HomeMy WebLinkAbout3329 ALABAMA CIR - Building Permitsa. ` � CITY OF COSTA MESA � ,
B{/ILDING DIVISION s
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626 �
PERMIT NUMBER: B09-00001
PERMIT 7YPE B_ROOF2
APN: 13958124
JOB ADbRESS: 3329 ALABAMA CI CM
Vicinity: HOUSE AND GARAGE ROOF� .
Squares: 1500 „
STATUS:
DATEISSUED:
ISSUED BY:
� SuitelUnit:� .��
Valuation:
ISSUED
01/05/2009
RMD
$7,000.00
SCOPE O� WORK: TEAR OFF (E) ROOF�MATERIALS, INSTALL A MINIMUM OF i LAYER OF 15# FELT ON A 4:12 PITCHED ROOF
AND REROOF WITH CLAYLITE TILE (ESR3523-5.9 PPSF) ON AN ATTACHED HOUSE AND GARAGE, APPROX
1500 SF. REPLACE SHEATHING ON HbUSE ONLY. � '
OWNER: SIMCO, PHILLIP E��. � � , Address: 3329 ALABAMA CIR - � Unit:
PHONE: 714-981-7912' - - . . � City/State/Zip: COSTA MESA, CA : � �
APPLICAN7: TAYLOR, ROB , � � .. - Address: 8602 LOWMEAD DR � � - . � Unit: :
PHONE: 714-964-8131 ._ ' � City/State/Zip: HUNTINGTON BEACH,-CA � ''
CONTRACTOR: TAYLOR ROOFING License No. 784622
Address: 8602 LOWMEAD DRUnit: - � PHONE: 714-964-8131 �
City/State/Zip: HUNTINGTON BEACH�, CA g2646 CELL:
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALF�ES
$o.00
$139.25
$0.00
$1.00
$140.25
License No.
License No.
PHONE:
PHONE:
NOTICE: The work authonzed by this permit shall comply wilh all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRAT14N: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ,
INSPECTIbNS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all
required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
DE IN�PEC710NTYYE Q� IN TIR UEt INSPECTIONTYPE � INTRIRL
1816 Fi:@e System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing "
200 Finel Re-Roof —.�-o `� � 210 Final Elec�rital
201 Finel Block/Retaining Wall 212 Final Fire Pievention .
202 Finel Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Fingl Demolilion 250 Final Building�Occupancy
� "
WORKERS' COMPENSATION DECLARATION:
I hereby atfirm under penalty of perjury one of the following declarations:,
� � I hDve and will maintain a certficate of consent to self-Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, (or the
pertormance of the vrork for which this permit Is issued.
❑ I have and will maintain workers' compensation insuranca, as required by
seclion 3700 of the Labor Cotle, for Ihe peAortnance of the wurk for which this
pertnit is issuetl. My vrorkers' compensation Insurance carner antl policy
number are: �� � � �
�� U h
�(ihu seIXvn neetl mt be comp^leleqtl ilthe pefi-mrt is value0 at one huntlml tlollars (5100) a less )
Po ic-I y Number: D O,�( /�,7 � � �O O�
❑ I certi(y that in Ihe peAortnance of [he vrork for which [his permit is
issued, I shall not employ any person in any manner so as to become subject
to Ihe workers' compensation laws of Califomia, and agree Ihat i/ I should
become subject to Ihe workers' compensation provisions of Section 3700 0!
the Labor Cod I shall forthwitl comply vnth these provisions.
r���,� .5 ,
�l Applicant Sig lure a e �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm tha[ I am licensetl under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business antl Professions Code, and
my license is in full (orce and eRect.
��� ��� �# C3i
�� (� S_nq
�� . �
6'nira or'sSj naWre �aei�
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm [hat there is a consiructan lending agency tor the
peAormance of the work for wfiich this permit is issued. (Sea 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that untler penalty of perjury [hal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the (ollowin9 reason (Sec. 7031.5,
Business and Professions Code: Any city or county vfiich requires a permit to
consimct, alter, improve, demolish, or repair any slructure, prior to i[s
issuance, also requires the applicant for such permil lo fle a signed statement
that he or she is licensetl pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the
Business and Pro(essions Code) or thal he or she is exempt therefrom and
the �asis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of not more than
five hundred dollars ($500).):
� I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, antl ihe structure is not intended or
offered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License Law does not apply to an ovmer of property who builtls or improves
thereon,�and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the huilding or improvement is sold within one year of
completion, ihe ovmer-builtler will have the burden of proving that he or she
did not build or improve for purpose of sale.). .
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The con[ractors License Law does not apply [o an owner of
property who builds or improves thereon, antl who contracts for such project with
a contractor(s) license pursuant to the Conirectars License Laws.).
❑ I am exempt under sec.
Business and Pro(essions Code (or [his reason:
r . \
.
Owner ID verified by dm�. .ense. ❑ Yes ❑ Hg�
Driver's License No. Expires:
Verification o! Ownership by (rype of document, i.e. - property tax bill or.tleetl):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: -
❑ I hereby certiry thal no excavation frve (5) or more (eet in tlepth into wfiich a
person is required to descentl, will be made in connection wi[h work authorizetl
by this permit, and that no building stmcWre. scaffddinq, falsework, or demolition
or disman�ling thereof, will be more �han Ihirty-siz (36) feet high (Chap. 32, Gry
2, M 2, Sec. 341, Ttle 8, Califomia Atlminis[rative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would
require a permil from Ihe Division of Intluslrial Safery, as noted above, unless
such person has a permit to do such work from the division.
ApplicanCs SignaWre Date
Division o( Industrial Safety Permi� Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will �he applicant or presenl or luture building occupant need lo file and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of ihe Califomia Health and Safery Code requires, with some
exceptions, [hat a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time dunng a repoAeO
year a quantity of hazardous materials equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic leet of compressed gas
at s[andartl temperature and pressure).
2. Does or will Ihe applicant or present or future building occupant need to file
a regis[ration form /or acutely hazardous ma[erials? ❑ Yes ❑ No
(Section 25533 0( the Calitornia Health and Sa(ery Code, with some
exceptions, requires regisiration vrith the Costa Mesa Fire Department by
each business which at any one [ime has on hand a quan[ity of acu�ely
hazardous ma[erials equal to or greater ihan a weight of 500 pounds, or a
volume ot 55 gallons, or 200 cubic fee[ of compressed 9as at s[andard
temperalure antl pressure).
3. Does or will the applicanf or present or future building occupant neetl ro
prepare an RMPP (Risk Management and Prevention Program (or awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Safely Code provides Ihal the
Cos[a Mesa Fire Department may require the preparation, certification and
filing with ihe Fire Department of an RMPP by businesses which are required
lo regisler awtely hazardous malerials with [he Fire Department.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Heal[h antl Safety Code been fully complied wi[h? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject o( this applitation a permit for such constfuction
or modification from �he South Coast Air Quality Management District or from
any other air pollution contml district or agency? ❑ Yes ❑ No
(Section 65850.2 of the Califomia Govemment Code requires that the requested
information be fumishetl on applications for non-residential Duiltling pertnils).
6. Will any part of the (acility [o be constructetl untler this pertnit be wilhin
1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facilily must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Code).
7. If a pertnit from [he South Coast Air Quality Managemenl Dis[rict or o[her
air polNtion control distric[ or agency is required (or [he work which is the
subjecl of this application, have all of the disclosures prescribed by Califomia
Health and Safery Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf'yes", attach certifcate of compliance frOm Ihe appropriate air pollution
control oKcer). � - -
CERTIFICATE OF COMPLIANCE:-I certify ihat under penalty,of perjury the
information given above is correcL I agree,to comply with all state laws and
city ordinances regarding Hazardous Materials�and Emissions. . '
Sgnawre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalty of perjury that I have read this application and state that
ihe information given is correct I agree to comply with all state laws antl city
ordinances relating to building construction, and authorize'representatives of
Ihe Ciry of Costa Mesa to enter upon ihe above-tlescribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
au[horized by [his permit until final inspection. � �
_Sig aWreotL�alO r(s) Date
SignaWre � ' - Oate �j�� � /_ S.�
305]J6 (3/0]) 1 � - /�
R� FA'ulfionz.' PP lifam
I
nnnncssaew�oca: 3329 ALABAMA CI ��+*
oxxeasxweira+ow�+: SAVAGE, ROBERT B TR FLOOD: AE-37
�op� 3329 ALABAMA CIR
COSTA MESA,CA 92626
435-0389
MPL. IWl1Np �D�RESS .
r �
IHCXRECT Ofl FNC�IHP:
uc w.:
UM:
ca+muTarsruwe: CRYSTAL AIR ( 714 ) 634-2593
COlIPACTORSYNIWG 11801 MAC STREET
eooxEss GARDEN GROC�E CA ucxo.: 655036
92641 uxr:
UCENSEO COMP�CTONS OECU1flATI0N: I Mreby efl'rm uMer pere�y d parjury ihm I em licer�eed uMx pwiabns d Cheqa 9
(commentlnB �h SMion )000) of DHision 3 d the Buvnesa end Prdeeeiom Coda, vM my lioensa u in hll lace eM aXed.
cmuc.No.:042006 uc.cuss: Zp uc.No.: 655036 EXP; 03/97
Dele: � �—� i CaNreua�� � .
OWNEH BUILOER DECU�HATION: I hneby tlfirtn under penely d parjury ihet I em e�emq Imm IM Cm�mtlan Lioema Lew la Ihe
Idbxinp reaeon (SeGion ]0�1.5 Bueimss enE Pmleasione Gode: Any cAy n caunty which reQuirea e permd to oonemwl, ellm, impwe.
md"vh, or repei eny evucture. priar b 4a �euence, e6o reQwrm iM epplirem ta such permit to fib e egME sWemeM Ihm M w eM
;�,�..d w�� �� �n. w�� a ina w,v.ewa u� �. [cnaa> a lo�m��o .un s.ao� �aao) d a.m� a a �ro
.ainese aM Prdawore CaEe� or IM1e� M a eM ia exemq iherehom enE Ihe bsvo la tha elleped memqion. My vulelion d Sedion
,031.5 by vry epplicent lor e permn wbjede IM apDlicant �o a avil parWry d M mps ihen 1've hundrsd ddlen �55001).
� I. es o�mer d �he papeM a mY �dWee%'^ih wagae ea thei ede mmpe�reation. xill do Ns xak, vM the avudun a�'vneMed
or oMared fin eele (Seclion )Oid, Busi�ee enC Protessiona Code: TMConlredae Lioeme Lew Eoee �at xpply lo en owrixd pmperry
who bu1M a inpovae thxaon. eM who doas eudi wak himasM rc Mner a thrwqh hu a her oxn employaea. pmvkeA tMt wrJi
imqaemenla va rwi imeMeE ar Waed la aeb. M, howaver, ihe buitli�p a inpo.emem e add wnhin ane yaer d canpblion. IM
owner-Wikbr will heve IM buNen d 0�'��B � or she tlk � Wild w improve la iM WNoea d ade�.
� I. a� ovmar M ihe pW�Y. em ud�ivdY oonlrm'eq wnh licerued conlreclon b corWrutl the Wqed (SeUion IOM. Bueinwe end
am�e.sim. coea: Tne comreaa. tm�x �e. me. na epNr m an o.nar d aro�r wno wua. « impwe. m«am ,ne wno
con�recro fa auch proleea wnh e oonlreclorla) licanaed pureuen� �o tM Conlredare licenea lawl.
� 1 em uemq uMer Sec1ion: B. 8 P.C., br Ne �eeson:
Deta: �Ta
I Ao M1eieW ceniN thet I em eWue W eM UMasieM Ihe reVViremenb A Calfania NeaM eM SdmY Coda SWiwn 25505. T5533. ud
25534. enE Ilim I a any lulure WilEiip arapem xill / wil na (drcb one) neeA ro comply wIh ee'M abte oodm aM tM ipuimnwib br
•parmnlorm�UUMimwmadiliralionhwn�heAr�6u Giyi�epememDimna.Raudamidconniutlbneppiratbmeremamqlmmlheea
pm%ions.
o�a: nvvi��c
WOPKEN'S CONGENS�TIqI DKL�RATION: I MreEy e1Nm urder penelty d pe�jury ane d Me 1oYowmp Aedvetiom:
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: E 078499 PLAN CHECK NO: N
CONSTRCTCTION TYPE: C'—N PERMIT TYPE: ELE
PERM NO: E 078499
GO��T: N SUPP: N
PURPOSE: OTH
JOB DESCRZPTION : REPLACE FAU UNIT, INSTALL NEW A/C UNIT SQ FT:
CLAZM VALUE; CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: ELECTRICAL WORK INCIDENTAL TO MECH PERMIT #M78498
��*�t*�*****�**�t�tx���**x�*���xx�x�**�rx�rx���*x�**�+�+�+�**+�+c�**�***xx*x***�*�r**�t*�****�x**
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ; PROV: PARCEL; 13958124 ZNE: REF NO:
PLANNING NOTES>
i
1k 1E if it 1(� 3F 1k fE if 1F dE 1E iF �E 1E ik 1E iklE 1E 1F iE iE 1E iE 1E 1E iE fE if'IE 1E 1E'lE iE'1F 1f iE 1E iF if iE iF fE iF ik iF 1E fE iF 1E IE iE iE iE 1ElE if if 1ElElF iE ik iE iE iE 1E iE'k'lE iklE 1E iF i!!k 1E 1E
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:
����� �� � \ �l1�� 3 � :t��U � ��:���
APPLICATION ISSUED BY
�E �E fE iE IE IElE 1E �E iE iE iE IE iE 1E 1E jE'IE iE IE iE
LEGALIZATION:N
PERMIT
PLAN
ISSUE FEE
BLDG PMT PLUMBING
F E E S U M M A R Y
J
ELECTRIC MECHANIC
11.00
.5��
22,00
FIRE
DATE; p
DATE; �I �'(S.
iPfElE3ElE1EiEif�3F3FiF��FiEfF
STRUCTURAL SEGMENT:N
SMIP/RES GRADING
SMIP/NON—RES
❑ in��ewu�m,:�a�annemea�o��mm.an,�.�,�i«wan�an�omc.�wa�...wwm.eiwnys.e�a�aoam.�e« HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
cme,�«ine�n�aub.�i«.n:�mm�p.mman.�a. TOTALS----> 11.00 22.00 0.00 33.00 33,00 ,00
❑ � n.,a.ne wi� meime:�.vwk.n oomronemnn ma,ru�ce. m nc��rea M secion s�ro w m. �.no, cae.. b m. ae«menu a m.
wak /or whM ihie pa'mil is ieauad. My warkere' comPo�ee�ion ineurance wrier eM pdiry number ere:
c� ��."L REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00
aa�rmmne.: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
is settion neeJ irot bs eanpble0 f fM permi ro M one huMrcd Ldlers /5100) w bn.) 3 3, 0 0
�j] I mnM � in the perlamerica of the work la whch Ihia pmmit is eaueE. I ahell iwl ompb/ erry penon in vry memar m o �o
become euEiee io iM xroMra' mmGanwion levn W Celilwnie. vM e9ree ihet il I ehouk become auhetl m IM worken' 1E�EiElE�IEiFiElE1Ej(-iEiE1EiE-0E1EiEiE1FiE1l�lE�E�fiEiElEiE�1F1E1EiE1EiflfiFlEfEiFlEiElE�EiEiEiE�7EiElE�IElF3klElfffikfElEiEiEfElEl4iEfF1EiE9E1E�1E�1(-lE1EfF�1FiE1ElEiE
cpnpenaelion prwieime d Setlbn 3)00 N �ha Lebor Cade, I /eh�dl� onnwnn oomoy �n �a ma+�. I N D I V I D U A L F E E B R E A K D O W N
Dma: 7�( —� Aod��: V�'1 t G,
Wun/iy:F�Nunroaec�nwohln'romoeiwtlonrov�r�pslavnYwNl,�rrtlalWl�ubNctanxrplqwroWMnlpmtltluuW TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
CIY/I flM� up b onI hundrW flroYaerd tlollan (S1W,000/, M iddltlon b Ms roaf OI eompsro+Ibn, Gmepu is povMW M In
s�uo�sroso�me�aeo�coee,mron�te�dercomey���. ELE 1 MOTOR/POWR APPARATUS 1, 1 — 10.0 HP 11 .00 11 , 00
CONSTp11C110N �ENMNG AQENCY: I he�eby etfi�m uMx puWry d perjuy thm thue'v e rmnivaion bMiip apenry M tM
pertormence W Ihe xvk lor whiM I�e parmi ia eaued (Seqon 3081, Civ. C).
LEN�EN'S NAME
LENDEF'S RDDflE34:
I eeniN ihet I hew naE ub eodiution enA de�. thet tM ebove inlormetion ie w�na. I wrea to ewnaN wi�n ell rnY aiM munb adinenoes
uM sle�a lawa nle�iq lo WJEiq consUuction eM Mreby eulha¢e repreaenle�rva+d Ihif dlyto eMa upon IM ebo.smenlivieE p�opa�ty
t«ms�ap�o��v�. RALPH BELL
R Pnm Name
om.:�'��6
' SgneluradOwmr/ApenUApp6cenutontraqa
�\ (S151dfi.WP) 'N�ae-9uilEip 8 Sefery: GrearrFb: Ganery-Appicenl: Hnk-Revenue: GOldmmbA�vessa
END OF FEES
CONSTRUCTION AND PLANNING POO' 'PA
APVROVAI.S Permit � Date Inspector APPROVALS Permit # Date Inspector
i. Temporary Etectrical Sarvice or Pole 52. Pooi & Equipment Location �
2. Soil Pipe-Undrgrnd. , 53. Steei Reinforcement
3. Electricai Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit _Undrgmd. 55. Electrical Bonding
� 5; Steel Reinforcemenc 56. Rough Plumbing & Preswre Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
' 7. Footings . � 58. Electricai Conduit-Undrgrnd.
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, L7 Undrgmd.
10. Structural Floor System . 61. APPROVAI. TO DECK
11. Property Sewer Line & House Cqnnection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent-finai
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing . 65. Electrical�Final
15. Rouah Electrica6Condu�r - 66. Solar System-Final
76. Rough Elec[ric Wiring 67. Fencing & Access AnProvai
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Cei�ing 69. POOLJSPA SYSTEA4S F WAL
19. Rough Heating & Air Conditioning flflE �EPT. REQUIREMENT
20. Rough Fzctory Fireplace � - APPROVALS Permit #
21. 'Ducts, in Structure .. � .' 70. _Underground Hydro
22. Oucts, VentiVating -. � 75. Product Plpin�l� Gas d OlY
23. Gas Pipe-Rough & Test , 72. Underground Flush
24. Roof Framing � �� � 73. Undergrnd.StoraqeTank OGas OOiI
25. Roof Sheathing � ' , 7q, pverhead Hydro
26. .T�Bar Ceiling (Structural} & Monocoat - 75. Dry Chemical .
27. Frame and Flasfiing ' . . 76. Dry Standpipe �
28. Lathing & Siding . «_ - 77: FIXED SYSTEM�FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT, REQUIREMENT
� 31. Piasrer Brown Coat - . � " 79. FINRL INSPECTION �
32. Electrical Power MeterFinal 80. FOOD CERTIPICATE ISSUED
33. Final Electric . . �Z�.l� �Jotes: _ '
34. Fina! Heating & Air ,Conditioniny � f��� Q �
35. Finai� Gas Pipe•Test ' �
36. Hood or Canopy • - - � . -
37. Final Factory Fireplace' �
38. Fina1 Plumbing
39. Water Service-Final
40. Gas Service-Finai -
41. Solar pomesticFinal .
42. Backflow Preventer �
43. Backflow Irrigation - ' _
44. Landscape Ir�igation System . .
45. Sound Attenuation
46. �Handicap, Reguiations � � , _
47. FINAL S7RlJCTURE & BUILDING
48. FINAL PLANNING, -
A9. Electric Release to Ediso� �
50. Gas Release ro Southem Califomia Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
y
I � I
ADDPESS OF BNLqNO: 3 3 Z 9 ALAA AMA C I � ���
OYMERSNWEIFqqM'1t SAVAGE ROBERT B TR FLOOD; AE-37
��u 3329 A{,ABAMA CIR
COSTA MESA,CA 92626
435-0389
�cv�. wuur+c woxEs�
AqCXRECT OP F!lfiNffA:
YICN.OX FNO.'S IOORES3:
uc xo:
UNT:
car�m.crarsw� CRYSTAL AIR ( 714 ) 634-2593
cam�ctoas�uiwo 11801 MAC STREET
�,00aEss: GARDEN GROVE CA uaao.: 655036
92641 urar:
LICENSED CONTflACTOPS OECLAflAT10N: I hereby eflim uMx penely d peijury thet I em licanaed uMx pm+ama d Ghaqx 8
(romme�inp vrith Section ]oao) d Oiviabn 3 d �he Buainev eM Pmfmuom Code. aM my licenee re in hll lorca vd eHaa.
cmuc.No.:042006 uc.cuss( z0 uc./JNo.: 655036 EXP: 03/97
Ome: /� '�� Convaem /l1_1t(a.
OWNEN BUILDEH DECLANATION: 1 hereby elfirm undar penelly ot parjury the� I em exemq Irom iM COMratlae Licenee Lew la IM
idww:,o � tsaa�, �osi s a,s:b.. �a a�oe�o� coee: n�v o�r «�wob wn�a �aw� e ve�n �o 000ewn. an«. �mwow.
md'o�, a repei eiry aVucWre, prior io ns bauer�ce, Wo eeQuim ihe epplimnt Im euch pemiu lo fib a eqmd eltlamni tlW M p eM
IiceneeC W���� �o ihe pwiaiana d tha Comrec�wa Licenae lew �Chepter e(commeiwiiq vrilh Seaon ]000) d Drveion 3 af �b
,pi�wa erd Proteseune Code� w Ihel ha w ahe is exemp iheraimm end tha bevie M Ihe ellped exemqion. My violetbn W SeAnn
�oai s M e�v mW��� i« a o�a a4eas �ne roW'sni m a aa oe�eM a �w mae men fxe huMrea adlas �Ssoop.
� I.avoxnmdlheproparlyormyempbyeeewFM1wepesmlhe'xedemmpenee�ian,vrillEoMework,eMiheebucWnwrwliMeMed
a afle�eE lor seb I�� ]066. Busrea ud Proleeaons COEe: Tha Comrmwa limrea lewdma �at apply lo en owner d proprry
wno wu. a inw� �ne�..m wno eoes s�cn.w� �:mmn v nersd «waqn nb «ns o�.,� «�Wa+... w� �ne wd�
impovamenre are ml imerded a dlemA Iw sele. M, hawever, the buiki�p a impovemenl ia edd wuhin om yw d mmplatin, tM
ow�wr-0uiNer will heve iM WNai d provinp M or eM CiE iwt WiW or imD� �a IM W�a d eeb�.
� I. n ormer d iM1e papery. em extlusively contreaiq wnh lic�uad wntrmpe ro camrun tln popf (Smion NM. Bu+'vws enE
Proleoione Coda: TM ComreUore Licenee Lew doee � epph��o en ownerd p�openy who buiMe wimpwwiherean eM x1n
wnVecb lor mM pqxta wiTh e mruretlor�a) IicenseE Wnuenl lo IM CaMretlars Lioeree Lew).
� I am mempt uMer Senian: 8. d P.C., la Nb reesan:
one: o��
� eo nerenr �.niN �nm � em ewue d.�e �m�ernena me rea������s a celaomie Haenn ene sm<ry coae s«fan. zssos. zss�J..na
255J1, uM ihet I a ury Mure W iki�p mvpent mll / wtll rwt (rircb me) rieM to cwnpy wih eeid mte codee eM tM requiremeNe br
aV�ut«mmmw1ionamodRmionhaniMAi ue�6Txiiy areW��DieUid.Reekmtielamaeutluneppka�iwroaneumqM1antMm
pW18M119.
Defe: App4ram:
WORKER'S COMGENS�TION OECLAHITION: I Mraby eifimi uMer parehy d perjury orr d tM Idbxi�p Mtlemliom:
� I han aM xil meinten e rnu�wa d mment lo veXimun tor r.arkeia' canpenaetion. n pwided i« by Sermn 3ro0 MtM lebor
cad., �ar �na vedomuno. a N. woix �« wnicn mia w�u i. o.u.d.
❑ in....�,a.a�m�.on�.•�v�+�mo���w�o....�w���awsee�arooame�coaa.ram.w��m.�.dm.
work la wliich Mia paimil e asusd. My woken' oompenaetian i�aurarKe farix anA pdiry numEv ue:
c�a�: NATIONAL
Vd'cy Numbm:
;, .en� �d �or m�obree r me w�a;� ro. o�a n�,�d,ad dd� Is,ao� o. w,.l
�] I eMAy �I�et in iM pMw s ol �M work lor whkh ihu peemn u iawM. I tlall � emplry enY Va� in wy men�wr o m lo
bxaro wbjee ta tM v.wkera' compenmtion lewa d CdAomu. erq pree tlul A I elwuk beronr rbjed �o tM waM1e�s'
companaetion qovisione of SeUbn 3100 0l lhe lebor CoEe. I qpelNplhwith eomp�y with Ihoee pa+aioen.
�i ��
o.�e: �--Q `4.! �wi�i. �o.,.iu.
W�minp: Falluro ro ixun woilcxa' compxuaHon eovenp� l� unl�wNl, �ndWII sub�sef ur xnployx ro er/Miul p�nattlu �M
GMI Ilnp ,q ro me hurerW tM1o�wd tlo/Nr� (S/OQOpDA M adlltlon ro M� cwt o/ camywuetbM1 Oemspq e� provMerl br N
Sxtlon 911A6 0l Ms Lebar Code, Infeml, �ntl attomey'a Isa.
CONSTRUCTION LENUINO AGENCY: I hereby dfirm uMer panehy N parNry Ihet �Mre u a mn+Uuqian ladirq epancy b Ihe
perlameme d iM xak la whitli Ihb pwml u'nvietl (5eaion 309'l. CN. CI.
LENOEF'S NpME:
lENOEP'S 4DDHESS:
I ce�iy tlut I lieve reed this epplicelbn enE ateta Ihm Na ebwe iM«metion ia corted. l eprae b mmply wilh ell cily uM ooumy adinenoee
erd ewa laxe rdel'vp lo Wik'up cmp�ueion erd Mreby eNMr¢e mpeeentelivae d thie dry �o anter upon tM ebove�mantioned poperry
�«�"'°"��0�`°�"' RALPH BELL
P��,�
c . o�a7—`l -26
. �SgreNredOwner/r�panUAOd��✓�nlrada
(S151JB.WP) Whne-BuiNnp85alery;GreaMFb:Cewry-AppFant;Rnk-Ra.renw:(3oMan�oE-Avroswr
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: M 07849A
PERMIT NO: M 078498 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTROCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH
JOH DESCRIPTION ; REPLACE FAU UNIT, INSTALL NEW A/C UNIT SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NOOTHER WORK AUTHORIZED BY THIS PERMIT
��***�**�*******���****�****��r�*�+�*�r*�+�*****+�*x**�x�**�+�**��*��**���*****�*�**�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 13958124 ZNE; REF NO:
PLANNING NOTES>
7
it iE iE iE 1E iE fk iE iE iE iE fE ft IE iF iE iF jE 1F iE iE i! iE iE iE iE iE k if iE if iE iE if iE iE 1E iElE iE iE iE iE 1f iE iF it it iE iE 1E3f iE 3E iE fE iE 1E iF iE iE iE iE 1F ik if iE it iE iE iE iE iE iE iE iF iE iE 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
ZONING APPROVED BY DATE;
HUILDING APPROVED HY : DATE: /�
APPLICATION ISSUED BY: � DATE: �1 �JO
iEiFiEiEikiE1ElEiFlfiEfElflfiEiEiFlEikifiElE3FifiFTfTf3F3F3F3FSFiF��Tf�FifiFiF�iF�3Fif�3f iFiFiF�F�F�iE'lE1E�E1fiE1E1k1Eif ff16
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 26.50
25R SMIP/NON—RES
' PLAN
ISSUE FEE 22,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CI-IECK TOTAL PAID DUE
TOTALS----> 26,50 22,00 0.00 48,50 48,50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 48,50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
48,50
1E iF iE 1E iE 1E 1E 1E 3f 1E 1E 1E iE 1E 1E fE if if 1E 1(� fE �E fE fF 1E iE 1E 3k �E 1E'lE 1E iFlF iF 1f !F 1f 1E 1E 1f 1E 1E iF �F 1E i! 1E �E 1f 1E'lE IE 1E 1E 1E iF 1f 1E 1E 1k 1E 1E 1F iE �E �E'k �ElE iE iE 1E 3F iF 1E 1E iF 1F
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 13,25 13,25
MEC 1 REFRIGERATION SYSTEM t= 100 K BTU/H 13.25 13.25
END OF FEES
EXPrii.E;D
D�� - l2 -�8
CONSTRUCTION ANd PLANNING . POO >PA
APPROVALS PermiC# Date Inspector AppROVALS Permit# Oate Inspector
i. Temporary Electrical 5ervice or Pole 52. Pooi & Equipment location .
2. Soil Pipa•Undrg�nd. . ' � 53. Steel Reinforcement "�' •
- 3. Electrical Conduit Utility-Undrgmd. 54. Forms �
4. Elettrical Cond�it�Und�grnd. . 55. Electrical Bonding j �
5. Stee1 ReinSorcement 56. Rough Piumbing & Pressure Test
. fi. Electrical UFER Grnd, 57. APPROVAL TO COVER�GUNITE �
Z Footings 58. Electricai Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. '
10. Structurai Floor Svstem � 67. APPROVAL TO DECK �
1 t. Properry Sewer �ine & House Conhection 62. Backwash & ReceptorFinai `
12. Sewer Cap 63. Heater & Vent�Finai
13. Roof Drains 64. Piumbing System � Final
74. flough Plumbing 65. ElectricaLFinal
75. Rough Electrical-Condutt 66. Solar System-Final
i6. Rough Elec[ric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 6&. APPROVED FOR PLASTERING
18. Rough Electrical•T Har Ceiling 69. POOI/SPA SYSTEPAS FINAL
79. Rough Heating & Air Conditioning FiRE DEPT. REQUIREMENT
�
20, Rough Factory Fireplace e , . AppROVAlS _ Permit # �
21. Ouces, in.StNcture � � 70."Underground Hydro �
22. Ducts, Ventilating • 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test ", � . ". 72. Underground Flush
24. Roof Praming. - . - - 73. Undergrnd.StoragzTank OGas OOiI
25. Roof Sheathing , 74. Overhead Hydrq '
26. T�Bar Ceiiing (Struc,urai) & Monocoat � � 75. Dry Chemicai '
27. Frame and Fleshing . . 76. Dry Staddpipe
28. �athing & Sidiag -_ . 77. FtXED SYSTEM FVNRL
29. Insulation � - " 78. FIRE PREV. FINAL
30. Drywall Nailina � - HEALTH DEPT. REQUIREMENT
31. Plaster Biown Coac 78. FINAL INSPECT70N �
32. Electricai Power MeterFinal � 80. POOD CERTIF�CATE �SSUED . - �
`��
33. Final Eleciric � Notes: .
34. Final Heating & Air Conditioning � � -
35. Fina! Gas Pipe�Test � ' ' _ � �
36. Hood or Canopy � - . . . - -p� .
b
37. Fina1 Factory Fireplace , . -
38. Finai Plumbing � �
�
39. Water Service-Final ` -
40. Gas Service-Pinal . - .
41. Solar pomestic-Final � �
42. Backflow Preventer --
43. Backflow irrigation
44. Landscape Irriqatio� SYstem .
45. Sound Attenuation . �
46. Handicap Regutations . �
47. FINAL STRUCTURE & BUICDING
48. FINALPLANNWG .
49. Electrie Release to Edison
50. Gas Release to Southem Califomia Gas Co
51. CERTIFICATEOFQGCUPANCY .
No. Date
/I
�ooncss a amidxo: 3 3 2 9 'aLkH AMt: C 2 uNT:
ONMEHSWMEIFIWpWX: �AVAGE, ftOBERT B TR FLOOD: F�E-3�
� A°OflE� 3329 ALAHAMA CIR
` COSTA MESA,CA 92626
751-6323
��avi. wuuxo �ooxEss:
�xcxrtea on �aw�x:
JiCX. OH ENG.'4 /iDDPE54:
uc. xo:
UNT:
coxm�c.arsru�e: WAYP7E RO�FIP7G ( 310 ) 861-371°
CONfN�CTORSYNIIIW 10619 SHELLYFIELD
�oo�ss: DOWNEY CA ucxo.: 609598
90241 uNr:
110ENSED CONfNACTOflS DECLAfl�TION: I harepy ellim untler penel�y ol pa�ury �hm I em licanaed uMer provieiona of Chepter 9
(mm onp wi�h Section )000� W Division 3 0l Ine Busi�was aM Prdastima Code, vM my lice�ua ia in full larce and eHetl.
cmuc.No.: � 592 ,� uacuss: C-39 �0 � 8 E:{p; OS /96
Dme: /6 / Comreu«:
OWNER BUI DEX �E IAXATION: I Mreby elfi� uMer peneMy perjury Ihel I e /rom the Conveaaa Licensa Lew /or �ha
Ilow'vi9 re�n (Seeion ]031.5 &niw�a eiM Pra�e�ione Code: AnY c'IY a countY �� AVuiree e pennil lo oomVuct. aller. improve.
deh, a repai vry aVictun, pria b Ya ivweMe. ebu mVuine Ihe eppliwil la wch pamil b fib a aprod aWenwnl Hxt M a eM
n IKemed W�*��a�l lo Ihe powaion� d tM Coni�on Lioenae law �Chapter 9(mmmervi�p wilh Sedion ]000) d Diveion 3 d ihe
Buainaes end Froleauns Coda� or ihel ha a sM ia examq iherehom eM Ihe buia la Iha elbped eaemqion. Nry videtion d Saqun
]W 1.5 by eiry nppYrent la e permil eubpee �M dpd�� �o e wil perelry d M mae Ihen Me hunEred Edlen �55W¶.
❑ I, ss o�mer M IM qopeMy or my employeae W h wepea ea �hai eob mmpaneetbn, xill do tha xvA, enE Ihe sWcture e nrn inlenAeE
«aflerad lar eeb (Section ]006, Businam end Probssions Cotle: TM Comreqon Ucenae lew doea mt epplyto en ormer d propeM
who WiG ar in0'� Iherean. aM who don aud� wnk limroll a hene� a Mraqh hb ar har own emWuY�. p�� tMl ach
imqovemeMa era M imaMeE a Wered lor se�e. M. howarer. �he buiMiip a inqwemenl ia eok wnhin aie ymr d mmpblon, Me
ow�wr�buiNer xill heve ihe buNan M provinp he or nM Eid nd build a improw Iw iha WT�e d aele�.
� I. es ovmer W IM popenY. am mNienelY a��rm�q wuh licm�sad wnveclae b omsbW Iha pM� (Seaion )014. Bueiroa enE
Profesaions code: TM conlraGan Licanse law daea mt eoPM ro an owmr d O�M x1a Wilda a imM^+m �Mreon aM x1a
convacW Iw wcl� proleda wiih e mnvedor�s) IcenxE W9� to the Caniredwe Lioenae law�.
� I em eremp undar Secibn: 8. 8 P.G.. la Mis �eeson:
o�a: ow�a�:
� ao �aeW cenM uia � em ewaro a mw uMasia�d me �ec����. a Gd+m�ie Meeah nr.d sa�mv Coae seaiom zsws. zs5xi. and
25534, end thv I a eny Imun buildieq rcwpent vrill / will nd (dmb one) rieeE to eomply wih aeid neb eadea eM iM reQuiremann la
e0a�mitlwconeWclionamoEifralionhwniheR'r�y e�eB�mamDimrid.Raeidentielmim1utlbneDW�iwmenmmmqlmmiM1ees
w�,;sb�s.
De�e: — AVDIcen1:
W OHKEfl'S COMPENS�TION DECIAR�TION: I �ereby elfirm urder penMy d pmjury ms d Ne Idbxirq deduaziona:
❑ I Mve uM mY meinlan e cmlRcab d mnsw�� to eetliruum br xakma' wmpenseton. m prwidad ta by Sed'an �)00 d Iha labar
Cotle. la iM pMamarwe d Ne xak la wM1K� thn peimn u uauad.
� I here enE wil meintein woM1ers companmii� inwrenca. m rpuired by $eclim 3100 d ihe LeEor CoEe. br IM pa�ormenm of iM
wwk fw xhidi ihia perm� c ivuad. My wakere' canGe�aeiian imurence raner end pdiry number ue: �
c�: �TATE FOA]D EXPIRES
aakyN�mter. '�Nti-9tinNTT( "1°" 01/O1l96
�rnrs�e;o,�eee�a6e�d�reerUere�xoro.a�enuneleeedwslsioolai .�
� I cenh' thet in tha pa�lormaMe d IM woA ��wh Ihia pertnil is eeuetl. I e�, I nd eni +IOY �Y Pe� in anY man�rer eo m to
becana eubl lo ihe rkera' compense�� �exe d CelJan' en in� d I ehouW become suhjW �o tM xaken'
�o� v� a s<ao�, rioo w�na �no. ced.. i m��;�n��n}� � i o� aa+�+.
_ �L�— Y
Deta: Applicant
wembp: FaNun ro• uro woM'en'rompewtlon roveraps I n4wN1, ib shsl td/�ef en Imploys� ro er/Mml psn�Ma s�W
clHl Anu ,gr ro ons �uMrM flwurnE tldbrl (J10Q0001, M�dd/tlon to fhs cwf al rompsns�tbn, Wm�q� �� pmv/Wtl br In
CONSTqUCfION LENDIN� AOENCY: I Mreby elfiim uMer panely d PorINry �lut �Mn ia e const�udion bMirp epenry br iM
�100l�OITBfICB (1� INB Nqk �O! W�III�I �h6 �IBl11116 WBUB� ($BEIUI1309�, i�iN. rii.
IENDEF'S NIJI E:
LENDEH'S ADDflESS:
1 eenM �hm I M�a reM Me WVriratian erd pe�e ihe� tha ebove iMamelbn o oortad. I e0ne to eanPN wnh a0 enY aM eoumY wdiree�e
�aeimamwe�wme�oe��Iyr��onshudioneMM1e�ebyauthonxarepresentmivesWthisdlYtoeMer�poniheebova�menlionedpoperly
ror insoeAlonmrwses. / 1.. / _ /i
� /7 ' n. / ii i �«�
Pnnl Neme ���J IIG �
� �� _ Dme:_��Z/��
a .OxnerinpenJApoliranuContreew /
// ✓��
(515116 WP) WhAe-Buikiq 6 Sefery: ��een-Fle; Cenery-AppFcenl; Pink-Revenua; OOldenroE-rUeaewr
CITY OF COSTA MESA - BUILDICIG PERMIT
PERr1IT NO: B 072354 PLAN CHECX P10: N
CONSTRUCTION TYFE: 5-N PEP.MIT TYPE: STR
JOB DESCRIPTION , TiU s REP.OUF SLOF'EU ROOF t^?/COMF 5'HINGLES
CLAIM VALUE: 2,95U.00 CALC-VALUE; 2,450.00 GR
�FPra r�o: e e��?,a
GOVT: N SUFP; N
PURPOSE; OTH
SQ FT; �,-i50
OUP OCC: R-3 ;'M-1
COMMENTS; REROOF 1600SF id/COMP, SMOKE DETECTORS REQUIRED PE�Qy?{�d�$�p�� ����^����
if')fi(-lFi�-'K�1fiEi{�Y'KjM1'IFiFtiY-AFitiE')f'kaF'FY={E'N'iR*'if'1fiFj(,'ifif'Nifif'Y'iFiFifiF�IF'N"Yif�F'�f'KifY'JFiFJF%{f"1F%jF �*t�V '�' i*
Z O N 2 N G R E Q U I P. E M E N T S �
S E T B A C K S ��������
!o.;. =-.
------------ MAICd BUILDING ---------- --------- ACCE550RY BOII,DIPIG ---------
FRNT: FT IN REAR: FT IN FRPIT; FT IN AEAP.; FT IP7
LEFT: FT IN RGHT: FT IA7 LEFT; FT IP7 RGHT; FT IA7
PARKING REQ: PROV: PARCEL; 13958124 ZP]E; REF �70:
PLANNZA7G PSOTES>
i
iE iF jc �7f iF 3F at -7F �Ic iE iF iF iE iE it if r� dF �c+k �if it 3F �iF 3f �u ic iF-� �7E ic� iF df M� 3t �x� it aF af ac+F x�)c -�. i'r ic i6 iE it ic iF aE if x as �f ic �lf aE )E �M iF u.�4 aF+-u at- 3F -N- i4 �: u iF ac+F 9c u�
D E V E L U P M E Dl T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROC'EU HY , DATE:
HUILDING APF�ROVEU BY DATE;
APPLICATIUDI ISSIIEU bY; �� DATE; �� �(��r'_i�
lfifji")EifiFiflf'IM1')('iF-)i"1EiF'1fii+FM'if')f'�'X"1EiF�ifiiF!f%"%iFiF�.���'IFiF#f♦ i4iF # iE*lf '� ifitifl4iF�f{FZi iG�('ififif'1�-?FiF'�f'�fY�rF4i'�'IF'N'iYKif-IF
:.EGAI,IZATION;N F E E S U M M A R Y STP.UCTURP.:, SECMEVT;Y
BLDG PMT FLUMBING ELECTAIC t4ECHANIC FTRE SMIP!RES GP.ADIP7G
PERMZT 54.00 5p
P LAf1
ISSUE FEE
BUILUING-D2�'->
TOTALS----�
PERMIT ISSUE PLAN-CHECK
59.50 0.00 O.OQ
REVEDIUE UiL'IS20N TUTALS--> COLLECTEU;
BLDG PMT PLUMHING ELECTRIC MECHANIC
54.00
SM:P;*70N-�ES
TOTAL PAID DU�'
54,50 59.Sp ,OQ
54,50 OVER/SHUP,T; ,00
FIRE SMIP/TO? GRAUING PLAN-CHEC'r:
.SO
'V Y-if �14 tk #' af # if iF if M iF �M ii lf if fF } M 1F i{ af �M if x if iL 1' if'1E if if iF iE.E'1F #'� if 1F �F+f 4 iE iM1'1f iE 1F if Y qE �f Y Y� f ii+i� iF tE iF i4 if M' irv Y Y+i.' iF'1E i� F?E iF }h # iE # it
I A1 D I V I D U A L c E E H R E A K D O U1 Pl
TYF�E gTY D E S C P. I P T I O N UNIT CUST TUTAL COST
SFR 2450 REROOF HY VALUE R£SIDENTII�L NOZONE 1,00 2,450.Q0
END OF FEES
t�l DG1��L1:a'-6C1E��24 �c�ti <<,iC
+�ATc: C;/i6145 'iIt1E: 10:�9
"CONSTRUCTION AND PLANNING P� & SPA !
APPROVAIS Permit # Date Inspector AppqOVALS Permit # Date Inspeccor
i. Temporary Electricai Service or�Pote 52. Pool & Equipment Location , �
2. Soii Pipe-Undrgmd. . 53. Steel Reinforcement �
3. Electrical Conduit UT�lity-Undrgrnd. 54. Forms , .
4. Electricai ConduibUndrgrnd. 55. Electrical Bonding ' ,
i
5. Stee! Reinforcement 56. Rou9h Plumbing & Pressure Test
6. Electrica� UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Eiecxrical Conduit-Undrqrnd.
i
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap,. G Undrymd.
10. Structurai Floor System ' 67. APPROVAL70 DECK�` �
7 i. Property Sewer Line & House ConPection 62. Backwash & Receptor�Firsal + !
12. Sewer Cap . 63. Heater & Vent�Final � . (
13. Roof Drains 64. Plumbing SYstem � Pinal
14, Fough Plumbing 65. Electrical-Fina�
15. Rough Elecxrical•Conduit 66. Solar System�Final '
16. Rough Electric Wiring 67. Fencing & Access ApProvaf '
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Efectrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
/9. Rough Heating & Air Canditioning FIRE DEpT. REQUIREMENT
20. Rough Factory Fireplac=_ APPROVALS Permit #
2/. DuGts, in Structure 70. Undergwund Hydro
22. DuMs, Ventilati�g 71. Product Piping �Gas ❑Oii
23. Gas Pipe-Rough & Test 72. Underground Fiusli
24. Roof Framing 73. Undergrnd.5torageTank OGas ❑Oil
25. Roof Sheathing �'j � R�(� 74. Overhead Hyd�o
26. T�Bar Geiiin9 (Structurall & Monocoat 75. Dry Chemical
27. Frame and Fiashi�g 76. Dry Standpipe
28. Lathing & Siding 77, FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CER7IFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Fi�al Factory Flrepiace
38. Final Plumbing �
39. bVater Service-Finai
40. Gas Service-Final
41. Solar pomesticFi�al
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINA� STRUCTURE & BUILDING 18�f� (�,�(q
48. FINALPLANNING
49. Eleetric Release to Edison
50. Gas Release to Southern California Gas Cq -
51. CERTIPICATE OP OCCUPANCY
No. Date
Aoo�ieant to fili in all sDaces exeept those within heavY �ortler lines antl sign all appropriate tleclarations.
CITV OF COSTA MESA � ON/$yT�:RUCTION PE M�T /}(q�pfY�/,
Project Address ��� �n21l �l ' I j�
,ApplicanYsMaili AdAr !7�/J� ��r7� "
r
Owner's Name Phone � S � �
Address �
Arch/Eng. License No.
Address �/,��
Convactor's Nam a [r.-�.Pho� �S
Addresslm���'nnl U �rn
Ciry License No 7,�
LICENSED CONTRACTOR OECLARATION
I hereby a//irm that I am lic¢nsetl untler provi5ion5 of Charter 9(commencing
WILh 52C110l1 i��0) Of DIVIS�OfI i O} {h8 BU5111255 d(Itl P(O}QSSIOf15 COtl2� dfltl
my license is in full fo,�+ce. �a� effect. t/z�
License lasi / --�"'�/� —�+c� e �
Da[e �/�' / 5'9 t
WORKERS'COMPENSATION DECLARATION
I hereDy afflrm that I have a certititate oi consent to selt-insure or a certificate
�.!�Morkers' Compensation Insurance, or a certitietl copY thereof (Section
800, Lab. S.}. ���� �.i_ r ' � �
Policy No. _���t Company J�(if�wr v�l
¢rtitietl copy is heteby turnishetl.
Certif'e p,' Tiletl with the city �Itl' 'rs� '`
Date Applicanf� � C�.C�
EXEMVTION FROM WORKERS' COM ENSATION DECIARATION
(This section neetl nat be completetl if the permit is for one huntlretl ($100) or
less).
I certi(y that in the pertormdnce Ot the work to� whicn thls pe�mit is Issuetl, I
shall no[ employ any perzon in any manner so as to become subject to the
Workers' Compensation l.aws of Califomia.
Date Signature
NOTICE: If, after making this tleclaration. You shoultl become subject [o the
Workers' Compensation provisions ot the Labor Cotle, you musi forthwith
comply with such p�ovisions o� thi5 permit Shall be tle¢metl vevoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm tnat tnere is a construction lentling a9ency for the performance
of the work for which t�is permit is 155uetl (Section 3097 Civ. C.)
Lentler's Name
Lentler's AtldreSs
OWNER BUILDEa DECIARATION
1 hereby alfirm lhat I am exem0� irom the ConVactor's License L.aw tor tne
following reason (Section 7031.5 BuSinezs antl Professional Cotle: Any city or
county wnich requires a permit to construct, alter, improve, demollsM1 or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signetl statement thdt ne/she i5 licensetl pursuant to the p�ovi5ions of
the Contrac[or's License Law (Chapter 9(commendng with Section ]0�0) of
'+ivision 3 of Ihe Bu5ine55 antl P�ote55ions Cotle) o� that he/she i5 exempt
�re(rom antl the basis for the allegetl ezemption. Any violation of SecUon
q.5 by any applicant for a pe�mit subjectz the applicant [o a civil
ialty of not more than tive huntlretl tlollars ($500).
J I, az owner of the pro0er[y o� my employees with wages as their sole
<ompensation, will tlo the wo�k, antl the st�ucture i5 n0[ intentletl o� offe�etl
for sale (Section �046, Business antl Professional Gotle: The Contractor'S
LicenSe Law aoes not appty to an owner of a property who builtls or Improves
thereon, antl wno tloes such wo�k him5elf/hersel/ or through his or he� own
em0loyee5, provitletl that such Improvemencs are not intentletl or offeretl (or
sale. I(, howev¢r, the builtling or improvement is soltl within one year of com-
o�etion, the owner will have the buraen of proving he/she tlitl not builtl or im-
prove for the purpose oisale).
❑ 1, as owner of the property, am exUusively mntracting with licensetl con-
tractors to construct the project (Section 7044, Businesz antl Professions Cotle:
The GonVactor's License Law tloes not appry to an owner of property who
builtls or imoroves thereon. antl wno contracts for sucn oroie<ts witn a con-
tra<tor(sl Lcense pursuan2 to 2ne Contractor�s License Law). I am aware thax
proof of their Worker's Compensation inzurance shoultl be provitletl to me.
❑ I am exempt unaer Section B. & P. C. for this reason
Date Owner _
I hereby certity [hat I have teatl this
information is correct. I agree to comp
and state laws relating to builtling con
$ignature /'�l // L�
Drivers• License or 55 �
0865-46, rev. 5/88
pplication antl state that the above
with al1 city antl county orGinances
�uction, antl hereby autnorize repre-
the above-mentionetl propertyM for
�..�� Date / �/-D'7
.
._.... ..�. � � ....._. ___. __..__. .,,.�� �.... A.P.#
S Main Building:
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T F�ant
DESCRIPTION OF WORK/USE OF BLDG. A Rear
TVPEOFPERMIT GRaowG�oUNOATIorv STRVCrVaaL I C Right
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL g� Left
❑ �OTHER Ping. Ref. #
PROJECT DESCRIPTION 5�. F7. OCCUPANCV Planning Notes:
CONSTRUCTION TYPE VALUATION $
ZONE GRADING CU.YDS. ACRES �
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ 0-100,000 BTU O 100,000 BT
Reinspection Fee � $15
White - Builtling; Canary - AP011can[; Cink - Accounting; Goltlenrotl - A55essor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Tra'ys
Isue Fee
Hoodor Typel ❑
Canopy Type I I ❑
FEES
Zone
Accessary Building:
Parking Req./Provided
ELECTHICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction Pole Sub. ❑ 50 + KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher �. Meter ❑over100amps
Dryers ❑Gas `�Electric Sub Panel
Fan _ Motors �0-1 HP �1 X- 8
F.A.U. '� Inc.Soiar �9-75 HP �16-15+
Fixtures
Device Bazes ' .
Outlets
$witCh¢5
Garbage Dispoul
Generator �0.5 KW �5-15 KW
Pole Light
Range
Sign
Standing Sections
Trash Compactor
Reinspection Fee ! $15 luue Fee
$ 3 DEVELOPMENTSERVICESHEQUIREMENTS:
2oning Approvad By
FEES Buildine APV�oved By
SUMMARV OF
FEES
$ 3
N
I
N
G
R
E
Q
M
T
S.
BUILDING PERMIT $ SMIP $
Refrigeration Sys[em PLAN CHECK �
$ PERMIT
❑6700,OOOBTU ❑100,OOOBTU PLUMBING $ �D ISSUANCE $
System Repair/Alteration P�N CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
Fire Dampers PLAN CHECK SO% $ MICROFILM $
Registers MECHANICAL $ TOTA�FEE $ �
PLAN CHECK 25% $
Issue Fee � $ 3
�i ��c����_�-.oaa�ao; a�'= 5.c7
�aT�. o2ia�;s-; 7lli=s 15-�£
., �
� CONSTRUCTION AND PLANNING POO PA
� Date Inspector ' Date Inspector
�APPROVALS hermit # APPROVALS Permit #
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms '
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5.-Steel Reinforcerrient 56. Rough Plumbing & Pressure Test
6. ElectiicalUFER�Grnd. 57. APPROVALTOCOVER-GUNITE �
7.'Footings 58. ElectricalConduit-Undrgrnd.
8. Foundation ' � 59. Gas Pipe, � Undrgrnd., Test
9..Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, Q Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
. �
13. Roof Drains 64. Plumbing SYstem - Final
14.�Rough Plumbing 65. Electrical-Final
15. Rough Electrical,Conduit 66. Solar System-Final
1�6, Rough Electric Wiring � 67. Fencing & Access Approval
'77. Rough Wiring Siyn 68. APPROVED FOR PLASTERING
�18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
?0. Rough Factory Fireplace APPROVALS Permit #
�21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilatirlg 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final S0. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
�
38. Final Plumbing ,�n Z.�y�q [,�i0
39. Water Service-Final ; ��
40. Gas Service-Final -�
�
41. Solarpomestic-Final�,:
42. Backflow Preventer '�C "''�'
..., U:.
43. Backflow Irrigation.,,, t��� ����
44. Landscape Irrigation•System .
,�
45. Sound Attenuation � �'� ' !
r�
46. Handicap Regulations r-
47. FINALSTRUC7URE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison: �
n, '•
rr
50. Gas Release to Southem California Gas Co �j. •
51. CERTIFICATE OF OCCUPANCY
�..
No. Date •�
CITY OF C�ST'A 16_ SA
CALJFORNIA 92628 P.O. BOX 1200
FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY
c August 13, 1976
To Whom It May Concern:
The patio cover at 3329 Alabama Circle in Costa Mesa
has been removed.
Sincerely,
_ �
RICHARD HANHART
Building Safety Director
RH/ajr
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. /�h ) 3 DATE �/-7 �
LOT N0. ��
ADDRESS � 3Z� ��J7a�ys.�� (_�/�'/ r
The developer o£ the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were)
advis.ed that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnif� and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
"l1
,1 �
BY'✓C�/�
Purchaser
BY �s �
Developer and,yor�a horized
representat'vE�e
� er
Z .
WW
a c�
zQ
ON
am
J �
J V1
Q W
Q] J
•m
J Q
U N
Z a
W �
d W
WZ
J Q
m Z
J �
W w
� _
Z �
W �
70
� �
z
U I
J
a
a
Q
�
F
N
z
�
F
U
�
�
F
N
Z
B-4R '1� � � � I
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING ���� /� �iy���
ADDRE55 (�
OWNEF Hermes �V. i�i0.
ADDRESS 1104 E. l�th Street
ciTv Santa A*�a No` 547-704
LENDER�'ON United States National Bank
BRANCH 190 BT'Oadwa
AODRE55 S9,[� DlA O C
ARCHITECT __ .. .
CONTRACTOR Qy�'
ADDRESS
CITV
STATE
ua No. 252;6
SI2E
OF LOT LOO X
USE OF ,
EXISTING BLDG.
TEL.
TEL.
NO.
GTV
LIC. NO.
NO. OF BL0f35.
NOW ON LOT O
BLDG. 1 O 8O• FtROOMS STORIE
:RIOR WALL ROOF COID�10
ERING S'tUCCO COVERING W
OF BUILDING AND WOfiK TO BE PERFORMED
I hereby acknowletlge ihat I have reatl this application and state
that the above informa��on is correct antl agree to comply with
all laws regulatin8 build��9 construction, antl I shall not employ
any person in violation ot the workman's compensation laws of
the State ot Calitomia.
I hereby certify that I am properly licensed as a contractor untler
the State of California 6usiness antl Professions Cotle, Divisicn 3,
Chapter 9, antl that such licenses are in full force antl eftect, or 1
am exemp< trom ifie provisions of the Stete of Galifornia Busiaess
antl Professions Cotle, Division 3, Ch er 9.
Sig^atura of
Permittee
Auffiorizetl Agent
,1PR2�!-69PAI�001305� �=*137.25
CMSA
APPLICATION FOR BUILDING PERMIT
BUILDING �� � ^
ADORESS (��
TRACT(0��� LOT��
OWNEF
VALUE
FIRE �
ZONE
APPROVED
�'J
N NO.OF USE OF NEWN`�/ �
� PLANS `�/ 9UILDING '
YARDSAPPROVED VARDSAPPROVED {
MAIN BUILDING ACCESSORY BVILDING
�
�
DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
CURP �V�S�% Q APPROVEDS��—tl
APPROVED f i // A .� . i i.
I�/ /i7 S(1. FT. � �'%'R� � o
THE AMOUNT SHOWN UNDER VALUATION IS FOR j
THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
�
VALUATION ,�O m
PERMIT FEE S c'
/ 'y 7
a�;��a�° �//� o
5 PLAN CHECK $ '"7'�./• / E
� �'f'-r �l C LL
OWNER ��S DEVFLOPMINT DATE 5-1-69
JOB ADDRESS 3�29 A]nhama Circle BUILDING PERMIT N0. 30111
INSPECTIONS
SUBCONTRACTOR
GAS
WATER �y L .LY
ROUGH PLUM6ING
PROP. SWR. LINE OUSE O
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONO
TEMPORARY SERVICE OR POIE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES �fi FORMS ,� STEEL REINF.
FLOOR SVSTEM
BOND BEAM � STEEL REINFORCE n
SHEATHING
FRAME ANO FLAfScTHING
LATHING — IN �r i OUT �
PLASTER, BROWN COAT �_3}�C
STRUCTURAL, FIN
HEATING, VENT., REFRIG. AND A.C., FIN9L
9UILOING, FINAL ' I�Lii'�:-- L?'��'
SPECIAL REOUIREMENTS i GT . .4-/c