HomeMy WebLinkAbout332 BROADWAY - Building Permitsreaecraooness: 332 HROADWAY
OWNEN'S NRME: SOHN STUART
FDOHESB: 8 j3 SANDCASTLE
' CORONA DEL MAR
CA 92625
(714)721-1118
q1EHIENGiNEFfl: .
AOUNESS:
HEG.NO.:
�
uxiT:N/A CITY OF COSTA MLSA - BUILDING PERMIT
PERMIT NO: MP 046957 • PLAN CHECK NO:, N
CONSTRUCTION TYPE: 5-N PERMIT TYPE: MBC PLU
JOB DESCRIFTION : AI]D 701tSQ FT TO EXISTING BEDROOM
UNIT:
CLAIM C�ALUE: CAI,C-VALUE:
� PEflMITfEE: JOHN STUART ( 714 ) 721-111II
RDOflESS: 893 ,gp.NACASTLE
CORONA r�er, MAR CA 92G25
LICENSEO CONTIIACTOB OECUNATION: I �ereUy affirm thatl am IicenseA unUer provlsions of Cha0�e�9 (commencing wi[h Section
7000) of Division 3 of Ihe Business antl Pmhssians CaEe, an0 my license is in full forca anE eHect.
CITY UC.: SiRTE L1C.: � C1A33:
Oate: Sipnaiure:
WOBHEBS' COMPENSPTION OECIAMTION: I herebp attirm that I have a cehificate oi consent to self-insure or a certificata oi Workers'
Compensation Insurance, ar a certifietl copy Ihareol (Saction 3800, Lah. C�.
enucr xa.: exr. oeie:
copy is �ere6y fumished. ❑ Certified copy is filed witA ihe ciry BuilOinA Oivision.
Oate: ADDlicani:
E%EMPTION FflOM WOBI(EBS' COMPENSIITION OECUMTIOX: Rhis sectian need not 6e wmpleted if ihe permit is for one AunOreO ($100) or less�.
I cetlity Nat in the pertormance of t�e wark for whicA ihis permi� is issueA, I shall not employ any person in any manner so as to hecome
subject to ihe Workers' ComDensation Laws of Califomia.
Uate: "Sipnature:
NOTICE: Ii, after makinA ��is Ueclara[ion, you shoul0 become sublect ta Ne Workers' Campensation pmvisions oi ihe Lahor
COGe, you must torthwith comply with 5uch pmvisions ar t�is permit s�all �e tleeme0 revoke0.
CONSTBUCTION LENOING RGENCY: I hereby affirm [Aa� Ihere is a constmction IenAinB aAency for ihe per/ormance of t�e work /or
w�ich this permit is issue0 (Sectian 3097, Civ. C).
LENOER:
ROOHESS:
OWNFB BUILOEB OECUMTION: 1 Aereby aflirm ihat I am e�empi Irom'�the Contractors' State License Law tor the lollowinp reason
(Section 7031.5 Business an0 Pmfessional COEe: Any ciry of counry whic� reQuires a permit ro constmd, alter, imDrove, Demalish, or
repair any S�mtNrO, pnor m tts issuance, also reduires ihe aDPliwnt tor such permit Io file a sipnetl stalement �hat he/She i5 IicenseA
. pursuant to the pmvisions of t�e Contncmrs' State License Law (ChaD�er 9(commencinp with Section 7000) ot Divisian 3 af ihe Business
ian0 Pmlessions COUe) ar ihat he/s�e is e�empi therefmm anA the basis for the allepe0 exemption. Any dolation oi Section 7031.5 hy
any aDP�icant lor a Dermit su6lects t�e aDGlicani to a civil penalry of not more ihan five hundre0 tlollars (5500).
I, as owner ot Ihe pmperry or my employees wit� wa9es as their sole compensa�ion, will do the work, an0 the
❑ stmcture is not intentled oroffereE for sale (Section 70A4, Business an0 Protessional CaUe: t�e Contrzcrors' State License Law
Ooes not apD�Y �o an owner ot a Dmpeity who EuIIEs or imD�oves thereon, an0 who Oaes such woM himsell/herself or thmuqh
his or �er own employees, pmWtletl thal SucA improvements am not inten0e0 or ofle2U /ar sale. It, hawever ihe builOinp or
imD�ovement is sa10 wit�in one year al comple[ion, Ihe awner will have the hurAen af D�ahnA he/she tli0 not builtl or improve
for tAe purpose ol sale�.
I, as owner ot t�e D�aPerry, am exclusively contrac�inp with IicenseU contractors to constmct the pmject (Sectlon 7044, Business
❑ an0 Professions Cotle: The Cantactors' State License Law Aoes not aDPy ta an owner af properry who 6uilds or improves thereon
and who contracts forsucA D�alects whh a caniractoqs�licensa pursuant to the Contraclors' State License Law),I am aware
t�at pmot of t�eir Worker'S Compensation insurance shoul0 be pmviGeE ro me.
� i am exempt unaer Senion: B P 7 0 4 4 B. 8 P. C.
mr mis reason: NO EMPLOYF,ES
�, Date: Qwner.
I Eo hereEy cetlity t�at I am awaa ai anU untlerstanOlhe reQuirements of Calilamia Heatih an0 Salery CoUe Sections 25505, 25533, anA
I 2553d anU ihat I or any luture builEinp occupant wiNwill not (circle one) neetl Io compty vnth sai0 state caaes an0 the 2puiremenis tar a
permit for wnsimction ar moAification from ihe Nr Ouatiry Manapement OisMct. PesiOential consimction ap0���aiions are exempt imm
these provisians.
oate: Apo�icam:
I heaby certiry IAat I have rea0 tnis application an0 state ihat tne aEove inlormation is correce I apree to comply witA all cM an0 counry
ordinances anE seate Wws reWtinp ta Uuiltlinq wnswctian anE heretry aNhanze reDreuntatives of this ciry ta enter upon tlie aDove-mentlone0
pmperry �ar inspection purpo5es. ' �
Date: SignaWre:
Driver's License or Sociai Secunry x:
1841A6 wnite-Buibing; Green-CaEe Enforcemenf Canary-Applicant: Pink-Ravanue; Goltlenrotl-Assessor
. � � - . _
PERM NO: MP 046457
GOVT: rl SUPP: N
PURPOS E : OTPI
• S�,J ['T:
GROUP OCC: R-3 /
COMMENTS: REF B4593F3 PRIMARY HLDG. PERMIT '
iFiEiE3F�E9F3EiEifiFiEiEMifjE�E3EifiEil3fifif3E36iEiE-)FifiFiF�EiEiEiFit�kiE3EifiE�EjEiEiFif�%iF�EifiEiEiFkiklEiFiEi4if�itiEiFik%iEiFlEifaEiEiEitlEiFdk3E#if i
- Z O N I N G R E Q U I R E M E N T S
s�. T s A c x s
-------�---- MAIN DUILDING ---------- --�------- ACCESSORY BUILDING -----�----
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: fiT ID1 RGHT: FT IN LEFT: FT IN RGHT: FT IN ,
FARKING R�Q: PRUV; PARCEt,: 11'725309 ZNE: REF NO:�
PLANNING NOTES> . �
1 .. . . � � .. .
1kiflFiFitiF�iEiEikifiEif3Fif�lflE1E-IEfF#�)FIElEiE�IEiF�lkiEiElFiEIElf1EiE1fiF3FiElfiEiF�lkififlfiE�kififaElEiEiElE�E1F1Fit1E1E1EiklfiFkiFif�F1E�%1Eif�lEif-�%3k�lE�lf '
D E V B L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROC�ED AY :_
APPLICATION ISSUED BY.
iE �lE iE iE iF 1E iE iE �f IF jE 3E iE iE �E iE 34 �F iE iE iE iE $�
iEiFiE�lE�E1f�fE3EiF%3E*iflEfEif*il�E�EiElfifif�tiEiEiFiEifiEiFiE If EiE iEiElEiEiElEif�
LEGALIZATION:N F E E S U M A R Y
BLDG PMT PLUMBING ELGCTRIC MECHANIC
PERMIT 22.00 13.50
258 25�
, llATF.. :
DATE: ��Q� '�'%Q
3FiF'iF3F'TFiFiE 1E ik iF 1E iE iE iE iF if iCIF'�F3F'i! 3E iE )E
if k iF it it it i! iE iE it iE IE iF 3E ik it iE iE iE 1E 9F iE jf 9E if M 3F it
STRUCTURAI� SF.GMENT:T1
FIRE SMIP/RES C;RADING
. `
SMIP /NON•��RES
PLAN ;
ISSUE FEE � 3.00 ' 15.00 � ,
HUILDING-DIC�-> PERMIT ISSUE PLAN-CHECK 'POTAL PAID '. , AOE
TOTALS---�-> 35.50 18.00 0:00 53.50 ' S3.50 .�0
REVF.NUE DIVISION TOTALS--> COLLECTED: 53.50' OVER/SHORT: •;,' 00
BLDG PMT C�LUMBING ELECTRIC MECHANIC FIRG SMIP/TOT GRADING'FLADI-CHECfC
25.�� 2a,5� �
�r ;'.
iE iE iE dE iE iF iE iE iE iE �E iE 3f 3f �lE iE iE if iF lE iE % iF IF jE iE iE iE iE iF iE �E iE IE iE iE jE iF iE fE iF iE iE if iE iF iE �EdE ik iE iE it iE 3E iE iElE fE 9E 3(� iE 3E fE jE k 1E �E if )F iE jE �f if 3E 3E 3f 1E M�
I N D I�i 7 D U A I, F E E B R E A K D O W N : 7 �
, Sq
TYPE QTY D E S C_ R I P T I O td UNIT COST , TOT.IiL COST
MEC 1 IP•ISTALL FORC/A2R FURN <= 100 K BTU/H 9.00 9.00
MEC 1 VEbITILAT20N PAN COM�I TO SIrIGLE PUCT 4.50 .': `' 4.50
FLU 1 BATIiTUT3 ' 2.00 �' ,",' 2.00
FLU 1 DISHWAS(IER 2.00 � 2.00
FLU 1 LAUNDF.Y TUB OR WASHfiR 2.00 7..0�
PLO 1 SIiOWER 2.00 "!' . 2.00
FLU 1 SINK, KITCIiEN 2.00 ' 2.OU
PLU 2 WASIi BASIPI 2.00 i':�• 4.00
PLO 2. WATER CLOSE'1' (TOILET) 2.OU � 4.00
FLU i WATER FIEATER ADlU/OR VGh]T 7..00 7..00
PLU. 1 GAS PIPING SYS OF 1 TO A OUTLE'PS �.00 2.U0
//� 3/�� 01 0�055?77-00055778 T O T 53.50
D TE: 03/09/90 TIME: 15:23
CONSTRUCTION AND PLANNING � . PG . SPA ,
� ' Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Rermit #
1. Temporary Electrical Service or Pole 52.'Pool & Equipment Location
2. -Soil Pipe-Undrgrnd: 53. Steel Reinforcement �
3.-Electrical Conduit Utility-Undrgrnd. . 54. Forms '
" 4i'Elecirical Conduit-Undrgrnd. 55. Electrical Bonding _
c:5;Steel Reinforcement 56. Rough Plumbing & Pressure Tesf= •
.- � �-
-�:6:-Elect�ical UFER,Gmd. � ' , 57. APPROVAL TO COVER�GUNITE
- 7-Footings 58. Electrical Conduit-Undrgrnd. .
8. Foundation ,.,� V , � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. 8ackwash Lines, P-Trap, � Undrgrnd. .
10. Structural Floor System 67. 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
16. Rough Electric.Wiring � 67. Fencing & Access ApP�oval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling . 69. POOL/SPA Sl'STEMS FINAL �
19._Rough Heating &,Air Conditioning _ ,FIRE D,EPT. REQUIREMENT
20;, Rough Factory Fireplace _: . _. _ _ _ ' ' AppROVALS��_`. Permit # _- _ - -
21. �DucJs, ircStruauFet ' ' - - ' - - �.70. Undergiound, Hydro
e.
22`Ducts, Ventilating . ' = r -• • ", .�7�, Product �Piping O Gas ❑ Oil
23. Gas-Pipe-Rough & Test �. - �- - r, - 72, Underground Flush ' `
r^
24`Roof Framing _ � ����� - , -� _ ' ' 73-Undergrnd.StoraqeTank,OGas ❑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.'' " ,"'•`,_, - �, ( !�.y� y 77;, FIXED SYSTEMiFINAL . � . �
29. Insulation � - • � � � •' - - � -
78_;FIRE PREV. FINAL . .
"30. Drywall-Nailing � ' ' _ i + '� ; _, :'HEALTH�DEPT. REQUIREMENT "- ._
31. Plaster Brown Coat� ' �� - � .. • 7g,� FINAL INSPECTION � ��� � � � �
-'32;. Electrical Power Mgter-Final '�- ��* `"80c.'FOOD CERTIFICATE ISSUED`
:,.33,:�Final Electric -. � � � • i !�;` r Notes. - -- - ' � - - -
� 34. �Final Heating &'Air Conditioning ~ I;;^ ,-�' • - -_ - �
_. _ . T �.F - . _ .
35r Final Gas Pipe-Tes[ - ,_, ! ,��`,; i- - ' - _ . - _ - - � ,
-'36 Hood or�CanoPY - - '- - . .� ^ _ s ._ : . .::
��37.• Final Factory Fireplace � , . � � , ;ts� . _ - -
= 38. Fin`al Plumbing w . ' ' - ` ' ' - J ' . _'
39. Water Service�Final�� ` + � � - � � �
-.40. Gas"Service-Final • C:^'." _ ` ' � � -
- - F -.
`41. Solar pomestioFinal �� ' ' �. - , -
42 Backflow Preventer� � * � � �� � " -
r' x • - -
43. Backflow Irrigatiori , -'- �_ :- . .
•'44. Landscape IFripation System���'^ ' ' - - : !:� "' _ ' - ' �
- e. ` 1
k �
"45: Sound Attenuation . . ' ;--� - - � .-. . _ -� .
. 46: �Handicap Regulations � � � " � - �
�„
47:�FIPIALSTRUCTUFiE&BUILDING �" �./
'_ .,J. , Y
48.-_FINALPLANNING =�r - - _ �
�- ` -
49. Electrie Release to.Edison '�''
50.-Gas Release to Southem Califomia Gas Co � �•' � � '
51. CERTIFICATE OF OCCUPANCY - � -
No. Date
,\
,
PH0.IECT RODBESS:
OWNEN'S NRME:
nooxeu:
PaCNIENCINEEH:
ROURESS:
PEflMITTEE:
� AODXES&:
NEO.NO.:
UNIT:
UNIi:
LICENSED CONTMCTOB OECIAMTION: 1 �ere6y affirm that I am Iiunse0 un0er pmvisions ol CAapter 9(commencinA ��� �tion
70011) ol Oivision 3 ot �he Business ane Professions CaOe, antl my licensa is in iWl tarce antl eHec1.
CITY IIC.: STRTF LIC.: CUSS:
Date: SignaNre:
WOPNEBS' COMPENSATION OECUNATION: I �erehy aflirm ihat I Aave a certificate of consent to self-insure ar a certificate oi Workers'
Campensation Insurance, or a certifietl coDY �hereoi (Section 3800, Lab. C). � ,
PoIICY NO.: E%P. DRTE: •
Cehi�ieU copy i5 hereby tumiS�eC. ❑ Cehtlie0 coOY is filed wit� Ihe cily 9uiltling Oivision.
Date: � ApplicanC
E%EMPTION FflOM WOflKENS' COMPENSRTIOX OECIAWITION: (ihis unian need not be campletetl if ihe Dermit is far ane hunOreO (5100� or less).
I certity that in tha pedormance oi I�e work for which this permit is issueU, I shall nat em0loy any person in any manner so as to become
sublect to t�e Workers' Compensation Laws oi Califomia. , �
Date: � SignaNre:
NOTICE: If, atler making t�is declaration, you shoultl �ecome subject ro the Workers' CamDensation provisions oi [he LaDor
Cotle, you must fonhvnth compty with such proNsions'or tAis permit SAall he deemeU revake0.
CON37PUCTION LENDING �GENCY: I Aere�y aflirm that tAere is a consiruction IenEing agency for ihe peAormance of ihe wark for
w�ich ihis permit is issueE (Section 3097, Civ. C).
�xoEe:
nooxess: -
x m Ir m h ntractors' State License Law for the tollowin reasan
OWNEB BOIWEP OECUMTION: I �ereby aifirm that I am e e pt o t e Co 0
(Section 7037.5 Business an0 Professional CaUe: My ciry ol counry which requires a Dermit to construtt, alter; impmve, Aemolish, ar
repair any strucWre, prior to its issuance, atso requires Ihe aDPlicant lor such permit ro file a siAneO statement ihat �els�e is licensed
pursuant to ihe provisions of ihe Cantractors' State License Law (CAaD�er 9(commencing with Section 7000) oi Oivision 3 of Ihe Business
anA Prohssions Catle) or Ihat he/s�e is exempt therefmm anG the Oasis lor the allege0 exemption. My violation of Section 7031'.5 Oy
any applicant for a permit sublecis t�e aDP�icant to a civil penalry of nbt more than five hunUreA Oallars (5500�.
I, as owner ai ihe propeM or my employees with wapes as their sole comDensation, will tlo t�e work, an0 ihe
❑ stmcNre is not intentletl or offered for sale (Sedian 7074, Business anU Pmfessional CoAe: TAe Contracrors' State License Law
does not aOPty m in owner al a praPerry who huilds or imD�oves thereon, antl who tlaes such work �imseli/herself or NmupA
his or her own employees, provitleU Ihat such impmvaments are not inten0etl or offered for sale. If, huwever the huilAinp or
Improvement is solJ within one year ot completion, Ihe owner vrill have the burUen of DmvinA he/she OiE not huilA or impmve
for the Duryose oi sale�.
I, as owner a/ ihe D�opeM, am exclusiveN contracting witA Iicense0 contracmrs to constmct tAe prolect (Section 704C, Business
❑ anU Pmleuians Cotle: The Caniracrors' State License Law Aau not appy ro an owner al propeM � bml0s or imprares thereon
anE who contracis far suc� D�olects with a contractoqs) licenu Dursuam m fie Contractors' State License Law�. I am aware
tAat proof oi their Worker's Campensatian insurance sAauld Ue provitleJ m me.
� I am exem0� Untler SettiOn: B. d P. C.
lor this reason: �
Oate: Ownec
I Eo Aereby ceniy t�at I am aware ol an0 un0erstanE t�e requiremenis of Califomia Health anJ Safery COAe Sections 2550.5, 25533, anU
2553d antl t�a� I Of any fulUre buildinp OCCupanl wiiUwill noI (tiale one) neea �0 Comply with SaiG Siate wGes anG Ihe repuir¢men[5 br a
permit for constmttion or motlification imm the Nr Uualiry ManaAement Oistnct Resiaential consimctian aDPlicaiions are exempt iram
these D�avisions.
Oate: Fpplicant:
I hereby ceniy that I Aave rea0 tAis aDPllcation,an0 state ihat tha aEove inPormation is correct. I aA�ee to camply with all city an0 counry
ordinances antl state laws relatin0 �o UuilAinp construction anA here�y authanze reDresentatives of this ciry ro enier upon the a6ove-mentionea
propatly �orinspec�ion purposes.
Date: SiAnature:
DrN¢r'S License or Social Securiry M: �
1641d6 w�ite—B�iltliig; Green—Cotle EnrorcemenC Canarv—AoolicanC Pink—Revenue: GOltlenmE—nssessor
PERMIT NO: MP 046457 PLAN CHECK NO: 03107-90 N PAGE: 2
***�*x*�*�r+r**�*�rr*****�********�**���r**+�*��*�**���*******��+r�r�rw**�**��***�**��*
TYPE QTY. D� 5 C R I P T I O N . UNIT COST TOTAL COST
��
i
A
0
END OF FEES
0
0
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a
- CONSTR�CTIOR�AND PLANNING PO SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgmd. � . � 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
S. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. 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
16. Rough Electric Wiring 67. Fencing & P,ccess Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20��Rough Factory Fireplace APPROVALS Permit #
21 -DuCts, in Structure 70. Underground Hydro
22.-Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23�Gas Pipe•flough & Test 72. Underground Flush
24j Roof Framing 73. Undergrnd. Storage Tank � Gas � Oil
25. Roof Sheathing 74. Overhead Hydro
26YT�Bar Ceiling (Struciural) & 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..E1e'ctrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33�Final Eleciric Notes: �_ '. F- � � "
l% u��2�
34 Final Heating & Air Conditioning
1
35.yFirial Gas Pipe-Test
36�Hood or Canopy
x
37�Final Factory Fireplace
38� Final Plumbing
39:�Waier Service�Final
40r-Gas Service-Final
41':.,Solar pomesticFinal
42 =Backflow Preventer
43. Backflow �rrigation
44. Landscape Irriqation System
45. Soiind Attenuation
46. Handicap Regulations
47 -FINAL STRUCTURE & BUILDING
48: FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CEFTIFICATE OF OCCUPANCY
No. Date
Pfl0.1ECTRODflESS: �;)z gROADWAY
OWNEH'SNRME: J'OHN STUART
- nooxess: }�g g ,ANDCASTLL:
, � � CORONA DEL MAIt
CA 97625
(714)721-111E3
RNCN/FNCINEEfl:
' nooxess:
xE0.N0.:
uxir: N /A
UNR:
' PEflMITfEE: ,7nHN ST[JART ( 714 ) 721-111 R
pODflE53: f)�j� .ri�ii��CA��rl�� ,
CORONA DEL MAR CA 9?.625
11CFNSED CONTMCTOR OEClAM710N: I hereby aflirm tAat I am licensetl untler prodsions of C�apter 9(commencing vnth Section
7000) ol Oinsion 3 af I�e Business and Protessions CoEe, and my license is in lull torce anE eHect.
CItY UC.: . ' STRTE LIC.: CUSB:
Uata: � SlqnaNre:
WOBNEHS' COMPENSRt10N UEClAN11TI0N: I �erehy atlirm ihat I hava a certificate of consent to seli-insure or a certificatepl Workers'
Compensation Insurance, or a certifietl copy thereof (Section 3800, La�. C�.
PoLICY NO.: E%P. DRTE:
7MPFNY:
CetlifieA capY is hereby NmisAeE. ❑ Cetli�ie0 coDY is tiled vnih Ihe tiry BuilEing �iNsion.
'Oate: Applicant:
�� IXEMPfION FBOM WONNEPS' COMPENSATION OFCIAMTION: (This section neeA nol De com01ete0 il ihe permil is for one hundrM ($100) or leu).
I tenity tnat in the De�a�mante ol the work tor wllith t�is Dermit is issuetl. I shail not employ any person in any manner so a5 to become
suhle�� )o tAe Workers' ComOensatian Laws ot Califomia; �: -
Dale: ' SignaWre: - �
NOTICE: Ii, atter makinp Ihis declaratian, you shoultl 6ecame su0le�t to�t�e Workers' Compensation pmvisions ot ihe La6or
Cade, you mus[ fonhwM1A comply vnth such provisians or ihis permit shall he EeemeU revoketl. '
CONSTBUCTION LENOINO FGENCY: I �erehy attirm tAat there is a constmction lentling agency for ihe pertormance n(t�e work for
whic� Nis permitis iuuetl (Sedion 3097, Civ. C�. � y
LENUEfl:
�DOflE55: . '
OWNEB BUIWEB OECIAMTION: I hereby aifirm t�at I am exempt irom t�e Caniracfors' Staia License Law for tAe followinq aazan
(Section 7031.5 Business an0 Professional Cotle: My ciry ol counry w�ich requires a De�mit ta cansimd, alter, improve, tlemolish, or
reDair eny slmcNre, prior to its issuance, also reQuires Ne aD0licant for such permit ro file a si0ne4 statement that he/sAe is Iicense0
pursuant to tAe provisians ai the Contracrors' State Lic¢nsa Law (Chapter 9(commencing with Section 7000) of �ivision 3 oi the Business
antl Pra/essions Cotle) or that he/she is exempt t�erefram antl [he basis for Ihe alleged exemption. Any violatian oi Section 7031.5 by
any applicant for a Dermit su0leps t�e apPlicant ta a civil penalry af not mora [han five hunEreE Eollars (SSOU): -
I, as awner al t�e DmDenY or my employees wRh waAes as Iheir sole compensation, will Oo Ihe work, antl ihe
❑ strudure is not imentleU ar oflered for sale (Secuon 7674, Business antl Pmtessional Caae: T�e Cant2ctors' SW[e license Law
Joes noi apDly ta an owner of a property who EuilAs or improves ihereon, antl w�o does SucA work �imseli/hersell ar IAmuAh
' �is or her awn employees, provi0e0 that such impmvements are not intenAetl or offeretl br sale. If, however Ne �uildinp or
impmvement is so10 within ane year oi completion, the owner will �ave tAe bur0en oi pmvinp he/she did not builA or improve
for the puryose of sale), , �
���
and w�o contact5 for5uch projects wi[A a cOniractor(s)license
t�at prool oi their Worker'S Compenution insurance shoul0 6e
� I am exempt unaer Sectian: j; p 7 0 4 9 e. a r. C.
mrmisreason: NO E:MPLOYEE:S
Date: Z � �-- — Q�_ Own�
I Eo AereGy certity that I am awam of antl underStanE Ne repui2ments ai
25530 anO lha� I or any iNure builEing occu0ant wiIV=11 nal (circle ane) n
Dermit lor constmction or mo0ificatian iram the Nr �ualiry ManaOemen[
ihese provisions.
Date: Z—� Z� � 0 Applicant
I �ereby certiry t�a[ 1 have rea0 ihis apD�ication antl state that tAe ove'
orAinances anA state laws retatinp ta builGing constmction antl her
properry forinspectian purpases.
oate� 2� .1 ^ p U sionamm:
uriver's License or Social Secunty x:
tBa1�48 wn'ne—BuilCing; Grean—Cotle Enlorcemen�; nary—Ap�
IO �he
o me.
704d, Business
iProves tAereon
x). I am aware
25505, 25533, and
reQuirements tor a
s are exemD� ��om
Pink—Revenue; GOltlen�oE—Assessor
and
CITY OE' COSTA MESA - BUILD'ING PERMS'T
PERMIT NO: A 045939 PLAN Cii£•.CK NO: 02535-90 Fi
CONSTRUCTION TYPE: 5-N PERMIT 'TYPE: 5'TR
:70D DESCRIPTION : ADD '1005Q F'T TO EXISTING GARAGF.
CLATM VAL�UE: CALC-VFiLUE: 1,903.00
PERM NO: 8 0459J9
GOVT:
SQ E'T:
IJ �UPF': N
PURPOSE: ADD
110
GROUP OCC: M-1 / '
COMML"NTS :
*****+�-***��-****-r�r,**�e**�K�r*�x-***+t-**i�*���*�t******��r**�t�-�-*�tx�***x�**x�***+��x-�c**�x�**�x�*x�**
Z O N I N G R E Q U I R E M fi N'T S
sE�raAcxs
---------'--- MAIN D[JII.11ZNr --------- ---'--�--- ACCEaSORY }3UILD7:NG --'-----'--
FRNT: FT IN REAR; I�T IN FRNT: FT IN REAR: FT L•N
I,EFT: F'P IN RGHT: FT IN LEF1': F'P IDI RGFIT: FT SN
PARKING REQ: PROV: PARCEL: 11725J09 7.NE: REF NO: �
PLANNING NOTES> •
> '
iE�tfEiEiEiEi(�iFiEitifiEdEjEik3E�EiElEiE��f##IEiEiE3EiCiE3E3E3E3E1E1E�1FffiE9E1E3Eif�IfaEiE3fiEikiEiF9E3EiFiEiEiflEiE3E1EiEdflEiEiE�lhiEiE3EiE9(-IE�N-�)EiEifiEiEiE .
U E V F•. L� O P, M t E N T-;,, 5 E R V I C E S R E� U I R E M E N 7' S
ZONING APPROVED BY '� �'���•_ �������1 i DATE: ��-�p0 ,
BUILDING APPROVED DY�, c,% _ _ DATE: �Y/�O �
/ '
APPLICATION I55UED DY:.' '` � [�.�� DATE: ."L_��=�
�EiEi!-�E9EiEaEiEiE�E3EiE1Ei4iE9E�FiFiEififiF� 3F�' � �i€3'Fi'Flt fiiFiF 3F�iFiEiFifiElFif3kififiE3F'3F'iF3'Fi�- 3F7f3b'3FiE
iFiflfiFiEiFiEiEiEifiFlkiF9EifiEiFiEiEiEifiEiEifiEiEiEifiE3EfEiEiEif�E3EiE1EiEiEiEiF M -iE#iE�E�EiEiEk�fiF�kjfiF9EiEiE3EiEiFrtiEiEiEif*%iE3E�EiFiE�iEiFif
LEGAI�IZATION:N F E F. S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PM'f PI,OMB,ING F.LFCTRIC M£•.CHANTC FIRE SMIY/RE�, GRADING
PERMIT 45.00 .50'
SMIP/NON�R�S
PLAN 29.25
rssc�e r•Fr: �
BUTLIJING-DIV-> PERMIT ISSU£•. PLAN-CHECK TOTAL PAID =�"" f DUE
TQTALS----> 45.50 0,00 29,25 74.,75 74.75 . .00
REV�NUE DI��ISION TO'TALS--> COLLECTED: 74.75 OVER/SHORT: ��": 00
BLllG PMT PI�UMHING ELECTRIC MECHANIC FIRE SMIP/T01' GRAllItJG PLAN-CHECK
45.00 .50 29.25
ifiEiEiE9EiE3E3EiF%iE�EiE�E�E1E�7k�7fiE�IfiEiFi'3E3:�3FiEiE�Eif�lhiE�lEitiEiElFlEififiEiFiEiElf-0Eif�1EiE3EiEiE3fdtif3Ei43ENikiflEifj(-jf�FiEiE�lEiFiE1EiE.3EiF3fiE#iF �
I N ll I CT I D U A L F E E B R E A K '+
n� n�s'�2.�-vna53ze�� -� c�T , 4.,s
TYPE QTY , D E S C R I P T I O N Ut���:CQi��/90 7Ij9�ro��79 COS'T
SFR 17.0 RES-•GARAGEfi, TYPE V 17.10 '"`�';�903.00
ENn oF FLrs ,r,,
r' ��
• �
acenur�r :: niao��000s
01 0067 003 OOOS325E-0005326(i
04/02l9Q 01 CK �T�MD 74.i5
CONSTRUCTION AND PLANNING - PL � SPA
Date Inspector Date Inspector
APNROVALS Permit # APPROVALS Permit # , �
t. Temporary Electrical Service or Pole � 52. Pool & Equipment Location '�� , ,
2. Soi6Pipe-Undrgrnd: 53. Steel Reinforcement ��• ��°
3: Electrical Conduit Utility-Undrgrnd. 54. Forms •
4. Electrical ConduibClndrgrnd. - . 55. Electrical Bonding _ ;,
=.�5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6.. Electrical UFER�Gmd. ? qp �� 57. APPROVALTO COVER-GUNITE �
- 7. Footings S��_ -� 9V Q�i.f- 58. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, O Undrgrnd., Test � �,4„� �
i i :
9. Water Pipe�Undrgmd. 60. Backwash Lines, P-Trap, ��Undrgmd. - �t �� ��
A�"
10. Structural Floor System i �� 61. APPROVAL TO DECK �� �.'� , �'
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final -' �� ' �� � '��
� � � �
12. Sewer Cap 63. Heater & Vent-Final .' s; �%% ',��'. j' ,� 7ij
13. Roof Drains 64. Plumbing System - Final %.�� /i��' 1,;� ,
� �.
14. Rough Plumbing 65. Electrical-Final �'�f � �;
15. Rough Electrica6Conduit 66. Solar System-Final rr�''l �% �
16. Rough Electric Wiring r�Q 6 67. Fencing & Access Approval
,17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19_ Rough Heating & Air Conditioning FIRE.DEPT. REQUIREMENT
20. Rough Facto"ry Fiieplace - � ' � _ -- APPROVALS ' Permit #
21. Ducts, in Str`ucture ' ' . 70. Underground Hydro "
22. Ducts, Ventilating =- . - :� 7�. Product Piping O Gas ❑ Oil
23.� Gas-Pipe�Rouqh & Test � �- � _ _ � t •7z. Underground Flush ; . ��
24. Roof Framing ' - ' �� � 73. Undergrnd.StorageTank�OGas ❑Oil
25. Roof Sheathing ' '' 74,- Overhead Hydro� '
26. T-Bar Ceiling (Structural) & Monocoat . � . ,. 75. Dry Chemical . � �
27.. Frame and Flashin9 _ � -�(p.RO �G(y�' 76. Dry Standpipe ' _
_ 28. Lathing-& Siding , l - �j��Q �W�, 77.- FIXED SYSTEM FINAL .�
29. Insulation � _ � �,'�; '' � 78;, FIRE PREV. FINAL ' � .
30. Drywall Nailing _ S� LkJ� �a!' HEALTH DEPT. REQUIREMENT
'31. Ptaster Brown Coat '' Y L� �. m" �.�/ 79. FINAL INSPECTION
,',^ . -
' 32. Electrical Power MeterFinal ;�.�� � 80. FOOD CERTIFICATE ISSUED
.33. Final Electric � i � Notes: ' ' '
.34. Final Heating & Ai� Conditioning �� .,. �' ' _ - ', • �
-- - + � /`' _ .
35. Final Gas Pipe�Test . � � , � • i'� x _ •- � � �
_ 36. Hood oi Canopy � - , ' ' � �a'•, '' � ' . _
• ' �. ' . '.
37. Final Factory Fireplace� � '' � " •
/.
38. Final Plumbing . � /� ~�' "
'r
39. Water Service-Final �- �� � 7 : � .
� <.
'40. Gas Service-Final ' ' � � � � ,
:41. Solar pomesticFinal - �. -. , .
42. Backflow Preventer � • ' ' �'
43. Backflow Irrigation - - _ � �� � � �
T 44., Landscape Irrigation System - ' _ _ ' • '
r. .
45: Sound Attenuation .. . " .� -, � . - - - . F .
- 46: �Handicap Regulations -� . ° '�� ' ' ' - ' '� �
- ,t'. �i� .,
47. FINAL STRUCTURE & BUILDING %�' �` ' . � �' �
_, �` �i
48: FINALPLANNING � ' ',, '� ' �� �` e �
> �
�� 49 � Electrie Release to� Edison ' �-r",; �; � ' - ,
, _
�� � ' -
50-Gas Release to Southem California Gas Co � � �� _ ' ,
51. CERTIFICATE OF OCCUPANCY � '
No. Date
Pfl0.1ECT1100flES3: 33z HROADWAY �
OWNEN'S NRME: �]OHN STUANT '
nooness: gg3 SANDCASTLE
CORONA DHL MAR, CA
� 714/645-371i3
RNCH/ENGINEEfl:
ROOflESS:
HEG.NO.:
uxi1: + . CITY OE' COSTA MESA �- BUILDING PERMIT
PERMIT NO: E 046300 PLAN CHECK NO: N
UNIT:
PEPMIfTEF: LARRY JONES ( 714 ) 650-3170
RDOHESS: z O Z E1 POMONA AV
CM. CA 92.627
LICENSEO CONTMC70B DECIAMTION: I �ereby amrm tha[ I am Iicense0 unAer Orovisions of Chapter 9(wmmencinp witA Seciion
7000) of Divisian 3 of the Business anE Pmtessions Catle, antl my licensa is in full tarce an ettect.
�Tr uc.: p 3- ^ aTe uc.: 4 016 8 7 cuss: C-
r
ne: � � Sipnature:
WOPKEBS'COMPENSIITIONOECLAIWTION: IAerehyaffirmiha Ihavaacertif a oic sentroself-insureoracertificateoiWorkers'
Compensation Insurance, or a certifieA copY �hereoi (Sedion 3800, La�. C�.
POLICY NO.: E%P. OATE:
COMPRNY:
❑ CeRifietl coOY �s hereh^y fumisAeO. ❑ Cetlifie0 copy i �)(eE wiN the clry/ �Bulldlnp O"iNsAian.
. Oate: � �� [V AOPliwnt ���7�� r Il/�� . .
EllFIAPfION FNOM WOBI(ENS' COMPENSIITION OEClAP11710N: (IM1is 5ection n t be mmDleteO A Ne pem�it is fa one AuntlreU (E100) or kss�.
I certity �hat in Ihe peAarmante ol Ihe work tor wluU Ihis permit is issueU, I shall no� employ any De�son in any mannar so as to become
suEject ro tAe WOMers' Campensation Laws ol Calitomia. ,
Date: Signature:
NOTICE: Ii, aiter making t�is daclaration, you,shoulU �ecome suble�� �o IAe Workers' Campensation pmvisions of the Labor
CaAe, you must totl�with comply with such pmvisions ar this Oe�mit shall �e Oeemetl revokeA. � �. �-
CONSTBUCTION LENOINU RGENCY: I hereUy affirm ihat there is a consimctian IentlinA agency far ihe pedormance oi tAe work for
which this permit is issue0 (Sectian 3097, Civ. C):.. ; r� ,
�xoex:
aoosess:
OWNEB BOILOEB OECUMTION: I �ereby amrm t�at I am exem0� �rom the Cantradors' Siate License Law for Ihe lollowinq reason
(Section 7031.5 Business anG Pmhssional CoOe: My ciry af counry w�ich requires a permit to consimd, alter, impmve, OemolisA, or
repair any stmcture, D�or to its issuance, also repuires Ne aDDlicant for sucA Dermit to fle a signetl statemem that �e/s�e is Iicense0
ursuant to [he pmNsians ot t�e Cantraclors' State License Law (Chapter 9(commencinp with Section 7000) af Oivivon 3 of Ihe Busines
nd Professians Cotle) ar I�at Ae/5Aa is erempt the2from antl the 6asis lor IAe allepetl exemption. My Wolation of Section 7031.5 Dy
any aDDlicanifor a Dermit suEle��s t�e applicantto a civil penalry ai not mara ihan five �unUretl Oollars (55U0�.
I, as owner oi the property or my employees vnth wages as their sole � compensation, will ao the woM, an0 ihe
.❑ strucWre is not intende0 or ofiereJ for sale (Section 7064, Business anU Professianal Cotle: The Contracrors' State License Law
', Aoes no� aOPty Io an ownar ol a pmperry who �uilas or improves t�ereon, antl w�o tlaes such work himsetl/herself or t�muAh
his ar her own employees, provitled Ihat such improvements are not inten0e0 or ottere0lor sale. Ii, however �Ae huilainp or
imDrovement is soltl within one year of completion, �he owner vrill have the hurtlen oi DrovinA he/sAe Aitl not build or improve
for Ne purpose at sale�. . .
I, as owner of ihe pmpeM, am exclusiveN coniractinA wi[h licensetl coniractors ta constmct the pmle�t (Section 7094, Business
❑ an0 Professians CoOe: The Can[roctors' �tate License Law tloes nat aDPy ro an owner af pmperry who huilEs or improves tAereon
anA who contracts lar suc� projecis with a coniractor(s) license Duauant ta I�e Coniractors' State License Law�. I am aware
fiat pmof of their Worker's CamDensaiion insurance sAoulE Ee pmvi0e0 ro me.
� I am exemp� unCer Sec�ion: B. 8 P. C.
for [his reawn: '
Date: � Owner
I Go hereby certiry that l am aware of antl un4erstanA the reQuirements of California Health antl Safery CoOe Sections 25505, 25533, and
25534 anG that 1 ar any fuwre huilEinp occupant will/vnll not (circle one) neeE to comply with said state cades antl ihe requiremenis lor a
permit for constmctian ar moAification imm ihe pir Oualiry ManaAement OislncL ResiUential consiruction aDClications are exempt from
��ese pmvisions. �
Oate: ADVlicant:
I hereby certiry that I have reaE this aDO���ation an0 state tAat Ihe abova inbrmation is wrrect I agree to comDty with all ciry anU counry
orainances anG sWte Wws relatinp to Guiltlinp constmcnon anE AereEy authonze reD�esenlati s ot this cM �o enter upon t�e abovamentioneG
pmperty �or inSUPclion putp ses. /'�
/ ��/,(� [�
•Date: Sipnature: Y�/
oriver's �icense or Socia� Secunry x:
t66L48 W�ita—BuilCing; Green—CoEa EnforcemenC Canary—Applicent; Pink—Ravenue; GolOenrotl—Asseswr �
PERM NO: E 046300
GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMII' TYPL: ELE PURPOS.F.: OTH
JOB DESCRIPTION : ELEC FOR BEDROOM ADDITION SQ FT: .-
CLAIM VALUE: CALC-VALUE: GROUP OCC: /
COMMENTS: B--45938
iE �E�E iE iE if if iE iF if if iE 1f iE 1E 1E iE 3f iE iPiE 9E iF iE ik if if K if iF iF iF iEiF iF 1f i: iE iE if iF iE if ik iE iE iE 1E *if iF1E 3f if iE k if K iE iE �E iE iE 1E iF iEif iFiE �f �E iE iE iE if iE if iE if
Z O N I N G'S ERTEH�AUCIKRSE M E N T S
---- - - MAIN BUILDING -
FRNT: FT IN 1tEAR; FT IN
LEFT: FT IN RGHT: FT IN
- ACCESSORY BUII.DING - -
FRNT; FT IN REAR: FT ZN
LEPT: FT IN RGHT: F'T ' IN
PARHING REQ: PROV: PARCEL: 11;725303 ZNE: REF NU:
PLANNING NOTES>
� . '
ikiliEiEiE1F3tItiElEiE1ElEififiEiF�7EiEiEiEifikititiElE�lfitlk�fiElElfiElflEiEiflFMifiFiflfifiFiF�lf#�1FiFiEifiE1lifiElE9kifikiElEiFiEiEiFitit*3E1EiFifiliEikk �
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: __'___
BUILDING APPROVL•:D BY ; DATE:
APPL'lCATION ISSUED AY: � DATE; �;�__9 /�
�***+tit�rie*it�titiricieit**icatit*�F7FiFiFiF1FiF iF�F�F'iF iF****itx���-�r*� fdfi�'i�iti�
�r�r�+tat**+t�r �r�rx�*at**x��rx��r*it*+t�it�*ft****.i€�i�*�r**it�e***���r*�r�r�r*�r�r��r***ft�itxx�x�***ar��*�eit***ir*
LEGALIZATION:N F E� E' S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC.'MECHANIC FIRE SMIP/RHS GRADING
PERMIT 40,25 "
. SOE'_ SMIP/NON-RES
PLAN
ISSUE FEE '15'.0.0 ��
BUILDINC,-DZV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUF.
TOTALS-----> 40.7.5 15,00 Oc00 55.25 55.25 ,00
REVENUE DiVISION TOTALS--> COLLECTED:: 55,25 OVER/SFIORT: .00
BLDG PMT PLUMHING ELECTRIC MECHA'NIC FTRE SMIP/TUT GRADING PLAN-CHECK
55.25
iF iE iE 1E 1E 9F iE % k iE if�iE 1E iE iE iP if iE If iE iE iE k �f iE iE it it iF iF iE if iE iE ik 3f; # fE iE k�E 9F It if 1E ik �f iEif �E if 1F if IE iF iF if 1E IE iE iE 1E iE if iE iF iE at 3f iE ik iE dk 1E IF 3k ib iE iE
I N D I V I D U A L� F E E H R E A K D O W N
TYPE QTY D E S C R I P T I.O,.N" UNIT COST TOTAL COST
ELE 6 FIXTURES, LIGHTING �� 1 S1' 20 F.A. .75 4.50
ELE ' Q RECF.PT/OUTLET ' 1" ST 20 EA. .75 6.00
EL� 3 RECEPT/f'iWITCIi 1 aT 20 EA. .75 2,25
£LE 3 RES AFPLIANC'E NOT OVER 1.0 Ht� 3.00 9.00
ELG � 1 SERVICES HGLOW 600:V 6 BELOW 207. AMP 1E1.50 10.50
ENU OF FFGS
:"�
�
O1 OOOS5094-04055Q99 TrJT 55.25
DATE: 02/2819D TIME: 15:0�
CONSTRUCTION AND PLFc:vNING � POOL & SPA �
APPROVALS Permit #- . Date Inspector qppROVALS Permit # Date Inspector
J!
i. Te rary Electrical Service or Pole 52. Pool & Equipment Location
2.;,,Sof� Pipe-Undrgrnd. �? ' 53. Steel Reinforcement �?;�
�� �3rElectrical Condu'it=Utility�Urdrgrnd. _� 54. Forms �
j
',4 �E CCV_cal ConduibUndrgrnd � � 55. Electrical Bonding
?'.5.'.'Steel Reinforcement 56. Rough Plumbing & Pressure Test
m -� -
�� �6.`'�Electncal UFER'Gmd. ,_, �-9Q � 57. APPROVAL TO COVER�GUNITE
= 7 �Footings � � � 58. Electrical Conduit-Undrgrnd. �* .
8 Foundation % �- � 59. Gas Pipe, O Undrgrnd�., Test y� 7'
9. Water Pipe-Undrgrnd. ��� ��~ 60. Backwash Lines,�P�Trap, O Undrgrnd. -j
10. Structural Floor System �� ,_ ': 67. APPROVAL TO DECI< � �
11. Property Sewer Line.& House�Connection !'` 62. Backwash & Receptor-Final �
��i' �
12. Sewer Cap = � % � � �' 63. Heater & Vent-Final � ;
13. Roof Drains . ,_; �`j � 64. Plumbing System • Final ''1
14. Rough Plumbing ; 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough ElectricWiring D 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS�FINAL
19. Rough Heating & Air Conditioning _ �FIRE D.EPT. REQUIREMENT __
- m i.� - -
20.-Roegh Factory Fiieplace ;i-� x� ,� - �`,-: F APPROVALS -�Permit # - - - -
21 `DuCts, in�Structu�e' � " " - �n = � -'� '� �70. Under round H dro �
* - i: �. s - 9 V ,
22.�Ducts, Ventilating � ,- c,; �=+ * c.77. Producr�P,iping O�Gas OOiI
23.�GatPipe-Rough & Test � t•;='. � �-� ^�: -�Y � _7z, Underground Flii.sh� ' '
- r-�- flr', ;n:
24�'Roof Framin ,-" ..�' "� ' .�- � . :� - � �- , `;� ? � ,
9.- • `, ' r� x 8-73=.Undergmd. Storage_Tank.O Gas ❑ Oil � (
25. Roof Sheathing - t -� • - � r' k 7q�Overhead Hydror,�. '
26`T�Bar Ceiling (Strucwral) &iNonocoat �k -~ ;� �; ;� * 75`•Dry Chemical ,, - _ -
27.'�Frame and Flashing- _ - ^ . '_ r � 76. Dry Stand-pipe c �= " - � _ - _
�28. Lathing & Siding ; "- ,� S ; � ` ` � �. �,� �" 77i� FIXED SYSTEM FINAL-. �- - - - ;
29. Insulation J ^ • * � � �' Y. 7g,yFIRE PREV. FINAL ^ - -
`�30. Drywall Nailing {� '� x, - HEALTH D,EPT.: REQUIREMENT �
�_.31. Plaster Brown Coat�K = �"!'� < ' �+� '+' ��79 LFINAL IN5P-ECTION• �- _ _�
,e n. (-
�32:-Electrical Power Mete��Ftinai; " � F O.;FOOD CERTIFICATE ISSU,ED_ _
'S33zFinal Eleciric � `=, e, �Y 'r' �Notes: �(? ��
._
s i � �q: s < - " -
�34 _Final Heating;& Ai�`Conditioning- �; _ � i_ � ��G - ��., �
35,-Final Gas Pipe-Test, ,',.�� •• .� -� � p /y �•^ ' -
I � �
� "`.7 fJ 'l� �Q t
^,36�Hood or_CanoP �'- �- -' ' . :* " _ � -'� ` = r
Y : Z:.^ `- '♦ � !k k ;:1 :T' 7 f �. _ r .
_ �... ;.� . . ' ' '
-37.'Final Factory Fireplace:r - � � � _ M
_
i r
�.38. Final Plumbing i �-, , . � ." x rt , �r -
r �:, � r T
�'39. Water Service-Finalt -- , � ; ,x � � �, ' Y V ,.- - �
.�40. Gas Service-Final ' '" � ` _ _ " ' i i ' ` - _ ; - ��
�i r e
�41. Solar pomesticFinal" " � ' j� r `;�,; � � ., _
,r
42. Backflow Preventery� � ^� '� � � � `" �`' `'
,.: � �-; F . k . :r r-:: - -
43. Backflow Irr,igationr j. `' F - .� > -� - +� � i � � '
r� :•�> . ^.iJ
"44. Landscape I�rigation Systerq`;; Y �� f �� �_ 4 . _ ,, � �
�
'45:=Sound Attenuatiori, - c.'.. ' ' ;r yr . ,. , - . _ • ;"= �
46.�Handicap Regulations �� ^ � * ' � _ � =� ^
-c s x _ e. � �T �-�
47`FINALSTRUCTURE&BUILDING ' , � v,�' -" �" - � F-
_ ,� _
48:-FINALPLANNING • - � ' �'- * �.� �
�. - ,
49'Electric Release to;Edison ' � i �'� Y ; =' ,,-, , _
50.-Gai-Release to Southern Califorriia Gas Co �� :� f^ - �� c';., '. - �
- `c ' ,` �. .� - - �i. , . .
",51. CERTIFICATE OF"OCCUPANCY ° r . : :, - . '. -• _ ` , - -
..
No. Date `
iaecT nooxess: 7 J 2 B ROADFlAY
OWNEN'SN�ME: JOHRI STUART �
�i:aDOflE88: �jy] SANDCASTLE �
1 CORONA DEL MAR
CA 32625
(%14)721-119.Fi .
�HCNIENGINFER:
' ROOflE33: , ,
� " uxir: M /A
REO.XO.:
UNIT:
. PEflMIiTEE: JQ$N STUART � •( 714 ) 721�-7.1�1 R
nooxess: fl9J SANDCA,TLF.
CORONA DEI, M1AR CA 92G25
UCENSED fAN7MGfOR OECIAMTION: I hereby aifirm t�at I am Iicense0 unAer'provisions oi C�apter 9(commencinp with Section
7000) ol Oidsion 3 ai the Business and Pmfessions CoAe, ana my license is in lull farce an0 eflecL �
CITY LIC.: ST�iE IJC.: CIASS: '
Date: � SiOnature: �
WOBMEHS' LOMPENSRTION OECUNRTION: I �ereby affirm that I have a cenilicate al consent lo sel4insure or a certi/icate of Workers'
Compensation Insurance, or a certitieA capy tAereof (Seciion 3000, Lab. C�.
PoLICY NO.: EXP. D�TE:
COMP�NY:
I CerlifieC copy is �eraby furnisheA. ❑ Certifie0 copy is filetl with the ciry Buildinp Oivision.
Date: ADPlicant
IXEMPfION FHOM VlOBNEfl3' COMPEN311TION OECL�MTION:. (This secfion neetl not Ge completeE tl Ne permil is for one huntlreA (5100� or less�.
I cenity that in tAe De�ormance o( t�e wark lor which t�is permit is issue0, I shall not employ any person in any manner so as to Decome
su0lect ro ihe Workers' Compensaiion Laws of Calitomia.
-Oate: SignaWre: �
NOTICE: Ii, a/ter making Ihis tleclaration, you sAould Decome su0lect to ihe Workers' Compensation provisions of the Labor
fAOe, you mus� �otlhmth compty wil� such provisions or I�is Oermh shall De ae¢med revok¢d.
CONSTBUCTION 1EN01N6 RGENCY: I �ereby attirm ttiat tAere is a wnsWction IenOing aAency for Ihe peAormance of IAe work for
w�ich ihis permit is issuetl (Section 3097. Civ. C�. � .
LENUEB:
�ooness: -
OWNEB BORDEB DECIAM710N: I �ereby affirm that I am eKempt irom the Coniractars State License Law for the followinq reason
(Section 7031.5 Business anA Protessional CoOe: My ciry of counry which requires a permit ro consimct, alter, impmve, tlemolish, or
apalr any stmcture, Drior to its issuanca, also requires the apDlicant for such permit to file a signed statement tha� he/she is Ilcensea
pursuant m the pmvisions of tAe ConVactors' SWte License Law (Chapter 9(commencinA with Section 7000) af Oivision 3 of [he Business
an0 Professions Cotle) or ihat hUshe is exemOt thereirom anOlhe basis for t�a alleped exemption. Any violation al Section 7031.5 Uy
any appliwnt tor a permit suUlecis che aDPliwnt to a civil penalry of not rtrore t�an five huntlre0 dollars (f500�. '
I, as owner al [he property or my employees wit� waqes as t�eir wla compensation, will do the xrork, an0 Ne
❑ simcture is not intentletl or oHereG for sale (Sedion 70A4, Business and Professional Coae: T�e Contracrors' State License Law
Oaes not aDPly to an owner ol a property wAo huilas or Improves tAereon, anA who tloes suc� work himself/herselt or IhrouAh
'his or her own em0loyees, Orovitled that such improvements are not intenUetl or oifere0 for sale. If, Aawever Ihe builtling or
imD�ovement is m10 within one year af wmpletion, tAa owner wiil have tAe �ur0en of pmving �e/she Oid not Eui10 or improve
for t�e Durpose of sale�.
1, as owner ot t�e pmperty, am exclusiveN coniracting vnth liunutl contractars ro consimct tAe pmle�� (,�ction 70Cd, Business
� anE Pmfeuions CoOe: The Contactors State Licensa Law tloes nat aDPly ta an owner oi pmperty wha 6mI0s or improves the2on
an0 who contracts for such prajects with a coniractor(s) license pursuant to ihe Contractors' State License Law I am aware
ihat D��� of their Worker's Compensation insurance sAou�A 6e pmvitletl to me. '
� I am exemp� untle� $ection: tl [� �] U 4� B. 8 P. C.
rorihisreamn: NO EMPLOY�ES
Date:� � ^ �— � �q � ownec
I Oo �ereby cetliry Ihat I am aware of and unEerstanA ihe reQuirements of alifor - ealth ana afery Code Sedion 5505, 25533, anA
25534 anJ Ihat I or any �Nure buildinA occuDan� will/will not (circle one) nee0 ta pty wit� U st e codes and requiremenLs for a
permit tor cons[mction or modification imm the Air Oualiry ManaOement Dist' . Resitlen' con uction ap ' s are exempt tmm
ihese Dmvisions.
Oate: � � ApD�icant:
I her¢Dy certiy that I �ave read this application antl state ihat Iha abave' for on is correct I ee comply witA city anA coun
or0inances an0 state laws relatinA ro builUinA �onsimction and AereM/ au ar' resentatives of s' ,u� n ionetl
pmperty for inspec�ion purposes. �
Dah: 2^ 2"� 9� SiOnature:
onver's �icense or Sceia� Secudry x: '
1601A6 White—BuilCinp; Green—Cotla Enloroament: Cenerv-AOPlican�; Pink—Revenue; GolEenroC—Asseuor
" CIT'Y OF CQS1'A MESA - BUII,D'[D1G PERMIT PERM DIO: B 045938
PERMIT NO; B; 04593£2 PLAN CHF•.CR NO: 0?.5'14--90 S GOVT: N SUPP: id
CONSTRUC'TION TYPE; S��A] PF•.RMIT TYP�: STR- pORP05E; AUU
JOFi DESCRIPTION : ADD JOItSQ FT TO EXISTING DtiDRUOM SQ FT: 70
CLA]:M VALUE: CALC-VALUE: , 4,fi30,00 GROUP UCC: R-3 /
•COMMENTa: "SMOKL•: DGTECTOC{(5)." RE(1UIRED.
+�x��x-*+�*��-��* ����+��*x��t****a�*�*�******�r**��--x�*rt*x�*x�x****+��c�*�c*****�*-x�rti��-�-*et�x��rx�*****
Z O N I N G R E Q U I R E M L: N T S
S E T T� A C 1C S '
- MAIN BUSLDING ---------- -----�---- ACCESSORY BUILDING - -
FAN'I': F'1' iN REAR: PT IN FRNT: FT IN REAR: FT 7N
I,F.FT; ['T CN R.GHT: FT IN LGfiT: FT IN RGHT: FT IN
PARKING REQ: , PROV: PARCEI�: 11725309 'I.NG: REL' NO:
PLANNING NOTCS> �
i
if iE iE jf if iE 3t iE �1E iE 3E if k 3E fE 3klE if if 3( )f iE?f 3f jf fE it,3f jt iE 3E iE iE �E �E �E �E if %iE if iE%1' iE fE jE if aE iE iE iE iF if if 3E 1ElE 1f iP jE iE jE iF if 1E if iE i(� i43E iE iE �t iE lE 3E �E iE
D i. V E I, O P M E N� T S E R V I C E 5 R E Q U I R E M C N T S
LUNING APPROVFD }?Y , �T-��.---�_-��E�-T=�=�—,._ DAT�: , �/�'O-
BUILDZNG APPRbVED IIY : DATE: i:•- �/
- - - - -- - --' �r��
APPLICA'PION ISSUED BY: ` � �� //
DATE: Z�
if�-**�tatit*�x-****ittt�ft�**,*�c��' i{*�r- �� .*�i't`� �F � * &�F3F�c�iF-�x-�F3F�F�ot�:*it-�x-*�-*�*�*-�*iF�iF3'r`**�
iF9f�YFiElf#if-i(�iE1(�iEiEiEif�lf��-0Ed434#i(��9E�1(�Y,-iE1F�lE3EiEiEi(-1FdEif��iF1(�iEiFiEitiE 3EiEiEiEiF�N1E1f�3Eif�dEiE%iEitiEdEi(�ikit-0EiE1E�iE�iEiElklf�lfi(-#?E�N�
LEGALI7A1'ZON:N F C r S U M A R Y STRUCTUI2AL ��GMENT:Y
�' BLDG PMT PI,UMIITNG ELF.CTRIC MECHANIC FIRE SMIP/Rfi3�.. GRADING
PERMII' 72.00 -%' S0' ft.:
• SMIP /NON-$7F:5
PI�AN 46,tS0
ISSUE FEE ',, !,
DUILDING-DIV-> PERMIT ISSDE PLAN-CHECK TC�TAL , PAIll '�, PUE
TOTALS�---: 72.50 0.00 46.00 119.30 113.30 .00
REVEi�IUE UIVI:iION TUTALS--> COI,LECTI'U: 119.30 OVER/SFIORT: ' .00
DLDG PM1' PI,UMDING EI;L•'CTRIC MECHANIC FIRL SM'IP/'POT GRADING Pj;"AN-CHECK
72.00 .50 46.80
•' ' '/
iE 1F if iE if iF 1E it it iF 3t k iE it iE �E k iE iF if i: iE iF iF M iE iFiF 1E 3E iE ik i! iE fE fE i' iE iE iF ik �f 1E jE if 1E it iF iE iE iE 3E iE iE 1E iE 1E jE 3t if iF 3t iE iF �E k 36 iE if 1f if iE iE 1!� iE iF ik k 1f
I N D I V I ll U A L F L F.. B R E A K P O W DJ
'LYP� QTY D E 5 C R I P T I O N, ONIT CO>'T �TOTAL COST
.SFR '70 DWE-�TYPE V-WOOD FRAME . -GOOn 69.00 . '"�4;.830.00
END � OF FEEa ," • v
; (.
� . /�i
'
QI QD�$�2rS-OdOS�'jS� �'I[1T
DATE: 02/02/90 TIPIE: 16:08
119.3L7
r. . .. . - - PO . SPA . .
CUNSTRUCTION AND PLANNING � � � �
�PROVALS Permit # Date Inspector Date Inspector
APPROVALS Permit #
t!
� 1. Temporary Electrical Service or Pole 52. .Pool & Equipment Location � � � ,
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Gtility-Undrgrnd. 54. Forms _
yl _ r .
4.. Electrical Conduit�Undrgrnd. � 55. Electrical Bonding , �;
•=5. Steel•Reinforcement 56. Rough Plumbing & Pressure Tesi� � -
� 6.``.ElectricalUFERGrnd. 57. APPROVALTOCOVER�GUNITE-'
;; 7: Footings �S'('�f� -� ��'�� 58. Electrical ConduirUndrgrnd. - .
8. Foundation . 59. Gas Pipe, O Undrgrnd�., Tes[ ,,t �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ��� �,' �� �i
. /. .
10. Structural Ploor System - 61. APPROVAL TO DECK ,• j, i' `�� � /
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,' ���/ � 3 ��
72. Sewer Cap . . 63. Heater & Vent�Final f � % �� ��'' .
•". o ' / ',4 '
13. Roof Drains _ 64. Plumbing System - Final �y�� l' �� • ; i
14. Rough Plumbing � 65. Electrical-Final .� � '�o : ' � i �. ��<�
15. Rough Electrical�Conduit _ 66. Solar SYstem-Final �'� ���
!r
16. Rough Electric Wiring - � 67. Fencing & Access Approval.!� �+
�
17. Rough Wiring Sign , - 68. APPROVED FOR PLASTERING �
i
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT �
20. RoughFactoryFireplace , � , �APPROVALS' .,Permit#
21: Ducts, in St'ructure _- - � 70. Undergiound Hydro �
22.� Ducts, Ventilating . : .� 77. Product Pipin9 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 Ceilin9 (Structural) & Monocoat - . � 75: Dry Chemical ' . -
27. Fremeand Flashing �� ��u/� 76. Dry Standpipe - �
- 28. Lathing & Siding � - - ' 77, FIXED SYSTEM-FINAL -
29. Insulation ' � "' � �?j",s � 78; FIRE PREV. FINAL ^ ��
r.. ,i,
30. Drywall Nailing � S u 9,Q, �(,,�. �HEALTFI�DEPT,,. REQUIREMENT
31. Plaster Brown Coat . � �'� ,`� '}: 79. FINAL INSPECTION �
�•
`.
32. Electrical Power Meter-Final ' '� 80. FOOD CERTIFICATE ISSUED .
33.'Final Electric - . -, � j ; ' `� � Notes: - - - � . �
34. Final Heating & Air Conditioning •.' � CC O_ � K� S� ��
/ cC./�rlU�_
35. Final Gas Pipe-Test � - ' � -� '
��:.
�� 36. Hood or CanoPY - - . r: . � j " - • -
37. Final Factory Fireplace - '"" � � a--'� -
�y! �.
38: Firial Plumbin9 • i�' 7: _ ." ' .
39. Water Service-Final ' _ y .
. 40. Gas Service-Final � _ � �
41. Solar pomesticFinal .. - , -
42. Backflow Preventer - � .
43. Backflow Irrigation ' - � '
44. Landscape Irrigation System � � , : .
45.'Sound Attenuation � , ' . � . �
46:•HandicapRegulations � � � - � ;
47. FINAL STRUCTURE & BUILDING �� ' �. ' �/
? '�G �
48..FINALPLANNING � �"� �y- � �
49. Electric Release to Edison � ��% �
n� /F
50. Gas Release to Southern California Gas Co �� S�
51. CERTIFICATE OF OCCUPANCY •
No. Date