HomeMy WebLinkAbout961 DARRELL ST - Building PermitsE
�uoxessoveaiowc: - 961 DARRELL ST
om+EaswwEiFw�wr+: M.T,RAMO�ITES, MARIO
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COSTA MESA,CA ' 926
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110EN5ED COMXACTOXS OECIANATION: I Mreby eRFm uMs pene�y d pe�jury Net I em Ikamd uMm prwioon� W Gheqm e
(commerwiiq v.nh Sec�ion ]000) ol 0iwsion 3 W Ihe Bwine» eM Prdeaeions CaEe, and my licenm o in fuA brce eM Mep.
cmuc.No.:� � _ uc.cuss: �uc.No.: _ EXP: '
�Dete: Con�aerc: ' '
OW NEfl BUILOEF UECLARATION: I henby elfirm under penely d pmlwY �� �� exemp Imm IM CaMnGm Lioeme lew for Ihe �
Idbwnp reawn (Sadion )0�1.5 &revress arM Prolessiom Code: FnY cXY a mun1Y �idi myuires e permil lo conaWci. ellm. imProva.
demdsh, a rape'a e�ry sbuclure, pv to ib cwie�e, e6o reQuirae �ha eppliaN la aich psmn �o fib e egnad atalemeM Net he or eln
n licensed pureuem to Ihe prwiaiwre d iM Con�redore Limnaa Lew �Cheper 9(canmerio�p wnh Sedion ]Oro) d 0'r�rebn 3 d ih
Bueinea eM Wdessions Code� or Ihal he a she is exemq Ihxehom eM Ihe lavis lor Ihe elbpeE memqion. My violelion d Sedion
�wi.e M anr mW��� �« a oe�n .�d� ine wo�� �o e dw wNM d m� m«e mm� r e huMred dd4n Issooll�
�] I, es owner d ihe �properly or my empbyem wilh wegea m Ihei eob eompensation, will do IAa woek, eM IM eVudun w�wl intended
� adlemdMeeblSecWn10N.8uvmsaudPmtasuonaCude:TheConirmweLimroalawEoeemlepplyloenowrwdpropsiry,
wM WiEa a inprtrvea t�eroon. end x1a Eoea s� xwk NmxH a Mnel a Nraph hu a her orm empbyev. prwided the wch
improvameMe are not inleMed a oHereE lor sele. H, however, lhe buiNinp a inpovemenl ie eaN xMhin one yw d mmplson, the
owmrbuikbr vnll heva tM buNan d pv+iip he or she EN iwl WiM a impraro lor IM pupwe W eele�. .
� i. es ow�m w me orooero. ��dusiveN ���nmo wnn r��s.d c«��reaon m wm�,a ma waea ls.ann ma. a�.�nee. ene
profeaims Code: TM Comreeon licanse Lew daea �w apply to en oxner d prapaM � a+�bs ar impovee Iherean eM xfio '
wntrecro for wd� qqetls vrilh a murmaH+) IicemeE W�� to iM Cont�adas Limne Lew�.
� I em ezemp unEer Sxtion: � ' B. 8 P.C., Im Ih/p' /re��//� , '
Deie: t�'?'���� Owner: /VL�(�• •
1 Eo M1ereby cMiiy IM� I em ewere d vd uMenieM Me re�ui�emeMs d Calianie Neellh enE Sdery Code Sadiw 25:A5.255J3. eM
2553C, enE ihm I or eny Mure buikirp oarryen� vrill / wil na (ucb an) riead to canply wih �eiE eleta mEa enA tM rtyu'uemmqe br
epormntaoonsvutlonormodificelionhwn�MA'v u-6Tl.ianepaman�Dialria.ReddeMielconqruauneppiutiorouamamqhom�haee
podsiaw.. .. � ' ' . . ,
Dals: . : � . ' AGVlicenC � ' � . .. .
WOFKEN'S COMPENSAPON DECL�R�TION: I heraby elfum urdw perW�y d parjury «w d tM blbrrirp Eatluelum: , ,
� I heve eM W meinten e unifrm� d coneent ia+oMi�wn f« xpken' compenWion, m povided ta by Swim 3)00 W the lebar
coae. i« m. vano��. d ins w«x i« .r:�, mn v� A n.�,ae. ..
�� 1 heve ard wil meimen wwkeee' mmpeneelion inwrenee. m mpuired by Sepbn �I00 d Me Lebor Cods. lor tM pertwmenw d tM
wpk 1« whiM ihu pemiil o esuad. MY worlmn' mmpenemion imureMs rarier ard pdiry numEx ero:
- Cemac
� Pdry Number.'
(This secYion neM not 6s rompb�ed'f t�e pemirt is lw aro hundied dolbra 1510J7 w lem.)
� I oenh � m tlro perlmnarica al iM work lor xfich thu permn n mued. I e1Wl m� amplq xry peison in �nY menmr n m to .
bxame .ubjea w iM xorkere' ewnP��ion kws d Celifanie. aM Weee �hm il I'dwk beearo rbptl �o �M wM1en•
mmpenaeiion v�'iaims d Setlion �)00 at the Lebor COEa!I ehell foMhwil� �omDN �h thoee pwieims. •
Dme: AppliceM: � '
W�mlrp: F�Nvn ro weun ✓o�4en' comvrwtlon rov�nW li undwlu( �ndsh/l subflef �n wmplay�r ro er/Mlul pwultlu uW
c/vll fllr� up N ons h�ntlrs0 Mous�ntl0ull�n (S10[{OWA M atldltlon ro N� cwt ol ro�oawtbn, tlamepa u prov/tletl lor In
9ectlon J106 0l Ms Le6orCOJs, InMut, enG etromsya Isu. ,
CONSTRUC'fiON LENDING �OENCY: 1 heroby eifiim uMer penelry d per'ryry Ihet iMn ie e aon9wtion bndieq epe�x.y lor Mr
psNormenm d tM woM br which Ihe pertnF ia uaued (Sed'nn 309], Cv. C�.
LENDEWS NMtE: ,
' ' LENDEN'S �DONE%:
,
I eenily Ihet I heve reaE I�b apqicalion ud ae�e ihat ihe ebove iMomWion u wnxt. I eprte b eamyy wuh eA ory eed mumy wd'vwws
end atme lexx Melinp to builEvp mnrrudion eM hereEy eNhor¢e represeMelivea d tAe cnyto enler upon the abwe-mentioned pmpMy
�«��'°°`��°��°O99 MARIO MZRAMONTES _ �
. C� r Pnm Neme �� �
' om<: Z.G_
sreneiura a o.,�v+iwmvnvW�,vcom,m«
�(5151�i8.WP) � ' While-BuiWvq 85tl&y: GraervFb: Canery-Rppirant: Pink-Hevenw:Oddenm�baevaor
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PERMIT NO: B
✓
\
CTTY �OF G65TP. hf�SA — HUII:DIIVG PERMT7'
000611
' . . " � " ' _ ` ,
i, YLAN CHECK N0;.04939—.96 S
PERt4 NO: B OA0,6'1,9 '
GOC'T;, N SUPP; .1�I
�UNSTRUCTION.TYFE: ,' � PERMIT TYPE: STR � PURPOSE; P.L�U �
JOH DESCRIPTION : LEGALI2E 216.SF SOLID ROOF PATIO � SQ FT; 216
CLAIM VAf,qE: �,3,000.00 CALC—VALUE: 3,365.28 GROUP OCC: R-3 '/�
COMMENTS: SOLID RUOF PATIO COVER �
**�*��c*�*���***��#**�****�*it*�+��*��atit***�**�*if*it�ie*iE�**�*�* �* * *
Z O N I N G R E Q U I R E M E N'T S���� �������R
� � S E T B A C K S i�
________.___ 1 �} ,p�� .
— MAIN,BUILDING =--------- ------- ACCESSORY.BUI�P7��i+f<3x����--
FRNT:' FT IN REAR: 25 FT IN � FRNT: ' FT IN REAR: FT� ',IN
LEFT:, �S FT 4 IN RGHT: 47. FT 6 IN� LEFT: FT ; IN RGHT: FT IN
� . ' . � . � . � .
PARKING.REc�:, � PROV;� PARCEL: 922J5301 ZNE: R1 REF NO; •
PLANNING NOTES> CONSTRUCT SOLID ROOFED PATIO COVER TO THE REAR OF AN
' > EXISTING SINGLE FAMILY RESIDENCE', WILL BE UNENCLOSED! "
iE iE iE �E iE iE �E �IE �E �E �E iE 3E 1f �f iE iE 3E iF iE 1E 1ElE 1E IE 3E �E i:'!E iE �F iE iElE 1E 1E 3h # iE 1f if iF �F fE �E �E iF iF dE 3E iE 9f 1F iE iElE iE �1E 1F i(� 1E �E'N' �)E iE iE iE iF 1E;(- iF iE iE iE iE �k i't iF �1E
D E V E'L O P, M E N T S E;R V I C E,S R E Q U I R E M E N`�T S
ZONING APPRQVED BY + (•l7[�j� . DATE: .!�(�p_LYL .
BUILDING APPROVED,BY : ' UATE: !%
APPLICATION ISSUED BY: ]�Pr , � DATE: �C�''Z�o � j�
�EiEiEIEiEiEiE�1[�k1Ei[��Ef��Eitit#�Eir#iE .. �iFi�iEiFiFi�3F'iF3F�k�E�E*�EiE�EiEir*iF�F�r�iF��'3F�FiF'iFiE�i(�
LEGALIZATION;Y . � . F E_E S.0 M M A R. Y . _- STRUCTURAL �SEGMENT.':Y .
' � � ' ' . ' . � . .
BLDG PMT -PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT , 174,50 , � , ' ,50
PLAtJ , �: �113.43 � � !, �' ' SMIP/NON-RES i
ISSUE FEE i - �%". , '
BUILDING—DIV—> `'PERMIT ' ISSUE '.PLAN=CHECK TOTAL PAID' DUE
TOTALS---->' 175.00 0,00 /. 56.71 231,71 231.71 ,00
REVENUE DIVISION TOTALS--> i� COLLECTED: 231,71 �OVER/SHORT: .:00 .
BLUG PMT PLUMbING ELECTRIC MECIiANIC FIRE .SMIP/TOT GRADING PLAN—CHECK
1'7.4.50 �' . .50 56.71
. �, ,
�E �E 1E iE 3E iE iE iE iE 3S �E iE # iE #'IE iE �f 1ElE iE �lE iE iE iElE 1E iE fE iE #!t iE iE iE 1(-iE # fE �(- fE IE if iE IE # iE'K-# �1F iE �IE 1E iE 1e 1E 1E iE 1E 3(-�f f(-iElE jE fE iF �E iE jE �1F''E iF iF �f fF'.E �IE iE
, I+N D I V I D U,A�-L F,E E , B R E� K D O W N
� � ' I
TYPE .QTY D E S C R I P.T I O N , U,NIT COST T,OTAL COST
SFR 216 . RES—PATIO COVER—POST 6 SOLID ROOF , i5,5fl� 3;365.2II
: � /END OF FEES • , .
. . . . , .. .. . . 7' . ' � .
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Y CONS:RtJCTpN AND PLANNIN�. . ' � �. _ � ' OC�&'SPA` _ -" .-.. ' ' _a ; _ .:_ �-� :
i APPROVALS Peimit#�6� �zDate �Inspectoi: ��'ryAPPROVALS� Permit# l�� Date��� Inspector j
�' 1 �9.$: � " . t - .
� t: Temporary'Electncal Ser� ce or Pole � - - h� ` - . ' � '52^ Pool & Equipment Locaiion ' �, i' , , I ^ �
_ . .� . - , ,. . , . ,
�2: Soil;Pipe;_Undrgrnd.': - 1 � � -. �y� � _53' Steel Reinfo�cemeni_ �,,' .
�.3. Electrical Conduit Ut�lity-Undrgmd.:i`, ' S = ', `` _ � � _54:� Forms' ' , , ' - • • • .
� 4. Electrical Conduit-Undrgrnd. � ' ; � < <�.. ' _ - � - � 55. Electricai Bonding.. �„ ' " . , �
,
5, Steel Reinforcement . � � � a � =56" Rough Plumbing & Pressure Test � � � .
_ ,
P _6�'Electrical UFER Grnd. . . , . � -' '57. APPROVAL�TO COVER�GUNITE � . . I
7> Footings - ' �. . , .�� ' � �58:. Electricai Conduit-Undrgrnd. � - � �
� ,. B. Foundation - ' � �.�; = - - , .�59.' Gas Pipe, O Undrg�rid:, Test� � �
i 9. Water Pipe�Undrgmd. �' {' � ? �i ' � - �l� �60. Backwash �ineS,,P�Trap, O Untirgmd: � �`
: 10'. Structurai Floor Svscem �� ' - - � �� _61.� APPROVAL TO DECK ' � , •
t t! Property Sewer Line & House Connection �" _� .. ° C �, � :'62'. Backwash &�Recepmr,Finai � ;
i2. Sewer Cap . ! - _ ' 'g3. Meater & Vent-Final" � - "
13. Roof Drains .. � ; y f �,' � ,i � 64,` Plum6ing SYstem �•Fi�ial ' � ` � �
, 74. Rough Plumbing - , � �' 65. ElectricabFinai � .- , • � -
15. RoughElectrical-Conduit_ ., ' --:r:�: � -66: Solar�System�Finai • ` - ' �
� `' - ' '
. 16. ftough Electric Wiring � . � � � ` • � " i�
, � � 67? Fencing & A"ccess ApProvai _
t7. Rough Wiring Sign r' ,� = E -.- «�; '= 68: APPROVED FOR� PLASTERING' . � �
v _' ,
+� 78. Rough Electricai-T 6ar Ceiiing �- �J i `' � �g9: P00�/SPA SYSTEMS�EINAL - .
.._ ., .
.'t �_.L9-Ro'ugh Heating & Air Conditioning.--_, _ � -_ _ . <: . - �. �_� FIREAEPT,-•REQUIREMENT��- - ' �
20.; Rough Factory Fireplace - APPROVALS Permit # i
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilating -� � 71. ProducrPiping �Gas ❑Ofl
23. Gas Pipe-Rough & Tcst . , 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oii
25. Roof Sheathing � _ 74. Overhead Hydro
26.'T�Bar Ceiling (Structural? & h4onocoat - 75. Dry Chemical -�
27. Frame and Plashing - 76. -Dry Standpipe �
28. Lathing & Siding �: . 77. FIXED�SYSTEM FINAL �
29. Insulation � " 78, FIRE PflEV. FINAL � '�
3p. Drvwall Nailing , � � •.HEALTH DEPT. flEQUIREMENT
31. Plaster Brown Coat � . � 79. FINAL INSPECTION '
32. Electrical Power Mecer-Final - - 80; FOOD CERTIFICFlTE ISSUED
33. Final Eleciric � Notes: /Z Zf �tS� ;f/d (jyeL �jy(�.
34. Final Heating & Air Conditioning . � , � ` -
35. Final Gas Pipe�Test - ' . '
36. Hood or Canopy . , . . . .
37. Pmal facto:v Fireplace . � -
38. Final Piumbing �"✓ .� , � �
39. Water Service-Final � � �
�
40. Gas Service-Finai . .. ' � ' ' .
4}, Sofar pomestic��Final . �
� A2. Backflow Preventer' - � � � .
43. Backflow Irrigation � . , -
44. Landscape Irrigation System - , - - � � '
45. Sound Attenuation � - ' - .
46. Handicap Regulations ' � , � �
47�. FINAISTRUCTURE'&BUILDING •6. ` _ •
4$. F4NA� PLANNING, . � «
49. Electric Release to Edison ""` '"'- , . i
a_. :
50. Gas Release to Southem California Gas Co r�
�
51;. CERTIFICATE OP QCCUPANCY . .
N0. Date
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-•�ooxessacewiou/c.; _ 961- DARRELL ST , _ - ur..:. - - - „ , __ _ _ _• _ � . , C3TY OF COSTA MESA - BUILDING .PERMI,T_ � " � D�
axNercsruxeiFuawn:MIRAMONTES. MARIO R . --�'.. -.'_ � __,_ .., .,_: ..._...___._:_- _,. �.._ _ ... _ ., --- ," -. . PERM NO: IH 087995
�ooxEu: MC CORMICK-MIRAMONTES, ' � - � - � ' � ' ! . " ' � '
' � E3LEEN B . • :,; . �_ _ ' PERMIT. NO: , IB: _ 087995 . � PLAN CHECK: NO:;•. .. , N , , ,GOVT.: N SUPP: Y'
1721 CANARY'ST • ' „ � COSTA MESA.CA. - 92626. - � '.LL , , _ '
�va�.iwur'c�ooness, ;' . . ' • CONSTRUCTiON TYPE: V-N ' ., -` ' ( : PERMIT' TYPEt OTH STR . ' PURPOSE: OTH
, . , . ..._ . . . , . _ , , '
AXCNRECTOPENtlNFER:� _ � � � � , � ' � , ,L1C.N0.: _ ' JOB,DESCRIPTION,. : RENEW� EXP,.IRED.'PERMIT B82716_. - - ' • SQ �FTE � " '- , � '
urcx.on�a:s�oo�ss: � � � • � � uxr: _ . - . . : , , . . , . `. ' ` 1 . . _ .
� ' ' a ' + � CLAIM VALUE: .1; 500.00 ' CALC-VALUE: , , � . � , ' � _GROUP OCC: R'-3 , / , �
' coxm�crars wx�: T � . . � .. » .. , . . , . •
cam�croxsxuimo' �� ' ' ' , COMMENTS:. RENEW tPERM2T �TO ADD' 1 WINDOW S� CHANGE OUT 8� WINDOWS � �
- . � "wox�ss' ` . � . , ucxo.: � �t**�rititatitat��t�e�r*itit*�*�tat*�tit�ritat�rit�tat*it�it�ititititx�it*itit�tatatititieitatititit��rititititititafitatieirititet�rit+t*it�it �
' ` � � � , � ' : ur�r:' � � ' , ' ' _ Z ,O N I _ N � G ' R E Q U .' I R E M E ' N T S � , ,
ULENSEU CONTXACTOHS DECIAXATION: I Mreby ellim uMer pe�y M pmjwy Ihq I am licenaed uMer prowiwu d Cheq« 9 ' � � � � � � � .�: S E. T H�i C K S ' ' I,, � ,
(comme�'p vrilh Section ]000) d Diviaun 3 M.�he Buaineae and VMeeaiona Code, eM my licenw ia in lull lace end eHatl. , —� � ' �" ' , - . . I ' ., '
cmuc:No.: � � 'uacuss, ;uc.No.: ' EXP:.________ _ =- -------'--_MAIN .BUZLDING Y-=------ --`------- ACCESSORY BUZLDING --�------
' ' ' � � FRNT; � FT ,. . IN REAR: _ ' FT IN � FRNT: ; FT . _IN.REAR: - FT • IN'
pde: ..- � r'' • comreaor ' ' � ' IIEFT: �. . FT... 'IN RGHT.:--'.'-�_- '�'--- ,j FT .'_ IN RGHT: FT' IN �'
FT_. , IN ; LEFT:
OW NEH BUILDEP DECLAFATION: I�Mreby elfiim unEer paneXy M perjury ttal l em exemq hom ihe ConVepas Liceme Lew la Me ' � � � . � � • -� " �,� � i
�dww����(s«���w+se�s��eoev�d��acode:nm�+vo��mv���nv����=v�n�o�wn,ens�,imo��. pp.RKING RE ' PROV• ' �PARCEL: 42235301 ZNE: .�.a,REF NO;
demoleh, or repev eny evucturo:'prior lo il� eaerice, eho rayuirta On epplimnt la eucli pem�il lo file a agiroE sWement tliet M a sM • '• - '�"' � - ��- � � �
b licmeed W��a�� �o IM ponsone d �M Conveawa ucsme taw �Cheqer B(cammena�q wnh Setlion ]WO) d Div6ian 3 at ihe P,LANN I NG i��T�.'$ >� ' � � �-�_i �
.+,_.. : . ' ' ' _ .w� .... . .. - _
Buainesa'eM Prdevuna CoEel a ihet he w sM b uemP� ihereM1am aM tM bavia lar.IM elbY� ewemqion. My violmion d Seaun " ' ., . i .. . . .. . - _ • �• -. - . � • . i • .• • • . . ,
.]W1.SMenYaD0liunlloraGarmusud�siM1eeVWicentbeuvilP��vd�wlmom�henlrvehundiedddlereR500I1. • . *illtikiElEiklEiFiFiFiF�fikiElEifiE�lElFiFiFiElEiflfiF!lififfEik�lflilftiklEiEiElfiflFiFlE�k�klklflF�flE1E1f1EifiFftiflEitiFiEifiElFiFiEiE�1(�fEififfElE�kiE1flE
�.. I,eeoxmierMlMpropenywmyempbyeeevdhwagmavtheidemmpeneaton,wlldaMexwk,eMiMnrunurecminiendeA D� E� V E L O P� M E N T,__�..S 'E R V, I C. E S R� E�/� U I R. E.M E N,�T S �
orofleraEbr+del����.BuvreoeMPrdeeaiwreCode:TheCaMredonLiceneelawtloeamlapplytoenownaro/P�VeM' ', � , . . . � 1' . .
� who Wdds a inV�%*? tMreon. mM xtw doea euM wnk NmsaX or henell «throu� ho n her own amWM�. 0� thm ach • �. - � ' � � _ ' . . t.r^ . �.
o' qwemenWerenotimeMedadleeedlasab.tl.�owever.iheWiHiepa'unprovememieeotlxilhinawyeerdmm0�a�.�e ZONING APPROVED BY � � � � "`'� ` � �
.�.-w�a..�;nne�mewb�ao��on.o..naeb�an�aa�mw�i«inewme.ew�). , . � ��DAT,E: �.�
❑, I. ro oxner d the V W�Y, am azduvMY oonlred'nY xAh Xcenaed wnVaMon to w� np�ud Ihe Gmled (Sedion ]014. Bueiress md . . . � ' . i • . � • - � ., ? . � , � � � : � . � ' .
. Proiesaiare Code: The Cont�aeon License lew doee rwi epply lo en owiwr d qopeity who builda « impwea iheraan mM who H U I LD I NG AP PROV ED. _ H Y : ' DAT E:�
mnueete /« wM Wd�a �ih e muree«la) IicenseE Wnuani �o �M Contredore licanse lewl. . � . .. • • . , .
}Q�i�ex���oea�s�ia�$p,7044..�B.ap.c,:ro,mn�,: W ER:HUILD APPLICATION.ISSUED HY; '' � ' DATE: %�/ �
o�a: �!�./' < 2'e _ .-.o�.�(,C��' . ., .: , **�r�r**fr�r*�r**�r�r�ri}*x�ir**ft +t*+t+r*it�t**�t7i'9Ft�i��F#�** .
liEGALIZAT.ION.:N._ ,.- F E; _ _U M M A R Y--- : S�TRUCTURAL�SEGMENT:Y
1 do hereby ce�ily ihat I ewere d eiM uManteM tM nqti eemenb d Cellanie Meellh eM Selery Cade Sed'om 25505. R553�, end � � � ' � . . � { � ,
T553a, vd Riei I a eny ful � re WilEi�q ampeni xill / wJl nm (arcb are) nead to canply wih aeM pme o�dea eM tM reQuiremenN M
e��i«.�.w���«i,wafiw�r.«��n��.��u�mo�ea.a��e«���.,Na�.oviw�..�a�qi�ub.. •� _..BLDG'PMT'-,PLUMHING ._ELECTRIC''MECHANIC F3RE ...'SMIP%RES. GRADING
a���,s � ., ,., . • - , • PERMIT ,. ,_ _ 42 :00.-.. � -
Deta' ' _ � , . '• AVW �:' . _ . . , . . ' . .. . .. . ..' ' � � �+ '�. SMIP/NON-RES j � ' .
, '_ PLAN-' , . .
WONKEP'SCOMPENS�TON'DECLAF�TION:IMrebyeffi�inunEe[penehydperjuryawMthabllowirpdetleimiwui ZSSUE FEE ' - � ' . � 4 ! ' ' '
� Ihavae�MwilmamianecenAcmedmmmtloeWiwnlarworken'campenWion;npwidedf«bySemmJ]WdtMlebor BUILDING-DIV->' PERMIT• :,; ISSUE. .PLAN-CHECK � TOTAL � 'PAID � DUE
Code la Ihe pe�lamence o/ Ihe woh Iw wh ch th s paimn re iaeued. � �,�, � . . � � �- •
,-❑ ineveenEvnlmeimevwarkere'compemelionimurenceu�pwredbySepion3]OOdtlrLeborCode.biMpal«mvicad�M TOTALS---.> ; � 42.00 _ .0,.00. .__ . 0.00.' , 42.00,. 42.00 ' .00
work t« xfiiM Ihie pemin ie iaueA. My wakero' compenaelion insurarice mmer eiM poliq number.ere: ` - � ,. - � � ' ' � . '
- 'c�.: '' • i REVENUE;DIVISION TOTALS='=>�:_:"COLLECTED: 42.00 - OVER/SHORTi 00
" i • � aa�r+�mea `' � � ^ � -. � - : BLDG PMT PLUMHING_ELECTRIC. MECHANIC FIRE SMIP/TOT_ ,GRADING PLAN-CHECK . -
� rm;s �n�� �a ��r ee ��daree nne c�a m ro. �a n��a,ae mne,. �sioo� o, �:l'. . ,. . ' . . _ 4 2 . 0 0 . . ,
'}Q `,1 cenM, � in tha pmlormenu d ihe work la xhc� iho pe�mn u iaausd. I e1Wl z� empby e�ry penon in erry memror eo m io ' . .:�+ �. ,' ' . ' . ' •. �. . . �
became wded�lo �M waM�s' camDenemion lewe`W CelEamie, uM epree Mei X I ehould bacome euMed m iM waMen' :ikififlFif�tiF1liE�)F1h�FiEiElfikiEiElkiE1E1E1E1EifiEiFiEiE1flFiEiFifififiFiFif3F�FiffFiE1ElElklfifiEiEiFiE.iEiElEihiflE*iflflEifiFiElFiFiFiFiEfflFifiElFlFikif'
compensmion provisona ot Sedian 3)W d iM labor Code. I ehall tMhwilh compfy xiM �Ipna .. . • " .. � '
oe�e: l.(A.7 � Z`fi. " �odm:m:�/A1.�-.��� ,' . , ;_..... .:�I,._N_.D_,I;.V,,.IMD:_U�A L., F E_E ,�B R E__A K.D. O W N . ,
w.mi�:au��.ro.«��.won�...'ro�m.�.:do��.6w�.��.m,�,.�d�n:�nKK�.�..mror..ro�nm,e�P.,,.ro...�d_.TYP.E_.,_.._QTY.._,c„_.D_E_S_C�.R:,I,_P�T__I_O:N._.._;,_,,,,___..___.,_.r._,., UNIT COST` TOTAL COST
c/vll llma up ro ons huntlrM tMuaand doll+n (StOq000), M aAlltlon ro tlr� ro�t o/ romqrwtron, Wmeps u prov/EM ror In ' , � � ' ' �
sxuooa�aso�msueo�coes,����oandercomsy�,��u.. . . INS'. . :1..,._..,HUILDING:RE-INSPECTION,..EEEEE_�,.,4.__�_.. �... 42.00 ' ' 42..00 .,
CONSTNUCTION LENDINO 11GENCY: I hereby eifrtm u�er penxy w perjurv �� ��� �e e rooav�aro� b�etrq eoe�cy mr ihe . • � � •� ,�;,,END� OF ., F S_,_.,, �- �•-
� ronom,� a ma �M ro, wn� me ro�� g awea (see:�, aw�. cw. c). 3 . . ... _ ... . .._ . _ .. . . . . 4._ , _ .._ . _. .. . . ..
-� _ I
LENOEWSNMIE: � ' . . r. .. _ . . .. . . � f . _ . . .. . . - � .r • , ' .
; LENDEH'S ADONE55: . ' � , . ' . , . . . . , � , . �
� I ' I .
�Cl111^'����10MRBdIhl9B�IC81p11BII�DI6�B�h91I�1lBbW11f1�CTIB11011KCORBtl.�G91M�OCOfII�".VII�IB��OI`/BlIdttV1M'/Of�I11dIR! ' � • � , .� � . � � �• • . ' Y � � . . a.
eM staie lewn MeimB �o Wildvg mnavuabn eM heraEy eu�horixe repreeentaiives d Ihis dly to enier upon Ihe+hove-mentorred pmpaM 1 ' i � � r ' � ' . ' . . �
t«ms�m�v��w�+.MARIO MIRAMONTES_ �. _ ' __ _ t_ __� _ _ _� .__ t�_ _ _ � 83-21-I'39b/12:19 Gq/f42.BQ
�j � y. p;..v�mN�e4 ��- --� , - -/J-^�/ .. �" .. , . . _ � � . � E� KCPT'a:31-a923`146'
': � vCiZ o�a -�t'L", ' r - . _ P M T T: 087'395
sqwu.edowned�wmm�oNr.nvcomreeor . � � . ' . � � � . . • � . ' . -'e . . . -
. � . � � ' . . . . . �
;5151.CB.W P) . : Whne-Buik'vq 8 Se/eb: OreerrFle: CenW ACVF s�t: Pink-Rewnue: Goldmro�Mamaor . . . . .. _ _ . - . � . . ... - - -. . ! . . . .. . . . . - � ' . .
i, t
V � ; ��,
� z CONSTRUCTION AND PLA����iNG o 4 • ;.; � � �, _ � i, POO� & SPA - � �;� � � ' � � 't '-
� : �- " ' � =` ' ' � ,� ' � ;� Date Inspector . E ' � � Date ;' Inspector;. ,
-, , . APPROVAI.S Permit #' •' � . y . � . . �' APPRQVALS, Perrriit.#, _�, _ � ��� Y ;
5 ' ' � Y Tr
- ,.. � ... - ..- . . . . .. _ .
�� � .' 7. Terynporai,y�Electrical,Service'or Pole ;+ � : � . w ; ' � i i52: Pool & Equipment Loc'ation3 . J : ��
T d A i
�' _ 2i- S4'+I�'Pipe�-�Undr md.e` ..r ' � i e .f_ _� ' - - , . .., r i � � �;. � l�r♦� i
g ; . ( { <53. Steel Reinforcement
�: , . _ ' ' - . �� . ._ � � .
�3i�fi1 ctricalConduitUtilitY=Undrgrntl.r��;'�4 � "� ��� ��^ �� `54; Forms �_ ", ��' � .; � � '
'��'�;4?�Electrical Conduii�Undrg nd. ; F ;�r: � � d f `,'" ^`; � � `55: Electdcal`Bondin �' 4�: . `' '� :-� s "� •^+�
It-�: (:�^ ' . a' ,.' '+t�I 9• i �-_ �a
� ��5)'Steel Reinforcement •� � 3 � � a '' x b� - r ° � ?56: Rough P-lumbing &'Pressure Test':' z � - ,�� � � � ��'
,�.- - ,
�lEj�6? ElectricalUFERGrnd. � � i�'';,�.,`. ���';2 � -� � ,�57,=: APPROVQLTOCOVER:GUNITE - � �.
.�
{ � � 7�, Pootings . £ � .- g , :: .� - �� - "� • . �'582 Electricai.Contluit-Undrgrnd., - £ `�_ '` ` • , � ' .
'. . - F � �, - ? : , : , . . , 1. - ,� . .
QBf Foundation '��t`� . � �59: GasPipe,�0 Undrgmd.,-Test- � ��
:,i�r�er � 'Y � - � � - • 1
:�`'C9� Water Pipe-Undrgrnd. . ' �� :K �.60: Backwasli'Lines,iP�Trap ❑ Undrgrnd: � �, � `ti" � �ft'�
; rt`':.: -.;.0 � p� �-.-a'i ' d . ' . . . i
qEH Svutturel Ftoor Svstem ',� � i -�61-; APPROVAL"TO��DECK` • • , i�i i
r - _ •F„r,�. .
�� t N ProPerty Sewer Une & House Connection� : , . e ' ' i -' � � ' � ' � � ; • . ' 1 �
� . � c ': :' ± .-,-r� � , 62. Backwash &'�Receptor•Final t,
i. 12. S'sJyer Cap - f� � �^}�„� - _ -- r �.•,, r S � e , - � ... ,� . � - � � ..
- _ ;i � ° � , � ;63: Heater & Vent-Final �. � �
- „ _ -
�� 73. RoofDrains � � �'��LSF ..= �� �",� � i '` � � � � : ' �� ^ . ,
i� e' �z•,r?+6;,�?`�-`t' � ;64:PIum6ingSYstem�Final. ,. �.
�
� �. . �. � 1 . S' '_O� Yy � n' � .. . r ' � 't.. p a
y14. Rough Plumbing .,; , 3 _' ^ � �. � a e Q- �� �� ; ''65' Electrical-Final � , = � � , ' _ - - ��'
' 15. Rough Electrical-Conduit� , c* 4': ' �"�.- 4 � "� ' t + ' ` t� ! -' �
� 2_Y � . �, � � 66. Solar �System�Finai � � . �
�� 16. Rough Electric Wiring y �i �.. � �?i 1 ya 7� �-�� � �67F Fencing�& Access ApProyal i '� � ' � - � �
17. Raugh Wiring Sign . r i �, : � ; �a.� r,,. r � � M - . . ' ' ' tj�
, ��;: .� : 7�� � 68: APPROVED POR PLASTERING:
i; 78. Rough.Electriral�TBarCeiling j;, , -� ,'�. ; 69: POOLISPASYSTEMSFINAL��. i . �
- d9. Rough�Heating &-Air Conditioning�--' -� = M�-•-�-= �-�=_ -_ --_-_-_ � p(RE-DEPT.'REQUIREMENT=�"''�`� ��"'='' - = � �: ��
' O'+iC".sH .T, � ry
20._$ough F�cto� Fiteplace � ;i�"? �� � � H. ��y � pppROVALSr�� Permit # ";
. � ., _ - , - .,. .. . � -. > . ,
27.:Oucts, in:Struature;r t�• •� '�_C 5":-aA'� 70.�Undergrourid Nydro ` .
�.i (�'. Y
22.,,pucFs, Uentila`ti� ` � _ `
� � 9„'� �`�' �'.y ; � ' �i. ^ 77.`Product:Piping`T7�Gas OOiI .
23.`GasElpe;{?ough & Tesc ;' �:,�� �; ��� ��; prj ;_ 7Z,. Undergr'ound Flush�� �l
24.`Roof:Framin � �%:: ` � ' - �:.`" x =. , ^� < �-' "'" `'
�,; 8' �. �;. � `" `� �� - �. � �, � ": 73� Undergrnd. Stor,age TanIS � Gas C`�i Oil .
25. Roo Sh'eathin "� � ' . •. r-: � , v %; -. = �' . _ `- :r -
�� 9 3 � C � •�� � � �X 7sL•-0verhead Hyd�o ^ .
26.�T-Bad Ceiling (Str�turall & Monocoat �` � `"• `�i �",j; 75..Dry Chemicai ^ �' �,"'. `" �-' �
l� T. 4'C :I: � 1 :+ I'!t: �v�i .�
.. .. .. _? 17 L." F'IiJ :J'i LIL �F� ♦. •.y - ,
27.�Frame and Flashir� r�, ':� ;; � ;, ti, :., �-+:"g 76. Dry Standpipe=- �y :: '-+
( � - -
+ 28.�rLathinq�&Siding�-^a n �jGt � r.r� t z. .. ..''" 77.". FIXED�$YSTEM�QIN,4�� ,-., "
E. '"!:-c, n x t;: r, �'. .i
3 D F:� (',� .-� .. .. ? ': [: �:: � y ,� � �
� 29. Insulation . pk _ ., :y: 1 I. ,,r� 78: FIRE PREV. FIN�L Y: >-- �-�
i, -- �- ��' - - - - �
_ �' 30. Drywall'NailiFrg �?� J � � � H I �.• � �: �EALTN DEPT."REQUIR-EM14ENT
( � ., n ,: ~ i �s I ' ' c � � � � • _ .�,
r. 31. Piaster Brown�;Coat �, S {-�:+ :e i i �� : 79. FINAL I�ISPECTdON :
t , - ... _,. �-,.. , � : _- :- _ : �
E< 32.:ElectricaGPower Metec;Final �� =� �� I ��.'r - 80i FOOD CERTIFI'EATE ISSUEO �
�, :. ��
r. .... � .a�: 1 J' XI°. � 'tr r T :"r.: ,;: ' i�. .
- 33..F.mat�Electria, �, � r; � �' .{*• No�tes: ,��t=i .�.� � �..�,
ii 30.rF.inatHea'ting&AUConditioning: Ci �: � I (. `C`- u: " :�t;= x � C:"
^, �' l -r� ,-r, < " � .K � r�! I - C; .% �:
35.�Final'Gas`�Pipe Test�x �.'' .. `" 1 1 ��r� : � `•�'� `i'" y :- -';, � .
�;36.�HoOdOr.EynoPY'�:tq � i-.'7 �. ��:i: l ��.' i. C�•% x ['1t*'
� ,:� � ,- ;ro � m �n .
� � � . " :.. ^, , ^. � ' _� . n � ' ,,: t n -�,
3Z F�nal;Factory Firepldce�-,. , t FT„ � ,: � � .,rt': � - .e p;
i i 38. Ffnai;Plumbing t'�" ��� i .^ K•~ � `/ 4*� ' > 7 �. �
�? 39. Watei�Service�Final"^..1 `" � � I � ;� a� .': ,
.l v s t'S {� : u. .r V
� , .�- � - .> r. � __ . _. .
; 40. GasService-Finai ^.r� p± a;.^-�C^ S �^; t ' ,': C�-a on; ti ,
- • �� o-- x v.
� i 41.� Solar pomesticFi`r�aF =� �'; .. � .=Y ' � � ��r,<., �+ x .
I I 4s r _ o tr x: ;� 5
' 42.'Backftow Preventer y; r � j f� �y { ( ��. .S � F +� v �-+�
;rr-i .�: ��. .a '
43. Backfiow Irrigetioq' . '."S �'..: . �',,, . �'`-` �.i: ` '�
- �� x y i: ;^ e: � x�. n
_. -i r,.. - - _ . . -
' :44. Landscaqe Iriipatiori�Systemtv,:.:� :a; � �; C; G ��+" ni cu ,:.['d -Tl ..� � .
i _ _ .r . c a. �`�
E"`� �{5.�Sound Attenuation5 y �°'; � �'" :=; ,,� ""� � " ... �'� ..�v t:
R. `Y (iY C 4�
� � �6. EHandicaP..Aegulations H , ,`�'J � � , " :' .�t � T_ ; O" i._ -
!�� 47;.'FINA'L STRUCTUR'E & BUI'IDING ����i �� ` �� S ,S, � ,; �
� A8�.'FINAL PLANIVINGi � `�.r• ,: t� I �/,; �: � i ^; i � H
� 4� I'� �.t C 'K vt�
;49. �Electric Release to Edison � � " � ,'� ! ` "' t `«' ;
-, � . r i .r, . '.%�:. ;� �y - e _..
T'_50: ;Gas Release to Southem Califocn�?_GaiCo :k � r! {e E� =, p• c;n �;. C; ✓•
:51'. CEfl;EIFICATE UF OCCUPANCY- � � � .. } ,�� -
:, i:� fn R;c v: E�
No Date
�
�nopprssaem�pw: 961 DARRELL ST " - °M�,
WMEN8IUMEIFIWOIM: MIRAMONTES, MARIO R � '
�o�u MC CORMICK—MIRAMONTES,
EILEEN b ' •
?7,2L-C•ANARY ST COSTA MESA,CA
�rr�.unuxo �ooness: . . . .
APCXRECT OR FNtlNEEfl:
ACIL OF ENG'S ADDXE55:
carrtx�ctarsu•��.
CONIHICTOASM11lINfi •
MORESS
uc. xo.:
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n
9262E
. uMr:.
LICENSEO CONfNACTONS OECLANATION: 1 Mraby eflim umM penetly d pa�jury ihet I em licenaed u�Mer paisione of Chaqer e
(commmriiq Milh Sxtion ]000) d Onisbn � d the Buvino aM Pmf»ebns COEe. eM mY ���� �� lull l«u aM allarl. ,
cm uc. No.: _� uc. cuss: uc. eo.: ' EX P: • �
Dete: • Comredor. I
OWNEN BUILDEN OECL�fl�TION: I he�eby elfi�m uMer pmely d per'Nr/ ihe� 1 em ecemq tmm IM COM�epon Licenee Lew la Ma
lollowing raeson(Sedion ]031.5 Bueiiwsa eM PMessiam Code�Any ciry arcounry whiMreyuiree e permillo wmm�n, Mx,improva.
demolsh, a repei eny avucNre, p'v io it� eauerce, ebo reQuirm iM epplirent Im wch peimn �o file e epr�etl etelement ihel M or eM
o i��d w�� �o ms a�s a m. co�vmo,. uo�� �w tcnea+� e(oo�e�a wnn s.a� �000l a o�.a� a a �ro
Buaine� e�M PrMeaeuns Code� m ihet M w aha ia exemp iherehan entl IM bmie la ihe elleped exempion. My videtion d Sed'on
]0]1.5 by airy epplirent la e pxmil eubjxle tM eppl'ran lo e tivJ perally of nd more Ihen live hundrad dollen �55001I.
� I.esovmerWtMpmpenYwmyemWryeesxihwegeamtheiwbmmparuetmn.xillAothework.eMMeaNWu�e�riaintnMeA
' oroileredtorseb(SaclionlOCJ.BuvromendPMeaeionsCode:ThaConVepwelicenseLewdoea�ateppytoenownerdproperry
wlw buids or inP�s tMreon. uM Ma Eoee eurh xak himeNl or Mnell or Nraqh he a Mr oxn emdW�. W�� �hat wch
imD��enia ere rid imeMeE a c11e�eE la ade. M. hawever. iM Wikiiq m inpovemeM w wld wilhin ww Y� d mmpk�ion. the
ow�ror-0uiMar will �eve ihe buken d D�w'inp he or eM did nq build or improve la �M WN�e M vele). . ,
� I, m ormer d IM V�W�Y. em e�tluvvNY mntrmM �� IioensE contradore ro oonsTb Ne pM� (5eaon 10U. &a'vima enE
Pmieesiom Code: The Comrenaa Licenm Law doee ml epply to en owiwr d prope�y who buiNa or impa rean eiM wlw
conVecb M wM Prqeaa wilh e wnveuohe) licemed Punuem lo Ihe Convmore Lioenas law�.
� ����q��d<rs«�:BP7044 e.ev.c..mrmors� : NER 3�;tLDER +
ete: Owibr
I da W cMity thel l em eware M eM uiMersleM IM requiremen�a d Geldamie Heel�h enA 5 e Sediona 25505. 25533, ard
. eM Net 1 a anY �ure buikvp awpeni will / wll na (tlrck one) � to wmply w4h seid we �end iM iepWromenb br
, rormX �« emst�ucUm«moeificmionGmi�ne M�OTI.�uepemani Umna. aaudeniiel oms�wion appicmiwa am ss.ma �mn mer
�IpV1510119. , �
ome: nod�c
WOFKEH'S COMPENSATION DECL�HATION: I Mreby e1Nm unCer penelly d px'ryry me d Ne tolbWrq detleretbm: '
� 1 heva eM vnl meinien e ceni(ute d conaent lo aaMieuure br Mwkma' compenselian, m povidad fa by Semon 3)00 d tM lebar
Code, iw tM pe�lamence ol ihe wrk tor wNch Nis peim0 is issued. . . �
�� i n.ro.ne wi� meime.i wo�eia� amv�on imureMe... �a��,ea M saaia, ano a me �en« coee. ror �ne wrtamend a m.
wak lor which ihu prm� ie inueE. MY wakare compennetion imurence ramar eik poliry numEar ere: .
. .Gurer: � . •
, PolicyNumber: ' ' .
lThis ae tion neeJ rwt bs romderoC / tM pemrR is M aa hundred dallers (SfOJI a len.) . ' -
Q I ceny thet in tM pMormvica d IM w«k 1« whch th"a pa'mil b iawieE, I eheA iM ampby erry penon in eiry menrw eo n lo
become aubl� �a �� �era' rompanwian lewa d Celilomie..end epree 1lat it houM become eu' M worMeis'
�pe^n�ufiion prwisiwCd� Seeion 910U d iM Lebor Cods. I ahell twthw�n%h�^
�e: V��'� / � " RGV�irbn�'. / 1�
c �
p: F�ll�n ro seeuro waK�ri ronperwnon eo.sreps b unVwnn, me nwl ac/sei en emp�oys. ro �.mmrZ. m�pen.iau end �
el I flrro� up ro one huntlrsE tMuulp OWHn (S10q000), M eWltlon (o Ms cwf ol rompxuefbrt Camspu e� proNtled br In
Sectlm �1(A6 0l Ms labor Cods, /nbn�l, an0 �ttomey'� Isu. . , '
CONSTflUCT10N LENOINO 1�ENCY: I hereby elfilm under penelry d perlury Ihet t�e'e u e canst�ud'an bMi�p epenry for tha
�no�� a ma .� r« wn�, mm w�� �s =�e cs«�o� aos�, cw. c�. � • �
LENDEH'S NMIE: ' �
LENOEH'S AUDPESS: .
I ce�ity IIW I hew reeE Nia epdK� ��m^ ihat the eEove inlame�ion b corted. I ep�ee lo camply wilh dl oy eM wuMy ordinenm�
eM eiete lavn roleling to builErp wnavuqun end hereEy eNhor¢e represanielivee d Ihie ary W enter upon Ihe eEwe�mentioned pmpeMy
Iw irspedan W�W��
. 14nRI0 MIRP�':�1�"CE:, _ . ,
(SISIi6.WP)
oe,,� =5=9 7
Salery: GieamFb: Geneiy-Appifant: Pink-Ravenw: Gddemad-Reaemr
PERMIT NG: H
CTTY OF COSTA MESA — BUILDING PERMI'1'
082776 PLAN�CHECR NO; N
CONSTRUCTIUN TYPE: V—N PERMIT TYPE; STR
JOB DESCRIPTION : REPLACE 8 WINDOWS & ADD 1 IN THE BEDROO
PEkM NO: B Ot3271[
GOVT; N SUPP; N
PURPOSE; ADD
M SQ'FT: 1;500
CLAIM VALUE: 1,500.00 CALC—VALUE: 1,500.00 GROUP OCC: R-3 /
COMMENTS; X
iE iE iElE �E if� �E fE iE �IE �)E iE ff� d(- lelf IF iE iE �Elt!( # 1f �It jf �1c jE �IE %� iE iF �E!!� �E �)E iF iE if iF iE iE if 3ElE ik �E iE 1f iF iE iE �F iElE �M: iE iF iE ic iE �lE �)E iE 3E iF iF ##!E �F fE fE>E ic �` iE iE 'r'
• Z O N I N G R E Q U I'R E M E N T S
5 E T B A C K S �
----------- MAIN I?UILDIDIG ---,------ --------- ACCESSORY HUILDING -------
FRNT:. FT IN REAR: FT IN FRNT.: FT IN REAR: FT ZN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ: �.0 PROV: PARCEL: 42235301 ZNE; REF NO:
PLANNING NOTES� �i
�
1E �If iE �)E i'')E � 1E iE?E if df iE dElF 1E 3E jf 1E�`�E 1E iE �IE iE �IE iE 1E if ih iE iE 1Elk iE 1f �E jF 1E iE * 3E iF iF 3f'IE aF 9E 9; It it if iE 9E ?£ iE it ##�IE 1E iE �1! �: iE'1f� 3E iE iE �F ## if�le iflElE # 3f k
D E C� E L O�aP M E N T S E R V I C E S, R E Q U I R E td E N T S
ZONING APPROVED DY� � DATE:
BUILDING APPROVE
APPLICATION ISSU
�+c��x*+�*��*�+�***
LEGALIZATION:N
BLDG PMT
PERMIT. 40.50
F E E S U.M M.A R Y
PLUMBING ELECTRIC MECHANIC
DATE:
� DATE:
*��t*�***� �,�
STRUCTURAL SEGMEDIT:Y
F'IRE SMIP/RES GRADING
, SO
PLAN SMIP/NON—REa �
ISSUE FEE •
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 49.00 0.00 0.00 49.00 49.00' �.00
REVENUE DIVISION TOTALS-->. COLLECTED: �49'.00 OVERISHGRT; ' ;00
BLDG PMT PLUMBING ELECTRIC MECFiANIC FIRE SMIP/TOT GRADING PLAN—CHECK
48.50 .50
# iE jE,if if' �IE i(' iE iE 3E iE' iE k� 3f if 9k )E # iE iE'IF k i: if' �IE 3f 1E jE !f� IE 3F iE �f iE if if jE fE # iE-�f �lf # if if iE 3F iE 3f i' iE # iE �1E iE'!E k 3E if'!E jE iE iE iE fF iE 1E fE 1f if iE iElf� �FlE it �)f� iE 3E
_ I N D I V 1: b 0 A I� F E E B R E A K D O W N
TYPE QTY U E S C P, I P T I O'N ONIT COST TOTAL COST
SFR 9500 ALTER BY VI\LUE RESIDENTIAL. N07,ONE L.00 9.,SU0.00
END OF FEES .
{
' � EXPIREli
. -. , DATE �-1��--
0
05-0:,-1997/89:45 APVS49.0�
RCPT�:31-@805B4i1
PEkI'iIT:082716 .
CONSTRUCTION AND PLAivrvING . � � � POOL & SPA � ' � �I ;
�� . r '' , r ' r. � . � -Dat�nspectoi i � . o ' ;= t-� � e :� '�' . ' Date �'.� InsPector" :
APPfi VALS Peimit # _ ._ . ,� APPROVALS Permit # � :� i .
� , ,, . � .
>
� �' 7: Te.iporayy �Electrical,Service or Poie: � ` �� �p � - f v'� �52.� Pool &� Equipment Cocauon, !� _ „� ' � 't :
� � : r ,i �
-2: Soili+�ipe•Undrgrnd'. � � o r - ' ' � � ' " - � ��J' �53:. Steel Reinforcement; t ` , �t ` - � -r �- " F '" �a�,
d 3. Electrical Conduit Utility-Undrgm�i.',` � `' � ; � ' �54'�. Forms�- ' t' ' . ; r � x v 4 ` � �t � f "
X ,c_ 1 '> _ _ i �� _ i.
�; 4.. Electrical Conduit�Undrgr»d. j � ; z . � `- - ' ' - . � � 55:� Electrical�Bonding� - �, k 3#�,i F , i;� v ;' � +
, 5. Steel Reinforcemen; 4 ,�� � � _ `• k � : �i. ; " _ , :6§: Rougti Plumhing & Pre;su��e Test ; ' _ , i � �� '
3 F
+ 6. Electrical UFER Gmd. �z .;; �� �� _ � �572 APPROVAL;ltO COVER-GUNI�TE; - Ir"7,,; '� I,�
U ' 4 1
" � ' ° { �• • _� � �58. Electr�icai'Coni�uit �Undrgrndr. ' �% ; �� !
7. Footings , %,��- -- :,5- � ..� -
� `;. � ; ' � ' ` Tesc':
r 8. Foundation f � _� t� ,�59� Gas Pipe, C� Undrgmdi, "%? - � �� !
� 9. Water Pipe-Undrgrnd. f- r, � "' �� ; nw � 60: Backwash Lines,�PiTiap'O Undrqrnd `y ^ �'� �
ii ' . � "• _ ' ' . -' a
� 70. Structural Ploor System t'. � � ��� _ � � % '' ; ,61. APPROVALTO DECK � ��i - • �;: i �
�� 71.' Property Sewer Line & Nouse Connectwn : k - � L - ; '62. Backwash &� Receptor �Firial ( � " � . i � '
+� 12. Sewer Ca � � ' : 4 F ' : . �� ' � ' •� r � � . . �; _
� P � _ . g' � ;,63t Heater & Vent�Finai C ,,:
R " • -_ . . , : .
�, 13. Roof Drains : � � • f - - - ,"i �64: Plumbing Sysfem -��Final � ,�r � � �.>
1 74. Rough Plumbing � - j T � " ` � �; r` �' (65.' Electnical-Final t � •� ✓ � °..` � � �
�y. .�;
15. Rough Elect�icabConduit, � � . � � " � ' ` ; j "� � ` � + ! ''
ii: . �', i � �6fi. Solar SYstem-Final� �.. r I, ' . - ��
i� 16. RoughElectricWiring �, �' - i 67': Fen�cin �&AccessA 1�' i�: `�t
.i ,�� � g. pProvai :? ,
�' -
� 17. RoughWiringSign .� � ' _;' ,,, �: . . _ . -,� ` ' !
Y , ; ., 4 i .,� - � •i68: APPROVED FOR PLFl�STERING �.; ...
, 19. Rough Electrirat-T Bar Ce�ling i f . . ., . �69: POOL/SPA SYSTEMS'FINAI. _� , }�' t''�i
���'� �19. �Rou h'Heatin & Air��onditionin �---• - �- -- . --.- . - - --
9 9- 9" "- - • FIRE-DEPT. REQUIREMENI'"
20. Rough Fac.ory Fireplace � . APPRQVALS Permit #
21. Ducts, in Structure � - 7Q. Underground Hydro
22. Ducts, Ventilating � � 71. P�oduct Piping CGas QOiI
23. Gas Pipe;Rouqh & Test , � 72, Underground Flush
24. Roof Framing - � 73. Undergmd.Stora9eTank CGas OOiI
25. Roof Sheathing � 74. Overhead Hydro -
26. T-Bar Ceiling 1Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing �, s 12-4'� �wb! 76. Dry� Standpipe . �
28. Lathing & Siding � 77. FIXED SYSTER4 FINAL
c_�
29. I�sulaiion � � 78, FIRE PREV. FINAL °� �y
. 30. Drywall Nailing - � HEALTH DEPT. REQUIREMENT p., `''
31. Plaster Brown Goat ' 79. FINAL INSPECTION F=% -
' r ..x
32. Elecvical Power MeterFinal - . � 80. FOOD CERTtFICATE ISSUEO +� �-
<,.,a
33. Final Electric � � � Notes: � � . „+� !�>;
� .,
34. Pinal Heating & Air Conditioning � � ' � ' _ - � r ' --
35. Finai Gas Pipe-7est " - � � '
36. Hood or Canopy � ,- - . - �
37. Final Factory Fireplace , • - � ��
.38. Pinal Piumbing� � '
39. N.'ater Service-Final � � �
�_
40. Gas Service-Final �
41. Solar Oomestic-Final - ' • �` � �
� 42. Backflow Preventer � .
43. Backfiow Irriga2ion � - � ' � � .
44. Landscape irrigation System, � . , . � .
45. Saund Attenuation� � � - _
46. Handicap Regulations , . � , -
47. FINAL STRUCTUIiE & BUICDING �
+ �
48. FINAIPLANNING ` . .
49. .ElecVic Release to Edison ��
50. Gas Retease to Southem California Gas Co . _--
5T. CERTIFICATE OF OCCUPANCY '
No Date
•, �� o �M�S9 '. . I � . � ' .
4 p
0 �
> _.
�
J. �' ' � � � : +�+f,:
'`�'o.mN'�" '"'. ,.
(714)754-5273 • Fax(714)754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 961 DARRELLST
Suite:
Viciniry:
Parcel Nunmber: 42235301
Applicant: MIRAMONTES, MARIO R
Address: 961DARRELLST �
"" COSTA MESA,C�A
/r/
Owner: MIRAMONTES
r �r,.�
Address 961 DARRELL-ST,
,/�� /�
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�Arch / Eng � ��
���'Address: t��
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PlamCheck: �;� $
� L;; Permit: `�i\t?$
�SMIP Res: ���`�:
BUILDING PERMIT
Zoning:
� - .
CZ(,f�
.`� ;i.�;+,,.�. PERMIT NUMBER,�,,,
698-01068 ',/
77 FAIR DRIVE, COSTA MESA, CA 92626 �
Status: ISSUED
Applied: O6/17/1998
Issued: 06/17/1998
�v�: -. r'Zip:"92627 j-. __"-�:.��_,�.,.
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f�Phone: =_--�--'�--�
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f--�Zip`_92627'��..,�.`�` � � \
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Phone: \\1. � , 1,� �
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� '�, � ,�..�-v,... .� Zip. -- ��n_
���,.�ti��'"'' License: _
' V� SCOPE OF PERMIT .
5; HIGH BLOCK WAtL ALONGSIDE PROPERTY CINE (16'FEET
_(47 FEET) ALONG REPUBCIC�AVENUE TO 6��FEET party wall a�
It./ � �-�iJ.�„ _ .. _ ULu��ll'd✓Vua U�.'�
. r = _____ -_:.y =--.�
95 ��
00 i
50 �
00
00 t
i�$71 45 �` � �
� AV\�c,,.., -='?.
\� \; - j' i � S +� '.
EBUILD EXISTING 4 FOOT � � 1 1`i' j
ement attached to �' (� " � � � ' '
iL r �� � � � ��.I
� 4 .
�= I i�i`; —' � � i
� � '� I�J-i' r , � �a'� �
--�1� i;f�,�'' �,_� i��l
—Calc Valuation: f 1 � � �$�,zso.o
Claim Valuation �.';,l �-� ,� ,';'So.o
� r�j� j'� , ir
� �'- ��, /�f)/
�� %�i �
f r<;��r! /,r
t .1�� �' �J /, �
.:,i %�/ L �: �: �f�,
:�;����,
�5; _ m �
�'`� ✓/� �\\r � �-°'� �` PLANNING & ZONING �.��/ ' .
\ �,
�\V(Y j^� ����-^,\��� r,-��',pQ f�-c'= � �" ��%�
SETBACKS �� �� f� 1 i �~� \"�.s.�s. -��--�.,- ,,���, ✓
a `--. �,/
MAINSTRUCTURE Front��0-.0 \`'� f�� Rear� 0 0 �Left 0-0-�;,"",=,1. Right�0-0�
�,; � L.i , ��, �-J��-i`} ,,,..��,-r, IU`�, f-'���� ��.-'I .��=
ACCESSORY � Front 20= 0\� Rear.r 0�0 �(� 'Left j� 0- 0-�� Right;'� 0- 0
� �� �_ µ �._ \'-=1 t��..� � "�. U `'' '' �f �-'/
PARKING Existin : 0 �'Re wred �.0;- , ,f `� '��
. . y. .
—g � -Q .� >a.•.e.;.-n.r..�.�.�ProPoseU:-,�Ot�
�� ��_�� "�-"N' _ �
NOTES:
EXPIRATION: This parmit shall'automatically expire and become void if work is not commenced within 180 days, or it 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 applicable codes, and all
required inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CAIL: (714) 7545626 . . �. . , ,
7
WORKERS' COMPENSATION DECLARA710N:
I herpby affirm under penalry ot perjury one ot the following declarations:
❑ I heve and wi11 meintaln e certificate of consent to self-Insure for workers' compensation, as provided for by seciion 3700 oi ihe Labor Code, for ihe pertortnenca of the
wark tor which this permit is issued.
❑ I have and will maintain workers' compensetion insurance, as required 6y section 3700 ot the Lehor Code, for the pedormance of the work lor w�ich this pertnit is issue0.
My workers' compensation Insurance cerner entl policy number ere:
Carrier. Policy Number:
(TAis section nee0 not be comp/etetl il the permif is valued et one hundred dallars ($f 00J or less.)
❑ I certity Ihet in the performance ot ihe work for which ihis permit is issued, I shall not employ any parson in any manner so as to become subject to ihe workers'
compensation laws of Californla, and egrea Ihat if I shoultl become su6ject to t�e workers' compensation provisions ot Sectlon 3700 of the Lebor Cotle, I shell torthwith
comply with ihese provisions. �
Applicant Signature: Data:
WAFNING: FAILUFE TO SECURE WORKERS' CAMPENSATION WVERAGE IS UNLAWFIIL AND SNALL SUBJECT AN EMPLOYER i0 CHIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLL4RE ($100,000), IN ADDITIIXJ TO THE COST OF fAMPENSNTIIXJ, DAMAGES AS PROVI�ED FOF IN SECTION 3](I60F THE LABOR CADE, IFf�EREST, AN� ATTORNEV'S FEES.
LICBNSED CONTRACTORS DECLARATION: �
I hereby ettirm thet I am licensad �nder provisions ot Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull
torce end eHecL Lic. e Class k
Contracbrs Signeture: Date:
CONSTRUC710N LENDING AGENCY:
❑ I hereby aRirtn ihat Ihere is a conslmction lentlinq agency for ihe pedormance ot iha work for which Ihis permit is issued. (Sec. 3097, Civil Code). �,
Lenqer's Name: � LenOeYs Address:
Signatore: Date:
O�NNER-BUILDER DECLARA710NS:
I hereby affrtn that under penalry ot perjury ihet I am E7(EMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions
Cotla: Any ciry or county which requires e permit to constmct, alter, improve, tlemolish, or repalr any sWCWre, D�ior to its issuance, also reQuires Ihe applicant for such permit
to file e signetl statament thet he or she is licensed pursuant to the provisions oi the Contrectors License Law (Chapter 9(crommencing with Section 7000) of Division 3 of ihe
Business end Protessions Code) or thet he or she Is exempt therefrom and the basis for the elleged esemption. Any violation of Section 7031.5 by any applicant for a permit
subjecis �he epplicant to a civ�l penalry of not more than tive hundred dollars ($500).):
❑ I, es owner of ihe property, or my employees with wages as their sole comDensation, WILL DO T}iE WORK, and ihe structure is not IntentleA or ottered for sale (Sec.
7044, Business and Protessions Code: The Contractore License Law tloes not epply to en owner of properry who builds or improves thereon, entl who does such work
himself or hersetl or ihrough his or her own employees, providetl that such Improvements are not intended or ofrered Por sale, tl, bowever, ihe bulltling w Improvemen7ls
soltl within one year of completlon, the owner-builder will have the burden of proving Ihat he or she did not build or improve tor purpose of sale.).
❑ 1, es owner oi the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to construd the project (Sec. 7044, Business entl Professions
Code: The coniractors License Law does not epply to en owner of propeny who builds or improves thereon, entl who contracts for such proJect with e contractor(s)
license pursuant to �he Coniractors License Laws.). �
❑ I am exeIm,�t u� r se .
Signeture: N` l'—
Owner ID veniietl 6y dnvefs license. ❑ Ves ❑ No
eusiness and Professions Code for this
Vedfication of Ownership by (type ot dwument, I.e. - properry tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION:
Driver's License No.
Date:
Expires:
❑ I hereby cenNy that no evcavation tive (5) or more feet in tlepth Into which a person is requlretl to tlescand, will 6e matle in connectlon with work euthonzed by this
permit, entl that no bulltling structure, scettolding, felsework, ar demolitlon or dismentling ihereoi, will be more ihen Ihirry-siz (36) teet hlgh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomia Administretive Code).
❑ As owneo-builder, i will not employ anyrone to do work which would require a pertnit from the Division of industnal Setery, es noted ahove, unfess such person has a
permit to do Such wark from �he tlivision. �
Signature: Date:
Division af Industdel Safety Permit Number:
CEpTIFlCATE OF COMPLIANCE AND AUTHOR¢ATON OF ENTRY: I certity under penalty ot perjury that I heve reed Ihis applicetion end state that the infortnetion given is
correcL I egree lo comply with all stata laws and ciry ordinances relating to 6uilding constmction, and authorize representatives of the Ciry ot Costa Mesa to enter upon ihe
above-des'cri/bed roperty or inspection purposes. I agree not to occupy or allow occu� cy of any building aufhonzed by this permit uniil final inspedion. �
IN'" �.��—_—_�. (�, �..�_S 'L
• � Signature Of Legal Owner(s) Date
AnNOr Autbonzetl ApD��cant
COOE I INSPECTIONTYPE
tfi16 Fixetl System Final Fire Prevention
1286 Pool Spa Final
200 Final Fe-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Plece
203 Final S(9n
204 Finel Demolition
Z446-46
UAff U�lLS
�
(79'�L�
CO�E� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Finel Plenning Appravel
2Z2 Final Site
250 Final Building/Occupancy
QA7E It�LS
PARTY WALL AGREEMENT
9
�
THIS AGREEMENT, made and entered into this _G��7� !�'�C��/ day of
, by and between.! ��� l� •.� ���M"`�'�'
hereinafter referred-to as "LANDOWNER;'-and ����/i%�/
hereinafter referred to'as "ADJACENT PROPERTY OWNER:'
� _---- - - ----- — -- . ._ -',,_ . .._ — __
It is hereby agreed that a party wall wiil be constructed on the property line
between �
� z,�z� .
�; � � �. ; �
���.�3�
,
in the City of Costa Mesa, County of 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 fo encroach
4c.� , J�fl2,lt�� 5•. CsSs:o. M�/� Cti 4'2c.,2�
IN WITNESS WHEREOF, the parties have eritered into this Agreement the day and
year first'above written.
LANDOWNER
�, lt,c-��—�'l/�L--�,�
!�(-+ l�-�a �/521.. � f�ZA,t�an�Z�S�
Name (Typed or PriMed)
ADJACENT PROPERTY OWNER '
,,,_
(Sig a re) "
N me ype��" ted���
QG! G�-�Z(. S?. C�-1 C3-42-F.2.7
, ��-��-�r�_��`
(Address) , (Address)
�'o'ST� /���.1�i�' . �
NOTARIZATION REQUIRED
1906 a6
JULIE NOEI 3
Comm. N7089)66
L NO7ARYPUBLIC�CAUFONMF�
MARIPOSnCOUNTv �
Camm. Exp. Marc� 10.2C��;'
� CALIFORNIA ALL-PURf E ACKNOWLEDGMEP�9T
�+
� +
,
�_
I
State ot ' i
County ot �
On,�1LGP `
o.
personaily appeared
betore me,
/I/a�/ %/�d�/'� �/
ol OII¢ar la.q..' anc o. Voiar� YvL'+c )
�personally known to me – OR –O proved to me on the basis ol satisfactor� evidence to be (he person�)
whosc namc(�ji�/a+b.;ubscribed to lhc within instrument
and acknowledged to me that he/SHe/ttsay e;cecuted the
same in hi;/P�ltlieifiauthorized caoacit�), and that by
.. dUL1E NOEL 3 his/Iter/thDi�-sic�nawre(�*en the instrument ihe percon�,1,
Comm. #1089766 n
'� I 7 NOTARYPUOLIL�CALIFOPN�Aw or thc entity upon behatl of which tnc_per.�.�(� aC�Qv�
NARIPOSA COUNTV O
� i70mm.EMp.Marth10,2QOC� excculcd the in;trumcnt.
OP
Though (ho inloima�ion balo�v is no� roqur�oU Uy faw, i� may6
. � l�audufonl rcmoval and �oalipEt
Description of Attached
Title orTypo of Document:
Document Date:
/,
Af1d 01(ICI��
�,pn,w,o c�l�oiary
valwbfc (o per on. rclying on (hc Uocumcn: ;.r.0 c.iu;d prc�2nf
� o! tl�i: lorm �noGhe� documcnf.
Numbcr cl Fac�es: /
� Signer(s) OtherThan Named Above: �/j�bNv /��i� ✓
Capacity(ies imed by Signer(s)
Signer's Name: �� � �T'� � o��
�ndividual
p Corporate Ofiicer
Title(s):
p Pariner—❑ Limited ❑ General
p Attomey-in-Facl
O Trustoe
❑ Guardian or Conservator
❑ �IhCC TopolNumbhcrc
Signer.ls Representing:
7T��..se(�
Si,ncr's �amc:
O .Individual
O Corportc 011iccr
TiUc(s):
❑ Partner—pLimiled CGencral
O Attorncy-irnFact
O Trustee
❑ Guardi�n or Conscrvator ..,::.;� �`:
❑ �IhCf: � 70� ol :::um� nr.c
Sic�ncr is �?cpresen;inc�:
O IDOf tUlbn� noWy wuweiwn • axN. R�rtm�lnre. r.v. uoa n u� • �uwpa ran, �n � uuvn o�
PiuU.::o. .DO]
flemJcr. Coil iuLFmo LOW�0IFL0:'.
STATE OF CALIFORNIA
COUNTY OF ORANGE
On June 17, 1998,- before me, L j�(J� �j,(���,�7- , a
Notary Public, personally appeared ,�°
e OR roved to me on the basis of satisfactory
evidence to be the person,(.s� whose namefai are subscribed to the within
instrument and acknowledged to me that hefshef�hsy executed the same in
his/#ieNi+�eir authorized capacityjjes'j and that by his/ber-l�Heir signatureGsl' on the
instrument the person(sj or the entity upon behalf of which the person�Ls'�'acted,
executed the instrument.
WITNESS my hand and official seal.
�
`.,�1,.`, `-�/.% � �; ,
� ' • �
(Seal)
EWNE SfF!NHARDi
— ComrtY�lon I I115BiJ
Morsv awe� — ca�anw
oranpo Ca�rey '
ruly coi,r,,. Exao-es rvw la �
1� �
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":4"'�0FBN1°'"� gGi. DARREi,L ST
owr+EaswwEiFa�vr�'MIRAMONTES, MARIO R'
eooness' MC CORMICK.—MIRAMONTES,
EILEEN H
2721 CANARY ST ;COSTA MESA,CA
�vr�. Yuwic �ooxess � . , - � .
APCNRECTONENtlNEEH: " . . � • 'l1C.H�.:
1PCNAH HNi'S ADDPESS: ' • _ . ..
uxr: I
9262f
UNT: . '
ca+rnecrars ru�: � � � . . � - � � �
caxrx�croas�uuxc � ' . ' -
. � , � �ouwess: � . . . . - . uc. ra.: � � �
� � ' � � uNr: .
LICENSED CONTflACTOPS DECLAflAAON: I Mreby elf'rm uMm peea�y d perjury Nm I em lieenxd uMer pwieona d Cheqer 9
Icw�m�,anc wnn saci� �aaol d amon a d me a�a�en ene a�am�a�. coee..ne mv iioeme u in tun rom em exed.
cm iic No.: uc. cuss: uc. No.: � EXP : � .
Dme' ' Convada: �
OW NEF BUILDER DECLARRTION: I Mnby elfirm uMx �y d perjury ihet I am memq Imm iM Conlrepon Licenae lew ta the
Idbwip eeavon (�� ]W 1.5 &reroas eM Rdeaeons Cotle: A�ry eIY a munN �� �Cuiren a pe�mn �o mnvun. ella.'vnprae.
demWah, a rapei eny eVueture, por w tls csueriee, ebo repuiree �he epplie�am la eueh parmn to fila e tlpned ntetemen� �het ha a aM
is liceneed W���� �a �he povieiana A ihe ConVeqore Licensa Law �Cheper 9(cwnma�ip wnh Seaion ]aao� W Oiveion 3 d 1ha
Busirwss enA Prolaeauna Cade� or Ihel ha ar eha ia eKemyl iherelmm entl the bavis la Na dlaped eaemption. My volelbn d Sedion
]03i.5 by eny epWiranl lw e permn wbptla iha epWicem to e ail penelry d� mae �lan live hunCred dollen �S5W��. -
�� I.eaoxnerd�heO�Wa�YamYemO�W�=x'thwepeamiMiedecam0a�tian.MillEothexwk.uMNeavucwrouMimeMeE
«werea ro..de �s«�im �a..6� ena c�u..�on. c,a.: m. cm�read. tiom..lawma. �a aoNvm d, o.me,d wwam
who WiEa a inprwes the�ean. eM wM10 daes eutl� xwk NmWI a henN a thraph ha a her own omplv/eee. peovked ihm suM
'mporemeMa are mt inierdeE a oflared lor eab. tl. Mwever, lhe buiMinB a mprtrvemeM ia edd wuhin are yav d oomDlMion, tM
�ownn-buiNar xill heve Iha buNan d 0�'inp M or nha dN mi WiN « improve Iw the WR�e ol eele)_ '
I, at ovrtwr d IM paperry. em extlireively mnlred'vq wilh IicenaeE mnVedore b conetrud Ne D�A� (�� ��. ��+� �
Prdessione Gade: TM Contredae Licensa lew Eoes nal eppy b en owner d p'ape�ly wM Wilde or impwo �Mraon enE xfio �
wmracb 1« au h'V�W�9 wnh a oontratlMs) liceved Wnuw to tM Cont�aem Lioeme law). '
� I em a.�emq uMer Sraion: . B. 8 P.G., br Uu � wn: � � - •
Dale: Z � � � � . Ovmer: � . �
I do Aaraby <Mity ihet I em ewere d enE wdenieM Me reyuiremenb d Cellomie /bellh eM Se/ery Code Sed'vn 25505, 255�3. eM '
25531, vd Rim I u env Mure buiMiiq oaupeM will / NI rwt I� �) � to canply wYh aeid ame wEee enE iM rpuimnenb b
Dme: � APGliranc • � ' ' ,
WOFlKER'S COMPENSITION DECL�RATION: I Mreby dfirm unEw pendiy d perjury an d the Mlov.i�q Eetlaralom: -
❑ � neve end .d meiniaN e cenircme a mu.,i �o.w;muee �« wakae� wmo�+m�. o a� �a M s«na, a)ao a ine imv
Gode; t« tM peRamence d ihe wwk la wlich Ihe pertntl ie baued.
� I have eM vnl meinten waken' mmpenee�un inauiarce, m reQuiretl by Seifian 9]00 d iha Lebar Coda, bi iM pMmmerce W tM
wak for which I�ie parm� ia ivueE. My,warken' mmpenamion inwrar�ce timar erd poliry number era: � , �
' ' � c� . . •. �
aa�v Nomw.: . . ' - ' . ,
�m;saearo,�e.d�amcan'pn�ee�u.w��uro.wbn��e�edd�s/siool�rv./ - ! .
� I cenA' � in IM pMameze d �M wwk for which thb pe�mX o i»ued. I ehell ml employ eiry penon in y�wie�ox eo m lo
become vubjee to the workere' campense�ion lewn d Cdil«na. uM'ap�ee thet H I ahoulA become e �ed b the�xv�knv'
mmpenxibn proviaione d Setlbn 9100 d the lebor CaCe, I ehdl fMhxilh comp ' ihasa provi 'q�wro- '
i �� �'
oaie: �' !Pa - � % 'Mdiram: N•-�G�
WemMy: FaNun ro�ecuro woilrwi mmperwtlon eoveraps Is unlewlW, end sMll WlJect en employsr ro MrN�W pmeltlu en0
clv/l flroa � b om huntlrW fMuunC tlN�+n /tI0Q000), ln eWltlon ro N� cwf ol rompsruetbn, tlemeps� es proNtleL br In
SxOon 9�06 0l Ms Lffior COJr, Infsn�l, and ettomsy'� lsea. ,
CONSTNUCl10N LENDINO ROENCY: I Mreby eifirm uiMx penNry o� perjury ihel IMn o e oonstiud'an bMiip epenty br tl» .
penom��m d m. �ax ror.nd� me o�� a mv,ee Isma, aoe�. ca. cl. � • '
' LENOER'SNIIME: � � � � -
' LENOER 5 AUDNESS: � � � � , .
. � � ,
I cerlily �hat I heve reed tli epplcmion enE stata Ihel �he ebova inlorme� on ia w�red I eprae ta canpty wilh ell tlty enE cauMy oNinenoee
end stete lewe reW nB �o buikvp canelrudion erd heraby eNMr¢ represenletrves d Iha Myb en�er upon Ihe ebwa ntaneE propeity
�����'P�"p�W`P�"' MARIO MIRAMONTES ' .
� I nm N
-I'-` I � � Dete: 2.,( � � �
�d�9�ure M nUAvvlicenUComreaor ' .
(5i51Jfi.WP) W���uiMip 8 Selety; GmerFb: Canery-�ppicent: Pink�ib.enue: GolEmio�Asxvor
- ,- CI'I'Y OF C.C�S'fA [�fESP - BUILDIPJC PERIdIT
, ,. PERM D10: B 08'l.b5f
PERM3T NO: B_ 081658 � PLAN CHECK NO: N GOVT; N SUFb'k N
CONSTRUCTION TYPE: V—N PERMIT�TYPE; STR PURPOSE: ADU
JOB DESCRIPTION ; T/OFF RECOVER�W/30'YR COMF SHINGLE SQ FT:�' 3,500
CLAIM�VALUE: 3,500.00 CALC—VALUE: . 3,500.00 GROUP OCC; R-3 /
COMMENTS: FLAT ROOF,WITH BUR/ RESHEATH W/ .5"PLY // SFCYLIGHT INCLUDED
+t+��rr�**+��.��**��*itx�itrt***fe�*�*it�**it�at�****+e�ie�*it*�t�**�**�**�it*�**it****�*****if�+�ie �
" , Z O N I N G R E Q U I R E M E N T S �
� S E T H A C K S ,
---------�-- MAIN HUILDING ---------- . ---------' ACCESSORY BUILDING ---------
FRNT: � ' F'P , IN REAR: tr"P �1N t'NN'1': � F'1' LN ,K�;AH: FT IN
LEFT: FT IN RGHT: ' FT � IN , LEFT: FT IN RGHT: _ FT IN
PARKING REQ: y, PROV: PARCEL: 42235301 ZNE: REF NO':
PLANNING NOTES> '
' " ' f'�� . �. . .... . . ... ., . _ '.•_ . . '. .
et****+e�*�*******x��*****at***at*it*��u�*�-***+e*x�***x�****��*�r*******+F**rt**it�*'*�+e*x�***it*
D E V E"'L O P M E N T S E R V I C E S R E Q U I R E M'E N^-T S
� ,
ZUNING-APPROVED BY ! DATE: `''�
BUILDING APPHC�VED BY. : � ' ' DATE: r^
RPPLICATION ISSUEd BY: � ` DATE; ��'�� I��7
iE3E�1FiE1E9EiEiE#3EiE3ElE1F.!'t16i(�iE1EiEiEif 1flE-%iE�EiE1E1ElEIE�� �1F1E
LEGALIZATION:N� '.... F E E_ S;U M M A R Y STRUCTURAL SEGMENT:Y
" � BLDG PMT PLUMBING• ELECTRIC MECHANZC FIRE SMIP/RES GRIaDING
PERMIT 87.25 � 50
PLAN - „ � . SMIP/NOA]—RE5
ISSUE_FEE '
BUILDING—DIV-> ' PERMIT ISSUE 'PLAN-CHECK TOTAL PAID DUE
TOTALS----> 87.75 ,0,00 , 0.00 87:75 87.75 ,00
� � �
i 1-
REC�ENUE�DIVISION TOTALS--�> ,COLLECTED: 87.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
� f37.25 - .50
�ElE IE df * 1F iE 9F iE 1f !E iE 3f if 1E 1E iE 1E jE iE iE if !E iE 1E jE �IE iE iF jE iE fE iElE if iF fE iF 1E 1E If iE 9E 3E iF,iE iF 1E � iE�E iE iF iE iElE 1(-1E jE jE 1E iF iE iE if 1F 1E 1E if jElElP fC� iE �E �E �E iF 3k
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
SFR �3500 REAOOF BY VALUE RESIDENTIAL NOZONE 1.00 J,500.00
.. � END OF FEES
_. � ..' . � i _ . .
r�. � �`\�- - -
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Ft;; l
g;
;� .:��
CITY Of C�S�A Itii�� .:..
_ _ ,
�
.. r�
� � ' POOL'& SPA. - �' . . ' ' ' +� _
' CONSTRUCTION AND PLRNNING. , ,-y ,-1 r, ,, - :_ „ . � _ �
�- �y; ' - � �- �-�Date 'i�spector ' � ;. Date ' Inspector, '
APPROVALS 'Permit �- _ s , :' APPROVALS , ._ Perm�t # -�
o ��- �Ir:. 4� I;< - i��' p` - I;
°' ; i. Temporary Electriral Serv�ce�or Pole; ��. ' 3 � F � b � y52C Pool & Equipment Location �• ' _ � "
r� -
;r � � 2: Soil Pipe�Undrgrnd. � y �, � - 3 t . �'� � , � � � i ! 53.-` Steel fieinforcemenr - . ; " , _ - I - G
y .3: Electricai Conduit Utility:.Undrgm� a + 3 - � ''t ' ? � �54: Forms � �_ �- ` � S :a q � - _ ' i
. '4. Electricai Conduit-Undr rnd. j °'_`: a.' �! : -" � � . . � : '. - „ �� .. .�-, � . .. � - '� ' ; ` '� .
' g y„ , _ ti.� 55. Electcical�Boncling: • _ , _, � �_
�
'� 5�. Steei Reinforcemer.t r - ; - �� fi F �, � - `56: Rough Plumbifig & Pressure Test�� - '' �I !
�? - �" t '�
-'6. Electrical UFER Grnd. �[ t-_ r�"�`• � 7� i y�- i•57� APPROVAL 70 COVER�GUNITE' . � �
,� 7. Footings ' � ' -' � ' '' ?'� ` �' �:' _, - �58, Electrical;Conduit-Undr rnd: �''- � �'
, �r� '� t �_-4 L . _. . - , � 9 � i - i �a q
�' �.-8. Foundation ' 4 � = 5 � ° k - ' - i " 59. Gas Pipe �❑ Undrgmd':, Test � . � � ` �' ��
� - �r : _ ,. . _ . � :- -- -< i� :;
^ . 9r Water Plpe-Undrgrnd. �' 3 I , ,� . ' ,� �', " � '�60�. Backwash Lines .P�Trap,..�l Undr"gmd. ; t �' '� "
>: o ,
, .70: St`ructurai Floor System : ,� - � 0 3 �'" "� i 61'. APPROVAL TO�DECK � ", ti; , '�' � � r i _i .
i t: Property Sewer �ine & Hou`�se Connection;'' -� �� , :Y . , =62: Baekwash &'Heceptor-Final ; - x _' � + �� I
�� i2. SewerCa �. � �-�''_ Q�� - � .- � . .,.. ; - __�� e� � _
p � = s� �.F ; . � B3; Heater &�Ven��Finai , � � ) � ��
�� 13. Roof Dreins � ` �� ��_ - ' i '64. Plumbing System 'Final� ' ` � �''
i 14. Rough Piumbing ` '• t,; e r � t:_ ;�} ,� f65: Electricai-Final ' � > r.` � s,. . , '
r 15. Rough Electrical-Conduit,-r"'� 1 1:?`f:;,� "`-' '',3 _�� �66� Soler'SYstem-Final � � : - �
16. Rough Electric Wiring �' ' �� ' ' :; z . �"67. Fericing',& Access Approval � ' ° ' ��
e: R
�
1� 17.�Rough Wiring Sign t��;�� > '%"'� �� ' j'��6g! APPROVED FOR PLA�5TER�ING � ry
t F , 1 !:
' 18. RoughElecirirabTBarCe�ling i r�:- _�r*�' , ; „6g: POOLISPASYSTEMSFINAL .+ • :.� � � j,
�i - -
'��'-`-79-Rough�Neating�&=Air-Conditioning=� - -._--_ --_ -_�. �-- =-FIRE'DEPT-REQUIREMENT== ----_-�- � --
r - r. .
20.�Rough Factory Fireplace --� - - - APPROVALS' - Permit#
21. :Ducts, in Structu[e - , _ c � -• = � 70. 'U�derground Hydro
22. Ducts, Ventilating- - � �� �t. Product Piping ��Gas OOii
23.'Gas Pipe=Rough &'Test '_ " `" � 72. Underground Flush _ '-
24. Roof Framing _ . �- - �_ � � . 73. Undergrnd. Stora9e�Tank Q Gas � O.OiI
25. Roof Sheathing '' � I.y��� �(,,j� 74.. Overhead Nydro " �
26. T-Ba � Ceiling {Struct�ral� & Monocoat ' . ' 75.�Dry Chemical - • ' �
27. Frameand Flashing '� . , ' ' 76. Dry Standpipe_,- . ' � '
28. Lathing&Siding� , . �'� . 77. FIXED�SYSTEM�FINAL� '
29. Insulaiion ' � - .. � ' � ' '- ' 78. FIRE PREV. FINA� � -� �
30. Drywall Nailing ; � � �. _ HEALTH DEPT.-REQUIREMENT �
31. Ptaster Brown Coat ' � ' 79. FINAL'INSPECT,ION � .
�
32 �Electricai Power MeterFina! � ��, � �, 80. FOOD CERTIFICATE ISSUED
33. Final Electric y, � � � Notes: :, �_+ �. ' � _
34., Fina! Heati�g & Air Condrtioning s- ' ; ; �- � _
35.�Finai Gas Pipe-Test - ' -' ' . �� . - � ' ' _
36. Hood or CanopY ' " . . . � .• � ' � ' -
� 37. Final Factory Fireplace ' � � � ' � ` �
38. Final�Plumbing _ � � ' � � �� , ", � ,
39. Water Service-Final • "
y '
40. Gas Service•Final �.. _ ° _ " " . ' '. , ��r<r"''� -=�
•r
41. Solar pomesticFinal - � � �� � - ' f�` �
- '- :S' rtt i-'
42. Backfiow Preventer. " , � r' � ` � � �-�
. r7 . :r r�; �'?
.�
43. Backfiow Irrigation -"" ' - � �- �'� '`=
'44. Landscape Irrigation SYstem ' . , - . ' - ''
�45. Sound Attenuation � -- . � * '�
. i
-46. Handicap Regulations � -- " � _ r ' ��
47..FINAL S7RUCTURE & BUFLDING � S �y � � - �
1.7 '
48. FWALPLANNING ' '
49. Electric Release to Edison ��-
50. Gas Release to Southern Calitornia Gas Co , _
51. CERTtPICATE 0P OCCUPANCY - _
No. Da«
i�
COSTA PAESA BUILDING DEPARTAAEfdT i
P. O. BOX 317
COSTp MESA CA�IFORNIA i
C•L. OF STREE
" �iPROP. LINE _
r 10 FT. FOR 60 FT. STREET
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W
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EY QR PROP. LIN
_�iPROP. LINE �'
i
C.L. OF STREE
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� 60
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IF
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W
K
F- J� .
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t
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TI ST.
MAXIMUM 4 FT., F�NCE MAY BE PLACED ON DOTTED_ LINES— �..----
MAXIMUM 6 FT. F�NCE MAY BE PLACED ON SOLID LINES �,
� � 66�4 �
� � FOR APPLICANT TO FILL IN
� � BUILDING ADDRESS 9� / Y�.4 R PQ LG ���.
� `� � Owner ��' `
I � ,� _ nn �,.,a traar�r ..;
I � Mai1 Addres�s -�_� / qp
� �.f,v.( J ��ZG�/ Ph. No. i � .3.� / O �,
I J City =�'L ---------- --� _:.
I � � � - .,„.
�� Contractor �� ti-� � �`" '
Ph. No. �
� � � � Address � � � '�, �l/-� � � �' � �- �
I�� City Lic. No. (v State Lic. No.�—
��(�� — -----�------------------
���I '�� Size oE Lor �o S �C' / fl (I � AP No. �LS�' � f� � ' �
- � �
� Setbacks:,C/L Stri et G G Rear
�� 1� Side Yard - Righi o LeEt
� ! �/
I � Type of Fen�+ C o.0 c.� � f3� �� � a�
� ��7�`a,`�; �- cu �� s%�� -- s;' C'
i � y�,i I heie7��now e e that I have read this application and state
'•� that the above is correct and agree to comply with all City Ord-
Iinances and State, Lavrs regulating building construction.
I Signature /� / . D
I� of Permittee��,l�d/'������ _
I � � Agenf
I� F'OR OFFICE USE ONLY
I`
` Permit No.
i� � � �_ _ / / _ 66�.4
-� ��1�1 � ��
" "0 � VALUATION
I ::
,
�� ��
I��
\
Permit F
� Po!���e
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
00
00
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�
�
;
a
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COSTA MESA BUILDING DEPdRTMENT ,
P. 0. BOX 317
COSTA MESA CALIFORNIA FEE
C.L. OF STREET
� �
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I �
N
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, '. ' � ti
a I
', I
_ _ _ �iPROP.
T. FOR 60 FT. S
�
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� ALLEY pR
N
NE _
=ET
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PROP LINE LL
L-.._1!___—�.____
LIN
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U �
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;ECE`�V�ED I ���s I
I �/1��3�� FOR_
!f'.F (11 I�T � Yw BUILDING ADDRESS
CITY 01� COSTP�
•
10 ' �9
FT (�
I
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--- x --�
+ _3 �
H
w
w
¢
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y
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O
J
FT
60 FTj ST.
�_ C.L. OF STREET� � j (f/Q�/j�,E/�/� ' __�
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID UNES
TO
Mail Addres� 7'l� / L•+�2Ln.+rd/1/ .�/�-
�y � i �
City �2Cti �%?l�-�v Ph. No. / t-" =��5 t�
Contractor ���✓-v Ph. No.
City Lic. No. ��� State Lic. No. ��
Size oE Lo� � � K � � � AP No. �� S'�—S ��3 - �
Setbacks: C/L Street � G� Rear G` �
Side Yard - Righf r'� �t Left �� '�
Type of Fence � -,(�� :1� � 4 � � � �
I hereby acknowledge that I have read this application a�tate
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature /. i , /� , _
of Permittee�� u^
FOR OFFICE USE ONLY
, C , ��� f,.�.. ,...
�A/UL� J.0 �/ �I M1
� " Received by Date Received Date I ued
I ,-� �G - �� - J �' ����
I VALUtiTION ��a ��• �
Permit Fee $ a'
� / �
� q •• fL �- Plan Check $' �
TOTAL FEE $ `�%
USE REVERSE SIDE FOR DETAILS
. . .� y '. .��r . ... �. . � a _ .. � .
OWNER gristol Estetes -'
� JOB ADDRESS 961 Darrell Street
GENERAL'CONTRACTOR S.V.Hunsa
LOT 39 HI OCK
GROUP I & J
INSPECTIONS
Faoting Trench
Foundation Forms�
Rough Framing
_Plumbing, Rough_to
Plumbing, Rough C
Temporary Pole
Wiring, Rough
Heatino. Rouqh
Sewer; House'�_[�,pC Sewer, St.
Septic Tank or"Cesspool
Lathing, In Out —%
Plastering �
Plumbing, Fin�al, Fixtures Comple�l
Plumbing, Fin.al GasTest
Wiring, Final
Occupancy ~
FORM 210 3M 10-•vi
TVPE V
2873
SUBCONTRACTOR
DATE Iy-�.A-7EJ
� BUILDINGPERMITNO
VALUE S 8.856.00
FIRE DISTRICT 2838
PERMITS�ISSUED
DATE � NUMBI
G
�
��-_'C;osta Mesa Building Department v� , APPLYCATION FOR PER �
��'�-�" �� `��' BUiLD1NG
P. O. Boz 3!7
COSTA MESA, CAUFORNIA
, FOR OFFICE USE ONLY �
FOR APPLICANT TO FILL IN „ _ __eeceipt_rvo. Perm�t No.
' n,aar�e�s QC� I`7l �4�zRE �L, S'• ' . t4'/�2J
7 Recei y Date Rec'd. Date Issued
Costa Mesa, California ,, s,y/� �/Q (% /L (
Nearest f � ��+.% , . .-. / / f/ �J v 7'�/�.�v
Cross St. ( l� J� • Bui ding � `
—'p Address �
Owner p TL 1 OL �S Ac' � � ' '
ma�i / x� �-{' Costa Mesa, California t
Address �Oz(� [� . �.� 1 �i u �S �Q. . Nearest ' �
TeI. Cross St. � i '
City��M LE �i�T No. AT��-��� Zone I No.of I Typ¢ :/ Group
ArChitect or Lic.
Plans V
Engineer - No. Approved -
by Date
nddress ' CORRECTIONS
� �. UI.�Sa'�Ee. NoY Li Z�O� � �
Contrector . '
Address S�4N1�
Legal � Lot � � I Z +/
Descri tion No. � Block Tract
(Attach Metesand Bounds)
� ` No. of Bldgs
Size oi Lot �G�J X. L 60 Now on Lot �
l�seof I No.of I No.of
Existing Bldg. ""� F,amilies �Rooma
Sethack Line from r. R � Rear Vard 'Z ,'a '
Addition
� I I moving I I �emousn �
ng No. of +
(0 i Tj Rooms � Stories �
Coveri
Use of
i
� O
�"._ _ _' '__ y
� ,.L. L)
2
.._ -1�`�l i'� ^�_� _ _ �
; r--" . _' S3. . 1 • . ^`�
. �� �.°j���,.
�•.non, ,. -.. .•� ..
w�"� Foundation Location
Forms, Materials,
�,��j�_C� Under-Pinning
�� . � � C Frame: Fire Stops,
� Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Iaws regulating
building construction.
Signature ot "
Permittee �
Authorized Agt. . �Q,�rG �
Valwatlon P ! Fee $ Zz • �O
c/ ("/C % . � e Plan Check $ / � . 00
$ l) ��3 u lP 7ota�
Fee 33. ao
RM 209 IO-SS D, P. 8 5.
Beam
Date
OWNER
JOB ADDRESS
INSPECTIONS I DATE
OCCUPANCY
DATE
PERMIT
SUBCONTRACTOR I PERMITSISSUED
�
Form 41�5M-11-59 5-e P � . ._12�8(�
^
� -- `�� � � ���: ��'��;���
COSTA MESA.BUILDING•SAFETY DEPARTMENT "�� y - � �0 `�'a
P. O. BOX 917 �o�„ MEBA. ��Po��„ � fiiVNNCE DE�T.
For A I�eani.fio Fiil in Com lefel C�Ft OF lGO�T!', MESli
PP � P Y APPLICATION FOR PERMIT
TYPE OR PRINT - � �
BUILDING CJ'� � ��� ,���� BUILDING ` .
AODRESS �
� C057.4 MESA. CALIFORNIA For Off?te Use Only
' ' RECEIPT NO. P RMIT N'
OWNER Y �-.: � -%2.0 �.��a
MAIL /�y �_ �,�, '/'/^�/A'� REC61YE0 HY OASE RECEWEO �qry� T:E I85UEO
ADDRESS /LI L(//��(/'� •v/' . I �5�����OI �/ I�/-(.�
����.�/}-� .TEL. S BUILDING '
GITY [�P9 "'�' NO. �S S� pDDRE55
necHiiecr ' �- � TE�. ' COSTA MESA. CALIFORNIA
OR ENGINEER � NO.
AODRE56 ' � FIRE '
� ��,/ y�
ZONE �TYPE GROUP
CONTRACTOR ` BYPROV�q � �ry L�j" , DATE .�
(ie {� 9
ADDRESS ' � ZONING . , �
ZONE NO.OF U6E OF NEW
CIT�' � / � �/ I PLAN$ �BUILDING " .
STATE � TEL. " . Leaw[ � � �p ^� -7
LIC. NO. NO. DEBCRIPTION � -T V\� O /�
SIZE NO. OF BLDG9. � ' �(
OF LOT � I NOW oN LOT p,-p, NO. � S U'�� �
USE OF � YqROS EVES
EXISTWG BLDG� - - APPROVED ' ALLOWE� '
GETBACK LIN6 pqOH ' [C6NTCR LINe 6i.)
CENTER OP.BTqEET REAR YARD IO' �� FRONT ��—�FT. � � i1N.
SIOE YARD ILEFT ' IR16HT. R.SIDE �.�FT. � IN..
DESCRIPTIOM OF WORK
L. SIDE FT. N.
NEW I II ALTERATION I II ADDITION I� REAR . FT. IN.
REPAIR I. IIMOVING -( IIOEMOLISH' I BYPROVE /�._ - O� pATE S—' b
(J
BUILDING NO. OF ' .
SIZE ' ROOMS STORIES . .,
EXTERIOR WALL IROOF '
COVHRING . COVERING �
USE OF BUILDING ANO WORK TO BE PERFORMED - .
t/ . . .
I HEPEBT ACKNOWL6DGE THAT 1 HAVE READ THI9 APPLIGTION TXE AMOIINT 6HOWN UNDER VALUATION �e FOR THE
ANO BiATE THAT THE ABOVE I6 CORRECT AND AGPEE TO COM� pUpp09E OF EBTABLIBHING � PERMIT FEE ONLY.
PLY WITH ALL CITY OROINANCE6 AND BTAT6 L+1W8 REOULATIN6
BUILDING GONOTRU ON. � . VALUATION . �, �� '
i
61GNATURE OF / j'� `� �,. PERMIT FEE $ N�
PERM177E � n � � .�a '- ,
� $ / �"' PLAN CHECK $ ��
AUTHORIZED AGENr � � � ' 9 B-� 0
TOTAL FEE oC� y
GENERAL CONTRACTOR
BAILDING PERMIT NO.
VALIIE
AP. No. ll�j—S�� TRACT PII2E ZONE DESCRIPTION OF WORK j�� S,i�l l
GROUP � TYPR ZONE PLAN NO. ' 69hK
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITSNUMB R
Final Gas Test
-ow�vER ROBINSON; OSCAT' Sc A71I! DATE Ll-1G-5S `
. 10B ADDRESS 9G1 DSTTEll " " � BUILDING PERMIT NO. 6C��.LL
�G RAL CONTRACTOR QF7ri@T� Builder VALUE $ 530:0� ' -
o. LOT TRACT FIRE ZONE DESCRIPTION OP WORK Concrete Block Retainin�
GROUP TYPE ZONE � PLAN NO. w8].1
INSPECTIONS + DATE � SUBCONTRACTOR
Gas Test,