HomeMy WebLinkAbout3129 DUBLIN ST - Building PermitsPflOJ TAUOflESS: 3529 DUBLIN ST
" ow NAME: WELLS, REGINAI.D D
ooxess: CROGAN ROHERI
3129 DUBLIN ST
COSTA ME5A�CA 92626
556-7707
uxiT:
AfltH/ENGINEEX: flEG.N�.:
ROOflFSS: UNIT:
PEflMITTEE: R, CROC;AN ( 714 ) 556-7707
nooness: 3129 DUBLIN
CM CA 92626
LICENSED CONTPlCTOP OECUINATION: I herpEy a��irm �ha� I am lic¢niPG untl¢r pmvisions ol ChaO�er 9(cammentinB wilh Section
7000) ol Oivision 3 0l ihe Business anU Pmlessions Cotle, anE my license is in lull brce antl elfec�.
CRY llt.: STRTE LIC.: C1A55:
Oate: $ignamre:
WONNENS' COMPENSRTION DEClABR710N: I here6y affirm ihal I have a cenilicaie ol consent m selbinsure or a certilicale of Workers'
Comvensation Insurance, or a cenilietl copy tnereoi (Section 3800. Lab. C1.
POLICY NOJ EXP. ORTE:
COMPRNY:
� Cerlilie0 topy is �er¢�y lumis�ea. ❑ Ce�ilied wpy is tiletl with �he tiry BuilOing OiVision.
Dale: AOPlicant
E%EMPTIONfflOMWOPREFS'COMiENSATIONDEtNPRTION: Q�I�� ecamDleteOift�epemitisforonehundretl(51W)orless�.
� I ceriily ihal in I�e pedorman[e oi Ne work lor w�ich Nis permrt i i I sh I no� em0loy any p on in any manner sa as to hecome
suGlecl lo �IJ/� Wo� rs' = pensa�ion Laws o� California. O,r
Oate: / � y Signawre: _ �
NOTItE:Ii, af�er making �his Oeclaration, you s�ould 6ecome s �ectto t� arkers' Compensation Orovivons al the LaOor
COGe. you mu5t forlhwii� compty wiih Su[h Omvisions or �tti5 Oermit 5tull Ge G¢¢meG r¢vokeG.
CONSTflUCTION LENOING RGENCY: 1 here0y aifirm that ihere is a wnsttutlion IenOing apenq lar l�e pedormance ai t�e xrork tor
whkn tnis permii is i=suetl ISection 3097. Gv. C).
LENUEP:
aoosess:
OWNEB BUILOEN OECNPRTION: I hereby aliirm tAat I am exempt from �Ae Contracbrs' State License Law lor the following reason
(Section 7031.5 Business an� Pmlessional Cotle: Any ci�y af counry whic� requirts a De�mi� to cons�Nct, alter, improve, tlemolish, or
repair any Slmtiur¢. pri0r lo i�s issuante. al5o reQuireS the aOPlicani lot SUt� permit �o �il¢ a 5igneA Slalemeni �ha� �elshe is litenutl
pursuam �o Ine D�ovisions ol ine Contractors' State License Law �Chapter 9(commencing wi�� Sec�ian 7000) ol 0ivisian 3 0� t�e Business
anA Pmlessians Code) or ��al he/she is exempi ther¢Irom antl ��e basis �or I�e alleAea exemption. Any violalion ol S¢clion 7037.5 by
any appli[ani �or a Dermil sublecls Ihe ap0licant to a civil penalry ol nol more ��an live huntlre0 Oollars (5500).
I, as owner oi IOe D�oDeny or my employees wii� wages as IAeir sole campensa�ion, will tlo Ihe work, and Ihe
❑ simcmre is not intenaeA or aflereU Ior sale (Section 70a4, Business anE Pmleuionat Code: 7he Coniractors' S�ate License Law
tloes no� apply to an owner ol a DmDer1Y who �uiids or improves t�ereon, anA who Ooes SucM1 work Aimsell/herseli ar [hroug�
his or �er own employees, D�oviAeO Ihat such improvemenis are not intended or ollere0 for saie. II, however t�e builtling or
im0�ovement is soltl within one year of comple�ioq Ihe owner will have �he Durden Of proving �¢/she OiU nol bui10 or improve
lor Ihe purpose ol salel.
I, aS awner ol lhe propetl9. am eMtluSively wntracling with licensed ConlraClors �o COnstfut� �he pmleti ($eCtiOn 7044, Business
❑ anG Prolessions Coae: The Conlractors' State License Law tloes not aDPN �o an owner of pmDerty who CwICs or impmves ihereon
antl wtro conVacis �or SucA pmjens with a contractoqs)licen5e pur5uani to the Contrac�ors' Sta�e License Law). 1 am aware
Ihal Orool 01 ��eir Worker'S ComDenuiion insurante ShoWG �e pmvidetl to me.
�3y i am e�empt unaer senion: B P 70 4 4 B. 8 P. C.
io� isreason: �L WORK BY OWNER
Oaie: �� � U�+ier: '
I ao nereby cenily that I am aware ol antl untlerstana Ihe requiremenis oi Calilomia He an0 Saf CoUe Settians 255115, 25533, ana
25594 an0 ��at I or any future building occu0ant will/will not (circle one) need to com0ly wit� 5ai0 Slate cotlEs anJ Ihe requiremen�s tor a
permit loi cons�mclion or matlilication Imm ��e Nir Ouali�y Managemen� OislricL Residential conslmc�ion apPlications are exempt �rom
Ih¢SC pfOV151005.
�ate: Applican��.
I hereby cerlity IAaI I �ave reaU Ihis apDlica9lion antl state that �he abov inlormaJiorffslorrect. 1 agree to compty with all ciry an0 counry
orainancesana5�atelaw5rela�ingtoOUAain conslmc�ionandhere�y or¢�^ Cprese 3tiveso��hisci� �oe ruponiheabove-mentianetl
pwperty I � inspec�ion DurposesA. '
Oaie: � � � v Signa�ure: �
ouver's �¢ense or Sociai Sewdty n:
164t�a6 Whi�e—Bmlam¢ Grean—Gotle Enlo¢ement; Canary—Aoolicanl; Pink—Revenue: Goltlenro0—Asseswr
�
CITY OF COSTA MESA — HUILDING PERMZT rc:xritvU; tf ��7t[i
PERMIT NO: B 059227 PLAN CHECK NO; N uvvi: rv�urr; N
CONSTRUCTZON T'YPE; V—N PERMIT TYPE: STR PURPOSE: AL7'
JOB DESCRIPTION ; REMOVE }tOCK S REROOF COMP SQ FT: 2,000
CLAIM VALUE; 2,000,00 CALC—VALUE; 2,000.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED IN HOME
�x*x���**x�*�**��r�*�x**��**�* �x**�rx*#*���**�*�****�r�x#�**#��c��#x�*�***��x�**��*�
Z O N I N G R E Q U I R c M E N T S
ssraAcxs
------------ 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; 41814110 ZNE; REF NO:
PLANNING Nt51'ES>
?
ih if iF if 1k-1E iE iE iF iF 3E �IE �1(� iE'i(' ik 1E iE if'1E 1E-N� lf iFlF iE 3(� k i! M� �%� 9f if if iF iF iE i(� lE il-#t iF 1F iE !(�!E 3E # iE �f k ih 1f IE !(� !E 1E N- IF iF IE iF #%jE iE i8 iF 1i3F ih if k iE3f iF 3f 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 E N:�' S
ZONING APPRQVEI� BY DATE;
BUILDING APPROVED BY : DATE; •.
i •
APPLICATION ISSUED BY: � DATE•*����i`�
iEiEiFif�ifi4ifif�IF�ltifi4i4i(;#itiElEi(-iE3FiEft -,�xzn- t t . �i� r.. itlEffiEiF3fiF#it� rfet:ir �tx#v�lE
iFiPiEiEitihiFifiFiEihiFiPifiEiPitiFIF3FiFiE3F3EiEifikififlEiEifiEiFif�fiFifif3Eif .�itiEitiFiEitifiE:EiEiEif3tK�1E1Ek9E�FiFjfiEif*3F�iE�iF�EieiEfFx-iEiEiiici`
LEGALI7.ATION; N F E E S U M M A R Y STRUCTi3RAi., SEGi�iENT; Y
BLDG PMT PLUMBING ELECTR7_ MECHANIC FIRE S,yZP/RES GRADING
PERMIT 45,00 ,SO
SMIP/NON—RES
PI,AN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE P AN—CHECK TOTAL PAID DUE
T'OTALS----> 45,50 0,00 0.00 45,50 45.50 ,00
kEVENUE DIVISION TOTALS--> COLLECT'ED; 45,50 OVER/SHORT; 00
Bi�D45p00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO'Of GRADING FLAN—CHECIC
if �IF i(� ik fE iF �t i! If i(� 1E if ih �)f if If if� �E 1E iE iE il� ik IF iE ff�if iE it 1f il� j(� 1k iF a'r!h!F 141E if iE iF iF 1E 1F iF iE �)f if 1E 1E -0F!f 1f iF iE iFif 1E?f 1E 14 iE �lF 3E iE If �l! i!� 9klE iElt 3'r ie ik iF iE #
I N D I V I D U A L F E a B R E A K D O W N
TYPE QTY D E S C k I P T I O N UNIT COST TOTAL COST
SFR 2000 REROOF BY VALUE RESIDENTIAL N020NE
END OF FEES
1,00
j'� �
2,000,00
�
�• CONSTRUCTION AND PLANNING POOI .,PA
Date Inspector Date inspector
APPROVALS Permit # APPROVALS Permit �`
1. �Temporary Electrical Service or Pole 52. Pooi & Equipment Location �
2. Soil P(pe-Undrgrnd. 53. Stee� Reinforcement "�
3. Electrical Conduit Uti�ity-Und�grnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electriwl Bonding �
5. Steet Reinforcement 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation - 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structurel Floor System 61. APPROVAL TO DECK �
11. Praperty 5ewer Line & House Connection 62. Backwash & Receptor�Finai �
12. Sewer Cap 63. Heater & Vent-Final • •
13. Roof Drains 64. PlumGing System - Final '
14. Rough Plumbing 65. Electrical�Pinal ',
75. Rough Electrical-Conduit 66. Solar System-Final
16. 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 APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducis, Ventilating 71. Product Piping �Gas OOiI
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergmd.SrorageTank �Gas OOiI
25. Roof Sheathing ��� � 74. Overhead Hydro
26. T-Bar Ceiling (Structura�) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation � ' 78. FIRE PREV. FINAL
30. Orywall 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. Pinal Heating & Air Cond'+tion��9 � ,
35. Final Gas P��-Test '
36. Hood or Canopy
37. Final FaMory Fireplace
38. Final Plum6ing �
39. Water Service-Final '�
40. Gas Service-Final
47. Solar pomestic-final '
42. Backflow Preventer , .� ,
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
/ 47. FINAL SYRUCTURE & BUILDING Z�IYZ i
48. FINAL P4ANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Cn � •
51. CERTIFICATE OF OCCUPANCY
No. Date
�
a
PHOJECT ADUNESS: i S Z y D UB L I N Jr T
OWNEfl'SNRME: WELLS, REGINALD D
nooaess: CROGAN ROBERT
3129 Di7BLIN ST
COSTA MESA,CA 92626
556-7707
AHCHIENGINEEP: flFG.NO.:
RUOflE55:
UNIT:
UNIT:
PEPMITTEE: R, CROGAN � 714 i 556-7707
noowess: 3129 D[JBLIN
CM CA 9267.6
IICENSEU CONTflALTOfl OECIAPATION: I hereby allirm Ihat I am Iian5e0 unAer pmvi5ian5 of ChaO�er 9(cammencinp with Sec�ion
7000� oi �idsion 3 oi Ine Business ana Pmfessions CoOe, anG my license is in full brte and eltect.
CITY LIC.: STRTE LIC.: LUSS:
Oate: Signature:
WOBKEXS' COMPENSR710N �ECIANATION: I hereby atfirm I�a� I Aave a cenilicate al cansent ta setf-insure ar a cetlificate ol Workers'
ComDensation Insurance. or a cenifie0 caOY �nereot (Section 3800. LaU. q.
PoLICY NO.: E%P. ORTE:
COMPANY:
� Cerli�i¢tl t00Y i5 her¢Oy lumis�ea. ❑ Cetlifietl coOY �s IiteA with I�e city Builtlinp Division.
Oare: ApDlicant:
E%EMPiION FBOM WOflREBS' COMPENSRTION DELUflRTION: (i�is sxlian neeG noi he complelM il �he perml is �or oM hunOreO (5100) or kss�.
I cetlity tha� in ��e pedormance o� t�e work lor w�ich t�is permiyy iss�e-f'gnatl not employyy�a`ry persan in any manner so as lo Eecome
suoiect ne�"ork s�Co�p�{atlgn Lavrs af Calilornia. !// /�
oate: � 7 �/ Siqnamre.!�����
NO ICE: II. alter making �Ais Aeclaralion, you shoula become biect t he Workers' Compensation pmvisions of �he LaEor
CAee. you must fanhwitn camDly wiih sucn provisions ar INs oermil stWll be tleemeE revokeA.
CONSTflUC7lON LENOING �GENCY: I nere�y atlirm itWt there is a fAnStmction lentling agenty for tne p¢dormance ol Ine work Ior
wnich inis permit is i=sueE ISection 3W7. Civ. CI.
LFNOEfl:
ADONE55:
OWNEfl BUILDER DELLINRTION: I hereby aflirm Iha� I am exempl trom �he Contracmrs' State License Law for ihe IollowinA �eason
�Section 7031.5 Business an0 Pmtessional CoOe: Any ci�y o� Cauniy w�ic� reQuires a permii lo wnStmci, alter. impmve, Oemolish, or
repait any stmcture. D�ior lo i1s iuuance. also requires I�e a00���ant br suc� Oe��u� �o lile a 9gnea statemenl that �Us�e is Iicense0
pursuanl �o �he O�a�s�ons ol Ne Conlraciars Sta�e license Law (ChaO�er 9(commencinq wit� Seclion 7000) ol Division 3 0� Ihe Business
anU Professions Code) or Ihal �e/s�e is e�emD� �herelmm antl ihe basis �or Ihe allegeA evem0�ion. Fny violalion ol Seciion 7031.5 �y
. any applicanl lor a permii sublec�s I�e aODlican� to a civii penalty of no� more �han live �unEreE tlallars (ES110�.
I. as owner ol the pmDerty ar my employ¢es wilh waAes as Iheir sole cOmpenSation, vnll Uo �he work, antl ihe
I❑ stmcWre is not imenaeJ or oitere0lor sale (5ection 70aa, Busineu and Prolessional Coee: Tne Comraclors' Sta�e License law
doe5 not ap01y t0 an owner oi a pmpe�y w�0 �uilds Dr impmv¢S lhereDn. anA wh0 00¢5 SUt� wark himSelBhersell or �Amugh
�is or her own em0loyees. pmviEed I�at suc� improvemenis are not intenJeA or ollereU lor sale. If, �owever t�e huildinA or
improvement is solA within one year ol completio0. I�e owner wiil �ave I�e Eurtlen ai DmNnA ��s�e ditl not build or improve
lor t�e Durpose of sale�.
I, as owner of ine propeny. am eKclusively conlractinp wilh Iicense0 coniractors lo cansiruct ine pmiect (Section 7lbd, Business
❑ antl Pmlessi0n5 CAtl¢: Th¢ fAntratiDrS' State License Law tloes not apply io an owner of properiy who butlAs or impmves therean
anA w�o conlratB �or Suth proletls wil� a Conirattor(S�litens¢ Oursuanf Io �he CanVaClars' S�ale Litense Law�. I am aware
Ihai proaf of Iheir Worker's Comp¢nsation insurance s�oWa De pmvitled to me.
� I am exemp� under Sec�ion: B P% O 4 A B. 8 P. C.
�or � s reaso� ALLv ORK BY OWNER
�ate: � � �' � Ownec
I tlo here�y cenify tha� I am aware of antl untlerstand the repuiremenis ol Califomia Healt� and Salety Cotle Sections 25505, 25533, antl
2553d an01ha1 I or any luture buil0ing occupant will/will not �cirde one) need lo compiy wil� sai0 state cotles antl Ihe reQuirements for a
permi� for conslmclion m mo0ilication Imm I�e Air Ouality Managemen� Oisirici. flesi0enlial cons�mction apDlications are exempt tmm
Ihese pmvisions.
oaie.
Iherf
oate: _
Driver's
Ap0licanl:
i t�at I have read Ihis applica�ion and s�ale Ihal ihe�lion is corBci. I a9ree lo comPlY wilh all ci�Y ana counry
s telawsrelatinglobutltlingcons�mc�ionandher iier resentalivesol i5cilytoenlerupon��eabove�men�ione0
eL����1 Z
Signature:
seo�sociaisearityrr: �
t64t�a6 W�i�e—Building: Green—Code Enlorcemem: Canary—ApPlicenl: Pink—Revenue: GOldenrW—Assessor
• CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO; E 059228 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE
JOB DESCRIPTION ; UPGRADE SERVICE
CLAIM VALUE: CALC—VALUE;
YCt(M NV; t: U7`lLLtl
(�U '1'; N SUYN: N
PURPOSE: ALT
SQ FT;
GROUP OCC; R-3 /
COMMENTS: SERVICE UPGkADE
if- 7E iE iE�%�iE iE �If iE iE iFif # 9E �1E iF if iE iE if 9E if iEdF 9Elt iE�IF iF iEiEiE iE % i(� 9E f�-�k iE it �k �k 7kif �I(� 1F �lf ih 1( �% 3F if ii� �If �IC �)f �X� iE4t ih iE iF if lt �%� �X iE �k jf. iP.K..X� if 1E-%� %'�� iF-1F
7. O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSURY BUILDING ---------
FRNT: FT IN REAR: FT TN FRNT: FT IN REAR: FT IN
LEE'T': FT 3N RGAT; FT IN I,EFT: FT IN RGHT; FT IN
PARKTNG REO• PROV; PARCEL: 41814110 ZNE; REF NO;
PLANNING N17'TES>
�
lE iE iE fF if iE 1E iE iEih af if iE �7E 1F i(- ik tE It iElE iF 7E iE iE iF iF iF if 1t iE Wi!lF�IE it !E iF iF if 1f !f 1f iE if )h iE iE iE # fE ## iF iEif iE It if 1E IE # 1E iFiE !F IE iE iE iE fE if iE it 1F # iE ##
D E V E L O P M E N T S�"E-R V I C E S R E Q U I R c M E N T S
20NING APPROVED BY � DATE;
BUILDING APPROVED BY ;
APPLICATION ISSUED BY;
1ElF if if iE iF 3(� fE iF iElE iE iE if iE ik if ik ik iE itj
iE iE 3h 3E iF if iE i(� iE iF iE )F if �lF iI� if k iE iE if�'
LEGALZZATION;N
BLDG PMT PLUMBING
PERMIT
PLAN
ISSUE FEE
- DATE;
� DATE ; 09 ZQ-�jZ
�)e! f f t� ir xtt 1t1EK�iF3fiF1eiF3FiE�3i-�iE� stltiiF
iE�7F if 3f iE iE iF iE �)f a' iE 1E iE �E iE #!f ie if iF iE 3t ff iF 3E iE 1E i(� iE if IF�IE if 3! ih if 3F if jE iF iF 3t 3F if ie # iE 3't # K�
F E E ' U M M A R Y STRUCTURAL SEGMENT:N
ELEC'.RIC MECHANIC FIRE SMIP/RES GRADING
�8�03 SMIP/NON—RES
15,��
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> iB.SU 15.00 0.00 33.50 33,50 ,00
REVENUE DIVISIUN TOTALS--> COLLECTED: 33.50 OVER/SHORT: ,OU
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
33,50 ,
If iE 1FiE iE if 1(� 1f fF ik iF lf iE 1f iE?f te 7(- if iE iElf if �IE iE if ik-If if IF i4 iF k�lf 1E 1E if ik iE il�'1f iE 1E if i(�!E iF ik # i! iP if if -1(' iE ik iE 1E iP �1E if iE !f ih 1E I(� k 1f iF iE iE iE �1Elt� fElf )f iE 1f
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 T P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V 6 HELOW 7.01 AMP 18.50 18,50
END OF FEES
�
,.�.,. _
Ili7: tl' _'I, �_
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1
CONSTRUCTION AND PLANNING POO� , SPA �
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
i. Temporary Electriwl $ervice or Pole 52. Pool & Equipment Locaaon �
2. Soil Pipe�Undrgrnd. 53. Stee1 Rei�forceme�t ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electricai CUnduit�Undrgrnd. 55. Electricai Bonding •
5. Steel Reinfo�cement 56. Rough Plumbing & Pressure 7est
.6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Pootings 58. Electrical Conduit-Und�grnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. � 6D. Backwash Lines, P�Trap, O Undrgrnd. '
70. Structural Floor System • 67. APPROVAL TO DECK '
i t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final �
72. Sewer Cap 63. Hea[er & Vent-Fiaal -
t3. Roof Drains 64. Plumbing System - final '
14. Rough Plumbing 65. Electrical-Fina� �
15. Rough Elecuiwl•Conduit 66. Solar SYstem-Final
16. Rou9h Eleciric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Elect�ical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. flough Heating & Air Conditioning FIRE DEPT. ftEQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in St�ucture 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas �70i1
23. Gas Pipe•Rough & Test 72, Underground Flush
24. ftoof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurell & Monocoat 75. Dry Chemical
27. Frame and flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing ' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � I 79. F�NAL INSPECTION
-r
32. Electrical POWer Meter�Final �o� I 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric � I � � Notes:
34. Final Heating & Air Conditioning � �
35. Final Gas PiPe•Test I
36. Hood or CanopY "'
37. Final Facto�Y Fireplace
38. Final Plumbing
39. Water ServiGe-Final
40. Gas Service-Pinal ,
41. Solar pomesiicFinal � �
42. Backflow Preventer � , '
43. Backfiow Irrigation
44. Landscape IrriGation SVstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL S7RUCTURE & BUILDING
48. FINA� PLANNING
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co r;
51. CERTIFICATE OF OCCUPANCY
No. Da[e
�
T aooncss: 312 9 DUB L I
'fls""^+E: WELLo, REGI
AoonEss: CROGAN ROB
3�29 DUBLIN
COSTA MESA
� (714)556-7`/
, -Y UNIT:
D ,� q.
92626
FPCN/ENGINEEfl: $, C, }��$ flEG.NU.: 1 O 1 B 3
aooeess: 11022 ACACIA PRWY uxiT:
GARADEN GROVE CA 92640
� PEflMITTEE: VACATION POOL� ( 714 ) 941-9700
aooxess: 9757 7TH ST 803
RANCHO CUCAMONGA CA 91730
IICENSED CONTBRCTOP OECLABATION: I �ereDy al�irm I�ai I am lit¢nsetl untler pmvi5ian5 al Chapl¢r 9(tOmmentiPq wilA Sectiun
7000) ol Oivisiun 3 0l Ihe Business ana Pmlessions C.oae. and my license is in lull lorce and eBecl.
arruc.:056875 STRTEUC.:3SIG%3 ,� cus�; C_-53
Date: Sipnatu�e: -����e�Ea•(� - - — - -
WOBKE85' MPEN pR9N OfLIARATION�. 1 here0y atli�m t�at 1 �ave a cenificate of consem b seU�insu� a a certi w te al Workers
comPensation �sYra�cb o� �ce�i�ie$ �ovv me�eai �Section 3soo, �ao. �Iz � O 1/ 9 2
roucvr+o.: STATE FUND EXP. ORTE:
COMPRNY:
� Cenifietl coDY is hereby Wmished. � Cenilie0 copy is IileO with the cit�l Bu'Itlinp Divisio
eale: AOVIiCa��: �
EXEMPTIONfBOMW BREflS'COMPENSATIONDECLApAYION: (Thisseclionneeanol�ecompleteai�Ihepermiiis�o onehunared�$100�arless�.
I ceriify Ihal in Ihe perlormance of Ihe work lor which �his permit is issued, I shall not employ any person in any manner 50 as to Oecome
sublecl to tAe Workers' Campensation Laws af Cali�o��ia.
Date: SiAnamre:
NOTICE: II. afler maitinq Ihis Geclaration, you S�PUIC GetOme SuEjeci to the WodeR' Compen5aiion provisions 01 Ihe LaEor
CoCe, you mus� lonhwn� comply wit� su[h OroN5ion5 or I�iS permit shall De deem¢U revoked.
CONSTNUCTION 1EN01NG AGENCY: I hereby allirm Iha� Ihere is a constmc�ion lentlinp apency br t�e Oehormance 01 Ihe vrork for
w�ich Ihis permit is i55ue4 (Section 9097. Civ. C�.
IENDEP:
aoowess:
OWNEB BUILOEN DECIABFTION: I hereby allirm tha� I am exempt imm the Contractors' Stale license Law for Ihe lollowing reason
(Section 70.71.5 Business anA Pmlessional CoEe: Any city o� county which re0uires a permii to canslrutl, alter, improve, tlemolish, or
fPDdif d0y SiNL1YfC. Pf1Uf IO iIS1A0dIICC. dISU flQNf83 ih! d00�1td111101 SVth pE(INI 101NQ d S19pE6 AdiM11P01 Ihd111�5hE h11tC05¢d
pursuanl �o Ne provisions ai ��e Cantraztors' Sta�e Lic¢nse Law (Clupier 9(comm¢ntinA wit� $ectim 7000) ot ONision 3 oi lhe Business
anU Pmfesvons COAeI or InallWshe is ecempt inetelrom anOlne OasR far the allepetl eRemD��on. My dolation of Section 7037.5 6y
any aDP�icant lof a permil SUClec�S �he applican� lo a dvil penalty of noi mor¢ �han Irve huntlred tlWlars (b5IX1).
I. as owner ol Ihe propeny or my employees with waBes as iheir sole compensation, will tlo the work. antl the
❑ simmure is not inten0etl ar oltere0 for sale (Section 7044. Business an0 Pmiessional COAe: i Ae CanVacrors' Slate License Law
tloes not apply to an owner of a pmDeny who Ouilds or impmves thereon, an0 who does suc� work himselflhersell or [hroug�
his or Aer own employees, pmvideC ihat sucp impmvemenis are nol imendetl or offeretl for sale. If, however ihe Ouiltling or
impmvemenl is 5aia wil�in ane year ol complelion, Ihe owner will have Ne burtlen ol O�oving he/she Oitl no� Uvi10 or improve
lor Ihe purpose ol sale�.
I, as owner of tAe pmpetly. am exclusively coM�acting with license� contractors lo constmct the proiect (Seclion 7044, Business
❑ antl PmleSsims CW e: The Contracmrs' Slaie ��[en5e Law doM nol apply Io an Own¢r 0� prop¢rry wlia builtls ar improve5 iherean
an0 who conlrac�s br such pmjec6 vni� a COnira[toqs)lic¢nse pur5uani lo �he Cantraciars' State License Law),I am aware
Itwi prool of I�eir Worker'S Compen5ali0n in4urance SMultl Ge pmWtletl lo me.
� I am exempt unUer Seciian: B. d P. C.
for ihis reason:
Da�e: Ownec
I tlo here0y cenily ��a� I am aware af antl untlers�antl I�e reQuirements al Calitamia Heallh anA Safeiy COAe Seclions 2550.5. 25533, an0
2553a an0 thal I or any imure UuilOing occupam wilV II noi (cirde one) neetl �o comply vni� saiG s�ate cotles antl lhe repuiremen�s �or a
permil br conslmclion or motlilicalion imm I�e Air OUa6ry Managemem Districi. ResiOential constmc�ion aDPliwtions are eKemp� tmm�
IA¢5¢ prOvi5i0nS. , _ ..__ _ ��, / —
Oale: ApDlicanC� '
I nere�y cetlify I�al I have reaE inis aDP���ation an0 sla�e Ihat Ihe aGove information is corretl. I agree lo compty with all city and county
ordinancesantl,5latelawsielatinglobuiltlingconsVuclionanUherebyaulhor¢erepre5entalive5ofi�iscirytoen�erupont eabov¢-mentioned
properry loi Inspecllon purpases.
Dale: __��, /3 /a p7— 'Signalure:'�,��� �� "
�rive�'s License a�so��ai s�o����Y a: `
�6at 46 W�ue—BuilOing; Giean—CoOe EnbrtemenC Canary—Ap0licant; Pink—Ravenue: GolOenrotl—AssessO�
CITY OF COSTA MESA — BUILDING PERMIT PEHM NU; EY O5a 1
PERMIT NO: BEP 058901 PLAN CHECR NO; 03412-92 S �N�SU��,-7r —
CONSTROCTION TYPE; 5—N PERMIT TYPE: ELE PLU STR PURPOSE; OTH
JOB DESCRZPTION ; INSTALL NEW GUNITE SWIMMING POOL & SPA SQ FT'; 13,.000
CLAIM VALUE: 13,000,00 CALC—VALUE: 13,000.00 GROUP OCC: R-3 /
COMMENTS; NEW GUNITE SWIMMING POOL & SPA S MOKE D ET ECTO R
�*��,���**�.,��*�������,����,������������,�*,���*�������.*������*��.�*�� REQUIRE���*
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: 5 FT IN
LEFT; FT IN RGHT; FT IN LEF'T; 24 FT IN RGHT: � FT IN
PARRING REQ• PROV; PARCEL; 41814110 ZNE• R1 REF NO;
PLANNING Ni51'ES> ADD SWIMMING POOL AND SPA IN REAR OF PROPERTY,
i
if 1F ik if ik iF iFiE fE iElE if iE 1F iF 3E iE fF 1F iE iE fE iklE if 1F it 1F 1t df ik ik if �E iE iElE k iE 1E iE iE ik iE iFlElElf if 1f ik iEif iE iE if ik iF iF 1E if if if !f 1F if ik If iE IE 1E iE 3ElFlF ik iE iF 3E
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 5
ZONING APPRUVED BY C9�-E. DATE: .3 9Z
BUILDING APPROVED BY : DATE: ��€N�'�'�€�F�
APPL'ICATION TSSUED HY• . DATE: -� �
IfifliiEfE�EiFiEiEiElfitfFlElE!!1ElE1ElEiEfF ififififiEikiEiflFiE iFi4
*x*�rx��r**+r***�r��*�t�r�rx-�r�ft*it+r+r�rftit�rit*ft+t�r+r+t**it*���+ r�x*�t�x�****it�t*xit*�*x�*+ritit�*****�ftit
LEGALIZA'TION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING
PERMIT 144,00 7,250� 3050t
PLAN 93.60
ISSUE FEE 20,00 15,00
BUILDING—DSV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 183./3 35,00 93.60
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
144.00 27,00 45,00
SMIP/NON—RES
2.73
TOTAL PAID DiJE
312,33 312.33 ,00
312,33 OVER/SHORT; UO
FIRE SMIP/TOT GRADING PLAN—CHECK
2.73 93,60
�f iE 1E iE iF it if iE IF iE ik iF i1 iE if iE �F it iE iE iE iE it �t iF 1E ik iE if iE iE iF i6 iE iP 1E 1E 1EiF ib 3f �E �E if iE�E M iF iF iF 3E iE iF iE iEiE if K �E if if 3E iF 3E jE iE if iF iF if 3f IE if iF iE iE �1F iFiF
I N D I V I D U A L F^c E B R E A H D O W N
TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST
SFC 13000 POOL 6 SPA 1.00 13,000.00
ELE 1 SWIMMING POOL — IN GROUND — NEW EA, 30.00 30,00
PLU 1 SWIMMING POOL END OF FEES �.00 7,00
SURVEY OF LOT LINE
MAY BE REQUIRED
,' `` _ � : : - . . . :
'-!-
RUCTION AND PLANNING POOL A
�VALS Permit # Date Inspector pppROVAIS Permit # Date Inspector
� --
1. l<mporary EYectrical Service'or Pole -' 52. Pool & Equipment Location �����qy
Q�-�
2. Soil Pipe-Undrgrnd. � � 53. Steel Reinforcement
3. Electrical�Conduit Uii�ity�Undrgmd. 54. Forms
t. ElectriCal Conduit�Undrgrnd. 55. Electrical Bonding
5. $teet Reinforcement 56. Rough Plumbing & Pressure Test
�o. Electricai UFER Grnd. 57. APPROVA� TO COVEfl�GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd. ����/.2y(t� f��
8�. Foundation _ 59. Gas Pipe, C.�ndrgmd., Test �j(�Qy �
9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P�Trap, O Undrgmd.
70. Structurel Floor System ��� 67. APPqOVAL TO DECK �'+
i t. Property Sewer Line & House-Connection .� 62. Backwash & Receptor�Final
12. Sewer Cap ' � 63. Heater & Vent�final �
13. Roof Drains � ' 64. Plumbing System - Final '*
=74. Rough P�umbing . 65. Electrical�Fina� .
15. Rough Electrical•Conduit ,� -` 66. Solar System-Final
16. Rough Electric Wiring � ,� 67. Fencing & Access Approval �
77. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ��[,�qJ? [�'�
19. flough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT �,/ 1, '•U
20. Rough Pacmry Fireplace APPROVALS ��Permit #
21. DuCts, in Structure 70. Undergr4und Hydro
22. Ducts, Ventilating ,71. Product Piping O Gas OOiI
23. Gas Pipe�Rough & Test , 72. Underground Flush � ' -
24. Roof praming - 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � 74. Overhead Hydro
�a
26. T-Bar Ceiling (Structurai) & Monocoat _ 75. Dry Chemical --.
27, frame and FVashing 76. Dry Standpipe � �=-
28. Lathing & Siding i 77. FIXED SYSTEM FINAL .� �r}
29. �nsulation , 1 � 78, fIRE PREV. FINAL ��;:�
30. Drywall Nailing � � � HEALTH DEPT. REQUIREMENT '-� �'
�
31. Plaster Brown Coat ' I 79. P1NAL INSPECTION _. 6:
32. Electrical Power Meter-Final � i ' 80. FOOD CERTIFICATE ISSUED ,�-'
33. Final Electric `' � � �,' Notes: .
34.-Final Heating & Air Conditioning �
35. Firial Gas Pipe-Test' � � � �
36. Hood o� Canopy . I '��
37. Pinal Pactory Fireplace � ! � �
38. Flnal Plum6inq '
39. Water 5ervice-Final � � �� ,
40. Gas Service-Final �
i
41. Solar tlomestic-Final
I
42. Hackfi0w Preventer . � { �
43. Backflow Irrig�tior � ' . � -
i44. LandsCape Irriga�ion SYstem . , � - �� � - '
`45.�`Sound Attenu�Fidn � • .
='46:,-Nandicap ReZju�l�o s � , . ' '
47. -FINA4 STRUCT1�1R6-� BUILDING
�. � i.
�48. FINAL PLANNF�NG- t •
_49. EleclricReleaszyto ck�son � -�, 'r,, :
50. Gas Release to�6o t�ie+� CalifomiaGasCo � ��� ��� �
51. CERTIFICATE�OF OCCUPANCY
i
o. `� Date
�\
.�ORT CF iNS�°�=ICN ON
� T0:
Adrress:
GVHEa;
PROJECT:
=�CG_�_�
�o� yy�
Gunite ( )
?OSL-�2�5'_ � ��iCC2_� .
:�LeDtO0i1IIC � % �
Reinforc:ag Stee1 ( ) ,
. �
�n��A �'k�`i
CRoC�� � .
S�cii'�'YYlil� 12ylIJ�Q RePOrt No. '
v 7ermi [ No. 5�(0'
Address: ���� ni�^/i,LJiJ G"�;
Architect: �l(�C_(�T%l,e._l �IS Contractor: '
Address
Address:
Engineer: �.�. (��,,a.r( Subcontractor:
(Guni[e)
Address: Masonry or
�/� �,!_ �`�/ Concre[e)
�nspmctor: �r%`(��l Si�C2 7'Z Address:
Y�� • f�y.34S °( Fi:�l e2i�w
ncx us�e�i.a_►
slump, incnes-'��
Admix;ure: �/
a,"signed Scrength, P51 7 p�
Cu.Yds. Np, of
R4TE5 Placed CYIs•
� iS �i 'a"1 3
Reme rks
i+
�_' �-�.d-`
T�-t ac� tt � v
Cooies of Repo�ts to: (Indicate v.hich Bldg. Dept. L furnish address of any no[ iis[ed)
�•,
OW NER Colle�e Mesa Company � onre�-18-56
JOB ADDRESS 31i9 ��bli�n Street BUILDING PERMIT NO. �777
GENERALCONTRACTOR The Hale CO VALUE a 1��2�8•��
L" 1�' BLOCK TRACT 2�32 Single Res. W�att gar
GROU
INSpE
Plu
Lath
Plas
Plun
PIUn
� I&J
C�ION�B �_ �
lf�fRea
7 Trench
ition Forms and Grade to
Framing
ng, Rough S ab
ng, Rough Complete
rary Pole
, Rough
3, Rough
7, Final
House . Sewer„
I��~�
�9
ng, Final, Fixtures Comp
na. Final GasTest
V ZONE �1
„�DAT,E„I SUBCONTRACTOR
winng, rinai �(�/7 ��
Occupancy �(Y� �p-
FOHM 310 3M lO�v3
a�cr 2806
PERMITSISSUED
I NUM81
if
-• �osta-Mesa Building Department ;�SO� APPLICATION FOR PERMIT
', �' 1N EAST 20th STREET g U I L D i N G �
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN F'OR OFFICE USE ONLY
Receipt No. Permlt N�
Bullding ' � ��
ndaresa 3129 Dublin Street
Costa Mesa, Ci3��017ll� Rece'we7• y Date Rec'd. Date 1 ui
Neares! I � // ���� ��/� ��
cross st Yiatson Avenue euudtoa �
Costa Mesa, California
8002 Centra]. Avenue
Tel. Crass St.
Cit Garden Crove No. LE 9-'L158 zone ,/, I No.of
Archftector Llc. C-179n �T Plans
Englneer Davis & Quigley No. Approved
b
•�dress �13 Malaga Cove P1aza,Palos Verde.
City Lic. , C�.
__�:�a��� The Flale Comnanv Ns. 3422
Descriptlon � No. lb � Block I TracS
(Attach Metea and Bounds)
No. of Bldgs
Size of Lot g�} x 95 Now on Lot Nc
Useot No.of No.
Exfsting Bldg. Familles Roo
Setback Llne from Rear Vard 3(
Center of 8treet 52 � Sida Yard E
DESCRIPTION OF WORH
New I x I Alteration I I Addition
1�81 Reem�
use
Buil
2432
0
5 Stories 1
ny Rock
ellin� with
I hereby acknowledge that I have read thLs Applicat3on
and state that the above is correct and agree to rnmply
with all City Ordinances and Stnte Iaws regulaIIng
building construction.
Slgnatureof ,�� HALE COMPA�
Permittee
—� n -
Valuation Permit Fee $ ^' •
/ Ol � p' Pian Check $ � 3'
$ � Total �, I
Fee �� �
RM 204 P-RP 2M 8-85
APPROVATC
in Location I Inspector
Materials,
Plaster, Ext
Mawnry ReinToroed
Bond Beam
Data
1 LV 1 L Ll1i�
8how Iocation and disYances from
property Ilna and between buildtngs
�
. . .• ' •, ♦ �•
cosvr
�����i.c�ppilES; r7cn r.•.�;.r_,9.�7
� i. -�.`.� • . 3 .r
6