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HomeMy WebLinkAbout372 15TH ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 372 E 15TH ST Suite No Vicinity: Parcel Nunmber: 42531179 PLUMBING PERMIT Status: ISSUED Applied: 11/08/2001 Issued: 11/08/2001 ISSUED BY: Applicant: GLOVER, LORI - FEE SUMMARY Address: 2737 S CRODDY STE D , AMT - Phone: (714) 241-1414 •. CITY SANTA ANA, CA - . Zip: 92704 Owner: ' MOSELEY, TRACY D Laundry Tub / Washer $0.00 Address '372 E 15TH STI 50.00 - - $0.00 ' Phone: $0.00 0 COSTA MESA, CA Zip:- 92627 - Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING Address: 2737 S CROODY STE b Trap Primer - Bathtub . Phone: (714) 241-1414 $0.00 . SANTA ANA, CA Zip: 92704 Clarifier System $0.00 License: 529127 Arch / Eng Address: Phone: Zip:, License: - SCOPE OF PERMIT WATER HEATER CHANGE -OUT IN AN EXISTING SFD. ' COMMENTS / SPECIAL CONDITIONS QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not 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) 7545626 244648 (6=) FEE SUMMARY AMT QTY AMT CITY AMT ISSUE FEE ` $23.50 - Laundry Tub / Washer $0.00 0 Sump Pump 50.00 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 Backflow Preventer $0.00 0 P -Trap $0.00 0 Trap Primer $0.00 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal. $0.00 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00 0 , Vacuum Brkr Bkflow(14) S0.00 Connect (Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 Dental Units $0.00 0 Septic Tank $0.00 0 'Wash Basin 50.00 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 Drain, Rainwater $0.00' 0 Sewer Private Line $0.00 0 Water Closet (Toilet) So.00 Drain, Roof $0.00 0. Shower . $0.00 0 Water Heater / vent $12.30 Drinking Fountain $0.00 0 - Sink, bar $0.00 0. Water Piping (Inst or Rep.) $0.00 Expansion Tank $0.00 0 Sink, commercial $0.00 0 - Water Re -pipe $0.00 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 Gas (14 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener S0.00 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 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS / SPECIAL CONDITIONS QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not 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) 7545626 244648 (6=) 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 Insurarwa, as required by section 3700 of the Labor Cade, for the performance of the work for which this permit is Issued. My work rs' componsatio nsurence carver and polcy number are: �� / rn Cartier. 1 z�j[—J�/ Policy Number: Z C;k i)-01 (This section neadInot be completed /l Ne permit is valued et one hundred dollars ($100) Or less.) ❑ I certify that in the performance o1 the work fa which this permit Is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should became subject to the workers' compensation provisions o1 Section 3700 of the Labor Code, I shall forthwith comply with these provlslo Applicant Signature: Data: / f •(� —(.� WARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: r I hereby affirm that I am licensed under provisions of Chapter B (commenting with Section 7000) of Division 3 01 the Buslnesq$n�(ofassions Code, and my license Is in full force and effect. Llc. N `—i a-9/J'7 Class If `, p Contractor's Signature: Date: I--.3 =nl CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work fa which this penult is Issued. (Sec. 3097, Civil Cade). Lender's Name: Lender's Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Is Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provWons of the Contractors License Law (Chapter 9 (commenting with Section 7000) of Division 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 per+' subjects the applicant to a civil penalty of not more than Me hundred dollars (5500).): ❑ 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.). ❑ 1, 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 contrector(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 drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I 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 thereat, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 6, 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 certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ NO (Section 25505 of the Calitomia Health and Safety Cale 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, or200 cubic feet of c. ....................... ....................... . ....................... . ....................... __....................... .._............................. ........................... ............................................................................. .......... _... __........... ._............. _ 2 Does or will the applicant or present or future building Occupant need to file a registration forth 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). .......................................................................................................................... _................................. ....................................... ......................... ............................. "........................................................ _....................................... _................ _...... 3 Does or will the appplicant or present or future building Occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ hlo (Section 25534 of the Calitomia 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 If en RMPP is presently required, has Section 25534 of the Calitomia Health and Safety Cale been fully complied with? ❑ Yes ❑ No .......... ............... ............................................. ........................ .... ....................... _................ __................. _............ 5 Does or will re applicant or present or future building occupant require for the work which Is the subject of this a plication epermil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the Calitomia Goverment Code requires that the requested Information be furnished on applications for non-residential building permits). .......... ........................................................................................................................... _........................... .... .............................................. ............................. ....................................... ...................... 6 WIII an.........................._................_..............._............ y pan of the fadlity to be constructed under this nil be within 10001eei from the outer boundaries of a achcol7 ❑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 been made? ❑ Yes ❑ NO ...................................................................... .___....................................__....._.............__._......................................................................................... ............................................... .._...................... _............... __................. _ e (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 AUTHORIZAT10N OF ENTRY: I cortity 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 property for inspection purposes. I agree not to Occupy or allow occupancy of any building authorized by this permit until final Inspection. re,Of Legal Owner(s) Data r Authorized Applicant Date CODE d, INSPECTION TYPE gA¢, IKtMAL$ CODEf INSPECTION TYPE 2619 INMLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing_ �1]I- 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final BulldlnWOccupancy P ,pDRESj+taLDIHG T ''' - E 15TH ST J NAME IF 10�0OWINh RIC ARD GALLUP "0 ADOREss 374 E 15TH ST COSTA MESA, CA 92626 250-0607 APPL. MAIIp40 AODpE55: UNR: ARCNRECT OR ENGINEER: WILLIAM HEZMALHALCH ARCH ua.NO.: C Mich. OR ENG's ADOREss: 17875 VOA] FARMAN AV UNIT: 404 IRVINE CA 92714 CONTRACTORS NAME: CONTRACTORS MNIp1G ADDRESS: ILC NO.: UNIT: LICENSED CONTRACTORS DECLARATION: I hereby abhor under penalty of perjury OW I . licensed tanker graviton of Chapter S (oommenenD with Section 7000) of Orvision 3 of the Ruth. end Profesione Cade. runt mY homes a in full force erld eked. CITY UC. NO.: LIC. CLASS: MC. NO.: Exp: Dela: Colmegor: OWNER BUILDER DECLARATION: I heroby afrum under penalty of persry, that I ern exempt from the Comregan License law for the Idlewkg reason (Sodion 7031.5 Bmawas anal Proshoem a Cade: Any cry or oounly which hatuirm a Parma 10 cmaaun. abar, knm0w, demolish, or repair any structure, prior 10 as esumos. 00 reauires the applicant for such pmtmil to file a ggnM statemenl that he or she a licenaed pursuant to the Provisions of the Contractors license law [Chapter S (mmmstdtp wan Swam )000) of Dwison 3 of IM Bushes ant Prdese've Cordal or that M or she w exempt thereat runt the base for die aflaped memption. Arty vidssion d Sesun 7031.5 by any applicant for a senora subjects Lha appliMl 10 a Md penally of not nape than roe MMnd dollen [$.5000. ❑ I, m ..at d the p.,dyor my emPloyeas with wages m their Wale compression, will M the work. ant the much re is 1M int.MW or Mend for sale (Section 7044, Rim. and Prolmaione Cads: The Coetralme License law alms rot apply l0m ownard pt0Psr0' who mils or knprovea thenen. ant who does such work himeeb or herse5 or through his or her own s r lola hs, prwkW that such impo4amess are not imeMed or o ferl for sale. b. looses. IM WiMfrq Or knpowmem is add within one Year of complalnn, the y owner-0uialer vAa have the burden or povirq M or she dM notbualcl or improve foyfes Impose of ale). ❑ 1, as owner d the popery, am axdam ely mntresinG wit.6.) sedtract. t ruol Me Prgeq (Sequn ION, Rualresa and Prof. Code: The Contndon license Lew does owner who Watts or Imp.res thereon W who cemrer3a for oxh pfa/'ega wah a mreredaRsl I'oemM Coad L-- Lawl. ❑ I sm mast der 6cYm: B. A P.on: .: � by canity at I am aware dant untastval the reaYornia IIadN end Safety Cade Ssgiom 25905. 25533, and8554. ant that I or alar Mure bamich, ocupsnt wall I Wil toted to wmPy with said orale oMes runt IM reauimmeos tor a emtit for conshudionpnwdilWirn hon the Air e y ana9amem Dissdq. ReeideMielommndian eppimtiamen exemllranthw provisions. Del.: ADdsare: WORKER'S COMPENSATION DECLARATION: I Way aR11m under penalty of perjury pre of the lollowitp dedaraliom: ❑ I hew eM W merman a oendkme tl messes 10 edf+nwrn for waken' cerrpmaation. m pavntM Tor by Setim 3700 d tM labor CMa, Tor tha pMormarea d tlia wank Tor Minh dale panda u blued. ❑ I naw ant which this ammpemetima' ornpen ar rpuired by carne 370o d the Labe Cade, M tM pedpmence d tM wok for whkh this oem+a a seed. MY woken' aomoenaalion insurarwe carrier eM pdiry numMr ere: Canim Poky Number: (This emcim reW nor iw carnplssed a she pevmt is for on. hundred ddlm (51001 or sees.) ❑ I mniy that in We W.. of the went M which this pmnb is issued, I Mall not employ aro person in arty means w as to became mbjed to the works' cormeresslon Laws of Caborde, end apes Nel If I Mount become Wastes to IM workers' oormpramam pweio a of Section 370o of IM LAbor CMs. I shall fosthwan mnpy ash those powema. Data: Applicant Waminp: F". so sxrx. marari cernpsw0an cors+pa Is unlnrNl, and draft shiest an arrplayr to cdmsltl psseld. arrd daft Rn.s w tP ons hindrad fhoassd atdbn MIOR0004 M addltlon m pe cost of ronpruaflort darllepaa as pnylda f for In Same. 3705 al On Lebon CadA Innna4 mat manons Ya lam. CONSTRUCTION LENDING AGENCY: I hereby affirm uoler penalty of perjury that Ihse is a cormructbn lendirq agency for the pedormepa of the oak for whits the p ors is mead (Section 3097. Cy. C). LENDER'S NAME LENDER'S ADDRESS: date that mm above hearmssion a conal. I aprse lo amply with ah cry end ceurdy coarseness an end her" anderbe representatives of this city 10 most upon [he Mop" PWL;(d- Awa f2Q 5n7Jj� G�� --� O Data: ✓ / 1 9nature env t/Conmesor (5151-4A.WP) W1Ne-auddn0 S Saby: G mr - : Carery-AppEmm: Pink -Rename: Gdden o Aawasso CITY OF COSTA MESA — BUILDING PERMIT PEP,M NO: B 072081 PERMIT NO: B 072081 PLAN CHECK NO: 02225-94 A GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION : 789SF IST FL, 1134SF 2ND FL, 70SF DECK SQ FT: 2,393 CLAIM VALUE: 150,000,00 CALC—VALUE: 150,778.00 GROUP OCC: R-3 /M-1 COMMENTS: ALSO 400SF GARAGE fi iFfi*fief air ac*iEihY fi4EfiiF iF ii aiVMaf ivaifiia aF aFfifiaF ac 4E 4t 44 df fc 4F iEacfifiiF aF alt iFfi fi4f iF of icfi*1c Yif lF iF lair acfiac al. aE 4f acsawfiiP*4E iF?Ffiip iE Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: 26 FT IN REAR: 22 FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT; 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQQ• 9 PROW 9 PARCEL: 42531106 ZNE: R2 REF NO; DR -93-07 PLANNING NOTES> 1 DU OF 3 DU PROJ. DU ATT TO 1 DU ON LT SIDE. PKING ABOVE IS > PROJECT TOTAL, VESTING MAP. PARK FEE DEFERRAL AGREE,-P'F,E, iE ac ii of 4F ii jf*af fE*fifiaf ih is aFfiif iF 4i 3P 4E ii ii 4i atfiair ap 4EfiiF 4p ac 4E aF*M4fi4u?F ac if*4f iEfi ia4fiiF ac at is aF is of aEfi w4E aF 4M iF au 4.4c 4F ac du dEfiic is aF*ic D E V E- L 0 P.M E N T S E R V JJ I C E S R E Q U I R E M E N ,T S p ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED'BY'; DATE: - v I is aFfiiffiaf aF of 4FfifiiF iE ac 4t jc aR ii at iifi4p fiaFfi 4ic'lc is is is 4E ap of 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 818.00 15.08 PLAN 132.93 SMIP/NON—RES --- ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 833.08 0.00 132.93 966,01 966.01 .00 REVENUE DIVISION TOTALS--> COLLECTED; 833.08 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 818.00 15.08 ih itfi iffifiii iffiaE4 fiii iwYfi{G 4c 4tr4a44-iEfififififiiE 44 iE difiif if 4f♦Ffi*4a)i MaE int is iifiif 4i4 fiit-4 iF 4af M4iMfi4L*M4FYaF afY if lifiii is ip aR iF*iF 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 O N UNIT COST TOTAL COST SFR 1923 DWE—TYPE V—WOOD FRAME —GOOD 74.00 142,302.00 SFR 70 RES—BALCONY, EXTERIOR STAIRWAY 14.80 1,036.00 SFR 400 RES—GARAGES TYPE V, 18,60 7,440,00 -END OF FEES e it )b'K0pl'4-v518089; TELT .-- C. DATE: 0;1il1"+` 7;1,;- Iv ,CONSTRUCTION AND PLANNING �APPNOVALS Permit # Date .. Inspector. - POC 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 i-- 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 12 POO_ 58. Electrical Conduit-Undrgrnd. 8. Foundation /� ��'� % w "59. Gas Pipe, 0 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 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 000 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank D Gas D Oil 25. Roof Sheathing L c7� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing /� �7 Xr� 76. Dry Standpipe 28. Lathing & Siding % Gw 77. FIXED SYSTEM FINAL 29. Insulation_Wlf f r 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: 5• (`Y� - co `", 5_ m 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 s` - 48. FINAL PLANNING 7 ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date MLUNG: 372 E 15TH ST UNT: ERS 'talllOITN: RICHARD GALLUP• , y.AOLss 374 E 15TH' ST" COSTA MESA, �A_ '32626 250-0607 APDL. WALING ADDRESS: ARCNIfECTONDROfEEII: WILLIAM HEZMALHALCH ARCH LIC NO, C ARmonemm's ADORES$: 17875 VON KARMAN AV UNIT. 404 IRVINE CA 92714 CON11t=TORS RAID': CONTRACTORS W41IN0 ADDRESS M ND_ UNIT. LICENSED DONTRACTGRS DECLARATION: I Mrdy aSrm order pereAy of perpay Net I am fcemd ceder Prw>awhs of Cheger 0 (oanmrierq vOh Semon )000) of O ion 3 of Oe INekw and PMasaww Coed, and my Donor e at Iu0 bice mrd elled. CTI LIc. No.: M. CLASS: UC. NO.: EXP: Dae: coraador. OWNER BUILDER DECLARATION: I hereby tdl ludo pwady, of Perjury that I am evmnpt 1. that C i,moton License law for Ne foli w reason (Si =11.5 Buaiea aN Wafeuav Code: Airy city w comity, loch mwam a pwm, to oonaua, affar.'anprow, demd'ah, or repel any alrWum, pdd b at eauence. abo Oquims ted applicant for a lh pwme to fib a spited etaamea Um M or sed at boutead punuenl to IM prwisbro of Ne Codredws Liowne law (chapter a (oommwdrq auh &action 7000) of D imm 3 of IM Bum. and Pramawe Code] or the M or ape u azemp thaehwn anal IM bean Ica Nm a6aped mamplion. My vitiation of Seabn " 7W IS by any ep~ Ica a ppm, subpda the apho a 10 a dv, penalty d not mare then Ma MrWad dai (S500D. ❑ I. m owner of IM proper or p emplayeaa amh wepea as lMh soM mmpaaalim, wT do Ne work, and Oa aaxii I. ml warded w offered for sold ($wilder 704,1• Buaicem awl Pramsiwn M C Code: Taa aldols Liomsa law doas era apply to a born«of properly wed buide or irrt ea Thereon and ohm dome sucA work Nmad w hOaN w daouph tm or her own era,"em, pmwAW tlla ouch intpry mean ale nal intended or offered Ica ante. ff• however. IM buddin, or inprwernwm it add within we year a mmpldian, ted V o .WjMw will have IM buden of prwiW M or end did not bold or improve for the purpose of sae). ❑ I. u owner d IM PropeaY, em aolmwly mrdredap w,h conoedwe Ne projerf (Sadion 7014, Bmkhra and Noleevom Code: The Cwarermd Clashes Law does itch ben owner aiho builds w'vnplvym thereon and who conhacte for auoh Pmjsda waft a mmndd(s) ficwaed to ted cont Lic. Law). Q I am ma" udder Seclyn: B. 8 P.C., 1ka roafan: I do Mreby oAgy Nn I am awus of and wWSWd Ne 35501, end Na 10, aw Mae bdldhny "o."m wN / wi a perms Ica cerdtulian w modifmm horn IM AiSueG proaiawe. Sadbm YS506, 85500, ad b"ted nauire nam for aioman aamq teem 0nma Dere: Applicant, WORKER'S COMPENSATION DECLARATION: I hrsby aRbn order penalty of pwjry one of Ne bffowbq daderabro: ❑ IMwand xis medmheanairaMamwera to aeffrmuaw oaken'mrpwuetion.mfuovlded ler by 9aaion D7W tide Labor Cob, Ica IM pedomerca a Na wed Ica o9vlh Ne rhenhh, a hued. ❑ I haw and wu mawe:h wcnbd'mmterwabn imtrarhce, a reauked by Bodian 5700 d Ne lander Coed. w IM pdwnnenae d ted work Ica which da perm, a bead. My waken' mnhpenaabn hmaahce cavi« and pOky ramhbar ew: caner: Pap Number. (Thd aaabn red nO be co wiaM I pe Puma u b err hunAM du9aa ISM) or bit.) ❑ I oen/y oua in Ow pdomance d IM awk w ahirA Ilya perm, o eared, I WI era enplol arty peram h airy marcor a0 m to bacarre ealred to IM wander' tarlpereaion Wrs d Cefdaaa, end opera tlW C I ehadd baadne adt;eu to IM aorken' mmlaamtbn proaebas a Swion GT00 a due Labor COM, 1 Nhap IarNwiN 0wnpy waft Nam pmaeions. Dant: ApgioW: W.mhD: FORUM b acuw apolir., mnpmnmtlon caverapa Int wbrhtl, and aha/ aub*f an ampipm to c",ad Per01N and ON# Ona up b cera hunted thouaerd dm aYISIOOOW} h .codon b per coal of [omowuatbd danrrmpam as provhld dor In S.d. 3706 of pe L 'Cob, IntereaL and artnmrya Inas. CONSTRUCTION LENDING AGENCY: I hereby Alma under pandy of perjury the there is a coi,cuudion lerdirq speney for ted podormawe of IM work w whidh IM pwml a bud (Se liDa 5 . Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I cMity Lha I haw and the application and dale Ina Ne aboe bdorrnabn is corrad.I apse to campy vdth a ay and oouayadbenceo and etas Mora ManplO uildkp ParWadipn and hereby auti Mwtsenlaliam of the city to Paler upon led above-mentbned Properly for tion Pad Nems J Daa:� ` J read (515148 WP) Md B.ildkq A Sday: Gm Fnls: Ganay"APPicOA: Pink -Revenue: Goldenmb-Aaamamr CITY OF COSTA MESA — BUILDING PERMIT �'PERM NO: P 0720841 PERMIT NO: P 072084 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION 789SF 19T FL, 1134SF 2ND FL, 70SF DECK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: REF; B-72081 iRi•####iiY"if#######w###iF iFr#if iF if#iF##iI######iFiiF#Yif#iFY#####*#iii:######i4#iF#Yi4 iF in#if####if#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: 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 MOTES> > D E V E L O P M E N T S E R V I C E S<i: ii,i E Q U I R E M E N T S I v E ZONING APPROVED BY ;1 "L DATE: BUILDING APPROVED BY : 'l% 01 01805MATE"0903 TOT 152.00 ,r� uAlt: 05/01/95 1trrl lr" u:p APPLICATION ISSUED BY: �'///� .:'1 _ DATE: �— LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 132.00 25% PLAN ISSUE FEE 20.00 I ssiF iF iF iF iE##iF#iF#iiLY#if }i€TF iF�1R iF _ STRUCTURAL SEGMENT:N FIAE1 SMIP/AES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID. DUE TOTALS ---- > 132,00 20.00 0.00 152.00 152,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: n 152.00' bVER./SHOR.T: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT ,GRADING PLAN—CHECK 152,00 i ####♦F#*#######Y###########iF##sF#if#*if####iF#it####i4###iF ih#an.Y�lF if##iE if#i1#aFY #iF iR at#iF###### I N D I V I D U A L F E E B R E A KT D70 W N r TYPE QTY D E S C R I P T I O N UNIT COST TOTAL -COST PLU 2 BATHTUB sr 7,00 14;00 PLU 1 DISHWASHER _ 7,00 7,00 PLU 1 LAUNDRY TUB OR WASHER .7.00 7.00 PLU 1 SHOWER e.7.00 7,00 PLU 1 SINK, KITCHEN 7.00, 7.00 PLU 1 WASH BASIN r7,00 7.00 FLU 2 WASH BASIN (SET) y"77.00' 14,00 PLU 3 WATER. CLOSET (TOILET) -77,00 21,00 PLU 1 WATER HEATER AND/OR. VENT 7,00 7.00 PLU 1 WATER SERVICE 1 7,00 7,00 PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5,00 5.00 %' CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector PC & SPA APPROVALS Permit # Date_ Jnspgrtor -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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd.> 8. %Foundation -59. Gas Pipe, El Undrgrnd., Test 9.'Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd. .0. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &House Connection. ) S L� 62. Backwash & Receptor -Final I i'. Sewer Cap 63. Heater & Vent -Final 13, Roof Drains 64. Plumbing System - Final 144. Rough Plumbing S 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 CGas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank CGas 00il 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: �-/�',C�S� (Z 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplacezx 'Z �.�•(- 1J 38. Final Plumbing f2456 -7 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 2 -s-��f-v�'Cc►� s t=n✓ecce _ - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation -- 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �, Q -"L )L , 48. FINAL PLANNING fj M,r- l (/'M 3rV� - SM'fl 49. Electric Release to Edison -T f / ` ..v Mfg I r�U 50. Gas Release to Southern California Gas Co 4 -Z4 -5,l 5,l51. 51. CERTIFICATE OF OCCUPANCY No Date t Wit. I&CUNO ADDRESS: ARCHITECT OR ENGINEER: ARCH. OR ENG.'S ADDRESS: CONINACTDWS NAYS: CODRACTDRS MARDlO ADDRESS: LIC. ND: uw-. UNIT: UNIT: LICENSED CONTRACTORS DECLARATION: I Mosby elfin abler penalty of penury Nat I am fcerned dWe W.W. of Chapter 9 (oommencing Mh Sedvr, ]000) of Division 3 d the Bueinm rW Pnleeiona Coale. anal my license b N M lane anal eRenl. CT' LIC. NO.: UC. CLASS: LIC. NO.: Dae: Canada OWNER BUILDER DECLARATION: I hereby atom ,uder pwulty of perjury that I am examd I. IM Comma. U.. Lew la one tolownt reason (Sedion 70315 Bvaien anal Pnleedms COAs: MyW a oduey which n twos a pact to mrwaud, ads, inpom. is Owns , a repair eery theatre, prior b th srwo,ors mauve ins (Charlet 9 (commending Comm vain a siOnaA aatemem tW M a alhe b licened Comers tons oriel or th t to Caeragae Licensee law (Chaptr a (mfw the dotted with asopli 7000) y DNbkm 3 e Or Butlnae asm Pnleaabre Code) a tot je a he u exempt a C Wmn W of bane s t tl n Iss uemptkr. Any DI)l on d Semon 7031.5 by any BpptlGnl to a Comb eubpta IM epptinaro to a dart penally d nal man then INa huMred dolfan RSDDII� 0 1. ms .1 of the1.1ry or Memploy. Mh watis at their so. nompensaMn, WI Ao the ok, end the atrucnro is not intardeA a odemleaads (Section7044, ethane and Pmless'vu Cods: The Commaon Li mere Lew Roes not apply to an ownar of properly wW bolds or inpows lhareon, and Wes don ouch wait himself or Mreel or tMagh M a Mr own employees, povided that adin imprawrnrn era not bteWed or dhaed la see. N. howww, the Wilding or inpowmam is sold whhin one year of completion, the ownerauadar sill hays the Nation d pmvirg M or she dal rel field or imprae for IM aoposs d sale). I, as owner d the properly. am extluivdy mtndig with icemeal oonuMo a 10 mmn, the poids (Sadion 70ea, Buabra rd Pmlemons Cods: TIm DomMan Lioeus Lew doss not appty to an owner of popery elm Wilda or inpravea thrum aha who conPacb ler a c h pr.,W. wN a cmmotona) liom aed pomace to the Coroaactaa Lt.. Lew). ❑ I em exemptuMer Sean S. A P.C., for this reson Owlror. I Ao horsey ceniy that I an awre of arW undentarW 144 neuirmann of Cellomta Health wW Safely Code Sedbm 25505. 25534, and p553e, arta Net I a"Mia Wildbg a.Wpa ! will / wR not (dmb me) nspd to comply with oak are lodes and the mesh m cis tar e pemW lsrconatudionamodirrationhamlMAi�ii yai Airepemenl Doord. Residential oammdvn appfrmiarosro eaamp tmm these pvebiene. Dae: Applicant; WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalfy of pajury ona of the IoMwirg drdentiona: have end wilt mdi rmin c of the sl omens to his p aura 1. when' companWbn, m prwlded la by Satbn 4700 d iM Letor Code, la the peAomenca d the wok for wNch this pact b ieuM. Thew aha wil mainly wM1 heated. Ives, commeeshnI. by Sadiron 3 and tithe Leer Code, bertha peAammhcadtM wok la wfiNN Nb permit b bsuM. All' waken' compmsatlon inauranae center arW pdiry rumba are: Cane: Pricy Number: (This section need not M c Pleled f the Peng is M me hunded ddlam ISM] or And) I catty that in the pedormmce d tM wok ler which this Prmu Is issued. 1 Nell not employ am, Person in any manna w e to become subject !o IM when' compensation ewe d Cald nna, and stns Nal L I shodA Neocene eubjW to the worMn' comPre um p r i tidm d Sedan WOO of the Lees Code, I Na faNwilh eompy with these sovimns. Dae: Applicant: Waning: FeNun he ascan worteri compreadon eovsy" Is unlawful. and stall "/set ate employe to cllnllnal ps a !. aha civil fleas W W one hmdvM lMueehd "Arm (SIOQOD0A M eddllbn M the rest of conpeuak a den ropes u proyeed ler In Side. 3106 of Me Labor Core, Inteml, and edomaY s f. CONSTRUCTION LENDING AGENCY: I thereby atm untie penalty d perjury the then is a aonatmtlbn IenGnp agency for the pedrmence of the wait for whish this permit is based (Sedlon 3087. Cb. C). LENDER'S NAME: LENDER'S ADDRESS: 1 owNy that I hew had this application and sae that Ne stow wormaion is ooned.I epees to oomply with all city mW maty ord'meme, and ase laws ret em to butdig conruhrmon rd Mraby aut one repraeenrouw of thea dym sae upon IM abovamediemd prop" for Impaction purposes. Dere: Sgnatre d Orw/ApaWAppimm/Comra or V. (5151 a6.WP) While-Buildig A Belery: Giem -Flo: Cewy- ppidanl: FnkJlevenc; Oddennd-/uwka PERMIT NO: P 072084 PLAN CHECY, NO: 01532-95 N '1F iE 1E ih if jf'Y'If #' 8E #' M 8f 9h irk ak lF * * if ii 8E iE iF 9h * irk ah tf-< jf iE ♦E ih is {1 * * if'M'IF'IR it BF iE iE 1E * irk if'%1i of iF if {F Y iF 9F iv 9E iE iF iE of iF ii ak iF.K el it i! iE lF iE Y.f iF TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 GAS SERVICE PLU 1 BACKFLOW PREVENTER PLU 1 SEWER, CONNECTION TO BUILDING END OF FEES 7.00 7,00 EACH 15,00 ' DUP_I-ATE 61 6013090:;-nn1_CSQ3 DATE: 0.5/02;75 TIME: 7.00 7.00 15.00 RECEIPT TOT 152.00 12: OF ral Fr�i CONSTRUCTION AND PLANNING 1. - APPROVALS Permit # I. Temporary Electrical Service or Pale Date Inspector I ' ' POk . SPA APPROVALS Permit # 52 -Pool & Equipments Location Date Inspector 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4 rifiectrical 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, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10•. Structural Floor System 61. APPROVAL TO DECK 141. 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 0611 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 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 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 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 ADDRESS OF BUILDING: 372 E 15TH ST OWNERS NAME IF A106'N: GALLUP, RICHARD ADDRESS: SAME UNIT: APPL. "LORD ADDRESS: ARCHITECT OR BGNFER: UC. NO.: ARCH. OR ENG.'S ADDRESS: UNIT: CONTRACTORS NAME: SANTIAGO A/C INC. (714)998-1600 CONTRACTORSAIMUND 231 W. BLUtRIDGE AVE. ADDREM ORANGE CA mia: 269496 92665 UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under pandly Of Per' ry that em lammed under provisom d Chapter 9 (commencing with Section 7000) of Divebn 3 d the Bushmen and Professions C ,end yl Ioenm is d f II kroe and aX d. Cm uC I p 264 UC. CUISS: C-20 uc. 0.: 269 96 XP: / 5 Del.: — Corms OWNER BUILDER DECLARATION: I hereby affirm under Penalty d perjury had I errl exempt f rtlors Lt... Lew f« int following reason (Section 7031.5 Summer and Profen ons Cade: Any city « county which ape n to mmvuct, eller, inn'. dsmdkh. o raper any siruclue. prior to in issuance. a so rpuires the apptimM I. ouch H to fib a and slatamenl that her or ods Is Anarread pureuant to the «ornisiom d Me Contredom License Lew jChapwr 9 (comm with ion TODD) d Division 3 d the B.M. end Profession. Coder or that he or 0. is ernmq Iherelmm and the basis to the alleg exemption. Arty violation d Sad'nn 7031.5 by any applicant for a permit .ubpda the applicant to a civil Mr^ Of not more than We hundred dolMn (55001). ❑ I,esownsi dihe promMor my ampbyw with wages esiher sofa mmpeneatim, willds Ne work, end the stmdumknclintended «offered Icr mala (&action 70M, Besicees end Praknons Cade: iter Contradom Umma Lawdoes rhe appyto m bwnerd property who builds ar rnoroves thereon. and who dose such work hereof or hereeff «through his or her own empiwees, provided that such owner -builder will have the burden of praying M or she did not build or improv for the purpose Of .de). ❑ I, As owner of the propend, am exdusively contracting with Ikensed omireukre to construct IM project (Section 7044. Business and Profanions Code: The Contractors License Lew does not apply to.m owner of property who build. Or improves thereon end who comrade kr such propria wdh a mn0edons) liwmsed Pur uant to the Cantrmcrs Umme Lew). ❑ I em exempt under Section: B. A P.C., for Ihie r.eaon: ' Geta: Owner: I do hereby oenly that I am .were Of and ury s and the rmurements Of Callonk Heehh and Safety Code Sections 25505, 25533. And 25534, and thud I or my Mum Wilding cmnpatd will / will not (drok mel need to oomply, with mid state mdse end the mcluirtmenb for A pemtit forcomlructan or Gumd. Raddemet mmnul applications Am exempt from theme god9lons. Gets: Apgii WORKER'S COMPENSATION DECLARATION: I hereby aNIrrn under penally Of parlay ane of the blowing dsderelions: ❑ I Mw and will mailman a mrtir"e d consent to veff4 mum for waken' mmpamnbn, m provided f« by Section 3700 d tM Labor Cade, for the performance of the work for which this Iwrit is ksued. ❑ I Mw end will mein. wnk«a' d mneeton inwww, m �uirad by Section 3700 d the Labor Cade, kr tM ma mance ofthe wok for which this permil is issued. My worMn' mmpmeetion insurance cenkr and policy number aro: Caster: CAT. TFORNTA COMPEXPIRES Policy Number: 07/01/96 (.Th/m section need nor be cumplekd 0 the permL is lar one hurdmd Odle. ($1021 bes.) ❑ I redly that In the Wormerce d the work for which Ihie permH ism ksua MOI IM employ Damm in any enner n u to mor m. subject la the w«keri compemelim laws d Cdikmi en gree Uw d I elwu me I int bus' co tion p aylabm of Section 3700 of the Labor Code, l M 1 kh cam with Does P Dore: \rT / Applicant: Warning: ff. H9 to n secure wohw.'rompxme0on p.venpa Is mkwr I and cast Def layer fo ass . pr wltlu and elvll Xw ny b oro hurtlrod fMwrW dd4n ISf240021, N abortion m tins cost of eo M1 Wmsw u pmrldW for In Section 3705 of the Labor Cods, Internal and effomsY'. /w. CONSTRUCTION LENDING AGENCY: I hemby affirm under pemly of p.0ury that them as . continual lending agency for IM performance of In. wok for which this perms is blued (Section 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I c.niy that I have reed this a ,licarcur and rima that the above inlwmaton Is correct. I agrees to comply with all any and county On inanms and state laws relating to building construction and hereby authorize repreeentarres Of this city to anter upon the above-menloned propary for inspection mrpoess. KIMBERLY MILLER CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 073846 PERMIT NO: M 073846 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW SOB DESCRIPTION 75K FURNACE AND DUCT SYSTEM SQ FT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / COMMENTS: REF BUILDING PERMIT B-72081 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: 00000000 ZNE: REF NO: PLANNING NOTES> A, > * ib 1f 1E 1E RF if Rf 9E ♦E if * IE RF iE RE * * 9F 3E * 3f * N: 1E RE 3E SE * SE RE * RE RE RE RE 3E'RE * SE SE 3f RE SE RE iE Sf iE RF �f iE RH 9H * 9H iF Rf 3F iF 9E iF lH 1F if iE RE iH if * Rf div Rf ib if iE RE iE iF iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S nlr ZONING APPROVED BY `" DATE: BUILDING APPROVED BY DATE: •A• ,(O APPLICATION ISSUED BY: DATE: iE dE x-*�iE iE iE *iE iE iF iE iE iE iE �E RE Rt �H� �-3F iF iF7FiF3FiFiFiFiFiF iF �FTF TF 3FiF 3FlEiFiF EiF7E?F iF3FiFiEiFiF'iFiF7F*it*iE ib iE iP iE*iE iE•� LEGALIZATION:N F E E S U MM A R Y STRUCTURAL SEGMENT:N f . I BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 1 13.50 258 SMIP/NON—RES PLAN 6 � �^ ISSUE FEE ./L,15.00 BUILDING—DIV—> PERMIT ISSUE PLAN,=CHECKS TOTAL PAID DUE TOTALS ---- > 13.50 15.00 0.00 28.50 28.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 28.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC =' FIRE SMIP/TOT GRADING PLAN—CHECK 28'.50 /1E RF SE 3E ♦E 1E ♦E ♦E RE fE RE iE RE * if RF iE * iF ♦ESE 9E lE * )E fF dE RE fE RE *ilk Rf 9E 9E if *r* RFRF lE iEtiE * iE iE lE1E RE iF 9E if RE if ♦E!F 9E RE ♦E �E 1E if * RE RE SE * * IE SE * iE SE SE 9E ilk * 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—' Y UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAY FUR'N <=';1'00 K BTU 9,00 9.00 MEC 1 INST /REL APDL VENT NOT UNDER PERMIT 4.50 4.50 END OF FEES ' l 01 OtklB$533—OG13$`3$ TOT 28.50 DATE: 08/:.5/95 TItrE: 16:11 15151,nomp) WhH bug B Salary; Orwn-Fisk; Canary-Appimnt; Pink-Fiwanue; (hMenrad-Aeeeuar tI CONSTRUCTION AND PLANNING APPROVALS Permit # .Pole Date Inspector K _ & SPA APPROVALS Permit # Date I.nspe�tor 1. Temporary Electrical Service or 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. -. 53• Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms r -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, [7 Undrgrnd. �- 10. Structural Floor System '• 61. APPROVALTO-DECK" 11. Property Sewer Line & House -Connection 62. Backwash & Receptor-Finahrh 12. Sewer Cap _ x! - 63. Heater & Vent -Final 13. Roof Drains _ 64. Plumbing System -,Final,._' r - 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. POO LJSPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIR_E DEPT.. REQUIREMENT Permit # , 20. Rough Factory Fireplace ^ - _ ;'APPROVALS- 21. Ducts, in Structure _ 70.'Unde.yround Hydro 22. Ducts, Ventilating . - _ ' 71. Product Piping ❑ Gas 00il 23. Gas Pipe -Rough & Test t ' - 72. Underground Flush 24. Roof Framing- ° ' •� .73: Undergrnd.Storage Tank. OGas E) 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 y ' 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 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace - - �- Notes: {- -2 l 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 ADDRESS OF BUILDING: 372 E 15TH ST OWNERS NAME IF KNOWN: RICHARD GALLUP +Eu: 374 E 15TH ST COSTA MESA, CA 92626 250-0607 APDL. MAIIIIIO ADDRESS: UNT: ARCHITECT OR UMBER: WILLIAM HEZMALHALCH ARCH mho: C ARCNORNIG•SADORESS: 17875 VON KARMAN AV UNIT: 404 IRVINE CA 92714 CONTRACTORS NAME CONTRACTORSMAIUNG ADDREss UC. NO, UW. LICENSED CONTRACTORS DECLARATION: I hereby afro under ,enely d perjury that I sonIcenaed under provisions of Cheges 9 (oommendrq with Saalon )000) of De um 3 of The Buri ess and Prcleadons Code, and my homes is in full lace and oMect. CRY LIC. NO, LIC. CLASS: LIC. NO.: EXP: OWNER BUILDER DECLARATION: I hereby affirm under panel, of perryry that I an exempt from the Consonants License Lew for the followng reason (Semon 7031.5 Business and Pldeesions Code: Any city . county which requires a parmn to construct, eller, improve, demolish, or repair any structure, prior to its issuance, also requires, the applicant for such permit to fib a signed statement that M or she is licensed pun ssed b the Is. of the Coolosc. License Lew (Chep. 9 (..end, with Session )000) of Million 3 of the Business and Rdefsiam Code( or Into he or she is "MIA therefrom Arhd the beau la the ane9ed memplion. MY vnt.nn d Ssctcn 7031.5 b/ alt, Applicant for a permit su*cts 1M applicant to a avY penally of nos more th n We hundred dollen (SSOOD 1, as owner of IM property. my employees with wages ss flsn We oompeoeatbn, wilt do Uhe work, sal the structure M red intended . offered lot sale (Section 7044, Business and PrWessio sCode: The Contractors Licerue Lew does cot apply to an ownerd properly whe builder a improves thereon, well who does such wook himself or bevel or Wough he or her own employees. provided tw such imprevernema we ml Wendnd or dWed for sale. 0. Irowever, Uhe buildup or unpmv.neN is sold wBMn ane year of colnddlen, the c _bsuTuer will neve The bumph of prelvq he or she did W sold or impmae for the purpose of sate). 1. As owner of the aopany. em excb®vtly contracting wish licensed co umbouss be oonsvua the 0 (Section lose, Business and Prdeeai.n code: The comrwm License Lewd sea apply so m owrher d pro0eny who us, «improves tner.on.nd such convects I. such projeae with s conmu tm.l lica oed WnuanI 1p Contract Licelue L s ❑ 1 Ann a pt S7 Solon: B. d P.C., le My Date: V O Owner I do hereby certify Mat I Am Aware of end undrwend the regdremeds of Ceeomie Ileeth end Selly Cada Sectues 25505, 25533. and 25534, sal Nat I or any Muse heiWN occupied will / will ori (acts orbs) need to comply wile sant state codes and the rsquirements b e permtlaoomwdion ormalifhwionhamthe Ai3 Ie IY17 town Decoder Residential construction applimlbm Me esemp from Nese Is.., Date: Apprrad: WORKER'S COMPENSATION DECLARATION: I hereby alt under penally of perjury one of the Mlovan,, dedaretina: have and soil maintan a cerlHcate of consent to selfinsure for wakens' compensation, m provided for by Section 37M of the labor Code, for the esdavrence of the soak for wNch this permit u issued. I have.d soil member waken' compensation insurance, ns mused by Section 37M of the labor Cade, for the pedamerce of IM soak for which this pemht is esund. My wort sic' compensation immurva caner And policy number .e: Carver: Policy Number: (This sea(on need Trot M comFleled d me psomA is for one hundred notion 181001 or baa.) 1 randy the in the Mdormerhce d tM wok la whch the m and is iseund. I MNI cot employ pry poison In any mann. w m to become subject to the workars' compemelion Iews of Cefilanu, erhd agree that it I shoots become subject to the workers' compensatipn provision of SeaioA 37W of The Labor Code, I awl forthwith ealepy with trosa provisional. Data: Appfrad: Wamlrp: Fatlun to scion worker, sompewton ooverapA/s unbwNl, and atoll aublct An wrish yar to criminal /wraNes and civil lines W Mone hlvldred thousand dollars (81020001 In sddiffm to Me test of compmulaWn, timse sw as pmusWed ler In Semim 3705 of Me Labor Cods, Interest, and sMmW'. yea. CONSTRICTION LENDING AGENCY: I hereby eMnn myclat penalty d perjury tw there is e construction W diW aesmry for the perform. d IM soak I. Minh the perm, is issued (Seam 3097, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I coney tw I Mite reed this epplicamand! "a mud ill above im.metion acoma. I agree to comply with a any and county aduelwee and state Isms rewuN to WAIN construction and! hereby. bort. nepreeentedyme of this cry to set. upon IM above mentiorhW prepeny, for irapeaco apossa. DA OWARD V Print Nemo Date: Sgwm, q UsevolApnovillpirsamixomonshas (5151- .WP) White -Budding A Sets, Grem Rle; Conary-Appficam: Pink -Revenue; Goloenmd-Aeeeas,r CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 073999 PERMIT NO: M 073999 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: NEW JOB DESCRIPTION 789SF 1ST FL, 1134SF 2ND FL, 70SF DECK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: REF: B-72081 1E 1E * * 9E dE fE df dE 9h 9E dE dE * * * iF illi illi df dE if illi fF dE 9E 9E dE 1E * illi illi illi illi illi lE jE lE 1E dE 1H fE dE df 1E k 1E 9E illi dE illi ♦E 1E 9f dE illi illi 1E illi *!b illi * 9E RE illi dE dE illi illi illi df df db lE dE df * illi 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 RGHT: FT IN PARKING RE&p PROV: PARCEL: 42531106 ZNE: REF NO: PLANNING NiSTES> > jf'iL'3f jf 3f )f 3f �i 3i'if if if ii iL �f iL'3f if ib if if ib i(•iE iL-'K')E iL'if it'ii if {('{(•iL')E �L'iE if i%iE illi illi if *ih'K'if iL'if i(•ifif ifi('if 3L'if 3f 3f if if if 3f jF �E {E illi if iL'iL'iL'if if 3L'if jL'�f if D E V E L O P M E N T S E R V I C E4S R E Q U I R E M E N T S P, ZONING APPROVED BY DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: DATE: DATE: LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N . d1. BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING PERMIT 6,50 25t SMIP/NON—RES PLAN ISSUE FEE J� 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 6,50 15.00 0.00 21.50 21.50 .00 REVENUE DIVISION TOTALS--> COLLECTED': 21,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 21'.50 dE illi RE Sf RE dE iF illi Hf * 9f * * ♦E illi if 1E dE if if 9f dE illi illi dE df irk irk 1E illi 3F 9F illi df df 1E RE RE dE illi * * * * dE dE 9E illi ie df * 1E illi 1E if dE HE dE IF illi 9E ♦E iE-IE dE dE * fE ih illi dE 1E 9E 9E if dE * 1E illi 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 MEC 1 FACTORY FIREPLACE 6.50 6.50 END,OF' FEES 01 00189341-00189341 TOT 21.S0 DATE: 00/10/9:. TIM1r* 11:23 CONSTRUCTION AND PLANNING APPROVALS Permit # Date 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 Coriduit Utility•Undrgrnd. 54. Forms •4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding j 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ., 7.,Footings. _ - 56. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 - c .3/ --rt 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 Eiectrical-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 ❑Oil 23. Gas Pipe -Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Gil 25. Roof Sheathing 74. Overhead Hydro 26. T.Bar�Ceiling (Structura0 & Monodoat 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's 35. Final Gas Pipe -Test 36. Hood or Canopy Notes: g 3 - ea71_f2 Ld?t.� _ 37. Final Factory Fireplace 4 2'0,K - 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 V 49. Electric Release to Edison �.- 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date J J11 ADDRESS OP 9NLMNG: 372 E 15TH ST UNIT: OWNERSNMIEIFIGOWN: RICHARD GALLUP ADDRESS: 374 E 15TH ST COSTA MESA, CA 92626 APPL. MAILING ADDRESS: 250-0607 ARCNIfECT OR ENGINEER: WILLIAM HEZMALHALCH ARCH UGNO, C ARCH. OR ENG'S ADDRESS: 17875 VON KARMAN AV UNIT: 404 IRVINE CA 92714 CONTRACTOR'S NAM CCNTRACTDR9NUUNG ADDRESS: LIC NO.: UNIT: LICENSED CONTRACTORS DECLARATION: I hereby aff nn under penalty of pedury that I Am Maneed under provision. of Chapter 9 (commencing with Seaton 7000) of Division 3 of the Business and Praesunws Cade, aM my license Is In lull bras cad affect. CITY LIC. NO.: UC.CLASS: UC. NO.: EXP: Date: Comregor: OWNER BUILDER DECLARATION: I hereby affirm under pereiy of perAvy that I am wants from IM Contractor Liasme Lew In the following reason (Section 7131.5 Busirar a and professions; Code: Arty city or munty "ion reaairss a permit to construct. Mer, improve. demolish, or repair any stmclure, prior to se ueuence, who raauireA the applicant f« such peri to Rb a word statement Net M or eM h DowasC Insurers to the prwisiona a Ps Conreaon Li. Lew jChapter 9 (comnworg with Soton 7000) of Civhbn 3 a IM Business and professions Codel or that M or she h exempt therefrom And the basis f« the alleged ssemgian. My Ybel of Section 7091.5 by any applicant 1« a peri subjects the Apploem to a chat penalty of ml more then Me hundred dalan 1550011. ❑ I,asowasn of the property or my emploses wash wase as her sae aompaaemim, will dethe work, and the atruclun is not imaded «Mead f« sale (Section 7(M,t, Business and Profwsinna Code: The Contradon Liwnee Law does not appy to an owner of properly whe kids or inprov» themon. ud sho closer erudr wok himself or henall or Nnnuhh M or her own employeesplaided the such improvemema are not Wended or offered for eels. R, however. the Wildinh or knpepemmA is sots within one Year of wmphion, the owmrbuider wit hese the krdm of provide he or she did has Wild or impno s f« its purpose of sale). I. as owner of IM property, am exclusively wntrmig with basnsed canpeLtm to cors nes Ne «Nee (Sao. 70ee, a.. cad Professions Coda: The C«uacl License Lew doss b appy b owner of property wiw bolde c vmrwss thereon and code canuacv ler aW «Neon, wish a rentmcton.) lit—res" pursue t tis Cont Llo nes Lew). ❑ I am exam Mer Section: 8 P.C., ler w: Dat.: a` —3 o 0w . I do hereby cm* phis I am aware of and uMenleM 1M reaukemams a California IisWh I Safety Code Sectiom P55(15. 25539. and 25590, enol that I or any Mum biding owunam will / w0 not Iamb we) need to comply with said pate codss aM the requirements for a harm, f«wmmnction«modir etionh«n tMAiru�ty am mhmIDemur. Residesia cora on appkeliam an eumq from Nees Date: App5ca a: WORKER'S COMPENSATION DKLARATION: I hereby affirm ruder penalty a pejury oas of the Whaverg dederaliom: ❑ Coes. arcail meWaoaasn the a 1. Which M pears forwrasol. wgerrWion,nproyidW t«bat Seaon 3]00aiM label Code. 1. the pMortrawe d de wank 1« wHch Nle Perms h heated. ❑ I hero cad a l me tar waken mm ematon imurence. as rewkee by Sm 3700 a Ne Lobar Cade. ler tM pMormuca a IM work 1« whiW Nis pemd is issued. My worken' compensation issunenas owner and policy number are: Carries: Policy Number. (This aw ion need wt M owrpMed I the pent is f« ole hunarad dollen (51001 «less.) ❑ I 000m su je Ne the m ole a am work len which this penN h issued, I MM nor employ arty person su any manner iso m to become abject to its wodan' n 37W f the lever C California, res three Intl i I ehwb bec«na subject lo IM werkerer' compensation provieutu d Becton 9)DO d IM Labor Code. I Moll lonhvmn campy wish haw» prb+imre. Date: Applicant: Wwm/nh: FMun a sso. evorkwo' conptmtCon coyerehe /a unbwhd, and ~ subject an employes fo cdm'esl pwafss aM chaff Dress w b arse hormI thousand d0/4n f$IOQ 011 b wddli/an W Our Lest of aortVersefbM1 darmhss as prodded ler In Sectlon 37M of Ne Labor Cods, freshest cad wownsys fsss CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of pwruy that Ohms Is a conspmtlbn Isdkg ahercy hr the podorme«n of the work f« whits this genu is issued ISadion 3097, Cb, C). LENDER'S NAME: LENDER'S ADDRESS: I canify that I lova reed this application cad ode Ihet the Move inf«matiw is torted. I spree 10 campy wkh All My text county oninances and elate has retuning to Mil,ig wndrudwn and hereby waMrixe represen hies of his Lity to anter upon the ebova-memioned property f«berpeonio nposes. D4 HOWARD Pisa Nem Data: 5r,nal of mer/AheMApphlarAContrea« (515140.WP) Whhe-BuiMig A Soley; Green -FIA; Canary-Appkowl: Pink -Revenue; Godenrod-Mwewr CITY OF COSTA MESA - BUILDING PERMIT PERM NO: IM 074001 PERMIT NO: IM 074001 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: PERMIT TYPE: MEC OTH PURPOSE: NEW JOB DESCRIPTION ; 789SF 1ST FL, 1134SF 2ND FL, 70SF DECK SQ FT: CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /M-1 COMMENTS; REF: B-72081, M73846 REINSPECTION FEE � **IE 1EaEiESE�EaE+L*iFiEiE+ESE+�iE*�SESE*iEiEiEiEiESEiExiE*SES*�E�S*etatat�E�*iE�SE**��E�E�E**iE�E*iE+EiEitiEar***��iE�E«*SExie+E 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 REO• PROV: PARCEL: 42531106 ZNE: REF NO: PLANNING N TES> > * If If IE if iE if-iE IE IE IE IE IE dE iE iE IE IE iE IE IE IF iE * IE iE IE IE IE * IE IE * ♦E 1E IE iE k RE * IF IE IE * if * irk k ♦E iElE IE iE iE ib 1E IE iE * * 1E dE iF * IE * 1E IE IE IE IE * RE * if 9i iE hat ib 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 DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: b '/ iE IF IF If dE IE IE*iE****IE If *RF IF iE dF Ii* ♦E *♦E IE ♦E*Ik*iF iE �t 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 30.00 - PLAN 253 SMIP/NON-RES - ISSUE FEE BUILDING -DIV-> 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 SMIP/TOT GRADING PLAN -CHECK 30.00 ia*IEiEiEIEieIEIE*♦E**ib*IE*iEiF9EiEIEIE*IE IFiEIE*IE*irk**dE*iERE*iEIEIf♦E***iEiE*kdElEif**IE♦E*iEIFiF*IE*dE***IEdEirk♦E*IE*df*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' MEC i MECHANICAL RE -INSPECTION FEE END OF FEES U UNIT COST TOTAL COST 30,00 30,00 at 00189339-00189339 TE3T 30.00 DATE: 03/30/9; TIN! 11:23 rA s• � CONSTRUCTION AND PLANNING APPROVALS Permit # Date [Inspector POO SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole, i - 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 I 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation . 59. Gas Pipe, 0 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 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 Slectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS,'_- Permit # 20. Rough Factory Fireplace _ 27. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating , 71. Product- Piping 0 Gas 00it 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 . - 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 ' 35. Final Gas Pipe -Test n' Notes: 3!-_55- - �&C2u� Cj ii7�LC. - 36. Hood or Canopy - "- -- - 37. Final Factory Fireplace I •�;' ' 38. Final Plumbing - 39. Water'Service-Final . . 40. Gas Service -Final 41. Solar Domestic -Fina(- , 42. Backflow Preventer - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation a 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - 49. Electric Release to Edison 1•- ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - -'ADDRASSOF BMLUND: 372 E 15TH ST OWNERSNAREIFIGIVW . RICHARD GALLUP ADDRESS: 374 E 15TH ST COSTA MESA, CA 92626 250-0607 APPL. MMINIG ADDRM uNT: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 073502 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE ARCHITECT OR ENGINEER: WILLIAM HEZMALHALCH ARCH UC.NO.: C LRcaoli c'sADOREss: 17875 VON KARMAN AV UM: 404 IRVINE 714 coNITars NAME: BRENNEL ELECTRIC INC CA 92 RAC(714)540-5737 CONTRACTORS MNIwc 1733 MONROVIA AV ADDRESS: COSTA MESA CA mill 673950 92627 uNT: LICENSED CONTRACTORS DECLARATION: I hereby ofiim under penafy of perjury tire I em licensed under provisions of Chapter 9 (oommewng with Section 7000) of Olviaion 3 of he Bumnew and Prdessiom Code, and my license is in full fade end .Mea. CITY LIC. NO.:0 981LIC. CLASS: C 10 I.C.N�$,.:�/3 7 950 EXP: 07/95 One: Connector. b pcl e1'EJYt.d a+� OWNER au1 DER DEC ATION: I hereby affirm under Mnal y of partury that I am exempt from the Contractors License Lew for the followip tans (Section 7031.5 Russians azul Professions Code: Any cry or Caumy xfiich re,uwas a perms to ootvnan, mss. bnp nisi. demolish, or repair any stru me, prior to its bmunce, died requires the mplimm for such permit to file a signed statement thm M or end e licensee pun u nt to the Provisions of the Contractors Lir<me taw (Chapter 9 (oommewng with Swan 7000) of Oivefon 3 of the Business end Professions Codel «Ihel M is end is exempt thensho d snd the bens for the afinged rempMn. Amy vloled. of Sw"vt TOWS by any applicant for a Perms subjects the eppicant to a dvg Penalty d out more then five hundred dollen 155001). ❑ I. as owner of the prgmdy or m' employees vel engines ocher sole oompersaMn. sell do the work, and be mmdintae is solmnMed onaferee/n irm(Sema,low. Btansrend Pm/rsiomcon: 7MCon0wos Bohms or her . seplys . awn.rdadvent whodads «inprmwa Ihneon, end who dorsuch wok Fcnrtl Primal«tlr«ph he«Mr ownampbma. ofcomdtilt44th meme,emw. ere not IM bur a offend t« sub. ff. Nossiner.his the flet or p «inpro the pup sold efthin dna year d oompletbn, the own.nsdda suis nave IM budm a prmdtro M or she ad w bugd «'unpar f« the suture d rd). ❑ I. as owner of the property. sm exdudMy omuwig win bodreed contractors to uomaua And project (Swion 7044. Bminrs and Prof. Code: Th. Comreaon License taw dor his appy to an owner a Property wM hoose or inprwr diversion ane wM onmrem for such Protea. with a mondiumn s) f rad pursuer to tM Commissions lioeme taw). ❑ I em ermp M. Section: B. & P.C.. for the reason: Das: Owner: JOB DESCRIPTION : NEW SFD ELECTRICAL PERMIT CLAIM VALUE: CALC—VALUE: PERM NO: E 073502 GOVT: N SUPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 /M-1 COMMENTS: RE: B72081 PRIMARY BUILDING PERMIT +E�E�E*�Rr*�E+rararx�xxx *xxxarx*�sE���SE*���+rx*x ���+r+ESESE�+E+E�E**+E+r�E+E+E�Ex SE�ESE�ERESF��E��sE�RE�ESE�ESE� �SE�E* 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> dE irk dF 95 dF dF*1E lk irk df d5 db 1E 1E if 1E if 9FlirdF*dE*****dE dE***dE*'***If iE*ie if***1f**9E dE dE9E dE 9E iE dE dE9E iE dt dE de dE 9E dE de dE**dEiEiEdEiEdEdEdEdf- 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 : APPLICATION ISSUED BY: LEGALIZATION:N F E E S U M WA R Y DATE: DATE: DATE: STRUCTURAL SEGMENT:N I do hereby Certify tlw I an ewer. of end understand the requirements ol Cadmus Heads end Safety Code Seniors 25505, 25533, erd zss3..M thad lnsun, nn«eWiliest, occupied wm/wNsix (dmeone) resedro ampywith .adsome codesand the requiriments for Permit foroomtmotion or mMi(rati mosolMAi ue�y ampemset Detroit. Residentialmnarwion appicatiom en exempt from then BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING Pr��ns. PERMIT 67.31 Date: Appidanc rL 50% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION: IMreby Will under pmalry of pe/ryry oro of IM following dwemliona: ISSUE FEE 15.,00 ❑ IMveand! willmainsineCeraiaeaduremeroaedin.«afor surkers'mnlntenwm.rprwkedl«bySection 3700dtMlab« BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE for the ped«mamo.dshe nndt1«wfdhthis xim,Ne asci TOTALS ---- > 67.31 15.00 0.00 82.31 82.31 I nave end will maintainwont..' oamramar n imura«e. r required by Section 37M a the Labor Code. f« he p>edormaoom of the is Trued. )ti ' .00 work for which this mend My w«keri dommnsetbn intens carder and policy number ere: Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 82.31 OVER/SHORT: .00 Policy Number. T 7 04/01/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK Rnuewonmeeno w «rap«add nawm.e «ones MMeddmae srPp�«w 82.31 ❑ I caddy that in the Wnmertce of the work 1« imch the permd'n .wad, I dal not employ airy palm in any manmr ed as to,- bedmta subject to the works.• mnromsetim lewd a Cardomi... anLm a ded a I should! Montle subject to he workers• IFdEdfdFdE9ElEdkdkiE**dEdE1EfE*IE 9FdEdE1E**df**dk♦E*dF**dE1EdE4dFiEiEKdFdEdEikdEdEdEMiEdF***�E*iEiE*1EdE9E*9EdEdE1EdE1EdEdkdEdEdEIEIEdEdeyt muspmWlo f Sven 37(10 of the Labor Cada, I �1 Ih aayy wM 9pee nonsense. rase. . L S I N D I V I D U A F E E B R E A K D O W N Dae: Appvn: M//7%n/y/�/ J/ Wamhv:F aero emirsr;cemsesm.donde....N.leunshir"and.wnempafansonhire.tocmm�elP.nelnesmid TYPE QTY D E S C R I P T I O N.' UNIT COST TOTAL COST WWI Nma w ro rens hundred thousand dolls 151020004 M addNyon W Me coat of compe ewtion, Ee ed es, a provided Air In eLeberco,humeaandmiennW.A A. Sisma77DsofMat. n ELE 1923 NEW RES BLDG FOR 1 OR -2 UNITS/ SQ FT ,03 67.31 CONSTRUCTION LENDING AGENCY: I hereby affirm under paay of perAuy Inn then is a d«,ntwion Ism dca«y w the END" OF FEES pedmneraa of the work for w1tiN the parml is issued (Swim 3097. Ci. C). LENDER'S NAME: LENDER'S ADDRESS: I ceddy !het l Mw reed We epplicelimn and oma thm lM above information is donee. l agree to Comply vmh ell city and ooumy on intoes • s : end sae lase mining to building Construction end hereby authorize nprermaives d this city to anter upon the above-mentionM pmpmty r«in�panion wrpoeee. ` ' e jT /J Lr _��nt aRck QREKNAk G �11L'G 9s' n 01 00187204-00187204 TOT 82,31 (<,-•J 5:15.. lid LL��� DWm a2� Signature d OwvedAgmdAwfican00optractor - DATE: 07/23/95 TIME: 0:31 (5r5t-dS.WP) What"uidmg 8 Safety: OreenFRls; Cenay-Applicant: Pink -Revenue: f3mldentod-0.saeasar ry' CONSTRUCTION AND PLANNING!~.JL & SP,9P - T 'r - r APPROVALS permit-i�3 - Date - Inspector APPROVALS-,.Perm:?W '=... .r_ - Dat€ - Inspector 1. Temporary Ele(Arjd( Service or.Pole 52. Pool& Equipment Location`'.' 2. Soil Pipe•Undrgrnd. i 53. Steel Reinforcement N [I ndvii•Up.Iity-Undrgrnd. 54, Forms ��-electrical-Co • 4. Electrical 'Con �YtOrgrnd. - 55. Electrical Bonding .. j.. =6.. Stl Rei ,certe�g 56. Rough Plumbing &.Pressure Test EectricagER`'+Y�rirtj. 57. APPROVAL TOCOVER-GUNITE Footings�� 'I� 58. Electrical Condu7�Undrgrnd. f FbundatiattE t,': c! 0 59. Gas Pipe, 0 Uridrgrnd., Test 9. Water Pip%&dr'0 d. •' 60. Backwash Line{,-PjTrap, Undrgrnd. 10. Structura0t 1oo55ystem -" 61. APPROVALTaf3ECK .., 11. Property $ewgr� Line -Connection 62. Backwash & Receptor -Final 12. Sewer Cap" v `' 63. Heater & Vent -Final ' 13. Roof Drains 64. Plumbing System - Final 1 14, Rough Plumbing'-. r 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System-FLo 16. Rough Electric Wiriri 67: Fencing & Access.Approval " 17. Rough Wiriag Sign i 68. APPROVED F&PLASTERING / L C' .• 18. Rough Electricalfj Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Condition ng Ft_RIE OPT., :EQUIREMENT o m 7� �APPfOV%;Cr$�,FPeifnit# - 20. lough Fator�r'Fillace S!? ¢c J 21. Duc6t in'StrULture]* ••• •• 'c S O �T 70. 'tYnderWa1N Fr,7,dro y 22. Duct? Ve:;tilq�ing`•y'G* • 71. Produg£1 Fjping as dQII 23. Gas PJpe-Aoug, & Test + M ?' 1* # + 72• Undergr6`16F^4, o' _ 24. Rooi``Fra!Jing ' Undergrn�Stoe 3dTan O Gas ❑Oil y 25. Roof�healhing ar v y r .. �:, ^�! 74 Overhead HydrPR� ' 26.T-Ba?ceiling (Stra£t ral) & f+ "tncoat R'D �„ - 79 Dry Chemicalxx 27. Frame and Flashing.* _ CX > MT: 76. Dry Start_Spipe I y - 28. Lathing ;siding cr.'- -< F ", "' m 7x. FIXED %1LSTE1g1 TINA(lr 29. C. Insulation ••+ _ 78 FIRE PREY. FIIN'AL m 30. Drywall (Mailing �,gALT j.'RE6UIR'£MENT .''DEP 31. Plaster Brawrvcoatj'- z -r•t- . ' 79.E FINAL IZ99ECTt©N „ 32. 33. E,�ecirica ,ow^•erM?r r�Final * Z' tF • '18 FOOD CERTI66'ATB l$SUED- ' 34. naF€leptricj .AT FinaliHee@Ing;& Nil &ondrtioriir g S t t) /i21,i - Ndtes.8 Ql7 needW"c6i]Ac 35. n a. Fina(-Ga�_ipe:Tast{.y � .. * .•; r � ,^o ��. s tr- ' 36. �; = .'•`: Hood -or Canopy ah '!' :� - 's C) 0 SP. 1 •-•..r r' St�: u '+ : y tr" r -I :'rr : y V - EinaLFactory Fireplace - I �- _ y' r fu 0.1 Y ' 38. Final'Plumbing .'fl) '39. ' 39. Watei Service -Final I - 40. Gas Service -Final + r. �:? ^ ti „ '�' -.• n• r X41. Solar Domestic•Flnal. y� '• l� W �, 42. Backflow Preventer 43. Backflow Irrigation .; >';5` fir ,• t; �" .: 1 44. Landscape Irrtgatiort*System 7''1i? %: r t*! - '_ x ! ,v 45. Sound Attenuation rr1 r", A. Handicap Regulationsh _ �- + t 47. FiNA1 STRUC7URt & BUILDING ' �� G- : - X I• C_ 48. FINAL PLANNING < 49. Elects:c Release to Edison 50. Gas Release to -Southern California -Gas Co �� x _ Dc + 51. CERTIFICATE OF OCCUPANCY p ; No Date