HomeMy WebLinkAbout2860 EL RIO CIR - Building PermitsPflOJECTR00NES5: Z86O EI+ RI� Cl
OWNEfl'SNRME: HERLIHY, TAII,LIAM MANN TR
FDOflESS: z$(jO EL RIO CIR
CUSTA MnSA,CA 92626
ANCN/ENGINEEN:
AOUXE$$:
NEG.NO.:
uNir:
UNIT:
PEflMITTEE: GEQRGE BRAZIL (714).`,35-�790$
aooxess: 307.7. N, HESPERI N ti1Y 1pI
5J�J1(p SAN7'A ANA CA 9?706
LICENSEO�ONTPACTOB OECIAPATION: I hereby atlirm ihat m licensed untler pmvisions ol Chapter 9(commencing with Section
7000) of rvision 3 0l the Business antl Pmlessions CoOe. an my I ense is in full �orce antl eflect.
cirr u�'�_'��, ", .+� TRTE UC.: �I 4 3 O Q/� ss: C— ., �
VaT¢: Signaiure: � V
WORNEBS' COMPENSpTION OECIAflATION: I �ereby aflirm �ha� I havi certilicate o� consen� �o sel4insure or a certilica�e o� Workers'
Compensation �ps�aqc� p� a�c@rt�liey coqy {hereol (Section 3800, b. �.
POUCV NO.: '� U 7 y i1 U 1 ExP. o E: � 1/ O 1/ 9 3
LOMPFNY:FZELIANCE INS,CO
� Ceniqfietl mpy is hereby lurnished. � Cenifietl c y is letl wi t 'ry Bui10' rvi '
Jlate: /�/ r — ADDlicanC t '
E%EMPTIONFROMWOflI(EBS'COMPENSRTIONOECIAflA➢ON: (Thissec�ionneeUnolh¢comple�etli�Ihepermilis�oronehunOreO(5100�orless�.
I certity �nai in Ihe pedormance ol lhe wark lor which Ihis permii is issuea, I 5hali not employ any per5on in any manner so as to 6ecome
sub�ect lo Ihe Workers' ComDensa�ion Laws ol Califarnia.
Date: Signa�ure:
NOTICE: II. alter making �his Oeclaraiioq you s�oultl �ecome su�lact to the Workers' Compensatinn pmvisions o� �he Labor
Cotle, you mus�fotlhwi�h compty wilh such provisions or Ihis permit shall be tleemed revoked.
CONSTPUCTION 1EN01NG RGENCY: I here6y al�irm �hat Ihere is a cons�mclion lentling agency for ��e perlormance ot �he work �or
which �his permil is issuetl (Sectian 3097, Civ. C�.
LENDEfl:
FDDNE55:
OWNEfl BOILOEN DECLAflRTION: I hereby aflirm tha� I am exemp� irom �he Contrac�ors' S�ate License Law tar Ihe following rea5on
�Seaion 703t.5 Business antl Pmtessional Cotle: Nny city ot counry which requires.a Dermit ro consimct, alter, impmve. tlemolis4 or
repair any simtWre. priar ta its issuance, also repuires the applicant for such permi� to file a signetl sta�ement ihat he/she is licensetl
pursuanl m �he pmvisions ol the Comraclors' S�ate License law (Chapter 9(commencing wi�� Sec�ion 7000) o� Division 3 0� lhe Business
and Prolessions Cotle) or ��ai he/she is exempllhere�mm antl t�e hasis for Ihe allegetl eKempiion. Any violation of Section 7031.5 by
any applicanl far a permit su6iecls ihe aODlicant to a civil penalty ot not more ihan (ive huntlre0 tlollars (5500�.
I, as owner of I�e DmDe�y or my employees wilh wages as their sole compensation, will tlo t�e waM, antl Ihe
❑ s�mtlure is nol in�en0e4 or o��ere0 �or SaI¢ (SeClion 7W4, Busine55 antl Pmfe55i0nal Cotle: The ContraC�OrS' S�a�¢ Litense Law
tlaes not apply to an owner ol a pmpetly who �uilds ar impmves thereon, anA who Uoes such woM himseli/herseli or �hrough
his or �er own employees, pmvidetl Ihal such impmvemen�s are noi inlenAeO or oliere� �or 5al¢. II. howeve� Ihe building or
impmvemem Is soltl wit�in ane year ot campletion, Ihe owner will have Ihe �urden o� Omving he/s�e UiA not bui10 or improve
for Ihe Durpose of sale).
I, as owner ol Ihe pmDehy, am exCWsively COnlraCling wi�h Iicen5e0 cOnVac�ors �0 COnSlmt� lhe projecf ($ection 7044, Busine55
❑ and Prolessions Cade' The ConVactors' Slale License Law does no� a I �o an owner oi ro etl wAo builOs or im mves ihereon
CI'fY OF COSTA MESA — BUILb2NG PERNIT PERM NO; P 059401
PERMIT NO; P 059401 PLA� CHBCK NO; N GOVT; N SUPP; N
CONSTRUCTION 'PYPE; V—N PERMIT TYPE:; PLU PliRFOSE; OTH
JOB DESCRIPTION : WATER HEATER CHAtJGE OUT • SQ FT;
CLAIM VALUE; 800,00 CALC—VALUE: GAOUP OCC: R-3 /
CUMMEN'fS; SMUKE llE'l'EC'I'OR RE�UIREll
-k1F�IF�%)F�JF�K�%����IEiE��iE�1(�dFicifd(-ii-.k.1c..Kk.K.%..K.iE .Y,..IE..%..7E�kiC��lE�lEifdkY�}F%i(�1EY.-iC��1FdFiE�%iE#��lE%iF�%%K��lF1F�%9E�%DE�7E�K-If9E-lf-%..1�iE.x..I(.N..K:.K..M.7i..K.
Z O N I N G R E Q il :C R E M E N'1' S
S E'I' B A C K S
------------ NAIN HUILDING ----------
FRNT; F'T IN REAR: FT IN
LEFT; F"I' IN RGHT; FT ZN
--------- ACCESSURY BUILDTNG --- -----
FRNT: FT IN REAR: FT IN
LaFT; FT IN RGHT; tT IN
PARRING FtEQ • PROV; PARCEL; 19156218 ZNE; REF NG;
PLANNING NG7'ESY
7
If' if' iF iE # ik if % K# fE iE iE iF 1F 7Eif %� ]F iP If i(� if #�lE iE jF 3F iElE iF iF # iF !6%i(� ie ii� If �IF if 3f'IE �1f�±E ��F�k if # ie ik if #i(� 3E �7(� ihlE # iE'1(� 3F !F!E iE i[� )k le iE le iE iE iF if # if ik
D E V E L U P M�: N T S E R V I C E� R E Q Ii I R E M E N T S
i
ZUNING APPROVEU BY 'f� DATE;
�
BUILDING APPROVED BY ; UATE:
AI�PLICATION I55UED BY; ?+ DATE• �����
�(�ihaEitlf�F3E�E%iE3EiFi(-iE�f1l�iF#3fif7E-lE� aE it - �t�ft �R-. it ft1Ek�1FiF3FiEitiEifi, Ficif�f
IF ik iE M� if iE 3F 3f if iE iF �%�-I(� * 3E iF iE �IE #� iE dE if lE iF ff !f 1E iE i(� iE 3F # K� iE :E N� 3f iE #�lE if 3f �X�iFlf- if �1F i4 �f-3E iF * iF �lE 1F M� IE 3P 3E iE 1F iF fe ff� ie aE k� � ii� 9F 9E iE iFiE�3E 3E 3F �If
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMaNT;N
BL17G PMT PLUMBING ELECTRIC MECAANIC FIRE SN,IP/RES GRADING
PER�;I1' 7, 00
2S8 5MIPINON—RES
F�LAH
ISSUE FEE 20.00
BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL . PAID DUE
TOTALS----> 7,OU 20,U0 0.00 27,00 7.7.00 ,QO
REVENUE D:iVTSION TOTALS--> COLLECTED: 7.7,00 OVER/SHORT; ,DO
BLUG PMT PL'JNHING ELECTATC MECHANIC FIRE SMSP/TOT GRADING PLAN—CHECH
2%,��
antlwhoconlracisforsuchprolectswi�haconiractor�s)IicenSepursuanttotheComract�s'SlateLicenSeLaw).lamaware x'if'*ii'#'lf'**�("K'�If"!f"%"x'*%3('X'i('3/'*�f"#'�'if"H'�('�f'%3t"M'M'##�f'i('%'3!#i!'#'IFN"X��E%%�f'#3f3f7fiE%Eif�l'iEif1E#iFiF#'iE1E3f3ElEiFleit3fiFl�iE?fiflFi4
�hal pmof of I�eir Worker's Compensation insurance shoultl be pmvitled [o me. I N n I V I Ti U A Zr F$ G B}2 ^n A K D O W N '
� I am exempi unAer Seclion: B. 8 P. C.
mrtmsreason: TYPE QTY D E S C R I P T I O N UNIT COST TOTA"L COST
oate. ow�er PLU 7 WATER HEATER AND/OR VENT 7,00 7,00
I tlo hereby cenity Iha� I am aware o� ana untlerslan0lhe requirements ol Calitomia Heallh antl Safery Cotle Sec�ions 25505, 25533. antl E(�]Ij �r F'$tr.J'
25534 antl tha� I ar any �mure building occupam will/will na1 �circle one) neetl to comply with saia state co0es anA �he requiremen�s for a
permit for constmclion or motlilicaiion imm I�e Nir �ualiiy Managemenl �iSVict. Resiaen�ial constmciian applicafions are exempi �mm
��ese pmwsions.
�ate: Applicani'.
I hereDy cerlifylhat I havereatl Ihis aDPlication antl slate �at��e bove iniormation is correct. I agree to comply wit� all ci�y and coun�y
orainancesanastaielawsrelatingto�uiltlingconsimc�ion a�er yaut rize epresemairvesggg�))11bbb�yyccc irytoenteruponiheabove-mentionea
propertyfo i ecib rpases. � � ` �?.� q ' �^���'� , ^��- �� _���
'y �r�i~::7-:'l'1.:_.tyi_ ' _
GeTE; t7/'?7:g'+ �;��;:< <,+.,,
a '.
16aLa6 Whne—BuAtling: Green—Code Enlorcemenq Canary—Applicant�. Pmk—Revenue: GolOenro�—Assessor
CONSTRUCTION AND PLANNING - - - , POOL 'A '
APPROVALS Permit # --' � Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electriral Service or Fole �, � � . 52. Pool & Equipment Location C� -
2. Soil Pipe•Undrgrnd. ' � - 53. Steel Reinforcement . j�
3. Electrical Conduit Utility-Undcgmd. 54. Forms
4. Electricai Conduit�Undr9rnd. ' 55. Electrical Bonding
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Grnd. _ 57. .APPROVAL TO COVER�GUNITE �
7. �Footings � 58. -Electrical Condui[-Undrgrnd.
8. Fo�ndation - . 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Und�9rnd. - 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Scructural Floor System .' '• 67. APPROVAL TO DECK '
7 i. Property Sewel Line & House Connection 62. Backwash & Receptor-Final '
12. Sewer Cap , . 63. Heater & Vent-Final
13. Roof Drains � 64. Plum6ing Sysiem - Final
14. Rough Plumbing �� . 65. Electrical�Final �•�
15. Rough Electrical-Conduit 66. Solar.System-Fina�
�
i6. Fiough Electric W�ring _ 67. Fencing & Access ApP�oval .
77. Rough Wiring 5i9n 68. APPROVED FOR PLASTERING � `
18. Rough Elect.ical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilat�ng 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26.-T-Bar Ceiling 4Structurel) & Monocoac 75. D*y Chemicai
27. Frame and FlaShing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation i 78. FIRE PREV. FINA�
30. Drywall Nailing � ? HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat i i 79. FINAL INSPECTION
32. Elearical Power Meter-Final � �� � 80. FOOD CERTIFICATE ISSUED
33. Ffnal Electric i �� Notes:
34. Final Heating & Air Conditioning � ;
35. Finai Gas Pipe-Test �
36. Hood or CanopY ' �-
37. Final Factory Fireplace � �
38. Final Plumbing �p Y� ��
39. Water Service�F�nal
40. Gas Service-Final �
41. Solar pomesticFinal
42. Backflow Prev¢nter , �
43. Backflow Irrig2tion
44. Landscape Irriqation System ,
45. Sound Attenua[ion
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �
48. FINAL PLANNING �
49. Elect�ic Retease co Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY �
No. Date
AVP���ant to fill in a��
+ CITY OF COSTA MESA �' rea ir Nc
CONSTRUCTION PERMIT �- �
witnin neavy EorCerliuesanO
TRACT NO.
, :.' .
all appropriate tleelantlons. ��
LOT NO.'r � BLDG. NO. ��
rro�ecci+aaress - ' ' - TYPE OF CONSTRUCTION �� �
. Owner wm. Herlih ' Ph�^e — 0� aEw ❑,A�D� ❑ ALTERATION
�Atldrea zSGO E�. RlO Cir. C. M. �G REPAIR O CONVERSION ❑DEMOLISH
Arch/Eng. " � � - - License No " ❑ OTtieR - -
DESCRIPTION OF WORK� �
i Address �� ' - - " '- ' ,
r .
1 Contractor H. H. , HOI)JYOO�C Phone(4( _. ZTYPE OF PERMIT. . '
'Address11C.� Cabrillo � Cost 2 ❑'GRA�ING ❑ FOUNDATION ❑STRUCTURAL
LICENSEO CONTRACTOR DECCARATION " '"' ❑ TENANT O ECECTRICAL C�PLUMBING ❑MECHANICA
1 hereby atfirm that I am Iicensetl untler provislons of Charter 9(com- � � ,- �
mancing wit� section 7000) of DlviSton 3 of tne Bu5ine55 antl -❑ OTHER � �' � -� -' '
Professions CoOe, anO my_lieense Is in ful� }orce antl e(fect: pROJECTDESCRIPTION
ucensec�ass L'-36 ' — ucen No.z1�6994� . ., . � � � �- �
Date Slgnature-�' �'� :r+�<.r�-�• 5�: FT. � ' ' �f ' � --
� • OCCUPANCV_CONSTRUCTIONTVPE
WORKERS•COMiENSATION DECLARATI � - -
l hereby affirm that I have a certlficate of consent �a seif-inzura or a VAIUATION ' ZONE
certiflrate oi Workers' Compensation Insurance, or a certltiatl copy ,
thereot (Sectioq3800, Lab. CJ. _ , _ . . _ _ ,_ GRADING.CUI YDS. ACRES
�Cy NO. � ComDany
ertifie0 topy I5 hereby furnishetl. " ' ' " '- "REMARKSi 7; -' - ' ' "
Certifietl copy Is flletl with the City.Builtling DIvlSion.
XEMPTION FROM WORKERS' COMPENSATION DECLARATION . t•
(This se<tion neetl not be tampletetl if the permit is for one nunaretl - - - - � • -� -
SE100� or lessl. • + "'
cert fy that ln Ihe performance�of the work for which this permit is
Issuetl, I shall not emPloy any person in any manner so as to become . PLUMBING �' � 'PLAN CHECK
suEject to the Workers Compensatlon l.aws of Califomia. " ' -
Date Signature B/�THTUBS SHOWERS
NOTICE: I( after making this aeclaratlon, you s�ou�tl Detoma zubject TOILETS �' � .URINALS
to the Workers' Compenzation provisions of the Lab4r Cotle, you must
forthwith compty wit� such provitions or this permit 5hall be tleemetl LAVATORIES DOVBLE LAVS '
revoketl: ' ' ` "' ' ' - ' ' KIT.SINKS DISHWASHERS �
CONSTRUCTION LENDING AGENCV
1 hereby af(irm that there iz a tonstruction lentling a9en<y for the per- SERVICE SINKS � ' SUMPS '
fo�mance of che work for. wnich this permit is isstletl (Section-309]
Civ. C.). FLOOR SINKS FLOOR DRAINS
Lentle�'s Name
LenCer's.AtlOress DRINKING FOUNTAINS '
OWNER BUILDER DECLARATION INTERCEPTORS � CLARIFIERS
I hereby affirm tnat I am ezempt from.the.Contracto�'S License Law for
the following reason (Section �031.5 Business antl Professlons Cotle: SWIMMING POOL PTRAP
Any city-or mun[y which�reqWreS a permit to construct, alter, -
Improve, tlemolish or repair any structure, prior to iCs 6suance, also re- yyATER SERV ICE ALTERATION
quire5 the appllWnt for such permit to tlle a-signetl statemenl that he
is licensetl pursuant to tM1e provislons ot the Contrattor'S License Law GAS SERVICE OUTCETS
(Chapter 9(commencing with Se<tion ]000) of Division .3.oLthe
9usiness antl Prolessions Cotlej or that he is exempt therefrom antl the yyqTER HEATERS BTV OVTPUT
5 for the alleged-exemption. Any violation ot�5e�bon 7031.S.by
appllcant for a permit subjetts the applicant to a civil penalty SEWERCONNECTIONS
ot mora than five huntlretl dollars ($500). - -- '
I, as owner of tbe properry, or my employees With wages as their SOIAR TANK COLLECTORS �
sole compensation, wlll tlo the w0/k, antl th¢ StruCtUr¢ is nOt int¢ntl¢tl '
or ofteretl for sale. (Section 7044, BuSiness antl Profezsions Cotle: The SOLAR PIPING SVS.
Conirac[or's License-Law'tloes not appry to an owner oi'a property
who builtls or improves thereon, antl who tloes sucM1 work himself or ISSUE FEE �
through his own employees; provitletl that such imOrovements are not -
intentletl or offeretl for sale. If, however, the builtlin9 or improvement . MECHANICAL P,LAN CHECK
is soltl within one year oi completion, the owner will have the Duraen
of ,proving_ he tlitl not bulltl or improve for tne Purpose of sale). HEATING SYSTEM 0-100,000 6TU -.
❑ I, as owner of tne property, am azclusively mn[racting with qND DUCTING
licensetl contractors to consVuct the.project..(Sectlon 7044,.Buziness __ . _ 100,000-+gTU _
antl PrOtessions Cotle: The Contractor's Lic¢nze LaW tloes not apply to
an� owner ot property who builtls or.improves thereon, antl who.con- REFRIGERATION 0-100,000 BTU .
tracts from zuch projects with a contractor(s) Iicesned pursuant to SVSTEM
the Con[rattor's License law). 100,000 + BTU
❑.I,am exempt untler Section B. & P. C. tor this
. _ ... .. . _ ,. ." " _. . .BOILERS. " _ ' BTV" " ' '
ieason , ,_ . . SYSTEMREPAIR,ALTERATION �
Date Owner
I hereby certifythaf I have reatl this appliwtion antl state that [ne above EXHAUST SVSTEM � MULTIPLE - .
information Is correct. 1 agree [o comply wlth all city antl county
ortlinances'antl state laws rela[ing to construction, and hereby authorize - -
representati �o� this city to efiter upon the above mentionetl
p�opeRy t r' i pe t�on pps S
519nature' f'i-� 8j Lre- C�-�091e' ^ �� j _ _ "_
Drivers' License or 55 :+ � ISSUE FEE ,
CMF 0865-46 White-Builtling; Canary-Applicant; P��k-Accounting; Goltlenrotl-Assessor
_ _._ 2898 8/06/BI ,.• .5v00 1TL
_,.... _.,. .. �,.. .. . _....... 4 .-
A.P. �
ZONE PLNG.
REAR YARD (TO P/L)
PKG.SPACERE�. PROVI
S
IAL CONDITIONS: ��p, �� (p �A.f(1+.•
ELECTRICAL P�arv�cHECK- �
"S777ElTf1QC� . �
�50. FT. 50_ FT. '
.GENERATOR 0-1 KW_1-30-KW - '
TRANSFORMER- -
APPLIANCE 30-50KW_SO+KW'-
,MOTORS 0-1 HP_1-10 HP � �
(IN0. 50LAR) �30-SO HP_SO + Hp � � -
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS •
POLE LIGHT$ ' - ' • �
PANELS MAIN � ' SVB ��I
SERVICE AMP,I . ,
ISSUE FEE � '
APPLICATION P.PPROVED BV ' DHTE •
,_. ;SUMMARVpF'FEES '
BUILDING '� _ �
PERMIT $- SMIP" S �
PLAN CHECK y � PERMIT -,'�.p �
ISSUANCE §
PLVMBING. 5��, GRADING $ '
PLAN CHECK $ ` � - -
ELECTRICAL § • � s
�PLAN CHECK E MICROFILM'§
MECHANICAL -$ TOTAL FEE S -
� �LESSA�--
�PLAN CHECK E VANGE PC E
. ' ' FINAL FEE y •"" � `, `�
CONSTRUCTION AND PLANNING POOL & SPA, , ' , �' . ,
APPROVALS Permit# Date Inspector • qppROVALS Permit#! ?� � Date .�Inspector
1. Temporary Electrical Service or Pole ' 43. Pool & Equipment Location_ - � '
Soi ipe-Undrgm .-' � � � '�•44. Steel Reinforcement -
� 3.' ElectricalConduitUtility-Undrgrn' - - � - �'- ' -- 45. Forms ---� '
4. Electrical Conduit-Undrgrn 46. Electrical Bonding '
. tee ein orce �, 47. Rough Plumbin &�Pressure Test. • '
" 6. Electrical UFER Grn .-' � = ••� 48: APPROVAL TO CO,VER-GUNITE
7.' Footings - � - � - �� � - • • 49.- -Electrical Conduit-Undr rn � ' � "' "
8: Foundafion �- ' " - , ' � - � - - - �--' - 50: Gas Pipe; ❑ Undr rn, Test , ' - � � ' '
9. Wate� Pipe-Undrgrn 51. � Backwash Lines P-Tra 0� ndr rn � �
_ , _
10. Structural Floor,SYstem - -"" 52.' �APPROVALTODECK
, 11. Property Sewer Line & House Connection -� rl �� � � - � 53. Backwash &.Rece tor-Final � � � � � � ' '
"`12. Stree4 Sewe� Connectiori � - • , •,�� � 54. Heater & VenUFinal'. � " ' " � � � ' ''" �
13. Rough Plumbing
� - - �,; �
_ .., ---•- - --- -' -- '
14. 'Rough EI'ecfric-Conduit � " � " �56. . Electrical-Final - � - ��
� -15r Rough Electric-Wiring ""' �-�'� : -sf}-� 57. Solar System-Final • � � t � � '� ' � u�+-- � � -
_ .76.. Rough Heating & Air Conditioning _ , • encing & Access Approvai • - � � ' � � • �
17: Ducts in Structure � � � � "��. � i • *� � APPROUED FOR PLASTERING - -� '
18. Ducts, Ventilating ' _ � � • � � �- � -� ' ..� � � ' .
19. Gas Pipe-Rough &Test � ' 60. POOUSPA SYSTEMS FINAL � ,. , � � „-�
20: Roof,Framing�. .. . �:� � , . .� . � ... ,. � ; � „ . ' ' �
21. Roof Sheathin - � � � • � ���� - .�- , ,�„ . . , �,.
NOTESi - � �, - �
22. Frame and� Flashin - � ' " � ^ ' � ' ' ' � ' ' '
23. Insulation � � . ' ' � • ' � � • �
. 24. Lathing & Sidin � � � ��
25. Drywall Nailing • � j � - �-��*�'•+ '- ' � - �
` 26: Plaster Brown Coat . , ; . .r . . - , . � .. . r�.�. • . �
I 27. Electrical Power Meter-Final '� , � �� � ' � � - "
28. Final Electric' • ! � �- � - ' � ' ' - ' '
; 29. Final'Heating & Air Conditioning � � • - � �� � � � ` " � •
30. Final{Gas Pipe-Test i ' � �• " ' � � � • �• �
� 31: Final;Plumbing i " - - , �, � � �
' 32. Water Service-Final • � - � � " � � � ' ' � �
33. GasService-Final ' - � '�^ ' � - �� �� � �
34. Solar pomestic-Final . � � - �� � - � �. �. � �'( � � � ' � �' � �'
� 35. Landsca e S rinklin S stem ' �' � "-� ` �-- � � � � �� � � � � � � �
36. _Sound Attenuation. I "� � �� � ' � ' � � '
37. HandicapRegulations - �--`-' '- - - -- -' � � ' ' ' � ' ' '
38.� FINALSTRUC7URE&BUILDING , � ' � � ' ' �' ' � ' ' � - •
, 39. Special Requirements Completed � : j � (� � � �- � � � • �
' 40. Electric Release fo Edieon � � ' , ' - --" - "� ' '"' - ' � "' • - - �- - -
: 41. Gas Rel�ease to Southem California Gas Co.- � -- ' '� ' ' " - � " " ' - - - - - - -� �
� 42. CERTIFICATE OF OCCUPANCY � ' ' � _ _ , �_ � , , ' , „
No .. Date i_ ..� _.. . . . • , - �
, } _ ._. . _ ._
. ,
AOP�icant to (ill in all spatts exeept those within neavr eortler lines ana sign all apo/oorlate tleclarations.
CITY OF COST A/� CD S I. C,IO�N( )RE MIT . PER N� � TRACT NO. LOT NO. UNIT NO. A.P. �i`- + Zone -
, Project Address � ��+ / •� 1 l!I S Main Building: � Flccessory Building:
r TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR E Z
p4ppljGant's Mai in A�� 5s ,,, � 1 .
� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front � - �
Owner'sN e �� Phone �
i DESCFIPTION OF WORK/USE OF BLDG. A Rear i N
Addrew
Arch/Eng. LicenSC No. . TVPE OF PERMIT GRADING' FOUNDATION STRUCTURAL � K R�9ht I . _ G
� � ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ', g � Left ' � '. . R
Address
❑ �o7HER Pln Ref. # Parkin Re
Contiacror's Nam 9� I g q./Provided E
PROJECT DESCRIPTION Sa.FT. OCCUaANCv � n
Addre551mailingl' . `� CONSTRUCTION TVPE VALUATION $ P�anning NOteS: j M
1� City License No. ZONE GRADING CU. VDS. AGRES $,
I LICENSED CONTRACTOR DECLARATION
I hereby aHirm tnat I am licensetl untler provisions ot�Charter 9(commencing Remarks:
with section ]OBp) of Dlvislon 3 of the Business antl Professip9,s, Cotle', @ntl
my license is in JII� ntl effect. •'; 1',[n u ' ELECTRICAL FEES
� L"e s=p� s " ~��v `� Aummatic Washer Transformer ❑ 15-50 KW
' Date � � Signature PLUMBING � FEES
�WORKERS'COMPENSATIONDEC RATIO ConStfuCtionPoleSUb. ❑50+KW �
`^�eby affirm Ihat I have a certificate of tOnS n 5¢If-insure o� a certificate Baf Sink $hOwEfs
Vorkers' mpensati n Insurance, or a c rtifietl copy thereof (Section . CoOking Unit Meter ❑up ro 100 amps
\J, �ab.� � . Backflow Preventer Service Sink- • ,;:.. .
aoiicy No. � Company � Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps
� Certifie c py" rebyfurni5hetl. � Dryers ❑GaS._�Electric SubPanel
cer In y j) a with tne ci e tl � . Bathtubs Sewer Connection �
�ate Applicant
� , Fan �• Motors�0.lHP�i%-8
\ EXEMPTION FROM WORKER$' COMPE SATION ECLARATION Cldrlfl¢f5 SOIdI C011¢Ct0�5 `+'
� (Thissection neetl not be completetl it the e�mlt is t on¢ huntlretl ($300) or F,A,U. Inc. SOldf 09-15 HP �i6-15+
5 less). D ishwasher So lar �Piping
1 1 certify that in the perfo�mance of tbe wo�k fo� which thi5 pE�m�t is I55uetl I
sha11 not em lo an erson in any manner so as to become sub'ect to t�e Drinkin Fountains Fixtures Microwave
; P v Y P i 9 SolarTank i�
J Workers' Campensation Laws ot California. _ Device Boxes
oate Si9nature � . Floor Drains Swimming Pool w/Spa Pole Light
NOTICE: If, after makin9 this tleclaration, you shoultl bemme subject to the Outle[s Ran e
_ Workers' Compensation provisions of the Labor Cotle, you must forthwith Floor Sinks . Urinal 9
comply with such p�ovisions o� this pe�mit snall be tleemetl �evoketl. $WitCh25
CONSTPUCTION LENDING AGENCV- G3SServiCe OUtIetS WatefCloSEt Sign
1 nereby afFlrm Ihat [here is a mnstruction lentling agency, tor the performance
ot the work for wnich tnis permit is issuetl (Section 3097 Civ. CJ Interceptors ' � Water Heater / �� Garbage Disposal Standing Sections .
Lentler�s rvame Generator 00.5 KW �5-15 KW Trash Compactor �
Lentler's Atltlress Kitchen Sink + Water Service
OWNER BUILDER DECLARATION ,
I hereby affirm'lhat I am'exempt from the Cantractor4 License.Law forthe Lavatories AutO;Wash . /
following reason (Section ]031.5 Business antl Professional Cotle: Any city or
county whlch Iequire5 a pelmit to con5truct, altel, implove, tlemOlish ol repair P—Tfdp �ppdry Tf3Y5
any structu�e, prlOr to Its issuance, dl5o �equi�es the applicant fOr such perTit
,t0 lile a signed Statement that he/She is licensetl pur5uant to the O�oviSions of Roof Drains
the Contractor'S�Llcense Law (Gnapter 9(commencing with Section ]000) of '
n�vision 3 o( the Business antl Professions Cotle) or Iha[ ne/she is exempt � Reinspection Fee $15 155ue Fee $ 3
?from antl the basis tor the allegetl exemption. Any vlolation oi Sectlon � ..
: 5 by. any ap0lican[ fo� a pe�mi� Subject5 the applican[ to�a civil ' -
.alty of not more than five nuntlretl tlollars (g500). • DEVELOPMENT SERVICES REQUIREMENTS:
�� I, as owner of the property or my employees with wa9e5 as their sole' Reinspettion Fee $15 � ' ISSue Fee $ 3
tompensation, will do the wo�k, antl the�structure is not lntentletl o��o(feretl ZO�i�g ApplOVBd By D3te
for sale (Section �044, eusiness antl Protessional Cotle: The Coniractor's MECHANICAL FEES Buildin8 APProved By'
License'l�w tloes not apply to an owner of a pro0erty wno builds or improves Date
the�eon, antl who tloes such wo�k himselt/he�self or through his oi her own Appliration �SSUBd By Dat
� employees, provitletl tnat such improvements are not intenaeC or offeretl for Boile� , Hood or Type I ❑ • —
sale. H, noweveq rne builtling or improvement is soltl within one year of mm- Canopy. Type II ❑ SUMMARV OF FEES
pletioq [he owne� will have the burtlen of proving he/She tlitl not builtl or im- DUct - Und2f GfOU�d , � �
' prove for the purpose ot saie). BUILDING PERMIT $ SMIP $
. ❑ I, as owner of tne property, am exclusively contracting with Iicensetl con- Duct-Structural Refrigeration System PLAN CHECK �
trac[orsto construci tne projec[ (Sectlon 7044, Business antl Professions Cotl¢: $ PERMIT
The ConVactor's License Law aoes not apply to an owner of property who Duc[ - Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $ .� ISSUANCE $
builtls o� improves thereon. antl who cont�act5 fo� Suth oroiects with a r.on-
tractor(s1 hcense pursuant to cne Contractors License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration � P�N CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance shoultl ba orovitletl to me. ELECTRICAL � $ GFADING $
❑ I am exempt untler Section B. & P. C. for this reason FirepVFact Blt. �CBO dk Fire Dampers
PLAN CHECK 50% $� "MICROFILM $ v,�
Date owner � Heating System & Ducting Registers MECHANICAL ��/ � l;
I' hereby certify that' I' have read this application antl state that Ihe above ❑4100,000 BTU �100,OOOBT _ '$ � TOTAL FEE $ (�/
Information is correct.4 agree to mply wlth ali city ana county ortlinances PLAN CHECK 25% $� .
antl state laws r lating to builGin construction, and�hereby auNorize repre-'
sen[atives o! s ci to enter upon the ap ove-mentionetl pro er y , ,
inspec[ion r , / � ' • '
Si9nature /L� Date_�� P $ 3 � �7 fl�C1vF�2'Qdi�2EJ2i Yt.lT j.iln
Reins ection Fee $15 Issue Fee '
DriJers' License' r 55 �f
T�q r r, t.�
0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Accounting; GOltle�rotl - Assessor � �- �%4; �-J� :BJvi !��iG �d•�4 -
. , . r1 i�, ��� .. . . . . . , . _ . .
, i COIOSTRUCTION AND, PLANNING • ��� �P'0'
'' APA�ROVALS Permit # - -- Date Inspector AppROVALS Permit # Date Inspectbr
,1.'Temporary Electrical Service or Pole :'� 52. Pool & Equipment Location
2. � Soil Pipe-Undrgrnd.. - _ �: �� y 53. Steel Reinforcement _�i �•
'=3. ,Electrical Conduit�'Utility-Undrgrnd. ��'__ 54: Forms � i
�'4..Electrical Conduit-Unclrgrnd. ' .'i � 55. Electrical Bonding �'
5. Steel� Reinforcement`_ . 56. Rough Plumbing & Pressure Test �.
'6.•',Electr.ical UFER Grnd. ^"' . ' _57. APPROVALTO COVER-GUNITE
i •i
;7.' Footings , -� � . "'" � 58. Electrical Conduit-Undrgrnd. �
B. �Foundation � . ; J �_ -� � 59. Gas Pipe, O Undrgrnd., Test ^f'� •.
�9.,�Waier Pipe-Undrgrnd: -�,I - + ' 60. Backwash Lines, P-Trap, � Undrgmd. :
10. Structural Floor 9ystem ;: _� � �(i' ; � - - � 61. APPROVAL TO DECK �- - � - - - - -� � --- ' •
1�1. Pr9perty Sewer Line,& House C_onnection �� 62. Backwash & Receptor-Final
12. Sewer Cap _ '� : j , 63. Heater & Vent-Final �
. . i
13. Roof Drains .: = 64. Plumbing System - Final .
�
14. Rough Plumbirig. �. T ' 65. Electrical-Final '�
15: Rough Electrical-Conduit 66. Solar System-Final --
16. Fough Electric Wiring . � 67. Fencing & Access Approval �
.i
L�7. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
�18. Rough Electrical-T Bar Ceiling 69: POOL/SPA SYSTEMS FINAL
19 Rough Heatin9 & Air Conditioning .FIRE DEPT. REQUIREMENT�
ni
20. Rough Factory Fireplace APPROVALS Permit # '
21. DuCts�, in'Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23.�Gas Pipe-Rough & Test„ . - . ' . - 72._Underground Flush° �� " � � '
�
24. Roof Framing , 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Fiashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION , '
32. Electrical Power Meter-Final 80.�FOOD CERTIFICATE ISSUED
33. Final Electric Nofes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
� 36. Hood or Canopy
37. Final Factory Fireplace _ . .
.. 38. Fina,I,Plumbing _ . -� Z 'L� � ��_,
39. Water Service-Final �� � .
� •n
40. Gas Service-Final ��"7
�,
41. Solar pomestic-Final"�;
42. Backflow Preventer � � ' �
�
43. Backflow Irrigation-�,'� � � � f) '�-'
•. � -
44. � Landscape Irrigation System
45. Sound Attenuation-- �
�
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING �
'48. Special Requirements Completed .
49. Electrie Release to Edison _ ��� ��'ili' '
50. Gas Release to Southern California Gas Co , /� ,�!��� �'
51. CERTIFICATE OF OCCUPANCY � . - °- '
/,;�
No. bate ,f._.,
�oowasawn�axc: z860 EL RId` CI
'""`R°�'"ME11P'0Y1N HERLIHY, WILLIAM MANN
hDDNE55: '2860 EL RIO CIR
COSTA MESA,CA 92626
RYPL. MAIf1NG ADOflE55: 5 4 0— 3 7 9 �
/JiCNRECT ON FItiNFEH:
JICN.OX FNG.'S ADUIiE55:
CONiflACTqI'SNiWE CALTON ROOFING
CONfIIACTON5YYIRM 3124 MCKINLEY
uc. ea.:
UNT:
UM:
(714)549-2725
�oo�ss: COSTA MESA CA �G� 587704
92626 uNT:
LICENSEO CONTXIICTOPS UECIANATION: I he�eEy efli�m under panelly d pa�ury I�el I em liceneed uMM pwiobne ol Chep�e� 9
(mmmerviiq wilh Sa lion ]000 0l Drvieion 3 of �ha &mineae vM Prdeaeiwre Code, a�d my licerree ie in hll lwce uM aHetl.
cmuc.No.: 1 /p� uc.cuss: C39 uc.r+o.: 5/8�770A9' �•XP: 10/95
Deie: . � � / � Gonlretlw: �fj'C���-',Y
,
NEfl BUI EH UECL�flAiION: 1 hereby ��m unEar penely o/ perNH �� I em eump hom tM Con�reppa Limn�e lew lar IM
idbw'vq reeson (Sepion ]031.5 Buaineaa end Prdeeaionn Coda: Any cily a munly MfiiM nquirea e pemi� lo mretrucl. ellar, imprare.
Mmolah, or repe'v any ai�ucture, piior io ne eeueMe, emo raquires ihe epplicen� la wch peimil to fib e sgMd sletemeni tM� ha a sM
limneed W��I �o �he powions d iha Contredon Lioenae Lew �Cheqer 9(wmma�iq xilh Seaion �000) d Diuoion 3 0l lhe
�ainev and PrWeasuna COEe� a Ihm M a she o eaemp IMehom and the bnip Iw Ihe ellepeE exempinn. My volmun d Sedion
/031.5 by eny ap0licenl la e permn wbpde Ihe epd�� lo e aril perielly of ew� mws then live hundred tlollen �5500�).
� I. av owner o/1M proparly or my empbyeee wnh wegm av Ihx ede mmpanmtion, xill do ihe xwk, eM IM et�ucluro o ral inteMed
or oflerad lor seb (`��ion ]0<4. Busmm eM Prdmabne Cods: Tha Coniretlaa Licenee lew doas rat epplyb en owrwrd propa�ly
who builEa a imD�ee the�eon, arM wfio daea suW wwk Nmeetl a MneY a Nraqh he a her own em0loyaee. DroviEeE thm euch
impovemenl� are roi interMed «dlered la eele. H, however.IM WiMinp or'vnD�menl u eok wnhin om yeer d mmplMbn, tha
owinr-0uiWer MII heve IM WNen d provinp he a ehe Aid r�a build or improve Iw Iha puipone M sNe�.
❑ I. ae ownar d tM peapwry. em uduervaly mntred'ep wdh limnaed oontreclae ro conurup �he prqee (�� ��. Buainma eM
Proleaiana Gode:Tha Coniieaaeticense Lew Jow nd epply b an ownerd propeny who buiWe a imqovaetheraon eiM who
comrecp Iw wM 0�9'�h e cmirapor�e) Icanead punueM lo Ihe Comredore Licenee Lew�.
❑ i.m e.amm ��ae, san�o�: e. a a.c., r« m„ �:
Oela: Owna:
I do Mreby cerlity ihet I am ewera d arM uMentarM Ihe repuiremenia d Geldomia Heellh eM Selery COEe Seaiona 255U5, 25533, vk
2553a, eM ihel I w eny INuro buildi�p rcwpent will / wJl nd (arcb o're) neeE lo comply wih eaid staU oodae aM IM mpunmanb M
Dete: Applicenf.
W ORKEq'9 COMVENS�TION DECLAPATION: I Mreby aifirm uMer penehy W pa�ury one M IM Idlowiip Estlermiom:
❑ I heve enE wil manten e cs�iliuta d ooneenl lo eatlimuro b xarken' wmpenulbn, n povided lar by 3eqim J]00 of the Lebar
Code, fw iM pe�ormarice d IM v.ork Iw wTich Ihu peimil ie inued. .
❑ I heva enE wiE maintein waken' wmpemelion imureno. n nquirsd by 3etlbn �)0p d iM LeEar Cada. for tM pa�lamence d iM
X work lar which Ihia permil ie ioued. MY wa�A �Penwion Insurentt wnx end polky numbar are:
Cerrier: STDTF wr�ntn EXPIRES
Pa°Y"°'""°° 3�5-95Ut�11T8S� 01/01/96
s ron rresd rid he romdefeE / Ms pe�md ie ia ons hunCroC Eollen /$IP01 a bu.1
cenM ihm in tha perlorme�e d iM wM 1« xAch ihis pe�mit ie iauaE, I ehell mt emdq' env � in any menner eo a� to
become eu ' lo tM ' compenmlion kwe d Celilomu, and prea Ihel il I ehoulE ome wbjea io tM xqken'
cnmpen�/y proviaiom 00 0l tha Lebor Code. I e�ell toMh ' h ' h t ' bne.
Dete: / � � � Applcent:
Weminy: Fe/lun ro��cun woA'n�'romprwtlan mvo�p� b unbwlul, antl IHub/�cf m�mp/oyx ro er/Mlul p�neltlo en0
dvll nriu up ro om hu�tliM rMua�ntl tloll�n lSiPD,00dA In �dd/tlon ro!h� cwt of compww�lon e.m�ps� �� provlWtl ror In
CONSTqUCTION LENUIN(i RaENCY: I hareby alfirm under panalry W prNrv �htl ��ere ie e caM�ud'an bMirp epe�y br iM
�IBI�OlTBIICB O���1B N91�t�W W�111�11116 Pef1111119 941184�$BC1U113091. CiM.�i�.
LEN�ER'S NANE:
LENOEF'S ADDPE55:
I ceniry ihm I have reea Ihis eoolce�im end pme Inm iM ebove iMortnmion ia wnea. l earee to mmOM vritn all tlty eM county oNinenroe
uM eiete kwe reletinp io building conslrudion erd Mreby anhorae �epaseninnae of ihn dry to anter upon IM ebv+e�mentoned propary
brimpenion ourposes.
RICK K EN
o�a: � ��
S'/ ure OvmerlRpenVAppli nV
(S15tJ6.WP) WhnsBuilEinp 8 Sefety; Greeo-Fb; Cenary-AOW�I Pink-Rwmua; (3oldenroE-A+�amr
.. . CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B, 07352
PERMIT NO: B 073526 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/O 6 RESTH 6 REOOF W/LITE TILE SQ FT: 8,500
CLAIM VALUE: 8,500.00 CALC-VALUE: 8,500.00 GROUP OCC: A-3 /M-1
COMMENTS; SMOKE DETECTORS ARE RE�UIRED. DURALITE 5.8PSF ICBO# 2093
�xx+�***x�**�x��+r**��+�+�*+�*�*+�xx�*��* �r�r+r�rx��r�x���*�rx�x�xx�*x�x***x��*�+�**x�**x�*****x****+��*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14156218 ZNE: REF NO:
PLANNING NOTES> f"
j . �
i(' if 1E 1E iP 1(� if if iE 1f 1f iE 1f 1E 1E 1f 1E 1f'IE if iflf 1F i6 if iF 1E 1E iE IE iE iE iE if fE 1E iE 1E 1E 1E 1E 1E 1F 1E 1k ik 1k 3E iEiE 1E if 1E iI� ik 1E 1Fif iflF 1F If 1E 1E iE 1E 1E iE 1E iE iE iE IE iE 1E 1F 1E 1f 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
%i-
ZONING APPROVED BY DATE: %i
BUILDING APPROVED BY : DATE: i°
� Cp� r
APPLICATION ISSOED BY: ���. DATE: ]
i[�it�iti[�itit�itit�iti[�it�ititi�i�****x�**3F7FiF�F7F�F3F3f�F'{F'JF3FiF3F7F'iFiF�it"9F 3FiF�F3F7FiF7FTF'iFiF3F+t�*i�it*�t�titi�it� i�*
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GME T:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 85
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV->. PERMIT ISSUE PLAN-CHECK
TOTALS----> 108.85 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
108.00
TOTAL PAID DUE
108.85 108.85 .00
108.85 OVER/SHORT: .00
FIRE SMIP/Tas GRADING PLAN-CHECK
1E if 1E iE 1E 1E 1E 1E 1E 1E iE iE 1E 1E'!h'lE IE iE 1E iE 1E 1E 1E 1E'lE 1E 1E 1E iE IE if iE iE if 1E if 1f 1f iE if if 1E if iF if iE �Ih 1E 1f� 1Eik iflE 14 �IF 1f K 1f iElE1E iE 1F iE fE iE iF'1E'lE 1E IE if 1E iE'lE iE iE 1F 1E
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
SFR 8500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 8,500.00
END OF FEES
SM�KE ��EC7pR
�?EC�IJIRED
Dt �D1&731�—QO1S73i9 T�] T iq�,g�
DAT'c: 'J7/31/4:1 TSt}f: 14:29
� PgOL PQ :
CONSTRUCTION AND PLANNING %
sAPPROVALS Permit # � Date Inspector pppROVALS � Permit # Date � Inspector
1. Temporary Electrical Service orPole- 52. Pool & Equipment Locatidn � -
2. Soil Pipe�Undrgrnd. =�;�. , 53. Steel Reinforcement .�
�.r�3=,Elestrical Conduii Utlity-Undrgmd. � 54. Forms - � . ��
...,�.....� �... � ' i+r -
;�"E�Qctrical Conduit��n�drgrnd. f� _ � 55. Electrical Bonding �
--.T.�`-j9teel Reinforcemers3 :' 56. Rough Plum6ing & Pressure Test �
S 6Y�jectr�cal UFERJ�'. 57. APPROVALTO COVER=GUNiTE �
-7. Frootings �. V � 58. Electrical CondWie.Undrg�nd. , ' � �
_� B�Foundation �d%i �'- . 59. Gas Pipe, O Untlrgrnd., Test' '
=
`9. Water Pipe-Undrgrnd. . _ 60. Backwash �Lines,�Trap, � Undrgrnd.
T�. Structural FloorSystem �• 61. APPROVALT(�ffECK >'� -
it. �roperty Sewer Line & House'"�Connection . 62. Backwash & Receptor�Final..' .
72. Sewer C2p � C r 63. Heater & Vent-Final
.
73. Roof Dreins ^, ,� 64. Plumbing System - Final '
14. Rough PlumbingV- y j 65. Electrical-Final ��, �- •
15. Rough E�ectrical=Conduit ` t.' '' � 66. Solar SVstem�F'u.aa4; I �,l
.t. �
16. Rough Electric �rirtq; - � 67. Pencing & Acc�i-Approval - �
17. Rough Wiring Sign ' � 68. APPROVED F�R f'LRSTERING � ��
18. Rough Electrical-T Bar Ceiling " 69. POOL/SPA SYSTEMS FtNAI ` .
19. Rough Neating& Air Conditioinin� Y �� � r�. � `. FLSrE,�Q�PT.UREQUIF�EMENrT „�
20. 'ou � FacioryFir ✓ace � ''r' N - � _ = �` ' � � ' �'"J ^ * �: �
�. 9� 1`i �� � aC" � -t .%�PP�V6:��r-.Peimit#
.-,..
21. Duct J in StruFtur€_' Y .. .• S- * � y _� �, .� 70. L,�ndergrqti�id H�t1ro ,
22. Dutts; V?ntilatting��r � '� f v c � :-,x �� 77. ProductPiping L76as �Oil
23. Gas Pipe�Rougti & Test ' '� C' '" � G�k'-72. UndergrdUr,r'fi FCt;Ishy �. � �
r-. , �r : � r ac C - �' r •
24.Roof=Fra(nmg.' G;. �'�`" ���, K�' p � ,.�',".73=iUndergrd.Stor�.F.ankTOGas❑Oil
25. iioofShedthing ;*tY � = " �S� �r "' 74=�verhead Hydra ��
�r" � y� =t'
26. �'=Bai;Ce�ling (StruCZ�ral) &(vFOi �at � r� y'� m� 7b� :Dry Chergical c+- i~ � rr,
27. F�amf•and Flashin8t?� G��%: > � >' ��� 76. Dry Starr�'pipe r'm `•. �.� G
''•28. Lathing $r5id'�z19 v{ �' r+M� �� �� •. ..t-�,c 7� FIXED �UTE,�ItFINAIi � C'. m
..29. Insulation . � i' " ^ .. � W c i .� 7$� FIRE PREV. F �N�l � � 'j '' �L
'30. Drywall Nailirig' ix `-! i e:� jY 5 ??�LTt�'DEPi: REC{�UIFiEMENT �'^^
' 31. Plaster BrowncCoat * � � r•'^ a i 't:' 79. FINAL INSPECTION '• �_ y���
� ... � • . . T�_ . )' -_. F-. T ,/'ti
ti i I y: N 1 �': T1
�32. EjectricalPower MA4��Fina� �; � i SQ�FOOD CERTIFI�'C'ATE IS�ItED_ � I�/';
�i ..� x � � _ - .. _ �< t
; 33. P�j'nal?EIBCtfiC� _.r . G 3: � i �, Nfi:es: - . :� �•�" � �
i 34. Fnal�Neatin9 $e Ar'f?(?�o tfftionin � K ^ � �� `r `-�� � �' " � �' � t` 'r"
1 r� T � i. rr, $ R' 7 k. J i--I � F'�t, Y C�1 r-' .+ti.
n
, 35. FPnal=Gas-Pipe;Test � p.' : X ti � � � c%�-+ . y F�� a, •`'.
H y r. _ i
,36. Hood�or .��anoPY ya: -"�'1 m'7 x � � ' �tx F T� ' P7 �C7 ' A
v t�
.� �� . � v ' . . `.
�37. FSnal`FaGtorY Ficep�e .r r� �. r, n; �
- � rr
"38. Final(PlUmbing -�•y� . �: '�. ' � S �-' _� �, .+- -
.^•7 .r '� -r 3. � c r+ �, a' �. :�
�� � �V �
^39. Water'Seruice•Final�r � ,�� �., ( !f � -� m ' �.r _
' �i' L- f` k I-^
:�40. Gas Service-Final �' t % E"'"" � � ��� � `� `�`'� ��" *
C r, :) c.. -. ::� a � i� r-, . :l. F, r- i
C �J O. e • � . . �J� w
_,41. Solar pomestic•Final, ' ,',y * � ;v �� . � :�
z y
42. BackflowPreve�teHM. N ^ ' �' G �:- . ' C `�
r ol .-:�-. : H Y. inCC Yc r�
" x .. 5 .: . .,. .. ' .
43. Backflow Irrigationj,� y , .t � � ' •
- � -
4L. Landscape�lrri,qation5ystem „� `� x k m "� v* - �% �' `;-.� v 5 � '
::, ,. �a �a: Z x z< o a' . S
: . .. ^ � k - f ... r n r .-. . ._ .
45. Sound Attenuatioij,. :.. ' . � ;:±,� � ¢w �C x
= x
45. Nandiw{� Regu4ations� Y' - � ^ ..'� � " .` '�'� ..- r
x - 'K � s. [�]:aC C' 1
4Z. FINALSTRUCTUR��&BUILDING ���.�..1���(,✓�; ' �� � t' •
rr
48. FaNFiI! PLANNING � . - ; n% - ;-- �. � .. - ti '? ; � �;
49. Electiic Release to Edison , ��, .` ,Q •,-. s o
-, - K �
50. Gas Relea4e to`Southbm Califorma6as Co ?� ! �* � `: • ��r• x p •
r , c •..t • �o � N J
51. CER�{F�CATE OF OCCUPANCY ' _ � ' � � -' ^ " '-
No. Date
. : . . 1, . . . .
.X
� ;� ,
.
K E N O' B R I E\a1 8z A S S O C I A T E` S
:.lii :SI..� �-Irr.:�. ��..•c.�n�rl I�rnrl�. �•:�li("rnin ���ft(trl 7i-t-(;?:i (141Fi
.��
REPORT OF COMPRESSION TEST
GUNITE TEST CYLINDER
JOB N0 ll:.pp0_22
PROJECT:
3wimming Pool, 2800 E1 Rio� Costa M1fe3a, Cr.liP.
SAMPLE "FROM:
Bond SeEun � - Deep End
, ARCHITECT : D. C. Adams
CON'TRACT�R: t�loderr 9nilders
MIX� � 4_1�2 - 1
SPECIFIED STRENGTH, PSI: 2,ppp psi at 28 da,ys
Cylinder No: ��7
Mark No:
Size: ;�.O��K12.0��
Made by: ,7. Fienlev
Date cast: p�y .10, 1�65
Date tested: py;�• 17, 196j
Age of test, days: 7 days
Max.load to desiruction,
I b s : 10 _�: . "700
Compressive strengih, psi: �.��;g
RFMARKS
�21�
b.0��x12.p"
J. Henley
May 10, 1965
June 7, 1965
28 a�vs
•r3, 600
2,780
325y
xold
JUN S �1�
��ty of Costa Mesa
Buildmg �eP�
REPORTS T0: �
City ot' Costa htesr�, flui.ldinb Dr_nartment, t�y5 west 19th St., Costa Mesa, . �
::i��nal Construction i��3i.7. I,.1 Jol.la, Placentia, Ca].i:'ornta
1•frx3eru I3utl.ders, 1011 Co��tn Huron, Sflnta Arn, C�11,"ornta
J. hi. IIenle;r, 1�+7� tJeWport Blvd., Costa hfesa, California
Respectfully submitted,
/�� KIi:\ (7'13RIli:\ �'U :\SSUC1:\'1'F'_S
l� ���
V l 5 By: ; �_ "� . -`� .
t�fny 17. 1965 +
June 7, 1y65
M,O. B 4•FORM-49
; ; ! . 23916
. COSTA MESA BUILDING-SAFETY DEPARTMENT
�� P.O. BOI21] COSTA MEBA, CALIFORNIq
For Applicanf to Fill In Complefely
�TYPE OR PRINT
BUILDIN6 � Q Ei� f?/ � • �
ADDRE59 F..
COSTA MESA, CALIFORNIA
1� STATE
Q !
TEL.'
NO. OF OLDaD.
p BETBACK UN8 FROM ' • �
OF WORK
r u5E OF
CITY OF COSTA MESA
APR 26 1965
zoNrHc
NO. OF U8E OF NI
PLAN6 lYILDINO
�eo,,� 7—t7 1��T �R 4�- o
DBiCRIR10N
A. P NO. f�'J/� v W �_ I O
NOTE: NO 6AVE OVERHANO &HALL�BE LE55 THAN
YAROS MPROV EI
MAIN BUILDIN6
(FROM C/L STREET).
DISTANCEBET
MAIN BLDGB.
VAR. 2F
VARDS APPROV ED
ACCESSORY BUILDING
�.
�� FT.
Ff.
�. .
BET. MAIN Q
ACCESS. BLDC9.
OATE
APPR VED . !
� DATE `/Cv^� �
d`-� rQL�'....,,�..��
�
r. .
1 HEHEBY ACKNOWLEDOB THAT 1 HAVH pEAD TH19 �PPLICATION TN8 �MOUNT eHOWN UN�EP V�LU�TION 19 FOR TXH
AND eTFTE TXAT THB ABOVB 19 COHPBCT ANO AOflEH TO COM. �P�1HPO6E OF HBTA6L16HIN0 ♦ PERMIT FEE ONLY.
PLY WITN ALL CITY ORDINANC68 ANG'9TATQ LAWB R80ULAT�NO � yqLUAT10N � �U
euuo�NocoNeiaucnoN. . . PERMIT FEE $ ' I �
SIGNATURE OF
PERMITfE '"� J� LC
.._ � $ 5 DOV LA C CP
' ""__" __ __"" . �a�
A
, 45875
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS o E,�;�,o c,,��,�E
OWNER �`/ �y � E,p,�/Ny
MAIL 7 O L�C -�O /�C+Cf
ADDRESS i�
TEL.
CITV Q,$�� �s'A NO.S•yQ
CONSiRUCTION
LENDEF
BRANCH
ADDRESS
ARCHITECT TEL.
e
AD
-_ --,.., ,- - , _-__,^ ._
' �, �' l, ,. _... _ .. � ' � �1 �
�TFbN FOR STRUCTURAL PEF
7
NO.
DATE H �/LI
C9
ADDFESS
TEL. Z�NE NO.OF USE OF NE G
CITV NO. P�� BUILDING � e'yf
i.F+ STATE CITV �'ARDSAPPROVED VARDSAPPROVEO
� LI0. NO. ' LIQ NO. MAIN BUILDING' ACCESSOPV BUIIDING
{x,j SIZE NO.OF BLOGS. (FROM C/ STREET)
�+ OF LOT NOW ON LOT RONT /�. FT.
� USE OF - � ��
EXISTING BLOG. � FT
� �
� Separate permits are required for L. SIDE Fr.�- Fr.
o electric, plumbing and heating work. REAR .'/ / -7 FT.
W� USE OF BUILDING ANO WORK T��"• "
DI5TANCE BET. BEf. MAIN &
� MAIN BLDGS. ACCESS. BLDGS.
VAR. # DATE
a F' — C.U.P.�W APVROVED
7 f,
r E ��. � O PPPROVE / y`� �/
/
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� I hereby, acknowladpe thet I have raetl thia application end siate
p�. that tha abova Intormetion Is correct entl epree to comply with
0. ell laws �epulailnp building conetruction, and I ehall not employ
� eny perzon in violetlon of Me workmon's compenaation laws of
Ma State of Celifornla.
+; I �e�eby certify Shat I am prope�ly Iieenfetl as a contrector untler SQ. FT.
tha Stete of Cellfotnle Business and Pratessions Cotla, Dlvlsian 3, THE AMOUNT SHOWN UNDER VALUATION IS FO
Chapier 9, end thet euch Iicensas are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY
am exempt from the provlsions of the State of Callfornia Business VALUATION PERMIT FEE y v�'
end Profea91on9 COdO, Divlalon 3, ChOptef 9.
� PLAN CHECK E
Signatura of� �� p/' / ///��� � Q
Permltte?�!�///��G�/x � ���N�y $� TAX E
i ` �` �{
AuthorizetlAgeni TOTALPAID E v�
n
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$
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i 4406 3/31/80 36.50 TL
COSTA MESA BUILDING•SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
r.u.nun izw GVJIAM[SH�I:HLIFUI(IVIHtlLbLb
'RECEIVE V � PERMIT D
For Applicant to Fill in Completely — Use Ink Only
ADDRESS �Q � O E�• Id (i//CCL A.P. NO. "' �^•
BUILDING . � O
OWNER OR ADDRES f ,
TENANT O�VNE� UNITOR
MAILING PACE NO.
ADORESSa��O ���%Q �/�C�-�
/J/y, TEL. �j"/�� TR. LOT BLK.
CITV (�Q.STja'1 ///LC�$'�i NO. �
CONSTRUCTION NE AD TE R AIR MOVING DEMOLISH
LENDER %J
BRANCH —
� OWNE
ADDRESS � �f � ,( � VAWE
ARCHITECT TEL. USE R� ��.�/J�(.r1C.(� $ 2D O
OR ENGINE R � N
ADDRESS '��/{�/j ZONE TVP GFOUP R�
APP VE
CONTRACTOR BV DATE � 3 — �
ADDliESS �P�✓O ���/� C..���C,Lf
/�/� TEL.
CITV `OST�i /// _%jA NO,�`
STATE CITV APP ED SETBACKS
110. NO. � LIC. NO. '
SIZE NO.OF BLDGS. (FROM C/LST
OF IOT�j �X /� � NOW ON LOT � OM
USE OF
E%ISf1NGBLDG. ,E � FNCF
Separate permits are required for � s CLiQ
electric, plumbing and heating work:
REAR
USE OF BUILDING AND WORK TO BE PERFORMED PIJiNNING ACTION
� oaTE
E. PPPROVED
/ O E
I hereby acknowlatlpe that I have reetl this applicetion antl rtete
that ihe above Iniormetion ie corze<t end a0�ea to <omply with
all lews repulating builEine conctruction, entl I shell no< employ
eny parson in vloleUon of the workmen's compensatlon laws of
the Stete of Californle.
I hereby cenlfy that I am ptoperly Ilcensed as a contrector untler ( � SQ. FT.
the Smta of Cellfornie euaineas antl Professlons Code; Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapier 9, entl that euch licenses are in full force and effect, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV:
em exempi from ihe p�ovlslons of the Scate of Califo�nle Bucine6s VALUATION -
PERMIT FEE S , �—
entl Protasslons Cotle, Divlslon 3, Chepter 9.
/� PLAN CHECK E
SIB^atura of �� o +�Oy{O �C� • ^
Permlttea�GL/Q+-a �'.�_" fG!/ $ Gj �� TAX $ 7'�
o� d
Authorizatl ABenS Date TOTAL PAID 5
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4-� ;
COSTA MESA BUILDING-SAFETY DEPARTMENT
�� P. O. BOX 3f7 COBTA MEBA. CALIFORNIA
For`Appiieanf fo Fill In Complefely
TYPE OR PRINT
.AD�Res"s 2800 E1 Rio Circle -
- . COSTA MESA. CALIFORNIA �
�WNFR�esa Del �ar Development Co.
ADDRES& 3s� �. ��oast Hi hvra �
�„�, Corona del �ar, Calif. No,-OR 3-Lt�
eo.-���.-� , r�� .
ADDRE56 Z8�'E. �oast �i hwa
�,TM �orona del' ar, Calif.
�`� No:' 988o8-SB-1 No:
o� oT � f%1120 SF-plus I r"+°o'w oi
USE OF ' �TORB � �
EXISTING BLDG.
sereauc uHe Fxos�
CENTER OF STREET B� REAR YARD � Fi��
SIDE YARO I LEFf 12 � 3i� I RIGHT lO � l�� ^ ^
DESCRIPTION OF WORK-
�y�b5���r No. oF 6 1
onnr.�e emome
�Ft �Ec��vEo
. � � � z a tsst
FINANCE DEPT.
CITY .OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
COSTA MESA. CALIFORNIA
ZONING
NO.,OP U8C OP N
PLANB Z BUIIDINO
LHOAL
A. P. NO. II3 � � IO '_" (O /
YARDS EVES.
APPROVED ALLOWED.
�cerma uNs er.� �1
FRONT 7 8 FT. ��
/ /
R. SIDE /O F'f.
L. SIDE � � FT. �
REAR / � FT. �
APPROVHD � / A . �I Z 7
BY h0-n.. nerc
�
EXTERIOR Wq{.L 7�(�`(,`p ROOF m
COVERING & W Q COVERING 1 �8S .L1V1I1 area 127� SF'
USE OF BUILDING AND WORK TO BE PERFORMED �
Gara e area Lt1t5 "
Single family residence Covered orch .159 "
R�attached garage
1 HEREBY ACI(NOWLEDGE TXAT 1 HAV2 RGD TH18 APPLIWTION 7�{g AMOUNT eHOWN IINDlR VALUATION 18 POR n�e
AND BTATE THAT TNE ABOVE IB CORR¢CT AND AOfl68 TO COM- p{�pp08H OP lBTA�LI9XIN0 A PBRMIT PEE ONLY.
PI.Y WITX AlL CITY OfiDINANCEB AND 6TAT8 UWB p6QULATNO
ew�.o�x� coxsrnu ioH. � ' VALUATION ' /�
SIGNATURE O � � ��, PERMIT FEE $ ��. ((/
PERMITTE
$ 1377�1.��
/(o, DO "
46.00 0