HomeMy WebLinkAbout2268 PAMELA LN - Building PermitsCITY OF COSTA MESA
BUILDI111G D/VISION
i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us
�.l�m� FOR INSPECTIONS CALI: (714) 754-5826
PERMIT NUMBER 607-00791
PERMIT TYPE
JOB ADDRESS:
Vicinity:
SQ. FT: 0
B_MISC
2268 PAMELA LN CM
STATUS:
DATE ISSUED:
ISSUED BY:
SuitelUnit:
Primary Occ:
Valuation:
ISSUED
06/19I2007
KJB
Const Type:??
$25,000.00
SCOPE OF WORK: REMOVE SIDING FROM RESIDENCE AND APPLY STUCCO.
OWNER: BOOTH, MICHAEL C� - � Address: P O BOX 51716 � Unit:
PHONE: � , � City/State2ip: IRVINE, CA
APPLICANT: JOHNSON, STUART ' : ' �� � Address: � � 2860 W LYNROSE DR Unit
PHONE: 71a-5274739 � � � City/Stale/zZip: ANAHEIM,CA ��
CONTRACTOR: S G PLASTERING CONTRACTORS
Address: 2860 W LYNROSE DRUnit: � --
City/State: ANAHEIM, CA ZipCode: 92804
ARCHITECT: � � . . � � License�No.
ENGINEER: . , , � �-LicenseNo.� �
MISCELLANEOUS PERMIT FEE SUMMARY
Building Plan Check: �• - $0.00 - .
Building PermiC • $391.25
Electrical Permit: ' . • . $0.00
Olher Fee: $0.00
License No. 583272
. _ _ ' PHONE: � -
CELL:
PHONE:
.... . � - PHONE:
SMIP Residential . . $0.00 � . , � ,. .
SMIP Commercial . $0.00 -
TOTAL FEES $391.25 � �
0
NOTICE:. The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. �
INSPEC710NS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permit.
COpEt. INSPECTIONTYPE �T� IN�A� 4QQF,_t INSPEC770NTYPE � � IN77fIRL5
1616 Fized Sysfem Final Fire Preventlon 206 Final Mechanical
1268 Pool Spa Final - 208 Final Plumbing
200 Final Re-Roof 270 Final Eleclncal
201 Pinal Block/Retaining 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
'
WORKERS' COMPENSATION DECLARATION:
I hereby affrm unCer penalry of perjury one of lhe fa�owing tleclarations: �
❑ I have and will maintain a certificate ol consent ro sel�-Insure for wnrkers'
compensation, as provided for by section 3700 ot �he Labor Code, (or ihe
e rmance of the vrork for which this pertnit is issuetl. .
\ -
' I have and will maintain v.orkers' compensation insu2nce, as required by
s tion 3700 0l the Labor Code, for Ne peAormance of the v.ork fw wfiich lhis
permi� is i55ued. My workers' compensation Insurance carner antl policy
number are: ,—�--n
Carrier: �Nv— �nn
(ihis seqqn naeC nof 0e mmplefM e e permP � wWeO al ane nwMrM tlu0ais (5100) nbssl
Policy Number.
❑ I certify that in the peAortnance o! the work !or which this permit is
issued, I shall not employ any person in any manner so as to hewme subject
to Ihe vrorkers' compensation laws of Califomia, and agree that if I should
become subject lo the workers' wmpensation provisions of Section 3700 0l
lhe Labor Code, I shall lorthwith wmply vrith these pmvis'ons.
ACWi�ant'S.SipN4u ���
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAFtS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am IicenseA under provisions of Chapler 9(wmmencing
with Section 7000) of Division 3 0( the Business and Professions Code, and
my license is in full force and effect.
Lic. # Class #
ConVaciw's Sipwture Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum lhat there is a construcibn lentling agency fw the
peAortnance of the Nork !or v.fiich this permit is issued. (Sec. 3097. Civil Code).
Lender's Name:
Lenders Address:
Sigrelure Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrtn Ihat untler penally ol perjury that I am EXEMPT FROM TME
CONTRACTORS LICENSE LAW (or Ihe (ollowing reason (Sec. 7031.5.
Business and Professions Cotle: Any ciry ar wunty which requires a permit to
construct, aller, improve, demolish, or repair any structure, prior lo ils
issuance, also requires the applicant tor such pertnit to file a signed statement
Ihat he or she is licensetl pursuant to the provisions of the Contratlors
License Law (Chapter 9(commencing witn Section 7000) of Division 3 0! Ihe
Business and Professions Cotle) or that he or she is exempt Iherefrom and
the basis (or the alleged ezemplion. Any violation of Section 7037.5 by any
applicant for a permil subjects the applicant to a civil penalry of not more than
fve hundred dollars ($500).�:
❑ I, as ovmer of the propeny, or my employees with wages as their sole
compensalion, WILL DO THE WORK, and the struclure is nOl intended or
offeretl 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 wnrk himself or herself or through his or her ovm
employees, provided ihat such improvements are not intended or oflered for
sale. If, however, ihe building or improvement is soltl within one year of
completion, the ovmervbuilder will have the burden of proving that he or she
did not build or improve for purpose o( sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to constn�ct the pmjecl (Sec. 7044, Business anC
Professbns Code: The contractors License Law dces not appy to an rnmer ol
propetly who builds or improves thereon, and who con[racts for such project wilh
a conlracta(s) license pursuant to the Contraaas License Laws j.
❑ I am exempt under sec.
Busin and Professions Cotle for this reason:
/ ' .� g !e � . Date �
`305]�46�31�])
\
Owner ID venfied by tlrivt .ise. ❑ Yes ❑ No
Driver's License No. Expires:
verification ot Ownership by (rype of document, i.e. - property tax Dill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereDy certify thal no excavalion frve (5) a more leet in tlepth into wfiich a
person is required to descentl, will be made in connection vnth v.ork autlqrized
by this pertnit, antl Ihat no building struclure. sc�(dding, talse�wrk, or demolition
or tlisman�ling thereo(, will be more Ihan Ihirty-six (36) feel high. (Chap. 3.2, Grp
2, M 2, Sec. 341, Ttle 8, Cali(omia Administrative Code).
❑ A5 owner•builder, I will nol employ anyone to tlo vrork which vrould
require a permit from the Division of Industrial Sately, as noted above, unless
such person has a permit to tlo such work from the division.
AOV�iu�nl's Sip^alure
Division of Intluslrial Satety Permit Num6er: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fWure building occupant need to file and
certily a Business Plan for emergency response ta release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Seclion 25505 of the Califomia Health and Safery Code requires, with some
exceptions, that a Business Plan be filetl with Ihe Costa Mesa Fire
Department by every business which has at any one time tlunng a reportetl
year a quanlity of hazardous matenals eQual to or greater than a weight of
500 pounGs, or a volume of 55 gallons, or 200 cuDic feel of compressetl qas
at stantlartl lemperature and pressure).
2. Does or will the applicant or present or tuture builtling occupant need to file
a registration form for acutely hazardous matenals7 ❑ Yes ❑ No
(Seclion 25533 0l the Califomia Heallh and Safety Code, with some
exceptions, requires registration vnth the Costa Mesa Fire DeDartment by
each business which at any one time has on hanC a quantity of acutely
hazar0ous materials equal to or greater than a weighl of 500 pounds, or a
volume of 55 gallons, or 200 cuhic feet of compressetl gas at standarE
�emperawre and pressure).
3. Does or will Ihe applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutety
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 0( Ihe Califomia Health and Safery Cotle provides Ihal the
Costa Mesa Fire Department may requira the preparation, certifiwtion antl
filing wilh Ihe Fire Department of an RMPP by businesses which are required
to register acutely hazartlous materials wiN the Fire Department.
4. If an RMPP is presently requiretl, has Section 25534 0( the Califomia
Health an0 Safety Code been (ully wmplied with? ❑ Yes ❑ No
5. Dces or will the applicant or present or future building occupant require tor
Ihe work which is the subjecl of this apP���tion a pertnit tor such conslruction
or moEification from Ihe South Coas[ Air Ouality Management Dislrict or from
any olher air polWtion wntrol district or agency? ❑ Yes ❑ No
(Section 65850.2 0l me Califwnia Govemment Code requires ihat Itre requestetl
in(ormation be (umishetl on applications fv rron-resitlential Duiltling permits�.
6. Will any part of Ihe facility to be constructetl untler Ihis pertnil be within
1000 (eet Irom the outer bountlanes of a school? ❑ Yes ❑ No
(If'yes". lhe lacility must meet Ihe requirement of Sections 25534 anC 42303
ol the California Health and Safery Code).
7. If a permil Irom tha South Coast Air Qualiry Management Districl or olher
air polWlion coMr01 diStriC� Or agenGy i5 requiretl fOr tha work whith is lhe
subject of this application, have all of the tlisclosures prescnbed by Califomia
Health and Safety Code Section 42303 been made7 ❑ Yes ❑ No,
8. Qf yes", attach certifcate of wmpliance from the appropriate air polWtion
coNrol oKcer).
CER7IFICATE OF COMPLIANCE: I certity that under penally ol perjury the
information given above is cortecL I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1
certity under penalry ot perjury that I have read this application and state that
the information given is correcL I agree to wmply with all slate laws and city
ortlinances relating to building construction, and aulhorize represenWtives ot
the City of Costa Mesa to enter upon t�e above-0escribeC property for
inspection purposes. I agree not to occupy or allow occupancy ot any building
authorized by Ihis pertnil until final inspection.
' namr o s) I Date
I
l.�/
�� I2 onzetl APOh�ah� Date
�oor.essaew�ma: 2268 PAMELA LN
0!"�ERSiwYEIFpqWN:BOOTH, MICHAEL CAMERON
A0°"�BOOTH, JEN HSIN
18711 SAN RUFINO
IRVINE,CA 92715
�vvt. �uuxo �ooxEss
MICNRECT OR ENfiNEFA:
IJICN.ON ENO.'4 ADUHE59:
uxt: I
uc. rp.:
UNf:
cartw�aarsru� pALE' S ROOFING ( 714 ) 534-6398
cam�cLORs�uimo 11550 ANAHEL
��GARDEN GROVE CA ��.: 503508
92643 uM:
LICENSED COHfNRCTOHS DECUFATION: I MrtEy tllim wdx pe�Wy d pe�ury Nm I em Iicm�eE imEar pwieore d Chepla 8
(cam d^G wuh Saction J000) d Oivaion 3 d Me &miwu W PmMetiw COM. my 4oems u in IWI bm erd atletl.
uc. 0.0J4n586/8// uc.cuss:C-39 uc S � XP: 09/97
Dme: / �T — /I!/ � I C9 CaMraram
,
OWNEH BUILOEX DEClAP1TI0N: I hmebJ e1Nm unEer penely al perjuy ihet I em eRemq tmm I Cont�etlas lironae lew la Ihe
lallowip reeeon (5eabn 1031.5 Buainaa end PMea�on+ Cuda: Am uY w caunry whidi rpuirae e peimil lo aombun. elix. impra+.
bmd'oh, a ropei eny sVutlura, pior b Ya iauuka. abo nQu'um tlw eppli�u la euch pemie io fib e egnsd amameni thm le n cM
, i�,,,a w�u �o �� n�� a ub c�,m� �� �. ICheqm 9(cammero�p x'rh Seqion )000) d Oivaion 3 d �he
Buainees erd Prdmabo Cadal a ihq Ir u ehe e ezemN �Mrelmm anE the bcw la iha eCeO� memqbn. MY vidmion M Seaion
1W1.5 by vry eppl'raN lot e peemG eiL'ptls IM epp�c+N b e uhl penelly d nal mae IMn fxe Iwnd�ad do0aze �SS00�.
� I.moxnerdiMPWe�Yum�'emPMaeswthw+peaasthxeolammVa�+e�an.x9dotMwh.endNeslrucNisom�inteMed
«dtereE i« sek (Swbn l0aa. emrev end Prdmpo�w Code: The Caurmon Liceme law doea nol aDOM toen ownera propeny
wlw Wids ar mprwas tMreon. eM Wn doee sud� v.vk limaetl n hanN a Wwqh M a her own amplo�aee. povided thm wch
impo+emwm ve nol'vueMed n disetl In veb. tl. Aowo-ror. ths b ldinp a inpmanae+u eotl xrhin an Ym d mmd�on. the
owiror-0uiNer will heve IM EuNan W qovinp M w aM did nal b6tl a imqwe Iv IM qnpoae d seb).
� I. u owner d Ihe D�M. em e�W�v+eN mntreeYq xiN lioen�ed canuactwa �o wnmue tha V�lea (Sauun raN. Bueineva eM
PMeasbm Cotle: Tne Caureem Isen» lew dwe m ewN b en oww tl PW�Y Ma dAds a'vnPa'y tMison ud r.fa
cm��e:la ta ex� yqe6s w4M1 e mNmtla(a) IKwveE qusueM Io IM Canl�atlan Litwtfe Law�.
� I em uemq �Ma Seciion: B. 8 P.C.. br Nu rmwn:
Deta: �
I do hereEy ce�iF/ �hv I em awere d ud uiMe�sienA tM nW'ueme�ro d CeliaMe HeMh enE Seley COEe Setliom 25505, 255}�, eM
25v1a. ard Mu I ar enY Mua buJd'vq wwQei� xi0 / wil na (artb un) ised �o camWV xth mid ma aod� erd the reW"vamann br
epe�mNlwmuvuctiannmoCifiraiionhaniheAi I�iy wpe�mnt0ipria.RmNeMielcanprudionappfu�iomusaaemqfmmtM1eae
povis'wna.
De�e: ApP«�
WORNEN'S COYpplS�TIIX! DECLAN�TON: I hreby d(vm udar panWy d prpvy aM d Na Idbx'vq ddere�uen:
� 1 endvrilma'vuenecenA'ra�aWmmaMiovetliwnbrxvkas'mnpenWian.npo+idMluMSmbn])OOdtMlebor
ade. la Ihe penarmenca d Ne wM la xtich ihis pemN is ivued.
I heve end wil meinlen xwken' wnpenwion imurarce. m mpu'veC Dy Setlian 3]00 d tlw Leboe Cods. br �he perlmmenca W tM
wM la wM1iN M'v Mmm u mueA. MY wFae' can0e�ion inweerca air ud W�Y wmEer us:
cemar: .4TATF FITNTI EXPIRES
va:,�r+�mc«: n�aca�a-aF 11 /01 /97
(1h' e«tiwr nsed nd be romdaroa I Ne c�t u b mrs nuMrW CaWo (ltaol a bn.)
��ITpnW ihm in Ns W�omwrw d ihe wark br which ��b GK� o'vauM. I WO iwl omOM enY Vd� In enY menrw n es lo
�beJane eubjed ia tM v.wMn' compmaion lewe M CeGlanie epma i M I�hwk wbpcl b IM xorY.a�s'
cofnpeeumian po+ieiom d Saeion 9'!a0 d IM lebor Code. I IonPvmh ihvw .
��! I�-IG - �r.; A,��: �e �:
W�m/np: Fellun ro��cun wort�ri mmpwv+von cov.rep. �s v�nrn.l.na.wr ne/.n en.�w�oy.. ro cmm�n v�ro.� ma
cM� nn.. w ro om nuimw rnouvro edn.. l+�wuooA b���n ro m. co.r o� con�ow�u,rron wm.w.., pova.a ror �n
Sxtlon 81P6 0l Ms LeborCotls, InrwL ����HY'� ��
CONSTNUCiION LENMNO A6ENCI: I Iwaby e1Nm uMm psutlY d par'^vy tIW Ihaa o e aonpeWian bndinp epeM.y lor the
pa�lormeMe d tM wak la whi h ihe pertni u eaued (&euion 909'!. CN. C�.
LENDEN'S NAME
LENOEF'4 RDDNESS:
1 cenily thei I heve reeC Nu epplicelion eM ama IMI Oia ebaw'vJmnetian b wnatl. l eyee to wmpy wilh ell d1Y aM mumY ordinvx:ee
end stele kvn ieleinB �a �iNip conmuaian ud Mreby eWar'¢e npieaenimivm d Ihu ary b amer upon tM ebove�men�oneE piapeM
I« irepetlpn qrtpoen.
DALE MII,LER
(5t51<BWP) Whne-BwldiqbSdNy.
om, i�—/6— 9�'
Pink-Rewnue; GOldenmE-Asaesaor
CITY OF COSTA MESA - BUILDING PERMI'C
PERMIT NO: B 080893 PLAN CHECK NO: N
PERM NO: B 080893
GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCAIPTION : REROOF OVER 1LAYER COMP. W/COMP. SQ ET: 2,600
CLAIM VALUE: 2,600.00 CALC-VALUE: 2,600.00 GROUP OCC: U-1 /U-1
COMMENTS: X
*�****�x�*���*+t***�*����r�*�***+�***�rt**���**�*�*��*�+�**�*x�*�*x�**�x����x*��*��r+�**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42237219 ZNE: REF NO:
PLANNING NOTES> "
%
ih iI' i4 iF if if if if ih ih ih if if if iE i4 iI-iE 1E if if iElElE ih if iE iE if If if iE 1F 1f if iE if jE if if iE li- iE ih iE 3i' if if 1k 1E if 3E if i( iE I(' if fE if 1E IE fE if if if if 1F iE 3E if iE i(' 3E iE'lE 3F if if 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: /
APPLICATIc�N ISSUED BY: r DATE; Y(
ifiEififlFifiElEif1l'if'ifihil-1EiEifiEiElEiEiE�F�FTF�iF�F��l���f��1f� � �F'���������1f���f�FiEiEiE1EiElfiEififk iEff
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC EIRE SMIP/RES GRADING
PERMIT 74.75 50
SMIP/IJON-RES
PLAN �
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 ' 0.00 75.25 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75,25 OVER/SHORT: .00
BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
74.75 _. .50
1F iF if iF iF If iE if 1f 1f IE �E �E �E 1E IE IE If iE fE iE iE iE IE iE 1f k iE iE iE iE iE ik jk fE iE iE If ik 7E 1E Ik �f iF iE * ik M iF iE IE M fE fE IE iE 1E IF 1f iE 1E iE 1E iE iE �E iE 1E iE 1E 1E K 1E iE iE iE 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
SFR 2600 REROOF BY VALUE RES.IDENTIAL NOZONE 1.00 2,600.00
END OF FEES
01 �U?21a3D-00221031 T OT 7`.2S
CATE: ?21i6!9� TIME: iS:08
� CONSTRUCTION AND PLAtJNING POG SPA� �
�� APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
,�
t. Temporary Electrical Service or Pole 52. Pool & Equipment Lncation •
2. Soil Pipe-Undr9rnd� 53. Steel Reinforcement , •
3. Electrical Conduit U[ilityUndrgrnd. 54. Forms
0.. Electrical Conduit-U�dr9rnd. 55. Electrical Bonding . '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVER�GUNITE
7. Footings 58. Electrical ConduibUndrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrqmd.
10. Structurol Floor System ' 61. APPROVAL TO DECK ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap 63. Heater & Vent�Final . •
13. Root Drains ' 64. Plumbing System � Final �
14. flough Plumbing 66. 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 Electrital-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace APPROVALS Parmit #
21, Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Plping OGas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorayeTank �Gas ❑Oil
25. Roof Sheathing ' 74. Overhead Hyclro
26. T�Bar Ceiiing (Strutturai) & Monocoat 75. Dry Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. Lathing & Siding 77, FIXE� SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. FiEQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Mater•Final B0. FOOD CERTIFICATE ISSUED
33. Final Electric Nates:�2�J�� -� ��e �f��
34. Final Heating & Air Conditioning ��, y�'j!( ��
r
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 pomesticFinai
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. HandicaD Regu�ations
47. FINALSTRUCTURE&BUILDING ll,-L3'�'/p �fW�L
48. FINAL P�ANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cn �
5/. CERTIFICATE OF OCCUPANCY
Np Date
PPOJECTAOUNESS: ��68 PAMEiA LN
OWNEfl'SNAME: LTANG, JEN H
aooeess: 1P,711 SAN RUFINO
IRVINE,CA
k 854-2815
' AHCHIENGINEEN:
noosess:
92715
HEG.NO.:
u"iT: GARAG
uxiT:
PEflMITTEE: [jARTWOOD CONSTRUCTZON ( 714 ) 963-3549
aooxess: � 0540 HECFiLEP, RIVEP. AV
FOUNTAIN VALI.EY CA 92708
LICENSED CONTHALTOB OECIABATION: I �ereby ailirm Ihat I am licensea unter pmvisions of Chapier 9(commencing wilh SetliOn
7000) of �rvision 3 0� �ne Business an0 Prolessions CoOe, ana m license is in full torce ano eilec�.
crcvuc.:�j052562 STFTELICJ 9�681 �
' Dalc —a7��� Signalure: _ �� �
WOBKEflS' COMPENSpTION OECNflAT10 : 1 �ereCy allir ' c rtiiica�e o� sen� �o sell-insure or a cer�ificate ol Workers'
'Compensation Insurance. or a<eriilied [o Ihereol (Section
roucvNo.:046-91UNT'C�0026 E%P.Dp ' IIOLI92
coMraxv: STATE
� Cenilied cooY is hereby fumisnetl. � Certilietl copy is file0 w the city Buil '
�ate', - J % / / 1 AGPlicanl:
E%EMPTION FHOM WOPREPS' COMPE�CIABRTION: �This �an n t be c mplete0 i 1 e permi� is Ior one �unGreG (5100� or less).
I certily Ihat in ihe Oerlormance o� ihe xrork �or wNc� t�is permit is 5�^ all not mploy any person in any manner so a5 io hecome
sublecl Io the Workers' CAmpenSaiion Laws o� Califomia.
Date: Signamre:
NOTICE: If, alter making @is aeclaration. you snoN� oecome suUject to the worker5' Compensatian Dmvisions ol �ne Labor
COde, you muSl IOtlIrvn�A tomDN }'^�� Suc� prOvisions or IhiS p¢rmi� 5tull Ee Ge¢m¢0 rewkeA.
CONSTBOCTION 1EN01NG RGENCY: I nereby affirm rtiat ��ere is a construciim IenCing agenty for I�e pedOrmance ot Ihe work far
whicn inis uermit is issuetl �Section 3W7. Civ. CI.
LENOEH:
aooncss:
OWNEB BUIlOFB OECLABpTION: I �ere�y affirm t�ai I am eaempt imm t�e Convacmrs' State License Law br t�e lollowing reason
ISeaion 70Jt.5 Business and Pmfesvonal CoUe: My uiy ol wunry whicn repuires � oermit to constmct, atter, im0�ove, tlemol¢h, m
ie0an any siruciwe. D�ior to ils iuuance. aI50 reQuires Ihe aoolitant Ior sucn Oermil to lile a signeA slatemenl ihal hUshe is licensee
pursuant to tAe pmvisioris ot t�e Comranars' Siate License Law �Gapter 9(commencinp vrith Section 7000) of Oivision 3 of the Busineu
�na Prol¢59on5 Cotle) or IIWt h¢/She 4 ehempl iher¢Imm an0 t�e ba56 for t�e allepGtl erem0���� Any vioW�ion ol Seciion 7031.5 by
ny apPlicanl lor a Dermil su0jects I�e aOPli[dnt to a tivil penalty of not mor¢ tllan five hunEreA Oollars (5500�.
I, as Owner o� ihe o�oDerty or my emplayees K+In wdges a5 their SOIe Compen5dtion, wlll Oo ine wo�k, an0 ine
I❑ simcmre is noi intenUeO ar oflere0lar sale (Section 70aa, Businea anA Professional CoEe: T�e Comracmri Siatt License Law
Coes no1 apply to an owner ol a DmOeny wM buiNs or improves tMreon, an0 wlp Ooes sucl� vroh �im5elllhCrsell or tAmuph
his or �Cr own ¢mploye¢5. Omviaetl Ilwl Suth improvem¢nI5 are nol inlentleU or allered lOr ule. I�, �owever I�e huilainp or
improvemeni is 501tl vritkn one year ot com0leiqn, I�e owner wip luve Ihe Ourden ai O��np �Us�e GiE not OuiIE or impmve
lor Ine putpose al Satel.
I. as owner ol t�e O��Oeny. am eaUus'rveh� cmVaciing vdih IicenseE contracmrs m cons�mct t�a O�olecl'Seclion 70aa, Business
❑ anG Pmtessions CaEe: ine Comracrors' S�a�e License Law daes nol appry to an mmer of properry wtw buAOs or improves Ihereon
an0 who conuacls lo� suc� Drqeps wi�� a comracmr�s� license pursuant to t�e Contracmrs' State License Lawl. I am aware
Ilal prool of Incir warker's Compenution insu�ance Slioul0 Ce o�omaetl to me.
� I am eKemo� unJei Secuon: B. 8 P. C.
lor Ihis reason:
Oaie: Ormer.
I tl0 �ereUy cetlity Ihal I am aware oi anC untl¢rSlanE I�e requiremeni5 0l Calilomia Heai�� anG $a�ery COE¢ $e[tion5 255Q5, 25533, and
25534 antl ihal I oi any lulure OuilUing o[cupdnl wilVvnll noi �urcle one) neeC to compty vnlll SaiA Slaie to0e5 antl ihe reQuiremenls br a
permii lo� conslmclion or moddicalion imm I�e Pir uaiiry Management Oistrict. qesiGentul consiruction aDPlications are exempt imm
Ihese O�ovisions.
Daie. Applicanc
I �ereUy cetlilylliat 111ave rea0��is applicy ion and s�a�e lhat the a e informa�ionis carrett. Iagreeio compty wil� allCity anU ouniy
ortlinancesandstatelawsrelatingloUuilEin�con5tmnionaMhereby tMrizerepr entaei tivesolt" �^�' �IeruDontAea�ove�me ioneE
properiy for mspeclion purposes. �
Date: —.l�l y r Signamre: <
oriver'sLicenseorsaiaiSecuritya:
16�La6 Wlnte—Butltlmg; Green—Code EnlorcemenL �
GdEenrotl—nssessor
CITY OF COSTA MESA — BUZLDING PERMIT PEAM NO: HE 05128
PERMIT NO: BE 051267 PLAN CHECK NO: T7 GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE STR PURPOSE: REP
JOH DESCRIPTION : GARAGE FIRE DAMAGE REPAIR SQ FT: 8,000
CLAIM VALUE: 8,000,00 CALC—VALUE: 8,000,00 GROUP OCC: M-1 /
COMMENTS: X
�r�r��t��t�r�t�t*,r�r����r�r***�t*r�**�r�**�r*��+�*�r�rr��r*�*�!��+�*�x+rx�t�v+�k.x�t+rr�ti�x��t�r.��*x�����*�u�
Z O N I N G R E Q U I R E M E N T S
ssTHr.cxs
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG ---------
FRNT: FT IN RcAR: FT IN FR13T; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE(� • PROV: PARCEL: 42237219 ZNE: REF NO;
PLANNING Nt51'ES>
i
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY DATE;
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: J DATE: �J I�
kltiFiFlfi!�iPilkififM�if�i(�1�IE41Ef�i�i!if . . . .. . . . .. . . . iFifik�FaEi6lEitIF?E 1E9i
iE iE k iF if af iE jf if iF if k fF ip M K� if if iF �f M If if k i! k iF iP it if if iF k fE �f iF iE If it 1F 1E if iF k 1E iF if iF 1! if k k ii� k#f V tf iF iE k iF iE iF iF 14 if it iF if i� i! iE iP iF # iE � Y.� M�
LEGALZ2ATION;N F E E S U M M A R Y STRUCTURAi SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 99,00 3.00 56
SOY SMIF/TION—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DJE
TOTALS----> 102.56 15.00 0.00 117,56 117,56 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 117.56 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING_PLAN—CHECY,
99,00 18,00 ,56
IE 4 ik if ip 4 V IE IE 1F k if iE 1F if it k�F iE iF 1! i° +E i! 1f 4 a!� iE 1P iE 1E if k 1E if iE if if 4 k if if 1E i! 1f 1f it it 1F M iE �E M M if �E if If i'�+!� if iF if i.' iE i� +E if IE )k ?f iE if !F+f lf i?i 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 ONIT COST TOTP.L COST
SFR 8000 FIRE DAMAGE/VAL RESIDENTIAL NOZONE 1.00 8,000,00
ELE 3 FIXTiJRES LIGHTING- 1 ST 20 EA. .75 2,25
ELE " 1 RECEPT/SGiITCH � 1 ST 20 EA, ,75 ,75
� �tND OF FEES �
EXPIRE�
Incomplete Inspections�
Sj8 � OI COJ�'?1�-�L,+°2�.> : �� �.'
Uate�.. � DFTE: C?�!: ?� l.fi_ .' .�, ... -
�'� 3
CON51~riUCTION AND PLANNING POG SPA
APPROVALS Permit # Date Inspector qppROVAI.S Permit # Date Inspector
1. TemPorery Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Elecirical Conduit Utility-Undrgrnd: 54. Forms
4. Elecirical 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. Structural Floor System 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final -
� Z• SeWe� CaP . 63. Heater &. Vent�Final
13. Roof Drains 64. Plumbinq System - Final
14. Rough Plumbing 65. Electrical-Final
75. Rough Electrical-Conduit 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access ApP�oval
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
20. Rough Factory Fireplace ' . APPROVALS Permit #
21. Ducts, in Structure 70. U�derground Hydro
22. Ducts, Ventilating 71. Product Piping � 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-Ba� Ceiling (Struct�rall & 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. Plaster Brown Coat 79: FINAL INSPECTION , � `,
32. Electrical Power Meter�Final 80. FOOD CER7IFICATE ISSUED �-
33. Fi�a� Electric _ ' Nofes: � ,
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test •
36. Hoo4 or Canopy � , �
37.�Final Factory Fireplace • ' �
38. Final Plumbing � � . . • '
39. Wate� Service-Final ' � ' �
40. Gas Service•Final
41. Solar pomestic�Final
42. Backflow Preventer, � -
43. Backflow Irrigation ' ��. -
�
44. Landscape Irrigation System - ��� . '�
� �
45. Sound Attenuation
46. Handicap Regulations � �
47. FINAL STRUCTURE & BUILDING ate �
46. FINAL PLANNING
49. Electric Release to Edison '- 1
50. Gas Release to Southern California Gas Co �a
51. CERTIFICATEOFOCCUPANCY
N0. Date
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PAID
A�f -4-72cnsa0O 391# ****66.04
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE �IV BV D�J'RE VED DATE SU
ADDFE55 2268 Pamela Lane r t
PE
OWNER Roy J, Ward Co, A.P. NO. S �I -G --
MAIL 1 O \`Uestcliff Dr, ADiDR,E 5
ADDRESS 7 7 ����
cirv Newport Beach No`646-0228 TFACT oT:33 e�ocK
CONSTRUGTION
LENOER
BRANCH 'A
OWNER f�(��
ADDRE55 � VALUE n `''
AflCHITECT RO Kiter TE $ 2 S - S 6W
OR ENGINEER
ADORESS 21S WdLIlllI St. � N.B• ZONE TVPE GROV �
APPRO V E p'
CONTRACTOR BV DATE
ADDRE55
TEI. ZONE n NO.OF USE OF NEW -
CITY NO. P�� � BUILOING ��LG-
STATE CITV VARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/ STREET)
OF LOT 54 x 114� NOW ON LOT O q p�T �� FT. FT.
USE OF None 5
EX�ST�NG BLDG. F
SIZE OF NO. OF
NEWBLDG. ROOMS STOFIES L.SID FT. FT.
EXTEFIOR WALL WOOd ROOF
GOVERING COVERING :�EAR � FT. FT.
USE OF BUILDING ANO WORK TO BE PEfiFORMEO OISiANCE BET. BEf. MA�N &
TLL LP� MAIN BLDGS. ACCESS. BLDGS.
-Qqr• - '"--" - VAF.iW r DATE
c.�.P. ;w °Z�= -7�-Y( qppROVED � S�7 Z--
PLAN 1 araaoveo Ct/LiJ� b/La/7
STA
1 hereby acknowledge thet I have reatl this applicatlon antl stete y -�
that the above intormation is corract antl agrea to comply with
all laws regulating buildinB construcNon, entl I shell not employ
any person in violation of the workmen's compensaHon lews of TA%
the Sta[¢ of California. m
b
I hereby certity that I am properly licensetl as a coniractor untler 0 SQ. FT. - -o
the State ot California Business antl Professions Code, Dlvisicn 3, T E AMOUNT SHOWN UNDER VALUATION IS FOR �
Chaprer 9, antl that such licenses are in f�ll force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ¢
am axampt from ihe vis'e Spt Ne S[ate of CalifOrnia Business VALUATION
entl Protessions C a, i�' 3� Chapiar 9. PERMIT FEE 5 � �
�
Sipnetura of ^� /� � [-� m
Permittee � $ // � I. /1� P�AN CHECK $ �r E
pL U'il o
Aut�otized Agant � � � u
TOTAL FEE $
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� COSTA MESA BUILDING-SAFETY DEPARTMENT
PAIU
nCT 19-7i��,--,00 a88 ���**726..
OCT 19-77����00 B88i���*126.50
A P CATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
CEI E BV DATERECEIVED D/1TEISSVED
BUILDING ��f Q _ ^ M�. �� �— ( �'� �r� "'� I �j ._�
ADDRESS �GO /•t ^
OWNER �J �IV A.P.NO.IIS� O�/� � P TN .
MAIL ADDRESS ��G O �jyy� �a.��l�r
ADDRESS %�
TEL. TRACT 'L"OT BLOCK
CITV NO.
CONSTFUCTION W
LENDEF
BRANCH �/�
OWNEfi O QY�
ADORESS VALUE1�� ,�1
ARCHITECT TEL. 5�, � .�-� I y�1
OF ENGINEER
FIRE
ADDRESS ZONE YP.E GROVP
APPROVED �� DATE U�
CONTRACTOR B�'
ADDRESS
TEL. ZON NO.OF USE OF NEW .
! � PLAN$ BUILDING
CITV NO.
STATE CITV VARDSAPPqOVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BVILDING
512E NO.OF BLDGS. (FROM C/L S/�TREET)
OF LOT NOW ON LOT RONT CJ FT. FT.
VSE OF C
EXISTING BIDG. �� T FT.
512E OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE 3 FT. FT.
EMERIOR WALL ROOF
COVERING COVEliING REAR � FT. FT.
USE OF BUILOING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR. � DATE
�( �, �.,,.P..� 2F_ -7a- �G �ROVED % Z
APPROVEO / �� `��/'�
Li L
I hereby ocknowletlge tha[ 1 have reed this ap0�lcation antl state �,Q
that the abovo Inio�metion is correct antl agree ro tomply wi[h o
all laws �eBulating buildinp construction, antl I shall not employ . T FQP
eny person in violotion of the workman's compansation laws of D�V�
[he State of Califomla. m
b
I hereby cerUfy thet I em properly Iicansatl as e eontrector untler SQ. FT. _ i o
tho Sta[e of Cellfornia Buziness antl Professions Code, Dlvizicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOFi �
Chapter 9, antl that such licenzes are in full forca antl aftact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢
em axampc from ovy5i ot thaState ot Calitornia Business VALUATION
end Proteszions C tl D' i , Chaprer 9. m
PERMIT FEE 5 �
�
SiB�a[ura ot I m
Permittea � 5 � PLAN CHECK $ E
0
A�thorized Apent LL
TOTAL FEE 5
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'5594
COSTA MESA BUILDING-SAFETY DEPARTMENT
P_o_ ROX 120o COSTA MESA. CALIFORNIA 92626
PAIU 39.Z8 I
OCT 79-72c����OO 896+� ****
APPLICATION FOR BUILDING PERMIT
for Applicant to Fill in Completely
/�' RECEIVED BY DATE RECEIVED D)ATE I/S�SUED
BUIIDING ZZ�'E'ZZ7Z �/1'EG/� ��F� �O-CQ'%L /�-�T'7Z
ADDRE55
OWNER Q T� (�(//�� A.P. NO. ���I � V L PER�� �
MAIL AD1Dfl1E S ZK,O'�772. �%'/LI�LAL/�w/�
ADDRESS
TEL. TRACT 33 BLOCK
CITV NO.
CON5TRUC710N W A � P
LENDER
BRANCH ��y�'�./-/J�J/�
OWNER D ��"'/'✓W
ADDRESS
`� ,� �, �A��S ,c�dc3o at�
ARCHITECT TEL. SE �^ J �'
OR ENGINEER N .
� FIRE �
ADDRESS ZONE TVP GROUP
APPROV / /�j -7
CONTRACTOR BV �1 � DATE / O"( Y- (
ADDR S
TEI. ZONE NO.OF USE OF NEW 6
CITV NO. �� PLAN$ BUILDING
STATE GTV VARDSAPPROVEO VARDSAPPROVED
LIC. NO. IIC. NO. MAIN BUILDING ACCESSORV BV LDING
SIZE NO.OF BLDCS. (FROM R )
OF LOT NOW ON LOT FFO FT. T.
USE OF t1
E%ISTING BLDG. 5 L� FT. FT.
SI2E OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE � FT, i FT.
EXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
USE OF BVILDING AND WORK TO BE PEIiFORMED DISTANCE BET. BET. MAIN &
MAIN BLDC'S. ACCESS. BLDGS. �
VAR.afi DATE
1 C.U.P.# �•7 APPROVED L
APPROVED � �/�
�I
I hereby acknowletlg6 thet I have reatl this application antl state �
that the above into�rY�ation is cor�ect antl agree to comply wlth �
all laws �egulatlnB bu�ltlin0 consnuction, and I shall not employ �{OLD � �
eny Oerson in violati0� of the wOrkman's compen5ation laws of
the State ot CalitomiA. /� m
e
I heraby certify that I am properly licensatl as a contractor under � SQ. FT. o
tha Stare of Celifornia Businass antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chapter 9, antl that spch licens¢s are in full force antl eftect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE OtaLv: Q
am axempt from f1e provisions of the S[ete of California Business VAIVATION /
antl Protessions o �v si 3, Chapter 9. �,/� pERM1T FEE $���J �
/// I/ % �
signa�ura ot � � � � �7 m
Permittae S PLAN CHECK $ . E
� o
LL
Authorizetl Agent TOTAL FEE 5 ` �
'