HomeMy WebLinkAbout2750 PORTOLA DR - Building PermitsPfl0.1ECfPDOPE33: z"j�O PORTOLA DR
OWNER'SNAME: LAN THI' NGOG BRYANT �
, nooxess: SAME
' S40-4637
RPCNIENGINEEN:
�o0BES8:
UNIT:
NEG.NO.:
UNIT:
, PEPMITTEE: LAN �THZ NGOG BRYANT ( 714 ) 590-4637
FDOHE58: z%SO PORTOLA DR �
C.M, CA 92627
❑CENSE� fpNTHI1CTOfl OECLAMTION: I hereby aflirm ihat I am licenud unGer Omvislons at C�apter 9(commencinp with Saction
7000) ol �ivision 3 of the Business and Professions Code, and my license is in tullforce an0 effect.
cin uc.: srnTe uc.: cuss:
�ate: � ' Signature:
OBNEBS' COMPENSATION OECUMiION: I here6y attirm ihat I have a certHiw[e of consent to self-insure or a cetlitip�e ol Workers'
mpenution Insurance, or a certi�eA caDY Nereoi (Section 3800, Lab. C). '
aucx xo.: � , ezv. o�re:
LOMPRNY:
❑ Cerlifie0 copy is Aerehy fumis�e0. ❑ Certifie0 copY is filed with the ciry BuilGinp Oivision.
�ate: Appiican�:
IXEMPfIOX FHOM V/OHIlEPB' COMPENSATION DECIAM110N: (ihis secuon neeE irot e compkteA ii ihe permit is fa one huntlre0 (5100) or less).
I ceNy ihat in t�e perlormance of tAe wark far wAich this Dermit is issueU, I shail ot employ any person in any manner w ss m become
suble�� �o the Warkers' Com ensation aws I Califamia.
�ate: ' — SiOnaWre: - r
NO71C If, after makinA t�is tleclaration, you shoWC bacome bjec� to the Workers' Compensatio mvisians of ihe La�ar
Coae, u musl /otlhwith comply with sucA pmvisions or this rmit shall 6e deemeE revoke0.
CONSTBU N LENOING �GENCY: I here0y affrm ihat Nere is a onsimction IenOing a0ency lor t�e rtormance oi the work for
w�ich �his Defmi� i515Sue0 (5¢t�ion 3097, Civ. C).
LENOEP:
aooxess:
OWNEB BOILOEN UECUHATION: I here�y attirm itut I am exempt irom Ihe Coniractors' State License Law for t�e followinp reason
(Section 7037.5 Business anG Pmfessional Code: My ciry of counry which requires a permit ro construct, atter, improve, Aemolis�, ar
re0air any stmcWre, D�or to its issuance, also repuires the aDD��cant lar sucA permit to file a signe0 statement that �e/she is licensed
pursuant to the Dmvisions ot the Coniractors' State License Law (Chepter 9(wmmencinp with Saction 7000) oi DiW4on 3 oi the Business
an0 Professlans Code) or t�at he/sha is exempt ihere/rom antl [he Oazis for t�e alleAetl exemption. My violatian af Section 7031.5 by
�ny aDPlicantfor a permft sublecis the aDO���nita a cPoil penalry of not more IAan five hundretl tlollars (5500).
I, as Own¢r of Iha properry or my employees with wapes as Ihair 5ole compensation, will Go ihe work, and �he
� simcNre is not intentle0 or offaretl lor sale (Section 7044, Business an0 Pmfessional COUe: The Contactors' State License Law
Ooes not ap01y to an owner ai a D�aPeM who builds ar improves ihereon, an0 who tlaes suc� work �imsell/Aerself or throuph
his ar her own�employees, provide0 t�at such imDrdvemenis are nat intentle0 ar afleretl far sale. If, however t�a EuilEinq or
im0�a�ement is SaIU witAin ane year of tompleti0n, tAe Ownef will �aVe I�e �ufAen of DfoNng he/5h¢ Uitl not builtl Or improve
for ihe purpose ol sale). - ,
I, as owner'af the properry, am exclusively coniractin0'M�h Iicense0 coniractors ta constmct t�e pmleC (Section 70/A, Business
0 and Profes5ians Catle: The Con[actors' Siate License Law Ooes not apON ro an owner ol property who Ewlds or improves Mereon
an0 wAo contracis lor such projects with a conVactor(s) lic¢nse Dursuant ta Ihe Cantactors' State License Law). I am aware
�hai proot ot I�eir Worker's Compensation insurance s�ou10 be Dmvide0 to me. '
� I am exempt under Section: B. 8 P. C. '
lor I�iS reas,O1n:.'^
Date: �"�--� � Owner ��II
I do herehy certi iAat I am aware ai an0 unOersGn4lhe re0uiremenis at Calilomia �eplth anA Safery CoEe Sectbns 25 , 25533, and
25534 an0 that I� Iany fuwre huilEinp occu0ant will/=11 nat (clrGe one) need ta com�pt with saiA state ca0es and [he re remenis for a
permd br wnstm'lion or motlification imm ihe Air �ualiry Management Disirict BesYiential wnsimction apDlications a eKempt Irom
t�ese Orovisions. �
Oate: ApplicanC
I hereby ceM1ily�haU �ave reatl IAiS aD0licati0n antl Sia�¢�hal0le a�ov¢ infOrmation 'S torret�. I apree ro tomDly wit� allCiry anA
ortlinances antl state laws relating ro DuilLinA constructlon anU hereGy aut�onze represe (atives o1IDis cHy to enter upon ihe abova-me
pmpeM �or inspection purpases. ,
Oate: — SiqnaWra:
�river's Lic se or Social Secunry
pliean�; Pink—RgVenue; GOIEenrotl—Assessor
, CITY OF COSTA.MESA — HUILDING PERMIT PERM NO: B� 047843 _,
PERMIT NO: H 047843 � PLAN CHECK NO; 04543-90 S GOVT: N SUPP: N
CONSTRUCTION TYPE: " PERMIT TYPE; STR . � PURPOSE; ALT
JOH DESCRIPTION : ENCLOSE G16SF PATIO COVER SQ'FT: 2,000
CLAIM VALUE: %� 3,000,00 CALCrVALUE: 2,000.00 'GROUP OCC; R-3 /
COMMENTS : /P�C.j, JL� � %�' g(,(�j,� ' . .
ikif#itit3fiEiEilifiFll�itiEififlfiFxik iEiciEit#iEit �hiEiEiEiEilitiEitiEiEiEiFi4iEiEiE�FifiEitlEiEitifiEiEikiEifiEiEififiEif�lEiEiE'.fiFiEiEiEikiEif#ifiF
,Z O N 2 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 BUZLDING ---------
FRNT: 20 FT IN REAR: 10 FT IN FRNT:, FT IN REAR: FT IN
LEFT; 23 FT 6 IN RGAT: 45 FT IN LEFT: FT IN RGHT:' FT IN
PARKING REQ: PROV; PARCEL: 14130222 ZNE: R1 ' REF NO:
PLANNING NOTES> ENCLOSE.PATIO COVER'TO ENCROACH INTO REAR YARD SETBACK
> WITH.:APPROX. 450 SF, POSTS AT 12 FT FROM REAR PROP LINE,
��*�*�«�«�����*,�������,�*�,�*��**��*,�*��,��**���**��,«**�**�***,���,�*�***�,�**,���*�*��*
D E V E L O�P� M E N T S E R C� I C E S R� E Q U I R E M E N T. S
J�!M'. ' SGc_ DATE: C.�'.Zj-Ro
ZONING APPROVED BY �,
BUILDING APPROVED BY;.�: 1DIiM DATE: ^ IL��
APPLICATION ISSUED+B�': DATE: �ZI�' �
iEff�flElfjElEiEiEiElfifjf9tiEiflfiElEif��ElE . jEiFiEilik�fiEiEiEif iE�E
if iE iE iE jf iE if iE if 1E iE'1E iE iE iE iE iE ��!E 1f iE 1f iE if 9E iE 1E if iE iE it jE iE iE jE iE iE iE iE iE iE iE iF iE iE if ik iE 1E iE iE if iE iE �f ib iE iE jE iE jE i! 3F if iE it iE jE.iF if iE iE iE iE iE 3E jf iE if
LEGALIZATION:N � i F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 95.00 ' S0
• � � SMIP/NON-RES
PLAN 29,25 � � �
ISSUE FEE
HUILDING-DIV-> PERMIT ISSUE .PLAN-CHECK TOTAL PAID DUE
TOTALS----> 45.50 .0.00 29,2; 79.75, 74.75 .00
REVENUE DIVISION TOTALS--> COLLECTED; 74,75 OVER/SHORT: .00
bLDG PMT PLUMHING ELECTR2C MECHANIC FIRE SMIP/TOT GRADING PLAN-CHEC}C
45,00 .50 29.'l5
i! if if iF iE iE iE iF iF iE if fE iE if it iE iE iE if ih iE 1E±E iE iE X� iE ik iE if iF ik if it i! 1E it iE i(� 3E if iE iE 1E iF ik iE if jE if if i! i! iE iF iE it iF 7E i! jE iE if 'tf iE iF iE iklE iE iE'if iE �k iE iE iE jE 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 2000 ALTER BY I�ALUE RESIDENTIAL NOZONE 1.00 2,000.00
END OF FEES , ,
oi aootias._s-eQooasa� Tr�r
DAiE: 06/21J40 TiflE. f3.fSt
a
7<. �5
' CONSTRUCUON AND PL"ANNI � . � �, ' ' . JOL & SPA ' I
APPROVALS Permit# - Date:� Inspector qppqOVALS Permit# Date 'Inspector
1: Tempora�y 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-Undrgmd. `� ' 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-Undrgmd. - �
8. Foundation � 59..Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor SYstem ' 61. APPROVAL TO-DECK •_ - .
11. Property Sewer Une &� Houte Connection ' 62. Backwash & Receptor�Final � �
72. Sewer Cap 63._Heater& Vent-Final � �
13. Roof Dreins ' � 64.. Plumbing System - Final � �
14. Rough Plumbing 65. Electrical-FinaF -
75. fiough Electrical-Conduit - 66. SolarSystem-Final
'16. Rough Electric Wiring, . _ 67. �Fencing & Access ApProval . �
77. Rough Wiring Sign - 68.-APPROVED,FOR PLASTERING '
18. Rough Electriwl�T Bar Ceiling . . . 69. POOUSPA SYSTEMS FINAL . '
19. Rough Heating & Air Conditio^ing . FIRE DEPT. REQUIREMENT .
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducis, 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. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathirig' ' 74. �Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat . Dry Chemical
27. FrameandFlashiny . DryStandpipe
28. Lathing & Siding,- � �� - 77. FIXED SYSTEM FINAL
_29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing �' �� HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat � 79. FINAL INSPECTION '
32. Electrical Power Meter�Final �80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
.34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �
-36. Hood or Canopy .. -
37. Final Factory Fireplace . '
38. Final Plumbing ' " � � .
39. Water Service-Final . , .
40. Gas Service-Final . � '
41. Solar pomestic-Final - � �
42. Backflow Preventer' - � .
43. Backflow Irrigation
44. Landscape Irripation System .
45. Sound Attenuation .
46. Handicap Regulations �
^'4
47. FINAL STRUCTURE & BIJILDING ��,
as. FiNAL PLANNING •
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
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� TFIe�E PLF�NS 1�?UST BE CN ;10� P.T ALL TIMES hAAKE- --:
NC ;CHAN a� S WITHCUI� PRIOF l�.PPROVAL OF' DEPT. �
: _ . _ .. _. __. �
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V�flQIECTRU0RES5: z']SO PORTOLA DR uxrt: . � CZTY OF COSTA MESA — BUILDZNG PERMI'I' PERM NO;� E 048103
OWNEfl'SNRME: LAN THI NGOG BRYANT � - � � - �
noosess: 2��0 PORTOLA DR PERMIT NO: E 048103 PLAN CHECK NO: N GOVT: N SUPF: N
COSTA fAESA .
, CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE ' P�URPOSE: OTH
' ('714 ) 540-9637
RPCH/ENCINEEfl: . � REO.NO.: JOB DESCRIPTION �: ENCLOSE 616SF PATIO COVER SQ FT;
RDOHESS: UNR: ' � '
CLAIM VALUE: CALC—VALUE: GROUP OCG: R-3 /
PERMRTEE: LAN THI I�GOG BRYANT ( 714 ) 590-4637 � • ' - . � '.
•nooeess: 2�50 PORTOLA DR COMMENTS: RE: B97843 PRIMARY bLDG. PERMIT. �'
I � C.M. CA 92627 +�*��****�r*�**�*��****�:**x*�******�+���r**��**x*�r******�***�**+�*��r*�r��*�x*��**�'�**
LICENSEO CONTMCTOB OEClAMT10N: I hereby attirm that I am Iicense0 under Drovisions af Chapter 9(commencinB'M�� �a[ion Z Q j•j I j•j G R E U Z R E M E N T$� �
7000) of Oivisian 3 oi [ha Busineu antl Pmfessians CaUe, antl my liunse is in full Porw antl eflect. $ E T B�A C fi S �
CITY Ut.: STATE IIC.: LUSS: .
ate: - � Signaiure: �
PKERS' LOMPENSRTION DECUAIITION: I hereby affirm that I have a certifwte of conunt to self-insure ar a cetlificate oi Workers'
ipenution Insuance, ar a certifie0 coDY Ihereai (Seaion 3800, Lab. C�.
LICY NO.: � EXP. �RTE:
COMPANY:
❑ CerlitieE copy is herehy fumis�eA. ❑ CertifieJ copy is file0 with the ciry BuilEinq �ivision.
Date: Appliunt
F%EMVf10N FBOM IVOBNERS' COMPENSITION OECUIUTIOX: (iAis secGon nee0 not 6e complete0 ii tAe Dermit is lor ane hunArea (5100) ar less�.
I ceniry that in t�e performance of tAe wmk far which this Dermit is issued, I shall not emDloy any Dersan in any manner so az to 6ecome
sublect to ihe WOBers' CamOensation Laws ol Califomia. �
Date: SiAnaNre:
NOTICE: If, aM1er makinp this Aeclaation, you 5hou10 hecame suhject to the Workers' ComDensatlon pmvisions oi the La6or
CoOe, you must forihwith comply witA such pmvisions or ihis permit shall 6e tleeme0 revake0. '
CONSTOUCTION LENDING 10ENCY: I Aerehy aflirm t�ai t�ere is a constmcti0n IenUinp aAency lor Ihe pertormance oi'Ihe work for
w�ich,ihis Dermii is issue0 (Section 3097, Civ.,C). .,
IENDEB:
RODPESS: "
OWNEB BUIIDEB DECUMTION: I Aereby amrm ihat I am eKempl irom Ihe Contractors' State License Law tor Ihe I011owinA reazon
(Section 7031.5 Business anG Professional COEe: My ciry of counry wAich requires a De�mit ro constmct, alier, imDmve. Aemolish, or
repair any structure, D�or to its iwuance, also reQuires the apDlicant for such Dermit to file a signeA statement [hat he/she is Iicense0
pursuant ro the D�a�isions of t�e Contractors' S�ata License Law (C�apt¢r 9(commencinp wiih $attion 7000) of UWsion 3 of �Ae BuSineSS
• and Professions CoOe) or Nat Ae/she is exemD� ��e�e��om anU the basis for the alleAed exemption. My violation of Section 7031.5 Uy,
ny applicant for a permit su0lects the applicant to a civil penalry ot not more tAan five AunAr¢C Uollars (SSW).
I, as owner ol the pmperty or my� ¢mployees with wapes as tAeir sole compensatlon, will Eo the work, anE t�e
stmcture is not inlendetl or oHeraO for sale (Setnan 7044, Business anA Pmfessional Code: TAa Coniraciors' State LicenSe Law
does not aOPN �a an owner o� a Dmperty who builEs or impmv¢s �hereon, and who dou such work himult/herse�f or I�rouph
Ais or her own emDloyees. provitled t�at sucA imDrovements are not intendeA or oifereE for sale. tl, however t�e GuilEing or
impravement is.soltl wit�in one year oi camDletion, ihe owner vnll have the burden oi provinp he/she diE nM Dui10 ar Impmve
� for ihe PurpOse�af ule�. '
I, as owner of the pmpetly. am evclusively contractinp with licensed contradors ro constmct the D�alect (Section 7044, Business
❑ and Pmfesuons Code: T�e Contractors' Stata Licensa Law Uoes not aDPly to an owner oi properrywAo hmlQs or impmves Ihereon
an0 wlro coniracls lar such D�atecis c�th a coniractor(s) license Duauant to [he Cantra tors' State License Law). I am aware
[hat Droot of Neir Worker's ComDens:Uon insurance sAONA be pmvitleA to me.
� I am exempt unaer Section: � B. 8 P. C. I
for this reason: ' '
Date: � " � � � � d Owner:
I Eo hereGy cehiry [hat I am aware oi anE un0erstanA the repuiremencs of Califomia ih anA Safery COAe Sections 25 , 25533; an0
'25534 anOlha� I or any fNure UuilOing occupant will/=11 noi (circle one� neeU �o com ith saiE siata codes an0 t�e re u ement5lor a
permit tor construciion or moEitiwtion Irom Ihe Nr Oualiry Manaqement Distnct. Hes ntial consimction aDDlications a exempt imm
Ihese pmvisions.
Dale: Applicant
I AereEy cenity that I �ave aad ihis aOGlication anA state Ihat Ihe aCove inion tion is correct. I apree to comDN wtth all ciry antl wunry
ardinanus an0 state laws relatinp ro 6uiltling conStmNon anE herehy aut�onze r resentatives of �'s ciry to entar upon t� aGmamentione0
properry far.inspection Durposqes:
Daie: ��� � � — ( � Siqnature:
Dnver's License or Socia� Secunry �
18a1i6 White—BuIlEing; Graen—CpEe Enlomemen�; Cenery—Applicam; Pink—Revenue; GWE rotl—Aasessor
�. ' "
------------ MAIN bUILDING ---------- --------- ACCESSORY•BUILDING ---------
FANT; 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 • PROC�: PARCEL: 14130222 ZNE: REF NO:
PLANNING NbTES>
' - .
iE iE iE iE'�! iE �lE if #E if i(� 9E iE jf iE iE iE iE it iE iE iE iE iE # iE �(-3E jE jE 3;-# iE iE 1E 3F iE �1E iE �E it if fE iE iE iE iE'lE iE'.E # 1E iE iE-k jE 1f'k iE it �14 iE �lE iF iE 3F iF iE 3E �lE dh �)F iE iE �lE 3E iE iE 3E
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 S
ZONING P.PPROVED bY � DATE:
BUILDING APPROVED BY : �� DATE:
APPLICATION ISSUED HY:� - �u�C�� DATE: ��(�/���d
jEiEiEiE'�EiEiEiEit�1E#�iEif3EifjEiE�lEihiE�1F9E c � . ��'` t�_,,3F3� .' �.� x ;fiE9FitifiEififiE�1E �iEiEiE
�r*+�etx�tit�***x***at�r��r*****it�**it+��*�c*�x��r?�**� :*��i „***�*��r*+r�t**x*�x��*�*�tit��*at�***
LEGALIZATION:N F&'•E� S D M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 6.00
SOS , SMIP/NON—RES
PLAN
ISSUE FEE 15.00
bUILDING—UIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 6.00 15.00 0.00. 2,1.00 21.00 .00
RE��ENUE DIVISION TOTALS--> COLLECTEU; 21.00� OVER/SHORT; .00
HLDG PMT PLUM$ING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK
� 1 , � �
i
it i! iE iE if ih iE if iE iE it iE if 3F jf it iE iE ik iFlF fF } iE'.F 1E iE if iE ik iF iE iF if if �1E jE jE iE if iE jE iE iE if iE jE if if iE?E iE jE?f it iE iE if?E iE jE �If iE iE if iE iE iE k iE iE'if iE iE if if iE jE iE
I N D I V I D U A L F E E B R E A�K U O W N
f YPE QTY D E S C k I P T I O N UNIT COST TOTAi, COST
ELE 2 FIXTURES, LIGHTING
ELE 4 RECEPT/OUTLET
ELE 2 RECEPT/SWITCH
0
1 ST 20
1 ST 20
i ST 20
END OF FEES
0
EA. .75 , � 1;.50
EA. .75 3.00
EA. , .75 1.50
i
ci �oebsoaa-pnnsso�a ���.�e�t zi,ot�
D�TE- 07/li/90 TI�tE� 13:s3 �
, -
� CONSTRUCTION AND PLANN ' - � � , ' �Ol & SPA
APFROVALS Permit # Date Inspector � Date Inspector
, APPROVALS Permit # j
1. Temporary�Electrical Serviceor.Pole �. � ,52. Pool &.Equipment Location "� � �
2. Soil Pipe�Undrgmd. � " � 53. Steel Reinforcement " '' '
3. Electrical Conduic Utility-Undrgrnd. 54. Forms
,� , �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �
5. Steel Reinforcement � 56. 'Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electrical Condui[�Undrgrnd.
$. Foundation - 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe�Und�9rnd. _ 60. Backwash Lines, RTraprO Undrgmd. '
70. Structural Floor System � 61. APPROVAL TO DECK ' '
17. Property Sewer Line & House Connection 62. Backwash 8i Receptor�Final . -.
12. Sewer Cap 63. Heater & Vent-Final � -
13. Roof Drains � 64. Plumbing System � Final - �
14. Rough Plumbing , 65. Electrical-Final . -' -,
15. Rough Electriw6Conduit � ., Solar SYstem-Final . . '
16. Rough Electric Wiring ,� � � Fericing & Access-ApP�oyal '".. _. . �
17. Rough Wiring Sign - 68..APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling� � 69. POOUSPA SYSTEMS FINAL_._
19. Rough Heating & Air Conditioning FIRE DEPT. FiEQUIREMENT �
20. Fough Factory Fireplace APPROVALS Permit #
21. Ducts, in $tructure 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. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structuraq & 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 � �" �v HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat j 79. FINAL INSPECTION
�. -
32. Electrical Power Meter-Final ,?i •. . FOOD CERTIFICATE ISSUED
33. Final Electric � otes:
34. Final Heating & Air Conditioning `�'
35. Final Gas Pipe-7est � �s
36. Hood or CanopV / - �
37. Final Factory Fireplace . ��'�
38. Final Plumbing �. ,
39. Water Service-Final %
40. Gas Service-Fina� � i .
41. Solar pomestirFinal
42. Backflow Preventer
43. Backflow Irrigation
44. �andscape IrriQation System .
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING � �
48. FINAL PI.ANNING �
49. Elearic Release to Edison '
50. Gas Release to Southem California Gas Co r�;
51. CERTIFICATE OF OCCUPANCY
No. Date
PNOJECT AOONESS: ?% S O PORTOLA DR
OWNEF'S NpME: $RYANT LAN T N
noosess: 2750 P�]RTOLA DR
:, COSTA MESA,CA
AFCHIENGINEEq:
RODPE55:
UNIT;
92626 23 P
sec.xo.:
UNIT:
PEFMITTEE: LEHMAN ROOFING, INC. ( 714 )$5(1-9915
aooxess: 3 9 4 4 W HAR VARD
SANTA ANA CA 92708
LICENSEO CONTBACTOB OECIABATION: I hereby affirm Ihai I am IicenSeU unGer provisions ot C�ap�er 9(commencing wi�� Section
7000) ol Div��sion 3 oi�he Busmess antl Pmlessions Cotle. antl my license is in fullforce antl eltect.
ciTruc.:042353 srnreuc.:49960� c�: �-39 EXP; 08/95
a :.� ^� Signawre: ��
W flNEBS' COMPENSATION OECL4NATION: I hereby a�� thai I naue a cenificate of consent to seli�insure or a cenificate of Workers'
ompensanon i�s�ap�ce. y���Ufv�i 1Dly1�U �o�(ycoon aeoo, �ab. J�1 /01 I95
Paucv no.: S TATE FUND E%P. DRTE:
COMPANY:
� Cenifietl capy is hereby �urnis�ea. 0` Cenihed copy is �iletl iih �he city Building visian. n
Oale- �B J ~ I /' Applicani: �—��+� �'^'< � � -
MPTIONFAOMWOflNEBS'COMPENSATIONDECIABATIUN: (Thissec�ionneeAno�becompleteDittepermitistoronehuntlred(51W)oNess�.
I cerlity Ihai in IAe De�Ormance ol lhe wOrk lOr whith �his permi� i5 i55Ue0, I Shall not empioy any persOn in any manner 5o as t0 beCome
sublecl to �he Workers' Compensatmn laws ot Cali�omia.
�aie. SignaWre:
NOTICE: Ii. alter making Ihis Oeclamtion, you shoultl �ecome su�jecl �o the Workers' Compensa�ion pmvisions of �Ae La�or
Gotle. you mu5i �atlhwith comply with such pmvisions or this permi� shall be deemetl revokeU.
CONSTHOCTION LEN�ING AGENCY: I hereby affirm Iha� I�ere is a con5iruc�ion lending agency for �M1e pedormance ol Ihe work for
which ��is permil is issuetl (Sec�ion 3097, Civ. C�.
iExoes:
nooness:
OWNEN BUILOEN OECIAPATION: I hereby aflirm Ihal I am exemp� irom ihe ConVacrorS' Sia�e License Law for �he following reason
�Section 7031.5 Business ana Pm�essional Code: Any city at counry which reQuires a De�mil to cons�mct, al�er, impmve, tlemolish, or
reDalr any S�mcWre. prior �o its i55uance. also requires �he applitan� �or SUch permii �o lile a SigneA Sia�ement �hal �elihe is litensetl
pursuanitothe provisions ofihe Contrac�or5' S�ale License Law(Chapier9�commencing wilh $eciion 7000) o�Divisian 3 a�the Busine55
ana Prolessions Code) or thal ne/she is exempl Iherefrom antl ine basis for ihe allegetl eeemption. Pny violation af Section 7031.5 by
any apPlicant for a permit subleds the applicanl to a civil penaliy o� not more �han tive �undred dollars �5500).
I, as owner of Ihe properiy or my employees wit� wages as their sole compensalion, will do Ne wo�k, antl �he
❑ slmclure is nolin�enUee oro�fere0for5aie (Seclion 71144, Busmess and Pm�e55ionalCoEe: The Contraciort S�a�e License Law
tloes no� apply lo an owner of a propetly who Ouilds or impmves �hereon, ana wha tloes such woB himself/hersel� or Ihrough
Ais or �er awn employees, provitled that such impwvemems are no� intenaetl ar oflereG lor sale. I�, however the building or
impmvemeni is soltl within ane year of comple�ion, the owner will �ave the burtlen o� pmving helshe Oi0 no� bui10 or improve
far ine purpase of salel.
I, as ownerof �he pmpeny. am exclusively conVacling wilh IicenseU canlraclors �o coretmc� ��e pmleci (Sectian 704d, Business
❑ and Pmiessions Catle'. The ConVaciors' State License Law does not apOty ro an owner of Droperry who builds or impmves thereon
antl who conVacts br such pmjecis wiih a conVaclor(5� hcense pursuantio the Conirac�o�s' Slaie License law�. I am aware
Ihat proal ot I�eir Worker'S Compensation insurance s�oultl �e pmvitletl �a me.
� I am e�empt under Section: B. 8 P. C.
for inis reason:
�a�e'. Qwner
I tlo hereby cendy Iha� 1 am aware ol and un0ers1an0 �he requiremems ol Calilomia Health an0 Safety Cotle Sec�ions 25505, 25533, an0
25534 and Ihai I or any fulure builtling occupanl willlwill no� (cirde one) neetl ta comply wiih 5ai0 s�a�e cotles antl t�e requiremen�s �or a
permil �or conslmc�ion or motlilicaiion �mm �he Nir �ualiry Managemenl Distnc�. flesitlential cons�mc�ion ap0lica[ions are exempi fmm
ihese pmvisons.
�ate: Applicanl:
hereby cetlify thai I �ave read �his application and siate iha� the a0ove iniormation is correcL I agree �o comply with all ciry an� counry
ortlinances antl stale laws rela�ing to building conslmc�ion ana hereby authorize re0resentatives o� ��is ciry �o enter upan Ihe above�mentioned
pmpetly lor inspec�ion purposes�l
ate' ����/ ^ / J Signalure: �/�"�i
oriver's �icense or Sociai Securiiy
t6at�<6 Whne—Building; Green—Cotle Enlomemen�; Canary—Applicant; Pink—Revenue; Goltlenmd—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 064134
PERMIT NO; B 069134 PLAN CEIECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYFE; 5—N PERMIT TYPE: STA PURFOSE; ALT
JOH DESCRIPTION ; T/O RESHTH & REROOF W/COMP. SQ rT: 4,600
CLAIM VALUE: 4,600.00 CALC—VALUE; 4,600,00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOFS ARE REQUIRED IN EV6RY BEDROOM 6 HALL[dAY, 1991 UBC
x�xit**i�***ft�ir�ir?;*x�**�t*x�**�rt�x+r**�f***it#*er�i��t*�t�t��**�it*�ati�*��t*i�+t�t*+t**ar�x-at�tx�**�r;�+r*�c*
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 ---------- -------- ACCESs'ORY BUILDING --------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAA; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REt�; PP.OV; FARCEL; 14130222 ZNE; REF NO;
PLANNING NC�TES>
>
iE if jE 3Elf 1F if if if iE iF iE iE if ic iE 3(� iE �1E iE iE iP iE # iE iElE ff !f if iF'.F iE iE iE i6 # iE fE if iE ic if �E if �E if iF iE if M iF fE iF fC iE 3k if �X�lf iE iE iF iE # iE iE iE if;yE iE iE iE iE fF at if if if
D E V E L O F M E N T S E P. V I C E S R E Q U I R E ht E N T S
ZONING APPROVED BY ,
BUILDING APFROVED BY ;
DATE;
L�ATE:
APPLICATION ISSUED HY: ///�. DATE; o� �
�;irit*��x*�r�**+r�+�it*it�-ir***er�rx�**�t+t+�*+�x�iE�r+ri .-*,r*+e*�rx�ir*�*x�*x��*x�ieir+��r*�r#**ie* ie�.�r � **��*
x�+rx�**��r�x**�*��r**ir*�r***�itx-*�*��*ie�•**��r*�*�+t+ret*��r#*�r�+t�r*****r+��ritit*it±t*tr�rar+-**+�*�rat
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 ,50
SMIP/NON—RES
PLAN
ISS[JE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL FAID DUE
TOTALS----� 72,50 0,00 0,00 ?2,5� 72,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 72,50 OVEA/SHORT; 00
HLDG PMT PLOMBING ELECTRIC MECHADIIC FIRE SMIP/TOT GRADING PLAN—CHECP:
7?.00 .50
iE i! if k iE iE if iE iE iE �1E if �lE if 3t iE iE k iE iE 3E'1E iE iE iF ik it it iF ff af 1E if iF ih �IF if �c 9f if * if iE if 1P itlE iF # iE jf iE # iE iF iE iE �)k �1! iE?(� fF iE if �F?E iF iE ?f iE iF i! if �f iE if if iF 1��
I N D I V Z U U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT CC�ST TOTAL COST
SFR 4600 REROOF &Y CTALUE RESIDENTIAL NOZQNE 1.00 4,600,00
END t�F FEES
V
ni �7o?5p97S—�3ni68976 T � T 7?,5p
DATE: tG/0`J94 TIi1E: r]:pg
,
. . .
CO�ISTRUCTION AND PLANNING POOL & SPA _
A�,?'PROVALS Permit,f` D'ate Inspector pppROVALS Permit# Oate Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location
2. Soil Pipe�Undrgrnd. 53. Steel Relnforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrica� Conduit-Undrgrnd. 55. Elec[ricat Bonding �
5. Sieel Re�nforcemeni 56. Rough Plumhing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE
7. Footings 58. Eleciricai Conduit-Undrgrnd.
8. Foundation - 59. Gas Plpe, O Undrgrnd., Test '
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
70. Svucwrai Fioor Svstem 61. APPROVALTQ DECK
11. Property Sewer line & House Connection 62. Backwash & Recepta�-Final
12. Sewer Cap . 63. Heater & Vent-Finai
73. Roof Orains - 64. Plumbing Svstem • Finai
14. Rough Plumbing 65. ElectricabFinal
15. Eiough Electrical�Conduit 66. Solar System-Final
16:`�iough Electric Wiring 67. Feneing & Access ApU�oval
.17., Rough Wiring Siyn 68. APPROVEO FOR PLASTERING
18. Rou�h Electrical-T Bar Ceiling 69. POOUSPA SYSTER�15 FINAL
19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. Ducts, in Structure 70. Underground HVdro
22. Oucts, Ventilating 77. Product Piping O Gas i� Oil
23. Gas PipB�Rough & Test 72. Underground Flush
24. Roof rvaming 73. Undergrnd.SiorageTank G�Gas ❑Oil
25. Roof Sheathin9 74. Overhead Hydro
26. T�Bar Ceiling �Structuraq & MoRocoat 75. Dry Chemicai
27. frame and Ftasfiing 76. Dry Standpipe .
28. Lathing & Siding . 77. FIXED SYSTEA9 FINAL
29. InsulaUon '' 78. FIRE PREV. FINAL
30. Dry�vall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 0rown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED
33. Final Elec:ric , Notes:
34. Final H00ting & Air ConditiOning
35. Final Gas Pipe•Test
36. Hood ot Canopy �
37. Final F�ctory Pireplace
38. Final Plumbin9
39. Water Service-Final
40. Gas Service�Finat
41. Solar pomestic•Finai
42. Backflow Preventer �
43. Backflow Irrigation
44. LandscaPe Irriqation SYstem
45. Sound Aitenuation
i
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING `�,� /K rKJ �r, //
� c-� .�.Q��_
48. FINAL PLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas CA
51. CERTIFICATE Of OCCUPANCY j
No. Date ,
�y,OWNER URSINI, Francis DATE 1-3-72
� 70B ADDRESS 2750 Portola DT'ive BUILDING PERMIT N0. �3qq7
AP No.
GNS
WATER
PROP. SWR. LINE U MOUSE CON.
SPRINKLING SYSTEM
MISCELLHNEOUS
UNDERGROUND � POWEF
ROUGH WIRING
FORMS � � STEEL REINF.
SVSTEM
FRAME AN� F�ASHING
LATHING - IN n OUT
PLASTER. 9ROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG.
PLUMBING, FINAL ANO GAS
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REQUIREMENTS
ANO A.C.. FINAI
DESCRIPTION of
TRACT FIRE ZONE VALUE
Signature Date GROUP �7 TYPE
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"' COSTA MESA BUILDING-SAFETY DEPARTMENT ' -
P.O. BOX 7200 COSTA MESA, CAlIFORNIA 92626 . "
� APPLICATION FOR BUILDING PERMIT '
fo��Applicant to Fill in Completely
RECEjfI$D D TE RECEIVED ppT�155 ;E�
BUILDING { �L� 2 /
ApORE55 � BH�OL.N- yL � Q
'OWNEF CI /IU ( A.P.NO. PEFMI� . J�
J
MAIL BUIIDING I
.4ODRESS �7 /J �H dL P.ODRESS ,�g
CITV � %YfECjh NO� D. TRAC LOT BLOCK
CUNSTRUCTION W ADD LTE P
LENDER
BRANCH � ' � ,
OWN R
/abDRESS � VALUE ^
P.RCHITECT TEL S $ I�I�II�
Op ENGINEER N .
FIRE
�+bDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR O W A% � K BV ATE/ — �
PbDRE55
TEL, Z�N NO.OF USE OF NEW �
PLANS. BV7LDING
CI7V NO. � '
STqTE 'CITV ' �AROSAPPROVED VARDSAPPROVED
LI0.NO. � LIQNO. MAINBUILDING ACCESSORVBUILDING
51 Z E NO. OF BLDGS. ( F R OM C/ L ST
Op LOT � NOW ON LOT FFOM FT.
U$E OF �
EkISTING BLDG. SIDE FT. FT.
SIZE OF NO. OF /' �`
NEWgLDG. POOMS STORIES L.SI�E V FT. FT.
EXTERIOR WALL � ROOF
CpVERING COVERING REAF FT. FT.
U$E OF BUILDING AND WORK TO BE PERFORMEO DISTANCE BET, BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAF.,$ DATE
� C.U.P.�1`- APPqOVED
APPROVED
���— �
�
� hereby acknowledge that I have reatl ffiis application and state '
that ffie above information is corract antl agree to comply with
al� laws regulating builtling conztruction, and I shall not employ
aqy p¢rson in viblation of ffie workman's compensation laws of �
ihe Stare ot Calitomia.
I hereby certify that I am ptoperly licensed as a contracior untler SQ, PT.
rhe Staie oi California 8usiness antl P�otessiuns Cotle, Divisicn 3, THE AMOUN'r SHOWN UNDEF VALUATIpN IS FOq
Chapter 9, antl chat such licenses ere in full force and effeci, or 1 THE PURPO$E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the provisions ot �he S[ate of Califomia Business VALUATION
antl Pwfessions Code, Division 3, Chapter 9. PERMIT FEE $ /��
Sipnamre of ' �
Permittee �iL'LGi.L��J , $ % i� PLAN CHECK $ � '
/�Uthorizetl ABent - / /� V V i / ��
TOTA� FEE $ /
�n 12�1�
CO , �'SA BUILDING-SAFETY DEPARTMENT
P. O. BOX 817 C06iA MEBA, CALIFORNIA
For Applieant fo Fill In Complefiely
� TYPE OR PRINT
■ SIZE
2750 Portola D�
COSTA MESA. CALIFORNIA
MSCCO
FE� RECEIUED
�Q� UN1�1960
F�NANCE DErT.
����F COSTA MESA
APPLICATION FOR IT
Lot � �9 BUILDIMG
Plan R 3B
For Office Use Only
� RECEIPT NO. PERMIT NO.
FEC6NEO 0Y I DATE HECEIVED I'CAT
E. Coast Hi hwa o _
TEL.. BUILDING e
NO. ADDRESS L��O POIC�18 L�
TE�' COSTA MESA. CALIFORNIA
nnna Nn _� 17fl7A
NO. OP BLDGB.
�I�EFT S IRIGHT S
DESCRIPTION OF WORK
OF
EXTERIOR WALL SLUC
GOVERING � aidin
USE OF BUILDING AND
with attached'garag,e
I XEREBY ACKNOWLEO6H T AT I HAVE REA� THi9 APP IGTION
wNo BTwiB SMAT THE ABO IB GQ RRECT ANO AGRE TO COM-
PLY WITX ALL CITY ORD��LE9 /�ND 3TAiE�LFWe OUL�TING
BUIIDING CONBTRUCTION � � � �
61GNATURE OF �I/J / A/il ,/ /��
'AUTHORIZEDAGENT � Project Manager
APPROVED
ZONING
ZONE /� NO. OF f19E OF NEW
/r � PLAN9 BUILOING
YARDS
APPROVE�
(CHNTER LINE BTJ
���
TH6 AMOIINT 6XOWN UNDER VpLUATION IB POR THE
PUPP08E OF EBiABLIBHING A pENMIT FEE ONLY.
VALUATION ' 3'z.00
PERMIT FEE $
$ 13;960�00 pLAN CHECK $ �V•00
48.00