HomeMy WebLinkAbout859 PRESIDIO DR - Building PermitsPP0.IECTRDDNESS:� J �� , ' . ' ' UNI7:
QWNEq'S NRME:; YOUNG �RES ID i0 DR . -
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• , . SAME ,
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nooxEss: . a : uxi1:
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-' PENMITTEE: YC�CING • ( %14)S�iy"EIO9i
' ,ROUBESS: ,n�9� PFtECiDTO T�R ' � - � �'
CM �� CA 92626 �
UCENSED CONTMCTOB UECLAMTION: I �ereby aifirm �hat I am licensetl untler provisions oi C�apter 9(commencing wli� Section
7000) of.Division 7 of ine eusiness an0 Pmieuions Code, and my license is in full torce antl ettect, ;
CITY IIC.: ' ; ' STRTE UC.: , � CUSS: � � -
Date: � SiAnaWre: � � � �
WOBKEBS' COMPENSpTION OECIAMiION: I here0y aKrm tAat I have a certificate oi consent Io self-insura or a certificate of Workers'
Compensa�ion Insurance, or a certifiea copy Nereal (Section 3800, Lah. G�. , ,
POLICY NO.: ' � EXP. UFTE: ' , ' - �
COMPRNY: � '' � � �
❑ CerlifieC copy is here6y fumisAeA. ❑ CertifieA copy� is filetl wiN the city Buil0in0 Division. ,
Oate: ''�'AOPlicant^"•: .
IXEMPIION fBOM VlOBNEBS' COMPENSITIOX OFCLAMTION:; � �This section nee0 not ba complete0 A ihe permit is lor one hunUretl (5100� or less).
I ' h' �� d �th k(' h' A h' I h II I � b
: ' CITY,OE CUSTR,MESA�,-;BUZLUIhIG.FERMI9'..,.,PERM NO: ll., 0468:30. �
PERMIT ,T10: B. 0468]0 '_ - PLAN CHFCK DIO: 03�503-.90; S� ,., � GOV1': 'N. SUP.F: N;.
" ' . 1
CONSTRUCTION TYPr: -. � • PERMTI' TYP&: S7'R ,, ; • PURPOSE; OTEI
i ,, _ _ !
�JOB DESCRIPI'IUN : � STD BLOCK WALL - " " SQ FTc' � . ;.."7 - �
CLAIM ��ALUE: ' , CALC-VAT;OE: ' ' 140..�00 GROUP OCC': R-3 /
, �•
COMMENTS:''7: LE C7'TY 51`D BLOCK WALL - •
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S E T B A C K S �' . ,
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-'---------- hiAIi�! BUZI,UING ----------- ---------'Ac:CF..,SOFtY �U,ILL?ING - -
FRN'!': � PT . I'N RP•.1;R: i'T 1'N ' pRN'P: �10'FT` IN REAR; 8�4 !�'C. IN .':
.I�EFT; E'.T T�l, RGIiT: FT � IN . ,I,I:FT:, GS ,E'T IN RGFIT: .. FT ' ' IN '.
P�tRKING REG: PROV: PI�RCEI�: ,19132605 ZNL:�: R1 � REF PdO;
PL�ANNIDIG. NOTES> J' L. ['. , 6,' HIGH .RLOCK WALI. - RETURN TO WALL ,TO BE � `
> �ONSTRUCTED AT 867 PRESIDIO DR' ' --�''-- � � � -' ' ' ' ' � ' ' �
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D' E V L: L O P M E N T S E R V I C E S R E Q U I: R 1'. M E N t�T �:; '
ceniTy t at in e pe on iance o e wor or w¢ t is permrt is issue0, s a not em0 oy any person m any manner so as a ecome � - r .
suojectmthe Wrkers' ompensationLaws�oiCalifamia.: _ � ZONTNG APPROVED IjY ' iDATE• � "� �
u r: �
Date: 1 � ' Si9naWre: � _ . . .. --_ , ___–', _'__'__. .'"—"___'_____'_' . . . " '_�"____'_._ . _
NO710E: Ii, atter makinp this declaration; you shouldbecome subject to the � o cers' Co' e ation omvisions oi the Labor H U T LD I NG �P.PROV ED P Y �' } � � nF�'f F: '
Cotle, yrou must IonMvii� comply vnt��sucA pmNsions or t�is permit SAall b J emeJ re ke ' � - –'— -- "– ---- '--' '–" � –" --- –, .'
CUNSTBUC71oN IFNOING �GENCY: I h{e�y anirm thzt inere is z cansimction enainp agen r tne pertormance oi me work for AFPL I CA'T I ON I SS UED ' A Y• � � - � � v � DAT E:�-ry�S'��
whichthisDermitisiuue0lSectian3097,Civ.'C). �,r; . . . , x�*xx���t******�u�*-��tx�*�x���rx�K�'iFid��a�i�F'3F�i�"'k�ii'3F��iF'�F. �-� Y. x� =1F3i'iFTt��TF��**��xa�+�*x�� +,33F#x�ix �
�xoee: . . .. • ��+�x+�*�+��xx�-�**��*+�x���x*��*��c*��*�r** e *x-* **��*�*�xxa����***�*******�*+��c��ir '
nooaess: � LEC>ALIZATION:N �, F'E F.. S U M M R Y .� STRUC.TURAL SEGMfiNTcY .
' . . . . � � . � . . • . ' .. .f.. � ,
aWXEHBUIL0EP0ECUMTION: Ihere�yattirmthatlamexempiiromt�eContractors'StateLicenseLawtorthetollowinpreason , BLbG PMT PI�UMBING fiLEC1'RIC �MF HANIC • FIR�• .SMIP/RFS � GRP.LI:LNG ''
(Section 7031.5 Busineu an0 Professional CoAe: Any ciry of counry whic� requires a permit to canstmc6 afler, impmve„Aemolish, or � �i FxM j T ' 1�. Q � ' , . • _ ' r� Q •
repair any simcWre, prior to Its issuance, also repuires the appliwnt tor sucA permit to file a siAneA statement ihat Ae/she is Iiunse0 - � • � � ,
pursuani ta Ihe proNsions oi lhe Conl2ciors' S�ate license law (C�apier 9(commencing wfth Section 7000) of �ivision 3 of the Business . • - .; �, , ' ' � . $�"�'.� �/ T��N -" x F S`�
anJ Pmfessians CoOe) or that he/she is'exempt t�erefrom antl Ne hasis Por ihe alleAed exemD�ion'Pny Nolatian af Section 7031.5 by pLAN - • 9. 7 5'. • - � ;.< � . , � �
any apvlicant for a permit sunjects me aDP�icam ro a.civii penalry o� not more tnan �Ne nunareo tlonars �5500). '�� I S SUE FEF•, �. ; ^-- � � b ^-"` ' ' . � � ' � ''
i
i�as owner of the properry�or my em loyees witti wages as tneir sole comDensation,.will aa�the wark, ana ine '�BUILDING-DIC'-> , PERMIT� . ISSUE PLATI-:CHECK � TOTAL � PAIll . ,DUE
❑ stmcwre is not intentlea or oneretl for sale I�ection 7ona, eusiness ana Professional Coae: � The Comacmrs' State License Law . TQTAL 5--- --> '� 1 S.� S � 0-. U � �� 9. 7 5 � 2 5. 2 5 � 2 5. 2 5' �. 0 0
. does not appry �o an owner ol a Droperiy w�a Euilds or improves thereon, and wAo does suth work �imselVAersefl or NmuAh . . �- . � . - _. •� , ;, , , ,
his or her own employees, pmvitletl that such impmvemenis are not inten0etl or oflered for sale. If. however the huildinp or ' � � �
'impmvement is sold within one year.af completioq the awner wili have eAe burtlen ot provinq he/she did not Euild or imOmve REVENO E D T V I S I Q�l T'�J'LAL S– –> � COL`I��EC'FED :� � 2 5. 7_ 5 OV ER / SHORT : � 0 0
� tonnepurposeoisate�. � FiLD(i .PMT' PI,UMBING ELECTRIC MECIIANTC . FIRE 'SMIP/TOT GRADING PIIAN-CHECK
Y , . , , ' �
I�, as owner ai tAe pmDerty, am exclusively con(raclinp wi�� licensetl cOntractors to constmc[ lAe projec145¢cti0n 7044. BuSiness � ' 1 S. U O _ , • �,.,. � ' ., S O � ' Q, ] j
❑ anE Professions Cotle: The Cantactors' Siata License Law Ooes nat apDly to an owner of pmDenY who bwl0s or impmves thereon , � . ' . � �;1 ' � . ,
antlwhoconlracisforsucADrolectswlihacontractar(s)IicenupursuanitoNeConiractors'SlateLicenseLaw�.lamaware {�.{�.�[.�(.+�.�*�(#ifiElfafifN�Kifjf-�1f1f1E'�iEY,9tMK!liEifitieiEiFtlf,�FK��iEi(ahlEif3E�t�1E-N-iEiflFitjEif�7tif3Ei(��?fiEiE3Fk�7fiFiE?E-�1Ei6iFi(�i�-K�'.E9f?FM*.�.K..�,
chat prool ot iheiryWorker's ComDensation'insuranc i should 6e pmvide0 to me. �� , - ;j jq p I�r �I D U A I..�' A F E F. � B R E A K�U O W N �
Q. � am exempt under Section: -� Q 4 4 B. 8 P. C. , , . . . , � ,: � - � � � •
torinisrean: P-O}�ING OWN WORK TYPE � QTY D E S. C.R Z P T I.Ow�TJr`, '` DId7T.CQST TOTAL rpST
' Date: . � ��' 1 V : . Owner ' '�• • . ' ' . , � '� � ' .
-T^ . , SFR ' .7 ' RF..S-CCJidCRE1'L: FILOCK t�iAT,I., :"• / FT. 20 .00 14p _ p{)
I Oa �ere6y ceNTy tAat 1 am aware ai anA understand tAe requiremenis of California HealtA antl Safet Oe Se on 25505, 25533. antl , . � �jE�D �r FL, F'S • � � ' �
"25534 anA tAat I or any future builtling occuDant will/will not (circle one) neeA to comply with saiC stat oAes an t reQuiremenis far a� ' . -. - • . . . . . ..
permit for constmction or mo0itication imm the Air �ualiry Management DistricL Nesidential consimction apPlica ions are exempt Imm � � . . . . �+'" ±' . ' .
I�ese provisions. , ' � ' � - � , � , `S" � ' � ,
, ' . . , . . ' � . . . . i . • �. ..' . I , ' t .
oate: ' MolicanC � . ; .. . .•*"' � � .
I Aere�y cenity that I �ave reaE tAis application�antl state that the a6ove informaiion is wrrect. I agree to campry with all ciry an0 counry . � � ' ' ' i '
ominances ana s te law5 relaiinp [o GuilEinp consVuction an0 hereby a AOIIZP 20�����I s oi t�is city to enier upon the above�meniionetl
proPeM (for in ction 0 Noses. . . – .
Date: � ` � � Sipnature: � �
�river's License or Sociai Secunry �� � , '
184F46 White–BuilCing; Green-COEe Eniorcemenl; Cenary–ApO�icant; Plnk–Revenue; GolEenroE–Assessor
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O1 ODOS7i37-OOOS7939 Ti3T 7�,2�
D�TE: U4/OSl90 TiYIE: 14:08 �
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... . . _ - - - - �
CONSTRUCTION AND PLANNING_ �' �: ... � � ' �POOL�& SPA -
APPROVALS � Permif�# ' ' ' Date . Inspector qppROVALS Permit # ' -Date � �Inspector �
- L Temporary Electrical Service or Pole 52. Pool & Equipment Location � _ � ,�-�^-'
''2. Soil Pipe-Undrgrnd. 53.'Steel Reinforcement - � ��
3_'Electrical Conduit Utility-Undrgmd. ' -- � - 54. Forms. . � . r- �
'4. Electrical Conduit-Undrgmd. _ . 55. Elecirical Bonding ' ' _ .
5. Steel Reinforcement . � .� (�/�fl� 56. Rough Plumbing Si Pressure Test
6. Electrical UFER Gmd. - � � 57. APPROVA� TO COVER�GUNITE
7. Footings ��qp ,6 4/' 58. Electrical Conduit-Undrgrnd.
8. Foundation , �' 59. Gas Pipe, O Undrgmd., Test � � J
9. Water Pipe-Undrgrnd. . � '- 60. Backwash� Lines, P-Trap, O•Undrgrnd.
10. Structural Floor System :. _ 61..APPROVAL TO�DECK . � t
..�
11. Property Sewer Line.& House Connection -; �.�� 62. �Backwash & Receptor-Final _
12. Sewer Cap . . 63. Heater & Vent-Final . ; •1��
13. Roof Drains . � _ -'�.,__.�, 64. Plumbing SYstem - Final � �
1
14. Rough Plumbing 65. Electrical-Final � � �
75. Rough Electrical-Conduit � � . • 66. Solar SYstem-Final ��l �
y�
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 FINAI
79. Rough Heating &�Air Condiiioning . FIRE DEPT. REQUIREMENT
20.: Rough�Factory Fireplace - _ � APPROVALS , Permit #
21. Ducts, in Structure � _ � ' 70. Underground Hydro ' � � �
22.-Ducts, Ventilating. . . .71. Product�Pipin9 �Gas ❑Oil
23. Gas Pipe-Rough & Test - . 72. Underground Flush�
24. Roof �Framing . . 73.� Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof'Sheathin9 � _" 74. Overhead Hydro� . �
26. T-Bar Ceiling (Structural) & Monotoat 75. Dry Chemical .�
� 27. Frame and Flashing � � • - 76. Dry Standpipe ' " � �
�28. Lathing & Siding - . . ' �i . 77, - FIXED SYSTEM FINAL
29. Insulation � -' _ 78.-FIRE PREV. FINP,L �
- 30. DrywalLNailing , � . ' I��� � HEALTH DEPT. REQUIREMENT�
1, ,'
:31. Plaster Brown Coat � " �� � ' � 79. F�NAL INSPECTION � �
32. Electriwl Power Meter�Final. . ;, 80.rF00D CERTIFICATE ISSUED. . .
�_33. Finel Electric ` � ��� � Noies: _Ci'�L�Q s
�34.'„FinalHeating&Air'Conditioning � � ��1f-, L �.. ��`�/
i'7`. �'�T
35.� Final Gas Pipe�Test , f 1 j�;��� ' - . �-
,`�,: ;< = i-ro - " � {fl 6,,..,.,f
36. Hood or Canopy , -' � ��� i.
� 37. Final Factory Fireplace" � - �; �1; � f•,�
38. �Final Plumbing . � 1 �! �:�� � '
i
39: Water Service�Final � • • ; {.��� . ' .
40. Gas Service-Final � - .� � � � � . ' ,
�i
� 41. Solar pomestic-Final ' � ' . �� � _
42. Backflow Preventer" � � .
43. Backflow Irrigation -.��•
'44. Landscape Iriigation System_`� . " �. .. -, . - _
45.'Sound Attenuation �� � � - � • - � .
46. �Handicap Regulations � .^. � -
-47. FINAL STRUCTURE & BU(LDING 5 � 6w�: � �
48. FINALPLANNING - , ' �� ' '
49. Electric Release to Edison . � • ' .
� 50. Gas Release to Southern California Gas Cv �; ', �
51. CERTIFICATE OF OCCUPANCY :�) '
No Date _
Cement Copin9 Optional �
Channel Bbtk With 13/8� �
HorizoMal Top of all
Fences .
For Fentes 5' or Less
Vert. Bars 3/8" � at 4' -0" O.C.
For Fenees Higher Than 5'
Vert. Ban 3/8"� at 32" O.C. �
Fill Celh Solid With Grout
Where Steel Oeeun.
Reinforcing Steel Shall
Conform to See.A�15�39
A.S.T.M.
All Steel to be Lapped .
24" orto Coda
NATURALGRADE
TWO 3/8"4 BARS
CONTINWUS �OV
B�BOTTOM
HOQ1i.S7EEl MUST 8E TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL 6�� CONCRETE BLnCK FENCE.� :�" ��
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� BELOW
�I.
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: pne Pa►f Plasfic Cement, and
Th►et Parfs Sand
GROUT; One Part Cement Three a�d
One Hol( Parts S�and
COPtNG: One Parf Cement, Three
Parts Sond
CONCRETE: Well'Miied '1:2=1/2:3-1/2
� 'Moi' ok7=l/2�Gal;ons ot
• ' 4Valei Per'Sack o(- Cement
GROUT MAV BE�POUREO FROM THE TOP
OF THE FENCE IN CELLS WMEREiSTEEL
OCCURS.
CELLSAND AREASOF HOR120NTAL REIN-
FORCEMENT SHAIL BE CIEAR, CLEAN &
FREE OF ALL MONTAp DEBRIS, ETC.
�H GF E4RTHTCOTH
�/J iHE HEIGTH OF fENCE
��ECOW BOTTOM OF iOGTiNG
SCALE: I/2��= I�
WIOTH 14'� . . . t4�� . . . 12". . 12"
THICKNESS ... 10�� . 10�� e�, 8"
DEPTH OF EARTHTOOTH 24" 20" 16". ... 12"
SPACING OF EARTHTOOTH. . 12' 14' ... 16'. 16�
City of Costa Mesa, California
8uilding Department
n�Pvr�Pn Nov. ez
1110�L .
ADDITIONS, OELETt01�S, OR CORRECTIONS SHALL
BE APPROVED BY THE PLANNING DEPARTMEfV�i
��������
CIIY OF COSTA ME �
PLANNtNG DEPT.
/{fOJFQ TO DLD6. DFPL R�.
mY � DAT��/S'Cf0
DI�ifOZ OP PNNNRW
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Petmit �# 6 `� ,.�
TH1S NUr:%a�� rnu �r ;> ..r�
pLL 4NSPECTION REQUtS� T�,�
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miotrea
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City of Cus?a Mesa Bu' ding Dept.
BY DA7E0,��19...��,/
THESE PLANS 1.�,J5T .,E ON Jp8 AT ALl TIMES h1AKE
NO CNANGES WI ' OUT PRIOR APPROVA� Cf DEPT.
THE�ISSUANCE OR GRANTING OF A FERMI7 OR APPRO`%AL OF
PLANS AhG' SPECIFICATWNS SMALL NOT CE CONSiRUFU TO BE A
PERMIT f:JR; OP. AN �.PPROVAL OF, A��Y �'IOIA�!ON OF ANY Of
iHE FROVISIONS 6f THiS CODE. NU PER7AI7 PRESU141NG TO CIVE
AUTfIO121TY t0 ViCVQe ON CNNCEL THE YROV1510N5 Ur THiy
CODL SHALL BF. VAUD, @XCFr'1':N SO fAd f.5 TN. WORK Oft U5[
WHICH IT AUTHCP.IZES IS LAWFU!,
THE ISSUANCE G% A FEG,`dIT BASED UPON PlhNS AND
SPE.IFICATION$ SHA!: NO� FkNENT TNE BUIIDING UPFlCIAL
FkOM tHERE<.FTER RF.C7UiRl�!G THE CbF�EC7IGN t;P EP.SUFS IN
5AIU PLkN$ AND SPEQFIrqII��NS OR FROM PRCVENTING
BUILDINC Q7ERAT1GN5 fiE4JG Cf+6R:eD Orl iNeREUN9ER `.vHfN
IN VIOLATiON OF THIS CCDE OH OF F�NY O�HER ORDiNANCE OF
rHe an.
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�1JECTp0UHE55: $rj�j p�ESIDIO DR
� �� ' OWNEN'SNRME: YOUNG, JOHN A
aooeess: yOUNG LORI E
859 F{tESIDIO DR
COSTA MESA,CA 92626
599-8092
AflCN1ENGINEEP: flEG.NO.:
FDDHE55:
UNIT:
UNIT:
PENMITTEE: SORDAN ROOFING CO, ( 714 ) 897-6105
aooxess: 9 z 0 N. TOWNER ST .
SANTA ANA CA 92703
LICENSED CONTBACTOB OECLAf1ATI0N: I �ere0y affirm ihat I am license under pmvisions af C�apter 9(commencing wit� Section
7000 0l Oivision 3 o�lhe Business antl Pm�essions Cotle. antl m bcens s in �ulllo e and eHec�.
i v
CITYLIC.:Q3,rj� srnTeuc.:406783 55'i����
Date: � z' Sgna�ure'. _
WONREB$' COMPENSATION OECIABATION: I hereby a��irm tha� ave a cetlific o� consen� lo self-insure or a certificale ol Workers'
Compensalion Insuranc q,r cenilieQ copy thereol �Sec�ion 3800. LaD.
POLICY NO.: 7 S O� U�— 9 S E%P. DRTE: S I O 1 I 9 2
comraxv: STATE FUND
❑ Cetli�ietl copN is hereUy Wmishea. � Certilied coOY �5 filetl t� ihe ciry 'tling �ivision.
� - /'+ Z' NppliCanL ��
E%EMPTION iPOM WOBHEflS' COMPENSATION OECIABATION: (This set ion nee0 n e campleteE il Ihe permi� is lor ane hunOretl (51W� or less�.
I ceNty ��al in �he petlormance of the work �or which ihis permit is issuetl. I shall noi employ any person in any manner so as lo became
subleci lo �Ae Warkers' Compensa�ion Laws ot Califomia.
Oa�e: Signaiure'.
NOTICE: I�. atler making this declara�ion, you should became su6lec� to �he Workers' Campensa�ion provisions o� ��e La6or
Coae. you mus� �otlhwi�h camply wi�h 5uch pmvisions or lhis Detmit Shall 6e tleeme0 revoked.
CONSTNUCTION LEN�ING pGENCY: I hereby afhrm Iha� there is a cans�mciion IenAing agenty lor Ihe peAofmanCe of ��e work tor
whic� �his permi� is issue0 (Sec�ion 3097. Crv. C�.
LENOEfl:
AOOflE$S:
OWNEN BUILOEN UECLFflFTION: I hereby a��irm Iha� I am exempi tmm the ConVacmrs' State License Law for Ne following reason
(Sectian 703L5 Busmess antl Pmfessional Catle'. Nny ci�y o� counry which requires a Dermit �o constmc6 aller, impwve, tlemolish, ar
reDair any simcwre, D�ior to its issuance, also requires �he aDPlicant for such permi� m file a signed statement ihat he/she is Iicense0
pursuant lo ��e provisions o� t�e Contractors' S�ate License Law (Chapler 9(commencing with Sec�ion 7000) oi Oivision 3 0� Ihe Business
an0 Professions Code) or ihal he/she is exempl therefrom and Ihe basis tor ��e allegetl exemption. Any violation ol Seciion 7031.5 6y
any applitani �or a permii Suble��s t�e applicant �o a civii penalry ol nol more Nan five hundre0 O011aS (5500�.
I. as owner ol the pmpetly or my emplayees with wages as thei� sole compensation, will tlo lhe work, and �he
❑ SINLWfCi5110� IOICfItlCtl O! O��CfCG IOf531C ($CCI10117�Q4, BYSIOE55 dflA Pf0�ES510fIdICOUE: TIIE Pi011�fdt�OfS $�d�¢ LILCIISC L2W
Ooes not appry to an owner ol a property who builas or improves thereon, and who Aoes suc� work himSelVhersel� or Ihmugh
his or Oer own emplayees, pmvidetl t�at such impmvemen�s are not inlendeJ or ofleretl lo� sale. II. however the �uiltling or
impmvemem is sold wilhin one year o� comple�ioq the owner will have t�e hurden o� pmving he/she Oid no� builtl or impmve
for �he purpose al sale).
I, as owner ol ihe D�oDeny, am exclusively cOniracfing wit� licensed cOnlraClors \o Conslrut� �he prole�� (,Sec�ion 7044, Busines5
❑ an0 Pmleuions CaOe: The Contracmrs' Sta�e License Law tloes not apply ro an owner ol pmDeM �a bmltls or improves Ihereon
ana who contracis �or SUch prole��s with a tonVactoqs) liten5¢ pursUanlio the Conirat�ors' S�ate LiCense Law),I am aware
Iha� proof of Iheir Worker's Compensalion insurance shoultl �e pmvidetl b me.
� I am exemp� under Seciion: 8. 8 P. C.
�or IhiS reason:
�ate Owner
I tlo here�y cenity tha� I am aware ol an0 un0ersiand the requiremems o� Califomia,Health and Safe�y CoOe Sec�iore 2550.5, 25533, and
25534 and Iha� 1 ar any luture building occupan� willlwill nol (circle one) neeA Io camply with saitl state catles and �he requiremenis for a
permii for constmction or mo0ilication Imm Ihe Nir Ouality Managemen� OiStncL Residential consimc�ion apP�icalions are exempt hom
Ihese pmvisions.
Oa�e: NpDlicani:
I �ereby cetlilylha� I Aave rea0 Ihis application and Slale Ihatihe a6ovelVlormalion is correcL I agreeio comply with allciiy antl caunty
ordinancesands�atelawsrelalinglobuildingconslmctionan0herebyautlQrizereD�es la�iveso�ihisciry�oenterupontheabove�mentioneA
pmpetly larin pection purposes. /
. //f��� SignaWre: � '�'`�'�✓
oriver s License or socia� security
Aooli<anf, Pink—Revenue', Goltlenmtl—Assesxor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05580
PERMIT NO: H 055801 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR • PURPOSE: ALT
JOB DESCRIPTION : T/OFF RESHT. REROOF W/COMP . SQ FT; 9,750
CLAIM VALUE: 9,750,00 CALC—VALUE: 4,750,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE AOME
x+��**x��r*�r�r*�t�*�r�**�r****�r��� �*��*�r***�*ir�r******�r+��r�**+��*�*+t**�****��****�**�**�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT ZN REAR: FT IN' FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT ZN RG$T; FT IN
PARKING REp• PROV: PARCEL: 19132605 ZNE: REF NO;
PLANNING NtSTE5>
7 �.
iF iF iF if if iE iE iE iE 1E 1i jf iF 1E 1E iE iF �F a! iE 1E iP )E iE 1E iE if iE iF iF �E * 3E iE 1F iE iE �E IE iE �fF jE iE 1E if iE if iF 1E iEiE iE iF 3E 1E iE iE iElF 1E iE 1F if iE �E iE iF iF iE 3F iE iE iF iE if iE iF 3E ik
D E V E L O P M E N'C S E R V I C E S R E Q U I R E M E Nw�T S
ZONING APPROVED BY DATE; n�
BUZLDING APPROVED HY : DATE;
APPLICATION ISSUED HY• �;�� DATE• %r �^ SY
if3FiEiFlfiFiF3Fi6ifiEiFiEififiEiElEiE1E�ElEiF3f iFiF 3FTF �fiF�F'iFiFlF3F3FiFiFiFiFif3fiF�f3F1EiE1EiEifiEifif-KiE iFk�
lE�FiF�FiE�lk3fjfififiFiEiFlEiklEiEikifiEitiEiFdfiEiFik3lif1E�lFiFifitifiEif �iE9E�E3t1Fik!!3liE�lkikifififlEiEfEltitiFlEitik3FiFiEk,iflf�FitiflfiFiFiF�fiF
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 PAID /f DUE
TOTALS----> 72.50 0,00 0.00 72,50 72,50/ , ,00
�
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT; ' ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE fiMIP/TOT GRADING PLAN—CHECK
%z.00 ,50 �
if iF iE iE iF iElF iE ik iF iE 3ElF �FlE 1E iE if if iE iF iE If !E!F jE iE �E iE �E iE iE iE iElf 3E iE iElf iF ik �F if if ik iF aF 3t �E 3Eik 9F if iE iF jF # 3f if if 3f 9E 1E iE iElE iF iEiE if��iE jE if k jE if iF iE iE
I N D I V Z D U A L F E E B k 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 4750 REROOF BY VALUE RESIDENTIAL N020NE 1.00 r� 9,750,00
ENU OF FEES -/
Ij\
/�
i�
/%'
ni aaie�s<ss-eotoEaaa T�_6�
Ci}TE� 01l1.'�142 TIItE: 4h'��4
� _. r�.,
,�+ CONSTRUCTION AND PLANNING � _ � ,' . POOL & SPA •,
APPROVALS Permit # � Date Inspector APPROVALS Permit # Oate Inspector
�
1. Tempora�Y Electrical Service or Pole • - 52. Pool &. Equipment Location '
2. Soil Pipe�Undrgmd. � � � 53. _Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. � � 54. Forms- -
4. Electrical Conduit-Undrgrnd. -- 55. Electrical Bonding ' �
5. Steei Reinforcement" - ' S6. Rough �2lumbing & Pressure Test -
6.� Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
T
7. Footings - 58. Electrical Conduit-Undrgmd. •
6. Foundation . - � 59. Gas Pipe, O Undrgmd., Test '
9. Water Pipe-Undrgrnd. ' � ��•` 60. Backwash Lines, P�Trap, � Undrgrnd. �•
10. Structural Floor Systefi �� 61. APPROVAL.TO DECK - �
11. Property Sewer Line & House Connection ' 62. Backwash & RecepmrFinal
12. Sewer CaP . �- 63. Heater & Vent-Final
13. Roof Dro�ns _ 64. Plumbing System - Final
74. flough Plumbin9 65. E�ectrical-Final
75. Rough Electrical-Conduit 66. Solar SYstem�Final
16. Rough E�ectric Wiring 67. Fencing & Access ApP�oval
17. Rough Wir'ing Sign - 68. APPflOVED FOfi PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace �� : �APPROVAIS Permit # �
21. Ducts, in Structure .. - 70. Underground Hydro
22. DuMs, Ventilating �_ T71. Product Piping 0 Gas ❑ Oil
23..Gas Pipe�Rough &'fest - _ 72. Underground Flush � ,
24. ftoof Framing _ - ' 73,_ Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ', . '. ' - 74: Overhead Hydro-
26. T�Bar Ceiling (Stwctural) & Monocoat '- 75;'Dry Chemical -
27._Frame and Flashing �� 76. Dry Standpipe ' �
28. Lathing & Siding .� _� -. 77,- FIXED SYSTEM PINAL ,
29. Insulation -' ' • -� � . , ��', 7g,�FIREPREV.FWAL - . .
30-. Orywall•Nailing � � �� I - .HEA�TH_DEPT•. REQUIREMENT
. 31. Plaster Brown Coat _ , .79: �FINAL INSPECTION -
32. Electrical Power MeterFinal . `"..�� -80.� FOOD CERTIFICATE ISSUED
33. Final Electric . ; - � �,�� � Notes: � � � . .
34,-Final Heati�g & Aii Cortditioning - �� . � - � . _ �
35. Final Gas Pipe-Test ` 't=_ _ r , � -
�
36. Hood orv Canopy � , _ � M - „ � .
37: Final Factory Fireplace � � " ' � -��
38. Final Plumbing . � , _ � _ . .. �
39. Water Service-Final - - �
. t
40. Gas Service-Final '_ . � , ` . �
47. Solar pomesticFinal � , � +
42.'Backf�ow Preventer , , - _ '
43. Backflow Irrigation • � -� - .
y.
44. LandscaPe Icrigation System , , - _ • .- � '
45..Sound Attenuation - � � ' ' � • � �
46. Handicap Regulations _ ;� -
47. FINAL STRUCTURE & BUILDING �Zl1Z �li.� � �'� P �,/� �� ^6��
( /' �.
46. FINALPLANN{NG � , . �
49. Electric Release to�Edison � �:� ��
50. Gas Release to Southern Califomja Gas Co i � y+. - .� , . �
51. CERTIfICATE OF OCCUPANCY -
No. Date
JOB ADDI2ESS 859 Presi
GENERAL CONTRACTOR
AP No.11'�-R�I�_nK LOT
INSPECTIONS
coat
OCCUPANCY
TRACT FIR� 7,ONE
ISianaturel DATE GROUP
DATE
vALUE g 590.00 res,
D�SCRIPTION OP WORK Add att.pat.to�
TYP� V 7.ONE F7_�
SUIICONTRACTOR
:,`r''
r-'. - �
� ' :�J�&�.�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 90X 3f7 COBTA M�A. CAL�PORNIA
For Applicanfi fo Fill In Compietely.
TYPE OR PRINT
BUILDING /f
A�DRESS S �( 1 � V�
COSTA MESA. CALIFORNIA
�NY\�
SIZE
OF L
USE
�
�
— /J tl / .0 1%/3 s2.
?ES � D � o l%2��r'r
F E RECEIVED
I � SEP 8 196i
'� FINANCE OEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
euaniN�
For Office Use O�ly..� �
RECEIPT NO. -�•ACRMIY
COSTA MESA. CALIFORNIA
f �
� rvae J Roua/
2 ! I NO. OP
— PLANS �1
LEOAL I /���j/ �
OE6CRIPTION L N/ (�
NO. OF BLDGe. I '/� / C
NOW ON LOT . .. ....
DG. I %(.,(,.�i YARDS . . •
APPROVED
PROM �` / t, (CBNTEH LINC 9TJ
IEET V� REAR VARD s(�' V FRONT
IEFT l � , IRIGHT 'I / R.SIDE
ESCRIPTIOM OF VVORK
OF NEW "
DING ��
` � �
_ � (�
EXTERIOR WALL ROOF
COVERING � COVERING f
USE OF BUILDING AND WORK TO BE PERFORMED ��� ��
� GLtt'-le /�O .
I HEREBY ACKNOWLEDGE THAT 1 HA`1E RBAO THI9 APPLIGTION }H6 AMOUNT BHOWN UNDER VALUATION I6 FOR THe
AND BTATE THAT TH6 VE 18 CORRECT AND AGPEE i0 COM-
PLY WITH ALL GITY NANGE9 AND BTATE LAW9 REOUI.ATING PUMO6E OF E6TpBL19HING A PERMIT F6E ONLY.
ew�.olNa coNeixU VAL TION 64
SIGNATURE OF ,.�_� � �� PERMIT FEE $ � •
PERMI7TE C/
$ J � PLAN CHECK $ �—
AUTHORIZED AGENT
iOTAL FEE
U
� '
�����
COSTA MESA BUILDING-SAFETY DEPARTMENT
_ P. O. BOX 977 C09TA MEBA. CALIFORNIA
For Applieanf fo Fill In Compleiely
� TYpE OR PRINT
6UILDING
ADDRESS
�
COSTA MESh CALIFORNIA
1 ARGHITECT
OR ENGINEER M8CC0
cm Corona del Mar '
LICTNO_ 9HHOV�St1�1 - NO.
JB 34220 pDDRESS
Dx 34220
,.. FIRE
ZONE
APPROVED
NO. OP BLD68.
U6E OF
EXISTING BLDG.
86TBAGK LINC FRON � REAR YARC
CENTER OP BTREET
SIDE YARD I LEFT - �'j � I RIGHT S�
DESCRIP710N OF WORK
-- { I_-- �� ---•-�--. I II ---•-�-
� USE OF BUILDING AN
Construct ain
ROOF
COVE
K TO '
��� R��������'
^�UEC 9 1960
Loe 4, rian � 3icwf�CE UEPT.
riry nF rr�STA MESA
APPLICATION FOR PERMIT .
BUILDIMG
For Offiee Use Only
RECEIPT NO. Y �PP.C1.�I�N�
l.t/ .1
!Y DATE PELEIVEO DATE 183UED.
� /�—_�-�o I�EG� �„����
859 Presidio Drive
CASTA MESA. CALIFORNIA
,,,o� [� ,.e.,,,� ?� A�
ZOMING
t�(' �� I � PLA 8F Z I BUIL�ING E�
ll1 j'% att
�«�o,e.,,,u Lot 4. Tract 3853
, , (CENTER LINE BTJ
AoPPROVED W. L. D.
EVES
�
i •�
1 H¢REBY AGKNOWI.EOOB THAT 1 HAV2 RBAD TH19 PP4GTION THE AMOUNT BHOWN UNOER VALIIATION 18 FOR THH
AND BTATE TXAT T E ABtlV¢ 18 CORflECT AND AG E8 TO COM- . pURP068 OF EBTABLIBHING A vERMIT F6E OHLY.
PLY WITH ALL CIn ORDINdHCE6 AND BTATE lAW PE6OLATINO
BIIIIDINO CON9TitU ON. VALUATION
SIGNATURE OF ! PERMI7 FEE $ .3�{.00
PERMITTE
$ �'4 � �'30 • oo pLqN CHEGK $ 1% ��0
AUTHORRED AGENT r• nn