HomeMy WebLinkAbout269 DEL MAR AVE - Building Permits1
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�ooncss a eunaxc: 2 6 9 D EI� MAR. P.V
wn�ERSwuElFa,w�r� GOOCH, TOU
"��"�u GOOCH, ALZCIA
269 DEL MAR AV
'USTA ME�A,CP. 92626642-'7175
�rr�. wuuxo �ooness:
ANLXIfECT OR ENC�NffP:
AqCIL OP ENG: S ADDNE55:
uc. xo.:
�� CITY OF COSTA MESA — BUILDZNG PERMIT
T�ERMIT NO; M OF36879 PLAN CHECK NO: N
CONSTRUCTIUN TYPE: PERMIT TYPE; MEC
UNf:
caNm�cTarsN�Me: REEDER CONSTRUCTIC�N ( 714 }771-4477
CONfPALTOASMAlIlNO 1120 N TUSTIN AV
�ooness:ORANGE CA ucr+o.: 215346
9Z667 u�r: 107
LICENSED CONffl�CTOPS DEttAP�T10N: I hereby allim urder penetly d perjury �hm 1 em Iceved uMx prwieione o/ Cheqm 9
(commendnp wilh Seclion ]000) oi Drvision � d �he Busi�n enE Prdesaiarre CoEe, eM my licenea m in lull I d aXed.
cmuc.No.:OFi7080� uacuss: B ��� 534 �{ : 00/00
oae: .�l ' � ` / 73 co�m.br�� ti
OWNEP BUILDEfl OECL�PRTION: I hereby elfiim uMer panety d perjury tha� I em vanq han IM Con�rotlan Licensa law lor �he
idbxinB �� (�ion ]0�1.5 Busiieas erA Profeuiom CaEe: AnY c!Y a munry whitl� iequiree a pe�mn io conamwl. Ms. impove.
Eemolbh, a repei eny awnure, pnor lo ib beuence, ebo reQuime Ihe epplirant for euc� pe'mil to file e aipnaE netemenl thu M m eM
ia liceneed pursuanl lo Ihe povisiona d the Conlmclws Limnse Lew �Chepbr 9(mmmendnp vmh Sedion ]OW) d Ovoion 3 M the
Bwirwa eM PrWeaeune CaEe� a tlel M a eM ia ssemq Iherehom end �M ba�u la ihe ellepeE avemption. My videtbn d Sedion
)031.5 Ly enY a0d�1 fa e permil eubpee �ha epWirant to e cY parahy d rpl mas Ihen iva huM�ed dd4n �5,500�1.
❑ i.�o..,b.ameworo�v«mvemWweesw�nw�esmine..aeoomoe�ea�on...;ndomewon�..�e�na.v�m�eonamiendee
or ofleraA br seb (5action ]OId.Bus�wsa eM PMesmona Code: Tha Conirmas lioense LewEoev M aDPNloan owr�x d propeity
wlw buids a inqmee iMrean. vM xM Eoee euM �.Mc Nmroll or henM «thrauph he a her own ampbyaea, provided ihm auM
improvamenb ara not inleMaC a dlared for aele. M, however. lhe buiMinp « imprwemam ia eoN v.rhin qre year af ewnpletion, �M
owrwr�buiker will heve tM buNen d provinp he or ehe did nd Wild or improve la iM WP�e d eele�.
❑ I. ea oxner d �he v�PoM. ��dueivaN �Irmiq v.ith IicanaW connecWis ro conalrup iha pmjx11�1ion ]041. Bueinma aM
Pmfeaioeu Cab: TM Coniredae Lieerae lew doea na apply w en owrier d pope�y wtro WiNa a impovee Iherean uM w1w
cmlre�ro fa such pqeqe wnh e oduretlar�a) IicenseE W nueM to iM Convrfan lioenae law�.
� I em uemq uedx Sxtion: B. 8 P.G.. la iha �eanon: .
Dme: O�mer:
I do hereby cerlity tl�ei l em ewere d eM uiMentend the raquimnenn d CdQomie Meellh vM Salely Code Sedions 25505. 25533, vM
25590, eM thet I a vry Mure Wikiip oocupen� will / wil nd (a�cb ore) iwaE ro compty wIh mb tlete oodm enE iM repuirtmenb la
aGe�mittamrcVuclbnamodifimionhwniM/v u�y enepamenlD'stna.Raademilm�avwoneGV�ianereexemqlromNeee
a�.
De�e: / od'ceiY:
WOflKER'S COMPENSATION DECLARATION: I hereby aifi�m uMer penelly ol psjury ma d the lollowirp datlue�une: ,
��] I lieva end vnp meimein e cerNice�e d conunl m aellinaure br xnrken' wmqmetion, n pro+ided Iw by Seaian �100 d �M Labor
coe.. �« �no ronorm.rca d me w�lc �ar.,h�n mis o�u u u.uae.
� I Mw eM xil maiMen v.wYan' compenWun ireurarxn. o�eyui�ad by Seqbn �lW d Ne Labor CoEe. M iM pMamvcs d tM
wwk t« whidi Mu pe1mn e mued. My wakeie' wmpeneelion imurance m��ier enE pdicy numbar ere: '
c�,: STATE FUND EXPIRES
Polry Number: l — U N 1 1 U 3�i l� � 1� �]. � y 9
(mis seniw� neee na ne co,,�per<e s r� �„�x o ro� o� n��d,.d dd�� /Sioo� w iea,.� �
❑ I cMly tM1m in Ne peilamerice d the work br whch ihu pertnA e isauad. I ehall m� employ enY M� � men�ror eo m lo
became wbjetl lo Ihe xarkms' canparomion laxs d CeNomie. iMt ! 1 ehwM Eeccme � iM xwkan'
canGe�ion M�/bna d/S�eda�n /�]00 d Iha labor CoCe. I at m/mpy./WN ' � /
De�e: � '�Ci � �7 (J Appl' ��1 O� l/I�W
y,,.
Wem/n0� Fell�ro ro axun worken'rompwuatlon covenps I� unlewNl, entl aNll wb/xt an smploysr to cNMvl penalXw entl
c/vll IIIa� ,q ro one huntlrs! Mouuntl JolNn (5/00,OOOA M MUtlon ro tlro ewt ol compeiusflon, Samyp� u provltlM ror In
SxHon 9)O6 0/ Ms Lebor COW, lirtaut, eM ettomsy� Isu.
CONSTNUCl10N LENDINO AGENCT: I MmEy elfirm uMer penelry d pxjlry Ihet Ilwe b e conel�utlion bnNnp epency M Ihe
perlormema d the xwk br whiM th's WrmY ie bwaE (Seeion 309]. Cia. CI.
LENDEF'S NAME: �
LENDEWS ADDqE3S:
I cenily thet I heva roed Ihia epplkelion eM tlme ihet IM ebove iMammbn ia cortM. I epiee lo canpN �h dl fey aM munry mdinvKea
eM etele kwe rela�nq �o buiNiq wnstrupion end hereby einMr¢a repreaentetiva d thu ay lo enter upon tM ebove�memioned pmparry
�«�°'°°"�P�`°°`°'CFIAALES REEDE
� ��a ^
Dma: ��T
SipneWreW Oen'Rp n��
(5151d6.WP) Whne-Buikip 8 Sdery:OreeMFle; Carwy-AppiceM: Rnk-fiewnue: GOltlenmE-beeana
I�Z�7�7�=Y4:ii:]liiTi)�
CLAIM VALUE:
2925F FAMILY ROOM & BATHROOM ADDITION
CALC-VALUE:
� o
PERM NO: M 086879
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT:
GROUP OCC: ft-3 /
COMt4ENTS: 2925F FAMILY ROOM S BATHROOM ADDITION, RE:B863"/7
***�*����***�*+�***����**��***+�***,�*x�***���x�*+��r**�c+�***�**a**��***��x+�*�**r���r*�
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
--------- MAIN HUILDING ---------- ------- PCCESSORY 'BUILDING ------=--
FRN'f: 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: PARCEI,: 43919222 ZNE: REF NO:
PLANNING NOTES>
i
ii' ii' 1F if iF 3E iE?E'X' if iE k i( iE iE 9E iF j1' i5'1k iE iF 1F iE dE fk 3E if if iE if')i' iE iE <iF if�if'3e � iE iF iE iE'lE'%!E iElf ii' iF i%1k .i'?E iE iE'K if jE iE'1''1E if iE'If iE iE iI"lE')i' if iF iE iE ih if 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
ZONING APPROVED BY DATE:
BIJILDING APPROVED HY : DATE:
APPLICATION SS5UED bY: � �. UATE: '�-���ci`L�
3;-1E iF iE 9F'1F 9E 3f'lE'1E ��i iE �f'lf iE iE �C-iE'K-'1E'1E iF'1�('iFiF Yt'rF3t iF iF iF iF � iF7Fi%Tf iF�FiF+:iF � i-F7� x.iF iF�F�F iFiF iF� ik iE iE i' i''1E jF iE �f iEi�3F;kiFiF�-SFiE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
: J i �
BLDG PMT PLUMBING ELECTRI:C 'MECHANIC FIRE SMIP/RES GRADING
PERMIT • � -� ` 12.25
�, . " 25� SMIP/NON-RES
PLAN �-,:; " c .
ISSUE FEE ^ •- 22.09
BUILUINc�-CiI�,T-;= b'EF!M1iT ISLUE PLFthI _t'Ht'Y, TUTAL �'AIL� D�7E
TOTALS----> 12.25 22.00 •- �,.�,0.�0 39.25 34,25 ,00
� �
REVENUE DIVISIUN TOTALS--> COLLECT£D:1 '. 39.25 OVER/SHORT: .00
RLDG PMT PLUMBING ELECTRIC MECHANIC '; FIRE SMIP/TOT GRADING PLAN-CHECK
�34=:25 _
iE 3E iE iE?:� iE iE it 1E iE t iE iE'.:' iE iE')i- iE iE iE i't iF iE -1E if #'lE !' if iE ii if if iP iE iF dE 3E if ii.if�iE iE'1E iE'7E'1E iF iE ih iF 3E'1k if if i(- ik iE jE iF ik if i' iE iF iE'.E iE'1F iE'x' iF?E } iE if Ye ik 1f
I N D I V I U U A L' � F E E B R E A IC D O W N
- `_
TYPE QTY U E S C R I P T I O^N�`' �- UNIT COST TOTAL COST
MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS 12.25 12,25
EA1D OF FEES
' J
T 'l � / ,
r �:
82-86-1998/12:33 PM/f34.25
RCPTq:81-BA19351
PERMIT:086879
�
� CONSTRUCTION AND PLANNING - �� . � POOL & SPA ;
, APPROVALS Permit#� ' Date Inspector APPROVAIS . Permit# Oate Inspector
1. Temporary Electrical $ervice or Pole 52. Pooi & Equipment Location _
'2; Soil Pipe�Undrgmd. ; 53, Steel Reinforcement ., -
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '
4. Electrica� Conduit-Undrqrnd. � 55. E�ectricai Bonding_ - � �
. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ��
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE t,
7. Footings ' 58. E�ectricai Co�duit•Undrgrnd. � �
� 8. foundavon • 59. Gas Pipe, � Undrgmd., Test .
� 9. Water Pipe�Undrgrnd. . • -60. Backwash Lines, P-Trap, O Undrgmd.
14. Suuciura� Floor Svstem . � . � 61. APPROVAI TO OECK� :'
: 17. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal ' �
12. Sewer Cap . ' ' 63. Heater & Vent-Final
13. Roof DrBins . " �64. Plumbing System �.Final
i
14. Ro�gh Plumbi�g 65. Electrical-Finai � '
15. Rough �Electrical-Conduit �� ' 66. Solar System-Final � � . �,.
16. Rough Electric Wiring � . • - 67. Fencing & Access Anp�oval � .
' 17. Rough Wiring Sign " - , 68. APPROVED FOR PLASTERING
18. Rough Elecvical-T Bar Ceiling ' � 69. POOVSPA SYSTEMS FINAL �
19. Rough Heati�g & Air Conditioning _ 6, �+ � - FfRE DEPT. A£QUIREMENT
20. Rough Factory Fireplace ' - - APPROVALS � Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping �Gas ❑Oil �
23. Gas Pipe-Rough & Test 72, � Underground Flush
24. Roof Fr2ming � 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing � � 74. Overhead Hydro
26. T-Bar Cei�ing �Structural) & Monocoat 75. Dry Chemicai � '
27. Frame and Flashing 76. Dry Standpipe
26. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Orywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat . � 79. FINAL INSPECTION
32. Electricai Power Meter•Finai 80. FOOD CERTIfICATE ISSUED
33. Final Electric Notes:'�''�5-�B. CoRR�=ctroN �OYCL _
34. Final Heating & Afr Conditioning N �� __A/
-y-g� -a�-qF �ou�H �y
35. Final Gas�Pipe-Test �-a�-�p-^/� RCCrC` C'
a t" � J
36.HoodorCanopy �_pQ���N����C�, p�
(Q Vr��n IY
37. Final Factory Fireplace . .
38. Final Plumbing _
39. Water Service-Final .
40. Gas Service•Final �
41. Solar DamesticPinal � '
42. Backflow Preventer �
43. Backflow Irrigation
" 44. �andscape Irrigation System �
45. Sound A[tenuation 7 3
'�' r�
' 46. Handicap Regulations � • ;
r
47. FINAL STRUCTURE & BUIIDiNG .. (:, r'
" �--
-� 48. FINALPLANNING "�:t�°�,'
49. Electric Release to Edison ' �`-�;
- • , �
50. Gas Release to Southem Caiiiomia Gas Co :::' �;.
51. CERTIFICATE OF OCCUPANCY "
No. Date
�
' 7I
`100flESS0iBUILdNG LOJ LLL I9AA HV
IWNERSWYEIFRlOMI:GOOCH, TOD
wo�ssGOOCH, ALICIA
269 DEL MAR AV
�STA MESA,CA 92626642-7175
APPL. NANNO Ii00HE54: �
/JiCXRECTOXENtlNffq:
JICH 011 EN4'S AUUIIE55:
UNT:
uc. no.:
urR:
c�m�cTarsruxEREEDER CON TRUCTION (714)771-9977
ca+rn�crorcsxuuxc 1120 N TU�TIN AV �
�op�:OflANGE 92667 CF' "G"�.: 2153107•—
uxr .t
LICENSED COHfPACTONS DECWNRTION: I ha�eby dinn uMm ne1 d l
pe y pmjury Ne� I am IicenmE uMs poviviare d Cheqa 9
�(mmmena�p wuh Senion ]OW) d Oivision 3 W Na Busmaa aM Pmieasions COAe, eM my 4ceiue o in /ull lace e/latl. �',.J. �
' cmuc.No.:067880 uc.cuss: B uc.JM� 346 E� �0 �OA
� Dete: ���/'L�13 ConVeao� �/^ e �_��// ��r
:
OWNEN BUI�OEN OECIAN�TION: I hereby effi'm �nder parety d par'ryry ihet I em exemp tmm IM CaNredan license law Ia.iM
Idbwiq raewn (SeUion 10'J1.5 &niiesa md Grdmsmns CaEe: AM cty a counN �� ra9uirea e perm4 to ewutrucl. eller. impwa.
'emdah, a repei mry svuci�ve, p'v to ea bweMe, ebo reQuirm iM epplimnt la euc� pamA �o fib e epnaE afinemenl tlw he a ehe
, i��ee wm�eni �o ine wwrc�. a ae camreaaa wense iaw [cnepe. e(mmme��v .nn seau� �oaol a a.u� a a��v
Businea vM Prdeaior v Cada� or Ihel !e a sha ia examq therehan eM iM bdie /a Ne alleped exempbn. My vbletion d Sedion
IWtS M am' e0qirani iw e oarmn wbjees �M epDlicent to e civil Panelry d mt m«e �hen fne hundred dollvs [S�I) �%
� I,esawnerdlMpropenywmyempbyeeawlhwepeaav�heisolecompanaetim,MilldothaxoM,endthafvunureuralintandeA
a ollered lor eeb (SeMion ]Oad, Buure� end Prolaeeiona Code: The Conlrecbn Licenae Lew tloea rwl epply�oen uwner W qopeM
wM bulEs a inpowa ihareon, enA who Eoes euM wak Nmaell or Mnetl a t�raph ho a her own emplqees, qwiEed ihet euch
impmvemmd are mt interdeE a dleretl fa sele. H, howa.er, tha buiki�p a inprovemenl e eotl xil�in ma yeer d complelion, tla
owrror-0uiltler �.ill have IM burden d qoviip M or Me CN rwl build or imparo lor IM Wm�e d eebl. i.� �
� 1. n oxnee d �M G�P�Y. em mdimreN mntrm�q wnh lioanmd canvactae ro wnm�W Me pM� (SeU'vn )OM. Businsee erd
Pmleviona Code: The Conlreda+ L'cenca lew daee nd epply �o en owror d p�opMy who buitle a impovm thoreon eed xfio
mnVecU Iw mx� peol�e xilh e caN�ada(s) IicenaeE punuanl �o �M Caniredon Liceme lew). •% '
❑`�/
I em evempl uMx Seclion: B. 8 P.C., fm ihia raesan: .i ,r
Dale: Oxnar 'd�
I Eo Mreby ceMy thm I an eware d erd uMarsteM iM1e �aquimmmU d Celianie Hmll� enA Se1My CaEe SeUbre 75505, 25593. end
25534. erd Nel 1 a e�ry Mun bwki�q ampent will / wil rwl (tlrck me) riead to canply wih aeid mma mdo erd the �eyuirame�m tor
a Vermn Iamrol'uclionormoEifxmion hwntheA'r�y . a�0emnv Oiarid. ReaiEen�bl oons�rudion aGG�imeert ewemN tmm Neee
,.�.;�..
Deta: Applicent:
WOPKEN'S COMPEN311TION DECUHATION: I hereby elfimi mder peneXy d pe�jury one d ihe bllor.iip detlarationa:
� I heva eM Mil meinten e cerlNcele d caneenl to eeMimun f« xaken' campensetion. m povideE /a by SerJim 3)00 d tM LeGor
coaa. i« ma o���e a ub .� ia w: n inn v� n��a.
❑ � n.re end w meux.n woM1n.• oomo�o� Imurerce... rev���e W s.aian a'!ao a u,e Lebar coEe. ror �ne ro�am� a �ne
w�r«�.e�mqo�nrere.�.a.Mrwa�'�TATE�'FU���'d���m���: EXPIRES�
c��:
� PWiry Number: L — 7 u v i y v O 1/ 01 / 9 9
(This seclion rreed na be compbted'Y tM pemrR is br one hundred Jdlars /S100/ w bsv.J
❑ 1 cMly � in tM peAwmeMe d ihe work iw wfich �hia permil e bsueE. I ehell ml empby eiry pereon i eiry meniwr o m lo
bxoma eubjed lo IM xoMme' cmµrnsaiion kwe d Celilwnie, vd ep�ae thm d I ahauM �o �M woM1ere'
�wM1+��, w��. a sac� mao d me �n« cam. i m�mi �u,{�/�y��/JoN wan u� ' - /A�
ome:�2— �—�4� �nase�F�ca'?�.2�F.�1�
Wam/n0� Fellun ro escvro warkori rompuuetlon roverp� la vnMwNl, em/sMl/ �u6Jset en emplayx b eNMnel peneMlu en0
c/HI flrw� up ro one huntlreJ fMuuiM tlalkn (f10q000A �� etltlltlon ro tli� cwf ol rompsn�etbn, tlemepu u pov/0W br In
SxHon 3]P6 0/ tlro Lebor CaM, Infensf, arW eflomry'� /ssa.
CONSTNUCTION LENDING 110ENCY: I Mreby effi�m uMer peneM1y d perjiry thm ihere u e mnaruaion MMirq epercy f« tha
pMameMe d IM v.ork fa whitli Ihu permi ia eaued (�� �). C'v. C).
LENDEN'S NMIE:
�� LEN�EN'SADDNE%:
i
,I cenily thm I heve reed thia epplcmion enE ctale thel ihe eEove inlametian ia cnrred. I epree to comply wuh ell ury end counry oNine�wae
'aM slele lexa role�ing to buildinp conelrudion erd hareby autlwr¢e represeMelivee M this tlty to anler upan IM ebove-menlioneE qoparry
f�`�"'°"p�"�`0�"� HARLES REED �
v
om.::Z
y a oc �
(5151d6 WP) Whne-Buildiq 8 Sei&y; Greao-Fb; Cenery-Appirant: Pink-Revenue; Goldenm�Naesw
CITY OF COSTA MESA — BUILDIP7G PERMIT �
PERM NO: E OII6878
PERMIT NO: E 086878 PLAN CHECK NO: N GUVT: N SOPP:,N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: AL�D
JOD DESCRIPTION ; 2925F FAMILY ROOM & BATHROOM ADDITION SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: 292SF FAMZLY ROOM & HATHAOOM ADDITION, RE:B86877
*�+�*��r*�*��*+�*>e*x��***�***�****x�******���***�r��x*�*�**�***+r**�*��*�***t**�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 ---------- --------- ACCESSURY .BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT ZN RGA7': FT IN
PARICING REQ: PROV: PARCEL: 93919222 ZNE: REF NO:
PLANNING NOTES>
>
3E jE 3E �E .Z'-3E 9E 3f iF �E iF if 1E iE iE 3t iE iF iE iE iF fE jE iE if iE �k �F-)f iE �E iE iE iflF�f iE fE � ik iF 3k if if iE ik 3E if it 1E jE 9E iE 3E dF dE �E if �h iE iE if iE ik i4 iF if i! # iE if � iE iE iE'i� 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 �
ZONING APPROVED HY DATE:
BUILDING APPRO��EU BY :
APPLICATION ISSUED BY:
iP iE �k *�3E jf if �F 1E �f 1E if iE jt �E if iF iE iE iF IE i�
LEGALIZATION:N
BLDG PMT PLUMBING
iii�F.LiFi��
PLAN
ISSUE FEE
F E:E, ; S U M M A R Y
; �..
ELECTRIC MECHANIC
' 48.25
� 50�
22.��
DATE: "`
DATE; 2 CE' l.6'
�iEiFiffhif'lE#3kiEiEiEiE �#
STRUCTURAL SEGMENT:N
FIkE SMIP/RES GRADING
SMIP/NON-RE5
y
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 48.25 22.00 0.00 70.25 70.25 �`.00
REVENUE DI��ISION TOTALS--> COLLECTED: 70.25 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
70,25
i�'
�r-�ti�+�*�r-�r***�t��r*****x�i��-�******x�****�****�r�-**�r****��*****�c-**�*�r*�t*+�*�-*+c�***�-*�:-�f����-
I N D I V I L 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 U N UNIT COST TOTAL COST
ELE
ELE
ELE
ELE
4 FIXTURES, LIGHTING 1 ST ZO EA.
13 RECEPT/OUTLET 1 ST 20 EA,
9 RECEPT/SWITCH 1 ST 20 EA,
1 SERVICES bELOW 600 V 6 BELOW 201 AMP
ENU OF FEES
1.00 .-q=.00
1.00 13.00
1 , 00 4�.OG
27.25 27.25
�'!
.t., ^i
82-86-1998/12:32 PM/f7B.25
RCPTN:01";8019349
PERMIT:986878
c
� CONSTRUCTION ANDPLANNING
, APPROVALS Permit #
1. Tempoiary Electrical $ervice or Pole
2. Soil Pipe•Undrgrnd. � �
3. Elec[rical�Conduit Utility-Undrgrnd.•
4. Electrical Conduit-Undrgmd. � -
5. Steel Reinforcement -
6. Electrit.al UFER Grnd.
7. Footinqs
8. Foundation
9. Water PiDe�Undrgrnd. �
10. Structural Floor SYstem '
17. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains �
14. Rough Ptumbing _ � . �.
15. Rough Elec[rica6Conduit ; �
16. Rough Electric Wiring' ��GD�'
17. Rough Wiring Sign W�,�
a�f.Q/f
78. Rough Elec[ricai-T Bar Ceiling �
19. Rou9h Heating & Air Conditioning -
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating -
23. Gas Pipe�Rouqh & Test
24. Roof Framing
25. Roof Sheathing
26. T•Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing ' �
28. �athing & Siding
29. Insulation
30. Drywall Nai�ing .
31. Plaster Brown Coat
32. Electrical Power Meter�Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe•Test �
36. Hood o� Canopy -
37. Final Factary Pireplace
38. Final Plumbing
39. Water 5ervice-Final
40. Gas Service-Final �
41. Solar pomestic-Final
42. BackflOW Preventer
43. BackfloW Irrigation
44. La�dscape Irripation System -
45. Sound Attenuation
46. HandicaP.Regulations
47. FINAL STRUCTURE & BUILDING
48. f{NALPLAN{VING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. - Date
Date
�PQO�d�SPA � '- �
Inspector AppROVALS Permit # Date V Inspector
52. Pool & Equipment Location '
53. Steel Reinforcement
54. Forms
55. Electrical8onding ,
56. Rough Plumbing & Pressure 7est
57. APPROVAL TO COVER�GUNITE
58. Electrical Co�duirUndrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, C� Undrgrnd.
67-. APPROVAL TO DECK ,
-62. Backwash & Receptor�Final � .
63. Heater & Vent-Final i
64. Piumbing SYstem � Final i
65. Electricai-Finat �
66. Solar SYstem-Final � .�
67. Fencing & Access Anprovai �
68. APPROVED FOR PLASTERING
69. POOUSPASYSTEMSFINAL
- PIRE DEPT. REQUIREMENT �
APPROVALS Permit#
70. Underground Hydro
77. Product Piping rJ Gas ❑ Oii
�2. Under9round Flush
73. Undergrnd. Storaye Tank � Gas ❑ OiI
74. Overhead Hydro
75. Ory Chemical :
76. Dry Standpipe
77. FIXEO SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
� 9. FINAL �NSPECTION �
81i FOOD CERTIFICATE ISSUED
Notes:
9
0
m
�
�
>
� MOPESSOFBUILpNG:
OWNERSlUMEIGIQlOWL: C
woxess: �
>;OSTA MESA,
wv�. wvuxa �ooxeu
yl
UNT:
H� ALICIA
D�L MAR AV
92626642-7175
MCXRECT ON FNfdlffll: 11C. NO.:
1pC11. OF FNfi.'S 1100flE55: UNT:
axm,�crarswu�: flEEDER CONSTRUCTION ( 714 ) 771-4477
cam�cToas�uuwc 1120 .N TUSTIN AV
�pp�,ORANGE 9266� CA ��, 21531U7
UNT:
LICENSEU COMflACTORS OECL1flATI0N: I heraby eHim uMm paneXy d pe�ury thel I em IironeeE under pransian a( Chepter 9
(commenun0 �h Section ]000) oi Orvison 3 al lhe Buaineea enE Profestions Code, aed my licenae u in lull brce eXecl.
cmuc.r+o.:067880 uc.cuss: D uc.No.: :. `346 EX •�
� oma: � - � .�� _ cw�vea .
�
OWNEH BUILDER OECIAqATION: I hereEy eifirm uMer penely d perjury ihel I em examq fmm iM ContMon Lioanee Lew la Ihe
IdbhinG reeaon (Seaion )W 1.5 &ni�ma aM PMeaims Coda: A�Y ciY m wunb xfiid� nVuirec e Ge�mil lo awretruc�. el�er. vnVrne.
Camd'oh, p repei eny aVucture, pna b na asuence. e6o requires Ihe eppl'vau M ach pamn io fila a sgnsd e�etament ihet he a aM
� �iceneed wmieni �o �ne warisbm d u�a comrea«e lioeme lew Icheqer a(mmmma�ro �mn seao� �aao) a p.eia, a d Or
�cims� erd Prolma'vre Codal or tlw he or ahe is aaemG� Iherahom aM iM betis far Iha eAeOb azempion. MY videlion W Setlian
)0�1.5 by erW epplirani la a permil wbjxte iha eppliram io e avil perely d ml mora Ihen Me huMred doAen �5500�1.
❑✓
I. m owrer d iM P�oP�Y «mY emdweea xin weYm o tMi eda mmoanemian, will do Ne work. vk tlw evuc�ura e�'vneMed
w MereE br aele (SecWn )006. Businm erd ProlmeionnCaCe: TM Contreaas Licame lewEoes nol apptyto en owmr ot propeily
wlw W ide or inprovea thereon, end who daee euM work limeall a Mnatl «MrwOh ha w Mr own emplqaee, praideE thm auch
impwemema era mt inleMed a dlered br sele. ll, however, iM buiHirq a'unpwament b eok xilhin ma yeer ol complelion, Ne
ownar�buiae� w�n na.a ina nureen d pwma na o� .n. d�d �w b�ad o. �mom�e t« me o�m�e d�a).Y
� I, u o�mer W Ihe propa�y, em extlusrvey coniredip wilh licmaed conVaMors to wnelrua iM prol?'y (Sedion 1014, Buai�wna eM
Pmleesione Coda: The Comrmore Lkenx Lew doee M epply to en owner ot properly who buida a imqwae Iheraon e�M who
oom,�i. �« w�n o�oieas wnn a mm�e«Isl ikao�e o���� m ma co�v�m� uwosa �w). .i,�
wn
� I em eaamq uMer Section: B. 8 P.C., lar thn raeean:
Dete: Ovmer:
I Eo h«eM canM iMi l em eware a eM wdaisu�M �M mGuiremmn d Celiomie ibeXh vd Selery' Cade Saeims u5o5. 255a9. md
t5551. eM ihei I a my Mure Wikirq amipenl will / wil rot (aiek ma) neatl b compty wlh eaid qele eodm aM iM mquieemmb lur
eVermnlamrotruclionamaEifimnnhwntheRi�y eraOe�tDistrid.RaskentidmnarueionWOF'atbmxeexemNlmmN»e
pfGN9M119.
Dete: Md'cam:
W ONKEN'S CONPENSATION DECLRP�TION: I Mreby eMim uMm penelly af par'ryry one d On blbwiiq Eetluelione:
iQ I hew end wil mainien a cenRr�e W omunl to eetlimun lar Makme' wmpenution. u prwiEeE la by Seaian 9]00 d tM lebor
Code, lu �ha partamarice M Ne wak fa which I�ie perm� ie iaued.
� I hew and xil meinten worken' wmpenaetian imurenpmp, d yrenQuiratlr9bnyc ySepim 3]OD of the lebor COEe, tar IM pe�lormance d Ihe
wo�k ta whicn �hie parm� is i»ued. Mv w«kenscql H�T C��� U Nll erne °d� ��m�`"`•� EX P I RE S
c�a.:
PdbyNumber: LL7— OWV v�tieo O1/01/99
m;s senbn neee rar be mmWmed r rne re�� u ro. a�e nune.ee aorbrs /fiaol a bs,.)
� I cenM �het in iM pM«merce d tM work ror v.hch �hie peim� ia eaueE. I ahell � empby eiry pe in any mennm eo m �o
ba wne wbptl b IM xarke�s' rompanaetun lexa d CelXani Nel it I nhauM b euEjw to the MVMeis'
comperue�ian pwiaiom d Smbn 3]00 d �he lebar Code, l I lo �mpy v' h e '' .
/ (,'
c.` ome: �'[O"7 � nod� � �/� Gt��
7 Wem/ip: F�Nun N ue�ro woKxa'ro�vruetlon eoverap� li un4wN1, entl NNI rb/�cf en �np/orer ro eNMrul pm�Ma uM
c/Hl 11nu ,y ro ms h1ntlreJ fhouuntlOa/Nn lffOq00pA M etltlltlan ro tln cwt o/ rompxuetbM1 Cemeps� u pnNdsC br In
Sxtlon 3106 0l the LeDo� Cotls, Imrest, �ntl �ttomsy'� I�u.
CONSTFUCTION LENUING AGENCY: I hentry elfiim uMer perelry d perjury �M1et �Mre w e mnn�uaion bnJi�p epe�wy Im iM
p.no�� d ma wo�x i«.n�m ma w�� m�e�•d tsaa� aos�. cw. c).
LENUEN'S NANE:
LENUEP'S ADDHESS:
� I cerliy Ihm I heve read this epplicetim end aele inel ihe aEwe iniormetion ia coned. I eprea to cwnply wnh all dly eM wunty wdinerKea
, arM elete lewn rele�'vp b builEing consUuqion vd hareby eNhwize nprex letivea d Iho tilyto enler upon Ihe abwe�mmloneE pmpetly
� �ormao«�io�w�ro�s.�. - RLES REEDER
� � �jJ ' /
� Dme: l+ �C� �Yy
sq��re o�.i �ucom «
(S1SdB.WP) Whilo-BuiNnp 8 Selery; Green-Fle; Cenery-Appkmm; Pink-flavenue; (ialEenm�Mamaa
CITY UF.COSTA MESA - BUILDING PEkMIT �� —�
PERM NO: P 086860
PERMIT NO: P 086080 PLAN CHECit NO: N GOVT: N SUPP; N
CONSTRUCTZON TYPE: PERMIT TYPE: PLU PURPOSE; ADD
JOB DESCRIPTION : 292SF FAMZLY ROOM 6 BATHROOM ADDITION SQ FT:
jCLAIM VALUE: CALC-��ALUE: GROUP OCC: R-3 /
COMMENTS: 292SF FAMILY ROOM � BATHROOM ADUITIONy RE:Bd6�377
*��r*��**********�r*���********�*+�***�*�r�**������..�**�r**�*��r******�:***+�****+�*�**�
Z 0 N I N G' R E Q U I R E M E N T 5
S E T B A C K S
-------- -- MAIN BUILDING ---------- -------- ACCE550RY DUILDING ------ --
FRNT: FT CN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGiiT: FT ZN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 93919222 ZNE: REF NO:
PLANNING NOTES>
�E if iE �F iE iE j(-iE ic iE�'ik-x #*�lE iE iE iF it if if iF iF iE iE iE iE'! i! 3f iE i(� �E iE 1E iE iE �7E iE �E if� �' iE iE iE 3f.9E iE �1f #f -1E �k iElf jF #�lf iF-le i! iE iE 3E j' i' 3ElF jE �)E ic iE i<• iE iE �E i(� iF iE
D E V E L O P M E N T S E R RT� � I C E S"'- R E� U I R E M E N T S
ZONING APPROVED BY �iiri '
bUILDING�A�PROVED BY Ui�t�
,__ �c`i ' i . .
APPLICATION ISSUEU BY • ��j"CIFF
���+�*�t�**��C��t+���**�t��+�nx�r�F t
DATE:
naTE:
DATE: 2- CP ��C�
3tifif3EiFiEiPifif . iEif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBIDIG ELECTR`I J MECHANIC j� • FIRE SMIP/RES GRADING
PERMIT 57.00 �- •:� -:+ " • -
25> ; � '-' '�' � �� _ SMIP/NON-RES
PLAN ;� ' :' �
ISSDE FEE 22.00 � " ' '� �'-
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK ���"'�TOTAL PAID DUF.
TOTALS----> 5%.00 22.00 � 0.00\ ;` i 79:00 79.00 .00
REVENUE DIVISIUN TOTALS--> COLLECTED: "'� :79:00. OVER/SHOkT; .00
HLUG PMT PLUt4BING ELECTRIC MECHA•NIC u-- F.�IRE ;SMIP/TOT GRADING PLAN-CHECK
% 9 . � � ' ,� .'l ,
Ji � ti � - r,� -� r
iE iE iF iE i' 1E if if if iE iE iE iE 3f i4 iE � iE 3E �f 3f if iE if iE iE if ±f iE iE iE # 3E jE �)E aE iE iE if'�1E it iF # ic �)E �1E �1E iFiE iE� if i' iE iE # if iE iF if iE iF iE �E �K, # iF jF �' 3E 9E iE �lE ac �IF if if �3F i�
I N D I V I D U A Li:yF, E E. i-B R�E A� K D O W N
� C'1 ! ; ��. _
TYPE QTY D E S C k I P T I O-%Nt�7 �'^ ��. �, �'�UNIT COST TOTAL COST
. � ? �`�
PLU 1 SHOWER j ".l 8.75 8.75
PLU 1 WASH BASIN � ! � _ 8.75 8.75
PLU 1 WATEk CLOSET (TOILET) ' -:� . , 8.75 8 75
PLU 1 WATER SERVICE r�'-� �� ..-- k�,7S
PLU 1 SEWER, CONNECTION TO BUILDING,::� EACH��� 22.00
END OF FEES% �
�
.�
8.75
2z.00
82-86-1998/12:32 DM1f79.bB
RCDTN:81-8819350
PERMIT:B86880
�_ _ -
CONSTRUCTION AND PLANNING ' �- ' � POOL _ oPA . ^
: APPROVALS Permit�h - Date Inspector APPROVRLS Permit# Daie Inspector
. 1. Temporary Eiectrical Service or Pole ; 52. Pool & Equipment Location . �
' 2. Soil Pipe-Undrgrnd. � , � � 53. Steel Reinforcement ' � , �
3. Electrical�Conduit Utility-Undrgrnd. 54. Forms . � �
4. Electrical Conduit�-Undrgrnd. �� �55. Elecirical Bonding ,+ ' '
5. Steel Reinforcement 56. Ro�gh Plumbing & Pressure Test •
6_ Electrical llFEA Grnd. . ' S7. APPAOVAL TO COVEfl�GUN1TE �'
7. Footin9s . - 58. Electrical Conduit�Undrgmd. �
• 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe�Undrgrnd. , � , 60. Backwash Lines, P-Trap, L tlndrgrnd.
10. Structural Floor SYstem � , , 61. APPROVAI TO DECK .
17. Property Sewer l.ine & House Connection . 62. Backwash & Receptor-Final �
12. Sewer Cap ' ' . - �63. Heater & Vent-Pinal -' .
13. Roof Drains � � '64. Plumbing Svstem - Final .
14. RoughPlumbing � ��/48 _ .65. Electrical•Final � , �
I
15. Rough Electrical-Conduit � . � 66. Solar SYstem-Final �, •
16. Rou h E�ectric Wirin � - ^
9 9 � "67. Fencing & Access Anproval
17. Rough Wiring Sign ' �. 68. APPROVED FOR PLASTERING ' �
18. Rough Electricai-T Bar Ceiling � � 69. POOVSPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rou9h & Test h^/98 72, Underground Flush
t
24. Roof Framing 73. Undergrnd.StoiageTank OGas ❑Oii
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical -'
27. Frame and Flashing - , 76. Dry Standpipe -
28. Lathing & Siding � ' 77. FIXED SYSTEM FINAL
29. Insulatio� 78. FIRE PREV. FINAL
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFIGATE ISSUED
33. Finai Elecinc � . Notes: �
34. Fina� Heating & Air Conditioning y� C�
6
35. Finai Gas Pipe-Test � „c�g g 8 ,,�
36. Hood or Canopy � '^ ip4 CO�R�Lr T�� n/�r�C+L
C< ( Cl / v
37. Final Factory Fireplace � -�b-9d RoUGH � �N __
38. Final Plumbing - �. �-+ 'Qg nror R�,e}p�,�_� +1�
39. WaterService-Final �-^ ,pp. ^(� nCC���+-
Oc LO �� /� Ll
- 40. Gas Service-Final ' . C I�R�tZ L 1�- A/
� t.1 i Y
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape irriGation System - �
45. $ound Attenuation � ,;:; 'n
R, �
! 46. Handicap Regulations . , , ' �- ^ E
G� �
' 47. FINAL5TRUCTURE&BUILDING ' ��;-
,�7 •_- :«
48. FINAL PIANNING �r -"�
;y
49. Eiectric Release to Edison •- - -^'�;
50. Gas Release to Southern California Gas Co '' '�
51. CERTIFICATE OF OCCUPANCY
No. Date
�
��
�I
�^'9ESSOFBIIILqNO: ZG�J DEL MAR AV
ax�sr+wEiFiwwm: GOOCH, TOD
�ooness GOUCH, ALICIA
269 DEL MAR AV
OST1 MESA,CA 92626642-7175
MVL. WUl➢!G 100NE55:
,�wcxrtecr ax e�ax�x:
urcx. ox ��s wowess:
caLm�crarsruxe: REF.DER CONSTRUCTION
CONIflACTOR'SNYIlNO 11 "l0 N TUSTIN AV
uc. no:
UNT:
UNT:
(714)771-4477
�ooxEss:ORANGE CA uara.: 215396
92667 uxr: 10/
LICENSED COMPICTOP4 DECLANITION: I Mreby aflem uMar pendy d perjury Mm I an IicemeE uMmp 'vma d Cheqer 9
(cammeiwrg xiih Seciion 1000) d Omaion � d tlro Bus'urosa eM Pmleaaione CaEe eM mY �� b in lull 1/Ce eM eHed.
cmuc.No.:06788y0� /uc.cyA�s:g uai.:l_534 �C : 00/00
ode: �— �o [, 75 commaa:
OWNEP BUILDEN DECLAHITION: I he�eby elfiim urker perely d perjury �htl I em eiemq irom �M Cmlredon Liinme Lew la Hw
lolbxiig rasaon (Seqion �031.5 Bua�wee eM Protessions COJa: A�ry eily a munry whitl� eeQuirea e pertnn to ooneWet, ellar, imyova,
'�molsh, or repsi eny ewcwre, pior m Ns eauence, also requirm tha epplimnl la cuc� peimA to fib e agneE aletemeM Ihet he or sM
'censad W�uanl �o �ha prprieionn W IIIB�COIIIlBGOl9 LIC0119B �AW �CM1BPIM 9(Cq11TB11fI11Q 1MM1 SBC1pl1 IOOJ) W OM6M11 3 OI �M
eine� end PrMesanna CcCe� or Ihel M a, ehe in azampt ihxehom end Ihe�bmia lw IM dlepeE exempion. My voWon of Sedian
i031.5 by any epplicenl lor e permil aubpda'Ihe applzent b e d'viFpenely ol�not more Ihen tiva huMred dol4n [5500��.
� I.esownerollMOropMYormyempbyeeewnhwegeamtMiedemmpeene�ion.vrilldothev.ok.vMiheaVUCurew�wtime�Med
a oilered br ade (Ser.lion ]OId, Businen eM Prd»sions Code: TM ConlreGas Lironse lew dma �at epply loen ownw of prapeity
wlw budda a inqovea �Mroan, vd who dm`s su h�io�k IimieM m MneM a Ihraqh h'v ar hm ovm empb�aee, provded tMt euch
imqwemefus ua rd inierdeE a dleied Iwsak. H, howevar iM b�itli�q a inpwameeu o add wilhin an year d mmWmun, Me
%.M.�w�a« win ne�a ine w,e«, a v�ov��a ne or sne ad �na w�a « �mwo.e �u ine wraose a.eiel.
❑ I. es owmr d �ha papary. em extlidVeF/ mntreeiq v.rh liunaed wnveclon lo canetriwt Na pojatl (�4^ ]�. �inma eM
PMassions Coda: TM Camretlae Licave Lew doea M'eVWY �o an aw�wr.d qW�Y who Wilda a'unP�'m Ihseon end who
COfIVBC�B �IX BYf�I V�QBfl9 W11�16 mfllf0fl0l�9) �C8119B4 p119VB11� �O I�IB CiMIletlM �Imf1H0 �dW�.
�
❑ I em eRamq uMer SecWn: �; �„/9. B�P�C„ lar Ne reewn: '
Dme: Ovnx: r
I Eo hereby cenity ihat I em ewva W enA urWenlerM IM raquiremenM W Cellomie HaeX� enE Selety Code SeUiona?5505, 25533, eM
25530, eM the� I m eny fulure builEiep oewpent will / wil nm (arcb ona) need �a ewnply wnh aad etete eadm and tha rpuiremenm far
e pemiillamnsUucYpna modifrelion homtMA'v�u TilyRfenepemenl Di&rK1. FeaiAeMiel construtlon epptiratbne ue exemp� Irom IMse
o���ona.
oe�e: nvw�:
WONKER'3 COYpENS�TON DECLM�TIOH: 1 hareby tlfirm �Mer peW1y d perjury ma d Ne Idbwinp Eederal'vu:
❑ i naw ene .a meimen .�.nni�te a oo�en� m aex,nwe ror..akeA• comn«ne�ion. e. a� �« M seaia, a�oo d �n. �ee«
Cede. I« tM pMmnvice d ihe xwk la wlich Ma pamn u mued.
❑ � ne�v.�e wu meimen.wnwe� como�o� �mma�m. m ma���e M see:n a�ao a u,e �an« coes. mr me roanmence a me
� r«.nd� mn v�a h n.�e. Mr w«�rs �os�,a� ��w� �,.�,a wr r ��me«..e:
c�.�:
vaw N�mna.:
�s sectbn neaE rrof be comPbfed �l fM peimAis br wre hvndrad ddleie (S10u/ a baJ
r✓1 I ceMity ihel in Ihe peAormaza N the waA br whch thie parmn u iaeued, I ehell iwl empby e�ry pereon i y maruier w u �o
�� becwne vubl� to iM �kere' canpenaetion lews d CelNomie, enC il I MwuW t IM Mwken'
compens^el�ion povivione d Se�n/ion 3]00 d lebarCade,IMdlt �pyy/�qh
Date: �( � l ^ [ � qppicem: �L% ��
W�m/ny: Fallun ro wcun wortxi rompaustlon eorerep� la unl�wNl, antl �IW/ ub/xt en emp/ayer ro erlMml pmeMu eM
clvll nnu iq ro ms h,nard MouuM eo/Mn lSt00.P00A �n �dWtlon ro tln cwt ol mmpwuetbq Wnrp� � provWeJ ror In
Sxtlon 3]O6 0/ 1M LeCor Cotls, /nfsrsa( eIM attomsy'a /w.
CONSTNUCTION LENDINO AOENCY: I ha�aby elfiim uMer peraM1y ot par'pvy thm iMn u e aonavuaion bMi'p epe'wy la �he
parlormvice o11M xwk /w whiM Ihn pamii o eweE (Seaion 309], Civ. C�.
/ LENDEF'S NMIE:
. LENDEH'S �DDRESS:
I caniy �M1at I have ned ihis epplicelion enE Mele ihet Ihe ebove iMwmPoion ia corteU. I epree to canpy wilh ell dry eM munly aEinenw
enE slme lewa releling lo buildinp wnelrWian erd hareby eutha¢e rapeaen�etivee d Ihia �nyto entar upon IM ebove-maMioned propeM
r°'�°'°°°"°°"'°g° CHARLES REE . :
c� � ✓�/�. / ome:���������
s�e��,a a m� rRa,ounao � �aa
(5151d8.WP) Whno-Buildip 8 Sdery; Grea�file: Cenery-Appfran; Nnk-Rewnue: Gddeneo�Maeuor
PERMIT NO: B
CITY OF COSTA MESA — BUILDING FERMIT
036877 PLAN CHECK NO: 00434-98 L
3 -� z��
PERM NO: B 08687'7
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION : 292SF FAMILY ROOM & BATHROOM ADDITION SQ FT: 292
CLAIM VALUE: 16,000.00 CALC-VALUE: 23,798.00 GROUP OCC: R-9 /
COMMENTS: 2925F FAMILY ROOM"� BATHROOM ADDITION
iEifjE�ElEiEiE3fiEiEjEiEibiEiEiEiE�fiEltiE�lF3FaFiE3E�Ei�" iE3EiEif?EaE3FiEiEififiEiEiE3E3EiEifiEiFiFlEiEdE�E�E3EjEiFfE1E�EjEifiElEi��E'1EiFiEikifififiEdEiEiE�E
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 5
i.i '
------ ---- MAIN HUILDING "--------- --------- ACCESSORY HUILDING --------
FRNT: FT IN REAR; 59''.FT IN FRNT: FT IN REAR: FT IN
LEFT: 20 FT IN RGHT: S�.FT IN LEFT: FT IN RGHT: FT IN
PARKING REn: 1 PROV:. �- 1 PARCEL: 93919222 ZNE: R1 REF NO:
PLANNING NOTES> 292 LSQ'{F'S=;•ApDI:�ION (FAMILY ROOM, FULL BATH, WASHER/DRYER &
>�%CLOS£T'} TO EX.�,SF RESIDENCE. NO ENTRY FROM 1-CAR GARAGE.
iE ik iE dF �k iE iF iF �� iE jF if ii dE iE-%dE�f iEdE.3F dEdEHE 3i�if iE 3F'JE �k;3E if if -7t �Fit jF df -1E 3E jE 3E 3E at jF 1E-� iE df jE dF �k iE iE jF it'it 3f jf dh-%� �E jf �7F �3F iE iF if iE �F9F it i! iE'JE �f dE iF �c
D E V E':T: O P"'M `; E t t4 ,T S E R V I C E S R E Q U I R E M E N T, S
in e'
ZONING APPROVED� HY �': "' �� �' �'�� C,17�� DATE: fo `C
Z���k
HUILDING APPROVED BY�':.i •';'= �)'—
APPLICATION ISSUED B,�• % '� �� =
�%3EikiE�%ak�iEiFiFjEltiEiFiEiE�EdEjE3EW iE��3F
DATE: �P
DATE : 2 I �t- � `t�
�M if iE 1E iE 1E iF',E?F�� �Ti�'lE iE
LEGALIZATTON:N F E E S U M M A R Y STRUCTURAL SEGMEN'T:Y
x'
HLDG PMT PLUMBING ELECTRIC_...MECHANIC��'r ��FIRE SMIF�/RES GRADING
PERMIT 337.25 ^ ' ' `� 2.38
L'• . �� U '� SMIP/NON-RES
PLAN 219.21 �.� ' ,;
ISSUE FEE ! '} n/ "
BUILDING-DIV-> PERMIT ISSUE PLAN=CHECF� ('-` %TOTAL PAID DUE
TOTALS-- -> 339,63 0.00 !2'19�-21 ; .5�8.84 553.84 .00
REVENUE DIVISION TOTALS--> COLLECTED: 339.63;� OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC �FIRE�_SM•IP/TOT GRADING PLAN-CHECK
337.25 ;; - '� -;!; " ' 2. 38
� � .A.
iE * 1E 1k iElE 1E 1E 1E iE iF if i: if dE iE if if i' iE iF 1't iE if � if 3P �h if aE 1E ik * 1F iE �t �E'iE iE iE �1E?E jF iFlR if�if iElE jE fE iE iE 3E # iF iE if iEik iE jElE ��)E iE iF ik 3E iE iE 3E df iE dElE iE ih ?E
I rl D I V I D U A L F& E � B�R� E A�� K D O W N
%.� �d
TYPE QTY D E S C k I P T I O N�G -r �- �; �. , UNIT COST TOTAL COST
SFR 292 DWE-TYPE V-WUOD FRAMEw ^ f�?-GOOD ';� 81.50 23,798.00
END 10E�;rFEES ' �, �: •
,� �'_ j'
e
. [� � f, ��,7 : `
�ti ^ �w� ��
`.'
� �� � � 82-86-1998/12:31 PM/f339.63
., ,_ /: � '�;;
- �;, .; ,; ;,. rtevra:ei-eei9aae
�� �% ' PERMIT:086877
� .`�
.� ,
POOI .PA - � �
CONSTRUCTION AND PLANNING ' � � • '
APPROVALS Permit # Date. Inspector ���APpROVALS Permit # �ate Inspector�
, t. TemporarY Electrical Service or Pole 52. Pool & Equipment Location .; � • �
2. Soil Pipe-Undrgrnd. � 53. Steei Reinforcement � �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms . �
4. Electrical Conduit-Undrgrnd. 55�. Electrical Bonding ' � '
5. Steel Reinforcement y-�i �p �� 56. Rough Plumbing & Pressure Test •
6. Electrical UFEft Grnd. jruj -48. �ply�C 57. APPROVAL TO CQVER�GUNITE �
7. Footings �. �.Q� �Gfi` 56. Elec[rical Conduit-Undrgrnd. "
8. Foundation ) � Jl� 6q�jl� 59. Gas Pipe, �O Undrgrnd., Test �
r
9. Water Pip¢-Undrgmd. . ` 6Q. Backwash Lines, P-Trap, O Undrgrnd.
10. Struciural Floor System . ,, 3��.�j �' 61. APPROVALTO DECK �� .
: 11. Property 5ewer Line & House Connection � - � ' '62. Backwash & ReceptorFin`al ; ' �
12. Sewer Cap � 63. Heater & Vent�Finai " '
13. Roof Drains 64. Plumbing System - Finai '`'
14. Rough Plum6ing ' 65. Electrical�Final ��� '' �
75. Rough Electrical-Conduic �, � � 66. Solar System-Finai .� „ , " i
16. Rough Electric Wi�ing - � 67. Fencing & Access ApprovaV
17. Rough Wiring $ign � . `• 68. APPROVED FOR PLASTERING
78. Rough Electriwl•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Neating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping �Gas ❑Oil �
23. Gas Pipe-Rough & Test . 72. Underground Flush
24. Roof Framing � 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathtng ��g q& 74. Overhead Hydro
26. T-Bar CeiGng (Structuraq & Monocoat 75. Dry Chemical � �
27. Frame and Flashing �.�}�1?f[ � 76. Ory Standpipe
4�
28. Lathing & Siding �p...Lt� 6:y�L- 77. FIXED SYSTEM F�NAL
29. Insulation �iZ�j � 78. FIRE PREV. FINAL
30. Drywall Nailing _ ��.y��,�p ��b! HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat .. �i l�. � 79. FINAL INSPECTION
32. Electriral Power Meter-Final . 80. PO00 CERTIFICATE 1SSUED
33. Fina� Electric. Notes:
34. Final Heating & Air Conditioning Z J-`� �„ �/_s.
�
35. Finai GasP�pe-Test .�� _' �� � /�� G ., _ ���,(
� Glc."cv�
36. Hood or Canopy -
37. Final Facrory Fireplace. � �6 ��� - ��`� � e �� � ` -
38. Final Plumbing i�=. ����- /��
39. Water Service-Final - (�
3-<0• i'�- ���v c�,-s�� p- - rc
40. GasServite-Final " 7 ��Ei„��" /.,,_ �
7 P ��.��� .�
41. Solar pomestic-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irrigation System .. �
45. Sound ATtenua[ion = ° �7
�„
46. Handicap Reg�iations , .
47. FINAL 57RUCTURE & BUILDMG � �'g ��G •3 .�.
48. FINALP4ANNING �'�.°'
49. Elec[ric Release to Edison ' -���
50. Gas Release to Southem California Gas Cn �%=' "'
��... .
,
51. CERTIFICATE OF OCCUPANCY . .
No. Date
�
• CITY OF COSTA MESA
' BUILDING DIVISION
ROOF COVERING CERTIFICATION
�� _ G$Co�s� 7
� - � FSc� 8�e
o Bi.��� Y
Permit No. ,,. c� � �-, c
n�t��/� %��� —�–�s-Q,s�"r—
Property Address �C � c� `Jc� A rtir r r-i �� C� ��L 7'��C;� ��� Y:4 ��"'1 �� i,:� %
Owner � r'1� c `: C �Gi �C'�C'
Contractor
�
State Contractor License Number �� 5�y�-n Classification �
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform
Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of
the manufacturer.
❑ I further certity that I am the owner of the property. (Owner-Builder permittee only).
� I further certiy that I am:
J� Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this
certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
�ZP_�C�r�C�.tiSlr�c.i=�0� C,C
^ Compeny or Coryorate Name
, � ;�i� 1 l _ � �.`5-�: .. �il � _ �t
Received by Building Division
By:
�1,� �1e S � , � �. e d �:�
Date Pnnted or Typed Name
0990-46MW9/9] W�ile-BuiltlingDiv.;Canary-Conhac�or,Pink-Owner
,� Insulatipn Cd ate
,...�.�
�.�.. �_._._---
�,..._..._ ._: .
_._._..__._..__._.,__ ,---
-�9 7�E�R-.e --- _ 5r,� %jlC`.�v�4
���.x v.asu:�� �;7
---- _. -- -....-_ -- - -. . .. _ _
Coun7 9'abirviu�M —...—._^.�,.�I��.�mxi
Description of lnstallation
Roo= IUNFAc:� D /�,�,,�
Ma�srial � BranC �';me L.-GpCL ./¢1L� . �E��,
iAicknessii�ches;,�,L/ Leleyp,,,.�,.,, "Tierm�Reau�an:e(R•Value) /�—�
CEiI.ING
BattorBiar,let7y� ,_ ._ ... aranC.Vr,mc_..-- _ ..,..
Th1:lr,G59 (�Che�; ."—. .._. ._ '_..__—.'— �I112�tnJ Ri1:53c:P :R� V�Iur)
L.oO:eFi!!�'vrc ..., AraaCVJnc ,
Cun'.nc�or'a rnuvn�,um im�l;Cd ueighUtP ^ � Ib NAirtimum ihicknr.at inchrs
A1a�uF5e(:urr'sinsul!ed�+�eighl,ersqe��r.fq;;in:lc'ie::eTh:Rn:i:Resis6�nce(R�Va1ue) ___
ExreaioF wa:.�
tsazr.a� . ul��Ffi C_��_4__ Nru,� Na^�: ���/E'T�!lL�6En ...
ThiCkness(ineherj,_�.��. _..... rl�crrnalF:sisuncc(R•Valuc) ��[�
. _.^. �_,_.�_..—__.r.__...
RA!SED �LOOR
Macerial R�an4 M1ame
T?iick�CS:linChcs,` �_... _ _.... _... _. ._ TT;^�tna' RCsiSl:tncc (R-V2u:) ,_,_
SLAB FtGOR
Maurinl
._....�_ ......_... .
Thi.kf.eSt(inchcor �-- _-•---..
Widih(inctes) _..._,__..._ .�...�_
r�UND.4'!pN WA:L
M��enal __,_......
'Ihi:lcne�s(ir_hci� -----• ---- ... ....
Declaration
F,r,�.nQ N�cn� _�,
T9rrm�JRc.r.sWn�c(R•VaJut) ,
Hr3nd N:u�ie
Tnermal Resisunce (R V;Uuc)
!`erchY Gertlfy th�i ��;c ubo•:c ins�.�iacior waS';r,;i�l)cd in Uie buildiig ii IA: �t�ve loc:a�iOG i0 cortfJ'i!12^.cc w'i`^•
L':e NT;eix HLilCinp EnC�gy E��iCi:nC}' �:���C'.rds Cor nc�v �mSiCenti'il buildinos cutuvneC inTiUGi4 071LG
Ca;ifomi6 Adrnln! sua:i o�� Code.
igndlvr.
Cee�yfiy�r� Pnrm�
C.p � .��._
���i��
�05��1�c'Sfl ��riF�c.trf��a-$�✓�/
Janunry 1, 1?9�
1
\
�
� nnoxessorem�axc: �^. � 9 L EL MAR A��
�. IXMEFSWWEIFRYIMIk FERGUSON, SAY
r; �opEu: 2 6 9 D EL MAR P V
6STA MESA, CA 92626 650—J008
�vr�.Muura �ooxEss:
urcxrtEcr on �ffn:
PCH OH FNO.'41DDFE55:
uc No_
uxr. CITY UF COSTP MESA — BUILD1tdG PERMIT'
PERMIT NO; B 082731 PLAN CHECK NO; N
UNi:
cor�m�croasru�e: ORANGE COAST ROOFING (714)631-1924
CUAflACTORSMNING 3 0 2 7 ROYC E L N
wo�ss COSTA MESA CA no: 939674
92627 urar:
LICENSEO CONTNACTOflS DECLAflAT10N: I hereby Nim uMer peneXy d rjury ihe� I Ica uMer widona d C eqm 9
(mmmendnp wi�h Se Yion 1000) d Diviaian 3 0/ �he Buaineea end Profeeeione ode. erd m n n in lull end eHed.
cmuc.no.: p�59^37 uc.cuss: � 39 uc.N : 434E 9 E P: 8/97
Date: � `) f � Convea«:
OWNEP BIIILDEP OECLAXRTION: I hereby elfiim uMx peiuly d perN�Y �� � em eRemq Imm �ha Con�reqps licmee Lew la IM
Idbvmg �eavon (SeGion 1W 1.5 Buamass ard Profmsions CoEa: Any c1y a munty xhidi requiree e paimn io coroVUN, elter, imparo,
demd'oh, a repe'a eny s�veiura, pnor lo As eauenee, elaa eaQuires Ihe eppliranl la sueh permA to file e siB�� etelemenl ihat ha a eM
ia licanaed Ounuenl �o ihe proviaiana d ihe Conlredwe License lew �Chepler 9(mmmantlrp wilh Setlion ]OW) d D'v'nion 3 W IM
Busness e,k PrWesaiona Cade� a iMt he a ehe ie eKemp ihael�om end ihe bazie tw Ne dbped mamqion. My violetion d Seqion
103i.5 by eiry epplirant la e permil wbjma ihe epplicenl lo e cml pmelry d nd mwe then ive hunEred doDen �SSWj).
❑ I.mowrerN�MpW?MamYemdA'�xihwepa?eslheiedaromG��KK!;wi11do1Mwvh.eMiMn�uaunh�inteMeE
impovemenls are nM inleMed a dlered la eele. II. Mwever, iM Eulqlip a mpwemenl le eoq wll�ln aro year M mmpblbn, IM
owmr-0uipar will heve Na buNen o( provinp he or ahe did nw build a improva fw tM puryoea d eeb).
� 1. ea owner d Ihe propeM. � ecduarvely coniredip xil� licenaed conlrecron b conatrW Ne qqetl (Setlion 101�. Bwirwes ud
Prdemiam Coda: TM1e Cmireean license Lew Caee ml eppty lo en owwr M p�opMy Mw buYda w imqwm ihereon e�k who
wnvecte lu axA pqeea Milh a mnreqw�s) Iceread punuem io tM Canvmore Lvua law).
❑ I em eaemq uMm Section: B. 8 P.C.. fa No �aemn:
Dme: Owner
I Eo M1ereby cenity thet I em awere d eM uMere�vM the requirements d Cd'Imnie Meellh end Sefaty Code Sed'wne 25505. 25533, uM
25534, eM IhPo I a eny INure buiWirq arupeM will / wil nd (d�cb aie) need to comply wih eeH etate mdea xM tM 1epuirtmanb br
eD�nlaoonevuciianamadifKSlbnhanthaA'r�uei�y anepememDimiia.RmkervWwmiwuneao�ianenssemqhomuree
aews�,..
Dme: Applicenc
W ONKEA'S COMPENSATION OECUFATION: I Mreby elfiim under peneliy d pmjury wr W iM bllowi�q dedueibna:
� 1 here eM wil meintein e cenilicate d cannam �o eeMimure for workere' cwnpaneqion. u PrwMed la by 3eeion J]0� d �ha leEar
Code. Iw tM pMormence d iM xak lor wNch Ihb pamdt o iaeued.
f.l � new e�e w� meiman wonen' wmv��un Imu�eno.. m rea��.d M swim a�oo a m. leno. coae. tar �ne o�«menoe a �ns
r, wak la whiM Nu permn ia iaueE. MY �'^r�' �^Pa^�a^ ineure�we fartier erq pdiry number ve:
c�.�: STATE FCIND EXPIR .S
Pacy Number: — 4' I U I1 1' i � 1/ 0 9/ 9 8
(TAis sMian need nd be compbrod / Ns perm! is lor me huMraE dWlers /Sf00 w bse.l
❑ I cenN thet in the pMwmerce d tAe work 1« whch t�e partnn b iseued. ehell m� e by penon' enY men eo m b
Eacmia wM� lo iM woNms' cwnDa�ion lewa d Celilomu. aM I ree Uel J dwuM ppe � Mpye1s•
comG�et��ion pwi%ione ol5eabn 9]00 oi iM Lebar CoEe. I ahell 1 w mmp�y ' Ilma
Date: J ���F� Applicent
WaminO� F�llun ro wcuro wortxi eompons�tlon eovenp� b unlewNl, entlWll aW/�ct an emp/oysr fo cdMrW psneMu anJ
clH/ nns, w ro ms h,nerM rMua�nO Collan (st00.000A �n WCltlon ro th. cost ol rompNwWn am�p� u povltlM ror In
Sxtlan 9106 0l Ms Le6o� Codr, Irrtais�4 end etfomsY'� Iw.
CONSTtiUC110N LFHDIN(i ROENCY: I hereby elfirtn ivMer panely d perjury Ihm Ihere ie e construdion bMiiq eparwy la tM
�n��nce a me v� �«.nd, mm w�� re sa,ed Isea� aoe�. cN. cl.
LENDEX'S NAME:
' LENDER'S AODPESS:
1 ceni/y ihm 1 hav reed thb eppliatian eM 9eb Ihet Ne ebova iMam i ia mrrsq. I apme �o eompy wilh all tlly xM couMy adineiwee
eM s�e kwe rt'vq W Wik' coneU 'an ud Mraby aiNqr¢a rt entelives d t�ia tily b enls upon IM ebwa�meMuned p�ope�ty
�o.ir�vwia+w oe . �
�gD ID MI LER
Pnnl e ^
o�e: . � S — � !
�B e d / D � nVed
(515tJ6.WP) WM1ile-BuildipBSeINy:OreemFle:Ganery-Appfani:Fnk-Rewnue:OOMenm0.Nxem
PEF.M tdU; B C�L:'711
Gt]VT: Pd SUPA: i�!
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR FURPUSE: OTH
JOB DESCRIPTION : T/OFF / INSTALL 25 YR COMP SQ FT; 3,26�
CLAIM VALUE: 3,262.00 CALC—VALUE: 3,262.00 GRGUP OCC: R-3 /U—i.
COMMENTS: RESID£NTIAL REROOF
;r if iE 3(� �E it 3E iE u�% 3E %iF 3E # iF jE iF if jE 3E 3E 1E iE 3E jE -%X- x� iE iE iE ��(-* �E jE iE iE 3E �E aE jF iE *# jE �E 3F iE 3t �IE 3E iE jf IE x� 1F �iF % x� M-If x- rt�E-x jE�?E 3E iE iE x-�rt �fE?E aE jE 3E
7. O N I N G R E Q U I R E M E N T 5
5 E T B A C K S
------------ MAIN BUILDING ------ -- --------- A�CESSOF.Y PUILDING ------ --
FRNT; F'T IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: F1' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 4J919222 'lNE: R.EF NO:
PLANNING NOTES�> �"l
i �
1E jk i;� fF fE fF 3E if 1E �E 1klF if #'.t�f(-1f 1k if 3F j41E iF �1F iE 1E ff 3E �f f(' jk �1F 1E 1ElE 1f- �E �IE �IE� iF �E 9(-'K� iE �(-fE iE �f IE !E 1E �A if it 1E 3; 3; iE ii iE'T` 1; -IElf� if if iE 1E if �1F iE 1f if �k �f' 3` iE jE iE
D E C� E` L O P M E N T S E R V I C E S R E Q U Z R E M E N}T 5
:�
!'�
ZONING APPROC�ED BY DATE: ��"
BUILDING APPRC;VED BY : DATE: l�
APPLICATZON ISSUED BY; DATE: �� � �
iffE3E1ElFifiEifiElEifiEiEiEiE1E!('1fit3E3EjF - ikiEiFififlElfiElElEiF�i�'i: ��E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 87.25 50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS --> 87.75 0.00 0.00 87.75 87.75 ,00
REC�ENUE DIVISION TOTALS--> C6LLECTED: 87.75 tJVER/SHURT: ,00
BLDG PMT YLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRAUTNG PLAN—ChECK
87,25 .50
iF iE'lE �Ih iE if �E a(-�E iElE 3E 3F 3E iE 3F �lE 3E �IE 9F 1f iE iE iF IE 1E �7E IE �(- iE 3E IE iF �IE fE iE-IE 3f-�lE �(-�E 3E iF 3E �IE 1E �lE iE 1E iE iE iE 3f iE iE iE 1E �f' 1f ik+iE'rc'.E # 1F 1E # i[ C# ii-'lE?E i't?f 3': iE fElE
I N U I V I D U A L F E E B R E A K D O W N
TYPE QTY G E S C R I P T I O N UNIT C6ST TUTAL COST
SFR 3262 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 7,�'62:00
END OF FEES
�5-�;,-1597/12:32 PN/fB�.75
RCPTN:�1-t32a5823
F'ERMIT:082731
•�.�. Y.a
'. CONSTRUCTION AND PLANNING POG SPA - I
- APPROVAI.S Permit # Date inspector - APpROVALS Permit # � Date, inspector
7. Temporary Eiectrical Service or Piile . 52:' Pool & EquiDment Location -• , .
2. Soil Pipe�Undrgrnd. • 53. Steel Reinforcement ��;
3. Electrical Conduit Utility-Undrgrrxf. � 54. Forms � � � - �
4. Electrical Conduit�Undrgmd. - . 55. Electrical Bonding ' � �
5. Steel Reinforcement . �56. Rough Plumbing & Pressure Test � '
6. Electrical UFER Grnd. � ' 57. APPROVAL TO COVER�GUNITE . �
7. Footings � . � �� 58. Electrical Conduit-Undrgrnd. � ��
8. Foundation . � 59. Gas Pipe, O Undrgrnd., Test � ,
9. Water PiOe-Undrgrnd. 60: Backwash lines, P,Trap, � Undrgrnd. '
10. Structural Floor System � � , 61. APPROVA� TO DECK .� -- ,
11. Property Sewer Line & 4iouse Con;�ection � 62. Backwash & RecePior•Final
12. Sewer CaP -" - 63. Heater & Vent�Final
73. Roof Dreins " ='' . � 64. Plumbing System = Final ' - .
74. Rough Plumbing � . 65. Electrical-Final !
15. Rough ElectricabConduit, • ; 66. SolarSYstem-final' �"" �
� �
16. Rough Electric Wiring � - ' _ 67. Fencin9 & Access Approval ' ' . � -
17. Rough Wiring Sign _ � �- . �68. APPROVEO FOR PLASTERING: � .
18. Rough E�ectrical�T Bar Ceiling � _ 69. POOUSPA SYSTEMS FINAL . �
79. Rough Heating & Air Cqnditionin9 - ' FIRE DEPT. REQUIREMENT -- �
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 77. Product Piping OGas ❑Otl
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Freming 73. Undergrnd.StorageTank �Gas OOiI
25. Roof Sheaihing .��'-7_�'7 �u� 74. Overhead Hydro
(L
26. T-Bar Ce�ling (Structural) & Monocoat 75. Ory Chemical
27. Frame and Flashing 76. Dry Standpipe .
28. Lathing & Siding � � 77. FIXED SYSTEM FINAL
29. insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEAITH DEPT. REQUIREMENT
31. Plasxer Brown Coat 79. FWAL WSPECTION
32. Electrical Power Meter-Final 80. FOOD CEftTIFiCATE ISSUED
33. Final Electric Notes:
34. Final Meating & Air Conditioning
35. Final Gas PiPe�Test
36. Hood or Canopy �
37. Final Faciory Firepiace �
38. Final Plumbing
39. Water Service�Final : ,
40. Gas Service-final
41. Solar pomestic�Final
42. Backflow Preventer
43. Backflow Irrigatio�
44. LandscaPe Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �`L�� 6��-
48. FINAL PLANNING �
49. Electric Release to Edison -
.
50. Gas Release to Southern California Gas Co
51. CERTIP�CATE Of OCCUPANCY
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
ROOF COVERING CERTIFICATION
Permit No. r� �2�73�
Property Address 2�n-/ �b�L M,42 � j/
Owner
Contractor ���-I-�C'GG (�fJ,qS't' �iAlC�
State Contractor License Number �3��� Classification �% ��
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building
Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
� I further certify that I am:
5.l�Owner of sole proprietorship company
❑ Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acceptance.
Received by Building Division
ey:
�1i�3 �� 5-9Z
IniOal Date
0990.46 W�ne-Builaing Dn: Canary�Comraclor. Gink-0wner
�
or
� 7/�.lO/�-f�/
c�cs^� /
//�/_ Date
�
Prinietl or typeC name