HomeMy WebLinkAbout850 DARRELL ST - Building PermitsBUILDING DIVISION
NOTICE OF PERMIT EXPIRATION
DATE: October 2�' 1999
TO: Bemice M. Stuettgen
850 Darrell St.
Costa Mesa, CA 92627
PERMIT NUMBER (S) B98-00565
FOR: Re-roof
PROJECT ADDRESS: 850 DARRELL STREET
Our records indicate the above listed permit(s) were obtained for property improvements
or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of
your last inspection for the project.
According to our records, the permit(s) listed above have not had an inspection for a
period exceeding 180 days. If you have a signed inspection card indicating an inspection
was conducted within 180 days from the date of this letter, please contact this office so
we may correct our records.
In some instances an extension may be granted if you intend to commence work and
complete the project. If the project is complete and you wish to request an inspection,
please call and the staff will be happy to assist you. If you do not contact this office
within 10 days, your permits will expire on November �, 1999. Per Section 106.4.4 of
the Uniform Building Code, additional fees may be required to finalize expired permits.
If you have any questions, please contact the Building Division at 714-754-4871,
between 8:00 a.m. and 4:30 p.m., Monday through Friday. The accuracy of records
affecting your property is our goal and we appreciate you working with us to resolve this
matter.
Sincerely,
Karen Collins
Office Coordinator
�
�I
�
rssocemiawc: g5U DARkELL ST
� ""°E�"Q'0�"" STUETTGEN BERNICE M
ADOPE55: $SO DARREf,L ST
� COSTA MESA{, CA 92'627
'� IVL. WIIJNO /iD�NFSS: � % S 9 � S �I H — �I 7 O �I .
UNT:
! AIKXIiECT OP BltlNFFR: IIC. NO.:
ANCX.ONENG.'SADUflE55:, � , UNT:
cor+murarsw�MESA ROOFING (�714.)548-3072
ca,m.croxs�u�n,c g43 W 17TH
mowess:COSTA MESA CA �N0 564151
92627 u"T
LICENSED COMNACTOXS DECLAP�TION: I heeeby eflim under qneYy d pajury ihet I em Icensed uMx pwiebna d Cheqx e
(oommend�p wilh Section'l000) M Diviaun � d �he Businen arM Prdeavau CaEa, end my licenx b in lull laca anE NIerJ.
cm uc. No.: uc cuss: uc. No.:
3 81 C-39 64151 EXPa OS/98
ma y- - �o���a�Pn n��, na ��P71nn Q� �
OWNER BUILDEX DECL4NATION: I henby alfirm uMer peneYy d perjury ihet I em aremq hom Ihe Contreaon licenea lew ta Ms
tdbwiq ieeaon (�� ]W 1.5 Buaness enA Profeasiona Code: RnY cnY a coun�Y �idi roqu'ues e pe�mil lo cortthud. elln. impow.
Eemdah, a repei eny st'uclure, p'n lo da eaua�e, ebo reQuirea Iha epd�� �w euch permil lo file e vB�� �ement Nel M or eM �
n licerised pursueni to ihe pansbro d Ne Conlredon Limnae law �Chaqer 9(cammma�q wilh Sadian 1000) d Div6ion 9 d ihe
Buainess enE Rdessona COEe� or ihat M w eha ia axemp ih>ehom arM ihe ba�o lor tha elbped azemqion. My vidmun d Seaun
�mi s W�y acW�� �«. w�u �ro�a. me eoW�m �o e dva re�enr d �a more men rNe nuna�ea aonem IssooU.
❑ I, m ow�ar W IM qopeM a�rv �PM�s �h wepea ea thei eob mmpenaetbn, will Eo IM wak, end ihe Miucluro 6� Nlended
«one,ae ror.d.ls«�on �ou. eummss ena waeesima coae: Tne comreaa. �ic�,.e �ewaoe. om epWr�oe� a.me,a wowm
who bultls w inD�ea ihereon. end who dae5 suM watk IimaeM «MmeY w Wauph he a hm own emplvyeee. pwideE tIW such
impwamenq ere mt inieMad a dlered lor aele. X, howevar, the buiNinp w improvemeM ie eold wiihin me yeer d camplelbn, Ns
axrwr-0uiku will heve �M Gurdan W pv+irp he w aha d'q m1 builE or improve la iM WN�e d eela�.
� I. m oxner W iM pwaM, em azduaiveM mnlreGnB wnh licanaed comrec�ore b canetrud Iha G�M� (Setlion )Wi. Businms aM
Vrolesaiona Code: TM Coruredwe Licerue law Ems na epply �o en ow�er d qopMy x1ro W ilds a impovm Ihnaon aM who �
eonlreeb �w eueh prqeds wilh e eonlredor(e) Iceneed W�aueni lo �M CONeetlors Liraeua lex�. .
❑ I em uemp undar Seciion: 8. d P.C., la the �eeeon: '
Dem: Oxnm:
i eo ne�anr cenM inm i em eware a.�w u�emena me rea���emaois a ce�aomu �+e.nn .�e s.brv coae seaon. uws. xss�..�a
P5534. ard Mei I a vry Mun buiMiiq omipem will / wil �(a�cle ma) meE b comON w[� eeiE stete mEea enE iM reyuiromanb la
apermX/ormnelruvMionamaEifiralbnhaniheAi�y eiapemanidstiia.Rask«umlmnn�ueuneppFatiwnvee�emqlmmMwa
a�,s.
Deb: � Appfram:
W ORKEN'S COMPENSATION DKLIHATION: I hereby elfi�m uMer penely d parjury wre d �he Idbxinp dedermioru:
�] I hew eM wi1 meimen e cenJicme d coneenl to aetl�inaun br wuAe�s' campenae�ion, u pwked I« by Saqion 3]00 d �M labor
code. �« �n. y,eo�m,iw, a me wax e« w+:cn mia pamil re irousa. �
❑ i n.w,�a �;� �m� won�a.• oo�o�mo� �o��. m�a��e w s.��, a�oo.d me i.eo, c�. n, ma w�ro.m� d ma
�( woM la M�ieh thu pertnn u mued. MY warlmia eanpensmbn imueenea fertier eM pdiry n�mber are: '
� c�r c�rrmr rrt��r� EXPIRES
aawr N�mca,: � n� ,� �-, ��> O 1/ O 1/ 9 9
(This aMiwr neeC nof be cwnpbleL / the peimt ia lar one h�Mm.f ddlers �5100/ a 4v.) .
� I eenity'Ihm in ihe pMamence d tla wM fa whch thia pam�q o eaueE. I Mell nd empby eiry penon in ury menew w es to
become euqed to Iha workere' companaetion lexa o/ Celilwna, end eprea Nel tl I ehauW bznme wbjap to �M r.aYe�e'
ca�np� � w� a seaion moo w m. �em, wm, �,nem m�nwnn vM wnn mave sions.
o.�,: U— r'��.1—Q� aadc�: l.�j,p n�'1')AQ. �(1� A1 �)
Wem/np: Fell�n ro a�curo workwi rompauatlon rov�repsls unleMu( uW ahtll aub/ect an employsr ro alMrul puuMe� ub
clHl fliroa �q b aro �uneM thouauM Jollan (S10L{000J, M a!�/tlon b M� cwf o/ rompaa�fbn, dan�ps u prov/dstl br In
9xtlm �]fl6 0l tlis Lebor Coes, IrReres4 ��� ettomsy'a Msa.
CONSTpUCl10N LENDING AOENCY: I hereby �rtn undar peneMy d per'ryry tlal Ihen e e canstiudion bnEiip apency tor the �
perlamenoa d IM wak la which Ih6 pemil ia'ssued (Sedion �OB). C'v. C).
LENOER'3 NAME:
' LENDEH'S RUDNE55:
I cenily ihm I heve read �thie epplcqion eM mete Ihet ihe ebove intametian o carreq. l eprea to mnpFy vrilh ell ury end ooumy adirercen
eM sitle kws Mei'rq to WiMvq c«ulruqion end Mreby aNhorae represenletivee M thia cny to enter upon tM ebova-mentioned propeny
lorinspeeian Durpwes. �
- BARBARA MARION
�. � ��
n�'1��z� /Jniirn, o�e
B�e� re M OxneHRpenVRppXcen ienor ,
(5151de.WP) Whne-Buildmp b Salery; GreemFle; Cenery-App4canC %nk-Revenue; (tokbnra�bsmxr
CITY OF COSTA MESA - BUILDING PERMIT
0
PERMIT NO: H U87813 PLAN CHECK NO; N
CONSTRUCTION TYPE: V-N PERMIT TYPE: STR
JOB DESCRIPTION : T/OFF COMPO ROOF, APPLY NEW 20YR COMPO
l3 �- lSl �'6 S
PERM NO: B 087813
� GOVT: N SUPP: N
� PURPOSE: OTH
SQ FT: 3,300 '
CLAIM VALUE: 3,300.00 CALC-VALUE: 3,300;00 GROUP OCC: R-3 /U-1
COMMENTS: TEAR OFF COMFO RUOF,INSTALL NEW 20YR CLASS'A' O/2 LAYERS 15LBFELT
���*�*��x*�r�*�r�r*���***���*+��+�*******�tx*�*�r*****��**�t**��r***�**x****�t*****�*x*�t�
Z U N I N G R E Q U I R E M E N T S
S E T B A C H S
------------- MAIN BUILDING =--------- ---------.ACCESSORY BUILDING '--------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGhT: FT IN
PARKZNG REQ: �„ PROV: PARCEI,: 42236219 ZNE: REF NO;
PLANNING NOTES>
,;>
�E iE iE 3F iE iE iE jE 3E jE if iE iF±k 9E ii iE iF iE ih if iE iE iF if if;f if iE iE �Jh 3f �E it iE 3E � iF iE if iF iE iF if it iF iF 1i df if iF iE iE iE 3E iE iE if iE if iE iF if iF iE if iE if if iE if iE 1E iE dE 3E �E?E aE
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
v"./
ZONING APPROVED BY DATE:
BUILDING APPRG��^ED BY : DATE: �
APPLICATIOT7 IS$UED bY: �C.�.ti DATE: z
lFif�if3E3(-iffEiEi4jfieiEi(-3FifiEiEiFiEiEiEiE i i i 3F t r ��FiE�1't3EaFiF3F3EifiE iF3E�E
LEGALIZATIGN:N' F E S M M R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 87.25 - .50
SMIP/NON-RES
PLAN •
ISSUE FEE
BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 87.75 0.00 � 0.00 87.75 87.75 .00
REVENUE DZVISION TOTALS--> COLLECTED: 87.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
87.25 .50 '
iE if if if ik if �f #-iF if 1E jf af af iE �E �E jf ii if if jf iE iE �E fE iE jf 3E if if �F * iF �)E �E iF if iF if iF iE i� if iF if iF iF iE iE 1e if i(� iE iE if iE iE iE iE if iE � iF it iE if fE jE if iF iE iF jE iE-� iE iE iF
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
5Fk 3300 REROOF BY VALUE RESIUENTIAL NOZONE 1.00 3,J00.00
END OF FEES
E��' � D
DA� N a5 ao
L4-21-1338!le:52 pN/ig7.75
kCF'Tp:Oi-3�22t43
GE�'tMIT:087813
� — �
/
� .UCTION AND PLAN� .i _ I
�ROVALS Permit # �
t. Temporary Electrical Service or Pole '�.
2. Soil Pipe-Undrgrnd. �` �
3. Elec[riLal Conduit UtilitV-Undigr�d. �
4. Electrical Conduit�Undrgmd. ,
5. Steei Reinforcement
6. Electrical UFER Grnd. . � ,
7. Foo2ings •
8. Poundation • -
9. Water Pipe-Undrgrnd. '
10. Structural Floor Svstem ' � �
11. PropertY Sewer line & House Connection
72. Sewei Cap � -
13. Roof Orains ' -- .
14. Rough Plumbing ' .
15. Rough Electrical-ConduiC .�
16. Rough Electric Wiring' . - �
17. Rough Wiring $ign �
78. Rough Electrical-T Bar Ceiling + �
� 19. Rough Heating & Air Conditioning -
20. Rough Factory Fireplace ' '
21. Ducts, in Structure .
22. Ducts, Vemilating -
23. Gas Pipe-Rough & Test
24. Roof Framing �
25. Roof Sheathing �
26. T-8ar Ceiling {Stiucturali & Monocoat
27. Frame and Flashing
28. Lathing & Siding �
29. Insulation .
30. Drywall Nailing
31. Plaster Brown Coat
32. ElectriCal Power Meter-Final
33. Final Electric
34. Final Neating & Air Conditioning
35. Finai Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water $ervice-Finai
, 40. Gas Service-Final �
41. Solar pomesticFinal
42. BackfloW Preventer
43. Backflow Irrigation .
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regula[ions
47. FINALSTRUCTURE&BUILDWG
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Cc
51. CERTIFICATE OF OCCUPANCY
Date
Date
e
- � ?OOL & SPA �
lnspector . AppRObALS� Permit #
52�. Pool & Equipment Location .
- 53. Steel Reinforcement . -• •
- � 54: Forms � . �
55. Elettricai.Bonding "
� 56. Rough Plumbing & Pressure Test
' 57`. APPROVAL TO COVER�GUNITE
56. Electrical Conduit�Undrgmd. �
. 59. Gas Pipe, O Undrgrnd., Test �
� 60. Backwash Lines, P�Trap, O'Usdrgrnd.
• � � �67. APPROVAL TO OECK '` �
62. Backwash & Receptor-Final -
63, Heater & Vent-Final '
64. Piumbing SYsterri �.Final ' ��
. 65. Electrical-Finai � . `
-66. Solar System-Final . �
�� �� � 67. Fencing.& Access Approval
68. APPROVED FOR PLASTERING
� .69. POOVSPASYSTEMSFINAL .. '
- ' FIRE DEPT�. REQUIREMENT = �
APPROVAIS Permit # -
i
a
Date I lnspector
70. Underground Hydro
77. ProductPiping�Gas ❑Oil
72. Underground Fl�sh
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Ory Chemicai
76. Dry Standpipe
77. FIXEO SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION �
80. FOOD CERTIFICATE ISSUED
Notes:
_ �
�
_'
i
1)
APN:
County:
Census:
Map Pg:
New Pg:
Phone:
Owner:
J SUBJE 'ROPERTY INFORMATION
Property: 850 DARRELL ST, COSTA MESA CA 92627-3314 C014
422362-19
ORANGE, CA Tax Rate Area: 15039
638.03 Prop Tax: $676.00
27-B6 Delinq Tax Yr:
888-G1 Exemptions: HOMEOWNER
STUETTGEN BERNICE M
Mail: 850 DARRELL ST; COSTA MESA CA 92627-3314
SALES INFORMATION
LAST SALE PRIOR SALE
Transfer Date: 09/17175
Sale Price(fype:
Document #:
Document Type:
1st TDfType:
Finance:
Junior TD's:
Lender:
Seller:
Title Company:
Transfer Info:
1151301261
SITE INFORMATION
Improve Type:
Zoning:
County Use: 1
Bldg Class:
Flood Panel: 06059C-0046E
Phys Chars:
Legal
Comments:
L73 TR2873/N
Lot Size:
Lot Area:
Parking:
Park Spaces:
Site Influence:
A0.13
6,000
ATTACHED
2
. ..
Use: SFR
Total Value: $48,712
Land Value: $23,578
Imprv Value: $25,134
Assd Yr: 1997
% Improved: 51%
IMPROVEMENTS
Bldg/Liv Area: 1,042
# Units:
# Bldgs:
# Stories: 1
$/SF:
YrbIUEff: 56
Total Rms: 5
Bedrms: 3
Baths(F/H): 2
Fireplace:
Pool:
Bsmt Area:
Construct:
Flooring:
Air Cond:
Heat Type: FORCED AIR
Quality: GOOD
Condition: GOOD
Style:
Other Rooms:
Copyright OO 1996-97 Experian Page: 1 of 1
PqOJECTpOUflESS: 8SO DARREL� S1
OWNEfi�NAME: STUEIIGCN BERNICE M
�� aooaEss: $ jQ DARREi,L ST
COSTA MESA,CA 92627
UNIT:
PRCH/ENGINEEB: BEG.NO.: � '
NOOXESS: I1NIT:
PEBMITTEE: BhRNICE M. STiiET7'GEN (�%19)54fl=fi904
Aooness: $SO DARRELL S1
COSTA ME5A CA 92627
LICENSEO CONTflACTON DECIPBBTION: I hereby aifirm t�al I am licensed untler pmvisions'ol ChaD�e� 9(commencing with Section
7000) of Division 3 ot I�e Business antl Pwiessions Co�e, and my license is in Iuli lorce ana e��ecl.
CITY UC.: STATE LIC.: C1A55:
Oate: Signature:
WOflKEHS' COMPENSATION OECIAXATION: I here�y a�hrm thal I have a certificate o� [onsent lo sel4insme or a cehilicate o� Workers'
�mpensziion Insurance, or a certitiedcoOY �hereo� (Section 3800. Lab. C).
LICY, NO.: EXP. ORTE:
OMPFNY:
❑ Cenifietl copy is herehy Wmishe0. ❑ Cehi�ietl copy is liletl with �he ciry Building Division.
Oate'. Applicani:
E%EMPTION fBOM WOBREHS' COMPENSRTIDN OECIAflPTION: (Thi55eciion need no� be completee it the permii is for one huntlreU ($100) or less�.
I cetlify tha� m the performance of Ne work tar which Ihis permi� is i55ue0. I shall no� employ any person in any manner so as �0 6ecome
sublec� �a ��e Workers' Compensalion Laws oi Califomia.
Oaie: � Signalure: �
NOTICE: II, aiter making �his declaraiion, you should Decome sublect m the Workers' ComDensation Omvisions o1 ihe Labor
Code. you musl fohhwi�� comply wi�� such provisions or ihis permil shall be deemed remke0..
CONSTFOCTION �ENUING AGENCV: I hereby af�irm that �here is a construclion lentling agency �or �he pedormance o� the work �or
w�ich Ihis permi� is i=_suea �Section 3097. Civ. C�. �
LENDEfl:
� ADOPESS: ' - � '
OWNEfl BUILUEfl DECNPATION: I here0y ailirm that I am exemp� �mm �he Contracmrs' S�a�e License Law lor Ihe �ollowing reason
(Section 703t.5 8usiness an0 Pmlessional Code:. Any city ol county whic� requires a permil lo conslrucL alter, improve, tlemolish, or
repau any stmciure. prior to its issuance. also requires Ihe applican� lor such permi� to lile a signetl s�atemenl that he/5he is IicenseA
pursuanl to Ihe pmvisions of Ihe Coniracmrs' State License Law �Chapler 9 �commencing with Section 70W) of Diuision 3 of Ihe Business
an� P�o�essmns Cotle) or iha� he/she is exempl Iherefrom antl ��e basis for the allegea exemp�ion. Any violation o� Seciion 7031.5_ Uy
any applicant for a permil sublec�s the appl¢an� to a tivil penally o� nat more than five hundre0 dollars (5500�.
I, 'as owner of ihe pmpetly or my employees with wages as Iheir sole compensation, will do t�e work, antl Ihe
(❑ s�mcwre is not imen0e0 or oifered lor sale (Section 7044, eusiness ana Pmtessional Cotle: The Coniractors' State License Law
does nol appty �o an owner oi a pmpetly who builtls or impmves ihereon, antl who tloes suc� work himsell/her5el� or Ihmugh
�is or her awn emploYees, providetl �ha� such impmvemen�s are no� in�en0e0 or of�ereU tor sale. If, however �he bmltling or
impmvemeni is soltl wi�hin one year ol com0lelion, Ihe owner will have Ihe but0en o� pmving he/she Oitl not builtl or improve
for the purpase of salel.
I. as owner ol �he pmpeny. am exclusively conUac�ing with Iicense0 conVac�ors lo consVuct �he pmlec� (Section 704a, Business
❑ antl Pmlessions Cade: The Contraclors' Slaie License Law does nol apply to an owner o� pmperiy who builtls or impmves thereon
'and who contracis br such pro�ec�s wi�� a canVac�or(s)license pursuan� to t�e ContracloK State License Law�. I am aware
Ihat piool ol �heir Worker's Compensalion insurance shoultl be pmvided Io me. ,
� � am exempi under semion: $ p 7 Q q Q B. 8 P. C.
mrmisreason.' rpd•1ILY PROJECT
� -��ate: __ � — _�.�� ne
i tlo nere0y cendy �hat i am aware ol antl untlerstan0 the requiremen�s oi Cali umia Healt� antl Sai y Co e Seclio s 25 , 25533, an0
2553a antl Iha� I or any IWure builtling occupanl will/will no� �cimle one) need �o cumply wi�h sai0 s�ate cotles and �he repuirements �or a
permit �ar conslmc�ion or modihcalian �rom �he Air Ouahty Managemenl �isVicL Residential constmction appliw�ions are exemp� fmm
IhCSE D�Ovi510�5.
Oale: Npplicant: �
1 �ere�y cer�itylhai I have rea0 Ihis applica�ion antl stale Ihal Ihe above inlormaiion is correci. I ag�ee Io comply wi�h all ciry an0 county
ordinance5and5ta�elaw5relalinglobwltlingcon51ruc1ionantlherebyaWhor¢erepresenlatrve, ieci u onlh ove-menlione0
propetly forinspeciian purposes '
�ale. I �%e��^ �� Si naE�lw���i�1�--.7-u'—��� ,
Oriver's License or Social Secwny #: �
1fiaL46 White—Bmltling: Green—Cotle Enlorcemenit CanarV—Applicant Pink—Revenve'. Goitlenrotl—Hssessor
CITY Or COSTA MESA — HUILDING PERMIT FERM NO: B O50'18�
PERNIT NO; &,, 050784 , PI,AN CHECK NO: OU3`/6-91 S Gc�VT; N•SUPP: N
CONSTkUCiiON TYPE: 5—N PERMIT TYPE: STR PiJRFOSE: OTH
�
JOB DE5CRIPTION ; 102•LSN.FT OF RCMU WALL @ 30" S 6'-HIGH SQ FT: 102-_
CLAIM VALiiE; 3,500.00 CALC—VAL'uE: �� 2,040.00 GROUP OCC: R-3 /M-1
*��x��uzx*�M�x��Du�wz��R*S��R��t��*�D+��*x*���i��x�cuKx-�x��x-x�c�x��****xuux��
��xxx�cx**
'Z. O N i N GS ERTE�QAi7CIKRSE M E � T S �
------------ MAIN Bt3ZLDING ----------• ---------- ACCESSORY BiiILDING ---------
FRNT: FT IN REAR: PT . IN FRNT: FP 3N REAR: FT IN
LEFi: FT IN RGHT: F'i IIv LEFT: cT IN RGH'T: FT IN
PARKING REt�-• PROV; PARCEL� 42236219 ZNE• R1, Rr.F NO-
PLANNING NOTES> PROFOSED BLOCK �r�ALL ALUNG THE WESTERLY SIDE OF TFI� PROPERTY
-> (7.6'rT; ALONG THE FRONT •6 FT. HZGH Ai,ONG T.HE kEr3R).-
)f 3E iF �1F �IE �lE # iF lF iF # 3f i!� X� Y� lE iF 3F iE 1f ih Ik �]E iF iE �)f X� �7E �%iE 3f )E M� IE x 3(�iF 3E 7E iE �E 3E iE 3f �JF IE i(� M- # K� IF iF K� �lE iE if 3E 3E �lE 3F 3F lE K K iE if �E jE 3f K� iF )i� if 3f 3E lE if -0E iE
D E V E L O P M E N'T S E R V I C E S R E Q U 3 R E,M 'E�N T S
20NItiG APPRc]VED BY :��g DATE: 2r'
HUIiDING APPROVED BY : DATE: �_'�j��
APPLICAT'iOh ISSUED BY: d'�! DATE: // z.S
i(� 3(� IF if N� 361't af i(� iF iE k� i(� )E iE IF IE %� !f IE 3F # 'lF��- ' .. iFiF'&' .. ..r F�iFF i'r lE �lE 3E �f-�35� 3E IF # N�'i��f' �� if �7k
jFlEif�-)EIFIE�N��E3E3EfE3f�iE%�X�X�ifih3Ek�iE3Ei6K�iPlE!(�lE3FN1EK�16�E9f�7E�F#3F� iE# %3E%%� iE if3FfE lE -)E
_'?•�F� %C�i�% 1E)E�IE 1F ifiFY.�iFi(��)e7'riE3EiE3E#1F3Eie#3!-lfif
LEGALI7.ATION:N ��- F E E S' U M M A R Y � STRUCTURAL SEGN,ENT:Y
BLDG PMT PLUMBING ,ELECTRTC MECAANIC FIRE SMIP/REa GRAIJING
PEFtMIT' , 54.00 .50
� ' SMIP/NON—RES
Pi11N 35. 10 , r .
ISSUE.FEE
BUILDIDIG—DIV—> FERMIT ISSGE -PL'AN-CHECK TOTAL PAID DliE
TOTALS----> 54.50. 0.00 - 35.10 89.60 89.60 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 89,60 OVERIS?IURT•; ' ,00
BLDG PMT PL"JMBING ELECTRIC MEC[IANIC eIRc SMIP/TOT GRADING PLAN—CHECK
54.00 .50 35.10
�lE iF jE�#f� 3i� �X fP iC� �E # X� �E }f X� 3(� �%af �FlE af i(� 9f� 3E if 3E i4 iF iE k#(� 1E �E if 1E it=3f iF �1f�% N i4 iF dE K� 3E �6 iF iE X� R% If iE �F iEiE if ih 3( ��� H� iE if X- # iF ie iE K iE N k� dt� iF !F�#F IE 3F?f
i N D I V T D U A'L' F E E B R E A K D O W N
TYPE QiY D E S C R I P T I O N JNI1' CUST TOTAL CGST '
SFk 102 RES—CONCRETE HLOCK..'r1ALr ! FT, 20,00 2,040,00
END OF FEES
' �
� . . " ('^, ' . � ' V
a100€175092—t70�7°il�4 T��1- ?,9.c�:;
DIiTE: UI/2`J91 TIPiE� i3:D2
CONSTRUCTION AND PLANNW(. P �$ SPA
APPROVALS Permit# . Date Inspector pppROVALS Permit# Date Inspector
. Temporary Electrical $ervice or Pole . 52. Pool & Equipment Location �
:�
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement . �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd. � 55. Electrical Bonding .'- '
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �
6. Electrical UFER Gmd. � 57. APPROVAL TO COVER-GUNITE .
��
. 7. Footings 58. Electrical Conduit-Undrgrnd. '. �__\
8. Foundation 59. Gas Pipe, O�Undrgrnd., Test � �-� �
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. .
10. Structural Floor System , 61. APPROVALTO DECK . ,
11. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final � ��
72. Sewer Cap 63. Heater & Vent-Final � � �-
13. Roof Drains 64. Plumbing Sys[em � Final �,,. ��
� � �
14. Rough Plumbing 65. Electrical-Final ,-�i.: ����'
�i.
i
15. Rough Electrical-Conduit 66. Solar SYstem-Final ��,i ��L�.
16. Rough Electric Wiring 67. Fencing & Access ApProval ;,- � ,� �!-���
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ��,'..� �
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �� � •����
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT v '
20. Rough Factory Fireplace � APPROVACS -' Permit #
21. Ducts, in Structure � . �70. Underground Hydro
22. Ducts, Ventilating - -71. Product Piping � Gas ❑�Oil
23. Gas Pipe-Rough & Test ., „ 72. Underground Flush. . ��
24: Roof Framing � " 73. Undergrnd. Storage Tank � Gas � Oil -
25. Roof Sheathing � 74. Overhead Hydro �
26. T�Bar Ceiling IStructural) & Monocoat 75. Dry Chemical
27:• Frame and Flashin9 76. Dry Standpipe -�
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation ' '� 78:. FIRE PREV,FINAL .
30. Drywall Nailing - ;� :�_j 'i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ;�' ti 79. FINAL INSPECTION .
32. Electrical Power Meter-Final _ � ;�.;G 80. FOOD CERTIFICATE ISSUED
33. Final Electric � ��� Notes: ����
34. Final Heating & Air Conditioning � , � � � � -
� �
35.�Final Gas Pipe-Test ' ' � � - '
36. Hood or Canopy
37. Final Factory Fireplace ' ^^ �
38. Final Plumbing � J� ,
39. Water Service-Final ' 4
40. Gas Service-Final �
47. Solar pomesticFinal � .
42. Backflow Preventer _ � ; , !� �
43. Backflow Irrigation - �
44. Landscape Irrigation System '
45. Sound Attenuatio� ' ' � �
46. Handicap Regulations � '/jJ Q1`
47, PINAL STRUCTURE & BUILDING ._ . •
48. FINAL PLANNING ' � "' ,
49. Electric ftelease to Edison �y -' ' �
50. Gas Release to Southern California Gas Co !=; �,� , .
51. CERSIFICATEOF,OCCUPANCY R ,
No. � Date
r
.�' �
STATE OF California
COUNTY OF Orange
On this the 30th day of January 1991, before m e, Nancy Johnson
the undersigned Notary Public, personally appeared
Bernice Stuetigen and Phillip Marx
personally know to me to be the person(s) whose names(s) are
subscribed to the above instrument, and acknowledged that Bernice
Stuettgen and Phillip Marx executed it.
WITNESS my hand and official seal.
.�
Nancy Johnson, Notary's Signature
� OFFICIAI, `` ���
� ^ . nar �v ��` �
s. �.I [tv ARY P�BLIC =,�j° �
� �L�� �i
. I, � , ,�l '.ir�.— -,.�_,=�'f ,. .. __.:-�+
OFFICIAi, Sr..r�L
� �IAieCY JOtiNSON
'� -�i�`�A�\I r;G'iF.i,v PUB��C - CALIFORNIA
ao,�,-�n'/ ccmc..';.r;i�_��7�TM25, 15S3
.�` �' �� _�-
--.r'r"'�.
..-
�i . � ` .
PARTY NALL AGREEMENT �.T(?Tt'�T�hTI01l �� ,:
�, �
, .,.
F�'���t���
18LS Ac�tE@ffi�7t. �de and �tered into U►is 3 D day of
J A,J i Q`[ (, dsr �,a eec,+� �!� �'/��v�'��- s r4 c-r-r� r N
herei.nafter referred to as •I.1�t�ID oFII�t', and PN ll.L� P nn Y�� �-�� 1
hereir�after referred to as 'AA7AC�Tf PROPBtT7 OfdII'R'. �
It is hereby agreed that a party vall vill be constn�cted on the
property line bet�en 8 S8 �, n S 4- j�
E �T
Co s 7A j"l'1 � A C A_ �i' 2�c z-7
in the City of Costa lS�sa, Camty of Orange, State of California� as per
�oap recorded in Book . page of Miscellaneais Kaps, in the office
of the Cotimty Recorder of said Camty. Tfie party vall ahall be �*+�+; tted to
e.ncroad�
al WIa�SS f�tHOP. the parties have entered into this l,gre��t the
day and year first above vritten.
: �n •...,�s:
e��
C� �,��✓,cC � 7`(� �?TGE/v
2��ame�lype� or Princedi-
�'Sa �� � �:`�.� S7L
PqQ
- � � M:r •.�.•'r'J • . 4"r•
!
$19f1dtlliE
P N t �� � P M��-x
Name lyped oz Printed
t� � � ��� C--� � 47 .
z�
c�szr� m�A �a
�t2 6Z7
Y
ADDHESSOFBUILqNG: 8SO DARRELL $T
°w"E"s""'"E'°'Q'°"": STUETTGEN, BERNICE M
/p°"E�' 850 DARRELL ST
COSTA MESA CA 92627
� (714)548-4304
nrtt. �,vuNc woness:
YKNRECT ON ENtlNHN:
flCN.ON EHG.'S AUONE55:
CONfHACi0W5 NAME:
cartxncTorcswauxc
AUDRE55:
UNT:
uc. xo.:
UNT:
uc. xo.:
uxr:
LICENSEO COlRN/ttOPS DECLAflAT10N: 1 hereGy aflim uMx penelly d perj�ry Nm I em licensed uMm prwiama d Chepx 9
(mmmeriarg wnh Secivn )000) d Division 3 d Ihe Busi�na erb P�dassiona Cada. ad mY lireriae u in hll force vM eMed.
cmuc.No.: uc.cuss: uc.No.: EXP:
oma: comrea«:
OWNEN BUILUEP OECLANATION: I he,eby eifirm wCer penel�y W perlury �hel I em exemp irom tM Canvvfpe licenae Lew lor Ihe
�ollowinp raeson (�w� ��� 5 Busiwes ark Prolemions Code: Any cny a wunty which requires e permX lo oonstiuct, eller, improva,
demolsh, w mpair eny slmcWre, pnor m iis asuenca, elea reQuiree Ihe applirenl lor auch parmn m file e eiB�� etelemenl I�el he a aM
ia licensed pursueM lo Ihe p�wieiore W �ha Conlreciors License Lew �Cheplx 9(commmpnp vAh Sed'pn ]000) d Dv'sion 3 M �M
Buaineae eM PrWesaons Cade� or thm he or �he is eKempt iherahom eM Ihe baiis la iM ellaped uempibn. My vbletun ot Sedion
]031.5 by em� epplirent lor e permil eubpda ��e epqicanl lo e dvil perahy d nd mwe ihan five huMred dollen �5500��.
� I,esoxnerdthepropanyamyempbyeeawihwagesavthaieobcwnpenae�bn,willCotMKwk.endtheewciure'arwiintendad
«onmee rw sa�e Isec�ion �aa, auvriess end v.de.sianscoea: Tne comrmaa Limnae Lnwdom m� eooM ioen ownera popeny
wM Wids or inpmves �Mreon, eM wha doea nuch �pk Fimeetl a henetl a IMaqh he a Mr own empbyeee, pwked thm auc�
impoxments ere not imeMaE a Wered la eeb. tt, lwwever, iM WiNi�p a'vnpwemeM's sold wnhin me yeer W oompbtion, the
wnar-0uilder xill heva �M bu�den d poviip M or she d'd mi buik a improva la �M WToae W sele�.
❑ I, a+ox+ror d iM Nope�Y. em e�dumeM mntrae'rq wnh IicenaeA convectwa to mnWiut Na G�W� (Seclion )Oa1. 9uairims enE
Pro/esaiona Coda: The Conireqon Licerim Lew daen mt epqylo en ownerd properry wlw puiNa w impov»ihereon eiM who
contrecis M wd� prqeaa wnh e coMrador�a) IicensaE pursuent to �ha Coniradoro licensa Lex�.
���^a=�^m�^aa«9���:BP7044 B.arc..ro,m�s��:ALL WORK BY OWNER FA
oem: �L2 / � G Owner � �
---r � -
I eo hereby eenity �he� I em awere ol end uMareiend the eaquiremenla ol Cel[omie Hml�h eM Salaty Code iwu 25505. 25533, anE
?5551, enE Ihel I IX eny iNuro bulldirp accupent will / wtll nW (dfGb me) naed 10 Canpty wIh saE sa1B mEee e�M Iha fpuinmenb la
apermnlwmnavunianarmodAraiionhanthe�'v eai�iy erepamantpislnd.Feakeniielmns`uaioneppiWiwnereemmqiromihese
provisiana.
o�e: nvd�:
WOHKEfl'S COMPENSATION DECL�NATION: I hereby alfi�m uedar penelly d perjury me d ihe Idbwirq dedvetiom:
❑ i ne�. a�d m� �ma:,. �enn�. a mmem io.an;�w� i« ww�,e,; wmw,,.��.,, wa,;dad ia M s«aan a�aa a m> ian«
COEe, fa tM pe�lormence M �M wak la wNch Ihis peimn ie ivuad.
� I heve end wil meinta'vi woMen' mmpametun inwnence, ea rpuireE by Sepim 9l0o d the Lebar Coae, br IM peilormeMe ol ihe
waM Iw which tnin pe�mM is isaueE. My wake�a' wmpanselbn ineurence umer erd poliry number ere:
cem ,
POIkyrNumber:
(This secfion need nw be cande�e! A �he peim'a is iw one hvndrei ddlem (SI001 or bss.J
❑ I cerlN �� in ihe pMormerica d IM work fa wheh thie permn ia ieauad, I ahell iwl empby eny penm in eny mennx ao as ta
bBCOTB 9YqB11O 1�18 NOflyf9 Cq11pBfIWIO11 �HWB O/ C.B�I/p1119. BIIQ 90fB01� li � B�1W� bBqIM WqlE1101�1! NOI�(B9
compenutbn provisiau o/5eaian 9)00 W �M labor Cab. 1 kWl lonhxilh mmp�y wM Ihma poviabru.
om.: iwd�i:
Wem/np: Fallun ro ucuro wortw�' mmpauatlon roverep� h unbwlul, end �lu/l iubJsct an ariyloyx to cNMiu/ pmett/u enA
cnn nrrs. w ro ms nu�dree mounne emi.n /Sio0.00aA �n see�non ro N� cwf ol rompsivaWn, Wmsqa �� proNCW br In
9xtlon 3)O6 oI ths Lebor Cotls, Intwsst, eiW eMomsys lsu.
CONSTpUCTON LENDINO AOENCY: I MreEy eifirm ��m� P.�� d oe�rvrv �� �n,., ie e mnetmdion bMinp e0erky la iM
ylfl0lTBfl[G OI�IIB WpItIOfWI11CM1�Ila pef111I 18 eeYBE (SBL11O11 3081, CN.CJ.
LENDEF'S NAME:
LENDEfl'S ADDHE55:
I cenity ihm I heve raaE �his epd�� ���a thel the ebova iniwmelion ia corted. I eprae b comqy xilh ell dly eM ownly oNinencen
entl atele lews reWtmg ta buikvp cansfrudion eM hereW eulhar¢e repreeentUivae d Iho tlly lo emer upon iha abova�mantioned propaM
la imP�ion W�roses.
oma:_'��e /
(5151�d6 WP) Whi�e-Buildirp 8 Sefe�y; Green-FJe�, Cenery-Rpplicenl; Pink-Revanue; Galdanrod-Asseaeor
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: B 076064
PERMIT NO: B 076064 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N
PERMIT TYPE: STR
PURPOSE: OTH
JOH DESCRIPTION ; T/O EXISTING ROOF & APPLY NEW FIBERGLASS SQ FT: 3,500
CLAIM VALUE: 3,500.00 CALC—VALUE: 3,500.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED IN ALL SLEEPING ROOMS G HALL �t-i��[g �yp
at�x�it*��*�*���at*ititiF**�iFitetitat*it itatft�atiEat*�iEititxit*iEiF*at�atiEitx�itit�at��*�����{�yG I G��Vf�
Z O N I N G_ R E Q U I R E M E N T S V
S E T B A�K�Sn��� U I�L � ��l1—tE�
------------ MAIN BUILDING ------ --- =-�j�9� — ACCESSORY HUIC/�L�G ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42236219 ZNE: REF NO: �
PLANNING NOTES>,�
�'� �
iE if' iE iE 1t IE iE iE iE iE 1E 1E 1Elh'iE 1E �E fE fE 1E 1E'!h 1E'1(' iE 1E if 1E 1E 1E iE iE 1F iElEl4 iE 1f iE 1E IE IE iE If� 1F iE iE 1flE 1E fE iE 3E fElE 1E iE fE iE If 1E 1flE 1(�!E iE iE IE �E iE iE iE �lE 1E 1E iF iE iE IE
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
%l �
ZONING APPROVED BY DATE: "'
BUILDING APPROl7ED BY : DATE;
APPLICATION ISSUED BY: DATE: -�C�
*****x�***t��*�*�r'�r��r*��* **�rx�***�** **
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS---->, 63.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
63.00
TOTAL PAID DUE
63.50 63.50 .00
63,50 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
******� �'�'x'**�'x'*'�'�'�'x'x'�� �'�*x'*�'��'*'�'�'�'�� �r �* �*�'** ie�'*�*�'�'**�r**�'�x'�'�'�'� *�� x'�'�'�'x'�'x'*x'�x'*af
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 3500 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 3,500.00
END OF FEES
li �xtlsF4_`:; :,'i4'.�i� �'e9��
OATE: 01�2�; ?; YFh�: iu:23
53.5� �
,>
COt�,STRUCTION AND PLANNING _ - �: POO� � SPA ,
APPROVALS Permit# Date Inspector �APPROVALS Permit# Date Inspector
t. Temporery Electricai Service or Pole 52. Pooi & Equipment Location .
2. Soif Pipe-Undrgrnd. � 53. Steef Rein4orcement -
�-3 Electrical Conduit Utility-Undrgrnd. 54. Forms
�; 4.,ElACtrical ConduibUndrgrnd. Q, 55. Electrical Bonding -
��'5=Szeel Re�nforcement � � 56: Rough Plumbing & Pressure Test
�-�Bectrical UFER Gmd. . ' S7. APPROVAL`TO COVER�GUNITE
-' � Fogtings � 58. Electtica� Conduit�Undsgrnd. -
^8"Foundation � � 59. Gas Pipe, O Undrgrnd., Test .
�9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C Undrgrnd.
J0. Structural Fioor Svstem - �; . 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection y 62. Backwash & Receptor-Fina�
12. Sewer Cap � � 63. Heate� & Vent-Final
`�
13. Roof Drains � 64. Plumbing System � Final
14. Rough Plumbing ir, �- 65. Electrical-Final
-r �.
15. Rough Electrical-Conduit - � � �� 66. Solar System�Final
16. Rough EleCtric Wiring ' 67. Fencing & Access Approvai
77. iiough Wiring Sign � 68. APPROVED FQR PI.ASTERING
18. Rough Elettrical•T Bar Ceiling � v. 69. POOUSPA SYSTEMS PINAL �
�79. Rough Heating & Air Conditioning _� , �, � FLRE EPT.�E2EQUIREMENT �� �
- . 7* ^ b' [I :r i: 7' _ �'
20. Rou h FactoryFiceplace ,:" � � �` .-, �'�• _yf���`� �� '� � ��
9 �' . P_ _ r� ;,r '. � Q'r ; ;APPROV�LS,_.t=. Parinit # a� ,
27. Dut[s, in Strueturl�.' " ' �� � ' - �-� ` ''� ` 70. �Undergr'p�i nd H�ro �
�
22.DuMs�,VentilatingR'� ; x:7 y (-�-7r'77,.Product}Tipingt76at �Oi�
23. Gas Ripe�Rough & Test ,,;,� � ��T� !"' «' �,r � 72. Under9royu fl F�ii ah' �� �, ��
24. Roo�-Framing+' - . .. _ : - j .:. r, �. ,--. ,: �
,� l � a� : 73n Undergrnd. Storagg Tank��� Gas ❑ dil
25. ftoof,Sheathing , r: 2_��'�"' --W� � 74r'Overhead Hydro.,, '�'�,
26. T�Bai Ceiling (Stru�turaq & Morio`coat '� " r: 75 ,Dry Cherriical ��; * � �
27. Frame and.Flashirig•�: � t� Y^ �^ 1" w 76. Dry StarLdP�Pe �'p ?i n O
�28. La2hing8rSiding `-"�:, -,�-- ', g � .. .�* �� -•- , �� ;,�
.,� ,_�.; nwF., ,� , �j. 77y PIXEDSYSTEM-FINAL,-i ;'1
�.. � -, .. �
29. Insulation' � �� " x I 'v 7$p FIRE PREV. FIj�jAL ^�"
30. Drywall Nailin� � ti; _ �,�F :-." .,H,F,ALTH DEPT�.�REQUIftEMENT
� 31. Piaster Br9wnc('i.oat'�x , : �•*m * � � �> . 7g, FINAL INSPECTiQN 'x' -
� r- - !' "� '
32. E�ectrical.Po�vei Me�er<<inal ' �' ', �: •' 80`; FOOD CERTIFFCATE I�SSUED_ -
'� F , : _.,
, 33. final-Elecy�c,o m �s; s � � `x Nbtes: '! ' x '• • � '
r i:l `^
1'34. Final:Heating,& Air-Conditioning" ;� � T � ^ � - ""� `� _ �'`-
,-� � + r , . , + : -i i- �s � m
�A � � , _ - . _-.
35. 6inai-Gas,Pipe:Test',a �- . ». .-� ; t� - � �+i.� r7�=, +� �� -.
- .. �, .
�36. Hood-or P.anoPY _ . - 4' �` i : y . r,� '� ~ c.n
37. F.inat�.Fac{nrV Fireplace�� . 7 r?.-. w x" •.x. '- n:
�
c'; ^ca ` � - r
38. FinaFPlurnbing . � r, " . Fr . _� .,. � -
'39. Water`Service•Final � � ' " • !i ' � . �
, , r x � --
l. � �.T K �t
. 40. Gas Service�Final - � r.'•' S a- c: , � _ � v ,:
_�. r.t F. . pF w v
H41. Solar pomestic;Final' " • �' �� + � `Y :- _ ,
` �� T -:
Y '
^42. BeckflowP,reventer�•• .t ' "� -' -'{
_ �y ,
43. Backflow 14rigetion , - "•" < ¢• ,t ! � . �: " •
44. Landscape'�rriQatiomSy,stem'T'� � � `' ��f" .v :.� y~ `-" `-
,, L r , � �. c. - -
45. Sound Atienuation t; � !, � ` =, F,, �'` � �- '
-i x - C, ;' C
46. Handicap pegulations� �. - >- � , � " = �' "
. `; � -
�17. FtNAL STRUCTURE.& BUILDING Z G�LJ' /�� "''',
- I-6 �W t
48. F_INAt PLANNING - - �' s +'� ' ,_ `� " `" -
� �; �. _ , .
49. Elect"ric Release to Edison � � � t', ": ,r . '
50. Gas Felease to Southem Calitomi �Gas Co • '! - - " • _ = ,
51. CERTIFICATE OF OCCUPANCY ' T ' �� •� -� � �- �
No, Date
OWNER ARIS`rUJ, ES�i'A�S DATE 9-5-5(
JOBADDRESS 85� ilaT'Y'2�-1. Street BUI�DINGPERMITNO. �{3E�.L%
GENERALCONTRACTOR S• ?�• HLlll531LeT VALUE $ 8�S5G.00
LOT �3 BLOCK TRACT 28%3 �'lri�l2 �.25, Sd�Btt, p_ar.
rROL1P I R� J TVPF V 70NF RII FIRF�ISTRICT ��iK�
INSPECTIONS
Footing Trench
Foundation Forms and Grade to
Plum
Heating, Final h..
S�ewer, Hause , L Sewer, St. W'
SepticTankor ss o i�}�
Lathing.ln Out'
Plastering
Plumbina. Fin�al. Fixtures Compiefe .
Wirinp, Final
FOHM 210 3M 10-•v!
DATE I SUBCONTRACTOR
�
PERMITS ISSUED
DATE I NUMBER
�
�
_�os'ta Mesa Bnilding Department APPLICATION FOR P�RMIT
',:,;, P. O. Boz 3�� .��51 � U . D N G �
. -: ;'. COSTA MESA, CALIFORNIA
FOR OFFICE iJSE ONLY
FOR APPI.ICANT �`O FI7.L IN , Receipt No. Permit No.
a�ua��9 � � �.s� LL � � / 7
Address ,
Costa Mesa, California Rece ve by /i Date Rec'd. Date Issued
Nearest � , � � � 7 �T "� � I %� ��
Cross St.
Owner,i
Ma❑
Address
Aroh1t¢CY OP �
Engineer �—
Address �
(Attaeh Metesand Bounds)
/ No. of Bldga /�
Size of Lot (7��''/O � Now on Lot (/
lJse of I No. of I No. oi
Existing Bldg. � Fatnilles Roams
Setback Line from � Rear Yard Z'�y �
CenterofStreet c�� SideYard qi,c:
DESCRIPTION OF WORH
New I!/� Alteration I I Addition I
Repair I I Moving I I Demolish I
Building No.of
Size ��/ � Rooms � Stories �
u5e or
Building
Address
Costa Mesa, California
Cross St.
Zone JL No.of Typc y/
J�y Plans r
Approved
hy
CORRECTIONS
� APPROVALS
_ � 2 Foundation Location Inspector
Forms, Materials,
Under-Pinning
�.-- Frame: Fire Stopa,
I hernby acknowledge that I have read this Application
and state that the above is correct and agree to mmply Lath. Int.
with all Clty Ordinances and State Laws regulating
building ConstruCflon. Lath. Ext.
Signature of
Permittee -� Plaster, Int
Authorized Ag ��� Plaster, Eut
Valuatlon Pe�mit Fee $ o� 02 �" Masonry Reinforoed
$ �,�/��J Plan Check $ �l �` gond Beam
/ ,3" J` 7otal
Fee �� FINAL
iM 304 IO�ig D. P. & S.
Date
r
OWNER
i�PROP
SPRII
PLUMBING
SWR. LINE (� NOUSE CON.
UNOERGROUN� LJ POWER U
POUGN WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
SMEATHING
FRAME AND FL�SXING
LATMING - IN n
PLASTER.BROWN COA'
ENT., REFRIG. ANO �.C., FIN�L
FINAL AN� GAS TEST ❑
FINAL
BOILOING. FINAL , �G-� I r
DATE
SUBCONTRACTOR
� �I(_("i
- J U �.!
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FUI in Completely — Use Ink Only
BUILDING r]�� li n(V ✓....�1 I
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OWNER
Cd6Z�i�S"J1�(.I I.�i!_��
BRANCH
ADDRESS
ARCMITECT TEL.
CONTRACTOfl V Y
A�DRESS
TEI.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE . NO.OF BLDGS.
OF lOT NOW ON LOT
USE OF
EXISTING BIDG.
Separate permi[s are required for
electric, plumbing and heating work.
USE OF BUILDING AND �'ORK TO BE PERFORMED
I hereby acknowletlBe tnat I have reatl this application antl state
that the abova informaiion is cor�ect antl agree to comply with
all laws regulaiing builtling construciion, antl I shall not employ
any perwn in violatlon of the workman's compensation lews of
ffie Stata of Celifornie.
I hereby certify ffiat I ar� P�operly Ilcensetl es a cantrector under
the SIDte ot California Business and Profess(ons Cotle, Div(sion 3,
Chapier 9, end that such ��censes are in full force antl etfect, or I
am exempt from tha provisions of the State of Cellfornia Business
antl Professions Code, Divitlon 3, Chapte� 9.
Signetureof �� '�kp�
Permittee
Author zatl Agent
:;-. . :5��
PAIA ��j
�; C-B-7F�coa.,�; OQ �t�G�r �r: � z��j.5�
APPLICATION FOR STRUCTURAL PERMIT
ECEIVED BV DATE RECEIVED ppTp igg��pr
BUILDING
ADDRESS
OWNER :
S W�
FIRE
ZONE T
APPROVED
BV
ZON NO.OF .
PLAN$ L
YARDSAPPROVED
MAIN BUILDING
BET
VAR. #
C.U.P.4
THEAMOUNTS
THE PURPC6E OF
VA�UATION
$ ��� �
�OT
USE OF NEW
BUILDING
VAPDSAPPROVED
ACCESSORV BUILDIN
� �//
BET. MAIN &
ACCFSS. BLp
OATE
�
n
m
i
:
m
N
VN UNDER VA�VATION �S FOR m
"ABLISHING A PERMIT FEE ONLY: �
PERMIT FEE S —� d
J�
�,
PLAN CHECK y ^
0
TqX $ LL
�
u
TOTALPAID $ �S�
��
�+rr+r
�::�
P No.
ER
PftOP. SWR. LINE � J HOUSE CON.
SPfiINKLING SVSTEM
I.I���:[�i�:l�l_\L'<K�I:bI\�
ROUGH wiRING
TRENCHES � FORMS � STEEL REINF.
FLOOF SVSTEM
BON� BEAM [] STEEL REINFORCE �
SHEATHING
FRAME ANo FLASHING
LATHING — IN �
PLASTER.BROWN COA
HEATING, VENT., REFRIG. AN� A.C., FINAL
PWMBING, FINAL AND GAS TEST [�
BUILOING. FINAI
SPECIAL REpUIREMENTS
YI:7,��ii
` 9—/-76
ILDING PERMIT N0. [
SUBCONTRACTOR
_ .. _ ' 4261.?
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely �
BUILDING /'�./.-� i7 _ I
OWNER = ��'%�ry/�yJ
MAIL
ADORESS Lz
/J �J TEI.
CITV ( .v �. I�%.�r'A NO.;
BRANCH
ADDRESS '
ARCHITECT
ADDRESS.SG�/ �f"+�/� �/![`iC!/i,%a
CONTRACTOR RUF7fL% �.L�i/.00.4
ADORESS G S j7�J�6y�/A/
/'� TELy�J
CITV �5.�/�f.� /7�i4 N�bJI'C
STATE CIT V
LIC. NO. �'GI �I S�/� LIC. NO.OQ �
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF • /
EXISTING BLDG. / �� �(' "�+/J(.g
SIZE OF NO. OF
NEWBLDG. ROOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WOFK TO BE PERFORMED
1/i . � / _
BUILDING
ADDRESS
OWNER
FIRE
ED
�riu. � c
�`��—�'7hr'pS:S1Q 7���r;, y«r�t^h;.:��..7�
TION FOR BUILDING PERMIT
DATE RECEIVED nnsc icc� �
PERMIT
VALUE
%
; � PLANS � I BUILDIN�JO �
VAfiDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BVILDI
VAR.
FT.
BET. MAIN &
ACCES5.8LDCS.
DATE
APPROVED
�1 � i
I hereby acknowletlge that I have reatl this application antl state /
that the above information is correct antl agree to comply with
all laws regulating builtling consttuction, antl I shall not amploy
any person in violation ot the workman's compensation laws ot
the State ot California. . m
m
I hereby certity that 1 am pro0erly licensetl as a contractor untler SQ. FT. o
the State ot Califarnia Business and Protessions Cotle, Divisicn 3, THE AMOVNTSHpWN UNDER VALUATION IS FOR �
Chapter 9, and that such licenses are in tull force and etfect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: d
am euempt trom Uie provi5ion5 of the State of California Business p
antl Professions Coue, Division 3, Chapier 9. VAWATION , Q/'l N
' � PERMIT FEE $ ��
SiBnaiure ot � � w m
Permittee $ �� PkfMY.6HGp1( $ I� v E
`o
Authorized Agent (� LL
TOTAL FEE $ / � O
�AP No.115-572-19 L0�
QINSPECTIONS
.�'S�soi�
�[cas
`WATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CONDITIONING
TEMPORARY SERViCE OR POLE�--
UNOERGROUNO �] POWER �
ROUGH WIRING
TRENCHES FORMS STEEL RE
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE �
SHEATHING
FRqME HNO FLASHI! G �
LATHING — IN OUT []
PLASTER,BROWN COAT
STFUCTURAL,FINAL
MEATING, VENT., REFRIG. ANO A.C., I
PLUMBING, FINAL AND GAS TEST
- ELERRIC, FINAL
BUILOING, FINAL
DATE
TRACT FIRE ZONE VALUE
Si nature Dote TVPE V GROUF
SUBCONTRACTOR
-10-76
PERMIT N0. 41403
:droom
/ _,
�. r st4R 90-76cns��0 454� '^***E�i.So
• .r
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIPORNIA 92626 '- .
AP LI AT N FOR STRUCTURAL PERMIT
For Applicant to Fil1 in Completely — Use Ink Only REc i o D E RECEIV
) /} /�/�/ DAT ISSUED
ADIDRESS JO �/GKCL[S 'O �f �
r PE T �
OWNER S�( C I. E C �G� A.P. NO. � � '
� MAII , S ARaU�' BUILDING � D���g`L r
A�DPE/S�S S� �� ����� ADDRESS
L NOS S��C� (}' TRAC �. LOT eLOCK
��T� -rosf Me.�A
CONSTRUCTION O� N� W A�D A R P
LENDER *
BRANCH � - /y� � j � '
� � OWNER � lvjGl�
ADORESS � - VALUE
OR ENGINEER �/v N� NEL. SE - $
FIRE � '
ADDRESS " " �ZONE VPE GROUP
- � (J APPROVED
CONTIiACTOR � � � C�`-� ' BY DATE� �Q "
ADDRESS
- ' TEL. ZO NOAF USE OF NEW
. CITV ' � NO.
PLAN$ BUILDING I�
r�. STATE ' ' CITV � �'ARDS APPROVED VAROS APPPOVED
� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
{s� SIZE � . . . NO.OFBLDGS. (FROMC/LST ET) . ,
�. OF lOT ' NOW ON LOT FRONT '� FT.
a USE OF
,.�., EXISTING BLDG. SI F. FT
� -
� Separate perm�ts are required for �. SIDE O FT. � FT.
, A � electric, plumbing and heating work. REAR T. FT. '
' [.W.� USE OF BUIIDING AND �'�'OflK TO BE PERFORMED DISTANCE BET. BET. MAIN &
Q ' ' ' ' MAIN BLDGi. ACCFBS. BLDGS.
aq / / — VAF.3i'+ - DATE
() X�.O ,�d/yl j% c.u.a.� APPROVED
' � ` . . APPROVED /. 7 � Q ��
�. K!
.-1
a.
W
� I hareby acknowletlge that I have read this application and state . � �
N
p�. that the above Informeiion is correct antl a8ree to comply with _ y�
a all lews regulatlnB buildin8 conftructlon, and I shall not amploy " �
Z� any person in vlolatlon.of ihe workman's compensation laws of m '
S the State�of Californie. . m
3 I hereby certify that I am properly Iicensetl as a conbactor untler SQ. f.T. ' rv
She State of Californie B�siness end-Professions Code, Divislon 3,-' THE AMOUNT SHOWN UNDER VALUATION IS FOR m
� Chaptar 9, entl�thai sueh Ileenses are in full force and ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT F O LV: �
am exempt from the proJ�slons of the Steta of Californla 8usiness� VALUATION PERMIT FEE 5 a
and Profess(ons Code, Div�sion 3, Chapter 9. �n
C PLAN CHECK $ _ � o
wi,� %�-e�^" § �BOQ m
SiB�ature of ,/
Permittee Tpx g /'/ � '
J fI V
Authorizatl Agent TOTAL PAID $ G