HomeMy WebLinkAbout881 DARRELL ST - Building Permitse .. :
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�ILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 881 DARRELL ST
Suite:
Vicinity:
Parcel Number: 42236301
Applicant: ROBERT CLINE
Address:
Zoning:
Phone: 714-771-5514
Zip:
Owner: DE,MOSS, JOSEPH C
Address 881 DARRELLST"�� -
, . , . , Phone: -
�. COSTA MESA, CA � Zip: 92627-3313
Contracror. CLINE ROOFING AND CONSULTING
Address: 244 N OLIVE ST
UNIT B Phone: 714-771-5514
ORANGE,CA
Zip: 92866 License: 807421 �
Arch :
Address:
Eng:
� Address:
a
Status: ISSUED
Applied: 07/16/2003
Issued: 07/16/2003
ISSUED BY: �` `
, � � Phone: ' Phone:
Zip: � License: License:
SCOPE OF PERMIT
T/OPF AND REROOF 1700SF RESIDENCE�W/COMP.�SHINGLES. -' � �- - �
FEESUMMARY
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY 'Fronl 0-0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
s
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation: S3,000.00
Claim Valuation: Sa,000.00
Right 0- 0
Right 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 commencetl 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 consitlered legal, such work must comply with all applicable codes, and all
requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
?aa5�ac 1��)
WORKERS' COMPENSATION DECLARATION: � �
I hereby effirtn under penalry oi perjury one of ihe tollowing declarations: .
❑ I have and will maintein a ceniticate of consem to self-Insure tor workers' compensation, as provitlatl for by section 3700 of the Lebor Cotla, for the pertormence of the
work for which thi5 permi� i5 i55ued. '
❑ I have antl will maintain workers' compensation insuranca, as required by section 3700 ot �he Labor Code, for the peAortnance ot Ihe work for which this partnit is issued.
My workers' wmpensation Insurance cerner end policy number aw: �
Carner. � Policy Numher.
(This section neetl not be comp/e(ed i/ the permit is valuetl at one hundred dollars ($100) or less.)
�I cenify ihat in ihe pedormance�f t work lop}.vhich ihis permit is issued, I shall not employ any person in any manner so as to becoma sublect lo Ihe workers'
compensalion laws ot Calif a e ee �Jt if I should become sub�ect to the workerg:compensetlon provislons ol 5�ction y700 oi the Labor Code, I shall totlhwith
comply with these provi ns. II � ///,/- //
ApplicantSignature: Jj Da�e: 7//�l/D� �/
WRRNIN(3: FAILUPE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYER TO CRI NPL P NALTIES AND GVIL FlNES UP TOONE HUNDRED
TFpUSAND DOLLARE (5100,0OO�.IN ADDfTION TO THE COST OF COMPENSATIOfJ, OAMAGES 0.S PROVIOED FOR IN SEGTION 3%O60F THE LABOR CODE, IMEFEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereb eifirm ihat I am licansetl/�under ,ro`vision Ch ���'ppp7 r 9//r mencin with Secti 000 of Division 3 ot Ihe Business
force ntl eflect. Llc. q /' i%�Y � �e� �/ 9 � ' Class k_
�� Contractors Signature: / / Date: _
Code, end my license is in full
CONSTRUC710N LENDING AGENCV:
❑ I hereby atlirtn that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lentler's Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aRirm t�et untler penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5, Business end Protessions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair eny strucWre, prior to its issuance, elso requires the applicant tor such permit
to file a signetl statement that he or she is Ilcensed pursuant ta Ihe pravlsians of the Camrecrore License Law (Chapter 9(commencing with Section 7000) ot Didsion 3 of the
Business and Protessions Code) or that he or she is e:empt therefrom and ihe Desis for Ihe alleged exemption. Any violation of Section 7031.5 by any epplicanl for e permit
subjects the applicant to e civil penalry of not more Ihan five huntlretl tlollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as thelr sole compensation, WILL DO THE WORK, and the structure Is not intentletl or otfered for sale (Sec.
7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work
himseli or herself or Ihrough his or her own employees, provided Ihat such Improvemenis are not intended or offeretl for sale. If, however, �he building or improvement is
sold within one year of completion, ihe owner-builder will heve�the burden of p�oving that he or she did not build or improve For purpose of sale.). �
❑ I, es owner at iha property am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions
Code: The contractors License Law tloes not apply to an owner oi propeny who bullds or improves thereon, and who contracts for such pmject with a contractor(5)
license pursuant to the Comractors License Lews.).
❑ I am exempt under sec. Business and Protessions Code for this reason:
SlgnaNre: Date:
Owner ID verifietl by tlnvels license. ❑ Yes ❑ No Driver's License No.
Venficatian ot Ownarship by (type of tlocument, i.e. - pmperry teu bill or tleed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depih into which e person is required to tlescentl, will be matle in connection with work authonzed by ihis
permit, and that no building slmcWre, scattolding, falsework, or demolition or dismantling Ihereot, will be more �han thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Celitornia Administretive Code).
❑ As owner-builtler, I will no� employ anyone to tlo work which woultl require a permit from the Division of Indusirial Setety, as noted above, unless such person hes a
permit to do such wark fmm the division.
SignaWre: Date:
Division ot Industriel Safery Permil Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF ENTRY: I certify under penalry of perjury that I have read Ihis application and state that the intormation given is
wrreci. I egree to comply with all s�ate laws end city ordinances relating to bulltling cons�ruction, antl au�honze representatives of the Ciry of Costa Mesa to enter upon the
ebove-described proj�erry for iq�peciion purposes. I egree not to occupy or ellow wcupancy of any building authorized by this pertnii un�il tinal inspection.
GOOE 1, INSPECTIONTYVE '
1616 Fi:ed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
�
Final Sign
Final Demolition
QAT� I�
-L -� �
LOOE I INSVECTION TYPE
206 Final MeChanical
20B Final Plumbing
210 Final Electncal
212 Final Fire Pravention
220 Final Planning Approval
222 Final Site
250 FinalBuilding�Occupancy
PAg L�L�
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PPOJECT AOOflESS: 8 S S DARRELL ST
OWNEH'SNqME: MINNI, DONALD E
nooeEss: 881 DARRELL ST
COSTA MESA,CA
AflCHIENGINEEN:
AOUHESS:
UNIT:
92627
flEG.NO.:
UNIT:
PEHMITTEE: DONALD MINNI ( 714 ) 646-7971
�. FDOflE55: BH]. DARRELL ST
C.M. CA 92627
�. LICENSEO CONTflFC70N OECLl�FATION: I hereby a��irm Ihat I am IicenseA wder provisions of Chapter 9(cammencing wi�� Seclion
7000) ol Drv��sion 3 ot Ihe Business antl Pmlessions Cotle, antl my license is in full force and effect.
CITY LIC.: STATE LIL.: CIASS:
Daie: Signature:
wOBREflS' COmPENSATION DECLAflRTION: I here0y affirm Ihal I have a cenibcate ot consent to self-insure or a cehificate ol workers'
Compensa�ion Insurance. or a cenifietl cooY thereot �Section 3800. Lab. C).
POLICY NO.: E%P. ORTE:
ICOMPANY:
❑ Ceriihea copy is hereby fumi5he0 ❑ Cehi�ie0 copy is Uletl wilh [he ciiy BuilUing �ivision.
�I
�
Da�e: ApplicanC
EXEMPTION FflOM WONREBS'fAMPEN5ATI0N OECIAflRTION: (Thisseclion nee0 noibetomplet¢Oi�ihe permi�is brane huntlretl�$100�or1e55).
I cetlity �hai in I�e Dedormante of t�e work lor w�ich I��is permit is i55ueA. I shall no� em0loy any person in any manner 5o as Io became
sublect lo �he orkers' Compensa�ion LawS of Califo �,^� r�
�ate: �� Z Signalu e �i ��
NOTICE: I1, a�ter making Ihis aeclaralion, you s�oultl �ecome su�lec� ta t�e Warkers' Compen5ation provisions o� t�e Labor
Cotle. you musi forihwiih compty wi�� such pmvisions or Nis permi� shall be deemed revoke0.
CONSTPUCTION LENOING PGENCV: I hereby allirm I�a� Ihere is a consimc�ion lentling agency �or Ihe pedormance ol �he work for
which Ihis permii is i55uetl (Sedion 3097. Civ_ C).
LENOEF:
RDDflESS:
OWNEfl BUILDEfl DECLABATION: I hereby affirm Ihat I am exemp� �mm t�e CanVacmrs' Staie License Law for Ihe lollowing reasan
(Seciion 7031.5 Business antl Pmlessianal Cotle'. Any cily oi couniy which requires a permit to cons�mct, alter, impmve, tlemoli5h, or
repair any SimcWre. prior �o its issuance. also requires Ne applican� lor such permil �o tile a 5igne0 5�aiemen� �hai �elshe is licensetl
pursuam m �he pmvisions oi the ConVacmrs Siate License Law (ChaO�er 9(commencing with Sec�ion 7000) a� Division 3 oi ihe Business
antl Pm�essians Cotle) or Iha� helshe is exempt there�mm antl ��e basis tor Ihe alleged exemption. Any violation ol Sec�ion 7031.5 by
any applican� for a permit sublecls the applicant lo a civil penal�y of noi more than �ive �untlred tlallars ($500�.
I, as owner o� Ihe pmperty or my employees wi�h waBes as ��eir sole compensa�ion, will do the work, an0 Ihe
❑ stmcWre is noi inlenaetl or oflered �or sale (Sec�ion 7044. Business an0 Professional Code: The ConVac�ors' Sia�e License Law
tloes nol apply Io an owner o( a pmperty who builds or impmve5 �hereon, and who tloes such work �imsel�/hersel� or thmugh
his Or her own ¢mployee5, provitl¢tl t�ai Such impmvemen�s are nol infentleA or offere0 for 5ale. Ii, how¢v¢r Ihe buiiaing or
7mOrovemenl is soltl wi�hln one year of campletion, Ihe owner will have the Uurtlen of pmving he/she Old not bulltl or lmprove
lor Ihe ourpose ol sale).
� I, as owner ol ��e pmperty, am exclusivety caNracling wi�� IicenSeU conlractor5 io cons�mct ihe pmjec� (Sec�ion 7044, Business
an0 Pro�essions Cotle: ihe Coniractars' Stale License Law does nol appty to an owner ol propetly who builtls ar impmves �hereon
and w�o contracis br such O�olec�s with a contractoqs) license pursuantlo Ihe CONrac�ors' Sla�e License Law),I am aware
Ihal pmoi oi Iheir Worker'S Compensalion insurance should be pmvidetl �o me. .
� I am exempt wder $eCiion: e. 8 P. C.
�ar I�is eason: ,
.
Oa�e'. � Owne' �
I tlo �ere�y ceriify i�a I am aware ot an0 understantl Ihe re0uiremems o� Cabfomia Heal�h an0 Safery Code Sec�ions 25505, 25533, ana
25534 and IAat I or any fuiure buildmg occupan� willlwill noi (circle one) need to complY wi�h saitl state codes and �he requiremen�s for a
�. permil loi conslmction ar motlil¢ation Imm Ihe Nir Oualily Managemen� �isUicL FeSiUen�ial canstmc�ion aD�lica�ions are exempt imm
ihese pmvisions.
Date: FpplicanP.
I hereby ceriify �ha� I �ave reatl Ihis ap0lication and slatetha� Ihe above inlormalion is correct. I agreeio comply wilh ail cily antl counry
ordindnces and s�ale laws relaiing lo butlding conslmction antl herebY authorize represenlatives of ihis cily lo en�er upon Ihe a0ove�meniioned
pmpetly lai insp¢ciian pu/rpeses • [
�ale: �/_7 4__Z—L—�� Signa� P �
D / ' —(
onver's �icense or Socia� Securi�y n:
tfiat�<fi whue-9wlaing: Green—Coae Enforcemenl: Canary—ApplicanL Pink—Revanue; Goltlenma—Assessor
CITY OF COSTA MESA — BUZLDING PERMIT PERM NO: B 06506�
PERMIT NO: B 065069 PLAN CHECK NO: 04644-93 S GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : REPLACE WINDOW 6 DOOR WITH A SLIDER 54 PT: 800
CLAIM VALUE: 800.00 CALC—VALUE: 800.00 GROUP OEC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
**�****�*�***�����****�����*�**�*x*+�x���r��*�**+�**�*N�*�**���c�c****��+�**�**+����*�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING --------- --------- ACCESSORY BUILDING — ------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT LN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROC�: PARCEL: 42236301 ZNE: F1 REF NO:
PLANNING NOTES> REPLACE DOOR AND WINDOW WITH A SLIDER. .,--
� L��
it iE it iF iE if iE iE iE jE IE if if iF if i! if 3f k.if iE if iE iF if iE iE if !E it iE iE it if it iE iF �F 1E if iF iE i.` ik i( iE iE iE fE iE if 3c if iE iE if iE iE if iE it iE if fE iF iF iE -k if� E�E iF aE �E iE iE 1E V M-
D E V E L O,tiP. M E N T S E R V I C E S R E Q U I R E M E N��' S
ZONING APPROVED BY ;�`�– ; �g� DATE: L�.I�` S�
.!
BUILDING APPROVED BY ; DATE: �
APFLICATION ISSUED�"gY: ��� DATE: l–��� 2–�l "13
ifif�fiffflEif-iEiEiEiE�lEiFif�iEififi�i�'tiP'iEiETF�FiT�SFlF3FTE3f�?F3F1F3F�3F3F3F3Fih�tyciF3F�iiFi%'#�'i�F'if�f�iFii�i�-iEfEihifif-%ifif�i'�'x �i�iEiP
iE iE if 3E iE iE it 9E iE iF iE iE it �c iE iE iE it i(� iF it M iE iE it 14 iE 1f jE iE iE if iE if if iE iE iE iF iF iE 1E 3E iE if iF 9E fP jf iF it iE if iFlP if if �f M iF 9f iF iF %9f aF iF if.iF.iE iE jF K iE if iF iE 9F iP
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 21,00 .50
SMIP/NON–RES
PLAN 13.65
ISSUE FEE
BUILDING–DIV–> PERMIT ISSUE PLAN–CHECY. TOTAL PAID DUE
TOTALS----> 21.50 0.00 13.65 35.15 35.15 .00
REVENUE DIVISION TOTALS--> COLLECTED; 35.15 OVER/SHOAT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN–CHECK
21.00 .50 13.65
iE �f iE jf iE �E 9E dE 9f 9E �E iF 3f iE iE if it �f dE 1F iG jf jE �f iE iF iE 1P jf if if 3f iE jE 3E �E 9E-1t iE #'- iE ic iE if 9E ?f df � iF iF �tF?c iF iP 9f i� K iF f: ff iE * iF % if if Yr if if iE �F iF iE # 1F Y iF af i(�
I N D I V I➢ U A L F E E B R E A I( D O W N
TYFE QTY D E S C R I P T I O N UNIT COST T6TAL COST
SFR 800 ALTER BY VALUE RESIDENTIAL NOZONE 1.OU 800.00
END OF FEES
01 OD357:24-00151336 T+'tT 3;.15
6ATE� iii29/43 'Si.t1E: 09:21
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CONSTRUCTION AND PIANN{NG� rOOI & SPA
� APPROVALS Permit # �Date Inspector ( AppRO�'ALS Permit # Date Inspecmr
�
i. Temporary E�ectrical Service or Pole 52. Pool & Equipment Locazion '� "r
.,� .n
2. Soil Pipe-Und�grnd. 53.� Steel Reinforcement ��'� �
3. Electrical Conduit UtiJitY-Undrgmd. 'i 54. Porms ' �(.� ��%
4. Electrical Conduic-Undrgmd. � "� 55. Electrical Bonding GV
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrntl. +,
8. Foundation l- ) 59. Gas Pipe, O Undrgrnd., Test .� i
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. :f� f_
70. Structural Ploor System ' 67. APPROVAL TO DECK � l� ✓:7
✓
11. Property Sewer Line & House Connection • 62. Back�a•ash & Receptor�Final �' �
12. Sewer Cap 63. Heater & Vent-Final �
� .i %
13. Roof Drains 64. Plum6ing System � Fina4 � ,•;�
14. Rough Plumbing 65. Efectrical�Finai n
�
15. Rough Elect��cal•Conduit 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval I
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Cei�ing 69. PQOUSPA SYSTEMS F INAL �
19. Rough Heating & Air Conditioning FtRE DEPT. REnU1REMENT 4
20. flough Factory Fireplace APPROVAlS Permit# I
21. Ducts, in Structure 70. Underground Hydro
22. Ouc[s, Ventilating 71. Product Pipin9 C Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. S[orage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro - �
26. T�Bar Ceiling (S[ructural} & Monocoat 75. Dry Chemica�
27. Frame and Flashing t2-j -S3 /',[y- 76. Dry Standpipe �
�.' !
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 76. FIRE PflEV. FINAL
30. Drywali �lailing HEALTH DEPT. REQUIREMENT �
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical ?ower Meter-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electtic Notes:
34. Final Heating & Air CondEtioning
35. Final Gas Pipe-Test
36. Hood or CanopY �
37. Final Factory Firepiace �'� --��
o--
38, Final Plumbing •�,� x
39. Wat¢r ServicC�Final ��
40. Gas Servfce-Final
41. Solar pomes��c�Final ^
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Irriqacion System
45. Sound Attenuation
46. Handiwp Regulations
47. FINAL STRUCTURE & BUILDING l� �J�G} z���
u
48. FINALPLANNING ,? ' "
49. Electric Release to Edison - �_,
n_
50. Gas Release to Southem California Gas Cn -' 2-
51. CERTIPICATE OF OCCUPANCY "'
No. Date
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� L/ipplOr550FBUILpNG: 8S1 DARRELL ST
°""E"s"""E'F'm°"": MINNI, DONALD E
�ooxcss: 881 DARRELL ST
COSTA MESA,CA 92627
646-9791
APPL.4PIl1N0 AOOPESS:
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IPCNRECT OR EN�NEEH:
ACH ONENG'411UDXE55:
L1C. NO.:
CONLNRCTqI'S NAl/E:
cam�croRswu�mc
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LICENSED COMPRCTONS DECLAHATION: I hereby eXvm unJar paneXy d perjury �hel I am Icensatl uMer provieiam W Cheqm 9
(commana�q wi�h Sectpn �000) d Drvuion 3 of the Busi� anE Profeazwre Cade. eM my licenae is in tull loRs vM eHac.
cmuc.No.: uc.cuss: uc.No.: EXP:
Idbwmg reeron (�� )�t.5 &rsnesa er
Eemofah, or repei e�ry awcmre, pbr b ili k
�s r��sad wB��n io me n,���oos a ma
Businxs arM PrMessons COEe�m�M1etM o
)031.5 by eny eppliranl �or e parmil wEjecb
� I.esoxirerdthepopaityamYempby
�aone.eai«�els a��oaa.e�dna
wM buAds orunD�'ealhereon,end wli
improvemenls ere riM imeMed «oHere
�owner-buiNer xill heva iha buMen d pi
1_ ea owner a Ihe popany. am e:avsvi
nelly d{nrlNry �he� I em exemp /rom IM CaMretlae licenae law la �he
�de: RnY Ny or muny xfiich reVuime e Varmil �o mmNM. eller, imWove.
�uirea tM epplirant for such permn to file e agned aWemant thal M w sM
nsa Law �CAepter 9(commendrq wilh Sedion 1000) oi DiJvion 3 of ihe
hxehom entl I�e bavie for ihe elbped examptun. My violetion d Sadan
B ON� pG11B�ly O� fld TOR 111811 �N! hU11dlBQ ��81] �$5W]�.
ne o� � e�e oa n���w «
conlrecls Iw auM prai� �h e cmiretla(s) IKen
/1
� Iemaxempt nCer �ction: �Y B.!
o�a: c
� do n<reM �eniy n m � em eware d ene wdereiend me
25590, end ihm I or any iNure builEinq ottupeM 11 I wil
e parmG lormnsouction or madifraiion hamtheAr�
provisiona.
CelAomie
mu lew aoea rwi eppry m en avmxd poperly
lema «n,. ow� amv�w�. o�eaa inm .�,on
mia aoN wi�hin one yeerd mmpletion,lha
me wmoee a seiel.
\
Iromihese
oa�a: ncd�:
WONKEF'S COMPENSATION DECL�RRTION: I hareby effirtn undx penally d perjury are d the lolbwi�q dedualona:
� I heve erM wil meimain a cenXiwe d mnaent ro saHinaure Iw xorken' compenution, ea prwidatl Iw by Sedian 3)00 0l ihe leEa
COEe. for tlw pertamenca d tM v.wk fw Mich this pe�mn ia inuea.
� 1 hew eM Mil mainlain xaMen' mmpense�on imuranm. n rpuiraJ by Sepbn 3]00 d IM lebor Lode. M IM perbrmence d IM
wwk Iw wAich thn permil is iaeued. My warka�i wmpenutbn insurence rartier eM pdiry number are:
c� .
PdicyrNumber.
�ma sena� ��d �wr m�Wared i rn. re�x r. ro. � n��d�ed ed�e�s Rr B 0�.J
� I mnAy thet in the qAormence d iM xroM fa which thia permM ia inue I hdl mt employ panon in eny manrror m� lo
bec«ne ubjxi to the xrorkere' compensmion lews W CalAanie, e Ihe� il I e x comq eubl� to tha MoMers'
compenselbn yp �iao�� ,"of SeUion 3]00 of the lebor Code, I ehe o mm I'1 � ' 3 �
Dete:--���';S /"�� Aodcan:
Waming: FeNun ro•xun woMeri rompenasHon rowreps b vnb ( entl sMll �ub/xr an �mp/oysr ro ctlMml pm�ltlu ans
clvll flrre� up ro one huntlretl tMuuiH eo/Nn (f100,000), M etltl/fbn ro fhs ewt ol eompsluafloq oamepu n OroWtlM bi In
SxHon 9)O6 0l fhe Lebor COGe, Intenat. eiM eMmeY i lee�.
CONSTqUCiION LENDING AGENCY: I Mreby etfi�m uMu peneAy d perjury �hm thefa n e mnst�ueion bnEi�p epercy br Ne
paAwmaice d IM �wrk fa whicM1 �Fe pemil b awetl (�� �). Giv. CI.
LENOEq'S NAME:
LENDEP'S RDOHE55:
Ieerliryi p�readthiaeppl'rationudxatelliel�heabwainlamvioniseortea.IpreetaeanplywilnelltlryeeWcounryoNinvKes
aMstete xs n9bWikingcanavuqioneidherabyeNhwaempresantetivmdiM1ctllYloenierupontMebwa-mentioneEpoperry
�Of1113 �SB9.
DOA(�pINNI
-' ao�e:
en vaaa
Whne-&iikip 8 Selery: GreeMFle; Cenery-ADG��� Rnk-Revenue; pokenmE-Ayseamr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 076293 PLAN CHECK NO: 00487-96 L
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOH DESCRIPTION ; 65 LIN FT BLOCK WALL TO CITY STANDARD
PERM NO: H 076293
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 65
CLAIM C�ALUE: 1,300.00 CALC—VALUE: . 1,300.00 GROUP OCC: U-2 /
COMMENTS: 65 LIN FT BLOCK WALL /SITE SURVEY MAY HE RE�UIRED
it�tiE+�i�*x-**ie**�-iE+tit**�***itit****�atet*******x�*****x-*etit**f�iE* ***atat******iEitx�*atat�-et�-*at*at*
Z O N I N G R E Q U I R E M E N T 5
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGAT: FT IN . LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42236301 ZNE: R1 REF NO:.f
PLANNING NOTES> CONSTRUCT 65 LINEAR FEET OF BLOCK WALL NOT TO EXCEED��6 FT IN
> HT. �
�lE ik 1f iE 1f if if iF if 1E �E if 1E IE 1ElE iE iE 1E f(' iE iE iE 1E IE iE �E iE iE iE iE �E iE 1E'IE 1E �E iF 1E 1F 1E 1E iE iElF 1F if if iE i! fE iE fE 1ElE fE 1E'IE aE iE �E iE iE 1E IE iE if if iE�1E 1ElE iElElE �k iE IE �E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S
ZONING APPROVED BY ��� DATE: 2'S�`��o
BUILDING APPROVED BY : DATE: Z"�S 'gL�
�
APPLICATION ISSUED BY:
+��*��***��**�**��****� - �D***+�* �' �+�+�
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE� SMIP/RES GRADING
PERMZT 31 . 00 .,�-• „i , 50
PLAN 20.15 fl' SMTP/NON—RES
5
ISSUE FEE �'�.
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PP,ID DUE
TOTALS----> 31.50 0.00 20.15 51,65 S1ti.65 .00
REVENUE DIVISION TOTALS--> COLLECTED: 51.65 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
31.00 .50',,, % 20.15
iE iE 1E if if If iE 3E iE iF 1E if if 9E if 1k 1E iE iE ik 3F 3E iF 1(� i(� if 1E iE if iE iE if iE iE iE iE iE iE iE 3E iE 1E 3E 1E iE iE 1E iE 1E iE aF i4 iF iE iF iE 1F iF iE iF iflE iE �E �E ik 1E iF 1E IE �E �E 3E iE if ik 3E iF iE
I N D I V I D U A L F E E H 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 65 RES—CONCRETE BLOCK WALL / FT. 2'0.'00 � 1,300.00
END OF FEES
.� � 1
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� CONSTRUCTION AND PCANN��vG � - �OOI & SPA
. APpROVALS Permit # Date Inspector qppROVAIS Permit # Date Ihspector
�
1. Temporary Electriral Serv"�ce or Pole �' 52. Pool & Equipment Location - - �
�. �
z, $�il Pipe�Undrgrnd. � 53. Steel Reinforcement � � '
3_,Electricai Conduit Utility-Undrgmd.. � 54. Forms � �' ,� �
.4. Electrical Conduit�Undrgrod�. � � �55. Eiectrical Bonding � � �
� 5^Steel Reinforcement � ��,j-� %Q�.G.�L 56. Rough Plum6ing & Pressure Test � � �
-6���ElectricalUFERGrnd. � 57. APPROVALTOCOVER�GUNITE
' �7.'Footinqs ��L3�Cld �liif�✓ 58. Electrical Conduit�Undrgrnd._ '�
. 8. Foundation 59. Gas Pipe, � Undrgrnd.; Test � �
9. Water Pipe-Undr9rnd. � �` 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Ploor SYstem i`. ' 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final " -
12. Sewer Cap � 63. Heater & Vent•Final
13. Roof Orains 64. Plumbing System - Fi�al �'�.
14. Rough Plumbing .. . 65. Electrical�Final ,
� 15. FOugh Electrical-Conduit - � - ' = 66. Solar SYstem-Fina1 . . �
16. Rough ElectricbViring 67. Fencing & Access Approval '� "
l
17. Rough VJiring Sign � � � 68: APPROVED FOR PLASTERING
18. Rough Electriral-T Bar Ceifing 69. POOL/SPA SYSTEMS FINA�
19. �Rough Neating & Air Condiiioning " ' FIRE DEPT. REQUIREMENT
20. Rough Factory,.Fireplace _ � , - ' ��APPROVALS�, : Permit#
21. pucts, in Structurer - •• _ �� S -' t'� 70. .Undergrourid Hydro
22. Ducls, Ventifating �� - ; r� � _ � 77, Product Piping OGas OOiI
23. Gas Pipe-Rough & Test .. '� � � 72, Underground Flush
24. Roof Framing : '- �. � _�•' 73 � Undergrnd. Storage 7ank;O Gas ❑ Oil
25. Roo4 Sheathing . �. � - - 74: �Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat , J -• 75. �ry Chemical - "
27. F,rameand�Flashinj�, " . , . . 76. DryStandpipe ��r
28. Lathing & Siding - � " - � ' ' ' 77.. FIXED SYSTEIVI�FINAL .
29. Insulation- � .-^v ' ' • • ~ 7$,. FIRE PREV. FINAL + �
" 30. Orywall Nailing - � - •` ��i - . � HEALTH DEPT. REQUIREMENT
37. PI&ster Brown Coat� � ' 79: FINAL WSP.ECTION ��
��32. Electrical"Power MecerFin,al �i ' � ' �' � ��80.' PQOD CERTIFICATE ISSUED_ .
. 33. Final Electric - _ : � . � Notes: � � � . --
�� 34. Final'.Heating & Air Conditioning �,:.. . � � ' ��� _ - -� -
- -n i -
35. Fanal Gas Pipe;Test. � - ' : , � _ � � � � ' �
� 36. Hood or Canopy � _ � � � " • * � � ' -• • ;
��37. Final Factory Fireqlace . - F., - � . .. .
38. Final Plumbing - �• � � � � �- � , " '
39. Water Seruice-Fnal � . " ; � ' ' .
40. Gas Service-final ; . r: 'r � "�- � -
^i ,i�_�
�-41. So�ar portiestio-Final' . �� ' .
.J
42. Backflow Preventer-� � - � : F- � � -
43. Backflow Irrigation� �' " � - ' . , �.� �/_� �
l - � -,�- �
44. L2ndscape IrripatiomSys[em � �� + x �' _ , ` - �.; - - „� , /��v
- � ' - sa
45. Sound Attenuation r ''�,`' � '; 'J r � 3�6�. e� '��
46. HBndicapRegulations ' •-� .- -. '
47. PINAL STRUC7URE & BUILOING � (p�- �b ��L�. �� `"� � , ., _,
48. FINAL PIANNING � F .: � • ' ' r - '
- �
49. Electric Release to Edison �"; �; ,� - , , '
50. Gas Release to Southem California Gas Co • t � "
. - -
51. CERTIFICATE OF OCCUPANCY . - ' - ' � -
No. Date
PARTY WALL AGREEMENT
THIS AGREEMENT, made and entered into this �3'%ff day of
f��_��i�� 1��� , by and between�O�f%fiL.n L �i�f%fJ /
hereinafter referred to as "LANDOWNER;' and �/��S �vs lOs
hereinafter referred to as "ADJACENT PROPERTY OWNER:'
It is hereby agreed that a party wall will be constructed on the property line
between
(Address of Adjoining
�<=r��
in the City of Costa Mesa, County of Orange, State of California, as per map recorded
in Book �^g , Page of Miscellaneous Maps, in the office of the County Recorder
of Said County. The party wall shall be permitted to encroach
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
ADJACENT PR PERTY OWNER
(Signature)
cG��h� P��� -��
Name (Typed or Printed)
__�3� / ��,�z:2e�l��� � %8 C�� , L�f,�JO/il c�� /eL-� %
(Address) (Address) '
ieas-as
NOTARIZATION REQUIRED
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of � � � �
County of
On �C.f� �� /%9� before me, � L��
rDATE ,.___ NAME.
personally appeared �-nk/H�i��. �i.fl�/Ji l���n (_'65�c'� �CT�} ,
NAME�S) OF SIGNER(S)
I� personally known to me - OR �proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) isJare
subscribed to the within instrument and ac-
knowledged to me that he/shelthey executed
the same in lai�e�f�their authorized
�� capacity(ies), and that by ��/their
� ��v�e�w signature(s) on the instrument the person(s),
amav vueao — cmron+w
oa�uvc�counnr or the entity upon behalf of which the
""''�O'""`�NOV16'10°'� person(s) acted, executed the instrument.
W� l SS my hand and official seal.
�
SIGNATURE OF NOTARY
OPTIONAL
Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent
fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER
❑ INDIVIDUAL
❑ CORPORATE OFFICER
rinF�s�
❑ PARTNER(S) ❑ LIMITED
❑ GENERAL
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
� GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR EMITY(IES)
2124E0
DESCRIPTION OF ATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE
�AZf1} IooTrl %�I�,Q.�/ •`� �
. ��ooT��FiIZ"#f+ ��P 7C \��� � H\�K
�E WLI.C. J�E 1
�Rn��
� �t.,= : ;:.
ADDI710�i5, �:.i.�?i`i:!::, '� ; C;innEC?!0:1� SHALL
gE pPPROVEU t3Y Tfl� r'�-,:+"�iI�C U��a�iTMENT,
� CITY (pF CIOSTA �v1ESq
W«5oN ST
+ ` � At-c_
— cy vu v �
GRY OP. COSTA �1 ?:,�:
PLANhING ' µ..
���ca. o � .'
-- ,� ��S' y�
�a a w�w�"""�'—,..
� �i 011 III�� jOb �} 8�
atbDe Yn �•,• �w wm. �'o txatiore SHNLL NOT De hel to pem�
� �ol0ie via tlon af anY Wo�siore o( arry Cd of Costa
S� taw.
�� P�M sha0 ezpire by Bmiladon arM become nu9 and rab d
� b�g a Is nW commenced and mafntained aciive per U8C §303
(� wAJdn 180 W ��,
STREET
�es�oerec
, , �.,,. ... . __. ..-.
���ite� b�a t�ie..�E�sel��-J
SURVEY QF LOT LINE
P�AY E:_ nC J�JIRED
S�B � .
`.,''i'So"` �{-
REt10ENt[
�Q/
�(,�I�r�P.�/
Cement
Channel
Horizc
Fences
For Fenc�
Vert. Ban
Fo� Fence
Vert.Bars
Fill Cells'�
W here Stt
.-��'-- r�J _-ii
0{
8"� at 32" O.C. �
i+d w�cn c�o�c �,;
Occurs ��
Steel Shall�nr�ptL�d p
Conform to Sec.A-15':
A.S.T.M. `��
All Steel to be Lapped
24" or to Code
w
��
-:� 6
�aL '1L .SL
��n�( (
F.�qC
G G=-•
SGG�
��
NATURALGRADE
. . . �oj�\ \ J ° � .. -
. ��illi;.�?C��. .o .�A,`piV
. TW03/e"�'BAFS n� , � .
� . CONTINUOUSTOP I • '
& BO7TOM � � � {�--µ'IDTN
. � SEE CHARi� �
BELOW �
HOR7ZS7EEL MUST BE TIED IN � •
PLACE AT TIME OF TRENCH
INSVEC710N. . . .� ° I,Q, °.I.
NCRETE BLOCK FENCE
. ... .. �I' - ..
'� d � b
� ,
,• 'TO 16��O:Cri N
I
�•�
:,
�
FOOTING REQUIREMENTS CHART
GENERAL- NOTES
MORTAR: p�e part Plastic Cement, and
Three Parts Sand
GROUT; One Port Cemenf Three and
One Half Parts S�and
COPING: One Port Cement, Three
Parts Sand
CONCRETE: Well Mixed 1:2-I/2:3-I/2
MaY. ot 7- I/2 Galtons oi
Water Per Sack of Cement
GROUT MAV BE POURED FROM 7HE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREASOF HORIZONTAL REIN-
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, E7C.
pEPTH GF E4RTNTCOTH
i/z iHE HEIGTH OF FENCE
-�COW BOTTOM OF FOGTiNG
SCALE: I/2�� = I�
WIOTH 14" . . . . . . . . . . .14" . . . 12��. . . . . 12„
THICKNESS 10". . . . . . . . . . . .10° . . . . . . . . . . . 8 ". 8 „
DEPTH OF EARTHTOOTH , 24° . 20'� . . . . 16". . . . 12"
SPACING OF EARTHTOOTH. . 12� ��.�. . . . . . . . .14' . . . . I6'. . . . . 16'
City of Costa Mesa, California
Building Departm�nt
.. . . .. . �?rvl:��f� Nrnt P^.
_ __ .
OWNER BRISTOL ESTATES - onre 9-5-56 �
JOBADDRESS 881 D�rrell Street BUILDINGPERMITNO. �3599
GENERALCONTRACTOR $. V. Hunsaker VALUE s 8,856•�0 '
LOT rj5 BLOCK TRACT 2873 Sinele Rea. N�Bt't. gar.
GROUP I& J TVpE V ZONE R�-L FIRE DISTRICT 3633
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench � �
Foundation Forms and Grade to Garage
Rouah Framina _ _ ��5
Plumbinq. Fou9h Com
r.�r
rJL�s�-�L��/i� -
-i,i•.,i i i.,vix �
Heating,Final )'�. �S 1-%1-56
Sewer,House CC�C Sewer,St.l�{�S /0%/d",$" QL�GQ 7C�Iit-.�. /O��/'���(� �6 %.� `
Septic Tank o esspool GL e�j /S S6 ��. i��iZ sA� ���' 9�6 %G �.3 ,—
Lathing, In Out /�- �.s �/
Plastering �� 1f `�
Plumbing, Finel, Fixtures Complete)"14G �i i 1�9.1-SYa �"� . �
Plum6ing, Fin�al Gas Test S� � 5 �'A.�7
Wiring,Final ,�C /,`Z,_
Occupancy � �J �m � �2:�1
FORM 110 3M lO�iS
,Costa Mesa Bnilding Department -� APPLICATION FOR PERMIT
�„- � P.O.Box3�� ..��.�� BUILDING '
' COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
' Y�'OR APPLICANT TO I�� ILL IN Receipt No. Permft No.
Addre� l ,Q �� �� /. �
Costa Mesa, Cia�lfOPllla Receiv by Date Rec'd. I � te Issued
,
Nearest � ��. 9 -��=i � �f
Cross St. %—"�AG t it// /R � Buildin
Owner
Mail
Address
aronitect or �
Engineer
Address �
Contrector �v '
Address S
Legal I Lot
Description No.
Size of Lot �1 �
l�se of
Existing Bldg. �
Set6ack Llne from
ing
B
r� Tel.
/ 7� No.
Lic.
No.
City Llc. f
' A ' o.
�
I
Bloek ` I Trut �
I No. of Bldgs
j Now on Lot O
INo.oi No.of
Families Room
, Rearvard d��
Alteration �
Moving I
�y No. of
Rooms
— I Roaf
Addition I
Demolish I
Stories �
Costa Mesa, California
Nearest �
Cross St.
Zone ' A No. oi I Type � y
�� Plans Y
Approved�"
by D:
CORRECTIONS
U APPROVALS
Y� Foundation Location — Inspecto�
Forms, MaSerials,
Under-Pinning
Frame: Fire Stops,
I hereby acknowledge that I have read thls Application
and state that the abave is correct and agree to comply Lath. Int.
with all City Ordinances and State I.¢ws regulating
building cbnstruction. Lath. Ext
Signatureof ,/,J • �� l.i�
Permfttee �l�i�� (`� �� plaster, lnt
Autho�ized Agt,_��G � � Piaster, Ext
Valuation Permit Fee $ ,� �( -- Masonry Reinforced
cY ` �, Plan Check $ �� — Bond Beam
$ � ��G " rotai
Fee �� ' FINAL
RM 304 10�59 O. P. G 5. �
1
ate
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