HomeMy WebLinkAbout832 PRESIDIO DR - Building PermitsCITY OF COSTA MESA , �
.
f BYILDING D/V/S/ON
i , o,.. � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax p14) 754-4856 • vrv�w.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BC10-00008
PERMIT TYPE: B COMBO STATUS: ISSUED
Sub Type: RES_ALT DATE ISSUED: 01/12/2010
ISSUED BY: BE
�os ao�Ress: 832 PRESIDIO DR CM ._. .- � Suite/Unit:
APN: 14131113 _ � � , . ZOning:R1, �, .. .. .. - :. .
Vicinity: SFD � �� � - � "' � " Primary Occ: ` " � �
Const Type: V-B SQ:`FT; 0 Valuation: $50,000.00
SCOPE OF WORK: MOVE FAU�TO ATTIC�ADD NEW REGISTERS,ADD A/C INSTALL GAS LINE TO KITCHEN ISLAND 1-4
OUTLETS,24 CAN LIGHTS,13 SWITCHES,AND 12
OUTLETS AND CHANGEOUT 8 WINDOWS HEADERS TO REMIAN THE SAME WINDOVJS TO MEET EGRESS REQUIREMENTS.
ONE EXHAUST FAN FOR�BATHROOM: ..� � , - � � . � � � � - -
OWNER: WILLIAM AND MICHELLE GORDON �.- � `�Addiess:' '832 PRESIDIO DR �� � Unit:
Phone: 714-003-0403 , . _ � City/State/Zip: CM,CA � � ' _ �� � , . _ �
APPLICANT: JIM PALMERI . � �. � . � � Address: 3419 VIA LIDO . � - . Unit: :SUITE 233
Phone: 714-3373Y00 � � . ' City/State/zZip:.'NEWPORT BEACH, CA ' � � .
CONTRACTOR: J P CONTRACTING , License�No. 620654� �
Phone: 7'14337-3700 �. - . Address: 3419 VIA LIDOUnit: SUITE 233
Cell: . . � City/State: NEWPORT BEACH, CA � ZipCode 92730
ARCHITECT: � � " - � License No. PHONE'
ENGINEER: � � - License No. � . PHONE:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: � . . � $0�.00 - : - � � - �
Building Fees: . . . • $64425 , -. . � - � -
Electrical Fees: $75.92
Mechanical Fees: . $65.60 � � . . �
Plumbing Fees: ��_ - $29�.65. � � ' . - - " " -
SMIP Residential: - � � - $5.00 ' � . . . �
SMIP Commercial: $0.00
Bldg Std Admin Fund $2.00
TOTAL FEES: $822.42
"Refer to fee receipts for all fees paid for project
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes 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.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must compty with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
COOEi. INSPEC710NTYPE DATE INT➢Al5 LODEN INSGECTIONTYPE DRiE INTITIALS
7616 Fined System Final Pire Prevention 206 Final Mechaniral
1266 Pool Spa Final 208 Final Plumbing' � �
200 Final Re-Roof 210 Final Electricat
201 Fina1 Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approvai �
203 Final Sign 222 Final Site
204 Final Demolltion z50 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION: �
I hereby aRirm under penalry of perjury one of the following dedaretions:
❑ I have and will maintain a certifcate of consent to self-Insure for workers'
compensa[ion, as provided �for by section 3700 of the labor Cotle. for the
performance o( the wnrk for which this permit is issued.
❑ I have and will main[ain workers' compensation insurance, as required by
sec[ion 3700 of the Labor Code, fa the pedormance o( the work fw which Ihis
pertnit is issuetl. My workers' compensa[ion Insurance carrier and policy
number are:
Carrier
(Tnis secOwr neeE ipt Ue mmpeletl d tne pe�mrt is vaNetl af one nun0ied cbllars (5100) a less.)
Policy Number:
(a I certify that in Ihe pertormance of Ihe work for which [his permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation lavrs of Califomia, and agree that if I should
become subject to the workers' compensation provisions ot Section 3700 of
the L bor Cotle ��J a�ll (orthwith comply with these provisions.
T .GC//�+�[.. �' % Z -�U
Appliranl's Signawre Da�e
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLIARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS �ECLARATION:
I hereby aKrm that I am licensetl under provisions of Chapter 9(commencing
with Seclion 7000) of Division 3 of the Business and Professions Code, and
my license is in (ull force and eRect.
Lic. tt o7 S C�ass # .�J
/-/2-/U
Comraaor's Signature Da�e
CONSTRUCTION LENDING AGENCY: �
❑ I hereby affirtn that there is a cons[ruction lending agency for the
pertormance of [he work (a wfiich this pertnit is issued. (Sec. 3097, Gvil Code).
Lender's Name:
Lender's Address:
SignaNre Da�e
OWNER-BUILDER DECLARATIONS:
I hereby aHirm that under penalty of perjury that I am EXEMPT FROM THE
CON7RACTORS LICENSE LAW for the follovring reason (Sec. 7031.5,
Business and Protessions Coae: Any ciry or county which requires a pertnit to
consVuct, alter, improve, tlemolish, or repair any slructure, prior to its
issuance, also requires ihe applicant (or such pertnit b Ne a signetl statement
that he or she is licensetl pursuanf to the provisions of the Con[ractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Pro(essions Code) or that he or she is exempt therefrom and
Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any
appliwni tor a permit subjects �he applicaM to a civil penalty of not more Ihan
five hundred dollars (5500).):
❑ I, as owner of the property, or my employees with wages as iheir sole
compensation, WILL DO THE WORK, and the structure is not intendetl or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property vfio builds or improves
thereon, and who does such work himself or herself or through his or her own
employees, provided Ihat such impmvements are not intended or offered for
sale. If, however, the buildinq or improvement is soltl within one year of
completion, the owner-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ovmer of the properry, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to cons[ruct Ihe project (Sec. 7044, Business and
Professbns CoOe: The wntractars License Law tices not apply to an ovmer of
property who builds or improves thereon, and who contrac[s fw such project with
a conlrac[or(s) license pursuant to lhe Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
309-a6 �3/0])
Owner ID verified by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (rype o( document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CER7IFICATION: ��
❑ I hereby certrfy Ihat no excavation (rve (5) or more (eet in tlep[h into which a
person is required to descend, will be made in connection wi�h wnrk authorized
by this pertnit, antl Mat no building sWc[ure, scaf(dding, falsev.ork, or tlemolition
or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 347, Ttle 8, Calitomia Administ2live Code).
❑ As owner-buiider, I will not employ anyone to do vrork which would
require a permit fmm the Division of Industrial Safety, as noted a6ove, unless
such person has a permit [o tlo such work trom the tlivision.
Appliwnl's SignaWre
Division of Intlustrial Sa(ety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need to fle and
certify a Business Plan foi emergency response to release or threatened
release o( a hazartlous material? ❑ Yes ❑ No
(Section 25505 0( the Califomia Health and Safety Code requires, with some
excep[ions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic (eet of compressetl gas
at standard temperaWre and pressure).
2. Does or will Ihe applicant or presenl or fuNre builtling occupant neetl [o fle
a registration form for acutely hazardous materials? � Yes ❑ No
(Section 25533 of Ihe California Healih antl Safery Code, with some
exceptions, requires regisValion with the Costa Mesa Fire DepartmeN by
each business which at any one time has on hand a quantiry of acutely
hazardous materials equal ro or greater than a weighl of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet ot compressed gas at stantlard
temperature and pressure).
3. Does or will the applicant or present or (uNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for aculely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of the Cali/ornia Health and Safery Cotle provides lhat the
Costa Mesa Fire Departmenl may require Ihe preparation, certification and
fling vn[h Ihe Fire Department of an RMPP by businesses which are required
[o register acutely hazardous materials with the Fire Depahment.
4. If an RMPP is presently requiretl, has Section 25534 of the Cali(ornia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or win the applicant or present or future building occupant require for
lhe work which is the subject of [his application a permit for such construction
or modification from the South Coast Air Quality Management Dislrict or from
any other air polWtion control district or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Code requires that the requested
infortna[ion be fumishetl on applications (or noo-residential building pertnits).
6. Will any part of the facility to be constructed untler ihis permit be within
7000 teel fmm the outer bountlaries of a school? ❑ Yes ❑ No
Q!'yes". the facility must meei lhe requirement of Seclions 25534 and 42303
of the California Health antl Safety Code).
7. If a permit from Ihe South Coast Air Quality Management Dislrict or other
air pollu[ion control distric[ or agency is requiretl (or ihe vrork which is the
subject ot this application, have all of the disclosures prescribed by California
Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No
8. (I('yes", attach certificate of compliance from the appropriate air pollution
contml officer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correcL I agree to comply with atl state laws and
city ordinances regartling Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry of perjury that I have read mis application antl state that
the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by [hi5 permi[ until fnal inspection.
�J// Sg � t e of Legal Ovmer�s� ) pa�e
�I �//�/.1/I / -�2 '�U
/ An0/or AN�onzed App6canl Da�e
Pfl0.1ECTA0DflE5S: 83z PRESIDIO DFt
owNeesxamc: SELDEN NADINE M
aooxess: g32 PA�SIDIO DR
COSTA MESA,CA 92626
ANCH/ENGINEEfl:
AOOHESS:
HEG.NO.:
UNIT:
UNIT:
PEFMITTEE: PACIFIC COAST APPLIANCE ( 310 ) 324-8476
nooxess: 139 W VZCTORIA ST
GAADENA CA �90�48
LICENSEO LONTHpCTOB OECLANATION: I hereCy a��irm ��at I am licensetl uneer provisions a �ap�er 9(commencing wilh Section
700� oi Oiv�sion 3 oi �he Business and Professions Code. and my license is m �ull brce antl ellect.
F Y� 60311 sT^TE"c.:36269ii�'�„""
�
ate' ��` — Signalure:
WOP EFS' COMPENSATION DECLl�BATION: I here�y a�firm that I have a cehilicale ol consent b sell-insure or a ceni�icate ol WOMers'
Co ensalion Insurance, or a cetlified coDY �hereol (Sec�ion 3800. Lab. C).
icrNo.:NWC114009 E%P.DATE: OBIOS�9A
camraxr: GOLDEN EAGI,E
Cetlilietl copY is here�y Nmis�etl. L}d Cenitietl co�py is filetl with � i ui' in �' 'S .
aie �-�/-9Y nppucam
PTIONFHOMWOHREflS'LOMPENSl�TIONOECIAHATION: (Thissectionneetlnotbecompletetlifthepermi�isioronehunaretl�$10�)arless).
I cetlify Ihai in Ihe pedormance oi Ihe work br which Ihis permrt is issuea. I shall no� emDloy any person in any manner so a5 io become
suolecl Io �he Workers Compensation Laws ol Califomia.
�ate: Signa�ure:
' NOTICE: Ii. afier making Ihis declaration, you s�oultl become subleci to Ihe Workers' Compensa�ion provisions o� Ihe labor
Co�e. you musl forthwith comply with such pmvisions or this permi� shall �e deemed revaked.
CONSTflUCTION LENOING AGENCY: I hereby a�firm thal there is a mns�mc�ian lending agency for Ihe peAo�mance of the work for
w�ich this permil is issuea (Section 3097. Civ. C�.
LENUEfl:
AOOPESS:
OWNEH BUILOEB OECLABATION: I hereby aflirm ��al I am exempt �mm Ihe Conlraclors' S�ale License Law far �he �ollowing reason
(Seciion 7031.5 Business antl Pmiessional Codet Nny ciiy ol couniy w�ic� requires a permi� to conslmci, alier, impmve. Uemolish, or
repair any s�mcWre, priar �a its issuance. also repuires �he applicant for such permi� to file a signed stalement thal helshe is licensetl
pursuam �a ihe pmvisions ol �he Convactors' Slaie License Law (Chapier 9(cammencing with Section 7000) of Oivision 3 af �he Business
antl Pmfessions Code) or I�al �ehhe is exempt Ihereirom antl ��e basis for the allegetl exemplion. Nny viola�ion ol Section 7031.5 by
any applicanl lor a De�mit subjects ��e applicant �o a civil penally ol not more ��an live hundretl tlollars ($500).
I, as owner ol Ihe pmpetly or my employees wilh wages as Iheir sole compensation, will do �he work, an0 t�e
❑ simdure is not intentletl or oilered �or sale (Section 7044, Business antl Professional Catle: The ConVactors' Slale License Law
does not appty to an owner ol a properlY who builtls or impmves �hereon, an0 who Ooes such woB �imsel�/hersell or �hmuAh
his or her awn employees. pmvide0 lhal such impmvemenis are no� inlende0 or o�lerea lor 5aie. if, however ��e buiiding or
impmvemeni is sa10 wilhin one year ot complelion, (he owner will have �he burden oi Droving he/she tlitl nol bui10 or impmve
lor I�e purpase ai sale)-
I, as owner o� ihe pmpetly, am e�clusively conlrac�ing wi�h licensed coniractors la con5imct �he proleci (Section 7044. Business
❑ an0 Professions Coee: The Comractors' Slale License Law does no� apDty �o an owner of OmDehy who GuilGs or impmves �herean
and w�o conlraclsfor such pmjecis wiih a conlrac�oqs) license pursuantto Ihe Coniractors' S�ale License Law�. I am aware
Ihd� ptool of Ihcir Worket'S Compen5ati0n ipsurdnt¢ Sh0ul4 �e pfovitled 10 me.
� I am exempl untler Seclion: B. 8 P. C.
br Ihis reason:
Date: Owner
I tlo hereby cently �hai I am aware of and uneerstantl Ihe reqmremenis o� Calibmia Neal�� antl Sa�ery Cotle Sections 25505. 25533, and
25534 antl Ihai I or any future bmitling occupan� will/will no� (circle one) need Io compty wilh saitl state codes and �he requirements lor a
permi� lo� conslmction o� modilica�ion imm ��e Air Ouahry Management OislricL Residen�ial canstmction applica�ions are exempi Imm
Ihese provisions.
Oaie: Applican��.
I hereby cetlily Ihai I have reatl Ihis apOhcatmn antl sta�e ��at Ihe a�ove inlormalion is correct. I agree Io comply with all ciry antl caunry
inances ana staie laws rela�ing lo Dwltling canslmction an0 �ere6y amhorize repr senta�ives ol lhi� � to enter uDon Ihe above�men�ionea
!pm erty for lnspection purpases. � �«�i�//�i6�
Oate �' y`�9y S naW�e:
�Q(✓e�'s License or Social Sewrity q:
t64t-a6 Wbue—Builtling; Green—Cotle Enlorcemenf, Canary—ApplicanP, Pink—Revenue; Goldenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 065452 PLAN CHECK NO: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: PLU
JOB DESCRIPTION ;__DISHWASHER CHANGE—OUT
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 065452
GOVT: N SUPP: N
PQRPOSE: ALT
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WOAK AUTHORIZED BY THIS PERMIT
�t�t***�r***it+t�r+t**�r****�r*it+tit*�r***it*ititit�r*�r+t***�****x�***x�+ti�it*�t**�**+tx�x�+r****�r+t�****i�**
Z O N I N GS ERTEH�AUCIKRSE.M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGFIT: FT IN
PARKING REQ• PROV: PARCEL: 13992105 ZNE: REF NO;
PLANNING N6TES>
>
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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 BY DATE;
BUILDING APPROVED HY : DATE:
APPLICATION ISSUED BY: DATE; Z 2 �
lfftltikiFlFik1F1E1f1E1F1E1t1fM1!lFififlFlE �F1E{f1k1ElFlFMiFif {E{E
ifikifiFifififitkiliflEkitit4MkitkiE41f1tifMlEitiliflfifiE1E1E1fifiFifititiFitiEffiEiFif4±fif1flFiFiEM%ifiEifiFiEiFiFifiEifiF1E iEiEiEiE*iEiFiEi!
LEGALIZATION;N F E E S.0 M M A R Y STRUCTURAL SEGMENT:N
C�
BLDG PMT PLUMBING ELECTRIC: MECHANIC FIRE SMIP/RES GR.qDING
PERMIT 7,00
252 -i SMIP/NON—RES
PLAN ,
ISSUE FEE 20.00 �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.00 20,00 n 0,00 27.00 27.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00 2 '
%it 1!!t 1f k it iF 1t 1f 1f iF iFiflF fE ik iE 1E 1E if 1f if M 1h 1t if �tlF k 1t 1E 1E iE if 1f 1f M M iklE if iE 1E 1f iE 1F itlf fE %ff M i! 1f M iE iE 1E fE iflElf if if it iE1F iE it iE if it 1E i� M if iE ff
I N D I V I D U A L :j F: E E B R E A K D O W N
ti
TYPE QTY D E S C R I P T I O N1 UNIT COST TOTAL COST
PLU � 1 DISHWASHER � V 7.00 7,00
END' OF �FEES
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CONS7RUCTION AN� PIANNWG � POOL ?A
.APPROVALS Permii# Date I�spector pppROVALS Permit# Date Inspector.
7. Temporary Electrical ServfSe or Pole.,.� � _ 52. Pooi & Equipment Location
J.�
2. Soil Pipe-Undre�rnd.r - . ��'% 53. Steel Reinforcement
�' J ,
� � � �r " .
���.�i�ctrical Cond�yv.1����hY-Undrgmd..: :� 54. Forms �
-:A:tEts.ctrical CondofNUndrgmd. ont 55. Eiectrical Bonding
`� 5"�;;:e! Reinforceme��' :j?, 56. Rough Plumbing & Pressure Test � �
zi6, E�ctricalUFE�Etnd �'c �� 67. APPROVALTOCOVER-CsUNITE �
_�_ r.�
'7: fqptings :_'� � 58. Electricai Conduit-Undramd. ',-'�
�'8.�ounddtion �H � 59. Gas Pipe, G Undrgmd., Test c k
;9. Water Pipe-Unfir�2 ��d. � • 60. 8ackwash Lines, P�Trap, G� Undrgrnd. '
70. Structural Floor;$ystem • � - 61. APPROVAL TO DECK
i t. Praperty Sewer:�ine^& HoLse ConnectiUn 62. Backtvash & Recepter-Final �
12 S(�iber CaP o . .
y 63. Heacer & Vent-Finat
13. Roo` Drains � - 64. Plurnbing System - Finai �
. a.
14. Raugh Plumbirt� `� - 65. Electrica6Fina1
75. Rough ElectricabConduit 66. Solar SYstem-Final !
76. Rough EleMric"+/Viring 67. Pencine� & Access Approval � I
77. Rough 4Virir.g $,�qn 68. APPROVED FOR PIASTERING 1
18. Rough Elecvicg�(-T Ber Ceiling 69. POOLISPA SYSTEMS FlNA� �
19. Rough Heating & Aii Conditioning FiRE DEPT. REQUIREMENT �
- 's-jx . _r r-� � F L: * :-� �
20.'_Rough FactoYj� Flr.'�place a::-i '" : '7 � a x 77.PPRCr1/Ai�S���Per�it � +- �'� � •�
. :� P =� � ' a?' ='C s' ' t�r ' ; G i.�'r-rF , * C+ "� _�
�-. ,'�"r+(-- r� � :. ,> .. n �-�`J�i+: �n,�in, -
21.�ucis, in-6trcrtuqgm i.- •• --,,� s- rrt. a 70. triadergn�'K�c:Hy�ro t . . !
- -'}-+--5---' E' - r�.
22.�Ducx3, bAhtil�(in^y-�� � :`�S x i ^ S �i +'• "' 'p -
� ,� �1. Produci.�''.t�.�^,��,�9 �y�15 C'��� C,t. I
r ^ - : ' I �7 �.. < . ..
23. Gas �iPe•'.�Rou�h &'l��sc i -*. S x: n; :^ � � � 9 � �� 'YJ r E- .:� ,
.;, j.. �-�2. Under rou Fit::i ,
-��,.-.`'}�' � . _•�-. ,,,..,
24.cfloa� Fr8ming: O � � ;^`� ..'' . '-• .� �' y q � �]3.ylJndergrnc�: Stordi r -ank � Gas � OYs .�, � �-- �
� r - t�-,. � ' Y �--
25. Rod�Sht'athing � ; ,r : ,x`'' r'' �' ?', * 74.;Overhead �iYdro� `� r ,r, �� ��i �
'_l�_ _,
26.3'•Bir Ceiling 4Str�sixurai) &�er�ocoat , =�. � x C" : a 75.�7ry Chem��'.�-- � � z- ,�..''. �y �
a �i
27.,'Fra�eaad Flashir.g� �,r� t T m ;��'�, ; 76:�ry Stanc�:;y.e t; ��� `_ ' c` ,.�„� �r ' , p � --�'
�:
� . B.�Laih;ng & SidingtJ�sr :� ���,'�.�-^ .� � .. .. i x 77 � FIXED SM9�ENT��-•-� �tn'rAL�' a �E � -- �
T f-. �' "� ^•__? _. rr � r• �. ,,,,_,�_�
J/J 1ti .. .. i1 i.' :T� f; T � ` �l ri�. `I '�.'{
�79. InsulatioA r..; � ,. � IB.rFIRE P;P�EV. FIP+A;. + � -� M �"' �
� c
'�30. Dryv�allP]ailing F+�� ! y' I � Y -+y-<� •�4f&A,LTH[�EPT EFl* Q�iREMENT ��`��- I
... ._ .� . . . . ._ ni-- .� � -
�1. P�astcr B�DwP.��x - i n-�;r � �,"�, „79.'i=7NAL7i�P��`.CTI�1 � t' ��--
�2.fiectricahPo-�Yr.r R?exeC'Finai i � T N ��r z;$0.?fOOD CE�RTIFIGIYi'E IS`JU�D �� �
� }-.;,-�_l__,^�Z-E'J-1 {d"_k �
.33."Nin�Electr�c c' � `'� ' C' y� fi,_
�.+� . ; 'i � �t Y ~ � . } y �No�i; -� 'y�T, f . Q [i7 �
T - .' G� � . Y�1!'� . . '.\ -�-!����i -s � -�
;,�4.,finad:Heat�ng`'kj Fyrj�ortc:itioni�, �� : �, .q �
,. : -. .� . .� . � . ��7 ���-� a�a';a�.�t>x�,�^c.�._� _ _ :�i �
35. Sinat GaF�Pi�Te'�t'L,'t- _� ° � � ^ + � '� ,"� .''�� . �, , - �
K � . 2=ZZ-�.¢'_--�
.- t � � � �-
.,�6."Hoo� or Canopy n;:. =, � a n �-� �a� ^< T.' ,�o
r7�--'�:- � « -. ^ r �
�i, ^C' y z m �# y S'
�7. -Fin3� Factory Fir���e . ' �.^, �. �. � fr r
,.38. Fina}Plumbing �i, �^f : ..•, �, i � -� 4 X �' �
"� ...-J :�T^?'. _ {
��
* r.� _ �
� pl
r ._ 'V
f T
?39. Watee Service�Fin4iY L • - *„ i � t* �Y V :t J.r, y c,
00
�;40. Gas Service-Fina� � r.; -�;-p- ,� +� p-, � +�. . �� � p,ti; x-'
. . y___�_g.__ . [,*_.- ::,m ,
�'il. Solar pomes2ioFir.ai S 1 - .. ' �+ � t' ' .t� -� ..
+ ''' ? }k * R' y C.'+ tr+ : :� '
�42.�Backflow Preventer4 " ,,; . f � �{� x -r >(-. + C r.
: �--: +� e e
43. Backflow Irrigation' , � �'� y ,.,, � k �_ � E" " =
" f:
r. :. .r r• s._�7-�
;�4. Landscape itcipatio� Sysiem�.;�,.-! c,; �. r•; C7 �� CJ?- +� ,L .:7'i a �
�= �-v=. - -.- -
335. �9aund Attenuation ��rF • + T � c- F> rt i"� �-+ -� c.-- n� y :, -
-] • n� ;-.r t' t�7= : i- c r^ �. -+O .K
�t6.`�Iandicap�Regylatio,y�,s �-� �; N r:, .. ..� .� -' "� Y ' .
�#---
,� .� r - 'K :'> C+A - t
47..€IN7aL STRUCTUFkE & BULnDING + c I-: ,� ;'+ v... Y-�
48.�FiNAtPLANNING�," � Fi� - {t7 ' ��•: �;-7 •L
1' . T �;, K
d9. :tlecciic Release to Edison i : I �_
�� . i:
�50. �'nas,Ryelease to Sout�ern Cali�o ia Gas Co < � �r-.; �' � ^ . � "' '�
� W a , .•.- t% r_• c�n
51. CERSIFICATE OF CCUPA�VCY` , -�'> :F s�j �:> k-; .
Na . _ Date _.___. _____
_.
1
aooi�ss: 832. PRESIDIO DR
rsxaMe: SELDEN, NADINE M
aooeEss: 832 PRESIDIO DR
COSTA MESA,CA 92626
UNIT:
AflCNIENGMEEP: NEG.NO.:
aooaess: uxiT:
PEPMITTEE: WESTERN COOLING ( 714 ) 776-116$
aooRess: 6 2 S S. EAST ST
ANAHEIM CA 92805
❑CENSEU CONTBACTOP �ECIAFATION: I �ereby alfirm ��at I am IicenSeA unaer pwvisions al Chap�er 9(cammencing wiih Section
7000) of Oivlsion 3 0l lhe Business and Pmlessions Code, and my 'eetlSE� in full brce ana e��ec�.
aTruc.:095939 STFTELIC.:S2SOSB c s jC—.
a�e�. _ � ^�-G . si9�zw�e: �
EflS' COMPENSATION DECLAflPTION: I �ere0y fi Iha� I �ave iticaie o� consem ro self-insure or a certilica�e oI Workers'
Compensalion Insurance. ar a cetli�ied copy thereol ion 3800, L �.
POLICY NO.: E%P. OATE:
COMPFNY:
� Cetlified capY �s hereby lumis�ed. ❑ Cerlilie0 copY is filetl wi�� Ihe ci�y BuilOing Division.
Jate: ApplicanP.
E%EMPTION FflOM WONNEPS' LOMPENSATION �ECLABRTION: (ihi5�ee�o need noi he comDleteA if Ihe permii is lar one hmMrcd �5100) or less�.
I cetlily ��a� in Ihe pedormance o� �he work for w�ic� Ihis per ' ir�s issu . I shall n ny person in any manner so a5 fo hecome
sub' ci-to the Workers' Compensa�ion Laws o� Calilorma.
�
ale: ' ' "- �� Signa�u : -
�IFI E: Ii. afler making �his declaration, you o hecome 5uh' �he Workers' Compensation pmvisions of Ihe La�or
Cotle. you mus� torthwith comply wiih such a' ion5 or Ihis i� shall be AeemeO revoketl.
CONSTflUCTION LENOING FGENCY: I hereby m Iha� there is a cons�mction lending agency br �he performance of ��e work tor
which Ihis permit is i<sued (Seclian 3097. Crv. C).
LENOEX:
aooxess:
OWNEfl BUILDEfl OECLAflATION: I hereby affirm I�ai I am exemp� �mm Ihe Contrac�ors' S�a�e License Law tar �he �ollowing reason
(Set�mn 703L5 Business and Professional Catle: Any ciry oi couniy which requires a permi� lo consimct, atler, impmve, demolish, or
repair any S�mcWre, prior to iis issuance, also requires ihe apPlican� lor such permil lo file a signed sta�emenl tha� he/she is license�
pursuan� la the pmvisions of �he ConVacrors' S�a�e LicenSe Law (Chap�er 9(commencing with Seciion 7000� oi Division 3 of ihe Business
an0 Prolessions Code) or ihal he/she is exemD� Ihereirom and the basis for ihe allege0 exemption. Any violation of Section 7031.5 by
any aOP�icanl for a permi� sublecls I�e ap0licant to a civil penalry oi not more Ihan �ive huntlretl tlollars (E500�.
I. as owner ol t�e pmDehy or my employees with wages as t�eir sole compensation, will tlo ihe work. and ihe
❑ simcture is not intentled or olferea far sale (Section 7044, Business antl Pmiessional Cotle- The Coniractors' State License Law
does not appry to an owner at a pmpeny who builds or impmves thereon, and who does 5uch wod himself/herself or Ihrough
�is or �er own employees. pmvidetl tha� such impmvemen�s are not intentletl or otfered lor sale. II, however ��e Ouiltling or
im0�ovemen� is sola wi��in one year ol comple�ion, Ihe owner will have ��e burtlen o� pmving he/she tlid no� DuilA or improve
fo� lhe purpose ol sale�. .
I, as owner al Ihe pmperiy. am extlusively con[racting with licensed ConVaCtorS i0 tonslmt� the pm�ec� (SeC�ion 70M10. Bu5ine53
II ❑ antl Pmtessions CoUe' The Conlractars' S�a�e License Law Ooes not appy m an owner oi pmpehy who �mlds or impmves Ihereon
and who convacts b� such prole��i wilh a conimcloqs)license pursuan�to Ihe ConVaciors' Sia�e License Law�.l am aware
ihat pmoi oi their Worker's Compensalion insurance shaultl be pmvitled �o me.
� 1 am exempt under Sec�ion'. B, 8 P. C.
�ar lhis reason:
Oate: Owner:
I do �eie�y cenAY �hat I zm aware of anU undersiantl Ihe repuiremems o� Calilomia Heallh an0 Safe�y Cotle Sections 25505. 25533, and
25534 and t�at 1 or any IUWre bmltling accupanl willlwill not (circle one) neea lo comply wilh saitl state cotles and the requirement5 tor a
permit for conslmc�mn or motltlica�ion Irom �he Air OualitV Management �i5iric�. Resitleniial constmc�ian appliwtions are exemp� �mm
IA¢s¢ prOvi5i0n5.
Dale: qpplicant:
I here�y cer�ify �hal I have reatl �his applicaiion antl sta�e Iha� �he abo � aiion is correc� I agree to compry wi�� all ciry and counry
o�einances and s�atelawsrelating�o �wlding mnslmction antl her autharize presen a�iresvl.(his ci�y�o en�eruponlhe above-mentione�
p ert for m5peciion purpases. J
Jdvefs License or Social Securiry q:
i6a�-a6 White—Builtling: Green—Coae
_ CITY OF COSTA_MESA — BUILDING PERMIT
PERMIT NO: M 065395 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: MEC
JOB DESCRIPTION ; FURNACE CHANGEOUT
PERM.NO: M
GOVT: N SUPP: N
PURPOSE: NEW
SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: REPLACE HAD FURNACE W/ SAME
*rr**+rx��*�c��r*�r«*�+r*�r+�+r*�r***r***�r*�r**+� *��r�r�r�r��r�r******* **�r*�r�r****�r��r**+�*�r*�r�+r*�*+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 HUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; £T IN
PARKING REQ• -' PROV: PARCEL; 43921326 ZNE: REF NO:
PLANNING NdTES>
%
ik if i! M if iF if 1E iF if 1t it fFlF if 1E 1E if 1E iF 1f iE if if if it iE M 1F iF if if iF it ik 1k M if ik iF if M iF iF iF 1E ik k 1F 1E it k if iE fE 1f it 1F k 1E 1E iE if if fE if if ik if k 3f it 1f iE 1E if It iF ik
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:
HUILDING APPROVED BY : - DATE:
APPLICATION ISSUED BY: DATE: ��
1litiliFiklElFitifiFiFMififititififlffFlflf ititMitlEiFlEiEik1! itik
it ik iF iF if 1! 1t k 1tlf 1f k it 1E i!!f i! 1f 1f 1t it if 1! if 41t fE If ik ik iFlF iF i! M it i! iF N M if %k it M 1E iE it if k if iF if iF iF 1E 1E iE 1f ik fFlE 1f 1E 7F 1F 7f if Ik if if !! 1E if M iE iElf if
LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9,00
252 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 15,00 0,00 24,00 24,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 24,00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC . EIRE SMIP/TOT GRADING PLAN—CHECK
29.00
!f 1F i! k 1t if 1E iE it fE it 1t if it if IF 4 iE i!!E M if 4 ik ft it it iklt iE it 1E 1E 1F 1F if it iF iF 1F k iF iF iF iF iF 1f 1F iE 1f it iE M iE iE 1f 1E it it it iE 1E iF if if iE iE M i! 1E iF iE M fE if {E iE iE iE
I N D Z V I D U A L F E E H 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
MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9,00
END OF FEES
Pink—Revenue; Goltlenrotl—Assessor =-�r
G1 O�I`2.`�4±-OQi �2541 �?'fr'r 26.OD
6A7E: 12f?�]/S3 TTPi�: p"',^:4t
CONSTRUCTION AND PIANNI,NG � - P��� 'P'�' �
� APPROVALS Permit # � Date Impecto� APPROVALS Permit # Date Inspector
1. Temporary Electrical Ser�ceonPole 52. Pool & Equipmenc Location
2T^Soil Pipe-Und;grnd�, �� -� 53. Steei Rei�farcement �
r
��iecirical Con;t3irii�tiliry�'Undrymd. 54. Forms �
Y-t4--�'*c"
'�^�ectrical ConrtuRi7ndrgmd.' 55. Etectrical Bonding
�_,
�',y�eel Reinforc��+ent 56. Rough Plumbing & Pressure Tzst �
0
a�
C�C��Electricai UFERT..,rnd. � 57. APPROVAI TO GOVER�GUNITE ,.,;.
�'�poiin9s r,_`, , ' S8. Electrical ConduiT�Undrgrnd. �
`� Founda[ion �,;u . 59. Gas Pipe, Q Undrgmd., Test �?'
9. Water Pipe�Undrgmd. � 60. Backwash Lines, P-Trap, 7 Undr9rnd. '
70. Structural Floor SYsteni' ,� 61. APPROVALTO DECK
�
11. 8�coperiy Sewe� Line & HdLse Cannection � 62. Backwash & Receptor-F�inai +
72. $�wer Cap � ;� • 63. Neater & Vent-Final
73. Roof Orains ;,; 64. Plumbing SVstem - Pfnal
14. Rough Plumb��g �" 65. Electrical�Pinai
75. Rough Electrical•Conduit 66. Solar System-Final �
16. Rough Electrl,CWiring 67. fencing & Access ApProval �
17. Rough WiringSign 68. APPROVED FOR PIASTERING
18. Rough Electri'F��.i+.l-T Bar Ceiling 69. POOL!SPA SYSTEMS FINAL
79. Rough Heating & Air Condicioning FIRE DEPT. REQUIREMENT � I
� -. - .. �. . .M ' ' . .' 'P ••-. �-• ,7'- ?: .: <..
20�. Ro�"�gh,FiacTtn�Y �reP�ace !�r r•: �: � O b' -< c�-�APP�JV7�CS= Pmh�it #` '� n �
c: S .-t . F-- �- � s r-, x} a: �, tu -• E-� '✓ a !t
('� •i . _ _, ' I J'�t+ :. K .-i X . ,i, ' .n - v' `r .
2L`� DuCts, r.ry Stt;,�ct�� @, � .. .. �:; .r ..S .� 'ff 70. r�nder{�q4t�Mi �•dro r
. ��.. ..:.. � �' ,. W * . .. _
22. D�21s,;Jenttretin9'' �� x,_ ,�, `�" k t;; 11. Produ��P,in9�%J�as i�0il
23�G `{Pi e'�Ro� h ffi�Test ' '� r ^ "x: :+ ``' ! ."
�r p � I h;S *: C r=�c �y, 72. Undergr�rjd FLdg� :
., -
2�:Ranf Framing �'f � :-�F� ^'Rr �.� h J?� � �.:7� Undergr�v7l.Sto��Tank"'OGas ❑Dil
.-�v. � .; :� P7 m i�x i , 1 �.i� *
25. Rn�f St�athin9,T* y, � �� �y. 7 74;' Overhead�Hydre� �
ZQaT-6ar Cei�ing lStcuctural} �M11or.acoat m �r ��' 7� Dry Che�nical �`7 �, ^ % -'
- e
27� Frame d Flash� `-� ^ ' ^ _ ` ` ��' Or Sia �� e � � �'' �� �� - •.
y ?P � r� e�^ m.t r Y �P.l.p . F
T�_`�'�'_'=+T .✓ .. i"� •-�-�i-�-'S-' - �.
28:� laihinS& Sid�ng # :;, y�,x � c � .. .. � * 7T.y FIXED $h'�TEf;�INA� � ^,
29. Insulai`�� ' Y `� `� .. .. � .r •r, � r. ' � . � r , x
z� x f I �* 7 FIRE PREV. F��F � r�
� i J �• �
30. Dryr,vall�Nailing�:` u * � � � � �' �� -HbALTtd'DEPT.•flEQUIREMENT
31. Piaster;$rov:n C3�a�. � ; „�.,, � ly ; , . 79.� FINAL I�SPECT�N * C' `~ '.'
w : -U -
s. i ;• -T"�a-�'.7 c�
3�-Electri�l Po`]ver.W;etr,-l-Pinal =. � �x :- ,tBQ:! FOOD CERTIRPC:A.TE I�SUED
;
3� FiRel F.a�''/ctr.l� ;,_:.. � i � a. '-? 1 � '- ;7 Nrrs'1es: -� ,., � ; � ��
" i h'! 1 c, x. f � . � � '7 ` 7 ['i � "7 ;�.'
� H r- i
34:• Fi�r,�l H�eating &i+.�� 'qnditior�a �; , i i � i:. r � -` ,' �;^ Y - •,'
, �%Zt'qi �1d��.. '"',-f r `"
_.--„
39 aal Gas PL_-Pe-Test �'^ `� � � , ' ` n �", t*'= • -� - -n
: t � .� .a~. � V"-`�l 1' [i
�r
36 H�d or Canopv a � ;��-� x n �x - n ��V .��� �a
.-. .., - _ `" .-. _ t :.' ` i �- - ' R,
� _� r.
3Y�Fic'Fat Factory Fire�Sla�e,.� ��. �,^ t'' � i t� r `' ,y _•��i
� � '.. .. .� ,� . �. �_.- � --
38. Finnl Plumbin9 x ., w .'K J � �• i� Sy•c.+ � r� x'z
39. 4V.1Fer Service•Finaf ��T c � � I-r • (1J'�b o ;,,i;� .,
T T r•:
x � v� � ' a. - r... � • � u ..
,40. Gas Service-Final „ r, `�.�. � ,� �; � t . � p�. =,n� , _.
'47. Solar pomesticFiaaLc' n� � •• � J I � � �a:o ^ r-: +
r. Y 1 + .' `7..^. tr 1;
�'4YBackflow Pre�ente:`E F I^.', # � � r ' �� ��; "� - 1
43. Backfiow Irfigatior. �.S". ` ' * ' �'� * Q �
f. • a. x � •. .
�44. Landscipe �Ilii4atipn SYstem�.=,; j iz .�., r> b G< a� n; �,:,;;. �� y s .
, � . _ g'i :. � .: . . _.... �
:45:�Sound AttaDuation ��F� � '�= �'^ ^' `': *�� `" '� o'^'� �^�s: "
. v x , iT+ :._ :r � o� c• d. . i-, p �
, t'. � ;� .. :; . . . -: ..r� .
�4�; Handic5d R�yulatiqns r, ��� � �- � :� 7�� �
47SFIP�ALSTF2.,*1C7U#iE&BtJSLDING %��� � j ��r�` . i' => x
, �� jx • � - h
4�F1}7'-f,L PLC.'NNING � t�..n�� * :� � - �'Y �� ,n ,r
�.49c+Etr;e[ric Reluse 2vfEdiso� i � ; "�r + r` • * '
� x . ..': s
4
�5Q. Gas,.Release to So�thern Califorr�ja Gas Co �` ' .^ -'�n r �., � ' . ? � x i� •
�5L CB� TIPICA7E OF, OCCUPANCY ' ; x> -�; rr� „ }.
Vo. Date
, COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX S17 C09TA MEBA. GALIFORNIA
For Applicand io Fill In Complefely
TYPE OR PRINT
COSTA MESh CALIFORNIA ,
y
�EE RECEi��:D
� JUN 17 1960
� FINaNCE DEPT•
APPLICATION F�RY �FtMrtS�IA MESA
Lot �k 57 BUILDING
Plan_2C
For Office Use Only
fiECE1PT NO. I
RECEIVED DY . I OATE RECEIVED I.s DATE IB6UED �
ADDRESS Suite 1 '3800 �'
cin Cotona del Mat No:Ot 34220 B�;,vo'N�
ARCHITECT
USE OF
EXISTING BLDG.
66TBACK LINH PROM
io.OT $�OLO COSTA MESA. CALIFORNIA
art Beach FIRE
ZONE TYPE I GROUP�
NO. OR BIDGe.
DESCRIPTION OF WORK
$BUZIELDING 55 R SO ROOMS 6 STORIE51
COVERIN WS1d�tuCCdICOVERING Wodd Shi 11
USE OF BUILDING AND WORK TO BE PERFORMED
Construct Single Family Residence
with garage attached
i HEREBY ACKNOWIEDOH THAT 1 XAV6 RERD THIB APPLI ?ION
ANO BTATE TNAT THB ABOVE C GT AND AGREH GOM-
PLY WIiN ALL CITY ONOINA 0 9TATE LAWB R6 LATNO
8U{LDIN6 CONBTRUGTION.
81GNATURE OF , i . � i � ,: �i
Project
AUTHORIZED AGENT
ZONING
ZON¢�I NO. OF I IISE OP NEw
/ PLANB BUILDING
f 9
LEOAL _- _ LOC SI Twn,
tcenrca une
�
APPROVED
THE AMOIIM BXOWN UNUER VqLUAT10N 19 FOR THE
PYPP08E OF EBTABLIBHING p pEpMIT FEE ONLY.
VALUATION ,�,L . o0
PERMIT FEE $
13,515.00 16.00
S PLAN CHECK $
8.