HomeMy WebLinkAbout3408 SUMMERSET CIR - Building PermitsCITY OF COSTA MESA
BU/LDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.ci.wsta-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: B09-00026
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 41207343 DATE ISSUED: 02/0312009
ISSUED BY: RMD
J08 ADDRESS: 3408 SUMMERSET CI CM �' Suite/Umf �'= �.
Vicinity: HOUSE ONLY ' - _- .
Squares: 1000 ' Valuation . ,: $5;000.00
SCQpE OF WORK: PARTIAL.REROOF ONLYrTEAR OFF (E) WOOD SHAKE AND INSTACL' 1 LAYER OF �30# FELT AND REROOF WITH
WOOD SHAKE ON PORTION OF:HOUSE ONLY;�APPROX 10 SQUARES. REPAIR AND REPLACE SHEATHING AS�
NE�DED. - - �
_ _ ':r = _ . . , _. ,
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, OTHY J .� � �"� "� - i. .;-, _ , -Addreas: 3408 SOMERSET CIR : ��. ..- Unit:
OWNER: HATHAWAY 71M
PHONE: � � ' �' � � �a -• .��� �-.. �� � �_'_ City/State/Zip: COSTA MESA, CA ' �" � �" �
.
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APPLICANT: LAGUNAS;�FRqNCISCO ` - Address: ` ' � - Unit: :
PHONE: 714-813-7736 ; ";� � '��.�.:`�;> City/State/Zip: ��- ; ' . .. -���: .:;�
CONTRACTOR: CAL $TATE ROOFING License No. 601616
Adqress: 711 MONROEWAYUnit: ". ^ �" ' � PHONE: 714-986-8920�� '
City/State/Zip: PLACENTIA; CA "- �92870 �: � . ; _ - � . CELL: �� � .
. _ . :. - _ . :� ���
�HITEC7: : �':��" �' � � LicenseNo. .... �� . � `;:� PHONEi",-
E�INEER: , �icense No_ � .� �PHONE: �
� 4-
F�E SUMMARY ' - .
Reroof Plan Check: $0 00. '
Reroof Permit Fee: ' $111 25 `' . �
ReinspectionFee: $000," , _
Bidg Std Admin Fund $1 00 �-. ���
TOTAL FEES $112.25 " -' - � . _ - �
.� �� � •
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NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under California statutes and relatetl
regulations. (Ord. No. 92-28, § 1, 12-21-92) �
EXPIRATION: PERMIi EXPIRES 180 OAYS FROM DATE Of ISSUE OR DAiE OF LAST INSPECTION.
INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit.
E t. IXSPECPON TYGE
ifii6 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Fi�al Block/Retaining Wall
202 Final Factary Fire Place
203 Final Sign
204 Final Demolilion
OATE INTITIpLS
0 E/ INSPELlIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electriral
212 Final Fire Prevenlion
220 Final Planning Approval
222 Final Sity
250 Final Building/Oxupancy
0111E IN1fMLS
WORKERS' COMPENSATION DECLARATIOh.
I hereby af(rm under penalry ot perjury one 0� the following declarations:
❑ I have antl will maintain a certifiwte of consent to selFlnsu}e for workers'
compensation, as providetl for by section 3700 af tha Labor Code, for the
peAortnance o( lhe vrork for which this permit Is issued.
❑ I have and will maintain v.orkers' wmp&nsation insu2nce; as required by
section 3700 of the Labor Code, (or the peAo�nance of the vqrk fa which this
pertnit is issued. My vrorkers' compensation Insurence carrier antl policy
number are:
Carrier: � � i'7l N.�
(Ttis seUun nee0 rqf be mnp'eted a�l7ne ce�<isWdietl al one n�iWred tloNars (Sf00) wless )
`— ��7 /(o S " ��1.
PolicyNumber.
❑ I certify that in the peRormance of the work for which this permit is
issued, I shall not employ any person in any manner so as [o become subject
to the workers' compensation laws of Califomia, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
ihe Labor Code, I shall forthvn[h comply with these provisiops.
�-- =�% �_ 2 3 a �i
Md�mnfsSigeuWre' �ale �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,OW), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Busi�ess and Professions Code, and
my license Qis �in (ull force and eftect. n
Lic. # �" � � G �Olass # ` �
� �
�Cmtractor's5ignaWre ` "��
CONSTRUCTION IENDING AGENCY:
❑ I hereby affum that there is a cons�Nctbn IerWing agency fw the
peAortnance of the work fa wfiich this pertnit i5 �ssued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's ACtlress:
OW NER-BUILDER DECLARATIONS:
I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5,
Business and Professions Cotle: Any ciry or county which requires a permit to
construct, alter, improve, tlemolish, or repair any sWcture, prior to its
i55uance, al5o require5 �he applicant for sucM1 pertnit to file a signed statement
that he or she is licensed pursuant to the pmvisions of the Contractors
License Law (Chapter 9(commencing vrith 5ection 7000) of Division 3 of the
Business and Professions Code) or [ha[ he or she is exempt Iherefrom antl
the basis !or the allegetl exemption. Any violation oF Section 703L5 by any
applicant for a permit subjects the applicant to a civil penalty o( not more than
five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
wmpensation, WILL DO THE WORK, and the str�cture is not intended or
oflered for sale (Sec. 7044, Business and Pro(essions Code: The Contractors
License Law dces not apply to an owner of property who builds or improves
Ihereon, and who dces such v.ork himself or herself or through his or her own
employees, provided Ihat such improvements are not intended or offered for
5ale. If, however, Ihe building or impmvement is sold within one year of
wmpletion, the owner-builder will have the purden of proving that he or she
did not build or improve,for purpose of sale.). ,_
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CON7RACTORS to construct the project (Sec. 7044, Business antl
Professans Cotle: The contractas License Law dces not apply to an owner of
property who builds or improves thereon, antl who cont2cts for such pmject with
a contracta(s) license pursuant tothe Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for lhis reason:
Signature
305]�a6�Y0])
Owner ID verifietl by Oriv. .ense. ❑ Ves ❑ No
Driver s License No. F�cpires:
Verification o! Ovmership by (rype of document, i.e. - properly tax bill fr tleed):.�
DIVISION OF INDUS7RIAL SAFEN PERMIT CERTIFICA710N:� �
❑ I hereby certrfy that no excava[ion frve (5) or more (eet in depth into v.fiich a
person is required to descen4 will be made in connec[bn with work authonzetl
by �his permit, antl that no building sirucNre, scaHdding, falsework, ar demolition
or dismantling thereof, will be more than thirty-s& (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Title 8, Califomia Atlminist2tive Code).
❑ As ovmervbuilder, I will not employ anyone to do work which would
require a permit fmm the Division of Industrial Safety, as noted above, unless
such person has a permit to tlo such vrork (rom the tlivision.
%�OP��m�1's SignaWre
Division of Industnal Safety Permi[ Number: _
HAZARDOUS MATERIALS ANO EMISSIONS CERTIFICATION:
1. Will the appliwnt or present or future building occupant need to fle and
ce�ify a Business Plan for emergency response to release or threatenetl
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 0( the Califomia Heal[h antl Safety Cotle requires, with some
exceptions, that a Business Plan he filed with the Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantity o( hazardous materials equal to or greater lhan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet o! compressetl gas
at standartl temperaWre and pressure).
2. Does or will the applicant or present or future building occupant need lo fle
a registration (orm (or acutely hazartlous materials? ❑ Yes ❑ No
(Section 25533 0( the Califomia Healt� and Safety Code, with some
excep�ions, requires regis�ra�ion with the Cosla Mesa Fire Department by
each business which a[ any one time has on hantl a quantity of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard
temperature and pressure).
3. Does or will the appliwnt or present or future building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Sa(ery Code provides [hat the
Costa Mesa Fire Department may require the prepa2tioq certifcation and
filing with the Fire Department of an RMPP by businesses which are requiretl
to register acutely hazarUous materials wiih Ihe Fire Departmenl.
4. I( an RMPP is presently required, has Section 25534 of the California
Health antl Safery Code been fully complied wilh? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or future builtling cecupant require (or
[he work which is the subject of this appliwtion a permit for such construction
or modification from the South Coast Air Qualily Management District or from
any other air polW[ion contml distncl or agency? ❑ Yes ❑ No
(Sec�bn 658502 of Ihe Cali(omia Govemment Code requires [hat the requested
intortnation be fumished on applications for nornresidential building permits).
6. will any part of the facility to be conslructetl under Ihis permit be within
7000 (eet from the outer bountlanes of a school7 ❑ Yes ❑ No
(If'yes", ihe facility.must meet lhe requirement of Sections 25534 and 42303
of the Califomia Health and Safery Cotle).
7. If a permit from Ihe South Coast Air �uality Managemen� Districl or other
air pollution wntrol district or agency is required for the vrork which is the
subject of this application, have all of the disclosures prescnbed by Califomia
Health and Safety Cotle Seclion 42303 been matle? ❑ Yes ❑ No
8. Qf yes", attach certificate of.wmpliance from Ihe appropriate air polWtion
control oKcer). � � - . �
CERTIFICATE OF COMPLIANCE: I certify �t�at under penalty�dL perjury the
information given above is covect. I agree to comply vrith all sWte laws and
city ordinances regarding Hazardous Matenals and Emissions.
Dale '
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of peryury that I have read [his application and state that
the informa[ion given is correct I agree to comply with all state laws and ciry
ordinances relating to building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-descdbetl property for
inspection purposes. I agree not to occupy or allow occupancy of any builtling
authonzed by �his permit until final inspection. �
�Signature d Legal Ovmer(s) Da1e
_%� - Z 3 09
�-Antl/wAut�mxeOAPPIit'anl L__p. ¢
""�
AUOPESS OF BNLOWO: 3 4(J .J
pvNER'S N.WE If pqWN: T 1 I`7 �'i
dODFE55: i�AI'��
AFPL.IWIWG AOOXE55:
UNT:
FLGOD: AHL38
urcxnEcroxe�ax�nn: p�nLEE EPIGINEERING u����� 1U146
�Kap�'g��% 59 "v 3 E NAPLES PLA3A uxr:
L.E. CA 40803
coNm�ctarswu� i:HADT•:ICK'COA1STnUCTIUN (719;697-7953
c«rm�cTarsxuuxo 2 B 4 3 HAD1*IEP. AT3
�no� Iv0?CO CP. ucra.: 37943?
91760 uwr: '?92
LICENSED COMRACTOXS DECtAPAT10N: I Mreby � m uMm penely d pa�ury thtl I am lice�med �nEer praiebm ot C er e
(cammericinp xiih Seciian ]000) of Drvisio� 3 W ihe Buaineea and Profeeaime COEe. ud my licenae o in full bru enE alletl
crtruc.No.: uc.cuss: g uc.r,o.: 37�1'31 EXr
�/"' � /
Dma: � � � .J Comeedor.
OWNEfl BUILUEX OECLAPATION: I ha�ebY eifiim uMer pe�uly d perj�ry �hel I am exemq hom Ihe Comreuon l.irones lew la Me
;""!'pwip �enwn (�an ]0.t1.5 Bueness ���abne Catla: AnY ciry a mumY �icM1 reQuiree e permil to omNrun. ellx. improva.
q�.��i":�dah, w repei eny eVunura, pnor �o tla uauence, elfo requirm iha epplimnl la euch permY lo fib e egroi eblemaN Ihe1 he w ahe
-> :.�d wa�i m me w�. a in. cwmmo,. u��.. i.. �cn,q« a(�m�� wnn s.u� �000l a o�.�:� a d us
�:iroee anE Prdeaeone CaEe� a IhM he or ehe n exemq iherehom enE tM beve iw ihe dleped exempion. My violelion M Satlion
31.5 by eiry epd� �ar a permn wbjeds iM epd�t to e dnl pendry d M mae then INa hurdrsd ddlen �SS00�1.
❑ i.a.o..,b,din�worenv«mr�obr«a..an.we.a.ma:�oia�w�w�..;naomewon�.d,dine�N�mre.�a�m«�aea
w MereE for eeb (`�Iwn )066. Bu4�end PmimniwnCode: TM Conirepon Limnee Lew tlom �w1 epplytoen owrord qapeity
who buide a inprwes IM1erean, vM � doae euM xak IimsaH a MneL or ihraqh h's a her own mmpbyaes, provided ihet such
imprwemmie are rot iniaMed a dfered lor eele. II, hawerer, the buitli�p a'unprovamen� ie eokl within wr yev d wmpblian, Ne
owo«�w�ie« w�n na� ma d,�a.o d v�+��ro n, «� eb oa w�u a �mwo.* i« me w�ooae a.�).
� I. ea oxirer d iM propeM. � actlusrveN �Irmiq xtlh lioanaed conlrectae ro canYrua iM prqetl (�� ]�. �si�ea eM
c,d..�iore cade: ma c«ni.aon �+�e 1aw aoe. M. wWv ro sn o«nm a aw�r..rio wm. a imwo+.. �raeo� ana.�m
mnirecls br wch prqxta wiN e ctlM�ala) Iceneed W�uenl lo tha Canirepan Licenae Lew).
❑ I am uemq under Seuion: 8. a v.c., tor Nis iweon:
De�e: Owner.
I do Mreby canity Itut I em awere d eM undemterM IM reQuiremeMa W CelLanie HeeXh uM Sdary Code $eeima 255p5, 2553�, eM
2551,. eM Ihet I or enY INure Wikiip acuiDeM mll / wil rwl (rirtb ma) ��a oomply wIh seid ebte mdw end IM iepartmanb br
eparmnlnminruelionamoEifiutmhomtMAr e�ee�emenlDistrid.fleaidmlwleons�iudioneppit4lionawexemqtmmtheea
PION910119.
Dete: Applicenl:
WONKEfl'S COMPENSATION DECL�RAnON: I Mreby elf�m under perully d pmjury aw d iM bAov.i�q Mtluetions:
� I hew end xil meimen e ttrlil'rata d wneem �e eW�iruun h waken' oompanWun, m pov'vled lor by Samm ])00 d tM leba
Code, ln �M pMmrence d Ne xak /a which thia prmq u osued.
❑ i ne�e.�e �;e meioiai� won,e,; ca�+o�� ��s�renm. e+�ea��e M see�m a�oo d we �.no, code, a. m, w��ence a m.
wak Ia whiM Nia pemin is iaueC. MY ��� �Penambn mwrv�cs cemr eM pdiq numCer ero:
Cemer
Pdiry Numbar:
is aection neeE nw be canplefe! / the P�R ie h� wn h�Mred Gdlers (Siaol w ba.l
� I cenA' �� in tM perlameze d IM1� ���Kh thw perm0 is i»ueE. I ehell ria ampby wy peuon in enY men p o to
become wbl� to the xaAen' cd�Pensatbn laxa o/ Celifanu. end p�ee Uel ' I elq�ld eu b 1 Ma1ksa'
wmw�+� wwso� a s<a:.� a�oo d m. �n« cea. i andi eonnwen � /1�e�
Deta: ` �� � ADd'ceM: L
Wamllp: Fellun ro exuro warksn' col�p�tlon covmep� ls unl�w/ul, �ntl �hsll �ub�set an smploysr ro er/Mns/ pmeltlu eM
clvll Ilnu �q ro aw hindrod fhouNrd dWYn (5100,OOOA M adtl/tbn b IM rosf o/ ronp�nutbR �W u provMW br In
Sxtlon JlW oI1M Lebor COM. /nMs/t, eM attomsY's lse..
CONSTNUCTON LENqNG �OENCT: I hereM �� uMer psWy d pxjury �hm �haia ia e oonn�uaion bMinp epe�xy lar tlw
perlormence M ihs wak Iw wfii A tha pem�t iv'ssueE (Sedian �OB). Civ. C).
LENOEF'3 N/JIE:
LENDEN'S ADDflESS:
I cerlity �hal I heva read Nie epplrmim ud s�me thei the ebova inlameiion e mrteq. I epiae lo wmpy wnh ell dy enE counry oMinencea
end ete�e lawn releliip to buildiip mnmrWion end hereW eNho/r,ae repeeventa�ives d �his dry io enler upon tM ebore�memionad poperry
�« mso«e� ,w�. Cof���GliJ G!i
JCi(i
� nm Neme ( �y
Dme: � �C � % S�
-- 'SigneWmMOwnadhpenVAp0lmnUConlracla �
(5151d6.WP) While-Build'vp 8 Selery; Greeo-FAe: Cenery-AOP��l %nk-Revenue;
CITY O: CG�TtI PtESA — EUILDZIFG PERMIT etr,rv� rav: � vr.t���
PL.p.MIT NO: 9 0?! 395 PLAN CHECK h:0: OSi7&-94 L �v•: 1- :v �u: r: i•+
COD7STRLCTIOP? TYFE; ',*—N PERMIT TYPE: STR PliAPOSE: ALT
JOB PcS�H�PTION ; CONSTP.UCT 300SF LC�( S�i FT: 9,000
CLAIM C'ALUE: 15,oec.co CALC—�IALUE: 23,200.00 GROUP 6CC: R-3 I
CUMMEA]TS: CONSTP,UCT 30QSF LGFT 5 TFIO 2'k 9' SP;YLIGHTS
+iF 1F+f # iF �if i:> i- if if Y if i� if 1f Y:4 if-Y i�-iF -K Y�4 YF iF -Y AF �k i4 �1F Y iF iL Y-�1[ i4 Y iF i:� iM it i4 ## f 1F iM1?� f Y i4 �)L tiF i: if �Y iF if Y.'�f �- if = iF+ y} tiF y: if Y Y-k i4 iF Y=
Z O N I P7 G R E Q U I R E M E i�d T S
S E 1 E A C K S
------------ MAIN BUILDINC ---------- --------- ACCESS'UP,z BUILiiIi�1G ---------
rRNT; FT iN REAP,: FT IN FP.P]T: FT I?7 P.EAP.• FT IPI
LEFT: FT IN RG:IT; FT IN LEFT: FT IFd °GHT; FT IN
F'AP.KING P.c2; PROV: PARCEL: 9:20716? ZI9E; PDr— P.EF "7G:
F�LP."]P1ING PdUTES> AD� APP�OX, 30�J SQ FT. SECOND FLOOR AREA (LOFT, CLOSET 6
> STORAGE P.REA) �:U EX, JF ( 1—STGRY) .',ESILECICE,
ic # iF ii aF jh if if iF Y� iR � Y � w ii r if iF iF X�Y 14 -fE �IP iC if i.iF i(- �E iF i4'1('>'li iF if Y�1: A4 iG Y�1F Y. �1FYY 1i'if+f V i� i� if Y ii. #'� i4 iF iF #� If i i� AL aF a:>� aF i iF �M'�!F Y�v �If� Y� �V�
D E V E L O. P.M c'Iti' T S E P. �? I(' E S P. E Q U I R E M E*1 T S
ZOI�]SNG AFPROC'Er� SY',, ��-�j��-- De1T�:�SI0I�1(—
BUILDIA7C APPRO�IED BY �
DAT�:
P.PPLICP.TZON ISSUED BY; � �' �� DATE; Vla�g�
i:�xusacqc�*�1:ic-�ac-v-7c.�c.r.x+t�iFac�,'� i'�ii?TY's�iF«;F�S'�ZF#�:«T�.� r1.3F��,c,C�[TiFTf�:'ssr::ac.u.::aca:a'�1:*�aF.T'�:,. ..:� �.z acTi3�.'acu
?F if �IF ic aF �K K ii K Y-Y -Y ae Y Y it iL if a4 �%iE iL-iF y ii 1F �1F-if �Y Y-�k i41F iF i�- ib aF �Y if iF iF M:: aF iF iF �1F if if iF Y iF if Y--1F K 1F �IF � 1R if iF+i- ac � iF iF �F i� i� +1 i:.-li' Y� iF af �i rF �lF
LEGALIZATION:PI , F E E 5 li Nf M A R Y STP.UCTJR'AI�, SEGMEP3T:Y
"' y
F1LDC PMT PLUP4EING ELECTP,IC . MECHANIC�� FIRE SMIP/RES GRFL�IAiG
PERMIT 2v'3.4Q r 2.32
' SMIP;NO�}—RES
PL�ra i57.95 •. "
ISSUE FEE , '
BUILDIPIG—DIC'—> nERP7IT ISSUE PLAN—CHECF: TOTAL PAT_D DUE
TOTe�LS----> 245.32 0.40 157.°5 , 4Q3.27 903.27 ,Op
F.EVENUE DIVISIOA7 TO?`ALS--> COLLECTED: �Zd5.32 GVEP./SHORT: t)p
5LDG PMT PLUA75ING ELECTRIC "9ECHANIC ' PIRE'• SMIP;TOT GP.AUING YLAD]—CY^cCS;
243.00 , 2.32
K df �Y 1F 4 iL Y.11f iiY� JFY iF fF Y jF i4 iF {M it iF � iF F+'� if �k �5!� if iF i! jf' iF� �E jf iF if- Y. i(. �1F i���K iF it- iF if Y� �+f aFi4 if'IK iF ii ii� ii iE� if iE iF �IF �F 4 iF �1E Y 1(� i Y it Y N. �F i if 3F V. i'.
I N D I C' I U U A L ,='E ,E �'� B�P 'E A K D O?d *]
T`IT�E QTY U E 5 C R I P T I U?•1 •�� � ; r � Ut•7IT COST TOTAL COST
sra
300 DY?E—TYFE C'—?300U FP,e?ME —GOG?D
1000 T+LTER EY L'ALUc F,ESID�NT-IAL P7UZUNE
�r�D Or^ �EES ,�
. i
�a.00 zz,aoo.co
s.00 •:,00e.00
1�J1 O�i17%%$�%-l�Qi%�i%�Sl �� S ! ?li�,.ii
?i'.i_� O'Itt�!yS �IPfc: ti:'=�+
�
.
CONSTRUCTION ANOPLANNING
APPROVALS Permit #
i. Temporary Electrical Servlce or Pole
2, Soil Pipe-Undrgrnd.
3. E�ectrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Und�9r�d.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd. �
10. Structural Floor SYstem �
i t. Property Sewer Line & House Conhection
_.______._._.. __..
72. Sewer Cap �
13. Roof Drains
14. Rough Plumbing
15. Rough Electrical�Conduit .
16. Rough Eiectric Wiring '
77. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Condi[ioning
20. Rough Factory Fireplace
21. DuMs, in Structure � �
22. Ducts, Ventilatin9 �
23. Gas Pipe-flough & Test
24. Roof Framing
25. Roof Sheath{ng
26. T�Bai Ceiling (Structu�al) & Monocoat
27.'Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Dryevall Nailing
31. Plaster Brown Coat
32. Electrical Power Metei-Final
33. Final Electric
34. Final Heatin9 & Air CP�ditioning
35. Final Gas Pipe�Test
36. Hood or Ca�opy
37. Final Factory Fireplace ,
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Finai �
41. Solar Oomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47, fINAL STRUCTURE & BUILDING
48. fINALPLANNING
49. Electric Release to Ed�son
50. Gas fielease to Southern Caiifornia Gas Q
51. CERTIFICATE Of OCCUPANCY
Date
Date
�
POC SPA
Inspector qppROVALS Permit #
52. Pool & Equipment Location ,
- 53. Steel Reinforcement
54. Forms
55. Electrical8onding
56. Rough Piumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Eiectrical Cqnduit-Undrgrnd.
59. Gas Pipe, l� Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgmd.
61. APPROVAL TO DECK '
62. Backwash & Receptor-Final �
63. Heater & Ve�t-Finai '
. 64. Piumbing SYstem - Final �
65. Electrical-Final '
66. Solar Svstem-final ' �
� 67. Fencing & Access ApP�oval �
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
i �, �
ti .. .
Date Inspector
'
70. Underground Hydro
71. Product Piping G Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Sta�dpipe
77. FIXED SYSTEM F4NAt
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
S0. FOOD CERTIFICATE ISSUED
Notes:'3 Z ,f'- /i/r'O� �
-v
T� �� _ c i .
-/O-yf .I/O BNG /f�G
'Z7
Z t/
-� i
a
/�
J I
y
�
eooxessaea�mc: 3408 ?:�::�� ..i- '�Y / uxr:
ONMENSNANEIFR�OMI: TIM fIATHATrTIi'Y _. �� FLOOD: AKL33
�nw+ess: SP.ME j �
�
dPPL. IW lPlG ADDXE55: \_�
�xcwR�cron�mffn: p�qLEE ENGrNEER2NG ��� 10196
urcx.oxexc•s�ooeess: 5993 E NAPLES PLAZA �'+*:
L.S. CA 90843
CONfNACTOR'SNAME CHAUWZCK CONSTRUCTION ( 719 ) 64?-?953
cam�cToirs�utna 28•13 HAMNEP. AV �
�oo�ss: P70RCU CA uaxo.: 37943:
41760 urr: 242
IJCENSED COMFICTOHS DECLAflATION: I hereby ellvm uMer penely W perjury ihe� I am licenaed under paneiona o� Cheptar 9
(mmme��q rmh Senion )000) d Oiveion 3 d the BuA�es+ uM Prde�voro Code. erd my lim�ne u in lull bm d elb .
cm uc. No.: uc. cuss: g uc. No.: � � d},�, g r;;
oma: 3- R'-�s ��a:
OWNEN BUILDEP DECLAHATION: 1 heroby dfiim unde� Ve�ellY � ps�/+�Y �� ���emq Mm tM CoNrepon Licerpa Law la Me
'""iwiq �e%+m (�� �1.5 Busima eM Rdasvd�� �de: ��y cry a counry xfiitli npu'vae e pannu �o muwtl. Mx. impow.
�oloh, m repei eny evucwre, qin io iu'eweMe. eNo reQuiree Ihe epplirant lor awh parmil to fila e eiB�� atetamant Met M a ahe
cenaed punuent ia tM praviaions d Ihe Conlredae Licenee lew �Cheqer 9(ownme�a�p xilh Sedion )OW) d Divbion 3 d the
i�ae erq Rdesviao COEe� a �M1e� Ir « ehe u evamq tharehom enA iM Eatiw ta ihe elbped e�empion. My vidmion d Seaion
)0�1.5 by any epplixnl lor e permn abpds iM epplicM� lo e tivil perelry d ml mae Ihen tNe huMrtE Jdlen �5500]).
� I, ea owrer d tM D�Oer1Y a my empbyaee wYh wJOes e+�he'r de mmpenutbn, vNl Eo Ne v.oM, eM Na eWnure c nd iMaMed
a dlared tar sab (Sac�ion )oas. BueireueM Pmleeeions CoCe: TM Comrmas Lioenea lew doee nd eoDN �o en owmr d qoperry
wM buile ar'vnpmvee Iherem, end Mw dms auch MVA MmwM w herseM a �hrouph hb or her own empbyees, qovkod ihm euch
impravemente ara nol iMeMed a cHered lor eele. M. howerer. iha WiNinp a inpovemaM b edd xilhin ar year d oomplatun, IM
owror-0uikm xill heve �M Eurden d pwiiq M a e�e did nal buik or impwa la iM WN�e d eWl.
❑ I. ea awnar N the propeM. � extlu.mey contreain0 �h licenaed conVaclon lo wnaVwJ IM prol� (�� ]WA. Bwi�ree e�M
vroleawoeu cam: Tna eom,mme ueena. �aw d�e � epqr �o .� oww a wwan wno wiu. « impwes inmw� .ne wno
cmlrecd fa euN pqxaa wilh e wm�aUar(nllicameC Wnuenl to Ite Conirenora lioanee law).
� I em exempt uMar Seciian: B. 8 P.C., br Ihia reeaon:
Dde: �Ta�
I Ao hereby ceniry �hei l em ewva d erd uMnsterM tha nVwrememe d Calfanu HaeAh end Se1My COEe Seaiore 25505, 25533, vd
15531, arW ihel I a vry INwe Wikiiq ow�penl xill / wil �wl (ercb one) �roed to tanply wih seN tleta mdes eM iM �uimmenb la
epem�nlorc«uwnonumadifirationhanlMRk u�6T�epement0irnd.qeeidenlieleonelrud'onepplratiorueromempiiromihesa
pro �imionf.
om<: •ow�c
WONKER'S CONPEN5ITION OKL�fl�T10N: I MretlY e/firm uMa penMy d psjwy pp d tl�s Idbrrinp Eeduciwp:
❑ I neva eM xitl meimein e canMicme a mmm�l to san�inwre In waM.n' wmpenution, m pwSJeE lor by setlion 3]aa d tna leEar
Code, fw the perlormenee d IM waek lor w1Yc� ihn partn� ie iaued.
� 1 nme eM xil meimen woiken mmpenmion imurarwe. m reyuired by Seqion 3]00 d ttw Lebm Code. b tM pe�lormarKa of tM
work lor whieh Ihie peemit is ieaued. My workera' eompame�bn insurenee ferrier vd pdiey number era:
c.m.,
Poliry Number:
.his sectian r�eeC rwt 6e candeted i �he Gsmr! u la Me huMred ddkn Rf001 a bw.) '
� I canA' thei in tM ce�«merce d �M wak i« wfikn inis O�n ia ieeueE, I ehell � amdw eny in em' enner o ea m
bGC0111B 9Ubl�= �O IhB Mq�tOR CUT�IBf18fi�p11 �PW9 d�i9�I�CTl9. Bfld BQfBB 1� � � B�1011b ORN YI � �O ��18 Vr0lkB9
�o�� w�ore a smo�, a�oo d�n, �aew coea. � mwi ionnwn\ � d�� /
o�, s -�- 9r RDWirant /�'—t
Wamliq: FaUun ro sxuro woAcen'ronpsiu�tlon M'Nqs l� unlewNl, enJ Msll �uDJec! en smploy�r to cNMml psnaltl�� urtl
c/vll lliwa up ro one huntlrod fMuuiM Goll�n (5100,0001, M�0tl/tlon ro th� ro�f ol ro�vewtbM1 tlanup�� �a proNEeJ Mr In
s.cnon 91ae o� m. Lmni coe.. �nroi..e, .ne.rcnm.r'. �.e..
CONSTPIICTON LENDINO A6ENC�: I hereEy effim� �nAer penetly ol perjury Ihel then ie e mnatiudion bMinp epenry br tM
pena.mence a �ne woM ro, wnid� �ne romii ia ceuea (s.eiw, aow. cv. cl.
LENDEF'S NAME: -
LEN�EP'S AOUPE55:
I cenify ihm I heve read Ihn epplcetion e�d veie ihm tM ebova iMametion's mrten. l apiee lo wmvN �h dl ory uM wumy ordinencea
end aiate lexs relming m buildmq conslrudbn erM hereEY emhorrze represenlalNee of ihis dry lo enler upon IM ebova-meniioned piaperry
lor i ion Wrposas
�� c.� �'� u� G
, �� �,
��!�—o oa�e: 3— � l�
`� 5' rewre M OwnerlApenVRpplcenUConveqa
(5151-a6.WP) Whne-Build'vq 8 Selery; O�ee��Fle; Cenery-Appifant; Nnk-Ravenue: (3oldenroo-Avxnor
CITY OF COSTA MESF. - EUILDING PEFMIT
FEP,MIT IdO: D9 071397
PLAN CHECK NG;
CUNSTP,UCTIODI TYPE: i'-td FEP,MIT TYPE: iiEC
JOH DESCRIPTION ; CONSTP.UCT 3005F LOFT
CLAIM OALJE:
CALC-`.'ALUE :
1�
��x � r�u: r� u; -��
�uvi; r� �urr: r�
PURFJSE: ALT
SQ FT:
GROUP OCC: R-3 ;
COMMED7T5: CGNSTP.UrT 3005F LOFT E TtdO Z'X 9' ShYLZGHTS, kE:#P71395
aM1 jF af li if �c {� *+E df i( s x� iF iM1 u i�-+f af +t� aF .�- ac iE iE it +f +f iE if -iE� if +t it ic if i4 �N- if ac ic ��Y at ic iF ic �x� i4 ac ic �N-�rt i4 Y ic i. {f <1E u r� �)t ;w� il� x tE iR 4�tt �t- ac+4 �ls V-+t x' ar. x
Z U N I"! G ? E Q U I R E M E N T S
S E T B A C K S
---------- MAIN �UILUING ----- --- ACC...�nO..Y HUILDINC
FRNT: FT IN REAR• FT IN FP.*IT: FT rcryIN REAR• FT ' I2�1
LEFT: FT IN RGHT; FT IP7 LEFT: FT IN RGHT: FT IN
PA.?K,ING P,EQ• PROL'; PAP.CcL: y12Q7167 ZNE: P.E� NO:
r�L�r�Nzr�c N6TES>
�
�if �1F iE iF Y�Y iF i�YY �i �f if- i+f if if i4 JF af'M' �F �4 if Y- AF d(-if iF jF if iF if M' iE * iF i� iF df iF JG+t iF �F 4# if if'1F ii �1F �ti if dF iF+f i4 �lf jF iE �If iF?F Y aF iF af iE'1�� �if 3F �If +F k". aF �K iF if
^ D E V E L O P M E N T S E R•;V I C E S P. E Q U I R E M E N T S
�ONING APPP.00'ED BY DATE:
BUILDING APPRUVED HY : DATE:
APPLZCATIOPI ISSUED BY: ��� i y�.yt- nATE: 31 ����
if�3fif!fV-iFYM'F'iF}iFViFifl-iF'Yi4YifiE �ri(- � ii . Y . . ♦ ii + iF14iFiY'�Fi4iFi4%Y-�'$.$�-JFiF
-i: if +FY-?F i� il� aF if if �if if +E iF iF if Y-M-i"r 14 �IF iF tf if if M iF-1F {R'IF jf af if ie Y'�f at YF i+� ii iF-K 14 Y iF iF �1F �t 1i if i4 il� af iF if R if w i� x it aR if �if # i# +4 �M i4 aE �: �F a'r �1(- 1f if af �R JF
LEGALIZATION;P7 F E E S U M M A P. Y STROCTURAL SEGM�p7T;N
BLDG Pf4T PLUCIHING ELECTRIC�� MECHANIC FIRE SMIP/RES GP.l�i*7G
PERMIT 9.00
- zs� sMz� ; r�o:�i-ats
PLAC] , � .
ISSUE FEE ?� 15.00
BUILUIP7G-DIV-> FEP,D9IT ZSSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 9,U0 1�.Q0 ` 0,00 24.00 24.00 .UO
^
REVENUE DIL'ISZOD] TOTALS--> CULLECTED: 29.09 OC'ER;SHOA'I: ,�p
bLDG PP1T PLUMBING ELECTRIC MECAAN;IC FIRE SMIP/TOT GP.ADING FLAN-CHECK
29.00
if �Y-iF K af x-If �1: iF iR -t. iF iF #+f �F a4 it y x iE if if iE if� if rt+F iF iF if M� if iE � i!� i� JL �1 iF�ic �Y-iR if aF iF if iF if ar� Y+F.F �ts+f at Af iF �: iE 1F iE i� �R iF.Y- x at x j4 �F iF jt- �f'4 �tc 1F iF M
I Pd D I C' 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 I� T I U N%�J �1 UNIT COST TOTAL Cnc;T
MEC 1 REPAIR;ALT HEATING UNITY�YS Sd/CNTLS 9.40 9,p0
EPID UF' FE^c5
� �.� � � �
� /
vl p0?77737-�OIl7)3? TC�T �4.qn
oar�: o,ioa�4s r�'rE. i�:a2
� �� 1 �
�i .
� .
CONSTRUCTION AND PLANNING : ��. SPa
APPROVAIS Permit# Date Inspector AppROVALS .Permit# �� � Date Inspector
1. Temporary Electricat Service or pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. �' 53. Steel Reinforcement ,
3. Electrical Cond�it Utility-Undrgrnd. 54. Porms ,' �
4. Electrical Conduit�Undrgrnd. 55. Electrical Boncling �
5. Steel Reinforcement 56. Rough P�umbing & Pressure Test �
'�6. Electrical UFER G�nd. 57. APPROVAL TO COVER�GUNITE
7. Footings � � 58. Electricai Conduit-Undrgrnd.
8. Foundation 59�. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash �ines, P-Trap, �-lJndrgrnd.
10. Structural Pioor SYstem � 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . 63. Heater & VenrFinal
13. Roof Drains ' 64. Plumbing System - Final •
14. Rough Plumbing . 65. Electrical�Final � '
75. Rough Electrica6Gonduit � 66. Solar SVstem-Finai �
76. Rough Electric4Vi�ing 6�. Fencing & Access Approval � .
77. Rough Wiring Sign 68. APPROVED FOR PLqSTERING �
18. Rough Electrical�7 Bar Ceiling ' 69. POOL/$PA SYSTEMS FINAL
19. Rough Heating & Air Conditioning �7/sr� � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducis, Ventilating 77, Product Pipin� G Gas ❑ Oii
23. Gas Pipe-Rouqh & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hyciro
26. T-Bar Ce�ling IStructural) & Monowat � 75. Dry Chemical
27. Frame and Flashing � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEiN FINAI
29. Insulation 78. FIRE PflEV. FINAL
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric _ Notes: -�'7 -�-<- - ` - : � ��, �
34. Final Heatin9 & Air Conditioning _� _Cj� r. - � �.
-7'vY:- �'".:
35. Final Gas Pipe-Test � _S _4 - �^ � /,� �,� �. �/ �
-!-
36. Hood or Canopy . ' r � "�
37.. Finai Factory FireP�ace '�
38. Fina1 Plumbing
39. Water Service�FinBl
40. Gas Service-Final
41. Solar pomesticFinal -
42. Backflow Prevent¢r
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuatio�
46. Handicap Regu�at�ons
47. FINAL STRUCTURE & BUILDIfVG '
48. FINAL PLANNING -'�
49. Elearic Release to Edison - -
50. Gas Release to Southern California Gas Cv
57. CEiiTiFICATE OF OCCUPANCY
No. Date
�I
AODFESS Oi BNLpNO: j tI Q Ei :. �•• •••• r•�N i!�r
avr�rcsru�eir�wam: TIt�I ?:ATEA?dAY
woxess SAME
�ari. reuuxa �ooness:
�`_— ��
u"� �ZTY QF COSTA MESA — BUILDIP7G PEHMI~� rt,:trt rr��: �ri �70
FLOGD; AHL38 `�
PERMIT A10; E 071396 FLAN CHECK NO; N �,vvt: iv ,�.�rr: �'+
�xcxrrecToeu+ax�n: pAP.LEE EPIGIP7EERING ��� 10146
urcxonExa�s�a: 5943 E NAPLES PLP.ZA u�+T:
L.B. CA 908Q?
cw�m,�cTarsxu�:CHADWICK CONSTRUCTZUD] (714)647-7953
COHIN�CTORSMNIRM 2 B 9 3 HAMNEP. AV
woness: A7UR:'O CA uaxo.: 374431
91760 uxr: 242
LICENSED COMFRCTONS DECLAF�TION: I hareby eflim uMer penaly d pe�jury tl�el I em Ikemed uMx pwisime oi Cheqar 9
(mmmemnp wnh Senion )000) d Dimion 3 d iM Busiirea vd Pm(eeaions Code. e�d mY licerw o in full brro enC
cm uc. No.: uc. cuss: B uc. No.:� 3�7g �31 EX
o�e: 3— � ��5� ��,�o,: ��Ll'./�/�
OWNER BIIILDER DECLAflRTION: I Mreby elfirm unEer penely d pe�jury ihel I am exemp Irom 1he Comraaan lironsa lew fa iha
lollovnig reeeon (Seuion )W 1.5 Buaneae erid Proleeaions COEe: Rrry c1Y d�nry wfiiM rpuirea e permn to mnabuct. ellx, improre,
emol'sh, or ropei eny sirvcwre, priar io ib ewence, eleo requires �M epplimm tor wch pamil lo file e egmd etntemenl ihel M a she
licenaed W��t to �M pwiaiana d Ihe �mreqas Limroe law IChaq> 9(canmennnp vm� Setlon )Q00) d Orvebn � d ib
usimss enC Prdeauru Cadel a Out M a� u e�emq ihereM1om eM the beais iv Ihe allepeE e�empion. MY violetion d Seaian
)03t.5 Ey anY aGD�e^I la e permG subjetla 1M epplcenllo e avd qrely d nal mare ihen fxs hurMred Edlen �5500�.' -
❑ I, m o�mar W IM qope�y or my emplvy0� �h wepea ea thx ede mmpenwion, xill do �M xwk, enE Ihe shunun u nd imeMed
or Meredfin eeb (Saction ]01�. B�ircn end Pmleaswne Code: Tha Canveqwa Liceroe LewEoea iwt epply�oen ownerd prapeiry
wM10 buids or improvea IMreon, enE WW �ee auch wak MmeaM w henep a ihrouph hu or Mr oxn employam, qoWded thel euch
imqovemeMe ere M inleMaE a dlere0 �or eele. H, however.lhe buiNinp «improvemeM i� eok wAhin wre yeu d mmpbiion, the
owmrbuitler Mill heve IM Wken d D�'inp he a she d'b nd build or improve la IM W�e d sele�. .
❑ �. av oxne. d ine wweM. � axduervaM mmreavre wan fmneea comrec�on a muaw ine wq� (seaun ]ou. &,.ire.a eM
Pmtessam Cade: The Comreean lim�m Lew dam ml MdY W en oxmr W qopMy who Wike or unpv+a IMeam ad w!w
conveaa �v wa� oroiees wen a mmredMsl �icensee w�+�,.m �o �he Comrmax l;mma lew>. �,/
� I am eaemq uMar Seciiwi: 8. d P.C., for Nia ieeaon: '��
Date: Owner
I do hereby cenity ihet I em ewere d eM uMantend iM requiromenla d CelAomu Heellh eM Sebty Cotle Sed'an� 25505, 25533, ard
2553�. enC IMt I m enY �ure WikinO �P°^I xill / wYl nd (drcb wro) need b canpp wY� �eid ue�e mdea vM Ihe rpuiromeMe M
eparmXlamavuuionarmadifirationhwntMAr�erepemeMDietntl. NwidauidcanaUWioneppice�iamenuemqiramtlime
a��«�s.
Dme: AOd�:
WOflKEN'S CONPENSArION OEttAPAT10N: I hereby dfirm uMer penelty d pajuy wr d tM tolloxi�q dedvmiwa:
� I hera vM wil meiniein ecMifceta d c0�ni to eaMinwre M waMan' cwnpenmtion. es provided fa by Setlian 3)00 d tha labar
coda, ia me �,no��oa a ma wo� iw.m�n m�. va�n re �m�a.
� I heva eM xil meinlem warkers oomperueiion insurvea. ea reyuirsE by Senian 3)00 d tne lebor Cade. br iM perlarmenm d ihe
work la xhiM Ihie pemiil o oued. MY wnFere canpenae�qn ineureMe rarrier utl poW.y n�mber ere:
c��
rd'wv ��mc«:
(ihis sxxbn roeJ rrof de romdekC I fM V>'�^t ia br wn hunEreE dollan ISIOOJ w ImJ
� 1 cen/y �he1 in iM perlmrence G the xp�M �a whch �hb pe�mn n inued. I ehell �M amploy vry Parean in em� m na av to
become suEl� to Ihe hoNsn' ���� ie� a c��b, ,�e �� imm � i.nwm me wbj t Mwkan"
CWIIp0fle6�qfl p(OVI90118 M SBtlqfl 31M OI IAB L6EOf CWB, I BNBII I011M1'MIM1 COT h �hOIB 0
Dde: 3 — �' �/ � AVWicem: �
W�mlrp: Fa/lun ro ucuro woA'sra'rompNwtlon roveraW l� un/awNl, entl MNI alb(�ct �n �mp/eyr ro MMrvl pwuMp uM
clHl Ilnss w ro om hu,tlrM fhouuM ddNn lSf00,G00A In Ntlltlon ro M� cwf ol rornp�wWn1 Cam�p� �s qoHtlW ror In
Sxtlon J106 0l Ms Lebor CaOs, Irrtaul, s�0 ettomry'� Iw.
CONSTNUCTION �ENDINO AOENCY: I he�ebY elfirtn undar pendry d parNry thet ihera ie e canaruaion bMi�q epericy br tM
perlortnence d �ha waM br which �he pemiY ie uvued (Seclon 3091, CM. C).
LENDEfl'S NAME:
LENDER'S RODHE%:
I cMiN Ihat 1 heva reW �hu eVWireiion ud pe�e i1W IM aEwa iniwmation b canw.l N�ee �o candY wBA ell aY enJ oounry adinenm�
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COMMENTS: CONSTRU�T 300Sr LOFT S TSdO 2':{ 9' SKYLTGHTS, RE:tIB71395
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FANT: ^T IN REAR; FT IN FANT; FT IP7 REAR- FT IN
LEFT: FT IN AGHT• FT IP] LEFT: FT IN P,GHT; FT IP7
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PLANNINC NUTES>
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ZONING AFL�RU.'EU BY �` DATE;
bUILDIA7G IiPPT.?C?L'ED BY ; ' � DATE;
P.PPLICPTIOH ISSUED HY: �" %% � :3IB �cl �
DATE•
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S U M A1 A R Y STRUCTORAL SEGMED7T;A:
bLUG rA4T PLUMHID7G ELECTP.IC MECHANIC
PERMIT 8.25
SOR
P LAra ,
ISSUE FEE 15.00
&UILDIP7G—UIV—> PEP.AIIT ISSUE FL'AN—CHECF;
TOTALS----> 8,25 15.00 .' 0.00
REVENTJ� DIL'ISIUN TOTP.� :'--. C�LLECTED;
BLDG PMT P:.UPIHING ELECTnIC MECAANIC
23.2�
cIRE SMIP/P.ES GRr1DI*1G
SMIF;PION—RES
TOTAL FAIn DUE
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23,25 uVER!SHOHT: ,OQ
rZRE 5MIP/TOT GP,ATJING PLAN—C??ECF;
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I P7 D I V I D U A Is- F E E 5 P. E A K D O W N
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TYPE uTY v E r � P, I P 1 I O.. N UI�1IT CGST TGTAL CGST
ELE 2 FZ;?TUFES, LIGHTING�� 1 ST ZO EA. .75 1.50
ELE 7 RECEPTiQUTLET i S'T 20 EA. .75 5,�5
ELE 2 RECEPT: S:•IITCH : ST 20 Ee'�. .75 1. 50
EP7D OF FEES
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CONSTRUCTION ANDPLANNING POO. .SPA
APPROVALS Permit #_- Date Inspector AppROVALS Permii # Date Inspector
1. TemDorary Electrical Service or,Pole 52. Pool & Equipment Location � . I .
2. Soil Pipe�Undrgrnd. . 53. Steel Reinforcement . �
3. Electrical Conduit Uviity�U�drgrnd. 54. Forms '
4. Electrical ConduibUndrgmd. 55. Electricai Bonding ' .
5. Steei Reinforcemen. 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. AAPROVA� TO COVER-GUiV1TE j
7. Pootings 56. Electrical ConduirUndrgrnd. t--�`
B. Foundation 59. Gas P4pe, O Undrgrnd.,Test ' �
9. INater Pipe•Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor SYstem 61. APPROVALTO DECK
71. Property Sewer Line & House Connection 62. Backwash & Receptor�Firial �
72. Sewer Cap 63. Heater & Vent-Finai � • �
13. Roof Drains � � 64. Plumbing SYstem - Final
14. Rough Plumbing - 65. Electrical-Final
15. Liough Etectricat-Cond��t 66. Sofar System�Finat , ,
16. Rough Elactrtc Wiring ���`4 67. Fencing & Access Approval �
g�
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
1B. Rough Electriwi-T Bar Ceiling ' � 69. POOUSPA SYSTEhqS FINAL
19. Rough Heating & Air Condrtioning � PIftE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. Dutts,in Structure 70. Underground Hydro
22. Duccs, Ventilating 71. Product Pipin� � Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank L]Gas �!Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. �athing & Siding � 77� FIXED SYSTEM FINAL �
29. Insulation 76. IR REV. FINA� '
30. Drywali Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric �-j�j Notes: �Q-!�s V.,,_/��/'�,,..�� ����� �O/�`�
�Asc r���.
34. Final Heating & Air Conditioning ��
35. Final Gas Pipe�Test �
36. Hood or Canopy
37. Final Factory Fireplace ,
38. Final Plumbing ;
39. lVater Service�Finai
40. Gas Service-Final �
47. Solar pomestic-Final �
42. Backflow Preve�ter
43. Backflow Irrigation .
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regu�ations
4�, F/NA� STRUCTURE & BUILDING �
48. fINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUI�DING
ADDRESS Tract 10277, Lot 49
OWNER MCLain Development Co.
MAIL
ADDRESS 1470 Jamboree Road
TEL.
CITV Ncc.mnrl- Roar}� NO. 6.d(1—f
BRANCH
ADDRESS
ARCHITECT _ . . ,__ _ .. TEL.
3661 Soruce St., Newport Beach
CONTRACTOR
ADDRESS 1470 Jamboree Road
TEL.
CITV Newport Beach No. 640-6800
LIC. NO. Z%.3B%S LICYNO.
Of LOT �IS X 13O I NOW ON LO
USE OF
EXI5TING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
Single family residence,
New House
I hereby acknowletlga that I have reatl this application antl stare
ihat the above intormaiion is correct and agree to comply with
all lews ragulating building consttuction, antl I shall not employ
any pe�son in violatlon of the workman's compensation laws of
tha State of Californie.
I hereby certify that I am properly Ilcensed as a contractar under
the State of California eusiness antl Profeuions Cotla, Division 3,
Ghapter 9, antl that such licanses are In full force antl effect, or I
am exempt from the provislons of the State of California Business
and Ptofessians ptle, Division 3, Chapter 9. �
Signature of mE r' t�
Permlttee �
Auffiorized A e i .
A.P. NO. �J/.L'O7/�
BUILDING ��O �I
ADDRESS (� '
TRACT �OZ%% I
FIRE
ZONE T'
APPROVEO
BY
ZONE NO.OF
�rn O PLAf�5
VARDS APPROVED
MAIN BUILDING
(FROM C/L STREET)
FRONT 3O FT. Q
' a
R. SIOE J FT.
L. SIDE S FT. C
REAR �I FT. O
DI5TANCE BET.
MAIN BlO(35.
VAR. #
�.�.P.� ZE-�r-3
APPROVEDC�Q /�
Rr
I10LD FOR SP
THEAMOVNTSH
THE PURPOSE OF �
VALUATION
s��� /OD
/79
.94 TL
.94cKTo
I� A--
LOTQy BLOCK
/
% � d•
LU$ • O
GROUP �
DATE
USE OF NEW
sui�oiNc R �
VAROS APPROVED
ACCESSORV BUILDING
BET. MAIN &
ACCESS. BLO
OATE
� Hause 1561
Garage 434
VN UNDEFi VALUATION IS FOF7
iABLISHING A PERMIT FEE ONLV:
PERMIT FEE $
PLAN CHECK $
TAX $ �
c
TOTALPAID $
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