HomeMy WebLinkAbout2857 ELLESMERE AVE - Building Permits� �
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C.`OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX S17 COSTA lAE6A. CALIFORNIA
For Applicanf to Fill In Compleiely
TYPE OR PRINT
AODRESS � �� ���/�F ���
��� COSTA MESA CALIFORNIA
6 �
OWNER t nture
MAIL __ 1653 ]�lIIOZCH j%i'1V@
�;� � �
%,�}�� JUL 3119�1���
�FINANCE DEPT. /
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING .
For Offiee Use Only
PCC2IPT NO. PE9MIT NO. .
�_.�4,91 y�
v�p er oe�p aecervso I oera teeu8p
/i. % � 7 c�. / /I n 'f / / 1
AD�RESS FIRE
ZONE TYPE GROUP �
CONTRACTORMe$8 Verde Builders TI1C. ABYPROVED DATE .
ADORE63 ZONING
COBtia ➢¢cSH �ONEy/ NO. OP ^� U8E OF N6W
CITY ' /� "I PLANB L BUIIDIN �� Q.L
cp�
BTATE � TEL. LeaAL � y_ 6 '� �IOO Q
LIC. NO. NO. — DEBCRIPTION 'YY�
SIZE /SOO �ni.FY. NO.OP0LD68.o
OF LOT Now oN LOT A. P. NO.
USE OF yqRDS EVES
EXI6TING BLDG APPROVED ALLOWED
BHTBACK LINe PROM te¢emw �n+¢ ei.�
ceraTen on eTneer �0 REAR YARD 37•4 FRONT S� FT. �— IN.
SI�E YARO I LEFf 7 I R�GHT � R. SIDE ( FT. -� IN.
DESCRIPTION OF WORK L. SIDE 7. FT. --- �N.
NEW I%� II ALTERATION I II ADDITION I REAR 3 7� y 9 FT. �� IN.
REPAIft I IIMOVING I IIOEMOLISH I BYPROVED �lq DATE 7/Z/ IGC
/ � V`
8 ZE DING 1/�O S. F�Y ROOMS O STORIE51 B
O
PXTERIOR WAL4Sti11 CO I ROOF ShB�ie . �
COVERING COVERING ].@ �
USE OF BUILDING AND WORK TO BE PERFORMED C
esidence and ara e �
Standard Plan No. 620 A Attache garage q. .
1 HHREBY ACKNO DG8 THAT � MAV6 qGD 18 M L�GTION TN¢ AMOUNT BXOWN UNO¢R VALUATION IB FOR TX¢
AND 9TAT¢ THAT H8 A OVE IB C PH AND ORE TO COM- pURPOBE OP E9TABLIBHINO A PERMIT F6H ONLY.
PLY WITH ALL C OR NANCE9 D AT8 6 ULATIN
auunmo eoNs �al . VALUATION o
BIGNATURB O /���/� PERMIT FEE $ .�fl `
PERMITfE a
9 0
$ J PLAN CHECK $ / / —
AUTHORIZED A �NT /� 7.— p
TOTAL FEE d
�: = � ' 558 I
COSTA MESA BUILDING-SAFETY DEPARTMENi
P.O. BOX 1200 � COSTA ME8A, CALIFORNIA Y2626
For ApplicaM fo Ftll !n Complafuly
TYPE OR PRINT
a�,�,Na s� .:C��J
ADDRESY
COSTA MESA, CqLIFORNIA
ai
B YRl�CNLIX[lROtl
T!L
Ho. oI �LDY�.
DESCRIPTION 01� WORK
eun..o�na
SIZE
EXTERIOR WALL
� �
AUTHORIZiD
NO.O!
�ROO�MB
I ROOM
�ow
CITY OF C;�� � �► M�SA
APR 13 1966
ONim Use Only
ZONIN(i
Ho. or ua[ or e+�w �s.,p
•uns � euuo�no �—'
-%c� .��!
/3 -3 -`-
NOTH: NORAV60V[RMAN68HALLBHLl88THAN
DO' 70 HIDS S ABAR P
8AVE8
ALLOWiD
YAROH MPROVHD
MAIN BUILDINO
1 PROM GL GTRt�
FRONT � � FT.
R.IIIDQ�� RT.
/
�. oin� %D rr.
� .
vwx. �t
C. U. P. iC
MPROV�D
YAR09APPROVHD
AGGES90RYBUILDINO
owre
a
1 MAVt RCAD TMIO A�PLICATON TM6 AMOUNT ONOWN UNOBR VALIIATION 19 �OR THQ j
� CORRtCT'AND A0�6[ TO COW tYPP09[ OI [BiA0L16HIN0 A PlRMIT I68 ONLY. 23
����'T'� VALUATION �O �
�� PERMIT FEH � F
/ �v � � S� W
.cro�% . ` � �� sU
TOTAL FEE �
�noRessaeuinu�c: 1g57 ELLESM$RE AV
O�YNERSNAYEIFqpWk JOHN BAGELY
AD°"�� 2857 ELLESMERE AV
2857 ELLESMERE AVE
�����pE� COSTA MESA,CA 92626
IMCXRECTOXFHf��FfA:
/JiCX.OP FNQ'S IWOflE53:
11G ND:
uNr:
/�
��
UM:
`°"`""`T°"�5""'°` NOCK PLUMBING ( 714 ) 895-1246
cwrn�crars�uiwc 11612 KNOTT ST
"0D"� GARDEN GROVE CA 14N0' 707775
92841 uNT 17
LICENSEU CONTNACTOHS UECLAXRTION: I Mreby eflim uMer penepy d pmjury thet I em licmaed uMer povieiom d Cheqs B
cwmma�a wnn sen� �000) d oMs� a d ina e��n ,,,a P�w..� coe...�e mr �. m m wn rort. �e.nae.
C NO.: L1Q CLA55: LIC. NO.:
0 3 C-36 707775 EXP: 02/ 8
o�a: ���a: /�'k�i �, �L��t �
� O W R 6UIl0ER OECLARATI N: 1 hereby effirm under pe�aYy ul pnrjury Ihei l em eeemp irom �he Coniredon Lioeneo lew fw ttw
winq reeeon (Sedion 1Q'f1.5 Bus'vieai end Pmleesiane Cpda: Pny cMy a muny whiM npuiiee e pe�mA lo aonebucl, Mm, imparo,
bmWah, ar ropv eny avuclure, pria lo m uwence, eho reyuiree IM epd�� �a �h pe�mX lo fib e dpned eWemeN OW M u aM
IicemeE Wnuan� ta tha Yoviaiona d Iha Con�rmas Licanae law ICMper e(mmmendn0 vrilh Sed'an 1000) d Oiv'vian ] N �Ir
,usmsa erd Rdasaions Code� a ihm ha a ehe ie ezemp �hyeryp� yy ��y y�n la Ne dlaped axemqun. My vioW ion W Seeion
]031.5 by e�ry epWimnt Iw e parmn eubpde tha epd� �o e avil pereM1y W mt mars �hen INe huMnE Edlen �5500��.
� I, ee owner d IM propany or my empbyeea wih wegm qa ��� sWe compenae�ion, will Ao ihe woM, eM Ihe etructure b na imendW
or ollereE Iw eeb (Seeiion ]0«, Buvren enE Prdeaeio�a Cotle: The Conlredon Limnee law dme ewi epplyto en owner ol pmpMy
wM10 buida or'vnpwm Iheroan, eM w1w doee vuch wo� Nmeell or Mnetl ar ihrwp� he a hm own empbyaee, qoWded O�n euc�
imprpaneMa ara nd inteMed a dlueE tw eeb. tl.IwWy.p. IM WiWiip a inqovemeM b wld xilhin ar Y� d mmplelion. tM
owror-0uitlx xill heva �M Wrden d pv.•inp he w eM d'd nd buiM a imprvn la iM pnproe d eeb).
❑ i. m a.�,« a ina nw«n. ��tl�xr ��,ea�a wnn uos�.se �vano�. io 000aw we wq.n ts.d� rou, e�.�w..�e
aiae..ion. coae: rne commaon �eenee �ew eom na wW w.� ow�wr a aowNr .ro d,ie. « i�wo�... m.nw� ena wno
conirens I« euM propda wilh a mnireaor�e) Icanead punuem to the Con�redwe Lirome Lew).
� I em eaempt urdx 5«tim: 0. 8 P C.. br I�ia reewn:
Date: �4:
I Eo haraM �M Me� I em ewue d vd uMermbnE the �W�i�emam d Celianie MseXh vd Se1nY COJe Seeiam 15505.155�3. antl
25534, enE thm I a eny Mure buiMiip odaryem will / wil �(�b aw) neeE to compy wih eaid 4me wdr eM �he rapuimmems br
eparmillwmnevunbnamodificmionhaniheAi us iiyl.f�arupemantDiafria.Ruidemidoonn�utlioneppGulonse�eeumqimmNsea
w�ro
Dma: Applr�p;
wonKens corvws�non oecun�noN: i ntrenv� �w„ n«,.nyd �.y,o. a m. r,00.;� e.d.�mo�.:
� I hm vM xil memten e cenE'rate d emront io velli�ro br wakas canpariwian, m pwidsE la by Sx1im �MO W �M lebor
Code. la ihe paA«mvice d Ne �wrk Iw which �hie pe�� is inuetl.
❑ in..�.d,ewmdw��wa,•oomo�m�w.mw.o�a�v.aMsa�o�,amoaue�mo.coe..amewea�dm.
�( wak la xhid� Uin D� u bausd. My MaMen' canDemtlion imurarce u�ria end D�Y rwmEr ve:
c�: C��ypa onrr r EXPIRES
Pdiry Number: yT i� � ���� � n� 0 9/ 01 / 9 7
, TWs sedion neM iror bs canaMroe / rheW�t u M are hardmd eWen /3�ao/ w Im.)
❑ i�nN mm �� ub o«i�erc. w me � m, .ncn �nm w�na m a.,.e. i.nm �a emoia� .�n o«.o� n.m mw�., .o .. m
aq,� �o ��„an..• � m�.. H ' W�se � ehatla baeme w4b to tM xvbn'
pxutlion ` T/00 d tM lebar ��. I t ' � aom xVh pM�ioiu.
ata: ✓� Appfirpry:
��
We np: F Oun ro aacun roKai romprwtlon cwwpp� l� unl�wN( an�LWl ubJM �n wlployw ro ulM�ul pwltlq �rM
flnu ,q ro ms h�ntliW flausuM Ooll�n (S10q000y M eAlltlon b tM ewf ol eo�oru�fbM1 tlam�p�� �� povMH br In
Sxtlm J106 0l Ms La4or Coas, InNnsS �� aRomsy'� Isp.
CONSTIIUCTION LENMNO ROENCY: I haeEy etfum �nbr qretly d per'Fry ihe� �hera e e cmprvdion bMnp ysn�ry Iw iha
paAormerce M tM xak M xt� ihe pamii e'sa�ed (�6n �OB'/. Civ. GI.
LENDEN'9 NAYE:
LENDEH'S ADONESS:
I cenAy thm I heve rmE Nu epqicelion eM ama �MI ihs ebnra iNpmelon e canw. I epne to camply wkh aA dry aM wunry ad'vu�x.a�
9M S�! 10wf �0191f19 b dtik�q CdEVIpIM Yd MfGb`/ 811�q�R0 �!plb1�91irvM d IIIM UIYb MtlM IIW� �M GGOA�IIWYYMIld ptOpMy
�« irev.aian wm�s.
(St5tJ6.WP) While-BuiMiq
Dele:__�����%�_.`�� /
Pink-Rwenue: OdEsvo6�Nm�mr
PERMIT NO: P
CZTY OF COSTA MESA — HUILDING PEftMIT
089349 PLAN CHECK NO: N
PERM NO: P 08434�
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOb DESCRIPTIUN : DISHWASHER C/GUT SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: NO OTHER WORIt ASSOCIATED WITH THIS PERMIT
�*��e**�ririt**�r�,r**��r�*******x**rti���**it�*�r****�r�r�*��******�r*��***��**�;�***;ta�**�r;t*�
Z O N I N G R E Q U I R E M E N T S
S E T b A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILUING ---------
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: 13925326 ZNE; REF NO:
PLANNING NOTES>
i �
af 1E if �! if if iF iE iE 3E if 3! �f if jf 3F fE iE iE 3F ik iF iF iF ie 1f iE 3E 3Elf iE 1e �E iF 3F iE if 1E �1E iE iE iE iE if iE iE if ak iElf if iE If if iF if �F if iE iE if ii it iF ii iF if iF iE iE if if ik if i't if iE �1E 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 S
ZONING APPROVED BY ' DATE:
bUILDING APPROVED HY
LEGALIZATZON;N
HLDG PMT
PERMIT
PLAN
ISSUE FEE
BUILDING-DIV->
TOTALS---->
F E E S U M M A R Y
PLUMHING
8.75
25t
22.00
PERMIT ISSUE
8.75 22.00
i � � � 11.� [�S'ul�. / \�i li�y
DATE:
DATE: ' ��
�)f�1fiF iE�lf �f ifii�if iE x iE if
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON-RES
PLAN-CHECK TOTAL YAIL DUE
0.00 30.75 30.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/sHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECI(
30.75
iE iE if iE 3E iE if �E iF if jf it if if # iE iE if jf iE iE 1E jE iE it df if it iF iE if if �E 1f 1E iE iE iE iE fE �1E �i' iE ie ie iE iE iE �f if iE ff iE 9F iF if if �E iF if ii iE �f if if ii� iP �F if iF ff iE fE iE iF iF iE ie �E
I N D I V I D U A L F E E B R E A K D O W N
�1'FFE� (jTY D E 5 C R I P T I O N UNIT COST TOTAL COST
PLU 1 DZSHWASHER 8,75 8,75
ENU OF FEES
UB-25-1997/1�:83 AH/839.75
RCPT�:�1 �811249
RERMIT:084349
%
CONSTHUCTION AND PLANNING � POO� SPA
APPROVAL5 Permit# Date inspector APPpOVALS Permit# Date �nspector
1, Tempo�ary Electrical Serviceor Pote 52. Poo1 & Equipment location
2, Soil Pipe�Undrgrnd. 53. Steet Reinforcement
3. Electrical Conduit UtititY-Undrgrqd. 54. Forms .
4. Electrical Conduit-Undrgmd. - 55. Electrical Bonding
5. Steel qeinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE �
7. Footings 58. Electricai Conduit-Undrgrnd. _
8. Foundation 59. Gas Pipe, O Undrgrnd., Test !
9. I,Nater Pipe-Undrgrnd. ��� 60. Backwaeh Lines, P-7rap, O Undrgrnd.
10. Structural Floor Svstem 67. APPROVAL TO DECK �
11. Property Se.ver Line & Hou:e Connection 62. Ba�kwash & Receptor-Finat ,
12. Sewer Cap - 63. Heater & Vent-Finai
13. iioof Drains �. ' � 64. Plumbing System - Final
14. Rough Plumbing 65. Electricai�Final �
15. Rough Electrical-Conduit � 66: Solar SyStem�Final �'
16. Rough Elearic Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign - , F$, ApPROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling �� . 69. POOL/SPA SYSTEMS FINA� �
19. Rough Heacing & Air Conditioning � � - FIRE DEPT. REQUIREMENT
20. Rough factory Fireplace APPROVALS Permit #
21 . Ducts, in Structure i � �� 70. Underground Hydro
22. Ducts, Ventilating ` 77. Product Piping OGas qOil
23. Gas Pipe�Rough & Test 72. Undeiground Fiush
24. ftoot Praming 73. Undergrnd.STorageTank OGas OOiV
25. Roof Sheathing � '. 74. Overhead Hydro �
26. T•Bar Geiling (Structural) & Monocoat + 75. Dry Chemical
27, Frame and Flashing . 76. �ry Standpipe
28. Lathin9 & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL �
'30. Orywall Nailing � HEALTHpEPT. REQUIREMENT
31. Plaster Brown Coat ' . 79. FINAL INSPECTION
32. Electrical Power Meier�Final • � 80. FOOD CERTIFICATE ISSUED
33. Final Elecfric ' , , Notes: � .
34. Final Heating & Air Conditioning - �
35. Finai Gas Pipe•Test '
36. Nood 0� Canopy � •
37. Final Factory Firepiace � � �
38. Final Plumbing jV���G7
� � i
39. Water 5ervice�Final •
40. Gas Service-Final ,.�
47. Solar pomesticFinal � �
42. BacktloW Preventer �
� 43. Backfl0�v Irrigation ,
44. Landscape Irriqation System '
45. Sound Attenuation
46. HandiCap Regulations �
47. FINALSTRUCTURE&BU�LDING
48. FINAL PI.ANNING - .
49. Electric fielease to Edison � .
50. Gas Release to Southern California Gas Co `� � '
51. CERT4FtCATE OF OCCUPANCY
No. Date
LONG BEACH
3310 AlI2PORT' WAV
BO% 16026. LONG �EACH 90806
FROM UTAL
Lorvc �EwcN �213) 426�3J55
Los At�ca�es (213� 636�2386
QRtNGE COl1NTY �7141 828-6432
SANTq ANA
151J�n N HARPER ST !12�03
JE�"FErsSorv I-2045
:^iay 1 I , 1966
Jos, hS, Flenley
1973 ��eartc�rt: Aivd,
Custa t�lesa, Saliforr.ia
PROJECi
ADDRESS
SAMPLE FROM
ARCHRECT
ENOINEER
Ti.bor Gintr_r.
MIX
DATE CAST
S ize
DATE TESTED
CYLINDER NO.
COMPRESSION
TOTAI LOAD, L65.
POUNDS PFR SQ. IN.
COMPLIANCE
�_ :
INSPECTION N A1ATflF<IAL Ef1GINEERIHG
CHEMICAL (t PHYSICAL ANALYSIS
FESEAP.GH R EYVIRONRIENTAI TESTING
CORROSION HL5[ARCH ft AYAL1'S15
� ,s'.� �/
Examinafion: S
c:t� �; i'r,,
COMPRESSION TE5T5 ON COt1CRtE�E CYUNDERS
20 r 4� SWIhI P�L F�R R013ERT L, STOB3TF.
z�ss7 r;lismere, f;ost:a Me=a
r�AY 12 �
City of Costa Mesa
Building Dept.
�t - bottom cente: lir.e: x2 - side waLl deep end:
�'3 - hnr.d beam ho�ise vide
CONTRAtlOR
Roy�l ponls
SUBCONTRACTOR
5'L�081 �.Of19t,
SPECIFIED
42 - 1 STRENGTH
5-3-h6
5-314" x ll
5-10-6fi
t
7-Dav
gn nn�
2,090
SLUMP
Fi" x 13"
5-10-6b
2
7-Da��
£?3,QC� .
2,935
7-Day test canpli.es with specificatione,
MADE BY
DEIIVERED 9Y
2,0��0 Psi
6" x 12 •'
5-10-65
3
7-1)av
;�s,cce
2,335
RECEIVED ON
\\
1 "}lOLD'' ;
7. "}IOI,D"
3 "FIOLD'%
r
�
CYLINDERS 7os, M Hentey :Io�, M, Henlc:y 5-4�-66
i
a
DISiRIBUTION: /� //� �j�
Jas, M, I{enl�y /� -
P.oya]. Pools, 8702 Garden C:rnve, GG �� �
Si.gnal ConsC.. 875 W, faJolla, PlacenCi.a .
Costa Meva Bidq, Dept:� �� �
� ,� /� �'�
�_.y/� � %��� �� :� �i --
�LL HL'f'OHTS ike SUH�flll!'I� A7 IIIE Cl1NF11]f'MI'IRI. 1'lll�l•LI�f1' ! 1 �.I IYN14. �Illlli�l�l(nl liill i i��� � i�lil I�.Alli�l� !�I ��iii� Itl i�il�l.. .��I�r.l i�..lr�l� .�Ie I:A.
'I h{^I� I �..�n� .+�, ne.—.+r_i�IN.a ill� n� in �.�_-��.�i i� �� ��i.i��.. ..�ii� uer.i� i� �� 1� i l.��vnl n. n ��iii�inl l i.��ll � I li.11 I�� .I ll ill . illi I lllil l�. nll�� ��lil(_:LI Vl.i.
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CITx OF COSTA 1VdESA
CALIFORNIA P. O. BOX 317
FROM THE OFFICE OF THE PLANNING DEPARTMENT
.AlII@ 20� 1966
Robert L• Stobbie
2857 Ellesmere.
Costa A�ess� Californio
Dear Pool Ormer:
The Costa Mesa Planning Department has been notified of the completion
of your swimming pool.
So that yuur pool will be a safe one end for the purpose of advising
you of your responsibility regarding the requirements oY the Coeta Mesa
Municipal Code, We quote 5ection 9298.9:
1. No swi.�ing pool shall be conatructed closer than Pive (5)
feet to any property lines, messured from water line of pool.
2. No swi.�ing pool shall be constructed uader any electric power
lines or on any electric power easement.
3. No swi�ing pool shall be constructed unless the yard
surrounding such pool is completely enclosed by a Yence
six (6) Yeet in height and hae s self-closing and locking
..' type gate or gates.
This courtesy letter is directed to you so that you srill be aware oP
our ordina.nces and can make a ca�plete saPety check oP y� pool area.
Sincere
//"!/ ��'""� 4/-�.
William L. Ihuin
Director of Pla.nning
May 25, 1966
I Eobert I,. Stobbie approve of the decking plans
submitted by Stan Rushing of Tru-Con Corp. This will
relieve the Bldg. and Safety Department of the City
of Costa Mesa. from all liability.
/ �� ^ ' �����
Robert L. Stobbie
2857 Ellesmere
Costa Mesa, Calif.
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�oonessaeuiaxo: Zg57.. EL�T,ESMERE AV
"""ERs""'E"'°'°�"':HAGLEY, JOHN WARREN
�°��BAGLEY, VICKI S
'.':"+ 2857 ELLESMERE AVE
COSTA MESA,CA 92626
�rri. wmmc �oo�sx
,wcxrtecT on exeyx�n:
. APCN. ON ENO.'S AUOPESS:
ca�m�crarsx�:A PLUS ROOFING
carm�croxs�uimc11237 SLATER AV
�o� FOUNTAIN VALLEY
92708
LICENSEO COH�PRCTOPS DECUIP�TION: 1 Mreby eihm uMm psiy�y d
(comme�iq hilh SecUon ]000) d Dirieion J M the &si�» arM P�q��e
c�uc.po.:06Q84] _ uc.cuss: C 39 uc.�
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uc.ra:
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(714)754-1000
CA � � 675241
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ejury the� 1 em liea
fe, eM my li�nsa
7S241i1-,
9
� O fl BUILDEp DECL�1flATION: I hereby alfirtn under perely d rN�Y �hel I em uemq Irom tM CaMredae Licenee Lew la the
o wii9 reawn (�qn ]0�1.5 Bue'vreas md Vmimsbtu Coda: A c1Y a caumY �� re9ui25 e partnil to wnalruCY. e11x. impova.
demol'eh. or repai enY suuciwa. piw tn us eweza, a6o repui �pp�'�� la such parmil to fib e aipr�M netemeM ihel he or sM
b IicenxE Wrn�ent m tM poNsbm d Ne CaNraaan Liceiue W ICheWx 9lmmmentln9 wG� SeQon ]WO) d Oivuion 3 d IM
Bwinee+ vd Prdessiort+ Codal a thm he a ehe a uemq �herelm�ri yy iM Estiv la ihe dbped a�emqion. My vbbtbn d Seaion
�wi s M�r eopimn i� e rorma wq«v me eoWcem �o a a�i ro„dN a�� inm, rHe nune�ee edien �ssmp.
� I.esowmrdtMpropenyormyemWryeaewlnwapasutheipy�p��p�.wyldoNawoh.eMlhesv iurec�imeMeE
Of (IflMBj �IX 98�8 ($BC�10111M�. BII&IMYBfId PfO�M5M119:�i0E0: i�l! �idl�fBtlM �JG119B �BW �OB911d (1�'/10 M O'MIBf C� pNOM'/
who buiEe a mqwea ihareon, uM Mn dnee auch Mak IimaeX w Mnetl a ihrwph ha a her own empbyme, prwNaE �M1e� wch
impwemxua are rat inleMed ar dlmee lar aeb. M, however, iha buiki�p a'vnpemsineru ia edd wnhin me year d rompb�un, Ne
ownenbuiker will heva �he WMen d provin0 he ar eha d'd eat y�ik a imD� �a IM WN�e d aela�.
� I, ee owner d �he pmpeny. em eRdueivey mniredirp wilh licenaad convectwe ro conetrutl Ihe prol� (Sepion ]OId. Bueireas e�M
PrWessione Code: The CoMredae L'eanu law Eoes nd roply io en owner d qope�y xfio WiNe a impwea �he�eon eiM who
convecte M wM prqecm wuh e conlredor(ellcenseA Wnuenl lo �M CaNredae Lirarue Lew).
�� � I em mamq u�ker Sedion: B. 8 P.C., lor ih�a reaxn:
Deia: �:
I Eo Iweby canLy ihat I em awere d eM uMeiate�M the reQuirememy d Cel/wnu IImEh enE Selny Code Sediov 25505, ?5533. anE
255�0. eiM Mm I a enY �ure Wikiiq oov�penl will / wil �(� Gie) need lo compy wih vid mma mAee eM �M raQuiremema tor
aV�ntneonavueiionamodifretbnkwniMAi ua�y +euBa�mOiuritl.fietidenlielmret�udionePV�viamenewemq/mmihme
pwieime.
Dale: APW��� —
WORKER'S COMPENSATION DECLRRATION: I hareby elfirm uMer peneXy W pa�jury aro d H�e blbxi�q AeNereliom:
� I heva vM wil mantein e cenifrate d mnsent lo aeH-inwre M WaAen' cpnpenaeton, m providsd la by Setlbn 3)00 d IM labar
Gada, lor the perlormance d tM woA tw wlich thia permn ia i��.
�I heve vM xil meiman waMen' wmpen�etion inwrarwe. m reQuired by Smbn 3]UO d Ne Lebor Cods. tor the pe�ormence d iM
work lar whiW tlic pamin o inueE. MY wo�n �O��a^ munenu umx e�d Po4q numbar ere:
c,m.,: STATR FilAlT1 EXPIRES
Pa�'"°m^°° 285-9Rnt�#,�„T+nan O1/O1/99
(iM1is seclim naed rwt be canpbfetl / tM perm't ia b ww hunLmd yWlay �100/ a bm.1
� 1 ceniy that in the pmformarica d IM work 1« xlich Ihia pam�� ia io I ehdl m� empby pa n in em� n �o
become eubjae io �M vrorkere' canpenealim lexa d Celilomy y pre¢ ihPo il I ehy b m euEje a p
om naetbn rovis' ns W Setlion 3]00 0l the lebor Code, I eh lorl � h mm �y wnh Yfa vieio .
o �e: �' noW�:
: Fel/ n b uro woilrwi compsruetlon roveraysl� u y/yl, endWll �u6/ecf ur �myloys� b eHMnl peruMa eiM
chll flrwa up (o wro huntlisrl fMuuntlON/en (S10q000A M tlon b Ms rost ol nmpxustbn, Gmryp� u proHdetl bi In
SxHon J106 0l IM Labor COW. /nMut. �n0 ettomsys M1s�.
CONSTflUC110N LENDINO AGENCY: 1 hereby eifirm uMtt penaAy d psrjury thm ihsa o e mmlrudion bMiiq ep y M the
pmlmmure d �M xoM tor whirh ihc Oemii n owed (Seaion 3091. C'v. C).
LENDEN'S NMIE:
LENDEH'S ADDFlESS:
I cMIM1/ ihet I heve reed this epqicetim enA elele IM1e� the ebave iMorrt�p� is cared. I eprea to compy xilh ell dry ud coumy ordinencea
and elete levn raletmg to buiking mnsVuqion erM hereby eultwr¢e repreaentetivoe of ihie dryto emer upan the ebove-men�ionetl pmpaM
lorinspenion
JASON�MZTH � �
ome: 3 lo y �
W�Aa-BuiNvq 8 Selery: Gree�ile: Genery_ADP��t: Pink-Revenue: Gddenro�Asaearor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: H 087214 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : T/O & RESHAEATH W/7/16" OSB & REROOF
L3 8-003�8
PERM NO: B 087214
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 8,151
CLAIM VALUE: 8,151.00 CALC—VALUE: 8,151.00 GROUP OCC: R-3 /U-1
COMMENTS: WITH 30 YEARS COMP. SHINGLES
*��r*+r�*******�*�e�r��r+r*���x���*��*+��*w*�*x�x�*�*xx�**�r��r�*x�r��*��*+r*+r+e��*�r�rx�*��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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN AGHT: FT IN
PARKING REQ: PROV: PARCEL: 13933504 ZNE: REF NO:
PLANNING NOTES>.� .
1_
if ik ik ik iE iF iF iF 3k 3E if 1E iF ik itik if iE if ik it ik iE 1f it iF ik it iE if iE ik if iF 1f iF it it iE ik ik if iF iF iF �k iE ik if k if ik if if iF 3F 1F iE iE k if �F iE M 3E iF M if if iF"fE it M ik ik iE iF 3k 1E
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
20NING APPROVED'�BY DATE:. '
HUILDING APPROV.fiD HY : DATEi �'� � ^
APPLICATION ISSUED BY; DATE; V
killkiEiFlEiklFiF3kkikifikiliFiFifiFkili! 'If±kitikiE'kififiEiE 1f�ik
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL�SE MENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 149.75 .82
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 150.57 0.00 0.00 150.57 150.57 .00
REVENUE DIVISION TOTALS--> COLLECTED; 150.57 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
149.75 ,82
1F iE iE iE if'IF 1F %iF 3k iE iF if il' iF if iF'N' iE iE iE iF'k iF iE iF iE iE 1E 1(� iF 3F 31' iF iE iE iE 1E iI� i(� K iF iE iE 1E iF if if ik iF it if 1E 3k iE iE iE iF iF iF 1F 1k M iF 3E iF'k �F iF iF �k 3E if� �lF ii if'1E 3E iF
I N D I V I D U A L F E E H R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 8151 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 8,151,00
END OF FEES
83-26-1938/f13:fl3 Pfl/E159.57
RCPTq:81-062a556
PEKMIT:987214
��pNSTRUCTiON AND PLANNING POOL & SPA
A.'PROVALS Permit �F - Date Inspector pppROVALS Permit # Date Inspector
1. TemPorary Electricai Service,or Pole 52. Pool & Equipment Lowtion
2_ So.il Pipe-Undrgr,�d._, . 53. Steel Reinforcement �
� -
�'3g`:��Cctricai Condg'r[_Ufility-Un�rgmd. 54. Forms , •
'� 6; EleEttical Cond�rT-rh;drgmd. 55. Electrical Bonding
:�5 ��S48gi Reinforcevnent= � , 56. Rough Plumbing.& Pressure Test �
�06e�EF�ctrical UFER�Grnd. 57. APPROVA� TO COVER�GUNI7E r
� � - i'l n.,
:~� µF(�pt�ngs S"'`� 58. Electrical Cond�ij;Undrgmd.
�=�CB��Foundation ��j>.� 59.GasPipe,OUodcgrnd.,Test
r �,r
:`_�9. �ater Pipe•Undrgmd. _'' - 60. Backwash Lines_�",�P Trap, O Undrgmd.
10. Struttural Floor Sys[am �+� 67. APPROVAL TO DECK -
11. Pro}�erty Sewer �ine"& House•Connection &2. Backwash & Receptor-Final
12. SRj�er CaR =, � 63. Heater & Vent-Final .
13. Roof Orains ^ 64. Plumbing System � Final .
74. Rough Pl�mbing, �" � , 65. Electricai-Fina�
15. Rough ElearicaLConduit : ' 66. Solar System-F,nal .
16. Rough ElectricWiriny �- . 67. Pencing & Acces�pProval
17. Rough Wiri�g Syn 68. APPROVED FQR�PLASTERING
18. Rouqh Electrical'T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. �Roug� He, eting & Air� Condi[iontrrc� �,;;� , �; rb S.. ? FL•RE'pE?T:REQUIREMEN-7 W
� �, �. � j t'! .+: y �
20. �;ou-e�1,� FactoiQ F�eplace 5:r c: �s a: : �=+x i APP({OV�1�,-5„ \ Pei'mit #� ��
T. ti 'r". S r y `7 "" d � J �: r .�: r
21. EOucF�?, in;Stru`cturr� ,�= :e ij F-�i {� � 70. Wndergrouvid H.qdro
22. Ducfs�, Ventil�incj:� . � ^� * L' � � y?� ; 71. Produ` t�Piping-�-fys f�70i1 1 v.
..� i ;fi: Y;'ti l�
23. Cias P}pe;8otig� &�T�st ....�. .,,:� � p+ =� ;. ` 72. Undergr�u�ad F,tu4ho� i: >: v
24. �Roof Framing ��*� � �,� > a' `� i. 73j Undergr �d. Sto,z�e'�aniC; O Gas ❑ OiI
r: _ , �- `.. . ..
25. �,R. oof;Sheathin9 4,� `' 3�8.� � 7Q' �yerhead Hydrg:^ �.
26..T-BarCeiling (Str;ctvrall & Mor�6toat Y O :" �� 75: ;Ory Cherii(Cai �� •�; �, ` �%
�
i.� 27.;Framean� Fla�hin:gy: ="��^ y," '" =� ~ :. c �� �, .
�, . ., n.d v' 76. Dry SCa23PiPe;d.- �: � �o �
_ �„ -
. 28. Lath`ing&Siding:'� � ��.Rtb- C ;M � � � 77,��. FIXEDtSYSTEi�9�FINAI,'-' 1
. 29. Insulatioa J l. S.. �i� ... ,' x -
� ;�, � ;� x� I �i, 7�. FIRE PREV. FI-N�L
� 30. Drywaii iUailing r�� � � �x F� ! � = s r_HEALT`H DEWf.'REQUIaEMENT
;� 37. Plaster B�bwn,^.yCoaaz�:w -' '�f;, � � I i; 79. FINAL LNSPECT.(QN � � ,;�
<" � ; �. t , �. .
�; 32.�61ectrica.4-�k'ouaer Meter�Final � a: � � �s: SOi FOOD CrERTiFtCrATE ISSCJED'
. • .�. . .^-b `� � .� ~� I 1 �Y' � 7i : < �I U :l�i:t
:�. 33. fina(�EleStric` ;.c �r .-:� c r. M I , I. t�o.tes: � r;i � � �,�.
� 34.�Fina'I;Heating& F\i;�.Conditionin'g" '+ z;1 � � ft�c , F. ` i-c; 4:
� I i' n --� c x< r.� '
35. �Final GaSPipe=Test "` � " ' " �` �� � `'
;r, E.� �a :r: V^ .K � � If: �:, . .. -F fr, .-+„
i.� ^� ' r'7 .� i i � ' ,� � ..� . .,��.
; 36..�Iooq�or GanopY . `-',; , r,-,� t� j � �i. _ � ^'o :r t*; -�-�
�� � 37. Pinat'Fa�brv Firepl�ce. `� F' " � �" ^ � � * , :i. �"
r
- 38. Pina�:�Pluty�bin8 k .�� . '-� + i � �� �; � �a:
� r-
39. Wate� Se�vice-Final K -= ' � ' � .x ' `• -=� ' `-:
, r ;r rv :� I i�� E• ^.• , x*7 ^7
� •r: '. � x :�� i 'r y..
_ 40. Gas Serv�ce-Pipal =�;r,..__ , t f � '� • - ,
' 1 41. Solar Qotnest•icFinal �� a7 = I ::. r' "�=� '-` '� �'' �
� � c.. -r ac C� 1 � f-. _ i - S
42. Backflow Preventer � �' ` ' � � ' � -
_ „F-,.� s �.i X i*1 :;�=' � F�
43. Backflow Irrigation * '�-• J z r, x p ~ .~. ��
H i k X� `r SU =K 3 J �
n: .- k O��r' i r; _ ' r'.: li� 1 �` . J . v v
G44. -Landscap8lriigation Systemu,�� ,< � �( .`;;�;:.. g � �, nx v: _ .
� . � a , "._' . . . . .
45.:$ound AttenUation � � •• 'T� � �''�" ` 7' -" `� ` -'t' "' �
c., . tri .,�' .. � r-,�,s .�.-1
46. Handicap'Regulatiorjs - ., r -- , � t nu � "` „ r
c.47.�FWF{LSTRUCTUR£&BUI�LD�ING �/l����; _` ,;, � � J
�: � . m ..
48. •PINlsI P.LANNING � � � - �r ' ' � `' •
„ < , x � -i,' �; _<_ r a;
,.
49. EIecN+c Releate co Edison � T j �, ts , •ti •C'' :t� '!
� :� :- �-•. r. •.,
50. Gas Release to Sout�iern Califor.nia:Gas Co ' ' r� '� '��' ~ K �-
_ -�o x r:
-51. CERTIFICATE OF OCCUPANCY " .
No. Date