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Home My WebLink About999 POST RD - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 999 POST RD Suite No Vicinity: Parcel Nunmber: 14123117 Applicant: CANDY NOCK Address: 11612 KNOTT ST SUITE 217 GARDEN GROVE, CA � � Owner: MANSFIELD, EARNEST R TR Address 999 POST RD . COSTA MESA, CA Contrector: NOCK PLUMBING Address; 11612 KNOTT ST SUITE 217 GARDEN GROVE, CA Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub ClarifierSystem '� Connect (Ice.Soda,etc) Denfal Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve CHANGE OUT WATER HEATER AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 � $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Phone: (714) 8951246 Zip: 92841 Phone: Zip: 92626 Phone: (714) 8951246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY QTY AMT Laundry Tub / Washer : $0.00 0 � Landscape Irrigation $0.00 0 P-Trap � � $0.00 0 Pressure Regulator $0.00 0 , Process Piping (per 10 ft) , $0.00 0 Receptors . $0.00 0 - , Seplic Tank � $0.00 0 �SewerCapforDemo $0.00 0 Sewer Connect , $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Ploor _ '" � " � $0.00 QTY 0 0 0 0 0 0 0 � 0 0 0 0� 0 0 0 Status: ISSUED �Applied: OB/04/2004 Issued: 08/05/2004 ISSUED BY: SumpPump � Swimming Pool Trap Primer . Urinal-� "' � - ' . , VacuumBrkrBkBow(t-4) - Vaouum Brkr Bkflow(5+) • Wash Basin - Wash Basin Set� Waste�anil, Vent System Water Closet (Toilet) . Water Heater / vent , �- Water Piping Qnst or Rep.) Water Re-pipe Water Service AMT $0.00 50.00 50.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 on 0 0 0 0 0 0 0 0 0 0 t 0 0 0 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, 7241-92) EXPIRATION: This permit shall automatically ezpire and become void il work is not commenced within 1 BO days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result In the expiratlon of this permN. FOR INSPECTIONS CALL: (714) 7545626 zaas-aelr�oo� WORKERS' COMPENSATION DECLARATION: � �' I hereby ettirm under penalry of perjury one of the foilowing daclerations: � ❑ I h e end will malntain e certificate oi consent to self-Insure for workers' compensation, es providetl tor by sectlon 3700 ot Ihe Labor Code, for the pertortnence of the Ac tor which Ihis pertnit Is issuetl. I have and will mainlain workers' compensatlon Insu�ance, fls required by section 3700 of tha La6or Code, for the perfortnance of the work for which Nls pertnit I5 issued. My workers' compensatlon Insurance carrier antl policy number are: Carrier: Policy Number. (Thls section need no( be comp/ered I! fhe perm/t Is valued et one hundred dollers ($100J or less.) ❑ I certity ihet in the pertormence oi the work tor which this pertnit Is Issued, I shall not employ any person In eny manner sa es to h come subject to the workers' compensallon laws oF Califomie, end agree thei If I shoultl become sub�ect to tha workers' compensation provisions ol Sectlon Y 0 0l t Labar Code, I shall torthwith comply with ihese pmvisians. AppllcaN SlgneNre: �/�%/.-� � Date: WARNINO: FAILURE TO SECURE WOPKERS' COtdPENSATIqJ COVERAGE IS UNLAWFUL AND SHaLL SU6IECT AN EMPLOVER TO CRIMINAL PENAL ES A GVIL FlI ES UP TOONE HIINOREO T/qUSAND OOLLARE (5100,000�. IN ADDfiION TO TME ODST OF COMPENSATION, DAMAGES AS PqOVIDED F-0R IN SECTIdJ 3]OB OF THE L�1BOR CODE, IMEREST, AND ATiOHNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I he�eby alfirm Ihet I em Ilcensed under pwvislons of Chapter 9(commencing wllh Section 7000) of Division 3 of the Business and Professions Code, entl my Ilcense Is in full force entl eHect. Lia a Class» Contrectofs SlgnaWre: „ Da�e: CONSTRUC710N LENDING AGENCY: � � I hereby eHirtn ihat there is e wnstruaion lending agenry tor the pedormance of iha work lor which I�is Dermll is issued. (Sec. 3097, Civil Code). Landers Name: SigneNre: _ OWNER•BUILDER DEGLARATONS: Lentlefs Adtlress: Oate: I hereDy eMirtn that under penelry of perjury Ihet 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Professlons Code: Any ciry or county which requires e permit to wnstruct, etter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the applicant for such pertnit b flle e signetl stelement Ihet he or she Is licensetl pursuant ro the provisions ot the Contrectore License Law (Chepter 9(commencing with Section 7000) ol Didsion 3 01 t�e Business end Professions Code) or that he or she is e:empt thereirom and the basis For ihe elleged exemption. Any violatlon of Section 7031.5 6y eny epplicant tor e pertnit sub�ects the epplicam to e civil penalry of not more than five huntlred dollars (5500)J: ❑ I, es owner oi Ihe pmperty, or my employaes with wages es t�eir sole compensation, WIL� DO 7HE WORK, end the strucwre Is noi intended or ottered for sale (Sec. 7044, Business and Professions Cotle: Ttie Contractors License Lew does not apply to en owner oi property who builds or improves thereon, and who does such work himself or herself or thwugh his or her own employees, provided that such improvements are not intended or oflered for sale. tl, howaver, Ihe building or improvemem is sold within one year ot completion, tha ownerbuildar will hava the burden of proving that ha or she aid not builtl or improve tor purpose of saleJ. ' ❑ I, as owner of ihe property, am EXCLUSIVELV CONTRAC77NG WIT1 IICENSED CONTHAC70RS to construct tha project (Sec. 7044, Business and Protessions Coda: The comraaors License Law does not appty to an owner oi property who builds or improvas thareon, and who contracis for such pmject with a comractoqs) license pursuani to the Contracbrs License Wws.). ❑ I em exempt under sec. Business and Professions Code for this reeson: Signature: Date: Owner ID venfied by tlrivers license. ❑ Yes ❑ No Dnvers License No. Verification ol Ownership 6y (type of documem, i.e. - property ta< blll or deed): Expires: DIVISION OF INDUSTPIAL SAFETY PERMIT CERTIFICATION: ❑ I �ere6y certify that no excevation five (5) or more feet in depth imo which e person is requiretl to tlescentl, wlll be mede in connection with work euthonzed by Ihis pertnit, and Ihet no building structure, scaHolding, falsework, or demolition or dismantiing thereot, will be more then thirry-six (36) teei high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Califomla AdmlNstrative Cotle). ❑ As ownervbuilder, I will not employ enyone to tlo work which would require e permit from the Division of Industnal Sefety, es noted ebove, unless such person hes e permit to do 5uch work irom Ihe divi5ion. Siqnewre: Date: Division of Industrial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVATiON OF EMAY: I cenity under penalry ot perjury that 1 have read this application end state that the infortnation given is correct. I agree b comply with all stete laws end ciry ordinences retating to building constmc�ion, and authodze representatives of ihe Ciry ot Coste Mesa to enter upon tha above-descnbed property for inspection purposes. I agree not to occupy or ellow occupancy of eny building authorized by ihis permit un�il tinel inspection. �� Signature galOwner(s) �� AnNOr Autho' d Applicent COOE1. INSYECTIONTYPE �AiE 11fTITIRLS 1618 Fixetl System Final Fire Preven�ion 126fi Pool Spe Final 200 Flnal Re-Roof 201 FIneI BIacWReteining Well 202 Finel Factory Fire Place 203 Finel Sign 204 Finel Demolition COOE� INSPECTIONTYPE 206 Final Mechenicel 208 Finel Plumbing 210 Finel Electrical 212 Finei Fira Preven�ion 220 Finel Planning Approvel 222 Finel Site 250 Finel Buiiding/Occupancy QdIE lI�LS 1��--1- � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 999 POST RD Suite No Vicinity: Parcel Number: 14723117 Applicant BRASON, ALESHA Address: 1401 BAXTER ST ANAHEIM, CA Owner: MANSFIELD, EARNEST F2 TR Address: 999 POST RD COSTA MESA, CA Contrector: ALASKAAIR Address: 1401 BAXTER ST ANAHEIM, CA Status: ISSUED Applied: OSI20I2002 Issued: 05I20I2002 �_. ISSUED BY: Phone: (310)253-5229 Zip: 92806 Phone: Zip: 92626 Phone: (310)253-5229 Zip: 92806 License: 574615 SCOPE OF PERMIT CHANGE-OUT OF A FAU IN AN EXISTING SFD. 1 INST FAU < 100K BTU. NO OTHER WORK WITH THIS PERMIT. ISSUE FEE Inst FAU <700 k BTU Insl FAU >700 k BTU Repair/Alt Cooling/Heat Insl / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Venl Air Handlers < 70000cfm Air Handlers > 70000cfm Floor Furnace Floor or Suspend Heater 523.50 514.80 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 so.00 50.00 50.00 50.00 50.00 50.00 Quantity FEE SUMMARY Repair / Alt Absorblion Unit Repair / All Refrigeration Unit Ventillation System Evaporative Cooler Commercial I n cinerator Domes6c Incineralor Compressors / Absorption Svstems Upto3hp/100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Duantity 50.00 0 ao.00 0 50.00 0 $0.00 0 ao.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $38.30 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permlt shall automatically ezpire and become void if work is not commenced wlthin 7 BO days, or if work is suspended or abandoned lor a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and ell requlred inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2448d8 (B/00) WORKERS' COMPENSATION DECLARAnON: I hereby aHirm untler penalry of per�ury one oi Ue tollowing dedaretlons: ❑ 1 heve enC will malntflin e ceNficata o� ��sant to self-Insure fw workers' compensetion, es O�eWtletl tor by section 3700 of the Lebor Cotle, for the peAortnance ol the wOrk lor which Nis permit I5 I55ue0. � wlll majpfain workers compensation insurance, es required by sectlon 3700 0l the Labor Code. lor the peAomwnce al Ihe work lor which this pertnil is iswetl. p compensatlon Ireurence �Mer and policy number ere: one Poficy NumberZ (� I u 3 Z� a i or less.) ❑ I cenity thet in Ihe padormence oi the work lor w�ich ihis pertnit Is IssuaQ I shall nol employ eny person in any manner so es to Decoma subjact to the workers' compensatlon laws ol Calitomla, end 9g�ee Ihat If I shoultl become sub�act lo ihe workers' compensetlon provislons oi Sectlon 3700 al the Labor Code, I shell forthwit� comply with Ihese provi�s. �o ApPlicaN Signeture� v - Data;> . J--Z v— ��, WARNINO: FNLURE TO SECURE WORI�0.5' OOMPEMSAT�ON COVEMOE IS UNUW R1L AND SHPLL SUBIECT AN EMPLOYER TO CRIMINAL PEWILTES AND CML FlNES UP TO ONE HUNDRED T10USrW D DOLIARE (5100,OW), IN ADORION TO n1E OOST OF COMPENSATION, DMNGES 0.5 PROVIDED FO{i IN SECiION 3�OB OF THE UBOR COAE, INiEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLAHATION: I hereby aNirm t�at I am Ilcensed under proV�sions of Chapter 9(commendnp wilh Section 7000) ol Division 3.of lhe Business and Professlons Cotle, entl my license is in tull torce and etteci. Lic:J/ Lclase il �� —� CONSTRUC710N LENDING AGENCV: � ❑ I hereby ettirtn that there is a consWc�i� lending egency br ihe peAormence of t�e work for which t�is permit is issued. (Sec. 3097, Civil Code). Lentlor'9 Name: LonOerS Atldress: Signatura: Date: OWNER•BUILDER DECLARATONS: I hereby eflirm ihat untler penalry ol perjury thet I em EXEMP7 FROM T}1E CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business entl Pmfessians Code: Any city or county w�ic� requires a pertnit to construct, elter, improve, tlemolish, or reDair any structura, prior to its issuance, elso requires ihe appliCant for such pertnit to Ille e signetl statement I�aI he or she is Iicensed pursuent to the proNsions oi Ihe Contrectors License Lew (Chepter 9(commencing with Sedlon 7000) ol Dlvlsion 3 of the Business end Prolessions Cotle) or �het �e or she is exempt therelrom and the basis tor tha elleped e:emption. Any violation oi Sectlon 7031.5 by any applicent lor e permit subjecis the epplicant to e civil penalry ol no� more than live hundred dallars ($500).): ❑ I, es owner ot the pmperty, or my employees with wages es their sole compensation, WILL DO TME WORK, antl Ihe sirucNra Is not intentled or otteretl tor sele (Sec. 7044, Business and Professions Code: The Coniractors License Lew does not appty to en owner of properry who builds or improves thereon, end who does such work himself or herself or through his or her own employees, provitleC Nai such improvements ere not intended or oHered tor sale. tl, however, the building or improvemeni is sold within one year ot completion, the �'ner-builder will have t�e burtlen of proving that he or sha did not builtl or imprwe far purpose ot ule.). ❑ I, as owner of the property, am EXCWSIVELY CONTRACTING WITi �ICENSED CONTRACTORS to construct tha pmject (Sec. 7044, Busineu and Pmfessions Code: The con[ractors license Lew Aoes nat appy m en owner of property who 6uiltls or improves ihereon, end who conirects tor such prqect with a contractor(s) license pureuant to t�e Conirectors LiCense LewsJ. ❑ I am e:empt under sec. Business end Professions Codo for Ihis reeson: Signature: Date: Owner ID veAfied by dnvers licensa. ❑ Ves ❑ No DnveYs License No. Vedfication ot Ownership by (type at document, i.e. - properry teu bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERM�T CEflTFICATION: Ezpires: ❑ I hereDy certity t�at no ezcavation Me (5) ar more feet in tlep�h Inio which a person is require0 to descend, will �e made in canneciion with work euthorizetl by Ihis permit, end that no builCing siructure, S�efldding, falsework, or tlemolition or dismantling Ihereot, will ba more than t�irry-six (38) leet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celitomia AtlministratNe CAae). ❑ As owner-bulltler, I wlll nat emplay enyone to tla wark which would require e permlt irom the Olvislon ol Industnel Sefety, as noted above. unleu such person hes e permit ta do such work Irom ihe tlivisio�. Signatwe: Date: Division ol Industrial Salery Pertnit Num�er. CERIIFlCATE OF COMPLIANCE AND AUfHORIZA710N OF ENTRY: I cetlity under penelry of perjury that I have read this epplication end state t�at the information gNen is correct. I agree to comply wil� ell state Iaw3 entl ciry ortlinances relating to Duiltling constructlon, antl euthonze representatives of ihe Clry of Coste Mesa to enter upon the ebove�tlescribed pmperry for inspection puryoses. I agree not to occupy or ellow occupancy of any building authonzed by this permit un�il tinal inspection. / Slgneture OI LBgel Owner(s) �/�� Dat� lAntllOr-Authaizetl.MWican� � e'� COOE �. INSPECTIONTYPE 1816 Fixetl System Finel Flre Prevenllon 1288 Pool Spe Final 200 Final Re-Rool 201 Finel BIocWRelaining Well 202 Final Factory Fire Placa 203 Finel Sign 204 Final Demolition Q�]F 7[�$ �Qj�,( INSPECTIONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Final Electdcal 212 Finel Fire Prevenlion 220 Finel Planninq Approvel 222 Finel Site 250 Final Building/Occupenry �.1 IILL. �.� �. �� nooxEssaeunmu: 999 pOST RD °w"�xg"'WEv�a�xMANSFIELD, EARNEST R TR "°°x�ss 999 POST RD COSTA MESA,CA 92626 �vx. Y.nmc �noxesa i�xcxrtEcronexa,�nn: IPCH ON fNQS ADDflES.: c«rtx�crarsxu� cwm�crars ��¢nn �s4 �.,: uc ra_ uxr: ucra: uNr: IJCEN5E0 COMR�CTOPS DECI�H�T10N: I lweb/ Nim uMx pwuly d pepvy NY I em fcqued uder paisan d CMqm e (avmianvq wiN Secto� laW) d Oimin a d Ihs B�e�a end Pmfwa'vu Cob. eM mY 4ww u"v� IW ba W�Itau. cm uc. r�o.: uc. cuss: uc. No.: E X P: Dms: Camrec«: '1WNEH BUILUEP DECI�XATON: 1 Meeby elfvm imEer penely G per'Wy IIW I en avmp hom tM Com�nm Liams lew Iv ihe Ibw�q �wm (Seaian ]m1.5 &oinu eM Nalmacm Cede: AM �Y n oduoY wT'rli np�na� a V�a lo m�+wf. eCr. "unYw+. .emdeh. a repi arry emcnne. RQ m m'sauanw. ebo requre� iM epp6ceip br wsA pxmi to 9s e�iprE mertwtl tlW he a�M u fmmW pmuva ia tM pw'man d the CaNeeaon lioeroe law �Cheqs B(mmmasinp wvh Sopun 1UW) d Diveion 3 G ihe B�cima+ eM Rdaaun Codel a �hm M a eM b ezemq Ihaahan vd iM bave b Ne sAeped exmmqion. Nry vidmion tl Seaion )031.5 by am/ epp4mtl ta e permY a8pa� Ne apd�W �o a riW {wieEy d iw mon Nen fne NvWad do0u� �SSOOp. �I. n oxner d iM popenya my r�pbyeae wlh wapea o thai ede mmpe�verim. wY do Ne �k eM IM �t�uc9ue e nd'vneMd n alluea b eeb (Sectia� ]oa�. Buvinenad PmleasianCode: The CaMroeon Licaw lew dw na app!/�oeno�ner d piape�y who ddC� a mV� tMean. md Wn Eo» �uW xark limrtl n Mnd a IhrwpA he a!w am arobee�. qw'ided �het wch imP��mb ue M wrdW a dlaaa ta eab. tl, hove�er.IM MuNuq a inpowmem e mid w'nlvn ar Ymr W aomPMm. Ne owmrbu5ler wiT hew tM WNen d pw+�q he a ehe ditl nd dMC a impw* la ihe WVwe d ols). � I. u o�nr d Ne Rw�Y. em m AwalY mNmd'n0'MN ticweed carcrec�a� b w�iu Ne pMb (Sation ]Ou.Buainwa xd PNm�iuu Code: The Caa�euaa lisw law Eam nd eoDN b an wxm d Pw�Y Mro buld� a enpw'a ihaean md rAn conpgcq br ad� pqeRf Wh e mN2GaHe) Icanfed punueM lo IM Cap�etlan liwv� lex�. � 1 em usnq udr SerLm: B. 8 P.C.. b Ws rmmn: � om.: � ��— 9 S' ��„�,�,�' 1,�P I Eo haeM ��Y tlW I em ewera W md ddrnand Ua mawrsmenb d Gdfaria HsvEh ud SefeaY COM Saa'vn RSSOS. 255JJ. aM p55]�, eM Mei I a mry Nwe detl'vp oaowN wJl / wil nd (drcb one) maA b canWy wlh uk ptl� aoda� W tM rpu'umm�nn br aVnrolammbucfv�>modfre�cntromilrlv3u�iy erepsmra0inrie.RaddwLLlmmviionWpiMioroenaumqimntlwe M� Oete: AOOr�: WOFKEfl'S COYPEN91T1 W DECLMATION: 1 MeaEy dfi�m under peWiy d pryry ane d tM taGowi�p Oedvetun: � IMnenENme"vuenecendketedodummtoeelliiuunbxaken'wmpe�union.mpaidMtaEySed'anT00d�MleEa coe.. i« u. vN� a m. � �«.+n�m m� w�n m e.�,ea. ❑ � n.va ena w meimen.Mw.� canv�� ... �.mA.d M seaian Tao N m.len« coa.. w �n. w�ce a �n. wak /a r,fiidi Ne Po� u muW. MY wakees' mmDenaeibn "vnurenee urtiu eM O�Y wmbr en: c.m.. Pafy Nwnber. �S ma� re.e �a ae c�dwe r m. w�+�r a ro. �. m,m,.e em.,. mmi n,�m.� Cl I cenh rtm in Na V�aniw,e af tM Mc br �.Aich �hia Va� u nweE. I WO nol enVM e Y Dd� ti�Y me'vir w m to � bxvm m+4✓� Io Ne wten• ov�qr�+mian lews a CelEmtie. ud eG�ee tlw i 1 YvtlC Wcme v+4b b �he xo�Mn• epnpaenpn pwe'wm d Seeion 3]W d tM lebw Cade. I NdI1wMwCh aompy wiA tl�ow p�vmc�u. 'vRds� bdicenc w.mMv: cww. ro..cur..�ort...� co�row.uon cw«.a. �. �w.mn, .Iw.rWr,�eM.� «ro�or« ro cNmw wMm.,.ne nvu nnu w ro m. nuwrve uo�.w eww. fsfa400aA M.rMlfbn ro m. eo.� or ronp.�..uon d.�p.. u poraw ror �n Sxtlm JIGK o/ M L�Eor Cods, InMest ��mry's /w. coNsrnucnoN �o�mrb �Dencr: � nsmbv �� « ve�M a vai�v �na m.. u. ama�uao� Wdvro meMv ror me �n�,�e w m..w� ro� wn� me vmm� a owed (sea�, aar�. cH, c>. m LENDEP'4 N4ME: �ENUEH'S �OUPE55: I unily Ihet I hew neC tiv+epp�ceibn end uete �MI Ne ebwa INpmmion u certW. I rpr to canpy WI� eY �ay rk wumy ad� entl ate�e lexe Me�iq b Wddiip oonWUQbn e�d beby eNharhs iapetenleYws d INf dlyb aNs upon tM Wwa�mxtloneE proporly la impeaian Wryoeef. GARNEST MANSFIELD Pnm ie.-. f�.'.�;,�'' �. 0�0 otl,: 3- a7 - 9 8' s �m� amn»r VRppImnLContreaa =(5�5b�6 WP) Whae-Buid�q 8 Selery: Oreerv-Fle: Cerery-�ppira�i: Rnk�is.en»:OokervoE-Avwv CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 087473 PLAN CHECK NO: 01154-98 S �' O• B 087473 GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : EXTEND 20.SFT PATIO COVER 8" SQ FT: 14 CLAIM VALUE: 350.00 CALC—VALUE; 225.68 GROUP OCC: R-3 / COMMENTS: EXTEND EXISTING PATIO COVER 8" ******etx�c*��itit+��**rt�***�r��*****+rrt�r***�*****�r****it**+�*at+�*�**+t�***+a**��+�+��cat�*��x� Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: 50 FT IN FRNT: FT IN REAR: FT IN LEFT: 30 FT IN RGHT: FT ZN LEFT: FT ZN RGHT: FT IN PARKING REQ: PROV: PARCEL: 19123117 ZNE; R1 REF NO: . PLANNING NOTES> EXTEND PATIO COVER SO IT COVERS THE EXISTING BHQ. i fE if iE jf jE if �E �E iE j! �E �E ft 1E �E 1E if iF 3f fF �f iE iF iE iF iE 1E iE 1F If iE iElElf 1E 1f k 1f �f if if if iE if iF af fk ii iE iE if 1E 1f IE IE iF iF iE iE iE iF iF if iF 1F iE iE iF iF iF i! iE iE iE iF jF �E jf �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 T S I ZONING APPROVED BY �.1� LRjL DATE: ' 2^I �`i� BUILDING APPROVED BY : DATE: �' APPLICATZON ISSUED HY: DATE: 3 2� �P �ett�t+rx-�t*rt*��f****x�*�t***�tiF3FiFiFiF"iFiFiF�iF:F7F3FiF7F'iF'iF'iF"iF7F'iF"iFi ii"iF3F'iFiF�ti�x��titif**** �t�t LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMHING ELECTRIC MECHANIC FIAE SMIP/RES GRADING PERMIT 21.00 50 SMIP/NON—RES PLAN 13.65 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 21,50 0.00 13.65 35.15 35.15 .00 REVENUE DIVISION TOTALS--> COLLECTED: 35.15 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 21.00 .50 13.65 iE iE iE * Ik iE fk fE ik aE if iF if �f if if If �k �F iE K if �1f jE if iE if M�f K 3F iF iF if �E iE if ik iF 1P if K fF 1F iE if 1f if iE 3f iF iE if jF �F ff i4 K if if if iE i4 iE iF aE iF if iF iF iE if iF iF 1F �f iE IE iF I N D I 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 SFR 14 RES-PATIO COVER-POST 6 SOLID ROOF 16.12 225,68 END OF FEES 83-Z7-1998/IB:IS A�/535.15 kLPT�:�I-H8214d5 FERMZT:087473 CONSTRUCTION ANO PLANNING PG�` $ �'' * � APPROVALS Permit # Date tnspeetar AppROVALS Permit � Date Inspector 1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location . 2. Soil Pipe•Undrgrnd. 53. Steel Rei�forcement 3. Elettrical Conduit Utility•Undrgrnd. 54. forms 4. Elettrica� Conduit�Undrgrnd. 55. Electrical Bonding 5. $teel Reinforcement � 56. flough Ptumbing & Pressure Test � 6. Electriwl UFER Grnd. 57. APPROVAI TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59. Gas Pipe, O Undrgrnd., Test � 9. Wa[e� Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � 11. property Sewer Line & House Connection 62. Backwash & Feceptor•Finat �2• seWe� CaP 63. Heater & Vent-Final 13. Root �rains 64. Plumbing System � Finat 14. Flough Plumbing 65. Electrical-Fina� 15. Rough Electriwl�Conduit 66. Solar System-Final 16. Rough Eiectric Wiring 67. Fencine� & Access ApProval 1�. Fough Wiring Sign 68. APPROVED FOR P�ASTERING 78. Rough Electrical-T 8ar Ceiling 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. FoughFactorYFireplace � APPROVACS .Permit# 21. Dutts, in Svucture - 70. Underground Hydro 22. Ducts, Ventilating � • 7�, Product Pipinp CJGas OOiI 23. Gas Pipe•Rough & Test . - . 7y, Underground Flush . 24. Root Framing 73: Undergrnd.StorayeTank �Gas ❑Oif 25. Roof Sheathing � � 7q, Overhead Hydro 26. Y-Bar Ceiling lStructurall & Monocoat 75. Ory Chemical . � ' 27. Frame and Flashing � 76. pry Standpipe 28. 4athing & Siding 77: FIXED SYSTEM FINAL 29. Insulation 78; fIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 3/. Plaster Brown Coat 79. FINAL INSPECTiON 32. Btectrical Power Meter-Finaf B0. FOOD CERTIFICRTE ISSUED � 33. Final Eiectric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test . � 36. Nood or Canopy 37. Final Faaory Fireplace . . 38. Finat Plumbing 39. Water Service-Final ' 40. Gas Service-Final � ' � 41. Solar pomesiic-Final 42. Backflow Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System � . 45. Sound Attenuation ' ' 46. Nandiwp Regulations i 47. FINAL STRUCTURE & BUILDING LZT' [8 ��/j�- ' 48. FINAL PLANNING � � � 69. Electric Release to Edison " . 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date 201►+s,ROOF CONNECTION DETAILS � CONT. LEDGER CONT. LEOGER OLID B�OCK RqpTER �I/2�� DIA. X 5�� LAG SCR AT 32�� O.C. DETAIL I CR 9 C� ��TECO�� GRIPS OR JOIST HANGER 3/g'� DIA. X 5�� LAG SCR. ar �y" o.c. DETAIL 2 Ji�OR LIGHT WEIGHT ROOFS ANLY CONNECTION DETAILS 7( FACIA-MIN.REO. RAFTER 4PPROVED METGL HAN6ER DETAIL 3 DEVELlJPt�g�IP s�ces n�r�rgrrr BUI�I�IG SAFf,TY DIVISI�1 OWNER: _ ADDRESS� CONTRACTOR: ADDRESS� RaFreRs CARPORT, PORCH OR PATIO NOT SUPPORTING CEILING SIZF. SPACING SPAN 2"x4" 12"O.C. 9'-6" 16�� 8 � _�„ 24" 6'-6" 32" 6'-0" 48" S'-0" 2"x6" 12" 16'-6" 16". 14'-6" 24" 12'-0" 32" 10'-6" 48" .8'-0" 2"x8" 24" 15'-6" 32" 13'-6" 48" 11'-6" 4"x6" 24" 17'-0" 32" " 15'=0" 36" 14'-0" 4"x8" 24" 21'-0" 32" 19'-0" 36" 18'-0" 48" 16'-0" 4"x10" 32" 22'-0" 36" 21'-0" 48" 20'-0" 72" 17'-0'• PATIO COVER TYP. PLANS DATE� PHONE � LIC. N0. PHONE: RAFTERS LIGHT WEIGFif ROOF COVER OF LATH, FIBERGLASS, ALUM. SIZE SPACING SPAN 2"x4" 16"O.C. 9'-6" 24�� 8�_�� 32" 6'-6" 48" 5'-6" 2"x6" 16" 16'-6" 24" 14'-6" 32"• 12'-0" 48" 10'-0" 2"x8" 24" 19'-0" 32" 15'-6" 48" 13'-6" HEADERS LIC}if WEIGHT ROOF ONLY SIZE POST SPACING 4x4 6'-0" 4x6 9'-0" 4x8 12'-0" 4x10 15'-0" CARPORT, PORCH OR PATIO SIZE POST SPACING 4x4 5'-0" 4x6 8'-0" 4x8 10'-0" 4x10 12'-6" APPROVED FOR BUILDING PERMIT By � Date GENERAL NO?ES: 1. These plans must be kept on the job at all tlme.during construction. 2. All framing [o be Douglas Fir N3 � grade minimum. 3. Rafters may not attach to facia ex- cept for LO]�roofs as shovn on details, 2Qih+roofs must use a continuous ledger actached as shown on details 111C�#2. 4, LLght veight roofs may a[tach to facia for 14' span max., spans over 14 mus[, use a continuous ledger as shown Ln ' detail 1i3. � � � �l9�JCJ NOTE� SHOW AND DIMENSION PROPOSED PATIO COVER AND YARD AREAS cirv. oF co PLANNIP S BJEC.T, TO BL[ BY � I-P.�'�CS� G�� , � ;-�-� ��'° r� p,�.1 Co �eU D 0.�7� O �� Lxt��d pa,�i'o Ga� A MESA �,vSP�'' � �� /_' 7'" DIV. � �G� � �� R. G( G�. �D1V�iia r' F Bul"Lvi' li �'y CITY )F COS ME; A P VED N 0 � f N u z 0 J 7 m F N X W SEE D�T,�p+,�'LS �dN REVERSE SIDE DI S, DELEfIONS, OR CORRECTIONS SHALC BE A,`PROVED BY THE PLAP�WIPtiG DIVISIOfl � _"""' ��-a«�..�..t.......— OVERHANG _X_RAFTERS AT_ O.C. _x_ eeaM T-STRAP EA. SIDE FOH POST- BEAM CONNECTION. DROP PATIO W FLOOR 2" Q a SLOPE TO DRAIN —� o :. ' o. ":'. �. ::` ".: ` : : �'26 GA. G. I. FLASHING WOOD�FLOOR CONSTRUCTION m Q J N V 2 J � � V LL = o f � `a 0 a W a = � W f H N 4 _ a 7 Q O � � N Z x � m o W 0 Q ¢ V 2 LL' W > O m a `..� :aii� .u4 i � N � � � . -�L _ _ J . PIERS 12°� SOJ� o i a a ��e _. ."�+ bekeptonthispbatall mesanditisu�ullo � �G%� ��S�aa�eralbnon wilhoutwrktenpermission QieDivisianofBuildmg i �4 �yotcostaMesa. ('� �S "I �-I �3 " ST�, ,��,',�'��d��bnsSHA�.LN076eheldto �nna�o��e�� E ELEVATION � t cf any prouisior�s ot eny City of Costc Mesa Ordl ance anNor SIa!e lavc ,�� ?� ��,� 2� ��e��'�mby IimilroGon and dacnme nu� e d vcid It Ihe bulldlna ar - • � an,x. PLOT PLAN CONSTRUCTION DETAILS ,� eoonesswemiwia: ggg yVST kL IXMERSN4IEIFRlQYN: MANSFIELU, EARNEST k TR •• moxEsa ggg puST RD ' CGSTA MESA,CA 92b2u �vx. �mwo �ooxFsx u�cxrtecr an ��n: uc. xo.: urcx on era•s �oo�: UMT: uxr: ��T�� IiENNETH FUNKE ( 714 ) 964-7171 cam�croas�uuxo 19622 RUMSEY LN �%x iiUNTINGTON BEiaCH CA ��= 00348877 9Zb4b urn: LICENSED COMN�CTONS DECIAPATION: I Araby Nim uMr psWy d pryry Na I am linued utler rywo'vu d Gheqr B (mmmanamq wuh Seclian 1000) d Oi.imion � M Ca Bmisn en0 Rafwnau Code. end mY 6oaw u in hA bm utl eMstl. uc. io.: uc.euss: C-39 uc.No.: G0348 7�E� � Dme: 'O �� Cowrar. W �WNE NLDEP UECLAfl�TION: I hweby elfvm �vMr peiMy d prjvy Nel l mn aomq ham Ne CMrtlm lioana ler In IM '�ae�m (Saeion ]W �S Bueiru eM Adavcro God�: MY W a caWY W�'sh �wWm e D�Y to aom4urJ. etlr. inVow. ' h. a repai vry awmas. p'v m b uwKe. e6o eqidia Ne epqirau b�uN permY m IJe e�qneE pal�naN tlW M v�M u �bn,roe wm�em m ine vo.mau a m. co�Yreau. Lioeius le. lchepr e(oomm«iuno Mvn swon woo) a av:on a a �ne Busrov ud Pdeaiau COCeI a �1W M a ehe e exemq ihsdram end �M !am la Ns eMY� uanPian.lm'volmun d Seaion 103t.5 Ey eiry eppliuN 1« e pxmn wEpGs iM eppfwu �o � dvi praCy N�u maa tAen /He hwdM AoOen �5500p. � I.e�ovmerdUrpWe�Yamy+mWv�'es�wth�veGe+otMitleoomV�.YiOdoNswoM1.eMths�uueununal'vtlsiMed rc Mard M eele (.9ermi ]ou. B�rou enE Pmlmwm Cods: The CaNream limroa LeW Ew no1 MdYto an oxiw ol papery Nq WiM a inP�'ee tl�e�eon. end Wn doss tuch wak h"vnaetl a henM a tlrur� h'v u hm mm emG�W�. D'a'� IMI wch unP��eras ue na'viteMed n a11seG la Ws. tl. Aowws. �M hWOmO w inPuana+o wtl wnhm ar Yer d canOMun. IM owiwr-0u3W W M�a iM WMm d Pa'�0 M a Na 6C nd ddC a impo.a ta Ne O�e d oM). � I. n mmer d IM pW�Y. em e�rimwlY caveaenY xaA Gosatl mwmw� m m�mw Ne p9� (Saaion>Ou. Bwiiwa an0 Prole�dme Code: TM Cavreum Licmr law doo iw eVMY b en oxir d RW�Y Wa buYC� a'enpw'a 1lwson mM who conirern for wC� p9«ae xEh e mamaM�) fcrossE w�+� �o �M Comramr� Lisua leM. � I em uemV uMa Sar,'m: B. 8 P.C.. br Nu num: De�a: Oniw: I do hsebf' ��N Nm I un a.ve d md �vdxsuM IM �p�um�xb d GeOarie HeYh uk 6dMY Cads 6sebu u5o5. �Ssa�. uA 2551a. eM tlu� I a M' haun WYEnO �d wil l w0 na (drNe ane) ired ro mmON wY� oiC tltle mds� nE Ilr ropvmmwm b epwmelacaro4uciianamodi(mionhomiM/v�iy e�up�rtrq0ie�itl.Midrtlelawin�u�eppiwioroerseRemqlmmYwa a��.. od.: �,crum: WONKEP'S COMPEHSATON DECLAF�TIOM: I Mraby dPom uder pemly al prjuy ar d Ns Idbr.inp Jsduetiom: ❑ IhevsenEWmrNenecanAw.ameuenitowtl�imvebrwvkrimmpmWln.mG�a�laMSeeiona]OOa�MLebor COEs.Iw iM perlmw�ca d tlw rak la wlic� Nh prma u IaueE. ❑ �n.v..nev.Jm.:a.n.aF«,•oomw�+mionwv�.nw.me.W4.dbrswionarooau.lamem..wu,.o��w�n. +l wak lu �AiN tlw O+mm b e'uad. MY MaMen' oomDwm� iwrenc� urtir W D�Y numbx xs: Cud.: 4TATF FTtNn EXPIRES vacrrv�e«: �RS_q-7nniT�r�� O1/O1/98 (ihia eeaion nsed rrot de rompbrod / fM pamt b br wro huMrsd Cd4n �S�OpI w bn.l � I cM% Uut In Ns palormerce d iM wark br whirli �hh pemtl� u barA. I Wtl m� empby erry paron In ury manmr o m to ��+nn� ecwne wbjeq la IM xwYare' mmpentetbn levn d Callomia. utl epna UW E I 4puk beMm� wb�etl lo IM woMn' / c peQnatbpn qwpisione d Sodion �)00 0l iM leEa Cads. I lonhxnh oom h i y'jy.�� • L � Ome: 1' 9— 1� MGfram: �.� � 1 �Ai'F�' Wa rp: FWun a ueun woikwi rompuwtlon emnp.l� w4rW, �rW Mtll wD/st ur w+ploy✓ ro MMrW pwltlu uM / flnu'p ro an MntliN tMurrd dol4n ry�OqaOVA b��n b N� ewf ol rompwwWM1 tlurrp� u prvvMW br In \ 9xtlm �1Q6 0l Rro IeDoi Cob. INwt ��Y i lww CONSTNUClION LENDINO ROENCY: I hereby dfirm uMer peneAy d porjury Rxi Ihen u e aonpiudion kMi�q epeMy br IM parbrmaMe M iM wwk M wNiN Ihe Dmmi u ewM (Sadion JOD). Civ. C). LENOER'9 NNIE LENDER'S M�XESS: 1 cerlity thel I M�n reaE Nu eppfiralian W aa� ihtl iM ebovs "uJoemetion e eortw. l epne io eanply weh N cy end muNy ad"nenes� end nme lewe rt1aiM to W�d'rq mreuueion W MsbY ainlarrzs �w��eVm d �hn cIY ro amm Wm IM abwe�maqianed G�WeM 1« inpedion purpwea. KENNETH FUNI(E � Is�s�+e.wP� WlwsEuitliq 8 . Fnk-Ravene: 9 -g -97 CITY GF COSTA MESA — BUILLING PEkMIT PEkM NG: B �8�104� PEkMIT NO: b u64644 PLAN CHECK NO: �� N GOVi: N SUPP: N CuNSTRUCTIGN TY"PE: V—N PERNIZT TYPE: STR PURPi�SE: OTH JUH LESCRIPTIGN : T/O EXISTZNG RuOF INSTALL 25YR CuMP SHIN SQ FT: 3,�7"v CLAIM VALUE: 3,570.OG CALC—VALUE: 3,570.G0 GRUUF OCC: R-3 /U-1 COMMENTS: X ifitiFiEie�l'rieiEkiEiEiEiEiiiiiFliiEiiiiiiiflciFi't}iiiiiiiciEiiielfiEiEiE��iii3eifiili:4{iE�iiEi'riiieif#ie"riii�icif�fiefEiiiF'r.iE�'txieiftiE�Er.�kt>r' Z O N I N G R E Q U I R E M E N T S ssrBacxs ------------ MAIN BUZLDING ---------- --------- ACCESSORz BUILLING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ZN LEFT: FT IN RGAT: FT IN LEFT: F'P IN RGHT: FT Ii�l PARFiING REQ: PRGV: PARCEL: 19127117 ZNE: REF NO: PLANNING NUTES'> ''�• iF iE i't+F ie ie ii i'c i't if iF iF ie . . . ... �lf ii � k iF iE ii �i ii r �i ic if ic ic ii if iE if ic ic ii ic x ii ii iE K i'r iE �i it+F ii ii if ic ic iE ic ic r. ir �rt i'r � 3i ii fE ic � iF iF ii x:i_iE ie ii � ii vc �c ie ic L E V F.;L u P M E N T 5 E k V I C E 5 R E Q 0 I k E M E N T S Z6NI�]G APPki7�%ED HY uF�TE: /' • �: bUILDING APPRuVED BY : uATE; .. APPLICATION ISSUEU BY": D[�TE: ^ 111 ieiE3eii�"riE�i�R3'rifiiiixiE�lEiiiiiEiciEiEif ae a' xrt sexx�e+'xfe xar ww �ere rt�t �rxfcii+fifieifiFiEiiivi:�e �eiin ��'c;�.ir' LEGALIZASIt�N:N F E E S U M M A R Y SI'RUCTURAL SEGMENT:Y bLDG PMT F�LUMBZNG ELECTRIC MECHANIC FIhE`_•SMIP/RES GR.�DINi; PERMIT 87.25 " .50 .�;: SMIP/NON—RES PLAN ' ISSUE FEE BUILDING—UIV—> PERMIT ISSUE PLAN—CHECK TOTAL � PAZL DUE TOTALS----� 87.75 0.00 0.00 _ 87,75 1 87.75 .OG REVENUE DIVISION TOTALS--> COLLECTEL: 87.75 UVER`/OSHOkT: .Ou bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TuT GRAUING PLAN—CHECK 87,25 .56,`� /' if iF iE ie jE ir ii � k�i if # ii ii ie ie iE ii� iE ii iE ii �1c i'r 3c iE iE iE �k if ie iE ie ie ie ie <iE 1E ii iF i'r iE i! iE ie iE iF if +E ic if -i't if r ik if iE;f .E 1i iF �lc ii it i! x i! iF iE ii� �E ic ic ic t+'r 1e 3c I N L I V I D U A L F E E B R E A K U G W N TYPE QTY L E S C R I P T I u N UNIT��uST TOTAL COST SFR 3570 RERGOF BY VALUE RESIDENTIAL NGZONE 1,OG 3,570,v"0 END OF FEES , �. ! �3-12-1937/1�:2a P:✓f6). T kCFT;:bl Co.,:��i �EkCIT: E�8464�a iONSTRUCTION AND PLANNING - P(. & SPA '� APPROVALS Permii # Date Inspector AppROVALS Permit �h Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment locatior. 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Electricai Conduit Uti�itY-Undrgrnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steei Reintorcement 56. Aough Plumb7ng & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVEfi�GUNITE �. Footings 58. Electrical Conduit�Undrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Wa[er Pipe-Undrgrnd. , 60. Backwash Lines, P�7raD. � Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11. Property Sewer �ine & House ConneMian . 62. Backwash & Recepmr-Final 72. Sewer Cap 63. Heater & Vent•Final 13. Roof Orains 64. Plumbing System - final � 14. Rough Plumbing 65. Electrical�Final � 15. Rough Electrical-Condu�t � . 66. Solar SYstem�Final � 16. Rough Electric Wiring 67. Fencing & Access APprovalF 77, Rough Wiring Sign , 68. APPROVED FOR PLASTERING 18. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air CAnditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Struct�re 70. UndergrounA Hydro 22. Dutts. Ventilating 77. Product Plping OGas ❑Oil 23. Gas Pipe�Rough & Tes2 72. Underqround Flush 24. Roof Framin9 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing g;.l�Ll�7 �w� 74. Overhead Hydro ! 26. T-Bar Ceiling (Structura�) & 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 HEALTH DEP7. REQUIREMEN7 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Met�r�final 80. FOOD CERTIF�CATE ISSUED 33. Final Eleciric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test � 36. Hood or Canopy _ _, 37. Final Factory Fireplace ' 38. Finai Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation ��!l�q�� ..G� �, 44. Landscape Irriqation System �� 45. Sound Attenuation � 46. Handicap Regulacions 47�, FINAL STRUCTURE & BUILDING 4'.,/p..Q� �/J_ . [, D D LY- 48. FINALPLANNING 49. Electric Release to Edison � ' ' 50. Gas Release to Southem California Gas Co • 51. CERTIPICATE OF OCCUPANCY . No Date �� 71CMS-628AAH-CG2 . � H. LAWMASTER 8 CO., JC. 7940 N�AIlJ 57REET — S7ANTON, CAlIFORNlA 828-80a0 X�XX Field Data on Test Specimens Core---Concrete_—__Gunite__Grout;;lM1ortar_ Project Pcrmit No. 33497 — --__E.-'—f�.�$C1Sf.LGJ.Si=+�}YIJILPII01 _ �. -- - Project L«ation __ g49._Fs�� RDad _ Co��a Plesa Ca il f• _ ___ Contractor An}„hg�ly Bro� Pools -„Gp926 Architect _ Location in Siruct�re Engineer _^__ 1-'r/alls 2-B. Beam 3-Deep End _ Dat� Mouldecl No of Specimens � --- — e-i9-7i - — — Slump i_ _`_ _ Specimens ��1arked ��_l� ��C�'2i Z�:3�_____ _ Specitied Strengtn at �Q_�days 20�G p,5.1. Mix Design.��on 1- 4 1/2 Aye to be tested 7_days_�SLdays__._days days READY h11X PLANT AGC,REGATE SOURCE 4Vearher Condition ' y�o� I 1 Yd. _-l'd 6aYh -- - -------- ---- ----- —�- — — --- - - --- Cement Type I�11 Cemeni, Ibs. Admix Sand Specimens made bY P;ozelman _� *"� --' -�--- �-�------- . ..,� 1 �:'';��C�t`��-"-�"i-Y=_-':.- �� . i��,�� .,.�, ;.� � Data by n 3 � ------ - ---- -- —�- -�r=.----- - -- t - •� J i:: � Gelivered by — ---� T 2 "" '' ---- - - Date Deli�ered '` �----- —� ------- -- - REMARKS: 1-➢e=p �nd 1999, 2�U2 I \Nater, Gals. 2- Shallow End 'a'all 2C00, 20G3 zppl - Gut ef round 3- Bond Beam 2001� 20C4 Lab. No. Date of 7es1 Specimen Diinensions Area Ultimate Load Lbs, per sq. in. H/D Correded � o��rn �n ots _6Q _ 2 Test FOR Tesi 1'est _26 18-26 --4�L�1X -�---- 1 X 12.5 _ {6.C1X12.25 12,75 30.25 32,23 30.29 45,C00 _ 40,CG0____97.500 1�_4B6 1t241 3�Z�9 71�003 712004 28 Day �est 28 �/16 9/16 _ 6.13X 6.29X 12.5-- --12.75 29.51' 31.�7 �s,oao 69,oao 2,643 2,221 RCE,`,�5207 l:W�l i._L_-r_..�'L�-�-�.� �-�....-^ Mr. E.. R. MansPield 999 Poet Road Costa Mesa, California Dear Sir: A building permit conatruct a private swimming August 9, 1971 has been issued to nthony Pools to pool on your proper y In order that your pool 11 be a safe one and for the purpose oP advising you of your resp aibility regarding the re- quirements of the Coeta Mesa Municipa ode, we refer you to Sec- tion 8107, a copy of whic is attached. Thia letter ie d ected to you in order that you will be aware of our ordinances an can malce a complete safety check of your pool ar Sincerely yours, RH:dh , RICHARD HANHART Building Safety Director ADDllunl to fill In all spaces except t�on wH�in hearY CITY OF COSTA MESA CONSTRUCTION PERMIT Applicent's Mailing Address Froject Address `� 9 9 �`P �, s,. +' 1-2 o a� ' Owner'sNsme� �"1A1.1S-�.r11� �E.chone5�5-�ib�i3 Addres 5 (� r"� e� Arch/Eng. License No. Address Contiector'sNam ��L'-� �one5`�a-341,� Addras (mailingl aD �� • o O A Li�ense No. o� l 1$�{�� c��v. I� uub �- s 1-9 3� LICENSED CONTRACTOR DECLARATIDN ` 1 �ereby affirm that f am Ilcensetl unGar D�ovlsions oT C�arter 9(commancln witn sectlon 7000) of Divlslon 3 of t�e Business ana Rofassions Cotle, anC my Iltenze is In full toru aDtl-e }BCL �,I �' I$� <' �atan�� i t . TJl' �%%i i� w% L' 9 C � e WORKER ' CO ENSATION DEC RATION • I heraby atiirm t�at I �ave a certi/lwte ot. consent to self-Insura or a certlfitate of workers' Compan5dtlon InsuranGe, or a certlfietl copy thereof ($ettlon 3800, LaG. C.! • Policy No. --� n�� ComOany SZ1'� eCertifiatl C py Is hereby Tumiihatl. � Certif atl y z tile0 wit� t�e city 8uiltl Div on, Oate Applicant �• �Q � - , EXEMPTIO �FR M WORKERS' COMPE TI N DECLARATION (This sectlon eetl noi De completeG H Ihe Oermlt Iz for one �unGretl (5300) or less). 1 certify that in the performance of tne work for which this Derm�t Is Issuetl I shall not amD�oy any parson In any mannar sa as to become suDject to ti�e Workers•,Compenutlon Laws of Call/ornla. , � Date �iqnatura NOTICE: If, af[er making [�is tleclaratlon, you shoulG become sub7ect to the � Workers' Compensatlon provisions of the LaGor COAe, you must forthwith ' comDry with such Orovisions �oi this parmlt shall ba tleemed revokeC. CONSTRUCTION LENDING A6ENCV � I bereby afflrm that Ihere is a conitructlon lantling agan<y.tor the performance of t�e work for whic� [Ns permit �Is IisueE (Sectlon 3097 Civ. C.) � LenGer'S Nama � � lsntlar's Atlaress � , OWNER BVIIDER OECLARATION� ` • � ' I hareby aftirm that 1 am-exempt�.from tba-ContractorY License Law for the tollowing reason (Sectlon 7031':5 Business antl Profeislonal Cotle: Any city or ' county whic� reqWres a permit to construct', alter, Improve, Gemolish or.repair any ztructura, prior to ics issuante, also requlres the applicant for sucn permic therefrom antl the' basls for [he allegatl examptlon. Any violaflon- ]031.5 by any applicant for a permit subjects [he appliwnt �nalty of not mora than five hunAretl tlollars (5500). � � i�� : LJ 1, as owner of the.pro0erty or'my employees with wages�as tompensation will tla [he work; anC•the�structure is not Intentletl for sale .(Sec�lon 7044', Buslness� anA � Profe551onal Cotle:. Tne Ci License Law 0oez not aooN [o an owner of a orooertv whn bulltls e - empioyeas, prov�aea mai sucn Improvemenis are.nol In�enaeo or orreroa �or . sale. If, however, the builein9 or improvement Is so10 wlthin one�year o/ com- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or Im- , ' �ove for the purpose of sale). � � , ' � ' , I, as owner o� the property, am ezclusivery contracting with Ilcansetl con- � tractorsto construct the;project (Sectlon.7044, Business antl Profassions Cotle: The Contractor'S License law does not apply to an owner ot pro0erty who . builtls or improves thereon, antl who <ontracts �or such proja<ts wit� a con- . tractor(s)licanse pursuant to the ContractorY Llcense LawJ. , � O�1'am axempt unGer Sectlon B. 6 P. C. fOr th15 r¢d50n � � i Date Owner ' I hereby certi(y-t�atl��have reatl-thls�application antl state [hat the above informatlon I5 correct. I agree to compty with all tity.antl counlY ortllnancas ' anC state laws relating to builAing constructlon, and hereDy authorize repre- 'sentatives of �thls city�to anter.upon the aDove-mentlonetl prop rty lo inspectlon ouroosas �p y� / g � Signature "�. �CQ // � TVPE OF CONSTHUCTION LJ NEw LJ noo ❑ CONVERSION ❑ OEMOLISH ❑ OTHER DESCRIPTION OF WORK anC sl9n a11 aoD�ooriate aeclantions. ALTENATION � REPAIR TVPE OF PERMIT LJ GRADING LJ�C[JNDATION LI STRUCTURAL ❑ TENANT ❑ ELEGTRICAL l(�'6LVM91NG ❑ MECHANICAL ❑ �OTMER L' ' PRQIECT DESCRIPTION 50. F7. ' oCCUPANCv— CONSTRUCTION TYPE VAIUATION S ZON£ GRAOING CU.VDS. ACRFc Ramarks: Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dish�+msher Drinking Fauntsins Floor Drains . FloorSinks � GaSServicB � Outlet5 Kitchen Sink Lavatories � � P-Trap Roof Drains � Showers Service Sink ' � ' Rnilm . -� ' � Duc4 = Under Ground ; � Duct-Structurel � Duct-Ventilating ' . .. Exhausf System ❑ Multipie Firepl/Fact.Blt.ICBO# . Heeting System & Ducting ❑4100,OOO,BTU �700,000 Hood oi Typel ❑' - CMF 0865-46 rev. 12/82 White - Builtling; Canary - Appliwnt; Plnk - Accounting; GolCenrotl - Assessor Soler Collectors Salar Piping -� So1ar Tank Swimming Pool w/Spa Urinal Water Clout � Water Heater � � � VJater Service � � . � ' Reinspection'Fee $15 � , Isue Fee �. . � 3 RetrigeraUonSystem , � '� ❑0-100,OOOBTU ❑100,OOOBTL System Repair/Alteracion ; � Reinspec[ion Fee ; Issue Fee n $15 $ 3 PLNG.'REF. qW LEFT SIDE VARD PKG. SPACE REQ. STREET WIDTH SPECIAL CONDITIONS: Automatic WaSher. ConstructiOn Pole _ Cooking Unit Dryers LJGas ❑ Fan :� F.A.U. Fixtures Device Boxes Outlets ' GerbageDisposal Generator �0-5 KW �5-15 Transformer 075�50 KW O5U+ KW Meter ❑up to 100'amOs Zonin9 APOroved By APPlimtion APProved BY — Appli�tion laued By �BUILDING PERMIT PLAN CHECK' � PLUMBING PLAN CHECK EIECTRICAL PLAN CHECK , MECHANICAL PLAN CHECK; 1358 6/20/"� �efl. _1. ZONE BUILDING REAR VARD (TO P/U RIGHT SIDE VAflD PROVIDED PARK FEE S Meter L1ove�100amps Sub Panel Sub Pole Motors �0-1 HP ❑1X$ � Inc.Solar 09-15 HP 016-15+ Pole Light � • Ranga _ , gi9� Standing Sections � Tresh Compactor <W �Rainzpaction Fee SUMMARV OF FEES ' $ SMIP � $; ��._. • PERMIT $• � . �% ' ISSUANCE • $ ' GRADING $ $' $ $ • MICROFILM TOTAL�FEE� LE55 � ADVANCED�PC FINAL FEE X �� a s � AOP��cant to fill in all spaces exttpt those wlthin neavy ooraer Iines ana sign all aDorooriate tleclarations. CITY OF COSTA MESA CO,/N�STRLUCTIO PERMIT °"'""'T ""' rancr Nn i nr Nn ��.��T.,�„ Project Address �9 1"" 6 5 T , Applicant's Mailing Addreu � Owner's Namqe qMa � Phone sy s' 3 Address / % / �a S � R� Arch/Eng. License No. Address Contractor's Nam Phone q 3� 0101`� AdAresslmailing) � � / Ciry License No. �� $ti LICENSED CONTRACTOR DECLARATION I hereby afti�m lhai 1 am licensetl untler provisions of Cha�te� 9(commencing with section ]000) ot Divislon 3 of tne 8usiness antl Pro(essions Cotle, antl my license is in full force antl eftect. /' License Ciass License No. 7? 3��'Z Date'7'�l•�� Si9nature �h �uORKERS' COMPENSPTION D LARATION �reby a((irm that I have a cert' ate of consent to salf-inmre or a certiticate Worke�s' Compenza[iOn Ini�ance, Or d Certitietl tOpy [hereof ($ection .,tl00, lab. CJ aoiicv No.Wal9�n'76TD.97'N companv L� {n ✓Y:ar•�a Certifietl coOY is hereby furnishetl. � Certifietl cQpy is filetl witn the city B Itlin ivisi Oate � � %L.��' APPlicant EXEMPTION FROM WORKERS' CO EN ATION DECLARATION (Thissection neetl not be completetl' he permit i5 for one huntlr¢tl ($300) or If55). I<ertily thal in lhe performance he wo�k fo� which this pe�m�t is ISSuetl, I shall not employ any person in y manner so as to become subject to the Workers' Compensation Laws o( Calitornia. Date Si9nature NOTICE: If, aiter making this declaraUon, you shoultl become subject to the Workers' Compensation 0/ovisions of the Labor Cotle, you mu5[ forthwith romply with such orovisions or this permit shall be aeemetl revokeC. CONSTRUCTION IENDING AGENCV 1 hereby a(firm that there is a mnstruction lentling agency for the performance the work for wnicn [his permi[ is i55uetl (Section 3097 Civ. C.) M Lentler's Name y Le�tler's Atltlress I OWNER BUILDER DECLAf1ATION I hereby afflrm ihat I am exempt from the Contractor's Li<ense Law tor the r following reason (Sectlon ]031.5 Business antl Professional Cotle: Any Nty or � county wnich requires a permit to tonstruc[, alter, Improve, tlemolish or repalr any structure, prior to its issuance, also reqWres the applicant for such permlt � to file a siqnea stalement that he/she is Ilcensetl pursuant to the provisions ot �'he Contractor's License Law (Chapler 9(commencing with Section 7000) of vision 3 ot lhe BuSiness antl Professions Cotle) or [hal be/she iz exempt ;refrom antl the basis tor the allegetl exemption. Any violation of Sectlon . J31.5 by any applicant for a pe�mit Subjects the aOPlicdn[ to a civil pendlty o/ not more lM1an five huntlred tlollars (5500). ❑ I, as owner of [he Orop¢rty o� my employees with wdges as their sole <ompensation, will tlo the work, antl Me structure is not intentletl or offeretl for sale (Section 7044, Business antl Grofessional Cotle: The Con[ractor'S License Law tloes not apply [o an owner o1 a prop¢rty who builtls or Improves Ihereon, antl who tloe5 such work himselt/herseli or IM1rougM1 M1is or her own emplayees, pwvitletl that such improvements are not intentletl or otteretl for sale. If, howev¢r, th¢ Guiltlin9 or Imp�ovement i55olU wlt�in one y¢ar of com- pletlon, tbe owncr will have the burtlan ot provinq he/she tlitl no[ bulltl or Im- prove for the purpose of sale). ❑ I, as owner oi the o�operty, am exclusively mntractin9 with Ilcensetl con- tractors lo construct the projec[ ISection 7044, Business antl Professions Cotle: The Contracror's License Law does not apply to an owner of prOPerly who builtls or improves tltereon. antl wha conlract5 �or such oroieCts with d[on- traclor(sl I�cense pur5uan[ [o me Con[lactor'S LicenSe Law). I dm awar¢ that proof of their Wo�ker's Compensation Insu�ance ShOultl be Otovitletl to me. ❑ I am ezempt untler Section B. & P. C. for this reason Date Signature Driver5' L Owner certify that I have reatl this application anA sfate tnat the above rn is rorrecL 1 agree [o comply with all city antl county ortlinances la relat'ng to builtling conStruGtlon, antl nereby autho�ize �epre- o(�th6vily tq enter On [he above-mentioned ��lt'9f�� pp/�pos �� Date �� 3"12-12 � � TVPE OFCONSTRUCTION .NEW � aDD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIDN OF.WORK/USE OF BLDG. —ILL ALTERATION LIREPAIR TVPEOFPERMIT'�+`'LIGRA�ING LIFOUNDATION LJSTRUCTVRAL ❑ TENANT ��ELECTRICAL ❑'PLUMBING ❑ MECHANICAL ❑ �OTHER � -. ' PROJECT DESCRIPTION�-'Sq:"F7.� oCCUaANCV � .i CONSTRUCTIONTVPE VALUATIONS ��% DUC ZONE GRADING CU. VDS. ACRES �� Remarks: Sink <flow Preventer kflow Irrigation Dishwdsher Drinking Fountains Ploor Drains Floor Sinks CidS$CfVICC �UlICtS Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Rainspection Fae $15 Boiler Duct- UnderGround Duct - Strucmral Duct - Ventilating Exhaust System � Multiple Firepl/Fact. BIL ICBO dk Heating System & Ducting ❑0.100,000 BTU �100,000 iu or 55 # I I Reinspection Fee 5/8B white - Builtlin9; Canary - Applicant; Pink - Accounting: Goltlenrod - Assessor $15 PLUMBING Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Wa[er Closet Water Heater Water Service Auto-Wash Laundry Tra'ys A.P. qW S Main Building: E T Front ARear C Right g Left Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fix[ures Device Boxes Outlets Swi[cheS Garbage Disposal Generemr �0-5 KW [ Accessory Building: Parking Req.IProJided ELECTRICAL Transformer ❑ 15-50 KW � SO+KW Meter ❑up to 100 amps . Meter ❑over100amps Sub Panel ' - Motors � 0.1 HP � 1 X- 8�' s Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Standing Sections 15 KW Trash Compacror Reinspection fee $15 luue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: laue Fee Zoning Appraved By FEES Building Approved By _ .. . . _ /A Hood or Typel ❑ Canopy Type 11 ❑ Pefrigeration System Oo-ioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issua Fee $ 3 0 FEES $ 3 N I N G R E � M T $. SUM�1f�,F FEES � BUILDING PERMIT $ .L SMIP $ O� PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ 1 MECHANICAL $ TOTAL FEE $ r� PI.AN CHECK 25% $ 17iffr— 4— 71 T�^ __ .._. :uJa7. 0- ,r_.: •c . C��F: U7';'?1"cS '?i,: :? _i - - i ; ', CONSTRUCTION AND PLANNING ' ' PO � SPA APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. � 53. Steel Reinforcement 3. Elecvical Conduit Utiliry-Undrgrnd. � 54. Forms � 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonciing ' 5. Steel Reinforcement ' , 56. Rough Plumbing & Pressure Test , 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE � 7. Footings ' � , 58. Electrical Conduit-Undrgrnd. 8. Foundation � - � 59. Gas Pipe, O Undrgrnd., Test 9.�,Water Pipe�Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. - 10. �Strucwral Floor System ' 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection ' ,� 62. Backwash & fleceptor-Final 12. Sewer Cap � ' 63. Heater & Vent-Final 13. Roof Drains , 64. Plumbing System - Final � 14. Rough Plumbing . 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i 16. Rough Electric Wiring 67. Fencing & Access Approval '17. Rough N%iring Sign 68. APPROVED FOR PLASTERING �18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i20. Rough;Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground HYdro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-flough & Test 72, Underground Flush 24. Roof Framing • 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & 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 � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECT�ON 32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Condi[ioning 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 Irrigation System � 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 8� � � 48. Special Requirements Completed 49. Electric Release to Edison ' .. " 50. Gas Release to Southern California Gas Co -, � �, 51. CEFTIFICATEOFOCCUPANCY , f ,- No. Date � - PN0.IECTAOOflESS: 99[3 pOST RD owNea•sxnrne: MANSFIELD EARNEST R �ooeess: 999 POST �tD � COSTA MESA,CA 92626 663-9744 pPCHIENGINEEfl: flEG.NO.: aooness: u"iT: CITY OF COSTA MESA — BUILDING PERMI'1' PEHM NO; B OS9476 PERMIT NO: B 059478 PLAN CHECK NO; 03985-92 S GOVT; N SUPP: N CONSTAUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; OTH uxiT: PE"'"'T'EE: G.R, CONS"CRUCT7,ON (714)633-9744 aooness: 1214 PARK 5 ORANGE CA 92667 LICENSEO LONTBRCTOfl OECNBATION: 1 heieEy aflirm Inat I am IicenseG under D�ovisions ai C�apter 9(cammencinA w��h Sec�ion 7000� ol Oirsion 3 of I�e Busineu an0 Prolessions Catle, anG my license is in full larce an0 ellect. c�rruc.: srnreuc.:56873� c s .yy_��—�, —�,9�. sipnaWre� WOBKEflS'LOMPENSRTIONDECIANATION: I�efeUyallirmpy�l� �e enitiwtealconsemtoseli-insureoracertiliwteoiWorkers' Compenution Insurance. ar a cenAieE cooy tlrereal ISection 38W. La . C. roucrxo.: 1277533 EXP.PAiE: OS/OS�93 comraNv: STATE L� ceniliea copy is nereey lumisnea. .� CertAieo iopy is fileA vritn ine ciry e�� ing ONisio �3fE' /0 �' � ` 7 � � AOPliwni:' E%EMPf10N FflOM WONNENS' fAMPENSAT10N OECIAflATION: (ilus stt.�im ne � Oe complete0 i� Ne pamt is lor One huMreO (5700� or less�. I cetlily thal in I�e peAormanre oi the work �or wAic� Ihu permil is issu¢tl. I shall not employ any De�son in any manner so as to become � subl¢cl to ��e Workers' ComOensation L2w4 af Calilornu. � Oa�e: Signalure: NOTILE: II, aM1er making t�is tleciaration, yau s�oNG Oe�ome suCject m the Workers' Compensation Orovisions oi tAe La�or Coae. you musl tonhvnth compty wiitl;suc� pwvi5jon5 Or �IriS perrtui SAall �e 0¢emeC revOkeE. CONSTPUCTION LENOING RGENCY: 1 Aer¢Gy aHirm tAa� t�¢�e is a wmtruction IenGing aqene� br t�e pedormance of t�e work �ar w�i[� Ihis Dermii is iSSUM ($eclion 3097. Crv. C). ,� LENOEfl: ADOXESS: OWNFB BUILOEN OECIAMTION: I here0y aifirm �Iwt 1 am exempt Imm t�e Contracmrs' State lkense Law lor I�e lollowinp reason �Sttiron 7031.5 Busineu an0 Pmlessional CoOe: My ciiy ol �nty wNcO repuires a Dermit to constmcl, alter, improve. Oemolish, or ieDai� any sirutlure. D��or toiu �ssuanu. a150 r¢puires Ine appliWnt lor wch perrttit to lile a sipneE sUtement ihat he/she is licensetl pursuam ia the pmvisions of ��e Comracmrs' Stale License Law �CtwD�e� 9(commencinp wit� Section 7000) ol Division 3 0l t�e Business an0 Pmlessions Cotle) or �hat ne/sne is exemo� ��erelmm an4 ihe oasis Ior tne alleqee eKemD��on. Any violation ol Section 7031.5 by any aoolitant lor a Oe�mit suGie��s Ine aDPlicant to a civil penalty of not more Ihan live nunAred dallars (E5001. I, as owner ol Ina pmperty ar my empIoyeB Witn wd➢CS as tAeir 5ole wmpensdtion, will do Ihe waM, antl ine ❑ stmcWre is not imenCeO aroltereE lor sale �Section 7pAd, guvneu anE Pmlessiwal Code: The Contractors' Siate License Law Uoes nol apply lo an owner of a pmDeny w�a OuilOs or im0�a�es ihereon, ana wtq Joes such work himselflhersell or t�roupA ' nis ar �er awn em0�oyees, proviEeG ltlat suc� impmvemenis are not intenEeG or oHereO for ule. If, �awever I�e building or im0�ovemenl i5 sda vni�in one year o� cam0le�ion, Ipe ownet xiA �ave t�e GurEen oi Drovinp �USAB EiU �ro� �uib or improve for Ihe purpase ol Shce�. l as awner of t�e propeny, am e.Gusivery contraciiny wi�� IicenuE wniractors lo conswn �Ae D�ojecl (Section 70ad, Business ❑ an0 Pmleuians CaOe: TAe Convxtors' Slate Licens6 Law Oces no� apply to an ovmer ol praperrywho EUACs or imD�oves Iherean anG w�o canlracis for wc� pmjecls witA a conlratipr(s� liceme pursuani m Ihe Coninctors' Sute Licenu Law). 1 am aware Ihal pro01 01 I�en Wwker's Compensatqn irt�unM! slpulE Oe proviGeO Ia me. � I am enempl unGer Section: 0. 8 P. C. lor I�is reason'. JOB DESCRIPTION : BOLN FT OF CITY STD BLOCR WALL SQ FT; 80 CLAIM VALUE; 2,200.00 CALC—VALUE: 1,600.00 GROUP OCC; R-3 / COMMENTS; SMOiCE DETECTOR RE�UZRED PRIOR TO FINAL *�r�x�r�r�t��r�e*****#*�r�rx��r*x�r#� x*�**#�r�+e*,r��r+��e��r�r�r�s��i�*#*�r�tx*x#*#***�**xx�*�ru�t#*##�t Z O N I N G R E Q[1 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 REQ • PROV; PARCEL• 14123117 ZNE; R1 R�:F NO; PLANNING Ni71'ES> 80 L, FT. OF 6' HIGH HLOCK 'AALL HUILT ALONG SIDE PROP. LINES � -1E iE iE iE iF 1E 1f it iE iF ii�lf if !f iE i(- iE iE iF iE !E!f if iF ik IF 1E iE f(-�lf iE?E if iF 1F1F 1E iE iF 1E �lk iF 1E iE it iE i!!k �IF 1f iE 1liE !f !t iE ii 1F 1(� ik iF lE 1f �E # it iF iE. )f 3FiE ###�f 1f iE if iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY �C �� DATE; lv /� � Z HUILDING APPROVED BY : IN• /� DATE: lv 3 f�-- APPLICATION ISSUED HY; �` DATE; �� / 3 �Z iflEikiflFitlEifikififltifiEifiElEififlflkitiEiFi'e�iF�FiF3FifiCaFx�£7�'�F3F�Fit�Fi1�lT3i�Fx tYtltf �Fif3fiffElflkifiE###if ft t ir iFif �FiFififitlEiElfif;FifitiEikifiE!(�ififffiEiEikih�flEilik!(�iEihitiE%ifiFiF�l�1(�iEikiEltMftihif*ihiFlEit�kiflEtf##ifiF*�lFlFi(-�1fiElFifif '1tiF# :iF##iF LEGALIZATION;N F E E S U M M A R Y STRUCT'URAL SEGh,ENT;Y BLDG PMT PLUMBZNG ELEC7AIC MECHANIC FIRE SMIP/RES GRADING PERMIT 37.00 _. 50 SMIP/NON—RES PLAN 24.05 �' . . ISSUE E'EE - BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK ' TOTAL PAZD DUE TOTALS----> 37.50 0.00 %��24.0•S 61.55 61.55 ,00 REVENUE DIVISION T01'ALS--> COLLECTED; ' 61,55 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC - FIHE SMIP/TOT GRADING PLAN—CHECR 3%,�� ":j . .5� 24,05 i! i4 iF # iF iE iE iE iF iFiE iF if iE iE iE iF iF iE iE iE it i(� # if 1F aF if if iF ik �1F if iE iE iE if� 1F iF iE fE iE if iE �1F ik 1f ih if iE if if if �3h iE # ih 1E IF 1f ih iF iE iE 3f # if if fE # if %fF ## iE if 3f ?f i N D I V I D U A L �F E' E fl.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 oam: Owner: I SFR I do nereUy certily tnat I am aware of anA untlerstantl tne reppiremen¢ ot Calilomu Health anE Safety Cotle Sec�ions 25505, 25533, antl 2553d antlthal loranyfuture 6uiltling occupanivnll/willnoi (pircie one� neeElo com0ly wilh saitl state Wdes andlhe requiremenislora permil for consimclion or moAilication imm��e AirOualily Manaqemen� Districl. fleSiEenlial construclion applicalions are e�empi Irom I�ese pmvisions �ale: Applicani: I hereby utlilytlut Ihave reatl I�rs apOti[ation an0 statetllatt�e a0oveinlormation ¢ torrett. lagreeto fAmply wi�� allcity anE counly o�GmaricesandsiateWvrsrelatingio0utltlingwnsvuniananOtpreEyauUnr¢e ^ntntivesalrtns irytoenter onlnea0ove�men�ione� properly loi �nsp¢ctian purpOSes. 'ifie: ��' / 7' r � SignaWre: / � �i Oriver's license ar Saiai Securiry I6ni�a6 Wnite—Buipmg: Green—CoEe Ento¢ement: Canery—Applicam; Pink—flevenue: GOWenroE—Asseswr 80 RES—CONCRETE BLOCH WALL / FT, 20,00 ENJ) OF FEES. �ti � � �/ I� � �j� 1,600,OU CC�JSTRUCTION AND PIANNING' . APPROVALS Permit.# 1. Temporary Electrical Service or Pole 2. Soil Pipe�Undrgrnd. . 3. Electrical Conduit Ut�litY-Undrgrnd. 4. Electrical Cond�it-Undrgrnd.. _' 5. Steei Reinforcement j 6. Electrical UFEF Gmd. 7. Footings (� 8. Foundation _ 9. Water Pipe-Undrgrnd. 10. Structural Floor System ' - 17. Property Sewer Line & House,Connection . 12. SewerCaP -�-1 . 13. Roof Drains i � . 14 Rough Piumbing ' 15. Rough Electrical-Conduit 16. Rough Electric Wiring 77. Rough Wiring Sign 18. Rough E�earica6T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace , 21. Ducts, in Struaure � . 22. Ducts, Ventilating 23. Gas Pipe�Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T•Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-��nal 33. final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood o� Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Waier Service-Final 40. Gas Service-Final . 41 . Solar pomestic-Final 42. Backflow Preventer .43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Fegulations 47. FINA�STRUCTURE&BUILDING 46. FINAL PLANNING 49. Elearic Release to Ediso� 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF OCCUPANCY Date �Date I Inspector u� % I r Pl _ & SPA APPROVALS Permit # Date 52. Poo� & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Ptumbing & Pressure iest 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgmd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor�Final 63. Heater & Vent�Final 64. Plumbing System - Final 65. Electrical�Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOI/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVAIS Permit # 70. Underground Hydro 77. Produc[PipinyOGas �Oil 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: 0 F Inspector Q N � •< <� � mo � T o r" C � r oz m APPROVED City of Costa Mesa Eiuilding Dept. BY �C QkTE N�f�t9_��- THESE PLA�S �1UST °•; ^'' .':% , r7 ALL TI�,ES MAKE NO CHANGES VJi �-�i :1 , "'pf?OV.AL OF DEPT. 7HE 65VANCG OA C.F'�'- ' •:!1 .?%.:^?ADVAL Of PIpNSANDSPf.C�i':C�'�' ";7F7I;°%)1rB[A pER7Ali 70R. GR t.!' ::%� .. r': I^�A?i,^:J OF ANY OF ti1Et>ROwcIONSG'1�;:_.� � ^:'«:1'.;��:I!.A'CiOGIVE AU1FfOntfY TO V�pL05;. ^�< .. . c P�".•::>10p�S OI' THIS CGDE StiALI AE VA��p E}:C' i-: '. n: � i�nH AS i11E Vl�JRK OH USE YJFIICH Il dUTHpqIiT$ ' ' : �V.�:�,,. '1}It ISSUAtJCE Qi r i"..�:dll' RA=.i:C ' �?I PL�\NS AN� SPECI�ICh�ICtlp SI.+.AII i'•, 'r:FvcN'� i4;C 3��t�Ul!:G GFfICIAL FROM'Ik�iRCf.t'IeR':-,11.i;' ',��. ".,.�c G^��'�i; i;,i:0i H�IRORS IN SAID PL4N5 AIdU :. � i"' �•' �iOtA PREVENTWG P.UIl1i�NG OP[RAfIC: l " • � ��. "6_^EUNDEH WNEN IN VIpLATIOIJ OF 711L" CSuiw :' r\N' G rtiN GRUINANCE OF THE C17Y. J_, REffO[NC( I � ! I q[/ID[MCE THIS NUMBER MUST q� �MpL A Y ALL INSPECTIOry RfQUESTS ""1�— NOTE ADDITIONS, DElETIONS. OR CORRECTIONS SHALL BE APPROVED BY TNE PLANNIN6 DEPARTMENT APPROVED UfY Ot COSTA M�1 �� . �� f0 YD0. D@T. �O• � 0� 1lAINfl�N L • � p�' �'wy,�r ��. i�.a�P I � � W { �'J� � � •ElIDEMCC ;n� in•;f . 1��'�-�' s�'� REET � R[lfDEMtL FOR I CAtt 754-$626 �'--or- - 7545627 ion�s � � � O m� pm co �I ..FJ � m/m� ~ � l J W ^-� a O y . � , . TYPICAL : CemenCCoping•Optional -- Channel Block With 1�3/8.� Horizontal�Top of all Fences . - For Fences 5' or Leu Ven. Bars 3/8"yS at 4' -0`'.O.C. For Fences'Higher Than 5' . Vert. Bars 3/8"� at 32" O.C. Pill Cells Solid'With Giout •-�. Where.SteelOccuis' ' �-. .. Reinforcing Steel Shail Conform to Sec.A-15-39 A.S.T.M. � . _ - All Steel to be Lapped 24" or to Code NATUHALGRADE TWO 3/8"¢ BARS �1 CONTINUOUS70P I & BOTTOM ' _�_� HOR7ZSTEEL MUS7 BE TIED IN PLACE AT •TIME OF TRENCH INSPECTION. f 0 a x � � u > w � _ > z > — a i � W O U F- w in LL , ]' o - - d -p N o A — � D ' � W'IDTH � SEE CH[ � BELOW D.I'e 6�� CONCRETE BLOCK FENCE GENERAL- NOTES MORTAR: pne Parf Plastic Cement, and TAree Paris Sond GROUT: One Purt Cement Three and One Nalf Ports �and COPING: One Part Cement, Three Parts Sand CONCRETE: WQII Mixed 1:2-I/2:3-I/2 Max. of 7- I/2 Gal;ons of YYater Per Sack of Cement GROUT MAV BE POUHED FROM 7HE 70P OF THE FENCE IN CELLS WHERE S7EEL OCCURS. CELLS AND AREASOF HORIZONTAL REIN- FORCEMENT SHALL eE CLEAR, CLEAN & FREE OF ALL MORTAR DEBRIS, ETC. �H OF E4RTH7COTH 1/? ih1E HEIGTH OF FENCE �IOW BOTTOM OF FOG7iNG SCALE: I/2��= I' FOOTING REQUIREMENTS CHART WALL HEIGHT 6� � 5 � 4� 3� .WIDTH . . . 14" . . . . . . . . . . �.14�� . . . 12��. . 12�� .._ . . THICKNESS 10��. . . . . . . . . .. .10�� . . . . . . .. . . . 8��. 8�� DEPTH OF EARTHTOOTH ... 24".... 20" 16" . . . 12�� SPACING OF EARTHTOOTH. . 12� ... 14�.._.__. . 16�. . 16� I � City of Costa� Mesa, C I'f ' ' ---- � ��-�' Building Department k?=�: Y�ED uov. 62 a i ornio � - �.:: � jVOIVCR •vu�v v� ..... AP No. INSPEC SOIL GNS W ATER ROUGN F P ROP. 5 SPRINKL CON. UNDERGROUND U POWER ROUGN WIRING TRENCHES FORMS FLOOR SVSTEM BOND BEAM � STEEL RE SNEATHING FRRME RND FLASHING LAiMiNG - iN ❑ OUT [ PL�STER, BROWN COAT STRUCTURAL.fINAL HEFTING, VENT., REFRIG. AN PLUMBIHG, FINA� RN� GPS T ELECTRIC. FINRI BUILD FINRI VMIC TRACT FIRE ZONE SUBCONTRACTOR Z . a U F- Z Z � Om J7 J � Q W m J m J Q U a Z� aw W Z J Q m z J � W w O Z� w0 �O 37973 COSTA MESA BUILDtNG-SAfETY DEPARTMENT P_O_ BOX 1200 COSTA MESA. CALIFORNIA 92626 F. ' �a��OG 652n 8.5� � a • t•— ,•.t,rt�;: PP C TION FOR BUILDING PERMIT For Applicant [o Fill in Completely R EI V DATE RECEIVED DATE ISSUEO BUILDINCC� � � ADDRESS � n �7 — � OWNER /%: . �I`� � A.P. NO. I � �G..i � ^ PE � ! BVIIDING MAI L Sr ADDRESS � �R yj ADDRES Q CITY � NOL TRACT2 �p LOTI� BLOCK CONSTFUCTION W A D A P LENDER � BRANCH OWNER � ADDRESS VALUE /� ARCHITECT TEL. S $ OF ENGINEEF . FIRE � AODRESS ZONE VPE GROUP �p ' APPROVED ' � j CONTRACTOfl ��G7'� / O V` �/ BY DATE ADDRESS�� t � TEL. ZONE NO.OF VSE OF NEW CITV NO.S �/ ( � P�� BUILDING a STATE CITY p( Z '�A DSAPPROVED VARDSAPPROVED LIC. NO. .Z O UC. NO/ �'y / MA BUILOING ACCESSORY BUILDING 512E NO.OF BLDGS. (FROM C STREET) OF LOT NOW ON LOT FROfYT FT. FT. USE OF EXISTING BLDG. T. FT SIZE OF NO. OF NEWBLpG. ROOMS STORIES 1.51DE FT. FT. EXTEFiIOfi WALL ROOF /] �� COVERING COVEFINGC�lyl�(� REAR FT. FS. USE OF BUILDING AND WORK TO 8E PERFORMED DISTANCE BET. BEf. MAIN & MAIN BLDGS. ACCESS. BLDGS. > ' VAR.# DATE ��;.(I. C.U.P.� APPfiOVED APPROVEDf� J _�—)y l/�J� �P` \ I heraby acknowl¢tlBe that I have reatl this applieotion antl stato [ha[ tha ebova (nformation Is corract entl aprea to comply with all laws reguleHnB builtlln8 �onstrvctlon, ontl 1 shall not amploy — Y any person in violation of t�e workmnn's componsation laws of �V cha Smta of Calibmla. 1 hereby cerilfy that 1 em D�oparly Iicanzatl as a contrector untler SQ. FT. tho Smta of Celifornie Business ontl Protessionf COCe, Oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl thac such licensos a�e In (�II forca antl etfect, or I TME PURPC6E OF ESTABLSHING A PERMR FEE ONLY: am exempt from H�e prov(sionz of tha Steto of Californla Bvstness VALVATION � antl Protassions Cnoe, Divlsion 3, Chapter 9. ��/� PERMR FEE $ SIB�amre of ��/ . q � /� /n,/ / C/ � Pa�mittao GC J' ��t/ ��1�i ✓7 �N. G�G�� § �/� '' p�qN CHECK $ Au[horizatl Apent TOTAL FEE $ WELCOP4E HOMES y7y JOBADDRrS3 A'9`� Post Road BUILDING PERMIT NO. 3OZ1 GENERALCONTRACTOR Welcome Homes VALUE $ 8�%()�,�� oT 13 e�ocK TRACT 2896 Sin�le Res. u/att gar GROUP I& J ' TVPE V ZONE �4 FIRE DISTRICT 3061 PERMITS199UED INSPECTIONS � DATE SUBCONTRACTOR DATE I NUMBER Footing Trench Foundation Forms and Grade to Rough Framing � / _o—�-r�. Plumhing,Roughto ab Plumbing, Rough ComplcteQ/L Temporary Pole Wiring, Rough Heatina. Rouah r, House cTank o na. In Plumbing, Final, Fix Plumhing, Fin.al Gas Wiring, Final Occupancy � FORM 210 3M IO�RS St. $ —/J— " 3" S � - /L '.6 /.% ��Co�ta Mesa Building Department q,{� :�PPLICATION FOR P/�ERMIT ^�I�r :� P.O.Box 3!7 v�11�� BUILD� , V ' } d - COSTA MESA, CALIFORNIA • FOR OFFICE USE ONLY FOR APPLICANT TO FII�L IN eece�Pt No. Pe�m�t No. Building �j�y Address � Post Road 3o a i Costa Mesa, California R�e_c/eive/d�{J�y Date pRec'd. Date pIssued / ^'e..rest �S /e/ J� �O �.�� S��p ��b �s st. fiabb �er V�`elcome Homos, Zno. ress �� dest:�nster 11ve. , l'�7estminster No�'r� i itect or Lic. '�,neer No. Address n�dress Ca�i28 Y?estminster Ave., Legal Lot Descriotion No. �3 Block s;=e of �ot 56X1e5 ljse of PTOriE Existing Bldg. Setback Line from 55 Ft. r ..�e...s e�.ve� No. of 5711 �� None Addition Nearest Costa Mesa, California Ptans ,� ' � ' ; �, �,�� ,��v, i i ; - , ' ' o f t _ - , _ _�i '� f z - ' ' "' � ,.:: t I 1 O l�:T�J D r �l ilr r..�-r� --:-t+� a ve W4.i:1: .�.�G;n 01' Wall R007 „y Stuoco co�er�ny ?�'food APPROVAI.S New ng Single family residence and Foundation Location inspecto Farms, Materials, tvao car �araee attaahed. u�aer-Pinnina I hereby acknowledge that I have read this Application -- and state that the above is correct and agree to rnmply Lath. Int. with all City Ordinances and State Laws regulating building co �tr_u-ctippn. Lath. Ext. SignatureoT �r Permittee / � �% Plaster, int. Authorized Agt laster, Ext. Valuatio �n�°� Permit Fee $ �� Masonry Reinforced Plan Check $ / / Bond Beam $ � � � l Total � Fee $ ^� ""'I FINAL RM 20A 10-53 O. P. A 5. PLOT PLA.N Show Iocation and distances trom property Iine and hetween butld(npa . � ` ry�--� � - � w., � � �� y ....� . ., �O . .. . .. C� C057.� � or;1 � .�$�i:r-a.. � :��.�'.� .. ..:.. Z 3. � � � ... . _ . . . „ . . ` ..:.\; . 3t _ _. . ..,... tf'�]i.,� .U:i it .. ._. J:'... ��.. _ _ C . . : � ... , � ' C� J!'O�l �� 7: .,.:.> .G _ ., _ • f.' r.'• r C 0':_;; D... i t� D u. ... ,.. .,?'J . . _. 'fFD C1.:! \' � �.. ( fi \ • • �� " . _ � �J 1. � �� '� . .. . � �!!�`\\ � - •.�. � �. .. �t i � 1 . � . F_.� �'1 t �, � � 1 > `� . OWNER DATE SUBCONTRACTOR ROUGH PLUM9ING PROP. SWa. LINE Q HOUSE CON. ROUGM HEATING AND AIR CONDITIONING :ROlINO � POWER WIRING SvSTEM FflAME AN� Fl.ASHING LATHING — IN n i PLASTER. BROWN COAT FINAL � , � '. � • �9a�o • � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fi!l in Completely `,iAR 1 �' `, „ F�0 342 a***,r*6.�� APPLICATION FOR BUILDING PERMIT BUILDING :aEC D TE FjFj�EIYEP DA� ISSSII�_b� �R'% Y� � ADDRESS OWNER q.p. Np, ` � I- P�"� � MAIL BUIIDING /� Z . ADORESS � ADDRESS oL W W TEL. TRACT LOT BLOGK dU GTV NO. Z Z Q CANSTRUCTIO ' W ADD A TER P O N LENDER am � J � BRANCH J N OWNER m J ADDFESS ' VALUE �- J Q ARCHITECT TEL SE S ll��J OR ENGINEER N . V Q � FIRE w� ADDRESS ZONE TVPE GROUP d W APPqOVED � .i � W Z CONTRACTOF BV DATE J � m Z J � ADDRESS / O w W TEL. ZON NO.O USE OF N W � = CITV NO. - P�� ,� BUILDING - ZH w0 STATE CITV �'AFDSAPPROVED VARDSAPPROVED y R �IQ NO. /�D/D - LIC. NO. / MAIN BUILDING ACCESSOFV BUILDING 7O ' (FROMGLSTREFjf) SIZE NO.OF BLIX'.S. �D FT. OF LOT NOW ON LOT FROM USE OF EXISiING BIDG. ..t SID O FT. FT. F' SIZE OF NO. OF a Z NEWBLDG. •fi00MS STORIES L.SIDE O FT. FT. U EXTERIOR WALL FOOP Q COVERING COVERING REAR ✓ FT. FT. J USE OF B ILD G ND WORK TO BE PERFORMED OISTANCE BET. BET. MAIN & d MAIN BLD(3S. ACCE55. BLDGS. a Q ' VAR. � OATE O ? O C.V.P.# APPROVED H ( APPROVED V7 ' Z O UI hereby acknowledge that I have reatl this application antl state � that the above information is correct antl agree to comply with � all laws regulating builtling wnstruction, antl I shall mt employ F any person in violation ot the workman's compensation laws ot m N the State of California. � zI hereby certify that I am properly licensetl as a contractor untler SQ. FT. o the State of California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl ffiat such licenses ere in full forca antl effect, or 1 THE PURPOSE OF ESTAB�ISHING A PERMIT FEE ONLV: p am exempt from the provisions of the State of Celifornia Business VALVATION %� antl Professions Code, Division 3, Chapter 9, m PERMIT FEE $ F7 � �/ �/ � Si nature of /�( , �/f� (y � m Permittee .6d(C�� . ��/��GL� 5 5� %�I PLP,N CHECK $ --- E GN/ V � � `o Authorized ABent � LL TOTAL FEE $ OwNER MANSFIEL,D, E. R. DATE 8-6-71 JOB ADDRESS 999 Post xoaa BUILDING PERMIT N0. AP No.141-2j:1-1"( LOT T PECTIONS I Siynoture � Da�e WATER' �✓'J.� ROUGH PLUMBING PROP. $WR. LINE Q MOUS ON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGM HEATING ANO AIR CONDITIONING TEMPORARY SERVICE OR POLE UN�ERGROUN� POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF FLOOR SYSTEM BON� BEAM STEEL RElNFORCE SHEATNING �/ OK FRAME ANO IASHING LATHING - IN n OUT � PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PIUMBING, FINAL ANO GAS TEST ELECTRIC, FINAL )UP J TYPE SUBCONTRACTOR . ' COSTA MESA BUILDING-SAFETY DEPARTMENT V.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicani fa Fill in Completely BUIIDING pn� �� ADDRESS l7 2 . ww aV za o� am J � J N Q W p] J J m U � Za W � aw W Z J Q m Z J � w w O Z F=- w� �O H Z Q U J a a Q � F � Z 0 �"' U � � H N Z OWNER MAIL ADDRESS CITV BRANCH ARCHITE� OR ENGINE ADDRESS ADDRESS CITY STATE LIC. NO. S12E OF lOT VSE OF EXISTING E SAt9s TEL. NO. TEL. n%rrxoxr paoi..s 5871 F�TONE BLVD. TEL. ATFi N�$P �9 CITY LIC. NO. INO. OF BLDGS. NOW ON LOT $IZE OF NO. OF NEWBLpG. �1 ROOMS STOF EXTERIOR WA�L ROOF COVERING COVERING USE OF BV ILbING AND WOFK TO BE PERFORMED PA1[I : �� n ' I� -( �� 4E9" � . r_ � u:: . _ _ APPLICATION FOR BUILDING PERMIT BUILAING ADDRE55 OWNEF FIRE ZONE APPROVED N ` NO.OF PlAKS � YARDS APPHOVED MAIN BUILDING DISTANCE BET. MAIN BLDGS. VAR..$ C.U.P. qIE APPROVED . � VAIU$��/—^O� %��/�� %�GROUP DATE � USE OF N BVILDING VARDSAPPROVEO ACCESSORV BUILDING BEf. MAIN ACCE�. BL DATE �O� I hereby acknOwletlBO that 1 hava reatl [hts apPlicotiOn antl ite[e that the above in(ormacion is corract entl apreo to comply with oll lews re0ulatlng building consiruclion, ontl I sholl not omploy eny perwn (n violation of tha workmen's compensaHon lews oi cho Stote of Californle. �1 � I hnrnby tertif� �hat I am properly Iicansatl es e conttector untlar SQ. FT. o [he S[ate of Cglifornie Business antl Profasslons Cotla, Dlvisicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR � Chnp[er 9, anq t s� licansas ora In f�ll torca nntl affact, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY: ¢ em exampt fr t�e pr IsiOns of i�e ( CalllOrnia Business antl Professi t Code, Division 3, C pter 9. VALUATION D O m PERM�T FEE S �� j $Ipneturo f oO ` m Permlttee � $��O• P�AN CHECK $ �`� O E `o iLJ7 O " AuMorizetl Agant 2!/ TOTAL FEE $ � /�� OWNER MANSFIEI,D, E. �JOB ADDRESS 999 Post Road �J GENERAL CONTRACTpR Robert H. Gu AP No.l 1-231-17 LOT TR �INSPECTIONS S�� SOIL Q� GAS ' ` W ATER ROUGM PLUMBING PROP. SWA. LINE � HOUSQ CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEFTING AN� AIR CqN01TI0NING TEMPORARY SERVICE OR POLE UNOERGROUN� � POWEq � ROUGH WIRING . TRENCHES � FO(iM5 � STEEI REINF. FLOOR SVSTEM BONO BEAM STEEL qEINFORCE SHEATHING FRAME ANO FLASHING LATHING - IN OUT PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AN� A.C., FINAL PLUM8ING, FINAL ANO GAS TEST ELECTRIC, FINAL BUILOING, FINAL DATE 2 FIRE ZONE SUBCONTRACTOR Z . aU �Z Za ON d m J7 J � Q W (f� J J m Q U N Za W � p, W W2 J Q m Z J � w W 0 Z � W � � O � 4088 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO% 1200 COSTA MESA. CALIFORNIA 92626 -, ,,�"'-an oos �*�*��o.00 APPLICATION FOR BUILDING PERMIT FarApp/icanttoFillinCompletely qECEIVEU V OAT RECEIVE-D7 o�eisgu�JO� ADORESS QS � � �� /_�6 � / / a PERMIT NO. OWNER NS F A.F• NO. '��J � MA I L BUILDING ADDRE55 � ADDRESS S M _ TEL. J S TFACT� LOT BLOCK c�rv C as��p �' No. 6 3 ODNSTRUCTION W LENOER NO BRANCM OWNER ADDRESS ' /�// � � AWE � ARCMITECT TEL S / ' � �� $ OR ENGINEER FIRE ADDRESS ZONE TYPE GROUP p d APPROVEO � CONTRACTOR O /JF'` %L � � �L BV DATE ADDRESS s'S�3 �VMOSA S/-. TEI. 96 F ZON NO.OF USE OF NE 6 CITY VG LG�c NO. 0 P�� p� BUILDING ' � STATE CITY �'ARDSAPPROVED VARDSAPPROVED LIC. NO. Q ��. No. 633 MAIN BUILOfNG ACCESSORY BUILDtNG SIZE � � NO.OF BLDGS. (FROM C/L STREET) OF LOT �j 7 X I Z NOW ON LOT I FOM FT. FT. USE OF �� EXISTING BLDG. Ef % d,E CE S F. F SIZE OF NO.OF '� NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EMERIOR WALL ROOF �� COVERING COVERING NEAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED OISTANCE BET. BET. MAIN& MAIN BLDGS. ACGESS. BLOGS. .i vAN. aW DATE �p C �9�L C.V.P.s6 nPPROVED /�/ �� APPROVED / � � I hereby acknowletlge that I hava reatl thiz application antl rtate that the above information is correct anA aprea to eomply with ell laws regulatinB builtlin8 cOnsvuction, entl I shall noc employ any person'in viola[ion of Ma workman'a tompensatlon laws of the Stete ot Celifomia. m � I hereCy certify thet I em prqperly IlcenseG ns n cont�actor untler SQ. FT. O Ma State of Californie Businezs antl Profussiona Codo, Divlsicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR Chaptar 9, and that 5uth Iicencas ara in full forco end aftact, or I TNE PUR�O6E OF ESTABLISMING A PERMIT FEE ONLV: Q am exampt trom tho provlsions of the State of Celifornie Businass VALUATION end Professions Code, Dlvicion 3, Chepter 9. � m / �Y� PERMR FEE S � — � `��`� ,�' �� sic�ec�re o+ /`- m Parmittea I S PLAN CHECK $ E A `o Au[harizetl Agent /!/ -� LL TOTAL FEE 5 owxEs wARLAUMOPPf, LARRY G. aoa nnnxEss999 Post Ra. GENERAL CONTRACTOR Ocmer-Eldr. nr tvo113-315-13 LOT TRACT INSPECTIONS � Signat ; DATE 12-22_61 BUILDING PERMIT NO. �1T-- VALUE $ Z�Sb6�� FIRE ZON� DESCRIPTION OR WORK �� nA'CE GROUP � TYP��ZONF 1 Res. SUBCONTRACTOR I D� —PI ,�� , ,. 1��,�,�: �,� L COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 CO�A MEBA. CALIFORNIA For Applicanf +o Fill In Completely TYPE OR PRINT 1 MAIL COSTA MESA CALIFORNIA TEL. FIRE ZONE APPROVED FEE P�CEIVED � DEC � 21569 fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offlce Use Only R6C81Pf NO. V6RMIT NO. BY COSTA MESA. CALIFORNIA � YbNING Zorve/J � ( No. av �j I U88 OP NHw�7 /� � PLANB (�. BUILDINO � No: �OAL -'�T`' ! 3 Tif Z ci"%b' DEBCRIPT�ON ',or ��s, v�' (�ow o�e o°°' / . e..,. ll 3— 3/S — f 3 serencx LINa 9ROM 2 5 � REAR YARD •� LBNTHM OP OTR66T i � SIDE YARO ILERT S IRIGHT '�j DESCRIPTION OF WORK PXTLRIOR WALL ROOF COVBRING �"iu4oa COVeI USE OF BUILDING AND WORK TO I ICCNTlR4N88T.)��Q«✓6 -�y C(/fSi� FRONT FT. R. SIOF � FT �� X' REAR � � FT. '�— IAPPROYED �� Z BY DATE S I � _ � .�.Sa c' I HBHCBY ACKNOWL8D0H THAT � NAVB PIAD TH19 �PPLIGTION TX8 AMOUM 6NOWN UNDBR VALUATION 19 POR TX6 ANO BTATt THAT TNB ABWB 18 CORPHR �ND A6R86 TO CAM- pURP088 OP lBTAELI9HIN0 A PHp41T RH6 ONLY. PLY WITH ALL cITY OPDINAHC88 �NC 6iATH L11W8 RYOUTAiINa eu1LDINo CONBTRUR1oN. VALUATION �� SIGNATURE OR .�. / PERMIT FEE $ �n PERMI7TE w �'""� � - S �'SC � PLAN CHECK $ �� AUTFIORIZED AGHNT . _ /_� N