HomeMy WebLinkAbout292 BOWLING GREEN DR - Building Permits�ooeEssaemiara: 29z gpWLING GREEN DR
onNsxsNuaeira,avx: JONES, BECKY L
�ooness: 292 BOWLING GREEN DR
COSTA MESA,CA 92626
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LICENSED COMXACTOPS OECLAFATION: I hareby eRirm under peneNy d pe�ury thm I em licenaed unEer prov'siona d Chepler 9
(wmmendng wnh Seclan ]000) W Drvinion 3 of �he Buair�em end Prolessiona Cade, eM my lice�ree is in hll brce eM elled.
�ruallo.:_ , u¢cuss: uc.No.: EXP;
' et 7 u i n cam,eae.:
Efl BUILDEP DECLINATION: I Mreby eifiim under Po��Y d perjury ihet I am eKemq irom iM COMreGon licxae Lew ta ihe
folbvnip reesan (Sedan )0�1.5 BusNxs eM Proimsions COEe: Any ciy a counry v.fiich reyuiren e pertnil to mnsVucl, eller, imprwe.
demof h, or repei eny almcwre. pnor lo ils oauence, eleo reQuires �M applirent br aueh permn to file e ag�wd ele�amam Me1 he or ahe
ia licanaed pureuent Io Ihe provisions d �M Conlraclws License Law jChepter 9(commemirp wnh Seqbn 1000) d Diveion 3 d Ihe
Busiereas eM Profewons COEe� or �het M or aM is a�cemq thereM1am end ihe bmis ta iha ellepeE axemqian. My vbletion of Seaion
'lasl s M eny eon���,� �or e aa�nil aubjed%me evp�iceni �o a tivi� vaneM w na m«e �hen �Ha hu�drad ddlere [3500U. '
� I.mowneroltheprapany«myempbyeeswtlhwepeseslM'vaolammpanae�ion.willdothevrorkandiMeVuclurewiwtintenEetl
ar oXaredbr seb (Seelion 1014. Busineae end Prolesaims Coda: The Conlreelors Lieenae Lew daea mt epplyto en ownerd qopeey
wM builEe w impeovea �hereon, eM who does sueh wvM himaeM or Mnap or Ihrough he a her ovm empbyeea, qovidatl ihet euch
improvemaMa era rwi intended a diered for sele. H, however, tha WiNirq « imqaremeM ie aok wilhin ma yeer d mmpblion, tM
owner-buiWer vnll have Ihe burAen W proving he or ehe did nM builtl or improve Iw the W�e d sab).
� I, as wmer d tlre propeM. �%�dusivey conired'rg xilh licenaed contrectwa �o conanuq the pojeq (Sedion ION. Bueimee end
Gmleseiona Code: The Comredo�a Licensa Lew tloesrwl epplyto en ownerd propeNy who buiWa a improvesihareon eM who
conirecle br such projecis wilh a canlredor�a) Icensad pureuent b Ihe Coniradas Liceree law).
i�,,,,a,�,�� „s«�ro�:BP7044 e.ar.c.,m,mg OWNER BUI DER
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areby ceniry ihet I em ewera o( anE unCeretand iM requiremand o/ Cel'tomie end Sd ode Saqiwre 25505, 255s3, aM
25536, end tlw I a eny Mure buildi�q xwpenl will / wNl na (a�cb ane) need b compy wNh eei e mEm eM IM reyuiremenb tor
epermillormnslructionamodifiWion/rom�M1eAi uai—Riry %negemenlDi9ntl.Fasidentidmns�rutlioneppYratiaueroeumptlrom�lme
pransions.
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WOflKEH'S COMPENS�TION DEttAAAT10N: I hereby e/firm undar penely d peijury one d tM IdlovArp Eetlumiona:
� I heve aM wiN mantein a cerliiimte of mnaent to aeN-inaure br waM1ero mmpeneation, ea provNed fa by Saeion 3]00 of tM Labor
cod,, m, ma reno���a m ma .� ia.n:�n mre oa�n �, �„�,e.
] I have end wi1 meimen woilceis' mmpenution inaurarce. av req�ired by Saaion 3)00 af Hre Lebor Code, M�ho paAwmaMa d IM
work fa which �hc peimB is isaueE. My warke% compenmtion inaurence ramar aiM pdiq number ere:
Cemer:
Polcy Numbar:
/rnrs �n� �«d �m n� �aered r ine v�x is ror one nu�reree daia�lsiaol a�.�
� I cerlAy Ihel in tha perloimarce W �he work for whch ihis permil o issued, 1 ahdl � emplq eery pemn in any menner w q �o
became aublad lo �he vrorkers' canpensetion lewa W Celibmu, end aprea ihat R I ehouk become aubjep to iM Ma�kem'
compensatbn v�sb�a of Seqion 3)00 of ihe Lebar Code, I ehell /alhwith mmpy wiM IMae pm�riabns.
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PERMIT NO: H
CITY OF COSTA MESA — BUILDING PERMIT
079178 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : HAM RADIO ANTENNA
PERM NO: B 0791%8
GOVT: N SUPP: N
PURPOSE: OTH
Sc� FT: 500
CLAIM VALUE: 500.00 CALC—VALUE: 500.00 GROUP OCC: R-3 /
COMMENTS: X
**�**�ieatit+e****ie**�+�**�*+�it*�**��**�*��*at*at**�**at*�iE***iE���iF�***�#*�ieieiE**�io-���*af�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 141J8213 ZNE: REF NO:
PLANNING NOTES> ,
�
iE # iE �IE �1E #�)E fE �E iE �E �E dE �E 3E �)E �f �IE jE * iE �E jE iE �f 3f 1E if 1f * iE 1f jf �lE i(� if ik 3E �If 1E lE �7E iE'1E if if if if 1E iElE iE iE iE iE 1E iE �IElt iE iE if iE iE jF �)E 9E-%if iE iE iF iE iE 1(- iE iE iE 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 NuT` 5
i
ZONING APPROVED BY DATE: ��.,
BUILDING APPROVED BY ; DATE: r.%e
APPLICATION ISSUED BY: ���� DATE; Z Q�
*****��**��x�*********�����F���F�F�F��F�F�F��F� � �fif i�7��F���F'if���Fi�*x�***�*�* '�c
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 21.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 21.50 0.00 0.00
REC�ENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
21.00
TOTAL
21.50
.5�
SMIP/NON—RES
PAID
21.50
DUE �
.00
21.50 OC�ER/SHORT; .QO
FIRE SMIP/TOT GRADIP�]G PLAtd—CFiECK
.50
�IE �)E �E 1E 1E �E 1E 3E fE 3E 3E �3F if jf iF if 1E jE iE if jE #!E iE-%iE iE 9E 1F iE jE �lE �)E jE iE 3E iE �E iE iE �If �)E 9E �E jf jf fE 9E # 3E iE -0E 1E �!E'%� iE �E �IE df' 9F 3E jE' iE iE iE iE �E 9E 1E'% dE �f -% de if # 1E jF #�
I N D I V I D U A L F E E B R E A K D O W N
WamMg: Falluis ro axuro woMrx�' compswtlon roveregs li unlewNl, entl �MI/ wbHct an smployx to erlMnsl p�n�ltlu �n0 I TY P E Q TY
nMi n�., � ro o� nwa.ea mo�,.�n eon,n lt+oqaao�, �� .nemo� ro m. �o.� o� oo�.�rmn enm.w. ++�we.e ro. m
sxuon s�a o� ms �.ebor cow, �nroiuq md atrornsys �su. S FR 5 � �
CONSTHUCTON LENDING AGENCY: I hereby elfirtn undar panelry d parjury �hat ihare ie e eme�rvqbn bMiep epency Ior Ihe
Pon��� m ma won� ro� wmm� mm w�n �: os�aa �s«v� aw�. cH. cl.
LENDEF'S NRME:
LENDEH'S ADDHE55:
I ceniry thet I heva read Ihis epplicetim and atma thm tha ebova inipmetion u w'rep. I egree lo wmpN �h ell ay arM munry adi�ancm
end atma lewe rele�ing to buik'vg conaVUGim eM hareby aWMrize represenlatives d �his ary �a enter upon iM ebove�mentoned pmperry
�����9°'�'��°�`°��=EECKY JONES
o�e: 8 y/ 9d
(SiSt-ae.WP) Whne-BuiW'vp 8 Sefety; Grean-Fle; Cenery-Applimm; Nnk-Revenue; Oddenrod-Asxsmr
D E S C R I P T I O N
ALTER BY t,�ALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST
TOTAL COST
500.00
f
CONSTRUCTION AND PIANNI r :- , � � �L & SPA ' ���
- 'MV'i' Date lospectbr j ' - . Date - Inspector �
� APPROVAl5 Permit # APPROVALS � Permit # .
. t. Temporary Electrical Service o, Pole - 52. Pool & Equipment Location � �
2. Soil Pipe-Undrgrnd. I�� •� 53. Steel Reinforcemeni � .
3. Electrical Conduit Utility-Undrgr.�9d. � ,� 54. Forms . ' '
4. Elearicai Conduit-Undrgrnd. "�;� . 55. Electrical Bonding �
5. Steei Reinfo�cement � �� � 56. Rough Plumbing & Pressure Test ��.: �
6. Electricai UFER Grnd. � . 57. APPROVAL TO COVEF�GUNITE �
7. Pootings � 58. Electrical Conduit�Undrgrnd. � �
8. Foundation 59. Gas Pipe, � Undrgrnd., Test �'
9. Water Pipe�Undrgrnd. . 60. Backwash �ines, P-Trap, 0 Undrgrnd. '
10. Structural Floor System � . 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection �62. Backwash &�Receptor�Pinal -
12. Sewer Cap " ` 63. Heater & Vent�Final
13. Roof Drains • ,64. Pfumbing System - Finai
14. Rough Plumbing �� ' � 65. Electrical�Final
15. Rough Electrical-Conduit . 66. Solar System-Finai ,
i 6. Rough Eleciric Wiring � 67. Fencing & Access ApProv�l :� � �
77. Rough Wiring Sign � ; � 68. APPROVED FOR PLASTERING •
18. Rough Eiecu�ca6T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL
-79. Rough Heat�ng & Air Conditioning � FIRE DEPT. REQUIREMEN7
20. Rough Factory Fireplace APPROVALS Permit #
27. Oucts, in Structure . � 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & Tesc . 72. Underground Flush
24. Roof Framing ' 73. Underyrnd.StorageTank OGas OOiI
25. Roof Sheathing . 74. Overhead Flydro
26. T-Bar Ceiling (Strucwral) & Monocoat . 75. Dry Chemical �
27. F�ame and flashing 76. Dry Standpipe
28. Lathing & 5iding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing � NEALTH DEPT. REQUIREMENT
3}, plaster Bro�an Coat, 79. FINAL INSPECTION
32. Electricai Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Finaf Heating & Air.Conditioning
35. Finai Gas Pipe-Test
36. Hood or CanopY `�'
37. Final Factorv Fireplace � � �
1
38. Final Plumbing . ' ^
39. Water Service-Final
40. Gas Service-Finai - '
41. Solar pomestic-Final �
42. Backflow Pieventer
43. Backflow Irrigation .
44. �andscape Irrigation System
45. Sound Att¢nuation
46. Handicap Regulations �
47. FINALSTFUCTURE&BUILDING G/
� �-Gf�
48. FINAL P�pNNING '"`�
49. Electrie Release to Edison _'_ .
5o. Gas Reiease to Southern California Gas Co
c..
51. CERTIFICA7EOFOCCUPANCY ,-_�
No Date
monessoraw�uw: 292 BOWLING GREEN DR
o,vxExsxweiFa�am: JONES, BECKY L
��+� 292 BGWLI�IG GREEN �R—
COSTA MESA,CA �92�26
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LICENSEO COMPACTONS DECLARA710N: I Mreby efiim uMx panely d perjury Nm I em Iseneetl wMx pwieiom W Chepr 9
(rommentlrq wilh Seclion lUW) d Orviabn 3 of tha Buaircae uM PMmaima Cade, erd my licmm u in lull face entl efletl.
cm uc. r+o.: uc. cuss: uc. No.: EXP :
OWNER BUI�OEN OECIANATION: I henby dfi�m uMbr parely d perjury �hel I em eRemq hom IM Coniredae License law tar Ne
blbwm0 raeson (5eqion )W t.5 Buaiieae eM Prdmaiom CoEe: AM ciy a mumy which m9ui�ee e W�u �o mntrucf. Ma.'vnpwa.
demdeh, a rapei eny a�rvnure. pia lo ils eauarca, el+o reQuiren �he eppl'renllv euch pa�mX Io fib e epneE ate�mwnl tlW M a aha
ie licensed Wnuenl �o Ihe povnioni d �he Canir�ora licenx Lew �Chep�m 9(oommendnp vril� Sed'qn ]000) af Ovcbn J d Ihe
01191fIBE B!I(� PIO�B9810119 CrO40� IX �� �1B O! 9�IB 19 BXBTp1 �hYB�IOT BIId 1�18 bB818 �IX �hB B��BQBQ !FlIIIqI011. Al1)' V10�8�0114� $lQ011
]031.5 by eny epplicent lor e permX wbjeds IM applcent to e dvil panelry of ml mae then Ma huMred ddlen �55007).
� I,esow�wrdlhaqopenyormyampbyeasv.thwapeadiheiedammpenution,rrilldoMawrk,eMtlroet�ununwmliMeiMed
w divad br We (Seelpn IOM. Buaroa eed PNeeaiann Coda: The Cm�redon lieen5e Lewtloee nol epplylo enownerd piope�y
who WiEa a inpovea �hareon. e�M Ma Eoes suM xwk Nmxll a Mnell or Waqh he n her own emplyeaa. pwided thet aich
impovemanla aze m� intaMed «dle�ed ta aeb. X. Mwevu.IM Witlirq a inqonmml u edd xilhin ona Yeu d wmpblion. tln
wmr-0uiNx wiil have iM WrAen d po.•irg M ar ehe d'd m� buiM a improve /or iM WT�e W aeb).
❑ 1. av ovmer d ��e prapeM. � exduarveN �IreUmB �h IicenaeE canlreciore ro conavue Me prqect (�� )aM. &wimee end
Pro/eaeione Code: The Cantredon Lkensa Law Eoee nM epply b en ow�mm d propaM � buitle a impeo+m thwaon aik wtw
conlrecla M wW DrqeWa wilh e mnlraeor(e) licenced punuent to ihe Conlretlors limnee lav�.
i�,,,�a �,a„s, �:BP7044 e.aPc..ro�u,��:OWNER B IIL ER
; m,: 8.2 i q 6 �,,,,.: �
I W ceNry ihel 1 am eware G eM uMante�M tM �aquiremerua d Cello ' Heellh eM Smian u5os. ?5533. ard
sae. �e inr i«.�r nn�re e��imoa ooWo�� �n i.m �a (a2b ooa) �e io �Wr.m ..w s wd«.m m. ,.a�mmau. e«
a permX lormnelruclion or modifiutianhantheAi�O IeTy .Tenepemeni Di�na, qeeitleMiel conet�udion appimibmeneaemp Imm Iheee
Da�e: Applicent:
WONKEN'9 COYPp13ATION DECLARATION: 1 hereby elfimi wder psiMy d perjury aro d IM Idbwi�p Eedeietiwm:
❑ I M1ave uM Mil meinten e cenAcma d mnxni to eaXimure lor xakan' wmpensetun. ai prwiEsd la by Setlim 9]W d tM labor
Cade, tw tM pe�IwmeMe M �M xoM for which I�ie permn ia issued.
� IheveendxilmanteinwaekaremmpenaeiioninsurerKa,mrxryiradbySepim3]OOoliheLeborCaEe,MlMperlarmenoedlM
wwk Iw which iM1ia pa�mn ie iasued. My wnkzre compenaetion insurarice rarbr and poliry number ara:
Cemer:
Pdiry Numbar:
�rnis s«vrc� �..e �a ae comWeree r rns �. e ro. �. n��d�d ed�o /siwl a bs,.�
� I cenAy thm in �he pMwmence d iM work la whch thie permn n iauad, I ehell iwl empby eny pa�xn in eny menmr eo c b
become eubl� b iha workere' compenemion lewe W Cdilomie, enE eprea Nm il I ehwN beroma wLjed to tM �wbro'
wmpanaeiion 0�'isons M Sedion 3)00 ot iM Lebor Code, I shell toMhwnh mmp�y xilh ihwe poviaiom.
Dma: Appcenl:
Wam/rp: Fsllun ro ueun waMrsn'rompauatlon eovsrap� la unNwNl, �MLWI �u6/eef �n w�nployer to erlMml pwMMn anJ
clHl Ilnu'q ro aw h�ndrsJ Mouuntl JWkn (t100,Gb01. M eCNtlon ro M� ewf o! ronps�u�tbM1 demepu u provMM Iw In
Sxtlon 9)O6 0l fhs Lebor Cotla, Inhnst, entl efrom�y'� less.
CONSTAUC110N LENDINO AOENCY: I hereby elfirtn undx penelly d perN�Y �hm there u e mnatrutlbn brdi'q epericy br IM
peAwmenm ol Ine wmk lor which thu permil is ewetl �Sedon 3091. C'v. C�.
LENUEN'S N4ME:
LENOEH'S �DOFE54:
��Y ihet � heve read tl�4 eVdee4m ard sta�e iM1et �M1e above i�,mretan a cmW. �� �o camV�Y wilh ell �YaM wu�Y oMp�o�
eM stete lews rMd�p ta buiN'vp wnsuuabn end Iwrebya�nhor¢e repreaenletnee dthe aryto emr upon the abava�memiv�ed peopany
i«ms�a�v��a�s. �ECKY JONES
Dete: 2' / �
Oddenro�Naem
'
CITY OF COSTA MESA - HUILDING PERMIT
PERM NO: P 079180
PERMIT NO: P 079180 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : WATER HEATER SEISMIC STRAP SQ FT:
CLAIM VALUE: CALC-?TALUE: �Rt�UP O�C: R-"� /
COMMENTS: X
x�*x*it***�r�****et*�t�*it*+�***ie**x��t�*#iE�**ie*�*�*�*��**��**�**�*�******�*�it****�*iex
Z O N 2 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: PRO��: PARCEL: 14138213 ZNE: REF NO:
PLANNING NOTES>
%
jE iE 1E �E 3ElE jE 1E iE IE �E 3E 9E 3E 3F iE if iE if fE!(� iE if if iE iE iE dElf iE iE iE if dE iE iE 3E iE if iE iE 1E iE iE iE iE iE iE 3E �E �E �E 3E-lE 1E dE ik iE 3E iE �E iE �E iE 3E �t iF af iE 3F 9F 3E if aE 3k 3E 3E iE iE
D E �� 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 APPROC�ED BY DATE:
BUILDING APPROVED BY : DATE: Q` ��
APPLICATION ISSUED BY: DATE: �/
*�***«****��***�****�� * � ��«�*�**�� �_�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11.00 '
25� ' SMIP/NON-RES
PLAN ;'V •,
ISSUE FEE 22.00 '•-
BUILDING-DIV-> PERMIT ISSUE P�AN=CHECK TOTAL PAID DUE
TOTALS----> 11.00 22.00 ✓1 0.00 33.00 33.00 .00
REVENUE DIVISION TOTALS--> COL�L'EGTED; 33.00 OVER/SHORT: .UO
HLDG PMT PLUMBING ELECTRIC ME�HANIC FIRE SMIP/TOT GRADING PLAN-CHECK
33.00 = .
iF iE 1E if if ik 1k if if 3E jf if jf iE iE iE iE jF 9E iE if if if jf iE iE 1ElE iE �E iE iF aE 1E�E 3E IE iE 3E dE dE �Flf �f jF iE iE jE 1f �k 1k k iE df if iE 1E iE iE 1k iE iE iE jE iE jE iE IE aE jf iE jE IE if �fE 1t iF # 3',�
I N D I V 2 D U A Y, F E E B R E A K D 0 W N
� .
TYPE QTY D E S C R I P T I O�N UNIT COST TOTAL COST
/ �
PLU 1 WATER HEATER AND/ORIC�ENT 11.00 ]1,00
T-. -r �D�. LlF _ F E E S
%� c �g',
F, �
A �1�'
_� �1
�
. CONSTRUCTION AND PIANI�....i
APVROVA4S ,Permit # _
7. Temporary Electrical Service or Pole
2. Soii Pipe-Undrgrnd. - ,
3. Electrical Conduit Utility�Undrgrnd. .
4. Electrical Conduit�Undrgmd. -
5. Steel Reinforcement
6. Electrical UFER Grnd. �
7. Footings
6. Foundation '
9. Water Pipa-Undrgrnd.
10��Structurai Floor SYstem
11 i�Property Sewer line & House Connection
12YSewer Cap
73. Roof Drains
74. flough Plumbing
75. Rough Electrical-Condurt . ,
16. �Rough Electric Wiring
17. Rough Wiring Sign �
18. Rough Electrica6T Bar Ceiling �
79. Rough Heating & Air Conditioning
20, Rough Factory Firepiace
21. Ducts, in $tructure
22. Oucts, Ventilating
23. Gas Pipe-F±ough & Test
�4. Roof Framing �
25. Roof Sheathing "
26. T�Bar Cei�ing (Structurall & Monocoat
27. Frame and Fiashing .
28. Lathing & Sidinq
29. Insulation
30. Drywali Nailing
37. Plaster Brown Coat
32. Electrical Power MeterFinal
33. Final Electric
34. Finai Heat�ng & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbin9
39. Water Service-Finai
40. Gas Service-Final
47. Solar pomestiaFinal .
42. Backfiow Preventer
43. Backflow irrigation
44. Landscape Irri9ation SYstem
45. Sound Attenuation�
46. Handicap Regulationt
47. FINAL S7RUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern Catifornia Gas G
51'. CERTIFICATE OF OCCUPANCY
Qate Inspector
`.
a
��.
Date � ' '��
)L & SPA
� APPROVAIS Permit # _ Date
. 52. Pooi & Equipment Lowtion � ,
' 53. Sieei Aeinforcement -
54. Forms � �
55. E�ectrical Bondiny
. 56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit-Undrgrnd. .
59. Gas Pipe, O Undrgrnd., Test "
'�60. Backwash �ines, P-Trap, O Undrgrnd.
61. APPROVAL�TO�DECK .
62. Backwash & Receptor�Final �
� 63. Heater & Vent-Final � _
� 64. Plumbing System � Final .
%65. Electrical•Final '
66. Solar System-Finai . � ,
67. Fencing & Access ApP(oval .
68. APPROVED FOR PLASTERING
69. POOUSPASYSTEI:ISFINAL
FIRE DEPT. REQUIREMENT�� �
APPROVALS Permit #
70. Underground Hydro
71. Product Piping OGas OOiI
72. Undergro�nd Flush �
73. Undergrnd.Storage Tank O Gas �, Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM F�NAL
78. FIRE PREV. FINA�
HEAITH DEPT. REQUIREMENT
79. FINRL INSPECTION � �
80. F00� CERTIFICATE ISSUED �
Notes: �� 5._ c�i n�� r �%�
c
i3N= �lLt- NurlES
Inspector
; Y
� I
nnonessaemiaxc; zgp $pWLING GREEN DR
%YNEWSNfAEIFpqWry;SONES, BECKY L
�oonEss:292 HOWLING GREEN DR
COSTA MESA,CA 92626
979-2703
�cci. xuuxo,woness
AqCXRECT01iFNtlNFEp:
MCN.OP ENG'S /�WXE55:
uc. xo:
uNT: CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: H 077192 PLAN CHECK NO: N
UNT:
cartn�cTarsxu�eM.G.M. CONSTRUCTION (714)283-8803
CONINACTORSYYIING z q 9 EMERSON
�ooxEss:ORANGE CA uano.: 558211
92665 uxr:
LICENSED CONTflACTOF4 DECLAHRTION: I hereby eRvm u�Mer penelly d perjury thet I em Icanaed �nder poviaioro ot Chepler 9
�(mmmendnp wilh Section )000) d Oiviaun 9 d the B�r�ess entl Protessiona Cada, eiM my licenee ia in lull lorce eM allaa.
�'' cmuc.No.: uacuss:$ uc.�No.:�55821(1 �EXP:
oe�ei '-j—If,�-4 R. comreao.: 'l�Cn.J[0�.. a..`D'1
OW NEN BUILDER DECUP4TION: I hareby elfirm under peneYy W perjury ihe� I em uempt Irom ihe Convaqae Licenee Law fw iM
followirp reeaon(Serfion )0315 Bueineee enE Prole»ions Cade:Any cny orcounty which mquirm e pertnXlo oonetruc4, eller,improve.
demoloh, or repe'r eny elrutlure, pior to ib eeuence, ebo reQuires ihe epplirant for euch permil blle e dpned Nelemenl ihet he or ahe
ia licemed W�*��� �a �he provieiom o/1M ConlreUon License Lew �Chapter 8(mmmemAnp xilh Section ]OW) ol Oi✓eim 3 d ihe
Buainav enE Prdeuona CaCe� or Ihel he a eha u eaemq �harehom eM Ihe beau lor tha dleped mempton. My voletbn o/5aclion
)031.5 by eny epplicent lor e permn eubjem �he eppl'rsm io e uvil panelry of ml moro Ihen tNe hundred ddlen �350p�).
� I, av ow*wr d ihe pmpenY or my mmpbyse wvh wepea ea �he� ade mmpanaeiion, will do tM xnrk, end IM elriwture o iwt inlenCeE
w Mered br aeb (�Ibn'!a<. Busimss eM Pmlessbns Code: The Convepon licenae law Eoea �wt eppyto en owner ol propeM
who W ide w'vnprwae iMreon. end who does such wwk limself or henell a throuph ho or har oxn employeee, pmvided II� such
��mam� �e �a ime�dee «one,ee �« s�. n. no.�,, me w��a�� «mv�emem n.ad �;mm �. ye., d mmoi��,, me
ow'wrLuitlar xi11 lave IM WMen d po+iip M ar aha d'M M Wik a improve /ar iM puryone d mle�.
❑ i. a. o.mer a me o�waro. em e.a�r canuaavro wan i��d �,�renas ro mmrua me waed Isea� �aa. amn,ma e�e
v,a�� coea: rna com�ea. u�� �w ao� �a awiv m� o�.,�« a yw�r wno w�a. « �mwwe. �n�� a,d .+w
eonlratlalorwM prqeds wilh e mMredor�a)Icee� W�suantlolM Conireeora Licenve Lew).
� I am examq uMar Seciion: B. d P.Q, ta Ne reavon:
Date: Ownec
I do heraby canity ihei l em ewara of vM uMerstarM the requirementa d Celiomie Haelih eM Sdaty Cade Seqiom 25505, 255�, aM
25SM, eM ihm I ar eiry Mure buikiip a¢vpeni wiil / wil nd (dreb one) need to camply wi� eeid e�ela mEee eM tM repuirementa la
aparmitlwmnavueibnpmotlifeetionhanlheAi ua-GTyT.�anegemaniDisviel.ResiEantielmnstivaoneppfutionaeeeaeemptimm�hesa
wovisio�s. .
o�a: nvvik�c
W OFKEH'S COMVENSATION OECLANRTION: I Mreby effi�m uMar panepy M peijury me W iM lollowi�p Aedermbna:
x[] I have aM wip meintein e cerlMiceia d caneeni io aeH-inaure Iw workan' compensetbn, es provided fw by Seqion 3�00 0l ihe LeEor
COAe.fort�a pe�ormence oilhe woticia whi<hihia pa�muisissued. '
❑ i ne�e �,d �;a m�m�� �n�.n �m���r � i�s�,�,�, �,w���d er sea�, a�ao m me �, ceea, m, me reno,m�,� m ma
wak for w1iiM IM1ie pe�mil is ieeueE. My w«ke ' se�ian insurance ferriar vM pdiry number aze:
c�.: ST�.TE FUND EXPIRES
Po�� N�mn��: 01 / 01 / 9 7
�inrs sanion neee nor ee como�ar.d r me o�a s�w one n�ne.ee ddlaslsirol w bss.�
❑ 1 cenEy WI in Ina pMamerrca d Ihe work br whch t�e pe�mu is iauatl. I shell,wl employ enY Ge� � NY menriar ao m �o
becama sud� m iM v.orkere' cwnpenambn lewe d CeIX«nie. aM epree thm A I dwuld becrome euDjep to �M wvMers
mmDarwtion o�aiona W Setlion 3]0o d �he lebor coEe. I shall fonhy��mmoN ��g�a+sion?.
r
Dele: U") � �G Apqicenl: ( ✓1/(� )�.<s �
Wem/ng: Felluls ro ucun workeri ror�veiwtlon cwengs /i unMwNl, enC Lull iubNct �n �rry/oysr ro eAMixl psrraMu aM
c/vll flrcs up ro om ��ntlred fMua�ntl0allen (SfOO,WOI, In etlp/fbn lo Ms caf oI rompaustbM1 Wmrys� �s prov/tlW br In
Sxtlon 3]OS o/ Ms Lebor Code, /nNnsf, en0 ettomsy's /ea.
CONSTNUCTION LENDINO pGENCY: I heraby alfiim uMer panelry ol parN�Y �� ��� n e oonmrwaion IeMinp aperwy lor IM
p0l�Of111911CB O�IM1B WOl�(IOf'M�1MJ`IIM16�1Bl111� I9 68YBd ($Btlqf1309].CM.C�.
LENUEN'S NAA1E:
LENUEH'S AOUflE55:
I ceniN tnet I heve raea inie md'cmion ena stete inm me aEove inlametion ia wrtea. I e0rae to comdY wiln ell tliy end counry oMinarrms
end aiaie lews releiing lo buildinB constmaion eM Irereby emhorrze represenletivas W �hie vly m emer upon tha ebove�menibned papeity
r�`�n5pBC1���D�`O��DAVID SMITH
Pnm N
� ���n� ,� o�e: 4_l6-F�
sipneWm W OwnetlR9envAPVliranVConvenor
(St5td6.WP) Whne-Buildvq 6 Salery; Green-Fle: Canary-Appirant; %nk-Revenua: Goltlenrotl-Nmaor
PERM NO: B 077192
GOVT; N SUPP: N
TRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
DESCRIPTION : T/OFF & REROOF W/COMP SHINGLES SQ FT: 5,000
CLAIM VALUE: 5,000.00 CALC—VALUE: 5,000.00 GROUP OCC: R-3 /
COMMENTS: REROOF 2200SF RESIDENCE W/COMP SHINGLES
**�+�+�+c ***x *******�*��********+�**� **x�****��**�t�**�+�+t*�t**�r*�******�t*�t*� ��*�****� x
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�• PROV: PARCEL: 14138213 ZNE: REF NO; ,�,
PLANNING N TES> -
�.%
1E'lE'IEl�E if 1E 1E 1E 1E 1E �IElE 1E 1E if 1E 1E 1E if 1ElF 1E iE 1E 1E �ElE iE 1E IF iE iE ff iE iE if if if if if 1f iE 1f 1E if iE iE 3f if iE if iF 3f iF if iE 1E if iE �E iE iE iE iE IE iE')E'IE'1F-1E if 1E iE iE 3E if jE iE ih
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
' I+
ZONING APPROVED BY DATE: �
BUILDING APPRO ED HY : DATE: r�
APPLICATION ISSUED BY: � DATE: :IIL �L
**iE*�**it�-itititat�itit*�x�at�*�F���iFTeTe�FiF3FiF7FiF'iF7F7FiFiFTe7FiF'���F'7FiFiF�FTF�FTe**at*�*at*�*iFic �t **�at **
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GRADING
PERMZT 99.75 50
SMIP/NON—RES
SSUE FEE
UILDING—DIV—> PERMIT ISSUE PLAN—CHECK
OTALS----> 100.25 0.00 0,00
E DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRZC MECHANIC
99.75
TOTAL PAID DUE
100.25 100.25 .00
100.25 OVER/SHOAT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
1E IE iE iE 1E iE IE iE iE 1E iE �E iE iE �E IE iE jE iE 3E fE iE If eE if ik 1E iE fE iE 1E 1E 1E 1E iE iE iE iE 1E iE iE iE �E �F �)E iE 1E iE iE 1ElE iE iE iE if iF 1E iE 3E 9f 3E iE IE �E iE 1F iE 9E 1E �)E fE IE jE
I N D I V I D U A L F E E B R E A K D O W N
E QTY
5���
G7���:�i:iii���J
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 5,000.00
�t :,G2u:`.,.':._��n;p,�.,,-, -� �
GFT= i'., ,,� - ;7•�F� �;ru. .
-�Y -
• CONSTRUCTION AND PLANNING , YvOL & SPA , I
' qPPROVALS Permit # � Date Inspector APPROVALS Permit # Date' inspector
"..
1. TemPorary Electrical Service or Pole 52. Poob& Equipment Location ' �
2. $oil Pipe-Undrgmd. 53. Steel Reinforcement � j
.; 3c,Etectrica4 Condui{ Utility-Undrgrnd. 54. Fo�ms � '
���-�4:.Electrical Conduil�Undrgrnd. ' 55. Electrical Bonding .
5. $[e+el Reinforcement 56. Rough Piumbing & Pressure Test � ''
� 6. Electrica{ UFER:Grnd. 57. APPROVRLTO CQVER-GUNITE � �
-� 7. Footi�gs -" ' 58. Electricai Conduit Undrgrnd._
8.. Poundation �" � . � 59. Gas Pipe, O Undrgrnd., Test
' 9t Wate� Pipe-U�d�grnd. " � 6Q. Beekwash lines;l'•Trap, � Undrgrnd.
10. Strucmral Floor System 61. APPROVAL T0 6ECK �
- 11. PioPerty Sewer Line•& HouseConnection • � &2. Backwash & Recepior-Final -'
�2• Spv�'e� Cap : � 63. Heater & Vent�Flnal •
13. Roof Drains - . '� . 64. Plumbing SYstem'� Finai . � .
74. Raugh Plumbi�g . ' , 65. Electricai�Final ' ,
15. Rough Electrica(Condult . 66.,Sotar SYstem-Final
16. Rough Electric Wiring � 67. Fencing & Access Approval
17. Rough Wiring Sign 68.. APPROVEp FOR PLASTERING �
78. Rough ElectricabT Bar Ceiling 69. POOL(SPASYSTEMS FINAL�
79. Rough Heating & Air,Conditioning. .; - . FIRE DEPT.�REQUIfi�EMENT �
. _ (20. Rough factory'Fir.eplace '_ . ' ' �� • � APPROVAC& Permit #
. F_ �
21. Ducts, in Structure'' �� - � �- s•. 7p, �U�derground HYdro
22. Ducts;Ventilating� r' � � .'77, Produci�PipingOGaz ❑Oil
23. Gas Bipe-Rough &.Te`st . .: -. - "7p, Underground Fiush . -
' ; . _
24. Roof Framing � - �. , 73.� Undergrnd. Storage Tank� � Gas ❑ Oil
25. Roof Sheathin4 , ����('' -. 74. Overhead HYdro �-
26. T�BaiCeiling (Strucwral) & Monocoat ' 75. Dry Chemical ' '
27. Frame and F�ashing � ` 76. Dry Standpipe '_ �,
, 28. Lathing & Siding r _- ;� � • 77-. FiXED SYSTEM F�NAL' _
29. Inwlation � ' '- 78� FIRE PREV. FINAL
30. Drywali Nailing �� '" .. HEA�TH DEPT. REQUIREMENT
' 31. Plaster BrowmCoaf � �' " , + ` 79. FINAL INSPECTION "
� 32. Electrical�Powzr MeterFinal � 8Q:�FOOD CERTIFICATE ISSUED
;�33. FinafElectric': -�� ' � ', Notes: ' . , � � .
' 34. Final HeaTing & Air� Conditioning - ' :�. � .
�
� 35. Final Gas�Pipe-Test � � , • . � �' �. , �
- 36. Hood�or Canopy , , . � �� � � - . �: -
- ( .�'
: 37. Finai•Faciory Fireplace ' `- • '� - _
_E; �
= 38. Final Plumtring . _.;. -.f _ � � '; -; ' - r
39. Water Service-Finai � < '" ;>' � � �
:'40. GasServfce-Final _ - �,� � • ,w _ -. . .
41. Solar pomestioFinal;. � . � �` a ' � .
_ �
42. BaGkflow PreveMer � . , - " - �
43. Backflow Irrigation ' �
44. Landscape Irrigation-System - � - ' _ __ . .. , , . .-
45. Sound Attenuation _ • -
F' •-
46. Handicap Regulations � , . - - ,
:� .
47. FINALSTRUETURE&BUILDING �i�-L�6 �� � '
48. FINAL PLANNING �. , � � -
� 49. Elec{ric Release to Edison - • '
50. Gas ReleaSe to Southem California Gas Co � � -
51.'CERTIFICATE OP OCCUPANCY
No. Date
� B ADDRES3
� GENERALCONTRACTORH
LOT 5f}
GROUP I & J
jINSPECTIONS
` —_
� Footing Trench
� Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab
� � Piumbing, Rough Complete
Wiring, Rough
Heating, Rougt
Heating,.Final
Sewer, House
Sepiic Tank or
� Lathing, In
.�-Plastering
; � Piumbing, Fin�.
Plumbing, Fina
' Wiring,Final
Occupancy
FORM 210 3M � 10-•v5
.. ;. ;.:,,�,F„
LEGE-PARK
-Bowling Green
bor Constructi�
BLOCK
TVPE V
DATE
��
ar e
�rn�- 5�3-�.
ir+..ti�p S— '_ � ,.. ✓_
.. . ist
n1,C S 6-/b -S".
ewer, St.
Out �
Fixtures
3as Test
ZONE
SUBCONTRACTOR
DATE 'j_j'2�5�
BUILDING PERMIT NO.
VALUE t li_�nn_nn
FIRE DISTRICT �.1�Oi
PERMITSISSUED
DATE I NUMBI
.. _, " f f�
�. ' _ �•• . i �y .
. 4 � . ;,
'� ,COSTA MESA�BUILDING DEPARTMENT
PtO. BOX 31'J / �
COSTA MESA,�CALIFORNIA
��,_�
FOR APPLICANT TO'"F'�FCL IN
BUILDING
ADDRE55 2 2 BOWLING GREEN DRIVE
COSTA MESA. CALIFORNIA
OWNER IiOL
ADDRE55 � I I
ARCHITECT
OR ENGINEER
ADORE55
CONTRACTOR
AD�RE55
LEGAL
DESCRIPiION
A.P. NO.
MAIN ST.
TEL.
A L I F �o. K I
LIC.
NO.
� `/ CIT IG 11�
NO �
TEL.
NO.
BLOCK TRAC
NO.Oi BLOGS.
USE OF
EXISTING BLDG.
SETBFCH LINE FROM
c[rvrcR oF srrx[[T �jQ REAR YARD
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK _
NEW X ALTERATION AODITION
REPAIR ' MOVING DEMOLISH
BUILDING NO.OF
SIZE I ROOMS �STORIES
E%TERIOR WALL ROOF
COVERING COVERING
USEOFNEW RESI DENCE �i. DETACHED
auii n�N�
�� � v �- �EE RECEIVED ;
�,,� _�+, �q �') ..�j .
fIPIANCE DEPT.
� CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
FECEIpT NO. PERMIT NO.
♦ ,
iECEI��E`Di'Y' �=E RECEIV1� �� �5� ��
V
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE
\
APPROVED
BV
STATE TMAT TME ABOVE I$ CORRECT TNO PGREE TO COMPLY WITM ALl
CITV OliOINFNCES hN0 STATE L1W5 REGULATING BUILOING GONSTRUC�
iioN. VALUATION
SIGNATUREOF COLLEGE PARK NO.
PERMITTEE
$ � � �2V0•
AUTHORRED AGENT K~J'
ir
- ..'�.' � . . .
G
OATE
CORRECTIONS
PEFMIT FEE � ��
PLAN CHECK $ �/— �
TOTAL FEE S �o� — �eMi