HomeMy WebLinkAbout3209 DAKOTA AVE - Building Permits.lob Address: 3209 DAKOTA AV Status: ISSUEo
Suile: Applied: 0822/2005
Vicinity: REROOF Issued: 0822/2005
Primary Occ: R1 Type of Construction: V-N
Parcel Number: 13908416 Zoning:
Applicant YANTUCHE, JULIO
Address: 3209 DAKOTA AVE
COSTA MESA, CA
Owner: YANTUCHE, JULIO
Address 3209DAKOTAAVE � � -
COSTA MESA, CA
Contrador: OWNER-BUILDER . "
Address: �� � � - '
Zip:`
Arch :
Address: -
Zip:
Phone: '
License:
Phone:
Zip: 92626
Phone:
Zip: 92626
Phone:
License: 000000
Eng:
Address:
ISSUED BY: �
Phone:
License:
� SGOPE OF PERMI I .
TEAR OFF EXISTING COMP SHINGLES AND INSTALL NEW SHEATHING AND 30 YEAR COMP SHINGLES ON ATTACHED HOUSE AND GARAGE,
APPROX 32 SQUARES. -. _ . , �
� FEE SUMMARY
Plan Check: i$0.00,, r., „ ',- _ Calc Valuation: ge,000.00
Permit: $125.25 Claim Valuation: $a,000.00
SMIP Res: $0.60 r-
SMIP Com: $0.00 - '
��� Other: � $0.00' � , - � �
Inspection: �� $0.00
Total: $125.85
PCANNING & ZONING
SETBACKS . �- �� " � �' � �
MAINSTRUCTURE�Front 0-0 : Rear, 0-0- � Left 0-0 --Right, . 0-0 ,
ACCESSORY Front 0-0 . �Rear 0-0 Left 0-0 Right 0-0
PARKING Existin : 0 Reouired: 0 Pr000sed:- 0'
, v. _
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NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work 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 authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetions and final approvel must be obtained. Failure to obtain inspections and finai approval will result in the wryiration oi this permit.
FOR INSPECTIONS CALL: (714) 7545626
zwwu �aw�
WORKERS'COMPENSAnON DECLARAnON:
� hereby etfirtn untler penalty o1 perjury one of tha tollowing declarations:
� I have entl wlll malnteln e certificete of cansent to self-Insure �or warkers' campensetlon, es provided tor by section 3700 ot the LeDor Cotle, tor ihe pertortnance of the
work for w�ich this permit Is issued. � �
❑ I heve and will maintel� workers' compensaUon insurance, as requiretl hy sectlon 3700 al Ne lahor Cotle, }w the peAortnanca ot tfie wofc tor whfch Ub pertnit is fssued.
My workars' compensatlon Insurence carner end policy number are:
Carder. Policy Number.
(Th/s�secflon neetl nof be crompleted il the permit Is velued ef one hundretl tlollers ($100J or less.)
❑'—I.certNy�thet in Ihe pertortnance oi tha work for which this pertnit Is luued, I shall not employ eny person in any mannar so es to Decame sub)ect to the workere'
—'compensetlon laws of Calllamle, and egree ihet It I shoulC become ub�ect to Ihe workers' compensetion provislons of Sectlon 3700 of Ihe Lebor Code, I ahall fonhwith
comply W�t� Ihese provisions.// /��
AppNcant�SlPgna�urer f//l��c�ii Y .os cQ �-�-Dete� = �/a �-/O�
WARNINO: FNLURE TO SECURE (ERS' COMPEy ATIqJ COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPCpVEq TO'CPoMINAL PENALTES AND CML FlNES UP TO ONE HUNDRED
THOUSAND DOL�E (5100,000), I FDDITIONTO7HE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 31080F TME LABOR COOE, INTEFEST, AND ATTORNE`/'S FEES.
LICENSED CONTRACTORS DECLARAiION:
I hereby aiFlrtn t�at I em licensetl under provislons of Chepter 9(commendng wlth Section 7000) ot DiNsion 3 01 the 8usiness and Professions Code, an0 my Ilcense is in full
fOrCe end ettec�. UC. M Class M
Contractors SlgneNre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm that Ihere is a consiruction lending egency lor the peAormance at the work for whic� this permit i9 issueO. (Sec. 3097, Civil Coda).
Lenders Neme: Lendels Adtlress:
Signeture: Date:
OWNER-BUILPER DECLARATIONS:
I here6y eXirm that under penalry of perjury �het I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end ProFessions
Code: Any ciry or counry which requires e permit lo cons�mct, eller. Improve, demolis�, or repair eny stmcWre, prior to its Issuance, also requlres the applicant tor such permit
to lile e signetl stetement thet he or sha is Ilcensetl pursuaN to the pmWslons at the Contractors lJcense Law (C�aD�er 9(commencing with Secllon 7000) oi Dlvision 3 ot lhe
Business entl Grofassions Cotle) or thel he or she Is eaempt Ihereirom antl the besis tor the elleged exemptlon. Any vloletion of Seclion 7031.5 hy eny epplicant tor e permit
sub�ects,the aDD�lcant co a clvll penelry ot not more than live hundretl tlollers ($500).):
�rl as owner of the properry, or my employees wl�h wages es Ihelr sole compensatlon, WILL DO THE WORK, and ihe sWcture is not Intended or oflaretl for sale (Sec.
7044, Bus��ess and Professlons Code: The Contractors License Lew does not apply to en owner ot property who builds or improves thereon, end who does such work
himself o! herself ar ihrough his or her own employees, providetl ihet such imprwements are not Intendetl or offered tor sale. If, however, Ihe building ar Improvement is
soltl wit�in one yeer oi wmpletioq lhe owner-0uiltler will have the burden oi provinp thet he or sha did not 6uild or improve for purpose of sale.). '
❑ I, es ownar of the property, em E%CLUSIVELV CON7RACTING WI7H LICENSED CONTAACTOHS to construct the project (Sec. 7044, Business antl Pmtessions
Code: The conlracrore License Lew tloas not epply to an owner ol propeny who bullds or Improves thereon, and who contrects for such proJect with a conirector(s)
license pu�suant ta the Contractars Ucense Lews.).
❑ I em exem�under s9c.
bytldveYSAfcense. ❑ Ves ❑ No
Business end Professions Code for this reason:
Vedflcetion of Owners�ip Dy (type of document, i.e. - properry tax bill or deetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER77FICA710N:
❑ I hereby certity thet no excavation five (5) or more teet in depth Into whlch a person is required to descentl, wlll be metle in connec�lon wllh work authorized by Ihis
permit, and thet no bullding siruc�u�e, scaftolding, felsework, or demolition or tlismentling thereof, will be more �hen thiny-slx (38) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Celifomle Administrativa Cotle).
❑ As owner-bullder, I will not employ anyone to do work which would require e permit from the Divislon ot Indus�nal Safety, es noted ebove, unless such person hes a
pertnit to do such work trom ihe division.
Signeture: Deta:
DiNslon of Industrial Sefery Permil Number:
CERTIFlCATE OF COMPLIANCE ANO AUiHORVA710N OF ENfAY: I certiy under penalty of perjury that I have read thls application and state that the information given is
correct. I agree to comply with ell state laws nd ciry oralnances relatlng to bullding construction, antl authonze representetives ot ihe Ciry oi Costa Mesa to enter upon the
above-described properry for inspec}'pn pur es. I egrs� not tO occup�or ellow acupancy of eny building authonzed by ihis pe� u til Mal ir}spection.
Y o�� /i �>F� 2 2�0 7�
SIr�aNre O�f Lega wner(s)�'""^'—" De e�
v
And/Or Authorized Applicant Date
CODE 1, �ucosr�+NTYPE
1616 Fixed 5ystem Final Fire Prevention
7266
200
Pool Spe Finel
Final Fe�Roo1
201 FIneI BIocWRetaining Wall
202 Ftnal Fauory Fi�e Place
203 Final S�gn
204 Finel �emolilion
pAg ItlIIIlALS
CODE� INSPECTIONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final Electrical
212 Finel Flre Prevention
220 Final Planning Approval
222 Flnel Site
250 FinalBuildinq/OGcupency
QAiE 1tlIIDOLS
Applicant to flll In all spaces excaot ihose wlenin naavy eorOar Iines ana ilgn ail aDo/oprlate aeclarations.
CITY O,F COSTA MESA CONS�/TR UCT�IO''Nn PERMIT PERMI�NOi __, TRACT NO. � LOT NO. UNIT N0.
._PrOjetAddress 3�09 ��/\OT/{ �y-
Applicant'sMailingAddr .���9 D�KorR
Owner'sName �������M �.�MQ��QO Phone���
Address 3a o� p AKb r�
Arch/Eng. License No.
Address
Contractor's Nam v , � Phone
Addreu (mailing)
City License No.
LICENSED CONTRACTOR DEC A TION
I h¢rCby aHirm [hat I am Iitensetl untler provl5ion5 oi Cnart<r 9(commenCin9
wi[h SecUon 7000) of Dlvision 3 ot the Business antl ProteSslons Cotle, antl
my Ilcense is in full force ana eltect.
License Class License No.
�Oate � Si9nature
NORKERS' COMPENSATION DECLARFTION �
I hereby alfirm tnai I nave a cer[illwte ot conzent to selMnsure or a certlflwte
ot Workers' Compensation Insurance, or a certlfietl copy thereof (Section
3800, lab. CJ
Policy No. Company
8 Certifietl coOY is �ereby Iurnishe0.
Certi(ietl copy is tiletl with tne city Builtling DHision.
Date Applitant
EXEMPTION FROM WORKERS' COMPENSATION DECIARATION
(Thiz zectlan neetl not be completetl it tha permit Is for one huntlretl (5300) or
less).
I Certify thal In tne par/0rmanca of lhe wOrk fOr whlch thls pe�m�t i5 ISSuetl, I
sha11 not employ any person In any manner so as to acome subject to the
Worker5'� o�Dp ensy�IOy LawS o1 Cal�pJ a. q'
Date /�-„70 • d-'1 519nature „! tL�J �Lwii[,v
'NOTICE: If, atcer making this tleclaratlon, you houltl become subject to [he
WorkCrs' Compensatlon prOvisions o� lhe LabOr COtl¢, y0u muzt forthwith
comply with suGh p�ovlsions or Inis permlt shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby affirm that the�e IS a Construclion Ientlin9 a9Cncy tor the pe�lo�mance
ol Ibe work for whi<h tnis Oermit ii ISSuOU (Section 309] Civ. CJ
LFntler's Name
�entler's Atltlress
OWNER BUILDEH UECLARATION
I hereby affirm that I am exompt trom th¢ Contractor't Liconsa Law tor t�e
foilowing reason (Soclion ]031.5 Businass antl Profasslonal Cotla: Any clty or
county wniGh roq Wre5 a 0¢�mit lo con5trucl, aller improve, tlemOlisb or repair
any SVUCtura, p�im l0 Its IsSuan<a, also reqWres l�e aOP���ant fOr such pOrmit
to fil0 a slqnetl Statement thdt ho/she IS IlGensetl purSudnt to lbe p�ovl5ions o!
[he ConVaclor's License Law (Chaptor 9(commoncing witn SacUon 7000) of
Divlslon 3 of the Buslno55 antl ProleSslons Cotlo) o� thal hc/She I5 eaompt
�thero/rom dntl IM1e baSiS IOr Ihe allugetl axomptlon. Any violatlon oi Soctlon
7031.5 by any applicant ior p pormll SUDjeCtS tM10 applicant to a dvll
�e� Ity o1 not more than Iiw hund�ed t1011a�s (E500�.
V✓ I, as awner ot Ihe O�OpCrty ea.mY�OmWuY�s wlit!-!r?9ae-��-«e�±��?'
raon, antl wno aoes sucn woi
ployee5, provltletl that such in
i. If, hawever, Ihe bulltling or
tiOn, the owner will M1ava tne I
�m for [bo purpose ol Sale).
I, as owner OI lhe proDerty, e
]toR t0 cOns[tuct [he prOj�ct (
a Contractor's LJcense Law �I
Itls or improves t�eruon, antl
:ror(s Ocansa pursuant ro tne
iol o� [hei� Wo�ker'S COmper
1 am axemv� unaer Section—
Date ,/�'�=
1 hereby certiry that I
information rs correct.
antl s[ate laws relating
sentatives ot this Uty
inspec[lonW�I o es.
Signature / /
Drivers' Licenx o
�F 0865-46,rev.30/84
Owner
erry who oW�as or improves
� or thwu9h h15 or hee own
not intentlotl or oHered for
oltl within ona year of Com-
� no/sno altl not euild or Im-
'�uGh projetts wit� a con-
te Ldw). I am aware Ihat
oultl bo O�ovitletl [o me.
B. E P. C. �Or thi5 reason
m dntl stat! that lhG aDove
clty antl county ortlinances
ana hereby authorl:e reore-
rveKnenHOnOtl propGrty to�
Oate�.�1 •.i0 ^S'S�
TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/US�OF_BLDG. U%��N /n.L. S���J-p�
TVPE OF PERMIT LJ GRADING LJ FOGNDATION LJ STRUCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MELHANICAL
❑ OTHER
PROJECT DESCRIPTION 54. F7. oCCVPa�r�Cv �'1 -�
CONSTRUCTIONTVPE� ,� VALUATION$ J/���QQ
ZONE GRADING CU.YDS. ACRES
Remarkz:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
�rinking Fountains
Floor Drains
Floor Sinks
iod5$CfVICE �Ut12t5
Interceptors
Kitchen Sink
Lavatories
P-Trap
Root Drains
Reinspection Fee � $15
Boiler
Duct� UnderGround
Duc[ - Structural
Duct � Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIL ICBO #
Heating Sysrem & Ducting
❑ai oo,000 sru o i oo,000
Reinspeccion Fee � $15
Whita - Bulltling: Canary - Appllwnt; Pink - Accountlng; GOICenrotl - AssessOr
$IIOWClS
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinel
Water Closet
Water Heater
Water Service
Auto�Wash
Issua Foe
Hood or Typal
Canopy Typell
Refrigeration System
❑aioo,000sTu ❑ioo,000eru
System Repair/Alteration
Fire Dampers
Registers
laue Fee
$ 3
$ 3
A.P. qR � .
S Main Building:
T Frant
A Rear 3
C Right '-'
S left ]�
i
Pln9. Ref. #'•
Planning Notes:
Automatic Washer
Construhtion Pole Su6.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
OuUets
Switches
Garbage Disposal
Generaror �0.5 KW C
� Reinspection Fee
�
DEVELOPMENTSER
ZoninB APProvod BV_
Buildin8 APProved By
6517 I?/3Q/�5
— //�. 1 Zone
Acceuory
Parking Req./Provided
ELECTRICAL
Transformer � 15-50 KW
❑ 50+KW
' Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors00.1 HP01'h-8
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Range
; Standing Sectians
5-15 KW Trash Compactor
$15 Iszue Fee
FEES
S 3
SUM Rjfj�F FEES
BUILDING PERMIT $ • J�� SMIP $ • S�
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ � ENERGV P.C. $
ELECTR�CAL $ GRADING $
PLAN CHECK 50% $ MICFiOFILM $ ^o 2Q
MECHANICAL $ TOTAL FEE $ d"I ' J�+
PLAN CHECK 25% $
Z
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G
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$
'� CONSTRUGTION AND PLANNINU � +- & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit � Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE '
7. Footings 58. Electricaf Co�duit-Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Wa[er Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Elettrical-Conduit 66. Solar System-Final
16. Rough EleGtric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign , 68. APPROVED FOR PLASTERING
18. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21.- Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Svucturaq & Monocoat 75. Dry Chemical
27. Frame and Flashing 1 � ( � ��!{ ' 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 Ppwer Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: , �
34. Final Heating & Air Conditioning �
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 Irrigation System '
45. Sound Attenuation
46. Handicap,Regulations
47. FINAL STFUCTURE & BUILDING f G 86 �Q.y
48. Special Requirements Completed
49. Electric Release to Edison
, 50. Gas Release to Southern Catifornia Gas Cn -
51. CERTIFICATE OF OCCUPANCY , •
No. Date
.
-- - ►-_ - l
�20Q �A K OT�
---- -- -- --- - - - -
_
T _ _ I �,� - - �o_ x /20 -- -
- - -- -
- - - - -- - A�P_PR(�,aV_ �EoD _
CfTY O COSTA MESA - --- - ,.. - - - - - -
- ---- - - ----
- - -PLANNING DEPT.— - - - - - - -
EUNECT i0 lIDG. oEPT. REfi.
_ _ _ _ — ._ _ _ _ - . . _ _ _ ' __ _ . _ _ ._ _ - _ _ _ . __ __ _- __ _ .. ._ -
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--- - - - - ----- --STRUCTURAC-APPROVAC ONLY- - - --`- --- -- - - - - - - - -
t 1 X 22 T
— - - - � - - - - - - -SEPARATE PERMITSARE RE�UIRED p,��
- - -- - - --
— - -- -
fOR ELECTRICAL, PLUMBING. �R�%r ""�D . e
-- HEATIhG VENT!LATING AND - � � -
-- - - - _
O _ 'w AEFRIGERATION WORK �� � y
- - - r+ -
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iHESE PUN ~♦
TF!�5 NU��AEEF N•UST ACCCMPANY iucE No cH
P,il I'1;,PcCT;Oi� FEQUESTS - - _ - - � oF oePr. - -
_. . _ . _ _ _ . . . _ _ . _ _. THE ISSUkNCE
---- — OF PLANS NND SF'
G2EGIul�i!iS'c��Y,�.:cf':��:`:S AnE TO Ef _ TO BE A PEfiNIT F
- - -" - OF FNY OF THE PR
1li:'LOt�E!'.. V�F SIi^iiESi 7'h:R7 THE :Ti: c C� I E
ALIFOflh;iO CIUISIOA �r` IidJL�S ._....� � pROVISIONS OF
E--�C�(P��SQtTEO F0�9 R- 01-1'IOIVAL �- ---- - Fq{tpgTHENORKC
EQUIREAiEi{rS.
- - - -- - THE ISSUAN� - -
SPECIFICATIONS SHF
--- - _ ' -- -- - - - - -- -- � FROMTHERFARER -- -
IN SBID PlANS ANI -- -
BUIIDING OPERATlO
- - - - - - - - - - -- -- -- - - - - - - -- -- �IN VIOtAT10N OE 71 - - - - _
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NOTE� SHOW AND DIMENSION PROPOSED
PATIO COVER AND YARD AREQS
�R VE
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ATE �'
dUST B ON JOB Al
�E5 WI �OUT PRI01
2 GnwV7i , Qf A PFRMIT OR HPPnuv�.�
HP
IFICATION SHALL NDT BE CONSTRUI D
t. OR AN PPRO'!AL OF. ANY VIOLATI iN
IISIONS 0 THIS CODE NO PFRNR Pf _
JTHORITY 0 VIOLATE OR Ca`10EL 1 iE I
', CODE Sf ALL BE VALI6, EXCFPT IN ��
2 USEWNI'H ITAUTHORIZES IS lA'NF 4
E OF A P MIT BASED UPOY PLAN :
.L N0T PA VENT THE BUILDIAG OF:IL,pI I
;EQUIRING THE CORRECTION OF L2�20�:5 '
SfECIFlC TIONS OR FROM PAE9ENTI:�G
�SBEING RRIEDONTNEREUNDFt"i'NH�.
IS CODE R OF ANY OiHEa �.'.DI: �vCF
STREET
PLOT PLAN
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CONSTRUCTION DETAILS
20'� ROOF CONNECTION ��oPr�nrr PATIO COVER
DE TA I L S s�ces n�A[rir�[ar
BUILDITIG SI�FEPY DIVISION T Y F P L A N S
CON7 SOLID BLOCK
LEDGER
RqpTER OWfVER: MAky �c�n-i/vqK�o DATE �
ADDRESS� 3ad9 ��/l0%4 PHONE�
i�z" oin. x s" �a� sca. CONTRACTOR: �'w^/�°� �������� LIC. N0.
ar 3z" o.c. qDDRESS� 3��q O,Q/,1�,7'// PHONE�
DETAIL I RAFTERS RAFTERS APPROVED FOR
CARPORT, PORCH OR PATIO LIGHT WEICHf ROOF COVER OF gUILDINC PERMIT
NO'f SUPPORTING CEILING LATH, FIBERGLASS, ALUM.
By Da[e
SIZF. SPACING SPAN SIZE SPACING SPAN
CR 9 C�"7ECo" 2"x4" 12"O.C. 9'-6" 2"x4" 16"O.C. 9'-6"
GRIPS OR JOIST 16" 8'-O" 24" g�_p�� ��ERAL NpTES:
HANGER 24" 6'-6" 32" 6'-6" 1. These plans mus[ be
Conlr. 32" 6'-0" 48" 5'-6" kept on the job at
LEDGER �� ,_ � , „ „ ,_ „ all time during
Rqp 48 5 0' 2' x6 16 16 6
TER „ „ „ ,_ „ „ ,_ „ construction.
2 x6 12 16 6 24 14 6 z. pll frtaming [o be
16" 14'-6" 32"� 12'-0"
24" 12'-0" 48" 10'-0" Douglas Fir # 2
3�8 �IA. JC 5�� LAC�i $CR. �� ii �� �� �� �� �� grade minimum.
AT �6" o.C. 32 10 6 2 x8 24 19 0 3.. Rafters may not
48" 8'-0" 32" 15'-6"
DETAIL 2 Z"x8" 24" 15'-6" 48" 13'-6" attach to facia ex-
32" 13'-6" cept for 10# roofs
48" 11'-6" as shown on details;
# 2011 roofs must use
10 OR LIGHT WEIGHT ROOFS 4"x6" 24�� 17'-0" HEADERS
ONLY CONNECTION DETAILS 32" 15'-0" LIGHT WEIGHT ROOF oNLY a cantlnuous ledger
3fi" 14'-0" — attached as shown
�2'� X FACIA-MIN.REO. 4"x8" 24" 21'-0" SIZE POST SPACING on details l/1 drlf2.
32" 19'-0" 4x4 6'-0" 4. Light weight roofs
36" 18'-0" 4x6 9'-0" may attach to facia
48" 16'-0" 4x8 12'-0" for 14' span max.,
RAFTER 4"xL0" 32" 2z'-p�� 4x10 15'-0" spans over 14' must
36" 21'-0" use a continuous
CARPORT, PORCH OR PATIO ledger as shown in
aPPrtOVED ME7a� 48" 20'-0" SIZE POST SPACING de[aLls ii3
HANGER 72" 17'-0" 4x4 S'-0"
4x6 8'-0"
DETAIL 3 4x8 l0'-0"
4x10 12' -6" ¢�BS
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require
the return of, an owner�builder verification.
Attention Property Owner:
An 'owner�builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit. No building permit will be
issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes ❑ No
2. I(have/have not) signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address
Phone
Contractor's Lic.
City
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name —
Address City
Phone ( I Contrector's Lic. No�
5 I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
Name Address Phone � Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the
State of Cylifornia Health and Safety Code and have completed the above information to the best of my
personal knowledge, in compliance with this State law.
Signed:
Name:
(Printed or Typed)
C.D.L. #or S.S. #
CMF 3042-06 7545273
Date:
�I
�
'�oon[ssaeawu�u: �LVJ LHY.UIH HV
ONNERSIUYEIFIOqNN: JULIV YANIUCiiE
,,00� 32u5 uAR�TA Ati
lVSra4 MESA, lE�a yLbLb
�rv�. yu�na �oowEss:
4KXrtECT OR B�OP�HA:
UKH ON FN6'S �OONFSS:
�,,,.�,�,,,,,� NAL_Cv(vSikuCi3Uiv
������� _ 73U W WILSVN S1
�gg �GSIA MtSA
7LbL%
UNT:
uc No_
UNT:
l%141b.71-4ffLL
l.i� ��_ bb%b41
wn: 1 v
LICENSEU COMNAC70Pj4 DECLAHATION: I Mreb/ difm unEer re1y d,p Rury et I am I'x:amtl unEyx �pwidan d Cheper 9
��m����Vb�/4��MDiveunadine&�enudv 'ns �d /t �uln��llY��V7%7F5
cm uc. No.: uc. cuss: a ( ,
ode: �/ -� � cmo-eaw:
OWNEN BUILDEH OECLANATION: I hereEy elfirtn u�Wm penely Wy i I un aump Imm iM CaMreeon Limnsa Lew ta tM
IdbwnO �seson (SeUion ]0�1.5 &nnesa end Pralwamf COEe: AM � a muNY w1irA eWu'vu a M�i �o oorewc�. etler. "vnprova.
Eemolvh, u repei eny svucwre, piar W Ae Yeuanro, e6o reQu'ves IM eppli�nl la wch pmmG to fJs e epned elalemenl iMl M rn eM
u liromed pmuenl to IM pmuou al iM Cdtlmfaa liceme lew [CM1eqer B(canmancnp wCh Sqqn )000) d 0'r�reion 9 d IM
Buainese xd PMeaiau COEaI a tlw M a eM b mmmp tlwalrwn vd �M bem In Ne NbpeA mamqun. My vidmion d Swion
]W 1.5 by mry epp4um la e pemd aAjem Ne eppfiran to e dvi penetly M nol mon Nm f e Mvdesd doM+ ISsaoD_
� I.moxwdlAepiapMyamyxnpbyeeswthx�ean�Misbcvmpxmtcn.YiYdoNexM.eMthe�mraenartaeMeE
a MereC br eab (5acfbn )Oaa. B�smmaM Pmlesvom COEa: TMCom'eum limros Lewlom nal epO�Y loen ownerd popem/
,.b ww « mo�we. m..o�..�a:,ro eo�.w,.An� M,.e «na.a o, wa�n ne «n., o.�, «oaw.e.. aw�e.e um.�n
impm+mama ere nol iiusdeA a dlsed Irc ub. tl. Mwv.v. ihe WIdW a inP��sa e wN vmNn arYm d candMion. the
owner-0uitla N Ma iM duden d V�'^q hs rc tln dil m� ddd a"vnV� br Ne Wi� d obl.
❑ �.., owner a ine ww�v. em a.dmelr m+�ro ••N wa�ad cmo-.dw+a mmmn m. wqb (sw'vn 1ou. ewnm am
PMeubru Cob: TM Canretlm licaw Lev Aou nd WGN m an wnw tl R�Y Ma d� a nW�w'm Ilvaan vN vAa
cmvaw b arf� cAl�+ wuh e mr1recMa) fcwse pmum+to ihs camroeas liwroe tevl.
� I em eRemq uMr Sea'vi: � j B. d.P.G.. br Nu rmapi
Oele: �
1 do lweW uMY that I un ewms d md wtla�ieM tlr ep�uamsm d GOarie Ibetli eM SdMY Cods Ssdbv �5505. �5521. eM
255J�. mE thet I v anV M1nuro buiWi�q amO� wio I vA m� (acb mel rwad �o oomGN wi� uN qale aode� entl �he �sW'vamems br
a D�M lammuuctim a modSwionhwniM�i�anepaiwu Oiprid. RwidMnwl muuueion VO�iaroan e�anq ham Owa
yo�rivions.
Deie: MW�
WOXNEP'9 COYPENSATION OECIANATION: I hmoby Nfirm udr pautly tl pr�uy pr d tM Idbr.irp EsduWiom:
� 1 heva erd wil meinten e ceMictls d mwnt lo eapiiuure br xakeri oompenW ion. n praNEW In by Betlbn 9]00 d tFe lebor
COEe. la IM pManw�ca d Ihe wk In wNc� tlus pemW e ws�aC.
� I haw vd Mil me'vnan wkr�' mmDa�ian Luu�eroe. m nmmtlryW�cqSW�ion �100 d Na leba God�. br tM D��e W �M
waMr«.,nid�mho«mnaau,.a.Mv.aMen•Smi°M�°.lqniru�VlVL.eneowkr��mwa.: EXFIKF.S
Ce�nar: H. L _ _ _
�,�ye,. - - Vl%V1%�If
(ihisuCionmWratNmmWWM/IMP�ieboxhudedd �SIOO�a )
❑ I cMh � in IM pMmnen[� d iM wotk M wl�ic� IIM pa a b�ueE. 1 ury pawn In ury mervw �o m lo
Eecmie wbpd io �M xoM1s�' mmpwmion Iex� W CaN mi�, aM d�4qdd bttnr nibj W to iM r.wbn'
�ampan,man w�oi. a s.aian moo a ue len« cod.. � o m w» o�orelae.
- ;._ � � - 9 � .�__�. �
W�m4p: FWun ro ucun wortrs'ronp�u/llon rnrr+Y� b vrl�M1 .rw.b�.bper.n «ro�m� ro wrvrr/ v��w.ne
nMi n�,.. w ro o�. m.w�.e �ro�,.�a aorw (rionawa a.dueoo ro m. �o.r or roma�uon e.�w� o aA.+e.e ro. m
s.enm aroe or m. l�eo. eow, uv...c w•Mom�Y. �....
CONSTfiUCf10N IENpNO �OENCY: 1 hraLy dSm �ciEar preQy al prNy Nu tMn u� aWrufbn kM'vq epxv.y M tlr
OoAormvim d iM Mak br v.t�idi tAe D�^� u ewsd (SW'v� 3091. Civ. CI.
LENOER'S NAME:
LQIDER'9 MDPE59:
I cMAy �hn 1 hava �md Nu Wp&mion rd ums �het tlr ebava "vdamnian u canw.l ePM lo oomPN w'nh a0 tiwY eM ouueY ad'vwv.e�
end etale kwv role�ip to WJdiq weutruac� e�d hmebY aN�Qs �apeaemelivee d Ih'v tiry 10 enler upon IM abwe.menlianstl popMy
lor inapeeion puepmaa. S V S E Y 1 iNH L V IC V 1 U 1
�
Deb: �� ��
(5151-a6.WP) WMs&akiq 8 Selwy (i�semqe: Cerary-�ppicam: Rnk�iswrur: (bWwod�Naaseor
111Y Vt LVJ1H MGS� - tlV1LL1NV Y�HM1!
PEnM NO: b "viS57i`_
Yt.t(A717 IVU; t1 Ut�J%L� YLAN ll1F.l.FI NV: U421VL-7 % L IiUVT; IV SUYY: N
Ci�N57kUCIZuN TYPE: I PEkMIT ?YFE: S2h PUkPOSE: AUU
JGb LESChIF1'Iutv : Su LlIV FZ 5¢ FI; 50
CLAIM vALuE: l,u"vO,OG CALC-'vAiUt: 1,"v"vu.u� GRGi1F uCC; i7-2 i
C�MMtNTS: YAtZI'Y WALL AGhtEMEN7 kEC'L btTWEEN 32"v9 ANu .i�13 LAICuI'A AL'E
................................... ........__............................ _ ... . .
........... ................... .....
T' x w'R rt'R'R x'R 1� lt'R 1t 1Y'R lt ft lk lt �t'R lt R lt lc �h'R ft f� lt lt rt' lt w R' f� fP h R l� w'R 1� 11' 1t T' f� h'h lt' l� 9t'R lt l� f� 1�'!c'T i! x 1c lc'R 1�'l� lt h N"It x'!t'It'%t x 1t'R lw lt
� U iv I N G k E Q U_I n E M E N I 5
5 E 7 b 7� � n S
____________ MAlIV bi7ILliING ---------- --------- ACCHSs`OkY tlUlLIJlIVG _________
FkN'I: r i IN AEi�h: FT IN FkNI: FI IN ttY.Atf: t 1 IN
LEFi: FT IN RGHr: F7 IN LEFi: ri IN RGrii: ti IN
FAftAING ht.tj: PttVV: YAttIGL: 1�7Vb�1"lb ZNE: ni kEF NO:
PLHNN1Nln NV1ES> o'riIGH HLVI.KWHLL IBULF) 51-1Ht(Y.0 W1111 �LV7 1JA1tiU1H. YiIUfV! St.1HH •
� l.lt 1S LV ` ''
...................... ' . . .
.................................................................... ...... . ...
x lt R' lC rt Jt lF ff l�'IF R T' 1� X 1t ]t l� 9t'R l� 1t ft ft w lt } lt lt 1� w l� } x'R 1t l� s� lt' f� fT a� 1Y 1t 1�'R lt N'R 1t ft it � aY'It f!'h ft h R It l� l� ft i� 1� w tt'R'R •• •. .. .. .•. .• •• •.
� 1� h lt'l� fY lt'R'R'R
L E v E L G P Ni E N T 5 �. n'v I C E 5 k E Q ii i R E M E N-F, S
ZirNIIvG AYPRUVtU bY :��ij7 uAic.: ���_�Z'�%%
bii3LLIivG APPkutiEL YfY ; LATt,; fl�l`� %
APPLI�AiIGN ISSi.iEu tfY; U:�lE: .��I."I�'i /
iEii+Eieififiiiiiiiei'riiitiiiiitit'riiiiFi'iExac�x�tx�t�trt+��w�c+r�ew+t�t�tvexx+'t'xwtrx�e
LEGAiIZA7ION:N F E E 5 J M M A R Y
F1LUla YM1 YLUNILSING ELtl.12t1L h1ECIiANIC
rEkMIi 34.75
PLAN 22.59
SihJC7UkAL SEGMENi;Y
i�
FIRfi " sMiF.ikES GkiauiN%
� i'� � . �V
• sMIPiiVGN-kE5
. � /� �-
ISSUE FEE <"'
bUILuING-LIV-> PEkMII ISSUE PLAN-CHECA TOTAL �•$AIU LU�.
TU7AL5----> 35.�5 G."v"v 2i.55 57.84 �� • 57:84 ."v"v
REV'ENUE LIUIsIGN 7G7AL�--> NLLEC7Eu: �7.84 uV'EkisHGRT: .v0
bLLG PM7 FiUMbING ELECIRIC MECHAiJIC rIkE sMIPiIOT'-GFt.4li11VG FiAiV-CkECri
��I. �� ..JV�, !: . LL'.�S
/1 � .. . /�i
i' ie iE i' w iE ie ie iF ii ie ie ie iF ie ii iF ie ii ii ie ii ii ie ie x ii ii ie ie ie ii ie ie ie ie ii�'s' ie ii ii if ii x ii� iE ie iE ie ir ic i' ii ic ie ic ie ii ie ie i' iF iF if x ic ii ic i' ie 3e iF if ii if i'r ic ic ii�
I N U I V I L U A L F E E n k E A K L��' W�N
,x
17fYC QiY u fi S C k I r T I G N i.iNI�T N57 ` T6'IAL C�Si
Jflt �V ithJ-LV1Vl'lttlt. 11LU1'll WALL % t 1, LU. VU � 1, VUU, VU
tNU Vt YttS + �
• � :� �
SURVEY OF LOT LINE
MAY BE REQUIRED
/.� ^ ,
� �` /'
i
' 11-13-1997/88:59 pp/f5),84
ii RCPTq:�I-�815:53
X PEkMIT:085725
CONSTRUCTION AND PLANNING
APPROVALS Permit #
t, Temporary Electrical Service or Pole
2, Soll Pipe•Undrgmd.
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit•Undrgrnd.
5. Steel Reinforcement �(��
6. Elecvlcal UFER Gmd.
7, Footings ��(
g, Foundation
9. Water PIpe�Uadrgr�d,
10. Structural Floor Svstem
11. PropertY Sewer Line & House Connection
12. Sewer Cap ,
13. Roof Drains
14. Rough Plumbing
15. Rough Electrical-Conduit
16. Rough Electric Wiring
77, Rou9h Wiring Sign
18. Fiough Electrical-T Bar Ceilinq
19. Rough Heating & Air Conditfoning
20. � Rough Factory Fireplace
21. Ducts, in Svuccure
22. Ducts, Ventilating
23. Gas Pipe�Rough & Tesc
24, Roof Fiaming
25. Roof Sheathing .
26. T-Bar Ceiling (Structural) & Monocoat
27, Freme and PlashiAg
28. Lathing & Siding :
29. Insulation . ��
30. Drywall Nailing
31. Plaster Brown Coat
32. Elecirical Power Meter-Final
33. Pinal Electric ,
34. Final Heating & �ir Condiciormg
35. Finai Gas Pipe-Test
36. Hood or Canopy � �
37, Final Factory Fireplace
38. Fina1 Plumbing - '
39. Water Service�Firtal
40. Gas Service-Final
41. Solar pomestic-Final �
42. Backflow Preventer
43. Backflow Irrigation
44. �andscape Irriqation System .
45. Sound Actenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Felease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Date
Date
POOL & SPA
inspector AppROVAIS Permitdk �ate inspector
52. Pool & Equipment Location
53. Steel Rcinforcement
54. Forms
55. Electrical8onding
�[�f 56. Rough Plumbing & Pressure Test
v
57. APPROVAL TO COVER•GUNITE
�(µ{% 58. Electrical Conduit�Undrgmd.
59. Gas Pipe, O Undrgrnd., Tesi
60. Backwash Lines, P•Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63, Heater & Vent�Final
64. Plumbing System � Final
65. Eleccrical-Final
66. Soiar SYstem�Finai -
67. Fencing & Access ApProval
68. APPROVED FOR PIqSTERING
69. POOL/SPA SY5'fEf1S FtNAE
FIRE DEPT. REQUIREMENT
- � APPROVALS� Permit#
70. Underground Nydro
77. Product Piping � Gas ❑ Oil
72. Underground Flush �
. 73. Undergmd. Storage Tank O Gas � Od ,--.-
�
74. Overhead Hydro , : � '
75. Dry Chemical ' �
� 76. Dry Standpipe T `
, �
77. FIXED SYSTEM FINRL � 'J
78. FIRE PREV. FIR:AL � --'�
HEALTH DEPT. REQUIREMENT =a � �
- 79. FINAL INSPECTION
80. FOOD CERTIEiCATE tSSUED
Notes:
IL �
p�wJ �
���
1
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this 3O� day of
S�N� , by and between r'���� 5• �Z'd����'��
hereinafter referred to as "LANOOWNER," and �U�ro ,hrU77JG/{�
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
between 3Z0 �bVD 321�j j�?Q/�Ui�4 A-V�
(Address of Adjoining Properties)
�T� M65A , G<4 �t 1.�L6
in the City of Costa Mesa, County oi Orange, State of California, as per map recorded
in Book , Page of Miscellaneous Maps, in the office of the County Recorder
of said County. The party wall shall be permitted to encroach
4s ��'(�UIr2(� A-LoNG EXI ST/RJLv F� L/�v�
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
LANDOWNER
, .P���,���--
(Sign2ture)
lZAtlhCd� 'S• �1171�(Z�L7'�OA�
Name (Typed or Printed)
zo74 PHAc.�o� �7'
�.oar�a Ht�., c,h 1uw
(Address)
190F66
ADJACENT PROPERTY OWNER
�,
csi ��ej
SU(�10 �/ANT U4I�
Name (Typed or Printed)
3z.oq u�4r�or�- kv6
c.osrA- Mc�sA, c�h Rz��G
NOTARIZATION REQUIRED
�
STATE OF CALIFORNIA
COUNTY OF ORANGE
ON SEPTEMBER 30, 1997, BEFORE ME, THE UIVDERSICNED A
NOTARY PUBLIC OF SAID COUNTY AND STATE, PERSONALLY APPEARED
RONALD S. ROBERTSON KNOWN TO ME TO BE THE PERSON WHO
EXECUTED THE WITHIN INSTRUMENT.
.� JOSEPFI HARLOW
— r.' - COMM. # 1066468 y
w� .
a-" Notary Public - Calif«nM m
¢ ' 'r.ti»
���,�'.-� ORANGE COUNTV
M�VCOh1MIS510N EXPIRES JULY 24, 1999
NOTRRV"�SE;4L
,I/..� �� — � � '
'
�
CALIFORNIA A4L•PURPOSE ACKNOWLEDGMENT
State of ��
County of �Illb�u-e°�— _- _
On �� `�--��`�� beforeme, �c�Y�.�H �wooc2c��c:Q ,
DATE NAME. TIT�E OF OFFICEF - E.G., 7ANE DOE, NOTARV PUBLIC
f� U \
personally appeared �v,-�� i o t-� ���r�a 1 4 K'�'�c.�n ��� � Z� ,
NANE(5) OP $IGNER(5)
❑ personally known to me - OR -�proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is/are
subscribed to the within instrument and ac-
knowledqed to me that he/she/they executed
the same in his/her/their authorized
capacity(ies), and that by his/her/their
•_. , DENISE C. WOODARD signature(s) on the instrument the person(s),
�'- COMM. #1149549 or the entit u on behalf of which the
n - NOTARYPUBLIC-CALIFORNIA Y P
r> �- ORANGECOUNTY � efSOfl S acted, executed the instrument.
My Comm, E�irae Aup, 2, 2001 p ��
WITN S my hand and official seal.
,. 2u.a-1 � �
SICaNATURE OF NOTARY
OPTIONAL
No.590)
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
nne�s�
❑ PAFTNER(S) ❑ LIMITED
❑ GENERAL
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPR6SENTING:
NAME OF PERSON�S) OR EM�T�'(1ES)
DESCRIPTION OF ATTACHED DOCUMENT
��� �.l Q.Gre�ri-,�,�.�
� LE OR TYPE` DOCUMENT
�—
NUMBER OF PAGES
�'e��- . � O l `� `� �
(� DATE OF DOCUMENT
Yl�`l�0.1� � �O`pP'�Q'�'� .
�o� � �u r � ou�
SIGNE (S) OTHER THAN NAMED ABOVE
01993 NA7IONAL NOTARY ASSOCIATION • 8236 fiemmet Ave., P.O. Box 7184 • Canoga Park, CA 91309�71 B<
N
a
�
�
�
Iw
77M)OIt7Y
- � 133a1s
�R �3�,
7�N701t7Y
DI'�i�:�iTY�O FCOIS7AIMESA �TY
pPPROVED
gY i�� � Da�e I I-13 - �il
!his set ot P� ���10"S MUST be kept on this job at a� tunas and d is udarAd to
��y �ges a alleration on same vriU�ut wnnen p� hom Ihe Divsim al &n1dn9
:,M SaSely, Ciy ol �ta Mesa.
� y�ar�peig ot!Ms p{aa znd sped'hatias SNALL N0T be heldto pemN a to be an appoval
ef Ne vipWtipn ol any provisions ol any �iry of Cos!a Mesa Ordinaixe andlor State law.
11rose Dl�ns and permil shall e�pire by limitation and oecome nud and uoid H the build'n9 or
atd� �s rnt a: nm�ced tM m�n!a+�^: ac!ire aer UBC �31� witlun 180 daqs of is�unoe•
�
�
�
\
v
lo� gy !� �l
�''�_ =� �J�%��
urv c, ' ��_ r� r.��sa
PLA\h�:'3 DI'/.
SUBJECT TO BLDG. DEPT. REG.
�
� � �� G 7%'� �r
i �
� � ,� ii i �i �
Cement Coping Optionat —'
Channel Block With 1-3/8�
Norizontal Top of all
fences
For Fences 5' or Lkss
Vert. Bars 3/8"¢ at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"Q at 32" O.C. �
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Shall
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURqLGRADE
7W0 3/B"¢ BARS �
CONTINUOUS TOP
& BOTTOM
HOf272.STEEL MUST QE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
TYPICAL 6�� CONCRETE BLOC�C FENCE
� x
� ti
�
Y W
a =
a
�z
a
i�
w o
U 1-
ua �e
�W'IDTH
p SEE CHt
s BE�OW
�.I e
FOOTING REQUIREMENTS CHART,
GENERAL- NOTES
MORTAR: pne Part Plasfic Cement, and
Three Parts Sand
GROUT; One Port Cement Three and
One Hol( Paris S�and
COPIN�: One Part Cement, Three
Poris Sand
CONCRETE: Well M+xed 1:2-t/2:3-I/2
Max. of 7- I/2 Gollens of
Water Per Sack of Cement
GROUT MAY BE POURED FHOM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLSAND AREASOF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
�H OF [4RTNTCOTH
i/3 iHE HEIGTH OF PENCE
�LOW BOTTOM OF FOGTiNG
' . . � . SCALE: I/2" = I'
WALL HEIGHT 6' �5- :��: � - � �.+. � �4�... �. .
WIDTH . . . 14'� . . . . . . . . . . a:��4:5.'. . '.'. : . '12��. .
THICKNESS . . . . . . 10". . . . . . . . . . . .10" . . 8';
D�PTH OF EARTHTOOTH . . . 24" . . . ;20��'. '"�' . . '_ '. . . . 16° . . . .
SPACING OF EARTHTOOTH. . 12' . . . . . . . . . . .14���� . . '. . 16� .
City of Costa Mesa,
Building Departmenf
k.=_v.�ea r-rov. az
California
' 3'- -
„ ..
. 12 ._
-. . 8 -'.,�.
12": �
16'
AOPlieant to qll In ait svaces within heavy bortlm lines antl sign all appropriate aeclar
_ GT'P OF COSTA MESA PERyqIT NO. � TRACT NO. LOT NO. BLDG�
� CONSTRUCTIONPERMIT r`"���%�
Arch/En9.
Address
.4 U TVPE OF CONSTRUCTION
PhOn¢ ❑ NEW ❑ ADD ❑ ALTERATION
T'�q ❑ REPAIR ❑ CONVERSION ❑DEIVIOLISH.
License No. - ❑ OTHER
DESCRIPTION OF'WORK
i ._F.a> > U �TVPE OF PEFiMIT - - '
• Addffu 5 ' '� ' � �E-�._I �O GRAD;NG � FOUNDA'�ION ❑ STRUCTURAL
LICENSED CONTqACTOR OECLARATIQ . /�'oL� - ❑�TENANT-O ELECTRICAL�"i-LUMBING ❑MECHANIC
I hGreby aHl�m Nat I am II<lnSaG unAcr provislons O( Charte� 9(com- �� �. � r
menUn9 -wil� section 7000) of Dlvisian -3 of IM1e Buslness antl ❑ OTHER
Professions Cotle ana �ny Iltense is In full force antl nilett. pqOJECTDESCRIPTION_ �
ucense/ Class ' � �� -. G� N�/i �9 y - - - - - �
'.e C P ��-� - 519nature f ' 1A/ 5�. FT. " _ ' . "
IRKERS' COMPENSATION DECLARATION ._ � OCCUPANCV '_CONSTRUCTION TVPE
. nereby aHirm Ihat I have a certifltate ot conun[ to self-Insure or a, VALVATION ZONE
ce�LfiUte of Workers' Compensation ,1mmqnce, o� a�certifletl copy - . _ . . _
thereof (SecHon 3800 Lab. CJ. �/ 7— GRADING CU. VDS. ACRES
Policv No..�%n3'�'/, i/ comPany / %�-C� .--Z-,J3 /- _ ' _ _ - �
'� Certifletl.<Opy Is h¢r¢by.fumishetl. _. . - _ _ REMARKS: ' _ . _ . . _ . . _ _ .
�Q'Ce tifletl <opy is filea wi[h the ci[y Builtling Division. ,
;
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �
(Thi5.5¢Ction n¢etl nOt b¢ Compl¢t¢tl i( the p¢rmit i5 jor one huntlretl
SE100) or less). �
certlty that In the pertormance ot the work tor whicn this permii is
issuotl, I shall not employ any person in any manner so as to become�
subject to.the.Worker5' Compen5atlon.LawS of.Califomia. _ _ . ,
Date Signature
NOTICE: It atte� rtiakln9 lhl5 tleCla�ation, you shoultl Oecome SUbfect
to Ih¢ WOrktrs' CATpGnsation proviSionS ot the Labo� Cotle, you muit
fo�t�wit� comply wlth zuch provi5ions or thls permit Shall be �eemetl
revoketl. _. _._1-. '
CONSTRVCTION LENDING AGENCV I
I ner¢by alfirm inat lhere Is a constructlon IenUing a9mcY tor the per-
1orTdn<a oi th¢ work 1or whitn thl5 p¢rmi[ is i55uetl (Section 309]
Civ. CI: " ' ' _ ' ' ' ' ..
l.enUeYs Namn
,LentleYS Atltlresi
OWNER BUILDER DECIARATION ' - - '
I hereby afiirm that 1 am exempt trom tM1e Contractor's Llcense Law for
the t011Owing reason ($ectlon ]031.5'Bu5ine55 antl PrOf¢55iOns CoOe:
�.;Py cily or counly whith rGaWres a Oermit to construct, alter,
%�,,,rove, tlemollsh or repah any sVutture, prlor to its IssuanCe, also re-
�ltY"a".es lne ap'.Ilcanl lor suth pCrmil to lile a slgnetl itatemenl lhal he
BUSi�C55 d�tl %Of¢SSIOOS COtlO) or tnat ne rs exemp[ theretrom ana me�
basis lor tM1e allogetl exempilon. Any violatlon oi Secllon 7031.5 by
any appllcant lor a permlt sub�ects-ihe applicaM to a�civil ponalty
of not more than live nundretl tlollars (5500).
���I, as owncr ot Ihe propCrty,br my u�nployees with wages a5 th¢Ir
sole rompenwtlon, wlll tlo the work, antl thc siructure is not In[entletl
or olferetl for sale. (Secllon ]044, BuSiness antl Aotessions CoUe: The
Corltrdclor's.LiCCnse Law tloe5 not apply fO,an owner.ot a property
who builtls nr impwves lhmeon, antl who tl0¢5 such wOrk himselt or
throu9h.h15 own employees, provltlotl lhat suc� imprOvemenls are nol
intentletl or of/eretl lor salc. It, howewq the bulltling or improvoment
IS.SoItl witnin onc.year OI complotlon, lhG Owner will have the burtlen
oi provin9 h0 tlitl nol builtl o� Improve lor� lhe pu�pose of� sale).
��i, a5 owner oi Ihe -proDCr�y, am� excluzively mnt�a<tin9 with
Iitensetl Contraclors lo construct lne O�olect (Sectlon 7044, Businesz
entl^7rotessions Cotle: The Conlractor'S LicenSe Law tloes not apPly lo
an owner ol property wbo builtls or Improves thereon, antl who con-
tracts Irom such projects -witb a Contractor(s)-Iicesnetl�� pursuant-to
lh¢ Contractor's licensc Law).
� I am !x¢TDl'untler SeGtion - Bl 3 P. C. for thl5
ieason - -
i �ave reatl this application antl state tha[ Ihe above
:cL I agree to Comply wi[h all City antl county
laws relating to construction, anU hereby authorize
IhiS Ity lo en[er upon ihe above mention¢tl
:ti p r o5e��} _
ti Date
PLUMBING � �� � PLAN'CI
LAVATORIES DOUBLELAVS '.
KIT.SINK� - "' �DISHWASHER$
SERVICESINKS ' SVMPS-' "
FLOOR SINKS FLOOR DRAINS-'�
DRINKING�FOUNTAINS '"'
INTERCEPTORS CLliRIFIERS `
SWIMMINGPOOI. ' - PTRAP '
WATERSERVICE ALTERATION'"
GHS SERVICE �aUTLETS � �
SEWERCONNECTIONS"'- �� ""_
SOLARTANK " COLLECTOR'.
SOLAR PIPING SVS. �-"i� � � �
ISSUE FEE
MECMANICAL PLAN CHECK
HEATINGSVSTEM 0-100,0008TU_
HNDDUCTING 100,000'+BTU_
REFRIGERATION 0-]00,000 BTU_
SVSTEM 100,000 + gTV _
BOILERS BTU
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
Drivers' Licensc or 55> : �� -- - �SSUE FEE -•- -�-� --
CMF 0865-�16 White-Builtling; Canary-Applicant; Pink-Accounting; GolOenrotl-Assessor
�
�
J.
�
� 31�7:.7/1.9/82
ZONING REGULATIONS
A.P. � "
ZONE - PLNG. REF. �
i . . _ r.,o����..�,.�
�3�I�MT�nv - -
REAR VARD (TO P/l)
PKG. SPACE REQ. -
ZONI NG APPRO V ED
SPECIAL-CONDITIOI
6.00 TL
� PROVIDEO �
- ` ,'PARK F,EE S , �
� DATE '
_ _
' ', '
�
•ELECTRICAL -- - aLAra CHEC�c , ' •- i
52 FT. SQ.FT
GENERATOR 0-1 KW-_ 1-30 KW - '
iTRHNSFORMER � �� �
�APPL'IANCE" '10-SOKW_50�+KW - -• �
MOTORS 0-1 HP_I-30 HP - -
,(INC.SOLAR) ]0-SONP SO+HP-
FIXTURES OUTLETS 'SWITCHES '
-GASTVeE51GN5 � � - -� - � -
POCEUGHTS ' ' - -� - - -
�.POLES �- METERED SUB - - �
�PANEC$ MAtN SUB - - 1
SERVICE " - - AMP
ISSUE PEE ' ' -'- � - -
� �APPLICATION APPROVED BV DATE
SUMMARV OF FEES � �
BUILOING - - �
'PERMIT S SMIP � y
•PLAN CHECK S PERMIT � •
0 ISSUANCE� S
PLUMBING E� GRADING _E
PLAN CHECK S , . � � , . .
+ELECTRICAL -S � - � � : s ,_
.PLANCHECK 'S - -- MICROFILM S �
MECMANICAL 5" . TOTAL FEE S' �
PLAN CHECK E• �- , LE55 AD- � �
VANCE PC 'E'_
, FINAL FEE S,fQ�
' _ _ ' - _ . . . _ . . . . . !
.
CONSTRUCTION AND PLANNING POOL & SPA .. -
APPROVALS Permit # ��Y�y Date Inspector qppROVALS . � Permit # Date Inspector
1. Temporary Electrical Service or Pole �' 43. Pool & Equipment Location� -'� �� ' �
Soil ipe:Undrgrn 44. Steel Reinforcement � ' - ' �
- 3. Electrical Conduit Utility-.Undrgrn 45: Forms � �
4. Electrical Conduit-Undrgrn 46.. Electrical Bonding.'
tee em orce 47. Rough Plumbin & Pressure Test -- �
6. . Electrical_UFER Grn ' 48. APPROVALTO COVER-GUNITE - - �
7. ootings ' 49. Electrical Conduit-Undr rn - ���•�
6. Foundation � 50. Gas Pipe, � Undr rn; Test '
- 9. Water Pipe-Undrgrn. ' 51 . Backwash Lines P-Tre '�� ndr rn � � �
. 10. Svuctural Eloor System . 52. APPROVALTO DECK - � ' ,
71. Propecty Sewer Line.&. House Connection 53. Backwash & Rece tor-Final �
12. _.Street Sewec Connection _ � ' � 54. Heater & Vent-Final , ' •
.13. Rough Plumbing . ' - . ' ' " � � �
14. Rough Electric-Conduit - ' � �56. Electrical-Final �
15. Rou h Electric-Wiring - -- 57. Solar System-Final �' � ' "
i 6. Rough Heating & Air Conditioning - - � encing & Access Approval � �
17. Ducis, in Structure APPROVED FOR PLAS7ERING � � "
18.-- Ducts, Ventilating - - _ . . _
19. Gas Pipe-Rough &Test� ' ' �� � - � - . ' 60. POOUSPA SYSTEMS FINAL , , �
20. �� Roof Framing . - - � ' � ''
. 21. RoofSheathin �' - - � - � -- • �� � �����
22. Frameand�Flashin - �- ' NOTES: ' � . '
23. Insulation - - ' � . • _ � " ' . '
24. Lathing & Siding - - ' ' � - -
25. Drywall Nailing . 1 � � � - � ' '
26: Plaster Brown Coa[ - �
27. Electrical Power Meter-Final � � � �
28. Final Electric - � - - - - �
� 29. Final Heating & Air Conditioning � - ' �
30. Final�Gas Pipe-Test �
31. Final Plumbing -
32. Wa[er Service-Final �- � � ' ' � - �
33. Gas Service-Final� - � • - �
: 34. Solar pomesticFinal � - � � ' �
' 35. Landsca e S rinklin S stem + ' � �
36. Sound Attenuation � � � � � �
; 37. Handicap Regulations • ' �
38. FINAL STRUCTURE & BUILDING - �
39. Special Requirements Completed � �
40. Electric Release to Edison ' � �
41. Gas Release to Southern California Gas Co.
42. CERTIFICATEOFOCCUPANCY .
No ' ' Date ' - .. . . . . -
Applicant to till in all
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Addrea
Address
wil�ln heavy Dortlor lines antl si9n all approprlato tleclaratlont. x
TRACT NO. LOT NO. �' BLDG NO.
� �� I
�4 TVPE OF CONS7RUCTION -
Phon -�j�/� ❑ NEW ❑ ADD - ❑ ALTERATION
n ❑ REPAIR ❑ CONVERSION .ODEMOLISH
LiCenSC NO. ❑ OTHER
DESCRIPTION OF WORK
wmracwry� � _L rnanri}�7 7 TVPE OF PERMIT �" �
Addfe55 ' '� GRAOING ❑ FOUNO.4T10 ❑ STRVCTURAL '
LICENS�ACTOR DECIARATlO ❑ TENANT- 0 ELECTRICAL �UMBING ❑MECHANIC{
'I hereby offl�m th:.t 1 am IIC0nS8tl untlGr ploviSlo05 0( ChdrtO/ 9(COM1I- .
mencing wl[h sectlon 7000) oi Divislon- 3-of tno Business antl ❑ OSHER- - -
vrofosslons Cotla, an my Ilcense Is in fu11 torce antl eflaf�' pROJECT �ESCRIPTION
Lcense iaTs- � �L .- � �ice se n : ����g^- , . " ' - '
:'�ate Sf9nalure � • a "l $Q. FT. . . ' . _ . . . _. -
''�q-;�RKERS'COMPENSAT�ONDECLARATION. . ' _ '�OCCVPANCV_CONSTRUCTIONTVPE
'�.,`nereby atfirm that 1 have a certiflcate ot consent to sclt-Insure or a VALUATION 20NE
�certi(icafe ot Workers• �Compensation�1�[� nca, or a <erUileO �coPy - ��- � - - - � .- . -
thereof (SecH,qolaeoo;Lab. C.�. ' ,) � GRADING CWYDS. ACRES
PoIiCyNo.��Compdny `f'�`�' � wb<�- - - - -
❑ Certifietl cOpy is her¢by tu�nl5hetl. _ _ _ ' ' REMARKS: ' � . .. . .. . 4.
❑ Certffi¢tl copy Is filetl with [he tl[y Builtling Oivision. . �
EXEMPTION FROM WORKERS' COMPENSATION DECLFRATION' " ''- - '
(Thi5.5ection neetl_not De completetl if the permit is for one hundretl _-,_ _ _ _ ___ -
�E30o) or less). . � • - ' �
certify that in the pertormance of the work for wnich this permit Is
Issuetl, I shall mt emPloy any person in any manner so as to become -PLUMBING � PLAN CHECK ' -
�subject to the.WarKeri Compensatlon LawSpt.Cal1(ornia. -'
Date � $I9ndlurG BATHTVB$ - SHOWERS �
NOTICE: Ii after making this tleclaration, you shoultl become sub�ect 'TOILETS �URINAL'S -- ' �--'
to Ihe Wolkers' Compen5d0o0 prOviSiOns Of Ih¢ LabOr COtlO]y0u Tust -
forthwi[h mmply with such proviilons or thls permit snall ba tleeme �VATORIES OOUBL'E'L'AVS' ' �
ievoketl.. . _ � _ _ _ _ v
CONSTRUCTION LENDING AGENCV � KIT.SINKS "�ISHWASHER �
I hereby ailirm that tnere ii a construction lentling agency lor tne per- SERVICE SINKS ' a' SUMPS ' '� '
formanca of the work for whic� thls permit is iszuetl (Sectlon 3097
G1°• C'��' - �� � FLOOH SINKS FLOOR�DRAINS --
l.entler'S Ndmo
LCntler'S AtlCre55 DRINKING FOVNTAINS" � " ' '
OWNER BUILDER OECLARATION - INTERCEPTORS � CLARIFIERS
I hereby aitirT l�at I am exempt trom the Conlractor'S Llcensa Law for
the-following reason (Sectlon 7031.5 Business anG Prolesslons Cotle: SWIMMING POOL ' -PTRAP- -
qry dty or County whmh reqWres a oermit lo construct, alter, �
��arove tlemolisb or repair any structure. Priorto its Issuanca�, also re- yyATER SERV ICE ALTERATION '
:`O5 thC ap�_IlCent lor such pe�mil to tile a Signetl statBmenl thdt h0
`��:r,;icensed pursuant to the provisions of the Contractor'S Licrose-Law GAS SERV ICE �OUSLETS . �-
-napter 9(commancing wilh SecUon 7000) of Division 3 Of th0
�usiness antl Prdessions Cotlo) orthat he is exempt thmeirom antl tM1e yyqTER HEATERS BTU OVTPUT
basis for the allegetl exempUon. Any violation o/ SecUon ]031.5 by
any appliwn[ lor u permit sublects �the applicant to a civil penalty SEWER CONNECTIONS ' -' "
ot not more than Iive buntlrntl tlollars (E500).
� I, as owner ol the -property, or my employees wilti wages as lheir' SOLAR TANK '-- " COLLECTOR:
SOIC CompCnsallon, wlll do the wo�k, antl Ihe sttucturG is noi Intentled
or oHerea lor sale. (SotUon 7044, Buslness antl Rofessions Cotlo: Th¢ SOLAR PIPING SVS. - `� �
Contractor's Licenso l.aw tloes not aOP�Y �a an owner ot a property __ _ __
wh0 builtls o� improves lnereon, antl wh0 tloes suCh wOrk himsel( o� ISSUE FEE
lNough Ns own emploYCeS, provitletl t�at such improvemenl5 are nOt
Intentletl or ollered lor Salc. II, hOwever, tha builtling or improvement MECHANICAL PLAN CHECN
is soltl within ono yGar of wmpletion, th¢ owne� will hdve lh0 burtlen -
oi provin9 ho tli0 nol builtl or improve (or tFe purpose ot sale). HEATING SVSTEM 0-300,000 BTU_
❑� 1,� as -owno� ol lne proparty, aT azclusively cOnt�ac�ing wilh qND DUCTING' ' " ' -"'
Iicensea contractors to construct the pro�ect (Section 7044, Buslness 10o,000'. BTV _
antl Profe55ion5 Cotloi-The COntra<tor's�Lic¢n50�Law�tlo¢snotappty to
an owner O/ properly w�o builtls or imprOves ther¢on, anU wno con- REFRIGERATION 0-300,000 BTU_
tract5-from-sucb projaCtS� with a mnlracior(i)��licesnetl pursuant to • SVSTEM � �
Ihe Contractor's LI<ense Law�. 100,000 � BTU_
�' I am ¢%empt untlBr 5¢CUon ' ' B. 3'P. C.-to� tbis BOILER$ BTV
reason --
Date p.H�er SVSTEM REPAIR, ALTERATION
I h¢rebyttrlifythat I ItavC rCatl lhis appliWtion anU statG Ihat th¢ above E%HAUST SVSTEM MVLTIPLE
Informa[lon'is correct.�l ree to compty with all <iry antl county �.
ortlinances antl state laws atlnq to cons[ruction, and hereby authorize
lepreseOta e f- tills rt t0 p Cr upon th¢ abOve mentlOnetl
property for in e purpo �'
Si9nature �� � � - � ' � �
� ISSUE�FEE �
Drivers' Licenze or 55 � '
CMF OBfiS-46 Whi[c-Builtling; Canary-Applicani; Pink-Accounting; GOltlenrotl-ASSCsso�
0
8
�
,, 5891 8/11/82
6.00 TL
ZONE PLNG. REF. � -
RIGHT
, kEAR VARD (TO P/l)
' PKG. SPACE REQ. PROV IOED .
STREET WIDTH� � �PARK FEE 5
ZONING APPROVED BV DATE �
'SPECIALCONDITIONS: . ' . � _
'"' . _ .. _ f.
ELECTRICAL " PLArv CHECK -. . -1 - I
GENERATOR' " py KW-1-00 KW �
TRANSFORMER . .
APPLIANCE "10•50 KW_50 t-KW '
MOTORS-- - 04-FIP=1d0 HP '
(IN0.SOLAR) �0-SO�HP 50+•HP - -- -
FIXTVRES-' -OUTlETS� SWITCHGS " '
I
GHSTVBE'SIGNS" -'" - ' ' -'
POLE'L'IGHTS" ' " - ' - ' ' . ' . ._
� Su6 � � � � �� - ��
PANELS' MAIN ' SVB ' '
SERVICE '- -' - 'AMP ' ^
_._ __- _ T=
155UE FEE ' - , ' 1
,� APPCICATION APPROVED BY - ' OHTE' '
SUMMARV OF FEES .. . .
BUICDING ' ' - �- '- ^ -
PERMIT y SMIP .Y
�PLAN CHECK S PERMIT , .:p
ISSUANCE E,
'PIUMBING S� � i
- - GRADING. S � -
iPLAN CHECK E '
��ELECTRICAL E � � � E,
' MICROFILM S ��`
" PLAN CHECK � $ '
MECHNNICAI'$ - - TOTAC�FEEy 1
PLAN'CHECK §• � '� LE55 AD� ' • _
VANCEPC S_
' � ' 1. " ' '. � .
- _ FINAL FEE S �� OO
CONSTRUCTION AND PLANNIN � POOL & SPA . , -
APPROVALS Permit #�y`l(�o Date Inspector qppROVALS ' Permit # Date � � Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � - --
Soil ipe-Un rgrn ' ' 44. Steel Reinforcement - � � •
3. Electrical Conduit Utility-Undrgrn 45. Forms ' � �
4. Electrical Conduit-Undrgrn 46. .Electrical Bonding � � •
. tee ein orce � .- 47. Rough Plumbin & Pressure Test
6._ .Electrical UFER Grn ' 48. APPROVALTO COVER-GUNITE- �
7. Footings - 49. Electrical Conduit-Undr rn
. 6. Foundation . 50., . Gas Pipe, ❑ Undr rn, Test � �
.9. _.Water Pipe-Undrgm 51. Backwash Lines P-Tra ❑ ndr rn ' � � ' � � -
70. Structural Floor SVstem 52. APPROVAL TO DECK ' -'
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final �� • �
12.. Street Sewer Connection_ . '� 54. Heater & Vent-Final' � '
13. Rough Piumbing - ' � - ' � - ' -
- 14. Rough ElectricConduit - �56. � Electriral-Final ' �
15. Rough Electric-Wiring - ' 57. Solar System-Final - -" '
i6. Rough Heating & Air Conditioning • encing & Access Approval
17. Ducts in Structure ' ' - APPROVED FOR PLASTERING '
18. Ducts, Ventilating - ' _.. . _ . .
19. Gas Pipe-Rough &Test , _ . �. � _60• ,POOUSPA SYSTEMS FINAL -
20. Roof Framing � � - '� � '
21. Roof Sheathin � � � - - � � � ��
22. Frame and Flashin � NOTES: - -� � - , � � ' � , �
' 23: Insulation _ - - . - �
24: Lathin & Siding ,', • -
25. Drywall Nailing � � �
26. Plaster Brown Coat � '
27. Electrical.Power Meter-Final ' ' � � � • � • � •
28: Final Electric-- � � � �
29. Final� Heating & Air Conditioning.. � � - ��
30: Final;Gas Pipe-Test ' .
31. Final Plumbing - -
32. - Water Service-Final - �- ' :a _ _ . ' � � �
33. Gas Service-Final � � • � � � ' �
� 34. Solar pomesticFinal • ' ' ' ' �
. 35. landsca e S rinklin S stem � � � �
36. Sound Attenuation ' �
37. Handicap Regulations � -
' 38. FINAL STRUCTURE & BUILDING � �
39. Special Requirements Completed � -
40. Elecvic Release to Edison � �� - -
, 41. Gas Release to Southern California Gas Co.
� 42. CERTIFICATE OF OCCUPANCY . '
No. Date . . -
Applicant lo till in all spacaf
CITY OF COSTA MESA ' a RMIT NO.
CONSTRUCTION PERMIT �L�1�2,
Project Address �� �'j y �q�+n �-� .
Owner � tiC�:� A Phon
Addrea' � ej � - �nT��
Arch/Eng. ' License No:
Address � ' ' - - : � -
wlthin heavy bortler lin¢s antl sign all approp�iate tleclarations.
' TRACT NO. LOT NO. BLDG. NO.
TYPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION'OF WORK�
, ��
�Contractor - - �' � Phon �(� TVPE OF PERMIT ' � " -' '
Addres - - '' 1 v' ' ' - , '❑.GRADING��J''❑ FOUNDATION -OSTRVCTURA�
LICENSED� CONTRACTOR DECLARATION . - � ❑ TENANT- pqELECTRICAL ❑PLUMBING ❑MECHAI
I hereby affl�m thtt I am Iicensetl unCer provi5iOn5 of Charte� 9(Com- �- i
mentlng• wlth sectlon � 7000) of , Divizion 3 oi the Buslneis antl� -❑ OTHER-
Aofessions Cotle, a my Iicense is-10.1 full force� �ntl� peptfe�cyt,i pROJECT DESCRIPTION �
license CI ss ' " �' '' � - '^ . N c�=C--�LJ-' ` .
�ate� Gc� -� Si9na[ure _ � •� �7� �- � SQ. FT. •. • � " ' ' i
➢RKERS' COMPENSATION DECLARATION� . �CCUPANC.V'� �_CONSTRUCTION TVPE
hereDy atfirm that 1 have a<ertitiwte of mnsent to self-insure or a VALUATION ZONE
certifirate-of'Workers'-Compensation �Insy)ance, or cer[IfieO copy . _ ._ _. ,
tnereof (Sectio 3800 Lab. C.1. ' \// � GRADING�CV. VDS. ACRES
PoIicY No. �n•���/'// CompanY�"�J -� �- - - -
�0 CertifieE copy is hereGy.furnishetl. _ . . _ . REMARKS: • - .
��Certlfietl copy iz filetl with [he ci[y Builtlinq Division. ,
EXEMPTION FROM WORKERS'-COMVENSHTION DECLARATION "' ' - '
(This secHon neetl not.be <ompletetl.if the permit is,for one huntlretl -- -
SE100) or less). � , ' - ' - ' '
certify t�at.in the perfo�mance ot the work (Or wlti<h Ihis p¢rmit is
i55ueC, I shall not employ any parson in any manner so as to becbme PLUMBING: �� � � PLAN CHECK - '
Subject.t0 the Work¢rs' Compensa[ion Laws of Califomid. ' ' , __, _
Date Signature BHTHTVB$ $HOWERS
NOTICE: If after makinq this tleclaration, you snoultl become subject TOiLETS • � URINALS ' '
to the Workers' Compensation provisions of the Labor Cotle,-you must -
fOrthwith COmply wiih such prOvizions or this permit shall b¢ tle¢metl LAVATORIES OOUBLE LAVS
�evoketl. _ _ �_'-._' ' ' '
�CONSTRUCTION LENDING AGENCV KIT.SINKS " DISHWASHERS-' � '
I hereDy aHirm tM1at [bere is a constructlon lentling ag¢ncy tor the perv SERVICE SINKS $UMPS ' ''
formance of the work for which this permit is issuetl (Section 3097
C1°' �'�' � � �� - � FLOOR SINKS - FLOOR D0.AINS -
,L¢ntler's Name
L.enOer'S AtlOress DRINKING FOUNTAINS - ' ' '
OWNER BUILOER DECLARATION ' - INTE(3CEPTORS � �CLARIFIERS
I nereby atfirm tfiat I am ezempt from thu Contracmr's License Law lor
the following rea5on (Section 7031�.5 BuSineZS antl' Prote55ionsCotle: SWIMMING POOL ' PTRAP ' - '-
Any city or munty which requires a pe�mil [o construct, alte�,
�cO�Ov2_ tl2TOlI5M1 Of'I¢Odlf dflV SVII[i11IP. Ol10! IO"If5155VdOtG.'d150'f!- -W - +
a o'.
or
he
basis for the allegetl Gxemptlon. qny viOlation ol Settion ]03L5 by
any appll�nt to� a pe�mit' Subjects tne applicant to a civil penalty
of not more than fiv¢ huntlretl tlollars (E500).
❑ I, az owner of the p'roperly, oi mY employees with waqes as Iheii
sole.mmpensatian, will tlo tlte work, antl the zlructure is not Intentletl
o� offe�etl.lor sale. ($ection ]044, Buiinesz antl Rof¢ssions Cotle: The�
Conitaclo�'S LicenSe Law. tlo¢5 not apply to an owne� ot a property
wh0 builtl5 or improves ihereon, antl who tloes SUGh work him5elf or
[hrough his own employees, Orovitletl.thdt SUGh iTprOVCm¢nls are not
intentletl or offeretl tor sale. If, howeveq Ih¢ builtling or imp�ov¢menl
Is sold wilhin one year of wmplelion, Ihe owner will have Ihe burtl¢n
of provin9 he tlitl not builtl or improve for -Ih¢ purpose of sale�.
�-I;-aS owner ol the-properly, am extlu5iv@ly contrattin9-with
licensetl contrac[ors to conzVuct [he projec[ (Sectlon ]044, Business
antl ProtasionrCode: The Contractor's� License Law Uoes�no[ apply to
an owne� of property wh0 builtls ot Improves thereon, antl wh0 con-
tracts-from� such �projects wilh a contractor(5)� IiceSn¢tl -pu�suanF to
the Contractor's License lew).
� I am exemp[ under Seclion --' ' �' " B: & P.-C: for"this'
reason� � - ' - ' — " - ' ' ' "
Date Owner �
I hereby certify �hal I bave �ead lhis application antl Slate lhal the above
information is correct. I-a9ree to comply wilh all city and county
ortlinances an0 aws relat7'ng [o wnstru<tion, antl hereby auNori¢e
r¢presentativez of is city/lo- enter upon �the above� mentionetl
ATERSERVICE ALTERATION
GP.SSERVICE OUTlETS � �
WATER HEATERS - BTV OUTPUT' - '
SEWER CONNECTIONS ' -
SOLARTANK ' COLLECTORS
SOLAR PIPING SVS. ' � � - �
ISSUE FEE � �
MECHANICAL P�AN CHECK
HEATING SVSTEM 0-300,000 BTU _
AND DUCTING 300,000 + BTU _
REFRIGERATION 0-300,000 BTU_
SYSTEM � � 100,000 + BTU _
BOILERS BTV
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
Siqnacure � _ � .��� ��' _--����r � �-� ! oate�L.. ��!
Drivers' License or 55 � �SSUE FEE
CMF 0965-Jfi Wbite-Builtling; Canary-Applicanh Pink-Accouniing: Goltlenrotl-Asxssor
�
■
0650 7/01/82 ., � 4,00 TL
� �_
A.P. � '
20NE - � PLNTGp. RUEF. p� '
SETBACK GlST. PROPE�RTYNLINE
SIDE VARD - � - ,
R�IG�L5EFT
' �. . .
REAR YARD (TO P/L) �
PKG.SPACE REQ. "PRO DED
STREET WIDTH'- �- ' PqRK FEE E
ZONING APPROVED BV "' ' ' DATE
SPECIAL CONDITIONS: - J ,
ELECTRICAL " PLAN CHECK
SO.FT. Sn_FT. - ,� �.
GENERATOR 0-1 KW_1-30 KW _
TRANSFORMER
APPLIqNCE ' 30-50 KW_50+ KW =
,MOTORS - - - 0-1'HP=1-30 HP '_
�(�N0.50LAR) -_10-50�HP 50+.HP�_�
'FIXTURES '- OUTLETS- SWITCHE$- r
GHS TVBE SIGNS • - - � - -
POLELIGHTS' ' ' -- �- -
PANELS- ' MAIN � SUB
$ERVICE ' ' - - ---AMP
ISSUE FEE ' ' - - �-Q�
'APPUCATION APPROVED BV--- - pA7E - -
SUMMARV OF. FEES -
,BUILDING - - ��' _- _.
PERMIT E � 9MIP - S• �
PIAN CHECK E PERMIT - �
- ISSUANCE-�$
�PLUMBING S ^ •i -
'� GRADING $,' '
PLANCHECK�E - '�� � - � i i�
� S
•ELECTRICAL E� , - '
PLANCHECK $ ' � MICROFIU/N
lMECHANICAL-E ' " :TOTAL EE$ '
PLHNCHECK- S�'- - ' LE55 D- '
VANC P S_
� '� FINAL F § � O� �
- _ i .
�" � �
' CONSTRUCTION AND PLANNINCG POOL & SPA , �. � .
APPROVALS Permit # `y�� Date Inspector qppROVALS Permit � � Date , Inspector
7. Temporary Electrical Service or Pole 43. Pool & Equipment Location � �� �
2. _ Soil ipe-Undrgrn 44. Steel Reinforcemeni- - � � � �
3. Electrical.Conduit Utility-Undrgrn 45. Forms • � -
4. Electrir,al Conduit-Undrgrn 46. Electrical Bonding - -�- - � -
. tee ein orce 47. Rough Pluriibin & Pressuie Test� � - ' -
6. ElectriCal UFER Grn � �48. APPROVALTO COVER-GUNITE ^
7. . Footings ' 49. Electrical Conduit-Undr rn �� �� -
- 8. Foundation ' ' 50. Gas Pipe, ❑ Undr rn, Test � ' �
..9. Water.pipe-Undrgm. _ 51. Backwash Lines P-Tra - �� ndr m. --
10. .. Structural Floor System • - � 52. APPROVA�TO DECK- - - - ' � -� -� ' - '
� 11.._ Property Sewer_Line &. House Connection _ 53. _ Backwash & Rece tor-Final ' ��
12. Street.$ewec Connection - �� 54. - Heater & Vent-Final
13. Rough piumbing. - - ' - - ' " �
14. Rough Electric-Conduit ` - � - -56. Electrical•Final - � �
15. Rough Electric-Wiring - 57. Solar System-Final � �'
16. Rough Heating & Air Conditioning � . � encing & Access Approval
17: Ducts in Structure� ' 9• APPROVED FOR PLASTERING � �'
. 18. Ducts, Ventilating - � - _ . _ _ . _ .
19. Gas Pi�e-Rough & Test 60. POOL/SPA SYSTEMS FINAL , �. �
'� 20. Roof Framing - -- - - - ' ' �
�21. . Roof Sheathin � ' - - • ' � �
22. Frameand Flashin - - + NOTES: ' ' ° ' �. ', -, -
. 23. Insulation� - � - � � - '
24. Lathing & Siding ' � � - -
25. Drywall�Nailing.. ._- � �
26: Plaster Brown Coat � � , ' � �
. 27. Electrical Power MeterFinal � - � � ' ' ' - � �
- 28. . Final �Iectric � � � �%- •`li � -
� 29. ' Final Heating & Air Coriditioning ' - ' ' � � -
30. Final�Gas Pipe-Test - � � � � ��-
31. Final Plumbing ' • � � -
, 32. Water Service-Final - � �
'� 33. Gas Service-Final - � � ' ' � '
34. Solar pomestic-Final � ' � '` � � "
35. landsra e S rinklin S stem � � � �
36. Sound Attenuation � ' '� ' ' � - -
� 37. Handirap Regulations ' � ' � • ' - '
38. FINA�STRUCTURE&BUILDING - � -� ��
39. Special.Requirements Completed - � � � �
40. Electric Release to Edison- ' � � -� �
, 41. Gas Ra,lease to Southern Califomia Gas Co. ' -
42C CERTIFICATE OF OCCUPANCY ° ,
No Date
owrr��. x00, EUGII�
JOB ADDRESS �20Q Tbikcrtu Ave.
CONTRACTOR
AP No.139-0�
INSP�CTIONS
0
LOT
TRACT FIRE ZONE
� Signature � DATE GROUP
DATE 8-Z4-G2
BUILDING PERMIT NO.
VALUE
DESCRIPTION OF WORK ptt. P&ti0
TYPE V 7.ONE R-1
SUBCONTRACTOR
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. BOX 917 COB7A ME6A. CALIFORNIA
For Applfeanf fo Fill In Complefely
TYPE OR PRINT
BUILDING 3zQy �A�[0-7-h
A�DRESS
COSTA MESA CALIFORNIA
E
BIZE �OX �0,�
OF LOT
USE OP C�U
EXISTING BLDG
BETBACK LIN¢ FRON C,
� �
� - �tt 1 L 17C-iZ
FEE R������D
APPLIC FI ANCE OEP7,
��'����h��s�� .
h�
BUILDING
. For Office Use Only
PBCEIM NO. PlAMIT NO.
���nu
rteceyveq er I o��e �rv�� � rzes,ue�
[� r � ro
BUILDING J �fOb�� � _
ADORE65 ✓b� /
�
COSTA MESA. CALIFORNIA
APPROVEO
ZONING
—� Z I NO. OP � I lI6E OF NEW
PLI1N9 BUILDING
O — L60AL ' U� In _I �/\ t G�_S /
DHBCXIViION
NO. OP BIDGB, � �
NOW ON LOT ' A. P. NO. �
�� '�— / YARDB EVES
APPROVED ALLOWED
.� L 1 f�NT�R LIN[ BTJ .�� �_ .
\ (� ,
LEFT � RIGHT 9
DESCRIPTION OF WORK
APPROVED
"G �2x 2µ� ROOM6 / � STORIE67
OR WALL � ( ROOP
NG COVHRING
' BUILDING AND WORK TO BE PERFORMED
O /
� HEHBBY ACKNOW�H06H TH�T 1 XAVE PPAO TXIB APPLIGTION }�{g AMOUM BHOWN
AND BTATE THAT TWB ABWE I8 COHMCT AND AGqEB TO COM- pURP09E OF E9TABI
PLY WITH ALL CIT' OHO7f�.NCCB AND HT Te LAWB REOULATINO
Bu1LOtNo CONeTkUcnqN_A VALUA710N �
91GNATURE OF � Q O
PERMITTE
/ $ '
AUTHORRED AGENY � I
I�LUATION 19 FOP THL
A PERMIT FEE OMLY.
a
e
M
S
6
�or b2 - TRACT 36z5
, 1.�4JJ�i
CUSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. BOX 917 C06TA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUI�DING
ADDRE65 2O9 DAKOTA AVENUE
C05TA MESA CAL.IFORNIA
Y MAIL
KENKOL I,ONSTRUCT I ON 1,0.
� PLACENTIP. AV�,iUE
Wppf2T BEACH rE�.
NO.
TEL.
7oR K'W• KOLL
�555 PLACENTIA AVENUE
NEWPORT BEACH
6>>g5 No: Mi 6-3227
Fn x 10n � u�W��..a`a.a.0
CEMERC OP'N8TRH8TN JO' REAR YARD 20 `
SIOE YARD I LEFY S t I RIGHT 5'
DESCRIPTION OF WORK
size-�--- lb csF RooMs
EXTBRIOR WALL CJTUCCOIROOF I
COVERING GOVERII
USE OF BUILDING <.ND WORK TO BE
SINGLE-FAMILY RESIDEN
GARAGE PLAN 7-A
)RIES �
INGLES
AND ATTACHED
C� :.., '�.�.;; _.: . ��
.�.-�.5- �3-H�
J
. ���1• �t� •I~� .
APPLICATION FOR PERMIT
,. .... . _......,.: . .
BUILDING
For Office Use Only
RECEIPT NO. YCqMIT NO.
COSTA MESA. CALIF
FIRE �
ZONE TYPE
APPROVED
BY DA
ZONING
ZON� NO. OP UBE OP
PLANB 9UILD1�
tecw� �� . / _ � � �
YARDS EVES
APPROVED ALLOWEO
mexTea une ar.�
FRONT u�T.
R. SIDE � FT.
L. SIDE �FT.
REAR � ,/f�Cl FT.
BYPROVEOI�J-.f— . N . DATE ��
• � .
� r F'(.Y
1 HER89Y ACKNOWLEOGE THAT I HAVE P¢AD TXIB MPLIWTION TNE AMOUNT BHOWN UNO¢R VALUATION IB POR THe
ANO BTAT¢ TH�T YHE ABOVE �8 CORR¢GT AND AGREH TO GOM- pUPP08E OF EBTABLI9HING A PHRMIT P¢e ONLY.
PLV WITH ALL CITY OPDINANCE9 AND BTAT¢ LAWB REOULATINO
6u1tDINa CoxBTRVR�ON. VALUATION
SIGNATURE OF �{-� u, i� _ PERMIT FEE $ � 7•—
PERMITTE � � y
. A . 0 . . $ � PLAN CHEGK $ /� S D
I AUTHORIZED