HomeMy WebLinkAbout300 ALVA LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob Address: 300 ALVA LN
Suite:
Vicinity: ROOF
Parcel Number: 42629516
Applicant: DEAN, LORI A
Address: 300 ALVA LN
COSTA MESA, CA
Owner: DEAN, LORI A
Address 300 ALVA LN
COSTA MESA, CA
Contractor: O W N ER-B U I LD ER
Address:
Zip:
Arch :
Address:
Phone:
Zoning:
Phone: 949-646-8579
Zip: 92627
Phone:
Zip: 92627
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 03/20/2003
Issued: 03/20/2003
ISSUED BY: �_ � `�
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1/2" OSB, 30 ASTM FELT, 30 YEAR FIBERGLASS COMPOSITION, ALL NEW METAL. 3200 SQ. FT.
INCLUDES ATTACHED GARAGE.
Plan Check: $0.00
Permit: $125.25
SMIP Res: $0.60
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.85
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear 0-0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
ss,000.00
ss,000.00
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, § 7, 12-21-92)
EXPIRATION: This permit shall automatically 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 lhe work authorized under this permit to be considered legal, such work must comply wi�h all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46(fi/00)
L
WORKERS'COMPENSAPON DECLARAnON:
I hereby affirm under penalry o� perjury one ot t�e following tleclaretions:
❑ I have antl will maintain a certifirate of consent m sel6lnsure for workers' compensation, es providetl for by section 3700 of the Labor Code, for ihe peAormance of the
work for which this parmit is issuetl. .
❑ I have and wiil maintain workers' compensation insurance, as required by section 3700 of the Lebor Coda, for the pedortnance of ihe work for which this permit is issued.
My workers' compen9ation Insurence carner and policy number are:
Carrier: Policy Number:
(This section need not be Gomplefed il the permit is velued af one hundred dollars ($100J or less.)
�� I certify ihal in ihe pedormance oi the work for which ihis Oertnit is issued, I shall not employ any person in any manner so as fo become subject to the workers'
� compensation laws oi Californie, antl agree 1 1 if I should 6ecome sub�ect to ihe workers' compensetlon provisions of Saction 3700 of the Labor Cotle, I shall forthwith
comply with thesa prQ�vi 6ns.
ApplicantSignawre: /T�jL. �.� 0� Date: _� 07����
�
WARNING: FAILURE TO SE URE WORKERS' fAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECi AN EMPLOVEP TO CfiIMINAI PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TFIOUSAN� OOIJ.ARE (5100,OtlOL IN ADDITION TO THE COST OF COMPENSATION, DPM4GE5 AS PFOVIDED FOR IN SECTIqJ 3]Ofi OF THE LABOR fA�E, IMEPEST, AND ATiORNE1^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirtn that I am lica�sed under provisions ot Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Cotle, end my license is in full
torCe and eflect. Lic. q Class k
ContracroYs Signaiure: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm Ihat Ihere is a constmction lentling agency tor the pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lander's Address:
Signature: Date:
OWNER-BUILDER DECLdAA710NS:
I hereby eHirm Ihat under penaity ot perjury ihat I am EXEMPT FROM THE CONTFiACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons
Code: Any city or county which requires e permit to constmc6 alter, improve, demolish, or repair any structure, pnor to its issuance, also requires ihe applicant for suc� pertnit
to file a signed statement tqat �e or she Is Ilcensed Oursuam to t�e provisions ol the Contractors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of ihe
Business and Protessions Gode) or thet ha or she is e:empt thereirom and ihe basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit
sublects the applicant to a Civil penalry ot not more than five hundred tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl �he siruciure is not imentletl or ottered tor sale (Sec.
7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of property who huilds or improves thereon, and who does such work
himselt or herseN or tpmugh hls or her own employees, provideC Ihat such improvemenis are not intended or oflered for sale. N, however, the building or improvemeM is
sold within one year of completion, the owner-builtler will have ihe burden of proving Ihat he or she did not builtl or improve for purpose of sale.).
❑ I, as owner oi ihe property, em EXCLUSIVELY CONTFACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Protessions
Cotle: The contractor9 License Law does not apply to en owner of propeny who builds or improvas thereon, antl who contracis tor such project with a contractor(s)
license pursuant to ihe Coniractors License Wws.).
� � am exem t under sec.
Signature: ����
Owner ID venfietl 6y drivar's license.
❑ No
Business antl Protessions Code for this reeson:
-/ oate: o24�-B3
DriveYs License No. /�� Expires:
Verificetion ot Ownership by (rype of document, i.e. - property �aa bill or deetl): -
DIVISION OF INDUSTRIAI. SAFETV PENMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more faet in tlepth into which a person is required to descend, will be made in connection with work aNhonzed by this
permiL afxl that no bu�lding simcNre, scettoldi�, talsework, or tlemolitbn or dismantli�g ihereot, will be more ihan ihitly-six (36) teat high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ti�le 8, Califomia Adminisirative Code).
❑ As owner-builder, I will not employ anyona to tlo work which would require a permit from ihe Division of Indusirial Satery, as noted above, unless such person has e
permit to do such work from the division.
Signature: Da�e:
Division ot Industnal Safery Pertnit Numbar:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this appliration and state that ihe informa�ion given is
correct. I agree to comply Wi�h all s�ate laws and city ordinances relating to building consiruction, and authorize representatives of the Ciry of Costa Mesa to enter upon the
ebove-describetl pr erty for inspection py�poses. I egree not to occupy or allow occupancy of any building authorized by ihis permit until final inspection.
�i-S< ./� ,//�-�.� �.20t�3
Sgnature f Legel Owner(s) DaSe
AnNOr Authorized Applicant Date
COpE t, INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
J�/� INIITIRLS
_�...ro _�tyii—
COOE� INSPECTIONTYPE �
206 Final Mechanical
20B Finel Plum6ing
210 Finel ElecMcal
212 Finel Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupency
p� ��
I�ODPFSSOFBNLWlO: 3OO ALVA Lid
axxexax.weiva,wm: DEAN, LORI A
��� 300 ALVA LN
COSTA MESA,CA
646-8579
1FPL.I/AIl1Na ADDNE55:
AXLXrtECT OP ENCaNEEN:
pCH.OP ENG'S 10DPESS:
�f T
92627
uc. xo.:
uxr: CITY OF COSTA MESA — BUILDING PERMIT
PEAMIT NO: P 071538 PLAN CiIECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
UNT:
CONIHACTpfSNY� NOCK PLUMBING ( 714 ) 895-124E
CONLRACTOFSMNONG 11612 KNOTT $T
woxess: GARDEN GROVE CA ucwo.: 511971
92641 UNT: I%
LICENSED COMRACTOXS UECLANATION: I hereby elrrin uMx pene�y W pe�jury thet I em IcenseE uMx poiubru d Cheper 9
(comma�np v.hh Senian ]000) ot Oiviaian 3 0l �he &reinese enC Prolessione Cotle, ud my licenee is in hll laca eM elled.
cmuc.No.:0503 6 uc.cuss: C_�6 ��"� 511 71 EXP; 00/00
� � ��a,�a. p� �r�- -�'/,v.�/l3 � �''--�
OWNEH BUILDEN OECLARATION: I hereby elfirm under pB�e�Y d perjury Ihet I em eumq hom ihe Conlreqae Licenee Lew la �he
JOB DESCRIPTION ; C/O DISHWASHER
PERM NO; P 071538
GOVT: N SUPP: N
PURPOSE: REP
SQ FT;
CLAIM VALUE; CALC—VALUE; GROUP OCC: R-1 /
COMMENTS; X
**�r�r**�rx*�r�tr**�t�-+r*�r****ar*****r******�r*********r**rx�****rr***�t***�r******�******
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAA• FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
�db�+re��+«�(sm��o�+.se�:�s�eRd��o�sc�:n�v�rva�+��r���c��aro�n�000�so-��.ena,Myow, pARKING RE/� PROV: PARCEL: 42629516 ZNE; REF NO:
�emd'ah, w repes enY ��cture, qia lo ib owerce. eba reQuirea the epplimM im wch permil b fib e agmE etmemenl ihel he a eM 1J ` /-
licensetl Wrsueni m iha provisiom d IM Conlreqom Lim�ee Lew �Cheplm 9(commendiq Mlh Sedpn )000) ol Dv6ion � d �M P LANN I N G NOT E S>
wine� eM Prdwons Codel a �het he a eM's uemq Ihae4um vd ihe beaia la tM d�eoed ssmmWion. MY vuletion d Sedion �
)aJ1.sWenYeC0licemt«aParmnsudedslMeVVlcenitoedvilVenallYd�maetlanMahuMredAdlenl3FAolI. ifM7fifififlflfltitlfitltit1F1t1f1f�Iffflf�lFiflf7Fif1f1tIF1E1E1E1f1FIflfifltiffflfffiEfl�lfififififlEifillEf:MffiklfiflfM1k1E1tfFiffFiliF1f1f1lifM7FififiEih
� I.mowwrdthapapeMa�Y�WoY��hwapms+Iheieoboompensmion.Wldotl»wak.eMtMemw.MunbndimenEeE D E V E L O P M E N T S E R V I C E S R E U I R E M E N T S
w aRered M eeb (Section ]Oaa. Bueirea vM Prdeaama Cade: The Conlredon Limnae LewCroa ml epplyto en owrerd propeily Q
who buYM «inpmvae �haraon, enE wfio Eaes euch xroh Nmaett a heneM n through he a her oxn employeea, provided t�el such
impovemeiueareiwimendednaflereElasab.p,M+'e'�er.IheWiMi�pormpwemenlieeoldwilhinoneymrdoompletion.Ne ZONING APPROVED HY DATE:
awrorbuiMer will hew IM buNen W provirq M or ahe db �u buik a impwe Iw the WTae d eeb).
� I. aa owrer d iM popaity. em mdusively converfiq x+�h licer�sed contrec�on b wntlrud Ne o�q� (Setlion 10aI. Buai'wss eM
vme..oru caa.�. Tne cwiireaa. �sen,s la. aoev ria epWr a� o�.n« a ww�r •no w�b. «�mwwen maew� ene .no
convena i« euch orojed+ vrith e oomreclor(s) liensetl W�suen� to iM Cantreaas Licensa lew�.
❑ I em azemq urder Seclian: B. 8 V C.. M Nie reeaon:
Dma: Onnw.
I do hereby cMM �� �� ewera d vM undersienA ihe requiremenb d CelAomie Hmli� enE Selny Code Seabna 25505, 25533, end
25591, eM iM1m I a eiry Mun Wiki�p oeapaM vnll / wJl nd (tieeY orn) reed ro comply wIh eaid e�me oodea aM the repuiremenu lor
eGe�mnl«mntruclion«modifrmionhanlMAi ue�y e�upeme^IDi9rid.ReakentialmW�urJiona00�bmenexempimmihma
prwisims.
�me: �GWicem:
WONKEN'S COYPENSATION DKL�XATON: I hereby etR� under pebM1y d pr'ryry ms d Me Idbwiiq dNvazuna:
� I heve aM wil meinien e cenilcele d mneent to eeM.imm�a M worken' wmpenaetian. a+qwked Iw by Sadim �100 d I�e leEd
coa.. to. �n. wno�manos a ue.Mnirn wFicl, mia w^^�+ u�°w°a.
�i new ena wie mdme:�.,on�ers• canw�o� m.�„�o.... �a���e W sw� s�ao a me �mo. coea./« m> w�a� a in.
wwk Iw which ihis parmn ie iaued. My warkere mmp0�ae�im ineurence fartier eM poliry number ere:
c.�.: 5TATE EXPIRES
vdicyNumcac 1167997-95 03/O1/96
mu aenrc� �e �a ee canv� ��ne w�. a ra. � n�e�e edie�s Isiaol a bs,.�
� I eenAy thel in Ihe pMormenu d iM wak fa wfikh I�ie parmn ia ieeuaE. I Mell nd employ enY V�� in enY menewr eo v lo
beconb wG� io iM workera' canwmetian lawa d Celilom' earee tj�eFAyehouM became su4� �o tM worbii
� compensalbn ro+iaww 1 Seab l00 d the lebor GoEe. � 1 hvrilh mmvb' � A va¢ p�w�nm. '
���T
on . Mdy" �: vV �
Waminp: FeNun ro ucu wotlrxi eomp�ru�tlon covsrlW b unl�wlul, end M�ll �uD/sef en xnployer ro etlMriel puuMu and
c/HI flnu �q (o om hu�tlml fhous�ntlOdNn (SfOqWOA bi Ntlltlon b fM cwf al ro�wnuUOM1 Gm�p�a �� pvHWG b� In
SxHon 91f5 0/ fhs Le6orCOW, Irrta�eat, entl efromeys ��u.
CONSTAUC110N LENDING �OENCY: I haaby elfirm urder pe�aAy d perjury Ihet IMn u e m�atrutlion bMiiq epency for Ihe
paAwmence d ihe wwk lor xfiich �he permi ia ssueA (Sed� ��. CF. C).
LENDEfl'S NMIE:
LENOEfl'S AOORESS:
1 cenM �hm I heve rmd tnh epdice�ian eM 9ma thm iM abo�a iniamubn e conea. I ea�sa �o canaN wnn all ary enA counry adinenoee
enE stete lews roleling to buiWing conmruaion er1E hareEy eNM{Le repreeaMPoivea dth'n dty b enter upon Ihe ebwe-menibned propery
o�,3i z� �
(515t-aB.WP) Whilo-Buikip 8 Sebry; Grem-FIp: Cenery Appiranl: Rnk-Revenue; (iolEenmFMmnvr
HUILDING APPROVED HY ;
APPLICATION ISSUED BY: G �
iE if 1E it it i! �k jF If iE 1f !f 1E M 1f it if M it M 1E if
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMHING ELECTAIC MECHANIC
PERMIT 7,00
25i
DATE:
DATE;
Tf3T�Fji%iE�E1FiFiflfitlf F���iEM�
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BOILDING—DIV—> PERMIT ISSUE PLAN—CHECK T�TAL PAID DUE
TOTALS----> 7,00 20.00 0,00 27.00 27,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00
!f 1f 1F 1f 1f ik it ff �F 1E if M ik if fF k if 1f 4 M M M IF7k 1t7f iF k k iFM k 1F if iE iF k�f if if 1f 1t ik if if ik 1f if M dE ff M M if 1f 1f iF if 1! iF iF M 1f 1f ik 1t 1f 1f 1f fF it iE 1k 1E 1f 1P iF fE k
I N D 2 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
PLU 1 DISHWASHER
7.00 7,00
END OF FEES
O,r.i 09P�.,��_C�rli?]�l'• _� :]1T' =7 i
hTE: 0'o��',y, fT{'1�: i�4�.��. .0�
CONSTRUC710N ANOPLANNING � P�� 'PA
APPROVALS Permit # - Date Inspector pppROVALS Permit # � Date Inspector
i. Temporary�Elearicai Service or Pole 52. Pool & EGuipment Location
2. Soii Pipe-Undrgrnd. . , 53. Steel Reinforcement � ,
3. Electrical Conduit Ut}iitY-Undrgmd. 54. Forms '
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding
5, :6,teel Reinforceme�t 56. Rough Plumbing & Pressure Test
• 6._ ��cctrical UFER G�nd. 57. APPROVAI TO COVER-GUNITE �
7. Footings �,� 5&. Electrical Condiiit:Undrgrnd.
8. Foundation - � 59. Gas Pipe, C Undrgrnd., Tesr
9. Water Pipe-Undr9md. . 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Stroctural Floor System • 61. APPROVA� TO DECK
11. Property Sewer Line & Hause Connection 62. Backwash & fiecentor-Fin�l �
12. Sewer Cap � 63. Heater & Vent-Finai
13. Roof Drains _ 64. Plumbing System - Final �
14. Rough Plumbing , 65. Electrical�Finai .
15. flough Electricai-Co�duit �' . 66. Solar SYstem-F%nal .
i6. Rough ElectricLVfring � 67. Fencing & Acc��sz.Apuroval ' I
17. Rough Wiring Sign 68. APPROVED FOR'PLASTERING
18. Rough ElectricaFT Bar Ce�ling 69. POOL/SPA SYSI"EMS FINA
19. Rough Heating & Air Conditio�ing FIRE DEPT, REQUIREME`NT
20. Rough Factory Fieeplace '' ' ` _„ ' APPF�.OVp43�, ., PeYmit #- � �
27. Duas, in Structure '^•� -� s - _ .. 70. �tJndefgYound Hydro
22. Ducts, Ventilating ' - - , 77. ProduGi Pining Li�Gas `f,.l Oil
23. Gas Pipe-Rough & Test _ .' 72. Undergrolmd Flus'h � .�
24. Roof Framing � �" �- ��� ., "- 7�; Undergrqd. Siqr,age Tanl� Q Gas ❑ Oil
25. Roof Sheathing � ' � � � � 74� Ovefiead Hydro� �
26. 7�BaP Ceiling IStructurall & Iv1on0:coat ' '�' 75; Dry Chemicai �� ;
27. Frame and Flashing - - �� • �- >, . � 76. Dry Standpipe •'o� � ' � � �
28. �athing & Siding ' -. . • "� ", 7}: FIXED.SYSTE,M�PINAL �
. ,•
29. Insulation � � - � �- 78. FIRE PREV. FIN�A� • � �
30. Drytva111Jailing �. " ' ' � HEALTN DEPT.-REQUIREMENT
31. Plaster Brown-Coat . . . � , 79. �FINAL �ISPECTION �� �
32. ElectricaTPower Meter-�j�nal � � � • Sd? FOOD CERTIFICATE 15SUED
33. Final Electric �. . � � �� �� Nodes: - - . .
34. FinaLHeating-& Air Conditionirtg ' � � ; - • _ , . "'
I
35. Finai Gas Pipa�Test :. � .- , , i � � � , -• - - .
36. �Hood or Canopy • - . � ' � � � . - _
i
37. Einat Factory Fireplace� _ . . � . �•
38. Final Plumbing ' � J� � - ` r
''�'f.. i .l�• -�
39. Water Service-Finai ' r �� '. � � �- ' .' � '
40. Ga: Service-Final . . • '- ' ' �
- � .
47. Solar pomesticFinal ' .. " � I '� � � �
�. . .
A2. 9ackflow Preventer � � �r �: _ : -
43. Backflow Irrig'ation .. ; � , �� � � .
44. landscape IrrigatiortSystem"':�.' ' � �: '� ' � • •. � ' � -
45. Sound Attenuation . ; � . � '.�� -� . ' � �
46. Handicap.Regulations - � � .r - _ � -. ,
4J. FINA�STRUGTURE&BUILDING ' " '' ,
48. fINALPLANNiNG � ' � ' ' -
49. Electric Release to Edison , . ' - -
50. Gas Release to Southem CaliforFliaGas Co � • _�- � . •
5L CERTIFICATE OF OCCUPANCY } • '
No Date
PNOJECTR�OflESS: 3OO �VA LN
OWNEH'S NFME: DEAN RONALD L
nooaess: 300 �iLVA LN
COSTA MESA,CA
� t
AflCH/ENGINEEN: 6 4 6-8 5 7 9
AOOflE$S:
uxir:
92627
flEG.NU.:
UNIT:
PEXMITTEE: NOCK PLUMBING ( 714 ) 895-1246
aooxess: 11610(�SEAHOARD CIR (
LICENSEO CONiHACT05 DECAia�npTlbNN I here0y affirm �hat I am lice d unOerCpr�ovisio9ns0ol GhBapOter 9(commencing w'�qSec�ion
7000) ol �rvision 3 0l the Business an0 Pml¢ssions COAe, anU my lit secs in lull fo¢e antl efiect. E�/�� / J
CITY LIC.: 0 5 � 8 6 nnSTpeeeT���E LIC.: S 1 S 9 55. ) �nJ i i i
�ale'.�(�..�A�._ Signatu�e:� ' L�:i��(,1f(�l/%— �aL.A��
WOflNEflS' COM E I��Ed� ATION: I h¢�¢b dlli �n ihdi I hdv¢ a C¢rti�i[ai¢ o� CO�➢ �� �O S¢I4in50�¢ 0� a t¢rti�iCa�e 01 Wo�k¢R'
Compensalion Insurance. or a cenihe0 copy Ihereol (Semion 3800. Lab. C).
aoucreo.: 116799290 EXP.OIITE: O3IOSI9Z
comrnxv: STATE
1 Cenified copy is i ere0y lumi ea� Ceni�ie0 copy is filetl wit ci� ivi ;i/ L, � i �l
^ `/ io� �✓
oa�e: y ApplicanL h 7 v�'�
E%EMFTIONiBOMWOFNEflS'COMPENSAiIONUECUBATION: �ihi5sec�ionneedno�hecompleteU eoermitisforonehunUre0�3100�arless).
I ceNfy thai m �he pedormance o� the work �or whic� this permit is issued. I shall not employ any person in any manne� so as �o become
sublect lo Ine Workers' Compensalion Laws of Calitomia. .
�aie' Signa�u�t..
NOTICE: If, after making ��is declaralion, you shoula become suble�� �o the Workers' ComDensation provisions o/ t�e Labor
Coae. you mu5i �atl�wi�h comply wi�h suc� provisions or Ihis petmi� shall be tleemed revoke0.
CONSTXUC7ION IENDING RGENCY: I hereby alfirm iha� ihere is a wnsimction lentling agency for ihe pedormance of �ne xrork for
which this permi� is issuetl (Seclion 3097. Civ. C�.
LENUEN:
AOOPESS:
OWNEB BUILOEfl OECUflRTION: I hereby atlirm �hai I am exempt irom �he ConVactors' Slate License Law for �he following rea5on
(Sec�ion 7031.5 Business antl Professional Code'. Any ciry o� coumy which requires a permit lo cons�mct, alier, improve, tlemolisR or
repair any 5tmclure, prior lo ils issuance, also reQuires Ihe aOUlicant for such permi� �o file a 5igne0 sta�emen� tha� he/she is Iicen5e0
pursuant la t�e pmvisions at the Coniractors' S�ate License Law (Chapler 9(commencing wi[h Sec�ion 7000) oi �ivision 3 of 1he Business
antl Pm�essions CoOe) or Ihal �e/she is exempt Ihere�rom antl the basis �or the alleged exemption. Nny violation o� Sec�ion 7031.5 by
any applicani for a Dermi� subjec�s ihe applicant lo a civil penalry ot not more Ihan live hunOretl Gollars �5500�.
❑ I. as owner ol ine pmpeny or my employees with wages as Iheir sole comoen5ation, will Ao ihe work, antl the
stmcmre is not intentletl or oileretl for sale (Seciion 7044, Busine55 an0 Professional Cotle'. The Coniracmrs' State License Law
does not apply �o an owner ol a pmpetly who huilds of impwves thereon, and who tloes such work himsel�/hersel� or thmugh
his or her own emDloyees, pmvlUetl that such imDmvemenis are not imendeJ or alleretl for sale. I/, however i�e 6uilding or
impmvemen� is soltl wilhin one year o� compleiion. Ihe owner will have �he 6urtlen o� D�oving helshe Oitl not builtl or impmve
foi I�e purpose o� sale�.
1, as owne� ol the O�oPetly, am exclusively conirac�ing with IicenseA coniractors to constmc� the pmlec� (Section 7044, Business
❑ anU Pmlessions Cotle: The Contractors' State License Law tloes not apDly to an owner o10�o0eM w�o �wiAs ar imD�oves thereon
antl who conVacls lor such pmlecls wi�h a conirac�or(5)license pursuan�lo Ihe ConVactors' S�ale License Law),I am aware
thal pmol ot Iheir Worker'S Compensaiion insurance shoultl be pmviOeJ �o me_
� I am eKemp� under Sec�ian: B. 8 P. C.
for Ihls reason:
Oale: Owner
I do hereDy ceNty �hal l am aware al ana untlersiantl ihe reQuiremen�s ol Calilomia Health ana Salery Cotle Sec�ions 25505, 25533, and
25534 antl Ihat I or any future builtling occupani will/will nol (circle one) need �o comply wit� saitl Sla�e cotles ana Ihe requi�ements lor a
permil �or consiruction or maUifiw�ion �rom ��e Nir Oualily Managemeni OiStrici. Resitlen�ial conSVuction applications are exempi imm
these pmvisions
Date: AODlicanl:
I here�y ceruty �hal I have read Ihis applicalion antl s�a�e �hai Ihe a0ove inlormalion is correcL I agree to comply wi�h all ci�y antl counry
oremancesantlslatelawsrelatin I�conslmclionanCherebyauth e presenta�ivesol isciryroent�onlhea e-mentioned
pm0¢��Y �ar m50et1i0�n purp05 �
oa�e � �� SignaWr� �
Onver's License o�5ociai :curny a.
�6aL46 W�ne-9mltlinq: Green—Cotle EnlorcemenC Canary—Nppl¢an�' Pink—Revenue; Goldenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05553
PERMIT NO: P 055532 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU PURPOSE; OTH
JOB DESCRIPTION ; CHANGE OUT WATER HEATER SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTOR RE�UIRED IN THE HONE
ififMiEifMiF3FifiFlFifiFifklFiEiF�FiF1FiFiFMifMif iE1EiFaf�FiEifiE�tiF�FififiEiFikif3kkifif�Eif*iEk�EififiFif�lifiFif*iFiF�lFiFiFiFIFiF�f�FifitiE3liF
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING RE • PROV: PARCEL: 92629516 ZNE; REF NO:
PLANNING N TES>
>
iF 1F k k iF if if iF IF if 3F if iE k�f �f if �F 3F iF if iF iF if iF iF iF if iF if �f k iE 1k �f �1f iE a! 3f if iE �k if iF iF iF jF k if iF iF iFif if iE 3f 1! iE if iE �f �E iF if 4 iF 3k �f �F 9F if �t �k 3E if k ik �! iF
D E V E L O P M E N T S E R V I C E S", R E Q U I R E M E N T S
20NING APPROVED BY '� DATE;
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: �' DATE: ` Z��%��
if�1F�f�E�fatfkMiE3t�flFiFiF3f3FiElkifiE3FaE fFkkiEiF3t�tifif�f ifiE
3f 1! If if �f iF it 1F iF iF if iF 3F if 3F if 3F iF 3f iF k iF if 3f M iF if if if if iF if it 1f �f it �F �f iE 1F it �E 1E af �F if 1f if iF if iF aF if if k it iF �F k if �f 1F �IF iFiF if aF iFif iE 3F if ik if k ik �f 3F �f
LEGALIZATION:N F E E S D M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 2 00 -
�152 SMIP/NON—RES
PLAN -
ISSUE FEE 3,00
BUILDING—DIV—� PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2.00 3.00 _ 0.00 5.00 5.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5,00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN—CHECH
5.��
af �Elf �t ik iF 3t #` 3t 3f 3f if IF M iE aF iF ik if iF �f iF if 3F k 1tlk if 3F 1f 3F iE �E aF iE k �t if it iF 1F iF kit if iF k if iF if 3f k iFff it iF iF if iF iF if 3E �f it 3f iE 3k �F 3E k!t iF iE iF iE if iF it aE
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WATER HEATER AND/OR VENT 2,00 2,00
END OF FEES
�
CONSTRUCTION AND PLANNING POO iPA
APPROVALS Permit�`r Date Inspector AppROVAIS Permit# Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment location
2. Soifyipe-Undrgrnd. � 2.T . 53. Steel Reinforcement `
,4�`r'EI,GCtrir3l Conduit�lity-Undrgrnd� `'' 54. Forms
�1-fQettrieal Conduit:3J.a'drgrnd. a 55. Electrical Bonding
`Z���yl f3Einforcerg2�¢' S6. Rough Plumbing & Pressure Test .
�
�t� E�eFtrical UFE ,�G�r'nd. -� 57. APPROVAL TO COVER�GUNITE �' �
T Foqtings S r 58. Electrical Conduit-Undrgrnd.
8.' Foundation ' � 59. Gas Pipe, O Undrgrnd., Test a.
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Floor Syster� ,;,. 61. APPROVAL TO DECK
11. Pr�operty Sewer Linq-& HoSrse Connection 62. Backwash & Receptor-Final
12. SA�Fier Cap k. '- �
1, .p 63. Heater & Vent-Final
13. Foof Drains rc � 64. Plumbing System � Final •
14. Rough Plumbirtg `= 65. Electrical-Final
15. Rough ElectricaLCondu�t 66. Solar SYstem-Final
16. Rough Electric YViring 67. Fencing & Access AnProval
J
V. Rough Wiring Sign 68. APPfiOVED FOR PLASTERING
18. Rough Electricaf-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I
� � . . .. • � � Sh'�11;- 'F 'I r- �
20. $ouph Kactorq F�eplace i %r,�.� S'-: * " � ��'t ; duPPRO�/AtS�.^.1'enrit # � �
� � r � tf = -� t ' ��:
'� I = - T'.1 'k � - �:s r �[ S'"1 i J ii3 # .�
21.€jucts,ir�Stry'stu�.. � .... .,� . � " -•} z..-!0. tf�dergriou*,�HYdro „
22. Duc45, Vanti�iing-: � .^,'> r r - �S�t 7 c7�. Product�P�ing 014R3s ❑�Oil
23. �6as�Rpe'�oygh &"f�s[ i � �.. 4 t_' ,1 �) � ,� �,2. Undergro�u9c� FIurS}�� �} -k
24. fiooGFraming: z,+ i[�;�� ^[- •a 7` - a r x�73."Lndergmd� StoraSqeTank � Gas .O Oib
25. Roof�Sh�athing r � L � � '`� �h :� "3 A •* �q,'=p�erhead �H'ydro � �
J
26.�%'-Bai�Ceiling (Strricia�rall &�c�onr�coat ; .p �.; r i 75._'Dry Chemical � -- c 3
27.�'Frame ar}d Flashii�� � � '� ~ D yfi �r 76.�-Dr Stan T� ='� Y S �'; ;-
> ,'+ F �.� i. '3' Y �P k .i. v d„V��P? . ,� � s ,r
v .'a�k • � .-. • .f �� W
' 8.��.atk�ng� Sidin9 -�t � �'�.'�i, tz: �e � . .. ...« w. 77.v'F�XED SY�.3'EM"_k�INY�,Lt .
�29. Insulati � '��; � '� T•" �' �'' �� F"' 7$,�.'�IRE PREV. FII�A,L� r ^ ``�
R S :1 % S c) T. 4L
20. Drywallitiailing _ro" �� :r �� � .4 r iV•�� ".ElEALTH�1yEPT:REQU1REfylENT
31. Plaster Brown Coai¢ _ � � r , ' � �� �9.=�F`f�I'AL'1N�P�CTI�V �'- -
_ ,�
�.�2. Electric3l�Power f�ese�inal j`- a:�; � � t t c$O.�OOD CERYIFI�-Ai'E ISSU�D"�
3.•FinaTEleStri� .J� � � � th � � t��TNo�@s:(.zl�jZ �'(O;QaEldoa-+�- E,F.�T'raev. GEQ
�,`',34.�Fina�Heating�& P��Co�djtioqi@qa ,^ y � . �; ;; ;_ ��r �, S J�
F
35.ifsinSFGa'sCPip�Te�t.ro �w - : � n ? C' ^ �n> • t* s�
�r . a. � � �t a ^ :5�� , �-,r
�6. �loa� or'�anoPY ; � � �J: :Y � I � s n �. �k t��
i.. =r :� i tr� � v. t. ��. v. S_ F .�� : �..
_ ' ' .T :�.-^ ;u' _
37. Finai'Factory Fir&ATace� ' .�!'' � '� �`� '.}. t � ^. � :^
.• .. P K - .�1 � � �Y ♦ �,[� .. �lJ
���. I.... nJ ly`�l� VWY1i. C.. - 1�'
�38. FinaLPlumbing �� �a � n i R�: S W,A
.39. Watgn Service�Final> t n; '� � I �'C !'� :� .,. o:
s r
?�0. Gas Service�Final �' " ' j ' '" ' x "�
tt, .r (9 �IITLr' S f hi t� t7•�J ON
.�1. Solar pomesticFinxl � �. -. ... +: r� ! i j �z r :Lo � �r T
•A2. �Backflow Preventer� � �� j � I fa i ,F �� ... •�
_ J.- .
43. Backflow Irri�ation+ z.�.� � w.� �t� %^ ...
t y. e
�4. Landsc�pg Ir�gatioq System •�r � '" ^ _ _ _� o ;� ��y � � x, � � � �
i iD. , �k 4'.Tt � �.
5.��ound Attenyatiom �-�c;- �r w � t- _ � * = � � a'^.� -�:<; t �
. n 'r . . - r.� - a
�. . j .. .. ' ' rq . .. ..Y � D / / -GJ ^ -t ' I
�6.'Handica Requlatio�s ,� .x .r �. t{ is; s Jc � a� �
47, ¢If�jL STRI,ECTURE & BUI�DING - ' i � r + -� r� :'> � < 1
�
48.}FIN�L PLAr}NING' ��r�'- �r I t j� a Oi �C ^ �: ._)
� i 1'' ' ,U �; �. �:, i:i �L t (-
. j9. �lectric Releyse to �dison � �, � r . � � � -i � -,
.�-,
;80. Gas.Release to Soufhem Cali4omia Gas Co r ; i r� � s' C �:� _ _ �+
�R a.,
t'51. CEFi71PICATE OF�CCUPAjI N , ;, . � _ '� j � ; ' ;�
No. Date
� �� i s4�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX s17 C08TA MEBA. CALIRORNIA
For Applicani to Fill In Complefely
TYPE OR PRINT
ADD EiS9 �OO />L v�7 Lq�iC.
COSTA MESA CALIFORNIA
■ ARCH
■ BETBACK LINB PROM
TEL.
�EE RECEi��.D
FE4 27 1962
fINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMI7
BUILDING
For Offiee Use Only
aEceleT No, ee9M1i.ND._
BY I DATE6teGGVLD i A DATE 198UED
" No. COSTA MESA, CALIFORNIA
FIRE �^/
ZONE TYPE GROUP�/
APPROVE /
BY DAT L ' O C
ZONING
ZONE NO.OF U6E OP NEW r9y�/q/4,
R�I I/P/UNB � I BUILDINa L��-
DESLRIPTION I'^ ��U'� ���/? � •
NOW ON LOTe JI[J — I�H — �S ��
' A. P. NO.
YARDS EVES /fO �
APPROVED ALLOWED Y
� � � mer+rert uNs sr.i ._ .
OF WORK
■ EXTERIOR WALL. 1 I ROOF
AND
a � � f'laN �E
1 XEREBV ACNNOWLEDOE TXAT 1 HAVE RGAD TNIB APPLICATION
RND 9TATE THAT THE A90VE IB GOHREGT ANO A6R¢E TO COM-
PLY WITN RLL CITY ORDINANCE9 RND STATfi LAWB REOULATING
BUILDIN6 CONeTfiUCT N. {�f
61GNATURE OF � �� /�['��
PERMI7TEF L �'�S�.0
AUTHORIZED AGEN7
1.51DE /"
REAR � �� 3
APPROVED „/,/) � �
�/7, 3��
!TF Z /�
19HING A PEPMIT FEE ONLY.
PERMIT FEE $ � / '
PLAN CHECK $ �O • J t
\ /
.� CITY OF COSTA MES�� ��� �
'� - Building Safety Deparfinent " ��. � �
Applimtion for permit for the fabnwTion and erectio�, �� �� I
of awnings, advertising signs or devices.
Building Siie
1�239 '
� G S� 3b
Name of Leasee -� � �% __� �� Phone �� 3�
q' u
Coniractor�' ��, � .,�., e-o. State License No.
address .�� 4'� +w---`-�^��+' Cif��- - � G--+.�..� Phone �� � ` � � K b
Architect or �
Engineer STate License No. ��O� � a07 J 1,�
address City Phone _--
DESCRIPTION
Description of awning, advertising sign, or device:
Awnings canvas � matal � Width: ft. in.
Length: ft. in.
Ground Sign '� Proiection Sign � Roof Sign � Wall Sign � MeTal Letter Sign �
Banner � Canvas Sign � Gas Tube Electric Sign (Sub-section 7.44, Ordinance 313) �
Combination Sign � Special Device (other) � Explain:
Two copies of plans and specifications shall be submitted with application for permif for each sign. Plot on
plan sheets proposed location of sign and locafions of all other signs at siTe. Minimum size sheets must be 18"
by 24" and non-erasable.
Tf within the 10-foot area of fronT property line, owner is to sign writTen agreement with the CiTy.
n �
Size of Sign - Thickness ft. �� in. � Height�_ft. in. Length�fT, in.
Weight Ibs. Height above gradel�ft. in. ProjecTion ft. in.
The undersigned hereby agrees To fabricate and erect awning or advertising structure within the intent and
meaning and in strict accordance with fhe provisions of Ordinance 95, Ordinance 313 (Electrical Ordinance of
the City of Costa Mesa), and all amendments thereto.
ALL APPLICATIONS MUST BE FILLED DUT BY THE APPLICANT. ALL FOOTING, FRAMING AND ELECTRICAL IN-
SPECTIONS SHA_LL BE CALLED.
#CSGe. � "_ O �...r- �.
Signature of�i � The amouni shown under Valuation is for fhe purpose oi
Permitee vL'�a-�'- � �a'
establishing a permit fee only.
.� . .e � / .
A�thorized
Re<d.
Form 214--1M—II-60-3-B P
Daro "' �'/ /�y$
VALUATION
o �
��GO �
Permit Fee $ •- "'S� r'
Plan Check
ToTal Fee $ 5 —
c P- �ry r• ^ q r-.. .p
4r �' L� �1� �:, "�e �; o �° ' �,'�J
JUNf3 l962
FI�lE1f�!CE DEPT.
CITY OF COSTA iNESA
FOR OFFICE USE ONLY
Date Issued �`�� -� y Permit No.
Fire Zone T pe� Gro
Approved by � Date�i
ZONING �
of Bldgs.
A. P. No.
Bldg. Site
Legal Owner �/ ��%
naa.e« S/O —
Phone
Yards Approved.
Large Sign in excess of S sq. ft. Setback from cenTer line
of street to front property line �..i��2ft. in.
From property line to edge of sig��ff. in.
Side Yard SeTbacks: 3� ��
Left Side �ft����„�n.
Right Side �cz�ft. in.
Building Line $eTback fro/m /
center line of street � ��ft. in.
o'
Area of Sign ,Q/C ft. in.
Height above Grade � _ ,T /� ft.�2��
9 ���....�� -
Awnin Size- i t/ ft• i
to
Length fr. i
Awning fHeight above Grade pA-` ft. i
D...:e.�i..l C.U.R�-Q� kP�.'.JVEJ� 6Y
Location and size
approved by �-�
Date �o � u — 6 ?�
OWNER De RUFF DEVEI;OPNfENT C0. ��A� DA'rE 6-12-62
JOB ADDRESS 300 Alva Lane BUILDING PEE2MIT NO. 1�
GENERAL CONTRACTOR Union Si�n Co. VALUE $ 300.00
AP No. LOT 9 TRACT Ia050 FIRE ZONE DESCRIPTION OP WORK Temp.
7 ECTIONS ISignaturel DATE GROUP J TYPE V ZONE R-1
So.. PERMITS IS
rpa � SUBCON7'RACTOR n�m-� rr��
OCCUPANCY
O