HomeMy WebLinkAbout937 DAHLIA AVE - Building Permits1
(714) 754-5273 • Fax (714) 754-4856 •. www.ci.coste-mesa.ca.us
Job Address:
Suite No
Vicinity:
Parcel Numbec
.
937 DAHLIA AV
� _': '�:., �
41218340
Applicant SCHNIERER,
Address: 1080 N BATAVIP
� UNIT N �:#�
Owner:
P
1
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a,
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� ISSUE F,EE ' - -
Inst FAU:<100 k BTU'���,. �
� Inst FAU ?700 k BTU ,-3 �
,� Repair/Alt-.CoolinglHeat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU �a
�
RefngSys>100,k�BTU ,
Gas Piping �� -".--- � �'�
FaotoryFireplace � `' �`� ^
�
Hood w/Mech Exhaust°�,' _�;; ��
VAVBax ��:� ��
Vent Fan / Single Duct `�'i� 's
Appliance �` � `
>ba ,,
Fire Dampers .
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
Air Handlers > 70000cfm
Floor Furnace
Floor or Suspend Heater
MECHANICAL PERMIT
77 FAIR DRIVE, COSTA MESA, CA 92626
_. .. � � ;,
StaWs: ISSUED
• Applied: 07/27/2005
, Issued: 07/27/2005
ISSUED BY: I WI )
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ST s � ��" � � a �" � �':� �..� 1� 'i � a " '� t�+;- __ a
'�� �'�' � , Phone 714-997 2969 ,. =_� *�;ti�
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"`�� Zip N 867 � ��w �r� - v
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d .� x,�sa: � :�e'�'' k��a� �'- .4r�
�.� �$ " � r � �,s a' , .u.�.�s. ,.. 4,�. � ` � � - �°a�=
i I R+'A TR ,. <.. �� ;.'�._' �. 3,. ,,
INC
AVIA ST
Phone:
Zip: 92683-5744
�
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� :x,
License: 747643
X ' h --r i . R � � , n' k „ -:�
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....� ,".Np°,'..g; . .r3&A"�}'�8 _ac,�..C_}_r.A:at%n'.ros�
9: 1 INST FAUeTO 100 K BTU AND 1 UF„TO 3�HP/100 K BT
� .. .�<�.�'-'�°_a+ µ ym�, � .,�y�^r � .�^, , , ,
W t :,^��� ........ ..�, .. .�- �-^� -,.
Quantity
i
0
0
0
o �=:
Repair!'Alt Absorbtion i
� Repair/-AltRefrigeretio
-: , Ventillation System
� ,� � ,� ��Eyaporetive Cooler
,r� .�.,�� «,.�nCommercial Incinerator
U "
p� (� °^� �:,
p �..*�. '"�' � � .,�
:
0; .. �`'":'-.,._
$0.00 0
$0.00 0
$0.00 0
To
5�to
�rawKuiu:_; � -
��C500 k BTU�:; �" •` �
ip�/ 1,000 k BTU � �� , `-
ip�a�1;750�k BTU� � �
i/ Over 1 750�BTU � M
s:
� ..
�: ` �.
.G -z , . .... `k .
OtM1er�Mechanical Fee
Investigation Fee
' �,
s000= o
$0:00 0
3, -q
14.70 1
$0.00 0
$0.00 0
S0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
NOTICE: The work authorized by this permit"shall comply with all applicabla handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or ab d no ed
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 es, and all
required Inspectlons and final epproval must be obtained. Failure to obtain Inspections and final approval will result in the ezpiration of ihis pertnit.
FOR INSPECTIONS CALL: (714) 7545626
:aao-aa�wro�
WORKERS' COMPENSATION DECLAFiATION: . . —' �
I hereby aHirm under penairy of perjury one of the tollowing tleclarations: �� �
❑� I heve and will maintain e certificate of consent to self-Insure for workers' compensetlon, as provided tor by secclon 3700 ot lhe Lebor Cotle, for the pertormance of the
nw�ark tor which this pertnit is issued.
�I have end will maintain workero' compensetion insurance, as requiretl by section 3700 of the Lebor Code, for Ihe perfortnance oi the work for which ihis pertnit is issued.
My workers compansa�tio^n�Insurance rarAer end policy number ere:
Cari��`��-�� S�'�C Nr�C� Policy�'Nu—'ymb�er:' ��i 1�0%– ZLUS
('Ihis sectlon need not be comp/eted il fhe permif Is valued et one huntlred dollers ($100) or IessJ
❑. I cenify that in the paAormance of the work for which this pertnit is issued, I shell not employ eny person in any menner so es to become subjed to the workers'
compensation laws of Califomla, and agrea thet tl I s�oultl Dacome sub�ect to ihe workere' compensation provisions oi Section 3700 of the Labor Code, I shall fonhwith
comply with thase sions.
'APPHcent�Sign�e: [bete:f_ �L7f0{
WARNING: FAILORE i$ECURE W ERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CiiIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRE�
T}IOUSAND OOLLARE (E100,000). IN AD�ITION TO THE COST OF COAIPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3106 j1F THE LABOR CADE, INiEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy attirtn that 1 am licensed under provisions of Chapter 9(commencing with Sectlon 7000) ot Dlvision 3 of ihe Business and Professions Code, and my license is in full
fo�d�eflect�. q 7ai�i�3 CI�55_#� %ZO
C�orv�Y.s�Sigt�ture: j��i. Date'� 7��/QS
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm that there is a constmction lending agency for the performance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lenders Address:
Signeture: Da�e:
OWNER-BUILOER DECLARATIONS:
I hereby aHirtn Ihet under penelty ot perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor Ihe Following reason (Sec. 7031.5, Business entl Protessions
Code: Any ciry or counry which requires a permit �o construct, alter, improve, demolish, or repair any strudura, prior ro its issuance, also requires Ihe applicant for such permit
to tlle a signedstatemen(ihat he or she is Ilcensetl pureuant ro the provisions ot the Contrectors License Lew (Chepter 9(commencing with Sectlon 7000) ot Division 3 of the
eusiness and ProfessionsCode) oqihet he or she is axempt theretrom and the basis For the alleged exemption. Any violation of Sedion 7031.5 by any applicant for e permit
subjects the epplicant to a clvil'penelry o`,not more ihan five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensalion, WILL DO THE WORK, end Ihe siructure Is not intended or ofleretl for sale (Sec.
7044, Business and Professions Code:�The Coniractors License Law does not apply to en owner of property who builds or improves thereon, flnd who does such work
himseN or herself or ihrough his or her own employees, provided that such improvemenis ere not intended or oHered for sale. It, however, Ihe building or improvement is
sold within one year of completiori,'.ihe owneo-builder will heve the burden of proving that he or she did not builtl or improve tor purpose of sale.). '
❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo wnstruct the prqect (Sec. 7044, Business and Professions
Cotle: The contrectors License Law does not apply to an owner ol property who builds or improves thereon, and who comracts tor such project with a contractor(s)
license pursuant to the Contracbrs Licanse Laws.).
❑ I am exempt under sec. 8usiness and Professions Code for this reason:
Signature: Date:
Owner ID veniietl by tlnver's licensa. ❑ Ves ❑ No Dnver'S License No.
Venfication oi Ownership 6y (type of tlaument, i.e. - property tax blll or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cetlity that no excavation five (5) or more feet in depth into which a person Is requiretl to descend, will be mede in connection with work euthonzed by this
pertnit, and ihat no building siructure, scallolding, falsework, or demolition or dismanHing thereoi, will be more then ihirry-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Califomia Atlministretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would requira a permit irom the Division oi Industnel Sefety, es notetl above, unless such parson has a
permit to tlo such work from ihe division.
SignaWre: Date:
Division of Industrial Safery Permit Number:
CERTFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTHV: I certiry under penalry of peryury that I have read t�is application and state Ihat the information given is
conect I agree to comply with ell state laws and ciry ordinances relating to bulltling consWction, end authorize represematives ot the Ciry ot Costa Mesa to enter upon the
ebove-descnbed properTy for inspection purposes. I agree not to occupy or a�low acupency of any building authonzad by this pertnit until final inspection.
COOE t. INSPECTIONTYPE Qej€ INTRULS
1616 Fixed System Final Fire Preveniion
1266
200
201
202
203
204
Pool Spe Final
Final Re-Roof
Final Blcek/Retaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
Data
7�Z7�C]S�
Oafe��
COpE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210
212
220
222
250
Final Elecincal
Final Fire Prevention
Final Planning Approval
Final Site .
Finel Building/Occupancy
P9T�. INTIfIRL3
�
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APPROVED
CITY OF COSTA MESA
PLANNING D[VISION
SUBlECT Tp gLDG. DEPT; REG.
NOTE: ADD[TIONS, UELETIOlYS,
OR CORRECTIONS SHACL BE
APPROVED By'['[;g piAN1Vi1VG DIV.
BY:�_
S} ce��
�13�7 �c,�� �c_ �ve.
CbS�'f�l��., ca
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(714) 754-5273 • Fax (714) 754-4856.• www.ci.costa-mesa.ca.us�
• ELECTRICAL PERMIT
�
.. �>t,
�ob nddress: 937 DAHLIA AV
Suite No
� - Vicinity:
Parcel Nunmber: 41218340`•'- �
. ..l•:
Applicant: SCHNIERER, STEVEN'
Address: 1080 N BATAVIA ST .
UNIT N
� � ORANGE, CA ,,, �
Owner:
Address
�� �;
_ �.y�-,,'--
ADD AIR`INC
<�
� 1080 N-BATAVIA ST
77 FAIR DRIVE, COSTA MESA, CA 92626
� , �Status: •ISSUED
1
Applied: 07/27/2005
. Issued: 07/27/2005
_.. ;-t
' dSSUED BY: �--"'�
Zip 92867 ' • ,
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Phone: � d
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Zip: 92683-5744 �'"'��'€ __ ,;,�'�
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�Phone 7.�14 997 2965
�„ ZiP� ..��92867� .
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� License:747643
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REF#MOS'00428��"� `��'""�'" "�''"""" '"
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WORK OT INCLUDE 1 MOTOR TO�10 HP
�� p�.; . :, a � �^- ��:. -:
', � .,. , .. ; ...., aw. ..::.
�� ISSUE FEE £- $23 50
Temp service test $0 00 �
'�♦ Res. a% p ckage'� �SO 00 a" -�
� New Res (1-2 units) $0 0� y� 0 ,' �"
New Res (3+units) ��..a $0 00�� 0 � '
Pool / Spa '� �' $0�00 � 0_ �'�,���� `°��i
�Lighting Flxts 50.00 _�� Os�`� e ��.�'`_.
Recept Outlets $0.00 � 0 ;� r..,:
Switches � �''$0.00 �0 ��
Non Res Appl � , �$0.00'��,..,_, 0�� �f �
Res Appl �� ` :.. $0:00 0 ,��"' ���„�'�
Service to 200a � �*,'$0.00 0-' �� �
Service to 1000a °�$0.00.. � g0�s.
Service over 1000a , $0�:00 0 ���.,�, �` ',�
Mators to 1hp $0.00--.�z, �0, -
Motors l0 10hp $12.30 1� � �
Motors [o SOhp � $0.00 0 ^r � �>�.
Motors l0 100hp $0.00 0 �-'3'�
Motors over 100hp $0.00 0
Communication drops $0.00 0
,. '•1�.•, '. ��:
3
�
Ew ac irv
� . � :.:
_ ..,�m :...
/100 ft
i Section
Investigation Fee
/ Lighting $0 00
$0 00
$D 00
Ipment $0-00
1 kva/kw $0 00
kva/kw ��$0.00
kva/kw $0.00
0 kva/kw �. $0,00
0 kva/kwf'' � �SO'00
ment�`� .., $OS00
stem / Ckt � �,, � $0;00
� :�:���$0.00
y $0.00
� $0;00
�r lights) �: ' : $0.00
inde '��30.00
�' S0.00
� $0.00
$0.00
htye�
0 �
0 °'..
0 �� �` ,
0
0
0� �
0 �'
INOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants 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 authorized under this permit to be considared legal, such work must comply with all applicable des, and all
required inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration o his pertnit.
FOR INSPECTIONS CALL: (714) 7545626
:44636 (OIW�
WORKERS'COMPENSAnON DECLARATON: � , �
I hereby aHirtn under panalty of perjury one of the tollowing declarations: � � " .
❑ I heve and will maintain e cetlificate of consent to self�lnsure for workers' compensetlon, es provided for by sedion 3700 of the Labor Code, for the peAormance of the
�wark for whiCh this permii is Issued. .
��ava end will maintain workers' compensetion insurance, as required by section 3700 ot Ne Lebor Code, for t�e pertomiance of tha work for which this Oermit is issued.
My worckers1' cnmpensratlon Ins`urence carrier entl policy number are:
Certler-?�" �N0.�C RJ1/� �Policy.��.�%�lii�0%� ZOQS� �
(fhis secNon need naf be cromp/eted il the permit is valued ef one hundred dollars ($100) or less.)
❑� I cetlity ihat in the pedortnance ot the work for which this permit is issuetl, I shall not employ eny person in any manner so as to become subject to ihe workars'
compensation lews ot Celifomie, end egree thet if I should become subject to the workers' compensation provislons oi Secllon 3700 oi ihe Labor Code, I shall forthwith
comply with the�se,�e visions
;4pplica�t'SfgnaWreJ(/�� D p�e: '��. %�27I(Z5
WARNINp:FAIWRE�iO$ECUREW KER$'�MPENSATIONCAVERAGEISUNLAWFULANDSHALLSUBJECTPNEMPIOYERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNORED
THOUSANO OOLLARE (5100,000). IN ADDITIIXJ TO THE C0.ST OF COMPENSATION, DAh41GES AS PROVIDED FOq W SECTION �OB OF THE LABOR CODE, IMEREST, AND ATTOf1NEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I heraby eNirm that I em
torta'and:etfecNLia a _
Contr�_actor�._s Signelu re:
of Chapter 9(commencing with Section 7000) oi Division 3 of ihe Business and Professions Code, end my license is in full
�G �A�� �i�T CI-0
1 �[8.� �'27�0.�
CONSTRUCTION LENDING AGENCY: ' "
❑ I hereby aHirtn ihat there is a construction lending agency for the peAormance of ihe work tor which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Atlaress:
� Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHlrm that under penelty of perlury that I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professlons
Code: Any ciry or counry which requires a pertnit ro construct, alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the epplicant for such pertnit
to tile a signetl statement that he or she Is licensed pursuant to Ihe provisions of Ihe Comrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Professions Code) or ihat he or she is e:empt therefrom end the basis tor the alleged exemption. Any violetion oi Section 7031.5 hy eny epP�icant for e permit
sublacts ihe applicant��vil penalry of not more than fiva hundretl dollars ($500).):
❑ I, as owner of the property, or my employees wlth wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or oNered for sale (Sec.
7044, Business and Professions Code: Tha Coniractors License Law does not apply to an owner of property who builds or improves thereon, en0 who does such work
himself or herself or ihiough�hisbr,her own employees, provided ihat such improvements ere not intentled or oNeretl for sele. If, however, �he bulltling or improvement is
sold within one'year of completion, the owner-builder will heve the burden ot proving that he or she did nol build or improve tor purpose oi sale.). '
❑ I, as owner oiihe property, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contractors�License Lew"Eoes"not epply to an owner ol pmperty who builds or Improves ihereon, antl w�o contrects for such project with a contractor(s)
license pursuant to ihe Con�rectors License Laws.).
❑ I am exempt under sec. ����F1n eusiness and Profeuions Code tor this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Drivefs License No. Expires:
Veniication of Ownership by (rype oi document, i.e. - property tau bill or deed):
OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cetlify that no excavation five (5) or more teet in depth imo which a parson is required to descend, will be metle in connection with work authonzed by this
pertnit, end ihat no building strudure, scattolding, talsework, or demolition or dismanNing thereof, will be more ihen ihirty-six (38) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Title 8, California Atlministretive Code). .
❑� As owner-6uilder, I will not employ anyone to do work which would require a pertnit from the Division of Intlus�nel Satety, es noted ebove, unless such person hes e
permit to da such work from the division.
Signature: Date:
Division of Intlustrial Safety Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AI7THORIZATION OF ENTRY: I cenity unaer penalty ot perjury ihat I have reatl this application and state that ihe informetion given is
correct. I agree to comply with ell state lews and city ordinances rela�ing to building consimction, and authorize representatives ol Ihe City oF Costa Mesa to enter upon Ihe
ebove-described propeAy for inspection purposes. I egree not to occupy or allow occupancy oi any building authorized by ihis permit until final inspection.
CO�E t. INSPECTONTYPE
1616 Fixetl Sys�em Final Fire Prevention
1266 Pool Spa Finel
200
201
202
203
204
Final Re-Root
Final Block/Retaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
O�TE INTRIRLS
va�n
T��
�Date�-
COpE� INSPEGTIONTYPE
206 Final Mechanical
20B Final PlumDing
210 Final Electrical
212 Flnal Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final BuildincyOccupancy
PdIE I��
�•
l9
:��nonessaew�wx� 93�% DAHLIA AV� � - - �� �NT�, . � � - � CITY OF COSTA MESA - HUILD'ING PERMIT � .
a'^+Easru�EiFa�m+: ASLAM, SAGHIR A TR . FLOUD:• AH-38 , PERM NO• B Ua366G '
�.. "�opEu: 10351 PARKVIEW AVE ' ," � , '
_ - WESTMINSTER,CA 92683 PERMIT NO: B 083660 - PLAN CHECK,NO: , N GOVT•: N SUPP:.N
' � '° '> � � � , � _ .
dPPL.MAlON0�00flE54, ' � � , ; ' � • � � �. � ' .CONSTRUCTION T'YPE;� V-N � PERMIT TYPE: STR � ' PURPOSE•� OTH
YKXIfECTONENtlNEFA: , � � , . '��,;• � JOB DESCRIPTION � : T/OFF RESHEATRH & REROOF W/COMP. SHIN � SQ FT: � 5, 000 .•� �
41CN.OH FNG.'S IDDRE55: . . . � . UNT: . i • i . . . . . ' � •. .
� � CLAIM VALUE: � 5,000,00, CAliC-VALUE: 5,000.00 'GROUP'OCC; R-3 /
�MT�g� BROTHERS CONSTRUCTZON (213)732-2700
eamucrars�uiwo zq18 W. -WASHINGTON BL COMMENTS:. SMOKE DETECTORS ARE REQUIRED IN EVERY HEDROOM &'HALLWAY
iWONESk L-.A:� '. CA 'uc.ra.: 730930 � *�******��*��******�r�*�r�-**�****�***�r***�*�x�**�«**�-**��****�*�*����r**�*�x��*��**��**
90U18 �M � � � � Z O N I N G R E Q U I R E M E N T S .
LICENSED COHTNACTOp4 �ECLAN�TION: I hereby ellim under perally d pmjuy Mm I em i�.aa ��ae, a�. w c . o , . S E T B A C]C 5 . '
(eommaiweq wn� tion )OM ol Division 3 d Me Bueinma vM Pmfmvma Coda. eM mY �� ie in IUA bee vM eHad. . . .. , �. ' , � .
No.: �a.1('� uccuss: C_�9 uc.No.: �30930 E3 P: �� •------------ MAIN BUILDING -,-------- --------- ACCE550RY BUILDING ---------
o� % c��a: O od' FRNT: FT SN REAR: FT IN FRNT: ' FT IN REAR: FT SN
� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: ET IN
OWN BUILDEfl DECIAFATION: I hereby etfi�m unEer penely ol perFN'Y �hm I em eramp Irom iM Canver�on Licenee irc tM � � • ' � �
^-idma rp reeam (�ion )031.5 Businesa enE Prdmsiom Cade: �'ry cIY a caun�y whid� rtpui2e e permil lo conMrucl. eller. improve, ' - i � . `
rn,w..��yawn�ro,od«w�m.��,�roa��.a.�nsmW��t«�n��aior�w.��dw�.�muwnso.one . 1?ARKING REQ• PROV: PARCEL: � 41218390 ZNE: RE�' NO:
i��a,a W�n m me a�� a ub c«n�a«. �� �.. �Cheqx e(commend�q xilh Sapion 1000) d Dn'sion � d ihe P LANN I NG NOT ESt>� . .
- 6uNne a ene Ftaeuons coeal «�mm �. or .M is e.emp �nerehom ene �ne mu. �ar �n. mkaw e.ertwu�. Nrv viJmu� d smun 1 -�,. . � . '' • .. ;. .- 3
)o31.5ManYeDVlicemtorepermnwd�elheWWicem�oemilVa�YdiwlmaelhenMe�uMretlEdlen�f50oD. ?Eitif�IfikiFikffiE3EiEitdElEik.*�f9E�f�E1F3f�N-iEiF�FlEiE.iFiEififiEfEitiEiE�lEifiEifiEiEiEiE�)F3hifiE�FiEiEiE�fiFiEiE3Eik�lEiE�7EiEiFiEjEjF.iE�1E3f3F3EiFifif3E3EjfiE
❑ �. es ownar W me oronany or �y ampwyeea wah wepea m mei ede compenaeiian, wm eo ihs wwk: ar�e ine evucwre e na intem�ee ' D E��� �.4L � P M E i�] 'r $ E' R t7 1 C F,' $ R E "
aMeredMaelel`����.BuvreveiMProlanianCode:TMCwnredmsLiewelewdoaemlepyyioenow�wdpeopeny ! Q U I R E M E N� S
wlaWWsainD�o+eatherean.eMwhoeoeaeuchx«klvmaeXahuselaWaphheahmownemV�e.pa+�thetwM ' � �� .
impovemmiearemmie�dad«anered�asde.n,how�r.�Mb�iknq«'vnprwemembedawnhinmeyemdoompkaion,ms ZONING APPROVEb BY �: � , . DATE;, --. t~
awnar-buiNer vnll heva Ihe buNan d provinp he or aM d'k ml Wik a imprave tw tM puipwe of aW�. , � _
❑ I. as owner d iM o�M. em e�dueiveh canireeM Mith liwnaed convacbn ro canatrua IM poleG (Sedion 1061. Bueimee vd . , • � � �
a�a,�.c�:meco�„ee�u�.���.me.��,wr�o�«�»�a,�nv�.n,wua,«�..m„.,�.�e.ro bUILUING� AF+PROU�D BY � DATE•:, ��f
mnvacv la euM qqeds wuh a muretlor�s) Ikerreed WrsueM lo IM Camretlae Licmas Lawl. lr•i y' • .
❑ i�,�ma��e„s,nro�: e.av.c..ro��n��,: ' APPLICATION IS�SUED BY: � ��( ` ; DATE: �" � '�
� o�a: . � . . � �. ,t . ' . i '. � it,it*iF*34-1f�c-iE�Eik3t�k�(-iEa4x-�%ifit�f-itiFiFiFiFiF3FiFiFiFiFiFiFiF3F'��3FiFifiFiFiFiFiFTF, r,f �;FiFiF3E3Eif*iEit***,iF�,Fi.��i'.��lt�
ieona,eY�,n�yw,�i,�,,,:,a..w�a��ama�c���roac�i�.�en�s.�cmasem,usos.assx�..m� LEGALIZATION:N • F.E E, S U'M M A R Y -- STRUCTURAL SEC,MENT:Y
zssaa, �d mm i«dn nwrc w�b�re «woN� �n i.ai �,xa Id2e �eI �:ad �o comWr w�n e.�d mme wdm .�d me rew��m«�a ro. � • � � J
e�rmnmr�at��o�moeirm�n�men� �e3ririy.��a�top��a.R�e�i�o��Nao��s�t�s�px<mqwmm�a t' bLDG PMT '.PLUMBING ELEGTRIC MECHANIC FIRE, SMIP/RES ' GRAL7ING
w°`n'�o"°: . , ' ,, . - ' - ;'. PERMIT 99.75 � � . SO
od.: `- �od�: . ShIIP/NON-RES �
WOPKEF S CONPENS�TION DKLANITION: I Mrabi dfim� wdar perehy o/ ppjury aw d �hs blbwi�p deduetiom: � I S S UE F E E ' � � � � � ' ' � � �
❑ in�.�e�;�m���e:,a�m�.w���ioaen-mw�ra�����am�.mw�dian�sea�,srood�n.�no, gUILDING-DIV-> � PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
caaa.i«in�o.n�sau,<�ia�nm�.v�uma,�.e. , � �� . .TOTALS----> � 100.25 0,�00 : � 0.00 100.25 . 100.25 .00
n❑ i ne.e e�a �;� �m.� �e�• �v�on �reureMe. re�w�e M smin, aroo w w. ieno. cme. m. ine o�am� a m.
wak la which thc pe�mA ie iesued. MY wvkais mmpmaetion imurence cemer end pdiry number ve: . . :', • - - ' ' , ,
� c�.: GOLDE.N EAGLE.-•'' EXPIRES' .REVENUE UIVISION TOTALS--> COLLECTED: 100.'l5 OC'ER/SHORT: .00
• aw�N�m�.: • r�Ntr ���n { �_�� � 09/26/.97 BLDG PMT PLUMHING ELECTRIC' MECHANIC FIRE SMIP/TOT GRADING PLAAI-CHECR
m�nba��e�ao-s�cbr.eru.w�.aro.�n��a�eeawsR�ool��,.� ' 99.75 • . .50
'.. � I een�ly IMt in ihe perloimeece d tAe work br xTch inin permil ie iaeuaE. I e ell iwl employ enY Venon in enY menrim eo m m ;, . . ' - � ' . ,'
� 'becomeeubledto�hevrorkers'mmP�etiank�nolCeltl !Y athmillehaulEbecomewM�iolhexwken'� �ifjf�lFif3f�FiFjfjf�lfiE�lEiEiEiEiEiliEiEifiF1liki(�?E*iF1(�if�k3Eif�lE9FiEiFiEiEiEiEiflfiEiE3EiEiEiE�7E�EiE�Eif�1E�lEjfififiEik�E?EiEiF-1E�1EifififiE-lEdkitifit�FdE1F3E �
o penee�ion provisons d Setlpn 3]00 d Ihe lebm Code, I IMh compfy wN� ihoea p .�.. �� , I N D I V I. D U A L F E E H R E A K D O W N
a�e: � ' . AppfraN . ' � . . .
Iny:FaflunblsevnwoMtxe'rompmutlonewxepsbunlewNl,anA�lu11�W/cemx�p/oyw�o pauMusnd TYPE QTY � D E 5 C R I. P T' 2 O N. - UNIT COST• �� TOTAL COST
elv/l flr'sa up b ons hundretl HauuM tlolHn (Sf00,000J, M eJdltlon b M� cwt ol eompsiuefbn, provMW br In ' - ' �
s«uo�3�oso�meueo�coes,�m�+i.��earcomys�10 SFR SO00 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 S,OOO.00
CONSTtiUCT10N �ENOINO 1GENCY: I Mreby alfiim ��� �� a.�,� inr m.�. m e��,a� �«,s� �My n. m. � � END OF FEES - � '
n,no�a,� d m..o� io..n�d� ma w�� re os�aa �seaa, ao��. c�. c�. � .
. . LENOEN'SNRME:' �• • � . ' ' ' • . • . • . , � -
. LENOEWSRDDfiE55: � �, , '
I ceniN thm I heva reed thia epplcMian eM mma thei tM ebove inlamelion ia corted. I q�ree io canply wnh ell pry eM counly atliroiau � . �
eMeimekwsnle�mptobuildinBconmruWianendherebyaulhor¢arepraaentmivesdlhiadryloenlaruponlheabwe-mamunadqoparry ' . � �
for impeclion purposes. � � ' � �
^ � HELEN KANG , ' _ 87-@8-1997/89:251�1/fIB8.25
� ? ��� I �
Dma:
�
(5151de.WP) Whne-Build'mp 8 Selery; OreemFle; Canary-AVGN�aN: ��k-Revenue; CbldamaFAeeeeaor
RCP11:81-8@88882
PERWIT:@83666
r` . . . - �.. -. - P.00� o�.SPA . - , .
' � CONSTHUCTION AND PLANNING " r" - - � ; •y M1 - . _ ' -
�.•Date Inspector �t " • -� �; � � Date Inspector� ;
-. APPROVALS �Permit#.�� = � � � , � . ' -�APPROVALS: Permrt# _ .
� �'' 1., ertiporary`Elec�trical Serv,ice or Pole' r � +52. Pool & Equ�pment Loca�tion � � i .� �
j -; 2: Soii;Pipe-Uridrgmd. �- - � � "� � + . .s _ . � 53. Steel ReinforcemenC � � .� �'-', - ' � 3 , i '
.,
' '' ' ' - - • - i _ >.: .
3. Electrical Conduit Utility"-UndrgrndP'� -, _ �(„ " � � .54-: Forms � � � . � . _ �'
�
� , o„ + - - : . ' .. � � � .
� 4. Electrical Conduit-Undrgmd. I - �' � � -, , s�: . 55: ElectcicaliBonding � � � .,; ��
5. Steei Reinforcement - ', � � . s ',", � 56. Rough Piumbing & Pressure Test �� Y � � '`, '
�
r'�6. Electrical UFER Grnd. ' f . "- "� f 57. APPROVAI�Tp COVER�GUNITE� '_ }'_.-�. �,
� 7. Footings , " � . ' � � = - _ - `58. Electrical,Coniiuit-Undrgrnd., '�„ {', 4
,�
� 8.� Founder,on - � - �� . � �+; . � , s ` � � i59`. Gas Pipe,��-Uncirgrnd , Test, � �- . � � � ' �' �'
4" n f
9.' W;ter Pipe-Undrgrnd. . ' �� `_ � , ; � � � ' �60-. BackwashaLines,�P Trap,� O Undrgrnd.: : y �"
' 70. Structural Floor Svstem �' � :;,� �� � �� s �`4 t -�� ;p" `�'67�. APPRpVAL;T0ID�ECK •-f � r . ' �
r -
11. Property Sewer line & HouSeConneciion_ 5:" `i=. ""'�; ' '62: Baekwash &�Receqtor-Einal'; �. - -�; �
_ (
�: 12. SewerCap . _j '_��'' --: :��� f �'63. Heater&Vent�Finai = � � '� � �' �
� 13. Roof Drains . � '� '' » �' i ' ' i '64. Plum6ing Syystem �?Final _ � �� _ .. - � - �� �� � �
� 74. Rou h Plumbin � � � ' " �� : . �. -" .. � _
? 4 1 �J I
g 9 i.' �f rt, '65: Electrical�Final � ;I ",
�'� 15. Rou9h Electrical-Conduit: ak �; �?� ,g: � :66. Solar� � � '' � .F'� - + i '
_ , 'SYytem-Final ��
�; 76. Rough Eleciric VJiring - ,� i' n�4 " . y� _ � �:',67': Fencing,& Access App`rovaf S�? ` 3�
r. ' T�
� 17. RoughWiringSign 3. � : {„_a;" �'��''�¢ �p� - � '�68i APFROVEDFOR�.PLQSTER�NG� . �v� �}
� 18. �Rough Electrical-T Bar Ceiling+ � �`S�;z' z�ti? - �-m69i POOUSPA SYSTEMS�FINAC i^ � �• v�
�-- k�
�" `�T9-Rough Heating'&'Ai�`Co"ndiFioriing '"' --''"�"'��'"'�'' i �"; 'FIRE �EPT: REQOIREMENT `-Y'`': ""-""_. _ _ � z.,.� .
20. Rough Facrory Fireplace � . APPROVALS Permit #
21. Ducts, in Structure � - -• 70.; Underground Hydro
22. Ducts, Ventilating . - � 71. Product Pipinq �Gas OOiI
23. Gas Pipe-Rough & Ten . � � 72. Underground Flush
24. Roof Framing � - � 73, Undergmd.SrorageTank �Gas OOiI
25. Roof Sheathing .. 7�F �', 74. Overhead Hydro
26. T�Bar Cefling (Structuraq & Monocoac � 75. Dry Chemical
� 27. Frame and Flashing � 76. Dry Standpipe
28. Lathing & Sidin9 ' '� � -� " � 77. FIXED SYS7EM FINAL
' 29. Insulatian • � 7$, FIRE PREV. FINAL �
l 30. Drywall Nailing ' .HEALTN DEPT. REQUIREMENT .
� 31. Plaster Brown Coat � � 79. FWAL INSPECTION
32. Electrieal Power Meter-Final ' 80. FOOD CERTI�ICATE ISSUED
33. Final Eleciric . Notes: � �
34. Final Heating & Air Conditioning . � �
35. Finai Gas Pipe�Test ' '
36. Hood or Canopy . � � � � ,
37. Final Faaory F��eplace .
38. Final Pium6ing
39. Water Servic¢-Fina� . < ' " �
i �
40. Gas Service-F�nal � . �-�' � �
41. Solar pomestic•Final . � � . -
42. Backflow Preventer
_43. Backfiow Irrigation � � ,
�
44. Landscape Irrigation System - � .
i
45. Sound-Attenuation ' . � . � r_ �
46. Handicap Regulations - � � �'Y� �
47. FINAL STRUCTURE & BUILDING �/ZZ g7 � ` • .. ! h
48. FINALPLANNING � �. ': a'o„
i :,,. �-
49. Eiectric Release to Edison �.!�� � � ��p
- 50. Gas Release to Southern California Gas Co . J � ""'��
� ac �
ra r,: ,e.
51! CERTIFICATE OF OCCUPANCY ���� L
No. Date
Vn1\LR
JOB AD
v��� b—ZS—/b
BUILDING PERMIT N0. [
AP No. 412-183-40 LOT TRACT FIRE ZONE VALUE E 500
W ATER
ROUGH PLUMBING
PROP. SWR. LINE r] HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROIIGM MEATING ANO AIR CONDITIONI!
TEMPORARV SEFVICE OR POLE
UN�EFGROUNO'Q— POW Ei1'C'--
ROUGH WIRING
TRENCHES [] FORMS � STEEL I
FLOOR SYSTEM
eONO BEAM [] STEEL REINFORCE
SNEATHING
FqqME r1N� FLASHING
LAiHING — IN �I OUT �
PLASTER. BROWN COP.T .
MEATING, VENT., REFRIG. ANO A.(
PLUMBING, FINAL AN� GAS TEST
E�ECTRIC. FINqL
BUILDING, FINAL
SPECIAL REpUIREMENTS
F INAL
SUBCONTRACTOR
� ' � . ' . ,.� : .. . .
• . JIIN 7_5-76��.�003954r_�'��`*��"�.50
" 422I0 :
, � COSTA MESA-BUILOINGSAFETY DEPARTMENT , ' . �
� - P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 ` - � � �
APPLI ' 7'I N fOR STRUCI'URAL PERMIT
For Applicant.;o Fi 'n Completely — Use Ink Only •
RECEIV DATEREGEIVED T I
BUIL.DING' /�� ' � � ' - �
ADDRESS �' L •/
. - ,1 � � ) � ' ERMIT NO. -
. . , . OWNER -� IC.�TRR�. , �• • ` - A.P. NO. � .
MA I L n� � p BUILDING
ADDRESS ��� � L�'T �V�/�'� ADDRESS �� (f
- p ']T�L-.5f7-�{I.79 � TRACT LOT BLOCK •
� '. CITV ..:� {.,S Y-`(73 �
CANSTRUCTION . W ADD ALTER P ,
LENDER �
� BRANCM ' � �
_ OWNE
� ADDflESS . � -
E
ARCHITECT' � • � . . � TEL. . � SE � $
OR ENGINEEq N y
� . . .. ' � . FIRE . ' � " _
� .20NE ' TVPE GROUP �
ADDRESS i ' '
•♦ � ' �APPROVED
. CONTRACTOR � W ,V � ' BV DATE
_ ' . . i�l � . . . . '� - ' . .
ADDRESS j' - ' - � '
' � . ' TEL. � ZO NO.OF USE OF �
CITV - NO. ' . P�� BVILDIN
F STATE ' � . � . qTV . -�'ARDSAPPROVED YARDSAPPROVED
�.� LIC. NO. '' ��. LIC. NO. � MAIN BVILDING ACCESSORY BUILOING .
{z� SIZE ' ' NO.OF BLDGS. (FROM GLST ET) �
0. OF LOT � � � ' NOW ON l0T RpNT FT. ,
a USE OF � ' ' ' -
.�. EXISTING BL�. / N[(� SI F ' FT.
y
. F� ' Separate,permits are required for _ ` �. sioe F� F-r. • .
Q " electric, plumbing and heating work. '-REAq FT.., � . Fr:
[.W. E OF BUILDING AND WO K.TO' E PERFOR D" �,' DISiANCE BET. � . 'BET. MAIN &
QS! �NL.P_ � O / MAIN BLOG^i. ACCESS. BLOGS.
p.. 1 � VAfl.# DATE '
•� . �Q�IIIL:�v � ' C.U.P. qW ' . ' APPROVED . �.
a.
? - � � � APPROVED�
} �
a, � , ,
Y � 'I hereby aeknowledge thac 1 have reatl Sh(a application and state , `' " ' , n
, a! -ffiai tha above information is corraci antl a9ree to comply with� ,
. �+ ,all lawa reBulOtlnB building consirucNon, entl I shell not employ � �� . . , . �
� any person In �ioleTion of the workmen's compensatlon laws of � `
� Me Staie of Calitornia. ' �'1 � ,�
3� I he�eby certify thet I am properly�licensetl aa a connactor under , G SQ. FT: N
' ffie Stata ofiCalifornie Business antl Prote lons Code, Division 3, • THE AMOUNT SHOWN UNDER �VALUATION IS FOF m
� Chapter 9, an that such iicansas are {n fu ce entl affett, or 1 THE 4URP�E OF ESTABL}SHING A PERMIT FEE ONLY:
� em exempt fr0 he �provisions of ffie State f C ornia Buainess � y
VALUATION , . pERMIT,FEE $ �O •
and Profacsions o '�.Dlvicion , Chapter 9. � . J�
M
. � ' � PLAN CHECK y �= o
SlBnaiura of �OO ^' . .
Pa�mittee $ TAX�� � 5 ' � Q �
. • �
Authorizad Agen4 � " ' ' � � TOTAL PAI D E � �
�,: bi,., , . . . ' .
�
rn�e
: . 3`JQ�.� , , � g _ tiiG 15-72cMs5�010.10�*. �;��.14Z.88
�' � ' OSTA MESA BUILDING-SAFETY DEPARTMENT' � ' � . . � - '
401C�ftp,0. BOX 1200 COSTA MESA, CALIFORNIA 92626' .
�� �� � � - � ` ' � ` PP ICATION FOR BUILDING PERMIT ' � � . -,
.: �. � �� � ForApplicant ro Fdl�m.Completely� � ` �
. . - -- � RE I BY DATE�RECEIVED DATE ISSUED -
� �BUIIDING - -� L'. . ����y� ���7.
.�ADDRESS �.�: .' - '��Dahlia'Avenu� - �
. .., �-. -... - . - .. � . . _ �PEFMITjJI(..,
� a,_ � . . . A.P.�NO. ' ��'
OWNER LOIWIII � f •fl' Q � . .
.MAIL' BUILDING � C^
Z •nooRess '� 16255 Ventura Boulevard, nooREss ,3 lLe�p�
a v CITV EfIC��10 �. C�1I IfOIIIIO NOL�pb—pH]O TRACT %�C-' LOT BLOCK
.�-Z. ' ' EW ADD A R P M '
Z Q � CON5TflVCTION.� . ' . . . .
. . O N LENDER `. - .. _ . � . . - .
, JN eRnivcH` � ` 16255 Ventura�Boulevard " `. j�����
� . .- . � '�'.� t - OWNEP /'T/GW/N � �� G
• 'm J ADDFE55, - . . EIlCIf1O . CQI IIOITIIQ 'I' �` .. � . . �,�J/ '. VALUE / G' �.
. . . .¢1 ��ARCHITECT -. . -.' ., .:,,' 'S .:.. . TEL -'i .. �. .-., . SE . .� � .. $ ` (J �� ' .
��Ja 'ORENGWEER ' ' � ' ��-N .- �
N . .
W � `ADDRESS ' "9��00 • II �hll' BI' C� Q . :-ZONE .. ' . TVP� GROUP ��,
. R W : :. . . .. .. - . . .. , APPR D �` . .., ;' �/ ' / �J
� � J O CONTRACTOR' Ldl'Wlfl �SOUtheill C�1IIfOi�11C1 'IIIC. BV'� � �^� DATE / �/� `/ � �
mz . , . 3 - . . . .
w'w ADDRESS � �6�5 � Q' _ � ZONE _ NO.OF.� ' USE"OF NEW I i � U
, TEL. /,� p�p,ry�_ ' gUILDING
o? c�rv ` „ Encino `Cdl�ifomid-No. 986-5890 '
� STATE � � � � ' "�;.CITV ' ' � ' ' „�'ARDSAPPROVED VAR�SAPPROVED
��� 61C.�N0..-'� �9�3�� -�.LIC.NO.. 8����� �_.MAINBUILDING'. 'ACCESSORVBUILDING.
�O � � - • 'IFROMGLSTREET)' ' ...y,:" - .
�SIZE � - ' ' NO.OF BLDGS: „ � .
. � OF LOT � O],F'X �LOO � ' NOW ON COT O � FFONT � � FT. FT. ' '
USE OF � - �' • -
' EXISTING BLDG. " ` 51 �FT. � FT. -
� .H SIZE OF IJH�L. . .� :NO.OF.° ' '. . - ... . ' . . , .
... Z NEW BLDG. ' ROOMS � STORI ES 1 L SIDE � ' FT. _� -FT.
EXTERIOR WALL. � ROOF -J
L% COVERING � .StUCCO COVERINGWOW Shlll IB REAR FT. -FT: .
'" J�� USEOF BUILDING�AND WOFK',TO�BE,PERFORMED DISTANCE BET: .. BET. MAIN &. � • '
' �a' . • ' •. ' MAIN BLDGS.- ' ACCE$$. BL
Q � � - ' � � VAR.# . � DATE STA� �
Construct Sin le Famil C.U.P.# APPROV
O'. .,, � ,
'�� ' ~ � ". . - . ,'� • ', � '..' ,�. .... ` . '_ ..: , _ .�APPROVED .. ...
�
�' /� /)Z
z
p rnx
' U' `I hereby'acknowledge�ffiat I have read'ffiis�appliwtion and state .HOLD�FOR SPECIAL RE [lj '
, � �that the abave intormation is correct anil' agree to wmply with�
, � � all laws regulating building'cons2ruction; �aud I�shall not employ ' ,, . . � �
� any perzon in� violation ot the workman's compensatiOn laws of _
. y . Ne State of Calitornia. ; � - .. . ' ' ' - b ' ',. ' _. �� „ � '�
� •_
4? � P hereby certify ffiat I� am properly licensetl as a'contrector untler� SQ. FT. o'
� . the State ot California Business and P�otessions Cotle, Divisicn 3; � THE AMOUNT SHOWN UNDER VA�UATION IS FOR
� Chapter 9; and Mat such licenses are in.full force and effect, or I� �THE PURP�E OF ESTABUSHING.A PERMIT FEE ONLV: m
�- am exempt from� ffie provisions ot the State of Wlitornia Business . ¢
VALUATION JA m
and Professions Cotle,�Division 3; Chapter'9i � , , , � - � ' -� � pEFiMIT FEE $ �� � ' �
. ]
Sienatura o " - (� ' ' 11-0 � °t
, .Permittee � i�0�� �.. Downs � s�� ,//�'�% , PLAN CHECK 5 �� E '
� ri 6
- Auffiortzed.Agent � � � ' � � � ` . " � TOTAL FEE $ • LL