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Home My WebLink About915 PRESIDIO DR - Building Permits.-.� PHOJECT AUOFESS: 9 S S PRESID IO DR OWNEH'$ NRME: GROSSMAN SHERRY TR aooeess:915 PRES`IDIO DR COSTA MESA,CA 92626 APCHIENGINEEP: � 7 S 4% S S 6' �] 3% H PEG.NO.: nooness: uNiT: PEflMITTEE: SHF.RRY GROSSMAN ( 714 ) 556-6378 aoosess: g15 PRESIDIO DR COSTA MESA CA 92626 LICENSEo CONTqACTOB oECIANATION: I nereby aflirm ihal I am Iicensetl unUer pmvisions of Chapter 9(commencing with Section 700�� o� Division 3 otlhe BU5ine55 and Pw�essions CoOe. and my license is in fullforce and efietl. CITY LIC.: STATE LIC.: CLASS: Oate: Signamre: WOBREBS' COMPENSATION OECIAflPT10N: I hereby al�irm ��at I have a certi�ica�e of consenl �0 SelLinsure or a certilicate o� WOBers' Compensalian Insurance. or a certilietl copy Ihereof (Section 3800. Lab. C�. POUCY NO.: E%P. ORTE: COMPANY: ❑ Cerldietl capY is hereby �umished. ❑ Cetlifietl copy is filetl with �he ciry Builtling �ivisian. Oate: Applicani: E%EMPTIONFNOM WOflNEflS'COMPENSATION OECLAflRTION: (Thi sec� I[erlity Iha� in Ihe Dedormance ol ihe work tor which Nis per 5' subieci lo Ihe rke6' ompensation Laws of Calitornia �� ate. SignaNr - NOTIC II. afl making Ihis Aeclaration, you shoul 6ecome si Cotle. you m t �orthwi�h comply wilh such pmvisions or ��is F CONSTqUCTION LENUING pGENCY: I hereby allirm �hat Nere is a which Ihis permn is Issuea (Seclian 3097, Civ. C�. LENDER: aooxess: 6e comDleted if Ihe permit is for one hundred (3100) or iess�. nol em�any person in any manner so as ro become �. WorTcers Compensation pmvisions of lhe LaOor be tleemetl revaketl. n lending agency for the Oerformance o� ��e work for OWNEfl BUILDEB DELLAflFTION: I hereby aHirm �Aa� I am exempl irom the Coniractors' State License Law for �he following reason (Seclion 7031.5 Business an0 Professional Code: Any cily o� counry which requires a permil lo constmc�, al�er, impmve, tlemolis�, or reDaii any simcture. prior �o i�s issuance, also requires Ne applicant lor such Oermit to Iiie a signetl Slatemen� �hal he/she is lirensed pursuanuo Ihe pmvisians o� Ihe Comraclors' State License law �Chap�er 9(commencing with Sec�ion 7000) of �ivision 3 of the Business an0 Professions Codel orlhai nelsheis evempltherefrom an0 Ihe Oasis for�he allegetl exemption. Any violation of Seclion 7031.5 by any ap0liwn� lor a permi� subleds Ihe applicanl Io a ciml Oenalry o� nat more ihan �ive huntlretl dollars (5500�. I, as owner ol �he pm0etly or my employees wi�h wages as iheir soie compensa�ion, will do the work, antl the ❑ s�mcWre is not inlen0etl or ofieretl lor sale (Section 70aa, Business an0 Protessional Coae: TAe ConVac�ors' Slate License Law aoes nal apply �o an owner ol a pmperty who builtls or impmve5 ihereon, and who tloes suc� work himsel�/hersel� or �hmug� his or her own employees, pmvidetl �hat suc� impmvemen�s are nol in�en0e0 or of�eretl for sale. tl, however t�e �uilding or impmvemenl is SoIA wil�in one year o� completion, t�e owner will have �he bur0en of proving helshe tlitl no� �uila or impmve �ar ihe purpose oi sale). ❑ I, as owner ol the pmpetly, am exclusively contrac�inB wilh licensed conirac�ors to cons�mc� the pmlec� (Section 7044, Business antl Pmfessions Cotle: The Cantrac�ors' S�ale License Law aoes noi aOVly Io an owner ol property who builtls or impmves �hereon and wha contrac�s br such pro�ec�s with a coniramaqs) license pur5uan� to the Contrac�ors' $lale License law),I am aware Ihat pmo� o� �heii Worker'S Compensation insurance s�oultl be pmvided to me. LI I am exemp� untler SeclionBP�� 4 q B. 8 P. C. h' for mis eason j / NO EMPLOYEES/B�FI�7ILY n , �ate' )� / r/ g.Z n�� V� a�. il ,.M /!�./� re cetlil �all am aware oi ane unders�antl �he re �a I�ai ar any IUWre bwltling accupant willlwill no� �, for consimdion or modilicatian imm Ihe Fir �uahty pwnsons �ale'. PpplicanC I here�y ce�iily�hal I have reaa iTls applicalion antl slate ordinances nntl state laws relating lo budding cans�mction: pmperry far lns(pction �posei � �0�/olR3'Fleal an1fB2Tery Coee Sections 25505, 25533, and need ta compl iih said stale cotles antl I�e iepuiremen�sior a 1 �istric�. Fe tlen�ial consimc�ion applications are eMempi Imm is correct I agreelo comply with allciry and county �lives o� Ihis ciry �o enier upon ��e above�men�ianetl �_ I�ale: Si�ij C �'� �.�v�' — Oriver's ¢ense r Sociai Secwny x: � i6at�a6 Whi�e—Butltling; Green—Cotle Enlorremenp Canare—Applicant; Pink— Ravenue: Goltlenmd—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO; b 060953 PERMIT NO; B 060953 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE; 5-N PERMIT TYPE; STR PURPOSE: DEM JOB DESCRIPTION ; DEMOLISH ILLEGAL LIVING ROOM EXTENSION SQ FT: CLAIM VALUE; 1,000,00 CALC-VALUE; 1,000,00 GROUP OCC; R-3 / COMMENTS: APPLICATION TO 'LEGALIZE' ADDITION (PC 4765-92L)CANCELLED BY DEMO **�e*�t�r�t+r****�r�r*�r****�e**+��rx�rx�*�r�t�r+r*x�*�*�*�******��t***� *��r*��t**��****� *******�r Z O N I N G R E Q U I R E M E N T S S E T B A C_ K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; F'T IN PARKING REQ • PROV: PARCEL; 14132503 2NE; REF NO: PLANNING N(STES> � y�. *�r****�r**�t�*+r**�**x ******x�r**�*x��******�*�r��*�*�**��*��r��r**�r**�r�*�t�t*�*��**�*� 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�� S ZONING APPROVED BY DATE; �" BUILDING APPROVED BY ; DATE:�Y 1% , � APPLICATION ISSUED BY: ��(�/�(�, � G�a'� DATEd Z' , iflfiflEiElEiE�EiE*�IFiEiflfiFifiklFiElElEif3FiF3FiF7F iF iFiF3f iY iF iF;FiFiFl-� � �iF 3FiF `klFlfiEdkl6�F�F1fiF �',,. "* 1EiE1EiEiEififififlPiEiflFlEiFiFiEiElE1E1FiE1t3fiFiP�FikiE�k3FiFlEiFiEiElEifiEiEiElEifiFlEiFiEifikiF IFiE�E�t1f�liEiEiFiFlkififiEiEiE3t'df�FiEi6iF3f1EiFiFik LEGALIZATION:N F E E S U M M A R Y STRUCTURALI5EGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GR�ING PERMIT 25.00 .'' SMIP/NON-RES PLAN . 5 01: ISSUE FEE .% % � HUII,DING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 25.50 0,00 0,00 25,50 25.50 �; ,00 REVENUE DIVISION TOTALS--> COLLECTED; 25',50 OVER/SHOftT; ��7� BLDz5P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOO GRADING PLAN-CHECK if if if iF 4 �E iF it ik iE �f if iFlE if if Ik iF if iE ik if iE if it iF�if i! �E1F iE �f iE iF 1f iF k 3f 3f if iF k iE * 3E IE IE if iF IE i4 ik iE if iF if iF iF 3f� If ik iF 3E iE if lf iE 3F if iE iE iE �1F �f 3E IF iF 3E jE 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 1'OTAL COST NO FEES WERE SELECTED FOR THIS PERMIT i�/-cJ-s�.x�' �*�'.'�i. o'�.� '�^=a G�a.u.. o— �Zrz�.,•�- GZc..oli �iz..e-�*S CCl.�.,ca,(E�,L. ��n.�' I�c. 4�76s- 92 t st,lfc�..,�;� 9't7" �e.�� 4�e�4..'f/ ��D+. . �� f/ �, � T3�/2193 J!Cn- : ':. - -" 4N-�� . `.'i,,.. .,�_, . . ,. CONSTRUCTION ANO PLANNING - POOL & SPA . � � �APPROVALS Permit# � Date Inspector APPROVALS Permit# Date Inspector i 1. Temporary Electrical Service or Pole �/ 52. �Pooi & Equipment Location . l� 2. Soil Pipe-Undrgrnd, �� 53. Steel Reinforcement �' �i�� 3. Efectrical Conduit Utility•Undrgrnd. �'� 54. Forms �. r{ � 4. Eiectrical Condurt•Undrgmd. 55. Etectrical Bonding . 5;Steel Reinforcement 56. Rough Piumbing & Pressure Test � 6.�flGctrical UPER Grnd. 57. APPROVA� TO COVER-GUMTE { ,7. Footings � . 58. Electrical Conduit�UnUrgmd. � � � � 8.. Poundation ,� 59. Gas Pipe, � Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � UndrgSr,d �, '/! 10. Structural Floor SYstem � 61. APPROVALTO DECK 1 11. Ploperty Sewer Line & HouseConnection 62. Backwash & Receptor-Finai ' (; 72. Sewer Cap � • ,�� 63. Heatet & Vent-Final `� 73. Roof Drains _ 64. Plumbing System � Final �' �i 14. Rough Plumbing 65. Electrical�Final •� �� 75. Rough Electrical-Conduit 66. Solar System-Final ' 76. Rough Elearic Wiring 67. Fencing & Access ApProval ,i j 77. Rough Wiring Sign 68. APPROVED FO(i P�ASTEflING � 18. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL ' 19. Rcugh Heating & Air Cor.dtiioning . FIRE DEPT. REQUIREMENT i 20. Rough Factary F�rpb�ace � _ : � ' ' .APPROVAL'S 'Perrr�it � " - 21. Ducts, in Structure � " 70. Underground.Hypro �� i a 22. DuctS, Vent�t2tin8 . � . � 77. Product:Riping O Gas �Aii ' 23. �Gas Pipe•Rough & Tesi � � ' • � 72, Underground Flush • • � � ' 24. Roof Framing � ' ' � '- � � � �J3. Undergmd. StorayeTank � Gas � Oil � • • . 25. Rooi Sheathing � .� 74: Overhead Hydro' � � � � 26. T-Bar Ceiling (Structural) & Nlonocoat ;,, 75. Diy Chemicaf _ +� 27. Frame and Flashing _ � 76. Dry Standpipe � � '� - 28. Lathing & Siding ` - ' � . '�'- 77. FIXED SYSTEM'FINAL � � . . , . � , . ' . . 29. Insulation � I 78.� PIRE PREV. FINlkL � � �. '� 30. Drywall Nailing . ( ,.' ' HEALTH DEPT: REQUIREMENT , '. �, 37. Plaster 8rown Coat I_� .79. FINAL INSP£CTIOfV � . _ , � ' 32. Electric�l?ower Meter-Final . � 1 �,'�' ' 80. FOOD CERTIFICATE ISSUED ' 33. Final EleMric � _ j � � Notes: � ' .. _ ,, 34: Final Heating & Air Conditionina � �' -:•� � • - � � 1 i� . 35.'�Final Gas Piqe�Test ' j , ' . , ' � _ 36. �Hood or Canopy ' � � � � i � 37. Einal Factory Fireplace � � i � �• � ` �,� 38. Firra! Plumbing � - � � � • - r 39. YVater Service;Final, � ' I . � �� .40. Gas Service-Finai- - . • - � • � ' -r 41. Solar pomestic-Kiridi � - � / i , .. - . i 42. Backflow Preventer � .. - • . 43. Backflow Irrigation . ' , - 44. Landscape irripa.cion System � � • . � . 45. Sound Attenuation ' , _ , ' 46. Handiwp Regulations • ( ' � � _ - > 47. FINALSTRUCTURE&BUILDING � 3��P3 i �_ � _ _ � o.�� . � . 48. fINALPIANNING � � '� � � 49. Electric Release to Edison . j' � - 50. Gas Release to Southem California Gas Co � I�.. ' . 51. CERTIPICATE pF OCCUPANCY • ' - � No. Date PHOJECT AUOflESS: C� 1 S PRES ID IO DR OWNEfl'$ NNME: GROSSMAN, SHERRY TR aoonEss: 915 PRESIDIO DR COSTA MESA,CA 92626 RflCH/ENGINEEfl: S S C — G 3% S pEG.NO.: ROONESS: ur+iT: UNIT: PEHMITTEE: SHERRY GROSSMAN ( 714 ) 556-5378 aoonEss: g15 PRESIDZO DR COSTA MESA CA 92626 LICENSED CONTqACTOB �ECIABATION: I hereby affirm �hai I am licensetl un0er pmvisions ol Chapter 9(commencing wi�� Sec�ion 1000� ol Oivision 3 of Ihe 6usines5 and Prolessions Code. antl li se is in full force nd efiect. CITY LIC.: �I1TE LIG.: CIASS: Da1e' � Signamre: _ — — WONNEFS' COMPENSpT10N UECLAPATION: I hereby ailirm iha� I �ave a ceri' ca�e o� consenl �o sel6insure oi a certilica�e o� Workers' Compensation Insurance. or a certifieA copy Ihereol (Seciion 3800. Lab. C�. POLICY NO.: E%P. DFTE: COMPANY: ❑ Ce�ified copy is hereby �umis�etl. ❑ Cetlifietl copy is IileO wi�h Ihe ci�y Builtling Oivision. �a�e'. Npp�icant: E%EMPTIONFAOMWOflBEflS'LOMPENSATIONOECIABATION: �Thisseclionneeanol�ecomplete4ilthepermitisfaranehunOreA�5lW�orless�. I cetlily tnat in Ihe pedarmance of Ihe work for which I�is permil is issuetl. I s�all no� employ any Derson in any manner so a5 io become subleci lo Ihe Nlorkers' Compensa�ion Laws ol Cali�omia. Oale: SignaWre: NO7ICE: II. atler making this Ueclaration. you should become subiecl to ihe Worker5' Compensation provisions ot ihe La�or Code, you musl forihwith com0ly wilh such pmvisions or ��is permii s�all be tleemed revoked. CONSTNUCTION LENOING AGENCY: I hereby�a�firm ihat�here is a constmction lentling agency to�l�e pertormance ol �he work �or which this pe�mit is issuetl (Senian 3097. Civ. C�. LENDEB: FUUflESS: OWNEfl BUILDEfl OECLABATION: I hereDy aHirm Ihat I am exempt trom the Contradors' S�a�e License Law lor the lollowing reason (Section 7031.5 Business antl Piofessional Catle: Nny ci�y o� counry whicM1 requires a De�mi� �o consimc[, alier, impmve, demolish, or repair any Slmciure, prior �o ils issuance. also repuires Ue apDlicant br such permi� �o �ile a signed Sla�emeni Ihat he/she is licensetl oursuanllo IAe pmvisions ol the Comraclors' S�ale License Law (Chapler 9(commencing wi�� Section 7000) ol Division 3 af Ihe Business an0 7rolessions Code) or Ihal helshe is exempl �herelrom an0 I�e basrs lor ��e allegeU ezemplion Any violation of Section 703L5 by any apPlican� for a Oermit suhlecis lhe applicanl �o a civil penalty o� nol mare Ihan live hunare0 Oollars ($500�. I, as owner of the pmperly oi my employees wi�h wages as t�eir sole compensation, will do the work, antl the ❑ stmcWre is not inlen0e0 or at�eretl lor sale (Sec�ian 70a4. Business an0 Pro�essianal Catle: The Contradors' S�ate License Law Ooes nol appty to an owner of a pwperiy who �uiltls or impmves Ihereon, an0 w�o does such waB himselfl�erself or �hroug� his or her own employees, provitletl �hat such impmvemenls are nol inlende0 or ollered lor sale. If, however the 6uiltling ar impmvemeni is sold wilhin one year o� comple�ian, Ihe awner will have the UurOen of proving he/she did no� hui10 or impmve lar the purpose of 5ale�. I, as owner of the propeny, am eKclusively caniracling wilh Iicense0 conlraclors lo consimct ihe pmiect (Section 704A, Business ❑ and Pwlessions Code: The ConVac�ors' Sta�e License Law Ooes not apOty to an owner of pmpehy who butlUs or imD�oves �hereon antl who conlracls lar such pmlects with a canVactor(s) license pursuantlo Ihe ConVactors' S�ate License Law�.l am aware �ha� D�ool of Iheir Worker'S Compensatian insurance shaule be pmvitletl ta me. � I am exemD� untler Seclion: B P 7O q 4 B 8 P. C. �0f�n'�`e�^� OW�1� DOING OWN WO oate� /`,�/ / � � � Ownec I do here�y certAy ��ai I am aware al ana untlerslantl Ihe requiremenis ol Cali(omia Heal�h antl fety Cotle Semions 25505, 25533, antl 2553G antl I�at I or any fuiure �uiltling occupanl wAllwill not (ci¢le one) neetl Io compty with tl slaie cotles antl Ihe requiremen�s �or a permii for conslmclion ar motlilicalion �mm the Air Ouality Management Dislricl. Residen�ia cansimc�ion applica�ians are eeempt Uam Inese provisions. �a�e'. Applicani: I here�y certdy I�al I have read Ihis applica�ion antl slate Iha� 1� a ove n ormation is carrecL J,agree �o comply wi�h all ciry and coun�y ordinances and slale laws relaling to builtling consimclion an0 her au o ze represenlalives ( liscity to enter upon Ihe above�mentionetl pmperty �or insocc ion purnoses. �a�e: � ignaWre: � `�"'� ori�er's Gcense or Sociai Sewriry �: t6ai d6 White-9uiltling: Green—Code Enlorcemenl; Canary—AOPIIcanL Pmk—Fevenue: Goltlenrotl—Assessor CITY OF COSTA MESA — BOILDING PERMIT PERM NO: B 06428 PERMIT NO: B 064283 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: DEM JOB DESCRIPTION : DEMO EXIST PATIO SQ FT: CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /M-1 COMMENTS: DEMO EXIST PATIO IN THE BACK SIDE OF HOUSE.H.C. **��******�t�t********�*�r��r***�****x�**�t+t***�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 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING AEQ: PROV; PARCEL; 14132503 ZNE: REF NO: PLANNING NOTES> -.; � **�r�*�e****f��tx��t**�r�r*�t�tx�rx****�*******�r�t*x****�r�t*w�r�*�r*****x�***�fr*�r*�r**frx�*�t�*�-+r*�- 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 NrT S ZONING APPROVED HY DATE; w HUILDING APPAOVED HY : DATE: o APPLICATION ISSUED BY: ( �� DATE: �� rirkitiEiti�i�ifir**i(�*ik�titififitiE�FSFTf�F3F�f�F�'�'�# "#"4"4';F�F'iFiFiF'iFTF�F'iF'iFiF7F'iFiF�FTfiFiFi(�if�iEiEM*itiEiFiF i�ia ifiFitiFiEitifititititititiEiEiFifititrilititififiEitifiFititlflEiEiEitifiFititiElFiEifititiEkifiFiEititilitifiFiEifitifMiEifififtfif ititiFifitifitiFitif LEGALIZATION:N F E E S U M M A A Y STRUCTORA SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GR�ING PERMIT 25,00 SMIP/NON—RES PLAN .50 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 25.50 0,00 0,00 25.50 25,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 25.50 OVER/SfiORT; BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 25.00 .50 iE it iE it ik ik 1f it if if if it i! i! 1E 1t iF if !! ik if if if it 1E 1E 4'If !f 1F f! if k k k if 1f 1f �f k ff ik 1k ik k 1f 1E 1k if M dE fE 1: iF %it if if iE i! �F 1f if iE i! ff iF 1! iE iE iE fE if iE �k fE iE if 1k 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 Z O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT oa ouisalea—oolasib< Tp T r DATE� 30/04/93 TIME: 16:42 ?`''� CONSTRUCTION ANO PLANNlNG POOL & SPA � APPROVALS Permic #' ' Date Inspector pppROVALS Permit # � Date Inspector 1. Temporery Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. .� � 53. Sieel Reinforcement � 3: Elec[rical COnd�itaU{�iity-Undr9md. 54. Forms � � . 4.'Electrical COnduit-lladrgrnd'. � 55. Electrical Bonding -• - • � 5. $teel Reinfo�cemenL '- 56. Rou9h Plumbing & Pressure Test=� " 6..ElectricalUFERGrctd. 57. APPROVRITOCOVER�GUNItE - 7: Pootings `� �' 58. Electrical Conduit�Undrgrnd. - ' 6, -Foundation - � � 59. Gas Pipe, � Uadrgmd., Test � � '9. Water Pipe�Undrgmd. . � 60. Backwash Lines, P-Trap, Q U�drgmd. 10. Structurol Floor System 67. APPROVAL TO DECK � , 17. Properry Sewer Line & House Connection 62. Backwash & ReceptorFinal • �z• Sewe� CaP 63. Heater & Vent-Final . � 13. Roof �rains ' � 6A. Plumbing System - Final � 14. Rough Plum6ing �� 65. Electrical-Final 75. Rough Elecirical-Conduit 66. Solar System-Final ' ' .� 16. Rough Electric'Wiring �� 6�. Fencing & Access AnProval � 77. Rough Wiring Sign . 68. APPROVED FOR PLASTER WG ' � 78. Rough ElectriraY-T Bar Ceiling � 69. PQO�/SPA SYSTEMS FINAL '� 19. Rough Heai�ng & Air Conditioning FIAE DEPT. REQUIREMENT ' ' ' 20. Aough Factory Fireplace � ' �. � � _ � - � `iAPpRQVAL'S- Permit # 21._OuciS,in�Strycture' , `,:� . - -. R �70. Underground�Hydro � 22. Duc[s, Vent�lating • . � _ - '71. Product-P(ping CGas ❑rOil 23. Gas�Pipe�Rou�h &'i'esc i , . - _. � ` '7y, Underground FIu"s,h' '� � 24. ftoof�Framing� ;.; � . • . " � "73.^,lJndergmd=.�StorayeTank OGas ❑Oil 25. Roof Sheathing � � �74.'Overhead Hydro,-,�' . 26. T�Bar Ceilin9 (Structural) & Monocoat _- 75:�Dry Chemical ' - - r 27. Frame aod Flashing. � ; y 4 76. Dry Standpipe '_. � � ..-.� ,.. . 28. Latliin9 & Siding .� . _-. ' • 77,' FIXED SY57EM F1NAL' ' j �29. Insuiation -. . ;; �- _. " �� . x `� � , �;, i 78!'sFIRE PREV. FINAL - � �� :-30. Drywall Nai�ing + � - ; � HEALTH-OEPT: R-EQUIREMENT ,31. Plaster Brown Coat ; . ' r � :' � .79 `�FINAL INSPECT7QN �' ' � 32. Electrica!•?ower Meie� Finat . ' + - � I , ��BO.crfOOD CERTIFICATE ISSUED � - .33. Final ElectnC' ��; � � � � i � -" � Notes: _� _ _ T34. Final,HeatiOq & Air Conditionin,gJ , ' � �. ;,� _ . _ �- 35. Final Gas PiPP-Test � ' . � �'�= � ' , t r 36.'Hood.or Canopy r . � . � � � fr � � � � ' � a _ e 37. Final'Factory Firepface " - ' ' ' ,� � , . .. .. .. � f . - . . - 38. Final�Plumb�n9 � j - " � - � '39. WaterServiCe-Finel' � ' .,40. Gas Service•F�ha�- , . . . . i �41. Solar pomesticFinai : � �� . � � • � - • 42. Backflow Preventer " ' . � ' _ - 43. Backflow Irrigation - " ' - - T . - R ;J � ' . . . 44. Landscape IrripatioqSystem, :; r - ��: . x 45.'Sound Attenuation� - _ , • • " �. 46. ,Handicap Regulatio0s ' '' � � � � • ". . - ' . -� .i' . 47. FINAL STRUCTURE & BULLDING �dr..�t� 93' `w� ' ' -�� _ • 48. FINAL PLANNING' � '' `T� ; ' _ " � � � t^ 49. �Electric Release to Edison • � ; - � • � � 50. Gas Release to Souihern California Gas Co ` �" ' .,- - . % - _ 57. CERTIPICATE OF OCCUPANCY , - , � � No. Date PflOJECI'�ooxess: � g15 PRESIDIO DR OWNEq'$ NAME: GROSSMAN SHERRY TR � aooxess: g15 PRESfDIO DR COSTA MESA,CA 92626 AflCH/ENGINEEH: 5 5 6— 6 3 7 8 nooeess: flEG.NO.: UNIT: uxiT: PEflMITTEE: SI-IERRY GROSSMAN ( 714 ) 556-6378 aooeEss: 915 PRESIDIO DR COSTA MESA CA 92626 LICENSED CONTHACTOfl OECL4HATION: I here�y alfirm thaf I am Iicen5e0 unaer pmvisions ol CAapie� 9(commencing with Seciion 7000) ol �ivision 3 0l Ihe Business antl Pmlessions Cotle. and y cense is m �ull force antl efiect. cirv uc.- �., •� srnTe uc.: cuss: oaie: _��/ 93 sqnamre: — — _ WOBREBS' COMPENSRTION OECLABATION: I hereby a�hrm �ha� I have a c ' ca�e o� cansen� to selbinsure ar a cerii�ica�e of Workers' Compensa�ion Insurance. or a cer�ilietl copY I�ereof (Section 3800. Lab. POLICY NO.: E%P. �ATE: COMPRNV: ❑ Cerlitietl copy is here6y �umi5hed. ❑ Ce�ilie0 copy is hlee wi�� he ciry Building Division. �ate: � ApPlicanl: E%EMPTION FNOM WOBNEBS' COMPENSpTION OECNflRTION: (ThiS seC�ion need na� 6e CampleteA it�he permi� is tar ane huntlr¢tl (51q1) or Ie55�. I wriity I�al in Ihe pedormance oi ��e woB br which ��is permil is i55ued. IS�ail noi employ any person in any manner so a5 io �ecome subletl to Ihe Workers' ComDenSaiion Laws of Calitomia. , CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 06428 PERMIT NO: H 064282 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: OTH JOB DESCAIPTION : T/O RESHEATH 6 REROOF W/COMP. SHINGLES SQ FT: 4,200 CLAIM VALUE: 4,200.00 CALC-VALUE: 4,200.00 GROUP OCC; R-3 /M-� COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B.C. � *****�*�****�r*+t*�*�r*�r*��r*�t**�r**�r***i�**fr�**�**r�**��*�**************»***�r�r+�**** � Z O N Z 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 BUILDI�NG --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGI-IT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ; � PROV: PARCEL: 14132503 ZNE: REF NO:,. PLANNING NOTES'> �,� i , i! iE k i! iE 1E if iE iElf 1f fE �f i�1E iE if 1F if iE 1E fE 3E ff �f af fE �f if if if 1f 1f if if iE 1E 3f if 7! iE 7E �f if iE iF if iE iE fE iE 1h iF fE 1f fE 1E 1E 1f iE if iE 1f fE f4 iE 1E it 1E if if fF 1E 1E 1E ff iE 1E �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 BY DATE; %� oale: SignaNre: .– No71cE: u, auer makmg this tleciara�ian, you should become sublec� to the Workers' Compensa�ion provisions ot �he Labor g U I LD I NG AP P ROV ED BY DATE : .� CoEe. you musi Iorihwi�h comply wi�h 5uch pmvisions or Ihis permi� s�all be tleemea revoketl. � � CONSTBOCTION LENOING AGENCY: I hereby allirm ��a� Ihere is a cons�mc�ion lending agency for the pedormance of Ihe work �or AP PL I CAT ION I SSUED BY ; �� DATE : Q— � wnicn�nlsperml�Isissuenlsec�lonao57.clv.cl. , *.*.***.**,.�**�.*.**,�,*,�,***,�*��,��**,***,***** �** LENDEP: if iE iE 1! if if if fF if !f �! if ff if iE it 1t 1E * 1k 1E 1f 1E ff !f 1f !! if if iE iElf iE if ft iE 1f fElE 1f ff 7f 1f if it iE if it 1f 1f if iE iE 1f 1E if 1! 1E 1! 1f ih iE 1E if iF if iF it �M�,iF if if if iF iF:! lf dE it nooxess: � LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y OWNEfl BUILOEfl UECLANATION: I hereby aliirm �hat I am exempl irom the Contrac�ors' State License Law lor Ihe lollowing reasan (Section 703L5 Business antl Pro�essional Code: Any ci�y of caunry which reQuires a Oe�mi� to constmc�, alter, impmve, demolish, or repair any stmcWre. D�ior lo its issuance. also reQuires the applicanl for such permit to tile a signe0 slalemen� ihat helshe is licensea pursuanl io Ihe piovisions ol the Camracmrs' State License Law (Chapler 9(commencing wiih Sec�ion 7000) a� Oivision 3 ot Ne Business anU Pmle55ion5 Code) or I�al he/She is exempt Iherelrom and Ihe basis Ior Ihe aileged eMemption Any viola�ion Oi Set�ion 703L5 by any apObcaN �or a permii subjects Ihe apPlicant�o a civil penal�y ol no� more than �ive hundre0 Oollars (5500). I. as owner of �he pmpetly or my employees with wages as Iheir sale compensation, will tlo ihe work, antl ihe ❑ slmc�ure is not inientletl or ol�eretl for sale (Sec�ion 7044, Business and Professional Code'. TAe ConVac�ors' S�a�e License Law Daes noi apPly to an owner ol a pmpetly who �uiltls ar impmves �hereon, an0 who tloes suc� work himsell/hersel� or lhrouAh his or her own em0loyees, pmvitletl Iha� suc� impmvemenis are no� intentle0 or otferetl for sale. I1, however Ihe buil�ing or �mprovemeni is SoIU wi��in one year ol complelion, the owner wili have Ihe hur0en oi proving he/she tlitl not �uild or impmve for Ihe purpase oi sale�. I, as owner of ihe pmverty, am excWsively contracting with IicenseU coniractors to constmct ihe proiect (Section 7044. Business ❑ and Pm�essions Cotle: T�e Comracmrs' S�ate License Law Aoes nol apply �o an owner af pmpeny who builAs or imD�oves lhereon antl who comrac�s for such pmlects wi�h a contracmqs) license pursuan� to Ne ConVac�ors' $tale License Law). I am aware Ihat pmol o� I�eir Warker'S Compensatmn insurance shoula �e provided Io me, .� 1 am exempt untler Seclion: BP.�Oq 4 B. 8 P. C. m/rmryrsre o�: OWNER DOING OWN W � �a�e: N/��/_ �99�. Owner .� -�- � --- �-� �— I Oo hereUy cendy �hal I am aware ot ana untlerstand ihe requiremen�s o� Califomia Healt and Salery CoOe Seciions 25505, 25533, antl 2553a antl I�at I or any iNure builtling occupant will/will nol (cucle one) need to com0ly ith saitl state wdes antl ��e requiremenis lor a permit for conslmc�ion or motlAication from Ihe Nir Oualily Managemen� �istricL Fesitlential canstmc�ian applications are exempi Imm Ihese provisions. Oa1e'. Applicani:. I here�y cenify�ha� I have iead Ihis application and s�ale ordinances an0 stalelaws relatinglo building con5imciion� pmpeny for ins0ection purposes. � Da�e'. � J Signature: Drivets License or Social Seariiy inlorma�ion is correq. I agree ta comply with all ciiy and caun�y >riie reDresenta�ives o�Ihiscilyio enleru0onthe above�men�ioned �64i-G6 Wbue—Builainq; Green—Cotle Enlorcement; Canary—Npplicanl', Pink—Revenue; Goltlenrotl—Assessor BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING PERMIT 72.00 � 50_ PLAN � SMIP/NON=RES ISSUE FEE � 'i� BUILDING-DIV-> PERMIT ISSUE PL�AN-CHECK TOTAL PAZD '� DUE TOTALS----> 72,50 0,00 � 0,00 72,50 72,50 ,00 REVENUE DIVISION TOTALS--> COL'2ECTED: 72,50 OVER/SHORT: ? ,00 BLD72PM�T� PLUMHING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING�.PILAN-CHECK 4 7 k if if it 1E if iE it iE k if ff �! if k 7! i! tt it i! iE itlf ik iF 1f if iF 1f 1E 7f if if it k it it iF it it if 1f 1f k if iE it if 1f iE 1E iE it Y i! if ik * M if ik iE if i! it it iE k%it iE �F 1F 1E i� ie if 1E if I N D I V I D U A L' F E E B R E A K D O W N A �i TYPE QTY D E S C R I P T I O�N UNIT COST TOTAL COST SFR 4200 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,200,00 END OF FEES ,a r:, .� ( ��'_ SM4KE DETECTQR ;, ;; ��UIf�ED � �i �or4si��-ooi4�i�a' n�T ��y so :wi,.:-„' •�� . � td� % DATE� 1�/U4;93 TIME: 16:15 ''� � J ! i �.3ONSTRUCTION AND PLANNING � POOL & SPA � Date Inspector ' Date Inspector �APPROVALS Perrt�it # APPROVAIS Permit # ,� � 1: Temporary Electrical Service rn Pole � 52. Pool & EquiRment Location - n �;��" �. 2. Soil Pipe-Undrgrnd. �, . - 53. Steel Reinforcement �� l - 3. Electrical Conduit Uiility-Undrgmd. 54.. Forms " � � 4. Electrical ConduiFUndrgrnd:' � 55. Electrical Bonding -�: � � i� " " "'...:.�.'. f! ..�.�$tgel Reinforcement - 56. Rough Plumbing & Pressure TQst 6.��EIGctricalUFER.Grnd. 57. APPROVAITOCOVER�GUNJFE . � 7, Footings "� 58. Hectrical Conduii�Undrgmd. - ' 6�. �Foundation � ��?. 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe�Undrgmd. � '� 60. Backwash Lines, P-Trap, O Undryrnd. 70. Structural Floor System �,� 61. APPROVAL TO DECK �;,_',' �� i 17. Property Sewer Line & House;Connection 62. Backwash &' RecepiorFinal %" ; J �� ,' P � �� 12. Sewer Ca ;� / 63. Heater & Vent-�inal 13. Roof Drain: .; � 64. Plumbing System - Final '�i ;�r 74. RoughPl�mbing '� _� 65. Electrical-Final � 15. Rough Electrica6Condua • 66. Solar System-Finai �l � 16. Rough Electric Wiring 'j 67. Fencing & Access ApProvai ! ' � 77. Rough Wiring Sign � 68. APPROVED FOR P�ASTERING � 18. Rough Electricat-T Bar Ceiiing 69. �POOLISPA SYSTEMS FINAL �? ' � 19. flougfi Heating & Ai� Conditioning FIAE DEPT. REQlliAENIENT ' 20, flough Facmry Fire��ace � _ � _ . � .-AppRC1NAlS• :Perniit � ^ ' c 21. Dutt's, in StructuFe , . - �~ -70. Onderground=Hydro `�y^..F � 22. Oucis, Ventilating • - - ' - _ �-71. Product �iping O'Gys �70i1 �; � 23.�Gas Pipe�Rough &Tes[ � - ' _ - = ; '� �jz, Underground Fiush • ' ; �-• � Fy - 24.-RoaS.Framing. : - � • . � � � • .'73:�Undergrnd�StorageTank OGas O6rl � � j �.: 25. RoofSheathing � � �0��•'r-Qf� �t.�✓� 74.-OverbeadHydro-' � � - � 26. 7�Bar Ceiling tStryctural} & Monocoat - 75.'Dry Chemical ' �+� , , � 27. Freme and Flashing � _ ,�, ; ?6`Dry StandQipe � , � ; ' ' , � � 28. Lathing,& Siding� : _ �7�:, : � � '. • � �� - 77:=�FIXED SYSTENi FINA�+ ' � � 29. Insulatiop -. .� ,. - � �' '� : ' � � 78.,'FIRE PREV. FLNA��. - .. ;30. Drywall Nailing ' � � ' �� y� � HEALTH-DEPT. REQUIREMENT - ' � i 37. Plaster Brown Cost f_ ' � � � , t�.79.'•FINA� WSPECT10� � , �' -. - 32. -Electrical ?ower Merer:Final , � � � �80. FOOD CERTIFICATE ISSUED � ., 33. -Final Electric -� � . ' ` ' ' ^� '`No4'es: y�7 " � "-� /�y�! ' � ' �' � ' , . , , ; _ ��1�/-JT.�770. '3`1Y17l7/iCTqaLttlsn?_�iJ/[!i `•34. Final. Heating & Air-Cor�w'itioning ; ' . � ' ,�., • ,� __ ,�-, �, . � �'� 35. Final Gas�Pipe�Test' _ ' � " � "S , „ � I � : J _•�-+ -36. Hood or-Canopy � ` � - . � � , - �- � , . 37. FinaPFactory Fireptace ' - -' ' - �' . '- ' ' � �. 38. Final Plumbing y ..- .. . � . � � � • „ � - 39. Water Service-Finaf� ' : ' � �M • ' ' ,, .40. Gas Service�Final ., y _ : .' � .. .. � . . 41. So�ar pomescicFina� � i �� •• � , �42. Backflow'Preventer� � � , , ,; N - �"^ . 43. Backflow Irrigation � � -- �' _ ' " ' � - ' '' ' ' ,44. LandscaPelrripatioOSYsiem:,:..:� . � , - .�,� - . :,' _. 45. Sound Attewationr � - t - ` �' ' * ' i s - -46.'Handicap,Regulatio�s .. � ' � � • _ _ 47. F WAL STRUCTURE & BUILDfNG ��-2 �Y3+ �./ S�� J _ /J ,/ , �� _ � ez� Pc�J�. 48. FIN6.L PLANNfNG ' : ' ° � . 49. � Electric Release to Edison s � • , � � � * � � , - . 50. Gas Reiease to Southern California Gas Co . ' ' -'- , 51. CER�TIFICATEOP;OCCUPANCY . . - _. - - No. Date y , - . � �_��.�:�� COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX Si7 C08TA MEBA. GLIRORNIA � For Applicanf fo Fill In Complefely � TYPE OR PRINT COSTA MESA. CALIFORNIA owNeR Mesa De1 Mar Development Co MAIL _ _ ■ ARGH TEL. FEE RECEIUED l�l JUl l i t°.,6i fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING ' For Ofiiee Use Only R8G61VED BY I D�i! FIRE LIC.TNO. 9HSOH'SB-1. NO. O$ 3-4220 Oe'ecn. SIZE No. o� atnoe �F,�T 6696 Sq Ft ,,,,,,,,,,,,,„HIone . _. GOSTA MESA. CALIFORNIA J(p DATE (�L/ — ZONING ]L�Na ' I U98 OP N8W � 9UILDIN�e♦ _ BeTBACK LIN6 FROM IGlM6R LIN! 9TJ C6NTER OF sTwEei 44' REAR YARD 26 � FRONT � SIDH YARD I LEFT 5' -3" I RIGHT S� R SIDE DESCRIPTION OF WORK BUILDIN�1'-9"x53' ROOMS � STORIE6 1 SIZE EXTERIOR WALL. IROOF GOVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED' 'd e w/attached ara e I HEPEBY ACKNOWL6DGH THAT 1 HAVE RGD TH19 APPLAWTION AND BTATE THAT TX8 ABOV¢ 18 COIiReCT AND AORE6 TO COM- PLY WITH ALL CIiV OPDINANCEB AND BTATH LANM p86VLATINO BUILDING CONBTRUCTION. 81GNATURE OF MESA DEL MAR DEVELOPMENT CO PERM17iE By "'�L��.CS'�"wLZ'LL+, AUTHORIZED AGEN L � / —C� Living Area - 1685 SF GaraQe Area - 440 SF Cov Porch 68 SF TXE AMOYM BXOWN UNOER V�LUATION 19 POR THE PUWPO$E OR 68TA�LIBHING A PERMIT pEE ONLY. �LUATION Q�/ _ ' PERMIT FEE $ J I, 17 446. 00 �'LAN CHEGK $'(� .�� p ' — i 70TAL FEE SS SO 0 ti