HomeMy WebLinkAbout371 CATALINA SHORE DR - Building Permits�oonFssoFeaiara: 371 CATALINA SHORE DR uNT:
�xexsruuAva+avx:CATALINA SHORES ASSOCIATE
monEss130 GREENMOOR
RVINE, CA 92614 714-551-1942
AVPL.WIUNO/i0UNE59:
usxrtEcron�am�x:WILKINSON ASSOCIATES uc.wo.: C-9829
uicx.onu+osmoness:18002 SKYPARK CIRCLE uxr:
IRVINE CA 92614
CONIPACTOIfSNiWE:
� cwm�cronsuuuxc
�ooness: - uc. xo.:
UNT:
UCENSEO COHfNRCTORS OECLAHRTON: I heraby dlim uikv parely d perjury Net I em liceneed �Mu poviviona M CMp�er 8
(mmmena�p vrilh Section')OOU) d Oiviaion � d Iha &�eea vd Pmimdmc Code. end mY lironve w in IWI faca uM atletl.
cmuc.no.: uc.cuss:B .uc.No.:613306 EXP:
o�<: camw�;
� OWNEF BUILOEP DECLPRPTION: I Aneby etF�m uMm penely�al perjury that I em eRemq Irom �M ComieGon Liroree lew la Ilw
�dlo�mo �es�an (seaion �m�s euenesa md am�es.ions caee: NnW « mumr ��a�er. a o�a �o mmtrun, ens.'unww..
Eemdah, w ropai e�ry awU�ve. p'v b is ewenn. abo repwrea iM epplimN la ach pamG �o fib a egried aletemen� Mm M a eM
ia licenseE W�em to tM pansions d.Ma Cmirmon Lioeme law �Cheqm 9(�meneip wilh Sapon ]000) d Drvoion 3 of the
e�p� �e v,d�.�n coa.l « imm �e «.ne a�a �n�d.� .m ma mw �« � v�u.d e.a�wo�. wrv+amo� a sae�,
]0]1.5 by enY aW�'W la a prmE suEjeCs Ihe epplirai! to a'tivi perehy cf nd mae then INa hunEmC Edbn �SSOOj1.
❑ Lmowne�dtl»ww�r«nn�+oM�v.inwapmmiheisdecanv��.rriomu�en«x.eneuesiniccuee:�ainmMea
a Mered /or sele I�ion ]ad. Busim» eM Pmhasbne Cede: TM Camreewa limeree lew doea mt eppty to en ovmm M D�oeM
.,no ww= «mwo»+in�..�e w�o ao� e�d,.a� i,�s.n a naw «wwon �«n« ow� �v�wea.. a�aae mm.�,
'mqa+emmb ue mi WendeE rcWmed tn �ab. tl. howera. �In hu�iCinO a inV���en w wN wilhm arYw d mmP�ion. Ne
x ownarWilder vnll heve �he buNen d pro+i�p he ar ahe d'd rc� buiM a impova ta Ihe WT�e d mle�.
� I. m owirer d �ha OADeM. em udu�iiey' con�erl'n0 xil� licrosad eonVac�as to canewp Ne pM� (baeun )011. Bwi�a eM
Prolevan Coda: TM Comredon L'<aix Law dom nd eGVN �o an ownar d C�We�Y vAa builda w'vnP�'n tMreon end who
canirem /a eudi pqae� wuh e auqrmW�) fceroed W�!� lo �M Commaas ' Lewl. �
� I em eaemp u a' jSxtion:p '.' B. 8 P.G.: far th'v eaeaan:
Dete�. I � G�q'' 6���w�w: �
I ao hareby cenity Ihet I em ewere d enE w�dmaieM Ne nWiremew d Cel/omie HaaW enA Selay COEe Setlions 25505.2553�, end
255x, end ihm I m eiry Mun buikirq ottupent will / wil rwi (arcb ar) neetl to campFy w�h veid mte mdm ud �he requiremenle br
e Veimil lawmvucliona maEd�ion hanlM�i�ab0�d D'e�ritl. RstkMml canpiudbn eGV��iomen eremNtmn Nme
a�,..
Dele: �GV�d�
WOflKER'9 COMPENS�TIOH DECLAFATION: I hmeby dfim+ uMx penMy d pajuy an ol the lolbrrieq detlermuns:
� I haw eM xil meimein e cerlGictle d muent io eallinsun br xarkers' oompemuion, m prwided Iw by Seqion �]110 d �M Lebor
Cotle, ln tM1a p�lormerice d Ms xvh ta wNrJi Nis pamG e uaue0.
f] �neveenewi�meinunwoMen�mmo�:�^:wi,d,oe...�w:.eMswionsmoae,elee«coe..ur�nev�m�'^a�n.
work la whirl� Ne M^�� 6 oued. MY waYen' canD�dbn imivance u�ris vH V�Y number ma:
c�:
� Paiv M,meec
X(Tliu exfion nwJ na be comWMW I Us pemit u b aro huMretl Edbn 14100/ n MnJ
�. t j] I cerlAy Net in Ns pMmmvca d tte work br r.Ten �hu perme u mipC. I well np emplvy enY Dd� in e�ry menner eo d to
bacame eudsa m iM vmrken' wmG«imian le�.e a ceGlanie. enE e0roe�ha a MwW beco1�e wblop b iM xoM1en'
' 1 cmn0e�se�ion ' m �'I00 d �M lebar Code. I Ne0lonhwq�h �p�yT p�n.
��,�4��1 K �;.
dma: �oa�: � 1.
WeminO� F�Nun ro ucun workwi romvwu�tlon cov�rp� b unMVNI, mtlWll rbJ�ct an wmploysr ro eNMiul pwuMn enJ
c/vll lllws up ro an� h�.ntlred fhauurM JVIYn (JIPO,OOOA M M1/tlon b tlh cwl ol romprwtbrt e+�p� u povWM br In
9xtlon 9)O6 0l tlN I�Car Co6. IntwvC ���mq i/w.
CONSTRUCTION LEH�INO AOENCY:I hereby dfirm uMw peneAy d perjury �hm ihme e e aonp�utlion bMiip epenry /or �M
paA«merce W iM hak la xfiitli Ilie D�1 e esusd (5won 304I. Cw. CI.
LENDER'S N�11E:
LENDEN'S RDDHESS:
I cMity �hm I heva neE rtro eppl�aiion W sele �hm tM ebwe "vdamaiion b canea. l epna to wmply with M ay enE cauruy adir�vioea
arM elate kxs �elmn6 W buiknB mnwutlian W hereby eulharsa �w��etrvee d iha c�Yb amx uv� IM ebova.eroNionetl MOGsM
�«�°'°°tliOopu`"OBB9KERRY SMIT
I PiiNl I � �� A �Gy
Date: �Zl_y�_
SqtaWre d OwrodRpmVAppkaN/Coniratla
(S151ie.WP) While-Buildiq85a1elyGiavi-Fk:Ce��vµ��ppkanl:Pink-RaVau�e:OaNmro�Avaeswr
CITY OF COSTA MESA — BUILDING PERMII'
PERMIT NO: H 081296
PLAN CHECK NO: 03356-96 A
PERM NO: B 081296
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW
JOH DESCRIPTION ; 980SF iST FL, 1065SE 2ND FL, 72SF PORCH SQ FT: 2,616
CLAIM VALUE: 150,000.00 CALC—VALUE: 170,706.66 GROUP OCC: R-3 /U-1
COMMENTS: 499 SF GARAGE/ CATALINA SHORES PLAN 3/ SINGLE FAMILY RESIDENCE
ir�riritx��ritit�rir�e+r�+r�+r+r+r�r*ft*+r*+r+r+r+r�+r��*�r+r�+r�*at�r�r�r+rir�r�r+rit�rit�r�r�rit�rx���r�t�x�et�r*itit�r��t�r��tat+t�rx *ft
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 HUILDING ---------- --------- ACCESSORY BUILDING --------
T; 5 FT IN AEAR: 5 FT IN FRNT: FT IN REAR: FT IN
T: 16 FT 7 IN RGHT: 11 FT 6 IN LEFT: FT IN AGHT: FT IN
PARKING REQ• 2 PROV;, 2 PARCEL; 42617106 ZNE; R2MD REF NO: PA9628
PLANNING Nt5'I'ES>.2—STORY DETACHED RESIDENCE. ONE RESIDENCE OF A 12—UNIT
>"RESIDENI'IAL PROJECT. DEFERRED TRANS FEE UNTIL C/O. P E F.
*�*at�t***�*�**rtx-�tx��t�t�r�t�***�t�t�t**it�**�*r��***�******�*i�iti�*�t*�r�-�t�*�*�**�*��+t*�-****�t
D E V E L O P''M-£�N T•-� S E R V I C E S R E Q U I R E M E N T 5
ZONING APPROVED BY �;, G�%t'.�- DATE: I'" Z�j'
BUILDING APPROVED BY' : �.F.C� DATE: 9' �-g�
.` �2
APPLICATION ISSUED B,Y:'� � `� �"7 DATE: -'����
�tit****�t*)�t**it*�t*'�*ititx��ti��tiFiF7F�FTF�F'�FiFiF7F7F3F'iF"iF'iFiFTF�F3F'iF�F'ifSf�F iFiFfF3FiFiF*it*x��t�t*itrtit *i�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
� 1 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PER[�IT 1,242.25 17,07
PLAN 201.87 SMIP/NON-RES
ISSUE FEE '
BUILDING-DIV-> PERMIT ISSUE PLAN-.CHECK TOTAL PAID DUE
TOTALS----> 1259.32 0.00 201.87 1461,19 1461,19 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 1259.32 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
1242.25 17.07
1E if if 1E IF 1F M 1E iE 1E K 1E 1F 1i K 1E iE iE 1E ii if 1E iE iE 1f IF if if 1f 1f 1F IE if iF K iF iF 1E iE iF iF iE 1E iE 1E iE iF 1E 1E 1f IP 1E 1E 1F 1E 1F if if �F iF iF 1F 1E dF IE iE IE �4 iE 1F if 1F iF iE iE iE iF li IE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N`� UNIT COST pp,,
� `t
SFR 2045 DWE—TYPE V—WOOD FRAME� —GOOD 77.90 ..v �'�05.50 1�
SFR 499 RES—GARAGES�TYPEPOST 6, SOLID ROOF Z0.60 `:' �� �p�'����9�ao��'�
END-OF FEES -
� CIT1f. OF COSTA MESA
a
� CONSTRUCTION AND PLANNING P & SPA
APPROVALS Permit �''r Date Inspector qPPROVALS Permit # Date Inspector
• 7. Temporery Electrical Service or Pole 52. Pool & Equipment Location
2. Spil Pipe•Undrqrnd. _�. 53. Steef Reinforcement •
-�3. Efectricat_Coriduit UtilitY-Undrgrnd. . . 54. Forms
=4. El�ctricaLGoroduit-Undrgrnd. 55. Electrical8onding .
"5: Steel Reinfarcement Z. L'1.-!�, �G�/1jL 56. flough Pfumbing & Preswre iest
6: ElectricAIUFERGrnd. � �7.� �'G,� 57. APPROVALTOCOVER•GUNITE _
-�7. Footings �� ZrL7,..�'? �j`L�,� 58. Electrical Conduit-Undrgrnd.
�. 8. Foundat ori ��� 3 S� -7 �w� 59. Gas Pipe, O Undrgrnd., Test
L
��9. Water Pipg:Undrgrnd. 60. Backwash Lines, P�7rap, O Undrqrnd.
10. SVucturat Eloor Svstem 61. APPROVAL TO DECK
.1 t. PrAperty Sewer Line & House Connection _ 62. Backwash & Receptor-Final �
72. Sewer Cap -_ � 63. Heater & Vent�Final
13. Roof Drains . . 64. Plumbing System • F�i�al
74. fiough Piumbing " 65. Electrical•Final
15. Rough Electricai-Condui2 66. Solar SYstem-Final �
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Si9� 68. APPROVED FOR PLASTERING
1$. Rough Electrical-7 Bar Gelling 69. POOVSPA SYSTEMS FINAL
19. Rough Heating & A�r Conditioning _ ,. P1REO.�PTrREQUI�2EME,NT -
20.=Rou"hFactor: FiFe laca - , - _ T � � '-J�
g y �p �:ti _ - APPROV�pCS�= P,ermit# �
_ T
21. DuctS, in �Stru'ctu�e'' " " '� - , '= � _ 70�Undergr@und Hydro .
22. Ducts, VentiCating r - `' � - ' `- r. 77, productPiping G_Gas OOiI
23. Gas Pipe-Pough & Tesi _ _ ` - = 72. Undergrou�d Flosti�: - '
24. Roof Fra�ming .. - , -.� 73. Undergrnd.StorayeTank OGas ❑Oil
25. _Roof Sheathing �:X < =�3-q7 �av� }q, �pv�ihead Hydro�.
26._T-Bar. Ceiling.(Structural) & Mqnocoat . �r , 7,g.. pry Chemical - •
27..Framea�d Fleshirty� _ " - - ,���L7� �4� 76. Dry Standpipey ' `, : . -
. i�
, 28. Lathing & Si6ing� ' _ ; _ 7 _(...Z7 � VG. 7-T. F1XE0.SY�STEM FINAL- . -
29. Insulation _' n }B. FIRE PREV. FII�tAL : r
�6a,7-27
30. DrywallNailing f„ . __ �,..��Z G� : ��HEALTHDEPT REQUIFIHNENT
31. Plaster BFown Coat' - '7=� ��y(,v� 79. FWAL INSP[CTION `_ -
32.�Electrical Power �4eceY-F,inal � --' �' SA. FOOD CERTIPICATE ISS,UEO
-'- 33.�FinS'Electric ',' � � . - Notes: ' ` -. � '"
-. - . - -
� 34..Finai Heatin & Air�Conditioni _ /� ` � '_� N/
9 � `� - !G �7-�Z'� ,B'� 1`'t2� Ls511�1� - (�'
35.'Finai Gas Pipe�Test- _ � ' - - . ' -- - j ^ _ '
c T
� 36.�-loodor_Canopy�' " `' ',� � ' - �
�• 37. Fina� Faetory Fircptace' - - - ` _ '
38. =Fin�i PlumbY�g F. �.- - ' . - . x � `
� 39.-Waxer Ser.vice�Final � • : , � � _
40. Gas SeNice-�nal - -- "- -� ''� ' • ' ` �
F- - .
47. Solar pomesticFnnal - - - �+� � - •^� � -
42. Backflow Preventqr� .. - - _ . _ - _ _ -
43. Backflow Irr�gatien:� .� � � - ' � * • � •
,
'_44. _Landscape Irrigatiob SystertL, . `.. ' - � - � - ' �' " -'
.A
45. �Sound Attenuatiorr. - • � � - - " - '.- ' r � •r • -'- - � �' � �
�j_
�46. Han{Jicap'Regulail�hs " � " - ' _ , f...• � �
47. FIPFAL STRUCTUf�E & BUILDING - + ' =" -
- `1=�2 6� - � " -
48.-�INALPLANNIAIG, � - �'9�II�% - . �, - ` �' � ;
;49. Electric Fjelease to Edison _ . � "- � _ _ '
- �.
50.'Gas {ielease to Soutfiern Caiifo/nia Gas Co � ` . � '- -
51. CER�TIFICATE OP OCCUPANCY - - .
No. Date �
�
1pOPE550FBVILdNG: 3�]1 CATALINA SHORE DR UNT:
a�asru�E�a�n*+: CATALINA SHORES ASSOCIATE
�oonEu 130 GREENMOOR
�RVINE, CA 92614 714-551-1942
�vv�. �,uuxc wonEss:
urcxREc,oxexm+�n: WILKZNSON ASSOCIATES �.�.: C-9829
�wcx.on�++aswoxess: 18002 SKYPARK CIRCLE UNT:
IRVINE CA 92614
conm�ctarsx� HERNER ELECTRIC, INC. (909)551-1942
CdliHACTOR5MY11N(i 75 E. GRAND HLVD.
eooness: CORONA CA uc.ra.: 485322
91719 UNT:
IJCENSE� LOIrtP�CTONS OECL�NGTION: I he�eEy eMim uMr pmaby d parjury Mm 1 em lironsetl uMw pmiaions d CMWm a
( enarp wdh Seclbn ]000) d Oiv'vion 3 of �ha Buama yM Profesvona Code, vM my limroe o in hll lorte vM e/lad.
m c.No.:060535 ��c.cuss: C-10 ��c.No.: q 2 EXP: 09/97
o�,a: � 7-U c«��«:
fl BUILOEX OECLAHATI N: I hneEy e(firm uMer pa�y ' ry thel I em eicemq !mm Ihe Con�rWon Licensa Lew for Iha
winp raeson (Setlion 1W1.5 Buamss eM Pmleesions Cpae: Any cily a munty xfiich requiree e pe�mn to conaWct, eller, impove,
demoloh. or repeir eny evuciure, qbr b us ewarke, ebo raquirae iha epplicent lor euch permX to file e sgned e�etemen� Ihet ha a eM
ia lironaed W�e�� �a �� W��e d Ne Camrmon I.ice�ae Lew �Chepler 8(camme�rp wnh SeUion ]000) W Div'oion 3 of the
Busi�wae eM Rdeaeioro COEaI a IM1m he or ahe o evemq ��a��� ¢�y IM brou la ihe elbpeC azamqian. My violqion d Setlion
'� )03t.5 by enY aDO�✓�I lw e permn wEjeQf IM eppliranl lo q�I panelly ol �al mae Ihen IHe hu�dred ddlen �SSWI). -
� I, ea mmer of IM prapeMa my empbyaee wih wepes ey iry�� aWe mmpenmlion, will do ihe xoh. eM iM euu'.Mure e nd in�endad
or oflered lor aeb (Seclion )044. Busiiroas enC Pro/eanior�e CoM: The Conirenore Licensa LewEoes rwl epplyto en oviimerd propery
wM WJds a inpavea theraon. eM who doan suM warl� Nmeetl a Mnetl a Ihraph h'o a har own empbyeea, proviEeE Ihe� euch
impmnmenu ere ew imaMed or aflemtl la veb. tl. MW�. iM1a huJdirp a inprwemem w edd xnhin one Y� d mmple�nn. tlr
ow�r-0uilder will Aeva ihe Wken d povirp M1e « sha tlid � Wik a improro lar tha WT�e d mb).
� 1. e5 owinr W �M PbVaM. em eaduervey' oonlrettmi v.nM1 licenaed conveclwe lo construtl tM MM� (Sedion )dW. Bueinefa erd
GMeuions Cade: The Coniredon Lieenselaw Aoas notepplyto en owrwrd propeely who Wike w improvaetharean eM who
convecis M wM WMeds wnh e mMredor(e) licensed p�nuenl �o ihe Conlrecbra Licenae law�. .�
� 1 em eRamq uMa Seeiion: B. 8 P.C.. tor iM eeenn: .+
J- -'
I Eo Mroby cenity ihel I em eware d arM uMenteM the req4iremeMa of Celianie Heellh eM 9deiy Cada Seaions 25505, 2553�, eM
25534, eM Ne� I w vry Mure Wiki�q orapenl will / wil nd (aRy �y) �� to canply wih eek elme codee eM iM reQuinmmq la
aDermnlamnstruclionwmodRrmionhomlhaAr u�iy arypsman�Dis�riq.Feeideniid�mevuaionePP�iaroemeaemqlmnthma
pfOY18KK19.
WONKEfl'S COMPENS�TION DECIARATION: I hereb/ eifinn uMer pereliy d psjury one d Ihe Idbr.iiq Jedvetnna:
� I heve eM wil meinlan e eenilieete d meuem lo selliMure y r.qken' ppmpnµtion. en povideE trc by Setlon 3J00 d IM lebor
Cde. fa IM pe�lamence d ihe xak t« xAvch iNe pa�� p mued.
�I heva end wiA meimen woM1ert compenaeiion ineuraKq, y�uireE by Sedim 3]00 d �he lebor Cale, la tM perbrmeroa d tha
work ta whi A ihie parmil o iceued. My waMere' mmpe��� inwrerce umer erd poliry numbar are:
c�« KEMPER EXPIRES
Vd'ry Number: — 1. 2��1 5� g%
(This eMion neeC nw 6e complered I tM psrmd ie /a one hundrt� Edlers /51001 w lesa.)
j� I eenily Ihel in ihe pe�lomanea d tM waek la whc� �his permu ia iaeued, 1 ehdl m� amploy eiry pemm in eny menner eo m lo
T\n««�re �ni«r �o me .�,o�ae� �w���� mw. a cdnor��. �e mrea u�m n i.nwa n�ome wqea �o me �.�
! I�o�m�, wwno�o.a see� s�ao d �ns �.e� Coe.. i.ndi imn.ni6.�Wr wm, mo,. a��.
\pL..�i�v� F.nur. ro..��.. wen�..: <emwen.,no� m.erqAy��HwIW, �ntl sMll ub/�cf en employsr bWMrcl pmaMu antl
arvlr nriu w ro on. n,nareC thouuM tlallan (sfaqoWA M eAtltlon ro M. coar ol rompnutron, Gmpss u provMOC ror In
sa�tlon 9105 0l Ms labor Cads. Imrsa4 +� attomeYa 1y.
CONSTflUCT10N LENDING ROENCY: I Mreby elfirm u�r panelly d perN�Y �� �� a a mnstruaion bMiip epenq M tha
perlormence M the xnA fa xfiich IM1w paimY is owed (Sedbn 3091, Civ. C�.
lENOEN'S NAME:
LENOEN'S ADUNE55:
1 cerliry Ihet I hava med I�is eppicaiion vM ame thel �he ebave'niwmetion e rorted. I epiee lo mmpF/ wilh dl my end ooumy orEinenme
end ste�e lexe releimp lo buiMirq construdion arM hareby aNlpr¢e reqesenlUivee W this ary to eMer upon the ebove-mentioned propairy
ro�ios�a�wroo�s.l.��iUREN NORLAND
nm r+e� % �O
o�,
s� ure . i u v�� � «
(St51J6.WP)
Whne-Buik'vq 8
��W-�PPke�l: Rnk-Revenus: Gddanrod-Aeeeseor
. CITY OF COSTA MESA — BUILDING PERMI'L' �pERM NO: E 082089
PERMIT NO: E 082089 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE; NEW
JOB DESCRIPTION : 980SF 1ST FL, 1065SF 2ND FL, 72SF PORCH SQ FT:
CLAIM VALUE: CALC—VALUE: GROOP OCC: R-3 /U-1
COMMENTS: REF:B-81296
9F 1E 1E 1E iE 1f iF 1k 1E 1E if iE 1E if �E 1F iF IE ik 1f 1E �f iE 1Elf 1E 1E'!f 1h iF 141k 1f if 1E 1E 1E'IE 1E'lE 1(� �k if 1t 1E 1E 1E 1Eik -0k 1E 1klE 7E iF iE �E 1E 1(� fElE if 1f 1E ik �E iE iE 1E iE fE i(-1E 1E iE'!F 1k fE fE
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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL; 42617106 ZNE: REF NO:
PLANNING N�TES>
i
IE fE af ff 1k if if if !f iE iE iE if 1E 1E IE IE 1(� iE ik if if 1F if iE iF 1E ik 1F iElf�1E iF if 1f iE 1E 1E 1E 1E 1E 1E 3E iE 1E �E fE 1E iE'lE 1E iE3E iE 1E IE 1E 1E 1E 1E iE 1E 1ElE if if IE iE iE iE if 1E if 1f IF �F IE IE �k
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 APPROVED BY : ` � DATE:
APPLICATION ISSUED BY: '�� �/!9�- DATE; I�)�1
**�t*�t*it�fit*i�*****att**it�i�TfTFTF3F1FiFTF�F'iFiF3F'IFiF3F'fFiFiF7F�3F�iF'�FiF3F3F7F�F7F3FiF7F7f3FiFit****3tat*�t-it � itat
LEGALIZATION:N F.•E'E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 98.03
50� SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 48.03 22.00 0.00 220.03 120.03 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 120,03 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CIIECK
120.03
�EfF�F�fifif1E1E1E1E�EiEfE�E1EfEfE3E1Eif1ElfiElElEfEIEiE1E1EIk�E�1EiEiEfEffiElElklfiEiflElEiE1ElEk iEiEfEiFfF1E1E1Eik1FiF1t1ElEiFiE7EiEiEIElF1EiEiFifIElFifiFiE
I N D I V I D U A L F E E 8 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 1 FIXTORES, LIGHTING 1 ST 20 EA.
ELE 3 RECEPT/OUTLET 1 ST 20 EA.
ELE 2 RECEPT/SWITCH ] ST 20 EA.
ELE 2045 NEW RES BLDG E'OR J. OR 2 ONITS/ SQ FT
END OF FEES
1 . 00. ' . �r 1 .00
,/• �,�� ``� 2,0�
`a'� �� � 9 2. b 3
� 2 01y9� /t�,
ciryoF�oSrA M�s
A
t• CONSTRUGTIQN ANO PIANNING R & SPA
APRROVALS Permit #� Date InspecYor qppROVALS Permit # Date Inspector
--7. Tefiporary Electrical Service or Pole 52. Pool & Equipmeni Location
3' Soit Pipe�U�dcgmd. � • 53. Stee1 Reinforcement
;�� E�ctriral-`Con{Juit U[ility�Undrgmd. 54. Forms ' ,�
�.4. Elp�ctricai'Gondaii:Undrgrnd.� , 55. Electrical Bonding �
-5_ Steel Rei�fiorcement� 56. Rough Plumbing & Pressure Test
• 6; ElectricatUFERGmd. . 57. APPROVALTOCOVER�GUNITE '
'.=7. Footings, ;'. � 58. Electricai Conduit-Undrgrnd. ,
-8. Foundatiop� -- . . 59-. Gas Pipe, O Undr`grnd., Test
9. Water Pipe�Undrgind. - 60. Backwash Lines, P-Trap, C Undrgmd j
. 70. Structurei F�oorSvstem 61. APPROVAL TO DECK .
11. Property Sewer �ine & Hoase'Connection 62. Backwash & ReceptorFinal
�12. Sewer Cap ' � 63. Heater & Venx�Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
15. Rough Elettricai�Conduit . 66. Solar System-Finai
16. Rough EleCtric 4Viring _ 6 16 QQ � 67. Fencing & Access Approvai
- 4 R
77. Rough 41+iring Sian � - 66. APPROVED FOR PLASTER�NG
18. Rough ElettricahT Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough Heacing & Air Condtioning PIRE DEPT. RfQUIREMENT
- - - - - _ . , .,..�
20."„Rough Factor,y FiT place - � "- ; = � , � k : APpR�OVALS-" Permit # ; . ,- �.
21. Ducts,in_Structure _ - - . - - 70.-Underground Hydro �
22. Duc2s, Ventil�tin§- ' - ' - �- -, 77. ProducrPlping O_Gas ClOil
23. Gas PIpe:Pough & Test j- � �. ' - - 7Z, Underground F�lush �
24. Roof Framing� �: � � � �� . � - - 7,�, Underyrnd. STorage Tank � Gas D�Oii
25. Roof Sheathing � ;: : - - -. � � � 74. Overhead Hydro •
• 2fi. T•Bar Ceilin9 (Structurail & Monocoat � �- = 75. Dry Chemical ' _
27.'Frame and Flashing` ;_ _ -• � 76. Dry StanBpipe- - ,�
-'28. �Lathing.&Siding - • ^� - � ' • y 77; FIXED`SYSTEM:FINAL ' -
� +� -
� � 29. Insulation � ' � � �� .. � � . 7�, FIRE PREV. FINAL _ . _
�' 3Q. DrywaiV�Nailing �i� v �HEAL7H DER`i.-�REQUIRE(rlIENT
31. Plaster BroWn Coat. ,- - R � 79. FINAL INSPECTJON _
32. -Electrical Power Merer:Final g�8-� ��k� B0: POOD CERTIFICATE ISSUED -� _ �
. 33.'Final. Electric *�9 Q7 �G f�5 , Notes: . - - . �
_ .-P-�- , . ,
i 34. Finai Neating & Air.Conditioning�� ' _ ' -
35. �Finat Gas p�pe-Test ` . m � ' • - � -'
36. Hood or-Ca�oPY * - -. • ' - �
; 37. �Final Factory Fire - ' ' ' ' _ �
P�ece __ _ _ _ � . f�. �
• 38. Pin@i.Plumbing . - .. � �- � j . - .� -
. 39. Water Sarvice-Finai+' ^ ' , '' ' • �� � _ _ _
40. Gas Service-Finai , '- . � - r. - . � ,
- 41. Solar pomesticFinal � '• ` ' � '` , - _ , _ .
42. 8ackfiow preventer; � . , - , _ . � �- �?
c
43. Backfiow Irr(gation�' ' � - �� ., , ' � �� � '�
-44. Landscape Irrigation System_ . - � - - . � ' � � -
_ - ,
45. �Sound Attenuation� ' � - � ' " F '; ._ - , w `
. .�
�i6. Handicap Regulations - - - ,
47.'FINAL STRUCTURE & BUILDING i' - -� � ' . l ✓ ip�
48. FINAL PLANNING ` •
49. .Electric Release to Edison • - -'� ' •
50. Gas-Retease to Sauthem Caliiomia Gas Co � -
51. CEflTIFiCATE OF OCCUPANCY . -
No. Date
�oontcsaew�ou+c: 371 CATALINA SHURE DR 01T
an+Ea9wWEiFaaxT+: CATALINP. SHOAES AS50CIATE
, � �op� 130 GREENMOGk
iRVf�E, CA 92614 714-551-1942
�rv�. iwimc �oo�ss:
urcxnecron�+u+�+: WILKINSON ASSOCIATES ��.�.: C-9829
uicx.on�.swox�ss: 18002 SKYPARK CIRCLE �M:
IRVINE CA 92619
coam�crars ru�:
camucroxs uuuNc
ADDRE55
ua xo.:
uxr:
LICENSED COMRACTOHS OECLAflATION: I haraby efl'vm under panetly d perjury thet I em IieaneeE under poviaiore o/ Chepter e
(�omme�arq wil� Saclion 9000) d Diviaion 3 d Ne Buti�wae eM Pmteaeions COCe. enE mY �^b u in lull lace ud etlerl.
cm uc. No.: uc. cuss: g uc. No.: 61 3 3 0 6 EXP ;
ome: coiromor.
OWNEH BUILDEH UECLAflATION: I hareEy elfirm undar penetly d perjury �hm I em eKemq tmm IM Conlredaa Licensa Lew la the
Idbwiq reaaon (Seaion'!W 1.5 Businma end Profe»bns Cade: AnY c1Y a oountY �� �Vu'vee e pemin to muirv�M. eller. improva.
tlemdsh, a repei eiry avuc�ure. pr'w �o da ewenro. aleo mpuims �M epplicenl ta wch permn io fib e sgneA atetemen� tliet M a aM
ie licenaed p�reuam to tha provisbm ol iM COMredon Lioanse Lew �Chapter 8(mmme��g wnh Saeion )OW) d Div6ion � d Iha
Busineas end Proleasiona Gode� cr thel M a ahe ia exemp tharehan end Ihe beaie la tha elleged exemqion. My viole�ion o/ Sedan
)031.5 b/ enY aOG��t tor e parmil aubpdn iM epplicenl to e dvil penelly d nd moro ihen fxe huMrad dd4n �SSOOII�
� I, s+ow�ner d �he qapeny or my empbyse wih wapes av iher ada mmpeneelian, xill Eo �M worlc, e�M Ihe evuciun u rw� intenEaE
«oHe.ed �« u�e (secibn lae, eusimm ena Fmfessians cum: me canvmon Lic.nse lewao» nrn e{qN�oen ownerd yropero
wlw Wida or inproves tlw�eon. eM who does cuM xwk limaelf a ha� w tivauph he a Mr ovm employaes. P�� th� euch
impev+emama ara rid inieMeE a alleiad lor aeb. Il.lrowewr. tM buiNiiq a inpewanm� e wld wnhin anY� d eompinion. Ne
•. owmr-W iker xill heve iha Wken d provinB � e� �e dk nd WiIE or improve la Ihe WT�e d eale).
i� I. m a�xier d IM propeM. em exdmrvety ewNreavq xnh Ixanaed canvacime m mwrud tM p�ojed (5xibn ]a4. Buair�ma eM
rdassiona Code: The Coniredas l'<mae Law doea nd eGdY w en oxner d wfa buika imqw'ea �ha�eon ard who
n�recd lor au h propas wi�h e comredor(s) IkanseE W�uent b Ihe ir imime Lew .
� I uem u Secti n� B. 8 P.C., la Nia reewn
e1e: � � � Ovmer.
I MroEy ceniy Me1 I em ewae d W uMxswM iM iequiremenb al Cellomu Heellh aM Safery Cade Sediom 25505, 2551'f, enA
255Js, erd thn I a eiry tulure EuiMirq ampeM vnll / wil m� 1�6 «re) naed io canply wih aeid afele mEm eM IM �apuiremmm f«
emrmnlwmnavuctionamoE'ifiratbnkwn�M�i i�iv.aneoamaniDiatrip.pmideMielcanatiud'uneppiraionaerenaemqimmtlwee
Dme: Applicant:
WOflKER'S COMPENSFTION OECL�NATION: 1 M1ereby elfirm wMer penel�y d pwjury aie d iM blbwiiq dederatiom:
� I hme eM wJ mmnten a cerlfrate d oonanl b eMimun lar wken' campevelion. n provNeE lor b� Setliai 9)00 M ihe Lebor
Coda, tor t�e pe�lormence d ihe vm�lc Iw wNch Ihie pcmn u iaued.
❑ i n�o �d m� �m� wo��.� �wNa� ���re�. m�aw�d M sea� a�oo d ma �e« coa.. ro' ma oe�o�� a me
wak fa which Mn P�� n inueE. MY warkan' mmP��bn iiuurenca ��iar end OdkY number are:
CBmBl:
Patiy ru�mn.,:
(Tnis secrbn need nm aa canWetme r rrm w�x u ra me nurie�ve dd�en /s�aol m kmx 1
� I cenily ihm in Ihe pMwmenca d the wark /a whch �hie peimn ia ieaued, I Mell ria employ any peimn in any mwner eo m to
eecame wd� m ine wo�kae� canro�mion mxs a celilanie. .ne ro� uw il �.houu s«onn euq«f �o �ne won�e�
compensqbn pmieuna d SeUion 3100 d IM labor Code. I�hell imhwilh oomp�y xM tMw p�m�wa.
Ome: ApplirenL
Wam/n0� FeOun ro sxuro workxi rompmutlon eovsrap� b unbvNl, �nJ abll rlpee an mployw ro MMrW pm�ltlu mC
c/vl/ flns� up ro ons hunars! tMuuntlOdbr� (SI00,000), M etltl/tlon b M� rost o/ compNwHon, Mmeyu u pov/tletl br In
Sxtlon J106 0/ fh� Lffior COW, Infastl. mtl eRornryl Iws.
CONSTHUCTON LENDIN(i PGENCY: I hereEy elfirm uMer penelry d per'ryry IMt ihen o e aonr�uaian bM'up epency lor tlro
partormence ol iha v.wk Iw which ihe pam�i ie'seuad (Smon �091. Ciu. C).
LENOER'S NRME
�a+oen�s �ooness:
� aenM inet � nava ,em mi. eodcmion ene ame met ine eeove m�omivion o con.a. � aaree m mmvN wnn d� rnr ene cw�rv o,dinenu.
eM atma lexs reletng to Wikip wnmueion end hereby eiphor¢e �apaeametrvee d thu ay lo enbr upon the ebma�mentiwnE qopafly
Iwinspedan purpoeae.
,. .KERAY SMITH
(S15t<6.WP)
o�, F�G— r'�
GreemFle:Cene�y-Appirant: Fnk-Revenue:Goldeneo�Aeaessa
CITY OE COSTA MESA — BOiLDING PERMIT
PERM NO: M 0832(7`
PBI2MIT NO; M 083205 PLAN CIIECK NO; N GOV'f: N SUPP; N
CONSTRUCTION TYFE: V—N PERMIT TYYE; MEC PUHPOSE: NEW
JOB DESCRIPTION : 9805F 1ST FL, 1065SF 2ND FL, 72SF PORCH SQ FT:
CLAIM VALUE: CALC—VALOE: GROUP OCC: R-3 /U-1
COMMENTS; REF:fi-81296
��t� rt*�r�r+t*at�ttriEirxat�rir�titiratit�rittt*rtx x*ik*t�itititititit�t�tx �itirit*.x�atititx �ritlt�ititirititatit�itx*� x���r*xx�xat�rat
Z O N I N G R E Q U I R E M E N'P S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSOftY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ; PROV; PARCEL; 42617106 ZNE; REF NO:
PLANNING NOTES:
i
iE �lf if If 7F #!f if'1F ik ik'iF if 1F if # k iF if'M' iF i! ik iE ## ik iE iE if JE iE i! iE i(� if if iF 1f �k 7E 3F %i! 1k dk iE �lf -lE iE iF'1!' �k iE iE 7E �f iE'k �E if if !E it'1f iE If JE # k Ik ik k� �M� if iF i! 3f it
. D E V E L O P M E N T S E R—V S C E'S R E Q U T A E M E N T S
/ �
ZONING APPROVED k3Y DATE:
.BUFLDZNG APPROVEll �3Y : ' DATE:
APPLICATION ISSOED BY: '- �'� DATE: �
iE�iF#dFifiEifiE�lEiF3tiFiE#iEiE3F1E3f�1FiFiE�i�YF1i�F7FiFlFiFiFiFi�3FiF3F�Fif��;i"Tc �ifiF3FiF3F�f3fi�.F1f3FiEif�7EiEiEi(�if1ljE� .. . iE
LEGALIZATION:N b' E E S U M M A R Y S'PRUCTURAL S'M'�T:N
BLDG PMT PLUMHING ELECTRIC ML•"CkIANIC FIRE SMIP/RES GRADING
PERMIT " 32.25
25$ SMIP/NON—RES
PLAN i
ISSOE FEE �' 22.00
BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 32.25 22.00 _ 0.00 59.7.5 59,25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54.25 OVER/SHORT: ,QO
BLDG PM'P PZUMBING ELECTRTC MECHANIC FIRE SMZP/TOT GRADING PLAN—CHECK
54,25
�
'1E iF 3k 1k ik iE iE it jF if 1F iF iE lE 3E iE iE # k'k')E 3F �1E 3E �E iE �E iE �4 x' �E �E 3E if'1F'1F 9k')h 3E �E 7E iF 7E 3E �f ik �IE-7f iE iE iE iF #�X 7f it �%'1F �E 3E �E 3("1F �f aE 7E iE 3E # iF'1E �K- 3E � 7f �� iE �1E 3E
I N D I V I D U A L F E H H R E A K D O W N
TYPE QTY D E S C R I P'I' 2 O N UNIT COST TOTAT, COST
MEC 1 INST FORC—AIR/GHAV�FURN <_� 100 K HTU 13.25 13.25
MEC 1 t�ACTORY FIRBPLACE 9.50 9.50
MEC 1 TNST HOOD W/DUCTS.FED HY M�C EXHAUST 9.50 9,50
END OF FEES
� �
.�'�.
Cb-�6-1997/22:E4 P�J8�4.t�
F�E�t� 1 I�v t n:Ll-a;;a)did
@€33c05
�CONSTRUCTION ANO PLANNING P� & SPA
�APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
�
7. �'emporary Electrical Service or Pole 52. Pool & Equipment Loca[ion
2.` Soil Pipe•Undrgmd. 53. Steet Reinforcement
3. Electricai fAnduit Utility-Undrgrnd. 54. Forms
4. E�ectrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Ro�gh Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Floor System • 61. APPROVAL TO DECK
17. Property Sewer �ine & House Connection 62. Backwash & Receptor�Fina�
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System � Final
14. flough Plumbing 65. Electrical-Final
15. Rough Elettrical-Conduit 66. Solar SYstem-Final
16. Rough Elettric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLA$TERING
18. Rough Elettrical-T 8ar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning ���� FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ��� APPROVALS Permit #
21. Oucts, in Structure 70. Underground Hydco
22. Ducts, Ventilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe•Rough & Test 72. Underground Flush
24. Roof Framing 73. Underyrnd. Stora�e Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceifing (Str�ctural� & 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 Nxiling HEAITH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Elect�ic Notes: ���g� ����
34. Final Heating & Air Contlitioning
�=ld q - �=/_D � � �a�u,tz _
35. Final Gas PiPe�Test
36. Hood or Csnopy
37. Final FactO�Y Fireplace L�_/�� �
-f_
38. Final Piumbing
39. Water $ervice-Final
40. Gas Service-Final
47. Solar pomesticFinal
42. Backflow preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap fiegulations
47. FINAL STRUCTURE & BUILDING
48. fINAL PLANNING
49. E�ectric Re�ease to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATEOPOCCUPANCY
No Date
�•-r•ssaew�: 371 CAT'AI,IAIA SIIOttS llR 01i'
avr+�i'�wE�F�+ CATALINA SHORES ASSOCIATE
.: ;' momss: 130 GREENMOOR
�� s
ItVINE, CA 92614 714-551-1942
�vr�.wuuxc �ooxess:
u�cxnecTonera+�n: WILKINSON ASSOCIATES ��= C-9829
JICN.ONFNC.'SADOPE55: 1HOO2 SKYPARK CZRCLE urar:
IRVINE CA 92614
CONIPALTpfS NAME:
camucroxsxuuNo �
AUDRE55: 11C.N0.:
urn:
UCENSEU CONfFACTONS UECIAFRTION: I heraby eRim uMer panely d pmjury tlat I em licenaed uMs pw+a'vie d Gheqm 9
(cwnmmarp wilh Seclion ]000) d D:tison 3 d iM B�ireas enE Proteeaau Code. erd mY ��� b in hA brce eM eHed.
cmuc.xo.: uc.cuss: B uc.No.: 613306 EXP:
o,�a: c�n,�a«:
OWNER BUILDEfl �EClAi1ATION: I Mreby elfiim urder penelly d per'ryry �lal I em exemp Irom iM Con�rm«e Liunea lew lor tlw
idbwip reason (`�ion )0315 Busiiesa erd PrWe�sions COEe: RM ctY a munry whidi reQuiree e parmn to mmtrucl. eller. impwe.
tlemdah, a repei eiry eVuclun. pv �o ns 6werce, ebo reQuifu the epplimni Itt such permn to fib e agmE stnbmenl �IW M a ehe
o �Kereed w�,eni �o me aowsims a �na cwnrea«a uama Le. Icneqm 8 co,mme�arw wnn seaon �aaa) a u.eion a d �b
Buvneas aM Prdesaionn Cadej or �hel M w Me ia axemp Iheraham eM tM Enih far IM elbpeE eaemption. My v"Nmion d Seaion
]031.5 by eiry epplirani Iw e permil abpas iM epplicaM lo e avil pmdry d ml more Ihan frva hundred�ddlen �5500�),
� I, es avmer W Ihe prape�Y or my emO�M'�+�h wegea ea ihai eola mmpmsation, vnll da Ne waek, enE iM slruelure ie nM intended
w oilered lor aela (Section ]066. Bwinees end PMassiora Cade: The Conlredas Licenae lewEros rwi epplyto en owriar of propeity
wM WIEs a'unprovea iherean, arM who doae auch v.oM MmeeX a henetl w Mrouph ho a Mr own empbyeee. pwideC �lim euch
imv�a'�enla ve rot imeMed ot dldaE Ia aele. X, Ipwever. IM W itline a inpovemenl ie eoltl vrilhin ma yev d canplelion, tlro
V owrerbuiMw will heve Ihe buNen d pov'uq M a she d'd mi buiN a improva la IM WRae d eeb).
��� I. es ovmer d ihe popertY. em m lufiveF/ oontiaaM wil� IbenuE conlrectas �o omstrW Ne pal� (5equn ]OM. &ninae end
a,wmsim. coae: me c�reaa. �ce�a. te. aoes m eooM w en owner a wownv wno w�ue,« ��wn.., ma.� .�a wno
convacta lu euM prqxH wiM e muretlor�s) Icensed W��t to tM Cmt� w+ '�ae t ��•.
❑ � em <.amm der s«fon: e. a c.c.. �« mia ro �. �,.
�e�e: ���� Oxmwr �
I Eo Mreby ceniy ihet I em ewera d W uMereierd Iha repuiramana d Cellwnie HeeXh eM Selary Code Sedions 25W5, 255�3, vd
255�0, eM tlim I or eny Mure WiMinp om�pem will / wil �(arcb aro) neaE lo compF/ wih vid mete mds end �he nquinmeMe lur
epeemnlacuuVuqion«modifirmionhom�MAr ue�y anepementOislritl.Raskenlmlmratiudianxppiee�iomvae�mmqlmmtMsa
a��s.
oa�a: Aod' �:
WOPKEH'3 CONPEN4ITION DECLIINATION: 1 Mreby etF�m uMer peneily o/ pe�ury me N IM bllowi�p dxlarelione:
� I heva eM xil meinien a canifceb d coneem to eaH�iev�ure for woMe�s canpenmtian, m 0�� �w by Saeion 3)00 d the lebor
COEe. iw tM pa�fortnence al Ne xwk la wMch thh pamiil ie ieeueE.
� I hew eM xil meinien waekxa' oomD�wion imuevue. m nVu'ved M Saaion 3lW d iM laba COEe, br iM D�a�� d the
wak lar whviM ��is pemi� u mued. MY wa��' �^Ga^�a^ iruurerce urtis eM pdiry number era:
c�:
vdcr N�mea,:
(This sanion neeE nof be romWete� / �he paim� is la one huMmC ddlers /5100/ m bea.J
){] I cen'ty ihPo in i�e peAoimerca d IM work Iw wM1ioh thia pem�n ie ixued, I shdl rw� amploy e�ry penon in eny menner ro u io
become aubptl to tlw xo�kera' cwnpanuiion levrs W Celifanb. eM �rea ihe� X I ehoub become wbjee lo tM woMers
mmpanxtion pm�'viom d Sadion 3]00 W the lebcr Code, I Mell lonhwnh campy wilh �hoae provisiom.
Deta: Md�
Wam/ny: F+Uun ro i�cun woMen'romperwtlon roverape l� �nbwM, �nE ahsll �W/ecl en employsr fo cNMixl perrelUu entl
elv/l fl�ros �q ro one hundrerl Mouurd tlWlan (St00,000A b���� b Ms roat o/ rompen�etbn, tlemspu �i provltlstl br In
Sxtlon 9]06 0/ tlis Lffior COM, /nNnal, entl ettomsy'� Iw.
CONSTNUCTON LENDINO AOENCY: I hamtry eifirm unEer penelry d perN'Y �� �� m e mnmrwion IeMinO epeMy tor iM
peAortneze d Ine v.ork tor which thu perml ie bwed (Seaion 309], Crv. C).
LENDEN'S NANE:
��oen•s �ooness:
I cenAy Ihat I hara reed Nis eppr,ation erd dme ihet Ne ebove inlomatian n m��etl. I eprae lo cwnpy wnh ell rey eM oounry adir�enms
end sta�e laxs rele�ing io W ilEing mm4udion eM Mreby eWwr¢a repre�metivea dthe ary lo enler upon iM ebwa-menlnned piapeny
r«i�reaioowroosea.KERRY SMITH
Pn Neme
o�, .2—I�—`��
sanmo,e a inp,�vnvN�uc«nree«
(StSt-<fi.WP) W�ile-Buildip 8 Se1ny:OreerFle: Cenery-Appfunt; Nnk-Revenue; OolEenro�Aeeanor
❑
C11'Y OF COS'1'A M�SA — BUII.�llING Y�RMI`f
PERM NO; P 08L576
PERMIT NO: P 081576 PLAN CHECK N0: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE; NEW
JOB DESCRIPTION : 980SF 1ST FL, 1065SF 2ND FL, 72SF PORCH SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
COMMENTS: 499 SF GARAGE/ CATALINA SHORES PLAN 3/ S.F.R., PLUMH #B81296
****�****at**�*******ic************iF�*+�**�*+�***��***x*itie***��***ititieif**itiexx�*��**�
Z(� N I N G R E Q U I R E M E N T S
5 E T B A C K S
------------ MAIN HUII�DING ---------- --------- ACCESSORY HUILDING ---------
FRNT: F'1' IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT TN
PARKING REQ: PROV: PARCEL: 42617106 ZNE: REF NO:
PLANNING NOTES> r
i
1E iE 3E iE �E �E 1f IE iE 1E �k If iE IF iF iF af 1E if IE 1F 1E iE 1E iE iE iE iE iF 1E if iE if 1E if ib 1E if jf iF if if if if 3f if !F IE iE if iE;f 3E iE if !P fE 1F 3E iF iE Iklk 1E IE �E IE iE IE 3F if 3k iF ik iE iE iE IE �E
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 APPROVED BY :
APPLICATION ISSUED BY:
1E iE iF iE iE iE 1E 1E �E 3E 1f �IF 1E iE 1ElE iE 1E iF 1E if �E�iF
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT 190.50
25�
PLAN
ISSUE FEE
22,��
F E E S U M M A R Y
n
ELECTRIC �MECHANIC
r, , " , ,
_� , DATE: c�
y' � DATE: (i � �
3F�-SFiEiEdE�EiflFifiFiF�k k�
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
HUILDING—DIV—> PERMIT ISSUE PLAN—CAECK � TOTAL PAID DUE
TOTALS ---> 190.50 22.00 ' O,OOii 212,50 212.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 212,50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANTC�. FIRE SMIP/TOT GRADING PLAN—CHECK
212,50
, � r
iE 1F IE �f iF 1E if 1E 1E 1ElE 1F �)k 1ElE 1E 1E 1(�!E'k� IE �It �lE'k �)E �lE!! f(' IE �F a(-iE �F �lE 1f� iF fF 1E iE 1E,1E f("N�.'IF iE iE iE �IE 1E iE 1E �(� ik 1E%iE 3E iE iE 1E 1f iElf� 1f !k iF �F if 14 �f 1E iF �f' �IE jE� �Y 1E if #
I N D I V I D U A L 'F_E E' B R E A K D O W N
TYPE QTY
PLU
PLU
PLU
PLU
PLU
PLU
PLD
PLU
PLU
PLU
PLU
2
1
1
1
1
4
3
1
1
1
1
D E S C R I P T I O' N�
HATHTUB �
DISHWASAER '� '� �"' �
LAUNDRY TUB OR WASHER ��
SHOWER . l �' 1
SINK, KITCHEN , .,,
WASH HASIN � .,
WATER CLOSET (TOILET)
WATER HEATER AND/OR VENT
WATER SERVICE ; "
GAS PIPING SYS OF.- I TO 4 OUTLETS
GAS PIPING SYS S+.,OUTL—PER OUTLET
UNIT COST TOTAL COST
II,75 17,50
8.75 8,75
8 75 �� � _ 8.75
'� 1 ��
�,;� ,;.,� . . 7 5
, �r�7�,�5s � , 00
���'. d0i:�+ �. � I�`�% � 1 . 00
8.75 II.75
`�t'f�� Cf uuSTtl F�tSA i; o0
_!
'('6NSTRUCTION AND PLANN�NG F & SPA
�� APPROVALS Permit # Date Inspector APpROVALS Permit # Date Inspector
i.'!'emporary Electricai Serv�ce or Pole , 52. Pool & Equipment location
3: Soii Pipe-Undrgrnd. '- 53. Steel Reinforcement
3. Elecirical C.onduit UtilityUndrgrnd. 54. Forms �
4. Eleczricai Conduit-Und�grnd. 55. Electrical Bonding
' S. Steei Rei�forcement 56, Rough Plumbing & Pressure Test
6. Electricai UFER Gmd. 57. APPROVAL TO COVER-GUNITE
7, Footings 58. Electrical Conduit-Undrgmd. '
8. Foundation 59. Gas Pipe, (7 Undrgmd.,.Test
9. Water Pfpe-Undrgrnd. 60. Backwash �ines, P�Trap, � Undrgrnd.
10. Strucmrai Floor System �' 61. APPROVAL TO DECK
it. Property Sewer Lina & Hpuse Connection • 62. Backwash & Receptor�Finai
12. Sewer Cap 63. Hearer & Vent•Pinal
13. Roof Drains - 64. Plumbin9 System - Fina!
14. Rough Plumbing 6� �' � 65. ElectricaLFinal
15. Rough ElectricabConduit � 66. Solar SVstem-Final
16. Rough Elettric Wiring 67. Fencing & Access Approva�
17. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG �
18. Rough Electricai-T Sar Ceiling 69. POOUSPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE OEPT. REQUIREMENT
20. Rough Factory Fireplace .- APPROVALS Permit # �
21, Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 77. Product Piping OGas 'vOiV
23. Gas Pipe-Rough & Test �. 72. Underground Flush
24. Roof Framing 73. Undergmd. Storaye Tank � Gas � Oi!
25. Roof Sheathing � 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & Monocoat - � 75. Dry Chemical -
27. Frame and Flashirig 76. Dry Standpipe
28. Lathing &$iding �. , -� ' 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PRcV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electric;al Power Meter-Final f30. FOOD CERTIFICATE lSSUED
33. Final Electric � � Notes: ���`) /� nn �� a�C YT�
/ r i
L7, �.�
34. Finai Heating & Air Conditioning" � _l, �� ��- � )Z� -�-t (
`( G_t ! D /y'
35. FinalGasPipe-Test :..L� 4 . / _/f'1,..0 n�C� �,r _ _
v�- LS ( 7 6 ��-
36. Hood or Canopy • � - '
- �G � � � z.�7_
37. Final Factory Fireplace - Q�4 ,_Cy����
L --(f-C
3$. Finaf Plumbing ' � .� .� . _
39. Water Service�Final,
�
40. Gas Service-Final � � ��. +�
�-�-(
47. Solar pomestic�Finai
42. Backflow Preventer -�'.��� �
43. Backflow trrigation
44. Landscape Irriqation System
45. Sound Attenuation,
46. Nandicap Regulations
47. FINALSTRUCTURE & 9UILDING
48. FINAL PLANNING -
A9. Electrie Release to Edison
50. Gas Release to Soutfiern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
ADOPES� OF BNlpNO:
ONNFJ�WEIF pIpNN:
,. �, � won�s:
ur�. wuuxa wm�ss:
AIMHRECT OP F/IfiMEEp.
wcx. on �++��s �noaess:
UC. N0:
cwm�crars xu¢ ,
cam�craas �uuxo
�oontu uc. rn.:
r
UNT:
PERMIT NO: P 081576 PLAN CHECK NO: 00548-97 N .
*at+�*� x�fe*at***+���+��*�it*�iF+�****�at*���*ie**atx�+t+�*u � *ie� *x *it*�t**+r*��+�*+�at*at****ieft�et� �+e**
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
uM: PLU
PLU
PLU
PLU
uHr:
110ENSED COMP�CTOPS OECURATION: I ly�py �� �nCer perely d pxjury that I am lironeed uMm pw'mans d CMper 9
(mmn+«cro wu, s«mn �aool a dmhn a a �he auiixn w vian.iav eoee. ena mr cmrea u in �u� a�ea e�d anw.
CRY LIC. NO.: 11Q CIASg; LIC. NO.:
Dme: Canlredm
OWNEN BUILDEH OECIAR�TION: I MrtEy elfirm uMm per�ely d perlNrv �� � em eRemq Imm ihe Contretlpa Lioenaa law la Ihe
INfv.nq reefon (SoCian )031.5 Butiims aM Fdmiom Coda: MYW a mum�/ wfiidi npu'vm e Vamd lo OWhutl. ela. vnVma.
demd'o�, a repei eny nruclive. p'v b ia ewenca, yeo nQuirea iM eppliranl la wch pamu �o Rb e riprod eletemeN tlet he a�M
e lioeneed pum�aru lo IM povievn d ihe Comleam Lioeme Lew �Chaqm e(oommanmq w�h Sopion 9000) d D'webn 3 at tlr
B�miev md Ra1ma'nu Godel «tAm M a ehe u uamq Ihaahwn and the bub Iv Ns elped uamqion. My vidmbn d Swian
)031.5 by enY e0d� lor e parmil wbpUe �he qppiirsm �o e tivJ peneliy c1 nd maa ihen liva huMmC Gdlen �i50011.
� I.e�ox�rdtnaPWeMamY�Ww�wYhwroasmthaiWemmv�ion.x�TEotMwk.udNe�vuclunena'vueMW
«allered lu eeb lSeclion )Ou. Bmnese eM Pmlmvme Goas: The CaNredas Licwe law doee m� eDPN�o en owner d p�aperry
Wn WiOa a inpws+�Mreon. rW Mn dw� suM wak! "cnsC a henN a Maph hu a her wm anWWee�. pa'ided �Aa arh
impwemmb are rw� imvdeA a aHaed la e¢y, tl. Mwevm.IM W�ldirp a inpweineM o wtl wnhm an yaer d mmpbion, tlr
ownerEuilder xiY hove tM dvden d pwinp he w ehe dtl na driN or "unP� tu �he W�Oae d uN).
� I. m owrcr d iM V�WsnY. em e�dueh'W anlrap^Y w4h 4censad canvacbn b wnmi�e iho pMa (Swion'lOM. &m'vm� aM
Prdamma COEa: TM Cadrepon t'cwe lew Oow m� WdV b en wnw W pW�Y wM buiN� a M0�'m �lwaon end Wc
conVatta Ip pdi pqetls r.vh a mMraqor(s) fcanroE queiwn lo IM Camreda� Licanva Lern.
� I am uemp uMer Sectan: B. d P.G.. M No reeaan:
Dale: Ow*wr:
I do Mreby cenM �� v^ ewue W eM uMwkrW Mo reQuiremsim d Celiomu Heellh uM Sdary Cods Sad'pm 25505,?5S]�, aM
YS.Ue. ard tlut I a eny fiAus budCi�nG � Mi0 / wa m� (cmh me) roM �o mmWY wh uid mte mAm enE �M �W��aqs br
a pBImY IaconnMCYiona madSlAlqn hanlMAr�y . y�e�yM pjp�Q. qyjjM�jy pp�pryq'pn eppiCqipqys C�l111q ryp11 yy�e
�fOVlf10119.
Dale: Applicenl:
WOHKER'S COYPENS�TON DKI�N�TON: I hyapy y� �r pyuXy d pn'ryry an d Ma b4wiiq decWm'vn:
� I Mw vW N me'vuen e eeeN'ctle d mnwni to Wlimiw br warken' mnpenW ian. n po+idad Iv by Ser�ion aJ00 d ilr lebar
Cade.la tM pMameMe M Ne xM la wlvc� tliro pamil w mwtl.
� I Mw aM W meinten waMen' wmDm�un'vuuranu. n iW�� h' Sedian �]00 d the lebor COEe. br IM P�a��W �hs
wak la whic� ihia prmu is issueA. MY wa�en' �Pe�� iiuurenca rarier end pdiry number ere:
Cemx:
Policy Number.
(lhis exiion r�eed rw� W mrsWMe! I Ne P�i e br ana h�mdretl Cdbn /J10V/ or Np.J
� I cenAy thet in Ne pMomurce d tM wak la xlich Ihis pe�mn is uvued, I e1Wl mi emplq vry perwn in eny mennm so n �o
becme wbla �o the warkme' wmW�+mion bws d CeNaMe. uM e0�es tIW d 1 ahoutl bsarc �ubp� �o ihe xwten'
cwnpenae�bn prwieiom d Seaion �100 d tha lebor Cade, I ehell lonhxnh oompy wnh thoee qovisims.
Dme: Appiram:
Wam/n0� HNun ro ucun rvoA'en'rompnutlon rov�np� l� unl�w'lul, �nC �IWI Ni/�cf en �mployw ro crhMlxl pmeltlu eM
c/vll fiiroa up ro ons hundrsE fhovund rbl/sry (S10q000J, M edtlltlon b M� cwl ol rompxuetb� Wmspu �� provMeC br In
Sxtlon 9)fl6 0l tln LaEor Cods, Infwsst an0 �pomryl /�p.
CONSTHIICTION LENDIN� AUENCY: I hereby yfirm under panelry d perjury iMl Ihere b e mnnruaion biMi'p eQeMy br tlw
perlamaMe d iM xak M whirl� ihw permY u ewed (Seeon 3pB), CN. C).
LENDEN'S NAME:
LENDEH'S ADDNE%:
I<mM �I� i heva rud thu eOWK�ion ud mma ihe� iM ebove iniame�ion b wnen. I e0�ea io canW rmn ell tlry vM couniy adiiwios
eM etele lexv nlelip ro Wildirp conevuclian aM haraby e�nhorixe ro0�����a d ihu ary lo enter �pon tM ebove�menlioneE popeM
la impeuion Wrpoaea.
Pnnl Neme
Dme:
Sigralure M OwnmlRpanVAPMu�UConlredw
(5151�de WP) WhXe-BuiWip d Sday: p��Fle: Cenery-RppkranC Vink-Revanue; Oakenrod-Aeeeaeor
GAS SERVICE 8.75
SEWER, CONNECTION TO BUILDING EACH 22.00
FIXTURE SET/TRAP W/PIPING 6 HACKFLOW 8.75
VACUUM BRKR/HACKFLOW PROT, 1 TO 4 11.00
END OF FEES
8.75
22.00
8.75
11.00
�p •� R*su
, `` . � ��
F�l //�-.� .\
" �. �1 i
�
` ' { ..� � � ,;�,�7 �� '
, Y� 6, li. k/ ..Iv
�tn�° �i� C'•:;SbF! i6���A
w
�VNSTRUCTION AND PLANNING k _& SPA
ir
APPROVALS Permit # Date Inspector qPPROVALS Permit # Date Inspector
1. sTemporary Electrical Service or Poie 52. Pool & Equipment l,ocation
Y Soil Pipe•Uno�►..�._. a a�_�� �� 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Etectrical Condui[-Undrgmd. 55. Etectrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVALTO COVEfl�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water P�pe-Undr�.S1�A(3 -`J-y' `� �� 60. Backwash Lines, P•Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL. TO DECK
t t. Property Sewer line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap � 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing SYstem - Final
14. Aough Plumbing � 65. Electrica�-Pinal
75. Rough ElectricabConduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wirin9 S�9^ 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & A�r Cqnditioning FIRE DEP7. qEQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
2/. Ducts,in Structure 70. U�derground Hydro
22. Ducts, Ventilatin9 71. Product Piping O Gas L� 0�1
23. Gas Pipe•Rough & 7est 72. Underground Flush
24. Roof Framing 73. Undergrnd.Stora9eTank OGat ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural{ & Monocoat 75. Ory Chamical
27. Frame and Plashing 76. Dry Scandpipe
28. Lathin9&Siding 77. FIXEDSYSTEMFINAL
29. Insulation 76. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. fiEQUIREMENT
31. Plaster 8rown Coat 79. FINAL INSPECTION
32. Electricai Power Meter-Final B0. FOOD CERT�FICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Finai Factory Fireplace
38. Finai Plumbing
39. Water Service�Final
40. Gas Service�Finai
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulatio�s
47. FINAL STRUCTURE & BUIIDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Oate