HomeMy WebLinkAbout2305 ELDEN AVE - Building PermitsPHOJECT AUOflESS: �^ � ���'�'+ ��/"� � � "�/• � �/� • '��
OWNEN'S NAME: VNC DEVELOPMENT
noone�s: 234 E 17TH ST #208
COSTA MESA, CA
598-3072
AflCHIENCINEEN: TAYLOR ARCHITECTS pEG.NO.: CS49%B
nooness: 234 E 17TH ST uxit: 203
C.M, CA 92627
PENMITTEE: HOODS PLUMHING , INC (714)689-2488
aooxess: 6703 CDEST AVE
RIVERSIDE CA 92515
LICENSEO CONTNACT08 OECIAHRTION: I here�y atfirm thal I am licensed untler pmvisions of CAapler 9(commencing wilh Section
7000� ot Div� i e usiness ana Pmfe s ns C tl�j and my license is in full forca and efiect.
ciTruc.: ������ STATELIC.:����"4 cuss: C-36
g0ate /Z z9--y3_ Signa�ure: _��
140HKEF5' COMPENSp710N DECIAflFTION: I hereby aflirm ihat I have a cenificate oi consent m self�insure ar a certificate ol workers'
Compensation �na8cq Q� 8r�t�e� �py �herea� ISemian 3800, Lab. gy9 � 1 S/ 9 4
voucv no.: SAFECO ezr. oare:
COMPANY: �}(
❑ Ceaih tl copy is hereby Wmishee. U Certifie0 copy is filetl with �he ci�y Builtling �ivision
Da e '� ( � Applicanl: � ��""«���
EMPTION FBOM WOflNERS' COMVENSRTION UECLPNATION: (This sec�ion need no� be compleletl il ihe permit is for one Auntlred ($100) or less�.
I cerlify Ihat in Ihe pedormance oi IDe work �or w�ich t�is permi� is issued. I shall no� employ any person in any manner sa as lo become
suble�� �o the Workers'�ComOensatmn Laws oi Calibmia.
�'
�aie: SignaWre:
NOTICE: IL afler'making Ihis tleclaraiion, you shoultl become sublec� ta Ihe Workeri' Compensation pmvisions oi Ihe Labor
Coee. you mus� torthwith camply wiih such pmvisions or ihis permit shall be Oeem¢tl revokea.
COhSTBUCTION IENUING AGENCY: I �ereby allirm Iha� Ihere is a conSVuclian lenaing agency lor �he pedormance oi Ihe work lor
which ihis permii is�isued �Section 3097, Civ. C�.
LENOEB:
nooeess:
OWNEB BUILOEN OECLAflFTION: I here�y aifirm Ihai I am exempt imm ihe Contrac�ors S�a�e License Law lor the following reason
(Sec�ion 7031.5 Business antl Protessional Code: Any ciry ol counly which requires a permit �o consimct, alter, impmve. demolish, or
repaii any slrutlure, prior �o i�s issuance. also reQuires the applicant for such Dermrt to lile a signeJ Slalemenl Ihal he/she is licensetl
pursuam �o ine pmvisions ot Ine Contrac�ors State License Law (Chapter 9(commencing with Section 7000� ol Division 3 of t�e Business
ana Pm�essions Code) or Ihat �elshe is exemp� therelmm and �he basis lor ��e alleged exemption. Nny vialation of Section 7031.5 by
any applicant for a permi� su�lec�s Ihe applican� Io a civil penalty o� nat more than five �untlretl tlollars ($500�.
I, as owner o� �he pmpeny or my empioyees wi�� wages as ��eir sole campensation, will do �he work, antl Ihe
❑ s�mciure is not intenUed or offeretl 1or sale (Section 7044, Business antl Pmfessional Cotle: The Contraciors' Stale License Law
tloes nol apDly �o an owner oi a pmDe�y who builtls or impmves Ihereon, antl who does such work himsel�/her5ell or Ihmugh
his ar her ovm employees. pmvidea Iha� such impmvemenis are no� intenaetl or oflerea lo� sale. I�, however �he buil�ing or
wpmvement is soltl wrthin one year ol complelioq �he owner will have ��e �urden o� pmvinB he/she 4i0 no� bui10 or impmve
for I�e purpose ol sale)
I, as owner ot �he pmpetly, am exclusively coniracting wil� licensetl conVac�ors �o consimc� �he pmlec� (Section 7044, Business
❑ antl Professions CoOe'. The Contractors' S�a�e Litense Law aoes noi aDD�Y �o an owner o� pmperty who builAs or imD�o�es lhereon
and who coniracts lor such Omjecis wilh a con�mcior�s) license pursuan� lo ��e Contractors' S�ate License Law�. I am aware
that pmol of their Worker'S Compensaiion insurance s�oultl be pmvi0ed Io me.
� I am ewemp� untler Sec�ion� B. 8 P. C.
for I�is reason:
Date: Owner.
I tlo hereby cenily Iha� I am aware a� antl unaerstan0lhe requiremems of Calitomia Heallh antl Sa�ery Code Semions 25505. 25533, and
2557a and Nal I or any Wlure Ouilding occupani will/will not (circle one) neeC lo comply wiih said state codes antl ��e requiremenis for a
Oermii br con5imclion or mo0ilication �mm the Au Ouabry Management Oislrict. FesiAeniial constmction apPlicalions are exempt tmm
ihese pmvisions.
Uaie: APPlicanl:
I hereby cetlity thal I have reaa Nis apDlica�ion antl Slate ��a� I�e above informa�ion is correcl I agree lo comply wi�h all city antl counry
ortlinances an0 sialelawsrelatingto builtling cons�mciion an0 here�y authorizerepresenia�ives alihis cllyto enter upanthe abov&men�ione0
pwpetly /for inspectpion purposes. /�
Oale: L Z ` Signature: �5��
� r'sL¢enseorSociaiSecurirya:
ifi4ba6 �"/h�le—Bmltling; Green—Cotle EnlorcemenL Canary—Ap0licanC Pink—Revenve: Goltlenrotl—Assessor
CITY OF COSTA MESA — HIIILDING PERMIT ,
PERMIT NO; P 065490 PLAN CHECK NO: N , ,
CONSTRUCTION TYPE: V—N PEAMIT TYPE: PLU PURPOSE: NEW
JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT:
CLAZM VALUE: CALC—VALUE; GROUP OCC: R-3 /M-1
COMMENTS; REF; B-65477
it�ri�*�t**�r�rx�ir****x�t�r�it�tx�x�+t�r*�r*r*x�***�tatititi�******�t*+t+t*****�rx�*+t*�t�tit*�t**�*rt�r+tr**�**�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: ET IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO;
PLANNING NOTES>
i
i! k 1k iF if k if if if jF 1E 1f iE 1E It �k iF 1f 1E 1t!! iF if fk 7! 1ElF 1f 1f k!E if 1E 1k iF 7f 1t 1f 1E ff iE 1E k iE iE ik dk ik If !E 1E 41k 1E 1f fFlf iE if !F 1E 1f !E if 1! i! fE 1E �f !E 1flF 1E 1E 1E ik iklf k
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:
HUILDING'APPROVED BY ; DATE: p
APPLICATION ISSUED BY; DATE; ��F��� ) �
�EitififikrtifltlEillklFitiflflFiFiFifitiFik lE1EiE1FiElFftltlliF ltiE
iE �E iE iF 9k iE 1E 1E iP iE ik ik 1F ik 1E k if iF 1F i! fF 1F 1F iE i! ff * if!! 1E 1E iE k ik ik if if %iE I! 1E if 1F iE 1E iE iFlf iF if iF 1t if if if if iflE iElE 1E iE iE 7! 3E iE if 1E iE iF if iE iE iE iE iE iE iF iF
LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIG MECHANIC FIRE SMIP/RES GRADING
PERMIT 142.00 -•
252 � � SMIP/NON—RES
PLAN � �
ISSUE FEE 20,00 y
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK � TOTAL PAID DUE
TOTALS----> 142,00 20.00 , 0.00 162.00 162,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; � %162.00 OVER/SAORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANiC�j FZRE SMIP/TOT GRADING PLAN—CHECK
162.00 � .� �. O1 U0152932—�pt52432 'T�aT �h?.D�,
k if if tt if it �t 1t fE 1E Ik 1f 1E 1f 1E k!f !E 1E 1t if 1f if 1f ff 1F 1E iE ff 1k iF it 1k ff 1Elf 1E 1E k iF if 1f if 1FlE 1E 1Elf 1f if 1Elf if 1f �lF�flE'iF 1f.1E 7FlE.1t''M!! fFlF k.1f 1E�iE �E.1ElE ff if !f iE fE
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 O N ,;` „�'� UNIT COST TOTAL COST
PLU 2 BATHTUB ; j'� 7,00 14.00
PLU 1 DISHWASHER 7,00 7.00
PLU 1 LAUNDRY TUB OR WASHER '� 7.00 7.00
PLU 1 SHOWER 7,00 7,00
PLU 1 SINK, KITCHEN ��' , 7,00 7.00
PLU 5 WASH BASIN , 7.00 35,00
PLU 3 WATER CLOSET (TOILET) '' < 7,00 21.00
PLU 1 WATER HEATER AND/OR VENT ' �` 7,00 7,00
PLU 1 WATEA SERVICE ` 7,00 7,00
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5.00 5.00
PLU 3 GAS PIPING SYS 5+ OUTL—PER OUTLET 1.00 3.00
..
1
, l. • � . .
CONSTRUCTION A\�D PLA\h\�ING
APPROVALS Permit'.� -.__
emporary Elccirca; S�rvic, o� Po.�e,.
2. Sod Pipe�Undrg�nd. - �
___,�=...__� __ _ ' __
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TtT_ '_
�B.�FO�nSal'on ,r _-
3r�1'YJter Prpe�Undrqmd,
70.� S:r�ctural Flpor Systci� a
tt. Property Sa'T�er L�0'n �u NDuse Cnr+�ection
d : . __�_ _
12. S,r..:�er CaP �, �, i .
. 13 Roof Oi„ ni� "�
--- --�`-=_� - - - - -
i�QQI �A -1 �
I �
Date Inspecior I qppROVALS Pcrn�t;t I Date � in,perm. ��
i �
52. Pool Fi E4u'n-nc �t I u�at c-� .
���3llj��__53. Steel Reinforcr_mi��t I '
i �4. Fo�ms -j"-----f---�,
-� - --- - - ---+ -� . -_.
I 55. Elecbiwl8a�•dr�� �
5G Ra.c1 0��.,:rt, r 6. __,,: lcs, . ' �--•
-_. _-' ___- _T- i
s� n�a�ovn� ,oc���rrar,�� � T, ; , -
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� � �� h8 EirCii'�cd� C> >U'T l� � �ir l.- - -- � �_.
1 n a-- � - '
�.� �.4�4�� i 59. GasP�ca. Jrc��� ,. _ . !_-_ .'_
L,+ `'
_ 60. Bad��yash I, ;�io:, P �raG.: '!'���rnrn,i�_i � ,
__ __- _,. �-_. __-
Gl. APPROVP.� i0 L`r CK � ;
I
�_ "
- - - 62. Ba[k�.�5h $ HcCeP��;� Fin��' � '--.
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G3. Hn;,icr & V�������i=:r;�
_^ ' J�. �iuTl)int] i•;ti:.!" �- �,-.� � �
ty. Rpurh P,,:mFn�o 65. E'ect�icai�F �+
:, si_ I__. _
�15. R�ugh.�u.ectnL:6Con��.t __- I � , F,E_Sn;.�_�,�_,.r-_�_r� _ _ __ '_ �_ . _
. � � -4-
il 16. Raugh�ElFdri`;Vinng i�J Fr•rc�ng & Atuxs Ai�p�u�. ! � �
��__ ' _�___ _ _._ _ _ __-_.- _____ _ _ ._
�� 77. R��gh�`;M ��S 4� � - - ' - - , �.
_'y. laP.'nOVE7=U�;?�.•�Sf H�'�G
� t-a- __ _
18 R�ughElacbiP31-7e,�� C'�-:I��n GP. POOL SPAt:VS' :'SFI-P� -_ _'_ _�� �. _
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� FIPJAL�LAiV�\'I�'� _ ---
49: Ele;nric Relt-ase to Ed�ron?
50_ Gas a; lease_to So�the�n C3h�r�n�a Gas Cn
51. C-C:tT�TE Ol; OCCUPq^�CY
No. _ Date
_. -t-_,r _ . _ __ ' - �- _ _- ' ___' "' _
i � �r . •I ,�• r. � �-
t-^--s --'-- --- -- - _ - ------- -
I� � `�'"• - ------ -,-- _ :: .-.'. `.
_-4•--__ - - -_-_-,-._L__�:.�a.,-� y_ c'
PNOJEC7 ROOflE$S: \.
/ OWNEH'S NAPiE:
noosess:
♦
` pflCHIENGINEEP:
. RODflE55:
� PERMITTEE:
• aooness:
flEG.NO.:
UNIT:
UNIT:
�
'y LICENSE� CONTBRCTOP DECLANATION: I hereby allirm Ihat I am licensed untler provisions al Chap�er 9(commencing wil� Sec�ion
7000� ol �rvision 3 0l I�e Business ana Pmlessions Cotle. anU my license is in �ull �orce antl e��ect.
LITY UL.: SUTE LIC.: ClASS:
Oale'. Signalure'
WOBNEBS' COMPENSATION OECLABATION: 1 �ereDy a��irm ihal l �ave a cenilica�e oi consenl to sel4insure or a cenificate ol Workers'
ComDensation Insurance, or a cenilieU copy ihereol (Sec�ion 3800. Lab. C�.
POLICY NO.: E%P. ORTE:
COMPRNY:
❑ Cetlilie0 coDY is �ereby lumishetl. ❑ Cerlilie0 capy is IileO wii� Ihe ci�y Builtling �ivision.
Oale AOD�icant:
E%EMPTIONFNOMWONNEPS'COMPENSATIUNDELLPflATION: (T�i55ec1ionnee4nolbecomple�eDiflhepermi�i5foroneAun�ree(51W)orless�.
I cetlity I�al in Ihe petlarmance of I�e work lor whic� I�is permii is issued. I shall noi employ any person in any manner so as Io become
SuUlec�lo IAe Worker5' ComOensalion laws ol Cablamia.
�a�e'. Signaiure:
NUTICE: It, aflei making IhiS 4¢clara�ion. you Shoultl betame Suble�� �0 the Workers' Compensation prOvi5ion5 0l �he Labor
fAtle. you musi Ionhvnih comply with sucA pmvisions or lhis permii s�all be aeemed revoked.
CONSTBULTION LENOING AGENCY: 1 hereby allirm Ihat �here is a con5imclion IenOing agency tor ��e pedorman[e ot t�e work �or
wAic� ihis permn is issuetl (Seclion 3097. Civ. C�.
LENOEP:
FODflE55:
OWNEH BUILDEP oECLAFATION: I here0y allirm t�at I am ezempt tmm ine Comractors' State License �aw far t�e follovnnp reason
(Sec�ion 7031.5 Business an0 Pmlessional Coae: Any ciiy ol county w�ich reQwres a permil io consimcl. aller, improve, demolish, or
reDair any slmcWre. D�ior io iis issuance. also re0uires t0e apDlicant for such permil to lile a signed s�a�ement �hat he/she is licensed
pursuantlol�e pwvisions olih¢ Contraciors' Slaie License Law�Chapter9�commen[ing vnth Section 7qp�of0ivivon 3 olt�e 9usiness
antl Pmf¢Ssions CoOe) Or I�al he/slie is ex¢mpl Iher¢�mm an0 I�e basis lor Ihe allegeE exemp�ion. Any viola�ion a� Seqion 7031.5 �y
any aOVlicanl lor a Oeimit 5ubjecl5 t�e applicanl Io a civil penally ol na� more �han �ive hunEreE dollars (5500�.
I. as owner of Ihe D�opetiy a� my employees wi1t1 wages as Iheir Sole wmpensation, will do tlle woB, and tAe
❑ 9ruclure is nol mlende0 or afi¢re01or sale (Seclion 706E. Business and Pmiessional CoOe: The Contractors' State �ittnse Law
does nol aD��Y to an owner ol a proDe�y w�o Duiltls or improves ihereon, an0 who Ooes such work himsell/�ersell or Ihmug�
Ais ar her own employees, pmviAea Ihai such im0�ovement5 are no� intended or oflereA for sale. If, however �he builtling or
impmvemenl i5 5oltl wit�in one year ol com0leiion, Ihe owner vnll �ave ��e burtlen ol pmving he/she did nol bui10 or improve
br ine purpose of Sale�.
I, as owner ol I�e O�opetly. am eeclusively roniraciing with Iicen5e0 conVactors to cons�ruct lhe prole�� (Seclion 704<, Bu5ine55
❑ and Pm�e5Sia15 Ca4e: ih¢ Cqnlrati0r5' Siate Lkense Law tices not aDON ro an owner of DwOeM1y � builGs anmprovt5 ther¢on
and w�o COnlra[IS lor Suc� Omieti5 wiih a COniratlor�s) license pursuant Ia lhe ConlratlOrs' $late License Law). I am avrare
Ihat pma� o� I�eir Worker'S ComDensa�ion insurance ShoWd Oe pmnAeO Io me.
� I am ex¢mpl untler Section: 9. 8 P. C.
Ioi Inis reason:
Oate: Owner.
I Oo het¢by tehily Ihai I am aware 01 an0 under5lanU Ihe repui�em¢nts ol Calilomia Health antl Sa�ery Code Setiions 25505, 25533, and
25534 an0l�ai I or any lulure building occupanl will/will no� (ci¢le One) nee0 io Comply wi�h Saitl 5tate totles antl ��e requiBm¢nts lOr a
Oermii lor con5lmciion or modilicalion Imm I�e Air Quabry Managemenl OiSlricL Fe5i0ential constmc�ion applicalions are exemp� imm
t�ese pmvisions.
�ate; Apolicanl:
Ihereby cerlily I�al I �ave reatl I�is aD0licalion antl Slatei�al I�e above inlormaiionis carre[1. lagree to comply wi�� allci�y antl caunry
artlinances ana 9aie qwsrelatinglo �uiltlmg consimclion an0 hereby au��orizerepresenta�ives af10i5 cilyio enteruponlhe aGove-mentione0
pmpCriy loi inspeclion purpase5.
Date: Signature:
Driver's Licrose ar Social Secwiiy n:
�6ni�46 W�ne—Bmltling; Gieen—CoEa Enlo¢emenL Canary—Ap0licanC Pink—Revenue: Goltlenrotl—Fssessor
PERMIT NO: P 065490 PLAN CHECK NO: 05076-93 N PAGE; 2
r***�r**x�r�r*kit�r�+rit�r�x �r*ir*+r�r�rxk��r�r�e�r�r*it�r**�*+�itft�r�*�x+rit*�r**��x�r+��r�rxxit�rit***��t�r�r***+r
TYPE caTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU
PLU
GAS SERVICE 7.00
SEWER, CONNECTION TO BUILDING EACH 15.00
END OF FEES
7.00
15.00
��E�F��. � .^r '?'� �.,-r�.�lE T�:
�li �{�Ir'7Ci_._r�i��YJi �' fDT 1!:.�P
�f�?Ee i:/�+;?' S�'c. i2�31
r ' -
* e. • . `�
i CO\'Si I-',UCTIOR� AiD PLA\lIRG
APPROVALS Permit �,�`�
' 1. Tempa•a'Y Electneal S+r�v�ce or Vuie
i
_-' .._..___ __._..___..
� 2. So' PIue�Undrgrnd.
L---- -
`7 3. Elee!riwl Cnnduit UI'��i!y�Undrgrnd.
� 4 E-c_t� c.�: Candu�t�Und�y•nd.
! 5 c' �_. :�,. �,�o�c=men:
- . �.,�~UFcRG'n�. -____-
i 7 f-o�t nr. -- -- - - --
; - ~-
8 Fodntl..timi
�- ___ _ --
I 9. 4';e.•r� P PP�Undrgrnd. �--
10. S:• �r.�c� F:oo: Svstem
�-ci �. •: 5�..�r L ^e 5'�c.... :onner. on
I �. 5: ��i C�a_ _."_'_ _--
� °.. t-G �� :rain5_ _ _-_-
^� i. I;c.,n�� Nlur�.hing
', 15 Rc.�qb Eiectrlca��Condu�rt J
:'. .c...;�� clec'i�C�:.',n�.� _ __
' � qu.�'^ '. �'n, S�or -- - -
�-- - -- -- --- --
� 1P Ru.:n•i GleCtriC2��T Par C�-"'-r� '
^ Ro.,.�'^. Hc�thig LL A�r Ca,.�,i!t,un�ng
--i---�' -----
:%0� �;L r �z��nF���F�rcp�ac �
• ... J _ .
-_"rr _ -__' -_
I 2'�..Ux'-.'^ Strutturc
�27 C. , `:c^.t an�,�--- - -
-k� __. __--_ _--_
i3:.: �y: � .R�.3h C Test
Y -
� 7� r:: � �
� ., a���:�§
�- ' - ---- -- -
� _.i ��, �-.:;h��,g
s- - �- -- --'
I ��b,- 1 ' �� rjrrJC'L•.' . J`]LOaS
� �. T - u.1 _ ' _ -_
' 2-.� �. `�, f4,�,�..,,
- - --c7---- - --
� �_'� aFh :'tl-.,;3
`''�_-s__ _^�.'.�.:. -__ _-"-
� �� ::�f : r:.-.�, � 3-s --- ----
31 . Pa:,ri �'3�u�vn;�ott _ _ , _ _
-Y' a_
� .�.' l ~� F �:/C'�} ,.. _ ! ..
�--_�S'-'S_ ".._ '�.__ _"__ _ _ _ __
�-i�� � _ - �.
`-'F =-'�'------
�' 34��: �i,.' ;C:I n.7 0_�, Co�u
F 3i. � 't' C. . - ��-�'� ---
� f}- -i - � --°'---- -
e,�, m4_, . � G, �,?.f�.
�-�- - l..-.i--
37��Firip� P �cto�t•�,�'cep�acc
�-- . z - - -
� 35� -�R;.I i'�.rr•b�ng
' ._r�,� �� , �,..�.,,�,----- -
`.
G�J3asS�� ccF,hel----
4+S�K __ . t:o; �r�a� _
� .:�.9ac:�'�.� "�z�.�n,r --
I 43. 3achfln�� Irrigzt�u
�� . r L-i : sc,Ps {'ni5': ,n� SY��.
rI �Ol`-��.�'LB:�on -_
I �`,�,�i''..X���.dRn�(}ll�G'..___'
4.'Crl �Mr., f,r;,UCTI��E _' cI�/ILDI�:G
h . ___
�f.rf-' b,1L f �A�`lNiRG
--`-- -
� 49TEI:xtnrAc!:ase to Emsa��.
�SG Gay R��,;se Fp Soulhern C;�I�fo�n�a Gas Q
1 � CF;3T!'YCH�F 0� CCCI;PALCV
\a__ � u.,��
Daxe � Inspector
POO � .. SPA
APPFOVALS Permit ;k
bL. Yoo� �: tqu�pr^2nt �oCat.un
53_Steel Rc�nfirr.ument
54. Forms
55. Electr�,cai 8.�nd�ng
56. Pc_.��i 01�,.^ �.��ng 6.� ��2ss.'e Test
57. APPRO\�nL T: C�VFR�GUidITE
58. Elecincal Cardu�•t�Urtlrgrntt. �
59. Gas P p� . l�ntlryrnd., -cst
Date I Inspector1l'i
I
_�-�
��
---I
- �- _.
- -7
60. Bac:a�,��sh I�nes, P�Trap, '�� Undrq�nd �� �
61. APPP,OVAL'O �ECK I i
- , --I
62. B3GCC.C,. �• 72L'p•J'�F�'�i� � •
-1
i_ � 63. Heal::r & V;:nt-Gir:., __ _�_-�-� __-_.
�_"_�___ 66. Plum'a��ig Sv,!r.m - F�nal ' �
--- - -�-- -----�
65. Electric:t��P�ii�al j
---- I--- 66. Sola� Syst.m =l,•al ----� - �---�
_ _; _- __ _- _.,-_-_ _ _ _ __ _ f _ _
I 67. F_rc�ig @: Acccss ApP�oval
--+ �-- i - - --- -
� ! 6b. APp^,UVE: F09 PLASiERI�:L ��_�' ��-
- --- - - -- --- - - �-�--- - -- �
� 69. POOL�SPpnYSTE�'.SF�?:Al� � '
� FINL DLP7. RtQUIHtNiEiV i � � �
_ -- I , `
� APPROVALS Pcrm�t :f _._.-. . .
---- ---- --- ---'
- __ 70. Undr;,� o,.--' H�;dic �- �` '
-- +- --- -- � -- -- --
---- `- - 71. Proa��.tt P.,i.ry _Gt_. :Oii ----- - � - _'
72. U: c�.a�a.. ��� � ..�-
_ -r ___ ____._ ____ T� _ ___
l ��
` ' 73. U�d:rr,�ra.S[ora_u_���_,.G - _ � � - -- _ -- --..
! �'�� � 74. Ovcrh��ad F1Yciro _ .�_ ____ �
- �---- 75 Cry l ..,,-� ---- - ---�-
-�_ {. . __ 7F. Dr�, Sr,.^.c� � c----- ---- �--- �- -�
--- I�-- ------ -- - - ---- -- -- -i- --- i-- -
( i 7J. F�n1=CS� �ic"� Fi.`.ia; �i� i
-_ 1_._ _
•, � _'_____- ____. ____--_ �__ _--'
--� � 78. F�R� �-;'-�:' FI'�.A, - -- - -- �1-----
-- - --- -- - - - - -
� � i;-r.�_i,�o=H�r R�auiFr-� ,r
- I �s_ r-iNn� in�sF��cr�ov - - - -- _- � - - .
t I
��. FC�I'1 �.[- ] � ^I` � . ]VL:�� I �I �.
'_-_ . �'___ _..._ _ __ .__'_ _'__ _ _ ' '_ �'-_-__. L.. _-_ '
NOS�s:
-1_ -� - -. �__. -_ . _. _ _ ___ - __ ,,
- -�--- -- -' - - - - - -- - -
-�- ------- ----_ �-�---,- ---
------- i ----�-- ---. �.- -- -- --- ,
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--------�-- ---- -- - --'.
-- - - - - --� -- I
- ----- - ---- I
cFnJEcr aooeess: �--==-i=—� Qi..SUy
OWNEH'S NAME: VNE DEVELOPMENT
nooxEss: 234 E 17TH ST #208
COSTA MESA, CA
548-3072
FflCM/ENCINEEX:
AOOflE55:
NEG.NO.:
��
UNIT:
PEHMITTEE: SANTIAGO A/C, INC. ( 719 ) 998-1600
PODflESS: 23S W. BLUERIDGE AVE.
ORANGE CA 92665
UCENSEO CONTflACTON OECLAHATION: I hereby allirm ��ai I a I¢ensed unUer Dmvision5 0l C�apter 9(commencing wii� Sec�ion
7000) oi Division 3 oi Ihe Business antl Pmlessions Cotle, and license is in lull lorce ana effect.
arruc.: -ver"T�a� sTaTeuc.:2699 � ss: C-20
�ale: �J� SignaWre: _
NE85' COMPENSP ION OEClABR710N: I hereby aifirm ��at I �ave a certificate of consent to selbinsure or a cenilicate ol Warkers'
Compensation�!�j�ja ce. cf�n��e}��QpY �hereof (Seciion JB00. Lab.
POULVNO.:"J� ��`�'-`""' -EXP.OATE: 7/�1/94
can+rnxv: CALIFORNIA,�i COMP
�� Certified coDY is hereby fumisAea. L•J CerlilieG copy' lil wi�h e ciry BuilEing Division.
� Dat ApDlican�:
E%EMPTION FAOM WOBNEBS' COMPENSATIDN OECLABATION: (This sec�ion neeU noi be completeG il I�e Dermil is br one hundretl (5100) or less�.
I certity Ihat in Ihe Oer�ormance of �he work lor whic� Ihis permil is issue0. I s�all not employ any Oerson in any manner so as lo �ecome
subjecl Io Ihe Workers' ComDensation laws ol Calilomia-
Date: Signa�ure:
NO710E: II. after making Inis tleclaration. you snoul0 Oecome suoject ta the Workers' Camvensatian o�ovisions o1 ine Laeor
Code, you mu5i lan�with compty vnt� such pwvisions or tNs permil stull be tleemeG revoke0.
CONSTBOCTIDN LENUING RGENCY: I hereby aifirm Ihat ��ere is a conSlmciion IenOing agenry �or I�e De�ormance ol t�e wark �or'
w�it� thi5 permi� is issu¢e (SeCiion 3097. Civ. C�.
LENOEB:
AODflE55:
OWNEB BWIOEF OECLABATION: I �ereby affirm ��ai I am e�empi imm Ihe ConVactors' State License Law lor tne tollowinp reamn
(Section 70J7.5 Business antl Pralessional Cotle: Any cily of county w�ic� requires a Dermil b constmci, alier. impmve, Gemobs�, or
re0air any StmcWre. prior �o i�s issuance, also repuires t�e ap0licani lor such permi� fo file a 5igne0 statement Ihat be/s�e is licens¢0
pursuanllo Ine pmvisions of Itre Cantractors' Slate License law (Chap�er 9�commencing vnth Section 7000) of Division J af 1�e Busineu
ana Pmfessions CnEe) or Ihai �e/she is eRempt therelmm antl ��e Gasis lor I�e allepeU exemption. Any viola�ion al Se[tion 7031.5 by
any applican� for a permii SuDlecis t�e apPlicant lo a ciNl penally of noi mare Ihan �ive �mGrea aallars (ESOD�.
I. as awner of t�e proDerty o� my employees vni� wages as t�¢ir Sole compensation, vNl Co Ihe woM. anA Ihe
❑ simcwre is no� intenGeU or oHereO 1or sale (Setlion 70Ca. Buvness antl Pw�essianal Code: TOe Contraclors' State License Law
40¢5 noi ap01y l0 an owner al a pmDeny w�0 �Uilds ar impmves Ihereon, and who tl0es 5uth wOrk himseltl�erself or t�mugA
�is ar �er own employees. pmvitletl that suc� impwvements are noi inlentle0 or ollereE for sale. Ii. �owever �he Ouiltling or
imDmvemeni is sold within one year a� compleiion. ��e mvne� will liave ihe hurden o� O�oving �¢/she AiU noi �ui10 or improve
lor ihe purpose ol sale�.
I. as owner ol ihe pmpeny, am excWsivety contracting wiih Iicensed roniractors m wnvmct tAe O�ojecl (Sec�ion 70aa, Business
❑ an0 PrOte59on5 CODe: The Conlrati0r5' S�aie LitenSe Law does n01 apDN �o an own¢r o� proDe�1ywho EuilQs or improv¢5 Ner¢on
ana who coniratls Iar suc� pmlecls wiih a conirac�or(s�license Dursuanllo Ihe Conlraciors' $la�e License law�.l am aware
inal D�oof ol Ineir Worker's Compensation insurance snoultl Ee pmvide0 to me.
� I am ecem0l untle� Section: 8. b P. C.
for Inis reasont
oa�e- 6wner.
I Oo hereGy cetlity t�at I am aware al and unCerstan0 i�e reQuiremen�s of Caiilornia Healih anA Safety COEe Seclions 25505, 25533, anE
25534 ane �nat I ai any tutwe Guiltling occupant willlwill not (circle onel neetl to comv�Y ��n said state ca0es anA Ihe requiremenis for a
permit lor construclion or moEilica�ion �mm Ihe Air �uahry Managemenl Ui5lricL Resitlenlial con5imclion apDlica�ions are e�emp� imm
�nese provis7ons-
Dale: Applicanl:
I�ere�y cetlilythal I�averea0i�i5 aDO�ica�ion and 5tatel�ati�e ve iniarmationis carrect. I agr¢e b mmpty vnth allcity and couniy
or4inance5antl5lalelawsrela�ing�obuilaingcon5lmciionandhe�e� I�ora epresema�ivesolt�iscirytoenterupon�heaUove�memioneG
propeny loi i eqion Ourposes. D
Daie: y � SlgnaWre:
o� �� ucense or Sociai Seaniy
t6a1-a6 W�ne—Bwlding; Green—CoOe Enbrzemem: Canary—Applicam: Pink—Revenue: GWEenrotl—Assessor
CITY O£ COSTA MESA — BUILDING PERMIT PERM NO: M 066425
PERMIT NO: M 066429 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
JOB DESCRIPTION : INSTALL GRAV. FURNACE 75000BTU SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /t9-1
COMMENTS: REF: H-65477
*�t-+�at�rrx�-�+��t*+Ex**+ta��t***�tx�***+t****�x-#+t�t#*�+t�t*x*x-�t�t**��tt�«*��tx�*�f+t*x**�r+t+e-��tu-�**�***+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 x s
------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 93927116 ZNE: REF NO:
PLANNING NOTES>
>
iE ff !E-IF iE f� ff iE if 1E fE 1f iE if if !f iE 1E iE ik # iF iE M iF iE if if iE iF 11� iE 1E iE iE 1E ff ff 1E 1t iElE iE if ik if iE Y iE iE iE %if if iflE if 1f �16 iE iE iE i(� 1f IE 1f i(� iF iF if iE ik 1E iE if 1f �f iE 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 T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; � �� DATE: P\ l/'/� 4(�L(`
irir*irieitx�***it****�rit+�**�r��i�. .*, "� �. �iF�iF'i�*+�*+t+o-?t�e*+t+rJir F��rT.4(FiF`..r'*
*********,�*****,�*,�*,�**,�,.******�******�,�*,�**,�*�*,���*�#*,�*�,�**,�#***,�,�***J,��*******
LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADZNG
PERMIT 9,00
- 25R SMIP/NON—RES
PLAN ' •
ISSUE FEE 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 0.00 24.00 24.00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 24,00 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANiC FIRE SMIP/TOT GRADING PLAN—CHECK
29.00
!E fE fF fE iF iE jE iF �i af iE iF iF if iF iF if if iE iE iE ie if if iF 1f if if iF iF if iF iM1 if iF iE iE iE fE� i(� ih if if ff *�f iF 1f iE iE If 1F if 1f ih iP if 1E iF 1E 1f iF 3E iE fE if iE if jE if iF iE fF if if �t+f 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 S C R I P T I O N UNZT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00
END OF FEES
A
� f�
9.00
02 00137376—Q0357376 TCi T 24.Q0
DA7E: 03/lE/94 TI11E: 15:34
CONSTRUCTION ANDPLANNING POC SPA
� APPROVALS Permit # Date Inspector APPflOVALS Permic # Da2e Inspector
i. Temporary Electrical Service or Pole 52. Pool & Equipment l.ocation
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Efectricat Conduit U2ility�Undrgmd. 54. Forms '
•' 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Fieinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
, 7. Footings 58. Electrical Conduit�Undrgrnd.
B. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. ' 60. Backwash �inez, P-Trap, O Undrgr�d.
10. Structurat Floor System 67. APPROVAL TO DECK
: 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
' 73. Roof Drains 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar System-Final
', 16. Rough Electric Wiring 67. Fencing & Access Approval
' 17. Rough Wiring Si9n 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ' 6�3. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning ?�.�`3._Ci� FIRE DEPT. REQUIREMENT
4
20. Rough Factory Firep�ace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilati�g 77. Product Piping � Gas O Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. fioof Framing 73. Undergrnd.StorageTank �Gas �Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-8ar Ceiling (Structura�) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. lathing & Siding 77, FIXEO SYSTEM FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Drywail Nailing HEALTH DEP7. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: 3.2-�_�� ���,_� /�tL�'�
L�'
34. Final Heatinq & Air Conditioning p
%GI�� _ '-� -� � r_�zz� �L���
35. Final Gas Pipe-7est .
'�_Lf=i%`� �L_rt�tz,.. ��
36. Hood or Canopy .
37. Final Factory Fireplace
38. Final Plumbing
39. �Vater Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Batkflow Preventer �
43. Backflow Irrigat�on �
44. Landscape irriqetion System
45. Sound A[tenuation
46. Handicap Regulations
47. F�NAL STRUCTURE & BUILDING )
48. fINALPLANNING --
49. Electric Release to Edison •
50. Gas Felease to 5outhern California Gas Co �.
51. CERTIRCATE OF OCCUPANCY -
No. Date
OJECT ADOHE55: � JD�
OWNEfl'SNAME: �7NE DEVELOPMENT
nooeess: 234 E 17TH ST #208
COSTA MESA, CA
548--3072
AflCH/ENGINEEN:
ADOHE55:
101?.Y1 GCI�. xw+�-`-
HEG.NO.:
UNIT:
PEPMITTEE: VNE DEVELOPMENT (719)645-7588
ADOflESS: lOLf R IRVINE AV 363
N.e. CA 92660
LICENSEO CONTBACTON OECIAApT�ON: I here�v allirm �Aat 1 am licensetl under pmvisions ol Chapter 9(commencing with S¢clion
7000) of Oiwsion 3 al �Ae Business ana Pmlessions Cotle, and my license is in fuli lorce antl eflec�.
CITY LIC.: STATE LIC.: CIASS:
oate: SignaNre:
WOBKEPS' COMPENSATION DECLANRTION: I hereby affirm Ihal I �ave a certiticate ot consent to sel4insure or a cehilicate oi Workers'
Compensation Insurance, or a cenilietl coDY thereol (Sec�ion 3800. Lab. C).
POLICY NO.: E%P. OATE:
COMPFNV:
❑ Certifietl copy is hereby Iwnishetl. ❑ Cetli�ietl copy is �iletl with �he ciry Building �ivision.
Daie: APPlicanl:
E%EMPTIONFBOMWOPNEFS'COMPENSpTI0N0ECLRNNTION: Qhi55ec1ionneetlnolbecomplelediithepermili5foronehundre0(51001ar1e55�.
I certlty that m the perbrmance P� lhe wa[k�a[ wNch tNs permit is issue4l shall not employ any person ln any manner so as ta �ecome
sublec� �o the W rkers' Compepsa�ian Laws ol Califomia, A���/�
Date: �� ���� Signaiure: %�`+/ � v" �
NOTICE: II, afier making Ihis declaralion, you s�ould become sublecl �o t�e Workers' Compensaiion D�ovisions of Ihe L2bor
Cotle. you mus� Iorihwith comply wiih such pwvisians or Ihis permi� shall 6e deeme0 revokeU
CONSTBIlCTION LENUING FGENCV: I here6y afiirm �hai Ihere is a constmc�ian lending agency tor �he pedormance oi �he work �or
which Ihis permil is i55ue� (SeC�ion 3097. Civ. C�.
LENOEN:
nooeEss:
OWNEF BWLOEB OECLAFATION: I hereby allirm Iha� I am exempl imm Ihe Conirac�ors' S[ate License Law br Ihe �ollowing reason
(Sec�ian 703L5 Business antl Professional Cotle: Any ciiy oi counly w�ich requires a permi� to constmct, al�er, impmve, demolis�. or
repai� any sVuclure. prior lo its issuance, also requires �he applicani far such permil to file a siqnetl sta�ement ��at �e/she is licensetl
pursuam �oihe pmvisions ollhe Conlrac�ors' Slate license Law(Chap�er9(commencing w�th Seciion 7000�ofDivision 3 o�the Business
antl Pmfessians Catle) or ihat h¢/5he is exemD� ��erelmm and I�e �asis br �he allegetl exemptioa Any violaiion a� Sec�ion 7031.5 �y
any aOPlicanl for a permi� SuDle��S Ihe applican� Io a civil penalty o� na� mare t�an five hunared dollars (5500).
I. as owner of ihe plopetly oi my empIoy¢es wi�h wages as their sole compensalion, will tlo �he work, anA Ihe
� simcWre is nol inlentled ar ollerea lor sale (Sec�ian 70a4, Business and Pmfessional Code: The Conirac�ors' S�ate License Law
does nol apply io an owner ol a D�oDehY who builds or impwves t�ereon, antl wlio does such work himsel�/hersell or IAmugh
his or her own employees. DmviAeO I�al suc� impwvemen�s are not in�endetl or ofleretl �or sale. tl, however �he huilding or
impmvement is sold wilhin one year of completion. Ihe owner will have the buraen ot pmving he/she tlid not buile or improve
for ��e purpose ol sale�.
I. as owner o� the pwPerty, am e�clusively coniracting with licensetl con�racmrs m consimc� �he pmlec� (Sec�ion 704a. Business
❑ an0 Pmlessi0n5 Co�e'. The COnlrati0r5' Slaie Litense Law does not appry �o an owner ot pmDe�y w�o buil�5 or impmveSlAereon
and who conVaCiS lor SUCh prOjetiS wiih a coniraCloqs�licen5¢ pursuan� ta the Conirac�ors Sta�e LiCenSe Law),I am aware
Ihat pmo� of ��eir Worker'S Compensalion insurance should be pmvitletl to me.
� I am eKempt un0er Sec�ion: B. 8 P. C. �
for Ihis reason. /� � �, ,�/ A/
Oale'. / � �7 � Owner: �^^'_ `
I no hereAy cenity that I am awa�e ol antl untlerstantl ��e repuiremenis o� Califomia Health antl Sa�ery Cade Sec�ions 25505, 25533, antl
25534 antl Ihat lar anV�uture bi�ilding occupam willlwill nol (circle one) neetl ta comply wi�h saitl state cotles antl Ihe requiremen�s lora
permit lor consimction or motlilicaiion fmm I�e Air �uabty Managemen� �iSlncL Resitlen�ial cons�mttion applications are exempl Imm
these provisions
�a�e: Applicant:
I �ere�y cetlify Ihal I have reatl Ihis applicauon and slate Ihal ihe above in�orma�ion is correcL I agree lo comply with all ci�y anU county
oramances and s�a�e laws relaiing �o OuilOing cons�mction an0 �ereby aWhorize represen�aiives of �his ciry to enler upon �he above-menlioned
prdp¢rly �Or in ,CIiOn p rp05¢>� � ♦ ���
Oaie: !� .�� i� Si9naWre: L
ori�ers �icense a� sociai seanty a:
t6a1-ab Whne—Buildmg: Gi¢en—Coae Eniorcemem; Canary—ApPlicam: Pmk—Revenue; Goltlenrotl—Assessor
CITY OF COSTA MESA — HUILDING PERMIT
PERMZT NO; M 065496 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N
PERMIT TYPE: MEC
PERM NO: M 066496
GOVT: N SUPP: N
PURPOSE: NEW
JOB DESCRIPTION : INSTALL GRAV. FURNACE 75000BTU SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTS: REF: B-65477
-n�c*�-x-�**�x�+e#�x�*****�-�r+��+t�-*�rr*****�*-��-��*� �**�����*x-*-�-�* ���r**�-**�*#*ar�c*�r*��*�t*�+�*+��rx#
Z O N I N GS ERTEBQ�UCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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; 93927116 ZNE; REF NO:
PLANNING NOTES>
i
�-*�c*****x�**�f�****��-#**�r***x+���c�*�+��***���**is:�***x�***�*r*�r**�*i��r##�t�rx�*i�#�+�+ru�*��-*
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
ZONZNG APPROVED BY `" DATE:
BUILDING APPROVED BY : �' pATE;
� •rL Q G
APPLICATION ISfiUED HY: T�"i-� DATE• � 11 `\ P
`jEiEiFiEiFjfiElFiEj'�1f1EiEiEifiElFiEifiEiEif ..+�� iFi�iF7FlFlE�)Eif*iF%iflEif x���'xiFiF�iE#
iE it 9f iF iF ih if if� �E �E?f 1E fE ff iF iG iF iE iE iF iE iF?f iF iE fE If 1f 1F if i6 iE iE iE 14 iF if 1E �Y �IElF if �)f iF iF dE iP {f iE jE # 9E M-iE �F 1h 1E �F 1E 14 �f ��%�)E iE iE iE 1E fE'lF if 3E if� if �M-jE iE iE if
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 13 00
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTALS---->
258 SMIP/NON—RES
�:%
15,00
PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
13.00 15.00 . 0.00 28.00 28,00 ,00
REVENUE DIVISION TOTALS--> COLT,ECTED: 28,00 OVER/SHORT: 00
HLDG PMT PLUMHING ELECTRIC M�CHANIC FIRE 3MIP/TOT GRADING PLAN—CHECK
za,oa
ih if iF iE iF iF iF �lElF if �)E �)f ff fE ��1E iE iF dE it fE iE 1F 1E �1E �)f �E �f 3ElE iE iE 1F iE� if if iE fE iE fE 9f iE 1f 1E ii* iE if iE 1E iE if iE jf 1E �1flf 1F 1E #�lE iE �1f 1E 1f ik if � iE iE iE �14 if if� iE �lE �k �1F iF
I N L� 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 O N UNIT COST TOTAL COST
MEC '2 FACTORY FIREPLACE � 6,50 13.0�
END OF FEES
1; 1
�
'}�/
01 OO1S7330-�0157330 T�] T 28,00
DATE: �3/17/94 TItIE: 09:00
f CONSTRUCTION AND PLANNWG
APPROYALS Permit #
t. Temporary Electrical Service or Poie
2. Soil Pipe-Undrgrnd.
3. Electriral Conduii Utiaity�Undrgmd.
4. Electrical ConduiI-Undrgrnd.
5. Steel AeEnforcement
6. Electrical UFER Grnd.
7. Footings
, 8. Foundation
' 9. Water Pipe-Undrgrnd.
10. Struciural Floor SVstem
: 1 L Property Sewer line & House Connection
12. Sewer Cap
13. Roof Drains
"� 74. Raugh Plumbing
' 15. Rough Eleciriral-Conduii
i 16. Rough E�ectric4Viring
� 17. Rough 4Virir.g Sign
18. Rough Electrical-T Bar Ceiiing
19. Rou9h Heating & Air Conditioning
20: Rou9h Factory Fireplace
27. Ducts,in Structure
22. Ducts, Ventilating
23. Gas Pipe�Rough & Test
24, Roof Framing
25. Roof Sheathing
26. T�Bar Ceiling (Szructurai} & Monocoat
27. Frame and Fiashing
28. Lathing & Sid;ng
29. Insuiation
30. Drywall Nailing
37. Piaster Brown Coat
32. Electrical Power AQEter-Final
33. Einal Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Tes:
36. Nood or Canopy
37. Finai Factory Fireplzce
3$. Finel Plumbing
39. 4V,ater Service-Finai
40. Gas Service-Finai
41. Solar pomes2ic-Final
42. Backfiow Preventer
43. 6ackflow Irrigation
44. Landscape irrigadon System
45. Sound Atienuation
46. H2ndicap Regulations
47. FiNA� STRUCTURE & BUILDING
48. FiNAL PLANNING
49. Electric Release tp Edison
50. Ga: Release to Southem Califomie Gas Cc
Data
Date
POOI & SPA
Inspector APPROVAIS Permit #
� 52. Pool & Equipment Location
53. Steei Reinforcement
� 54. Forms "
55. Electrica! Bonding
56. Rough Ptumbing & Pressure Test �
57. APPROVALTOCOVER-GUNITE
58. Electrica� Conduit-Und�grnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash lines, P�Trap, � Undrgrnd.
61. APPROVAI TO DECK
62. Back�aash & Receptor-Finai ,
63. Neater & VenFFinal �
64. Piumbing SYstem - Final
65, ElectricabFlnal .
66. Solar SYstem-Final --
67. Fencing & Access Approvat
68. APPROVED FOR PLASTERING
69. POQVSPASYSTEPhSFiNAL
��� FIRE DEPT. REQUIftEMENT
//16 APPRQVALS Permit�-`
e
Date � Inspector �
70. Underground Hydro
71. Product Pipin9 L'Ga5 �7011
72 Underground flush .�
73. Undergrnd. Siorage Tank I7 Gas ❑ Oii
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe - �
77. FIXED SYSTENi FINAL
7$. FIRE PREV. FINAL
HEAITH OEPT. REQUIREMENT
79. FINALINSPECTIQN �
80. FOOD CERTIPICATE ISSUED
Notes: I)�/ )�..ly'� ���, � /„
�
�
�
�
PFOJECTAUOPE55: � ��'��'T (�3� C'tDEIJ RVE�«.--e-
OWNEH'S NPME: VNE DEVELOPMENT �
nooxess: z34 E 17TH ST
C.M., CA
548-3072
AflCNIENGINEEH: TAYLOR �CH HEG.NO.: C S 4 9% S
aoosess: 234 E 17TH ST uxiT: 203
C.M. CA 92626
PENMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588
aooeEss: 1048 IRVINE AV 363
N.B, . � CA 92660
LICENSEO LONTNACTOB UECLAflFTION: I �ere0y allirm I�ai 1 am lic¢nsed unAer Dmvisions ol ChaD�e� 9(�ommencing with Sec�ion
7000) ol Drv¢ion 3 0� t�e Business ana Pmlessions CoOe. anE my license is in lull larte antl effect.
CITY LIL.: STRTE LIC.: / CIASS:
Daie: Signamre: •
WONNEPS' COMPENSRTION OECLABFTION: I nereby atfirm inat Lnave a cenilicate oi consem m sel4insure or a certificate of Workers'
fqmpen5dlion Insutance. o� a cerlilie0 cooY �M1ereol (Section 38011. Lab. C�.
POLILV NO.: ESP. ORTE:
COMPANY:
] Ceniliea coOY is �ereDy fumis�ea. � CenilieG CaDY i5-IileO wii� ��e ciiy Building Division.
Oate: ' 1 AD�liian�: '
E%EMPTIONFflOMWOBREPS'COMPENSATIONOECIFflATION: (ThiSsecliannee4nolUecample�eUi��hepermi�is�oronehunUre4�5100�orless�.
I certity Ihal in Ihe petlormance ol I�e work lor whii� Ihis permil i5 i$$$sued, I shall nol emDloy an Oerson in any manner so as �o become
suOjeCi 101h¢ WO k f5 CAmD¢nSa�iOn Ld1V5 OI �dlilOfNd. � � �� I L / .
l/ �1 /�T//.� • �/
Dale: �—'0 4< y� Signalure: 'n � w��' �'—
NO7ICE: If, aller makinp inis aeclaralion, you ihouid�ecome su�iect to the Worker5' Compensation provisions of the La�or
Cotle. you must fonhwith compty with such p'mvisions or Inis permit shall be tleemea revoke0.
CONSTNUCTION LENOING AGENCY: I here6y a�tirm I�il Ihere Is a cons�mc�ion IenOmg aAency �or �he Dedormance o� the wark for
I which Ihis Oermit is i55ue0 (Seclion 3097(.Civ.'C�. � ���
LENOEP:
AO�NESS:
OWNEfl BUIL�EN OECLAflFTION: I hereby al�irm Ihai I am e�empi imm �he ConVac�orY S�ale License Law �or �he tollowing reasan
(Sedion 7031.5 Business ana Pmlessional Cotle: Nny ci�y ol counly w�ic� requires a permi� �o constmc�. alter, improve, tlemolish. or
i¢pair any slmcWre. prior lo its issuance, also requires the apPlicanl lor such permit to file a signetl statement ihat ne/she is IicenseJ
pursuam m the prnvisions o� Ihe Conlractors' Slzle License Law (Chap�er 9 �commencing wi�� Section 7000) oi �ivision 9 0� Ihe Business
and Piofessons CoOe� Or�hal he/she is exem0��hereimm and �h¢ Dasis fOr��e allege0 exem0�ion. Any violati0n ol S¢ttion 7031.5 hy
any a0�licant lor a Dermi� 5ubjecis I�e applicani �o a civil penalty ol na� more Ihan live �unGrea aollars (5500�.
,}(, I. as owner o� ��e pmperty or my employees wi�h wages a5 ��ei� sole compensa�ion, will do the work, and Ihe
C] s�mcwre is not imeneetl or ollered lor sale (section 704a. Busness anA Pmlessional Coae: The Contractors' State License Law
aaes nol appty la an owner ol a pro0eny who Ouiles orimproves thereon, and wno Ooes suGh work nimse�f/hersetl or lnrough
f r tl f r al . I� Aowever �he Ouildin or
r n t intentletl or at e e o s e
n im mvemems a e o
m I r vid tl ��at suc 9
his or her awn e D oyees, 0 o e P
impmv¢m¢ni is SoIA wilhin One year o� com0lelion, I�e Ownef will hav¢ ihe buraen o� proving h¢/She Citl n0i Luild Of improve
lor t�e Dwpose ol sate�.
I, as owner o� I�e pro0eny, am eeclusively conirac�inA wil� licensetl conlraciors to cons�mc� the pmlecl (Sectian 7044, Business
❑ and PwleSsionS Coae: T�e fqniraclors' S�a�e license Law tloes no� apply la an ownero� property who Om105 ar impmves thereon
and wtw coniratl5 �Or 5uth pmjeci5 wiill a tOniratlor�5� license Dursuanl to Ihe ContfatlOrs' S�at¢ L¢ense Law�. I am aware
Ina� Droof ol iheir Worker's Comp¢nsaiion insurance s�oulA Ge pwvlaed to me.
� I am exempi under Sec�ion: B. 8 P. G.
br ihis rea(so�n:y� /— (� //n
Date: `� 0 U�c� C� � Q+mer. �•` "r//�6l�
I tlo �ere�y cetlity IM1ai I am aware ol antl un0erslantl the repuirem¢nls ol Calilomia Mealth and Salely Cotle $ections 255(S, 25533. antl
25534 an4 i�a� I o� any future �uilUmg occupanl wiNvnll not (circle one) neeE �o tomD�Y ��h SaiA state codes and ihe repWremen�s �or a
Oermn for con9mciion or moGAicalion imm Ihe Ai� Ouality Managemeni OiSVi[I. flevdential conslmtlion apDlicaiions ar¢ ¢x¢mpl fmm
IAese pmvisions.
Da�e: ApP�icant:
I here�y cetl0y �Aai I have reaU I�is applica�ion and slate Ihal l�e above in�armalion is correcl. I aA�ee �o comDly with all ciTy antl cowty
ordinances and 9alelawsrelaiingto 6uilAin9 wnslmctian an0 �eieby aui�o�ire re0resenlalivesolthi5 cily�o enieruponthe above�mentione0
pmpetly I�Speciion pur0ose5. ///% _N���
�ate: �� �'-" � � � Signalure: ,/ r/G � ' O�- �•
Driver's L¢ense oi Social Securiiy a:
i66t-66 Whne—BmlCing: Green—Cotle EnlortemenL Canary—Applicant: Pink—Revenue; Goleenrotl—Asseswr
CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO: B 4
PERMIT NO: B 065477 PLAN CHECK NO; 04102-93 L �O�I�`-��fiET� N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: NEW
JOB DESCRIPTION : 1016SF 1ST EL, 1060SF 2ND EL, 416SF GARA SQ FT; 2,243
CLAIM VALUE: 150,000.00 CALC—VALUE: 161,361.60 GROUP OCC: R-3 /M-1
COMMENTS: NEW SINGLE FAMILY RESID, PLAN D
�ft+t**�rit�r�r�r+r+t+r�+t*ir�ex��r*****+tit�r�ritit+r+r*+ritititir�r*r***w**x�r��r�r+tit�rr*****x ****�r+r+r*+rir*+� *+tx
2 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
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
FRNT; 20 FT IN REAR; 10 FT IN FRNT: FT IN REAR: IN
LEFT; 11 FT IN RGHT; S FT IN LEFT: FT IN RG . FT N
PARKING REQ• 18 PAOV: 18 PARCEL: 43927116 ZNE: R2 REF NO: DR9211
PLANNING N6TES> ONE 2—STOAY UNIT (1 BUILDING) OF A 5—BUILDI G, 7—STORY,CONDO
> PROJECT,' - P E F �.��
+�+�+r*+r+r***�r�r���e+r+r�r�r+r�*��**+r+r�e*��r**�r*�rx�*x+r*��**�r*r�rx�**+r*+r*�r*x�** *r*+���
D E V E L O P M E•'N T S E R V I C E S R E Q U I R E M E N�iT S
ZONING APPAOVED BY :: - �(i DATE: L2
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED �HY: �. _ � (L DATE• �2! � ��1 )
MiF7FMiFNMMifiEMMM1FKiE1EM1FifMkiFMMM,i!'iFlFifMiEifiF%iEifiFiEKiFifiFlFiflFififififKiEiFM%ifMit
LEGALIZATION;N �F E E S U M M A y�R Y
HLDG PMT PLUMBING ELECTR�IC MECHAt�,7�C FIRE
PERMIT 856.50 � , �
PLAN 556.73 ' (li
ISSUE FEE .�.�
K iE iE 7F M if iF ik�iFiFM if
iFiEiEiFiFKklEiFiFMiEMiliElEiFiE1E1F
STRUCTURAL SEGMENT;Y
SMIP/RES GRADING
16.14
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHE6K / TOTAL PAID DUE
TOTALS----> 872.64 0,00 556.73 �1429,37 1429.37 .00
REVENUE DIVISION TOTALS--> COLLECTED: � 72.64 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTAIC MECHANIC, F E SMIP/TOT GRADING PLAN—CHECK
856.50 , 16.14
. ,�
i
*r***�*+r**�r*�r*�r*�e�*�r****+�*****��r�r�r*�r�i**■*�+�**x(e**
ff 1E 1E iF IF if iF if iF M 1F iF if K iF iF if %iFlF iE iF iE if iE M iE if 1f if
I N D I V I D U A L F E E B�R E A K D O W N
} r�
TYPE QTY D E S C R I P T I O N. � UNIT COST TOTAL COST
SER 2076 DWE—TYPE V—WOOD FRAME. �G OD 74.00 . 153,624.00
SFR 416 RES—GARAGES TYPE VEND OF FEES � p 18.60 „'� 7,737,60
• il;.
� ' � �
n DDEC 8 19 �
CITY � C A M ESA
�
0
t
CO\STr UCTIOR� A'."� ; LAfVNING � -- p0(. . SPA - � -� -� ---- � --- � - � ��
' �„�. � i Daie I Insprctor I qp�RQVALS Permit >"-___ Date I Inspector �
r. � i701 :'._5 Petmrt,%'
, ' '�i� --- --
1. `cr�?o-;� y E' ctnca; Szrv�w or Po�e I 52. Pcnl & Eqcipme��[ LocaT.or '
�,��. S7 P��_ Jndr,.nd. --'i -- - - I ��
�' � 53. Steel Re�nfrn[emrnt
i •.:�?��-:�7D�Jl'�2'�}t'I�jA'rty�i.ncrgrntl. � I _ _,_--_-.54. Forms --- ��
�r ` +a'YJ_• r�- - f I' �--I•-
"�'S^.E'�.cMiLg�nr7fl'r.�.�-..1.yr,�d. I . � 55. �Iactnc3;E.�nO�nq -�� �
�TJ'.�t' '•.v{.���or�i>n7~'�'r� l
� �-- - - - -...-' r _
i.'. � E ��rc.��s:-I�FfR Grnd.
�:S" __ri� _ >.�L-_____ �_
t'Fc.,. .. ' .'iT l�
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.v F•-.. .. V�.
�. � "' _�'S�i �t`�_c•
' - - � = ==--
. � 1C. S .c._ .�' r-'.c'-' Sv>tecm
, F:�,�� ,, y. l;r �;ra�,Hn..[rConnetLon
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�T__... F .� � � t� n
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t: �i�_,�'�- ���-_ - -
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�� i:; rii,.yi-��+i,:-,tnrd �Condult
-.�_. �; .�h4',.�ur �."hrir.� _ __
:R- - - -'o;h-�k-�' -----
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PHOJECT AUGHESS:
OWNEH'S NAME:
� IINIT
PDOflESS: 234 E 17TH ST #208 —
COSTA MESA, CA �-
548-3072
pflCH/ENGINEEfl: TAYLOR ARCHITECTS REG.NO.: C14q78
nooxess: 2 3 4 E 1 7 TH ST ��"�T 2 0 3
C.M. CA 92627
PEHMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588
aooaess: 1048 IRVINE AV 363
N,H. CA 92660
LICENSED CONTHACTOB OECLABATION: I here�y atlirm �hai I am licensetl untler provisions of Chap�er 9(commencing wi�h Seclion
7000) ot Oivision 3 of �he Business antl Pmfessions CoOe. and my license is in lull torce antl eflect.
CITY LIC.: S7ATE LIC.: CLASS:
Daie: Signamre:
wOXKEflS' COMPENSp7lON oECLABFTION: I here0y alfirm ihat I have a certificale of consent m self-insure or a cenificate of Workers'
Compensa�ion Insurance, or a certilietl copy thereol (Section 3800. Lab. C).
I POLICY NO.: E%P. DATE:
COMPRNY:
] Cetlitied [opy is hereby lumishetl. ❑ Ce�ified copy is �ilea wilh Ihe ciry Building Oivision.
Daie. Applicant:
EXEMPTION FBOM WOXKEBS' COMPENSATION OECLABATION: Qhis section neetl nai be campl¢Ie0 il the permit is lor one hunOreO ($100) or less).
I ceriily tha� in the petlormance ol �he work for which ��is permii is issued, I shall noi employ any persan in any manner so as �o become
subject lo Ine orkers' Compensaiion Laws ol Call�omia. pII I �r Q_� �' .
a�e' �� SignaWre: � Vl A �'�Qt'i%�K'
NOTICE:II, ailer making IAis tleclaration, you ShOultl become Su letl b �he Workers' Compen5ali0n O�o�isions ol the Lahor
Cotle. you must forthwi�h compty with such pmuisions or t�is Oermi� shall �e tleemed revoketl. ' +
CONSTBUCTION LENOING pGENCY: I hereby aflirm Iha� there is a canstmc�ion lentling agency tor the pedo�mance u� Ihe work �or
whith this permi� is iE5ue0 (Setlian 3097. Ci¢ C�. �'
LEN�EB: ./'�
aooaess:
OWNEN BOILOEB OECLAflRTION: I hereby aifirm tha� I am exempi Imm �he Contractors' State License Law for the following reasan
�Section 7031.5 Business and Pm�essional Code: Any ciry oi couniy which reQuires a Dermi� Io consimct, al�er, impmve, aemolish, or
repair any slmclure. priar Io iis issuance. also repuire5 ihe applicant �or such permit b �ile a signed Slaiemen� �ha� he/she is licensed
pursuam to the provisions o� Ihe Conirac�ors' S�a�e License Law (Chapier 9(commencinA wilA Sec�ion 7000) o� Division 3 0l Ihe Business
and Pmtessions Code) or Ihal he/she is exempl Iherelrom an� t�e �asis for the allegetl exemptioa Any viola�ion of Sec�ion 7031.5 6y
any applican� for a permil sublects �he apDlicant to a civil penally ot noi more ihan live huntlred Oollals (5500).
I, as owner of Ihe pmperty ar my employees wiN wages as their sole campensalion, will Ao Ihe work, and �he
i❑ slmciure is noi in�endetl or ol�eretl �or sale �Sedion 7044, Business an0 Pmlessional Code'. The Con�rac�oR' S�a�e License Law
' eoes nol apoty to an owner of a o�openy who ouilds or im0�a�es thereon. an0 who tloes such work himself/hersell or inmugh
nis or nei own emD�oyees. D�ovi0e4 that such impmvemenis are not intended or ofleretl for sale. If, however ine huilding or
improvement is saltl wi�hin one year ol completion, Ihe owner will �ave the bur0en oi Omving �e/she tlid no� build or impmve
br �he purpose a� sale�.
I, as owner ai �he pwperty, am exclu5ively conimcting wil� licensed coniractors to constmci the pmlec� (Sec�ion 7044, Business
� antl Protessions CoOe: The Conlracmrs' S�a�e License Law does no� apply m an owner ot pmDehy who bui105 or impmves thereon
antl who contrac�s lor suc� pmle��s wii� a coniractor�s) license pursuanl �o �he Contrac�ors' Slaie License Law�. I am aware
Iha� pwOf of their Worker'S Compensalion in5urante S�oultl be pmvided �o me.
� I am exempt under Sec�ion: B. 8 P.. C.
�ar inis reason: AA � � �
L � � lV
Date: � r� Ownec /
ao �ereby ceriily Ihai I am aware ol antl unUerstantl ��e requiremenls oI Califomia Heall� an0 Sa�e�y Cotle Sec�ions 25505, 25533, antl
25534 ane Iha1 I or any �Nure builtling ocapani will/wili not (circle one) nee0 �o comply wilh saitl slaie codes and �he requiremen�s for a
permi� lor cons�mclion or motlilication tmm ihe Air �ualiry Managemeni OiSVid. Re5i0en�ial consimction applications are exemp� fmm
�hese promsions.
Date: AOPlicant:
I hereby cetldy Ihal I have read t�is apPlica�ion ana 51aie Ihal the above iniormation is mrreci. I agree to [amply with all city ana counry
or0inances ana s�atelawsrelatingta �uilding consimclion antl �ere�y authorizerepresen�atives o�this ciryto enieruponthe abave�men�ionetl
pmpeny loi insp�/ec��lion�Om�poses. % —
o� ���/T'j�- 1.� Signature: � � C ✓
Onvei's License or Social Secuniy a: �
i6at-afi Wbpe—euiltllnq; Green—Cotle Enlorcement; Canary—AOPIIcanL Pink—Revenue; Goldenro0—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E �66354
PERMIT NO: E 066354 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE: NEW
JOB DESCRIPTZON ; 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT:
CLAZM VALUE:
CALC—VALUE:
GROUP OCC; R-3 /M-1
COMMENTS: REF: B-65477
�*x+��**+���*�r**�***�r**+r*�r�r�rr�r�-**x�****�*+��-******�x-*�r***�r**�**+�*+c-+��*r��-*x�**+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 II+I FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 43927116 ZNE; REF NO:
PLANNING NOTES>
>
x*�r*�r**��******ir�*x*x�r*��**�t*��r*+�*�+�+�*x�x�*���r�t�tx*+�+�tt+��r**�«�r******�t***�*+�*u*�**�r�*
� E V E L O F 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 ,
BUILDZNG APPROVED BY ; �:�
APPi,ICATIQN ISSOED BY: '/� ,�^•
9E iF �lE jF # iE #E 1E 1F iF iF iE i: iF �lE �' fF i(� IF �14 iF iFY iF iFi�iF� i�i�iF iF iF �#`� �F�3FiF3F3F 7F3FiF
iF # if iE iE iE jF iF iE K iF iF iF iF iF a%iE iFlE K i� jE iE-N� iF iF iF iE:f if iF iF iE?F 1E 1E �E �f 3F if !F 3E iF if iF �k iE if iE 1E
LEGALIZATION:N -F E.E S O M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 72,66
soi
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 72,66 15.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
87,66
DATE:
DATE:
�*���*�*** ����.���� F*�
* �f iE iE jE iF %if 9E ip iE K iF if if jE iF ic i: i 3E iE �F jE 1E iE fE jE
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
TOTAL PAIU DUE
87.66 P,7,66 .00
(/87'.'�66� v'VER/SHORT: 00
FIR&----SMIP/TOT GRADING PLAN—CHECK
iE iE iF iE iE 1E iE iE jE iF if if iP iE iF �Y if iE 1t iE iF if iE �F if iE iE iE iE iF 1f if it jE �E jE iE iE fE �)E iE iE-)c jF iF �F �Y �E IF %1f 9f if 1F 9E iE iF i6 df jk iE if 1E �f iE 1E iE jE jE �)f iF �f iE iE iF iE if iE �14
I N D I V Z D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 2076 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 72,66
END OF FEES
O1 OO1S6397-00156897 TD T 87.66
DATE: 03/09/9i TItIE: 10_41
CQNSTRUC710N AND PLANNING PO� S� SPA
APPROVAIS Permit # Date Inspecmr APPFOVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment tocation "
2. Soil Pipe-Undrgrnd. 53. Steei Feinforceme�2 '
3. Electrical Conduit UtilitV�Undrgrnd. . 54. Forms '
' 4. Electricai Conduit�Undrgrnd. 55. Electrical Bonding .� i
� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
i
6. Etectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
• 7. =ootings 58. Electrical Conduit�Undrgrnd.
8. Fo�ndation 59. Gas Pipe, O Undrgrnd., Test
9. 'Nater Pipe-Undrgrnd. 6Q. Backwash Lines, P-Trap, O Undrgrnd. �
10. 5zructural Fioor Systam 61. APPROVAL TO DECK �•
+�'� t t. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & VenT-Pinal
13. R�;f Drains '" 64. Plumbing SYstem - final
14. Rou9h Plumbing 65. Electrica6Fina1
15. triough Electrical�Condu�t fi6. Solar SYstem-Final
76. Rough Electric Wiring 3`6�/�'d l� l,.,il 6J. Fencing & Access Approval �
1 [���r"_
+ 17. Rough Wirir,g Sign 68. APPROVED FOR PLASTER�NG
18. fiough Electrical-T Ber Ceiling 69. POOUSPA SYSTEh,7S FINAL
19. Rough Heating & Air Canditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. Uucts, in Struc[ure 70. Under9round Hydro
22. Ducts, Ventilating 71. ProAuct Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structura�l & Morocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. �athing & Siding 77. FIXED SYSTEM FiNAI.
29. Insulation 78. FIRE PREV. FINAI
3Q, prywall Nailing HEALTH DEPT. REQUIREMENT
i
31. Piaster Brown Coat 7f. FINAL INSPECTION (
32. Electricai Power Meter-Final r1-1 _�0. FOOD CERTIFICATE ISSUED �
33. Final Electric `�%7� ' IVotes:
L
34. Final Heating & Air Conditioning I
t
35. Final Gas Pipe-Test � "-
36. Hood or Canopy ',
37. Fi�al Factory Fireplace
38. Final Plumbing
39. lVater Service�Final
40. Gas Service-Final
41. Solar pomestic•Final , ,
42. Backflow Preventer � �
43. Backflow Irrigation �
44. Landswpe irrigation System �
45. Sound Attenuation
46. Handirap Regulations •
47. FINAL S7RUCTURE & BUIIDING �
4$. FINALPLANNiNG '
49. Electric Re{ease to Edison ._
50. Gas Release to Southern California Gas Co
51. CEFTIFlCATE OF OCCUPANCY
No. Date
/ I
�I
PFQIECTAOOflE55: z3OS ELDEN AV
OWNEN'SNRME: VNE DEVELOPMENT
AOONESS: z34 E 17TH ST #208
C.M., CA
� 548-3072
AflLHIENGINEEfl:
HEG.NO.:
uNit:
•� RODRE55: IINIT:
.PERMITTEE: VNE DEVELOPMENT ( 714 ) 645—i588
AOOflESS: lO4A IRVINE AV 363
N.B. CA 92660
LICENSEU CONTPACTOB DECLABATION: I hereGy allirm ihal I am lic¢nSeA unAer Drovisions ai C�aple� 9(cammencing wii� Seclion
]000� ol Oivisian 3 oi ihe Business antl Professions Coae, anG my license i5 in lull �orce anA et�ecl.
CITY LIC.: STpTE IIC.: CfASS:
Oate: SignaWre:
WOFNENS' COMPENSA7ION OECtA11AilON: I nereDy aflirm Ihat I nave a cenificale ol consent to sell�insure ar a cenifiCate of Worker5'
Campensation Insurance. or a renilied copY ��ereol (Seciion 3800, Lab. C).
POLICY NO.: E%P. OATE:
COMPANY:
❑ Ce�ilieG COpY is hert�y lumishee. ❑ Cerliiied tOpy is liled wilh tlle tiiy BUiltling DiviSion.
Dale: Applicant:
EXEMP110NFP�MWONREPS'COMPENSATIONOECIABRTION: (ihi55eclionnee0no16ewmpleteEil�hepermili5foronehundreG�5100�orless�.
I cetlify Ihat in ��e perlormance ol ��e work lor which I�iS Dermi� is iSsueQ I s�all not employ any person in any manner so a5 io become
5u01ec� lo Ihe Wo kers Campensation Laws al Calibmia. /
Date: � S�gnaiurt: � /�' L ��/�'1'`� �
NOTICE: II. atle� makinB ��is Oec ralion, you shoNA became SUDlect �o Ihe Workers' Compen5aiion Drovisions ai Ihe LaEor
Code. you must fotl�wiih comply wi�h such pmvisions or Ihis permil s�all be tleemeE revoked.
CONSTpUCTION LENOING ACENCY: I hereby al�irm I�at Ihere is a tonSimc�ion Iending agenty Ior Ihe DedormanCe Of lhe work �or
which I�is permit is issuea �Seclion 3W7. Civ. C�.
LENOEN:
nooAcss:
OWNEfl BUIIDEN DECLANATION: I herehy aliirm Iha� I am exempl Imm Ihe Cantracto5' S�ale license Law far �he following reason
�Section 7031.5 Business an0 Professional Cotle: Any ciiy ol counry w0ich repuires a permit �o con5lmci, alter, impmve, aemolish, or
repair any siNCWre. prior to its issuance. aiso repuires ihe aDDlicant lor sucn permit lo lile a signetl statemenl lhat he/she is licensee
pursuant lo Ihe pmvisions o� ��e Comracmrs' Slate License Law (ChaD�er 9(commentinq wil0 Section 7000� ol Division 3 0� Ihe Business
ana Pmlessions Caae) or �hai he/s�e is exempl �herelmm antl ��e basis lor Ihe alleged exemp�ion. Any violation oi Section 7031.5 Oy
any applican� lar a permii su�lecis Ihe applicanl to a civil penally o� noi more t�an live hwCrea dollars (5500�.
X I. as owner oi �he proDerly or my employees wi�� wages as ��eir sole compensaiioq will tlo ��e woB, and Ihe
�� SimcWre is not in�enAeO or olferea lor sale (Seclion 7044, Busmess an0 Pmlessional Cade: The Conlractors' S�a�e License Law
does not appty lo an owner ol a D�openy who builds or impmves Ihereon, an0 w�o tloes suc� work himselV�erself ar Ihmugh
his or her own employees. O�o�iOetl Ihal suc� imD�ovemenls are nol inten4e0 or oiferea �or 5aie. I1, �owever t�e �uilaing or
improvemenl is sola wit�in one year ol comple�ion. the owner will have ��e burden o� pmving M1e/s�e ai0 not buila or impmve
br Ihe purpase ai sale�.
I, as ownor ofihe propehy, am ercluslvely conVac�ing wilhliconsetl conVactor5io conslmc�lho project(Section 7044, Buslness
❑ and Professions Code: T�e Contractors' Sla�e License Law does not apply �o an owner oi propehy who builtls or improves �he�eon
antl who conlrac�s lor such pmle��s wii� a coNraclor�5) license Oursuan� lo Ihe Conirac�ort' S�a�e License Law). I am aware
Ihat D�ool ol Iheir Worker's Compen5aiion insurance s�oula be D�ovitle0 lo me.
� I am exempt unaer Sec�ion: B. 8 P. C.
lor I�is reasony'� (� 'Y� � (�/��{����, / (� I
oa�e: �a �`�`.L —L / Owner. ! — ��` `� �Z/IIU.t ( �
I Do hereEy cehity ihat I am aware of and untler5tana IAe reQuiremen�s o� Calilornia Heallh antl Safely Cade Sections 25505. 25533, an0
25534 and I�al I or any lulure �uilaing occuDanl will/will not (circle one) neetl �a compty w�ih 5ai0 s�a�e [oEes anE ihe requiremenis far a
permii for con5lmciion or motlilicalion �mm I�e Air Oualily Managemem �iSVict. FesiEenlial conslmdion ap0lica�ion5 are e�emp� �mm
�. Ih¢SC pfON5i005.
Oale: AOD�ican�:
I hereCy ceitily t�a� I �ave rea0 I�is ap0lica�ian and slale I�ai I�e aGove iniorma�ion is corr¢cL I agr¢¢ to mmDN �Ih all ci�y and counry
ordinances and 9atelawsrelalingto builaingconsliuc�ion anE hereDyauttrorize reDresenlalives olihis ci�yto enteruponlhe aCov¢-mentioned
pmpe�iy la� mspet�ian purpO5C5. /�
Oate: � � � � � Signalure: �� = ^ `�� � � �
c
ome�'s license or Sociai Secwiiy .:
t6at <6 While—BuilOing; Gieen—Cotle Enlorcemem: Canary—Applicanl: Pink—Revenue: GOIEanroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO: B 065472 PLAN CHECK NO: N , .
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: DEM
JOB DESCAIPTION , t52�x� �a4e�rflr�4Fs�'FiYFUra.a SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC; R-3 /M-1
COMMENTS: DEMOLISH RESIDENCE FOR 7 NEW SFR ON 130 23RD ST
*+r*�r���x���***�***�r�r�rx**�rr�r�r*�e***�*+r*r���r*�***+r*�rx**r***��**�r*x�*�*�r*�*�*�+r�r�r+r�r+�
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
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; FT IN REAR: FT IN ERNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKZNG REQ• PROV: PARCEL: 43927116 ZNE: REF NO:
PLANNING NiSTES>
� .
iF i! 1E iklf 1f iF M 1k 1F i! it M ft 1k IE 1f iF k 1F iF it M ik 1k 1FlE!! k M 1f 1k 7f !f 1k 1k 1E M it 7f 1t ft M M M!f ff M 1E M 1f 1tlE %%if iE k 1E 1E iE fE 1E 1f 1Elf iF iF IE iF iE if M iElf M It IE IE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N;;'f S
ZONING APPROVED BY DATE;
HUILDING APPROVED BY :
DATE:
I�����
iElklf if M 1f iF if 1f iF 1Flf M M M!k tk ik iF i! 1F If 1f iF iF 1f 1E 1E 1f k M if if !F 1t iE iE N 1E 1f 1E 1E 1F M M 1E 1f iE 1E M 1F if iE 9F if k 1E If iE 1E iE if iF %M if iFlF iC,if if K if iE iE �f it 1E iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 25.00
PL� SMIP/NOO—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25.50 0.00 0.00 25.50 25,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SHORT: ,00
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.00 .50
iE if iE if k ik 1Flf !k!f if if k it M it iE if ff ft if i! It iF M ff 1F 1F if M ik it if i! iE 1f 1f iF if if ik iFlf k k M if iF k 1k k M k 7f iF 1F iF iF M iE iE 1Elf 1f 1E ik iFlF it It 1f if ff 1f 1F iF if iF k
I N D I V I D U A L F E E B R E A K D O W N
TYPE �,1TY D E S C R I P T I O N UNIT COST TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT
�� �
1 �
� DEG � 3
�171� �;"r ; - i�1.u:; iA
CC'r�7R�TT10N AnD PLANR�ING POO� & SPA-- - -----� ;--- - , - -�---
APPROVALS PermiT;i� Date � Inspector qppROVALS Prrmit ;= I Date I Inspector �
i. TemPorary Electr�cal Sero�r or Po!e 52. Pool & E4u:u�n_��[ lo_ai�c �--- ��-.'�- �
2. Soil Pipe-Undrgrnd. 53. Stecl Reinforcrr^ent j-��- �
.�c- . . ` _ _ , __ _-__-.__ .__'�-. -_ _ t--
' r;�%, E'ectncai CodcltM'_!J1�htY�Urd�9rnd. 54. Porms --; - i _-
- 1-
74. Etecuital Con6u.t•Urdrg�nd 55. Electrical Bontl,n�i �
n -
_ _.._ �_--__�_; .
'.�� Steet ReinforCement 56. Rouyh hlum6in� & Precsurc Tast �
� - -� --- ----�---. -�
.fi. Elettncal UFE�41 G!rd -- - �� 57. APPROVAL :1�� CO'JEF�C:Ii•' 'i ' .
_ .< • _ +---:>
.;l. Pootings =�" r 58. Eieccr�.cal Cu��.ci��.-�Und�c�n;i � � ';
� 8. Fo��dadon - -------I 59. Gas P,pe, `� �y v�,.:+ -T�.----- --�I - --- � -
9.:laterPiPe-U�drgmd.-'-'__-� I 60. Fer�:c;ashL .-.P.Tra� ..'r. �-___ __'__-_ _
-____ - . __ _ ___ y_-___
10. S.ruetural Floor System � I 67. APPROVAL TO UECK _ _�__ I _�
ii. P-oP=�tv Seu•.er L�..��: R� Hc... ;;�^��.crt an � � u"2. Bcr-:..;.>�� &+oc_;::c r� .I ` ,
I
'- ----a. � - ---- -- -�=----- -
72. Ssner Gip � � 63. Nzs[cr ik Ve��,t-O . �� -- - -- - - � - .
-�--- -�-'- ----- -- I -- .
13. Ro�f Ora�.ns u4. � u�nbi^g 5: st: ^�. F�, .I - ----�
14. Ro�3��P��m.Gna _____'_� �� 65. E!eCbiCeI�F.•.�'- __. ____. _._ "_. _-_-_ _ _'
- --- -- - - --- - --- -- -----�-- ---
15. Rough Electncai-Corawt 66. Solar System�f �r;.! �
i6. Rough Eledr*c!7�nng --_ _il _ -_ __ _'-____' __* _- ____ _ �_ _ _. ___
i 67. Fercirg & A[c �-�. Ano c. �,��
__ --__-_---_ __ ___ . __ ___ _ __-___._.�_. -
17. Fough C:,nrg $�g.a �� 68. APPROVE7 :�0� PL�S, L 4i ;G ' -
---�------ - -�------- -- -- -'
� - Rough Elect�i%�I�T Bar C^�I n9 69. POOL/SPA S� ST�^.'�S FI�:D.I ' I
i �--- -
'� ?o�qh �ieat�ny & A�r Co d cn,�tp t °IRE G:�F't. I�'.Ou� a' .'+ � I
� =�--f, --�..,-i.;_ar r-� 1-a-y-a--:;.rj r,� - ycJF r ;-.
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' .. •S T I . + '�_ = ff-I ni::l' ; ..cC vNHF. a * r I � _ _"
.. f rc-_ H i��7`��T�'�^�--�+�_'�d�"_[v�'__'__y- _ '„�_" _-__ __ _'t-
21: DµCts,in Strvc rC , '.. .. .� � u n � ;,n� ,� ; ��• ' I
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22_ DuLt `VeniS'.atlr:l� � .��" � S ;S* 'M c� 71 Pr ci��'r �(fi i�'��t`� :s y O� �
: . ��.� _ __i- y �.C7 � 1 J r * �__ M 7 Y _
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73„ G0� PiP$ ReZgh'�Ycst i 6] S � '7 tr' �:; "vx # � 72 Unu�.ni�� . � [x�r:.n __ �-_.._ '_ _. _,
i
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24^ F1Df 'nem�.�n in w � c.-. ..r+ � � , O' r � � %� U'.:�,orZ' :' ,'r.�-. . r ., . . .. � I
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{'-- . r . - L' _- -7' �' �'� � 7 t--- _ _C^" _ �= r *-.
32.E�.���'��c'A.c�_�-.. G:: ,�� r*}94'L�_� ..m v� �
rt1- 1 1'��- - T ',y c �♦ 1-
Y 33. K;rdl f��Ct11C ;_ ,r • � *'h I i � �' %'I R�t�,Ta•t: �. .in _ ' __ _ ___ _
, � .�_..r- -t.-,- ;r---'-- i ..r-- -� ;n---
'%• 34 F �- t;:,���,Ht �1ic,i' .'i;,".- ..,yLL � ,�' � ; I �: S i �' " _
}'+ __ �" ._:-c Gii-- _ _ __ - :1 _ J'�- �. _�'L,�:.S..7. _� "_ r �L . ' _ - _' _ _ _ ' _ '
i 35. F...�!�isP,1z�T^1 � ITM � + 1 i �l +q� h •
1 �.` ,!^j ' •' H I IT y 1' � ,: y '.
�- .; I� --T + - . ..,-, rt. - - - -
A- 3G. H�od a Csroprr . ; ir`7 . '• ^ . � � •
:'�-:�--:---- i - x.;.n- �' 1-��_�n_ � i�•i
��„'� 37� F.�tl F'cto^� F�.!'?, 'C"C' � '� �^ r'' I � x •� ,: - -___ _ - _ _ y�, _ _ -_ _ . _
b-_-•-. ' { _ ;. __i .: .-_ - . 'a-:LS- I � � _ r'- � -.
� 38. Fin51 P�umJbing...;� �u _ _ ____-.' I x c' __ _ __. '-.�__ � � ___ -• - - ___ _
� �.� fi-f=r �-_J � � 1_ �' _ 1 � _ _ _ _
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1� 39. Ae �r 9,�rvieC�FtiAx1 _ r' �' 1 i p`. ��i.7 x c� .. �
{������,�� • -____{ -_ _. __in-_a___-_i- 'T _--'i-i_'t- �' __'�.r,., _-') ' _-__ - "
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41. 3olar U,>mE:ic�T-.A�E �! ,�' � � ` "i:�• .� �
�, _L _ `f r� � 1 . .. �
i �.-'_-1 _ t . T ` �. . '.
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I- �---T.-._--,y..___� ' � ' .; __ __�3-:.:,�__�t _ . -___'_ "_
43. 3a�kf,oc: Irrgat�on • I I *' � Fr=� Y., -�� �,
� �' �� � -r.=-��---- i5- �-> x w
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��.� � `.L .4"Cr.;t 5� 'r"' i �' _ '� ..
�_� ._ -� . �- � :•'- . �" n' �_. �
_- __ _�.__ _-�- I Cr� . ..� • :�y .- _- - - ...yr" __T __ -_" . -_" . "'_" �':_ �
C' 46. HandiGP �C9ulat��ns i+ � I� ,_ • * ."� � =' • . _- � ��' :�^ ,-
F_ �- L'-----�•-_ ' � r '�6:_..�_t�. -- - - -- - - - -- <
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t. � � -- -- � }
� - _T;� - Y _ I . ` _ .___ ___��__'_ _-��__ __.
I 48, F�„"aA:.PLANP��•f� I- p; I � r�; - _ - .. � ..
-�-�,- - - ---- - --•-�4.-� ��- - = - --- � �--- -
{ 44; E:c:t� ic Re:ease to cdison � � �� � � ' - ' �
t- - - � . �-t`�- -'= .- - --- -�-"--'-- -- -
� ' 5Q Gas Rciease Io So�'.�z'r+ C:.I�fq�n�a Gas Co . � �; Y - ' . . • ' �
51. CERTIf-ICATE OF OCCUP;A'rCY- I � -,� --?�--" -
�o. Dal. I I
-i
Projecl Address:
Lot \umber:
Permil \umber:
B}' Civil Engineer:
.� .
FI\•.�,L GRA�I\G CERTIFICATIO\�
2305
S, Tract 14668
DR-90-22
, Costa Mesa
I cenify to the s2tisf2ctorv completion of gradine in 2ccord2nce v.ith the zppro�ed p)ans,
specifications, locaf and state codes. All dnir�a�e devices required by the gradin� permit,
gradin, plan znd Eradin� ordin2nce have been inst�])ed. Adequzte pro�icions ha�e been madz
for dr2ina�e ef surface N�ter from each building site.
The n�inimums are:
�/i Fail frem S:f'�CiL'I�5 �'li!ii❑ � fE.i i�0i"l CXi2(10,* �:c�i5.
�/[ F2�� {Oi c5:ii3�i Slli ieC2S �':Cj �2fiC:C2r:t7 2iC2S.
O.�:i F2�� i0i ii�':Ci2;P Sl?iicC25 i0 Z}'r'C��'°�u L'LrOC2� ci:2S.
Th: final �ilOi;L'�7t�iiiS 2_ Si�C',� il O+i i i� i�C07�:� ii2Ci fi ?� u'2i2 c:i.
i!OTiS c"T. U'iiA:❑ ' 1!1� Oi ii:� G�'�SfEi� u C!El'ci?OiiS.
_ I
�
Super��isine Ci�il En�in�er Reg
. iSier,eter:)
All fir.al �radin� ele�z-
,�a 31720
Da�: 7 94 � � ��
�p�OF ESS/p�
,�`�e,���� B. H,q'��C•1�,�
� � �N �
w r^
d E 2 6 �
* n
�' CIV11. �Q'
s
9TF�F CA1.�FaPa
;,��..;= t• �; . _ ... � - S^i:-:•P a�d SIGN
4::�!.' . �i... �
3i.,:. .P.A:}.:C:i.:."_._. .- . , . .. .
CITY OF COSTA MESA
BUILDING DIVISION
f .
ROOF COVERING CERTIFICATION
Q� 3�5 � I� l/��,•G{�li(.Q, Permit No. !iv �7 v
Property Address �� � G �-5�—�'} � �
Owner
Contractor _�_� LD k SJ
State Contractor License Number ��/ �.�� Classification ����
I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the
above address in conformance wi[h Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building
Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the
manufacturer.
❑ I further certify that I am the owner of the property. (Owner-Builder permittee only).
� I further certify that I am:
❑ Owner of sole proprietorship company
� Full partner of the company
❑ Limited partner of the company
❑ Officer of the corporation
I certify that as an authorized officer or agent of the company or corporation, I am empowered to make
this certification, which shall be binding on all successors or assigns of the company or corporation.
I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building
Division for acCeptance.
Received by Building Division
By:
Initial
Date
099448 W�itaBuibir� Div.; CanaryAomraclor, Pink-0wna�
61�� c�� s -�
Company or Corporate Name
� fi1 � Il� /�Y �'/).�.C91_ AitlBf��/s'1
Pd4�e55
�-t ; ' v^ �y���
�
s�9�a e _— e,a
%�'�// ���TZ6G�.� _
Printed or ryped name
City of Costa Mesa
California 92628-1200 P.O.Box 1200
Insulation Certificate
(�.JV 5 }�+ (lN�� Q,�/�n(/� Permit Number
v.,v
lot #–.0 – Elden & 23rd Street Costa Mesa
Number and S¢eet
Orange
Counry Subdivision
Description of Installation
ROOF
MaterialFiberglass batts
Thickness (inches).6—��q��
EXTERIOR WA�L
MaterialFi erglass batts
Thickness (inches) 3 Z"
lot Number
Brand Name Owens/Corninq
Thermal Resistance (R-Value) 1 9
i . �
Owens/Corninq
Brand Name
Thermal Resistance (R-Value) 1 3 and 1 1
CEILING
Batt or Blanket Type batt Brand Name Owens/Corning
��
Thickness (inches) 6 ��4 Thermal Resistance (R-Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/ftz_ Ib. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value).
RAISED FLOOR�a
Material
Thickness (inches)
SLAB FLOOR
Material n/a
Thickness (inches)
Width (inches) _
FOUNDATION�NALL
Material � a
Thickness (inches)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Adminstrative Code.
General Coniractor (�uilder)
. Signature antl T'iUe
Schmid Insulation Contractors Inc.
SubContractor Qnsulation Installer)
�� - Ca�� - .c� �u-�-�
Signature antl Tip�
190]-46
License Number
Date
221517
License Num6ar
' 9 r �a�e
..-. . 5U26 �
COSTA MESA BUILDING DEPARTMENT t
P. O. BOX 31� '
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
ADDRES5��8������� � IV��
CO�TA MESA. CALIFORNIA
OWNERQ
-Y
MAIL
nDDRE55
cirr
ARCHITECT
OR ENGINEER
ADDRESS
i
ADDRESS � S� �'yy�,
LEGNL LOT �-
o[scRiPTioN NO.
A.P. NO �� g�— Q II "
51ZE ( 6 X 3o J'r
OF LOT
use oF ,�---
EXISTING BLDG.
SET6FCK LINE FROM `� I
CENTEF OF STREET �.J
NEW
REPAIR
BUIL�ING
SIZE
E%TERIOR
COVERIN6
USE OF N
BUIIDING
F�E RECEIVEDj , g
N DEPTI/ � l
FINA
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PF�jiMIT j�0�
:�,,.. Y� _
�
TNL�,✓SS ADOR
LIC.
NO.
FIRE
ZONE
zorve
TY LIC. i '
NO.
• S• 'J T'GLSS S 2 I BPPRC
BLOCK TRACT O V
/ G - f� /
rvo.oF e�ocs. O
now or+ �or
REAR YARD //��Y(O.,r
1 � /�
R���r 5' �EFT 33
DESCRIPTION OF WORK 'p / Q
ALTERATION ADDITION
MOVING OEMOLISH
3� No oF
(l�p ROOMS STORIES
ROOF //��/`_.
/MA��I� COVFRINC./�.fVttIV�J'�-
s-
COSTA MESA. CALIFORNIA
SUBJECT
'�� � 7_
OATE 5' y ��/ ,l
�Ws l��R i�s-� �, ��.- J
I HEREBY ACNNOWLEDGE THAT I HAVE PEAD THIS APPLICATION AND
STATE THAT THE ABOVE IS COFRECT AND AGREE TO COMPLY WITH ALL
CITT OROINANCES FND $THTE LFWS REGULFTING BUILUING CONSTRUC-
norv. /% ' VALUATION
�� PERMIT FEE $
SIGNATURE OF v� L�^��
PERMITTEE /
/ � �/�/ PLAN CHEGK �
� J ��
AUTHORIZEO AGENT TOTAL FEE $
�eMr
�
/
�
Pfl0.1ELTADDPESS: Z3O3 ELDEN� AV
OWNEN'S NAME: VNE DEVELOPMENT
aooeEss: z34 E 17TH ST #208
C.M., CA
548-3072
ABCM/ENGMEEP:
PEG.NO.:
uxit:
AOOPESS: UNIT:
PFflMITTEE: VNE DEVELOPMENT ( 714 ) 695-7588
nooeess: 1048 IRVINE AV 363
N.B. CA 92660
ULENSEO CONTPACTOP OECIAflATION: I �ereDy aflirm Iha� I am license� under O�ovisions ol Chap�er 9(commencinp with Section
7000� ol �ivision 9 0l Ihe Business and Pmlessians Code. antl my license is in lull torce antl efied.
LITY IIC.: STpTE LIC.: CUISS:
Dale: Signature:
WOPNEPS' LOMPENSATION OECLANATION: I OereOy allirm Uat I have a cerli�icaie ot consent Io sell-insure or a cerli�icaie oI Workers'
Comoensa�ion Insurance, or a renifiea cooY �hereol (Sec�ion 3800, La�. C�.
POLICY NO.: E%P. ORTE:
COMPANY:
❑ Certi�ietl [opy is �ere�y lurnished. ❑ Cetlilie0 coDY is liled wilA Ue ci�y Builtling Oivision.
Date: Npplicanl:
E%EMPTIONfflaMWOflNEBS'COMPENSATIONOECLABRTION: (ThissectionneeAnolOecample�eai��heOermiiislaronehuntlre0�81W)or1¢ss�.
I ceriity ihat in Ihe Dedormance o� Ihe wark lor whic� Ihis permil i issueq I shall no� employ any Oerson in any manner so as lo �ecome
sublecl lo I�e Wor�k/e�rs' Compensallon Laws ol Califomia /
�) q ^/� j lC
Oa�e: � 7� �`�-et- l� / Signalure:,, `�' � �� � �
NOTICE: II, aller making this declaralioq you shoulo become suhie�� �o ihe workers' Compensation pwvisions of ihe Labor
COUe, you mus� lort�wilh comply with such pmvisions ar Ihis permit shall be aeemetl revoke0.
CONSTPUCTION LENOING AGENCY: I hereby allirm I�al lhere is a cons[mciion lentling agency lor �he pedormance of Ihe work for
w�ic� Ihis permn is issued (Section 3097. Civ. C).
LENOEfl:
aooaess:
OWNEN BUILDEB OECLABATION: I here�y aifirm Ihal I am exemp� �mm �he Conlractors' Sta�e License Law for �he following reason �
(Seqion 7031.5 Business ana Pmlessional Goae: Any cily ot coun�y whic� requires a permil �o construct, al�er, impmve, demolish, or
repair any slmclure, prior lo its issuance, also re0uire5 Ihe applican� lor such pe�mii to lile a signed siatemen� tha� he/she is licensetl
Oursuanllo IAe O�ovisions ol lne Caniraclars' Sta�e License Law (Chap�er 9(commencing wilh Section 700U) o� �ivision 3 0l Ihe Business
ane Pwlessions Catle) or Ihal �e/s�e is exempi I�ere�rom anG Ihe �asis lar �he atleged exemp�ion. Any violaiion ol Seclion 7031.5 Cy
any applicanl lor a Dermil subiecis Ihe apDlicant lo a civil penalty of not more inan live nuntlrea dollars (8500�.
,SC I, as owner of ihe v�openy or my emVloyees wilh wages as t�eir sole compensation, will do the work, antl ihe
L1 stmcmre is not imendetl or onerea mr sale Isection 70a4, Business an0 Pmfessional Code: T�e Contractors' State License Law
d0es noi a0oly IO an Owner af a pwp¢rly who huilds or impmv¢5 �hereon, and who tl0e5 Suth work himSelBhef5ell or �hrough
his or her own employees, provitletl ihat suc� improvemenis are nol intenOeA or oHereO br Sale. If, however ihe buil0ing or
impmvement is sola wil�in one year ol comDletion. Ine owner will �ave ihe hur0en ol pmving he/s�e tlid not 6uiltl ar improve
�or Ihe Durpase ol sale�.
I, as owner ol �he pmpeny. am exclusively coNrac�ing wiih IicenseU conlrac�ars to cons�mct Ihe O�ojec� (Seclion 7044, Business
❑ anA Prolessions CoEe'. The ConVac�ors' Sla�e license Law QOeS nol aODty �o an owner o� pmpe�y wAo 6uiI05 or improves �here0n
ana wno contracis lor suc� pmlens witA a contractoqs�license pursuant ta the Contractors' State License Law�. I am aware
Ihal D�ool of ineir Worker's Compensation insurante should he D�oviDeA to me.
� I am erempi un0er Setlion: B. 8 P. C.
lor ihis reason: ` �//(//]� ��(j�,
Oaie: � � �""t• �� Owner. / `-%�— �� lf�t! �
I ao nere�y cendy Ihal I am aware ol ana unaerstan0 �he repuirements of Calilomia Healih antl Salety Cotle Sections 25505, 25533, and
2553< antl Ihat I or any lulwe buil0ing occupan� wilVwill noi (circle one) need to compN ��h saitl 5�aie codes ana Ihe repuir¢menis for a
Oermii Im con9mclmn or moGilication Imm I�e Nu Ouali�y Managemen� Ois�dcl. BesiEen�ial cons�mtlion apPlications are exempt fmm
IIICSC pf0Vi5i0�5.
Date: Applicam:
I nereey rertily rtul I have reae Ihis aoVlication an0 slale ihat ine above information is mrreq I agree to compry vnth al1 city antl counry
or0inanc¢s ane sta�e laws relalinq lo �uil0ing consimctian anA here0y aullprrze repre5enialives a� IN5 dry Io enter upon the above-mentioneC
oiooeiry ��oi inspecuo purposes. 1
Oale'.�) ��- I � Signalur�� ��1'�'v'"'L� `
Oriver's License oe Soual Searity .:
�6ab<6 Wnne—Builaing: Gieen—Cotle Enbrcemem: Canary—AOP�icanL Pink—Revenue: Golaenrotl—Assesmr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 0 1
PERMIT NO: B 065471 PLAN CHECK NO: N T; pP;
CONSTFiUCTION TYPE: V—N PERMIT TYPE: STR PUAPOSE: DEM
JOB DESCRIPTION : ��Q��-�2EW�T�'R-FRESTr9$B�,S SQ FT:
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /M-1
COMMENTS; DEMOLISH RESIDENCE FOR 7 NEW SFR ON 130 23RD ST
x+r***�r+r��r��r�r*+r�e�r�r+rrtxx+r�r�e�r+r�r+r�r�ex�r�r*�r+r**rx+r******�rx**+r+r***w�e**�r�r**�+rx**+r*�r�x�ex+r�r
Z O N I N G R E Q U T A E M E N T S
5 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: ET IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 43927116 ZNE: REF NO:
PLANNING N6TE5>
i •
+r+��r****x*�r**x�x ****�x�*+�+r�r+r+r�+r�rrt�r+r�ex ***��r+r*+r+rx�r*�rr+r*+r+r�r****�*�r***r*�r+r*+r**r****�r
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY DATE;
HUILDING APPROVED BY :
APPLICATION ZSSUED BY:
DATE:
DATE : ��Z��Z-P� I `l �
iEiElF%%ifkikMiEiEMiFiFiFlflElfMMiffFiE1f1E1fMlfMMMiF%iFifMifMlfMKMKiFKMifiEiEiE1FMiPiEiFiEiFifiFiElflEiFMMKiFiflfaEMifiEiEiFiFMiEiF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANir FIRE SMIP/RES GRADING
'rER'rliT 25.00
SMIP/NON—RES
PLAN ,SO
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 25.50 0.00 0.00 25.50 25.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SAORT; ,00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
25.�� ,SU
!k k iF iE iE ft ik ik 1E k iF iF 1t ik ik iklt if k M 1k it if 1k 1E it it i! 1k k it 1f 1f 7k if iE iF iF M it If f! 1E 1E M 1F k k iF IE M M ff iE k 1E 1f itlF 1E 1E 1f 1E if iE iE Ik i! 1E ff 1t iF iE M k 1f if 1E 7E
I N D I V I D U 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 UNIT COST TOTAL COST
NO FEES WERE SELECTED FOR THIS PERMIT
�D��D
DEC 2 9 �
CITY OF CO TA ME
COVSTRUCTION AND PLANNING
APPROVALS Permit# � Dace Inspector
7, Tempora�y Eiectncal Service or Poie
2,,�d Pipe-Undrqrn�,
-�.-.
i3 ljecttili � Cond�•.ai•ijAfrtv�Undrqrnd.
�'��; Etectdc I Cor
�r,
i i��,r.��etFi; infor
�"«. Eier,�. : :iF
. :cJ� F cot � n�s
nd�grn�i.
^d.
' =-8. Foundat�on .
� - ----
' 4� �:1ate� ' a�.Ur.dryrnd.
��r- - --
� 10. St�cct�:.� Floor System
11. P^pa'"v Se:�.�r L rf &�-'ouce Connect��n�
, 12. Se�vcr Qip .
r- ___ a -'_
--- POOI & SPA ----� I -- �-
APPROVALS Permit r II Date
52. Pcoi � Equlpmznc Locat:on J
53. Stecl Rcinturerrment
54. Fnrm�`----- - -----
55. Eleclrka� Bor.d �ig
56 Rcuqh Pl�mbinq L4 PraS�ut¢ Tezt
---- 57. AC�RC�1Ft�. T:� CO\'FR�GU�'�iTE
-- ---�------------------ -
56. Eluctrical Ca�.J�It�Undr�rnd.
59. Ga; F pc, � i Undrnrnd , I eSt
lospector
' 60. .�-,�ua•�•asit L��nos.P�TraP,.'. Unti�gm�l :
� 61. APPROVAL l O UECI< -1
i
_�
62. E.�c:;:d:n �. 'r.., -;,..,.r Fin�l ---- --
63 Hc r�� i5 b'ant Final I -i
- --- --- �^-L-- --�
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