The URL can be used to link to this page

Home My WebLink About825 DARRELL ST - Building Permits�- PflOJECT AOUflE55: 8 z S DARRELL ST OWNEX'SNAME: SANS SOUCI LILLZAN nooAcss: �PLASCENCIA LINDA 1959—A WALLACE AVE COSTA MESA,CA 92627 ANCH/ENGW EEfi: 6 4 Z—�I S% S qEG.NO.: FUONESS: UNIT: ' PEHMITTEE: PRECISION HUILDERS ( 714 ) 631-2178 aooness: z234 PACIFSC 9 B UCENSEO CONTHACTO1fbECIABATION: I hereby allirm ��a� I am licensed underCpr�ovisio9ns o�Ciiap e� r 9(commencing wilh Section 7000) 01 �ivision 3 ol Ihe Business and Professions CoOe. antl my license is in lull lorce ei 1. cirvuc.: 9 s,a,euc.:623957 �ate�. $ignature: -- �� _ WONNE ' C dPENSpTION OECLAHFTION: I hereby aflirm inat I nave a certifica e of consent to selbi sure ar a cenificate of workers' Compensaiion Insurance. or a cenilieE copY �hereof (Seclion 3800. Lab. C). roucvxo.:1263706-91 ; exr.oarc: 07/O1/92 comraxr: S TATE - � Ce�iiietl tOpY is �ereby WmiShetl. ❑ tCetliiiea tOpy is �iletl wi the ' Buila' 0 ii i. / `?� � 'ApplicanC _�PTIO Ffl M WOBHEBS' COMPENSIITION OECIAflATION: (This section nee0 not be campleteG il ihe permit is r one hundred ($100) or less). i certity �hai in Ihe OeAormante o� the work �or whiCh ��is permit is issu¢tl, I 5hall not employ any Derson in any manner 5o as �o become su�lec� �o Ihe Workers' Compensa�ion Laws oi Cali�ornia. Date: � Signamre: � NO710E: il, after making ihis Oeclara�ion, you 51roulA;�ecome suDject ro t�e Workers' Campensaiion pmvisions o� 1�e La�or CaAe. you musl Ionhwilh comply witn sucn proyisions or Ihis Dermit shatl �e tleemee revoketl. ' CONSTflUCTION 1EN01NG AGENCY: I hereby ailirm �hat ihere is a constmction lenaing agency lor �he De�ormance of Ihe work �or whic� ��is permil is is5ue0 �Section 3097. LSv. C).• : LENDEN: � aoosess: ; � OWNEP BUIIOEB OECLABATION: I hereby a��irm Ihai I am exemp� imm Ihe ConVacbrs' State License Law for the following reason (Sec�ian 7031.5 Bu5ine55 and Pmfe55ional CoOe: Any tiry o� counry which requires a permi� to Cons�mC�, alter, improve. Oem0lish, or re0air any slruc�ure. prior �o its issuance. also reQuires �he applican� for such permil �o file a signea statement thai he/she is licensed pursuant �o ihe pmvisions of Ihe Contracmrs' Siate License Law �C�apter 9(commencing with Section 7000) of Division 3 of ihe Business and Pmlessions Cotle) or Ihat he/she is exempt Iherelrom antl the hasis for �he alleAetl exemption. Any violation af Section 7031.5 6y any aOPlican� �or a permii subjec�s ihe applicant Io a civil penal�y of no� more t�an five huntlreE tlollars (5500�. , I. as owner ol ihe pmpeny or.my employees with wages as t�eir wle compensation, wiil do the work, an0 ihe ❑ simclure is not intentletl or o��erea lor sale �Seclion 7044, Business antl Professionai Cotle: The Contracmrs' Siate License Law aoes no� appry �o an owner o� a pmperiy who build5 or impmves-�hereon, antl who tloes such woM1 himsel�/hersell or IhrOugh his or her own emoloyees, pwvi0etl ihat such impmvemenis are not intended or offere0 lor sale, If, however ihe Uuiltling or impmuement is soltl wi�hin one year o� comple�ion, �he owner will have �he hurAen o� pmving Ae/she Uid no� builU or improve lor Ine purpose ol salel. j . I, as owner oi ihe pmpeny, am exclusively contracting with licensed contracrors to coretrucl Ihe prolect (Section 7044, Business . antl Pmlessions Coae: The Conlractors' State License Law does not appty to an owner o( pmperty who bml0s or impmves Ihereon antl who conlrac�s for such Omjects wiih a con�mc�or(s)license purSuanlio lhe Conlraciors' S�a�e License Law�.l am aware that D��o� o� �heir Worker's Compensalion insurance should be proviaetl to me. � I am eKemo� wder Sec�ion: B. 8 P. C. for ��is reasort � Date: �� Ownec I do hereby ceriify Ihat I am awafe of and un0erslan4lhe requiremenis of Cali�omia Healih an0 Saleiy Cotle Sec�ions 25505, 25533, anJ 25534 an0 �hal I oi any fuiure builtling occupan� will/will nol �circle ane� neeU Io comply with saitl s�a�e codes an0 �he requiremenis �or a permil �or consimc�ion or modi�ica�ion imm �he Fir Ouality Managemen� DiS�dcL Resitlenlial conSVuction applications are exemp� fmm ihese pmvisions Dale'. NpplicanP. I hereby cetlity that I have rea4 i�is applica�ian and slate Iha� Ihe above m�orm �ion is c ecl. ree �o compry with all cily antl coun�y ordinance5and51alelaw5rela�ingtobuil0ingcons�mctionandherebyauthorize resen rve 1' al b ruponNeabove�mentionetl pmper�y lor �nsp tion pur0oses. Uale: SignaWre: �river's Lic nse or Social Securi�y a: ��-� � � 1fi4La6 W�ne—Butltling�, Green—Co�e Enlorcement; Canary—Applicanl; Pink—Revenue'. Goltlenrotl—Auessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05572 PERMIT NO; B 055724 PLAN CHECK NO: 04769-91 L GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: ADD JOB DESCRZPTION ; 718SF REISDENTIAL ADDITION SQ FT; � '718 CLAIM VALUE; 40,000,00 CALC—VALUE; 49,542.00 GROUP OCC; �'t-3 / *�****��i�****�*B*D*��*��B***�*****x**��*****�***��t��**�t*�t*�t�t**�t*�*�`x*+r� ***�r*� 2 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 HUILDING --------- FRNT; FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT; 24 FT IN RGHT: 5 FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV• PARCEL• 42236313�ZNE; RI REF NO; PLANNING NfSTES> ADD;,,NEW•'MAS�TER' rBEDROOM SUITE.AND •EXPAND EXISTING LIV-ING > ROOM OF SFn.. ' ' '+ r+" " � ,- �� **��r*��r***��**�r***��r�x*�r+��r�r**.**�x�:�*�r***�*��r,�r�*�r**�*�r*��**�r*�r****��a�**��**�x* D E V E L O'P M E�N�T'�" S ErR�;V I C E� 5`� R E� U I R E M E N� T S � r i ; _ ZONING APPROVED BY ;� ;�` ( � E�if��='� `��' � �� DATE; ^� .t BUILDING APPROVED BY�? " ��—'l�4'`7 �' '� : ' DATE; �� . n -, i � ***�*****�****�*�n*H** � � ` ��'*�r**D****+��'�*� �liEiEiEiFif�E3FiE1ElEiEiEiElEiElFiE1EiFI�iFitiElElf3FjEiEiE3EiEiFifiEjEifiE3Eif 3f�Fif3f�fifiE�ffkiFifiF3EiEiFjEifiliFiE�fifiFiFifiE3ki(�iF1kiE1E�EiEiFiElE�F LEGALIZATION:N F E E� ,� MoM A.,R Yr l�� STRUCTURALvSEGMENT:Y BLDG PMT PLUMBING ELECTR-S �MECHANICf -FIRE SMIP/RES; GRADING PERMIT 414 , 50 � , �" -� 4, 95� � i�� SMIP/NON=RES PLAN 269.43 . i , � � —; � LSSUE FEE ' BUILDING—DIV—> PERMIT ISSUE PLAN:CHECK f�TOTAL PAID .` DUE TOTALS----> 419,45 0.00 .?-� /'�269.93' 6B8.88 688.88 %,, ,00 REVENUE DIVISION TOTALS--> COLLECTED•�'' :r,419.95.•iOVER/SHORT; �� 00 BLDG PMT PLUMBING ELECTRIC MECHP,NIC FIRE'. SMIP/TOT =GRADING PLAN—CHECK 414.50 ('�, ; l,� � r- �� 9.95 � �E iE �1F 1E IE if iE iF iF iF iE jE iF iF if iE 1E 1E 3F if if 1f iF iE ik ik 3f if iF if IE iF �E 3F 3f if iE.3E �E iF iE 3E`iF dFiE iE iF_ik iE 1f If iE iF if �1E �3E iE 3F if ik if iF iF iF if �F �E 3E * iF iF iF iF iF �)f 3E 3f if if I N D I V I D II A'L '� F•E� E B Ftv E A K D O W N �� TYPE QTY D E S C R Z P T I�O N �`,� ��Y\ UNIT COST TOTAL COST SFR 718 DWE—TYPE V—WOOD FRAME � —GOOD �� 69.,00� �99,592.00 END OF FEES % � ' �' 'ir •, SJ `11 ' . ./. pr S+—. P � � r ) i' ` 4.4.7 . C .. ��! .. . ' . . ,•il n. i' � • 7 i� i` rt '� �:.r �.. �._ i r,...: _'' �:i'' �� .'SjtL lji�ll�3: ;�iC. ... . ' .i . CONSTRUCTION AND PLANNING � .. • POOL & - . APPROVALS Permit # �- y uate Inspector qppROVALS Permit # Date Inspector �: 1. Temporary Electrical Service'ot,Pole .•:,y 52. Pool &�Equipment Location `^'r � 2. Soil Pipe-Undrgrnd. . � �4 •: � _ : 53. Steel Reinforcement '"� .3, Electiical Conduit Utiliry-Undrgrnd. � 54. Forms � - � ' 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding i 5. 'S�[eei Reinforcement � � - 56. Rough Pl�mbing & Pressure Test � 6. Electrical UFER Grnd. � ' 57. APPROVAL TO COVER�GUNITE 7. Footings ' � ' .. i� 58. Electrical Conduit-Undrgmd. � '.8. Foundation J;�. � ' 59. Gas Pipe, O Undrgrnd., Test � i � 9r Water Pipe-Undryrnd. ��. � 60. Backwa;h Lines, P-Trap, O Undrgmd. 10. Structural Roor System j.- ,�_ _ 61. APPROVAL 70 DECK 11. Property Sewer Line & Hou;e ebnnection :,_� - 62. Backwash & ReceptorFinal . 12. Sewer Cap ,-, .;; �. � 63. Heater & Vent-Final . � 13. Roof Drains L i�. �'� �� - , 64. Plumbing System � Final 14. Rough Plumbing ��': �� .'�'1 65. Electrical-Final ' 15, Rough Electrica�-Conduit ' . % 66. Solar System-Final r 76. -Rough Electric Wiring - " 67. Fencing & Access Approvai 1�. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Fiough Electrical:T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Condi{ioning FIRE DEP7. REQVIREMENT 20. Fough Factory Fi�eplace _ - - ' � APPROVALS �Permit # - . a. t 27. Ducts, im5truaure . ` . - � 70. U�dergrou�d� Hydro � 22. Ducts, Ventil8ting . _ �- � 71. Product ,P.iping O Gas � Oil 23. Gas Pipe�Rough & Test � . . - , : '7z, Underground•Flush � . . - _ 24. ftoof Framing . - 73. Undergrnd. Storage y ank O Gas ❑ Oil 25. Roof.Sheathing " ' � � -' � - , � 74. Overhead Hydro � � 26. T-Bar Ceiling (Structuraq & Monocoat � � - 75. Dry Chemical - - 27. Frame and Flashing' �L-.l7 (�� , 76. Dry Standp,ipe ' ' 28. Lathing & SiCing. ! _ �"�y' �1 �Q�,��i 77, 'FIXED SYSTEM�FINAL Y V _ 29. Insulation � - � ` ,:Z1-qZ�pG/ ' ' 78.-FIRE PREV. FINAL : . � 30. Drywall Nailing - r-(p � �� HEALTH DEPT.�REQUIREMENT 31. Plaster Browo Coat -� ; G�q[ , 79. �FINAL�INSPECTION '' 32. Electrical.Power Meter=.Final i � ..6=C�L � �0. FOOD CERTIFICATE ISSUED 33. Finai Etectric . -L Z R� �f� otes: � �'..� ' _�5��/� � �" 34. Final.Heating & Air Conditioning � ��,r ��g � LE� S='o- G� 6�� ` 35. Finai Gas Pipe�Test - , . � � 36. Hood or CanOPV � • • l +. . -. .. ' • � � � - S� ,...Qy �S !/ ?�S�Q_ . 37. Final Factory Fireplace� . � '.! � L, �� ' 38. Final Plumbing ' .. .- 9�p_ Z L�f� /�'2�/Zj- �6`- /� e✓/�e+-JO-�Q."vl/ 39. Water Service-Final ��o- q Z; �7 ` ; � -% /�Z- t�.(P�»-� �' A0. Gas Service-Final , - �. � ' � . 41. Solarpomestic•Final � � • " _ �_� � �� i' = �,.� 42. BackflowPreventer' -� - .. . . � �e�� . i 43. Backflow Irrigation - . � '� - _, , ¢4. Landscape Irrigation System - "' . . � , "� L ,G�� • L iC b . ' 45. Sound Attenuation � •� � �� ' � L �.� 46. Handicap Regulations �- . _ . � ' _ � � 47. FINA�STRUCTUR�E&BU�LDING �1 /7,�j p,�: � `�/iy _/ � � L ` �� /i !� -�� ({P� �c_ 46. FINAL PLANNING` � , � f; ; �. , 49. E�ectric ReleBse to Edison " ,_ 50. Gas Release to Southern Califbrnia Gas Co ;.„ v ` `" . � . ; 51. CEflTIFICATEOFOCCUPANCY - No. Oate � / —� Pq0.1ECT FDONESS: 8 Z S DARRELL ST OWNEN'SNRME: SANS SOUCI LZLLIAN aouxess: gPLASCENCI�A LINDA 1954—A WALL.S.CE AVE COSTA MESA,CA 92627 AHCN/ENGINEEN: 6 4 Z— 9 5 7 1, NEG.NO.: q00PESS: uxrt: UNIT: PENMITTEF: PRECISION BUILDERS ( 7� 4) 631-2178 aooxess: 2234 PACIFIC B UCENSE� CONTflFCTON 6ECLABATION: I �ereby al�irm Iha� I am licensetl unaer pr�ovisio9n �IGC�DIer 9(commencing wi�� Section ]000) ol DiNsion 3 of the Business ane Pwfessions CoOe, antl my license is in II (orce an etiec cirr uc.: �9 arnre uc.: 6 2 3 9 S 1A5 B �a�e'. �� Sgnature: _ _ _ WOBNEN CD iIPENSFTION OECLABRTION: I hereby alfirm ihat I have a cenificate ol consent to sel4insure a certificate of Workers' Campensa�ion Insurance. or a cenifietl copy �hereot (Sectian 3800. Lab. C�. roucrxo.: 1263706-91 EXP.ORTE: O%IOSI9Z comraxv: STATE � Certilietl copY is hereby lumishetl. ❑ Certilied copy is IileO w ihe y Builtlin Div' o. ti' . . 7� Applican�: - .iMPi N F OM WONKEflS' COMPENSpTION DECIAflATION: (ihi5 sttlion need not be completea i� the permit is for ne huMreA (511p) or less�. I cetlity �hai in t�e pedormance oi the work for which �his Dermit is i55ue0. I shall no� employ any person in any manner so as to �ecome subleq Io Ihe WorkerY Compensa�ion Laws o� Calibmia. Oa�e: Signamre'. NOTICE: II, af�er making Ihls declara�ion, you shoultl became sublect to the Workers' Compensalion D�ovisions o( the Labo� Coae. You mu5i brlhwith camply wi�h such pmvisions ar ihis permi� shall be deemed revoketl. CONSTPUCTION LENDING FGENCY: I hereby afiirm t�a� ��ere is a consVuclion lentling agency �or Ihe pedormance'�o��the work �or which this permitis issued (Section 3097, Qv. C). ' LENDEN: , , ADOflE$$: OWNEfl BWlOEN OECLABATION: I here6y a�lirm �hal I am evemp� �mm �he fAntraGlOrs' Sia�e Lic¢nse Law for Ihe �ollowing reason �Sec�ion 7031.5 Business anG Pmlessional Cotle: Any ciiy ot couniy which reQuires a Dermit Io conslmc�, alter, impmve, demoiis�, or repair any s�mc�ure. prior lo i�s issuance. also requires ihe applican� for such permi� �o file a signed statemen� tha� he/she is IicenseA pursuant m the D�ovisions oi Ihe Coniraclors' Siate License Law �Chapler 9(commencing with Seclion 7000) ol �ivision 3 ot ihe Business an0 Pmfessions Cotle) or Iha� he/she is exempl thereimm and Ihe basis �or the allegetl exempiion. Any violation o� Section 7031.5 by any applicanl �or a permit sublecis �he applicant �o a civil penalry ot not more �han �ive hunArea Aollars ($500�. I, as owner ol Ihe pmperty or my employees wilh wages as iheir sole compensation, will Uo the work, an0 Ihe ❑ s�mcWre is nal imentled or ofleretl �or sale (Sec�ion 704a, Business and Pm�essional Code: The ConUac�ors' S�ate License Law tlaes nat apPly to an owner of a pmpehy who builtls or impmves thereon, antl who tloes such work himsel�/herself or thmugh his ar her own em0loyee5, provitled Iha� such improvements are not intentletl or ofleretl br sale. II, however �he huilding or impmvement is SoIU within one year oi complelion, �he owner will have �he burden of proving he/she did no� 6uiltl or improve �or �he purpose of Sale). I. as owner of t�e pmpeny, am excNsively coniracting wiih licensed comracmrs m constmct �he pmlect (Section 70da, Business � an0 Pmfessions Coae: The Contrac�ors' S�a�e License Law aoes not appty m an ovmer ol pmperty who UuilOs or improves Nereon ana wAo coniracis lor such pmlec�s vn�� a conlracior(5) license pursuan�to the ConVac�ors' S�aie �icense Law�. I am aware Ihai pmo� o� �heir Worker'S Compensation insurance 5�ou10 be pmvitletl to me. � I am evemp� un0ei Section: B. b P. C. �ar Ihis reason: Oa�e'. Owner. I tlo hereby cetlify Inat I am aware of an� understanA the requiremenis of Califomia Healih ane Safery Coee Sections 255Q5, 25533, ane 2553A antl �hat I or any �uWre building occupan� will/will not (circle one� need to comply wilh SaiU state co0es ana Ihe requiremenis �or a permi� �ar conslmclion or modilicalion iwm ihe Nir Oualily Management Dislnci. FeSitleniial construc�ion aD0lica�ion5 are exempt �mm Ihese pmvisions. Daie: Nppiican�: I hereby teriifylhal I have reaE �his applita�ion and 51ale�hail�e abOv¢ in�orma�ioni5 torret�. I aA�ee�o Comply wi�� all City an0 Caunry ordinancesantl5la�elaw5relalingloDwltlmgcon5�mc�ionan4here�yaNhorirer esem ' so��ni 1 ¢ rupon�heabove�mentione0 pmpetly lor'nspe lio�/n purpases. �aie: L� Signam�e: � �river G nse or Social Securiry p: *�.� � I6al�<6 Whlte—Bwltlinp: Green—Cotle EnforcemenL Canary—Aoolicant; Pink—Revenue: Goltlenrotl—Assessor "��• CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 05572 PERMIT NO; E 055725 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE:•-, PERMIT TYPE; ELE PURPOSE: ADD JOB DESCRIPTION!- ;�+18SF REISDENTIAL ADDITION SQ FT: CLAZM VALUE: C'ALC—VALUE; GROUP OCC: R-3 / COMMENTS; REF H55724 iF iE iE iE 9E 3E jEiE iF iE iF iE 3F aF iE iE 3FiE iFiE�if if iFiE iE iE iE iE iE iE �E �� 3F iF �E �E iE �E 9E af 1F 1f iE �1f iE�)f iiiE jE 9f dF if 3E iE 1F�lE it if 3f dE iF3Fif if iE iE iE iE iElE iE 1f iF iE aE�iF�f 3f if Z O N I N G R E Q IJ 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 IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN FARKING REp• PROV; PARCEL: 42236313 ZNE: REF NO: PLANNING Nt3TES> i 3F iE if 1F iE jf if jF if 1E 1E iE 1E iF 1E if iF 3E aE * iF iE if iF if iF if if 1F iE if if iE iF 1Elf iFlE 1F iF iE af if if if iF if IE 3E if iE if 1E iFik iF if ik �f if iE 3E iE iE iE iE iF �E iE 3F ik ik iF iE iE iF 3f iE if 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: HUILDING APPROVED BY : DATE: APPLICATION ISSUED iF �f 1E iE �E iE iE �E iF±E �1E 3k �1E iF iE if jf iE iF iF �E 1E iE aF iE if iE iE i! if if ik if k it ik if 1f LEGALIZATION:N �— r� DATE • v/� ifiFlElE�FiFiE�Eif3F ifjE IFiE�lfiEifiEiEiEiElfiFif E1E1fiFiFiEiFiEiFifilikififiFlFlElEiFiElEiE�fifiEiflflkiFifiFiF�lFiFiE�JE1fiE F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRI MECHANIC FIRE SMIP/RES GRADING PERMIT 2,1, 0 � 5 R SMIP/NON—RES PLAN � —:"� ' ISSUE FEE 15:00 HUILDING—DIV—> PERMIT ISSUE —PLAN;CHECK TOTAL PAID DUE TOTALS----> 21,00 15,00 ,� ,�, 0.00 36,00 36.00 ,00 REVENUE DI��ISION TOTALS--> COLLECTED; 36,00 OVER/SHORT; ,DO BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECK 36,00 1F iF i! iE k iF iF iF 1E iF 1F IE 1E iF �E iFlE �1E 1E if if iE iE iF iE iE iF iE if IE if !E �E 1E if !E'1f iF IE jE iE iE iE if iE iF if iE iF iF �! ik iF iE 3E iE �f af ik iEiF ik 1E if �lE iF iE �E i! iE iElE iE if �IE 1E �1E �E iE I N D I V I D U A.L F E E H R£ A K D O W N TYPE QTY D E 5 C R I P T I O N�� ' UNIT COST TOTAL COST ELE 6 FIXTURES LIGHTING_."�1 ST 20 EA, .75 4,50 ELE 17 RECEPT/Oi]TLET -'1 ST 20 EA, .75 12.75 ELE 5 RECEPT/SWITCH 1 ST 20 EA, .75 3,75 END OF FEES U: «7?i:`il�—Qf�:J'iPt� i'.= �� DaT�: ;�L t!7,'"� ':'f : , ;� ! POO l ! � � � . CONSTRUCTION AND PLANNING ' ` - � Date Inspector Date Inspector� APPROVALS Permit # � � : APPROVALS Permit # _ .1. Terhporary Eleotrical Service.oryoie "` . . 52. Pool &� Equipment Location "�f' '' . _ 2. Soil Pipe•Undrgrnd. ` '� "' ' - - 53. Steel Reinforcement - :' . � ,� 3� Electrical Conduit Utility-Undrgrnd: �{ : 54. forms 4..Electrical Conduit-Undrgrnd. � �� 55. Elec{�icai Bonding ,5. �Si�eCReinforcement - " 56. Rough PJumbing & Pressure Test +-�� Electtiwl UFER Grnd, ✓ , 57. APPROVAL TO COVER�GUNITE _ .- 7. Footipgs '- �" 58. El�ctrical Conduit�Undrgrnd. ��. - 8. Foundation - � i' ' 59. �Gas Pipe, O Undrgrnd., Test � 1� - � 9. Vy�ater Pipe-Undrgrnd. . � • 60. Backwash Lines, P•Trap, O Undrgrnd. � � '. 70. Structural Floor System �-'}� • �� r 61. APPROVAL TO DECK _ 17. Property 5ewer Line & House, nnection ; r � . 62. Backwash & Receptor�Final .� -i . v �i 12. Sewer Cap � �� ' � � 63. Heater & Vent�Final � , , . ' i 13. Roof Drains � •� ' 64. Plumbiog System - Final ��' , 14. Fough Plumbirfy '� � `' 1 65. Electricabfinal ' � 75. Rough ElectricabConduir ��`;r� 66. Solar Sysiem-Pinal 16. Rough EI¢ttric Wiring .. 6 ��vj- � 67. Fencing & Access ApProval 17. Rough Wiring Sigri � ` 68. APPROVED FOR PLASTERING 3. 18. Rough Electrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL � 19. flough Heating & Afr Conditioning FIRE DEPT. qEQU1REMENT -� - - • + 20. Rough FactorX Fiieplace � � T . • "_ APPROVALS -' �Permit # ` 21."DuCt{,in Structure . '. ' �• .. �0. Under9r,ound Hydro 22. DuMs, Ventilatin9 '` " i77. Product Piping O Ges OOii 23.'Gas Pipe,Rough & T,est : . , .� - , , 72, Underground Flush- � _ � 24. Roof�Frarning• � . � - - ' ".�73.'-Under9md{StorageTank �Gas ❑Oil ' -.25. Roof_SheSthing � S ` - �74.'Overhead Hydro � . 'a26. T-Bar Cei�ing (Structural) & Monocoat - -� 75. �Ory Chemical � 27. Framcica� lashing ; � j , . � � 76.,Dry Standpipe . ' 28. Lathing & Siding - . . - • � 77."�FIXED SYSTEM�FJNAL ' � 29. Insulation �- � , � � 78.:FIRE PREV. FINAL . u " s �30. Drywall Nailing � � = HEALTH.DEPT. REQUIREMENT 31. Plaster Brown Coat , r_ ' j � 79. �FINAL INSPECTION - ,. 32. Electricat.Power MeterFinal � �� -• �Z � ��SO.�.FOOD .E TIFICATE ISSUED 33. Final Electric. ,' .�. ; � � . � 'Notes;� Z �L O� ' n V�I'� 34..Final� Heating & Air�.Condition9n9. .'' ` . , � V " _ � l - � Cly �g 35. Final Gas P�Pe-Test _ ' • ' , ,36.'�Hodd or CanoPY ' . • . _ . . _ - 37. Final Faciory Fireplace � ,- ' . • . , �" � � . �38. Final Plumbing " • � �� -� . . � . 39. Water Service-Finai � - • � : � -40. Gas Servite-Final ; j�ri: ". ; , !, � � .41. Solar pomestic-Final - ^ � � , � � - � 42. Backflow Preventer; � � �' � ' � i . 43. Batkflow Irrigation � 44. Landscape Irripation System ;.� _ : . : 7,� . ,_ ' - � " " �45. Sound Attenuation ': • � � - ! " , � . , � �46. Handicap ftegulations - - ' " � �� , �� 47,. �FINAL S7RUCTURE & BUILDING � . � ' � � < �i � � k 48. F,INALPLANNING, ` � ' �' ' � ' : �, . 49. Electiic Refease to Edison --�- �• >. •* �- • 50. Gas Release to Southem Califomia Gas Co ' ( �_ ' ; .' 51. CERTIFICATEOFOCCUPANCY '. , No. Date �. PNOJ�T ROOXE$$: �� 5 DARRELL �T OWNEX'SNRME:SANS SOiIC� LILI�IATi aoosess: xpLASCENCI`A i,INDA 195A—A WAi.LtS.CE AVE COSTA MESA,CA 9?.6?.7 ANCH/ENGINEEP: 6 4 Z— 4 J 7�. qEG.NO.: nooness: UNIT: uxiT: PEflMITTEE: L71�i�I�SN J�1��5�QC1 (71h)64�-9571 aooeess: 8?.5 DARRELL COSTA ME5A C'A 9z627 LILENSED CONTflFCTOB OECLAMTION: I �ere0y altirm Ihai I am licensetl unaer pmvisions oi Chapter 91�ommencing with Seciion 7000� o� Oivision 3 0l ihe Business ann Prnfessions COAe. and my license is in full lorce anG ellect. CITY LIC.: STATE UC.: CUISS: Date: $igna�ure: WOBREfl$' COMPENSRTION OECIAflATION: I hereby afhrm thai I have a cehifiCate of Con5enl to Seli-insUre or a certifitate oi Workers' ComDensalion Insurance. or a cetlified copy Ihereot (Sec�ion 3800. Lab. C). POLICY NO.: E%P. URTE: COMPANY: � Cenihetl copY is �ere6y lumished. ❑ Certi�ietl capy is �iletl with �he ciry Building Oivision. .,e: ApplicanL EXEMPTION FflOM WOBNEflS' fAMPEN5ATI0N OECIABATION: (TAis seclion need nol be completcd i� t�e permit is �or one huntlred (5100� or le5s). I[erlify Iha� in ��e pedormance ot Ihe work lor whicA this permii is issuetl, I shall not employ any person in any manner 5o a5 io hecome sublec� lo Ihe Workers' Compensation laws o� Califomia. Date: Signa�ure: NOTICE: II, after making Ihis tleclara�ion, you should hecome suUjec� fo ��e Workers' Compensa�ion pmvisions of �he Labor Cotle. you must IotlAwi�h comply wi�h such provisions or Ihis OQ�miI shall be tleemetl reuoke0. CONSTPUCTION LENDING AGENCY: I here�y altirm that ��ere is a cons�mction lentling agency �or the pedormance oi the work for which Ihis permil is issuetl (Sec�ion 3097. Civ. C). LENOEfl: AODNE55: OWNEP BUIL�EB DECLAFATION: I hereby affirm Ihat I am ezempt irom ihe Conimctors' State License Law for tAe following reason (Seciion 7031.5 Business antl Professional Cotle: Any ci�y oi counry which requires a permit to constmct, alter, impmve, demolish. or re0air any s�mcWt¢, prior Io its issuanc¢, a150 reQuires Ihe applitani lor SUCh permii �0 lile a Signetl Slalemen� that he/She i5 licensetl pursuam to ihe pmvisions of the Contrac�ors' Slate license Law �C�apter 9(cammencing with Section 7000) ol Division 3 of ihe Busineu and Pmlessions Code) or Ihal �e/she is exempt Iherefmm ana ihe basis for Ihe allegeA exemp�ion. Any violation o� $ec�mn 7031.5 by any appliCantior a permil 5uhlects Ihe apPliCantlo a Civil penaliy Of noi more lhan five huntlreA tlollar5 ($500�. I, as owner of Ihe pmDeny or my employees with wages as their sole compensation, will tlo ihe work, antl the ❑ simcmre is not inten0ed or oifered for sale (Section 70d4, Business antl Pmfessional CoOe: 7he Coniracbrs' State License Law does not apply to an owner oi a pmperty who �uilds or impmves thereon, anA wAo does such wotk Aimselflherself or Nrough �is or her own employees. pmvitletl �hat suc� impmvemems are noi imendeA or o��ereA �or sale. II, however Ne builAinA or improvemenl is saltl within one y¢ar o� comple�ion. �he owner will have the burden o� pmving he/s�e Aid noi buila or impmve lor ihe purpose ol sale�. I, as owner oi the pmpeny, am exclusively contraciing wilh IiCen5e0 COn[radOr5lo conStNC� the O�OIec� (SeC�ion 7044; Busine55 I, and Pw�essions Code'. The Coniractors State License Law tloes not apply 10 an owner o( property who builOs or impmves �hereon an0 who comrads for such pmlecls wi�h a conVac�or(5) license pursuam m t�e ConVacmrs' S�a�e License Law). I am aware Ihai pmof ol iheir Worker's ComDensation insurance should �e provitletl to me. 0 I am exemp� unaer Sec�ion: � L� 7 O q 4 B. 8 P. C. ,/ mrmisreason: ALL 'vdORK $Y OWNER�}� • l p�� `j � /G %-L- Owner I�Ld�t,iaOn'�.�bu�6�4"�'�'�' I tlo here�y certity Ihal I am aware oi antl untlersiantl �he requiremen�s o� Califomia Healih antl Sa�ery Code Seclions 25505, 25533, antl 25534 and thai I or any INure building occuDanl willlwill noi (circle one) need to comDly wi�h said s�a�e codes an0 the �equirements for a permit �or cons�mciian or motli�ica�ion �mm �he Air �ualiry Managemen� DislricL Resitleniial cons�me�ion aDPlica�ions are exempi Imm Inese Dmvisions. . � �, . Oale: � � l� SZ ADPlicant: ..rL�4.. �G%�+•�ek..-�' I �ereby cenity �hal I have read I�is applicalion and slate Iha� Ihe a0ove intormatmn is correci. I agree to compty wiih all ci�y antl counry ordinances antl stalelaw5relaiing�o �uiltling consimction and herebV aWhoriierepresenta�ives o��is ciry�a enter upon��e a�ove-mentione0 properry �orinspeciion purpases. l� �Q Dal�� ' � �' �Z- SignaWre: +: tiCiCC14-� /� � 0'`�-a=-r' �river's license or Social Seariiy p: t6abG6 Whlte—Bwltlmg', Green—Code Enlorcemenl', Canary—Applicant; Pink—Revenue: GOICenrotl—Assessor CITY OF COSTA MESA — HUILDING PERM7T PERM I�O: E 0�651`_ PEkMIT NO: E 056515 PLAiV CHECK NO: i� GUVT: 2� SUPP: Y CONSTRUCTION TYPE; V—N PERMZT TYPE: ELE FliRPOSE; PS�D JOB DESCRIPTION : SERVICE T,JFGRADE sub � a�E'� � SQ Fi : CLAIM VALUE: CALC—VAL:iE:�� G�� GROUP 6CC: R-3 /' COMMENTS: ELEC. SF.RVICE IN TFiE GARAGF, ��5�7� �1f �M 9E ik �7L- k-9r 3( dF Y"..x. I(..%.%# �X i!� * fE �K�# iE �� K K 9(-if �!E �li �{ M--k �IF if k 4f ��%� )E IF x�I(� �lf # 3c�iEjf �iE �lE �If K-k .f if %:i� df �%iE #� 7E �1E�it �1F �7C� i:�i:- %�%��7F aF-0f..�.N i'.Y.X..I(..� Z O N I N GS ERTEBQAU�IKitSE M, E N'I' S ------�------- MAIN B?IIL�JING ---------- -------- ACCESSORY BUIT,DINC; --------- 'r'RNT: F"]' T.N REAR: F'T IN FNNT: FT IN P,EI�R; FT IN I,EFT; FT IN RGHT: FT IN LEFT: FT 7N RGHT: F'C IN PARRTNG P.E • PROV: YARCEI.: 427_36313 ZNE: AEF' NO: PLANNING N�'FES> ) # 7e iE 3'r iF # jE 7F #4 iF ��lE 1F if 3E �1f i�-�1F k �F �lE iF 3i� k'lf !i� %� i4 iE 3c lc iE iE iF�leiE if iE ic jE ie �F �lk 3'e if -k iF 3F if N� 3E lE ie-N� 3E �34-)e iF?F }�c �If iE %� ii� ii� K� 3i- ic {f 3f i( � 3f'r• if-�)F N• 1F D E V E L O F M E N T S Er. R �� I C E S R E Q[i I R E M E U T S ZONING APPROV�D BY DATE; HUZLDIi�G APPROVED BY : i:'' DATE; �j APPLICATION ISSU�D BY� '�� JATE; � �L � 3e�f�kiFK�i(��Y.�1EIF3fiFi(�3F�IF9EiFieifjfii�iEiE�iF3c'Tr F�'n --._i�T'�£�F++.R��n � . . . �FiFt-±'tiFjcii�}'.��if : � : �:r -r3e�k i4 3c iE ie ii 3E if 1E if iF iE 1e ji' iF #Fic 3F iE 3e ic If iE 3E�6 iE if iF #� !f� if� iF 3f- i� �IE fF !E if fF iF x� .2 �1i iE J!� IE iF iE Y 1f fF 3r ii� iF ic iE iE ii� i'r 1E!F �k #t• iE ?i�-If� Y ie n- if i� iFli*'}'' iF K�lf 3P iF k� LEGALIZA'CI:ON;'� F E E �S U M N A R Y STRUCPi7RAL SEGNENT;N BLDG PMT PLTJMBING HLECTitZC NECHJ�NIC rI.'�E SMiP/RES GRAJI't�C PERt✓IT 29 ,'SU " 302 SMIP/NOi�—RE� PLAN - ISSiJE PEE ��q fo50 BUSLU.iNG-1'),IV—> PERMIT ISSUE 'P'F'AN—CHECK TOTAi PATD Di3E TOTALS----> 29.50 9.50 , 0,00 34,00 34.UQ .00 REVEt�UE DIVISION TOTALS--> COLS,ECTED; 34,00 OVER/SAORT; ,00 BLDG FNxT PLTJ,MBING ELECTRIC l:ECHANIC FIRE SN.IP/TOT GRADING PiAAi—CHnCK 34.00 �� ' � if % 1F iF �1(� 3E 3F K' � 1E if 3f� }: # ii� �E lEae ie if �lE ii� k 1f 3e jf �1f %� 3i� #-1(� if � if.l'r �IF 3(� 3�E iF �k� ie ii• 3f iF if i'r af iF'a'-} lE iF i: �3i� 3f if 1(��lf ji-if K� if If 3F i6 3e?E 3E fF 3f �1'r ii� iF if i4 +� M'� %� Z N D I V I D li A''� L'� ' F n E B R E A A D O W N . % TYFE QTY D E S C R I P T I'}] N JNIT CO�T TOTAL COST ELE 1� SERVICES BELOW 600�.V '� BELOW .'.r01 AMP ZB.SU i$,50 rLE i SUb—PAI�iEL 11 . 00 1 i. , 00 END';t�F FEES i �i .r h ,v : ni �r�i�o�4n-cn.;r.;,e T-�� _� _ � �� ' _r r,:. �.'�'i 1�� T"� `. �''�1' ��, a��. .. _ � ,-� ,< i } , .. i r� CONSTRUCTION AND PLANNING. �� P�� A - � � .� APPROVALS Permit # : Date Inspector AppROVALS _Permit # Date inspector - �1. Temporary Electcicaf Service or�Pole � �, - = 52., Pool & Equipment Location . ,: � y� 2. Soil Pipe�Undrgrnd. -. .. _ � 53. Steel Reinforcement � 3. Electrical Conduit UtilifY-Undrgrnd. - 54. Porms � ' 4. Electrical Conduit�Undrgrnd. ' 55. Electiicai Bonding . 5. Steel Reinforcement � 56. .Rou9h Plumbing & Pressure Test 6. Electrical UfER Grnd. � � 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Co�nduibUndrgrnd. 8. Foandetion - 59. Gas Pipe, O Undrgrnd., Test � {, 9. Water Pipe-Undrgrnd. � 60. 8ackwash Lines, P�Trap, O Undrgrnd. - 70. Structu�al Floor SYstem� 61. APPROVAL TO DECK , -� 11. Property Sewer line & House Con�ection 62. Backwash &�Receptor-Final - 12. Sewer CaP ' 63. Heater & Vent-Final ' 13. Roof Drains � 64..Plumbing System - Final_ ' 14. Rough Plumbing . � 65. Electrical-Final ' 75. Rough Electrical-Conduit 66. Solar System-Final _ . - i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical�T Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � ' FIRE DEPT. REQUIREMENT � 20. Rough factory Fireplace APPROVALS Permit # 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe�Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof 5heathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoa[ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulatton 78. FIRE PREV. FINAL 30. Drywall Nailing �"" HEALTN DEPT. REQUIREMENT 31. Plaster Brown Coat . '• 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric / �F j� /O 97% �� Notes: / /1G�rlO��s `� O /�B�'S / �j ��2� 34. Final Heating & Air Conditioning f a aV v� _1L Q(l-f��'_,5 _ 35. Finai Gas Pipe-Test �''�� 36. Hood or'Candpy ' 37. Final Factory Fireplace 38. Final Plumbing - 39. Water�Service�F.inal 40. Gat Service-Final' - 41. Solar pomeStic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. HandicaP Regulations . 47. FINALSTRUCTURE&BUILDING ,,; 48. FINA4 PLANNING � 49. Elec[ric Release to Edison -! 50. Gas Release to Southern California Gas Co �� 51. CERTIFICATE OF OCCUPANCY No. Date ame: 8�5 DARRELL 5'C nooeess: SANS SOUCI, LILLIAN 'kPLASCENCIA LiNDA 1954—A WALL%iCE AVF. COST� NESA,CA 926?.7 FflCN/ENGINEEfl: E� `— 4 5 7� flEG.N�.: FODNESS: uNiT: UNIT: PEPMITTEE: �JkECESIQN BUILDEi?S ( 714 ) 631 —2178 aooness: �z34 �ACIFTC E� tM CA 92627 LICENSEO CONiBACT�fl DECLABATION: I hereby aitirm that I am Iicense0 un0er provisions ol Cha ter 9(commencing wi�h Seciion 7000) of �Iv:sion 3 oi I�e Business and Pmiessions Code, an0 my I¢ense is i full force a efie . CITY UL.: STATE LIC.: c : p. 054719 6239 7 � �atLr' 3 r Z Signalure: — _ _ — WOFNEN C01 PENSATION UECIABAT10N: I hereby affir t�at I have a certitiwte oi consem ro self-insure or a certificale of Workers' Compensalian Insurance, or a ceriilietl coDY thereof (Section 3800, Lab. C). PaucrNo.: Z263'10fi-91 E%P.oaTE: 07/01/92 COMPFNY: STATE 7 Cetli�ieA topy is her¢Dy �Urnishetl. ❑ Ce��ietl copy is �A �h I city Bu � i ai�¢: S Z� ApDlican�:(-/!�, _ �� E%EMPTIO FP01 WOBNEP$' COMPENSRTION �ECIAflATION: �This section need not be compleLLd il �he permi� is lor ane hunOretl (5100) or less�. I cerlily ��al in �he petlormance o� the work lor which IhiS permii is i55ued, I shall nol ¢mploy any Oerson in any manner so as to become suDle�� lo ��e Workers' Campensaiion �aws of Calilomia. Oa�e: Signa�ure: NOTICE: II, al�er making Ihis Oeclara�ion, you shoultl become suble�� to ��e Workers' Compensation pmvisions of �Ae La�or Cotle. you musl IorlhwiN compty wi�� such provisions or this permit shall be deemed revokeA. '� CONSTPUCTION LENDING ACENLY: I herehy affirm tha� I�ere is a cans�mction lentling agency �or Ihe peAormance oi Ne work tor wAich Ihis permil is issuea �Seclion 3097. Ci¢ C�. LENOEN: aooeess: OWNEB BUILOEB DECLAHRTION: I here�y a��irm t�a[I am exemptfmm lhe Conlraciors' State License Law forthe following reason �Seclion 7031.5 Business and Pmfessional CoOe: Nny city of coun�y which requires a permi� to cons�mct, alter, impmve, demolish, or reDair any simcture, prmr to its issuance, also requires ihe applicant for such permit m file a signe0 statement ihat helshe is Iicense0 pursuant la �he pmvisions o� Ihe Coniractors' Siale License Law �Chapler 9(commencing wi�h Sec�ion 7000) of Oivision 3 0� Ihe Business an0 Professions Cotle) or Iha� he/she is exempt �here�mm antl the basis tor Ihe alleged exemption. Any viola�ion ol Sec�ion 7031.5 Dy any app6can� lor a permil subjec�s ihe applicant�o a civil penal�y of no� more �han five hundre0 dollars ($500). I, as owner of Ihe pmpeny or my employees wilh wages as their sole compensdtion, will tlo Ihe work, an0 ihe ❑ stmcWre is no� inientletl or a��ered for sale (Section 70da, Business an0 Pmfessional CoOe:' The ConVacbrs' S�aie License Law tloes nol apPly lo an owner of a pwperty who builtls or impmves �hereon, and who does 5uch work himself/�ersel� or �Arough � his or her own employees, pwvitletl that such impmvements are no� imentled or oflered for sale. I�, however �he huildinA or , improvement is soltl wi�hin one year o� comple�ion, �he owner will haue the burden o� pmving he/she tlid no� huiltl or improve lor Ihe purpose 01 Sale�. � I, as owner o� Ihe pmpehy, am e�clusivelp conVacting wi[h licensed comractors to constmc� �he pmject (Section 7044, Business ❑ antl Pro�essions Code: The Coniracmrs' S�a�e License Law tlaes no� appry m an awner o� pmpehy who huilds or imDmves Ihereon anA w�o con�mcls br such projec�s wilh a canVac�or(s) license pursuan� �o �he Coniractors' Sta�e License Law�. I am aware that Dmof of iheir Worker's Compensation insurance s�ou10 be pmvieed m me. � I am exemp� un�er Sec�ion'. B. 8 P. C. lor ��is reason'. �ale: Ownec I tlo here�y retlify lhat I am aware o� antl untlers�anU ihe requirements ol Califomia Heal�h antl Safery Cotle Sec�ions 25505, 25533, and 25534 antl �Aat I or any Iuiure builtlmg occupan� will/will no� (circle one) need �o comDly wilh SaiU 5�aie codes' and I�e requiremenls lor a permi� �ar cons�mction or mo0i�ication imm Ihe Air Oualily Management OisVict. Residen�ial cons�mction apDlications are ezemD� ��om IheSe provisions. Date: Applicanl: I �ereby cer�irylhat I havereaU ihis ap0lication and 5�aleiha� Ihe aDove in�ormationis corre . agr c �pl with all city and counry or0inance5anO5lalelaw5rela�inglobuiltlingcon5�mc�ionandherebyaNhorrzer reSenlaiive o� rs t t ontheabove�mentiane0 pmper�Y lar ins eCii purpo5e5. � ti �' Signalure: Oriv¢t'S Li[¢n5¢ Or $OCidl S¢Cufiiy p: �6at�C6 W�ile—Building�, Green—COEe EntorcemenC Canary—Ap0licanl; Pink—Revenue: GOltlenroC—Assessor CI7'Y OF COS'CA MESA — BUILDING PERMIT PEkTh 1Vt�: E OSo45` PERNIT NO; E 056455 PLAN CIiFCK NO: N GOVi: N 3i7PP; Y CONSTRUC'CION TYF'E; PEAMIT TYFE; ELE PuRPC)SE: A7?P JOB DESCP.iPTZON : SaR(1TCE CIPGRADE SQ ri: CLAIM VALUE: CALC—VALUE; GROJP OCC; R-3 / COMM�N'PS; REF B5S724 jf �R� 3E �Yf-�JE�X� # 96 ii �k �k �%-IF if ic iE-Y.' dE Ji it�dF9F �K iE iE ii� dF�-JE �� 9f �lQ dE if .y..iE.k iF K �k �1c �lt -IE-1E iF�f� �1f �SE �Jf iE �f �le �k �X- �% lf�if �N k� �Y �%dE �� lE �lf �iF ��if �� 3i-i: �i'r #�}r �If �i( � �?F if Z d 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 HilxLDING ---------- --------- ACCESS�RY BUlLDSP:G _________ FRNT: FT ZN REAR; FT IN FRNT; FT ID! REAR: � IT� LErT: FT IN RGHT: FT iN LEFT: FT TN RGHT; ?T• SN PARKING RE�i: PROV; PARCEL; 42236313 Z�E: Rr.F NO: PLANNING NO'iE5> > iF �3E 3f -N� 1E iE iE 1F 3f �lE �F?e �lE �7f if ie iF�1F �1F?C� 3'r 7F ��;i� jE iF 3E tf jE jE i!� �e iE#'3'riFjc 1"r aF iE 3F iE ic if #� iE iE k iF if -1E iE i(� �lE iE 3t� it+P i'r ii� 3E 1E-1'r 3E if �1F %iE N� i'r ii� # 3c �; i(� k�: 7(� ii- D E V E L O F M E N T "9'•-E R V Z C E S R E Q U I R E Ni E N T 5 ZONING APPROVEi) BY DATE: BUILDING APPkOVED BY : DATE; APPLICATIO� ISSU_n BY� � — DATE: 2d /J^ qG ��ficikiriF�fiF3FieiEi�*itiFir�(x-iEiEif-%-�iF3��R.z�Fx�e�r��—��C£,T-rF'iFT�r' x'�C'�3i'�i��r3F3F�F�F*�E�k�iFn��F3c�F�(��i�x- i�'";i-�£'-n�Z� 1F iF iF 3F ff 1E jf iE 3E 1E iE fk iE if� 3E IF !E 3E iF 1(- iE if iP iF 1(� � iE 3E ie jE IE?c aE �Ik k!c k-iF±c 1't iE ic )E iE IE iF ie if iclf �Y iE ie i�'•ii ff iF if� #'� jf k� iF?E iFiE # iF i' lE #. i� i. a: y. }?i. }}�. LEGALIZATION;N F E e. S U M,yl A R Y STRUCTURAL SEG:4r.NT:N BLDG PNT PLUM�ING ELECTRZC MECHANIC FIRE SMIF1Rc5 GkADT;tiC PERMIi 18,50 SOR SMIP/NON—RE£ PLAN ISSUE FEE 4.50 BUILDYNG—UIV—> FERMZT ISSUE PI�Ah—CAECK TOTAL PAID UUE TOTAL.S----> 18,50 4.50 0,00 23.00 23,00 � ,(i0 RF.VENUE DIVISION TOTALS--> COLLECTED; 23.00 OVER/SHOR'L; ,OU $L�DG PMT PLil1✓bI�]G ELBCTRTC NtECiiANIC FIRE: 5MIP/TOT GRAD:FN(� FLAN—CHECK 23,U0 iC i!� W i6 af ie iB iF 3f k� id 1P 1F iE YF #� if ie it� iE iF 3(� 1E 3e 3E #f �1F j't if� �3Fit� ii� ii� iF iF iF 3F }F if 3E-%�1f� iF ih �1F ?F ii� k� ii- )E �d lf lE �1f� lE iE iP lE 1F'R i(•!f iF if �%3i� i(� ii-!E iF i't iE 3(� tK±'t !'� 3E #� %� 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 c� N i7NTT COST TOTAL CUSi ELE 1 SERC�ICEu BELOW 600 V 6 BELOW 201 A1;P 18.50 I8.5Q rND OF FcES ^' 11711U'12?'(I[� i �'l�"[: _ v 6,^�.T,E: u3,'0`. 'O= TiilL' .�: J� CONSTRUCTION AND PLANNING �PPROVALS Permit#�" �, ` r ,_ � �. Temporary Electrical Service.or Pole 2. Soil Pipe-Undrgrnd. � � 3. Electriwl Conduit Utility-Undrgrnd. 4. Eiectrital Conduit-Undrgrnd. 5. Steel Reinforcement 6. Elecvica� UFER Grnd. 7. Footing5 . 8. Foundation � 9. Water Pipe-Undrgrnd. � - 10. Structural Floor System �' ' 17. Proper2V Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains ' 14. Rough Plumbing � 15. ftough Electrical-Conduit 16. Rough Electric Wiring 77. Rough Wiring Sign 18. Rough �lectrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in StruMure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof framing 25. Roof Sheathing 26. T�Bar Ceiling (Structuraq & Monocoat 27. Frame and Ftashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster 6rown Coat 32. Electric3l Power Meter�Final 33. Final Electric 34. Final HEating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood o� Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar DOmestic-Final 42. Backflow Preventer 43. BackfloW Irrigation 44. �andscBPe Irripation SYstem 45. Sound Attenuation 46. HandicaP Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAI.PLANNING 49. Elec[ric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Date Inspector POC aPA - - APPROVAL$ Permit # Date I 52. Pool & Equipment Location 53. Steel Reinforcement � 54. Forms ` � 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, �•Undrgrnd., Test 60. Backwash Lines,P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor�Final 63. Hea[er & Vent-Final 64. Plumbi�g SYstem � Final 65.� Electricat-Final 66. Solar Systein�Final � 67. Fencing & Access ApP�oval 68. APPROVED FOR PLASTERING 69. POOIlSPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oii 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED Notes: Ia CERTII'ICATE OF COMPLIAnCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-HESA UNIFIL�D SCHOOL DISTRICT Developer/Applicant: ✓I%��'/��z-`L TI'��U-�� ( tiGG/S/D� �v��-O�� ) Address : Z7i��y //�L'/�/L `�J.� C_.P�S %� Y>`1 '�/4 � G%. Z�i Z% Telephone Number: �%�yJ �3�'Z�� Tract/Parcel and Lot Number(s): Location of Project: Number of Square Feet �� o... Residential Space �(� x $}�tJ Number of Square Feet of Commercial and Industrial 5pace Commercial/Industrial Project is: Mini-storage Movie Theater Racquet/Health Warehouse5 Heavy Industrial Regional 5hops Light Industrial Total x $0.25 Total (Check One) Motel Bank Neighborhood Shops R & D Hotel Medical Office Office Park ,� ��q.5o ,� Z 7 Preschool Auto Repair Hospital Large Office Office Bldg. _ Restaurant Fast Food The provi5ions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable to Newport-Mesa Unified School District. ��aJ��. J�� Dusiness rianager Newport-Mesa Unified School District The above representation as to square footage is true. Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified. Date: / 7 �1'� U � Developer/Applicant C\l V.`�'� �y�v. \ / ��X (�1i�1)5a`�"7��'� � PPOJECT IIDOflESS: $� fj DARRETu1. $ 1 OWNEfl'SNAME: SANS SO�.IC1 LILLIAN aooaess: &pLASCENCI�A I�SNDA 1954-A WALLb,CE AVE COSTA MESA,CA 642-5�71 RflCN/ENGINEEfl: AUOpESS: UNIT: 9267,"1 _ _ BEG.NO.: 11NIT: PENMITTEE: 7RECISZON �?UILDERS (714)631-2i78 FDOflESS: 2a.�y' F1aCIF'IC t� C,`: CA 92627 IICEN5E0 CONiflRCTOB DECIABATION: I nere0y anirm Inat I am licensed under provisions ol Chapter 9(commencing witA Section 7000) of �irsion 3 of Ihe Business antl Professions CoOe, an0 my license is in full for and t ct. ciTruc.: 547Z9 STRTEUC.:6�3457 a� E3 � �ate: Z Z' � Signa�ure. WOflI(F S' C01 PENSATION OECLAliAT10N: I hereby aflirm Nat I have a cenificare ol consent to sell�insure or cenificate of Workers' Compensatmn Insy�aqce, pr},cgr1ified copy Ihereof �Section 3800, Lab. �). � ,� POLICY NO.: 1� b j I U 6` y S E%P. ORTE: ) 7/ 0.. / 9.. COMPFNV: S TATE � Cenilietl copy is hereby IumisheA. ❑ Certifietl coDY is 1ite� it fie`city 7tlin vision. � Daie'. � Z Z' 7' ADPlicant "�� '� E%EMPTI N FB01 WOflKEPS' COMPENSIITION OECUMTION: (T�is seclion nee0 not he camDleteO ii �he permi� is for one hunEretl 5100) or less�. � 1 certily ��a� in Ihe pedormance o� Ihe work lor which ihis permit is i55ue4 I shall no� em0loy any person in any manner so as �o Uecome subjeci lo Ihe Worker5' Comp¢nsa�ion Laws ol Cali�omia. �ate: SignaNre'. NOTICE: Ii, after making Ihis declara�ion. you 5hould Decome SuDlect to the Wo�kers' Compensation pmvisions ot I�e Labor Coae, you musl �otlhwith comply wi�h such Dmvisions or t�is permil s�all be Oeemetl Bvoketl. CONSTHUCTION LENUING AGENCY: I here�y allirm �ha� there is a consimction lenaing agency �o� �he pedormance of ��e work lor wh¢h Ihis permii is issued (Sec�ian 3097. Civ. C). LENUEN: nooxess: OWNEB BUILOEP OECLABATION: I hereby a��irm �ha� I am exemp� �mm Ihe ContractoK S�a�e License Law for �he following r¢ason (Seclion 7031.5 Business antl Pmlessional COAe: Any ci�y ol coun�y which repuires a permit �a con5imct, al�er, impmve, demolisA, or repair any s�mc�ure. prior la its issuance, also repuires �he applican� tor 5uch Dermii Io Iiie a signed s�a�ement ��at he/she is ticensetl pursuam m the pmvisions o� �he Contracmrs' S�ate License Law (Chap�er 9(commencing with Seclion 7000) o� Division 3 0� [he Business anU Pro�essions Code) or ihai helshe is exempt �herefmm and Ihe hasis for the allegeU exemp�ion. Any viola�ion of Sec�ion 7031.5 by any applicant br a permi� sublec�s ihe applicanl Io a civil penalry of not more �han live hunaretl Uollars (E500�. I. as owner ol �he prop¢hy or my emplayees wi�� wages as ihei� sole comp¢nsa�ion, will tlo Ihe wark, and the ❑ s�mc�ure is not intentlea or a��erea �nr sale (Sec�ian 7044. Business antl Pwfessional Cotle: The Contractors' Sia�e License Law tlaes not appty to an owner o� a pmperty who builds or impmves Ihereon, an0 who Ooes such work himsetl/�erself or �hrough his ar her own employees, pmvitletl t�at such impmvemen�s are no� in�endetl or ofiered Por sale. I( �owev¢r the builtling or impmvemem is sold wit�in one year o� completion. Ihe owner will have the DurOen of pmvinA he/sAe ditl not builtl ar impmve for �he purpose ol sale). I, as owner ol �he pmpeny. am exclusively contracling with licensetl coniractors �o constmc� �he project (Section 7U44, Business ❑ and 7rolessions Code: The ConVactors' S�ale License Law Ooes not apply lo an owner of proDehy who builUs or improves �hereon and wha Comrazts �or SUch projetts wilh a contracl0qs)license DurSuan� �o �Ae ContraCtofs' Slate LiCense Law�. I am aware Iha� pmo� of their Worker'S Compensa�ion insurance shauld be pmvided ro me. � I am exempl under Seclion: B. 8 P. C. lor ihis reason: Oale: Owner. I Ao hereby cenity Ihal I am aware o� antl un0erstantl �he reQuiremenis o� Califomia Healih an0 Safery CoOe Sec�ions 25505. 25533. and 2559a and Ihat I or any IUWre buil0ing occupaN willlwill nol (circle one) neetl �o comply wi�h saia s�ale cotles antl Ihe,reQuiremen�s �or a permil for conslmclion or modilication irom ��e Air �ualiry Managemen� �isVict. ResiOen�ial consVuc�ion applications are exempt trom Ihese provi5ions. Dale: ApplicaN: I hereby certity �ha� I have reatl IhiS applicaiion antl s�ate t�ai the above inlOrmatian is corteCL I qgree 1 CompJpwilh all Ciry and COUn�y ortlmances antl slaielawsrela�inglo Guiltling conslmction antl �ereby author `represe 51ive5 YtiGs i� Io n ( pon��ve-mentionetl pmDetly rtor in pection purposes. �ate: `� Z � SignaNre Orivei's License or Sociai Securiiy a: � 1641-46 Whne-0uil�ina' Green—Cotle Eniorcement; Canary—Aoolican�; Pink—Revenue: Goltlenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: P 057474 PLAN CHECR NO: N CONSTRUCTIDN TYP�: PER,�IT 1YPE: FLJ FnRNi A?U: P 05147� GOVT: N SUPP; N PURPOS�; ADD JO$ DESCRIPTION -: 72RSF RrISAEi3TIAL Al"JDITIOlU - '- SQ cT; CLA2� VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: RELOCATE WATER AEATER IN GP,RAGE �F iE aF 3e iF aP �f iF if K� % 3i� 3F li� if� �1F �f M� 3F IE 3E �IE� 7F 3F iE *# N� 1f #'..3f ib 3'r �1F R-%�E �E 7E 3e X� #�1F f� i(� if %� Y.� If ii� 3E 3F If�?e �1F if i'r �1F 3F 1r �)k iE 9f # 3b �f �1F?E 3F 1'r ?f� aF v. 7'r-1E 7E 3E 3E �1!� 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 ------------ NASi� BUILDING ---------- ---------- ACCESSORY BUTLDING --------- FR�T: FT ZN REAR; FT IN FRNT: FT IN REAR: FT ITi LEFT; FT IN RGHT: FT IN LEFT; rT IA� RGHT; FT IN PARKING REQ• }'ROV: F'ARCEL: 42236313 ZNE: REF NO: FLANNI2JG NC)TES> i �E iE iF Y N� k� If iE ie # 3F 3f'F. It h` 3b N� i(� If � iE 3E # ik 1F :Y� 3E # if M• #e lE %�lf k# iE 1(� %� jE �1F if� iF+E �k 3{7�f.M� �1f 1F Y iF �k iE i: iE iF ib 3P �14 ih Y� 3t # IE ib i( 3f� X� ac if 3E?E if iF if- tE iE M D E V E L O P I�: E N T S E R V T C E''.ss': R n Q TI I R E N E i� T S h ZONING APPROVED BY . BUILDING APPROVED HY : DATF. ; DATE: APPLICATION ISSUBP BY: �— ^ DATE: � 5-77�7 , %��%iF3(�iE�%1fk�1EiF3Ei(-iE3Fif3(�YiE�3fYclk'iF3!��,r � �rt� ... . . f'if7F��3�iF � r r-.+� ��6iEiFfEiFiFi4-%ieiF3t3F��F�i�� f4 if ?E if� )c lE 1E �E �E 1E jF If �E 1(� 3f- iF IE IE if fE i(- # Y.� ik i(��%�lf� iE ?f� it iF %�F #%� �3f 3FlE if R 4)E %!f if� }c iF iE i!� �lf iF if if- iE }= fE if M� 1F?E !E 1F if i4-k # K� ii� �?E if 1f ii- iE iF?E %iE # LEGALZZATEON:N F E E S'� N, M A R Y STRUCTURAL SEG"".Br�T:rd BI.DG FMT PLONBING EI,EC'iR7' NECHAI�IC FIRE �MlP/RES GRADItic; pr.R;'iIT �.�0 �25t SMIP/NON-RES PLAN ISSUE FEE 3,OU BUILDING-DIV-> PERMIT ISSUE PLAN-CHECF: TOTAL PAID AUE TOTALS----> 2.00 3,00 0.00 5.00 5.00 .00 REVENUE DIVZSIUN TOTALS--� COLLcCTED; 5,00 OVER/SHORT; ,00 BLDG FNT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHcCK 5.�� ?F If iE %� IF iE 1E iF if iFi'r 3F �IF i6 ff.3F if 1h 14 if IE iE fE dE !f iE � if if iF ik�% fE %36 �4 af� if i'r ?� M� 3E fE iE ib iF 3F �f 14 N- if?f IE dF iFi(�%ft �lt 3f iF � iE 3F 3F iF ii� iF !i� }.K� � 1f i(� # Y.� if� 7e iF I N D I V I D U A L F E E H R E A H D O W N \ TYFE C�TY D E S C R I P T Y O N � UNZT COST TOTAL CUuT PLU 1 Ti7ATER HEATER AND/OR VENT 2.00 2.OU END QF cEES �i aazi5aar-ne�.>,c:� ��;---- QATE: iz31�2.''i2 71{�i. :.��t �2 CONSTRUCTION AND PLANNING � � � PL .& SPA - Date Inspector ' Date Inspector APPROVALS Permit � ' APPROVALS Permit # _ - � - � . }, Temporary ElectriwV Service or Pote _ � 52.� Poo1� & Equipment Locacion 2, Soil Pipe•Undrgrnd. ' . - 53._ Steel Reinforcement , ' 3. Electrical Conduit Utility-Undrqrnd. , � - 54. Forms � � 4. Electrical Conduit-Undrgrnd. '- � 55. Electrical Bonding -� 5. Steel Reinforcement - - '. 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE - . 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, O�Undrgrnd., Test 9. Water Pipe-Undrgrnd. � � 60. 8ackwash Lines, P-Trap, O Undrgrnd. � 70. Structural Floor System 61. APPROVAL TO DECK• 11. Proper2y Sewer Line & House Connection 62, Backwash & Receptor�Final 12. Sewer Cap � - 63. Heater & Vent-Final 13. Roof Dreins 64. Plum6ing Sys[em - Final ' �� . 74. Rough Plumbing 65. Electrical-Final " - 15. Rough Electrical-Conduit . 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access ApProval • 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts. �n Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Under9rnd.StorageTank OGas ❑Oi1 25. Roof Sheathing 74, pverhead Hydro 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical 27. Freme and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insuletion 78. FIRE PREV. FINAL 30. Drywall Nailing . HEA�TH DEPT. REQUIREMENT 31. Plaster Brown Coat �� 79. FINAI INSPECTION 32. Electrical Power MeterFinal � 80. FOOD CERTIfICATE ISSUED 33. Final Eleciric ,' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing 7�(�, L�A 39. Water Service•Final . 40. Gas Service-Final 41. Solar pomestic-Final • 42. Backflow Preventer � . .43. Backflow Irrigation 44. Landscape Irriqation System . 45. Sound Attenuation 46. Handicap Reguiations 47. FINALSTRUCTURE&BUILDING 48. FINAL PLANNING 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co 51. CER7IFICATE OF OCCUPANCY No. Date :i +. �,/ PflOJECT POOPESS: g'1 S DARRELL� ST OWNEH'SNAME: SANS SOUCI LILLIAN � nooeess: ;pLASCENCI�. LINDA ` 1954—A WALLACE AVE " COSTA MESA,CA 92627 642-4571 AflCMIENGINEEP: ' BEG.NO.: p0UHE55: UNIT: UNIT: PE"miTTEE: LINDA PLASCENCIA ( 714 ) 645-5277 ROOflESS: 1959 WALLACE -AVE A CM CA 92627 LICENSED CONTflACTOH DECLAPATION: I �ereby allirm tha� I am licensetl un0er provisions o� ChaO�ar B kommencing wiih Sec�ion 7000� ol DiNsion 9 of ihe Business anA Pmfessions CoOe. an0 my license is in full fome ana eifece - CITY LIC.: STATE LIC.: CLFSS: Date�. 9gnature: WONNE85' COMPENSA710N �ECLABI1710N: I �ereby aifirm tha� I have a certihcate ol consent m seli-insure or a certilicate of WorkeK Campensatmn Insurance, ar a certifie0 copy ihereof (Sec�ion 3800. Lab. C). ^OLICY NO.: E%P. ORTE: . :OMPpNY: � Cenified coDY is hereby furnishetl. ❑ CeNfied capy is filed with ihe city 9uil0ing Division. �ate: ApDlicanC ENEMPTIONFpOMWOBREPS'COMVENSATIONOECUflPTION: �ihissec0annee0na�becompleteCifthepermilisforonehunOre0�5100�orless�. I cetlify Ihai in �ne peAormance o� the work for which Ihis permi� is issued, I shall no� employ any person in any manner so as �o become sublec� lo Ihe Workers' Compensatmn Laws of Calilomia. Oale: Signature: NOTICE: If. after making Ih�s declaralion. you shoultl become sublect to ihe Workers' Compensation pmvisions of the Labor Catle, you must �oMwith camply wiih such pmvisions or ��is permi� shall he deemeU revoketl. CONSTFUCTION LENOING AGENCY: I hereby a��irm Iha� Ihere is a conslruction lentling agency for the pertotmance of �he work br w�ic� I�is permil is issuetl (Section 3097. Civ. C�. LENOEfl: aooxess: OWNEB BUIIDEfl OECLi1NPTI0N: I here6y at�irm �ha� I am exempt tmm t�e Conlrac�ors' S�ate license Law �or t�e following reason (Seclion 7031 5 6usmes5 antl Pmlessional Catle'. Any ci�y of coun�y which requires a perml� �o cans�mc�, aller, impwve, Oemolish, ar reoair any stmc�ure. O�ior to its issuance, also requires ��e applicant far suc� permit �o file a siqnetl sta�ement �ha� he/she is licensed pursuani lo t�e provisions ol ihe Contractors' S�ate License Law �C�apter 9(commencing wiih Seclion 70W� ol Division 3 0l ��e Business antl Pmlessions Catle) or ��al ne/she is exempt therelrom antl the basis for Ihe alleged exemption. Any violation ol Sec�ion 7031.5 �y anV applican� tor a permil sublecls Ihe applicant Io a civil�penalry oi no� more ��an five huntlretl dollars ($500). ' I, as owner of Ihe pmperty or my em0loyee5 with wages as �heir sole compensa�ion, will da the work, an0 lhe ❑ simclure is nol inten0e0 or offere0 far sale (Seclian 704a, Business and Protessional Cotle: The Contractors' State �icense Law tloes nol apply Io an owner of a Droperty who builds or impmves t�ereon, and who does such work himsel�/herselt or Ihmugh his or her own employees, pmvide0 tha� suc� improvemen�s are nat in�ended or o11e�e0 fo� sale. If, however lhe builtling or - impmvement is soltl wilhin one year ol comDle�ioq t�e owner will have I�e burtlen o� D�oving he/she Oid no� �uiltl or impmue lor ��e purpose o� sale�. . � . . I, as owner of ihe propeny, am exclusiuety coniracting with licensed coniraqors to consVuc� Ihe pmiect (Section 7044, Business ❑ antl Pmiessions CoOe; The ConVactors' State License Law aoes not apply lo an owner of property who builtls or impmves �hereon and who conUacis tor such pmlects wi�h a coniractor(s)license pursuan� ta �he ConVac�ors' S�ate License Law�. I am aware Ihal pmol ol their Warker'S ComDenSalion insurance,shoultl �e pmvitletl fa me. � � am exemo� weer Sec�inn: HP704 ej B. 8 P. C. io� inis reasore p�]�L . WORK BY OWNER/?n�� . _Be9�: �_ Ownec tlo here cetlify Ihai I am aware oi an0 under5lantl Ihe requiremenis of Cali or a Health antl Safety CoOe Sec�ions 255�5. 25533, and 25534'. tl thal I or any future �uiltlmg occupanl will/will no� (circle one) neetl � comply wi�h saitl s�ate codes antl �he reQuiremenls for a permil lor cons�mclion or moAification iwm Ihe Nrt Oualily Managemen� �islrict. FesiOenlial con5�mciion applicafions are exempt �mm Inese pmvisions. , �ale'. Applicani: I hereGy [er�ify t�al I �ave reatl Ihis applicalion an0 s�ale tha� ihe above informaiion is correcl. I agree lo compty with all city antl counry ordinances and sla�elawsrelalingio butlding consimction an0 hereDy aN�orizerepresentativesolthis ciryio enleruponi�e above-mentioned property for Inspecllon purposes�.% �Ie: _ ��/ / /� Signaiure: _--��ey%C!�_— �-��. QQ,� !A � � �rive� L¢ense or Social Security a. �6a1�46 White—Bmldmg. Green—Cotle Eniorcemem: Canary—Appl¢am: Pink—Revenue: Goltlenrotl—Auessor CZTY OF COSTA MESA — BUILDING PERMIT PERM NO; E 059868 PERMIT NO: E 059888 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD JOB DESCRIPTION ; 718SF REISDENTIAL ADDITION SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / COMMENTS: REF B55724 —CONTRACTOR DID NOT FINISH•THE WORK REF:E55725 �**��*��***��*��**»��***��**��*��*�«*�*�*�*�**�*��,��*��*�*,��*��*��»�� 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 IN LEFT: " FT IN RGHT; FT IN LEFT; FT IN RGHT: FT. IN PARKING REQ• PROV; PARCEL: 42236313 ZNE: REF NO; PLANNING Nt�TES> ' �k k if iF if iE it iF ik k if it iF�F iF if ik �k iE if �tlF ik if k �t iF iF if iF i! iE!! 3Fif �!k �! k i! �Flk if iF it iF iF �t �f �E it 1tlFiF if �f if 3F iF 1f iF iE iF iklf iF iE �F �F �F iE if if iF iF if Ik iF iF . D E V E L O P M E� N T S-'E.` R V I C E S R E Q U Z R E M E N T S ZONING APPROVED BY" ' DATE; 'BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE; �v ��2� iEiFifiF1E1F3EiEkiFiFkiFiEiFifiEiFiFiFkiF if1FMiFiFifkiEiklf ikif 3k�FiFlflfiF3t�fik�FiElf�faflfif�lf�FiEk1k�F�f�k �1fjf1FlFifkif3f�F�F�k iFit�F �F�F3fiFiFiFkakit�FiFiFlfififkififkiFlF�flF�fif�Fif�t�Fifkltk�lF LEGALIZATION;N F E E S U A R Y ' STRUCTURAL SEGMENT;N �BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT ' 21�Ot SMIP/NON—RES PLAN " ISSUE FEE ' 15.00 BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 21.00 15.00 0,00 36,00 36.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 36,00 OVER/SHORT; ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 36.00 � M k iF 1F iF 3E if if if iF i1iFlE iE IF iElf if iF M 1F 1F k k iF 1E �k �1f iE IF �k iF �F M IE iE iE i! �f iF it ik 1t 1F iF�! �f 3f iE iFlf If iE if iF iF iFlF iF M k if iF iF if iF iF if iF iF iF if �f If k 1F If if iE 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 ELE 6 FIXTURES LIGHTING 1 ST 20 ELE 17 �RECEPT/OGTLET 1 ST 20 ELE S RECEPT/SWITCH 1 ST 20 END OF FEES A. .75 12,75 EA. .75 3.75 �n �� i�:� N011 0 1992 tV`.' � � CITY DF l;�S ��..r,�tESA a s: c� , Date Inspector � �- � Date Inspector� APPROVALS Permit # . APPROVALS Permit # � � , � 1. Temporary Electrical Service or Pole � - 52. �Pool & Equipment Location � '. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � ,� o-.��IECtrZ'�.,al Conc�ii�iftility-Undrgmd. _ 54. Forms � . ' ;�4.� IeaWiral Condvji�Undrgrnd. � 55. Electrical Bonding �j � � ' / �;�.��ReinforceC��t 56. Rough Plumbing & Pressure Tes s� "' x ' t�i�.i LtEqrical UFE;F3��rnd. . . , 57. APPROVAL TO COVER-GUI�1�E � �i `= 7. F�di ngs h�� 58. Electrical Conduit-Undrgrnd. ¢' x -.ti rn p; 8'.�f"oundation �� , 59. Gas Pipe, � Undrgrnd., Test �; �� °� 'S �ter Pipe-UndryFhd. 60.- Backwash Lines, P�Trap, O UndF'rnd. rr, �x 1'a. Structural Floor System 67.� APPROVAL TO DECK - � y 11. Property Sewer LinE•& House Connection 62.� Backwash & Receptor�Final �` � 12. Sewer Cap 63. Heater & VenbFinal '^. 13. Roof Orains •c. 64. Plumbing Sysiem � Final �- �% i� 74. Rough Plumbi`rt,q � 65. E�ectrical-Final .�� 75. Rough Electrical�Conduit 66. Solar SYstem-Final % 16. Rough Electric�4Viring 67. Fencing & Access ApP�oval � '� a. 17. Rough Wiring $ig - 68. APPROVED FOR PLAS7ERING � 18. Rough Electric�t-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT C 7-rDc.. CT,' =K F IT7[*] i; 20trfio� h F�ctdzy Fs7eplace �=tT. d^ �R C' D c7* �: *l1PPRRDVA'L�SDJPer.mit #* ""`" 7 :D � 1 Ctt' 4. " Y. f� e� ); n-� ••� r"ill:H :t �' xt n n� ' v: 1 - .Kr � : . � ;K i > % r 21 ,�Ju[Ls, in,Str�ct X �.. ^}.,5 .� 5 � r+a � 70. Under "�� H�ro r.c 22. Dufts. �19ntitatl ��s: � ��5 �` J tt�' �k ^-77. Produci'T��?ng L'9�6'es C3KOil x« 23.`�;Gas PiP�o�h &"�est ' � .� .� �"'� x '^ � � C- � �, .- � i t»S w;�l et C�< x.72• UndergYodnd Flusl�j . � 24t*Ro� Framing i * � ='- �•i^ �� > O � � � 73^Undergrn�. Stora✓g�"iank`O Gas ❑ (�F� ' `. r� m :: x. � n x 25. Ro`f SF{�athin �` � �� '�` �r `� v N:f � G �-.�- .k }, �, 9 �y;: � v• x p y, p_x �, 74 �Overhead�-IydroJ' ,.� 26n�T-8,ai Ceiling (Str�uaturall &:$lonocoat �� r �.s;� M 75r Dry Chemical y'7 C' t�'tc 27:�Frame dnd Flashiri j �' ( X^ N x` � `` m aa. �,y � t. �- .,,, 76:-Dr Stan� e�� .x S tn xf� i tp<.: Y r ��m y. Fkn 7 `..28. Lathinp& Sidingi �i' v. "4�, tr x S_ •��•• ••�:.F 77;� FIXED S-YSTENl51NAL"� v�.•� �'- - - �-; n n ., IS'� L�:1: �� . .. �1 ji i-'Y ,Y, h� l +r: ` �JG '29. Insulation �,. � ' „ ., , �'` .� 7g�FIRE PREV. FIiVA,L r � � .� - [r30. DrywaltdVailing t.�*. J -� J '+ ��,R' �" h1EALTFjrpEPTi R�EQ1dIR£�IREPI � 37. Plaster §�owa�Cqat; S i <. ! � 79`�FINAL IL�ECT1�1f�; � C ` ��^ � ` : ; a: � ;-, _ - �- � .32L{lectri Povser•h`Aater„Finalt � :n n , � � > �:80�:,FOOD CE TIFtL(-cY.E IS6�IED r+ r33,��.Fir� Et�ctrii, H.xr. tr, t l/ T� �_.,.� N�Sj� �P .-�-,-,t�,'� *� � `� `r ..� � ¢ ,� 1 - . .-. � ' t , ., . f�.'r�4i fir� Heatir�& f:i� ondition�9: t� k %"�,- • i��.;i,� •g r�;k :r S ' � ,355'Finat G�y Pib�-Testx ~`r - * f� * , ,^�Ov: OC1 tn,S r: ;r J� . � i i-.R. r^a x. r '. ;"�:� h r' ...4 CN « CUNCi?��. tr F-' x .. • :X � * -.: 4n ` . . :A rl t-� y36: Ho§d o�CanoPY�Nr � i•^' _.a, x^ �� r g C10 * � ��7�irfal FaSytory Fi�aCe � �.'�• � t`� � �;:`j:. i y .�. �� `��. `�8. Finaf Plumbin9 w� Ct i•• .� � � � x S i-; x t� :'�39. Wat�r Service�Fi6al* ' '�' �. I E* � �"� 4-•tn +� �� S+ S 1� cC r �G x rntTlt*: e� *,:r. � i a .. � r+._ • - i. „f30. Gas Service-Final x R; y«� t� ; .t. t�7 I s:i pro otu x -• • FA7. SolarpomesticF".iTaIS r� •• �M�:� F+' = <to �r� * �ti �n � �:i: � 70 � :.,.x o `-42:'8ackflow Preveniec: f' ��' ` � � �' �' "� '� � .I. ll: 'i. v I 1 �lc :s. p: r L' 'k � H 43. Backflow Irr�gatiSFiF "��• '+� � '' � �� * � � ii�y: .� rS :Y..}: / :k Cl ' c e �:�r ; � x �� x v:��.- ��f14. Landscage I�s�,.ci4�H;q� SYseemy,[i!!J u: * r,7 n � x.t P) N x('J x N ^�r'�N _ ry . .- . .: -- � _ . . . 515�und AttebtiattArt. '-.x�� . �F' m� �r.r. , r-i s-. cie cK� + H [TI:K :t. f�' .t L �, :1: � a G :S K LTl .. . ..y; .y � : i r-i • ••N w �6.`-;}iandicap RA�ula't�c�ns y.. ,_, ,. :�� ;r :y, ; ,r�p , 47.sFIAtAL STRt�CTUfiE & BUfLDING a. ! �'�k �e , c3 j `y :x :K H .iY � ~ 1 .^i '� F ^48��f�X�AL PLANNING' i E�.- i� nt 1,� � x:1 tn � � � c49�fleairic Release tofdison t :e� �, �� _: s. v; � i x. � � -�'1 :k y� . . '" � :e � -. �I S '� :7:L z . d.C/�lJ �,;505Ga�iRelease to Souihem Califocnia Gas Cn � � I��r, x- -. ;)�r x �� •�. x51. CERTIFICATE OF�OCCUPANCY y; ;�� S �� ;�� ; x _ r�;,�,� No. Date �i, PP0.1EC� FOONESS: 8� J DARRELi � T :�WNEN'SNAME: SliNS a"UULI� I,ILZ�IF;Iv �:. aooeess: gpLASCcNCIA LINDA 1954-A WALLACE AVE i' COSTA MESA,CA 926z7 ANCH/ENGINEEfl: NEG.NO.: aooaess: uxir: uxR: PEflMITTEE: �j,L-CpAST RUQFING (7i4)650-7.24�4 aooness:• 2 q p� y,tALi,ACE AV CO5TA MESA CA 926i7 ❑LENSED CONTqqCTOfl OECLANRTION: I here�y allirm Ihat I am Acensetl un0er O�ovisions ol CI 7000) al Division 3 ot Ihe Business anU Pmiessions Code, anJ my hcense is in hJl torce ntl �fe� CITY LIC.: � � 1 q � p srare uc.: ,�y g 4 4 0 cu�ssi ��3 . oate: ' � �9gnalure: � � (commencing with $eclion WOPNEfl$' C EN pTION OECIAflFTION: I Aereby a��irm hal I have a ce i caie oi con5eni lo seli-insure or a certifica�e ol Workers' Compensation Insurance. or a cenilietl copy ihereo� (Section 3800, Lab. C�. PULICY NO.: E%P. UATE: COMPANY: ❑ Ceriilied copy is �ereUy �umi5�e�: ❑ Certi�ietl copy is �ileC wiih the city Building Division. �a�e: ADDlican�'. EXEMVTION FBOM WOPKEPS' fAMPEN5ATI0N DECUMTION: QhiS 5eclion need noi be comDleteA il Ihe permit is �or one hundred (E700) Or less�. I ceNly iha� in the perlormance oi ��e work t.whic� Ihis permii i i55ue0. I shall nol ei �plo erson in any manner so as �a �ecome sublecl to Ihe or�ers' Compensation La ot Cali�omia. � / Oa�e: Signa�ure: � NOTICE: . a� r making this tleclaration. you 5hould 6ecome suUlec�fo e Workers' Compensa�ion O�ovisions o� the Labor CoEe. you musl �ohhwrth compry wilh such O��i5ion5 or IAis permit sha �e tleeme0 revokeU. CONSTflUCTION LENOING AGENCY: I hereby allirm Ihat there is a consimction lending agency for the pedormance of Ihe work tor w�ic� Ihis permit is issued (Sec�ion 3097, Civ. C�. , LENUEfl: AOUXESS: OWNEB BOILOEB OECIANATION: I hereby afiirm Ihat I am exemp� �mm the Conirac�ors' S�ale License Law for �he following reason (Section 7031.5 Bu5ine55 and Pmiessional Code: Any ciry oi coun�y which requires a permi� m constmct, alier, impmve, demolish, or repair any s�mc�ure. Orior ta i�s issuance, also requires �he applicani lor such permil to file a signetl sta�emenl Ihat he/she is licensee pursuam to ihe pmvisions ol ihe Coniraclors' Stale Licenre Law (C�apter 9(commencing with Semion 7000) oi Oivision 3 of tAe Business antl Pm�essions Code) or ��al he/she is exemp� �here�mm anJ the basis for Ihe allegetl exemp�ion. My viola�ion o� Seciion 7031.5 hy any applicanl �or a permii sublects �he applican� to a civil penalry oi no� more IAan �ive hundretl dollars (5500�. I, as owner of ihe pmDerty or my employees with wages as iheir sole compensation, will tlo t�e work. and the ❑ stmcWre is not intentletl or olleretl for ule �Section 10a4, Business an0 Pmfessional COAe: T�e Cantraclors' State License Law Ooes nol aODly �o an owner of a pmpehy w�o OuilOs ar impmves �hereon, and who tloes such work himsel(/heroell or �hrouAh his or her own emDloyees, pmvi0e4 �ha� such improvemems are noi intended or oflered �or sale. I�, Aowever �he builtling or impmvemem is so10 within one year of completion, t�e owner will have ihe burUen oi pmving he/she did not bui10 or imOrove lor Ihe purpose ot sale�. I. as owner o11he pmperty, am excNsively contracting with licensed contractors to consiNct ihe prolecl (Section 7044, Business ❑ antl Professions Code: The Conirac�ors' Slaie License Law EoeS no� appty Io an owner oi O�oDeM who hml0s a� imD�oves �h¢reon antl who Con�raCls for SUCh pwletis wilh a conVac�or(5) lic¢nse pur5uani�0 the Con�raC�ors' Sta�e LiCense Law�. I am awafe that prool oi iheir Worker's Compensa�ion insurance shoultl be pmvidetl �o me. � I am exempi under Section: B. 8 F. C. for ihis reason'. Da�e'. Ownec I tlo hereDy ce�ity ihal I am aware ol an0 understan0lhe requiremenis of Califomia Health anC Safery Cotle Sections 25505, 25533, and 2553A anU Iha� I ar any IuWre bmlding occupan� will/will not (circle one� need lo camply with 5ai0 slate co0e5 antl �he requiremenis br a permil lor canstmction or maailicalion Imm�he Air Oualily Management Districi. Resi4enliai conslmction aDPlications are exempt imm Ihes¢ provi5ion5 �a�e'. Applicanl: I here0y cetlifylhai I have read Ihis aDDlicalion ane slate�hat�he above in�orma�ionis correci. 1 ortlinancesands�alelawsrelalingtoOuiltling�iSlmclionanUhere aul�ori2erepreSenlaliveso�il pmpetly lar insp i�ion urposes. 1 oaie: 15ignamre. Oriver's License or Social Seariry p� 1641�46 Whi�e—Bulltlinp; Green—Cotle EntorcemenC CanarV—Aoolicanl: Pink—Revenue: Goldenrotl—Assessnr CTTY OF COSfA MESP. - HUILDZNG PE�NIT PEkM NO; & 0`5501 PERNiIT �NO; B 056501 PLAN Ci-IECK NO; N GQVT: N Silt'P: �� CONSTRUCTION TYPE: 5-N PER,�iZT TYPE: STR F[i3POSF: AL,T J6B DESCR.IPTION ; TEAR-OFF S REROOF 2300SF RESID WlCOMP SH SQ FT; 3,300 CLAIM VALUE: 3,300,00 CALC-VALUE: 3;,300.00 GROUP OCC; R-3 /M-1 CONiMENT'S: RERGOP' 30SF' FT,AT ROOF 1E iE �3i df iF �%�IE �: iF �lE iE-k -)i� �lE�-Y.- Bf iE'lE iF #-1E��3E # ii �� if 3c �7c�N ic -lcif 9F 7C� iE 3f -1E -IE ii iC� 1(��IE # iE %-0F �7E ic �1f �If ic ?E iE �If ie �IE dE IE �Yc �!E if ic iE if dFJe #�f )f–% af �}-.IE �k #�%� �iF } k- Z O N Z N G R E� U I R E N E N T S S E T A A C K 5 ------------- MAIN BUILDING ---------- FRI�TT: FT IN Rc.AR • FT SN LEPT; FT iN RGHT: FT IN -�'-------- ACCESSORY BUZLDIIQG - - FRNT; ^T IN REAR; FT IN I.nFT; FT IN RGHT; rT IN PARKING REp• PROV: PAkCEL: 42236313 ZNE; REr NO; PLANNING NZiT'ES> i y�� iF 9f' i('iE ft #E'Y.' �]E 1F ih i43t'� �?F id ?E ie iE 3i' !f ie If 3t 3e 1E 1F if )c }F 1FV.� if-1E fE iE iF iF )f if ii" �@ i't #E iC' iP �7(' iF �lE 34 if 3F'1F Y.� K' i(' f:' w� iL' iv' it if IF IP 3!� %� iF ir if k''h #?f �r: ii Y: 'k'?h i�. a: 7(. D E V E L O P M E N T S E R V i C E 5 R E Q U I R E M E N`ii S ZONING APPROVED BY . DATE: BU.iLDING APPROVED BY : DATn: !z. APPLSCA'PION ISS(i3D BY: `J_Ld DATE; 3�� cl,� 3f�1!�if3E3Fitl'riF3f3k3fi'?Flfk�IFic�3f�ifii�iF�i . .. � �k � . . fr .�(.:A.Ii..N.y}.}'.iE�1F��T��,St�� it %�iF:rc -0E� 3E?'r If iE ik iF ##�If N� 1E 3E k iFlF if iE iE jE 3F � i(� #� lE i61e 3F �k �1(� X-iF Yt �1t 9f iE iE 3f �k aF 31-1E 3F i!� iE iF i!� 1E iF ii-!f ��Elr �M'� 3(� #- iF if �lF Y� �lF #� iE ic ie Ir`?(� 3: �(� iF ie 3c # k..k)i. •y. LEGALIZATZOiV;N F E E S U M M A R Y STRUCTURAi S'cG!✓EAT;Y BLDG PMT PLUMB'SNG ELEC'I'RIC MECHANIC FT_ftE SMIP/RE:; GR�ti1'i�G PERMIT 53.00 .50� SMIP/NO?d-RES � PLAN ; /,;�' ZSSUE FEE � BUILDING-DIV-> �ERMIT ISSUE PLAN-CHECK TOTAL PAID �-^ D�UE TOTALS----> 63,50 0.00 0.00 63,50 63,50 � .UO REVET�UE DIVISION TOTALS--> COLZECTEU: 53,50 OVcR/SHOR'T: ,00 F3LDG PMT PLUMBING ELECTkIC f�;ECHANIC FIRE: SNIF/TUT GRkDINC- �?LAN-CHaCt 63.00 .50 �,:� ik * iE �iF i!�-7t �l'r �(• %� �lE lF-x� if l(� 3E 1f iE 3b ic 3E iE 1E 3F 1E 1F iE iE 1E 3b ii- jc iE i( k� 1F I( % fE�F �lF 3f iE 3E 3(• 3F 3i� ?F af ie iE /t ii� 3i� �t� if ih i'r ic� ii� ii� 1'r j"t �7E }; -k� #� if if� Y iE9F K� 3F ii >•:ii'#•,3f 3e I N D I V I D tJ A L F E E H R E A K D U W N �1';' TYPE �'PY D E S C R I P T I O N JNIT COS1' SFR 3300 REROOF BY VALUE RESIDcD7'TIAL NOZONE 1,00 END OF P C.�:S .3�OTAL� GOS i �� 3, 300,'QO i. �• i �. /^ !•� � J p . / +�� t7(3210:5G-i1Gi10if,t'��T'9s f ,.��'., l. OATE: 43/]Q/52 TII�`` iu:JP � fCONS RUCTION AND PLANNING� � : POOL & SPA _ � . Date Inspector Date Inspector. APPROVALS Permit # . _ , - - � APPROVALS Permit # - 1. Temporary Electrical Service orPole '. -- �- 52..,Pool & Equipment Location . 2. Soil Pipe•Undrgrnd. - "- - � 53. Steel Reinforceme�t . ' . _' : 3. Electricfll Conduit Utility-Undrgmd. 54. Formr �• - a 4. Electric8l Conduit-Undrgrnd. . 55. Electrical Bonding _ �� 5. Steel Reinforcement • " � . 56..Rough Plumbing & Pressure Test 6. Eiectrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE 7. Footings ' ' - 58. Electrical Conduit�Undigmd. 8. Foundation ' `_ 59. Gas Pipe, � U�drgrnd., Test 9. Water PiPe-Undrgmd. -. 60. Backwash Lines, P-Trap, O Undrgrnd. .� 10. Structural Floor System 61. APPROVAL TO DECK - .- 11. Properiy Sewer Line & House Connection 62. �Backwash & Receptor�Final .' 72. Sewer CaP ,-' 63. Heater & Vent-Final . � 13. Roof Drains � , . , _ 64. Plum6ing SYstem � Final , 14. Rough Plumbi�g �� 65. Etectrica{-Finat _ 15. Rough Electrical•Conduit I �. 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval � 17. Rough Wiring Sign 68.. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Atr Contlitioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # - 21. DuCts, in Structure 70. Underground Hydro 22. Ducis, Ventilating 77. Product Pipin9 O Gas ❑ Oil 23. Ga3 Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing �4. Overhead Hydro 26. T-Bar Ceiling (S[ructural) & Monocoat 75. Dry Chemical 27. Frame 0nd �lashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Naili�g HEA�TH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Eiectrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: - 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test � � , 36. Hood or Canopy ,� 37. Final F2ctory Firepiace ' 38. Final Plumbing 39. Water Service-Fi�al 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Land5c8Pe krigation System 45. Sound Attenuation 46. Handic3p Regulations 47. FINAL STRUCTURE & BUILOING 3 ��j-L� �t,jl,Q _. "52.�,� �,� 1% ,j% � L ,_�'� �1. Gt=�[' • !�- 48. FINALPLANNING ' 49. Electric Release to Edison _ 50. Gas Release to Southem California Gas Co ' -� -�i Z_ C�� //��,oa, �( �� 51. CERTIFICATE OF OCCUPANCY � -��%��'i�'L/ No. Date v CITY OF COSTA MESA � BUILDING DIVISION � ROOF COVERING CERTIFICATION Property Address Owner �`�i Contractor State Contractor License Number Permit No. � �" �� Classification � I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation ins[ructions of the manufacturec ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I fur(her certify that I am: �Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division ey: �— 3�W�5t— Initial � D� 0990-4fi White-BUJaing Dlv.�, Canary-Contrac�or: PInk�Owner �--- 11I<KU L.c/� � % � t� Prin ed or ryped name Pq0.1ECT ROONE55: 8 z S DARRELL ST OWNEN'SNAME: SANS SOUCZ LILLIAN aooxess: gpLASCENCIP�, LINDA 1954—A WALL�:CE AVE COSTA MESA,CA 92627 642-4571 AHCM/ENGINEEF: flEG.NO.: AOOflESS: UNIT: UNIT: PEHMITTEE: }?RECISSON BUILDERS ( 714 ) 631-2178 nooeess: 2�34 PACIFIC B CM CA 92627 IICENSED CONTBRCTOB OECLAXATION: I hereby aflirm I�a� I am licensed un0er pwvisions o� Chapter 9(commencing wi�� $ec�ion 7000) ol Oiv,sion 3 0l ihe Business an0 Pmfessions Cotle. an0 my license is in �ull brce and eilecl. cirr uc.: 0 5 719q srarc uc.: 6 2 3 9 5 7 cuss: Date: / Signature: _ oscf� WOBK 5' COMPENSATION OECIAflFTION: I hereby aflirm Ihat I have a cenifica�e oi consen� �o sel4insure or a certitica�e of Workers' Compensation I s a c�° tifie py ihereol (Section 3800, La6 POLICYNO.: ��"—�� E%P.UATE: ��OSI9Z �omvnxv: STATE CehifieA coDY is �ereby lumishetl. ❑ Certilied copy is liletl. pwi�� the ciry Builtlinp Division. Jate: Applicant: ��L��(r..iM ' E%EM IONFPOMW BI(EBS'COMPENSATIONOECIABATION: QhiSiectionnee0no�becompletetli�l�epermitistoronehurdred�511q�orless�. I certify ��ai in �he Dedormance ot Ihe work for which �his permi� is issueQ I shall noi employ any person in any manner so as to become su�le�� o �he Workers' Compensation Laws oi Califomia. Da�e� Signature: NOTICE: I�, aller making this tleclara�ion, you 5hould become sublec� to ��e Workers' Compensa�ion pmvisions o� Ihe La6or Code. you must lonhwilh compty with such pmvisions or inis permit snall �e Oeemetl revoketl. CONSTflULTION 1EN01NG RGENCY: I hereby ailirm that Ihere is a cons�mctian lending agency lar Ihe petlormance oi ��e work for wnicn Ihis oermil is issuetl (Section 3097. Civ. C). LENOEfl: AOOflE55: OWNEfl BUILUEfl DECIANATION: I here0y aifirm Ihai I am exempt Imm the Conlraclors' Sia�e License Law for �he �ollowing reason (Sec�ion 7031.5 Business and Pmfessional Code: Any ci�y o� counry which requires a permii �o cons�mc�, alle�, impmve, tlemolish, o� repair any simcture. prior to its issuance. also requires Ihe ap0licant for such permit to file a signeA sta�ement that he/she is licensetl pursuant lo Ihe provisians o� Ihe ConVacmrs' Sta�e license law (Chap�er 9(commencing wi�h Sec�ian 7000) o� Oivision 3 of �he Business and Professions COAe) or ihal helshe is exempt Iherefrom an0 Ihe basis for the allege0 exemption. Nny violation of Section 7031.5 by any apPlicanl for a Dermi� suble��s �he applican� Io a civil penalty of not more Ihan five huntlre0 tlollars ($500). , as owner ol �he D�ope�y or my emVloyees with wages as �heir sole compensaiion, will do the work, and Ne ❑ stmcwre is not imenJetl or offered for sale (Section 7044, Busmess antl Professional Cotle: The Contracmrs' State License Law does noi ap01y �o an owner o� a pmperiy who huiltls or impmv¢s �hereon, antl who aoes such work himsel�/herselt or IhrOugh �is or her Own empl0yee5, Omviaetl �hai SUCh im0�ovemenf5 are nat intentlea Or o�ler¢tl �or Sale. I�, hOwever ihe builtling Or imD�ovemen� is soltl wi�hin one year o� camplelion. Ihe owner vnll have �he �uraen oi Droving he/she tlid no� bui10 or improve for ihe Durpose ol sale). I. as owner ol Ihe pmpetly. am exclusivety conVac�ing wi�h iicensetl contraciors �o constmtl the pmjeci (Section 7044, BuSin¢55 ❑ antl Pmlessions Cotle: The Con[raciors' Sia�e License Law tloes not appry �o an owner ol Omperiy who builtls or improves Ihereon and who coniracisfor such pro�ecis witn a comracloqs) license Dursuan�to the CoNractors' State License Law�. I am aware iha� proof oi their Worker's Compensation insurance should he Dmvide0 �o me. � I am exemp� under Secnon'. B. 8 P. C. for ihis reason: Date'. Owner I tlo here6y cenify Ihal I am aware of antl untlerstantl I�e reQuirements ol Califamia Healih anE Safery CoOe Sections 2550.5, 25533. antl 25534 antl Iha� I ar any IUWre builtling occupani will/will no� (circle one) neetl b comply wiih SaiU slale coaes and the requiremenis �o� a permit �or consimction or motltl¢ation �mm �he Air Ouali�y Managemenl �isVict. Fes�aen�iai cons�mc�ion applicaiion5 are eeempt Imm Ihese O�ovisions. �ale: ApplicanL I here�y cetlify Ihai I have read Ihis applica�ion antl s�a�e Ihat �he above in�orma�ion is correci. I agree to comply wi�� all ciry antl counry orOmances and s�ate laws relaling lo butltling cons�mc�ion antl hereby aNhorize represen�atives o� �his ciiy Io en�er upon ihe abave�mentionetl pmperty for inspeclion purposes. /� Date: Z SignaNre: —J:-';� /�"'—��--�^ Drive s�icenseorSocia�Securiiya: t64t-a6 Whne—Builtling; Green—Cotle EniorcemenC Canary—Fpplicanl; Pink—Revenue: GolEenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 056977 PLAN CHECK NO; N CONSTRUCTION TYPE; V—N PERMIT TYPE: STR JOB DESCRIPTION ; REPLACE 6 WINDOWS/EXISTING OPENINGS PERM NO: B 0569- GOVT; N SUPP: N PURPOSE; AT?D SQ FT; 1,200 CLAIM VALUE: 1,200.00 CAlC—VALUE: 1,200.00 GROUP OCC: R-3 / COMMEN'TS; REF H55724 ***��****�**�*a��*�*x***�r*****�*��**�x*��x**x�****x��*��*��*��*�x*��c�c**��** 7. O N 2 N G R E Q U:I R E M E N T S S E T B A C K S ------------ MAIN EUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT TN REAR; FT IN LEFT; FT I23 RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REO• PROV; PARCEL; 42236313 ZNE: REF NO: PLANNING NfSTES> ) � . /� iF 3f if iE 3f iE9E 3F iF 1FlE if if iE iE iE �1F iE iE 1E )f 3E iE if iE iE iE iF iE if 1E iE IE IE i(� iE if iF if ie ik iE iF 1E 3E iE if �E Ik 3F 1F if if i4 if 3F iF iE iFlF i4-1E i!� ie IE iE iF 1E 3f if �E )F ik iE iP iE iE iE aE D E V E L O,�P M E N��T 5 E R C� 2 C E S R E Q 0 I R E M E N'f1 S ZONING APPROVED HY �� :— — �'' — � — _--- _____ __. __ _ DATE; ?i BUILDING APPROVED HY ; DATE; a .; APPLICATION ISSUED �BY• �— DATE; p�-/��Z� iEiFlEjfiEiFiEiElfifiFifiElEiEiEiE1Ek"jfiflE ��f3f3FiFTf3F i%3F'TF3FiFiEifiEiEiFii�iEiElfiEiF iEiF IEiEiF�lfiElE3fiflfifkiFifiE3fiEiFiEifiEifiEfEiEiEiflfiFififiE�kifiEiEiF1E -3F�1FiE�)f#EiEifiEiE1E1E1EiE�i�1E3EifiF�afaEaEiflEiF�fifiFiE�E1FiEiF3EiEiE3'r�M1�fiE1E LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGNENT;Y BLDG PMT PLUMBING EL.'TRIC MECHANIC FiRE SMIP/RESr GRALIING PERMZT 29,00 ,50- SMIP/NON.-RES PLAN r ISSUE FEE BUILDZNG—DZV—> PERMIT ISS E PLAN—CHECR TOTAL PAID /•�� DUE TOTALS----> 29,50 0,00 0,00 29.50 29,50 " ,00 REVENUE DIVISION TOTALS--> COLLECTED: 29,SU OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING.PLAN—CiiECK 29,00 .50 '� if ik iF it if iE iF iE �E �E IF ik �E if if �f 3F iF # ik iE iE iE if if iF Ik iE 3E 3f iE iF iF if iE iE if if IE iF aE ie iE if iE iF iE it iF iF iE iE if if iE if 1f iF if i£ ii� ih if ih if if iE iE � iPlF iE jf iE iE fF iF IE 3P Z 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 �T}OTAL COST SFR 1200 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 1,200.00 END OF FEES / as r,�i�a,,,s ceii.�,y; : P� t' ._ IIqT£: 0�>/1biP2 T?V�f= :�.Sy CONSTRUGTION AND PLANNING _ . POOL & ....+ - � Date Inspector • Date Inspector APPROVALS Permit # _ � , APPROVALS Permit # 1. Temporary Electrical Service or Poie 52. Pool & Equipment Location, � 2. Soil Pipe-Undrgmd. � � - � 53. Steel Reinforcement � . ' . , 3. Elettrical Conduit Utill'tY-Undrgrnd. - 54. +Forms �. � 4. Electriwl Conduit-Undrgrntl. - 55. Electrical Bonding _ ' , 5. Steel Reinforcement � � � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - • 57. APPROVA� TO COVER�GUNITE 7. Footings � � ' 58. Electrical Conduit-Undrgmd. � 8. Poondation � 59. Gas Pipe, 0 Undrgrnd., Test . 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Struttural Floor System - 61. APPROVAL TO DECK 7 t. Property Sewer Line & House Connection _ 62. Backwash & Receptor�Pinal ' 12. Sewer Cap .- 63..Heater & Vent•Final �. � 13. Roof Drains - ' 64. Plumbing System - Final 14. Rough Plumbing 65. Etectrical�Final . . 15. Rough Electrica.6Conduit 66. Solar System-Final - 16. Rough Electric Wiring 67. .Fencing & Access Approval 17. Rough Wiring Sign ' 68. APPROVED FOR PLAST.ERING : 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT 20. Rough Faciory Fireplace ' APPROVALS Permit # 2L DuCts, in Sxiucture - 70. Undergroand Hydro 22. Ducts, Ventilating . - 71. Product Pipin9 O Gas OOiI 23. Gas Pipe�Rough & Tes[ 72, Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-8ar Ceiling �Structural) & Monocoat 75. Dry Chemical 27. FrameandFlashing _ -��Z L.i� 76. DryStandpipe � 28. Lathing & Siding 77. FIXED SYSTEM. FdNAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Na��ng �� C�- HEALTH DEPT. FEQUIREMENT 31. Plaster Brown Coat .� 79. FINAL INSPECTION 32. Electrical Power Me[er-Final I � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � � Notes: � 34. Final Heating & Air Conditioning .r 35. Final Gas PiPe-Test �`� . � 36. Hood or Canopy � ;. . 37. Finai Factory Pireplace �� 38. Final Plumhing . 39. Water Service•Final - 40. Gas Service-Final � . - ' 41. Solar pomesticFinal " � � , 42. Backflow Preventer � i . 43. Backflow Irrigation ' 44. Landscape Irriqation System � � � � 45. Sound Attenuation � - - 46. Handicap'Reg�lations , 47. FINAL STRUCTURE & BUILDING l 121�y f _��,� `� 7 48. FINAL PLANNING r" 49�. Electric Re�ease to Edison �' � . 50. Gas Release to Southern California Gas Co y - 51. CERTIFICATE OF OCCUPANCY No. Dace PB0.IECT.ROOflE55: � , ! � � 'Z OWNEIi'SNAME: 82S DARRELL S1' aoosess: SANS SOUCI LILLIAN 2PLASCENCIA LINDA 1459—A WALL�.CE AVE COSTA MESA,CA 92627 PflCHIENGINEEB: 6 4 Z— 4 S 7 1 qEG.NO.: AOUflESS: UNIT: UNIT: � PEHMITTEE: FJRECISION BUILDERS ( 714 ) 631-2178 aooeess: 2z34 PACIFZC '� B LICENSED CONTPFCTOIT DECLANATION: I hereGy aihrm that I am licensed under�pr�ovisio9ns o�fiSD�e� 9(commencing wi�h Seclion ]000� ot Division 3 oi Ihe Business an0 Pmlessions CoJe. and my license is in �u orce efie CITY LIC.: 9 sTaTe uc.: 6 2 3 9 5 ss � �ale: Signa�ure: - _ WONNE p MPENSA710NUECLABRTION: Iherebyaltirmihatlhaveacertilicateo(consenitosell-insur racertificateoiWorkers' Campensalidn InSuranCe. Or a Cetlilie0 toDY �hereoi (Settion 38q1. La�. C). aoucvwo.: 1263706-91 E%P.DFTE: O%IOLI92 COMPFNY: S TATE � Certitied coOY is hereby lurnishetl. ❑ CeM1ilied copy is �iled �' �A � Buildin iv ion.� ,� :'. Ap0licant .nEMP ON60MWOR8Efl5'COMPENSRTIONDECLi1NRTI0N: (Thi55ec�ionnee0notbecomple�etlil�hepermilis�oronehundred�$100�oNe55). I cehity Ihat in t�e peilormance of the work lor which ��is permit is iss�etl, I shall no� employ any person in any manner so as �o become sublectio ��e Worker5 Compensa�ian Laws o� California ` i , i ('� oate: SignaWre: NOTICE: I�, afier,making I�iS tl¢tlaralion, you Shoultl became 5ubleCt to the WofkeK COmDen5a�i0n.OrOvision5 ot ihe Labor Code. you musl�lotlhwith comply wi�h such pmuisions or this permit shall Ue'Aeemetl revoke0. '� CONSTflUCTION LENUING AGENCY: I Aereby aflirm Ihal ihere is a�construction lentling agency for Ihe pertormance of ihe work for whic� t�is permii is issued (Section 3097. Civ. C�. �� IENDEN: AO�flESS: OWNEfl BOILOEfl OECIAMT10N: I �ereby atlirm Ihat I am exemp� �mm Ihe Contractors' S�a�e License Law for (he /allowing reason �Seclion 7031.5 Business and Pmfe55ional Coae: Any ciry of coun�y whic� r¢quires a permil Io con5imct, alter, impmve, demoli5h, or repair any s�mciure. pri0r Io ils issUante. also r¢qUires ihe applican� �or Such permit IO �ile a 5igneA Sfatemenl tha� he/5he is litensetl pursuanl io Ihe pmvisions ol Ihe Comracmrs' State License Law (ChaD�er 9(commencing wilh Sec�ion 7000) of Oivision 3 o� the Business antl Pmiessions Cotle) or Ihal �e/she is exemp� �heretrom and �he basis �ar t�e allegeA exemD�ion. Any violaiion oi Sec�ion 7031.5 by any applican� �or a permii 5u�lec�5 t�e applican� to a civil penalry o� not more ��an live hunOreU tlollars (E500�. I, as owner ol Ih¢ pmperly or my emplayees with wages as ��eir sole compensa�ion, wili tlo ihe work, ana the ❑ 51mcWre is not intendetl or o�fered lor sale (Section 7044, Business antl Professional CoOe: The Contraclors' $�ate License Law Ooes not aDPly to an owner ol a pwpeny wno builtls or impmves tAereon, an0 who Ooes such work himselUherself or ihrough his or her own employees, Drovidetl that such impmvemenis are not intended or oifereA for sale. If, �owever the builtling or impmvemem is so10 wilhin one year ol completion, ihe owner will have �he 6uraen ol pmving he/she did not huild or improve lor Ihe purpose ol sale�. I, as owner ol Ihe pmperty, am exdusively conirac�ing with licensed con(rac�o�s lo constmd �he pmlect (Sec�ion 7044, Business J ana Pm�essions Cotle'. The ConVactors' S�a�e License Law does no� apply Io an owner ai pmpehy who huilds or imD�oves Ihereon CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 055726 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE; PLU JOB DESCRIPTION ; 718SF REISDENTIAL ADDITION PERM NO; P 05572 GOVT; N SUPP; N PURPOSE: ADD SQ FT; CLAIM VALUE; CALC—VALUE; GROOP OCC; R-3 / COMMENTS: REF H55724 iE iE iE iE �)f iEiE iF 1E if 1E iE iE dEiE dE iE if �lE iE jE 9EiE iF iE iE �f iE if iE ikiF iF iE 1F �k�IE�IE iF iE iE �(��F 9EjE �f if �f iE iF�f 3f if 3f if 1E iE iE �f �)f iF jf �M dE dF 9i-jE iE iE dE �f 1E dFdE if 9E iE if �Yc ?, O N I N G R E Q U I R E M E N T S s E T s a c x s ------------ MAIN BUILDING ---=------ ---- t---- 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 :• PARKING RE • PROV; PARCEL; 42236313 ZNE: REF NO: PLANNING N�'PES> i " iF iE iE if iE iE ik if iF if iF iE iE iE fE 3f iE iE iE �E iF iF iF iP iF iE �f k iE 1E if �E iE iE k iF iF iE iE iE iE iE iF if 1E 3! iE itiE:3f iE iE iE iE iE it if iF 3E 1f 1E jE iE IF iE 3E iF iE iP �F 3F �f iF # if if iF lE iF D E V E L O P M E N T S E R V I C E S:Ir, .,�R' E Q U I R E M E N T S 20NING APPROVED BY HUILDING APPROVED BY : APPLICATIOIJ ISSUED • ��— 3FiEiFiEjfiEiE1liFififitiFiFiEiEiE�E iFi! iF iF if �k if if iF iF iF ik if 1E 1E iF !E iE iE 1F if iF 1E if iP iF iE 1E iE ik 1E iE iF iE if iE LEGALIZATION:N F E E PERMIT BLDG PMT PLUM6200 ELE 25r �i DATE: ''? DATE; DATE; O I 0-7�1 � ******�r*�*�+��r� iE iE�lEiflEitiliFiEMlEifiFififififiElEiE3FiEiFiE3EifiE�lFiFiFk3fiFitiFikif�iFlFi'r1E U M M A R Y STRUCTURAL SEGMENT:N IC MECHANIC FIRE SMIP/RES GRADING SMIP/NON—RES PI.AN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 6.00 3,00 0.00 9,00 9,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 9.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 9.00 antlwhocon�raclsiorsuchD�olec�swi��acon�racbr�s)Iicensepursuamto�heComractors S�ateLicenseLaw).lamaware *,**,.�*�,*„��,�,�,*.�,.K,.K,*,�.�.*�,.K„��.�,�,�,�,*,�.**,*.K„K,*,*,.K..�*.K,.K..K,�..K.*,�,*.**,*„k,*,�„K,�,*�„�,�**�,*,***,*.�,**,K.�,.�*�,�,*„K„X, tna� proo� oi iheir Worker's Compensa6on insurance snoWa be pmviaee to me. j N D I\7 I D 1.T A L F E E $ R E A K D O W N � I am exempt untler Section: B. 8 P. C. mr mis reason: TYPE QTY D E S C R I P T I O N Ui�IIT COST TOTAL COST Da�e: Ownec ' 1 Do Aereby cetlity I�al I am aware ol an0 unders�anA the requirements of Califomia Heali� anG Salely Cotle Sections 25505, 25533, and Pj'U 1 BATHTUB 2, � � 2, � 0 2553C ana ihat 1 or any Iuiure building ocaDani will/will no� (circle one� neeJ Io compty wi�� saitl 5�aie co�es antl Ihe requiremen�s for a PLU 1 w.a.sH HAS I N 2, � � , 2, Q 0 permi� �or consimction or modilication Lom �ne Air Ouahty Managemem DisiricL ResiOential consimclion aDPlica�ions are exem0� ��om PLU 1 WATER CLOSET ( TOI L ET ) 2. � 0 2, � � �hese provisions. END OF FEES Date: Applicanl: I �ere�y certily Iha� I have rea0 I�is aDPlication antl s�a�e Ihatt�e above in�ormalion i5 correct. I agree�o pty wi�h all ciry an0 coun�y ortlinances antl s�atelawsrelatingto building consiruclion anA here�y authorize re 5enialiv I�is � 1 ter n��e above�meniionetl pmperry lor' spec' n Durposes 1 �a�e'. � � Signature: ' �nveY Lic se or Social Securiiy N: �-�� 1641-a6 Wliiie—Bmlding: Green—Cotle Enlorcemenp Canary—Applicanl', Pink—Revenue�, Goltlenrotl—Assessor � V; 11[1J i1J—[(';�": _`): C';iE. .�1I0.'!S? � �"i:: . .. � �� V�� . . _ . -� . CONSTRUCTION AND PLANNING - . - _. _ POOI & � . Date Inspeetor � Date Inspector . �,'.f '. APPROVAI.S Permit # ��. - - APPROVALS Permit # - �1. Temporary Electrical Service�4�-�ole � �. 52. Pool &-Equipment Location� ��"�� - 2; Soil Pipe�Undrgmd. -. �'•g ��_ - � (/(�qZ (�IEO 53. Sieel ReinforCement � �Y � ,3:' Electrical ConduitUfility�Undrgrnd_- . 54..Forms ' 4. ElectFical Conduit-Undrgmd. - � 55. Electricai Bonding . ,.- � 5. Sieel Reinforcement - ' � 56. Rough Plumbing & Pressure Test • ,-- 6. Electrical UFER Grnd. - � 57. APPfiOVAlTO'COVE�R�GUNITE ,. 7. Footings . °. � 58. Eiectrical Conduit-Undrgmd. � ,8. Foundation ',� 59. Gas Pipe, � Uncirgrnd., Test � � 9. Water Pip¢•Undrgrnd. ,�, f-"�/�� (,E/J 60. Backwash Lines, P�Trap, O Undrqrnd. � '�',. y ld. Structural Floor System �� , j �� 61. APPROVAL TO DECK tr' �� 1 t. Property Sewer Line �& NdusA Connection '//�./� �� 62. Backwash & Receptor-Final �I' - ( `L 12. Sewer Cap ' � � � i _ 63. Heater & Vent-Final _ � � 13. Roof D�ains • '; 64. Plumbing System - Final � r ' 14. Rough Plumbing HI(+(�L(Z � 65. Electrical�Final _ � .� 15. flough Electrical-Conduit �� 66. Solar System:Final . � � 76. Rough Electric Wiring 67. Fencing & Acce;s Approval 17. Rough Wiring Sign' �� 68. APPROVED FOfl PLASTERING 18. Rough Electrical-T Bar Cei�ing 69. POOLJSPA SYSTEMSFINAI 'e 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • ' APPROVALS '�Permit# � 21. Ducts, in.5tructure',- . �� 70. Underground Hydi'o 22. Ducts, Ventilating � `: 71, Product Piping �Gas ❑Oil 23. Gas Pipe�Fough & Test � , -72. UndergroundiFlush:�. . ' 24. Roof Framing •� - 73. Undergrnd.StorageTank OGas OO1I �- 25. Roof Sheathing " . _ 74. Overhead Hydro ,_ � 26. T-Bar Ceiling (Structural) & Monocoat � � ' 75. Dry Chemical " . 27. Frame and Flashing � 1 _ _ � 76. Dry Sta�dpipe -'� , i. 28. Lathing & Siding - . 1 . � " • + � 77, FIXED SYSTEM+FiNAL� ` - r 29. Insulation � � " . i+ 78. FIflE PREV. FINAL . 30. Drywall Nailing � � � HEALTH DEPT. REQUIREMEfVT 31. Plaster Brnwn Coat . 79. FINAL INSPECTION - �32. Electrica6,Power Meter-Final " � 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric. , . ` ' � , Notes: ' � _ ._ , 34. Final Heating & Air Conditioning - • � . � � r � ,- - ,. 35. Final Gas�P�Pe�Test ' ' -� , � ' ` . 36. Hood.or Canopy �-' ' , , � . � 37. Final FactorY Fireplace ' � . . _ - � , � 38. Final Plumbing , ,/O�a �z � • - ,39. Water Service�Final � `6 pZ. �,RO .� - - �. 40. Gas Service-Final � , , _ , � , _ ' 41. Solar pomesticFinal - � _ ' - ; . . 42. Backflow Preventer : ' � I, , . ' . � - i' .A3. Backflow irrigation t .. . - . - , . .� y s � 44. Landscape Irrigation SYstem _ • , . - 1 ., - „ _ 45. Sound At[enua[ion� - • ' � - -� � � ' .. , 46. Handicap, Regulations _ � �� _ � � � 47, FINAL S7RUCTURE & BUILDING - - � � , 48. FINAL PLANN�NG � ' � ' • 49. Electric Release to Edison • - � 50. Gas Release to Southem California Gas Co , I ; ' ._- '. � . 51. CERTIFICATE OF OCCUPANCY . - - No. Date . NESIOENCE � PLANNING DEPT. EUBIECT T�O {B�LD6. UEPT. BY� DATE...,<.� DIRfCT08 OF PUNNINO � � �-ivve � �� 1 0 4 _,_ ;� -� a � Q ,-'�' / � � ;``a � � =� I� 4�<0 �ij��, ; a Qat� � ��, . C y v; �, , c� p,: Q l� v� p � �' W 1 �� J � Ci� � !'� � ,..,�j � � � Q � 2 � � � } c. t ; j a� � I c�, C� tic,.�'j'C� �cr�' � Q � ci // ;w„ m a �)/ Q 04�i ¢ t ��2 � � Cq ( � ti .i � b ,.-� 1 r �j L j i: "`��_ ' �� Q 1 ,� r �---��-� � �� RESIOENCE 7RfE7 � .i �j� t�: i�i � ' i , ��'� � � �� i�+.. Clty O{' C Sta �". BY � THESE PUNS MUST BE AtAKE NO CHA +16�5 WIl JOB AT ALL TIMES PAIOR APPROYAL � THE ISSU NCE )R GRANTING 0+" R PERMIT QR APPROVAL � Of VIAyS A� SP �CtFlCATlOidS SI�ALL NOT BE CONSTRl1ED O 70 BE A PER UT F IR, OR AN APP',IOYAL OF, ANY 4101AilON � EQFpE �F TI E ft)ViGOMS OF ��tS CODE, NO PERMlT PRE• SUMIN6�Ef0 ;IV� �tiORITY �fp 410LATE OR CANC lE �� PROVISIONS F TtI:J CODE SHAI.I BE YALf6, EXCEVI SO FAR AS 7HE Y ORK R 11SE WHICw IT AIIiNORtZES IS IAWFUL TNE ' iSUA CE DF A PEFy+� BASFD UPON P[ANS AND SPECIPICATIONS Sh RLL NOT PNEy. J7 7�{g, &UILDIN6 OfFfCIl4L FROIA THEREAFfE REQUIRING ?H . U;AF.c'CTION OF fRRORS , IN SAID PLANS '.JU SPECIFICA711 :K$ OH F;Eq0.1 PREYENTfNS "^'"'^ o�,HT10NS B'cING CAf'.RIED OR T3!:ftfUN�EH WHEFY IN VIOLATION OF THIS CODE OR �3F qNY �TEQER OROIN'pNCE Of THE C17Y. � TYPICAL 4�� CONCRETE BLOCK FENCE TOP VIEW 3/8 Bar ,: 4�� Blocks B��Blocks I/4" 0 Pencil Rod Below Top Course Of AIl Fences �4�� Concrete Block Fence With 8�� `Pilasters. One 3/8�� Vertical Bor C4ntinuous From Earihtooth Thru B' Pilaster. 1 3/8�� Vertical Ties 2� Long 'ipoked In Footing, And Grouted In �� Blocks 4� 0/C Maximum. iide Cleanout And Inspection 1016 Af PilaSlBfS. � �� i i i �� ii � I I i 1 i i � i ��GENERAL-NOTES�� MORTAR: One Pnrt Plastic Cement And Three Paris Sand. 6ROUT: One Part Cement And Three And One Half Parts Sand. COPING: One Part Cement, Three Paris Sand. CONCRETE: Well Mixed 1:21/2, 31/2. Maximum Of 7 I/2 Gallons Of Wafer Per Sack Of Cement i � REINFORCEING STEEL SHAL� il CONFORM TO SEC.A-15-39 i i A.S.T.M. ALL STEEL TO LAP j j WHERE SPLICED, 2�-O��MINIMUM. �' GROUT MAY BE POURED FROM i i �� TOP OF FENCE IN CELLS WHERE , -'o�n... -.o:•...� - v..' H � NATURAL GRADE-� �j,.��.,�� ' ��' o-� �i �°.o' °...�,p=. o�-�, ��o p. � jv,; ��18� �, p� oi � VERTICAL STEEL OCCURS. OLES 'N `� �V.�� :"� 1'✓ ��.. Po o.�. v�' o s ��. . � o. v. a SHALL BE CLEAR, CLEAN AND r�'�.>c o, i'� ^ c.:v. ��.s��.b�.�:..�' I-o.:F' a p"..o'p i FOR WIDTH SEE CHART :p_;o �� :,� ��<�o .� �be .�� ,�_, a r' �� b � _ _. ��e � __ e:'�� :__.�_� �� o= � �Q=.�.', y�_rf FREE OF ALL MORTAR, DEBRIS, i�! `�r I�,y a':� ECT. WITH INSPECTION HOLES 0i TO 16��O.C. MAXIMUM �'�' AT BOTTOM. BOND SHALL BE TWO 3/8 BARS CONTINUOUS Ivl��'�• 1�6`�'Ui � �^�-��i : �b'�i,✓oi PROVIDED BY LAYING BLOCKS CE MAY VARY IN HEIGHT i�4 0.� DEPTH Of EARTHTOOTH� I/3 i� ��'0� � IN STRETCHER COURSES SO �ROM 3� TO 6� i;'�v':'.,i THE HEIGHT Of FENCE �Pd�:-i THAT VERT. JOINTS ALTERNATE >TEEL MUST BE TIED IN PLACE � m�.'�� BOOT NG.BOTTOM OF �':++�?� iN EACH CouRSE. I'a, o n i 'T TIME OF TRENCH INSPECTION �'�b� � ��'� � �� 3�� CLEARANCE FROM BOTTOM � SCALE� IIZ = I � CHART . HE16HT. . . . . . . . . .. . .. .. . . ..6 � . . . . .. . . .. . . .. . . 5�.. .. .. . .... .. . . . . . . 4�. . . . . .. .. ... . . .. . 3� , WIDTH .. . . .. . .. . . . .. . . . . . ..14��.. .•. . . . . . . .. . . .. 14.. .. ... ..... . . . .. . .12 . .. . ... . ..... ... 12�� THICKNESS . .. ..............10��:.. ... .... ...... 10��........... _......8°. . .............. 8�� DEPTH OF EARTHTOOTH . . . . . .24�.' . . . . . . . . . . . . . . . 20��. . . . . . ... . . . . . . . . . 16'�. . . . . . . .. .. . .. . . 12° SPACING OF EARTHTOOTH....12� ... ..... ........ 14�..................16�.. .............. 16� City Of Costa Mesa, California Building Department OWNERS NAME: _ _ _ _ _ _ _ — — — — _ __—_— ,/ JOB ADDRESS+ �� PERMIT� NUMBER:_ _ _ _ _ _ _ _ _ � SIGNATURE: S-BP -'i I `.' LtU�� For Applicant to Fill in Completely — Use Ink Only ADIDRESS �i.?S D�`'{'/`�EC` l OWNER�jif A /�/l3 +L MAIL q I� / ADDRESS O `S �pj W� � ( TEL. cirv �„�-fa Me s� No.lc1 �.s 9RANCH ADDRESS ADDRESS CONTRACTOR ��y� __� ADORESS /�O�JS L 8753 7/'10/78 36.50 TL APPLICATION FOR STRUCTURAL PERMIT ECEI � DATE FECEIVED nnTc icciic BUILDING ADDRESS � -� FIRE ZONE APPROVED �� 2�2 EL c.. LOTL7 BLOCK VALUE ZONE NO.OF USE OF NEW [_[ TEL, �y p�qryg 2 gUILDING CITY (,u) 1y ��,..n . NO. ' 7 � - F STATE CITV �'ARDS APPROVED VARDS APPROV � ��. N�. 3 S- 3�7 4� LIC. NO. MAIN BUILDING ACCESSORY BUII (FROM C/L STREET) W S12E NO.OF BLDGS. �/�, a bF LOT NOW ON LOT FRONT FT. � I r a USE OF .�. EXISTING BLDG. F FT. h FSeparate permits are required for �. sio FT FT. � electric, plumbing and heating work. � REAR FT. FT. [.. USE OF BUI�DING AND WOqK TO BE PERFORMED DISTANCE BET. BET. MAIN & Q� // dG� MAIN BLDGS. ACCESS. BLDGS. � � � CURP.�`- APPROVED a > • aarRov a �� a w � I hereby acknowledge that I have read this applicetion antl state CS that the above intormation is cotrect antl agree to comply wiM �" ell laws regulating buildin8 cons[ruction, and 1 shall not employ �eny person in vlolation of the workman's compensation laws of S the State ot California. 3 I hareby certify that I am properly licensetl as a conttactor under SQ. FT. the Siate at Californle Business antl Professions Cotle, Oivision 3, THE AMOUNT SHOWN UNDEq VALUATION Chepier 9, and t�at such licanses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT F F am exemot from the provisions of the State of California Business VALUATION . entl Professions Cotle, Division 3, Chapter 9. ' PERMIT FEE $ SlBnetu�e of /0 /f/f OO PLAN CHECK $ permlttae ��/`w-cvWp.�^--� $ 2 y� TAX $ �i Authorizetl Agent TOTAL PAID $ � n m i m m � m e a � m m 0 � U ` r: ..a Mesa Bailding Department' �.;�� .Jr�'P�CATION FOR PER � \ P.O.Box3,� - BUILDING COSTA MESA, CALIFORNIA . � FOR OFFICE USE ONLY � FOR a;PPLI�1`(� �vr,T, IN Receipt No. Permit No. Building `= 7 Address �p`L,'a r 1-L ST. `� � �� Costa Mesa, California R�ece ied y Date Redd. /I Date Issued Nearest ,�{� ✓ ' �' �� I ��`-� C1'059 SG /"�.FG.E/✓� � Bulldlfl Address Owner iQ/ �1 T'4 ,Lc� M,,, Costa Mesa, California ArChitecto� ' Engineer Address � Block - I Tra`�cl��3 (Attach Metesand Bounda) No. of Bidgs Size of Lot �o— �/G a Now on Lot G l�se of _ I No. af � No. af New I vl A�teration I � Atltlition I Repair I I Moving I I Demolish I Building No. of J size /� i % � Rooms � stories E�cter(or Wall Roof - ` Covering ��GGO Covering �dC:.� Use ot New . Buildinq �.�.�/c �...,�v��.F/�_ � �`l�t.n. �� I hereby acknowledge that I have read this Application and state that the abme is correct and agree to comply with all City Ordinances and State Iaws regulating building construction. Signatureof � /� Permittee Authorized Agt: � Vaivatlon PermitFee$ o�,� — Plan Check $ / - ^ s �'�a-6 Gv To�� .� Fee $ qM 204 10-SS D. P. 9 5, Plans 1 `" CORRECTIONS APPROVALS iundation Location Inspector Forms, Materials, Under-Pinning " •ame: Fire Stops, Plaster, int. Plaster, Ext Masonry Reinforced Bond Beam FINAL A � �7� � OW NER ARiSTOL ESTAT S DATE 9_K_K� JOB ADDRESS 825�Darrell Street BUILDING PERMIT NO. #3611 GENERALCONTRACTOR S. p. Hunsaker VALUE $ B�BS6,OO LOT 67 BLOCK TRACT 2873 SinRle Res. V�dtt. par. GROUP I& J TVPE p ZONE �y FIREDISTRICT 3((�S INSPECTIONS Footing Trench Foundaiion Forms and Grade to PI Pole SUBCONTRACTOR I PERMITSISSUED DATE I NUM61 •. !: I /_ :/ �n _� � 3, Final r . Z- S- 6 . House % (� Sewer,St. �is D �e.i�,i� /��,1, ��/f�GG /0'%i.S—G j/}�S �' fanko c ss�� Yh n 5 io i<" '/�.�'i.:z .�!`1��.�/�/� /o-9Rc-/_ 7�,P.S—" � Lathing, ln oui G"6'(6 �%/ �'m �/ Plastering �p � " . Q Plumbing, Final, Fixtures Complete��5_ � ,� � — : Plumbing, Fin,al GasTest`�� %)%C�j /�'� i 1 /'�:y ^/ � .,,, ' � '� � / Wiring, Final !2 �/a� �—T-,�G�''� , • occupancy �jJ .�L�/�-/Q'S( — - FOFM 310 3M 10�•v3 OWNER L�yJ�� • JOB ADDRESS �S narrPLLSts ENER�R�J CTOR ��j �AP No.115-57�-1� LOT INSPECTIONS 1501L WS �W�TER 'ROOGX PLUMBING PROP. $WR. LINE � NOUSE CON. � SPRINKLING SVSTEM - MISCELLANEOUS ROUGH HEATING ANO AIR CONDITIONING TEMPOR�RY SENVICE OR POLE UNOERGROUNO � POWER � ' ROUGN WIRING TRENCNES ORMS STEEL REINF FLOOR SVSTEM BONU BEAM � STEEL REINFORrE � SXEITHING FR�ME ANO FLRSMING LATMING - IN n 011T (� PLASTER,BROWN COAT STRUCTUR�L, FINAL NEATING, VENT., REFRIG. AN� A.C., FIMAL PLUMBING, FINAL AN� WS TEST [7 ELECTRIC, FIHAL BUILOING. FIN4L FIRE DATE SU6CONTRACTOR