HomeMy WebLinkAbout456 ELMHURST LN - Building Permits.
�noarssaew�owc: q56 cLMHURST LN
OWHERSN.WEIFppWN: F;ILL, bOBBY D
.00x�ss:456 ELMHURST LN
�OSTA ;�1ES� , CI�•
wv�. uuuxc aooxess:
ApCNRECT OP F1M�NEEP:
ARCN.ON ENG.'S AOOflE55:
UNT:
92626
�5-�
uc xo.:
UNf:
coxmecrarsw� CRYSTAL AIR ( 714 ) 539-2593
cam�croxswuur+o 11801 MAC STREET
�oo�ss:f;ARL�EI+I �Rt�VE ;=A ucno.: !���,�'3h
92691 UNT:
LICENSEO CONTNRLTOHS UECUIN�TION: I Mreby efl4m uMx penely d paijury ihet I em IicenxE uMs praieiom d Cheqa 8
(oommemrg v.it� SecWn 10W) d Diwun 3 d Ne Busima enE Prd»eiona Coda, erd my licenm is in lull lace enE ellw.
PERMIT NO:
CITY OF COSTA MESA - bUILUING PERMIT �—�OD�/ �,
PERM NO: M 086999
NU
N GOVT: N SUP�: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC
JO$ DESCRIPTION : FAU CHPNGE-OUT, ADD A/C 6 ELEC. UPGRADE SQ fiT:
CLAIM VALUE:
CALC-VALUE:
GROUP UCC: R-3 /U-1
COMMENTS: X
?E ### x.c ¢ sf h; x x x x x'G �7c if aE #�lF 1E �# iE iE i<iE 9F 3E ic if 3E it �E iE iF?F jE �7! iE jE-k 3F it iF?F iE iE ic iE iE ff iE i� iE it iE 9E #�k iF �14 34 �]E 3f iF+` �K a(- 3E 3E iE iE iE 3E i� 3E 1f 3f
Z O N I N G R E Q U I R E M E N T 5
5 E T B A C K S
cmuc.No.:042006 uc.cuss:C-20 ��_ y�a.: 655036 EXP: 03/98 ---------- MATN BUILDING -------- ------- ACCrS50RY HUILDING� ---------
' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
° �� "Q c°'"'�"°" �`-'+�'� LEFT; FT ZD] RGHT: FT IN LEFT: FT IN RGHT: FT IN
IN BUILDEfl �ECIANATION: I heroEy eifirm uMer peneYy M perjury tlal I em emmp Irom Ihe ConVeaae lirome lew /a ihe
iowiri9re�o�ls«ro��misew�ardv�d��ecode:e�yo�v«�oywnim��ireae��nm�rewa,anar,imoro�, pARKING REQ: PROV: PARCEL: 14137223 ZNE: REF NO:
Eamoloh, w repes eny svudirce, pia w es usuerice. e6o rxiuiree �ha epqirant lor such paim� m file e aipned eteiement ihm M or ahe p LAN N I NG N OT E S>
h licemed pu�mient to Ne pro-ri.vim� W IM Conlredore Licenae Law �Ghepter 9(mmmmaip wilh Sedion ]000) ol Diieion J d ihe
Buaineea erd Rdawiau Codej a Ihtl ha w ahe is a�amq therelmm end the bmo la �M dleped exemqion. My videlion d Seeion )
)IXi1.5MenYePW�MloreDermnwb�atMeGWiceMloecivilVanellYdmlmaathenfxehurdlaJdoAen1f5001). if3E�1l�lEifiElFiElkfE'1f�ieiEiElbi!�iE*i!�3EiEiE3ciEif�iE�lE3E.Y°icifiEie'lE'fiEitiE�lEiFlEiEif�?E'.E�ihif3fiflF�FiF3i�t'lfifjk�F?E?E?E?EjEiEiFifi'rihiE?6iE:�3Ff.iE'.E
� I,eaownerdlhepropenywmyempbyeeswYhwegeaaviMieolammpenaeiim,xdldothawwk.arWthasirvcwrecnainundeA 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
a olleraE la eale (�� )�. Buvrms eM PMesaona Cotla: The Comreaon lioanse lewEom nol epplyto en owiwrd p�opery
who Wide w inprovea Ihereon. end who doea euUi wak himcell or haneM m Ihrwph he a har own emplvyeea, pwided thm wM
impwememe ere M intenEad a dtered f« ede. tl, howevar, Ore buiNiep a improvemen� ia eald v.vhin aw yeer d ewnpb�ion, tM
ow�rouilder vnll heve iM burden M provi�p he or ehe d'M not Wiltl or imqove la tM WN�e d aeb�.
� I. ee axnn N tM propeny. em eadusrdy oontrmiq xilh IieeneeE eonvenwa to wnmua tha P�I� (Seaun )016. Buaiese erd
PMe�iarre Cade: TM Contrectae Isenae Lew dms nal eppy lo en owner d popeM �o builde a impvuae tAe�eon e�d who
convecp la wN prapcta vmh e oonlretlor�s) liceruetl pursuenl lo IM CaMredon Limnse Lew�.
� I em azemq under Senion: B. 8 P.C., br th6 reeaon:
i eo n�w �nar mm i� e.� a.oe ��B�d ma �a���a� d cdaom�a �nn �a smar coda saa�. nws, ns.v..�e
niu. eM thm I«env hnure WiNiiq mvD�� vn�l / wYl na (dmb ma) need to comaN w1n eek nme mdm eM the rtw'uemenb ror
epemMlawuvuctian«moEifiralianhanlheAv ue�ty erepamentDiatnd.ReaideMidmnaUupionepplcmiomenwmqtvntMee
„�,..
Daie: ' AOW�em:
WONKEF'S COMPENSATION DKL�NATON: I hereby eMum uMer pnW�y d perjury wr d Ne Idbxirp detlermiom:
❑ � ne.» and xill meimen e cenncm<a roneeni �o e.nir�nure k,.wrken' wmoensmion. es rwided �« M seeian 9)0o a �n. L.na.
Cada, la the peAoimence d Ne xoh Iw which ihia paimn ia iaued.
❑ ine.��d.���m�won�n��w�m�ms�.�e...�a��reaMs«r�o�a�aoame�norcoae.m�mewna�eam.
work lor wf�itli Mo permn n mwd. My wakers compensation insurarica umar ud poliry number ere:
C+rriar:
Policy Numbar:
•, (Thi9 SMiOn ne9d nIX be roTObre! [ flb pa�mR % Iw 0/ro huM2d dOl(ay (Sl W� p/W.)
�Q I cerlly kw in Na pertamence d ihe wwk 1« xfich �he pe�mn ie immued, I Mell m� emplry vry pemn in ury men�nr eo m Io
become wbjetl lo tM xwkns' compenselion lewe d Celilomie. eM apree Ihe� il I ehauM ba[ome euEjetl to iM xarlmrm'
�w�smwn o��sians a s a�, s�oo w me �enor coee. i.nen nn.mn mmWr w�m mme po.;,�ov.
r
Dele: �' � ' ApplicarR
W �Inp: FeNun ro�xun woAas' carryarutlon coverep� h unlewlul, antlWll Wd/xt an �mployar to eNMrolOerwMsa aiW
vll nro. w ro aro nt�erod rhomnJ JWNn (St00,0001, �n Waltlon ro M. ro•r ol comp.�w0on, Gmep� o povMM ror In
S�cHon JllAS o/ fM l�bor Catl�, Infru4 ��tl �ttomey i Mw
CONSTNUCTION LENDINO 10ENCY: I hereby alfiim under penely d parj ry ihet ihse e e �nnstrudion bnN�p epenry la Ihe
peAameze d Iha vrork br wliich Ihe pefmi n ecueE (Sedpn 309), GM. C).
LENDEfl'S NMIE:
LENDEfl'S �DOXE55:
I cenJy thet I heve read thu eppliulion eM etete thet the above iMamelion is mrted. I epma lo canply rrith ell Uy eM counry adirerces
eM sle�e lexa ielelvp b build'vp cauvWion end hareby flulhorae reqeaeMelrvea dthia aly to eMer �pon IM ebv.e-maMuned pmperty
�«�repBd10nqipoaB''RALPH BELL
o�, a� -Q �
(5151d6 WP) ... Whne-BuiNiq 8 Se1Ny:OrearFle: Cenery-ADGd�t: Pink-Revenue:Ooldanm�Assessor
ZONING AFPRO��ED BY DATE:
bUILDING APPkUUED BY ; DATE: I�—'+
APPLICATIUN ISSUEU BY: /�V1�T DATE: ��c--��I 1�
�f'H"�if*'�Ci�"��'N'.y'�*�'�'�'K'*�'�'�-�' . . . . .. . .. C Fxn'T'�'j�"x'�('�("�"%�"x"x"�'�'�C'FT-n 1 � �t-1F"'�(.
LEGP.LIZATION:N F E E 5 U M M A R Y STRUCTUkAL SEiMENT:N
• r .n
i'"
bLDG PN,T PLUMBING ELECTR�IC '�ME�HANIC�4' FIRE SMIP/RES GRADING
PERMIT � �: ��26.50 �_
� .`%, ,�,, (.. 25� . SMIP/NON-RES
PLAN ,� '%� .,
ISSUE FEE Z2,00 't
bUILDING-UIV-> PERMIT ISSDE PLAN-�tHECR _TOTAL PAID UUE
TOTALS----> 26,50 22.00 ��Q�.:OOC 48.50 48.50 ,00
,, .,,..
REVENUE DNISION TOTALS--% CULLECTEL7fI' �J 98:�SU O�TER/SHORT: .00
BLDG PMT PLUNBING ELECTRIC MECHANFC � FIRE�-;SMIP/TOT' GRADING PLAN-CHECI:
4 i�i� 5 o sti
�.
3E i'r iF 3't ic iF if jf ik 3E if iE 1f iE �E i:� ic # i'r 9E iE iE �?i ff iE iF iE Y 3E �E ik �E jE ik 9k iF-]E �)f 1! iE i1E,-1E iE�%(' �lk iE �! �F �le ii,?f�jE ih iE�ii 3e �1i� iF if 3F iE 3F jE 3E iE iE �E aE iE 3E iE Y.- 9E iE 3E iE iE if
I N D I V Z D U A L" �' 'E� E� i B R E A K D O W N
� :�h
TYPE �TY U E S � R I P T I O-N= � UNIT COST TUTAL COST
iZ /'
.er ` •
MEC 1 INST FORC-AIR/^vRAV `Si3R'�I ��_ �0.0 R BTU 13. ZS 13. 25
MEC 1 REFRIGERATION SYST�M •'F= 1.0.� K HTU/.H 13.25 1�.25
END OE�MEyE S �
D �-F � `
EXP " , �.
DA'� (� � � T ' �j .:? 02-18-1998RCDTN 81p6819773
�pA � -� f,; �; F'EFCMIT:086'993
F�'a � ��
CONSTRUCTION AND PLANNINC, � POOL & SPA �
APPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
1. Temvorary Electrical Service or Pole� 52. Pool & Equipment Location �
2. Soi� Pipe-Undrgrnd. 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undr9rnd. 54. Forms .
4. E�ectrical Conduit-Undrgrnd. _ 55. Electrical Bonding
5. Steel Reinforcement 56. Rough P�umbing & Pressure Test
6. �clectrical UFER Grnd. � 57. APPROVAI TO GOVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd. ,
� 8. �Foundation 59. Gas Pipe, O Undrgr�tl., Test
9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Flopr Svstem 67. APPROVAL TO DECK ,
� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap .� . � 63. Heater & Vent-Final �
13. Roof Dreins - 64. Plumbing System � Final � '
14. Rough Ptum6ing ' - . &5. Etectrical•Final .
15. Fough Electrical-Conduit� , . -66. Solar System-Pinal �
76. Rough Electric Wiring . � 67. Fencing & Access ApPro�a� . . � �
17. Rough Wiring $ign ' fi8, qppROVED FOR PLASTERING
� 18. Rough Electrital•T Bar Ceiling ' � 69. POOUSPA SYSTEMS FINAL �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough FactorY Fireplace APPROVAIS Permic#
21. Ducts, in Struccure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping �J Gas � Oi?
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas OOiI
25. Roof Sheathing 74. Overhead Hydro �
26.• T-Bar Ceilin9 (Struciurall & Monocoat 75. Ory Chemical �.� � '
27. Frame and Plashing 76.' Dry Standpipe ,� �- '
26. Lathing & Siding 77. FIXED SYSTENI FINAL - �
29. Insulation 78. PIRE PREV. FINAL - '
30. Orywall Nailing HEALTH DEP7. REQUIREMEN7 `
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED �f,'
33. Final Electric Notes; �� _�O_C�R��� _n/Qr���n/
Q r� �r
34. Final Heating & Air Conditioning ,t � -
%/� Ic'�` ���GS -• - �..
35. Final Gas Pipe-Test I,.k_� q�_��T �` � R�cr _. i� N
36. Hood or CanopY ��,(�� �� RK�� �
/' �li�
37. Final Faaory Fireplace /
38. Final Plumbing
39. WaterService-Final . -` �0�=r�� pp� ' - .�a�U�` � At� r/_,�.�1
�� PI C,y---- ��7 �i�. �io�c.�
40. Gas Service-Final /
41. $olar pomestic-Finai � . .
42. Backf�ow Preventer .
43. Backflow Irrigation
44. Landscape IrriAation System .
t %� 45. Sound Attenuation
46. Handicap Regufations - '
� 47. FINALSTRUCTURE&BUILDING '
,`
� 48. FINALPLANNING _._ .. '
� - -
49. Electric Release to Edison '-'- � '
n � .
�' � 50. Gas Release to Southem California Gas Co _.-
; � 51. CERTIFICATE OF OCCUPANCY .-
.�- No. Date
aw�wercsxuieiviwowi+:HILL, BOHSS'-&=
nooxEss:456 ELMHUR5T LN
COSTA MESA,CA
�vv�. �uuxo �ooness:
u�cxrtecr on �ax�n:
JiCN.OF FNO.'S /iDDPE55:
92626
uc. xo.:
urr:
carim�cTarsru� 1R801AMACI5TREET ��14)534-2593
cwrn�croxs �uuxo
.00�ss:GARDEN GROVE 9z641 CA „c�, 655036
UHf:
LICENSED CONTNICTONS UECIAFATION: I hereW Mhm unEar panely d perjury tM� I em Icemed ueder povieiona ot Cheqer 8
(mmmenanp wi�h Senbn 1000� d pivmion � d Ihe Buairieas entl PrzAeeeione CaAe, eM my licema o in tull twce vd elixl.
cmuc.no.:042006 ,u/qcuss:C-20 uc�.No.://655036 EXP: 03/98
�ome: �. � ' i5 com,me,: �/UYLGC
OW N BUIIDEH DECLAHR710N: I hereby elfi�m uMx pene�y d perjury tMl I em uemq irom iM Conlradaa Lioenw Lew ta tlr
ol 9 �es�n (Sedion ]031.5 &niiesa eM Professiom Code: AnY eiry a ooumy xfi'rh �ayuiim e peemn to oonm�u v, eller. improve.
�:+" mdah, or repev eny avu<�uro, qbr lo ih evierce, elso repuirm Ihe apqimnl fa such pemiil to fib e spiwE eletameM ihet he a eM
R�` licrosed WB�a�I �o Ihe Prwiaiam a iM Conlredas limnu lew �Ch�tar 91�mmarp w�� Sedion )OW) d Orvean � d iha
�.�'�'a�Tuaimn enC Rdaabru Cade] a Ihet he m aM n exemq therehom eM iM Dativ la Ne dbped exemqion. My vidmion d Seaun
" 1W t.5 Ey env eVWiranl l« a parmil +ubjeas the epplicent to e cnil penelry of mt mae Ihen lira hurdred dollen �5500�.
❑ i.mo�,�ineaa�r«mv.mWmeea..;inweoesesma:.dammc«�.,i�.wiao�..on�.e�amen�,rn��o�a�m.�dee
w aflereE /or eele (Section ]064, Bu»reaseM Prdeesiona Cotle: The Contrenon Lioensslawtlms nd eppty lo en owiwrd poperry
wM buJdr ar'vnD� Iheieon, vM who dms auch wwk NmaeM a heiaeM w Mrpqh he u her own employw, povidad thet euch
' impwemente ere nd inteeded a aXered lor sele. M, Iawe�er, IM Wiltlirp or vnpeovmmem ia eok wnhin wre yav d eanpbtion, the
owner-WiNx xill heva IM WrJen d qovirq M or cM dk mt WiN a impv.•e Irc iM WTaae d eele).
❑ l m ormer a �ne wwMv. em eRauerveN mnvmire wnn �iaen.ed c«matlas w wimrua u�e omiea (Seaion 1oa. Bus'uis. erH
Proleuiona Code: TM CaMreGva Licenea Lew doae rat epply io en oxm d popsrlY ��ilie w impwea thereon vd who
wnleeele la such prqens wiTh e ooMreGoHe) lieensad Wmuenl lo �he Cant�eGas Limnse Lew).
� I em eaempt under Sec1ion: B. 8 P.C., la Nia reeaon:
Oda: Owner.
i eo n��y wnM mm i em e..,�e d.m mbsn�ene ine requi�amenv a cei�omie rbenn ene smay coea seaiam zsws. zssra. ene
25534, enO thei I a eny Mure WiMiiq ooc�panl xiY / w11 na (orcY wre� nead to wmpF/ wiM1 eeid +we mdee ud iM requiremmu br
epmm�tammlr�clionwmodifiraionhan�heAi u3i .�iy enepemeniDistM.RetiEentieloo�rud'oneppMMaliamenezemqlmmiMee
a�sm�a.
ove: Avd�
WONKEN'S COMVENSATION DECl1FR110N: I Mreby effirm uMer peneXy af pajury one d ihe Idlowiip Eedueliom:
❑ � nero.ne wi� nwmen . cenn�ta d mncem �o eNHoeure ror wo�ka; cano�.mion. e. aoheee �« M smion a�ao a ine �.n«
CaEe. la tM pMmrerce d ihe wak la wM1icn ihie pe�mil e ieeueE.
❑ i neva ene wi� memw� �n� mmw�un �nsureMe, m rea���.d M sm� aroo a u,e ien« cod., b, ma w��m� a m.
won� em wnzn mo aermil is ea�ed. Mr worYein� eanaa�aefon inn,ranee urtiar e�d odKr ��mee...e:
c�.:
Polky Number:
, m;: seniar need na ae comWeree 1 rne ro�e i: roi one nuneree eonan /siw/ a ren.)
}� I ceMLy ihel in iha pMa�merca d the work iw xfic� Ihia pe�mil o ieauetl. I shell nal employ eiry pe�mn in em� menner eo m lo
bacwna wbl� lo IM woM1an' companaeiion lewa d Celilwna. ard eprea �hm il I ahouM berome eubjm to ihe wakais'
wmpenselion p�o(viaione W Se ion 3)00 0l ihe Lebor Code. I�wilh comOM vrilh ihoee qovieiom.
eie. " 0 � ADWicenc I(� �C.[,/
W� ip: FeNun ro ucun workeri mmpruetlon covweps b unkwNl, ana �hen �ub/ecf en mqlqw ro erlM�ul pwaelau ena
flm� up ro ais h�nlrsd fMuasrM 0ollen (5100,OW/, M sOtlltbn ro Ms ca�10/ comperwtbrt ��pu �+ P'���tlW br /n
Sxtlon 3106 0/ IM Lebor CoJs, lnfsroif, en0 ettomey �/ros.
CONSTRUCTION LENDINO I16ENCY: I hwaby eifirm uMer penelly d perN�`/ �� �� a e mns�rutlion bMiip epenq b �Ire
�no�,�� d me.rom iw.n�m ma w�n ro 4s�ea (sea� sw�, cH. c).
lENOEH'S NM1E: '
LENOEfl'S ADOPE39:
I eenily thei I heva eeed thia epplcetion eM alme ihet IM ebove iniormelian is eorteu. I epree �o eomply xilh dl eiry vd munry okirienoee
eM atale kws rek�ip lo buildinp conmrueion end hereby eu�horiza repeaenimives d Ihia r�ty lo enter upon tM ebore-maMiaied popMy
�°���90°"�°°"""""RAI.PH BELL
o�aa-���
(515t-iB.WP) WhXe-BuiWinp 6 Se/ary; areeirFle: Cenary-AppYreM; Pink-Revenue; OokenroE-A4masn
r_�TY OF COSTA MESA - BUILDING PERMZT �� `" � D��u �
PERM NO: E 086998
P�HiI2it�t0—& Os46998 F�LAN CHECK NO: N GOVT: N SUPP: N '�
t
CONSTRUCTION TYPE: V-N PERMiT ;Yi�E-:—��,E PURPOSE: OTH
JOB DESCRIP'PION : FAU CHANGE-OUT, ADD A/C 6 ELEC. UPGRADE SQ FT: !
CLAIM VALUE: CALC-VALUE: . GROUP OCC; R-3 /L'-i I
COMMENTS: X
jE fE iE �F �IE if 3E �E il-1E �Y 1E if if� fE if �' dE �E IE 3E 9E iE �E if �E if iE iE �f iE iE if iE iE if iE iF iE 3f �lf iE iE ih i: ik iE �1F?E if �lE iE iF if !F iE jE �1E �1E jF iE iF iE if ih iE iE �S iE �/F �7F 9E iE �c � 3f %f iE IE
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 BOILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN P.GHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14137223 'LNE: REF NO:
PLANNING NOTES>
� 1.�.
�E if iElE 3E i! ## iE iE iE �ElE iE iE iE iF # iE iF iFlk if 1k # i!� if� if 1Elf iE if ie iE fE.fYif 3E±f iE'1,-?E iE jE #�1F iE -14 iE ik iE 1E iE iE �)f 3f fE iE?E iE if if� iE ii �Ih # if iE?! iE iE !E iE if iF �1l-iE 3E iE
D E V E L O P M E N T S E'17�V I C E 5 R E Q U I R E M E N T 5
�ti
ZONING APPROVED BY � DATE:
g.�
BUILDING AYPROVED BY : ,.".� DATE: ^ (�f�
APPLZCATION ISSUEL BY: "f � DATE: (M�{_ `�1(�
34ifiEiEiEiEjkifiEiFlfiEifiEjflElFif�Eif#iE . � ��F: .'�i`FiEifaEiflEiE�E-1EiEjE� F��:f�E�'r V
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SbG ENT:�I
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAUING
PERMIT 39.25
5,0$ SMIP/NON-RES
PLAN
ISSOE FEE 22,00
BUILDING-DIV-> PERMZT ISSUE YLAN-CHECK TOTAL PAID DUE
TOTALS----> 39.25 22.00 0,00 61.25 6i,25 ,00
REVENUE DI��ISION TOTALS--> CULLECTED; 61.25 UVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIr FIRE SMIP/TOT GRADZNG PLAN-CHECK
61.25
�E �F �E � iE �1(� if 9F iE �f iE iE iE iE if iE * iE 1E �E if 3F iE ik i' if iE iE iF 1F * iE if � jE iE i� iE iF 3E dE jElE �E?f iE i; iE iE iE'h � if aE iE 3t iE iE if if if iE iE iE iF-Y.� dE?E 3E �lc iE iF-1E iE iE if if �1E #
Z 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
ELE 1 RECEPT/OUTLET 1 ST 20 EA. 1.0� 1.00
ELE 1 SERVICES BELOW 600 V 6 bELOW 201 AMY "l'7.25 2"1.25
ELE 1 MOTOk/POWR APPARATIIS 1.1 - 10.0 HY 11.00 11.OU
END OF FEES
02-18-1940/86:50 qN/f61.25
RCPTk:01-8819774
PEkMIT:086998
CONSTRUCTION AND PLANNING � � ' - � POO, , SPA � .
APPROVALS Permit #� � Date- Inspecto� qppROVALS Permit # Date Inspector
1. Temporary Electricai Service or Pole . 52. Pool & Equipment Location - �
2. Soil Pipe-Undr9md. , � ' , . 53. Steel fleinforcement
3. Electrical Conduit Utility-Undrqrnd - 54. Forms
4. Electrical Conduit-Undrgrnd. ' '. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UPER Grnd. - 57. APPROVAL TO COVER•GUNITE '
7. Footin9s � � 58. Elec[rical Conduit�Undrgrnd.
8. Foundation ' 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgmd. 60. Backwash Lines; P�•Trap, � Undrgrnd.
10. Structural Floor Svstem 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & RecePtor-Final '.. �
12. Sewer Cap . 63. Heater & Vent�Final �
13. Roof Orains � . 64. Plumbing System - Finai
14. Rough Ptumhing � 65. Electrical-Final ' �
15. Rough Electrica�-Conduit 66: Soiar System-Final '�
16. Rough Electric Wiring - 67. Fencing & Access ApProval . �
77. fiough Wiring Sign � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEA9S FINAL �
19. Rough Heating & Air Condi[ioning FIRE DEPT. REQUIREMENT
20. Rough FactorY Fireptace APPROVALS Permit #
21. Ducts, in Structure . 7Q. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oii
23. Gas Pipe�Rough & Test 72. Underground Flush .
24. Roof Framing 73. U�dergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing " 74. Overhead Hydro
26. T-Bar Ceiling iStructural) & Monocoat 75. Ory Chemical
27. Frame and Fl�shing � � 76. Dry Standpipe �
28. Lathing&Siding 7J. FIXEDSYSTEMFINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMEN7
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrica� Power Meter�Final 80. FOOD CERTIFIGATE ISSUED
33. Final Electric �9/[!8 Notes:
!'
34. Final Heating & Air Conditioning '
35. Final Gas Pip6-Test .
36. Hood or Canopy �
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service•Final �
40. Gas Service-Final � ',`-�
41. Solar pomestic-Final .
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Irripation System
45. Sound Acrenuation .
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. FINALPLANNING � -�� • ..
49. Electric Release to Edison --- - �•
50. Gas Release to Southern California Gas Co �-
51. CERTIFICA7E OF OCCUPANCY "
No. Date
PP0.IECTAOONE55: 4SG—ELMHURST LN
OWNEs'SNaME: HILL, BOBBY D
aooaess: 456 ELMHURST LN
COSTA MESA,CA
APCH/ENGINEEN:
nooAess: '
UNIT:
92626
REG.NO.: i
UNIT:
PEHMITTEE: SERVICE ROOFING ( 714 ) 525-4848
aooaess: PO 1 3 3
FULLERTON CA 92632
LICENSEO CONTflFCTOB OECIAPAT10N: I hereby aifirm ihal I am licensetl untler provisions of ChaD�er 9(commencing wi�� Sedion �
7000) of �iv:sian 3 oi Ihe Business and Pmlessions Code, an� my license is in full I rce a9n.d eifect.
citruc.: 028080� srnreuc.:131545%� �/,�(qass��3%
j]me: ���' � � Si9naNre:—� -L��/� �
WOflKEPS' COMPENSPTION OECIABAiION: I hereby aliirm Ihai I have a te�ifitate Of wnsent IO Se14in5Ure or a certi�icafe o� Workers'
Compensation hsy�app¢, oj afs{t�iep, rqpy �hereo� (Sec�ion 3800, La6. C) 2� 3 O I 9 S
POLICV NO.: W Y 7 V 9!/ b V a E%P. OATE: 1
'camraxv: FREMONT ,y
� CetlifieU topy i5 hereby fumished. L'T CenilieA t00Y i5 file0 wi� he tiry�B tli �Oivi� on.
-0ate: �/� _ r � AppbcanC
E%EMVTION FBOM WOXNEflS' COMPENSATION UECLAPpTION: (This seclion need no� be completetl if the permii is faiane huntlretl ($100) or less).
I cerlity �hai in �he peAormance oi I�e work �or which t�is permit is is5uetl, I S�all not employ any per5on in any mannef 5o as �0 beCOme '
su�lecl lo Ihe Workers' Compensalion Laws oi Calilomia.
�a1e: Signature: �
NOTICE: II. al�er making Ihis declaraiion. you shoultl become su�lecl �o [he WOBers' Compensa�ion pmvisions at Ihe Labor
Gode. you must forihwi�h comply with suc� provisions ar this permil shall he deemed revoke4�
CONSTPUCTION LENOING RGENCY: I hereby aifirm �hat Ihere Is a tonstmc�ion lending agency �or Ihe pedormance ol t�e work for
w�ich Ihis permi� is issuetl (Seclion 3W7. Civ C�.
LENDEN:
aooness:
OWNEX BIIILUEB OECLAHATION: I hereby aifirm �ha� I am exemp� imm ihe Contracbrs' $la[e �icense Law br Ne following reason
(Seciian 7031.5 Business an0 Prolessional Code: Any cily al counry which reQuires a permii Io conslmci, alleL improve, tlemolish, o�
repair any stmcNre. priar to its.issuance, also requires Ihe aDDlicant lor such permit to file'a signetl statement that helshe is licensed
pursuant lo ihe pmvisions of Ihe Contractors' State License Law (Chapter 9lcommencing with Section 7000) oi Oivision 3 of the eusiness
antl Pro�essians Catle) or ��al he/she is eremp� Inereimm and I�e basis br �he allegetl exem0�ion. Fny violaiion af Sec�ion 7031.5 by
any applicanllor a permil Subleci5 Ihe applican��o a civil penally of not more �han five huntlred tlollars (8500).
I, as owner of ��e pmOehY or my employees wi�� wages as their sole compensation. will Jo the work.'and the
❑ stmcWre is noi iniended or of�ere� br sale (Section 70a4, Business and Professional Cotle: The ConVaciors' Slaie License Law
' tloes nal apply Io an owner oi a propeny who builds or improves thereon, antl who does such work himsel�lhersel� or thmugh
his or her own employees. pmvi�ed Ihai suc� impwvemenls are no� imentletl ar oflerea ior sale. II, however the building or
improvement is sold wi�hin one year oi comple�io0. Ihe owner will have �he burden ol pmving he/she tlia no� build or impmve
lor Ihe purpose ol sale�. � ; .
I, as owner of ihe D�openy, am exclusively contracting wi�h licensetl tonlrac�ors �o constmci �he prole�� (Sec�ian 7044; Busineu
❑ antl Pmiessions Code: The Contraciors' S�ale License Law tloes not apply lo an owner of pmpetly who �uilas or impmves Ihereon
and who coniractsior sucn pmiects with a coniractm�s) license Dursuanl ro tne Coniractors' State License Law),I am aware
�hat prool o� Iheir Worker's Compensation insurance shoultl be pmvide0 Io me.
�; I am exemD� un0er Semion�. 8. 8 P. C. ,
lor I�is reason'. �
�ale'. Owner
I Oo hereby ceriily �hat I am aware of ana unaerslana the requiremen�s of California Healih antl Safery CoOe Sections 2550.5, 25533, and
25534 antl Ihai I or any fuWre huilAing occupan� will/will no� (cucle one) neetl �o comply wi�h 5aitl Slaie cotles antl �he requiremenls lor a
permii lar consimc�ion or motlifica�ion imm Ihe Air Ouali�y Management �isVict. Fesitleniial conslruclion applications are exempt �rom
Ihese vmvisians.
�ate'. Applicani:
I hereby <etlify ��ai I have rea� Ihis apPlicalion antl s�ale �ha� Ihe abave in ma�iory� orrecL I agree to comDly wiih all city antl county
ortlinancesan4stalelawSrelaling�oOuilaingcon5lmclionantlherebyaN� zer ri livesolthisciryroenterupantheabove-mentionea
O�operly lor inspectian purpases.
� �ate: � �/� — � � Si9namre: _ / , � '
onver's License or Socia� Securny <:
t6aL46 White-9uilaing'. Green—CaDe EnlorcemenC Canary—ApOhcanC Pink—Revenue; Goldenratl-Assessor
CITY OF COSTA MESA — BUILDING PERMIT � •
PERMIT NO: H 052019 PLAN CHECK NO: N —C,aVI'�T—SVP'P�— �
CONSTRUCTION TYPE: V—N PERMZT�TYPE:. STR PUAPOSE; ALT
JOH DESCRIPTION : T/OFF RESHT,6 REROOF W/COMP.. SQ FT:, 3',500
CLAIM VALUE: 3,500.00 CALC—VALUE; 3;500.00 GROOP OCC: R-3 /
' • i .
COMMENT'S; T/OFF RESHT & REROOF W/COMP' �
�t*****�tx��tit�t*it*�t**�t*�t******�t*�t*�*�t�t****�t�t**�t�t**�t*�t**�t�t*�t***�t�t*�t�t****�t**�tt�**�t***�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 HUILDING ---.------- --------- ACCESSORY BUILDING ----=----
FRNT: FT IN REAR: &T ' IN FRNT: FT IN REAR: ';'FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV:� PARCEL;' 19137223 ZNE: REF NO:�
PLANNING N15TES>
>.
iE iE 1E iElE if i! iF �E if �I(� * 1f 3F if 1k 1E if IF iF iF iF k iF iF iF iF iF iF �f if if if if if �E IF if iE if IE iE 1F if iF �E iE�F�1Elf lE If iF iF if iE if lf IF * 1E IFiF jF iF 1F IEiE iE 1F iF iF if �E iF If iE if 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 HY ; DATfi:
APPLICATION ISSUED BY• � DATE; S. /� �
iFifiElfiEifiF*1f�lEiFiEiEffif�iE�E*iFIf1E1F F�iF'ifiF�FiFdE1EaE1FiFaF#iFiFif ifiE
iEifaflFiEaE1F3EiFiElEif�FiEiFikif�fiE�Faf�fafiEifif�f3fiflFiFiFiFaEl6ifif�FfEiEjE3F IFIE�fiFlFifif3FiEiF1E�f3f3EiEiElEkIPlflEif3fiflEiE)EiE�fiflkiFiE
LEGAliIZATION;N F E E S U M M A R Y ; STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 • ' ' ; ,50
� SMIP/NON—RES
PLAN ' '
ISSUE FEE � '
BUILDING—DIV—> PERMIT 'ISSUE PLANyCHECK , TOTAL, PAID DUE
TOTALS----> 63,50 '0.00 �• 0.00 63.50 63.50 .00
f�
REVENUE DIVISIUN TOTALS--> COLLECTED• 63.50 OVER/SHORT: 00
., BLD63P00 pLUMBING ELECTRIC'MECHANZC FIRE SMIP/TOO GRADING PLAN—CHECK
iF iF iE iP 1! �E if iF iE jE if iE iE �E iE iF IF IF iE iE iF �F if �E 3k k iE * iF �E iE �Fif iF k �E+iP if if iF 3k if iE af �f if M iF if if iF if if iE iF iE af iF fF If �lF iE iF iE 1E fFiE if iE iE iF if 1E IF 3f if iF iE iE
I N D I V I,D U A L`•,F E E B R E A K D O W N ,
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3500 REROOF BY VALUE RESIDENIAL NOZONE 1.00 3;500.00
END ,OF FEES • '
�
0
0
0
aa a�na�c.h-000s:�rs� ���� a�.s�
�ATE: OS/10IF1 TIF!E: iQ:S£
e
-� 7
�-� CONSTRUCTION AND-PLANNING � �, PO� SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrica� Service or Pole. � � 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. -• 53. Steel Reinforcement `
. 3'- i .r •��
Electrical Cond'uit UtilityUndrgrnd.. � 54. Forms -
� 4', Electrical Conduit�Undrgrnd. ^ 55. Electrical Bonding
�
� 5.?Sfeel Reinforce'merit, � - 56. Rough Plumbing & Pressure Test
_ v
�6:iElpctrical UFER•Gmd. � 57. APPROVAL TO COVER�GUNITE �
.,• . �
', 7. Footings "�-- _ � 58. EleMrical Conduit•Undrgrnd. �•
' 8.: Foundation = � 59. Gas Pipe, O Undrgrnd., Test .�
' 9. Water Pipe-Undrgrnd. • � 60. Backwash Lines, P-Trap, O Undrgrnd. '-
10. S[ructural Floor System � , 61. APPROVAL TO DECK -
11. Broperty Sewer Line & Hoase Connection • 62. Backwash & Receptor-Final .
r
12. Sewe� Cap i .'i � 63. Heater &.Vent-Final �
13. Roof Drains �� 64. Plumbing System - Final
14. Rough Plumbing `" � � 65. Electrical-Final
15. Rough Electrical�Conduit 66. Solar SYstem-Final
16. Rough ElectrirWiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air CAnditioning � FIRE DEPT. flEQUIREMENT -
- ' - ' i:
20!��Rough Factory Fireplace �. �' S� > _ ' ^ � ;AppROVA,L'S'%�.peomit# ` "
S. � ' 1 ,r <.r S} . -:.:ti. n C 3
� e � i..L fi :T: � ... .. :'" .� �
21�Dutts,imStructure, . . -.. �; .,:, . . ;70. Unde�gcound Hydro � � �
22. Oucts, Ventitating � ' ���� �: " x ^71. Producx Piping O Gas ❑ Oil
- r � - r � x r
23;�Gas_Pi e.Rou h & Test . " ' - �' ; '-" � -�
P 9 � :7,a v: r �;,, ..,72. Underground Flusfi rt_ -.�
24�;qoof Framing � - � ��~ r> :. � �:t ;731�Undergrnd.StorageTanka�GaslOOil
25. Roof Sheathing ; s .. •-' '� � "'�� _ -'7q=0verhead�Hydro_ - �
26� T-Bar Ceiling (Structural) &-Monocoat � �*:* +. 75;"Dry Chemical �- `� • � u:
�.,
27 'Frame and Flashin �1 c ' °� �� ' _ �
.9 :�:is: a. �• ,: 76. D'ry Standpi.Pe -:}-, y�, t:� .-^
28. Lathin & Sidin • , '• i : >' . �. x .. - � "
9: 9 - 77� FIXED SYSTENI'FINAL• •
F. -
' 29. Insulation ^' . - ,� �� �� :. w " ; ', �` 78. FIRE PR`EV. FINA;L q .; j.
* 30. Drywall}Naiting �:, � �� �1 � � L +��� �HEALTH;DEPT. REQUIREMENT
r�
�. 31. Plasrer Biown Coat' ',_ „ R I I� �R' , 79'�FINAL INSP.ECTION ' C' �' ,�
��32rElectrical Power Meter-Final `�`+ . �; I j�j� :: 80:�;FOOD CERTIFICATE ISSUED
� i�. ..
, 33'�Final Electric � . ' � ' ' 1 r �' �"Noies: � =�• -` �
_:� �c j :.. - � r .r ' i.; ?:
,;34: Final He'atiny &'Air Conditioning, - r "� i � � a. a ;r 1= `��'/�- ' - - �
, i' t G U
.•35.: Firial Gas Pipe�Test` � �7 � y A ( %'f' � .� sJ �_� '_� r. ' ��� ��/
T " • � T l�r
,.36� Hood o�:CanoPY � _� -- ,�. � � i� ���: , �. ,�a � x
r
'37 ��Final Factory Fireplac¢^. �� "� � ��i' '� '
� �L_+- -) � c f '�
.. � a - . . .. .`:' ,�, � • . ., w. .
38. Fin@I Plumbing . - �; .�. + ,> � ? zi �
" 39. Water Service=FinaP �_ � �• � �, ( f t� � r "' ?'• ? � =�
;y40. Gas Service-F.inal � , �; r ,� _ ;r .q � � :; ";," �,,,�; �. � - '
> 41. Solar pomestiaFinal�-: C � � T =.+ � � � y��� �-^ � �
.O T � '�' `_J
�42.�BacktlowPreventei - '.' ' ' � ;'� . - "
. Ji j . 1, . ..
43. Backflow IrFigation � � ' Y � �. � -�- . ` �- � •
�. C`.
lY, r r - a. . .
:.44. L.andscape Iriigation SYstem-,,,�, • ,; , _; �� - � `s � p
%.45:_Sound Attenuation � • �• ' ?� � - � 'r�� �* �
�n `�,r... �� . ,v�- -
� � • • R ' ) ' i �� L • .
� 46.,,Handica.p Regulations ' ,� ;� � � -
47.tFINAL STRUCTURE & BUILDING J^��� (�,� r �+ o. �:s � _
48.,FINAL PLANNING ; `- ' �,; j /� ;� � '• .� �-:
. 49: Electric Release to•Edison i � �•.: � y'� • S "J
- !� M '{ !7
_ 50. Gas.Release to $outhern California Gas Co ` j /r�;_ _ � � ;�";� � .- "'
5t. CERTIF{CATE OF, OCCUPANCY ; � ' ; , �
. ;:�r, . .- -�
No. pate
� �
(5151-�6WP)
AODPESSOFBNLqNG: [�SG ELMHURST LN
°W"E"s"""E'F'°�a'":HILL, HOHBY D
"°o"Eu:456 ELMHURST LN
COSTA MESA,CA
.
�vri. �.uuxc �nonEss:
i
.UICNIfECT OP FNtlNFEH:
�cx ox u+o.�s �ooness:
CONTI1ACTqi'S NAME:
cartx�cToxswuuNo
ADDflE54:
UNT:
92626
uc. xo.:
urn:
11C. NO.:
uxr:
UCENSEO COMPACTORS DECL/�F�TION: I �eroby eRirm undx penMy W qrjury Ihet I em Ikenesd urMm povieians d Cheqx B
(mmmentiip wilA Section ]OW) W Divieion � d IM Butl�e erd Pmfpebn� Code, eM my lioeiue b In hll forca ud �HSG.
cmumNo.: uc.cuss: uc.No.: EXP:
�me: Conveaw:
OW NEP BUILDEP DECIARATION: I MnEy tlfirm uMar panaly d perN�Y �� � M exemq from IM ConVedon Lkensa Lew lor IM
Idbxiq rwon (�bn �OJ1.5 9uenaee eM Prolmiom CoEa: AnY dY a munlY �idi rpuiroe e psrmu �o romwa. eMtt. Impraw.
i".'ymolYh, or repeir eny etmcluro, pnor �o Ae uwence, eba rdquiroe tM epplzem lor wch pe�mu m fila e eipnW �WlsmaM �htl M ar aM
4�; limneed punum� to iM Dran�ions W IM Contrenor� Lkanse lew �Cheqa 9(mmmeMnp with Sapnn 1000) M DWbion 3 d Ih�
'� G�;iueifwn aed PrMaeione CaEej a ihel M a,ehe b ezemq IhsNmm end �hs bevie Ia ihe elbped axempibn. My vbW bn IN 6eqpn
..,
)a31.5 Ey eiry eppliunt la e parmu eubqrJe IM apqsanllo a dNl peneMy W nd mas tAen Ms hund�ed dollen �5500�).
�] I, ee o�mar W Ihe propeny or my empbyaea wdh wepee m the'v eda mmpenemion, will do Ihe xo�k, end IM elruclun e nd intanEW
or ollared lor eale (Section ]OM, Buainaa enE PMneioneCode: The Contretlae liowiaa lewEaea rw epplyto an oxiwrd propa'ly
who buids or inprovea Ihereon. eM xiw doea euch'v.wk Nmeall or �enetl a thrwph he w hm own empbyeee, proWEad ihm euch
impravemenm ere nol inleMeE w atlered Iw eele. H, Foweveq tM buikinB or impruvemam is eoN xilhin aw yeer d mmpinbn, tM
owner-buiMer will heve iha buNen d povirp M w ehe d'M iwl Wib ar imqwa for �ho purpoee d aeb).
� 1. ea ovmer W ��e D�PeM. em eRd�rvey mnireG�q wtlh licensad conlreclas b wn9rutl IM prqee (Seeun )M4. Buaireae eM
Prolessiona Goda: TM CanVepps Licema lew does mi eppFy to en owna d propaity xfio buiWa or impovee iharaon eM who
convecia lor aud� D�s �h e ooniredor�a) licenaed punueM to ihe Conlrectwe limma Lew�.
❑ I p� B: 8 P.C., lor thia reawn:
oe,a: �-�` �� •�'.�2L� �,,,,: _ 3— i �( — �l 6
i do neraey canM me� i em ewe�e d�e �m��d ine rec���e�m a caican� �.nn e�d sai�y coda sea�om zssos. nsaA. ene
2555a, eM ihei I«eny Mure Wikiip oowpeM will / wYl �wt (tlrcb orre) need io canqy wYh seiE tlele oodes eM tha reyuiremenm for
e pertnM1 Iwmvlruclpna modifrationhamlheAv�Ct�eOemeni Dislnd. Reaidamid mnstiueion eppGratipaere ezempt Imm IMae
pfW1510119.
Date: /vWk���
WOflKEfl'S COMPEN411TION DECL�PATON: I Mreby e/firm uMar penelly d perjury ma W Ne IollowinB detleretbna:
❑ in��ew���m�a«nRwaa000�mios�n;�,rero��w�xa��roosm�,�o�aai«nrs«a�ooa�aoama�
coea. �w ma oano�,� oi ub .w� m, w�n mro ��n ie ��u<a.
❑ I heve eM uiI meinten vrorkers mmpensetion insurence, av reyuired by Sx�im 3)00 0l �M1e leEor COEe. M tM peMrmeMa d tM
woM la whiM i�ie parmn is issueE. MY warkers oompansmian inwrenca �amer eM pdiry numEer are:
c�a,:
� Pd'cy Number:
. nn secrrw� �eee �w aa c�dered i rM re�� r, ro. �a nu�dred ew�erslsiool a n�.�
� I candy ihm in tha paAamienca d the wwk i« whch thia permA u beueE. I ehell iwl empby eny panon in eny menner eo u to
becane eubl� lo Ihe workerY comPo�seiion lews W Celilamie, end epree tMt il I eM1oultl becana eubpa io tM waMn'
companaetion pmvisuns d Se tion �]00 d the Lebor Code. I ehell lonhwith comp�y wnh thoee prtrvisoru.
oa�e: Aociti��:
Wam/nD� F�llun ro axuro woM1eri rompeiwtlon rorerps b vnMwNl, and �HllWtl/sef en emp/oya ro ctlMnl ponaltlu enC
c/vll fliro� up ro wro huntlred thouund tlollen (5100,000), In eWltlon ro Ns cwf ol rompeivetbn, damspee �� prvv/CeC ror In
SxHon 3)O6 0/ Ms Lebor CoOe, /nfxsaq an0 efromsys /sss.
CONSTFUCTON LENDING AOENCY: I Mnby atlirtn under panelry N parryry Ihat Ihme is e mnsimd'an bMing egenq br tM
performence ol Ihe woM la which Ihb peiml is aeued (�u� �]. CM. C).
LENDER'S NAME: .
LENDEN'S ADDPESS:
I cenity Ihm I heve reaE Ihis epplcmion eM atme ihet ihe ebova inlametion ia mrtea. I epiae �o cwnply wnh aII Wy eM oounty adinenroe
entl stete lexs rele�ing lo Wikirg wnavuaion artl Mreby eNhor¢a repreaentetivea d �hu tlty lo enler upon �he ebova�meniioned pmpeny
��� ��9'����'�"�9 B OH H I LL
��.�., � � .�-iy-gb
Dma.
Sip�alure d OwnerlAqanVADV�✓�onVeqa
Whne-Buik�g 8 Sdery: GraeMFAe: Cenery-�pplram; pink-Revenue: Goldenrad-Asxssor
CITY OF COSTA MESA — HUILDING PERMIT
iPERMIT NO; B 076770
CONSTRUCTION TYPE:
PLAN CHECK NO: 00962-96 S
PERMIT TYPE: STR
PERM NO: H 076770
GOVT: N SUPP; N
PURPOSE: OTH
JOH DESCRIPTION : 60LF-6FT HIGH, 20LF-4FT HIGH BLOCK WALL SQ FT: 80
CLAIM VALUE: 1,200.00 CALC—VALUE: 1,600.00 GROUP OCC: R-3 /
COMMENTS; CITY STANDARD BLOCK WALL
+�+c+�atieie�x � iFx ***iE*ftx�*�t**itit*�ie� it+�x *ie+t�****ft���***iE**itit*iE� iEx it*****�t�***ie*it*ieat**it*+��
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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: 16 FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IN
PARKING REQ: PROV: PARCEL; 14137223 ZNE: R1 REF N0:4.,�
PLANNING NOTES> CONSTRUCT 60 LF, 6' HIGH 6 10 LF, 4' HIGH RLOCK WALL ON THE
> LEFT SIDE PROPERTY LINE. �%;
ik if 1E iFlE if 1k iE 3E 3E fE iE fE fE 1E iE iE fE 1ElE 1E �E iE jF iF 1ElElE 1F 1F iE if iF iF iE * iF iE iE ik jElE 3ElE 3E iE iE 9F 3E If if 1E df 1E iE iE jE iE iF iE iE 1E iE iE 3E iE iElE 1E;3F 3E �E 9E IE 1E 1ElE 1E 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 T S
ZONING APPROVED BY tAJ�J�r— DATE:�`�� ��IJ�
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: �1' DATE: 3+,� �
������,������������*��� ***������*��**
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
!
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE `'��SMIP/RES GRADING
PERMIT 37,00 � .50
�%;SMIP/NON—RES
PLAN 24.05 ,,��
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL � PAID DUE
TOTALS----> 37.50 0.00 24.05 61.55 �'' 61,55 .00
/�
REVENUE DIVISION TOTALS--> COLLECTED: 61.55 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
37.00 .50 � 24.05
l'
if iF 3E iE 1E if 1f af iE jf ib �E if if if if if 1Elf iE 3k iE IE �E 9E iE jE-0E!E fE 9E iE iE 1E 1E 1f'IE 1E 1E iE 9E 1ElF �)F 9E fE iE iE 1E dE IE iE iE IElF 3Elf iE 3ElE�1F 1E iE 1E ik dF iFlE iE iE iE 3E 1E if 9E iE 3F if 1E
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY
SFR 80
D E S C R I P T I O N
RES—CONCRETE BLOCK WALL / FT
END OF FEES
UNIT COST TOTAL COST
20.00 1,600.00
,:/
/
1,�
,
QI DOI���i.l�-v:�70�Y.�'+ � SGT �l.�v�
OfiTE: 03Y1' ;��F TYt'�!': LE::.';
. �i
COM13TRUC110N AND PLANNING .. ' . ��' 'PA ,
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. 7emporary Etectrical Service or Pole �� � � 52. Pool & Equipment Location � .
2. Soil Pipe•Undrgrnd. _ ' 53. Steel Reinforcement
� 3. ElecTrical Conduit Utility•Undrgrnd. `. 54. Forms .
� 4. Electrical Cond�it-Undrgmd. . 55. Electrical Bonding
, 5: Steel Reinforcement ' 3!.� �pf,�j-� 56. Rough Piumbing & Pressure Test -'�
6�•ElectrfcalUFERGrnd. . 57. APPROVALTOCOVER-GUNITE
7. Foounqs _.!� g'b �(� 58.� EleMricai Conduit-Undrgmd.
8._Foundation 59. Gas Pipe, O U�drgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. StruCtural Floor Svstem � 67. APPROVAL TO DECK •
t t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
12. Sewer Cap . 63. Heater & Vent-Final � �
73. Roof Drains - 64. Plumbing System � Final
74. Rough Ptumbing � 65. Electricai-Final
15. Rough ElectricabConduit - - 66. Sola� System-Flnat .
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign - 68. APPROVED FOR PIASTERING • �
18. Rough Electrical�T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19.'Rough Heating & Air Conditi6ning_ � . FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � � - �- - APPRDVALS- ' � Permit #
21. Dutts, in Structure' , , 70. Underground Hydro _
22. Ducts, Veniilating . 71. Product Piping O Gas ❑ Oil
23. 6as Pipe-Rough & Test .. , � 72, Underground Flush
24. Roof-Framing _ 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing - - 74, Overhead HYdro `
26. T-8ar CeiVing �Structuratf & Monocoat � 75:, Dry,Chemical .- -
27. Frame and� Plashing� � -' 76. Dry Standpipe ��
J
'28. Laihing & Siding �. •. 77.� FIXED SYSTEM-FINAL •
29. Insulation 78. FIRE PREV. FINAL .� �
30. Orywall Nailing � HEALTH.DEPT. REQUIREMENT
31. Plaster Brown�Coat '-� • 79. FINAL INSPECTION
32. Electrical"Power Meter�Final � 80. FOOD CEFiTIFICATE ISSUED .
. 33. Einal�E�ectric � � ' Notes: ' ' � ' , �
34. Final_Heating�& Air Conditioning -. . ' .' -"�
35. Final Gas Pipe-Test � '
36. Hood or Canopy - . �•
- 37. Final Pactory Fireplace '. � �
38. Final Plumbing , . � ' - .
39. 4Vater Service�Final � . �
--40. Gas 5ervice-Final , � - . �,
' 41. Solar pomestic-Final
42. Backflow Preventer � ' " � _
43. Backflow irrigation � 2 ZL g(p� �� ����
44. Landscape lrripatiomSystem • . ' f - -
45. Sound Attenuation � •• - ' = '-
46. Handicap Regulations - '
47. FINAL STRUCTURE & BUILDING � LS ��(�/ _
48. FINAL PLANNING' "_ , ' _ •
49. Electrie Release to Edison . "v .
50. Gas Release to Southern California Gas Co �
SL CERTIFICATE OF OCCUPANCY
No Da[e
DIVLSI� p CO D MESA�f Y
AYPRO�D �l i' ,�-�
at all lhnes
��7 pe kept on B�� �ou[ wnite�
�g yet ot D� ��changes m aReration on o��a Mesb
�pols ��� �o18uiWiny�Satery,City
�fig ai 9ds P�^ � S�ticationa S o��ons�ot any e� Yt°���
� �� al ol the �ofatlon ot�� � � � �
� M b0� �pr Slaie {aw. �/ null and void'd
���� �,�mnil shall exPjre hy Ilmitation and become , UgG §�
�+ �tl main;a;ne� aci�ve p-
1he build��9 0� W�� �s not commence.. �.
�.n w�min 18D daY� ot Issuance. �—
�r—
...•e3'
���i�:E�i;S; '-• ,�;i::i<:; SHALL
�€ ��ClF6b'c6 3Y',�,`_ �'.-.... .:.- uEFAR7MENT
�
�
�c[ �
NESIOEMC[ �,. � R[dID[MCf
i- �
�
�' xC °7
_ .:. �ibm�?�
c�_»��n �
RE8IDEMCE
�/ STREET o-
� b 6 %'S ��
SURVEY OF LOT LINE
� �� ��QUIRED
�q3a� s�
�P�.��D
CITY GF COSTA MESA
PLAatP!i�v GcP7.
^ B!lD1ECT 70 BLD^v. DEPT.�^QEQ,
�/��\�/d� �1 /iC L
Q%�C7W OP PIANyj� _
REtfDEMG[
- • . f:'r:
Cement Coping Ootional —
Channel Block With 13/8pS
Horizontal 7op of all
Fences
For Fences 5' or Less
Vert. Bars 3/8"�'i at 4' -0" O.C.
For Fences Higher Than 5'
Ven. Bars 3/8"� at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs ,
Reinforcing Steel Shall •-
Conform to Sec.A-15-39
A.S.T.M. ,
AllSteelto be �apped
24" or to Code
NATURALGRADE
TV�'O 3/8"¢ BARS L
CONTINUOUSTOP
& BOTTOM � �-
HOR7ZSTEEL MUST BE TIED IN
P.LACE AT TIME OF 7RENCH
INSPECTION.
TYPICAL 6�� CONCRETE BLOCK FENCE
on
D '
�.
9
D.I'e
s
0
s x
4 f
�
> w
� _
>
z
a
i�
w o
U H
z
w M
�
p ' d' b
� . . • .'
_W�oT� , r
SEE CHART
BELOW �
e. le
GENERAL- NOTES
MORTAR: p�e Part Plastic Cement, and
T�ree Parts Sond
GROUZ;_ One Pmt Cemenf Three and
? nrw, .- _ One-Half Fa�ts S�and
,W,eCf Mixe'd C2- I/2: 3- I/�
Mtix�`nf 7- I/2 GaCons q}
Water Per Sack of Cem�'�t
•-�+I� l'. fG dC; �*/ ({pGROUT MA�Y BE POURED'PROM.L TOP
� � �
__'�Y ' 'OF,THE1FENCE-TIN:CEL6SiWHERES
.. ,� -•;,occuRs?��2's�tits:zr,�-TM`._'�^.b�tf..
� i6.'h'� y CELLS'A'ND�AREAS�OF HOR120NTAL'REI�[�
- FORCEMENT SHALL BE�CLE'AR;;,CLEAN &
- FREE�OF'dL'O!MOB�TAR DEBR15, ETC."��Q
, • - .o r�: ' ,'v �!;`"q C.9 tp Qr�y-.�,
.�: to k.r GaT
.�:r� . � � �'T.'-� .r*., cd M
� � -' c�.Sn7 r�� �
�9 �
� ' ., . . '�16"��'���f� I
, ' � . .. �. ' � �' 'v:. "r-7 C13
"'� _ _�� �1��f.'.'.Y��
O ♦ O �
,' � I
o l e
e
F
FOOTING REQUIREMENTS CHART
DEPTH OF E4RTHTCOTH
V3 THE HEiGTH OF FENCE
�-��LOW BOTTOM OF FOGTiNG.
SCALE: I/2"= I�
WIDTH . . . . . . . . . . . . . . i4'� . . . . . . . . . . .14�� . . . . . . . . . ...,.12��..,; .. . 12��
THICKNESS . . . . . . . . . . . .10��. . . . . . . . . . . .10�� . . . . . . . . . . . 8��. . 8��
DEPTH OF EARTHTOOTH . . . 24" . . . . 20"
16" . . . . 12
SPACING OF EARTHTOOTH. . 12' 14' . . . 16' . . . . . . . . . . 16'
City of Costa Mesa, California
Building Department
. .. . . .. . _. .. �.'E.VlSED NOV.82
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this -� � ��% day of 9�o
�,r�r� , by and between _�c �� � i li 1 �
hereinafter referred to as "LANDOWNER;' and c 1 � l��/ ��
� /
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between
of Adjoining
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
,,� �35
in Book .�� , Page —� of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to ertcroach 7�� �11ob L,),i✓1 ��2g�� '�.
C,o gTr� M� s�,��_� C.
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LANDOWNER
�'��`�=��r-��-���
(Signature)
��-�.-1� 1 � I I
U
Name (Typed or Priniedj
PROPERTY OWNER
/ / �C
��
or
�l�l�-L11Y_i��l �'z. S i 1 ni CM � ��� Fi�� �LuiS �.�i��7<, �'. js/. C�1
(Address) � � (Address)
t906-46
NOTARIZATION REQUIRED
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of ( '�L/�CO�'il�/�
County of ���[/�9-�
� �� � �
On A.�'i�e-f /� / %�� before me, �J-��id)F� �7F�./l1/%1"17% /YA,�i/ /1f3U1'.
c���
DATE NAME. TITLE OF OFFICEH � E.G.,'J E OOE, NOTAFY PUBLIC"
personally appeared
❑ personally known to me - OR -,�proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) •is/are
subscribed to the within instrument and ac-
knowledged to me that he/she/they executed
the same in hisf#fier/their authorized
�� capacity(ies), and that by N+siher/their
� ��� signature(s) on the instrument the person(s),
Mvc«�m.r��erroviaioa► or the entity upon behalf of which the
person(s) acted, executed the instrument.
WI ESS my hand and official seal.
� ��1.�-
SIGNATURE OF NOTFRY
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
nn,e�s�
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:_ .
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTRV(IES)
zuaso
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
� -- -Costa Mesa Building Department
171 EAST 20th STREET
' � " COSTA MESA� CALIFORNIA
I FOR APPLICANT TO FiLL IN
Costa Mesa, California.
or
ach Metes
of Lot F,
New
C' p �
•ior Wall
� Biock j Tract2%2%
)
INo. of Bldgs.
Nowon Lot
INo.of No.of
Families I Rooms
Rear Yard 3Q
Side Vard rJ
oN oF woRg
�tion I I Addition I
9 I I Demolish I
No. of
Rooms Stories
APPLICATION FOR PERMIT
2��� BUILDJ�NG �
FOR ON'FICE USE ONLY
Address
Costa Mesa, California
F�a
Plans
APPROVALS
Frame: Fire Stops,
I hereby acknowledge that I have read this Application -
and state that the above is correct and agree to comply Lath. Int
with all City Ordinances and State Iaws regulating
building construction. � Lath. Ext.
Signature of _
Permittee Y�arbor COriSt Ctl C0. Plaster,lnt.
��
Authorized Agt. �Plaster, Ext
Valuation Permit Fee $.2� � Masonry Reinforoed
Plan Check $ � � �
S 11 � 200. Total eond Beam
Fee $ � FINAL
RM 204 S-BP 2b1 6-55
�
. . _ . ._: . :. ..._. . � ` . . �. ' _r.. .... , _.:i .-' `"
' �� ' i..-_.._. .. -i� . �
. �. f.i :Al".._.. . ".. . . � .. ..
�" . . .. . . f .___�___" __ ... _. . _"'"" " ' _ "" '
_" _ ' _ ' " " _ ' � .. . "G.' _ ' •
��_" ��� ��. ." '� -. .... __ ^ _" " " ' .
_ . _' __ _' " �_� .
.".' .� .- _.�. . , ' f'.1e_i.�,S.'.J_._..J'.�J:._..:!':>�.-
,o . . _ . . � . _'_ � _ _" _� '_ _.._ _' _— �'_'�" _' _.-r ' '
� � _ � p COSTA �. Q .. �...1i _.:7 /�/�
.J . _ n . J " _" _ "_' _ _'_-f'.PR�T_C2r�.!-DNE$A �:�'J. ..{.�'i9`N�iL.{'1
,ap . . " " ' ' " " ' .
` ' 6 -.. . .. ._. .. _ _ _ _u ._. . . '
- a . - � --- - ---- ---
- � - - - - - - - a- - -. . :r'- , '
.. _ . . ' . �� �
.. . - - - ' . . .
Y� ♦ ' � ' ' .. _ •__... - '
+ _ _ _ '_" . ". � 1
..._ l. ' . , . ..
_ _ _" _ _ _ ' __ ' _ _ _ _- ' _ . � ' .
� . � .. .� . . .. ._ . ,'.. .
I - . r, . ��-_. - � .)��
. Street . ' ; .� . . � . . - . '
'y
PLOT PLAN - - . - � - . - . -.. .' . .
! Show Iocation and distanaes from , • _ . �
property Iine and between 6uildings ' • �
. ..- .. _ _ . ._ , - , , �
, . .. . . ' . �... ',t •
' _ _ ' . _ ;>,. ' '" __ ' - 1
' _.' .. _ _ " ` . ;i-_ . '_-� . .
� . ,' _ i . -oa.�:. -
., . . . . . . . . _. . . _' . " ' _ �'? ^ .
. . . _. . 1: fiJ�f.:. �- . _: • c`�i�' �
1 .ht'.t.s'� :.t f� -. �--.- �._. ' _ _"'._'"'_"...�_�._ ' _
�_..""__"_ . _ �'i� ."-�''. . ._�.._____'_
� ' '_ ' _ � : :f: . '" �.
f' . "' ' ' " ' " _ '
. . . . ' - _ '• . - �i: . .. '' '
, i i ' � . . . _ � .
' . ' _" .,a. ..
. _ _ . - • .ry� .� . W_ _ _ ' . • . I
" " _ . " _ - �1 .R9.. •_. � ' _ . '" _ . . _ _'"_ _ . .. '
� -- , - �
� . , . . , .._ _ . _ ��?:i...,- � n'':-.: .
. .. 1 _ '" �,C
' i . . 4 _ _. ' ... � . .