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Home My WebLink About2832 DRAKE AVE - Building PermitsOWNER MC KAY, Alan • JOB ADDRESS 2 32 Ih' GENERAL CONTRACTOR / o. 11F1-301-01 LOT Ih..�ECTI0N5 � soi� GAS WATER ROUGH PLI/MBING PROP. SWR. LINE � HOUSE CON. [ SPRINKLING SVSTEM MISCELLANEOUS ROUGH MEATING AN� Flft CONOITIOP UNDERGROUN� U POWER U ROUGH WIRING TRENCHES FORMS STEEL REINF FLOOR SYSTEM - BOND BEAM n STEEL REINFOFCE ❑ SHEATHING FRAME ANO FLASHING � LATHING - IN n OUT PI "TER, BftOWN COAT TURAL, FINAL HEnfING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL ANO GAS TEST n ELECTRIC, FINAL F DATE 5-10-72 BUILDING PERMIT N0. SCRIPTION of WORK Fami�y Fbn. Add� )UP 1 TYPE SUBCONTRACTOR nr i�v.141�JV1�V1 �vi >L A' 'ECTIONS � GAS WRTER ROUGH PLUMBING PROP. SWR. LINE r] HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING PN� rIIR CON�ITIONING TEMPORARY SERVICE OP POLE UNDERGROUN� � POWER � ROUGN WIRING TRENCHES [� FORMS STEEL REINF. FLOOR SYSTEM 80N0 BEAM � STEEL REINFORCE [� SHEPTHING FRAME ANO FLqSHING L/.THING - IN n OUT n PLASTER.BROWN CORT STRUCTURAL FINAL Y 'NG, VENT., REFRIG. RNO A.C., FINAL F dING, FINAL AND GAS TEST n BUILDING PERMIT N0. R�PTION oF WORK Int. Alt. ZONE VALUEE 500.00 PE V GROUP I Z SUBCONTRACTOR P R' �OB ADDRESS 2$32 DrAke pve ENERAL CONTRACTOR 'a 141-�O1-Ol LOT J� ECTIONS �Soi� 45 ATER M1iOUGH P�UMBING ROP. SWA� LINE MOUSE CON. � PRINKLING SYSTEM MISCELL4NEOU5 ROUGN HEniiNG �NO /IR CONO�TiOHING TEMPOPARY SERVICE OR POLE UNOERGROUND [1 POWER Cj ROUGM W�RING TqENCMES FOFMS STEEI REINF. FLOOR ti�STEM BON� B&�M r STEEL REINFORCE ❑ SXEATH�NG FRAME pND FLASHING �ATHING — IN � OUT � Pl?$TEA.BROWN COAT 5 TURA�, FINAL H� .NG. '1ENT., REFRIG. �NO �.C^., FIN�L PLUMBING. FINFL FND GRS TEST `' ELECTR�C. FINAL BUfL�ING, FINRI DATE 6 BUILDING PERMIT N0. SUBCONTRACTOR (714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MtSA, GA 926Lti BUILDING PERMIT JobAddress: 2832 DRAKEAV Suite: Vicinity: BED/BATH AT REAR OF SFD Parcel Number: 14130101 Applicant: JORDAN, RONY Address: 17611 WEBSTER AV IRVINE, CA Owner: Address ConVactor: Address: Arch : Address: Zoning: Phone: 949-552-6289 Zip: 92614 BIELMAN, JACK E 2832 DRAKE AVE - Phone: COSTA MESA, CA 2ip: 92626 BUILT ON THE ROCK CONSTRUCTION 17611 WEBSTER ST IRVINE, CA Zip: 92674 Phone: (949)552-6289 License: 528944 Eng: Address: Phone: Status: ISSUED Applied: 10/15I2001 Issued: 11/20I2001 ISSUED BY: � 19J.1�7��9q Phone: Zip: License: License: C0447934 . SCOPE OF PERMIT ' CONSTRUCTION 258 SF BEDROOM/BATHROOM ADDITION AT THE�REAR OF AN EXISTING SINGLE-STORY SFD. PER DISCUSSION WITH DEAN CLARKE OF ORANGE COUNTY ENVIRONMENTAL HEALTH, ALTHOUGH THIS PROPERTY IS WITHIN 1,OOO�FEET OF AN OLD DUMP SITE, IT IS NOT SUBJECT TO ANY REVIEW OR REQUIREMENTS BECUASE IT IS AN EXISTING SINGLE FAMILY RESIDENCE WITH MINIMAL EXCAVATION FOR AN ADDITION. 11-07-07 WBK Plan Check: $26120 Permit: $401.85 SMIP Res: $2.51 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $665.56 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKWG Existinq: a NOTES: FEE SUMMARY Calc Valuation: Sze,oss.00 Claim Valuation: $o.00 PLANNING & ZONING Rear 27- 0 Left 58- 0 Right Rear 0- 0 Left 0- 0 Right Required� 4 Proposed: 0 5- 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. . INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final approval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 /"� rr'.+.;.'r�1 WOAKERS'COMPENSAnON DECLARAnON: . I hereby ettirm undar penalry of perjury one of the following declaretions: ❑ I heve end wiil malnteln e certificete of consent to self�lnsure tor workers' compensation, es Drovided for by section 3700 0l tha Labor Code, for Ihe pertortnance ot the work for which Ihis pertnit is issuetl. 1 heve antl will malntain workers' compensatlon insurence, es required by sectlon 3700 of tha Labor Cotle, for the peAortnance ot ihe work for which this pertnit is issued. —My wo �� tlon Ins 'nc/e carrier end policy number are: Carrler..--��.g �UNIJ '�PolicyNumber: I(�� C�: �� (Tliis secfion need not be comple(ed i! fhe permif /s ve/ued et one huntlred tlollars ($ f 00) or Iess.J �— --' ❑ I certity that in tha ence ihe work lor whi � this permit is issued, I shell not employ eny person in any menner so es to become subject to the wollcers' compensation la ol alifo , entl e8�� at it should became sub�ect to the workers' compensation provisions oi Section 3700 of the Lebor Code, I shall forthwith comply with the pr isions � f Applicent Signature: r -.Dete: �i/i� /!�/) l WARNINOrFAICURE T SECURE RKERS' WMPENSATION COV PAGE IS U�HALL SUBIECT AN EMPLOYER TO CRI NAL P§ ALTIES AND GVIL FlNES UP TOONE HUNDREO THOUSANDDOLLARE($100,000�,1 ADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIOEDFORINSECTIpJ3lO60FTHELABOIiCODE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn the�l em licen u p d torce end ettect Licyp Q Coniractafs Signeture: CONSTRUCTION LENOING wilh Section 7000) of Divisian 3 of the Bus�e§f2rd Professions Cotla, and my license is in full Cless�M" / �S /. i rDete: � i /1 ❑ I hereby aHirm ihat t�ere is a constructlon lending agency br the pedormance ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hareby aHirtn thet under penelry ot perjury thet I em EXEMP7 PFOM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protesslons Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any swcture, prior to its issuance, also requlres ihe appliwnt for such pertnit b file e si9ned statement ihet he or she Is Ilcensed pursuant to Ihe provisians af the Cantrectors License Lew (Cheptar 9(commencing with Sedion 7000) af Division 3 01 the Business entl Professlons Coda) or that he or she Is exampt t�erefrom and the basls for the aileged enemption. Any violetion oi Sectlon �031.5 by any applicant for a pertr+l subjects the epplicant to a civil penalry of rwt more then tive hundred dollare ($500).): ❑ I, es owner of Ihe propeny, or my employees with weges as their sole compensation, WILL DO THE WORK, antl ihe siructure is not intentled or otteretl for sele (Sec. 7044, Business and Professions Code: The Contrac�ors License Law dces noI apply to an ownar of propeM who builds or improves thereon, and who dces such work himself or hereelf or through his or her own employees, Provitletl t�at such improvemenis ere not Intendetl or oHeretl for sale. If, however, the building or improvement is so10 wit�in one year ol completion, the owner�6uilder will have the 6urden of proving that he or she did not �uild or improve for purpose of sale.). ❑ I, es owner ot the properry, am EXCWSIVELV CONTRACTING WITH LICENSED CON7RACTORS fo construct the prolect (Sec. 7044, Business and Profeuions Code: The wntrector5 License law doe5 not epply to an owner of pmPerty who builtls or improves t�ereon, and who contrects for such project wlth a contractor(s) license pursuaN to ihe Contrectors License Lews.). ❑ I em exempt under 58a Business end Profession5 Code tor this reason: SignaWre: Date: Owner ID venlied by drivefs license. ❑ Ves ❑ No Dnvers License No. Expires: Veriticetion oi Ownership by (type of document, i.e. - property tax blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: � I hereby certify thet no exwvetion tive (5) or more feet in depth into which e person is required to descend, will De made in connection with work authorized by this pertnit, and that no building siructure, scalloltlinq, falsework, or tlemolition or dismantling ihereof, will be more ihan thirty-six (3fi) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Adminisiretive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit from the Division ot Indusirial Safety, as noted ebove, unless such person hes e permit to do such work tram ihe division. SignaWre: Date: Division of Industnal Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORVATION OF EMRV: I ceniry under penalry of perjury that I have read ihis application and state ihat the iniormation given is correcL I �ygroatp compty with all stata laws enC ury ordinances relating to builCing conswction, and auihodze representatives of the Ciry of Costa Mesa to enter upon the ebove-dp�cnbed�roperry for inspection purposef. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. CODE t. INSVECTOYRYPE 1616 FiaeC System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Rool 201 Final BIocWRetaining Wall 202 Final Fectory Fire Place 203 204 Final Sign Final Demolilion QLIF L�LS COOE 1 INSPECTION TYGE 206 Final Mechanical 208 Final Plum6ing 210 Final Eleclncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupancy Q� INiI11AL5 n' :t �. _ �2268 COSTA MESA BUIl01NG-SAFETY DEPARTMENT P. O• BOX D77 COBTA MEBA. CALIRORNIA For dpplicanf fo Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA Corona del Mar No�(1r 34220 E EER Reymond Levanas NO.�C 3701� :� 3432 Via Oaorto, Nawort Beach del Mar No: Or 3-4220 � H�w°�..e��s.� IB PROM �TneHT 4S REAR YARD LEFf 5 I RIGNT 5 pESCRIPTION OF WORK BB ZE DING 6O R'j7 ROOMS 7 Sl EXTERIOR�NA{, CyCLLCCO ROOF GOVERINGa81�ln I COVERING WOOd USE OF BUILDING AN� WORK TO BE PERFORM 1 Conetruct Sin le Famil Reaidence with attached garage I N8Rl9V AGKNOWL8D08 TM T 1 HAVH p6�G THIB LIGTION /.ND BTAT& �HAT TX8 A�OV IB CORRHGT ANO /. 8g TO COM• p�y �y�TH �LL G�TY OHDIN CH9 AND BTATB LA RHOUI.�TINO 9UILDINO CONBTRUGTION. ///� 81GNATURB OP , _ , /J�/ '/� EEE RECEIVED � �UN 17 1960 �FINANCE DEPT• CITY OF COSTA MESA APPLICATION FOR PERMIT �t � s2 BUILDING Plan � 4B For Office Use Onl�r w �n�.� weceivr xo. . nece�veo ex nwx� necerven er �...:�oJ 6 •- �5�-d o � ! D EI66 2832 COLIffi}l0 Avenue COSTA MESA. CALIFORNIA APPROVED ZONING zoxe ///�� Ho, ov use on Hew /� � ruNe au�w�na i- �a.� ,Lot 32 „ __,_ (C8NT8R IINe eTJ � TX! ANOUM BXOWN UNDEq VALUAT�ON IB POR THH PUIiP088 OP EBTABLIBHINO • PHqMIT F!H ONLY. $ 1�i,563.00 pLAN CHECK $17•0� AGHNT �'Oject Menager 51_00 • _ - 3506 ! Z . W W a U ZQ ON o. m J � J N Q W m J J m Q U y 2a W � aw J Q m Z J ¢ w w � ZH W � N � � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 a•ir PR10 -�:> >o-7z�„,�00 7so+� *�tr*43.R5 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completety RECEI V DA E RECEIVED D ISSUED ADORESS L � Z. L� � �—/�� /O 7Y ? ` P RMIT N . OWNER � 4� A.P.NO. I I'"JOI'—UI ADDRESS 2 [ E AD'DRIE s 2$3a (� �+TK.� I�"�%r CITV L+,6. NOL 4 p OS TRACT ,/7\ I LOT�%Z BLOCK CONSTRUC7'ION LENDEfi GOL �% GOM BRANCH OOK -) � /� ' �. OWNER /-�'� } ADDRESS VALUE D�D� AHCHITECT TEL. $ OR ENGINEER 5 L F FIRE ADDRESS /} • ' pV ZONE TVPE GROVP APPROVED CONTRACTOR �[ �� .. Q V BY DATE ADDRESS ZpNE NO.OF USE OF NEW V! L(�lN TEL. p�p,� BUILDING CITV NO. � STATE CITV VARDSAPPROVED VAROSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OFBLOGS. (FROM W�L�ST /EE�) OF LOT O X I O O NOW ON LOT I ONT K.Y`^'F�. FT. VSE OF EXISTING BLOG. �,L � � FT. FT NIEWBLDG. ZO. y4 ROOMS f STORIES � L.SIDE �7 FT. FT. EXTEF�OR WAIL ROOF N4 � HD I� COVERING S UCG COVERING �OG%C REAR FT. FT. USE OF BUIIDING AND WORK TO BE PERFORME� DISTANCE BET� BET. MAIN & 0 0 " 7 O IV MAIN BLDGS. ACCESS. BLDGS. VAR. #�' DATE C.U.P.3W ��y APPROVED APPROVED � ✓ � I horaby acknowletlga [ha[ I heva rautl this apPlicatian antl rtete STATE [hot [he abovo intormation i� corroct nntl uB�ee to comply wi[h oll lews reBuloNng builtllnB consttuction, entl I shnll not emp�oy � C any Pe�son in viala[ion ot the workmedz componsation lawa of —� tho Stete ot Calitornte. � I hareby certity that I am ptoporly Iiconwtl aa a conttactor untlar $Q. FT. tho S[ata of Celitornia Buzinass antl Professions Cotle, Dlvlsicn 3, THE AMOUNT SHOWN VNDER VALUATI FOR ChePtar 9, and that such licenws ero In full force entl affact, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: am oxempt irom [he provisions of tho Stata of Celifornie Busineu V ALUATION end P�ofasslons Cotla, Dlvision 3, Chnptor 9. PERMR FEE S ' Sip�o[ura of ` �� Parminoa ' �.— � $ PLAN CHECK $ qu[horizad ABent TOTAL FEE $ �SO (714) 754-5273 • Faz (714) 754d856 • wv+w.ci.costa-mesa.ca.us n rHin univ�, a.w i n mwn, ..., �� Job Address: Suite No Vicinity: PLUMBING PERMIT 2832 DRAKE AV BEDROOM & BATHROOM ADDITION Parcel Nunmber: 14130101 Applicant: JORDAN, RONY Address: 77611 WEBSTER ST IRVINE, CA Owner: BIELMAN, JACK E Address 2832 DRAKE AVE COSTA MESA, CA Phone: (949)552-6289� Zip: 92614 Phone: Zip: 92626 Coniractoc BUILT ON THE ROCK CONSTRUCTION Address: 17671 WEBSTER ST Arch / Eng : Address: IRVINE, CA Phone: (949)552-6289 Zip: 92614 License: 528944 Phone: Zip: License: Status: ISSUED Applied: 11/20I2001 Issued: 11/20/2007 ISSUED BY: ' SCOPE OF PERMIT PLUMBING PERMIT FOR NEW BEDROOM/BATHROOM ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 7 BATHTUB, 1 SEWER LINE, 1 WASH BASIN, & 1 WATER CLOSET. REF:B01-01628 ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 50.00 50.00 59.80 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 Qrr 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irrigation $0.00 P-Trap 50.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Recep[ors 50.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $24.65 Shower $0.00 Sink, bar $0.00 Sink, wmmercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash 8asin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Waler Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 50.00 50.00 50.00 $0.00 50.00 59.80 50.00 50.00 59.80 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 TOTAL CALCULATED FEES: 577.55 QTY 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit s��p��p�tjqp�e0�� requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 1241•92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permil to be considered legal, such work must comply vnth all applicable codes, and all required Inepeetiona end final approval must be obtained. Failure to obtain inspections and tinal approval will result In Ihe expiratlon of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 26a8J8 (8/00) WORKERS' COMPENSATON DECLl�7ATION: � I hereby ettirm untler penalty ol perjury one at t�e following tleclarations: ❑ I heve entl wlll maintain a cenifice�e of consent to sell-Insure for waBero' compansatlon, es providetl for by sectlon 3700 of the Lebor Code, tor the pertormance o1 the y work for which t�is pertnit is issued. IA _ I'h9ve antl wlll ri�aintain workers' cOmpe�setion inw2nce, es required by sectbn 3700 of Ihe La6or Cotle, for Ihe perto(mance oi Ihe work for whic� ihis pertNt I5 IssueO, n Mylvorkers' compensation Insur � rder end pollcy numbar ere: �me�: � �-�, �'d�n - I /�, R � Policy.Number.'_�O. T — V I (Thls sectlon neetl not be cwnpleted ll the pemtit ls velueC ef one huntlred dWlers ($100J or less.) ❑ I Certity Ihet In the Ao compensation la ot aP, comply wlth Ihes pr "sic Applicent Slgnemre: WAqNINO-FPILIIRE TO SECURE W THOUSPNO OOIIARE (51 W,000), IN work tor whlch th' �bermit is IssuoQ I ahall not employ eny person in eny manner so es to become subject to Ne workers' lpree that 1 I sho �0 �ecome sub�ect ro the workers' campensatian proWsions oi Sec on 3700 01 the Lebor Code, � s�all lonhwlth r— � � ^Dalai /� MP SATION CpVERAOE IS UNLAW FUL Ml� SHRLL SUBIECT AN EMROVER TO CRIMII AL PENA ES AND CML FlNES UP TO ONE HUNDRED iTHEClJ.STOFC/JMPENSATIOI�t,DANAGESlSPiqY1DEDFONINSECiVON3TOeOFTME ,INTERE5T,ANDATTORNEYSFEES. LICENSED CONTRACTORS DECLARAnON: I hereby eMirm Ihet I em lice C u Ce N�ons ol Che er 9(cammencinp wilh Sectlon 7000) ol Division 3 of t�e Business e�Pratesslons Code, enA my license Is In full fome entl eHect. LJc_a 5 � Class N-� Contreaor'sSignature: ,�_ Date: ---�/ 6(Q )� 0 CONS7RUCT10N LENDING AGENCY: ❑ I hereby eHirtn t�at ihera is a cons�Nction Iending agency tor Ihe peAormanca ol Ihe work br which Ihis permll Is issued. (Sec. 3097, Civil Code). Lenders Neme: SlgneNre: _ OWNER-BUILDER DECLARATIONS: Lentlel9 AtlGress: De�e: I hereby aMirtn that under penalry ol perjury thet I flm EXEMPT FHOM THE CONTRACTORS LICENSE LAW lor iha tollowing raeson (SecJ031.5, Buslness end Professlons Cotle: Any ciry or counry which requires e permtl to construct, alter, improve, tlemolish, or repeir eny strucWre, O�ior to Its luuance, also reqWres Ihe eppllcant for such pertnit to ille e signetl atetement thet he or she is 1lcensetl pursuant to the prwisians at t�e Contractors License Law (Chepter 9(cammencinB wit� Section 7000) ot Divislon 3 of Ihe Business entl Prolesslons Code) or that ha or she Is exempt t�eretrom entl tho besls for Ihe elleged exemption. Any violatlon of Secilon 7031.5 by eny epplicant for a pem+' subjects the eppllcenllo e civil penalry of not more t�an tive �untlred dollars (5500).�: ❑ I, es ownar ol Ihe properry, or my dmployees wIN wages as thelr sola compensation, WILL DO TME WORK, and the structure is not IntentleC or ottered for sale (Sec. 7044, Business and Professions Code: The Conireciors License Law does noI appty to en owner of properry who builds or improves Ihereon, end who does such work himsetl or hersetl or ihrough his or her own employees, provided ihat such improvemenis are not intended or oHered for sale. II, however, Ne building or imprwement is sold within one year oi comple�ion, ��e owner-builder will have the burtlen of proving that he or s�e did not build or improve for purpose of ule.). ❑ I, as awner at the properry, am EXCWSIVELY CONTRACTING WRH LICENSED CONTRACTORS ro consiruct the project (Sec. 7044, Business antl Pmfessions Code: The coniredors license Lew does nat eppty to en owner ol property wno bulltls or Improves thereon, and who contrects br suc� pmject with a contrector(s) license pureuani to the Contractor5 ��ense Lews.). ❑ I em exempt under sec. Signature: Owner ID verllied Dy drivef5liCenSe. ❑ Yes ❑ No Business antl Proteulons Code tor this reason: Verlficetion ol Ownership by (type ol doament, i.e. � property tax bill or deed): Drivers License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTFlCATON: � I �ere�y cerilly thai no excavatlon �Ne (5) or more feet In depth Into which e pereon Is requlred to descend, wlll be maCe In connaction wit� work euthorizeC Dy this permii, and t�at no buiiding swqure, scaHolding, lalsewofu, or Eemdllfon or dismentling t�ereoi, will be mora than Ihirry-slx (38) teel high. (C�ap. 32, Grp 2. Atl 2, Sec. 341, Tille 8, Celitomia AdminLSlretWe Cotle). ❑ As owner-bulltler, I will not employ enyone ta do work which waultl require e pormlt tmm the Division of Intlustdal Sefe�y, as notetl ebove, unless such peraon �es e permil to da such work irom the tlivisian. Signe�uro: Daie: Divislon ol Industrlal Safery Permit Numbor: CERTIFlCATE OF COMPLIANCE AND A�MORRATION OF EMRY: I cenify undor penalry ot perjury ihet I have read Ihis application and sia�e �hai �he informetlon given is ConecL I egree to cwnpty with ell siete laws enC ciry ordinances relating to bullding constructlon, an0 authodze representetives ot Ihe Clry of Costa Mese to enter upon Ne ebovelkiscnbed oroperty tor insDecqonpurposes. I egree nof to occupy or allow acupenq of eny building euthonzetl �y this Oermit un�il linal inspection. GQ�E I, INSPiCTIONTYVE PGg II{j�dL: 1616 Fized System Finel Fire Preven�lon 1288 Pool Spa Final 200 Finel Re-Rool 201 Finel BIxWRetelning Well 202 Final Feciory Fire Place 203 Finel Sign 204 Finel DemWilion SOUE� INSPECTIONTYVE 206 Final Mechenical 20B Finel Plumbinp 210 Final ElecidCal 212 Final Flre Prevention 220 Final Plenning Approval 222 Final Site 250 Finel Building/Occupancy L/-Z-C Z PH0.IECT ROUflE55: ( H 3 Z DRAKE AV OWNEfl'SNFME: JACK SIELMAN aoosess: 2A32 DRARE AVE COSTA 1fiESA,CA 5567322 APCNIENGINEEfl: RODNESS: UNIT: 92626 flEG.NO.: UNIT: PEflMITTEE: j(ELI,Y' S A/C & HEATINC, ( 714 ) 750-6583 RDOflESS: 1%29I FALLINGLEAF ST GARAEN GROVE CA 92640 LICENSED CONTBICiOfl DECIAMTION: I �ere0y allirm Ihai I am ticenseE unCe� provisions ol Clupler 9(cammencinp wilh Section 7000� ol Oivision 3 al I�e Business ana Pmless�ans CoEe. anG rtry license is in fWl lorte an0 Cfle cirruc.: 045314 srereuc.:496189 ss: C?0 pd ej �- 2 Y��7 L Signature: WOHNEflS'LOMPENSATIONOECIAflATION: I�ereOyaifirmlha�l aveacenil teo nsennosell-inmrearacenilicatealworkers' Campensation I�su�r o�e4or�a4c�u�ie4 v�py mereol Isection 3600. Lab. ��4 / 1/ 9 3 voucr xo.: STA'PE FUND E%P. ORTE: ,.+,c,omvnxv: '.7 Cenifiea copy is hereEy IumR�e�. ❑ Certilied copy is filetl � t�e ciry uil0ing 0' ' n -eate: �- 2- Y -`% �- n7nticanr. E%EMPfION FXOM WOHKEHS' WMPENSITION OELUIIA710N: (iYa secnon nreG not he qetd ii the pemit'a fa me nuMre015100� a less�. I rerlity �tu� in I�¢ p¢dOrman[e 0� �he work �or wNt� tNs permif i5 i55ue0. I ShaY nU empby any person in a`ry manner So as Io �ecome su61e�� o Ihe Workers' ComOensation Lavrs ol Ca6fomia. Oale: Signature: NOTICE: II. alter makinp inis Oeclaration. you shoWO Uecome suojen m tne Workers' Compensation prwisions al Ihe Labor Coae. y0u mu511arlllwilh mmpty wit� Sut� O�ovi5i0n5 or (k5 pErmi slldll be OPlfn¢0 tewk¢A. CONSTNUCTION LENDING AGENLY: I �ere0y a��irm Ilui IDere is a conslmtlion IenOing agency �or Ihe Oetlormante ol ��e wark lor w�ich ihis permil is issuea �Sectian 3097. Civ. C�. LENDEN: aooxess: OWNER BUILUEP OECIAMTION: I hert0y affirm i�at I am exempt Imm t�e Conlraclori State license Law lor the followin0 reason (Section 7031.5 Business and Pmfessional COde: Any city of fAunty wNc� r¢puires a p¢rmil to tonstNc�, alter, impmve, tlemulis�, or repair any simclur0. prior to its issuance. aisa repuires t�e applicant lor sucA permit to lile a sipne0 stalement t�at �els�e is licunsed pursuam la �he pwNsions oi ihe Goniractors' Siate Licenu Law (CWpter 9(comm¢ncinp xii� Section 7000) al Divisbn 3 of Ihu Business antl Pro�esvons CoOe) ar Ihal hUshe is exempt therefmm ana ihe basis tor iAe atleAeJ evemo��on. Any violation ol Section 7031.5 �y any avPlicant lor a permil subjetls Ine aoolicanl to a civil penalry of nol mo2 ttlan Ire nunUreO Collars (55001. I. as owncr al ine pmpeny ar my employees witn wapes as tAeir sole comoensation, will Uo Ihe work, ana iha ❑ stmcium is noi inrenAeO or olhreE lar sale (Secuon 7044. Buvness an0 Pmlessional CaAe: TAe Coniractars' Slate Liunsa Law Ooes not apply to an awner al a property who Euil�s or impmves t�ereon, anU wiw Go¢5 SucM1 woA himse�l/heRell or t�mu0h , nis ar �er own employees. D�adOeE I�ai suc� �m0«'emenis aa nol inlrnJeU or offere0 lor sale. II, �owever Ihe 6uil0inp or imOrovemenl is SdE m10in one y¢ar of Wmpleti0n. I�e mmer will hdve I�e burEen ol pmvinq �Gslie Gid nat builE or impmve lor Inc Duroase ot salel. I. as owner ol I�e O�operiy, am eeUuSiveIy cmtractinq wi�h IicenseE cantracmrs io consimci t�e D�qect (Section 70d4, Business ❑ an0 Prolessions COGe: Ttre Cantractors Siate Licertu Law Oces nol apply Io an ovmer ol D��rry � �uAEs or im0��s tAeaon antl wno conUacts lar sucn Drojmis xitn a contracror(s) Ikense pursuant to Ihe Contnctors' Stam LKense law�. I am aware I�al pmol ol I�eir Worket'S fAmDensation insuranu s�ould Oe 0«7e0 �o me. � I am eMempl unaet Seclion: B. 8 P. C. lor inis reason, Date: Mnier: 1 tlo nereDy cenily tlWt I am aware ol antl untlerstan0 the repuirementt ai Cdtilomu Heait� and Salely COAe Settions 2550.5. 25533, antl 2557< ane IAat I or any IUWre Euilding acupant vnllAvill noi (circle one) neeO lo campN wit� uiG SIa12 [OG¢5 anG l�¢ requir¢m¢nI5 �or a permil for conslmclian ar motlifiwiqn imm Itrc Air Ouahry ManaAemeni USUic6 PesiGenGal consirutlion appiralions are exempl Irom Ihese O�ovisions. Daie: ADGu�ant: _ I �er¢Oy cetlityl�al Iluve rtadl�i5 applir,ali0n and S�ate lha� lhe orainanres anA stale Ww3 rela�inq to OuilOmg cons�mcli0n aM �erel properly la/r1inspection Ourposes. �ate: � / � �"' � - � �/ Signature: _ Dri�er's ucense or Saiai Securiry x: I aA�ee io compty wiih all q�y antl counly INS tiiy� upOn lhE abOve�mentioned isai�as Wlnte-Butleing; Green-Cotle EnlorcemenC Canary-Applican�; Pmk-Fevenue; GOIGanroa-Assassor CITY OF COSTA MESA — BUILDING PERMIT vr:xM NV; �C�41 PEAMIT NO; M 058341 PLAN CHECK NO; N C:UV'1"; N JUNY; N CONSTRUCTION TYPE; V—N PERMIT TYPE: MEC PURPOSE; OTH JpB DESCRIPTION : ADD 3 1/2 TON A/C. (:LAIM VALUE: 3,286.00 CALC—VALUE: SQ FT: GROUP OCC: R-3 / C:OMMEN7'S: SMOKE DET, RE� �fflf�lkif�)f�l(-�%�1f�1f�7fiEiFif�lfdf�M-1fil�If3E�%�iF�il� �iF1E�1EdF�)f#iE#EiEk�lf�k�lf-jfk�7EiF�%�ifdf4fiEiF�le�ff#+E)FIEiE�%9E1F�K�dF�1�iFiE}.)f*iE#�lf�I(-�K��%iEdElEi!#�K1f# Z O N I N G R E Q U I R E M E N T S sexBacxs ------------ MAIN BUILDING ---------- --------- ACC%SSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT ZN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV; PARCEL: 14130101 7.NE; REF NO: PLANNING N 1'ES> > iF �lk 1F iE If if k 3E iF iF if �k iF if If 1E if if if if 3f if if IF 1t 3F iF M� iE iE iF ie * 1F �1F *if df iF IF?F iE iF iF iE if !(�-?E �1E iE lF?`. ?E it iE fE iF i6 it iF it if ie af if� if le iE 1E iF 1F iE R)F f� 1e if ir iE D E V E L O P M E N T S E R�.V I C E S k E Q U I R E M E N T S ZONING APPROVED BY - DATE: BiIILDING APPROVED BY ; DATE: APPLICATION ISSUED BY; � DATE• z��Z� ifi'tlfiFibifll�FifiFif?fiE�FlEifififiF3EieiF ifiFlfN�iFiF#if�iFih. iFiE k ik iE iF ih iF if if ie ih iF iF iF iF 3k iE 3k if if iF ih 3E if ik M�lf !E iF iF iE IE # iF M if fE N� if iF 1f if * iF if /F iE if if iF �k �lF i(� �IF if if� �F iF if 1E iF ii f'r i! iE if � if ie iF T iE if 1f iF le # iF if iF LEGALI7.,ATION:N F E E S U M M A R Y STRUCTURAL SnGN.ENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES CRADZNG PERMIT 9,00 75! SMIP/NON—RnS P I.� AN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TUTAL PAID DUE TOTAI�S----> 9,00 1�,OU 0,00 24,OU 24,00 ,00 AEVENUE DIVZSION TOTALS--> COLLECTED: 24.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELEC_TRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CH'aCK %4,�� iF * 1f it i6 3t �F ie tt iF 1F iE fE af iF � �E �f� 3E M� 1E �r k!F if if 1F it lF x� i( iE ih IF iE ib 1E i! i4 it x� if iF i� atll-iE iF if if if if ft it ii� Y.-it+t iF ik �t �F iE it 1E+F if i� k iF it s•� iF i6+f i! iF 3l� iF I N D I V I D U A L F E E B R E A FC D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= l0U K BTU 9,U0 9.00 END OF FEES 7:�i�.. - �.e:_' _. -: L�.".TG: �'/��e'.. ..�ic: _.�� CONSTRUCTION ANDPLANNING POOL 'A APPROVALS Permit # Date Inspector qppROVALS Permit # Oate Inspector 7. TemporarY Electriwl $ervice or Pole 52. Pool & Equipment Location 2. Soil Pipe�Und�grnd. 53. Steel Reinfortement �- 3. Electrical Conduit Utility-Undrgmd. 54. Forms 4. Electrical Conduit-Undr9rnd. 55. Electrical Bonding 5. Steai Reinforcement 56. Rough Plumbing & Pressure Test 6. Elenrica� UFER Grnd. 57. APPROVA� TO COVEft�GUNITE 7. Footings 58. Electrical ConduiPUndrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural Floor System ` 61. APPROVAL TO DECK 11. Property 5ewer Line & House Connectiort 62. Backwash & Recepto� �Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing Sys[em - Final 14. Rough Plumbing 65. E�ectrical�Final 75. Rough ElBctrical-Conduit 66. So1ar System•Finat 76. Rough Electric Wiring 67. Fencing & Access Approval . 17. Fough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough ElectriWl-T Bar Cei�ing 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVAIS Permit # 21. Ducts, in Siructure 70. Underground Hydro 22. D�tts, Ventilating 71. Product Piping QGas ❑Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof FraTing 73. Underqrnd.Stora9eTank dGas OOiI 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Ftashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Etectric J Notes: 34. Final Heating & Air Conditioning ?/�(RZ�� ! 35. Finai Gas P�Pe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Finai ' 40. Gas Servite-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriaation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING • 48. FINAL PLANNING 49. Elect�ic Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY No. Date PN6JECT ROOflE55: 2 S 3 Z DRAR E AV OWNEfl'$N�ME: SACK IIELMAN RDOflESS: ZS32 DRARE AVE COSTA MESA,CA 5567322 APCM/ENGINEEN: ROOHESS: uxrt: 92626 NEC.NO.: UNIT: PEflMITTEF: KEI LY' S A/C 6 HEATING ( 714 ) 750-6583 nooness: ? 2291 FAI.LINGLEAF ST GARDEN GROVE CA 92640 LILENSEO CONTBRCIDN OECIAMTION: I �ertEy allirm l�at 1 am kenseA unGer Ormtitims ol Ctuptu 9(wmmendng wilA Seciion 7000� ol Urvlsion J ol lne Ousincu ana Vrofessions Caae. ana my licertte is in full force anU ellecl. cirruc.: 045314 srareuc.:496189 cuss: C20 � 7�; �� L SignaWre: � WONNENS'COMPENSATIONOECIAMTION: I�eretyaHirmt Aaveacendicate m�aentlasell-insureoracertificateofWorkers' Campensation Iqswap�e 0r�a cqndiepy,tepy Ihereol �SCtlbn 3800. LaE POLICY NO.: 1 L J�f / 4 3—" C E%P. OFTE: 4 I O I. I J 3 comvnxx: STATE FUND � Ce�ilietl copy 4 �ereGy fumisAetl. ❑ Cetlilietl wpy is IileG with the dry BuJdinq DiviAon .^ — % — Z ! ' i !i ADOlicani: E%EMVfION FNOM WOXIIENS' COMPENSNTION DECLIPATION: ' - neeU rot be cumplea0 if We pumt is Im me hwdre0 (5700) or kss). I certily Itwl in I�e p¢rlormance ol itie wwk for wliic� �his perm� is iSsueE, I 5ha0 not ¢mpby any p¢rson in airy manner w as to �ecome 5u0jecl �o �Ae Workers' Compensation Laws Of Cali�omia. �ale: Sqnaturt: ��. NOTICE: II, aiter ma'ung t�is GecWration. y0u SMub bemme suEieti to tice WwN¢rs CAmpensati0n prwhions of ihe laGor � CoOe. you musl brt�witA [omDly vnlh Suth D�ovisions or INS permit Shall �e 0¢eme0 revOk¢0. I CONSTNULTION 1EN01NG pGENCY: I �ere0y ailirm t�at iAere is a consiructian IenOinq agency for lhe petlormance of t�e work lor w�ic� I�rs permit is iSsueG (Setlion 3W7. Gv. C). LFNDEfl: aoowess: OWNEB BUIIDEB OECLAPR7ION: I AertEy atlirm Vat I am e.empt Imm ihe Contractors State littnsa Law lor ihe folloxinp reason �Seciion 7Q71.5 BuPn¢ss anA Pmfessional CoAe: My uly ol county wNth repuir¢5 a De�mil to tonitmct, aller, improve. Eemolish, or repair any slmclure. pnor to i6 issuance. a150 rtpuirts ttce aOD�� or suth perrtit to lile a si0ne0 statemenl tlWt hNs�e is litensetl pur5uanl Io I�e D�ovaans ai I�e Comrac�ars' State Littnu Uw (Chapter 9(comme�rcing with Sectron 7000) ol Oivision 3 al tAe Buvneu anU Prolessions fAee) or Inat ne/511e is eKempl tnerelmm anA Ne Oasis for the aliep¢E e�emption. Any vioWtion of Stttion 703f.5 Gy any apWicanl lor a pGrrtdt wEjects ine applicanl ta a dvil penalry of �rot more IAan five �u�rM edWrs (35001. I, as ovmer ol Ihe proDeRy or rtry emWoyees xil� wa9e5 as t�eir Sde compenSation, will Co I�e wOrk, anE t�e ❑ simcmre is nol imenae0 ar ollereU lar sate (Secuon 704a, Buvneu antl Pmleuional Cotle: Tha Cantractors' State License Law Goes noi aDVN �o an awner ol a D�oOeny who builds ar improves tAereon, an0 wM Uces such work �imsell/hersell or tArouOh Ais or �er own employees. pmvi0e0 Inal suc� imDiovemems are not imende0 or oflered lar sale. If, however the buildinp or impmvement is sold within one year ol comD�eiion. tAe awner vnll have tAe hurUen ol O�ovinA he/s�e OiA nol hui10 ar improve lor Ine ourpose al Sale1. I, as owner ol �he Dmpetly. am evcluvvety conVaclinp wi�� Iittnse0 coniractors lo conslmcl Ihe prolecl (Section 7044, Business ❑ an0 Pmlessims CoGe: Tire Conuacmri Siate License Law Oces nol appH to an wmer al Oroce�y � bwlJs ar impraves �Aerean anC w�o tonlrad5 �Or SUCh pr01ett5 vnlA a toNratior�s� licenie pur5uan� �a �he ConlraClorS' Slaie LiCense Law�. I am aware t�at O�oal ol t�eir Worker's fAmpertution insuranro sIpWO Ee D�w+0e0 to me. � i am evem0� �� b^� B. b P. C. lor Illis r¢dsOn: Daie: 0«oer. I Do nertoy cenily IIWI I am aware ol aM un0ersun01tlt rEpuiRmen6 af Cdlifomu Medlih anE Salely CoOe SLCtiMs 25505. 25533, ana 2557a ana I�at I or any IWute Guilding occupdnt vnlVwill nol (cirtle one) neetl to comD�Y �� ia slaie cotles an0 ��e reduiremenls br a pe�mit lor consVuction or moailiWlion Irom t�e Pir Oualily Manapement Disiri[i. Pe9Eentul con5iruttion aDD��ions are eKempl imm ihese pmvisions. oate: AVv��cam: I hereEy [eilily Uwl I �av¢ rea0 this apptitali0n an0 Sia�e Ihal I�e aEov¢ in�riormalion is wrrecL 1 aA�¢e �o tomply vn�h all ti�y antl counly ordinances anG sta�e laws relating Io Ouittling constmaion anG �ered/ au�e representatives ol I�is ciry �o en�er upon �he above-men�ioned pmperly lor insptt�ion purposes. ij /�l��i' �.�— S i� Si9nalure: � ( Driver's License or Saui Secu�ity r: £ t64ba6 W�i�e—BuA�ina: Green—Coae EnbrcemenC Canarv—AuolicanC Pink—Revenue: GoleenroE—Asses�or CITY OF COSTA MESA — BUILDING PERNIT F'hKM ivv: n v�o�tii PERMIT NO: E 058342 PLAN CHECK NO: N ��vi; rv Surr: rv C'ONSTRT7CTION TYPE; V—N PERMIT TYPE; ELE PURPOSE; OTH JOB DESCRIPTION ; ADll ELEC FOR A/C UNIT SQ FT: CLAIM VALUE: CALC—VALUE: GROUF OCC: R-3 / COMMENTS: SMOKE DET. RE� *+t�*�x*�-�+e**��Kx*#��*** �cx*��x��x+�****��tx*�•��•*�rt�*-t�*��**�x�#�rKr�ex**��:xx��r��* Z O N I N GS ERTEB�AUCSKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: ri IN LEFT: FT ZN RGHT; FT IN LaFT; FT IN RGHT: FT IN PARKING REp • PROV: PARCEL: 14130101 ZNE: REF NO; PLANNING NC3TES> i fE �1F !! �1ElE ff i(� 1E If �)e 3k #E 1E if� k 1F iF if 1E fE iE ##} fE iE fF * af iE ic if iE 3E If if IE iF iE iF iE X� iE k �E�N� ih IE IE �lE M aE iE �1(� t 1e Y.-if ii� 1E iF jF iE i(� iF iF �1i ic iE iE �lE'R iF 3i 3ElE if #!F n E t� E L U I' M� N T S E R V I G E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED HY : DATE: /-� Aflf'LiCA�`InN IgEU#L1 gYt it� + y( iEiFIFiF3EKiE1fielfiF�%�#1(�iEiblE�#3E1f-1ElE"R�"�tiF�TriF � rFiFiC'iF71'IEiFiE7Fif�tF} iPK'IF9FR'9P�Pif}ifK��F��i!�ic� 1!R�F� M�lh iF �IE lE iF �F iF iE �)f if 1f %if 1F i(• 3e if� iM1 1P fE 1f )k iE iF fE i! if iF 1f IF #E 1F IF # if �1F iF 3E �N Y- #(� 3f if af k 1F N!F 1f !f �lf 1FiF } jF If dF if ik ff #'� iE iE ii� �Y ii� 1E 3f if if iF ic it� if iF �lf # if LEGALIZATION;N F' E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING aLECTRIC MECHANIC FIRc SMIP/RES GRAD3NG PERMIT 3 00 �OY SMIP/NON—RES P1.AN ISSUE FEE 15.OU HUII,D'LNG—DIV—> PERMIT ISSUE PLAN-CHECK TOTALS----> 3.00 15.00 0.00 REVENUE DIVISZON TOTALS--> COLLECTED; HLDG PMT PLUMBING ELECTRIC MECHANIC 18,�� TOTAL PAID DUE 18.OU 18.00 ,00 18.OU OVER/SHORT; ,00 FIRE SMIP/TOT GRADING PiAN—CHECK ��E �IF lF IElF �If IE if ik iF iElf if ik k if if * iE if ik 1E iF fk %iE R IE fE IF if 3f iE if if !P IF �4 iE ie if it if i4 iE ih if iE iE 3k � if if N� iFihif• ic X• ii i(� iF ih 141E iF k i: iF ic iF ie 3i� iE If� if 3f iF lk I N D I V I D U A L F E E B R E A K D O W N TYPE: QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 MOTOR/POWR APFiARATUS 0.0 — 1,0 HP 3.00 3.00 t �� END Or FEES EXPIRE�tw�L I P�/fnsP� `��5�''�� "�� I��E/ / i •i� � j _�1�.�. "_ '_ ' ._ CONSTRUCTION ANDPLANNiNG POOL PA � APPROVALS Permit # Date Inspector qppROVALS Permit # Oate Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. E�ect{ical Conduit Utility-Undrgrnd. 54. Forms 4. Electriwl Conduit-Undrgrnd. 55. Elettrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrital UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footi�gs 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, O U�drgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, C Undrgrnd. 10. Structural Floor SYstem 67. APPROVAL TO DECK 11. Property Sewer L�ne & House Connection 62. Back�.vash & 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 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. DuMs, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Tesc 72. Underground Flush . 24. Roof Framing 73. Undergrncl. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (St�uctural) & Monocoat 75. Dry Chemical ' 27. Frame and F�ashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL �' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSV�D 33. Final Eleciric � Notes:�� !j2 � _ ,_`p/� �� r�.� !�K 34. Final Heating & Air Conditioning ._ ylan �� /�PL�(9 35. Final Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47. FINA�STRUC7URE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50, Gas Release to Southem Califomia Gas Ca 51. CERTIFICATE OF OCCUPANCY No. Date (714) 754-5273 • F� (714) 754-0856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE. COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: Ownec Address ELECTRICAL PERMIT 2832 DRAKE AV BEDROOM & BATHROOM ADDITION 14130101 JORDAN,RONY 17617 WEBSTER ST IRVINE, CA BIELMAN, JACK E 2832 �RAKE AVE COSTA MESA, CA Phone: (949)552-6289 Zip: 92614 Phone: Zip: 92626 Contractor: BUILT ON THE ROCK CONSTRUCTION Address: 17617 WEBSTER ST ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors [o SOhp Morors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole IRVINE, CA Phone: (949)552-6289 Zip: 92614 License: 528944 Status: ISSUED Applied: 11I20I2007 Issued: 1120I2001 ISSUED BY: ' SCOPE OF PERMIT ELECTRICAL PERMIT FOR NEW BEDROOM/BATHROOM ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 8 LIGHTING FIxTURES, 72 RECEPTACIE OUTLETS, 6 SWITCHES, 8 7 ELECTRICAL SERVICE. REF:B01-01628 523.50 $0.00 $0.00 30.00 $0.00 50.00 $8.80 51320 56.60 50.00 50.00 $30.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 Quantity 0 0 0 8 12 6 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Oiher Eledrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0,00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 S0.00 0 $0.00 0 $0.00 0 50.00 $0.00 50.00 50.00 TOTAL CALCULATED FEES E82.60 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21•92) _ EXPIRATION: This permit shall automatically explre and become void if work is not commenced within 180 days, or il work Is suspended or abandoned for a periotl of 180 days. • . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl all requlred Inspectlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2sae.ae (eroo) i � WORKERS' COMPENSATON DECLARATION: . I hereby ettirm untler penalry oi perjury one W t�e tollowing dedaretions: ' ❑ I heve entl will mainWin e certifkate ot consent to sell-Insure tor workers' compensation, es pmvideA tor by section 3700 of tha labor Coee, tor the peAortnance of the ,�work tor which this pertnit is issued. �I heve entl will maintaln workers' compenseUon insura�xe, as requlretl by section 3700 of Iha labor Code, for Iha pertortnance of Ihe work for which thLs pgrmii Is IssueO. My workers' tipp^lnsurence r e^ntl pdky number ere: ^ Caider:., '" � � �/= ��// POIIcyNumber. /� �� — r�' (Th(s sectlon�ne nof be compleletl i! Ne pemufl5 4elued et one huntlretl tlol/ers (S 100) or Ie55J ~ ❑ I certily Ihat in the iance ol the work lor which tN pertnit L9 issuad, I shell not employ eny person in any menner so es to Decome subject to the workere' compensatlan law f C Illamla, 8 apree thet I sho d becoma sub�ect to the workers' compensation proWsions o� Sectlon 3700 ot Ihe Lebor Code, I shell torthwith COmply wiih t�es f.� IonS. ' I' /�� Applican� Sipneture: _ �� Dale: WAHNINO: FAILURE TO SEW RE WO ( S' COMPENSATION COVEM IS UNUWRIL AND SMNL SUBIECT AN EMPLOYER TO CRiMI P ES AND CML FlNES UP TO ONE HUNDRED THOUSAND DOLLARE (5100.0OO�.IN ON TO THE CO6T OF COMPENSr1T10N, OMMGES AS PROVIDED f-0R IN SECTION 31060F THE LABOR COOE, IMEREST. AND �TTOf W EY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm thet I em Iice unQ�erPfp��° I Chapter 9( menGnp wl�h Sectlon 7000) ot Division 3 0l Ihe Bu�ness and Profe ns Cotle, end my Iicense is In tull brce entl ettect. Liiya� �o�. d%`Y79 i � Cias§ a � ContractoYs Signeture_ L�ry I i�_ Dete:- - ,[� / � CONSTRUCTION LENDING AGE ❑ I hereby aHlrm t�et t�ere is a Lenders Nema: Signawre: OWNER-BUILOER DECLARATIONS: lentling eBency tor the peRormance ol ihe work br w�ich Ihis permit is issuatl. (Sec. 3097, Civil Code). Lenders Address: Date: I hereby eflirm thet under penelry ol per�ury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW lor Iha tollowing reason (Sec. 7031.5, Buslness entl Prolessions Code: Any ciry or counry which roqulros e permit to consiruct, elter, Improva, tlomolish, or repeir eny structure, pnor to Its issuance, elso requires Ihe epplicam for such pertnit lo flle e signetl stetemem that he ar she is Ilcensetl pursuent to the pmWslons of the Contractors LJcense Lew (Chepter 9(commencing with Seclion 7000) of DlNsion 3 of ihe Business end Professions Code) or that he or she is azempt theralrom entl ihe besis lor the ellegetl exemption. Any violatlon of Section 7037.5 by eny applicent for e pertr+' sub�ecls the epplicent to a clvll penalry ot not more Ihan five hundreA aollars ($500).): ❑ I, es owner ol Ihe properry, or my employees with wages as their sole wmpensetion, WILL DO 7HE WORK, end the structure Is nat Intentled or ofleretl for sala (Sec. 7044, Business and Professions Cade: Tha Contrectors License Law tloes not epply to an owner oi property who builds or improves thereon, and who does such wark himsetl or hersetl or through his ar her own employees, provitletl thei such improvements are not Intended or otteretl lor sale. II, however, Ihe building or improvement Is sold within one year ol completian, the owner-builder will heve the burtlen of proving ihat he or she did not build or improve tor purpose of sale.). ❑ I, a5 owner Of the properry. em EXCLUSIVELY CONTRACTING WITH LICENSED CONTHACTORS to construct the p�ojecl (Sec. 7044, Business end Prolessions Catle: Tha comrectars License Lew tloes not epply ro en owner oi pmperry who builds or improves ihereon, and who wntracts tor such prolea wlih e contractor(s) license pursuant to the Conirectors License Lews.). ❑ I am exempt under sec. Business antl Professions Code for this reason: Siqnature: Date: Owner ID venfieC by tlrivers Ilcense. ❑ Yes ❑ No Drivels License No. VedflceUon oi Ownership Dy (typa ot tlocument, i.e. � property tex blll or deed): DIVISION OF INUUSTRIAL SAFETY PERMR CERTIFICATON: Expires: ❑ I hereby cetlify ihat no excavatlon INa (5) or more feet in depth Inm which e persan is requireE to descend, wlll be matle in connection wi�h work euthodzetl by Ihis pertnit, antl �het no bulltling strudure, scaHolOing, lalsework, or demolition or dismantling thereot, will be more than thirty-six (36) leet high. (C�ap. 3.2, Grp 2, Art 2, Sec. 341, 71t1e B, Calllomia Atlministretiva Coae). ❑ A5 owner-builtler, I will not employ enyone to tlo work w�ich woultl requiro e pertnil lrom Ihe Division of Intlustrial Selery, es notad ebova, unless such person has e pertnit �o do such work Irom Ihe tlivisbn. Signatura: Date: Divisian oi Industrial Selery Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certily untler penalry of perjury Ihat I heve read this applicatlon end state Ihat Ihe Iniormetlon given is correct I egree to rAmpty wit� ell siete laws end clry ardinances relatinp to builOing conswction, and authodze representatives of the Clry of Coste Mesa to enter upon Ihe ebove-tlesc'�roperry tor Inspection purposes. I�gree not to occupy or allor, occupancy ol any building euthorized by U�s permit until linel inspectbn. COOE 1. INSPECTIONTICE Q� I�LS 1616 Fixed Sysiem Final Fire Preventlon 1266 Pool Spa Final 200 Finel Ro-Roof 201 FIneI8locWRetelning Wel1 202 Finel Faciory Fire Plata 203 Final Sign 204 Finel �emolition CODE I INSPECTION TYPE 206 Finel Mechanical 20B Finel Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Appro�al 222 Final Site 250 Final Building/Occupency 14.11 J111. :7 p�4) 754-5273 • Faz p�a) 754•aB56 • www.ci.costa-mesa.ca.us 77 FAIR DHIVt, GUS I A MtSA, GA tl26Lti Job Address: Suite No Vicinity: MECHANICAL PERMIT 2832 DRAKE AV BEDROOM & BATHROOM ADDITION Parcel Number: 14130101 npp�iwnt: JORDAN, RONY Address: 17611 WEBSTER ST IRVINE, CA Phone: (949)552-6289 Zip: 92614 Owner: BIELMAN, JACK E Address: 2832 DR4KE AVE Phone: COSTA MESA, CA Zip: 92626 Contractor: BUILT ON THE ROCK CONSTRUCTION Address: 77671 WEBSTER ST IRVINE, CA Phone: (949)552-6289 Zip: 92674 License: 528944 Status: ISSUED Applied: 17I20/2001 Issued: 11I20/2001 ISSUED BY: ' SCOPE OF PERMIT MECHANICAL PERMIT FOR NEW BEDROOM/BATHROOM ADDITION TO EXISTING SINGLE FAMILY RESIDENCE. INSTALL 1 VENT FAN. REF: B01-07628 ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Re(rig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspentl Heater 523.50 50.00 50.00 $0.00 50.00 50.00 50.00 $0.00 30.00 $0.00 $0.00 57.25 $0.00 50.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 Quantity FEE SUMMARY Repair / All Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporetive Cooler Commercia l I nci nerato r Domestic Incinerator Compressors I Absorp[ion Systems Uplo3hp/100kBTU 3 To 15 hp I 500 k BTU 15To30hp/1.00OkBTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 1510 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee . Quantity $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 so.00 0 40.00 0 50.00 0 50.00 0 50.00 0 so.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 50.00 $0.00 TOTAL CALCULATED FEES E30.75 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 7. 12-21-92) EXPIRATION: This permit shall automatically expire and become void if vrork is not commenced within 180 days, or if work Is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabie codes, antl all required Inapeetlona and Iinel approval must be obtained. Failure to obtain inspections and tinal approval will result In the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 <..o-.o,o„�„ J�' / WORKERS' COMPENSA710N DECLARA710N: I hereby eHirtn under penalry of perjury one of the �alowing dedaratlons: � I heve entl wlll maintaln e certitimte ot conSent lo self-Insura tor workers' compensetlan, es provided tor by sectlon 3700 ot the LeDor Code, lor Ne peAortnence of Ne work tor w�ich this permit Is I55ue0. �,_I heva entl wi0 maintain wwkers' campensati� �wra�we. as requiretl by sectbn 3700 W the Labor CoAe. lor Ihe peAortnanw ot the work fw whkh Ws permit is iswed. My workers' tl ran�[ d�/r�end pdicy num6er ere: /7�� j Certier: '- �� / lP�!/ Follcy Number. �D S Y' ' V � (ih/s secNwr need nof be complefed 1! Ihe permit 1s valued af one hwrdred tlollers (S I00) or /ess.) .—__.r ___ J ❑ I cortily that in t� rtormanc ol Ne work �or w� h this pertnit is issuad, I shall not employ eny pereon In eny menner so es to become suD�oct to Ne workers' compensetlon I s i Cellla la, enE egr hat 1 shoultl Decome sub�act to the workers' compensotlon DroWslons of Section 3700 ot the Lebor Cafe, I ahall torthwit� comply wlth t� e ovislo . _ )' �/��/� / �Appllcanc Signeture: � Data: � WMNINO: FAILURE TO SECUR �Ri(ERS' COMPEN�T�� C ERAOE IS UNUWFUL AND SW1LL SU6IECT PN EMPLOYER TO CRIMIN�PENALTI S rWD CIWL FlNES UP TOONE MUN�RED TI10USrWOWLUqE(5100.000� ADdT10NTOTHEC�uTOF�d.17EN5AT10P1,0AMAGE5A5PROVIDEDFORINSECilON3lOeOFTHELPBORCOD,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTAACTORS DECLARATION: I hereby aHirtn thet I em torce ena ettect 6k. a_ conireaore s�gnacure: CONSTRULTION LENDING (commencinp wlih Secilon 7000) of DMsion 3 oi t�e Business an tessions Code, entl my Iicense Is in full Class p 1 � / . Detei �. � .✓r� ❑ I hereby eMirtn Ihat there is e construction 19nding egency lor the peAormance of Ihe work for which this permit is Issued. (Sec. 3097, Civil Cade). Lantler's Nemo: Lenders Address: Signature: Dete: OWNER-BUILDER DECLAfiAT10NS: I hereby ettlrtn that untler penalry ot perJury that I am EXEMPi FROM THE CONTRAC70RS LICENSE LAW tor Ihe lollowing reason (Sec. 7031.5, Business entl Professions CoCe: Any ciry or counry which requires e permit to construct, alter, impmve, domolish, ar repair any sirucWre, pdor to its Issuance, elso requires t�e apD��ent tor suU pertnil to flle e slgnetl statement thet he or s�e b Iicensed pursuam to the provlsions ot the Comreaore tJcense Lew (C�apter 8(commendng with SecUon 7000) ot D'Msion 3 of ihe Business entl Prolessions Code) or thet �e or she is exempt therefrom anA t�e besls for t�e allegetl e:emptlon, Any vidation oi Section 7031.5 by flny epplicent for e pertr+: sublecls the epPlicant to e civil penalry ol not more than five hunOred dollers ($500).�: ❑ I, es awner af the property, or my employees wlth weges as thelr sole compensatlon, WILL DO THE WORK, ana Ihe siructure Is not intentled or ottered for sale (Sec. 7044, Business and Professions Coda: The �ntractors License Lew tloes not apply 10 an owner of properry w�o 6uilds or improves t�ereon, end who tloes such work hlmsell or hersell or through hls or her own employees, provitled that such Improvemenis are not Intended or offered for sate. If, however, the builtlinp or Improvement is sold within one year ot completion, Ne own6�-builder will have ihe burdan of proving that he or she did not builtl or improve lor purpose of saleJ. ❑ I, es ownar ol tha properry, am E%CLUSIVE�Y CON7AALTNG W17H LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness antl Pmfeuions CoEe: The coniractors License Lew does n0� epC�Y �o an owner ol pmperty w�o builds or Imprwes Ihereon, antl who contracts for such project wlt� e contractor(s) license pursuant to the Cantractars License �ws.). ❑ I em exempt untler sec. eusiness and Piofessions Coaa for this reeson: Signatura: Data: Owner ID verified by dr'rvefs licanse. � Yes ❑ No Drivefs License No. Verificetlon ol Ownership by (rype oi document, i.d. - properry tac bill or deetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CkATFICATION: ❑ I hereby certity t�et no excavetlon ilve (5) or more feet in depth Into which e person is required to tlescend, wlll be metle In connactlon with work euthorizetl by this permii, and that no building slrucWre, scaHdtling, falsework, or demditlon or dismantling thereoi, wlll be more lhen Ihirry-sla (36) teel high. (Chep. 32, Grp 2, Art 2, Sec. 341, Titla 8, Celitamia Administretive Code), ❑ As ownerbulltler, I wlll not employ enyone to tlo work whic� woultl requlre e partnit from the Dlvision oi Indusidal Sefery, as noted above, unless such person �as e permil lo do such work from the divisbn. Sipnatura: Data: Divislon ol Intlusirial Salery Permit Number, CERTIFlCATE OF COMPLJANCE AND AUTHORV.�nON OF EMRY: I ceniry under penalry ot perjury thet I heve reatl this epplication and state ihat the iniortnation given Is correct I agree Io compty with ell st�te laws entl ��ry a�tlinances reletlng to bul101np consWction, entl aNhodze representatives oi the Ciry of Casla Mesa ro enter upon Ne above-descdbeyp�operry tor inspSELon Durposes. I egre§mot to accupy or allow occupancy of eny building euthodzed by this pertnit until tinel inspection. COOE �. INSPECTIONTYPE � 1818 Fixetl Sysiem Final Fira Preventlon 1288 Pool Spe Finel 200 Finel Re-Roof 201 FIneI BIocWReteining Well 202 Finel Fectory Fire Place 203 FinelSign 204 Finel Demolition � It�fl CODE 1 INSVECTION TYPE 206 Final Mechanicel 20B Finel Plumhing 270 Final Eleclrlcal 212 Flnel Fire Preventlon 220 Final Plenning Approval 222 250 Final Slte Final Bullding�Occupenry PAIE II�GI� 4-�-oa (� TYPICAL 4�� CONCRETE BLOCK FENCE TOP VIEW 3/8 Bar �— • � � � ' �� 4�� Blocks —��SB��Blocks I/4° 0 Pencil Rod Below Top Course Of All Fences 4�� Cancrete Block Fence With 8'� Pilasters. One 3/$�� Vertical -Bar Cqntinuous from Earth;ooth Thru 8' Pilaster. 3/8'� Vertical Ties 2� �Long HQoked In Footing, And 6routed In 4' Blocks 4 0/C Maximum. rovide Cleanout And Inspection Hole At Pilasters. NATURAL GRAD FOR WIDTH SEE CHA ; � � � i i � ' i � � i I � ��GENERA L- NOTES�� MORTAR: One Part Plasfic Cement And Three Paris Sand. 6ROUT: One Part Cemenf And Three And One Half Paris Sand. COPING: One Part Cement, Three Paris Sand. CONCRETE Well Mized 1:21/2, 31/2. Maximum Oi 7 I/2 Gallons Of Water Per Sack Of Cement REINFORCEING STEEL SHALL CONFORM TO SEC. A-15-39 ',.A.S.T.M. ALL STEEL TO LAP WHERE SPIICED, 2�-0�� MINIMUM. 'GROUT MAY BE POURED FROM TOP OF FENCE IN CELLS WHERE o:,��: ?."""��'��0.".6�'.�.>;''o. °�'�'i 'O"'��::tl.�o'' VERTICAL STEEL OCCURS. HOLES �.D,�i�i.!L,6!'.�1.��'.°','P o'.D�., oD'. �.:..o.. ��'D.�i� .� o � v� a v1 0. s. a SHALL BE CLEAR CLEAN AND TWO 3/8 BARS CONTINUOU FENCE MAY VARY IN NEIGHT FROM 3� TO 6 � � STEEL MUST BE TIED IN PLACE AT TIME OF TRENCH INSPECTION �v.�;�io,'' . -bi�.e��;o'.�..,-i� �o.':I: b tl.. �0;� � � � � a . �_ y e:�_�� :__�_: i� �..o_ a� �� :,� �'� b rf FREE OF ALL MORTAR , DEBRIS, i.. �� y �s�i� ECT. WITH INSPECTION HOLES y::� '�' . TO 16��O.C. MAXIMUM n.rjl AT BOT70M. BOND SHALL BE I o I�:. � I� B . I ia4:��1 ib��r/pi PROVIDED BY LAYIN� BLOCKS DEPTH OF EARTHTOOTH I/3 ii_��P`i IN STRETCHER COURSES SO i,;, o: i �.:, �v, i,-�v..o� THE HEIGHT OF FENCE �p f.•� THAT VERT. JOINTS ALTERNATE I m'e� BELOW BOTTOM OF i_�y..R'� �`.•. :'� FOOTING. I'v,eo y'i IN EACH COURSE. Lno..._1 L_D_ivJ u � ��_� SCALE: 1/2 = I 3 CLEARANCE FROM BOTTOM CHART HEIGHT. . .. . . . . . .. . .. .. . ..6' . .. .. .. .. . . .. . . 5'.. .. .. ..... .. . .. . . .4�. . . .. .. ..... . . .. . 3' W I DTH . . . . . . . . . . . . .. . . . . . .. 14��.. . . . . . . . . . . . . . . 14°. . . . . . . .. .. . . . . . . .12�� . . . . .. . . .. . .. . . . 12�� THICKNESS . .. .......... ....10".. ... .. .. ...... 10��........... .......8". . . _......... ... 8�� DEPTH OF EARTHTOOTH . . . . .24�� . . . . . . . . . . . . . . . 20��. . . . . . ... . . . . . . . . . 16��. . . . . . . .. .. . .. . . 12�� SPACING OF EARTHTOOTH....12� ... ..... ........ 14�..................16�.. .............. 16� City Of Costa Mesa,California Building Department Porm BU13-iM-4-61 S-BP OWNERS NAME+ _ _ _ _ _ _ _ _ _ _ _ JOB ADDRESS� _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PERMIT NUMBER: SIGNA7URE: STRUCi1JRAl AR?Rt�VAI Oidl' SEPARATE PrRMITS ?RE RE��:t'� FOR ELECTR�C.".L, P� U"�R �' �. NEATI'�!6, �If�!T1f_rxitilG ^.,;� REFRIGERA?!Oh W�Z� 1 P�:'`�t �r_ _ . �fi�:i P"�, .�� 17�� FLL I {SP�Ci![1�`1 , fOB nLi>6, :'iS 1`iNi E FI BE e,.�PLO' �D, YJE 5,�, (S7AIE �� C.,LfF...i<�� IND.;SiftiA S'.Fes " "' kDDiifOPdA RE�'�!;.c;ri:P T� OF fAft I�� c�ry af �� s��d�ng THESE PUNS MUST 9l1 ON JOB AT Atl. TIMES CE NO CHANGES WITHOVT PRIOR APPkOVA� DEPi, THE ISSUANCE Ofl GRANTING OF A FERMIT OH APPROVAL 'LAyS AND SPECIFlCATIONS SHALL NOT BE CONSTRUED ��E A PERMIT FOR, OR AN APPRDYAI OF, ANY VIOIklION NY OF iHE PROVISIDNS OF TMIS GOUE. NO PERMIT PRE- NG TO GIYE AUTHORITY TO V�OIATE OR CANCEL THE 'ISIONS Of THIS CODE SHA�I BE VALIP, EYCEPi IN SO 4S THE WtlRK OR USE WNICH IT AUTNORIZES IS LAWfUL. /� f x� � THE ISSURNCE OF A PERMIi BASEp UPON PLANS AND i�/ � SP� FICATIONS SHALL NOT PREVENT THE BlIIL41NG OffICIAi tfR� THEREAFTER REQUIRINti YNE GOBREGTION OF fRRORS ;`� ��_�TS tN � 10 PLAN; ANn SPECIRICATION3 OR FROM PREVENTINC BUIL ING OPfkAi10NS O�INO CAA2�Lb ON TNEREUNpER WHEN irv w u�rlan nf THis tl09H oA _ AncE �f iri s T'ri= 9 r 5,,�; QF ":,.iT�D rOR pE5{OENCE � $iREE� � �.'�- ` " CIiY OF COSiA MESA PLANNING DEPT. SUBIECT TO g�DG. DEPT. pEG. y �' /' -3 81C�%� .., ..._ DATE..�7_�_/. DIREROR OF PtANNINfi Test made for Job Identification Location in Structure � , L A B O R A T O R I E S. 1 N c. � Taefin9 an�.9no�bec[ion �n9inesre COMPRESSION TEST REPORT H. F. SPROUL, 1723 Thurber i'7.., Burbank, Calif J. PERRY, 2$32 Drake BREf�K IN r LOOR & COVE LABORATORY DATA (Blae Haven-Orange) 4-Star Gunite r• IaboratoryNumber 2$4$5 Msrk 2 Date mouldcd • 3 /z 2 /61 9 Date tested 3 /29/61 � � $REc�vED� Age, daye '] " � I1PA 10 1��1 N Weight per cu. ft., lba. 143 Clty of Costa Mesa Dimeneione, (inches) 6r.12.0 Building Dep� nree, sq. tn. 2�. z 7 � r � � $ 2' Compreaeive Strength � Total Load Ibs. �j0, 500 Lbe. par sq. in. 3, 201 FIELD DATA �g; GUNITE Cement Permanente I Specified Strength @ 28 days 2000 Sand Slump No. 4 Admixture No. 8 Ready nlix Plant No. 2 . Cyls. made by Water Date cyls. delivered to laboratory 3/23/61 by li. F Sproul p%. Reported to: - 2-ii. F. 3proul , Reapectfully aubmitted, I ��` ' a��I O�'• RAYMO D OSB , Inc. � � d, . � y � � ,i" - � � = ,; ; � � p , g . . _ .. .. ...---- .............�----- -- ••--••••- . � . . � � G �,, .; � ' f"� . . 238 WEST TWENTY-S�EVENTH ST'R�EET • LOS AhGELES 7. CALIFORNIA • RtcHMONo 9-3111 CITY OF COSTA MESA PLANNING �EPARTMENT A. P. No. 141-3C11-(11 Bldg. Pexmit No. Project Address PA1❑ �JG 10-7�c�{s,�0 731rio****Z5.Q0 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt 2832 Drake Avenue Owner's Name R1aN hic&lv Bachelor or 1- Bedroom Units � @$25.00 = 25.OQ 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units @ $40.00 = @ $55.00 = @ $70.00 = 5- or more Units @$75.00 = ,,,,. �� 1 Total"Fee Total number of Dwelling Units Planning Department Approval Date 8/9/72 Park Area No. 15 By4lLD rb Applicant's Signature CITY OF COSTA MESA PLANNING llEPARTMENT A. P. No. $ _?O1_(; Bldg. Permit No. � Project Address Owner's Name HUG �O"7ZCM5AUU 7z��V�#�'�LJ.VV 0 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt ;'R�. �T'0R� RVCi1UC F �� Bachelor or 1- Bedroom Units @$25.00 = "" 2 - Bedroom Units 3 - Bedroom Units 4 - Bedroom Units @ $40.00 = @ $55.00 = @ $70.00 = 5 - or more Units @ $75.00 = ,�„� ,,,. .. � Tot—�� Total ninnber of Dwelling Units Planning Department Approval Date '/'�/7' Park Area No. �s WLD rt: Sy Applicant's Signature u�.��c+>:u�,�;;rEc UU,z�;Ss•Ot �a F!� i'�r �,4•��r�c p�ata� y�.nr .�,. r, �.�� 1�� .1 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applicanf io Fill In Complefely '(YPE PRINT��- euao�Nc p �y J/�J� ADORESS Z l\ -1 �� /S� ,. , �l// CALIFORNIA w , cin P _ .^ n. ; -._ STATE !�./ .�-. .� TEL. NO. OP BLDG6. 6fiTBACK LINE FROM CENTER OP BTReeT REAR YARI SIDE YARD ILEFT IRIGHT DESCRIPTIOM OF WORK WALL F:OOF COVEI i1LDING AND WORK TO I HEREBY ACKNOWL¢DGe THAT 1 HAVB READ THIB APPLIGTION AND BTATE THAi THE AHGVE I8 CORRECT AND AG O LON- PLY WITN qLL GITY 013�1NANCE6 AND. AT6 LAWB HE6 TINO 9UILDINO-e0 UCT SIGNATURE OF PERMITTE AUTHORIZED AGEN � F E RECEIUEU � �Aw y tsst FINANCE DEPT. CITY OF COSTA MESA APPLICATfON fOR PERMIT BUILDING For Office Use Only ' RECE�PT NO. PlHMIT ! � %i � BY I DA� H�EIVE�, I O^TE Ij51 � � BUILDING ADDRE65 COSTA MESA. GALIFORNIA APPROVED ✓I.��//�G•C BY �� DATE ZONING 20 I NO. OF � I US8 OF N PLANB BUILOINO ��.� c � 3 � �f oeacrtirrioN A. P. No. ,- r�ern.� YARDS EVES APPROVED ALLOWEC IGENTHR LIN! BT.1 , � � APPROVED �'i' TH6 AMOUNT 9HOWN UNOeR `/ALUATION IB FOR THE PIlRP088 OR EBTABLI6NING A PEPMIT FEE ONLY, VALUATION /� � � PERMIT FEE S /v � N S (/ �� PLAN CHECK S �Jl � -- F ¢ �T � TOTAL PEE y ' � D . GC.�. �� ( �"�e�`� ,� �� slj�' � �} ., , n � � � ��'?� . - • 4� �.8 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORN�A 92626 For Applicant to Fill in.Completely — Use !nk Only ADDREI OWNER CITY BFANCH -�� ADDRESS ' AODHESS 2998 6/O7.%76 •� sxB•- APPLICATION FOR STRUCfURAL PERMIT RECEIVED BV DATE RECEIVED D TE ISSUE %_ 9� �J BUILDING ADDRESS FIqE R ADDRESS TEI. IONE CITV � NO. H STATE CITV r'q �'ARDS AF i IIC. NO. IIC. NO. f MAIN BU a (FROM C/L S' {y SIZE N0.0FBLOGS O. OF LOT NOW ON LQf � USE OF � EXiSfING BLDC %/' � Separate permits are requ'ved for � s � � electric, plumbing and heating work. REA ,�. USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET Q i MAIN BLDGS. �!/ — � VAR* a X c.u.r. � � APPHOVE r .� a a ' Q 1 hareDy acknowletlqe t�at I hava reetl thia applicetion end Rota a thet the above InfotmaMon le correct antl eprw <o compiy wit� a all lawa regulatin9 GuUAIng conrtructloq antl 1 chell not amploy Z eny penon In vlolation of Me workman's companmtlon laws of � the Stnte af California. 3 1 hereCy cartify thet 1 am propetly Iicanutl ea e contrecior under S Ma Stnta o} California B�sinea antl Profealona Code, Division 3, THE AMOI C�epmr 9, antl t�at meh Iicenwa ere In full farce and effect, or 1 7NE PURPO am exempt from Me provislona ot the Siata of Callfornia Businest VALUATION entl Professione Cotle, Dlviaion 3, Chapter 9. SlBnatura a��J.�'%� �/_ / / /�1 Pe�mitte� / ��Cif y vA/rU r ' .' .T.S`— l/.� NO. OF � PL.HILLS BET. MAIN ACCESS. BI onrE G- 7- � VN UNDER VALUATION IS 'ABlISMING A PERMR FEE O PERMIT FEE $ PLAN CHECK S TAX S � TOTALPAID f �, .:-�,: � 5.50 TL n m i � m J m i u �� Cl1ST4 MFSA RII11 fIIN(:_SAFFTV f1FPGRTMPNT APR 28-76vA'"OOi628"s *'�''"�u5.50 cis • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AP L A ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE I �V DATE RECEIVED DAT IS �D BUILDING (/ '/ ADDRESS �p � Y �C - J ��('�� D P RMIT NO. OWNER G A.P. NO. ' �fl/ BUILDING 2832 E � MAIL �y AODRESS ADDRE55 S i�� CITV �DS � � NOLS_J �G�i TFACT � LOT � BLOCK CANSTRUCTION W A D A R P I LENDER BRANCH OWNER L � ADORESS VALUE ARCHITECT TEL. 5 S � OR ENGINEER FIRE ADDRESS ZONE TVPE GROUP APPROV D CONTRACTOR � BV DATE ADDRE55 TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING �� STATE CITV �'ARDSAPPROVED VARDSAPP� ED IIC.NO. L10. NO. MAIN BUILDING ACCESSO LDING SIZE NO.OF BLOGS. (FROM C/l STREET) OF LOT NOW ON LOT ONT FT FT. USE OF EXISTING BLOG. FT Separate permits are required for L. SIDE FT. FT. elec[ric, plumbing and heating work. REAR FT. FT. USE OF ILDINCvAND WORK TO 8E PERF�RMED DISTANCE BET. BEf. MAIN& MAIN BLDGS. ACCESS. BLDGS. VAR.SW DATE Q' C.U.P.qW APPROVED n �/ APPROVE � �}�',�7� c.{/ I hereby acknowletlBe thet I heve reetl this eDPlication antl stete thet the ebava intormation is cortect entl apree io comply wlth all laws regulating builtling construction, entl I shall not employ any person in violatlon of ihe workman's compensation laws ot the State of Celifornie. � 1 hereby certify that I am propetly Ilcensetl as a contractor untler SQ. FT. the State of Celifornia Business antl Protessions Code, Division 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR Cheptar 9, antl that such Iicensea are In f�ll forca entl effact, or I THE PURPOSE OF ESTABLISMING A PEFMR FEE ONLY: em exampt from tha p�ovi5ions of the Stete of California Busineu V ALUATION � PERMIT FEE 5 antl Professions Codo, Oivision 3, Chepter 9. _� PLAN CHECK E Sipnaiure o /%�� 7] Permittee �� /r �LC. $��v TAX E Authorizetl Bent TOTALPAID S �