HomeMy WebLinkAbout2042 CAPELLA CT - Building PermitsJob Address: 2042 S CAPELLA CT
Suite:
Vicinity: BEDROOM #2, OFFICE AND LAUNDRY ROOM
Parcel Number: 13940114
Applicank SALSER.4, ROSA
Address:
COSTA MESA, CA
2042 S CAPELLA CT
Zoning: R1 R1
Phone: 714-5466277
Zip: 92626
Owner: REED, WILLIAM B AND BALSERA, ROSA
Address 2042 S CAPELLA CT
COSTA MESA, CA
Conlractor:
Address:
Phone: 714-546-6277
Zip: 92626
Phone:
Zip: � License:
Arch : ROSA BALSERA Eng:
Address: 2042 S. CAPELLA COURT Address:
Phone: 714-546-6277
Slatus: ISSUED
Applied: 01/28/2003
Issued: 111t 3/2003
ISSUED BV: �
Phone:
COSTA MESA, CA
Zip: 92626 License: 20211 License:
SCOPE OF PERMIT
CONSTRUCT 107 SF ADDITION TO AN EXISTING SINGLE-STORY SFD. RELOCATION AND EXPANSION OF BEDROOM #2, ORIGINAL AREA
OF BEDROOM #2 TO BECOME AN OFFICE. ALSO INCLUDES NEW WINDOWS AT OFFICE AND EXISTING BATH AND A NEW DOOR AT
EXISTING GARAGE. REMOVE (E) TRELLIS
ON WEST SIDE OF HOUSE.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$136.01
$209.25
$1.14
$0.00
$0.00
$0.00
$346.40
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Ezistinq: 0
Rear 0- 0
Rear 0-0
Re uired: 0
FEE SUMMARY
Calc Valuation: $i�,386.80
Claim Valuation: So.00
PLANNING & ZONING
Lek 0-0 Right
Left 0- 0 Right
Proposed: 0
��
� �,
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, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work Is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In ortler for the work authorized under ihis permit to ba considered legal, such work must comply with all applicable codes, and all
required Inspectlona and final epproval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of this permit.
FOR INSPECTIONS CpLL: (714) 7545626
zmc�ae lvoo)
WORKERS' COMPENSAT�ON DECLARATION: %
I hereby attirm untler penalry ol perjury one ot the following deGarations:
❑ 1 heve and will maintein e certiticate of consent to selt-Insure for workere' compensation, as provided �or by saction 3700 of the Labor Cotle, for Ihe peAartnance of Ihe
wark tor whith Ihis pe�i� is issued.
❑ I have arW wlll
Carrier.
insurance, as requiretl by section 3700 ot the lebor Code, for Ne paAortnance ot the work for which this pertnii is issued.
od policy number are:
Policy Number:
. . one. . . . _ .-
or /ess.J
certily Ihat in �he pedortnance of Ihe work tor which tliis pertm( is issueC, I shall not employ eny person in eny manne so as to become subject lo the workers'
compensatlon laws ot Cali/omla, arW egree �het'f I shouid becollv subject to the workers' compensation provisions o Section 3�p of ihe Labor Cotle, I sheil fotlhwllh
comply with Ihese pro�A�R.� � i�� �3 �o,�
Applicant SignaNre: � Date: �_
WARNING: FAILURE TO SECUR �'OFKERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENPLTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOILARE (5100,000)� IN ADDITION TO THE WST OF CAMPENSATIIXJ, DAMAGES AS PROVIDED FOF IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTOqS DECLARATION:
I hereby eflirm thet I am licensetl under pmvlsions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Pmfessions Code, end my license is In full
force end eHect LIc. N Class tl
Comraaofs Signature: Date:
CONSTRUCTON LENDING AGENCV:
❑ I hereby aHirm that thore is a cons�ruction lending agency tor the pedormance ol �he work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lende/s Neme: Lendefs Atltlress:
SignnWre: Date:
OWNER-BUILDER OECLARAnONS:
I hereby etllrm Ihat under p�nalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strucmre, prior to its issuance, also requires the applicant br such pertnit
to file fl signed statemeni that he or she Is Ilcensetl pursuant to the provisions ot Ihe Contrectors Llcense Lew (Chapter 9(commencting with Section 7000) at Divislon 3 of the
Business and Proleuions Code) or Ihat he or she is eaempt theretrom and the basls tor Ihe elleged ezemption. Any violation oi Section 7031.5 by any epplicant for a permit
subjects ihe applicent to e d��� penalryof not more than five hundred dollars ($500)J:
❑ I, as owner of Ihe property, or my employees with weges es their sole compensation, WILL DO TNE WORK, and the structure is not Intended or oHeretl for sale (Sec.
7044, 8usiness end Plofessions Code: The Contractors License Lew does not apply to en owner ol properry who builds or improves thereon, anA w�o does such work
himsell or �erself or through his or her own employees, provided Ihat such improvemen�s ere not Intendetl or offered for sale. If, however, Ihe building or Impmvement Is
within one year ol completion, ihe owner-builder will have ihe burden of proving ihet he or she tlid not build or improve for purpose of sele.).
I, as owner ol tha property, em EICCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct the projed (Sec. 7044, Business end Professions
Code: The contrectors License Law does not eppty �o an owner ol proparty who bullds or Improves thereon, end who coniracts for such pro�ect wlth e comrector(s)
license pursuant to t�9 Contrectors License Laws.).
❑ I em eaery er SeC. Business and Professions Catle for this reason:
Signalure: � . Date:
Owner ID ver ied by dnvafs license. es ❑ No Driver's License No. E:pires:
Vedfication ol Ownership by (rype oi daument, i.e. - property ta< 6ill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON:
❑ I hereby certity ihet no escava�ion five (5) or more feet in depth in�o which e person is requlred to descend, will be made In connection wi�h work euthonzed by this
permil, antl Ihat no bui�ding sWcture, scattolding, talsework, or demolition or dismantling i�ereo(, will be more ihan ihirty-six (36) feet high. (Ghap. 32, Gry 2, Ar12, Sec.
381, Tlle e, Califomia Adminisiralive Code).
❑ As owner-builder, I will not employ enyone to do work which would requira a pertnit Irom the Division of Intlustrial Safery, es noted above, unless such person has a
permit to tlo such warU <<om ihe tlivision.
SignaWre: Date:
Oivision ot Industnal Safery Permit Number:
CER7IFlCATE OF COMFLIANCE AND AUfHORVA710N OF ENITiY: I cenify under penalry of perjury that I �ave read this epplication antl state ihat t�e intormatlon given is
correct. I egree to comply with ell stete laws end city ordinances relating to building cons�mction, end authorize representalives of Ihe City of Costa Mesa to enter upon Iha
ebove-doscnbe mperty lo! inspection pu ses. g not to wcupy or allow occupency of eny building authon� � t�� rjnit un_ til finel inspection.
' lY�
Signature Of le OwneQs) T le
Antl/Or Aut�onzed Applicant Date
40�E �. INSPECTIONTYPE
7816 Fixed System Final Fire Preventian
7266 Pool Spa Final
200 Final Ra-Root
201 Final BIocWRetaining H'ell
202
203
Finel Fettory Fire P�ace
Final Sign
204 Final Demolition
PAIE It�L$
COOE� INSPECTONTYPE
208 Finel Mechanical
20B Final PlumDing
210 Finel Electrical
212 Final Fire Prevention
220 Final Planning ApDroval
222 FinalSite
250 Final Building/Occupancy
PAIF
%Ly ��f
ItIIIDELi
(�14) 754-5273 • Fax (714) 754-4856 • v+ww.ci.costa-mesa.Ga.uSCTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92826
tLt
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Address
Contrac[or:
Address:
ISSUE FEE
Temp service tesl
Res. a/c package
New Res (1-2 uniLs)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to 10hp
Motors to SOhp
Motors to �OOhp
2042 S CAPE�LA CT
13940114
BALSER,4, ROSA
2012 S CAPELLA CT
COSTA MESA, CA
REED, WILLIAM B
BALSERA,ROSA
COSTA MESA, Cq
2042 S CAPELLA CT
Phone: 714-546-6277
Zip: 92626
Phone:
Zip: 92626
Phone:
Zip:
License:
Status: ISSUED
Applied: 11/13/2003
Issued: 11/13/2003
ISSUED BY: `-��J v
SCOPE OF PERMIT
CONSTRUCT 107 SF ADDITION TO AN EXISTING SINGLE-STORY SFD. RELOCATION AND EXPANSION
OF BEDROOM #2, ORIGINAL AREA OF BEDROOM #2 TO BECOME AN OFFICE. ALSO INCLUDES NEW
WINDOWS AT OFFICE AND EXISTING BATH AND A NEW DOOR AT EXISTING GARAGE. REMOVE (E)
TRELLIS ON WEST SIDE OF HOUSE. REF: B03-00133.
ELECTRICAL TO INCLUDE: 9 LIGHT FIXTURES, 15 OUTLETS, 6 SWITCHES.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$9.90
$16.50
56.60
50.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantiry
0
0
0
9
15
6
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Section
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Eduipment
Low Volt Wiring System / Ckt
Misa Conduit
Misc. Conduclor
Circus ( gen or nde)
Circus (mech ride or light5)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
S0.00 0
$0.00 0
50.00 0
50.00 0
50.00 ' 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
30.00
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, § 1, 72•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 tor ihe work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2408d8 (flN0)
WORKERS' COMPENSAY�ON DECLAFiAT10N:
I hereby aHirtn untler penalry ol perjury one of the following daUarations:
❑ I �eve and will maintain a certificete of consent to self-Insure br workers' compensation, es provided for Dy sedion 3700 of Ihe Labor Code, tor the peAortnance ot iha
wark tor which ihis p9�it is issued.
❑ I �eve end will maintain workers' compensetion insurance, as requiretl by section 3700 ot Ne Labor Cotle, for the pertortnance oi Ihe work for which Ihis pertnil Is issued.
My workere' compgn4atlon Insuren carnar antl policy number ere:
n_i�
carrler. \���� PolicyNumber.
his sectlon need'nof be complefed the permit Is velued ef one hundred dollars ($100J or less.J
I cenity that in Ihe performance of Ihe work for which ihis permit is issued, I shall not employ eny person in any menner so es to become subjact to the workers'
compensetfon laws ot Calitomia, entl agree that If I s oultl become suh�ect to iha workers' compensation provislons of SecGon 00 oi the Lebor Gotle, I shall forthwith
comply with these prd�si �i-� (�j�
Applicam Signeture: � /d Date: � � �� � � v - J
WARNING: FFILURE TO SEW WORKERS COMPENSATION VERAGE IS UNLAWFUT AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GNL FlNES UP TOONE MUNDRED
T/KK15AND DdlAflE (5100,OOOI� �N q�DITION TO THE C0.ST OF COMPENSATIIXJ, DMi4GE$ AS PROVIDED FOR IN SECTION 31080F THE IABOR CODE, INTEFEST, AND ATTORNEY'S FEES.
IICENSED CONTRACTOHS DECLARATION:
I hereby eHirm t�at I am lic�nsed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 ot t�e Buslness antl Professions Code, end my Ilcense is in full
torce nnd eftect. Lic. N Class q
Comractor's SignaWre: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby aHirm ihat there is e cons�ruction lending agency tor t�e peAormance of �he work tor which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lenders Adtlress:
Signature: Date:
OWNER-BUILDER DECLAAATIONS:
I hereby eHirtn Ihat untler panalry of perjury Ihai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7037.5, Business anA Protessions
Code: Any ciry or counry wpich requires e permit to construd, alter, improve, demolish, or repair any simcture, pnor to Its issuance, also requires che e00�icaN tor such pertnit
to ille o slgned stetemant tdat he or she Is Ilcensetl pursuent to tha pmvisions ot the Comrectors Llcense Lew (Chapter B(wmmencing with Section 7000) of Division 3 of ihe
Business end Professions Gode) or that he or she is esempt Iherefram and t�e basis for Ihe elleged e:emption. Any violatlon af Saction 7037.5 by eny epplicent far e pertnit
suh�ects the applicant to a ci�il penalty of not more than fiva huntlretl dollars ($500).�:
❑ I, as owner ot the property, or my employees with wages es Ihelr sole compensation, WILL DO 7ME WORK, en0 the structure is not intended or ofleretl tor sela (Sec.
7044, Busineu and Professions Code: The Contracbrs Licensa Law tloes not apply to en owner of property who builtls or improves ihereon, and who tloes such work
himself or herself or tbrough his ar her own employees, providad that such impmvements are not intanded or oNered far sale. lt, howaver, the huiltling or improvemant is
�Id wit�in one year of completion, the owner-builder will have the burden ot proving �ha� he or she did not build or Improva tor purpose ot sale.).
es owner of the property, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct Ihe proletl (Sec. 7044, BuS��ess end Profeuions
Cotle: T�e conirectors License Lew tloes not epply to an owner ol property who Oulltls or impmves thereon, and who contrects br such pmject wit� a contracror(s)
license pursuant to ihe Conirectors License Laws.).
❑ I am exem nder sec. Business and Protessions Code for this reason:
SignaWre: � '/ Date:
Owner ID verif�ed by tlnvefS license. es ❑ No Drivets License No. Expires:
Vedticntion of Ownership by (rype of tlocurtTQnt, I.e. - property tex bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certiy ihat no e:cavetlon flve (5) or more teel in dep�h imo which e person is requiretl �o tlescend, will be metle In connection with work authodzed by Ihis
permit, end that no building sirucWre, scaflolding, talsework, or demoli�ion or tlismantling thereof, will be more than ihirry-six (36) feet high. (Chep. 3.2, Gry 2, Art 2. Sec.
341, Title 8, Calitomia Atlminisiretive Code).
❑ As ownar-builder, I wi�� not employ enyone to do work which woultl require e pertnit from the Division ol Intlustnel Safery, as noted abova, unless such person has a
pertnit ta do such worK <<om �he diNsian.
Sipnature: Date:
Division of Intlusirial Safery Permit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I cenity under penalry of Derjury that I have read ihis epplication and state ihat the information given is
correct. I egree to comply with all ste�e laws end city ordinances releting to building cons�ruction, and authonze representetives of the City of Cosia Mesa Io enter upon Ihe
ebove-descnbetl azq� tor Inspection puryo � s I e ree not to occupy or allow occupancy ot eny building authorizetl by thi�p�rtnit until f�al'�ion.
� � 3 V
SignatweOlLeg OwneQs) ate
Antl/Or AuthoriZed ApDlicant Date
COOE �. INSPECTIONTYYE
1676 Fized System Final Flre Preven�lon
1286 Paol Spe Final
200 Finel Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 FinalSign
204 Final Demolition
,\�
Qd� It�dLfl
COUE� INSPECTONTYVE
206 Final Mechanlcal
208 Final Plumbing
210 Final Eleciricel
212 Finel Flre Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Oaupancy
� 1!�
n� /�I, �
�
Pfl0.1ECTR00NES5: ZO42 S CAPELLA CT
awxex�sxune:_MARSHALL TFiOMPSON
noosEss: SAME
�
FPCHIENGINEER:
RODflESS:
1
�
REO.MO.:
UNIT:
UNR:
PEflMiTTEE: ALUM ROOFING SPECIALISTS ('719 ) 558�-0678
nooxess: ,t529 E MCFADDEN
S.A, CA 92705 '
IICENSEU LONTHIICTOP OECUMTION: 1 hereGy aHirm Ihat I a licensetl un r provisions of C�aO�er B(commencinB ��h Section
7000) of Division 3 ai the Business and Pmtessions CaAe, antl m icense is i ulliorce an0 eifect.
cmu� 337•p��0
Oate: � SignaWre: �
WONR BS'COMPENSATIONOECLRIUTI N: I�erebyaifirmt�atl aveacenificateoiconsenitoself-insurearacetlificateolWorkers'
Compenution Insurance, or a certifieE copy thereoi (Section 3800, La�. C�.
roucr No.: 06 6 2 fi X 9 9 A 9 E%P. ORTE: O 9/ O 1/ 9 O
carnrexr: STATG
Ceni/ied copy is he2�y lumi Aetl. � Certife0 capY is led wi the ci sion.
�
Oate:� � � � APDlicanC . . �/
F%EMPf10N FIIOM WOBKEflS' COMPENSRTION UECIAMTIOX: (ihis sectiw nee0 not Ge complete0 if che permit is tar one hunOrW (5100) or lew).
I certity ihat in the pedormance ot tAe work for which this permit is issueA, I shail not employ any person in any manner so as to 6ecome
su�lect to the Workers' Compensation Laws at Califamia. '
Oate�. SiAnature:
NO710E: If, afler makinp this Aeclaration, yau shoultl become subject to [he WOM1ers' Compensation provisions of the Labor
Cotle, you must forthwith comply witA sucA DmNsions or t�is permit shall Oe tleemeE rewked.
CONSiNUCTION LENOING R6ENCY: I hereby attirm that there is a consimction IenOing aAency for ihe petlormance of the work for
w�ich Ihis permit is issuea (Section 3097, Civ. C).
LENDEfl:
' RODflE53: - .
OWNEP BUILDEB OECIAMTION: I here�y aliirm that I am exemD� ��om the Coniractors' State License Law foi the follawinp reason
(Sectian 7031.5 Business an0 Pmfeulonal CoGe: My ciry of counry whicA reQuires a permit to constmct, alter, imD�ave, tlemoiish, ar
repair any stmcture, pnor ta its issuance, atso requires ihe aDPlicant lor such permit to tile a signetl statemem that he/sh¢ is licens¢E
pursuant to the provisions of the Cantracrors' State License Law (Chapter 9(commencinA w��� Section 7000) at Division 3 of Ihe Business '
and Pmfessions Code) or tAat he/s�e is exempt iherelmm antl Ihe basis for the allepea exemption. Any violation of Section 7031.5 6y
any applirantfor a permrt su�jects ihe applicant ro a ciNl penalry oi nat more t�an fve �unUretl Dollars (5500).
I, as owner of ihe properry or my empfoyees with wages as Iheir sole compensation, will tlo tha work, an0 tha
❑ slmcNre is not inlenGeE hr ottered for 5aie (Section 70dd, Business an0 Protessional Code: The Coniractors State License Law
tlaes not aD0lyto an owner of a proDerty who Lmlds arimprovestherean, antl w�o tloes such woM �imself/herselfor ihrouqh
his or her own employees, provided t�at such impmvemenis are not inten0etl or offere0 for sale. If, however Ihe builtlinp or
�imDmvemen� is soltl within one year o� compleiion, tAe owner will have �he DurOen ot Orovinp he/she tlitl noi Oui10 or improve
for tAe Ourpose of sale�.
I, as owner of the pmperly. am exciusively contracting wit� Iicense0 contractors to constmct the pmlect (Section 7044, Business
❑ antl Pmfeuions CoOe: Tha Contracto7 S[a[e License Law Oces not ap01y to an owner of pmcehY w�o �utlJs or improves tAereon
anA who contracis tor such prolects wiN a contractoqs)license pursuant ro t�e Coniractors' Stata Licensa Law�.l am aware
t�at proof of their Worker's Compensatmn insurance shoultl be Drovitled to me.
� I am exempt untler Sectlon: B. d P. C.
lor ihis reason: �
Oate: � Pxner.
I Oo �ereGy ceniry that 1 am aware ol ana un0erstanA tAe requiremenis oi California Healih anU Safety Catle Sections 25505, 25533, an0 .
25534 an0 tAat I or any future builtlinp oauDant will/will not (circle one) need to comply with saiG state codes anC the requiremeNs for a
permtl for cansimction or maAification /mm ihe Hir Oualiry ManaBement Oisinct. Nesitlential constmction aDPlications are exempt from
�Aese pravisions. , '
Date: ApplicanC _ �
I hereby cerlity tAat I hava reatl this aDDlication ana state that ihe ove inlormati t. I agree ro comply wit� all ciry antl counry
ortlinancesantlsta�elawsreW�ingtoOuiWingcons�mctlonanOhe y uthon preenU�ivuo�thisdryloenteruponlheahovemenioneU
pm0e� �or inspectionyurposes. /
Date: � � SignaNre:
�nver's License or Socia� Secunry x:
1601-46 W�ite—Buildina: Green—COEe EniorcemanL Canan—ApDlicflnt Pink—Revenue: oltlenroE—Assessor—
CITY OE COSTA MFSA — DUILllING PERMIT
PERMIT NO: D 04507.3 PLAN CFIECK NO: N
CONSTRUCTION TYPE; FERMIT TYPE: STR
JOB DESCRIP'TION : REROOF O/SfiAKG W/1/2 PLY.
PERM NO: A 045U1J
GOV'C: 'M SUPP� b]
PORPOSE: UTIi
SSJ FT: 6, SOQ�
CLAZM VALUE: 6,500.00 CALC—VALUE: 6,500.00 GROUP OCC: R-3 /
COMMENTS:
�c**�t�t�t**�t�t*�*�r��t****��*�t**�t*�t***�t�***�r**�*�t***�t�t�**�t�t��***�r***********x**�x*****
Z O N I N G R C Q U I R E M E N T S �
S E T B A C K S
--- ------- MAIN BUILDING ---�------ -------- ACC£.SSORY BUILDING ---------
FRNT: FT IN RIiAR: FT IN ERNT; FT IN REAFt: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE4• PROV: � PARCEL: 13940114 ZNE: REF NO:
.PLANNING NC3TES> .
�
9E iE iE iE iE if 1f if if iE iE iE iF if 1E iE it iE �E ft iE iE �E iE iE 1E 1E !f if rt 1E iE iE iE fk fE 1E iE iE if !E if iF 1E if iElE iE iE iE iE �f if iF fE iE iE 3f if iE iE �f �f dt 1f iE iE iE IE iF # if 3t fE �E �f fE iP iE
D E V L L O P M E N T S fi R V I C E S R E� U I R E M E N T 5
ZONiNG APPROVED BY DATE:
BUILDING /APPROVED BY,: DATF.; _
APPL'IC�r3`IC�N ISSUED BY: ' DATE: ��
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMGNT:Y
IILDG PMT PLUMHING ELECTRbC MECHANIC FIRE SMIP/RES-' GRADING
PERMIT 90.00� .5p�'
PLAN ' %". ''' SMIP/NnN-RES
. i }. '
ISSUE FEE � '
DUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOT'AL PAID - DUE
TOTALS----> 90.50 0.00 • 0.00 90.50 90.50• .' .00
REVENUE DIVISION TOTALS--> COLLECTED: 90:50 O[�ER/SHORT: .00
DLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING:PLAN—CIiECK
90.00 , .50
if iE iE if iE iE iE 3E iE it �! iE if 3E !f if if if iE �E 1F ik iE �E iE �IE if iE 3E iE iE iE �lE k �E iP if iF if 1E iE 1E ik iE if iE iE df IE iE 1E 3ElF iE 3F if iE if !E K� iE i4 iFjf 3! jE iE 3E iE iE iE dE iE iF if iF * iF iE
I N D I V I D U A L' F E E f3 R E A K D O W N .t; �„
TYPE QTY D E S C R I P T I O N UNIT CO,T .•' +'1TC�TAL COST
SFR 6500 REROOF BY VALUE RESSDF_NIAL NO'LONE , 1.00 ' G,500.00
END OF FEES . .
r .'��'
: NOV l� 1989
��_
CITY Of COSTA MESA
P
a
CONSTRUGT.{ON AND�PLANNING P�� 'PA 1
APPRaJALS Permit# - Date Inspector qppROVALS h���nit# Date Inspector
i. Temporary Electrical Service!or Pole� : ". � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. :. � _ . 53. Steel Reinforcement
3.`Electrical Conduit Utility-Undrgmd. 54. Forms
��4. Electrical ConduibUndrgrnd' 55. Electrical Bonding -
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � c
'�.6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,
:7. Footings c' 58. Electrical Conduit-Undrgrnd. �
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test -
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System `I �j '_/��•� 67. APPROVAL TO DECK . ''
11. Property Sewer �Line & House Connection 62. Backwash & Receptor-Final ! �
12. Sewer Cap i . 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Hough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric�Wiring 67. Fencing & Access Approval
77. Rou9h Wiring Sign 68. APP{iOVED FOR P�ASTERING
78. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ ,, _ _,FIRE DEPT. REQUIREMENT
20. Rough Factor�y Fireplace � . � _ r, :- 4_ �APPROVALS .Permit #
21.`DuCts, in Structuie ""' ''� � -70. Undergroand Hydro '
22. Ducfs, Ventilating, � � � ... �71, ProductPiping OGas ❑Oil
23.•Gas�Pipe�Rough & Test -_ � ' , 72. Underground Fl�sh--' . � ' '
24.�Roof Fr�ming , ,- ` _ ..73.�Undergrnd.Storage�Tank.�Gas ❑Oil
25, Foof Sheathing - • ' � _ • 7q. Overhead Hydro�_ � '
26.� T-Bar Ceiling (Structural) & Mon'ocoat _" 75�_ Dry Chemical '� � r
27.- Frame and Flashing� - r - � •+ 76. Dry Standpipe - � '�
-28. Lathing'& Siding ' � - _ ,. ` ' ' ' 77; FIXED SYSTEM FINAL� - �
29. Insulation � " + ' 78'_FIRE PREV. PINA'L ' "
^ 30. DrywalPNailing . �= HEALTH DEPT;. REQUIREMENT
_31. Plaster Brown Coat� - - � � � "79. FINAL INSPECTION '
�32._Electrical Power MeterFinai ' ' ; ; ��SO..;FOOD CERTIFICATE ISSUED -
=33'_Final Electric � , �' � � , � '� Notes:
! o� �
'� 34. Final Heating& Air Conditioning� ` y `� � • �
� -
35. Final Gas Pipe-Test, � � - - -- -
36. Hood or Canopy � - - _ ' � "� '` ; r ' , _ � �,
'-37.�Final Factory Fireplace- � - � � . + � ' � '�
�
_�38. Final Plumbing � ' -' .;. . � , �
' �39. WaCer Service-Final - , - �� -
-40. GasService-Final '. _ ' "� � ' � ��
41. Solar pomestirFinal- , � � � - : � -
42�Backflow Preventen • � ' � �' ' � ' '
- _ � .
43. Backflow Irrigation, . �" . -� r � �: ,, � �•�
- _.., �
44. Landscape IRipation System' " , � " - � ' � � _ ,. _� f . .
45.,Sound Attenuatiori � � T • �� - z . r � � � � �
n; �, _ a _
'46.�HandicapRegulations � +' • - � ' - �
- s-
...47=FINAL STRUCTURE & BUILDING _, � _ � q� ,._. �
48:_FINAL PLANNING -" ' � ' �' g � e
+ .
'49. Electric.Release to Edison , ' , r �- . � -
.50..Gas.Release to Southern California Gas Co '' • � - � ' ' ' - ' -
� -i -
51. CF.RTIFICATEOF�OCCUPANCY ' • • � � � - �
No. Oate
ADDRESS
CONTRACTOR
SUBCONTRACTOR
or
�.f�n. & Bedrm.to res
i .00 _
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. Z. J
�OSTA MESA BUILDING-SAFEfY DEPARTMENT
P.O. 80X^MO COSTA MESA� CALIFORNIA 9Ib20
�
For AppI1mM to Flll In CompfeNly
TYPE OR PRINT
wuon' Ren"n° o?U � Sou rh C e�ia
COSTA MESA. CALIFORNIA
�WNRR LARRY /�Z MA�/NA/1n
�
■ wacnirecr
OP LOT � 0 L- HOW oN LOT I
UeH OP
EXISTINO BLDO.
68TBACK lJH6IR011 �
CeNTeR OP OTp[R 11tAp YAR �O � Q
/ �� /
IIID@ YA LRR 3—� RIp}fT S—
DESCRIPTION OF WORK
BUILDINO
SIZE
HXTERIOR
�1 M�I6pY ACKNOWL[p0[ iXAT.I NAV[ 11tAD T{II/ A►�LIGTON
ANp BTAT6 TMAT iN� ApOV� 19 CORR[Gi ANO AOR6[ TO COY-
PLY WITM ALL CITY OROINAMGO /��1D RATi lAW/ liGYlATMO
GUILDINO COHBTRyCT10M.
� AUTHORIZ[DA6QPfi'� ,��
raio
JUB -8-67cNsn�O 52t;:r t...:: ��? ��
ArPLICATION FOR PERMR
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fOI OHJt� UN Of1Iy
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ZONING ��,[„_ _ _. y�,
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C[YeRIRION o�—f.� � �/�/
A.P.NO. I.'i�— ��I"— �/
NOTH: NOHAVlOVBRHAN06MALL�HLQ88TNAN
80' TO BIDB a REAR P. L
lAVEB
ALLOWED N.B.C.RlQUIRlMHNT
YAROIAPPROVGD YARDB MPROV6D
MAIN BUILDINO ACC8880RY BUILDINO
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iN8 AMOUNT �MOWry UNO6R V�LUATION 10 !OR T1C �
►URPOG[ 01 fRAGLIGXINO A P61iY1T IH[ ONLT.
VAWATION ii'i7 7
PHRMITRH6 �/V �
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TOTAL P6H � �O
JOB ADDRESS
1,GENERAL
Swr
OF
FIRE'LONE VALUE$ t3W.UV
I GROUP J TYPE V ZONE
SUBCONTRACTOR
. _ - . 25?67
COSTA MESA BUILDING-SAFETI! DEPARTMEM
P.O. BOX 7208 CO3TA MESA� CALIFORNIA 92l20
For AppllcaM fo F711 fn ComplN�ly
TYPg OR PRINT
�mtniNa
ADDR6C9 I P
GOSTA MB:SA. CALIFORNIA
iAOtl
DESCRIPTfON OP WORK
EXTERIOR WALL
1 M[R6GY ACKNOWL�DYt TUT.1 MAVt 11fAD YXI/ M�YGTON
AND BT�T[ TXAT TX[ ASOVt ls CORR[C} ANO AOp6[ M COY.
PLY WITH ALL CIT' ORDINANCf� A�1D �TAif tAM1� p{OYLATNO
sY1LDINOCONDTRYtT1 �1.
810NATUR! OP
PBRMITTB
AUTNORIZ[DAO[Ni � _
CITY �F CvS iA MESA
JUN 8 " 1966
ArPLICATION FOR
� � Ii'6�UH �
![RMIT NO.
ZONIN�i
NO.O� U�[O�H[
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L
L[OAL
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NOT6: NO GVC OVERHANO 6NALL E8 LC88 TNAN
VARD{ MPROVlD
MAIH BUILDINO
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DAT6
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►UPPOO[ O� �tTApLIGMINO A �[qYIT 16Q ONLT. �
VALUATION
,y / PBRMITFHH ��06 �
4�� ' ____ €
w
TOTAL PE6 � r OD
° 21325
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COHTA M6BA, CALIFORNIA
For Applicant to Fill In Completaly
TYPE OR PRINT
eu��oirva C,�p6"t
ADDRE&3 Zd� Z—
GOSTA MESA, CALIFORNIA
OWNER ` ' "`A Na�
ADDR6S9 L� � �� �-+ - �Q6 t��
\ �00
, 9ETBACK UN8 �ROM
DESCRIPTION OF WORK
� BUILDINQ NO.OF
SLI E OF BUILDING AND WORK TO Bfi P6RPORME�
�s�o�� wat._ �20 �-
�'c -c G//� Y /_� � .� �.�,
FEE RECEIVED
JAtl 1 � �a0ti
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
fOr OffiCe USB Only
RCC61'T NO. � P6!
er
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BET. MAIN B
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DATE
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I XEREer wCKNOWLEOOi TXAT 1 XAV6 READ THIB APPLICATION THQ AMOUNT 9HOWN UNOER VALUATION IS FOP THE F
ANO 9TATE THAT TNH ABOV[ IB COqpECT ANO AOflEE TO COM• PUFPO58 OF 88TABLI6HINO A PEHMIT FHE ONLY. p
PLY WITH ALL CITT ORDINANCHB ANO YT�TB LAWe ReOULATING VALUATION �
9UILDINO CONSTR . m
' PERMIT FEE $ �
SIGNATURE OF m
PERMITTE
� $ �Z � PLAN CHECK $ Q
AUTHORIZED A6ENT � �`
TOTALREE �
; _ 16525
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX ut7 COBTA MBHA. WLIPORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
Lct.'�S Tz9rTa3�r7
'o'fZ. Se�7h Ca,pa/�Q
COSTA MESA CALJFORNIA
iG
� 61ZE !. _ . ._ I No. oP
BBTBACN LIN6 PROM
CBNT[R OP BT118¢T �� REAR YARI
61DE VARD I LEPT S I RIGHT s
DESCRIPTION OF WORK
lJroO ROOF �no
runOc COVERINC � :
i qND WORK TO B8 PERFORMED
F E RECEIVED
MAR 2 iS62
FINANCE DEPT.
CITY OF CUSTA MESp
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
R8G61PT NO. PHRMIT NO.
RBCBIV�Y
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING
ZONH NO. OP U88 OP N8W S�� t�an. RN
R—� I PLJ�N6 2 BUILDINO W� w 94♦
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A.P.NO.
YARDS EVES
APPROVED
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FRONT SO
R. SIDE 'S
L. SIDE '�
REAR 3 �
APPROVED /7
9Y CflI.C7' .
Z//6/6Z
•-3 �
� MBH6lY AGNNOWL8P4fl TXAT I HAV6 pGD TXIB MPIJGTION Hg AMOUM 6HOWN UNDEP VALUATION IB FOR THH
AND BTATH TH�T TH6 AOOVB 18 fAX1i8GT AND AGfi6H TO CAM- pUHP08H OP HBTA�LIBHINO A PERMIT F� ONLY.
PLY WITH ALL CITY O�INANC88 AND BTATE IAWe it[OULATN6
BULLDINa coNeirtuCT�ON. VALUATION 2 �
BIpAATURE OP PEftM1T FEE $ �j-� �
S/�/ Ip(J / I PLAN CHECK