HomeMy WebLinkAbout300 ESTHER ST - Building Permitsi �
, �,
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBBdILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: $OU ESTHERST Status: ISSUED
_ Suite: Applied: 10/12/2006 .
Vicinity: Issued: 10/12/2006
Primary Occ R3 Dwellings/ Cong Res <10 Type of Con ti V-N
Parcel Number: 42629416
npp�icant: EVONNE MORTON � .
Address: 706 N TUSTIN ST .
Phone: ISSUED BY:
ORqNGE, CA - _- ... , Zip: , 92867 .
�-;�' _ � _ � - - .
Owner. RASMUSSEN, MATTH ,ND KATHERYN
Address 300 ESTHER ST'�- � ��°;�� - , ' � , w
. � . Phone: . .. .,���'(�` �
COSTA MESA, CA � Zip. 92627 1 y �
Contractor.'��ALDPRO�REMODECING � - . �� � �
Addressi. �706NTUSTINST ���� . - " � _ �-' �A� � ����� ��
� � - . . . Phone: 714-288-1314 � � . � .�A
/,'J! � � �. ,�/-_. . . �
, , � �'.ORANGE�.Cq..,.'� . . . . � -.
' Zip: 92867 "�"' License: 574698 �
Arch : � . . � Eng: � � ' . '. .
Address: Address: �
� Phone: � � ' Phone: �,
2ip: , . , License:� " � �,. , License: � �
� , ' SCOPE OF PERMIT � ,
' CONSTRUCT 144 S.F. ALUMINUM, LATTICE PATIO COVER, ICBO #2228P. " '� � � ,
i � �
" FEE SUMMARY � � , -
Plan Check: $54.11 � ;' , Calc Valuation: , sz,soo.00
Permit: $83.25 � - - � - Claim Valuation: Sz,soo.00
SMIP Res: $0.50
SMIP Com: $0.00
� Other � $0.00 � � - - � � � - � � � '
�Inspection , � $0.00 - - f" , ' "- - , � : `"
� i
� �i �',,. , ,., � r�
� - Total: $137.86 � "- � �
� �. � . � „�`, � �
' PLANNING & ZONING
SETBACKS _. .,`'' •.; '
MAIN•STRUCTURE Fronb; 0.0 Rear .'`,0=0 .Left �� 0-O,,r Right 0-07; �'�
ij'
ACCESSORY � Front ���0-0...+:- ' ��"��: �' . �'�� ` � � � � ' � .
'�Rear 0�0 -�Left 00-� _ RighL-��0,0 � /
PARKING �� 'Ex�stina �0�� �,� ��Reawred: � 0 , . ,Proposed: � 0 �.? �� � , � � � � �,i
/, .,. - . _ . A �' .
�� ` ; � . , �: — .
�� � , / _J/ � � � . ` ' � �
V`� � - , . - . ' _ � - ., � . .
, \_ '
� .�
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis undei California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
1 I
EXPIRATION: This permit shall autometically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
' for a period of 180 days.
INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all I
requlred Inspections and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (71q) 7545626
zaawis (s�oo) ' � � �
i t"`- �, F ' _.
WORKERS' COMPENSATION DEClMA110N: - . � '
I hereby ettirtn untler penelry of per�ury one ot Ihe following declaratlons: � '
❑ I heve and wlll melntein e certificate of consent to selFlnsure for workers' compensetion, es provided for by section 3700 of the Lebor Coae, for the pertortnence of Ihe
work for whiCh this pertnit is issued. �
�I h8ve end will maintain workers' Wmpensatlon insurance, as reQuired by sectlon 3700 of Me Lebor Code, for Ne pertortnance.W.the work for w�ich U�is pertnit is issued.
M'workers' com en on Ins rence cartie and oli number ere: —/ / ['� /5'"�
Gerrier.'2 P ��C� U � � P � �ollcyNumber i� �� /� — �/ _ S
(This seefion neeC not be cnmpletetl i/ the pertnif is va/ued af one hundred dallars ($100) or /ess.J . .. .
I
❑ I certify Ihat in the pertormance of ihe work for which this pertnit is issued, I shell not employ eny person in any manner so as to become subject ro t�e workers'
compensation laws of CeIHo � tl egree ihat I I should become subject to t�e workers' compensation provisions of Section 3700 of Iha Labor Cotle, I shall forihwith
comply with Nese,provisions ,{� /
ApPllca tn Signature: Y���' ��'1 � '` Date:_ � I(i � I L��
WARNINO: FAIL� SECURE WORKERS' �M1IPENSA710N COVERA E IS UNLA' L PND SHALL SUB]ECT AN EMPL EOY R TO CRIMINAL P NALTIES AND GNIL FlNES UP TO ONE HUNDRED
THOUSANDDOLLARE($100,000),INADDITIOr1TOTHECOSTOFCOMPENSFTION,D AGESASPROVIDEDFORINSECTION3/O60FTHElABORCODE,IMEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARAnON:
with Section 7000) ot Division 3 oF the Business antl
uo.
Date:
CONSTRUCTION LENDING AGENCY:
Code, entl my Ilcense is in full
❑ 1 hereby ettirm that there is a conStruction lentling agency tor �he Oertormance of ihe work tor w�ich this pertnit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lender's Adtlress:
Signature: _
Date:
OWNER-BUILDER DECLARATIONS: .; �i �." �
I hereby eflirtn thet under penalry of pe(jury that.l;em EXEMPT FROM THE COMRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Pmtessions
Code: Any ciry or counry which requires a permit to'wnsWct, alter, improve, demolish, or repair any sWcture, prior to its issuanca, also requires Ihe applicant for such parmii
to fila e signetl statement thet ha or sho �s licensed pursuant to the provisions ot the Contractors license Lew (Chepter 9(commancing with Sectlon 7000) 01 Divislon 3 of ihe
Business and Professions Gode) or th�� he or she`is exempt thereirom antl t�e basis tor Ihe allegetl e:emption. Any violation of Sedion 7037.5 hy eny applicant for e pertnit
sub�ec[s the epplicant to a civil penalry M not more than five hundred dollers ($500).): -
❑ I, as owner ot ihe properry, or my employees with weges as their sole compensation, WILL DO 7}IE WORK, anC �he siructure is not intendetl or oflered tor sale (Sec.
7044, Business and Professions Code: The Contractors Ucense Law tloes no� apply to an owner of property who builds or improves Ihereon, antl who doas such work
himselt or herself or through his o� her own employees, provided that such impmvements are not intendad or aHeretl for sele. tl, howeve�. Ihe building or improvement is
sold within one year ot com0�etion. the owner-builder will heve ihe burden oi proving ihat he or she tlid not build or improve tor purpose of sele.).
❑ I, as owner of Ihe proparty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70a4. Business and Professions
Code: The contraciors License Law tloas not appty to an owner oi property who builds or Improves thereon, antl who conlracts for such project with e contractor(s)
licensa pursuant ro tha CaNrecbfs Licanse Lews.).
❑ I em exempt under sec. eusiness and Professions Code for ihis reason:
Signature: Date:
Owner ID verified by dnvers license. ❑ �es ❑ No Drivafs License No. Ezpires:
Venlication of Ownership by (rype of document, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certity Ihat no exwvadon five (5) or more teet In depth Into wh}�h a person is required to descand, will De made in connection with work authorized by ihis
permit, antl that no builtling sWcture, scattoltling, talsework, or demolition or tlismantling thereot, will ba more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia Adminisira�ive Code).
❑ As owner-builtler, I will not employ anyone to tlo work which would raqulre a permit irom the Division ot Industnal Safety, es notetl abova, unless such person has e
permil to do suCh work from ihe division.
Signature: . Date:
Division of Indus�nal Safety Permit Numbar:
CERTIFlCATE OF COMPLIANCE AND AUiMORIZA710N OF ENTRV: I certify untler penalry of perjury that I �ave read this application antl state that the intormation given Is
correct. I egree to comply wlth all stete laws end ciry ordinences relating to builtling consiruction, end authorize representatives of the Ciry of Costa Mesa to enter upon the
above-de�fl property for inspection Purpwses. I egree not to occupy or allow occupancy of any building authorizetl by ihis permit until tinal inspection.
CQOE 1. INSPECTION TYFE
1616 Fixed System Finel Fire Preve�tion
1266 Pool Spa Final ,
200 Final Re-Root
201 Final BIocWRateining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demo ition
�� _
COOEI INSPECTIONTYPE �
206 Final MeChanlcal
208 Final Plumbing
210 Final Elettrical
� - 212 Finel Fire PreveNlon
220 ' Final Planning Approval
222 Final Site �
' 250 - Final BuiltlingiOccupancy
09/25/2�08 12:J4 F.9X 714 288 1347 .SLL PRO RE�ODELIYG + Eti'OnT� 3f0RTOF f�001 p�<� Q7 �"��-'
�
, l�]Ai.l�rC�G'�'04. ..... �•� :" . . : i�.
1��1 TRc K.r1anODt,'�...(s :'• �•• : . . :
. : ... . ..
-, a c9 r.: _-rr s; ti�; sr.
i�R,d...cit c � C.n- �7' Z�6 7. � . : .' � .. � � . .
7 r `t Z�8 �fi y : : : ' . : . ' : : :'.
. . . .
.:. . ... ... . '.
.� a bw��:
M a�n��..� -�- ��n �.f 5 �.as M�ss�
3 c� o�5 T,4� s� l-.
�c,s1� M�,¢, cn_ `�zloz7
rY'u S 7zz �354
P���� ;
� /Z—`�c /z" y//.k� l.oTnc�
��o Ca�' t� �.rs�ar� Das�✓�t�
�
Z
�
LQ
vl
��
APPROVED
CITY OF COSTA MESA
PLANNING DIVISION
SUBJECT TO BLDG. DEPT. REG
o /CL�1C«�� T^� �-C✓c/�
'f�
V
(2 �
� G
�7t.l.fn -� G
SF,o.
9 �ba
3�"
e
m �
Z<o�
NOTE: ADDITIONS, DELETIONS,
OR CORRECTIONS SHALL BE
APPRCVED BY THE PLANNING DIV.
s Y � n�aTE: � °�z o
P����
J2� La-ntc�
� P�D C�
IS /2 �x 12 s
�z'-�3� �
iy 'Sf'� 'Ta
3.3a E pv�
I
�
rN .SCl��er.
DQ��� YV ��_�'
c�o �s . �i r nuii��wc sni�i.�rv
��OF COSTA MESA
APPKOVIiD
gy %/ «� '� _Datc�J�_1 �/�_
This set of pl�ns and saecilicalions lAUST be Y.epl on ihis jo6 al �II lims, and il is unlawlul to
make any cha, qes cr <',ierations on same vnihoN written permis;bn Irom Ihe Divi;irm ot Duilding
cnd Safety, City cf Gosta Pdesa.
The stamping r.i ihis plan and specitications SNkLL IlOT be hr-I� to permit or tri h� an appmvai
of ihe violation of zny pro��icir,ns ef any GOy ol Cos�a tAeca Ordinancr• andl�r Slalc law.
These plans and permit shall cvpire Gy limli;lion an9 6ecr,me null and voi9 il Ih� building or
��-� is nol ccmmenced �nd mainteined ac�i�ie per UBC �3G3 (d) vnthin 1 EO days ol i;;uance.
S(q(�,
- , - — � _.��.�_.�1- � ,�� ..� • .., r �
�� S �p�, SE/� , �'�� �i.�wt 11tq,'�? a+��, � EMCY6IXl.�(hpP�i
T�L e.e FOv -2 Qv�p,o
� � Applicant to till in a11 sDaces except lhose within heavy Doraer Iines ana sign an aoorooriate ae�iantio�s. 65�� (/28/e� �� �0 `I �.
���-CITY OF COSTA MESA.. . . T. . '• _. . .. �- - -. . - - � " PERfvLT NO: " ' ' � TRACT NO' , : LOT NO. � BLD�,. , i. . . . . �_. .-.. . -. �-. _ _ . . . _ _ , . _ . .. . . .
� CONSTRUCTION PERMIT, � ' . . •- .: • �� � i :. � .� - :�� ' . , ' . - ` '
Proj2Ct Addf255 TVPE-0F CONSTRUCTION: ." NEW A�D�. ALTERATION ' REPAIR � �
AppliCant'S Mailin df 5. ' ❑ CONVERSION ❑ DEMOLISH � OTHER'� . A:p.#.' . .. . Zone. '' � ..
� � . � : ' ' ' DESCRIPTION OF WORK � � � �
Owner's Name'- y - _ hone � - � - _ : _ S �Main Building: � � � � � Accessory�Building: � - Z
. . _ ' .. � : ' . O
' Addre55 ' � J ' " -,TYP,EOFPERMIT. ' � GRADING � FOUNDATIOIV � STRUCTVRAL T Front ' � i' ' j , r � � N
, A�ch/Eog. `� . _ � Lic¢nse No � ! � � ❑ TENANT ❑ ELECTRICAC ❑ PLVMBINGt �; MECHANICAL � - . B' Rear ' � ' i � r � �� - ' i - N
Addre55� � � I ❑��OTHER � � . ' � - ' v � � '. ' P'�' -. . ..
PRQIECT DESCRIPTION SQ. FT.� � � ,OCCUPANCV � C Ri9ht , ��_ G
� � Contractoi's Nam � �' hone . . . , � , � K - - - - ' � R
� AHd�¢SSIRldiiiOg) , ' � �� _� CONSTRUCTIONTVPE . � � VALUATION$ ' S LEft' ; '� . C , ; � E
O�. �j. (� 3: . � ZONE � GRADING CU. VOS. � ACRES Ping. Ref. # I Park Fe¢s $' � -� � Q'
City Lwense No. / � ' . � ' V '
�"' LICENSED CONTRACTOR DECLARATION ; • � ' � + Remarkr � , ' . � �.. ' - � � Pafking R2q./Provid2d . ' : ." � - �� . �� �
I, > I+hereby�'affirm tM1at I� am.licensetl untler Orovisions ot Charter 9 (commendng ' , , ' � - � ' . � � -
�_ , with section 7000) of Division 3 of tne Business antl Protessions Cotle, antl �' ��_ ' -.�' � � � ' Use of Building: ' � I , � � ' �;�� �,,; i, E �
rny'licenze Is iu tW rc� a 'effect. � ' ' `'s ' ' � � ' ' . , . .., E �
Licenie qass ' � � - ' License No. _5���: ' A. �� . . � PWMBING I ' I . + ? . FEES Planning.Notes � � i i . ' � � ' - i , M ��
DatP ����-�i 5'9 t -� Bar Sink � � i Showerr " � � I /, : � , � � � T �, N z
� -��OKKERS' OMVENSATION GLA�RATION � ' �' '.. , ' • � � ' � , , , .'�
'=�-{ereby'affirm that I have a<ertificate of consent to s If-ins re or a certiticate -' � gackflow Preventer �_ �__ ! _ Service Smk I y_ �_ � • � � � '' � � �" � S !
�r Workers'-Compensaliom insurance{orz certifi p t - ot-(Sectio - -- ----• �- - � - - - - - � - � ' ' � �
�.� 3800, L'ab. �).��I�'1 ..{ �,/'�% � � � • 1 Backflow Irngatioh � � ; Sewer Cap � � � � � �. � � �,;%^� � � ELECTRICAL � � � - � FEES
' � PolicY No. (✓`I��/DJ V{�1 l �"'COmPan ' � . . - - � i . � . , _ �� ' , �
� de ietl copy Is nereoy fumisnea. , ' '� � � Bathtubs . i � ^� Sewer Connection, ..i . � i� Automatic Washer � �Transformer � 15�50 KW � � �
erh(ie ca s( � the ciry Ild g Orvlson. ��" � �� - i i .- t �� 'I 1
. oate '��aiicSnt '` Clanfiers ' ' Solar Collectors . � I .,Corisiruction Pole Sub ; � 0 50 � KW
�. . �
.EXE PTIONfFROM.WORKERS'�C NSATION DECIA ATION -��-�-T. -�.•. �- - - -h - ' ' - 1' �' - � - - - - �' ' � ' - �
Thissection need not be complete he permit is for one huntlretl Di3hovdsher " 'j- ' "`Sola� Piping"' -' "'Cdokin Unif �" ' ' I" TMeter'�u to 100'am 5 "'�� -'
( (§100) or �t . i 1 . 9 �. } , P i. P � � I'
iess)' � 7 . � . I � � � ' `� Driokin Fountains • - �! ; , " e'' t � �
� 1 certify �itiat in the periormance of che work tor_which this perm�t is 15suetl I 9 Solar Tank + Dish�washer ,,s . � I- Meter ❑ove� 100 amps .
, sM1alli not employ any person in any manner so;as to become subject to t�e ; ��. � : . .� � � "• . " �
Workers' Compensation� Laws.bf California. � . 4) � � Floor Orains ��. Swimming Pool w/Spa ; � �� � .Dryers OGas ❑Electric , �Sub Panel � �
� Date � ' Signature �� ' � • . ' � � � ' - � � t
NOTICE:It,'after making this tleclara[iOn, y0u 5houltl becoTe subject to-[he � � FIOO�.SinkS � � � � -Urinal � • � � ; ,fan� � " � Momn�67 HP O1'h-8 . � �
„ - Workers`, CompensaHon' provisions of'tbe' Labor Cotle, you must'torthwltb � ' : , � . , ' ' - - - -- �^ --� �• - - - � � - -
comply iwitht such;p�ovl51on5�o� 4hi5��pe�mit Shall be{tleemetl revoketl� GasSer4ice � Outlets� � 'Wdt2GCIOS2t ��� i"D � f
CONSTFUCTION�LENDING'AGENCV.' � �:' -. �' � �- :�s' .�+ � 1 �� ^ - ' • • . � � •.1 _ _ 'F.A,U � ,InaSolarO9-15HP �i6-15+� �
, I hereby affirm that there ii a;construction lentling agency tor the pertormance Interceptors � •� Water�Heater, , � � F' + �� Fiztures � ` ' � � Microwave . � , �
of the wovk ifo�. which' this oermit �:iz ISSu¢tlo (SecHOnG309] Civ C )t ' ' � ' ' • � � ' '
'Lentler's Name " - ' " = Krtchen Sink • . Watei:Service'.: � ; � .: / �-1 ' � � � 1 '
. " - a. . ' . � - � . , . , � . . �' . . � . Device Boxes , . � . �Pole Light .F' �
Lender's AEtlress � ' � � � - � �
OWNER BVILDER DECLARATION i ' LayatO�ies . . �„ _ r � ' - � �, � �� � �,. ` �; � � ' I =. °F �Outlets ' ' ' I Range � . ' �
� I hereby�atfirm [hat.l am exempEtrom tfie�C6ntractor's License Law tor�the � � � . - ,
tollowing rea5on� ($ection 7031.5 IHu5ine55 antl,Protesslonal Cotle: Any dty o� � ' P .Trap� �' � [i - _' I ?r .� _ � _ ! ; '� � � , � ,_ �+� SwitCh¢S' ' � � ' � Sign � � '
- - Wunty which rCquires a permit'to constru<t, al[er, improve, tlemolish oCrepair ' � •' �
, ' iany structure; pdor to Its issuance, also requires me'applicant for such parmit � � '.Roof �D�ainsf �' ! " � . � ' '' I ' _ •i •�� � �. Garbage Disposal � � 1 Stariding Sections � � � - j �
to file a�signetl statementYhat he/she is licensetl pursuant to the'provisions of i ' ' '- ' ' '• � '
�we Contractor's�LicenSe Law (Chapter 9 (commencingiwith;5ectiom7000) of � 1 • '^ I t,' ' r �: ' ': ' j � I ! ' �. - � � ' ' ' ' � �
�Generatoi OP5 KW �5-15 KW 'Tresh Com actor,
i- vision�3� of the�Business antl Professions Cotle).,or thaf he/she.is exempt G , ��: � ': i, � F ',-' ; -'.�:?' . . P � }
;Rrefrom'antl the basis for,tne allegetl exemption: Any violatioroof Section � ' - ' - ' .
- %03115 by_.any applicant tor-a• permiVsubjects'the applicant� to a civil � •' � � "'� �' � ' ' 'i-� �3 �^ '. � j' . ; , i `. . � � � � � , ;
. enalty o�'not more than'five huntlretl tlollars (g500).:- . f • j � .Reinspect�on Fee �, ; $25 ' ; � Issue Fee � -- $. � '
'�,� I, �asjowner oE the�property or:my �em0loyee5(vaitti wages as theii sole � � � ' � � � � Rainspaetion Fee ' � . a25' �15sue Fee, . I . � '�$'3 I
compensaLon, wlll tlo the work, ana'the•structure is not intentletl or offeretl , � �,� �� { �MECHANICA6 � 1 ^� ; FEES �:; � � � - � - '
tor sa1e; (Section �044, eutiness anG, Crofessional COEed Thel Contractor's - . � , - --, PUBLIC�SERVICES REQUIREMENTS: � ' � �� � � ' �
� License Caw tloes oot apply to an owner o( a propertylwno bulitls or improves ; BO11ep � � -- • � - 7 v I, � Hood or � Type I � ❑ � i .',� ( - �Z � �' � � � ' - � - • � i � '
. thereon,�antl �who;tloes sucH work fiimselt/h¢r5¢It'or througn his or h¢r own -�- � � • � i �'' zp�i�g qpproved By ' � � ' � nat0 �
� employees, provitletl that such improvements are' not intendetl or otferetl'for i ' ��- '. �nOpy � Type 11 ❑� r!' Ci �-ry . � i , . �
� sale. If, howeveq the bulltlin or im rovament Is'soltl within one ear of com- � .1 Duct' Under Ground � j, •
9 P Y ,.o . - i ; ^� 1. -�, Application Approved By � � Date
ple[ion, the owner. will �have'the burtlen of provin9 he/she tlitl not builtl or im- I - . � '� ' -. � r , � 1 _
�rove� oi the purpose of salej. � i � I :" ' • � Duct - Structural � r Refrigeration SysYem . � �' � �� �APpliption laued'By ' �' ' Dat � �
LJ I, as owner oi the property, am exclusively cbntracting� wittrlicensetl com �� � 00.100,0008TU ❑100,000 BTU
. . .
' i
T etContraetor suLicenserlo'�ect ISection 7044, Business and Protessions Cotle: 1- : Duct - Ventilating �.� ; � � ��;j • . �SUMMARV OF FEES � , i
P 1 i ' I .
w.does notappry to an owner of. property-who ' �.�� BUILDING�PERMIT � � ! �
builtls or improves thereon,'antl who contracts for such projectz with a con- Exhaust�System ❑ Multiple �� �System Repair/Alteretion -_ � � $� , SMIP. �� $ ?
iractor(s) Iicense pursuant to.the Contractor•s �icense Law). • i �� - ' pLAN CHECK $ i PERMIT �.�
0 �Oam exempt untler Section � � � ,e. & P. C. tor this reason � Firepl/Fact..Blt. ICBO �# '- .� � i � � ,ry • , ISSUANCE - � $ � �
r 1 � . � ' � PLUMBING S�S� � .
Date � �' � Owner� � E � � ��� i Heating System & Ducting � �. ' j - �[i. . pLAN CHECK � $ " ENERGY P.C. � $ �
I hereby certify {h I have� reatl this applicatlon antl state that the above ❑0-100,000 BTU Ot00,000BT � . - , - � � GRADING �$ � �
IntormaHon-is'c :'1•agree'to'<omply with a I city antl countyortlinances !- � � - ' - - � -'_ _ ELECTRICAL ' $ � � � j . ,
an0:'state law e ing.to bwltlin9 cons cti antl hereby authorize reore- • , � . , . � y` PLAN CHECK � � 1 MICROFILM $�
sentatives �t '-oty to enter, up the ove-mentioned �property for ; � ' ' , $ ' � . � �7n
inspectid u ses. 1 �`� q. � ' � � . ; '
MECHANICAL , $ TOTAL FEE -, $ � ���7'�
Signatur , � �
ant: Pink�-Accountiri9:�Goltlenrotl�-'Assessor '% -•�. .:— =. ' . -..'. . . _ !. . •_ .. � _ "" . :.. - a-' ' "" ' - " ._ . .i_�.-, . ...,._ .. .. .. ....... .� .. ...+-_. -_ _...._ _. }!
.,�..
t.. .� • . . . . . .. ,.
' CONSTRUCTION AND PLANNING ' �) � �' _ ?01 . SPA , . � .
� � ` . Date Inspector �- � -� -� Date Inspector
. APPROVALS' Permit # ; .�` . . -APPROVALS Perrriit #' � . .
1.' Temporary Electrical Serviceor Pol�; - . � .� 52. P.00F& Equipment Cocation � -'
1 i'
� 2. Soil Pipe-Undrgrnd. � �"f:'' _ ' t`' � = � 53. .Steel ReinforcemenL .. � �. .' -'7
� 3.'�Elect�ical Conduit�Utility-Undrgmd��� ' .:n; ' - 54. Forms'� . � � � � � - ' �
�
4.�Electr�cal Conduit-Undr,gmd. .� fy, : i" � 55. Electrical Bonding - . �. - ;±,
�
� 5.�Steel,Reinforcementyi� ' •i � � ' � 56.'Rough Plumbing & Pressure �Test � .-� s";
;�
' 6.fhEl`ectrical UFER �irnd�.�•� �(�' ; � - 57. APPROVAL�TO COVER-GUNITE � ;�`!'���
7:'F,potirtgs , �`� ��; , f ,' = . �" � � . 58. Electrical Conduit=Undrgrnd. � � � "�;,. !�
�8:-Fodnd9tion '.�1 � �'� - � - ��' ,� � - � 59. Gas Pipe; O.Undrgrnd., Test.` � ���
. .-.r, ./ � . �.'�:!�;�
9. Wa,fRr Pipe-Undrgmd. ' ' �'l� ;j � � . . 60. � Backwash Lines, P-Trap,�� Undrgmd. . �. .�
10: Str"u,ciural Floor System � �,, '���t �� � 61.' APPROVALTO�DECK � - � ` _ . j`
11. Property Sewer Liner& House CoiA�gCtion .. .� , .62.. Backwash & ReceptorFinal� .
f
12.' Sewer Cap �"-�`. - � �'� h '� !% � ' �63.. Heater & Vent-Final " • � �
, t� Y"it. . ! ;n . � y ; �.. . . ,^
13. Roof Drains 'C"� - ��.•'r,� � ,i r �. � . 64..Plumbing System�- Final ' � .
;,
14. Rough Plumbing'/�;:: ",.� � � E� . �i � ' 65. Electrical-Finaf � ' -
15.' Rough Electrical;Conduit � " " ci' �' " 66: Solar"System�Final ""
�
16. Rough Electric Wiring ' . - � � � � � 67. Fencing & Access Approval •
17. �Rough Wiring Sigri , ' ` ' - ' 68. APPROVED FOR�PLASTERING � . .
18. Rough Electiical-T Bar Ceiling � - 69. POOUSPA SYSTEMS FINAL� � � �
19'. Rough Heating & Air Conditioning .� . - � FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace � � � �APPROVALS •' Permit # '
21. Dutts, in Structure � , 70. Underground Hydco ��
22. Ducts, Ventilating � � � , .' 71�. Product Piping O Gas . D Oil ' '
23. Gas Pipe-Rough & Test _ • � 72. Underground Flush �.
24. Roof Framing �' , � � .� .� 73. Undergrnd. Storage Tank O-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. Iathing &�Siding � . 77. FIXED SYSTEM FINAL �
29. .Insulation ' ' 78. FIfiE P.REV. FINAL �
30. Drywall Nailing � � � � ' -HEALTH DEPT. REQUIREMENT ,
� 31. Plaeter Brown Coat , ' -' , 79. FINAL�INSPECTION �
32. Electrical Power Meter-Final� � � � . 80. FOOD CERTIFICATE ISSUED �
33. Final Electric . � � � Notes: / L � 1`i0 ��"&!� Q.O
�ti�•L
34. Final Heating & Air�Conditioning ' ; � � � .
,
35. Final Gas Pipe-Test ' - '� � (��/ � � . . � , . �
36. Hood or Canopy � �,� - . . � , � . �- �
� �
37. Final Factory Fireplace � � . � � � �
9,
38. Final Plumbing � + � , ' . .
�:
39. Water Service-Final � � ' ' • �
40. Gas Service-Final � ' . � . "
41. Solar pomesticFinal �. � �. - . _ .. . , ... � . . " � � �
42. Backflow Pi-eventer � ' . ' ` � � - � • ' ' � � ' '`,`
43. Backflow Irrigation � � � � � � . � ' . � - � j'�
- v.
44. ,Landscape Irrigation System . � � � � , - `
45. Sound Attenuation . � - � ' . ' �
46. Handicap Regulations � � ' � ��' ' ' � � ' -
47. FINAL STRUCTURE & BUILO�NG � . � '. - • ' � _ .
48. Special Requirements Completed : ; � � " j . + � . � � � •-
49. ElectricReleaseto Edison � - - --- � - � - � � --� ��- � '� • ' ' '
50. Gas Release to,Southern California'GasCo '� ? ' . � � � . t ', J.� �:d
51. CERTIFICATE OF OCCUPANCY. '' . � _- � _ -.. _... _ � ' �' "�'
, - ' ` � � � , � - (i� �"!
No. - � Date � � � .
�
A
ADOHESSOFBNLqNG: 3OO ESTHER ST
om+Easru�EiFaanm: JONES, PATRICIA A
+ aoo�ss: �00 ESTHER ST
COSTA'MESA,CA 92627
64'1-1039
nvci. �uw�c �oonEss:
ANCXRECTOPEHC�NEER:
urcx ox �c.s �ooness:
CONTN�CTdI'S NAYE:
CONLX�CTORS MNl1N0
�UDXE55:
UNT:
uc. r�o.:
uur:
uc. ra.:
uxr:
UCENSED COIL�BACTOFS DEQAAATION: I Mroby allim uMar peneYy d pepury thet I em licenaetl uMer provitions d Gheqm 9
(canmenciep wilh Section ]000) ol Divison � d ihe Busirwa eed Pmlesaims COEe, arM my lioenae ia in full brte anE eMed.
cmuc.No.: uc.cuss: uc.No.: EXP:
ome� comreear:
OWNEN BUILOEP DECIAXATION: I hereby elfirm uMer paneYy d perjury Ihet I em uamq tmm IM CoMredors Licenae Lew lor the
idbwvp rea.von (Sedan J0�1.5 Busmasa enE Professbro Code: Any cey a county whitli iepuiree e parm� to mn��,1, eller, impova.
'�mdah. w rapei eny ai�w.Yure, o�a io ile sauence, aho reQuiras Ihe epplireni fw euch pxmil to file e sg�E etatemem thai he or ehe
kenaed W�s��e�� �o �M provisiona d Ihe ConVeclors License lew �Cheqer 9(commend�q wilh Seaion )OW) d Dvoion 3 d �he
3imss ad Prdeae'vn Cade� «thet M a sha ia exemq thmelmm end tM beae lor the dbged esemqion. My vbletion M Seaion
. W 1.5 by any eppliranl fa a pertnM1 suEjacls Ihe apd�� �o a rnil pereNy ol iwl more Ihen INe huMred ddlen �SSW�).
� I, es owiwr M Ihe pmpenY a my empbyem xvh wapea es Ihei ede mmpenaelion, will Eo IM woM, aM ihe niuciure i na intended
o, on,�e ro, dia cs«��o� �aa. e�� �,d a�or��.cam: rn, comreao�.u�,.e �.. a�a �a aodvw � ow�a� a waoem
who Wilds or vnproves iheraon, enE x1w Eoes euM wark Nmeell or Mnell «ihrouph he a her own em0loyem, provideE ihm such
imqwemeMe era rol inteMetl w oilered for aeb. H, hawever, IM WiNi�q or'vnqwemeM in eoitl Milhin one yaer d com0latbn, tM
ownxbuiker xill hava ihe buMen W proving M or she Ek nd build w imprare la iM WP�e d ede).
� I. es awrer d �M propeily. em eaduaivaly mniredig xilh IicenaeE convecion ro conetrud ihe prqed (Setlion ]OM. Buairoea uM
Profeaeiona Coda:Tha Contrepon Lcanealew doeeiwl npplylo an oxnarW properly wM10 buiqs wimpravpthereon vd wha
_ contrens M wU Orol�s wnh e oont'ador(s) IicenseE Wnuen� to �M GonVeaare License le/w)'.
U e:1 �!l p� ��' L� B Om�er:. lor 1 s aW�C.LY I'//' _
I tl hereby csnity Nei l em eware d azk uMeniend �he raQuiramenb d Cellanie Haellh aM Sdery Setlbm 25505, 255�3, eiM
. eM Ihel I«enY �ura Wikiip ampent vnll / wYl na (arcb wre) neaE Io mmph wlh eeiE tlNe cads vd iM myuiremend 1«
imn lorcaeuwciion a modificmionhwn iMAi�epement d¢tnd. Reaidemiel conelrud'nn eppli�iamen exemqimmtheea
Dale: Appliunl:
WOflKEP'S COMPEHSATION DECIAXATION: I Mrcby elfirm untla penally d parjury wn d the bllowirp Eederelona:
� IhereeMWmeinienecenilicmedconseniioeaN-inwralawoMere'compema�ion,nprwidedfabySadian�ro0dihelabar
coaa. �« ma v�«�. d mo � i«..�:�n m�. w�a �. �.,�,e.
❑ I hew eM wil mvmen worken' oompeneelion irourence. av reQuireE by Seaim J]OU M �ha Lebm Code. M iM perbrmence ol iM
wak la which Mis peimn ia iae�eE. My wakers compenaalion iruurerce �emv eM pdiq numEer ere:
c�.:
Pdiry Number:
; axfian need nw 6a comdmeJ M �hs pemi;t is M one hunOreE ddlarz /4100) ar Ine.J
V I cenN the� in tM parlormenw d ihe wwk tar xhch Ihis pertnX ia ieaueE. I ahell na emploY �Y Ga� in enY menner eo d to
bacama eubiecl �o Ne xwken' companm�ion bMe d Celitoma, eM apree �hel il I ehoNE bxome wbjea to iM waken'
wmpanseiion O�aione W Seaion �)00 W iha labor Cade. I ehell IMhMilh comp�y vmh thoea proviaime.
Oete: Applcenc
Wem/np: F�Ilun b s.cvn workx�' comp�ns�Hon covx�p� b vn/awlul, mtlWll �J¢t m anyloyx ro ctlMrvl penaltln m0
e/vll flrw� „p ro om hia�tlrM tMuwrq tloll�n (SfOQ000). In �tldltlon ro fh� cwf ol mmp�ruafbrt d��pu �+pnvkHJ br In
S�ctlon Jl(I6 0l Ms laDor COA, lnfensq an0 elromsyY Iro1.
CONSTNUCTON LENOINO AOENCY: I MreEy elfirm uMer penelry ol perryry �hel IMre u a mnalruqbn bMi�p epeiwy la Hro
paAame�we d IM work fa which ihb permi is'vauad (Sedan 30B). Civ. C).
LENDEfl'S NAME: �
LENDEF'S ADDFESS:
1 carliy tl� I heva reed I�is epplze�ion end etme ihet IM ebove inimretun is conee. I eprea to camply wil� ell dly erM muMy oNinencee
arM aie�e levn raleliip lo buildm0 �nnriMion eM hareby eWwrize rapreeentelives otthia alY to emar upon �M eEwe.mantioneE pmpeM
Iwinspeaun Wrposea.
PATRICIA JONES
^_ _ P��'�'�.�--� o�, g— � — :S`'
(S151de WP) Whne-Buildiiq 8 Sele�y; Greeo-Fle: Cenary-AppYrant: Pink-Revenue; Goldenrob-rbaeeaor
_� CITY OF COSTA MESA — HUILDING PERMIT
PEP.M �IO: B 074021
PERMIT NO: B 074021 PLAN CHECK NO: N GOVT: 1�] SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTfi
JOH DESCRIPTION : T/OFF & REROOF W/COMP. SHINGLES SQ FT: 2,000
CLAIM C�ALUE: 2,000,00 CALC—VALUE: 2,000.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOMN S HALLWAY
3E If iE 1E iE iE iE fE 1f !E 1f !f iE 3E 1E 1E 1E 3E 3E 3E fE if iE 1E iE iElE fE 1E 3E IE iE 1E k iE iE 1E �E iE iE 1E iF iE iElE iE 3E iElf iF 9E iE 9f iF iE 9F if !f IE 1E #' �t iE 1E iE �E dF 3ElE ik �)E �E iE *�)E 3t fE 3E 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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN L,EFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42629416 ZNE: REE' NO:�
PLANNING NOTES>- �
D E V E-�L O P M E N T
ZONING APPROC'ED' BY
BOILDING APPROVEU HY :
APPLICATION ISSUED BY:
iElE 3E K iE 3E iE iE iE iE 1E 1t iElE'iElE M 3ElE iE iE af
LEGALIZATION:N
iE iE ik ff 1E if 3f �E if ik ff iE 1E 3E 3E jE jE jf iE 1E �E �E 1F iE iE df if iE dE iF 3F iE iE dE iE iE �E �E 3E 3E�9E'iE 3f 9E 1FlE iE IE iE Ic
S E R C� I C E S R E Q U I R E M E N T S
��,.
DATE: t��
DATE:
UATE: � �� i
iEiEiE�E1E�Fifif3F�E if
F E E S U M M A R Y STRUCTURAL SEGM NT:
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/RES GRADING
PERMIT 45.00 SU
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIC'—>
TOTALS---->
PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
45.50 0.00 0.00 45.50 45.50 .00
REVENUE DIL�ISION TOTALS--> COLLECTED: 45.50 OVER/SHORT; .UO
ALDG PMT FLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK
45.00 .50
�E aE iE iE 1E IE fE 3ElE iE 1F IE iE 1E jElE 3E 9E dE 3E iF �f iF iE iE 1f iE 3f ik iE iE iF iE if 1E 9FlElElf 3E iE 3E 3f 3f if 3E 3E 9E df 3E �E iE iE if iE iE iE 3E 3f if iE �ElE 3E �E iE if iE 3E iE iE iF dE aE iE iE 3E if fE
I N D I V I D U A L F E E H 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 2000 REROOF BY VALUE RESIUENTIAL NOZONE 1.00 2,000,00
END OF FEES
SMOKE DETECTOR
REQUIREQ ,,,
'�i 0�1$94?$-�Ui84'429 T tE'f
i�fiTE� 0'�/�f/SS 7iPiE: 24:12
4`,50
CON5TRUCTION AND PLANNING �� A `` . POOI PA �
Date Inspector Date Inspector
APPROVALS Permit# � APPROVALS Permit#
•. .f
t� Temporary �Electrical Service or Pole `�`"� 52. Pool & Equipment Locavon - �'ti
.�; .
2: Soil Pipe�Undrgrnd. �•, 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms � �
��4. ElectricaV Conduit-Undrgmd. . � ��� 55: Electricat Sonding ' � �
5. Steel Relnforcement 56. Rough Plumbing & Pressure Tes( ��;'
6:� Electrical UFER Gmd. � 57. APPROVAL TO COVER-GUNITE
7. Fooungs 58. Electrical ConduirUndrgrnd. _ �� ''�
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test t
9. Water Pipe�Undrgmd. � ` f 60. Backwash Lines, P-Trap, O Undrgmd.
�
10. StruCtural Ploor System r 67�: APPROVAL TO DECK
t t. Psoperty Sewer Line & House Connection • .62. Sackwash & Receptos-Einai
12. Sewer Cap 63. Heater & Vent-Final
���
13. Roof Drains - : 64. Plumbing System �'Final i
14. Rough Plumbing �� 65. Electrical-Final � =�
15. Rough Electrical-Conduit - � 66. Solar System�Final � t',f �
16. Rough Elettric Wiring � 67: Fencing & Access Approval _
17. Rough Wiring Sig� 68, APPROVED FOR PLASTERING ��'�
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEh4S FtNAI
19. Rough Heating & Air Conditioning FIRE OEPT. REQUIREMENT
20. Rough Factory Fireplace . , - APPR"OVRLS Permit #
21. Ducts, in Structure . 70. Underground H��dro
� 22. Ducts, Ventilating � • � � . 71. Product Piping �Gas OOit
23. Gas P�Pe-Rough & Test � 72. Underground Flush-
24. Roof Freming � � � - 73. Undergrnd.Storage�ank dGas ❑Oil
25. Roof Sheathing q:(a -q� (Qf.�l� 74. Ovarhead HYdro
26. T�Bar Ceiling {Structurai) & Monocoat � 75.-Dry Chemical -
27. Frame and Flashing � - 76. Dry Standpipe '.
28. Lathing & Siding . . " ' � � �� � 77, FIXED SYSTEM FINAL��
29. Insulation . • � 78. FIRE PREV. FINAI �
30. Drywall Nailing ' , HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' - 79. FINAL INSPECTION
32. Electrical Power MecerPinal � 80. FOOD CERTtFICATE ISSUED
33. Final E�ectric � . Notes: �
�
34. Final Heating�& Air Conditioning , ' _ -
35. Fina� Gas Pipe�Test . �• � � • �
36. Hood or CanoPY .� .� ; _ '- ',� - -
37. Fina�� Factorv Fireplace . - - � • � " "'
S� - -
38. Fina� P�umhing , - �^
39. Water Service-Final , - .. � � ... .'_ .
`�
40. Gas Service-Final ' - � . ` �. ' , ' ' ' ,��
_. � .
41. Solar pomesticFinal � ' �� � . ��' "�
� ��
42. Backflow Preventer � T ' � e__ � r'
- � . u.
43. Backflow Irrigation � - - ' � � � • " ° ;.'�
��
44.' Landscape IrrigationSystem ' � � ' -. - �� , _ � ;�•-
45. Sound Attenuation . . - � :+ � - - � `�
4fi. Hand�cap Regulations •_ � � '
47. fINAL STRUCTURE & BUILDING q�/_ qc� �W�L �
K
48. FINALPLANNING -- ��; � _
49. Electric Release to Edison - �._ . �
. _
50. Ga: Release to Southern California Gas Co � - '
51. CERTIFICATE OF OCCUPANCY � "' --
No Date
OB ADDRESS
GGNERAL CONTRACTOR Dike & Colegrove VALUE$ 1h,o56 00
AP. No. � � LOT 17 TRACT 163� F1RE ZONE DESCRIPTION OF WORK Residence w�at.t. �
r �i,�p I& � TYPE V ZONE Rli PLAN NO. �
EGTIONS I DATE I SUBCONTRACTOR I DATE
PERMITS
NUMBER
. 6650
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA, CALIFORNIA
e=EE RECE��ED
aF-as�s� d4
auinn�r[ nGPT
111rn�.v� �-• ••
FOR APPLICANT TO FILL IN APP�L.IC•AT,•IO;N PFOR PERMIT
AODRE'Ss 300 Esther Street � . BU I LD I N G
COSTA MESA. CALIFORNIA , FOR OFFICE USE ONLY
FECEIPT NO. PE N�fJl'IQ�
OWNER C—RAY, I�NC. . ���'
v�r5
MAIL /�I(l L,• l/�1L C��Lree1 RECEIVEO BY DATE RECEIVE� OPTE ISSVED
nooRess �F"�'J 11 1/till Jli b �-a3�s .4195
TEL BUI�IJING
aTv CostaQMesa �o: Li-3-1159 ADDRESS
oRC �aEEa flr 1Qtl12 rook N�p: " COSTA MESA. CALIFORNIA
Garden Grove FIRE
AO�RE55 ZONE
B O egrove, ncurv ua�333 =o�E�— � P�a�s ` Tva� �o��
GONTRACTOR NO. / �� /
ADDftE554�-9 E. 17th St. T�o: Li-8-1159 gyPROVED— � li DATE /Zj �/
oESCeiPiioN NOi 11 BLOCK TRncr1631�. � CORRECTIONS
A.P. NO.
SRE NO.OF BLOGS. �
oF �oi 7�l X g� now oN �or none
USE OF '
EXISTING BLDG.
SETBA<K LIrvE FROM ��j '1 �/ �+
cE�vTEa Of SiR[[i ayJ � REAR YARD 12� / 1, F2"'
SIDE VPRD RIGHT S, LEFT 1O�
DESCRIPTION OF WORK
NEN p ALTERAT�ON �ADDITION
REPAIR MOVING DEMOLISH
SIZELDING 1647 8•F�.• ROOMS 7 STORIES 1
E%TERIOR WAlal-CCO COV�ERING COID •
COVERING JOU
useoFwS�RgleFamily Residence
aui�oiNo '
Plan 760BR
I HEREBV PCKNOWLEpGE THtT I HPVE RERO THIS APPLIC4TION AND
STTTE THf�T THE ABOVE IS ORRECT ANO AGREE TO COMPLV WITH f�L�
CITY OR��NRNCE$ I�ND 5 T L BEGVLf�TING Bl11LUING CONSTflVC�
T�oN� VAW�ITION
SIGNATURE OF ' ' PERMIT FEE s 34�00
PERMITTEE _, / 17•OO
PLAN CHECK $
$ 14,056.00
Dike & Colegrove, Inc. TOTAL FEE $
AUTHORIZE� AGENT 51.00
BM{