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Home My WebLink About374 15TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mes PLUMBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 374 E 15TH ST Suite No Vicinity: Parcel Nunmber: 42531181 Applicant: PAULEY, SHANNON ISSUED BY: Address: 17390 MT CLIFFWOOD Phone: 714-241-1414 FOUNTAIN VALLEY - Zip: 92708 Status: ISSUED Applied: 12/30/2005 Issued: 12/30/2005 Owner: LINN, DAVID , Address 370 E 15TH ST Phone: R R COSTA MESA, CA Zip: 92627-3761 Contractor: COAST ROOTER PLUMBING HTG AND AC Address: 17390 MT CLIFFWOOD Phone: 714-241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 SCOPE OF PERMIT WATER HEATER CHANGE -OUT IN AN SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub / Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P -Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect (Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet (Toilet) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink, commercial $0.00 0 Water Re -pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0, TOTAL CALCULATED FEES: $35.80 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2448 46 16100) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My we ars' corensatig-n Insurance canter and policy number are: 7 Cartier: V\CJ r2 � �1, CC\ Policy Number: C, SS Sc�, `r l_> 06 - (7his section need not be completed i/ the permit is valued at we hundred dollars ($100) or less.) ❑ I cartity that In the performs of the work for which this permitt'sAs ed, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cal' bm' and agree that it I should b oome su]act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these rov �D Applicant Signature: PDate: I WARNING: FAILURE TO ECU ORKERS' COMPENSATION COVERAGE IS UNI -AW AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ( ). IN ADDITION TO THE COST OF COMPENSATION, D GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under r sy of C a t r 9 (commencing with Section 7000) of Division 3 of the Business and P ofessii s�e. and my license is in full force and effect. Lic. b -I Class q I ?� Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby aftirrn that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cade: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of DMsion 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and cenity a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............................................................................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). .............................................................................................................................................................................................................................................................................................................................................................I............................. 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the .Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. . ....................................................................................................................................... ............................................................................................................................................................................................................................................ _..... 4 It an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ._............_................_..............._...................... _..................._.._............................. ......................................._._..................................___..................................................._................... _............. _........ ___........... _............. __. 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes C7 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ............................................................................. .................................................................................................._..........................................._..._................................................... ..........................................................................._............. 6 Will any part of the facility to be conslmcted under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ..............._................._..............._................._.............................._....................................................................—..........................................__........................................__............................._................-_........._...............__............_. 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 bean made? ❑ Yes ❑ No ..._...................................................................................................................................................................................................................................................................................................................................-................................................. 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described pr p or I spection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal 0 Date �n -DS And/Ur Authori plicant Date CODE t. INSPECTION TYPE gAIE INJALS CODE E INSPECTION TYPE gdjE 1616 Fixed System Final Fire Prevention 206 Final Mechanical Y Y 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Bloclk/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ER DATE BUILDING PERMIT NO. JA=PriNo. 11 7-grii-AILLOT TRACT I FIRE ZONE VALUE $ 200. 1'.`.tx-'*?CTIONS Signature Date TYPE GROUP ZONE — �SOII SUBCONTRACTOR GAS Data Humber Si nature WATER Plumbin OUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heating and VMI TRENCHES JC FORMS Y STEEL REINF. FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING - IN OUT PLASTER, BROWN COAT STI -URAL, FINAL HE G, VENT., REFRIG. AND A.C.. FINAL PLUMBING. FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL y PROJECT ADDRESS: 374 E 15TH ST OWNER'S NAME: GALLUP RICHARD E JR ADDRESS: 374 E 15TH ST COSTA MESA,CA 92627 ARCHIENGINEER: (714)631-3073 REG.NO.: ADDRESS: UNIT: UNIT: PERMITTEE: RICHARD GALLUP (714)631-3073 ADDRESS: 374 E 15TH ST COSTA MESA CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect' CITY LIC.: STATE LIC.: CLASS: Signature'. ORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' ,condensation Insurance, or a certified copy thereof (Section 3800, Lab. C. POLICY ND.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy Is filed with the city Building Division. Date'. Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION:. (This section need not be completed if the permit is for one hundred ($100) or less) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature'. NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the CDntractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by iy applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or Improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Cotle. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law), I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. & P. C. for this reason Date: 3 — ! owner: C i I do hereby certify that I am aware of and understand the requirements of California Health and Safety Cotle ections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby certify that I have read this application and state that the above 'information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representat es of Is city to entero on the above-mentioned property for inspection purposes. leDate'. 3=�� Signature: Driver's License or Social Security #: 1641 46 White—Budding: Green—Cotle Enforcement, Canary—Applicant: Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: IB 051223. PLAN CHECK NO N CONSTRUCTION TYPE: 5-N PERMIT TYPE: OTH SIR JOB DESCRIPTION PERMIT TO RENEW & FINAL EXPIRED 442348 CLAIM VALUE: CALC-VALUE:. PERM NO: IB 05122" GOVT: N SUPP: Y 'PURPOSE: ADD " SQ FT:; GROUP OCC: R-3 /M-1; COMMENTS: RENEWS '& COMPLETES EXPIRED PERMIT 7142348 Z O N I N G5 ERT EBQAUCIKIR E M E N T 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 a PARKING REQ: PROV: PARCEL: 42531106 ZNE: REF NO: PLANNING NOTES> > 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 NIT S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: 3- / 7' LEGALIZATION:Y. F E E S M M A R Y STRUCTURAL SEGMENT:Y .BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,00 i SM1P/NON-RES PLAN - ISSUE FEE BUILDING -DTV-> PERMIT ISSUE 'PLAN -CHECK TOTAL PAID DUE TOTALS--,--> 30.00 0.00 0,00 30:00 30,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMTP/TOT GRADING PLAN -CHECK 30.'00 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 T 1 0 N UNIT COST TOTAL COST INS 1 BUILDING RE -INSPECTION FEE 30,00 30.00 END OF FEES 0100081742-00081742 P"0T 3„t,UK DATE: 01101/41 TI11E: 11:6.1 1 D CONSTRUCTION AND PLANy",.v APPRQVALS Permit # - Date Inspector TOOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location Z. Soil Pipe-Undrgrnd._ 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 47 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, ❑ Undrgrnd., Test 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. >'- 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line -& House Connection 62.Backwash&'Receptor-Final - - 12. Sewer Cap 63. Heater & Vent"Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final f _ 15. Rough Electrical -Conduit 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 & Air Conditioning FIRE DEPT, REQUIREMENT APPROVALS "Permit # 20..Rough Factory Fifeplace- X - •, 21. "Ducts, in Structure ' c70. Underground -Hydro 22. Ducts, Ventilating.= - _ 71. Product Piping ❑Gas ❑.Oil 23. Gas Pipe -Rough & Test „ r - _72. Underground Flush ' 24. Roof Framing •• - -,� = 73."Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof"Sheathirig 74- Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat - • 75. Dry Chemical - - 27.' Frame and Flashing; " 76. Dry Standpipe X28. Lathing & Siding,.% .. h ••.r 77. - FIXED SYSTEMFINAL - 29. Insulation - .':,• 78.1FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ` _ ,79.' FINAL INSPECTION - 32. Electrical -Power Meter -Final • - � !� ! s80. FOOD CERTIFICATE ISSUED - 33. ,Final Electric. Notes: y 34. Final Heating & Air ,Conditioning J t 35. �Final Gas Pipe;Teit� -• _,, - _ , 36. Hood or Canopy r s 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas -Service -Final - - - .41. Solar Domestic -Final 42. Backf low Preventers ; 43. Backflow Irrigation, , 44, Landscape Irrigation System . 45. Sound Attenuation 46. Hand icap'Regulations 47. FINAL STRUCTURE & BUILDING 8 4�. - ` `48. FINAL PLANNING c49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date AERRESSOFg0%DWO: 374 E 15TH ,ST UNIT: VNERS NAME IF mtmq KERR, MICHAEL A ADDRESS: 1936 E DEERE AVE #215 SANTA ANA,CA 92705 eAPPL. MAIDNO ADDRESS: ARCHITECT OR ENGINEER: RONALD LACHER20949 MCH. OR ENi,•S ADDRESS: 1332 N MILLER DM: 201 ANAHEIM CA 92806 CONRIACTON'S RAID:: CO ACTORSMNUNO ADDRESS: lC NO: UNIT: LICENSED COMPACTORS DECLARATION: I hereby affirm under peroAy d perjury that 1 Are Ic«ued ueder awmwe of Chester S (aommendrN wdh Ssatiw ]000) d Dbbcn a d the Russ. mrd Pmle,alau Code. W M fcaee b n lu0lam owl Mw. Cm UC. No.: UC. Cuss: UC. No.: EXP: Doe: Caarwsw VNER BUILDER DECLARATION: I h«aby Mum uMar Prnely d perjsy the I am onsets ham Ur Cawrwm tioeroe Lew la the Mwag . (Section 7031.5 B... N PrOl. Code: Airy M a.uwy osoft rp m a Penn lis wmbmt, ae«, ieprow. damdeh, a raper vy ettuwse. Prior m is issuance. also regdtoe gr appkwN la ach pane W fib a sired mama 0w M or she a li.rmed PtasueN Is Ire prchavc , of the Cones L cwnsa Law [Capt« 9 (..wsh, oah Sort. ]040) d Ownw. g d .Ao B. mrd Pedaaaxn C l a IhAI he a she b examPt Ih«a4an vd the bans for 0r e4gecl azwepti n. Awry vblatbo d Section 7031.5 by snY applicvu lar a powd whistle the appf Io a dui prvudty d nal news gun We hundred da0an (SSOOD. ❑ 1.as own«dthe propel« my evabyeae with wages aatheir scle wmpormton,"&the work. and the struqure is nor imardod a Mand la sate (Section 70u.Ih sagas ard Pmluabm Owls: The Cowatlars U. Lewdou not APPly be owner d lop" sub bWde m anprpv thereon, and w doss eudl work nbesetl a howei adm* his w her own anvbwo, pmv%Wd IM such irr m vrb are RAI INeMed m dhrW la eels. tl, awe ems. the ridding a bnpr eemaw b wld within arms year of wegdion. the own« buiteer will hew the buMn d prw'vp he a she dtl w bold pane, la the passu of vale). I, n oMipr d IM «aperY, em «WVlely.rlhwnlg 4all b poMeW oIe pmptl (Senior ]045. Buebeae db Prolessare Code: The Comratlw L'a«w law dap rld m PreDMy RAM buDM a anprwu IllaraOn owl onn .wrens la a 'whites ualt a marwor(e) ficemea tolaw). ❑ I em exempt under Se m B. Ido hereby that I that l am aware d 8Motlu�i(�A IleeRh oral Selly Code Bwkum 25505. 25500. ell 25505, mrd that I a awry M1nun buibup / wn1 rel baro canpty with saw see RAM, and the mithemenu M A permit la.INtlbn a modifical. mlM Rsebwbloeaysion eppimbroaro exempt hoe be,e provbcne, Doe: Appl umd: WORKER'S COMPENSATION DECLARATION: I hereby affirm undo pahasy d priory oro d the Idbein, dederobne: ❑ thew eMWmalNene.nicarad aamanl to sa5iroun Por wohrs sump«union,ugwidtl la byswbn 0]OOdthe labor CHs, la the rodam«rce of the emrk lar w bis psebi is issued. —' new And wii malnten wphas' wmp«uetipn imurenoe. u rpuired by Satliw 5740 a tlls Lobar Cade, M the pMormew d Ihs work lar ohldr due p«nd b isusd. MY wakes' romronWipn vaauarma unix ad po6ry sumb« va: C«Mr. Pofcy Numbs. (TN, Hahn ro.d ref M oamplwsd / 015 prmf b b els nuNad Mean Rt ® only 003 In ow pMomwoa d IM work M eflch 1Nn romli naI vry te any eenr w n Ir hec.r albjw to the warkw• wrnporararion Iawe d C mar etApct to the warbri wmperaarcn plmors d Section 0]00 d the lobar Dare: w Wwning: F.Iltoa b npae wora«e• cerrposeedon b , a ,lull v *l oy« b cdMrol peneltlu end cldl Ono to Is an hurdnd flmtre«d "hurl IS M he roes of n darnpa ore;,ovldsd fo, In Sar des 5106 of Ne Esbo, CO M, IM«saL vd am 1 feu. CONSTRTION LENDING AGENCY: 1 thereby elfiml uM« d paroDy parkry b e aorMmsion Wdirg aghsw I. the UC Wamenpe of the walk br efurdl this peed at bared (Swion Mrr. Civ. C). LENDER'S NAME ' LENDER'S ADDRESS: I.Mylhetlluue nW His app6peYOn het Ors shore edonrotvlbwnw.lepsobcamply wen Manyerd osuay ad'vleroe, end mule pal"gansweleurebbuidvq h«eby authorise repreaeradivmdthb.yaeNr uponthe .bow meNioned pmparry' la iropWbn . Dale: Cwwr - t of.nt: Pink -Revenue: Goklwsd-A swww CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 076812 PLAN CHECK NO: 01006-96 L PERM NO: B 07681 GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION : IN—GROUNDSPA SQ FT: 5,000 CLAIM VALUE: 5,000.00 CALC—VALUE: 5,000.00 GROUP OCC: R-3 / COMMENTS: SPA LOCATED IN BACK YARD if 1E lk 1E fk 1E N• irk if 1k * 1E lE lE iE * irk lk if lF 1E SE SE 6E 6E lE IE * lE * Rf RE RE RE SE iE * if iE * RE iE iE Rk * IE 1E lF Rf iE 1F SE * iE * lE RE fE irk iE lE lF iE 1E iF Rf iE * ♦E fE irk iE fE iE lE lE iE iF 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: 16 FT IN REAR: 7 FT IN LEFT: FT IN RIGHT: FT IN LEFT: 28 FT 6 IN RIGHT: 25 FT IN PARKING REQ: PROV: PARCEL: 42531106 ZNE: R2 REF NO: PLANNING NOTES> CONSTRUCT AN IN—GROUND SPA IN FRONT OF AN EXISTING RESIDENCE > FUTURE SCREENING WALL IS SHOWN TO MAINTAIN A 10' SETB.ACK. iE iE RE lE lE iE lE lE lE lE lE lE if fF lE dE lE fE lE lE alk lk if SE iE iE if lE lE RE iE iE lE lk lE lk iE iE iE lE RE lE lE lE RE lE iE iE RE SE 6E dE***3E iE alk lE if 6E dE lE iE SE if 6F if iE RE dE lE lE RE lE RE dE RE 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'- ZONING `ZONING APPROVED BY : Wy<, DATE: BUILDING APPROVED BY : t 6713 DATE: APPLICATION ISSUED BY: DATE: 3-4-914 RE if lE RE lE if lE RE RE 3E IE *iE 1E IE irk iE irk if lE*fF 1E RF**1E dE lE lF lE lE f E kif kir lE 1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 72.00 — .50 Ir^ SMIP /NON—RES PLAN 46.80 ISSUE FEE r� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL v PAID DUE TOTALS ---- > 72.50 0.00 46.80 119.30 119.30 .00 REVENUE DIVISION TOTALS--> COLLECTED: 119'.30 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC-` FIRE 'SMIP/TOT 'GRADING PLAN—CHECK 72.00 :50 46.80 r' iE iE 1EK*irk**1E irk irk*6E iF if dE*iERirklFif*k1E irk*irk irkM**lf iE*lf irk iE lE*irk RE iE**iE iE irk if irk iF iF RF**dE iE*irk lP iFiF aE if lF iE iF iE iE iE lE irk iE iE iE if iE irk irk lE I N D I V I D U A -L -F E E B R, E A K D�70 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 5000 ALTER BY VALUE RESIDENTIAL' NOZONE 1.00 5,000.00 END OF FEES I r. CONSTRUCTION AND PLANNING ' APPROVALS Permit # _r Date Inspector F . & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole r2. 52. Pool & Equipment Location :oil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Testi�O 6. Electrical LIFER 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. Backwash Lines, P-Trap,0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final l 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 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 & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS"_ Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas ❑Oil 25. Roof Sheathing - 74. Overhead Hydrq 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe ` 28. Lathing & Siding - - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 34. Final Heating & Air Conditioning Notes: 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service-Final 41. Solar Domestic -Final - /a 42. Backflow Preventer 43., Backflow Irrigation ' 44. Landscape Irrigation System y�Q / (,�Ap,� 45. Sound Attenuation `�.,7 42 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date p19CCIVE� ME INLAND FOUNDATION ENGINEERING, INC. rY, 6FngO8'PV1 lnNA 1310 S. Santa Fe Avenue P. O. BOX 937 APR 2 4 San Jacinto, California 92583 (909) 654-1555 CLIENT: Willard Gannaway Date: April 12, 1996 25780 Morgantown Way Sim City, California 92586 Project No. G146-002 REPORT OF SIRENG H TESTS: Mortar ( ) Grout ( ) Concrete ( ) Gumite (X) Project SPA Project Location 374 East 15th Street Costa Mesa, California Contractor Sundown Pools Arch.\Engr. Lacher Location of Sample Floor Design Strength P.S.I. 2000 Max.Size Aggregate -Inches --- Source of Concrete --- Admixture -- Mix No. --- Ticket No. --- Percent (1) Batch Size - Cu. Yds. --- No. of Cylinders Molded 3 (2) Sacks/Yard --- Specimen Size 6" x 12" (3) Water Add.Job�1. -- Water/Cement Ratio as Poured --- (4) Water Add.Plant-Gal. - Sluinp-Inches --- Sampled by: Willard Gannaway Air Temp. Concrete Temp._ Submitted by: Willard Gannaway I.F.E. Your Lab.No. No. 7279 --- DATE DATE DATE LOAD • H' •• U. 5 MQLDED RECEIVED TESTED LBS. DAYS STRENGTH 03-27-96 04-01-96 04-12-96 117,000 16 4140 This laboratory data indicates conformance to the approved Specifications: YES (X) NO (. ) CITY OF �nsTf� /111 is DEVELOPMENT SERVICES DEPARTMENT CERTIFICATE OF COMPLIANCE BY REGISTERED DEPUTY INSPECTOR GUNITE FOR SWIMMING POOL Job Addrese.3-? � t• /S" Permit Ne. 8 %L ( �?- Owns rweS yEpogT Centractoj!5'�,NQOLu QInP/ TO THE DIRECTOR OF BUILDINOi I hereby certify that: continuous inspection was provided by me during all placement of concrete in the swimming pool under construction at the above address, and that said work complies with the approved plane and with Q11 applicable provisions of the Building Code. Pool Size Sacks Cement � O Tons Sand /Z) Uunits Hand Pack Approx. % Water in Aggregate�a This report covers work from—tem— Remarkeij done nn J I. Signed—� c x se �u J4V� Regis e e pu u ng n ec er No. $ Orange Co. l LA Co. U LA City p T_ l Address q'SMor�e��oIrl�SU Date- 6 _- �7 ADDREs50FBUILDING: 374 E 15TH ST UNIL OwNER'S NAME IF 00'6`: KERR, MICHAEL A AUOREss: 1936 E DEERE AVE #215 SANTA ANA,CA 92705 APPL."UNO ADORES& AMNITECTORENGNER: RONALD LACHER LiGNO.: 20949 AM. ORENO'SADDRESS: 1332 N MILLER UNIT: 201 ANAHEIM CA 92806 CONTRACTORS NAME CONTRACTORS MMUNG ADDRESS: UC NO.: uMT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty d perjury thal I am licensed under proviMons of Chapter S (commencing with &action 7000) of Division 3 of the Business and Professions Code, and my Pointe Is In full for. and .11I CITY LIC. NO.: UC. CLASS: UC. NO.: EXP: Data: Cmhector: VNER BUILDER DECLARATION: I hereby affirm under pawky of pejury that I sm esempl from the Conlrmuse Utmos Law for the awing maven (Section 7031.5 Business ark Profession Code: Any city or county which mmime a pennh to omsWd, alter, imrova, cemolah, or repair any struoturo, prior to Its essence, also racuim the applicant for ouch Permit to file a signed statement mat he or she is licensed purwenl to the pricIm om of me Contractors Uomse law Chapter g (eommencia whin Section 7000) of DHbien 3 of the Business and Professions Code] or that he or she ie mempt Ihereham and the bales for the atlasd exemption. My violation of Section 7031.5 by any applicant for a permit sublease the eppliwll to a civil penaby of not more then Imo hundmd dollars 155008_ I, m or ofthe props" or my employees Min woes se their We compere hoc, will do the work, end the atmouna a not intended or offered for sate, (Section 7044, Business and Professions Coate: The Contractor License Law does not applytow owner of prop" wW Wilds or knprovas thereon, ark wW does such work himself or henell or through his or her own employees, pmMW that such improvements we not intended or offered for sale. g, however, the Willing or'vnl✓ovemem a scat whhin wan year of ewnplation.On oimm4nuider will have the Widen of roving he or she did not build or improve for the Whose of sate). I, as owner of the property. am esdmively oontractiW�. to oo mruct ate project (Sedkn 7044, Bu iinesa and Professions Code: The Cii aidon License Lew dod prove" wlto Wide or imrwn thereon and who convene for suds Projects with a contrector(sl bcenil Bennie law).. 0 1 arm exempt under Sect on: B. ADem: I do hereby certify that I arra aware d acrd uMenr the e d C e Safety Code Secticm 25505.25533, ante 25534. ark that I or env hone Widia ocoaant /ora a to can 4h said sate oodes aM the m tuirement, for e pemillmcemtmclim amoddiralionhom the As ampere IOi not. Read constmgion applications am exemlN from these Data: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of perjury ore of the fcllowia dederetkaa: 1 have eM wit mantes a cealticate d cenawt m aeHinwre Iv woken' wmpenaetion, n corked la fry Section 3700 d Iha labor Code, for the penomence of the work for which this perch is ieauail. ^ I have errd wit meinran workers' wnrrPensatan inwrence, m requires by Sectim 3)00 d the Labor Code. Nr the pMormence d IM work for whkh Ma penin is iaued. MY workon' compemation imurence radar ark polkY number ere: Carrier: Policy Number: (This sen;m need no be completed if Ne permit is for one nun d Il , W as 1 omni, that in me perlomanra d the work for whoh e p i hepoft ploy my parson in any mmmr w n to become subject to the worker' compenwion a r gree mad ff shoud becana subject N tire wmryan' wmpeneetion pmviakm d $Bng113700 d the h h wmpN moss pro.... Wareing: Fallun N am. wmken' o amea(lop4over ;7. miawNl, a /sof en smploysr ro MMral psnsMu mW civil fines up W we hundred ftusaM cid=er SIOq J�j, In solat s of oompannampA Wmel es provsded br In Swgm 3706 of the Labor Cods, Interest, end s omey' Nes. CONSTRUCTION LENDING AGENCY: I hereby affirm under Penalty d poriu,r that them is a omatmctlon lerking aency for the off omaroe of Ins work for which rho point Is issued (Section 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: IIi,miy that lin ark more laws for inpectim 0 a corraq. I arse to cornply whh at[ city ark county ordinances armee of Iha dry to enter upon the ebovtrmentuned property (5151da.WP) W ne-BuficM 6 SafetWtsfee�Fb: Camry-Appkrent; Ank-Ravenue; Goldenrod-Asaeasar hki CITY OF COSTA MESA BUILDING PERMIT PERM NO: E 076813 PERMIT NO: E 076813 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION IN—GROUND SPA SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: SPA LOCATED IN BACK YARD/ REF B-76812 * iE iF lE lE lF 3E iE IF dF 1E 1E iF iF * ♦E * * * 1E 1E iE iF 1f iE iE lE iF 3E 4E iF SE if SE 1E fE * 1E lE * iE iE fE 1E * fE * fF lE lE IE 9E iF jE iE iE iE * yE SE iE 1E 1E lF iE 4F iE *!E iE * 1E 9E+E dE 1E fE SE 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: 42531106 ZNE: REF NO: PLANNING NOTES> ELE 2 RECEPT/OUTLET 1 ST 20 EA. > 1.50 ELE 1E IE eE iE iE iE iE dF iE �E iF 1E * iE 1E iF 1E * 1E 1E iE iE iE lE iE * 1t iE iE * * iE iE IE SE„3E 1E 3E 1E ii 1E iE * dE iE * * * iE iE eE iE * 4E 1E iE 1E * if AF iE lE SE 9E 1E 1E iE *!i iF * * SE iE SE 1E iE 1E �E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY 30,00 DATE- END,OF FEES r BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: lE iE iE iF iF 1E dE*iE iF eE*1E yE 1E 1E iE iF iF*eE eE ib3F3F3F�F3F��3F3F iZ3F�F3F3F�TF3F'iF iF7F'iF�F3F *SF3F*SE iE iE iE 1E 1E**BE E IE iE 3FiFiF�iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 40.50 50$ SMIP/NON—RES PLAN ISSUE FEE 15:00 BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 40.50 15.00 0.00 55.50 55,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 55,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 55.50 iF**iE**1E 1E if*iE SE SE SE iE*IE***iE iF SE eE***SE yE 4E IE iElE1E*SE SE tE fE SE fE 9E*iElE dE iF iF**tE iE**IE iE iE iE aE iE*�E iE dE 9E fE 9E iE )E 1E tE 3E jl-iE iE 3E lE** 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 2 RECEPT/OUTLET 1 ST 20 EA. .75 1.50 ELE 3 MOTOR/POWR APPARATUS 0.0 — 1.0 HP 3.00 9.00 ELE 1 SWIMMING POOL — IN GROUND — NEW EA, 30.00 30,00 END,OF FEES J 'CONSTRUCTION AND PLANNING' ;AWROVALS Permit Date Inspector Pr & SPA APPROVALS vermit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd, 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 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 - .,_Footings 58. Electrical Conduit-Undrgrnd. 8: Foundation 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, ©Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK' ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains _ 64. Plumbing System - Final 14, Rough Plumbing 65. Electrical -Final . 15. Rough Electrical -Conduit 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 & Air Conditioning FIRE DEPT. REQUIREMENT i APPROVALS Permit# , 20. Rough Factory Fireplace - - 21. Ducts, in -Structure-, 70. Underground Hydro 22. Ducts, Ventilating. - - '71. Product Piping ❑ Gas 0 Oil 23. Gas Pipe -Rough & Test - - 72. Underground Flush ` 24. Roof Framing " -73. Undergrnd. Storage Tank C Gas ❑ Oil 25, Roof Sheathing _ 74: -Overhead Hydro 26. T-Bar"Ceiling (Structural) & Monocoat _ 75. Dry Chemical 27. Fame and Flashing - 76. Dry Standpipe ' 28. Lathing & Siding 77. FIXED SYSTEM.FINAL 29. Insulation' - - _ _ 78, FIRE PREV. FINAL 30, Drywall Nailing HEALTH.DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Mete.r"Flnal •' 80:'FOOD CERTIFICATE ISSUED 33. Final Electric 'l / Notes: - 34. Final. Heating & Air Conditioning. "7 35. Final Gas Pipe -Test _ 36. Hood or Canopy -37. Final Factory Fireplace - 38. Final Plumbing ` 39. Water Service -Final - - 40. Gas Service -Final •1- ' 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - -" 47. FINAL STRUCTURE & BUILDING - - 48. FINALPLANNING 49, Electric Release to Edison 50, Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS OF BUILDING: 374 E 15TH ST UNIT: MEWS NAME IF IOIM: KERR, MICHAEL A ADDREss: 1936 E DEERE'XVE, #215 SANTA ANA,CA— 92705 APPL. MMIING ADDRESS: ARCNDEDTORENGINEER: RONALD LACHER uc.No.: 20949 ARCN. OR ENG:S ADDRESS: 1332 N MILLER UNIT: 201 ANAHEIM CA 92806 CONTRACTORS NAME: CONTRACTORSM INQ ADDRESS: UC NO: UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm urldw Fernery d perjury that I em ficenaed under pwh6i r. d Chapter S (mmmendra with Secltm )Om) d Oiaoun 3 d tln Bldnea end Profeaoa Code. end m1' &ere b n fel kros end edea. C" UC. NO.: UC. CLASS: UC. NO, EXP: Dae: Cmumm r' -'cR BUILDER DECLARATION: I hwaby etfum urdar pealry cipar'Ivy that 1 aro awropl horo IM Cmlrgars Licenea Lew lar Na g reason Boom 70013 B wives and Prolmiant Code: AM city or cmM which requires a perms to mm4ua, anx.'vnprw.a. ah, or repair airy amaue. par to Ga issuance. aso raadra the applicant for much paid to We a signed wateroam IMM «she b emnwd plvwlen to IM proreiona of the Coarectwe Lioras Lew (Chapter 9 (eonunalneq with Begun )000) of Dirsun 0 of lM B.. and Aawsions Coda) or that M or she I. eempt Chanellwn and the Ims nor Dna all ged exannOt n. My yiaaun of Radion 7WI.S by wry appnwa for a paries wljeds lM Appfraa Io a da penalty of nal won Ne fere hundred dollen (i500p. ❑ I. we owner dither papery or M emptomwo with wages we their oak oowpeneaion. W do Dr wwk and lM roamlure'e ne Intended oralfered for sister (Sedan 7001. Bummed wed Profewhons Code: TM Cwdradon Licanee Lewdme nit apply loan ownerof properly who Gulch or i ,tro es tMnan, and who doss such woA lernetl or herself or O..,h he or her ori enlplc,., wwided IM such inprovamerua die nal Welted w dleed Iw sale, tl, Mwew, lM Gad'mp or knpownee s ek w"avow Yager d ownpWe .the ownerbuilder win hes IM budan d Perla M «euro did nal ltldk «'unpvn 1« IM purmroe a wilt). L as owner of IM proper. eve esdlwirely mnraaiNI wish Dowued omvsekre to caIMC Na plod (Section )OAro, Bwerw. mud Prof Cade: TM Ca o des licron+e Law does not appfy to an owner of IaaperlY who blade or imrwe Ihereon end who contrera ler arch pajeda with a catlract«(e) Scorned Pun uere to IM Cordraaorro Liwme Lew). ❑ Iem ewen, iter Section: B. d P.C.. kr this maroon: Date: Owner: Ido c 1 awae a d Iadwe steel the ngulnmema a C.1il Neagh end Safety Code Beduin 05505, G5500, end at a Y un Ml rNI copupee will I w0 red (mcle one) need to oompty with wild era. coda and Dow nRul emerw for balm ampemwe Dstric. Residential oonunako appduMmue esenpt from Nee Dal AppIkN1: ORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of palled one of the knowing dederaum: ❑ IMw and winmenlM•wf" wainternito eWaeaue krwakwi aanesnWkn,esgelded 1«ltYBgbn 0700dthe labor Code, ter IM pedmmnea d tlIe woh la which this pemlt b bllad. ❑ Item end wM mwhaatl wakes' oornlWwton iaura,oe, a Moried by Sedlo 0)00 of Dow Labor Code. for IM p dormanw d IM for which this permf Is inued. My wwken' mroyenWlon ormina lee coder and poky number vis: Cada: Panty Number. (This soolon need nor he mroylaad /Dur permk s haw hu dM logger 101001 or Im) ® I wn/y tlW in t of the work kr which It Perron s Mued, I dell not anploy dry Peron In any manner who u to b vie su wakxe' omP~Ion lewd of Celdwda, end acre Der n I druid beecnow cabled to the wwbri compo ion i ro 4Tfata^ WOO d the Labor Code I what fonhwhh ovmply with Some pwlwhom. � Dae: LENDER'S I certify tM I Mw, reed Nb and rotateywe sang a G for impedkn pwDowro. et _w 4 end sa/f aWpcl an wnoloyr to c1ni lPwlages and Mlldan ro Me cel of eempaaelfefl dwrlegee u Podded kr In Welty aMrm under penally of perjury IM Nen b a conmuctkn lending agency for IM it b crowd (Sedco MI. Ch, C). r to yi rapt IM Na ebow ntwroakn b mind, l agog imp erg cityend manly adlmma rend Mnby euDarhe npeaantatsee d thb otylo sax 6. upon Ihro altovs-meabned proosM ZI Dec I AganUAppP .� i1 A Basry; Green -Fie: Canary-Appicem: Pink-Rroue: Oddenrod-Naeor 1 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 076814 PERMIT NO: P 076814 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : IN—GROUND SPA SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: SPA LOCATED IN BACK YARD/ REF B-76812 1E 1E 1F 1f df lE iE iE 1E 1F dE 1E iE 1E 1E 1E 1E***1E**1E**dE**dE dE 1E 1E dE dE dE RE*♦E1E*1E 1E 1E iF 1E 1E iE if dE dF 1E BE 1E dE dE dE 1E 1E 1E*dE 1E dE 1E 1E 1E N-yE*dE dE iE dE dF ♦E*dE iE 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 RIGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ: PROV: PARCEL: 42531106 ZNE: REF NO: PLANNING NOTES> 1E 1E 1E 1E 1E 1E dE dE 1E iE 1E dE 1E 1E 1E 1E 1E iE 1E 1E k 1E 1E dE 1E 1E 1E 1E dE 1f 1E 1E iE * 1E iE 1E dE * dE 1E iE 1E 1E 1E 1E ♦f ♦E dF 1E irk iE dF 1E iE irk 1F ♦E 1F 1E 1E 1E * ♦E dt * 1E * 1E * 1E 1E 1F 1E * * dF 1F 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 BUILDING APPROVED BY : DATE: DATE: APPLICATION ISSUED BY: DATE: 1E 1E iF dE SE 1E 1E 1E 1E SE*1E 1E iE iE**1E 1E if** 1F 111E 1f 1E 1E iE 1E ♦E* *♦E LEGALIZATION:N F E E S U M M_A R Y STRUCTURAL SEGMENT:N 1 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7.00 L1 253 ( SMIP/NON—RES PLAN v ISSUE FEE 20.00 C BUILDING—DIV—> PERMIT ISSUE PLAN=CHECKS — TOTAL PAID' DUE TOTALS ---- > 7.00 20.00 0.00 27.00 27.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC .y IRE SMIP/TOT GRADING PLAN—CHECK 27.00 n ♦E 1E * ♦F dF 1E 1E 1E dE dE ♦f ♦E dE 1E 1E iE 1F 1E dF 1E 1E 1E 1E 1E ♦F dE dE iF iE 1E 1E * 1E 1E ♦E 1E 1E * * iE 1E 1E fE 1E 1E iE 1E iE,1E 1E 1E iE dE 1E 1E 1E 1E RF 1E iE 1E 1E 1t RE dE * ♦E 1E 1E * 1E iE ♦F 1E iE dE SE 1E dE 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 OWN 11 UNIT COST TOTAL COST / f PLU 1 SWIMMING POOL %�7.00 7.00 END; OF FtESO' I 'r T 1 /. 7 ,i CONSTRUCTION AND PLANNING APPq,OVALS Permit # Date Inspector POOL & SPA APPROVALS mit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 573 APPROVAL TO COVER-GUNITE 7_ outings 58. Electrical Conduit-Undrgrnd. - B.;Foundation 59. Gas Pipe, 0 Undrgrnd„ Test 9:1Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 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 & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure. - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric- 34. Final Heating &Air Conditioning Notes: CczopLy_- -�-QC 1/ 35. Final Gas Pipe -Test A -ll -`j6 tr 36. Hood or Canopy 12--23 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final •41. Solar Domestic -Final 1/ 42. Backflow Preventer - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date MORIMa;BIULDN(: 374 E 15TH ST DATIERS NAME IF IDIONN: RICHARD GALLUP MDREltS: 374 E 15TH ST COSTA MESA, CA 92626 250-0607 UNT: APPL. YMIgIO ADORESA ARcxnEc7 off ENmf�nn: WILLIAM HEZMALHALCH ARCH UCNO.: C ARCN.OREN(LSADDRESS: 17875 VON K,ARMAN AV UNIT. 404 IRVINE CA 92714 CONTRACTORS NAYS CONMAUMS 111111.101O ADDNEsS: LIC NO.: UNIT: LICENSED CONTRACTORS OECLARATION: I hereby affirm under peeaLy of Forms, use I am licensed under Fro itime of Chapter e (commendM with Section 7DO)) of Division 3 of the Business toys Professions Code, and my lioense is in full fome ase affect. CRY LIC. NO.: I.C. CLASS: LIC. NO.: EXP; Dere: contractor: OWNER BUILDER DECORATION: I hemby affirm under penalty of Perjury than 1 am axempe from its Contrast. Litems Law for Me fdbwip reason (Smion 7031.5 Buaness and Proleeaiom Code: Airy c ly or county whits requires a permit to mmeud, star, impmys, demd'wh, or ropak any evucam, pkx to is avuence, who ragaroe the applicant for such Permit to fib .. ignsci statemed Mat M a end is licansnd wrsusel to IM provisions of the Cono-moa License Lew lChWw 9 (oommenciM with Stollen 7000) of Minion 3 d IM Business and Professions Cartel or 1M1 M or she is orempt therefrom and the basis for the eloped exemption. Any violation of Smian ]031.5 by any apptrad for a perms subjects Use apptnen to a dvt penalty of not more than Ms hundred doter (BS(tOI). ❑ I, es owner of IM property or my empbyaae wM wepes as then ads wmpeneekon, WI do Me work, mrd Me stsauro h not intended or offered for see (Section 7(31,1. Busitass and Professions Coda: TM Camra son Lkorwe Law dose not apply to an ownerof property wM Witte or inpnwwe memm, sof she does soot wok herself a herself or Mragh her or her own employees, povided Met eWr improvements are not inumded or offered for sets. t, however, tot huts imp or EnpmnmeM a sotl ethin as yes of oonpfetiwr, Ura owner -Wads will Mw the Wrden of provi, M or she did rot Wit or improve to the wnpae of sale). ❑ I. es owner of the property, ern sadaivey eentrmn9 eth t e eed eonpe os the pro ed (Susan. 7 Bus. are Peehouiene��CC',ou/,,dd'1re::,/TMs, CCaeoorom,3 a L'canm Lew owe not apply to en owner who Wilds o knpovae thereon ase wfio Date: pr e, 7 with ecamredMall B punWM� In I liwmelew). , Met I am a. of and understand the mquin jmerUs of catovua Ibath sof safely Cada sections twos, 25533. and or any future Wiklieva oosupent vall / SMI not (drote ons) need to Candy "It said seta codes sot IM taouiremeda M provisions. ' Dane: ApplFsr t: WORKER'S COMPENSATION DECLARATION: I hereby affirm under pandty of perjury as of Me fdlovonp dedssions: ❑ IMw and performance of the dcormm to theMi arms mor wanken'coun0enaanion,sa podded /a by Sarmrr 37OOtl lot Labor Godo, for the pedomewa d the work to wlidr the perm, h aswch. ❑ i have mot volt maintain of a stood. My yelnn neurarrce, n ropuned by Smun 3 rel a Me Lebo Coda. for tot padamancs a tot work la whidi tlus psmW a uswd. My waken' compenssion iaurowa owner and paicy scriber aro: Carrier: Pony Number: (This smicn need nor W ccwdesd l the Form, e for are hurMrod chasers /5100/ or Nss./ ❑ I wrtiy' Man je Ma pMomawe tl tot work M wleeh the perm, a eeued, 1 t, m employ sly come n sly to Me vx sa to Mrnns ed. to IM waM1ers' n W00 of the ewe d ce I shelf end agree hest B I what become stMlad to tot worker' aanpenestion pwieian d Section 3TOO of Ma Labor Code. I shelf lonhwth campy wth sews proy®wa. Date: Appliwm: Wem/ng: FaNure N soeun woken' watosvedon nayenps la unlawful, arrd stall subject an employer to crlMn rl penw hiss and dvll Rom up to arra huMrM Mrouaarud "Jere (5104MA Its addition to Me cast o/ cangraefbn, damages as pnvAysd Its, In Sscdon 3706 of Me Labor Cods, ImsaaL and eNomara lar CONSTRUCTION LENDING AGENCY: 1 hereby atfnot under penally of per'pury Mus there's a construction MMirp pkwy for Me pedamarca of Me wank for eNot the Perm, is weed (Section 3097, cot. C). LENDER'S NAME: LENDER'S ADDRESS: I cent' Met I have mad this apptnanian ase sera Use Me abase information is comm. l epee Io campy with dl dry and county adi. ase We bas rely iq Io Wtdiq canLrueJiOrr stl hereby aWarae raaaaentaniyae of this day to anter upon IM above manksad plopay la cosi edion Purpcg Dana: (5151de.WP) WMSButdip 5 Salary: Groan -Fie: Gsary-Appirent; %k -Revenue: Gddamob#isevea CITY OF COSTA MESA — BUILDING PERMIT i / PERM NO: B 072080 PERMIT NO: B 072080 PLAN CHECK NO: 02226-94 A GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; NEW JOB DESCRIPTION ; 7449F 1ST FL, 1740SF 2ND FL, 200SF DECK SQ FT; 3,304 CLAIM VALUE; 160,000.00 CALC—VALUE; 198,308.00 GROUP OCC: R-3 /M-1 COMMENTS: ALSO 620SF GARAGE Z O N I N G R E Q U I R E M E N TSS S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: 26 FT IN REAR; 26 FT IN FRNT: FTS IN REAR: FT IN LEFT; 18 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT; FT IN PARKING REQ: 9 PROV; 9 PARCEL; 42531106 ZNE: R2 REF NO: DR -93-07 PLANNING NOTES> 1 OF A 3 DU CONDO PROJ• REAR STBK IS SEPARATION• ABOVE PKING '> TOTAIfzF/SI-TE/VESTED BY MAP.PARK FEE DEFERRAL AGREE. P,F,E. D E V E L 0 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 •�f� DATE: BUILDING APPROVED BY : ' IL (2) DATE:— APPLICATION ISSUED .BY.:' E: —rl� 3rv.--,-,,*,*,DATDATa''#,1P LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 986.00 A K D O W N 1.9,83 TYPE QTY D E S C R I SMIP/NON—RES UNIT COST PLAN 160.23 _ SFR 2484 DWE—TYPE V—WOOD ISSUE FEE 74.00 183,816.00 SFR BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 1005.83 0.00 160.23 1166.06 1166.06 •00 REVENUE DIVISION TOTALS--> COLLECTED: +1005.83 OVER/SHORT: •00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 986.00 19.83 . Irl L. TE: 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"0 N UNIT COST TOTAL COST SFR 2484 DWE—TYPE V—WOOD FRAME —GOOD 74.00 183,816.00 SFR 200 RES—BALCONY, EXTERIOR STAIRWAY 14.80 2,960.00 SFR 620 RES—GARAGES TYPE V 18.60 11,532.00 •END OF FEES Irl L. TE: CJ L t, CONSTRUCTION AND PLANNING C.°PRO VALS Permit # ate FD Inspector PL & SPA APPROVALS Permit # Date Inspector 1, Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3, Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' I 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE i 7. Footings 22 58. Electrical Conduit-Undrgrnd. t 8, Foundation -59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11, Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12, Sewer Cap 63. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final 14, Rough Plumbing 65. Electrical -Final r 15. Rough Electrical -Conduit 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 & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 7 jrr 76. Dry Standpipe 28. Lathing & Siding 5*e�l 77. FIXED SYSTEM FINAL 29. Insulation 4 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED _+ 33, Final Electric Notes: 45-417-977-- 417- 67--34. 34.Final Heating & Air Conditioning 35. Final Gas Pipe -Test - 36. Hood or 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. Landscape Irriqation System . 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE &BUILDING K/ G!e �Lv� 48. FINAL PLANNING 49. Electric Release to Edison 1, 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 0 ADOFiMMByaDW: 374 E 15TH ST Ull 'OWNER'S NAPE IF IOIUARI: RICHARD GALLUP 374 E 15TH ST COSTA MESA, CA 92626 250-0607 APDL. YAIl0L0 ADOXESS: ABORTECT OR ENOARER: CASC ENGINEERING Mill C ARCH. ORBill D Ess: 3612 7TH ST Wm. RIVERSIDE CA 92502 CONTRACTOR'S NAME CONTRACTORSuuLOq ADDRESS: UO NO.: girt: LICENSED CONTRACTORS DECLARATION: I hardy, affrm under penalty of perjury this l ern licensed ander poisione of Chapter, 9 (commesang wish Sermon TOW) of Division 3 of Me Baaness and Profession, Code, and my kereas is in full hrco end aides. CITY LIC. NO.: LIC. CLASS: LIC. NO.: ' EXP: Dae: Contmea: OWNER BUILDER DECLARATION: I hereby aSrm undo pmulty of Perjury IWt I an exempt from the Conlream Lamas Lew la the following reason (Sdion 7031.5 Business and Prolersions Code: Any city or county which tequbee a perms to comar ell., improve, demolish, or repair any struclue, prior to as eauence, ebo r.luires the applicant fa ouch perms to file a signd adamant Met has a she Is licemad p ands, to the monebm of the Cmlraams Loewe Lew (Chap. 9 (oommeaiM esh Section 7000) of D sion 3 of the Baseness and prolessau Code) or Iha M m she is exempt ths,shorn ad the Wee for the staged examFaion. My videlton of Section 7001.5 by any appfima for a Fermis subjects the .yyliram to a Cies PWARY as not mass then NO Wndrad dollen (55001). ❑ 1. as owner of the popery m my employees dh we9ea as their vols oompenwion, will do the work, end the structure is ren intended or offered fa sate (Section 7044. Business and Profssam,Cade: The Caaeaaa Lt.. Law does rot appy to an owiw Of popery who Wide or inpovm thereon, and end does such eork hsa,et as her." or dm h he. her own employees. minded Ihel such unprown.W vas M amended a alereA fa sale. I. howava, the WSiinp or improvement Is said within one year of wmptetion. the owner�bailder will have Ins Widen of poring he as ane did as bald or anpmw for De porticos of sale). ❑ 1, as awn. a the property, em aokeivay aorur.aag contrail minus th. poles (Sidon 7044. Buaaess and Professore Code: The Cmteam Lic.ee Lew dose to an property wile builds a imm.yw therein And oho centrecta ter ars polect, wtlh a mmasoNal licensed u.a to theCm Leman Lew). I am py�ma( nmF. B. 6 mes a Ihs norm: G S/1/ as has omiry that Ian awae as said udersand the ngatemerm of California Health and Safety Caen Sasarn 25505. ?3533. Ad 2553 a. and Net I as ay, U. WftN ompea will I wR m (sins me) read ro comply "In oeid rote mdea and the nqu'vemana M ap.mhlaoselv,iona mddrwionhmlhe Aa wVi�enaparoa Dianict.RUEamelmrWasion appimtianene,emphom9eaa promaiorn. Data Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirrn under p.a11y of perjury one of"(slowing dadaaom: ❑ 1 hero ad wilt maintain a aw",ese of .1 to ane diute p W workert cgmPenulipn, sof widd b Season by Sion 37M the labor Code, fa the wormance a IW work for each this perch is issue. ❑ I have and will mantas workers' mewsentlon insurance, as required by Section 3M a Ire Lobar Code, ter Ihe performance olds, wait fa shlan this perms is issued, My waken' mmnenaation ineurence carrier and silky nutter an: Carrier. Pa'ry Number. (This saismi red mr W mnplered S the pearl s for ere hundred eaten ISIW1 or less) ❑ 1 cenAy Nat in the parfamence a the work a which ins perms s ®red, I chit m ampoy pry pawn o pry mantes, eo ss tg become subject to [he wabra' mmpaeetion awe of CaMmin. and epee had s 1 ahouk Iw»ne aaiea to the wares's mnmeetion movssaa of Sdoa 37W of IM Labor Coda, I shelf foMwsh oompy with tla,s po+siw. Dae: Applicant: WamLp: F�Nu. ro,sun wortaa'roaapematlon roverage h unMrM, ane al Wl.11aer an.rploya ro alnYw p.ultla, and clWl ff. asp a me hcnead (housed caro ($1040001 In aM1liden to the roast til rorrgnutlon d .... W provMd ter In Section 3105 of ten L all Code, Inr.sat said arromeya Ma CONSTRUCTION LENDING AGENCY: 1 hereby slaa am ds, Fantasy perjury s s mt y that Inera a ructgory on man, . ter thispdo en. of Ihe wait for whits Ins perms s scud (Section 3007, Chi. C), LENDER'S NAME: LENDERS ADDRESS: I ceafy Chat I hoe reed this appicaion and mate that Oe al sho maion s cones. I ague to campy wsh m shy and coi my adin.rea and state awe testing to Wilding conatructbn end hereby authorise representatives of this ary to enter upon the above memiond popery for inspection mrpo �s Prim Nemo v(� Ode: Signature orpwritVApawApphicanuuontractor (515143.WP) WWe-Buhdig S Saey: G.Fis; Canary -Applicant: Pak-Reronw; Oostenmd-Macaw CITY OF COSTA MESA — BUILDING PERMIT , PERM NO; GRA 072079 PERMIT NO: GRA 072079 PLAN CHECK NO: 02227-94 A GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: GRA PURPOSE: NEW JOB DESCRIPTION : GRADING FOR 3 SINGLE FAMILY RESIDENCES SQ FT: CLAIM VALUE: 10,000,00 CALC—VALUE; GROUP OCC: R-3 /M-1 COMMENTS: GRADING FOR 3 SFR if if iu iF if iF ip df it iF 1E iE iE iF if iE i4 iF * if * * iF yF dt 7F dF iF iF iF if if iF iE int if-* ie if df iu * if iu is aE sF+f iF yf iF iF iF is r * iF ie iF K yF iF 1F aF iE if sf aF iF iF 1F Ail lF is 1f aF iF me if Z 0 N I N G R E Q U I R E M E N T S S E T B A C Y. 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 REFp• PROV; PARCEL; 42531106 ZNE: REF NO: PLANNING NOTES> > 7f iF 1E it iF )F 1E �E 1E * if f * {{ if iF iR 1F * if iE * iF * * an if iF iF iF iu iF iF dE aF iF ie {F iu V iF?h-Y if fF * if iP if M iF i * <iR i * 1f iR iF lF * iF is it+: orf. iF aFiF it is iE -ri iF:E jF fF iG 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; BUILDING APPROVED BY : I %,r- DATE; APPLICATION ISSUED BY; DATE; a+*iF it df if df df iF iF iF if'lAdf iR d4#iF)f'N"M iETF 1�;Fi�if i�iFiFiF i�3F SF iFira iFif iZ iF��ic-Y i�TF'Y +F iu KiF ?E iF ihYYIF x w Rx .'NlE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 64.50 SMIP/NON—RES PLAN5,63 ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 64.50 3,00 5.63 73.13 73.13 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 67,50 OVER./SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 67,50 :r dE r iE air of 1F dE iF! r is iF apo It iF iF ie iF iF iE is iF X.Y yin int iF AF iaY ds M Ik ih iu iF ah iF * iF iF lF iF iF iw iy iF Y * # i i(iF-1F-Y Y ia-iF d, if it il� of ie -1h N if ie is �F if ia>4 Y N1r. M 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 NO FEES WERE SELECTED FOR THIS PERMIT 01 001SFYu LiL11.90900 T 113 T DATE: 0'�/01/9`.• TTI1E: 12:06 v.SG CONSTRUCTION AND PLANNING," �,PPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit# Date Inspector I Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. 'Soil Pipe-Undrgrnd. 53, Steel Reinforcement 3, Electrical Conduit Utility-Undrgrnd. 54, Forms 1 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding s 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER 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. Backwash Lines, P"Trap, ❑ Undrgrnd. 10. Structural Floor System } 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection --- 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit . r 66. Solar System -Final ' 16. Rough Electric Wiring - i 67. Fencing & Access Approval , 17. Rough Wiring Sign 66. APPROVED FOR PLASTERING ' 18. Rough Electrical -T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23- Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: L Sr r/'Spre rr dfl G.'C4c(Lr,O - 34. Final Heating & Air Conditioning / 35. Final Gas Pipe -Test 36. Hood or 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. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -I !I ADDRESS OF BMlI9q: 374 E 15TH ST axNERys NAMEIC Iaowx: WESTPORT GROUP ADDRESS: 374 E 15TH ST COSTA MESA,CA APPL. MARLING ADDRE59: ARCNRECT OR ENGINEER. ARCH. OR ENDSA UM. CONTRACTOR'S NA11i CONTRACTORS MAILMG ADDRI UNIT: 92627 arc ND: UNIT: UQNIX: UNT: LICENSED CONTRACTORS DECLARATION: I MrM,, affm under penalty of pelpnY Bad I am loomed under provisions of Chapter 9 (.....a, with Se bon )009) of Division 3 of tM Business and Pmfeaione Cade, end ny limns b in NO form and affed. cRY LIC. NO, LNC. CLASS: UQ NO.: EXP: Dole: Conveyor: OWNER BUILDER DECLARATION: I MraW affirm under Parody d Penury that I un aamq Inn tM Comredm Brame Lew for Uw Idbwip reason (Section 7031.5 Bueiiess end PrdeeMbne Code: MY city a county afiN requires a perm to omei after, improv, demolish, or repair an, euuctum, prior to is ioamms. Alto r Mares the applimat for s penM to Ne a M nrM1 gtlemem that M or sM of Manned pomrem fo IM pro a ions d Ire Ctvar aaprs Limrus Law (Chapter 9 (oamnerrdrg with Section 700(y) d Dbbion 3 of IM Businea ark protess'nns Codel or 1Ma M a end is exempt Ihnrehom and IM ben 1« Ire alleged exemption. My viobtion of Section 7031.5 by any appl a l 1«ape w*b tM appg Io a duct pendtyd nd nae then fwe hundred doOan (SSOOD. I, as owrwr of Ina property or ny emgoywe with wags Me their sob mrrrPerlsatinrr. 01 do the work, and die ehuctom is net intended «offered la ab(Sidon 7011, Buunea end Pmlaenne Code:TM Canredon lloenas or her ndappyto. own«dproperty wM beide v b r mya Iheman, mk who doe sutlr work hnrk a heats ri Moumh M tI her own en one year provided moo such oeore, sera are na. he 1,u a dlaed la gale. r he did tM Ivior irpa is for Ion t b add within onsYw d canpbtion. tins ownerbuiloer will Mw the MNen d prmirg M or she did M Milo a improve la IM W?ose of sale). I. Me.. of the property, am exdrsivNY mmrerabg w1N gorwd oobcorr, to o«Wuq the project (Sadiron lone. Boa. and Prohadms Code: TM Comrado« Lioara Lew does apply M an d C= wlro bdka a MpmvM thereon and who c vette m wMp/`rojects whh a conlredoKe) Iconsed Ip tM C ore Licerna Lew). exam ion: B. A P.C. Nb Dol.: 4/' Cwner. "'n, de Mm oertity erre aware d ark undersrrrd Ne raquirameme d Celipn4 NaRh and Sdery Cods Sadiron 25505, 25533, end 25530, Ind I a any lucre Miloinp amupent will /wit iron (dmb one) need Io canpty with said dole mdse ark tM mquiremanb ler e panni to or«anctim a rmdifwionhom and Aianegemem Dimrid. Residomid conauwlon apPimtione e« aamq hen rheas sura vane. Date: Apgkam: WORKER'S COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury one of the following dederolions: I Mw endnl meiman a ceMivas d mneent to affineum M waders' oomgArmbn, a pravidnd la by 6smm 3)00 d tM labor Cade, for and pedamuna of an work for which IM permit Ie beued. I Mw ark wit maime a d M v mmpansoron e, 000,m, a rogI. by cwtie 3 and d tM Lab« Code, ler 1M pertormenm d tM work la whitlr this pertni b bsuad. MY wake«' e«nperaetian ineurenm mew ark poi./ cumber are: Carrier: Policy Number: (Thi, ea«ion need nor de «mWabd i the prm) b M era hundred da/W ISIODI or lea.) mrtiy that in and pedormenm d IM work I« whkh Ihlt permit Is laced, I ehatl np employ airy neram In any manner eo a to bears subject to IM warYaa' menperdolion one of California. and Mrse that It I dndd pecans rANd to tM eorkprY compensmion provbione of Section 3700 of the Lehr Code. I shall forthwith oomph with thor pro Amoss. Data AppIcam: Wam/ng: Fagum to seat.. wonkus'.unteanwtion oovaraga lit unlaw2L and still Nrb(aet an amployx Io errawyel penalties and .lull ff. up to ons hrndnstl tMusnd dol/ant ($1040110A M addltlon he the oast of rompseuatfary demagss as povWed far In Section 3)06 of dre Lefror Code, InlraaL mend aM,y aj,a Iwo. CONSTRUCTION LENDING AGENCY: I Mmby alPom Under penMy of parlay that there b e con%radion brrdng pew y 1« tM pedamuae of tM work for whirlr and permd is brad (Section 3037. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I ow* Ihat I have mad Nb application and side IMt IM above iNannelion is caned. I agree to own* with ag on, and ccumy admen and We WwVnM&M to WAIM mnmueinn and Waley, uRharbe repaaantmiva of this day to enter upon the ebovaunerpionnd property I to, impectb urpoea. RALPH EMERSON / pnol Name i Dons: sgrwua of Omar/AgpkApplmnYCmlrap« (5151_eSwp) Y"a-&nidig d Safety. GwerFnb: Canary-Appirad: Pink -Reverse; Gddmeod-Asaaaa CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 072874 PERMIT NO: B 072874 PLAN CHECK NO: 02327-95 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION 130LF CITY STANDARD BLOCK WALL SQ FT: 130 CLAIM VALUE: 2,600.00 CALC—VALUE: 2,600.00 GROUP OCC: R-3 / COMMENTS: BLOCK WALL 1E dE 1E iE♦E i4 SE dE iE*1E 1f 1E*SE dE df if 1E 1E 1E iE*dE dE*44RE 4dE 1E 1E iF♦E♦E1E♦E♦E*1E*1E 1E***iE 1E 1E**iE**1E**1E 1E 1E iE 1E iF 1E iE*♦E*iE ii dE*dE dE dE*k1E 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 RIGHT: FT IN PARKING REQ• PROV: PARCEL: 42531106 ZNE: R2 REF NO: ,- PLANNING N TES> CONSTRUCT 10 LF, 2.5' HIGH BLOCK WALL W/ 3.5WROUGHT-IRON > ABOVE 5 120 LF, 6' HIGH BLOCK BEHIND. *iE iEiE 1E**1F*1E*1E dE dE SE iE dE dE 1E*M1E 1E dE**dE*1Eif1E*iE 1E iE 1E RE IE**SEiEiF***141E dE dE*SE 1E iE N-1E***SE*dE 1E dE*♦E *♦E dE iEIE iE 1E ♦E*1E*1E 1E D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: ' 1E iF 1E 1F 1E*1E iE qE iE dE1EiE 1E RE *1E iE RE 1E dE iE �ff*1E 1E 1E 1E**1F 1E ♦E 1E 1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 .50 SMIP/NON—RES PLAN 35.10 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54.50 0.00 35.10 89.60 89.60 .00 REVENUE DIVISION TOTALS--> COLLECTED: 89.60 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54,00 .50 35.10 1E 1E 1E 1E 1E dE*♦Ek1F♦E 1Ek1E*1t 1F*♦E 1E 1E 1E*1E 1E dE♦f 1E if dE iF*41F 1E♦E*1E 1F 1E dE**iE♦E dE 1E#1E♦E 1E iE 1F 1E iE*RE dE***1E***dE 1E ♦E 1E 1F*irk4*1E 1E 1E 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 SFR 130 RES—CONCRETE BLOCK WALL / FT. 20,00 2,600.00 END OF FEES 14 CONSTNUCTION AND PLANNINGI APPROVALS Permit # Date Inspe�ctorF_ POOL & SPA . APPROVALS Permit # Date -�- Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .'-4. Electrical Conduit-Und rgrnd. 55. Electrical Bonding :5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6-- Electrical UFER Grnd. .-7. Footings q � l� 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 8. Foundation -: 59. Gas Pipe, Q Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P -Trap, Q Undrgrnd. 10. Structural Floor System c: --' 1 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64, Plumbing System . Final 14. Rough Plumbing 65. Electrical -Final - - 15. Rough Electrical -Conduit 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 .& Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace .. 21. Ducts, in Structure- '• -- 70. Underground Hydro 22. Duras, Ventilating - - 71. Product Piping QGas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush -' 24. Roof Framing 73. Undergrnd. Storage Tank O Gas Q Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - - 76. Dry Standpipe - 28. lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - -HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION ' 32. 'Electrical Power Meter -Final - 80. FOOD CERTIFICATE ISSUED - 33. Final Electric r Notes: 34. Final Heating & Air Conditioning -- a 35. Final Gas -Pipe -Test - . , _ - •- 36. Hood or 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. Landscape Irrigation System - - 45. Sound Attenuation, 46. Handicap. Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - 49. ElectHc Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date sablmDDa: 374 E 15TH ST UM: t...AYEIF IWOWfh RICHARD GALLUP. , �. ADDREss 374 E 15TH ST ( COSTA MESA, CA 92626 250-0607 ApPL. IImID/G AODRFSi ARCA EC OR ENLnIEER: WILLIAM HEZMALHALCH ARCH uc NO' C ROIL OR EMS ADDRESS: 17875 VON KARMAN AV UNIT. 404 IRVINE CA 92714 CaTfRAuws NAW* SANTIAGO AIR CONDITIONING (714)998-1600 CONTR fTSMAn21G P O BOX 3517 0DR.ss:ORANGE CA ucw-. 269496 92665 iter: UCENSEO CONTRACTORS DECLARATION: I MMy Nim a «hely d perjury tMt I em licenud under «oWbm d CMN.0 (mmmendq with seppn' 0o0og d D ioo 3 of the But. and Prd«abu Code, aM my Emrue b io fu0 tit« and elle,,, C"uc,A o.: i. 1 - ups: C 2 0 UC. No�gA 9 6 � E* - 1 J i WNER BUILDER DECLARATION: I Mrapy a ln. oder psuly of peryryili7iem w handl I Coid.. Litems Lew 1« the �Rw'eP rseaon (Section )031.5 B -irwm and PMaaabro Code: Aw fry « aowy whkh e d to p«wm1ct, alar. kn«vw, -wleh, «rear erto tM Pro , pear ro m ceu«roc iit nedr« iM eppkunl f« ouch pe Io aiprod XO) ofwd Dim M «eM s-ra'wmed pmewd to tM «Pae:dnr a dw Couradoro Liwnae Lew (Cholla 9 (mmmen«q 9adion 1000) al Diveun 3 a w 6uepwas aM Pram'aw Codaj «Ihm M «Me u «ampl Ihwehom and IMne o 1« IM doped «amAn,ption. Mviolation d Sedbn )031.5 by aw epp&en far a permit wlbjeN 1M apmiam to a di pt mly of not mea (hen tiro hundred dNen MS D, ❑ 1... of the Mpany«ny'wz Al wlh wpee n theiiole compiwoacn. wit do dw work, andel, amrana it nal vawdad «alteredfor u (swAion 10u, Buaem and Pml«d«w Coda: The Cammdon Gimmelaw does mI,,* to on bwnw dprop" who Gids a mprmaa Ihwem. aM who does and work himma «hedN « Woullh kit «her own i mptcy«e, prwAded the wch bn«wwnw« we rr1 idatlded o dhwed 1« eai. 0. howa«r. tM building «vn«wamwa n sold within one yaw o1 oomplii0on, this owner -0 66ii will hew the puNan of Proving M « dIe did not pdM «improv t« 1M puryoaa d aW). ❑ I. u. d tM progeny. mn ndewdy p«erodn0 whh kmtued Conviclod W mnmud ft Vj d (swicii to M, Buriwaa and Pmfeaeome Code: TM Corn.. L camas Lew does reel apply to an 0. of N pony who Mika or improv« (hereon end •1n cCrwwb b wrd «4eda with a mdrador(al Icarwsd Wmued ro the Contractor diorite Lew). ❑ I a e emPt Iadw sectb : B. b P.C., b Ne ta«on: Dma: Qvnar: I do hereby candy thiol I am awaro of std IrdadMM the raquimma of Cali«da Neah ed Soley Code Sedlon 25505. . and 25501, and " I «arty Mune Wikikl 000gvnl will I wR Iw (tlme «n) need to comply with said creta melee end IM meubemani 1« a perm) for oouooctun or rnoddlmtion tram the N3i y mpenrll Dithoo. R®dwe®I occ h,c, naWtiow oow era cownq hom Lwow prwirvn. Dde: Applicore: WORKER'S COUP ENSATLON DECLARATION: I hweby ahn uMw pindy of poµry as of the fdlowi0 dederetcm: ❑ (haw and wit memtainawnAcatedmrn«IloeNirena f«wakere'c«npamation,n pwidad l«by Sadion 3"100dtM lobo Code.1« Ne padmlwrw d dw wok f« wNd Oro perm it ®«d. ❑ (naw addti mevaan waM1em'mmpwdmcn inevwm.«reRded py sedi«13)aoduw l.p«cod..wlM p.l«mmwau» work f« which Me twro d 4 uaued. MY worlem' coi` Niton im mumoo certier end pdic, number we: cwdw: CALIFORNIA COMP EXPIRES Pdcry Nm,hw, Wee 7109lrO 07/01/96 (Tla+«dlon neednof be romplela!)rM pe+mtn b«whwdreddWae R10 «N«J ❑ I mn/y Out in tlw pMmnwra d Ihi wwk b which thio perms e M dl tn1 empkry sry ". bI airy menrw « n Io Mann a, jw to tM wcrkwY ompwweion ewe , - r« 1 I ah«dd p one nA'd to the worlwro' ion p e a Sedion 3100 d tM Lap« Code. 1 1 ' h mm �ilh Nose p Date: App0panl: Weminp: F.H. ro —`"wwvrkwi narwapa cwrlpwuatlon la , iml,iha add u ,oyer fo crlMrul pwWtlu aM dM Dro W W one hundred fhoio r dais IslogoovA i adtl/fore ro the coal of ro aua R deow wits u povlud he In s.d. 3105 of thio Lepor Coda, 1W.L a,W arromay'a Yw. CCNSTROCTLON LENDING AGENCY: I hwsby df uMer pmMy d pwjllry this thin u e mtmmdon kad'vp apencY h, dw Pa bitothro Of dw wok 1« which the Polml is evued (SWion 3081, Cit. C). LENDER'S NAME LENDER'S ADDRESS: I c" not Ihmr M Ne appliWbn aol eels thm tln,,bow Wel iooa eonxl.1aW« Io comply with N city wd coney chtmo r end aWe iws to bdUilp conehwion end hci"adhorba repraaanimivaa of IN. dry toamoruyon IM ebwwmemioned 4xoperly 1« o-epeuvn ,KIMBERLY MILLER Dma: (5151�.WP) WMe-6mFd Q b Salary; Gt«r-Fd.; Cwuy-Appkonl; Pink -Revenue; poMenrad-N«aw CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 073852 PERMIT NO: M 073852 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYPE: MEC PURPOSE: NEW JOB DESCRIPTION ; INSTALL 60K BTU FAU 6 5 TON A/C SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 COMMENTS: MECHANICAL FOR NEW DWELLING REF B-72080 *1E iE****♦E1E♦E1E*fE 1E 1E 1E St iE lE iE iE 1E 1E SE 1E1E1E*1t 1E iE dE 1E iE 1E iE 1E 1E 1E 1E*1E 1E iE*iE**iE iE 1E 1E**d6 iE 1E**1E*1E 1E iE 1E df 161E*iE iE iF lE iE iE iE 1E 1E dE 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: 42531106 ZNE: REF NO: -PLANNING N TES> > . iE 1F iE 1E * ♦F ♦E * 1E iE iE 1E dE * 1f iE 1E * ♦E iE * 1E 1E iE iE 1E 1E 1f * * 1F 1F if iE k 1E 1E 1E 1E 1E 1E iE 1E iF iE 3F dE 1F 1F iE 3f ♦E 1E dE SE ♦E iE 1E 1E 1E # * iE 1E dF 1f 1F 1F ♦E ♦E * ♦E ♦E ♦E 1E SE * iE 1E = D E V E L O P M E N T S E R'V I t C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: B1U1ILDING APPROVED BY : DATE- APPLICATION ATE: _ A Q APPLICATION ISSUED BY: DATE: Y LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC n MECHANIC FIRE SMIP/RES GRADING PERMIT 1e 18.00 25% SMIP/NON-RES PLAN ISSUE FEE 1i 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -,CHECK( TOTAL PAID DUE TOTALS ---- > 18.00 15.00 -0.00 33.00 33.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 33,.9,0 ; iE iE iE * iE iF 1E ♦E if 1f iE 1E if 1E iE * iE SE ♦E ♦E * ♦E iE Sf 111E iE 1E 1E iF * iE 1E iE 1E 16IF1E'3E 1E.iE iE 161E 1E 1E 1E iE ♦E * 1E 1E SE 1E * 1E 1E ♦E 1E 1E iE 1E iE iE iE iE 1E 1E 1E iE * ♦F iE iE 1E iF 1f 1E ♦E 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'.I UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV'FURN <=.100 K BTU 9.00 9.00 MEC 1 REFRIGERATION SYSTEM -<=/'1.0'0; K BTU/H 9.00 9.00 END�''O'F-,. FEES CONSTRUCTION AND PLANNING A9PROVALS Permit # Date Inspector POO' & SPA APPROVALS nit # Date - Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Locatlbn 2. Soil Pipa•Undrgmd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undtgrnd. 54, Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 0 5. Steel Reinforcement 56, Rough Plumbing & Pressure Test 6. Electrical LIFER 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. Backwash Lines. P -Trap, Ea'On'drgrnd, 10. Structural Floor System 61. APPROVAL TO DECK' 11. Property Sewer Line &House Conitction 62. Backwash & Receptor -Final .i 12. Sewer Cap 63, Heater & Vent -Final 13. Roof Drains i 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final' 16. Rough Electric Wiring 67. Fencing & Access Approval • I - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace Cie;-� ! (� FIRE DEPT. REQUIREMENT APPROVALS '- Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts. Ventilating 71, Product Piping 0Gas 000 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - - 73. Undergrnd. Storage Tank OGas 000 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - •' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing _ - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric _ 34. 34. FinaCHeating & Air Conditioning 35. Final Gas Pipe:Test Notes: n !!! dZ 36. Hood or 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. Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING 48, FINAL PLANNING 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ADWrss ap 9dLpxu 374 E 15TH ST UNIT: 01yNEws NAKE*'IOIONN RICHARD GALLUP ADWESS: 374 E 15TH ST CUST--MirSA, C!A 92626 250-0607 APPL. MADRID AWRM A 111ECT OR ENOwEER: WILLIAM HEZMALHALCH ARCH mm-. C ARCK OR ENOLS ADDRESS: 17875 VON KARMAN AV OMT:. IRVINE CA 92714 CONTRACTORS NAME CONTRACTORS MALING ADDRESS: Uc. NO.: 404 UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under parwsy of perjury that I am lironsod under provisions of Chaylw 9 (mmmenorp w9h Semon TWD) of Derision 3 of the Bnshmss and Protessions Code• and my license s or NO tome and affect. CITY LIC. NO.: LIC. CLASS: LIC. NO, EXP Daps: Comracta: OWNER BUILDER DECLARATION: I Morals, df. oder parody of pwjury thel I we ax,mpi from the C nscton Lowe low la the fakmiy roman (SeCdn 1031.5 Rusiws W PmlsssiMs Cade: Any city or armry oNch require a parte t to construct. am. vnynvre. demdlsh, m,spar wry abuaure, prior to is eauence. also Muir. the applicant for such perms to Rb .. i,,.d wannown the he or aha is kcanead punueof to the prarniams of the Cantrectas Licama law (Chapter 9 (com menon9 wws Semon TOW) of owson 3 of the Business W Praewiom Codel or Iha he or she is exempt thenehetrl and the basis for the allpad exemplion. Any •Aolation of Section TW 1.5 by wry appkoont for a perms subjects the applicant to a.NO penalty of nor mon Than In. hundred ddels RSODD. ❑ I, as owner of the p onaM or my anMofeas with wagesas rhes sols mmpenaron, sell do Over wok. mrd Ow stnxture is not imaafed or offered fa sche We (Sur 7011. Business W Profassons Code: The Connrmam s Uoee Lew es donot appy Io an owner of r, prope who bund, or mpnrvas thereon, and oflo does such work lime0 or henall a Ihr«gh he a her own employees, provided lhel wnh impronemem. are nor intended or offered la sale. N. timer er'the building a. n amp a sold within ons yew d completion. the V owmrbuildsr will have the busmen d proving he a .In did build a Improve the Wryoae d eels). ❑ I, es owner d IM papery, ern wdusmety contnaky with I' caNrxlon row the project (Sector 1011, Busktess W Professions Coda: The Coniraaon Cetera law doss rw to er owner peed who builds a.impreves thaws W who ❑ con % (Ims% Wq wsh a rdureda(s) Icenaad W to phs Cont Licenaa lew)� ; I e^1.1�1 soT/ n: B. 8 P. Nis roeaon: at I sin.wove of W Iadentwd the nRUineliam of CaIiomie Naabh wd Safety Code Sectiaw 25505, 25533, wd af'nw 'dnwmootsuend the A.wd-� aoans(u.�mlewn�b or'a.Ito Vly lwdarr:l oMorhW ww�n FPIacodes vdu:. gtwntlrsernards hea Dew: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under paully of perµvy ons of the MEowvp dadwelons: ❑ IhevserdwilmWmn acan edwwntlos04muntorw m'mnwal .esproviedfmby Sacion3TWdlhelabw Caw, la the pedammra a Ow wok 1« wlkrh rhes paltrkl ls isued. ❑ Iwo W with roes pos waken' canpemo ii n s' comp rr n ngosur by carrier 3 mod a the Labor Cods. ton the pedamarca of the wok la whkN Ihls perms a issued. MY wakels' oompemeion insurance ,arrear W folk, number we: Cama: Policy Number: (this section need not he mmplerad r fed penny or Mare hundred dollen I31WI or Ws) ❑ I cans, Dat In the peramanca d the work M whoh lhie palms le issued. shell M ampkry wry pelMn in wry manna n as In hmome wbjed to the workers' axnp«weion Move of Calffaea, and apes the If I should beaans subptl to the omlo s' oomommat n p... of Seaton 37M of the labor Cede, 1.1hall fonhorh campy with those pmrrmom. Dee: Applic ma: Weming: Fetors he socun wanion cwnpsnsodon c ngps Is unMwyul, endahal srllect art er ioloyer In mlMrel perMlOes end "Ones ry W ens hod sol thousand do/Mn 141104DWA An solllMon W fed cost of mmpuwsUon almospas as arovWad for In Secd. 3,03 01 rhe Lobo, Cods, Interest end a,omey" lane CONSTRUCTION LENNNG AGENCY: I hereby affirm under prwa y of Parlay the Dan M as commission lerdb10 agency M the performance of the oak M vOlkh the forms is soused (Session 3041. civ. C). LENDER'S NAME LENDER'S DRESS: Icendy lhwlhelw road the Www. thin tlw above Wameonsmna.I epee to campy wsh eR arty end minty adinences W aIs. nleiptobu alnwuct)o�n Wherey �amhorbe repneaenl ofe,dry to ismer .,on the abovsmemioned prepary for in ion Wrpoees. I! ✓' /�/� LK/ Dwe: Sipes enVAPPicenUGamr (5151460P) Whit. -Building A Sad,: G.,FM: Cemry-Appiranl:Pink-Rwemr; OOMemad-M. CITY OF COSTA MESA — BUILDING PERMIT, •/ PERM NO: P 072085 PERMIT NO:rP� -072085 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLO PURPOSE: NEW JOB DESCRIPTION 744SF 1ST FL, 1740SF 2ND FL, 200SF DECK SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 COMMENTS; REF; B-72080 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 RES: PROV; PARCEL: 42531106 ZNE: REF NO: PLANNING N TES> _ Ri * *!f * fs Is fE iM1 iF M ♦f ie * � aG 1F-)4 de if if if if iE ds if 1s;f * if ff ip iF if ii if'If air if aF if -1F Rf jf If # as+P Y 1p of Is`aF is Y yE iF Is of if iE is M if is * is iF � * of !F iF * d4 * * * aF D E V E L O P M E N T S E R V,I C E S'i R E Q U I R E M E N T S 01 00180fi?]-001£0901 TOT- 145.00 ZONING APPROVED BY DATE. 05/(DAJlrE:TIM.F: o -n7 BUILDING APPROVED BY ; %' DATE: n APPLICATION ISSUED BY: DATE; �E dF if iii. di lf?ady. ii Ri aF is is is if iF*di )E ii *iF��F�iF�iF iA'iFiFif iF iF iF ��'�iF��TCiFiF�F3F c�ii:�c*ria*ac*rar•aF f wrR* LEGALIZATION:N F E E S U M M A,RrY STRUCTURAL SE MENT:N s F BLDG PMT PLUMBING ELECTRIC,- MECHANIC'- FIRE SMIP/RES GRADING PERMIT 125,00 PLAN 253 SMIP/NON—RES ' ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK, PITOTAI; PAID DUE TOTALS ---- > 125,00 20,00 0,00 145.00 145.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; .145.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE% SMIP/TOT GRADING PLAN—CHECK 145,00 , •I " # if K ip dF 1s is if 1f if iE M iF it 1A * at M M if if Af yF 1F if Y jt iE is iF iE if )s If iE if iF is aE M if 7E+h 1r-aE * IP if * iR M iM1,iA 14 iF Ap iF iF iF iP if * * is iE •f at is x is is {f if if if. iF * * dh 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 r/,;1UNIT COST TOTAL COST PLO 2 BATHTUB 7100 14,00 FLU 1 DISHWASHER „ 7A0 700 PLO 1 LAUNDRY TUB OR WASHER•• 7,00 7,,00 PLO I SHOWER r 7.00 7.00 PLO 1 SINK, BAR — 7,00 7,00 PLO I SINK, KITCHEN 7.00 7,00 PLO 2 WASH BASIN (SET) 7,00 14,00 PLO 2 WATER CLOSET (TOILET) 7,00 14,00 PLO 1 WATER HEATER AND/OP, VENT 7.00 7.00 PLO 1 WATER SERVICE 7,00 7,00 PLO 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5,00 5,00 A , ' VMNSTRUCTION AND PLANNING APPROVALS Permit Date Inspector PC & SPA APPROVALS Permit Date Inspector • 1. Temporary Electrical Service or Pole -52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. �' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms -- -- . - 4. Electrical Conduit-Undrgrnd. 55, Electrical Bonding - 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - - 6.•jElectrical LIFER 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. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection Z� _ 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13, Roof Drains 1 64. Plumbing System - Final 14. Rough Plumbing _f _ I_ 65. Electrical-Final 15. Rough Electrical-Conduit 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 & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping ElGas 0Oil 23, Gas Pipe-Rough & Test 72. Underground Flush 24. ,Goof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV, FINAL 30. Drywall Nailing ,HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: j--Ve -97 440 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test _r- - Q.�_ , _ r• ,,, ��-r, y 36. Hood or Canopy _7„7 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final z-s 40. Gas Service-Final ' __ / !�� _- 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No pate . ADDRESS: APPL. MAJUNO ADDNESA ARCNRECT OR ENGINEER: ARCN.OR END'S ADDRESS: UC NO.: CONTRACTORS NAME CONTIIACTORSYARDI6 ADORFSS: L1C NO.: UNIT: UNIT: UNIT: LICENSED CONTRACTORS DECLARATION: I hereby dfmm under penalty d poo y tlw I are Teavad under povidone of Chapter 9 (commarbp afth Section 70DO) of Oiyeun 3 of the Business and Prdeseions Code, and my license is in MI forte ad enact. CTy LIC. NO.: LIC, CLASS: UC. NO.: Dae: Caarepd: OWNER BUILDER DECLARATION: I hereby affirm under penalty of perAry tut I an exempt Imre IM Cont arfon Limine Lew ler tM Idbanp reeann (Section 7W1S "imess and Professions Cade: Any cry or colony whits requ'ves a peek to omawct, after. Improve, demdoh, d rami eery etmcture, Arid b is irRuanra, mbo mjndles IM epptom4ld such pemnft to fib a aymd atataesm dut M d vu is limnaed mmuad to the nnnside ol IM Codrantore Lorne Lew )Chapter 9 (mmmenmp akh Section 7000) of Dwugn 3 d the Budnees ad Pnol w. Code) d the he d and u exempt va,.0dn and the bona In, IM aft.'d examptom. Aov violation of Section 7031.5 by any applicant for a peneA vnblects the applicant to a Cid penalty of not coda than two hundred dollen IS500D. ❑ I. as owner of IM properly, or MY dnployeae with wages es tui mole campereeton, vat do Me worll. and to wodom is rel intended or offered for sols (Sedan TON. Business and Professions Cods: TM Comradda Limens Lew does era apply to an ormard papery who buida d k ,,nets tumor. and wM does tnxdn w hk std or M sf or Ondph Na or her own twn to ss, prwidsd tut Ruth improvamerps. not intended or dbrad Id sand. ff. Ibweva, the buildup d'mpraanera iv sold vald.One year of dAnpkeian. the owner d ltd w 0 neve IM burden of dvnrp he or she did not bdk or undo s Id to pmpoee of eeb). ❑ I. as owmr of IM prop". an exdeeiwly onU acting adh lammed oonbacton to m,onxi Ura project (Semon Mss. Smnws and Profesaom Code: TM Comradda Lcenm Law done not apply to an owner of dopeM wino builds or improves thereon and who Conlrace M to Cn propos oh a oonnCtO (s) Nonmed pureuanl 10 IM Comredpn Uoenss Lew). ❑ I am exempt under Swaim: S. A P.C., M Nie reason: Data: Oxnx: I & hand, Canty that I are awae d and undastad the rr qui.enta of Catania Neakh and Safety Code Sgipru 25.505, 25533, ad 25536. ad iM1 I a and Mw buiMip dxamN wM l vA nna (MNe dr) coed ro oampiY win said arae cad» seer the rgrmsmada for a pemnlamnwckona mndfwtonfmmlMAi�iy engtamrY Dived. Remidamwlmmadon eppirmoman exempllmm Nese proveioru. One: Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under penally of perjury one d the lolkvwinp dalereMne: ❑ I here and oval mainlan a mnRvate of ennead 10 seff.inwre for waken' COmpametion. as 1+ovided for by Sadion 3700 d IM Lehr Code, for IM pedomence of Iu wprk for which this permit is mwu . ❑ I have ad oval mainlen woM1as' oompaeaton umrerrca, m re9uiad by Sedbn 3700 d lie labor Code. for 1M parldmarrm d the work In, whidr the pamA is issued. My waken' tdnPermaton i nreme owner ad Policy number are: Carer Perry Number. /This aecdiun nand mt M CdnpWed 0 the prow] is yon erre hundred ddbre ISIM] or kw.) ❑ I canh tlRu in IM pMdmaw d IM wok br when the planer end a I draft nal anway emy paean s try mercer so lo Io became subject to IM wdNas' mmpawaton lawn C California,anl)and epees Mat 2 I shouts become arnblect to IM worbas' mmenWon pr4Anivw d $edon JMO d IM labor Cade. I duD 1oMwkh odnpy rah Uwe prmtiaw. `�—' 8 Waming: Fegum b escure a ntars' compareadon Coverall* Is un4wfW, and aMl sub*f an amployaW cnlmbtal paneldN and CIWI ff. up bona hmdred thouesnd dd/an ($too=), he Add/don to Me Met at compabefleR damages ate pmvMad far In Swdee 3M5 of db Labor Cods, lef.f. and eN., We hes. CONSTRUCTION LENDING A09NCy: I hereby affirm under Penalty d mrluy the them e a Conatmction bldirp perry for tM Md.. d the work Id which the lsermk ie eaued (Section 3097, Ci, C). LENDER'S NAME LENDER'S ADDRESS: 1 Candy Inv I haw mal Me application and stab that IM above Womwon is cared. I epres to Campy wind aft City and Carey ordnences and.tate laws retalip to Mddkp pmstruman and hereby and... representatives of In. City boder upon tM oboe memipred p,.," Id Inspection wrpama. Prim Noma Date: Sigrwure d OaneryAgaWAppkentrm rand (5151.16 WP) Whit"uibip A Seery; Ora Rk Caney -Applicant: Pink -Revenues Ooldenrod-M. PERMIT NO:. P. _r072085 PLAN CHECK NO: 01533-95 N rerun; if1<*ifYif iPYljf iE ff*t4Y nE;lRiifMYAF if ih Yf Yiy ifYY#1c 1FM1EY%+f Ola is*YYY*YYif Y'N'YifYYYYif if if ikM iM1*YK*iR u-iy lw iRYie*Y'IAYY TYPE QTY D E S C R I P T I O N PLU 1 GAS SERVICE PLU 1 BACKFLOW PREVENTER PLU 1 SEWER, CONNECTION TO BUILDING END OF FEES UNIT COST 7.00 7.00 EACH 15.00 TOTAL COST 7.00 7. 00 15.00 0 00 oro=o�c�laos Y EYE%F'T>~ Hare: os:uu�t rFIYt: 12:07 14'.•Gi t .. CONSTRUCTION AND PLANNING APPROVALS Permit 1�Tempnrary Electrical Service or Pole Date ' Inspector - PL . & SPA APPROVALS Permit # 52. Pool & Equipment Location Date Inspector 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ! 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. 'Electrical LIFER Grnd: 57. APPROVAL TO COVER-GUNITE '7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 0. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, El Undrgrnd. 10. Structural Floor System 61, APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final x.14. Rough Plumbing 65. Electrical -Final 15. Rough Elecirical-Conduit 66. Solar System -Final 1 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 6 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 1000 23. Gas,Pipg-Bough & Test 72. Underground Flush 24:.Roof Framing - 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25.�400f Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pi Pe -Test �Q -y -4 C � 36. Hood or 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. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas CA 51. CERTIFICATE OF OCCUPANCY No. Date j m. Sha BUILDING: 374 E 15TH ST DMT. wINER9NnM': MawN: RICHARD GALLUP ADDRESS 374 E 15TH ST Al' COSTA MESA, CA 92626 250-0607 APPL. MAi N10 ADDRESS: ARCHITECT OR ENGINEER: WILLIAM HEZMALHALCH ARCH uGNO: C M. ON ENG.'S ADDRESS: 17875 VON KARMAN AV DNM 404 IRVINE CA 92714 CONTRACTOR'S NAME: CONTRACTORBMMLNIG ADDRESS: UC. NO.: INIT. LICENSED CONTRACTORS DECLARATION: I hereby affirm under penalty of perjury that I Am licensed under leovisions of Chapter 9 fcommencing with Section 7000) of Divisor 3 of the Business and Professions Cade, and my license o in full iome and effect. CRY LIC. NO.: UC. CLASS: UC. NO.: EXP Date: Contractor: OWNER BUILDER DECLARATION: I hereby affirm under penally of perjury that I am exempt from the Contractors Ucense Law for the followkg mason (Section 7031.5 Business and Professions Caddie: Any city a county which reyunee a permh to construct, aper, improve, demdoh, or repair any structure, prior to its issuance, also requires the applicam for such ,snnh to file a signed im emsnt that he or she is licensed pursuant to the provisions tithe Contractors License Law (Chaptor 9 (commenting with Section 7000)of Division 3 of the 9usineas and Professions Cade] or that W Is she is exempl thaehom and the base for des alleged exemption. My violation of Section 7031.5 by any applicanl for a perms subjects the appliram to a civil panety of cwt more than five hundred dollare 1$500]). [] I, as owner of the progeny or my employee% with wages as their able wmpenaeWn, will do des work, and the structure is ad intendnd or offered for sale (Sectim 7000. Business and Proleesior s Code: The Contractors License Law does not appy to an ownerd proper who Wilda or mprovea thereon, and who does such work himself or h vi off or through his or her awn employees, pmrided that each improvements are rm intended or offered for sae. ff, however, the building or m,wemam is sold within one year of completion, the ownecbalder will have the human d proving W or she did nd Wild or int the purpose di sae). 1, as owner d the pmpeny, am axdueNely contacts, with lir sed gonrreclo arud iha project (Section 7044, BuaInesa and Profe®iores Cade: The Condu ctom Loense Law does has to an owmr ny who builds or pmpmves thereon and wW Contac f such projects nth a confradan(s) licensed pu Ito the Com License Law). I em m do I. S. 8 PC., this reacon: Data: 1 A owner: Ido hereby cinity the I am aware of and understand the requi ants d California Heath and Safety Cade Sections 25505, 25533, ad 25534, and that I or any future Wildhy oceupant will / will not ( le one) need to comply with and under come and IM requirements for Dae: Applicant WORKER'S COMPENSATION DECLARATION: I hereby elfirm under paaty d perjury qro of the following detlerelior v: I have end bis meinlen a ceaRioae d censant to sell -insure W wmkere' compensation u provWW fa by Section 37W d the Labor Code, for the pedowence of the wank for which this permit is issued. I have end with mantes oro ' compeneeion insurance, es required by $wc 3700 d the Labs Code. ion the pedamance of the work for whirl this permit is iesued. MY woreare compensation insurance cams and policy number are: Center: Policy Number: (This section need not be completed y the palma Is for one hundred ddlare [SIM] or Arm.) I cn t Nov the pedmmence d the work for which this perms o land 1 Etat sof employ should penin subject enc mother iso es ro become sables iop vi the bodam' n 37M of the labor C Cal shall end e0rae the i 1 should became aubjax to the workers' wmpansation provisions of Section 3700 d the Labor Coda, l shell lonhwth comply with those provisions. Date: Applicant: Wemhp: Fallua to secant woAai compensation coswrage h unla di and,hell sugscr sn employs be cn/Mral penaMes and civil fires, W bone hundred thoueend dollen f$1OQ 00% In sold/tion to tles cuar of compsluet/on, damages as provided ler In Section 37M of tits Labor Code, Intae,0 and attorney 'a fors. CONSTRUCTION LENDING AGENCY: I hereby affirm under penny of perjury that them is a construction lending agency for tlro performance of the want for which this parent is'seued (Section 3097. C'lv. C). LENDER'S NAME: LENDER'S ADDRESS: I cenify the I have readthis aP lioefwn end stale that the shove Information o coned. I agree to wmply with all ply ad county ordinances and state lawn missing to Wi cgMmdWn and hereby authorize represamativea do city to ants upon the shove memkmnd pmparty for ins den purposes. pdnl Name sYVYTY!/�A`' Date: Qnsidetard CenedAgenl/AppllramuCOntada (515146.WP) , Whit"isilditg & $shay; Gmemo-Fle: Canary-AppmenC Pink -Revenue: Goldenrod-Aaaesmr CITY OF COSTA MESA — BUILDING PERMIT y- a PERM NO: E 072086 PERMIT NO: E '072086 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION 744SF IST FL, 1740SF 2ND FL, 200SF DECK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: TEMPORARY POWER POLE 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 RIGHT: FT IN PARKING REQ; PROV: PARCEL: 42531106 ZNE: REF NO: PLANNING NOTES> > 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: BUILDING APPROVED BY DATE; APPLICATION ISSUED BY: DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15,00 50% SMIP/NON—RES PLAN - - - - - - - - - - - - ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 15,00 15.00 0.00 30.00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 30.00 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 1 TEMP SERV PWR POLE W/OUTLETS EA. 15.00 15.00 END OF FEES 01 00180893-00180893 TOT 3".0@ DATE; 05/01/95 TIME: 12:03 �ONS""UCTION AND PLANNING I i� APPROVALS Permit # Date Inspector POL'� & SPA APPROVALS Permit # Date --Inspector ectrical Service or Pole 1. TemEPipe-Undrgrnd. -52. Pool & Equipment Location 2. Soil b' 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical"Conduit -Undrgrnd, 55. Electrical Bonding 5, Steel Reinforcement - 56. Rough Plumbing & Pressure Test / 6, Electricaf OF ER Grnd. 57- APPROVAL TO COVER-GUNITE _t 7, Footings'', t 58. Electrical Conduit-Undrgrnd. 8. Foundation". _ -_x.59. Gas Pipe, 0 Undrgrnd„ Test 9. Water Pipe-Undrgrnd, 60: Backwash Lines,'P-Trap, 0 Undrgrnd. 10. StructurSI Floor System 61. APPROVAL TO DECK 11. Property Sewer Line-. House Connection -i 62. -Backwash& Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing Lrf 65. Electrical -Final - 15. Rough Electrical -Conduit tr' 66. Sotar 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 & Air Conditioning FIRE DEPT. REQUIREMENT tJr L - APPRQVALS- Permit :it -- . 20. Rough Factory Fireplace !? .� H s# 1.1Z5 ?t.Ducts, in Structure --- - - -- �' .7 :H' 70.�Underground Hydro 22. Ducts, Ventilating,: _ `�'iv i` C7 r' Cj F%� r, 71. Prod'Uct Pi6ing'IDGas 0Oil - 213. _Gas.Pipe-Rough & Test C..t '• 72. UndergroYmd Flush 24. Roof Framing trt�i '�F '-e" , 0 tr' =- M -r :Y 73 Under rnd IStorageTank CGas COiI 9 25, Roof Sheathing _ - - - 74: Overhead Hydro 26. T -Bar Ceiling (Structural) & Mbriocoat - C7 t`i ^� 75; Dry Cheical 27. Frame and Flashieg 0D)atC 9� 'x tr' �%y �` ?r Wu 76. Standpipe��- 6. Drv 28. Lathing &,Siding'';rt �`� n '° �. '�# 77 FIXED SYSTEM FINAL {t;a 4 •. •• p 29. Insulation tC^ 5 •• . P7 �k I IX u 1 78: FIRE PREY. FINAL 30. Drywall Nailing b?t r - n :� ' �x �� :'.HEALTH DEPT. REQUIREMENT 31. Plaster Browq-CoaHy I int" a< � 1'. • 79° FINAL INSPECTION 32. Electrical Power Meter -Final 33. Final Electric 80. FOOD CERTIFICATE ISSUED Notes: 34. Final Heating & Air Conditioning 35, Final Gas Pipe -Test 36. Hood or 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. Landscape Irrigation System 45. Sound Attenuation 46- Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 374 ADDRESS OF AWLDWO: E 15TH ST um.. OyRENS WE IF KNOW. RICHARD GALLUP DRESS:374 E 15TH ST COSTA MESA, CA 92626 250-0607 MPL. WIND ADDRESS: AnCKDEQoRENDNEER: WILLIAM HEZMALHALCH ARCH utmo, C ARCNOREWSADDRE55: 17575 VON KARMAN AV UM: 404 IRVINE CA 92714 CONMCTOlr9 NAI@ COfRRACIORsM UNG ADDRESS UC NO.: DMT: LICENSED CONTRACTORS DECLARATION: I hereby aim uMer penaly of p dm tlm I are limnved tower ppisi«u of Chwpta S (canmenrirrp with Seadn 1000) of Divuion 3 d Me B.. and Profveaiam Code. aret my Doom u In Mpg and allsp. Crry UC. NO, UC. CLASS: UC. No.: Dere: Caureaor. OWNER BUILDER DECLARATION: I hereby affirm uror pemly of Darjury that I am exempt horn IM Daerwm Limine Lew la IM f0lbwnD reason (Soot m 1031.5 Busirn end Pm/esdms Cade: A" cry or caMy which rewu a painil to powbud, aper, bmrose. danoreh, a rpai am seucture, prior m Ca ueuanm, ebo rpu'vV Ihe apptimm la errclr pangs Ip Ms a dDrrae atalerrlaC tlw M a ant I. keme l pumrem to the provision of the Cwredcrs limrwa Lew )chapter s (ma nar.:,P wen Saaim TmD) of O.W. 3 d the Buvwve ad Prdassum Code) or that he or she I. exempt therefrom erre the Mau la the a6e0ee axaoplun. Airy vidato of Swire 1031.5 by any applom for a permit sublede the epplieem to a dvd Pendry of red more then five Mrdrad doles LSSOOD. ❑ I,nowrwdlM pmpeMamy empb/eea xvh wapaenlfrei xbaanpemelion, wildeiM work. and Ow abwuroume weMem imprmanam era w wades a atwx to sue. 1, fawawx, the eumup a mpro.ernw n wit weten oat Year a oampum, Or X awrrerbulda wit hat Ihe burden d provirp M a she dd w bund a'vnprova la IM pupoaa d sere). ❑ 1, o ower of the prepay, era t. Lt.. Lie, with bate or rep, afypojw (Swbrp nare endori emorw Cade: Toi cor ew, c Limon law eon nal apply to d Mlde a knptwand whe canirecia /« aro projede with a oomrodor(s) licanaed pnmm t Commdm a ). Jexempt The Seco: B. A P.C.. la a.nHy Mat I ad.wero d er1a oaarerend us, r.Rpkerd of Canada Health.nd Code Swum 25505. �, end Hs, I or arty Muro Wiwi, occupant wil l wD w (amp ) mad to comply with pate codas And the requirements At xxrslrualionarrrodlfiaelo from the Aieu3MY eaepemenl Moro. Raddanul mmtrwo eppiretbn en exemle from Move Date: Ap mm: WORKER'S COMPENSATION DECLARATION: 1 hereby ether ureter pwwfy of pwW ora of the lobowbp dedaruom: ❑ I hove end he maniere a of Me d coram to eelinwn fa aImm. q«np.mato, o pmided la by Salim 3100 d lhe lab« code, for the pdomape d Me vromr f« wlecn rots pemm ts Mase. ❑ IM.. ewil maims:w«ken'mmpemike", omla..nrrrkoe carrienaodthe leborcme.Mthe pMamermdlhe work /a wno th'v pertM u Muem. MY waM1aa' axnpanaato hnmranm carrier end poky comber ars: Carrier. Policy Number: (Thrs seafkm orae mi be pmpMW y the Perm* ro W oat hunerae doles /stool or lure) ❑ I coney Ow in Me pwomerwa d the work for W. this pend Is Mrs,. ehep w aneoy arm Foram in eery 1. the eon b become sabred to the wf B a' campers the W. d CUI sha ern ghee Met i I ehmM becmre sub" to IM worbn' mmmmaton provuiom d swore 3700 d the Lebon coat..l.h.l lothwah pnpy wkh urs, pmtsioro. Data: Apdimm: Waminp: FaOun to axon workori compertsedon oovarepa 1. mbrfol, mrd atoll albl t en employe No Comrnal PWMO- A/M dvll Rme W to oat lr Wred Mouvend ddun (310110001 it addition to Me poet of rorrpwwtbR demePs as pmvAbd for In Sxtim 3706 of Me Labor Cod*, /retreat, eref attorney, fees, CONSTRUCTION LENDING AGENCY: 1 hereby eMdeemM nm unr Pd parkay, InI. a p .l there mlrodm landml a/ency f« me perform. of IM work for ehkh Mu perms is owed (swop 3 . Ch. C). LENDER'S NAME- LENDER'S AMELENDER'S ADDRESS: I comfy Ihet I heve nee the pplcalo ant due Met the abovw nfomoelon ie prod. I spate to rompy with all my aro county oreirwrme mrd ewe owe nwkrp to Midkp eonaoumm eM Mraby auMaixe raaeeentuivea d IM dry to oma ppm IM above-nlenlnrlee property h"mep"o-PRo"m DAN HOWARD Date: (5151- .WP) White-Buildvq A Safety: OmemRle: Cenery-AppimM; Pink-Revenm: Oddemxr - re rwr CITY OF COSTA MESA - BUILDING PERMIT IPERM NO: IE 0796551 PERMIT NO: IE 079655 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE: NEW JOB DESCRIPTION 744SF 1ST FL, 1740SF 2ND FL, 200SF DECK SQ FT: CLAIM VALUE: CALL -VALUE: GROUP OCC: R-3 /U-1 COMMENTS: - E REF: 74102 / " oR�/�L'�k1r C�r�riE�r*iEiE�r+r+r�r�r-�r�r�r�r�r�Arx �r Z 0 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 ---------- A R Y STRUCTURAL --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RIGHT: FT IN PARKING REQ• PROV: PARCEL: 42531106 ZNE: REF NO: PLANNING N TES> BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID > TOTALS ---- > 44,25 0,00 :0:00 44,25 44,25 ,00 REVENUE DIVISION dr Rf dr dr*dE ir♦E dE dF dF err fr*1E iE iE dE lE dF iE mE**1E*iE iE mE*mE dE dE dE dE mE 4dE dt iE*mF dElE it MdE lr iE dk if dr iE iE it*kdriE lr iF *Rr MiE iE dE RE dE IE*mF**dt iE**ir 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: BUILDING APPROVED BY : APPLICATION ISSUED BY DATE: DATE: T0 LEGALIZATION:N F E E`,_S\U M M A R Y STRUCTURAL S$GMENT:N BLDG PMT PLUMBING ELECTRIC__.MECHANIC FIRE SMIP/RES GRADING PERMIT 44,25- ' 503- SMIP/NON-RES PLAN ISSUE FEE ' BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 44,25 0,00 :0:00 44,25 44,25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 44,25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 44,25 °. I N D I V I D U A L A F'_E E- TYPE QTY D E S C R I P T I O N =� ELE 1 ELECTRICAL RE—INSPECTION FEE END OF FEES -sr i f� iE*1f iE dE*ir♦E iE err 41F*mE*iF RE if iF ♦E SE iF iE Rr lF iF iE*IE*dE dEM B R E A K D O W N UNIT COST TOTAL COST 44.25 44.25 01 00215724-00215724 TOT 44.25 DATE: 09/26/95 TIME: 11:338 CONSTRUCTION AND PLANNING_ l POS_ & SPA APPROVALS Permit # Date Inspector r APPROVALS Permit # Date Inspector 1. Temp -,ary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical'Conduit Utility-Undrgrnd. _. •54. Forms - 4..Electrical Conduit-Undrgrnd. - 55. Electrical Bonding - r- 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.; Electrical UFER Grnd. 57, APPROVAL TO COVER•GUNITE - 7. Footings - 58. Electrical Conduit-Undrgrnd. �l B. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9: Water Pipe:Undrgrnd. ` -60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System �' 61. APPROVAL TO DECK 11. Property.. Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap _- 63. Heater &Vent-Final 13. Roof Drains.. •-_ - _94. Plumbing System - Final 14. Rough Plumbing , 65. Electrical-Final 15. Rough Electrical-Conduit -_ 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 & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS ^ Permit#• 20:-Rough Factory Fireplace r - - j -1x - 21 yDucts, in Strdctu(e' 70."Underg_ound Hydro 22. Ducts, Ventilating •. _ a o' . -. 71. Procint:Pipingr'QGas -Cl Oil __ 23 -Gas Pipe-Rough &'Test _ .�: �' 72. Underground Rush _ 24_,Roof Framing 73. Undergrnd.SterayeTank OGas 00i1 25. Roof Sheathing Overhead Hyd o- 26. T-Baf Ceiling (Structural) &-Monocoat- « 75. Dry Chemical-• 27..Frame andFlashing 76. DryStand_pipe- _.i. ` 28' Lathin & - '" - 9 Sidin 9 _7 y.^. T. ._ ` - v r 77. FIXEDBXSTE-M FINAL -. 29. Insulation - 7.8. FIRE PREV. FINAL 30. Drywall Nailing :� - ' r I _ HEALTH DEPT-REQUIREMENT 31. Plaster Brown Cosi'•" 79. FINAL .JNSPECIION t7 32-Electrical Pos%verMeter-Final : 1 -, 80. FOOD' CERTIFICATE1I5_8UE6 �, 33.=Final Electric_ �7•N6 Notes: 34-Final H€atirij.'& k"donditioriing * .r �'• -� 357 Final Gas Pipe-Testi _• " i = Cl,.. " L r 36. Hood oCCanopy �:, rl a, �• 37.:Final Factory FicePlace•, = r"=' - _ �e"/�,,"L - -r -,U - v/ 38. Final Plumbing-- 39. Water Service-Fir li 40. Gas Service-FinaS-_ 41. Solar Domestic-Fihel_. . D . r -_ - 42. Backflow Prevertter. "" ^, t• - I x ^. r-_ - 43. Backflow Irrfgation 44. Landscape Ir'rigati'on Systerr4 „45..Sound AttenuatFQr - - 46'-Handicap Regulati0fs- :i •47.�FINAL STRUCTURE & BUILDING 48_*FINALPLANNING - 49:. Eleetric Release to.Edison 50. Gas Release to Southern California Gas Co _ - - 51. CERTIFICATE OF,OCCUPANCY No Date •- ADDRESSOF]RUDING: 374 E 15TH ST uN7: a wsNAwEwwawN: RICHARD GALLUP Amos: 374 E 15TH ST COSTA MESA, CA 92626 250-0607 Am. "m ADDRESS: ARcwrrE iORu+mum WILLIAM HEZMALHALCH ARCH =No.: C RCNoREND.'sAmm; 17875 VON KARMAN AV UMT: 404 IRVINE CA 92714 =mAcTonnw BRENNELL ELECTRIC (714)540-5737 CONRIACTORSMARINA 1733 MONROVIA AV AoaREss COSTA MESA CA UGND_ 673950 92627 UNT: LICENSED CONTRACTORS DECLARATION: 1 heraby Om under perW y or perpoy Nr 1 eon boasted uMo pwhbn of ChWw R (commenmq mh Section 7000) d Division 3 d Lha Bvtlrow eM Po itemli ra Cade."oy Vow. Is In 10 cora erA effect" CrrYUC.NO.: 059815 UC.CLASS, C 10 UC..sNpOO..: f173950 EXP: 07/96 Des: Caama: Lea nQA.L_111 ✓ OWNER BUILDER D CLARATIOW I hent, Arum W. penal, d perjury chat I am e,empl roan %M Codtadon Lion" Lew I. the "nwip neon (Section =15 Bnfn.ss end Pratndan Code: Any ", a wormy wkA nauirn a Penns to carooua, after, vnw , olbh, a nowit any structure: pia w is bwence. nbo "mire LM opWicad tot such panrvl to fib a abmd steenem cost M a ane .weed wrernm w the promise of the Corandas license law (Ch -0. S Omwmenctm with Section 70001 d Dwaun 3 of the owinm erd Praewiwt Code) a that he w ehe b exemp Rw 1. W line bab ter the eRyed nempon. Aly vrtatbn of Section 7031.5, by arty applicen la a pang vl*m 1M wficeel to a dv0 pmMy of rwt owe %nen N. Nodnei Solas PSIOD• ❑ LaomwdLM p�openya rry ampoyen rXh wap, nthr sde canparoeian.,rS dolMwaK eMMeuwan bra idvded Ii, o ernwnot !sanded a ofwm In, esle.4. toweww, IM Adkicq a iipio~ond u tow "N' one ysa d ommpblwn, tint owner-budtler MR have the burden d povkp he w aM dd row had Of know far late P * of rdq. ❑ 1, n owner of Ibe pally. am adumdy wnraakN eih ke eed ora adp, le oowpW Re Pmjw tBedion 7W s. lamins antl Protaseiau Code: The Codrecton Lieenn Lew does not appy w 5,n oen4e d property van holds ce unp ee %hereon a d who caamb ow soon paled, enth a owararla(e) ficaned noesuere It Ne Caandas Ud are Lae). ❑ lion suopt wv wSettan: S. A P.C. b tis rens: Dae: pens: I do Mo.b, cedy Rni I stn aware d and tvker,NM Ue resddo•de of CeNade Health •nd Sdwy Cade Sectiea 20905, 225033, all 25534, rlho tM11 w ory Mon boiwm owuPW e1R I wit n (&cb anal need 0 campy cath send acts coda and IM roeann" for Ow.: Apprwete: WORKER'S COMPENSATION DECLARATION: 1 h•r.by eRpn wider paneky of po*q on, of the kAinvinp d•d"box: ❑ %haw line meinence df.af wentm,Wimure lawak•n'corrwernebn,m povMed la by Bectlm 37mdtM labor cad•. Ip IM penamanee a Dr work la wNch tib pwmll is Wwd. ❑ I hew std call nuiden workers• oompmuion lwranca,anadr•d by Salton 3700 d the Labot Code. for One Pwlbmwce d the won I. which Ude Permit b iaoM. NY warLef•' corn W pulkY numbr wer Cwdw: S TE�� EXPIRES pocky Mute w: – 04/01/96 aaatim n•W >x, b PonNwedY do peunAL M an hws+nd odrea Rf001 n bail ❑ 1 pm/y Uat b Rw pMomewe d 1M rock Ip wf,kh thh OanM b bawd, l ela0 not emday arty pwaw b err manrw a n to bet roe Wbmd to the ,ta1LM,' fpnpenWwn hM of C -Mm". Vd ARMY Red 0 1 shook became wbjad to IM earken' wrnP•nsaon p A,I," a acti�n ✓37�110 of the Lamr Code. I with wopy wti, / • ' 7jj' Date: J ApPOcan: /i��-cM a,CX '_ O�l in Wam/nm: FSS ro e•C wIWme ei 4Wl.M?fI0it QA I M raYewnbe IN, t ief r an Hots yer irge, Mr pwefb'a and Soc S" MW one Arndwd ImIwd dawn 11000 V ,1 M s:Mlpbn ro era con or rorreenaatlart darrerree x gold d7n In 9•ctlon 3708 n M Loner CoIAA ldwul And nrome✓e un CONSTRUCTION LENDING AGENCY: I hweby .!Atm Under PeneOy a1 PN)M the lbws is a aenctudion iwdirN op w 1p R» pedo mane of the rade la ~ %hie Perrot b baud (Seaton 30%, Cb. C). LENDER'S NAME: LENDER'S ADORESS: I c aN tion I hove road non apprceiw end eau that par,bon ktlwmatbn'r ewrw.l gyne locanpywhhaD aysd owmy adbancn end Rae bore raatc0 to building wnsrlKSon W hereby wahwiz• WrIwAllnee ofthis cilyto cow upon 1M ebwe merafomd popery !ori WA;7 n, col Nan. ,fsq ai Sp a Oxror/AperaAgAcanU drop ISrstdaWP) wbM16.Sullft A SOw, Green -File: Cwy-APPIc l; Pink-Rawmn; Gohlwod� i CITY OF COSTA MESA – BUILDING PL#AIT 11 ,PERM hlO: E 0"741.02 PERMIT NO: E 074102 PLAN CHECK NO: NI GOVT N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION ; 744SF 1ST FL, 1740SF 2ND FL, 200SF DECK SQ FT: CLAIM VALUE: CALC–VALUE; GROUP OCC: R-3 /M-1 COMMENTS: ALSO 620SF GARAGE, RE:#872080 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: 42531106 ZNE: REF NO: PLANNING N TES> TOTAL PAID DUE TOTALS ---- > 92.94 15.00 + 0.00 > ,00 Ii 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 BLDG PMT PLUMBING ELECTRIC MECHANIC '" FIRE;,SMIP/TOT GRADING DATE: ' BUILDING APPROVED BYDATE: – — ^ ' ----- – – APPLICATION ISSUED BY 1E iE lE iF lE lF 9E lh dt iP iE 3E ie lb iE * ih lF M iE IE LEGALIZATION;N B F E'E' S U M M A R Y DATE: STRUCTURAL SEGMENT:N , BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 92.94 SMIP/NON–RESPLAN ^' ISSUE FEE 15.00 BUILDING–DIV–> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS ---- > 92.94 15.00 + 0.00 107:,94 107,94 ,00 REVENUE DIVISION TOTALS--> COLLiEFCTED: 107.94" OVER/SHORT: ._00 BLDG PMT PLUMBING ELECTRIC MECHANIC '" FIRE;,SMIP/TOT GRADING PLAN–CHECK 107.94 , =t ^ AE 7Eit iE 11iF �E i(" iE ♦F * iE N- IE iE * fF #E iE pE IE * * k iE N-iF * ih Rt yF iE dF ♦E iE iE iF ♦E 1F iF iE iE iE ip pF ie ♦E i(• 0E k iE ik ills W.lp iE iF iE ib if ♦E iE K- ie 1F It iE iE iF dE dE IE ie iEtiF pt iE N- I N D I V I D U A,, F E E B',R'E A K D O W N TYPE QTY D E S C R I P T I Of N UNIT COST TOTAL COST ELE 5 FIXTURES, LIGHTING K' i ST 20 EA, 3.75 ELE 1 RECEPT/OUTLET rj 1 ST 20.., EA. .75 .75 ELE 2 RECEPT/SWITCH 1 ST 20_. EA. .75 1.50 ELE 2484 NEW RES BLDG FOR 1 OR 2 UNITS/" SQ FT 03 86.94 END OF FEES 'r x 01 001997`4-00139754 'TDT Inm_, DATE: 09/Q7/;15 TIOF., 12.19 CONSTRUCTION AND PLANNING APPROVALS Permit #-I Date Inspector POC SPA APPROVALS mit # Date InspeFtor 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrg{nd. 54, Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding •� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •. 6. Electrical LIFER Grnd. 57, APPROVAL TO COVER-GUNITE ' 7. Footings. 58, Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, Q Undrgrnd., Test 9. Water Pipe-Undrgrnd. • " 60. Backwash Lines, P -Trap, Q Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Cgtloection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final r 13. Roof Drains 64. Plumbing System . Final 14. Rough Plumbing65. Electrical -Final , 15. Rough Electrical -Conduit 16, Rough Electric Wiring G /.% _ J 6. Solar System -Final .; 1 67. Fencing & Access Approval '7 17. Rough Wiring Sign 68, APPROVED FOR PLASTERING 18. Rough Electrical -T Sar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping OGas 000 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing' 73. Undergrnd. Storage Tank O Gas OOil 25. Roof Sheathing 74. Overhead Hydro. 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final IBj� 80. FOOD CERTIFICATE ISSUED 33. Final Electric to Notes:�i2Z_p ,�- !! t- _ 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing . Water Service-Final,14 O.Gas Service -Final 41. Solar Domestic -Final r�^ r7LA_ Lcr----T-��s�7� LO�i1�' 42. Backflow Preventer ' 43. Backflow Irrigation 44, Landscape Irrigation System 45. (Sound Attenuation 4CO' Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48, FINAL PLANNING 49. Electric Release to Edison n 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 374 E 15TH ST UNIT: OWNER'S NAME: WESTPORT GROUP. INC, ADDRESS:1936 E. DEERE AV STE.216 SANTA ANA CA 92705 (714)833-5047 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: W ES T POR T (714)833-5047 ADDRESS: 1936 E. DEERE AV 216 SANTA ANA CA 92707 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of OivSion 3 of the Business and Professions Code, and my license is in lull force and elect. CITY LIC.: STATE LIC.: CLASS: EXP: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3900. Lab. C). POLICY NO.: EXP. DATE: OMPANY: J Certified copy is hereby furnished. ❑ Ceniffed copy is filed with the city Building Division. Oate: Applicant: EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is lot one hundred (SIOD) or less). I Certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the gWorrkerrss* Compensation Laws of California. nare(C% y Signature:�Od1Q i Ll/!rV✓/�C•J _ NOTICE:Il. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith Comply with such provisions or Ihis permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance. also requires the applicant far such permit to file a signed statement that he/she is licensed pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 71100) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7D31.5 by any applicant lot a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1, as owner of the property or my amWoyees with wages as their sok compensation, will do the work, and the n structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself Or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is Said within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). }� I, as owner of the progeny. am exclusively contracting with licensed contractors to construct the project (,Section 7144, Business • o antl Prplessons Code: The COntractas' Stale License Law does net apply 10 an owner Of grace rry who builds a improves thereon and who contracts for such projects with a Conlractpr(s) license pursuant to the Contractors Slade License Law),I am aware that pmol of their Worker's Compensation insurance should be provided to me. I am exempt under Section: B. 8 P. C. for this reason: /� (((7L��^nh/ �7 �^ Dale /� I� J ` Owned `•�^� Z, �" _rldo hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant vAIVwlll not (circle one) need to comply with said state odes and the requirements for a permit far construction or modification from the Air uzlrty Management District. Residential construction applications are exempt from these provisions. Date: Applicant I hereby Certify that I have read Ihis application arM Stale that the above information is Correct. l agree to comply with all city add County ordinances and state laws relating to builtling construction and hereby aumor'm representatives of this city to enter upon the above mentioned property tot inspection purposes. Dattee. Az 16—' y Signature: nifver's License or Social Security 1641.46 Winne—Budding: Green—Cade Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: 8 0104111 PERMIT NO: B 070411 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION DEMOLISH A SFD AND GARAGE SQ FT: 2,200 CLAIM VALUE: 2,200.00 CALC—VALUE: 2,200,00 GROUP OCC: R-3 /M-1 COMMENTS: RE:PC 222.6 S 2227-94A **dEM iE*9EBEBE**9E iE 3k 3E3E 9E**xif RL*RE9E 3E9E**BE 3E Bk*9E**a(-�L'3E****BEBE*ik iEiE �(*9E9E9E 3E 9E9EBE*3E**9E9('*�BEBt iE iF 3E iE BES**�** 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: 42531106 ZNE: REF NO: PLANNING NOTES> > •%1E 3E 1F iE iE jE 9E iE if iE iE if iE iE iE iE BE 3E iE iE iE jf jE 3E'IE �lf 1F if iE iE iE iF iE iE iE iE iE 1E iE 1E iE iE iE 3f jE 7f 1E if iE iE if iE iE if lf if 7E iE X iE iE if iE iE iE if if if iE if iE 3f iE'7E i4K• jf iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: ` ` ' DATE: if iE jE 9f if iE 3f if iEif**�E if**iE iF**** ****iFi 4 54***7F iFTE 'IFiFif'iEiFjFiF iFiE �E*#jE iE*3f 9E iE 3EF 7FiF?F'iFi�3F ',E TEiE##iEifiEiEiEiEiEdEiEiE#*iFKK*iE*iEiE*1EiEiEiE*iEiEiE*iEiE*iEBE;E1EiE ifiFiEiF*dEiF'kdEiFdEiE*iExiEiE*1EiE*'>EifiEiEdEiEiEdE)F*dE*BE# LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 54.00 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 54.50 0.00 0.00 54,50 54,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 ,50 if iE �!f dE if if if if iE if if iE dE di• iE if iF if * iE if iE # iEif if 9E * aE if * iE if if iE'%* iE if IE if if iE if * * if 1E iE dE � dE � if if * � 1f * if * of IE if'>F BE if'>F � if �E iE aE'>E � BE jF 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 SFR 2200 DEMOLISH BY VALUE RESIDENT, NOZONE 1,00 2,200.00 END OF FEES EXPIRED✓'' DATEIo 10 �CJ 03 00173572-00173572 t'ro't' Sy,=,p DATE= 12/19/94 TIME= 16:2$ LONSTRUCTION AND PLANNING APPROVALS -Permit i- Date Inspector PC" & SPA- APPROVALS rer-7# mit Date ' Inspector 1: Temporary Electrical Service or'Pole 52. Pool & Equipment Location 2. Soil,Pipe-Undrgrnd. 53. Steel Reinforcement -3. Eli?ctrical Cond Uit'Utility-Undrgrnd. 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. Backwash Lines, P.Trap, rJ Undrgrnd. 10'. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing -- 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING i 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTE2,iS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Permit # ' 20_ Rough i actoty FireplaceAPPROVALS 21. Ducts, in Structure 70. Underground Hydro 22. Dulls, Ventilating 71, Product Piping O Gas Q Oil 23. Gas Pqi'"Qugh & Test - 72. Underground Flush -- - 24. Roof Framing .73.; Undergrnd. Storage Tank ❑Gas DOiI 25. Roof Sheathing'- -- - 74: Overhead Hydro r 26. -T -Bar Ceiling (Structural) &'Moribcoat 75. Dry Chemical 27'*Frame and Flashing _ _. �. 76. Dry Standpipe 28. Lathing & Siding "' 77. FIXED SYSTEM FINAL .. ; 29. Insulation - -. 78. FIRE PREV. FINAL f'_t I 30. Drywall Nailing I .NEALTH•DEPT.REQUIREMENT 3L Plaster grown Coat 79. FINAL INSPECTION 32. "Electrical Power Meter -Final ' W 80:• FOOD CERTIFICATE ISSUED •, 33. Final Electric Notes: - 34. Final Heating & Air Conditioning / - - 35._ -Final Gas Pipe -Test • , •36. Hood or.Canopy '37. Final Faitory Fireplace_ 38. Final Plumbing 39. Water Service -Final r40. Gas Service -Final _ 41. Solar Domestic -Final' 42. Backflow Prevente{t J 43. Backflow Irrigation .� 44. Landscape Irrigation System 0- - - - 45. Sound Attenuation -• 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING « 48. FINAL PLANNING A - -49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Costa Mesa Building Department JWLICATION FOR PERMIT 111 EAST 20th STREET. UU gU LL.D.I N_G _ COSTA MESA, CALIFORNIA - --.- _ Dorm 204 G: IM 12-53 FOR OFFICE USE ONLY OR APPLICANT TO FILL IN Receipt o. ermit-No. , [ C� / E�eceiv Mesa California ;by, Date Recd.Dat Issue iCosta --yy�� ,- z /I s3 l�C /.2-/7 � _ / !% FEngineer �/t. AddresBuildins�// - , �!// �' Costa Mesa, California. ? /% C%S , NearestTCross St. r, �✓J, /9 No.l� /� V%A% Zone No.oT Type I• Groupc�or Lic. Plansr No. Approved by Date I Address i CORRECTIONS City Lic. Contractor ; ,.e rP- No. . Address ,j % q LtjJ S li. I'l-k Legal ' Lot ��./'. Description I No. /6 Block pctg i I -I - (Attach Metes and Bounds) ' y q // p No. of Bldgs. r I - Size ofLot rJLi�/6G Now on Lot ` - - -- ---- - O Use of No.of No.of1n:_2 Sr Existing Bldg I I S Families Rooms Setback Line from I. , Rear Yard /b " " - " - - - - - Z ` Center of Street `.1 :(. Side Yard 3 DESCRIPTION OF WORK i New I Alteration I Addition bow I I f. M -7-1 J Repair Moving Demolish Building / No. of /,-'. �' Rooms Stories _Size Exterior Wall Roof Covering Covering c`1frl^VZf�r I BuildfnNew IF'�i� g �/1" Foundation Location Inspector Date Forms, Materials, Under -Pinning Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. int. and state that the above is correct and agree to comply Lath. Ext. ' with all City Ordinances and State Laws regulating building construction. Signaturepo`\f� —(-/7 Plaster, Int. Permittee T�G> V / v 6 Plaster, Ext. Authorized Agt. Masonry Reinforced Valuation Permit Fee $ SZ o� Bond Plan Check $ / ©� Beam $©� Total 2 Fee. $ y D O FINAL Dorm 204 G: IM 12-53 ' 69 0 J Iv - a 0 ` J y 0 f� _ Street 4, PLOT PLAi#�I Show location and 'distances from property line and between building& i n OWNER Joseph Bailey DATE 12/18/53 JOBADDRESs 374 E.15 th.Street BUILDING PERMIT NO. 33 GENERAL CONTRACTOR Owner 16 300.00 f/ floc ri OAU GROUP J TYPE V ZONE R4 FHt&a+S*R}eT C,%�P—IVO ;e7-- INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade o Garage 1Rough Framing 'L(/ / Plumbing, Rough to a Plumbing, Rough Complete _ Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer Septic Tank or Cesspool Lathing Plastering _ P,,,Lmbing, Final, Fixtures nplete Plumiribing, Final 9-4 st _ _ Wng, Fi nates Occupancy Form 210 G -H IM 12-62 4(,a? 1 i COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA. CALIFORNIA 92626 OSE6 5/15/7E 5� PL. APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVEDBV DATE RECEIVED DATE ISSUED ADDRESS 3 7 r `�, OWNER rC ILD �. C—fiCCt7 ��. A.P, NO. PERMIT NO. MAIL CC ee,�,,t E/j BUILDING ADDRESS ADDRESS -s,+m I /] dAz CITY S -M /{ ESE NOL T COT BLOCK CONSTRUCTION DFMOLISH LENDER BRANCH OWNER ADDRESS VALUE $ ARCHITECT TEL. OR ENGINEER FIRE ADDRESS ZONE TYPE GRO P APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZON NO.OFUSE OF NE CITY NO. PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED UC. NO. UC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDGS. (FROM C/L STREET) C FT, OF LOT NOW ON LOT FT USE OF EXISTING BLDG. q(1 + Separate permits are required for S FT. FT. electric, plumbing and heating work. _� REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCESS BLDGS. VA. 06 DATECURP.gk j APPROVED I _ APPRO I hereby acknowledge that I have read this application and note 0 n that the above Information is correct and agree to comply with m all laws regulating building construction, and 1 shall not employ any person In violation of the workman's compensation laws of _ 0 = the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. a THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, m Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n am exempt from trio provisions of the State of California Business v and Professions Coda, Division 3, Ch ter S. VALUATION PERMIT FEE 6 ,i '4 PLAN CHECK i "r Signature ofIL Permittee / t �v S L• TAX $ V f U Authorized Agent TOTAL PAID 6 5e� PL. 13' 42348 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 JUL23-76cgsh.002714* ****48.50 n ^ v J to PP IC TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only R E E r DA E REC I DATE S�{E i( J BUILDING 67 Y_ - ADDRESS.? PERMIT NO. IT OWNER (,( A.P. NO. (/��" lY 1 MAIL __7 f� - , f"' ADDRESS / G �1 .rte ADDRESS �BUILDING � 1'i • I �\ DDR ES-�. 11��.. CITYSTAn%se� NEO 'QTR ACT LOT (p BLOCK CONSTRUCTION W AD ALTER REPAIR LENDER D BRANCH ^ ((�f�� OWNER / kw ADDRESS VALUE *ZbDA S r vVsn E ARCHITECT TEL. OR ENGINEER 0 46 NO, FIRE ADDRESS ZONE VPE GROUP n,T, CONTRACTOR Res 6L. G APPROVED BV DATE 7 ',G6 R ADDESS 32 Gish e 44 ' TEL CITY NO ZONE NO. OF PLANS USE OF NEW BUILDING STATECITY LIC. NO. LIC. NO.e�G./' YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING /_Q SIZEOF LOT / fL/r/ NN OW OLO S 2 6 X (FROM C/L STREET) RONT FT. USE OF EXISTING BLDG. l R. SIDE FT. O FT Separate permits are required for L. SID FT. electric, plumbing and heating work./ ,,If �1 REAR (}' FT. FT. USE OF BU ING AND RKTO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN SLOGS. ACCESS. BLOCS. VAR.+ DATE C.U.P. qW APPROVED ED/ IIIGL YYY///sss ass DATE I hereby acknowledge that I have read this application and staterrs///WWW that the above information Is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workmen's compensation laws of [�4m the State of California. I hereby certify that I am properly licensed as a contractor under SO. FT. AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, t such licenses ere In full force and affect, or IPURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am aKa t from t e provisions of th State of California Business and Pr assions C e, Division 3, for 9. 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