HomeMy WebLinkAbout831 PINE PL - Building PermitsADolicant to fill in all spaces exceot those within neavy Ooreer lines ana si9n all apvroorlate tleclarations.
CITYbF COSTA MESA CONSTRUCTION PERMIT PE/R�MIT NO. ^ TRA N LO� O._ UNIT NU.
Prejecc Address �3� �i�� � �i?LS2 "� � � � " " l �, �
.3� N�i^n S �/��� p� TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR
�Applicant'S MailingAddreSs � � ��+-- ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name ��"� C s�Q�"ii��—Phone s.�/''.i�J72 DESCRIPTION OF WOFK/USE OF BLDG.
Address �:�� P'i� '� �/C9/�4-� /�!'3�-'��•
Arch/Eng.— �icenseNo. TYPEOFPERMIT GRaoiNG ❑ FOUrvDATIOrv STRVCTURAL
Address � � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAI
Con[ractor'S Nartle—�� � `L�'�j phnng �%y�^��' � OTHER
PROJECT DESCRIPTION SQ. F7. oCCUParv v��_
Addresslmailingl ��'7M /%/ � -'�+ �'�,.�_ �
City License No. � ��/ �J s n
LICENSED CONTRACTOR D�CLARATION
1 hereby affirm tnat I am IicenSetl untler provisions oi Charter 9(commencing
with section 7000) of Divisiori. 3 of the Business antl Professions Cotle, antl
my license is in full to�^antl e(Yect. �
�icens� ��523 �� /—�yr�e�nse_ No. ,
Date ( 5'9 L � � <��
VORKERS'COMPENSATION�OECIARATION
hereby affirm tnal I have a ce'rYificate oi consent to self-insure or a certificate
�f Workers' Compensation Insurance; or a certi�ietl copy thereof (Section
3800�, LaC. C.) �"'-' '(, -'
Policy No. � C= Company� �
eCertifieA copy Is hereby fur,qishetl. _
Certifietl copy is filetl with the city=Builtllnq Division.
Date APPlicant �� .
EXEMPTION FROM WORKERS' COMPENSATION DEGLARATION
(Thissection neetl not be completetl if the-permit is for one huntlretl (5300) or
less) • '
I certity Ihat in ihe pe�foimanCe o/ tba wo�k for whicb this pe�m�t is i55uetl, I
shall not empl'� n �ih anY ma ner so as t'�ub�� the
Workers' n pensa ion Laws�oi Calif- la /i
Date Si9n8[ure �� •a�� �j�
NOTICE: , af e making tnis�¢claration, you sho tl become subject to fhe
Workers' Compensatlon provi5{ons of the Labor Cotle, you must torthwitM1
comply with such provi5ion5�pr Ihis permit sM1all be tleemetl �Evoketl.
CONSTftUCTION 4Ef�DING AGENCV
1 herety attirm that t�Ere is a cqn5trutfion lentling agency tor the pe�formance
of the wark for which thi3 permit is issuetl (Section 309] Civ. C.)
Lentler's Name
Lentler's Htltlress
OWNER BUILDEH �ECLARATION
1 here0y affirm that I am exemp[ from the Contractor's License Law for the
foliowin9 reason (Sec[ion ]031.5 Business antl Professional Cotle: Any city or
munty which �equi�es a pe�mi[ to consV uct, alter, improve, tlemolish or repai�
any structure, prior to its issuance, also requires ihe applicant for such permit
j to file a signetl stalement that he/she is licPnsetl pursuant to the provisions of
�e Contractor's License Law (Chapter 9(commencing with Section �000) of
vision 3 of the Bu5ine55 antl Professions Cotle) or that he/she is exempt
erefrom antl the basis for the allegetl exemption. Any violation of Section
i031.5 by any applicant tor a pe�mit subjects the ap0licant to a civil
�enalty of not more than five huntlretl tlollars ($500).
1, as owner of the property or my employees with wages as their sole
compensa[ion, will tlo the work, antl the 5[ructure is not intentletl or offeretl
for sale (Section �044, Busiqess antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner of a property who builtls or improves
thereon, antl who tloes such Work him5elt/herself or tivough his or her own
emploYees, provitletl that such improvement5 are not intentletl or offeretl to�
sale. If, howeveq the builtling or improvement i5 soltl witM1in one year of com-
Oletion, tM1e owner will have the burtlen Of proving he/she diC not builtl or im-
�rove for the purpose of sale).
1, as owner of the property, am ezclusively mntracting with licensed com
tractorsto construc[ tne project (Section �044, Businessantl Professions Cotle:
The ConVactor's License Law tloes not apply to an owner ot property wno
builtls or improves tnereon, antl who conbacts tor such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that
proof of Iheir Wo�ker's Combensation insurance shoultl be provitletl to me.
❑�I am exempt untler 5ection B. & P. C. for this reason
Date Owh¢r
I hereby certiry that I have �eatl this application antl
iniormation is correct. I a9�ee to comply with all city a
antl state laws relating [o builtlin9 �onstruction, antl h[
sentatives of this <ity to (¢r upo/t�a¢ove-mer
inspection pyfyg;g,�. A /J
�rivers' License or 55 � -
above
ances
�epre-
v for
CON STRUCTION TYPE VALUATION $ _
ZONE GRADINGCU.VDS. ACR
Remarks: /FJS LF sra 8���. W���
v,✓ F/2�nvrr.r�,- sr0�
Bar Sink
Backflow Preventer
Backflow Irrigation
Drinking Fountains
Floor Drains '
Floor Sinks
GasService Outlets
Interceptors
Kitchen Sink �
Lavatories
P—Trap
Roof Drains
Reinspection Fea $15
Boiler
Duct - Under Ground
Duct � Structural
Duct - Ventilating
Exhaust System ❑ Multiple
FirepVFact Blt. ICBO #
Heating System & Ducting
❑ o-� oo,000 eru O 7 00.000
Reinspection Fee I $15
CMF 0065-46, rev. 10/84 White . Builtling; Cana�y - ApD��cant; Pink - qccounting; Goltlenrotl - As5e55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closec
Water Heater
Water Service
Auto-Wash
Issue Fae
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0-100000BTU ❑t00,000BTU
System Repair/Alteration
Fire Dampers
Registers
n
Issue Fee
$ 3
FE
$ 3
A.P. # Li
S Main I
E
T Front
B Rear
A
C Ri9ht
K
Ping. Ref. #
Planning Notes:
� �' — - Zone K,�
• Accessory Building:
:< ut�UCtE�- " C?E09 Tr3T &S.oi
v / N
�y.�j/ N
O � G
R
Parking Req./Provided E
�- /os' u � h.� -.. wcu,� M
T
s
ELECTRICAL �FEES
Automatic Washer Transformer ❑.15-50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit Meter ❑up ro 100 amps
Dishwasher � , Meter ❑over 100amps -
Dryers ❑Gas ❑ElecVic Sub Panel .
Fan Motors �0-1 HP �1'f. - 8
F.A.U. . InaSolar �9-15 HP �16�15+
F i x W r¢s Microwave
Device Boxes Pole Light
Outlets Rang¢
Switches Sign � '
Garbage Disposal Standing Sections .
Generator O0.5 KW 05-75 KW Trash Compactor .
I Reinspettion Fee _� $15 � I luua Fee I $ 3'
DEVELOPMENTSERVICESREQUIREMEN�e /.,., ,.�, /__��^O
Zonin9 APProved BY �'x'"� C.L.167�/�...Date �y �
Building Approved By ' Date _1�
Application Issued By Date
SU RY OF FEES �
BUILDING PERMIT $ � SMIP $ '�
PLAN CHECK $ 3���� PEFMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% 5 ENERGV P.C. S
ELECTRICAL $ GRADING $
PLANCHECK 50% S -MICROFILM $ p
MECHANICAL S TOTALFEE $ 6�•6�
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit �# Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electric�t'Se*'v+ce 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 Reinfarcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrgmd. �
S. Foundation • a. - 59. Gas Pipe, O Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & Nouse 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
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑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 IStructural) & Monocoat 75. Dry Chemical �
27. Frameand Flashing 76. DryStandpipe �
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 CERTIFICATE ISSUED
33. Flnal Electric Noies: ,
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy �
, .., �
37. Final Factory Fireplace • " `• ���,
,i
38. Final Plumbing � � �' �
Y•
39. Water Service-Final i � ' � �
40. Gas Service-Final ,
i ,
41. Solar pomestic-Final ; ' �1
' 42. Backflow Preventer _ i �
'�
� 43. Backflow Irrigation E X P 1 R E D ''� � -
�
� �44.� Landscape Irrigation Sy4tem Incempie inspect�ons � �. " , � ,,:
:
'.45. Sound Attenuation Gp� S � � ` '
46.�Handicap Regulations - ; �
47. FINALSTRUCTURE&BUILDING � < � �� • .
48. Special Requirements Completed � � , � - ,
49. Electric Release to Edison � '
50. Gas Release to Southern California Gas Co '
•;
51. CERTIFICATE OF OCCUPANCY , Y,
No. Date . �
. . �
! '�-
PflOJECT AO�HESS: g 3 S P I NE PL
OWNEH'S NAME: SPRIK, ERIC N
aooeess: SPRIK, JANICE S
SPAIK JANICE SUE
831 PfNE PL
COSTA MESA,CA
pflCN/ENGINEEX:
AOOflE55:
UNIT:
92627
flEG.NO.:
UNIT:
PENMITTEE: ERIC SPRIK ( 714 ) 650-7072
RDDPESS: Q31 PINE PL
' COSTA MESA CA 92627
LICENSEO CONTBRCTOfl OELLABATION: I here0y aifirm �hat I am licensetl unAer provisions o� Chapter 9(commencing wii� Section
7000� ol Orvision 3 oi Ihe Business anA Professions Coae, antl my license is in full �orce antl eflec�.
CITV UC.: STqTE LIC.: CIASS:
Dale: Signalure:
WOBRENS' COMPENSFTION OECIABATION: I hereGy aflirm t�at I �ave a cenificate of consem m self-insure or a cenificate ol Workers'
ComOensaiion Insurance, or a certilietl capy �hereol (Semion 3800. LaO. C).
POLICY NO.: E%P. UpTE:
� COMPRNY:
❑ Cenifietl copy is hereby Wrnishetl. ❑ Ceni�ietl copy is liletl with Ihe ciry Builtling �ivision.
Oa�e'. ApDlicanP.
EXEMPTION FflOM WOBREBS' COMPENSATION OECNflFTION: Qhis section nee0 nol be completea i�lhe permi� is for one hunOreO ($100) or less�.
I certity Iha� in Ihe petlormance o� the work lor which Ihis De�mi� 5 issued, I5 t employ any De�son in any manner so as to become
sublecl �o the Workers' Compensation Laws of Califomia. y
Date: L eZ' � ^' � �L Signa�ure: �.%i-
NOTICE: I�, aRer making this Oeclaration, you shoNA be um su61 to Ihe Workers' Compensation pmvisions of �he LaDor
Cotle, you mus� forihwi�� com0ly wi�h su[h pmvisions or �his Dermil s�all be tleemed revoke0.
CONSTPUCTION LENUING RGENCY: I hereUy a�lirm iha� ihere is a cons�mc�ion lending agency �or �he peAormance ol ��e work lor
which Ihis permi� is issued �Sec�mn 3097. Civ. C�.
LENOEN:
RUOflE55:
OWNEfl BIIILOEfl DECLANATION: 1 here�y a��irm ihat I am exempt Imm �he Gonlracbrs' Slaie License Law for Ihe lollowing reason
(Seciion 7037 5 Business antl Professional CoOe: Nny city ol counry w�ich requires a Dermil to consiNct, alter, impmve, demolish, or
repair any stmciure, prior to i�s issuance. also repuireSlAe aDPlicani for such Oermit �o �ile a signe0 s�atemenl t0a� he/she is licensetl
pursuant to ihe pmvisians af Ihe Contractors' SIaIe License Law (C�apler 9(commencing wilh Seclion 7000) oi Division 3 oi IAe Business
ana Pmfessions CoOe) or ihat ne/she is exempt tnerefmm an0 Ine basis lor Ihe allegetl exemption. Any violation ol Section 7031.5 by
any aDPlicant for a permit subjects the a001icant to a civil penalty ol not more ihan five hundred dollars (5500�.
I, as owner ol t�e pmpeny or my employees with waAes as iheir sole compensation, will do tAe work, antl I�e
❑ stmcmre is not inten0e0 or ofiered lor sale (Secuon 704a. Busness and Professional Cotle: The Contractors' State License Law
does not apPty �a an owner oi a property who builds orimpmves �hereon, antl who tloes such work himsetl/hersell orthrougA
�is or her own emplayees, pmviUeO �hat such impmvements are not intended or o��eretl tor sale. I�, however �he Uuilding o�
impmvemen� is soltl wilhin one year of complelion, �he owner will have ��e 6urden of pmving helshe tlitl nol huild or impmve
for �he purpose o� sale�.
I, as ownerof Ihe property, am exclusively conVacting wi�h licensetl cantractors �o constmc� ��e prolect (Section 7044, Business
❑ an0 Pmiessions Cotle: The Contraciors' Sta�e LitenSe Law tloes no� apPly �o an Owner o( pmpehy who builtls Or improves �Aereon
' and who COMraCis lor 5ut� prole��s with a ConVat�or(5) IitenSe pursuan�lo Ihe ConVaC�ors' Slaie LiCense Law�. I am aware
tha� pmo� af �heir Worker's Compensation insurance s�oWU be pmvitled �o me.
� � am exempt under Semion: H P% O A�i B. 8 P. C. G'!/r/l
m� mis reaso�: NO EMPLOYEES
/�, �
Oa�e: � �� � ` �'( �� Owner.
I Oo hereDy ce�ily iha� I am aware ol ana unJerstand t�e requiremenis ol Calitomia Heallh Safe�y Cotle Sec�ions 25505, 25533, and
2553A ana Iha� I or any Iuiure UuilUing occupant wilVwill not (circle one) nee0lo comply with said staie codes and �he requiremen�s for a
permi� �or constmction or mo0ificaiion Imm Ihe Air Ouahiy Management DiSlnci. Fe5i0enlial constmction apPlications are ¢xemp� imm
IheSe provi5ion5.
Date: ADPlicant:
I �ere�y certify tha� I have reatl �his aDDlicaiion and s�ale I�a� Ihe a�ov¢ in�ormation is c recL 1 agree Io comD�Y wilh all ciry anU coun�y
ortlmantesantlsla�elawsrelating�abuiltlingcons�mctionanaher yaNhorizereDresen� iv ^af�hiscirytoen�erupontheabove-mentione0
OroDetly �arinspeclion purpose .
�ale'. � _� ^ Signature:
IDriver's License ar Social Securily k: �,^
16<L06 W�ite—Buildinq', Green—Cotle Enlorcemen��, Canarv—Aoolicanf. Pink—Revenue: Goltlenrotl—Assessnr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 060239
PERMIT NO: B 060239 PLAN CHECK NO: 04764-92 S GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMZT TYPE; STR PURPOSE; AI,T
JOH DESCRIPTION : CONSTRUCT A 250# SOLID COVER PATIO COVER SQ FT: 250
CLAIM VALUE: CALC—VALUE: 3,700,00 GROUP OCC; R-3 /M-1
COMMENTS: REPLACES THE ORIGINAL PATIO COVER/ SMOKE DETECTORS RE�'D 1991UBC
x�t***�r�t��r�*�r�t+t****�e�r�t�e�r*�e�t�t�t*�t*�tx�s�r*�r�t*�*�r�r�r�r�t�t�r�r*�e�r***�t�t�txr�r*�r �r�r�r�r�t****�t**�r
Z O N I N GS ERTEB�AUCIKRSE M E N T���KE DETECT�F�
------ — MAIN BUILDING ---------- --------- ACCESSORY B_U��p�,I�FT[��---
FRNT; 20 FT IN REAA; 25 FT IN FRNT: FT IN REAR; FT IN
LEFT: 5 FT IN RGHT; 5 FT IN LEFT: FT IN AGHT: FT IN
PARKING RE(� • PROV: PARCEL: 42245403 2NE; R1 REF NO;
PLANNING NOTES> 250 SQ, FT, PATIO COVER ALONG SIDE OF EXISTING RES.
)
1f 1t if M�E 1E if iklE if it iE �lf it iF iE iElk it �f iflf if iF k1k �k M�f �f iflE *�E ff iE ikif �EiF if iE itif iE I! if M iF k kik iF IF if IE iFiFiF k �E �kiE 1E iF IE 3f �EiE 1E iFi! iF�E iE iE iE IE 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
20NING APPROVED BY ;� C C. DATE: 2 7.2
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BYe 49M.eu.�J DATEe / 7`I2
k if k k iF ik iF iE iE 1F 1F 1F ik iF if if if if if if k it it 1F M i! 1f ik ik k it iF iF if ik if iF �F iF 1k
LEGALIZATION;N F E E S U
BLDG PMT PLUMBING ELECTRIC
PERMIT 63.00
ISSUE FEE 40,95
M A R Y
MECHANIC
�f MiE �f iFlf �ElkiFfElEiFif 1t 1f if if k if it iF�t 1E�F k
STRUCTURAL SEGMENT;Y
FIRE SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID_,_
TOTALS----> 63,50 0,00 90,95 104.45 104.45:_ D00
t
REVENUE DIVISION TOTALS--> COLLECTED: 109.95 OVER/SHORT; � ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADI•NG PLAN—CHECK
63.00 ,50 � - 40.95
�f iF iFiE iF iE aE iE �E iF 1E iFiE 1f it iF ik iF 1E if �F iE iE iEif iFik 1f �! iF if iE iE 3E iEif �E 1F if iE iF if iElt 1F 1Fik if iF iE if ik 1E iF iF if iFiE�E iElE1E iF �E iF iF iE �E if if if 1F iE iFif 1t if iE ik
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 250
RES—PATIO COVER—POST 6 SOLID ROOF
END O�' FEES
� �
i{
V
EXPIRED
frx:ortiplele Inspections
list! _ - - .r $1$
14.80 ,'� 3,700,00
i
r--r--
CONSTRUCTIpN AND PLANNING - ' P�� ` SPp' :<
APPROVA4S Permit # Date Inspector pppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location +.•' .
2, $o.il Pipe•Undr rnd f, 53. Steel Reinforcement .
.t = -
»3.;�jp�eir`�qalCondu`ihl�jility�Undrgmd. - 54. Forms ; �
-=4:%E�eUiF�al Gonduit-lihdrgrnd. 55. Electrical Bonding �� �
= 5,: 6t`eeYf�inforce�np,�(� . 56. Rough Plumkting & Pressure Te`,s� ' �`
*•'6.�'fi�trRal UFEft��iNfid. 57. APPROVAL TO COVER-GUI�hJ7� i
��Z.� t,pU�s r 58. Electrical Conduit-Undrgrnd. _ "
S.CfuyUndation 59. Gas Pipe, O Undrgrnd., Test '� �
<<
9. Wa7ter Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, � Undrgmd.
10. Structural Floor System �� 61. APPROVAL TO DECK - .�
tt. PropeKLy Sewer Li Q:& House Connection 62. Backwash & Receptor-Final -
72. Sewer� p 63. Heater & Vent-Final •
13. Fioof DrainS '� 64. Plumbing System - Final �
74. Rough Plumbipg "" 65. Electrical�Final
15. Rough Electrica!-Conduit 66. Solar System-Final
16. Rough ElectrityJiring 67. Fencing & Access Approval
77. Rough Wiring $ign 68. APPROVED FOR PLASTERING
78. RoughElectri�d�TBarCeiling 69. POOL/SPASYSTEMSFINAL
19. Rou9h HeSting & Air Conditioning FIRE DEPT. REQUIREMENT
v'rt �C t_. , �,-. „J
20. o h F�ct6ty P?ieplace ��:'� ¢" * G J 7x ;: � ppRfilVA S=�G1'er�iit #-� % 2T�
� � `Z Z;f I .S � �. Q J: ..~i :�i � It .� 'J +� �:l � . .� % " F
2�:-DUU5.11_Y.rJifCCLU(Ra .... _ R ' T
i x S G � R x _70. � nderground Hydro .
22. u'�, Y�nt tiri '^ i f��S t 'S Q'" - . .^• r
� fi� � 9� '71. Pioduc('�i�g Q•(�s OOiI
r, � t . 'r.
I
23.,� a53iPpJ�o�h $ jest ;�� :n� x R, C. ,� : x 72. Undergro�pd Flus� �.� �;
24:1Ro6i Frarning ??z� �'.�= �•F- ?�> :. � K'' J73�DUndergrnii:Smr9�j�Tiank��Gas ❑(Ft
i f� ♦ ..%Y. � �/.
25. Roo` S 'athin 7.e T ;J .. -7 v ;� :U. -t - C � - �. � �
� 1� 9 r� ¢ v� � � .ti;�: r 74;�0yerGRad�iydro_ .
26:oT�6at Ceiling (Straatural) &�Aen,recoatv. � ^ x �J [7r Y 75TDry Chemical � x - - � �
✓ .. .. . CC o �F 2 * ; �r�G ..1 , m 'i.
27. Frameand Flashing� 76�8r Q¢p -
, � 7xx ..,c .; y� Sx z y Sian i e� �
,-28.JLatding� Sidingr,�::� -iT`� ^� * T. ••9 � 77,� FIXED SYS�TEI�FINAL� y
J x . . �� . � x :; < K � �
"29. InsulatiJtZn �x ` S� ..R. x� ' y z 78gFIRE PREV. FlfalAi - C �
v .a n r u. � . .
�0. DrywalKNailing (�* c+ • a HEALTH,DEPT: R�EQUIREMENT -"
�1. P�aster �oWa Co�t,` S � T. T Q �` y r79,''FINAL IhlSP�CTI`CSN ;"' ;.j �
�U32.-Electrical Po er Met¢trFinah r - s� :J . r+� +Bp:*tFOOD CERTIFtC<CTE ISSUED� � � f
,33,Final EI ctric QY ^ � "�- � `"• ' ` `�N s: � - . ^
-Pi �x n � ¢,'� x r � 4� :.�: : :i=
.'34.;,Firmi H�ating& Ark ondition'r3+c,� �j ;; { x � ;�,. r„ �. � ' -
� K F.
35:_Finai Gas Pipe-TesP` ,.� •` ^ ' ��' �'�' " � `'" C
� �� .� ? x: - ..:
-36.�-10 or Cano . _. - .. ` • J`J ,
Od PY:h> .7 a' r c } ('.R < „n
� �f
=.,37.:Fin�l FeP�tory FirC�lace�, � .r�, � '� � " �� � x _ n . - ,'
a > i: , J
=38.cFin�J Pluinbing Zx h,-� � •••. �` :J � < .i , . - ---
�439.-VJac`er Se'rvice'Fiiret`� ~ • = ' ' < t', o r ., �
t- n> > i ••• > t x H .+ _�.
r- ` � - � � y _� - .
rf30.��'Gas Ser4ice-Fnal-�, � d.,.:• �" K.r �<. .i.�: �
`41 �Solar pomesfic-Fit'aIS : �� • �' ' �• r� -
+: c+ � - - �
' 42:18ackfloE4 PreventE�x `r '� �,� �: ' � � % ' � . • - �-
:) .G
43. Baekflow Irffgatiore' �'.'.. 'X �.= = � �: `" ' � - . � " �
% Y i-1 X( .0 �: Y ' �' : (^
;A4. Landscape PirigaL�qn System�.;•, � ,rC, Y ;q �; - ;�s: z :; ,,� �- '� - � „
. _ '_ : . . - - - €_X,P-I_R�E;Q �' �
F45.�ound Attenl�atio++ " • � " ' `' 3� �'� J '"� tIW'�S
•r'~'r•%- • � +' � ' „ incomplete InsP�
� . ,: �_ •:..,.. .. n c ii _.7 .�r +c .r •' �
.`J�36�;Fiandicap,Rc�gulaitqns , �.,: S;' x .: • • .� ,; � ;; � . `
47.:FINALS7Rt1CT:LIRE BrBUt'LOING M � +; � � 'U -it�-�� �3-S�g �-
n ;r vx - s:- K r � ' <
48:�INf�LPLANNIfV�i _. �j���'� x;� r K � s ,
c49 �Electric Release tO-Edisonf�, �] < ' � �� � 'z � ' - - -
� x • a r .�i
� .. •. . n c j J iY 1 {' .� J :i '. � ' ' ��
;;50.�-Gas.Release io Sou�em Califqtnia Gas Co ., i x�_ _ J �, '-� `.
•.T�t. CEFCTIFIGATEOF�OCCUPANCV :z ry. ,- ;r - , ` r.
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
At[ention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid uhnecessary delay in processing and issuing your building permit. No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement. J� Yes ❑ No
2. I(have/have not) � signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name _
Address
Phone (
City
Contractor's Lic. No..
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City
Contractor's Lic. No..
5. I will provide some of the work but I have contracted (hired) the following persons to pro-
vide ihe work indicated:
Name Address
Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 79830 of the State
o( Califorhia Health and Satety Code and have completed the above information to the best of my per-
sonal knowledge, in co liance with this State law. Q�
Signed: �,� � � Date: �� � � ( �
�� �
Name: � � � _ � �
Printed or Typed)
C.D.L. N or S.S. # ��,`��/��
754-5273
NOTE��SHOW ANO DIMENSION. PROPOSEa -. : • ' ! ' � - �
PAT10 COVER ANO YARD AREAS � j
�E � SEE OETAILS ON REVERSE SiDE
. ; Oe.fa�7 �f 3 -
� City' of Costa'Mesa� Buildir De .
'I `� • . . .
y BY �� DA7E t� lROOF SMEATHING
� _ � � ����y/oas ; � i
yL f �n_=.- .�.. i r-� 'r ' ��. '
r,� . .__ -z.� � ry,,.-�- .,3 �r a�� i,. �� �-. , a
a'�' _ NO �I. � W�l ''�t ��' p} �'�V�. . OF �E�' OVERHANB
, .. . _ . . . '° .-- 1i�JSSJahCEe i,d. � , ;'. .- f t �2 ,P�?7�.�L oF �%�RAFTERS . :
I s� PIANSANOSPfi.iF1CAT!iA ���'u �.11;:!� 2� CG::yi iUEi',I�.ie� � AT.�O.C. i
I �%A . �2�u�su-ca-ar���.. �: . c . .� � .
\ T��E �r�ovisions oF rt�,s . f t �v� u t
� U„"� --- -r.t3=+-i�istzrr- -- I � n i.
�_yir �
' DEStiF:L6EVAUD'...,. :...�. �f.�:. _: ���- v:�.:.3F01SE . -3..X�BEAM
. S�
� `. - - �- ���` "� � � . F � T-STRAV EA SIDE
—�F-ISe , .;.. � �.yn�� � FOR POST'BEAY �
£"� ~� _�— ` SPECIrICSTiG . � : � r � ' .
�. � T I�� -.r � ip� CONNECTIOK
�..u�f : 'F�,�H �rrTFF �.iai c� �� n�r:c � u��rd
SAiD PI A G e.1 ��' -.��.._ t FGI�M ' i� 1�1Q'VG
...- _ ... � � . V�EN � ,
�� BUiLI INIa C: ECj4 �� 1,.:! ' t O�:C � .'9E at' .
� m in tr-.�:t�.IJF WIF.E�F��o=tilr i11J Orti-9 Oi JNi,N.,,�OF ' ,� m. 2
._" ""'
,
� Lp-� � . ..�i CITy , J � �) _
ry . . F.tJ�. �c�d'�;_�_ -,.." '__... �'"'...___ _' '_"b � � b .
� � �_ � �I
. � J . .. ._ ._ ...._._. .._� �- x . Z , �A
� -'--- -- _— W � "y��� ,
� _—, � DROp PATIO � `Z .
, . ---- - -- - — - --' � /- FLOON 4' 1
/
�, ._ . . . ..�-' --- ---�- .. . . � �( SIOPE TO 0� IN a •-• +•:
� ' ADDITIONc €�1plVS
, — �� �fE _ _ -,--- o- : o : - .<..:::.. ; ., �--- a.... .. a
I
i APPROVED .� f� � �° ^ �` ,
��- -
� ���;,� , s Sd �
� /�j' ... �arM � erm:
g7�i HIS N
�� ,r.G�.. --_.---- _' ALL
�� ��'�.�� �
-- - - — -- - —/ �- - - (�'_
PLANNINt3 D�T.
ttat�es�o aiaa uerr. ao: —_ . __ —
��;,� L •� �_ �i.--- --.,'
,� �o�� FOR INSP�CTi�N� �
W
R MUST ACCOMPANY CALL Q
_CTION REQUESTS u -
754-5626
i
or �
SIDE EL VATION�54-5627
CONSTRUCTION DETAILS
�.ROOF CO
=TAILS
C 0�
L
CONT,
LEP�
ER
VECTION
OL�D BLOCK
�� D�A. X � LA6 $CR
az" o .
,I I
/R CL "TECO"
RIPS R JOIST
ANGE
� 4FTER
9�g DI4. % S�� LAG '
AT �b" O.C. " �
` DET�IL 2
OWNER � �
ADDRESS:
o�� nr�^�T
SIIZVICFS DEPARIT'hSTi'
BUI71)ING SAF'E!'Y DIVISIW
t L r'
��L �N� r��, �
CONTRACTOR:
ADDRESS �"�
R AFTER S
C/1RPOR'f, PORCH OR PA'f10
NOT SUPPORTING CEILING
SIZ SPACING SPAN
2"x4 11"O.C. �9'-6"
16" 8'•0"
" 24" 6'-6
Z�� 6� ��
en e� nn
2"x6" 1
32"
48"
2",x8" 24"
32��
IOinsOR LIGHT WEIGHT ROOFS 4"x�" 24"
ONLY CONNECTION DETAILS 32"
� . 36��
� .. .2•�X FACIA-MIN.REO. 4��x8�� � 24..
, .: .
RAFTER
APPROVEO METPL
HANGER
DETAIL 3
4
36"
48"
72"
1�-6"
1 '-6"
2' -0��
10'-6"
. 8' -0"
15'-6"
13'-6"
11'-6"
17'-0"
�is'—o"
. � .,,�
19\
18'
,�.
P1'-0"
ZO'-0"
17'-0"
PATIO COVER
TYP. PLANS
DATE=
PHONE�7�`� �0�� �7�7
LIC. N0.
PHONE�
G
RAF'I RS
LIGHi WEICHT R F COVER OF
LATH, FIBERG:.ASS. ALU!!.
SIZE SPACING' SPAN
2"x4" 16"O.C. 9'-6"
24,� 8�_���
32" 6'-6"
48" S'-6"
2"x6" l6" 16'-6"
24" 14'-6"
32��. 12 � -0��
48" 10'-0"
2"x8" 24" 19'-0"
32" 15'-6"
49" ' � 13'-6"
HEADERS
LIG}if FIEIGHi ROOF ONLY
�
SIZE 40ST SPACING
4x4 6'-0"
4x6 9'-0"
4x8 i2'-0"
4x10 15'-0"
�
CARPORT, PORCH OR fATiO
SIZE POST SPi1CING
4x4 S'-0"
4 x6 8' -0"
4x8: 10'-0"
4x10 12'-6"
APPROVED FOR
BUILDINC PERMIT
By Date
GIIiERAL NOTES:
L. iheae plena must be
kept on the job at
all time during
construc[ion,
2. All framing to be
Dougles Fli N� �
gtade minimum.
3. Rafters may not
attech to facia ex-
cept for l0�roofs
es shovn on de[ai
• 201Wroofs must use
i contlnuous ledger
atteched as ehovn
on deteils Olf'�Z.
4. Light weight roofs
mey ettach to facie
fot 14 span max.,
epans over 14 mus[
use a continuous
ledger as shovn !n
detbil � C3.
I,,���� �J
r
AODNE55: B31 PINE PL
i'SNFME: SPRIK, EftIC N -
p00flESS: SPR1K, JANICE S
83R1PfNEAPLCE SUE
COSTA MESA,CA 92627
ANCHIENGINEEfl:
NEG.NO.:
I1N1T:
ROOflE$S: UNIT:
renminee: NEUI�AUER MASONRY ( 714 ) 692-1205
nooecss: 2$075 MEADOW LAND
,YORBA LINDA CA 92687
LICENSE� CONTBACTOH OECLAflRTION: I hereDy allirm Ihal I am licensed un0er pwvisions ol CAap�er 9(commencing wiih Seciion
7000) ol �rvision 3 al t�e Business antl Pmleuions Catle, antl my licen5e is in lull force antl e�fecl.
ciTruc.:056q99/J5 srnTEuc.:489795 uss: C2�
�eie'. ��`'72 Signa�ure: � _
WOPNEP$'COMPENSRTIONOECLAPATION: Iher¢Dyallirm tl�aveacerlifiwteolwnsenttoutl-insureoracenilicateolWarkers'
Compen5aiion Insurance. or a cenilie0 coDY ��ereol �Sec�ion 3800, LaU. C�.
POLICY NO.: E%P. OATE:
COMPRNY:
� Cenifietl coDY �s nereby lurnishea. ,� CertifieA wpy is lilea with the ciry Builtling DNision.
Oate: • Applicant: � •
EXEMPTION FBOM W�flBEflS' COMPENSRTION OECIAPRTION: Qhis Stt�ion nee0 no� be wmpleteG il IAe permi� is lOr one huMr¢E (5100) Or less�.
I cerlily t�a� in Ihe pedarmance oyyyl Ihe wofN br whic� I�iS Dermil is i55ue0, I shall nol ¢myloy any person in any manner so as lo Uecom¢
SUElect �o I�e Wo�=%�mpen atian LawS�ot Calilomia� , // /
i�.� �i/ / /
—Bale �� � Signature: �"�.�/V�—
NOTItE: II, afler making Ihis Geclarali0n. yrou ShoUltl b¢w 5uhle�� �o Ihe WOtkers CAmDen5aii0n pmvisions o� Ihe LaEor
COOe. you musl lonhwith rAmpy vni�.—suc� pwd5i0ns ar INs pe�mil stwll be OeemeG revoke0.
CONSTHULTION LENOING pGENCY: I �ertGy attirm,NM ��ere is a consimction IenAing aAency br tAe DeAormance ol Ihe work lor
wnicn ihis permit is issuee ISection 3097%Civ. CI. /
LENOEfl:
�ooeess:
OWNEfl BUILOEN DECLAMTION: 1 �ere0y aifirm Ilu� I am ee¢mpt imm Ihe Contrapars Siate Llanse Law Im I�e �dlowinp reasan
(S¢ction 7031.5 Business aib Professional CoGe: Any cily ot tounty whic� repuire5 a Dermit to wnstNc6 alter, im0�ove, Oemolish, or
repair any slmtture. o�ior to its issuance, alsa reauires Ine applicanl tor such permi� to file a signetl slalement �nal ne/sne i5 Iicense0
pursuant to i�e pmvivons ot �he Contractois' State License Law �Ctupter 9(rommendnp wit� Section 7000) ol Uivition 3 al l�e Business
anA ProfesSons COtle) or �ha� �¢/S�e is exemD� iher¢�mm anE ilre ba95 lor ��e allegeG ¢x¢mplian. My tiolalian ol $ECliOn 7031.5 �y
any aDD�icanl for a permit suGlens t�e aDDliwnt to a cNil Denalty ol nol more t�an Irve AunEreO Oollars (5500).
I, az awner ol ihe prop¢rty or my employees vnih wagu as t�eir sole wmDe�u�ion, will tla Ihe work, antl the
❑ svucmre ¢ not inten0e0 or otlereG for sale (SeCtron 70aa, Busineu anA Pmtessional CoGe: T�e Coniractors' Siate License Law
Aoes noi aDDly Io an owner o� a pm0eriy wAo Oviltls Or impmves IhereOn. anA who tl0e5 Such waM �Imsell/h¢rsell or I�muq�
his o� her own employees. pmvitled iha� such impmvements are nol intenUetl ar ollerea lor sale. II, however t�e builtlinp or
imD�avemeni ¢ m10 vn�hin one year ol comDle�ion. I�e owner wi0 have ihe bur0en o� proving A¢lshe OiA noi builtl or imprwe
Ior ihe purpose ol 5ate�.
I. as owner ol ��e pmpetly, am exclusivelq caniracting wilh licensed cOniractor5 io cons�mc� �he pmlect �Seclian 7044, Business
❑ anG Pmiessions COUe: The Contraclors' S�ate License Law tices w� appry ro an awner at Dmce�y �o EuilCs or im0«s t�ereon
an0 w�o contracts for suc� pmlecis wit� a coniraaoqs) license pursuant ta tAe Canttactors' SWte License Law). I am aware
ihat o��� ol iheir Worker's CAmpensalion insurance snauld �e Orovieetl �o me.
� I am exempi untler Sectian: 8. d P. C.
for mis reamn:
�ate: Ownec
i ao nereby cenify that I am aware ol ane unaerstan0 ine repuiremenis ol Calilamia Heal�n and Salety CoOe Sections 25505, 25533. an0
25534 an0lhai I or any IUIur¢ building oaUOan� wiil/will n0i (Cirtle on¢) neeE Io comply wi10 5ai0 Slale Cotles antl I�e r¢QUir¢ment5 br a
permit for conAmc�ion or modilicalion imm �he Air Oualily ManaAement Oistrict. FesiGeniial conslmciion applicalions are evempl irom
IAese pmvisians.
Oate:
Npplicanl:
1 hereby Cerii�y t�at 1 have rea0 ihrs apO�iCaiion anA Siafe Iha� Ihe a�ove in�Ormaiian i5 ta� d. I a0r¢e Io Camply wilh ail ci�y antl COUnty
. arGinancesantlstatelawsrelati�lobuil0ingcanslruction nahere0yaut Rierepruent sollMsutyioenterupontheabove-menibned
�mDeny lorins edion purposes. � �
ate: _ �� � Signatme:
onver's �icense or socia� secwiry a:
16E1-a6 wnile—Builainp; Green—CoCe Eniorcemenl: Canary—AooLtdnl: Pmk—R¢venue: GolOonrp4—ASw4[nr
CITY pF COS'fA MESA — AUILDING PERMI'T YEHM NU; H U�41�U
PERMIT NO: B 059150 PLAN CHECR NO; 03642-92 S vvi; rv 5u r; rv
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURYOSE: OTH
JOB DESCRIPTION : 109LN FT OF CITY STD BI�OCK WALL SQ FT: 109
CLAIM VALUE: 4,000,00 CALC—VALUE; 2,O80.U0 GROUP OCC: R-3 /
COMMENTS: SMOI(E DETECTOR RE UIRED IN TFIE HOME
*#�*��x�c�r�*��c�xx��x*�c��,�*** *�*�+��***#*x*���****�**�***+�*x*x' ��x���k���� �***�
Z O N I N GS ERT�BQAUCIKRSE M E N TSF�RV� �IRED
MAY BE REQ
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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 REo • PkOV; PARCEL; 42245403 ZNE: R1 REF NO;
PLANNING Nf�1'ES> PROPOSED 104 LI,FT, 6FT, HI, BLK, WALL ALONG THE SIDE (IdORTH
> ESTRLY) PROP,LI, AN� 26 LI.FT. 3FT, HI,BLK, lOFT, FRqM cRT,P
�t�t**x-*x�**�**�tx***�*�r*z*��***�*�******x*x*�x**x���*�*��i�***�x��**����u�***��r����t*
D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N:T Sa
ZONING APPROVED BY .\IJ � DATE: �; I]j 7Y
BUILDING APPROVED BY :� p" DATE; a �
APPLICATION ISSUED BY• DATE• �� v
lEil�itifiElt3fiE*IFiEx�ao-%iE3EiE1fiE-%�iE�IE�'tiF � �i"t�n�xi�iF3F iFlb�F3FiFTtiF3�"iF3F�F�F1EftiFiFiT�iFirkif-iEif#fae3E3EifafiEt.. - �.�i.
IEiEilifiEiEiFi(�iE%iEi(�lf�lf%iEffiFiEihiFififiF3E3Eif3FiEiEiFiEiEif�EiFiEiEiElEik3EiElfiFiEiE1F3Eif1EjFlFffiE�F�IFihiEiF�tif#1EiE1EiFiFb iEiE4if�f3E3Eii�il�
LEGALIZATION;N F E E S U M M A R Y STRUCTUR L S�,GMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIREr SNIP/RES,' GRADING
PERMIT 54,00 50�
�� SMIP/NON 'RES
PLAN 35. 10 '' �
ISS[IE FEE �t
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL .y. PAID ' DUE
TOTALS----> 54.50 0.00 35.10 89,60 � 89,60 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 89,60 OVER�/SHORT; ^ ,00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 .SOir -� 35,10
iE if 1E if �ElE if 1E iE 1f iEiE iE if !E 3F 1E iE iF ie if if k iE ik i! iE #iE if !E if k iE iE il� iF iF 3F 1E 1E if iF 1E iE iE it ikif 1E iF 1E iE iE IE iEif 1E �Yr If ik 1f if if iF 1f if iF if iEif if 1F fE if iE 3P 1F
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 UNIP"�,C^�OST TOTAL COST
SPR 104 RES—CONCRETE BLOCKENDLOF FEES � FT. 20.�0.0 2,080,00
�.
�f
/� • . -
� ❑ � QP��� i �-': "�_ �' - -� -
rni<: ,�f3r.•i..- ,. , .
��,
r
,
'� POO SPA
�` .;CONSTRUCTION AND PLAN ING •
. APPROVALS Permit �'k Date `Inspettor APPROVALS Permit # Date Inspector
7. TemPorary Electrical Serviceo: Pole � 52. Pool & Equipment Location -
2, Soil Pipe-Undrgrnd. � " 53. Steel Reinforcement
3. Electrical Conduit Utitity-Undrgrnd. 54. Forms '
4. Electriwl Conduit•Undrgrnd. 55. Electrical Bonding
5. Stesl Reinforcement ��i�Z 6� 56. Rough Plumbi�g & Pressure Test
6. Electrical UFEF Grnd. 57. APPROVAL TO COVEF�GUNITE
7. Footings p_Z�AZ, �„t.�j/ 58. Electricai Conduit-Undrgrnd.
� I v
8. Foundation �• 59. Gas Pipe, O Und�grnd., Test �: ,
9. Water Pipe-Undrgmd. � 60. Backwash Lines, P�Trap, O Undrgrnd. �
�
10. StiUccural Fbo� SYstem � 61. APPROVAL TO DECK ji
11. Property Sewer Line & House�Conneaion / 62. Backwash & ReceptorPinal �
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
i 6. Rough Elearic Wiring 67. Fencing & Access ApP�oval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical•T Bar Ceiling 69. POOUSPA SYS7EMS FINAL
19. RoUgh Heacing & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireptace APPROVAlS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilatin9 71. Product Piping �Gas ❑Oil
23. Gat PiPe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insu�ation � �, � 78. FIRE PREV. FINAL
30. Drywall Nailing `_� " HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' . 79, FINAL INSPECTION
32. Eleccrical Power Meter�Final � ' � 80. FOOD CERTIFICATE ISSUED
33. Fin51 Electric . •- ' Notes:
34. Findl Heating & Air Conditioning ; , �
i
35. Finel Gas Pipe-Test � �
i
36. Hood or Canopy '
37. Final Factory Fireplace
38. Fin01 Plumbing
39. Water Service-Final
40. Gas Service•Final , �
41. Sola� Domestic-Final �
42. Backflow Preventer , � �
43. Backflow Irrigation ;`.'. � L_pZ_,, e�i. y.,e � ���i
7 -G v- � _
44. Landscape Irriqation System
45. Sound Attenuation ��l
46. Handicap Regulatio.ns.-= .
i
47. PINAL STRUCTURE &'BUILDING � ��- �� � _ � i , /1//
48. PINAIPLANNIflG,�= • '
49. Elettric Release•toj E8i'son ,. -
50. Gas Release to Southem Califomia Gas Co ''. ,
51. CERTIFICATEOFOCCUPANCY
No. Date
STATE Of UtIFORNIq—STATE AND CONS� ' SERVICES AGENCY GETE WIl50N, Go.emor
��..a CONTRACTORS STATE LICEhlSE BOARD
��a SOUTHERN REGION '�� i;
n_'�I'� 7001 VILUGE DRIVE, SUITE A$6p
Q'�L BUENA PARK, CA 90610
�u� iEIEPHONb (Ta� 44��7<30
9/18/92
To whom it may concern:
Neubauer Masonry, license # 489795 is bonded. His renewal fees are paid.
The cotalauE�rrecords will reflect this in two weeks. His classification is
C29 Masonry. The license will expire 4/30/94.
c�,)� � �
Merle D. Vandruff � --(,�
Assistant kegional Deputy
. �
� � ��,B�o Permit .# 1�5�(SC�
�n THIS NUMBER MUST ACCOMPqryy
fi.0 PRO� ' ALL INSPECTION REQUESTS I
ciTr oF cost� �►
P1ANNIN(3 D�T.
u�scr ro uco. ovr. na
a M�x+o1�
�r�esrei� l 0�- L� .�'�, b�f � l�. . bU�� ��'j fi�.i,
P,� (�v�7�r.t,�' .�,U-p� (,�. ) ow�-� 2� r,�v�c.r� � t . g�t .1�.; .
� . r�a�t � I � � �'" � f��' 5;��'
f ]'1
City of Costa Mesa Bui
DiTE ��19�L
-Sf PLANS ti�JgT P; r�',; �C;k ?.T
� :HA�3tS NIIiNOtI; �r �r:u ±np
THE ISSUaM1'Cc OH GRP.�T:i W "-F,iv;fi C 3 Af RCJVAL OF
PLANSANOSPEC:FY'h(IOV;::Q � .. � rs� CCu� 3TRl!�7108EA
PERM17 FOH. OA AtJ APPliG1, �- - .,'� :^�JLi• if%*J `: '•
THEPROVISIONSOFTFtlS2QCN -�9;�'�P"'�.iUMn,x;`OGNE
AUTFIOF'dY 70 VIOLATr OR Cd�l! . �HL PqD !SIUp;S JL IHIS
CODE SHt.LL BE VALID EKCL"= i V+`..G F�:H AS :!�i� `�✓0���� Of1 USE
WHICH IT AU �HORIZFS !� LA:�'N
THE ISSUANCE OF :. ":_R •f�� BASru .. '•��_/�NS AND
SPECIFICAt10NS SIiALL hlOT F! :w:NT TF�F N'AWV;3 OFFICIAL
PROMTHEHEAFTERREWIRING FIECORAEI%�ION'vFERAORSIN
SA�D PtANS ANO SPfCIFiCAT ONS U;7 FROM PREVEN7tNG
BWLDING OP[MTION6 BEING C RR�ED CN THEREUNDEF WHEN
IN VKJLA7107J OF 7HIS Ga. � � Efl BFeHfNANGF-f•F
THE CfTY.
FOR INSPECTIONS
CALL
754-5626
, 754-5627
ADDfTIONS, DEIETIpNgO��ORRfCT1QMS
BE APPROVED BY THE PLANA'ING DEPARTMf VTLI
�—
�
s
v`�
3�M
O
�
RElID[MCf v 11Ef10ENC[
�
7
��� �
� � l.�.P�tf/_'� e _
1KE DETECTOR
REQUIRED
R[ffDtMC[
M�
ti
W
F�.
N
�
,�nVtY OF LUT LINE
MAY BE REQUIRED
„
Q
.� .�;:� :,:-; $�.-� .:. TYPICAL 6��� CONCRETE BLOC,K FENCE
Cement Coping Outional ��
Channel Block With 13/8� �
Horizontal Top of all .
Fences •
For Fences 5' or Less '
Ve�t. Bars 3/8"� at4'�-0';•O:C. �
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32" O.C. �
Fill Cells Solid With Grout ••� - �
WhereSteelOcwrs __ --
Reinforcing Steel Shall
Conform to Sec.A-1539
A.S.T.M.
All Steel to be Lapped -� �
24" or to Code � .
NATURAL•GRADE
TWO 3/8"Q BARS
CONTINUOUSTOP
& BOTTOM
HOR7ZSTEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
; �
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0
� WIOTF
� SEE CH�
'+ BELOW
D I 'Q.
FOOTING REQUIREMENTS CHART
dGENE�RA 'L— NOTES
�ORTAR; , p�e part Plosfic Cement, and
r ••,,. Three Par}s Sand
IROUT.:,' :"One Part Cement Three and
�� One Holf Parts S�and
:OPING�� One Part Cement, Three
.�..--. � . _Rarts Sand
ONGRE-TE: WeFI: Mixed C2- I/2: 3- I/2
""�"" ' '�Maxrof- 7- I/2 Goilons of
YVater Per Sack of Cement
�ROUT MAV BE POURE� FROM THE TOP
)F THE FENCE IN CELLS WHERE STEEL �
>CCURS. •
:ELLSANDAREASOFHORIZONTALREIN- �
°ORCEMENT'SHALL BE CLEAR, CLEAN &
�REE OF AlL MORTAR DEBRIS, ETC. ..
OF E4RTNTCOTH
'? iHE HEIGTH Of FENCE
PIOW BOTTOM OF FOGT�NG
SCALE: I/2��= I'
vrn�� nuvn� v .' � �
WIDTH ._. 14'� 14�� 12��. 12��
THICKNESS . . . . . . 10��. . . . 10" � . . . . . . . . . . e �r. 8 ��
DEPTH:;OF' EARTHTOOTH, . . . 24� . . . . 20�� . . . . . . . . . . . 16�� . . . _ 12��
SPACING.OF .EARTHTOOTH; . 12' . . . . . . . . . . .14� . . . . . 16'. . 16'
City of Costa Mesa, California
Building Department
l�.=�:!5ep Nov.e2
, �� � .. • '3.'
_ . ..�;�-�,-�
a•.
�JOB ADDRESS
�_ GFNFRAI COI
ROIIGH PLUMBING
PROP. SWR. LINE
ONA, L1eweLlyn
831 Pine PLace
2ACTOR Owner-Bldr.
-18 LOT TRACT
Si naf�
I HOUSE CON. I—I
ROUGH HEATING AN� AIR CONOITIONING
TEMPORARV SERVICE OR POLE
IINDEftGR0UN0 � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BOND BEAM ❑ STEEL REINFORCE [
SHEATHING
FRAME AND FLASMING
LATHING — IN OUT
PLASTER, BRO N COAT
`NG,�VENT ,nREFRIG. AND A.C., FINAL
PLUM9ING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUIL�ING, FINAL
DATE 6-15-72
VVILVII\V �
DESCRIPTION of WORK nlge.
FIRE ZONE VALUE $ 1
GROUP TYPE
SUBCONTRACTOR
1 IY V
.Rm.
�' 34840
�COSTA MESA BUIIDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUIL�ING �2 \ '��
nnnacca J ' _
OWNER
MAIL
CITV �e^�
CANSTRUC710N
LENDER
BRANCH
AODRE55
ARCHITECT
- \ 1 ' w` D Y��
� CaS �'J �
��/� TE
V�y�� NO. �
J ��
TEL.
CONTRACTOR ��f.)y�� �,1.c
AODRESS
CITY
STATE
LIC. NO.
O F LOT �Q� �7%� I7C/i �j�i �33
USE OF
ExISTING eLDG.
SIZE OF y.l I� I NO. OF
NEW BLDG. 0 R OME
EMERIOR WA�L� ROOF
COVERING `JIhCQ U C6VER
USE OF BUILDING AND WORK 70 BI
�
TEL.
NO.
CITV
LIC. NO.
NO.O LBF�I
TNOW ON LOT
�
,... t5-7aP`;��0(}i902�� �:�*�-22.61
r�..
APPLICATION FOR BUILDING PERMIT
:EI�D$a' DATE�F]�EIVED ❑qTEISSU
BUILDING
ADDRESS
ROVED
�IE/ NO.OF .
� PLAt�6 G
VARDS APPROVED
OISfANCE BET
MAIN BLOGS.
VAR. ,4`
C.U.P.aW
I hereby ecknowletlga thet I heve reatl [his opplication antl itate
that the above intormation is correc[ antl apree to comply with
nll laws regulating builtling cansttuction, antl 1 shall no[ employ
ony perwn in violation of the wOrkman's compenution lews oi
Me State ot Californie. � /� //¢
I hareby certity [hat I am prope�ly �j�¢�y¢tl as a contracmr untler _n
No Stato ot California Businass entl Professions Cotle, Divisicn 3, THE AMOU�
Chepter 9, antl at such lice gre in full forca antl effect, or I THE PVRPOSE
am exampt from he provisi s ihe $tate of CalitOrn(a Business
antlProfesSioreC e,Divisi 3, pter9. VALUATION
Slgnatura ot � V. �hn �`� (�
Perminae C � ° � �� $ / l O �
[ �+
Authorizatl ABant
USE OF NE
BUILDING
V ARDS API
ACCESSORV
BET. MAIN &
ACCFSS. BLOi
DATE
APPROVED
31V1S
0
VALUATION IS FOR �
A PERMIT FEE ONLV: Q
/� � m
E 5 �
�
O m
K S �— E
Z� �_ a
LL
$
/ ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
,, : ! 636 North Broadway _ � , . � �' � �' � �
SANTA ANA, CALIFORNIA �
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