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Home My WebLink About939 SERRA WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 939 $ERRA 1NY Suite: Viciniry: REAR OF SFD Parcel Number: 14132818 Applicant: UNK Address: Owner: GOULD, JAMES E Address 939 SERRA WAY � COSTA MESA, CA - - contractor: �Address: . ' Zip: Arch : Address: Phone: Zoning: R1 R1 ISSUED BV: Phone: Zip: Status: ISSUED Applied: O6I18/2003 Issued: O6/18/2003 Phone: � i� z�P: szszs �� D6 OA Phone:. License: Eng: Address: Phone: Zip: - License: License: SCOPE OF PERMIT CONSTRUCT 12' X 14' PATIO COVER PER CITY STANDARDS AT THE REAR OF AN EXISTING SFD. Plan Check: $54.11 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other:. $0.00 Inspection: $0.00 Total: $137.86 SETBACKS MAINSTRUCTURE Front 20-0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 40- 0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 20- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 40- 0 Right 0. 0 $2.708.16 so.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Orcl. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, antl all requlred inspectlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 �aaas (erool WORKERS' COMPEN$ATION DECLARATION: I hereby ettirtn untler penalty of perjury one ot the tollowing declarations: ❑ I have antl wlll malntain a certitiwte of consent to self-Insure tor workers' compensation, as provided tor by seclion 3700 o/ the Lebor Code, tor tha pertormence of the work tor which ihis pertnit is issuetl. ❑ I have antl vrill mainWin workers' compensation insurence, az requiretl by sectim 3700 ot the Lebor Code, for the perfortnence ol the work for which this pertnli is i5sue0. My workers' compensation Insurence carrler and policy num�er are: Cerrier: Policy Number: (This sectian need not be comp/efed 1/ fhe permit is veluetl el one hundretl dollers ($700) or less.) � I certify that In ihe peAortnence ol ihe work for w�ich this pertnit is issuetl, I shell not employ eny person in any menner so es to hecome suhject to the workers' compensetlon laws ot Calllamia, anC ree that il I should bacoma sub�ea to t�e workere' compensetlon provisions of Section 3700 ot the Labor Code, I shell lonhwlth comply with Ihe54 /pro�visi . Applicent Signeture: �y oa,e: �� a^S WARNING: FAILURE 10 S CURE WO RS' COMPENSATIqJ ppVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALilES AND CML FlNES UP TOIXJE HUNDRED TFIOUSAND DOLL4RE (51pp,ppp), IN ADDITION TO THE COST OF CqMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60f THE IABOR COOE, IMEREST, ANp ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aHirtn that I am Ilcensed untler provislons at Chapter 9(commencing with Sectlon 7000) of Divislon 3 ot the Business end Pwfessions Code, enC my license is In tull I force ana eflecL Lic. a Class M Cantractar's SigneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eMirtn thet Ihere is a wnstruction lentling egency br ihe DeAormance of t�e work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lander'S Neme: Londer'S AdtlreSs: Signewre: Dete: OWNER-BUILDER DECLARATIONS: y • ., _ , I here�y effirtn that under penalry of perjury that I am EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business and Professions Cotle: Any ciry or county which requires a permit to ionstruct, aller, improve, demolish, or repair eny strucWre, prior to its issua�ce, elso raquires the applicant tor such permit to tile e si8netl statement thet he or she is licensetl Dursuant ro the pmvislons of the Contractors License Law (Chepter 9(wmmencing with Seclion 7000) of Division 3 of the Business end Professions Cotle) or Ihat he or she is exempt therefrom end tha besis for the allaged ezemption. Any violaiion of Section 7031.5 by any apP��nt for e pertnil subjects Iha epplicant to a civil penalry of not more than live hundred tlollers (5500).): �- I, es owner of ihe properry, or my employees with wages es thelr sole compensation, WILI DO 7HE WORK, antl ihe stmcture Is not intentletl or oMered for sale (Sec. 7044, Business antl Professions Code: The Contractore License Law does noi apply to an owner of properry who builtls or improves thereon, and who does such work himselt or herself or ihrough his or her own employees, pmvitled that such improvemems ere not imentled or oflered lor sele. If, however, the building or improvament is sold within one year ot completioq the ownerbuilder will have �he burden of pmving that he or she did no� builtl or improve tor purpose of sale.). � ❑ I, as owner ot the p�operty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACT085 to construct the project (SecJ044, Business and Prolessions Cotle: The coniraa License Law tloes not ap01y to en owner of properry who builds or improves thereon, antl who contracis tor such project with a contractor(s) license pursua�dt Fie Contractors License Laws.). n Owner ID�enfied by drivefs license. j� Yes ❑ No oc'ii � Business and Professions Code tor this reason: Dale: � DnversUcenseNo. �� Expires: 3•21. �01e of Ownership by (type af d menL i.e. � pmperty tau bill or deed): DIVISION OF INDUSTqIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify Ihel no excavation five (5) or more feet in tlepth imo which e person is requiretl to tlescend, will be made in connaction with work au�horizetl by this permit, entl that no building siructure, scaHolding, falsework, or tlemolition or tlismentling thereot, will be more than thitly-sia (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitbmle Atlministretive Code). ❑ As awner-builder, I will not employ enyone to tlo work which would require e permit from (he Divislon of Industnel Satery, as noted ebove, unless such person has a pertnit to do such work Irom the division. Signature: Date: Division ot Industrlal Sqfery Pertnit Number: CER7IFlCATE OF CO pLl � E AND AIfTHORQA710N OF ENTAY: I ceniry under penalry of perjury ihat I have read this application antl stete ihat the infortnation given is correct. I agree t com ly iitl all stete laws en0 ciry ordinances releting to building construction, antl authotlze representa�ives of t�e Ciry of Costa Mesa to enter upon Ihe ebove-tlescribe m ry r� spection puryoses. I agree not to occupy or allow occupancy of eny 6uilding authonzed by Ihis permi�until final i�n-s`pection. ` l0 �) ✓ / Slnnawrn Of 1 nnal Ownerl�f Daie COUE t. INSPECTONTYPe Q�¢, �LS 1678 Fized System Final Fire Preventlon 1266 Pool Spa Fingl 200 Final RB-Rao� 201 Final Block/Relaining Wall 202 Final Factory Fire PlaCe � 203 Final SIBn 204 Final Demolition cooer n+svernoxTrre 208 Final Mechanical 20B Final Plum6ing 210 Finel Elecirical 212 Final Fire Prevention 220 Finel Plenning Approval 222 Final Site 250 FinalBuiltling/Occupancy Peg Ii�eLs _ ' � T� `�� 1�i� �`�' ,'� l � APPROVED CITY OF COSTA MESA PLANNING DIVISION SUBJECT TO BLDG. DEPT. RI OR CORRECTIONS SHALL BE APPROVED BY THE PLANNT��G � � $Y: D3VI'SION iDF BUII.�1hTti:S��'1' C�I il�M' �UF �DS3➢a, �I�JtE� �P'I° i� �O ' �+ 39 � ��/� Thisseiot�le�ssr�� f¢�iWW� �N�timnqli�jj�b�I�Iltlimasa�iUi�urtl�Tel�b makeery�ck�ges�mA �m>�c��mc�Baa�d�nen�mi�onifmm�ke�mn�iN9�u��g and saiety, D�ty or Ccstz t;.ca. �0 3_� /�� l'he�slempingtllnis�{�4�u2�i +�,rfwePsti'5F�!'_L'�Wi1flGxihd �L^�..+miR�rrrtc�!��na�;aiflll m9 tlhe vidl2lian �of ��,y �F'.�dini�n: ^; �qy �LI;9 �sr � �a u�rEiMiwc �antlhr �ulte fasw. These plans and:pe!mi�shaiis�ai��yyilimlflumn�l�nertWll�utl�ubdliltit�el�ciWJc�gnr xrork rs r�i comme�med�nCimbi,hgii;ec9�lfiue�mrU1�¢�((B)will�i��th'8)d&�y�uP�as�iaree.. �� '��- � .J. 0p tl v I LL I , �_� . � � ��a,�a ��e�a �u�� ?�i�i�o� BUILDING PLAN REQUIREMENTS FOR ATTACHED PATIO COVERS (Note: Detached patio covers require an engineered design.) ❑2 P.L. Feet ❑5 PoS� � � � i - ��YP ) Q Edge of _� PROPOSED STRUCTURE Q patio cover �� Garage � ❑2 House ❑3 I� T N N �-�--I � _ � � .�-� 02 P.L. Owner SLL�ee� � Address �❑ Scale:_"=_ INSTRUCTIONS - 3 COPIES MUST BE SUBMITTED Using this as an example draw your own plot plan on a separate drawing. Q Show owner's name, project address, north arrow and scale. 20 Show and dimension all property lines, easements and driveways. , Q Show locations of existing and proposed structures, including all selback dimensions Q Show dimensions of proposed structure. Q Show setbacks from property lines to proposed structure. (3'-0" min.; verify if Planning Dept. requires greater setbacks) 6� Dimension overhangs ! Lattice Cover . Lattice � Lattice RaRer Joist Hanger 0 2% Slab ^ Slope ' to Drain Lattice COVBf � �\ Rafter Heade� �----► Solid Floor Cover I�– Roof Covering 26 Ga. L Roof Sheathing FRAMING PLAN Flashin� Roofing 12" Sheathing � — 0 Header Rafter � Joist Hanger Post � Ledger 6 c i '- � ;-. Footing SECTIONS CONSTRUCTION MATERIALS SPECIFY LUMBER: � DF ❑ Redwood ❑ Hemfir SPECIFY GRqDE: ❑ No. t ❑ No. 2 CONCRETE: 2500 psi min. @ 28 days CONNECTIONS: ICBO approved or equal Solid Roof COV@f � 2% Slope to Drain 1. Roof covering: Slope:` 12 2. Roof sheathing: Maximum spans: lattice: x_ @_" o.c.: 2x2 - 6'; 2x3 - 8'; 2x4 - 10' solid: �" CCX plywood or _" lumber: 1" - 2' - 8"; 2" - 8' - 0" 3. Rafters: �x_ @_" o.c. ❑ Single [j Double 4. Header: ____x_ ❑ Single ❑ Double 5. Ledger: ____x_ (2x min) 6. Fascia: �x_ (2x6 min) 7. Posl: �x_ (4x4 min) Raise 1" min above slab surface 8. Footing: �x_ 12"x12" min for up to 66 sf tributary area; 18"x18" min for 67-150 sf tributary area " depth (Expansive Soil Zone _� 9. Slab " thick (Expansive Soil Zone _� 10. Connections: a. Joist to �edger - Metal joist hanger b. Joist to Header - Solid blocking wilh framing anchor c. Doubled joist or header to post -(2) 1/2" dia. thru bolts w/ washers d. Joist to Fascia - Metal framing anchors each side (min. capacity = 0.5" joist span 'joist spacing' 15) e. Header to Post - Column Cap f. Post lo Slab or Footing - Metal Anchor/Post Base g. Roof Sheathing - 8 d@ 6" o.c. Edges and 12" o.c. Field DETAIL OPTIONS Check the ones lhal appty: Lattice Cover: ❑A ❑B ❑C ❑D ❑E ❑F Solid Cover: ❑A ❑D OE �F PoSt Anthor Post 6' min . Footing Depth PAD FOOTING A 75071 max per post PoSI 6' min '�sue SLAB FOOTING B 2x6 Min � Joist Fasda J Exis�ing qnchors wall8 2�_p• g•_p� I roof Max Max Span EAVE CONNECTION C 1/2' x 5' Joist Lag Screws � is' o.c. Existing Joist wall Hanger Ledger WALL CONNECTION D Lattice aolts fta%er Dummy Post � =SuDPort Post y,l. Beyond RAFTER/HEADER E Roo( Sheathing or Latlice Rafter Framing AnUor Each Block Header 2 X Blocicing pos� Column Cap JOIST/HEADER F D3346 oaU 199I UBC l> SPAN TABLES LATTICE PATIO COVER SOLID PATIO COVER 1997UBC 2]33-46Teb1l5 (714) 754-5273 • Fex (714) 754-4856 • WNM/.CI.005te-rt1038.Ce.115 77 FAIFi OFiIVE, GU51 A Mtp'A, l:A tlZti26 Job Address: 939 SERRA WY Suite No Vicinity: Parcel Nunmber: 14132878 Applicant: HOPPER, TOM Address: 915 LAKE ST HUNTINGTON BEACH, CA Owner: GOUL�, JAMES E Address 939 SERRA WAY COSTA MESA, CA Contrector: JK CONSTRUCTION Address: 915 LAKE ST Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Dnnking Fountain HUNTINGTON B�ACH, CA PLUMBING PERMIT Phone: (714) 404-9846 Zip: 92648 Phone: Zip: 92626 Phone: (714)404-9846 Zip: 92648 License: 450297 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 02I0?J2004 lssued: 02/07J2004 SCOPE OF PERMIT HOUSING REHAQ. SCOPE OF WORK TO INCLUDE: WINDOW CHANGE OUT (BEDROOM WINDOWS MUST COMPLY WITH CURRENT EGRESS CODE), NEW KITCHEN SINK, 8 LIGHT FIXTURES, 20 OUTLETS. 6 SWITCHES, 1 SERVICE UPGRADE TO 200 AMP, 1 FAU CHANGE OUT. AMT $23.50 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 30.00 50.00 30.00 $0.00 FEESUMMARY QTY AMT laundry Tub I Washer $0.00 0 Landscape Irrigation 50.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) 50.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Pnvate Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 �TY 0 0 0 0 0 0 0 0 0 0 0 0 SumpPump Svrimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-0) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Sel Waste and Vent System Water Closet (foilet) Water Heater / vent Water Piping (Inst or Rep.) AMT $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 on 0 0 0 0 0 0 0 0 0 0 0 0 NO710E: Tha work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and relafed regulations. (Ord. No. 92•2B, § t, 72-21-92) EXPIRATION: This permlt ahall automatically expire antl become void il work Is not commenced within 180 days, or if work Is suspendad or abandoned tor e pedod of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply wlth ell eppliceble codes, entl ell requlred Inepectlone end flnal epprovel must be obtained. Fallure to obtaln inspecNons end final approval will result in fhe ezpiratlon ot fhis permlt. FOR INSPECTIONS CALL: (714) 7545626 zaaoe �aroo� WORKERS'COMPENSAnON DECLARATON: ' I hereby aHirtn under penalry ot perjury ona ol the tdlowing tledaratlons: ❑ I hava entl wlll mainteln a certilicate of wnsent to self�lnsure tor workers' compensatlon, es provided for by saction 3700 oi �he Lebar Catle, lor the pertortnence of the work lor whlc� Ih'ts permit I5 iuuetl. �I tieve end wlll maintain workers' compensation insurance, es reduiretl by section 3700 0l Ihe Labor Catle, for tlie peAormance ot Ne wark fw whlGi Ws pertnit is iw�etl. My workers' compensa0on Insurance wrrier end poliry number ere: j Carner: Policy NumGer. (Thls section need naf be comp/efed i! fhe pemut is velued af one hundred dollers (5/00) or IessJ ❑ I certify ihat in the pertortnence of the work tor w�ich ��is Dermil Is Issuod, I shell not employ eny person in any menner so as to become subject to the workers' compensellan lews ol Calitomla, and a thel II I shoulC become suD�ect to the workers' compensation provisions oi Se lon 37Q0 of the La6or Code, I shall forthwit� comply with the5o OrOvislon5. ^��I r w I Applicam Signewro: �� Date: O � �� `I WARNIN�: FAIWRE TO SECU Oiil(ERS' COMPENSATION COVERAGE IS UNLAWFVL AND SMALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TFIOUSrWD OOLURE (5100,000), IN ADDfTION TO THE COST OF ODMPENSATION, DAAMGES AS PqOVIDED WR IN SECTION 3]OB OF THE UBOR CODE, IMEPEST, ANO ATfORNE1"S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm that I am licensed under provisians ol Chapter 9(cammendng with Secilon 7000) of Division 3 0l the Business end Prolessions CoAe, end my license Is in full force end eflect. Lic. q Class x Canlrector's Signawre: Gi .Ll . _ Date: _.. CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirm Ihet Ihere is e consiruction lentling agenty for the pedormance ot the work tor whic� this permit is Issuetl. (Sec. 3097, Civil Catle). Lentlar's Neme: Signeture: _ OWNER•BUILDER DECLARA710NS: Lentlefs Address: Date: I hereby aHirm Ihat under penelty ol perjury that I em EXEMPT FROM 7HE CONTRAC70R5 LICENSE LAW br ihe following reesan (Sec. 7031.5, Buslness end Prolessians Cotle: Any ciy or county which requires e permit to con5irucL altor, improve, demolish, or repair eny swcWre, prior to Its issuance, elso requlres t�e epplicani lor such permil to flle e signetl statement Ihet he or she is licensetl pursuant to the proWslons ot the Contrectors License Lew (Chepter 8(wmmencing wlth Section 7000) of Division 3 at the Business antl Protessions Cotla) or that �e or she is exemp� therefrom and ihe basis br the allegatl exemption. Any violatlon oi Section 7031.5 by any applicant tor e partnit subjects the applicant to a clvil penalry af not more ihan frve hunAretl Aollare (5500).): ❑ I. es owner of the propeny, or my employees with wages es their sole wmpensation, WILL DO THE WORK, end the siructure Is not intentled or oHereC for ule (Sec. 7044, Business antl Professions Cotle: The Contradors License Lew tloes not apply to en owner oi property who builds or improves lhereon, and who tloes such work himselt or herselt or through his or her own employees, provided thet such improvements are not Intended or oflered for sale. If, hawever, the builtling or improvement is sold within one year of completion, the owner-builtler will have the burtlen ot proving thai he or she did not build or impmve for puryose ot sale.). • � I, es owner of Ihe proparty, am E%CLUSIVELV CONTHAC7INC WITH LICENSED CONTRACTORS to construct tha pro�ect (Sec. 7044, Business anC Professions Cotle: Tha rnntrecbrs License Lew tloes not apph/ to en owner of property who Dulltls or Improves thereon, and who contrects lor such O�oject with a contractor(s) licen5e pursuent tO l�e ContractoR LicenSe LawS.). ❑ I am exem0� under sec. Business en0 Professions Code tor this reeson: Signalure: Date: Owner ID verlfied by tlrivers license. ❑ Ves ❑ No Drivers License No. Verilicetlon ot Ownership 6y (rype oi Cocument, i.e. � properry te: bill or tleeC): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTiFICATION: Ezpites: ❑ I hereby cenly Ihat no ezcavetion five (5) or more feet in depth into which a person is requirad to descand, will be mede in connection with wark euthodzed by this permit, end l�at no Guiltling sirudure, swHoltling, lalsework, or tlemolitlon or Oismantling t�ereol, will be more ihan thirry-six (38) teel hig�. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Callfomie Atlministrative Cotle). ❑ As owner-bulltler, I wlll not employ enyone to do wark which woultl requlre e permil from the Divislon of Indusiriel Sefety, es notetl e�ove, unless such persan hes e permit to do such work trom the division. - Signawra: Date: Division ol Industdel Sefary Permit Number. CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRV: I certify under penalry of perjury ihat I have read this appliwtion antl state ihat the informatlon given Is correci. I agree to comply with ell stete laws enC ciry ordinences releting to bulltling wnstmctlon, an0 euthodze representetives ol the Clry oi Costa Mesa to en[er upon t�e ebove-described property lor inspection purposes. I egree not to acupy or allaw occupency oi eny building aul�orized by this permit un�il linal inspection. COOE I, INSVECTIONTYPE QdIE IIiIID9LS 1618 Fixed System Final Fire Prevention 12fi6 Pool Spa Finel 200 Finel Re-Raol 207 Finel Block/Retalning Well 202 Final Fectory Fire Place 203 Final Sign 204 Finel Demolltion COOE 1 INSPECTION TYYE 206 Finel Mechanicel 20B Final Plumbinp 270 Finel Eloctdcal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Finel Slte 250 Finel BuildingiOccupency Q� U�ELfl (714) 754•5273 • F&x (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, GA 92626 JobAddress: 939 SERRA WY Suite No Vicinity: Parcel Number: 14132818 Appliwnt HOPPER, TOM Address: 915 LAKE ST � HUNTINGTON BEACH. CA owner: GOULD, JAMES E Address: 939 SERRA WAY COSTA MESA, CA Contrecroc JK CONSTRUCTION Addresg: 915 LAKE ST HUNTINGTON BEACH, CA MECHANICAL PERMIT Phone: (774) 404-9846 Zip: 92648 Phone: Zip: 92626 Phone: (714)404-9846 Zip: 92648 License:450297 ISSUED BY: Status: ISSUED Applied: OZI02I2004 Issued: 02/02/2004 SCOPE OF PERMIT HOUSING REHAB. SCOPE OF WORK TO INCLUDE: WINDOW CHANGE OUT (BEDROOM WINDOWS MUST COMPLY WITH CURRENT EGRESS CODE), NEW KITCHEN SINK, 8 LIGHT FIXTURES, 20 OUTLETS, 6 SWITCHES, 1 SERVICE UPGRADE TO 200 AMP, 1 FAU CHANGE OUT. ISSUE FEE Insl FAU <100 k B7U Inst FAU >100 k B7U Repalr/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhgusl VAV Box Vent Fan I Single puct Appliance Fire Dampers Smoke Dampers Inst or Relowte Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 30.00 so.00 $0.00 $0.00 $0.00 so.ao $0.00 $0.00 $0.00 30.00 $0.00 $0.00 50.00 30.00 $0.00 $0.00 $0.00 50.00 Quantity i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair I Alt Absorbtion Unit Repair / Alt Refri9eration Unit Ventillatlon System Evaporative Cooler Commercial I n cineretor Domestic Incinerator Compressors / Absorption Svstems Uplo3hp/t00kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU Boilers Upto3hp 3To15hp �Sto30hp 30 t0 50 hp Over 50 hp Other Mechanical Fee Investi9ation Fee Plan Check Fee Reinspection Fee Quantity ao.00 ao.00 $0.00 so.00 $0.00 $0.00 50.00 0 30.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRA710N: This permit shall automatically expire and become vold if work is not commenced wlthin 180 days, or if woik Is suspended or abandoned for a period of 780 days. INSPECTIONS: In order lor the work euthorized under this permit to be consitleretl legal, such work must comply with ell applicable COtles, and all required Inepeotlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTION$ CALL: (714) 754-5626 2aa8�elamo) WORKERS'COMPENSAnON DECIARAnON: I hereDy eNirm untler penelry of perjury one ol Ne tollowing tleclareilons: ❑ I have entl will meintain e certificate of consent to seli-Insure lor workers' compensatlon, as pmvided for by section 3700 0l ihe Lebor Code, for �he pertortnence of Ihe work tor w�ic� this pertnit is issuetl. ve arW will matnteUi vrorkers' cwnpensaibn inwmnce, as requirad by section 3700 of Ihe Labor Cotle, lor ihe peAormance ot ihe wwk for which ttus perrrvt is iswed. My workers' compensetlon Insurence carrier anC policy number ere: Cartier. Policy Number: (This secfion neetl not be com0leted i! fhe peimit /s valued et one bundred ddlars (3100J or less.) ❑ I cenity Ihet In the peAarmance ol ihe work for whic� thls permit is issue0, 1 shall not employ eny person in eny mennor so es to became sub�ect to the workers' compensetlon laws ot Calitomia, enA grae at II I should becoma sub�ect to the workero' compensation provislons ol Septlan 37pp,oi theLebor Code, I shall fanhwlth comply wiM Ihese pmvislons. �j I�• //%\��. // Applicam Signnture: __ _��-�---- Dete: // U 1 V / WARNIN6: FaILURE TO SECUR WORKERS' PENSATION COVEMOE IS UNIAWFUI M1D SMQL SUBIECi AN EMPLOYER TO CRIMINAL PENALTI M!D VIL FWES UP i00NE HUNORED THOUSAND OOLLARE (5100,000), IN ADDITION TO iHE COST OF CAMPENSATIqJ, DAMAGES AS PFOVIDED FOR IN SECTION 37080F THE IABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I horeby eHirm Ihet I em Ilcensed under provisions of Chapter 8(commencing with Sectlon 7000) ot Dlvision 3 0l the Business entl Pmtossions Code, and my Ilcense Is in full torce ano enea. Llc. a /�/ _ Cless a � _ Contraaars SlgnaNre: Date: GONSTRUCTION LENDING AGENCV: ❑ I hereby eXirtn thet there Is e consiruction lending agenty tor Ihe perfortnance al ihe wark far which this permll is issued. (Sec. 3097, CINI Cade). lentlers Neme: Signeture: _ OWNER•BUILDER OECLARATIONS: Lentlets Atldress: Date: I horeby aHirm t�et untler penalry of perjury that I em EXEMPT FROM 7HE CONTRAC70RS UCENSE LAW tor Ihe lollowing reeson (Sec. 7031.5, Business entl Profeuions Code: Any city or county which requires a pertnit to construct, eller, impmve, tlemolis�, ar repair any sWCNre, pdor to its Issuenca, also requires the epplicant tor such permit m ille e signetl statement that �e or she is licensetl pursuem to the pmNslans at the Camrectors lJcense Lew (Chepter 9(commencing with Sectlon 7000) ol Division 3 oi the Business and Prolessions Code) or ihat he or she is exempt therefrom and the basis for t�e alleged exemption. Any violetian of Section 7031.5 Dy any eppliwnt for e pertnit sublecis the epplicent to a civil penelty of not more ihan five hunAred Collars ($500).): ❑ I, as owner oi Ne Oroperty, or my employees with weges es thelr sde wmpensetion, WILL DO THE WORK, end the stmcture Is not intantletl or oHeretl tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Lew does not apply Io an owner of proporty who bullds or improves Ihereon, and who does suc� work himself or hersetl or through his or her ov.•n employees, provided Ihet such improvements are noi Intendetl or oHered lor sele. If, however, the building or improvement is sold within one yeer of completion, the owner-builder will have the burtlen ot Dmving that he or she tlid not buiid or Improve for puryose ol sala.). � ❑ I, as owner af Ihe property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, 8usiness antl Professions COCe: 71ie contracbw Llcense Law tloes not appty to an owner of pmpetty who huilds or impmves thereon, and who wntracis for such project with a contracior(s) license pureuant to ihe Contractors License Lews.). ❑ I am exempt under sec. Busineu en0 Professions Cotle for lhis reeson: Signatura: Date: Owner ID verilietl Dy tlnver'Slicen5e. ❑ Ves ❑ No Drivers License No. Expires: Venfication ol Ownership by (rype ot Aocumeni, i.e. � praperty tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby certlly thet no excevetion five (5) or more feet in depth Into which a person Is required to tlescend, wlll ba metle In connection wit� work aut�orized by NIs permit, end Ihat no building structure, scaXolding, lalsework, or demolition or dismantling thereof, will be more Ihen thirty�six (38) feet high. (Chep. 32, Grp 2, An 2, Sec. 341, Title e, Celifomla Adminisirative Code). ❑ As ownerbullder, I wiil not employ enyone to do work which would require e permit trom Ihe Division of Induslnnl Snfety, as nated ebove, unless such person hes e permil to tlo such work tmm the division. Signeture: Date: Division of Industriel Salety Permit Number: ICERTIFlCATE OF COMPLIANCE ANO AIfTHOR¢ATtON OF ENTRY: I certity under penalry of perjury thet I have read this application and state that the intortnaUon given is I correct. I agree to wmply with all state lews end dry ortllnences relating to buil0ing conswction, end authodze representatives of the Clty ol Casta Mesa to emer upon t�e ebove-described property br inspection puryoses. I agree not to occuOY a� ellow wcupency of eny building euthorized by this permit until linal insDection. COOE I. INSPECTIOHTYPE 7616 Fl:ed System Final Fire Preventlon 126fi Pool Spe Finel 200 Finel Re•Rool 201 Final 81ocWRefeining well 202 Flnal Factory Fire Place �� ' � �:: p�jE ��$ �QQ�d INSPECTIONTYPE Qsg �El$ 206 Finel MecheNcal 6:�'�'( rSrr• �lJ-� 20B 210 212 220 Finel Plumbing Final Elocirical Finel Flro Prevontion Finel Plenning ADG�ovel 203 Flnal Sign 222 Finel Site 204 Final Demolltlon 250 Finel 8ulltling/Occupency (714) 754-5273 • Fax (714) 754-4856 • wvnv.ci.coste-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 939 SERRA 1NY Suite No Vicinity: Parcel Nunmber: 14132818 Applicant: HOPPER, TOM Address: 915 LAKE ST HUNTINGTON BEACH, CA Owner: GOULD, JAMES E Address 939 SERRA WAY COSTA MESA, CA Contractw: JK CONSTRUCTION Address: 915 LAKE ST ISSUE FEE Temp service test Res. a/c package New Res (7-2 unils) New Res (3+uni1�) Pool / Spa Lightlng Fixls Recept Outlels Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 100ba Molors to thp Motors to 10hp Motors to SOhp Motors to 100hp HUNTINGTON BEACH, CA Phone: (714) 404-9846 2ip: 92648 Phone: Zip: 92626 Phone: (714) 404-9846 Zip: 92648 License: 450297 ISSUED BY: Status: ISSUED Applied: 02/02/2004 Issued: 0?J02/2004 SCOPE OF PERMIT HOUSING REHAB. SCOPE OF WORK TO INCLUDE: WINDOW CHANGE OUT (BEDROOM WINDOWS MUST COMPLY WITH CURRENT EGRESS CODE), NEW KITCHEN SINK, 8 LIGHT FIXTURES, 20 OUTLETS, 6 SWITCHES, 1 SERVICE UPGRADE TO 200 AMP, 1 FAU CHANGE OUT. REF: 804-00287 $23.50 50.00 50.00 $0.00 so.00 50.00 $8.80 $22.00 $6.60 50.00 $0.00 530.50 50.00 50.00 50.00 50.00 $0.00 50.00 �uantiry 0 0 0 8 20 6 0 0 1 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up l0 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System I Ckt Misa Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other ElecVical Fee Quantity ao.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requlrements under Califomia statutes and related regulations. (Ortl. No. 92•28, § 1, 72-21-92) EXPIRA710N: This permit shall automatically expire and become void if work Is not commenced within 180 days, or ii work is suspended or abandoned for a period of 180 deys. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with ali applicable codes, end ell requlred inapectlbna end final epproval must be obtalned. Failure to obtain inspections and final approval will result in the axpiretion of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 26aW8 (8q0) WORKERS'LOMPENSAnON OECLARAnON: I hereby aHirtn unde� penalry of perjury one ot the tdlowing dederetions: ❑ I heve end will maintain e cenHicate ol consent to salbinsure for woBers' compensation, es provitletl br by sectlon 3700 of ihe Labor Code, lor the pertortnance ol the rk lor which ihis pertnit is issuatl. I have and will maintain workers' compensatlon insurence, as requiretl by sectlon 3700 ot ihe La6or Cotle, tor ihe pertormance ot ihe work lor whlch Nis pertnli is issued. My warkors' compensat(on Insurence carder entl policy num6er ere: Carrier. Policy Num�er. (This sectlon need nof be comp/efed i! the permit is velued et me huntlretl tlollers (3700) or /ess.) ❑ I certily thet in the peAormance ot the work tor which IN5 pertnit I5 issuetl, I shall not employ eny person In eny manner so a� to bacame sub�ect to Ihe workers' compensetlon laws af Calitomle, end agre h3((I I shoultl become suh�ect to Ihe workers' wmpensetlon Orovisions of Sectl n 3700 t ihe Le or Catle, I shall IaMwith comply wit� these provisions. Appllcant SiqnaNre: Dete: WARNING: FAILURE TO SECU �RKERS' COMPENSATION COVERAGE IS UMAWFUL iVJD SHALL SU&IECT AN EMPLOYER TO CRIMINAL P NALTIES ANO CM� FlNES UP TOONE MUNDRED TYfOUSaND DOLLARE (E100, , IN FDDRION TO THE COST OF COMPENSATION, DNMGES /S Pi1WIDED FOR IN SECfION 3]Ofi OF THE LABOR CODE, IMEREST, AND ATTORNENS FEES. LICENSED CONTRACTORS DECLAFiATION: I horeby aMirm thet I am Ilcensed under provislons oi Chapter B(commencinp with Sectlon 7000) ol Divislon 3 ot Ihe Business antl Profeulons Code, end my license Is in lull lorce end eHec1. Lic. A Class q Gonirectors Slgnature: .L. �-� Date: _ _. _ CONSTRUCTION LENDING AGENCY: ❑ I here6y aHirtn that there is a coretruction lentling egency lor ihe peAormance of the work for w�lU lhls permil is issued. (Sec. 3097, Civil Cotle). Lentle/s Neme: Slpneture: _ Lendels Atltlress: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirm Ihet under penelry of perjury Ihet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or counry which reQuires e permit to construc6 elter, improve, demolish, or repair eny s�rucNm, O�or to its issuance, elso requires the epplicant for such Dertnit to tile a signetl statement ihat he or she is IlcenseC pursuant to the provislons of Ihe Contrectors Ucense Law (Chepter 9(cnmmendng with SecUon 7000) ot Divislon 3 01 the Bu5ine55 end Profession5 Cotle) Or Ihei he Or she is exempt therefrwn and Ihe basis for tha ellaged Baemptlon. Any videtion of Secllon 7031.5 Dy any applicant for a pertnli suhjects the epplicant to a civil penelry of not more than frve huntlretl Eollars ($500).): ❑ I, es owner ot the properry, or my employees with wages as their sole wmpensation, WILL DO THE WORK, antl the siructure is noi In�en0e0 or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Lew does not epply to an owner of propeny who builds or improves t�ereon, end who tloes such work himself or herselt or through his or her own employaes, providetl that such improvemenis ara no1 Intended or oHered tor sale. If, hor.ever, the builtling or imprwemem is sold within one year of completion, the owner-builtler will heve the Durtlen ot proving that he or she did not builtl or improve for puryose of saleJ. ' ❑ I, fls owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct lhe project (Sec. 7044, BuSinesS and Professions Cotle: The contractors LJcense Lew tloes not epply to an owner ot pmperty who builds or Improves thereon, end who conirects for such pm�ect with e contrecror(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt under sec. Bu5in855 end Protessions Code lor this reeson: SigneWre: � Date: Owner ID verilletl Cy dnvers Ilcense. ❑ Yes ❑ No Drivers License No. Verilitetion ot Ownership by (�ype oi tlotumeni, i.e. - property caz bill or deed): DIVISION OF INOUSTRIAL SAFETY PEflMR CERTIFICATION: E:pires: ❑ I here6y cenify that no excavetian tive (5) or more feet in tlepth into which e pereon is requiretl to tlescentl, will ba mede in connection wlth wark euihonzed by this pormit, and thet no Duiltling s�ruclure, scaffoltling, (alsework, or demolition ar dismanlling thereol, will �e more Ihan thiny-six (38) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, TIUe B, Califomia Atlministrative Cotle�. ❑ As owner-builder, I will not employ enyone to tlo work w�ich woula requlre e permit fmm the Divislon of Intlustriel Sefery, es noted ebove, unless such pereon hes e pormit to do such work trom the tlivl5ion. SigneWre: Date: Dlvision of Intlusirial Salery Pertni� Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalry ot perjury I�aI I have read this epplication antl state t�ei the infortnation given Is correcL I egree to comply wllh ell state laws end ciry ordinences releting to bullding consWction, end emhodze representetives ol the Clty ol Coste Mesa to enter upon Ne ebove-dascribed D�oDerty for inspection purpwes. I aqree not to occupy or allow occu0ency ot any building euthodzetl by this permil until linel inspection. GOOE �. INSPECTONTYPE 161fi Fixetl System Final Flre Prevention 1268 Pool Spe Finel 200 Finel Re-Roof 201 Flnel Block/Reteininp Well 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demolition PAg u�15 ��/ ,� /Date Q U� Date eooer ixsvecnoxrrre 206 Final Mechenical 200 Finel Plumbing 210 Finel Electdcal 212 Finnl Flre Prevention 220 Final Plenning Approval 222 Final Site 250 Final Builtling/Oaupency � "� IIiI�S (714) 754-5273 • Fax (714) 754-4856 • www.cl.cos�a-mesa. BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 939 SERRA WY Suite: Viciniry: Parcel Number: 14132818 Applicant: HOPPER, TOM Address: 915 LAKE ST HUNTINGTON BEACH, CA Owner: GOULD, JAM�S E Address 939 SERRA WAY COSTA MESA, Cq Contractor: JK CONSTRUCTION Address: 915 LAKE ST HUNTINGTON B�P,CH, CA Zip: 92648 Arch : Address: Zoning: R1 R1 Phone: (774)404-9846 Zip: 92648 Phone: Zip: 92626 Phone: (714)404-9846 License: 450297 Eng: Address: ISSUED BY: Status: ISSUED Applied: 02/02I2004 Issued: 02/07J2004 Phone: Phone: Zip: License: License: SCOPE OF PERMIT HOUSING REHAB. SCOPE OF WORK TO INCLUDE: WINDOW CHANGE OUT (BEDROOM WINDOWS MUST COMPLY WITH CURRENT EGRESS CODE), NEW KITCHEN SINK, 8 LIGHT FIXTURES, 20 OUTLETS, 6 SWITCHES, 1 SERVICE UPGRADE TO 200 AMP, 1 FAU CHANGE OUT, Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 LeR 0- 0 Propased: 0 Calc Valuation: Claim Valuation: Right 0. 0 Righl 0- 0 $3,500.00 53,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•20, § 1, 12-27-92) I EXPIRATION: This permit shall automatically ezpire and become vold it work is not commenced wlthin 180 days, or If work Is suspended or abandoned I lor a pedod ol 780 days. �, INSPEC710NS: In order for the work authorized under this permit ro be considered legal, such work must comply wlth all applicable codes, end ell required Inapectlons and flnal approvel must be obtalned. Failure to obtaln Inspections and final approval will result In ihe explration of this permit. FOR INSPECTIONS CALL: (714) 7545626 a+esa(aoo� WORKERS'COMPENSAnON DECLARAnON: I hereby eflirm under penalry oi perjury one ol the lollowing declarations: ❑ I heve entl will maintain a cetlificate of consent to seli-Insure tor workers' compensalion, as provided br by section 3700 oi the Lehor Cotle, for the peAormence oi the �work lor which ihis permit Is issuetl. I heve entl wlll mainfain workers' compensation insurance, as requiretl 6y section 3700 of Ue Lebor Code, for the peAortnance of ihe work far wMU �M5 pertnit is issuetl. My workars' compensatian Insurence carder end policy number ere: Certioc Policy Number. (This sectlon need no! be comp/eted i! fhe pemtil ls valueC ef one huiMred dW/ers ($100J or less.) ❑ I ceNty t�at In Ne Oertormflnce ol the work tor which Ihis pertnit Is issueq I s�ell no� employ any pereon in eny menner so es to hecome sub�act to the workers' compensation laws ol Calltomla, entl e that if I should become sub�ect to Ihe workers' wmpensatlon provisions ol S tion 37 0 0l t�e Dor Code, I shell forthwith comply with Ihese proNsions. !� �"] j� Applicent SignaWre: Dete: C/ �ll V WARNINO: FpILURE TO SECUR qKERS' COMPENSAiION COVEMGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CPIMINAL PENALTIES AND NIL FlNES UP TOONE HUNDRED TIKKISAND OOLURE (5100, , N ADDfiION TO THE COST OF COIAPENSATION, DMMGES FS PROVIOED FOR IN SECTIIXJ 3]OB OF THE UBOR CODE, IMEREST, AND ATTORNENS FEES. LICENSED CONTRACTORS DECLARATION: I heraby eHirm thet I em licensed under provislons ot Chapler 9(commencing wit� Sectlon 7000) of Division 3 of the Business antl Pmteulons Code, end my license is In full brce entl eNect. Lic. a � . Class a _ .. . _ / / . Conirectors SlgnaNre: Dete: CONSTRUCTION LENDING AGENLY: ❑ I hereby eHirtn Ihat there is e consiruction lendinp egenty lor Ihe peAortnance of the work for which I�Is permit is issued. (Sec. 3097, Civil Cotle). Lendors Neme: Lontlets AtlOress: Signeturo: Date: OWNER-BUILDER DECLARATIONS: I heroby eHirtn Ihat under penalry of perjury Ihet I em EXEMP7 FROM 7ME CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business and Professians CoCe: Any ciry or wunty which requires e permit to ionstruct, alter, lmprove, tlemollsh, or repair any structure, prior to its issuance, also requires the applicant tor such pertnit to file e signeU statement t�at �e or she Is Iicensed pursuant m the provisions oi the Contrectore License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Prolessions Code) or thal he or she is eaempt iherefran end t�a besis tor the allaged eaemptlon. Any vloletion of Sectlon 7031.5 by eny applicant for e pertnit subjects Ihe epplicent to a clvil penalry ol not more Ihan frve hundred dollers ($500).): ❑ I, es owner ol the properry, or my employees with wages as Iheir sole compensatlon, WILL DO THE WORK, entl the struc�ure Is not IntendeC or oMered tor sale (Sec. 7044, Business and Professions Cotle: The Comractors License Lew does not apply to en owner ol p�openy who builtls or improves thereon, entl who tloes such work himselt or hersetl or ihrough his or her own employees, provided Ihal such imprwaments are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, the ownerbuilder will heve Ihe burden of proving that he or she did not builtl or improve tor purpose ol ule.). ' ❑ I, as owner ot the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Cotle: The contracrors License Ww tloes nol epply to an ownar of property who bullds or impwves Ihereon, entl who conirects br suc� pmject wlth a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt untler sec. Siqnaturo: Owner ID verlfletl by Criver5license. ❑ Yes ❑ No Bu5ine55 8nd Profe55i0n5 CodB for lhi5 reeson: Verilicetlon ol Owners�ip Dy (type ol tlaument, i.e. - property tav bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION: Drivets License N0. Date: Expires: ❑ I hereby certity that no excevetion Iive (5) or mora teet in tlepth Into w�ich e person is required to descend, wlll be made in connection wllh work euthodzetl by thls permit, antl t�et no building stmcture, scaMolding, talsework, or damolitlon or tlismantling thereof, will bo more than thirty-six (36) fee� hiph. (Chap. 3.2, Gry 2, An 2, Sec. 341, Tule B, Celifomle Adminislrative Cade). ❑ As owner-builder, I will not employ enyone to tlo work which would require e pertnit Irom ihe Divislon ol Indusirial Safery, es notetl ebove, unless such person �as e permlt to do such work trom t�e tlrvision. Signeture: Date: DlNslon ot Intlustnal Safery Pertnit Number: CERTIFICATE OF COMPLJANCE AND AUTHORVATION OF ENTAY: I certih/ under penalry of perjury thet I have reatl �his application and stete that ihe infortnation given is correcL I egrea m compty with all state laws end Gry ordinences relating to building construction, end emhodze representatives ol the Clry ol Costa Mesa ta enter upon Ihe ebova-descnbetl property tor inspectlon purposes. I agree not to occuOY or allow occuDency of eny buildinp euthorized by ihis permit until linel inspection. COOE 1, INSPECTIONTYPE 1616 Fi:etl System Finel Fire Preventlon 1268 Pool Spa Final 200 Finel Re-Root 201 Final BIocWRetaining Well 202 Finel Factory Fire Placo 203 Finel Sign 204 Finel Demolitlon QI�ff ��j $�QQEj INSPECTIONTYPE 208 Finel Mechanlcel 20B Finel Plum�ing 270 Finel Eloctdcal 212 Flnel Flre Preveniian 220 Finel Plenning Approval 222 Final Site 250 Finel BuiltlingiOccupancy PAIE 1[�LS 6�� CITV OF COSTA MESA SEN, :;E REQUEST & PUBLIC ASSISTANI;:.. `rORM Date �� , Time �� . ��- �.� . •,� /� / � ��I '/// I . ��/ / � � �� / �� /� � �/� � i ' � , �� / , /�-' � �� . • � / .� Person Receiving Call �G'�,�,J�=�v � / i i� ,� / � �i � � ��,1 i �� % � � �_i/�._ ' Call back � Service Only � Infortnation Only � � �'� . ; tn.u��rii :.::..:... : .. � \ I �t' h E ��: � J , . �r ��$�e�NSit�l �.,� ;�3 ��7 --�%. ,,� 7a,v�e�l� •w ,��.n : ��,y � —�' ` ��ea� r � ✓ .�� ' � l\r1 s. �r �y�y�g�.� ��-: � ` ��.�. � .�.. ,�� ikt��'S5r9 � .. ._ .' . . /�� u :� mh4 �'.:, '.� � � � IY.R� � �'�`7 � �� _ � , .. � . . �{�' k ,-r �`,�>K7 .f ! i` o- w �- ��rC r��Ll�'�� • yy 5 T <' �"M v 4' �'�4� 4AayN .t a� &�/ W��j } �tY +b: i .. . � . �-Yje f �1 Y. x��ry� }� 0 y �M. . . . ' . . _ n . . �; � r F # '�"Y4 i�` iti.: � � �Y ' . ... . . . � �� E , : � ' s'� ' X �'„" "p" - ' , r � . � �T - ..`q -+v.:•� � ' . . -' � I t .: ,� � _ _ FY� m . • . . .. � .. � . . . �Y�� Y. .a S. _,f .. �.. • 1 • �„NV�V�'s, e . +'.ry,+� � « , , . wy+s�'�'.g�}¢�� (a: . 1.♦ �, , .; - - 3"y �. � F` 1"� � i �..��+ b � :.`'. � �V .� ` 4:.�i - .. eV..t/ .t y :. . . . . i�M.��efX !A'�� d ' ., ' �.. .. . .. � ^�w + r�ji,r - . . ' Yk :�' � u eYi'+ , . . . _ . . .. . . � ��.�,w: '..d4'�"r -y� t.� } _ . � � „L�'(l1 - ♦.�e.. yf�� . .. . _ . b .� _^� �y �3 � � j -: '� - . �� k,• n ��',. ��,��y� . - - �r f�` #f p'�'. . . �irh �� +CY n.r S• 1, f�n d F ' S . p'. •. � sa�'n1�+�4�r,y�i tyM e�A:��' .. T , C 4s 4 .. . �tar r �ti�d��= fi ' `,�`r� . . . . `a^ lt s ....,...�:i... . � "�' t . �` -,, '.,�� - �- "�j;:�. r . � �p i � R 1 1 �p. ' Ga � � � .� .'�',�. � ' . , . r � �K 1�� . - '�i.� � .1y �v�a'X' f£ � t � t ... [1 x +'S `.R qa � tT%F}Fi+�fN- I�yF y' #�, � �4iµ'7' . .l_ i(11"� S '.� t.'!� Y .. ..., f ., �yY� ..:". T 1k;__.� {�:' . fi �" ... �. .. ,�, r �' 'i^ �k ,�' . � . � '�' - � -- � � . � � �i. .L�:. ... n a �l.dl�4�'.e-M�$(`�Mi1N�.�d��.i#Y4!:;8!':S"s�iF'F�',��SiYf.�a... , .�_ Aoullcant to flll in all soaces except those within heavy bortler Iines ane sign all aoo�oDriata qeclaratians. �� n �� P IT NO. TRACT NO. LOT NO. UNIT NO. CITYOFCOS MESA CO Tj,U TO PERMIT OZ2 A•P•# - Ze�e - Pro'ect Address�3� � � R _ 7 � $ Main Building: Accessory Buildin9: �/�I—IG TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E Z �plicant's Mai "n Addrgss Front A,Vt� J�/ ❑ CONVE0.510N ❑ DEMOLISH ❑ OTHER � T O O'wner's Name � V• Z'+K'� phone D "'�^'� DESCRIPT10N OF WORK/U OF BLDQ. 6 Rear N i�,ddress ��C � � e r �_/C /� ^ or A � Arch/Eng. License No. TVPE OF PERMIT ' GRADwG�N S7RUC7uaA� '� C Ri9ht N Address ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL � Left G ❑�OTHER � Ping. Ref. # Parking Req./Provided R Contractor's Nam Phone E Address Imailing) PF70JECT DESCRIPTION SQ. FT. oCCUPArv4�/yq/q ' planning Notes: M CONSTRUCTIONTVPE ^��N VALUATIONS�Y_,_ .T City LicenSe No. ZONE GRADING CV. VDS. ACRES $, LICENSED CONTRACTOR DECLARATION I here rm ihat I am licensetl untler provisions 0f Charter 9(commencin9 Remarks: with sect'on Divislon 3 of the Business a�tl P ' e, antl ELECTRICAL FEES mY lic f IJ�f6� — ��_ �1 � Liren r (( / .�� Automatic Washer Transformer ❑ 15-50 KW oate Signature PLUMBING FEES WORKE0.5' COMPENSATION DEC�ARATION COnStruCtiOn POI¢ Sub. � 50+ KW �eby a/tirm t�at I have a certilica[e ol consent to selt-insure or a certifl<ate Ba� Sink Showe�s Vorkers' Compensation Insurance, or a certiAetl cooY �hereof (SecOon Cooking Unit Meter �up to 700amps .,000, Lao. c.l Backflow Preventer Service Sink Policy No. Company Batkflow Irrigation Sewer Cap DiShwasher Meter ❑over100amps eCertifietl covY �s hereby turnishetl. � Dryers ❑Gas ❑Electric Sub Panel - Certifietl copy is filetl with the city Builtling DiviSion. Bethtu65 Sewer Connection Date Applicant Fan Motors �0.1 HP 01'h � 8 EXEMGTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOId� COII¢CLO�S (This section neea not Oe completetl it the vermit is for one huntlretl (5100) or Dishv.asher $olar Piping F.A.U. Inc. Solar �9-15 HP �16-15+ less). I certify thal in [he Oertorman<e of the wo�k fOr wh�ch this pe�m�t I5 ISsuetl, I Fiztures shall not employ any p¢rson in any mann¢r so as to become Subj¢ct to the Drinking Fountains $Ola� T2nk Microwave Workers' Compensation Laws ot Califomia. Date Signature Floor Dreins Swimming Pool w/Spa Device Boxes Pole Light NOTICE: It, after making lhis declaration, y0u snoyltl becom¢ tubject to Iha Workers' ComDensatiOn provisions of th¢ l.dDo� Gatle, you mu5[ (orthwi[h FI00/ $ink5 U/i0dl Du[I¢t5 ange comply with such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV GesSerViCe OULIEts WaterC1o52t SwitChes Sign I hereby af(i�m that thtre is a const�ucliop I¢n0ing agency for th¢ perto�mance � of lhe wolk tor wM1icM1 this permit is issuetl (SeCtion 3097 CIv. C.) :idlbdg¢ Di5pO5dl $[dndiOJ S¢cti0O5 Interceptors Water Heater tenaer's Name Generator �0.5 KW �5-15 KW Trash Compactor Lentler's Aatlress Kitchen Sink Water Servite OWNERBUILDER DECLARATION I hereby atfirm ihat I am exemo� trom the Contraetor's License Law for tne Lavarories Auto-Wazh following reason (Section 'l031.5 Business antl Professional Cotle: Any city or county whicn requires a permit to construct, alter, Improve, tlemoiish or repair P—Trap Laundry Treys any structure, prior to its issuance, also requires Ih& applicant for such permit to file a signed siatement lhdt he/she 15 Ilcensetl pu�suant to the O�ovi5iOn5 01 Roof Dreins `^ Contractor's License Law (Chapler 9(commencing with Section 7000) of 'sion 3 ot the Business antl Pro/esvons Cotle) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 efrom ana lne ba5i5 for Ne a1129¢tl exemptiOn, qny viOlation of Sectlon __l1.5 by any ap0�icant tor a permlt zubjects the applicant to a civil enalty ot not more than (ive huntlred dollars (5500�, $ 3 DEVELOPMENT SERVICES RE�UIREMENTS: � I, as owner of tne property or my employeeg �yi[h wages as their sole ReinSpBCtion Fae $15 ISue Fee com0ensation, will tlo [h¢ work, antl tne slruc[ure is not inlentletl or otferetl Zoning Approved By Date for sale (Section �04a, Business antl Professionai Cotle: The Contractor't MECHANICAL FEES Building Approved By Date �icense l.aw tloes not apply [o an owner ot a proper�y �ryo builtls or improves thereon, antl who aoes sucn work nimseli/herself dr through his or her own goiler Hood or Type I ❑ � APPlication Issuad By p ��j�_Dat � employees, provi0etl that such improvem¢nts are no� Intentletl or oH¢retl to� i sale. Ii, however, the builtling or improvement is soltl witnin one year of com- Canopy Type I I ❑ SUMMARY OF FEE � pletion, the owner will hav¢ the burtlen of proving he/sM1e tliG not builtl or iT- DUCt - UlIdE� Ci�OUnd � proveforthepurposeofsaie). BUILDINGPERMIT $ �6�-Ov SMIP $ . SZ� � ❑ I, as owner oi the property, am ezclusivety contractin9 with Iicensetl con- Ouct-Structural Refrigeratfon System PLAN CHECK $ PERMIT Vactors to <onsVuct the Oroject (Settion 7044, BUSiness antl Pro/e55Ion5 COtle: The Coniractor's License Law aoes not apply to an owner of oroperty who Duct � Ventilating �a100,000 BTU ❑100,000 BTU PLUMBING § ISSUANCE $ builtls or improves thereon. antl who con[ra�[5 to� Such owiect5 wi[h a con- tractor(s1 hcense pursuan[ co cne Contracrors License Law). I am aware tha[ Ezhaust System ❑ Multiple ❑ ystem Repair/Alteration PL-P.N CHECK 25% $ ENERGV P.C. $ Iproo( of thert Worker's Compensation insurance Snoultl b proviaetl to me. ELECTRICAL $ GRADING $ I am exempt untler Section �e &. C lor this reason Firepl/Fact. BIL IC80 # Fire Dampers MICROFI LM $ p q� bn /� _ � PLAN CHECK 50% $ D t ` o Heating System & Ducting Registers MECHANICAL ' � ` I hereby certiry that I have reatl this application antl st e tnat me ab ve ❑4100,000 BTU �700,0008T $ TOTAL FEE $� � information iz mrrecL I agr¢e to comply wnn all city antl counly ortlinances PLAN CHECK 25% $ antl state laws r mg [o iltl siruction, aqtl bereby authorize repre- Sentatives of �i iry er u n Ihe abOv@.mentione pr rty f oi aaoa�csi-eaa:�a�t -u�-� .�.u. ins0ectionPur f ( T �� Qz"yTt: 09121/�9 Ijlt:.� :.��: . Signature Date � ReinspectianFeo $15 ISsueFea $ 3 O� r��4��y�7—CenY`�y` .'�� :•u Drivers' LicenSe or 55 � �" n 0865-46, rev. 5/89 W�rte - tluuamg; canary - qpplicant; Pink - ACGountlng; GolOenrod - As5B550� !;AIL� U7/L�(t$y � jnt+ 1 i%G[ t ��; C0.VSTRL'CTION AND PLANNING PO! 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 UtilityUndrgrnd. 54. Forms '. 4. Elecvical Conduit-Undrgmd. . 55. Elec[rical Bonding 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test � 6. ,Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �' � 7. Footings 58. Electrical Conduit-Undrgrnd. , - S. Foundation , 59. Gas Pipe, O Undrgrnd., Test � 9: Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, � Undrgmd. 10. Structural Floor System r- 61. APPROVAL TO DECK - 11. Property Sewer Line & HouselConnection 62. Backwash & Receptor-Final �. . 12. Sewer Cap 63. Heater & Vent-Final � � 13. Roof Drains ' 64. Plumbing System - Final 14. Rough PVumbing 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final 16' Rough Electric Wiring 67. Fencing & Access Approval t. 1)^. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19: Rough Hv ing & 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 F�aming 73. Undergrnd. Storage Tank � Gas ❑ Oil � 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing.&`Siding 77. FIXED SYSTEM FINAL 29. Insulat on 78. FIRE PREV. FINAL 30. Drywall,Nailing .� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat r 79. FINAL INSPECTION . � �.�. 32. Elecirical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Flnal 40. Gas Service-Final � � 41 . Solar pomestic-Final � i' ' �' 42. Backflow Preventer � � a� ,. 43. Backflow Irrigation � � 44. Landscape Irrigation System � ��f�• �� 45. Sound Attenuation � �l � 46. Handicap Regulations / 47. FINALSTRUCTURE&BUILDING � IJ� L 48. Special Requirements ComPleted 49. Electric Release to Edison �'�' 50. Gas Release io Southem California Gas Co %• � � i 51. GERTI:FICATEOFOCCUPANCY � "r_ �! - No. Date .�' ' _� July 2, 1976 Twinia� Laboratories �.f ��,«t��,= c«<<t"=��«<, �,��. 0.0. dOv <, .?710 P.�Rcppi b:'AY . LC�G BcACH, CALIE 906C1 . 2UI 4?�?755 . Zi?� W6236c .'71a� E2E6a?z exn::r.- r,:crccs 4i�C' n5�•. ��•Du S.-.�... C~ .aolvJl �:<-.� - )a55o y�ho 009 • ' 1i��51i�][�f�� d ��'9 l..iE�a-Ci a..� .Eq eJc]]5e � 1- �`�.''. �L., ". Examinafion: $�'j()-21�11 COMPRESSION TEST$ ON GUNITE CVLINDERS Mr. Errol F. Reesch 12921 Aspenwood Lane Garden Grove, California 92640 PROJECT Pool for JOHN KIRKPATRICK ADDRESS (39 Serra WBy� C09td M0S8 SAMPIE FROM Gunite Swimming P000l �PCMI1FCt EHGiNfE� Mix DATE CAST DATE TESTED CYIINDER NO. 4-1/2 - 1 6-25-76 7-2-T6 II CONiMAC10R South Coast Pools SUBCONfcACiOR Grove Gunite Co. SPECIFIED STRENGTH 7-2-76 11 CYLINDER SIZE COmPRESStON '/-Day 7-Day TOTAI IOAD, LBS. �%�OOO IOO�O00 POUNDS NER $O.IN. 2�725 3,206 SIZE: 6" x 12-1/2" 6-3/8" x 13n CO MPIIqNCE 7-day test complies with specifications. n��DE !Y CYIINDER: Skip ois+aieurioH E. F. Heesch - 2 Grove Gunite Co. Costa Mesa Bldg. Dept. UFlIVE4ED BY E. Heesch 2,000 psi 7-2-76 IV "HOLD" 111 V "HOLD" VI "HOLD" 7-Day 88,000 3,115 6�'x13" RECFiVFD ON 6-28-76 ��5 SI�� 1 �JUL 6 i��5 ., . r� %� �� i ^� �.�y�; �_....._-f....,,_•i� i,� — ` cir / . . . �,. � . ._, s o.. �. .. r . :r� .. ��,��„ . �. . �.�s .......�....o.. ,00.oa��c.. n.. o, o.o otPoo-s co�c,�s�o,: oo F. .,, .s .. .. _ _ ... .. .e.. . � � .�: .r.. .. � e� ,. ...�..... .s . e..,.._ ,.o•rc� i�. w a r.-s ...e ooeue .vo o...sr�.is l�JOB A[ 1� G'ENER `� AP No. GAS ROUGH PLUMBING PROP. SWR. LINE SPRINNLING SVSI M ISCEL LANEOIIS ROUGH HEATING 0 TEMPORARV SERb UNOERGROUN� � ROUGH WIRING POWEft TRENCHES U FOftMS U STEEL REINF FLOOR SVSTEM BOND BEAM ❑ STEEL REINFORCE ❑ SHEATHING ' FRAME ANO FLASHING 1 4TXINf. - IN n OUT n STRUCTURAL, FIN HEATING, VENT., PLUMBING, FINAL SPECIAL A.C.. F BUILDING PERMIT DESCRIPTION of WORK pg FIRE ZONE VALUE SUBCONTRACTOR _ `�• 90� � COSTA MESA BUILDING-SAFETY DEPARTMEIYr � P.O. BOX 1200 � COSTA ME9A, CALIFORNIA B26t0 For App►7canf Fo FiU /n Completaly TYPE OR PRINT ADDREI89 s3s s�� w.� COSTA MESA, CALIFORNIA �v/� �� N 4 /� � Q � � � � C( . o _� f!7• 1� xo. or ■t.uo.. DESCRIPTION OR WORK 8�,�,Na/3 X/I� SIZE EXTBRIOR WALL 1 H611HBY ACKNOWL[OOi THAT 1 NAVH AND BTATB THAT TX6 ABOV[ IP CORRI PLY WITX ALL CITY OPOINA D i BWLOINOCONBTRYGlIOH � SIGNATUREOP , Q�. AVTHORIZiG AG[NT wC28-68�sa00t2et o*****5.00 APPLICATION FOR PERMR BUILDIN(i . fOr Offlce Uss Only nccnrt Mo. ( 2�U,4U Y .��`�—� x �!_e�°l��%` �uru �V LeT G, —.3dY—/ X Hwna sn�u, ee �eee rn� YARDD MPROV 6D MAIN BUILDINO IOM GL GTR6[T) , DIQTANGt MAIN BLDi VAR. � YARDBAPPROVHD ACCEi80RY BUILDINO DATH TX19 APPLICATION 'MB AMOUNT BMOWN UHOHR VALUATION IB ROR TH6 ID AORBQ TO COM. rURPOlH Or 68TAtLI8H�X0 A P6ftMIT FHH ONLY. LAWY RiouLATlno yALl1AT10N /{y/� Q n.. �� PERMI7FE8 � V � �\�)*a�� s � � a � ER No.147-328-18 LOT 67 TRACT 4285 FIREZONE WATER PROP. SWR. LINE U HOUSE CON. SPRINKLING SVSTEM HEATING ANO AIR CONDITIONING �amca:�:nar.�.� INF. BOND BEAM U STEE� REINFORCE SHEATHING FRAME AND FLASHING LATHING - IN n OUT � PLASTER. BROWN COAT ELECTRIC, FINAL BUILDING, FINAL DATE BUILDING PERMIT N0. 3 SUBCON7RACTOR 0 r� � ` � 3132G COSTA MESA BUILDING•SAFETY DEPARTMENT P.tl• BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant m fill in Comptetety �ar+ze-��00 �t3 �*�***5.00 APPLICATION FOR BUILDING PERMIT ;EIVED�Y DATEflEC�IVED DATEISSUED /V � ADDRESS � � 'l� ' �_V`v` � _ � . � PERMIT NO. OWNER /cG�S /J/� EDT A.P. NO. MAIL �/� BUILDING Z ADORE55 � SEQL�.Q !/f! �+DDRESS wa U TEI. � TFACT CITY l� NO. F— Z Z Q ppNSTqUCTION O N �ENDER am J � BRANCM ' � J N OWNER a w ADDRESS p] J m AqCHIYECT TEL. S J N OR ENG NEER UQ FIRE W Q ADDRESS ZONE aW W Z APPROVED J O CONTRACTOR QL(J/�E�Z_ BV m Z J � ADDRESS w w TEL. �ON NO.OF Z� CITY NO. -� P�� W � STATE CITV VARDS APPROVE N� LIC. NO• LIC. NO. MAIN BUILOINC 7� SIZE . NO.OF BLOGS. (FROM C/L STfiEE OF LOT NOW ON LOT qOf�1i F EXISTING BLDG. ES��Eltl� F � SIZE OF NO.OF ZQ NEW BL . ROOM$ STORIES 1.51 FT. V EXTERIOA W/aLL ROOF COVERING COVERING REAR F . J USE OF BVI�DING AND WORK TO BE PERFOFMED DISfANCE BET. aa E O}� O MAIN BLOCS. o �},f� u� ��xb g Gioe.s�G D,� . � � P�w ~ / • � . APPqOVED H Z O V1 hureby acknowletlpe that 1 Mave raatl thia applitaiion entl stete � thet xha ebove information is cor�ect antl eprae to comply wiih � ell laws �apulatinp builtling consvucclon, entl I shell not amploy F eny Oerson In violeNon ot tho workmen'� companfatlon lewa ot y the Stata of Californla. zI horeby cartify that I am propaAy Iicensetl as e contractor untlar SQ. FT. tha State of CelHornla Bu�ina�s end Profeaslona Cotle, Dlvisicn 3, THE AMOUNT SW Chapter 9, entl that ��ch Ilcenwf ero in full force anG affett, or 1 THE PURPO6E OF E em exemPt (r the provia nsof tha Srote of CalHornla Buainao VALUATION antl ProfBssi a C tle, Divb n 3, C�a ter Slpnowr i �QO " Pe�mltta0 $ Authorized Apent LOT BL'OCK �..0�,.7;�.� VALUE $ � /�GROUP DATE USE OF NEW � BUI�91«a1 ir �.ri1 15� VARDS APPROVED ACCESSORY BUI�OING & DATE 7a � 0 IN UNDER VALUATION IS FOF ^ ABLISNING A PERMIT FEE ONIV: b ¢ � m PERM{T FEE S � 7 m PLAN CMECK S E �—(� `o TOTAL FEE $ i/ � LL OWNER KTRKPATRICK Joltn DATE 6-16-76 JOB ADDRESS 939 Ser�y BUILDING PERMIT N0. 42159 GENERAL CONTRACTOR Snuth coaGr Pnnls DESCRIPTIONofWORK Pvt. Swim Pool �AP No.144-328-18 LOT TRAC7 FIRE ZONE VALUE a 4,350.00 INSPECTIONS Sienoture Dote GROl1P ,T TVPE III ZONE �i-1 �91 Pool Location ��Forms Main Drain Steel Reinforce Elec. Bond � Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Heater and Vent Final _ Filter System Final Backwash and Recep. Final SUBCONTRACTOR Electric Plumbing '(�' / 42159 , COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �� ADDRESS OWNER Q �{�y/ LK MAIL o(� p cG p, ADDRESS 7 d'/ OV � r� %1 G�. '�" TEL.(//� CITY� (qC�10. ✓{�CJ��y NO.�7T7S� CANSTRVCTION �___ LENDEF BRANCH � ADDRESS ARCHITECT n w /l / ADDRESS ��J W' �� F CI7V �*jST/G ��Sf� STATE �oOO," � LIC. NO. b {ra SIZE a. OF LOT a USE OF � E%ISTING BLp�. y S �o��sy6 CITY LIC. NO. NO.OF BLDGS. NOW ON LOT FSaparate permits are required for o electric, plumbing and heating work. (.�. USE OF BUILDING AND WORK TO BE PERFOR� a � ..1 a > r � a w a� �; Pt�lu r �•'::4: C " i iF-7F�w�.OQ�s,o=�� -4&.�C APPLtCATION FOR STRUCTURAL PERMIT E�vJQv o^ ��o`—Ei�n i'Te/%s�ey A.P.Nd.'�y-J"l.� - BUILDING ADDRESS� �� YL, Y1 � E NO.OF, �J PLANSC� AFDS APPROVED MAIN BUILDING DI5TANCE BET MAIN BLDGS. VAfi. � C.U.P. alt LOT BLOCK �'9/1'i/?,/C�/� ` VAIVE Z ��+J�, � YIL $ ✓J l/ / GROU ^� DATE �(,I USE OF N BUILDING ��p, VARDS APPflOV ED ACCESS Y BUILDING FT. �// FT. 5/ FT. �Z FT. BET. MAIN & ACCESS.BLDGS. DATE APPROVED I•__�� _�,I _ 0 I hareby acknowled8e thet I heva raatl this applicetion entl state � thai tha abo�e informetion ia cortact antl aprae to comply wlth a oll lawe repulaNnB building eonrtruetion, and I shall not employ z any perwn In violation of Me workman's compansation laws of � iha Stero of California. 3 I �eraby cartify that I am properly IlcenseG as a contractor untlar SQ. FT. the Stnro of Calitornia B�sinen and Professions Cotla, Divislon 3, THE AMOUNT SHOWN UNDER VALUATI Chapter 9, ahd that such licenses ara In fu�l iorce and effect, or I TNE PURP�E OF ESTABIISHING A PERMIT em exempt irom the p�ovisio�a ot the S(ate of California Buainess VALVATION PERMIT FEE S end Profess`i^,o�ns, �C)atle, Division//3�,� C.h/ep�� ter 9. Slpnetaro o=�' Y � ^ /� PLAN CHECK S Permlttee � $ � /S (� /� �� TAX S d oiv Auiho�Izetl Aqani TO7FL PAIO E � � n m i m m N IS FOR m ONLV: � �O a N m . o-a ^ 0 � _ D U 1 _ ,�, ��3 �t 67, Tract 4285, �� RECEiVED SEP 6 1961 Cf�STA MESA BUILDING-SAFETY DEPARTMENT FlNANCE OEPT. P. a. ao: s�� C08TA MBHA. �L�P��A CITY OF COSTA MESA For Applieanf �o Fill In Complefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADORH68 � COSTA MESA CALIFORNIA For Office Use Only ■ BIZE Mesa Del Mar Develo ment Co. 3800 E. Coast Highw �ona del Mar Cali £. No`PR 3423� EER Macco Corporation NobR 34220 3800 E. Coast Hid��as ess 3aoo E. Coast Hi hwa;T Corona del Mar� Calif . o. 98808-38-1 No: OR 3-u2� I NO. O� BLD09. OF L07 /7w O Y� �.71ll9 I noW oN LOT SJ USE OP � T10II8 EXIBTING BLDG. s¢re�cK uxe vnou cetttaw w sixeer 1� R�R YARD 22 � 61DEYARD ILEFf z�� ^ IRIGNT 22� � DESCRIPTION OF WORK � $B=IDINGrp�r�tlXro� ROOM6 V JJ J 7 EXTERIOR WALL (ROOF COVERING S{'illCCO COVHRING C USE OF BUILDING AND WORK TO BE PBRi Sin le f�il residen w/attached parage II HHRBOY ACKNOWLLDOB TXAT 1 XAVB R6� 1'N18 APPLJWTION ANO BTAT¢ THAT THH AOWE IB COIiRCC! ANO AOpEE'TO COM• PLY WITH ALL CITY OFOINANCEB ANO HTA're u� �pULAi1N0 eU1LDIN0 GONBlRULT10N. IAUTHORI�ZED NECEIVCD BY COSTA MESA. CALIFORNIA APPROVED ZONING ZONE�/ I pUN9 � BUILGINO / �eo�� —t—h i ... !� r tceemw uxe er.� S / FRONT L. SIDE �� REAR Z Z APPROVED I . �JD ' BY W �{ Livin� area etc. 405 S F 432sF C THE AMOUNT 6XOWN UNDEF VALUAT�ON IB FOR TXH PUpPO6E OF 69TABLIBHIN6 A PERMIT FEE ONLY. VALUATION ' PERMIT FEE S � h � — �— a /�-7 a $ �C, 326 � W PLAN CHECK $ { / • Sv 7 - 52,sp p TOTAL FEE 4