HomeMy WebLinkAbout3468 SANTA CLARA CIR - Building PermitsaecrduoRcss: 3468 SANTA CLARA CI
owxensxame: FERNANDEZ, • EDGAR J
noosEss: FERNANDEZ YOLANDA M
' 3468 SANT�1 CLARA CIR
` COSTA MESA,CA 92626
979-8280
FflCHIENGINEEF: flEG.NO.:
ROOflE55:
UNIT:
UNIT:
PEHMITTEE: EDGAR FERNANDEZ f 714 ) 979-8280
aooAEss: 3468 SANTA CLARA CI
CM CA 92626
LICENSEU CONTBACTON UECLANATION: I hereby allirm thal I am Iicense0 untler provisions of C�aO�er 9(commencing with Section
7000� oi Orvision 3 0� Ihe Business antl Pmfessions Cotle, an0 my license is in lull lorce and e��ect.
CITY LIC.: STATE UC.: ClASS:
Oate: Signa�ure:
WOflNEBS' COMPENSR710N OECIAflATION: I Aer¢Dy allirm ihat I have a cenificale of consent to sell-insure or a cenificate of Worke[s'
Compensalion Insurance. or a cerii�ied coDY I�ereol (Section 3800. Lab. C�.
POLICY NO.: E%P. OATE:
C�MPANY:
� � Ceni�ied copy is hereby IumisAeO. ❑ Ceqi�ie0 coDY is liletl wiih ihe ciiy Builtling Division.
�a�e: A�OlicanC
E%EMPTION FflOM WONREPS'COMPENSATION OEClApp7�ON: �Thissecli0n neeAirolbecomp@�eai�ihe De�milis�aanehunOreO(5100)orless�.
1 ceh��y Ihal in Ihe Oedormance o� the work loi whiCh Ihis permi� is isSueJ. I shall noi employ any person in any manner so as lo become
subjec� to Ihe Vlorkers Compensa�ion Laws o� Cdlifomia.
Oa�e: Signalure:
NO7ILE:If, alier making Nis tleclaralion. you shoultl become SuDjecl lo ihe Workers' Compensa�ion pmvision5 of ��e LaOor
Cotle. you must �aMwiih comply with suc� provi5ion5 or Ihis permit s�all be AeemeO revoketl.
CONSTPUCTION LENOING ACENCY: I hereby aflirm ihal Ihere is a consiNclion lentling agency for �he p¢dormance of ihe work for
which Ihis permi� is i=_sued �Se[Iion 3097. Civ. C�.
LENOEfl:
FODHESS:
OWNEP BUILUEB'oECLAHATION: I here�y alfirrt� that I am exempt Imm Ihe Contractors' State License Law for roe following reason
lSection 703L5 Business antl Pmtessional CoOe: qny ciry o� coun�y w�ich repuires a permil �o cons�mct, alier, improve, tlemolish, or
repair any 5lmciure, priar Io ils issuance, also requires I�e applicani �or such Dermi� �o lile a SiAneU s�a�emen� Iha� helshe is licensetl
pursuam Io Ihe pmvisions of ihe Comrac�ors' Slate License Law (Chapier 9(commencing with Sectian 7000) of Division 3 0� �he Business
antl Prolessions Code) or �hal he/she is ezempt �he�efwm antl �he 6asi5 lor ��e allege0 eKemp�ion. Nny violalioA ol Sec�ion 7�31.5 by
any applicant for a permit subjecis Ihe apDlicant lo a civil penalty of nol more ihan live �unOred tlollars �$500�.
I, as owner al �he pwpetly or my employees wi�h waAes as ��eir Sole compensalion, will do ihe work, and ��e
❑ s�mdure is not imen0e0 or olleretl tor sale (gec�ion 7044, Business antl Professional Cotle: The Contractors' State License Law
tloes nol apply to an awner of a pmpeny Who builAs or impmves Ihereon, an0 who does such woB himsel�/hersel� or �hmugh
his or her own employees, pmvitled ��at such impmvemems are no� iniendetl or o��ered �or sale. Ii, however t�e builOinA or
impmvemeni is sola wilhin one year o� complelion, Ihe owner will have Ihe burden o� pmving he/she ditl no� builtl or impmve
far the purpose of sale).
I, as owner o� Ihe pmper�y, am excWsively con�racting with licensetl conVactors �o con5�mci �he prolect (Sedian 7044, Business
❑ antl Pm�essions Cotle: The Conlraclors' S�a�e License Law does not apply to an owner oi Dmpetly who builtls or improves �hereon
and who coniramsior such pro�ects with a contractm(s)license Oursuantto �he Contractors' State License Law�.l am'aware
�hat proo� o� I�eir Worker'S Compensa�ioq,insurance should be provitled �o me. .
� I am exemp� untler Seciion: B fl'] Q q 4 B. 8 P. C.
�ormisreasan: F�TjINAL INSPECTION
�— Oaie: % — � Q + � � Owner.
I tlo hereby cenify �hai I am aware of and undersiand �he requiremen�s oi Califomia Heal�� Safe�y Co Sections 25505, 25533, antl
25534 zntlthatl or any future huilding occupan�wllllwill no� (circle ane) nee0 lo comply saitl slate codes and �he requiremenls lofa
permi� �or wnslmction or modilicalion imm ��e Air �uality Management �islrici. ResiUential constmc�ian apDlica�ions are exempt imm
Ihese pmvisons.
Daie: NpplicaN:
I hereby cerlityiha� I havereatlihis applicalion an7 state ihal I�e above
ortlinances antl s�aielawsrela�ingto �utltling can5lrUction antl �ereby a h
pmperty �lo+r mspection purposes.
_�aie: / � / P — �/ Signaiure:
is co L I ag� complP Ch all ci an `
nta�iv Iihis enteru oni�e
o�iver�s �ic;nse or Socia� 5ecunry a: ?
t64nG6 Tpe—Bmltling: Green—Co�e En�or�emenC Canary—ApplicanC Pink—Revenue: Goltlenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: IB 053939 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; OTH STR
PERM NO; IB 053939
GOVT; N SUPP: Y
PURPOSE: OTH
JOH DESCRIPTION : LEGALIZATION INSPECTION SQ FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: REF EXPIRED PERMIT #43650
+�* �*******�******�********�t�*+��t**+r+�**+�+�+��t�+t�t*�r*�t***�*�*x�*******�t*+�*** ��*�****+��
Z O N I N GS EATEB�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 41205130 ZNE: REF NO;
PLANNING NZSTES>
�
±E 4 iE ik iE �k if �f fE if itiE #E iF 3E �f ie if IF iE fE iF iE if iF iE iE iE iE iE ff iE 3ElE iE iE IE if if iF 1F if iE iFif �f 3f if k if iFif 3E 3f 1E 1f 1E ik IE a41F iE aF if iF�F ff iE �E'if )F IE �E iE iF iE �E iE iE
D E C' 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 HY DATE: `�
BUILDING APFROVED BY ;
APPLICATION ISSUED BY: � �
if iF 1E iF 1F �f iE if iF 1E iF iE �F±k jE iF * 1E 3k iE �E iE
iE iE iE IE iF iE iE 1E iE iE iFiF iE iE if if if iF iF if If iE if IF iE iE if IF 1E k �k�f iF iF if if it k
LEGALIZATION:N F E E 5
DATE : : .
�.
DATE: O�
ki6�fiEiPiFiF�EiEiE 3fif
ik �F If M iE aF M�F k iE jE jk 1E IF �f 1E iF if ik if if iF iE iE �f if aE iE iE �! �1f �E iE �lE jE 3f �EiE
M M A R Y STRUCTIIRAL SEGMENT:Y
BLDG PMT PLUMBING EL RIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 30,00
PLAN SMIPINON—RES
ZSSUE FEE
BUILDING—DZCT—> PERMIT IS5 PLAN—CHECK TOTAL PAID DUE
TOTALS----> 30,00 0. 0 0,00 30.00 30,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 30,00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
30,00
!F!F iF iE iE 1F iF fF 3F iFiE if If 1f Ik iE iEiFlF ik 1f iE iE iE IE iE If if iE if aE fF if iF if if iF ik aE if if iE 1E iE iE 1f if iE iE �Fif 1f i4 ik iF 1f iF )k iF iE iE 1f iF if if iF if if iE If if if 3f ik3f ik 1F iFl6
I N D T V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
INS 1 BUILDING RE—INSPECTION FEE 30,00 30.00
END OF FEES
nt n0^F-.,,1.�''r.9�i:. . ' "
I�E�E: r.>�._... ,I":� ��� ,- -'
M
CONSTRUCTION AND PLANNING � POO SPA �
APPROVALS PBrmit# � Date Inspector qppROVALS Permit# Date inspector
+�
1. Temporary Electrical Service or Pote - 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. � � 53. Steel Reinforcement �
- 3, �Elec�rical Conduit Utility-Undrgrnd. 54. Forms
��'.4: £lectri�al ConduiFUndrgrnd. - � 55. Electrical Bonding
.' S: St4e1 Reinforcement 56. Fough Plumbing & Pressure Test '
,,.. -
�-G.' Electrical UFER� �firnd. 57. APPROVAL TO COVER-GUNITE
7.:F.00tings � 58. Electrical Conduit-Undrgrnd. � � �
..'B.�.F�undation ' 59. Gas Pipe, � Undrgmd., Test `
Y.
��;9._Water Pipe-Undrgrnd. . 60. Backwash Lines, P�Trap, O Undrgrnd.
10. ;Structural Floor SVstem 61. APPROVAL TO DECK
71. Property Sewer Line�& House Connection 62. Backwash & ReceptorFinal l �
72. Sewei Cap 63. Heater & Vent-Final '
73. Roof Drains � 64. Plumbing System � Final �
14. Rough Plumbing ' 65. Electrical-Final � �
15. flough Electrica)-Conduit 66. Solar System-Final I
16. flough Electric Wi�ing 67. Fencing & Access Approval '
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rou9h Electrical�7 Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL�
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.:Rough Factory Fireplace . , . "-. . APPROVALS �•:-Permit # � I�
i
21.'OuMs, in Strpctur�&' ,,, . " Y, f70. Undergr6un� Hy.dro '
22. Ducts, Ventilpting • i •*�, .71. Product�Piping �Gas ❑Oil
23:-Gas Pipe•Rough & Test ' - � 7Z, Undergr`ounil Flush . -
24. Roof Framing , � . � .73. Undergrnd. Storage Tank �O Gas ❑ Oil �
,, 25.'Roof Sheathing �, � ' -'' �'' - ' 74.-Overhead�Hydro ' - "
26.�T-Bar Ceiling (StrVcturaQ & Monocoat • 75rDry Chemical _
273 Frame and Flashing ' _ . � � 76. Dry Stand�pipe '�, ' �� '
�28.�Lathing�&Siding' . , , � . . '. 77,-FIXEDSYSTEMFINAL �
29. Insulation _ - ' '� ' 78, FIRE PREV. FINAL � _ �- "
�:30. Drywall Nailing , , � � � HEALfHDEPT. REQUIREMENT
_31. Plaster 8rown Coat' ' � 79.�FINAL INSPECTION � '
32.-Electrical Power Meter�final' 80., FOOD CERTIFICRTE ISSUED �
33: {Final Electric � � � �'Notes: - � . �
,34. Final He,ating & FJr, Conditioning� = - , � � ' .; , '
�35.'Final Ges Pipe-Test` � � • � � • . -�
. 36.� Hooil or,Canopy � , - : '�' � ' ' � ..
37.:.Final Factory Fireplace . � � �� '
4
'38. Final Plumbing � �T � . � �� �, �� �.� � �• '
r"
r
,-,39. Water Service�Final+� , rt. + . . � � �
r �;�
=`40. Gas"Service-Final _ ,, ,, , , ; ,,, � , �;;� ,�.,; - '
�`41. Solar pomesticFinal _ � �c ` �_ �
�
42.'Backflow Preventer � ' ' � � .. � '
t, �
43. Backflow Irriqatio�� , ` � � � ''
-� 44. Landscape Ir,rigatio� System, ; �. - �., � � i; �.
� 45.:.Sound Attenuation � • � - � + -:
_46. Handicap Reyulations ' _ - '� "' � � , �- ' . '' �
47�FINALSTRUCTURE&BUtLDING : £ g . � �
-48:'�FINALPLANNING ' , l _f .
� 49.;Elearic Release to Ediso� � �� �c � - �
� 50. Gas,Release to Southem California Gas Co � - `',� , r ^
'51. CERTIFICATE OF'OCCUPANCY " .
No. Date
�IMITED STATEMENT OF RESPONSIBILITY
TO WHOM IT MAY CONCERN:
�ti0`����``'�T1�1�
R�,QY��
�v
Bldg. Permit #
This Permit #
���� R��.��-,�- �i�.�� �ia - as�-.��
Street Address AP Number �
✓ I, ����f ��'/<fb/�� .l2 , as Owner in Title of the above refere�ced
propert , do hereby authorize:
e�i� �/ l,ff/YIr �L../• ���— �7�%�
Name � Telephone No.
S� �DD /,c%rx�n � o� �!/�
Street Address
.%
to obtain permits in my behalf, as owner/builder, for 3�f6g ��n IPr l_,/A,�KI- �'i�/C�
atthe above referenced property.
Should anv� oeraon become an emolovee engaged in the improvement of the property, I shall
immediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage
to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws.
As owner/builder in tact, I understand and accept that my responsibilities do not transfer to any other per-
son, company or corporation.
I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any
claim resulting in damage or personal injury to myself or any other parties.
�� �� e� tZC /ii C�Z
Printed Name .
�lG cvr �t2'G2GG
Signature
Qn9i6. �ev. &8�
�
OFfICIAL 9EAl
ELSl1 MOYT
' NOTAqY ►U�UOi'dlMO11N1A
QlIAN6E COUNTY
NI' C�f/. EXP. FE�. 2i,1!!3
�.� �,�-
9�i�/r/
Date
NO`CARIZATI01�
�EQUIRED
PFOJELTp00flE55: 3465 SANTA CLARA CI
owr+ex s Nnrne: FERNANDEZ EDGAR J
aooxess:3468 SANT�. CLARA CIR
COSTA MESA,CA 92626
UNIT:
� � pqCNIENGINEEN: BEC.NO.:
PDONESS: UNIT:
PEflminEF: PETRONELLA ROOFING ( 714 ) 548-1645
aouness: �626 NEWPORT
COSTA MaSA CA 92627
LICENSEO CONTHALTOB �ECIABATION: I �ere0y allir�m¢ t�antn I am licensetl under O�oviSions o� C�apte� 9(commen[ing wi�� Seclion
CI�TY'UC 0����I jA�Bus�n STATE IIC.I��� �'" �" �Y IicenLU55: �I lo"e,anA ettect.
ll .) 7
��ate: �� � � � � Signa � / ' ,/�
WONRFflS' COMPENSATION OEQAHATION: I reh � that I nave a cenil ie of wnsent �o sell�insure or a cenificate of workers'
comoensauor�lane�.prtj` r�eQi� caov mer ectian 7so0. �ae.1�2 / O 1/ 9 3
roucr eo.:GOLDEN EAGLE EXP.OPTE:
COMPANY: }�
❑ Certilie0 copY is �ereby lumishea. LJ Cenilietl copY is IileC with t�e ciry BuilOing oivision.
��j p G} � �
Dale: J ' / ' / � APGIi �
EXEMPTION FHOM WOFKERS' COMPENSRTION OEC TION: is Seclpn need iw1 be camplete4 il I�e permil i5larone hunGretl (E100) or 1e55�.
I ceriify thai in �he DeAormance ol I�e work br whic permil is isSueC. I s�all noi emDloy any person in any manner so as �o become
su�leq �o I�e Warker5' Compensalion LawS ol Caiifomia.
Oale: Signature:
NOTICE: I�. ailer making Ihis tleclara�ion. you should become Subleci lo Ihe Workers' Compensa�ion pmvisions o� �he Lahor
Code. you musl forthwih comply wi�h such pmvi9on5 or [N5 Dermii shdll De UeemeG revokeJ.
CONSTBUCTION LENOINC RGENCY: I nereCy aitirm iha� inere is a canstmction lendinp agency for the pedormance of ihe work for
whic� Ihis permil is isSued �Seclion 3097. Civ. C�.
LENOEX:
aooAess:
OwNEB BUILOEfl OELUBRTION: I nere0y affirm Ihat 1 am eMemD� ��om ihe Conlractors' State License Law lor ine tollowing reason
(Section 703t.5 Business ana Professional Catle: Any cily ot coun�y which repuires a permil �o conslruct, alter, impmve, Uemolis�, or
ieDair any slructure. O��or Io iis issuance. also reduires ��e appliun� for suc� De�mit Io lile a signe0 5tatemen� Iha� �Pls�e is licensetl
pursuanl lo Ihe provisions ol I�e Conlraclors' State License Law (Chapter 9 �commencing wii� Seclion 7000) ol Division 3 0l Ihe Business
anA Pmlessions CoOe) Or I�al �e/S�e ii evemD� ��er¢�rOm ana Ihe Oasis �or Ih¢ alleqeC eremD��On. Any violaiion ol S¢tlion 7031.5 by
any apP�icant lor a Dermit SUClecis I�e a001icantto a ciWl Denalty ol nol more Ihan �ive AunUred Oollars (5500�.
I, as owner ol Ihe o�ooenv or my employees vn�� wages as I�eir 5ole compensalion, vnll Co t�e work, an0 the
❑ stmcture is noi intenOeU o� oiferetl for sale (Seciion 70aA. Business and Pmlessional Cotle: T�e Coniractors' S�ate License Law
does not aOP�Y Io an owner ol a O�aOe�y who OuiICS or impmves t�ereon, anE w�o doe5 sucA wofk hims¢Itl�ersell or I�wuBh
his or he� own employees. Orovitled Iha� such imD�ovemenls are nol inientletl or o��eretl IOr sale. II, however ��e �uiltling or
impmvement is sola witnin one year ol completion, �ne owner will have ihe OurOen ol pmving nelsne Ui� not �uild or impwve
lor Ine ourpose ol sale).
I, as owner o� IAe Dr�Oeny, am exclusivety coniraciing vnlA licensetl coniracbrs to con5�mc11Ae D�olecl (Sec�ion 7044, Business
❑ anA Pmleuions Coae: The Comracmrs' State License Law Eoes not apPIY to an ovmer ot pmpeny wAo 6mI0s or imprwes Ihereon
antl who COnlratl5 lor Such pr0letts wi�A a Conlratbr(5� lic¢nse pursuani lo fh¢ Conifatlors' S�aie Li[ense Law�. I am aware
inal pwol ol ineir Worke(s Compensation insurance snoultl be pmviAed lo me.
� I am evem0� untler Section: B. b P. L.
for t�is reason:
�a�e: Owne[
I do �ereby cenily Ihat I am aware o� ana unaerstana I�e reQuiremems ol Califomia Health anG Satery Code Sec�ions 25505, 25593, and
2553a an0l�at I or any N�ure builtling occupan� wilVwill nal (circie one� need to compty wii� said state cotles antl �he repuiremenis lor a
permil lar conslmction or motlilication Imm t�e Air Wahty Managemenl Disiricl. flesidential cansiruclion applicalions are exempt imm
I�esc provisions.
Oate: ApDlicanl:
I nereby ceridy I�at I have reatl ��is apPlication antl s�ate �hal lhe a0ove inlormation is mrrecL I agree lo comply wi�h all ciry an0 counry
orainances and 5lalela�rsrelalin gio �uil0in g conslruclionand here� yau�hor¢e re0resenla�iv¢sa��his cilyio enleruponihe above�mentionetl
pmperiy lar Inspec�ian purpases. ��y�/
.—.i� �ale: � ^ � ' � � $inn o� _� '�' � C/ ��
/ oriver's ��cense or Socia� Secunry a:
t641-a6 Whne—Builtling: Green—Cotle Enlorcemem: Canary—Ppplicam: Pink—Revenue; Gddenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT �,.' , .
PERMIT NO; B 061190 PLAN CHEC3C NO: N .. ,.
CONSTRUCTION TYPE; V—M PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRIPTION : T/OFF REROOF W/HUILT—UP ROOFTNG SQ FT; 3,035
CLAIM VALUE; 3,035.00 CALC—VALUE: 3,035.00 GROUP OCC; R-3 /M—i
COMMENTS• SMOKE DETECTOR RE�UIRED'PRIOR TO FINAL REROOF 1800SF RE5ID 6 C�
itiklE7tiFitiE**itititiE3Fiti(�1EifititiEieitif*iEiF �(ifikiEif�tiEitiEifitiFiF3EiF�EiFIf�)k�(��i(�iF�klf�E�x�*iEltiE�x�itiEiE �r� � r('x� �*
Z O N I N Gs ERTEBQAUCIKRSE M E N��OK��C � v �
------------ MAIN BUILDING ---------- --------- ACCESSORYF3�-���ED______'
FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING RE�• PROV; PARCEL: 41205130 ZNE: REF NO:
PLANNING N T'ES>
>
af 3f iF 3f iE if iE iE iE iE iF it it 3F 3f 3f ik fE iE it iF if 3t 3f iE 3F iE ik it iE it if iE iE if iE iE iF it iE if iF jf iE 1E 3E iF lF k iF 1E 3E 9t iE if iP!(� lE ��E if iE ik !E iF1F 3(- iF 3E iF �1(�iE a@ IElE 3E if 3f iF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED HY DATE:
BUILDING APPROVED BY : DATE:
APPLZCATION ISSUED BY• ��� DAT'E• '> ( �`�3
iEititit3Eitititit�Fitif�FlEiE�titititiE�tftiFiF7FiFiFiFiF3FiFiFiF3FiF7FiFiF�iF iFiF7F'iFiF3FiF'iF7F3ETF3f�F3kifx-ifiFiFiEit*it i iEiE
1P if iE IFlE ik iP iE iE k 1E if iE fElk iE it iF !P iF if iE IElE �E �! iE !t iF if k if if 1f !E iE iE iEiF IF iE'k iE if iF if iF �f ih iE 1E iF 1f if ik ikit if iE fF if iE aF IF if it if iE iE M IFlF iElE �)E if ib iF ik
LEGALI2ATION;N F E E S U M M A R Y 5TRUCTURAL SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63,00 / ,50
SMIP/NON—RES
PLAN '
ISSUE FEE "
BUILDING—DIV—> PERMI'T ISSUE PLAN-CHECK TOTAL PAID "' DUE
TOTALS----> 63.50 0.00 0,00 63,50 63,50 ":"_. ,00
REVENUE DIVISION TOTALS--> COL�LECTED: 63,50 OVER/SHORT: —•,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
63,00 ' , .50 '
r
iE iF 1E ik iE �lf if %ik 1E if if !f iF ik ih i! iFlf �1(-lhif -lE iF iFlE ik k if iF # if if i! k iE #�lt ih it i4lE i! iE 1! jf iE M� iFlE if iEl4 if �lk i! if iE ik iE ib iE i6 3Elf %iE �E iE �lf iF iE!! iE 1E )h if it if
I N D I V I D U A L• 'F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N•• UNIS COST TOTAL COST
/•. �•�
SFR 3035 REROOF BY V:4LUE RESIDENTIAL NOZONE 1,00 3,035,00
END OF FEES
�
• I
� E X P � R� �tions
Incomplete ;nsP�
` \ :G.
LJatC �_�.�.�3 ; S��j a�
/
� �
� POOL & SPA
CONSTflUCTiON AND PLANN�NG
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
t. Temporary Elecvical Service or Pole 52. Pool & Equipment location �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Condurt-Undrgmd. 55. ElecCrical Bonding
5. Steel Reinforcemenc 56. Rough Plumbing & Presswe Test ,
6. Etectricai UFER Grnd. � _ 57. APPROVAL TO COVEF�GUNITE
7. Footings 58. Electrical Conduit•Undrflrnd.
., 8. Foundation ' 59. Gas Pipe, O U�drgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C' Undrgrnd.
� 10. Structural Floor System 61. APPROVAL TO DECK
i
� i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Finai �,
72. Sewer Cap 63. Heater & VenbFinal i
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Etectrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
i6. Rough Electric Wiring 67. Fencing & Access APproval �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Czil�ng 69. POOL/SPA SYSTEAAS F�NAL
i9. Rough Heating & Air Conditioning FIRE DEPT. REQUlREMENT
20. Rough Factory Fireplace APPROVAlS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flash
24. Root Praming 73. Undergrnd. Storaye Tank O Gas ❑ Oii
25. Roof Sheathing 74. Overhead Hydio
26. T•Bar Ceilin9 (Structurall & 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. REQUIRE�VIENT
31. Piaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final i I '� 80. FOOD CERTIPICATE ISSUED
33. Final Electric � i ' Notes: /j /f�,
�Ui� �/=="'-af-
34. Final Heating & Air Condition�ng � �-. � s�-� L ��•��� �/f
� C�IY.e.a_/ `J a�JL �
� ��-�
35. Final Gas Pipe-Test . ' i � .
36. Hood or Canopy , � .
�
37. Final Factory Firepiace 1 �
38. Pinal %umbing � � '
39. Water Service-Finai � � �
40. Gas Service-Final ' �
41. Solar pomesiic-Final ' '
42. Backflow Preventer ' ' � �
1
43. Backflow IrrigationR'�
44. Landscape IrrigatioSi�Sy{Mm
45. Sound Attenuation� . � ! �
�
46. Handicap Regulations ..^ E X P f R E D
� 47. FINAL STRUCTURE &;.9UILDING , fncomplets I�spections
48. FINAL PLANNING, r�_; � � , �te_ �.-�/I 1 U7, _S$��
"t_.j1L
49. Electric Release to'Etlison �
5Q. Gas Release to Souihern California Gas Co � �
51. CERTIFICATE OP OCCUPANCV
No. Date
OWNER CAMPAGNA, Robert
ino .nnoeec . anr��T
\ ROUGN PLUMBING
�PROP; $WN. LINE n HOUSE
SPRINKIING SYSTEM
�� MISCELLANEOUS
ROUGH ME�TING �NO AIR CON
TEMPORAqY SERVICE OR POL
UNDERGROUND � POWER
ROUGM WIRING
60N0 BE�M �� �STEEL REINfORCE U
SM�ATNING •
FR�ME �ND �LASXING
�ATpING - IN OUi �QG N'�
PlASTER, BFOWN CO�T
STqUCTUNAL,FIN�L
HEqTING. VENT., REFRIG. AND �.C.. FIN�L
P�UMBING, FINAL ANO GAS TEST n
EL@�TRIC, GINAI
BWLDING, F�NRL
FI
�
�
�
UAIt j-14-//
BUILDING PERMIT
K Add Studio
VALUES 5.10
�
�
e
�
^
�
�� 43b50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING-� j i � �
ADORESS 1U
OWNER '� Gµs
MAIL
ADDRESS
TEL.
CITV NO.
CONSTiiVCTION
LEN�ER
BRANCH
ADDRESS
ARCHITECT TEL.
BUILDING
-�R ���-��P;'`.00 �es + ,::. � ::Si.SC
FOR STRUCTURAL PERMIT
DATE RECEIVED D.Q TE ISS%�E❑
,A_ �U .
VALUE
FIRE
ADDRESS ZONE VP GfiOUP
APPROVE
CONTRACTOR�' BY DATE �
ADDRESS'� q s �G J�`
`� / ZON NO.OF USE OF NEW /`
CITV u �l�L NOL j{ 1�'1p Z� P�� ILDING
F STATE CITV YAROSAPPROVED VARDSAPPROVED
IIC. NO.a a�p '(a(] �IC. NO MAIN BUILDING AC SSORV BUIL
� SIZE NO.OF BLDGS. (FFOM C/L STR T)
n. OF LOT NOW ON LOT � RONT FT.
a VSE OF
� EXISTING BLDG. [ S SI FT
N � I .
FSeparate permits are required for L. SIDE FT. ,/ FT.
Welectric, plumbing and heating work. aena FT..� !/ Fr.
[� USE OF BVI�DING AND WORK TO BE PEFFOFMED DISTANCE BET. BET. MAIN &
QQ MAIN BIOGS. ACCESS. BLDGS.
j VAR.# DATE
Q � 2QJ 'Q� C.U.P.#e APPROVED
� n,,.. ��O • APPROV _, / �
G) 1 K L
.d '
C
w
� I hereby acknowletlpe that I have reed this opplicatlon end rtate
� that tha above Information is correct and apree io comply with
a all laws regulatinB builtlinB conrtrucxion, antl I shell not amploy
Wany person in vlolation of the warkman's companaatian laws ot
x tha Stata of Celifornia.
3 I hereby cenify thet I am properiy Iicensatl es a conttector untler SQ. FT.
tha Stete of Californie Business antl Profazsions Code, Dlvlsion 3, TH AMOVNTSHOWN UNDER VALUATION
Chapter 9, antl thet zuch licenses era in full force antl affact, or I THE PURPO6E OF ESTABLISHING H PERMIT EE
am exempt fro rov(sions of the ta t Californie Business
VALUATION PERMIT FEE 5
end Professlo s Cotle, IvisiO , Cha er .
PLAN CHECK $
Signetura of � �
Parmlttee 3 S/� TAX E
Authorizetl Agent TO7A� PAID S
n
m
m'
m
N
IS FOR m
ONLY: �
a
m
� �� M
LL
f
�J
',,r�' 29555
COSTA MESA BUILDING-SAFEIY DEPARTMEM
P.O. BOX 7200 COSTA MESA, CALIFORNIA Y2826
For Appl7canf to Flll /n Completaly
TYPE OR PRINT
ADDREiS9 3 68 Santa Clara Circle
COSTA MESA, CALIFORNIA
an Los An eles 90036
�R EN'GENE6R Frank Gonzales
gicTNo. 201098 n �' 936-1104
slze I No.or■too■.
OF LOT t10W O!1 LOT
USH OF
EXIHTIN� BLDp.
t6T'l.CK`.IXt :R^X
.� ev � v� ar�. n n 1
arr 7 A' I R�a�rr 5'
DESCRIPTION Of WORK
�BUILDINO NO.O�
BIZe ROOMB DTORIG 1
EXTERIOR WALL ROOP .
�7
ure oF eu1Lo11�Y AI�D WORK TO GC PQRFORM[D
11'n and Attached Gara
Plan 402B Lot 30
1 HlRGOY /�GKNOWL6D0[ TiI�T 1 XAV6 0.HAD TX�6 MPLIGTION
ANO BTATH TXAT TH6 ApOV6 1� COqR[R�AND AOR68 TO COM-
PLY WITN ALL CITY-ORDINANCU 11ND YTl1Ti tAWY R[OYLIITIHO
BUILOINO CONBTRYGTION.
81GNATV RE OP
PERMITT6
AUTHOIIIZQO AG6
PAIG # �*.k�,
1AN —7-69cxsti�0 185 99.UL
APPIICATION FOR PERMR
BUILDINt3
fOr Offlm Use Only
11[C61R XO. PEPMIT NO.
— �nrrr
ZONIN(i
zona no.o� u.corniw Res.
� �uH� ? eu��oina
h�Eaeh�
�so�t - -- — '---
SHALL EE LE86 THAN
YARDBAPPROVBD I YARD9MPROVEO
MAINBUILGINO ACCHII80HYBUILDIN6
vwt+. 4t
owTe
/ , i . a
W
�
� / 9oeQ.,�. S3 �
0
iN6 AMOUNT BXO N UNDHR VALUATION 19 POR TX[ j
�UXPOOH Op YBTh8LI6MIN0 I� P6qMli F68 ONI,Y. �i
VALUATION �
PERMIT FEE E
sa�d3�j�Dd 33� �
TOTALFEE S / �