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HomeMy WebLinkAbout235 SHERWOOD PL - Building Permits PROJECT ADDRESS: 235 SHERWOOD PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06580C OWNER'S NAME: EVANS, G BRENT ADDRESS: EVANS, EMILY B PERMIT NO: B 065800 PLAN CHECK NO: N GOVT: N SUPP : N P 235 .SHERW00D PL COSTA MESA, CA 642-0848 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: SIR PURPOSE: REP ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMP SHINGLES SQ FT: 6, 250 '' ADDRESS: UNIT: CLAIM VALUE: 6, 250 . 00 CALC—VALUE: 6, 250 . 00 GROUP OCC: R-3 /M-1 PERMITTEE: BEEMAN CONSTRUCTION ( 714 ) 650-4474 ADDRESS: 2822 SPEER AVE 1 COMMENTS: SMOKE DETECTORS REQ PER 1991 UBC, REROOF 3000SF RESID W/COMP SHIN HUNTINGTON BEACH CA 92646 *****Sr�E****�6***�H****�6*****56*******+r*�HSF*******+r*�H*�F +6**S6�H****�E*+r**+E�k�E *�6***�k**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIREMENT pl/E DET L �, 70001 of Division 3 0l the Business and Professions Code.and my license is in full force and effect. SETBACKS T� LJ ����.¢ - CITYLIC.: 058488 STATE UC.:614008 CLASS: B " !!!00011! 7 Date t-24 — 7 y signature _ �F MAIN BUILDING ACCESSORY WORKERS'COMPENSATION DECLARATION: hereby affirm that I have a certificate of otconsent self-insure or a certificate of Workers' FRNT; FT I N REAR: FT I N FRNT; FT I N R "' I N Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP. PARKING REQ: PROV: PARCEL : 42620240 ZNE: REF NO: COMPANY: PLANNING NOTES> El Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. .. ******************************************************************************* Date: Applicant: D E V E,,L O P M E N T SERVICES R E Q U I R E M E N T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($10)or less). I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ZONING APPROVED BY subject to the Workers'Compensation Laws of California. DATE: t _ 2 o ,. Date `zY ^ Y Y signature: BUILDING APPROVED BY NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor a DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.• 2 p/E *' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE- tI Z .7�L'1 which this permit is issued(Section 3097, Civ C). ****** **.**3E***.'**********************'N'****** ******************4*** ****4-*'if** LENDER: **************3E****************************************************if*********** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y OWNER BUILDER DECLARATION: I hereby affirm that I em exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 90 . 00 . 63 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt Therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty bf not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with Wages as their sole compensation, will do the work, and the TOTALS----> 90 . 63 0 . 00 0 . 00 90. 63 90 . 63 . 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 90 . 63 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose at sale). 90 . 00 . 63 I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code The Contractors'State License Law goes not apply to an owner of property who builds or improves thereon ******,***,*,*,******************************************444**************4****4444 and who contracts for such protects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAK D OWN ❑ I am exempt under Section: B.B P. C. for this reason TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFR 6250 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 250 . 00 I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle One)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date'. Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city tO enter upon the above-mentioned property for inspection purposes Date:) `/. 4 • 9 f signator �O'/i614a ,4./91/4.4-i-E 01 00154127-031154238 TOT 90.63 Driver's License or Social Security x: DATE: 01/24/94 TINE: 09:10 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue,Goldenrod—Assessor I POOL & SPA • ---�- jI APPROVALS Permit# -CONSTRUCTION AND PLANNING - Date Inspector APPROVALS Permit# T Date Inspector . 1. Temporary Electrical Service or Pole 52, Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement 3. Electrics! Conduit iJtility-Undrgrnd. 54. Forms i 4:Eleetr?cal Conduit-Undrgrnd. I - • 55. Electrical Bonding { 5, Ste',ii Reinforcement 56. Rough Plumbing & Pressure Test I 6. E.ectrica' LIFER Grnd • _+ 57. APPROVAL TO COVER-GUNITE I L 7. Footings 58. Electrical Conduit-Undrgrnc. 444 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test ---1 I. 9. Water Pipe-Undrgrnd. 1 60. Backwash Lines, P-Trap, 0 Undrgrnd. I 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sesser Ling & House Connection I 62. Backwash & Receptor-Flea! i, 12. Sewer Cap ' i 63 . Heater & Vent-Final I I13. Roof Drains - 64. Plumbing System - Final 1 14. Rough Plumbing 65. Electrical-Final 15. Rouyh ElectrIc�al-Corrduit �- 66. Solar System-Final 16, Rough ElectricWiring 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 Hearing & Air Conditioning FIRE DEPT. REQUIREMENT 28 P.oi.yh Factory Fireplace _ , r' APPROVALS Permit # 21. Dvaits, m Structure • i 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping n Gas Ll Oil 23.'Gy; Pipe-Rough & Test -•-- � 72. Underground Flush i 24. Roof Framing . - 73. Undergrnd.Storage Tank :J Gas 0 Oil 25. Roof Sheathing -2 rj- t. G4oe/-' 74. Overhead Hydro -� 2.6. T-Ear Ceiling (Structural) & Monocoat ��- 75. Diy Chemical . 27.. Frame and Flash,n0 76. Dry S.^ rdp+P_ 28. Lath ng & 5` ing• 77. FIXED SYSTE1Si FINAL 1 j 25. Insulation . , 78. FIRE PREY- FINAL I ( J 30_ Dysoali Nailing I HEALTH DEPT. REQUIREMENT 1 31. Raster sown Coat .. I 79. FINAL INSPECTION--! 1---- 32 E'cctncai Po-.ver Meter-Final .807( .80- FOOD CERTIFICATE ISSUED ----I�_--- 1 33. Find Electric _ Nbtes: 34, Final Heating & Air Conditioning - -�- - 35. Final Gas Pibe-Test _ _ ---- ---- - - - 36. Hand pr Canopy 37. Final Factory Fireplace - _ 38. Final Plumbing - - - 399. Water Service-Final 1 40. Gas Sera-ice-Final � 41. Solar Come tic-Fina( 42. Backflow Preventer. • - III _ mo 43. Backflow Irrigation :�- -�-� _ i H 44. Landscape irrigatiod ystetp. • i i .. _..-. -_,...---- ---t 1. 45. Sou:id Attenuation - _ - HI .48. Handicap Regulations - - 47. FINAL STPUCTUR✓;L-- & BGNt DING LH ci_ G1(f '�./�' It 48. FINAL PLANNING 's • 3q ` 4 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - _ No Date PROJECT ADDRESS: 235 SHERWOOD PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 065703 OWNEWSNAME: EVANS, G BRENT ADDRESS: EVANS, EMILY B PERMIT NO: E 065703 PLAN CHECK NO; N GOVT: N SUPP: N 235 SHERWOOD PL COSTA MESA,CA 92627 CONSTRUCTION TYPE; V—N PERMIT TYPE; ELE PURPOSE; ADD 6420848 ARCH/ENGINEER: TIM DAILY REG.ND.: 39489 JOB DESCRIPTION ; ADD KITCHEN NOOK SQ FT: ADDRESS: 9332 WINTERWOOD CIR UNIT: HE CA 92629 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 / PERMITTEE: MICHAEL DAVID MC KAY ( 714 ) 266-3948 ADDRESS: 14911 QUILL CIR, COMMENTS ; REF: B-65702 H.B . CA 92647 yFy6*****************x**+Fyt*+r***+t*a6xaEaE*+rx*+F****+t+F+F*xy6aEaEaE+rx****aE* *******x*yErt****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Pmtessions Code, and my license is in full force and e eel. SETBACKS CI : STATELIC.:634708 1 • B Dale: Signature:_. A.L �, MAIN BUILDING ACCESSORY BUILDING r•KERS'COMP NSATION DECLARATION: I hereby affirm that I have a certificate of consent o sell-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 42620240 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: "- EXEMPTIONFROMWORKERS'COMPENSATION DECLARATION: (This section need not be completed if the per,it is for one hundred($100)or less). DEVELOPMENT S. E R V I C E S REQUIREMENTS I certify That in the perform nce of the work for which this permit is issued,I shall empl, any perlin in any mann r As to become •t'ct to the W rkers' GG • mpensation Laws of California. i, ,/ ZONING APPROVED BY DATE; Dale: I �i37 Signature: •N/(/L— _ �' DTICE:It.after making this declaration,you should become subject to the Workers'Comperrrrrovisions tithe Labor BUILDING APPROVED BY : DATE; Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. P. ,!. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; DATE: which this permit is issued(Section 3097,Civ. Cl. A **********************************,* E ************************ ** LENDER: �i ********************************************************************* *** ***** ADDRESS: / • LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTIC ' MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 33---%30 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuanto the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN %5 . 0%/_ $MIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ;• any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars($500). ISSUE FEE 1-5 • 0 0, . I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN;.CH£CK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 33 . 30 15 • 00 • ,,,0'• 00 48 . 30 48 . 30 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or7 . 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COL"L ECTED'; " 4 8 , 30 OVER/SHORT: forme purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 48 . 30 • ) it ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contraclor(s)license pursuant to the Contractors'State License Law).I am aware **************************************************************.*.*.*.*.*.*.*.*..7E**.**.***.* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL' .F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. ' for this reason: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: Owner: ELE 20 FIXTURES, LIGHTING .1 ST 20 EA. • 75 15 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 4 FIXTURE$ LIGHTING ADDITIONAL EA 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a ELE 7 REC EP T/OUTLET :"1" ST 20 EA. . 45 7 5 5 . 2 5 5 . 25 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from (hese provisions. ELE 15 REC EP T/SWITCH 1 ST 20 EA• . 75 11 . 25 END' OF FEES Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree ti imply with all city and county , ordinances and stale laws relating to building construction and hereby authors r presen es of this city,enter upon the above-mentioned 01 property for ins ection parrposes Date: )//- y 4 signature: � ' , DATE: 31/13/94 TIME: y TOT 48.30 rE: 10:44 nver's License or Social Security 4: 164145 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit Date inspector APPROVALS Permit ;k Date Impactor 1 _ .. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locat'on • I 2, So I Pine Untiromd. ! 53. Steel Remfn cement j I 3_Ele trio•: Conduit Ut.iity-U^drgrrd. I 54. Fa;ms -- 41-c.ectr c.• Condiit-Undrgrnd. 55. Electrical Bond•ng • E. Sale' Rr.-rforcement I 56. Rough Plumbing & Pressure Test . ' -£, E ITT. LIFER 57. APPROVAL TO COVER-GUNITE ' I 7. Footing+ 58. Electrical Condu;t-Unwrgrnd. 8. Foundat on 59. Gas Pape, ❑ Undrgrnd.,Test I 1 9. 4later Ppa Undrgrnd. 60. Backwash Lines, P-Trap, C Urndrgrnd. i 10. Structural Floor System , ( 61. APPROVAL TO DECK I 11. Property Se:,er Line & House Connection 62. Backwash & Receptor-Final +I 12. Sewer Cap 63. Heater & Vent-Final I 12_. Roos Drains - --164. Plumbing System - Ft r14 Reuch Dumbing 65. Electrical-Final 1 r 15 Ro.:gh ,7ectrical•Conduit 66. Solar System-Final 16. Rough htectric Wiring /.2J4g J ^ ,.4.Z7. Fencing & Access Approval T r I 17. Rough 'tiring Sign 68 APPROVED FOR PLASTERING i 18. Rough Electrical-7 Car Cell:ry 69. POOL%SPA SYSTE:-:s FINAL I I 19 •Rcuch :'at- .g & A1r Condit oning I FIRE DEPT. REQUIREMENT 22. P„• •4 (ec:atyrirea:aro - I -APPROVALS Permit=- I 21. Du.ts, I-, Structure -f I ---1t- 70. Lnde•°.cline Fivt o 1 L • 22. Dust, l artrdtin9. , '71. Product P!11 rig -'Gas LEI04 23. Gt: n Rou h & Test 9 72. Underground Flusi, 24. Roos Fra m,rg _L_L •73. ,Under gr nU.Storage Tank C Gas C GI I 1 i 25. Roe' St athing _ - • ( 74. Overhead Hydro I I 2u. T$a' Cr' ling (Structural: is Ib1pnocoat - J5, Dry Chem-cal - _----- ---_�-I 27, Frame and Flashing • 1 - • I 76. Dry Stir ---f -__- • 1- 28. Lath-n0 & Siding t • 77. FIXED SYSTFFi FINAL 1 29. Insulation - - I 78. FIRE PREV. FINAL I 30 Dt�,c.a'I Ma,lino i • I HEALTH DEPT. REOUIREv1E1tT I --- ---- -- --- ---- ----- --- - -------- - - - - I31. Paster nrornt Coat I I. 79. FINAL INSPECTION _ t 32 :E',-rr,;.;: r'>..er ).talc--Final --I 80. FOOD CFR7Ic CAtE ISSUED _II__ __ -- i /6 34. F.1r' t+•.ct.nq& AI, Cox''..•orong ØØ' 4 I L � "� /,,,�s// �����.�pd,�,_,,, L • -Ilea' •:,, >ifsi.T-.N'Kf - �/ ( ' r 35. Final Grs Pipe-Tast, - - • 36. Ho,ri cr Canopy - - 4 . 37 ._a F. ctc,y F r^p ace - - - _ ,- - ' • I- 38. F n-: I-- Limping . . 39. :ort ar E rvica-Final -, -_--- -_ -_. ___ _ _ 1 - - 40. Ga S. JccF al - - '-- - ---- --- --- --�f�t- _ I - ---- - -- --------- • • 42. Eacrcfio-: Pre renter - -_ - - ---------- 43. Backflow Irrigation I �- --- 44. Landscape Irrigation System- - --{I , 45. Sound Attenuation • i - - - - - - 46. Handicap Regulations - 47. FINAL STRUCTURE & 6U(LOING -- - ------- - ---- - _----- -- _ -~ 48 FINAL PLANNING _ -- _---- I49. EE ' Lctric Release to Edison __ F I 50 Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date IPA i PROJECT ADDRESS: 239 Si .9;d00D PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NG: E 06197'_ OWNER'S NAME: `!`u — G 34ENT — �Q �� ADDRESS: E`7AVST 'X- Y B PERMIT NO: B 061973 PLAN CHECK ,J NO: - �a`� N GOVT: �� SUMP : ti •J 23: S: ZRROOD ?L c COUTA " 'SA CA 92627 CONSTRUCTION TYPE: S—.N PERMIT TYPE: STR NUAPOSE: AEP / ( 7_4 ) 642 O,F,43 • ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : GENE.2AL REPAIRS TO AN EXISTING BATHROOM SQ FT: :,, 000 ADDRESS: UNIT: CLAIM VALUE: 5, 000 . 00 CALC—VALDE: 5, 000 . 00 GROUP OCC: R-3 / PERMITTEE: BRENT E 1•2—:: Y VANS ( 714 ) 642-0348 • ADDRESS: 23S S:1_:t�TOE OD nL COMMENTS - REPLACE LEAKY FIXTURES SHOWER PAN TILING P" L' MAN ETC, COSTA MESA CA 92627 **>t*'E***4******,<** *#*:,s ****** Ae * + #**x•**#{r#**tE*3;*4+Ex***** u•* ><p .. :alt** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR E ' S N T S /�QM� heap \\ 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACK S ( •�Q `q Ors � �J CITY LIC.: STATE LIC.: CUSS: ` i .L O Date: Signature: MAIN BUILDING ACCESSORY 3UILD:XG ----Bern!. WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self.insure or a certificate of Workers' FRNT: FT IN HEAR: FT IN FRNT: FT IN REAR; T IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EAP.DATE: COMPANY: PARKING REO: PROV: PARCEL: 42620240 ZNE: REF NO: O Certified copy is hereby furnished. 0 Cenified copy is filed with the city Building Division. PLANNING NOTES> • Date: Applicant: *3E##'r#iE****?EiEif?t:'F*****************#3F***************lf#K-**X***************,******* :t# EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TITS section need not be competed it the permit is for one hundred(5100(or less). DEVELOPMENT SERVICES R E Q U I H E M E `.( •S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California' ZONING APPROVED BY DATE: • — if- 3a - q 3 Date: Signature: •/�' �. `l t,G� NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : _ DATE: ` Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. r , • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y' e, _.....,,4. - DATE• 3e 3 3097.issued(Section C). ********************** kis rtw ,c*, re* n n***sex•® ' 4c St***SiHn ft ********+•:':.., 'u. ,.. ,t,• c,, . ::* LENDER: * * !E * ****** ********************************* :**********************;:f*3t +: h ***:.* ADDRESS: LEGALIZATION: N F E E S U Me M A R Y STHUCTURA: SEGMENT: Y if OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State license Law for the following reason '�. BLDG PMT PLUMBING ELECTRIC 1F£CHANIC FIRE SHIP/AES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or p ERM I T 7 2 . 0 0 . • ,50 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed .. pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business y SMI?/JNON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN - ^ , any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollars($500). ISSUE FEE ' 1, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN,—rCHECK 1'0'.AL PAID •,) S ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 72 . 50 0 . 00 • 0. OA . 72 , 50 72 . 50 . 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or throughht improvemeown solemployees. wttnn one year Of Completiothat such n the ownerements are witnot intended or have the burden ffered for sale.If.ol proving he/she did noler the build or iimDove REVENUE DIVISION ng orTOTALS--> COLLECT•ED:x;: 72. 50 OVER/SHORT: 00 for BLDG PMT PLUMBING ELECTRIC MECHANIC '- FIRE SHIP/TOT GRADING PLAN—C.dSCK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 72 . 00 ' . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •) and who contracts for such projects with a contractors)license pursuant to the Contractors'Stale License Law).I am aware ********************************************%*if#*-**K*********** **********x**** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN 0 I am exempt under Section:B P 7 0 4 4 B.a P.C. 7. for reason:, BYOWNER 3 NER & CONTRACTOR_ p J f TYPE QTY DESCRIPTIO.-N UNIT COST 'DILA?AL COST. Date: /V� �A �� O SFR 5000 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 5, 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,[5533,and END OF FEES 25534 and that I or any future building occupant y it/will not(circle one)need to comply with said state codes and the requirements for a - permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. '� - Date: Applicant- I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned I, , - F' property tot inspection purposes. - ' ' J ��F" 01 00138283-00138289 TOT 72.50 Date: 1 3� - 3 Signature: / / (n �� . DATE: 04/30/93 TIME: 13:58 Driver's License or Social Security r: " 1641.46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor I CO',STiR UCi 1ON AND PLANNINGPOOL W SPA Ar.;ROVALS Permit ;.- Date I Ir. prctor APPROVALS Permit s', I C't "_pec:or 1. T mp Crary Electrical Srwee or Pole 52. Pcol & Equipment Locaton I • I 7. S'.1 ? r. Und'Tr:1 I 153. Stnc' Runforcemi'M -� _ 'OIm 1 .d F _ f.e^do't-L,:d,.,rd I 1 55. Electrical Ranging Y--- ,. •e _ __---- - - - - ! 211F!ill -,.h Plumb n7 E P ._ La c T.- -__. __ - ' E:) . .,.d -� t`i/. PP°PUVA! TO CD':''N GI! 1E — -- - ---I- + — — --- -- , - [---i Fur t i . 1 158. F I:ctrical Condu,t Lr Lgrnc'. 1 C ! ..,,U t opt , 57. Gas rip,, ( i tuna yn,. , l i.st I nt ;. r;,n.:.r.r-r---_.-- _ - - - _ .--_ GD. Crtl:r.ash L, p.T. o ,,-d. r ,, • • Si + G-raw acv;� D .:L c -- ;- — — � G7. Reeks..a,n & root. �• ` ; I 63. Heater & Vent-Finai I I .. , ---I___ 64. P'umnnng System F• r,:! -,,-- - - - c I . Sol„r S'ist.m,F .tCne - -I- _ _.__--.- i Fencing & Access Apwu,al -- -' ' I /. Fo:cnh V nog Sign G8. APPROVED FOR PLA.'iI ENING 139. POO'_iSPASYSTL''S 7 .jAL l- FIR@ DEPT. REOUiKF...EN1 r71 5, c: -_ :'f, Una�r3 cu_d F,_-_ __ --_- - - . _ _ _ -_- __ I-- 7 -` - - --- — — -- — I - -- - - ------ ---71. 2ruc.i.t p n.rc 0, -- - -- - - - 2.2 '-,a-g' 1 /2. '..i uyrp ,jirj r, ; 1.1 - - r,, ______ ___ .. _I - — - '73_ Jr.c,crnrnd.Stn_a,�_ G..- ) .- -. ' ;r id li.erirr • — i_ , I if,. :1Y Sr�r.o:.,c.0 . • I /y Ir!!-'.E PRE F' -.,. . ... - - - - - -- -- - - —� — -- - — .E — • ' ud. r cit.ts, CI "TIFIriC . 'H-11-1( 71. _- - - _ _ _- - - ___ 1.9/max rocas✓al 4l,,-Tl�L.nP:✓ 772r ----fjl . I :..i. . ,_ a P- I 30. .-. r .a Orn/ I ' .(1O OM.rC_ ryM? 'L /--- / ti y - - 38. F r• _r m, n3 -------L - - --- t_ILVIt 0�. /-t' qu r,LULM•�V -`rifle , _ - -- -�---p ��,{-��-/y�/jam V ..e.F; -.I !.4. I . u.c. ,a-1 irngat co Syy, -r. I -- - 45 _ --et . I I I. F = /67/93 / 42. 'NAL "I_:ANN! 4r' SIrt i : to to To- ------ — —! - — — ---1-- --- - -- -- - - - ---- - - -- - - - - --- - - 5. Cr; , i c c So.,;'. - ( '-,l..: r-. .. G:s Col I - - 81. EIF:-I- .C,-,^E OF OO:l i.A,r.:C., j - - - - - -- - - - - PROJECT ADDRESS: 1235 'SHERWOOD PL UNIT: CITY OF COSTA MESA — BJILDING PERMIT PERM NO: P 06197 OWNEWS NAME: EVAN$, G BRENT ADDRESS: EVANS, EMILY B PERMIT NO: P 061975 PLAN CHECK NO: N GOVT: N SJPP: N 235 S-.ERWOOD PL COSTA MESA CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: REP ( 714 ) 642-0X48 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : GENERAL REPAIRS TO AN EXISTING BATHROOM SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALJE: GROUP OCC: R-3 / PERMITTEE: BRENT & EMILY EVANS ( 714 ) 642-0848 ADDRESS: 235 SHERWOOD PL COMMENTS- RE: B61973 PRIMARY BUILDING PERMIT / ALL FIXTURES CHG OUTS ONLY, COSTA MESA CA 92627 **>F**************v*******tF**�E*********AESF*y *********nyF#*tt*K*****a**�:•#*tt*#3F*r;**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 of Division 3 ul the Business and Professions Code.and my license is in full force and effect SETBACKS CITY LIC.: STATE LIC.: CLASS: Date. Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REO: PROV: PARCEL: 42620240 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> .A.Date: Date: Applicant: - *********************************************** **********X*:*****************#* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E R V I C E .i C REQUIREMENTS I certify that in the performance of the work for which this permit is issued,1 shalt not employ any person in any manner so as to become subject to the Workers''` Compensation Laws of California. �T1,z / - r ZONING APPROVED B Y �:i DATE: �— Dale: i " y—I ci 3 Signature: / "J � NOTICE:II,alter making this declaration.you should become subject to the Workers'Compensation prOvlsion5 of the Labor BUILDING APPROVED BY : _ - DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ',' 'C, CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: �l�L,��, n "i ——_ _ DATE: t .3 O7y which this permit is issued(Section 3097.Civ.C). **************************i. .. ,v** #i. I: It ' *x ux -,c u** "x **********xdwn*xt:... ..c** LENDER: ' ******************************)E***************/**% ******************) ********** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby altirm That l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 21 , 0 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% SM i P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business ' and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty oI not more than live hundred dollars(8500). ISSUE FEE 20, 00 - I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 704,Business and Professional Code: The Contractors'State License Law TOTALS————> 21 . 00 20 . 000. 00^� 41 , 00 41 . 00 , 00 does not apply to an owner of a properly who builds or improves thereon.and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED: , 41 , 00 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 41 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or improves thereon • and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* Thal proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL.' FEE BREAKDOWN © I am exempt under Section:a p70 4 4 B.8 P.C. tor this r on BYYOTR 6 CONTRACAOF /7' TYPE "QTY D E S C R II P T I O' N UNIT COST TOTAL COST Date:. Owner: r,— 'L``''am PLU 1 SHOWER / 7. 00 7. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,25533,and 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU I WASH BASIN 7. 00 7 , 0 D permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from PLU • 1 WATER CLOSET ( TOILET) 7. 00 7 , 00• . these provisions. END OF FEES Date: Applicant: ti, I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned —n property for inspection- purposes. / �— Date: y "l O -- q 5 Signature: 141 I , 01 00138286-00138286 TOT DATE: 04/30/93 TIME: 13:57 41.00 / � �`� Driver's License or Social Security a: 164t'46 White—Budding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue',Goldenrod—Assessor • CONST RUCTION AND PLANNING POOL & SPA Dcte I Inspector - ---I OneI Inspcc. . I ` APPROVALS Permit -. API ROVALS Permit d 1, 1 - it ar Electrical Service or Poleli ~ y 52. Pool & Equipment Le Caton 2. So Pii4- Undrgrnd. h 53. Steel Reinforcement ? E: ... ,. U_,d,: t LA. Ittv•Wr4r5rd. � 54. Forms -I- 4 F' e 1 C^.ndu t-Urd'gr-,1 I 55. Electrical Bnncl ng , ',ta•cement 1 56. Rou;b Plumbing & Pressure Test I I ih_ (. 'JEER Grnd. 57. APPROVAI. TO COVER-GUlsITE ' • 7 Fuc_-. q 1 58. Electrical Cor-d,,a•Undrgrnt. I 8. F-1,.--, tion I 59. Gus P. E • Urdrgrnd.•Tot t 9. ... . _-Urd ,Cc .grrd. f . . 60. E. ..an sh - . , P-Trip, - Lint. . .,• ':ucr Systemyste^ --- -1 i 61. APPROVAL TO DECK l Li -- --. -_P S wrir Linn & Hour.e Connection ;.a i;ec:V'Dr F.n - - - -I -L.-- ''.. � -- . - r I 62. Blekc:d:n al ' 12. S.v,_r Cop I 63. He & Van! Finaf i I ' 13. 11_7 rt 0.30.: 64. Plumbing System - Final .. - o,ng --- -- rileff :,,,,lC 65. Elcctrical4_inal -- - ---- -- ----- L_ n - ca'•Cord..t 66. SJ4r. S/aL F • t . .'.- c C:inr7 67. c 17 C•, :,,r- .- A ro.. , -t u 68. APPRCVr F('�-1 ?LAST ER l' G, -1.' 1 -- -- --. 18. Rnu._ F.Ie L:r°ra' T Bar C4.., nq I 69. POOL'SPA SYS' -i- E'.'S r:NAL - --�---- I I19 Ro1:gh Ncating & Air Luno rt,on'ng FIRE DEPT. REQUIRENEN I --- Ir-- -- - r „__ •. c,-,,y Fireo .cc -- - - -I ( APPROVALS Pu nut 1 .. L - atr Ctur¢ -_ --_-_ _t- . -I -- - - -- --- -_ - . . _�.___ 7O Undr grcur- r•I,oro 122. 1 at : I 71. P.uds:t P 4 rg 3 .+ .-;c : 23 - Tos:gh & Test I- 72. l:r:c ,1•m. „J- -1,..; ... r':, . ',,^ '9 I 73. L1ndcrgrnd.S!or.:'a. Timis ' G,,: _ I, 'S •o:' ` -a!h.rg 74 O.erl td H•.c •r i I i h•. i °_,, t'• oo, 1$tr_ctuall r+ '.`a"ocoat _� .• C r-:. _ __ � U 2/. _ ='ash,=n 76 S . 1 29. _.t., S.d,na -- - I _I !7. .-FI::FI) 544,,TE1' }::,:AL . ---- ---- --_ I 2.C. ':•.'u. on J i 78. FIRE i-REV FINAL I li 3O. U•y,.. . .l.. beg .. 'I-J4L?H DEPT- REOUIEE:. E IT -o.rr ---- �� 79. Fir; "'-' ECT _ - i1 ii - i 'at -; & A.'r Cd o-. .t,c,n: i - -_ F r35. f .. Gas P,peTe:r - ----- -- - -- - - - - -- ---- - - - -' - 36. 111wd or C:fnoPY 37. Fe .iI f _i..t)' FlrePlacr - _- .�_ _ ___ - _ _____-_ - - - _ _- - I/e G - - . -ning �B, T, I/ I 1 = - - - - l- - .''. .. ' .c_.F.nai 'l 61 :mettic-Final - . ,'low Preventer T-- - --- - - ---- - - . I_ ..3_B.•c:.ilac; Irr.geUpn -__ - - _ - _ I(� c.1 a 44. I rI d'c ngaricn System i - r' - /t1. 1. , STRUCTURE & 6J1'_Gr�G E l.rn; 'TANNING - I • I - -- - --- - - - ..5 F.-cn c Release to Edisnr. SC. Cts Release to Southern Cah orna Gas CA I I 51. CERTiF1CATc' OF OCCUPANCY i - - -- 4 No Datc -_ i 111r- 'PROTECT ADDRESS:• 23'1, SHERWOOD PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 061974 OWNER'S NAME: L VANS. G dRENT ADDRESS: 2VANS EMILY B PERMIT NO: E 061974 PLAN CHECK NO; N GOVT; N SUPP : N 235 SHERWOOD PL COSTA MESA CA 92627 CONSTRUCTION TYPE: 5-N \ . PERMIT ELE PURPOSE: REP ( 714 ) 642-0348 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; GENERAL REPAIRS TO AN EXISTING BATHROOM SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / PERMITTEE: BRENT & EMILY EVANS ( 714 ) 642-0848 ADDRESS: 235 SHERWOOD PL COMMENTS: RE: 861973 PRIMARY BUILDING. COSTA MESA CA 92627 *****#****************#*********************#**#*#***********KL******##**#***#* N LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7(100)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S F T B AC K S CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN —\ POLICY NO,: EXP.DATE: ' COMPANY: PARKING REQ- PROV: PARCEL: 42620240 ZNE; REF NO: 0 Certified copy is hereby furnished, 0 Certified copy is filed with the city Building Division, PLANNING N TES> > Date: Applicant: ***3Elf**************************3E#if'iE#*****###!*******4**********##************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred $100)or less). D E V E L O P M EN T $ E .11 V I C E S R EQ U I R EM E N T S I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as 10 become - - Date. subject t�helorkers'Compensation Laws of California. ^ ;) ZONING APPROVED BY T: /yN )O DAT_ Date: 3 0- 4.7 3 Signature: NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �� �i, r CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• �1_��a a ' - DATE• 3o which this permit is issued(Section 3097.Civ.Cl. ****##*****iE**###***** R nu-RC ..w•. • 7^ . R14R1t ' R 'RRR*R ' le*##*#':####*x,: ' * �Rr #* LENDER: ******************** *******##*#if*#**********# :###lf****#####*********3 *##*## ADDRESS: LEGALIZATION:N F E E ' SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demoish,or PERMIT 6 ^ 00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 50% SMIP/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 ,00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Bksiness and Professional Code: The Contractors'State License Law TOTALS----> 6 . 00 15 ^00 0 . 00 21 . 00 21 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sate.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED ; 21 . 00 OVER/SHORT• ,00 epursold nIn one year of completion.the owner will have the burden of proving rte/she did not build or improve for rhepose olsae) BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CH SCK I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 21 0 0 ❑ and Professions Code: The Contractors'State License Law does not apply 10 an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant lathe Contractors'Stale license Law).l am aware ***##***#*##########***######*#***###*#***#*#*#**##*#********##*#######*######* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN I] I am exempt under Section:B p 70 4 4 B.8 P.C. tor tthiis�reason: BY OWNER & CONTRACTOR J TYPE QTY DESCRIPTION UNIT COST TOTAL COST ' / Date: • y' ' 3-) - % owner ..4 �^ I N..0 ELE 2 FIXTURES LIGHTING 1 ST 20 EA. . 75 1 . 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 REC EPT IOUTL ET 1 ST 20 EA. . 75 . 75 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 1 REC EP T/SWITCH 1 $T 20 EA, . 75 ^ 7`i • permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. ELE 1 MOT OR/POWR APPARATUS 0 . 0 - 1 .0 HP 3 . 00 3 . 00 END OF FEES Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city enter upon the above-mentioned property for inspection purposes. Date: — 3D - C l Signature: jJ `} / 01 00138287-00138287 TOT 21.00 _ DATE: 04/30/93 TINE: 13:57 Driver's License or Social Security x: 1641-46 White—Badding:Green—Code Enforcement:Canary—Applicam:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING I POOL & SPA I I APPROVALS Permit ',: Dam I Inspector I APPROVALS Permit -= I Data I Inspect:), Ir 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1 2. Soil Pipe-Undrgrnd. 53. Stull Reinforcement I - i II 7t. Electrical Conduit Utility•Undrgr rid. 54. Forms It l , 4. Eiacttrieal Conouit-Urdrped. I I 55. Eicct-'cal Borti.rg • I_-_ 5. Ste.:. Reinforcement ---- - i --_ 56. Rur4't Plumb rg & Prest are ' I 3. E _ct'tal LIFER Sr -.1 57. A^PpCVAL TO CO'.TR/3 -` _ 7. Footings �___ 59. Electrical Corcuit•Und_gr no .._ I._-_____, 8. Foundation 59. Gas Pipe, C Urdrgr"d , Test ~ Lincs. I -j 9. water Pipe•Undrgrnd. 60. Backwash l inrs. P-TraL C7 U,'i .._"id. i IL - - 10. St,.:ctural Floor System 1 6t. AFPROVPL CO DEC;{ '-- - I - i - ---- --- - - I --- - -- - -'-. - -- 1 i. Prober:v Sti.er Line $ Ho,.sc Connect,on_� t-___ _ __ 62. Cak;.esn 4 ?eca�t�' I I 12. Sut,ci Cap 63. Heater & V•rLF.nI -I i 13 Roof Dra'ns I 34. Plumbing Sy:tem ' F -•al i I 14. Rough Plumbing I 65. Electrical-FinaL l t _ !!_� 15. Rough E.ectnca l-Gond, t i' 66. Sol.; Sys::rrFina 1 16. Retch Electric Wiring ----_-� -- 67. Fencing & Access App cvai - - --i. --- - 17. RuLq l7 r'-g Sign -t-ES. !•.F;i:CVr'J _OR ?EASTER.....3 • 18 Rough Electrical-T Bar Ce:li-o 69. POO L.'SP.%S'-STER',SF1i:A1 - 19. Ri, ;rh Hettinq & A i L_,i-.ci.t nn,-:7 FIRE DEFT. REGUi7"'m --- --- - -I 20. Rough Factory Fireplace APPROVALS Permit ;1 _ I I -- -i ------ - - ---- ----- - -�-- - 21. Duns, t Srr uct.ra 70. .:.a r^ o.^ ' o I 22. :l eats, Ventilating I 71. P-.:_ii ct P nin,. '; Gs, . OH I I{ 23. 3.. 0 os-Ro.:gh & T.c,. 77. i ` ,•o F's --. -1-____ -_--1---_. 24 Roof Framing I 73. UnJe,nrny'.Etn-aga T r 'i Y-'Gd° Ji, 25. PE-,,2f Sheath-ng -__I 7-_. C,., rr._a!mHvi. __ _- t� _- I- I 26. T•Btr Ceiling (Structural} & %vin^ocoat 76 Dry Cneis.:' I 27. F . ,•e end Flesh!. --- - --- - fi - ---�-TE. Dr, 5,..- --- ---'- - - -- ---- - ! 79. Le.'ir & Sd.c3 -- - i 177. FIR1D Ey',. _ l':',510 29. „su!aL2 _ ---'_ -_ iG._iF+'_ PRE1'_-'•\;(c__ _ -- - _-- _ - _-- - _,_ - ' -- 30 Di vial Nailing I HEALTH DEP-i. REQUIREN1i it-T 31 r - 3rocen Coat F y". F:'.AL I,. LCTi . -_ -- - .. - -- - - J. __ _ _ - 32. E carica: Pm•-ear Vitt. • i-•r-,, ///� 4C FOOD Ct rt ' F („1 EISSIi' ^. r- _. ____ _ _ _ v _ _ -___ _ ___ _ _ - - . - -_ - _ _. 34 c t I Heatmc 3: .4,i . , ., 7 _-_ I _-_. - --_.___. __ _ 5. F� -1 Cas P�Ce Te-�-- _--- - - - I -- -- � --- ---- - ---- - -- - - -36. Hood or Canopy I 37. Final Factory F,rer,'..c l ----------- - - - -- - -- - -- '-- - 39. FIE., Plumbir.g i I 34. '.:r ter Service-Final I - 41. Solar Dome:tic-Firei -- '- -� - } -- --- - ----- - - - - - --. -_ _. 1 42. Bacxf low Preventer 43. Backtlov: Irrigation 44. L, rdsrpe I:r.can:._ 5•,ste r-- --,-J I - -- -- - 45. Sound Attenuation I 46 Hi-d:ca:, Regulat:,-'.s-- - --- - -- 47. FINAL STRUCTURE & BUILDING i 48. FINAL PLANNING - J- I49. Electric Release to Edison I I 5C. Gas Release to Southern C;iito•nia Gas Co ' 51. CERTIFICATE OP OCCUPANCY No. _ Date , PROJECTADORESS: 235 SHERWOOD PL ' UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065702 OWNER'S NAME: EVANS, G BRENT ADDRESS: EVANS, EMILY B PERMIT NO: B 065702 PLAN CHECK NO: 01544-93 L GOVT: N SUPP: N 235 SHERWOOD PL COSTA MESA, CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD 6420848 ARCH/ENGINEER: TIM DAILY REG.ND.: 39489 JOB DESCRIPTION : ADD KITCHEN NOOK SQ FT: 130 ADDRESS: 9332 WINTERWOOD CIR UNIT: HB CA 92629 CLAIM VALUE: 6, 475 . 00 CALC—VALUE: 9, 620 . 00 GROUP OCC: R-3 / PERMITTEE: MICHAEL DAVID MC KAY ( 714 ) 266-3948 ADDRESS: 14911 QUILL CIR. COMMENTS : SMOKE DETECTORS REQUIRED H.H . CA 92647 **** *** *****+E** ********aR****************+ESE***********+E********************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commey mg with Section — Z ON INC R EQU I R EMEN TS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and lett. SETBACKS CITY STATE LIC.:634708 ` CLASS' B ' -• e. signature: __ MAIN BUILDING ACCESSORY BUILDING COMPENSATION DECLARATION: I hereby affirm mall ave a cenificate 0t consent to self-insure Otd6�tate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT; FT • IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PCOMP : EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 42620240 ZNE: R1 REF NO: PLANNING NOTES> ADDIT TO FT OF EX SFD — TO EXPAND ENTRY AND NOOK El Certified copy is hereby furnished. 0 cenibed•copy is used with the city Bedding Division. PLANNING CORRECTION: PLANS TO SHOW SETBACKS 6 OPEN SPACE CALCS ******************************************************************************* Date: Applicant D E V E L O P M E+ N. T ' SERVICES R E U I R E M E N -T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be complete.if the permit is for.• hundred(810111 or less). Q I cenity that in the qertormance of the work for which this permit is issued,I shall it up/any any person in an/anner so as to become (- he iorkers� pensation Laws of California. .. / ZONING APPROVED BY - �'3A DATE: t ( { h Date' (/ 4 ,f4..`m BUILDING APPROVED BY NOTICE:If. Iter ma ng this declaration,you should•become subject to the Workers'Compensation provi I .of the Labor 1 `�i'�'� I �� w� DATE * Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ( I CONSTRUCTION LENDING AGENCY: I hereby affirm that mere is a construction lending agency for the pend ante of the work for APPLICATION ISSUED B Y: �. �� DATE: . ( 8t which this permit is issued(Section 3097.''Civ.C). ,:. *******************'**********.*** ***************************** * .* LENDER: I ********************1!***'****lF************************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 117 . 00 . 96 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)ol Division Sof the Business PLAN 76 . 05 • SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE I. as owner of the property or my employees with wages as their sore compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TR f: :N >n N ——> 0 , 00 76 • 05 199-.-4 1 194 .01 • 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through !1VIEVNI Vl7JT E'� �R / his or her own employees.provided that such improvements are not intended or offered for sate.If.however the building or S O �,� TAL S COLLECTED :ED • ,11 7. 9,6 OVER/SHORT: improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve rLkl�1 1 0 0 for the purpose of sale). I9IDS,f']a'IIUfR ING ELECTRIC MECHANIC FjIRE :SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business f1i�+w¢J+�S m/7 . 96 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors*Slate License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U A L- FEE BR E AK D OWN ❑ I am exempt under Section: B.8.P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owe SFR 130 DWE—TYPE V—WOOD FRAME_• —GOOD 74 . 00 9, 620 . 00 I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant witlwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the above inforation i erred.I agree 5. amply with all City and county ordinances and state laws ref.ting to building construction and heresy authoria ewres:ives of this city,enter upon the above-mentioned pro. 'for inspec on pun ores. 01001'-3;3`-00153626 TOT 117.9E Date t 3 L Signature: i DATE: (')/13/94 TIME: 10:44 I-. is License or Social Security d: 1641-46 White—Building:Green—Cade Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING 1I I POOL r4 SPA Date Inspector 1 Date Irspi. APPROVALS Permit r1,. - - APPROVALS Permit - �L- [ 1. Temporary Electrical Scry:cr or Po lc 52. ?ci 8: EEL: ,'Tact =rt - 1 i 2. Sad Pipe Undrarnd. I 53. Stet I ileinforcement l 3 51^r'• -.-..-• Cordct Ut-I,tv•LInm grid - _ .-54. Forms -- - _- -� - - - - -- - -- 4 Electrical Condurt.Undrrend 'fi `I 55 Electrical Hording 5. FiefRrl-ttorra,gent (--fcj' C. 6t /e! I 56. Ra.91-1 P!urr.h.ry 8: Pr-ss dre List :11- 0 F.cctr,r,rUFFR Gird T _.--__ I 57. APPHOVA''_. TC CI' fl lii. -- IS- h. . F o, ngs `14 53 E r ^ Cor E. FLu^ddt10^ "44 in, ��/T'`te•6(.�1� 15I Gas ; Pe. _-. '.Jrcrr., i 9. 1later PIPO•Undrgrnd. - 6U Easier ash L,ne_P Tl a,t, I. -4.- _ 10. St activist Floor System I 61. A°PROVAI_ TO Lt .K 11. Property Sewer Line fibusr Cnnnechnn '' -G2 . Bac!co,ash 14 Racep.c•_FIi.,- - - --__- ! 17. Sewer Cap " -- I --I --- -7-1 _- --- ----- 63. Heater & Vent -F- - --� - - I - - ' i3 ^,not Drams; 34. Pi:Intl Tng S; :r•rc ,.,I ' 14. Fog' Rcm.uin3 I 65. Electrical-5 -3: I _ - �--- - -:-- -- - - - - --- - - -- -- ---- r 1 15 R4_, c ectr.ray-Cord.. : - 66 So' 6vs'e-. '1= r_ 16. Rough clectnC Wiring -- -i ----�' _- - - - 67 Fencing & Access Ana,u..�,- - - - __i - - 11. Idc„yn '.:.r:rg Sign 33. AP J,iCVED POR L.151',I. i ..: 'B Rough Flectric4I.T Bar Ceiling I 69. PCO L 'SPA SYSTE''S FINAL I I ITT' 11.r'a.ch Iliatinc & Air Cord ton rig --� FISF DE°T. RECUIRES.,^n'T ._ 1 23 Roush Fa:tory Ft enlace ' I APP.J1rr S ?-.:; '. _ __ . _J_. 2'. Dur:, In Stn.cture �- i I 70. Um ergooJ':44,c I 4.-- --- -- - f-"-r --- - ------- ----. - - -- - - -- 22 _.rr::. _ :1l.rtrr; i I. '. /1. Pr. . _' 13''I''m.i IC.` _ . _-_---_ _ - I _ _ , 23. Ga; Pipe-Rough & Tes: _ /2. Undl^grate' iUi' 24 GJt f '.2m.^g I 4 I 73' .J --rr!,'.i .i ':: - _ 2b Root Shca ihlny d _.0.41.4_ Z 74. 0". -h_ad__ .:.T ' - _ _ _ _ _ 26 13:1: Cell.ng ISI,.ict , L. :«^,'Orn , /3 Or r (Then let. I r ! ' 27: - r.c and FLs':ra I`2.5 <lig 6L4 73. Stt-•t, 2E Lath•rrl:n SM.-x Z� '4.2.,/,- . 77 '.f. �ql /tc.:4• i 1•1-16 r-. ---- -- ,- -- -r - -_ 4-4-- -._..--i--_-_- _____ -- -_ 1 30 Vad,'g ZT- I HEAL' i DEPT RF011I1-iF`.i77,-, I S . ,i.c.,.H, Crit L i� ''•r•4- V� 7,. - L- 10.'4 i I,; •3'_ ('e Irjcul Po. e_`Lt_ -al -F. - - ;+ IT` 30 F C J ::CF - 3 --r na rr_ct'Ic - •- ._ _ .4.- -i I/y1,t2as�' _- 1_ )66 - - - (/(//��(�r/ /�,/�. I 35, F--al C.,s Pipi Test ----- _ _ I _ '_---- __. - - - - _ .. . . _ _. 03 -a; Peamomg j __ I• ____ _____ _. _.__.__ _..._�.-__-.c _ __ __ -_ ___� _ _ _ _._. .- -__ - _. _ s: V.:L. r SrreicetFiral $ I 4_- _J. ._.- 40 G..s Service Final I I 47 S-I a• Dor -t c`= -._• I _.-_ _ __ _.. __-__-_ Gcxfloty Pre recta/ 43. a:Af'av: In scut an 1 fr- + --- - - 44 Lira:cape It neat0- SI ;te- I I Sound L �- - - ��. Snd A[tenuanon , • , E F;andicap Regulations - ---- -- - -- .. = Lt • ii1. F_NAL STRUCTURE t. EL'1LUINGTI�iUG1 fL IG.dL _- - - - --- --- ---_----- -_ -- - • .. F-114AL PLANNING _ t- - - - 49. Electric Release to Edrzon Iy _ - - - - E0. Gas Release to Southern California Gus Co - .- ._ ' �- --- 51. CEP,T IFICATE OF OCCUPANCY • I - :_ - --- - -- --- - --- . - - - D:.te -I 1 Itfa` --- I r Cr. OF COSTA MESA v' ; yz -o CALIFORNIA 92628-1200 P.O.BOX 1200 - ( y Insulattiiion Certificate 'oY�•^ 235 Sherwood Place COSTA MESA Number and Street City ORANGE County Subdivision Lot Number Description of Installation ROOF Material R-30 Unf aced Batts Brand Name Manville Thickness(inches) 1 1" Thermal Resistance(R-Value) R-30 EXTERIOR WALL Material R-13 Unfaced Batts Brand Name Manville Thickness(inches) 3.62: Thermal Resistance(R-yr) R-13 CEILING Ban or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR • Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) • Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new-residential buildings contained in Title 24 of the California Administrative �Code. //:\,)/ (\*'V ( ColVe5a. /Sign Title ,21 f2: ntractor(Builder) L� /z 7 LLie:asse Number / " ['Jate • we lq T sulationCo. Inc. 384692 ub-C tor(InsuryuietllnstallerLicense Number �]NFde 2-3-94 Signature and Tide Date . 1 .. . . r COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED P.a.BOX 317 COSTA MESA. CALIFORNIA (14/171- 20 -) 7 FOR APPL/CANT TO flit /N COMPLETELY APPLIdiN4I W• • rP RMIT ��/��/ TYPE OR PRINT CITYBQJIEt T; LhPi BUILDIN39231 Sherwood Street ADDRE�SS')n� '1'"' o COSTA MESA, CALIFORNIA FOR Off/CE USE ONLY anislauwiL Develulecouuet CurpuraLion RECEIPT NO. ` it RERN10� OWNER /1', Ol�i4ll}M11(`((Vw-� ILADDRESS 419 E. 17th Street RECEIVED BY DATE RECEIVED v�TE,ISSUED T T r kr- /— /Tat ions 2 n ?, CITY Costa Mesa, Calif.e� TNLL. 8 1175 BUILDING Carlson & ADDRESS ARCHITECT LIC, OR ENGINEER Middlebrook NO. COSTA MESA, CALIFORNIA A••RESS _ Garden Groves California FIRE // 1:: ..K-71- A �� ZONE TYPE ✓ GROUP ' • - • • • _i STATE APPROVED CONTRACTOR ((�� c� Llc.ND. 167293 BY DATE ADDRESS 411 E. 17th St., Costa Mesa p ZONING LEGAL I LOT 33I TRACT Tv ZONE ^ 11 I PLANS / I BUILDING/24_7NO.OF OF Ed 7 DESCRIPTION NO, 9 I BLOCK Jf 1` ll � �/ '//) / G✓�,��� Ty A.P.NO. BYPROVED/V y' y� DATE (� ( �u/U' SIZE 721 x 87' I No,OF SLOGS.None YARDS i' C' EVES�� / OF LOT V NOW ON LOT REQUIRED ALLOWED n USE OF None (CENTER LINE ST.) EXISTING BLDG. FRONT 17/.-1-e FT. • IN. SETBACK LINE FROM1' - CENTER or STREET 43t REAR YARD 18' R.SIDE SFT. IN. 5' I SIDE YARD LEFT RIGHT 5' _ L.SIDE , SFT. IN. DESCRIPTION OF WORK REAR / /� FT. N. I NEW I X II ALTERATION I II ADDITION REPAIR I II MOVING I �/II DEMOLISH I BUSIZE DING 161,.7 NO.OF ROOMS • STORIES 1 EXTERIOR WALL Stuee0 ftgOF RING shake COVERING COVE USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage Plan X760 CR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION nr� PERMAITU E OF�@ �_ PERMIT FEE S 36.00 S 86 1G' c2. PLAN CHECK s 18.00 AUTHORIZED AGENT Dike & Colegrove, Inc. [J 5144°C1TOTAL FEE S