HomeMy WebLinkAbout735 FARAD ST - Building Permits�
' CITY OF COSTA MESA
��pMFq BUILDING DIVISION
� � � i
i� � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Faz (714) 754-4856 • vnvw.ci.costa-mesa.ca.us
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� FOR INSPECTIONS CALL: (714) 754•5626
�°'^°�°"` PERMIT NUMBER: B10-00294
, -
PERMIT TYPE B ROOF2 STATUS: ISSUED `,
APN: 42412108 DATE ISSUED: 1 011 112 01 0
ISSUED BY: KJB
�...�-vrPi*�ffi"&�'�';'�*.'i'Y'��� _�;,
JOB ADDRESS: ,.*EZ35'F,ARAU=ST CM
Vicinity: �
Squares: 2500
Suite/Unit:
Valuation: 57,000.00
SCOPE OF WORK: TEAR OFF EXISTING CAP SHEET ROOF. INSTALL NEW 4 PLY TITLE 24 CAP SHEET ROOFING. APPROX 2500
SQ FT.
OWNER: GOEHRING, RICHARD E JR TR
PHONE:
APPLICANT: J S L ROOFING INC
PHONE: 949-646-3571 �
CONTRACTOR: J S L ROOFING INC
Address: 2415 MARGARET DRUnit:
City/State/Zip: NEWPORT BEACH, CA 92663
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $139.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00
Address: 1601 HIGHLAND DR
City/State/Zip: NEWPORT BEACH, CA
Address: 2415 MARGARET DR
City/State/Zip: NEWPORT BEACH, CA
License No.
License No.
PHONE: i
�i
Unit
Unit: :
� License No. 747706 `
949-646-3571 '
CELL: � , ,
,
PHONE:
PHONE:
TOTAL FEES $140.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3l18/2010 - PER CMMC Sec. 13-279
Monday thru Fnday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the foilowing Federal
New Years Day, Memorial Dav. Indeoendence Dav. Labor Dav. Thanksqivino Dav and Chnstmas Dav
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authodzed under this permit lo be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in lhe expiration of this permit.
CODEN. INSPECTIONttPE Z INTITIALS CO�Ep INSPECTONTVPE �ATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final { 'p 208 Final Plumbing
200 Final Re-Roof � Ip � V 210 Final Electncal
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Faclory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition � 250 Final Building/Occupancy
�
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalry o( perjury one of the following declarations�
❑ I have and will maintain a certi(cate of consent to self-Insure foi workers'
compensatiQn, as pro4ided for by section 3700 of the Labor'Code; !or ihe
performance ot the work for which lhis permit is issued.
❑ I have and will main�ain workers' compensation insu2nce, as requiretl Dy
sectbn 3700 of the Labor Code, for the pedortnance of the v.ork tor wfiich this
pertnit is issued. My vrorkers' compensation Insurance carner and policy
number are: � � � �
arriera�.�. G� �/ /=
(ihrssectbnne'etlnolbeWmWeledAthepe�mrt��aluetlafone untlretltlollars(5100)orless.)
icy.Number.l �a � /S
❑ I certify Ihat in the pedor nce o( lhe work (or which Ihis permit is
issued, I shall not ploy any son in any manner so as to become subject
b the vrorkers' pensatio aws of California, antl aqree that if I should
become sub'ec the wor s' compensation provisions of Section 3700 0(
Ihe Labor shall t 'th comply with Ihese provisions.
� �o� �� /�
1' n1'
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WA NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS NLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aFfirm �hat I am licensetl under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of lhe Business and Professions Cotle, antl
my license is in full ! r ER9Ct
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CONSTRIy�'fl LEND G AGENCY:
❑ I he(�by aNirtn that there is a cons[rucCan lentling agency Iw Ihe
per(ormance of the work fa which Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lentler's Name:
Lender's Atltlress:
SignaWre
OWNER-BUILDER DECLARATIONS:
I hereby affrm ihat under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any cily or county which requires a permit to
conslruct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit ro fle a signetl statement
that he or she is licensed pursuant [o the provisions of Ihe Contraclors
License Law (Chapter 9(commencing vnth Section 7000) of Division 3 of the
Business and Prolessions Code) or that he or she is eaempl therefrom and
the 6asis for �he alleged exemption. Any violation o! Section 7031.5 by any
applicant !or a permit subjects ihe appliwnt [o a civil penalry of not more Ihan
fve hundred dollars (5500).):
❑ I, as owner of lhe property, or my employees wilh wages as Iheir sole
compensation, WILL DO THE WORK, and the slnuture is not intentletl or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an ovmer of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not inlended or oKered for
sale. It, however, the building or improvement is sold within one year o(
completion, ihe owner-builder will have the burden of proving that he or she
did not build or improve for purpose of sale.). �
❑ I, as ovmer of lhe property, am EXCLUSIVELY CON7RACTING WITH
LICENSED CONTR,4CTORS to constmc[ the project (Sec. 7044, Business antl
Professions Code: The coniractors License Law does not appty to an owner of
property who builds or improves Ihereon, and who contracts for such project with
a cmtractw(s) license pureuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Protessions Code for this reason:
Owner ID venfied by dnver s i ense. ❑ Yes � No
Driver's License No. Expires:
Verification of Ownership by (type o( document, i.e. - propeAy tax bill or deea):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N:
❑ I hereby certrfy thal no excavation frve (5) a more fee� in depih into wfiich a
person is required to descend, will 6e made in connection with w�rk auttwrized
by this permit, and that no building structure, scaf(olding, falsev.ork, or tlemolition
or dismantling thereof, will be more than lhirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Ttle B, California Administra�ive Code).
❑ As ovmer-builder, I vdll not employ anyone to tlo vrork which would
require a permit from the Division of Intlustrial Safety, as noted above, unless
such person has a permit to tlo such work from the division.
ApPlicanl's Signature Date
Division of Industrial Sa(ety Permit Number
HAZAR�OUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future buil0inq occupant need to file antl
certify a Business Plan for emergency response to release or threatenetl
release of a hazardous malerial? ❑ Yes ❑ No
(Section 25505 0( the California Health antl Safery Cotle requires, vrith some
exceptions, that a Business Plan he fled with the Cos[a Mesa Fire
Department by every business which has al any one time during a reported
year a quantiry of hazar0ous materials equal ro or greater than a weight o!
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature antl piessure).
2 Does or will the applicant or present or fulure building occupant need ro file
a registralion (ortn (or acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of Ihe Cali(omia Health and Safe[y Cotle, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantiry of acutely
hazardous matenals equal tp or greater ihan a weigh� of 500 pounds, or a
volume of 55 gallons, or 200 wbic (eet ol compressed gas at standartl
temperaNre and pressure).
3. Does or will the applicant or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for awtely
hazardous materials�? ❑ Ves ❑ No
(Section 25534 0( the Cafi(ornia Heallh antl Sa(ety Code provides that Ihe
Costa Mesa Fire Oepartment may require the preparalion, ceAi(cation and
filing with Ihe Fire DepaAment of an RMPP by businesses which are requiretl
lo register aculely hazardous male�ials wilh Ihe Fire Department.
4. I( an RMPP is presently required, has Section 25534 0( the California
Health antl Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future buil0ing occupaN require for
the work which is the subjecl ol lhis appliwlion a permit for such construction
or motlifca[ion fmm Ihe Soulh Coast Air Quality Management District or fmm
any other air polWtion control distnct or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Code requires ihat the requested
information be fumished on appliwtions for noo-residential building pertnits).
6. Will any part of the facilily to be conslructed under this permit be within
1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No
pf'yes", the facility must meet the requirement of Sections 25534 antl 42303
of the Califomia Health and Sa(ety Code).
7. It a permit Fmm Ihe Sout11 Coast Air Quality Managemenl District or other
air pollu�ion control tlislricl or agency is required for the work which is the
subject of this application, have all of ihe disclosures prescribed by California
Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of compliance from the appropriate air polWtion
control oflicer�. � ' �
CERTIFICA7E OF COMPLIANCE: I certify that under penalty of perjury the
intormation given above is correcL�l agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
Signature Oale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry ot perjury that have read this application antl state that
the informali0n given i5 COfrecl. ree to tomply wilh all 5late laws and cily
ordinances relating to bWWWIding truction, and authonze representatives of
Ihe Ciry of Costa M� to r upon the above-described property (or
inspection purposes. I qree to occupy or allow occupancy of any building
authonzed hy thi�.per 1 un I nal inspection.
5 aW Le eqs) te /�
Signature . Da�e �� /0 � ��r l�/
305]-a61310]) �-- V
���or�u�l�un.eUApP1�Wn� IDe�e�
r3�� -oaa��
,
C�� i IRCf�TE OF COMPLIANCE ENV-'I C
AND rIELD INSP�CTIO�+ ENERGY CHcCKLIST (Page 2 of 4)
17u,icr.i-IJuria� L��R� �'�'U����_� �� � � (-� � Cli�un�Zonc:�1 , .
�
I��,orlNc 1�rzoi�t�cT �cooLrzoors�
(A'o1c ifllie run/ing yror(ncl is nnl CItHC crr�i(iet(, lliis' eomplirwoe rtpproacG eru�nnl bn u.��edJ. Gri lo Orerull Lrmelape ilpproach nr
7'cr%nruumcc fl pPruuch.
CiiLCICAPPIJC71I3LlIiOX6ELOU'IPl\E�91"I'FRpM'flI8H001%ING1'ItODUCI'^CDOLliUO�"IlGOUIItISMCN"!'S: ����•'7�Sfi°"'`��F:11I1�'�=N�
❑ Rnofing campli�ince nol requircd iu Cllmuic Zones I flnd I G wllh �i Lm�,-Sloped. 2:1"_' piich or less. I I I ;
❑ Itool7ng complitmec noi required in Climate "Lone I wilh a Siee�rSloped �vith less thtin 5 Ib/fl', Gre�iter Ihnn 2:12 pilch. _€ I
❑ Loa-slupcd Wund 1'r.inied rooii In Climiue "Lones 3 tmd 5 tire esempted solw� rclecttmcu nud lhcrmul emivauce or I � -�� �
Sltl Ih�t have a U-f.icwr of0.039 or lowei. See 6paique Surfxce Uetails roofassentbly, Colurou FI oi HidV-ZC. � t-
❑ Lo�v-sloped Metnl 1i�nmed rool�s in Climnte Zones i�md i are exempted solar relecmucc and thennal cmittance or � � I � I�.
Sltl thai havc a U-l�eictor of 0.(14h oi lo��•er. Sec Gpu�ue Surfacc Det��ils roof nsseinbly belo�c, Column N of 81JV-2C.
❑ The rooi'xrca covered by building Imegrnied phoiovulinic panels;md building integrnted solzr �hermal panels are ❑ ❑ ❑.',
cxempled sol�r releciance and Ihermal emittnnce or SRI. Sec spred.rheei ccJculuuar n� �nnnr.cnrrgr.ca.Anv/tille24/ �
❑ koofconsu'uctinn� thai have U�erutal mass uver the ron(membr[inc with Ei weigh� o(a( leasl 35 Ib/Fl� is exentp( Ilam the � � � � ���
— Conl Rnol'criteria 6elow. t
❑ Fligh-rise residenlinl buildin�s and hotels and motels e�ith Im��-sluped roois in C�iinaie Zones I lhroueh J, 12 nnd I G are�e�e,�nptedshl:oii5*tlieQl'ow"-�' ..
sloped roofine criterin.
7.//�Fnil Il�mr describe on Ueispage o/7he Lisy�ec/io�v Checldfsi Form tmtl lnlce uppropriNc ncuon �o cmv-ec�. . VcrifJ� buildir�g p/m�s if necc.ssnrr.
_... . . . �:_>... ..
C„' ..._. ,�
CRRC F'rodua ID 2oof Slope Producl W ei�ht Pinduc� Aged Solai Thennal !'Special i
7Vumber� < 2:12 >2:L < 516/fi' > 516/ft" Type'' Reflectnnce' Emmitance SR]' �iFeTmre� Pass Paii'��
D(p (0-6021 e� ❑ ❑ ❑ �j(�l.i� ❑� p, kp (�, (n3 � ❑ ❑ I ❑ �
❑ ❑ ❑ n o� �� ° ° I ° 1=e
I ❑ ❑ I ❑ ❑ I ❑° � ❑ ❑ I ��i
❑ Q ❑ ❑ 0° �� ❑ ❑ �p,�
I.rTLe CRRC Prnduc� ID Nmnber emr bc obmineAfrom Ilre Cnol Roa(linririg Cm�nci!'s Rnicd Pradua Direcmip n� imrir coolronie� arebiY�B'1ciC/eem�Eli��ilid'��u:;,�-�.�
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2: In�Ocaie Iha p�pu o/Procluci ie bein; iued jor tLe ruqf iap. Lc. ,singl�h� roof. aspl�ah roo(, meml rnaL em.
3. l(Ilie i[ge[!Re(leclOnec is nol availnLle iir Ilie C'onl I(oa�ICal)n� L'mmeil'a� lZnlerlPi'u[rucf Dii'eclm)� irten ia�� lhe !ni!(n! l<ell[clqnee val4c Jr'oni Ilic same fireclm.P
ewd use We equmimi (0.?+OJ(/liniiinl -(1.21 �n nb�ain o cnlcednieAnged i�n6ie 114�ere �J ia� �Le Ini�ial Salar Repecinnce. Frmn �hr Cool Rool lin�ing Cnmici!'a
HmedPrnduc� DGeclm'��.
-0. CLvek bu.r i/ 16e dged !f ell ecmnce i.c n cnlciJaied nal uc u.eing Ihu eynoiion abnve.
S.The S21 nalue i�eeds �o be calculaie�l �iro�n u spreclsheel culci�lnilnr nl Ivyr//�rwiatenergr.eu.govAide34/
(. bidicaie Specia(l�eaiau�e nn Page 2 n(Ihe hm�pcaiinn COeeldia'I Fnrm belrnr.
7. l/'/�oil ihen descrihe nn �hia pa�;e nl�ihe 4tspeciinn Checldi.v Parui und luhe uppropriule tmlion In enia'r:el. Veri(i� builcfing plrm.s i1 ���ce.s.ear'r.
TU FI�)pl)' 1,II�Oitl TiL•�1) A�l�)liell CIIBIIlleS, I�IL' G011llll�! 11111SI �)L' il�)�)�1C(� i]G'09S l�lL' L'I1111'C I'UD�SIII'�HCL llll(� ll]CCI I�le �l')' IDl) l�]iL'�{UCEti Ol' COVC)'i1�C
recommendeci by the cnaiings in�mdticwrer and meei ininiinuni perlormamec requireinenis lisied In ;v I i S(i�4 Seleci thc �ipplicaible cuating:
❑ Aluminwn-Pi�memcd /�sphiili ICoofCou�in� ❑ Ceinenl-8�iscd koafCnnting ❑ O�he�
SY�CfAL T�'T�A'�'UT:IsS InSP�i C'i10h CI�1�,CICLIS`I'
7'6c local enlorccnieivl cigenc;r.vhmdd pqr,specin! unaniion �u llir ilem.�� a�peci%ied in llii.v eJiecldi.el. l'he.ve il�:nt�+'re�p,�irc.vpeciul onril�eu,j��i.r�i�ivaiiou
OIILI CIOCIU)1f:lII(IbUII, UI�CI d'OL'(9(II VL'1'I%IC(IIIUII. �I�IIL' IOf.CII L'qllll'CL'UIL'lll (ft;L'IIfY CIL'IL'I'IHIIIL'.ti Ihr udeqnac;r n/�ILr %u.x�i/icuiian. and mqi�!'L'/L'CI p I)IIIICIIIIi;
or ded'ign Ilial nlhm'mia'e cumpliCs ba.s¢d rm 16e c+clequucr n/ Ihr.rpccfa/ I��.�'iilicctlfon nnd docuweuletlinn.Suhmilleil
lliscrcp�mcies:
2008 nbnrea�idervial Complicince Fnrnvs Aeq;zr.��� 2110'l
CERTIFICRTE OF COMPLIANCE ENV-1C
AND FIELD INSPECTION ENERGY CHECKLIST (r.i�;e.s ot4
I'rojecl iJmne �� /� Un���,. Cllmnic Zot '7 . •
�`---'�'� � �Zv�i r(/ L`—/� - t�� t0
Required Accept�mca Tests
DeSlbl]P,I":
T{�is.�orm i.r io bv ua'ecl b�%ll�e de.rigi�er m�d altcm/�iccl /o !he plmas. Lis�ecl belorr ia� U�e necepicu�ce lesl jar E»velaJ�e Fe»esn•c�lions
sy.rtenv. Tl1e L�esig�9er is reqaiirecl lo Cl9ecl; Ihe occeplcnlcc les7s cmd lid�l cill t19e fenes6'alion producGr dlal reqz�ire a�a nccepinnce iesl.
I/�nll tl�c sile-Lirih Jei�es7rn�ion of�i cerlonv ryye reyaure.r u Ie,rl, fisr 1he dif%renr fei�esu�ntion prochecl.c ancl /l�e a2mtber o/�a_>>slenvs.
The A�i17 Seelfoit i�� Ihe Appei�clis of N�e Nonrericlei�/ia/T,eferei�ce flppendice.r A�Icnalicd clescribe.s d�e �cst. S'inev U�is f�ri�� ri�ill be
par� aJ�d�e plm�s, cm�»plerian oJll�is seelia> >e,iU cdl��a� ihe rnapanslGle ynrq' 10 buc/ger for il��e scope oJln,oil; aj�praprurle/y.
Enforeement .��ency:
Sn.rtems Acceptnnee Bejore Occ�q�cu�ep Pern�i� is groniecl for cr new+lp co��sln�c�ed baiilding m� spnee or �a+l�ei� ever r�e�i� fe��estrnt9m�
is insaulled in Il�e bz�ildii�g or sp��ce shnll be cer�ified as u�eeiir�o d�e �lecepi�cu�ce Reya�ireme�vs. �
T7�e ENY-?A�orn� is no7 considerecl n conaylete jorm ni�cl i.v noi to be nccep�ec� bp Ihc enforceine��l age»cp au�les•s ihe boxes nre
Lliec]cecLar�d/oi:flleclaiaclsdgised h2ucldition,uCei7ificnreofAccep�cmcejornvxshnl/besaibi�?inec]rolheei?for,cemenvngenc7�.tl�ni
cer•lifes'plbits, speeificcvtioi�s, insiallc�tio» cer�ificnles, nr�cl operc�li�vg m�d rnair�lenm�ce iirformaiioi� rr�ee7 Ilve reyz�ireme��ta� aj ��
yS]p_) 03(b) ofTi�le 24 Parl 6. The jielcl i�espec/or r��iis� receive d�e proper/p filled otiil arod sigi�ecf,jorms before tl�e barilding can
receive Jinnl occupane�t �l cop�� of lhe EA�l'-2A foi� each drf�eren� feiresvrntion �r�odarc� Irne i�rirs7 be providecllo !he or��ner ojd�e
barildinolord�eir records.
Test Descri tion I',NV-2A Test Performed B:
Number Building
Fenes[ration Products Name or ID of lilce Envelope
Requiring Testing or V erification Products Acce tanee Test
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�I/Ofi Nnnrea�idcntiul Cumplinncc Forn7,r daigzrsi 200I
I CERTIFIC,4TE OF COMPLIANCE
( AND FI�LD iNSPECTION ENERGI' CHECKLIST
. �iqieci N�in�r%T 1 "'� S ! i� rG f/
mentafion Aut:hor's llecla�raCiun $�atement
I cer�ifv thai this Certilicate of Cumplinnce documentation
h��imc:
!B.' l�%,��
I
ENV-1C
ae4of41
Company - , . v Da�c: /D _ L �" ( �
- S•L � m� t .,
Flddrcss: . lf Applicnble:
Z`� � 5 �Gc�. 4./ e� A�' cEn n
cere a�
Ciry/Siaie/Zi �: Q n�/ n d/ G� �sb 3 Phone: / � 7
f�S (l C 1 7 � O
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,P_Fincipal Desioncr's Decl,u•titiun Statement �-�
. 1 am eligible under Division 3 o1'the Ctilif�ornia Business aud 1'rofessions Code to accepl responsibility for the design.
. This Certificsue of Compliance identifies tl�e envelope ieallu�es and perfonnnnce speciLcatious iequired for complitmce
with Title 24, Parts 1�md�fi of the Culiforniii�Cude of�Regiilations: ' � � . .� � ��
. The design f'e�tures represented ou this Certificete of Compliance are consistent u�ith the infori ia[ion pro��ided to document
this design on the other applicnble complicmce forms, worlcshee[s; calculations, plans and speci icatious submitted to Lhe
euforcemeut agency for approv�l wi[I� this building pennit epplication.
Name: Sf�na[w�e: � �
Phone:
200k h�mv-esfcfeivicd Cauvpliivar.c Gorms Axtgei.rl 2!I(lI
���/aooaess: 735 FARAD ST
OWNEfl'S NAME: MEADE MICHAEL J
aooRess: 545 HAZEL DR
CORONA DEL MAR,CA 92625
RHCHIENCMEEH:
aonRess:
NEC.NO.:
UNIi:
uxir:
PEPMITTEE: SADLER' S ROOFING ( 714 ) 675-5095
aoosess: 125 GRAND CANAL
BALBOA ISLAND CA 92662
IICENSEU CONTNACiOfl UECLABATION: I �eteGy aliirm ihal I am IicenSeE un0er provisions Ot C�apler 9(commencinp wilh Sedion
7000� ol OiNsion 3 0l Ne Business anA Pmiessions Coae. anG my fcenm is in iull fome ana elkct.
CITYLIC.: 01 p s�z84857� �y'jS'_C=tj�
—oa-r— � SignaWre: _ �/ ��i�cc�
.
WONREPS' COmPE nTION U tABATION. I �eRGy a��irm Ih 1 I �ave a Cerlititaie al mnsen� (0 5¢I4insure Or a Cetliiita�e 01 WOrkers'
Compensation Ins ance. or a cenAieO copy �nereo115ection 3800, LaO. CI.
voucvxo.: 37914B-91 EXP.OPTE: OS/OI�9Z
COMPANY: STATE FUND
� Cenifie0 copY � �er y IuMs�etl. � Certilie0 topy i5 I�'t� I�e dry BuilAinp Divi ion.
I
.,ale: PDlieani:_r
EXEMPTIONFPOMVlO ENS'COMSNSATIONOECtAflATIDN: (1H55eelionnreOnolGemnplelMilNeperm�$iwone�unOrW�St011�or1e55�.
I ceriity t�at in I�e p ormance t�i�e work �or w�i[� I�is Oermii i5 i5suea, I SMII noi emD�%any person in any manner so as lo become
su�ietl m t�e Wor rs' Compensation Laws ol Califomia.
�ate: SiqnaNrt:
NOTILE: II, atler making 106 dttlaralion. you SMuW hemme SubjM 10I�0 WOrkeR' Campensation pmvisions al �he Labar
CoOe. you mu9 Iorttmii� compty vnt� SUC� Orovisions o� �N5 permil s�atl Ge Urem¢E revokeE.
CONS7PUL710N IEN�ING RCENCY: 1 �ereby aflirm tlut t�ere u a caatructpn IenEinq apenry for t�e peAormance oi the wark lar
which I�is Dermii is issue0 (Senion 3097. Civ. C�.
LFNDEN:
ROONESS:
OWNEH BUILOEfl OELLANATIDN: I �ert0y allitm ��al I am Gxempl �mm I�E ConlraCiorS' State Licenu Law b� Ine lollowing reason
(Sectbn 7031.5 Business aM Professional COUe: My uty ol munty wNc� repuirts a permii to anstruct. alier, imOrove, demol¢h, or
iepair any simcWre, orior to ils issuance. also repuires tne aooliWnt lor such oermil lo Iiie a s�pneA statemen� ihai nUsha is licensea
pursuam m tne O�wisiws ol �ne Comractars' State Littnu Uw (CNpter 91���inq vAtn Section 7000) ol Divi9on 3 0l Ine Buvness
antl Prolessions COtle) ot Itut �elslle is erempt I�etelrom anE If1e Oatis lor Ine allepeE eMemo�ion. Any violation ol Section 7031.5 hy
any applicant for a perrml wejttts ine applitdnt Io a Gvil petulty ot ml mote IiWn live nunEreO Uallars (5500).
I. as owYler ol Ine propiny a rtry em IoyetS wit� xape5 as t�eit SOIe wmpe(ISdGon, wiA tla Ihe wOrk, and t�e
❑ suucwre is noi imen0ed ar anerea lor sale I�c�ion 70aa, Business anA Pmlessional COEe: T�e Coniractors' Staie License Law
Ooes not apply to an avmer ot a ptoptny wtq GuilQs or improvCS tllerton, dn0 wh0 does wc� wOrN �imsell/Ilersell ar ihmuAh
nis or ner own em0�oyees, pmd0etl mat sucn imD�%'emenis are noi imenaeU ar o11ereE lar sale. II. �owever tne 6uiltlinp or
imD�avement 6 s01G wit0in one yW� ol COmDletion. 11¢ axner will Ildve tlle GurAen of Drovinq he/Slie GiG nol GuilU ar impmve
br ihe purpou of Shce).
I, as owner ol ine propeny. am exclusiveN comratlinq vni� Iicrose0 conVatlorS to ConSlmcuM Oroleci'Sec�ion 76aa, Business
❑ ana Proleuims CaUe: TM Comractars State Liceine Law Oces m1 aoPN ta an owner ol O��ny wM OwICs w improres tnereon
ane wno comrans lor sucn pmiecis witn a comiacmr(s1 license vursuant io tne Camiacmrs' State �mense Law�. I am aware
ihat orool ol ineir waiker's COmptlaatian insurance SMuIG Ge D«ed lo me.
� 1 am exem0� un0¢r 5¢[tian: B. 8 P. C.
lor I�iS reason:
Datc: Ownec
I tlo hereey cenily �nat I am aware oi ana unaernan0 tne repuiremems al Calilornia Heal�n ana Salery Cotle Sedions 25505, 25533, ana
2553a and ihai I or any IWure UWOmg acupani wilUxill noi (drde ane) nee0 t0 ComON ��h SaiO 5lale COGes an0lne reQuiremen�s for a
Dermit lor consimclion or moOAicalion Iromt�e AirOuality ManaAemenl Disirict. FesiEential consiruction applications are exempl Irom
IheSe pmvisions
Dale: pDOheant:
I ne�eoy certily inal I luve reae Nis appliCation ana state Itul ine abwe info�mdtion is correct. I agrtt lo tomoly witn all cily ane county
D�tlrtldfltCS dp�5 f¢Id�iO� � SINCI100 204 h� h0lize representatives al l�;�s ciry to emer uDon 1�e aUove�memioned
pmpetly loi � SDecm pm 5 j�
�ate: SignaWre'
t6ai�a6 Whne-8ml0ing; Green—Code EnlorcemenC Canary—AOP�icant: Pink—Revonua: GOI4enro0—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 054396 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE; STR
JOB DESCRIPTION : T/OFF REROOF W/ CLASS A COMP
PERM NO: H 05439
GOVT: N SUPP; N
PURPOSE: ALT
SQ FT: 3,665
CLAIM VALUE: 3,665.00 CALC—VALUE: 3,665.00 GROUP OCC: H-2 /
COMMENTS: �
�r**�r��*x�*�r+t�**�r�**�rt�r**�t***�e+t�t+t*�r�t**�***�*�r�t�r�x****�r�r��r+�+t�r******�rx �t+r****�r�t�r�t*�r**
Z O N I N G R E(j U I R E M E N T S
5 E T H 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 RGAT; FT IN
PARKING REQ• PROV: PARCEL: 42412108 ZNE; REF NO:
PLANNING Nb'I'ES>
.� . f
3E if 3E if iE if iF 3E iF if 1F iE iF iFiE 3E if if iE iE iF 1E 3E 1E if fE if iE iE 1E ff iFlf iE if �f k if ik it k!f �k M if if if iF 1f iF if if 1E if if 1E iE if k if iE �F k iF iE if 3E iE�iEiF if 1f k if iF �1F iF iEiE
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; �'r
BUILDING APPROt/ED BY ; DATE; ,:-,
APPLICATION ZSSUED BY:��Fs���9ri DATE• %a9" `�� �
�f1FiflEiEiFiF�FiFifififiFikiFiEkiFiElFiFif 3EIEiFiFkiEiEiF1E1E iF
ifkiFiEiFiEikiFiEjfififlEiFiE3E1Eif1Fit1ElfiEiElEiFiFiFMiEiE3f�FitiFiFiFiF1F ififiEifiFMifikifM�EMifiFikiFif�fiEiEiFiFlEiEiEif�E3EiFififiEifiEiEif�E1E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 63.00 SMIP/NON—RES
PLAN ,77
ISSUE FEE
BUILDZNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63,77 0,00 0.00 63.77 63.77 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63,77 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63,00 ,77
ifiFkiFifiFifiEkkkiFiE�fiEiFkifk3FitkifiF�fiFkkiFifMihlFiFiFiFiF1lkiFiFkififkihifkiFkiElEkkifaflflFiF�t�l1liFiEiFifitiEiElt�FiEifMiEfFifaF�f
Z N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFC 3665 REROOF BY VALUE COMMERCIAL NOZONE 1,00 3,665.00
END OF FEES
�y
/w �
.t
1
u/l. u'�J?'i J a^��' , .
Jli ti _ •�:� _ _ � . . . .
V
� , ,
CONSTRUCTION AND PLANNING POOL 'A �
� APPROVALS Permit # j Date Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. •L '- 53. Steel Reinforcement
� 3�'Electrical Conduit Utility-l7ndrgrnd,= � 54. Forms
. 4��Electrical ConduitiUDdrgrnd. 55. Elecirical Bonding �
x`j. Steel Reinforcement '. 56. Rough Plumbing & Pressure Test .
�6. Electrical UFEB'Grnd. �+' 57. APPROVAL TO COVER�GUNITE �
,7. Footings n: 58. Electrical Conduit�Undrgmd.
�8: Foendation ' ' 59. Gas Pipe, O Undrgmd., Test `'�
9. Watei Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
�•
10. Structural Floor System • 67. APPROVAL TO DECK
11. Property Sewer Liner& Ho9se Conrrection 62. Backwash & Receptor�Final
12. Sewer Cap � ? i 63. Heater & Vent�Final
13. Foof Drains 64. Plumbing System - Final .
14. Rough Plumbirgj ` 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough EleCtrio-Wiring 67. fencing & Access ApP�oval
77. Rough Wiring S�n 68. APPROVED FOR PLASTERING
18. Rough ElectricaJ�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
' - . - �W- �:t
20_•Rough F'actocy FGeplace ��• " ' T : ' � � '� = APpRO�VAYI,S"'CPerniit # " "
L ''a 1ir �f�f, t .� - r. }, ^. -
21 �Ducts, in-Str �cture � � . . '�' , r � - . � ✓ 'a:' � �`� ' . .
S! .. • � S -. 0. UndergrouPd_Hy�#ro .
22. �ueu. VeatiWtiny ,' ' `�'.' _ r � =9 ' �,71. Producf`P��ing O'C',as �Oi!
23: Gas Pipe=Rough &`es[ j ; x„ � � 1;. ;: 72. Undeiground Flush`-� � ` " -
24 ��Roof Framing � . .- ��.� y > � - � ; � s73.nUnderqrnd. Stora,g�Tank O Gas ❑ Oil
25. Roof, Sheathing '. �- ; (B=�SqI ,��j� �7q,�p.�erhead �iydro�' `" 4
26.-T-Bar Ceiling (Struuurap &�Monocoat �i� - n- � 7S'Dry Chemical � : •+-
e-�
27:�Prameand Flashin' ' ; � ° �� "� �� � �, •n x
9, �. 76: D�iy Stanc�p�e . 4 a
� � J
�_28.•-L.ethinq_& Siding . . - - • •� � • 77 � FIXED SYSTENLFINAL _
'29. Insulation •, y � � �� �� � i �`� i � � 78j FIRE PREV. FINAL r : �
�30. Drywall.�Naitttag • � ' t � � � HEALTH�DEPTrRE�UIREMENT �
_31. Plaster Brown Coat; � � � , ;: :79: FINAL INS2ECTION ' ' -
�- � . .
��-32.-Electrical Power Meter�Pinalt .. • .80;:FOOD CERTIFILA'TE ISSUED �
33.` inal Etectric �. � ,-.� ,�'r _ Y� � '�No{es: 7 �: � z; �
n� . ' � � . . � _ „'
py34..-Fin,il Heating & Air�Conditionicig, a � ; #. :. .� � ,-, ; ,y ,., _
.
35. `,Final Ga;s P�Pe-Testo - Ai -7 � \-'• ' -• • . + n' " -
i , � - � . yi . `. G',
a
i�36. Hoad or3CanoPY �� • � L ' r _ . . - � � tt ' - r,c ..� ..
.r
37.�-Fin'�I Factory Firepiace,r , S�" `; ;'^ � ! i,". � l.' ;j
.
38. FinaJ Plum6ing . �;i� i �-� t �V � ,t * h S � -r n �
":39. Watei Service�Final -- ' �' ' • =�' ' A
`' � i. � C ♦ T y �
�40. Gas Service�Final ; , �l ��,� ,� '' „ � , '� � �.:s• �' `�
?41. Solar pomesticFinal � �• + � � eG=�� +
�• . » .r 1L t x
•�42.�BackflowPreventer _� � � j ;� �� . �� . � - ''.
43. Backflow Irr�ation ��� '� ' - r^' * C
� v 1 / i �
i'C • r r.. - . s .i
'44. Landscape I fiaatio� Systemy ,,; � , r - �.� .: x t;} - _.
345.:.Sound Attenuation - "' � � ' �k ' �� ^'j �
r� *' � • ' �w t
.'46:.Handiwp Regulatio�s ' j . � � '. � r ' � . �„ . � � � :
�47.•PINALSTRt1CTURE&BUILDING y.t � �w� ' �% �c- �
48. FINAL PLANNING � ; .� �, ,� � � . q �,� .T � '
.49�Electric�ReleasetoEdison . + �{e.. ?- 'a, � , � •c
� r. a t
'50.�Gas.Release to Sout'hem Califomia Gas Cn ' ( , �; ' �' ; ,_; � ; .
;�51. CERTIFICATE OP OCCUPANCY %k , r - „ � : �;,
No. Oate J
�
C�TY OF COSTA MESA .
CONSTRUCTION PERMIT
Adtlress
Arch/Eng.
Contractor
in all spaees wi[nln neavy bortler lines ana sign all aoo/opriate tleclaration
T NO. :-_ _ TRACT NO. LOT NO. - �BL'DG. NO.
" T� OF CONSTRUCTION �
Phon -� NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
License No.LF (p/ ❑ OTHER
DESCRIPTION OF WORK
Phone .
LICENSED CONTRPCTOK OECIANHTION �
I M1OreDy aTfirm tha[ I am Ilcansed-under provisions ol Lharter 9(com-
mah��ng wlth section ]000) of Divlsion 3 ot the Business antl
Professions Cotle, antl'" my" Iicense' Is In--lull force antl effect.
lJcense Class Lice�se No.
Date Si9nature
WORKERS•COMPENSATIOP/DECLARATION
I�hereby affirm that. I have a certificate of consent to'�ul(-Inshre or a
cerC�f���e of Workers' Compensatlon Insurance, or a certlfietl copy
theYeof (Section 3800, I�b. C.). '
Policy NO. Company
Certifi¢tl copy is h¢reby fUmishetl. '
Gertlfietl topy is titeG wl[h Ihe city BuiltlMq Divirion.
eXffMPT10N FROM WORKERS' COMPENSATION DECLARATION
TMs Tection n¢etl nOt De Coinpletetl if Ihe permit Is fo� one huntlretl
{EL00) or less). _.. �
rfiPo that in tM1e oertormance o( the work fo� which this oerrttit Is
oate
TYPE OF PERMIT ' � ' � /'
❑ GRADING ' GI�FbUNDATION �L�$7qUCTURAC
❑ TENANT .❑ ELECTR�CAL ❑PLUMB�NG OMECHAI
❑ OTHER �
PROJECT DESCRIPTION ' .
SQ. FT. p �
OCCVPANCV�r2CON5TRVCTIONTVPE ��
VALVATIQN /Di_� ZONE
GRADING CU. �'D5. ACRES
REMARKS: �� . .
PWM9ING - - PLANCHECK
BATHTUBS ' SHOWERS -
NOTICE: If after makin9 this laratlon, you shoultl become suDject TOILETS URINALS^
to the Workers' Compensatlon�ovlslons oi the Labor Cotle, you�must
torth�✓ith comply with SUCh provi51on5 or this permit shall b¢ tleem¢tl LAVATORIES DOUBLE LAVS
revoketl. _ KIT.SINKS -- ' DISHWASHERS
CONSTRUCTION LENDING AGENCV
I he�eby aftiYm that there IS a construGtlon lendlnq agency for the per- SERVICE $INKS SUMPS
forrYiance of t�e work for wni<h thls permit i5 issuetl (Section 3097
Civ. CJ. �` d_ . _ ...- FLOOR SINKS FLOOR DRAINS
LenOer's Name M
LenGer's Atldress - ' DRINKING FOUNTAINS ' "
OWNER BVILDER DECLARATION ' INTERCEPTORS CLARIFIERS
I heleby aftirm that I am exemPi from the Contractor'{"�icenze l.aw for
the �ollowing reason (Settion 7031.5 Business antl Protessions Cotle: SWIMMING POOL PTRAP -'
Any city o� mUOty whiCh repuir¢z a Oermit to co05truct, dlteq
improve, tlemolish or repair any structure, prior to its issuance, also re- y./qTER SERV ICE ' ACTERATION
qu1rC5 the appliwnt for suth permit to tile a si9netl 5tatemeM that fie
is IiGensetl pursuant to the provisions of the Contractor'S License Law GAS SERVICE "' � OVTLETS
(CM1aPter 9-(commencing wi[h Sectlon 7000) ot Dlvision 3 of Ihe
Bu9Pess antl Professions Cotle) or that he isexempt therefrom antl lhe _yyqTER HEATERS -' BTU OVTPUT
basis for the allegetl exemptton. Any violation of Seciion ]031.5 by
�� aOP��W�t to� a permit suDjectz the applicant to a civil peaalty SEWER CONNECTIONS -
�Of "more thdn (ive huntlretl tlollars (E500j.
I, as owner_of tM1e propertY,.or my employeez witn waqes as their- -SOLAR TANK COILECTORS
sole compensd[ion, will tlo the work, a0tl (he st/ucture is not Intentletl
or of�eretl forsale. (Se<tion..7044, Bu5ine55 antl A'ofe55ions Cotle: The - SOLAR VIPWG $YS. "
Contractor'S License law tloes not appfy to an own¢r ot a property
who builtls or improves ihareon, antl-who tloes such wo�k himself or ISSUE FEE '
[hroP9h M1is own employees, provitletl that sucM1 improvementz arE no[
in[entled or_offeretl for sale. If, however.�t�e builtling or improvemen[ MECHANICAL PLAN CHECK
i5 Soltl within one year of tOmPletion, tlte owner will have the burtlen
o/ proving h¢ Qitl not .puilU or imp�ove for-the purpose� ot Sale). - HEATING SYSTEM 0-300,000 BTU!
❑ i, as owner of the property, am ezclusively con[racfin9 �+��h AND DUCTING
licensetl conVattors'to construct the pro�ect (Sec[ion' ]044, Business 300,000 + gTU _
antl P'o(essions Cotle: The Contractor's Licanse Law tloes not apply to _
an ow�er oP property w�o bW�tls or imProvei thereon, and who con- � pEFRIGERATION 0-100,000 BTU_
iracS trom w<h projects with a contracfor(sl �«esnflQ Pursuant to 5'�STEM -
the Gontractor's LicenSe Law). 300,000 . BTU �_
❑ I am ezempt untler Section B. & P. C. (or lhis 801 LERS BTV _
reaso�
Date Q-24�'�ZOwner L � SYSTEMREPqIR,AL7ERAT10N
1 nerCbycerti(y [tiat I have r¢atl lhis appl��ation antl state thSEfhe abov¢ EXHAUST SVSTEM MVITIPLE
information is Wrreci. I agree to mmPly witn all city and county
ortlinances an0 sta[ IaWs relatin9 fo m ztruction, antl hereby au[horize
represeofa(i o is City to e up0� fhe above m¢�tipnetl
propP.rty fo In i o5e . � / J
Signalure • �"�' at y 2� � �
Driverz' L' e se or 55 � - ISSUE FEE
CMF O86 46 Whit¢-Builtlin9: Unary-APplica0p Pink-Acwuntipg; GOltlenrotl-Assesw�
�,.� �� ' .'
a.c. � �-t G'-M "'IZL1/— (7t5 ' ,
�� PLNG. iiEF. 5¢ -� 2-
S5Ep EBA LS � ���(3P���V�LINE II �i�^���
I5.�EpF7VARD �G�1 � d�� C��l1L�lL
R�IGHT� .-l.l(%�l � _.fi)1(.
FEAR VARD (TO P/l) � r/ -
PKG.SPACEREq. � PROVIDED �
STREET WIDTH PARK FEE S
ZONING APPROVED BY y� DATE q
Ll
SPECIA� CONDITIONS: �
L PLAN CHECK
" GENERATOR 0-1 KW_140 KW _
TRANSFORMER
APPLIANCE 30-50KW_50+KW_
MOTORS 0-1 HP_1-30 HP _
(IfVC.50LAR) , 10-50 HP 50 i HP _
FIXTVRES OVTLETS SWITCHES
GAS TUBE SIGNS
POLE LIGHTS
PANELS MAIN • SUB
SERVICE AMP
ISSVE FEE
APPLICATION APPROV ED BV ♦/ y.
SUMMARV OF FEES�
BUILDING' p/ �.y� •
PE�:MIT_ , S_Q��JV SMIP. E�
PL�1N CHECK b PERMIT
"" -ISSUANCE , E
PLVMBING S •
,GRADING ffi
�PLAN CHECK E
EI.ECTRICAI 5 - • a
PLANCHECK E - MICROFIIlvI E
MECHANICAL 5 '' TOTAL FEE b
PLAN CHECK E � LE55 AD-
VANCE PC .§
P`��. SS�D� FINALFEE E�_1-f..�
CONSTRUCTION AND PLANNIN POOL & SPA "' ' . . • +� '
.,; ' � q � Date �Inspector � � � � Date � Inspector
APPROVALS �� PermiT#' -�`s�!" ' % "� -APPROVA'LS � _ Permit# -..__ . .. .
1. Temporary Electrical Service or Pole 'x-' � 43. Pool & Equipment Location � �
Soil ipe-Undrgm +�• • :� ; 44. Steei Reinforcement� •
3. Electrical CAnduit Utility- ndrgrn ._ � j __45. Forms � ' " -
4. Electrical Conduit-Undrgrn ' " - ' � � � 46. - Electrical Bonding - �
. tee em orce - •• �•• � • �' � _ ' � �� (o�Z.e y� 47. Rough Plumbin & Pressure Test �
6. Electrical UFER Gm . � ' 48. APPROVALTO COVER-GUNITE � ' --
7. Footings 49. Electrical Conduit-Undr- rn � � �• �
' 8. � Foundation ' 50. � GarPipe, ❑ Undr rn, Test � �-
9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn
10: Structural loor SYstem 52.� APFFtOVAL TO DECK -
11. Property Sewer Line & House Connection �53. -Backwash & Rece tor-Final
12. Sireei Sewer Connection ' �54. Heater & Vent-Final
13. Rough�Plumbing��� � - ' ! •
14. Rough Electrio-Conduit :56. - - Electrical-Final � ' -
15. Rough Electric-Wiring - ' - �� ' - - 57. � "Solar SYstem-Final ' � '
16. Rough Heating & Air Conditioning • encing�& Access Approval . . �
17. Ducts in Structure � 9• APPROVED FOR PLASTERING
16. Ducts, Ventilati_ng ' - ' - --� � � ' ',
19. Gas Pipe-Rough & Test .. 60. POOUSPA SYS7EMS FINAL � � � - ',
20. Roof Framing - � � ' � - �
21. Roof Sheathin
22. Frameand Flashin j��y.g . ��� NOTES: _.
23. Insulation • � � - ' " " �
24. Lathing & Siding ' - ' � �
25. � Drywall Nailing - '
26. Plaster BroWn Coat - '
27. Electrical Power Meter-Final - - '
�28. , Final Electric - � �
� 29. Final Heating & Air Conditioning - � - .
30. . Final Gas Pipe-Test � - - -
31. Final Plumbing � ' � '� �
32. ' Water Service-Final
'."33.' 'Gas Service-Final - ' - ' ' -
34. Solar pomestic-Final - �
'35. Landsca e rinklin S stem._, � �
36. Sound Attenuation � � "
37. Handicap Regulations � � - � �
36. FINAL STFiUCTURE & BUI LDING ��-�Y-B.'L
39. Special Requirements Completed -
40. Electric Release to Edison � � _
41. Gas Release to Southern California Gas Co. � '
42. CERTIFICATE OF OCCUPANCY �
� , No Date ' .
AVP���anl to fill in all spaces witnin heavy bortlar lines antl sign aIl approDriate Oeclarations.
CI bF COSTA- MESA - a�g MIT NO. TRACT NO. LOT NO. BLDG. NO.
.�STRUCTION PERMIT L5' gS,S� '
�4
Project Address FdY'dCl St, - COSt.d..M253 .� TVPE OF CONSTRUCTION �
, Owner ' M Phone�� 673—OQ6 � NEW ❑ ADD ❑ ALTERATION -
� Address ld L'OTO d D21 Mc�lY� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH
�Arch/Eng. -- -� - License No. � . ❑ OTHER.
' Addres5 " ' 'i - - ' _ . '_ ' ' 0��� `i N O � RK ' r'
1-Contractor - �� Phone- -- TVPEOFPERMIT .- �� - -'
, Addf¢u" - ' - -- - - • - ' - ^ - - ❑ GRADING ❑ FOUNDATION '�STRUCTURALy� t
LICENSED CONTRACTOR DECLARATI�N _ _ ' -� TENANT- ❑ EIEGTRICAL ❑PLVMBING ❑MECHANIC
I hereby aftirm th:.t I am IlcenSetl untle� p�ovlslons of Cha�te� 9(com- � . .,
mencing� with section 7000) ot � Dlvision 3 of tne Business an❑ ❑ OTHER" ���' ���
Pmiessions Cotle, �antl my license Is �n tull force antl e(fect. pROJECT DES IPTION _� _
Litense Class - � � - License No. ' ' '
Date -" ' ' � "Si9nature"-;' "' - . - � {+�i. FT. , �
WORKERS' COMPENSATION DECLARATION . . '� '�OCCVPANCY�CfZ�RUCTION TVPE �
I hereby affirm that 1 have a certitica[e tlf consent to selt-insure or a VAL`UATIONJ.�`± ZONE
'certifirate•of �Workers' Compensatlon -Insurance, or. a certitietl' cBpy _ . _ , _ _ __ � ,
thereof (Section 3800, Lab. CJ. GRADING'CU. VDS. ACRES
rr���y'No. ' '" - ComPanY ' ' ' ' " " '- -
�'yp:rtifieticoOYisherebyturnishetl. ._ _ _ _ REMARKS: p'� ,' . _ '
�� �ertifietl copY is �filetl with the city Build�nq Oivision. -
EXEMPTION FROM WORKERS"COMPENSATION DECLARATION ' - - -- -- - • - - �
�(This'section neetl_not be completetl Jf [he permi[ is for one huntlretl � �• +
(5300) or less�. � � r -- �'�T � - "
'I C¢rtify,that n the pertormance of [h¢ work for whicn Ihis permit Is
iszuetl, I s1ia11 no£em0�oy any p sori " n manner so as to'become PLUMBING-' -PCAN CHECK ' '
suGje2i to th¢ Workers' Compens i , f_ 'torn' . � � _ ' - ' -
Date�Signature ' � B.4THTVBS"'" SHOWERS'"' '-
NOTICE: If af r making tnis aration, You shoultl Decome-subject .TOILETS�-i . VRINALS --' -- -
to the Wo�kers' Compensa[ion p viSiOns Of �he LaOo� Cotle; you must
tor[hwith comply with such p isions or ihis permit shall be tleemetl LAVATORIES DOVB�E-LAVS �- --
ievoketl._______� � - - - - .. . ._ �KIT.SINKS DISHWASHERS
CONSTRUCTION LENDING AGENCV
I hereby atfirm that there is a constructloP lentlin9 aqency for the per- SERVICE SINKS .� SUMPS -� �--�
formance of th¢ work for which this p¢rm�t is i55uatl (Section 3097
Civ.CJ.- -- ---- -- - -- - � -� - -- -' 'FLOORSINKS ' FLOOR'ORAINS"" 'f' -
Lentler's Name
.Lentler's Atltlress � 'ORINKING FOUNTAINS - '�
OWNER BUILDER DECLARATION INTERCEPTORS - CLARIFIERS � -'
I hereby a(tirm [hat I am ¢xemp[ from tne ConVacto�'S License Law to�
the following reason (Section ��031.5 Business antl Professions Cotl¢:- SWIMMING POOL ---P TRAP -
Any city or County whiCh require5 a pe�mil to const�uct, alte�,
improve, tlemolish or repair any structure, Prior to i[s issuance.also re- -yyATER'SERVICE " HLTERATION -
qui�es tfie ap'�.licant for such permit to tile a signetl statement that he
IYlicensetl pursuanbto the provisions�of•tM1e�Contractor's�License Law GAS SERVICE ""-OVTCETS""' -- �--'
(Chapter 9(commencinq with SettlOn ]000) Ot Division 3 ot the �
Business antl Professions-Cotle) o� that he {s exempt th¢retrom antl the y.�qTER'HEATERS - BTU'OUTPUT
ti-•rs for the all¢qetl exemption. Any viol9�ion ot SecHon ]031.5 by
applicanl to� a� petmit subjects the applicant-to a civil p¢nalty- SEWER CONNECTIONS '- --' �--
ot more [han five huntlretl tlollars (5500).
�. I,'as owner of'the' prop¢rty;-or my ¢rr�P�oyee5 wlt�'wages as tneir SOIAR TANK - '- COLIECTORS-' -
sole tompensation, will tlo the work, antl Che structure is not Intentletl
or ofteretl for sale. (Section 7044,-Busines5 antl Professions Cotle: TM1e' SOL'AR �IPING SVS: - - -' - �
ContractoYz License Law tloes not apply to an owner of a property .
wh0 builtls o� improves th¢reon, antl whtl Ooes such work himself o�- ' ISSUE FEE -' �-- '' ' -
throvgh his own employees, p�ovi0etl that Such improvemen[s are nol
IntenOetl or o(feretl for sale. It, however, fhe builtling or improvement MECHANICAL PLAN CHECK �
is Soltl wilhin one year O/ completion, lbe owner will �ave tM1e burtlen
of proviug he tlitl -not �builtl-or improv8 for th¢ purpos¢-Ot sale�. HEATING SVSTEM 0-100,000 BTU
�I, as-owner oL.[he property,_am e%clusively-contracting with qNDDVCTING
ensetl mnVactore to construct the proj¢C[ (Settlon 7044, Business 100,000,+BTU
antl� Piofes5ions Cotle:-The,ConVac[or'S Li�nse Law Ooes not apply [o
an owner oi property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU
tracts from•such-.pro�ects.wi[h.a contraclor(s) licesnetl pursuan[ to, SVSTEM -_. .
the ConvactoYs Licenze Law). � 100,000+BTU- ' �., ;� �
�'1 am exempi untler'Sectlan' -- '-- B. &'4: C. for this gOILERS � BTU �
reason - J - _ _ . _
Da[e x � �<}O SVSTEM REPAIR,ALTERATION
I hereby certiry hat I have reatl this ap0licat�on antl stale [hat the above EXHAVST SVSTEM MULTIPLE
information 9S mrrecL f agree to mmpty'�!+ith 'a❑ city antl county"
ortlinances antl sfate laws r¢lating to conSbUction, antl hereby authorize
repr¢sentatives' I5 I r upon M1e'abOve ntlo etl - - �
p�operty for sp /�
Signature D t ��
Drivers' License or 55 � - � �SSUE FEE _ '
CMF 0865-46 White-Builtlin9: �nary-ApPlicant; Pink-Accountlng; Goltlenrotl-Assessor
V � �� ..,, . . . . . '_'� _ ' �
. . .. '
• 7Ai�n oii 7ia� �i cF , TL
�iw��• y
[:19L�iL�I�
' REAR VARD (TO P/L)
� PKG. SPACE REQ.
'�STREET WIDTH �' -
:IALCONDITIONS: �� �
'ELECTRICAL ' PLAN CHECK'
5p. FT. 50_ FT.
GENERATOR � - p.l KW= 1-30 KW �_
ITRANSFORMER i ;• .
APPLIHNCE - 30-50 KW_50+ KW ��_
MOTORS-- 0-1HP_140HP'- -
�(W0..SOLAR) 30-SO.MP_50_t HP _
FI%TVRES- � - OVTLETS SWITCHES- J
�GASTUBESIGNS � -- --
POLE LIGHT$ � � — - — ' +
PANELS MAIN�
SERVICE- -^ - - -
�
�
�
���
���
���
���
���
APPLICATION APPROVED BV V - DATE�
SUMMARV OF FEES � • �
BUILDING - -
'PERMIT E�.�w,�. . SMIP E� ��
PLANCHECK E—�J� PERMIT� � ,— �
. . . ISSUANCE E
PLVMBING § � .
'" GRADING_E
'PLANCHECK E � � ,� � � - "=�
�EL'ECTRICAL 5 ' -E
.PLAIVCHECK E- � MICROFILM�S _
MECHANICAL �S � - _ TOTAL FEE E _
PLNN CHECK � E� _ LE55 AO- �
VANCEPC E_ �
FINAL FEE E
CONSTRUCTION'AND PLANNING � POOL & SPA � � • ��
APPROVALS Permit #� W�� Date Inspector qppROVALS � Permit #� Date Inspector .,
1. Temporary Electrical Service or Pole 43. Pool & Equipment L'ocation � -
_ 2. Soil ipe-Undrgrn 44. Steel Reinforcemenf � �-
3. Electrical �onduit Utility-Undrgrn ' • � 45. Forms � -
4. Electrical Conduit-Undrgm . 46.'- Electrical Bonding - - '
• tee em orce • ,,Z� 47. Rough Plumbin & Pressure Test � � - � � �
6. Electrical UFER Gcn__ 48. APPROVALTO COVER-GUNITE - -
7. . Footings, ;�p_g 49. Electrical Conduit-Undr m� -�
� 8. F.oundation - - � 50. GasPipe,�❑Undrrn,Test '� ' � � ' -
- 9. Water Pipe-Undrgrn . 51. Backwash Lines P-Tra ❑" ndr m �' " - "-� '
_10. .Structural F.loor System �' 52. • APPROYALTO DECK � ' - '
.. 1.1..� LProperty Sewer Line & House Connection 53. • Backwash & Rece tor-FinaP .- ' ' �
. 12. Street Sewer Connection_ " - - 54: - Heater & Vent-Final � �
-.73. . Rough Plumbing . _ - ' - - � - ' ' - -- - ' � '
14. Rough Electric-Conduit �56. Electrical-Final � � - - -
15. Rough Electric-Wiring - - '- ' 57. Solar System-Final ' - � , ' "
16. Rough Heating�& Air Conditioning - �- • Fencing & Access Approval '
17. -Ducts �in Structure � � 9. APPROVED FOF PLASTERING � - �
78. � Ducts, Venti7ating �- - -� � ' ._ _ _ . •
19. Gas Pipe,Rough" & Test � ' - � - 60• POO USPA SYSTEMS F INAL � , , , ' , � •
20. Roof Framing - - �-- - -- -� � � � ' ' ' '
� 21: Roof Shpathiin � -- - � -- ' ' � -
� 22. Frameand Flashin - - �- !.- ' NOTES: - �. .� � '. . . � � . �
23. -Insulation - � � - � � � � - � ' �
� 24. lathing & Siding - -- - - - � - - - - �
25. Drywall Nailing � - -- - � � �
26. Plaster Brown Coat �
27. Electrical Power Meter-Final- - � � ' �
28. Final Eleciric - � - � ' � '
29. Final Heating & Air Conditioning - - - - - - � - -
' 30. - Final Gas Pipe-Test - - � � � �
-- 31. Final Plumbing � � � '
� 32. Water Service-Final � - � � • '
. - �33.. Gas Service-Final �- - � �
' 34. Solar pomestic-Final � ' � ' - � � �
' 35. � Landsca e S rinklin S sfem � � � � � � � '
36. Sound Attenuation ' ' � ' ' � ' ' -
37. Handicap Regulations - - � � � �
38. FINAL $TRUCTURE & BUICDING ' - -2j-8.1 � ' ' ' � � �
39. Special Requirements Completed � �� �
� 40. Electric Release to Edison ' ' �
� 41 . Gas Release to Southem California Gas Co. - •
' 42. . CERTIFICATE OF OCCUPANCY -
' ' No' Date . . .
; �
- -� - - - -= -- - - --• ,
=`.1.i ri.S'���';`�:-i Vc�`�: ��°J=��•aA
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�PPROVE�
Gry of Costa Mew Building I
er. . �c4°--��� oarF9//� ,v�
THESE PUNS MUST BE ON JOB AT ALL TIMES
MAKE NO CHANGES WITNOUT PRIOR APPROVAL'
OF DEPT.
THE ISSUF.NCE OR GRANTING OF A PERMIT OR PPPStOVAL
OF FIANS AND SFECIFICATIONS SHALL N07 9E CONSiRUED
TO 6E A PER.NIT FOF, OR AN APPROVAL Of, ANY VIDLRTION
OF ANY OF �V;E PROV;310NS OF iHlS GODE. NO PERMIT PRE-
SU,vIlNG TO CIVE AUTHORITY TO VIOIATE OR CANCEL THE
FROVi=I�NS OF iHtS CODE SHALL BE VALID, EXCEPT IN SO
�5^ti THE WORK OR USEWHICH t7AUTHORtZES IS UIWFUL
Ti:','. ISP1:ANCE OF A PERMIT BASED UPON PLANS ANO
.. .:�AiiCitS SHALL NOT PREVENT THE BUILDINC OFFICIAL
.;�'t1 THEREAFfER REQUIRtNG THE CORRECTION OF ERRORS
1Y :'A(D PLANS AND SPEGFICATIONS OR FROM PREVENTfNG
EUfLOfNC OPERAiIONS BEING CAftRIED ON THEREUNDER WHEN
IN Y(^LFTI;V OF THIS CODE OR OF ANY OTHEft OA�INaNf,f
OF ThE C'iv. . . _—..__..
For Inspec�ions
�,
� ��.��
� � e
F
; - �,��
siRUCtURA1 APPROVAL ONLy
SEPARATE PfRMfTS ARE RFQ R��! Ep
FOR ELECTRICAl. Pt��R�;;^,
HfAT1NG, UENT(L.ATING A,'�p
REFRIGERA710N WORK
�Permit # �3-y��s
THIS NU�i1QFR n4U$7^ a~ �� �y
I ALL INSPfCiION REQllESTS
i
� -�--_—.�.._._
� '_,-
� 1 f0:2 BU(LDiF;bS :'N� .� -- _
I 6E EINPLO"t�D, r�Er���S ARf TO �
' sr;,rE pF ���;..'.;a"sr rHa7 rNE
i IND�ST:,I;il S�sr�,��.5 DI'JIS10N OF
' '��C;T;CiJ�: ;'- , � `�� rp^lSUITED FOR �
�cGLL,EMENTS;`_'
CTUI�AL CNOIN[[11
lQ Fao T
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f�/l � F_F•'�ll Q E'
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i'� , l�" �C�tttn-
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co,� �ta-�.v,nl,r i
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ir�7 r 94 ,� ` 2 = C� IDQ
'k�5 n 3�-
'�- = . �Y6b(o '��, r 6. .4S1
� � 24¢� l2. .
� - X �, �$ " 25�6 �2�
�+L v��L. �S�i
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o,o7S�C•8�Lx2•��
clr'".��1r3�Gi : �/ .
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G'wtn..+v,�'i7"' J e = �c�tD�/ �,./ ifd"iO�Fyl./�G!
Gs�� i%�u.u�;,�C.wa �r -- �t-5 s� G�' j A ,
�ztt „vF �n: c?,c�G� -- .tf;.v�4 �•,f' .
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City of Coste Mesa Building
BY..._U_VE-' l_.�'°`'"�`�7 DATE�_.�.79�
THESE PLANS MUST BE ON JOB AT ALl TIMES
MAKE NO CHANGE$ WIhiOUT PRIOR APPROVAL
OF DEFT.
THE ISSUANCE OR GRANTING OF A PERMIT OR NPPROVPL
OF PLANS A�10 SPEGIf1CFTIpNS SNALL NDT BE CONSTRUED
TO BE A PERMIT fOR, OR AN APPROVAL OF, ANY VIOLATION
CF ANY OF TNC FROVI310NS OF THIS CODE. NO PERMIT PRE-
SUJAING 70 GIVE AUTHORITY TO VIOLA7E OR CANCEL THE
PROVi510NS OF THIS COOE SHALL BE VALIQ, E%CEPT tN SO
fAR AS THE WORK OR USE WHICH IT AUTHORIZES I$ tAWFUL.
THE lSSUANCE OF A PERMI7 BASED UPoN PlANS AND
SPECIFICATIOHS SHpLI NOi PREVENi THE EUfIOfNG OFf(CIAL
FROM THEREAFfER REQUIRING THE CORRECTION OF C7R07S
IN SqID PlANS AND SPECIFICATIOfi: OR FRDM PRL'JENiIMG
BUIl01NG OPERAT�ONS BEING CARRIE� ON THEREqNOEd WHEN
IN VIOlATION OF 7HIS COUE OR OF FNv OTHER 0?DRdi•:t^f
DE Ie� cPY.
.-- /
-� � � �
STRUCTURAL APPROVAL ONLY
SEPARAiE PERM�TS ARE REQUIRED
fOR ELECTRICAL, P�pMg�p��
HEATING, VENTItATiNG AfdD
REFRIGERATlON WORK
Permit # - 8 s-s--
THIS NUft�6ER 61!!ST ACCOMPANY
' ALL INSPECTION REQUES7S
+ i----�.. �._. '—
, FOd B�fCC;N�;S ;IF;c:;� pF�SOiVS ARE ip
�1 BE EMPiOiiD, ir't S.)G�ESi TH�T �
SiqTE Of C..LIhSni�IA DJV� ��
l ODIi1pN{�1 RFQUIR�Elit��',��� ��
�
� a
PACIfIC EQUITIES
2000 Tustin Ave.
Newport Beach, Calif.
City of Costa Mesa
Bailding Department
City of Costa Mesa, Calif
Attention: Mr. Hart
Gentlemen:
Sept. 20, 1971
Please be advised that uoon the sale of the properties located at
734 Ohms and 735 farad, a utility easement will be created for the
purpose of access for repair and maintenance for sewer, water and
gas lines.
Very truly yours,
PACIFIC EQUITIES
��''n � ) -c" ",.��_
RICHARD KELLER
PARTNER
RK:pt
orr-ia.n� sc��
—�,�I�ES P�!=�Y IUC„�R
(IOTf,"Y P'••.�IC . CP.I.IIOR::1
' ��:C�i \L OPr!C� lil
�'OR:.Ol:: CC'�""_�
L:� Ccmrnission Er,�ires Fc�. 17, 1"74
,, r,,..,,,,,.,,..�„�„�..,�...,.,,,,. h....,,.
QUILDING SAFETY DEPT.
SEP 2 01971
,
nu�;uat u, 1971
Pacitic Dquities
2000 R4tatin Avenue
1�ewport Beach, Celifornie
Rc: I�nduotrial Buildingo under conetrucLioa at 16�� WeY� 734 Ohma Ney and 735
Fttrad utreot� Buildin(� Permits 32979� 33101 enQ 02
pentlemcu:
�is letter is intended on�y ee e rem3�r that cerEniu syecial requireaats muet
be met before tLie electricel service ead�or � service may be authorized.
�ese special requirements� ahich various City Dapartments require, are noted on
your apyrwed plana end also o e oheeta ettacheQ to thie letter, end.must be camplied
uith and epgroved by_the variaus ari�nts before the Building :afety Department vill
be authorized to relesae the utilit .
It ie the responslbility of the npplicant or ovner to provi8e plenn ead speciYi-
Cntione far the const 1on of any imgrovementa indicoted on tt� conditionc. All
improvement plano �uct pproved by the proper City Dopnrtmeat.
In osder that these require�snt� mqy be inapected, it ia genertilly necessary Lo
give the approBriate department fprty-eight (k8) hours notice so that ea inspection
�r be schc8uled.
If thom are aryy queationa concerning my of �Che reQuirements, plcase gt�one the
deBartment iavolved.
Very tru�y yours�
RICHARD D. 9ANllART
Building &afoty Airector
RIB:cb
�� • 3
�:
�
� .� :
City of Costa Mesa
Building Safety Depertment
P.O. Box 1200
Costa MeSa, California
CERTIFICATE OF OCCUPANCY
�M*
The Building located at� ?ZS r�,-�,.�I r.rro�r
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group -�!• Occupancy.
Use of Building *«a*.M<.++«a -
- Legal Description �` ='rt.ir._�nt..T.n . � ' ' ' � �
. � � (See reverse side for Metes and Bounds)
Building Permit No �'�10? Electrical Permit No. 3? �yi Plumbing Permit No. �`��'- �
Number of apartments and/or guest rooms
ISSUED T0:
� _ �...�..4v9r T.niaiwinc ... _
Building Otficial
by
, .s .
� Date c�,.r.,�.t,.,.. �n +. n?s - .
_ This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT.BE removed except by the
Building Official of the City of Costa�Mesa under Sec. 306 (e) U.B.C. ' -
Form BU 34 Rev. 11/70 �
_...a....�a.w,:i......
n
.
CERT/IFICATE
�\.��tE OF TIM�
�a�T
Q�
OF �
_ •''1!— 3 3 .S'
CONFORMANCE
�HE UNDERSIGNED MANUFACTURER HEREBY CERTIfIES
that the products identified below and on attached sheets Nos. and the principal mem-
bers of which are morked with the Collective Mork of the AMERICAN INSTITUTE OF TIMBER
CONSTRUCTION (AITC) were monufactured in conformance with applicoble provisions of U. 5.
Commercial Standard, CS 253-63, for Strucfural Glued Laminated Timber, ond thot such manufac-
ture hos been ot our plant in Cottaqe Grove, Oregon , which plont hos o quality
control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER
CONSTRUCTION and inspected periodicolly by such Bureau. The undersigned manufacturer further
cerrifies thot the work has been done in occordonce with the opplicoble job specifications. and
with manufacturing and £abricating provision of Chap 25 U.B.C.
B;iiLDl�lG SAFEiY QEri_
�oa NAME: PACIFIC EQUITIES BLDG #2
aoa iocnnoN: OHMS Ca1 FARAD ST, COSTA MESA, CAL _
CUSTOMER'S OftDEft
a
e
C SUPE&VISOR
6-14-71 MFGR'S ORDER NO. �-319—O4S4
PqNY LAMINATD LBR PROD
COTTAGE GROVE, ORE ,,,,� �(-'� -
AITC HEREBY CERTIFIES �hat the 5o;d company ar �r5 said plant �s licensed by
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use ihe AITC Collective Mark in
respect of products which comply with applicable provisions of said Stondord, that the adequacy
of the quality control system in effect at said plant is periodicolly inspected and verified by the
Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, ond thot, in the
judgment of the undersigned, soid company is capable of complying with applicoble manufoctur-
ing and testing provisions of said Stondard in respect of products manufactured at said plant.
Conformonce with the Stondord in respect of ony specific or porticular product is the sole responsi-
bility of the manufacturer; AITC's guarontee hereunder being that the soid compony is qualified
to produce a product meeting the soid Stondord and thot its plant is periodicolly inspected and
verified by the AITC Inspection Bureou.
AITC FORM 1 B�I-]O
AITC Certificate No. $ 9 4$1 Signed for
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
���1 ��� 5��,�1�'� i����
Execunve V�ce Pres�denr Monager. Inspxuon Burevu
�Q 19�0 AMERICAN INSTITUTE OF TIMBER CONSTRl1CT10N
A
The principcl members of }he job cover� y this ceib'ficate-ure stamped with
one of the following type quality marks. �;.ch qualified plont hos an individual
q�alification designation. The designation "P-143" shown on the typical quality
marks below is not assigned to any p'lont and is vsed only for the purpose of
illusira}ion.
Q 4i7(�OC�Q(� C�M�40G�1 [�G�0�4�J�4 QMQ�U4�7 Cv'�QG3G3
� Q��au��r
uc�������� ,
, . � >;... R�
Indicates that the designated licensed plant
has met all requirements for qualification and
maintains an acceptable quality control sys-
tem which is periodically inspected by AITC. �
nv� n y� � AITC designation of qualified licensed
It �;}J plant.
. i
Q� ����63
�
.Intlipates conformance to U.S. Com-
mefcial Standard (or Structural Glued
Laminated Timber.
A TM F-a!C l�L P+d�N-C U STO FPRODUCT Ql! • LIT V�9.�, �TFE
� AITC designation of qualified licensed
, plant. '
p�94�3 � �
`` S P♦E C I E S��� DSEgortDSforPDRY USEsrve, W for WET
�����d��� f� 0000f RCH Name of wood species used.
@C3�P[�6��D/l
R
Indicates that the designated licensed plant
has met all requirements tor qualification and
maintains an a[teptabie quality con[rol sys�
tem which is periodicaily inspe[ted by AITC.
�� �g�3-6�
� Designates appearence grade. IND—
Industrial. ARCH—Architectural. PREM
— Premium.
Indicates conformance to U.S. Com
mercial Standard for Structural Glued
Lammated Timber. .
Designates dry use stress. f—bendmg.
t— tension. c— compression parallel
to grain.
:iIL�� I���N��n�B
�I�1 ;'{ �F • ,._ I. t ihe specihcations covenng the desired product are mduded in the plars and specfficahons.
��1 F� n r_� _^� �� c icts essential de:ail specifications are inUutletl on stamp.
' � «st 7 r �nr
� � �U uU�� O
�
TTA CHMENT NUMBER
/%C Certificate of Conformance No.
Job Name: PACIFIC EQUITIES BLDG $�2
SHEET No.
TO
89481 Oc'tt@0� 6-14-71
Job Location: OHMS &FARAD ST, COSTA MESA, CAL
Customer's Order No. Dated 6-14-71 Mfgr's Order No. 1319-0484
The following identifies the members ond 9ives the basic specifications that were used on this job:
Lumber Species:
Mem6er
Identi- Quantity
tication
Site
Comhi• Adhesive APPear-
nation Type ance Camher
Grade
A 1 5 1/8 x 36 A Ext Ind
B 2 5 1/8 x 36 A Ext Tnd
C 1 5 1/8 x 36 A Fxt Tnd
P- 149
AITC Licensed Plant No.
WEYERHAEUSER CO
LAMINATED LBR PROD
qITC Form 18-2-65
�\,�VTE Of TIMBa._
=y .� �
�A�TC �
0
� �.
PI t uality Confrol Supervisor
Date � _�— � I
O 1965 American Institute of Timber Construction
D �n r�� .
�u� � r_ �s�a
� l�UU'
- �E4lE�i-H�$BQ� MiC
• SHEET No.
,
' TTACHMENT NUMBER TO
/TC Certificate of Conformance No. s94si Datec�-14-�1
Job Name: PACIFIC EOUITIES BLDG #2
Job Location: �HMS C FARAD ST, COSTA MESA, CAL
Customer's Order No.
Doted 6-14-71 Mfgr's Order No. 1319-0484
The following gives the additional specifications thot were used in the monufacture of the members on
this job:
1. LUMBER
2. MOISTURE
CONTENT
3. END JOINT
4. ADHESIVE
'rJ. GLUING
Species: WCDF
Grading Ru
Paragraph: 154 A
WCLB _ 15
ra
Grades: Tension Lam, L1, L2, L3
Slope of Grain: 1 in 16, 1 in 14, 1 in 12, 1 in 10
Range:
Variation per member:
�
Standard Finqer Joint
0
Conforms to MIL-A-397B specifications.
Type: Phenol Resorcinol WCO 313LN Batch No. �- 2'b
Pressure 125 PSI Min Pressure Period 8-14 Hrs
Glue Spreod 60-65#/MSaFt
P- 149 ��SUTE OF TIMB�._ " �J.
5 �� �
? = PI nt Quoliry Control Superviso
AITC Licensed Plant No. ��I�� o
WEYERHAEUSER CO „
LAMINATD LBR PROD � — �—% I
Company a a z Dote
�
AITC Form 18-3-55 OO 1965 American Insiitute of 7imber Construction
�}�iNJ.�(911 JI
JUt, 1;� i911
�'
��!!�-H�B60LV IN�
, � �
._ � , ,
,.� , .
CITY OF COSTA ME$A
BUILDING AND SAFETY DEPARTMENT
CLASSIFICATION SHEET
GROUP DESCRIPTION OF OCCUPANCY
A Any assem6ly building wifh a stage and on occupant load oF
1000 or more in the b�ildin ..............................................
1—Any assembly building with a stage and an occupant load of
less ihan 1000 in the b�ilding ........................................
2—Any assembly 6uilding without a s�age and ha�ing an oc-
cupant lood of 300 ar more in ihe building ........................
B 3—Any assembly building witho�t o stage and having an oc-
<upant lood of less than 300 in the building, including such
See also buildings used for schoa� purposes less ihon eight hours
Section Per week ...................................................................
702
4_Smdiums, revlewing stands, and amusement park siructures
not indoded within Group A nor Divisions 1, 2 ond 3, Group
8� OccuponCies ..........................................................
C Any buildln� used for school or doywre purposes more ihnn
See also eight ho�rs per week, 'involving assemblage for insfruciion edu•
Section �ation, or recreation, and no� dassified in Group A or Di.
802 ��sions 1 and 2, Group g, Occupancies.
1—Mentol hospi�als, mental sanitarlums, joils,prisons�reforma-
tories, houses of correction, and buildings where personal
li6erties o( inmotes are similarly res�rained ......................
D 2—Nurseries for fulLtime care of children under kindergarten
See also a9e, Hospitals, sani�ariums, nursing homes with nonambu-
$ection latory patients, and similar buildings (each accommodating
902 more than five persons) ................................................
3—Nursing homes for om6ulabry patients� homes for children
of kindergarten age or over (eoch occommodating more than
five persOns ) .............................................................
1—Storoge and handling of hazardous and highly inflammable
or explosive materials other ihan flammable liquids...........
2—$torage and handling of Class I� II and III flammable liquids,
E as specified inU.B.C. S�ondard No. 9-1-64; dry deoning
plants �sing flommable liquids� point stores with b�lk hand•
See also ling; paint shops and spray painting rooms and shops.........
Section 3—Woodworking establishments, planing mills and box factorv
7002 ies; shops, fac�ories where loose, com6ustible fibers or
dust are manufactured, processed, or generofed; warehouses
where highly cambustible material is stored ......................
q_Repair garages ...........................................................
5-4lrcwh repair hangcrs ..................................................
1—Gasoline and service stations, stomge gamges where no
repair work is done except exchange of parts and mainte-
F nance repuiring no open�flame, welding, or the use of highly
flammable li9uids ........................................................
See also 2—Wholesale and re�ail stores, office 6uildin9s� drinking and
Sec�ion dining egtablishments having an occupant load of less ihan
��pj )00� priryfing planis� mvnicipal police and fire stations�
factories and workshops �sing material no� highly flam-
mo61e or combustible, s�oroge and sales rooms for combusti•
ble qoodg, paint stores without bulk hondling ...................
See becryon 402 for definition of Assembly guildings
3—Aircro4t hangars where no repair work is done except ex-
change pf parts and maintenance requiring no open flame�
weldin9� or �he use oF highly flammable liquids .................
Open parking garages. (Far requiremenis� see Section 1109J
Ice planis� power planfs, pumping p�anfs, <old sforage, and
G creameries, factories and workshops using incambustible and
non-explosive materials. Storoge ond sales rooms of incombusti-
ble and non.explosi�e materials ..........................................
H Hotels and npartmen� houses
See also Convents, monasteries (each accommoda�ing more ihan 10 per•
$ecfion 5ons� ............................................................................
� Q�
IDwellings and lodging hauses ............................................
1—Priwte gorages� sheds and mino� bpildings used as ac-
� cessorieg only when no� over 1000 squore fee� in areo........
p_Fences over 6 feet high� tanks and towers ........................
. ..
THIS BUILDING HAS BEEN CLASSIFIED FOR
� � OCCUPANCY,
PERMITNO. ���OZ—
S I GN E D��/�'+ -�" ���2�
�� Applic�t
DATE / '� / � �/
THE C�ASSIFICATION OF THIS BUILDING
SHALL NOT BE CHANGED WITHOUT SPE-
CIFIC APPROVAL OF THE DIRECTOR OF
BUILDING SAFETY. �
�
�
DEC 7 196G
R�cwdln� R�,r�u��1�d Ar CITY OF [OST� MES�
Whln R�cad�d Ma�� 10:
U7Y Of C0.5TA MESA
Aumtion - CiIY Q�rk
P.O. BOX 1]00
COSTA MESA. CAUFORNU 92626
y
F
Abil Ta� StoMm�nb ta
CIiY OF COSTA MESA
P.O. BOX 1700
COSTA MESA, CALIFORNIA 97676
37 �3
`"`"�,--� � - - -
�
,::•8121 �,:_988
RHCORDlO er n�oun�r or
an a ws�• rw
IN OFfIGAt �CCOMD� OI
011�NGE COUNTY. CAUI.
9�� �� DEC 7 966
FREE A wru[ uinru, r..0 w.+.
fpoor Abew fMl� lln� IW NtaduY Ur
FAMD STHEEf pssd No. 1593
iFScteneion �nQ G1i1-Da-3m)
—N�m� a'r wna �t — RIyAt of Way No. N.19th Bt, I.D, S-S-�
Idan�IflmHon Pottlm of Lot 611 pot� OctobCr 19�i
' Nevport Ne�a Tr�et
EASEMENT DEED
For wluubl� mnsld�muon, nnipt of whlch b h�nbY acknowl�dq�d. 11, Wy
i
` . tti¢h�el C, Dr�ileeba, �n untirrled m ,
amnf ond mnwy ro CITY Of COfTA M�lA a pvp�fuol w�smen5 ond ApM o1 woy for
� etTeOt �Od hSR?iM4Y purpo�a� In, an and
owr all Ihbt rwl prop�ry .Itua�.d In Hu Counh of Omnp�. Sloh af Callbmla, d�aribW o� followe
i
A'portlon of Lot 631 in the Neerport Meea Trect Sn the CSLy at Coet� kes�� aa
eIIatn on s�p thereot raeoMed 1n Book 5. DeBa 1, of Mlecellmaous Mep�, re-
ecrQe of Orooge CounEy, California� 6eacTibe6 �ei �
Beginning ct � poiet baing Lha Northreetetly nor¢ar of Farad Btraat, u a
4edl.crtod end rxoxded riin TrmC Bo. 4157 ln 800k 149� yegee 35 �+�d 36 ar
Offlcioi Aecorde of Ornoge County, Califarni�{ thenoe Maat slong Sha �xtwGeC
Harth lino ot Farod 6traot� oald liae uleo belvg tho Ncrth line o! IqL 611 �
•bwo 6ancriDcS, o diaLanea or 133.� toeSy Lhmce Bwth 0° 32' 34" Eaet, a g,
dlaEoneo o! 16$;d/ tcet. to tha North lina of Lot �11 in Tract 415T� tnence �
Meat aloceg a¢iQ NorLh llne a dietonce ot 66.70 teeL� thmeaa North o j2' 34"
Neot q dloLonca of 165•� feet Lo t�e North lina of Lot 611 sbwe deoerlbeCy
Ehenea D�at along eald Aorth line � Aietacae of 66.'(0 foat to the point of
bqlotiiug.
Hcglnning at o polnt ahloh ie aaoaptsC ae baina the Northreet corner of
PoreC 9Ereut i� TrooE No. 4157, P�' ��n'�f recorQcQ in Book 149, y�ge�
35 md 36 ot Mleoolloncouo M�po� rxorAu of Orango County, Californlot ��ce \
Bweh 89° 28' 43" MeoC� elong tho Nwrth line ot TrqeL No. 415T� vhlch Se tha
moapEc6 14orth line o! oo1C IaL 611� a dietmca ot 133.� faet�f to Lhe tsua
point of Dcginning in thle daocription� thmco BwEh 00' 32� yw" Eeet, a dic-
toncu ot 49.88 feut to o point on n no¢toogmt curve, coqeave Nortnurly onC
hoviug u ro4lua of $0.00 feet, e rodlul llne Lo eai6 yoipt beore Rorth 04' 29' 22"
Weqt{ thence Heator�y, Rnrthp¢aYer�y aM Rorther]y aioog aetd curve, t.�rwgh a
ecaLrol mgle of 93° 58' 05"� m m'c GSeLaece ot B2,Op fseL to SLs point of
SnEaroocEim aith the RorEh line of out6 Lot 611{ th¢ncs Borth 89' �' 43" East�
elo�p pthe N�orN l!�gin�e of eut6 Lot 611� a 6latanae of $3.4b foe�� to Che Erue
�SAi shownlSn o map anached harero ond made a port of thl� de�crlptlon.
Ir la undenrood iha� M� Omnror_. pmnl� only Mal portlon o} Me abow d�urlbsd lond In whld�
iho 7C_hoY.a_ an in esf.
Siynad In Pret�nce of� n
S�bsaibtny Wimati� e TR 0lAR u DATED�.�v(J %H �,t �� ? V. � 9� %7
� ����en .e.,e. . �...r . t �
STATE OF CAIIFORNIA � q
COUNTY OF ORANGE 1
qi Al4f/fIH/3e/P 10� /YlL. bion m�
�iPiowLA . a Nofory
Pub ic In ond fu wid Counry ond Stah, psnorrolly
�pPp�_�S/iibAfL (_��It4�[./eRG
known ro me ro Ea Ms psnort� whcss rwme___
/S .ubaaibed to dro withU Insvvment and
acknowlWq�d thot %+� -xacutad the wma.
NnnaEss � r��l..
�sewu — t�� 6.�e
Notary Vu in fp a W Cou on tnH.
h�Y �mission wcPi
Mr Cemmla.e 60;.. r.w_. .= �
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� M1i Of� Racorded Moll ro:
CITY OF COSTA MESA
�
3753
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?:08121 .�:CRR �
B�c�8121 �v,:; 989
� CERTIFiCATE OF ACCEPfANCE
Thie Se ta certlfy Wiat the Sutarest Sn real propert, conveyed Ly 11eaE of
%ght of Way deteQ HwemDer 30, 19b6 fxom 1Q1'CAABL C. A1AII.ID�
to eC � e
munlclpa corpOss on� e ere y acc y o er of the CSty Councll of the City o!
Coota Mea4 on tha 5tL Cay of m��or , 19 � , anQ the gmnEoe
conneata !o recosdation thereof b ite duly authorised officar
M
y .
! � G
f � �� • �
0 1
r. � City Cler md ex-officio Clerk of the �
, � 1 CSty Councll of the City of Coota Meen
I � 8Y
' np�; Dncamber 6� 1g66 y•,'1 '` �°WtY
c ' �i � ,i r.5 ,�'�• 't-1ri'�`` I I
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MAY21-71PA'�00 878 0' 38.50
COSTA MESA BUILDING-SAFETV DEPARTMENT crcso '���'^
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
PECEIVED BV D�-A^TE RECEIVED DATE 4ISSUED
AD'DRESS 3� J-�J^ �r�/—"
(J PEflMIT NO.
OWNER A.P. NO. '� � �
MAIL T, ` y BUILDING -��7 ^ -� � /, c,�
ADDRE55 /WS }{Vf�• ADDRE55 /�� �L[/Z�P--1��`�'�'� /
W W TEL. '�G� �'%1F-Y6�TJI� ��
d U CITY NO. I�RACT IOT�j/ BLOCK
Z Q CONSTRUCTION W ADD P
O N LENDER /
d 0] �/
J � BRANCH ' /��
J N OWNEft ♦
Q w qoDRESS
m J LUE /�n �
m ARCHITECT �� TEL 5 $ O�JIJ[J
J a OR ENGINEER N.
U Q ' FIRE
w� ADDRESS ZONE TVPE GROUP
JO CONTPACTOR J(i///y��- APPROVED / ATE /�/'� //
B �' �
m� ADDRESS �"^" �
w w TEL. ZONE NO.OF USE OF NEW/rl .� il
�= CITV NO. P�+� /�. BUILDING tf��� /
Z �
w O STATE CITY �'AR�S APPROVEp VAROS APPROV
y� LIC. NO. LIC. NO. MAIN eUILDING ACCESSORY BUILDING
� O � (FROM GL STREETI�
SI2E � NO.OF BLDGS.
OF LOT O NOW ON lOT � FRONT FT. G FT.
VSE OF
EXISfING BLDG. �� LY. FT.
H SIZE OF � NO. OG /
Z NEWBL�G. ROOMS STORIES .SIDE FT. FT.
V COVEEROINGALL CO�ERING REAR FT. FT.
J USE OF BUI�DING AND WORK TO BE PERFORME DI5TANCE BET. BET. MAIN &
a MAIN BLOCv. ACCESS. BLDGS.
a
Q VAR. # DATE
O C.V.P.# APPROVED
N' A R _ `�/
z HOLD OR SP CIA r
O -
UI hetebY atknowletlga that I have reatl [his application antl state �� a -
� that the above informetion is correct antl agree to comply with
all laws �egulatlng builtlin8 constructio�, and 1 shall not employ
� any person in violation ot the workman's compensetiOn laws ot �
N the State o( California. ` �
? I hereby certity tFat I em p�opetly licensetl as a contractor untle� ` Sn• FT. � o
the Stete of Calitornia Business and Professions Cotle, Divislcn 3, THE AMOVNT SHO�^1N UNDER VALUATION IS FOR �
Chapter 9, antl that such lica�ses are in f�il 4orce antl afSact, oi 1 THE PURP�E OF ESTAHLISHING A PEAMtt FEE ON�v: Q
am exampt from u�c�at-tk to of Calitornia Business VALUATION y
antl Pwfessions Code, on 3, Chap . PERMIT FEE $ �
J
Signat�re of - �`
G m
Permittee S �w PLAN CHECK $ �/ LS� � E
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Auihor@ed Agant V (/ � u
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA. CALIFORNIA 92626
:U�! -8-71ra�e�� 284 m*•`• -•,� o ^0
cns •7�.�
APPLICATION FOR BUILDING PERMIT
For Applicanf to Fill in Completely qECEI VED BV DATE FECEIVED DATE ISSUED
B���o�Nc 735 Farad St. bh 6-8- i 6-8-�1
ADDRESS
PERMIT NO.
OWNER Pac�.fic E uities P..P• NO.
MAIL BUILDING
ADDRESS ADDRESS
TEL. TRACT lOT BLOCK
CITV NO.
CON5TRUCTION NEW ADD A TER P
IENOER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEI. VSE $
OR ENGINEER NO.
FIFiE
AODRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR p�.mer-Bl eV DATE
ADORESS
TEL. ZONE NO.OF USE OF NEW
P4P,NS BUILDING
CRV NO.
STATE CITV vMAIN BUILDING ACCESDSORV BU�ILO NG
LIC. NO. LIC. NO.
S12E NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FROMT FT. FT.
USE OF
EXISTING BLDG. 51 E FT. FT.
SIZE OF NO. OF
NEWBLDG. ROOMS STOFIES L.SIDE FT. FT.
EXTEFIOR WALL ROOF
COVERING COVEFING REAR FT. FT.
USE OF BUILDINC� AND WOFK TO eE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDCS. ACCES.BLOGS.
VAfl..'iE DATE
Industrial Bl C.U.P.� APPFOVED
APPROVED
I hereby acknowleryge tha[ I have reatl this application antl sta[e
that the above infotmation is cOrrect and aBree to comply with
all laws regulating building consvuction, and I shall not employ
any person in violdtion of the workman's compensation laws of
the State ot Calitornia.
I hereby certity ffiat I am properly licensetl as a contrector under
SQ. FT.
the State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl ihat such licenses are in tull torce and effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt trom Me provisions of the State ot Calitornia Business VALUATION
antl Profassions Cotle, Division 3, Chapter 9. �/
PERMIT FEE $ 1 �• OO
Signature ot ��•�0
Permittee $ PLAN CHECK $
Authorized ABent �/
TOTALFEE 5 '1•�