HomeMy WebLinkAbout3025 DONNYBROOK LN - Building PermitsAoolleant to flll in a11 sDaees exeept tnosa within haary OorEer Iines ana �Ign all approoriate Eeclarations.
. .. _ ..� _ .. .. . . . _ . . . ._. .. : ""_ . . . : . ' . ' ' _ " '
CITY OF COSTA MESA. � � r PERMIT NO. TRACT NO. '� UTfNO. ; BLD . . ' . 1 � 1 � � ' � � ', �
• CONSTRUCTION PERMIT. . , (p0/o .� - . ' � � , . '' , i , - - � yii4i fi I Ii'-: , , . ::�e.�_ �7I
AppflGent's Meifln Address � J• 'v ��' � _ PE OF CONSTRUCTION � � � NEW ADD. ' ALTERATION _ - 'REPAIR : . � - � , � � : � - _ . - , . --
Project Address�•� ..�' � � i • . �-'-/ � �^i .❑ CONVERSION ❑ DEMOLIS ❑ THEF . _ . . . ' - , I . � : "-': . . . • : � - _ ,
� ' ' .� z/� 7Of3. - ; DESCRIPTION OF WORK ��' � �
Owner's Neme ' � V �' hone . - _ �-d . - � ' ' �.2 NING E UL I S� -
S/1Hi' , ' . • ' t , `" ' � , ,
. Address , . - '- . ^7VPEOFPERMIT. � 'GRADING' FOUNDATION 'STRUCTURAL' ,. A.P.:qW � ZONE ' - • ' � � ' �
' AfCh/En9 - ' , L'ICen5BN0' � ❑�TENANTI ❑.E4ECTRICAL ❑�PLUMBING �MECNANICAL � � .PLNG.FEF..#. ; � ., ; .BUILDING� : ' '
�� Address - � ' ' � -� � f i �.�� O7HER � J�%7E,� 1 � . � • - • .TO BUILDING' � . I . •
� -PRQIECT OESCRIPTION- SCi FT.�' � � • � �OCCUPANCV ' P PERTY LINE _ � �REAR VARD (TO P/U • 1 ' -
. ContfeCtOf'SNem � hone � . ,.. � , ��EFTSIDE VARD � RIGHTSIDE VARD� ' �
� � � � � , , CONSTRUCTIONTVPF ' � VALUATION$ �� . � ' �
Address (meiling) ' '. � . • ' _ . i . . �— . _
CIc8n5eN0. �'7' ' 1 ZON� _� � GRADINGCV.VDS. 7ACRE� _ PKG.SPACEREQ. , PROVIDED ,�
'� ! � � :
LICENSED CONTRACTOR DECLARATION � � ' � j Remarks: �- � I � . � STREET WIDTH � � 1' PARK FEE.S • '
� 1�hereby,afflrm that i am Iicense0 untler provislons of C�arter 9(tommenUng ♦ . � � . ,,
i wlth Sectlon 7000) of Dlvlslon 3 ot the Business anC ProPosslons Cotla, antl I ' � , ' } . � j , SPECIAL CONDITIONS: - � _
'' my Iitense•is In Tull fOrce antl�eTfett. ' ' ' r � ' ' � � . . � i ' ✓ . - �
� � � . ' � . . ' PLUMBING � i I � - ' . � I � { � ' � �
' LJcense Class' � Licanse No. � � d i : i„
Data ' I ' S19natura � ' ' . , �. � ; ? BarSiok � SewerCap� • � � ' ' I , � . ELECTRICAL , ; • i' �
;.�.:�RKERS' COMPENSATION DECLANATION � . 1 ' ' � ' �� - ' ' - . .
`'wereby.afflfmthatl.haveacertlflcata-of.tOnsentto.self-Iniureor-a�tertiflcate-.�-. .' -: -. .- . _.. ', . . � _ .... .t . .. _ ._ AUtOmaticWashef __ . ,'. �M2tef ❑OVCf_lObemps', ._ _
��„� Workeri' Compensation In5ur5nce, ar a certHiaG copy Ihereof (Section
� � Beckflow Preventer i Sewer Connection � -+ . �- . , -r-- �
i . , i � - - �- Construction Pole � � y �Sub Panell ` ,
, 3800, LaE. C.) ; , , � : • Beckflow Irrigation . - Soiar Collectars � • . •
. PoII<y No. � ' � ' COmpany • ' '. '. i -� � , CoOking Unit ' �Sub Pol2 ' . , � ' �
8 Certifle0 copy Is hareby furnlSneO. � = � ; � � j 88thtuh4 � , � $Olef Piping � i _ I , �
CertlfleC copy B tiled wlth the tity_Bu11CIng Dlvislon. , � � , j � .. . � t � DiShNlaSher ! 'MOtOfS OO-1 HP 01 X-8
Da[e � � ' Applicant ' � � ' ' � ' ; � Clanfier5 � , j Sotar Tank � j _ � _ . i ' ;
. . ,... . . _�w � ._ •
EXEMPTION FROM WORKERS'�COMPENSATION DECLARATION ; �� Di5hN95h2f � , � � SWimmillg Po01 WJSpe . ' DryefS ❑ ❑Electric �� I Inc.Solar�O9-15 HP �76-15+ , I
Gas�
(Thlssectlon neaC not be completetl H the permit is for one �untlretl (5300) or '
' iessl:. � , i . , � . , � � • . � � � Fan' j .Microwave , ' ' � �
. I terpiry that in the performance of the work for�which thls parmH Is issuetl I � D�inking FOuntains � Urinal � � � . � � . i '
� shalbnot employ any Derwn in any rr�anner so'as to become subjeptto t�e • � � . . � � F.A.U. , I � �Pole�Li ht 1 � �
i Wor,kers'.ComDg�� �o3Laws of Callf r la.' �' �� (L/���xj�/ ! Flaor Drains� : � � Water Closet; t � t , 9, � ' [
; Date �'�� 7�� Signature ���¢��' 1J � ' , � , � � , - , � � � Fixtures � ' ' � I '
; NOTICErIf, aftermakirig�this-tleclaratlon; you�shoultl�become �subjecbto the'� �� � FIOOr Sinks-�---�. - - -� -^ - - Wete��H¢2te� � ^- -Y^ � - - -- _ �Range�,. ._,.. ._ _ _.>.. �f_ _ ._ 1
' Workers'; Com0en53tlon Drovlsion3 0! tha Ldbor, Cotla, you mustiforSnwitM1.� � � ; - .' , � - � _ � , - i ! ' �_ Device BOxes • � �Si n � � �
comply wltM1, such provislons"or this 'Oermit �shall be �tleemetl, revoketl:� , � � GeSServicC `;OutIEtS � .WaterService ; - � , . . 9 ' t , .
�CONSTRUCTION LENDING AGENCV•� " i -�1 . � ' � � �
, I �ereby affirm that there ti.a constructlomlentling agericy for tha Dertorman<e� Int2�c¢pto�s ' ' � OuUets � � � � t � �Standing Sections � � �
' ot lhe work fon which� thir Dermit is �issuetl _(Section .309T Civ. C.}
i � � _ i + -� i - - � Switches � � � � �Trasli Com actor ' �
, LsnEer si Nama.' ' + � - • �' " ` _ Kitchen'Sink - ' C � ' . i . P
� LenOer's' Aatlress: - � - , Garbage0isposal � ' `
' OWNER BUILDER DECCARATION ` � � �. ' - �t ' � Cavatories� � , 1 � � � � '�• � . � � �
-I hereby�atfirm that I am'ezertipt from the�Cantractor's License law for the i - '.� . - . - G2neratOr �0-5 KW �5-15 KW � �
foilowln9 reason (Sectlon 7031.5 Builness antl Professlonal Cotla: Any aty o} � P-T�api j 1 ; s , ! • ; G � �i . � ' ' ' ' t ' ' '
� county whlch raquire5 a permit to ton5truct, alte�, improve; Gemollsh'or'Fepaif � �, � � � , '� Transfofine� ' ' '
�any struc[ure; prlor to Its issuance,lalso raquires tha'apPlicant (or sucp permit ��� � ROOf�Dreins ��' �� � ! a i,� j ? r ��� �. • � � i ❑ 15-50 KW I � ; � � � � � ;
� to file. a slgnetl statement that he(she I5 Ikensetl pursuant to tha,provlsions of' � "' ' ' �� ' ; � '
� 0' 5U i KW � ! �pein ction Fee
"�p Contractor's�Ucense Law'(Chap[er 9 (commencing'with Sectlon 7000) of ; 1 1 � � � - q t � J � :y � � ' ' � . i � We ; ' $15' t
ww�islon 13'of, the Business antl Professlons Cotle)'or that he/she.is exempt ShouvC�s :� - • i Reinspection Fee $15 , ,
r*"�retrom anC the� basis for the alle9etl azemphon.-Any. violatiod of Section ' -. . _ ; � - j : '� � ' Meter ❑up to 700 amp5 � � Ilaue Fee I - i' ffi 3
'%31:5 by. any apo�i<ant for a tpermit- suojects'tne applicant to a'-' civll . � � � - 7 ' ' -. ---- -_
; genalty o! not more than five;hunGree Collars (5500): � • � � : , $eivice Sink _ � � ,z ; � Isue Fee `_ � ? 3 ���,�9 pPP�oved By ; _ � - Date �
e
y8,1, as-owner of the �property oi my amployees with wages.as thair sole , . , , ; � �
compensation will tlo the work; antl the�structure is not intantletl or otferetl t f ��` � i -. MECHANICAC ; ; ; , � _ � ,
, tor wle �(Sec�lon 7044; Businesr antl vroTessional,Cotle:`The Contractor's � � � _ � � %�PP���tion Approved By Date .p
' LJcense Law Coes uot appry to'an owner of a property-who bullGs or improves ; � Boil¢C � `� R¢frig¢ratiOn SyStCril ) , � � � �� , ' �� � 7-p -3 �
i thereon,.antl who'tloes zucti work hlmself/herself or through �is or �er own � � � � =� �� ! 1 � Applintion Isued By , �� � �Date
emplorees, pravltleA that such•improvements are'not intentletl or offeretl for � • � ' �' i • ❑p-100p00BTU ❑100,0008TU', ' . , .
; sale. I however, the bulltlin9 or improvement Is Soltl withln ona�year of com- i ' DuGt - Unde� G�Ound t , . . . � � � � � � '
; SUMMARV OF FEES .
' � D�etion, the owner,will have tha burtlan of proving he/she tlItl not builtl or im- �� - � � 1 �
r r v ha�purposeotsale). �- F �; �- , . I ! Duct-Structurel ; ; System Repav/AlteFetion� > � ;BUILDINGPERMIT $� `� � �SMIP 1 $ �+ �•S� 1
� I�I�ner of the property, am exclusively tontractinglwlth�licenietl con- � , � , � I ; 'i ' '.
� ractorsto construct tne�proiect.(Sectlon 7044, eusiness.antl Professions Coae: _ Duct,:yentilating_: _. __)_ - , _; _ i ., }.- _ .,..� � PLAN CHECK; $�, � '� PERMR � � � '
i The Contractor's L.icense l.aw does not apply to an owner o/ prooerty whoY . . . , ' ' I ' . ! � ISSUANCE � �$' � '
� Dulltls or improves thereon, antl who contracts tor such projacts with a<on- � Exhaust SyStem ❑ Multiple 0', � � �� + � �PLUMBING � $' � . �
i tractor(s) Ilcanse oursuant to tha ContrattoPs License Law): �PLAN CHECK� $� - 1 GRADWG 1 �$' � ' �
� 0 I am exempt untler Section B. & P. C. for this reasan i Fir2pl/FaCt. Blt. ICBO # � � � I � � � � �
� � ' � � � � 'ELECTRI�CAL $� � � ! 1 ' , i $ � ' ;
Data � � • ' owner � � ' ' � � � ' � Heating System & Ducting - � �1 ' � � . - � , j �
� �PLAN CHECK $. MICROFILM � $ � i
1-hereby eerNfy-that-Irhave-reatl�thl5�a0Vlication antl state'thaYthe-above-,- -' 00�100,OOO�BTU�100,000BT � � ---,- -� ; - , - , � , ' � � •
Information Is wrrect. I agree to complY vdth all city.ana county ortlinances � . . • ! ^' � ' � . j TOTALFEE�: .$
• antl�state Iaws relaling to builtling construction, antl �ereby authorize repre- � , - . 'MECHANICAL $� � . • � , �
sentatives of7this'city�fo epter upnn the above-mentionetl property for • Hoodo� Typel ❑' � . - ' .' � , � � j .
' insoectlon purposes.�� / �'/ / Cana � T e II ❑1 ' , ReinspecTion Fee � $15 • LESS S
PLAN CHECK S' ? qD,VANCED�PC ; $ �--�
. 519naWre� �Lii � (o. . :/QYc-��.el�% Date /:'-�.'� :%_i . � � � l 1 � � � ' ' � . - i . � , . . . . '� S�?_
DnJerz' Licenze or 55 � �'"� �� � �' � ' Registers , � � � Issue Fea � $ 3 � � , � , I FINAL FEE � � $ � �'�, "" '��'
i
CMF 0865-46 rev. 12/82 White - Bulltling; Canary - Applicant; Pink - Accounting; GOltlenroC - Azsessor
�,u�I�ssaamiar+o: 3025 DONNYBROOK LN
a'"E"s"""E'F'aowr': STUART, L'ESLIE
"p0"�' SAME
�vri. xuuNc mox�u
AqCHREtt Oli EN�NHA:
RCN.Ofl ENG.'S AOORE53:
2��
uc. w.:
uxr: g CITY OF COSTA MESA — HUZLDING PERMIT
PERMIT NO: M 073352 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC
JOB DESCRIPTION : NEW HVAC SYSTEM
UNT:
C0N1""�0"5NA1�' BEL AIR HTG. & A/C ( 714 ) 380-9155
cam�croas�uiwa z 3015 DELLAGO DR
A°°"E� LAGUNA FIILLS CA �G"� 577506
92653 uxT: D2159
UCENSEO COtRRACTONS DECLAF�TION: 1 Mreby efl'em unEar peiuty d pa�jury that 1 em licenaad uMm praiaione d Cheper 9
(wmmerwng wilh 5 ion ]000) of DiWeion 3 d IM Bunimn enE Prdeaeia eCade, arM my licenea ie in lull brca eM eXM.
cmuc.No.: uc.cuss: C_Z� uc.N : 577 F XP:
9 r �
Dme: � / � ConVaaor.
OWNEN BU DEN OECLANATION: I ha�eby etFrm uMer panelly ot pe ry thei 1 em uemq Irom tM Comrmas Licenee Lew la Ne
IolbwinB re�^ (�ion ]d.f1.5 Bus'uwss eM Prdeasiona Cada: Any dy a munty M�iM requiree e pertnit to oonsWCM, eller, improve,
bmdoh, w rayei any nvuclure, qia b es'vaueMe, e6o reyuirm ihe eppliani la auch pmnil to fib e aipmd ele�emenl ihet he a aM
e lioenaed W�uant to tM O�siam d IM Cantredan L'renae lew �Cheqer 8(mmmeMiip xilh Sedpn 1000) ol Orveion � d Ihe
Bueineas end Rdeseions GoEe� or ihm M or ehe is exemp Ihxehom aM Ihe basia tw the elleped eaemp�ion. My vuletion d Sed'pn
)031.5 by enY eDd�� �« e permil wbpds ihe epd�� �o e avil penelly d nol moro ihen live huMreE Edlen �5500�.
� 1, es ownar d �he propeny or my emqoyeea wih wepes ea ihei ede compensetion, will do IM waM, end ihe ei�upuro u nd imandeA
«ene.ed i«.de �s«no� �oas. eusi�se ena rraessiona coae: rne co�vmore u�ae �.. a�. �m �Wv �e.� %.�,a.d aop„y
wno w+as � mw� m«�..�,d.no eo�.� wwk nm�.n o, n��r «wwon nm a n« ��owi�n. ww�eae mm,�,
improvementn ere mt inteMed «oHereA fa sab. tl, Mwever, IM Euiki�p a'vnpmemem u eatl xilhin me yeer d complelbn, tlre
ow�ur-bwbe� w�n na�a ma numen a v�•ma na a..na db �a n�ad « �mpmve im me wm�a a mie). ,
❑ I. es ormer a �ne Nw�Y. em udutirM' mninah0 vriln licensetl canhenon ro cmmua tha pqea (Seeun ]ou. &uiriw. eM
Prdes�ian COCe: Tha Contradon licenm Lew does M eppy W en owner d propeM ��itle « impv.•ea �Meeon vM who
convacie M w li ortlMa wilh e mnirm«(sl IcanaeE oursuent W tha Coniraqors limnae Lerl
❑�
Dve:
B. 8 P.4,
mm i� e.ara a�e ��.�i,�e ina �,�„�aFn w cdaom;,
♦
1ion9 25505. 255]3. eM
endtM ropuiremantafa
e o�� �woonauvaana moamwionnomma�rwe��Y ma�euamem um�w. we�aeruw mrmiuevn wW�'�va ere ssmmq vom uwes
provislons.
Dete: �pd��
WOflKEH'S COMPENSATION DECL�fll1TION: I Mreby dfirm ��,da, p,�nv a��ry oo. a m. ronow�� eeaamoM:
❑ � n.b m,a wi� meimen e oenncme a omeam m.en;�an b..vke�s como��, m wwieea �« M samon a�oo a ine �.m.
COEe. lw iM1e pe�lormance d iM xork Iw wlich ihn permn ia isvued.
�I heve enE wil mantan woMers compenaation inaurenoa. u required by $ection �]00 d Ne Lebor CoEe. br the perbrmence ot Ihe
wM la xfiM Ne parmn is �ued. MY ��n �Caneetion inwrence fanbr end po4q number me:
c�a.: 4TATF FrTnm EXPIRES
vdKrN�mn�,: ��ocrTn�rTn�ca'7nA O1/O1/96
(ihis secfion rroed � W canWakC /lMOamr� is la oro hundred ddlvs R�W/ m bas.1
� I cenAy Ihet in Ihe paAormeza W 1M1e wak for which ihia parmn ie isaued, I ehell m� empby eny perean in eny menner p sv lo
necama wdea m �ne a«ken• canw�� bw. w cda«ne. e�d rorea um rt �.nww necwne wNed �o ine .onw.•
compenxlion D�spna N Seaion 3)00 d iM Lebor Code. I sMll IMhwn� comp�y wnh thwe Oroviaiona.
WarNnO� Falluro ro��curo woA'xa' mmpewtlon rowrep� I� unbwN( �ntlWII aWJse! m mploysl ro ctlMixl ponalHu md
c/vll IIMi � ro on� h�ntl�l fMuuM Cdbn (S10Q000), In �tltlltlon h M� ro�t o/ rompmutbn, Gnup� a� provltlW br In
Sxtlon 9]06 0l fM Lebor Code, InNniS enC etlomsyi /sn.
CONSTflUCTION LENOINO R6ENCY: I hereby �rm undar pandry of perjury ihet ��era u e wnnrudion bMirq epency 1« �ha
paRormerwa d Ihe work iw whiW ihe pe(mY b ewed (Setlian �091. Civ. C).
LEN�EN'S NAME:
LENDEH'S ADDflESS:
I cenity ihat I heve reatl �his epplcetim eM mma ihet �he ebova infaemetpn is wired. I apree to comply v.hh ell ary end caunry ordi�e
end siete lawe relatrq lo buildvp wnmruaan end hereby eWwriza repreeentmivea al lhis vry to enter upon iM ebova-menlioned pmpMy
�or msyeabn w.vreea.
DENETT JINTANA
�
�i� ' oe�<: ?.� 9
�9��.a d a ao nvv ucoo�
(5151<B.WP) W�ne-Buikip 8 Selely: GraerFb; Cerery-Appicant; Rnk-qmenue; Caoldaneo�Asamaor
PERM NO: M 07]352
GOC�T: N SUPP: N
PURPOSE: OTH
SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
COMMENTS: NO BLDG PERMIT REFERENCE
**�***�**���*��*****�***+�*���**���*�*+�+�*****��***����*�x�**�***x**��;��*+��**�*+�*
Z O N I N G R E Q U I R E M E N T 5
S E T B A C K S
------------ MAIN BUILDING ---------- ----=�'--- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT TN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14116516 ZNE: REF NO:
PLANNING NOTES>
i
iE iE iE iE iE 3E iE iE iF iE iE iE iF iE 1E iE iE �E iE iE 3E jE if �E iE iF �E jE �Elf iF iF iE iE iE iE 1E if if 3Elf if iFlE 3E ff �E jf 3E * 1E jE jE iF 1E 1E 1E �E iE iE if if iE 1E jF 3f 1E jE fE iE iE if iE iE * 3f iE if fE
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 APPR6VED HY .
HUILDING APPROVED HY : .-.�
APPLICATION ISSUED BY; � �
�- (
iE 1E 1E iE iF 1F iElElE k 1E 3E iE iE if iE 3f if iF �E 1E 3E�3� .
LEGALIZATION:N F E E_ , S U M M A R Y
BLDG PMT PLDMBING ELECTRIC MECHANIC
PERMIT �.-18.00
. ,, 25�
PLAN .
ISSUE FEE �' 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 18.00 15.00 0.00
FIRE
TOTAL
33.00
DATE:
DATE:
DATE; ��
ifiEfEiE3EjF1EiE � iElf
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
PAID DUE
33.00 .00
REVENUE DIVISION TOTALS--> COLLfiCTED: .- 33.00 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
' 33.0'0
iE iE iF iE iE iE iF iE iE af iE iE if iElE it iE iE iE 3E iE iF iE IE 1E iE it iF iF iF 9E if iE 3E if it iE iE jE iE iE fE iE iE+� 1E if * 1f iE jE if iF iE if jE iF iE iE iE iE iF iF if if iE if iE ff 1E if i4 iE 1E iE iE if if iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R 2 P T I O N - UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN-<= 100 K BTU 9,00 9,00
MEC 1 REFRIGERATION SYSTEM <=_100 K BTU/H 9.00 9.00
END OF_ FEES
I
k
^ �i ��Oi�b5o5-�01°bb35 "S"��'�
o�;�: o�-�ii4; 7:n_: ,�.a�
33.+3U
/�
CONSTRUCTION AND PLANNMG PO4 . SPA
�"�� APPROVALS Permit # - Date Inspector APPROVALS -`Permit # Date lospector
1. Temporary Electrical Service or Pole� - ' 52. Pool & Equipment Location .
2. Soii Pipe-Undrgrnd. �• 53. Steel Reinforcement " �
3. Eleetrical Conduit Utiliry�Undrgrnd. � 54. Forms �
4. Electrical Conduit-Undr9md. 55. Electrical Bonding . �
5. Steei Reinforcement 56. Rough Piumbing & Pressure Test �, i
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITF '' �
�t
7. Footings 58. Electrical Conduit-Undrgrnd. �
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test . �
9. Water Pipe-Undrgrnd. '` • 6Q. Backwash Lines, P-Trap, O Undrgrnd.
r .._
10. Structural Floor System , "� 61. APPROVAL TO DECK � �
it. Property Sewer Line & House Connection �g'1, Backwash & Receptor-Finai
G
12. Sewer Cap �=, 63. Heater & Vent-Finai
�� 13. Root Drains . , 64. Plumbing System - Final
14. RoughPlumbing .� �� 65. Electrical-Final
75. Rough Electrical�Conduit �} • 66. Solar SYstem-Final ,
16. flough Electric Wiring �� 67. Fencing & Access ApProval . �
17. Rough 4Viring Sign � , 68. APPROVED FOR PLASTERING
78. Rough Electrical�T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL
19. Rough Heatin9 & Air Conditioning PIRE DEPT. REffU1REMENT I
20. Rough Factory Fireplacs APPROVALS Parmit #
21. Ducts, in Structure 7Q. Underground Hydro
22. Oucts, Ventilating 77. Product Piping C]Gas ❑Oil
23. Gas Pipe-Rou9h & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead HYdro
26. T�Bar Ceiiing iStructural} & Monocoat 75. Dry Chemical
27. Frame and Fiashing 76. Dry Sta�dpipe �
28. lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL •
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plas,er Brown Coat 79. FINAL INSPECTION
32. Elecirical Power Meter-Finai 80. FOOD CERTIFICATE ISSUEO _�
33. Final Electric Notes: ��� s- � �
..__� _2t.�C✓�t-t4l-G-�J f�v ���c.tixC%
34. Final Heating & Air Conditioning _•��_q5'"-' - (
!! [
35. Finai Gas Pipe�Test
Sl -� ``�,�,�5_ _P! � ZdT`�lJ�^-� 'L-�1''L crtno
36. Hood or Canopy 1���4sjS� �/Y.tL_ Q
3Z Final Factory Fireplace � �
38. Final Piumbing �j
39. Water Service-Final
40. Gas Service-Finai
41. Solar Oomestic�Fi�al
42. 6ackflow Preventer
43. Backflow Irrigation '
44. landscape Irrigation System ,
45. Sound Attenuation .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALP�ANNING �
49. Electric Fielease to Edison
50. Gas Release to Southem California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
/ %
BUILDING PERMIT LOG
PLOYEE: j�Q.� �J«�-S'
DRESS: � �S o-r��aY'�32nat�. ' �
RMIT NUMBER: VYj �'�35'z_ TYPE OF PERMIT: Ii�v �42A/�tCc ��/2-C'��
LUATION: SQUARE FOOTAGE:
RMIT FEES: ��3� d71
cIT�"u�
IN
ssaewinu+c: 5025 DOTIT]yDEi00K Ll�
'+weiraawn:STUART', LESLIE
monEss: SAME
/iPPL.11AIlIN(iI�DDFE55:
uNT: g
AqCNRECT OR F1MdlEFA: llt. Np.: '
JiCH ON ENG'S100flE55: UNf:
cornwcrarsru�e:ELECTRICAL CONNECTION INC (714)854-4697
LONfNACTOR'SMNIANi 39 SUNLIGHT
woxess:IRVINE CA uara.: 558628
92715 uM:
LICENSED CONTpACrOpS DECL�NATION: I hempy e11im uMe� pene�y d perj 1 I' uMx ywisona d Cheqx 9
�mnmenri�p wilh Sedion )000) d Oiwun 3 d Me Bini�roey yq pryey¢;pis my ' lull �orce vd eHad,
cmuc.No.: uacuss:C-10 uc.xo.: 5 XP:
�I o�e o� - o t- 9'� �o�,��
OW NEH BUILpEfl DECLAHATION: I Mreby elfiim u��� pe�y a pe�Wry Ihet I eeam 1 Ihe Com
idw.are ��o� (s«r�«� �a��.s a,s:�s �e Ro��a�o�a c�: nm ar «�mv �d� e ro�n
demolsh, a repa'r any s��uaure, prior �o ba asuarice, e6o reyuir� the epd�� ta b e eqn
e IicerueE Wn�� �o iM povisiona d ihe Contreeys L'unnse Lew �Lheqm B(comm ' with Sedin
I Bumeaa aM Prdmsiww Coeal «thm he a sha o azemq iMrahom enE iM beau I« Ne elka� memq
]OYt.5 Dy eny epplirani la e permil wbptla �M eppliyni io e wil penedy ol M moro tMn Ma huMreA tic
� I.svowrrerd�hapropenYormyempbyeeawihwapeea+Iheiedeoompeneelion.wYlEONev.oA.eM
a oMereEfw xla (Seclion 1wa, Buvne� eM PrWaysp�a Code: Tha Coniredon L'xxnse Lew tloee iwt i
Liwnae Lew /« ihe
wct. e11er. imYare.
ITBfI� ��101 h! IX 9�IB
d Diision a d Or
,.wmo�, a sea�,
o iw1 iMeMad
mx d popery
rdeE Ihet BucM1
completion. the
owner-Euider will have �M buNan d provi�q ha or eha did iwt WiN w improve lor Ihe Wryoee d ede).
� 1. m owner d the V WeM. em eRtlusivaN mniredYq wilh IicenaeA cmlreclon b can�true iM O'M� (Seaion 1Da4. &nmeea eM
wa�� coa.: ma coovmon u�se �.. e�. � wqv w� o.,,� a aoo«ir wno w�a. «�po.� maroo� �a �
comrana t« wai prqeas v.i�h e marm«(e) li.,enaee purswnt m �M Comrmws timive taw).
� I em eRemq unEm Secliom 9. 6 P.C.,1« Nis �eevon;
Dme�. O�mer:
i ao n�reW �en�y ma� i� ewere a ene unaus�ana ine rea���e�a a ce�aom�e �enn ene seie�y cuee seeia» zssos. uv3..�a
255�0, uW Ne� 1 a erry Muro buiWiip amweni will / w�l iwl (tlrcb ma) med m camply w�h vaid eteta mdr ard the requiremeMa br
epaimnlarconst'uclionamoEifiraibn(romtMAr u�¢"",�jy ¢roga�mDiqrkt.ReakmlielwutiutlianeppifetumareexemqlmmUme
prweiona.
Dere: AOP'K���
WOPKEH'S COMPENSRTION DEC�ARATION: I Mrspy �� �� �ryy d pa�ry aw d ihe blbwiiq tledarmiom:
� I hew end vnl maniein e cenAcme d caneent io seX-insure br xorkan' canpevalbn, av povideE lor by Sedian �)00 d Ihe lebor
COEe.Ia �he pe�lormence W IM work ta which �hie paimil is issuad.
� I hew eM vriA meinten waken' mmpenae�ion i�yurerce. m reyuired by Sedin 3lro d ihe Lebar Cade, lor tM1e pa�ormanw d tM
wark la whiM tl�ie perm� u mued. My wvFen' �panamion imurawa rerr'w arM pdicy number ere:
c�.:
POGey Numbar.
�(rn� seaion need nor be mmv�ee s rne ro�mt is M are nvndren edrers /s,o n.laev.)
I centy Nm in iM perlom�enca d Iha wak Ia �rryw� t�ia peimX is iau hell eml ;il enY pe� � enY memror eo m io
become aubjep to ihe woikers wmpenaeiion le�w M CelXamie, en i I i h Id bacoma eubpa �o tM xroMeie'
compemetbn provisona d Seaion 3]00 d the �pa Cade, l ahall lo� Vvn r�mp ih 11 e rovieiane.
ome � k — �� � �`7 �d�„: •
w.mmv:c.n��.ro,.��..wort..:�o�w«�•no�w.�.m�,w�w.na..�e � r.�.,�nmwro�nmwn.�.ro...�e
Nv/l nnu up ro ms nu�drse rnouuM eaJYn fsfoqaool, M��yon ro m� r o n rbn d+�w� as provM�d ro.ln
Secflon 9M5 0l tlro Lebor COM. Inronst eM ettor�rys /ses.
CONSTiiUCTION LENDINO AOENCY: I hereby elflrm under panalry d par'ryry thei tMra u a conn�uann bMi'p epancy br �M
p,darmance o� me woM ror wnich me re�� �s aa�an (seaun aW], cH. cl.
IENDER'S N4ME:
LENDEH'S ADDHE55:
I carfily Ilat I rmd Nu eppliceiion eM 9ma thet i� ey� inlamelion b owmtl. I epne to campy wilh M ary eM couMy pdiiuric«
eneeleiek relmna�obwld conmueimenenxeyyaNrorizereqeaenimv..edmiacnr�omixuv�meanwe�memb,,.ep�opa�y
�orimvae rfyvo%�E�IE GROLL
11
Dma: ��`
8 Sefary; Gra�-Fb: Canery-Appicem; Fnk-Rarenue; Mldenro�faaemr
CITY c�F COSTP h1ESA — BUILDIIdG FERh1I`C
PERM FIU: E Of1226A
PERMZT NO: E 082268 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: 6Tfi
JOB DESCRIPTION : NEW HC�AC SYSTEM 6 MISC WORK SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /
COMMENTS: FINALIZE ELECTRICAL PERMIT #E73351
fE 1E iE iE 1E iE �E fE ff 3f 1( if if iE IE �E �E 3E 1E ff 1E 1F iE iE iE iE iE 1E iE fE iE �E �E iE if 1f iE 1F iF jE 1E 1f 1f �f jf 1f ff �E 1F iE iE ff iElE fE iF 1k iE iE 1E ik dE 1ElE 16 �E jE * iF iE if' iE 1F iE if dk iE K dE
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
— ----- --- MAIN BUZLDING ---------- --- ----- ACCESSORY BUILDING -------
FRNT: FT IN REAR; FT IN FRNT; FT. IN REAR: FT IN
I,F.FT: F7' IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14116516 2NE: REF NO:
PLANNING NOTES>
J
if 3f !h 1E iE 1E if iE 1E �1E if 7E 1E iE iE ff 1f iE if iE 1E 1E 1E iE IE iE iF iE 1E if !E iE iF �IF jE iE iE �)E if 3E iE 1E 3F fE �E 1FlE iE if if iE iE iE �)E �IE 3E 1F ik iE iE iF 1E'lE iE ff iE iE �IE iE iE'1!' iE 1E iElElc iE 1E iE
D E V E L O P M E N T S E R V I C E S R E� CJ I R E M E N T S
ZONING APPROVED BY .
BUZLUING APPRGVED BY :
APFLICATION ISSUED BY;
ik if if if 1E 1f iE if fE fE 1E 1klf iF if iF 3E iE fE �E iE if
LEGALIZATION:N F E E S U M M A R Y
BLUG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 3550t
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 35.50 22,00 0,00
FIRE
TOTAL
57.50
DATE;
DATE:
UH1C; l
'1E9E1E1f1t1ElF# �IE�E
STRUCTURAL SEGMENT;N
SMIP/RES GRADING
SMIP/NON—RES
FAID DUE
5%,5� .��
REVENUE DIVISION TOTALS--> COLLECTED: 57.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECK
57.50
1f if !E 1f 1E iE fE 3E 3F if 1E 1E if 1E 1E'lE �IE �lE �1(-1F �E �f 1f iE iE �IE iE IE'lE 1E iE iE �IE 1f iE �If-1E iE N' �IE iF if if iE if !E 1f iE iE� iE iE i(-iE iE 1E 1E 1f iE 3h itlE 1ElE if !E iE 1f 1E # iF 1FlE'IE 1E 1E If * iE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
ELE 4 RECEPT/OUTLET 1 ST 20 EA. 1.00 4,00
ELE i. SERVICES BELOW 600 V& BELOW 201 AMP 27,25 �7.25
ELE 1 MOTOR/POWR APPARATUS 0.0 — 1.0 AP 4.25 4.25
END OF FEES
EXPIF�Ei�
F� `t�
DATE�`�=_ ``�
84-01-1997/B8:4B AM/557.58
RCPTq:81-0A04221
PERMIT:082268
�-.; . • -
�ONSTRUCTION AND PLANNING P00� .. SPA �
b Date Inspeccor Date inspector
APPROVALS Permit #� APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location
2. Soil Pipe•Undrgrnd. 53. S[eel Reinforcement -
3. Electrical Conduit Utility-Undrqrnd. 54. Forms
4. E�ectrical Conduit•Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVER�GUNITE .
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd.,.Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structural Floor System . 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer CaP � . 63. Heater & Vent�Final '
13. Roo( Dreins 64. Plumbing System • Firiai
14. Rough Plumbing fi5. Electricai-Final
15. Rough Electrica6Conduit 66. Solar SYstem�Final
16. Rough Electric Wiring 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough E�ectrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE OEPT. REQVIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Oucts, in Structure 70. Underground Hydro
22. Ducts, Ventitating . 77. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. RoofFreming 73. Undergrnd.StoregeTank�Gas ❑Oii
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural{ & Monowat . 75. Dry Chemical �
27, freme and Flashing 76. Dry Standpipe �
28. Lathing & Siding � 77. FIXED SYSTEM F�INAL
29. �nsulatia� 78. FIRE PFEV. FIIVAI
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL �NSPECTION -
32. Electrical Power Meter�Final 80. POOD CERTIFICATE fSSUEO
33. Final Electric � Notes: � .
34. Final HeSting & Air Conditioning ' ' -
35. Final Gas PiPe�Test , ; �; ,g
r_.
36. Hood or Canopy : ' �
37. Final Factory Fireplace �
38. Final Plumbing " ,
39. Water Ser�ice�Finai
1,
40. Gas Service-Final � '
41. Solar pomestic�Final . .
42. Backf�ow Preventer �
43. Backflow ��rigation
44. Landscape Irripation System
45. Sound Attenuation .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING �
49. Electric Release to Edison •- -
50. Gas Release to Southern California Gas Co
57. CERTIFICATE OP OCCUPANCY
No Date
csaem�owc: 3025 DONNYBROOK LN
"""E11P'0"'" STUART, LESLIE
dODNESS: �AME .
YIJl1NG ADDPESS
AFCXRECT OF ENCdIffH:
MCN.OH ENO.'S �OOPE55:
uHT: B
uc. ew.: � G� J �
UNT: �u
coNm�crarsrun: gEL AIR HTG. 6 A/C ( 714 ) 380-9155
COMt1AC10NSMNLPM. z3015 DELLAGO DR
��� LAGUNA HILLS CA uc.ra.: 577506
92653 uNr: D2159
4CENSEO COlRNACTOPS DECLAHATION: I hareby eRim unMr pe�atly d pe�ury �htl I em IicenaeE uMe� pwisions d Cheqm 9
(mmmenarq v.i�h clion J000) d Oivision 3 d �he &ui�wa eM Profeaa 9na Coda. vW mY ��� b ull Iwce vd eHeq.
cmuc.no.: uc.cuss: C-20 uc. �o.: 577 0 �XP:
Dme: / Comratloc
OWNEF B LDEfl DECLAflRTION: I Mreby elfiim uMer panetly d rN'Y �� I em ewnq Imm �M Conireqore Licenae law fa the
fdbxvq reawn (Seqion ]031.5 Busiwsa eM PMassions Code: AnY cry a oounlY �� �apuiree e pemin to mrevun. allx. imparo.
Emmdan, «r.v� anY atrictura, p'wr m Aa uaueewe, eho �eV�irm Iha eGWirem t« vuch 0�� �o fib e mB�E stalemem ihet ha «aM
ia licenaeE W��t io iM prwivma d Ihe ConVeqon Licema lew ICheqm B(mmmmcrp xi�h Sadion ]000) at Oimion 3 d �ha
Businea eM Pro/essons Coda� or thm he or Ma ie azemq ihereham eM �M beva Iw IM elbped exemqion. My videtion of SeUion
)031.5 W eny epplicent Ior e permil subjada Iha epplicam lo e cnl panelry oi � maa �hen (Ha huMred dollen [5500�).
� I, ea owm� Nthe yoperly or my emD�M'eea wih weBes es ihx aob oampansetian, vnildo tM woM, enE IM �iuc1ure e rwi intanded
or ollmed br sele (�tion ]OOO. Busiirea end Pmimaona Code: TheContnpon Lios se Lew dma eat epplyia en oxnerd propa�ly
wlw builda or mprovea iMrem. ad Mp Eoes such wak limdl or Irorsetl or �hrwph hi «her awn mmpbyeen. pwked thm auch
impovemenis ere na imeMed « WuaC la aeb. p. lwwewr. the buJdiiq a inpmmmmt e eatl xnNn maY� d compk�ion. tha
ow�rw�da mn na.�e me w�aen a wo.am n. «d� dd �a adb « i�aa+�� �� wm�< a.eiel.
❑ �. ea owmr a ine orowM. � axdu.meh �,��aing �.;in �ioenxa connecron ro cros�ua H» v�isa (Seaon laa. a,sinm.'a,e
Proleeaiom CaEa: TM Conkeeore licenea Lew doea ml epply lo en ovmar q propeM who buiNa w imqwee Ihereon eM'xfio
conVacis tw w� pml�e wi1M1 a caNreda�a) IicenseE O�reuent lo IM1e ConMetlore �imma Lew�.
� I em mempt uMu Section: B. 8 P.C.. la Nia reeaon:
Date: Owner.
i ao ne.eM oenM m� i� e.m, a ena unenniena me rea���.�a a cdeom�a Heenn ene sm<ry coee s.aa�,. zssos, xss�a, ena
25S'fC, end thai I or eny lulure Wildinp aowpem will / wdl nai (crcb ona) need lo canply wih aek meia wdee enE �he requiremente br
epermAlormruVudionamodifrmionhwn�MA'e eu�6T�y anepemanlDislrkl.qeaidemielwna�rud'aneppMa�bnseraexemqlmmUeae
o�e: nca�:
WORKEP'S COMPENSATION UECLIHATION: I MreEy eilum �Mm pe�y d perjury an d Ne Idbr.irp Eetlare!orp:
❑ I hava enE xil manian e canJiceb d mneeni to aeM-insuro la waken' cwnpenmibn. ea provided Iw by Sedian 3)00 d �he labar
Gode, lw iha parlortnenca of tha waA Iw which this pem�n ie ieeueE.
� I hero eM �+1 meimen worken' mmpanwion inwrerce. m rpu'ved by Sepion 3](p M Ihe Lebor Code. lur �M pMormenoe d tM
}S wwk I«.MiM �hie Ve� o iaeueE. MY warken' mnB��un irourance mrrier end D�Y number ere:
c�,,: rt' �' • ni. EXPIRES
PdiryNumEer: 99qCtT1.iTTl1l1(1R7fld O1/01/96
(This eMion neeE na be complefed Me peimx is M wre hundied ddlers ($1W/ a Hsa.)
� I rnnA' � in Ih paAormema d iM work b xfich ihia pe�mn i' uad. I aheA ral employ �am in vry mennx eo m lo
p�p�y wbja �o iha orkxa' canpanwion lexv d Celiben d eprae ihat i l eh �� ome eubjxf to tM xakm'
eompanv%a%iion rovuu d SeUon 3]00 d �M lebor Coda. I nhwdh o i N� eioru.
De�e: ' • Appfranc
w..���v: v.n .. ro •.��n wonr..,� �e�w.ns.no� �e�.nw �. �� w�u4 •na.tin.�e.�r,� .I.wrew ro �nmwn•rurou •ne
c/vll fliros up ro wro hunCrorl fho�seM tlolkn lSfDJ,00pA In eddltlon ro fM emt oI rompsiuetbn, Cemeps, u provMM br In
Sxtlon 9)05 a� �M1s Lebor CoW, /nMut, eM etromey'a /su.
CONSTRUCTION LENDINO RDENCY: I hereby eifi�m uMer pe�lry d perjury ihm iMra u e m�nrvaun bMi�q percy M Ma
peAorma�qe d IM work fa whiN Ihe peiml ie evued ($eqon ]Og), CN. C).
LENUEH'S NAME:
LENDER'S ADONESS:
I ceeliN �� I M1ere reeE Ihis epdK�� Nd pele Ihm tM ebwe inlammion o mema. I apree to canply wuh all ury erq coumY ord'menroe
eM aiete IewsMmire �o buiNiq construdion end MreW eNlwix. npesemeiiw a INs rAY to aMer uG� IM ebwa.meniioned properry
fw inapeabn W�s�
n DENETTE QUINTANA �
7
(5151-aB.WP) WM1he-B�ikiq 8 Selery; OreaMFle: Cenery-qDp��: Pink-Rarenue:0okenro6-Annmsw
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: E 073351 PLAN CHECK NO: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE
JOB DESCRIPTION : NEW HVAC SYSTEM
CLAIM VALUE: CALC-VALUE:
PERM NO: E 073351
GOVT: N SUPP: N
PURPOSE: OTH .
SQ FT:
GROUP OCC; R-1 / �
COMMENT'S: NO DLDG PERMIT REFERENCE
***��**x�***���**�x*****�+��*****�+�*�*��*�******�t*���**�x�*�r�r***�****�t*****��**�*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 19116516 ZNE: REF NO:
PLANNING NOTES>
i
if iF 1E iE iE iF ik iE jE 1E 1E iE 1f �F jf iE iE iE iE iE *# 9F iE iE 1E iE �E �)E iP iE 1E dE iE 1E iE 1F iE jE 1E-%� iE 3f 9f 1E aE 3E aE if it �E iE iE jE iE �E dE 1E �E jE iE 1f� * dE i' if iE if if iE 1E �E iE iE iE jE aE iE 3f
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 APPROC�ED BY ,
BUILDING APPROVED BY
APPLICATION ISSUED BY
�**��**�***x*�+�����*�
LEGALIZATION:N
DATE;
F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT 3.00
50�
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLP:N—CAECK
TOTALS----> 3.00 15.00 � 0.00
FIRE
TOTAL
1II.00
SMIP/RES GRADING
SMIP/NON—RES
PAID DUE
18.00 .00
REVENOE DIVISION TOTALS--> COLLECTED: 18.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
18,��
* fE �1E fE 1F if iE jE �E iE �F jE k k�F iE �E 9f If iE iE fF fE iE jE �E jf 3E �E 3f iE �E �E �fc iE fF iE 1E 1k jk iE iE iE fE 3F iE 9E jf iE iE 1t 1f iE iE jE 1E iE aE �E fE 3E iE iE 1E iE iE if iE iE jE i!- iE iE �E 3f 1f aE iE 3E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I 0 N UNIT COST TOTAL COST
ELE 1 MOTOR/POWR APPARATOS 0.0 — 1.0 HP 3.00 3.00
�END OF FEES
EXPI�ED
DATE "I�'�
p! �7^1F55,�, �C11'Ee36 �"c�T i�.C�4
GA7E: Oi�_i�'i`: iiPt:: .l`.'r5
CONSTRUCTION ANDPLANNING
' APPROVALS Permit �
1. Temporary Electrical S¢rvice or Pole�
2. Soil Pipe�Undrgrnd. �
3. Elettrical Conduit UtilitY-Undrgrnd.
4. E�ectrical Conduit�Undramd. '
5. S[eel Reinforcement
6. Electrical UFER Grnd.
7. Footin9s
8. Foundation
9. Water Pipe-Undrgrnd. . ' -
10. Structural Floor System �
11. Property Sewer Line & House Corjnection
72. Sewer Cap �
13. Roof Drains ;
14. Rough Plumbing - �
15. Rough Electrical-Condi��.
76. RoughElectricWiring
17. Rough Wiri�g Sign
18. Rough Electrical-T Bar Ceiling
79. Rough Heating & Air Conditioning
20. Rough Facmry Fireplace
21. Ducts, in Struciure
22. Ducts, Ventilating
23. Gas Pipe-Ro�gh & Test
24, Roof Framing
25. Roof Sheathing
26. T-Bar Cefli�g {Structurai! & Monocoat
27. Freme and Fiashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
37. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Fi�al Factory Flrepiac�
38. Final Plumbing
39. lVater Service�Final
40. Gas Service-Fi�ai
41. Solar Oomestic-Final
42. Backfiow Preventer
43. Backflow Irrigation
44. Landscape Irrigation Svstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Q
Date
DBte � Inspector
POO L tk SPA
APPROVALS Permit # Date Inspector
52. Pool & Equipment location .
53. Steei Reinforcement - �
54. Porms
55. Electrical Bonding ��
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Electricai Conduit-Undre�rnd.
59. Gas Pipe, Q Undrgrnd., Test
60. Backwash Lines, P-Trap�, O l.inUrgrnd.
61. APPROVAL TO �ECK �
62. Backwash & Receptor�Final�
63. Heater & Vent�Final .
64. Plumbing System - Fina� i
65. Electrical�Final • �
66. Solar Sysiem�Final �
67. Fencing & Access Approval''
68. APPROVED FOR PLASTEFiING
69. POOUSPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Under9round Hydro
71. Product Pipinc� � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXEO SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL iNSPECTION
80. FOOD CERTIFICATE ISSUED
a
T
i:•
-�
OW NER Colleae Mesa Co. DATE 9/21�55
JOB ADDRESS 3025 DonnYbrook Iane BUILDING PERMIT NO. �8��
GENERALCONTRACTOR }jy1Q CO_ VALUE $ B�eQQ�QQ '
LOT 89 BLOCK TRACT 2yy1
INSPECTIONS
Footing Trench ,
Foundation Forms and Grade to G
Rough Framing —�
Plumbing, Rough to Slab iG�
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
wer, House Seweq St.
Seotic Tank or Cesspool
Plumbing, Final, Fixtures
Piumbing, Fin.al Gas Test
Wiring, Final
Occupancy
Fn.m 210 !:_T-I � 500 1_5
TVPE V ZONE 1{L�
DATE SUBCONTRACTOR
%�(o � :rf .�_
�g ��' ,j�j'� �
��'�, " /
7 Y�\) /J
Gfii� '-B'S�1� '�//x
_/)_/a-� _ s„ ,
= DISTRICT 1tlbC3
PERMITSISSUED
DATE I NUMBER
/7"i2
Cssta Mesa Building Department p APPLICATION FOR PERMi'�
- 111 EAST 26th &TREET �SV� g �! I L D 1 N G
'Y COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN FOR OI+'FICE USE ONLY
I Receipt No. Per�Ny.
Address 3025 Donn 1� �
Costa Mesa Ci8,I1fOTTlla, Received by Date Redd. p�Date Issued
' C�2-1 �d J �
tvearest AakeI' EP 1
Cross St Building
Address
Owner College Atesa Compar:y Costa Mesa, California
Mail g002 Central Ave.
Address � Nearest
Garden Grove Te1'LE,9-2158 c�ossst.
Ctty No. Zone� I No. ot I Type Group�
Arohitect or Lic. Plans
Engineer navi a Rr 41ui v1 ev No. C_'1 79n Aoorove '
Contrector The H31e
Address BOQ2 Cent
Legal Lot
Description No. $9
(Attach Metea and Bounde
Size of Lot 7�3n'j
Use of
Existing Bldg.
Setback Line from
Center oi Street 60 �
e Use of New
;���e.. Garden
No. of Bldgs '
Nowon Lot TJpre
No.of No.o4 �
Families Rooma
RearYard 5n� �
SideVard 5�
�F wnir.0 .
��Moving � � Demolish � `
7.181 Rooms 5 SWries L
� Roof
I hereby arlmowledge that I have read this Application
and state that the above Is mrrect end agree to comply
with all City Ordinances and State Iaws regulating
building construction.
S�gnatureof TFiC NALE C V1f
Permittee
Authorized Agt. � 4,9'l�,(,Q)-t�.
SFL��A LARDNIIt
Ja ua on O Permit Fee $ 2C�
Q � Plan Check $ �
� '��o To�� �-3
Fee $
FORM 204 S-BP 2M 8-55
APPROVALS
Foundatfon Lxation , Inspector
Forms, Materials,
UndervPlnning
Frame: Fire Stops,
Plaster, Ext �
t
Masonry ReinTorced
Bond Beam
Date
�
a
0
a`
Street
PLOT PLAN
Show locatlon and dfstances from
property Iine a�d between buildinga
`
. , ,.
<
- _,. � ..
' ,
SEP 21-SS��cosrr�u2�
HESA {: •:�:�.�3 ro
e