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HomeMy WebLinkAbout246 SHERWOOD PL - Building Permits eziADDRESS OP BUILDING: 246 SHERWOOD PL BNL CITY OF COSTA MESA — BUILDING PERMIT th' WSRAMEIFnCm: LAUNEN, KARI PERM NO: B 074392 ADDREss: LAUNEN, HELKA 246 SHERWOOD PL PERMIT NO: B 074392 PLAN CHECK NO: N GOVT: N SUPP: N 'COSTA MESA,CA 92627( 714 ) 650-2368 APPL.MAIINiG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCHITECT OR PNGNEER: SMOKE DETECTOR JOB DESCRIPTION : T/O EXISTING & REPLACE W/COMPO SHINGLES SQ FT: 4 , 000 ARCH.OR ENG.'S ADDRESS: UMT: R� QUIRFD CLAIM VALUE: 4 , 000 . 00 CALC-VALUE: 4 , 000 . 00 GROUP OCC: R-3 /M-1 CONTRACTOR'S NAME: O'CALLAGHAN CONSTRL its ( tint558-1306 CCNTRACTOR'SMNLI%G 2120 N ROSS COMMENTS: SMOKE DETECTOR( S) REQUIRED PER THE 1991 ED OF THE UBC ADDRESS: SA CA uc.NO.: 431058 ********4******* x****$******* **-*******3e*****************3E*3E************** e*** 92706 UMr: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under peaty of perjury that I am licensed under provisions of Chapter 9 SE TB ACK S (commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in NII force and effect. C LIC.NO.:051345 LIC.CLASS: B LIC.NO.: 431058 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING at 2 -4 yr Contractor FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN NER BUILDER DECLARATION:I hereby affirm under penally d perjury that I am exempt ram tractors License Law f«the following reason(Section 7031.5 Business and Profession Code:Any oily o county whidh nominee a permit to construct,eller,improve. PARKING REQ: P RO V: PARCEL: 42620232 Z N E: REF NO: demolish,or repair any stmcture.prior to its issuance.also requires the applicant for such permit to file a signed statement That he or she is licensed pursuant to the provisos d the Contractors License Law(Chapter 9(commencing with Section 7000)a Division 3 of the PLANNING NOT ESQ>� 1 Business and Professions Code]or that he«she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > h 7031.5 by any applicant for apermit subjeda the applicant to acivil penalty dnot more than five hundred ddlan(S5W11. ********************************************************************oft********** 0 It,as owner o « the openo mm yy employees with wines wwages as their sole compensation,will do the work,and the structures ure not intended D E V E L OPMEN T S ERV ICES REQUIREMENTS offered ler sale(Section 7044,Dueness and Professions Code:The Contractors License Law does riot apply to an owner of properly who boats or inproves thereon,and win does such work himself or herself or through his«her own employees,provided that such improvements era not intended or offered fa eels.If,however,the building or improvement is sold drrn within one Yaapoen,the :La owner.builder will have the burden of proving he or she did not dean).build or improve for the purpose dean). ZONING APPROVED BY DATE: / ❑ I,as owner of the property,en exclusively c ntracti g with licensed contractors to construct the poled(Section 7044.Business end Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon end who BUILDING APPROVED BY : DATE: .-_ contracts for w such projects with a mredor(s)licensed pursuant to the Contractors License Law). ❑ Iemexempod«sed m: B.AP.c.,f«neeum: APPLICATION ISSUED BY: it DATE: I/ 7'z'?) Done: Owner **************9f*********************** - . s ***************SE****** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y I do hereby cenity that I am aware of and understand the requirements of Caliomia Heath end Safety Code Sections 25505,Ptsar,and pcvw,and that I or any future building occupant will/veil not(circle one)need to comply with said nate codes end the requirements for a prink I«construction«modification fon the Air6ii y angemen District Resist id mmm construction are exempt from then BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions PERMIT 63 . 00 . 50 Date: Applicant: SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally y of penury one of the following declarations: PLAN penally Li I have and wil maintain a certificate of consent to self-insure for workers' on nsationprovided for d Section 3]00 the Labor IUILE FEE maintainCode.f«theperformanceoftewokforwhichthispermitisSued. p` ,u p` BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE El have and Wil maintainworker;compensation insurance,as required by Section 3700 d the Labor Code,for the performance of theTOTALS > 63 . 50 0 . 0 0 0 . 00 63 . 50 63 . 50 . 00 A work for whirr Nis panne is issued.My workers'compensation insurance carrierpolicy and number are: Cartier ,STATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 63 . 50 OVER/SHORT: . 00 Polity Number. F4 '471l-4c 06/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (cora section need not be completed the pen,,is for one hundred dollars(ptrol or less) 63 . 00 . 50 o 1 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 . . subject to the workers'compensation laws of California.end agree that I should become subject to the worker.' ******************************************************************************* • si pensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those INDIVIDUAL F E E BREAKDOWN / 0 • 2_ . 5 1'' m and:• /ec erbcriminal penelduand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Ing: op one secure ed thdollars n54000A I Is unlawful,end cost/sub doll fines W to labor Co thousand t and (f mays f M addition to the cost of rontpcnufbrt damages u provided for/n Section Sloe of the Labor Cort,interest and etbmeyi leu. SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 000 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the wok for which the panne is issued(Section 3097.Civ.C). LENDER'S NAME; LENDER'S ADDRESS: I certify that I have read this application and date that the above inomation is coned.l agree to comply with all city and county ordinances / and stale laws neiatag to building construction and hereby authorize repreaentalnes of this city to enter upon the above-mentioned prapeny for inspection purposes. BALIR O'CALLAGHAN 01 0019�� -nit Noma / 6.15,...0-0, c Jr DATE: 10,02/95 19?IF!Z:122 0:24 63.50 Sig Appice9yCcnla for r (5151-ore WPI White-Butldng&Sassy;Green--Flo;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL ,PA ' Date Inspector Date Inspector APPROVALS Permit# - APPROVALS Permit # 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location. 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pibe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Flopc System 61. APPROVAL TO DECK LL ' 11. Propertyewer-sine & House Connection 62. Backwash & Receptor-Final i 12. Sewer Cap. t._2, 63. Heater & Vent-Final 13. Roof DrSlns .: 64. Plumbing System - Final 14. Rough P,luribrb4 - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough 97C. Pic Wiring 67. Fencing & Access Approval • 17. Rough Wiping Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 1Q-6--Yr ✓6 74. Overhead Hydro � v 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 1 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 l 47. FINAL STRUCTURE & BUILDING /•` -InciC;-x 48. FINAL PLANNING l t' Y1 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - ADDRESS OFBUILDINI: 246 SHERWOOD PL WIT: OWNER'S NAME IF KNOW LAUNEN, KARI CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 074393 ' ADDRESS' LAUNEN, HELKA 246 SHERWOOD PL PERMIT NO: B 074393 PLAN CHECK NO: N GOVT: N SUPP: N :OSTA MESA,CA 92627( 714 ) 650-2368 APPL.MAILINGADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR SIGNER: UC.NO.: JOB DESCRIPTION : REPLACE THREE WINDOWS USING SAME OPENING SQ FT: 600 ARCH.OR ENG.'S ADDRESS: LINT: CLAIM VALUE: 600 . 00 CALC—VALUE: 600 . 00 GROUP OCC: R-3 /M-1 CONTRACTOR'S NAME O'CALLAGHAN CONSTRUCTION ( 714 ) 558-1306 CONTRACTOR'S MAJLRIG 2120 N ROSS COMMENTS : USING SAME ROUGH OPENINGS / NO ALTERATIONS BEING DONE ADDREss: SA CA ucxo. 431058 ********x*+E*****FE********1E*1ExFFFEIE*******SERE*******iE*+F1E**1E******BrSE1E*******1EFF****1Frt 92706 UNT: Z ON ING REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETH ACK S (commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license is in fun force and effect. C UC.No.: 051349 UC.CLASS: B L10.NG: 431058 P: 00/00 MAIN BUILDING ACCESSORY BUILDING ate: /Cs y - 9RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN jr- Contractor L LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 0 ER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em seeing from t Contractors license law 1«Ne ' reason(Section 7031.5 Business and Professions Code:Any city«county which requires a panne to co swcL alter,improve. PARKING REQ: P RO V: PARCEL: 42620232 Z N E; REF NO: demolish.or repair any structure,prior to as issuance,also requires the applicant Id such pond to file a signed statement that he or she Q is licensed pursuant to the provisions of the Contractors License Law IChaper 9(commencing with Radon 7000)of Division 3 of the PLANNING NOTES> ' Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects theepplicam to aanl penalty of not more then Uwe hundred dollars[MOD. *********************************************************************,********** ❑ I,as owner d the propeny or my erndoyees wth zvagee as their tide compensation,will do the work.and the simians is not intended DEVEL OPMENT SERVICES REQUIREMENTS or offered for sale Section 7044,Business end Professions Code:The Contractors License Law does not apply to en owner of properly who bolds or improves thereon,end who does such wort Nmself or herself or through he or her own employees.provided that such improvements me not intended or offered for sale.If,however,the building or inprovemem is sold within one year of completion,the ZONING APPROVED BY DATE: i'' owner-builder will have the budM of proving he or she did not build or improve for the purpose of sale). o I.as owner of the papery,ant exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Coetracton License law does not epply ho en ownsr o property who builds Or impoves thereon and who BUILDING APPROVED BY : DATE: 14. contracts for sot projects with 4 contractor(s)licensed pursuant to the Contractors License Law). ( ❑ 1empt exemunderSection: B.AP.C..1«this reason: APPLICATION ISSUED BY: DATE: ) Date: Owner !Y :*************************** ** I do hereby certify that teat aware of and understand theEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT: Y requirements d CaliforniaCaliomia Health end Safely Code Sections 25505,,5533,end ap25534.erd0ntlpranyMuroflat5occupars ntheAi SyMan(ermM«e)rheedtocomgsconwdion le applications wdmns eeemptfromsbr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING perms and constructionoraornwei builicnh«ntMAr l'wI o((tots oei nee to iomtiy construction madM eppf reti«s an exempt from tress pr°"'O1e PERMIT 17 . 00 . 50 Date: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby afmn under penaltyd PLAN perlw«eaNerogowhrgdociatmum: ISSUE FEE ❑ Ihave and wImaintain°certificate oconsent tosetl4aure for workers' ripe lona SI ySectiona700ofthet.abor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance of the work for with this permseiesued. TOTALS----> 17 . 50 0 . 00 0 . 00 17 . 50 17 . 50 . 00 n I have and wit maintain worked'compensationwors'compensationm n insurance, required by Seeker 3700 d the Labor Code,1«the performance d the ]C work for which Nis permit is issued.My workers'compensation insurance carder end poky number we: Carer STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 17 . 50 OVER/SHORT: . 00 Policy Number: (,41714-4h 06/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK This section need not be completed 1 the permk is for one hundred dollars($lOOJ or has) 17 . 00 . 50 J I certify that in the performance of the wok for which this permit is issued,I shall not employ any penin in any manner so as to oma aaleubblned to tohenwokenn'com3pe0ndhoen laabwosr CdodCsafd«nieIwendhxnah roeoemNyet wBM l Nshoul d become mbjed to the workers' rI Mo son „„___ ..........Th g:Failure to secure workers'compensation coverage Is unlawful,end shall sue* loysc for criminal penalties and nse W to one hundred rleusard cider(S1dG000),Iaddition to the cwt of compensation,damages es provided for In **SE* *********************************************************** **************** TYPEQTY INDIVIDUAL DESCRIPTIO N F E E BREAKDOWN UNIT COST TOTAL COST Section 37Dsolthe Libor Code,Interest,and eroney'afees. SFR 600 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 600 . 00 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is e construction lending agency for the END OF FEES performance of the work for whit this penml is issued(Secton 3097,Civ,C). LENDER'S NAME; LENDER'S ADDRESS; I certify that I have read this application and state that the above information is coned.I agree to comply with all city end county ordinances and state laws Mating to buildig conmrvdion and hereby authorize representatives dthe dry to enter upon the shove-mentioned property for inspection purposes. BALIR 0'CALLAGHAN 01 00191t74-Q019117` TGT 17.1'10 DATE: 10/n2/9D TI1E: 10:23 Pmt /s_ NNErCO• 2- •P /r_ / Signet'. • -/AgenvAd .: . •rector (5151-40.WP) White-BuiMkg A Safety:Green- e:Cana'-Applwmm:Pink-Revenue;Goldenrod-Assam _ _- — CONSTRUCTION AND PLANNING POOL & + - APPROVALS Permit# - Date Inspector 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 `t 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, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash tines,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 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL E 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 tz 13-j 6tvfr 48. FINAL PLANNING _6] 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co -- 51. CERTIFICATE OF OCCUPANCY No Date " ' - PACIFIC INSTALLERS, INC. 7541 Anthony Avenue Garden Grove, California 92641 P.O. Box 728 Westminster, Calif. 92683 State Lic. # a \ ‘`6�o7City Lic. # 5' 4 i? Date LI — S(, - ?SC) Customer Name e762-dOizJYY1/46ti Permit No's. —7 -790 Types of Permits p i im_Q,-- City of 0.,C,Q Yl1St D Department of Building and Safety Gentlemen: Please be advised that as of L-1—CS _ all work by Pacific Installers, Incorporated, on the permit numbers listed above have been cancelled. Therefore, Pacific Installers, Incorporated, requests that the permits be cancelled and that all pre-paid fees be refunded. This cancellation notice is advice to you that Pacific Installers, Incorporated, has no responsibility f r work accomplished under Permits noted at .-�c1 (o \ 4ISJA-i )-o-o(�• fiery truly yours, J GPACIFIC INSTALLERS, INC. • (' (9i DD 11 )1 I dik Manager PI-264 Rev. 3/74 I • PROJECT.ADDRESS: 246 SHERWOOD PL UNIT: CITY UP COSTA MESA — BUILDING PERMIT PERM NO: B 04502fi • OWNSWS NAME: ROBERT JONES • . .)AD6RE33:;�Q6 SHERWOOD PL 1 PERMIT NO: B 045026 PLAN CHECK NO: 01538-89 S ' GOVT: N SUPP: N A• OSTA MESA / CA 92627 • - CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW , ARCN/EIjrINEER: REG.NO.: • JOB DESCRIPTION : 54 LIN. FT. CMU WALL @ 6 FT . HIGH SQ FT: 54 . ADDRESS: UNIT: - • • a CLAIM VALUE: CALC—VALUE: 1 , 080 .00 GROUP OCC: R-3 / PERMITTEE: IKE FARNSWORTH ( 719 ) 548--5132 . ADDRESS: 1812 HIGHLAND DR. ——— COMMENTS : BLOCK WALL NOT ON PROP . LINE. • NEWPORT BEACH CA 92660 *********x->Eye**X*aE************3a**3E***-*******3E********9TE*3E*atOE*e6*********3N***** 6** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section - Z O N I N G R E Q U I -R E M E N T S ' • 7000)of D i' 3 Business and Professions Code,and my license is in full force and effect. • SETBACKS CITY LIC.: 1 - Q STATE 11C.: C_LASS:C—27 • nate: i( , (6rg�( signaturernIP 4-a.Ync11 MAIN BUILDING ACCESSORY BUILDING CERS'COMPENSATION DECLARATION: (hereby affirm that that have acertihcate of consent to self-insure or a certificate of Workers' FRNT: F'f IN REAR: FT ZN FRNT: 36 FT 6 IN REAR: FT IN )ensation r c, r ce fl copy IereoUaffirm330 .Lao. ) LEFT: - FT IN RGHT: FT IN LEFT: FT IN RGHT: 77 FT . . IN PUMP NO.: Di z—'bi 9 EAP.DATE: 1 /01 /90 CQMPANY:STATE FUND PARKING REQ: PROV: • PARCEL : 42620232 ZNE: 111 REF NO: L Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> 54 LINER FEET OF SIX FOOT HIGH BLOCK WALL tit Applicant.• Date: 1C s°? / ea-- ./ _ / \ + • ` E**+ *****************************************************� ****** tom************* leDEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKER'S'COMPENSATION DECLARATION: (This section need not be completed if I certity 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 ,Q� subject to the Workers'Compensation Laws of California. ZONING APPROVED BY ; _� �� DATE: //�l/ �.Y/ Date: signature: - - ��/ NOTICE:If,after making this declaration,you should'Decome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : '/ _ DATE: /./261/27-. ...Nide,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTNUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: _ �5�;�`_ •, _� . DATE: ! 6 whiclgthis permit is issued(Section 3097,Civ.C). **********************" " ' ' ' ""- " " ' " " " ' " " " " "**********361 RF�71".fF�** j LENDER: ********************************************* /******************************** . b ADDRESS: LEGALIZATION:N FEE - : SUMMA- R• Y STRUCTURAL SEGMENT:Y • • OWNERBUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMIP/RE;S GRADING • (Section 7031.5 Business and Professional Code: My City of county which requires a permit to construct,alter,improve,demolish,or PERMIT 27. 00 ;.5'0 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed :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 17 . 55 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by • v applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE • 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 L• 3 structure is not intended or offered for sale_(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 27 . 50 0 . 0 0 17 . 55 4 5 . 0 5 4 S . 0 5 00 does not apply to an owner oto property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements ire not intended or offered for sale.It,however the building or REVENUE DIVISION TOTALS---> . • COLLECTED • 45. 05 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 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044;BusIness 2 7 • O O , S O •. 17 . 55 ❑ 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'State License Law).l am aware *******aE*********************************************************************** that proof of their Worker's Compensation insurance should be provided to me. I N D I ' V I D U A L F E E B R E A K D O W N • ❑ I am exempt under Section: B.A P.C. • • , for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST_ • Date: - owner SFR 54 RES-CONCRETE BLOCK WALL 20 .00 - , ' 1, 080 . 00 I do hereby certify that I 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 1 these provisions. - y A Date: Applicant: \A-1.1\C . 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 ' . . v 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:• /( /f 6 buy` Signatu•: • /41�A '� Z�_ • . • Driver's License or Social Security a: • _ : G'C4 , 7t'✓;1•n1,-74-. - _ '— - • {,C 1641-46 white—Bunch=white—Bunch=Green—Code Enforcement;Cenerv—AoolicanC Pink—Revenue;Goldenrod—Assessor - r 1 - - / CONSTRUCTION AND PLANT i*-, I 'COL & SPA .AP.ROVALS Permit# Date Ins, ctpr it Date Inspector P • APPROVALS Permit # Yf Temporary Electrical Ser, ice or Pole ' 52. Pool & Equipment Location • 2.,.514(Pipe-Undrgrnd._ • (' • -- 53. Steel Reinforcement 1 3. Electrical Conduit•Utility-•Undrgrnd. 54. Forms ' -4.-:Electrical Conduit=Undrgrnd. • . - 55. Electrical Bonding . ". 5.;Steel Reinforcement 56. Rough Plumbing & Pressure Test • ....6._Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings .- : .0 f1�(� , - 58. Electrical Conduit-Undrgrnd. 8. Foundation ., I`l 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines; P-Trap, 0 Undrgrnd. 10."Structural Floor System i 1 . .. 61. APPROVAL TO DECK 11. Property Sewer Line & House.Connection - 62. Backwash & Receptor-Final 12. Sewer Cap - - - 63. Heater & Vent-Final ' ' 13. .Roof Drains - -. 64, Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final I 15. Rough Electrica.l-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 1 19.1Rough Heating & Air Conditioning -. FIRE DEPT. REQUIREMENT 20:-.Rough Factory Fireplace _ •APPROVALS - Permit# 21 Ducts, in-StructuFe - ' �_ -- ' ; 70, Underground Hydro 22!-Ducts, Ventilating - . ..71, Product'Piping 0 Gas OOil 23.•Gas Pipe-Rough ' - ^ -' _ _ , 72. Underground Flush • - 24. Roof Framing _ - i - •- 73- Undergrnd.Storage Tank 0 Gas 0 Oil 25. Robf Sheathing - • • _ • • ' " _ " - 74; Overhead Hydro . _ 26..T-Bar Ceiling (Structural) & Monocoat . - - - 75:-Dry Chemical -. . : - 27.'Frame and Flashing • - • ^ 76. Dry Standpipe T' ' - _ 28. Lathing & Siding- -- . -- , ., ,. ._ 77 FIXED SYSTEM FINAL _ 29. Insulation .. .; 78., FIRE PREY. FINAL - _ 30. Drywall-Nailing - - e _ / ' _ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .! ' 79. FINAL INSPECTION 1, _ -:32.-Electrical Power Meter-Final - -v v,, . 80.•FOOD CERTIFICATE ISSUED-. - .33._Final Electric r -. ,,,` Notes: 1 7' ` QK Q C Lit_tiC II •34..,Final Heating& Air Conditioning - 1• . _•, ; Y. . - - -. 35. Final Gas Pipe-Test l ;.: - _ r. _ ' 36..,Hood or Canopy - . 37. 'Final Factory Fireplace ' • `•38^Final Plumbing , _. -;c t • 39.4-Wafer Service-Final - ` . �% - '40. Gas Service-Final " - - • ' I •* ., c ` ,.-441:-Solar Domestic-Final ` - •t v - . . - 2 - _ - _ .. -, . 42. Backflow Preventer ' ' ' ` • ` " ' - 43. Backflow Irrigation - I. - -'44. Landscape IFrigation System J• . . , S 45. Sound Attenuation - . . - c- 2. '46. -Handicap Regulations �' _ • ' :�1��/� �'� �t r. 47:-FINAL STRUCTURE & BUILDING , . ^ :•y C 4 . C�Jr cry G O _ 6�` el48. FINAL PLANNING 4 ' "'rl '.7 iC-S * J 49."Electric Release toy'Edison !'' ! •J: 1 e.4 . •r • ._ - 50:-Gas Release to Southern California Gas Co • ;, ' y' j%r' - ". - " 51. CERTIFICATE OF OCCUPANCY - - - ' No. Date r-------T TYPICAL 6" CONCRETE BLOCK FENCE a .• . . . Cement Coping Optional :=t seal Channel Block With 1.3/80 " L GENERAL- NOTES F Horizontal Top of allences 1111 I I I I MORTAR: One Part Plastic Cement, and n Three Parts Sand •For Fences 5'or Leas 7C GROUT: One Part Cement Thee and Vert.Ben 3/8"0 at 4'-0"O,C. ld� o I I I I One Half Parts Stand a = COPING, One Part Cement, Three ti IL.a I • Parts Sand For Fontes Higher Than 5' . HY a CONCRETE: Well Mixed E2-I/2: 3-1/2 Vert.Ben 3/8" at 32"O.C. > ,+ - yi c z Max. of 7-1/2 Gollons of Fill Calk Solid With Grout �9 > z " Water Per Sack of Cement WhanSteel Ottun 1 a �-� I Reinforcing Steel Shall I 'o GROUT MAY BE POURED FROM THE TOP j OF THE FENCE IN CELLS WHERE STEEL - Conform to Sec.A-15-39 u o OCCURS. A.S.T.M. III = ~ CELLS AND AREAE OF HORIZONTAL REIN• UI M _ FORCEMENT SHALL BE CLEAR,CLEAN R All Steel to be Lapped ;� I. I FREE OF ALL MORTAR DEBRIS,ETC. 21"or to Code � . J r„•', NATURAL GRADE ` v �' . 11 II I /dr ,vin` D'.�\ Er.: c, IV TWO 3/r” BARS 'f3�I s r "•,. ' �.. . CONTINUOUS TOP •. . Si BOTTOM •y-1 WIDTH ' .;.. TO 16' 0 C. MAX. a • • SEE CHART .HC0LSTEEL MUST BE TIED IN BELOW , DEPTH OF EARTHTCOTH PLACE AT TIME OF TRENCH INSPECTION. I r t 1/33 THE NEIGTH OF FENCE ; L I. L. BELOW BOTTOM OF FOOTING - I. • , -I Io" I 2'.—SIL SCALE: I/2" ■ I' TOTING REQUIREMENTS CHART - I WALL HEIGHT C 5' I 4' • 3' l ' WIDTH " 14" 112". . . 12" = THICKNESS . . . . . . ". . . . . . . . . . . 10" 8" 8 " DEPTH OF EARTHTOOTH " . . . . . .20" 16" . . 12" SPACING OF EARTHTO ' 14'' 16'. . . . . . . . . . 16' ' OWNERS NAME: Cityof Costa Mesa, California PERMIT ORESS NUMBER _ _ _ Building Department SIGNATURE. ter_" ._ • APP O ED • S 2 City of Costa Mese Bu?!din3 Sept. Pett THIS NUMBER MUST ACCOMPANY BY 47:nDATE if//6 I9. f All INSPECTfON REQUESTS THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE • I NO CHANGES WITHOUT PRIOR APPROVAL OF DEPT. THE ISSUANCE OR GRANTING CF A PERMIT OR APPROVAL OF • PLANS AND SPECIFICATIONS SHALL NOT BE.CONSTRUED TO BE A . PERMIT FOR, OR AN APPROVAL OF, ANY VIbLATION OF ANY OF t THE PROVISIONS OF THIS CODE.NO PERMIT PRESUM LNG TO GIVE ;f` �y r. / / 6/ AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF THIS �t k CODE SHALL BE VALID, EXCEPT'iN SO FAR AS THE WORK OR USE //{�\7� TThim ` 6 WHICH IT AUTHORIZES IS lit,WEUL. J7�grJw/� 1HE ISSUANCE Cr A. PERMIT BASED UPON PLANS AP:D OW py� Aj' � '""" sflcFtiAT!ONS SIiAtL NOT 17E2/ENT THE BLIILLING OF.`ICIAL ��+v(� Alra.. PRENX THEREAFTER FEf''Q:NG we CORRECT ON OF ERRORS CI "+x-1 SAIL) FLANS AND ErEr2IPiCAT'14,, OR T?C•"i PR.EVENTUNG D BUILNN :3FERA;O E B:IK.O C:C.n?EO ON THEFEUNDER WHEN app, DE71 IN VIO:ATOON OF THIS CODE OR 07 ANY CTHC:i ORDINANCE OF by („'T Yet CITY. SDA --/I-F an"'xs".nslana7"""-"."--7ns . .. ' • t _CY $ . • • ,G RE$Ifl1C[ NINIDINcc W II IIIPr Tim S • 0 ; } ' 1• • 1r MIII y 1 W . e .ti 2 Y Co i - ________H spinet . e/ vo .. . PARTY FALL AGRED ENT THIS AGREEMENT, made and entered into this —7 / • day of /U/A hAtilr / , WM, by and between °R),borf , J2hIPS /! /�i 1� hereinafter referred to as 9)1W CRIER•, and / ")(,L. 4"j,t'((O, hereinafter referred to as •ADJACENT PRCPER.1 OMR'. It is hereby agreed that a party tall will be constructed on the Property line between c/Q 2 '-( Co Slielsvoe( /'/4ce (Address of Adjoining Properties) in the City of Costa Mesa, COL.nty of Orange, State of California, as per nap recorded in Bock , Page — of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS bliEREOF, the parties haw entered into this Agreement the day and year first above written. NAND ' sem- ADJACENT PROPERTY G NER l I (Sigtha e) ( ignature) lloherf tea rw.wn kpAs� (L� Name (Typed or Printed) Name (Typed or Printed) ,0(f;, 5 lorta-JSi g <e gyp skeet-coast) to, .cfgWW-rgesa. (Address) (Address) ie / EDidADDflEBB: 246 SHERWOOD PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 048915 OWNER'S NAME: LAUNEN I ADDRESS: SAME PERMIT NO: G 048915 PLAN CHECK NO: 05648-90 S GOVT : N SUPP : N t 246 SHERWOOD PL COSTA MESA, CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: ALT • l ARCWENGINEER: 751-7373 ROAR:ADDRESS: UNIT: JOB DESCRIPTION ; ALTERATIONS TO BATHROOMS SQ FT: 9, 900 CLAIM VALUE: 9, 900 , 00 CALC-VALUE: 9, 900 . 00 GROUP OCC: R-3 / 1 PERMITTEE: O' CALLAGHAN CONSTRUCTION ( 714 ) 558-1306 0 ADDRESS: 2120 N ROSS COMMENTS: TWO BATHROOMS INTERIOR ALTERATION SA CA 92706 ***er*eExy ***esus***•tf-x* *******#**+f+tek*eE*erys *er* -eEx-**eESE*+r*eE*+E*x-***+E*yEyreretet*x x•* -R-***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Cm IX': 051349 STATE LIC.:431058 cusS:D • S E T B A C K S '� Date:g-._7±9_o 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 380O,Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN j POLICY NO.: 6 4 3 213 9 0 EXP.DATE: 06/01 /91 , '•MPANY: STATE PARKING REO_:_ PROV: PARCEL ; 42620232 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed With the city Builds Division. PLANNING N ES> ....5•- Gate: 9 • 7 ...? v Applicant: • • **********************4************i***********;:***********3f-***********`N******* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed N the permit is for one hundred($100)Of less). 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 I certify that In the pertornlance of the work for which this permit is issued,I shall not employ any person in any manner so as to become _ 4 subject to the Workers Compensation Laws of California. --ZONING APPROVED BY DATE: Data Signature: �'•, ' -.NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED By DATE: •r, Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. - - CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY DATE• .9.07 9D which this permit is issued(Section 3097,Civ.C). #*********************' x niFiF'.************************“ E****„** LENDER: ********************************* ***'' rF****9E#*********3F********B4*4?�******** ADDRESS: ii...csF* LEGALIZATION:N F £ E'• SE U M M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC • -EIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any dry of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 117 . 00 16,00 1 5 . 0 - 12,00 6 9 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 25% 5 0% 25% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Arty violation of Section 7031.5 by PLAN 76 . 05 , any applicant for a permit subjects the applicant to a cMl penalty of not more than five hundred dollars(5500). ISSUE FEE 3,00 1.5 . 0 0 1 5 • 0 0 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,Business and Professional Code: The Contractors'State License Law TOTALS----> 160 . 69 33 . 00 76'. 05 269 ,74 269 . 74 . 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. It,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 : 269 .74 'OVER/SHORT: 00 yFcp 1 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK J I,as owner of the property,am exclusively contracting with licensed contractors to constru ct theproject hN 0 ction 7044. thereonBusiness 117 . 00 19 . 00 30 . 00 27v. 00 • . 69 76 . 05 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of ro and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *,*-****.*-*-**,********************************************`*3f*********************** that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.&P.C. INDIVIDUA L' F E E BREAKDOWN forthisreason: TYPE QTY DESCRIPTIO, N UNIT COST TOTAL COST Date: Owner: • - I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and SFR 9900 ALTER BY VALUE RESIDENTIAL NO Z ONE 1 . 00 9, 900 , 00 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 6 FIXTURES, LIGHTING 1 ST 20 EA. . 7 4 . 50 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE 4 R EC E P T/OUTLET 1 ST 20 EA. --- 7� \: 3 . 00 these provisions. ELE 6 RECEPT/SWITCH - 1 ST 20 EA: f Z-... �L; Date: Applicant: ELE 1 RES APPLIANCE NOT OVER 1 .0 HP ' f 3 . 00 4 3 . 00 NEC 1 INST FORC-AIR/GRAV FURN '<= 100 K BTU ('. 9 Q]�' r 9 . 00 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 NEC 1 GAS PIPING SYS 1 - 4 OUTLETS 3 :(1Le 1990 3 , 00 ordinances and state laws relating to building construction and hereby authorize r¢presentatives of this city to enter upon the above-mentioned PLU 1 BATHTUB '- N" ylj 2 . 00 ' 2 . 00 property for inspection purposes. J\\ PLU 1 LAUNDRY TUB OR WASHER -- "' � 2 2 . 00 Date: Q• 7 •P o Signature: 4 PLU 1 SHOWER (yj 0123:0,02 � �4J 3 COSTA MESA 2 . 00 PLU 2 WASH BASIN / 2 .00 4 .00 / Driver's License or Social Security C/ 1641.46 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor , .CONSTRUCTION AND PLANNING P0. _- SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. q/LCtp 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. ` 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. I 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer CaP 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring is AS-t2 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing (p 31 0 Cot 76. Dry Standpipe 28. Lathing& Siding a R p f: 77. FIXED SYSTEM FINAL 29. Insulation • 78. FIRE PREY. FINAL 30. Drywall Nailing ( I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final ' �, 10. FOOD CERTIFICATE ISSUED 33. Final Electric 74 • v III'"� '+tes: to 2-3 34. Final Heating & Air Conditioning /.J / /ar 35. Final Gas Pipe-Testi ' cA,pfi 36. Hood or Canopy •- r 37. Final Factory Fireplace / 38. Final Plumbing 9-1St 39. Water Service-Final / 40. Gas Service-Final (/0 2- iO4-'4Asi `has-at- 41. 41. Solar Domestic-Final { f. . Q -''l L 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING in/%%/ r QF of S. • 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No. Date 'aECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO: G 048915 PLAN CHECK NO: 05648-90 S PAGE: 2 ARCM/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 2 WATER CLOSET (TOILET) 2 . 00 4 . 00 PERMITTEE; PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 , 00 2 . 00 ADDRESS: END OF FEES LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7(100)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. CITY LIC.: STATE UC.: CLASS: Date: Signature: WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a cenificate of Workers' , Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: NIPANY: .;ertified copy S hereby famished. 0 Certified copy Is tiled with the city Budding Division. Date: . Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). I certify that In the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097,Civ.C). • UNDER: ADDRESS: - OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason • (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). I, as owner of the property or my employees with "'apes as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or - improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who Dodds or improves thereon and who contracts for such projects yth 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. ❑ I am exempt under Section: B.&P.C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,2cS33,and 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: 1 P 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 fids city to enter upon the above-mentioned property for inspection purposes. • Date: Signature: Driver's License or Social Security x: • 184146 White—Building;Green—Cade Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor ' CONSTRUCTION AND PLANNING PG _4. SPA APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER 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 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 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 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 PROJECT ADDRESS: 246 SHERWOOD PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PttiM NO: n U]bue9 4OWNEW.S NAME: LAUNEN ADDRESS: SAME PERMIT NO: E 056084 PLAN CHECK NO: N t,LWV] ; N Sur?; N 246 SHERWOOD PL • COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT 751-7373 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : ADD FIXTURES TO KITCHEN SQ FT: ADDRESS: UNIT: CLAIM VALUE: 3, 000 . 00 CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: O'CALLAGHAN CONSTRUCTION ( 714 ) 558-1306 ADDRESS: 2120 N ROSS COMMENTS • NO STRUCTURE PERMIT G-tins SA CA 92706 � ****>E**4*******x+ESE****x� ****N-**�1 *****x-*******-*> *******+L**********•********k*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)01 Division 3 of the Business and Professions Cade.and my license is in full force and et. SETBACKS CITY uc.: 0 513 4 9 STATE LIC.:4 310 5 5 cuss: B not 2 • 1^ L Signature: MAIN BUILDING ACCESSORY BUILDING ---- , •� FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN CompensationMs4ra2LL cA,u1r wUrt ed copy thereof(Section 3804 Lab.UC)6/01 /9 2 POLICY NO.: bb 7 EXP.DATE: COMPANY: STATE PARKING REQ: PROV; PARCEL: 42620232 ZNE: REF NO: 0 Certified �A copy is hereby furnished. C] Certified copy is tiled with the city Building Division. PLANNING N TES> > udllr — b— ' Jr '9! L' Applicant: **********************************************1E***-K•*****************3F********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). DEVELOPMENT S E •R V I C E S REQUIREMENTS 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; Date: Signature: BUILDING APPROVED BY _ NOTICE:U.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. , CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance at the work for APPLICATION ISSUED BY• ^: ' i2JOIL L DATE• "�S— /.{'�— whichthispermit is issued(Section 3097.Civ.C). ********************** x - ********If** .-W {f** LENDER: *************************o******* ****fe**********************!f******)f***)Eif* ADDRESS: LEGALIZATION:N F E E . U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 0, 25 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SNIP/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 15,00 any applicant for a permit subjects the applicant to a civil penalty of not more than live 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----> 20, 25 15, 00 0 , 00 35 . 25 35. 25 • 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 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 REVENUE DIVISION TOTALS--> COLLECTED:_ 35. 25 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 MECHANIFIRE SM IP/TOT GRADING PLAN—CHECKK for the purpose 01 safe). 35 . 25 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 does notapply to an owner of properly who builds or improves thereon *x,**.***,***,*,*,A,****************************************************************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that Drool al their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 15 FIXTURES LIGHTING 1 ST 20 EA. . 75 11 . 25 I do hereby certify that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 25505,25533,and ELE 6 RECEPT/Of7TLET 1 ST 20 EA. . 75 4 , 50 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 6 RECEPT/SWITCH 1 ST 20 EA, . 75 4 , 50 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. •wee to comply with all city and county Y� ordinances and state lawsrelating to building construction and hereby authorize representatives of this 'l to enter upon theabove.mendoned 71 CC1C3E17,jse-Jr',.. ri -- -' ' property for inspection purposes. G BATE: 02/134/92 !:i.:? l.c't . r ' ���L0' 2— • 3— • 5 L Signature: /1 Driver's License or Social Security h: ij' . t641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor „ CONSTRUCTION AND PLANNING f POOL & SPA APPROVALS Permit# • Date Inspector APPROVALS Permit Date Inspector 3. 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 UF ER 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, ❑ Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection i. 62. Backwash & Receptor-Final 12. Sewer Cap I 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 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ',� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric • 27-14ate s: 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 PROJECT ADDRESS: 246 SHERWOOD PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT Pt ht No; r unouo / OWNERS NAME: LAUNEN f. ADDRESS: SAME PERMIT NO: P 056087 PLAN CHECK NO: N (aUV I ; N Sure; N 246 SHERWOOD PL COSTA MESA,CA 92626 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: ALT 751-7373 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ADD FIXTURES TO KITCHEN SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL-VALUE: GROUP OCC : R-3 / PERMITTEE: O'CALLAGHAN CONSTRUCTION ( 714 ) 558-1306 ADDRESS: SA1ZO N ROSS CA 92706 ********4�E• **+E************R**********O **N*7E*->FAL*****kE+E*****->ESE+E**+E**>E*7!-***-x*>E***>F** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQUIR EMENTS 7000l of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 051349 STATE LIC.:4 3 I 058 CLASS: B �--Bete: �•-" S1— Signature: _ MAIN BUILDING ACCESSORY BUILDING SFRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN Compensation kls4'arlc2 y stlyi ed copy thereof(Section 3800.Lab.616 101192 01 /92 POLICY NO.: STATE J7V EXP. COMPANY: PARKING REQ• PROV: PARCEL: 42620232 ZNE: REF NO: 0 Certified copy is hereby furnished PLANNING NOTES> . Ll Certified copy is filed with the city Building Division. _..Due: > z , r . 5 LApplicant: *******x****x***********x****************************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)of less). D E V E L O P M E N T S E R V I C E S a REQUIREMENTS 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: Date: Signature: BUILDING APPROVED BY : NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. �-/y/q P / � CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• ��"i /�� DATE• -471)-'9 —'whichthispermitisissued(Section 3097,Civ.C). ****)F************************* '**** • '***1t'**-*-fir*3F***4w********************** LENDER: *************************************** '******************************ii******* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm 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 2 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 '25% 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 ISSUE FEE 3 , 00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). 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----> 2 . 00 3 . 00 0 . 00 5 . 00 5 . 00 . 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; 5. 00 OVER/SHORT; s00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve ithe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 B 0 ❑ and Prwho contracts actsdfo The ojects with atcontractor(s) oicense(aw doessutoo the ctoproperty who kens improvesLal thereonr *******_*************************************************************)e********** and who sontrsCs for he projects with a e License Law awidoesenotpursuantaly to the rofContractors'Statewbuilds or em aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 SINK, KITCHEN 2 . 00 2 . 00 I do hereby certify that I 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 Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I ag to comply with all city and county 1 e:11r,,1.n T_';'r r'111- _ _ ordinances and state laws relating to building construction and hereby authorize representatives of this d o enter upon the above-mentioned ['e4Ia U ,[.i. _ _ ' property for inspection purposes. •- a:h` _, fDete: 2- • . • ' ' Signature: Driver's License or Social Security x: 1641.46 Wnile—Buildina:Green—Code Enlorcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor C' •STRUCTION AND PLANNING POOL & SPA AEPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector J. Temporary Electrical Service Or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. - • .. 53. Steel Reinforcement • • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 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. I 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 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing 2 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final . i 80. FOOD CERTIFICATE ISSUED • 33. Final Electric - Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test z,' 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing W6/y1 // 2c 39. Water Service-Final "� 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low 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 PI)OJECTADDRESs: 246 SHERWOOD PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PtIiM NU; M UDbV66 4OWNER'SlIAME: LAUN EN ADDRESS: SAME PERMIT NO: M 056086 PLAN CHECK NO: N UUV I : N burr; Y 246 SHERWOOD PL COSTA MESA,CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE: NEC PURPOSE: ALT 751-7373 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ADD FIXTURES TO KITCHEN SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: O' CALLAGHAN CONSTRUCTION ( 714 ) 558-1306 ADDRESS: 2120 N ROSS COMMENTS ; NO STRUCTURE PERMIT SA CA 92706 #***>E�P�E**>E*xTc•** *%�L****#>F�6�6EE�E**xr.-%**�6 >E>E***** E>E****** ****>F****�E#�E*•x�t>EkE�E*#�6#>EIE* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E M E N TS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS chat uc.: 051 349 STATE LIC.:431058 CLASS: B D„1.. 1— •• j /r •t- signature:_ MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN Compensation Wsgraacp,it wed copy thereof(Section 3800,Lab.L16/0 1 /9 2 POLICY NO.: bb•'!t LL 1 7 U EXP.DATE: U COMPANY: STATE PARKING REQ. PROV: PARCEL; 42620232 INE; REF NO: 0 Certified copy is hereby furnished. Certified copy is filed with the city Building Di -ion. PLANNING NOtES> • �.�nx!e Z• ] S — Applicant: *********1f•*****!F*7(-******)E*iE***#*******fE*M******)f*iE********N*IF**#****iE*****lE**IF* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($10O)or less). 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 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; Date: Signature:_ BUILDING APPROVED BY _ NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE Code.you must AG comply with such provisions or this permit shall be deemed revoked. - /yj ^ 1 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• S7,© Y which this permit isissued(Section 3O97.Civ.C). ********•******%#*'#**************ar*fPk *7F-7F* ***k****7FTF�%.%***#*%{{.%.•. • • •#.%:)F LENDER: ************************************i* rc *************************************** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm 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 1 3 • 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 PLAI.1 2 5% 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 and Professions Code)or that he/she i4 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 EE 4 50 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----> 13 . 00 4 , 50 0 , 00 17. 50 17, 50 . 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• 17. 50 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 of sale). 17. 50 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: TheContractors'State License Law does not apply to an owner al property who builds or improves thereon *,****,**,**%%%#****,*,**,*****_*******#*********#****.***********************#***#*#** and who contracts for such projects 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. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: 8.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale. Owner: MEC 2 EACH APPL NOT IN OTHER CAT UNDER FEE 6 . 50 13 . 00 I do hereby certify that I 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 ane)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 cenity that I have read this application and state that the above information is correct.I a ee to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this c to enter upon the above-mentioned 0' CO IA_;3a'cc 1.+C.J'r _ _ _' property fpr inspection purposes. (~T":. ft c DATE: O=,C�,' 2 TINE: ;,, ,,,ti �/ L Signature: _ ' Driver's License or Social Security a: 164146 White—Budding:Green—Code Enlorcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING j POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector V. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • • 3. Electrical Conduit Utility-UndGgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe,0 Undrgrnd.,Test J 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 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED }I 33. Final Electric • Notes: 34. Final Heating& Air Conditioning /� 91 /L1Jr 35. Final Gas Pipe-Test TI/. ,(- 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 J 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 246 SHERWOOD PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PtIM NU: M tDbUb= (OWNER'SfAME: LAUNEN ADDRESS: SAME PERMIT NO: M 056085 PLAN CHECK NO: N buy! ; N purr: N 246 SHERWOOD PL COSTA MESA, CA 92626 CONSTRUCTION TYPE: V—N PERMIT TYPE; MEC PURPOSE: ALT 751-7373 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ADD FIXTURES TO KITCHEN SQ FT: ADDRESS: UNIT: CLAIM VALUE; CALC—VALUE; GROUP OCC: R-3 / PERMITTEE: OI CALLAGHAN CONSTRUCTION ( 714 ) 558-1306 ADDRESS: 2120 N ROSS CA 92706 COMMENTS: NO STRUCTURE PERMIT SA *****J(************************************************************************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that Iam licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force ftect. SETBACK S CITY LIC.: 051349 STATELIC.:431058 cuss: B 7- � sgnaSignature:re: -- ` S u- iMAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN Compensation Msurar,;c2 it embed copy thereof(Section 3800,Lab.@6/0 1 /92 POLICY NO.: b Y V EXP. DATE: COMPANY: STATE PARKING REQ: PROV: PARCEL ; 42620232 ZNE: REF NO: CI Certified copy is hereby furnished. ,y PLANNING NOtES> t."1 Certified copy is filed with the city Building 'ion. > /-L ****M.*#it-3E•lE*********ifit***************iFlEiri **************3 *****).*3FiFiE•iE****#iE#i(#f**** D/TL 5 %-- Applicant: DEVELOPMENT S E R V I C E S REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ZONING APPROVED BY - •• DATE; subject to the Workers'Compensation Laws of California. Date: Signature: BUILDING APPROVED BY ; DATE: NOTICE:11,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor �� Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. /�I CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: �'' DATEy(�/ which this permit is issued(Section 3097.Civ.C). *************************** *******Bt******************* i—lf * LENDER: ***********************************if*9F *************************************** ADDRESS: LEGALIZATION;N F E ' SUMMARYY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: (hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6 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 2 5* SNIP/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 15 . 00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). 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----> 6 . 50 15 . 00 0 . 00 21 . 50 21 . 50 . 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 het own employees,provided that such improvements are not intended or offered for sale.Ifhowever the building or REVENUE DIVISION TOTALS--> COLLECTED• 21 . 50 OVER/SHORT: 00 , improvement is sold within one year of completion,the owner wilt 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 of sale). 21 . 50 I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The projects with License Law does pursuant to an owner of properly who builds or improves thereon *************************,****************************************************** and who Contracts for such projects with a e License )license pursuantto the Contractors'State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 1 INST HOOD W/DUCTS FED BY MEC EXHAUST 6 . 50 6 . 50 I do hereby certify that I 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 Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correc. agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of t city to enter upon the above-mentioned Oh C0102CO1—001n-1-301 V t+r _ property for inspection purposes. PATE; 02:04/92 TINE! 6c,1:45. .,,,..---- Date: Z• r i 7.- Signature: Driver's License or Social Security a: 1641-46 While—Building:Green—Code Enforcement:Cenerv—AoolicanL Pink—Revenue:Goldenrod—Assessor I_- CONSTRUCTION AND PLANNING - - POOL & SPA • APPROVALS Permit# ; Date Inspector APPROVALS Permit # Date Inspector � 1 1..1. Temporary Electrical Service of Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms �+ytElectrical 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, 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 t , 13. Roof Drains t ' 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 ` 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final lj6 - 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: 34. Final Heating & Air Conditioning Wal-Nr 35. Final Gas Pipe-Test �'f /7 �" 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 'JOB ADDRESS glib Sherwood Place BUILDING PERMIT NO. 29031 iGENERAL CONTRACTOR Owner-Ttiltlrr DESCRIPTION of WORK Block We11 BAR No. n8-103-30 LOT 1 TRACT 378 FIRE ZONE VALUE 5331.00 L"='`=+)ZECTIONS - Signature Date GROUP J TYPE T1 ZONE $-1 PERMITS ISSUED SUBCONTRACTOR i GAS Date Number I Signature WATER Plumbing `�ROUGH PLUMBING • `PROP. SWR. LINE 0 HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ROUGH WIRING Heating and Vent. � TRENCHES FORMS ❑ STEEL REINF. /fit` t" 3fr FLOOR SYSTEM BOND BEAM n STEEL REINFORCE fl SHEATHING FRAME AND FLASHING- LATHING — IN 1fI OUT Li PLASTER, BROWN COAT STPIICTURAL, FINAL Electric 1 NG, VENT., REFRIG. AND A.C.. FINAL PLUMBING, FINAL AND GAS TEST 0 ELECTRIC, FINAL n J / 4r BUILDING, FINAL Pt G Af•/( /� SPECIAL REQUIREMENTS 29031 j COSTA MESA BUILDING-SAFETY DEPARTMENT ' 27-6/PAsaOO1224 u*****3.00 P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262E For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING f For Office Use Only ADDRE88 aN6 sh eN-vaodi 29043 1 RECEIPT NO. [COSTA /MESA. CALIFORNIA (� �i�j �yq QDATE ISSUED /��+� /� - (, /y o 7In c/ Ri m MID r ,////T/D- o!c/�[/'JO S,1}—0?2,--b0 MAILlR ADDRESS a76 p(J/I mithi VAP• BUILDING ADDRESS 5 CC (^" `P IRE H7 TEL ZONE TYPE /[r GROUP CITY �I NO. APFR [pp /e,Q/�D ARCHITECT TEL er / /J ,,�J(1� (��(J LJ DATE -.27.—‘5)) 7R ENGINEER NO. (/� ZONING 6?aft ADDRESS SONS NO.OP USE OF NEW Oe, �'N Q �/ I PUNS 9 I BUILDING ///1 AO CONTRACTOR 6) r/\ �/ dI DESCRIPTION J.l. / N /h ,4f-37/5 ADDRESS Ducumon /CC///J�.L` y CRY A.P.NO. / - ,, 3 � I.Rn NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE TEL BO'TO SIDE d REAR P.L LIC.NO. NO, EAVES SIZENO.OF SGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT I ID NOW QN LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE PROM - FRONT PT. D /L CENTER OF STREET REAR YARD / J SIDE YARD I LIFT I RIGHT R.SIDE FT. FT. / '/ • DESCRIPTION OF WORK L.SIDE PT. Fr. i 1 ALTERATION ADDITION REAR PT. PT. I /( DISTANCE BET. BET.MAIN d REPAIR _MOYINO EMOLISH MAIN SLOGS, 'ACCESS.BLOCS. BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# ,,,rrT APPROVED L COVERINGEXTERIOR I COVERING F o,PROV[D,/� �j� DATE i[' -�7�V'7 USEpP BUILp)RS ANp, ORK Tp BE PERFORMED // CC GI a G/ 1 H !� /57J C�C w a /l 4/071/4 440 pne:h _vVA? 9.4 /.Oe1 t 07 6 II , �oG k o CL ''r LC'J 7g r / (/ I. O Li 8G..PT. o I HEREBY ACKNOWLEDGE THAT I AVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS R ULATING VALUATION 07 BUILDING CONSTRUCTIOD � SIGNATURE OF I /i/(�L. 1 / PERMIT FEE S \/•L/ v PERMITTER �� eeeYYYY `y- wC 5 53j PLAN CHECK S AUTHORIZED AGENT TOTAL FEE 5`/, !J) OWNER HOGLIND, H. C. DATE 10-b-b5 JOB ADDRESS 2116 Sherwood Place BUILDING PERMIT NO. 214.778 GENERAL CONTRACTOR Owner-Builder4 DESCRIPTION OF WORK Extending Kitchen & Den m7. 00. :- • - • LOT TRACT FIRE ZONE VALUE $ 800.00 I`^ >ECTIONS I Signature Date GROUP I TYPE V ZONE R-1 ._z.; It /(�ff-S /02��r5' I PERMITS ISSUED Gas SUBCONTRACfT�Oy7R,� " Date I Number I Signature ing RouWater /p 299 - /)7/Abio r..r.o-c1 - /0- 65 i5// `i Rough Plumbing u 25 Prop. Swr. Line 0 House Con.CI Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power Rough Wiring/ /O-Z,{, Heating and Vent. Trenches L&" Forms o- Steel Rein4-1�` r i /$ S Floor System Bond Beam d Steel Reinforce 0 _ Sheathing /p4 x 3 Frame and Flashing /o c� s-- Lathing— In 0 Out 0 /// di!"ryy oA P1 ter, Brown Coat I. /14 r ES4 ural, Final Electric [iu ng, Vent., Refrig. and A.C., Final 1/0/+Li4-P etre., /o- rs-bS 2s-rye Plumbing, Final and Gas Test 0 11-7-6 Jr Electric, Final ft-it-6r Building, Final /_IA•Lie Q1-- -- — --_ , 24778 ► CITY OF C:YSTA MI A • COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 8 1965 P.O. BOX 1709 COSTA MESA, CALIFORNIA 92620 For Applicant to Fill In Complohly ptITI� R PE TYPE OR PRINT ritzy:: aulLolNa f�{i / A �/ �r ADDRESS /��r (p �//( PNL(J OOQ e/R C e RECEIPT NO. crYMIT NO. 7 r COSTA MESA. CALIFORNIA/ //�� .q ��'�/fV[ N// // C7 q //I�f Cf RECH{T[q R OwVT "< I/e7--,-- -7,-,J OWNER I ' ! 'INS (/ o MAIL `n BUILDING *294(0 `` g to V9 M� ADDRESS /J/ C1 H'l eFIRE ADDRiYYc� <�^�/�" CITY ( in� o`64d-a(?A ZONE 3j TYY�PE --`fix'!.y.' GROUP _!a�/� ARCHITECT p Til APPROVED d 7. .TN/a �/ et OR ENGINEER S` (A ROA'Cr�'•Z 19 A fl// �VV7DvvrA^ O �_ Z NG / /1 , p ADDRESS u�.d` E NO.OP. OSEOPN rY /' ` �1 I FLANS 2 I HYILDINO PA CONTRACTOR a-- CONTRACTOR U'h e�' <r)l�/ 'e 1.-0 \ ----- CRIPfION l O7 ` j ie LEGAL 32 O ADDRESS CITY A.P.NO. /L1-/ O3— 30 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE -- TEL. --- 30'TO SIDED REAR P.L. LIC.NO. NO. �1 �/ q ` /� / EAVES OF LOT 9 / /. 0 t J^`✓ I No. rOLOTinn / ALLOWED (U.B.C.REQUIREMENT) USE OP I / / YARDS APPROVED YARDS APPROVED EXISTING BLDG. Fl en LiP1I T t t MAIN BUILDING ACCESSORY BUILDING y� f�ft / FROMC/LSTRH 1 SETBACK LINE FROM / (/ CENTER OP STREET LYf P REAR YAWi / FRONT i .xL FT. SIDg YARD LEFT RIGHT / ? /- n.mon / /Fr. Fr. DESCRIPTION OF WORK L.1110111 41:01,T. FT. r ALTERATION r i ADDITION X REAR / 6FT. FT. DISTANCE BHT. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDOS. ACCESS.BLDOS. BUILDING 1, (� MO.OF �J VAR•# DATE SIZE �AIL�Lo . ROOMS .2 STORIES C.U.P.# ' 'n APPROVED EXTERIOR W /�✓t l0 ROOFI COVERING/%4t� 41.FROV[D / / tJ// - ^ _E `6 ,!_ i-- COVERING a USE OF By ILDIFIGAND WOR520 91/PERFORMED .1/IIMM/V//III 7/VgUld//D'A/T / 10 rte. Fu /&I y r re 4 co H 4- / y m i.CO act.FT. 1 I HEREBY ACKNOWLEDGE THAT.' NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE G AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE RHGDLA O BUILDING CONSTRUCTED .� / VALUATION QO 9 Op pl SIGNATURE IGN TUR OF ` / PERMIT FEE 5 y / E a I I. gOO PLAN CHECK $ ° AUTHORIZED AGENT ` G.J i-A...50 TOTAL PEE f 1 ogss FEE IREciiim COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA, CALIFORNIA ,_ 7/- ZO - .5-7 FOR APPLICANT TO FILL IN COMPLETELY Ag` /�oL� kRl PERMIT Y-w 1�.�TYPE OR PRINT " 'BVIC . ' ADDRESS G�'oO j(� Sherwood Street BUIL LLL r COSTA MESA. CALIFORNIA FOR OFF/CE USE ONLY astmont DevelupmentCurperntio RECEIPT NO. I /C)�T OWNER E. 3 MAIL 419 E. 17th Street RECEIVED BY� DAT RECEIVED DATE ISSUED ADDRESS J x�� p fli/ /1"--- 7'� g1^'/../'J'J(�� CITY Costa Mesa, Calif. TNOLI 81159 ADDRESS V 2 0 1919 ARCHITECT Carlson & LIC. o- NGINEERMi cirri ahrnnk NO. - • COSTA MESA. CALIFORNIA AL...RESS Garden Grave, Calif FIRE l / J '/�1 Dike � Inc. ZONE TYPE V GROUP 7\A/ - CONTRACTOR CTOB Cole O 1 InLCT TE167293 BY AAPPROV ED DATE 4 ADDRESS 419 E. 17th Street, Costa Mesa ZONING . LEGAL LOT 3378 ZONE q NO.OF USE OF NEW S�• to DESCRIPTION I NO. 1 I BLOCK 1 TRACT (I/P/LAA�JNS �I-BuILPING 1 ,, • A.P.NO. APPR`'V1Df- I, .v/ DA I J .C.- A.P. p NO.OF BLDGS YARDS C' r//EVES • 1 I _/ ' _J OF LOT 771 X 901 INOW ON LOT None REQUIRED ALLOWED USE OF " (CENTER LINE ST.)e/c EXISTING BLDG. None — FRONT �f J. FT. IN. SETBACK LINE FROM 45122} ' CENTER OF STREET REAR YARD R.SIDE / e2FT. IN. SIDE YARD !LEFT 51 !RIGHT 12' L.SIDE J I�FT. IN. DESCRIPTION OF' WORK REAR . /,.SCT: IN. • NEV I X II ALTERATION III ADDITION ! REPAIR I II MOVING I I DEMOLISH I BUILDINGNO.OF [ SIZE 1601 ROOMS V STORIES 1 • EXTERIOR WALK ROOF COVERING 'stu00o (COVERING shake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached garage Plan X750 E 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 SIGNATURE OFL7& I , PERMIT FEE $ 35r .00 PERMITTEE V .0 . / $ 16,1.4421.. PLAN CHECK $ 17.50 Dike • /Colegrove, Inc. 5� 50 AUTHORIZED AGENT TOTAL FEE $