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Home My WebLink About3484 SAN MARINO CIR - Building Permits� (714) 754-5273 • Fex (714) 754-b856 77 FAIR DFiIVE, COSTA MESA, GA 92626 �obnddress: 3484 SAN MARINO CI Suite No Vicinity: Parcel Nunmber: 41205147 npp�icant: GLOVER, LORIE Address: 2737 S CRODDY SANTA ANA, CA Owner: LAFFOON, VAN L Address 3484 SAN MARINO CIR COSTA MESA, CA PLUMBING PERMIT Phone: (714) 241-1414 Zip: 92704 Phone: Zip: 92626 Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING Address: 2737 S CRODDY Arch I Eng : Address: SANTA ANA, CA WATER HEATER CHANGEOUT ISSUE FEE BackFlow irrigation 8ackflow Preventer Bathtub Clarifier Sysiem Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service In[ercepiors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Qn Phone: (714)241-1414 Zip: 92704 License: 529127 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 Qrv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 06/09/2000 Issued: O6/09I2000 ISSUED BY: SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $72.30 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or flbandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to he considered lagal, such work must comply with all applicable codes, afxi all required Inapeetiona end flnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration o( this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATONDECLARAnON: I hereby atlirm under penalry oYperjury one of the followinq declarations: ❑ 1 have end wlll meintein a certificete of consent to self-Insure lor workers' crompensation, es providetl tor Dy saction 3700 of the Lebor Cotle, for Ihe peAormance of the work for which IhiS pertnil i5 issued. � I have antl will mainiain wodcers' compensation insurance, as required by section 3700 oi the LeEor Code, br the performance of the work br which this permit is issuetl. My workers' ompensa/tio�n Insutrance carrier and policy number are: � 1ry� Cerrier: 1�� 1'�%�Tt Mil � PoliCy Number. �MJ�� (This section ne d not be complefed il the pe�mi( is valuetl at ane hundred dollers ($100) or /ess.J ❑ I cenity Ihei in the pertortnance of ihe work br which ihis permit is issuetl, I shall not employ any person in eny manner so as to become subject to ihe workers' compensetion lews ol Celifomia, and agrae thet if I should become su6ject �o the workers' compensation provislons ot Section 3700 of the Lebor Code, I shall forihwith comply with these provisions. p Applicant SlgneW� Q_ Date: (/�—�—�U WARNING: FAILURE TO SECURE WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL AND $HP1L SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN� GVIL FINES UP TO ONE HUNOREO T!%)USAND OOLL4RE (5100.000), IN ADDfTIIXJ TO THE COST OF COMPENSATION, OAMAGES AS PqOVIpED FOfi IN SECiIqJ 31W OF THE I.ABOR ODDE, INiEREST, AN� ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed untlar provisions oi Chapter 9(commencing wlih Section 7000) of Division 3 of the Business antl Professions Cotle, antl my license is in full toma and ettect. Lic. x _ Sa5' /� l Clau p� �'_3 �O Contratior5 Slgnaiure: �� '� ' Date: ��-," i Oa CONSTRUCTION LENDING AGENCY: ❑ I hareby aHirtn thei thera is a construction lendinq egency for ihe peAortnance ol tha work for which ihis pertnit Is issued. (Sec. 3097, Civil Code). Lender's Nama: Signature: _ Lendefs Atldress: Da�e: I hereby attirm �het untler,penalry�of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business and Professions Code: Any city or counry which:'requires e�permit to construct, alter, improve, demolish, or repair eny stmcture, prior to its issuenca, elso requires the applicant for such permit �o file e signetl ste�ement tha� he or she,ls licensed pursuan� to ihe provislons of lhe Contrac�ors License Law (Chapter 9(commencing wlth Sectlon 7000) of Division 3 of iha Business antl Professions Cotle) or itiaLhe`or she Is ezempt Iheretmm and Ihe basis for �he alleged exemption. Any vlolation of Sectlon 7031.5 by any epplicant for a permit subjects the applicant to a civil penalty of no(more than tive huntlretl tlollars (5500)J: ❑ I, as owner of ihe pmperty. or my employees with wages as Iheir sole compansation, WILL DO THE WORK, and the structure is not intended or ottered lor sale (Sec. 7044, Business entl Professions Coae: The Contreaors Licanse Lew doas nol apply to an owner of propeny who builtls or impmves thereon, and who tloes such work himself or hersell or through his or her own employees, providetl Ihat such improvemanis are no� in�entled or oNared for sale. If, however, the building or improvement is soltl within one yaar ol complelion, lhe owner-buildar will have the �urden of proving that he or she ditl not build or improve for puryose of sala.). ❑ I, as owner of the properry, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CON7RALTORS to consiruct the pro�ect �Sec. 7044, eusiness and Professions Code: The conirectors License Lew dces not apPN to an owner of property w�o builds or improves thereon, and who comracts tor such project wi�h a coniractor(s) IiC8n5B pur5uant to lhe Coniractors LiCense WwS.). ❑ I em ezempt untler sac. SignaWra: Owner ID venfied by driver's license. ❑ Ves ❑ No Business end Professions Code for ihis reason: Venfication of Ownership by (type of tlaument, i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CEflTIFICATION: Dnver's License No. Date: Expires: ❑ I hereby certify thei no excavetion five (5) or more feet in depth Into which a person is required to descend, will be matle in connection wilh work authorizetl by this permit, end thaf no building strucWre, scaflolding, falsework, or demolition or dismantling thereof, wiil Ge more than thirry-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permil from the Division of Indusirial Safety, as notatl ebove, unless such person has a permit to do such work irom the division. Signature: Dete: - Division of Industnal Sefe�y Permit Number: CER7IFICATE OF COMPLIANCE AND AU7HORIZATON OF EN7RY: I cenify under penalry of perjury ihat 1 have reatl this epplication antl state ihat ihe information given is correct. I agree to comply wi�h all s�ate laws and city ordlnances relating �o building consiruction, and euthorize representatives of Ihe Ciry of Costa Mesa to enter upon the ahove-describetl property for inspection purposes. I agree not to occupy or ellow occupancy ot any building authorizetl by this parmit until iinal inspection. �aignetvre'�O( Legal Owner�s) �� L AnrllOr Authorized Applicant Da�e LOOE/, INSPECTIONTYVE QdIE INTRIALS 1676 Fixotl System Final Fire Prevention 1266 200 201 202 203 204 2446�d6 Pool Spa Final Final Re-Rool Final8lock/Retaining Wall Finel Fectory Fire Place Finel Sign Final Demolition C0� INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 210 Final Eleclncal 212 Final Fira Prevemion 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupancy OATE NI TITIFLS Vi L PqQ�TRDOflES3: 3�IS4 SAN MARINO CI ��OYINEA'SfjRME: VAN & CAROL LAFFOON nooeess:3489 SAN MARINO CI COSTA ME5A ` CA 92626 (714)241-9060 UNIT: � PPCHIENGINEEfl: PHILIP TAGGART eea.no.:25734 � RDORESS: ZSOOi SKYPARK CIRCLE uxir: IRVINE CA 92714 renrniTree: PROVIDENT HUILDERS ( 714 ) 545-7872 aooness: 1609 KING ST 6187 SANTA ANA CA 92706 LICENSEO CONTMCTOR DECLAMTION: I here6y affirm that I am licensetl untler Dmvisions of ChaD�e� 9(co encing with Section 7000) of Division 3 oi the Business and Professions Cotle, an lice is in full force and e c�. A� cilv uc.: 0 0 3� sTare uc. 3 9 0 7 0 cuss: H-1 // Date: � � V SiAnature: • WOBKEBS' OMPENSFTIONUECLIIMTION: IherebyattirmthatlAave niticateoiconsenirose Compensation Insu2nce, or a certified coDY �hereat (Section 3800, L ). • POLICY NO.: EXP. ORTE: `OMPANY: . CertifieU copy is here6y hmisheA. ❑ CertitieA copy is tiletl wfth the ciry Builtling Division. /N I Da�e: APPiicant: � a certificate oi WOMers' nee0 nat be completed if the permit isJor e huntlred ($700) or less�. K I shall not employ anypersonjf��manner so as �0 6ecame Date: b • Sianature: � � ` NOTIC . I, atter ma ting this Aeclaration� you shoul0 hecome'su4ji ro the Warkers' ComDensatio visions of ihe Labar Code, ou mus[ tonhwith comply with such pmvisians ar Ihis �i it shall 6e deemetl revoked. CONSTHUCTIDN LENDING FGENCY: I �ereby affirm that there is a constmc[ion IenAing aAency for �he peAormance oi ihe wark for which Ihis De�mtt is issued (Section 3097(Civ. C). ' � �ENOEH: � � , nooness: OWNEH BIIILDEH UECIAMTION: 1 hereUy affirm ihat I am ezemD� fmm [he Conirectars' State License Law for ihe followinA reason (Section 7031.5 Business and Pmfessional Code: My city oi wunry whic� reQuires a Dermii to constmd, alter, improve, demolis�, or re0air any stmcNre, Drior ro its issuance, also requires Iha appiicant for such permit to file a signetl s[a[ement that Ae/she is licensed , purouant �o Ihe pmvisions of ihe Coniractors State License Law (Chapter 9(commencing wii� Section 7000) of Division 3 of the Businexs an0 Protessions Cotle) or that he/she is exempt Iheretmm antl ihe basis br the alleAetl exemption. Any violation oi Sectian 7031.5 hy any aDVlicant tor a permit sublecis iha applicant to a civil penalry of not more ihan five huntlretl tlollars ($500). I, as owner oi the DmDertY ar my employees with waqes as iheir sole compensation, will Oo ihe work, an0 the ❑ stmdureis natinientled oroRereOtorsale�5ection 7044, Business anA ProfessionalCotle: The Contractars' Sta[e License Law Aoes not apDly to an owner of a properry who bwlds or imD�oves thereon; antl who Ooes such work himseli/herult or IhrouAh his ar her own employees, Dravitletl IDat such improvements are not inten4e0 or otteretl (or saie. If, hawever tAe building ar .� ImDrovement is sold within one year of completion, t�e owner will have �ha hurden of provin0 ��s�e tlid not bui10 or improva far lhe purpose of sale�. I, as owner ai the DraDerty. am exclusively contractinA with licensed cont2ctors ta constmct IDe pmle�� (,�ction 7044, Business ❑ and Protessions Cotle: The Coniractors' State License Law tloes not appty to an owner ot Droperty who hml0s or improves [hereoq antl wha cantacis forsuch prole�s cttA a coniractor�s�license Oursuantto ihe Con[ractars' S[ate License Law). I am aware ihat prooi of iheir Worker's CamOens;lian insurance shoul0 be D�ovitled ro me. ' � I am exempt under Sec�ion: B. 8 P. C. for Ihis reason: Date: Ownec I tlo here�y certity ihat I am aware of antl understantl the reQuirements oi California Health and Safety Cotle Sections 25505, 25533, antl 25534 anA that I or any tuNre building occupant wilVwill not (circle one) neetl to comply with saitl state co0es antl the reQuiremenis for a permit tor consimction ar moAification hom the Air Oualiry Mana9ement DisMct. Hesidential constmction aDPlicatians are exempt irom these D�ovisions. Oate: Applicant: I herebVi certiy ih t I have read this ap0lication antl state that the abo�R inio�ma[ion is correct. I aqre to compty witA all ciry and counry ortlinances anA s te laws ating ta Ouilding constmctlon a y[honze represenGtiv , of s/ to enter upan the a�ove-men[ion�d DroOenY �or in ection p rp ses I/ � Date: /� U 1 Slpna�me: � n oriver's �icense or Socia� securiry - 16a1�46 W�ile—Builtling; Green—Code Enlorcemenq Canary—Appllcanp Pink— avenue; GOIEenroE=Assessor CZTY OF COSTA MESA - BUILDING PERMIT PERM NO: H 048595 PERMIT NO:-B 048595 PLAN CHECK NO: 05134-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ADD SOH DESCRIPTION ; KITCHEN & FAMILY ROOM EXTENSION SQ ET: 200 CLAZM VALUE; CALC-VALUE: 13,800.00 GROUP OCC; R-3 / COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME. �+�x�***+rx�r**��r***�r�+��*�rx+�*�*�****�*�r�r**x��r**�r****�*+��***��r*x��*********�**��r*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------; FRNT; FT IN REAR: 19 FT IN FRNT: FT IN REAR: FT IN LEFT: 25 FT IN RGHT; 25 FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; 2 PROV: 2 PARCEL: 41205147 ZNE: R1 REF NO: PLANNING NOTES> 20Q SF ADPITION TC� REAR OF EX. SF RESIDENCE (KITCHEN AND > FAMILY ROOM EXTENSIONS) *�**�t�r*�r�r�r*�*�t�r*�r*�t*�t� rr�r��r**�t�r�t*�r*�r�r�t+�*�r**+�+t�*�t�t*�t*��t**x�**+t**�t*�t�t**�r*****�t*�r�r��t D E V E L O P M E-,N T. .' S E R V I C E S R E Q U I R E M E N T-� S ZONING APPROVED BY `' " � C.G DATE: `�=�_� Io -`� O BUILDING APPROVED BY : DATE; '%' APPLICATION ISSUED BY: : ' ' DATE: -�� iFilaEitititatiEititiEiFiEiEifiE'kif#iFiFiE.iF'SFiF3FiF�iSiF�ibiFiFiF3FiFiFiFiFiFiFiF3F'iF 3FiFTFi'FiFiF3F3fTFSF3ditikia*aEaF�ElkiEik � iF1E if iE ik iE iF iE iE iE iE iE iE if iF iE iE iE iF if iE 3E if i! if iF ik iE if if !f i! if iE i! �k iE iF iE iE 3E iE k iE 3E if iE iE iE iF if 1f iE it df 3F i! iE iE iE ik it iE IE IF ik iE dE 3E iE iF 3E 9E iE jF 1E 1t dE 3E �1E iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC- MECHANIC PERMIT 153,00 PLAN 94.45 ' ' ISSUE FEE �� BUILDING-DIV-> PERMIT ISSUE PLAN-CIiECK TOTALS----> 153.97 0,00 .- 9�9,45 , REVENUE DIVISION TOTALS--� COLLECTED: BLDG PMT PLUMHING ELECTRIC MECHANIC 153.00 FIRE SMIP/RES GRADING .97 SMIP/NON-RES TOTAL PAID DUE 253,42 253,42 ,00 t , 153.97 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN-CHECK .97 ik iF'.E if ik iP if iE if iE iE �1f iE iF iE i! i! # i! iE iE iF iE iF iE iF ih iF iE iE ik i! iF if iE 1E'k iE iF if if'iE iE iE if iE iE 1E iE 1k iE iF iE iE �14 �E if ik it �IE iE it iE �)E * iF 3E 3f iE 3E iF �(-jE if �If iE ik if 1E I N D I v I D U A L�� F E E B R E A K D 0 W N TYL�E QTY D E S C R I P T I O^'N ,,.. UNIT COST TOTAL COST SFR 200 DWE-TYPE V-WOOD FRAME -GOOD 69,00 13,800,00 END OF FEES . � '� � � 71 Q�Ob7'P32-OCOh7,'33 `2`a3� :53.97 4A7E: 08!2blyil 'FiC�E: 1;'�•"4 � CONSTRUCTION AND PLANNING ' PO. ,S SPA � �-�, R ' Date Inspector Date �nspector �1�1PPROVALS Permit # _ APPROVALS Permit # . '�, �Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2, Soil Pipe-Undrgrnd. . � r 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. '' 54. forms �� 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. yteel Reinforcement � Z�Yp dp.,i ��- 56. fiough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE 7. Footings S��l""� (yw� 58. Electrical Conduit�Undrgrnd. . $. Foundation � � -�' -YO'��a/LjL 59. Gas Pipe, O,Undrgmd., Test . 9. Water Pipe�Undrgmd. -�` " 60. Backwash Lines, P�Trap, � Undrgmd. ' 10. 5tructural Floor System 61. APPROVAL�TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �� _ 12. Sewer Cap � 63. Heater & Vent-Final �'�i, ' 73. Ftoof Drains ' � 64. Plumbing SYstem � Final 14. Fough Plumbing •�_, -. ' 65. Electrical-Final 75. Rough Electrical•Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED�FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � �APPpOVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' '71, Product Piping OGas ❑Oil 23.� Gas Pipe-{iough & Test � 72. Underground Flush 24. ftoof Framing � . 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing " 74. Overhead Hydro - 26. 7�Bar Ceiling IStructural) & Monocoat 75. Dry Chemical ` � 27. Frame and Flashing � , 76. Dry Standpipe ' 28. 4athing & Siding � b�-$ ��pv(y� 77. FIXED SYSTEM FINAL � 29. Insulation ��d-�-p (�w 78. FIRE PREV. FINAL 30. ��Ywall Nailing l�-�(Q �� ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � ..� -Ci,fl � 79. FINAL INSPECTION 32. Electrical Power Meier-Final S0. �FOOD CERTIFVCATE ISSl7ED � 33. Final Electric Notes: � Q•� � ,e';� _ e�� 34. Final Heating & Air Conditioning . ' ( L!/ 35. Final Gas Pipe-Test � --Z�- . Q� . 36. Hood or Canopy� � - � �� 37.'Final Factory Fireplace � � 38. Final Plumbing � 39. Water Service�Final ' � 40. Gas Service-Final . . . 41. Solar pomesticFinal _ . 42. 8ackflow Preventer . ., � 43. Backflow Irrigation - 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �-�� 48. FINALP�ANNING - . 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date �• r�TY OF CDSTA MESA .�IFORNIA 82626-1200 V.O.BOX12-., . Insulation Certificate ° �� 3�{�y Ste,o-� 1��Q(e1rJa L'i✓L GOS�I-S V✓�GC. Numbv end Stree[ Ciry O (Z4 Ng2 Cdunry Subdivision Description of<Installation ROOF �c�� Co � 3 o u R. s�a N� T w�. �e,rc �� rv�e �rn;cn�ess cinches> � 71�em�a1 xes;stance (R-value) EXTERIOR WAL�J I Material S J�If�Lo Brand Name �-cc �4. b Y'tc. 'Ihickness (inches) � � 'Ihertnal Resistance (R-Value) Lot Number CEII,ING Batt or Blanket Type � gG 7� Brand Name O(�Bo..� CuKN, n4 'Ihicirness (inches) ( (� �� 1Uermal Resistance (R-Value) _ (Z - I �I l.00se Fill Type Brand Name Contractor's minimum installed weighUft Ib Minimum thictrness inches Manufacturer's installed weight per squarc foot to acheive Thermal Resismrcz (R-Value) RAISED FLOOR Material aU J�' Brand Name 'It�iclrness (inches) 'Ihermal Resisrance (R-Value) SLAB FLOOR Material G o-w) � Brand Name %T�-is � c�- M l OC Thiclaiess (inches) y ' Them�al Resistance (R-Value) Width (inches) FOUNDATION WALL r Material G'b-itJ � Brand Name �' G�n�S. P- n1 � x 'Ihickness (inches) � Z.",x 3 c7 " 'll�ertnal Resisrance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in confoimance with the cwrent Building $neigy Efficiency Standards for new iesidential buildings contained in Tide 24 of the Califomia Administrarive Code. f/�v�OGuT t�v.�d�erS /��t C /.lRi/�ono-ecrnro uilc<'�ic-- Sign mdTitk ni /9_ s��c�� iu��u�� a�/� Signanae md Titk �3 39v7o�' I.icense Number �i�� L -1r'C) ai�l� ua� y�e x�,x� _ �/� U.ue 0 PflQIECT RUONESS: j q S 4 SAN MAR INO C I uxir: OWN�II'S X1ME: VAti.� S CARUL LAFFOON "°o"ES3:.f348q SAN MARINO CZ COSTA MESA CA 92626 ANCX/ENGIXEEfl: � 7 I 4� Z 4 1 - S O 6 O qEG.XO.: nooeess: PHILIP TAGGART 25'��T9 18002 SKYPARK CIRCLE IRVINE CA 92714 PE"MiTTEE:pROV2DENT BUILDERS (719)595-7872 nooeess: 1609 KING ST 6187 5ANTA ANA CA 92706 LICENSED CONTMCTOR OECIAMTION: I hereby affirm that I am IicenseU untler provisians oi Chapter 9(commencinp witA Section 7000) of �ivision 3 of Ihe Business anA Prafessions Code, and my license is in full force an0 eife . cirv uc.(: �p 9 1q�1,, srate uc.: 3`9 0 7 cuss: g_, Date�.-6_�f7�E1� /�IAnature: - �ONRENS'COMPENSATIONDECIAMTION:�lherebyaffirmthatl acertifwtaoiconsent el1-insureoracertificatealWOBers' �mpensation Insurance, ar a certifieA coDY ��reof (Sectlon 3B ab. C�. 'P-''Y, 1CY XO.: E%P. ORTF. COMP�NY: ❑ Cerufie0 coDY is �ereby IumisheU. ❑ CertilieE copy is filetl xitA the ciry BuilUinq Division. '�, Da�e: ADVliwnt F%EMVfiON FXOM WORNEfl3' COMPEN511710N OFCWflATIOX: (!Ns sec6on nee0 nol Ue mmpleleE il Ihe pemti� is for e hunOreC (5100) or less). I certiry that in IAe Oe�ormance of (he work for wAic� [his permit jjji +++�� e shall not employ any , rson i manner so as to Eewme suhlect to Ih Workers' ComDensation Laws of Califomia. / Daie: � SignaNre: / NO710E: II, alter makin0 ��is Geclarati n, you should become subl o Ne Workers' ComOensatio � ovisions of the Labor Cotle, you musifortAwith comOty wi[h such provisions orihis pe I shall be tleemetl revaked. " CONSTXUCTION LENOINO �GENCY: I hereby a((irm that there is a consimction IenAinp aAency for [ha peAormance oi tAe work for which lhls permit is issue0 (Settion 3097, Civ. C�. LENDER: RUOflESS: OWNEP BUILDER OECUMTION: I here�y affirm ihat I am exemD� �ram tAe Contractors' State Licens¢ Law for ihe /ollowinp reason (Section 7031.5 Business anE Prolessional Cotle: My ciry al counry wAich repuires a Dermit ta consimct, al[er, impmve. Eemolish, or reD�r any sVucture, pnar ta hs issuanca, atso requires the apD�icant lor such permit to file a siqned statement ttut he/she is IicenuE pursuant ro the provisions oi the Contractors' State License Law (C�apter 9(commendnp wit� Section 7000) ot Oivision 3 oi t�e Busineu and Pmlessions Catle) or t�at �tlshe is exempt Iherefmm an0 Ne Gasis lor t�e alleqeA exemption. My vialation al Section 7031.5 by any aDO�icant for a Dermfl su0iects the applicant to a civil Denalry of nol more than live hunOreE aollars (SSOU). 1, as awner ol the pmDerry ar my employees wdh wapes as IAeir sole compensatlon, vnll tla the .on�, ana me ❑ swtturo is not imendeA or offerea tor sale (section 7044, Busmess an0 Pmfeuional CoEe: The Contractors' Siate Licenu Law Coes not apOty to an owner ai a Droperry who huilAs or imOmves t�eBon, an0 w0o Oces such rmrk himself/Aerself or tAmuph - his or her awn em0loyees, D�ovitle0 [hat such imprwements ara not intendeA or otfereU for sale. Ii, however the buildinp or . improvement is soltl within one year ai completion, tha owner will have tha burOen ol pmving he/she EiA not builU or improva ' lar the puryose ai saie). � I, as owner of tAe DmOeM. am exclusively wntractinA w��h IicenseA coniractors ro constmct the Drajecl (Section 70A4, Business ❑ anU Pmfessions COAe: The Contrac�ors' state Licenu Law tloes not apply to an ownar oi DmpeM who hwltls or impmves tAereon and who coniracts for such prolecis wi[h a contractoqs) license pursuant to iha Contractors' Sta�e License Law). I am aware ihat Dmof of tAeir Warker's Compensatian insurance shoulA be D�ovitled to me. � I am e�em0� untler Section: B. 8 P. C. for tAis reason: Oate: Owner: I Oo Aereby certiry tAat I am aware ol an0 untlerstand the repuiremenis ol Calilomia Meatlh an0 Satery Cotle Sec[ions 25505, 25533, and 25534 anA ihat I or any INure builtlinp occupant wilVwill not (circle one) nee0 to comply wit� saiA state coEes anA Ne requirements for a permit for constmclwn or moAification irom the Air Oualiry Manapemen� Ustrict. Nes�Eential constmction a071iwtinns aa exemD� ��om these pmNslans. Oate: FpPlicanl: I hefebvi cefllNi�2tl hdv¢ fE2EIhi5 dpDIiG2�011d11tl Sidtl propeRy for ins dion fposes. Date: V ' Driver's License or Sacial Secunry N: 1601<6 White-BuilEing; Green-CaEe Enlomemen�; is rqrrect. I aA�eJ�wmpty wii� all ciry and GolCenroC-Assawor CITY OF COSTA MESA - BUILD PERMIT NO; EMP 048596 PLAN CHECK NO: ` CONSTRUCTION TYPE; 5-N PERMIT TYPE: ELE JOB DESCRIPTION ; KITCHEN S FAMILY ROOM EXTENSION CLAIM VALUE: CALC-VALUE: PERMIT N PLU PEAM NO: EMP 048596 GOVT: N SUPP; N PURPOSE; ADD SQ FT: GROUP OCC: R-3 / COMMENTS; RELOCATING PLUMb „ kEFER TO kB48595 ��r�r***�r**x��*�r�r*�r*�r��r�r�r�r�r*�r**��#x��r�r*��r*�r***�r***�r�r�r**�x�*�r +t+r�r+�**�rx�+r*��r*��x**�r+�� Z O N I N G R E Q U I R E M E N T S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCES50R BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARXING RE9� PROV: PARCEL: 41205147 ZNE: REF NO; PLANNING NdTES> > � if it iF �E ik �t iF if iE *�lE iF iF 3! �k i43t ik 1k it ik if iE it %1t it iE 1E jF iE # 1E 1t if ikfE iF iF iE iE if iF i! iE iE iF iE iE 1E iE iF iE iE if iF ik 1k if iF it 1t ik i! iE iE if� �E iE iE iE iE �lE iF if it it iE it D E_V E L O P M E N T S E<A �V. I�, C E S: R E Q U I R E M E N T S . i 20NING APPROVED BY � DATE: ' HUILDING APPROVED BY : ' DATE: '"� APPLICATION ISSUED BY: ' " DATE: �B �Ib� �� , iEiliFif�E�tiFiliEdEilfEiF�liEitiEiE�lE�kiF�1E , � ilif3E�f9E9fiE3fiElk�'£�iFiFaE�E iE iE iE M iE jE iE it ik 1E iF 9F ik iE iF if i! iE 9f 1E 1! iP iF 1F ik iE ik 9! k iE iE ik 9E iE ik iE �1E if iE iE ik ik �lE if if ik iF it iF 3f iF 3t it 1E iE iE 1p ik il±E iF 3E iF if iF ik 1E if iE iE 9E iE 3E 3E 3E iE �E 1E IF LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.00 46.25 13,50 258 SOY 25Y SMIP/NON-RES PLAN ISSUE FEE 3,00 15.00 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 67.75 33.00 0.00 100.75 100,75 .00 REVENUE DIVISION TOTALS--> COLLECTED; 100.75 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 11.00 61.25 28,50 if if iE 1f if iE iF 3E ik �11� iF iF if jk ik �ik iF if iE ik if iF it if 9f if �lE iE iE iE-1E dE ik 1E iE �F iE 3E iF it if * if it 9E 1f iF iE if IF it iE �t ik iE iE dE i! iF iE 3f if iE iF ik if it �I(� iF if iF iF iF iE iE 3E jE i6 iE I N D I V I D U A L F E E B R E A K D O W N TYPE ELE ELE ELE ELE ELE MEC MEC PLU PLU PLU PLU QTY D E S C R I P T I O N 2 FIXTURES, LIGHTING 1 ST 20 EA, 15 RECEPT/OUTLET 1 ST 20 EA. 8 RECEPT/SWZTCH 1 ST 20 EA. 3 RES APPLIANCE NOT OVER 1.0 HP 1 SERVICES BELOW 600 V S HELOW 201 AMP 1 REPAIR/ALT COOLING UNIT/SYS W/CNTLS 1 VENTILATION FAN CONN TO SINGLE DUCT 1 DISHWASHER 1 SINK, KITCAEN 1 GAS SERVICE 1 P-TRAP UNIT COST I TOTAL COST .75 ` 1,50 .75 11.25 .75 6.00 3,00 9.00 18.50 18,50 9.00 9,00 4.50 4.50 2.00 2,00 2.00 2,00 2.00 2,00 D1 ?L•�Q�7'?9-ODOb7731 �e�'52.00 1D0<�� DATE: 4R/16J9� TI19E� 14:24 , CONSTRUCTION AND PLANNIN� rOOL & SPA ! APPROVALS Permit# Date Inspector APPROVAIS Permit# � Date Inspector L Temporary Electrical Service�or Pole � 52. Pool & Equipment Location ' . Z,r$oil Pipe�Undrgrnd. ` � 53. Steel Reinforcement � .- �. �. Electrical Conduit Utility-Undrgrnd. 54. Forms � i 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE i 7. Footings' . 58. Electrical Conduit-Undrgrnd. � . 8. Foundation . � 59. Gas Pipe, O Undrgrnd., Test 1 -/' , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. � 10. Structural Floor System . 61. APPROVAL TO DECK . � 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � �2. Se`"e� CaP . - � 63. Heater & Vent-Final ' 13. Roof Drains � ,� • � �� 64. Plumbing System - Final � . 14. Rough Plumbing ( 3 qQ `�(7 65. Electrical�Final - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � l7. Rough Wiring Sigri' . 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �FIRE DEPT. REQUIREMENT 20. Fough Factory FirepVace APPROVALS Permit # 21. Ducts, in Structure ' . � 70. Underground Hydro 22. Ducts, Ventilating� 77. Product Piping O Gas ❑ Oil 23. G9s Pipe�Rough & Test � �p'!3 4� 72, Underground Fiush 24. Roof Framing 73. Undergrnd. Storege Tank O Gas ❑ Oil 25. Roof Sheathing � . - 74. Overhead Hydro , 26. T�Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical - 27. FrameandFlashing 76. DryStandpipe 28. Lathing & Siding �,. 77. FIXED SY�STEM 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 � 8 FOOD CERTIFICATE ISSUED � ' 33. Final Electric 19C� Notes: - _34. Final Heating & Air Conditioning /4 qQ � ' � , , � • 35. Final Gas Pipe-Test �� QO � , , � 36. Hood or CanopY • - � 37. Final Factory Firepface � , . 38. Final Plumbing �� (-'lQ (��O 39. Water Service-Final 40. Gas�Service�Final � � 47. Solar pomesticFinal , - � ' , 42. Backflow Preventer ' 43. Backflow Irrigation ' 44. Landscape Irrigation System , . � � - �� 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �.��Ct� 48. FINAL PLANNING � . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OP OCCUPANCY No. Date PflOIEC'�1UOflE33: OWNEfl'S N�ME: :.,, �ODNFSF� ' IINCHIENGINEEN: �ooeess: � PENMITTEE: �UGHESS: IIEO.NO.: uxn: uxrt: 11CFNSED CONTMCTOR DECIAMTION: I �ere0y aBirm that I am Iicense0 unOer provisions of Chapter 9(commencin0 �� Section 7000) ol Oivlsion 3 0l t�e Business and pro�essians Cotla, an0 my license I5 in lulliorca anE eflect. Cltt LIC.: BTpTH LIC.: C1A88: . - qate: SipnaNre: /rpREBS' COMVENBRTION OECUMTION: I �ereEy attirm Nat I have a certiliwte ol consent to selFinsure or a certi/iwie ot Workers' �nDensalion Insuance, or a cerlilieU caOY �hereot (Section 3800, LaU. C�. LICY NO.: E%P. 011TE: COMPRNV: ❑ CeNlied coDY K hereby Iumis�e0, ❑ CertifieE wpy is fletl with tAe ciry Buildinp Oivision. Oate: AppliwnC E%EMPf10N FHOM V/ONNEIi3' COMPEXS�TION OECWUiION: (ihis uctian neeA not Ee wmplete0 if Ue permil is ior one AunAreO (5100) or less). I ceriity IAaI in Ihe peAormance ol t110 Mrork lar which t�is permii is iuue0, I shall noi amploy any pelian in any manner 50 as to Eecome sueject to 1ne warkers' Compenution Laws of Califomia. Date: SiO�ture: NOTILE: 11, aRer maldnp Na Oedaratlon, you 5hoN0 hemme wOiec2 ro tM Workers' Compensation D«s�� oi t�a Labor CoOe, yau must tarth�vith compy witn wch Orovisions or this permit slu0 he OeemeO revokeE. fANSTIlUCf10N LENOING �GENLY: I trereGy aHirm Wt thea k a construction IenEinp apenry tar Ne pertarmance ot t�e wark for wNch I�is permiiis ixtueA (Sec�ion 3pg7, Civ. C�. lENOEfl: ROONESS: OWNEB BUILOER OECLANITION: I here�y al/irm that I am exemD� �rom tha Contractors' State Licensa Law for the fallowin0 �e�on (Section 7031.5 Business and Professianal Coae: Any ci[y of counry wAicA reQuires a Dermi� to canstmct, alter, imOrova, Uemolish, or ' apair any simcture, pnar ro its issuaqce, also reQuires t�e apDlicant lor such permit to lile a sipneC sta�ement that he/she is Iicense0 pursuant m the Drovisions ol t�e Contrdcrois' State License Law (Chapter 9(commencinp wit� Sectian 70W) of Uivivon 3 of the Business an0 Pmlessions COEe) or that �e/sha Is exemD� �Aerefmm antl I�e basis lar Ne alleOeO eKemp[ion. My violation ol Sectlon 7031.5 by any applicant lor a Oermit su�iects [ne applicant ro a cNil penalry oi not mam than live AunCreE Uollars (`3�). I, as owner of Itre properry or my employees wit� wapes as I�eir mle compenvnon, vrill tlo Ihe work, aM Ue ❑ SWCure is not inten0e0 or ofiCred lor ule (Sec�on 70C4, Bu9ness anA Professianal COEe: TM Cantractors' State Liunu Law tices nol aDON �o an owner ol a D�operry who �u0tls or imprwes therean. an0 wM tloes suc� xrork himsell/�erself ar t�mupA �is or �er ovm emplayees, proNtlM t�at wch improvemenis am nat IntenOeE or atlere0 lar sale. 11. Aowever the �uilUinA or ImDrmement is salE within ane year ai wmpletion, the awner xill twve l�e 6ur0en of proNnO ��e Eid not huilE or imD�ove C �� br tAe Ouryosa of ulel. I, as owner al tAe D�operty, am exclusivery conVactinq with IittnSeA contracrors to cons[rup tha pmject (Section 70C1, Business an0 Prolessions CoOe: The Cantraziors Stata License Law Oces not appty to an ovmer al Oroperry wAo bwlEs or imD� Nereon mU wtp contrac6 for suc� prol�� i�� a con[actar(s)licensa pursuanl ro t�e Contrzctors' Stata �kense Law�. I am axare ttut proof al tAeir Worker's fAmpe�aiEon insurance strouW Ce proviEeO to me. I am eKempt under Section: B. E P. C. lor tho reason: Date: O,mer: I Eo hereEy certiry that I am aware of anG unAerstand Ihe requirements ol Calitomia Heatth and Safery Cotla Sections 25505, 25533, anU 2553d antl tnat I ar any fuWre tuilCinO occupant wilUvnll not (circle one) need to comDly with sai0 stata co0es an0 the requiremenis for a permit lor consimction or moEilication Irom the Air Oualiry Manaqament Uisirict. ResiOentlal constmction applications are exempt irom ihese provisians. Date: Applicant I nereCy ceNry ihal I Aave reaOlMs appliwtian and state that the aEove iniormatlan a wrrect I apree m comDN �+th all ciry an0 counry orONancw antl sUte Wxs reWwp to EWqinp canstution aM here0y aufhanze 2presentaWeS oi this ciry to enter upon Ne a6ove-mentlme0 propeM br inSD�n Durposes. Oate: SipnaWa: �river's Licenm or $otial Sewnry M: tBa1�8 WMta—BuiWi�q; Oroon—�e EniorcemenF, Canary—Applkan�; Plnk—Revenue; GdOenrotl—Avesmr PERMIT NO; EMP 048596 PLAN CHECK NO; 05323-90 N PAGE: 2 �**�r*�r*�ex�+r+��r+��r�r�r�rx�r��r��***�r��r*�e*��r+r*�r*�*�rx�rx�rx�e�r*�r+�*�x**�r**�+r*�r**�r*�e��*+r*�r�r�r TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST END OF FEES 0 <� ' CONSTRUCTION AND PLANNI � POOL & SPA ! APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment. Location 2: Soil Pipe-Undrgrnd. 53. Steel Feinforcement Q. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. EIecC�ical Conduit�Undrgrnd. 55. Electrical 8onding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricalUFERGrnd. 57. APPROVALTOCOVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � 8. Foundation - 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe�Undrgrnd, 60. Backwash Lines, P-Trap, O Undrgmd. �_ 10. Structurel Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical�Conduit 66. Sola� SYstem-Final e 76. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducis, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceifing (Strutturaq & 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. Fina� Eleciric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Fattory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Hand�caP Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT AODHESS: 3 q� 4 S ATl MAR I NO C I OWNEB'SNAME: I�AFFOON� V�.� 1. ' aooness: LAFFOON, CAROLE .7 ]4II9 SAN MARINO CIR ��OSTA MESA,CA 92627 241-9060 PPCHIENGINEEfl: flEC.NO.: FOONESS: • uxiT: CITY OF COSTA MESA — SUII,DZNG PERMI'C PEFtM NO: B 049579 PERMIT NO: H 049579 PLAN CHECK NO: 06354-90 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPQSE: NEW JOB UESCRIPTION : CONSTRUCT 4665F LATTICE PATIO COVER SQ FT: 466 UNIT: PEHMITTEE:PROVI.DENT BUILDERS (714)595—'1872 � aooxess: 1609 FCING ST 6187 � SANTA ANA CA 9270G LICENSEO LONTPpCTOP oECUPATION: 1 �ereby aHirm that I am licensed unAer pmvisions ol Chapter 9(commencing wiih Section 7000� af Oivision 3 of the Business ana Pwlessions Cotle, and my license is in full lorca and eiiecl. cirvuc.:0_50381 STATELIC.: 9Q%Q��B—�/j oate: —� `„ Z 3- y � Signawre: _ �W.� — � VOflNEPS'COMPENSRTIONDECLAflFTION: Iherebyallirmlhall�a cendicateolconsemto .insurearacenifkateolworkers �mpensalion Insu�ance, or a Cer�i�ieC copy Nereo� (Section 3800, l C�. IILY NO.: E%P. DA7E: 1COMPANV: r� C¢nifie0 topy is here�y lwmsfre0. ❑ Cenitie� wpj is fNed wit� the ciry BuiWi� Division. Oale: Applicanl EXEMPTION FROM WOBRfNS' COMPENSATION OECIABATION: �Thi55et��on need noi be ComDleleO if Ihe Dermil is �orone hunUred �S1W) or less). I cendy Inai in Ihe oedormance of Ihe work for which th6 p�4( is is5 4. I shall not employ any peroon in ny manner so as lo becom sublect �o t�e Warkers' Campensation Laws y�Lalibmia.' \ / Oaie: �U— 7--3 ��i o I s�nnawre: NOTILE: II. atter making Ihis aeclaration. you shoula 6ecom¢ su�le to the Work¢r5' Compensa ' pmvisions ol ��e Labor CoOe, you musl fonhwilh comply wilh suc� provisions or i�is per shall be deemed revok . CONSTNUCTIDN LENOING AGENCY: I here�y affirm ihat Inere is a tonstruc�ion lentling agency for Ihe performance of Ihe work far w�ich IhiS permii is i=.suetl (S¢tlion 3097. Civ. C). IENDEfl: p00flESS: OWNEN BWlOEF OECIAFATION: I Aereby aliirm Iha� I am exempl �mm �he ConVac�ors' S�ate License Law for the lollowing reason �Section 70J7.5 Business anC Pmlessional CoEe: Any cily ol county wAich requires a permil m conslmct, alter, impmve, demolis�, ar repair any 5Im[lure, prior lo ils issuance. also requires the applicanl �or suc� p¢rmii Io lile a sipnetl 5laiemen� Iha� �e/sheis IicenSeA pursuant lo I�e pmvisions o� Ihe Conlractors' State License Law (C�aV�er 9(commencinp with Section 7000) of Division 3 of ihe Business and Pmlessions Cotle) or ihal helshe is exempl Iherelrom antl ��e basis lor the alleged e�emption. Fny violation oi Sec�ion 7031.5 6y any aOPlicant inr a permi� su�le��s I�e applicanl Io a civil penally o� no� more �han live hunOred tlollars (5500�. I, as owner of ine prooeny or my employees vnih waAes as iheir sole compensation, wiil tlo itle woA, an0 the ❑ simc�ure 6 natintenGed arofferetlforsale�Section 7044. BuS�ness an� Prole55ianaiCaUe: The CAniractar5' Slate License Law ' Oaes nol a0�ly to an mvner of a pm0eny wtp hudds ar im0�aves therean, ana who Aoes such work Nmseli/�ers¢II or thmugh �is or her Own em0loye¢5, provi4e0 I�ai Su[h improv¢m¢nI5 are not inlendeE Or oflered �Or Sale. If, howev¢r I�e Ouiltling Or impmvemeni is SoIA vnlAin one year 0� comple�ion, Ihe own¢r will have ��e Du�Uen ot pmnng Ae/she Gid noi Cuiitl or improve for Ine purpose ol saleL I, as owner of �he pmpetly. am eMclusively conVacling wilh liGensetl coniraclors to cans�mcl ihe prolec� (Sec�ion 7044, Business ❑ anU Pmle55ion5 Cotle'. ihe Contractors' Sia�e License Law a0e5 not apply to an owner af pmpetly wha builtls or impmves �Aereon antl w�o cantrads lor such prole��s wit� a contraclor�s� lict�se pur5uani �o Ihe Conirapors' S�a�e LitenSe Law�. I am aware I�al Omol of their Worker's ComOensdlion insurance shoulU Oe provi0e0 to me. . � I am eeemp� unaer Senion: B. 8 P. C� lor Ihis reason: CLAIM VALUE: 5,000.00 CALC—VALUE: 6,430,SQ GROUP OCC: R-3 / COMMENTS: X �y y+�,�-+��+. ************��*�***��**�+��**+�****��*+r�****�*x�*�*�***+��*�MIVf'�� PJC I �� 1 V� Z O N I N G R E Q U I R E M E N T S S E T H A C K 5 �� ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING '--------- FRNT: FT IN REAR: ]2 FT 6 IN FRNT: FT IN REAR: FT IN LEFT: 11 FT IN RGHT: 29 FT 6 IN LEFT: FT IN RGHT: FT IN PARKING kEQ• PROV: PARCEL: 41205147 ZNE: Ai REF I30: PLANNING NCSTES> APPROX. 300 SF P;4TI0 C�VER ON STDE AND REAR OF > EXISTING DWELLING UNZT. �e*****��*,�*+r�e�**�*��e**�*x+�**��e��*****+�**+�**�rx��**�x�e*��**�**�**+�**x�+�*�r*��*�+��r D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-T S ZONING APPROVED BY S CG DATE: l0-7�—`jo HUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: �� DATE: �^�^� dk it if if aE if k if it iE �F �It M if if iE aF 3f aE if 7E if i'F iFiFiF3F3F�F3F3F7F�F3F �F3F iF if3F �F 3F 3FiFi-iF£�iFiF�F3F'iF1f iE it iE if 1E 3f iE 3t x� * V iF M if if iF Mif if if if kif if if if iE iE 3f if iF ik if if M 4 iEiEif �taf Mif 1EikifiE iF if if i4 iE iEif 9f-k if k# iFjE iFiF if iE if k 3E iF ik if iE �f iiif iF if iEiE N��M k1f jf 3fif 3EiE if ii LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLI)MBING ELECTRZC MECHANIC FTRE SMIP/RES GRADING PERMIT 90.00 50 SMZP/NON—RES PLAN 58.50 ISSUE FEE HUILDING—DIV—> PERMIT ZSSUE PLAN—CHECIC TOTAL PAID DUE TOTALS----> 90.50 0,00 58.50 149.00 149.00 .00 REVENU£ DIVISION TOTALS--> COLLECTED: 149.00 OVER/SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PI.AN—CHECIC 90.00 .SO ;R.50 if ff if iE if iE it iQ iE 3E 3E iE if jf 1f if iE if iE if if iE if if if iF ik it if �E 1t it if it iE iE if if it if ik 1E ik dE if iE jE iE i4 if ik if if if it jf iE if ik if if dF iE aF iE if iE �X� %if M% 1k 3f if iF iE dE ik I N D I V I D U A L F E F. B R E A K D O W N TYPE Date: Owner. I SFR I tlo hereby [etlily tha� I am aware ol and unders�ana �he repWremenls of Calilomia Heallh anA Sa�ery Cotle Setlians 25505, 25533, antl 2553d antl Ihai I or any Iuiure DuilOing oaupanl will/will nol (tirCle ope) need Io Camply wilh 5aitl Stale Co�es antl �he reQuiremenl5 �or a permil lor conSlmciion or mo0ification Imm Ihe Nir �ualily Managen�enl �is�ric�. FesiE¢n�ial consimction a001ica�ion5 are evempi �mm Ihese provisions. Uale: Applitanl: ! I �er¢Gy aNly I�ai I have reaE I�is appli[aiion an0 S�a�e ��al lhe above IniOrmalion i5 cOrt¢ti. I agree to com ry vnth all ti ' ordinance5antl5�alelaw5relalingloOuild�conslmc�ionanOhereUyaY��a�izerepresemalivesof�hiscil e ruponlheaUt IpropetlY �a�insDeciian purposes. I Daie: ��%'L� Su Signaluti o�mers ucense o� saciai Secumv �� t6aba6 Whne—Bmltling: Green—Co�e Enlorcemenl Canary—ApP�icant: Pink—Fevenue: Goltlenrotl—Fsseswr QTY D E S C R I P T I O N 466 RES—PATIO COVER—POST & TRELLIS END OF FEES UNIT COST TOTAL COST 13.80 � 6,430,80 Ot 40072052-0�072b54 '� Ca'8' ;44.pp 6ATE: 10/3�; 4� TFE;E: 1'?:39 /CONSTRUCjION iiA1D PLANNI` • SP'0' APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary Electrical Serviceor Pole 52. Pool & Equipment Location � 2. Soil Pipe•Undrgrnd, ' 53. Steel Reinforcement 3. Electriral Conduit Utility�Undrgrnd. 54. Forms 4. Electrical Condui[-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings , !O Zy 6 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test � ,9. Water Pipe-Undrgrnd. . - 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVAL TO DECK 11.. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap , 63. Heacer & Vent-Final 13. Foof 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 78. Rough Electrical'-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT..REQUIREMENT ., , , 20. Rough Facto,ry Fireplace , ' r � ., APPROVALS' Permit # �, , 21. Ducts, in Structure •• ,� ��70. Underground Hydro ' 22. Ducts, Ventilating '� y �� '�71. Product Piping O�G'as ❑ Oil � a f Y 23..Gas Pipe;Rough &�Test � � , • � . � , � ,72, Underground Flush� , � . 24. Roof Framing ' ' � •• ' � �73�.'�Undergrnd.S[orage.Tank OGas ❑Oil - 25. Roof Sheathing � � '_� � 74, ,Overhead Hydro: � , 26. T-Bar Ceilin9 (Structuraq & Monocoat �• "? �� 75.:Dry Chemical '' � " 27. Frame ar�d Flashing � . , � 76�. �Dry Standpipe , ,. : 28. Lathing & Siding � !��. �' . •• ••,� � 77l' FIXED SYSTEjy1�FINAL `� 29. Insulation ,� � �� . � � � � 78.�FIRE PREV. FINAL � 30. Drywall Nailing '' _. HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat� ,.;,• ,. ' ; i ,79:'FINAL INSP,ECTION � �� .,, c- - 32. Electrical Power MeterFinal. ',a. � . �; •!SO;��POOD CERTIFICATE ISSUED ' 33. Final Electric � , ; - � � � � �, i.. �Notes: . . , - .. � 34. Final Heatingi& Aic Conditioning '� . �'T: ' , 35: Final Gas Pipe-Test ,� . � , , y .� . � ' _ , . . , 36. Hood or�Canopy �� • • � ,�i i •' ; �!t � 1 I 1 1 '37. Final Factory Fireplace . �• � -� � � � • . , I 38. Pinal Plumbing � • � � F • � 39. Water Service-Final� � � '� ' �� r � ' � ' M � 40. Gas Service-F�(nal ' � , - � , . . � 41. Solar pomestic-Final� � �• ; �� ' � � •+ � i 42. Backflow Preventer ,. . � � � � � . • 43. Backflow Irrigation �� ' ' �� , �.,. . 44. �andscape Irripation System .� � , � � � � � � •c � � 45, Sound A[tenuation � "' • , , ' . ' ' 46. Handicap Regulations � � � � � � � 47. FINAL STRUCTURE & BUILDING � O Lt/ �(,v.'/� `'� (- w 48. FINALPLANNING , . . 49. Elearic Release to Edison � ' ' ' ' i 50. Gas Release to Southern Califor,nia Gas Co ' , � 51. CERTIFICATE OF OCCUPANCY - � No. Date 0 ��_,�,Q� oC�A � p�,ANN�NG DEP7• �yyQ,GT i0 8�6• DEfi. �• �Q'zi�. O �y DA �.� 11AHM_��_ ,o �.. .�;�` i��E ADDITIODIS, �ELETIOPdS, OR CORRECTIONS SI."L BE AFPRO�:'EU BY THE PLAidNING DEPARTMEI�. T , '� � -- _'... .::. �KIYrIN�.t ' ��LIDBNG� --,-----�-- ---- — . i ' f ,.'� � - ' .�aw.a�era t��! ... l . "� . '. . �' • �,�;�^��'�� Citv of Costa P�ilesa f3uilding Dept. . BY � �� DATE I �'_23 19�t o TFI SE PLANS MUST BE ON !OB•AT ALL TIMES MAKE I�U ( ANGES. WITHCU ' PRIOR PrRQ`JAL OF �EPT. �� ; i!G I. SUA.NCE QR C.RANf.NG F P[R1. .T GR A PROVAL OF � FI.NNS A!D SPEC!FIi.ATIOM1IS GHALL NOT 8E CGF:STRUED 1 O BE A f>FRMIT . JH, OR Ar! f?PRO�'AI: Or, ANV V40�1QION' OF AN1' �OF � I% PFO� '510NS OF TH;S COC:i. tJ�� r ERA!f'� PP =6U�dING TG GIVL '� P.'�1TFIORiI ' n' '^ nlr,E! 7NE: RP.G`.lISiQNS O'r THIS i^•�r' , v� '_ eE �AI ID eXC�P ' IN a�... �;:`''+L''rVONii OR USE jM!fCHITAUTHOItyWI. iV�� ' 1$ eg�_ : iti / i T� , . . n . � r�:A( .- 0. . !.". 1 � 1 � � ' . '�[�. 5% � I L fvC. I- F ' 1 �rF q. �g,i .<<6- Rn �UF't;;i�.i 4U�'.Ci . �r�.:,Cr'•—i . l:�ln . ^r,-iGi:71V''.` .";.i .. � ra.rx ' r _� ' :'� ' ��' r:.1 in•i . b � ' . . .' ( 1�1.. . ' ' , r•L ��: '. � � : .- �:i ' ':..' . ., _ , '._.. . . ............. . . ._ .. ' ^. ..: �� . . .. : .. __........�_ . . l:. '�";i... � . ' . ' .. •\ ' �., � - .�I . �r`\.�-. � , . ' . ' . . .�. . . ... -- . ..:3484:: Sp.N : . ='WW,F?INo , . cJtzck:E:.::.: __. _:.,,. � --... ...... .. . .. .._. . , - ... ..._. ..._ ._. � .. - i ; , �. . ' .. - �� •�'p"�.�� Y r.�� . _ . .... _ ' �� « .. � . . . � r � . r�1 -.. .'. . ..l . .;. . 7� . � ,..,v,�', `} !.'w ro' � �y � �,+�"7"^S �"'�'�,�-Y�t��'�--"� . __ :. . ---- . . ... . .'�,, l.i '_�__ �.�»-...-.�v+,- __�-^ � }�!{.R . r . wi .,.�. . � � 'f%. ?� `,1.k�f:r �� =ti �'P~ r`o ";ti:4 �i;;,,4t'.'�,',:: `�,e�'.^.��; y.' . .�i: ..c. •. t- : i , NOTE: SHOW AND DIMENSION PROPOSED PATIO COVER AND YARD AREAS � -- q--�----- - :�-, Z6g-�-i,� �6�� aI a7 I Jv/ Jo..�..�- � Y 1 I C7Tc'G 4 2. .1 STREET PLOT PLAN T SEE DETAILS 0�.1 REVERSE SIDE Lie'�4:1 z a ,�;ffice; �K3 �z i�F. �BeF's�++rie ;, . �� .� - �. , _. ' ,.OVERMANG: � � � G u AT-` g�O.C. `� a.,i -e.,,�n :_#: � � �.� � L `_ iL�{Q.�,l101-e = ,-, J `-. � f --'y�u �.�� s _ : Y �,r�,: y � � � 1IC_6"BEAM ��.,.��`�,c 7 1 �V `�_ �... "} �'': i i � �L„ r:,;_T-STRAP:.EA.=SIOEi.'I'�i!�,� c N �'Y p �i LFOR�� :POST,` BEAM ',• '. r.g . � �� U .�,;�.CONNECTION. �- ' 0;,0: ? r �y c;, ;:2•^ry.�.' `�a'FsV.. � � � �.�5 O� `a �:.- i' Q.'.Zi�= � J � �'� ��V��GJ�,;� ,'.(G�W�Qi 7 U � C:M1 L?a��vm,.3L i;;.y"��y� m ' 2 ,..p _ J;�il jt�i..�d``_� F L� Q � y�� ✓: y ;i 2-� �,. d � J r.� O _ K' y W(j !n .: �"' iJ U c.Z v: ,� �r p0� _ x t'J' r'C; 2'�?+i12°� pi�'�,�?`��O W <' ; J.�, =.O,j U i� "- 4 � - ~: ' a' U.� �� 2 ��J.".�i•.. "'ON�'OSW � DROPPATIO� w�LL----z— acx-�'= J ��. � _,> n .t Z FLOOR 2" oo � � �\,o � t R V SLOPE TO DRAIN a y PLATE 1" �'� f �T ABOVE SLAB� : o.� : � : o :: r' .. . a . . '�. �. `. . � . . . �. . . < . _ . . . _ . . 2G GA. G.1. FLASHING WOOO FLOOH C�NSTRUCTION �SIDF ELEVATION 9 'W G Q r ¢ i (9 _ LL W O m Q I - 1 1 �� N � � �L__ J PIERS 12�� SOJ� CONSTRUCTION DETAILS a 4 w 0 a � u z � 20ib5.ROOF CONNECTION DET�IL-5 �� CON'i.� S ID BLOCK LEDG R � RAFTfR � I/2�� DIA. X 5�� LAG SCR AT 32��O.C. � DETAIL I CR 9 CL "T5C0�� GRIPS OR J01 HANGER CONT. LEDGER RqpTfR . 3�g° DIA. X 5�� LAG S R. AT �b" O.C. DETAIL 2 IO��OR LIGHT WEIGHT ROOFS ONLY CONNECTION DETAILS 2�� X FACIA-MIN.REO. � RAFTER APPROVED METC.L HANGER DETAIL 3 oEVEr,oPr�rrr smvrccFs n�Ax�rgrrr BUILdJ1NG SAF�i'Y DIVISI�] OWNER : PATIO COVER TYP. PLANS DATE : /b -L.3 - Sv e. ADDRESS� 3yfs�1 su.._, ✓h.ar�r.ro �'.�� PHONE��y/-56�0 ' CO(�lTRACTOR:��n�� Idar�_ LIC. NO��U7v6 � ADDRESS: �boti ►C��..�,_ ��, �"G�t��, S.4 . . PHONE:�S�-3�'i7o RAFTERS CA1tPORT, PORCH OR PATIO NO'f SUPPORTINC CEILING SSZE SPACING SPAN 2"x4" 12"O.C. 9'-6" 16" 8'-0" 24" 6'-6" 32" 6'-0" 48" 5'-0" 2"x6" 12" 16'-6" 16" 14'-6" 24" 12'-0" 32" 10'-6" 48" ,8'-0" 2"x8" 24" 15'-6" 32" 13'-6" 48" 11'-6" 4"x6" 24" 17'-0" 32" 15'-0" 36" 14'-0" 4"x8" 24" 21'-0" 32" 19'-0" 36" 18'-0" 48" 16'-0" 4"xl0" 32" 22'-0" 36" 21'-0" 48" 20'-0" 72" 17'-0" RAFTERS LIGHT WEIGFff ROOF COVER OF LATH, FIBERGT,ASS, ALUM. SIZE SPACI'�VG SPAN 2"x4" 16"O.C. 9'-6" 24" 8'-0" 32" 6'-6" 48" 5'-6" 2"x6" 16" 16'-6" 24" 14'-6" 4XC 32�� 12�_ �� 48" 10'_0" 2��x8�� 24�� Q„ 32" 15'-6" 48" 13'-6" HEADERS LICHf WEIG�iT ROOF ONLY SIZE POST SPACING 4x4 6'-0" 4 9'-0' 4x �12''=0'y 4x10 f5-r" CARPORT, PORCH OR PATIO SIZE POST SPACING 4x4 5'-0" 4x6 6'-0" 4x8 10'-0" 4x10 12'-6" APPROVE� FOR 1 BUILDING PERMIT By Date GEf1ERAL NOTES• 1. These plana must be kept on [he job at ell time during construc[ion. 2. All framing to be Douglas Fir N4 y . grade minimum. 3.. Rafters may not attach to facia ex- cept foz LO]6�sroofs as shown on de[ail 2016sroofs must use a continuous ledger at[ached as shown on de[ails O1Q�2. 4, Light weight roofs may a[tach to facia for 14' span max., spans over 14 must use a continuous ledger as shown in detail 1i3. 1� , � � (Ifl� r fW rnaecT�ooness: 3989 SAN MAkINO CI uxiT: ��OWNEfl'SNRME: VAN 6 CAROL LAFFOON aooeess:3484 SAN MARINO CI COSTA MESA CA 92626 (714)241-9060 RBCNIENUINEEH: j�H IL I P TAGGART flE0.N0.: Z S'] 3 9 �ooxess: 18002 SKYPARH CIRCLE uxrt: IRVINE CA 92714 PEpMiTTFE: pROVIDENT BUILDERS ( 714 ) 545-7872 aooeess: 1609 KING ST 6187 SANTA ANA CA 92706 LICENSE� WNTMLTOP OELIAMTION: I �ere0y alfirm Nat I am IicenuE unEer D��ons of CAapter 9(commmcinp xit� Section 7000) o� Didsion 3 otthe Business ana Protewions CoOe, anU my Ilcanse Is in lulllorce antl etle t. cmuc.:0p5�38'G.�, sT�reuc.:39070f cussn:g—� � Data: _/�Z//'� Sipnature: _ _ 4• WOHKEHS' fAMPENS/�TION DECUMTION: I IrcreOy allirm ttat I tav ceNlicate ol wnsent to �insura or a uniliwte ol Warkers' Compensatim Imuance. or a unified wpy tnereol (�cuon 3800 . CI. PoLICY NO.: E%P. 01TE: LOMPANY: eNtieO copy is �ereby /umishM. ❑ CertitieA taDY b filed vnth Itre tiry BuilEinp OIWSIon. Uate: Applicani: I aNry Wt in tne�perlormance ai Ne wurk �w wnicn vus perm}ysu suGlect ro 1�e 6rkers' C pensation laws af Calilomu. ,t� Oate: � L V SlpnaNa: ,!—y NOTICE: If, atter maldnA � d��ation. you 5tnulU Eemme : CaOe, you must torltrvni� campry vnt� suc� pmWsians ar tNs CONSTPUCiION LENOINO �GENCY: I �ereby aKrm t�at Ihera is wNch ihis permit is LssueO (5ection 3097. Civ. CI. IENOEfl: FOONESS: � mannersoss � a t�e Workers' Campew rovisions of Ne laEar shall Ee GeemeE rewkeA. mction IenOinp a0ency tor Iha peAormance of Ne work for OWNEB BUILOEB OECUMTION: I here�y aifirm tlat I am exemD� ��m tM Contactars' State License Law lor tM IoOaxinp reuon (Sectron 7031.5 Business anE Pmfessional Cotle: My ciry ol counry xTich redulres a permit lo constmd, alter, imprwe, Oemolis�, or repair any sVucWre, pdor to iR issuance, also requires tAe apDlicant lar suc� permil to lile a siqne0 statement I�at Ae/she is license� pursuant to Ne D�avisions ol the Contracrors' State Liunse Law (CAapttr 9(commencin0 ��h Sectlon 7000) ol Uvtion 3 0l Ue Business an0 Pmfessiorts CaOe) or tlwt he/sM is exemOt tAeafmm md Itre bazis lor Ue allepeE exemOtron. My WOWtion al Sectlon 7031.5 Dy airy aD7��nt for a DermH suDlects t�e applicam to a cMl penalry of not more t�an Me huMreE Eollars (55U0�. I, as awner of Ihe proDerry or my emyloyees wit� wapes az their sole camDensation, will Co Ihe xro�k, and I�e ❑ struaua 6 nm intenEea or oBereE br ule (Sec�on 70Cd, Buuness an0 Pmlessional CoEe: Tha Cantnctors' State License Law Eces irot aOPN �o an awner ol a D�aperty wAo EuIIEs or imprwes IAerean, anE who does SucA work himsell/Aersetl or throup� �is or her own emD�oyees, provitle0 t�at such imD��ements are nat intendetl ar aHereO for sale. If, Aowever ihe huilUinO ar imD�ovement is soltl within one year ol camDletion, IAe owner will �ave tAe hurUen al DmvinO he/s�e EiE not Euild or imD�ove br tAe purposa of ule�. I, as owner of IAe propeM, am eKClusNeN contractln0 m�h Ikense0 contractors to construct t�e Dmlect (Sectian 70CC, Business ❑ anA Prohssians CoAe: The Contaciors State License Law tloes not apDh �o an ownar ol pmperry wlw hml0s ar imDraves Ihereon an0 who contracl5 for such Drajecis c�th a contracmr�s) Ilcensa Dursuant to t�e Coniractors' State License Law�. I am aware ttwt proot of Neir Worksr's Compensetion insurance S�oNE Ee provi0e0 ta me. I� I am exem0� unAer Secqon: B. 8 P. C. for tha reuon: Oate: Owner: I Oo here6y certity that I am aware ol an0 un0erstand tAe reQuirements of Calilornia Health an0 Safery COGe Sactlons 25505, 25533, anE 2553A anG Nat I or any IuWre buil0inp occupant vnIV=11 not (cirGe one) neeE to comply vnth sai0 state co0es anE Na repuiaments tor a permit tor wnstrucUon or moGitication trom tha Nr Qualiry ManaOement UisMct. ResiOential wnstructian aDD�iwtions are erampt Imm these O�ovisions. Oate: ApDlicani: — I hereby ceNty tAat I Aava reaG this aDD�ication anU sWta tAat tAe orUinances ane state lavrs relatin0 �o EuilEinp cons pmpeM �Or' SOeC�io Dury05C5. Oaie: � �t' � Si� Driver's License or Saial Secudry cortect. I apree ta compry witn all ciry anE counry rtive5pll�i�ly�enteruponlhe abov�mantloneA 1841A6 W�ite—BuilOirp; Gre6n—COEe Enlorcemem; Cenary—AOPlicant; Pink—Revenue: GolCenroE—Avexar CITY OF COSTA MESA - bUILDING PERMIT PERM NO: b 048965 PERMIT NO; & 048965 uLAN CHECK NO: N GOVT: N SDi�P; N CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTZON ; REROOF EXISTING STRUCTURE SQ ET; 2,500 CLAIM VALUE: 2,500,00 CALC-VALDE: 2,500.00 GROUP OCC; R-3 / COMMENTS: B-48595 6 EMP-98596 ##�ru�r**##��«��ru#�r*x�*��x�e*�r*��*�,��**��+t*��r*#*�r�*#�**�#��u*+t�r�*+e#�+t#�tu�r�***�e� Z O N Z N G R E Q U Z R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FftNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT ZN LEFT: FT ZN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL; 41205197 ZNE; REF NO: PLANNING Nd'I'ES> � i£ iE iE iE i! iF iE il� iE iE iE ik it it iC-:f iE Y�E jE R iE iF # i! iE iE iE iE iE ik iE it iE * iE iE iE iE.iE jE iE iE i(- i(- it iE iE if iE iE iE 3FlE iE iF i(� iE ft iE iM1 iE rt iF it if iE iE iF id �lE iE ik !f ih iF if iklE 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�"'S ZONZNG APPROVED-bY _ . DATE: bUILDING APPRO\YED BY : DATE: �� _ _ APPLICATION ISSUED BY: i� DATE: �`�Z/9U ititititx**+r�Fit�Eikit�i�i(��Ei(�%ikx�E* .. . -'��..-�F�iFiFi�iEi�i�iE�tit*i��tl.i[':x'iFiFiFF�iFit* if i! iF iE ik if iE # iE iE �lf iF 1F iE it it # ik iE 3E �F iF 3E �E # il� ## it ### if iF �' iF iE # iE iE iF ik it iE iF iF?E if i' i!-iEik iE �E �E iE iE iE iE iF iE iF iE iE iE M%if iF i4 iE iE it it M-iF iF i4 k LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 59,00 -� .50 • SMIP/NON-RES PLAN ISSUE FEE bUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 54.50 0.00 0,00 54.50 59,50 ,00 REVENUE DIVISION TOTALS--> COLLEQTED; 54.50 OVER/SHOkT; 00 BLD54P00 PLUMBING ELECTRIC MECHPiNIC FIAE SMIP/TOO GRADING PLAN-CHECH ik �1E ih iF ik # iE if �lk dt if !k iF 3E # i(� # 3(-jE iE jf jE iE iE iF if iE iE 3E if �1Fif �f ?f 3E if ik iF 3f iF iE d! 3E �)F iE 9E if i(- iF 3E �f ic �1F 1f i! iE iF �1E iF �1F iE iE 1E dE If �1E �1E iE i6 3E iE i4 dE # iE �M iE it ih I N D I V I D U A L �x E E B R E A K D 0 W N TYPE SFk QTY D E 5 C R I P T I O N UNIT COST TOTAL COST 2500 REROOF BY VALUE RE5ID�NIAL N020NE 1.00 2,500.00 ENU�,.OF FEES l : �`. . 'r � V �v O! OOD69427—p00694Z8 T C� T Ba.50 f OATE: 09/!2/90 iIftE: 1::39 � ` � CONSTRUCTION AND PLANNING POC ;PA Date Inspector Date Inspector �'1� APPROVALS Permit # APPROVALS Permit # 1.� Temporary Electrical Service;o4 Pole , 52. Pool & Equipment Location „ 2. Soil Pipe-Undrgrnd. �: �' 53. Steel ReinSorcement j '" 3. Electrical Conduit Utility-Undrgrnd. 54. Forms� � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE . 7. Footings �58. Electrical Conduit-Undrgrnd. � ' 8, Foundation � i . � 59. Gas Pipe, � Undrgrnd., Test � �� . 9. Water Pipe-Undrgrnd. '��, � � 60. Backwash Lines, P�Trap, O Undrgrnd. ' 10. Structural Floor System .. 61. APPROVAL TO DECK "' 11. Property Sewer Line & House,Connection • 62. Backwash & Receptor�Final �� 12. Sewer Cap -'` ` `� 63. Heater & Vent-Final '� e � 13. Roof Droins �� , � 64. Plumbing System - Final '. 14. Fough Plumbing =.i ..�' 65. Electrical-Final � 15. Rough Electricai-Conduit 66. Solar SYstem�Final , 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 17. Rough Wiring Sign - � 6@. APPROVED FOR PLASTERING , 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. 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 �Gas ❑Oil 23. Gas Pipe�Rough & Test 72. Underqround Flush 24. Foof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ��,[ip �� 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing -3�0 � 76. Dry Standpipe 28. Lathing & Siding 77. FIXEO 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 Elecitic Notes: 34. Final Heating & Air Conditioning "�j !tD s.. _ / �., � � 7 , �,�...��.� . 35. Final Gas Pipe-Test 36. Hood or Canopy 37, Fi�al Factory Fireplace , "`F ' ":/ 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation �\ 46. Handicap Regulations � �,\ FINAL STRUCTURE & BUILDING .,a'� (r�bL- 48. FIftiAL PLANNING 49. Electric Release to Edison i' 50. Gas Release to Southern California Gas Co ' '�, : 51. CERTIFICATEOFOCCUPANCY 1d0. Date � 0 Cn ADplicant �o fill in all ipaces ¢xeept those withln heavy DorCer Ilnes antl sl9n all apP�aVriate tleclarations. CiTY oF COS7A MESn CONSTRUCTION PERMIT P�o�e��a�d,ess �L4�sLl ^^ r� nc� G � Applicant's Mailing Address � 0�5 a. "rVY`S � (�Oe CoG. Owner's Name/� �1/F�E��✓+ �`_C��hE1q p Phone �.�4_ -U��(oi Address d..%8,_mC Arch/Eng. License No. Address Contractor'sName��' A�� TO�n,/��-�-`4phone 6�3(sOO Address Imailing) �� a pT'Mti Y -y� h p �r�� Ciry License No. �2- prnZ LICENSED CONTRA�T00. DECLARATION 1 hereby aHirm Ihat I am licensetl untler provislons of Charter 9(commencing with sec[ion 7000) Of Divlsion 3 of the Business antl Pro(essions Cotle, antl my Iicense is in iW (Or� na effect. ��n^ S� � ense lass ~ License No. _ 1S :e�=�p�..__ Signature WORKERS' COMGENSATION D CLARATION I nereby allirm that I have a certificate ot consent o If-insure or a certificate ol Workers' Compensation Insurance, o� a ce�tifietl copy the�eot ($ecilon 3800, Lab C. 1 J �/'�� L POIICY Non�M:��V•� -��iqanY ��p�YJ�i �Certi/iea copy is hereby tumishea. -Cer etl opy i f!{ed with the city B Iy �vii on. Date �"�� % APplican ��\+'�-�/�' � EXEMGTION FROM WORKERS' C GE�NSATSION �E LARATION (This zeclion neetl naC be completetl if the permit is � e huntlretl (5100) or less). I C¢rlify that in the performance 01 the wo�k fo� which this p¢rmR is i55ueQ I shall nOl employ any Pe�son in any manner so as to become subject to the Workers' Compenzatio� Laws of Calitomia. Date Signahre NOTICE: If, atter making this tleclaration, you shoultl bewme subject to the Workeis' Compensation provislon5 Of the Labo� Cotle, you must torthwith comply with such provisions o� this permit Shall be Oeemetl revoketl. CONSTRVCTION LE�`1DING AGENCV 1 hereby affirm tha[ [pere i5 a con5t�uctlon lentlin9 d9enq fo� tne pertormance ot �he wo�k to� Which this permil is issuea (Section 309� Civ. C.) Lenaer's Name Lentler's Atltlress OWNER BUILDER pECLARATION I hereby atfl�m that I am exempt trom the Contractor's LicenSe Law for fhe tnllowing rea5on (Settion ]031.5 Bu5ine55 antl Professional COtle: Any city or rF�;�nty which requir65 a permlt IO cOnstruci, alte�r �mprove, demolish o� �epai� :��-• sV ucture, ptio� Co its issuance, also �equires tne applicani fo� such permit '��°q� �fi10 a signetl stateinenf that he/Sh¢ is licensetl pursuant to th¢ provisions ot ihe Contractor's License l.aw (Cnapter 9(commencmg witn Sec[ion7000) of Division 3 of the BJsiness antl P�ofessions Cotle) o� tnat M1e/she Is exempt theref�om antl the basis for Ihe allegetl exemption. Any violation of Secfion 1031.5 by any applicant for d permit subjects the appllcant to a civil �e�alty of not more than five huntlretl tlollars ($500). � I, a5 owner of the property ot my employees with wage5 a5 Iheir sole mmpensa[iOn, will OQ Ihe work, antl the Structure iz not Intentl2tl or oft¢rCtl for sale (Section �044, Businezs antl Professional Cotle: The Contractor's LicenS¢ Law tloes not apply to an owner ot a property wno builtls or improves the�eon, antl wM10 tl0es such work himself/herself o� throu9h his or hCr awn employees, provitletl that suth imprOvements are not intentletl or ottere0 (o� sdle. If, however, Ihe builtling or improvement is Soltl wi[hin on¢ yea� of com- pleUon, the owner w��l have the burtlen ot proving he/she tliA not builtl or im- prOve lor the purpos6 o� Sale). ❑ I, as owner of [htl proper[y, am exclusively contracting with licensetl con- Vactor5 to cons[ruct ihe project (Section ]044, Business antl Prote55ion5 Cotle: The ConVactor's LiGense Law do¢s mt apply to an owner of property who builtls or improves thereon, antl who contracts Por sucb projects with a con- tractor(5 I�cense pwsuant to the Contractor's License Law). I am awar¢ that proof o� thei� Worker'S Compen5ation insurance shaultl be Provitletl to me. ❑ I am exempt untler Section B. & P. C. far tM1is reason Date I hereby certify tha information is corret antl sWte laws relaiii sentalive5 of Ihis ci Inspeclion purooses Slgnature �� Drivers' Li en IF 0865�46, rev. 10/84 — Owner I nave reaa this application antl state that the above I agr¢e to Compty w�th all city antl county o�tlinance5 to builtling construction, anC hereby aut�orize repre- to enter upon the above-mentionetl _property for TYPE OF CONSTRUCTION LJ NEW LI ADD �GSLALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p*, DESC TION OF WORKNSE OF B}� G. � Ol) l- n ZhS�.II ��T�12 �i-F_✓1T I[.� S MainBuilding: TVPEOFPERMIT GRADING FOUNDATION STRVCTVRAL T Ftont ❑ TENANT ❑ ELECTRICAL �WMB�NG ❑ MECHANICAL B R¢af ❑ OTHER A PROJECT DESCRIPTION 5�. FT. OCCUPANCv C Right CONSTRUCTIONTVPE VALUATION$ S Left ZONE GRA�ING CU. VDS. ACRES Ping. Ref.9'� Remarks: Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories �-Trap Roof Drains ReinspeMion Fee S15 Duct- UnderGround Duct - Svuctural Duct - Ventilating Exhaust System ❑ MWtiple ❑ Firepl/FacL BIL ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,OOOBT Reinsvection Fee ng; Canary - Applicant; Pink - Accounting: Goldenrotl - Assassor _ _ _ '"_��_ �� $15 ShOwers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Cloret Water Heater � ��- Water Service Auto�Wash Issue Fea Hood or Typel ❑ Canopy Typell ❑ Retrigeration System ❑a-i oo,000 aru ❑ � oo,000 er System Repair/Alteration Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole Su6. Cooking Unit Dishwasher Dryers �Gas ❑Elec Fan F,A.U. FixWres Device eoxes ' Outlets Switches Garbage Dispoul Generator �65 KW [ Zane Parki ETL—EC7RICAL � Transformer ❑ 15-50 KW ❑ 50+KW 75 KW Meter lJup to 100 amps Meter ❑over100amps Sub Panel Motors OO-1 HP � 1'/: - 8 Inc. Solar �9-15 HP 016-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor $ 3 Reinspection Fee 575 laue Fee FEES DEVELOPMENT SERVICES RE�UIREMEN7S: Zoning Approved By Buiidin9 Approved By Applifation Issued By / $ 3 FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBWG $ � �SSUANCE $ PLAN CHECK 25% 3 ENERGV P.C. S ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM 5 MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ Z O N I N G R E � M T 5 CONSTRUCTION AND�PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS 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-Undrgmd. 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-Undrgrrid; /.' 8. Foundation � '(. ,� 59. Gas Pipe, Cl Undrgrnd., Test; 9. Water Pipe-Uncirgrnd. 60. Backwash �ines, P-Trap, O�Undrgrnd. 10. Structural Floor System 61 . APPROVAL TO DECK -• 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal.' 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final � 75. 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 OGas ❑Oil - 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil � 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe a 28. Lathing & Siqing � 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 S0. FOOD CERTIFICATE ISSUED • '� 33. Final Electric Notes: ' � � 34. Final Heating & Air Conditioning �-'� 35. Final Gas Pipp�Test 36. Hood or Canopy � • . 37. Final Factory Fireplace ' 38. Final Plumbing 'd� � ,. • 39°�Water Service-Final ' � 40. Gas Service-F{nal 41. Solar pomestic-Final ' ' � � - 42. Backflow Preventer � � � � � � • 43. Backflow Irrigation �- � - 44. Landscape Irriqation System , � 45. Sound Attenuation � � 46. Handicap Regulations � . ' � 47. FINALSTRUCTURE&BUILDING • � . ' 48. Special Requirements Completed .' . �� 49. Electric Release to Edison � ;i 50. Gas Release to Southern California Gas Co : • F 51. CERTIFICA7E OF OCCUPANCY No. Date . CITY OF COSTA MESA ; i � ' � CON$TRUCTION PERMIT �,n �c��nD . Applicant's Mailing Addre P.roject Addre — � Owner's Nam _ Phone �, Addrea - �� . ArchlEng.- License No., Addreu . � Contractor's Nam Phone � Address (mailing) �� Licenm No. � � LICENSED CONTRACTOR DECLARATION I. hareby,affirm that I am Ilceniatl untler provislons ot Charter 9(commencing with section 7000) of Dlvislon 3 of the Business antl Professlons Cotle, antl rtiy Ilcense Is In full force antl effect. • � '!3;�e,^_ensa Class' llcense No. � �;: ete ' Signaiuro �WORKERS'COMPENSATION DECLARATION .� . I hareby atfirm that.l.have a<ertlflWte oT tonient to Self-InSure or a.tertlilcate , of Workers' Compensatlon Insuranca, or a certifletl�copy l�eraot (Sectlon 3800, lab. CJ � , ' � . ' , ' Policy No. Company • �� 8Certifletl copy Is �ereby hmishetl. � ' ' ' . �, � Certifletl copy IS fi180 wit� the city Bulltling Dlvislon. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION !(ThiSsettion neetl not be complateG i( t�e:permit is for,one hunOretl (EI00) or less). I certify ,that In tha pertormance ot the work tor which [hiz perm�t is Issuetl I shall, not amploy any person in any manner so as to become subject. to [I�e ' workerY� ComOenuqon Laws of Calitornla. Data � �ignatura ' NOTICE:it; attermaking t�Is�tlec�aration, you shoultl Decome suGject to the- Workerz'- Compensatlon provisions ot the Labor. Cotle, you must fort�with. comply with� such provislons or tM1is :permit shall be tleematl ravokatl: CONSTRVCTION LENDING AGENCV - ' 1 hereby aftlrm t�at there is a constructlon Ientling ayency tor tha ertormance oT the work tor w�ich, this. permit Is issuetl .(Sectlon 30�7: Civ. C.) ' l.enEer's Name' � ' Lentler'S� 9atlress OWNER'BUILOER OECLARATION �' � � ' 1 herobv dfFl�m ihat I am "exemut T�om the ContractorY License Law tor the �y.any appiicant (or�a of not more t�an tive hun..�o,.....��a�� a..��. - • • . 'owner of the orooerty �or my employeai with wages as thalr sole ork, antl.[he structure is not IntanGeG or oTTeretl '�Inesi antl,ProTesslonal Cotle: The Contractor's .o an bwner of a proparty who Duiltls or improves work hlmself/her5elt or througb his or �er own :h Improvements are not intentletl or oftered tor ( g or Improvement Is ioltl within one year of com- the burtlen of proving he/she tlitl not builtl orlm- ly, am exclusively contracting wlth IlcenSeU con- ict (SecUonJ044, Buslness antl Profezsions Cotla: • w does not apply to an owner ot property who antl who <ontracts tor such Drojects with a con- ' t�e Con[ractor's Llcense Law): � , n 8. 6 P. C. tor this reason ADD�ioat to till In all s0+ees e:ce0� thom within �eavy EmEer Iines anC s19� all aoY�oodata aaelanHons. PERMIT N'03. _� � . TRA�.�T N�� LOT_ NO. BL . . �� r�c.� C TVPEOFCONSTRUCTION NEW^ ADD ALTERATION ,REPAIR ❑ CONVERSION ❑ DEMOLISH � O ER ' � 1%S'� DESCRIPTIO 9FW {jK oT% �%�7GOC�k L(/A'LL / � TVPE OF PERMIT. ADING FOUNDATION STRUCTURAL � � TENANT ❑ ELECTRICAL PLUMBING � MECHANICAL ., ❑.�OTHER ' . • . . PflQ1ECT DESCRIPTION SQ. FT. ' oCCUPANCv ' CONSTRUCTIONTVPF � VALUATION$� �� ' ZON� GRAOINGCU.VDS. ACRE$ Ramarks: � � ' I, as owner ot tne 3orsto constructtt �. Contractor•s Lice tls or improvas t� Sor(5) Ilcense pura I am exempt untler ectlou e5. t.; iahre iers' ucenu or 55 086546 reJ. 12/8� owner ve-reatl�this•applicatlon an� ree to comply wiin all tlty- builtling constructlon,:antl � enter�upon the above-me � ' � i Vhita - Builtling; Canary - Ap above' - nances rev�e- ty� for , Pink - Accauniing; Sink <flow Preventer , Floor Drains• • Floor Sinks — � - �- GasService: � '�Outlets. Interceptors � Kitchen!Sink . � � �.HvBtofie5. ' � - P—Trap� � � � - Roof.Drains � � . Showers • ' Servica Sink � � Boiler. . � , Duct - Under Ground � ' Duc[-Structural , Duct :yentilating . _ , ExhausiSystem LJ Multipte Firepl/Fact. Blt. ICBO il� Heating System & Ducting '� �0.100;OOO�BTU-�100,000 L � Hood or Type I ❑ � � � ��o � T e II ❑; Registers , ' tltlenro0 - Assassor Sewer Cap Sewer Connecti Solet CollectOrs Solar Piping Solar Tank Swimming Pool Water CIOut ' Water Heeter � Water Service � � � r � , , _ . A .._..._." "" " .. .. . r. laue Fee � . $ 3" ❑0-�OO,OOOB7U ❑t00,0006TU .,, System Repair�Alteration - � � , `l i i •, � "_.' "` �_�� ' -�inspection Fee' � i Iswe Fee ' $15 $ 3 -PLNG.REF. LEFTSIDE VARD PKG.SPACEiREQ. STREET WIDTH � SPECIAL CONDITI /�%`% � � i Washer >oking Unit ishwasher F.A.U. Fixtures Device Boxes ' Generator LJO-5 KW LJ5- Trensformer �15-SOKW ❑5U+ KW' Meter ❑up to 100 ampi Zoninp APProvad By Application Approved By _ 4520 2/lU/'3J � REAq VARD (TO P/L) ' RIGHTSIDE VARD PflOVIDEO PARK FEE $ Meter LJover 1O08mp5 ' Sub Penel � I Sub Pole • Motors �0-1 HP ❑1X$ � �Inc.Solar 09-15HP �16-75+ IMicrowave � Pole Light � ' ..�Range ... . .'� .. ' . _.. StandingSections � Trash C6mpattor ..� _ -� ' .?�.r .. S. /: '1�. . • �'_i':t C. ' ' .24>G:. 9 � � i Fee S75 "$ 3 ' APPli�ation laued BY �� ' . .� Date r • � ' �' SUMMARV OF FEES ; 5� ��BUILDINGPERMIT $ ��7. ��. SMIP '�''$ � .PLAN CHECK, . $, —�/i�= GERMIT PLUMBING $ � ISSUANCE � $ � � ' GRADING ' S � � � PLAN CHECK $ ELECTRICAL $� � � $ � , � � � MICROFILM $ � � 'PLAN CHECK, ' $� . , MECHANICAL � $ ' TOTAL FEE; $ � LESS PLAN CHECK ' $ f ' qDVANCED PC , $ '��/ � fl ' • , FINAL FEE! 8 �a�� _ •CONSTRUCTION�AND PLANNIN� � � ". - ;: .' ' _ �L�& SPA . - . -� .. ,_ i ' - - � .`Date . ` Inspector � - ^ Date Inspeemr. ' `�APPROVALS , Permit # �,APPROVALS . Permit # - - a � ` � - - - - �: , ,1: Temporary�Electrical Service orPole � . . �^ ` ' . 52. Pool &.Equipmerit Loca4ion - ;: +; -- � � ;2i Soil Pipe-Undrgrrid.. : ' F •� � " ;' �� ` � ' � �53.� Steel Reinforcement � � . - +, �# � y 3! Electrical Conduit U[ilitv-Undrgrnd: " �- � � � 54. Forms � � � • .- , �_ ' - 'i - � � = y'4� Electrical Conduit-Undrgrnd' �._ � _ ' y ; ;. :� 55.� Electrical Bonding � �� 5: Steel'Reinforcement ;, ' � � � - `'yl�/�.� .56. Rough Plumbing:& Pressure Test - % � _ � ' �6. �Electrical UFER Grnd. � ; � . . - �. � 57, APPROVALTO COVER-GUNITE; �Z " 7. Footings � , , � � � _ � , � : ?j��;� 58.� Electrical �priduit-Undror�d: : i 8: Foundation _ � ' � _ � � � 59. Gas Pipe, � Undrgrnd:, Test � . 9. �Vater Pipe-Undrgmd. � ,. • � h: �60. Backwash Lines, P-Trap, O'Undrgrnd. , .; i 10. Structural Floor SYstem � � �� 61. APPROVALTO DECK ' . �- ' 11: P�operty Sewer Line & House;Connection; _ � a' f �62. Backwash & Recepto�-Final " ,. • - �, . 12. Sewei Cap' � , : , , �=- `_ '63. Weater & Vent•Final � . , �;1� - �.. '. � . 13. Roof Drains � ' � � � -64. Plumbing SYstem = Final' _ . � ' + .` , . , r 14. ,Rough Plumbing ry � - � "65. Electrical-Final � - - � � ' �, � - �15�.,Rough Electrical-Conduit : �'-.,- - --- "� "` �-- j' �66.• Solar System-Final ' " . � ':_i6. Rough Electric Wiring� ,. . .- � ; . -� %� "-'..i:-r. 67. Fencing & Access Approval �- � - �. 1i -� , - - 17. �Rough Wiring Sign'_ �' , �! ° � i � ' � ' �6$, pppROVED FOR PLASTERING .� - f � � - �, . �� 1 18. Roughflectrical-T Ba� Ceiling� � � . - �" � ' �69. P,OOUSPA SYSTEMS FINAL : �r - - ' 19. Rough.Heating & Air Conditioning �� ' ' , FIRE DEPT.'REQUIREMENT ' � ' 20. �Rough:Facto `ry Firepiace, ' ' � � APPROVALS ' Permit # � A _ 'Y ❑ � 21. �Ducts, in Structure. ' � ' � � � 70.� Underground Hydro . � " , ';22. Ducts, Ventilating � ^ � � � � � ' 71. Product Piping OGas ❑Oil � ,�� - �.23. Gas�Pipe-Rough & Test ` ' ' � � � ; ,72.� Underground Flush ' � � � '.24• Roof Framing ' � � � ,, � �• • �• � � ; � 73.� Undergmd.StorageTank OGas-OOiI �� ;� . �^� � �� .25. Roof Sheathing � � . � . -= � � 74.� pverhead Hydro •� . . i � i :� 26. T-6ar Ceiling (Structuralb & Monocoat ' . . - � � ` 75.� Dry Chemical .-. • � � � , j�, . � 27. �Frame and Flashing �• �. � • � ' � � � , ' i i76.� Dry Standpipe � � ' ' t. _e �' � � 28. ��L'athing & Siding ' • � � � � �77.� FIXED SYSTEM FINAL . . . �.-- '` � � h ?Q�_ I'nsulation' ' !' ' . 78: FIRE PREV. FINAL � . I� - '� y •-30. Drywall Nailing . ' ' I � Notes: p��.{,� -�pp� - S+ •�r -yp.�p , ° � � � i ; '31. �Plaster Brown Coat • ' � � ' IpQ,�,4. yy.� � � + ?,MF ' . 32. Electrical Power MeterFinal . � I 'Q�.� �O. y(l��i.3 "� ' 33. Final Electric � ' � 34� Final Heating & Ai� Conditioning ' , • � • - •'•-•�^ „�, 35. Final Gas Pipe=Test � • ' _ �. 36. Hood or Ca�oPY .' . ' ^ ; . . '- - • - . � � - 37. Final Fac[ory Fireplace`.. ' � � s � • � ' ' � � _, ' � 38. Final Pluinbing : ' � j� � � , + � � . � � I 39. Water Service-Fin$I> `} ' :-;, � .' : - ; I � . � .. . . ' 40. Gas Service-Final ' � ' ' "� -' � . , � .� ' � � � . � � i � i 41. Solar po es'tic-Finaly;�. � T> _ .. ' i ' -. - - �._ - -_ - �•�T ' . . i� - _ 42. Backflow� Preventer - � � � �`�� _ � _ ' _ . _ _ , _ . �_ . , . , ' . - I' �ft _ �! 43. Backflow� Iriigation ' I , , �F._ . _ .' i._ � -- ., .' ; : : � � . - 44. Landscape Irrigation�System s �"� '. ,� � . �Incom' lete Ins- ections �� 1� " � � • � - 45. Sound Attenuation ;, � . � , ' ' � � i, � " ' 46. Handicap Re9ulations � , . � - _ ' ' � - . � 47. FINAL STRUCTURE & BUILDING �. � ' � - � �i , . 48. Special Requirements Complete� � , � �` � � ' . I � � � . � • + � 49. Electric Release�to �Edison' �; '< <� � . _ _ _ _ __� ._ - _ - i,'� ' � . . , 50. Gas Release to Souihem Califomia Gas Co ' � , ' � - ' � �.' . ' � . 51. CERTIFICATE'OF,OCCU.PANCY � ,_. � _ '_ _ - '. ._ `- . � : ' � ' No. '� � ' Date � ' ' � - � � � , � � , . uwNtK t1Y:L'1'GJStt 1'dV'1'�;itYitlSP:S-I:OS'1'A h1�5A DATE 12-27-6t3 JOB ADDRESS 3�4 San Marino Circle BUILDING PERMIT NO.; GENERAL CONTRACTOR George Heltzer Const. DESCRIPTIONofWORK Res.w att.Gar. AP No. LOT 5 TRACT 6637 FIRE ZONE VALUE E 29.588.00 GAS q WATER�rI J�S/-Cs,i•%G� '! ROUGH PLUMBING PROP. SWR. LINE ❑ MOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH MEATING ANO AIR CON�IT10 N� TEMPORARV SERVICE OR POLE J UNOERGROUND � POWER � ROUGM WIRING TRENCHES � FORMS � STEEL R FLOOR SYSTEM BONU BEAM n STEEL REINFORCE SNEATHING FRAME ANO FLASNING LATHING - IN rf{ OUT n PLASTER, BPOWN COAT STRUCTURAL, FINAL HEATING, VENT., PEFPIG. AND A.C., F PLUMBING, FINAL ANO GA$ TEST � ELECTRIC, FINAL BUILOING, FINAL SUBCONTRACTOR o ti� J�Q �p /'Q�, ./.s n � _ _ •� �� i O. Y�� ` �/-•-vin / / �� FXQCPlZ_ �2�A �1�, �6Z'"�C�--".�.�- ��3^% 29441 COSfA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 GOSTA MESA, CALIFORNIA B2EZ! For Appl(caM ro flll In CompbNfy TYPE OR PRINT �ui�oiNa 3484 San Marino Circle ADORHDS COSTA MESA, CALIFORNIA ov�mE� Heltzer Enterprises-Costa Mesa MAIL X44 South La Brea Ave. ADDR �,r„ Los Angeles 90036 �T,o�J36-1104 �ic".'rio. 201098 N". 936-1104 612E 7 S � x 1 0� X no. or e�nos. 0 OF LOT HO X 60 NOW ON toT U8EOP EXISTINO BL�O. IVORC BHiBACK LlNB PMCII '32 I eetmR oP eipeei RQAA YAR BID YARO �� R101fT �.�. � DESCRIPTION OF WORK G6' x 52' novMe 7 eroni 2 WALL ROOr . . . i i aC! Ld, �iC. Dwelling and Attached Garage �od 5 n 404B SP�•�✓, 1 X[11¢sY ACRMGWL[DY/ TUT.I H�V6 R�11D TMI� A�►YGTON AND BTAT6 THAT ilf{ AGOY�,19 GORRCR AHO A0116t M COY. PLY WITM ALL CITY ORDI Aj1 T� tA 11[YYLIITINO GU�LDINO CONQTItYCTIpN. 816NATUR! Or PHRMITTHt �r ' AUTMORIZ[C AOlM � L[YAL DEC -4-68PA'�00 264'� *** 1 _S5, l: CN51 /1rPLICATION FOR PERMR 6UILDINa for Offlc� Us� Only n�e�irtno. �ry /d �, ��0�!.7 ewre /2`� i o^�c-- ZONING � o. u.aorn�w u 'L euuoiHo �t� s �r� _f� �3 7 - 0 4 Z- (o VEPHANO BMALL E8 LH68 THAN YARDDAPPROVED MAIN BUILDINO !OM C/L RRHR) VAR. SC �� s/5�eo. � TI[ IIMOUM /N ►URPOGI OI fl VAWATION yX ��/ e0 YARO9APPROVHD ACCH680RY BUILDIN6 DATH j � a m � y�'/u? � �ocx v��u�non �a rox rne � NINO A P[RYIT If6 ONLY. � �ERMIT FH6 �� d q E �u�N cnecrc s �J��Jr w° . � ER HELTZER ENTERPRISES JOB ADDRESS 3484 S GENERAL CONTRACTOR AP No. 140—01F2—Oi � INSPECTIONS SOIL G AS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE O SPRINKLING SVSTEM MISCELLANEOUS ROUGH NEATING ANO AIR COND UNDERGROUNO U POWER u POUGH WIRING TftENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BON� BEAM � STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN ❑ OUT n PLASTER,BROWN COAT HEATING. VENT.. REFRIG. ANO q,�„ FINAL TRACT DATE 5_lq_69 BUILDING PERMIT N0. SUBCONTRACTOR -�- � �� 3�298 vn�o '.iRY 19-69c�;—,p001128 cJ+�`•:_*'::*5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPIICATION FOR BUILDING PERMIT For Applicant to Fill in Comp/etely q EI VEO BV DATE ECEIVED DASE ISSUED nooAess �� G �7 L'�% ///��//G'C� �� m �� ,��//C'-{y G O,f/) �Di P MITN N OWNER "LL� � A.P. NO. �rf 10 6 MAIL {'� / AO AIE 53y� (�? Z ADDRESS L �_ c�.G� wa U TEL. CITV NO. TRACT � LOT BLOCK F– Z Z Q CONSTRVCiION �+DD O � LENDEA am J � BRANGH J N OWNER m J ADDRE55 /}/ ^,-.� VALUE M' ' J Q ARCHITECT TEL. S ✓NN✓ 5�� v� — N OR EN INEER N U FIRE w CL ADDRESS ZONE TYPE GROUP ' /I� 1�/�/ �(l''y APPROVED / J O CONTRACTOR �f �� C� L.{Jd�`Ir—C�� rC_ BY ATE �7 e m Z J� ADORESS I�7��- �� 'S�. W W 20NE NO.OF USE OF NEW Z= CITY �Z NOL '/ P�`� � BUILDING F 0 STATE , CITY �'AflDSAPPROVED VARDSAPPROVED jO LIC.NO. L• f'f2 LIC.NO. MAINBUILDING ACCESSORVBVILOING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FROM FT. FT. USE OF �– EXISTING BLDG. T T � SIZE OF NO. OF ��y/ Z NEWBLIX'i- ROOMS STORIES L SIDE D'GT. FT. U EMEFIOR WALL ROOF COVEFING COVERING REAR. FT. FT. J USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & a MAIN BLDGS. ACCFSS. BLOGS. a �) a 1/� �- (Ci ��''� C UA.9W APPROVED O ��I .G � P.PPROVED N � Z O UI �erebV acknowletlpa that I have reetl this application antl rtata � Shat the above intormetion is cortect antl agrBe t0 camply with � all law5 �aguleting b�ildinB �onstruction, antl I shell not employ F any pefson in vloletion of i�e workmen's compe�saHon laws of y the Steta ot Celitornie. . � ? 1 herebY certify that I am pvoparly licensetl as a cOnttacior �nder SQ. FT. o tha Steie of California Business end Professions Cotle, Divislan 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF ChaptaY 9, and that such IicB�sas a�e In ull force antl effact, or I THE PURPp$E OF ESTABLBHING A PERMR FEE ON�V: � am azamPt from the provisiO�s o th tote t California Bua(nesa � antl Professions C tle, Divis n 3 pter VALUATION �Q N PERMIT FEE $ v`_ ] Signamre of � m Permlttee � 'G l' $ � PLAN CHECK $�_ E �I �.,� o Authoriied Apent / � �' LL TOTAL FEE $