HomeMy WebLinkAbout3198 HAITI CIR - Building PermitsP.'��ECT AO�flESS: 3 I y H HAI T I C I "
OWNEn'$NnME: �C:IOnNING3, SOSEPd C
nooeess: 3198 HAZTI CIR
COSTA NILJA,CA 92626
APCNIENGINEEfl:
AODHE55'
flEG.NO.:
IINIT:
UNIT:
PEHMITTEE: BOYER i 714 ) 642-2431
aoonEss: 1'i6U NiONROVIA AVE A-20
COSTA �^nS�. CA 92627
LILENSEO CONTPPCTOB �ECIAHATION: I hereby affirm Ihal I am licensed un0er pmvisians al Chapter 9(commencing wi�h Seclion
7000) ol Oivision 3 0l Ihe Business antl Pmlessions Cotle. an0 my lic ' in Iu0 farce antl enetl.
\iT�/ U""� TnTeuc.,566902�us C1
� Sipnature:
WOflREFS'C MPE PTIONOECIAflATION: Iherebyaflirml�a�Ihaveaceriilicaleo�co en� sell-insureoracetlilicateoiWorkers'
Com pensatio Insurance. or a ceniiied copy ��ereo� (Semion 3800. Lab. C).
POLICY NO.: E%P. UATE:
COMPFN7:
� Cenibea copy is hereby Wmishe0, ❑ Cenified copy is �ilea with �he ciry Builtling Division.
oaie:
ApplicanC
E%EMPTION FflOM WOflNEflS' COMPENSATION OECIAPRTION: (ihis seciian neetl noi 6e complete0 if the permii is larone huntlretl �5100) ar i¢ss�.
I c¢rii�y Ihat in Ihe Aorma e of Ihe woB �or w�ich ��is permi� is iss el employ any person in any manner So as to become
5ubjecl Io itre�N 5' Co p�atio Laws oi Califomia.
l La'
I�4ZIE�' � Signature:
NOTICE: If, a�ter king IAis tledaralion, you shoultl �ecome subject to e Workers' Con nsation provisions at ihe Labor
Code, you must fonhwiih com0ly with such pmvisions ar Ihis permil s�all be tleemea r �e0.
CONSTBUCTIDN LENOINC FGENCY: I hereby a�tirm �hat �here is a cans�mciion IenOing a y br the pedarmance af Ihe work for
which Ihis peimii is issu¢d (Sec�ion 3097. Civ. C�.
�exoen:
AODHESS:
OWNEfl BUILOEB OECIANATION: I hereby af�irm Ihat I am exempl �mm Ihe Conlrac�ors' $�a�e License Law lor ��e following rea5on
(Secuon 7�3L5 Business and Pm�essional Coae: Any cily of counry whic� repuires a permi� lo constmc�. al�er, impmve, tlemolish, ar
repair any simclure, prior lo i�s issuance. also requires the applicani �or such permi� �o lile a Slgnetl statemen� iha� helslle is Iicen5e0
pursuam b �Ae pmvisions o� the Coniracmrs' State License Law �Chapler 9(commencing wi�h Seclion 7000) ol Division 3 of the Business
antl Pmfessions COAe� or ihai he/s�e is exempt therefmm antl Ihe basis for the allegetl exemption. Any violation ot Section 7037.5 6y
any applicant lor a Dermil subjec�s �he applicant lo a civil penalry o� no� more �han five �untlretl dollars ($500).
I, as owner of ihe OroDetly or my employees with wages as their sole compensation, will Oo the work, anA the
❑ stmdure is no� intenaeA or oilere0 for sale �Sec�ion 7044. Business and Pm�esSional Cade: The Conlra[�ors' S�ale License Law
tloes not appry �a an owner of a pmDerty who bui105 or improves t�ereon, antl who tloes 5uch wmk himSelflAerself o� tAwugh
his or �er own employees. pmvidea Ihat such imD�o�emen(5 are no� in�entleE or oflered lor 5ale. I( however �he 6uiltling or
impmvement is soltl wit�in one year of comple�ion, �he owner will have Ihe burtlen oi pmvinA he/she Oid noi builtl or impwve
lor �he purpose ol sale).
I. as owner ol ihe proper�y, am exclusively contrac�ing with IicenseU conlractors to conslruci t�e pmleci �Seclion 7044, Business
❑ anA Pmlessions Code: The Contrac�ors' S�ale License Law aoes noi apply to an owner of pmDeny who builtls or improves thereon
ana who conlracls lor such pmlec�s with a coniracbr(5) license pursuan� to the Contractors' Slale License Law). I am aware
tha� pma� o� Iheir Worker's Compensation insumnce 5hoW4 be provitletl �o me. '
� I am exempt untler Section: B. 8 P. C.
for 0is reason: �
Daie: Owner
I do hereby cer�ity �hai I am aware ol antl waers�antl Ihe requiremen�s ot Cali�omia Heallh and Sa�ery Cotle Sec�ions 25505, 25533, antl
2553C and �Aal I or any IWure building occupanl will/will no� (circle one) neetl �o compty with said stale codes and �he requiremenis for a
permit for consimclion or motli�ication tmm Ihe Air Oualiiy Management OiSVicL ReSiden�ial constmc�ian applications are exemp� imm
Ihese pmvisions
Oa�e: Applicanl;
I he�e0y cenilyihat I haveread ��is application ana sta�e��at Ihe aboveinforma�ion is correcl. I agree to compty wilh all ci�y antl county
ortlinances zntl slplelawsrela�ingio buJding con5lmQion an0 �ere ' e repreSenlaiive5 ol�his ciryto enteruponihe above�men�ioned
pmperiy �ar inspection puposes.
Ay;::(�_/ -� Siqnature: ��
(
onver s Laense oi Socia� Seanty a: �
1641-46 While—Butltlingl Green—Cotle Enlorcemenl', Canary—Applicanl;
Goldenmtl—Assessor
1
C.iTY,OF COSiA MESA — BCiILDING PERMIT PERM NO: � 054y.54
PERMIT NO: E 054964 PLAN C:iECfi NO: N GOVx: h SJPF: N
CONSTRUCIION T'YPE: V—N PERMiT TYPr.; ELE PJRP�SE: OTH
JOB DESCRIFTTON : liPGRADE SERVICE SQ FT:
CLAIM VALUE; CALC—VAL"uE: GROUP OCC: R-3 /
COMMENTS: *
iF iS-�If K� If �IE 3f 7E 3e dE JF ak � iF aE if-?P?E if� if� iE ?f �E i!� IE iEjf iF iF if �lE 3i� �1F l(� 3f �lE 7F iF # k.Y # li� # ie iF �1E if �1F 7't iF +F iF *!(� 3f 3k?F *�1i-�lF iE #E 3F �� if ➢F if �k �# l'r iE iF �f �%3E #E If
7. O N I U G R E Q tJ I R E,u E h i S
S Y T b A C K S
------------ ,KAiN BUILDING ---------- --------- ACCESSORY HliILDING --------
FRiVT: l T IN REAR� fiT IN FRiVT: F'I' IN REAR; rT IAI
LEF7'; FT IN RGHT; FT ZN LEFT: FT' IN RGHT: ; T IN
PP.RKING REp • P30V; PARCr.L: 13S12235 ZNF,: � REF NC�:
PLANNING NGTES>
)
i'r iF if 3f 1f iE 3i� 3E � 3f 3? jf �4� if 3E iF 3c iE 3F ii iE #:� ii iE ii� ��lE j4 if 3E iE iE-k iE� if iE iE �1e ie �k 3i� �E i'r iE i[� ic �� 1c?F �74 ic iC- 3f iF iF iE � if } ii 1E iFif }= i't ii iF i: iF if a ie lE �a 3b' 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 � M E N T S
7.OnING APPROVED BY r%� DATE;
BOII�DING APPROVED BY ; DATE:
APFLTCAT'ION SSSUED BY: � „` llATc:
*�+��:��**�+��**�*K�����a�'�;����� �.�t� ....'z�i�zfir*+�+�������e>��r��
jt'ii'jt'*':�-ik')f'iti�"�"x'i�"K'i�-�'�{'�if'N'it)CiFi�jtfFil�"�'1Eitji'if')t'}.'�'Jl'�-�tifif3F ��- iFiF�'iti'�'�iEk')C'K�"��'itjtit�'�'if%'ifi�"�'i�')1"K'F�'?E�F1�i�'jt"�4'i!{�'
LEGALIZATZON:N F E�E S U M M A R Y STRUCTiJRAi, ScGMENT:N
BLDG PMT PLUMBING ELnCTRiC Mc.CHANIC rZRE S,yYP/REs' GRADINr
PEkMII' 18.50
, 50� SMIP/iVON—RES
PI,AN
IS.�,'liE FEE 1 `_i , 00
BUILDI-NG—DIV—> PERN.IT ISSUn PLAN—CHc:CY.
TOTALS----: 18,50 15,00 0.00
REVENUc DIVISION TOTALS--> COLLECI'ED:
HL�PG PMT VLUAIBSNG ELECTRIC ,`4cCAANIC
33.50
TOTAL PAID DC7E
33,50 3�a.50 .OU
'?3,50 OVER/SHORT: ,00
rZRE SNSP/TOT Gr"tADING Fi.AN—CHECK
?f iE ie � 1C If iE if If Y ih ik l'r u 1F if u{E 1'r iE iE ff K jf� 3E if #f ii� ii� �f IF 3f iE if iF k aF i(-1F �'r iE % k if?F iF i:: ?k if �IE #� �E !E 9e if if +E 3F iF if� 3f 3(� �lF?6 3i ?f 1F?E )f �� fE Ye 3i� i(� ?i� �i� 36 r. ,y.
Z N D I V I D U A L r E E H R E A I{ D 0 W N
TYPE (ZTY U E S C R Z P T I O N TJNIT' COST 10TAL COST
r.i,: 1 SERVICES BcLUYJ 600 C� G FiELOW ZU1 �P 18,50 18.5(?
END Oc F�.ES
,
�
a.+. c�acira'�i�4'O1L1%�S �c: J =3,5s�
�AiE: 1?/Dr'/5: tlfi4% 10;.._
�� � POO� ;PA - 4
d, _ CONSTRUCTION AND PLANNING
APPROVALS Permit #.�- Date Inspector qppROVALS Permi* # Date Insp� tor
�1. Temporary Electrical Servi�e�o.Pole � i� 52. �Pool & Equipment Location � �
2. Soil Pipe-Undrgrnd. � � `- � 53. Steel Reinforcement • V
3. Electrical Conduit Utility-l�ndrgrnd. . � 54. Forms �,' �
4. Electrical Conduit-Undrgmd, ,� ' � 55. Elect�ical Bonding --_ �J
5. Steel Reinforcement � � - 56. Rough Plumbing & Pressure Test '
6. Electrical UFEF Gmd. 57. APPROVAL TO�COVEft�GUN{TE
7. Footings � 58. Eiectrical Conduit-Undrgrnd. �
8. Foundation � � �� 59. Gas Pipe, O Undrgmd...Test ��'
9. Water Pipe-Undrgrnd. .� �; .' 60. Backwash Lines, P�Trap, � Undrgrnd. � � ����
�
10. Structural Floor System', ��� j j,•.� 61. APPROVAC TO DECK `i �,�
11. Property Sewer Line & Hou� ^Connection �� �� 62. Backwash &-ReceptorFinal ~ t
...;
72. Sewer Cap � '„ . 63. Neater & Vent-Final � ;�'"��
.., , n
13. Roof Drains ��� 64. Plumbing System �- Final -
14. Rough Plumbing � �. 65. Electrical-Final • r
i
15. Rough EfectricaPConduit " 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access ApP�oval
17. Reugh Wiring Sign � . 68. APPROVED FOR'PLASTERING
18. Rough Electriral-T Bar Ceilir�g 69. POOL/SPA SYSTEMS FINAL
' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough F.actocy Fireplace ' �APPROVALS Permit #
21. Ducts, in Structure . 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas O'Oil
23. Gas Pipe�Rough & Test � 72. Underground Flush
24. Roof Framing , 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurap & Monocoat 75. Dry Chemical ,
27.� Frame and Flashing � 76. Dry Standpipe
28. Wthing & Siding � - 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat - . 79: FIP}AL INSPECTION '
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED�
33. Final Electric !� �.g� ' Notes: �
34. Final Heating & Air Conditi0ning
.'
35. Final Gas Pipe�Test � '�" ' �
�
36. Hood or Canopy �� �
37. Final Factory Fireplace '
38. Final Plumbing
39. Wacer Service�Final � -
40. Gas Service-Final
41. Solar pomestic-Final �
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Irriqation System
45. Sound Attenuation �
46.� Handicap Re9ulations � ,
47. PINAL STRUCTURE & BUILDING .. �
48. FINAL PI.ANNING . •
49. Electric Release to Edison ,� �
50. Gas Release to Southern California Gas Co �,_,
51. CERTIFICATE OF OCCUPANCY .- �
No. Date
%
,\
PflOJECT ROOFE55: 31 9 H HAI T I C I
OWNEP'SNAME: SCHOENINGH, JOSEPH C
aouwess: 3198 HAITI CIR
COSTA MESA,CA
556-7948
FBCHIENGINEEP: � � '
RO�flE55:
92626
flEG.NO.:
uxiT: ,
/�J D
UNIT:
- PEflMITTEF.'GREGORY BROTHEAS FRAMING ( 714 ) 631-4708
aooness: 933 ARAOR ST
COSTA MESA CA 92627
UCENSED CONTPAC7oP oEClANA710N: I hereby affirm inat I am licensed under D�ovisions o1 Chapter 9lcommencing wi�h Section
7000� of Division 3 of the Business anA Professions Cotle. and my license is in fulilorce antl eflecL _
ciTv u^c.: 0 4 7� 4 �3. qsTnre uc.: 5 4 7 5 51 n\„ �ass H
Oate: _d�[_� SignaWrc: J������" _
OflREBS' COMPENSpTION OECIl�BRTIUN: 'I hereby affirm I1�a ✓have a cerlihcate ol cansent to setl�insure or er�i�icale ot Workers'
lmpensation Insurance. or a ceriiliea capY �hereoi �Sec�ion %�0 Lab. C�.
IPOLICY NO.: ; E%P. OpTE:
COMPANY:
❑ Ceriified copY is hereby Wrmshetl. ❑ CertitieE capy is �iletl wi�h Ihe ciry Building Division.
Date'. Apphcant:
E7(EMPiIONFXOMWOPKEBS'COMPENSRTIONOECNMTION: �TOissectionn¢EOnotbecomple�eAif�heDermili5�oronehuntlred�5100�or1e55�.
I cetlify Ihat in t�e petlormance o� the wark lor which this permil i5 issued. I shall no� employ any D i in any manner so as lo become
sublec� la the Warkers' CamOensalion Laws oi Calilornia. �� ��( �
�aie: 7"��� �/ SignaWre: ' YL[J� — �
NOTICE: If, afler making Ihis tleclaration, you shoultl beco e bject lo the Workers' Compensa�ion pmvi ons oi Labor
CoOe. you musl latlhwil� comply with suc� pmvisions or ' permi� shall be deemed revoked.
CONSTflUCTION LENDING AGENCY: I here�y alfirm �hat�here is a con5imction lentling agency lor ��e pedormanc of lhe work for ,
which 1�75 permil is lssuetl (Sectian 3097. Clv. C).
�ExoEx:
AOOflE55:
OWNEN BUILOEH DECLANATION: I hereby affirm ��at I am exemp� imm Ihe Coniractors' Slaie License Law �or Ihe following �eason
�Section 7031.5 Business antl Pmfessional Code: Any ciry ol couniy which requires a permi� lo consimct, al�er, impmve, aemolis�, or
repau any simcture. o�ior to its issuance, also requires ihe applicant for such permit to file a signeU stalement Ihat he/sne is Iicense0
pursuanl Io Ihe pmvisions ol the Comracmrs' State License Law (ChaD�er 9(commencing wnh Section 7000� o� Division 3 0l �Ae Business
ana Pmlessions Cotle) or Iha� he/she is exempt therefmm antl Ihe �asis �or the allegetl erempiion. Any violation o� Section 7031.5 by �
'ny apphtan� lor a permit sub�ects Ue applicant �o a civil penalry o� not more �han �ive �undred Oollars ($500�. ,
I. as owner of IAe pwpe�y or my employees wi�h wages as Iheir sole compensaiion, will Ao the work, anA Ihe �
I � simcmre is not intendetl or oflered for sale (Section 7044, Business and Prolessional Cotle: The Contracmrs' Stale License Law
tloes nol apply lo an owner ot a pmperty who builds or impmves Ihereon, antl wha tloes such work himsel�IherSeA or thmugh
his ar her own employees, D�ovide0 �hai such impmvements are no� in�entletl or o��ered �or sale. I�, howeve� �he Uuilding or
improvement is sold vn�hin one year of complelion, IAe owner will have Ihe burden ol pmving �e/she OiA no� �uilA or improve
lor �he purpose ol 5ale)- . '
I, as owner o� ihe pmpeny. am exclusively conlraciing wilh licensetl con�rac�ors �o cons�mct ihe pmleci (Section 7044, Business
❑ antl Pm�essions COGe: The Contracmrs' S�aie License Law does not aDDly lo an mvner ol Oropetlywho bui105 or imOroves ��ereon
and wno coniracls lor such prolec�s wilh a wniractor�s) license pursuant to the Conlractofs' State License Law�. I am aware
�ha� pm�l ol �heir Worker'S Compensalion insurance shoultl be pmvitled lo me.
Q i am exempt un0er Senion: ' � B. 8 P. C. �I
lor I�is reason'. � �
Dale: Owne[
Do here6y cetlify lhal I am aware ol ane untlerslantl �he requiremen�s o� Califomia Heal�h antl Sa�ery CoOe Sec�ions 25505, 25533, and
2553A and Ihai I or any IUWre builtling accupan� will/will no� (circle one) nee0 io comply with saitl s�ate catles an� �he repuiremen�s lor a
permil br conslmclmn or moei�ication tmm �he Air Oua6iy Managemen� Oisiricl. ReSiden�ial conSlmciion app�icaiions are exempt �mm
Mese pmvisians.
�ate: Npplicanl:
I hereby ceruty ihal I have read ihis application and s�ale Iha� �he above inlormation is carrec�. I agree to compty wilh all cily an0 county
artlinances antl sla�elaw5rela�ingio butlding constmciion antl hereby aulhorizerepresen�a�ives o�ihis cilyio enteruponihe a6ove�men�ioned
Pmpeny lar inspeclion purposes. /� �/J � ^
�ate:�-��^ `� Signaiure: �/A�-`7 �� / /J // I
oriver's �icense or sociai security a: V _. _
1641 46 WOue—Bmldmg: Green—Cotle EnlorcemenL Canary—Hpplicanl: Pink—Fevenue:
CITY OF COSTA MESA — HUILDING PERMIT � PERM NO: BE 05095
PERMIT NO: BE 050957 PLAN CHECK NO: 00233-91 S, GOC�T: N SUPP: N
60NSTRUCTION TYPE: V—N PERMIT TYPE: ELE STR- ' ' PURPOSE: ADD
JOH DE5CRIPTION ; ADD STORAGE ROOM TO MASTER BEDROOM SQ�fiT_; ' �.400 ,.
CLAIM VALUE: 5,000,00 CALC—VALUE: , 27,600;00 GROUF OCC: R-3' /
COMMENTS: NOT TO.HE USED FOR SLfiEPING! � -
�x*��r���*��r*�*�*�r*���r**�x�r*�**��***+�**�r*x�+���*���xx**��**�**x�����r*�r�*� �� �y
Z:O N I N GS ERTEBQAUCIKRSE M E N T S�pAO�� ������4J�
�d�
------------ MAIN BUILDING �--------- —=------ ACCESSORY BUIII�SNKU�� --
FRNT: FT IN REAR: 61 FT IN FRNT; FT IN RE;AR:, FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN'
PARKING REQ • PROV;. PARCEL: 13912236 ZNE: R1' RBF NO:
PLANNING N(5TE5> 900 SQ,FT, ADDITION (CLOSE7' AND STORAGE ROOM) TO EXISTING
> SF.R ' "
�•***x*�-x****�x ***�**�rx�**�x�***�*****x�****�r�**�*****�r***�t**� x�� **��t***� **x **x-x*�t*
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 • S C C DA'TE; ��,
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY• �r:��L��� DATE: a.. ,$r '
1EiEiEiE%1FiElElEiEiElEiFlEif3fiElfiEiE1E'lE . . .. . . .c n7 . . �ll F3FiFiEfEiE1E7E1E�1FlEifiF -lt ?E1f '
�t**x�****�t�rx�r*xxx�r***x�r****�*�r*�a x*�r�+t�� ** *****x��x+�*******�*�**x�*�t**�r*x���r*
LEGALIZATION:N F E�E S U M M A R Y STRUCTUFiAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMIP/RES GRADING
PERMIT 271.50 12,00 �:.1,;93
. 50$ SMIf;.fNON—AES
PLAN 176.48 •
ISSUE FEE 15.00 ,? — "'
HUILDING—DIV—> PERMI7' ZSSUE PLAN—CHECK TO'PAi,' �PAID;'," DUL•' ,
TOTALS----> 285.43 15.00 ' 176,48 476.91 476,91'• ,,00
REVENUE DIVISION TOTALS--> COLLECTED: 300.43 OVER/SHORT: 3 .00
' BLDG PMT PLOMBING ELECTRIC MECHANIC FIRF. SMIP/7'OT GRADING;�,PLAN—CHECK
271.50 ; 27.00 1.93 • . '
iE iFlEiE iE i! iklE dE iE iE 3E iF *�E 3E 3k iE 1F# i(� �7f 3E 9Ei(� aE jF iEiE if iliF 3F-% 3F iE iE ii jF iE jF 3E 3f iE 1f 3F 3E iF iE jE iE 3f �k if i( * 3f �1f 9E i�-1E * if� iE iE 3E iE � iE iE �E 3E iE 3(��K i6 iE iF �
I,N D I V� I D U A L F E E ' B R E A K D O W N
TYPE QTY D E S C R� I P T I O' N UNIT COST TOTAL .COST
SFR 400 DWE-1'YPE: V—WOOD FRAME —GOOD 69.00 27,600.00
ELE 4. EIXTURES LIGHTING 1 ST 20 �A, ,75 3,00
ELE 10 RECEPT/O�LET 1 ST 20 L•a1 .75 , 7.50
ELE 2, RECEPT/S 1'CH 1 ST 20 �.���� .75 1, 50
� ' � � � �'jEE5
i
E�7C� �
Incomplete Inspections
OatE ._._ — Sig -j."�
v
Q^/l� GOQE0236•-GpOC�S0(2�A&(' Ti(�L"j i 'S�6,y,i
VI)Tti. O?/VV/ii 'li14C.i �.LLi�i
CONSTRUCTION AND PLANN�,.,,i - � OOL .PA
APPROVALS Permit# � Date ``Inspector pppROVA�S 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-Undigrnd. - 55. Electrical Bonding
5. Steel Reinforcement �' S6. Rough Plumbing & Pressure Test ,
6:�ElectriwlUFERGmd. • 57. APPROVALTOCOVER�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 Svstem i 67. APPROVALTO DECK � �
i;
11. Property Sewer Line & House,Connection 62. Backwash & Receptor�Final
12. Sewer Cap • '.j r� � 63. Heater & Vent-Final �`
13. Roof Drains - ,� '. � 64. Plumbing System • Final i' '�
14. Rough Plumbing ��S 65. Electrical-Final � %�
15. Rough Electrical-Conduit r j_, � 66. Solar System-Final ' ��r.
i
16-R�ough Electric Wiring ' 67. Fencing & Access ApProval ��
17.,bbugh Wiring Sign �-' �' 68. APPROVED FOR PLASTERING
.i
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning'� FIRE DEPT. REQUIREMENT
• �,
20. Rough Factory Fireplace � � � ' �' ' ' APPROVA'LS � '� Permit #
� , .r_ -
21. Ducts, in Structure ; .. .. .�� 70. Underground Hydro
22. Ducts, Ventilating •• �� '_ � 71, product Pipin9 O Gas O Oil
23. Gas;P,ipe-Rough & Test ' - '4 : � ' �. `' 72. Underground Flush • �. ��
24. Roof Framing• � • � •� . � ' r ' `73.� Undergmd: Storage Tank O Gas ❑ Oil � � �
25. Roof.Sheathing . - � .`' 74. Overhead Hydro �
26. T-Bar Ceiling (Structurap & �Monocoat _ . • � 75. Dry Chemical � , _
27. Frame and Flashing� ` ' . ; � 76. Ory Standpipe � � � "''. �
'.28. Lathing�& Siding t . . • � + -. �� •��, � 77,' FIXED SYSTEM FINAL
�
29. Insulation ' . �� �� .. . �' 1; .r � r.; �- . 78.,FIRE PREV. FINAL
��30. Drywall Nailing ' �� ; i! +i+- t � HEALTH DEPTrREQUIREMEN7
; 31. Plaster Brown Coat _ i �, ; .1 ( I � '�;_ , , 79. FINAL INSPECTION , ' - �
� 32. Electrical Power MeterFinal � - I I�'� � 80. FOOD CERTIFICATE ISSUED �: ' I
.33. Final Electric .' ' ' _�I ��, ; "Notes:, , ;T, � ; _ �'' � �
, �. � ' ,
34.,FinalHeating�&Air,Conditioning . � l�; � ��� .�_ :-� -, . „ �� tr �: •
35. Final•GasPipe-Test' ' ' � ' lj;.�; e � � �- - , '� ^ c�;
>
36. -Hood or Canopy � , � , ' r�. .j , , : '" �, � ; x Y_ �
-C : L �. .
`37. Final Factory Firepiace , . � �'� i ,? �� �; ,. ' • � ' - . �
��38..Final Plumbing - . . � � �= �'! ' � '' • .
t I �
• 39. Water Service-Final ' � ' � � 'j i ' ' � : . .
�40. Gas�Service-Final � , � � � ' _ - � P'
41. Solar�Domestic•Final �- � ^ • ` �
i � f�
`42.-Backflow Preventer� � � �� � 4�� : " ,
43. Backflow Irrigation � L�• � • � '�� . �
,_.. � •.� . . .
44. Landscape Irrigation System � � � . � � � � . �
45. Sound Attenuation� �.3 � � � ' � � t ' '
i
46. HandicaP.Regulatiops -� - • . � � , i ��
47. FINALSTRUCTURE�&BUILDING .•°� � c?i _
� -48. FINAL PLANNING,. ' � . " � `;�� rc , .s .
49. Electric Release to Edison � • ' ' '? � �' - � ± '
'.i'i ;, -;% "�
50. Gas Release to Southem California,Gas Co � � '� � �%i, � , , . , . . . .
.51. CERTIFICATE OF OCCUPANCY' , �� . �
No. Date
PflQIECT AODPESS: 3 1(j 8 HAI T I C I
OWNEfl'SNAME: SCHOENINGH, JOSEPH C
aooeess: 3198 HAITZ CSR
COSTA MESA,CA 92626
556-7948
RflCHIENGINEEX: NEG.NO.:
, AOOHESS: �
uxiT:
UNIi:
PE"m'TTEE: GREGORY. BP.OTHEP.S FRAMING (7I4)631-4708
nooness: yg� AR90R S'I'
COSTA MESA CA 92627
LICENSED CONTNACTOP UECLAPATION: I hereby a��irm �ha� I am licensed unAer pmmsions ot Chipter 9(commencing with Sec�ion
7000) of �rv�sion 3 oi �he Business and Pmfessions Catle. and my license is in full force an0 efiecL ,
ciTv uc.:.0 4 7 7. 4 3 STqTE LIC.: 5 e(') j�j � cuss: B
Date: � �' �—g � Signa�ure: __
WOFNENS' COMPENSATION OECLABFTION: I hereby affirm tha� I v a cetliticale of consen� to sel4insure or a ceriih ale ol Wurkers'
Compensaiion Insurance. or a certiliea copY �hereof �Section 3800. L. C). �
POLICY NO.: � E%P. DR :
COMPpNY:
i� CeNfietl copy is hereby �urnishetl' ❑ Ceniliea copy is �iled with Ihe ci�y Building Division.
�a�e'.� Ap011canC
E%EMPTIONFqOMWOBREBS'CUMPENSpTIONUECLi1PpT10N: (Thissectianneednot6ecompleteAifihepermitisforonehunOreO(S1W)orless�.
I cenily ihat in ihe perlormance of tne work lor which tnis permii is issued, I shall not employ any n any manner so as to become
sublec� lo ihe W,orklers' Campensation Laws o� Califomia. - '
Oate: 3 � �I — � -Signamre:
NOTICF. II, after making this declaralion. you should becom , bject to lhe Workers' Compensation provisi 5 oi �h Labor .
Catle. you musl totlhwilh comOty wilh such provisions or � 5 ermit shall be tleemea revaked. .
CONSTBOCTION LENOING pGENCY: I hereby atlirm ��at �here a coretmciion IenOing agency for the pertormance the work for
w�ich �his permil is issuetl �Sectian 3097. Civ. C). ,
lENOEN:
�ROOflES$: �
OWNEN BUILDEH DECUNATION: I hereby aHirm that I am exemp� Irom ��e Comracmrs' S�ale License Law �or �he �ollowing reason
(5¢tiion 703L5 Bu5ine53 and Pmf¢Ssonal Cotle: Any ci�y of county whith requires a permit l0 COnstmCl, al�er, imprOve, demolish, or
repair.any SlmcWre. prior �o i�s issuance, also requires �he aDDlican� lor suc� permii to lile a signetl statemenl that he/she is licensetl
pursuani lo I�e pwvisions of Ihe ContracroK Slate License Law (C�ap�er 9(commencing with Sec[ion 7000) of Oivision 3 of ��e Business
antl Pmfessians Cotle) or t�at he/she is exempt thereham anJ Ihe basis for Ihe allegeU exemption. Any viola�ion o� Seition 7031.5 by
any applican� �or a permi� subj¢c�s the applicant�o a civil penal�y of not more ihan live hundretl tlollars ($500).
I, as awner ot,�he pmp¢rly ar my employees wi�h wages as �Aeir sole comDensa�ian, will tlo �he woB; antl the
❑ stmcture is not intentletl ar o��eretl �or sale (Sec�ion 70a4. Business and Pm�essional Code: The Coniraclors' Siale License Law
tloes nal apply lo an owner oi a property who builtls or impmves thereon, and who tloes such wark himselOherself or thmugh
nis or her awn emplayees, pwvitled ihat such imvmvemenis are not inten0ed,or onereA lor sale. It, however ihe buil�ing or
1 imDmvement is sold wi�hin one year ol campletion, ��e owner will have the bur0en of proving �e/she ditl noi Duild or impmve
: for the purpase oi sale�.
I I. as awnero� ihe pmperty, am exclusivelp conlrac�ing wi�h licensetl contractors to cons�mct the pmlecl (Seclion 7044. Business
LI antl Pmlessions Cotle: The Con�mciors' Sia�e License Law does not appry to an owner o� pmpeny who hmlAs or impmves �he2on
antl who conirac�s lor such pmlects wi�h a coniracmqs) license pursuant �o �he Cantrac[ors' S[aie License Law�. I am aware
Ihat pmai ot their Worker's Compensa�ion insurance should be pmvided �o me. ,
� I am eeempt under Sec�ion: B. 8 P. G �
.lor �his reason: • . '
�ale: ' Owner:
I tlo hereby cetlify �hal I am aware of and untlerslana the requiremenls of Califomia Heal�h an0 $atety Cotle Sec�ians 25505, 25533, and
2553G antl Ihal I ar any lulure builtling occupant will/wili not (drele one) need to comply wi�h said sla�e co0e5 and ��e requiremenis lor a
permil Iorconslmciion or mo0ifica�ion Imm Ihe Air Ouality Managemen� OiSiricl. Besiden�ial cons�mction applicaiions are exempt �mm
�hese Dmvisions.'
Oaie'. Applicani:
I hereby cer�Ay �hai I nave read this application antl slaie Ihatihe aboveiniormaiionis correcL I agree lo comply wi�h all cily antl counly
or0inanre5 and statelawsrelalingto building con5lmciion and here�y authonze representalives of ti o enteruponthe above�menlione0
pmpetly lorinspection puQrpo'ses. -
i. Dale. J�=E� _ 9gnaiure: -
o�i�ers ucense o�`sociai securiry x: '
1fi4La6 While-6wltl'm�� r.o<�—r�no Fnlnrcnmene Canarv—Annlicam� Pink—Revenue' Goltlenrotl—Asses r
CITY OF COSTA MESA - HUILDING PERMIT PERM NO: nM 05129`
PERMZT NO: EM QS1:.'47 _ PLAN,CHECK NO: N GOVT: N•SUPP: Y,
CONSTRUCTION TYPE: V-N PERMIT TYPEr ELE'MEC PURPOSE: OTH
JpB DESCRIPTION : Ei,EC METER 6 GAS FIRPi,ACE (APPLSANCc.) SQ rT;,
CLAIM VALUE: • CALC-VALUE; , GROFJP OCC; R-3 7
COMMENTS: RE: H50957 PRIMARY BLDG, PERMIT,'
xx ���r**�*��****�*�**�**�+�**x�************�*�*+�.*�ra�****a�x� ��********�**+�**+�***�c�i��
., 'L O N I N G R E Q U•I' R E M E N T 5
' S E T B A C 3! S
------------ MAIN bUILDING --------=- --------- ACCESSORY BUIiDING -------=-�
FRNT: FT' IN REAR: FT IN rRNT; FT IN REAR: FT IIv
LEFT; FT' IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REO• PROV: PARCEL; 13912236 ZNE: � REF NO:
PLANNING NCSTES> �
_'. ' _ � . . ._ , _.. . _ _ . .
1f �f if- iE 1k iF iF if if IE iF if iE if if iF iE )f IE I4 i4 fF 1F if� k if i!� 1f #f �f i61F !f �lf if iE fE �FiE Jf iE 1E i4 �lf i(� �E 1F #f If �l! +E �7E iF!! jf ic 1E 1F iE iF �E iE 3E �F if if 361F iF iF iF �Y �IF?E 3!# iF iE iF iF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY i DATE;
BUILDTNG APPROVED BY': DATE:
APPLICATION TSSUED BY: DAiE; �������
ifiEklE1F�1F1E1EIEifiEiFitiEiElEiFiElFihiEif . . . . . . .iFiEiFif!!#�iFiFafif ��iFaEiE
lE�fik3kifif3E+!iEifiFiPiFiFiEiElFiEiEiElfiElf#ififjElFiflEifiFiPiE3EjEiEi41EY �iE ifiEkiE�FifMiflflEii�iE3fieiF�ffiF3EiEiEiF�E1E�FiFiEiF�KiEiEiE#EiFY.-
LEGALIZATION:N � F E E S U M M A R Y STRUCTJRAL SEGMENTcN
BLDG PMT..PLUMBING ELECTRIC MECiiANIC FIRE SMTP�(RES ' GRADING
FERMIT 18,50 9,50 � �-
� 50$ 253 SMIP"/NON-RES
PLAN
ISSUE FEE 9,50 ' ' 9.50 �
HUII.DING-DIV-> PERMIT ` ISSUE PLAN-CHECK TOTAL ��PAID Di7E
TOTALS----> 18,00 9,00 0,00 37.00 "'"-37.,:0.0 .00
�i -
REVENUE DIVISION TOTAI�S=->- COLLECTED: 37,00 OVER/SiI�]x'21; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT ',GRAAII3G PLAN-CHcCK
• 23.00 19.00 . � ` �-
. . • . . . � . . i..• � •
iEa't'�1F1P1EIfifiEifjt%ifiEiEif#EM�1E�fiflFffifiFiFiEiFiEiF�!�iEiElE�7fiEiflfYlEiEiFihlElE�lf3fkiP-lfifkififiFjFiElf#E1E�)E1Eif#f�iF.3fiEiFiFif�tiElEif#�kiFiFif �
I N D I V I D U A L F E E B R E A K D O W`N•,=" �
TYPE QTY P E S C, R I P T I O N' � UNIT' COS'P '-�' TOTAL COST
ELE 1 SERVZCES BnLOW,600 V 6 HELOW 201 AMP 18,50 18,50
MEC 1 GAS PIPING SYS �- 9 OUTLETS 3,00 3,00
MaC 1 �FACTORY FTREPiA E 6.50 - 6,50�
, END OFE ��R E �,D
. Incomqlete Inspections
0
S�g �-- ' .
Ci 30G&1435-r��708?93i "!"�=;T 3'.��
0{1Tc� U3iD:J9i iIYt�: 16:fl7
i
CONSTRUCTION ANDPLANNING - POO . �
APPROVALS Permit � Date Inspector pppROVALS Permit # Date Inspector
�
1.�Temporary Electrical Serviceor Pole - 52. Pool & Equipment Location .
„ .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3.�Electrical Conduit Utility-Undrgrnd. - 54. Forms
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding
� 5. �Steel Reinforcementy . 56. Rough Plumbing & Pressure Tes[ �z
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
. 7.�Footings � 58. Electrical Conduit�Undrgrnd. �
8. Foundation �- 59. Gas Pipe, O Undrgrnd., Test ��`:..
� - ,; ,
._ =i. � I
9. Water Pipe•Undrgrnd. �� �� � 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor_System j , 61. APPROVAL TO DECK I
11. Property Sewer Line & HousiConnection � 62. Backwash & Receptor-Pinal �
72. Sewer Cap ' 63. Heater & Vent-Final
, .
73. Roof Drains ' , x� , 1�/ 64. Plumbing System - Final �� •'
14. Rough Plumbing - .� �.�� .� �� � 65. Electrical-Final ��+
15. Rough Electrical-Conduit .� �' 66. Solar SYstem-Final ,j�
16. flough Electric Wiring L,/ � �� 67. Fencing & Access Approval ��
17. Rough Wiring Sign � . 68. APPROVED FOR PLASTERING �'�
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rouc�h Heating & Air Conditioning � FIRE DEPT. REQUIREMENT �
20. Rouyh Factory Fireplace � • � : � � - ' r �APPROVALS' �Permit # ' '�
21. Ducts, in StructuFe ' . � � - � + -70. UndergroundHydro � � �
22. Ducts, Ventilating - ' 71, Product Piping OG'as O:OiI
23: Gas Pipe=Rough Si Test . � r 72. Underground Flush- -.
24. •Roof. Framing 'r� . � • '� - • - �73.-Undergrnd. Storage=Tank O Gas ❑ Oil �
25. Roof,Sheathing .. ; �. 1�1' . "' -, �74. �Overhead Hydro
26. T-Bar Ceiling (Stwcturaq & Monocoat � ' � '� � 75. Dry Chemical • = -
27rFrameand Flashing_ .'�` P. , 76 Dry Standpipe �" �. � '� `'
\+
� 28: Lathing & Siding , fi s' • �•= 77.. FIXED SYSTEM FINAL •'�
29. Insulation � � ' �� ; - 78. FIRE PREV. FINAL . . -
� 30. Drywall Nailing ,� � ,�'-'�� • HEALTH�DEPT. REQUIREMENT
37. Plaster Brown Coat�. „ � LL,79. FINAL INSPECTION- �- '
� 32. Electrical Power Meter-Final� � , �� Y f 80..FOOD CERTIFICAT.E ISSUED '
c
, 33:rFinal Electric � r i � ��� ' Notes; - � . ` ' , -�=.'u=���.-.'�2
34.��Final Heating & AirtConditioning� " � - , , • - � -�CJ-I •
35.'Final Gas Pipe-Te'st� - • ' �• -D - " _ ' ' � _ 'i ,
i( /• .. . � _ � .
,36.�Hood or CanoPY� „ . � (���� . . ' ._ - • � . � _ {
37.-Fin�l Factory Fireplace _- �3 . !�/i! ; � ' . : "� . ,'' ci
38. Final Plumbing , � � • � ��l -- � � . , � .•- `�
� r lt r a;
.�39. Water Service�Final� ' • � '''• - " �- ' ' -
- 3� - _ i
�40. Gas�Service-Final � , • „ , � , , � � �- � � � � ; '
�,47. Solar pomesticFinal • �� ' ,
, - .
42. Backflow Preventer " � � ' ' '
. �f . . . - ::..��
_ 43. Backflow Irrigation• . . • ' � ' :
44. Landscape Irrigation System� , - ' - ; _
' ' ' � fl t10�1 �
�45.•-Sound Attenuation � � ' � ' , :Y
�
46. .Handicap Regulations ' � , - � '
47. FINALSTRUCTURE&BUILDING � �;, . , � �
�.
'46.`FINALPLANNING ' � ':,. ' , •
49.:Electric Release to Edison � �� �. •
50. Gas Release to Southern California Gas Cv ! ` �� - '�
. _ � .
51. CERTIFICATE OF;OCCUPANCY - _ .
No. Date
` g� Applicanl lo till in'all spaces ezcepl those within heavy Cortler lines anA si9n all apD/opriate tleclarations.
qTYOF COSTA MEaS i��ONSTHUyGTION YtHIVII I
Project �ddress 5 �� A 1 I 1 '
(;"pplicant's Mailing Address _ ' �
Owner's Name q p Phone ��( _1.���
Address � � l� ��L � `�1 � ,
Arch/Eng. License No. -
Address /��/���.,.-y�
Contractor's Name p Phone .D_L�.,CId
Addresslm>i'��I �S�p�- �d S ilii• �/�VI1'1(
City License No. 3����
LICENSED CONTRACTOR DECLARATION '
1 hereby affi�m that I am licensetl untle� provisions of Charte� 9(commencin9
wltM1 section ]000) of Division 3 of Ihe Business antl Protessions Cotle, and
my license is in f I,fqi antl effect. ' �q /
Licen;e Class ��� ense No. yJ—{ y�
Dale Signature � �
WORKERS' COMPENSATION DECLARATI N �—
' hereby aftirm that I have a certificate ot consent to seli-insure or a certificate
Workers' Compensa[ion Insurance„or a certiTied copy thereof (Section
.00, Lab. C.)
Policy No. � Company
eCerti(ietl copy is he�eby fumished. '
Certified copy is filed with the city Builain9 Division.
Date APplicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissec[ion neetl mt be completetl if the permit Is tor one huntlretl ($100) or
Iess).
1 certify tha[ in [he perfo�man<e of tM1e wo fo� which t 5 pe�m�t is i55uetl 1
shall not' mp y any per5on in any m r so me subjec[ to t{te
Wo�ke ' ation Laws of Calito .
Date � $ignature ��
� NOTIGE: If, af[er making [his tleclaration, you sho I become s ject to the
Workers' Compensation provisions of the labor Cotle, you must forthwith
tomply with such provisions oF this pe�mit :shall Ce deemetl revoketl.
CONSTRVCTION LENDING AGENCV �
1 hereby affi�m that there is a,const�uction lentling agency to� the pertormant¢
of the wark� tm �which this permit is 'issuetl (Section 3097 Giv. C.) '
Lentler's Name
Lontler's Atltlress -
OWNER BUILDER UECLARATION
I hereby�affirm that�l am ezempt from the Gontractor's License l.aw for the
� following reason (Seccion 7031.5 Business antl Professional Code: Any city or
� county which requires a,permit to const�uct, alter, imP/ove, Cemolish Or tepai�
any structure, prior to its issuance, also requires the applicant tor such permit
'� to fiie a siqnetl statement that he/She is licensetl puRuant to Ihe provi5ions of
the Contractor's License Law (Chaptet 9(commenGinq witb $ection ]000) ot
-,-.nivision 3 of tbe Business antl Professions Cotle) or. tnat be/she is exempt
��'nrefrom antl the basis tor tne allegetl exemption. Any violation of Section
':"i-31.5 by any applicant for a permit subjects the applican[ to a civil
�: �"fnalty of not more than five huntlretl tlollars ($500).
`�L� I, as owner ot the property or my employee5 with wages as their sole
compensation, will do the work, antl ihe structure is not intendetl or offeretl
for. sale (Section ]044, Business antl arofessional Cotle: The Contractor'S
License Law aoes not apply to an owner of a property who.bwltls or improves
thereon, antl who tloes sucn work himseif/nerself or through his or her own
employees, provitletl that such improvements are not intentletl o� otteretl for
sdle. If, howeveq the.builtlin9 0� improvement is soltl wlthin one year of com-
pletion, tM1e owner will M1ave the burtlen of proving he/she tlitl mt builtl or.im-
. prove for Ihe pu�0ose of Sale). �
❑ I, as owner oi the property, am exclusively conVactin9 with licensetl con-
tractorsto construct the project.(Section ]044, Bu5ine55 and Pwfe55ion5 Cotle:
The ConlractoYs License Law aoes not apply to an owner ot property who
builtl5 0� improves thereon, antl who cont�acts to� such O�oject5 wifh a con-
tractor(sl i�cense pursuant to the Contractor's License Law). I am aware tbat
proof of Iheir Worker'S Compensation insurance shoultl be provltletl to me.
❑ I am exempt untler Section � B. & P. C. for this reason
Cn
Date Owner
I hereby certify' that I have rea�
intormation is correct. I agree to
antl state laws rei ng to builtlir
Sentatives of th' city [o ent�1
InsDection purp s.
Signature
Drivers' License or 55 $
IF 0865-46, rev. SO/B4
is
a
B3 Zy �f Z I. 33c� 3 I /�� / �__ __. .
TVPEOFCONSTRUCTION ,NEW ADO ALTERATION REPAIR
; ❑�CONVERSION ❑ DEMOLISH ❑ OTHER -' '
DESCRIPTION OF WORK/USE OF eLDG.' _ �
TVPE OF PERMIT LJ GRA�ING
, ❑ TENANT ❑-ELECTRICAL
❑ OTHER �
PROJECT DESCRIPTION S4.FT._
CON STRUCTION TYPE__�
ZONE ' GRP
Remarks: � '
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs ' .
rinking Fountains
loor Orains
loor Sinks
as Service � OuUets
Kitchen Sink
Lavatories
Roof Drains
Reinspection Fee
Boiler
Duc[ - Under Ground
Duct - Strnctural '
Duct - Veritilating�
Exhaust System ❑ Multiple ❑
Firepl/Fact.Blt.IC80# �
Heating System & Ducting -
❑0.100,000 BTU 0100,0008T
Rainspeaion Fee � " $15
White - Builtling; Canary - Applicant; Pink - Accounting; Goltlen�otl - Assessor �
�FOUNOATION LJSTRUCTURAL
PLUMBING ❑ MECHANICAL
4.P.� /ay'
5 Main Building:
E
T Front
B Rear
A
C Ri9ht
, ' VAWATION$ _/'ST(J' � I'g eft
ING CU. VDS. 'ACRES p�ng. Ref. #
� : ' . �PlanningNotes:
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Cbset �
Water Heater
Water Service
AUtO-W85I1
Laundry Trays
Issue Fee
Hood or, Typel ❑
Canopy Type 11 ❑
Fiefrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration -
F ire Dampers
Registers �
Issue Fee
FEES
$ 3
FEES
$ 3
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Fan .
F.A.U.
Fixtures
Device Boxes
1�
62�8 3/OB/88
C Accessory Building:
5 �'
�1 I .
!
/
/ '
� P�rking Req./Provided
Electric
25025 'TL
2ane �
� ELECTRICAL _
_ Transformer ❑ 15-50 KW
� 50+KW
Meter ❑up to 100 amps
Meter ❑over 100 amps '
Sub Panel
� Motors OO-1 HP O1 %- 6
' Inc.Solar 09-15 HP �16-75+
� Microwave
Switches
Garbage Dispoul
Generator �0-5 KW �5-15 KW
. I Reinspection Fee ' _ � $15
DEVELOPMENT SERVICES REQI
Zoning Approved By��j��
Building Approved_By . .�L�
wC
Sign
Issue Fee
Sections
2
.o
N
1
N
G
R
E
Q
M
T
S
FEES `
tl
6
$'3
SUMMARV OF FEES..
BUILDING PERMIT $ /:r.�Jv- SMIP � $ � S�
PLAN CHECK $ � �d� PERMIT � , .
PLUMBING � $ ISSUANCE � $
PLAN CHECK 25% $ ENERGV P.C. $ � � .
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM �S ' /
MECHANICAL $ TOTALFEE $ _��.7-7
PLAN CHECK � 25% $ � ,
POOL & SPA
�CONSTRUCTION AND�PLANNING - � � �
�' ' �4: '� Date Ins ec(or � Date Inspector
APPROVALS �Permit # 'r � � P APPROVALS Permit #
: t�
1�.� Temporery Electrical Service or Pole _ 52. Pool & Equipment Location (� . � r
r.A
� ('� 4 `
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement
3. Electrical Conduit Uti�ity-Undrgrnd. 54. Forms , .
4. Electrical Conduit-Undrgrnd. � . 55. Electrical Bonding , 4,. � '
5. Steel Reinforceme�t�z� r . � 56. Rough Plumbing & Pressure Test
�r , l.,
6. Electrical UFER Grndf, � 57.�APPROVAL TO COVE�R-GUNITE -�+-�:
....
7. Footings ,� t f7 ���„} 3 9� 58. Electrical Conduit-Undrgrnd:::��. '��� �' V�" � �
� 8. Foundation..n f� i � � 59. Gas Pipe, O Undrgrnd., Test�; �
. � Z�� ,
9. Water Pipe-Undrgrnd.� ��� � -� 60. Backwash Lines, P-Trap, 0 Undrgrnd. r
10. Structural Floor System�; . 67. APPROVAL TO DECK �� !' ���
11. Property Sewer Line &yHouse Connection 62. Backwash & Receptor-Final �� �1 " r�'
72. 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 �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � � '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �'. ��
1.
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '��
�'.
20. Rough Factory Fi�eplace APPROVALS Permit #
21. Ducts, in Structure ' 70. Underground Hydro �
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush ;�
� 24. Roof Framing� .� 73. Undergrnd.StorageTank �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. �athing & Siding � , 77. FIXED SYSTEM FINAL
/ Y' , .
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: P;�
' 34. Final Heating & Air Conditioning . . ,��1
35. Final Gas Pipe-Test _ _ ,
36. Hood or Canopy _ -
37.-Final Factory Fireplace ,
38. Final Plumbing �� ��
' 39. Water Service-Final � � '
��
40. Gas Service-Final . -
.i
41. Solar pomestic-Final � ,• _ �
42. Backflow Preventer ' � .
, 43. Backflow Irrigation - - , � ' , ,
• 44.. �L'andscape Irrigation System , � 1 _ � �
, 45. Sound Attenuation - - ;'� � ' � -'
:
46. Handicap Regulations , �,� . -
47. FINALSTRUCTURE&BUILDING � � �:
� .,
48.�Special Requirements Completed ' . �
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Cn ,-
51: CERTIFICATE OF OCCUPANCY � � .r
No. Date
�.,x
� City af Casta Mesa Building Dept.,
6Y � .— DATC-�( g 19 �
TIiES: �'L1':NS!;�.Uci Bf_ Qhi 1�'�B AT A!l TiNFS PnAKf
' NO Ch'i::`Jr"�,_°�, ";`Il.'Fi���:i r�!GR P.ppr:JvA� �F 08^i.
� �Z�{c��..
r'r.i;;SSllo,I.ICf-r:rz csr-,!�ii�aC. ; � r,epnnt; - ..^cecvct Or-
PI.ANS,::hl_^, 5?'r.Cifir';,,l:r•J� -i.'+.t��,;.a:,, z.iii�Ori;,,dl)•,�� iiiRE A
PFRV�. Gb? .�c^ n� t:. �'D �]f hY CF
TN°�r'.��:iC ,ri� . '7 I:r � -. �; J"�C�YE
f�v 40 iiY . r C _.-.l t :r?N6
cooe s�nt. c= ;,r.,�, -. �� : :� ;..� r-,... r;s -ne �.. �.... ..z u�_
wH::.r+ �: n.�;:ar_ accs ;s`�;:: �,.:��.
i� '� �'id I,' !';
iHc 5Ukba:c OP fC�N�.:i 'I'� COC P!qA�c Ailn
SPEC:PirN�;�tti5 �;�i:!.L !�l0' FkS:'cN7��iriE ;SU"�DiNG CF�iC!At
fRCAi 7r:`F'E,;Ffe:i nBQL'ikWG "inc' CGI'.i:EC'Ip!d G� EB4iJRS IN
�AIU PLAI:' 15b�'v SP�CIHGTi;iNS '�€ fRU,h FRE�'��1;IIdG
6L'LLDIN(: CPE�ik�i:JNS B:L':G Cai,21E� ON?ti£k2UPIDE4 WHEN
IN `.'IOL' TIOtd Cr 7H6 COC`_ OR OP ANY OTHEH ORD�NANCE OF
r��E ��„l
�
PE610EMCE
�
W
W
�
F
N
NEOIDEMCt
�`s�T�
ADDITIONS, DELEilOUS, OR CORREGTIONS SHALL
BE APPROt�Efl dY THE PLRPINING �EPARTMENT
�' �.P'.��D�.�
��� ��� �a
aua�Fcr pN �pG � FPT.
D-� I. &i�3,
BYDf Mi • 8 '!9 f�'
�_ R OF PtAkN�NO
NE6l0ENCE
3�i ��
STNEET � _ _
qEf10ENtL
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W
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i
TYPICAL 6" CONCRETE BLOCK FENCE
Cement Coping Optional —�
Channel Block With 13/8�
Hqrizontal Top of all
Fences
Fo� Fences 5' or Less
Vert. Bars 3/B"�at 4' -0" O.C.
For Fe�ces Higher Than 5'
Vert, Bars 3/8"��at 32" O.C.
Fill Cells Solid With Grout
Whe�e Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or ta Code
NATURALGRADE
7W0 3/8"� BARS ��
CONTINUOUS TOP I
& BO7TOM ' y_{
.HOR7Z,S7EEL MUST BE TIED IN
VLACE AT TIME OF TRENCH
INSPECTION.
�
�Z
a
i�
W O
�
en
D '
F�-WIDTH
p SEE CHl
9 BE�OW
DL
FOOTING REQUIREMENTS CHART ,
GENERAL- NOTES
MORTAR: pne Part Plastic Cement, and
T�ree Parts Sand
GROUT: One Parf Cement Three and
One Halt Ports S�and
COPING: One Parf Cement, Three
Paris Sand
CONCRETE: Well'Mixed 1:2-I/2:3-I/2
Max. of 7-I/2 Gallons of
Wafer Per Sack of Cement
GROUT MAV BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREAS OF HORIZONTAL HEIN-
FORCEMENT SHALL BE CLEAH, CLEAN &
FREE OF ALL MORTAR DEBRtS, ETC.
H OF EqRTNTCOTH
I/3 THE HEIGTH OF FENCE
��LOW �BOTTOM OF FOGTING.
SCALE: I/2��= I�
9
I WALL MtIliF11 O 7 9 .
WIDTH . . . . . . . . . . . . . . .14" . . 14" . . _.�2'.._,:..'. 12" '
THICKNESS . . . . . . 10'�. . . 10° . . . . . . . . . . . 8��. . . . . . . . ... . 8��
DEPTH OF EARTHTOOTH . 24" . 20�� . . . . . . . . . . . 16" . . . . . . 12"
SPACING OF EARTHTOOTH . 12' . 14� . . . . . . . . . . . 16�. . . . 16�
OWYERS N4ME' ','� �7�S,p`pt, �-
Cit of Costa Mesa alifornia �OB ADORESS _J-�`� ._�1�1� .� �.'�5 __ - - _ -
y � FEFMtT NUMBER;_ y _ _ __ _ � _
Building Department SIGNA?URE � _���9 _\T _ _ _ __ — _ —
��
. . � , _:.r_: _,.> �{E.VIBEP NOK A2
oWNER SHILLING� W. H.
JOB ADDRFSS �198
AP No. 1i9-122-i5 LOT TRACT FIRE 'LONE 3 UESCR[PTION OF
I ECTIONS I Sianalure I DATE I GROUP .T TYPE TTT
SUBCONTIi.ACTOR
P' `�r
1
MAR 1 8 j964
' -= 21763
�.'
_ COSTA MESA BUILDING-SAFETY DEPARTMENT
- P. O. BOX 91] C09Tp MEHA. CALIPORNIA
For Applican! ro Fill /n Complefely
TYPE OR PRINT
BUILDIN6 (� � T /
ADORESS (
COSTA MESq, CALI ORNIA .
OWNER � �✓ - /
MAIL � q� . l� � Q
ADDRE88 L
� TEL. �
CITY �([� .Q �� NO.
Av^y�TEGT ...—�'� TEL.
31NEER NO. '
�EE RECEIVED
tdAH l a 1969
FINANCE DEPT.
APPLTCA71SN FS�TPERMMETA
BUILDING
FO� �ffICB u48 �Iln/
R!C[I�T NO. j+6qM�T O
�/9���
Y OAT[ R@ iVHp ATE 1+Eq
� / /
(/ (O
� G`
I vGROUP
DATE
•'f/1M1�.Ifi �,111/� . " "
� / � -' NOTE: NO EAVE OV ERHAfJ(d SMALL BE LES9 THAIV
STATE � TEC. °�// �� q 90" TO SIDE @ REAR P. L.
LI0. NO. C l NO. �/'/ /
SIZE ��� IV-' ^alxl No.opBl.oas. ALLOWED . �U.B.C.REQUIREMENT)
OF LOT HOW on WT
YARD9APPROVED . YARDSAPPROVE�
USE OF ' MAIN BUILOIN6 ACCESSORY BUILDIN6
E%ISTIN6 BLD6. Q.
(FROM C/L6TREET) .
SETeACK LINB FROM � FR NT RT. � '
CENTER OF 6TREET REAR YAR � '. � /
SID6YARDI LEFI' ' I- RIOHT R.SID FT. !/ FT. O
DESCRIPTION OF WORK �. s�o rr. ---rr--�
N � ALTERATION ADDITION REAR FT. ' �
-' D18TANCE BET. BET. MAIN Q
REPAIR MOVINO DEMOLIBH MAIN BLD6S. ACGESS.BLO08.
BUILDIN6 NO.OF
. VAR.�C DATE
SIZE ROOM9 SfOR183 C.U.P. APPROVE�
EXTERIOR WALL ROOF MPROVE /%
COVERING I COVERINO ' BY TE If/
USEOFB LDN6A DWORKTOBEP RFORMED
es. 4>t
� � �
«
. sa. Fr. "
� H BY ACI(NOWLEO06 THAT � HAVE RGO TNIB APPLIGTION THE AMOUNT eXOWN UNOeR VALUATION 19 FOR�TH6 F
wrvD STATE TXAT THe �BOVE ORFECT ANO AOREE TO COM- PURP08fi OF HBTABLIBXINO A PERMIT FEE ONLY. �
PLr W�iH aLL QTY OHGI C AND BTATH lAW6 P60OLATINO ypLUATION � LYf
BUILDINO CONBTHUCTIO . . ^ `" m
SIGNATURE OF, ' A� � �i� PERMIT FEE $ � ' �
PERMITTE �^'� ' � m
- $.��.D . ' ,�'LANCHECK $ � — � p
AUTHORIZfiD AGENT � �`
� TOTAL FEE $ � '
�
��.
COSTA
.i �V���,
MESA BUILDING DEPARTMENT
P. O. BOX 3 � �
COSTA MESA, CALIFORNIA
.. I. y � � ' I
a�u :61...�t�.�: l� ��i:�
AUG 4 1959
..i.nnr �^.[�.�•
�.'!t-��,�� . _ ..
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 3198 Haiti Circle � BUILDING .
AODRE55
COSTA MESA. CALIFORNIA FOR OFFICE USE ON Y �- •
RECEIPT NO. ' EC Y .-
OWNER nTewport Homes, Inc.
MAIL RECENED BY �aTE FECEIVED TE ISSVEO
ADDRE55 �S a T 7-?� s ��U 1 4195
cirv Newport Beach TNO. 1•:1 (Yy�22 / ADDRE55
ARf '�CT uG COSTA MESA. CALIFORNIA
OP VEER NO. �
FIRE
A�ORE55 �} y ZONE
�.N� O COTISL♦ CITY LIC. -I^, r� ZONE[,•/J� ) pOp'OF TVp "' G/F�OU.LP
CONTRACTOR NO. 1/�J� / /'. / � LyC / '
AODRE55 N8W1JOT't B2flCh NO� �3'z'�/ BPPROVED DATE
lEG�1L � LOT ' 3�'�3' CORRECTIONS
oescaipnov NO. BLOCK TRACT
, r-reg• t�o •' � � s, sa �
A.P.NO. V'. �. I•J
SIZE NO.OF BL�GS. O
OF LOT riow orv Loi '
USE OF
EXISTING BLOG.
SETBnCK LINE FROM
cervlea or sraEcl �D t REAR YARD I
SIDE YARO RIGHT C", LEFT ��i
DESCRIPTION OF WORK
NE\ X ALTERATION ADDITION
REPAIR MOVING DEMOLISH'
BUILDING ' '�'�`�5i ROOMS �- STORIES
SIZE
EXTERIOR WALL S4UCCO COVOERING WOOd Sh
COVERING
USE OF NEW
BUIL�ING dr�ellin
� � �
I XEREBY ACKNOWLEOGE TXAT I HAVE NE/D TMI$ APPLICATION aND
STATE TMi1T THE ABOVE I$ CORfiECi ANO AGREE TO COMPLY WITH ALL
CITY OR�iNr1NCE5 ANO ST�1TE LRWS REGIILATING BUILUING CONSTFUC-
TiON. VALUATION
G'�". PERMIT FEE S q �j
SIGNATU OF /C) /'�/ � •✓ / �
PERMITT E � �' � J t
�/ PLAN CHECK S / j�� �(
$
� ,� .7e
AUTHORIZED Nr TOTAL FEE S �
iir