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Home My WebLink About460 ELMHURST LN - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 460 ELMHURST LN Suite: Vicinity: ROOF Parcel Number: 14137224 Zoning: Status: ISSUED Applied: 09/10/2003 Issued: 09/10/2003 Applicant: MIGUELENRIQUEZ , _ - _ ISSUEDBY: � Address: 154SEARLHAMST - �/�,v-=�_�""-_.�".�'`-'�"-'•--.,,�'-,,,, " � O�-�_- . - Phone: 714-299�8856 - . � � �� ORANGE,CA!,i�i`� �}: �. r.� Zip: 92869 ;� � f��;��=„�-��'� /i �%. - � '�- � � �, - , � � I � -., '� �. •� , . '� Owner PECK ELLEN � � � _ � �� . � Address 460 ELMHURST LN i ;_ - '=- . � `� 1 i / . \ � / f��. � V � . P_hone — _ �: � V � �!�� / ��COSTA MESA: CA � � ' Zip 92626-6112 " ��` � ��`� � � �V�A \ /,,��i i � � .-' � :t„�A�_ '' � ��i\ / n'/ i`� �/��'.':; �:' . � �� ;� Contiactor: �ALL�QUAL'I.T;Y.ROOFING CO \��> ; i � ��. ,%Address: 154 S.EARLHAM ST ` �� V �' ` c �� . , : � �� .,: A�v \�� -. � .� � .. ./ ;; " � Phone: z`714-299-8858 -- � - � � i i , ��?` � . � �\� � �' � � � ORANGE' CA � � � \ � � ` �� '` ! � Zip:,,� 92869"� � License� �� 799462 _ - • �>'. -. � � \ � .:�\ , . . .//,�� . - -. _, . , .. � . . ..� � . ' � �<�. AfCh , '. ' r . , . ' , t :Address:- , . . � _ �� - „i; , ' R_�Phone:_ . .� _.. / i \ � �`` ' `Zip: ' � �' -Llcense: , � "\ _ /� � ` ��' -- , � l , , _ ` $CC � ,. 1�� TEAR OFF EXISTING�ROOF. INSTALL 30# FELT?30 YEAR COMF ��,BITUMEN ON FU1T ROOF. 25 SQUARES'INCCUDES ATTACHED ^�, . �� '- -' -- - - �` -. Eng: Addressi � � ,a� , � `. _ � j, ,.. �� -� Phone: - i - � ��Licerise: i _ SHINGLES, VJILL NOT REPLACE SHEATHING AND MODIFED� _�,!.,_..-.•,. . � �-. i �i� n i �', � `. , , . � � .;; FEE SUMMARY. 1;,'�. . � /•' • � , ' , ' ` � Plan Check: ;' ' . $0.00 " --� � : ��r' � � � ` ,'- - � � Calc Valuation: � ,Ss,000.00 � , � Permit:• \ $125.25 - �- - ,. - Claim Valuation: Ss;000�oor � -6MIP Res: $0.80 � �'� . � %� - ' � / \ SMIP Com: �V`� ��$0.00 -' � - �� i� %; t � � ," r� �� t � � �i �1hBf( � '��$�.�� ' . � _ _ ' . - � . � ..., , � %� �inspection: r �$0 00 � • � f% � ! `�� ;\� � , � ;�. ,.Y %` % � .' � %; � �� f %l,'` � �� . �,� �TOtaC '�$125.85�- � � ` i ��,�7,:., � j� � ✓% . ��'_ , ��/ � �` • � � -- �,PLANNING�& ZONING , % � ' � ' � �� SETBACKS��• ��, � ' � � - ' �,C MAINSTRUCTURE�FPont �0-0 Rear 0 0� =�_�. �_ Lett- - �0-0. - " Righl "� 0,0� � ��/ VA. _ - _ _ _ - - -, �, ��_ ' ' - , � � / _ `.�. � �; .�� ' ' -- -- . � ' �j / ACCESSORY Front' -�0 0� ', Rear �0-0_., LeR 0-.0--', r, Right 0-0'�.' / _ . ., �- -- � i �'�_ - . � t ; . � � ` , -. -� .,� . �'��, PARKWG Existin . ' 0, ` � .Requiretl: 0 � Pr000sed: ' 0.� �' ' - .,A1:. ' ''��" `.' �J.- >=. _ �J_ ! .. �%/•'.//�� ir'i� ' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Cali(ornia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, antl all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 . zasae ls�oo� WORKERS� COMPERSATION DECLARATION: �� I hereby ettirtn unde� 7enalry ot perjury one ot Ne tollowing tledaratlons: � \ ❑ I heve en0 will maintain e ceniflcate oi consent to self-Insure for workers' wmpensetlon, es provided br by section 3700 of Ihe Lebor Cotle, for the pertortnance ot the work for whicf� thls pertnit Is Issued. ❑ 1 have and will maintain workers' compensaGon Insu2nce, as required by secUon 3700 ot Ihe Lebor Code, br the peAortnance of Ne work br which this pertnit is ltwed, My workers' compensatlan �nsurance cerrler and polity num�er are: CeMer: ' Policy NumDer: (ihis sec�on need not be completed ii the pemuf Is valued at one hundred doliars ($100) or Iess.) � I certify Ihat In Ihe pertortnance oi the work fo� which this pertnit is issued, I shall not employ eny person In eny menner so as to become subject to the woAcere' .----compensaUon laws oi Celitomla, end eprae thet tl I shoultl become subject to Ihe workers' compen5ation provisions of Section 3700 at the Lebor Cade, I shall torthwlth compty wlth t�ese proNsio � novi�� sier�w�a_ �-- �7 ��iyb joa�e:----67- t o- �3 WARNINO: FNLURE TD SEQIRE WORNERS' COMPENSATION COVEMGE IS UNUWFUL M!D SlULL SU&IECT AN EMROVER TO CHIMINAL PENALTES AND CML FlNES UP TO ONE HUNDRED TqUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIUED fOR IN SECTION 37060F THE IABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: of Chapter 9(commendng with Seclion 7000) of Division 3 0l the Business Lic�# CONSTRUC710N LENDING AGENCY: —l0• end my Ilcensa Is in tull ❑ I hareby effirtn thet there is e wnsiructlon lending egency for ihe peAortnance of iha wortc tor which this pertnit is iuued. (Sec. 3097, Civil Cotle). Lendefs Name: Lentler's Address: Signature: Date: �WNER-BUILDER OECLARATIONS: I hereby eNirm Net Under penely o1 perjury that 1 em EXEMPT FHOM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any dry or cW�ry which requires a pertnit �o construM, alter, improve, tlemolish, or repair eny siructure, pnor to its issuance, also requires Ne applicant for such pertnit b file e signed statement t�et he or she Is Iicensetl pursuant to lhe provisions of Ihe Coniractars llcense Lew (Chflpter 9(commendng with Sectlon 7000) of DMsion 3 of ihe Business and Profe9s�ons Cotle) or t�flt he or she Is exempt Iherefrom and the besis for the alleged exemptlon. Any vloletlon of Section 7031.5 by any flpplicent for e pertnit subjecta the epplicen� to a civil penalry of not more Ihan frve hundretl dollars (5500j.j: ❑ I, es owner of �he proDerry, or my employees wlih wapes es Iheir sole wmpensation, WILL DO THE WORK, and Ihe structure is not intentled or oXeratl for sele (Sec. 7044, Busines9 en0 Protessions Code: The Contractoro License Law does not apply to an owner of property who builCs or improves thereon, anO who does such work himselt ar hereeli or Ihrough his or her own employees, proviCed t�at such improvamenis are nat Intendetl or offared for sele. If, however, Ihe building or Improvement is sold within on6 yeer of wmpletion, ihe owner-builder will have ihe Durden of proving ihat he or sha diO not build or improve for purpose ot sale.). ' ❑ I, as owner of Ihe property am EXCLUSIVELY CONTRACTING WrtH LICENSED CONTRACTOHS ro construct the prqect (Sec. 7044, Business en0 Pmtesslons Catle: TTe con«ectors LJcense Lew does not eppty to en owner of pmperty w�o 6ullds or Improves thereon, entl who contraas for such pro�ect wlih e contrflccor(s) license pursue�t to the Contractors license laws.). - ❑ I em exempt unaer sec. Business and Professions Code tor ihis reason: Signature: Date: Owner ID verified Dy tlrivefs Iicense. ❑ Yes ❑ No DriveYs License No. Venlicatlon of Ownelship by (rype ol documem, i.e. - properry taz bill or deetl): DIVISION OF INDUSTN�AL SAFETV PERMR CERTIFlCATION: Explres: ❑ I hereby caNfy that no exwvatlon flve (5) or more teet in depth into which e person is required to descenC, wlll De mede in connection with work euthorized by Nls pertnit, entl ihe� no building siruclure, scaHoltling, falsework, or demolition or tlismantling ihereof, will ba more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 77t1e 8, CPlitomla Administrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which wauld require e pertnit from t�e Divislon at Industriel Satery, as notetl ebova, unleu such person hes e permit to do such work from the division. Signature: Date: Division of Indusirial Sefery Pertnit Number: CEHTIFlCATE OF COMPLIANCE AND AUTHOR¢A'f10N OF EMiiY: I certify under penalry oi perjury that 1 heve read this epplication and state thet Ne infortnatlon given is cortect. I egree Io cOmply wlih ell s�ete lews end dly ordinancas relating to building constructlon, end eutharize rep�esenWtives ot �he Ciry of Coste Mesa to enter upon ihe ebove-described property tor inspection purposes. I agree not to occupy or allow occupency oi eny building authonzed by ihis permit until finel inspection. CADE �. �ucvccnnuTVPE 1678 Fi:ed System Final Flre Preventlon 1268 200 201 202 203 204 Pool Spe Finel Finel RaRom Flnel Block/Reteining Wall Final Feclory Fire Place Finel Sign ' Finel Demol�Uon Pdg V�64 - 6 �03 �C �qQEZ INsvetnoxTrvE 20fi Final Mechanicel 208 Final Plumbing 210 Finel Electricel 212 Flnal Fire Preventlon 220 Final Planning Npproval 222 FInalSite 250 FinalBuildinglOccupanty VAII H{�61fl (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesacBaUILUING��.PERMIT JobAddress: 460 ELMHURSTLN Suite: Vicinity: Parcel Number: 14137224 Applicant: FARIBA FAZELI Address: PUBLIC WORKS DEPT Owner: PECK, JUDY Address 460 ELMHURST LN COSTA MESA, CA Contractor: Address: Zip: Arcn : Address: Phone: Zoning: Phone: 714-754-5378 Zip: Phone: Zip: 92626 Phone: �License: . • � , Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/O6/2001 Issued: O6/07/2001 ISSUED BY: .J� 1 /T NEGEN/ENGLEKIRK PARTNERS _ , Phone: Zip: � License: License: S3049 , � " � . � �' SCOPE OF P_ERMIT: � 85LF- 8FT BLOCK WALL OVER 18" MAX RETAIN�NG WALL. -- "`r '"" -� "� �� Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $0.00 $0.00 $0.00 $0.00 $0:00 $0:00 � FEE SUMMARY � � -_ - _=_ . -�:_ _ - r - .Calc Valuation: - � Claim Valuation: ; ,, � , � � . �, � _ _ - _ f � � . r� . . � , .. . � <=�' ^ ' _'. . , � � ; / , ,� �� '- PLA SETBACKS �� • ;'� ` �Q � - �;�, �:-�ti�. MAINSTRUCTURE�Front � 0-0 . � Rear` 0-0 ACCESSORY Front� -0-0 ��`�r.�, Rear - 0-0 �. � � , . � ��- ' � PARKING existing:\" o��, Required: �o . - NOTES: � - � � :.;;:�.� - , '=v . NNING:B ZONING � �� ' " � � � ' .� ,. f , �� l-'�� i� � ` ' '- -%,.-- ��_ -;' ' '.�� Left 0-0 ` Right � Q 0. ��.��, . Left _0- 0 ^ \ Rightl � � 0-.0"�i ,, � , , �.' ' _` `, � � �,, .` , Proposed:` � 0 �� "- ,�%J /` � . �-- � �i- , - �i� %i:' �� _ � �,i si,000.00 so.00 �i, :� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (NW) WORKERS' COMPENSAnON DECLAfiAnON: I hereby attirm untler penalry oi peryury one ot Ihe following dedarations: ❑ I have end will maimain a certiticete ol wnsent ro self�lnsure for workers' compensation, es pmvided for by section 3700 of the Labor Cotle, for Ihe pedormence ot the work fOr whlch this DBrmii is is5ued. ❑ I have end wlll malntain workers' compensation insurance, as required by section 3700 of the Lebor Code, for ihe peAormance ot the work for which this pertnit is issuetl. My workere' compensatlon Insurance cartler antl policy number ere: Cerrier: � Palicy ivumber (This sectlon need not be completed il fhe pemut is velued af wre hundred dallars (;I'.00) or Ie:B.) ❑ I certity that in the perlormance of t�e work tor which this pertnil is issued, I shall not employ any person in any manner so as to become subject to ihe workers' wmpensation laws ot Califomia, and egrea thaf it I shoultl bacome subject to tha workers' campensation provisions oi Section 3700 oi the Lebor Code, I s�all torthwlth comPh' with these Drovisions. Applicam SignaNre: Date: WARNINp: FAILURE TO SEWFE WORKERS' COMPENSATIpJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED TFIOUSAND DOILARE (Et00,OW), IN ADDITION TO THE COST OF fAMPENSATION, DAM4GE5 AS PROVIDEO FOR IN SECTIIXJ �O60F THE LABOR CODE, INiEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby eNirtn that I am licensetl under provisions ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business antl Professions Code, and my license is in full force end eHect. Llc. a Class M Contrectofs Signeture: Date: CONSTRUCTION LENOING AGENCV: ❑ I hereby ettirtn Ihat there is a construction lending agency tor the pertormance of the work tor w�ich ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: SignaWre: _ OWNER-BUILDER DECLARATIONS: Lendef5 Adtlre55: Date: I hereby aHlrm Ihet untler penalry ot perjury that I am EXEMPT FROM THE CONTFACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or county whic� requires a permit to consiruct, alter, improve, tlemolish, or repair eny siructure, pnor to Its issuanca, also requires the applicant for such permit to Nle e signetl stetement thet he or she Is Ilcensed pursuant to the provisions at ihe Cantrectors LJcense Lew (Chapter 9(wmmencing with Sectian 7000) of Division 3 oi the Business flnd Protessions Code) or t�et he or aha is e:empt theretrom enA the basis for Ihe elleged ezemption. Any violation of Section 7031.5 6y any applicant for e permit subjecLs the e00�icent to a cMl penalry of not more than frve �undred dollars ($500).): ❑ I, as owner ol the properry, or my employees with wages es their sole wmpensa�ion, WILL DO THE WORK, and the struciure is not intentled or oHeretl for sale (Sec. 7044, Business end Protessions Code: The Contractoro License Law dces not appty to an owner of properry who builds or improves Ihereon, end who tloes such work himself or herself or Ihrough his or �er own employees, provitleC that such improvemenis ere not intentleG or otlered lor sale. If, however, t�e building or improvement is sold within one year ot completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe properry, am E%CWSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Code: The contractors Licansa Law tloes not apply to an owner oi property who Duiltls or Improves thereon, and who contrecis for such project with a coniractor(s) license pursuant to the Contraciors License Laws.). ❑ I am exempt under sec. Business antl Protessions Code for this reason: Signature: Da�e: Ownar ID verified by drivefs licensa. ❑ Yes ❑ No Drivers License Na. Vedfication af Ownership by (type af document, I.e. - properry Wn bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certity thet no exwvation tive (5) or more feet in depth into which a person is required to descend, will be mede in conneciion with work authonzed by ihls permii, antl Ihat no building sWcture, scattolding, talsework, or demolition or disman�ling thereof, will be more than thirty-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sac. 341, Title 8, Calitomla Atlministretive Code). ❑ As ownerbuiltler, I will not employ enyone ro tlo work which woultl require a permit tmm the Division of Indusirial Safery, as notetl above, unless such pereon hes e pertnit to do such work from the division. Signature: Date: Division of Intlustrial Satery Pertnit Number. COUE �• INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Root 201 Final BIocWRetaining wall 202 203 204 Final Factory Fira Place Final Sign Final Demolition P�iS Itmn��s / �i !��'/ COOE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy D�rE I[�lfi : Recordation Requested By and When Recorded Mail To: City of Costa MeSa Public Services Department P.O. Box 1200 Costa Mesa CA 92628-1200 4ln0 EI.MHURS7 UJ. kPN l41-372 - 24 Recorded in O�cial Records, County of Orange Gary Granville, Clerk-Recorder Illllil lllll lllllllllllllllllllllllllllllllllllllllllllll NO FEE �- -<j 200102Q7480 03:56pm 04(06f01 110 11 Al2 6 o.00 o.00 o.00 o.00 o.00 o.00 o.00 o.00 SPACE ABOVE THIS LINE FOR RECORDER'S USE Exemption from Rerording Fee Requested Porsuant to Govemment Code ¢ 6103 BLOCK WALL RIGHT OF ENTRY, CONSTRUCTION AND MAINTENANCE AGREEEMENT W1 RECEIVE�% �J� APR 1 6 7n�'1 ENGI�EERI"r<� This Right of Entry for Construction of Block Wall and Maintenance Agreement is made and entered into this �t~day of �u:�� , 2001, by and between Ellen Peck, hereinafter referred to as OWNER and the City of Costa Mesa, hereinafter referred to as CITY. RECITALS VVHER�AS, OWNER is the owner of certain real property located at yb0 ��r.�.,�.5� l-n _, i❑ the City of Costa Mesa, County of Orange, State of California; more particularly described in Exhibit "A" attached hereto and incorporated herei❑ by reference, hereinafrer referred to as PROPERTY; and WHER�AS, CITY plans to construct a block wall on or near the existing right-of-way line of Harbor Boulevard adjacent to PROPERTY as shown on Exhibit "A" attached hereto and incorporated herein by re'ference; and WHEREAS, CITY intends to construct said block wall on PROPERTY with the full intention ofrelinquishine o�mership of said block wall to OWNER; and �'FiEREAS, O�xINER, in exchange for CITY'S agreement ?o build said block «�all, intends to accept responsibility to fully maintain said block wall located on OWNER'S PROPERTY; and WIIEREAS, OWNER desires to grant a right of entry to CITY to enrer upon PROPERTY for the sole purpose of site assessment, and any other activities related to the construction of said block wall; and WHEREAS, OWI�TER and CITY desire to enter into an a�reement to allow right of entry by CITY onto PROPERTY, for CITY to construct said block wall. and for said block wall to be relinquished to OWNER and for OWNER to be responsible for mainrenance of said block wall. NOW, THEREFORE, for and in consideration of the covenants herein contained, performed and to be performed, the parties hereby a�ree as follows: 1 ;, 1. OWNER hereby permits CITY to enter upon PROPERTY for the sole purpose of site assessment, soils testing and any other activities relating to the construction of the block wall described herein. The righ't of endy shall be granted by OWNER to CITY at no cost to CITY. The right of entry �vill remain in effect until the completion of construction of the block wall. Entry ��ill be accomplished by employees of CITY and/or firms acting as agents for CITY. 2. CITY agrees to indemnify and hold OWNER harmless against all claims for damage or liability arising from entry onto PROPERTY for the purpose of constructing said block wall, except that OWNER shall be solely responsible for the repair and/or replacement of any personal property or landscaping that is damaged as a result of entry onto PROPERTY. For purposes of this Agreement, "landscaping' shall include, but not be limited to, any plant material, ]aH�n, ground cover, trees, shrubs, and shall also include any hardscape, which is integral to the landscaping, such as brick, wood, stone or plastic borders and decorative planters, stepping stones, statuary and fountains. 3. CITY agrees to construct upon PROPERTY a block wall as described in Exhibit "A". The construction of said block wall shall be at no cost to OWNER. 4. Upon completion of the block wall, ownerslup thereto shall be vested solely in OWNER. OWNER shall, at it's sole cost and expense, repair and maintain said block wall, keeping same in a condition comparable to the condition of such block wall at the time of its initial construction, excepting onl}� normal wear and teaz. 5. If all or any portion of the block w-all is damaged or destroyed for any reason, it shall be OWNER'S duty, with all due diligence, to rebuild, repair, or reconstruct said block wall in a manner which will substantially restore it to its appearance and condition immediately prior to the damaee or destruction. Reconstruction shall be undertaken within two (2) months after the dama�e occurs, and shall be completed within four (4) months afrer the damage occurs, unless prevented by causes beyond the control of OWNER. 6. In the event that OWNER fails to repair, maintain or rebuild the block wall as provided in this Agreement, CITY may, at its sole option, repair, maintain or rebuild said block wall at OWNER'S sole expense. 7. This Agreement shall continue in full force and effect and shall be binding upon and inure to the benefit of OWNER and OWNER'S successors and assigns; as long as OWNER or his/her successors and assigns maintains o�imership of the subject wall and the PROPERTY. 8. OWNER agrees, by the siening, acceptance and recordation of this Agreement, the terms and conditions herein set forth shall be binding upon and inure to the benefit of 0 WNER and CITY. � 9. The provisions of this Agreement are cumulative and in addition to, and not in limitation of, any other rights or remedies available to CITY. 10. No supplement, modification or amendment of this Agreement shall be binding unless executed in writing and signed by OWNER and CITY. I 1. In the event that litigation is brought by any party in connection with this Agreement, the prevailing paRy shall be entitled to recover from the opposing party all costs and expenses, including attorney's £ees, incuned by the prevailing party in the exercise of any of its rights or remedies hereunder or the enforcement of any of the terms, conditions, or provisions hereof. 12. This Agreement shall be govemed by the laws of the State of Califomia. Venue shall be in Orange County. 13. Each party warrants that the individuals who have signed this Agreement have the legal power, right, and authority to make this Agreement and bind each respective party. EXECUTED in the County of Orange, State of Califomia, on this �_day of �� c�.. , 200�. CITY OF COSTA MESA William J. Mo s Director of Public Services APPROVED AS TO FORM: �'�!�t �_ ��1��// i - � �.. � OWNER � Y" �_ El en Peck STATE OF Ca2 � 0 ) ss. COUNTY OF� On in,��l�. 7 , 2001, before me, .ccaz , a Notary Public, personaliy appeared �`,QQQ,,,, .l.cl(, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons(9�whose name� is/are-subscribed to the within instrument and acknowledged to me that M�ishe/tbe�-executed the same in +�her/their authorized capacity(iesj-and that by hislher/tkeif signature(s�,on the instrument the person(§,!, or the entity upon behalf of which the person� acted, executed the instrument. WITNESS my hand and official seal. Signature CHERYL� H�LWIG `—' e Commission s 1182626 '-s Notary Puhdic - Cofi}orria Orange Camy n,ycam,,. �es�u�a anc '—'•'l4�r+'.+-'.�''MY!R�5'Yri.'�.^`:Cf.::� 'n.�,w.-. .!i*<< . CALIFORrlIA ALL-PURPOSE ACKNOWLEDGMEPIT State of California � ss. County of _� On �,��, before me, Date personally appeared CHERYL RAE HELWIG Commission A 11 E2626 i -s Notary Pubfic - Cafifomia � Orange County My Canm. F�ves Jun3. ?D02 � Name(s) of Signer(s) I� personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(S,1 whose name(�) is/ara subscribed to the within instrument and acknowledged to me that he/spe/Niey executed the same in his/pecl�iei� authorized capacity(iesj; and that by his/herlil�eiF signature(3� on the instrument the person(S), or the entity upon behalf of which the person(�) acted, executed the instrument. WITNESS my hand and official seal. ��, Place Notary Seal Above Signawre ol No�ary Public OPTIONAL Thoug6 the information below is not required by law, it may prove valuable to persons relying on the document and could prevent iraudulenf removal and reattachment of this /orm to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: ❑ Individual G Corporate Officer—Ttle(s): _ ❑ Partner — i � Limited , General ❑ Attomey in Fact ❑ Trustee � i Guardian or Conservator � � Other. Signer Is Representing: Number of Pages: wcrrrniumeewrrr OF SIGNER O t999 W�wW NOW� Ass¢aian • 9350 De Soto Ave.. PO. Box 2a02 • Ghatswonn. CA 9i9t3�2a02 • wvm.iauaairouryn�g P�x. No.590'I Feo�aec Call TdLFrce 1-000.8]fi-692J i" EXISTING W. FENC I NEW WALL NEW WALI NEW WALI NEW es' n ,.o HARE�uR BLVD. ARTERIAL WALL PRINCETON ��R. � �,o. i i ►- � 741-372-01 � 463 PRINCETON DR. i COSTA MESA, CA 92626 ----- I � 741-372-12 � 462 SWARTHMORE LN. j COSTA MESA, CA 92626 �' � `L -i� SWAR I HMORE �, , _ • t 141-372-13 i � 461 SWARTHMORE LN. � COSTA MESA, CA 92626 i ----- i �— 741-372-24 i i 460 ELMHURST LN. i COSTA MESA, CA 92626 �'-'y -{ ELMHURST �� 147-372-25 i 463 ELMHURST LN. � i COSTA MESA, CA 92626 i i LN. LN. i '°� EXISTING i � 141 —421 —27 WALL i � I . N 3� JEEP DEALERSHIP I � x�l 2530 HARBOR BLVD �----- � w�� .COSTA MESA, CA 92626 � � j I m , � �--------------------� � O m � Q _ FAIR DR. W % Q W W � U EXHIBIT "A'' NO SCALE LEDGEND o — 8 FOOT HIGH SLUMPSTONE BLOCK WALL �oonEssoFeuaou'c: 4bU �LMrivttS 1 LN avxEasr„MEiFwawr�: JUDY, ALLEN L aoon¢u: 329 PRINCETON DR COSTA MESA CA 92626 � 714)432-96�0 MPI.IWIING AOONESS: ARCHRECT ON FNtlNEEq: �qCH.OX ENO.'S AUDRE55: coxrn�cTarsu.��. camucraxs �uiwc ADDpE55: UNT: uc. r�o.: UNT: uc. ra.: UNi: LICENSED COMXRCTONS DECLAPATION: I hareby eflirm undar panaMy d perjury thet I em licensad under provisans M Cheqer 9 �mmmanaeq wilh Sedion ]000) d Orvision � d �he Buti�wa end Pmfasaims Code, eM my I'uave ie in fylX P enE aXetl. cm uc. no.: uc. cuss: uc. No.: t De�e: Conveaw: OWNEH 9WLOEP UECLABATION: I hereby effiim under penely d perlury t�et I em eaempt from Ihe Conlredon License Lew/or the iolbwvg raeson (Sedion 1031.5 Bueinesa enA Professions Code: Pery ery p counlY whid� requirea e pem�� to mnat�, aller, improve, �d'sh, or ropei eny slrudure, prior lo ib osuence, ebo repuirm iM applirant lor auc� permG lo (le e eipned sletemenl Rw he or ehe xnsed Wn�a�� o �M povisione d IM Gonlraawe Licenae Lew �Cheqer B �comme�ip xilh SeUion ]OW) d Divapn 3 0l tM d�sa eM Prdesaimn Codel «�het he'a ehe ia uemq iherehan vM iM bvo la tha d�aBad vampion. MY videtion M Seaion iO3�.5 by eny appliran� iw a pmmn wEjMi �M applicanl io e avil perely d ml more ihen INe hurdred ddlas �5500�). � I.esaxmierWtMP�nYormY�Vb'/��hwe9��edammpenamian.willdoNawark.eM�heaWdureenMinleMeE a ollered tor xle (Seclion>O�k Busiiwss end Prolessiom Cade: The CanVetloia Lironse LewEaes nW eppym en owner olO�WaM who builde w inproves �herean, end�who daea auih work Mmsetl w hersell w through he w her oxn employees, provided ihel such 'mprovememe ere mt imeMed a oHered lor sele. H, Iiowever.IM buiNinp «inprovemem ie eok �vithin o�re yeer d mmpbtion, the }( owrwr-buikx will have �M Wrdan d proving he or eha did nd buil� or imqove tor tha WN�e d eeb). � I. es ownar W ihe MWaM. em utltisrveN mnvmiq vnlh IicemeC conirecion ro consvud Me MG� (Setlion >Da1. &nirims eM Pmfaaioeu Code: The Conirndon Lieeme Lew doo M epqy� w��p" owmr d popany iNa a imprwro tM�eon eM who contrecM iw auN prqeas wnh e contratlor(s) licen'seA purs""�/' " ConlreGon Licenea w) fl i�, a..mm unea. s�i��. � e. a`P c.. i�w'n�� A I do � by ceniy inel I am awara d vM wdersterM iM rep�ro d Callom�3 Mmlih enE Selery Coda Seeiona 255U5, u53�, sM aM Net I or arry Mure EuiNirp oewpent will / wil rwl b ma) � io ewnply wih eaid peie wtlea eM �he repuiremeMs M nfarmmwctionamodifraionhwntMAi e�iy iDimna.Rmkenlielm�at�utlioneppiraureereuemqiromdresa prwisio�s. Dete: Applkent W ONKEN'S COMPENSATION DECL�RATION: I Mreby elfiim uMer peneliy W perjury ma M IM iWlowiip deiivvone: ❑ I liave eM xi1 meinlan a cenJicete d muent ia saMinwm for xakars canpensetion. m wovidad lor by Sedion �)00 d Ilw labor c�. r« m, �no�za d m, �x �« �n m� �u ro �m�,d. ❑ ine.��e�;��m�woMaA•�o��,,,��,.�,a�„,awsaa�3�aodm,�n«cas.r«n»w�ro�oeame wwk for which iM1ie paimn is iaued. My wakers mmpenae�ion i(reurence ranbr eM pdicy number are: c�a�: raKv N�mea,: .is senion noed nd be camdeteC ] �he parmd is Iw one hunered Edbrs /f1001 a lev.) ❑ i cenN ine� m o» w�o�e d ine .on� ia ..ncn m�. w�n y�ea, i snen � amWor �r ro�+ �� e�v m��..o � m meanb wbpd m �M xwkers eanoe�� m.. a eelnomie. ane e9,e. imm � � ahaub neeame m,4en io ine ..oneen• compenaelion povisiau ol Seaion �100 d iM labor Code. I slWl lonhwnh mmpy xi�h tlwae qwiaima. Date: Appliram: 1 CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 076941 RM NO: B 076941 PLAN CHECK NO: 01136-96 I� GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: CON JOB DESCRIPTION : CONSTRUCT 64LF BLOCK WALL SQ FT: 64 CLAIM VALUE: 1,200.00 CALC—VALUE: 1,280.00 GROUP OCC: U—'l / COMMENTS: BETWEEN 460 ELMHURST 6 461 SWARTI-IMORE *****�iF+�*+�**+�*�**+��atat*********ieiEx *ifit*� *****�*******it�itiE*�it***iF�� iF� 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 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: 14137224 ZNE; Ri REF NO: , PLANNING NOTES> 64 LF OF 6' HIGH BLOCK WALL ALONG REAR P/L OF EX. SF'.-RESI— > DENCE. PARTY WALL AGREEMENT. � 3E iE iF iF if if if iF 1E iE iE iE iF 1E iE iElE iF 1E 1E 1E if iElF if iElf 3f 3f iE �E �E jE IE iE iE iE iF iF iE iF 1E iE 1E If 1E if iE 3E if 1E iE 9E iE iE iE 9E 9E if if if if iE 3E �f if iE fE iE 9E 3E 1E iE iE if 3E �E �E jE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N.T S ZONING APPROVED BY �• DATE: ' BUILDING APPROVED BY : /Y// � DATE: � I�� APPLICATION ISSUED BY: DATE: .c.• �**��+�******��***�t*��* �*****�*�� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE�,. SMIP/RES GRADING PERMIT 31.00 .50 � SMIP/NON—RF.S PLAN 20.15 , ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ,r-� PAID ➢UE TOTALS----> 31.50 0.00 20,15 51.65 ,4 51,65 .00 REVENUE DIVISION TOTALS--> COLLECTED: 51.65 OVER%SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT, GRADING PLAN—CHECK 31 .00 , SO,F,' 20. 15 i, iE iE iE if af iE it if ik if iE 1f if �E iE iE iE IElE iE iE dE 1E �E jE iE 3E iE �E jE �E iE iE iE �E IE iE iE iE iF IE 1E iF it iE �lf * jE iF if iF 3f iE iE iE �f 3f iE iE iF iE iF iE iE if IE if iF iF iE iE iE iE iE �f iF 3E 3E iE I N D I V I D U A L F E E B R E A K D O W N Wam(n Fallun ro axun woitrwi co tlon rov�n � I� unbwNl, mtl alull aW Nn • I e� ro ctlMml T Y P E a: mr«u• v /K ma or c.�.roe...a nvu nris. yr ro wro nunerca rrwuune da�an (sto0.oao), in eeeinon ro m. cw� or compwuanon eamsps. u poHwa ror �n S FR Sxtlon 9)O6 0l Ihs Le6orCode, Infwsst, entl attomsy'� lso. CONSTflUCTION LENDING �GENCY: I hereby elfirm uMer pe�aly d parNrv �� hen n a con�rud'an bMiip epericy br iM pariormence ol Ihe xork fw which ��e parmi is'saued (Sed'an 309). Crv. CI. LENDEH'S NRME: LENDEfl'S ADDRE53: I cenily Ihel I heva reed �his epdK�im arM slele Ihet i�a ebove inlamelion is rortea. I epree m mmvW �� a�l aly eM couny oNirer�e eM etete lewe rolelip lo buiMrq wnsUuqion erd hereby e�nharae reyasen�etivee oi th's tltY b enler upon ihe ebova�meniioneE prope�ly '°""�°�"'°"""°°`°� JUDY PECK P'nlei r � � oe,, Sgne�ura enVApptifen Co a (5151dfi.WP) WM1n 9elfEvq 8 Salery; GrearFb; Cenery-Appiranl; Fnk-Revenue; Gokenmd-Asseesa QTY 64 D E S C R I P T I O N RES—CONCRETE BLOCK WALL / FT END OF FEES UNIT COST TOTAL COST ao:�oo 1,2ao.00 �. �� Ol Oai0525�-0O2GJ�i7 'j('d..i�j' �� r LATEs 0..27�qS T7'M�:: 1'_]AJ •C- 1 CONSTRUCTION ANDPLANNING - POOI PA APPJ',OVALS Permit # Date Inspector ��APPROVALS Permit # Date Inspector 1. Tempo�ary EtectricaV Service o� Pole � � 52. Poo1 & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement 3. Elettrical Conduit Utility-Undrgmd. 54. Forms - 4. Electrical Conduii�Undrgrnd. 55 Electrical Bonding � �� 5. Steel fleinforcement � Z8'��I �0�+.�/ 56. Rough Pium6ing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE 7. Footings `�� 58. Electrical Conduit-Undrgrnd. 8. foundation 59-. Gas Pipe, � Undrgmd., Test � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P•Trap, � Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK ' 11. PropeitY Sewer Line & House Connection _ � 62. Backwash &�Receptor-Final - 12. Sewer CaP � 63. Heater & Vent-Final 13. Roof Drains � - 64._ Plumbing Syitem � Final 74. Rough Plumbing 65. E�ectrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final 16. RougN Electric Wiring 67. Fencing & Access ApProval 77. Rougt+ Wiring Sign 68. APPROVED FOR PLASTERIfVG 18. RougN Electrical�T Bar Ceiling � 69. FOOL/SPA SYSTEMS FINAL " 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - . APPROVALS ' Permit # 21. Ducts, in Structure � � 70. Underground Hydro 22. Ducts, Ventilating . 77. Product Piping �Gas Q�il 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof� Framing . 73. Undergrnd.ScorageTank G�Gas ❑Oi! 25. Roof 5heathing - 74, Overhead NYdro 26. T•Bar Ceiling (Structural) & Monocoat ' 75. DrY Chemicai � 27. Frame and Flashing � 76. Dry Standpipe 28. Lathing & Siding � ' 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINA� 30. Drywa�l Nailing � � HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. PINAL INSPECTION 32. Electr�cal Power Meter�Final " 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � . 34. Final Heating & Air Conditioning ' ,, . 35. Final Gas Pipe�Test _ � �' � � 36. � Hood or Canopy � � � %'� 37. Final Factory Firepiace ,� �- - 38. Final Plumbing � ' � 39. Water Service•Final . 40. Gas Service-Final � � 41. Solar pomestic•Final - � . 42. Backflow Preventer -- � 43. Backflow Irrigation . c�`(_�� .... � " t 44. LandscaPe Irriaation System 45. Sound Attenuation� , ' 46. Handicap Regulations � 47. FINALSTRUCTURE&BUILO�NG L.��Z�� %A! ir(,L � � ,�..,.,y. 48. FINAL PLANNING .�_ 49. Electric Release to Edison % , 50. Gas Re�ease to Southern Calitornia Gas Co - �-- 51. CEAT4F4CAT£ OF OCCUPANCY - "-" No. �ate - �__, /'•. �3z 0,_.-'�_--__ —_ .�. ��'�� 1Tfi�COSTA � ' ' FU,h�iNc c�a'r• - Q�761C�f T� eLDB. DEP�. Q� . � i�DA*$ 3'27-RG. �_�....-+� �!OTE ppDITIONS, D[LET{ONS, 03 CORRE BE APPROVED 6Y THE PLANNING '(�.��;s�� l��.k ��{II s h1E T .�j�,�J u Y I � --/„ 4 �- C-� �i�C" �!�- SUAyEy OF LOT LINE MAY 8E REQUIRED 31oc,k l,�a�� lslumaS�-?.�r� � � l�c� h (og' Lo�� o: : ..--_----�� , � ;, �.,;� nF� BUILD`"'�-,-� .:�TY OF COS7q1Nf ��'��'Y APPRO VED � . _. -��t `z � 21 � s+or trc . � any cnar,ges a� ke� ��J ' ."on o! 8ui(d�ng �� af'� � an . � ann snA,.;r.__.. �' �1' ..< ,ce - ..,,,auan ol . �`NT � ' �ese �rate t�w. 4 ;;s � ,: °�enj'qb'd fhe OW! �r,g o, s0a11 exP(re 6 .� � (d) withe 190 �01 =otrxne � � �a� antl �g�p REaID[NCE - ._tiwiSw�i'0 � �{ID�� . {� r��R � W W Q Y� N ' � O � �t�llfvKs�' STREET d tl� REtiDEMC[ h W W � � N � - '='��'��` TYPICRL :,,;;; ; _ � Y,►.�R Cement Coping Ootional • Channel Block With 1•3/8� Horizontal Top of all Fences For Fenees 5' or Less Vert. Bars 3/8"� ai 4' -0" O.C. For Fenees Higher Than 5' Vert. 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. All Steel to be Lapped 24" or to Code NATURALGRADE TWO 3/8"¢ BAHS CONTINUOUS TOV & BOTTOM HOQ7ZSTEEL MUST BE TIED IN PLACE AT TIME OF TRENCH INSPECTION. 0 D � x � � � > w �_ a >Z a i � W O U F- z wn � � � � . o 'p N D^ � � W 107� SEE C R 9 BE�OW 6�� CONCRETE BLOCK FENCE� ' � 2 � , GENERAL- NOTES , MORTAR; p�e parf Plastic Cemenf, and Three Parts Sond GROUT; One Purt Cement Three and One Half Parts S�and COPING: One Porf Cemenf, Three Parts Sa�d CONCRETE: Well Miaed 1:2-I/2:3-I/2 Maz. of 7- I/2 Goltons of Wafer Per Satk of Cement GROUT MAV BE POURED FROM THE TOP OF THE FENCE IN CELLS WHERE STEEL OCCURS. CELLSAND AREAS OF HORIZONTAL REIN� FORCEMEN7 SHA�L BE CLEAR, CLEAN & FREE OF AlL MOHTAR DEBRIS, ETC. f" F. ':3 ' 'rDE�TH UF E4RTHTCOTH �q;r:L;'��/; iHE HE�GTH OF FENCE � ,T3ELOW BOTTOM OF FOGTiNG et SCALE: I/2�� = I' ,7' -" ` BEMENTS CHART � WALL HEIGH7 �""'- 5 � 4' 3' I WIDTH . . . . . . . . . . . . . . .14" . . . . . . . . . . .14�� . . . 12". . 12,� THICKNESS . . . . . . 10°. . . . . . . . . . . .10° 8�r. 8„ DEPTH Of �ARTHTOOTH . . . 24'� 20�� . . . . . . . . . . . 16��. . . . 12�� SPACING OF EARTHTOOTH. . 12� . . . . . . . . . . .14� . . . . . 16�, . 16�', City of Costa Mesa, California ' Building Department �� '��' � � .. .. . ... . r_cvr�Fp r-rov. e:. � PARTY WALL AGREEMENT � THIS AGREEMENT, made and entered into this �`� �� day of �22� —, by and between �— ��e P.� hereinafter referred to as "LANDOWNER;' and �� Iafi e 7�%aj0��'S hereinafter referred to as "ADJACENT PROPERTY OWNER" It is hereby agreed that a party wall will be constructed on the property line between in the City of Costa Mesa, County of Orange, State of California, as per map recorded in Book _p i, Page ��=�of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach %�� r'I-h�r �-�-c�ti� IN WITNESS WHEREOF, the parties have entered into this Agreement the day and year first above written. ADJACENT PROPERTY OWNER �5�9-�-- G/�-ll— �i2/ � /1 , `/' _�N �� Na e y ed oF r�ed) �60 ��rr�hurSi �i�r �i��5 �z� S�v�'�-�-L,.nort LQi�Q (Address) . (Address) NOTARIZATION REQUIRED 1906-ab . CALIFORNIA ALl-PURPOSE ACKNOWLEDGMENT State of ��}t✓ ��E'�!1 � R- County of � ��[(f(� On /`%�'e!F � z / %��c before me, � DATE � _ �� personally appeared NAME, TITLE OF OFFICER � E.G., NAME�S) OF SIGNEfl�S) ❑ 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 heFsi�/they executed the same in his/her/their authorized capacity(ies), and that by -H-ts�er/their � E�etareua�t signature{s) on the instrument the person(s), ��o=�� or the entity upon behalf of which the cm„n,��e.roas person(s) acted, executed the instrument. W � SS my hand and official seal. l�L(/' ' �l�� SIGNATURE OF NOTARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent traudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(Sj ❑ GUAR�IAWCONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITV(IES) z�zaco DESCRIPTION OF ATTACHED DOCUMENT TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE a � RUORy550FBUtLqNG: 4bV LLCIriVt(bl LN UNT: o�xnExsx.aeivaiavn: PECK, ALLEN L �nonEss: 329 PRINCETON DR _ ,, CO5TA MESA,CA 92626 WPL. M1111NG �OOPE55: ARLXRECT OH FNtlNEEP: LIC. NO.: 41CI1 OP ENG.'S ADDNE55: UNT: coam�c.arsN�Me: DOLPHIN CONSTRUCTION (714)731-3190 CONiPACTORSYNIJtIG 14671 LIVINGSTON AV mopEu: TUSTIN ', CA �.�, 631584 9'2680 uxr: LICENSEU COMRACTOPS OECLAqATION: I Mreby eflrm uiMm penelly d pe�jury thm I am IicenseE uMm s ol Ghepler 9 (mmmendrp wilh Section ]OOo) N Division J d IM Busiiroas eM'imlas ' n Code. eM mY li ' ull aHea. CITY LIC. N.: ' LIG CLASS: H �� LI . NO.: E1 3/1�5 P: Dete: CoMrador: � ` OW NE UIL EX UECU1flATION: I Mreby �rtn undar paneYy d parjury thai I am evemq Irom �M Conirmaa Licenae law 1« iM �awwvro � Iseaion �wi s am:,ess ene rwm�ms code: nm <H « m,my wnitl� rea��re. e ro�n m om.wn. en«. imao.�e. '+mol'sh, w rape'r any svud�re, pnor io na esuence, ebo repuirea �M eppliram fa auch parmn �o fib a eigrieE stelemenl ihel M a sM liceneetl W�� lo Ihe proviaionn d �he CanVetlan'Licenae L'ew jChep�er 9(commaminp wilh $edpn ]000) o/ DWeion 3 M IM rrov eM Prdesauns Code� or Ihe� he a ahe is ewemq therehom erd Ihe bazie lor Ihe allaped exemqun. My violetion d Seqion imt.5 M env eoWiran� ia e rorme eubi�a �he ePdicam to e avil G��Y d rw� m«e �han ive nuMretl Edlan 13`.A01). � I, es owner d Ihe proparly w my empbyeea wiiM1 wepes as IM1ev eole compenae�ion, will Co ihe woA, arM IM sliucture e nd intanded w oflerad Iw sale �Section ]01<. Busirbss eM Prdenaiov Cotle: TM Comreawa Liceree Lew doea rwl epplyto en ownerol proparry who Wids a inprwas iheiean, eM xiw Cros suM work Hmeell «heneL a Nraqh he or her own empbyeee, pwNed thet auch imprwemenn ere not inteMeC a dlered lor sale. H, however, tha buiWi�p a imprwement b add wnhin ana yaer d mmdelion, tM ownerbuiNer will heva iha buMan o� proving he or ehe did nm buiW or improva Iw Iha purpme d mle). � 1, u oxner d the propeny. em e�tlusively eonireeip Nith lioenaed canveMwe Io canstrua tM qqea (Seaun ]OM, Buaie�a eM Prafessione Code: TM Conlredon liceme Lnw does �wl.nppF� io en owner d poqny who WiMe a impovea the�aon erd xfp conVecta iw ewA Orol� �h e mmrazmrls) Ice� ad Oureuent lo Ihe Conveaon Lvxnae Lew). � I em exemq uMer Seciion: )� ^7 B.1'PA.. far thia reeaon: / Data: -'O.mer"� � eo nereby cenM �� eware a ene uMersie�e �ne reQuiremems a celaomie Haenn end sdey caee seaions zs50s, zss33. ene 255�0, arM thet I«eny Mure W ikiiq ompent will / wil irot (a�cY me) matl �o comply wIh eek slale oodas enC tM reQuiremenn 1« e pa�millwconaVuclionor modifiratqn homiM A'v�apemenl Dielul. FesEenlid conalruaion eppkce�qns ue exemp� hom IMae provisione. D�a: nvW�: WOFKEF'S COMPENSATION DECWPATION: I hereby effirm unEar penellyd pwjury wn d �he lollowinp Cadarelions: � I heve eM wil meiMen e ceeltlieale ol wnsenl to eellinwro br wMera' ewnpemalion. ro qwitletl la by Seabn �)00 d IM labar COEe. la Ihe pa�larmeMe d IM xak Iw wlich thie parmA ia iaueA. � I heva end mtl mamem xorken' mmpenaelun inaurenm, m rx�uired by Saqion �)0p d the labor Code, fa tM pe�lormerce d tha wwk (w wliieh Nia qemn ia waued. MY wnlmrs' eanpaneetion insuraiee farriar erd pdiry numbar ara: c�,: Policy Number: a se�.vion need rwt be cwndeteC / �MG�R'a M one �uMreE dWlars Rfaol n bs.a./ [�] I cenAy t 'n ihe pa�lamaze d tha work br whch thia parmA' �ue . I Mell rwt em oy rson in ury manrwr m m to beeome ubj io Ihe woMeri compenution lews W Calil e, e rae �hel il ome eubl� lo iha waekan' cano� ��sore a smon a�ao a ine iano. coee. i i ��.� m N � ,w., oa�e: nod�,�: W�minp: F llun ro ascun worten'rompruatlon rovarq� b unNwN( md �lull sW an smp�oyer ro cnm�w psn.mu.ne c/HI Ilrwa �q ro orre hlntlred flpuunJ COINr� (S/IX{000), ln aAlltlon b fhe ro�f o/ rompxuatbrt dem�Du u poHderl br /n Sxflon JMS ol Me LMor Cotle, Infxe�q and nttomsy's leu. CONSTRUC110N LENDING AGENCI: I Mreby eifimi uMer peneM1y d parjury �he� ��ere e a conNiutlion bedirp epaney br �M peAortneMe W Ihe Mwk Ior whiM iho pemii ie asued (Seqion 309], Cv. C�. LENDEP'S NAME: LENDEWS ROUflE%: I cenity thel I heva reed �his epdwetion enA sYeb ihal �he ebova inlametion is cortep. I egree to comqy xilh ell dly eM munly orEinencae arM sta�e lexs reletnp b builENg connrudion eM hereby eutMrixa re0�eaenlelives M thia my io emer upon iha ebove�maniionad pmpe�ty '°""s0�"'°"""'0°'�' CARL ALE7 ANDER Pn N e / Deta: Y Owi r/qpenVAp0licenVComreaar (5151�46.WP) Whne-Buildirg 8 Selary; Greeo-File: Canary-AppOrent; Pink-Revenue: Gddamod-Aaaeeaar 1 � CITY OF COSTA MESA� — BUILDING�PERMIT PERMIT NO: B 076989 PLAN CHECK NO: 01092-96 A CONSTRUCTION TYPE; PERMIT TYPE: STR JOB DESCRIPTION : 316SF FAMILY ROOM 5 STORAGE ADDITION PERM NU: B 07698 GOVT; N SUPP: N PURPOSE: ADD SQ FT: 316 CLAIM VALUE: 24,000.00 CALC—VALUE: 24,616.40 GROUP OCC: R-3 / COMMENTS: 316SF RESIDENTIAL ADDITION �**�*�*******�****�*+�***��**�*�x*�**+�*��*�*****�**�****��+�**��+�*+�*�*�*�*+�*�**�� Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: 12 FT IN FRNT: FT IN REAR: FT IN LEFT: 10 FT IN RGHT: 35 FT IN LEFT: FT IN RGHT: FT IN PARRING REQ: 2,P,ROV: 2 PARCEL: 14137224 ZNE: R1 REF NO: PLANNING NOTES-> 195-5$"FAMILY';ROOM ADDITION; 33 SF AND 68 SF STORAGE ROOMS > WITH OUTSIDE'ACCESS ONLY (ADDITIONS) TO EX. SF RESIDENCE i(� if jF �`E jE 3E 1f iF iE aF jE 3f 3F iE ff if iE iE �F iF �lE if iE iF if �f iE 1E jEiE iF iE iE iE 3f iE iE iE �F iE iF df'lE iE iE iE �E iE iE 3E If �IE iE 1E iF iF iE if iE-IF if iE iF iE iE fF if �E �F iE iF if',E-IE iE iE �E iE iE D E V E L O P Mr E N T. S E R V I C E S R E Q U I R E M E N�T.S � ' Y" • ZONING APPROVED BY <<- : '� _ DATE: �� BUILDING APPROVED BY :`=J�'(i%� �' DATE: 3'Z� —�� APPLICATION ISSUED ,DY•r'�' .= DATE: c7�l x�***it+��t*rt*�-it***�f-�**9t*+� * * �*-�-x-*******�F'iF�( �F�X��-�#** LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 252.00 PLAN 40.95 � _ ISSUE FEE 'i BUILDING—DIV—> PERMIT ISSUE P.LAN—CHECK TOTALS----> 254.46 0.00 . 40.95 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PI,UMBING ELECTRIC MECHANIC 252,�� 2.96 SMIP/NON—RES TOTAL PAID DUE 295.41 295.41 .00 254.46 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CAECK 2.46 !E iE 3E 1E iE 1E 1E iE 1E iE 1E iElE 1E jE iE 1E if 3E if 3Elf �)f !E iE if ib iElF iE if 3f *�f iE iE IE 1E �E fE iE iE iE iE iE iE if iE If jE iE iE iF jf iE if iklE ik iE 9E 9E �E dE iF 3E iE if if ik if iE �k jklE iElE iE 3E 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 316 DWE—TYPE V—WOOD FRAME —GOOD END OF FEES �. 77.90 24,616.40 �� .:-.:� D APR 1 -1996 CITY Of GOSTA ME I � � � CONSTRUCTION ANDPLANNING ppOl oq Date Inspector ' " - --=- _' y` =Da[e Inspector APi�pOVALS Permit # � . APPROVALS � Permit # _._ : r .. _ •,� t. Tfrr+Porary Electrical Service or Pole 52. Pool & Equipment Loca,tion-'."" -- � _ '�,' ' 2. Soil Pipe•Undrgrnd. " , 53. Steei Reinforcement "'. _ .� 3. Electrical Conduit Utility-Undrgmd. 54. Forms �' ��( ' '4. Electrical Conduit-Undrgmd. ' �55. Electrical Bonding �'�.l i 5. Steel Reinforcement �%lf,,,,� ,�(,�.{6C 56. flough Piumbing & Pressure Test ' :;'l � �� 6. Electr�cal UFER Grnd. �....fr �G �p.�v�/ 57. APPROVAL TO COVER-GUNITE 7. Footings tJ..�b`� L.�- 58. Electricat Conduit�Undrgmd. . t 8. Foundation C_� _,� �(v� 59. Gas Pipe, O Undrgmd., Test / 9. Water Pipe�Undrgrnd. � 60. Backwash lines, P�Trap;'O_Untlrgrnd. � �10. Svuctural floor SYstem ' � ' 67. APPROVAL TO DECKi"-%� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Finel� � 12. Sewer Cap ��- 63. Heater &�Vent•Final -' �� i 13. Roof Drains 64. Plumbing System • Final ` f 74. Rough Plumbing � .� 65. Electrical�Pinal '� 15. Rough Elecuica6Conduit �� 66. Solar SVstem-Final " 76. Rough Electric Wiring 67. FenCing & Access Approval � � 57. Fiough Wiring Si9� 68. APPROVED FOR PLASTERING - � 18. Rough Electricai-T Bar Ceilin9 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioriing FIRE DEPT. REQUIREMENT � 20. Rou9h Pactory Fireplace APPROVALS- Permit # 21. Duds,in Structure 70. Underground HYdro ' 22.Oucts,Ventilating 77. ProductPiping�OGas ❑Oil 23. Gas PiPe•Rough & Test 72. Underground Fiush 24. Roof Framing � 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheath(ng �.�`;�y 74. Overhead Hydro 26. T�Bar Ceiling (Str�cturall & Monocoai 75. Dry Chemical 27. Frame and Flashing �-Z,Z-�'(�p �- 76. Dry Standpipe 28. Laihing & Siding � �..�5�� ,A 77. FIXED Sl'STEM FINAL . a� 29. Insulation y" ,3-� �� 78. FIRE PREV. FINAL � 30. Drywall Nailing �J �lr�q(O �Lc�. -HEALTH DEPT. REQUIREMENT t 31. Plaster Brow� Coat . ��7-�6 �([l� 79. FINAI INSPECTION 32. Electr(cal Power Meter-F�nal 80. FOOD CERTIF�CATE ISSUED 33. Final.Electric Notes: -�(s- �q-� B � ' 34. Final Heating & Air Conditioning ' 35. final Gas Pipe�Test . - . 36.'Hood or Canopy 37. Final Factory Fireplace . 38. Final Plumbing 39. VJate� Service-Final 40. GasService-Final �'' .,y 41. Sola� DomesticFinal � �': :' . � 42. Backflow Preventer � . 43. Backflow Irrigation _ . 44. Landscape Irrigation SYstem �__. ,,, 45. Sound Attenua[ion ' � �x-- %� K � �? h_ � 46. Handicap Regulations "r '� , ;.�'� C!' r� 47. FINAL STRUCTURE & BUILDING z� �� / . �;, � /-- LJ �'� 48. FINALPLANN�NG, '� - ' �� • 49. Electric Release to Edison y " i. :~ - ,..,, cc 50. Gas Release to Southern California Gas Co 'r ` :v i.. 51. CEFiTIFICATE OF OCCUPANCY ` - n '� I No. Date �'' `. � ` - =�' �oonEssaeui�pxc: QbV tLMttvt(5�1 LN owrieasruueiva,axx: PE(`K, ALLEN L �ooness: 329 PRINCETON DR . _ . COSTA MESA, CA �� ' 92626 �av�. �,uuwc �noxess: uHr: � CITY OF COSTA MESA — BUILDING PERMIT � PERM NO: P Q7699 /� PERMIT NO: P 076992 PLAN CHECK NO: N GOVT: N SUPP: N �flCNRECT OP ENtlXffA: 11C. NO.: MCN.OX EN0:5 ADOPE55: UNT: c«�rn�cTarsruue: DOLPHIN CONSTRC7CTION ( 714 ) 731-3190 caim.crarswuuxc 14671 LIVINGSTON AV mo�ss: TUSTIN CA �G� 631584 92680 u� IJCENSED COMPACTOPS DECLRHATION: I Iwreby eRvm urMm panetly d parjury Ihet I em IicanseE unEer ions o/ Chepter 9 (evmmaiwrp wiih Seetion ]000) d Uvision � d IM Busirrea eM Prot eed mY liee ' in 1 elletl. cm uc. io.: uc. cuss: B u No. � 1� . Dma: Contreaor: � OWNEF BUILUEX OECLARRTION: I Mreby eifirtn umbr periely d perjury Ihm I em uamq iram tM Conireaan l'xvnae lew la ilw IOIIOKup reeson (Sedion ]091.5 Buaiwss arM Professions Code: Any cny « munty which rpuiree e permd b consUuq, elter, improve. bmdoh, a rapei any etrix.Yun, pria b da inuence, e6o reQuiies IM eppliram Ior wch Po�� to Rle a sgneE ewemeni thei he «eM licenaed punuem �o Ihe W�siona d �M Convaqare Licenae lew �Cheqar 9(commmeip v.ilh Seaon ]OW) d Ov'van 3 d ihe �aina� eM Prdasaims Cade� or ihm he or ahe ia exempt Iharahom arM Iha Wsia lw the dlepad exemplion. My voletion IN Secton !W 1.5 by enY WC��l fa e parmil wbpda ihe epplicanl lo e tivil perely d ml mae iMn INe �uMreE ddlen �5500�). � 1, sv ovmer d Iha Drope�y or my empbyeas xilh wegea es ihev ede mmpensetion, will do ihe work, end the eVuciure e nd intentleC a oflered la seb (SMion ]OM. B�romeM PrdeaaionaCode: TM Conlredae licenee Lew Eoee �wt epply io en ownxd popery who budde a inproves ihareon, end who does such woM IvmaeM or hereeX or IMough he a Mr awn emWWeas, qovMetl thet auch improvemanm era ia imerdad a dlered for eale. II, however, the buikinp or'unpmvament ia edd wi�hin one yeer W mmplMbn. iha owrier-builtler will heve IM W rEen d provirq ha w ehe d'M M Wik a improw far IM puryma d eeb). � I, as ox�r W ihe popeM. � exduarvey mnlreUirq xith I'Kensad conirecto�s lo conurud ihe pmlecl(Sedion ]014. Bueirresa end aida�n. code: rna canvma. ucenx �a., m.a �a eaWr io en owner a wnrom � wid. « imwwm menon ena wno conlrecla ta such Drqeda wilh e canlmdor(e) Icanxtl punuanl lo Iha ConVedon Licensa Lew). � I em aRemq uMer Sectian: B. 8 P.C., lor thie ranvon: Dele: Owrrer: I do heraby ce�M �hat I em ewere W enA uMentenE �M1e repuiramaMs ot Cellomie Hml�h uM Salery CoEe Sedions T5505. 25533, eM 25531, arM Ihel I a any Mura W ikinp ampeni vnll / wYl rwi (vrcb wre) neetl to comdY weh saE peta codea eM iha reQuiremenm Ia epermillmmmvudionamodifiWionhaniM1eAr u�eiiyRiarepeman�pistrirJ.Reaideruidmm�ueioneppicaliomereezmmpiromiheaa cranslone. Dele: Applcenl: WOFKEF'S COMPENSATION DECUFATION: I hareby alfirm uMer penelly d pajury wp d Ne folloxiip detlmetiona: ❑ I heve enC wiG meinlein e cerlifkele d mnaenl to aell-insure fa warken' compeneffiion, sv proviEeE Iw by Seaan �)00 d �M Lebar CoEe.lw IM DSNamuwe o11M wtk Iw WNCh �h19 Va�mit n ifeued. � I heva enE wiE meintem vrorken' oanpensPoion insurence, ea �aquired by Setlim �)00 ot tha lebor Coda, lor the peAormarce d iM wak la whrh thia pe�mn is ivuad. My wvken' campenaelion insuranca rarrier vd poliry number ere: Cemac Poliry Number: ,is union need nw ne romyeree i uro pvme ia ro. wro nuneiee do� t ol o. res,.) [g I eenh' �� iha pa�loemenee d �ha xroM Iw whch �hie pe I ie i ue . I e ell mV� iaon in eny menner eo d to Eecan wbj lo IM whe�s' rompenmtion kwa d Cali m' M p ' I a wbjen io tM xoM1ac' com eeii v/'sbne W Senbn 3'!W W Ihe Labor Code. ahe / ilh h ihc 'aiona. 1 V RPP�iranl: nmlrp: F llu b 1acuro worksn'rompwuatlon rovsrep� I� unkwN( �ne Mell su0/set en �nployx ro cr/m'nl peneltls� erM n nM, up ro on. nune..a rrwu,a�n dou,n (sia0.000l, ��.�+�� ro m. co.� or rnmyxu.�an, dam.p. o„rovm.a ror �n SxHon 9)O6 0/ Me l.e6or COM, Inbruf, end attornsy'a IN�. CONSiqUCTION LENDINO AGENCY: I hereby eifirm uMer peneM d perN�Y �� heia e e construaian kMiip epenry fw the aerrormence d me � m� .n�cn m's ��n� re as�d Isaeo� soe�. crv. cl. LENDEfl'S NAME: LENUER'S A�DPE35: I cenity thm I hew reaE Ihis epplicetion enE stele �lul iha ebove iniormetion ia m�req. I epree �o mmpy wil� ell dly eM munry adinaraea enE steie lewe �Neiin0lo buikng wnsvudion end hereby eu�hor¢e repreaemetivea ol lhia fily �o enim upon tM ebove�memuned pmpa�y �°'�°'0°"�°°°"`°°�°' CARL EXANDER Pn t Nema . �y Dme: � I ure tlRBenUAOPM1��onvedor (5151d8 WP) b Sdey; Green-Fie; Cenery-AppYrant: Pink-Fievenue: OOldenro�Aememr CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: ADD JOB DESCRIPTION : 316SF FAMILY ROOM 6 STORAGE ADDITION SQ FT: CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 / COMMENTS: 3165F RESIDENTIAL ADDITION / REF B-76989 ��+�*x*��*******�**************�*�***x*��*****��****�+��*x�*�*****�*+�******x* Z O N I N GS ERTEB�AUCIKRSE M E N T S ----------- MAIN BOILDING --- ----- --------- 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 ZN PARKING REQ: PROV: PARCEL: 14137224 ZNE: REF NO: PLANNING NOTES> ' � R�, 1f �E * iE iE 1E iElE 1E 9E iE iE fE iE �E iE �F �E iE 3E 3F �E iE iE jE 1ElElE iE iE 1E iE iF jE iE iE iE iF �E 1f fE 1E 3f jf 3E iE if 3E 1f fElE �E �E fE �E 9E iE fE IE iE iE iE dE aE dE 3E �E iE 1E jE iE �E jF 1E IE IE 3Elf' iE D E V E L O P M E N T S E R V I C E S Y; R E Q U I R E M E N T S ZONING APPROVED BY n� DATE: BUILDING APPROCTED BY : APPLICATION ISSUED BY: iE 3f 1E ik iE IE iE iE iE 3E iE fE 3E iE jE iE �E iE iE iE iE 3E �� DATE : � DATE: � � ��€g�� +� *+� � * * * *��'��rl�* * LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECT&'IC�""MECHANZC FIRE SMIP/RES GRADING PERMIT 10,00 25� � v SMIP/NON—RES PLAN �-. . �' ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PL�AN—CHECK TOTAL PAID DUE TOTALS----> 10.00 20.00 `'" f� A':100 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLL'ECTED: 30.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANLC FIRE SMIP/TOT GRADING PLAN—CHECK 3�,�� 1 1 , / : iE iF iE 1E iE 1E ik iE if 1E if� 1f iE iF 1E 1E ik iE if If fE 3E �E 9E 9E aE iE iE iE 3E 9E �E iE 3ElF iE iE 1F iE 1E if if jE 1k IE 3f !E �E iE dE i(� af 1F 1Elf iE jE *!E iE iE fE 1E 3E aE iF 3E iE iE 3E iE 3f !E iE if 1E iE dE if Z N D I V I D U A L� F tE E B R E A K D O W N TYPE QTY D E S C R I P T I OaN�„� UNIT COST TOTAL COST PLU 1 GAS PIPING SYS OF it 1 T,O 4 OUTLETS 5.00 5.00 PLU 1 VACUUM BRKR/BACKFLOW P,ROT. 1 TO 4 5.00 5.00 END �OF:; FEES I'� � t-^ � �r�D �' � r��,APR 1 - i996 � .� � CITY QF CGSTA NfESA CONSTRUCTION ANDPLANNING AP.?ROVALS Permit # 1. 'fempo{ary Electriw4 Service or Pole 2. Soil Pipe•Undrgrnd. . - 3. Electrital Conduit Uvlitv-Undrgrnd. 4. ElectriGal ConduiFUndrgrnd. 5. Steef Reinforcement 6. Electrical UFER Grnd. 7. Footings - " 8. Foundation 9. 'tVater Pipe�Undrgrnd. - �i 70. Structural Floor System �� .� i i.`4'ropertY Sewer Line & House Conriectior 12. Sewer Cap • � 13. RooS 6�ains � ^1 i 14. Rough Plumbing i� ;� 75. Rough Electrical-Condu'rt�i � 1�7. Rough Electric Wiring 17.' Rough Wiri�g Sign � 78. Rough Electrical�T Bar Ceiling ' 19. Rouqh Neating & Air Conditioning 20. Rough Factory Fireplace " , 21. Dutts, �n Structure 22. Ducts, Ventilating 23. Gas Pipe•Rough & Test _ 24. Roof F�aming ' 25. floof Sheathin9 . 26. T-Bar Ceiling (Structuraq & Monocoac 27. Freme and �Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Fina� 33. Final Electric � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Finai Plumbing � 39. Water 5ervice-Final 40. Gas Service-Final 41. Sofar CJomestic•Finai 42. Backfl0w Preventer 43. BackflOW Irrigation 44. Landscape Irriqation System 45. Sound Atlenuation , 46. Handicap Reguiations 47. FINAL STRUCTURE & BUILDING 48. FINAL PIANNING 49. Electric Release to Edison 50. Gas Release to Southern Cali(oroia Gas C 51. CERTIFICATE OF OCCUPANCY Date Date POOt PA ' Inspector qppROVALS Permit# 52. Poot & Equipment Locatton_. 53. Steel Reinforcement 54. Forms 55. Eleciricai 8onding 56. flough Piumbing & Pressvre Test 57. APPflOVALTOCOVER-GUNtTE 58. Eiectrical ConduibUndrgrnd. 59. Gas Pipe, O Undrgmd., Test - 60. Backwash Lines, P-Tiap, �:U�idrgrnd. 67. APPROVALTODECK " 62. Backwash & Recepmr�a4 63. Heater & VenbFinal` " ' 64. Plumbin95ystem-Fina1%j"" 65. Electrical�Final . � 66. Solar SYstem-Final 67. Fencing & Access Approvai 68. APPAOVED FOR PLRSTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT , � APPROVALS Permit # ' 70. Lfiderground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Under9rnd.StorageTankOGas ❑Oil � 74. Overhead Hydro 75. Dry Chemical . � 76. Dry Standpipe _ � 77. FIXED SYSTEM FiNAL 78. FIRE PREV. FINAL � FIEALTH DEPT. REQUIREMENT 79. FINAL INSPECTtON 80. FOOD CEflTiFICATE ISSUED Noies: T_ C_c / T_ i._ v � �. r" _: i�- Date � Inspector �' . -'� � � /iDONFS50FBUILqlq: 46O ELMHURST OWNEHSN41EIFplOWN: PE�K, ALLEN L �ooxess 329 PRINCETON _ COSTA MESA,CA �vv�.�.uuxc aooxess: 1PCNIfECT ON ENtlNHN: 1NCX. OH FINi.'S IDOflE54: LN DR . � •92626 caimAcrarsruxe: DOLPHIN CONSTRUCTION CONfNACi0R8MYIRlG 14671 LIVINGSTON AC� uc. rio.: UNT: ��-- IINT: (714)731-3190 �oo�ss: TUSTIN CA �G�,; 631584 92680 uNT: LICENSE� CONfNACTONS OECLANATION: I hareby N'am under penetly d per'ury ihet I em IicernaE undi pwisions M Cheqer B (commenanp ' h Sectbn 1000) d D'maion 3 W Ne Buuriees vM Pmie�eiona s. �E my ' naa i Rt rce vM eHep. cmuc.No. uacuss: H uc.N , 63�� {p; Dete: � Convapw: OWNEfl B LDEN OECLAPATION: I hereby �rm untler pendy d parlury thet I em naempt Imm �M Contretlon licenee Law la ihe IollowinB �� (�bn ]031.5 Buaroes eM Prdesaiona Coda: A'ry ciY a coun�Y �Midi nq�ime e permu to muvuc�. ellx. Improva. demolwh, or repei vry ewcture, prur w Na ewerce, a6o raquirea tM eppliraM Iw such permn to flla a dpmd eletemant �het he or ahe b lironsed W�� lo Ihe yanaiom d IM Contredore IJcenae Lew �Cheper 9(commendnp vMh Sed'on ]000) o/ DMeion 9 d ihe Bueinesa vM PrMeaions Code� or ihel M w eM ie eRemq Ihxalrom end ihe bmia la Na NlepaE examqion. My violetion d Sodion ]U31.5 Ey eny applicenl for e permil eubpda IM epplicenl lo e cwil penelry d M mors �hen iHe huMretl Edlen �5500]). � I, es oxm�er W ihe Droparly or my emObV�'�'Ah weges � IheF eda mmpenae�bn, will Eo IM work, eM IM atrvcNre e m� imaiMad or oflmeE /w ule (Seciion JOu. Buaireas eM PrdeavonsCotle: TM Coniredwa Licanae Lew doee ml epplyto en ownerd propeM wM Wldn a inpwea tMreon, end who Eme suN woM kmaeM ar hersep m Ihrough hv a har own emplayeea, qwidad �he1 such improvamente are rm imaMad w oHered lor aele. H, howaver, tha buikirp a impwement n add wnhin me yeer d canpblian, Ne ownar�buiMer vrill have �ha buMen o/ qoviig he a ehe Ek � buik or impo.e lar IM puryme d seb). � I, sv owner d �he prapeM. M eRduarvety mniredmq xilh IicroseE conVecton to cmmrua iM piqect ($epon 1pa1, Bwinma enE Prolesaiona Code:The Cm�repm L'emae Law doaarw� eppFylo an owmrd propeny wha builde aimprovestlwreon enE who � Cq11RCL9I0! 8YM ptO�BC13 NIIM1 8 CplllBd0l�9) ICB119B'J pI1N11011110IIIB C011�18dM9 LICBMB LAW�. ❑ I am, e.�emq uMm Sac�ion: B. 8 P.C.. br �hia raewn: �Poe: V Owner: I Eo MmEy caMy Ihet I em ewara d eM uMarsWM I�e reQuirements ol Cellomie Heell� anE Safey COCa Saclione 25505. 2553�, eM 255�1, end Ihei 1 a eny INurB buildinp ampeni will / will nd (ci�ck ane) naeC 10 mmON w�h aek wm0 oodae eM the repuinmenb la epermnlormnelrvclionamoEifice�ionhanlhaAr�eregemen�Distnd. Raudmtielmnmrudionmofcqiwreenuemdiromtlwe Oa�e: Applicant: WOflKEN'S COMPENS�TION DKL�fl�TON: I hereW elfirm uMu peneM1y d pe�jury oro W �he bllowing Eeclereliana: � I heve arM Mil meinten e cenilcma d mnsent lo sellinwn br xakere' wmpermtion, av povided lor by Seaion �)00 W �he Lebar {�iCdl. �IX ��1B j91i0l111811CB Oi I�1B WJfll �Of W�1ICh ��119 pBflllll 19199YBd. � I hew eM wie meimen woiken' c«npen�etion insurence, u raquiretl by Sepion a]00 d ihe Lebor Cade, ia tha parlormence d the work Iw whiW thie paimn ie iaeueE. My wakan' mmpeneation insurenca umer vd pdiq number are: Cemec Poliry Number: lhis section need �wf 6e comple�eC E the parmAis bi one huMred dollars (StOpJ w kss.) �] I ce ' Ihe� in Ihe perloimence d IM wwk iw whch Ihia pertnn' I eM1ell not a e�ry rem i� eiry menrrar eo ro lo bec a eu ^ep lo Ine woMera' comqnmlion lews d Cal' . ree ihe� ' bjetl Io iM xakeri co mn v�soos a sman a�oo w ine iamr coee. i i .n oN �� sare. ' Dem: Ppplcem: \Waminp. e/lun ro�econ woMen' comveiu�tlon roveryry b unbwNl, antl �lull w6)xf an �mployerto ctlMrv/ pmattlo en0 Ivll flnu uy ro ons huntlretl lMuaerd 0ollers (5100,000), In M11fbn ro Ms <ost o/ compsnsefbn, Mmepi u prov/tlW br In Sectlon 9)06 0l Me Le6or COJe, /ntensq en! efromsy'� lsea. � CONSTHUCTION LENDING AGENCY: I hareEy dfirm wear penelry oi perlury thet thero ia e mnatmclion bMing eper¢y Im iM peefama�e d tM vrork b! whieh Ih'e pemiA ia o5ued (Sed'an 309], Cir. C). LENOEN'S NAME: LENOEH'S AODPE55: ' 1 eMiry thet I heve read Ihia epd�� eM 5e�e ihet ihe ebove inlom�e�ion u conen. l epeee to eomON �h dl ay end mwy wdinercee end sime lewe relminp to buiWinp canurvaion eM �ereEy aWhorrze represenia�ivea ol ihis �i1y to anier upon ihe eban-menlioneE poperry 1Of1p9DBC1O°o°`"°'a�' CARL ALEXANDER nl N me c / Dma. `� b 5 Y Ip M/App4 UC (5151�06 WP) Whne-Buildiq 8 Sefely: Greeo-Fle; Cenary-AppYcant: Rnk-Revenue: Gdtlenrod-Anmesa PERMIT NO: M CITY OF COSTA MESA — BUILDING PERMIT 076991 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYP.E: MEC JOB DESCRIPTION : 316SF FAMILY ROOM & STORAGE ADDITION CLAIM VALUE: CALC—VALUE: PERM NO: M 076991 GOVT: N SUPP: N PURPOSE: ADD SQ FT: GRGUP OCC: R-3 / COMMENTS; 3165F RESIDENTIAL ADDITION / REF�B-76989 � **��*�****�x***�*****+��*****�+�+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 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: 14137224.ZNE: REF NO: PLANNING NOTES> �ti i if iE iE iE dE iE 3E 3E iE iE iE aE iE iE 9E 3E iE 1F 1F fE 1E fE �E �IElE iE iE if 1E iF iE iElF 1f if * fE IElE fE iElE IE 3ElE IE dE fE iE �E 1E fElE �E �E �E aE jE 3E 1Elf iE 1f iE iE if 3E iE iF iE iE iE iE jE if iE %:E 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 i • ZONING APPROVED BY �+ DATE: HUILDING APPROVED BY : APPLICATION ISSUED BY �E iE 9ElE �E dE iE �E iF iF jE 3E iE 1E 1E iE iE �E'iE iE iE IJ DATE: DATE: !� *x��*+�***�'4F��—��** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N �� .: G. �.. � . HLDG PMT PLUMBING ELECTR�IC MECHANIC FIRE SMIP/RES GRADING PERMIT `� �� 1�2.00 v 25k SMIP/NON—RES PLAN � �� ('�r' � ISSUE FEE � '/'r15.00 BUILDING—DI�'—> PERMIT ISSUE PLAN-GHECK'� TOTAL PAID DUE TOTALS----> 12. 00 15.00 �, Cf •0', 00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLEGTED: .� 27.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANPC �(�FIRE SMIP/TOT GRADING PLAN—CHECK 2,% . � 0 �'^ . : � n 1' / iE iE �lE 3E iE'IE'1E iE 1E iE 1E iE iE iE if 1E iI-1f 1f if 3E #�f ih if iE ii' 1E 1I' iE if iI' 1E 3E iE 9E iE iE iE �IE'iE iE if--if iE iE jE iE iE if iE iE iE iF iE iE iE iE 1E iF iE iE dE iE iE if iE if i%iE if iE 3E iE'If jE 3f iE 1f I N D I V 2 D U A L� '^F E Ex� B R E A K D 0 W N 1�; TYPE QTY D E S C R I P T I O�Ny �' � UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV'yFURN X 0 K BTU 9.00 9,00 MEC 1 GAS PIPING SYS 1— �4 OUT.�rETS� � 3.0� f'p �� 00 END.%,OF,;: EE'ES^- D �� r, � _� //��(yy•� 1 �' /'� : i� � ' % !^ � /1 �/ /? _% APR1-1996 \ �) CITY OF COSTA MESA CONSTRUCTION ANDPLANNING � " APPROVALS Permit # 1. Temporary ElectricBl Service,ocPole " 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility�Undrgrnd. 4. Electrical Conduit�Undr9rnd. 5. Steel ReinforcemenT - 6. Electrical UFEft G.nd. 7. Footings 8. Founda[io� 9. 4Yater Pipe�Undrgrnd. � . 10. Structural Floor Svstem . � 17. `Property Sewer Line & House Connection . 72. Sewer Cap - 13. Roof Drains � !,. 14. Rough Plumbing . %� � 15. flough Elettrical-Conduit`! tb. Rough EleCtric Wiring 17. Rough Wiring Sign - 18. Rough EleCtrical-T Bar Ceiling 19. Rough Heating & Air Conditioning -' 20. Rough Factory Fireplace 27. Ducts, in STructure � 22. Ducts, Ventilating � 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-8ar Ceiling (Structurali & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Orywall Na��ing 31. Plaster Brown Coai 32. Eiectrical Power Me[er-Finai 33. Final Electric 34. Final Heating & Air Conditioning t l 35. Final Gas Pipe�Test 36. Hood or Cenopy 37. Fina� Facto�Y F��eplace 38. Final Plumbing 39. Water Service-Fina� 40. Gas Service-Final 41. $olar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenua[ion 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern Calitornia Gas Go 51. CERTIFICATE OF OCCUPANCY Date Date POOI ?A Inspector qppROVALS - Permit # 52. Pool & Equipmeni Location � 53. Steel Reinforcement �i 54. Forms 55. Electrical BondingJ 56. Rough Piumbing & Pressure Test 57. APPROVAI TO COVER-GUNITE 58. Electricai Conduit-Undrgrnd. 59. Gas Pipe, O U�drgrnd., Test 60. Backwash Lines, P�Trapf O Undrgrnd. 67.. APPROVAL TO DECK � 62. Backwash & Receptor-Final 63. Heater & Vent-Final ' 64. Plumbing System � FinaL = � � 65. Electrical-Final 66. Soiar SVstem-Final ' 67. Fenci�g & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS F7NAL � � � FIRE DEPT. REQUIREMEIVT APPRQVALS Permit # Date Inspector ._ r �'_i ,% �--: 70. Underground Hydro 71. Product'Piping O Gas ❑ Oil 72. Underground Flush 73. Undergmd. Smrage Tank G� Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemicat � 76. Dry Standpipe 77. FIXED SYSTEM FINAL • ' 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79: FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Noter. �. �� . . In ..� .- . c� ._� - �,. _. � 1 7. -t ...'i'10K55 OF BNLqNG: 4 C] O OWNEHSNAMEIFppM'N: PECK� �oowess: 3 2 9 P COSTA �vp�_�uiuwc �oopess: URJ 1 LIV UNT: N L TON DR ,CA 92626 APCNRECT Ofl FNtlNEEN: 11C. NU.: �` WiCX.OHENG.'SIDOPE55: pNT: 9 � caim�crarsruuE: DOLPHIN CONSTRUCTION ( 719 ) 731-3190 cwmncroas�uimc 14671 LIVINGSTON AV �ooxess: TUSTIN CA �� 631584 92680 uNT: IJCENSED COMqpCTOHS DECLAF�TION: I hereby aflim unJar pe d pnjury Uel I em licens uny r p vuima of Cheper 9 (mmmencing wilh Sec�ion ]000) d Divieun � d �he B�sinew enE P on Cade E my lio � o' in yll b eM eHad. cm uc. No.: uc. cuss: B . No.: 6 ` E} . Dele: Con�reea: OWNEN BU DEN OECLANATION: I Mreby elfimn under qneAy d parMrY �M1m I e.emq /mm tM Conlreaan L"aense law lor �M idbwig ren+on (�� )031.5 &niima eed Pmlessuna Cade: RnY edY ��untY �� b9uiree e pe�mil lo o�naltue�. ellar. impove. iamd'sh, a repai eny ai�ueture, piar �o ns bauarKe, abo requiras IM epplie�anl tw vueh parmit to fila e egrod ablamem thet M a ahe � licensed Wmuni io tM proviswu d Na ConVeaws license lew jChepter 9(commendrp wilh SeUun )000) d Oi✓aion 3 W ihe �usineas eM PrWessbns Code� or �het M a ehe ia e[emq Ihereham enE IM beae la �he dlepeE ezempian. My violetion d Seuion ]031.5 b/ eny eppliranl lor e permn wbjWe �M epplicenl lo e avil Po�MY b� mwe �hen Me huMred dollere �5500�). � I, as owner dthe prapenY a� my empbyeae wnh weges av the� eole compenselion, will do iM wuA, end the ai�uciuro o rwl intenCeE or oRered I« aeb (Senion )Ou. Busimss eM Prdeaaiom COEe: TM Conirmon Lioanse Lew Eoea �at eOWY lo en owmr d pWaM who builEs a vnprovea �hereon, end wfio doea auch woM himeelf or heneX or throuph he «her ovm empbyeea, pmvitleE ihel such �mw�*<ms �a oa �m,�e a di.�a ia �. n. n�,re,. ma w�a��a � mw�emam n.ad .mn�� o� v� a�,a�oa u» ow�wrW iNm vnll heva the buMen d O��M he a eha Eid rat buiW or improve fa Ihe W�e d ceb). � I, ea owner d IM propeM. � eRdwivey mntrecmq wnh IicenaeE contrect«e ta canmuq tM popq (Sepion 1p1I, Businma end PMessbna COEe: TM Cmveqpe Lcenee Law doea m� eppry lo en ownar W propenY � b�iNe w imqoves iMreon eM who conirecv Iw auch prqem wilh e oonlrador(s) IicanseE Wrsuem io �M ConVepon Liceme Lewl. ❑ I em uemq uMm Seciion: B. 8 P.C..1« �his reawn: i do ne.e�y cenM �nm i em e.are a ene u�ersi�a ine ,ea�nemems a ce�mme �.nn .�e sme�r coae sea�ons sssos, us�, d,e 2553a, end ihm I or eny fulure buildi�q oaupent vnll / will rwt (aRk arn) neaC b canpN w�h aek steta mEae arM tM reQuiremenb br e permn lamn�vuctbn a modifi�pn kom iMAr�6 ieit�'a�epament Distrid. Feaidential aonavwion eppYretum eraexemq irom Ilwee pIOV1910118. Deta: Rpplcenl: WOHKEN'S COMPENSATION DECL�flATION: I hereby elfi�m uMer penelry d parjury «n d Ma lolbxiiq Eepuetiom: � IhavaeiMwilmeimm�ecenEicaledconeemloeetliraureMworken'canpeneetion,nWovideE/abySaaian�]OOdthalebar COJe, im IM parlormence o11M xoA �w wM1ich ihia parmit ie imued. ❑ � nan ene me meima� �,�omm� oanoaoae�on i�m,rence. es rw��aa M s«rian a�ao a ine �ee« cm.. ror me v�«mv�c. d m. wwk iw xfiidi iM1ie paimn is ivuad. My w«ken' cwnpanaa�bn ineurance famx eM pd'iq numbar ere: Cemec adKr N�mn�� - nr:s«a;o��,ed�ora.�wer,aimere,ma;.r«�ano�e.eeear�ls wb,a.� [] I eenAy ihet in ihe perlom�enea M �ha woM Iw whch ihia peemn ie' euetl. I I nd amdW w Y e�nar eo m m . becmie�hubj� a �o IM xwken' compenwion lewe d Galif«n' enE e het ' cy �me bje m iM haMen' compe selio D�isbm M Seclbn 3]00 0l t�a Lebor Cafe. I sh f ' w p ilh R v mo Dete: Applzeni: WeminO Felluro fo sx�ro waikeri compuueHon cove�eps l� unNwNl, �nC aMll sub)xt an emp/oy�r ro cr/MnNpxultlp �iM clvll flro� uy ro ons hurdrW fMuunJ tlo/kn (SiDJ,000A In eJCltlon ro Ms cwt ol romperwf/ort d�pv u proNestl br In SxHon 9)O6 0l Ms LeDo� CaW, InM1roaq and ettomsyl Iw. CONSTHUCTION LENDINO AOENCY: I hereby elfirm uMer penelry d parjury Ihet tlwn ie e mnslruabn bMirp epenty for tM �ne�� d in, � t«.n�m ina v�� : o.�ae (smq� aoe�, cN. ci. LENDEF'S NAME: LENOEfl'S ADDNESS: I ceniN thet I heve roed �his epdK�� e Ihet IM ebove inlametion c cnrteq. I epree lo canpy wilh ell ary eM oountY �iiw�wa enE stele lexv rNeiing to Euildng mnsVutlion eM hereby amhorrza reprmenlelivee d Ihis cily lo enter upon ihe eLwe�menfoned prope�ry r°`�°'°°""°°�`0°'°' CARL ALEXANDER ��nnl Neme Dele: __� \��i Si9netur W Ohner//yenUAppirenUConireaa (515�d8.WP) Whne-Buikiq 8 Sdety; Green-Fle; Cenery-AppYcenC Pink-Revenue; Gddenrod-Annewor CITY OF COSTA MESA - BUILDING PERMIT pERM NO: E 07699 PERMIT NO: E 076990 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: AUD JOH DESCRIPTION : 316SF FAMILY ROOM 6 STORAGE ADDITION SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: 316SF RESIDENTIAL ADDITION / REF B-76989 +��u*�*�+��**�****+�**x��**��**�*�*�***�+�***�*��+tx�*�**�*��*rt*�+�*��******�*��**�* 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 HUII,DING --------- 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: 14137224 ZNE: REF NO: PLANNING NOTES> i iE iE iE if iE iE IElE if aE iE iE �E 3E dE 9f iE 3E iE iE iE iE iE iElE iE 3E iE 1E �)E fE �F �E 9E * iE jE fE �E 3E iE iE iF 1f �E iE �E 3E 3E 3E ff 1f iE 1E �f 9k iE iE 3E fE iE iE 1f iF 1E 1F fE if iE iE iE 3E �lE 1f iF aE if iE if D E V E L O P M E N T S.-ESR V I C E S R E Q U I R E M E N T S h� ZONING APPROVED HY DATE: _) BUILDING APPROVED BY : ? �! APPLICATION ISSUED BY: n //iL 1ElE jE iE if iF df iE if !E iE if iElk IE �E IE 1f if iE 9ElE 1E LEGALIZATION:N F E E S U M M A R Y HLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 33.50y 5�4 PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 33.50 15.00 0.00 REC'ENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 48.50 � DATE: DATE: T—��9� iE��F7FdE 3E iE 3E iE 1f iE if if if��fE * STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON-RES TOTAL PAID DUE 48.50 48.50 .00 48.50 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN-CHECK 3E 3E iF IE iE 3F aE 3E 3E iE iF iE iE iE 1E if �F iE 1F if iE if iE iE iE iE fE iE jf 9E if 3F iE iE iE IE IF iE iE iE iElE IE 3E iE fE �E iE iE iF iE iE iFlE IE �F 1E iE 3E iE IF iE if iE �ElE iE if jE if iE if iE if 3E jE iE �E 3E 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 5 C R I P T I O N UNIT COST TOTAL COST ELE 5 FIXTURES, LIGHTING 1 ST 20 EA. ELE 10 RECEPT/OUTLET 1 ST 20 EA. ELE 5 RECEPT/SWITCH 1 ST 20 EA, ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP END OF FEES .75 3.75 .75 3.75 18.50 18.50 � m _� ' �:, .��9 APR1-1996 CITY df COSTA MESA /- _ _ ` _ sP � ^ "- • CONSTRUCTION AND PLANNING •• POOi SPA Date Inspector � Date inspector � APPROVALS Permit #, � APPROVALS Permit # : 1. Tempo�arY Electrical Service or�ole " ` 52. Pool & Equipment �ocation �_ .' _ 2. Soil Pipe�Undrgrnd. � �= � . 53. Steel Reinforcement '� �' 3. Electrical Conduit Utillty-Undrgrnd. 54. Forms � � i� 4. �Electrital Conduit-Undrgrnd. 55. Electricai Bonding '' �,' 5. Steel fleinSorcement � 56. Fougfi Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. � 8. Foundetion � ��. 59. Gas Pipe, O Undrgrnd., Test 9. Water P+pe-Undrgmd. �� 6p. 8ackwash Lioes, P-TraP; �7 Undrgrnd. 10. Structural Ploor System �� 61. APPROVAL TO DECK . � � 7 t. PropertY Sewer Line & House Conn`ection 62. Back�vash & Receptor�Final `' 72. Sewer Cap � , 63. Heater & Ven[-Final ' �'� 13. Roof �tains 6A. Pfumbing System � finat� ' 74. Rou h Plumbin `- J� � � g 9 �� i� 65. Electrical-Final '�� . 15. Rough Electrical-Conduit • 66. Solar System-Final � ' �, 16. Rough E�ectric Wiring 67. Fencing & Access Approval . 17. ftough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Eiectripl-T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , � APPROVALS Permit # 21. Ducts, in Structuce 70. Unde.9round Hydro 22. Oucts, Ventilating � 71. Product Piping OGaz ❑Oi1 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheaching 7A. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemicai � 27. Frame and Flashi�g 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. FINAI INSPECTION 32. Electrical Power Meter�Final 8D: FOOD CERTIFICATE ISSUED 33. Final Eiectric ,jlay�� Notes: - � . � 34. Finai Heating & Air Conditioning 35. Final Gas Pipe�Test � ' 36. Hood or Canopy 37. Flnal Factory Firepiace 38. Finat Plum6ing 39. Water $ervice-Finai ' �' �-i� 40. Gas Ser��ce-Final . At. Sotar domesticFinat /�� 42. BackfloW Preventer • ' 43. Backflow Irrigation rq- -i 1 �1�1� P 44. Landscape Irrigation System � , ��_..� - 'r 45. Sound Attenuation _� ;'. 's r.� , - - 46. Handicap Regulations . � i ; '. -- � 47. FINAL STRUCTURE & BUILOING =-r' • ti1 .� � 48. FINAI PLANNING � ' � ;„ ^� ' t�� 49. EleMrit Release to Edison '•_ __..! .,� ., i 50. Gas Release to Southem California Gas Co � _.,-..��f ` _ '•� 51. CERTIPICATE OF OCCUPANCY -� No. Date I BUILDING PERMIT LOv NUMBER: ¢--�� ttclp TYPE OF PERMIT: ION: SQUARE FOOTAGE: n�c i— i �rvi� ro i v o� ur��. POSSIBLE IN RECORDING 15 f��' 2ia„�oy gv�x 2C.' `f6o FGa�Hv.tsT wi2.�t4 d �AG .L?.+� F�to� ' Oo c vsi,,,/ �'o-.� sr2uc rion/ G �h2t A-[,�+TCy„i�2 t0 3�Gd � J.. N �.. e,.r: Fa�.. o�.n �%o �<�'l,�(R 3 % UV, cas: A st��ss► "\ N�+�+ �ooA� SE�� XJflvn M Qlor�b 0otZ9Z6606 t5�80 966Il9T/o0 660D Z£8 VtL NOIl�fiLi1SN0� NIHd"l0O WOti� WVSI 9 9661—ZZ—V ; , 0 Applicant to fill in all spaces except those witnin heavY �ortler Ilnes ane sign all appropriute oeclarations. CI?V��F COSTA ESA ,� !CONS,T1R/U�CTION PERMIT � Projec�[Address �� (m�M'N�i�„��/- �� ' cApplicanYsMaimlingA dress N��TS ��-LW'e�' Q��P Owner's Name W�- � ��. �. r Phon�e^ C� M� Address �]eZ ��1►fG�/�.:IJ ,7�. W J�A I�LL�� ArchlEng. � License No. Address /f �/ Contracior's Nam �'c ' PYi�}i`�r��t11�[ Address (mailin I H � '; ST �- �- !Q � �-- 1' ' 1 � C�.� .�y�.� � e —.— � u ��.� 4, � � City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm tha[ I am licensetl untler provisions of Charter 9(commencing ' wi[n section 7000) of Division 3 ot the Business antl Professions Cotle, antl my license is in fu I force antl effect. �� ^� License CIa55 C Li ense No �/ Date � Signature �"� WORKERS'�COMP`NSATION DECLARATION � bereby affirm [hat I have a certititate of consent to selbinsure or a certificate \ 'Norkers' Compensation Insurance, or a certifietl copy thereot (Section ], Lab. C�J /� �jv �`y �,/ '� `� i y No.�IJ�I b' �_ O D Companv,�l Q'e'- � 1� V � rtifietl coOY �s �ereby fumishetl. ertitietl copy is filetl with the city.gui'Itling�Division/� Dale�_ Applicanf /� X- "� ( EXEM TION FR M ORKERS' COMPENSATION DEC ARATION (Thissection neetl not be com0�etetl if the permit i5 for one huntlretl ($300) or less). 1 certify inat in the performance of the work for which this permit is Issued, I snaiP nol employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of [he Labor Gotle, you must (orthwith com0ly with such provisions or this pe�mit snall be tleemetl revoked. CONSTRUCTION LENDING AGENCV I hereby aifirm that there is a construction lentling agency tor the pertormance ot the work for whicn this permit is issuetl (Section 309� Civ. C.) Lentler'S Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby aifirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business antl Protessional Cotle: Any city or county which requires a permi[ to canstruct, alter, improve, tlemolish or repair any structure, prior to its i55uance, also requires the applicant for such permi[ lo file a siqnetl statement that he/she is licensetl pursuant to the provisions oi the ConVactor's License Law (Chapter 9(commencing with Section ]000) ot Division 3 of tne Business antl Professions Cotle) or that he/she is exempt +eirom antl the basis for the allegetl exemption. Any violation of Section 1.5 by any applicant fo� a permit Subjec[s the applicant to a civil' , alty of not more than five huntlretl tlollars (g500). �J I, as owner of the o�opercy or my emoloyees with wages as their sole ' comp¢nsation, will tlo the work, antl the sVucture is not int¢ntletl o�-ofteretl for sale ($ection ]044, Business antl Professional Cotle: The Contractor's License Law tloes no[ apply to an owner of a property who builtls or improves thereon, antl wM10 tloes such work himself/he�selt or through his or he� own � employees, provitletl tnat such improvements are not intentletl or offeretl for sdle. 11, M1owever, the builtlinq or improvement is soltl within one year of com- � pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- �rove fo� the purpose of sale). I, a5 owne� of the prOperty, am exclusively cont�acting wltM1 IicenS¢tl Con- tractorsto construct the project (Section �044, Business antl Professions Cotle: The Cw[rac[or's License Law tloes mt apply to an owner of property who builtls or improves thereon. antl who contract5 for Su�h oroiects with a r.on- trac[or(s1 license oursuani to me ConVactor�s License Law). i am aware that proof o4 thei� Worker's Compensation insurance shoultl be provitletl fo me. ❑ 1 am,exempt untler Section B. & P. C. for tnis reason �ate owner I hereby certify that I have reatl this application antl state that the above intormation is correct. I agree to comply with all city antl munty ordinances antl State laws relating to builtlinq mnsttuctiOn, dntl heieby authorize repre- senfatives of is cit to erJter upon the above-mentionetl property for inspection p rp ses. / � !_ r Signature � \�� OB65-46, rev. 5/BB White - Builtlin9: Canary _...Z-S.. �93�y � ....._. ..- � _- ._. � _. TYPE OF CONSTRUCTION,- New' Aoo AL eaaT iv -❑ CONVERSION ❑ DEMOLISH OTHER �ESCR TION OF WORK/USEq F B DG. n�-�%�"�-57�—�� d� I .� w% G) LQU F L � i71�.. - W� GG TVPE OF PERMIT GRADING FOUNDATION 5T UCTV ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER� � � ' PROJECT DESCRIPTION SQ. FT. � ocGUPA C� C O N STRUCTI ON T V PE V ALUATION $� ZONE GRADING CU. VOS. ACRES_ Remarks: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks � Gas Service Interceptors Kitchen Sink �avatories P-Trap Roof Drains Reinspection Fee 1 5'%' � 1" ' 1 A)p \ Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Outlets Water Closet � Water Heater Water Service Auto Wash $15 Boiler Duct- Under Ground Duct - Structural Ducc - Ventilating Exhaust System ❑ Multiple ❑ Fi�epl/Fact. Bit. iCBO dk Heating System & Ducting ❑ a� oo,oao sTu O i oo,000 eT Reinspectian Fee � $15 Pink - Accounting; Goltlenrotl - Assessor Issue Fee Hood or Typel ❑ Canopy Typell ❑' Refrigeretion System ❑0-100,0006TU ❑100,000 System Repair/Alteration Fire Dampers � Registers Issue Fee A.P. # S Main Building: R E T Front fL A Rear � C Right K g . Left — Ping. Ref. # — Planning Notes: $3 �:. FEES Zona Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KU Construction Pole Sub. � � 50 + KW Cooking Unit Dishwasher Oryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Ouclets � Switches Garbage Dispoul Generator �0.5 KW �5-15 KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel -- '-i. Motors �0-1 HP 01 X- 8 InaSolar 09-15 HP �i6-15+ Microwave Pole Light � Range Sign Standing Sections Trash Compactor Fee �$15 � � luue Fea DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By Building Approved By � Aoolintion Issuad Bv SU/MMM7�R^V ,Q�F FEES BUILDING PERMIT $ � SMIP , PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAI $ GRADING PLANCHECK 50% $ MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ $ 3 O N 1 N G R E Q M T S. FEES $ 3 $' $ $' $ 7a.sv �r OQ03°0°4-Q0�380&5 T�?"Y" ;,�3 [l�TE� D7llEJ89 TINe: p?:34 � _ . .. .. ., . ; '��\,� ��. ... . -1 POOI PA / GLiNSTRUCTION AND PLANNING Dat Inspector Date Inspector �APPROVALS Permit # , - APPROVALS Permit # 1. Temporary Electrical Service or Po�e � ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ��, `�/ �� 53. Steel Reinforcement '� '3.: Electrical Conduit Utility-Undrgmd� � � 54. Forms _ � ' 4: Electrical Condui[-Undrgrnd. � v! 55. Electrical Bonding � � � �_ 5., Steel Reinforce'ment „� � 56. Rough Plumbing & Pressure Test `� �� 6:",Electrical UFER Gmd>) ' -� � 57. APPROVAL TO COVER-GUNITE � � �� 7: �Footing5 „� _ -� - 58. Electrical Conduit-Undrgmd. , � ' , $ Foundation �� i �+ �: 59. Gas Pipe, 0 Undrgrnd., Test �' 9. Water Pipe-Undigrnd. �J. �-� � 60. Backwash Lines, P-Trap, � Undrgmd. i � 10. Structural Floor 8ystem •a� 61. APPROVAL TO DECK '� 11. P�operty Sewer'L•ine & House Connection t' 62. Backwash & Receptor-Final. . . �, 12. Sewer�Cap (, ��'? �, j 63. Heater & Vent-Final � 13. Roof Dr"ains �L �,� �� 64.-Plumbing System - Final �^� 14. 'Rough P.lumbing^.j � � 65. Electrical-Final � �� 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough�Electric Wiring 67. Fencing & Access Approval G97-. Rough Wiring Sign 'i 68. APPROVED FOR PLASTERING �18. Rougfi Elearical-T Bar Ceiling!v 69. POOL/SPA SYSTEMS FINAL '1g. Rough�Heating & Air Condifioning FIRE DEPT. REQUIREMENT - �,} .20. Rough ractory Fireplace _,�� APPROVALS Permit # : 21. Ducts, i'n Structure -.�. 70. Underground Hydro 22. Ducts, Ventilating .� ' 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test _'� 72. Underground Flush 24. Roof Framing �� r� 73. Undergmd. Storage.Tank 0 Gas ❑ Oil 25. Roof.Sheathing 74. Overhead Hydro 26. T-Bar.Ceiling (Structural)�&'Monocoat 75. Dry Chemical ' 27. Frame and Flashing •' 76. Dry Standpipe 28. L'athing & Siding ��- 77. FIXED SYSTEM FINAL � 29. Insulatibn ?� 78. FIRE PREV. FINAL v 30. Dryw`all Nailing � - HEALTH DEPT. REQUIREMENT 31. Plaster Biown CoatQ ,: � 79. FINAL INSPECTION tl 32. Electrical Power Meter-Final �!" 80. FOOD CERTIFICATE ISSUED 33. Final�Electric f� Notes: � � t,Y � � 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-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 n L'' 43. Backflow irrigation � U 44. Landscape Irrigation System �,.1."'�) v 45. Sound Attenuation , � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed � 49. Electric Release to Edison • � • ✓. 0. Gas Release to Southern California Gas Co �� '1 51�•, CERTIFICATE OF OCCUPANCY -�17� �-' �L No. `' Date l;% � ..�Costa Mesa Bnilding Department APPLICATION FOR PERMIT � --�^ 771 EAST 20tb STREET 29�� B U i L D i N G ' �"_- COSTA.MESA.CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONI.Y Reeeipt No. Permit N Bullding ' � � Addresa 46� ZIDi1l1T5't fl 2 Costa Mesa, Ci&IIfOTII18� Recetved.by Date Rec'd. Date Issu Cross St. Address c�tr uo. Block�- Size of Lot 6b X 111 I Nowo Useof I No.oT Existing Bldg. F,amill Setback Line irom Hear Center of StreeY 6� Side nEscR�ox o� w New I x I Aiteration I Addition Demolish Building No.of . ��:e 1379 Rooms Stories rior Wall I Roof :ring Covering Use of New e��id��a Residence & Detached ,�.� . �-z6-�-� �-a �-; Building Address Costa Mesa, California Nearest , CORRECTIONS APPROVALS �.ion Location Inspector ;, MaSerials, -Pinning Fire Stops, I hereby acknowledge that I have read this Appiication 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. Signatureof Permittee arbor onstr cti Co. plaster,i�t. % / AUYhorized Agt. - plaster, Ext Valwation Pe�mit Fee $ p� /�/-� Masonry Reinforced Plan Check $� y� � gond Beam $ 11�200 Feea' $ a �J FINAL RM 204 S-BP 2M 6-55 . � Date 2 D r , . . . . _, . \ ,�--- .. _._ . . , � ... . _ � .;;._ � : - . , . .. _ .. _.. , . :_. �� .� - --: .- : --- . ' _= _ �� : c - _. .- ------=-- - a ' I ___ ..' i. J. _ __ ' _. _ f __ ' , .. 1 ` .. . , .- � o' - ---- - -._ ._ , _ , .. � - ' � -- . a� � - _ � � , :..c: .. ; - --•- - - - •- -- --'–a- --... _ _ - - ., . ._. . _ _ .— ._ . co57h: ' � , _ _ . - - - - --nPR25-`cPDbEs:z E5�".";�:•:r�»!i7_.('0 ' _ - • �_ - -- - -• - - - - - , - • � - . __.. - - _ --• -_--- �- _ t . - - : .. ....,, - _ _ - - - - -- --- - - - - •:' . _ - _ - " ' _ _ _ _ _ _ -- - ` . - — • ,._ . . r . . :o�. . . Street . . . � . � � • PLOT P�AN . _ . - - - - , ' . - . : - &how locatlon and disWnces from . . , •� property Iine and between buildings. � , 1 . . . .. . . . . . . _ ' .. ;i:.; � ' _ ,. � . .' . � - _ .-r.- � ._ _ , _. . .. .� � — - _ . : _ - -' � �. . _ �� r I :1 _ 8�� COSTA MESA BUILDING DEPARTMENT . P. O. BOX 31] COSTA MESA, CALIFORNIA FOR APPLICA/NT TO F1LJI. IN BUILDING i %/� iJ� ( � •l,/_ . / <, n , qooaEss L�l �//7�nUIF�C -�K9sz h COSTA MESA. CALIFOR OWNER MAIL ADDRE55 IARCH�rECT LIC. OR ' NEER NO. CITY LEGAL LOT � oESca�Pnorv NO. BLOCK TRACTL A P. N O. , 5 p`L SRE NO. OF BLDGS. OF LOi � noW orv �OT USE OF ��) � ,` � � e%iSTiNG 9LDG. �.(;'G �SETBACK'LINE FROM �^ CErviEn or siw[Ei �J-. O, REAR VARD �SIDE YARD RIGHT � � F�O DESCRIPTION OF WORK NEN ALTERATION ADDITION REPAIR MOVING DEMOLISH BIIILDING ��/ NO.OF SIZE C�'^R ROOMS STORIES EXTERIOR•WALU//j COV�ERING J� COVERING //�``[L �p BUELDFNGEW L'�(S( -eIUO%h �R � Z ��E RECEiVED ri�a� s��"' fINANCE EPT. cirr oF cosra ra� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY � � //-�F :�cPl �� b �5�' BUILDING �� O �m � �S � / ADDRE55 LiIN�' COSTA MESA. CALIFORNIA FinREc � PLl�NS � APPROVE � tI BV Q'jIj(. DATE / Y- CORRECTIONS � i'' �,' �'' �': j'' - � � �' � - ��- � - ��I�'al��l�'� . _ _ � ��' , � � I HEPEBY ACKNOWLEDGE TH4T I HPVE PEAO THIS PPPIICM1TION PNO STPTE THwT THE ABOVE 5 COflPECT PNO aGREE TO COMPL WITH ALL CITY ORDINANCES ANO f� E L4W5 REGl1L4TlN BIIIL�I ONSTRUC� T'o�. ' VALUATION ' SIGNATURE OF� � PERMiT FEE $ /�� ' PERMITTEE � 3 v�(� PLAN CHECK S ��- g 4 � nuTNoaizFo ar.FNT TOTAL FEE $ /�-- v°"'r