HomeMy WebLinkAbout291 ESTHER ST - Building PermitswonEssaeu�oux: Zg�l ESTHER ST
ss
°W"Er�n'u"Ei°'°'""":GILLBERT, GEORGE
A0°"�u'9 965 SAN'fA ANA AV
" COSTA MESA, CA 92627
' S4£3—"1839
�vvi. �wimo �oonEss:
AXCXITECT OX FNtlNFFP:
MCR OH FN.'4 dDURE55:
uc. xo.:
urm
UNf:
���'S�ALL—COAST ROOFING (714)650-2244
cartx�cmas�uwn 2107 WALLACE AV
�oonEss:COSTA MESA CA uaxo.: 598440
92627 uNr:
LICENSED COMRACTOflS UECL/�FATION: I hereby dlim uMa panely d pa�jury tl� I em IiaaeE uMs porieians d Chaqs 9
(commmaiq wnh Senion ]000) ��+aion � d ihe Businaea eM Prdeeeiom Code. eM mY license'� ' ull bice aM efletl.
crtruc.No.p 1 uc.cuss:C ]g uc.No 59844 X�: 06/97
Dete: Comreqor:
OW NEH BUIL ER DE RATION: I hereb/ elfirtn under penely d per' IMt axemq Imm the Conlrmae I'rams lew fa Ihs
Idbxiq (Seaion )091.5 Buaiiess eM Pmleasiom Cade: nny cYy «munty v.fiich reqviree e parmd m omsVutl, elter, improw,
oluh, m ropei eny sl�ucturo, pia �o na iaer�m, aleo reQuires IM epplireM ta wch pe�mn tolJe e aiy�ad eWement tlW M a eM
I"�cenead W�+�� b �he pwieione d �I�a Comredom Licensa lew �Cheper 9(mmmemip xi�h Sepon ]00p) d DWeion 3 d ihe
Bueinaee enE Proleaebne Codo� or thet he or she ia axemq iheraham vM Ihe bmie /or IM ellepeE ewempon. My violetion al5etlun
)0]1.5 W enY eGW� lar e parmil wbpds iM1e apqceM to e dnl pa�ly d na mora than (xa h�Mred doAvs �S:A01).
❑ I. u ovmer of the propenY w mY �VbY�a �h waqa es lhe'e ede oompenmlian. wJI do tM xwk, vd the eoueuro u m� m�eMad
ar MereAtor eab (Seciion ]OM. Buair» eM Prdeasiona CaAe: TM Conlredae l'xeme lew Ewe �at npplyto en oxnerd prapMy
who budAs or improvm Ihereon, vM who doee auch vrork Nmeetl w Mnetl ar Ihraqh he a har own empbyeee, pwided �hm euch
imaa«nema ar< na imenem v me�ed �« enh. n. no.ewr. me wiuinv « mw�«n u.ou wnnm o�e v.., w ownWbon. m.
owmr�builder will hava tM burden d qovirq ha or sM Eid nd build « impmve tw iM q�ryoee d eebJ.
p i. a. ow�« a me wov«�r. � a•a��dr oo��rea�e wnn i��e �i��o�. �o �m�a ma wd«+ Isaao� �oa. a�.��...�a
Prolamione COEe: The Conlredore License Lew tloas ml epply W en owner d popeny xAw buitle a impws �haaon W who
convecb la ad� prqeae wah e mmreaw(a) lice�wad W�� to the CpNreGon lioeiue lewl.
� I em eKempt unEer Seclian: B. 8 P.C., im I�o reeson:
DNe: Ownu
I Ao Mieby cMiy IMt I em ewve ol vM uMenierd the m�uimnenb M CalLoma HaeXh eM Sefery Code Sediora 25505, P553J, vd
25534, ud thm 1 or eny INure WiWinp ¢wpent will / wil nd (tlrcb ma) nead to wmpFy wih eeid eWa aodee eM iM ieyui�emeMe lar
epertnM1lacommwtionamod'dretionhwniMA'r ue�ry +�mamomDigiia.RetiEeNielm�rudioneGP��iane�eexemWlrom�hae
PIONSqf18.
od.: nooiKem:
WOPKER'S COMYENS�TION DECLAN�TON: I Mreby elfi�m uMx panelry d pa�jury aro d ihe Idlowiip EeWrelione:
� IheveaedwJmaimenacenifratadmment�oeatlaruunlorxakais'cpnpemalbn,ropovideE(orby5Wim9)OpWtMLebar
COEe, iw Ihe pertamence M �M wak la which ihia pe�mu ie iauad.
❑ � nw..�e w� meimen..wkere� mmw�+d� ��,w,renc...s r.a���d W seaion a�oo d me �m« cme. br m. ro�«mem. a m.
work la which Ihis permit is issueE. My worken' mmpanselion inwrenca nmer ard paliry number ve:
c�:
Polcy Numbec
me .sx.iar r�eea mr ae cm�akrea / un vsrm.;a �w orre n�na�ed eor�em Rrool or Mva.)
}(� I fanly thet in ihe pMmneme d tM work la r.fi'rh ihe permil e'psueE. I ehell ral enqby m ery menner eo m to
bacane euq a �o � a�ere• Lomoa�mfon iev.e a ca�iran�e,l d eg�. md u om wniea m ma wo�en•
mmpene ia l��s' � 1 e�bn 3]00 oi iM labar Code. I ehdl 1 wnn mmpry xM t �'
ora: Aooi'�:
Weminp: Fe/l ro• ro wo�ken' compslwHon rovenPo l+ �n/awlul, entl • sub�ecf �n amployM to crlMrol pxultlp entl
elvll flnu up b on� hwtlretl flw�xn0 dolbn (SiP0,000A ��Itlon ro M� eut ol rompruatlort e+�pu u MOHGM bi In
SxHon 91P6 0l tlls Lebor Cob, Infenif, aM eMmsy'a lsu.
CONSTIiUCT10N LENOING A6ENCY: I Mreby dfirtn uMer penelry d perN'Y �het �Mn e e wnnwfion biMirp epency M tM
�IBl�0�111BIICB O��hB NV1�(i0lW�IId11�16 pB1111119 99118'��.S�BG1U11 309�/. CN.C��.
LENUEfl'S NAME: '
LENDEfl'S ADDRE55:
I cenily Ihel 1 heve read this epplcmion eM etete Ihm the ebove iniametian ia careq. I epras to canpy vrith ell dry uM coumy ordineirm
enE e�eta levn ielatip Io Wild'�q conmuaian end hmeby author¢a repraeaniaMea W the tiryto anter upon iM ebove�meMoned pmpMY
�IX 1t19�lC1p11 PYfQ09G9LARR Y^W�T IaSC%M S
a t��
(51S1�OB.WP) While-Buiking d Sefety; Oreen-Fle: Cenery-Appkcenl; Pink-Ravanue; pddm�o�Mammr
CITY OF COST'A MESA — BUILDING PERMIT
PERM D10; B Ot3�J33ES
PERMIT NO: B 080338 PLAN CHECK NO: N GOVT: N SUPP: hi
CONSTROCTION TYPE: V—N PERMIT TYPE: STR PORPUSE: OTH
JOB DESCRIPTION ; T/OFF /COVER W 25 YR COMP SHINGLE SQ FT; 1,600
CLP.IM VALUE: 1;600.00 CALC—VALUE: 1,600.00 GROUP OCC: R-3 /U-1 /'
COMMENTS: RESIDEt4TIAL REROOF f
*�-*�t����rt*��**��**��******��t*x�*�-otat*at*at*+c�**�-*�t*-x�*�*�t�**x-ft�-*�t*�*��t�-**itx�***-x��-**-�**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING --------- -------- ACCESSORY BUILDING ------- —
FRNT: FT 1N REAR: FT IN FRNTi FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT TN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: _
PLANNING NO'PES>' ;"�•�
� `
iE iE iE 1E iE iE iE jE !E 1f fE iE dE 1f �f 9f fE 3E iE 3f 1E fE fE �E 1k 1f iElF If iF iE dE iE 1E If iE fE 3E iF 3f �E �E iF 1F IE �E fE �E 1Elf ik fE ik 3E iE iE fE if iE iE iE iE �E iE if iE iE ii !E �f ii it iE if iE iE iE if iE
D E V E, L O P M E N T S E R V I C E 5 R E Q U I R E M E N^T S
ZONING APPROVED BY DATE: 'i-,
BUILDING APPROUE6 BY : ��' UATE: ,!:'
APPLICATION ISSUED BY: _�r����' DATE: (/l�—(c��
1EiflfiE�lE�Ifi(-1EiE9EiE#iEiE1EiElE9fiE1Eif1k �E �F 9f dE iE fE 3ElEiE 3F 1E iE fE iE 'IElE1E'lE'lElE�lFlfiflF�3Ef(-�1EiE fE lEjF
LEGALIZATION:td F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
.1
BLDG PMT PLUMBING ELECTRSC MECHANIC FIRE SMIP/RES GRADING
PERMIT 51,25 .50
� SMIP/NON—RES
PLAN '"
ISSUE FEE
BUILDING—DIV—> PERMIT� ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 51.75 0.00 0.00 51.75 51,75 ,00
REVENUE DIVISIUN TOTALS--> COLLECTED: 51.75 OVER/SAORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/TOT GRADING PLAN—CHECK
5]..25 .50
aE �lE IE �IE �IE iE �E �E iE 1E if 3E iE iE fE �E 1f #*�f 1E iE ik iE 1E iE 161F iI� ik 1f 1Elh 1E iE iF if !E iE iE if �)f if iE'k if 7f !E 1! iE 1h iE if 1E 1f iE �l(-'1E iE iE iE 1E iE iElt'lt iE 1E 3E j(- iE
I N D I V I D U A L' F E E B R E A K D O W N
QTY D E S C R I P T I O N UNIT COST TOTAL COST
1600 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 1,600,00
END OF FEES
Oi 00218717—d021E7f8 T�� T 5f.i5
DATE: 31/06/9` TI►JE: ]5:4D
C�VSTRUCTION AND PLANNING . � � POi SPA
Date Inspecto� - '�� ' Date Inspector
� APPROVALS �Permit # � _ . APPROVALS Permit #
�_ I. Temporary Electricat Service or P.nle - , 52. Pooi & Equipme�t Locaoon-•� - '
+�
2. Soil Pipe-Undrgmd. � � ~ . � 53. Steel Reinforcement - _ ';=,'
.3. Electrical COnduit UtilityUndr9md� � � 54. Forms � �
� '� ^ y
4. Electrical Ctlnduit•Undrgrnd. '7 ' 55. Electrical Bonding .���
5. Steel Reinto�cement 56. Rough Plumbing & Pressure Tesi �- .
6. E�ectrical UFER Grnd. 57. APPfiOVAL TO COVEfl�GUNITE r� •!�
7. Footings 58. Eiectrical ConduiFUndrgmd. - �
8. Foundation . 59. Gas Pipe, � Undrgrnd., Test � �
9. Water Pipe•Undrgrnd. - - 60. Backwash Unes, P�Trap,.� Undrgmd. �
10. Struaural Fioor System �_ "' � 61. APPROVA� TO DECK��"'�
1 t. Property Sewer �ine & House Connettion 62. Backwash & Receptor�Final'�, ' .
12. Sewer Cap _ --�� � , 63. Heater & Vent�Final _ . - '
13. Roof Drains "�-� - - 64. Plumbing SYstem - Final'_, .
�
14. Rough Piumbing . ' 65. Electrica6Fina1 � =. �
15. Rough Eleccriwl-Conduit - 66. Solar Sy4tem�Final �' � �
16. Rough Electric Wiring � . . - 67. Fencing & Access Approval, � � '
17. Rough Wiring Sign ' . 68: APPROVED FOR-PI.ASTERING •
78. Fough Eiect�ical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL �
79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
27. Oucts, in $tructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Pipin,q � Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oii
25. Roof Sheathing / =C7/ �(,� 7q, pverhead Hydro
�S�
26. T-Bar Celling (Structural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe '
28. Lathinq & 5iding � 77. FIXED SYSTEM FINAL
29. insulation � 7g, FIRE PREV. FINAL
30. Drywali Nailing HEALTH DEPT. REQUIR�EMENT
37. Plaster Bro�an Coat � � � 79. FINAL INSPECTION
32. Electrical POwer Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Pinal Electr�c Notes:
34. Final Heatinq & Air Conditioning f�-W -��j Cl�^��o� -
�
35. Final Gas PiPe•Test .
36. Hood or CanopY �
37. Pinal Factorv F�replace
38. Final Plumbin9 � ._ �
39. Water Service-Final .
40. Gas Service•F�nal
41. Solar pomestic�Final
42. Backflow P�eventer ,
43. Backflow Irrigatton �
44. landscape Irripation Sysiem �
45. Sound Attenuation
46. Handicap Regulaiions
47. FINAL STRUCTURE & BUILDING l�-`'tj_� /��
(L
48. FINAL PLANNING
49. Electrie Release to Edison
50. Gas Release to Southern Califomia Gas Co
51. CERTIFICATEOFOCCUPANCY
No � Date
�
�
`�,
A�FESSOFBNIqNG: ZJI ESTHER ST
UN'NERSNRYEIFplOW�k GZLL9ERT GEOAGE
�noxsss 1965 SAN�I'A ANA AV
COSTA MESA. CA 92627
MVL. AWIING �D�XE55:
/JiCXRELT ON F11C�NFFA:
�xcx. on �c.�s,mowess:
ue no.:
UNT:
uNr:
�
ca+m�crarswu� MC CARTHY ELECTRIC u ( 714 ) 291-1946
CQAH�CfOR3YNWlG 3i00 SUMATRA PL "
�ooness: COSTA MESA CA uc.ra.: 961872
92626 uxr.
UCENSEO COMR�CTONS DECLARATION: I Mreby eflim �� penely d pmjury Nel I em licenaed uMx ymuia�a d Cheqx 9
(c«�me�a�o wnn sac�a, �000l d oi�reo� a a ine a�v�a �d a�dessians coee..ne mv �io.na e m wn i«c. am enaa.
emuc.No.:05�322 uc.cuss: C 10 uc.e�p� 4�61872 EXP: 12/95
oa�e: a.- a�I �� conuea«: �� y� _ y., ��
OWNEH BUILDEH OECIANATION: I he�eby dfirm uMa� pOnely d perjury �hm I am azemq Imm iM CaMretlwe Licenae law Iar iM
�bvni9 �enson (Setlian )W t.5 &ninss eM Rd�abra Gode: Am� ciY n oounry whiA reVuiree e G�A to mnatrup. ellx. imprv.e.
mol�h, a repai eny evucture, qbr lols'oweMe, eko requirae iM epd✓�� Iw ax� pe�mil lo file e sg�A etelemem Uw M or aM
.�lironaed punuenl m the pwiaian d ihe COMteclora Lim�se Lew �Ghepter 9(oommendrp wil� Sed'on )000) d Oiruion 3 d Ihe
Bueiness e�M Prdeasions COEa� or Ihe� M or ehe ie anemq Ihaetrom end tM buie /w ihe dleped ezempion. My videtion al Sedion
]03t.5 Ey anY aVWiuni Iw e parmn wbpae the eppliram ta e avil penelry d iwt more Ihen INe huMrad ddlen �55W1).
❑ I.mOwrordlMpWa�YIXmYemWR�exihwepeamtheieobcomPeme�bn.willdotMxorM.eMtMHeuefureem�iMe�Med
«ona.ae �a mb (sev,ia, �a..6us�u d,a vmnsw coee: ma cwv.ea. L�m, �.. eoes �a eooh�o �^ �d aorero
wM10 Wlda a inpiavea iherean, vM xfio dma auch xvM ��M «hane� w IMaph h6 or Mr ovm empbywe, qovMed thm euch
improvemmb ere ml inteMed a Wered lor sab. M, M�'ever. the buiMinp a impovement ie edd wnhin pr yaer d mmpinon, tM
owner-0uiNer Mill heva Ihe WNen d provinp M or sM db � buik « improva fw �M WN�a d xle).
❑ I. av owror d Ihe poperly. em ue4�vely eonvm'vg wdh IioenaeE cammetae to emmua the peqed (Sepion ]Ou. Buairms vd
Ptdesfime Code: TM Canlredas Licenae lew does 1� AOO�Y lo an oxner af PWeMY xfio Wikb a imWa'en Ilw,ean end Mq
mnv ie tor adi peqaea xnh e m�urma(s) lironaed Wnuw lo iM CoMretlon Liemue law).
� I em exemp uMx Senion: B. 8 P G., la ihn reeean:
o�e: o�,e,: .
� eo Mrebr cenM uw � em ewere a ene wJe�swie me reauiiememe d c.liomu Hee4h and smey coae seaian uws. zssb. ene
nss+. �a inm i« vn nn��. w�u�m �+vN� �+n i.,ai �d (aRr «bl �e �o �dr wm.de m�a ooeo.�d m. �a���m.�n m�
epertnil/woonalructionamoJifimtionhaniMRi u�y a�eBament0imna.Rsudemielmnqrupionxppiretbmenuemptimmiheee
pfON51M9.
UB�B: %WG�ILB111:
WORKEF'S COMiEN4�TON DKLAFATON: I hereby etA� un0er panelly d pxjury ar d the IaOowiiq dadumueu:
� I hm aM wil meinten e cenificele d conroni to aeHina�ie for wwke�a' compsnse�bn, u yovidad Iw by Saqun 3)OO W �M lebor
coe., m, me oarta�,��e ar ma .wn� v« �,���n m��a ae^^n o�aa.
� I hm eM WI meiMan vrorkeie' mmpenmton ina�re�. a+rcquired by Saeim 3)00 d ths Lebor Coda, M IM pa�lamarim d iM
work Iw wAirA Ihia paimii ia iaued. MY worMere mmpa��� inwrence uriier enE poW.y number are:
c�«:
raKr N�mna,:
�rn;: senlon neea nw ae canwNad � rne v�x In ro. oire n��eree ew�as B�wI w bma �
❑ I cen7v � in Na perlwmerce M �M wwk Im which t�ia permn is iaued. I ehell M empby enY pa�n in em� manmr eo m to
Eecome eubjea m iM xoMe�s' canperuetbn lawa d Cdibmie. epree Ihet N I ehauk bamie wbjw m tha Morke�a'
cwnpeneation pwoiaa d Seaion 3]0p d Ihe LeEa f•ode. I ahell r.nh mm �wnh ihwa qwiaw.
n f� .�
o�, a.- a� - Q s A�w��: �--�-�-�
�-
Wem/ny: Fe/lun ro ixun woAen'rompewtlon roverl0� �i un/ewNl, entl �Mll aub/ecf en employsr ro crlMrul peneMu aM
Gvll flnu up ro me h�ntlM MouuntlOolMn (Sf0({000). M etltlltlan N fM cwf ol rompxwfbn, tlemtps� u prov/dM br In
Sxtlon 9106 0l Ms LaborCotle, /nfwS eM �ttomeya /eu.
CONSTFUCTION LENdNU AQENCY: I Mieby elfiim uider penelry ot perN�Y �� �� � a mnmivaion bMiip apency tm iM
parlOrmenee ol tM wak fOf whleh IM1e peemil la eeueE (Seab� ��. CH. C).
LENDEF'S NpME: �
LENDEX'S ADONE55:
I cenity thel 1 hera reaE Nia eppl'ration eM slete Ihel �M abo+e inlammion ia conatl. I epree to compy xi�h all riry eM coumy adinu�ws
aM etele lexa Meteq to Wikinp consvuaon erd hereby eutM�¢e repreaen�etivm MtAia Myto an�er upon ihe ebwa�memunad poparly
lainspedion purpoaes.
.�. ...1 f� L �Rf1�41� �
---�1 ' Dme: tl.' [�Z'��
(5151d8.WP) 1Mne-Buik'vq 8 Sefery: �reemFle: Cenery-AVP���: Rnk-Re.enua: OOWmm�/uwun
•- _C_'ITY OF COSTA MESA — BUILDING PERMIT r nri r� vri.��v
FERMIT P7G: E 071290 FLAN CHECY. NO; N vv �; :v �ur- :�+
COD75TROCTION TYPE; V—N �EP.MIT TYPE: ELE PUP.FOSE: OTH
JOB UESCP,IFTIOPd ; s'EC'ZCE UFGAADE, IAISTALL 2 NEid CIP.CUITS SQ r^T;
CLAIM �.�ALUE; CALC—VALUE; GP.OJP OCC; P.-3 /
COMMENTS; ELECTRICAL WORK, NO OTHER WORY. AUTHORIZED BY THIS PERMIT
if if if if -k if i� �IF if � if �f jf iF if if �F iR if if iF if iF t iF if iR iF iE jE if iF � iF iF {F {F iF Y aF Y i4 if if �7f if Yr X K f iF if � if iR �J�- �4 �7F Y i4 jf {F iF iF+ 1F �f 1F iF Y if A[ iF iF -i -1FY #: aF
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 BOILDIA7r_, --------- --------- ACCESSOP.Y EUILDITIG -------
FRr�T: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IT] LEFT: FT IN P.GHT; FT IN
PARKING ftEt�; PROC': PAP.CEL; OOOOOOOQ ZNE; P,EF ?d0:
FLP.NNING T70TES>
1
1f ih if �F.f iE Y{f if M-'If'tF #=iE iF aF if X' if 3f ±f if if iF?F iF iF M Y-1f iE if_* lf �If iF iF iF if if iF {(-it Y-1F if'if iF aF -if ih �lf k. iF+f � 1F if �k ir- iF if Y' i4 if ii # af if aF-)t �F iF iE iF i�' -Y'M�'1f
D E �� E L U P M E N T,,,5�-.E R �' I C E S R E Q U I P, E M E N T S
20NiNG APPROC'EL BY • DATE:
BUILDIP�G APPROL'ED BY ; DATE;
APPLICATION ISSUED BY; '' DATE:
'Y-'�f3fat'}fM'YiF')f'#'�3f'N'4'1faf44iffif'If . .'Y' 'if�iFil'. it. 4 .i4 i4if'�fil��M'1fiE'K'�M-1F.Y�'�:yF'1F�F1�'
iE iF jF if if iF if iE �- if iE M"M �1 iF if Y tf -1E if �If iE'1(' if if #�)f �R jE AF if �1F.iE')f if'%� # iF if 1f aF #�F Y if if� iE iE if- Y iF iFY� -Ie Y M�1(� if-L i4 Y Y� if V Y-1: M if �t iR if 1�' M Y�'7F iK'i(' if iR
LEGALIZATZON;N F E E S U M M A F. Y STRUCTURAL SEGMENT;D7
bLDC PP9T PLUMEING ELECTRIC MECHANIC FIRE SMZP;RES GRADTPIG
PEkMIT 24.;,0
SO$ SM?P/NON—P.ES
PLAN
ISSUE FEE 15.00
HUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 24,50 1�.00 0.00 39.SC 39.SQ ,OQ
RECTED]UE DIL'ISIC3Id TOTALS--i COLLEL'TEJ: 39. SU OCTEF./SHORT: .OQ
BLL�G PT9T PLUM5IAIG ELECTRI� MECHANIC FIRE SMIP/TUT GP.AUING PLA�d—CJECK
39.50
if')1' i�'tf i�")f jf'Y")F �f �f #'k ✓' 1f Y if f'Y-V� -Y 1E'�1"� a(' iF �l' if'lf aE')f i"1�' jf'lf 1"'IF �f # Y iM1 �F if al"µ!f'�f"1! Y-'IF jf if aE f 1F 1F if L� iE'Y if if if iF �%K Y Y� �F i ia i4 Y�14 Y Y.-�f Y�'4
I N D I V I D U A L F E E B P, E A K P O W N
TYFE t,�TY
ELE 2
ELE 1
D E S C P. I P T I O N
kE5 e1PPLIANCE NJT OVER 1,0 HF
SERVICES BELOW 600 V 5 BELOW 201 AMP
END OF FEES
UNIT COST TUTAL COST
3,Q0 6.40
18.50 18,SQ
OI h01?"rs54-�0177354 T+�'f "s9.S0
�qTc: 0?/27iqr iIME: 13:56
��;
f/
CONSTRUGTION ANDPLANNING
APPROVALS Permit#
t. TemDorary Electrical Service or h
.� 1 n
2. Soit Pipe-llndrgmd. N �.-
r3:�Elettrical CondLnG.t�iliry�Urtdrt�nd
lectrical UfE
F�
....,l;,y.....'N
T-iII'
Floor System
-1 7 . Property Sewer Liae�.�-8e-liousy'Gorjnectu
12. Sewer Cap v �
13. Roof Drains ^ `'
i ^
•74�Rough Plumbirx,� m -
15. Rough Electrica+•Co"aduit b'
N �i
16. Rough Electric�iriy'°Oig � ,y
V. Rough Winng 9ign i
u� n�
18. Rough Electrica`�T Bar Ceiling
79. Rough He�ting & Air Conditioniny
20. Rough Factory Fireplace .
21. Ducts, in Structure
22. Oucts, Ventila2ing
23. Gas Pipe-Rough & Test �
24. Roof Fram�n9
25. Roof Sheathing
26. T�Bar Ceiling (Structurall & Monocoat
27. Frame and Flashing
28. lathing & Siding �
29. Insulation
30. Drywall Nailing
37. Plaster Bro�vn Coat
32. Electrical Power Meter�Finai
33. Fi�al Electric -
34. Final Heat�n9 & Air Conditioni�g '
35. Final Gas Pipe•Test
36. Hood or Canopy � �
37. Final Factory Fireplace -
38. Final Plumbing
39. LVater Service�Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL S7RUCTURE & BUILDING
48. FINAL PLANNING
49. Eleceric Release to Edison
50. Gas ReleaSe to Southern California Gas
51. CERTIFICATE OF OCCUPANCY
Date
Date
�
I PO �SPA I
Inspector p�ppROVALS Pennit # Date Inspector
52. Pool & Equipment Locatiort,Q
53. Steei Reinforcement �4
54. Forms �
55. Electrical8onding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
56. Efectricat ConduirUndrgrnd.
59. Gas PiPe, � Undrgrnd., Test
60. Backwash Li�es, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK �
62-Backwash & Receptor-Final �- -
63. HeatEr & Vent-Final
64. Plumbing System � Final
65. Eiectrical-Final
66. Solar System-Final
67. Fencing & Access Approval
fi8. APPROVED FOR PIASTERING
69. POOLJSPASYSTEMSFINAL
a aRiE�FPT.�REQUi�REMEE ��
APPROVALS Permit#� 4 �`~
70. Underground Hydro
71. Product Piping � Gas ❑ Oil
72. Underground Flush
73. Undergmd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemicai
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78, FIRE PREV. FINAL
HEALTH DEPT. REQUIREIVIENT
79. FINAL INSPECTION � �
80. FOOD CERTIFICATE ISSUED
Notes:
A
R
a
N
��
PflO1ECT A�OXE55: z j I $� THER .Ci 1
OWNEfl'SNAME: LOUDEI`I
nooxEss: SANE
714 650-8367
AflCH1ENGINEEH:
R�UHESS:
UNIT:
HEG.NO.:
UNIT:
PEPMITTEE: EARLS PLUMHING (77.4)�772-3�70
AODFESS: � 1 S33 W, LINCOLN - . �
ANANFiEIM CA 9280,1
I IICEN5E0 CONTflACTOfl OECLAHRTION: I �ereby a�firm Ihat I am licensetl untler pmvisions af Chapter 9(commencing wi�h Section
7000) oi Division 3 0� the Business antl Pmfessions Cotle, and my hcense is m fuliforce antl e��ecL ,
ciTr uc.: 0 S 9 E $TIITE LIC.: �L I�J � s;;,�C„ 3 6'
r
`le' Signai� _�/f.
OaN 5' COMP NSATION OECIABATION: I hereUy a��irm Ihal I have a cerli�itaie oi tonseni lo Sell-insUre or a certititat¢ 0� Worker5'
eompensation�sqraqce. {�r a certilied copy thereo� (Section 3800. Lab.��
POLILY NO.: Y 2f 4 V E%P. UATE: 3� O 1 I J 1
COMPANY: B EAVER �
❑ Cenifietl copy is hereby fumisne0. � Cenifie0 copy is file0 with I/hp,��{'ty,8/�l0ing �ivision.
te: �' � Applican���[�.�'if1�nE�JC��/�� .
E%EMPT N FBOM WOFREFS' COMPENSpTIDN DECLANATION: Qhis section neetl no� tie compleie� ii Ihe permi� is for one huntlre0 ($100) or less).
I cetlify �hal m the petlormance of Ihe woB lor which Ihis permii is issued, I shall not emplay any person in any manner so as to become
SuDleci lo �he Workers' Compensaiion Laws oi Califomla. �
oate�. Signalure:
NOTICE: Ii, after making this tleclaration, you shauld become su6lect �o Ihe Worker5' ComDensalion pmvisions of �he Labor
Cotle. you must �onhwith comply wi�h such pmvisions or Ihis permi� shall he deeme0 revoked.
CONSTBUCTION LENOING BGENCY: I here0y alfirm Iha� Ihere is a conslmc�mn lending agency tor ihe pedormance o(the work tor
w�ic� I�is permit is issuee (Sec�ion 3097. Civ. C�. � .
LENDEfl:
AOONE55:
OWNEP BOILOEfl OECLABpTION: I hereby a��irm iha� I am exemp� imm the Comrac�ors�Staie Lirense Law �or Ihe �ollowing reason
(Seciion 7031.5 Business antl Pmtessional CoAe: Any ci�y of coun�y which requires a permii to conslruct alter, improve, demolish, or
repair any s�mcwre. pnar lo its issuance. also requires ��e appl¢an� tor such permit to �ile a signeJ 5laiement �ha� he/she is licensed
nur5uanlloihe pmvisions of�he Coniractors' Staie License Law(Chap�er9(commencing wi�� Section 7000�oi �ivision 3 oi�he Business i
1 Pmlessions Code) ar Ihat helshe 75 exempt t�erelmm antl I�e 6asis tor the alleged eKemption Any viola�ion of Section 7031.5 6y
appbcanl �or a permit sublec�s ihe applicantto a civil penally of no� more �han �ive hunOretl Oollars ($500).
� I, as owner oPihe pmpeny ar my employees wi�h wages as their sole compensa�ion, will do lhe work, and �he
❑ simcWre is not imentletl ar of�eretl br sale (Sec�ian 7�44, Business antl Pro�essional Cotle: The ConVacmrs' S�ate License Law
tloes not appty to an owner of a pmperty who builtls or impwves �hereon, and who Ooes such work himself/herself or throug�
�is orher own employees. pmvidetl ihat such improvemenis are not intended or oflere0 for sale. I( Aowever ihe building or
imD�ovement is so10 within one year ot com0�etion. Ihe owner will have ihe hurtlen oi O�oving he/she did nol bui10 or impmve
lorihe purpose of sale}
I. as owner of �he pmpehy. am exclusively conirac�ing with licensetl conVaclors la conslmc� �he pwiect ($ec�ion 7044, Business
❑ antl Pm�essions Cotle: The COnlraClOrs' State License Law Ooes not ap01y lo an owner af property who builUs or impmves ihereon
anG who contracls (or suc� pmlecis witli a conVacloi�s) license pursuam �o ��e Loniratlors' Stale License Law). I am aware
Iha� pmo� o� Neir Worker's Compensalion insurance should be pmvitled to me. '
� I am eKempl untler Seclion: B. 8 P. C.
lor Ihis reason'. '
oate: ownec
I tlo �ereby certilY �hal I am awire ol antl unders�and ��e requiremems of Califomia Health antl Sa�ery Catle Sec�ions 25505, 25533, antl
25534 and Iha� I or any �Wure builtling occupant willlwill nol (circle one) neetl to comply wi�� 5ai0 slale cotles antl �he requiremen�s ior a
permil lor conslmclion or motli�icatmn imm Ihe Air Oualiry Managemen� �i5�ricL Resitlen�ial conslmc�ion apD�ica�ions are exempt �mm
I�ese pmvisians.
�ale'. ApPlitani:
I he�eby certity �Aat 1 �ave rea0 ihis applicalmn antl slale ihal ihe above intormalion is corr¢ct. I agr¢e �o comply wilh all ci�y antl counry
, ordinances antl Slalelawsrela�ingio builtling consimction an0 hereby authar¢e repr¢senta�ives otf�i5 cityto enleruponthe above-men�ione0
piopeny lorin_spe�ction /ourpases. � /��//7
. �/ }y�q� signaWre: _ .L S��— "� .
�river's License or Sociai Sewrity
164b46 W�ile—Butltlmg: Green—Cotle Enlorcement: Canary—AOPlicanP, Pink—Revenue'. Goltlenmo—Assessor
1
� t=ITY Ur CUS1A MESA — Bu1LL�1hI�� PERMII FtF.N NO: P d.`i0'T3
PERMIT NO; P 050736 FLAN CHECK NO: , N GGVT: N SUPP: ti
CONSTRUCTiON TYPE: V—N PEkNIi TYi E; FL`J PurtPO��; i�'iH
JOB DESCRIFTION : REPLACE WATER HEATER � .' SQ F'T:. �
CLAiM VAL'JE: CALC—C'ALUE; j . GROi7F t7i:Cc R-3 � ,
COMMENTS: REYI�ACE WA7'ER HEATER � _ � �' �
�� �� �� �u �� �x x� x� ���x�+� �t� x� it x� r.-�c a�.:K. �..x x� � * �� � x x � �r -� �x �x � �x �� x * � *:� �x � x ��-?��� �a �c ie �� ��f �c .�..x .�.�..�..x .� .� �. �..�..x..x. x..y_ y..x..x..�. x..h..� �c� � x..�r.
� Z'O N I N G R E Q U T A E Mt E N T S
� j� S E T B A C A S
�
------------ MA�IN BGILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT j IN REAR: FT IN FRNT; FT IN REAR; ' rT IN '
LEcT: FT � IN RGHT: FT IN LEFT; FT IN RGiiT: FT ZN
PARKING itEc'�: f FROV; PARCEL: OOOOOOOO�ZNE; REF NO:
PLANNING NOTES> �
. . � _ � � . ,� .
-1F �lE i(� )f �1f �lE iF N� 3F !E If 3h �%iE # j(� # i6 iE 1h dt �If 3E !F iE iF �If iE ��1F �IC� 1E �IE ii iC � i(• 3(� 1(� iE iE iE iF if� iE 1(� 3FiF dF ic iF �N� f4 �If k� X� if fE iE #�1F iF * if if * it�%iE 1f� %� if K� �%�N� X� 3Elf 3E
D E V E�L O P M E ti 1 S E R V I C'E S;• R E Q[J I R E'�h E N T S
ZONING APPROVED BY DATE;
HCiILDING AFPROVED BY ; DATE; '
APPLZCATION ISSUED BY: � DATE:��� ��
iE�KiEifiElFlEiE3EiEiE3E�F-1E3EiE1fif3E?EiEiE � {E�Eif3!�3E%iE3EiFifiF��F+F3f
3EitiE�IF1EiE9Eifif9f�lEifaF�%if�}f3E�k1EiF3fif3P3f3flE3f3F*iE�f3ftE3E IfK��E �1fif9E3F3f�ififiEaf3E�1F3f?FiEtFlf%3E163E?F9F3Ei(�3fiEff*�f-iE�f�3EX1f-9E3E#F�
LEGALIZATION:N -'F'E E 5 N. M A R Y STRJCTURAL SEGNENT:N
BLDG PMT PLUMB3NG ELECTRIC MECHANIC FIRE SMIP/RES GRAUZNG
FERMIT � ' 2,00
Z5� S�IP/NON—RES
PLAN `
ISSUE cEE 3.U0
BUILDING—DIV—>' PERMST ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> � 2..40 3.,00 0,00 5.00' S.00 ,00
REVENUE DZC�ISION TOTALS--> COLLECTED: 5,00 UVER/SHORT: .00
HLDG PM3 PLUMBING ELECTRIG MECHANIC FIRE SMIP/TOT GRADSNG PI,AI�—CHECri
5.��
1E K� ff �7E 1E if iE iF j! iE i'r iE 1E�%if -M� i(� �%i(- ih �E 7f iE i iE iE iE 3E iE iE iF i..%iE-% M� iE IE iE if �lE iE #E JE-%iE iE aE ih 3E iE )k ik if iE 3f� iE X� Ih IE N� ih # iE 1F if it iF %� IE �1(" h� iE if 1f iE ii� �7l� 1F
� I N D Z V I D D A L F E E B R E A F; D O I4 I�i '
TYPE QTY D E S C R I F T I O N iJNI1' COST TQTAL CG5i
PLU 1 WATEk HE"ATER AND/OR VEN'P 2,00 2,Q0
ENU OF FEES
n
ot �ooszcas-r�aaszo�s ��?�T =,r�c�.
�ATE: Qs/C35t41 TISiE: 1=:?:
CONSTRUCTION AND PLAi�._,aG . �. POOL & SPA � �
APPROVALS Permit# Date Inspector pPPROVAIS Permit# Date Inspector
i. Temporary Electriwl Service•or Pole 52. Pooi & Equipment Location �-,
2. Soil Pipe-Undrgrnd.. . 53. Steel Reinforcement ��`
3. Electrical Conduit Utility�Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Reinforcement , . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVEfl-GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Foundation �, 59. Gas Pipe, O Undrgrnd., Test � .
9. Water Pipe-Undrgmd. �� �;ry . 60. Backwash Lines, P�Trap, �-Undrgmd. �� '
10. Structural Floor System � . 61. APPROVAL TO DECK �
11. Property Sewer Line & House Conneaion ' 62. Backwash & Recepmr�Final �
12. Sewer Cap � '' 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
i6. Rough Electric W���ng 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrieai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory FireQlace - . � APPROVALS ' Permit#
21. Ducts,in StruCture. �� � � . � 70. Underground Hydro
22. Ducts, Ventilating � '' :77, ProducCPiping OGas ❑Oil
23. Gas Pipe�Rough & Test . .. 7z, Undergro�nd Flush . �
24. Roof Framing , ' 73. Undergrnd'. Storage Tank O Gas ❑ Oil �
25. Roof Sheathin9 . ' �74. Overhead Hydro
26. T-Bar Cei�ing �Structuraq & Monocoat 75.� Dry Chemical � �
27. Frame and Flashing . 76. Dry Standpipe .� '
28. Lathing & Siding� . � � • �� 77�. FIXED SYSTEM F_INAL
29. Insulation ' IL� �- 78. FIRE PREV. FINAL �
30. Drywall Nailin9 -� ���, � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat. � �v � 79. FINAL INSPECTION
32. Electrical Power Meter�Final . � �� � 80. FOOD CERTIFICATE ISSUED
33. Final Electric � �� �'t�, Notes: �
34. Final Heating & Air Conditioning ,�� ,-' - , � . .
35. Final Gas Pipe-Test ' � �i �i � � '
36. Hood or CanoPY � . . � � �
37. Finai Factory Fireplace • � �
�
38. Final Plumbing � �{ ��
- -39tWater_Ser,vice;Final �_ - '
"_ _ "_'__ I- "' ' ' -
40. Gas Service-Final . , � I. �
i •
41. Solar pomestic-Final - ; .
42. Backflow Preventer, ! � �� -
. I
43. Backflow Irrigation
44. Landscape Irrigation System ,
45. Sound Attenuation �
46. Handicap,Regulations
47. FINA� STRUCTURE & BUILDING
48. FINAL PLANNING � t
49. Electric Release to Edison � � �'��,
50. Gas Release to Southern California Gas Co � i I
51. CERTIFICATE OF OCCUPANCY ; , � .
No. Date
OWNER MC VAY_ H_ R_ / DATE
JOBADDRESS
BUILDING PERMIT NO.
GENERALCONTRACTOR �[�ialtPT A_ HPbPT't VAWE�$ %��B.00
�o�9P 118-13'i-13-]It-15 BLOCK TRACT Dwellin€ & Gar,
GROUP T R. .T TVPE p ZONE R)i FIRE DISTRICT ��5�j
PERMITSISSUED
INSPECTIONS DATE � SUBCONTRACTOR I
_s'-„?cyy,�.rs-Pm v�'9'�� DATE NUMBER
� . � __� :d i'i I�7m..-.Y
Foundation Forms and G
Rough Framin�_____
Plumbing, Rough to Slab
Plumbing, Rough Compl<
Temporary Pole
Wiring, Rough
House �Sewer, St.
Tank or Cesspool
a.ln Outi. �i' �
Plumbing,Final,FixturesComplete w�(�,�(,I�_
Plum6ina. Fin,al Gas Test 10 Ft d0. ��!.
Wiring, Final
Occupancy
Form 210(
_ , - Costa Mesa Bailding Department �
.- ! 171 EAST 20th STREET
COSTA MESA, CALIFORNIA
`� FOR APPLICANT TO FdLti IN
Costa. Mesa, California
rceccor
neer
(Attach Metes
Size of Lot /�
New
. [•7
�
Block
'���
, INo.of
Now o
� No.of
of
N� No.of �
� Rooma�
'ard? ��3
ard � ?'
)RH
Adtlition I
Demolish I
Stories %
�'o R-1 !� O
PPLICATION FOR PERMI�
BUILDING
FOR OFFICE USE ONLY
: I / i'o -�'� I i -•
Costa Mesa, California
�
No. of Typa �/ (
Plans !/
APPROVALS
Foundation Location Inspecto
Forms, Materials,
� w�• �ci•.'v � Unde�-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state tha2 the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construCtion. Lath. Ext.
Signatureof ��/' /��
Permittee (�- ! Plaster, Int.
Aufhorfzed Agt. � Plaster, Eut.
Valuation �J Permit Fee $ ��• Q� Masonry Refnforced
/'��_�7,y �(' �� Plan Check $ !� - a� gond Beam
$ �`" Total a d a .
Fee 3 a• FINAL
RM 204 S-BP 2M 6-55
_�
Date
u
;
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- . - . _ .. _ -- -- - -- .' Ji�41 7 0•Sf;P�yEsti 6282 t�:.,��.30.(�D
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- _ -_ — — = ' ' , ' " ,,:.
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3treet . — y - - - --.... _... _ '
PI.O� PI.�N - . -
Show towtion and disTances from . - �
property Iine and between bulldinga �
- - - � . ' ",• ' _ ' - - : .,._. , �
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