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Home My WebLink About997 AZALEA DR - Building PermitsCITY OF COSTA MESA � svao�Na �ms�oN � ' � � DEVELOPMENT SERVICES DEPARTMENT � �� PERMIT . PERMI BER � •� � P99-00180 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 997 AZALEA DR Suite No Vicialty. Parcel Nunmber: 41217301 Applicant: KESLER, HARVEY P Address: 997 AZALEA DR COSTA MESA, CA owner: KESCER, HARVEY P Address � 997 AZALEA DR � ' COSTA MESA; CA Contractor: Address: ArchlEng: Address: INSTALL WATER HEATER. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier Syslem Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof � Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $zz.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 n1v PLUMBING PERMIT Phone: 714-979-2729 Zip: 92626 � Phone: Zip: 92626 Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT , ,' , FEE SUMMARY- AMT Laundry Tub / Washer . $0.00 Landscape Irrigation � $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft)� $0.00 �Receptors $0:00 Septic Tank - $D.00 Sewer Cap for Demo $0.00 Sewer Connect , $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitche� . $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 . QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 03/23/1999 Issued: 03/23/1999 Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) � Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet�(Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Senice Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION ANIT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CAICULATEO FEES: $33.00 QTv 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 El(PIRATION: This permit shall automatically expire and become void if work Is not commenced within 1 BO days, or if work Is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order tor the work authoHzed under this permit to be considered lagal, such work must comply with all applicable codes, and all requlred Inepeetlona entl flnel approval must be obtelned. Fallure to obtain inspections and final approval will result in the expiratlon of this permit. FOfl INSPECTIONS CALL: (714) 7545828 WORKERS' COMPENSATION OECLARATION: I hereby affirm under penalry of perjury one of the following decleretions: ' ' ❑ I heve end will meintein e certificete of consent to self-Insure for woAcers' compensation, �as provided for by section 3700 of the Lebor Cade, for the peAormence of the work for which ihis pertnit is Issuetl. '� ❑ I' heve end will maintein workers' compansetion insurence, es required by section 3700 of the Labor Cale, lor Me perturmdnce ot the work tw which tlus permtt Is issued. My wolkera� compensation Insuranca carrler arM policy numbe� are: . Certier: policy Number. (fifs sectlon need not 6e'completetl !/ the permlt Is velued et one hundred dollers ($700) or Iess.J ❑ I cenity th91 In the per(ormence ot the work for which this permit Is luued, 1 shell not employ eny pereon in any menner ao es to become sub�ect to the woilcers' compensetlon lews of Callfomla, end agree that M I should become subject lo the workars' compensetlon provisians of Secllon 3700 of the Lebor Cotle, I shell forthwith comply with these provisions. Applicant Slgneture: Date: WARNINO:FAILURETOSECUREWONKERS'COMPENSATIONCpVERAGEISUNLAWFULAND $HALLSU&IECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONENUNDRED TFIOUSAND DOLLARE ($100,000), IN ADDITION TO THE WST OF COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE IABOq CO�E, IMEREST, AND ATfORNENS FEES. LICENSED CONTqpCTORS DECLARATION: ' �' I hereby eHirtn that I em licensed undar provisions of Chapt�9 (commencing with Section 7000) of Divislon 3 ot the 8usiness and Professions Code, end my license is in full force and eHecl. Lia K � Class # Con[rectors Signeture: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby atfirm that there !s a conslruction lertding agency �a lhe peAOlma�e ot the work tor which this permlt is issued. (Sac. 3097, Gvil Cotla). Lender's Name: Lendefs Address: Signeture: Date: OWNER•BUILD�R DECLARATION3: I hereby effrm thet under penal of pe�'4ry ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Buslness end Pratessions Code: Any ciry or counry w�liic quirea'a permit to constmct, elter, improve, tlemolish, or repalr eny strucNre, prior to ils Issuance, also raquires the applicant for such pertnit to file a signetl statement e or she is Ilcensed pursuant to the provislons of the Contrectors License Lew (Chep[er 9(commencing with Section 7000) of Divislon 3 of the Business end Prbtesslons Code) or that he or she Is exempl iherefrom and the besis for the alleged exemption. Any violetion of Sectlon 7031.5 Dy eny epplicent for a pertni[ subJeds the epplicanf fo a civii penelry ol not more ihan ftve hundred doltars ($500).j: ❑ I, es owner of the proparry, or my employees with wages es iheir sole compensallon, WIlL DO TNE WORK, and the siructure Is not intendetl or ofFered for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not epply to en axner of property who builds or improves thereon, and who does such work hlmself or herself or through his or her own employees, provldetl thet such improvements ere not intended or otteretl for sala. If, however, ihe Eullding or Improvement is �� /�old within one yeer of completlon, ihe owner-bullder will heve the burden of proving that he or she did not build or Imprave for purpose of sele.). �d' I, es owner of the property, am E%CLUSIVELY CONTHAC'TING WITH LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business end Professions "\ Code: The contrectors License Lew tloes not epply to an owner of properry wha bulltls or improves thereon, and who contracts for such pro�ect with a contrector(s) �,license pursuent to the Coniractors License Lews.). r-�' �? _ __"_'�__'__'c_. , o.._'""""'. �'_'"""" n_._.__.�:"""""" OieineNb venfieq by drivers license. es ❑ No VarlNcation of OWnership by (rype of documen , i.e. - property laz hlll or tleed): DIVISION OF INbUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartlty t�at no excavetion five (5) or more feet in depth into which a pereon Is requlred to tlescend, will be made in connectlon with work authorized by this permit, end ihet no building siructure, scalfolding, felsework, or demolition or dlsmentling [hereof, will�be more then ihirty-Siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifornla AdmiNstrative Code). ❑ As awner-Cullder, 1 wl(I not employ enyone to tlo work which wouid requlre e pertnit from Me Dtvision of Indusfriel Sefery, es rroted ebove, unless such pereon hes a pertnit to do such work from the division. Signatme: Date: Division of Industrial SafeN Permit Number: CER7IFlCATE OF CAMPLIANCE AND AUTHORIZATON OF ENTAY: I ceAity under penelry of per�ury ihet I heve read this application and state thet the infortnetlon given ia correct. I agree io comply with ell stete lews entl ciry ordinences relating to building construction, and euthorize represenletives of the Ciry of Costa Mesa to enter upon the ebove-de bed pr9� tor i tion Grposeslegree not to occupy or allow occupancy of eny building euthorized Dy this permit until finel inspection. %'�� /�� .3� Y 3 - Signeture Of Legel Owner(s Date AnNOr Authodzed Applicent Date f�QQ� INSVECII'fxTYPE 1816 Fizetl System Final Fire Prevention 1288 Pool Spe Final - 200 Flnel Re-RoW 201 Finel BIocWReteining Wall 202 Finel Fgctory Fire Plece 203 Finel Slgn 204 Finel Demolitlon 2da8d8 �.�T��11' I��I:1C fQQE� INSPECTIONTYPE 208 flnel Mechanicet 208 Finel Plumbing 210. Finel ElectAcel 212 Finel Fire Preventlon 220 Flnal Plenning Approvel 222 Final Site � 250 Flnal Builtling/OccuDency � I�� _ ��'S��e� � woAessoFewiaxa: 9 9 7 AZAL EA DR w�r�aswuEiF�wn+: KESLER HARVEY P 1DDNE55: 997 AZ�LEA DR COSTA MESA,CA 979-2729 APPL. IWIINti 1DDflE55: �PCXrtECT OX ENdNFEP: �pClL OP FNG.'S AOOIIE55: �"T CITY OF COSTA MESA - HUILDING PERMIT FLOOD: AH-38 92626 _ PERMIT NO: P 081866 PLAN CHECK NO: N a'�- � CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU 11GlID: UM: coNm�crarswu� EARL'S PLUMBING INC (714)642-1753 carrn�orcsx�u�no 501 N PLACENTIA AV �OORE55: FULLERTON CA uara.: 217657 9 2 6 31 �,,,: LICENSEU COMNRCTONS DECLIIRATION: I haeeby eflim uMx penely d pe�jury thet I em lemued uMer prwieiorre M Cheqm 9 (commenc'nq xnh Seciion ]000) d Divwion 3 d Me &mi�reea eM Profeeabna Code, eM my licenm o m lull bece eM eHea. cmuc.No.:005938 �� C 36 uc.No.: z17657 'EXP• 06/97 o�a: �g� �� vDT �,��—.-_- OWNEH BUILDER DE� P4TION: I hereEy eM'm under pe�y ol perjury Ihel l em exemq imm �he Con�reqae Liceme Lew �a IM Idbwiiq ieeam (�� 1.5 &uiwaa vM PMeasiore Goda: A�ry cdy a muMy xfiidi requi'ae e pa�mn lo omftrucl. Mer. improw. demd"oh, w repei ary etruGure, pior b de uweMe. eho �eyuirea tM eppliaM Iw wd� permil to fib e eipned elntemant thel he a aM , is licenaed pursuent to ihe OroWsiona d iha Conuetlora Licenae law �Cheqm 9(cammeneiq wilh SeUion ]000) d Divcion 3 d Ihe Buai� eM Prdaeaurm Code� or thel M a she is exemq ihereirom eM the buu la Me elbpad eaamqion. My volelion d Setlion 1ai1.5 by a�ry eppifant ror e permd eubjeae iM eppfran� �o a civil penelry d�t m«e then INe nunArad ddWc �5500ll. � I. aa owerer W Iha propeM or mY empb�eea wYh wapea m ihai eob oompenambn. will do ilw wak, eM �M elruclu�e o rwl iMeMed w aRmed fa seb (Sec�ion ]OC<, B�v�as end Prdesabns Coda: The CoMradm License Lew Eoee �al eppylo an mvrieroi propef y who WiM a'unoewec �hereon. eM who daea euch work h'unWf ar Mne� a Mrwph ho a her own emObRn. V�'� thel wch imP��eMa ere nol imeMad ar dlseE 1« ub. rc. lawever. lhe buitlieq a'vnqwemeM ie aald wilhin ane Ymr al oomd�ion. IM o�merbuilder xill heva �he burEen d pewina he w ehe did eM build a imqwe la iM purpose al eek). , � I, ea owner d ihe G�W�Y. em mtlusiveN mMretlM xilh lioermed contreclaa W wietrud IM 0�1� 15etlion'lOW. Buama�e md Profineiwu Cotle: Tha Contrecae Lironse Isw Emn nol eONY b en ownar d PW�Y who Wlda or fm0�'en the�eon eM wfio conl�ec�s tw viM projeUs xilh a aoMredor(e) licenaed WB� lo Ihe Conbeclan literee law). � I em axemp under Secum: B. d P.C_ la t�e reeeon: ' De�e: �+b�: i ao ne�anr �.�r mm i� ewaa a�e ��deAi�d mo �m+��«n� d c,uo� rbmm .oe sm.�r coa. sw�m. nsos. zssa�. �d 25534. e�M Oiet I a e�ry Mure buikiiq am�peM will / wil �wl (tlecla me) need w cwnpy wih eaid atqa codm enE IM iequi�aneNe M epermilloraxnvunbnamotlifice�ianhom�heAir ie�y erepennntDietna.Residenlialconst�utlionepp6rsiioruenssempthamlMae wwidon+ oma: nap�a: WOqKEN'S CONPENS�TON DECl411ATION: I hereby etfi�m wdx pmelly d yejury ons d iM blbxinp Eaderu"an: �] I hava eM wil mmman e ceM'ceb af mmant to aaHineun br xaken' mmpanselion, n prwided Iw by 9atlion 3]OD d iM Lebar CoEa, ler �he parlormarice W iha xak Im wkch �hia pe�m4 w iacuetl. ❑ � neve ena w;� meimen waxas• canoemmnn irouraim, m �eau"vea W smbn a�oo d Uie lener code. br �he w�«mence a �ne wwk fa whiM Ihie Ve�mil o iaaued. MY warkero' mmPem&ion mM VdwY m�mber ere: c,,,;,,. STATE �UI�� EXPIRES Pw�r N�mca - 0 3/ 01 / 9 7 i!mu see� �.d �wr ee comd�ee r rne nem�a a ro. ab n��d�d ddem R�aol or resv.� � I cenM �� in �he paAamenca d tAe waA br which Ihis pe�mN is i�ued. I ahdl ml empby enY penm in enY men�nr w n to bocoma wbjetl to iM v.wkere' miWenambn lewa d Ce4lomie, entl epree Net tl I elwiid becane mmjad �o IM wwken' wmpevmio qwiaiona M Satlbn 3lW d the Lebor CaEe. 1 ahall lorl/hy/� h mnpy wAhy� p�vnwons. Deb: Applirar�L �Y�21�.--- Wam/np: Fs un ro �e un woilren'rompruetlon coverape la unl�wM, e Lahsll ub/xf en �mployer b crlMiul ps�wMp �nJ clv/I AMa up ro om haMrod tMuuN EWler� lS1pq0001, M edtlltlon ro tl,s ewt ol mmpemetbn, demeps� u povMW br In Ssetlan 9106 o/ Ms Lebor Cetls, In(xsst, eM ettornsys /en. CONSTRUCTION LENOINO RGENCY: I hareby elfirm uMer perelry d parjury ihel thara u e m��uaion bMi�p epenry lor iho pertormenoe or me .�wx m, wnidi �ne va�a ia ea,ee (seaion �os1. cw. cl. LENDEN'S NAME LENOEfl'S AODRESS: � canlN �nm � nsre r.ae mu mpceuon mw mm. �nm �na emre inearmmim u conaa. � m�ae �o oomaN wnn eu mr ene coumv aaiiwwas eM stata bv.a re41'vp Io buiMina �sbudron e�d hereby aNhw¢e rtqeeeMe�ivea d Ihis ary lo emx upon tM ebwa-men�ioned popaRy �«��'P°"�P�`PO909CIaIFF THORSON. _ �,__ _ _ -_ .. . - e �� (515FI6.WP) oma: 2� Whi1e-BuiWip 85elery: Graer�-FJe: Canery-nppirant: Pink�iewnue: t3oldanro�Aesevor JOB DESCRIPTION : REPLACE EXISTING SHOWER 6 LAVATORY PERM NO: P 081866 GOVT; N SUPP; N SQ FT: PURPOSE: OTH CLAIM VALUE: CALC-VALUE; GROUP OCC: A-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT 1f IE �E 1E 1f �E ik'IElE iE 1E fF Ik i(� IE ik!!'1F'If iE 1E'1F iE iF i(' iF iE If 1E Ik if 1E 1h 1k 1! i! if 1F 1f iE iF if !E 1E iE 1E 1F 1E IE 1E iF 1E iE iE iE iE 1f iE 1E 1E �E 1E i! iF 1Eif 1E 1k iF 1(' iF iF 1E iE ik 1f if ik 3F 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 FRNT: LEFT: --- MAIN BUILDING ---------- FT IN REAR: FT IN FT IN RGHT: FT IN --------- ACCESSORY HUILDING -------- FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV; PARCEL: 41217301 ZNE: REF NO: PLANNING N TES> % iE iE 1f 1P iE if 1E 1E if 1k iE 1E 161f if�lE 1E IE Ik i(� iE 1E 1E IE iE'lI' �E 1E 1E 1E 1@ iE 1f 1f 1F 1f iE iF IE if� fE iE 1f ik 1(� iE �E if IF iE iF iEik 1k if 1E 1E iE 1E iE if iE 1E iE if' ik'If 16 iE iE iE iE If iE iFiF 1E iE i(� D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; HUILDING APPROVED HY : APPLICATION ISSUED BY: !E iE IE iF 1E IF fElE �E 1ElF 1E 1E iP 1E iF 1F iE fE 1F fE 1f LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMHING ELECTAIC MECHANIC PERMIT 17.50 . 25� PLAN ISSUE FEE 22.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 17.50 22.00 � - 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 39.50 DATE; ,��D��«*� 2 2 � *� STRUCTURAL SEGMENT:N FIAE SMIP/RES GRADING SMIP/NON-RES TOTAL PAID DUE 39.50 39.50 ,00 39.50 OVER/SHORT; 00 FIRE SMIP/TOT GRADING PLAN-CHECK iE 1E 1E M' iE 7E 1f iF iE # 1k 1F If If 1f 1f iF IF 1f 1E f(' iE iE 1F 1f 1E 1E iE i6 if if 1E 1E ff i! ff fE i(' if iE 7E IE 1f ik 1E iE 1E iE 1E ff"!h 1i 1E iE 1E 161E 1E 1E iE ih iE 16 iF 1k ik i6 iE 1E iE iE iF iE 1f if 1k if 1k iF I N D I V I D U A L F E E B R E A K D O W N TYPE, .QTY _ D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 SHOWER ' f3,75 8.75 PLU 1_ WASH BASIN � 8,75 8,75 END OF FEES �'�1 EXI-'i�ED -- -DATE~ _ I �Z ��. 82-28-1997/IB:26 pN/f39.58 RCDT#:81-0682746 PERMIT:081866 CONSTRUCTION AND PLANNING . . , y. POOI &_. A � � � APPROVq�LS Permit # Date Inspector qppROVALS P'ermit # ' Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location �. � 2. Soil Pipe�Undrgmd. . � - 53. Steel Reinforcement � � � .-;�+�Electrical Conduit ilitV•Un�rgmd. : ' 54. Forms - � ' '"�4 �lectrical Conduik�l'drgrnd, � � . 55. Electrical Bonding . - ' t�, , •l - ;.5�;�eel ReinforcemggC. , 56. Rough P.lumbing & Pressure Test _ ��,6�,7crElectrical UFER��d. 57. APPROVAL i0 COVEfl�GUNITE � ''�� Footings �r ` 58, Electrical Conil�i� Undrgrnd. ��8. foundation SYi c r� , 59. Gas Pipe, �7 Uadtrrnd., Test � mn, C�9. Water Pipe•Undrg�nd.�` 60. Backwash Lino§,,�?,-Trap, O Undrgmd. �� 10. Structura! Fbor 3,kstem . ; 61. APPROVAL T��O:DECK � 11. �Property Sewer Linen& Housi�Connection ; 62: Backwash & Receptor-Final - 12.,Sewer Cap ' -"M1; 63. Heater & Vent�Fi�nal . ,1r3. Roof Drains , 64. Plumbing Systemr- Final . � 4. Rough Piumbing�,SHC7U�CR; �RN .��- �� 65. Electrical-Final � 15. Rough ElectricabConduit 7� � ... .66. Solar SYstem-F�jPdl ,7 6. Rough Electric Wirin`�'g y 67. Fencing & Acaess Approvai - . 17. Rough Wiring Sgn � 68. APPROVED F'CSR'PLASTERING 18. Rough Electric�YT Bar Ceiliri'g �; � 69. POOUSPA S1�S�EMS PINAL 79. Rough Heat(ng & AirConditioning FIRE DEPT. REQUIREMENT ' r r- � ¢' E-� ,� x '- �- r � . �. � .�� * ll .�7 ^':K �• J f]iQ " >� ' 20.:[ioygh F�cto�q F��ilace sT �� S� �.* �. APP@OV4FaLSrE, P�rmit #�. 21,1�ucts,imStr¢�turc,: •. •• =;_ w�; c �i rG 70.F-Unde�fou"r�d F-�ydro '" � c.� n n r-r,; 22..Duc[s,Ventik'�tinij'� ��5 * 5 r.;�Y ^ �. -r-�� ., , � ,: 0 � y� ;_,, � ,� 71. Prod�t�ipmg p.Gas �] Oil 23. Gas.2ipe;pough & Z'�est , t,+ ,;; m p� �a ,� ,� . 72, Undergraund Hifth > � 24.'Roo�FrBming' �x `"� �"�' * '= � � "` ,, 7�, Under "d. St ",a�'e TanF � Gas Q��I t- ' x �: � F r+: 9rh R� � 1^ ' '.� L F {i; �: �� u � � v 25. Roof.,Sh�ething F- ;..; �. q;� c• x 7C4�. Overhead Hydw^�, � 26.=T-BatCeiling (St u�i"�tural) &�IIAtm,gpoat '� x d �* �. Dry Chemiwl � y - ` � = 4 k 's, >• ` ..` 4 `. %� ... � 2?.:Frame ar�d Flashi�i Cxx � �, �, mx 76. Dry Scaniipip��ma � u � a,.�-. �1 28. LattY(ng� Sidinga� %' "y�� = . .. '•.* �. FIXED�,S�ST��INAL� < <'r °�� :. � :' i � t-� .. .. � sr �n ' rt ' � �' .. ' 29. Insulati4,n ,c;-; � .• x , � �C 7B-+FIRE PREV. FiN'AL x = � - � 30. Drywall Nailing F'X F �� + I � Si; *i QNHEAIi,�i DEP*T`AEQUIREMENT •,.,,_ ' �� t: y,: -ix � N: r xa . C.� -r r= S 31. Plaster Qtown Co�tar � r�-- x ( � r 75. FINA�$NSPECTz�ON , - - 32. �IectricihPoWer Meter^.Finai F. St � f� � 8ff. FOOD CERTI�1�!ATE xSSfUEp , � 33._`�F.in�I�EI,�`ctriE C+? r � 2 Y`� p' t'it ,• ' � r� -O� R�i:U6 N" k �-�i e,_flfl n��. , .. . . : . _ . ' � 34. �FinatH�azing-$ AirsCorid�itionitj:g5 f: X ' I ,t, h - � /� p /� R� ^ - - Ynt M ;['� I � �Si. I��VW � c�/iT�1* ��'____V' r e !` %� C i �� 1 IK i � [ 1 p7;� +' '*+ 35..FinaTGa�.PiPg:T�,�,^� .. w f, 1 i y � p:o p�-+ �: .T �.., .. "�, .. .. '� ,�. : 36.�Hood o�=CannPV r�� -� !* �- a � !1 � 1 E• �, �^:o i •r � cm x I Lr: .'�"O " W n i�, � ,'j 37. ;Finaf FactorY Fir��,'A�i��. . r»`,�. �., !; �' i � � r J.: i� * ''- 38. Finaf Plumbing � w �.r, � �,., }: �� , M: � H '* "" Y �-+ C! a � 39. Water S�"rvice�Fir�l�` `" * , " � r' `' �' r� r£ !: c� r a� 40. Gas Seruxce-Final : �� - � a: r± � iv C�a, �ar_51 M x �. � �� 41. Solar DOmestic-Fin �1 = � '- � w i� . "'' � � `�• : �,c _w 42.'Backflow Preventer: � n; � ' x � ��- + C' �- �,� rn �T �' � n �- 43. Backflow IrrTation�� ^ �S= * i� "'�� " �.'. �: . r,� ;t n. .i r �.44. Landscap,elry`igationSyster��7i %?� r `�r,„ S�; �; xn�� • � t'. �..-.. a� r^ >; F �d5.Sound AtteRuatiorih `� �F � �'?- rE"„ �.�'�., �i � � C,� �r' x' �i6.�Flandica� Regulatiocis �, ;- ' � � � < ` c i o r , 1 R Y. y ��. Y 47.�1 �l STROCTURE & BUfLDING � F ! * ^ `U , ,.,, � .- � 48.`-_FIf�AL PLAIVNINCr '-r-• -� ;ti I • .� �• .'" �'I� w � � r I` (. f' C" r G' .-49.cElectrie Release to Edison - '" ', K ` �, ,i'� i' 1 ;r b0._&as�elease to Sout�iem Califocnia Gas Cn a � ' >: • �- �= • c r ; �' ' r�:, r:. A. nl 51. CERTI�ICATE OF OCCUPANCI' � 5 . ^ � .. * - ' �t No Date u PNQIECipDUflESS: 9y% AZALEA DR uxir: CITY OF COSTA MESA — HUILDING PERMIT PERM PdO: B 06996` OWNEH'SNRME: KESLER, HARVEY P FLOOD: AH-38 nooxess: 997 AZALEA DR PERMIT NO; B 069965 PLAN CHECK NO: p] GOVT; "1 SUPb': iJ COSTA MESA,CA 92626 CONSTRUCTION TYPE: C'—N PERMIT TYPE: STR FURPOSE: OTH qPCH/ENGINEEfl: flEG.NO.: ROOPE55: UNIT: PEBMITTEE: I'E4zq N JANSSAOPdSTRUCTION ( 714 ) 533-4900 aoonEss: ANAHEIM CA 92805 IICEN5E0 CONTPACTOB OECLAHp710N: I here�y affirm thal I am licensetl under pmvisions ot ChaOter 9(commencing with Section 7000� of �ivision �3 7of the Business and Professions Cotle anJ my license is in full lorce and eflect CITY LIC.: �(��G�STATE LIC.: 9 1 6 S� S cuss: C— 3 9 EX P: Oa �'—/7�/ � Signa�ure:� _�� OflNEPS' COMPENSpTION OECIAPATION: I hereby aifirm �hat I have a certificale of consent to sell-insure or a certifica[e oi Workers' Compensation �s�a�ice� ��cgtj(ie� r�py t�ereof (Sec[ion 3800, Lab. f�)D � O S� 9 S eoucr no.: gTATE FUND E%P.OATE: COMPANY: ,�( ❑ Certified coPy is hereby tumished. Lf Certifietl copy is �i�ed wi[h the ciry Builtling Uivision. � � -o � Oate: ' � AOP��canC / �"�"� MPTION FPOM WOBHEflS' CUMPENSRTION OECtAPRTION: (This section neeA nol be cam0leted ilihe permil is lar ane huntlretl (51W) or less). I ceriify Ihat in tbe per�ormance ol �he work for which Ihis permi� is i55ue4 I shall no� emplay any person in any manner so a510 6ecome suble�� m the WOMers' Compensation Laws o� Calitomia. �aie: Signa�ure: NO710E: If. aiter making Ihis Oeclaration, you should hecome sublec� �o the Workers' Compensatian pwvisions of the Labor Code. you must fonhwilh comply with such pmvisions or ihfs permit shall 6e deemed revoketl. ' CONSTNUCTION LENUING AGENLY: I hereby affirm that there is a cansimctian lentling agency for the pertormance of Ihe work br which Ihis permitis issued (Sec�ion 3097, Civ. C). LENUEN: aooxess: OWNEB BUIL�EH OECLAHFTION: I here6y aifirm that I am exemD� �ram [he Con[racmrs' State License Law tor ihe following reason �Section 7031.5 Business antl Pmfessional CoOe: Nny city oi counry which requires a permii to construct, alter, improve, demolish, or repair any SlrutWr¢. prior Io i�s issuanCe. also requires fhe apDliCanl lof Suth permit lo file a Signe� 5taiemen� t�a� he/She is licen5etl pursuant ro t�e pmvisions ot the Coniracmrs' Sea�e License Law (Chapter 9(commencing vnlh Section 7000� ot �ivision 3 af �he Business antl Prolessions Gotle) or ihat hels�e is exempt therefmm anA the 6asis for �he allegetl exemption. Fny violation at Section 703L5 �y any aOPlicantfor a permil subjects ihe applicant m a civil penalty oi not more ihan five hundred dollars (5500). I, as owner oi �he pmperty or my employees wilh wages as t�eir sole compensation, will tla ihe woM1, antl the ❑ simcture is not intendetl or o/tered for sale (Section 704a. Business antl Professional Code: The Coniractars' State License Law tloes not aPPN ro an owner of a pmpetlY who bwlds or impmves ihereon, antl who does suth work himselt/herself or thrauAh his or her own employees. provi0ea Ihat such impmvements are not intentletl or oflered for saie. If, however t�e 6uiltling ur imOmvement is sold wiihin one year oi completion. [he owner will have �he burtlen o� pmving he/she tliA not 6ui10 or improve . for �he pu��ose ot sale). I, as owner of the pmpeny. am exclusively coniracting with licensed contractors to consimct ihe prole�� (Seetion 7044, Business ❑ anA Pmfessions Cotle: The Contactors' State License Law aoes not apply to an owner of pmpeM who bwlds or impmves thereon ana who coniracis for suc� pmlecis with a conlractoqs�license pursuant m the Conlractars' State License Law�. I am aware thal pmoi a� their Worker's Compensalion insu�ance shoultl be Omvitled �a me. � I am exempi untler Section'. 8. 8 P. C. lor I�is reason: JOB DESCRIPTION ; T/OFF 6 REROOF W/COMP. SHINGLES SQ FT; 5,800 CLAIM VALLiE; 5,80a,00 CALC—VALUE: 5,800.00 GROUP OCC; R-3 / COMMENTS; SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM S HALLWAY, 1991 UBC *«�**�i�*i��f�c*jt**jt�rr�******-��rt***at�-+e�t�ra�+F-�**�tit�t+a+E***+t�x-**r+�u��tit*#**3€iE*+�xec�-+Eia+F****at***+� Z O N I N G R E Q U I R E M E P1 T S ' S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT ZN P.EAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT I�7 RGf?T; FT IN PARKING RE • PROV: PARCEL; 41217301 ZDJE: REF D70; PLANNIPdG N 'I'ES> � iE iF if iE iF #+f +t ih iF iE if if i! at #x i:� #+F if if iE i(� �)E if -fF # ii-1f i� i� it aE iE iE iE # if +t it # it aF i'- aE iE k 3F if if if vF it iE at iE if-aF i6 � if if �M # i(- #E aE iE #-k if -IE iF iF iF if iF if if D E V E L O P A1 E N T S E R V I C E S R E Q U I R E h1 E N T S ZONZA7G APPP.00'ED BY DATE; � BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY: � DATE; ir**+*+F�*��-x�***�ri��r*�rx�ie*#�r��**x��*r�* x--�..*x�+�*��v*�r+r+rir**+�-*-r�*�c-*�*rt�*+r � +�-,��rt ��* +� 9f iE jt ic� iE �If if -u it iE iE �F iE if'�i4 iE ii� i(- iE iE iE iE iF Y-if iF �1E iE �7! �)f �)f 1t if iE iE iE iE # iE iE �4 iF �IE!E iF jF'rt iF iF §t 1F iE jt i(� iE iE iF aF if i!� if iM #'� i4 it if if ±f +e+F jP iF r fE it it+f iF+E LEGALI2ATZODI;N F E E 5 U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIF:RES GRADING PERMIT 81,00 ,58 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL5----� 81.58 0,00 0.00 REVENUE DIC�ISION TOTALS--> COLLECTED; BLDG PMT FLUMHING ELECTRIC MECHANIC 81,00 TOTAL PAID DUE 81.58 81,58 ,00 81.58 OVER/SHORT: 00 FIRE SMIF/TOT GRAPIPdG PLAN—CHECK .58 iF if iF+i it �If 1F iF if if iF iE jE if 3E iE if iE i! if it 1E iF jE iF i4 iE iF iE iF iE i!-If it iF �i K 1E iF #�1t M+! �f iE iE it ii if +f M iF iF �c if it iE * iF aE iE M jf iR # 1f jF+E it IF iF iF aF if if iF if iF aE I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UA7IT COST TOTAL COST Oale: Ownec I SFR I Oa hereby cetlily Ihat I am aware o� antl untlerstand �he requiremen�s ol Cali�ornia HeaIN anC Satery Cotle Sections 2550.5, 25533, antl 2553a anA thai I or any �uNre builtling accupant will/will not (circle one) need m comply with saitl state coees and I�e requirements for a permii for cons�mciion or modificaiion �mm Ihe Air Ouality Manag¢menf Oist�eL fleiitlentul eonslruciion applications are exempl tmm Ihese pmvisions. �a�e: Applicani: I hereby cer�ify ��a� I have read Ihis applica�ion antl s�ate lhat �he above infolmaiion is coffecL I agr¢e �o comply wi�h all city antl county ortlinances and state laws rela�ing �o builtling constmc�ion antl he�eby aNhorize representatives 0� Ihis ciry �o en�er upon the above-men�ioned pmpeny /lor inspecUon purpoCses.e� ��., p �%: //—� �— / / Signa�ure'. �/�-fi�� ver's �icense or social security a: t641-46 Whi�e—Buiiding: Green—Cotle Enlorcemen�; Ganary—Applicanl; Pink—Reve�ue: GOldenro0—Assessor S8Q0 RERUOF HY VP.LUE RESIDENTIAL NOZONE ENP OF FEES ��it�@�CE DETEGTC�f� 1 A��N�� 7.00 5.8QO.Q0 �1 U6]71o^71-002:1$?? T ��T DATEs li�i��pa rrn�z o4.57 � 1 . CONSTRUCTION AND PLqNNFNG � J P00. . SPA APPROVALS Permlt # � Date Inspector qppROVALS Permit # Date Inspector . 1. Temporary Electricaf Ser'v� or Pole 52. Pooi & Equipment Location 2. Soi! Pipe�llndrgrnd. . ' 53. Steel Reintorcement � 3. Electrical Conduit Utility-Undrqrnd. 54. Forms �� 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding 5. Steel Relnforcement ' S6. Rough Plumhing & Prassure Test 6. Electrical UFER Grnd. 57. APPROVAL TO GOVER GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test B. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, C7 Undrgrnd. 10. Structural Floor SYstem � 67. APPROVAL TO fJECK 11. Property Sewer �ine & House Connection . 62. Backwash & ReceprorFinal 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Pfumbin� System„- Final 74. Raugh Plumbing 65. Electrical�Finai � 15. Rough Electrical-Conduit 66. Solar System�Final 16. Rough Electric Wiring 67. Fencing & Access'',:ApProvei 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rou h Electrical-T Bar Ceilin � 9 9 69. POOL/SPASYSTEMSFINAL 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Vemilating 71. Product Piping OGas OOiI 23. Gas Pipe�Rough & 7est 72. Underground Flush 24. Roof Framing 73. Undergrnd. Smraye Tank O Gas � Oil 25. Roof Sheathing `��t8�'L� (��'f ;4. Overhead Hydro 2&. T�Bar Ceiling fStructuraly & Monocoat 75. Dry Chemical 27. Frame and Fiashing . . 76. Dry Standpipe �� 2$. Lathing&Siding . 77. FIXEDSYSTEMJFINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing HEALTW DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Finai Electric � Notes: � 34. Final Heating & Air Conditioning '� ', 35. Fina� Gas Pipe-Test � 36. Hood or Canopy �♦ 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service�Final ' 0.0. GssService-final � �. 41. Solar pomestic-Final A2. Backflow Preventer 43. Backflow Irrigation � ^ 44; Landscape irrigation System �� 45. Sound Attenuation 46. Handicap Regulations ' �� 47. PINAL STRUCTURE & BUILDING jZ_Gj'(f (�j� II 48. FiNALPLANNING !�- � 49. Electric'Re�ease to Edison ' '� � 50. Gas Release to Souther� California Gas Co r` il 51. CERTIFICATE OF OCCUPANCY No. Date ZD Z . wW a U Z Z� ON am J � J � Q W m J m J Q UN za w� aw wz J Q m z J � W Z �-- w� �¢ �o 3b=i 13 `^� 11-�3Nn�� QU 6'i 5'> ^'::^� 126.n5 COSTA MESA BUILDING-SAFETY DEPARTMENT ' � � �$R P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � ' AP ATION FOR BUILDING PERMIT For Applican[ to Fill in Completely R E av TE REC IVED DATE ISSUED BUILDING � � q� � ADORESS iK PE �T(J�.^ OWNER 1.3iW1R S Calif. A.P• NO. LL � MAIL � u4�16255 Ventura Blvd, ADDflE S G//�' ADDRESS �'C`'"` z� cirv Encino, California No�'986-5890 rRacr 7718 �or193 e�ocK CON5TFUCTION Larwin Southern California W Aoo v LENDER BRANCH 16255 Ventura Blvd. � �� aooaess Encino, California OWNER LA/Z�^'/+'� Jo ARCHITECT TEL S SFRES W VAWE 'rI /�M7 OR ENGMEER 1.3YW111 $ d311f n, . 273-4 64 '�T �A%� $ �� f'�� FIRE AooAess 9100 Wilshire Blvd. Bev. Hills ZONE TVPE GROU CONTRACTOR Larwin Southern California evP�ovE / DATE �- � �i 'ADORESS 16255 Ventura Boulevard TEL. ZONE NO.OF USE OF NEW,�.�CES /� cirv Encino, California No. 986-8890 — P�+� BUILDINGA ,C,o� STATE CITV YAFDSAPPROVED YARDSAPPROVED ��c. n,o. 191311 LIC. NO. B'1 MAIN BUILDING ACCESSORV BUILDING .OF LOT �1 X$9 NO.OF BLDGS. (FROM C/LSTREET) NOW ON LOT O FROMfT FT, FT. USE OF ry EXI5TING BLDG, S a.�� FT. SIZE OF NO. OF rvewa�oc. 1436 ROOMS STORIES 1 L.SIDE FT. FT. EXTERIOfl WA4L ROOF COVERING StllCCO COVERING WOOCI shin le REAR FT. FT. USE OF BUILqING AND WORK TO BE PERFORMED DI5TANCE BET. BEf, MAIN & MAIN BLDGS. ACCESS. BLOGS. Construct Single Family Residenc C URP � AP ROVEO APPROVED � �j T / � liOLD FOR SPEC R� E NTS I heraby acknowletlge thet I have read this appliceiion antl state -J • �hat the above information is correct antl agree to comply with all laws regulatinB builtling construction, antl 1 shell not employ .T.� �any person in violation of the workman's compensation laws of the State of California. °� / � I hereby certity that I am properly licensetl as a conttactor under n• FT. o tha Staie of California Businass and Professions Cotla, Division 3, T E AMOUNTSH N UNDER VALUATION IS,FOR � Chapter 9, and that such licenses are in tull forca end etfect, or I THE PVRPOSE OF ABLISHING A PERMIT FEE ONLY: ¢ am exempt from the provisions of the State of California Businass yqLUAT10N and Professions Cotle, Divislon 3, Ghapter 9. 83. QO N PERMIT FEE $ � Sienature o �' �/ m Permltte I�� D. DOWI15 g 'l,Q�lOO PLANCHECK$ �#L.SO E `o Auxhorizetl Agent LL TOTALFEE $LZ�F.SO OWNER J08 AC same DESCRIPTION DAit BUILDING PERMI SUBCONTRACTOR PROP. SWft. LINE � HOUSE CON. � SPRINKLING SVST M -� MISC@LLANEOUS ROUGH HEATING ANO AIR CONDITIONI TEMPORARY SEftVILE OR POLE UNOEpGROUN� � POWER � fiOIIGN WIRING TRENCHES � FORMS STEEL FLOOp SVSTEM BONO BEAM � STEEL REINFORC SHEATHING FRAME ANO F�pSHING �qTHING - IN OUT �'�_ PL" 'ER, BROWN COAT 51 ,'UFAL, FINAL HEATING, VENT., REFRIG. PNO p.C., PLUMBING, FINAL AND GAS TfST ry ELECTFIC, FINAL BUILOING, FINA� � CI'__ OF COSTA MESA REQIIEST FOR OCCL .ZCY �7 ��-10� � � �� TRACT N0. � � � � DATE Lox rro, ,Ll � anDxEss l� The developer'of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they)�(was or were) (,J Q S advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval o�hich were imposed by the City at the time the fiaal tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond, The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementiohed uncompleted condition. RECE�IVED ?' CTirn� nnEStl i^!GV 1 u 1�73 A� P89 71�i��ID�SIO�ii.i1%di�$i�E6 e BY �� chaser � �_ �,� BY �—� � �uzl� �-1��; Lf�i�((� Developer and/or authorized representacive BY �� z�� l/ir�4 Lender ' �