HomeMy WebLinkAbout980 DENVER DR - Building Permits;,-�,�'.,yf.. -- �a'. �C��'.,.�,i�'tLi�r:�^r7f^—',e„y,� '1 ,
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RICHARD LUIZ
5071LOYOLA AVENUE
WESTMINSTER, CA 92683
Report of Speciel Inspection
?:ciec�'�'amc & Addrcss
�c —: ���bcr��in3� �S11
!rspecuon Typc(s) _ Gunite
!^s?cc:ion Da�c(s) � Z-'��3 [ ) Pcrlodic [ XXX }Conlinuous
�cscribc lnspec�ion Madc, induding Locations. irs
��� @ the above address
::s: T:s.s Madc:
?o�z! Inspcciion'(imc Each Day:
ction of the swimm
on ( 'Z,—S —O
_:s�. !�.cTs Requiring Correeiion, includt uneorreeied ilems prcviously lis�ed
'_'o^:m:^�.s:
"o �.h: ocs� o( my knowledgc, �hc work inspec�cd �,as in accordance with tht Building Departmc:�.
.:��ro�cc dcsign drawings, spcciica�io and applicablc workmanship provisions of �nc U.E3.0
:..::,� as .^.cud abov .
5:3�_�: Daie � Z—��-�.�3
�;,,,, ���i ,��zm� Richard T. Luiz
�
I.C.B.O. #
ftcgislration No. 1075691-49 Concrece
roRM si e�.;c
PFOJECTNPME:
PROJECT FODFE55:
PERMII NUMBER:
TEST SPECIMEN AND COMPRESSIVE STRENGTH DATA SHEET
INSPECTOR'S NAME:
980 Denver Drive INSPECTOR'S LICENSE NO.:
Cosia PAesa, CA INSPECTOR'S SIGNATURE:
SET IOENTIFICATION NUMBER:
CAST DATA IATTACH DATA SHEET OF OTHERS WHEN AVAILABLE�
Richartl Luiz
On Fite
On File
NR
CASTpATE I72/91�3 DESCRIGTION Conoeie Groui Moner S)wiuem �/asmryPnsm IOinerGUrvITE
CONTRnCTOF ICalifornia SPECIFIEDF'c-P51 2.��� CEMENiTVPE V
suecor+*aacroa Goltl Coast cns* ev Luiz Inspeclions ROMI%TURE NlA
ENGINEER D.Farrell NO.OF SAMPLES 2 . W/•TEH A�DED N/A
CONG SUPPLIER N/A TOTPLYDS.PLACED N/A SIUMP NIA
PLANT N/A TICKET NUMBER N/A AIN CONTENT
MI%0@SIGNNO. 41/2�1 CaST➢ME N/A pllUCONC.TEMG. N/A
�ocanor+w e�oc.: Bottom of The Swimming Poal
nores: NR = Noi Reponed
7es1 specimens were 3-In. x 3-In. x 3-in. cube samples cast using wire mesh (no moltl used).
COMPRESSIVE STRENGTH DATA
OaTESFECIntErvSRECvO. 12/23/03 EOUIFMENTVSED FomeyDR2000
REPORi04TE 1/B/O4 SNOFEOU�PMENT B9�OB�
iECNNICIAN NAME C. Henriquez - Supervisor CALIB.1 RECqL. DRTE 2-�3 / 2��4
SPEC�MEN NGEAT TEST TEST SPECfMEN�IMEN510N5�IN.' AAEA LOAD F�C BREAM
IOENTIFIClTION TEST �ATE TIME 1 2 ] � S�.IN. LBS. PSI iVPE�
. _ . —__ . ..._ .._.._.. . " . _' ___. _..__ _ 1 1
NUMBER DFYS 6 6 1 ! NI
3.762 ?.166 3.198 3.189 70.10 �
C010096A 28 1/6/Oa 7:06am - . .---- ' --' -- -�--' --.. _ . .....__ _ g3.43d 6,2i2 I c
9.277 3277 3279 3.278 o,oa�
3.167 3.166 3.200 9.202 t0.ta
C0100968 28 1/6/Oa 7:O9am -- - - �� 56,Jta 5,556 I c
3.310 � 3.311 3.311 3.317 I+.a7
I I I I
I I
Avg. F'c:e = 5,917
'B�ea: iype aesignation oer ASTM G9 Figurc 2: a=Cone, b=Cone antl Split, oCone and Shear, tl=Shear, e=Columnar
COMPLIANLE �'dITM SPEQFIED STRENGTH 1 COMI ZNTS: Complias
�
4UT ORI2ED SIGNA URE
t zioz w
10600 Pioneer Boulevard,
l0:ld/OJ 15:Od F�1ti 71d 708 1919 CDFA/RIFd
Oct 13 03 02:OIp � Cf�L]FORryIfI POOLS
+ COSTA NESA
71 � �75 9285
Cooperative Red Imported Fire .�i�,t Project
Notification of Intent to Move Soil from or vvithin Quarantined
Areas of Oranee, Rive:rside, and Los A.naeles Couaties
Z21FA Comptiance Agreement #�O.S���S`�4 P�� #
Issuiag Giry/Courny Ageacy
C�ooi; ooi
�— � // • t �
c
/O�y.. / a��/O.�%� � �
Nazn= of ComP�Y �9�n6 EiPPra� ��/_/Fi1�2�J/!�Y l��i��
Comact Person:.--�--'� �"J/�}� � R(7�,1�� �L� i� Z_
address: �7�%%, %��lit1 {'�'. �^7G1� CIry: /��✓19Hi'/M Zip: �28G%
Telephone: _ 7( i�/ ) �57 "�i — �l'�f� rn Fax _( 7%'�` ) �S7.FJ'' �%a_„}�'S',�'7
Excavauoa Locatiab ��) ,����%�� J 1�, TB': 0� C% -�J.��
De�arion LOrzrion
rs:
ACRES:
Esumated Quaatity o£ SoiJ (e.g. # Cubic Yards): ���� ��i� f�
n � n �
Anticipazed Date of Movemaat;
Z"irgcacv Levd for Immediate
,I . :.....,. .
and Rdeascc [Cirele One] � n�et� [,o..
� Ho1d Mo�ement Uatil S;:u Chmked - WE R7IIL CALL AS SOON AS P�SSIBLE T�
SCfTEDULE INSPECTION DATE ANA 1�I£.
Daze Trapped; # of7rdps: Ttapped by. A�es:
Date Rckcd Up: _ Commeiaas: PDR #:
� Soil Movemeit is Saictly Yrotnl�ited for tbe Follawiiog ILeason(s):
?vamc ofRIFe
Signatuze:�
� ZS S �jIOmSS
Date;�� � �-D�
YSFAPo�CA.l Rc�.Nlt/9Y
p.l
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.r�.�LDING PERMIT 7� FAIH IJHIVh, GUS IA MtSA, GA y26Lti
JobAddress: 980 DENVERDR
Suite:
Vicinity: REAR SFD
Parcel Number: 41808122
Applicant: TERRANOVE, DON
Address: ,
Owner: MC BRIDE, ROBERT M
Address 980 DENVER DR �
COSTA MESA, CA '
Conuactor: CALIFORNIA POOLS & SPA
Address: 970 N TUSTIN AV
SUITE 200
ANAHEIM,CA
Zip: 92807
Zoning:
Phone: 949-278-6772
Zip:
Phone:
Zip: 92626-2927
Phone: 714-5759286
License: 185102
ISSUED BY:
Status: ISSUED
Applied: 10/17/2003
Issued: 10/17/2003
Arch : Eng:
Address: ' ' - Address:
�Phone: Phone:
Zip: Cicense: License:
: SCOPE OF PERMIT
CONSTRUCT A 396 SF IN-GROUND GUNITE POOL WITH A 38 SF SPA AT THE REAR OF AN EXISTING SFD.
Plan Check: $267.77
Permit: $411.95
SMIP Res: $2.65
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $682.37
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$2s,5o0.00
szs,soo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced vnthin 180 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration o( this permit.
FOR INSPECTIONS CALL: (714) 7545626
244666 (8/00)
WORKERS' COMVENSA710N DECLARATION:
I hereby oflirm under penalty of parjury one oi ihe following decleretions:
❑ I heve end will malntaln a cenificate ol consent to setl-Insure for workers' compensetion, es providetl for by section 3700 ot t�e Lebor Code, for the pertormence oi Ihe
work for which this Dermlt is issued.
� I liave entl will maintain workers' compensation Insurence, as required by sectlon 3700 of the Labor Code, for the pedortnance of Ihe work tor which this permit is IssueG,
My workers' mpensation Insurence carner entl policy number are: /-,
Carner. ✓6�% ' �jp(�G �HS • PolicyNumber. �//✓ —���Z � — � r
(Ihls section neetl nol be canplefed il e permit is veluad af one huntlretl dollers ($100) or /ess./
❑ I certity ihat in tha paAormanca of the work lor which this permit is issuetl, I shall not employ any person in eny manner so as to become subject ro Ihe workers'
compensatlon laws ol Celitomia, and egree that tl I should bewme sublect ta Ihe workers' compensation pmvisions ot Section 3700 0l the Labor Cotle, I shall forthwith
compty wllh these pr�ovision i�,, , —
Applicant Sipneture: // LV� Date: /��/ ]� 3
WARNINGFAILURETOSECU ORKERS'WMPENSATIONCOVERAGEISUNLAWFULANDSHALLSlIB1ECiPNEMPLOYERTOCRIMINALPENALTIESANDCMLFlNESUPTOONEHUNORED
THOUSAND OOLLARE (E100,000), IN ADDIiION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3]O60F THE LABOq CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirm Ihat I em licensed under proWsions of Chapter 9(commencinq with Section 7000) of Divislon 3 of Ihe 8�
force entl onect. Lic. q� /o Class»
Conirectors5igneture: �_ Oete:
Code, end my licanse Is in full
CONS7RUCTION LENOING AGENCY:
❑ I herehy aHirtn ihat Ihera is a construction lending agency tor the pedormance of the work tor which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lender's Adtlress:
Signeture: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrtn Ihet untler penalry of perjury ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7037.5, Business end Professions
Code: Any ciry or counry whic� requires a permit b consWct alter, improve, demolish, or repair any structura, prior to its issuance, also requires the applicant for such pertnit
to file e signed staremant ihet he or s�e is licensed pursuent to the provisions ol ihe Contrecmrs License Lew (Chapter 9(commencing with Section 7000) of Dldslon 3 of t�e
Business end Professions Code) ar t�et he or she is exempt therelrom end the Eesis for Ihe alleged ezemptlon. Any vloletlon of Section 7031.5 by eny epplicant for e pertnit
subjects thn applicant to a civil penalty ot not more t�an five hundred dollars (5500).):
❑ I, es ownar ol Ihe pmperty, or my employees with waqes as ihelr sole compensation, WILL DO THE WORK, and iha strucWre is not iNendetl or oHeretl for sale (Sec.
7044, Business end Pmfessions Code: The Contractore License Law does not apply to an owner of property who builds or improves ihereon, and who does such work
hlmseN or hersell or through his or her own employees, providetl thet such Improvements ere not INentled or oflared for sale. If, however, iha building ar improvement Is
so10 within one yeer of com0letion, the owner�builder wi0 �eve tho burden of proving that he or she ditl not build or Improve for purpose of sale.). '
❑ I, es owner of iha properry, am EXCLUSIVELV CON7RACTING WITH LICENSED CON7RAC70RS to construct the project (Sec. 7044, Business ana Professlons
Cotle: TTe contrectors License Law does not epply to an owner of propeny who bullds or Improves thereon, antl who coNrecis for such project with e comractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business end Professions Code for this reason:
Signe�ura: Daie:
Owner ID venfied by driver's license. ❑ Yes ❑ No Dnvers License No.
Verificatlon oi Ownership by (type of daument, i.e. - propeny tex bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
Expires:
❑ I hereby ceNiy thai no exwvetion five (5) or more fee� In dapih Into which e person is requireC to Oescend, will be made In conneciion wit� work authorized by this
permit and that no 6uilding siructure, scaftoltling, falsework, or demolition or dismantling thereof, will be more Ihan Ihirty-six (36) teet high. (Chap. 32, Grp 2, Ari 2, Sec.
341, TNIe B, California Adminisirative Code).
❑ As owner-6uilder, I will not employ enyone to do work which would require e pertnit from tha Division ot Indusiriel Safery, es noted ebove, unless such person hes e
permit to da such work from the division.
Signature: Date:
Divislon of Intlustrial Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHOFiIZATION OF ENTRV: I certify under penalry of perjury ihat I have read this epplication and state �ha� Ihe infortna�ion piven is
correct I egroe to wmply with ell state laws and clry ortlinances releting to building construction, antl eui�odze represantatives ol the Cily ot Costa Mesa to enter upon Ihe
ebove-describetl property for inspection purposes. I agree not to acupy or ellow accupancy of eny building euthorized by this permit until final inspaction.
� Signature Ot Legal Owner(s) Date
� �l/7 �D �
AnNOr Aut�orizetl Applicant —�6 e
COUE �. INSVELTIONTYPE
1616 Fized Sys�em Final Fire Preven�ion
1266 Pool Spe Final
200 Finel Ra-Roof
201 FIneI BIocWRetaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
QdjE �$ £Qpf�( INSPECTIONTYGE
206 Flnel Mechenicel
20B Final PlumDing
210 Finel Elec�ncal
212 Flnel Fire Preventlon
220 Final Planning Approvel
222 Final Site
� 250 FInalBulltlinq/Occupency
��
uw.:
: � �
, � . . -. . � ', . I . ,
POOL AND SPA REQUIREMENTS
The following information is required in a clear and legible manner. All information shall be complete and on
the plans.
Three sets of plans showing all of the following with measurements shown from property lines, buildings,
patio covers or other structures.
1. Name, address, phone number af owner.
2. Name, address, phone number, rype of license of any contractors or subcon[ractors.
3. Poot and/or spa location.
4. Equipment location.
5. Gas and electrical meter locations.
6.
7.
8.
9.
l0.
11.
12.
l3.
l4.
l5.
16.
l7.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
Overhead service lines and serving pole bcation.
Type of gas and electrical conduits to be used.
Size of main electrical service (if less than 100 AMP, service is probably inadequate and will have to
be upgaded to minimum City requirements.)
Rating (horsepower, voltage, amps) of all electrical equipment.
BTU ra[ing of gas heater.
Distance and size of gas line.
All electrical oudets within 15 ft. of pool/spa.
Capacity of spa (spas only).
Handrails, ladders, slides and diving boards (if any).
Location and details of solar panels (if any).
Location of doors and windows within 5 f[. of pool/spa.
The type of construction—gunite, poured concrete, prefabricated fiberglass or other.
The pool dimensions, including the depth and adequate cross-sections drawn to scale.
Computations, stress diagrams and other data sufficient to show the correcmess of plans; including
reinforcing steel schedule and details.
A statement by the applicant conceming the anticipated nature of the soil under and around the pool
structure (expansive, moderately expansive, non-expansive). (A soils report may be required by
Building Division prior ro permit issuance.)
The Engineer's we[ ink signature is required on pool plans and calculations.
All semi-private pools and spas shall conform to Culifornia Administrative Code Title 24 handicapped
requirements (hotels, motels, recreation areas for lease ro public or publicly funded projects).
Where a permanendy installed pool is constructed, at least one 120 volt receptacle shall be installed a
minimum of (0 feet and not more than 15 feet from the'inside wall of the pool and shall be protected
by a ground fault circuit interruptec
Indoor installation of spas and hot tubs, receptacles shall not be closer [han five (5) feet ro spa/mb.
Receptacles located within twenry (20) feet of a spa or hot [ub shall be G.F.C.I.
Receptacles for spa/hot tub motors shall be G.F.C1. protected.
Comply with Costa Mesa City ordinance 93-12 requiring protective barriers, fencing and/or
enclosures.
1099-46 (REV.1981
GENERAL REQUIREMENTS
1. If capacity is 750 gal. Or more, backwash and P-Trap shall be installed.
2. All P-Traps shall tie in at lower temtinus of house drain.
3. If permanent fill line is not installed, nearest hose bib shall have an anti-siphon valve.
4. All PVC shall be 18 inches underground.
5. PVC gas lines shall be tested at 60 P.S.I.
6. Pressure test required on entire sys[em (35 P.S.I. air [es[ or wa[er fill) prior to back fill.
TYPICAL SETBACK REQUIREMENTS
EquipmenC 4 ft. from property line
4 ft. from doors/windows
4 ft. from attic vents
18 inches from house/garage
Pools/Spas: Above-ground pools and spas shall not be located in the required front yard setback from
a public street and are subject [0 5-foot side and 10-foot rear yard se[backs for main
structures. Any deck that is raised higher tfian 6 inches above grade will also be subject
to the 5-foot side �nd l0-foot rear yard setbacks for main strucmres.
In-ground pools and spas shall be located 5 feet from any property line. Please consult
with the Planning Division regarding any in-ground pool and/or spa tha[ are proposed to
be located in the front yard.
All pools and spas shall be located 5 feet from any structurc.
l. Overhead Edison drops shall be installed per NEC 680-8 (see attachment).
2. It shall be unlawful for any person to install, remove, alter, repair or replace any plumbing, gas or
drainage piping or any fixture, swimming pool heater or treating equipment in a building or
premises without first obtaining a permi[ to do such work from the City Building Division.
3. Clarification or additional information may be obwined by telephone: (714) 754-5273, between
8:00 a.m. and 4:30 p.m.
FENCE AND GATE REQUIREMENTS (see attached)
i W9-a6 (REV. ]98)
LIIMY. J10, WV, II
37508
91508
1998 CALIFORNIA BUILDING CODE
Division ll—PRIVATE SW/MM/NG POOLS (STATEW/DE)
.\'OTE: Thrq� rrgiJurinaa ��rc. �'ulrfe��r m Im�nl Cnormmrm rnndi��'nliurr. The uppli�'nble Imnl Rrnrmrnrm requi�trnrnls a! dir lirne nfupplicmion fo� a 6uildiig
penni� shu�JJ h�• rrriJ�rd.
\'OTE: Thr�e er�mdmxB bei'nrne upplicnblr rnm�nrnciqy lunuun' l. l99S. tu u prirrtrr. siuyle-Irsrnil�' Imnm Jnr ichith a<onvn¢rinn pmnir%r a new� su'imming
punlGus been itsurd on uruJrerJnnunrv l. 194R.
SECTION 3150B — DEF/NITIONS
,I.c used in lhis division. Ihe follo�ving tenns have dre fnllorving
rneaiiings:
APPROV�D SAFETY POOL COVER memis a manual/y ar
power-npernred a�nJen� pnol cover rhnt meets ol( of the perfnr-
mm�ce nanJqrds nf +he Americnn Socien� fi�r Testing and Materi-
�ls (,�I STM), in cornpliance wi�h Smndard F 1346-9I.
ENCLOSURE means a je�se, wall or o�her barrier that iso-
Intes u swimming ponl from nccess tn the home.
E.YlT ALARMS mea�ts devices thm maAe audible. continuous
nlann snund.f �vhen anc donr or window that perrrtits access fiorn
dre residence m the pool nren, dmr is �rirhout nm� intervening en-
c(osw�e. is npened or is (efi ajnr. Exit alanns mac be 6ntterv oper-
a�ed or rrm�• he connected m rhe elenricaf wiring of the building.
PL'BLlC S{Y/MMING POOL menns n nrimming ponl oper-
med for �he use of d�e general public «�idr or �ridiour charge, or for
Jte use of d�e membe�s and yues�s of a prirnre club. Publit swim-
rning pno( doe.r not nrclude u swimming poo( locnted ort the
gro�mds of a privnte sin,qle fnmih� horne.
SNLNMING POOL or POOL means nr�r sn'ucture intended
for scimminy o�� rea�enrinnnl bnrhing rhat conmiirs �rarer o��er
l8 in<'hes (437mm1 deep. "Swimnting pool" includes in-ground
and aho��e-gr�imJ strucnves nnd inc(udes, Gut is not limited �o.
hni irrLs. .rpus'. pnrmGle s'pas m�d rtaapa'tn6le wndury pnnls.
Reference: Henlrli nnd Snferv Code Secrion 11�92/
Autlinrin�: Henit6 nnd Snfen• Cnde Section /8942(b)
AB 330i, St�uures 1996, C.9?5
SECTION 3151 B— CONSTRUCTION PERMIT,•
SAFFTY FEATURES REQUIRED
Cornmencing Janunn� L 1998, escep� q.c prorideA ii� Section
3/SdB. wlrenerer u consn'uctinn per�rii� is issued fnr coi�structiort
of a ne�.� swinrniin.q pnol nr n prirnte. .cingle Jmnilc hnme. it shn(!
be equlpped wid� at len.st arte of !he fn(lo�rirrq snfen fenfures:
/. T6e pnal chnll be isolmed fmm nccessym n home by nn enClo-
sure drar nreers die requirements of Secnn�i Jl�1B.
3. The pnol shn(I be r��uipped wi�h nn approred .rafery ponl
co�'er.
3. 7'he residence shn(I Ge eyuipped vith ecir nlanns o�r those
donrs prnriding direcr access !o rhe ponl.
�. A!( donrs prnviding direc� attess frorn Ihe hnme to rhe nrim-
ming pnol.tli�ll be eyuipped u'idr u self-c(nsiny. .ce(f-latchiirg de-
vice icith n relense niechanism placrd +m lo���er �han �-! inclres
(13i2 mm) nhnre rhe J7unr.
5. Odier menns �f pmleainn. if d�e degree tf pmtectinn nf-
%inded i s equtd m nr greorer dmn dru� n(%nrdcA b�� nrn� uf 1/�e Ae-
��ices set %rth in lte�n.c l�. incGisire. �is derrmii�ied by dre
building o�cinf uf die jw�ixdiciinn is.suing d�e npplicnG[e building
penrrit. Arn� o.diirnnca ynrerning child access m ponls adopted b}.
n pnliticnl.rubdivi.aion nn ur bejore Jnnuan 1. /99i. is pm.cumed
1-294.16
m nfford prorecrion tha� is equal m or grea�er (Ban �hat afforded by
mp• nj rlie devices.ret fnrth in /rems !—i. inClusive.
Reference: Heald� nnd Safen� Code Section /l5922
Authoriry: Nealth mrd Safen� Code Secrion 1894216)
AB 3305. Smrutes /996. C.925
SECTION 3152B — ENCLOSURE; REQUIRED
CHARACTERIST/CS
3152B.1 An enclosure shnU l�ave nl! of rhe fol(o�ring d�arncteris-
rics:
l. Any necess gntes through dte ei�clasure open away from the
swimming pool nnd nre selj-c(osing �oidi n self-latching device
placed r�o loiver thaii 60 inches (1 J24 mm1 abore the ground.
2. A minimum lreight of 60 inche.t (l�21 mml.
3. A mttt�imum rerticnl clenrance frorrt t6e grotmd to tfie bottam
of rhe rnelnsure of ? inches (� 1 mi�U.
�l. Gaps or cnids, if m�v, dn nm allow pnssnge of a sphere equal
m or greater thmi a inches /!02 rnm) in dinmerer.
S. An ourside su�fnce free of protrusimis. cavi�ies or other
ph�•.sicnl chnrnererrstics dmt �roidd sen�e ns limidholds or foot-
holds thnt rould ennh(e n child belo�r die nge n(Jire years m climb
ovec
Reference: Hen(J� and Sajen• Cade Sectio�r Il.i9?3
Authorirr: Henfth nnd Snfetv Code Sectimi 78942fb)
AB 3305. Smtutea 1996. C.9'S •
SECT/DN 3153B — AGREEMENTS TO BUILD; NOT/CE
OF PROVIS/ONS
Any person enrering imm �n ngreement m build n s�riniming poo!
shal( give �he consumer notice of the requireme�us af this article.
Reference: Nenld� and Snfety Code Sectinn lI.i924
.4uthnrin�: Hen[d� and Snfrrc Codr Senion 139J2(b)
AB 330�. Srnrute.r /996. C.925
SECTION 3154B — EXEMPT fAClLITIES
3lSJ./B The reyuireme�vs nf this nrticle shn!! no� aypl�� m arty oJ
dre fo!lowing:
/. Pubfic swimminS ponl.+. .
3. Hnt tube or spns irith lacking snjen� corers dtat canp(y with
rAe Americun Socien� fnr Testin,q �Noterinls—Emergencr Perfor-
mm�ce Spen'ficution (ASF.W-fS /J-391.
3. Am• pool �rid�i�� �he jnrisdic�io�r oj nrrr polirica! subdi��ision
thm nAopu mt nrdinnnce%nr.ti�rimmii�g poo( safern thnt inc(udes
requirementt dm� nre n� lea.r� ns striitge�rt ns rhis dieisiort.
d. An npnrrmeiu c'nmple.c nr unc residentinl serting ather rhtm a
sing(e fnmilv horrie.
Reference.' Nenldr nnd Sufem Code Sectiat 1l J925
Authorin�: Hea6h mrd Saferv Cade Secrion 139d2(b)
AB 3305. 9amres /995. C.925
1998 CALIFORNIA BUIIDING COUE
FIGURE 31B-4—PERPENDICULAH FENCING DIMENSIONS ON SLOPING GROUNO
INSIDE OU7SIOE
fIGURE 318-�EFFECTIVE FENCING HEIGHT
CHAP.91B, D/V. 1
FlGURE3/Bd
FlGURE 31 B•5
1-294.15
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, Gn 92626
Job Address:
Suite No
Vicinity:
980 DENVER DR
REAR SFD
Parcel Nunmber: 41808122
Applicant: TERRANOVE, DON
Address:
Owner: MC BRIDE, ROBERT
Address 980 DENVER DR
COSTA MESA, CA
PLUMBING PERMIT
Status: ISSUED
Applied: 10/17/2003
Issued: 10/17/2003
ISSUED BY:
Phone: 94&27&6772
Zip:
Phone:
Zip: 9262G2927
Contractor. CALIFORNIA POOLS & SPA
Address: ' 970 N TUSTIN AV '
SUITE 200 . Phane: 714-5759286
ANAHEIM,CA ,
Arch / Eng : ,
Address:
ISSUE FEE
Backflow irtigation
Backflow Preventer
Bathtub
Clarifier System
Connect pce,Soda,etc)
DenWl Units
Dishwasher
Drain, Floor
Drain, Rainwater
D2in, Roof
Zip: 92807
License: 185102
Phone:
Zip:
License:
SCOPE OF PERMIT
CONSTRUCT A 396 SF IN-GROUND GUNITE POOL WITH A 38 SF SPA AT THE REAR OF AN EXISTING
SFD.
1 SWIMMING POOL, 1 PRIVATE SPA �
REF: B03-01817 - - � .
AMT
$23.50
50.00
$0.00
30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
30.00
" 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 k) $0.00
0 Receptors $0.00
0 Sep6c Tank $0.00
0 �� Sewer Cap for Demo $0.00
0 � Sewer Cannect $0.00
0 Sewer Private line $0.00
0 Shower $0.00
orr
0
0
0
0
0
0
0
0
0
0
0
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Wasle and Venl System
Water Closet Roilet)
Water Heater / vent
AMT
$0.00
$60.75
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
1
0
0
0
0
0
0
0
0
0
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 permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
tor a period ot 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetions 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) 7545626
24A&4B (&00)
WORKERS'COMPENSATON DECLARATON:
I hereby attirm untler panalty of perjury ona of ihe following decleretions:
❑ I heve end wlll malntein a ceeificate af consent to selFlnsure tor workers' compensation, es DroNdetl tor by section 3700 ot the Lebor Code, for the pertortnence of the
work for which this pertnit is issued.
�I hflve antl will maintain workers' compensation Insurance, as required by sectlon 3700 oi Ne Labor Cotle, lor the peAortnance of ihe work for whkh ihis pertnit Is iswetl.
My workers' Wmpensation Insurance cartier end pollcy number ere:
Carrier. fi LG✓hB�/ �a�iGG Policy Num6er: _�N —�� Z I ZI � ��
(Tbis section ne not be complaled il ihe pe ' is valued et one huntlred doilars r3100) or less.)
❑ I cenity thet in ihe peAormance of t�e work for which this permit is issued, I shall not employ eny person in eny menner so as to become sublect to ihe workers'
compensetlon laws ol Celifomla, and egrae that it I shoWa become subject to Ihe workers' compensa0on provisions of Section 3700 0l tha Lebor CaOe, 1 shell tonhwith
comply with these provisions.
AppllcaniSigneWre: �i��� Dete: �� �i � Z
WARNING: FAILURE YO SECURE W COMPENSAiION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FlNES UP TO IXJE HUNDRED
THOUSAND DOLLARE (510p.000�, IN AODITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTIIXJ 3]OB OF THE LABOR CODE, IMEREST, AND ATTOtiNEY'S FEES.
LICENSED CONTqACTORS DECLARATION:
I here�y ettirm Ihat I em licensed under pmvisio
force entl eNecL LiC. p.
Coniractofs Slgnatura:
�
o� Chapter 9(commencing with Section 7000) of DiWsion 3 ot lhe Business and Professions Cotle, end my license is in full
Class M C S
�✓ oe�e: _ i �- , a 3
�
CONSTRUCTION 4ENDING AGENCY:
❑ I hereby eNirtn thet there is a constmction lentling eqency br the peAormance of iha work for which Ihis permit is issue0. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Address:
Signeture: Date:
OWNER•BUIL�ER DECLAqAT10NS:
I hereby aHirm Ihet under penalry of perjury ihet I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW lor the following reason (Sec. 7031.5, Business antl Protessions
Code: Any ciry or c0unry which requires a permit to wns�ruct, elter, improve, tlemolish, or repair eny struc�ure, pnor to its issuance, also requires the epplicant tor such pertnit
to fila a signetl stat9ment Ihat he or she is IlcenseA pursuent to Ihe provisions ot the Contractors LJcensa Law (Chepter 9(commencing wit� Sectlo� 7000) ol Dlvislon 3 01 the
Business entl Professlons Code) or that he or she Is ezempt iherelrom end the basis for Ihe allegetl exemption. Any violation of SecUon 7031.5 by eny applicant for e pertnit
subjecis the appliw�t to e civll penalry of noI more Ihan five hunGred dollars (5500).):
❑ I, es owner ot lhe pmperty, or my employees wlih weges es Iheir sole compensation, WILL DO THE WORK, antl the strucWre is not intendetl or oftered for sale (Sec.
7044, Busine55 end Professions Code: The Contractors License Lew does not apply to an owner oi properry who builds or improves thereon, Bnd who does such work
himsetl or her5elf or ihrough his or her ov.•n employees, provitled that such improvemenis are not intended or oHeretl tor sale. If, however, the huiltlinp or improvement is
sold within on9 year ol comple�ion, ihe ownar�builder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). '
❑ I, es owner of the pmperty, am EXCLUSIVELY CONTRAC7ING WIT11 LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business and Professions
Cotle: The wntracmrs License Law tloes not epply to an owner ol proparty who bullds or Improves thereon, and who contracis for such pro�ect wlth a contractor(s)
license pursue�t to the Contractors License l&ws.).
❑ I am azempt u�tler sec.
Signeture:
Owner ID verllled by drivers license. � Ves ❑ No
Business end Professions Code lar ihis reeson:
Venfication ot Ownership by (rype of daument, i.e. - property tex bill or tleetl):
DIVISION OF INDUS7RIAL SAFETV PERMI7 CERTIFICATION:
DnvefS Licensa No.
Date:
Expires:
❑ I hereby cerilfy ihat no excavation five (5) or more feel in dep�h into which e person is requlred to descenq will be made in connection wi�h work euthorized by Ihis
pertnit, end Ihat no building sWdure, scaMoltling, falsework, or demolition or tlismanNing t�ereol, wlll be more Ihan thirry-six (36) fee� high. (Chap. 3.2, Gry 2, Ar12, Sec.
341, Tltle 8, Celllomia Atlminis�rative Code).
❑ As owneo-huilder, I will not employ anyone to do work which woultl require a permit trom t�e Division ot Industrial Satery, es noted ebove, unless such person hes a
permi� to do such work irom the division.
Signa�ure: Data:
Division of Industrial Safery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTMORVA'f10N OF EMAV: 1 cenify under penelry of perjury that I have read ihis epplication and state thet ihe Iniormetlon given Is
wrrecL I agroe to comply with all slete laws entl ciry ortlinences relating to 6uilding construction, and euthodze representatives ol the Ciry ol Cos�a Mesa ro enter upon t�e
ebove-descnbetl property for inspection purposes. I egree not to xcupy or allow occupancy of eny building authorizetl by this permit until finel inspection.
SignaWre Of Legai Owner(s) / / 7 Det� �
� / O
And/Or Authodzetl Applicam te
CO�E �. INSPECTIONTYPE
1816 Fixetl System Final Fire Prevention
1266 Pool Spa Finel
200 Finel Re-ROoi
201 Finel 81ocWRetaining Wall
202
203
204
Final Fadory Fire Place
Finel Sign
Final Demolition
Qe� u�eis
CUUE� INSPECTWNTYPE
206 Final Mechanical
208 Final Plumbing
210 Flnal Electrical
212 Final Flre Pre�ention
220 Finel Planning Approval
222 Flnal Site
250 Final BuildinglOccupency
CAL% 1t�44
Z,l �o �[ti
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Number:
ApplicanC
Address:
Owner:
980 DENVER DR
REAR SFD
41808122
TERRANOVE,DON
MC BRIDE, ROBERT
MECHANICAL PERMIT
Address: 980 DENVER DR
COSTA MESA, CA
Contractor: CALIFORNIA POOLS & SPA
Address: 970 N TUSTIN AV
SUI7E 200
' ANqHEIM, CA
Phone: 949-278-6772
Zip:
Phone:
Zip: 92626-2927
Phone: 714-575-9286
Zip: 92807
License: 185102
ISSUED BY:
SCOPE OF PERMIT
CONSTRUCT A 396 SF IN-GROUND GUNITE POOL WITH A 38 SF SPA AT THE REAR OF AN
EXISTING SFD.
1 INST FAU < t00K BTU FOR POOL/SPA HEATER
REF; g03-01817
ISSUE FEE
Insl FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heal
Inst / Rep. Recess Wall HU
Refig Sys <100 k BTU
Refig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Ezhaust
VAV Box
Vent Fan I Single Duct
Appiiance
Fire Dampers
Smoka Dampers
Insl or Relocate Appl Vent
Air Handlers < 10000cfrn
Air Handlers > 10000cfm
Floor Fumace
Floor or Suspend Heater
$23.50
$14.80
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
ao.00
$0.00
$0.00
Quantity
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeralion Unit
Ventillation System
Evaporative Cooler
Commercial I ncinerator
Domestic Incinerator
Comoressors / Absorption Svstems
Upto3hp/100kBTU
3To15hp/SOOkBTU
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
Status: ISSUED
Applied: 10/17/2003
Issued: 10/17/2003
Quantity
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
So.00
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, � 1, 12-21-92)
EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abantloned
for a perlod of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectlo�e end final epproval must be obtalned. Failure to obtain inspections and final approval will result in ihe expira�ion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zmaae �eroo�
WORKERS'COMPENSAnON DECLARAnON: �
I hereby ettlrm undef penelry ot perjury one of the tollowing tlecleratlons:
❑ I heve end wlll melntein e certificate oi consant to selt-Insure tor workers' compensatlon, es provitle0 for by sectlon 3700 of iha Labor Cade, lor ihe pertortnence of the
�/ work for wNch this pertnit Is issued.
JQ 1 hove anA wlll meintain workers' compensation Insurance, es required by section 3700 0l Ihe Lebor Cotle, lor I�e pedOrtnance of the work tor which this pertnit la issuqtl.
My workers' compensation Insurence cartler end pallry number ere: /��� p
Cerrier. /�i¢ r bor �, Of�G �_h < Polity Number. _(T/�" ` 70 Z�Z� —�S
(This secNon neeC nat be cromp/eted i/ the permlt /s v uetl ef one hundred dollars 100J or (ess.)
❑ I cenity that in Ihe pertortnance of the work for which t�is permit is issueq 1 shall not employ eny persan in any menner so as to bewma subject to the workers'
compensallon laws of Celifomia, end egree Ihat �� I shoultl becoma subject to the workers' compensatlon provislons oi Section 3700 oi the Lebor CoGe, I shell forihwith
comply with Ih9se �rovisio 7 /)
Applicant Signeture: —� ' Date: l � / /% /03
WMNINO: FAILURE TO SE�ua�vekKERS' CO!dPEN$ATION COVERApE IS UNLAWFUL AND SHALL SU&IEGT AN EMPLOYER TO CRIMINAL PENALTI�ND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLqRE (5100.000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirm ihat I am licensed under provisions of Ghapter 9(commencing with Section 7000) of Divislon 3 of Ihe Business and Profession Cotle, end my license is in tull
force and effect. IJc. M ��r�2 Class k ��? �LiL�C
Conirectofs SlgneNla: ��__ Date: L s= /) 03
CONSTRUCTION LENDING AGENCY:
❑ I hereby eNirm Ihat there is a consWction lending agenty for the peAortnance of the work br which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Neme: Lender's Addrass:
Signewre: Date:
OWNER•BUILDER DECLARATIONS:
I herehy aflirm t�et under penalry ot perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business end Protesslons
Code: Any city or county which requires a permit to co�stmct, elter, improve, demolish, or repalr eny stmcWre, prior Po its issuance, also requlres Ihe epplicent for such permit
to file e signetl stetement thet he or she Is Ikensed pursuam ro Ihe provisians of the Conirecrors License Lew (Chapter 9(commencing with Sectlon 7000) ai Divlslon 3 ai the
Busineu end Professions Code) or that he or she Is exempt therafrom and the basls for Ihe elleged exemption. Any vloletion of Section 7031.5 by eny applicanl tor e pertnit
subjects the epplicen� �o a civil penelry of not more then five hundred dollars ($500).):
❑ I, es owner ol ihe properry, or my employees wl�h weges es their sole compensatlon, WILL 00 THE WORK, end Ihe structure Is not Intentle0 or otteretl for sele (Sec.
7044, Business end Professions Code: The Contractors License Law does not apply to an owner ot property who builds or impmves thereon, end who tloes such work
himselt or hers0tl or through hls or �er own employaes, provitletl tha� such imprwements ere not inienOed or oXerad for sala. If, howaver, Ihe bullding or Imprwement is
sold within one year oi completion, the owner-builder will have the burden oi proving that ha or sha tlitl not build or improve tor purpose ol sale.). '
❑ I, es owner ol the properry, em E7(CLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct the projeq (Sec. 7044, Business entl Prolessians
Code: The comractors License Ww does nat eppy to en ownar of property who builds ar improves Ihereon, and who comrecis for such project wlth e comrecmr(s)
license pursuant to ihe Contractore License Lews.).
❑ 1 em exempt under sec. Business antl Professlons Cotle for Ihis reason:
Slgnature: Date:
Owne� ID veniied 6y d�ver's license. ❑ Yes ❑ Na Oriver's License No.
Vedlicetlon oi OwnerShip by (rype ol document, I.e. - pwperry tax �Iil or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION:
Expires:
❑ I hereby certity thet no excavation five (5) or more �eet In Cepth into which a person is requlred to descend, will be made in connection with work euthodzed by this
permit, entl ihat no building sWcture, scattolding, felsework, or demolition or tlismantling thereoi, will be mora than thitly-slx (36) feat high. (Chep. 32, Gry 2, Art 2, Sac.
341, Tipe 8, Cfllifomla Administrative Code).
❑ As owner-builder, I will not employ enyone to tlo work which would require e permit trom the Dlvision of Industrial Safery, es noted ebove, unless such person hes e
pertnit to tlo suG� work irom the division.
Signature: Date:
Division of Industnal 9afery Permit Number:
CERi1FlCATE OF COMPLIANCE AND AUTHORQATON OF EMRY: I certily under penalry of perjury that I have reaC this appliwtion end stete that iha intortnetlon gNen is
correct. I egree to comply with all stete laws end city ordinances releting to building construclion, enU euthorize representatives of �he Ciry o� Coste Mese to enter upon the
ahove-described property tw inspection puryoses. l ag�ee not to occupy or albw occupency ot any WlWing euthodzed by U�is pertnil until tinel inspection.
� SignaNre Ot Legal Ownar(s) D te
/� �/7�0�
And/Or Authodzed ApPlicant Date
COUE �. INSPECTONTYpF QAIE U�LS
1616 Fizetl System Finel Fire Praventlon
1268
200
201
202
203
204
Pool Spe Flnel
Flnel Re-Rooi
Finel BloCk/Relalning Well
Flnal Fectory Fire Place
Finel Sign
Finel Demolition
�Qy�,( INSPECTIONTYPE
206 Final Mechenical
20B Final Plumbing
210 Finel Electdcal
212 Finel Fire Preventlon
220 Final Plenning Approval
222 Final Site
250 Finel Builtlingi0aupancy
OAIE
z"��
CITY OF COSTA MESA
BUILDING D/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(7ta) 75a-5273 • Fau (7�a) 7yt-a856 • www.ci.costa-mesa ELECTRICAL PERMIT
JobAddress: 9HO DENVER DR
Suite No
Vicinity: REAR SFD
Parcel Nunmber: 41808122
Applicant: TERRANOVE, DON
Adtlress:
Owner: MAGEE, DONALD J II
Address 980 DENVER DR
COSTA MESA, CA
ConVactor.
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 uniLs)
New Res (3+uniLs)
Pool / Spa
Lightlng Fixts
Recepl OutleLs
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
MotorS to 10hp
Motors to SOhp
MotorS to 100hp
Motors over 100hp
Communication drops
CA�IFORNIA POOLS & SPA
970 N TUSTIM AV
SUI7E 200
ANqHEIM,CA
Phone: 949-278-6772
ZiPc
Phone:
Zip: 926262927
Phone: 714-5759286
Zip: 92807
License: 185102
NUMBER
77 FAIF DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 10/77/2003
Issued: 10/17/2003
SCOPE OF PERMIT
CONSTRUCT A 396 SF IN-GROUND GUNITE POOL WITH A 38 SF SPA AT THE REAR OF AN EXISTING
SFD.
1 POOUSPA
REF: 603-01817
$23.50
$0.00
$0.00
$0.00
50.00
349.50
50.00
$0.00
so.00
30.00
$0.00
$0.00
50.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEESUMMARY
Temp Dist System / Lighting
Busway I100 ft
Standing Section
Misc Electrical Equipment
T2nsformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Duantiry
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
so.00
$0.00
NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abantloned
for a perlod of 180 days.
INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inepeetlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
POR INSPECTIONS CALL: (714) 7545626
24a8d8 (fl�00)
WORKERS'COMPENSAnON DECLARAnON: � -
I hereDy effirtn under penalry oi perjury one ot t�e following tleclaretlons:
❑ I have end wlll melntaln a certificate ol consent to seN-Insure tor workers' compensetlon, es provideA tor by section 3700 0l Iha Lebor Cotla, for Ihe pertortnance of Ihe
work for which tn�s pertnit i5 issuetl.
� I have entl witl meimaln workers' compensatlon Insurence, as requirea by section 3700 0l Ihe Labor Cotle, for ihe pertortnance ot the work tor whlch this pertnit Is iuued.
My workers' compensation Insurance carrler entl pollcy num6er ere:
Certier: �UfL/�o / SD� G .Fh S Policy Number. /ili✓— %%f�7. /— d S
(This sectlon need nof be completed il fhe pe lNs velued et one hundred dollars ($100) or less.)
❑ I certify �hBt in the pertormence oi the work lor whiGh ihis permit i5 issued, I shell not emDloy eny person In eny manner so es ta betOma suD�ect to the worker5'
compensatlon laws of Califomla, antl agree thet II I shoultl become sub�ect to Ihe workers' compensatlon provislons of Section 3700 0l lhe Lebor CoOe, I shall forihwlth
comply wlth these 'p�rovJisy�i /�!��.'�
Applicent Slgnature: EEeeFE �' Date: �"//%�� S
WARNINO: FAIWFE TO $ WORKERS' ODMPENSATION LUVEMGE IS UMAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
TTIOUSAND DOLLARE ($t���1.IN ADDRION TO THE COST OF COMGENSATIIXJ, �AMAGES AS PROVIOED FOR IN SECTION 3/060F THE IABOR CODE, IMEflEST, AND ATTORNENS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirm Ihat I am Ilcensed under provislons
forca antl eHect. Lic. N�
Conirector's SlgneWre:
9(commencing with Sectlon 7000) of Divislon 3 of t�e Business entl Pmlessjons Code, antl my license is in full
c�ess» Ps 3�/l,C�ct
Dete: /��i �/o?
CONS7RUCTION LENDING AGENCV:
❑ 1 hereby eMirtn that ihere is e wnstructlon lending agency for ihe peAormance ot the work lor whic� ihis partnit is issued. (Sec. 3097, Civil Cotle).
Lentlers Neme: LentleYs Address:
Signatura: Date:
OWNER-BUILDER DECLARA710NS:
I �ereby attirtn that under Oenalry ol perjury that I em EXEMPT FROM hfE CONTRACTORS LICENSE LAW lor Ne following reason (SeC. 7031.5, Business antl Professions
Cotle: Any ciry or counry which raquires e Oermit lo conslruct, elter, improve, demolish, or repair eny structure, prior to its issuance, also raquires the applicant for such pertnit
to file e slqned statem0nt that he or sha is Ilcensed pursuam to t�e proNsions af the Contractors License Lew (Chaptar 9(commendng wlih Sectlan 7000) ot DiWslon 3 of ihe
Business antl Protessions Code) or ihai he w she Is exampt thereirom and the basls irn t�e elleged examption. Any violetion o1 Section 7031.5 by any eppliwnt for e pertnii
subjects the epplicant to e civil penalry of not more Ihen five hundred dollars ($500).):
❑ I, as owner of th9 property, or my employees with wegas as thelr so�e compansatlon, WILL DO TME WORK, and Ihe siructure Is not Intentletl or offered tor sele (Sec.
7044, Buslness and Professlons Coda: The Contractors License Law does not apply to en owner of properry who builds or Improves thereon, antl who does such work
himself or herself or ihrough his or her own employees, providatl ihat such improvements ere not intended or oHered for sela. tl, however, the builtling or improvemen� Is
sold within one yBar of comple�ion, ihe owner-6uilder will have the burden oi pmving ihat he or she did not builtl or improve for purpose of sele.�. �
❑ I. as owner of the p�aperty, em EXCLUSIVELV CON7RACTING WI7H LICENSED CON7RACTORS to wnstruct the pro�ect (Sec. 7004, Business end Professions
Cotle: The croNracrors License Ww Ooes not epply to an ownar of property who bullds or Improves Ihereon, antl who comrects tor such project with e comrecbr(s)
license pursuant lo ihe Camractors Ucensa Lews.).
❑ I em exempt unda� sec. Business and Protessions Cotle for �his reason:
Signature: Date:
Owner ID venfiad by dn�eYs licensa. ❑ Yes ❑ No Dnver's License No.
Ve�ificatbn ot OwnersluD by (type ot document, i.e. - prope�ty t� btll or tleetl)�. .
DIVISION OF INDUSTP��L SAFETV PERMR CERTIFICATION:
E�cpires:
❑ I hereby certify ihat no excavetion five (5) or more teet in tleplh into which a person Is requl�ed to descentl, will be made in connection with work euthorized by lhis
permlt, and ihat no building structure, scaMolding, felsework, or tlemolitlon or dismenUinp ihereoi, will 6e more Ihan Ihirty-sla (36) feet high. (Chep. 32, Gry 2, Atl 2, Sec.
341, Tltle 8, CeliiPrnla Atlminisiretive Code).
❑ As ownervbuiltler, I wiil not employ enyone to do work which wauld require a permit from the Division of Indusinal Safery, es notetl ebove, unless such person hes e
permit to tlo such work from Ihe division.
Signature: Date:
Division oi Intlustrial 58�ery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUTMORVJ1710N OF ENfAV: I certify under penalry ot perjury Ihat I have read Ihls flpplication end state that ihe infortnatlon gNen Is
correct. I egree to comply with all state lews entl cly ordinences relating ro bullding construction, end euthorize represenlatives of t�e Ciry ol Costa Mesa to enter upon ihe
ebove-described pmperry for inspection purposes. I egree not to occupy or allow accupenty ot any building authorized by this permi� until final inspectian.
Slgnature Of Legal Owner(s) Dete
n� l�rl7lO.3
—�-� And/Or Authodzad Appllcant Date
COUE I. INSPECTONTYFE
1616 Fizea System Final Fire Preventlon
1288 Pool Spa Final
200 Final Re-Root
201 Finel Block/Re�eining Well
202 Finel FeCtory Fire PlaCe
203 Final Sign
204 Final Demolitian
PAg II�dLS
COOEt INSPELTONTYPE
206 Finel Mechenical
20B Finel PlumDing
210 Finel Eledncal
212 Final Fire Preventlon
220 Final Plenning ApProval
222 Flnal Sita
250 Final Building/Occupancy
Q� ��
Z.ra-0Y �
F+�,dELTRCM�iES3: ���AO DENVER DR
OWNEfl'SNRME: MATSUKAWA NORIO
AUDPESS: 9 a O D ENVEit DR
COSTA MESA,CA 92626
(714)55'7-7434
uxiT:
RflCM/ENCINEEH: REG.NO.:
ROUHESS: ' UNIT:
eenminee: MANCHESTER BUILDERS ( 714 ) 760-7880
nooness: 14631 SAIL ST
� CAADEN GROVE CA 92642
LICENSED CONTMCTOB OECLNIATION: I hereEy anirm Iliai I am Iicense0 unOer prwisiort ol Ctupier 9(commendng vnih Seclian
7000) oi Dirsion 3 0l t�e Business an0 Professions Cade. and my � e is in WII for anG ellett.
cinuc.:055052 srnTeuc.:095459 = cu .��
Daie: _����` Signature: _ _ �)
WONI(EPS' COMPENSRTION DELIAMTION: I nereDy altir t I nave a cenJiwte oI cansent m sel4insure or a certificate of woAers
moenulion Insurance. or a cenifiea copy ihereoll�ction 3800. LaG. C).
:ILV NO.: E%P. DRTE:
COMPANY:
❑ Cetli�i¢E CopY i5 hereUy lumi5hetl. ❑ CerlifieG rApy i5 tile0 wi�� the city BuilEinp Dmsion.
Date'. NpplicanC�
E%EMPTION FBOM WOXKENS' COMPENSATION OELUIIATION: (ihis seclwn neM not be wmplet ' permii is lor o� hu etl (5100� or less�.
I ceriify Ihal in t�e petlOrmanc¢ a� ��e work lOr whiCA IhiS Dermit is issu I s�all not ¢ any DersOn in9ny ma er 5o a510 beCome
subiecl to Ine ybrkers' C voensation Laws ol Califomia.
Oa�e: Siqnaiure: '�
NOTI E: II. all making this tlectaratian, you 5�ou10 become lect �o I�e Workers' Compensation pmvisions of Ihe LaEor
CoCe. you mu5i fotlhwiih comply vnth such provisions or this permii 5ha11 Ge EeemeE revokea.
CONSTBUC7IDN LENDING RCENCY: I nereby aifirm that there a a corisiructian leneinp aqenry lo� tne pedormance ai the xroA for
w�ic� I�is oermn is issueG (Section 3W7. Civ. C�.
LFNOEfl: "
ADONESS:
� ^%
CITY OF COSTA MESA — BUII.DING PERMIT r. , � uy�
PERMIT NO: H 05609'1 PLAN CHECK NO; 00396-92 S � i: rv.0 ; rv
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; 57 LIN FT OF RCMiJ WALL @ 6' HSGH S� FT: 57
CLAIM VALUE; C,C—VALUE: 1,140.U0 GROUP OCC: R-3 /
COMMENTS: SMOICE DETECTOR(5) RE UIRED IN HOME.
�r*��x*��*��a�x�t*****�**���*�*�r* �*at******±��*������*�c#u���x***�*�****x�**xu�**�u***x
Z O N I N G R E Q U I R E M E N T S
S E T B A C N. S
------------ MAIN BUILDING ---- ---- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKZNG RE�• PROV; PARCEL: 41808122 ZNE: R1 REF NO:
PLANNING N'I'E5> 51' LONG, 6' AZGH HLOCK WALL ALONG REAR P/L.
i
iF 1F if ik iE 1E K� if iE �1F iE iF 3E iF iE �E iE IF ii� iE iElf iE if iE IE �E if iF iE-1'r if �1f if iF iF iE Ik 1! 1E iE It iE it-iF lE iE ii iF jE iE iE iE i'r iE iE if it if if� iF iE �k it iF iF lf IF,+��VF iFiF 3f iE # iE K� iF if
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 c 13.T S
ZONING APPROVED BY ;_���� DATE;
BUILDING AFPROVED BY : /% DATE:
APPLICATION ISSUED BY• �/f/ DATE• :'ri%
iEiEMiE3EiFiFifiE�lE�FiFifiFiElElE�E3kitiliEiF'iF .x xst g. ft �r �t i!�fEiflEiflE�i�ifiFiF�iF£iF�F3'c£'iFiF�Y.�if�
iFiE�lFiFff�E�lElflElflFiE�ElEffifkiEfEif�ifffiElffFiFiflE�lE.i'�lfi r xiEiEikfE - K•fF1F 'k1F fflfiFiE1E1FlEif1E1E�f1ElfiEiEiE3E#f!E#iEifiF1ElF#�if��E+ficiF
LEGALIZATION;N F E E S M M ' Y STrZUCTURAL SEGMENT;Y
OWNENBOILDEBOECLABRTION: I�erebyaHirmthatlamexempUromi�eControcmrs'StareL'zenseLawiorthefollowingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
ISec�mn 7037.5 Business ana Pmtesvonal Coae: nny ciry oi coumy wnicn repuires a permit to wnstruct. alter. imprwe. tlemotisn, or P ERM I T 2 9, 0 0 •� , � Q
repair any Slmtture, po0r �o i�s issuante. alm repuire5 ��e applicani �or Sut� permii to lile a SigneE Statement thai tlPlStie is IifRnSeA SM I P/ NpN —R ES
pursuam to ihe pmvisions ot I�e Comractors' Stale License Law (ChaD�er 9(cammencinp wiih Seclion 7000) ol0ivision 3 of the Business VI�AN 1$, 8 r� .
anG Pro�e59on5 CADe) or Ihai hrJsh¢ i5 evem0� lhere�mm ana �he EaSis �Or Ille alleAetl exemplian. Any vioW�ion ol 5¢tlion 7031.5 by jSSUE FEE � '�
any apD�ican� �or a permil SUDIeciS ��e apD���nl to a civJ penalry ol no� moa Ihan five �unCreE tlollars (5500�. �'
HUILDING—DIV—> PERMIT ISSUE 'PliAI3=CHECK TOTAL PAID,�,. DUE
�, as owner o� �he Ompeny or my emp�oyees wi�h wapes as �heir so�e compensation, wi�� tlo the work, antl ��e TOTALS----> 2 9, 5 0 0, � � � i$,$ 5 4 8. 3 5 4 8; 3 5•='`� . 0 0
� slmcWre is nol inten4eA or olleretl for sale (Sectian 70AA, Busineu an0 Pmlessianal fqtle: Tne Coniractors' State License Law
. Ooes noi apply Io an owner o� a pmperty who builEs or impmve5 IAer¢on, an0 wh0 00¢5 Sut� work �imSelV�ersei� or Ihmugh '
nis or ner own emviayees, o�o�roea tnat sucn improvemenis are not intended or onerea ror saie. u, nowever tne buiidino or . RE V ENf.1E D I V I S ION TOTAI,S --> COLL ECTED � 4 8. 3 5 OVfiR /SHOR�1' :�� 0 Q
improvemen� is sold wiihin one year o� complelion, �he owner will have Ihe 6ur0en of proving he/she tlitl not builtl or impmve +�
m�tneou�noseoisaie�. HLDG PMT FLUMBING EI.ECTRIC MECHANiC rIRE SMIP/TOT GRAbPiJG-PLAN—CHECK
29.00 r, ,50 :' ' . 18,85
I, as owner ol Ihe property, am eKclusively coniracting witA Iicense0 contractors to canstruct t�e pmject (Section 7044, Business • �%_/
O antlProlessiansCode: T�eConVacmrs'StateLicenseLawaoesno�apDlytoanownerofproperlywho�wltl5orimprove5ihereon ********�x�*********��****�*�**�** ' �
anA w�o comracts �ar such prajecls vnth a mntractor�s) license pursuant to lhe Cantractars' State License Law�. I am aware �( K' �' �"�"x"1E if"K' aF if' �l' lE if'�f if"1E 3t' % M� aE �f �(� dE iE iE iE 1f !E iFaF fE �ESiF-lE 9F 7P 34 %if 3E # fE 3E iE
thai D��� 01 tneir Worker's Campensation insurznce snoum ne pmviaea ta me. I N D I{,� I 1� U A y j, " F E E B R E A K D O W N � '
� I am ¢xemD� unGe� Section: B. 8 P. C. c ' • �
mnnareawn: TYPE QTY D F. S C R I F T I O N UNIT COST ' �� TOTAL COST
oate: Pnnec
I Eo �ereEy [eriity lhai 1 am aware ol antl untler5iantl ��e requiremCnis ot Cali�omu MeaIIA anG Salery CaGe SecGons 2550.5. 25533. antl
2553< an� Ihal I or any fuiure builCinq acupant vnlVvnll rw� (arcle one) nee0 �a compry vnth uitl staie cotles an0 �he requirements lar a
Oermii lor canslmclion or mo0ilicalian Imm Ihe Nir Ovali�y Manag¢ment DiSiricl. HeSfGen�ial conSVut�ion aOD����ian5 are exempt �mm
ih¢Se prOvi5i0n3.
Date: Applicant: _
1 �ereGy ceriily �hal I �ave reaG tAis apD�ica�ion an0 state �ha� I�e a
oreinances xna Slate laws relaling to builtlino constmctian anC hereby
pmperly lor insp clion urposes.
�ate: Signature:
_Driver's License or Social Security a:
I apree �o comply with all ciry anA coun�y
IDirCRPtoLAteru�anthe ahove-mentioned
Enlorcemem: Canarv—Aoplicam; Pink—Rwenua: GOICenroa—Assessor
,.
SFR 57 RES—CONCRETE BLOCK`WALL / FT, 20.00 �l 1,140.00
END OF FEES
' 1
'/. .
.. '� .lf)1�"14-- ' :.i
1 � � �.ai- . . ... _ : -
♦ �
�
� CONSTRUCTION AND PLANNIA, �L & SPA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
'� t. Temporary Electrical Service'gr Pole 52. Pool & Equipment Location �
2. Soil Pipe-Und�gmd. ' ` 53. Steel Feinforcement
„ 3. Electrical Conduit Utility-Uridrgmd. � 54. Forms
4. Electrical Conduit�Undrgrnd. , 55. Electrical Bonding
5. Steel Reinforeement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. �� 57. APPROVAI TO COVER�GUNITE
7. Footings //c� �, . ��j�(�O1 58. Electrical Conduit�Undrgrnd.
6. Foundation • �6l � 59. Gas Pipe, O Und{grnd., Test �
9. Water Pipe-Undrgrnd. - � �� 60. Backwash Lines, P-Trap, O Undrgmd.
10. Structural Floor SYstem � 61. APPROVAL TO DECK
71. Property Sewer Line & House�Connection . 62. Backwash & ReceptorFinal
12. Sewer Cap ' � %��
63. Heater & Vent•Final
13. Roof Drains � � 64. Plumbing System - Final
14. Rough Plumbing ' r' 65. Electrical�Final
15. Rough Electrica�-Conduit ,� 66. Solar System-Final
16. Rough Electric Wirin9 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. RoOgh Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. DuMs, Ventilac�ng 77. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough & Tesc . 72. Underground F1ush
24. Roof Framing 73. Undergrnd. Srorage Tank O Gas O 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 & Sid�ng 77. FIXED SYSTEM FINAL
29. Insulation " -. 78. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
�
37. Plaster Brown Coat �. . - 79. FINAL INSPECTION
32. Electr(cal Power Meter�Final - 80. FOOD CERTIF�CATE ISSUED
33. Final Electric , Notes: � S_,(�j_ y�
34. Final Heating & Air Conditioning � ' -"^ _"` _ "!/
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. Backf�ow Irrigation .
44. Landscape Ir�igation SYstem �
E-X-P-I-R-E-D
45. Sound Attenuation fl'ICORIp19t .1f1SpECt10115
46. Handicap Regulations _ _ _ � , Q��
47. FWALSTRUCTURE&BUILDING � r -
48. FINAL PLANNING ,
49. Electric Release to Edison
50. Gas Release tp Southern California Gas Co
51. CEflTIFICATE OF OCCUPANCY
No. Date
SPJIOKE DETECTUR
��Q4JII��D
_ STREET
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h.i}wJ: (�Y �O'�i�GLGrL C;� r . � � :�i�
CO(*i ..: JCLi ._ '.:L�O F:• .. � . '' �:, - •-' � " ..p .�.i���
V7HiL'h'iiAUTri^_'.q:t;IC' � -�,.•••:1i���:.C'��t
v�. -_� ' DRl'J'L
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;:P=Ci��L:n,-.NS srinLL r. �,:y�i 6A5"�3 U�:i"rd p�p �
FAOt! THEP; q J":� �.;ic J� :; i �E{�- �- 1= A>!� �
- f"TC.R�CJ.qi;.:'i:.� rp%iacCTiJ;VC�r �:.�if. `.�L
Sf.� ) pi;:� c.
��.. Afv: :,->iCD�I.�./„IOP'S u:! rfJl.i PFC' haik
.d�".f`..,� G?h.t.k�i.U:.;.B:n\.. r,'•, Y�I.7i!1G
C.'.OL^..O:iJt iHi:.pJ': •r•Fr,cuCiV7Nef£UVf!SAW, �
1 r. C:�Y J. GF Oi ki�:'{ piR�.i GR�iN.t, ,'rEN' �
_ nCE GF �
��
SURVEy pF �07 LI1�E
MAY BE RE¢U1RED
F0� 9�SP�CT��iVS
CALL
754-5626
754-5627
G �
\ �
U�
�
� Permit # $ �����
� THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUFSTS
Cement Coping Opuonal --�
Channel Block With 13l8�
Horizontal Top of all
Fences
For Fences 5' or �ess
Vert. Bars 3/8"QS at 4' �0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"¢ at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-75-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATUFiAL GRADE
TWO 3/8"55 9ARS '
CONTINUOUS TOP
& 80TTON7
HORIZSTEEL MUST BE TIEO IN
PLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL
�
w in
�
:�
o .1' o -
A -0 N
e A — �
o � '
�V+IDTH
p SEE CMl
0 BELOW
DL
�--' °--�
6�� CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: p�e Part Plasfic Cement, and
Three Parts Sond
GROUT; One Port Cement Three anU
One Half Paris �and
COPtNG: One Part Cemenl, Three
Poris Sand
CONCRETE: Weil Mixed C2-I/2:3-I/2
Ma:. of 7- I/2 Gollons of
Water Per Sack of Cement
GROUT MAV BE POURED FflOM THE TOP
OF THE FENCE IN CELLS WMERE STEEL
OCCURS.
CELLSAND AREASOF HORIZONTAL REIN�
fOFCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DE9RIS, E7C.
H 0"r E4RTHTCOTH
i/3 iHE HEiGTH OF FENCE
�L�W BO7TOM OF FOGTiNG.
SCALE: I/2�� = I�
WIDTH. . . . 14'� . . . . . . . . . . .14" . . . 12��. . 12��
... ..
THICKNESS . . . . . . 10��. . . . . . . . . . . .10" . . . . . . . . . . . g". 8 ��
DEPTH OF EARTHTOOTH .. . 24" 20" . 16". ... 12"
SPACING Of EARTHTOOTH. . 12' 14� ... 16'. .... 16�
City of Costa Mesa, California
Building Department
" :=ev;�en Nov. e:.
,
� ��� iy,,�2
STATE OF CALIFORNIA }ss. �
COUNTY OF /)j�Qi¢�✓%l"�' } �'
On r�iAlGy 3� ��'1 �%}- beloHre,�me, 5�,(JZL�/ �G . jk��%if7.(�:J�/LO/✓�—
personally appeared /✓IJ/Z/ 0 �%i�-i`.S�.C�/JZ✓/a—
personally known to me (or proved
to me on the basis o1 satisfactory evidence) Io be the eison ) whos ame ,�7f are substribed to !he within
instmment and acknowledged lo me th�e hefthey execmed I�e same i hi er/their authorized paci ies�.
and that by�/her/Iheir s' natur s) on the instrument th rso '
OFFICIAL SEAL
per n(s) acted, ezecutetl the inswment. "' SALLY E. ARMSTRONG
;, � Notary Publlc-Calitomla
ORANGECOUMV
WITNESS my hanC and otlicial seal. • My COmMslon E�cplrw
Aprll29, 1494
Signature
(This nwn lor otllcial notarial seaq
�
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this third
February, 1992 , by and between%. Norio Matsukawa
hereinafter referred to as "LANDOWNER;' and Alvin M. Yost
hereinafter referred to as "ADJACENT PROPERTY OWNER:'
It is hereby agreed that a party wall will be constructed on the property line
between 980 Denver Drive and .
(Address ot Adjoining Properties)
979 Paularino Avenue
day of
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book , Page of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered
year first above written.
ADJACENT
Nor10 Matsukawa
ime (Typed or Printed)
or
OWNER
D,S�
980 Denver Drlve L�� P/�f1r�y/�/�l0 f� (J�
� (Address) (Address)
C� • !/''�'� Cf1- % 2� 2=6
NOTARIZATION REQUIRED
e
PflOJECTAOUNE$5: 98O DENVER DR
OWNEN'SNAME: MATSUKAWA NORIO
aooeess: 980 DENVE{2 DR
COSTA MESA,CA
ABCHIENGMEEN: 5 5 7-7 4 3 4
'� RDOHE55:
uNir:
92626
PEG.NO.:
UNIT:
PEPMITTEE: ACTION FIRST ROOF CARE
� A�DHESS: � R 3 S Z GOTHARD ST
LICENSED CONTBpCTOP OECIAflFTION: I hereby aHirm Iha� I am
7000) oi Orvision 3 0l I�e Business and Pm�essions Coae, antl my I
ciTvuc.:045135 STATELIC'SOZ9OO
�ale: _ �T' /��] , SignaNre: _
WONN ' COM NSqTON DECLAPATION: I hereby allirm ��at I h
Compensatmn Insurance. or a cerliheA copy ihereaf �Seclion 3800�
roucvxo.: 1042000-91 E%P.DA`
COMPRNY: STATE FUND�1,�
❑ Certifietl capy i5 hereUy furnis�ed. yy�.ertilietl copy i5 �iled
a c€ni t ol consenl �o
C).
,09/01l.�2
�he city
(714)841-7663
(commencing wi�h Section
ora cenificale ofworkers'
Oale �� � ApDlican�:
E%EM IONFAOMWOPKEHS'COMPENSATIONOECIABRTION: (ThiS ctionn tl otbecam01ele0ifUepermi�i5foronehunerea�E100�ar1e55�.
I cetli�y tha� in Ihe pedormance of Ine work �ar which Ihis permi 5 issuetl, I II nol employ any person in any manner so as to become
sublecl lo �he Workers' ComOensatian Laws of Califomia.
Oa�e'. Signature:
NOTICE: Ii. alier making �his Oeclaration, you shoula become SuDlect �o ��e Workers' Compensation provisions at Ihe La6or
Code. you musl fotlhwiih comply with such pmvisions ar Ihis permi� 5hall be deeme0 revoke0.
CONSTflUCTION LENOING AGENCY: I hereby a��irm tltat Ihere is a constmctian lending agency lor ihe petlormance ol Ihe work lor
whictl Ihis permrt is issued �Sec�ian 3097. Cia C).
LENOEH:
POOHFSS:
OWNEP BWLOEF OECLAHATION: I �ere�y aifirm �ha� I am exemp� hom ��e Conlracbrs' S�a�e License Law br Ihe following reason
(Section 7037.5 Business antl Pmiessional Code: Any ciry of coun�y which requires a permii lo cans�mc�, alter, impmve, demolish, or
repair any stmc�ure, prior to its issuance, also requires ��e applican� lor 5uc� permit �o lile a signea stalement tha� he/she is licensed
pursuamloihe pmvisions olNe Conlrac�ors' S�ate license Law�Chapter9�commencing wi�h Section 7000) of0ivision 3 o�lhe Business
anA Pro�essions CoOe) or I�at he/she is exempt ��erefmm and Ihe basis for Ihe allegetl exemp�ion. Any viola�ion ol Section 7031.5 Gy
any applicanl for a permit sublects Ihe applican� ta a civil penally oi not more ihan �ive hundred Aollars (5500).
I, as owne� ol the pmpetly or my employees wilh wages as Iheir 5ole comDenSaiion, will tlo the work, and �he
❑ slmclure is not imentled or oHeretl br sale (Section 7044. Busness and Pmlessional Code: The ConVactors' S�ate License Law
doe5 no� apply�o an owner ot a D�OpetlY who builtls OrimD�OveS ��ereon, antl who doe5 5uch wofk himSelVhersel� orthmugh
his or �er own employees, pmvided i�a� such impmvement5 are nol in�entletl or ollered for sale. 1�, however I�e buiitling or
impmvemeni is soltl wiihin one year of completion, �he awner will have Ihe bur0en o� pmving helshe Oid no� 6ui10 or improve
for the purpose ol sale).
I, as owner o� the pmperry, am exclusively canVac�ing wilh Iicense0 comracmrs m constmcl the prole�� (Section 7044, Business
❑ an0 Pmlessions Code: The Coniractors' Siale License Law Ooes not apply to an owner o� pmpeM who builtls or impmves �hereon
and who conlracls br such pmjecis wilh a contrac�or(s) license pursuanl �o ��e Contractors Slaie License Law�.l am aware
�ha� pmol of Ih¢ir WorkeYs Compensalion insurance shauld he pmvide0 �o me.
� I am exemp� under Seciion: 6. 8 P. C.
for �his reason:
�a�e: Owner.
I tlo �ere0y cemty I�al I am aware o� an0 underslan0 Ihe reQuiremems o� Califomia Health antl Sa�ely Coae Sections 25505, 25533, antl
25534 antl thai I or any luture builaing accupanl will/will nal (circle one) neetl lo comply wi�� said slate cotles and �he requiremenis �or a
permil lar cons�mction ar modilicalion �mm the Nir Ouality Managemenl �isiricl. flesitlential core�mc�ion applica�ions are eKempi tmm
Ihese pmvisions.
Oate: Fpplicanl: _
I hCrC6y C2��i�y�hai I hav¢ r2d���is applitd�i0n ana.stale Ibd� IhP
ordinanas and 9a�ela:vs relaiing�o builtling consieiiclion antl heBl
pmpmty ig� n�an p ose� 5, �
ome _f, ignaiure: _
:h all cily antl unry
lhea6ove- nlionetl
orive/�iiLensr.�So�ai�5ecuritya� `�
16at�46 Whne—Builtling�, Green—Cotle Enlarcement; Canary—HpplicanL Pmk—Fevenoe; Goltlenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05501
PERMIT NO: B 055018 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOH DESCRIPTION : RE—SHEATH S RE—ROOF/1/2" CDX 6 COMP SHIN SQ FT: q,200
CLAIM VALUE; 4,200.00 CALC—VALUE: 4,200.00 GROUP OCC: R-3 /M-1
COMMENTS: REAOOF 2100SF
Z O N I N G R E Q U T A E M E N 1�3�IV�C VC 1 C_l.i I LJ'•�1
seTBacxs [���Ip
------------ MAIN BUILDING ---------- --------- ACCESSORY �D'I71G17� �-----
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; 41808122 ZNE: REF NO;
PLANNING Nt5TE5> •
>
*��r�*�e�r�***�r�r*��r�******�r�r*x*�r******��r�*�r**�*+��e**+�**�+�*+��r**�r�*****����**�*��e**�r�r
D E V E,L O P M E N T 5 E R V I C E S R E Q U I R E M E N,T S
ZONING APPROVED BY DATE: c..
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY; DATE; !.:�
ik3Eif�EjfiEiflElElElf�EikitifiElFiElf�iEiElEiFiFiE�FiFiF'iFiF'iFiF'�f'iF'iE7FiF�FififiF'if if'{F��iFifikitifiEikif�FiFiFiF iFif
iF iE fE iF 1E 1F IF 1E IF 1E k 1F iFlE IF IF 1E iE iE iE iE 1F if 1E IE if IE �F iE IF 1E if 3E IE iE �E 3F aE If iE �E iE if iE iF if it if k if iF k iE ik it if if if iF �E �E i! �E jF iF iF M if iF IE �f 3E �t iF it if 3E k it
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
>
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES: GRADZNG
PERMIT 72,00 50;.
SMZP/NON—RES
ISSUE FEE 'f �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 0.00 0,00 72.50 72.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 72.50 OVER/SHORT: �� ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING �LAN—CHECK
%2,�� ,S� 1�' .
!f 3f iF iF �E iE if if iE iF ik 3F i4 iE iF if iF ik �F 3F if if �E if iE iF if iE if iF MiF iF iF �f �E if iF if IE K iF �F K�f if iF 3t if iE �F 3f �Fif if iF k iF if iE iE if if �f iE iE �F if if M iF if �f M iF iF 1E �lE iF
I N D I V Z D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST T'OTAL COST
SFR 4200 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1.00 � 4,200.00
ni ^c�c��ne-�_��ozaav �� x� . . �
.�A?E: i,1/1'�q2 `Ti!�: 1;a1'
CONSTRUCTIOfU �ND PLANNING POOI ,PA
APPROVA�d Permit # -- Date Inspector AppROVALS Permir # Date Inspector
- ,' �'
. 1. Yemporary Electrical Servi��or Pole_.� • 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. . �^.it - 53. Steel Reinforcement �
1 r. .+<
,�3�,E��tric�l Conduj{Uiility-Undrgmdory . 54. Forms ' /�
o9"Blettrital Cond�t Wndrgmd. i� ' 55. Electrical Bonding
�,
�r1,Z,��l fi'Einforce�e.�t���`, • "e� 56. Rough Plumbing & Pressure Test '�
= 6%: lqctrical UFER �tg`d. c 57. APPROVAI TO COVER-GUNITE c
-�Fy;Footings �"�;�= � , 58. Electrical Conduit-Undrgrnd.
�r 8; Foundation ���� . � . 59. Gas Pipe, � Undrgrnd., Test `'
d
9. Water Pipe-UndFqrnd. •�� _� 60. Backwash Lines, P-Trap, O Undrgrnd. - �,a�
10. Structural FloorjSYstem �, � no. �- 61. APPROVAL TO DECK
11. P�operty SewerttinC'& Ho�s�CoAneetion 62. Backwash & Receptor-Final
>� .r i �
12. S�ver Cap �, � � �� 63. Heater & Vent-Final =
73. Roof Drains I 64. Plumbing System - Final
14. Rough Plumbirlg; '`r.+� � 65. Electrical-Final
15. Rough Elect�ic -Conduit � 66. So1ar System-FinaV
16. Rough Electric�Pliring '� 67. Fencing & Access Approval
17. Reugh Wiring S'y�pn . 68. APPROVED FOR PLASTERING
18. Rough Electric6wT Bar Ceiling� 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '
- cY � a .-- c; r�
20.I�Ro�h R%cto^ FQZeplace � tr:tT� <C': -x O ;� �'> !� !77,ppRONRL'87���ermit # '' 'N �r
� ,r n• .. .^a T r '+:,-�'_ :«
� _ . ._ I r-i� FS . �-t : '7'! t SJ �S �' ? V7
21.:pu�ts, inStr�ctu�ey, �.... ��S S 7:�� *- 0. � ndergwt�ct�Hy�ro �
22�Duc�,�ldntil0tin�-.r. i ;S s S�C��r'-�, producQ'Ai�ingQY�9s O�OiI
,� i� n .r c..m ,�
23:,j��asi'Pipe`fiough&'Y�est j r,�jS w�r :, ��fi t'�/2• Under ro�nc�Flu�'sh.,`��, ' '" '
a O x� :n 9 a ,�� �
24..zRoa� framing ;r sz t i- - �� �> O'i' i'� . 3 WJndergmti` Stora� � k�7 Gas. O C31
25. RoOF,SF�athing ;.,.� �: '� /�r�/ ��� 4rQverhead�iydro��`� *
� �i�-�
26r7�Bat Ceiling (Struaural) &�lonocoat :� �D j Cnt'r� 75.'.�-D^ry Chemical : w'- ^ r.'
27.�ra e a FI shi �•�x � * `D "` � 76'�bfy Stan r `� 2• 'k ``�' o� 'x
� � .� CY.t ..hcs:4: :I t7' v 2�M %Y �f?� H�17 r '�
�S. La(�ing'� Sid.ingn7:c ca �^_�t:i: � K � ••'� � 77.a'FIXED �N3TENUr57NALF ' '.
ry • I1 ••I • I
�y •• •• r� F N �F a .' I.C�
�29. Insulati� � y� s .. t �y y 78�FIRE PREV. Flyq� �r . � �,
tr30. Drywall�NaiNng �r �J w I � ro� +-� MfALTHAEPT-�FFEQI�lJR�MENT
ri_,- + �-�
•' 1. Plaster B�ow� Coat,'q � � �ri� Y I � i .': y.,79rFINAL If�P�CTIf�JV *� T�
•• x �-�
�32_-£Iectrical;Pov¢er MeieP,Finali Y[L, r a,r90.�¢OOD C��TIF4C.tN'E IS6UED� ��
?�3.�ir� Elkctric :i in � d k� I M. ��•Not�'e,s: =� 7 n ,� ... � t�?��7
`,L�'ii4., Final HeStinq'& Air,Conditio(�ing� �y � ± I ,f. , ,,`�Y .5 :tx � ' S � �7
,
35:;,Fine1 Ga5 PiP4•Test� �S�T � .* H 'R r '^--� x�� s�
+' � Y . ;:c :�r x. :-.T'
Y "
,y,36: HoFf1 oECanoPY M � i [r : ..�. < c� I � �x � - a: nc � �z � ¢.^
37:�in�) Fa tOry FireP.�aCC^ . SM :+? 'k M � {� �* ^ x [n .
� x � F�- •� ;. I �k r Y :K CJ
�38. Finp} Plu(nbin9 ��;, i•• •. �-+ �' I I f� S t c:• C
.'39. Wai€r SeFvice�Final�' � � � x �` :� V Kn � a �-
�� r Y l:: I YT V7 a S
:;{30. Gas Ser+Li�e��nal .� �., ,,�trh• S x n7 � � �» p�, vN • .
S-At. Soiar pomesticFinalS �� ^ �r C' �* `t'� l +�
�> rn v .. t ;,� -7o t z o
�"'42r=8ackfloi�Preventers ��� ;� � � � a. q �;. . � �7 ,..d
�'
43. Backflow Irr�ationx � ���=�5 � r � � � 'x�- o ° =, � "
:+ �x + � v � M n
'J .Y. �.0 Q �e :i. F. .r JF ry , .
i.f14. Landsca�;e If�ipatiot? SYstemam�� �S x;q ^v 7'v'�+ f x [� N '.r^;� w N o
F.A5��Sound Atteiivation w�;E-- ?" .�' � - F F:s r= �� C:i cK,; ,.^
.:$o .�.. �. 'tt D7:s 'Y -• T lT .r . c
, � . �. .. .. ': . .
r� � ^r S :k �q • • . . . � . r+ • i �
?46:,Nandicap Regulatiops .,., , -� -y ., � r� :Y p� - ,
4
47.�IfrtAL STRU1CTUf3E�& BUrLDING /�.��.� �W�(_t - t^�o:t �^ +' � GQ`�
, , v ( v - i �:�,� l
n• �r I tr�r w e.T l� J. i• r
48:�fIPY�ALPI.ANNING� , [-t-� i. v ( • �x ' , .e �t + i
V \t
�49 _•Ele�tric Release to Edison �� � � �!� ^ s ti i '7 a
�• .. , � r >- C o.n a. t. -
".50.RGas.yRel�se �p Souttiern Cali�y��ia Gas Co .; � � (� , � ,., ,�, . ;�p, ;,. ,� .
�51. CER7IFICATE OF,OCCUP NCY � ,� y ;� ,-o T ; F_;
No. Date
CITY OF COSTA MESA �.
BUILDING DIVISION ��
ROOF COVERING CERTIFICATION
Property Address
Owner /v Q � ( O I' \ � \
Contractor O i✓ h 1�.i � �
i
State Contractor License Number SZ% Z 9�
� �
Pewmit No. �_� ��� 1 �
�
Classification C-3�
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:
❑ Owner of sole proprietorship company
❑ Fuli partner of the company
❑ Limited partner of the company
❑+ Officer of the corporation
I certiry 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 submittai of form to the Building
Division for acceptance.
Received by Building Division
ey:
��I�(� I
Initial Date—�
0990.a8 W�ite-Builaing Oiv.; Cenary-Comraciw; PinkOwner
,�`�%l%/1I �%� �' T�� h- LN
�j Company or Gorporate Name
� U � �Z- � � �--f1�.A
� 3 �d,as= �
-b � �
ign ture Date
Printed or Iyped name
�,
,� � �• � . , �
', . � .
�
9
�.�r �
PflOJECT AOOflESS: 9 g O D ENVER DR
owxee s r+nme: MATSUKAWA NOR I O
aooness:980 DENVE{Z DR
COSTA MESA,CA
FflCNIENGINEEH:
ADOflE55:
UNIT:
92626
Aec.No.:
IINIT:
resmirrec:NORIO MATSUKAWA ( 714 ) 557-7434
aooeEss: 980 DENVER DR
COSTA MESA CA 92626
LILENSEO CONTFACTOF OECIAFlPiION: I hereby atfirm ��at I am licensetl unUer pmvisions oi Chapler 9(commencing with Seclion
7000� ol DiN�sion 3 oi Ihe Business and Protessions CoOe, antl my license is in lull torce antl et�ec�.
CITV LIC.: S7ATE LIC.: ClASS:
�ate: Signa�ure:
WOflREBS' COMPENSATION DECLAPATION: I hereby ailirm ��a� I have a certificate of consen� to self�insure or a ceni�icale ot Workers'
Compensa�ion Insurance. or a cerlilied copY �hereol �Section 3800. Lab. C�.
POLICY NO.: E%P. DPTE:
COMPANY:
� Cer�ihetl copY is hereby fumishetl. ❑ Cerii�ietl copy is �iled wi�� Ihe city Builtling Division.
Date'. AOOlicanl:
E%EMPTIONFflOMWOBHEHS'LOMPENSATION�ECIAFPTION: Qhis5eclionnee0natbecomple�eAillheOermAi5loronehuntlretl�5100�orles5�.
I ceriify Inal in I�e petlormanre o� ihe work �or which �his per i ssuetl, I)�all not e lo any person in any m ner 5o as l0 6ecome
su�lect to Ihe orker ' Compensalion Laws of Calitamia
�aie: Signaiure
' NOTICE: I, alter making ihis �eclaration, you sh Id become subject to �he orkers' Compen5aiion provisio of t�e La�ar
Coae. you must fart�wi�A comDly wilh such pmmsions or ��is permi� shall be deemed revokee.
CONSTflUCTION LEN�MG AGENCY: I �ereby al�irm �hat I�ere is a constmc�ian IenOing agency for �he peRormance al t�e wark lor
whicn this permit is issued (Seclion 3097. Civ. C).
LENOEH:
aooRess:
OWNEB BUILOEN OECLABATION: I here�y allirm Ihai I am exemp� �mm �he Conlraciors' State License Law tor I�e following reason
(Sec�ion 7031.5 6usiness and Pmfessional Catle: Any cily of county which repuires a permii to construct, al�er, impmve, tlemolish, ar
repair any slmciure. prior �o iis issuance, also re0uires ��e apPlicanl for such Oe�mi� to hle a signed sla�emeni Iha� he/she is licensed
pursuani�olhe pmvisions olihe Cantractors' S�aie License Law�Chap�er9�commencing wilh Sectian 7000) o�0ivision 3 otlhe Business
antl Pmfessions Cotle� or Ihal he/she is exempl Iherefmm anU �he �asis �or the allegeA ezemption. Any violation oi Sec�ion 7031.5 by
any apPlican� far a permii sublecls t�e apPlicanl Io a civil penalry of no� more Ihan live hun4re0 tlollars �E500).
I, as owner ol Ihe pmperty or my employees with wages as �heir sole compensa�ion, will do Ihe work, ana I�e
❑ simcWre is noi inieneetl or offered �or sale (Section 7044, Busmess and Pmtessional CoOe: TAe Contracmrs' Staie License Law
tloes nol appty to an owner o( a pmpeny who huilOs or improves �hereon, and who tloes su[� work himselV�erselt or �hmugh
his or �er own employees, Dmvidetl thal such imD�ovemenls are no� in�entled or oifered �or sale. Ii, however Ihe builtling or
impmvemen� is soltl within one year ot camplelion. Ihe owner will have Ihe burtlen of pmving he/she ditl not builtl or impmve
lor Ihe Durpose ol sale).
v-, I, as owner ol ihe propeny, am exclusivel9 conirac�ing with licensetl conlraclor5 io cons�mc� �he pmlec� (Sec�ion 7044, Business
2J antl Pmiessions Coae: T�e Contractors' Slaie license Law tloes na� apply to an owner ol properry who builds or impmves ihereon
antl who conVac�s br such pmlecls wilh a conlroctor(5)license pursuanl �o I�e Conlracbrs' Sta�e License Law�. I am aware
Ihat pmot ol l�eir Worker's Compensalion insuronce shoultl be pmvitled to me.
� I am exempt un0er Sectian'. B. 8 P.�./ ^ �� `L ,
lof IhiS r/d50n:_ ��
^ I Oaie'.
I tlo here�y cenity Ihal I am aware of and unders�antl �he reauiremems ai Cali�amia Heal�h ana Satery Code Sections 25505, 25533, and'
25534 andthal larany Iuiure builAing occupani will/will not (circle one) need to comply wilh saitl state codes and ihe reQuiremen�s�or a.
permii for cansimction or modi�icalion imm the Air �ualily Management Oislric�. flesitlen�ial conslmciion applica�ions are exemp� Irom
�hese pmvisions.
Da�e. ApplicanP.
I here�y cerliiy Ihai I �ave reatl Ihis applicalian antl siale Ihal Ihe aboveinformalion is mrrecL I agree b comply wii� all ci�y and couniy
mtllnancesana5ia�elawsrelatinglobuildingconsirucbo n erebyauthorizerepre5enlabve5o�ihlsciiyloen�eruponlheabovementioned
pm0eny lar nspection Omposes
Oale: _� L{_� (.�_._ Sig iu .
Driver's License o� Socia� Secunry a:
t64L46 Whi�e—Builtling: Green—Cotle EnlorcemenL Canary—ApplicanL Pink—Revenue: Goltlenrod—Assessor
CITY OF COSTA MESA — BUIT,DING PERMIT PERM iJO; IB 062481
PERMIT NO; IH 062481 PLAN CHECK NO: N GO T; N S ,
CONSTRUCTION TYPE: 5—N PERMIT TYPE; OTH STR PURPOSE; OTH
JOB DESCRIPTION : RENEWAL FOR EXPIRED BLOCR WALL PERMIT SQ FT;
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: REPLACES ORIGINAL EXPIRED PERMIT B56047 BY "MANCHESTER HUILDERS"
�t**�t*�t�t�t��t*�e�rx �*�t**�t*****�t*�r�r*�t*��r*�t�r�r�r�t**�t�e�t*�r**�t�t�t�t�t**+t�t�t*�t*****�tx ***��r*�r�*�t*
Z O N I N G R E Q U I R E M E N T S
sErBAcxs
------------ 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 REp • PROV• PARCEL; 41808122 ZNE• R1 REF NO;
PLANNING NiSTES> 6 FOOT HIGH BLOCK WALL ALONG REAR < 57 FEET) PROPERTY LINE.
> LOCATED INSIDE OF THE PROPERTY LINE.
*�r*�e***�r�e*�r*+��r�r+��r***r*�e*�r�r*�e*�e*�r�r***�r***��r+r�e+r**�r**�r�r*�r��r+r�r***�r�r**+�*�*�r*****��**
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E NlT S
,f
ZONING APPROVED BY DATE: --t"
BUILDING APPROVED BY : DATE: �%
APPLICATION ISSUED BY; t�-�� 'F��;F���A�� DATE: �o� Q3
if�kiFiFifiEifiEiElkiEifiFlFikiFitlkiFiEiFM �fffilkiFiFlEikif�E ilif
iFiFkiFikiFitiklElflflfif�fitlEiFk�FifiF�f�IFiFikifiFiFkiFikififkkififlfiflflf�flfiflfi �FifffltiFiFif�EifiF�flfiEiFikifiFifiFkiFiF�FiEiFiflFiFiFlfiEiF
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 30,00
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 30,00 0.00 0.00 30.00 30.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 30.00 OVER/SHORT: 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
30.00
if �F �t ik iF iE �f if it 1f if 1F iE �f k iE iE iE iE if iflf if if i! iF if iF M if iF ik ik 1likif if ikM iklE iE iF iE IE1F M�tlF iF i! if ik ikif iflf M 1fltlE iE1ElE iF if if 1F 1f 3F iE iF iE if K 1E ik iE if
I N D I V I D D A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
INS 1 BUILDING RE—INSPECTION FEE 30.00 30.00
END OF FEES
Di OD140459-00140459 TrJ T 30,OD
DATE: D6/04/93 TIHE: 13:33
CONSTRUCTlON ANDPLANNING
� APPROVALS Permit �k Date
7. 7emporary E(ectrical Service or Pole
2, SoFI Pipe-Untirgrnt�:
� 3.'Electrical CondU�lit�hty-Undrgmd.
"A.-Etetirical Condu`ii�t7ndrqrnd.
6. Etectrical UF�R�Gfnd.
� j.. �ootings
',8. Foundaiion 'r'� ` r
�-'-i-+
9. Water Pipe�Undrgmd. .
70. Structural Flcor System � ;`
i 1. Pcope: ty Sewer Li�e & House Connection �
12. Sewer Gap ,_. �
�i
73. Roof Drains _ � . t �
� V
14. Rough Piumb+ng � �
i6. Rough Electr�cal-Condult
i6. RougF. ElectricWiring
17. Rouyh W:ring$ign `
18. Rough Eiectric`B�-T Bar Ceii�ng %�
79. ftough Hzaung & A�r Conditionmg
lnspector
.:� C• f- x �.- -� ': •• l�._�_x .c
_'�_�'.. � .r .� . r r�. 1 ". a` X .t Y '. 7 � � Y �" �
20. Ro�gh.�actq'Y �r�P!ace . S T �4 � s r` r,.,F =, i�APP�V�:Sr�.Pe��iit �. :�
t.�r,'y^ �.Y-�-�.=_ r{-s. '
27�. Dutts, ia Str'uctc�'e= ��•• •- c< •� � _� -�� '• 70. t7ndergideln� t;y�7�o R
- c�.. x `>?c�, :K
22 D �ets. VenTt�atipa � � �'",�-. � ` � K T � � r�`P, �
1 4 �., i �! '-�-. 71. Produc:f Ping as .y,0ii
�-----.-. t .T"-:- _'3--->-""..-s.
23 �Gas Pipe�Rongh &dest � �rs r ,T _ '� � 72, Undergrdlrt6 Fids.�'- � �'
�Y ���I���1 X ' I[ F� J \_j�C__ � �} �
-. �t I P . _ :c � Lt T x ,: , �iT�.•
24_ Radf PX�ming ,_ - - x' .� �: .; ., .7�. Undargn5d. Stoi�{Ynynk_�„''-'�, Gas C, Ui!
---�c-y� , r
25. Roof S�Seathin9�K -C '�' x �- > t" � 74; �verhead HydrF? '
26.-T�Bar Ceiling �51Ei+Ztural� &Sf��.pcoax�" _;. G j r�� 75��Dry Cher.�ical �.j ' = �
� � -�t=t?�-^"� _S_. -
27:Frame �d FlasMirhj -;,s j � r_* -'.: x l6. Dry Stast�j�:.�e �- �� x -
- - ' -�c-a " ` --
�28. L2$�in},&Sidin�:�`,,�Q `�:+' L" 'x`''' '�# S 7i.� FIXED�)',=�7GRj;{7'INA�r, f�. q
�29. Insuiat�n >> ` S �. •� • .- � * � � �� � 78: FIRE PREV. FhVJSL ��
30. Dry�a�ail Nailing `�Y , ''� K �.� _; ., � :F�,i�ALTf-�PEP'�.�iEQUIREMENT
.37. Plastcr��roWe� Coai� , � � _ ' �c I< . � 7�. FINAL {lS3PECTlON y � T i�
_ .. . =.r ..�- ,.
32. ElectriGal Ppr+er`A�tet:Fina� �z �'� y;� r�80'r"OOD CERTIFYi`ATE ��"a�ED, ��
._ t � � � i : ,: � _"I�-x� 5 _-�-�_ �-
. 33. Final Electrie = x r � � j' � �= M N6tes: - --? �: _ .'n
C � kC'
�"3G. Final Heating &Ai� Canditibdirij ' � r J x" ^ `� ~ ^ - �-• -
. n � � - 2 x
�_.. �. J w i _ s � _�.'_J,: iT�_Y"'_
, 35. F�nai Gas Pipe T�st. ;. .�, a: � �.: . n x � T
... _- "-�-- �---
-36. Hood o.%CanoPY- " � _ �' ,: `� ��I` "
i �7 C� 'p �C� : ' e C '. _ _ :.
r t. C ' - i ' -.. .. . �1 . r. a �.
-37. Finai Factory FireA�ac� i�'� �, �< � y
- `---.;--f�-�:�..�..�sE..: ��'.-- - x-=-
r38. Fina�Pf�mbing =" � '' -r-^
�.x_n c,^r{ x �
� 39. tVater Service-Fina� � , `' ��_ � ,i �
: r
_ � .. :�. # � _r�
40. GdSSerstCe-Fin3Fx: ,- t T,r x r � t'..
r .c �
41. Sola� Qemesctc-�.ir�af '� t' r` I `
�
42. Backf�ow Prevenier� ��:n � x
: /� T. � K
A3. 9ackflow IrilgaY{Di� y,�''' �'- F �.
r A4, i�andsca:oe tttigatibn Systef�:':� z"' t;'" �' '
�. � r � •. X
A5. Sound (},ttenua't�}i "�-; ' �' y - -x'
'n �n , .
�46. Nandicap Reguldtinns ,� �r > ` �
47. FINAL 5TRi1C137'RE & BU'iLDING " f�� 3� ' tt
_ w i.
4$.�FINALPLANNtt�i� � - ^ � �1� �
-.. Y � j.<��.�
- 49. Electric RelEaseio'Edison � ^ : ' }'�� �
`50.-Gas_RelzasetoSouthernCaliforrtiaGasCo � i ?li'�
� -.<
�� rFaTiF�rn-rGnF.nrriiaaNrv •s:
FOOi ;PA
APPROVALS Permit;'�
52, Ppo! & Equfpment Location
53. Stee! Reinforcement
54. Forms
55. Electricai Bonding
56. Rough Plumbirg & Pressure Test
57. APPROVALTOCOl'ER-GU�lITE
58. Eloctrical Conduit�Undrgrnd.
59. Gas Pipe, l.7 Urtlrgrnd., Tes[
60. Backw�sh Lines, P�Trap, Cl Undreu�.
61. APPROVAL TO UECK �
62. Sackwash & Receptor�Final � '
63. Heater & VenbFinai -
&4. Plumbing System � P�na7 '" .
05. Eleccricai�Final �.-�'%
' <s-
66. Soi2r SYstem�Final '
`' ;,
�_
67. Fencing & Access At�P�uval :y\
68. APPROVED FOR PLASTERING ��
's'.
69. POQUSPASYS?C'v1SFINAI � �
F�p ED,EPT.,�EQUIREMENT�T
!." �J' '" n
Date Inspector �
Date
� �� , n �•7
�`_ . .A _,T�
L � -
•-j - - 3 .0
.c
i�. -;.r-- ;-:•--
�� �:� _
.-J y' . J
-7
-_�
�
Permit �# Z'!3 � 2 Y S/
THIS NUMBER MUST ACCOMPANY
ALL INSPECTION REQUESTS
AF'PROVED
City of Costa Mesa Building Dept.
� DATE�/y ,9 /3
THESE PLANS MUST BE ON JQB AT ALL TIMES MAKE
NO CNANGES WITHOUT PnIOR /+PPROVkL OF DEPT.
THE ISSWNCE OF GRAN7ING OF A PEAMIT OA APPROVAL OF
PLANS AND 9PECIFICATIONS Sft LL CCi 9E CQNSTRUED TO BE A
PEFMR FOfl, OR AN APPROVA OF, dNY V(.^.L TION OF A�fY Of
THEPROVISIONSOFTHISCOO[ NOPERlAITPR Sl!�1WG70GIVE
AUTHORITV TO VIOLATE OR C�10EL 1H[ PR 1510�5 OF THIS
CODE SHALL BE VA�ID f%CEP7 J SO FAR AS T'.'^
WHICHITAUTNOfi2F.515lAWF .
THE ISSUANCE OF A PEf 611T BASED U N PLANS AND
SPECIFlCATIONS SNAII NOT P IEVENT TNE 8 ILDING CFFICIAL
FROM THGR[AFTER FEOUIRING �HE CORFEGTI �N OF ERRORS IN
SAID PLANS AND SPECIFICA71ON5 OR FA M{ i
BUILDING OPERATIONS BEING G�ARRIC:U ON T}I :REU JDFI7 WHFN
IN VIOLAifON Of iHIS CODE O(� OF ANY OTH OA IINANCE OF
illE CITY. �
AUID[IK[
NI
����
ADDI710N3, DELET10idS, O(i CO^I�ECTIO?;S SFlALL
8E APPROVEf) BY T�i� PL,4;!I'GiG DcPH���.;�;;i
�o �i��% L.7..i --
�aR �����craa�s�
=1- � 9i8 i9�
Al'PR��� �"
CRY OF �OSTq MESA r
P1�WNING DEPi.
aRll�7 t0 8[pC. DFpT. RIG
� DATE._G_/y/ry�
•�.ero, ar �,�Ho
CAtI
754-562h
or �O"f`�" 6t�q� [�(oC��i.�ii�
75�-5627 �
_ � � ��9.
N[61D[NCf
Jr' � /
IIElID[MC[
%£j� ,(��VIVC�r �r.
�-:�.:z� �
R[i10tMtt
tl�
►.
W
W
Q
�
N
�
Cement Coping Opt�onal --
Channel Block With 13/8�
Horizo�tal Top of all
Fences
For Fences 5' or Less
Vert. Bars 3/8"' ¢ at 4' -0" O.C.
For Fences Higher Than 5'
Ven.Bars 3/8"� at 32" O.C.
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Co�form to Sec.A�1539
A.S.T.M.
AllSteelto be Lapped
24" or to Code
NATURALGRADE
TWO 3/8"d BARS
CONTINUOUS TOP
& BOTTOM
HOR7ZSTEEL MUS7 BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL
i
0
a x
LL H
u
r w
� _
a
>Z
a
s �0
on
D '
� WIDTH
� SEE CHP
7 BELOW
D' L
6�� CONCRETE BLOCK FENCE
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: p�g part Plasfic Cement, and
Three Parts Sand
GROUT: One Port Cement Three and
One Half Parts �and
COPING: One Pa�t Cement, Three
Parts Sand
CONCRETE: WQII Mixed 1:2-I/2:3-I/2
MaY. of 7- I/2 Gallens of
Y�afar Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREASOF HORIZONTAL REIN�
FORCEMEN7 SHALL BE CIEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
H OF E4RTHTCOTH
V9 THE HEIGTH OF FENCE
�LOW BOTTOM OF FOGT�NG
SCALE: I/2��= I�
WIOTH . . . 14�� . . . . . . . . . . .14�� . . . 12��. . 12��
THICKNESS 10��. . . . . . . . . . . .10�� . . . . . . . . . . . 8". 8 ��
DEPTH OF EARTHTOOTH . . . 24� . . . . 20�� . . 16��. . . . 12��
SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14� . . . . . 16'. . 16'
City of Costa Mesa,
Building Departmenl
k��'�15ED NOV•6«
California
. • 23��q
COSTA MESA BUILDING-SAFEtY DEPARTMEM'
P.O. BOI91] C09TA MHBA, CALIROpN1A
For Applicant to Fill In Complefely
TYPE OR PR1NT
eui�o�na a U = ✓ _-• /iR
wooaess
COSTA MESA. CALIFORNIA �
■ ARCHITEGT
L10. NO. G N. J - JJ J^
J �� NO. OP BLDOO.
OF LOT S�� �/ D b I NOW ON LOT L
USE OF
EXISTING BLDG.
9ETBACK LIN! FROM /�(�
CENTEH OP BTR6ET .} rJ� REAR YARD �
SIDBYARDI LEFT. ? RIQHT �3
DESCItIpTION OF WORK
BUIL�IN6
SIZE
EXTERIOR
GOVERING
U8H OF Bl
FEE RECEIVED
JAN 2 7 1965
FINANCE DEPT.
C�I�Y �F COSTA MESA
APPUC 10 FOR PERMR
BUILDING
For Offtce Use Only
P[C[�_Z
BUILDING �
ADDRE59
PIR6
N0T8:
ZONING
YARDS MPROVED
MAIN BUILDINQ
iOM C/L STREE
)NT S � PT•
3"
��oe S �.
,,
;�oe S �.3
_ , . .
�VAR..$
C. LL P_
S ✓o� _ �G ':L � �n
`'' J � �G r_- %'� �t N � 7
I HBREBY ACKNOWLEOq6 TNAT I X�V6 REA� TNIB APP{.�CATION
ANO BTATB THAT TX6 ABOV6 IB CORHBCT I�ND AOREE TO COM.
PLY WITN ALL CITY OROIHM1NC[i ANO HTAi[ LAWB NQOULATINQ
�UILDINO CONBTqURIQry, /�
SIGNATUREOF ���f� /U /J.�/,�,�_Lf
PEHMITTEn 7 %// [1
AUTHORIZ6D AGENT
_�
18HALLBELES9THAN
(U.B.C.REOUIREMHNTI
YARO9APPROVED
ACCfiS50RYBUILDINO
qATE
-�7 —6
��y 80. �. � y,��
TXe �MOUNT BXO N UNDBP VALUAT�ON 18 POq THE
PUHPOSH OF 6BTAOlI8XIN0 A PBflMIT PE8 ONIY.
VALUATION r,/J �_
PERMIT FEE S /b�
$ a � �G5' .��--
TOTAL FEE I �