 not builtl ar impmve
for the Durpou ol sale): ; . -,
.I, as owner ot �Ae Omperty� am eMClusively contracting with Iicense0 coniractors to consimct the prolect (Section 7094, Business
❑' and Pmiessions Code: The Contractors SWie License Law Aces no� aDPN �o an owner of properry w�o 6uilas ar impmves thereon
an0 who contracis for such Drol��s vnih a coniracmqs) license pursuant Io the Contractors' State License Law). I am aware
�ha� 0�� a� t�eir Worker's ComDensa�iun insurance s�OWA be D�oN0e0 io me. , �
� I am exemp� undor Sec�ion: � B. E P. G ,
lor this reason: '
Wte: Owner.
I tlo hereby certiry ihat I am aware ol anE understand Ihe reQuirements oi Califomia Health antl Safery Cotle Seclions 25505, 25533, anJ
25534 an0 that I or any fuNre huilAinA ocapant will/will not (circle one) neetl to com0ly with said state coUes anOlhe requirements /or a
permit �or construction or moEi�ication Irom (he Pir Oualiry Manaqement bsinct. HesiOential consimction aD0lications are eeemD���ram
these D�ovisions.
�ate: � ApplicanC �
I hereby cetliry that I Aave reaa [his aDFlication anE state that the above inPormation is carrect 1 aqree to camply with all ciry anA counry
orEinances anE state Wws rtlatinq ro DuilOinp constm antl hereby aut�anze representatives of iNs ury ro enter upon t�e abave�mention�tl
D�opeM ior insDection p�urypos�es. �—a���_� �
Wte\�'= �iS�151 �SignalrP� �jl,��`[�A`1.J��-�-�
orivei s License ar Social Secunry x: �
1661>6 W�ife-BuilEinq; Green-Code EnforcamenL Canarv-ADOlican4 Pink-Revenue; GolCenroE-Assessor
� CITi UF COSTA MESA -•DUILDING PERt4IT PERM �10: B 0q5432
P6RMIT NO: I3 045432 PI,AN CHECK NO; N GOV�': N SUPP: N
� � ,
CONSTI3UCTTON TYPE:` � PIiRMIT 'PYPE; STR PURP05E: G'IIi
JOII DESCRIPTION : RGROOF W/40LB FELT 6 fIOT MOP SQ F'T: 900
CLAIM VALUE;. 400.00 C[?LC-VALOE': ,400.00 GROUP OCr; M-1 /
COMM�NTS: '
****���**�rt*****+r+���t�xutt*+r��*��t�*,�*+�**�*�r�rxx��rx��*�x��**�*?r**�*�r�r�i��**;�#��ir�****�:
2 O N I N G R E Q U 3 R E M E N T S .
S E T B A C K S '
------------ MAIN BUILDING ------'----- ---------- ACCESSORY 13UILDING -----------
FRNT: FT IN REAR: F1' IN FRNT: FT � IN REAR: FT IN
LEPT: FT 7N RG2iT: FT IN L'EFT; FT IN RGHT: FT IN
� r
1
PARKSNG REQ: . PRUV: PARC.EL:.43914125 ZNE: REF NO:
YLANNING NQTES>
�rt 3F # iE k it it iE iE iE iE iE 3E iE iF �� # iF iF 3E iE iE iE iE if 9t iE ik iE �f if if iE iE iE ik iF jk iE iE �k iE 3E 3E 3f 1E 3E IE * iE 1E iE if 3E �t i(� iE iE ff iE iE 1E �E iE 3E 3E iF # 9E iE iE jE �%iE iE �F iE iE iE
D E,�� E,:L O� P M E N T 'S E R V I C E S R E Q U I R F M E N T S
i
ZONING, APPROVED, BY __ _ __ DATE:
BOZLDI.NG APPROV�D HY :- — ' ---- DATE: _
APPLICATION IS$UED BY: <� DATE: (2'�I'� "e�
jEiF3EiEiEifiE�7EiE#lfitifiEiEiE',FiFiFiEaEiE�tiFiF3F��ESEi��3F;t���i4iEik E d� E ��iEiE3EifjfikiEiElE�f��if#�._
��iEif3EiE3F#F�1fiEikiEiEil�fiEiEafiEfEiEik , iEitifdEiflEiE#iE�FiEiEiEiE#iEikifiEjEif�lfiE�lE#iEififiE3(-i(-iFifiFiE3fitilifiEiE-)EiEiEiFfE-lF�%ikif##iEiEie
LEGALIZATIODI:N ' L' E E S U M M A R Y STRUCTURAL SEGM�r1T:Y
. . , , . ...o'd:.. .
BLDG'PMT �LUMBING ELECTRIC MECHANIC FIRE SMIP/RES ,J GFtP,DING
PERMIT 15_0 ' S0 �'
PLAN • SMIP /NON-R�F'S
TSSCIE FEE " •
IIUILDING'-L1IJ->. I ISSUE PLAN-CHECK TOTAL PAIDr, DUE
TOTALS---->, 1.`.i0 0.00 0.00 15.50 15.;5;0� � ,00
-: -::.
REVGNUE DNISION T `,S.--> � COLLF.CTED: 15.50 UVER/SHORT,:.• � °- 00
BLDG PMT PLUM I G ELECTRIC MECFIANIC FIRE SMIP/TOT •GRAD7N�',PLAN-CHECK
1 5. 0 0 , 5 0 „.. '',,;
:�
�r*�;�,�**�� x�+���**x�**+��x*��;�*�***+��r**�r*x��e�r*��c�r*�**�*�*�*�*�**��x*�.���+�3y"�,�r***+�**�
I N D I V,T U U A L F E E B R E A K D O W N ��= '`� �
ti
TYYE �'1'Y U� 5 C R I P T I O N UNIT COST �� TOTAL COS1'
SFR 400 �REROOF BY VALUF RESIDENIAL D]OZONE 1.00
END OF FEES i
400.00
,,.r., �;tnT�
OS ��049948-O�D49949 TGT ' i�.50
DATE: 12/18/89 TI11E: 13:04
1. CONSTRUCTION AND PLANNING '. � � POO SPA �
__ APPROVALS Permit # � Date Inspector AppROVALS Permit # Date Inspector
1: Temporary Electrical Service or Pole 52.'Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � �
3. Electrical Conduit 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
7._Footings . 58. Electrical Conduit-Undrgrnd.
8. �Foundation � , . , .' 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ' 60.- Backwash Lines, P-Trap, O Undrgrnd.
10. Struciural Floor System ' , 61. APPROVAL TO DECK
1 i. 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 Plumbing 65. Electrical-Final �
15. Rough Electrical-Conduit � 66. Solar System-Final
16. Rough Electric Wiring � � 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
16. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
� 19. Rough Heating & Air�Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure� 70. Underground Hydro
22. Ducts, Ventilating • 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test '' 72. Underground Flush
24. Roof Framing ' 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . ��"� 74, Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical
27. Frame and Flashing �6.�Dry,Standpipe -_�
e` .
28. Lathing & Siding - � 1"7�. FhXED�SYSTEM FINAL �
29. Insulation �-� � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. PINAL INSPECTION -
32. Electrical Power Meter�Final , 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ' �
35. Final Gas Pipe-Tes{ . �� � .
36. Hood or Canopy , --
37. Final Factory Fireplace � ' � "-'
38. Final Plumbing
39. Water Service�Final '
40. Gas Service-Final �
41. Solar pomestic-Final �
42. Backflow Preventer ..
43. Backflow Irrigation . , •
44. Landscape Irripation SYstem � .
45. Sound Attenuation . �
46. Handicap Regulations . ' � `_
le Ins ions
47. FINAL STRUCTURE & BUILDING `-r - .
�
48. FINAL PLANNING --
49. Electric Release to Edison "
50. Gas Release to Southern California Gas Co ^
51. CERTIFICATEOFOCCUPANCY �
No. Date
I�
PflOJECTA0UHE5S: �6�7 GRENOBi�� ��±`� .
OWNEN'SNAME: WYNIVE �E ILA N, TR
AOOPESS: 36S G{tENOBLE I,N
COSTA MESA,CA 9"1617
ANCMIENCINEEfl: 5 4 A" a y 3 7
AODRESS:
NFG.NO.:
UNIT:
UNIT:
PEflMITTEE: NOCS PLUM➢ING (714)895-1?.S6
FDDNESS: 1.L pG �S7 O( 5EAFtOARD C.TR
LICENSEO CONTflFCTOA DECCAf1A41U1� I h¢rehy allirm �ha� I am licensetl unde�"Or�Dvisio Ol�h�' p(er 9(cammenting wilh SeCtion
7000� ol Orvision 3 at i�e Business antl Prolessions CoOe. anG my license is in lull force ana eBec�
CITY LIC.: STATE LIC.: S5:
USQ39� �1.9.71 C-3�
oaie: 4" �H' 9 nature:.}_ —
� W08REflS' COMPENSATION DECIAflATION: I nere6y allirm inat I have a cenilicate ol consent to self-insure or a cenificate oi workers'
Campensaiion Insurance. ar a cenilietl capy thereof (Section 3800. LaD. C�.
roucrxo.: 116�9yZy� ezr.oare: 03/O1/92
COMPANY: S i AT '�
� Cenihed wpY is �ereby �umisheU. � Certifietl co,y is IileA w7t��ciiy BuilUinp DiviSion.
�Oate� ���L..l.� �APD��nI: _<L��J
L
E%EMPTIONFflOMWOflNEAS'COMPENSATIONOECUflATION: (ihissecuonneeanolbecnmDleleUill�epe�mili5loronehunGrM�5100�orles5).
I ceriily Ina� in I�e pedormante of �he work �or whiC� I�iS permil is issuetl, I Shall noi emD�oy any persOn in any manner 5o a5 �o b¢tome
SUDIe�� �o ��e Ylork¢rs' Comp¢n5aiion Laws of Cab�ornia.
Da�e: Signature:
NOTICE: If, atter maWng tnis Ueclaration, you should Decame sublect to ihe WOMers' Compensation provisions of tAe Labor
� CoOe. you must Ionnwilh comoly with sucn D�ovisions oi Ihis permil shall �e deemetl revokee.
� CONSTBUCTION LENOING RGENCY: I hereby atlirm tAai t�ere is a construction lenaing agency for Ihe petlormance ol the work for
whicn mis pe�mit is issue0 ISenion 3W7. Civ. CI.
LENOEfl:
aooness:
OWNEP BUIlOEB OECLABATION: I �¢re�y a��irm IIHI I am ¢xempi �rOm Ihe fAnVattors' State License Law Ior ihe follovnnq reason
(Section 7fq1.5 Business antl P�olessional Cotle: Any cily oi caunty which r¢puires a permii lo cons�mct, ali2r, impmve. Oemolish, or
cepair any 9mclure. prior �o ils issuance, also repuires Ne ap0�icant lo� sucn permil to lile a siAneA statement that he/sne is IicenSea
Dursuanl m Ine pmvisions of I�e CanUatlors' Sta�e license Law (Chapter 9(commencinp with Section 70W) ol DiNsion 3 0l the Business
antl Prolessions CaOe� ar that he/she is e�emp� Iherelmm an0 i�e basis lor I�e all¢Bed exemplion. Any violaiion o� $¢ction 7031.5 Uy
any apDlicant lor a Dermil suUjecis Ihe applicant la a citil penally oi nol more tAan live Aunare0 tlollars (55001.
I, as owner ol I�e pwOenV or my employees wit� wages as Iheir Sole compensation, will ao t�e woM, anA ihe
❑ simcture is not intenOeC or offeretl for saie (Secuon 70a4. Business antl Prolessianal Cotle: The Cantractors' State License Law
aoes nol apDly lo an awner ol a o�openy wh0 eViles or improves ihereon, an0 wlW does suGl work him5elf/hersell or ihmuph
�is ar �er own employees. O�ovitleU iha� suc� impmvemenis aa nol intentle0 or olfered for sale. Ii. Oowever ihe builtling or
impmvement i5 solC within one year ol complelion, IAe owner will Oave Ihe Ourden oi provinq he/sAe Uitl na� bui10 or impmve
�or Ihe pUrpose ol 5a12�.
I, as owner ol the pmperty. am eeclusively comractinA wil� IicenseG coniracmrs to constmcl Ihe O�ojeci (Section 70aa. Business
❑ antl Professions CODe: ihe ConVattors' Siale Litense Law Oaes n01 appty l0 an ownef al pmp¢rty who Guil45 or im0��s lhereon
ana who comracts lor such Dmlects wi�� a comracmqs) license pursuam to the Comractors' Sta�e License Law�. I am aware
Ihal pmo� o� I�eir Worker'S ComOensa�ion insurance s�aultl b¢ pmviEetl to me.
� I am ¢xempt under S¢ttion: B. 8 P. C.
for this reason:
Oa�e: Ownec
I tlo hereoy cenity inat I am aware ol an0 unaerstantl Ine reQuiremenls al Calilomia Healln an0 Satery COAe Settions 25505. 25533, ana
2553A antl ihal I or any WNte �uil4inB occupanl willlwitl not (circle one� neeE lo comD�Y �th sai0 state cotles anG Ihe repuiremenis for a
permil tor consimction or motlihcalion Imm Ihe Air Ouab�y Management District. Pesidential conslmction ap0lications are exempl fmm
ihese piovisions
Oaie: Applicanl'.
I �ereby cerlilyihal I havereatl�hi5 apDlitaiion and SIa�elhaithe a�ove in�ormalion i5 torrttl. I aA�ee lo tamply wi�� alltity an0 toUniy
or4mdnceSanUs�a�eldw5relatinglobutltlingconslmclianantl�ere6yaNhorizere0re5enta�iveSoflhi5cirytoenier on�heabove�men�ionetl
pmpetly for inspeclion purposes. /� w
_ � / /.��' �"—�I ,// / }
ba�i 4� •. �(� —�(� rSignalurr �y�v�f Y V��
c _
Oriver'S License ar Social Secunty n: � � �.� ��� ���
�6at�46 Whne—Bmlamg: Green—Cotle Enlo¢emem; Canary—Appl¢anl: Pink—Revenue; Galtlenrotl—Assessor
CITY OF COSTA MESA - Bt7ILDING PERNIT PERN, NO: P 051701
AERMTT NO; P 051701 PLAN CHECY. NO: N GOV'C: N SeJPP: N
CONSTRUCTION TX['E; V-N PERMIT 'PYPE; PLU PURPUSE: OTH
JOB DESCRSPTIUN : CHA�GE OUT WAT'�R HEATER SQ FT:
CLA7M VAL[7E: CALC:-VALUE: GRUUF� OCC: R-3 /
CUMMENTS: SMOKE T7E'PECI'<)R RE�"IUIRED
�kif�%IEIEikiFl4-?:�1F�KifY.�#�ifkNiElE#�F#1h�lE�iii( �X�1fi(��JEd'eN�lFlEif�3i#�5E1Eif�if�IF�Y.�!E�%�NiEY,�1F�k�%�K)F��ifIf�K4�M-1ElEk�N�i!ifdE�li�lf�K��!flE�l(#Y�1fifK
'L n N I N rS ERT�BQA�Cji(RSE M E N T S
------------ MAIN BUILDING --------- --------- ACCESSOAY BUILI�ING ---------
rRNT: FT IN �EAR: rT IN FrZNT: FT IN REAR: FT IN
LBrT': FT lN RGHT; FT TN LEFi: FT IN RGHT; Fi IN
PARKING REQ: PROV; PARCEL; 43914129 7.NE; REF NO:
PI�ANNING NOTES>
?
Y y. iE i<' i�' if # ii iF'1't iE iE ?E ic �4 K� 3F iE if 3E if IF if if )F i41(' � K-i.� if iF M"Y� 1f 1f� iF if ie iF .Y- k� iF i% iF k' Y�.3i' jh 1E iFiF iF R 1F IF )f Y�if if i%?!'±E i'r i� iE ir li� # iE # � iF fi� }; iF Y 1I'-1i
D E V a L O P M E N T S E R V I C E S s R E Q U L R E M E N T S
7.ONTNG APPROVED BY ' DATE:
BUILDING APPROVED 3Y : DATc;
APPLICATZON ISSUED 3Y• " DATE: L� L���
�F � iE k� IF N�+(� #E iF if 3i� it ir 3e iF iF iE if ii 3e k.ii.�� �. r �r �r r. n. ..3'r Tr'#F3f �iii��7F'£�'i i'r iF # iE M� ii R ii� ifir n'�Fs f.� 1f iF
1fif�lfk±FiF3E?i-slf7E�iEL:•if#'-'.E�'•f:t3FiE3f�#�3EiEM?E'F.i:�)FiE#�1f3Fii�iflfifif�%IEifiFii�N�'ifiF� �lEi!�3F±clElFN�iFiEi4ie3fiei't}'-}'.'.3fiEY�i'rfiEif�+i�i(��Fii�k
LEGALIZAiION;N r E E S U N M A Y STRUCTURAL SEGMnNT;N
BLDG PMT PLUMBING EI,ECTRIC MECHAN3C FiRE SMIP/RES GRADZNG
PERMIT .3.00
252 SMIP/NON-�c.S
PLAN
ISSUE FEE 3.00
BUIL�D7NG-DIV-> Pc.RMIT ISSUE PLAN-CHcCK TOTAi. PASD D"J'r
TOTAI,S----> 2,00 3,00 0.00 5.00 5.00 ,00
REVENUc DIVISION 'iOTFwS--> CO`LLECT'ED; 5.00 OVER/SfiORT; ,00
3LDG PMT PL'JM3ING �LHCTRIC t✓cCHANIC FIRE SMIP/TOT GRADING PLAN-CHcCK
S.UO
1t�lE iE if if #� If iE %� li- lE !f k 1E if iF ii� iF �lf # if i4%jC i%iF if k if x� A- 3e iE JF 1F �f� IF d"r 3F iF if K� i( il�?E iE k if Y� i(� i(�?h 3f �Y.� i 1E # iE � 3f �k i( if� 3'r I!� iE �i(� ih i: i'r 3't 3h if i61( iP if X� N
I N D I V 2 D i7 A L F E E B R E A K D O W N
TYPE QTY D c S C R I P T I O N i7NIi COST TOTAi COST'
PI�U 1 WATER iiEATnR AND /OR VENT 2, 00 2, UO
END UF FcES
9i �SCJ96iZ1—Cf1�5.131 TD'r- .,,_
CF'TEe 04�3u191 TIPir: IC:��
CONSTRUCTION AND PLANNING POO. ;PA �
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electriwl 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. Elect�ical Bonding �
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER G�nd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit�Undrgrnd.
�8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd. _ , 60. Backwash Lines, P-Trap, O Undrgrnd. •
. �
10. Structurel Floor Svstem , 61. 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 Plumbing � 65. Electrical-Fina�
15. Rough Electrical�Conduit 66. Solar SYstem-Final
76. Rough Electric Wiring 67. � Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PIASTERING
18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Tesc � 72. Underqround Fiush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing , HEALTH DEPT. REQUIREMENT
31. Plastei 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 �.� '
.
36. Hood or Canopy ,
37. Final Factory FirePlace � �
38. Final Plum6ing S�jl � (irL(�
39. Water Service-Fin81 �
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigatio�
44. Landscape Irrigation System �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ,
48. FINALPLANNING °'
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Cn � .
51. CERTIFICATE OF OCCUPANCY
No Date
mtlndtl ✓6 /A�
PHOJECT FOONESS: 3 Ej ] GRaNOB LE LN
OWNEP'SNqME: WYNT\E LE ILA M TR
nooxess: �69 G{tiNOBLE LN
COSTA MESA,CA 92627
54R-4937
RflCM/ENGINEEfl: AEG.NO.:
nooxcss:
uxir:
uxir:
PEXMITTEE: NOCK PLUMHING (714)895-1246
nooeEss: 11610 SEABOARD CIR
STANTON CA 90680
LICENSEO CONTBACTOfl DFCLAN11TI4N: I herehy allirm Ihal I am licensetl untler pmvisions ol Chap�er 9(commencing wilh Seciion
7000� ol Division 3 ofihe Business and Professions Coae, an0 my license is in fu0 torce antl e��ect.
CITY.4C.: OSO.�BCp �srareuc.:511971 � cuss: C—"6 ����,_f �v�
�alq: ����f— SignaWre: �� /� �it�
WOBREHS' LOMPENSpTION OECIAPpTION: I hereDy atiirm ��at I have a cenilicaie ol con m selt-inwre or a ceniliwte ol workers'
CompenSalion I}�5 ra Q� c�j Ii e copy Ihereol (Section 3800, Lab.
POLICY NO.: +��� •' � r�� E%P. �ATE: �� O 1 I 9 Z
COMPRNV: S 1 ATE
";,7 Cehilied topy is hereb�y yIUmi5he4. � Cehi�i¢tl capy i5 IileO ilh I�e cily Bui in Oivision.
�Dat�: _ • v _ ` � ApplicanC �
E%EMPTIONFROMWOBNEHS'COMPENSpTI0N0EClAPRTIQN: Qhi55ec1ionneMnolDecomDlete iftAepermiti5loro�hmbre0�S100�orlext).
I certily �hat in I�e petlo�man[e ol Ne work �or whic01�i5 permi� is issued. I s�all nal emplay any Derson in any manner so as �0 6ecame
5u01e�� �o I�e Workers' Compensa�ion Laws ot Calilomia.
Date: SignaWre:
NOTICE: I�, atler making lhis deClaralion, yoU Should betOme 5uble�� �o �h¢ Wofkefs' Comoensation pmvisians of ihe La6ar
CoEe. you mus� lonnvntn comply witn such pmvisions ar �nis permit snall Ee OeemeO revakea.
CONSTBUCTION LENDING AGENCY: I Oereby aflirm that ��ere is a con9mc�ion IenCing agency lor I�e pehormance ol tAe work for
whic� t�is �ermit is issue0 (Seclion 3097. Civ. C�.
LENOEN:
aoonEss:
OWNEX BOILOEfl �ECLRPATION: I here�y al(irm I�at I am exempt imm I�e Con�raqors' Slale License law lor ihe following reason
(Sec�ion 7031.5 Business antl Pmfessional Cotle'. Any ciry oi counly which requires a De�mil Io cons�mci, al�er, improve, demolish, or
repair any s�mc�ure. Orior �o its issuance. also reQuires the applicant lor such permit lo �ile a 5igne0 slalemen� �ha� he/she is licensed
pursuant lo I�e D�a�isions ol ��e Con�ractars' State License Law (Ghapter 9(commencing wit� Sectian 7000) of Divisian 3 of t�e Business
anU Prolessions Code) or Inat ne/sne is eKempi Ihereiwm antl ine Oasis for the alleAee e�emplion. Any violation ot Section 7Q3t.5 Uy
anY appbcanl for a permil su0lecis t�e aOPlicanl �o a civil penalty o� not more Ihan Irve hunOfeU tlollafs (5500�.
I. as owner al ihe o�ooerty o� my emDlayees vnih wapes as their sole wm0ensation, vnll Eo I�e work, and tAe
❑ simclure a notintenaeA arottereC Iorsale�5ecuon 70A4, 9usines5 and PmfessionalCoCe: The Contractars' State license Law
aoes not aODly to an owner ol a D�operty who 6mlas ar impmves t�ereon, and wAo tloes suc� wark himself/herself or ihrougll
hi5 or Aer awn em0loyee5. pmviAeO ��ai SUth impmv¢menis are not inl¢nd¢a or olfere0 br Sale. I�, Aawever lhe �Uiltling or
impmvemenl is 5010 within one yea� of campletion. ihe ownet vnll have t�e OurOen ol pmving he/she tlid not 6uiltl ar improve
for t�e pwpose ol sale).
I, as owner ol t�e DmOeny, am exclusivety conlmc�ing with Iicense0 contractors to cansimci the D�oject (Sectian 7Uad, Business
❑ antl Pmfessims CoGe: T�e ConVacmrs' Stare License Law dces not apDN �o an owner ot pmpeny who builtls ar impmves ihe2on
anA wno contracis far sucn pmiects witn a conirattarls) license pursuanl to ihe Coniractors' Sla�e License law�. I am aware
Inat o�oof ol Iheir Worker's Compensation insurance shoule Ce pmvitle0 to me.
� 1 am exem0� uneer Seciinn� B. 8 P. C.
for inis �eason:
Date: Ownec
I do hereby cenAy Ihal I am aware ol an0 untlerstane �he requiremems o� Calilomia Heallh an0 $a�ery Cotle Sections 25505, 25533, an0
2553G antl Ihai I or any IUNre �uilding occupan� willlwill not (circlo ona) need b comply wii� said Slaie co0o5 and Ihe reqwrements for a
permii for conslmction or motlifica�ion Imm ��e Air �ualily Managemenl �i5irici. Resitlential consimc�ion applications are eKemp� imm
IAese pmvisions. '
Oaie: ADPlitanP.
I �¢reDy ceruly I�ail�ave reaU I�iS apDlitalion and 51a1e�ha� Ihe aboveinlormali0ni5 torr¢tL I agr¢¢ t0 [omply vn1A all ciry an0 Counly
ortlinancesana5latelaw5relatinglo�uilQingcon5�mclionan��ereOyaW�arizerepresen Iive5ol1�i5cilyioen�erupontheabove-mentioned
pmperly loi inspettion purpo5C5.
D�a�le: _�`�—�/ Signamre: _ • _ —
Driver's License oi Sodai searny x:
t6aFa6 W�ile—BwlCing: Graen—CaCe Enlorcemenc Canary—App6cam: Pink—Revenuo: Golaenrotl—Assessor
� CITY OF COSTA MESA — BUTLDING FERMIT PERM A10: P 05227
PERMIT NO: P 052279 PLAN CHECK NO: N GOVi: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : CHANGE UUT WATER AEATER SQ Fi:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HOME
?fiFiFifa'r#f3fN-3F*3f#1f�ifiEiFifi:iEiE3FifIFih141Eih iE�EiE3E1EiP#iEiFif3fifiEiFiFif-iE1EiElEiFlFifklfffiEaEiFiEif3'rifii�iEiFiEifiEifff3flFif�Eifi'r3f�aFiEiE
Z O N I N G R E Q U T R E N. E N T S
S E T B A C K S
------------ MAIN BUILDING ----------
FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN
--------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN
LEFT: F'f II3 RGHT: FT IIv
PARKTNG REQ : PROV: PARCEL: 43914129 ZNE: REF NO:
PLANNING N13TES>
7
if if 1F if iE iE !f iF IF if i(� iF i4 3f if if iE if 1F iE if ?E aF # iF Ih 1F iE 3(- if� iE 1F iF �lE if iE iF iF 3h �E fi� iF iE aF iF lE ib�i(� iF fE iF �if � IE iE i4 iE �lE aF 7F 1f i4 i4 if iE iE iF iF i(� iF iF �li if if i�' �F 1E iE 3e
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 . DATz:
BUILDING APPROVED BY : �y��� DATE:
APPLICATION ISSUED BY; r//!NI ` DATE: ����i�
1E iF lf� 3E iF IF # 3f 1f if if �f 34 iE i4 %� iE if� 34 iE IF iF'3F'ir�i ��• �'R�'��Fib?�?F��F££'£7�i1iFlr �lf iF �E i4 iF �k �1E iE iF 3h iE if
iPifiElElEifiF?F�(�lEifiElEiEif�iEiElEiE�k3elEi(�iEiE3Eif�iFif�f�tifiEikiEiEii� ' E�lfiEifikiE*if7Eif�IflFffiElfi(�IFiFiEiE1E9f�1EiEieiflEi6�F1EiPN-iFR3FiFiEji�E�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/R£S GRADING
PERMIT 2.00
253 SMIF/NON—RE5
YLAN
ISSUE FEE 3.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK iOTAL PAID DUE
TOTALS----> 2.00 3.00 0,00 5.00 5.00 ,00
REVENUE DIVISI013 TOTALS--> COLLECTED: 5.00 OVER/SHORT; .00
BLDG PMT PLUNBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
5.00
iE iE iE iF �F #F iF 3F 3f if iE ,� iE IE iF if ?F 3'r if �f R 3f IE ii� iE aF iE 1E iE iE iE 3E N�-lE iE iF �k 3E # if iE iF iE 1F IE IE if ie 1F if �F 3E If iF3F iE if 3E iF i'r iE jE 3f if �f iF iE if 3�� iE iE IE i(� N� ii� 1E iE th?E
Z N D I V I D U A L F E E B R E A K D O W N
TYPE (�TY D E S C R I P T I O N TJNZT COST TOTAL COST
PLU 1 WATER HEATER AND/OR VENT
END OF FEES
2,0() 2.OU
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CONSTRUCTION AND PLANNING POO ;PA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
��•
1. 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
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Founda[ion ', � 59. Gas Pipe, O Undrgrnd., Test °
9. Water Pipe�Undrgrnd. ' � 60. Backwash Lines, P-Trap, O Undrgrnd. '
70. Structural Floor System � 61. APPROVAL TO DECK �
11. Property $ewer Line & House�Connection 62. Backwash & Receptor�Final -
12. Sewer Cap � � 63. Heater & Vent-Final '
13. Roof D�ains 64. Plumbing System - Final
14. Rough Plumbing , _ 65. Electrical-Final
15. Rough Electrical-Conduit� � i� 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. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping OGas OOiI�
23. Gas Pipe�Rough & Test 72, Underground Flush
24. Roof Fram�ng 73. Undergrnd.StorageTank OGas ❑Oil •
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 PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT �
37. 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 ' � \' �- �
.36. Hood or Canopy . ,
37. Final Factory Fireplace -
38. Final Plum6ing �q,� �
39. Water Service�Final �
40. Gas ServiGe�Final � • � .
47. Solar pomestio-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation � , .
46. Handiwp Regulations � � ,
47. FINAL S7RUCTURE & BUILDING . �
.,
48. FINAL P4ANNING '
49. Electric Release to Edison � �
50. Gas Release to Southern California Gas Co
51. CEFTIFICATE OF.00CUPANCY
No Date
OWNER
JOB ADDRE!
GENERAL G
AP No. 43�
II '.CTION
5.
GAS
W RTER
ROUGH PLUMBI
S 1 Si
MISCELL�NEOUS
ROUGH NEnTING AND 41R CONOITIONING
TEMPORnRV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH wIRING
TRENCMES FORMS STEEL REINF.
f'1.00R SYSiEM
90ND BERM � $iEEL NEINFORCE [—I
SHEPTHING
FRAME RND FLASHING
LRTNING — IN OUT
PLnSTER.BAOWN COAT
STRUCTUN�L. FIN�L
H� �G, VENT., REFPIG. �NO �.C^., FIN�L
PL �ING, FIN4L �NO G45 TEST `'
ELECTRiC, FIH1L
6UILOING, FINRL
DATE 4-17-80
SUBCONTRACTOR
i7li1��:[�a
2 y, .�v v� -'
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� COSTA MESA BUILDING-SAFETY DEPARTMENT pPPLI ATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RECE PERMIT
For Applicant to Fill in Completely — Use Ink Only
BVILDING q,p,Np, ��y� V�����8�� '3 66 5
ADDRESS 369 Grenoble Lane
OWNE(30R ADDRE55 369 Grenoble Lane
TENANT L. Wynne
MAILING UNIT Oft
ADDRE55 369 Grenoble Lane SPACENO.
TR.N LOT BLK.
cirv
Costa Mesa, No` 548-4937 3`-p�3 3 3
CANSTRUCTION NEW ADD ALTER REPAIR MOVING �EMOLISH
LENDER Cash by owner
X X
BRANCH XX
OWNER L. Wynne
AODRESS XX
ARCHITECT TEL. USE � a � kitch remocY�RUE$���^
V
OR ENGINEEIi ^
7
AODRESS ZONE PE � GROUP �—�
Wa ne Howard Contr. �+PPROVED cf �� �0
CONTRACTOR y BV DATE
ADDRESS >>16 Harbor Blvd.
c�rv Santa Ana, No'-� 531-6718
�i� No. 351944 LICyNO.
07447 APPROVEDSETBACKS
SIZE NO.OF BLDCaS. (FROM C/L STR T)
OF LOT NOW ON l0T 1 RONT
useoF condo
EXISiING BL�Ci. I SFT. O
Separate permits are required for L. SIDE
electric, plumbing and heating work.
REAR O FT. �
USE OF BUILDING AND WORK TO BE PERFORMED P�p,NNING ACTION
Ext fam rm -
DATE
kitchen remodel APPROVED
APPROVED�� � 7 �,a
I hereby acknowledge that I have reatl this application and state �
r
that the above information is correct and agree to comply wlih
all laws ragulating builtling construction, antl I shall not employ
any parson in violetion of ihe workman's compensation laws of ;
the State of Californla. /^'fD � ,
I hereb certif ihat I am � SQ. FT. �
y y proDerly licensetl as a coniractor untler °
ihe Staie of California Business and Pfofesslons Cotle, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR [
Chapter 9, antl thai suc� licenus ere in full force antl effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE NLY:
am ezempt from the provisions of the Stata of Calitotnia Business :
VALUATION PERMIT FEE $
and Professions Code, Division 3, Chapter 9. � D O (
%�d� e r COliti. PLANCHECK $ 2��tl �
Signature of � ^
Perm�tttee ' ('r S ��l , TAX S • �! �
� v
Authorizetl Bant Date TOTA�PAID $
TL
. _R � . `
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 917 COHTA MH9A. CALIFORNIN
For Applicant to Fill In Completely
TYPE OR PR(�INT
ILDIN6 �/] � � � `,{, �/ p `
DRESS U �jl'1O/1'lU-V'���C
COSTA MESA, CALIFORNIA
/10}`�.� p FIRE
a- 2 I `'Q''1 I+ NO. icpO�D =ONE
APPP
;R N0.� C• I d.V� N0.�7���� BY
�i G O �1.1.¢J� i-�7vrrron a e�'i':� --�-
vr.
CITY � /ti N^ e-i
STATE / � r�' Q'I ryp � � ��- O
LIC. NO. d"�
OF LOT �J /' SJ •�� / I Now ON LOTe ^~
USEOF ��
EXISTING BLDO.
BETBACK L�Ne FpOM �
CENTEP OF 6TFEEf �•�� REAR YARG �
SIDEYAR�I L6FT --I R16HT
DESCRIPTION OF WORK
BUILDINO33 �r3.�, NO.OP 6
SIZE ROOMS BTORIES �
EXTERIORWALI�/ I ROOP /D 3NiNGLr
COVERING T�'<<�� COVERINGy�k?N'a
USE UILDIN6,AeNHWO�RKTOBE FpRaM QL� �A
N !%
o��,f �a-
1 HENEBY ACRNOWL¢OO8 TXAT 1 NAV6 RGD THIB APPLICATIOH
ANO 6TRTE THAT THH ABOVH IH COHRECT ANO A6NEi TO COM-
PLY WITX ALL CITY OqDINANCfiY ANU iTATE LAWB RiOULATINO
BUILOINQ CONSTRIICTION. ^/ /J %� /n�
SIGNATURE OF'�,��' � IA,.. //� i prl /� �
PERMIiTE�/'� -s "'�LC LJ )t
AUTHORIZEDAGENT ►(� Ll. //L�VIFTI�'rl _
FEE RECEIVED
�l.N��I��E DE����
APPLII�.�YOAF F�x��21aI��
BUILDING
For Office Use Only
Re�4,.� �o. �9�"P8
Y OAT6 PHC[IV�D7 OATE 199UE0 '
<r 4 0 _"
YARD9 MPROVED
MAIN BUILDIN6
tOM C/L BTREET 1
)NT � Ff.
una � Gr
VAR. Sk
is�-� so. �
TN8 AMOUNT G
PUPP055 OF I
VALUATION
$ „'�^a 0''V
% 7�
BHALL BE LE83 THAN
YARD9APPROVED
ACCESSORY BUILDINO
OATE
`7
VA�UATION 19 FOR THfi F
A PEflMIT FEE ONLY. �
0
IT FEE $ � � j
r9 m
GHECK S �� �
_FEE S
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