HomeMy WebLinkAbout2773 DESOTO AVE - Building Permits(714) 754-5273 • Fax (»a) �s�t-as5s - www.ci.costa-mesa.caB.uUILDING PERMIT �� FA1R DAIVE, COSTA MESA, CA 92626
,lob Address: 2773 DESOTO AV
Suite:
Vicinity: GARAGE ROOF
Parcel Number: 14164234
Applicant: KAGEY, WILLIAM H TR
Address: 2773 DE SOTO AVE .
COSTA MESA, CA
Owner: KAGEY, WILLIAM H TR
Address 2773 DE SOTO AVE
Contractor:
Address:
Zip:
Arch :
Address:
COSTA MESA, CA
Phone:
Zoning: R1 R1
�Phone: 714-546-8170
Zip: 92626
Phone:
Zip: 92626
Phone:
License:
Eng:
Address:
Status: ISSUED
Applied: 10/OB/2003
Issued: 10/08/2003
I/. �
�: �I
�_ _ _
Phone:
Zip: License: License:
SCOPE OF PERMIT
CREATE A PITCHED ROOF OVER EXISTING FLAT ROOF ON GARAGE ONLY.
Plan Check: $41.05
Permit: $63.15
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $104.70
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Ezistinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
st,soo.00
si,soo.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned
for a period of 180 days,
INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CqLL: (714) 7545626
zaas<s lrvoo�
WORKERS' COMPENSATION DECLAHATION: T -
I hereby eHirm undeqpenelty of perjury one of the following declarations:
❑ I heve and will maintain a certificate of consent to self-Insure for workers' compensation, as provided tor by section 3700 ot the Lebor Code, lor the pertortnance of �he
work tor which ihis pertnii is issued.
❑ I have antl will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Cotle, tor the pedortnance of the work Por which this pertnit is issuetl.
My workers' compensation Insurance wrrier and policy number ere:
0
Canier. Policy Number:
�his section need nof be completed i/ the permit is velued et one hundred dollers ($100) ar less.)
�I certity that in tha pedormance of Ihe work for which ihis pertnit is issued, I shall not employ any person in any manner so as to become subjact to tha workers'
compensation laws of California, end egree that il I should 6ecome subject to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
camply with these provisions.
Applicant5ignatuie: �.f� � � nls Date: /� — �"���
WARNINO: FAILURE TO SECUFE WOPKERS' CQMPENSATION COVERA E IS LAWFUL AND SHALL SU&IECT AN EMttOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED
T110USAND DOLLARE ($100,000), IN ADOITION TO THE COST OF COMPENSATION, DPM4GES AS PROVIDE� FOR IN SECTION 3108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSEU CON7RAC70RS DECLARATION:
I here6y affirm that I am licensed under pwvisions of Chapter 9(commencing with Section 7000) of Division 3 of �he Business and Professions Cotle, and my license is in full
torce and ettect. Lic. a Class a
Contractofs SignaWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirtn that there is a consiruction lending agency for ihe pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Adtlress:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirtn that under penalry of perjury that I am E%EMVT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7037.5, Business end Professions
Code: Any ciry or county which requires e pertnit m construct, alter, improve, demolish, or repair any strucmre, prior to its issuanca, also requires the applicant lor such pertnit
to file a signed statement that he or she Is licensed pursuent ro the provisions of the Contractors Ucense Law (Chepter 9(commencing with Sectlon 7000) ot Dlvislon 3 of the
Business end Professions Cotle) or thal he ot she Is enempt thereirom end ihe besis for Ihe allegetl exemption. Any violation of Seclion 7031.5 by any applicent for a permit
subjects the applicant to e civil penalty of not more ihan five huntlred tlollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, and the s�ructure Is not intanded or oHaretl lor sale (Sec.
7044, Business and Professions Code: The Contractors license Law dces not apply to an owner of property who builds or improves ihereon, and who does such work
himsetl or herseli or ihrough his or her own employees, provitled thet such improvements ere not imendetl or oNeretl for sale. If, however, Ihe building or improvement is
sold within one year of compietion, the ownerbuilder will hava the burden of proving ihat he or she did not build or improve for purpose oF sale.).
I, as owner of the property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions
Code: The conirectors License Lew tloes not epply to an owner of pmperty who builds or improves ihereon, entl who contracts for such pmject with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am e:empt untler sea Business and Professions Cotle for this reason:
Signature: �' ie Date: �ll'� ?f '—Q 3
�
Owner ID verifietl 6y driver's license. Ves No Driver's License No. %� � Ezpires: � �'�
Varification of Ownership by (type of da enl, ..- properry tau bill or tlaetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity thet no excavation five (5) or more feet in depih Into which e person is required to tlescentl, will be made in connection with work authonzed by this
pertnit, antl that no builtlinq simcWre, scattoltlinq, felsework, or demolition or dismantling thereof, will ba more than thirty-six (36) feet high. (Chap. 32; Grp 2, An 2, Sec.
341, Title e, California Adminisirative Code).
� As owner�buildar, I wiil nol employ anyone to do work which would require e permi� from ihe Division of Indusirial Safety, es noted a6ove, unless such person has e
pertnit to do such work from the tlivision.
Signature: Date:
Division of Industnal Salery Pertnit Number.
CERTIFlCATE OF COMPIJANCE AND AUTHORVJITON OF ENTAY: I certity under penalry ot perjury iha� I have read this application and state ihat the infortnation given is
correct. I agree to comply with all state laws and city ordinances relating to building wns�ruc�ion, antl authonze representatives of Ihe Ciy of Costa Mesa to anter upon ihe
above-described property for inspection puryoses. I egree not to occupy or allow occupancy ot any building authorized by this permit umil final �ection.
,l�i�G�'i.� /�.���-r^�-r j6s _ �—G
SignaWre Of Le al Ow er(s) . Date
And/Or Authonzed Applicant
LOOE X, INSPECTIONTYPE PAIE �p
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Root
Finel BIocWRetaining Wall
Final Factory Fire Place
Finel Sign
Finel Demolition
COOE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
PL�IE INTRIRLS
2-3-0 �
(714) 754-5273 • Fax (714) 754�4856 • www.ci.costa-mesa.���LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2773 DESOTO AV
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 14164234
Applicant: BYER, TOM
Address: 17662 METZLER LN
HUNTINGTON BEACH, CA
Owner: KAGEY, WILLIAM H TR
Address 2773 DE SOTO AVE . ,
, COSTA MESA, CA '
Contractor. TOM BYER ROOFING
Address: 17662 METZLER LN
Arch :
Address:
HUNTINGTON BEACH, CA
Zip: 92647
Phone:
Zoning: Rl R1
Phone: (714)847-9332
Zip: 92647
Phone:
Zip: 92626
Phone:- (714) 847-9332
License: 575002
Eng:
Address:
ISSUED BV:
Status: ISSUED
Applied: 11/18/2003
Issued: 11/18/2003
Phone:
Zip: � License: License:
SCOPE OF PERMIT
TEAR OFF, INSTA�L FELT AND COVER WITH 30 YEAR COMP. INCLUDES ATTACHED GARAGE. REPAIR AND REPLACE SHEATHING ONLY
ASNECESSARY. ' -� - �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$111.25
$0.50
$0.00
$0.00
$0.00
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Ezistin : 0
Rear 0- 0
Rear 0- 0
Required: 0
FEE.SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0. 0
sa,aoo.00
$4,aoo.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, § /, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or If work Is suspended or abandoned
for a period of 780 days. �
INSPECTIONS: In ordgr for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlons and final approval must be obtained. Failure to ob�ain inspections antl final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CqLL: (714) 7545626
taasae �sioo)
WORKERS'COMPENSAnONDECLARAnON:
I hereby eHirm under penalry af perjury one oi t�e tollowing declarations:
❑ I heve end will meintein e certiFlce�e of consent to self-Insure tor workers' compensation, es providetl tor by sectlon 3700 oi Ihe Lebor Cotle, tor the pedormance ot the
work for whlch lhl5 pertnit is issuetl.
❑ I heve end will maintain workers' compensation insurance, as requiretl by secGon 3700 ot ihe Labor Code, Por Ihe peAormance ot Ihe work lor which Ihis pertnit Is Issuetl.
My workers' compen9ation Insurence carrler and policy number ere: • , ,
Carrier: � Policy Number:
(This secNon need nof be comple(ed I! the perm/f /s va/ued et one hundred dollers ($100) oNess.)
❑ I certily that in the pedormence � the work for which ihis pertnit is issued, I shell not employ any person in eny menner so es to 6ecome subjecl to ihe workers'
compensetion laws of Cppp lif A end eqr e that if I should becoma subject to Ihe workers' compensation provislons ol Secyyy'on 3700q1 ihe Lebor Code, I shall forthwith
comply with thesa pro�� �/. / /� U/D �
Applicant SlgneNre: l��� Dete: !�� a
WARNINGFAILURETOSECURE KERS'COMPENSATIIXJCOVERAGEISUNIAWFULANOSMALLSUBJECTANEMPLOVERTOCRI PEN IESANDCIVILFINESUPTOONEHUNDRED
THOUSAND DOLLARE (5100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PPOVIDED WR IN SECTION 3lOB OF THE LABOP COOE, INiEREST, AND AITORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby effirtn t�at I am licensetl un rf rovislons of Chepter 9(commencing with Sectlon 7000) of Division 3 of tha Business and Professfi ns Code, and my Ilcense is in full
force and eflect. Lic. M .A�// .� / ! CI9% k l_ __/ r.
Contrectors Signawre: , , Date: ��
CONSTRUCTION LENDING AGENCY:
❑ I here6y aHirm that Ihere is a construction lentling agenty for Ihe peAortnance of the work for w�ich this permit is issued. (Sec. 3097, Civil Cotla).
Lenders Neme: Lenders Address:
Signature:
OWNEfi-BUILDER DECLARATIONS:
Date:
I hereby eflirtn that untler penalry ot perjury that I em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Businass end Profassions
Code: Any ciry or counry whic� requires e permit to coretrucL alter, improve, tlemolish, or repair any sirucwre, pnor to its issuance, elso requires the ep0�icent br such pertnit
to file e signetl statement t�et he or she I5 Ilcensed pursuant ro Ihe provisions af the Contrectors License Lew (Chapter 9(commencing wit� Sectlon 7000) oi Didsion 3 of iha
Business end Professions Code) or thet ha or sha is axempt Iherelrom end ihe basis br Ihe alleged exemption. Any vlalation oi Sectlon �031.5 by eny applicent for e permit
su6Jects the eppliwnt to e civil penelty ol nm more ihan live hundred dallars (5500).):
❑ I, as owner of ihe properry, or my employees with wages es their sole compensation, WILL DO THE WORK, end tha structure Is not intenGeG ar otlered tor sele (Sec.
7044, Business entl Professions Coda: The Coniractors License Law tices not appty to an owner of propeny who builds or improves thereon, end who does such work
himsell or herself or ihrough his or her own employeas, provided iha� such improvements ere nat intended or oHereC for sale. II, however, tha building or Improvement is
sold within one year ol completion, the owner-builder will have.t�e burden of proving that he or she did not �uild or improve for purpose of sale.). �
❑ 1, as owner of the propetly, em EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct t�e pro�ec� (Sac. 7044, Business and Profeuions
Cotle: The contrectors License Law tloes not epply �o an owner ol property who bullds or improves thereon, and who contrects lor suc� pro�ect with a contrector(s)
license pursuent to the Cantrectors License Laws.).
❑ I em exempt under sec. Business and Professions Code for ihis reason:
Signature: Dete:
Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No.
Venfication of Ownership by (rype of tlwument, i.e. - property tarz bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I hareby certify thet no excevatlon flve (5) or more feet in depth into which e person is required to descend, will be matle in connection wlth work euthorized by �his
permit, and that no building siructure, scattolding, lelsework, or demoliiion or tlismantling �hereol, will he more then Ihirry-six (36) teet hiph. (Chap. 32, Grp 2, An 2, Sac.
341, Tltle B, Califomla AtlministratNe Code).
❑ As ownerbuiltler, I will not employ enyone to do work which wauld require a permit from the Division of Industnel Sefety, es noted ebove, unless suc� person �es e
permit to do such work Irom the division.
Signature: Date:
Division ot Indusirial Safery Permit Numbar:
CERi1FlCATE OF COMPLIANCE AND AllTTIORIZA710N OF EMRY: I certify unCer penalty oi perjury tha� I have rea0 t�is epplicaiion antl stete Ihat the information given is
correct. I agree to comply wilh ell stete laws end ciry ortlinances relaiing to builtling consiruction, and authorize represenietives ot the Ciry ot Costa Mesa to enier upon the
above-describetl propeny tor inspection purposes. I egree not to occupy or allow occupancy of eny building authorized by this permit until finel inspection.
� i at re Ofy Legal Owner(s)
/�� .
—� AndOr Aut�orized Appliwnt
COOE I. INSYELl10NTYPE
1616 FixeA System Final Fire Preventlon
1266 Pool Spa Final
200 Final Re-Foot
201 Flnel BIocWRetaining Well
202 Final Factory Fire Placa.
203 Final Sign
204 Final Demolitian
PA7f. INTrtIpLS
COOE � INSPECTION TYPE
206 Final Mec�anical
208 Final PlumDing
210 Final ElectriCel
212 Final Fire Preventlon
220 Final Planning Approval
222
250
Final Site
Finel Building/Oaupancy
PAg PIDSLS
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
.lob nddress: 2773 DESOTO AV
Suite:
Vicinity: FRONT OF RESIDENCE
Parcel Number: 14164234
Applicant: KAGEY, WILLIAM H TR
Address: 2773 DE SOTO AVE
COSTA MESA, CA
Owner: KAGEY, WILLIAM H TR
Address 2773 DE SOTO AVE
Contractor.
Address:
�
Arch :
Address:
COSTA MESA, CA
Zaning: R1 R1
Phone: 714-546-8170
Zip: 92626
Phone:
Zip: 92626
Phone:
License:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 06/OS/2002
Issued: 06/OS/2002
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
APPLY SIDING TO FRONT OF RESIDENCE ON WOOD SIDING ONLY. PER SPECIFICATIONS FOR NER 406.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
i
NOTES:
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Propased: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Righl 0- 0
$3,500.00
$3,500.00
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § i, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754562fi .
,�� ���
WORKERS' COMPENSATON DECLARA710N: -
I hereby ettirtn untler Denalty oi perjury one of the following declaretions:
❑ I have and will maintein a certificate ot wnsent to selt-Insura tor workers' compensatlon, a5 proNded for by 5aclion 3700 af Ihe Labor Code, for the pertarmance ot Ihe
wark for which lhis permil Is issuetl. . 1
❑ I have antl will meintein workers' compen tlan Insurance, as requiretl by sectitl.�3700 of the Lebor Code, for the perfortnance of the w c for which Ihis permit is Issued.
My workers' compe satl surance c r tl policy number ere: O ��
Carriec � Policy Number:
(This section need not be comp/eteC il the rmit Is ve/ued ef one hundred dollars ($100) or less.)
�1 ceniy that in Ihe pertortnence of t�a work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject lo Iha workers'
compensatlon laws ol Celifomia, end egree that it I ahoulA Decrome subJect to the workers' wmpensation provisions of Section 3700qqq111 theL.�Dor Cade, I ahall torthwit�
complywiththeseprav'si s. � 1�/�n
Applicent Signature: Date: I � L
WFRNING: FAIWRE TO SECURE WORKERS' COMPENSATION VEM E IS UNUWFUL aND SHALL SUBJECT PN EMMOYER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUN�RE�
hI0U5PND 00LURE (5100,000), IN ADDITION TO THE COST OF COMPE SAT10N, DPANGES AS PFWIDED FOR IN SECTION 310fi OF THE LABOR CODE, IfJrEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eNirtn thet I em licensetl under provisions of Chapter 9(commencing with Section 7000) ot Divislon 3 ot the Business antl Protessions Cotle, ana my license is in lull
� force entl ettect Lic. N Class p
� Conirectors Signe�ure: Data:
'' CONSTRUCTION LENDING AGENCY: �
❑ I hereby aHirtn Ihat ihere is e construction lending egency (or iha performence ot t�e work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Neme: Lentler's Atlaress:
Signature: Data:
OWNER-BUILDER DECLARATIONS:
1 hereby alfirtn Ihet untler penelty ot perjury that I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protesslons
Code: Any ciry or wunry which requires a pertnit to consiruct, elter, improve, demolish, or repair any siructure, prior to its issuance, also requires the epplicant for such pertnit
to file a signed statement ihat he or she Is Ilcensed pursuent to ihe provisions of the Contrectors License Law (Chapter 9(commendng wlth Section 7000) of DlWsion 3 oi Ihe
Business end Professions Coda) or the� he or she Is exempt theretrom antl Ihe besis for the allegetl exemption. Any violation oi Section 7031.5 by eny epplicent for a permit
subj�Cts the applicent to a civil penalry of not more then tive hundred dollars ($500).):
�p`,� 1 as owner ol the property, or my employees wi�h weqes es their sde wmpensation, WILI DO THE WORK, and the siructure is not intended or ottered for sale (Sec.
9 V 7044, Busineu end Prolessions Code: The Contradors License Law tloes not aDPly to an owner oi properry who builds or improves cheraon, and who tloes such work
himself or hereelf or through his or her own employees, provided Ihat such improvements ere not intended or ottered for sale. If, howevar, the huildinq or Improvement is
soltl within one yeer ot comple�ioq t�e owner�6uilder will have the burden ol pmving thet he or she did not Duild or improve for purpase ot sele.�.
❑ I, as owner ot lhe pmperry, em EXCLUSIVELV CONTAACTING WITH LICENSED CONTAACTORS to construci Ihe pmject (Sec. 7044, Business end Professions
Code: The contrectore Llcense Lew does not epply to en owner of properry who builtls or improves thereon, and who coniracts tor such project wlth e contractor(s)
license pursuent to the Camradors license Lews.).
❑ I em exempt u r sec. Business and Professions Code for this reason:
Signature: ���-u-- - Z �c..� Data: P
Owner ID verifietl by driver'S Ilcense. ❑ s o Drivers LicenSe No. xpire5:
Venfication of Ownership by (rype of documem, I.e. -�froparry tax bill or daed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify Ihe� no excavation tive (5) or more teet in depih Into which e person Is requiretl to descend, will be made in connection with work authodzatl by this
pertnit, end thet no building structure, scaHolding, talsework, or demolition or dismantling thereot, will be more than thirry-six (36) feet high. (Chap. 32. Grp 2, Art 2, Sec.
341, Ttle 8, Celitomia Adminisirellve Cotle).
❑ As owner-Dulltler, I will not employ enyone to tlo work which would require e pertnit from the Division ot Intlusirial Salery, as notetl above, unlass such person hes e
permit to tlo such wark fram ihe divislon. ,
SignaNre: Date:
Division of Indusirial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTMORVATON OP ENTAV: I ceM1ify untler penalty ot perjury Ihat I have read this application and stata ihat the intormelion given is
correci. I agree to wmply wiih all state lews end ciry ordinances releting to builtling construction, and authorize representatives ot Ihe Ciry of Costa Mesa to enter upon t�e
aboveEescnbed property for inspeciion purposes. I agree not to ocCupy or allow occupancy of any building au�horized by this p it u til finel inspection.
i Co� 6�
Slgnatur OI Le Owner(s) -� Daia
And/OrAuthorized Applicam Date
COOE �. INSFECTONTYPE PAIE �HfI17RL3
7616 Fixed System Final Fira Prevention
1266 Pool Spe Finel
200 Final Re-Roof
201 FInaI BIacWRetaining Well
202 Final Fectory Fire Pleca
203 Final Sign
204 Final Demolition �
COpE I INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Preventian
220 Final Planning Approval
222
zso
Final Si�e
Final Builtling/Occupenry
Iti�LB
�
PflOJELTA00PESS: 127731DEs�•1•� AV
OWNEP'SNAME:KAGEY, WILLIAM H
aooxess:2��3 DE SOTO AVE
COSTA MESA,CA
PNCH/ENGINEEH: 5 4 6— 8 1 7 �
aooAess:
UNIT:
92626
PEG.NO.:
uxiT:
PEflMITTEE: BILL KAGEY ( 714 ) 546-8170
aooxess: 2��3 DESOTO ST
C.M. CA 92626
LICENSEO CONTHPLTOfl OECLAflATION: I �ereDy allirm Ihat I am Iicense0 untler Omvisions ol C�apter 9(commenung wiih Sec�ion
]000� ot �ivisian 3 0l Ine 6usineu anE Protessions Coae. anU my license is in full force anE eHect.
CITY LIC.: STATE LIC.: CtASS:
�a�e: Signature:
r1N�JflKEflS' COMPENSRTION UECLAflATION: I here6y allirm IhaU have a tetlilitaie o� conseni lo Selbin5ur¢ Or a te�ilitale oI Workers'
��'�OenSaiion Insurance. or a[erulieE copy Ihereol (Seclion 3800, Lab. C�.
-.�°�LICY NO.: E%P. ORTE:
COMPFNY:
❑ Certi�ied m0Y i5 �ere0y �umi511eJ. ❑ CertiheG Copy ii �ilea wilA I�e tiiy Building DiviSion.
Oate: - f+policam:
E%EMPTION FHOM WOBKEBS' COMPENSNTION OECUHRTION: Q�is sedion neea no16e comple�eE iI lhe Dermii is for one Auntlretl (5100) ar less�.
I cetlily ��a� in Ihe periormance ol Ihe work for which t�is Dermii is issced, I shall not employ any De�son in any manner 5o as lo becomg
su�lect lo Ne Wo/r�kers' Compensyation LawS/p I Calibrnia. � o �/ /
�aie: �/ �'S� / � l Signawre.'�/LG� � I«�i�ez/
NOTICE: If, atier making ihis declaralion, you 5hou10 �ecome sublect to the Worker5' ComDeq �ion pr 6ions ol I�e Labor
Code. you mUSi Iorl�wilA COmDty wil� 5ut� piovisi0n5 or this permil 5hall be Aeemed revokEO.
CONSTNUCTION 1EN01NG RCENCY: I hereby allirm IAaI lhere is a cons�mctian lenaing agency for �he pedormance oi the work �or
whic� this permu is issuea (Seciian 3097.1Civ. C�. �
LENDEP:
ROOHESS:
OWNEP BUILUEB OECIAflRTION: I here0y allirm Iha� I am e�empl Imm ��e Coniradors' S�aie License law �or I�e following reason
�Section 7031.5 Business and Piolessional Coae; Any ciiy ol coun�y which requires a permii Io conslmct, alter, impmve, demolish, ar
repair any simcture, prior to ils issuance. also reauires Ine apvlicanl for such permit to file a signed statement ihat helshe is licensetl
pursuanl m �he provisians a� Ihe Comracmrs' Slale License Law (Chapter 9(commencing wil� Seclion 7000) o� Oivision 3 0� �he Business
ana Pmiessions Cotle) or ihat helshe is eeempi Iherelmm antl Ne basis lor the allegetl exemplion. Any viola�ion ol Section 703L5 by
any apphcani Ior a p¢rmi� Su�le��s Ihe appliCanl �o a tiuil Oenally ot n01 mor¢ �Aan five hun4re0 tlollars (3500).
I, as owner o� 1�¢ pmDetly or my emyloy¢es wit� wa�es as iheir sole compensalion, will tla Ihe waB, and the
� slmciure is nol imentletl or o��eretl tor sale (Secuon 70a4, Busines5 anE Pmtessi0nal Code: The Con�raciors' S�a�e licenSe �aw
� does not aoDly to an owner ol a propeny who ouilas o� improves Inereon, antl wno tloes sucn•work himselMersell or through
his or ner own employees, pwvitlea t�a� such impmvemenis are not intentlea or allereC for sale. Ii, however lhe 6uilaing ar
impmvemeni is 5old wiihin one year ol compl¢�ian. Ih¢ awner will have I�e Uurden of proving he/she did not huild o� impmve
tor t�e purpase of sale).
I. as owner of Ihe propetly. am exclusively con�racling with IicenseC comracmrs Io conslmcl lhe pmject (Section 7044, Business
❑ antl Pmlessions CoGe: The Canlractors' Slate Licenu Law Cces nol apply �o an ovmer oi D�oDetly w�o builCs or impmves �Oereon
an0 vi�0 tanitatl5 br SUth pmjeCtS wilh a Cont(atfOqs) lit¢nu pursuan� to ��e Con(ratlors Slate Litense law�. 1 am aware
thal D�ool ol Ineir Worker's Compensation insurance shoul0 �e o�ovitlee to me.
� I am e�empt unaei Section: B. 8 P. C.
IOr IhiS ��� ^ /� ' ��
Oate: � Owner��
I do �ereby cenily Ihat I am aware ol an0 unaer5lanU IM1e reQuiremenis ol Caii�omia Heallh anA Salety Co e Sec�io 5255Q5, 25533, ana
2553d and Ihailoranyfulure buil0ing occupaniwilVwiilnol (circle one)n¢eGto fAmpN �t� said state catles and t e reQuiremenis for a
permit lor conslmclion or moAJicalion imm I�e Air Oualily Managemen� OisVicl. ResiEential cOnSlmciion appliwtionS are eaempt tmm
i�ese D�ovisions.
Da�e: Npplicanl:
I ne�eDy cendy �hai I nave reaA ��is aDDlicaiion anA sta�e iAat iAe above inlormation is correct. I agree to compry vnt� all ciry antl co ry
or0inancesan�slatelawsrelatinglobuiltlmgconslruclionanah¢re�yaulhorrzerepr¢5enialiveSo�IhiscilyloenteruDoniheabove�men( ne0
oioOe��Y �ar ins0eciion pwoases. � - / �/
Date- d^ -5= D Signamre: L�����++-�� ,/� ���
Orive�'s License ai Social Security +: �
164L46 W�ue—Bwltling; Green—CoOe Enbrcemem; anary—AppM1cam: Pink—qevenue; Golaenroe—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0494II5
PERMIT NO: H 099485 PLAN CHECK NO: 06238-90 S GOVT: N SUPP; N
CONSTRUCTION TYPE: PEAMIT TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : 68LF-6FT HZGH CZTY STANDARD BLOCK WALL SQ FT: 60
CLAIM VALUE: 1,360.00 CALC-VALUE: 1,360.00 GROUP OCC: M-1 /
COMMENTS: X
�c�t�t**�***�t*�t�t***�r**�t�r�t�t�e**�t�t�t***�t��t***�r*�t�tx��t��t*�t�t**�****�t*+t�t*�t**�**�x*�**�c�*�**
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAZN HUILDING ---------- --------- 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
PARRZNG REQ; PROV: PAACEL: 19164234 ZNE: R1 REF NO;
PLANNING NOTES> 68 LINEAR FEET OF 6 FOOT HIGH BLOCK WALL ALONG SIDE PL
>
�*��**�**x��**+t*�e�rr�r�+�*���***x��*****�e�r�*�****��*�*+�+t**+tx�*it*�it�**�**�x�**+r**�rit*
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: I�'�Ir"�+
bUILDING APPAOVED HY ; DATE:
APPLICATION ISSOED HY: fi-- DATE: �0—IS''"-c( o
iE �E iE if if iE±E iE iF M iE iE ik iF * iE ii ik ik if if ik7f3f'iFiF7�'3F7FiF 3F'iF3F7F3FiF'iF3F�iF-iFii-iF7F iF�F±f'iF3iiFiFif if 1f �f if ii �E iE if if� iE7F�R'�"�"��i?F±F i@
iE iF iE iE �f �lF iE iE iF if iE ik M if !f �IE if if Ik it if 1E 1f iE iFlF if if if 1F if 1k 1t i4 iF if if K i6 iF if iF iE �f iF iF �1F-0E �IF iF if if iF M�1F iF iM jf if jf 1f iF 1F ii ak if IE if if % K�4 it iF ii ik iF if if
LEGALIZATION:N F E E S U M.,M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE I�SMIP/RES GRADING
PERMIT 33.00 SO
SMIP/NON-RES
PLAN 21.45 "�� '
ISSUE FEE '
HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 33.50 0.00 , 21.45 54.95 54.95 .00
REVENUE DIVISION TOTALS--> COLliECTED;
HLDG PMT PLUMBING ELECTRIC MECHANIC
33.00 �
54.95 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLA'N-CHECK
.SO 21.95
iF if if �i �E iE iE iE ik 1f iF 1E it 1E if it �k iF 1E if if 1! iklE iE iE �F iE ff fE ik aE fE ik 1E fE?E jE iE iF jF iF iF if ik k if jf iE if iF dk if if i! 1F df it iF iF iF if �f if iP 1f iE jE-0f � 3E if iE �f 1e ii iF 1(� 1f
I N D Z V I D D A'L� F E�E H R E A K D O W N '
TYPE QTY D E S C R I P T I O.N - UNZT COST TOTAL COST
SFR 68 RES-CONCRETE BLOCFC,,WALL �� •/ FT. 20.00 1,360.00
END OF FEES �
�/oa7 � - �� EXPIRE�
C`� � Incomp�ete 1nsPections
OCT 15-1990 S�g �s.
� �ate �-�� �
C�ir UF COSTA ME$A `
1�
` I
CONSTRUCTION ANP PLANNI!<_ �L & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pofe 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. .Electrical Conduit Utili[y-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
�5: Steel Reinforcement �b-Q (�p,�tn�- 56. Rough Plumbin9 & Pressure Test
6; Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7.� Footings B_`� �jJti{d 58. Electrical Conduit-Undrgrnd.
S., Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & fieceptor-Final �
12. Sewer Cap � 63. Heater & Vent-Final
73. Roof Drainz . � 64. Plumbing SYstem - Final
14. Rough Plumbinq 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem•Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rou9h Electrical,T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning fIRE DEPT. REQUIREMENT
, ��.:
20..Rough Factory Fireplace 't f ��� . _ . APPROt/ALS � ',Permit #
21. Ducts, in Structure' � •• • - � - - - � 1 '� 70. Underground �Hydro "
J Y
22. Oucts, Ventilating � _ , '�� �. �-� - ,j ,, }77. Product Piping Cl Gas ❑Oil
23. �Gas Pipe-Rough & Test � . i� : �� �-C • � 72. Underground Flush-� �
24. Roof Framing '� �� . r ,, 'J3. Undergmd�StoragPTank �Gas ❑Oil
25. Roof�Sheathing ' , � ;� � � jq: �.Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat ' �, -� � . � : � 75. Dry Chem`cal �. .
27. FrameandFlashing� ��r.•.• -t _ �' � 76. DryStandpipe � ��
28. Lathing&Siding ' „�:�'� �;;;� �� �'� "� '� "�� �� 77, .FIXEDSYSTEM�FINAL� . . �
(29. Insulation �• � �•• �� i v � 7$; �FIRE PREV. FINAL - ' �
30. Drywall Nailing ' �'� � � � HEALTH�DEPT: REQUIREMENT . . �
I Y F+ A' r ,�._
31. Plaster Brown�,Coat , � � � ;i� �79.��FINAL INSPECTION • , -
' 32. ElectricalPower Mefer-Final a- ;,+ ��•80.' FOOD CERTIFICATE ISSUED ` '-
33.�FinaLElectric � , � i� � . F Notes: +
(0- -4m- S�wke o2�'� O�
34..Fina6Heating & AirConditioniny ��� �� � ' T ' • ' � � � �
i: t ��� .r.- t_ � �t/
35. Final Gas Pipe:Test i �- .,' � y . � ; � ' ` � � , r . '
36. Hoodor.CanoPY ' . iA ' � � `.
.o� _qo.� 6/G � `6w�
37.�F.ine��Factory Fireplace.• � ,ti -' - `� , �i ,
38. Final'Plumbing `� '' ; � i ; �. , � "' ;
39. Water Service�Final; � , ; �.• i �r r ;>� � , �� ,
40. Gas Service�Final , ' 'C " � " ' . . + ,- '-
. �� �.
41. Solar pomesticFinal � ; � � 'j ' - ; „ , , � � ,
42. Backflow�Preventer� - -� "�, � '+� r "' �� � ' ' ' ��
.r � � � �.�
43. Backflow Irr�igation: " � , �; �� �, .y� � -. �
�44. Landscape IrrigationSystem ��.�� =� -• � � "�� ' . '-��5 ections �
45.' Sound Attenuation ;'„ f' � � �
•46.�Handicap�Regulation5 ��n � . -, A8t8 -
47. FINAL STRUCTUR& & BUILDING . � ` �, , � •� ,
48. fINALPLANNING ' - � ' '* '� �
� , -
49. Electric Release to Edison ' � , • '.
.50. Gas Release to $outhern California Gas Co � � • •
51. CERTIFICATEOF�OCCUPANCY � . -
No. Date
�
�
1
�
�
W
R
�
�
�,�-�-���/ED
Cify of Costa Mesa Buifcfing Dept.
'V — _ �� _ earE �Q-1'�is_�v
� r' 4� ; h,4UST °E ON JO? AT ALt_ TIMES MAKE
,� �,',:: .: � d,IT�',�i);�r�,!Q� Aj',�R�Q,kAL OF OEPT.
� � ,: 0 ti GFl+h. i'.J., UF A.`{:;.4. T n,r qaFROVAI OF
' Cr� 10 I. ..'AL iQOT 6F �O'vS;'' . p'(O E3E A
a. I:- S nF bPPh bpt. (:'; ANY VIOIAT,OdI (iF sP�!t' OF
- .'.:i°10.`:SOf-THIS�GDI=e':;:[!1M!TPRESUTAINGTOGI\/�
. ..- •- -:O WbLRi = G!? 0.:��C"cL 7HE FROViS�O;JS OF TNIS
t;�.�:c`i...ini:_ uE VA.UO tiX.CE:' �!h; 'a0 FAR AS THE 44G4iK OR USE
�:�Pi'dC;-: -- � i• i F;G-,' :< S'S . Ab�i{ -;.�.
il' �� a+. , i.' '..Ai7 �3AStD L'PCiN PLANS AND
S 1-'i�-: '.. � hC� -- �V[NT THE OUILDING OF��C!AL
F i,�r! .: ;:- i=���� , r-y� ���i r:r.P�" a THE GORRECTlQN OF BRAORS IN
S'�10 ( .1'��a" i.��0 i;i-Ei:.fF�iAilONS "vR fROiS �RF_VENiING
BUlLUIN:F'.-:;'El:.�."!Ui��;.c:-: :�: CARRIFD nNTNEP.FI}h'�FR �t.�u�!�
INVI:7v;:lqNCi�'.-N�;CO;�._nE�n�•,.;.��., _ ,_
i HF. !.:'7y
��Z�J ��u% �`�
�
qe5�'-ta
�csiocra
�
\ 3
�nmcrce
ii . ., t_.
�ti �1� 'i" �' q�; ,�
e
w ♦ �
c �_• ..
- �� �•
�� � � � �/ ' �
��siocMcc
C�o �'o yi�G��,
_ �`STREET �
RL�W[MC[
+br
�
W
W
C
N
�
Cement Coping Ootional —'
Channel Block With 1�3/8�
Horizontal Top nf all
Fences
For Fenees 5' Or Less
Vert. Bars 3/8"¢ 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 Ser.q.15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURALGRAOE
TWO 3/8"¢ BARS
CON7INUOUS 70P
& BOTTOM
HOR7Z.S7EEL MUST BE TIED IN
PLACE AT TIME Of TRENCM
INSPECTION.
TYPICAL 6�� CONCRETE BLOCK FENCE
f
0
2 S
��
u
Y w
�_
a
>Z
a
i�
W O
U F-
2
w n
�
,, � � A I�J._L
D�
V-�WIDTH
� SEE CHn
v BELOW
oI
ING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR; pne Part Plastic Cement, and
Three Parts Sond
GROUT; One Parf Cement Three a�d
One Half ports S�and
COPING: One Part Cement, Three
Ports Sand
CONCRETE: W¢11 Mixed 1:2-I/2:3-I/2
Mati. of 7- I/2 Gollons of
Water Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREASOF HOp120NTAL REIN-
FOHCEMENT SHALLBECLEAR,CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
H OF E4RTNTCOTH
V3 THE HEIGTH OF FENCE
�LOW BOTTOM OF FOGTING
SCALE: I/2"= I'
WIDTH 14'� . 14�� . 12��. . 12��
THICKNESS 10" . 10" 8;; e�,
DEPTH OF EARTHTOOTH 24" 20" .. 16�� .. 12°
SPACING OF EARTHTOOTH. 12� 14� . . . . . 16�. . . . . 16�
City of Costo Mesa, California
Building Department
4�F_vISgD NoV. B2
�
ADOlicant to fill in all spaces excepl those wilhin heavy �ortler linas an0 sign all apProD�iate tleclarations.
Cirv oF coS7A MES/.ny CONSTRUC�'`T^I N PERMIT
ProjectAddress ��/��'S � v(/��
Applicant's Mailing A dress n1q /l
Owner's Na E � � �� Ph^^^ � � V
Addreu � J
Arch/Eng. - Licenu No.
Address
Conuacror's Nam Phone
Address ImA ����I �� �, %�� /��� �✓��--
Ciry License No. _LLV''E-'f(lE���6�7 ��
LICENSED CONTRACTOR DECLARATION
I hereby af0�m tnal I am Ilcensetl untle� provisions of Charter 9(commencing
with seclion 7000) of DIVISion 3 of the Business antl Professions Cotle, antl
my Iicense is in lul p� antl e/tecL �. C
LICCIISC CI 5 � LIC 5
Date_ Si9nahre
WORKERS COMPENSATION DECLARATION
I hereby aflirm inat I have a cerH/icate of consent to seli-insure or a tertificate
�ot Workers' Compenwlion insurance, or a certitied copy tnereot (5ecuon
f3800, LaC. /C�)/' y^/qy � n 1^/
Pnolicy No. r_l ` - � I�' �� Company � —`�� T!'�T�K^ -
Ct Cer_'iIfLietln ccoPY is filetlbwlthrthehctY tl� PIr'sl9 n/J/� � p.• �
Da[e�i:� Applicant � �_o�r�/__� (� '-`r1.Q+� �
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl if the permit 6 fo�, One huntlretl ($100) or
less).
I certity lhat in ttte perfOrmance of Ihe work fOr which this perm�t is isSueC, 1
shall not employ any pe�son In any manner so as to become subject to the
WOrkets' Compensation LawS of Calitomia.
. Date Slgnature �
'NOTICE: I/, after making lhis tleclara[ion, you shoultl betame subject [o tM1e
Wo�ken' COmOensalion provl5ions oi the Labo� Cotle, you must torthwith
comply wilh such provisions or IM1is Oe�mit snall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
I hereby ai(irm tha[ there i5 a cons[ruction lentling agenq for the perfotmance
of lhe work for which Ihis Oermit is i55uetl (Sec[ion 3097 Civ. C.)
Lentler's Name
Lentler's Atltlrezs
OWNER BUILpER �ECLARHTION ,
I he�eby atfi�m that I am ¢x¢mpt f�om the GonVaclor'S Lic¢nse L.aw for Ihe
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
munry whith requires a pe�mit lo <onSUuct, alter, im0�ove, tlemolisn o� repair
any sVucture, prior to its issuance, also requires the applicant tor such permit
to (ile a signetl statement that he/she is IicenSetl pursuant to Ne provisions of
the Contracror's Li<¢nse Caw (ChaOter 9(commencing with Settion 7000) of
Division 3 of the Bu5ine55 antl Professions Goae) or that he/She is exempt
therefrom antl th¢ basis for the allegetl exemption. Any violation of Section
1031.5 by any apDlicant fo� a permit subjects the applicant to .a civil
. enalty of not more than tive nuntlretl tlollars ($500). � -
� I, as owne� ot Ihe Property or my employees with wages as their sole
compensation, will tlo tho work, antl the structure is not intentletl or offeretl
ior sale (Section 7044, BusMess antl Professional Cotle: The Contractor's
License Law tloes not apply [o an owner Of a property who builtls or imp�oves
tpereon, antl who tloes Such wo�k himselt/herself or lM1�ough his or he� own
employces, provi0etl Ihal such improvements are not intentletl o! otferetl for
sal¢. H, however, the bulltling or Improvement is soltl wi[hin one year of com-
pletion, lhe owner will'have lho bwden of proving he/sne tlitl not builtl or im�
prove for tM1e purpose of sale). � '
❑ I, as owner ot the property, am ezclusively contracting with licensetl con-
traCto�s to wnst�uct [he projecl ISection 7044, Business antl Professions Cotle:
The ConVactor's License Law does not aDPly to an owner ot property who
builtls or improves the�eon, antl who con[racts fo� such projects with a con-
Irac[or(sl license pursuant�to the Contracto�'S License Law). I am aware that
prooi o4 their Worker's CompensaHon insurance shoultl be provitletl to me.
❑ I am exemp[ untler Section B. & P. C. for this reason
Dace
cer[ify
m is c<
Signature ,_(Ji il'v � v�
Drivers' License or SS �
Owner
rve reatl this application antl state that the above
I�ee to com0ly with all city antl county orGinanc¢5
builain9 construction, antl hereby authorize repre-
ter =pon th above-mentioned pro0erty for
�Date �`7�
. ..... I ............. I _" "" I ..�.�� �.v.
ZoZ-3Z .
TVPE OF CONSTRUCTION NEW ADD AITERATION . REPAI R
❑ CONVEIi510N ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT LJ GRADING �L�J/ FOUN�ATION U STRUCTVRAL
❑ TENANT ❑ ELECTRICAL YJ PIUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ.FT. OCCUPANCV_
CONSTRUCTION TYPE VALVATION 5
].ONE GRApINGCU.VDS. ACRF$_
Remarks:
Bar Sink
Backflow Prevenrer
Backflow Irrigation
Bathtubs
Clarifiers
�IShYVd5h2f
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Kitchen $ink
Lavamries
P—Trap
Roof Drains
Reinspection Fee $15
Boiler
Duct-UnderGround
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIL ICBO #
Heating System & Ducling
❑4100,000 BTU 0100,000
Reinspection Fee � $15
CMF 0865-46, rev. 30/B4 White - BWltling; Canary - Appllcanh Pink - Accountlng; Goltlenrotl - Assezsor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connectia
Solar Collecrors
Solar Pipin9 �
Solar Tank �
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Isue Fee
Hoodor TYPeI ❑
Canopy Type II ❑
Refrigeration System
❑0-t00,000BTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
ES
$ 3
$ 3
A.P. #
S Main Buildin9:
E
T Front
ARear
C Right
K Left
$
Ping. Ref. #
Planning Notes:
Automatic Washe�..
Construction Pole Su
Coaking Unit ��
Dishwasher �
Dryers ❑Gas DEh
Fan '
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generamr �0.5 K W
8I81 8/06/85
Zone
Accessory Building:
Perking Req./Provided
ELECTRICAL , '
Transformer ❑ 15�50 KW
❑ 50+KW
Merer LJup m 100 amps
Meter �over 100 amps
Sub Panel
Motors�41 HP�1Y.-8
Inc.Solar 09-15 HP �16-15+
Microwave
Pole Light
Range
; Standing Sections
5 KW Trash Compacror
IReinspection Fee �$15 I I Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
2oning Approvad By
Building Approved By
Appliwtion luued By
5.00 TL
FEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S
SUMMARV OF FEES �
BUILDING PEFMIT $ SMIP $ '
PLAN CHECK $ PERMIT
PLUMBING $ � ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICAI $ TOTAL FEE $ JC�
PLAN CHECK 25% $
r
� COIVSTRUGTION AND PLANNING POOL ,.. S?A
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspecror
1. Temporary Elecirical Service or Pole � 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement
3._ Electrical Conduit Utility-Undrgmd. � 54. _Forms
4.'Electrical Conduit-Undrgrnd. - 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.
,- S.'Foundation � . ' S9. Gas Pipe, O Undrgrnd., Test
' 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System �- 61. APPROVAL TO DECK
� 71. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final
7�2. Sewer Cap � � - 63. Heater & Vent-Final
� 13. Roof DrainS � 64. Plumbing System - Final
14, Rough Plumbing 65. Electrical-Final
15. ,Rough Electrica6Conduit .- • 66. Solar System-Final -
t6. Rough Electric Wiring � " 67. Fencing & Access Approval
17. Rough Wiring Sign � �68. APPROVED FOR PLASTERING
' 18. �Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
"• 22. Ducts, Ventilating � 71. Product Piping O Gas OOiI
23. Gas Pipe-Rvugh & Test 72. Underground Flush
24. 'Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
� 27. Frame and Flashing 76. Dry Standpipe
28. Lathing & 5iding • 77. FIXED SYSTEM FINAL
29. Insulation ' ° 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical POWer Meter-Final ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heatiog & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy �
37. Final FactorY Fireplace
38. Final Plumbing � 8 �- (�O � �
39. Water Service-Final �
40. Gas Service-Final � -
41. Solar pomeSticFinal - _ _
42. Backflow Preventer � , �
43. Backflow Irrigation ' �
44. Landscape Irrigation System
45. Sound Attenuation � �
46. Handicap Regulations - � �
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed � ,
49. Electric Release to Edison � ' - •- .
i
50. Gas Release to Southem Califomia Gas Co � �
51. CERTIFICATE OF OCCUPANCY _
No. - Date � �
�i
March 13, 1991
William H. Kagey,
2773 De Soto
CoSta N�ea, CA 92626
7 �� � :t • r.•� • � n
De�' Mr. Kagey,
�,
�
It has ixen observed, hy a manber of the City of Costa N�sa Code
Enforce�nt staff, that the fence on the north side of your property,
facing Coronado Street, is encroaching onto the public right of way.
Your side property line is 8 feet fran the curbface on Coronado Street.
A m2asur�nent done March 12, 1991 revealed the existing fence is
encroaching onto the public right of way by approximately 3 feet.
The fence must be recmved fran the public right of way, or an
encroactunent pesmit applied for within 30 days fran th� date of this
letiter. If you wish to apply for an encroaclmtent permit contact
the Planning Division at 754-4245 for inforniation.
Failure to carrect the afore�ntioned violation will result in the
is�uance of a citation or referral to the District Attorney for criminal
prosecution.
Tf you have any questions, please feel frEe to �rontact � at (714)
754-5622 Monday through Fric3ay betw�n 8:30 a.m. and 5:30 p.m.
Sincerely,
�-���--1
SuSan Spiegelman
Code �hforc�r.nt Officer
cc: Willa Bouwens-Killeen, Planning Division
,31 "'�'''� SC¢I I l l �SS' �
OWNER SASIN
GENERAL
Water
DATE
FIRE ZONE 3 DESCRIPTION OF WORK
DATE IGROUP J TYPE V ZONE
SUBCONTfiAC'POR
� "- FEE RECEIV�D
�, �
COSTA MESA BUILDING-SAFETY DEPARTMEM J U L 2 2 1964
P.O. BOX 1200 - COSTA MESA. CALIFORNIA 92626
� finlnnlnr nrnt
ER gp�y W
ADDRESS �r�
DATE
� P� "o LOT TRACT FIRE ZONE VALUE
I� _C710N5 Si nature Date GROUP TYPE
sm� SUBCONTRACTOR
��GAS
WATER PI�m6ina
SPRINKLING SYSTEM
MISCELlANE0U5
ROUGH HEATING ANO AIR
ROUGH WIRING
TRENCHES � FOfiMS � STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME AN� FLASHING
LATNING — IN n OUT �
PLASTER, BROWN COAT
5" TURAL, FINAI
H !G, VENT., REFRIG. ANO A.C., FINAL
BUILDING, FINAL
� • 27$27 - ..
' � COSTA MESA BUILDINGSAFETY DEPARTMEPlr '
P.O. BOX 120E COSTA MEBA, CALIFORNIA 02020
For ApplieaM ro F(11 fn Complsfefy
TYPE OR PRINT
A�ORHYII o�-�7 J I �SO`l� ��C�
COSTA MESA, CALIFORNIA
oxme� � -.�
.
MAIL �- _ _
n
9
p 88i�ACK LNE Ip01�
DESCRIPTION OF WORK
NO. OP
�ROOMB
I ROOP
� �a �uEiG.
1 Hm16GY ACRNOWLtDO� TUT.1 XAV[ IWD fNl� AP�LIGTON
ANO BTAT6 rxwr rns OOV[,1! CORR[CT ANO AOR6[ TD COY.
PLY WITN ALL CITY OR ryIANCp MIp ^AT[ LAVH p[GYMTNO
GUILO�NO CONQil1U 1 . f
AUTMORIZ�D
NOV 16-67cesn00 722 �***�*5.00
A►PLICATION FOR PERMR
BUILDINC
FO� OHIe� UH Only
ntce�rt no. � o.
�r [Ilac[Iv[p pAT[�Cau[o �
� - -� - -1
7
TYP I 6ROUP
� �„TB — (O—(O
ZONING � �
xo. o. uea o. H
RANs �/ sultGiNo^ � � - .� /
c�'e-�r�c...�
R. o
—o
:AV! OVHRMANO BHALL 06 LlBS THAN
YARDI MPROVlD
MAIN BUILDINO
VAR. #
YARDBAPPROVHD
ACCH880RY BUILDINO
�I eT
ser. M�iH e
ACGE89. BL[
DATB
ow-r� i �o -w
a
ro
�
ea. rt. �
TNl AMOYNT �HOWN �1HD6q VALUATON IG IOq TI[ �
►YRl00� O► ffTApLIGNINO A PtqY1T 166 ONLY. �
VAWATION � 7
a �� � PHRMIT F8H —_— w
0
,'� . - � � $�% �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 90X 917 COSTA MEBA. CALIRORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
9UILDING
AODRE55 2773 De Sot Ave
COSTA MESA. CALIFORNIA
� SIZE
E
E_ C
,.�N-e-F'Pileosrn,F9z �oa*94.50
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
HECHIM NO. ��A ��
��
RHCHIL'V Y I �, /���VV'� I��7�TH b 81y{��
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
r+. L02.5'f. HYl��� ZONING
De 20N6/� ` I NO.OP ^ I U88 O� I
K PLAN9 f BUIIDING
SB-1 NoDR 220 es�„*,o„ Lot 9 Tract
. I NO. OP 6LpG8._ 0.
86T6ACN LINE FROM 1�
atNiEN oP eTRee'r LL � REAR YARC
SIDE YARD I LEFT —111 rj � I RIGHT �
DESCRIPTION OF WORK
EJCTERIOR
COVERING
USE OP BI
��CZO�� ROOMS
NyOl1CCOI COVEROII
i [1
IG AND WORK TO BE
�YARDS EVES
APPROVED ALLO
' IC8NT6H LJN6 BT.) ' I-�
�t
�
Area: 1780
1 HeqeBY �CKNOWL�OB THAT I NAVB R6AD TMIB APPLIGATION 1HE AMOUNT BHOWN UNDHR VALUATION 18 POR TXB
AND HTAT6 iH�T TH6 ABOVB 19 COPRECT ANO AaRBH TO COM• pUPP098 OP 88TABL16HIN� A PBpNIT P8E ONLY.
PLY WITM ALL CITY OIiO1NANCEB ANO 6TATE LAW9 qEOUTATINO
BWlDINo CONBTRurnoN. VALUA710N
SIGNA7URE OF ' � �'r o PERMIT FEE $ �'��
PERMITfE p
A..��J � $ 19,065�0� PLAN CNEGK $ J/� �a
.� y p/J
UTHORIZED AGENT / .a..Ct�L .�. A LGt.CO' � �j
TOTAL FEE ✓ �
- 21938
'!COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX �17 C09Tp MEBA.CALIFORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
B���o�Na 2773 DESOTO AVE
wo e
COSTA MESA. CqLiFORN1A
,,....._„ BUD SABIN
cirv �--�—
OR ENGIN ER T l�f
5871 7
BLVD.
�,T., SO GATE
STATE THL.
LIC. NO. ^�(, NO.
SIZE 80�00 'Ho.o�e�oon.
OF LOT I NOW ON T
USE OF
E%13TING BLD6.
6ETBACK LIXH F110M 5� 7'
<ENTEP OF 6TH8R RfiAR YAR��
81D8 YARDI LEPT � I RIGHT �
DESCRIPTION OF WORK
SZIEDINa 336 R�OMB S
E%TERIOH WALL ROOR
COVERIN� COVERIN6 �—
Ub6 OP BUILDIHG AN� WORk ro aE wawrnwr.
1 N8fl8BY ACKNO 8D08 TNAT � N�VB ReAD TMIe �PPLICATION
ANO 8TAT8 T TH8 ABOVB I! CORflCCT AND-A�$ 6[ TO CON.
PLY WITH CITY Oj;O1N�NC[y AND 9TATi I.AWY RF�ULATINO
w wurHoaizeo
FEE R CEIUED��a /�
►eB a 1884 U C�-�`
fINANCE DEPT. .�
CITY OF COSTA MESA �l�
APPLICATION FOR PERMIT
BUILDINCi
For Office Usa Only
R8C61R NO. PER IT NO
,a p/y /
r c��rc�cciL� L� e�u/U
9
ZONING
20 NO.OP U860PN[W
�_ � .�„�. Z a�,�o,„o �oe /
LBOAL LOT 9 TRACT 4808
DHYC111TON � /
A.P.NO. �7/ ` b -/ Z — ��
NOTE: NO HAVE OVERHANG 6NALL BE LESS THAN
YARDB APPROV ED
MAIN BUILDIN6
VAR. SC
YARDSAPPROVEO
�AGC—E6S��OnR,Y� BU-IL�INO
S ��
/� FI'. �_
y z �. —
7 Fr.
BET. MAIN Q
ACCE89. BLD68. �
DATE
APPROVE�
�..� y 6/��
�QLD FOR SpESiA 1tFQu[►�Me �
( �/�,« S
�
eo. �. �
THe �MOUNT BXOWN UNDBR VALU�TION IB FOR TM8 E
PYHP088 OP eeTABL�BHINO A PBRMIT R8E ONLY. �
VALUATION m
n
PERMITFEE j
s
1800.00 ¢, � D p
- -� a